ICD-9-CM Procedures (FY10)

PREFACEThis sixth edition of the International Classification of Diseases, 9th Revision,Clinical Modification (ICD- 9- CM) is being published by the United StatesGovernment in recognition of its responsibility to promulgate this classificationthroughout the United States for morbidity coding. The InternationalClassification of Diseases, 9th Revision, published by the World HealthOrganization (WHO) is the foundation of the ICD- 9- CM and continues to be theclassification employed in cause- of- death coding in the United States. TheICD- 9- CM is completely comparable with the ICD- 9. The WHO CollaboratingCenter for Classification of Diseases in North America serves as liaison betweenthe international obligations for comparable classifications and the nationalhealth data needs of the United States.The ICD- 9- CM is recommended for use in all clinical settings but is requiredfor reporting diagnoses and diseases to all U.S. Public Health Service and theCenters for Medicare & Medicaid Services (formerly the Health Care FinancingAdministration) programs. Guidance in the use of this classification can befound in the section "Guidance in the Use of ICD- 9- CM."ICD- 9- CM extensions, interpretations, modifications, addenda, or errata otherthan those approved by the U.S. Public Health Service and the Centers forMedicare & Medicaid Services are not to be considered official and should notbe utilized. Continuous maintenance of the ICD- 9- CM is the responsibility ofthe Federal Government. However, because the ICD- 9- CM represents the bestin contemporary thinking of clinicians, nosologists, epidemiologists, andstatisticians from both public and private sectors, no future modifications willbe considered without extensive advice from the appropriate representatives ofall major users.All official authorized addenda through October 1, 2009, have been included inthis sixth edition.3

ACKNOWLEDGMENTSDavid Berglund, MD, MPHClassifications and Public Health Data Standards StaffNational Center for Health StatisticsCenters for Disease Control and PreventionAmy L. Blum, MHSA., RHIA, CTRClassifications and Public Health Data Standards StaffNational Center for Health StatisticsCenters for Disease Control and PreventionLizabeth J. Fisher, RHIAClassifications and Public Health Data Standards StaffNational Center for Health StatisticsCenters for Disease Control and PreventionDonna Pickett, MPH, RHIAClassifications and Public Health Data Standards StaffNational Center for Health StatisticsCenters for Disease Control and PreventionPatricia E. Brooks, RHIACenters For Medicare and Medicaid ServicesCenter for Medicare ManagementHospital and Ambulatory Policy GroupDivision of Acute CareAnn B. Fagan, RHIACenters For Medicare and Medicaid ServicesCenter for Medicare ManagementHospital and Ambulatory Policy GroupDivision of Acute CareAmy L. Gruber, RHIACenters For Medicare and Medicaid ServicesCenter for Medicare ManagementHospital and Ambulatory Policy GroupDivision of Acute CareMady Hue, RHIA, CCSCenters For Medicare and Medicaid ServicesCenter for Medicare ManagementHospital and Ambulatory Policy GroupDivision of Acute CareLinda WashingtonMarketingNational Center for Health StatisticsDevelopment InfoStructure2101 Wilson Boulevard, Suite 300Arlington, VA 22201Contact: David W. Martin4

INTRODUCTIONThe International Classification of Diseases, 9th Revision, Clinical Modification(ICD- 9- CM) is based on the official version of the World Health Organization's9th Revision, International Classification of Diseases (ICD- 9). ICD- 9 is designedfor the classification of morbidity and mortality information for statisticalpurposes, and for the indexing of hospital records by disease and operations, fordata storage and retrieval. The historical background of the InternationalClassification of Diseases may be found in the Introduction to ICD- 9 (Manual ofthe International Classification of Diseases, Injuries, and Causes of Death, WorldHealth Organization, Geneva, Switzerland, 1977).ICD- 9- CM is a clinical modification of the World Health Organization'sInternational Classification of Diseases, 9th Revision (ICD- 9). The term "clinical" isused to emphasize the modification's intent: to serve as a useful tool in the areaof classification of morbidity data for indexing of medical records, medical carereview, and ambulatory and other medical care programs, as well as for basichealth statistics. To describe the clinical picture of the patient, the codes must bemore precise than those needed only for statistical groupings and trend analysis..THE ICD-9-CM COORDINATION AND MAINTENANCE COMMITTEEAnnual modifications are made to the ICD- 9- CM through the ICD- 9- CMCoordination and Maintenance Committee (C&M). The Committee is made up ofrepresentatives from two Federal Government agencies, the National Center forHealth Statistics and the Centers for Medicare & Medicaid Services. TheCommittee holds meetings twice a year which are open to the public.Modifcation proposals submitted to the Committee for consideration arepresented at the meetings for public discussion. Those modification proposalswhich are approved are incorporated into the official government version of theICD- 9- CM and become effective for use the October 1 of the year following theirpresentation. This CD- ROM contains the modifications approved from the March2008 - March 2009 C&M cycle.This CD- ROM is the only official federal government version of the ICD- 9- CM. Itmay be purchased through the Government Printing Office.CONVENTIONS USED IN THE TABULAR LISTThe ICD- 9- CM Tabular List for both the Disease and Procedure Classificationmakes use of certain abbreviations, punctuation, and other conventions whichneed to be clearly understood.AbbreviationsNEC Not elsewhere classifiable. The category number for the term including NEC isto be used only when the coder lacks the information necessary to code theterm to a more specific category.NOS Not otherwise specified. This abbreviation is the equivalent of "unspecified."Punctuation[ ] Brackets are used to enclose synonyms, alternative wordings, orexplanatory phrases.5

() Parentheses are used to enclose supplementary words which may be presentor absent in the statement of a disease or procedure without affecting thecode number to which it is assigned.: Colons are used in the Tabular List after an incomplete term which needs oneor more of the modifiers which follow in order to make it assignable to a givencategory.OTHER CONVENTIONSFormat: ICD- 9- CM uses an indented format for ease in reference.Instructional NotationsIncludes:This note appears immediately under a three- digit code title to further define,or give example of, the contents of the category.Excludes:Terms following the word "excludes" are to be coded elsewhere. The termexcludes means "DO NOT CODE HERE".Use additional codeThis instruction is placed in the Tabular List in those categories where theuser will need to add further information (by using an additional code) to givea more complete picture of the diagnosis or procedure.GUIDANCE IN THE USE OF ICD-9-CMTo code accurately, it is necessary to have a working knowledge of medicalterminology and to understand the characteristics, terminology, and conventionsof the ICD- 9- CM. Transforming verbal descriptions of diseases, injuries,conditions, and procedures into numerical designations (coding) is a complexactivity and should not be undertaken without proper training.Originally coding was accomplished to provide access to medical records bydiagnoses and operations through retrieval for medical research, education, andadministration. Medical codes today are utilized to facilitate payment of healthservices, to evaluate utilization patterns, and to study the appropriateness ofhealth care costs. Coding provides the bases for epidemiological studies andresearch into the quality of health care.Coding must be performed correctly and consistently to produce meaningfulstatistics to aid in the planning for the health needs of the Nation.QUESTIONSQuestions regarding the use and interpretation of the International Classification of Diseases,9th Revision, Clinical Modification can be directed to any of the organizations listed below.Central Office on ICD-9-CMAmerican Hospital Association1 North Franklin Chicago, Illinois 60606National Center for Health StatisticsCenters for Disease Control and PreventionDepartment of Health and Human Services3311 Toledo RoadHyattsville, Maryland 20782Centers for Medicare & Medicaid ServicesDivision of Prospective Payment SystemOffice of Hospital Policy7500 Security Blvd., C5- 06- 27Baltimore, Maryland 21244- 18506

TABLE OF CONTENTSCLASSIFICATION OF PROCEDURESChapter Code Page0 00 Procedures and interventions, not elsewhereclassified111 01- 05 Operations on the nervous system 222 06- 07 Operations on the endocrine system 323 08- 16 Operations on the eye 373A 17 Other miscellaneous diagnostic and therapeuticprocedures514 18- 20 Operations on the ear 545 21- 29 Operations on the nose, mouth, and pharynx 606 30- 34 Operations on the respiratory system 727 35- 39 Operations on the cardiovascular system 828 40- 41 Operations on the hemic and lymphatic system 1139 42- 54 Operations on the digestive system 11610 55- 59 Operations on the urinary system 15311 60- 64 Operations on the male genital organs 16612 65- 71 Operations on the female genital organs 17313 72- 75 Obstetrical procedures 18814 76- 84 Operations on the musculoskeletal system 19315 85- 86 Operations on the integumentary system 22316 87- 99 Miscellaneous diagnostic and therapeuticprocedures233INDEX TO PROCEDURES 2737

CLASSIFICATION OF PROCEDURES9

PROCEDURES AND INTERVENTIONS, NOT ELSEWHERE CLASSIFIED (00)0. PROCEDURES AND INTERVENTIONS , NOT ELSEWHERE CLASSIFIED (00)00 Procedures and interventions, Not Elsewhere Classified00.0 Therapeutic ultrasoundExcludes: diagnostic ultrasound (non-invasive) (88.71-88.79)intracardiac echocardiography [ICE] (heart chamber(s)) (37.28)intravascular imaging (adjunctive) (00.21-00.29)00.01 Therapeutic ultrasound of vessels of head and neckAnti- restenotic ultrasoundIntravascular non- ablative ultrasoundExcludes: diagnostic ultrasound of:eye (95.13)head and neck (88.71)that of inner ear (20.79)ultrasonic:angioplasty of non-coronary vessel (39.50)embolectomy (38.01, 38.02)endarterectomy (38.11, 38.12)thrombectomy (38.01, 38.02)00.02 Therapeutic ultrasound of heart ®Anti- restenotic ultrasoundIntravascular non- ablative ultrasoundExcludes: diagnostic ultrasound of heart (88.72)ultrasonic ablation of heart lesion (37.34)ultrasonic angioplasty of coronary vessels (00.66, 36.09)00.03 Therapeutic ultrasound of peripheral vascular vesselsAnti- restenotic ultrasoundIntravascular non- ablative ultrasoundExcludes: diagnostic ultrasound of peripheral vascular system (88.77)ultrasonic angioplasty of:non-coronary vessel (39.50)00.09 Other therapeutic ultrasound00.1 PharamaceuticalsExcludes: ultrasonic:fragmentation of urinary stones (59.95)percutaneous nephrostomy with fragmentation (55.04)physical therapy (93.35)transurethral guided laser induced prostatectomy(TULIP) (60.21)00.10 Implantation of chemotherapeutic agentBrain wafer chemotherapyInterstitial/ intracavitaryExcludes: injection or infusion of cancer chemotherapeuticsubstance (99.25)00.11 Infusion of drotrecogin alfa (activated)Infusion of recombinant protein New code ® Revised code 4 th digit required 11

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)00.12 Administration of inhaled nitric oxideNitric oxide therapy00.13 Injection or infusion of nesiritideHuman B- type natriuretic peptide (hBNP)00.14 Injection or infusion of oxazolidinone class of antibioticsLinezolid injection00.15 High-dose infusion interleukin-2 [IL-2]Infusion (IV bolus, CIV) interleukinInjection of aldesleukinExcludes: low-dose infusion interleukin-2 (99.28)00.16 Pressurized treatment of venous bypass graft [conduit] withpharmaceutical substanceEx- vivo treatment of vesselHyperbaric pressurized graft [conduit]00.17 Infusion of vasopressor agent00.18 Infusion of immunosuppressive antibody therapy ®Includes: during induction phase of solid organ transplantationmonoclonal antibody therapypolyclonal antibody therapy00.19 Disruption of blood brain barrier via infusion [BBBD] Infusion of substance to disrupt blood brain barrierCode also chemotherapy (99.25)Excludes: other perfusion (39.97)00.2 Intravascular imaging of blood vessels ®Endovascular ultrasonographyIntravascular ultrasound (IVUS)Intravascular [ultrasound] imaging of blood vesselsVirtual histology intravascular ultrasound [VH- IVUS]Note: real- time imaging of lumen of blood vessel(s) using sound wavesCode also any synchronous diagnostic or therapeutic proceduresExcludes: therapeutic ultrasound (00.01-00.09)adjunct vascular system procedures, number of vessels treated(00.40 00.43)diagnostic procedures on blood vessels (38.21 38.29)diagnostic ultrasound of peripheral vascular system (88.77)magnetic resonance imaging (MRI) (88.91-88.97)intravascular imaging of vessel(s) by OCT (38.24-38.25)00.21 Intravascular imaging of extracranial cerebral vesselsCommon carotid vessels and branchesIntravascular ultrasound (IVUS), extracranial cerebral vesselsExcludes: diagnostic ultrasound (non-invasive) of head and neck (88.71)00.22 Intravascular imaging of intrathoracic vesselsAorta and aortic archIntravascular ultrasound (IVUS), intrathoracic vesselsVena cava (superior) (inferior)Excludes: diagnostic ultrasound (non-invasive) of other sites of thorax(88.73)12 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

PROCEDURES AND INTERVENTIONS, NOT ELSEWHERE CLASSIFIED (00)00.23 Intravascular imaging of peripheral vesselsImaging of:vessels of arm(s)vessels of leg(s)Intravascular ultrasound (IVUS), peripheral vesselsExcludes: diagnostic ultrasound (non-invasive) of peripheralvascular system (88.77)00.24 Intravascular imaging of coronary vesselsIntravascular ultrasound (IVUS), coronary vesselsExcludes: diagnostic ultrasound (non-invasive) of heart (88.72)intracardiac echocardiography [ICE] (ultrasound ofheart chamber(s)) (37.28)00.25 Intravascular imaging of renal vesselsIntravascular ultrasound (IVUS), renal vesselsRenal arteryExcludes: diagnostic ultrasound (non-invasive) of urinary system(88.75)00.28 Intravascular imaging, other specified vessel(s)00.29 Intravascular imaging, unspecified vessel(s)00.3 Computer assisted surgery [CAS] ®CT- free navigationImage guided navigation (IGN)Image guided surgery (IGS)Imageless navigationThat without the use of robotic(s) technologyCode also diagnostic or therapeutic procedureExcludes: stereotactic frame application only (93.59)robotic assisted procedures (17.41-17.49)00.31 Computer assisted surgery with CT/CTA00.32 Computer assisted surgery with MR/MRA00.33 Computer assisted surgery with fluoroscopy00.34 Imageless computer assisted surgery00.35 Computer assisted surgery with multiple datasets00.39 Other computer assisted surgeryComputer assisted surgery NOS New code ® Revised code 4 th digit required 13

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)00.4 Adjunct Vascular System ProceduresNote: These codes can apply to both coronary and peripheral vessels.These codes are to be used in conjunction with other therapeuticprocedure codes to provide additional information on the number ofvessels upon which a procedure was performed and/or the numberof stents inserted. As appropriate, code both the number of vesselsoperated on (00.40- 00.43) , and the number of stents inserted(00.45- 00.48).Code also any:angioplasty or atherectomy (00.61- 00.62, 00.66, 39.50)endarterectomy (38.10 38.18)insertion of vascular stent(s) (00.55, 00.63- 00.65, 36.06 - 36.07, 39.90)other removal of coronary artery obstruction (36.09)00.40 Procedure on single vesselNumber of vessels, unspecifiedExcludes: (aorto) coronary bypass (36.10 36.19)intravascular imaging of blood vessels (00.21-00.29)00.41 Procedure on two vesselsExcludes: (aorto) coronary bypass (36.10 36.19)intravascular imaging of blood vessels (00.21-00.29)00.42 Procedure on three vesselsExcludes: (aorto) coronary bypass (36.10 36.19)intravascular imaging of blood vessels (00.21-00.29)00.43 Procedure on four or more vesselsExcludes: (aorto) coronary bypass (36.10 36.19)intravascular imaging of blood vessels (00.21-00.29)00.44 Procedure on vessel bifurcationNote: This code is to be used to identify the presence of a vesselbifurcation; it does not describe a specific bifurcation stent.Use this code only once per operative episode, irrespective ofthe number of bifurcations in vessels.00.45 Insertion of one vascular stentNumber of stents, unspecified00.46 Insertion of two vascular stents00.47 Insertion of three vascular stents00.48 Insertion of four or more vascular stents00.49 SuperSaturated oxygen therapyAqueous oxygen (AO) therapySSO2SuperOxygenation infusion therapyCode also any:injection or infusion of thrombolytic agent (99.10)insertion of coronary artery stent(s) (36.06- 36.07)intracoronary artery thrombolytic infusion (36.04)number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)open chest coronary artery angioplasty (36.03)14 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

PROCEDURES AND INTERVENTIONS, NOT ELSEWHERE CLASSIFIED (00)00.56 Insertion or replacement of implantable pressure sensor (lead)for intracardiac or great vessel hemodynamic monitoring ®Code also any associated implantation or replacement of monitor(00.57)Excludes: circulatory monitoring (blood gas, arterial or venouspressure, cardiac output and coronary blood flow)(89.60 - 89.69)00.57 Implantation or replacement of subcutaneous device forintracardiac or great vessel hemodynamic monitoring ®Implantation of monitoring device with formation of subcutaneouspocket and connection to intracardiac pressure sensor (lead)Code also any associated insertion or replacement of implantedpressure sensor (lead) (00.56)00.58 Insertion of intra-aneurysm sac pressure monitoring device(intraoperative) Insertion of pressure sensor during endovascular repair ofabdominal or thoracic aortic aneurysm(s)00.59 Intravascular pressure measurement of coronary arteries Includes: fractional flow reserve (FFR)Code also any synchronous diagnostic or therapeutic proceduresExcludes: intravascular pressure measurement of intrathoracicarteries (00.67)00.6 Procedures on blood vessels00.61 Percutaneous angioplasty or atherectomy of precerebral(extracranial) vessel(s)BasilarCarotidVertebralCode also any:injection or infusion of thrombolytic agent (99.10)percutaneous insertion of carotid artery stent(s) (00.63)percutaneous insertion of other precerebral artery stent(s) (00.64)number of vascular stents inserted (00.45 00.48)number of vessels treated (00.40 00.43)procedure on vessel bifurcation (00.44)Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)removal of cerebrovascular obstruction of vessel(s) by openapproach (38.01-38.02, 38.11-38.12, 38.31-38.32,38.41-38.42)00.62 Percutaneous angioplasty or atherectomy of intracranial vessel(s)Code also any:injection or infusion of thrombolytic agent (99.10)percutaneous insertion of intracranial stent(s) (00.65)number of vascular stents inserted (00.45 00.48)number of vessels treated (00.40 00.43)procedure on vessel bifurcation (00.44) New code ® Revised code 4 th digit required 17

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)removal of cerebrovascular obstruction of vessel(s) by openapproach (38.01-38.02, 38.11-38.12, 38.31-38.32,38.41-38.42)00.63 Percutaneous insertion of carotid artery stent(s)Includes the use of any embolic protection device, distal protectiondevice, filter device, or stent delivery systemNon- drug- eluting stentCode also any:number of vascular stents inserted (00.45 00.48)number of vessels treated (00.40 00.43)percutaneous angioplasty or atherectomy of precerebral vessel(s)(00.61)procedure on vessel bifurcation (00.44)Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)insertion of drug-eluting peripheral vessel stent(s) (00.55)00.64 Percutaneous insertion of other precerebral (extracranial) arterystent(s)Includes the use of any embolic protection device, distal protectiondevice, filter device, or stent delivery systemBasilar stentVertebral stentCode also any:number of vascular stents inserted (00.45 00.48)number of vessels treated (00.40 00.43)percutaneous angioplasty or atherectomy of precerebral vessel(s)(00.61)procedure on vessel bifurcation (00.44)Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)insertion of drug-eluting peripheral vessel stent(s) (00.55)00.65 Percutaneous insertion of intracranial vascular stent(s)Includes the use of any embolic protection device, distal protectiondevice, filter device, or stent delivery systemCode also any:number of vascular stents inserted (00.45 00.48)number of vessels treated (00.40 00.43)percutaneous angioplasty or atherectomy of intracranial vessel(s)(00.62)procedure on vessel bifurcation (00.44)Excludes: angioplasty or atherectomy of other non-coronary vessel(s)(39.50)insertion of drug-eluting peripheral vessel stent(s) (00.55)18 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

PROCEDURES AND INTERVENTIONS, NOT ELSEWHERE CLASSIFIED (00)00.66 Percutaneous transluminal coronary angioplasty [PTCA] or coronaryatherectomy ®Balloon angioplasty of coronary arteryCoronary atherectomyPercutaneous coronary angioplasty NOSPTCA NOSCode also any:injection or infusion of thrombolytic agent (99.10)insertion of coronary artery stent(s) (36.06- 36.07)intracoronary artery thrombolytic infusion (36.04)number of vascular stents inserted (00.45 00.48)number of vessels treated (00.40 00.43)procedure on vessel bifurcation (00.44)SuperSaturated oxygen therapy (00.49)00.67 Intravascular pressure measurement of intrathoracic arteries Assessment of: aorta and aortic archcarotidCode also any synchronous diagnostic or therapeutic procedures00.68 Intravascular pressure measurement of peripheral arteries Assessment of: other peripheral vesselsvessels of arm(s) vessels of leg(s)Code also any synchronous diagnostic or therapeutic procedures00.69 Intravascular pressure measurement, other specified andunspecified vesselsAssessment of:iliac vesselsintra- abdominal vesselsmesenteric vesselsrenal vesselsCode also any synchronous diagnostic or therapeutic proceduresExcludes: intravascular pressure measurement of:coronary arteries (00.59)intrathoracic arteries (00.67)peripheral arteries (00.68)00.7 Other hip procedures00.70 Revision of hip replacement, both acetabular and femoralcomponentsTotal hip revisionCode also any:removal of (cement) (joint) spacer (84.57)type of bearing surface, if known (00.74 00.77)Excludes:revision of hip replacement, acetabular component only (00.71)revision of hip replacement, femoral component only (00.72)revision of hip replacement, Not Otherwise Specified (81.53)revision with replacement of acetabular liner and/or femoral headonly (00.73) New code ® Revised code 4 th digit required 19

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)00.71 Revision of hip replacement, acetabular componentPartial, acetabular component onlyThat with:exchange of acetabular cup and linerexchange of femoral headCode also any type of bearing surface, if known (00.74 00.77)Excludes:revision of hip replacement, both acetabular and femoral components(00.70)revision of hip replacement, femoral component (00.72)revision of hip replacement, Not Otherwise Specified (81.53)revision with replacement of acetabular liner and/or femoral headonly (00.73)00.72 Revision of hip replacement, femoral componentPartial, femoral component onlyThat with:exchange of acetabular linerexchange of femoral stem and headCode also any type of bearing surface, if known (00.74 00.77)Excludes:revision of hip replacement, acetabular component (00.71)revision of hip replacement, both acetabular and femoral components(00.70)revision of hip replacement, not otherwise specified (81.53)revision with replacement of acetabular liner and/or femoral headonly (00.73)00.73 Revision of hip replacement, acetabular liner and/or femoral headonlyCode also any type of bearing surface, if known (00.74 00.77)00.74 Hip bearing surface, metal on polyethylene ®00.75 Hip bearing surface, metal-on-metal ®00.76 Hip bearing surface, ceramic-on-ceramic ®00.77 Hip bearing surface, ceramic-on-polyethylene ®00.8 Other knee and hip proceduresNote: Report up to two components using 00.81 00.83 to describe revisionof knee replacements. If all three components are revised, report 00.80.00.80 Revision of knee replacement, total (all components)Replacement of femoral, tibial, and patellarcomponents (all components)Code also any removal of (cement) (joint) spacer (84.57)Excludes: revision of only one or two components (tibial, femoral orpatellar component) (00.81 00.84)00.81 Revision of knee replacement, tibial componentReplacement of tibial baseplate and tibial insert (liner)Excludes: revision of knee replacement, total (all components) (00.80)20 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

PROCEDURES AND INTERVENTIONS, NOT ELSEWHERE CLASSIFIED (00)00.82 Revision of knee replacement, femoral componentThat with replacement of tibial insert (liner)Excludes: revision of knee replacement, total (all components) (00.80)00.83 Revision of knee replacement, patellar componentExcludes: revision of knee replacement, total (all components) (00.80)00.84 Revision of total knee replacement, tibial insert (liner)Replacement of tibial insert (liner)Excludes: that with replacement of tibial component (tibial baseplateand liner) (00.81)00.85 Resurfacing hip, total, acetabulum and femoral headHip resurfacing arthroplasty, total00.86 Resurfacing hip, partial, femoral headHip resurfacing arthroplasty, NOSHip resurfacing arthroplasty, partial, femoral headExcludes: that with resurfacing of acetabulum (00.85)00.87 Resurfacing hip, partial, acetabulumHip resurfacing arthroplasty, partial, acetabulumExcludes: that with resurfacing of femoral head (00.85)00.9 Other procedures and interventions00.91 Transplant from live related donorCode also organ transplant procedure00.92 Transplant from live non-related donorCode also organ transplant procedure00.93 Transplant from cadaverCode also organ transplant procedure00.94 Intra-operative neurophysiologic monitoring Includes: Cranial nerve, peripheral nerve and spinal cordtesting performed intra- operativelyIntra- operative neurophysiologic testingIOMNerve monitoringNeuromonitoringExcludes: brain temperature monitoring (01.17)intracranial oxygen monitoring (01.16)intracranial pressure monitoring (01.10)plethysmogram (89.58) New code ® Revised code 4 th digit required 21

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)1. OPERATIONS ON THE NERVOUS SYSTEM (01-05)01 Incision and excision of skull, brain, and cerebral meninges01.0 Cranial puncture01.01 Cisternal punctureCisternal tapExcludes: pneumocisternogram (87.02)01.02 Ventriculopuncture through previously implanted catheterPuncture of ventricular shunt tubing01.09 Other cranial punctureAspiration of:subarachnoid spacesubdural spaceCranial aspiration NOSPuncture of anterior fontanelSubdural tap (through fontanel)01.1 Diagnostic procedures on skull, brain, and cerebral meninges01.10 Intracranial pressure monitoring Includes: insertion of catheter or probe for monitoring01.11 Closed [percutaneous] [needle] biopsy of cerebral meningesBurr hole approach01.12 Open biopsy of cerebral meninges01.13 Closed [percutaneous] [needle] biopsy of brainBurr hole approachStereotactic method01.14 Open biopsy of brain01.15 Biopsy of skull01.16 Intracranial oxygen monitoring Includes: insertion of catheter or probe for monitoringPartial pressure of brain oxygen (PbtO2)01.17 Brain temperature monitoring Includes: insertion of catheter or probe for monitoring01.18 Other diagnostic procedures on brain and cerebral meninges ®Excludes: cerebral:arteriography (88.41)thermography (88.81)contrast radiogram of brain (87.01-87.02)echoencephalogram (88.71)electroencephalogram (89.14)microscopic examination of specimen from nervous system andof spinal fluid (90.01-90.09)neurologic examination (89.13)phlebography of head and neck (88.61)pneumoencephalogram (87.01)22 1 .1 OR procedure 0 .2 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NERVOUS SYSTEM (01-05))radioisotope scan:cerebral (92.11)head NEC (92.12)tomography of head:C.A.T. scan (87.03)other (87.04)brain temperature monitoring (01.17)intracranial oxygen monitoring (01.16)intracranial pressure monitoring (01.10)01.19 Other diagnostic procedures on skullExcludes: transillumination of skull (89.16)x-ray of skull (87.17)01.2 Craniotomy and craniectomyExcludes: decompression of skull fracture (02.02)exploration of orbit (16.01-16.09)that as operative approach --omit code01.21 Incision and drainage of cranial sinus01.22 Removal of intracranial neurostimulator lead(s)Code also any removal of neurostimulator pulse generator (86.05)Excludes: removal with synchronous replacement (02.93)01.23 Reopening of craniotomy site01.24 Other craniotomyCranial:decompressionexplorationtrephinationCraniotomy NOSCraniotomy with removal of:epidural abscessextradural hematomaforeign body of skullExcludes: removal of foreign body with incision into brain (01.39)01.25 Other craniectomyDebridement of skull NOSSequestrectomy of skullExcludes: debridement of compound fracture of skull (02.02)strip craniectomy (02.01)01.26 Insertion of catheter(s) into cranial cavity or tissueCode also any concomitant procedure (e.g. resection (01.59))Excludes: placement of intracerebral catheter(s) via burr hole(s) (01.28)01.27 Removal of catheter(s) from cranial cavity or tissue01.28 Placement of intracerebral catheter(s) via burr hole(s)Convection enhanced deliveryStereotactic placement of intracerebral catheter(s)Code also infusion of medicationExcludes: insertion of catheter(s) into cranial cavity or tissue(s) (01.26) New code ® Revised code 4 th digit required 23

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)01.3 Incision of brain and cerebral meninges01.31 Incision of cerebral meningesDrainage of:intracranial hygromasubarachnoid abscess (cerebral)subdural empyema01.32 Lobotomy and tractotomyDivision of:brain tissuecerebral tractsPercutaneous (radiofrequency) cingulotomy01.39 Other incision of brainAmygdalohippocampotomyDrainage of intracerebral hematomaIncision of brain NOSExcludes: division of cortical adhesions (02.91)01.4 Operations on thalamus and globus pallidus01.41 Operations on thalamusChemothalamectomyThalamotomyExcludes: that by stereotactic radiosurgery (92.30 - 92.39)01.42 Operations on globus pallidusPallidoansectomyPallidotomyExcludes: that by stereotactic radiosurgery (92.30 - 92.39)01.5 Other excision or destruction of brain and meninges01.51 Excision of lesion or tissue of cerebral meningesDecortication of (cerebral) meningesResection of (cerebral) meningesStripping of subdural membrane of (cerebral) meningesExcludes: biopsy of cerebral meninges (01.11-01.12)01.52 Hemispherectomy01.53 Lobectomy of brain01.59 Other excision or destruction of lesion or tissue of brainCurettage of brainDebridement of brainMarsupialization of brain cystTranstemporal (mastoid) excision of brain tumorExcludes: biopsy of brain (01.13-01.14)that by stereotactic radiosurgery (92.30 - 92.39)laser interstitial thermal therapy [LITT] of lesion or tissue ofbrain under guidance (17.61)01.6 Excision of lesion of skullRemoval of granulation tissue of craniumExcludes: biopsy of skull (01.15)sequestrectomy (01.25)24 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NERVOUS SYSTEM (01-05))02 Other operations on skull, brain, and cerebral meninges02.0 CranioplastyExcludes: that with synchronous repair of encephalocele (02.12)02.01 Opening of cranial sutureLinear craniectomyStrip craniectomy02.02 Elevation of skull fracture fragmentsDebridement of compound fracture of skullDecompression of skull fractureReduction of skull fractureCode also any synchronous debridement of brain (01.59)Excludes: debridement of skull NOS (01.25)removal of granulation tissue of cranium (01.6)02.03 Formation of cranial bone flapRepair of skull with flap02.04 Bone graft to skullPericranial graft (autogenous) (heterogenous)02.05 Insertion of skull plateReplacement of skull plate02.06 Other cranial osteoplastyRepair of skull NOSRevision of bone flap of skull02.07 Removal of skull plateExcludes: removal with synchronous replacement (02.05)02.1 Repair of cerebral meningesExcludes: marsupialization of cerebral lesion (01.59)02.11 Simple suture of dura mater of brain02.12 Other repair of cerebral meningesClosure of fistula of cerebrospinal fluidDural graftRepair of encephalocele including synchronous cranioplastyRepair of meninges NOSSubdural patch02.13 Ligation of meningeal vesselLigation of:longitudinal sinusmiddle meningeal artery02.14 Choroid plexectomyCauterization of choroid plexus02.2 VentriculostomyAnastomosis of ventricle to:cervical subarachnoid spacecisterna magnaInsertion of Holter valveVentriculocisternal intubation New code ® Revised code 4 th digit required 25

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)02.3 Extracranial ventricular shuntIncludes: that with insertion of valve02.31 Ventricular shunt to structure in head and neckVentricle to nasopharynx shuntVentriculomastoid anastomosis02.32 Ventricular shunt to circulatory systemVentriculoatrial anastomosisVentriculocaval shunt02.33 Ventricular shunt to thoracic cavityVentriculopleural anastomosis02.34 Ventricular shunt to abdominal cavity and organsVentriculocholecystostomyVentriculoperitoneostomy02.35 Ventricular shunt to urinary systemVentricle to ureter shunt02.39 Other operations to establish drainage of ventricleVentricle to bone marrow shuntVentricular shunt to extracranial site NEC02.4 Revision, removal, and irrigation of ventricular shuntExcludes: revision of distal catheter of ventricular shunt (54.95)02.41 Irrigation and exploration of ventricular shuntExploration of ventriculoperitoneal shunt at ventricular siteRe- programming of ventriculoperitoneal shunt02.42 Replacement of ventricular shuntReinsertion of Holter valveReplacement of ventricular catheterRevision of ventriculoperitoneal shunt at ventricular site02.43 Removal of ventricular shunt02.9 Other operations on skull, brain, and cerebral meningesExcludes: operations on:pineal gland (07.17, 07.51-07.59)pituitary gland [hypophysis] (07.13-07.15, 07.61-07.79)02.91 Lysis of cortical adhesions02.92 Repair of brain02.93 Implantation or replacement of intracranial neurostimulator lead(s)Implantation, insertion, placement, or replacement of intracranial:brain pacemaker [neuropacemaker]depth electrodesepidural pegselectroencephalographic receiverforamen ovale electrodesintracranial electrostimulatorsubdural gridssubdural stripsCode also any insertion of neurostimulator pulse generator(86.94- 86.98)02.94 Insertion or replacement of skull tongs or halo traction device26 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NERVOUS SYSTEM (01-05))02.95 Removal of skull tongs or halo traction device02.96 Insertion of sphenoidal electrodes02.99 OtherExcludes: chemical shock therapy (94.24)electroshock therapy:subconvulsive (94.26)other (94.27)03 Operations on spinal cord and spinal canal structuresCode also any application or administration of an adhesion barrier substance(99.77)03.0 Exploration and decompression of spinal canal structures03.01 Removal of foreign body from spinal canal03.02 Reopening of laminectomy site03.09 Other exploration and decompression of spinal canal ®Decompression:laminectomylaminotomyExpansile laminoplastyExploration of spinal nerve rootForaminotomyCode also any synchronous insertion, replacement and revision ofposterior spinal motion preservation device(s), if performed(84.80 - 84.85)Excludes: drainage of spinal fluid by anastomosis (03.71-03.79)laminectomy with excision of intervertebral disc (80.51)spinal tap (03.31)that as operative approach --omit code03.1 Division of intraspinal nerve rootRhizotomy03.2 Chordotomy03.21 Percutaneous chordotomyStereotactic chordotomy03.29 Other chordotomyChordotomy NOSTractotomy (one- stage) (two- stage) of spinal cordTransection of spinal cord tracts03.3 Diagnostic procedures on spinal cord and spinal canal structures03.31 Spinal tapLumbar puncture for removal of dyeExcludes: lumbar puncture for injection of dye [myelogram] (87.21)03.32 Biopsy of spinal cord or spinal meninges03.39 Other diagnostic procedures on spinal cord and spinal canalstructures New code ® Revised code 4 th digit required 27

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: microscopic examination of specimen from nervous systemor of spinal fluid (90.01-90.09)x-ray of spine (87.21-87.29)03.4 Excision or destruction of lesion of spinal cord or spinalmeningesCurettage of spinal cord or spinal meningesDebridement of spinal cord or spinal meningesMarsupialization of cyst of spinal cord or spinal meningesResection of spinal cord or spinal meningesExcludes: biopsy of spinal cord or meninges (03.32)03.5 Plastic operations on spinal cord structures03.51 Repair of spinal meningoceleRepair of meningocele NOS03.52 Repair of spinal myelomeningocele03.53 Repair of vertebral fracture ®Elevation of spinal bone fragmentsReduction of fracture of vertebraeRemoval of bony spicules from spinal canalExcludes: percutaneous vertebral augmentation (81.66)Percutaneous vertebroplasty (81.65)03.59 Other repair and plastic operations on spinal cord structuresRepair of:diastematomyeliaspina bifida NOSspinal cord NOSspinal meninges NOSvertebral arch defect03.6 Lysis of adhesions of spinal cord and nerve roots03.7 Shunt of spinal thecaIncludes: that with valve03.71 Spinal subarachnoid-peritoneal shunt03.72 Spinal subarachnoid-ureteral shunt03.79 Other shunt of spinal thecaLumbar- subarachnoid shunt NOSPleurothecal anastomosisSalpingothecal anastomosis03.8 Injection of destructive agent into spinal canal03.9 Other operations on spinal cord and spinal canal structures03.90 Insertion of catheter into spinal canal for infusion of therapeutic orpalliative substancesInsertion of catheter into epidural, subarachnoid, or subdural spaceof spine with intermittent or continuous infusion of drug (withcreation of any reservoir)Code also any implantation of infusion pump (86.06)28 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NERVOUS SYSTEM (01-05))03.91 Injection of anesthetic into spinal canal for analgesiaExcludes: that for operative anesthesia --omit code03.92 Injection of other agent into spinal canalIntrathecal injection of steroidSubarachnoid perfusion of refrigerated salineExcludes: injection of:contrast material for myelogram (87.21)destructive agent into spinal canal (03.8)03.93 Implantation or replacement of spinal neurostimulator lead(s)Code also any insertion of neurostimulator pulse generator(86.94- 86.98)03.94 Removal of spinal neurostimulator lead(s)Code also any removal of neurostimulator pulse generator (86.05)03.95 Spinal blood patch03.96 Percutaneous denervation of facet03.97 Revision of spinal thecal shunt03.98 Removal of spinal thecal shunt03.99 Other04 Operations on cranial and peripheral nerves04.0 Incision, division, and excision of cranial and peripheral nervesExcludes: opticociliary neurectomy (12.79)sympathetic ganglionectomy (05.21-05.29)04.01 Excision of acoustic neuromaThat by craniotomyExcludes: that by stereotactic radiosurgery (92.30 - 92.39)04.02 Division of trigeminal nerveRetrogasserian neurotomy04.03 Division or crushing of other cranial and peripheral nervesExcludes: that of:glossopharyngeal nerve (29.92)laryngeal nerve (31.91)nerves to adrenal glands (07.42)phrenic nerve for collapse of lung (33.31)vagus nerve (44.00-44.03)04.04 Other incision of cranial and peripheral nerves04.05 Gasserian ganglionectomy04.06 Other cranial or peripheral ganglionectomyExcludes: sympathetic ganglionectomy (05.21-05.29)04.07 Other excision or avulsion of cranial and peripheral nervesCurettage of peripheral nerveDebridement of peripheral nerveResection of peripheral nerveExcision of peripheral neuroma [Morton's]Excludes: biopsy of cranial or peripheral nerve (04.11-04.12) New code ® Revised code 4 th digit required 29

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)04.1 Diagnostic procedures on peripheral nervous system04.11 Closed [percutaneous] [needle] biopsy of cranial or peripheralnerve or ganglion04.12 Open biopsy of cranial or peripheral nerve or ganglion04.19 Other diagnostic procedures on cranial and peripheral nervesand gangliaExcludes: microscopic examination of specimen from nervous system(90.01-90.09)neurologic examination (89.13)04.2 Destruction of cranial and peripheral nervesDestruction of cranial or peripheral nerves by:cryoanalgesiainjection of neurolytic agentradiofrequencyRadiofrequency ablation04.3 Suture of cranial and peripheral nerves04.4 Lysis of adhesions and decompression of cranial and peripheralnerves04.41 Decompression of trigeminal nerve root04.42 Other cranial nerve decompression04.43 Release of carpal tunnel04.44 Release of tarsal tunnel04.49 Other peripheral nerve or ganglion decompression or lysis ofadhesionsPeripheral nerve neurolysis NOS04.5 Cranial or peripheral nerve graft04.6 Transposition of cranial and peripheral nervesNerve transplantation04.7 Other cranial or peripheral neuroplasty04.71 Hypoglossal-facial anastomosis04.72 Accessory-facial anastomosis04.73 Accessory-hypoglossal anastomosis04.74 Other anastomosis of cranial or peripheral nerve04.75 Revision of previous repair of cranial and peripheral nerves04.76 Repair of old traumatic injury of cranial and peripheral nerves04.79 Other neuroplasty04.8 Injection into peripheral nerveExcludes: destruction of nerve (by injection of neurolytic agent) (04.2)04.80 Peripheral nerve injection, not otherwise specified04.81 Injection of anesthetic into peripheral nerve for analgesiaExcludes: that for operative anesthesia --omit code30 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NERVOUS SYSTEM (01-05))04.89 Injection of other agent, except neurolyticExcludes: injection of neurolytic agent (04.2)04.9 Other operations on cranial and peripheral nerves04.91 Neurectasis04.92 Implantation or replacement of peripheral neurostimulator lead(s)Code also any insertion of neurostimulator pulse generator(86.94- 86.98)04.93 Removal of peripheral neurostimulator lead(s)Code also any removal of neurostimulator pulse generator (86.05)04.99 Other05 Operations on sympathetic nerves or gangliaExcludes: paracervical uterine denervation (69.3)05.0 Division of sympathetic nerve or ganglionExcludes: that of nerves to adrenal glands (07.42)05.1 Diagnostic procedures on sympathetic nerves or ganglia05.11 Biopsy of sympathetic nerve or ganglion05.19 Other diagnostic procedures on sympathetic nerves or ganglia05.2 Sympathectomy05.21 Sphenopalatine ganglionectomy05.22 Cervical sympathectomy05.23 Lumbar sympathectomy05.24 Presacral sympathectomy05.25 Periarterial sympathectomy05.29 Other sympathectomy and ganglionectomyExcision or avulsion of sympathetic nerve NOSSympathetic ganglionectomy NOSExcludes: biopsy of sympathetic nerve or ganglion (05.11)opticociliary neurectomy (12.79)periarterial sympathectomy (05.25)tympanosympathectomy (20.91)05.3 Injection into sympathetic nerve or ganglionExcludes: injection of ciliary sympathetic ganglion (12.79)05.31 Injection of anesthetic into sympathetic nerve for analgesia05.32 Injection of neurolytic agent into sympathetic nerve05.39 Other injection into sympathetic nerve or ganglion05.8 Other operations on sympathetic nerves or ganglia05.81 Repair of sympathetic nerve or ganglion05.89 Other05.9 Other operations on nervous system New code ® Revised code 4 th digit required 31

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)2. OPERATIONS ON THE ENDOCRINE SYSTEM (06-07)06 Operations on thyroid and parathyroid glandsIncludes: incidental resection of hyoid bone06.0 Incision of thyroid fieldExcludes: division of isthmus (06.91)06.01 Aspiration of thyroid fieldPercutaneous or needle drainage of thyroid fieldExcludes: aspiration biopsy of thyroid (06.11)drainage by incision (06.09)postoperative aspiration of field (06.02)06.02 Reopening of wound of thyroid fieldReopening of wound of thyroid field for:control of (postoperative) hemorrhageexaminationexplorationremoval of hematoma06.09 Other incision of thyroid fieldDrainage of hematoma by incisionDrainage of thyroglossal tract by incisionExploration:neck by incisionthyroid (field) by incisionRemoval of foreign body by incisionThyroidotomy NOS by incisionExcludes: postoperative exploration (06.02)removal of hematoma by aspiration (06.01)06.1 Diagnostic procedures on thyroid and parathyroid glands06.11 Closed [percutaneous] [needle] biopsy of thyroid glandAspiration biopsy of thyroid06.12 Open biopsy of thyroid gland06.13 Biopsy of parathyroid gland06.19 Other diagnostic procedures on thyroid and parathyroid glandsExcludes: radioisotope scan of:parathyroid (92.13)thyroid (92.01)soft tissue x-ray of thyroid field (87.09)06.2 Unilateral thyroid lobectomyComplete removal of one lobe of thyroid (with removal of isthmus orportion of other lobe)HemithyroidectomyExcludes: partial substernal thyroidectomy (06.51)32 1 .1 OR procedure 0 .2 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE ENDOCRINE SYSTEM (06-07)06.3 Other partial thyroidectomy06.31 Excision of lesion of thyroid ®Excludes: biopsy of thyroid (06.11-06.12)laser interstitial thermal therapy [LITT] of lesion ortissue of neck under guidance (17.62)06.39 OtherIsthmectomyPartial thyroidectomy NOSExcludes: partial substernal thyroidectomy (06.51)06.4 Complete thyroidectomyExcludes: complete substernal thyroidectomy (06.52)that with laryngectomy (30.3-30.4)06.5 Substernal thyroidectomy06.50 Substernal thyroidectomy, not otherwise specified06.51 Partial substernal thyroidectomy06.52 Complete substernal thyroidectomy06.6 Excision of lingual thyroidExcision of thyroid by:submental routetransoral route06.7 Excision of thyroglossal duct or tract06.8 Parathyroidectomy06.81 Complete parathyroidectomy06.89 Other parathyroidectomyParathyroidectomy NOSPartial parathyroidectomyExcludes: biopsy of parathyroid (06.13)06.9 Other operations on thyroid (region) and parathyroid06.91 Division of thyroid isthmusTransection of thyroid isthmus06.92 Ligation of thyroid vessels06.93 Suture of thyroid gland06.94 Thyroid tissue reimplantationAutotransplantation of thyroid tissue06.95 Parathyroid tissue reimplantationAutotransplantation of parathyroid tissue06.98 Other operations on thyroid glands06.99 Other operations on parathyroid glands New code ® Revised code 4 th digit required 33

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)07 Operations on other endocrine glandsIncludes: operations on:adrenal glandspineal glandpituitary glandthymusExcludes: operations on:aortic and carotid bodies (39.8)ovaries (65.0-65.99)pancreas (52.01-52.99)testes (62.0-62.99)07.0 Exploration of adrenal fieldExcludes: incision of adrenal (gland) (07.41)07.00 Exploration of adrenal field, not otherwise specified07.01 Unilateral exploration of adrenal field07.02 Bilateral exploration of adrenal field07.1 Diagnostic procedures on adrenal glands, pituitary gland, pinealgland, and thymus07.11 Closed [percutaneous] [needle] biopsy of adrenal gland07.12 Open biopsy of adrenal gland07.13 Biopsy of pituitary gland, transfrontal approach07.14 Biopsy of pituitary gland, transsphenoidal approach07.15 Biopsy of pituitary gland, unspecified approach07.16 Biopsy of thymus07.17 Biopsy of pineal gland07.19 Other diagnostic procedures on adrenal glands, pituitary gland,pineal gland, and thymusExcludes: microscopic examination of specimen from endocrine gland(90.11-90.19)radioisotope scan of pituitary gland (92.11)07.2 Partial adrenalectomy07.21 Excision of lesion of adrenal glandExcludes: biopsy of adrenal gland (07.11-07.12)07.22 Unilateral adrenalectomyAdrenalectomy NOSExcludes: excision of remaining adrenal gland (07.3)07.29 Other partial adrenalectomyPartial adrenalectomy NOS07.3 Bilateral adrenalectomyExcision of remaining adrenal glandExcludes: bilateral partial adrenalectomy (07.29)34 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE ENDOCRINE SYSTEM (06-07)07.4 Other operations on adrenal glands, nerves, and vessels07.41 Incision of adrenal glandAdrenalotomy (with drainage)07.42 Division of nerves to adrenal glands07.43 Ligation of adrenal vessels07.44 Repair of adrenal gland07.45 Reimplantation of adrenal tissueAutotransplantation of adrenal tissue07.49 Other07.5 Operations on pineal gland07.51 Exploration of pineal fieldExcludes: that with incision of pineal gland (07.52)07.52 Incision of pineal gland07.53 Partial excision of pineal glandExcludes: biopsy of pineal gland (07.17)07.54 Total excision of pineal glandPinealectomy (complete) (total)07.59 Other operations on pineal gland07.6 Hypophysectomy07.61 Partial excision of pituitary gland, transfrontal approachCryohypophysectomy, partial transfrontal approachDivision of hypophyseal stalk transfrontal approachExcision of lesion of pituitary [hypophysis] transfrontal approachHypophysectomy, subtotal transfrontal approachInfundibulectomy, hypophyseal transfrontal approachExcludes: biopsy of pituitary gland, transfrontal approach (07.13)07.62 Partial excision of pituitary gland, transsphenoidal approachExcludes: biopsy of pituitary gland, transsphenoidal approach (07.14)07.63 Partial excision of pituitary gland, unspecified approachExcludes: biopsy of pituitary gland NOS (07.15)07.64 Total excision of pituitary gland, transfrontal approachAblation of pituitary by implantation (strontium- yttrium) (Y)transfrontal approachCryohypophysectomy, complete transfrontal approach07.65 Total excision of pituitary gland, transsphenoidal approach07.68 Total excision of pituitary gland, other specified approach07.69 Total excision of pituitary gland, unspecified approachHypophysectomy NOSPituitectomy NOS New code ® Revised code 4 th digit required 35

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)07.7 Other operations on hypophysis07.71 Exploration of pituitary fossaExcludes: exploration with incision of pituitary gland (07.72)07.72 Incision of pituitary glandAspiration of:craniobuccal pouchcraniopharyngiomahypophysispituitary glandRathke's pouch07.79 OtherInsertion of pack into sella turcica07.8 Thymectomy07.80 Thymectomy, not otherwise specified07.81 Other partial excision of thymus ®Open partial excision of thymusExcludes: biopsy of thymus (07.16)thoracoscopic partial excision of thymus (07.83)07.82 Other total excision of thymus ®Open total excision of thymusExcludes: thoracoscopic total excision of thymus (07.84)07.83 Thoracoscopic partial excision of thymus Excludes: other partial excision of thymus (07.81)07.84 Thoracoscopic total excision of thymus Excludes: other total excision of thymus (07.82)07.9 Other operations on thymus07.91 Exploration of thymus fieldExcludes: exploration with incision of thymus (07.92)07.92 Other incision of thymus ®Open incision of thymusExcludes: thoracoscopic incision of thymus (07.95)07.93 Repair of thymus07.94 Transplantation of thymus07.95 Thoracoscopic incision of thymus Excludes: other incision of thymus (07.92)07.98 Other and unspecified thoracoscopic operations on thymus 07.99 Other and unspecified operations on thymus ®Transcervical thymectomyExcludes: other thoracoscopic operations on thymus (07.98)36 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EYE (08-16))3. OPERATIONS ON THE EYE (08-16)08 Operations on eyelidsIncludes: operations on the eyebrow08.0 Incision of eyelid08.01 Incision of lid margin08.02 Severing of blepharorrhaphy08.09 Other incision of eyelid08.1 Diagnostic procedures on eyelid08.11 Biopsy of eyelid08.19 Other diagnostic procedures on eyelid08.2 Excision or destruction of lesion or tissue of eyelidCode also any synchronous reconstruction (08.61- 08.74)Excludes: biopsy of eyelid (08.11)08.20 Removal of lesion of eyelid, not otherwise specifiedRemoval of meibomian gland NOS08.21 Excision of chalazion08.22 Excision of other minor lesion of eyelidExcision of:veruccawart08.23 Excision of major lesion of eyelid, partial-thicknessExcision involving one- fourth or more of lid margin, partial- thickness08.24 Excision of major lesion of eyelid, full-thicknessExcision involving one- fourth or more of lid margin, full- thicknessWedge resection of eyelid08.25 Destruction of lesion of eyelid08.3 Repair of blepharoptosis and lid retraction08.31 Repair of blepharoptosis by frontalis muscle technique with suture08.32 Repair of blepharoptosis by frontalis muscle technique with fascialsling08.33 Repair of blepharoptosis by resection or advancement of levatormuscle or aponeurosis08.34 Repair of blepharoptosis by other levator muscle techniques08.35 Repair of blepharoptosis by tarsal technique08.36 Repair of blepharoptosis by other techniquesCorrection of eyelid ptosis NOSOrbicularis oculi muscle sling for correction of blepharoptosis08.37 Reduction of overcorrection of ptosis08.38 Correction of lid retraction37 1 .1 OR procedure 0 .2 Non OR procedure but affects ThaiDRG

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)08.4 Repair of entropion or ectropion08.41 Repair of entropion or ectropion by thermocauterization08.42 Repair of entropion or ectropion by suture technique08.43 Repair of entropion or ectropion with wedge resection08.44 Repair of entropion or ectropion with lid reconstruction08.49 Other repair of entropion or ectropion08.5 Other adjustment of lid position08.51 CanthotomyEnlargement of palpebral fissure08.52 BlepharorrhaphyCanthorrhaphyTarsorrhaphy08.59 OtherCanthoplasty NOSRepair of epicanthal fold08.6 Reconstruction of eyelid with flaps or graftsExcludes: that associated with repair of entropion and ectropion (08.44)08.61 Reconstruction of eyelid with skin flap or graft08.62 Reconstruction of eyelid with mucous membrane flap or graft08.63 Reconstruction of eyelid with hair follicle graft08.64 Reconstruction of eyelid with tarsoconjunctival flapTransfer of tarsoconjunctival flap from opposing lid08.69 Other reconstruction of eyelid with flaps or grafts08.7 Other reconstruction of eyelidExcludes: that associated with repair of entropion and ectropion (08.44)08.70 Reconstruction of eyelid, not otherwise specified08.71 Reconstruction of eyelid involving lid margin, partial-thickness08.72 Other reconstruction of eyelid, partial-thickness08.73 Reconstruction of eyelid involving lid margin, full-thickness08.74 Other reconstruction of eyelid, full-thickness08.8 Other repair of eyelid08.81 Linear repair of laceration of eyelid or eyebrow08.82 Repair of laceration involving lid margin, partial-thickness08.83 Other repair of laceration of eyelid, partial-thickness08.84 Repair of laceration involving lid margin, full-thickness08.85 Other repair of laceration of eyelid, full-thickness08.86 Lower eyelid rhytidectomy08.87 Upper eyelid rhytidectomy08.89 Other eyelid repair38 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

08.9 Other operations on eyelidsOPERATIONS ON THE EYE (08-16))08.91 Electrosurgical epilation of eyelid08.92 Cryosurgical epilation of eyelid08.93 Other epilation of eyelid08.99 Other09 Operations on lacrimal system09.0 Incision of lacrimal glandIncision of lacrimal cyst (with drainage)09.1 Diagnostic procedures on lacrimal system09.11 Biopsy of lacrimal gland09.12 Biopsy of lacrimal sac09.19 Other diagnostic procedures on lacrimal systemExcludes: contrast dacryocystogram (87.05)soft tissue x-ray of nasolacrimal duct (87.09)09.2 Excision of lesion or tissue of lacrimal gland09.20 Excision of lacrimal gland, not otherwise specified09.21 Excision of lesion of lacrimal glandExcludes: biopsy of lacrimal gland (09.11)09.22 Other partial dacryoadenectomyExcludes: biopsy of lacrimal gland (09.11)09.23 Total dacryoadenectomy09.3 Other operations on lacrimal gland09.4 Manipulation of lacrimal passageIncludes: removal of calculusthat with dilationExcludes: contrast dacryocystogram (87.05)09.41 Probing of lacrimal punctum09.42 Probing of lacrimal canaliculi09.43 Probing of nasolacrimal ductExcludes: that with insertion of tube or stent (09.44)09.44 Intubation of nasolacrimal ductInsertion of stent into nasolacrimal duct09.49 Other manipulation of lacrimal passage09.5 Incision of lacrimal sac and passages09.51 Incision of lacrimal punctum09.52 Incision of lacrimal canaliculi09.53 Incision of lacrimal sac09.59 Other incision of lacrimal passagesIncision (and drainage) of nasolacrimal duct NOS New code ® Revised code 4 th digit required 39

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)09.6 Excision of lacrimal sac and passageExcludes: biopsy of lacrimal sac (09.12)09.7 Repair of canaliculus and punctumExcludes: repair of eyelid (08.81-08.89)09.71 Correction of everted punctum09.72 Other repair of punctum09.73 Repair of canaliculus09.8 Fistulization of lacrimal tract to nasal cavity09.81 Dacryocystorhinostomy [DCR]09.82 ConjunctivocystorhinostomyConjunctivodacryocystorhinostomy [CDCR]Excludes: that with insertion of tube or stent (09.83)09.83 Conjunctivorhinostomy with insertion of tube or stent09.9 Other operations on lacrimal system09.91 Obliteration of lacrimal punctum09.99 Other10 Operations on conjunctiva10.0 Removal of embedded foreign body from conjunctiva by incisionExcludes: removal of:embedded foreign body without incision (98.22)superficial foreign body (98.21)10.1 Other incision of conjunctiva10.2 Diagnostic procedures on conjunctiva10.21 Biopsy of conjunctiva10.29 Other diagnostic procedures on conjunctiva10.3 Excision or destruction of lesion or tissue of conjunctiva10.31 Excision of lesion or tissue of conjunctivaExcision of ring of conjunctiva around corneaExcludes: biopsy of conjunctiva (10.21)10.32 Destruction of lesion of conjunctivaExcludes: excision of lesion (10.31)thermocauterization for entropion (08.41)10.33 Other destructive procedures on conjunctivaRemoval of trachoma follicles10.4 Conjunctivoplasty10.41 Repair of symblepharon with free graft10.42 Reconstruction of conjunctival cul-de-sac with free graftExcludes: revision of enucleation socket with graft (16.63)40 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EYE (08-16))10.43 Other reconstruction of conjunctival cul-de-sacExcludes: revision of enucleation socket (16.64)10.44 Other free graft to conjunctiva10.49 Other conjunctivoplastyExcludes: repair of cornea with conjunctival flap (11.53)10.5 Lysis of adhesions of conjunctiva and eyelidDivision of symblepharon (with insertion of conformer)10.6 Repair of laceration of conjunctivaExcludes: that with repair of sclera (12.81)10.9 Other operations on conjunctiva10.91 Subconjunctival injection10.99 Other11 Operations on cornea11.0 Magnetic removal of embedded foreign body from corneaExcludes: that with incision (11.1)11.1 Incision of corneaIncision of cornea for removal of foreign body11.2 Diagnostic procedures on cornea11.21 Scraping of cornea for smear or culture11.22 Biopsy of cornea11.29 Other diagnostic procedures on cornea11.3 Excision of pterygium11.31 Transposition of pterygium11.32 Excision of pterygium with corneal graft11.39 Other excision of pterygium11.4 Excision or destruction of tissue or other lesion of cornea11.41 Mechanical removal of corneal epitheliumThat by chemocauterizationExcludes: that for smear or culture (11.21)11.42 Thermocauterization of corneal lesion11.43 Cryotherapy of corneal lesion11.49 Other removal or destruction of corneal lesionExcision of cornea NOSExcludes: biopsy of cornea (11.22)11.5 Repair of cornea11.51 Suture of corneal laceration11.52 Repair of postoperative wound dehiscence of cornea11.53 Repair of corneal laceration or wound with conjunctival flap11.59 Other repair of cornea New code ® Revised code 4 th digit required 41

11.6 Corneal transplantICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: excision of pterygium with corneal graft (11.32)11.60 Corneal transplant, not otherwise specifiedKeratoplasty NOSNote: To report donor source --see codes 00.91- 00.9311.61 Lamellar keratoplasty with autograft11.62 Other lamellar keratoplasty11.63 Penetrating keratoplasty with autograftPerforating keratoplasty with autograft11.64 Other penetrating keratoplastyPerforating keratoplasty (with homograft)11.69 Other corneal transplant11.7 Other reconstructive and refractive surgery on cornea11.71 Keratomileusis11.72 Keratophakia11.73 Keratoprosthesis11.74 Thermokeratoplasty11.75 Radial keratotomy11.76 Epikeratophakia11.79 Other11.9 Other operations on cornea11.91 Tattooing of cornea11.92 Removal of artificial implant from cornea11.99 Other12 Operations on iris, ciliary body, sclera, and anterior chamberExcludes: operations on cornea (11.0-11.99)12.0 Removal of intraocular foreign body from anterior segment of eye12.00 Removal of intraocular foreign body from anterior segment of eye,not otherwise specified12.01 Removal of intraocular foreign body from anterior segment of eyewith use of magnet12.02 Removal of intraocular foreign body from anterior segment of eyewithout use of magnet12.1 Iridotomy and simple iridectomyExcludes: iridectomy associated with:cataract extraction (13.11- 13.69)removal of lesion (12.41- 12.42)scleral fistulization (12.61- 12.69)12.11 Iridotomy with transfixion42 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

12.12 Other iridotomyCorectomyDiscission of irisIridotomy NOS12.13 Excision of prolapsed irisOPERATIONS ON THE EYE (08-16))12.14 Other iridectomyIridectomy (basal) (peripheral) (total)12.2 Diagnostic procedures on iris, ciliary body, sclera, and anteriorchamber12.21 Diagnostic aspiration of anterior chamber of eye12.22 Biopsy of iris12.29 Other diagnostic procedures on iris, ciliary body, sclera, andanterior chamber12.3 Iridoplasty and coreoplasty12.31 Lysis of goniosynechiaeLysis of goniosynechiae by injection of air or liquid12.32 Lysis of other anterior synechiaeLysis of anterior synechiae:NOSby injection of air or liquid12.33 Lysis of posterior synechiaeLysis of iris adhesions NOS12.34 Lysis of corneovitreal adhesions12.35 CoreoplastyNeedling of pupillary membrane12.39 Other iridoplasty12.4 Excision or destruction of lesion of iris and ciliary body12.40 Removal of lesion of anterior segment of eye, not otherwisespecified12.41 Destruction of lesion of iris, nonexcisionalDestruction of lesion of iris by:cauterizationcryotherapyphotocoagulation12.42 Excision of lesion of irisExcludes: biopsy of iris (12.22)12.43 Destruction of lesion of ciliary body, nonexcisional12.44 Excision of lesion of ciliary body12.5 Facilitation of intraocular circulation12.51 Goniopuncture without goniotomy12.52 Goniotomy without goniopuncture12.53 Goniotomy with goniopuncture12.54 Trabeculotomy ab externo New code ® Revised code 4 th digit required 43

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)12.55 Cyclodialysis12.59 Other facilitation of intraocular circulation12.6 Scleral fistulizationExcludes: exploratory sclerotomy (12.89)12.61 Trephination of sclera with iridectomy12.62 Thermocauterization of sclera with iridectomy12.63 Iridencleisis and iridotasis12.64 Trabeculectomy ab externo12.65 Other scleral fistulization with iridectomy12.66 Postoperative revision of scleral fistulization procedureRevision of filtering blebExcludes: repair of fistula (12.82)12.69 Other fistulizing procedure12.7 Other procedures for relief of elevated intraocular pressure12.71 Cyclodiathermy12.72 Cyclocryotherapy12.73 Cyclophotocoagulation12.74 Diminution of ciliary body, not otherwise specified12.79 Other glaucoma procedures12.8 Operations on scleraExcludes: those associated with:retinal reattachment (14.41-14.59)scleral fistulization (12.61-12.69)12.81 Suture of laceration of scleraSuture of sclera with synchronous repair of conjunctiva12.82 Repair of scleral fistulaExcludes: postoperative revision of scleral fistulization procedure (12.66)12.83 Revision of operative wound of anterior segment, not elsewhereclassifiedExcludes: postoperative revision of scleral fistulization procedure (12.66)12.84 Excision or destruction of lesion of sclera12.85 Repair of scleral staphyloma with graft12.86 Other repair of scleral staphyloma12.87 Scleral reinforcement with graft12.88 Other scleral reinforcement12.89 Other operations on scleraExploratory sclerotomy12.9 Other operations on iris, ciliary body, and anterior chamber12.91 Therapeutic evacuation of anterior chamberParacentesis of anterior chamberExcludes: diagnostic aspiration (12.21)44 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EYE (08-16))12.92 Injection into anterior chamberInjection of:air into anterior chamberliquid into anterior chambermedication into anterior chamber12.93 Removal or destruction of epithelial downgrowth from anteriorchamberExcludes: that with iridectomy (12.41-12.42)12.97 Other operations on iris12.98 Other operations on ciliary body12.99 Other operations on anterior chamber13 Operations on lens13.0 Removal of foreign body from lensExcludes: removal of pseudophakos (13.8)13.00 Removal of foreign body from lens, not otherwise specified13.01 Removal of foreign body from lens with use of magnet13.02 Removal of foreign body from lens without use of magnet13.1 Intracapsular extraction of lensCode also any synchronous insertion of pseudophakos (13.71)13.11 Intracapsular extraction of lens by temporal inferior route13.19 Other intracapsular extraction of lensCataract extraction NOSCryoextraction of lensErysiphake extraction of cataractExtraction of lens NOS13.2 Extracapsular extraction of lens by linear extraction technique ®Code also any synchronous insertion of pseudophakos (13.71)13.3 Extracapsular extraction of lens by simple aspiration (andirrigation) technique ®Irrigation of traumatic cataractCode also any synchronous insertion of pseudophakos (13.71)13.4 Extracapsular extraction of lens by fragmentation and aspirationtechnique ®Code also any synchronous insertion of pseudophakos (13.71)13.41 Phacoemulsification and aspiration of cataract13.42 Mechanical phacofragmentation and aspiration of cataract byposterior routeCode also any synchronous vitrectomy (14.74)13.43 Mechanical phacofragmentation and other aspiration of cataract13.5 Other extracapsular extraction of lensCode also any synchronous insertion of pseudophakos (13.71)13.51 Extracapsular extraction of lens by temporal inferior route New code ® Revised code 4 th digit required 45

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)13.59 Other extracapsular extraction of lens13.6 Other cataract extractionCode also any synchronous insertion of pseudophakos (13.71)13.64 Discission of secondary membrane [after cataract]13.65 Excision of secondary membrane [after cataract] Capsulectomy13.66 Mechanical fragmentation of secondary membrane [after cataract]13.69 Other cataract extraction13.7 Insertion of prosthetic lens [pseudophakos]Excludes: implantation of intraocular telescope prosthesis (13.91)13.70 Insertion of pseudophakos, not otherwise specified13.71 Insertion of intraocular lens prosthesis at time of cataractextraction, one-stageCode also synchronous extraction of cataract (13.11- 13.69)13.72 Secondary insertion of intraocular lens prosthesis13.8 Removal of implanted lensRemoval of pseudophakos13.9 Other operations on lens13.90 Operation on lens, Not Elsewhere Classified13.91 Implantation of intraocular telescope prosthesisImplantable miniature telescopeIncludes removal of lens, any methodExcludes: secondary insertion of ocular implant (16.61)14 Operations on retina, choroid, vitreous, and posteriorchamber14.0 Removal of foreign body from posterior segment of eyeExcludes: removal of surgically implanted material (14.6)14.00 Removal of foreign body from posterior segment of eye, nototherwise specified14.01 Removal of foreign body from posterior segment of eye with use ofmagnet14.02 Removal of foreign body from posterior segment of eye without useof magnet14.1 Diagnostic procedures on retina, choroid, vitreous, and posteriorchamber14.11 Diagnostic aspiration of vitreous14.19 Other diagnostic procedures on retina, choroid, vitreous, andposterior chamber46 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EYE (08-16))14.2 Destruction of lesion of retina and choroidIncludes: destruction of chorioretinopathy or isolated chorioretinal lesionExcludes: that for repair of retina (14.31-14.59)14.21 Destruction of chorioretinal lesion by diathermy14.22 Destruction of chorioretinal lesion by cryotherapy14.23 Destruction of chorioretinal lesion by xenon arc photocoagulation14.24 Destruction of chorioretinal lesion by laser photocoagulation14.25 Destruction of chorioretinal lesion by photocoagulation ofunspecified type14.26 Destruction of chorioretinal lesion by radiation therapy14.27 Destruction of chorioretinal lesion by implantation of radiationsource14.29 Other destruction of chorioretinal lesionDestruction of lesion of retina and choroid NOS14.3 Repair of retinal tearIncludes: repair of retinal defectExcludes: repair of retinal detachment (14.41-14.59)14.31 Repair of retinal tear by diathermy14.32 Repair of retinal tear by cryotherapy14.33 Repair of retinal tear by xenon arc photocoagulation14.34 Repair of retinal tear by laser photocoagulation14.35 Repair of retinal tear by photocoagulation of unspecified type14.39 Other repair of retinal tear14.4 Repair of retinal detachment with scleral buckling and implant14.41 Scleral buckling with implant14.49 Other scleral bucklingScleral buckling with:air tamponaderesection of scleravitrectomy14.5 Other repair of retinal detachmentIncludes: that with drainage14.51 Repair of retinal detachment with diathermy14.52 Repair of retinal detachment with cryotherapy14.53 Repair of retinal detachment with xenon arc photocoagulation14.54 Repair of retinal detachment with laser photocoagulation14.55 Repair of retinal detachment with photocoagulation ofunspecified type14.59 Other14.6 Removal of surgically implanted material from posteriorsegment of eye New code ® Revised code 4 th digit required 47

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)14.7 Operations on vitreous14.71 Removal of vitreous, anterior approachOpen sky techniqueRemoval of vitreous, anterior approach (with replacement)14.72 Other removal of vitreousAspiration of vitreous by posterior sclerotomy14.73 Mechanical vitrectomy by anterior approach14.74 Other mechanical vitrectomyPosterior approach14.75 Injection of vitreous substituteExcludes: that associated with removal (14.71-14.72)14.79 Other operations on vitreous14.9 Other operations on retina, choroid, and posterior chamber15 Operations on extraocular muscles15.0 Diagnostic procedures on extraocular muscles or tendons15.01 Biopsy of extraocular muscle or tendon15.09 Other diagnostic procedures on extraocular muscles and tendons15.1 Operations on one extraocular muscle involving temporarydetachment from globe15.11 Recession of one extraocular muscle15.12 Advancement of one extraocular muscle15.13 Resection of one extraocular muscle15.19 Other operations on one extraocular muscle involving temporarydetachment from globeExcludes: transposition of muscle (15.5)15.2 Other operations on one extraocular muscle15.21 Lengthening procedure on one extraocular muscle15.22 Shortening procedure on one extraocular muscle15.29 Other15.3 Operations on two or more extraocular muscles involvingtemporary detachment from globe, one or both eyes15.4 Other operations on two or more extraocular muscles, one orboth eyes15.5 Transposition of extraocular musclesExcludes: that for correction of ptosis (08.31-08.36)15.6 Revision of extraocular muscle surgery48 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EYE (08-16))15.7 Repair of injury of extraocular muscleFreeing of entrapped extraocular muscleLysis of adhesions of extraocular muscleRepair of laceration of extraocular muscle, tendon, or Tenon's capsule15.9 Other operations on extraocular muscles and tendons16 Operations on orbit and eyeballExcludes: reduction of fracture of orbit (76.78-76.79)16.0 Orbitotomy16.01 Orbitotomy with bone flapOrbitotomy with lateral approach16.02 Orbitotomy with insertion of orbital implantExcludes: that with bone flap (16.01)16.09 Other orbitotomy16.1 Removal of penetrating foreign body from eye, not otherwisespecifiedExcludes: removal of nonpenetrating foreign body (98.21)16.2 Diagnostic procedures on orbit and eyeball16.21 Ophthalmoscopy16.22 Diagnostic aspiration of orbit16.23 Biopsy of eyeball and orbit16.29 Other diagnostic procedures on orbit and eyeballExcludes: examination of form and structure of eye (95.11-95.16)general and subjective eye examination (95.01-95.09)microscopic examination of specimen from eye (90.21-90.29)objective functional tests of eye (95.21-95.26)ocular thermography (88.82)tonometry (89.11)x-ray of orbit (87.14, 87.16)16.3 Evisceration of eyeball16.31 Removal of ocular contents with synchronous implant into scleralshell16.39 Other evisceration of eyeball16.4 Enucleation of eyeball16.41 Enucleation of eyeball with synchronous implant into Tenon'scapsule with attachment of musclesIntegrated implant of eyeball16.42 Enucleation of eyeball with other synchronous implant16.49 Other enucleation of eyeballRemoval of eyeball NOS16.5 Exenteration of orbital contents16.51 Exenteration of orbit with removal of adjacent structuresRadical orbitomaxillectomy New code ® Revised code 4 th digit required 49

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)16.52 Exenteration of orbit with therapeutic removal of orbital bone16.59 Other exenteration of orbitEvisceration of orbit NOSExenteration of orbit with temporalis muscle transplant16.6 Secondary procedures after removal of eyeballExcludes: that with synchronous:enucleation of eyeball (16.41-16.42)evisceration of eyeball (16.31)16.61 Secondary insertion of ocular implant16.62 Revision and reinsertion of ocular implant16.63 Revision of enucleation socket with graft16.64 Other revision of enucleation socket16.65 Secondary graft to exenteration cavity16.66 Other revision of exenteration cavity16.69 Other secondary procedures after removal of eyeball16.7 Removal of ocular or orbital implant16.71 Removal of ocular implant16.72 Removal of orbital implant16.8 Repair of injury of eyeball and orbit16.81 Repair of wound of orbitExcludes: reduction of orbital fracture (76.78-76.79)repair of extraocular muscles (15.7)16.82 Repair of rupture of eyeballRepair of multiple structures of eyeExcludes: repair of laceration of:cornea (11.51-11.59)sclera (12.81)16.89 Other repair of injury of eyeball or orbit16.9 Other operations on orbit and eyeballExcludes: irrigation of eye (96.51)prescription and fitting of low vision aids (95.31-95.33)removal of:eye prosthesis NEC (97.31)nonpenetrating foreign body from eye without incision (98.21)16.91 Retrobulbar injection of therapeutic agentExcludes: injection of radiographic contrast material (87.14)opticociliary injection (12.79)16.92 Excision of lesion of orbitExcludes: biopsy of orbit (16.23)16.93 Excision of lesion of eye, unspecified structureExcludes: biopsy of eye NOS (16.23)16.98 Other operations on orbit16.99 Other operations on eyeball50 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OTHER MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (17)3A OTHER MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES17 Other miscellaneous procedures17.1 Laparoscopic unilateral repair of inguinal herniaExcludes: other and open unilateral repair of hernia (53.00 53.05)17.11 Laparoscopic repair of direct inguinal hernia with graft orprosthesisLaparoscopic repair of direct and indirect inguinal hernia with graft orprosthesis17.12 Laparoscopic repair of indirect inguinal hernia with graft orprosthesis17.13 Laparoscopic repair of inguinal hernia with graft or prosthesis, nototherwise specified17.2 Laparoscopic bilateral repair of inguinal herniaExcludes: other and open bilateral repair of hernia (53.10 53.17)17.21 Laparoscopic bilateral repair of direct inguinal hernia with graftor prosthesis17.22 Laparoscopic bilateral repair of indirect inguinal hernia withgraft or prosthesis17.23 Laparoscopic bilateral repair of inguinal hernia, one direct andone indirect, with graft or prosthesis17.24 Laparoscopic bilateral repair of inguinal hernia with graft orprosthesis, not otherwise specified17.3 Laparoscopic partial excision of large intestineExcludes: other and open partial excision of large intestine (45.71- 45.79)17.31 Laparoscopic multiple segmental resection of large intestine17.32 Laparoscopic cecectomy17.33 Laparoscopic right hemicolectomy17.34 Laparoscopic resection of transverse colon17.35 Laparoscopic left hemicolectomy17.36 Laparoscopic sigmoidectomy17.39 Other laparoscopic partial excision of large intestine17.4 Robotic assisted proceduresComputer assisted robotic surgeryComputer- enhanced robotic surgeryRobotic procedure with computer assistanceSurgeon- controlled robotic surgeryCode first primary procedureExcludes: computer assisted surgery (00.31-00.35, 00.39)Note:This category includes use of a computer console with (3- D) imaging,software, camera(s), visualization and instrumentation combined with theuse of robotic arms, device(s), or system(s) at the time of the procedure.51 1 .1 OR procedure 0 .2 Non OR procedure but affects ThaiDRG

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)17.41 Open robotic assisted procedureRobotic assistance in open procedure17.42 Laparoscopic robotic assisted procedureRobotic assistance in laparoscopic procedure17.43 Percutaneous robotic assisted procedureRobotic assistance in percutaneous procedure17.44 Endoscopic robotic assisted procedureRobotic assistance in endoscopic procedure17.45 Thoracoscopic robotic assisted procedureRobotic assistance in thoracoscopic procedure17.49 Other and unspecified robotic assisted procedureRobotic assistance in other and unspecified procedureExcludes: endoscopic robotic assisted procedure (17.44)laparoscopic robotic assisted procedure (17.42)open robotic assisted procedure (17.41)percutaneous robotic assisted procedure (17.43)thoracoscopic robotic assisted procedure (17.45)17. 5 Additional cardiovascular procedures17.51 Implantation of rechargeable cardiac contractility modulation[CCM], total systemNote: Device testing during procedure --omit codeImplantation of CCM system includes formation of pocket,transvenous leads, including placement of leads, placement ofcatheter into left ventricle, intraoperative procedures forevaluation of lead signals, obtaining sensing thresholdmeasurements, obtaining defibrillator threshold measurements.Includes implantation of device with removal of existing deviceCode also any concomitant:coronary bypass (36.10 36.19)extracorporeal circulation (39.61)insertion or replacement of automatic cardioverter/defibrillator,total system [AICD] (37.94)Excludes: implantation of CCM pulse generator only (17.52)17.52 Implantation or replacement of cardiac contractility modulation[CCM] rechargeable pulse generator onlyNote: Device testing during procedure --omit codeImplantation of CCM device with removal of any existing CCMdeviceCode also any concomitant:revision of device pocket (37.79)revision of lead [electrode] (37.75)52 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OTHER MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (17)17.6 Laser interstitial thermal therapy [LITT] under guidanceFocused laser interstitial thermal therapy [f- LITT] under MRI guidanceMRI- guided LITT17.61 Laser interstitial thermal therapy [LITT] of lesion or tissue ofbrain under guidanceFocused laser interstitial thermal therapy [f- LITT] under MRIguidanceMRI- guided LITT of lesion or tissue of brainExcludes: laser interstitial thermal therapy [LITT] of lesion oftissue of head under guidance (17.62)17.62 Laser interstitial thermal therapy [LITT] of lesion or tissue ofhead and neck under guidanceFocused laser interstitial thermal therapy [f- LITT] under MRIguidanceMRI- guided LITT of lesion or tissue of head and neckExcludes: laser interstitial thermal therapy [LITT] of lesion ortissue of brain under guidance (17.61)17.63 Laser interstitial thermal therapy [LITT] of lesion or tissue ofliver under guidanceFocused laser interstitial thermal therapy [f- LITT] under MRIguidanceMRI- guided LITT of lesion or tissue of liver17.69 Laser interstitial thermal therapy [LITT] of lesion or tissue ofother and unspecified site under guidanceFocused laser interstitial thermal therapy [f- LITT] under MRIguidanceMRI- guided LITT of lesion or tissue of breastMRI- guided LITT of lesion or tissue of lungMRI- guided LITT of lesion or tissue of prostateExcludes: laser interstitial thermal therapy [LITT] of lesion or tissueof brain under guidance (17.61)laser interstitial thermal therapy [LITT] of lesion or tissueof head and neck under guidance (17.62)laser interstitial thermal therapy [LITT] of lesion or tissueof liver under guidance (17.63)17.7 Other diagnostic and therapeutic procedures17.70 Intravenous infusion of clofarabineExcludes: injection or infusion of cancer chemotherapeuticsubstance (99.25) New code ® Revised code 4 th digit required 53

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)4. OPERATIONS ON THE EAR (18-20)18 Operations on external earIncludes: operations on:external auditory canalskin and cartilage of:auriclemeatus18.0 Incision of external earExcludes: removal of intraluminal foreign body (98.11)18.01 Piercing of ear lobePiercing of pinna18.02 Incision of external auditory canal18.09 Other incision of external ear18.1 Diagnostic procedures on external ear18.11 Otoscopy18.12 Biopsy of external ear18.19 Other diagnostic procedures on external earExcludes: microscopic examination of specimen from ear (90.31-90.39)18.2 Excision or destruction of lesion of external ear18.21 Excision of preauricular sinusRadical excision of preauricular sinus or cystExcludes: excision of preauricular remnant [appendage] (18.29)18.29 Excision or destruction of other lesion of external earCauterization of external earCoagulation of external earCryosurgery of external earCurettage of external earElectrocoagulation of external earEnucleation of external earExcision of:exostosis of external auditory canalpreauricular remnant [appendage]Partial excision of earExcludes: biopsy of external ear (18.12)radical excision of lesion (18.31)removal of cerumen (96.52)18.3 Other excision of external earExcludes: biopsy of external ear (18.12)18.31 Radical excision of lesion of external earExcludes: radical excision of preauricular sinus (18.21)18.39 OtherAmputation of external earExcludes: excision of lesion (18.21-18.29, 18.31)54 1 .1 OR procedure 1.2 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EAR (18-20)18.4 Suture of laceration of external ear18.5 Surgical correction of prominent earEar:pinningsetback18.6 Reconstruction of external auditory canalCanaloplasty of external auditory meatusConstruction [reconstruction] of external meatus of ear:osseous portionskin- lined portion (with skin graft)18.7 Other plastic repair of external ear18.71 Construction of auricle of earProsthetic appliance for absent earReconstruction:auricleear18.72 Reattachment of amputated ear18.79 Other plastic repair of external earOtoplasty NOSPostauricular skin graftRepair of lop ear18.9 Other operations on external earExcludes: irrigation of ear (96.52)packing of external auditory canal (96.11)removal of:cerumen (96.52)foreign body (without incision) (98.11)19 Reconstructive operations on middle ear19.0 Stapes mobilizationDivision, otosclerotic:materialprocessRemobilization of stapesStapediolysisTranscrural stapes mobilizationExcludes: that with synchronous stapedectomy (19.11-19.19)19.1 StapedectomyExcludes: revision of previous stapedectomy (19.21-19.29)stapes mobilization only (19.0)19.11 Stapedectomy with incus replacementStapedectomy with incus:homograftprosthesis19.19 Other stapedectomy New code ® Revised code 4 th digit required 55

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)19.2 Revision of stapedectomy19.21 Revision of stapedectomy with incus replacement19.29 Other revision of stapedectomy19.3 Other operations on ossicular chainIncudectomy NOSOssiculectomy NOSReconstruction of ossicles, second stage19.4 MyringoplastyEpitympanic, type IMyringoplasty by:cauterizationgraftTympanoplasty (type I)19.5 Other tympanoplasty19.52 Type II tympanoplastyClosure of perforation with graft against incus or malleus19.53 Type III tympanoplastyGraft placed in contact with mobile and intact stapes19.54 Type IV tympanoplastyMobile footplate left exposed with air pocket between round windowand graft19.55 Type V tympanoplastyFenestra in horizontal semicircular canal covered by graft19.6 Revision of tympanoplasty19.9 Other repair of middle earClosure of mastoid fistulaMastoid myoplastyObliteration of tympanomastoid cavity20 Other operations on middle and inner ear20.0 Myringotomy20.01 Myringotomy with insertion of tubeMyringostomy20.09 Other myringotomyAspiration of middle ear NOS20.1 Removal of tympanostomy tube20.2 Incision of mastoid and middle ear20.21 Incision of mastoid20.22 Incision of petrous pyramid air cells20.23 Incision of middle earAtticotomyDivision of tympanumLysis of adhesions of middle ear56 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EAR (18-20)Excludes: division of otosclerotic process (19.0)stapediolysis (19.0)that with stapedectomy (19.11-19.19)20.3 Diagnostic procedures on middle and inner ear20.31 Electrocochleography20.32 Biopsy of middle and inner ear20.39 Other diagnostic procedures on middle and inner earExcludes: auditory and vestibular function tests (89.13, 95.41-95.49)microscopic examination of specimen from ear(90.31-90.39)20.4 MastoidectomyCode also any:skin graft (18.79)tympanoplasty (19.4- 19.55)Excludes: that with implantation of cochlear prosthetic device (20.96-20.98)20.41 Simple mastoidectomy20.42 Radical mastoidectomy20.49 Other mastoidectomyAtticoantrostomyMastoidectomy:NOSmodified radical20.5 Other excision of middle earExcludes: that with synchronous mastoidectomy (20.41-20.49)20.51 Excision of lesion of middle earExcludes: biopsy of middle ear (20.32)20.59 OtherApicectomy of petrous pyramidTympanectomy20.6 Fenestration of inner ear20.61 Fenestration of inner ear (initial)Fenestration of:labyrinth with graft (skin) (vein)semicircular canals with graft (skin) (vein)vestibule with graft (skin) (vein)Excludes: that with tympanoplasty, type V (19.55)20.62 Revision of fenestration of inner ear20.7 Incision, excision, and destruction of inner ear20.71 Endolymphatic shunt20.72 Injection into inner earDestruction by injection (alcohol):inner earsemicircular canalsvestibule New code ® Revised code 4 th digit required 57

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)20.79 Other incision, excision, and destruction of inner earDecompression of labyrinthDrainage of inner earFistulization:endolymphatic saclabyrinthIncision of endolymphatic sacLabyrinthectomy (transtympanic)Opening of bony labyrinthPerilymphatic tapExcludes: biopsy of inner ear (20.32)20.8 Operations on Eustachian tubeCatheterization of Eustachian tubeInflation of Eustachian tubeInjection (Teflon paste) of Eustachian tubeInsufflation (boric acid- salicylic acid) Intubation of Eustachian tubePolitzerization of Eustachian tube20.9 Other operations on inner and middle ear20.91 Tympanosympathectomy20.92 Revision of mastoidectomy20.93 Repair of oval and round windowsClosure of fistula:oval windowperilymphround window20.94 Injection of tympanum20.95 Implantation of electromagnetic hearing deviceBone conduction hearing deviceExcludes: cochlear prosthetic device (20.96-20.98)20.96 Implantation or replacement of cochlear prosthetic device, nototherwise specifiedImplantation of receiver (within skull) and insertion of electrode(s)in the cochleaIncludes: mastoidectomyExcludes: electromagnetic hearing device (20.95)20.97 Implantation or replacement of cochlear prosthetic device,single channelImplantation of receiver (within skull) and insertion of electrode in thecochleaIncludes: mastoidectomyExcludes: electromagnetic hearing device (20.95)20.98 Implantation or replacement of cochlear prosthetic device,multiple channelImplantation of receiver (within skull) and insertion of electrodes inthe cochleaIncludes: mastoidectomyExcludes: electromagnetic hearing device (20.95)58 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE EAR (18-20)20.99 Other operations on middle and inner ear ®Repair or removal of cochlear prosthetic device (receiver) (electrode)Attachment of percutaneous abutment (screw) for prosthetic deviceExcludes: adjustment (external components) of cochlear prostheticdevice (95.49)fitting of hearing aid (95.48) New code ® Revised code 4 th digit required 59

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)5. OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)21 Operations on noseIncludes: operations on:bone of noseskin of nose21.0 Control of epistaxis21.00 Control of epistaxis, not otherwise specified21.01 Control of epistaxis by anterior nasal packing21.02 Control of epistaxis by posterior (and anterior) packing21.03 Control of epistaxis by cauterization (and packing)21.04 Control of epistaxis by ligation of ethmoidal arteries21.05 Control of epistaxis by (transantral) ligation of the maxillary artery21.06 Control of epistaxis by ligation of the external carotid artery21.07 Control of epistaxis by excision of nasal mucosa and skin graftingof septum and lateral nasal wall21.09 Control of epistaxis by other means21.1 Incision of noseChondrotomyIncision of skin of noseNasal septotomy21.2 Diagnostic procedures on nose21.21 Rhinoscopy21.22 Biopsy of nose21.29 Other diagnostic procedures on noseExcludes: microscopic examination of specimen from nose (90.31-90.39)nasal:function study (89.12)x-ray (87.16)rhinomanometry (89.12)21.3 Local excision or destruction of lesion of noseExcludes: biopsy of nose (21.22)nasal fistulectomy (21.82)21.30 Excision or destruction of lesion of nose, not otherwise specified21.31 Local excision or destruction of intranasal lesionNasal polypectomy21.32 Local excision or destruction of other lesion of nose21.4 Resection of noseAmputation of nose21.5 Submucous resection of nasal septum21.6 Turbinectomy60 1 .1 OR procedure 1.2 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)21.61 Turbinectomy by diathermy or cryosurgery21.62 Fracture of the turbinates21.69 Other turbinectomyExcludes: turbinectomy associated with sinusectomy(22.31-22.39, 22.42, 22.60-22.64)21.7 Reduction of nasal fracture21.71 Closed reduction of nasal fracture21.72 Open reduction of nasal fracture21.8 Repair and plastic operations on the nose21.81 Suture of laceration of nose21.82 Closure of nasal fistulaNasolabial fistulectomyNasopharyngeal fistulectomyOronasal fistulectomy21.83 Total nasal reconstructionReconstruction of nose with:arm flapforehead flap21.84 Revision rhinoplastyRhinoseptoplastyTwisted nose rhinoplasty21.85 Augmentation rhinoplastyAugmentation rhinoplasty with:graftsynthetic implant21.86 Limited rhinoplastyPlastic repair of nasolabial flapsTip rhinoplasty21.87 Other rhinoplastyRhinoplasty NOS21.88 Other septoplastyCrushing of nasal septumRepair of septal perforationExcludes: septoplasty associated with submucous resection of septum(21.5)21.89 Other repair and plastic operations on noseReattachment of amputated nose21.9 Other operations on nose21.91 Lysis of adhesions of nosePosterior nasal scrub New code ® Revised code 4 th digit required 61

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)21.99 OtherExcludes: dilation of frontonasal duct (96.21)irrigation of nasal passages (96.53)removal of:intraluminal foreign body without incision (98.12)nasal packing (97.32)replacement of nasal packing (97.21)22 Operations on nasal sinuses22.0 Aspiration and lavage of nasal sinus22.00 Aspiration and lavage of nasal sinus, not otherwise specified22.01 Puncture of nasal sinus for aspiration or lavage22.02 Aspiration or lavage of nasal sinus through natural ostium22.1 Diagnostic procedures on nasal sinus22.11 Closed [endoscopic] [needle] biopsy of nasal sinus22.12 Open biopsy of nasal sinus22.19 Other diagnostic procedures on nasal sinusesEndoscopy without biopsyExcludes: transillumination of sinus (89.35)x-ray of sinus (87.15-87.16)22.2 Intranasal antrotomyExcludes: antrotomy with external approach (22.31-22.39)22.3 External maxillary antrotomy22.31 Radical maxillary antrotomyRemoval of lining membrane of maxillary sinus usingCaldwell- Luc approach22.39 Other external maxillary antrotomyExploration of maxillary antrum with Caldwell- Luc approach22.4 Frontal sinusotomy and sinusectomy22.41 Frontal sinusotomy22.42 Frontal sinusectomyExcision of lesion of frontal sinusObliteration of frontal sinus (with fat)Excludes: biopsy of nasal sinus (22.11-22.12)22.5 Other nasal sinusotomy22.50 Sinusotomy, not otherwise specified22.51 Ethmoidotomy22.52 Sphenoidotomy22.53 Incision of multiple nasal sinuses62 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)22.6 Other nasal sinusectomyIncludes: that with incidental turbinectomyExcludes: biopsy of nasal sinus (22.11-22.12)22.60 Sinusectomy, not otherwise specified22.61 Excision of lesion of maxillary sinus with Caldwell-Luc approach22.62 Excision of lesion of maxillary sinus with other approach22.63 Ethmoidectomy22.64 Sphenoidectomy22.7 Repair of nasal sinus22.71 Closure of nasal sinus fistulaRepair of oro- antral fistula22.79 Other repair of nasal sinusReconstruction of frontonasal ductRepair of bone of accessory sinus22.9 Other operations on nasal sinusesExteriorization of maxillary sinusFistulization of sinusExcludes: dilation of frontonasal duct (96.21)23 Removal and restoration of teeth23.0 Forceps extraction of tooth23.01 Extraction of deciduous tooth23.09 Extraction of other toothExtraction of tooth NOS23.1 Surgical removal of tooth23.11 Removal of residual root23.19 Other surgical extraction of toothOdontectomy NOSRemoval of impacted toothTooth extraction with elevation of mucoperiosteal flap23.2 Restoration of tooth by filling23.3 Restoration of tooth by inlay23.4 Other dental restoration23.41 Application of crown23.42 Insertion of fixed bridge23.43 Insertion of removable bridge23.49 Other23.5 Implantation of tooth23.6 Prosthetic dental implant New code ® Revised code 4 th digit required 63

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Endosseous dental implant23.7 Apicoectomy and root canal therapy23.70 Root canal, not otherwise specified23.71 Root canal therapy with irrigation23.72 Root canal therapy with apicoectomy23.73 Apicoectomy24 Other operations on teeth, gums, and alveoli24.0 Incision of gum or alveolar boneApical alveolotomy24.1 Diagnostic procedures on teeth, gums, and alveoli24.11 Biopsy of gum24.12 Biopsy of alveolus24.19 Other diagnostic procedures on teeth, gums, and alveoliExcludes: dental:examination (89.31)x-ray:full-mouth (87.11)other (87.12)microscopic examination of dental specimen (90.81-90.89)24.2 GingivoplastyGingivoplasty with bone or soft tissue graft24.3 Other operations on gum24.31 Excision of lesion or tissue of gumExcludes: biopsy of gum (24.11)excision of odontogenic lesion (24.4)24.32 Suture of laceration of gum24.39 Other24.4 Excision of dental lesion of jawExcision of odontogenic lesion24.5 AlveoloplastyAlveolectomy (interradicular) (intraseptal) (radical) (simple) (with graftor implant)Excludes: biopsy of alveolus (24.12)en bloc resection of alveolar process and palate (27.32)24.6 Exposure of tooth64 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)24.7 Application of orthodontic applianceApplication, insertion, or fitting of:arch barsorthodontic obturatororthodontic wiringperiodontal splintExcludes: nonorthodontic dental wiring (93.55)24.8 Other orthodontic operationClosure of diastema (alveolar) (dental)Occlusal adjustmentRemoval of arch barsRepair of dental archExcludes: removal of nonorthodontic wiring (97.33)24.9 Other dental operations24.91 Extension or deepening of buccolabial or lingual sulcus24.99 OtherExcludes: dental:debridement (96.54)examination (89.31)prophylaxis (96.54)scaling and polishing (96.54)wiring (93.55)fitting of dental appliance [denture] (99.97)microscopic examination of dental specimen (90.81-90.89)removal of dental:packing (97.34)prosthesis (97.35)wiring (97.33)replacement of dental packing (97.22)25 Operations on tongue25.0 Diagnostic procedures on tongue25.01 Closed [needle] biopsy of tongue25.02 Open biopsy of tongueWedge biopsy25.09 Other diagnostic procedures on tongue25.1 Excision or destruction of lesion or tissue of tongueExcludes: biopsy of tongue (25.01-25.02)frenumectomy:labial (27.41)lingual (25.92)25.2 Partial glossectomy25.3 Complete glossectomyGlossectomy NOSCode also any neck dissection (40.40- 40.42) New code ® Revised code 4 th digit required 65

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)25.4 Radical glossectomyCode also any:neck dissection (40.40- 40.42)tracheostomy (31.1- 31.29)25.5 Repair of tongue and glossoplasty25.51 Suture of laceration of tongue25.59 Other repair and plastic operations on tongueFascial sling of tongueFusion of tongue (to lip)Graft of mucosa or skin to tongueExcludes: lysis of adhesions of tongue (25.93)25.9 Other operations on tongue25.91 Lingual frenotomyExcludes: labial frenotomy (27.91)25.92 Lingual frenectomyExcludes: labial frenectomy (27.41)25.93 Lysis of adhesions of tongue25.94 Other glossotomy25.99 Other26 Operations on salivary glands and ductsIncludes: operations on:lesser salivary gland and ductparotid gland and ductsublingual gland and ductsubmaxillary gland and ductCode also any neck dissection (40.40- 40.42)26.0 Incision of salivary gland or duct26.1 Diagnostic procedures on salivary glands and ducts26.11 Closed [needle] biopsy of salivary gland or duct26.12 Open biopsy of salivary gland or duct26.19 Other diagnostic procedures on salivary glands and ductsExcludes: x-ray of salivary gland (87.09)26.2 Excision of lesion of salivary gland26.21 Marsupialization of salivary gland cyst26.29 Other excision of salivary gland lesionExcludes: biopsy of salivary gland (26.11-26.12)salivary fistulectomy (26.42)66 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)26.3 Sialoadenectomy26.30 Sialoadenectomy, not otherwise specified26.31 Partial sialoadenectomy26.32 Complete sialoadenectomyEn bloc excision of salivary gland lesionRadical sialoadenectomy26.4 Repair of salivary gland or duct26.41 Suture of laceration of salivary gland26.42 Closure of salivary fistula26.49 Other repair and plastic operations on salivary gland or ductFistulization of salivary glandPlastic repair of salivary gland or duct NOSTransplantation of salivary duct opening26.9 Other operations on salivary gland or duct26.91 Probing of salivary duct26.99 Other27 Other operations on mouth and faceIncludes: operations on:lipspalatesoft tissue of face and mouth, except tongue and gingivaExcludes: operations on:gingiva (24.0-24.99)tongue (25.01-25.99)27.0 Drainage of face and floor of mouthDrainage of:facial region (abscess)fascial compartment of faceLudwig's anginaExcludes: drainage of thyroglossal tract (06.09)27.1 Incision of palate27.2 Diagnostic procedures on oral cavity27.21 Biopsy of bony palate27.22 Biopsy of uvula and soft palate27.23 Biopsy of lip27.24 Biopsy of mouth, unspecified structure27.29 Other diagnostic procedures on oral cavityExcludes: soft tissue x- ray (87.09) New code ® Revised code 4 th digit required 67

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)27.3 Excision of lesion or tissue of bony palate27.31 Local excision or destruction of lesion or tissue of bony palateLocal excision or destruction of palate by:cauterychemotherapycryotherapyExcludes: biopsy of bony palate (27.21)27.32 Wide excision or destruction of lesion or tissue of bony palateEn bloc resection of alveolar process and palate27.4 Excision of other parts of mouth27.41 Labial frenectomyExcludes: division of labial frenum (27.91)27.42 Wide excision of lesion of lip27.43 Other excision of lesion or tissue of lip27.49 Other excision of mouthExcludes: biopsy of mouth NOS (27.24)excision of lesion of:palate (27.31-27.32)tongue (25.1)uvula (27.72)fistulectomy of mouth (27.53)frenectomy of:lip (27.41)tongue (25.92)27.5 Plastic repair of lip and mouth ®Excludes: palatoplasty (27.61-27.69)27.51 Suture of laceration of lip27.52 Suture of laceration of other part of mouth27.53 Closure of fistula of mouthExcludes: fistulectomy:nasolabial (21.82)oro-antral (22.71)oronasal (21.82)27.54 Repair of cleft lip27.55 Full-thickness skin graft to lip and mouth27.56 Other skin graft to lip and mouth27.57 Attachment of pedicle or flap graft to lip and mouth27.59 Other plastic repair of mouth27.6 Palatoplasty27.61 Suture of laceration of palate27.62 Correction of cleft palateCorrection of cleft palate by push- back operationExcludes: revision of cleft palate repair (27.63)68 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)27.63 Revision of cleft palate repairSecondary:attachment of pharyngeal flaplengthening of palate27.64 Insertion of palatal implant27.69 Other plastic repair of palateCode also any insertion of palatal implant (27.64)Excludes: fistulectomy of mouth (27.53)27.7 Operations on uvula27.71 Incision of uvula27.72 Excision of uvulaExcludes: biopsy of uvula (27.22)27.73 Repair of uvulaExcludes: that with synchronous cleft palate repair (27.62)uranostaphylorrhaphy (27.62)27.79 Other operations on uvula27.9 Other operations on mouth and face27.91 Labial frenotomyDivision of labial frenumExcludes: lingual frenotomy (25.91)27.92 Incision of mouth, unspecified structureExcludes: incision of:gum (24.0)palate (27.1)salivary gland or duct (26.0)tongue (25.94)uvula (27.71)27.99 Other operations on oral cavityGraft of buccal sulcusExcludes: removal of:intraluminal foreign body (98.01)penetrating foreign body from mouth without incision(98.22) New code ® Revised code 4 th digit required 69

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)28 Operations on tonsils and adenoids28.0 Incision and drainage of tonsil and peritonsillar structuresDrainage (oral) (transcervical) of:parapharyngeal abscessperitonsillar abscessretropharyngeal abscesstonsillar abscess28.1 Diagnostic procedures on tonsils and adenoids28.11 Biopsy of tonsils and adenoids28.19 Other diagnostic procedures on tonsils and adenoidsExcludes: soft tissue x-ray (87.09)28.2 Tonsillectomy without adenoidectomy28.3 Tonsillectomy with adenoidectomy28.4 Excision of tonsil tag28.5 Excision of lingual tonsil28.6 Adenoidectomy without tonsillectomyExcision of adenoid tag28.7 Control of hemorrhage after tonsillectomy and adenoidectomy28.9 Other operations on tonsils and adenoids28.91 Removal of foreign body from tonsil and adenoid by incisionExcludes: that without incision (98.13)28.92 Excision of lesion of tonsil and adenoid28.99 OtherExcludes: biopsy of tonsil and adenoid (28.11)29 Operations on pharynxIncludes: operations on:hypopharynxnasopharynxoropharynxpharyngeal pouchpyriform sinus29.0 PharyngotomyDrainage of pharyngeal bursaExcludes: incision and drainage of retropharyngeal abscess (28.0)removal of foreign body (without incision) (98.13)29.1 Diagnostic procedures on pharynx29.11 Pharyngoscopy29.12 Pharyngeal biopsyBiopsy of supraglottic mass70 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)29.19 Other diagnostic procedures on pharynxExcludes: x-ray of nasopharynx:contrast (87.06)other (87.09)29.2 Excision of branchial cleft cyst or vestigeExcludes: branchial cleft fistulectomy (29.52)29.3 Excision or destruction of lesion or tissue of pharynx29.31 Cricopharyngeal myotomyExcludes: that with pharyngeal diverticulectomy (29.32)29.32 Pharyngeal diverticulectomy29.33 Pharyngectomy (partial)Excludes: laryngopharyngectomy (30.3)29.39 Other excision or destruction of lesion or tissue of pharynx29.4 Plastic operation on pharynxCorrection of nasopharyngeal atresiaExcludes: pharyngoplasty associated with cleft palate repair (27.62-27.63)29.5 Other repair of pharynx29.51 Suture of laceration of pharynx29.52 Closure of branchial cleft fistula29.53 Closure of other fistula of pharynxPharyngoesophageal fistulectomy29.54 Lysis of pharyngeal adhesions29.59 Other29.9 Other operations on pharynx29.91 Dilation of pharynxDilation of nasopharynx29.92 Division of glossopharyngeal nerve29.99 OtherExcludes: insertion of radium into pharynx and nasopharynx (92.27)removal of intraluminal foreign body (98.13) New code ® Revised code 4 th digit required 71

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)6. OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)30 Excision of larynx30.0 Excision or destruction of lesion or tissue of larynx30.01 Marsupialization of laryngeal cyst30.09 Other excision or destruction of lesion or tissue of larynxStripping of vocal cordsExcludes: biopsy of larynx (31.43)laryngeal fistulectomy (31.62)laryngotracheal fistulectomy (31.62)30.1 Hemilaryngectomy30.2 Other partial laryngectomy30.21 Epiglottidectomy30.22 Vocal cordectomyExcision of vocal cords30.29 Other partial laryngectomyExcision of laryngeal cartilage30.3 Complete laryngectomyBlock dissection of larynx (with thyroidectomy) (with synchronoustracheostomy)LaryngopharyngectomyExcludes: that with radical neck dissection (30.4)30.4 Radical laryngectomyComplete [total] laryngectomy with radical neck dissection (withthyroidectomy) (with synchronous tracheostomy)31 Other operations on larynx and trachea31.0 Injection of larynxInjection of inert material into larynx or vocal cords31.1 Temporary tracheostomy ®Tracheotomy for assistance in breathingTemporary percutaneous dilatational tracheostomy [PDT]Code also any synchronous bronchoscopy, if performed (33.21 33.24, 33.27)31.2 Permanent tracheostomy31.21 Mediastinal tracheostomy31.29 Other permanent tracheostomy ®Permanent percutaneous dilatational tracheostomy [PDT]Code also any synchronous bronchoscopy, if performed(33.21 33.24, 33.27)Excludes: that with laryngectomy (30.3-30.4)72 1 .1 OR procedure 1.2 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)31.3 Other incision of larynx or tracheaExcludes: that for assistance in breathing (31.1-31.29)31.4 Diagnostic procedures on larynx and trachea31.41 Tracheoscopy through artificial stomaExcludes: that with biopsy (31.43-31.44)31.42 Laryngoscopy and other tracheoscopyExcludes: that with biopsy (31.43-31.44)31.43 Closed [endoscopic] biopsy of larynx31.44 Closed [endoscopic] biopsy of trachea31.45 Open biopsy of larynx or trachea31.48 Other diagnostic procedures on larynxExcludes: contrast laryngogram (87.07)microscopic examination of specimen from larynx(90.31-90.39)soft tissue x-ray of larynx NEC (87.09)31.49 Other diagnostic procedures on tracheaExcludes: microscopic examination of specimen from trachea(90.41-90.49)x-ray of trachea (87.49)31.5 Local excision or destruction of lesion or tissue of tracheaExcludes: biopsy of trachea (31.44-31.45)laryngotracheal fistulectomy (31.62)tracheoesophageal fistulectomy (31.73)31.6 Repair of larynx31.61 Suture of laceration of larynx31.62 Closure of fistula of larynxLaryngotracheal fistulectomyTake- down of laryngostomy31.63 Revision of laryngostomy31.64 Repair of laryngeal fracture31.69 Other repair of larynxArytenoidopexyGraft of larynxTransposition of vocal cordsExcludes: construction of artificial larynx (31.75)31.7 Repair and plastic operations on trachea31.71 Suture of laceration of trachea31.72 Closure of external fistula of tracheaClosure of tracheotomy31.73 Closure of other fistula of tracheaTracheoesophageal fistulectomyExcludes: laryngotracheal fistulectomy (31.62) New code ® Revised code 4 th digit required 73

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)31.74 Revision of tracheostomy31.75 Reconstruction of trachea and construction of artificial larynxTracheoplasty with artificial larynx31.79 Other repair and plastic operations on trachea31.9 Other operations on larynx and trachea31.91 Division of laryngeal nerve31.92 Lysis of adhesions of trachea or larynx31.93 Replacement of laryngeal or tracheal stent31.94 Injection of locally-acting therapeutic substance into trachea31.95 Tracheoesophageal fistulization31.98 Other operations on larynxDilation of larynxDivision of congenital web of larynxRemoval of keel or stent of larynxExcludes: removal of intraluminal foreign body from larynx withoutincision (98.14)31.99 Other operations on tracheaExcludes: removal of:intraluminal foreign body from trachea without incision(98.15)tracheostomy tube (97.37)replacement of tracheostomy tube (97.23)tracheostomy toilette (96.55)32 Excision of lung and bronchusIncludes: rib resection as operative approachsternotomy as operative approachsternum- splitting incision as operative approachthoracotomy as operative approachCode also any synchronous bronchoplasty (33.48)32.0 Local excision or destruction of lesion or tissue of bronchusExcludes: biopsy of bronchus (33.24-33.25)bronchial fistulectomy (33.42)32.01 Endoscopic excision or destruction of lesion or tissue of bronchus32.09 Other local excision or destruction of lesion or tissue of bronchusExcludes: that by endoscopic approach (32.01)32.1 Other excision of bronchusResection (wide sleeve) of bronchusExcludes: radical dissection [excision] of bronchus (32.6)32.2 Local excision or destruction of lesion or tissue of lung32.20 Thoracoscopic excision of lesion or tissue of lung Thoracoscopic wedge resection32.21 Plication of emphysematous bleb74 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)32.22 Lung volume reduction surgery32.23 Open ablation of lung lesion or tissue32.24 Percutaneous ablation of lung lesion or tissue32.25 Thoracoscopic ablation of lung lesion or tissueExcludes: thoracoscopic excision of lesion or tissue of lung (32.20)32.26 Other and unspecified ablation of lung lesion or tissue32.28 Endoscopic excision or destruction of lesion or tissue of lungExcludes: ablation of lung lesion or tissue:open (32.23)other (32.26)percutaneous (32.24)thoracoscopic (32.25)biopsy of lung (33.26-33.27)32.29 Other local excision or destruction of lesion or tissue of lungResection of lung:NOSwedgeExcludes: ablation of lung lesion or tissue:open (32.23)other (32.26)percutaneous (32.24)thoracoscopic (32.25)biopsy of lung (33.26-33.27)that by endoscopic approach (32.28)thoracoscopic excision of lesion or tissue of lung (32.20)wide excision of lesion of lung (32.3)32.3 Segmental resection of lungPartial lobectomy32.30 Thoracoscopic segmental resection of lung 32.39 Other and unspecified segmental resection of lung Excludes: thoracoscopic segmental resection of lung (32.30)32.4 Lobectomy of lungLobectomy with segmental resection of adjacent lobes of lungExcludes: that with radical dissection [excision] of thoracic structures (32.6)32.41 Thoracoscopic lobectomy of lung 32.49 Other lobectomy of lung Excludes: thoracoscopic lobectomy of lung (32.41)32.5 Pneumonectomy ®Excision of lung NOSPneumonectomy (with mediastinal dissection)32.50 Thoracoscopic pneumonectomy 32.59 Other and unspecified pneumonectomy Excludes: thoracoscopic pneumonectomy (32.50) New code ® Revised code 4 th digit required 75

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)32.6 Radical dissection of thoracic structuresBlock [en bloc] dissection of bronchus, lobe of lung, brachial plexus,intercostal structure, ribs (transverse process), and sympathetic nerves32.9 Other excision of lungExcludes: biopsy of lung and bronchus (33.24-33.27)pulmonary decortication (34.51)33 Other operations on lung and bronchusIncludes: rib resection as operative approachsternotomy as operative approachsternum- splitting incision as operative approachthoracotomy as operative approach33.0 Incision of bronchus33.1 Incision of lungExcludes: puncture of lung (33.93)33.2 Diagnostic procedures on lung and bronchus33.20 Thoracoscopic lung biopsy Excludes: closed endoscopic biopsy of lung (33.27)closed [percutaneous] [needle] biopsy of lung (33.26)open biopsy of lung (33.28)33.21 Bronchoscopy through artificial stomaExcludes: that with biopsy (33.24,33.27)33.22 Fiber-optic bronchoscopyExcludes: that with biopsy (33.24,33.27)33.23 Other bronchoscopyExcludes: that for:aspiration (96.05)biopsy (33.24,33.27)33.24 Closed [endoscopic] biopsy of bronchus ®Bronchoscopy (fiberoptic) (rigid) with:brush biopsy of "lung"brushing or washing for specimen collectionexcision (bite) biopsyDiagnostic bronchoalveolar lavage (BAL)Transbronchoscopic needle aspiration [TBNA]Excludes: closed biopsy of lung, other than brush biopsy of "lung"(33.26,33.27)whole lung lavage (33.99)33.25 Open biopsy of bronchusExcludes: open biopsy of lung (33.28)33.26 Closed [percutaneous] [needle] biopsy of lung ®Fine needle aspiration (FNA) of lungTransthoracic needle biopsy of lung (TTNB)Excludes: endoscopic biopsy of lung (33.27)thoracoscopic lung biopsy (33.20)76 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)33.27 Closed endoscopic biopsy of lung ®Fiber- optic (flexible) bronchoscopy with fluoroscopic guidance withbiopsyTransbronchial lung biopsyExcludes: brush biopsy of "lung" (33.24)percutaneous biopsy of lung (33.26)thoracoscopic lung biopsy (33.20)33.28 Open biopsy of lung33.29 Other diagnostic procedures on lung and bronchus ®Excludes: contrast bronchogram:endotracheal (87.31)other (87.32)endoscopic pulmonary airway flow measurement (33.72)laser interstitial thermal therapy [LITT] of lesion or tissue oflung under guidance (17.69)lung scan (92.15)magnetic resonance imaging (88.92)microscopic examination of specimen from bronchus orlung (90.41-90.49)routine chest x-ray (87.44)ultrasonography of lung (88.73)vital capacity determination (89.37)x-ray of bronchus or lung NOS (87.49)33.3 Surgical collapse of lung33.31 Destruction of phrenic nerve for collapse of lung33.32 Artificial pneumothorax for collapse of lungThoracotomy for collapse of lung33.33 Pneumoperitoneum for collapse of lung33.34 Thoracoplasty33.39 Other surgical collapse of lungCollapse of lung NOS33.4 Repair and plastic operation on lung and bronchus33.41 Suture of laceration of bronchus33.42 Closure of bronchial fistulaClosure of bronchostomyFistulectomy:bronchocutaneousbronchoesophagealbronchovisceralExcludes: closure of fistula:bronchomediastinal (34.73)bronchopleural (34.73)bronchopleuromediastinal (34.73)33.43 Closure of laceration of lung33.48 Other repair and plastic operations on bronchus33.49 Other repair and plastic operations on lungExcludes: closure of pleural fistula (34.73) New code ® Revised code 4 th digit required 77

33.5 Lung transplantICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Note: To report donor source --see codes 00.91- 00.93Excludes: combined heart-lung transplantation (33.6)Code also cardiopulmonary bypass [extracorporeal circulation][heart- lung machine] (39.61)33.50 Lung transplantation, not otherwise specified33.51 Unilateral lung transplantation33.52 Bilateral lung transplantationDouble- lung transplantationEn bloc transplantationCode also cardiopulmonary bypass [extracorporeal circulation][heart- lung machine] (39.61)33.6 Combined heart-lung transplantationNote: To report donor source --see codes 00.91- 00.93Code also cardiopulmonary bypass [extracorporeal circulation][heart- lung machine] (39.61)33.7 Other endoscopic procedures in bronchus or lung ®Excludes: insertion of tracheobronchial stent (96.05)33.71 Endoscopic insertion or replacement of bronchial valve(s),single lobe ®Endobronchial airflow redirection valveIntrabronchial airflow redirection valveExcludes: endoscopic insertion or replacement of bronchial valve(s),multiple lobes (33.73)33.72 Endoscopic pulmonary airway flow measurement Assessment of pulmonary airway flowCode also any diagnostic or therapeutic procedure if performed33.73 Endoscopic insertion or replacement of bronchial valve(s),multiple lobes Excludes: endoscopic insertion or replacement of bronchial valve(s),single lobe (33.71)33.78 Endoscopic removal of bronchial device(s) or substances33.79 Endoscopic insertion of other bronchial device or substancesBiologic Lung Volume Reduction NOS (BLVR)33.9 Other operations on lung and bronchus33.91 Bronchial dilation33.92 Ligation of bronchus33.93 Puncture of lungExcludes: needle biopsy (33.26)33.98 Other operations on bronchusExcludes: bronchial lavage (96.56)removal of intraluminal foreign body from bronchuswithout incision (98.15)78 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)33.99 Other operations on lungWhole lung lavageExcludes: other continuous mechanical ventilation (96.70-96.72)respiratory therapy (93.90-93.99)34 Operations on chest wall, pleura, mediastinum, anddiaphragmExcludes: operations on breast (85.0-85.99)34.0 Incision of chest wall and pleuraExcludes: that as operative approach --omit code34.01 Incision of chest wallExtrapleural drainageExcludes: incision of pleura (34.09)34.02 Exploratory thoracotomy34.03 Reopening of recent thoracotomy site34.04 Insertion of intercostal catheter for drainageChest tubeClosed chest drainageRevision of intercostal catheter (chest tube) (with lysis of adhesions)Excludes: thoracoscopic drainage of pleural cavity (34.06)34.05 Creation of pleuroperitoneal shunt34.06 Thoracoscopic drainage of pleural cavity Evacuation of empyema34.09 Other incision of pleuraCreation of pleural window for drainageIntercostal stabOpen chest drainageExcludes: thoracoscopy (34.21)thoracotomy for collapse of lung (33.32)34.1 Incision of mediastinum ®Code also any biopsy, if performedExcludes: mediastinoscopy (34.22)mediastinotomy associated with pneumonectomy (32.5)34.2 Diagnostic procedures on chest wall, pleura, mediastinum, anddiaphragm34.20 Thoracoscopic pleural biopsy 34.21 Transpleural thoracoscopy34.22 MediastinoscopyCode also any biopsy, if performed34.23 Biopsy of chest wall34.24 Other pleural biopsy ®Excludes: thoracoscopic pleural biopsy (34.20) New code ® Revised code 4 th digit required 79

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)34.25 Closed [percutaneous] [needle] biopsy of mediastinum34.26 Open mediastinal biopsy34.27 Biopsy of diaphragm34.28 Other diagnostic procedures on chest wall, pleura, and diaphragmExcludes: angiocardiography (88.50-88.58)aortography (88.42)arteriography of:intrathoracic vessels NEC (88.44)pulmonary arteries (88.43)microscopic examination of specimen from chest wall,pleura, and diaphragm (90.41-90.49)phlebography of:intrathoracic vessels NEC (88.63)pulmonary veins (88.62)radiological examinations of thorax:C.A.T. scan (87.41)diaphragmatic x-ray (87.49)intrathoracic lymphangiogram (87.34)routine chest x-ray (87.44)sinogram of chest wall (87.38)soft tissue x-ray of chest wall NEC (87.39)tomogram of thorax NEC (87.42)ultrasonography of thorax (88.73)34.29 Other diagnostic procedures on mediastinumExcludes: mediastinal:pneumogram (87.33)x-ray NEC (87.49)34.3 Excision or destruction of lesion or tissue of mediastinumExcludes: biopsy of mediastinum (34.25-34.26)mediastinal fistulectomy (34.73)34.4 Excision or destruction of lesion of chest wallExcision of lesion of chest wall NOS (with excision of ribs)Excludes: biopsy of chest wall (34.23)costectomy not incidental to thoracic procedure (77.91)excision of lesion of:breast (85.20-85.25)cartilage (80.89)skin (86.2-86.3)fistulectomy (34.73)34.5 Pleurectomy34.51 Decortication of lung ®Excludes: thoracoscopic decortication of lung (34.52)34.52 Thoracoscopic decortication of lung 34.59 Other excision of pleuraExcision of pleural lesionExcludes: biopsy of pleura (34.24)pleural fistulectomy (34.73)80 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE RESPIRATORY SYSTEM (30-34)34.6 Scarification of pleuraPleurosclerosisExcludes: injection of sclerosing agent (34.92)34.7 Repair of chest wall34.71 Suture of laceration of chest wallExcludes: suture of skin and subcutaneous tissue alone (86.59)34.72 Closure of thoracostomy34.73 Closure of other fistula of thoraxClosure of:bronchopleural fistulabronchopleurocutaneous fistulabronchopleuromediastinal fistula34.74 Repair of pectus deformityRepair of:pectus carinatum (with implant)pectus excavatum (with implant)34.79 Other repair of chest wallRepair of chest wall NOS34.8 Operations on diaphragm34.81 Excision of lesion or tissue of diaphragmExcludes: biopsy of diaphragm (34.27)34.82 Suture of laceration of diaphragm34.83 Closure of fistula of diaphragmThoracicoabdominal fistulectomyThoracicogastric fistulectomyThoracicointestinal fistulectomy34.84 Other repair of diaphragmExcludes: repair of diaphragmatic hernia (53.7-53.82)34.85 Implantation of diaphragmatic pacemaker34.89 Other operations on diaphragm34.9 Other operations on thorax34.91 Thoracentesis34.92 Injection into thoracic cavity ®Chemical pleurodesisInjection of cytotoxic agent or tetracyclineInstillation into thoracic cavityRequires additional code for any cancer chemotherapeutic substance(99.25)Excludes: that for collapse of lung (33.32)34.93 Repair of pleura34.99 OtherExcludes: removal of:mediastinal drain (97.42)sutures (97.43)thoracotomy tube (97.41) New code ® Revised code 4 th digit required 81

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)7. OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)35 Operations on valves and septa of heartIncludes: sternotomy (median) (transverse) as operative approachthoracotomy as operative approachCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)35.0 Closed heart valvotomyExcludes: percutaneous (balloon) valvuloplasty (35.96)35.00 Closed heart valvotomy, unspecified valve35.01 Closed heart valvotomy, aortic valve35.02 Closed heart valvotomy, mitral valve35.03 Closed heart valvotomy, pulmonary valve35.04 Closed heart valvotomy, tricuspid valve35.1 Open heart valvuloplasty without replacementIncludes: open heart valvotomyExcludes: that associated with repair of:endocardial cushion defect (35.54, 35.63, 35.73)valvular defect associated with atrial and ventricular septaldefects (35.54, 35.63, 35.73)percutaneous (balloon) valvuloplasty (35.96)Code also cardiopulmonary bypass if performed [extracorporeal circulation][heart- lung machine] (39.61)35.10 Open heart valvuloplasty without replacement, unspecified valve35.11 Open heart valvuloplasty of aortic valve without replacement35.12 Open heart valvuloplasty of mitral valve without replacement35.13 Open heart valvuloplasty of pulmonary valve without replacement35.14 Open heart valvuloplasty of tricuspid valve without replacement35.2 Replacement of heart valveIncludes: excision of heart valve with replacementCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)Excludes: that associated with repair of:endocardial cushion defect (35.54, 35.63, 35.73)valvular defect associated with atrial and ventricular septaldefects (35.54, 35.63, 35.73)35.20 Replacement of unspecified heart valveRepair of unspecified heart valve with tissue graft or prostheticimplant35.21 Replacement of aortic valve with tissue graftRepair of aortic valve with tissue graft (autograft) (heterograft)(homograft)82 1 .1 OR procedure 1.2 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)35.22 Other replacement of aortic valveRepair of aortic valve with replacement:NOSprosthetic (partial) (synthetic) (total)35.23 Replacement of mitral valve with tissue graftRepair of mitral valve with tissue graft (autograft) (heterograft)(homograft)35.24 Other replacement of mitral valveRepair of mitral valve with replacement:NOSprosthetic (partial) (synthetic) (total)35.25 Replacement of pulmonary valve with tissue graftRepair of pulmonary valve with tissue graft (autograft) (heterograft)(homograft)35.26 Other replacement of pulmonary valveRepair of pulmonary valve with replacement:NOSprosthetic (partial) (synthetic) (total)35.27 Replacement of tricuspid valve with tissue graftRepair of tricuspid valve with tissue graft (autograft) (heterograft)(homograft)35.28 Other replacement of tricuspid valveRepair of tricuspid valve with replacement:NOSprosthetic (partial) (synthetic) (total)35.3 Operations on structures adjacent to heart valvesCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)35.31 Operations on papillary muscleDivision of papillary muscleReattachment of papillary muscleRepair of papillary muscle35.32 Operations on chordae tendineaeDivision of chordae tendineaeRepair of chordae tendineae35.33 AnnuloplastyPlication of annulus35.34 InfundibulectomyRight ventricular infundibulectomy35.35 Operations on trabeculae carneae cordisDivision of trabeculae carneae cordisExcision of trabeculae carneae cordisExcision of aortic subvalvular ring35.39 Operations on other structures adjacent to valves of heartRepair of sinus of Valsalva (aneurysm) New code ® Revised code 4 th digit required 83

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)35.4 Production of septal defect in heart35.41 Enlargement of existing atrial septal defectRashkind procedureSeptostomy (atrial) (balloon)35.42 Creation of septal defect in heartBlalock- Hanlon operation35.5 Repair of atrial and ventricular septa with prosthesisIncludes: repair of septa with synthetic implant or patchCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)35.50 Repair of unspecified septal defect of heart with prosthesisExcludes: that associated with repair of:endocardial cushion defect (35.54)septal defect associated with valvular defect (35.54)35.51 Repair of atrial septal defect with prosthesis, open techniqueAtrioseptoplasty with prosthesisCorrection of atrial septal defect with prosthesisRepair:foramen ovale (patent)with prosthesis ostium secundum defect with prosthesisExcludes: that associated with repair of:atrial septal defect associated with valvular andventricular septal defects (35.54)endocardial cushion defect (35.54)35.52 Repair of atrial septal defect with prosthesis, closed techniqueInsertion of atrial septal umbrella [King- Mills]35.53 Repair of ventricular septal defect with prosthesis, opentechniqueCorrection of ventricular septal defect with prosthesisRepair of supracristal defect with prosthesisExcludes: that associated with repair of:endocardial cushion defect (35.54)ventricular defect associated with valvular and atrialseptal defects (35.54)35.54 Repair of endocardial cushion defect with prosthesisRepair:atrioventricular canal with prosthesis (grafted to septa)ostium primum defect with prosthesis (grafted to septa)valvular defect associated with atrial and ventricular septal defectswith prosthesis (grafted to septa)Excludes: repair of isolated:atrial septal defect (35.51-35.52)valvular defect (35.20, 35.22, 35.24, 35.26, 35.28)ventricular septal defect (35.53)35.55 Repair of ventricular septal defect with prosthesis, closedtechnique84 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)35.6 Repair of atrial and ventricular septa with tissue graftCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)35.60 Repair of unspecified septal defect of heart with tissue graftExcludes: that associated with repair of:endocardial cushion defect (35.63)septal defect associated withvalvular defect (35.63)35.61 Repair of atrial septal defect with tissue graftAtrioseptoplasty with tissue graftCorrection of atrial septal defect with tissue graftRepair:foramen ovale (patent) with tissue graftostium secundum defect with tissue graftExcludes: that associated with repair of:atrial septal defect associated with valvular and ventricularseptal defects (35.63)endocardial cushion defect (35.63)35.62 Repair of ventricular septal defect with tissue graftCorrection of ventricular septal defect with tissue graftRepair of supracristal defect with tissue graftExcludes: that associated with repair of:endocardial cushion defect(35.63)ventricular defect associate with valvular and atrial septaldefects (35.63)35.63 Repair of endocardial cushion defect with tissue graftRepair of:atrioventricular canal with tissue graftostium primum defect with tissue graftvalvular defect associated with atrial and ventricular septal defectswith tissue graftExcludes: repair of isolated:atrial septal defect (35.61)valvular defect (35.20-35.21, 35.23, 35.25, 35.27)ventricular septal defect (35.62)35.7 Other and unspecified repair of atrial and ventricular septaCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)35.70 Other and unspecified repair of unspecified septal defect of heartRepair of septal defect NOSExcludes: that associated with repair of:endocardial cushion defect (35.73)septal defect associated wit valvular defect (35.73) New code ® Revised code 4 th digit required 85

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)35.71 Other and unspecified repair of atrial septal defectRepair NOS:atrial septumforamen ovale (patent)ostium secundum defectExcludes: that associated with repair of:atrial septal defect associated with valvular ventricularseptal defects (35.73)endocardial cushion defect (35.73)35.72 Other and unspecified repair of ventricular septal defectRepair NOS:supracristal defectventricular septumExcludes: that associated with repair of:endocardial cushion defect (35.73)ventricular septal defect associated with valvular and atrialseptal defects (35.73)35.73 Other and unspecified repair of endocardial cushion defectRepair NOS:atrioventricular canalostium primum defectvalvular defect associated with atrial and ventricular septal defectsExcludes: repair of isolated:atrial septal defect (35.71)valvular defect (35.20, 35.22, 35.24, 35.26, 35.28)ventricular septal defect (35.72)35.8 Total repair of certain congenital cardiac anomaliesNote: For partial repair of defect [e.g. repair of atrial septal defect in tetralogyof Fallot] -- code to specific procedure35.81 Total repair of tetralogy of FallotOne- stage total correction of tetralogy of Fallot with or without:commissurotomy of pulmonary valveinfundibulectomyoutflow tract prosthesispatch graft of outflow tractprosthetic tube for pulmonary arteryrepair of ventricular septal defect (with prosthesis)take- down of previous systemic- pulmonary artery anastomosis35.82 Total repair of total anomalous pulmonary venous connectionOne- stage total correction of total anomalous pulmonary venousconnection with or without:anastomosis between (horizontal) common pulmonary trunk andposterior wall of left atrium (side- to- side)enlargement of foramen ovaleincision [excision] of common wall between posterior left atriumand coronary sinus and roofing of resultant defect with patchgraft (synthetic)ligation of venous connection (descending anomalous vein) (to leftinnominate vein) (to superior vena cava)repair of atrial septal defect (with prosthesis)86 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)35.83 Total repair of truncus arteriosusOne- stage total correction of truncus arteriosus with or without:construction (with aortic homograft) (with prosthesis) of apulmonary artery placed from right ventricle to arteries supplyingthe lungligation of connections between aorta and pulmonary arteryrepair of ventricular septal defect (with prosthesis)35.84 Total correction of transposition of great vessels, not elsewhereclassifiedArterial switch operation [Jatene]Total correction of transposition of great arteries at the arterial levelby switching the great arteries, including the left or both coronaryarteries, implanted in the wall of the pulmonary arteryExcludes: baffle operation [Mustard] [Senning] (35.91)creation of shunt between right ventricle and pulmonaryartery [Rastelli] (35.92)35.9 Other operations on valves and septa of heartCode also cardiopulmonary bypass, if performed [extracorporeal circulation][heart- lung machine] (39.61)35.91 Interatrial transposition of venous returnBaffle:atrialinteratrialMustard's operationResection of atrial septum and insertion of patch to direct systemicvenous return to tricuspid valve and pulmonary venousreturn tomitral valve35.92 Creation of conduit between right ventricle and pulmonary arteryCreation of shunt between right ventricle and (distal) pulmonary arteryExcludes: that associated with total repair of truncus arteriosus (35.83)35.93 Creation of conduit between left ventricle and aortaCreation of apicoaortic shuntShunt between apex of left ventricle and aorta35.94 Creation of conduit between atrium and pulmonary arteryFontan procedure35.95 Revision of corrective procedure on heartReplacement of prosthetic heart valve poppetResuture of prosthesis of:septumvalveExcludes: complete revision -- code to specific procedurereplacement of prosthesis or graft of:septum (35.50-35.63)valve (35.20-35.28)35.96 Percutaneous valvuloplastyPercutaneous balloon valvuloplasty35.98 Other operations on septa of heart35.99 Other operations on valves of heart New code ® Revised code 4 th digit required 87

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)36 Operations on vessels of heartIncludes: sternotomy (median) (transverse) as operative approachthoracotomy as operative approachCode also any:cardiopulmonary bypass, if performed [extracorporeal circulation][heart- lung machine] (39.61)injection or infusion of platelet inhibitor (99.20)injection or infusion of thrombolytic agent (99.10)36.0 Removal of coronary artery obstruction and insertion of stent(s)36.03 Open chest coronary artery angioplastyCoronary (artery):endarterectomy (with patch graft)thromboendarterectomy (with patch graft)Open surgery for direct relief of coronary artery obstructionExcludes: that with coronary artery bypass graft (36.10-36.19)Code also any:insertion of drug- eluting coronary stent(s) (36.07)insertion of non- drug- eluting coronary stent(s) (36.06)number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)procedure on vessel bifurcation (00.44)36.04 Intracoronary artery thrombolytic infusionThat by direct coronary artery injection, infusion, or catheterizationenzyme infusionPlatelet inhibitorExcludes: infusion of platelet inhibitor (99.20)infusion of thrombolytic agent (99.10)that associated with any procedure in 36.0336.06 Insertion of non-drug-eluting coronary artery stent(s)Bare stent(s)Bonded stent(s)Drug- coated stent(s), i.e. heparin coatedEndograft(s)Endovascular graft(s)Stent graftsCode also any:number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)open chest coronary artery angioplasty (36.03)percutaneous transluminal coronary angioplasty [PTCA] orcoronary atherectomy (00.66)procedure on vessel bifurcation (00.44)Excludes: insertion of drug-eluting coronary artery stent(s) (36.07)88 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)36.07 Insertion of drug-eluting coronary artery stent(s)Endograft(s)Endovascular graft(s)Stent graft(s)Code also any:number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)open chest coronary artery angioplasty (36.03)percutaneous transluminal coronary angioplasty [PTCA] orcoronary atherectomy (00.66)procedure on vessel bifurcation (00.44)Excludes: drug-coated stents, e.g., heparin coated (36.06)insertion of non-drug-eluting coronary artery stent(s) (36.06)36.09 Other removal of coronary artery obstructionCoronary angioplasty NOSCode also any:number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)procedure on vessel bifurcation (00.44)Excludes: that by open angioplasty (36.03)that by percutaneous transluminal coronary angioplasty[PTCA] or coronary atherectomy (00.66)36.1 Bypass anastomosis for heart revascularizationNote: Do not assign codes from series 00.40- 00.43 with codes from series36.10- 36.19Code also: cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)pressurized treatment of venous bypass graft [conduit] withpharmaceutical substance, if performed (00.16)36.10 Aortocoronary bypass for heart revascularization, not otherwisespecifiedDirect revascularization:cardiac with catheter stent, prosthesis, or vein graftcoronary with catheter stent, prosthesis, or vein graftheart muscle with catheter stent, prosthesis, or vein graftmyocardial with catheter stent, prosthesis, or vein graftHeart revascularization NOS36.11 (Aorto)coronary bypass of one coronary artery36.12 (Aorto)coronary bypass of two coronary arteries36.13 (Aorto)coronary bypass of three coronary arteries36.14 (Aorto)coronary bypass of four or more coronary arteries36.15 Single internal mammary-coronary artery bypassAnastomosis (single):mammary artery to coronary arterythoracic artery to coronary artery New code ® Revised code 4 th digit required 89

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)36.16 Double internal mammary-coronary artery bypassAnastomosis, double:mammary artery to coronary arterythoracic artery to coronary artery36.17 Abdominal - coronary artery bypassAnastomosis:Gastroepiploic - coronary artery36.19 Other bypass anastomosis for heart revascularization36.2 Heart revascularization by arterial implantImplantation of:aortic branches [ascending aortic branches] into heart muscleblood vessels into myocardiuminternal mammary artery [internal thoracic artery] into:heart musclemyocardiumventricleventricular wallIndirect heart revascularization NOS36.3 Other heart revascularization36.31 Open chest transmyocardial revascularization36.32 Other transmyocardial revascularization36.33 Endoscopic transmyocardial revascularization ®Thoracoscopic transmyocardial revascularization36.34 Percutaneous transmyocardial revascularizationEndovascular transmyocardial revascularization36.39 Other heart revascularizationAbrasion of epicardiumCardio- omentopexyIntrapericardial poudrageMyocardial graft:mediastinal fatomentumpectoral muscles36.9 Other operations on vessels of heartCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)36.91 Repair of aneurysm of coronary vessel36.99 Other operations on vessels of heartExploration of coronary arteryIncision of coronary arteryLigation of coronary arteryRepair of arteriovenous fistula90 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)37 Other operations on heart and pericardiumCode also any injection or infusion of platelet inhibitor (99.20)37.0 Pericardiocentesis37.1 Cardiotomy and pericardiotomyCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)37.10 Incision of heart, not otherwise specifiedCardiolysis NOS37.11 CardiotomyIncision of:atriumendocardiummyocardiumventricle37.12 PericardiotomyPericardial window operationPericardiolysisPericardiotomy37.2 Diagnostic procedures on heart and pericardium37.20 Noninvasive programmed electrical stimulation (NIPS)Excludes: that as part of intraoperative testing --omit codecatheter based invasive electrophysiologic testing (37.26)device interrogation only without arrhythmia induction(bedside check) (89.45-89.49)37.21 Right heart cardiac catheterizationCardiac catheterization NOSExcludes: that with catheterization of left heart (37.23)37.22 Left heart cardiac catheterizationExcludes: that with catheterization of right heart (37.23)37.23 Combined right and left heart cardiac catheterization37.24 Biopsy of pericardium37.25 Biopsy of heart37.26 Catheter based invasive electrophysiologic testingElectrophysiologic studies [EPS]Code also any concomitant procedureExcludes: that as part of intraoperative testing --omit codedevice interrogation only without arrhythmia induction(bedside check) (89.45-89.49)His bundle recording (37.29)noninvasive programmed electrical stimulation (NIPS)(37.20)37.27 Cardiac mappingCode also any concomitant procedureExcludes: electrocardiogram (89.52)His bundle recording (37.29) New code ® Revised code 4 th digit required 91

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)37.28 Intracardiac echocardiographyEchocardiography of heart chambersICECode also any synchronous Doppler flow mapping (88.72)Excludes: intravascular imaging of coronary vessels (intravascularultrasound)(IVUS) (00.24)37.29 Other diagnostic procedures on heart and pericardiumExcludes: angiocardiography (88.50-88.58)cardiac function tests (89.41-89.69)cardiovascular radioisotopic scan and function study (92.05)coronary arteriography (88.55-88.57)diagnostic pericardiocentesis (37.0)diagnostic ultrasound of heart (88.72)x-ray of heart (87.49)37.3 Pericardiectomy and excision of lesion of heartCode also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)37.31 PericardiectomyExcision of:adhesions of pericardium constricting scar of:epicardiumpericardium37.32 Excision of aneurysm of heartRepair of aneurysm of heart37.33 Excision or destruction of other lesion or tissue of heart,openapproach ®Ablation of heart tissue (cryoablation) (electrocurrent) (laser)(microwave) (radiofrequency) (resection), open chest approachCox- maze procedureMaze procedureModified maze procedure, trans- thoracic approachExcludes: ablation,excision or destruction of lesion or tissue of heart,endovascular approach (37.34)excision or destruction of left atrial appendage (LAA) (37.36)37.34 Excision or destruction of other lesion or tissue of heart,otherapproachAblation of heart tissue (cryoablation) (electrocurrent)(laser)(microwave) (radiofrequency) (resection), via peripherally insertedcatheterModified maze procedure, endovascular approach37.35 Partial ventriculectomyVentricular reduction surgeryVentricular remodelingCode also any synchronous:mitral valve repair (35.02, 35.12)mitral valve replacement (35.23 - 35.24)92 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)37.36 Excision or destruction of left atrial appendage (LAA) Includes: Thoracoscopic approach, minithoracotomy approachClipping of left atrial appendageExclusion of left atrial appendageOversewing of left atrial appendageStapling of left atrial appendageCode also any concomitant procedure performedExcludes: ablation, excision or destruction of lesion or tissue of heart,endovascular approach (37.34)37.4 Repair of heart and pericardium37.41 Implantation of prosthetic cardiac support device around the heartCardiac support device (CSD)Epicardial support deviceFabric (textile) (mesh) deviceVentricular support device on surface of heartCode also any:cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] if performed (39.61)mitral valve repair (35.02, 35.12)mitral valve replacement (35.23 - 35.24)transesophageal echocardiography (88.72)Excludes: circulatory assist systems (37.61 - 37.68)37.49 Other repair of heart and pericardium37.5 Heart replacement procedures37.51 Heart transplantationExcludes: combined heart-lung transplantation (33.6)37.52 Implantation of total internal biventricular heart replacementsystem ®Artificial heartExcludes: implantation of heart assist system [VAD] (37.62,37.65, 37.66,37.68)Note: This procedure includes substantial removal of part or all of thebiological heart. Both ventricles are resected, and the native heartis no longer intact. Ventriculectomy is included in this procedure;do not code separately.37.53 Replacement or repair of thoracic unit of (total) replacement heartsystem ®Excludes: replacement and repair of heart assist system [VAD](37.63)37.54 Replacement or repair of other implantable component of (total)replacement heart system ®Implantable batteryImplantable controllerTranscutaneous energy transfer [TET] deviceExcludes: replacement and repair of heart assist system [VAD] (37.63)replacement or repair of thoracic unit of (total) replacementheart system (37.53) New code ® Revised code 4 th digit required 93

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)37.55 Removal of internal biventricular heart replacement system Explantation of artificial heartCode also any concomitant procedure, such as:combined heart- lung transplantation (33.6)heart transplantation (37.51)implantation of internal biventricular heart replacement system(37.52)Excludes: explantation [removal] of external heart assist system (37.64)explantation [removal] of percutaneous external heart assistdevice (97.44)nonoperative removal of heart assist system (97.44)that with replacement or repair of heart replacement system(37.53, 37.54)37.6 Implantation of heart and circulatory assist system(s)Excludes: implantation of prosthetic cardiac support system (37.41)37.60 Implantation or insertion of biventricular external heart assistsystem Temporary cardiac support for both left and right ventricles, insertedin the same operative episodeIncludes: open chest (sternotomy) procedure for cannulae attachmentsNote: Device (outside the body but connected to heart) with externalcirculation pump. Ventriculotomy is included; do not codeseparately.Excludes: implantation of internal biventricular heart replacementsystem (artificial heart) (37.52)implant of pulsation balloon (37.61)insertion of percutaneous external heart assist device(37.68)insertion of temporary non-implantable extracorporealcirculatory assist device (37.62)37.61 Implant of pulsation balloon37.62 Insertion of temporary non-implantable extracorporeal circulatoryassist device ®Acute circulatory support deviceInsertion of heart assist system, NOSInsertion of heart pumpShort- term circulatory support (up to six hours)Excludes: implantation of total internal biventricular heartreplacement system [artificial heart] (37.52)insertion of percutaneous external heart assist device (37.68)implant of external heart assist system (37.65)insertion of implantable extracorporeal heart assist system(37.66)removal of heart assist system (37.64)Note: Includes explantation of this device; do not code separately.94 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)37.63 Repair of heart assist system ®Replacement of parts of an existing ventricular assist device (VAD)Excludes: replacement or repair of other implantable component of(total) replacement heart system [artificial heart] (37.54)replacement or repair of thoracic unit of (total) replacementheart system [artificial heart] (37.53)37.64 Removal of heart assist system(s) or device(s) ®Explantation of external device(s) providing left and right ventricularsupportExplantation of single external device and cannulaeExcludes: that with replacement of implant (37.63)explantation [removal] of percutaneous external heartassist device (97.44)nonoperative removal of heart assist system (97.44)temporary non-implantable extracorporeal circulatory assistdevice (37.62)37.65 Implant of single ventricular (extracorporeal) external heart assistsystem ®Insertion of one device into one ventricleNote: Device (outside the body but connected to heart) with externalcirculation and pump.Insertion or implantation of one external VAD for left or rightheart support.Includes open chest (sternotomy) procedure for cannulae attachmentsExcludes: implant of pulsation balloon (37.61)implantation of total internal biventricular heart replacementsystem (37.52)insertion of percutaneous external heart assist device (37.68)insertion of implantable heart assist system (37.66)insertion or implantation of two external VADs forsimultaneous right and left heart support (37.60)that without sternotomy (37.62)37.66 Insertion of implantable heart assist system ®Axial flow heart assist systemDiagonal pump heart assist systemLeft ventricular assist device (LVAD)Pulsatile heart assist systemRight ventricular assist device (RVAD)Rotary pump heart assist systemTransportable, implantable heart assist systemVentricular assist device (VAD) not otherwise specifiedNote: Device directly connected to the heart and implanted in theupper left quadrant of peritoneal cavity.This device can be used for either destination therapy (DT) orbridge- to- transplant (BTT)Excludes: implant of pulsation balloon (37.61)implantation of total internal biventricular heart replacementsystem [artificial heart] (37.52)insertion of percutaneous external heart assist device (37.68) New code ® Revised code 4 th digit required 95

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)37.67 Implantation of cardiomyostimulation systemNote: Two- step open procedure consisting of transfer of one end ofthe latissimus dorsi muscle; wrapping it around the heart; ribresection; implantation of epicardial cardiac pacing leads intothe right ventricle; tunneling and pocket creation for thecardiomyostimulator.37.68 Insertion of percutaneous external heart assist deviceIncludes percutaneous [femoral] insertion of cannulae attachmentsCirculatory assist deviceExtrinsic heart assist devicepVADPercutaneous heart assist device37.7 Insertion, revision, replacement, and removal of leads; insertionof temporary pacemaker system; or revision of cardiac device pocketCode also any insertion and replacement of pacemaker device (37.80- 37.87)Excludes: implantation or replacement of transvenous lead [electrode] into leftventricular cardiac venous system (00.52)37.70 Initial insertion of lead [electrode], not otherwise specifiedExcludes: insertion of temporary transvenous pacemaker system(37.78)replacement of atrial and/or ventricular lead(s) (37.76)37.71 Initial insertion of transvenous lead [electrode] into ventricleExcludes: insertion of temporary transvenous pacemaker system(37.78)replacement of atrial and/or ventricular lead(s) (37.76)37.72 Initial insertion of transvenous leads [electrodes] into atrium andventricleExcludes: insertion of temporary transvenous pacemaker system(37.78)replacement of atrial and/or ventricular lead(s) (37.76)37.73 Initial insertion of transvenous lead [electrode] into atriumExcludes: insertion of temporary transvenous pacemaker system(37.78)replacement of atrial and/or ventricular lead(s) (37.76)37.74 Insertion or replacement of epicardial lead [electrode] intoepicardiumInsertion or replacement of epicardial by:sternotomythoracotomyExcludes: replacement of atrial and/or ventricular lead(s) (37.76)37.75 Revision of lead [electrode]Repair of electrode [removal with re- insertion]Repositioning of lead(s) (AICD) (cardiac device) (CRT- D) (CRT- P)(defibrillator) (pacemaker) (pacing) (sensing) [electrode]Revision of lead NOSExcludes: repositioning of temporary transvenous pacemaker system--omit code96 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)37.76 Replacement of transvenous atrial and/or ventricular lead(s)[electrode]Removal or abandonment of existing transvenous or epicardial lead(s)with transvenous lead(s) replacementExcludes: replacement of epicardial lead [electrode] (37.74)37.77 Removal of lead(s) [electrode] without replacementRemoval:epicardial lead (transthoracic approach)transvenous lead(s)Excludes: removal of temporary transvenous pacemaker system--omit codethat with replacement of:atrial and/or ventricular lead(s) [electrode] (37.76)epicardial lead [electrode] (37.74)37.78 Insertion of temporary transvenous pacemaker systemExcludes: intraoperative cardiac pacemaker (39.64)37.79 Revision or relocation of pacemaker pocket ®Debridement and reforming pocket (skin and subcutaneous tissue)Insertion of loop recorderRelocation of pocket [creation of new pocket] pacemaker or CRT- PRemoval of cardiac device/pulse generator without replacementRemoval of the implantable hemodynamic presssure sensor (lead)and monitor deviceRemoval without replacement of cardiac resynchronizationdefibrillator deviceRepositioning of implantable hemodynamic pressure sensor (lead)and monitor deviceRepositioning of pulse generatorRevision of cardioverter/defibrillator (automatic) pocketRevision of pocket for intracardiac hemodynamic monitoringRevision or relocation of CRT- D pocketRevision or relocation of pacemaker, defibrillator, or other implantedcardiac device pocketExcludes: removal of loop recorder (86.05)37.8 Insertion, replacement, removal, and revision of pacemakerdeviceNote: Device testing during procedure --omit codeCode also any lead insertion, lead replacement, lead removal and/or leadrevision (37.70- 37.77)Excludes: implantation of cardiac resynchronization pacemaker[CRT-P](00.50)implantation or replacement of cardiac resynchronizationpacemaker pulse generator only [CRT-P] (00.53)37.80 Insertion of permanent pacemaker, initial or replacement, type ofdevice not specified37.81 Initial insertion of single-chamber device, not specified as rateresponsiveExcludes: replacement of existing pacemaker device (37.85- 37.87) New code ® Revised code 4 th digit required 97

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)37.82 Initial insertion of single-chamber device, rate responsiveRate responsive to physiologic stimuli other than atrial rateExcludes: replacement of existing pacemaker device (37.85- 37.87)37.83 Initial insertion of dual-chamber deviceAtrial ventricular sequential deviceExcludes: replacement of existing pacemaker device (37.85- 37.87)37.85 Replacement of any type pacemaker device with single-chamberdevice, not specified as rate responsive37.86 Replacement of any type of pacemaker device with single-chamberdevice, rate responsiveRate responsive to physiologic stimuli other than atrial rate37.87 Replacement of any type pacemaker device with dual-chamber deviceAtrial ventricular sequential device37.89 Revision or removal of pacemaker deviceRemoval without replacement of cardiac resynchronizationpacemaker device [CRT- P]Repair of pacemaker deviceExcludes: removal of temporary transvenous pacemaker system--omit codereplacement of existing pacemaker device (37.85- 37.87)replacement of existing pacemaker device with CRT-Ppacemaker device (00.53)37.9 Other operations on heart and pericardium37.90 Insertion of left atrial appendage deviceLeft atrial filterLeft atrial occluderTransseptal catheter technique37.91 Open chest cardiac massageExcludes: closed chest cardiac massage (99.63)37.92 Injection of therapeutic substance into heart37.93 Injection of therapeutic substance into pericardium37.94 Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD] ®Implantation of defibrillator with leads (epicardial patches),formation of pocket (abdominal fascia) (subcutaneous), anytransvenous leads, intraoperative procedures for evaluation oflead signals, and obtaining defibrillator threshold measurementsTechniques:lateral thoracotomymedial sternotomysubxiphoid procedureNote: Device testing during procedure --omit codeCode also extracorporeal circulation, if performed (39.61)Code also any concomitant procedure [e.g., coronary bypass(36.00- 36.19) or CCM, total system (17.51)]Excludes: implantation of cardiac resynchronization defibrillator,total system [CRT-D] (00.51)98 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)37.95 Implantation of automatic cardioverter/defibrillator lead(s) only37.96 Implantation of automatic cardioverter/defibrillator pulsegenerator onlyNote: Device testing during procedure --omit codeExcludes: implantation or replacement of cardiac resynchronizationdefibrillator, pulse generator device only [CRT-D] (00.54)37.97 Replacement of automatic cardioverter/defibrillator lead(s) onlyExcludes: replacement of epicardial lead [electrode] into epicardium(37.74)replacement of transvenous lead [electrode] into leftventricular coronary venous system (00.52)37.98 Replacement of automatic cardioverter/defibrillator pulsegenerator only37.99 OtherExcludes: replacement of cardiac resynchronization defibrillator,pulse generator device only [CRT-D] (00.54)Excludes: cardiac retraining (93.36)conversion of cardiac rhythm (99.60-99.69)implantation of prosthetic cardiac support device (37.41)insertion of left atrial appendage device (37.90)maze procedure (Cox-maze), open (37.33)maze procedure, endovascular approach (37.34)repositioning of pulse generator (37.79)revision of lead(s) (37.75)revision or relocation of pacemaker, defibrillator or otherimplanted cardiac device pocket (37.79)38 Incision, excision, and occlusion of vesselsCode alsoany application or administration of an adhesion barrier substance (99.77)cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)Excludes: that of coronary vessels (00.66, 36.03, 36.04, 36.09, 36.10-36.99)The following fourth- digit subclassification is for use with appropriatecategories in section 38.0, 38.1, 38.3, 38.5, 38.6, 38.8, and 38.9 accordingto site. Valid fourth- digits are in [brackets] at the end of eachcode/description.0 unspecified site1 intracranial vesselsCerebral (anterior) (middle)Circle of WillisPosterior communicating artery2 other vessels of head and neckCarotid artery (common) (external) (internal)Jugular vein (external) (internal) New code ® Revised code 4 th digit required 99

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)3 upper limb vesselsAxillaryBrachialRadialUlnar4 aorta5 other thoracic vesselsInnominatePulmonary (artery) (vein)SubclavianVena cava, superior6 abdominal arteriesCeliacGastricHepaticIliacMesentericRenalSplenicUmbilicalExcludes: abdominal aorta (4)7 abdominal veinsIliacPortalRenalSplenicVena cava (inferior)8 lower limb arteriesFemoral (common) (superficial)PoplitealTibial9 lower limb veinsFemoralPopliteal38.0 Incision of vessel [0- 9] EmbolectomyThrombectomySaphenousTibialExcludes: endovascular removal of obstruction from head and neckvessel(s) (39.74)puncture or catheterization of any:artery (38.91, 38.98)vein (38.92-38.95, 38.99)38.1 Endarterectomy [0- 6,8] Endarterectomy with:embolectomypatch grafttemporary bypass during procedurethrombectomyCode also any:number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)procedure on vessel bifurcation (00.44)100 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)38.2 Diagnostic procedures on blood vesselsExcludes: adjunct vascular system procedures (00.40-00.43)38.21 Biopsy of blood vessel38.22 Percutaneous angioscopyExcludes: angioscopy of eye (95.12)38.23 Intravascular spectroscopy Includes: spectroscopy of both coronary and peripheral vesselsIntravascular chemographyNear infrared (NIR) spectroscopyExcludes: intravascular imaging of:coronary vessels (00.24, 38.24)peripheral vessels (00.23, 38.25)38.24 Intravascular imaging of coronary vessel(s) by optical coherencetomography [OCT] 38.25 Intravascular imaging of non-coronary vessel(s) by opticalcoherence tomography [OCT] Excludes: intravascular imaging of coronary vessel(s) by OCT (38.24)38.29 Other diagnostic procedures on blood vesselsExcludes: blood vessel thermography (88.86)circulatory monitoring (89.61-89.69)contrast:angiocardiography (88.50-88.58)arteriography (88.40-88.49)phlebography (88.60-88.67)impedance phlebography (88.68)peripheral vascular ultrasonography (88.77)plethysmogram (89.58)38.3 Resection of vessel with anastomosis [0- 9] AngiectomyExcision of:aneurysm (arteriovenous) with anastomosisblood vessel (lesion) with anastomosis38.4 Resection of vessel with replacement [0- 9] AngiectomyExcision of:aneurysm (arteriovenous) or blood vessel (lesion) with replacementPartial resection with replacementExcludes: endovascular repair of aneurysm (39.71 - 39.79)Requires the use of one of the following fourth- digit subclassifications toidentify site:0 unspecified site1 intracranial vesselsCerebral (anterior) (middle)Circle of WillisPosterior communicating artery New code ® Revised code 4 th digit required 101

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)2 other vessels of head and neckCarotid artery (common) (external) (internal)Jugular vein (external) (internal)3 upper limb vesselsAxillaryBrachialRadialUlnar4 aorta, abdominalCode also any thoracic vessel involvement (thoracoabdominalprocedure) (38.45)5 thoracic vesselsAorta (thoracic)InnominatePulmonary (artery) (vein)SubclavianVena cava, superiorCode also any abdominal aorta involvement (thoracoabdominalprocedure) (38.44)6 abdominal arteriesCeliacGastricHepaticIliacMesentericRenalSplenicUmbilicalExcludes: abdominal aorta (4)7 abdominal veinsIliacPortalRenalSplenicVena cava (inferior)8 lower limb arteriesFemoral (common) (superficial)PoplitealTibial9 lower limb veinsFemoralPoplitealSaphenousTibial38.5 Ligation and stripping of varicose veins [0- 3,5,7,9] Excludes: ligation of varices:esophageal (42.91)gastric (44.91)38.6 Other excision of vessel [0- 9] Excision of blood vessel (lesion) NOS102 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)Excludes: excision of vessel for aortocoronary bypass (36.10-36.14)excision with:anastomosis (38.30-38.39)graft replacement (38.40-38.49)implant (38.40-38.49)38.7 Interruption of the vena cavaInsertion of implant or sieve in vena cavaLigation of vena cava (inferior) (superior)Plication of vena cava38.8 Other surgical occlusion of vessels [0- 9] Clamping of blood vesselDivision of blood vesselLigation of blood vesselOcclusion of blood vesselExcludes: adrenal vessels (07.43)esophageal varices (42.91)gastric or duodenal vessel for ulcer (44.40-44.49)gastric varices (44.91)meningeal vessel (02.13)percutaneous transcatheter infusion embolization (99.29)spermatic vein for varicocele (63.1)surgical occlusion of vena cava (38.7)that for chemoembolization (99.25)that for control of (postoperative) hemorrhage:anus (49.95)bladder (57.93)following vascular procedure (39.41)nose (21.00-21.09)prostate (60.94)tonsil (28.7)thyroid vessel (06.92)transcatheter (infusion) (99.29)38.9 Puncture of vesselExcludes: that for circulatory monitoring (89.60-89.69)38.91 Arterial catheterization38.92 Umbilical vein catheterization38.93 Venous catheterization, not elsewhere classifiedExcludes: that for cardiac catheterization (37.21-37.23)that for renal dialysis (38.95)38.94 Venous cutdown38.95 Venous catheterization for renal dialysisExcludes: insertion of totally implantable vascular access device [VAD](86.07)38.98 Other puncture of arteryExcludes: that for:arteriography (88.40-88.49)coronary arteriography (88.55-88.57) New code ® Revised code 4 th digit required 103

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)38.99 Other puncture of vein ®PhlebotomyExcludes: that for:angiography of veins (88.60-88.68)extracorporeal circulation (39.61, 50.92)injection or infusion of:sclerosing solution (39.92)therapeutic or prophylactic substance (99.11-99.29)perfusion (39.96-39.97)phlebography (88.60-88.68)transfusion (99.01-99.09)39 Other operations on vessels ®Excludes: those on coronary vessels (36.03-36.99)39.0 Systemic to pulmonary artery shuntDescending aorta- pulmonary artery anastomosis (graft)Left to right anastomosis (graft)Subclavian- pulmonary anastomosis (graft)Code also cardiopulmonary bypass [extracorporeal circulation] [heart- lungmachine] (39.61)39.1 Intra-abdominal venous shuntAnastomosis:mesocavalportacavalportal vein to inferior vena cavasplenic and renal veinstransjugular intrahepatic portosystemic shunt (TIPS)Excludes: peritoneovenous shunt (54.94)39.2 Other shunt or vascular bypassCode also pressurized treatment of venous bypass graft [conduit] withpharmaceutical substance, if performed (00.16)39.21 Caval-pulmonary artery anastomosisCode also cardiopulmonary bypass (39.61)39.22 Aorta-subclavian-carotid bypassBypass (arterial):aorta to carotid and brachialaorta to subclavian and carotidcarotid to subclavian39.23 Other intrathoracic vascular shunt or bypassIntrathoracic (arterial) bypass graft NOSExcludes: coronary artery bypass (36.10-36.19)39.24 Aorta-renal bypass104 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)39.25 Aorta-iliac-femoral bypassBypass:aortofemoralaortoiliacaortoiliac to poplitealaortopoplitealiliofemoral [iliac- femoral]39.26 Other intra-abdominal vascular shunt or bypassBypass:aortoceliacaortic- superior mesentericcommon hepatic- common iliac- renalIntra- abdominal arterial bypass graft NOSExcludes: peritoneovenous shunt (54.94)39.27 Arteriovenostomy for renal dialysisAnastomosis for renal dialysisFormation of (peripheral) arteriovenousfistula for renal [kidney] dialysisCode also any renal dialysis (39.95)39.28 Extracranial-intracranial (EC-IC) vascular bypass39.29 Other (peripheral) vascular shunt or bypassBypass (graft):axillary- brachialaxillary- femoral [axillofemoral] (superficial)brachialfemoral- femoralfemoroperonealfemoropopliteal (arteries)femorotibial (anterior) (posterior)poplitealvascular NOSExcludes: peritoneovenous shunt (54.94)39.3 Suture of vesselRepair of laceration of blood vesselExcludes: any other vascular puncture closure device --omit codesuture of aneurysm (39.52)that for control of hemorrhage (postoperative):anus (49.95)bladder (57.93)following vascular procedure (39.41)nose (21.00-21.09)prostate (60.94)tonsil (28.7)39.30 Suture of unspecified blood vessel39.31 Suture of artery39.32 Suture of vein New code ® Revised code 4 th digit required 105

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)39.4 Revision of vascular procedure39.41 Control of hemorrhage following vascular surgeryExcludes: that for control of hemorrhage (post operative):anus (49.95)bladder (57.93)nose (21.00-21.09)prostate (60.94)tonsil (28.7)39.42 Revision of arteriovenous shunt for renal dialysisConversion of renal dialysis:end- to- end anastomosis to end- to- sideend- to- side anastomosis to end- to- endvessel- to- vessel cannula to arteriovenous shuntRemoval of old arteriovenous shunt and creation of new shuntExcludes: replacement of vessel-to-vessel cannula (39.94)39.43 Removal of arteriovenous shunt for renal dialysisExcludes: that with replacement [revision] of shunt (39.42)39.49 Other revision of vascular procedureDeclotting (graft)Revision of:anastomosis of blood vesselvascular procedure (previous)39.5 Other repair of vessels39.50 Angioplasty or atherectomy of other non-coronary vessel(s) ®Percutaneous transluminal angioplasty (PTA) of non- coronary vessels:Lower extremity vesselsMesenteric arteryRenal arteryUpper extremity vesselsCode also any:injection or infusion of thrombolytic agent (99.10)Insertion of non- drug- eluting peripheral vessel stent(s) or stentgrafts(s) (39.90)percutaneous insertion of carotid artery stent(s) (00.63)number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)procedure on vessel bifurcation (00.44)insertion of drug- eluting peripheral vessel stent (00.55)Excludes: percutaneous angioplasty or atherectomy of precerebral orcerebral vessel(s) (00.61 -00.62)39.51 Clipping of aneurysmExcludes: clipping of arteriovenous fistula (39.53)106 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)39.52 Other repair of aneurysmRepair of aneurysm by:coagulationelectrocoagulationfilipuncturemethyl methacrylatesuturewiringwrappingExcludes: endovascular repair of aneurysm (39.71 - 39.79)re-entry operation (aorta) (39.54)that with:graft replacement (38.40-38.49)resection (38.30-38.49, 38.60-38.69)39.53 Repair of arteriovenous fistulaEmbolization of carotid cavernous fistulaRepair of arteriovenous fistula by:clippingcoagulationligation and divisionExcludes: repair of :arteriovenous shunt for renal dialysis (39.42)head and neck vessels, endovascular approach (39.72)that with:graft replacement (38.40-38.49)resection (38.30-38.49, 38.60-38.69)39.54 Re-entry operation (aorta)Fenestration of dissecting aneurysm of thoracic aortaCode also cardiopulmonary bypass [extracorporeal circulation][heart- lung machine] (39.61)39.55 Reimplantation of aberrant renal vessel39.56 Repair of blood vessel with tissue patch graftExcludes: that with resection (38.40-38.49)39.57 Repair of blood vessel with synthetic patch graftExcludes: that with resection (38.40-38.49)39.58 Repair of blood vessel with unspecified type of patch graftExcludes: that with resection (38.40-38.49)39.59 Other repair of vesselAorticopulmonary window operationArterioplasty NOSConstruction of venous valves (peripheral)Plication of vein (peripheral)Reimplantation of arteryCode also cardiopulmonary bypass [extracorporeal circulation][heart- lung machine] (39.61) New code ® Revised code 4 th digit required 107

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: interruption of the vena cava (38.7)reimplantation of renal artery (39.55)that with:graft (39.56-39.58)resection (38.30-38.49, 38.60-38.69)39.6 Extracorporeal circulation and procedures auxiliary to heartsurgery39.61 Extracorporeal circulation auxiliary to open heart surgeryArtificial heart and lungCardiopulmonary bypassPump oxygenatorExcludes: extracorporeal hepatic assistance (50.92)extracorporeal membrane oxygenation [ECMO] (39.65)hemodialysis (39.95)percutaneous cardiopulmonary bypass (39.66)39.62 Hypothermia (systemic) incidental to open heart surgery39.63 CardioplegiaArrest:anoxiccirculatory39.64 Intraoperative cardiac pacemakerTemporary pacemaker used during and immediately following cardiacsurgery39.65 Extracorporeal membrane oxygenation [ECMO]Excludes: extracorporeal circulation auxiliary to open heart surgery (39.61)percutaneous cardiopulmonary bypass (39.66)39.66 Percutaneous cardiopulmonary bypassClosed chestExcludes: extracorporeal circulation auxiliary to open heart surgery (39.61)extracorporeal hepatic assistance (50.92)extracorporeal membrane oxygenation [ECMO] (39.65)hemodialysis (39.95)39.7 Endovascular procedures on vessel (s) ®Endoluminal repairEmbolizationImplantationOcclusionRemovalRepairExcludes: angioplasty or atherectomy of other non-coronary vessel(s) (39.50)insertion of non-drug-eluting peripheral vessel stent(s) (39.90)other repair of aneurysm (39.52)percutaneous insertion of carotid artery stent(s) (00.63)percutaneous insertion of intracranial stent(s) (00.65)percutaneous insertion of other precerebral artery stent(s) (00.64)resection of abdominal aorta with replacement (38.44)resection of lower limb arteries with replacement (38.48)resection of thoracic aorta with replacement (38.45)108 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)resection of upper limb vessels with replacement (38.43)39.71 Endovascular implantation of graft in abdominal aorta ®Endovascular repair of abdominal aortic aneurysm with graftStent graft(s)Code also intra- aneurysm sac pressure monitoring (intraoperative)(00.58)39.72 Endovascular embolization or occlusion of head and neck vessels ®Endograft(s)Endovascular graft(s)Liquid tissue adhesive (glue) embolization or occlusionOther implant or substance for repair, embolization or occlusionThat for repair of aneurysm, arteriovenous malformation[AVM] orfistulaExcludes: mechanical thrombectomy of pre-cerebral and cerebralvessels (39.74)embolization of head or neck vessels using bare coils (39.75)embolization of head or neck vessels using bioactive coils(39.76)39.73 Endovascular implantation of graft in thoracic aorta ®Endograft(s)Endovascular graft(s)Endovascular repair of defect of thoracic aorta with graft(s) ordevice(s)Stent graft(s) or device(s)That for repair of aneurysm, dissection, or injuryExcludes: fenestration of dissecting aneurysm of thoracic aorta (39.54)Code also intra- aneurysm sac pressure monitoring (intraoperative)(00.58)39.74 Endovascular removal of obstruction from head and neck vessel(s)®Endovascular embolectomyEndovascular thrombectomy of pre- cerebral and cerebral vesselsMechanical embolectomy or thrombectomyCode also: any injection or infusion of thrombolytic agent (99.10)number of vessels treated (00.40- 00.43)procedure on vessel bifurcation (00.44)Excludes: endarterectomy of intracranial vessels and other vesselsof head and neck (38.11 - 38.12)occlusive endovascular embolization of head or neckvessel(s) using bare coils (39.75)occlusive endovascular embolization of head or neckvessel(s) using bioactive coils (39.76)open embolectomy or thrombectomy (38.01-38.02)39.75 Endovascular embolization or occlusion of vessel(s) of head orneck using bare coils Bare metal coilsBare platinum coils [BPC]That for treatment of aneurysm, arteriovenous malformation [AVM]or fistula New code ® Revised code 4 th digit required 109

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)39.76 Endovascular embolization or occlusion of vessel(s) of head orneck using bioactive coils Biodegradable inner luminal polymer coilsCoil embolization or occlusion utilizing bioactivecoilsCoils containing polyglycolic acid [PGA]That for treatment of aneurysm, arteriovenous malformation [AVM] orfistula39.79 Other endovascular procedures on other vessels ®Other coil embolization or occlusionEndograft(s)Endovascular graft(s)Liquid tissue adhesive (glue) embolization or occlusionOther implant or substance for repair, embolization or occlusionRepair of aneurysmExcludes: abdominal aortic aneurysm resection [AAA] (38.44)endovascular implantation of graft in abdominal aorta (39.71)endovascular embolization or occlusion of head and neckvessels , bare metal coils (39.75)endovascular embolization or occlusion of head and neckvessels, bioactive coils (39.76)insertion of drug-eluting peripheral vessel stent(s) (00.55)insertion of non-drug-eluting peripheral vessel (s) (forother than aneurysm repair) (39.90)non-endovascular repair of arteriovenous fistula (39.53)other surgical occlusion of vessels -see category 38.8percutaneous transcatheter infusion (99.29)thoracic aortic aneurysm resection (38.45)transcatheter embolization for gastric or duodenal bleeding(44.44)39.8 Operations on carotid body, carotid sinus and other vascularbodies ®ChemodectomyDenervation of:aortic bodycarotid bodyGlomectomy, carotidElectronic stimulatorImplantation or replacement of carotid sinus baroreflex activation deviceExcludes: excision of glomus jugulare (20.51)replacement of carotid sinus lead(s) only (04.92)39.9 Other operations on vessels39.90 Insertion of non-drug-eluting peripheral vessel (non-coronary)stent(s) ®Bare stent(s)Bonded stent(s)Drug- coated stent(s), i.e., heparin coatedEndograft(s)Endovascular graft(s)Endovascular recanalization techniquesStent graft(s)110 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE CARDIOVASCULAR SYSTEM (35-39)Code also anynon- coronary angioplasty or atherectomy (39.50)number of vascular stents inserted (00.45- 00.48)number of vessels treated (00.40- 00.43)procedure on vessel bifurcation (00.44)Excludes: insertion of drug-eluting peripheral vessel stent(s) (00.55)percutaneous insertion of carotid artery stent(s) (00.63)percutaneous insertion of intracranial stent(s) (00.65)percutaneous insertion of other precerebral artery stent(s)(00.64)that for aneurysm repair (39.71 - 39.79)39.91 Freeing of vesselDissection and freeing of adherent tissue:artery- vein- nerve bundlevascular bundle39.92 Injection of sclerosing agent into veinExcludes: injection:esophageal varices (42.33)hemorrhoids (49.42)39.93 Insertion of vessel-to-vessel cannulaFormation of:arteriovenous:fistula by external cannulashunt by external cannulaCode also any renal dialysis (39.95)39.94 Replacement of vessel-to-vessel cannulaRevision of vessel- to- vessel cannula39.95 HemodialysisArtificial kidneyHemodiafiltrationHemofiltrationRenal dialysisExcludes: peritoneal dialysis (54.98)39.96 Total body perfusionCode also substance perfused (99.21- 99.29)39.97 Other perfusion ®Perfusion NOSPerfusion, local [regional] of:carotid arterycoronary arteryheadlower limbneckupper limbCode also substance perfused (99.21- 99.29) New code ® Revised code 4 th digit required 111

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: perfusion of:kidney (55.95)large intestine (46.96)liver (50.93)small intestine (46.95)SuperSaturated oxygen therapy (00.49)39.98 Control of hemorrhage, not otherwise specifiedAngiotripsyControl of postoperative hemorrhage NOSVenotripsyExcludes: control of hemorrhage (postoperative):anus (49.95)bladder (57.93)following vascular procedure (39.41)nose (21.00-21.09)prostate (60.94)tonsil (28.7)that by:ligation (38.80-38.89)suture (39.30-39.32)39.99 Other operations on vesselsExcludes: injection or infusion of therapeutic or prophylactic substance(99.11-99.29)transfusion of blood and blood components (99.01-99.09)112 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)8. OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)40 Operations on lymphatic system40.0 Incision of lymphatic structures40.1 Diagnostic procedures on lymphatic structures40.11 Biopsy of lymphatic structure40.19 Other diagnostic procedures on lymphatic structuresExcludes: lymphangiogram:abdominal (88.04)cervical (87.08)intrathoracic (87.34)lower limb (88.36)upper limb (88.34)microscopic examination of specimen (90.71-90.79)radioisotope scan (92.16)thermography (88.89)40.2 Simple excision of lymphatic structureExcludes: biopsy of lymphatic structure (40.11)40.21 Excision of deep cervical lymph node40.22 Excision of internal mammary lymph node40.23 Excision of axillary lymph node40.24 Excision of inguinal lymph node40.29 Simple excision of other lymphatic structureExcision of:cystic hygromalymphangiomaSimple lymphadenectomy40.3 Regional lymph node excisionExtended regional lymph node excisionRegional lymph node excision with excision of lymphatic drainage areaincluding skin, subcutaneous tissue, and fat40.4 Radical excision of cervical lymph nodesResection of cervical lymph nodes down to muscle and deep fasciaExcludes: that associated with radical laryngectomy (30.4)40.40 Radical neck dissection, not otherwise specified40.41 Radical neck dissection, unilateral40.42 Radical neck dissection, bilateral40.5 Radical excision of other lymph nodesExcludes: that associated with radical mastectomy (85.45-85.48)40.50 Radical excision of lymph nodes, not otherwise specifiedRadical (lymph) node dissection NOS40.51 Radical excision of axillary lymph nodes40.52 Radical excision of periaortic lymph nodes113 1 .1 OR procedure 1.2 Non OR procedure but affects ThaiDRG

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)40.53 Radical excision of iliac lymph nodes40.54 Radical groin dissection40.59 Radical excision of other lymph nodesExcludes: radical neck dissection (40.40- 40.42)40.6 Operations on thoracic duct40.61 Cannulation of thoracic duct40.62 Fistulization of thoracic duct40.63 Closure of fistula of thoracic duct40.64 Ligation of thoracic duct40.69 Other operations on thoracic duct40.9 Other operations on lymphatic structuresAnastomosis of peripheral lymphaticsDilation of peripheral lymphaticsLigation of peripheral lymphaticsObliteration of peripheral lymphaticsReconstruction of peripheral lymphaticsRepair of peripheral lymphaticsTransplantation of peripheral lymphaticsCorrection of lymphedema of limb, NOSExcludes: reduction of elephantiasis of scrotum (61.3)41 Operations on bone marrow and spleen41.0 Bone marrow or hematopoietic stem cell transplantNote: To report donor source --see codes 00.91- 00.93Excludes: aspiration of bone marrow from donor (41.91)41.00 Bone marrow transplant, not otherwise specified41.01 Autologous bone marrow transplant without purgingExcludes: that with purging (41.09)41.02 Allogeneic bone marrow transplant with purgingAllograft of bone marrow with in vitro removal (purging) of T- cells41.03 Allogeneic bone marrow transplant without purgingAllograft of bone marrow NOS41.04 Autologous hematopoietic stem cell transplant without purgingExcludes: that with purging (41.07)41.05 Allogeneic hematopoietic stem cell transplant without purgingExcludes: that with purging (41.08)41.06 Cord blood stem cell transplant41.07 Autologous hematopoietic stem cell transplant with purgingCell depletion41.08 Allogeneic hematopoietic stem cell transplantCell depletion41.09 Autologous bone marrow transplant with purgingWith extracorporeal purging of malignant cells from marrowCell depletion114 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE HEMIC AND LYMPHATIC SYSTEM (40-41)41.1 Puncture of spleenExcludes: aspiration biopsy of spleen (41.32)41.2 Splenotomy41.3 Diagnostic procedures on bone marrow and spleen41.31 Biopsy of bone marrow41.32 Closed [aspiration] [percutaneous] biopsy of spleen41.33 Open biopsy of spleen41.38 Other diagnostic procedures on bone marrowExcludes: microscopic examination of specimen from bone marrow(90.61-90.69)radioisotope scan (92.05)41.39 Other diagnostic procedures on spleenExcludes: microscopic examination of specimen from spleen(90.61-90.69)radioisotope scan (92.05)41.4 Excision or destruction of lesion or tissue of spleenCode also any application or administration of an adhesion barrier substance(99.77)Excludes: excision of accessory spleen (41.93)41.41 Marsupialization of splenic cyst41.42 Excision of lesion or tissue of spleenExcludes: biopsy of spleen (41.32- 41.33)41.43 Partial splenectomy41.5 Total splenectomySplenectomy NOSCode also any application or administration of an adhesion barrier substance(99.77)41.9 Other operations on spleen and bone marrowCode also any application or administration of an adhesion barrier substance(99.77)41.91 Aspiration of bone marrow from donor for transplantExcludes: biopsy of bone marrow (41.31)41.92 Injection into bone marrowExcludes: bone marrow transplant (41.00- 41.03)41.93 Excision of accessory spleen41.94 Transplantation of spleen41.95 Repair and plastic operations on spleen41.98 Other operations on bone marrow41.99 Other operations on spleen New code ® Revised code 4 th digit required 115

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)42 Operations on esophagus42.0 Esophagotomy42.01 Incision of esophageal web42.09 Other incision of esophagusEsophagotomy NOS42.1 EsophagostomyExcludes: esophagomyotomy (42.7)esophagostomy (42.10-42.19)42.10 Esophagostomy, not otherwise specified42.11 Cervical esophagostomy42.12 Exteriorization of esophageal pouch42.19 Other external fistulization of esophagusThoracic esophagostomyCode also any resection (42.40- 42.42)42.2 Diagnostic procedures on esophagus42.21 Operative esophagoscopy by incision42.22 Esophagoscopy through artificial stomaExcludes: that with biopsy (42.24)42.23 Other esophagoscopyExcludes: that with biopsy (42.24)42.24 Closed [endoscopic] biopsy of esophagusBrushing or washing for specimen collectionEsophagoscopy with biopsySuction biopsy of the esophagusExcludes: esophagogastroduodenoscopy [EGD] with closed biopsy(45.16)42.25 Open biopsy of esophagus42.29 Other diagnostic procedures on esophagusExcludes: barium swallow (87.61)esophageal manometry (89.32)microscopic examination of specimen from esophagus(90.81-90.89)42.3 Local excision or destruction of lesion or tissue of esophagus42.31 Local excision of esophageal diverticulum42.32 Local excision of other lesion or tissue of esophagusExcludes: biopsy of esophagus (42.24-42.25)esophageal fistulectomy (42.84)116 1 .1 OR procedure 1.2 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)42.33 Endoscopic excision or destruction of lesion or tissue ofesophagusAblation of esophageal neoplasm by endoscopic approachControl of esophageal bleeding by endoscopic approachEsophageal polypectomy by endoscopic approachEsophageal varices by endoscopic approachInjection of esophageal varices by endoscopic approachExcludes: biopsy of esophagus (42.24-42.25)fistulectomy (42.84)open ligation of esophageal varices (42.91)42.39 Other destruction of lesion or tissue of esophagusExcludes: that by endoscopic approach (42.33)42.4 Excision of esophagusExcludes: esophagogastrectomy NOS (43.99)42.40 Esophagectomy, not otherwise specified42.41 Partial esophagectomyCode also any synchronous:anastomosis other than end- to- end (42.51- 42.69)esophagostomy (42.10- 42.19)gastrostomy (43.11- 43.19)42.42 Total esophagectomyCode also any synchronous:gastrostomy (43.11- 43.19)interposition or anastomosis other than end- to- end (42.51- 42.69)Excludes: esophagogastrectomy (43.99)42.5 Intrathoracic anastomosis of esophagusCode also any synchronous:esophagectomy (42.40- 42.42)gastrostomy (43.1)42.51 Intrathoracic esophagoesophagostomy42.52 Intrathoracic esophagogastrostomy42.53 Intrathoracic esophageal anastomosis with interposition of smallbowel42.54 Other intrathoracic esophagoenterostomyAnastomosis of esophagus to intestinal segment NOS42.55 Intrathoracic esophageal anastomosis with interposition of colon42.56 Other intrathoracic esophagocolostomyEsophagocolostomy NOS42.58 Intrathoracic esophageal anastomosis with other interpositionConstruction of artificial esophagusRetrosternal formation of reversed gastric tube42.59 Other intrathoracic anastomosis of esophagus New code ® Revised code 4 th digit required 117

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)42.6 Antesternal anastomosis of esophagusCode also any synchronous:esophagectomy (42.40- 42.42)gastrostomy (43.1)42.61 Antesternal esophagoesophagostomy42.62 Antesternal esophagogastrostomy42.63 Antesternal esophageal anastomosis with interposition of smallbowel42.64 Other antesternal esophagoenterostomyAntethoracic:esophagoenterostomyesophagoileostomyesophagojejunostomy42.65 Antesternal esophageal anastomosis with interposition of colon42.66 Other antesternal esophagocolostomyAntethoracic esophagocolostomy42.68 Other antesternal esophageal anastomosis with interposition42.69 Other antesternal anastomosis of esophagus42.7 Esophagomyotomy42.8 Other repair of esophagus42.81 Insertion of permanent tube into esophagus42.82 Suture of laceration of esophagus42.83 Closure of esophagostomy42.84 Repair of esophageal fistula, not elsewhere classifiedExcludes: repair of fistula:bronchoesophageal (33.42)esophagopleurocutaneous (34.73)pharyngoesophageal (29.53)tracheoesophageal (31.73)42.85 Repair of esophageal stricture42.86 Production of subcutaneous tunnel without esophagealanastomosis42.87 Other graft of esophagusExcludes: antesternal esophageal anastomosis with interposition of:colon (42.65)small bowel (42.63)antesternal esophageal anastomosis with other interposition(42.68)intrathoracic esophageal anastomosis with interposition of:colon (42.55)small bowel (42.53)intrathoracic esophageal anastomosis with otherinterposition (42.58)42.89 Other repair of esophagus118 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)42.9 Other operations on esophagus42.91 Ligation of esophageal varicesExcludes: that by endoscopic approach (42.33)42.92 Dilation of esophagusDilation of cardiac sphincter42.99 OtherExcludes: intubation of esophagus (96.03, 96.06-96.08)Excludes: insertion of Sengstaken tube (96.06)intubation of esophagus (96.03, 96.06-96.08)removal of intraluminal foreign body from esophaguswithout incision (98.02)tamponade of esophagus (96.06)43 Incision and excision of stomachCode also any application or administration of an adhesion barriersubstance (99.77)43.0 GastrotomyExcludes: gastrostomy (43.11-43.19)that for control of hemorrhage (44.49)43.1 Gastrostomy43.11 Percutaneous [endoscopic] gastrostomy [PEG]Percutaneous transabdominal gastrostomy43.19 Other gastrostomy43.3 PyloromyotomyExcludes: percutaneous [endoscopic] gastrostomy [PEG] (43.11)43.4 Local excision or destruction of lesion or tissue of stomach43.41 Endoscopic excision or destruction of lesion or tissue of stomachGastric polypectomy by endoscopic approachGastric varices by endoscopic approachExcludes: biopsy of stomach (44.14-44.15)control of hemorrhage (44.43)open ligation of gastric varices (44.91)43.42 Local excision of other lesion or tissue of stomachExcludes: biopsy of stomach (44.14-44.15)gastric fistulectomy (44.62-44.63)partial gastrectomy (43.5-43.89)43.49 Other destruction of lesion or tissue of stomachExcludes: that by endoscopic approach (43.41)43.5 Partial gastrectomy with anastomosis to esophagusProximal gastrectomy New code ® Revised code 4 th digit required 119

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)43.6 Partial gastrectomy with anastomosis to duodenumBillroth I operationDistal gastrectomyGastropylorectomy43.7 Partial gastrectomy with anastomosis to jejunumBillroth II operation43.8 Other partial gastrectomy43.81 Partial gastrectomy with jejunal transpositionHenley jejunal transposition operationCode also any synchronous intestinal resection (45.51)43.89 OtherPartial gastrectomy with bypass gastrogastrostomySleeve resection of stomach43.9 Total gastrectomy43.91 Total gastrectomy with intestinal interposition43.99 Other total gastrectomyComplete gastroduodenectomyEsophagoduodenostomy with complete gastrectomyEsophagogastrectomy NOSEsophagojejunostomy with complete gastrectomyRadical gastrectomy44 Other operations on stomachCode also any application or administration of an adhesion barrier substance(99.77)44.0 Vagotomy44.00 Vagotomy, not otherwise specifiedDivision of vagus nerve NOS44.01 Truncal vagotomy44.02 Highly selective vagotomyParietal cell vagotomySelective proximal vagotomy44.03 Other selective vagotomy44.1 Diagnostic procedures on stomach44.11 Transabdominal gastroscopyIntraoperative gastroscopyExcludes: that with biopsy (44.14)44.12 Gastroscopy through artificial stomaExcludes: that with biopsy (44.14)44.13 Other gastroscopyExcludes: that with biopsy (44.14)44.14 Closed [endoscopic] biopsy of stomachBrushing or washing for specimen collectionExcludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)120 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)44.15 Open biopsy of stomach44.19 Other diagnostic procedures on stomach44.2 PyloroplastyExcludes: gastric lavage (96.33)microscopic examination of specimen from stomach(90.81-90.89)upper GI series (87.62)44.21 Dilation of pylorus by incision44.22 Endoscopic dilation of pylorusDilation with balloon endoscopeEndoscopic dilation of gastrojejunostomy site44.29 Other pyloroplastyPyloroplasty NOSRevision of pylorus44.3 Gastroenterostomy without gastrectomy44.31 High gastric bypassPrinten and Mason gastric bypass44.32 Percutaneous [endoscopic] gastrojejunostomy ®Bypass:gastroduodenostomyPEGJJExcludes: percutaneous (endoscopic) feeding jejunostomy (46.32)44.38 Laparoscopic gastroenterostomyBypass:gastroduodenostomygastroenterostomygastrogastrostomyLaparoscopic gastrojejunostomy without gastrectomy NECExcludes: gastroenterostomy, open approach (44.39)44.39 Other gastroenterostomyBypass:gastroduodenostomygastroenterostomygastrogastrostomyGastrojejunostomy without gastrectomy NOS44.4 Control of hemorrhage and suture of ulcer of stomach orduodenum44.40 Suture of peptic ulcer, not otherwise specified44.41 Suture of gastric ulcer siteExcludes: ligation of gastric varices (44.91)44.42 Suture of duodenal ulcer site44.43 Endoscopic control of gastric or duodenal bleeding44.44 Transcatheter embolization for gastric or duodenal bleedingExcludes: surgical occlusion of abdominal vessels (38.86-38.87) New code ® Revised code 4 th digit required 121

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)44.49 Other control of hemorrhage of stomach or duodenumThat with gastrotomy44.5 Revision of gastric anastomosisClosure of:gastric anastomosisgastroduodenostomygastrojejunostomyPantaloon operation44.6 Other repair of stomach44.61 Suture of laceration of stomachExcludes: that of ulcer site (44.41)44.62 Closure of gastrostomy44.63 Closure of other gastric fistulaClosure of:gastrocolic fistulagastrojejunocolic fistula44.64 Gastropexy44.65 EsophagogastroplastyBelsey operationEsophagus and stomach cardioplasty44.66 Other procedures for creation of esophagogastric sphinctericcompetenceFundoplicationGastric cardioplastyNissen's fundoplicationRestoration of cardio- esophageal angleExcludes: that by laparoscopy (44.67)44.67 Laparoscopic procedures for creation of esophagogastricsphincteric competenceFundoplicationGastric cardioplastyNissen's fundoplicationRestoration of cardio- esophageal angle44.68 Laparoscopic gastroplastyBandingSilastic vertical bandingVertical banded gastroplasty (VBG)Code also any synchronous laparoscopic gastroenterostomy (44.38)Excludes: insertion, laparoscopic adjustable gastric band(restrictive procedure) (44.95)other repair of stomach, open approach (44.61-44.65, 44.69)44.69 OtherInversion of gastric diverticulumRepair of stomach NOS122 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)44.9 Other operations on stomach44.91 Ligation of gastric varicesExcludes: that by endoscopic approach (43.41)44.92 Intraoperative manipulation of stomachReduction of gastric volvulus44.93 Insertion of gastric bubble (balloon)44.94 Removal of gastric bubble (balloon)44.95 Laparoscopic gastric restrictive procedureAdjustable gastric band and port insertionExcludes: laparoscopic gastroplasty (44.68)other repair of stomach (44.69)44.96 Laparoscopic revision of gastric restrictive procedureRevision or replacement of:adjustable gastric bandsubcutaneous gastric port device44.97 Laparoscopic removal of gastric restrictive device(s)Removal of either or both:adjustable gastric bandsubcutaneous port deviceExcludes: nonoperative removal of gastric restrictive device(s) (97.86)open removal of gastric restrictive device(s) (44.99)44.98 (Laparoscopic) adjustment of size of adjustable gastric restrictivedeviceInfusion of saline for device tighteningWithdrawal of saline for device looseningCode also any:abdominal ultrasound (88.76)abdominal wall fluoroscopy (88.09)barium swallow (87.61)44.99 OtherExcludes: change of gastrostomy tube (97.02)dilation of cardiac sphincter (42.92)gastric:cooling (96.31)freezing (96.32)gavage (96.35)hypothermia (96.31)lavage (96.33)insertion of nasogastric tube (96.07)irrigation of gastrostomy (96.36)irrigation of nasogastric tube (96.34)removal of:gastrostomy tube (97.51)intraluminal foreign body from stomach without incision(98.03)replacement of:gastrostomy tube (97.02)(naso-)gastric tube (97.01) New code ® Revised code 4 th digit required 123

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)45 Incision, excision, and anastomosis of intestineCode also any application or administration of an adhesion barrier substance(99.77)45.0 EnterotomyExcludes: duodenocholedochotomy (51.41-51.42, 51.51)that for destruction of lesion (45.30-45.34)that of exteriorized intestine (46.14, 46.24, 46.31)45.00 Incision of intestine, not otherwise specified45.01 Incision of duodenum45.02 Other incision of small intestine45.03 Incision of large intestineExcludes: proctotomy (48.0)45.1 Diagnostic procedures on small intestineCode also any laparotomy (54.11- 54.19)45.11 Transabdominal endoscopy of small intestineIntraoperative endoscopy of small intestineExcludes: that with biopsy (45.14)45.12 Endoscopy of small intestine through artificial stomaExcludes: that with biopsy (45.14)45.13 Other endoscopy of small intestineEsophagogastroduodenoscopy [EGD]Excludes: that with biopsy (45.14, 45.16)45.14 Closed [endoscopic] biopsy of small intestineBrushing or washing for specimen collectionExcludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)45.15 Open biopsy of small intestine45.16 Esophagogastroduodenoscopy [EGD] with closed biopsyBiopsy of one or more sites involving esophagus, stomach, and/orduodenum45.19 Other diagnostic procedures on small intestineExcludes: microscopic examination of specimen from small intestine(90.91-90.99)radioisotope scan (92.04)ultrasonography (88.74)x-ray (87.61-87.69)45.2 Diagnostic procedures on large intestineCode also any laparotomy (54.11- 54.19)45.21 Transabdominal endoscopy of large intestineIntraoperative endoscopy of large intestineExcludes: that with biopsy (45.25)45.22 Endoscopy of large intestine through artificial stomaExcludes: that with biopsy (45.25)124 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)45.23 ColonoscopyFlexible fiberoptic colonoscopyExcludes: endoscopy of large intestine through artificial stoma (45.22)flexible sigmoidoscopy (45.24)rigid proctosigmoidoscopy (48.23)transabdominal endoscopy of large intestine (45.21)45.24 Flexible sigmoidoscopyEndoscopy of descending colonExcludes: rigid proctosigmoidoscopy (48.23)45.25 Closed [endoscopic] biopsy of large intestineBiopsy, closed, of unspecified intestinal siteBrushing or washing for specimen collectionColonoscopy with biopsyExcludes: proctosigmoidoscopy with biopsy (48.24)45.26 Open biopsy of large intestine45.27 Intestinal biopsy, site unspecified45.28 Other diagnostic procedures on large intestine45.29 Other diagnostic procedures on intestine, site unspecifiedExcludes: microscopic examination of specimen (90.91-90.99)scan and radioisotope function study (92.04)ultrasonography (88.74)x-ray (87.61-87.69)45.3 Local excision or destruction of lesion or tissue of small intestine45.30 Endoscopic excision or destruction of lesion of duodenumExcludes: biopsy of duodenum (45.14-45.15)control of hemorrhage (44.43)fistulectomy (46.72)45.31 Other local excision of lesion of duodenumExcludes: biopsy of duodenum (45.14-45.15)fistulectomy (46.72)multiple segmental resection (45.61)that by endoscopic approach (45.30)45.32 Other destruction of lesion of duodenumExcludes: that by endoscopic approach (45.30)45.33 Local excision of lesion or tissue of small intestine, exceptduodenumExcision of redundant mucosa of ileostomyExcludes: biopsy of small intestine (45.14-45.15)fistulectomy (46.74)multiple segmental resection (45.61)45.34 Other destruction of lesion of small intestine, except duodenum New code ® Revised code 4 th digit required 125

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)45.4 Local excision or destruction of lesion or tissue of large intestine45.41 Excision of lesion or tissue of large intestine ®Excision of redundant mucosa of colostomyExcludes: biopsy of large intestine (45.25-45.27)endoscopic polypectomy of large intestine (45.42)fistulectomy (46.76)multiple segmental resection (17.31, 45.71)that by endoscopic approach (45.42-45.43)45.42 Endoscopic polypectomy of large intestineExcludes: that by open approach (45.41)45.43 Endoscopic destruction of other lesion or tissue of large intestineEndoscopic ablation of tumor of large intestineEndoscopic control of colonic bleedingExcludes: endoscopic polypectomy of large intestine (45.42)45.49 Other destruction of lesion of large intestineExcludes: that by endoscopic approach (45.43)45.5 Isolation of intestinal segmentCode also any synchronous:anastomosis other than end- to- end (45.90- 45.94)enterostomy (46.10- 46.39)45.50 Isolation of intestinal segment, not otherwise specifiedIsolation of intestinal pedicle flapReversal of intestinal segment45.51 Isolation of segment of small intestineIsolation of ileal loopResection of small intestine for interposition45.52 Isolation of segment of large intestineResection of colon for interposition45.6 Other excision of small intestine ®Code also any synchronous:anastomosis other than end- to- end (45.90- 45.93, 45.95)colostomy (46.10- 46.13)enterostomy (46.10- 46.39)Excludes: cecectomy (17.32, 45.72)Enterocolectomy (17.39, 45.79)gastroduodenectomy (43.6-43.99)ileocolectomy (17.33, (45.73)pancreatoduodenectomy (52.51-52.7)45.61 Multiple segmental resection of small intestineSegmental resection for multiple traumatic lesions of small intestine45.62 Other partial resection of small intestine ®DuodenectomyIleectomyJejunectomyExcludes: duodenectomy with synchronous pancreatectomy (52.51-52.7)resection of cecum and terminal ileum (17.32, 45.72)126 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)45.63 Total removal of small intestine45.7 Open and other partial excision of large intestine ®Code also any synchronous:anastomosis other than end- to- end (45.92- 45.94)enterostomy (46.10- 46.39)Excludes: laparoscopic partial excision of large intestine (17.31 17.39)45.71 Open and other multiple segmental resection of large intestine ®Segmental resection for multiple traumatic lesions of large intestine45.72 Open and other cecectomy ®Resection of cecum and terminal ileum45.73 Open and other right hemicolectomy ®IleocolectomyRight radical colectomy45.74 Open and other resection of transverse colon ®45.75 Open and other left hemicolectomy ®Excludes: proctosigmoidectomy (48.41-48.69)second stage Mikulicz operation (46.04)45.76 Open and other sigmoidectomy ®45.79 Other and unspecified partial excision of large intestine ®Enterocolectomy NEC45.8 Total intra-abdominal colectomyExcision of cecum, colon, and sigmoidExcludes: coloproctectomy (48.41-48.69)45.81 Laparoscopic total intra-abdominal colectomy 45.82 Open total intra-abdominal colectomy 45.83 Other and unspecified total intra-abdominal colectomy 45.9 Intestinal anastomosisCode also any synchronous resection (45.31- 45.8, 48.41- 48.69)Excludes: end-to-end anastomosis --omit code45.90 Intestinal anastomosis, not otherwise specified45.91 Small-to-small intestinal anastomosis45.92 Anastomosis of small intestine to rectal stumpHampton procedure45.93 Other small-to-large intestinal anastomosis45.94 Large-to-large intestinal anastomosisExcludes: rectorectostomy (48.74)45.95 Anastomosis to anusFormation of endorectal ileal pouch (H- pouch) (J- pouch)(S- pouch) with anastomosis of small intestine to anus New code ® Revised code 4 th digit required 127

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)46 Other operations on intestineCode also any application or administration of an adhesion barrier substance(99.77)46.0 Exteriorization of intestineIncludes: loop enterostomymultiple stage resection of intestine46.01 Exteriorization of small intestineLoop ileostomy46.02 Resection of exteriorized segment of small intestine46.03 Exteriorization of large intestineExteriorization of intestine NOSFirst stage Mikulicz exteriorization of intestineLoop colostomy46.04 Resection of exteriorized segment of large intestineResection of exteriorized segment of intestine NOSSecond stage Mikulicz operation46.1 ColostomyCode also any synchronous resection (45.49, 45.71- 45.79, 45.8)Excludes: loop colostomy (46.03)that with abdominoperineal resection of rectum (48.5)that with synchronous anterior rectal resection (48.62)46.10 Colostomy, not otherwise specified46.11 Temporary colostomy46.13 Permanent colostomy46.14 Delayed opening of colostomy46.2 IleostomyCode also any synchronous resection (45.34, 45.61- 45.63)Excludes: loop ileostomy (46.01)46.20 Ileostomy, not otherwise specified46.21 Temporary ileostomy46.22 Continent ileostomy46.23 Other permanent ileostomy46.24 Delayed opening of ileostomy46.3 Other enterostomyCode also any synchronous resection (45.61- 45.8)46.31 Delayed opening of other enterostomy46.32 Percutaneous (endoscopic) jejunostomy [PEJ] ®Endoscopic conversion of gastrostomy to jejunostomyPercutaneous (endoscopic) feeding enterostomyExcludes: percutaneous [endoscopic] gastrojejunostomy (bypass)(44.32)128 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)46.39 OtherDuodenostomyFeeding enterostomy46.4 Revision of intestinal stoma46.40 Revision of intestinal stoma, not otherwise specifiedPlastic enlargement of intestinal stomaReconstruction of stoma of intestineRelease of scar tissue of intestinal stomaExcludes: excision of redundant mucosa (45.41)46.41 Revision of stoma of small intestineExcludes: excision of redundant mucosa (45.33)46.42 Repair of pericolostomy hernia46.43 Other revision of stoma of large intestineExcludes: excision of redundant mucosa (45.41)46.5 Closure of intestinal stomaCode also any synchronous resection (45.34, 45.49, 45.61- 45.8)46.50 Closure of intestinal stoma, not otherwise specified46.51 Closure of stoma of small intestine46.52 Closure of stoma of large intestineClosure or take- down of:cecostomycolostomysigmoidostomy46.6 Fixation of intestine46.60 Fixation of intestine, not otherwise specifiedFixation of intestine to abdominal wall46.61 Fixation of small intestine to abdominal wallIleopexy46.62 Other fixation of small intestineNoble plication of small intestinePlication of jejunum46.63 Fixation of large intestine to abdominal wallCecocoloplicopexySigmoidopexy (Moschowitz)46.64 Other fixation of large intestineCecofixationColofixation46.7 Other repair of intestineExcludes: closure of:ulcer of duodenum (44.42)vesicoenteric fistula (57.83)46.71 Suture of laceration of duodenum46.72 Closure of fistula of duodenum46.73 Suture of laceration of small intestine, except duodenum New code ® Revised code 4 th digit required 129

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)46.74 Closure of fistula of small intestine, except duodenumExcludes: closure of:artificial stoma (46.51)vaginal fistula (70.74)repair of gastrojejunocolic fistula (44.63)46.75 Suture of laceration of large intestine46.76 Closure of fistula of large intestineExcludes: closure of:gastrocolic fistula (44.63)rectal fistula (48.73)sigmoidovesical fistula (57.83)stoma (46.52)vaginal fistula (70.72-70.73)vesicocolic fistula (57.83)vesicosigmoidovaginal fistula (57.83)46.79 Other repair of intestineDuodenoplasty46.8 Dilation and manipulation of intestine46.80 Intra-abdominal manipulation of intestine, not otherwise specifiedCorrection of intestinal malrotationReduction of:intestinal torsionintestinal volvulusintussusceptionExcludes: reduction of intussusception with:fluoroscopy (96.29)ionizing radiation enema (96.29)ultrasonography guidance (96.29))46.81 Intra-abdominal manipulation of small intestine46.82 Intra-abdominal manipulation of large intestine46.85 Dilation of intestine ®Dilation (balloon) of duodenumDilation (balloon) of jejunumEndoscopic dilation (balloon) of large intestineThat through rectum or colostomyExcludes: with insertion of colonic stent (46.86- 46.87)46.86 Endoscopic insertion of colonic stent(s) Colonoscopy (flexible) (through stoma) with transendoscopic stentplacementCombined with fluoroscopic- guided insertionStent endoprosthesis of colonThrough the scope [TTS] techniqueExcludes: other non-endoscopic insertion of colonic stent (46.87)130 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)46.87 Other insertion of colonic stent(s) Includes: that by:fluoroscopic guidance onlyrectal guiding tubeNon- endoscopic insertionCode also any synchronous diagnostic procedure(s)Excludes: endoscopic insertion of colonic stent (46.86)46.9 Other operations on intestines46.91 Myotomy of sigmoid colon46.92 Myotomy of other parts of colon46.93 Revision of anastomosis of small intestine46.94 Revision of anastomosis of large intestine46.95 Local perfusion of small intestineCode also substance perfused (99.21- 99.29)46.96 Local perfusion of large intestineCode also substance perfused (99.21- 99.29)46.97 Transplant of intestineNote: To report donor source --see codes 00.91- 00.9346.99 OtherIleoentectropyExcludes: diagnostic procedures on intestine (45.11-45.29)dilation of enterostomy stoma (96.24)intestinal intubation (96.08)removal of:intraluminal foreign body from large intestine without incision(98.04)intraluminal foreign body from small intestine withoutincision (98.03)tube from large intestine (97.53)tube from small intestine (97.52)replacement of:large intestine tube or enterostomy device (97.04)small intestine tube or enterostomy device (97.03)47 Operations on appendixIncludes: appendiceal stumpCode also any application or administration of an adhesion barrier substance(99.77)47.0 AppendectomyExcludes: incidental appendectomy, so describedlaparoscopic (47.11)other (47.19)47.01 Laparoscopic appendectomy47.09 Other appendectomy New code ® Revised code 4 th digit required 131

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)47.1 Incidental appendectomy47.11 Laparoscopic incidental appendectomy47.19 Other incidental appendectomy47.2 Drainage of appendiceal abscessExcludes: that with appendectomy (47.0)47.9 Other operations on appendix47.91 Appendicostomy47.92 Closure of appendiceal fistula47.99 OtherAnastomosis of appendixExcludes: diagnostic procedures on appendix (45.21-45.29)48 Operations on rectum, rectosigmoid and perirectal tissueCode also any application or administration of an adhesion barrier substance(99.77)48.0 ProctotomyDecompression of imperforate anusPanas' operation [linear proctotomy]Excludes: incision of perirectal tissue (48.81)48.1 Proctostomy48.2 Diagnostic procedures on rectum, rectosigmoid and perirectaltissue48.21 Transabdominal proctosigmoidoscopyIntraoperative proctosigmoidoscopyExcludes: that with biopsy (48.24)48.22 Proctosigmoidoscopy through artificial stomaExcludes: that with biopsy (48.24)48.23 Rigid proctosigmoidoscopyExcludes: flexible sigmoidoscopy (45.24)48.24 Closed [endoscopic] biopsy of rectumBrushing or washing for specimen collectionProctosigmoidoscopy with biopsy48.25 Open biopsy of rectum48.26 Biopsy of perirectal tissue48.29 Other diagnostic procedures on rectum, rectosigmoid andperirectal tissueExcludes: digital examination of rectum (89.34)lower GI series (87.64)microscopic examination of specimen from rectum(90.91-90.99)132 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)48.3 Local excision or destruction of lesion or tissue of rectum48.31 Radical electrocoagulation of rectal lesion or tissue48.32 Other electrocoagulation of rectal lesion or tissue48.33 Destruction of rectal lesion or tissue by laser48.34 Destruction of rectal lesion or tissue by cryosurgery48.35 Local excision of rectal lesion or tissueExcludes: biopsy of rectum (48.24-48.25)excision of perirectal tissue (48.82)hemorrhoidectomy (49.46)[endoscopic] polypectomy of rectum (48.36)rectal fistulectomy (48.73)48.36 [Endoscopic] polypectomy of rectum48.4 Pull-through resection of rectumCode also any synchronous anastomosis other than end- to- end(45.90, 45.92- 45.95)48.40 Pull-through resection of rectum, not otherwise specified Pull- through resection NOSExcludes: abdominoperineal pull-through NOS (48.50)48.41 Soave submucosal resection of rectumEndorectal pull- through operation48.42 Laparoscopic pull-through resection of rectum 48.43 Open pull-through resection of rectum 48.49 Other pull-through resection of rectum ®Abdominoperineal pull- throughAltemeier operationSwenson proctectomyExcludes: Duhamel abdominoperineal pull through (48.65)laparoscopic pull-through resection of rectum (48.42)open pull-through resection of rectum (48.43)pull-through resection of rectum, not otherwise specified(48.40)48.5 Abdominoperineal resection of rectumIncludes: with synchronous colostomyCombined abdominoendorectal resectionComplete proctectomyCode also any synchronous anastomosis other than end- to- end(45.90, 45.92- 45.95)Excludes: Duhamel abdominoperineal pull-through (48.65)that as part of pelvic exenteration (68.8)48.50 Abdominoperineal resection of the rectum, not otherwise specified48.51 Laparoscopic abdominoperineal resection of the rectum48.52 Open abdominoperineal resection of the rectum New code ® Revised code 4 th digit required 133

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)48.59 Other abdominoperineal resection of the rectum Excludes: abdominoperineal resection of the rectum, NOS (48.50)laparoscopic abdominoperineal resection of the rectum(48.51)open abdominoperineal resection of the rectum (48.52)48.6 Other resection of rectumCode also any synchronous anastomosis other than end- to- end(45.90, 45.92- 45.95)48.61 Transsacral rectosigmoidectomy48.62 Anterior resection of rectum with synchronous colostomy48.63 Other anterior resection of rectumExcludes: that with synchronous colostomy (48.62)48.64 Posterior resection of rectum48.65 Duhamel resection of rectumDuhamel abdominoperineal pull- through48.69 OtherPartial proctectomyRectal resection NOS48.7 Repair of rectum ®Excludes: repair of:current obstetric laceration (75.62)vaginal rectocele (70.50, 70.52, 70.53, 70.55)48.71 Suture of laceration of rectum48.72 Closure of proctostomy48.73 Closure of other rectal fistulaExcludes: fistulectomy:perirectal (48.93)rectourethral (58.43)rectovaginal (70.73)rectovesical (57.83)rectovesicovaginal (57.83)48.74 Rectorectostomy ®Rectal anastomosis NOSStapled transanal rectal resection (STARR)48.75 Abdominal proctopexyFrickman procedureRipstein repair of rectal prolapse48.76 Other proctopexyDelorme repair of prolapsed rectumProctosigmoidopexyPuborectalis sling operationExcludes: manual reduction of rectal prolapse (96.26)134 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)48.79 Other repair of rectumRepair of old obstetric laceration of rectumExcludes: anastomosis to:large intestine (45.94)small intestine (45.92-45.93)repair of:current obstetrica laceration (75.62)vaginal rectocele (70.50, 70.52)48.8 Incision or excision of perirectal tissue or lesionIncludes: pelvirectal tissuerectovaginal septum48.81 Incision of perirectal tissueIncision of rectovaginal septum48.82 Excision of perirectal tissueExcludes: perirectal biopsy (48.26)perirectofistulectomy (48.93)rectal fistulectomy (48.73)48.9 Other operations on rectum and perirectal tissue48.91 Incision of rectal stricture48.92 Anorectal myectomy48.93 Repair of perirectal fistula48.99 OtherExcludes: that opening into rectum (48.73)Excludes: digital examination of rectum (89.34)dilation of rectum (96.22)insertion of rectal tube (96.09)irrigation of rectum (96.38-96.39)manual reduction of rectal prolapse (96.26)proctoclysis (96.37)rectal massage (99.93)rectal packing (96.19)removal of:impacted feces (96.38)intraluminal foreign body from rectum without incision(98.05)rectal packing (97.59)transanal enema (96.39)49 Operations on anusCode also any application or administration of an adhesion barrier substance(99.77)49.0 Incision or excision of perianal tissue49.01 Incision of perianal abscess49.02 Other incision of perianal tissueUndercutting of perianal tissueExcludes: anal fistulotomy (49.11) New code ® Revised code 4 th digit required 135

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)49.03 Excision of perianal skin tags49.04 Other excision of perianal tissueExcludes: anal fistulectomy (49.12)biopsy of perianal tissue (49.22)49.1 Incision or excision of anal fistulaExcludes: closure of anal fistula (49.73)49.11 Anal fistulotomy49.12 Anal fistulectomy49.2 Diagnostic procedures on anus and perianal tissue49.21 Anoscopy49.22 Biopsy of perianal tissue49.23 Biopsy of anus49.29 Other diagnostic procedures on anus and perianal tissueExcludes: microscopic examination of specimen from anus(90.91-90.99)49.3 Local excision or destruction of other lesion or tissue of anusAnal cryptotomyCauterization of lesion of anusExcludes: biopsy of anus (49.23)control of (postoperative) hemorrhage of anus (49.95)hemorrhoidectomy (49.46)49.31 Endoscopic excision or destruction of lesion or tissue of anus49.39 Other local excision or destruction of lesion or tissue of anusExcludes: that by endoscopic approach (49.31)49.4 Procedures on hemorrhoids49.41 Reduction of hemorrhoids49.42 Injection of hemorrhoids49.43 Cauterization of hemorrhoidsClamp and cautery of hemorrhoids49.44 Destruction of hemorrhoids by cryotherapy49.45 Ligation of hemorrhoids49.46 Excision of hemorrhoidsHemorrhoidectomy NOS49.47 Evacuation of thrombosed hemorrhoids49.49 Other procedures on hemorrhoidsLord procedure49.5 Division of anal sphincter49.51 Left lateral anal sphincterotomy49.52 Posterior anal sphincterotomy49.59 Other anal sphincterotomyDivision of sphincter NOS136 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

49.6 Excision of anus49.7 Repair of anusOPERATIONS ON THE DIGESTIVE SYSTEM (42-54)Excludes: repair of current obstetric laceration (75.62)49.71 Suture of laceration of anus49.72 Anal cerclage49.73 Closure of anal fistulaExcludes: excision of anal fistula (49.12)49.74 Gracilis muscle transplant for anal incontinence49.75 Implantation or revision of artificial anal sphincterRemoval with subsequent replacementReplacement during same or subsequent operative episode49.76 Removal of artificial anal sphincterExplantation or removal without replacementExcludes: revision with implantation during same operative episode(49.75)49.79 Other repair of anal sphincterRepair of old obstetric laceration of anusExcludes: anoplasty with synchronous hemorrhoidectomy (49.46)repair of current obstetric laceration (75.62)49.9 Other operations on anusExcludes: dilation of anus (sphincter) (96.23)49.91 Incision of anal septum49.92 Insertion of subcutaneous electrical anal stimulator49.93 Other incision of anusRemoval of:foreign body from anus with incisionseton from anusExcludes: anal fistulotomy (49.11)removal of intraluminal foreign body without incision (98.05)49.94 Reduction of anal prolapseExcludes: manual reduction of rectal prolapse (96.26)49.95 Control of (postoperative) hemorrhage of anus49.99 Other New code ® Revised code 4 th digit required 137

50 Operations on liverICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Code also any application or administration of an adhesion barrier substance(99.77)50.0 HepatotomyIncision of abscess of liverRemoval of gallstones from liverStromeyer- Little operation50.1 Diagnostic procedures on liver50.11 Closed (percutaneous) [needle] biopsy of liverDiagnostic aspiration of liver50.12 Open biopsy of liverWedge biopsy50.13 Transjugular liver biopsy Transvenous liver biopsyExcludes: closed (percutaneous) [needle] biopsy of liver (50.11)laparoscopic liver biopsy (50.14)50.14 Laparoscopic liver biopsy Excludes: closed (percutaneous) [needle] biopsy of liver (50.11)open biopsy of liver (50.12)transjugular liver biopsy (50.13)50.19 Other diagnostic procedures on liver ®Excludes: liver scan and radioisotope function study (92.02)microscopic examination of specimen from liver (91.01-91.09)laparoscopic liver biopsy (50.14)transjugular liver biopsy (50.13)50.2 Local excision or destruction of liver tissue or lesion50.21 Marsupialization of lesion of liver50.22 Partial hepatectomyWedge resection of liverExcludes: biopsy of liver (50.11-50.12)hepatic lobectomy (50.3)50.23 Open ablation of liver lesion or tissue50.24 Percutaneous ablation of liver lesion or tissue50.25 Laparoscopic ablation of liver lesion or tissue50.26 Other and unspecified ablation of liver lesion or tissue50.29 Other destruction of lesion of liver ®Cauterization of hepatic lesionEnucleation of hepatic lesionEvacuation of hepatic lesionExcludes: ablation of liver lesion or tissuelaparoscopic (50.25)open (50.23)other (50.26)percutaneous (50.24)138 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)percutaneous aspiration of lesion (50.91)laser interstitial thermal therapy [LITT] of lesion or tissue ofliver under guidance (17.63)50.3 Lobectomy of liverTotal hepatic lobectomy with partial excision of other lobe50.4 Total hepatectomy50.5 Liver transplantNote: To report donor source --see codes 00.91- 00.9350.51 Auxiliary liver transplantAuxiliary hepatic transplantation leaving patient's own liver in situ50.59 Other transplant of liver50.6 Repair of liver50.61 Closure of laceration of liver50.69 Other repair of liverHepatopexy50.9 Other operations on liverExcludes: lysis of adhesions (54.5)50.91 Percutaneous aspiration of liverExcludes: percutaneous biopsy (50.11)50.92 Extracorporeal hepatic assistanceLiver dialysis50.93 Localized perfusion of liver50.94 Other injection of therapeutic substance into liver50.99 Other51 Operations on gallbladder and biliary tractIncludes: operations on:ampulla of Vatercommon bile ductcystic ducthepatic ductintrahepatic bile ductsphincter of OddiCode also any application or administration of an adhesion barrier substance(99.77)51.0 Cholecystotomy and cholecystostomy51.01 Percutaneous aspiration of gallbladderPercutaneous cholecystotomy for drainageThat by: needle or catheterExcludes: needle biopsy (51.12)51.02 Trocar cholecystostomy51.03 Other cholecystostomy New code ® Revised code 4 th digit required 139

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)51.04 Other cholecystotomyCholelithotomy NOS51.1 Diagnostic procedures on biliary tractExcludes: that for endoscopic procedures classifiable to 51.64, 51.84-51.88,52.14, 52.21, 52.93-52.94, 52.97-52.9851.10 Endoscopic retrograde cholangiopancreatography [ERCP]Excludes: endoscopic retrograde:cholangiography [ERC] (51.11)pancreatography [ERP] (52.13)51.11 Endoscopic retrograde cholangiography [ERC]Laparoscopic exploration of common bile ductExcludes: endoscopic retrograde:cholangiopancreatography [ERCP] (51.10)pancreatography [ERP] (52.13)51.12 Percutaneous biopsy of gallbladder or bile ductsNeedle biopsy of gallbladder51.13 Open biopsy of gallbladder or bile ducts51.14 Other closed [endoscopic] biopsy of biliary duct or sphincter of OddiBrushing or washing for specimen collectionClosed biopsy of biliary duct or sphincter of Oddi by proceduresclassifiable to 51.10- 51.11, 52.1351.15 Pressure measurement of sphincter of OddiPressure measurement of sphincter by procedures classifiableto 51.10- 51.11, 52.1351.19 Other diagnostic procedures on biliary tractExcludes: biliary tract x-ray (87.51-87.59)microscopic examination of specimen from biliary tract(91.01-91.09)51.2 Cholecystectomy51.21 Other partial cholecystectomyRevision of prior cholecystectomyExcludes: that by laparoscope (51.24)51.22 CholecystectomyExcludes: laparoscopic cholecystectomy (51.23)51.23 Laparoscopic cholecystectomyThat by laser51.24 Laparoscopic partial cholecystectomy51.3 Anastomosis of gallbladder or bile ductExcludes: resection with end-to-end anastomosis (51.61-51.9)140 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)51.35 Other gallbladder anastomosisGallbladder anastomosis NOS51.36 Choledochoenterostomy51.37 Anastomosis of hepatic duct to gastrointestinal tractKasai portoenterostomy51.39 Other bile duct anastomosisAnastomosis of bile duct NOSAnastomosis of unspecified bile duct to:intestineliverpancreasstomach51.4 Incision of bile duct for relief of obstruction51.41 Common duct exploration for removal of calculusExcludes: percutaneous extraction (51.96)51.42 Common duct exploration for relief of other obstruction51.43 Insertion of choledochohepatic tube for decompressionHepatocholedochostomy51.49 Incision of other bile ducts for relief of obstruction51.5 Other incision of bile ductExcludes: that for relief of obstruction (51.41-51.49)51.51 Exploration of common ductIncision of common bile duct51.59 Incision of other bile duct51.6 Local excision or destruction of lesion or tissue of biliary ductsand sphincter of OddiCode also anastomosis other than end- to- end (51.31,51.36- 51.39)Excludes: biopsy of bile duct (51.12-51.13)51.61 Excision of cystic duct remnant51.62 Excision of ampulla of Vater (with reimplantation of common duct)51.63 Other excision of common ductCholedochectomyExcludes: fistulectomy (51.72)51.64 Endoscopic excision or destruction of lesion of biliary ducts orsphincter of OddiExcision or destruction of lesion of biliary duct by proceduresclassifiable to 51.10- 51.11, 52.1351.69 Excision of other bile ductExcision of lesion of bile duct NOSExcludes: fistulectomy (51.79)51.7 Repair of bile ducts51.71 Simple suture of common bile duct New code ® Revised code 4 th digit required 141

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)51.72 CholedochoplastyRepair of fistula of common bile duct51.79 Repair of other bile ductsClosure of artificial opening of bile duct NOSSuture of bile duct NOSExcludes: operative removal of prosthetic device (51.95)51.8 Other operations on biliary ducts and sphincter of Oddi51.81 Dilation of sphincter of OddiDilation of ampulla of VaterExcludes: that by endoscopic approach (51.84)51.82 Pancreatic sphincterotomyIncision of pancreatic sphincterTransduodenal ampullary sphincterotomyExcludes: that by endoscopic approach (51.85)51.83 Pancreatic sphincteroplasty51.84 Endoscopic dilation of ampulla and biliary ductDilation of ampulla and biliary duct by procedures classifiable to51.10- 51.11, 52.1351.85 Endoscopic sphincterotomy and papillotomySphincterotomy and papillotomy by procedures classifiable to51.10- 51.11, 52.1351.86 Endoscopic insertion of nasobiliary drainage tubeInsertion of nasobiliary tube by procedures classifiable to51.10- 51.11, 52.1351.87 Endoscopic insertion of stent (tube) into bile ductEndoprosthesis of bile ductInsertion of stent into bile duct by procedures classifiable to51.10- 51.11, 52.13Excludes: nasobiliary drainage tube (51.86)replacement of stent (tube) (97.05)51.88 Endoscopic removal of stone(s) from biliary tractLaparoscopic removal of stone(s) from biliary tractRemoval of biliary tract stone(s) by procedures classifiable to51.10- 51.11, 52.13Excludes: percutaneous extraction of common duct stones (51.96)51.89 Other operations on sphincter of Oddi51.9 Other operations on biliary tract51.91 Repair of laceration of gallbladder51.92 Closure of cholecystostomy51.93 Closure of other biliary fistulaCholecystogastroenteric fistulectomy51.94 Revision of anastomosis of biliary tract51.95 Removal of prosthetic device from bile ductExcludes: nonoperative removal (97.55)142 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)51.96 Percutaneous extraction of common duct stones51.98 Other percutaneous procedures on biliary tractPercutaneous biliary endoscopy via existing T- tube or other tract for:dilation of biliary duct strictureremoval of stone(s) except common duct stoneexploration (postoperative)Percutaneous transhepatic biliary drainageExcludes: percutaneous aspiration of gallbladder (51.01)percutaneous biopsy and/or collection of specimen bybrushing or washing (51.12)percutaneous removal of common duct stone(s) (51.96)51.99 OtherInsertion or replacement of biliary tract prosthesisExcludes: biopsy of gallbladder (51.12-51.13)irrigation of cholecystostomy and other biliary tube (96.41)lysis of peritoneal adhesions (54.5)nonoperative removal of:cholecystostomy tube (97.54)tube from biliary tract or liver (97.55)52 Operations on pancreasIncludes: operations on pancreatic ductCode also any application or administration of an adhesion barrier substance(99.77)52.0 Pancreatotomy52.01 Drainage of pancreatic cyst by catheter52.09 Other pancreatotomyPancreatolithotomyExcludes: drainage by anastomosis (52.4, 52.96)incision of pancreatic sphincte (51.82)marsupialization of cyst (52.3)52.1 Diagnostic procedures on pancreas52.11 Closed [aspiration] [needle] [percutaneous] biopsy of pancreas52.12 Open biopsy of pancreas52.13 Endoscopic retrograde pancreatography [ERP]Excludes: endoscopic retrograde:cholangiography [ERC] (51.11)cholangiopancreatography [ERCP] (51.10)that for procedures classifiable to 51.14-51.15, 51.64,51.84-51.88, 52.14, 52.21, 52.92-52.94, 52.97-52.9852.14 Closed [endoscopic] biopsy of pancreatic ductClosed biopsy of pancreatic duct by procedures classifiable to51.10- 51.11, 52.13 New code ® Revised code 4 th digit required 143

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)52.19 Other diagnostic procedures on pancreasExcludes: contrast pancreatogram (87.66)endoscopic retrograde pancreatography [ERP] (52.13)microscopic examination of specimen from pancreas(91.01-91.09)52.2 Local excision or destruction of pancreas and pancreatic ductExcludes: biopsy of pancreas (52.11-52.12, 52.14)pancreatic fistulectomy (52.95)52.21 Endoscopic excision or destruction of lesion or tissue of pancreaticductExcision or destruction of lesion or tissue of pancreatic duct byprocedures classifiable to 51.10- 51.11, 52.1352.22 Other excision or destruction of lesion or tissue of pancreas orpancreatic duct52.3 Marsupialization of pancreatic cystExcludes: drainage of cyst by catheter (52.01)52.4 Internal drainage of pancreatic cystPancreaticocystoduodenostomyPancreaticocystogastrostomyPancreaticocystojejunostomy52.5 Partial pancreatectomyExcludes: pancreatic fistulectomy (52.95)52.51 Proximal pancreatectomyExcision of head of pancreas (with part of body)Proximal pancreatectomy with synchronous duodenectomy52.52 Distal pancreatectomyExcision of tail of pancreas (with part of body)52.53 Radical subtotal pancreatectomy52.59 Other partial pancreatectomy52.6 Total pancreatectomyPancreatectomy with synchronous duodenectomy52.7 Radical pancreaticoduodenectomyOne- stage pancreaticoduodenal resection with choledochojejunalanastomosis, pancreaticojejunal anastomosis, and gastrojejunostomyTwo- stage pancreaticoduodenal resection (first stage) (second stage)Radical resection of the pancreasWhipple procedureExcludes: radical subtotal pancreatectomy (52.53)52.8 Transplant of pancreasNote: To report donor source --see codes 00.91- 00.9352.80 Pancreatic transplant, not otherwise specified52.81 Reimplantation of pancreatic tissue52.82 Homotransplant of pancreas144 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)52.83 Heterotransplant of pancreas52.84 Autotransplantation of cells of Islets of LangerhansHomotransplantation of islet cells of pancreas52.85 Allotransplantation of cells of Islets of LangerhansHeterotransplantation of islet cells of pancreas52.86 Transplantation of cells of Islets of Langerhans, not otherwisespecified52.9 Other operations on pancreas52.92 Cannulation of pancreatic ductExcludes: that by endoscopic approach (52.93)52.93 Endoscopic insertion of stent (tube) into pancreatic ductInsertion of cannula or stent into pancreatic duct by proceduresclassifiable to 51.10- 51.11, 52.13Excludes: endoscopic insertion of nasopancreatic drainage tube (52.97)replacement of stent (tube) (97.05)52.94 Endoscopic removal of stone(s) from pancreatic ductRemoval of stone(s) from pancreatic duct by procedures classifiableto 51.10- 51.11, 52.1352.95 Other repair of pancreasFistulectomy of pancreasSimple suture of pancreas52.96 Anastomosis of pancreasAnastomosis of pancreas (duct) to:intestinejejunumstomachExcludes: anastomosis to:bile duct (51.39)gallbladder (51.33)52.97 Endoscopic insertion of nasopancreatic drainage tubeInsertion of nasopancreatic drainage tube by procedures classifiableto 51.10- 51.11, 52.13Excludes: drainage of pancreatic cyst by catheter (52.01)replacement of stent (tube) (97.05)52.98 Endoscopic dilation of pancreatic ductDilation of Wirsung's duct by procedures classifiable to51.10- 51.11, 52.1352.99 OtherDilation of pancreatic [Wirsung's] duct by open approachRepair of pancreatic [Wirsung's] duct by open approachExcludes: irrigation of pancreatic tube (96.42)removal of pancreatic tub (97.56) New code ® Revised code 4 th digit required 145

53 Repair of herniaICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Includes: hernioplastyherniorrhaphyCode also any application or administration of an adhesion barrier substance(99.77)Excludes: manual reduction of hernia (96.27)53.0 Other unilateral repair of inguinal hernia ®Excludes: laparoscopic unilateral repair of inguinal hernia (17.11-17.13)53.00 Unilateral repair of inguinal hernia, not otherwise specifiedInguinal herniorrhaphy NOS53.01 Other and open repair of direct inguinal hernia ®Direct and indirect inguinal hernia53.02 Other and open repair of indirect inguinal hernia ®53.03 Other and open repair of direct inguinal hernia with graft orprosthesis ®53.04 Other and open repair of indirect inguinal hernia with graft orprosthesis ®53.05 Repair of inguinal hernia with graft or prosthesis, not otherwisespecified53.1 Other bilateral repair of inguinal hernia ®Excludes: laparoscopic bilateral repair of inguinal hernia (17.21 17.24)53.10 Bilateral repair of inguinal hernia, not otherwise specified53.11 Other and open bilateral repair of direct inguinal hernia ®53.12 Other and open bilateral repair of indirect inguinal hernia ®53.13 Other and open bilateral repair of inguinal hernia, one direct andone indirect ®53.14 Other and open bilateral repair of direct inguinal hernia with graftor prosthesis ®53.15 Other and open bilateral repair of indirect inguinal hernia withgraft or prosthesis ®53.16 Other and open bilateral repair of inguinal hernia, one direct andone indirect, with graft or prosthesis ®53.17 Bilateral inguinal hernia repair with graft or prosthesis, nototherwise specified53.2 Unilateral repair of femoral hernia53.21 Unilateral repair of femoral hernia with graft or prosthesis53.29 Other unilateral femoral herniorrhaphy53.3 Bilateral repair of femoral hernia53.31 Bilateral repair of femoral hernia with graft or prosthesis53.39 Other bilateral femoral herniorrhaphy146 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)53.4 Repair of umbilical herniaExcludes: repair of gastroschisis (54.71)53.41 Other and open repair of umbilical hernia with graft or prosthesis ®53.42 Laparoscopic repair of umbilical hernia with graft or prosthesis 53.43 Other laparoscopic umbilical herniorrhaphy 53.49 Other open umbilical herniorrhaphy ®Excludes: other laparoscopic umbilical herniorrhaphy (53.43)repair of umbilical hernia with graft or prosthesis(53.41, 53.42)53.5 Repair of other hernia of anterior abdominal wall (without graft orprosthesis)53.51 Incisional hernia repair53.59 Repair of other hernia of anterior abdominal wallRepair of hernia:epigastrichypogastricspigelianventral53.6 Repair of other hernia of anterior abdominal wall with graft orprosthesis53.61 Other open incisional hernia repair with graft or prosthesis ®53.62 Laparoscopic incisional hernia repair with graft or prosthesis 53.63 Other laparoscopic repair of other hernia of anterior abdominalwall with graft or prosthesis 53.69 Other and open repair of other hernia of anterior abdominal wallwith graft or prosthesis®Excludes: other laparoscopic repair of other hernia of anteriorabdominal wall with graft or prosthesis (53.63)53.7 Repair of diaphragmatic hernia, abdominal approach53.71 Laparoscopic repair of diaphragmatic hernia, abdominal approach 53.72 Other and open repair of diaphragmatic hernia, abdominalapproach 53.75 Repair of diaphragmatic hernia, abdominal approach, nototherwise specified Excludes: laparoscopic repair of diaphragmatic hernia (53.71)other and open repair of diaphragmatic hernia (53.72)53.8 Repair of diaphragmatic hernia, thoracic approach53.80 Repair of diaphragmatic hernia with thoracic approach, nototherwise specifiedThoracoabdominal repair of diaphragmatic hernia53.81 Plication of the diaphragm New code ® Revised code 4 th digit required 147

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)53.82 Repair of parasternal hernia53.83 Laparoscopic repair of diaphragmatic hernia, with thoracicapproach 53.84 Other and open repair of diaphragmatic hernia, with thoracicapproach Excludes: repair of diaphragmatic hernia with thoracic approach, NOS(53.80)53.9 Other hernia repairRepair of hernia:ischiaticischiorectallumbarobturatoromentalretroperitonealsciaticExcludes: relief of strangulated hernia with exteriorization of intestine(46.01, 46.03)repair of pericolostomy hernia (46.42)repair of vaginal enterocele (70.92)54 Other operations on abdominal region ®Includes: operations on:epigastric regionflankgroin regionhypochondriuminguinal regionloin regionpelvic cavitymesenteryomentumperitoneumretroperitoneal tissue spaceCode also any application or administration of an adhesion barrier substance(99.77)Excludes: hernia repair (53.00-53.9)obliteration of cul-de-sac (70.92)retroperitoneal tissue dissection (59.00-59.09)skin and subcutaneous tissue of abdominalwall (86.01-86.99)54.0 Incision of abdominal wallDrainage of:abdominal wallextraperitoneal abscessretroperitoneal abscessExcludes: incision of peritoneum (54.95)laparotomy (54.11-54.19)54.1 Laparotomy148 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)54.11 Exploratory laparotomyExcludes: exploration incidental to intra abdominal surgery --omit code54.12 Reopening of recent laparotomy siteReopening of recent laparotomy site for:control of hemorrhageexplorationincision of hematoma54.19 Other laparotomyDrainage of intraperitoneal abscess or hematomaExcludes: culdocentesis (70.0)drainage of appendiceal abscess (47.2)exploration incidental to intra abdominal surgery --omit codeLadd operation (54.95)percutaneous drainage of abdomen (54.91)removal of foreign body (54.92)54.2 Diagnostic procedures of abdominal region54.21 LaparoscopyPeritoneoscopyExcludes: laparoscopic cholecystectomy (51.23)that incidental to destruction of fallopian tubes (66.21-66.29)54.22 Biopsy of abdominal wall or umbilicus54.23 Biopsy of peritoneumBiopsy of:mesenteryomentumperitoneal implantExcludes: closed biopsy of:omentum (54.24)peritoneum (54.24)54.24 Closed [percutaneous] [needle] biopsy of intra-abdominal massClosed biopsy of:omentumperitoneal implantperitoneumExcludes: that of:fallopian tube (66.11)ovary (65.11)uterine ligaments (68.15)uterus (68.16)54.25 Peritoneal lavageDiagnostic peritoneal lavageExcludes: peritoneal dialysis (54.98) New code ® Revised code 4 th digit required 149

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)54.29 Other diagnostic procedures on abdominal regionExcludes: abdominal lymphangiogram (88.04)abdominal x-ray NEC (88.19)angiocardiography of venae cava (88.51)C.A.T. scan of abdomen (88.01)contrast x-ray of abdominal cavity (88.11-88.15)intra-abdominal arteriography NEC (88.47)microscopic examination of peritoneal and retroperitonealspecimen (91.11-91.19)phlebography of:intra-abdominal vessels NEC (88.65)portal venous system (88.64)sinogram of abdominal wall (88.03)soft tissue x-ray of abdominal wall NEC (88.09)tomography of abdomen NE (88.02)ultrasonography of abdomen and retroperitoneum (88.76)54.3 Excision or destruction of lesion or tissue of abdominal wall orumbilicusDebridement of abdominal wallOmphalectomyExcludes: biopsy of abdominal wall or umbilicus (54.22)size reduction operation (86.83)that of skin of abdominal wall (86.22, 86.26, 86.3)54.4 Excision or destruction of peritoneal tissueExcision of:appendices epiploicaefalciform ligamentgastrocolic ligamentlesion of:mesenteryomentumperitoneumpresacral lesion NOSretroperitoneal lesion NOSExcludes: biopsy of peritoneum (54.23)endometrectomy of cul-de-sac (70.32)54.5 Lysis of peritoneal adhesionsFreeing of adhesions of:biliary tractintestinesliverpelvic peritoneumperitoneumspleenuterus150 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)Excludes: lysis of adhesions of:bladder (59.11)fallopian tube and ovarylaparoscopic (65.81)other (65.89)kidney (59.02)ureter (59.02)54.51 Laparoscopic lysis of peritoneal adhesions54.59 Other lysis of peritoneal adhesions54.6 Suture of abdominal wall and peritoneum54.61 Reclosure of postoperative disruption of abdominal wall54.62 Delayed closure of granulating abdominal woundTertiary subcutaneous wound closure54.63 Other suture of abdominal wallSuture of laceration of abdominal wallExcludes: closure of operative wound --omit code54.64 Suture of peritoneumSecondary suture of peritoneumExcludes: closure of operative wound --omit code54.7 Other repair of abdominal wall and peritoneum54.71 Repair of gastroschisis54.72 Other repair of abdominal wall54.73 Other repair of peritoneumSuture of gastrocolic ligament54.74 Other repair of omentumEpiplorrhaphyGraft of omentumOmentopexyReduction of torsion of omentumExcludes: cardio-omentopexy (36.39)54.75 Other repair of mesenteryMesenteric plicationMesenteropexy54.9 Other operations of abdominal regionExcludes: removal of ectopic pregnancy (74.3)54.91 Percutaneous abdominal drainageParacentesisExcludes: creation of cutaneoperitoneal fistula (54.93)54.92 Removal of foreign body from peritoneal cavity54.93 Creation of cutaneoperitoneal fistula54.94 Creation of peritoneovascular shuntPeritoneovenous shunt New code ® Revised code 4 th digit required 151

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)54.95 Incision of peritoneumExploration of ventriculoperitoneal shunt at peritoneal siteLadd operationRevision of distal catheter of ventricular shuntRevision of ventriculoperitoneal shunt at peritoneal siteExcludes: that incidental to laparotomy (54.11-54.19)54.96 Injection of air into peritoneal cavityPneumoperitoneumExcludes: that for:collapse of lung (33.33)radiography (88.12-88.13, 88.15)54.97 Injection of locally-acting therapeutic substance into peritonealcavityExcludes: peritoneal dialysis (54.98)54.98 Peritoneal dialysis54.99 OtherExcludes: peritoneal lavage (diagnostic) (54.25)Excludes: removal of:abdominal wall suture (97.83)peritoneal drainage device (97.82)retroperitoneal drainage device (97.81)152 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE URINARY SYSTEM (55-59)10. OPERATIONS ON THE URINARY SYSTEM (55-59)55 Operations on kidneyIncludes: operations on renal pelvisCode also any application or administration of an adhesion barrier substance(99.77)Excludes: perirenal tissue (59.00-59.09, 59.21-59.29,59.91-59.92)55.0 Nephrotomy and nephrostomyExcludes: drainage by:anastomosis (55.86)aspiration (55.92)incision of kidney pelvis (55.11-55.12)55.01 NephrotomyEvacuation of renal cystExploration of kidneyNephrolithotomy55.02 Nephrostomy55.03 Percutaneous nephrostomy without fragmentationNephrostolithotomy, percutaneous (nephroscopic)Percutaneous removal of kidney stone(s) by:basket extractionforceps extraction (nephroscopic)Pyelostolithotomy, percutaneous (nephroscopic)With placement of catheter down ureterExcludes: percutaneous removal by fragmentation (55.04)repeat nephroscopic removal during current episode (55.92)55.04 Percutaneous nephrostomy with fragmentationPercutaneous nephrostomy with disruption of kidney stone byultrasonic energy and extraction (suction) through endoscopeWith placement of catheter down ureterWith fluoroscopic guidanceExcludes: repeat fragmentation during current episode (59.95)55.1 Pyelotomy and pyelostomyExcludes: drainage by anastomosis (55.86)percutaneous pyelostolithotomy (55.03)removal of calculus without incision (56.0)55.11 PyelotomyExploration of renal pelvisPyelolithotomy55.12 PyelostomyInsertion of drainage tube into renal pelvis55.2 Diagnostic procedures on kidney55.21 Nephroscopy55.22 Pyeloscopy New code ® Revised code 4 th digit required 153

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)55.23 Closed [percutaneous] [needle] biopsy of kidneyEndoscopic biopsy via existing nephrostomy, nephrotomy,pyelostomy, or pyelotomy55.24 Open biopsy of kidney55.29 Other diagnostic procedures on kidneyExcludes: microscopic examination of specimen from kidney(91.21-91.29)pyelogram:intravenous (87.73)percutaneous (87.75)retrograde (87.74)radioisotope scan (92.03)renal arteriography (88.45)tomography:C.A.T. scan (87.71)other (87.72)55.3 Local excision or destruction of lesion or tissue of kidney55.31 Marsupialization of kidney lesion55.32 Open ablation of renal lesion or tissue55.33 Percutaneous ablation of renal lesion or tissue55.34 Laparoscopic ablation of renal lesion or tissue55.35 Other and unspecified ablation of renal lesion or tissue55.39 Other local destruction or excision of renal lesion or tissueObliteration of calyceal diverticulumExcludes: ablation of renal lesion or tissue:laparoscopic (55.34)open (55.32)other (55.35)percutaneous (55.33)biopsy of kidney (55.23-55.24)partial nephrectomy (55.4)percutaneous aspiration of kidney (55.92)wedge resection of kidney (55.4)55.4 Partial nephrectomyCalycectomyWedge resection of kidneyCode also any synchronous resection of ureter (56.40- 56.42)55.5 Complete nephrectomyCode also any synchronous excision of:adrenal gland (07.21- 07.3)bladder segment (57.6)lymph nodes (40.3, 40.52- 40.59)55.51 NephroureterectomyNephroureterectomy with bladder cuffTotal nephrectomy (unilateral)Excludes: removal of transplanted kidney (55.53)154 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE URINARY SYSTEM (55-59)55.52 Nephrectomy of remaining kidneyRemoval of solitary kidneyExcludes: removal of transplanted kidney (55.53)55.53 Removal of transplanted or rejected kidney55.54 Bilateral nephrectomyExcludes: complete nephrectomy NOS (55.51)55.6 Transplant of kidneyNote: To report donor source --see codes 00.91- 00.9355.61 Renal autotransplantation55.69 Other kidney transplantation55.7 NephropexyFixation or suspension of movable [floating] kidney55.8 Other repair of kidney55.81 Suture of laceration of kidney55.82 Closure of nephrostomy and pyelostomy55.83 Closure of other fistula of kidney55.84 Reduction of torsion of renal pedicle55.85 Symphysiotomy for horseshoe kidney55.86 Anastomosis of kidneyNephropyeloureterostomyPyeloureterovesical anastomosisUreterocalyceal anastomosisExcludes: nephrocystanastomosis NOS (56.73)55.87 Correction of ureteropelvic junction55.89 Other55.9 Other operations on kidneyExcludes: lysis of perirenal adhesions (59.02)55.91 Decapsulation of kidneyCapsulectomy of kidneyDecortication of kidney55.92 Percutaneous aspiration of kidney (pelvis)Aspiration of renal cystRenipunctureExcludes: percutaneous biopsy of kidney (55.23)55.93 Replacement of nephrostomy tube55.94 Replacement of pyelostomy tube55.95 Local perfusion of kidney55.96 Other injection of therapeutic substance into kidneyInjection into renal cyst55.97 Implantation or replacement of mechanical kidney55.98 Removal of mechanical kidney New code ® Revised code 4 th digit required 155

55.99 OtherICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: removal of pyelostomy or nephrostomy tube (97.61)56 Operations on ureterCode also any application or administration of an adhesion barrier substance(99.77)56.0 Transurethral removal of obstruction from ureter and renalpelvisRemoval of:blood clot from ureter or renal pelvis without incisioncalculus from ureter or renal pelvis without incisionforeign body from ureter or renal pelvis without incisionExcludes: manipulation without removal of obstruction (59.8)that by incision (55.11, 56.2)transurethral insertion of ureteral stent for passage of calculus(59.8)56.1 Ureteral meatotomy56.2 UreterotomyIncision of ureter for:drainageexplorationremoval of calculusExcludes: cutting of ureterovesical orifice (56.1)removal of calculus without incision (56.0)transurethral insertion of ureteral stent for passage of calculus(59.8)urinary diversion (56.51-56.79)56.3 Diagnostic procedures on ureter56.31 Ureteroscopy56.32 Closed percutaneous biopsy of ureterExcludes: endoscopic biopsy of ureter (56.33)56.33 Closed endoscopic biopsy of ureterCystourethroscopy with ureteral biopsyTransurethral biopsy of ureterUreteral endoscopy with biopsy through ureterotomyUreteroscopy with biopsyExcludes: percutaneous biopsy of ureter (56.32)56.34 Open biopsy of ureter56.35 Endoscopy (cystoscopy) (looposcopy)of ileal conduit56.39 Other diagnostic procedures on ureterExcludes: microscopic examination of specimen from ureter(91.21-91.29)156 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

56.4 UreterectomyOPERATIONS ON THE URINARY SYSTEM (55-59)Code also anastomosis other than end- to- end (56.51- 56.79)Excludes: fistulectomy (56.84)nephroureterectomy (55.51-55.54)56.40 Ureterectomy, not otherwise specified56.41 Partial ureterectomyExcision of lesion of ureterShortening of ureter with reimplantationExcludes: biopsy of ureter (56.32-56.34)56.42 Total ureterectomy56.5 Cutaneous uretero-ileostomy56.51 Formation of cutaneous uretero-ileostomyConstruction of ileal conduitExternal ureteral ileostomyFormation of open ileal bladderIleal loop operationIleoureterostomy (Bricker's) (ileal bladder)Transplantation of ureter into ileum with external diversionExcludes: closed ileal bladder (57.87)replacement of ureteral defect by ileal segment (56.89)56.52 Revision of cutaneous uretero-ileostomy56.6 Other external urinary diversion56.61 Formation of other cutaneous ureterostomyAnastomosis of ureter to skinUreterostomy NOS56.62 Revision of other cutaneous ureterostomyRevision of ureterostomy stomaExcludes: nonoperative removal of ureterostomy tube (97.62)56.7 Other anastomosis or bypass of ureterExcludes: ureteropyelostomy (55.86)56.71 Urinary diversion to intestineAnastomosis of ureter to intestineInternal urinary diversion NOSCode also any synchronous colostomy (46.10- 46.13)Excludes: external ureteral ileostomy (56.51)56.72 Revision of ureterointestinal anastomosisExcludes: revision of external ureteral ileostomy (56.52)56.73 Nephrocystanastomosis, not otherwise specified56.74 UreteroneocystostomyReplacement of ureter with bladder flapUreterovesical anastomosis56.75 Transureteroureterostomy56.79 OtherExcludes: ureteroureterostomy associated with partial resection (56.41) New code ® Revised code 4 th digit required 157

56.8 Repair of ureterICD-9-CM TABULAR LIST OF PROCEDURES (FY10)56.81 Lysis of intraluminal adhesions of ureter ®Excludes: lysis of periureteral adhesions (59.02-59.03)ureterolysis (59.02-59.03)56.82 Suture of laceration of ureter56.83 Closure of ureterostomy56.84 Closure of other fistula of ureter56.85 Ureteropexy56.86 Removal of ligature from ureter56.89 Other repair of ureterGraft of ureterReplacement of ureter with ileal segment implanted into bladderUreteroplication56.9 Other operations on ureter56.91 Dilation of ureteral meatus56.92 Implantation of electronic ureteral stimulator56.93 Replacement of electronic ureteral stimulator56.94 Removal of electronic ureteral stimulatorExcludes: that with synchronous replacement (56.93)56.95 Ligation of ureter56.99 OtherExcludes: removal of ureterostomy tube an ureteral catheter (97.62)ureteral catheterization (59.8)57 Operations on urinary bladderCode also any application or administration of an adhesion barrier substance(99.77)Excludes: perivesical tissue (59.11-59.29, 59.91-59.92)ureterovesical orifice (56.0-56.99)57.0 Transurethral clearance of bladderDrainage of bladder without incisionRemoval of:blood clots from bladder without incisioncalculus from bladder without incisionforeign body from bladder without incisionExcludes: that by incision (57.19)57.1 Cystotomy and cystostomyExcludes: cystotomy and cystostomy as operative approach --omit code57.11 Percutaneous aspiration of bladder57.12 Lysis of intraluminal adhesions with incision into bladderExcludes: transurethral lysis of intraluminal adhesions (57.41)158 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE URINARY SYSTEM (55-59)57.17 Percutaneous cystostomyClosed cystostomyPercutaneous suprapubic cystostomyExcludes: removal of cystostomy tube (97.63)replacement of cystostomy tube (59.94)57.18 Other suprapubic cystostomyExcludes: percutaneous cystostomy (57.17)removal of cystostomy tub (97.63)replacement of cystostomy tube (59.94)57.19 Other cystotomyCystolithotomy57.2 VesicostomyExcludes: percutaneous cystostomy (57.17)suprapubic cystostomy (57.18)Excludes: percutaneous cystostomy (57.17)suprapubic cystostomy (57.18)57.21 VesicostomyCreation of permanent opening from bladder to skin using abladder flap57.22 Revision or closure of vesicostomyExcludes: closure of cystostomy (57.82)57.3 Diagnostic procedures on bladder57.31 Cystoscopy through artificial stoma57.32 Other cystoscopyTransurethral cystoscopyExcludes: cystourethroscopy with ureteral biopsy (56.33)retrograde pyelogram (87.74)that for control of hemorrhage (postoperative):bladder (57.93)prostate (60.94)57.33 Closed [transurethral] biopsy of bladder57.34 Open biopsy of bladder57.39 Other diagnostic procedures on bladderExcludes: cystogram NEC (87.77)microscopic examination of specimen from bladder(91.31-91.39)retrograde cystourethrogram (87.76)therapeutic distention of bladder (96.25)57.4 Transurethral excision or destruction of bladder tissue57.41 Transurethral lysis of intraluminal adhesions57.49 Other transurethral excision or destruction of lesion or tissueof bladderEndoscopic resection of bladder lesionExcludes: transurethral biopsy of bladder (57.33)transurethral fistulectomy (57.83-57.84) New code ® Revised code 4 th digit required 159

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)57.5 Other excision or destruction of bladder tissueExcludes: that with transurethral approach (57.41-57.49)57.51 Excision of urachusExcision of urachal sinus of bladderExcludes: excision of urachal cyst of abdominal wall (54.3)57.59 Open excision or destruction of other lesion or tissue of bladderEndometrectomy of bladderSuprapubic excision of bladder lesionExcludes: biopsy of bladder (57.33-57.34)fistulectomy of bladder (57.83-57.84)57.6 Partial cystectomyExcision of bladder domeTrigonectomyWedge resection of bladder57.7 Total cystectomyIncludes: total cystectomy with urethrectomy57.71 Radical cystectomyPelvic exenteration in maleRemoval of bladder, prostate, seminal vesicles, and fatRemoval of bladder, urethra, and fat in a femaleCode also any:lymph node dissection (40.3, 40.5)urinary diversion (56.51- 56.79)Excludes: that as part of pelvic exenteration in female (68.8)57.79 Other total cystectomy57.8 Other repair of urinary bladderExcludes: repair of:current obstetric laceration (75.61)cystocele (70.50-70.51)that for stress incontinence (59.3-59.79)57.81 Suture of laceration of bladder57.82 Closure of cystostomy57.83 Repair of fistula involving bladder and intestineRectovesicovaginal fistulectomyVesicosigmoidovaginal fistulectomy57.84 Repair of other fistula of bladderCervicovesical fistulectomyUrethroperineovesical fistulectomyUterovesical fistulectomyVaginovesical fistulectomyExcludes: vesicoureterovagina fistulectomy (56.84)57.85 Cystourethroplasty and plastic repair of bladder neckPlication of sphincter of urinary bladderV- Y plasty of bladder neck57.86 Repair of bladder exstrophy160 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE URINARY SYSTEM (55-59)57.87 Reconstruction of urinary bladderAnastomosis of bladder with isolated segment of ileumAugmentation of bladderReplacement of bladder with ileum or sigmoid [closed ileal bladder]Code also resection of intestine (45.50- 45.52)57.88 Other anastomosis of bladderAnastomosis of bladder to intestine NOSCystocolic anastomosisExcludes: formation of closed ilea bladder (57.87)57.89 Other repair of bladderBladder suspension, not elsewhere classifiedCystopexy NOSRepair of old obstetric laceration of bladderExcludes: repair of current obstetric laceration (75.61)57.9 Other operations on bladder57.91 Sphincterotomy of bladderDivision of bladder neck57.92 Dilation of bladder neck57.93 Control of (postoperative) hemorrhage of bladder57.94 Insertion of indwelling urinary catheter57.95 Replacement of indwelling urinary catheter57.96 Implantation of electronic bladder stimulator57.97 Replacement of electronic bladder stimulator57.98 Removal of electronic bladder stimulator57.99 OtherExcludes: that with synchronou replacement (57.97)Excludes: irrigation of:cystostomy (96.47)other indwelling urinary catheter (96.48)lysis of external adhesions (59.11)removal of:cystostomy tube (97.63)other urinary drainage devic (97.64)therapeutic distention of bladder (96.25)58 Operations on urethraIncludes: operations on:bulbourethral gland [Cowper's gland]periurethral tissueCode also any application or administration of an adhesion barrier substance(99.77) New code ® Revised code 4 th digit required 161

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)58.0 UrethrotomyExcision of urethral septumFormation of urethrovaginal fistulaPerineal urethrostomyRemoval of calculus from urethra by incisionExcludes: drainage of bulbourethral gland or periurethral tissue (58.91)internal urethral meatotomy (58.5)removal of urethral calculus without incision (58.6)58.1 Urethral meatotomyExcludes: internal urethral meatotomy (58.5)58.2 Diagnostic procedures on urethra58.21 Perineal urethroscopy58.22 Other urethroscopy58.23 Biopsy of urethra58.24 Biopsy of periurethral tissue58.29 Other diagnostic procedures on urethra and periurethral tissueExcludes: microscopic examination of specimen from urethra(91.31-91.39)retrograde cystourethrogram (87.76)urethral pressure profil (89.25)urethral sphincter electromyogram (89.23)58.3 Excision or destruction of lesion or tissue of urethraExcludes: biopsy of urethra (58.23)excision of bulbourethral gland (58.92)fistulectomy (58.43)urethrectomy as part of:complete cystectomy (57.79)pelvic evisceration (68.8)radical cystectomy (57.71)58.31 Endoscopic excision or destruction of lesion or tissue of urethraFulguration of urethral lesion58.39 Other local excision or destruction of lesion or tissue of urethraExcision of:congenital valve of urethralesion of urethrastricture of urethraUrethrectomyExcludes: that by endoscopic approach (58.31)58.4 Repair of urethraExcludes: repair of current obstetric laceration (75.61)58.41 Suture of laceration of urethra58.42 Closure of urethrostomy58.43 Closure of other fistula of urethraExcludes: repair of urethroperineovesical fistula (57.84)162 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE URINARY SYSTEM (55-59)58.44 Reanastomosis of urethraAnastomosis of urethra58.45 Repair of hypospadias or epispadias58.46 Other reconstruction of urethraUrethral construction58.47 Urethral meatoplasty58.49 Other repair of urethraBenenenti rotation of bulbous urethraRepair of old obstetric laceration of urethraUrethral plicationExcludes: repair of:current obstetric laceration (75.61)urethrocele (70.50-70.51)58.5 Release of urethral strictureCutting of urethral sphincterInternal urethral meatotomyUrethrolysis58.6 Dilation of urethraDilation of urethrovesical junctionPassage of sounds through urethraRemoval of calculus from urethra without incisionExcludes: urethral calibration (89.29)58.9 Other operations on urethra and periurethral tissue58.91 Incision of periurethral tissueDrainage of bulbourethral gland58.92 Excision of periurethral tissueExcludes: biopsy of periurethral tissue (58.24)lysis of periurethral adhesionslaparoscopic (59.12)other (59.11)58.93 Implantation of artificial urinary sphincter [AUS]Placement of inflatable:bladder sphincterurethral sphincterRemoval with replacement of sphincter device [AUS]With pump and/or reservoir58.99 OtherRemoval of inflatable urinary sphincter without replacementRepair of inflatable sphincter pump and/or reservoirSurgical correction of hydraulic pressure of inflatable sphincterdeviceExcludes: removal of:intraluminal foreign body from urethra without incision(98.19)urethral stent (97.65) New code ® Revised code 4 th digit required 163

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)59 Other operations on urinary tractCode also any application or administration of an adhesion barrier substance(99.77)59.0 Dissection of retroperitoneal tissue59.00 Retroperitoneal dissection, not otherwise specified59.02 Other lysis of perirenal or periureteral adhesionsExcludes: that by laparoscope (59.03)59.03 Laparoscopic lysis of perirenal or periureteral adhesions59.09 Other incision of perirenal or periureteral tissueExploration of perinephric areaIncision of perirenal abscess59.1 Incision of perivesical tissue59.11 Other lysis of perivesical adhesions59.12 Laparoscopic lysis of perivesical adhesions59.19 Other incision of perivesical tissueExploration of perivesical tissueIncision of hematoma of space of RetziusRetropubic exploration59.2 Diagnostic procedures on perirenal and perivesical tissue59.21 Biopsy of perirenal or perivesical tissue59.29 Other diagnostic procedures on perirenal tissue, perivesical tissue,and retroperitoneumExcludes: microscopic examination of specimen from:perirenal tissue (91.21-91.29)perivesical tissue (91.31-91.39)retroperitoneum NEC (91.11-91.19)retroperitoneal x-ray (88.14-88.16)59.3 Plication of urethrovesical junctionKelly- Kennedy operation on urethraKelly- Stoeckel urethral plication59.4 Suprapubic sling operationGoebel- Frangenheim- Stoeckel urethrovesical suspensionMillin- Read urethrovesical suspensionOxford operation for urinary incontinenceUrethrocystopexy by suprapubic suspension59.5 Retropubic urethral suspensionBurch procedureMarshall- Marchetti- Krantz operationSuture of periurethral tissue to symphysis pubisUrethral suspension NOS59.6 Paraurethral suspensionPereyra paraurethral suspensionPeriurethral suspension164 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE URINARY SYSTEM (55-59)59.7 Other repair of urinary stress incontinence59.71 Levator muscle operation for urethrovesical suspensionCystourethropexy with levator muscle slingGracilis muscle transplant for urethrovesical suspensionPubococcygeal sling59.72 Injection of implant into urethra and/or bladder neckCollagen implantEndoscopic injection of implantFat implantPolytef implant59.79 OtherAnterior urethropexyRepair of stress incontinence NOSTudor "rabbit ear" urethropexy59.8 Ureteral catheterizationDrainage of kidney by catheterInsertion of ureteral stentUreterovesical orifice dilationCode also any ureterotomy (56.2)Excludes: that for:retrograde pyelogram (87.74)transurethral removal of calculus or clot from ureter andrenal pelvis (56.0)59.9 Other operations on urinary systemExcludes: nonoperative removal of therapeutic device (97.61-97.69)59.91 Excision of perirenal or perivesical tissueExcludes: biopsy of perirenal or perivesical tissue (59.21)59.92 Other operations on perirenal or perivesical tissue59.93 Replacement of ureterostomy tubeChange of ureterostomy tubeReinsertion of ureterostomy tubeExcludes: nonoperative removal of ureterostomy tube (97.62)59.94 Replacement of cystostomy tubeExcludes: nonoperative removal of cystostomy tube (97.63)59.95 Ultrasonic fragmentation of urinary stonesShattered urinary stones59.99 OtherExcludes: percutaneous nephrostomy with fragmentation (55.04)shock-wave disintegratio (98.51)Excludes: instillation of medication into urinary tract (96.49)irrigation of urinary tract (96.45-96.48) New code ® Revised code 4 th digit required 165

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)11. OPERATIONS ON THE MALE GENITAL ORGANS (60-64)60 Operations on prostate and seminal vesiclesIncludes: operations on periprostatic tissueCode also any application or administration of an adhesion barrier substance(99.77)Excludes: that associated with radical cystectomy (57.71)60.0 Incision of prostateDrainage of prostatic abscessProstatolithotomyExcludes: drainage of periprostatic tissue only (60.81)60.1 Diagnostic procedures on prostate and seminal vesicles60.11 Closed [percutaneous] [needle] biopsy of prostateApproach:transrectaltransurethralPunch biopsy60.12 Open biopsy of prostate60.13 Closed [percutaneous] biopsy of seminal vesiclesNeedle biopsy of seminal vesicles60.14 Open biopsy of seminal vesicles60.15 Biopsy of periprostatic tissue60.18 Other diagnostic procedures on prostate and periprostatic tissueExcludes: microscopic examination of specimen from prostate(91.31-91.39)x-ray of prostate (87.92)60.19 Other diagnostic procedures on seminal vesiclesExcludes: microscopic examination of specimen from seminal vesicles(91.31-91.39)x-ray:contrast seminal vesiculogra (87.91)other (87.92)60.2 Transurethral prostatectomyExcludes: local excision of lesion of prostate (60.61)60.21 Transurethral (ultrasound) guided laser induced prostatectomy(TULIP)Ablation (contact) (noncontact) by laser60.29 Other transurethral prostatectomyExcision of median bar by transurethral approachTransurethral electrovaporization of prostrate (TEVAP)Transurethral enucleative procedureTransurethral prostatectomy NOSTransurethral resection of prostate (TURP)166 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MALE GENITAL ORGANS (60-64)60.3 Suprapubic prostatectomyTransvesical prostatectomyExcludes: local excision of lesion of prostate (60.61)radical prostatectomy (60.5)60.4 Retropubic prostatectomyExcludes: local excision of lesion of prostate (60.61)radical prostatectomy (60.5)60.5 Radical prostatectomyProstatovesiculectomyRadical prostatectomy by any approachExcludes: cystoprostatectomy (57.71)60.6 Other prostatectomy60.61 Local excision of lesion of prostate ®Excludes: biopsy of prostate (60.11-60.12)laser interstitial thermal therapy [LITT] of lesion or tissueof prostate under guidance (17.69)60.62 Perineal prostatectomyCryoablation of prostateCryoprostatectomyCryosurgery of prostateRadical cryosurgical ablation of prostate (RCSA)60.69 OtherExcludes: local excision of lesion of prostate (60.61)60.7 Operations on seminal vesicles60.71 Percutaneous aspiration of seminal vesicleExcludes: needle biopsy of seminal vesicle (60.13)60.72 Incision of seminal vesicle60.73 Excision of seminal vesicleExcision of Müllerian duct cystSpermatocystectomyExcludes: biopsy of seminal vesicle (60.13-60.14)prostatovesiculectomy (60.5)60.79 Other operations on seminal vesicles60.8 Incision or excision of periprostatic tissue60.81 Incision of periprostatic tissueDrainage of periprostatic abscess60.82 Excision of periprostatic tissueExcision of lesion of periprostatic tissueExcludes: biopsy of periprostatic tissue (60.15)60.9 Other operations on prostate60.91 Percutaneous aspiration of prostateExcludes: needle biopsy of prostat (60.11) New code ® Revised code 4 th digit required 167

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)60.92 Injection into prostate test link60.93 Repair of prostate60.94 Control of (postoperative) hemorrhage of prostateCoagulation of prostatic bedCystoscopy for control of prostatic hemorrhage60.95 Transurethral balloon dilation of the prostatic urethra60.96 Transurethral destruction of prostate tissue by microwavethermotherapyTransurethral microwave thermotherapy (TUMT) of prostateExcludes: Prostatectomy:other (60.61 - 60.69)radical (60.5)retropubic (60.4)suprapubic (60.3)transurethral (60.21 - 60.29)60.97 Other transurethral destruction of prostate tissue by otherthermotherapyRadiofrequency thermotherapyTransurethral needle ablation (TUNA) of prostate60.99 OtherExcludes: Prostatectomy:other (60.61 - 60.69)radical (60.5)retropubic (60.4)suprapubic (60.3)transurethral (60.21 - 60.29)Excludes: prostatic massage (99.94)61 Operations on scrotum and tunica vaginalis61.0 Incision and drainage of scrotum and tunica vaginalisExcludes: percutaneous aspiration of hydrocele (61.91)61.1 Diagnostic procedures on scrotum and tunica vaginalis61.11 Biopsy of scrotum or tunica vaginalis61.19 Other diagnostic procedures on scrotum and tunica vaginalis61.2 Excision of hydrocele (of tunica vaginalis)Bottle repair of hydrocele of tunica vaginalisExcludes: percutaneous aspiration of hydrocele (61.91)61.3 Excision or destruction of lesion or tissue of scrotumFulguration of lesion of scrotumReduction of elephantiasis of scrotumPartial scrotectomy of scrotumExcludes: biopsy of scrotum (61.11)scrotal fistulectomy (61.42)168 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MALE GENITAL ORGANS (60-64)61.4 Repair of scrotum and tunica vaginalis61.41 Suture of laceration of scrotum and tunica vaginalis61.42 Repair of scrotal fistula61.49 Other repair of scrotum and tunica vaginalisReconstruction with rotational or pedicle flaps61.9 Other operations on scrotum and tunica vaginalis61.91 Percutaneous aspiration of tunica vaginalisAspiration of hydrocele of tunica vaginalis61.92 Excision of lesion of tunica vaginalis other than hydroceleExcision of hematocele of tunica vaginalis61.99 OtherExcludes: removal of foreign body from scrotum without incision(98.24)62 Operations on testes62.0 Incision of testis62.1 Diagnostic procedures on testes62.11 Closed [percutaneous] [needle] biopsy of testis62.12 Open biopsy of testis62.19 Other diagnostic procedures on testes62.2 Excision or destruction of testicular lesionExcision of appendix testisExcision of cyst of Morgagni in the maleExcludes: biopsy of testis (62.11-62.12)62.3 Unilateral orchiectomyOrchidectomy (with epididymectomy) NOS62.4 Bilateral orchiectomyMale castrationRadical bilateral orchiectomy (with epididymectomy)Code also any synchronous lymph node dissection (40.3, 40.5)62.41 Removal of both testes at same operative episodeBilateral orchidectomy NOS62.42 Removal of remaining testisRemoval of solitary testis62.5 OrchiopexyMobilization and replacement of testis in scrotumOrchiopexy with detorsion of testisTorek (- Bevan) operation (orchidopexy) (first stage) (second stage)Transplantation to and fixation of testis in scrotum New code ® Revised code 4 th digit required 169

62.6 Repair of testesICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: reduction of torsion (63.52)62.61 Suture of laceration of testis62.69 Other repair of testisTesticular graft62.7 Insertion of testicular prosthesis62.9 Other operations on testes62.91 Aspiration of testisExcludes: percutaneous biopsy of testis (62.11)62.92 Injection of therapeutic substance into testis62.99 Other63 Operations on spermatic cord, epididymis, and vas deferens63.0 Diagnostic procedures on spermatic cord, epididymis, and vasdeferens63.01 Biopsy of spermatic cord, epididymis, or vas deferens63.09 Other diagnostic procedures on spermatic cord, epididymis, andvas deferensExcludes: contrast epididymogram (87.93)contrast vasogram (87.94)other x-ray of epididymis and vas deferens (87.95)63.1 Excision of varicocele and hydrocele of spermatic cordHigh ligation of spermatic veinHydrocelectomy of canal of Nuck63.2 Excision of cyst of epididymisSpermatocelectomy63.3 Excision of other lesion or tissue of spermatic cord andepididymisExcision of appendix epididymisExcludes: biopsy of spermatic cord or epididymis (63.01)63.4 EpididymectomyExcludes: that synchronous with orchiectomy (62.3-62.42)63.5 Repair of spermatic cord and epididymis63.51 Suture of laceration of spermatic cord and epididymis63.52 Reduction of torsion of testis or spermatic cordExcludes: that associated with orchiopexy (62.5)63.53 Transplantation of spermatic cord63.59 Other repair of spermatic cord and epididymis170 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

63.6 VasotomyVasostomyOPERATIONS ON THE MALE GENITAL ORGANS (60-64)63.7 Vasectomy and ligation of vas deferens63.70 Male sterilization procedure, not otherwise specified63.71 Ligation of vas deferensCrushing of vas deferensDivision of vas deferens63.72 Ligation of spermatic cord63.73 Vasectomy63.8 Repair of vas deferens and epididymis63.81 Suture of laceration of vas deferens and epididymis63.82 Reconstruction of surgically divided vas deferens63.83 Epididymovasostomy63.84 Removal of ligature from vas deferens63.85 Removal of valve from vas deferens63.89 Other repair of vas deferens and epididymis63.9 Other operations on spermatic cord, epididymis, and vasdeferens63.91 Aspiration of spermatocele63.92 Epididymotomy63.93 Incision of spermatic cord63.94 Lysis of adhesions of spermatic cord63.95 Insertion of valve in vas deferens63.99 Other64 Operations on penisIncludes: operations on:corpora cavernosaglans penisprepuce64.0 Circumcision64.1 Diagnostic procedures on the penis64.11 Biopsy of penis64.19 Other diagnostic procedures on penis64.2 Local excision or destruction of lesion of penisExcludes: biopsy of penis (64.11)64.3 Amputation of penis64.4 Repair and plastic operation on penis64.41 Suture of laceration of penis New code ® Revised code 4 th digit required 171

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)64.42 Release of chordee64.43 Construction of penis64.44 Reconstruction of penis64.45 Replantation of penisReattachment of amputated penis64.49 Other repair of penisExcludes: repair of epispadias and hypospadias (58.45)64.5 Operations for sex transformation, not elsewhere classified64.9 Other operations on male genital organs64.91 Dorsal or lateral slit of prepuce64.92 Incision of penis64.93 Division of penile adhesions64.94 Fitting of external prosthesis of penisPenile prosthesis NOS64.95 Insertion or replacement of non-inflatable penile prosthesisInsertion of semi- rigid rod prosthesis into shaft of penisExcludes: external penile prosthesis (64.94)inflatable penile prosthesis (64.97)plastic repair, penis (64.43-64.49)that associated with:construction (64.43)reconstruction (64.44)64.96 Removal of internal prosthesis of penisRemoval without replacement of non- inflatable or inflatablepenile prosthesis64.97 Insertion or replacement of inflatable penile prosthesisInsertion of cylinders into shaft of penis and placement of pumpand reservoirExcludes: external penile prosthesis (64.94)non-inflatable penile prosthesi s (64.95)plastic repair, penis (64.43-64.49)64.98 Other operations on penisCorpora cavernosa- corpus spongiosum shuntCorpora- saphenous shuntIrrigation of corpus cavernosum64.99 OtherExcludes: removal of foreign body:intraluminal (98.19)without incision (98.24)stretching of foreskin (99.95)Excludes: collection of sperm fo artificial insemination (99.96)172 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)12. OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)65 Operations on ovaryCode also any application or administration of an adhesion barrier substance(99.77)65.0 OophorotomySalpingo- oophorotomy65.01 Laparoscopic oophorotomy65.09 Other oophorotomy65.1 Diagnostic procedures on ovaries65.11 Aspiration biopsy of ovary65.12 Other biopsy of ovary65.13 Laparoscopic biopsy of ovary65.14 Other laparoscopic diagnostic procedures on ovaries65.19 Other diagnostic procedures on ovariesExcludes: microscopic examination of specimen from ovary(91.41-91.49)65.2 Local excision or destruction of ovarian lesion or tissue65.21 Marsupialization of ovarian cystExcludes: that by laparoscope (65.23)65.22 Wedge resection of ovaryExcludes: that by laparoscope (65.24)65.23 Laparoscopic marsupialization of ovarian cyst65.24 Laparoscopic wedge resection of ovary65.25 Other laparoscopic local excision or destruction of ovary65.29 Other local excision or destruction of ovaryBisection of ovaryCauterization of ovaryPartial excision of ovaryExcludes: biopsy of ovary (65.11-65.13)that by laparoscope (65.25)65.3 Unilateral oophorectomy65.31 Laparoscopic unilateral oophorectomy65.39 Other unilateral oophorectomyExcludes: that by laparoscope (65.31)65.4 Unilateral salpingo-oophorectomy65.41 Laparoscopic unilateral salpingo-oophorectomy65.49 Other unilateral salpingo-oophorectomy New code ® Revised code 4 th digit required 173

65.5 Bilateral oophorectomyICD-9-CM TABULAR LIST OF PROCEDURES (FY10)65.51 Other removal of both ovaries at same operative episodeFemale castrationExcludes: that by laparoscope (65.53)65.52 Other removal of remaining ovaryRemoval of solitary ovaryExcludes: that by laparoscope (65.54)65.53 Laparoscopic removal of both ovaries at same operative episode65.54 Laparoscopic removal of remaining ovary65.6 Bilateral salpingo-oophorectomy65.61 Other removal of both ovaries and tubes at same operativeepisodeExcludes: that by laparoscope (65.63)65.62 Other removal of remaining ovary and tubeRemoval of solitary ovary and tubeExcludes: that by laparoscope (65.64)65.63 Laparoscopic removal of both ovaries and tubes at same operativeepisode65.64 Laparoscopic removal of remaining ovary and tube65.7 Repair of ovaryExcludes: salpingo-oophorostomy (66.72)65.71 Other simple suture of ovaryExcludes: that by laparoscope (65.74)65.72 Other reimplantation of ovaryExcludes: that by laparoscope (65.75)65.73 Other salpingo-oophoroplastyExcludes: that by laparoscope (65.76)65.74 Laparoscopic simple suture of ovary65.75 Laparoscopic reimplantation of ovary65.76 Laparoscopic salpingo-oophoroplasty65.79 Other repair of ovaryOophoropexy65.8 Lysis of adhesions of ovary and fallopian tube65.81 Laparoscopic lysis of adhesions of ovary and fallopian tube65.89 Other lysis of adhesions of ovary and fallopian tubeExcludes: that by laparoscope (65.81)65.9 Other operations on ovary65.91 Aspiration of ovaryExcludes: aspiration biopsy of ovary (65.11)174 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)65.92 Transplantation of ovaryExcludes: reimplantation of ovarylaparoscopic (65.75)other (65.72)65.93 Manual rupture of ovarian cyst65.94 Ovarian denervation65.95 Release of torsion of ovary65.99 OtherOvarian drilling66 Operations on fallopian tubesCode also any application or administration of an adhesion barrier substance(99.77)66.0 Salpingotomy and salpingostomy66.01 Salpingotomy66.02 Salpingostomy66.1 Diagnostic procedures on fallopian tubes66.11 Biopsy of fallopian tube66.19 Other diagnostic procedures on fallopian tubesExcludes: microscopic examination of specimen from fallopian tubes(91.41-91.49)radiography of fallopian tubes (87.82-87.83, 87.85)Rubin's test (66.8)66.2 Bilateral endoscopic destruction or occlusion of fallopian tubesIncludes: bilateral endoscopic destruction or occlusion of fallopian tubes by:culdoscopyendoscopyhysteroscopylaparoscopyperitoneoscopyendoscopic destruction of solitary fallopian tube66.21 Bilateral endoscopic ligation and crushing of fallopian tubes66.22 Bilateral endoscopic ligation and division of fallopian tubes66.29 Other bilateral endoscopic destruction or occlusion of fallopiantubes66.3 Other bilateral destruction or occlusion of fallopian tubesIncludes: destruction of solitary fallopian tubeExcludes: endoscopic destruction or occlusion of fallopian tubes (66.21-66.29)66.31 Other bilateral ligation and crushing of fallopian tubes66.32 Other bilateral ligation and division of fallopian tubesPomeroy operation66.39 Other bilateral destruction or occlusion of fallopian tubesFemale sterilization operation NOS New code ® Revised code 4 th digit required 175

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)66.4 Total unilateral salpingectomy66.5 Total bilateral salpingectomyExcludes: bilateral partial salpingectomy for sterilization (66.39)that with oophorectomy (65.61-65.64)66.51 Removal of both fallopian tubes at same operative episode66.52 Removal of remaining fallopian tubeRemoval of solitary fallopian tube66.6 Other salpingectomyIncludes: salpingectomy by:cauterizationcoagulationelectrocoagulationexcisionExcludes: fistulectomy (66.73)66.61 Excision or destruction of lesion of fallopian tubeExcludes: biopsy of fallopian tube (66.11)66.62 Salpingectomy with removal of tubal pregnancyCode also any synchronous oophorectomy (65.31, 65.39)66.63 Bilateral partial salpingectomy, not otherwise specified66.69 Other partial salpingectomy66.7 Repair of fallopian tube66.71 Simple suture of fallopian tube66.72 Salpingo-oophorostomy66.73 Salpingo-salpingostomy66.74 Salpingo-uterostomy66.79 Other repair of fallopian tubeGraft of fallopian tubeReopening of divided fallopian tubeSalpingoplasty66.8 Insufflation of fallopian tubeInsufflation of fallopian tube with:airdyegassalineRubin's testExcludes: insufflation of therapeutic agent (66.95)that for hysterosalpingography (87.82-87.83)66.9 Other operations on fallopian tubes66.91 Aspiration of fallopian tube66.92 Unilateral destruction or occlusion of fallopian tubeExcludes: that of solitary tube (66.21-66.39)176 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)66.93 Implantation or replacement of prosthesis of fallopian tube66.94 Removal of prosthesis of fallopian tube66.95 Insufflation of therapeutic agent into fallopian tubes66.96 Dilation of fallopian tube66.97 Burying of fimbriae in uterine wall66.99 OtherExcludes: lysis of adhesions of ovary and tubelaparoscopic (65.81)other (65.89)67 Operations on cervixCode also any application or administration of an adhesion barrier substance(99.77)67.0 Dilation of cervical canalExcludes: dilation and curettage (69.01-69.09)that for induction of labor (73.1)67.1 Diagnostic procedures on cervix67.11 Endocervical biopsyExcludes: conization of cervix (67.2)67.12 Other cervical biopsyPunch biopsy of cervix NOSExcludes: conization of cervix (67.2)67.19 Other diagnostic procedures on cervixExcludes: microscopic examination of specimen from cervix(91.41-91.49)67.2 Conization of cervixExcludes: that by:cryosurgery (67.33)electrosurgery (67.32)67.3 Other excision or destruction of lesion or tissue of cervix67.31 Marsupialization of cervical cyst67.32 Destruction of lesion of cervix by cauterizationElectroconization of cervixLEEP (loop electrosurgical excision procedure)LLETZ (large loop excision of the transformation zone)67.33 Destruction of lesion of cervix by cryosurgeryCryoconization of cervix67.39 Other excision or destruction of lesion or tissue of cervixExcludes: biopsy of cervix (67.11-67.12)cervical fistulectomy (67.62)conization of cervix (67.2)67.4 Amputation of cervixCervicectomy with synchronous colporrhaphy New code ® Revised code 4 th digit required 177

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)67.5 Repair of internal cervical os67.51 Transabdominal cerclage of cervix67.59 Other repair of internal cervical osCerclage of isthmus uteriMcDonald operationShirodkar operationTransvaginal cerclageExcludes: laparoscopically assisted supracervical hysterectomy[LASH] (68.31)transabdominal cerclage of cervix (67.51)67.6 Other repair of cervixExcludes: repair of current obstetric laceration (75.51)67.61 Suture of laceration of cervix67.62 Repair of fistula of cervixCervicosigmoidal fistulectomyExcludes: fistulectomy:cervicovesical (57.84)ureterocervical (56.84)vesicocervicovaginal (57.84)67.69 Other repair of cervixRepair of old obstetric laceration of cervix68 Other incision and excision of uterusCode also any application or administration of an adhesion barrier substance(99.77)68.0 HysterotomyHysterotomy with removal of hydatidiform moleExcludes: hysterotomy for termination of pregnancy (74.91)68.1 Diagnostic procedures on uterus and supporting structures68.11 Digital examination of uterusExcludes: pelvic examination, so describe (89.26)postpartal manual exploration of uterine cavity (75.7)68.12 HysteroscopyExcludes: that with biopsy (68.16)68.13 Open biopsy of uterusExcludes: closed biopsy of uterus (68.16)68.14 Open biopsy of uterine ligamentsExcludes: closed biopsy of uterine ligaments (68.15)68.15 Closed biopsy of uterine ligamentsEndoscopic (laparoscopy) biopsy of uterine adnexa, except ovary andfallopian tube68.16 Closed biopsy of uterusEndoscopic (laparoscopy) hysteroscopy) biopsy of uterusExcludes: open biopsy of uterus (68.13)178 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)68.19 Other diagnostic procedures on uterus and supporting structuresExcludes: diagnostic:aspiration curettage (69.59)dilation and curettage (69.09)microscopic examination of specimen from uterus(91.41-91.49)pelvic examination (89.26)radioisotope scan of:placenta (92.17)uterus (92.19)ultrasonography of uterus (88.78-88.79)x-ray of uterus (87.81-87.89)68.2 Excision or destruction of lesion or tissue of uterus68.21 Division of endometrial synechiaeLysis of intraluminal uterine adhesions68.22 Incision or excision of congenital septum of uterus68.23 Endometrial ablationDilation and curettageHysteroscopic endometrial ablation68.29 Other excision or destruction of lesion of uterusUterine myomectomyExcludes: biopsy of uterus (68.13, 68.16)uterine fistulectomy (69.42)68.3 Subtotal abdominal hysterectomy68.31 Laparoscopic supracervical hysterectomy [LSH]Classic infrafascial SEMM hysterectomy [CISH]Laparoscopically assisted supracervical hysterectomy [LASH]68.39 Other and unspecified subtotal abdominal hysterectomy, NOSSupracervical hysterectomyExcludes: classic infrafascial SEMM hysterectomy [CISH] (68.31)laparoscopic supracervical hysterectomy [LSH] (68.31)68.4 Total abdominal hysterectomyHysterectomy:extendedCode also any synchronous removal of tubes and ovaries (65.31- 65.64)Excludes: radical abdominal hysterectomy, any approach (68.61 - 68.69)68.41 Laparoscopic total abdominal hysterectomyTotal laparoscopic hysterectomy [TLH]68.49 Other and unspecified total abdominal hysterectomyHysterectomy:extended New code ® Revised code 4 th digit required 179

68.5 Vaginal hysterectomyICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Code also any synchronous:removal of tubes and ovaries (65.31- 65.64)repair of cystocele or rectocele (70.50- 70.52)repair of pelvic floor (70.79)68.51 Laparoscopically assisted vaginal hysterectomy (LAVH)68.59 Other and unspecified vaginal hysterectomyExcludes: laparoscopically assisted vaginal hysterectomy (LAVH) (68.51)radical vaginal hysterectomy (68.7)68.6 Radical abdominal hysterectomyCode also any synchronous:lymph gland dissection (40.3, 40.5)removal of tubes and ovaries (65.31- 65.64)Excludes: pelvic evisceration (68.8)68.61 Laparoscopic radical abdominal hysterectomyLaparoscopic modified radical hysterectomyTotal laparoscopic radical hysterectomy [TLRH]68.69 Other and unspecified radical abdominal hysterectomyModified radical hysterectomyWertheim's operationExcludes: laparoscopic total abdominal hysterectomy (68.41)laparoscopic radical abdominal hysterectomy (68.61)68.7 Radical vaginal hysterectomyCode also any synchronous:lymph gland dissection (40.3, 40.5)removal of tubes and ovaries (65.31- 65.64)Excludes: abdominal hysterectomy, any approach (68.31-68.39,68.41-68.49, 68.61-68.69, 68.9)68.71 Laparoscopic radical vaginal hysterectomy [LRVH]68.79 Other and unspecified radical vaginal hysterectomyHysterocolpectomySchauta operation68.8 Pelvic eviscerationRemoval of ovaries, tubes, uterus, vagina, bladder, and urethra (withremoval of sigmoid colon and rectum)Code also any synchronous:colostomy (46.12- 46.13)lymph gland dissection (40.3, 40.5)urinary diversion (56.51- 56.79)68.9 Other and unspecified hysterectomyHysterectomy NOSExcludes: abdominal hysterectomy, any approach (68.31-68.39,68.41-68.49, 68.61-68.69,)vaginal hysterectomy, any approach (68.51- 68.59, 68.71-68.79)180 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)69 Other operations on uterus and supporting structuresCode also any application or administration of an adhesion barrier substance(99.77)69.0 Dilation and curettage of uterusExcludes: aspiration curettage of uterus (69.51-69.59)69.01 Dilation and curettage for termination of pregnancy69.02 Dilation and curettage following delivery or abortion69.09 Other dilation and curettageDiagnostic D and C69.1 Excision or destruction of lesion or tissue of uterus andsupporting structures69.19 Other excision or destruction of uterus and supporting structuresExcludes: biopsy of uterine ligamen (68.14)69.2 Repair of uterine supporting structures69.21 Interposition operationWatkins procedure69.22 Other uterine suspensionHysteropexyManchester operationPlication of uterine ligament69.23 Vaginal repair of chronic inversion of uterus69.29 Other repair of uterus and supporting structures69.3 Paracervical uterine denervation69.4 Uterine repairExcludes: repair of current obstetric laceration (75.50-75.52)69.41 Suture of laceration of uterus69.42 Closure of fistula of uterusExcludes: uterovesical fistulectom (57.84)69.49 Other repair of uterusRepair of old obstetric laceration of uterus69.5 Aspiration curettage of uterusExcludes: menstrual extraction (69.6)69.51 Aspiration curettage of uterus for termination of pregnancyTherapeutic abortion NOS69.52 Aspiration curettage following delivery or abortion69.59 Other aspiration curettage of uterus69.6 Menstrual extraction or regulation69.7 Insertion of intrauterine contraceptive device New code ® Revised code 4 th digit required 181

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)69.9 Other operations on uterus, cervix, and supporting structuresExcludes: obstetric dilation or incision of cervix (73.1, 73.93)69.91 Insertion of therapeutic device into uterusExcludes: insertion of:intrauterine contraceptive device (69.7)laminaria (69.93)obstetric insertion of bag, bougie, or pack (73.1)69.92 Artificial insemination69.93 Insertion of laminaria69.94 Manual replacement of inverted uterusExcludes: that in immediate postpartal period (75.94)69.95 Incision of cervixExcludes: that to assist delivery (73.93)69.96 Removal of cerclage material from cervix69.97 Removal of other penetrating foreign body from cervixExcludes: removal of intraluminal foreign body from cervix (98.16)69.98 Other operations on supporting structures of uterusExcludes: biopsy of uterine ligamen (68.14)69.99 Other operations on cervix and uterusExcludes: removal of:foreign body (98.16)intrauterine contraceptive device (97.71)obstetric bag, bougie, or pack (97.72)packing (97.72)70 Operations on vagina and cul-de-sacCode also any application or administration of an adhesion barrier substance(99.77)70.0 Culdocentesis70.1 Incision of vagina and cul-de-sac70.11 Hymenotomy70.12 Culdotomy70.13 Lysis of intraluminal adhesions of vagina70.14 Other vaginotomyDivision of vaginal septumDrainage of hematoma of vaginal cuff70.2 Diagnostic procedures on vagina and cul-de-sac70.21 Vaginoscopy70.22 Culdoscopy70.23 Biopsy of cul-de-sac70.24 Vaginal biopsy70.29 Other diagnostic procedures on vagina and cul- de-sac182 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)70.3 Local excision or destruction of vagina and cul-de-sac70.31 Hymenectomy70.32 Excision or destruction of lesion of cul-de- sacEndometrectomy of cul- de- sacExcludes: biopsy of cul-de-sac (70.23)70.33 Excision or destruction of lesion of vaginaExcludes: biopsy of vagina (70.24)vaginal fistulectomy (70.72-70.75)70.4 Obliteration and total excision of vaginaVaginectomyExcludes: obliteration of vaginal vault (70.8)70.5 Repair of cystocele and rectocele70.50 Repair of cystocele and rectocele ®Excludes: repair of cystocele and rectocele with graft or prosthesis(70.53)70.51 Repair of cystocele ®Anterior colporrhaphy (with urethrocele repair)Excludes: repair of cystocele and rectocele with graft or prosthesis(70.53)repair of cystocele with graft or prosthesis (70.54)70.52 Repair of rectocele ®Posterior colporrhaphyExcludes: STARR procedure (48.74)repair of cystocele and rectocele with graft or prosthesis(70.53)repair of rectocele with graft or prosthesis (70.55)70.53 Repair of cystocele and rectocele with graft or prosthesis Use additional code for biological substance (70.94) or syntheticsubstance (70.95), if known70.54 Repair of cystocele with graft or prosthesis Anterior colporrhaphy (with urethrocele repair)Use additional code for biological substance (70.94) or syntheticsubstance (70.95), if known70.55 Repair of rectocele with graft or prosthesis Posterior colporrhaphyUse additional code for biological substance (70.94) or syntheticsubstance (70.95), if known70.6 Vaginal construction and reconstruction70.61 Vaginal construction70.62 Vaginal reconstruction New code ® Revised code 4 th digit required 183

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)70.63 Vaginal construction with graft or prosthesis Use additional code for biological substance (70.94) or syntheticsubstance (70.95), if knownExcludes: vaginal construction (70.61)70.64 Vaginal reconstruction with graft or prosthesis Use additional code for biological substance (70.94) or syntheticsubstance (70.95), if knownExcludes: vaginal reconstruction (70.62)70.7 Other repair of vaginaExcludes: lysis of intraluminal adhesions (70.13)repair of current obstetric laceration (75.69)that associated with cervical amputation (67.4)70.71 Suture of laceration of vagina70.72 Repair of colovaginal fistula70.73 Repair of rectovaginal fistula70.74 Repair of other vaginoenteric fistula70.75 Repair of other fistula of vaginaExcludes: repair of fistula:rectovesicovaginal (57.83)ureterovaginal (56.84)urethrovaginal (58.43)uterovaginal (69.42)vesicocervicovaginal (57.84)vesicosigmoidovaginal (57.83)vesicoureterovaginal (56.84)vesicovaginal (57.84)70.76 Hymenorrhaphy70.77 Vaginal suspension and fixation70.78 Vaginal suspension and fixation with graft or prosthesis Use additional code for biological substance (70.94) or syntheticsubstance (70.95), if known70.79 Other repair of vaginaColpoperineoplastyRepair of old obstetric laceration of vagina70.8 Obliteration of vaginal vaultLeFort operation184 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)70.9 Other operations on vagina and cul-de-sac70.91 Other operations on vaginaExcludes: insertion of:diaphragm (96.17)mold (96.15)pack (96.14)pessary (96.18)suppository (96.49)removal of:diaphragm (97.73)foreign body (98.17)pack (97.75)pessary (97.74)replacement of:diaphragm (97.24)pack (97.26)pessary (97.25)vaginal dilation (96.16)vaginal douche (96.44)70.92 Other operations on cul-de-sacObliteration of cul- de- sacRepair of vaginal enterocele70.93 Other operations on cul-de-sac with graft or prosthesis Repair of vaginal enterocele with graft or prosthesisUse additional code for biological substance (70.94) or syntheticsubstance (70.95), if known70.94 Insertion of biological graft Allogenic material or substanceAllograftAutograftAutologous material or substanceHeterograftXenogenic material or substanceCode first these procedures when done with graft or prosthesis:Other operations on cul- de- sac (70.93)Repair of cystocele (70.54)Repair of cystocele and rectocele (70.53)Repair of rectocele (70.55)Vaginal construction (70.63)Vaginal reconstruction (70.64)Vaginal suspension and fixation (70.78)70.95 Insertion of synthetic graft or prosthesis Artificial tissueCode first these procedures when done with graft or prosthesis:Other operations on cul- de- sac (70.93)Repair of cystocele (70.54)Repair of cystocele and rectocele (70.53)Repair of rectocele (70.55)Vaginal construction (70.63)Vaginal reconstruction (70.64)Vaginal suspension and fixation (70.78) New code ® Revised code 4 th digit required 185

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)71 Operations on vulva and perineumCode also any application or administration of an adhesion barrier substance(99.77)71.0 Incision of vulva and perineum71.01 Lysis of vulvar adhesions71.09 Other incision of vulva and perineumEnlargement of introitus NOSExcludes: removal of foreign body without incision (98.23)71.1 Diagnostic procedures on vulva71.11 Biopsy of vulva71.19 Other diagnostic procedures on vulva71.2 Operations on Bartholin's gland71.21 Percutaneous aspiration of Bartholin's gland (cyst)71.22 Incision of Bartholin's gland (cyst)71.23 Marsupialization of Bartholin's gland (cyst)71.24 Excision or other destruction of Bartholin's gland (cyst)71.29 Other operations on Bartholin's gland71.3 Other local excision or destruction of vulva and perineumDivision of Skene's glandExcludes: biopsy of vulva (71.11)vulvar fistulectomy (71.72)71.4 Operations on clitorisAmputation of clitorisClitoridotomyFemale circumcision71.5 Radical vulvectomyCode also any synchronous lymph gland dissection (40.3, 40.5)71.6 Other vulvectomy71.61 Unilateral vulvectomy71.62 Bilateral vulvectomyVulvectomy NOS71.7 Repair of vulva and perineumExcludes: repair of current obstetric laceration (75.69)71.71 Suture of laceration of vulva or perineum71.72 Repair of fistula of vulva or perineumExcludes: repair of fistula:urethroperineal (58.43)urethroperineovesical (57.84)vaginoperineal (70.75)71.79 Other repair of vulva and perineumRepair of old obstetric laceration of vulva or perineum186 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE FEMALE GENITAL ORGANS (65-71)71.8 Other operations on vulvaExcludes: removal of:foreign body without incision (98.23)packing (97.75)replacement of packing (97.26)71.9 Other operations on female genital organs New code ® Revised code 4 th digit required 187

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)13. OBSTETRICAL PROCEDURES (72-75)72 Forceps, vacuum, and breech delivery72.0 Low forceps operationOutlet forceps operation72.1 Low forceps operation with episiotomyOutlet forceps operation with episiotomy72.2 Mid forceps operation72.21 Mid forceps operation with episiotomy72.29 Other mid forceps operation72.3 High forceps operation72.31 High forceps operation with episiotomy72.39 Other high forceps operation72.4 Forceps rotation of fetal headDeLee maneuverKey- in- lock rotationKielland rotationScanzoni's maneuverCode also any associated forceps extraction (72.0- 72.39)72.5 Breech extraction72.51 Partial breech extraction with forceps to aftercoming head72.52 Other partial breech extraction72.53 Total breech extraction with forceps to aftercoming head72.54 Other total breech extraction72.6 Forceps application to aftercoming headPiper forceps operationExcludes: partial breech extraction with forceps to aftercoming head (72.51)total breech extraction with forceps to aftercoming head (72.53)72.7 Vacuum extractionIncludes: Malström's extraction72.71 Vacuum extraction with episiotomy72.79 Other vacuum extraction72.8 Other specified instrumental delivery72.9 Unspecified instrumental delivery188 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OBSTETRICAL PROCEDURES (72-75)73 Other procedures inducing or assisting delivery73.0 Artificial rupture of membranes73.01 Induction of labor by artificial rupture of membranesSurgical induction NOSExcludes: artificial rupture of membranes after onset of labor (73.09)73.09 Other artificial rupture of membranesArtificial rupture of membranes at time of delivery73.1 Other surgical induction of laborInduction by cervical dilationExcludes: Injection for abortion (75.0)insertion of suppository for abortion (96.49)73.2 Internal and combined version and extraction73.21 Internal and combined version without extractionVersion NOS73.22 Internal and combined version with extraction73.3 Failed forcepsApplication of forceps without deliveryTrial forceps73.4 Medical induction of laborExcludes: medication to augment active labor -- omit code73.5 Manually assisted delivery73.51 Manual rotation of fetal head73.59 Other manually assisted deliveryAssisted spontaneous deliveryCrede maneuver73.6 EpisiotomyEpisioproctotomyEpisiotomy with subsequent episiorrhaphyExcludes: that with:high forceps (72.31)low forceps (72.1)mid forceps (72.21)outlet forceps (72.1)vacuum extraction (72.71)73.8 Operations on fetus to facilitate deliveryClavicotomy on fetusDestruction of fetusNeedling of hydrocephalic head73.9 Other operations assisting delivery73.91 External version New code ® Revised code 4 th digit required 189

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)73.92 Replacement of prolapsed umbilical cord73.93 Incision of cervix to assist deliveryDührssen's incisions73.94 Pubiotomy to assist deliveryObstetrical symphysiotomy73.99 OtherExcludes: dilation of cervix, obstetrical to induce labor (73.1)insertion of bag or bougie to induce labor (73.1)removal of cerclage material (69.96)74 Cesarean section and removal of fetusCode also any synchronous:hysterectomy (68.3- 68.4, 68.6, 68.8)myomectomy (68.29)sterilization (66.31- 66.39, 66.63)74.0 Classical cesarean sectionTransperitoneal classical cesarean section74.1 Low cervical cesarean sectionLower uterine segment cesarean section74.2 Extraperitoneal cesarean sectionSupravesical cesarean section74.3 Removal of extratubal ectopic pregnancyRemoval of:ectopic abdominal pregnancyfetus from peritoneal or extraperitoneal cavity following uterine or tubalruptureExcludes: that by salpingostomy (66.02)that by salpingotomy (66.01)that with synchronous salpingectomy (66.62)74.4 Cesarean section of other specified typePeritoneal exclusion cesarean sectionTransperitoneal cesarean section NOSVaginal cesarean section74.9 Cesarean section of unspecified type74.91 Hysterotomy to terminate pregnancyTherapeutic abortion by hysterotomy74.99 Other cesarean section of unspecified typeCesarean section NOSObstetrical abdominouterotomyObstetrical hysterotomy190 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OBSTETRICAL PROCEDURES (72-75)75 Other obstetric operations75.0 Intra-amniotic injection for abortionInjection of:prostaglandin for induction of abortionsaline for induction of abortionTermination of pregnancy by intrauterine injectionExcludes: insertion of prostaglandin suppository for abortion (96.49)75.1 Diagnostic amniocentesis75.2 Intrauterine transfusionExchange transfusion in uteroInsertion of catheter into abdomen of fetus for transfusionCode also any hysterotomy approach (68.0)75.3 Other intrauterine operations on fetus and amnionCode also any hysterotomy approach (68.0)75.31 AmnioscopyFetoscopyLaparoamnioscopy75.32 Fetal EKG (scalp)75.33 Fetal blood sampling and biopsy75.34 Other fetal monitoringAntepartum fetal nonstress testFetal monitoring, not otherwise specifiedExcludes: fetal pulse oximetry (75.38)75.35 Other diagnostic procedures on fetus and amnionIntrauterine pressure determinationExcludes: amniocentesis (75.1)diagnostic procedures on gravid uterus and placenta (87.81,88.46, 88.78, 92.17)75.36 Correction of fetal defect75.37 AmnioinfusionCode also injection of antibiotic (99.21)75.38 Fetal pulse oximetryTranscervical fetal oxygen saturation monitoringTranscervical fetal SpO 2 monitoring75.4 Manual removal of retained placentaExcludes: aspiration curettage (69.52)dilation and curettage (69.02) New code ® Revised code 4 th digit required 191

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)75.5 Repair of current obstetric laceration of uterus75.50 Repair of current obstetric laceration of uterus, not otherwisespecified75.51 Repair of current obstetric laceration of cervix75.52 Repair of current obstetric laceration of corpus uteri75.6 Repair of other current obstetric laceration75.61 Repair of current obstetric laceration of bladder and urethra75.62 Repair of current obstetric laceration of rectum and sphincter ani75.69 Repair of other current obstetric lacerationEpisioperineorrhaphyRepair of:pelvic floorperineumvaginavulvaSecondary repair of episiotomyExcludes: repair of routine episiotomy (73.6)75.7 Manual exploration of uterine cavity, postpartum75.8 Obstetric tamponade of uterus or vaginaExcludes: antepartum tamponade (73.1)75.9 Other obstetric operations75.91 Evacuation of obstetrical incisional hematoma of perineumEvacuation of hematoma of:episiotomy perineorrhaphy75.92 Evacuation of other hematoma of vulva or vagina75.93 Surgical correction of inverted uterusSpintelli operationExcludes: vaginal repair of chronic inversion of uterus (69.23)75.94 Manual replacement of inverted uterus75.99 Other192 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)76 Operations on facial bones and jointsExcludes: accessory sinuses (22.00-22.9)nasal bones (21.00-21.99)skull (01.01-02.99)76.0 Incision of facial bone without division76.01 Sequestrectomy of facial boneRemoval of necrotic bone chip from facial bone76.09 Other incision of facial boneReopening of osteotomy site of facial boneExcludes: osteotomy associated with orthognathic surgery(76.61-76.69)removal of internal fixation device (76.97)76.1 Diagnostic procedures on facial bones and joints76.11 Biopsy of facial bone76.19 Other diagnostic procedures on facial bones and jointsExcludes: contrast arthrogram of temporomandibular joint (87.13)other x-ray (87.11-87.12, 87.14-87.16)76.2 Local excision or destruction of lesion of facial boneExcludes: biopsy of facial bone (76.11)excision of odontogenic lesion (24.4)76.3 Partial ostectomy of facial bone76.31 Partial mandibulectomyHemimandibulectomyExcludes: that associated with temporomandibular arthroplasty (76.5)76.39 Partial ostectomy of other facial boneHemimaxillectomy (with bone graft or prosthesis)76.4 Excision and reconstruction of facial bones76.41 Total mandibulectomy with synchronous reconstruction76.42 Other total mandibulectomy76.43 Other reconstruction of mandibleExcludes: genioplasty (76.67-76.68)that with synchronous total mandibulectomy (76.41)76.44 Total ostectomy of other facial bone with synchronousreconstruction76.45 Other total ostectomy of other facial bone76.46 Other reconstruction of other facial boneExcludes: that with synchronous total ostectomy (76.44)76.5 Temporomandibular arthroplasty New code ® Revised code 4 th digit required 193

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)76.6 Other facial bone repair and orthognathic surgeryCode also any synchronous:bone graft (76.91)synthetic implant (76.92)Excludes: reconstruction of facial bones (76.41-76.46)76.61 Closed osteoplasty [osteotomy] of mandibular ramusGigli saw osteotomy76.62 Open osteoplasty [osteotomy] of mandibular ramus76.63 Osteoplasty [osteotomy] of body of mandible76.64 Other orthognathic surgery on mandibleMandibular osteoplasty NOSSegmental or subapical osteotomy76.65 Segmental osteoplasty [osteotomy] of maxillaMaxillary osteoplasty NOS76.66 Total osteoplasty [osteotomy] of maxilla76.67 Reduction genioplastyReduction mentoplasty76.68 Augmentation genioplastyMentoplasty:NOSwith graft or implant76.69 Other facial bone repairOsteoplasty of facial bone NOS76.7 Reduction of facial fractureIncludes: internal fixationCode also any synchronous:bone graft (76.91)synthetic implant (76.92)Excludes: that of nasal bones (21.71-21.72)76.70 Reduction of facial fracture, not otherwise specified76.71 Closed reduction of malar and zygomatic fracture76.72 Open reduction of malar and zygomatic fracture76.73 Closed reduction of maxillary fracture76.74 Open reduction of maxillary fracture76.75 Closed reduction of mandibular fracture76.76 Open reduction of mandibular fracture76.77 Open reduction of alveolar fractureReduction of alveolar fracture with stabilization of teeth76.78 Other closed reduction of facial fractureClosed reduction of orbital fractureExcludes: nasal bone (21.71)76.79 Other open reduction of facial fractureOpen reduction of orbit rim or wallExcludes: nasal bone (21.72)194 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)76.9 Other operations on facial bones and joints76.91 Bone graft to facial boneAutogenous graft to facial boneBone bank graft to facial boneHeterogenous graft to facial bone76.92 Insertion of synthetic implant in facial boneAlloplastic implant to facial bone76.93 Closed reduction of temporomandibular dislocation76.94 Open reduction of temporomandibular dislocation76.95 Other manipulation of temporomandibular joint76.96 Injection of therapeutic substance into temporomandibular joint76.97 Removal of internal fixation device from facial bone76.99 OtherExcludes: removal of:dental wiring (97.33)external mandibular fixation device NEC (97.36)77 Incision, excision, and division of other bonesExcludes: laminectomy for decompression (03.09)operations on:accessory sinuses (22.00-22.9)ear ossicles (19.0-19.55)facial bones (76.01-76.99)joint structures (80.00-81.99)mastoid (19.9-20.99)nasal bones (21.00-21.99)skull (01.01-02.99)The following fourth- digit subclassification is for use with appropriatecategories in section 77 to identify the site. Valid fourth- digit categories arein brackets under each code.0 unspecified site1 scapula, clavicle, and thorax [ribs and sternum]2 humerus3 radius and ulna4 carpals and metacarpals5 femur6 patella7 tibia and fibula8 tarsals and metatarsals9 otherPelvic bonesPhalanges (of foot) (of hand)Vertebrae77.0 Sequestrectomy [0-9] New code ® Revised code 4 th digit required 195

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)77.1 Other incision of bone without division [0- 9] Reopening of osteotomy siteExcludes: aspiration of bone marrow (41.31, 41.91)removal of internal fixation device (78.60-78.69)77.2 Wedge osteotomy [0- 9] Excludes: that for hallux valgus (77.51)77.3 Other division of bone [0- 9] OsteoarthrotomyExcludes: clavicotomy of fetus (73.8)laminotomy or incision of vertebra (03.01-03.09)pubiotomy to assist delivery (73.94)sternotomy incidental to thoracic operation --omit code77.4 Biopsy of bone [0- 9]77.5 Excision and repair of bunion and other toe deformities77.51 Bunionectomy with soft tissue correction and osteotomy of thefirst metatarsal77.52 Bunionectomy with soft tissue correction and arthrodesis77.53 Other bunionectomy with soft tissue correction77.54 Excision or correction of bunionetteThat with osteotomy77.56 Repair of hammer toeFusion of hammer toePhalangectomy (partial) of hammer toeFilleting of hammer toe77.57 Repair of claw toeFusion of claw toePhalangectomy (partial) of claw toeCapsulotomy of claw toeTendon lengthening of claw toe77.58 Other excision, fusion and repair of toesCockup toe repairOverlapping toe repairThat with use of prosthetic materials77.59 Other bunionectomyResection of hallux valgus joint with insertion of prosthesis77.6 Local excision of lesion or tissue of bone [0- 9] Excludes: biopsy of bone (77.40-77.49)debridement of compound fracture (79.60-79.69)77.7 Excision of bone for graft [0- 9]196 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)77.8 Other partial ostectomy ®[0- 9] CondylectomyExcludes: amputation (84.00-84.19, 84.91)arthrectomy (80.90-80.99)excision of bone ends associated with:arthrodesis (81.00-81.39, 81.62-81.66)arthroplasty (81.40-81.59, 81.71-81.85)excision of cartilage (80.5-80.6, 80.80-80.99)excision of head of femur with synchronous replacement(00.70-00.73, 81.51-81.53)hemilaminectomy (03.01-03.09)laminectomy (03.01-03.09)ostectomy for hallux valgus (77.51-77.59)partial amputation:finger (84.01)thumb (84.02)toe (84.11)resection of ribs incidental to thoracic operation --omit codethat incidental to other operation --omit code77.9 Total ostectomy [0- 9] Excludes: amputation of limb (84.00- 84.19, 84.91)that incidental to other operation --omit code78 Other operations on bones, except facial bonesExcludes: operations on:accessory sinuses (22.00-22.9)facial bones (76.01-76.99)joint structures (80.00-81.99)nasal bones (21.00-21.99)skull (01.01-02.99)The following fourth- digit subclassification is for use with categories insection 78 to identify the site. Valid fourth- digit categories are in [brackets]under each code.0 unspecified site1 scapula, clavicle, and thorax [ribs and sternum]2 humerus3 radius and ulna4 carpals and metacarpals5 femur6 patella7 tibia and fibula8 tarsals and metatarsals9 otherPelvic bonesPhalanges (of foot) (of hand)Vertebrae New code ® Revised code 4 th digit required 197

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)78.0 Bone graft [0- 9] Bone:bank graftgraft (autogenous) (heterogenous)That with debridement of bone graft site (removal of sclerosed, fibrous ornecrotic bone or tissue)Transplantation of boneCode also any excision of bone for graft (77.70- 77.79)Excludes: that for bone lengthening (78.30-78.39)78.1 Application of external fixator device [0- 9] Fixator with insertion of pins/wires/screws into boneCode also any type of fixator device, if known (84.71- 84.73)Excludes: other immobilization, pressure, and attention to wound (93.51-93.59)78.2 Limb shortening procedures [0,2-5 ,7- 9] Epiphyseal staplingOpen epiphysiodesisPercutaneous epiphysiodesisResection/osteotomy78.3 Limb lengthening procedures [0,2-5 ,7- 9] Bone graft with or without internal fixation devices or osteotomyDistraction technique with or without corticotomy/osteotomyCode also any application of an external fixation device (78.10- 78.19)78.4 Other repair or plastic operations on bone [0- 9] Other operation on bone NECRepair of malunion or nonunion fracture NECExcludes: application of external fixation device (78.10-78.19)limb lengthening procedures (78.30-78.39)limb shortening procedures (78.20-78.29)osteotomy (77.3)reconstruction of thumb (82.61-82.69)repair of pectus deformity (34.74)repair with bone graft (78.00-78.09)78.5 Internal fixation of bone without fracture reduction [0- 9] Internal fixation of bone (prophylactic)Reinsertion of internal fixation deviceRevision of displaced or broken fixation deviceExcludes: arthroplasty and arthrodesis (81.00-81.85)bone graft (78.00-78.09)limb shortening procedures (78.20-78.29)that for fracture reduction (79.10-79.19,79.30-79.59)198 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)78.6 Removal of implanted devices from bone ®[0- 9] External fixator device (invasive)Internal fixation deviceRemoval of bone growth stimulator (invasive)Removal of internal limb lengthening deviceRemoval of pedicle screw(s) used in spinal fusionExcludes: removal of cast, splint, and traction device (Kirschner wire)(Steinmann pin) (97.88)removal of skull tongs or halo traction device (02.95)removal of posterior spinal motion preservation (facetreplacement, pedicle-based dynamic stabilization, interspinousprocess) device(s) (80.09)78.7 Osteoclasis [0- 9]78.8 Diagnostic procedures on bone, not elsewhere classified [0- 9] Excludes: biopsy of bone (77.40-77.49)magnetic resonance imaging (88.94)microscopic examination of specimen from bone (91.51-91.59)radioisotope scan (92.14)skeletal x-ray (87.21-87.29, 87.43, 88.21-88.33)thermography (88.83)78.9 Insertion of bone growth stimulator [0- 9] Insertion of:bone stimulator (electrical) to aid bone healingosteogenic electrodes for bone growth stimulationtotally implanted device (invasive)Excludes: non-invasive (transcutaneous) (surface) stimulator (99.86)79 Reduction of fracture and dislocationIncludes: application of cast or splintreduction with insertion of traction device (Kirschner wire)(Steinmann pin)Code also any:application of external fixatior device (78.10- 78.19)type of fixator device, if known (84.71- 84.73)Excludes: external fixation alone for immobilization of fracture(93.51-93.56, 93.59)internal fixation without reduction of fracture (78.50-78.59)operations on:facial bones (76.70-76.79)nasal bones (21.71-21.72)orbit (76.78-76.79)skull (02.02)vertebrae (03.53)removal of cast or splint (97.88)replacement of cast or splint (97.11-97.14)traction alone for reduction of fracture (93.41-93.46)The following fourth- digit subclassification is for use with appropriate New code ® Revised code 4 th digit required 199

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)categories in section 79 to identify the site. Valid fourth- digit categoriesare in [brackets] under each code.0 unspecified site1 humerus2 radius and ulnaArm NOS3 carpals and metacarpalsHand NOS4 phalanges of hand5 femur6 tibia and fibulaLeg NOS7 tarsals and metatarsalsFoot NOS8 phalanges of foot9 other specified bone79.0 Closed reduction of fracture without internal fixation [0- 9] Excludes: that for separation of epiphysis (79.40-79.49)79.1 Closed reduction of fracture with internal fixation [0- 9] Excludes: that for separation of epiphysis (79.40-79.49)79.2 Open reduction of fracture without internal fixation [0- 9] Excludes: that for separation of epiphysis (79.50-79.59)79.3 Open reduction of fracture with internal fixation [0- 9] Excludes: that for separation of epiphysis (79.50-79.59)79.4 Closed reduction of separated epiphysis [0- 2,5,6,9] Reduction with or without internal fixation79.5 Open reduction of separated epiphysis [0- 2,5,6,9] Reduction with or without internal fixation79.6 Debridement of open fracture site [0- 9] Debridement of compound fracture79.7 Closed reduction of dislocationIncludes: closed reduction (with external traction device)Excludes: closed reduction of dislocation of temporomandibular joint (76.93)79.70 Closed reduction of dislocation of unspecified site79.71 Closed reduction of dislocation of shoulder79.72 Closed reduction of dislocation of elbow79.73 Closed reduction of dislocation of wrist79.74 Closed reduction of dislocation of hand and finger79.75 Closed reduction of dislocation of hip79.76 Closed reduction of dislocation of knee79.77 Closed reduction of dislocation of ankle79.78 Closed reduction of dislocation of foot and toe79.79 Closed reduction of dislocation of other specified sites200 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)79.8 Open reduction of dislocationIncludes: open reduction (with internal and external fixation devices)Excludes: open reduction of dislocation of temporomandibular joint (76.94)79.80 Open reduction of dislocation of unspecified site79.81 Open reduction of dislocation of shoulder79.82 Open reduction of dislocation of elbow79.83 Open reduction of dislocation of wrist79.84 Open reduction of dislocation of hand and finger79.85 Open reduction of dislocation of hip79.86 Open reduction of dislocation of knee79.87 Open reduction of dislocation of ankle79.88 Open reduction of dislocation of foot and toe79.89 Open reduction of dislocation of other specified sites79.9 Unspecified operation on bone injury [0- 9]80 Incision and excision of joint structuresIncludes: operations on:capsule of jointcartilagecondyleligamentmeniscussynovial membraneExcludes: cartilage of:ear (18.01-18.9)nose (21.00-21.99)temporomandibular joint (76.01-76.99)The following fourth- digit subclassification is for use with appropriatecategories in section 80 to identify the site:0 unspecified site1 shoulder2 elbow3 wrist4 hand and finger5 hip6 knee7 ankle8 foot and toe9 other specified sitesSpine New code ® Revised code 4 th digit required 201

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)80.0 Arthrotomy for removal of prosthesis without replacement ®[0- 9] Includes removal of posterior spinal motion preservation (dynamicstabilization, facet replacement, interspinous process) device(s)Code also any:insertion of (cement)(joint) (methylmethacrylate) spacer (84.56)removal of (cement)(joint) (methylmethacrylate) spacer (84.57)Excludes: removal of pedicle screws used in spinal fusion (78.69)80.1 Other arthrotomy [0- 9] ArthrostomyExcludes: that for:arthrography (88.32)arthroscopy (80.20-80.29)injection of drug (81.92)operative approach --omit code80.2 Arthroscopy [0- 9]80.3 Biopsy of joint structure [0- 9] Aspiration biopsy80.4 Division of joint capsule, ligament, or cartilage [0- 9] Goldner clubfoot releaseHeyman- Herndon(- Strong) correction of metatarsus varusRelease of:adherent or constrictive joint capsulejointligamentExcludes: symphysiotomy to assist delivery (73.94)that for:carpal tunnel syndrome (04.43)tarsal tunnel syndrome (04.44)80.5 Excision, destruction and other repair of intervertebral disc®80.50 Excision or destruction of intervertebral disc, unspecifiedUnspecified as to excision or destruction80.51 Excision of intervertebral disc ®DiskectomyRemoval of herniated nucleus pulposusLevel:cervicalthoraciclumbar (lumbosacral)That by laminotomy or hemilaminectomyThat with decompression of spinal nerve root at same levelRequires additional code for any concomitant decompression ofspinal nerve root at different level from excision siteCode also any concurrent spinal fusion (81.00 - 81.09)Code also any repair of the anulus fibrosus (80.53- 80.54)202 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)Excludes: that for insertion of (non-fusion) spinal disc replacement device(84.60 - 84.69)that with corpectomy, (vertebral) (80.99)intervertebral chemonucleolysis (80.52)laminectomy for exploration of intraspinal canal (03.09)laminotomy for decompression of spinal nerve root only (03.09)80.52 Intervertebral chemonucleolysisWith aspiration of disc fragmentsWith diskographyInjection of proteolytic enzyme into intervertebral space(chymopapain)Excludes: injection of anesthetic substance (03.91)injection of other substances (03.92)80.53 Repair of the anulus fibrosus with graft or prosthesis Anular disc repairClosure (sealing) of the anulus fibrosus defectIncludes:microsurgical suture repair with fascial autograftsoft tissue re- approximation repair with tension bandssurgical mesh repairCode also any:application or administration of adhesion barrier substance, ifperformed (99.77)intervertebral discectomy, if performed (80.51)locally harvested fascia for graft (83.43)80.54 Other and unspecified repair of the anulus fibrosus Anular disc repairClosure (sealing) of the anulus fibrosus defectMicrosurgical suture repair without fascial autograftPercutaneous repair of the anulus fibrosusCode also any:application or administration of adhesion barrier substance, ifperformed (99.77)intervertebral discectomy, if performed (80.51)80.59 Other destruction of intervertebral discDestruction NECThat by laser80.6 Excision of semilunar cartilage of kneeExcision of meniscus of knee80.7 Synovectomy [0- 9] Complete or partial resection of synovial membraneExcludes: excision of Baker's cyst (83.39)80.8 Other local excision or destruction of lesion of joint [0- 9]80.9 Other excision of joint [0- 9] Excludes: cheilectomy of joint (77.80-77.89)excision of bone ends (77.80-77.89) New code ® Revised code 4 th digit required 203

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)81 Repair and plastic operations on joint structures81.0 Spinal fusion ®Includes: arthrodesis of spine with:bone graftinternal fixationCode also any insertion of interbody spinal fusion device (84.51)Code also any insertion of recombinant bone morphogenetic protein (84.52)Code also the total number of vertebrae fused (81.62- 81.64)Code also any synchronous excision of (locally) harvested bone for graft(77.70- 77.79)Excludes: correction of pseudarthrosis of spine (81.30- 81.39)refusion of spine (81.30- 81.39)81.00 Spinal fusion, not otherwise specified81.01 Atlas-axis spinal fusionCraniocervical fusion by anterior, transoral, or posterior techniqueC1- C2 fusion by anterior, transoral, or posterior techniqueOcciput C2 fusion by anterior, transoral, or posterior technique81.02 Other cervical fusion, anterior techniqueArthrodesis of C2 level or below:anterior (interbody) techniqueanterolateral technique81.03 Other cervical fusion, posterior techniqueArthrodesis of C2 level or below:posterior (interbody) techniqueposterolateral technique81.04 Dorsal and dorsolumbar fusion, anterior techniqueArthrodesis of thoracic or thoracolumbar region:anterior (interbody) techniqueanterolateral technique81.05 Dorsal and dorsolumbar fusion, posterior techniqueArthrodesis of thoracic or thoracolumbar region:posterior (interbody) techniqueposterolateral technique81.06 Lumbar and lumbosacral fusion, anterior techniqueAnterior lumbar interbody fusion (ALIF)Arthrodesis of lumbar or lumbosacral region:anterior (interbody) techniqueanterolateral technique81.07 Lumbar and lumbosacral fusion, lateral transverse process technique81.08 Lumbar and lumbosacral fusion, posterior techniqueArthrodesis of lumbar or lumbosacral region:posterior (interbody) techniqueposterolateral techniquePosterior lumbar interbody fusion (PLIF)Transforaminal lumbar interbody fusion (TLIF)204 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)81.1 Arthrodesis and arthroereisis of foot and ankleIncludes: arthrodesis of foot and ankle with:bone graftexternal fixation device81.11 Ankle fusionTibiotalar fusion81.12 Triple arthrodesisTalus to calcaneus and calcaneus to cuboid and navicular81.13 Subtalar fusionExcludes: arthroereisis (81.18)81.14 Midtarsal fusion81.15 Tarsometatarsal fusion81.16 Metatarsophalangeal fusion81.17 Other fusion of foot81.18 Subtalar joint arthroereisis81.2 Arthrodesis of other jointIncludes: arthrodesis with:bone graftexternal fixation deviceexcision of bone ends and compression81.20 Arthrodesis of unspecified joint81.21 Arthrodesis of hip81.22 Arthrodesis of knee81.23 Arthrodesis of shoulder81.24 Arthrodesis of elbow81.25 Carporadial fusion81.26 Metacarpocarpal fusion81.27 Metacarpophalangeal fusion81.28 Interphalangeal fusion81.29 Arthrodesis of other specified joints81.3 Refusion of spine ®Includes: arthrodesis of spine with:bone graftinternal fixationcorrection of pseudarthrosis of spineCode also any insertion of interbody spinal fusion device (84.51)Code also any insertion of recombinant bone morphogenetic protein (84.52)Code also the total number of vertebrae fused (81.62- 81.64)Code also any synchronous excision of (locally) harvested bone for graft(77.70- 77.79)81.30 Refusion of spine, not otherwise specified New code ® Revised code 4 th digit required 205

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)81.31 Refusion of atlas-axis spineCraniocervical fusion by anterior, transoral, or posterior techniqueC1- C2 fusion by anterior, transoral, or posterior techniqueOcciput C2 fusion by anterior, transoral, or posterior technique81.32 Refusion of other cervical spine, anterior techniqueArthrodesis of C2 level or below:anterior (interbody) techniqueanterolateral technique81.33 Refusion of other cervical spine, posterior techniqueAnterior lumbar interbody fusion (ALIF)Arthrodesis of C2 level or below:posterior (interbody) techniqueposterolateral technique81.34 Refusion of dorsal and dorsolumbar spine, anterior techniqueArthrodesis of thoracic or thoracolumbar region:anterior (interbody) techniqueanterolateral technique81.35 Refusion of dorsal and dorsolumbar spine, posterior techniqueArthrodesis of thoracic or thoracolumbar region:posterior (interbody) techniqueposterolateral technique81.36 Refusion of lumbar and lumbosacral spine, anterior techniqueArthrodesis of lumbar or lumbosacral region:anterior (interbody) techniqueanterolateral technique81.37 Refusion of lumbar and lumbosacral spine, lateral transverseprocess technique81.38 Refusion of lumbar and lumbosacral spine, posterior techniqueArthrodesis of lumbar or lumbosacral region:posterior (interbody) techniqueposterolateral techniquePosterior lumbar interbody fusion (PLIF)Transforaminal lumbar interbody fusion (TLIF)81.39 Refusion of spine, not elsewhere classified81.4 Other repair of joint of lower extremityIncludes: arthroplasty of lower extremity with:external traction or fixationgraft of bone (chips) or cartilageinternal fixation device81.40 Repair of hip, not elsewhere classified81.42 Five-in-one repair of kneeMedial meniscectomy, medial collateral ligament repair, vastusmedialis advancement, semitendinosus advancement, and pesanserinus transfer81.43 Triad knee repairMedial meniscectomy with repair of the anterior cruciate ligament andthe medial collateral ligamentO'Donoghue procedure206 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)81.44 Patellar stabilizationRoux- Goldthwait operation for recurrent dislocation of patella81.45 Other repair of the cruciate ligaments81.46 Other repair of the collateral ligaments81.47 Other repair of knee81.49 Other repair of ankle81.5 Joint replacement of lower extremity ®Includes: arthroplasty of lower extremity with:external traction or fixationgraft of bone (chips) or cartilageinternal fixation device or prosthesisNote: Removal of prior prosthesis --omit code81.51 Total hip replacement ®Replacement of both femoral head and acetabulum by prosthesisTotal reconstruction of hipCode also any type of bearing surface, if known (00.74- 00.77)81.52 Partial hip replacement ®Bipolar endoprosthesisCode also any type of bearing surface, if known (00.74- 00.77)81.53 Revision of hip replacement, not otherwise specified ®Revision of hip replacement, not specified as to components(s)replaced, (acetabular, femoral or both)Code also any:removal of (cement)(joint) spacer (84.57)type of bearing surface, if known (00.74- 00.77)Excludes: revision of hip replacement, components specified(00.70-00.73)81.54 Total knee replacement ®BicompartmentalTricompartmentalUnicompartmental (hemijoint)Partial knee replacement81.55 Revision of knee replacement,not otherwise specifiedCode also any removal of (cement) spacer (84.57)Excludes: arthrodesis of knee (81.22)revision of knee replacement, components specified(00.80-00.84)81.56 Total ankle replacement81.57 Replacement of joint of foot and toe81.59 Revision of joint replacement of lower extremity, not elsewhereclassified New code ® Revised code 4 th digit required 207

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)81.6 Other procedures on spineNote: Number of vertebraeThe vertebral spine consists of 25 vertebrae in the following order andnumber:Cervical: C1 (atlas), C2 (axis), C3, C4, C5, C6, C7Thoracic or Dorsal: T1, T2, T3, T4, T5, T6, T7, T8, T9, T10, T11, T12Lumbar and Sacral: L1, L2, L3, L4, L5, S1Coders should report only one code from the series 81.62 or 81.63 or81.64 to show the total number of vertebrae fused on the patient.Code also the level and approach of the fusion or refusion (81.00- 81.08,81.30- 81.39)81.62 Fusion or refusion of 2-3 vertebrae81.63 Fusion or refusion of 4- 8 vertebrae81.64 Fusion or refusion of 9 or more vertebrae81.65 Percutaneous vertebroplasty ®Injection of bone void filler (cement) (polymethylmethacrylate)(PMMA) into the diseased or fractured vertebral bodyExcludes: kyphoplasty (81.66)percutaneous vertebral augmentation (81.66)81.66 Percutaneous vertebral augmentation ®Insertion of inflatable balloon, bone tamp, or other device displacing(removing) (compacting) bone to create a space (cavity) (void) prior toinjection of bone void filler (cement)(polymethylmethacrylate)(PMMA) or other substanceArcuplastyKyphoplastySKyphoplastySpineoplastyExcludes: percutaneous vertebroplasty (81.65)81.7 Arthroplasty and repair of hand, fingers and wristIncludes: arthroplasty of hand and finger with:external traction or fixationgraft of bone (chips) or cartilageinternal fixation device or prosthesisExcludes: operations on muscle, tendon and fascia of hand (82.01-82.99)81.71 Arthroplasty of metacarpophalangeal and interphalangeal jointwith implant81.72 Arthroplasty of metacarpophalangeal and interphalangeal jointwithout implant81.73 Total wrist replacement81.74 Arthroplasty of carpocarpal or carpometacarpal joint with implant81.75 Arthroplasty of carpocarpal or carpometacarpal joint withoutimplant81.79 Other repair of hand, fingers and wrist208 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)81.8 Arthroplasty and repair of shoulder and elbowIncludes: arthroplasty of upper limb NEC with:external traction or fixationgraft of bone (chips) or cartilageinternal fixation device or prosthesis81.80 Total shoulder replacement81.81 Partial shoulder replacement81.82 Repair of recurrent dislocation of shoulder81.83 Other repair of shoulderRevision of arthroplasty of shoulder81.84 Total elbow replacementPartial elbow replacement81.85 Other repair of elbow81.9 Other operations on joint structures81.91 ArthrocentesisJoint aspirationExcludes: that for:arthrography (88.32)biopsy of joint structure (80.30-80.39)injection of drug (81.92)81.92 Injection of therapeutic substance into joint or ligament81.93 Suture of capsule or ligament of upper extremityExcludes: that associated wit arthroplasty (81.71-81.75, 81.80-81.81,81.84)81.94 Suture of capsule or ligament of ankle and footExcludes: that associated wit arthroplasty (81.56-81.59)81.95 Suture of capsule or ligament of other lower extremityExcludes: that associated wit arthroplasty (81.51-81.55, 81.59)81.96 Other repair of joint81.97 Revision of joint replacement of upper extremityPartialRemoval of cement spacerTotal81.98 Other diagnostic procedures on joint structures81.99 OtherExcludes: arthroscopy (80.20-80.29)biopsy of joint structure (80.30-80.39)microscopic examination of specimen from joint (91.51-91.59)thermography (88.83)x-ray (87.21-87.29, 88.21-88.33) New code ® Revised code 4 th digit required 209

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)82 Operations on muscle, tendon, and fascia of handIncludes: operations on:aponeurosissynovial membrane (tendon sheath)tendon sheath82.0 Incision of muscle, tendon, fascia, and bursa of hand82.01 Exploration of tendon sheath of handIncision of tendon sheath of handRemoval of rice bodies in tendon sheath of handExcludes: division of tendon (82.11)82.02 Myotomy of handExcludes: myotomy for division (82.19)82.03 Bursotomy of hand82.04 Incision and drainage of palmar or thenar space82.09 Other incision of soft tissue of handExcludes: incision of skin an subcutaneous tissue alone (86.01-86.09)82.1 Division of muscle, tendon, and fascia of hand82.11 Tenotomy of handDivision of tendon of hand82.12 Fasciotomy of handDivision of fascia of hand82.19 Other division of soft tissue of handDivision of muscle of hand82.2 Excision of lesion of muscle, tendon, and fascia of hand82.21 Excision of lesion of tendon sheath of handGanglionectomy of tendon sheath (wrist)82.22 Excision of lesion of muscle of hand82.29 Excision of other lesion of soft tissue of handExcludes: excision of lesion of skin and subcutaneous tissue(86.21-86.3)82.3 Other excision of soft tissue of handCode also any skin graft (86.61- 86.62, 86.73)Excludes: excision of skin and subcutaneous tissue (86.21-86.3)82.31 Bursectomy of hand82.32 Excision of tendon of hand for graft82.33 Other tenonectomy of handTenosynovectomy of handExcludes: excision of lesion of:tendon (82.29)sheath (82.21)82.34 Excision of muscle or fascia of hand for graft210 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)82.35 Other fasciectomy of handRelease of Dupuytren's contractureExcludes: excision of lesion of fascia (82.29)82.36 Other myectomy of handExcludes: excision of lesion of muscle (82.22)82.39 Other excision of soft tissue of handExcludes: excision of skin (86.21-86.3)excision of soft tissue lesion (82.29)82.4 Suture of muscle, tendon, and fascia of hand82.41 Suture of tendon sheath of hand82.42 Delayed suture of flexor tendon of hand82.43 Delayed suture of other tendon of hand82.44 Other suture of flexor tendon of handExcludes: delayed suture of flexor tendon of hand (82.42)82.45 Other suture of other tendon of handExcludes: delayed suture of other tendon of hand (82.43)82.46 Suture of muscle or fascia of hand82.5 Transplantation of muscle and tendon of hand82.51 Advancement of tendon of hand82.52 Recession of tendon of hand82.53 Reattachment of tendon of hand82.54 Reattachment of muscle of hand82.55 Other change in hand muscle or tendon length82.56 Other hand tendon transfer or transplantationExcludes: pollicization of thumb (82.61)transfer of finger, except thum (82.81)82.57 Other hand tendon transposition82.58 Other hand muscle transfer or transplantation82.59 Other hand muscle transposition82.6 Reconstruction of thumbIncludes: digital transfer to act as thumbCode also any amputation for digital transfer (84.01, 84.11)82.61 Pollicization operation carrying over nerves and blood supply82.69 Other reconstruction of thumb"Cocked- hat" procedure [skin flap and bone]Grafts:bone to thumbskin (pedicle) to thumb82.7 Plastic operation on hand with graft or implant82.71 Tendon pulley reconstructionReconstruction for opponensplasty New code ® Revised code 4 th digit required 211

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)82.72 Plastic operation on hand with graft of muscle or fascia82.79 Plastic operation on hand with other graft or implantTendon graft to hand82.8 Other plastic operations on hand82.81 Transfer of finger, except thumbExcludes: pollicization of thumb (82.61)82.82 Repair of cleft hand82.83 Repair of macrodactyly82.84 Repair of mallet finger82.85 Other tenodesis of handTendon fixation of hand NOS82.86 Other tenoplasty of handMyotenoplasty of hand82.89 Other plastic operations on handPlication of fasciaRepair of fascial herniaExcludes: that with graft or implant (82.71-82.79)82.9 Other operations on muscle, tendon, and fascia of handExcludes: diagnostic procedures on soft tissue of hand (83.21-83.29)82.91 Lysis of adhesions of handFreeing of adhesions of fascia, muscle, and tendon of handExcludes: decompression of carpal tunnel (04.43)that by stretching o manipulation only (93.26)82.92 Aspiration of bursa of hand82.93 Aspiration of other soft tissue of handExcludes: skin and subcutaneous tissue (86.01)82.94 Injection of therapeutic substance into bursa of hand82.95 Injection of therapeutic substance into tendon of hand82.96 Other injection of locally-acting therapeutic substance intosoft tissue of handExcludes: subcutaneous or intramuscular injection (99.11-99.29)82.99 Other operations on muscle, tendon, and fascia of hand83 Operations on muscle, tendon, fascia, and bursa, excepthandIncludes: operations on:aponeurosissynovial membrane of bursa and tendon sheathstendon sheathsExcludes: diaphragm (34.81-34.89)hand (82.01- 82.99)muscles of eye (15.01- 15.9)83.0 Incision of muscle, tendon, fascia, and bursa212 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)83.01 Exploration of tendon sheathIncision of tendon sheathRemoval of rice bodies from tendon sheath83.02 MyotomyExcludes: cricopharyngeal myotomy (29.31)83.03 BursotomyRemoval of calcareous deposit of bursaExcludes: aspiration of burs (percutaneous) (83.94)83.09 Other incision of soft tissueIncision of fasciaExcludes: incision of skin an subcutaneous tissue alone (86.01-86.09)83.1 Division of muscle, tendon, and fascia83.11 Achillotenotomy83.12 Adductor tenotomy of hip83.13 Other tenotomyAponeurotomyDivision of tendonTendon releaseTendon transectionTenotomy for thoracic outlet decompression83.14 FasciotomyDivision of fasciaDivision of iliotibial bandFascia strippingRelease of Volkmann's contracture by fasciotomy83.19 Other division of soft tissueDivision of muscleMuscle releaseMyotomy for thoracic outlet decompressionMyotomy with divisionScalenotomyTransection of muscle83.2 Diagnostic procedures on muscle, tendon, fascia, and bursa,including that of hand83.21 Biopsy of soft tissueExcludes: biopsy of chest wall (34.23)biopsy of skin and subcutaneous tissue (86.11)83.29 Other diagnostic procedures on muscle, tendon, fascia, and bursa,including that of handExcludes: microscopic examination of specimen (91.51-91.59)soft tissue x-ray (87.09, 87.38-87.39, 88.09, 88.35, 88.37)thermography of muscle (88.84) New code ® Revised code 4 th digit required 213

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)83.3 Excision of lesion of muscle, tendon, fascia, and bursaExcludes: biopsy of soft tissue (83.21)83.31 Excision of lesion of tendon sheathExcision of ganglion of tendon sheath, except of hand83.32 Excision of lesion of muscleExcision of:heterotopic bonemuscle scar for release of Volkmann's contracturemyositis ossificans83.39 Excision of lesion of other soft tissueExcision of Baker's cystExcludes: bursectomy (83.5)excision of lesion of skin and subcutaneous tissue (86.3)synovectomy (80.70-80.79)83.4 Other excision of muscle, tendon, and fascia83.41 Excision of tendon for graft83.42 Other tenonectomyExcision of:aponeurosistendon sheathTenosynovectomy83.43 Excision of muscle or fascia for graft83.44 Other fasciectomy83.45 Other myectomyDebridement of muscle NOSScalenectomy83.49 Other excision of soft tissue83.5 Bursectomy83.6 Suture of muscle, tendon, and fascia83.61 Suture of tendon sheath83.62 Delayed suture of tendon83.63 Rotator cuff repair83.64 Other suture of tendonAchillorrhaphyAponeurorrhaphyExcludes: delayed suture of tendon (83.62)83.65 Other suture of muscle or fasciaRepair of diastasis recti83.7 Reconstruction of muscle and tendonExcludes: reconstruction of muscle and tendon associated with arthroplasty83.71 Advancement of tendon83.72 Recession of tendon83.73 Reattachment of tendon214 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)83.74 Reattachment of muscle83.75 Tendon transfer or transplantation83.76 Other tendon transposition83.77 Muscle transfer or transplantationRelease of Volkmann's contracture by muscle transplantation83.79 Other muscle transposition83.8 Other plastic operations on muscle, tendon, and fasciaExcludes: plastic operations on muscle, tendon, and fascia associated witharthroplasty83.81 Tendon graft83.82 Graft of muscle or fascia83.83 Tendon pulley reconstruction83.84 Release of clubfoot, not elsewhere classifiedEvans operation on clubfoot83.85 Other change in muscle or tendon lengthHamstring lengtheningHeel cord shorteningPlastic achillotenotomyTendon plication83.86 Quadricepsplasty83.87 Other plastic operations on muscleMusculoplastyMyoplasty83.88 Other plastic operations on tendonMyotenoplastyTendon fixationTenodesisTenoplasty83.89 Other plastic operations on fasciaFascia lengtheningFascioplastyPlication of fascia83.9 Other operations on muscle, tendon, fascia, and bursaExcludes: nonoperative:manipulation (93.25-93.29)stretching (93.27-93.29)83.91 Lysis of adhesions of muscle, tendon, fascia, and barsaExcludes: that for tarsal tunnel syndrome (04.44)83.92 Insertion or replacement of skeletal muscle stimulatorImplantation, insertion, placement, or replacement of skeletalmuscle:electrodesstimulator83.93 Removal of skeletal muscle stimulator83.94 Aspiration of barsa New code ® Revised code 4 th digit required 215

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)83.95 Aspiration of other soft tissueExcludes: that of skin and subcutaneous tissue (86.01)83.96 Injection of therapeutic substance into bursa83.97 Injection of therapeutic substance into tendon83.98 Injection of locally-acting therapeutic substance into other softtissueExcludes: subcutaneous or intramuscular injection (99.11-99.29)83.99 Other operations on muscle, tendon, fascia, and bursaSuture of bursa84 Other procedures on musculoskeletal system84.0 Amputation of upper limbExcludes: revision of amputation stump (84.3)84.00 Upper limb amputation, not otherwise specifiedClosed flap amputation of upper limb NOSKineplastic amputation of upper limb NOSOpen or guillotine amputation of upper limb NOSRevision of current traumatic amputation of upper limb NOS84.01 Amputation and disarticulation of fingerExcludes: ligation of supernumerary finger (86.26)84.02 Amputation and disarticulation of thumb84.03 Amputation through handAmputation through carpals84.04 Disarticulation of wrist84.05 Amputation through forearmForearm amputation84.06 Disarticulation of elbow84.07 Amputation through humerusUpper arm amputation84.08 Disarticulation of shoulder84.09 Interthoracoscapular amputationForequarter amputation84.1 Amputation of lower limbExcludes: revision of amputation stump (84.3)84.10 Lower limb amputation, not otherwise specifiedClosed flap amputation of lower limb NOSKineplastic amputation of lower limb NOSOpen or guillotine amputation of lower limb NOSRevision of current traumatic amputation of lower limb NOS216 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)84.11 Amputation of toeAmputation through metatarsophalangeal jointDisarticulation of toeMetatarsal head amputationRay amputation of foot (disarticulation of the metatarsal head ofthe toe extending across the forefoot just proximal to themetatarsophalangeal crease)Excludes: ligation of supernumerary toe (86.26)84.12 Amputation through footAmputation of forefootAmputation through middle of footChopart's amputationMidtarsal amputationTransmetatarsal amputation (amputation of the forefoot,including all the toes)Excludes: Ray amputation of foot (84.11)84.13 Disarticulation of ankle84.14 Amputation of ankle through malleoli of tibia and fibula84.15 Other amputation below kneeAmputation of leg through tibia and fibula NOS84.16 Disarticulation of kneeBatch, Spitler, and McFaddin amputationMazet amputationS.P. Roger's amputation84.17 Amputation above kneeAmputation of leg through femurAmputation of thighConversion of below- knee amputation into above- knee amputationSupracondylar above- knee amputation84.18 Disarticulation of hip84.19 Abdominopelvic amputationHemipelvectomyHindquarter amputation84.2 Reattachment of extremity84.21 Thumb reattachment84.22 Finger reattachment84.23 Forearm, wrist, or hand reattachment84.24 Upper arm reattachmentReattachment of arm NOS84.25 Toe reattachment84.26 Foot reattachment84.27 Lower leg or ankle reattachmentReattachment of leg NOS84.28 Thigh reattachment84.29 Other reattachment New code ® Revised code 4 th digit required 217

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)84.3 Revision of amputation stumpReamputation of stumpSecondary closure of stumpTrimming of stumpExcludes: revision of current traumatic amputation [revision by furtheramputation of current injury] (84.00-84.19, 84.91)84.4 Implantation or fitting of prosthetic limb device84.40 Implantation or fitting of prosthetic limb device, not otherwisespecified84.41 Fitting of prosthesis of upper arm and shoulder84.42 Fitting of prosthesis of lower arm and hand84.43 Fitting of prosthesis of arm, not otherwise specified84.44 Implantation of prosthetic device of arm84.45 Fitting of prosthesis above knee84.46 Fitting of prosthesis below knee84.47 Fitting of prosthesis of leg, not otherwise specified84.48 Implantation of prosthetic device of leg84.5 Implantation of other musculoskeletal devices and substancesExcludes: insertion of (non-fusion) spinal disc replacement device(84.60 - 84.69)84.51 Insertion of interbody spinal fusion deviceInsertion of:cages (carbon, ceramic, metal, plastic or titanium)interbody fusion cagesynthetic cages or spacersthreaded bone dowelsCode also refusion of spine (81.30 - 81.39)Code also spinal fusion (81.00 - 81.08)84.52 Insertion of recombinant bone morphogenetic proteinrhBMPThat via collagen sponge, coral, ceramic and other carriersCode also primary procedure performed:fracture repair (79.00- 79.99)spinal fusion (81.00 - 81.08)spinal refusion (81.30 - 81.39)84.53 Implantation of internal limb lengthening device with kineticdistractionCode also limb lengthening procedure (78.30 - 78.39)84.54 Implantation of other internal limb lengthening deviceImplantation of internal limb lengthening device, Not OtherwiseSpecified (NOS)Code also limb lengthening procedure (78.30 - 78.39)218 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)84.55 Insertion of bone void filler ®Insertion of:acrylic cement (PMMA)bone void cementcalcium based bone void fillerpolymethylmethacrylate (PMMA)Excludes: that with percutaneous vertebral augmentation (81.66)that with percutaneous vertebroplasty (81.65)84.56 Insertion or replacement of (cement) spacer ®Insertion or replacement of joint (methylmethacrylate) spacer84.57 Removal of (cement) spacer ®Removal of joint (methylmethacrylate) spacer84.59 Insertion of other spinal devices ®*Delete code 84.58Excludes: initial insertion of pedicle screws with spinal fusion --omitcodeinsertion of facet replacement device(s) (84.84)insertion of interspinous process device(s) (84.80)insertion of pedicle-based dynamic stabilization device(s)(84.82)84.6 Replacement of spinal discIncludes: non- fusion arthroplasty of the spine with insertion of artificial discprosthesis84.60 Insertion of spinal disc prosthesis, not otherwise specifiedReplacement of spinal disc, NOSIncludes: diskectomy (discectomy)84.61 Insertion of partial spinal disc prosthesis, cervicalNuclear replacement device, cervicalPartial artificial disc prosthesis (flexible), cervicalReplacement of nuclear disc (nucleus pulposus), cervicalIncludes: diskectomy (discectomy)84.62 Insertion of total spinal disc prosthesis, cervicalReplacement of cervical spinal disc, NOSReplacement of total spinal disc, cervicalTotal artificial disc prosthesis (flexible), cervicalIncludes: diskectomy (discectomy)84.63 Insertion of spinal disc prosthesis, thoracicArtificial disc prosthesis (flexible), thoracicReplacement of thoracic spinal disc, partial or totalIncludes: diskectomy (discectomy)84.64 Insertion of partial spinal disc prosthesis, lumbosacralNuclear replacement device, lumbarPartial artificial disc prosthesis (flexible), lumbarReplacement of nuclear disc (nucleus pulposus), lumbarIncludes: diskectomy (discectomy) New code ® Revised code 4 th digit required 219

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)84.65 Insertion of total spinal disc prosthesis, lumbosacralReplacement of lumbar spinal disc, NOSReplacement of total spinal disc, lumbarTotal artificial disc prosthesis (flexible), lumbarIncludes: diskectomy (discectomy)84.66 Revision or replacement of artificial spinal disc prosthesis,cervicalRemoval of (partial) (total) spinal disc prosthesis with synchronousinsertion of new (partial) (total) spinal disc prosthesis, cervicalRepair of previously inserted spinal disc prosthesis, cervical84.67 Revision or replacement of artificial spinal disc prosthesis,thoracicRemoval of (partial) (total) spinal disc prosthesis with synchronousinsertion of new (partial) (total) spinal disc prosthesis, thoracicRepair of previously inserted spinal disc prosthesis, thoracic84.68 Revision or replacement of artificial spinal disc prosthesis,lumbosacralRemoval of (partial) (total) spinal disc prosthesis with synchronousinsertion of new (partial)(total) spinal disc prosthesis,lumbosacralRepair of previously inserted spinal disc prosthesis, lumbosacral84.69 Revision or replacement of artificial spinal disc prosthesis, nototherwise specifiedRemoval of (partial) (total) spinal disc prosthesis with synchronousinsertion of new (partial)(total) spinal disc prosthesisRepair of previously inserted spinal disc prosthesis84.7 Adjunct codes for external fixator devicesCode also any primary procedure performed:application of external fixator device (78.10, 78.12- 78.13, 78.15,78.17- 78.19)reduction of fracture and dislocation (79.00- 79.89)84.71 Application of external fixator device, monoplanar systemExcludes: other hybrid device or system (84.73)ring device or system (84.72)84.72 Application of external fixator device, ring systemIlizarov typeSheffield typeExcludes: monoplanar device or system (84.71)other hybrid device or system (84.73)84.73 Application of hybrid external fixator deviceComputer (assisted) (dependent) external fixator deviceHybrid system using both ring and monoplanar devicesExcludes: monoplanar device or system, when used alone (84.71)ring device or system, when used alone (84.72)220 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)84.8 Insertion, replacement and revision of posterior spinal motionpreservation device(s)Dynamic spinal stabilization device(s)Includes any synchronous facetectomy (partial, total) performed at the samelevelCode also any synchronous surgical decompression (foraminotomy,laminectomy, laminotomy), if performed (03.09)Excludes: fusion of spine (81.00 81.08, 81.30-81.39)insertion of artificial disc prosthesis (84.60-84.69)insertion of interbody spinal fusion device (84.51)84.80 Insertion or replacement of interspinous process device(s) Interspinous process decompression device(s)Interspinous process distraction device(s)Excludes: insertion or replacement of facet replacement device (84.84)insertion or replacement of pedicle-based dynamicstabilization device (84.82)84.81 Revision of interspinous process device(s) Repair of previously inserted interspinous process device(s)Excludes: revision of facet replacement device(s) (84.85)revision of pedicle-based dynamic stabilization device(84.83)84.82 Insertion or replacement of pedicle-based dynamic stabilizationdevice(s) Excludes: initial insertion of pedicle screws with spinal fusion--omit codeinsertion or replacement of facet replacement device(s)(84.84)insertion or replacement of interspinous process device(s)(84.80)replacement of pedicle screws used in spinal fusion (78.59)84.83 Revision of pedicle-based dynamic stabilization device(s) Repair of previously inserted pedicle- based dynamicstabilization device(s)Excludes: removal of pedicle screws used in spinal fusion (78.69)replacement of pedicle screws used in spinal fusion (78.59)revision of facet replacement device(s) (84.85)revision of interspinous process device(s) (84.81)84.84 Insertion or replacement of facet replacement device(s) Facet arthroplastyExcludes: initial insertion of pedicle screws with spinal fusion--omit codeinsertion or replacement of interspinous process device(s)(84.80)insertion or replacement of pedicle-based dynamicstabilization device(s) (84.82))replacement of pedicle screws used in spinal fusion (78.59) New code ® Revised code 4 th digit required 221

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)84.85 Revision of facet replacement device(s) Repair of previously inserted facet replacement device(s)Excludes: removal of pedicle screws used in spinal fusion (78.69)replacement of pedicle screws used in spinal fusion(78.59)revision of interspinous process device(s) (84.81)revision of pedicle-based dynamic stabilization device(s)(84.83)84.9 Other operations on musculoskeletal systemExcludes: nonoperative manipulation (93.25-93.29)84.91 Amputation, not otherwise specified84.92 Separation of equal conjoined twins84.93 Separation of unequal conjoined twinsSeparation of conjoined twins NOS84.99 Other222 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)15. OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)85 Operations on the breastIncludes: operations on the skin and subcutaneous tissue of:breast female or maleprevious mastectomy site female or malerevision of previous mastectomy site85.0 MastotomyIncision of breast (skin)MammotomyExcludes: aspiration of breast (85.91)removal of implant (85.94)85.1 Diagnostic procedures on breast85.11 Closed [percutaneous] [needle] biopsy of breast85.12 Open biopsy of breast85.19 Other diagnostic procedures on breastExcludes: mammary ductogram (87.35)mammography NEC (87.37)manual examination (89.36)microscopic examination of specimen (91.61-91.69)thermography (88.85)ultrasonography (88.73)xerography (87.36)85.2 Excision or destruction of breast tissueExcludes: mastectomy (85.41-85.48)reduction mammoplasty (85.31-85.32)85.20 Excision or destruction of breast tissue, not otherwise specified ®Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue ofbreast under guidance (17.69)85.21 Local excision of lesion of breastLumpectomyRemoval of area of fibrosis from breastExcludes: biopsy of breast (85.11-85.12)85.22 Resection of quadrant of breast85.23 Subtotal mastectomyExcludes: quadrant resection (85.22)85.24 Excision of ectopic breast tissueExcision of accessory nipple85.25 Excision of nippleExcludes: excision of accessory nipple (85.24) New code ® Revised code 4 th digit required 223

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)85.3 Reduction mammoplasty and subcutaneous mammectomy85.31 Unilateral reduction mammoplastyUnilateral:amputative mammoplastysize reduction mammoplasty85.32 Bilateral reduction mammoplastyAmputative mammoplastyReduction mammoplasty (for gynecomastia)85.33 Unilateral subcutaneous mammectomy with synchronous implantExcludes: that without synchronous implant (85.34)85.34 Other unilateral subcutaneous mammectomyRemoval of breast tissue with preservation of skin and nippleSubcutaneous mammectomy NOS85.35 Bilateral subcutaneous mammectomy with synchronous implantExcludes: that without synchronous implant (85.36)85.36 Other bilateral subcutaneous mammectomy85.4 Mastectomy85.41 Unilateral simple mastectomyMastectomy:NOScomplete85.42 Bilateral simple mastectomyBilateral complete mastectomy85.43 Unilateral extended simple mastectomyExtended simple mastectomy NOSModified radical mastectomySimple mastectomy with excision of regional lymph nodes85.44 Bilateral extended simple mastectomy85.45 Unilateral radical mastectomyExcision of breast, pectoral muscles, and regional lymph nodes[axillary, clavicular, supraclavicular]Radical mastectomy NOS85.46 Bilateral radical mastectomy85.47 Unilateral extended radical mastectomyExcision of breast, muscles, and lymph nodes [axillary, clavicular,supraclavicular, internal mammary, and mediastinal]Extended radical mastectomy NOS85.48 Bilateral extended radical mastectomy85.5 Augmentation mammoplastyExcludes: that associated with subcutaneous mammectomy (85.33, 85.35)85.50 Augmentation mammoplasty, not otherwise specified85.51 Unilateral injection into breast for augmentation85.52 Bilateral injection into breast for augmentationInjection into breast for augmentation NOS224 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)85.53 Unilateral breast implant85.54 Bilateral breast implantBreast implant NOS85.6 Mastopexy85.7 Total reconstruction of breast ®85.70 Total reconstruction of breast, not otherwise specified Perforator flap, free85.71 Latissimus dorsi myocutaneous flap 85.72 Transverse rectus abdominis myocutaneous (TRAM) flap, pedicled Excludes: transverse rectus abdominis myocutaneous (TRAM) flap,free (85.73)85.73 Transverse rectus abdominis myocutaneous (TRAM) flap, freeExcludes: transverse rectus abdominis myocutaneous (TRAM) flap,pedicled (85.72)85.74 Deep inferior epigastric artery perforator (DIEP) flap, free 85.75 Superficial inferior epigastric artery (SIEA) flap, free 85.76 Gluteal artery perforator (GAP) flap, free 85.79 Other total reconstruction of breast Excludes: deep inferior epigastric artery perforator (DIEP) flap, free(85.74)gluteal artery perforator (GAP) flap, free (85.76)latissimus dorsi myocutaneous flap (85.71)perforator flap, free (85.70)superficial inferior epigastric artery (SIEA) flap, free (85.75)total reconstruction of breast, not otherwise specified(85.70)transverse rectus abdominis myocutaneous (TRAM) flap,free (85.73)transverse rectus abdominis myocutaneous (TRAM) flap,pedicled (85.72)85.8 Other repair and plastic operations on breast ®Excludes: that for:augmentation (85.50-85.54)reconstruction (85.70-85.76, 85.79)reduction (85.31-85.32)85.81 Suture of laceration of breast85.82 Split-thickness graft to breast85.83 Full-thickness graft to breast85.84 Pedicle graft to breast85.85 Muscle flap graft to breast85.86 Transposition of nipple85.87 Other repair or reconstruction of nipple85.89 Other mammoplasty New code ® Revised code 4 th digit required 225

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)85.9 Other operations on the breast85.91 Aspiration of breastExcludes: percutaneous biopsy of breast (85.11)85.92 Injection of therapeutic agent into breastExcludes: that for augmentation of breast (85.51-85.52)85.93 Revision of implant of breast85.94 Removal of implant of breast85.95 Insertion of breast tissue expanderInsertion (soft tissue) of tissue expander (one or more) under muscleor platysma to develop skin flaps for donor use85.96 Removal of breast tissue expander85.99 Other86 Operations on skin and subcutaneous tissueIncludes: operations on:hair folliclesmale perineumnailssebaceous glandssubcutaneous fat padssudoriferous glandssuperficial fossaeExcludes: those on skin of:anus (49.01-49.99)breast (mastectomy site) (85.0-85.99)ear (18.01-18.9)eyebrow (08.01-08.99)eyelid (08.01-08.99)female perineum (71.01-71.9)lips (27.0-27.99)nose (21.00-21.99)penis (64.0-64.99)scrotum (61.0-61.99)vulva (71.01-71.9)86.0 Incision of skin and subcutaneous tissue86.01 Aspiration of skin and subcutaneous tissueAspiration of:abscess of nail, skin, or subcutaneous tissuehematoma of nail, skin, or subcutaneous tissueseroma of nail, skin, or subcutaneous tissue86.02 Injection or tattooing of skin lesion or defectInjection of filling materialInsertion of filling materialPigmenting of skin of filling material86.03 Incision of pilonidal sinus or cystExcludes: marsupialization (86.21)226 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)86.04 Other incision with drainage of skin and subcutaneous tissueExcludes: drainage of:fascial compartments of face and mouth (27.0)palmar or thenar space (82.04)pilonidal sinus or cyst (86.03)86.05 Incision with removal of foreign body or device from skin and ®subcutaneous tissueRemoval of loop recorderRemoval of neurostimulator pulse generator (single array, dual array)Removal of tissue expander(s) from skin or soft tissue other thanbreast tissueRemoval of carotid sinus baroreflex activation deviceExcludes: removal of foreign body without incision (98.20-98.29)86.06 Insertion of totally implantable infusion pumpCode also any associated catheterizationExcludes: insertion of totally implantable vascular access device (86.07)86.07 Insertion of totally implantable vascular access device [VAD]Totally implanted portExcludes: insertion of totally implantable infusion pump (86.06)86.09 Other incision of skin and subcutaneous tissue ®Creation of thalamic stimulator pulse generator pocket, new siteEscharotomyExploration:sinus tract, skinsuperficial fossaRelocation of subcutaneous device pocket NECReopening subcutaneous pocket for device revision withoutreplacementUndercutting of hair follicleExcludes: creation of loop recorder pocket, new site andinsertion/relocation of device (37.79)creation of pocket for implantable, patient-activated cardiacevent recorder and insertion/relocation of device (37.79)removal of catheter from cranial cavity (01.27)that of:cardiac pacemaker pocket, new site (37.79)fascial compartments of face and mouth (27.0)that for drainage (86.04)86.1 Diagnostic procedures on skin and subcutaneous tissue86.11 Biopsy of skin and subcutaneous tissue86.19 Other diagnostic procedures on skin and subcutaneous tissueExcludes: microscopic examination of specimen from skin andsubcutaneous tissue (91.61-91.79) New code ® Revised code 4 th digit required 227

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)86.2 Excision or destruction of lesion or tissue of skin and subcutaneoustissue86.21 Excision of pilonidal cyst or sinusMarsupialization of cystExcludes: incision of pilonidal cyst or sinus (86.03)86.22 Excisional debridement of wound, infection, or burnRemoval by excision of:devitalized tissuenecrosissloughExcludes: debridement of:abdominal wall (wound) (54.3)bone (77.60-77.69)muscle (83.45)of hand (82.36)nail (bed) (fold) (86.27)nonexcisional debridement of wound, infection, or burn(86.28)open fracture site (79.60-79.69)pedicle or flap graft (86.75)86.23 Removal of nail, nail bed, or nail fold86.24 Chemosurgery of skinChemical peel of skin86.25 DermabrasionThat with laserExcludes: dermabrasion of wound to remove embedded debris (86.28)86.26 Ligation of dermal appendageExcludes: excision of preauricula appendage (18.29)86.27 Debridement of nail, nail bed, or nail foldRemoval of:necrosissloughExcludes: removal of nail, nail bed, or nail fold (86.23)86.28 Nonexcisional debridement of wound, infection or burnDebridement NOSMaggot therapyRemoval of devitalized tissue, necrosis and slough by such methods as:brushingirrigation (under pressure)scrubbingwashingWater scalpel (jet)228 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)86.3 Other local excision or destruction of lesion or tissue of skin andsubcutaneous tissueDestruction of skin by:cauterization cryosurgeryfulgurationlaser beamThat with Z- plastyExcludes: adipectomy (86.83)biopsy of skin (86.11)wide or radical excision of skin (86.4)Z-plasty without excision (86.84)86.4 Radical excision of skin lesionWide excision of skin lesion involving underlying or adjacent structureCode also any lymph node dissection (40.3- 40.5)86.5 Suture or other closure of skin and subcutaneous tissue86.51 Replantation of scalp86.59 Closure of skin and subcutaneous tissue of other sitesAdhesives (surgical) (tissue)StaplesSuturesExcludes: application of adhesive strips (butterfly) --omit code86.6 Free skin graft ®Includes: excision of skin for autogenous graftExcludes: construction or reconstruction of:penis (64.43-64.44)trachea (31.75)vagina (70.61-70.64)86.60 Free skin graft, not otherwise specified86.61 Full-thickness skin graft to handExcludes: heterograft (86.65)homograft (86.66)86.62 Other skin graft to handExcludes: heterograft (86.65)homograft (86.66)86.63 Full-thickness skin graft to other sitesExcludes: heterograft (86.65)homograft (86.66)86.64 Hair transplantExcludes: hair follicle transplant to eyebrow or eyelash (08.63)86.65 Heterograft to skinPigskin graftPorcine graftExcludes: application of dressing only (93.57) New code ® Revised code 4 th digit required 229

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)86.66 Homograft to skinGraft to skin of:amnionic membrane from donor skin from donor86.67 Dermal regenerative graftArtificial skin, NOSCreation of "neodermis"Decellularized allodermisIntegumentary matrix implantsProsthetic implant of dermal layer of skinRegenerate dermal layer of skinExcludes: heterograft to skin (86.65)homograft to skin (86.66)86.69 Other skin graft to other sitesExcludes: heterograft (86.65)homograft (86.66)86.7 Pedicle grafts or flaps ®Excludes: construction or reconstruction of:penis (64.43-64.44)trachea (31.75)vagina (70.61-70.64)86.70 Pedicle or flap graft, not otherwise specified86.71 Cutting and preparation of pedicle grafts or flapsElevation of pedicle from its bedFlap design and raisingPartial cutting of pedicle or tubePedicle delayExcludes: pollicization or digital transfer (82.61, 82.81)revision of pedicle (86.75)86.72 Advancement of pedicle graft86.73 Attachment of pedicle or flap graft to handExcludes: pollicization or digital transfer (82.61, 82.81)86.74 Attachment of pedicle or flap graft to other sitesAttachment by:advanced flapdouble pedicled flappedicle graftrotating flapsliding flaptube graft86.75 Revision of pedicle or flap graftDebridement of pedicle or flap graftDefatting of pedicle or flap graft86.8 Other repair and reconstruction of skin and subcutaneous tissue86.81 Repair for facial weakness230 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)86.82 Facial rhytidectomyFace liftExcludes: rhytidectomy of eyelid (08.86-08.87)86.83 Size reduction plastic operationLiposuctionReduction of adipose tissue of:abdominal wall (pendulous)arms (batwing)buttockthighs (trochanteric lipomatosis)Excludes: breast (85.31-85.32)86.84 Relaxation of scar or web contracture of skinZ- plasty of skinExcludes: Z-plasty with excision of lesion (86.3)86.85 Correction of syndactyly86.86 Onychoplasty86.89 Other repair and reconstruction of skin and subcutaneous tissueExcludes: mentoplasty (76.67-76.68)86.9 Other operations on skin and subcutaneous tissue86.91 Excision of skin for graftExcision of skin with closure of donor siteExcludes: that with graft at same operative episode (86.60- 86.69)86.92 Electrolysis and other epilation of skinExcludes: epilation of eyelid (08.91-08.93)86.93 Insertion of tissue expanderInsertion (subcutaneous) (soft tissue) of expander(one or more) inscalp (subgaleal space), face, neck, trunk except breast, and upperand lower extremities for development of skin flaps for donor useExcludes: flap graft preparation (86.71)tissue expander, breast (85.95)86.94 Insertion or replacement of single array neurostimulator pulsegenerator, not specified as rechargeablePulse generator (single array, single channel) for intracranial, spinal,and peripheral neurostimulatorCode also any associated lead implantation (02.93,03.93,04.92)Excludes: insertion or replacement of single array rechargeableneurostimulator pulse generator (86.97)86.95 Insertion or replacement of dual array neurostimulator pulsegenerator, not specified as rechargeablePulse generator (dual array, dual channel) for intracranial, spinal, andperipheral neurostimulatorCode also any associated lead implantation (02.93,03.93,04.92)Excludes: insertion or replacement of dual array rechargeableneurostimulator pulse generator (86.98) New code ® Revised code 4 th digit required 231

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)86.96 Insertion or replacement of other neurostimulator pulse generatorCode also any associated lead implantation (02.93,03.93,04.92)Excludes: insertion of dual array neurostimulator pulse generator(86.95, 86.98)insertion of single array neurostimulator pulse generator(86.94, 86.97)86.97 Insertion or replacement of single array rechargeableneurostimulator pulse generatorRechargeable pulse generator (single array, single channel) forintracranial, spinal, and peripheral neurostimulatorCode also any associated lead implantation (02.93,03.93,04.92)86.98 Insertion or replacement of dual array rechargeableneurostimulator pulse generatorRechargeable pulse generator (dual array, dual channel) forintracranial, spinal, and peripheral neurostimulator86.99 OtherCode also any associated lead implantation (02.93,03.93,04.92)Excludes: removal of sutures from:abdomen (97.83)head and neck (97.38)thorax (97.43)trunk NEC (97.84)wound catheter:irrigation (96.58)replacement (97.15)232 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)16. MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)87 Diagnostic Radiology87.0 Soft tissue x-ray of face, head, and neckExcludes: angiography (88.40-88.68)87.01 Pneumoencephalogram87.02 Other contrast radiogram of brain and skullPneumocisternogramPneumoventriculogramPosterior fossa myelogram87.03 Computerized axial tomography of headC.A.T. scan of head87.04 Other tomography of head87.05 Contrast dacryocystogram87.06 Contrast radiogram of nasopharynx87.07 Contrast laryngogram87.08 Cervical lymphangiogram87.09 Other soft tissue x-ray of face, head, and neckNoncontrast x- ray of:adenoidlarynxnasolacrimal ductnasopharynxsalivary glandthyroid regionuvulaExcludes: x-ray study of eye (95.14)87.1 Other x-ray of face, head, and neckExcludes: angiography (88.40-88.68)87.11 Full-mouth x-ray of teeth87.12 Other dental x-rayOrthodontic cephalogram or cephalometricsPanorex examination of mandibleRoot canal x- ray87.13 Temporomandibular contrast arthrogram87.14 Contrast radiogram of orbit87.15 Contrast radiogram of sinus87.16 Other x-ray of facial bonesX- ray of:frontal areamandiblemaxillanasal sinuses New code ® Revised code 4 th digit required 233

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)noseorbitsupraorbital areasymphysis mentizygomaticomaxillary complex87.17 Other x-ray of skullLateral projection of skullSagittal projectionTangential projection87.2 X-ray of spine87.21 Contrast myelogram87.22 Other x-ray of cervical spine87.23 Other x-ray of thoracic spine87.24 Other x-ray of lumbosacral spineSacrococcygeal x- ray87.29 Other x-ray of spineSpinal x- ray NOS87.3 Soft tissue x-ray of thoraxExcludes: angiocardiography (88.50-88.58)angiography (88.40-88.68)87.31 Endotracheal bronchogram87.32 Other contrast bronchogramTranscricoid bronchogram87.33 Mediastinal pneumogram87.34 Intrathoracic lymphangiogram87.35 Contrast radiogram of mammary ducts87.36 Xerography of breast87.37 Other mammography87.38 Sinogram of chest wallFistulogram of chest wall87.39 Other soft tissue x-ray of chest wall87.4 Other x-ray of thoraxExcludes: angiocardiography (88.50-88.58)angiography (88.40-88.68)87.41 Computerized axial tomography of thorax ®C.A.T. scan of thoraxC.A.T. scan of heartCrystal linea scan of x- ray beam of thoraxElectronic substraction of thoraxPhotoelectric response of thoraxTomography with use of computer, x- rays, and camera of thorax87.42 Other tomography of thorax ®Cardiac tomogramExcludes: C.A.T. scan of heart (87.41)234 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)87.43 X-ray of ribs, sternum, and clavicleExamination for:cervical ribfracture87.44 Routine chest x-ray, so describedX- ray of chest NOS87.49 Other chest x-rayX- ray of:bronchus NOSdiaphragm NOSheart NOSlung NOSmediastinum NOStrachea NOS87.5 Biliary tract x-ray87.51 Percutaneous hepatic cholangiogram87.52 Intravenous cholangiogram87.53 Intraoperative cholangiogram87.54 Other cholangiogram87.59 Other biliary tract x-rayCholecystogram87.6 Other x-ray of digestive system87.61 Barium swallow87.62 Upper GI series87.63 Small bowel series87.64 Lower GI series87.65 Other x-ray of intestine87.66 Contrast pancreatogram87.69 Other digestive tract x-ray87.7 X-ray of urinary systemExcludes: angiography of renal vessels (88.45, 88.65)87.71 Computerized axial tomography of kidneyC.A.T. scan of kidney87.72 Other nephrotomogram87.73 Intravenous pyelogramDiuretic infusion pyelogram87.74 Retrograde pyelogram87.75 Percutaneous pyelogram87.76 Retrograde cystourethrogram87.77 Other cystogram87.78 Ileal conduitogram New code ® Revised code 4 th digit required 235

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)87.79 Other x-ray of the urinary systemKUB x- ray87.8 X-ray of female genital organs87.81 X-ray of gravid uterusIntrauterine cephalometry by x- ray87.82 Gas contrast hysterosalpingogram87.83 Opaque dye contrast hysterosalpingogram87.84 Percutaneous hysterogram87.85 Other x-ray of fallopian tubes and uterus87.89 Other x-ray of female genital organs87.9 X-ray of male genital organs87.91 Contrast seminal vesiculogram87.92 Other x-ray of prostate and seminal vesicles87.93 Contrast epididymogram87.94 Contrast vasogram87.95 Other x-ray of epididymis and vas deferens87.99 Other x-ray of male genital organs88 Other diagnostic radiology and related techniques88.0 Soft tissue x-ray of abdomenExcludes: angiography (88.40-88.68)88.01 Computerized axial tomography of abdomenC.A.T. scan of abdomenExcludes: C.A.T. scan of kidney (87.71)88.02 Other abdomen tomographyExcludes: nephrotomogram (87.72)88.03 Sinogram of abdominal wallFistulogram of abdominal wall88.04 Abdominal lymphangiogram88.09 Other soft tissue x-ray of abdominal wall88.1 Other x-ray of abdomen88.11 Pelvic opaque dye contrast radiography88.12 Pelvic gas contrast radiographyPelvic pneumoperitoneum88.13 Other peritoneal pneumogram88.14 Retroperitoneal fistulogram88.15 Retroperitoneal pneumogram88.16 Other retroperitoneal x-ray88.19 Other x-ray of abdomenFlat plate of abdomen236 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)88.2 Skeletal x-ray of extremities and pelvisExcludes: contrast radiogram of joint (88.32)88.21 Skeletal x-ray of shoulder and upper arm88.22 Skeletal x-ray of elbow and forearm88.23 Skeletal x-ray of wrist and hand88.24 Skeletal x-ray of upper limb, not otherwise specified88.25 Pelvimetry88.26 Other skeletal x-ray of pelvis and hip88.27 Skeletal x-ray of thigh, knee, and lower leg88.28 Skeletal x-ray of ankle and foot88.29 Skeletal x-ray of lower limb, not otherwise specified88.3 Other x-ray88.31 Skeletal seriesX- ray of whole skeleton88.32 Contrast arthrogramExcludes: that of temporomandibular joint (87.13)88.33 Other skeletal x-rayExcludes: skeletal x-ray of:extremities and pelvis (88.21-88.29)face, head, and neck (87.11-87.17)spine (87.21-87.29)thorax (87.43)88.34 Lymphangiogram of upper limb88.35 Other soft tissue x-ray of upper limb88.36 Lymphangiogram of lower limb88.37 Other soft tissue x-ray of lower limbExcludes: femoral angiography (88.48,88.66)88.38 Other computerized axial tomography ®C.A.T. scan NOSExcludes: C.A.T. scan of:abdomen (88.01)head (87.03)heart (87.41)kidney (87.71)thorax (87.41)88.39 X-ray, other and unspecified New code ® Revised code 4 th digit required 237

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)88.4 Arteriography using contrast materialIncludes: angiography of arteriesarterial puncture for injection of contrast materialradiography of arteries (by fluoroscopy)retrograde arteriographyThe fourth- digit subclassification identifies the site to be viewed, not the siteof injection.Excludes: arteriography using:radioisotopes or radionuclides (92.01-92.19)ultrasound (88.71-88.79)fluorescein angiography of eye (95.12)88.40 Arteriography using contrast material, unspecified site88.41 Arteriography of cerebral arteriesAngiography of:basilar arterycarotid (internal)posterior cerebral circulationvertebral artery88.42 AortographyArteriography of aorta and aortic arch88.43 Arteriography of pulmonary arteries88.44 Arteriography of other intrathoracic vesselsExcludes: angiocardiography (88.50-88.58)arteriography of coronary arteries (88.55-88.57)88.45 Arteriography of renal arteries88.46 Arteriography of placentaPlacentogram using contrast material88.47 Arteriography of other intra-abdominal arteries88.48 Arteriography of femoral and other lower extremity arteries88.49 Arteriography of other specified sites88.5 Angiocardiography using contrast materialIncludes: arterial puncture and insertion of arterial catheter for injection ofcontrast materialcineangiocardiographyselective angiocardiographyCode also synchronous cardiac catheterization (37.21- 37.23)Excludes: angiography of pulmonary vessels (88.43, 88.62)88.50 Angiocardiography, not otherwise specified88.51 Angiocardiography of venae cavaeInferior vena cavographyPhlebography of vena cava (inferior) (superior)238 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)88.52 Angiocardiography of right heart structures ®Angiocardiography of:pulmonary valveright atriumright ventricle (outflow tract)Excludes: that combined with left heart angiocardiography (88.54)intra-operative fluorescence vascular angiography (88.59)88.53 Angiocardiography of left heart structures ®Angiocardiography of:aortic valveleft atriumleft ventricle (outflow tract)Excludes: that combined with right heart angiocardiography (88.54)intra-operative fluorescence vascular angiography (88.59)88.54 Combined right and left heart angiocardiography ®Excludes: intra-operative fluorescence vascular angiography (88.59)88.55 Coronary arteriography using a single catheter ®Coronary arteriography by Sones techniqueDirect selective coronary arteriographyusing a single catheterExcludes: intra-operative fluorescence vascular angiography (88.59)88.56 Coronary arteriography using two catheters ®Coronary arteriography by:Judkins techniqueRicketts and Abrams techniqueDirect selective coronary arteriography using two cathetersExcludes: intra-operative fluorescence vascular angiography (88.59)88.57 Other and unspecified coronary arteriography ®Coronary arteriography NOSExcludes: intra-operative fluorescence vascular angiography (88.59)88.58 Negative-contrast cardiac roentgenographyCardiac roentgenography with injection of carbon dioxide88.59 Intra-operative fluorescence vascular angiography Intraoperative laser arteriogram (SPY)SPY arteriogramSPY arteriography88.6 PhlebographyIncludes: angiography of veinsradiography of veins (by fluoroscopy)retrograde phlebographyvenipuncture for injection of contrast materialvenography using contrast materialNote: The fourth- digit subclassification (88.60- 88.67) identifies the site tobe viewed, not the site of injection. New code ® Revised code 4 th digit required 239

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)Excludes: angiography using:radioisotopes or radionuclides (92.01-92.19)ultrasound (88.71-88.79)fluorescein angiography of eye (95.12)88.60 Phlebography using contrast material, unspecified site88.61 Phlebography of veins of head and neck using contrast material88.62 Phlebography of pulmonary veins using contrast material88.63 Phlebography of other intrathoracic veins using contrast material88.64 Phlebography of the portal venous system using contrast materialSplenoportogram (by splenic arteriography)88.65 Phlebography of other intra-abdominal veins using contrastmaterial88.66 Phlebography of femoral and other lower extremity veins usingcontrast material88.67 Phlebography of other specified sites using contrast material88.68 Impedance phlebography88.7 Diagnostic ultrasoundIncludes: EchographyNon- invasive ultrasoundUltrasonic angiographyUltrasonographyExcludes: intravascular imaging (adjunctive) (IVUS) (00.21-00.29)therapeutic ultrasound (00.01 -00.09)88.71 Diagnostic ultrasound of head and neckDetermination of midline shift of brainEchoencephalographyExcludes: eye (95.13)88.72 Diagnostic ultrasound of heartEchocardiographyTransesophageal echocardiographyExcludes: echocardiography of heart chambers (37.28)intracardiac echocardiography (ICE) (37.28)intravascular (IVUS) imaging of coronary vessels (00.24)88.73 Diagnostic ultrasound of other sites of thoraxAortic arch ultrasonographyBreast ultrasonographyLung ultrasonography88.74 Diagnostic ultrasound of digestive system88.75 Diagnostic ultrasound of urinary system88.76 Diagnostic ultrasound of abdomen and retroperitoneum88.77 Diagnostic ultrasound of peripheral vascular systemDeep vein thrombosis ultrasonic scanningExcludes: adjunct vascular system procedures (00.40-00.43)240 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)88.78 Diagnostic ultrasound of gravid uterusIntrauterine cephalometry:echoultrasonicPlacental localization by ultrasound88.79 Other diagnostic ultrasoundUltrasonography of:multiple sitesnongravid uterustotal body88.8 Thermography88.81 Cerebral thermography88.82 Ocular thermography88.83 Bone thermographyOsteoarticular thermography88.84 Muscle thermography88.85 Breast thermography88.86 Blood vessel thermographyDeep vein thermography88.89 Thermography of other sitesLymph gland thermographyThermography NOS88.9 Other diagnostic imaging88.90 Diagnostic imaging, not elsewhere classified88.91 Magnetic resonance imaging of brain and brain stem ®Excludes: intraoperative magnetic resonance imaging (88.96)real-time magnetic resonance imaging (88.96)laser interstitial thermal therapy [LITT] of lesion or tissue ofbrain under guidance (17.61)88.92 Magnetic resonance imaging of chest and myocardium ®For evaluation of hilar and mediastinal lymphadenopathyExcludes: laser interstitial thermal therapy [LITT] of lesion or tissue ofbreast under guidance (17.69)laser interstitial thermal therapy [LITT] of lesion or tissue oflung under guidance (17.69)88.93 Magnetic resonance imaging of spinal canalSpinal cord levels:cervicalthoraciclumbar (lumbosacral)Spinal cordSpine88.94 Magnetic resonance imaging of musculoskeletalBone marrow blood supplyExtremities (upper) (lower) New code ® Revised code 4 th digit required 241

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)88.95 Magnetic resonance imaging of pelvis, prostate, and bladder ®Excludes: laser interstitial thermal therapy [LITT] of lesion or tissue ofprostate under guidance (17.69)88.96 Other intraoperative magnetic resonance imagingiMRIReal- time magnetic resonance imaging88.97 Magnetic resonance imaging of other and unspecified sites ®AbdomenEye orbitFaceNeckExcludes: laser interstitial thermal therapy [LITT] of lesion or tissue ofother and unspecified site under guidance (17.69)88.98 Bone mineral density studiesDual photon absorptiometryQuantitative computed tomography (CT) studiesRadiographic densitometrySingle photon absorptiometry89 Interview, evaluation, consultation, and examination89.0 Diagnostic interview, consultation, and evaluationExcludes: psychiatric diagnostic interview (94.11-94.19)89.01 Interview and evaluation, described as briefAbbreviated history and evaluation89.02 Interview and evaluation, described as limitedInterval history and evaluation89.03 Interview and evaluation, described as comprehensiveHistory and evaluation of new problem89.04 Other interview and evaluation89.05 Diagnostic interview and evaluation, not otherwise specified89.06 Consultation, described as limitedConsultation on a single organ system89.07 Consultation, described as comprehensive89.08 Other consultation89.09 Consultation, not otherwise specified89.1 Anatomic and physiologic measurements and manualexaminations -- nervous system and sense organsExcludes: ear examination (95.41-95.49)eye examination (95.01-95.26)the listed procedures when done as part of a general physicalexamination (89.7)89.10 Intracarotid amobarbital testWada test89.11 Tonometry242 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)89.12 Nasal function studyRhinomanometry89.13 Neurologic examination89.14 ElectroencephalogramExcludes: that with polysomnogram (89.17)89.15 Other nonoperative neurologic function tests89.16 Transillumination of newborn skull89.17 PolysomnogramSleep recording89.18 Other sleep disorder function testsMultiple sleep latency test [MSLT]89.19 Video and radio-telemetered electroencephalographic monitoringRadiographic EEG monitoringVideo EEG monitoring89.2 Anatomic and physiologic measurements and manualexaminations -- genitourinary systemExcludes: the listed procedures when done as part of a general physicalexamination (89.7)89.21 Urinary manometryManometry through:indwelling ureteral catheternephrostomypyelostomyureterostomy89.22 Cystometrogram89.23 Urethral sphincter electromyogram89.24 Uroflowmetry [UFR]89.25 Urethral pressure profile [UPP]89.26 Gynecological examinationPelvic examination89.29 Other nonoperative genitourinary system measurementsBioassay of urineRenal clearanceUrine chemistry89.3 Other anatomic and physiologic measurements and manualexaminationsExcludes: the listed procedures when done as part of a general physicalexamination (89.7)89.31 Dental examinationOral mucosal surveyPeriodontal survey89.32 Esophageal manometry89.33 Digital examination of enterostomy stomaDigital examination of colostomy stoma89.34 Digital examination of rectum New code ® Revised code 4 th digit required 243

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)89.35 Transillumination of nasal sinuses89.36 Manual examination of breast89.37 Vital capacity determination ®Excludes: endoscopic pulmonary airway flow measurement (33.72)89.38 Other nonoperative respiratory measurements ®Plethysmography for measurement of respiratory functionThoracic impedance plethysmographyExcludes: endoscopic pulmonary airway flow measurement (33.72)89.39 Other nonoperative measurements and examinations14 C- Urea breath testBasal metabolic rate [BMR]Gastric:analysisfunction NECExcludes: body measurement (93.07)cardiac tests (89.41-89.69)fundus photography (95.11)limb length measurement (93.06)89.4 Cardiac stress tests, pacemaker and defibrillator checks89.41 Cardiovascular stress test using treadmill89.42 Masters' two-step stress test89.43 Cardiovascular stress test using bicycle ergometer89.44 Other cardiovascular stress testThallium stress test with or without transesophageal pacing89.45 Artificial pacemaker rate checkArtificial pacemaker function check NOSBedside device check of pacemaker or cardiac resynchronizationpacemaker [CRT- P]Interrogation only without arrhythmia inductionExcludes: catheter based invasive electrophysiologic testing (37.26)non-invasive programmed electrical stimulation [NIPS](arrhythmia induction) (37.20)89.46 Artificial pacemaker artifact wave form check89.47 Artificial pacemaker electrode impedance check89.48 Artificial pacemaker voltage or amperage threshold check89.49 Automatic implantable cardioverter/defibrillator (AICD) checkBedside check of an AICD or cardiac resynchronization defibrillator[CRT- D]Checking pacing thresholds of deviceInterrogation only without arrhythmia inductionExcludes: catheter based invasive electrophysiologic testing (37.26)non-invasive programmed electrical stimulation [NIPS](arrhythmia induction) (37.20)244 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)89.5 Other nonoperative cardiac and vascular diagnostic proceduresExcludes: fetal EKG (75.32)89.50 Ambulatory cardiac monitoringAnalog devices [Holter- type]89.51 Rhythm electrocardiogramRhythm EKG (with one to three leads)89.52 ElectrocardiogramECG NOSEKG (with 12 or more leads)89.53 Vectorcardiogram (with ECG)89.54 Electrographic monitoringTelemetryExcludes: ambulatory cardiac monitoring (89.50)electrographic monitoring during surgery --omit code89.55 Phonocardiogram with ECG lead89.56 Carotid pulse tracing with ECG leadExcludes: oculoplethysmography (89.58)89.57 Apexcardiogram (with ECG lead)89.58 PlethysmogramPenile plethysmography with nerve stimulationExcludes: plethysmography (for):measurement of respiratory function (89.38)thoracic impedance (89.38)89.59 Other nonoperative cardiac and vascular measurements89.6 Circulatory monitoringExcludes: electrocardiographic monitoring during surgery --omit codeimplantation or replacement of subcutaneous device forintracardiac hemodynamic monitoring (00.57)insertion or replacement of implantable pressure sensor (lead) forintracardiac hemodynamic monitoring (00.56)89.60 Continuous intra-arterial blood gas monitoringInsertion of blood gas monitoring system and continuous monitoringof blood gases through an intra- arterial sensor89.61 Systemic arterial pressure monitoring ®Excludes: intra-aneurysm sac pressure monitoring (intraoperative)(00.58)intravascular pressure measurement of intrathoracic arteries(00.67)intravascular pressure measurement of peripheral arteries(00.68)89.62 Central venous pressure monitoring ®Excludes: intravascular pressure measurement, other specified andunspecified vessels (00.69) New code ® Revised code 4 th digit required 245

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)89.63 Pulmonary artery pressure monitoringExcludes: pulmonary artery wedge monitoring (89.64)89.64 Pulmonary artery wedge monitoringPulmonary capillary wedge [PCW] monitoringSwan- Ganz catheterization89.65 Measurement of systemic arterial blood gasesExcludes: continuous intra-arterial blood gas monitoring (89.60)89.66 Measurement of mixed venous blood gases89.67 Monitoring of cardiac output by oxygen consumption techniqueFick method89.68 Monitoring of cardiac output by other techniqueCardiac output monitor by thermodilution indicator89.69 Monitoring of coronary blood flow ®Coronary blood flow monitoring by coincidence counting techniqueExcludes: intravascular pressure measurement of coronary arteries(00.59)89.7 General physical examination89.8 Autopsy90 Microscopic examination-IThe following fourth- digit subclassification is for use with categories insection 90 to identify type of examination:1 bacterial smear2 culture3 culture and sensitivity4 parasitology5 toxicology6 cell block and Papanicolaou smear9 other microscopic examination90.0 Microscopic examination of specimen from nervous system andof spinal fluid 90.1 Microscopic examination of specimen from endocrine gland, notelsewhere classified 90.2 Microscopic examination of specimen from eye 90.3 Microscopic examination of specimen from ear, nose, throat, andlarynx 90.4 Microscopic examination of specimen from trachea, bronchus,pleura, lung, and other thoracic specimen, and of sputum90.5 Microscopic examination of blood 90.6 Microscopic examination of specimen from spleen and of bonemarrow 246 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)90.7 Microscopic examination of specimen from lymph node and oflymph 90.8 Microscopic examination of specimen from upper gastrointestinaltract and of vomitus 90.9 Microscopic examination of specimen from lower gastrointestinaltract and of stool 91 Microscopic examination-IIThe following fourth- digit subclassification is for use with categories insection 91 to identify type of examination1 bacterial smear2 culture3 culture and sensitivity4 parasitology5 toxicology6 cell block and Papanicolaou smear9 other microscopic examination91.0 Microscopic examination of specimen from liver, biliary tract,and pancreas 91.1 Microscopic examination of peritoneal and retroperitonealspecimen 91.2 Microscopic examination of specimen from kidney, ureter,perirenal and periureteral tissue 91.3 Microscopic examination of specimen from bladder, urethra,prostate, seminal vesicle, perivesical tissue, and of urine andsemen 91.4 Microscopic examination of specimen from female genital tract Amnionic sacFetus91.5 Microscopic examination of specimen from musculoskeletalsystem and of joint fluid Microscopic examination of:bonebursacartilagefascialigamentmusclesynovial membranetendon New code ® Revised code 4 th digit required 247

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)91.6 Microscopic examination of specimen from skin and otherintegument ®Microscopic examination of:hairnailsskinExcludes: mucous membrane -- code to organ sitethat of operative wound (91.71-91.79)91.7 Microscopic examination of specimen from operative wound 91.8 Microscopic examination of specimen from other site 91.9 Microscopic examination of specimen from unspecified site 92 Nuclear medicine92.0 Radioisotope scan and function study92.01 Thyroid scan and radioisotope function studiesIodine- 131 uptakeProtein- bound iodineRadio- iodine uptake92.02 Liver scan and radioisotope function study92.03 Renal scan and radioisotope function studyRenal clearance study92.04 Gastrointestinal scan and radioisotope function studyRadio- cobalt B12 Schilling testRadio- iodinated triolein study92.05 Cardiovascular and hematopoietic scan and radioisotope functionstudyBone marrow scan or function studyCardiac output scan or function studyCirculation time scan or function studyRadionuclide cardiac ventriculogram scan or function studySpleen scan or function study92.09 Other radioisotope function studies92.1 Other radioisotope scan92.11 Cerebral scanPituitary92.12 Scan of other sites of headExcludes: eye (95.16)92.13 Parathyroid scan92.14 Bone scan92.15 Pulmonary scan92.16 Scan of lymphatic system92.17 Placental scan92.18 Total body scan92.19 Scan of other sites248 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)92.2 Therapeutic radiology and nuclear medicineExcludes: that for:ablation of pituitary gland (07.64-07.69)destruction of chorioretinal lesion (14.26-14.27)92.20 Infusion of liquid brachytherapy radioisotopeI- 125 radioisotopeIntracavitary brachytherapyIncludes: removal of radioisotope92.21 Superficial radiationContact radiation [up to 150 KVP]92.22 Orthovoltage radiationDeep radiation [200- 300 KVP]92.23 Radioisotopic teleradiotherapyTeleradiotherapy using:cobalt- 60iodine- 125radioactive cesium92.24 Teleradiotherapy using photonsMegavoltage NOSSupervoltage NOSUse of:Betatronlinear accelerator92.25 Teleradiotherapy using electrons ®Beta particlesExcludes: intra-operative electron radiation therapy (92.41)92.26 Teleradiotherapy of other particulate radiationNeutronsProtons NOS92.27 Implantation or insertion of radioactive elementsIntravascular brachytherapyCode also incision of siteExcludes: infusion of liquid brachytherapy radioisotope (92.20)92.28 Injection or instillation of radioisotopesInjection or infusion of radioimmunoconjugateIntracavitary injection or instillationIntravenous injection or instillationIodine- 131 [I- 131] tositumomabRadioimmunotherapyYtrium- 90 [Y- 90] ibritumomab tiuxetanExcludes: infusion of liquid brachytherapy radioisotope (92.20)92.29 Other radiotherapeutic procedure92.3 Stereotactic radiosurgeryCode also stereotactic head frame application (93.59)Excludes: stereotactic biopsy92.30 Stereotactic radiosurgery, not otherwise specified New code ® Revised code 4 th digit required 249

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)92.31 Single source photon radiosurgeryHigh energy x- raysLinear accelerator (LINAC)92.32 Multi-source photon radiosurgeryCobalt 60 radiationGamma irradiation92.33 Particulate radiosurgeryParticle beam radiation (cyclotron)Proton accerlerator92.39 Stereotactic radiosurgery, not elsewhere classified92.4 Intra-operative radiation procedures92.41 Intra-operative electron radiation therapy IOERTThat using a mobile linear accelerator93 Physical therapy, respiratory therapy, rehabilitation, andrelated procedures93.0 Diagnostic physical therapy93.01 Functional evaluation93.02 Orthotic evaluation93.03 Prosthetic evaluation93.04 Manual testing of muscle function93.05 Range of motion testing93.06 Measurement of limb length93.07 Body measurementGirth measurementMeasurement of skull circumference93.08 ElectromyographyExcludes: eye EMG (95.25)that with polysomnogram (89.17)urethral sphincter EMG (89.23)93.09 Other diagnostic physical therapy procedure93.1 Physical therapy exercises93.11 Assisting exerciseExcludes: assisted exercise in pool (93.31)93.12 Other active musculoskeletal exercise93.13 Resistive exercise93.14 Training in joint movements93.15 Mobilization of spine93.16 Mobilization of other jointsExcludes: manipulation o temporomandibular joint (76.95)250 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)93.17 Other passive musculoskeletal exercise93.18 Breathing exercise93.19 Exercise, not elsewhere classified93.2 Other physical therapy musculoskeletal manipulation93.21 Manual and mechanical tractionExcludes: skeletal traction (93.43-93.44)skin traction (93.45-93.46)spinal traction (93.41-93.42)93.22 Ambulation and gait training93.23 Fitting of orthotic device93.24 Training in use of prosthetic or orthotic deviceTraining in crutch walking93.25 Forced extension of limb93.26 Manual rupture of joint adhesions93.27 Stretching of muscle or tendon93.28 Stretching of fascia93.29 Other forcible correction of deformity93.3 Other physical therapy therapeutic procedures93.31 Assisted exercise in pool93.32 Whirlpool treatment93.33 Other hydrotherapy93.34 Diathermy93.35 Other heat therapyAcupuncture with smouldering moxaHot packsHyperthermia NECInfrared irradiationMoxibustionParaffin bathExcludes: hyperthermia for treatment of cancer (99.85)93.36 Cardiac retraining93.37 Prenatal trainingTraining for natural childbirth93.38 Combined physical therapy without mention of the components93.39 Other physical therapy93.4 Skeletal traction and other traction93.41 Spinal traction using skull deviceTraction using:caliper tongsCrutchfield tongshalo deviceVinke tongsExcludes: insertion of tongs or halo traction device (02.94) New code ® Revised code 4 th digit required 251

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)93.42 Other spinal tractionCotrel's tractionExcludes: cervical collar (93.52)93.43 Intermittent skeletal traction93.44 Other skeletal tractionBryant's tractionDunlop's tractionLyman Smith tractionRussell's traction93.45 Thomas' splint traction93.46 Other skin traction of limbsAdhesive tape tractionBoot tractionBuck's tractionGallows traction93.5 Other immobilization, pressure, and attention to woundExcludes: external fixator device (84.71-84.73)wound cleansing (96.58-96.59)93.51 Application of plaster jacketExcludes: Minerva jacket (93.52)93.52 Application of neck supportApplication of:cervical collarMinerva jacketmolded neck support93.53 Application of other cast93.54 Application of splintPlaster splintTray splintExcludes: periodontal splint (24.7)93.55 Dental wiringExcludes: that for orthodontia (24.7)93.56 Application of pressure dressingApplication of:Gibney bandageRobert Jones' bandageShanz dressing93.57 Application of other wound dressingPorcine wound dressing93.58 Application of pressure trousersApplication of:anti- shock trousersMAST trousersvasopneumatic device252 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)93.59 Other immobilization, pressure, and attention to woundElastic stockingsElectronic gaiterIntermittent pressure deviceOxygenation of wound (hyperbaric)Stereotactic head frame applicationVelpeau dressing93.6 Osteopathic manipulative treatment93.61 Osteopathic manipulative treatment for general mobilizationGeneral articulatory treatment93.62 Osteopathic manipulative treatment using high- velocity,low-amplitude forcesThrusting forces93.63 Osteopathic manipulative treatment using low- velocity,high-amplitude forcesSpringing forces93.64 Osteopathic manipulative treatment using isotonic, isometricforces93.65 Osteopathic manipulative treatment using indirect forces93.66 Osteopathic manipulative treatment to move tissue fluidsLymphatic pump93.67 Other specified osteopathic manipulative treatment93.7 Speech and reading rehabilitation and rehabilitation of the blind93.71 Dyslexia training93.72 Dysphasia training93.73 Esophageal speech training93.74 Speech defect training93.75 Other speech training and therapy93.76 Training in use of lead dog for the blind93.77 Training in braille or Moon93.78 Other rehabilitation for the blind93.8 Other rehabilitation therapy93.81 Recreation therapyDiversional therapyPlay therapyExcludes: play psychotherapy (94.36)93.82 Educational therapyEducation of bed- bound childrenSpecial schooling for the handicapped93.83 Occupational therapyDaily living activities therapyExcludes: training in activities of daily living for the blind (93.78)93.84 Music therapy New code ® Revised code 4 th digit required 253

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)93.85 Vocational rehabilitationSheltered employmentVocational:assessmentretrainingtraining93.89 Rehabilitation, not elsewhere classified93.9 Respiratory therapy ®Excludes: insertion of airway (96.01-96.05)other continuous invasive (through endotracheal tube ortracheostomy) mechanical ventilation (96.70-96.72)93.90 Non-invasive mechanical ventilation ®Bi- level airway pressureBiPAP without (delivery through) endotracheal tube or tracheostomyCPAP without (delivery through) endotracheal tube or tracheostomyMechanical ventilation NOSNon- invasive PPVNon- invasive positive pressure (NIPPV)NPPVThat delivered by non- invasive interface:face masknasal masknasal pilloworal mouthpieceoronasal maskExcludes: invasive (through endotracheal tube or tracheostomy)continuous mechanical ventilation (96.70-96.72)Note:Patients admitted on non- invasive mechanical ventilation thatsubsequently require invasive mechanical ventilation; code bothtypes of mechanical ventilation.93.91 Intermittent positive pressure breathing [IPPB]93.93 Nonmechanical methods of resuscitationArtificial respirationManual resuscitationMouth- to- mouth resuscitation93.94 Respiratory medication administered by nebulizerMist therapy93.95 Hyperbaric oxygenationExcludes: oxygenation of wound (93.59)93.96 Other oxygen enrichment ®Catalytic oxygen therapyCytoreductive effectOxygenatorsOxygen therapyExcludes: oxygenation of wound (93.59)SuperSaturated oxygen therapy (00.49)93.97 Decompression chamber254 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)93.98 Other control of atmospheric pressure and compositionAntigen- free air conditioningHelium therapyExcludes: inhaled nitric oxide therapy (INO) (00.12)93.99 Other respiratory proceduresContinuous negative pressure ventilation [CNP]Postural drainage94 Procedures related to the psyche94.0 Psychologic evaluation and testing94.01 Administration of intelligence testAdministration of:Stanford- BinetWechsler Adult Intelligence ScaleWechsler Intelligence Scale for Children94.02 Administration of psychologic testAdministration of:Bender Visual- Motor Gestalt TestBenton Visual Retention TestMinnesota Multiphasic Personality InventoryWechsler Memory Scale94.03 Character analysis94.08 Other psychologic evaluation and testing94.09 Psychologic mental status determination, not otherwise specified94.1 Psychiatric interviews, consultations, and evaluations94.11 Psychiatric mental status determinationClinical psychiatric mental status determinationEvaluation for criminal responsibilityEvaluation for testimentary capacityMedicolegal mental status determinationMental status determination NOS94.12 Routine psychiatric visit, not otherwise specified94.13 Psychiatric commitment evaluationPre- commitment interview94.19 Other psychiatric interview and evaluationFollow- up psychiatric interview NOS94.2 Psychiatric somatotherapy94.21 NarcoanalysisNarcosynthesis94.22 Lithium therapy94.23 Neuroleptic therapy94.24 Chemical shock therapy94.25 Other psychiatric drug therapy94.26 Subconvulsive electroshock therapy New code ® Revised code 4 th digit required 255

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)94.27 Other electroshock therapyElectroconvulsive therapy (ECT)EST94.29 Other psychiatric somatotherapy94.3 Individual psychotherapy94.31 Psychoanalysis94.32 HypnotherapyHypnodromeHypnosis94.33 Behavior therapyAversion therapyBehavior modificationDesensitization therapyExtinction therapyRelaxation trainingToken economy94.34 Individual therapy for psychosexual dysfunctionExcludes: that performed in group setting (94.41)94.35 Crisis intervention94.36 Play psychotherapy94.37 Exploratory verbal psychotherapy94.38 Supportive verbal psychotherapy94.39 Other individual psychotherapyBiofeedback94.4 Other psychotherapy and counselling94.41 Group therapy for psychosexual dysfunction94.42 Family therapy94.43 Psychodrama94.44 Other group therapy94.45 Drug addiction counselling94.46 Alcoholism counselling94.49 Other counselling94.5 Referral for psychologic rehabilitation94.51 Referral for psychotherapy94.52 Referral for psychiatric aftercare:That in:halfway houseoutpatient (clinic) facility94.53 Referral for alcoholism rehabilitation94.54 Referral for drug addiction rehabilitation94.55 Referral for vocational rehabilitation94.59 Referral for other psychologic rehabilitation256 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)94.6 Alcohol and drug rehabilitation and detoxification94.61 Alcohol rehabilitation94.62 Alcohol detoxification94.63 Alcohol rehabilitation and detoxification94.64 Drug rehabilitation94.65 Drug detoxification94.66 Drug rehabilitation and detoxification94.67 Combined alcohol and drug rehabilitation94.68 Combined alcohol and drug detoxification94.69 Combined alcohol and drug rehabilitation and detoxification95 Ophthalmologic and otologic diagnosis and treatment95.0 General and subjective eye examination95.01 Limited eye examinationEye examination with prescription of spectacles95.02 Comprehensive eye examinationEye examination covering all aspects of the visual system95.03 Extended ophthalmologic work-upExamination (for):glaucomaneuro- ophthalmologyretinal disease95.04 Eye examination under anesthesiaCode also type of examination95.05 Visual field study95.06 Color vision study95.07 Dark adaptation study95.09 Eye examination, not otherwise specifiedVision check NOS95.1 Examinations of form and structure of eye95.11 Fundus photography95.12 Fluorescein angiography or angioscopy of eye95.13 Ultrasound study of eye95.14 X-ray study of eye95.15 Ocular motility study95.16 P 32 and other tracer studies of eye95.2 Objective functional tests of eyeExcludes: that with polysomnogram (89.17)95.21 Electroretinogram [ERG]95.22 Electro-oculogram [EOG]95.23 Visual evoked potential [VEP] New code ® Revised code 4 th digit required 257

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)95.24 Electronystagmogram [ENG]95.25 Electromyogram of eye [EMG]95.26 Tonography, provocative tests, and other glaucoma testing95.3 Special vision services95.31 Fitting and dispensing of spectacles95.32 Prescription, fitting, and dispensing of contact lens95.33 Dispensing of other low vision aids95.34 Ocular prosthetics95.35 Orthoptic training95.36 Ophthalmologic counselling and instructionCounselling in:adaptation to visual lossuse of low vision aids95.4 Nonoperative procedures related to hearing95.41 AudiometryBékésy 5- tone audiometryImpedance audiometryStapedial reflex responseSubjective audiometryTympanogram95.42 Clinical test of hearingTuning fork testWhispered speech test95.43 Audiological evaluationAudiological evaluation by:Bárány noise machineblindfold testdelayed feedbackmaskingWeber lateralization95.44 Clinical vestibular function testsThermal test of vestibular function95.45 Rotation testsBárány chair95.46 Other auditory and vestibular function tests95.47 Hearing examination, not otherwise specified95.48 Fitting of hearing aidExcludes: implantation of electromagnetic hearing device (20.95)95.49 Other nonoperative procedures related to hearingAdjustment (external components) of cochlear prosthetic device258 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)96 Nonoperative intubation and irrigation96.0 Nonoperative intubation of gastrointestinal and respiratorytracts96.01 Insertion of nasopharyngeal airway96.02 Insertion of oropharyngeal airway96.03 Insertion of esophageal obturator airway96.04 Insertion of endotracheal tube96.05 Other intubation of respiratory tractExcludes: endoscopic insertion or replacement of bronchial device orsubstance (33.71, 33.79)96.06 Insertion of Sengstaken tubeEsophageal tamponade96.07 Insertion of other (naso-)gastric tubeIntubation for decompressionExcludes: that for enteral infusion of nutritional substance (96.6)96.08 Insertion of (naso-)intestinal tubeMiller- Abbott tube (for decompression)96.09 Insertion of rectal tubeReplacement of rectal tube96.1 Other nonoperative insertionExcludes: nasolacrimal intubation (09.44)96.11 Packing of external auditory canal96.14 Vaginal packing96.15 Insertion of vaginal mold96.16 Other vaginal dilation96.17 Insertion of vaginal diaphragm96.18 Insertion of other vaginal pessary96.19 Rectal packing96.2 Nonoperative dilation and manipulation96.21 Dilation of frontonasal duct96.22 Dilation of rectum96.23 Dilation of anal sphincter96.24 Dilation and manipulation of enterostomy stoma96.25 Therapeutic distention of bladderIntermittent distention of bladder96.26 Manual reduction of rectal prolapse96.27 Manual reduction of hernia96.28 Manual reduction of enterostomy prolapse New code ® Revised code 4 th digit required 259

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)96.29 Reduction of intussusception of alimentary tractWith:fluoroscopyionizing radiation enemaultrasonography guidanceHydrostatic reductionPneumatic reductionExcludes: intra-abdominal manipulation of intestine, not otherwisespecified (46.80)96.3 Nonoperative alimentary tract irrigation, cleaning, and localinstillation96.31 Gastric coolingGastric hypothermia96.32 Gastric freezing96.33 Gastric lavage96.34 Other irrigation of (naso-)gastric tube96.35 Gastric gavage96.36 Irrigation of gastrostomy or enterostomy96.37 Proctoclysis96.38 Removal of impacted fecesRemoval of impaction:by flushing manually96.39 Other transanal enemaRectal irrigationExcludes: reduction of intussusception of alimentary tract by ionizingradiation enema (96.29)96.4 Nonoperative irrigation, cleaning, and local instillation of otherdigestive and genitourinary organs96.41 Irrigation of cholecystostomy and other biliary tube96.42 Irrigation of pancreatic tube96.43 Digestive tract instillation, except gastric gavage96.44 Vaginal douche96.45 Irrigation of nephrostomy and pyelostomy96.46 Irrigation of ureterostomy and ureteral catheter96.47 Irrigation of cystostomy96.48 Irrigation of other indwelling urinary catheter96.49 Other genitourinary instillationInsertion of prostaglandin suppository96.5 Other nonoperative irrigation and cleaning96.51 Irrigation of eyeIrrigation of corneaExcludes: irrigation with removal of foreign body (98.21)260 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)96.52 Irrigation of earIrrigation with removal of cerumen96.53 Irrigation of nasal passages96.54 Dental scaling, polishing, and debridementDental prophylaxisPlaque removal96.55 Tracheostomy toilette96.56 Other lavage of bronchus and tracheaExcludes: diagnostic bronchoalveolar lavage (BAL) (33.24)whole lung lavage (33.99)96.57 Irrigation of vascular catheter96.58 Irrigation of wound catheter96.59 Other irrigation of woundWound cleaning NOSExcludes: debridement (86.22, 86.27-86.28)96.6 Enteral infusion of concentrated nutritional substances96.7 Other continuous invasive mechanical ventilation ®Includes: Endotracheal respiratory assistanceBiPAP delivered through endotracheal tube or tracheostomy(invasive interface)CPAP delivered through endotracheal tube or tracheostomy(invasive interface)Invasive positive pressure ventilation [IPPV]Mechanical ventilation through invasive interfaceThat bytracheostomyWeaning of an intubated (endotracheal tube) patientExcludes: non-invasive bi-level positive airway pressure [BiPAP] (93.90)continuous negative pressure ventilation [CNP] (iron lung) (cuirass)(93.99)non-invasive continuous positive airway pressure [CPAP] (93.90)intermittent positive pressure breathing [IPPB] (93.91)non-invasive positive pressure (NIPPV) (93.90)that by face mask (93.90-93.99)that by nasal cannula(93.90-93.99)that by nasal catheter (93.90-93.99))Code also any associated:endotracheal tube insertion (96.04)tracheostomy (31.1- 31.29)Note: Endotracheal IntubationTo calculate the number of hours (duration) of continuous mechanicalventilation during a hospitalization, begin the count from the start of the(endotracheal) intubation. The duration ends with (endotracheal)extubation.If a patient is intubated prior to admission, begin counting the durationfrom the time of the admission. If a patient is transferred (discharged)while intubated, the duration would end at the time of transfer (discharge). New code ® Revised code 4 th digit required 261

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)For patients who begin on (endotracheal) intubation and subsequentlyhave a tracheostomy performed for mechanical ventilation, the durationbegins with the (endotracheal) intubation and ends when the mechanicalventilation is turned off (after the weaning period).TracheostomyTo calculate the number of hours of continuous mechanical ventilationduring a hospitalization, begin counting the duration when mechanicalventilation is started. The duration ends when the mechanical ventilatoris turned off (after the weaning period).If a patient has received a tracheostomy prior to admission and is onmechanical ventilation at the time of admission, begin counting theduration from the time of admission. If a patient is transferred(discharged) while still on mechanical ventilation via tracheostomy, theduration would end at the time of the transfer (discharge).96.70 Continuous invasive mechanical ventilation of unspecified duration ®Invasive mechanical ventilation NOS96.71 Continuous invasive mechanical ventilation for less than 96consecutive hours ®96.72 Continuous invasive mechanical ventilation for 96 consecutivehours or more ®97 Replacement and removal of therapeutic appliances97.0 Nonoperative replacement of gastrointestinal appliance97.01 Replacement of (naso-)gastric or esophagostomy tube97.02 Replacement of gastrostomy tube97.03 Replacement of tube or enterostomy device of small intestine97.04 Replacement of tube or enterostomy device of large intestine97.05 Replacement of stent (tube) in biliary or pancreatic duct97.1 Nonoperative replacement of musculoskeletal and integumentarysystem appliance97.11 Replacement of cast on upper limb97.12 Replacement of cast on lower limb97.13 Replacement of other cast97.14 Replacement of other device for musculoskeletal immobilizationSplintingStrapping97.15 Replacement of wound catheter97.16 Replacement of wound packing or drainExcludes: repacking of:dental wound (97.22)vulvar wound (97.26)262 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)97.2 Other nonoperative replacement97.21 Replacement of nasal packing97.22 Replacement of dental packing97.23 Replacement of tracheostomy tube97.24 Replacement and refitting of vaginal diaphragm97.25 Replacement of other vaginal pessary97.26 Replacement of vaginal or vulvar packing or drain97.29 Other nonoperative replacements97.3 Nonoperative removal of therapeutic device from head and neck97.31 Removal of eye prosthesisExcludes: removal of ocular implant (16.71)removal of orbital implant (16.72)97.32 Removal of nasal packing97.33 Removal of dental wiring97.34 Removal of dental packing97.35 Removal of dental prosthesis97.36 Removal of other external mandibular fixation device97.37 Removal of tracheostomy tube97.38 Removal of sutures from head and neck97.39 Removal of other therapeutic device from head and neckExcludes: removal of skull tongs (02.94)97.4 Nonoperative removal of therapeutic device from thorax97.41 Removal of thoracotomy tube or pleural cavity drain97.42 Removal of mediastinal drain97.43 Removal of sutures from thorax97.44 Nonoperative removal of heart assist systemExplantation [removal] of circulatory assist deviceExplantation [removal] of percutaneous external heart assist deviceIntra- aortic balloon pump [IABP]Removal of extrinsic heart assist deviceRemoval of pVADRemoval of percutaneous heart assist device97.49 Removal of other device from thorax ®Excludes: Endoscopic removal of bronchial device(s) or substances(33.78)97.5 Nonoperative removal of therapeutic device from digestivesystem97.51 Removal of gastrostomy tube97.52 Removal of tube from small intestine97.53 Removal of tube from large intestine or appendix97.54 Removal of cholecystostomy tube New code ® Revised code 4 th digit required 263

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)97.55 Removal of T-tube, other bile duct tube, or liver tubeRemoval of bile duct stent97.56 Removal of pancreatic tube or drain97.59 Removal of other device from digestive systemRemoval of rectal packing97.6 Nonoperative removal of therapeutic device from urinary system97.61 Removal of pyelostomy and nephrostomy tube97.62 Removal of ureterostomy tube and ureteral catheter97.63 Removal of cystostomy tube97.64 Removal of other urinary drainage deviceRemoval of indwelling urinary catheter97.65 Removal of urethral stent97.69 Removal of other device from urinary system97.7 Nonoperative removal of therapeutic device from genital system97.71 Removal of intrauterine contraceptive device97.72 Removal of intrauterine pack97.73 Removal of vaginal diaphragm97.74 Removal of other vaginal pessary97.75 Removal of vaginal or vulvar packing97.79 Removal of other device from genital tractRemoval of sutures97.8 Other nonoperative removal of therapeutic device97.81 Removal of retroperitoneal drainage device97.82 Removal of peritoneal drainage device97.83 Removal of abdominal wall sutures97.84 Removal of sutures from trunk, not elsewhere classified97.85 Removal of packing from trunk, not elsewhere classified97.86 Removal of other device from abdomen97.87 Removal of other device from trunk97.88 Removal of external immobilization deviceRemoval of:bracecastsplint97.89 Removal of other therapeutic device98 Nonoperative removal of foreign body or calculus98.0 Removal of intraluminal foreign body from digestive systemwithout incisionExcludes: removal of therapeutic device (97.51-97.59)98.01 Removal of intraluminal foreign body from mouth without incision264 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)98.02 Removal of intraluminal foreign body from esophagus withoutincision98.03 Removal of intraluminal foreign body from stomach and smallintestine without incision98.04 Removal of intraluminal foreign body from large intestinewithout incision98.05 Removal of intraluminal foreign body from rectum and anuswithout incision98.1 Removal of intraluminal foreign body from other sites withoutincisionExcludes: removal of therapeutic device (97.31-97.49, 97.61-97.89)98.11 Removal of intraluminal foreign body from ear without incision98.12 Removal of intraluminal foreign body from nose without incision98.13 Removal of intraluminal foreign body from pharynx without incision98.14 Removal of intraluminal foreign body from larynx without incision98.15 Removal of intraluminal foreign body from trachea and bronchuswithout incision ®Excludes: Endoscopic removal of bronchial device(s) or substances(33.78)98.16 Removal of intraluminal foreign body from uterus withoutincisionExcludes: removal of intrauterine contraceptive device (97.71)98.17 Removal of intraluminal foreign body from vagina without incision98.18 Removal of intraluminal foreign body from artificial stomawithout incision98.19 Removal of intraluminal foreign body from urethra without incision98.2 Removal of other foreign body without incisionExcludes: removal of intraluminal foreign body (98.01-98.19)98.20 Removal of foreign body, not otherwise specified98.21 Removal of superficial foreign body from eye without incision98.22 Removal of other foreign body without incision from head andneckRemoval of embedded foreign body from eyelid or conjunctivawithout incision98.23 Removal of foreign body from vulva without incision98.24 Removal of foreign body from scrotum or penis without incision98.25 Removal of other foreign body without incision from trunkexcept scrotum, penis, or vulva98.26 Removal of foreign body from hand without incision98.27 Removal of foreign body without incision from upper limb,except hand98.28 Removal of foreign body from foot without incision New code ® Revised code 4 th digit required 265

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)98.29 Removal of foreign body without incision from lower limb,except foot98.5 Extracorporeal shockwave lithotripsy [ESWL]Lithotriptor tank procedureDisintegration of stones by extracorporeal induced shockwavesThat with insertion of stent98.51 Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureterand/or bladder98.52 Extracorporeal shockwave lithotripsy [ESWL] of the gallbladderand/or bile duct98.59 Extracorporeal shockwave lithotripsy of other sites99 Other nonoperative procedures99.0 Transfusion of blood and blood componentsUse additional code for that done via catheter or cutdown (38.92- 38.94)99.00 Perioperative autologous transfusion of whole blood or bloodcomponentsIntraoperative blood collectionPostoperative blood collectionSalvage99.01 Exchange transfusionTransfusion:exsanguinationreplacement99.02 Transfusion of previously collected autologous bloodBlood component99.03 Other transfusion of whole bloodTransfusion:blood NOShemodilutionNOS99.04 Transfusion of packed cells99.05 Transfusion of plateletsTransfusion of thrombocytes99.06 Transfusion of coagulation factorsTransfusion of antihemophilic factor99.07 Transfusion of other serumTransfusion of plasmaExcludes: injection [transfusion] of:antivenin (99.16)gamma globulin (99.14)99.08 Transfusion of blood expanderTransfusion of Dextran266 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)99.09 Transfusion of other substanceTransfusion of:blood surrogategranulocytesExcludes: transplantation [transfusion] of bone marrow (41.0)99.1 Injection or infusion of therapeutic or prophylactic substanceIncludes: injection or infusion given:hypodermically acting locally or systemicallyintramuscularly acting locally or systemicallyintravenously acting locally or systemically99.10 Injection or infusion of thrombolytic agent ®AlteplaseAnistreplaseReteplaseStreptokinaseTenecteplaseTissue plasminogen activator (TPA)UrokinaseExcludes: aspirin --omit codeGP IIB/IIIa platelet inhibitor (99.20)heparin (99.19)SuperSaturated oxygen therapy (00.49)warfarin --omit code99.11 Injection of Rh immune globulinInjection of:Anti- D (Rhesus) globulinRhoGAM99.12 Immunization for allergyDesensitization99.13 Immunization for autoimmune disease99.14 Injection or infusion of gamma globulin ®Injection of immune sera99.15 Parenteral infusion of concentrated nutritional substancesHyperalimentationTotal parenteral nutrition [TPN]Peripheral parenteral nutrition [PPN]99.16 Injection of antidoteInjection of:antiveninheavy metal antagonist99.17 Injection of insulin99.18 Injection or infusion of electrolytes99.19 Injection of anticoagulantExcludes: infusion of drotrecogin alfa (activated) (00.11) New code ® Revised code 4 th digit required 267

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)99.2 Injection or infusion of other therapeutic or prophylacticsubstance ®Includes: injection or infusion given:hypodermically acting locally or systemicallyintramuscularly acting locally or systemicallyintravenously acting locally or systemicallyUse additional code for:injection (into):breast (85.92)bursa (82.94, 83.96)intraperitoneal (cavity) (54.97)intrathecal (03.92)joint (76.96, 81.92)kidney (55.96)liver (50.94)orbit (16.91)other sites --see Alphabetic Indexperfusion:NOS (39.97)intestine (46.95, 46.96)kidney (55.95)liver (50.93)total body (39.96)Excludes: SuperSaturated oxygen therapy (00.49)99.20 Injection or infusion of platelet inhibitorGlycoprotein IIB/IIIa inhibitorGP IIB/IIIa inhibitorGP IIB- IIIa inhibitorExcludes: infusion of heparin (99.19)injection or infusion of thrombolytic agent (99.10)99.21 Injection of antibioticExcludes: injection or infusion of oxazolidinone class of antibiotics(00.14)99.22 Injection of other anti-infectiveExcludes: injection or infusion of oxazolidinone class of antibiotics(00.14)99.23 Injection of steroidInjection of cortisoneSubdermal implantation of progesterone99.24 Injection of other hormone268 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)99.25 Injection or infusion of cancer chemotherapeutic substance ®ChemoembolizationInjection or infusion of antineoplastic agentUse additional code for disruption of blood brain barrier, if performed[BBBD] (00.19)Excludes: immunotherapy, antineoplastic (00.15, 99.28)implantation of chemotherapeutic agent (00.10)injection of radioisotope (92.28)injection or infusion of biological response modifier [BRM] asan antineoplastic agent (99.28)intravenous infusion of clofarabine (17.70)99.26 Injection of tranquilizer99.27 Iontophoresis99.28 Injection or infusion of biological response modifier [BRM] as anantineoplastic agentLow- dose interleukin- 2 (IL- 2) therapyInfusion of cintredekin besudotoxImmunotherapy, antineoplasticInterleukin therapyTumor vaccineExcludes: high-dose infusion interleukin-2 [IL-2] (00.15)99.29 Injection or infusion of other therapeutic or prophylactic substance ®Excludes: administration of neuroprotective agent (99.75)immunization (99.31-99.59)injection of sclerosing agent into:esophageal varices (42.33)hemorrhoids (49.42)veins (39.92)injection or infusion of human B-type natriuretic peptide(hBNP)(00.13)injection or infusion of nesiritide (00.13)injection or infusion of platelet inhibitor (99.20)injection or infusion of thrombolytic agent (99.10)infusion of blood brain barrier disruption substance (00.19)99.3 Prophylactic vaccination and inoculation against certain bacterialdiseases99.31 Vaccination against cholera99.32 Vaccination against typhoid and paratyphoid feverAdministration of TAB vaccine99.33 Vaccination against tuberculosisAdministration of BCG vaccine99.34 Vaccination against plague99.35 Vaccination against tularemia99.36 Administration of diphtheria toxoidExcludes: administration of:diphtheria antitoxin (99.58)diphtheria-tetanus-pertussis, combined (99.39) New code ® Revised code 4 th digit required 269

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)99.37 Vaccination against pertussisExcludes: administration of diphtheria tetanus-pertussis, combined(99.39)99.38 Administration of tetanus toxoidExcludes: administration of:diphtheria-tetanus-pertussis, combined (99.39)tetanus antitoxin (99.56)99.39 Administration of diphtheria-tetanus- pertussis, combined99.4 Prophylactic vaccination and inoculation against certain viraldiseases99.41 Administration of poliomyelitis vaccine99.42 Vaccination against smallpox99.43 Vaccination against yellow fever99.44 Vaccination against rabies99.45 Vaccination against measlesExcludes: administration of measles-mumps rubella vaccine (99.48)99.46 Vaccination against mumpsExcludes: administration of measles-mumps rubella vaccine (99.48)99.47 Vaccination against rubellaExcludes: administration of measles-mumps rubella vaccine (99.48)99.48 Administration of measles-mumps-rubella vaccine99.5 Other vaccination and inoculation99.51 Prophylactic vaccination against the common cold99.52 Prophylactic vaccination against influenza99.53 Prophylactic vaccination against arthropod- borne viralencephalitis99.54 Prophylactic vaccination against other arthropod-borne viraldiseases99.55 Prophylactic administration of vaccine against other diseasesVaccination against:anthraxbrucellosisRocky Mountain spotted feverStaphylococcusStreptococcustyphus99.56 Administration of tetanus antitoxin99.57 Administration of botulism antitoxin99.58 Administration of other antitoxinsAdministration of:diphtheria antitoxingas gangrene antitoxinscarlet fever antitoxin270 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

MISCELLANEOUS DIAGNOSTIC AND THERAPEUTIC PROCEDURES (87-99)99.59 Other vaccination and inoculationVaccination NOSExcludes: injection of:gamma globulin (99.14)Rh immune globulin (99.11)immunization for:allergy (99.12)autoimmune disease (99.13)99.6 Conversion of cardiac rhythmExcludes: open chest cardiac:electric stimulation (37.91)massage (37.91)99.60 Cardiopulmonary resuscitation, not otherwise specified99.61 Atrial cardioversion99.62 Other electric countershock of heartCardioversion:NOSexternalConversion to sinus rhythmDefibrillationExternal electrode stimulation99.63 Closed chest cardiac massageCardiac massage NOSManual external cardiac massage99.64 Carotid sinus stimulation99.69 Other conversion of cardiac rhythm99.7 Therapeutic apheresis or other injection, administration, orinfusion of other therapeutic or prophylactic substance99.71 Therapeutic plasmapheresisExcludes: extracorporeal immunoadsorption [ECI] 99.7699.72 Therapeutic leukopheresisTherapeutic leukocytapheresis99.73 Therapeutic erythrocytapheresisTherapeutic erythropheresis99.74 Therapeutic plateletpheresis99.75 Administration of neuroprotective agent99.76 Extracorporeal immunoadsorptionRemoval of antibodies from plasma with protein A columns99.77 Application or administration of adhesion barrier substance99.78 AquapheresisPlasma water removalUltrafiltration [for water removal]Excludes: hemodiafiltration (39.95)hemodialysis (39.95)therapeutic plasmapheresis (99.71) New code ® Revised code 4 th digit required 271

ICD-9-CM TABULAR LIST OF PROCEDURES (FY10)99.79 OtherApheresis (harvest) of stem cells99.8 Miscellaneous physical procedures99.81 Hypothermia (central) (local)Excludes: gastric cooling (96.31)gastric freezing (96.32)that incidental to open heart surgery (39.62)99.82 Ultraviolet light therapyActinotherapy99.83 Other phototherapyPhototherapy of the newbornExcludes: extracorporeal photochemotherap (99.88)photocoagulation of retinal lesion (14.23-14.25,14.33-14.35, 14.53-14.55)99.84 IsolationIsolation after contact with infectious diseaseProtection of individual from his surroundingsProtection of surroundings from individual99.85 Hyperthermia for treatment of cancerHyperthermia (adjunct therapy) induced by microwave, ultrasound,low energy radio frequency, probes (interstitial), or other meansin the treatment of cancerCode also any concurrent chemotherapy or radiation therapy99.86 Non-invasive placement of bone growth stimulatorTranscutaneous (surface) placement of pads or patches forstimulation to aid bone healingExcludes: insertion of invasive or semi invasive bone growthstimulators (device) (percutaneous electrodes)(78.90-78.99)99.88 Therapeutic photopheresisExtracorporeal photochemotherapyExtracorporeal photopheresisExcludes: other phototherapy (99.83)ultraviolet light therap (99.82)99.9 Other miscellaneous procedures99.91 Acupuncture for anesthesia99.92 Other acupunctureExcludes: that with smouldering mox (93.35)99.93 Rectal massage (for levator spasm)99.94 Prostatic massage99.95 Stretching of foreskin99.96 Collection of sperm for artificial insemination99.97 Fitting of denture99.98 Extraction of milk from lactating breast99.99 OtherLeech therapy272 1 .1 OR procedure 012 Non OR procedure but affects ThaiDRG

Index to Procedures New code ® Revised code 4 th digit required 273

274

ICD-9-CM INDEX TO PROCEDURES (FY10) A.AAbbe operationconstruction of vagina 70.61with graft or prosthesis 70.63intestinal anastomosis see Anastomosis,intestineAbciximab, infusion 99.20Abdominocentesis 54.91Abdominohysterectomy 68.49laparoscopic 68.41Abdominoplasty 86.83Abdominoscopy 54.21Abdominouterotomy 68.0obstetrical 74.99Abduction, arytenoid 31.69AbioCor® total replacement heart 37.52Ablationbiliary tract (lesion) by ERCP 51.64endometrial (hysteroscopic) 68.23inner ear (cryosurgery) (ultrasound) 20.79by injection 20.72lesionesophagus 42.39endoscopic 42.33heartby peripherally inserted catheter37.34endovascular approach 37.34maze procedure (Cox- maze)endovascular approach 37.34open (trans- thoracic) approach 37.33trans- thoracic approach 37.33intestinelarge 45.49endoscopic 45.43large intestine 45.49endoscopic 45.43liver 50.26laparoscopic 50.25open 50.23percutaneous 50.24lung 32.26open 32.23percutaneous 32.24thoracoscopic 32.25renal 55.35laparoscopic 55.34open 55.32percutaneous 55.33pituitary 07.69byCobalt- 60 92.32implantation (strontium- yttrium) (Y)NEC 07.68transfrontal approach 07.64transphenoidal approach 07.65proton beam (Bragg peak) 92.33Ablation---Cont.prostatebycryoablation 60.62laser, transurethral 60.21radical cryosurgical ablation (RCSA)60.62radiofrequency thermotherapy 60.97transurethral needle ablation(TUNA) 60.97tissueheart --see ablation, lesion, heartliver --see Ablation, lesion, liverlung --see Ablation, lesion, lungrenal --see Ablation, lesion, renalAbortion, therapeutic 69.51byaspiration curettage 69.51dilation and curettage 69.01hysterectomy see Hysterectomyhysterotomy 74.91insertionlaminaria 69.93prostaglandin suppository 96.49intra- amniotic injection (saline) 75.0Abrasioncorneal epithelium 11.41for smear or culture 11.21epicardial surface 36.39pleural 34.6skin 86.25Abscission, cornea 11.49Absorptiometry photon (dual) (single) 88.98Aburel operation (intra- amnioticinjection for abortion) 75.0Accouchement forcé 73.99Acetabulectomy 77.85Acetabuloplasty NEC 81.40with prosthetic implant 81.52Achillorrhaphy 83.64delayed 83.62Achillotenotomy 83.11plastic 83.85Achillotomy 83.11plastic 83.85Acid peel, skin 86.24Acromionectomy 77.81Acromioplasty 81.83for recurrent dislocation of shoulder 81.82partial replacement 81.81total replacement 81.80Actinotherapy 99.82Activities of daily living (ADL)therapy 93.83training for the blind 93.78275

Acupuncture 99.92with smouldering moxa 93.35for anesthesia 99.91Adams operationadvancement of round ligament 69.22crushing of nasal septum 21.88excision of palmar fascia 82.35Adenectomy --see also Excision, by siteprostate NEC 60.69retropubic 60.4Adenoidectomy (without tonsillectomy) 28.6with tonsillectomy 28.3Adhesiolysis --see also Lysis, adhesionsfor collapse of lung 33.39middle ear 20.23Adipectomy 86.83Adjustmentcardiac pacemaker program(reprogramming) --omit codecochlear prosthetic device (externalcomponents) 95.49dental 99.97gastric restrictive device (laparoscopic)44.98occlusal 24.8orthopedic device (noninvasive)external fixator --omit codespectacles 95.31Administration (of) --see also InjectionActivase® 99.10adhesion barrier substance 99.77Alteplase (tPA, generic) 99.10Anistreplase (tPA, generic) 99.10antitoxins NEC 99.58botulism 99.57diphtheria 99.58gas gangrene 99.58scarlet fever 99.58tetanus 99.56Bender Visual- Motor Gestalt test 94.02Benton Visual Retention test 94.02DrotAA 00.11Eminase® 99.10inhaled nitric oxide 00.12intelligence test or scale (Stanford- Binet)(Wechsler) (adult) (children) 94.01Minnesota Multiphasic PersonalityInventory (MMPI) 94.02MMPI (Minnesota MultiphasicPersonality Inventory) 94.02neuroprotective agent 99.75Proleukin® (low- dose) 99.28high- dose 00.15psychologic test 94.02Retavase® 99.10Reteplase (tPA, generic) 99.10Stanford- Binet test 94.01Streptase® 99.10Streptokinase (tPA, generic) 99.10ICD-9-CM INDEX TO PROCEDURES (FY10)Administration---Cont.Tenecteplase (tPA, generic) 99.1099.10toxoiddiphtheria 99.36with tetanus and pertussis, combined(DTP) 99.39tetanus 99.38with diphtheria and pertussis,combined (DTP) 99.39vaccine --see also VaccinationBCG 99.33measles- mumps- rubella (MMR)99.48poliomyelitis 99.41TAB 99.32WechslerIntelligence Scale (adult) (children) 94.01Memory Scale 94.02Xigris® 00.11Adrenalectomy (unilateral) 07.22with partial removal of remaining gland 07.29bilateral 07.3partial 07.29subtotal 07.29complete 07.3partial NEC 07.29remaining gland 07.3subtotal NEC 07.29total 07.3Adrenalorrhaphy 07.44Adrenalotomy (with drainage) 07.41Advancementextraocular muscle 15.12multiple (with resection or recession) 15.3eyelid muscle 08.59eye muscle 15.12multiple (with resection or recession) 15.3graft --see Graftleaflet (heart) 35.10pedicle (flap) 86.72profundus tendon (Wagner) 82.51round ligament 69.22tendon 83.71hand 82.51profundus (Wagner) 82.51Wagner (profundus tendon) 82.51AESOP® (Automated Endoscopic System forOptimal Positioning) --see category 17.4Albee operationbone peg, femoral neck 78.05graft for slipping patella 78.06sliding inlay graft, tibia 78.07Albert operation (arthrodesis of knee) 81.22Aldridge (-Studdiford) operation(urethral sling) 59.5276

ICD-9-CM INDEX TO PROCEDURES (FY10) A.Alexander operationprostatectomyperineal 60.62suprapubic 60.3shortening of round ligaments 69.22Alexander-Adams operation (shortening ofround ligaments) 69.22Alimentation, parenteral 99.29Allograft --see GraftAlmoor operation (extrapetrosal drainage)20.22Altemeier operation (perineal rectalpull- through) 48.49Alveolectomy (interradicular) (intraseptal)(radical) (simple) (with graft) (withimplant) 24.5Alveoloplasty (with graft or implant) 24.5Alveolotomy (apical) 24.0Ambulatory cardiac monitoring(ACM) 89.50Ammon operation (dacryocystotomy) 09.53Amniocentesis(transuterine)(diagnostic) 75.1with intra- amniotic injection of saline 75.0Amniography 87.81Amnioinfusion 75.37Amnioscopy, internal 75.31Amniotomy 73.09to induce labor 73.01Amputation (cineplastic) (closed flap)(guillotine) (kineplastic) (open) 84.91abdominopelvic 84.19above- elbow 84.07above- knee (AK) 84.17ankle (disarticulation) 84.13through malleoli of tibia & fibula 84.14arm NEC 84.00throughcarpals 84.03elbow (disarticulation) 84.06forearm 84.05humerus 84.07shoulder (disarticulation) 84.08wrist (disarticulation) 84.04upper 84.07Batch- Spittler- McFaddin(kneedisarticu- lation) 84.16below- knee (BK) NEC 84.15conversion into above- knee amputation84.17Boyd (hip disarticulation) 84.18Callander's (knee disarticulation) 84.16carpals 84.03cervix 67.4Chopart's (midtarsal) 84.12clitoris 71.4Dieffenbach (hip disarticulation) 84.18Dupuytren's(shoulder disarticulation)84.08ear, external 18.39elbow (disarticulation) 84.06Amputation---Cont.finger, except thumb 84.01thumb 84.02foot (middle) 84.12forearm 84.05forefoot 84.12forequarter 84.09Gordon- Taylor (hindquarter) 84.19Gritti- Stokes (knee disarticulation) 84.16Guyon (ankle) 84.13hallux 84.11hand 84.03Hey's (foot) 84.12hindquarter 84.19hip (disarticulation) 84.18humerus 84.07interscapulothoracic 84.09interthoracoscapular 84.09King- Steelquist (hindquarter) 84.19Kirk (thigh) 84.17knee (disarticulation) 84.16Kutler (revision of current traumaticamputation of finger) 84.01Larry (shoulder disarticulation) 84.08leg NEC 84.10above knee (AK) 84.17below knee (BK) 84.15throughankle (disarticulation) 84.13femur (AK) 84.17foot 84.12hip (disarticulation) 84.18tibia and fibula (BK) 84.15Lisfrancfoot 84.12shoulder (disarticulation) 84.08Littlewood (forequarter) 84.09lower limb NEC--see also Amputation, leg 84.10Mazet (knee disarticulation) 84.16metacarpal 84.03metatarsal 84.11head (bunionectomy) 77.59metatarsophalangeal (joint) 84.11midtarsal 84.12nose 21.4penis (circle) (complete) (flap) (partial)(radical) 64.3Pirogoff's (ankle amputation throughmalleoli of tibia and fibula) 84.14rayfinger 84.01foot 84.11toe (metatarsal head) 84.11root (tooth) (apex) 23.73with root canal therapy 23.72shoulder (disarticulation) 84.08Sorondo- Ferre (hindquarter) 84.19S. P. Rogers (knee disarticulation) 84.16277

ICD-9-CM INDEX TO PROCEDURES (FY10)Amputation---Cont.supracondyler, above- knee 84.17supramalleolar, foot 84.14Syme's (ankle amputation throughmalleoli of tibia and fibula) 84.14thigh 84.17thumb 84.02toe (through metatarsophalangeal joint)84.11transcarpal 84.03transmetatarsal 84.12upper limb NEC--see also Amputation, arm84.00wrist (disarticulation) 84.04Amygdalohippocampotomy 01.39Amygdalotomy 01.39Analysiscardiac rhythm device (CRT- D) (CRT- P)(AICD) (pacemaker) - see Interrogationcharacter 94.03gastric 89.39psychologic 94.31transactionalgroup 94.44individual 94.39Anastomosisabdominal artery to coronary artery 36.17accessory- facial nerve 04.72accessory- hypoglossal nerve 04.73anus (with formation of endorectal ilealpouch) 45.95aorta (descending)- pulmonary(artery) 39.0aorta- renal artery 39.24aorta- subclavian artery 39.22aortoceliac 39.26aorto(ilio)femoral 39.25aortomesenteric 39.26appendix 47.99arteriovenous NEC 39.29for renal dialysis 39.27artery (suture of distal to proximal end)39.31withbypass graft 39.29extracranial- intracranial[EC- IC] 39.28excision or resection of vessel--see Arteriectomy, withanastomosis, by siterevision 39.49bile ducts 51.39bladder NEC 57.88withisolated segment of intestine57.87 [45.50]colon (sigmoid) 57.87 [45.52]ileum 57.87 [45.51]open loop of ileum 57.87 [45.51]to intestine 57.88ileum 57.87 [45.51]Anastomosis---Cont.bowel--see also Anastomosis,intestine 45.90bronchotracheal 33.48bronchus 33.48carotid- subclavian artery 39.22caval- mesenteric vein 39.1caval- pulmonary artery 39.21cervicoesophageal 42.59colohypopharyngeal (intrathoracic) 42.55antesternal or antethoracic 42.65common bile duct 51.39common pulmonary trunk and leftatrium (posterior wall) 35.82cystic bile duct 51.39cystocolic 57.88epididymis to vas deferens 63.83esophagocolic (intrathoracic) NEC 42.56with interposition 42.55antesternal or antethoracic NEC 42.66with interposition 42.65esophagocologastric (intrathoracic) 42.55antesternal or antethoracic 42.65esophagoduodenal(intrathoracic)NEC42.54with interposition 42.53esophagoenteric (intrathoracic) NEC --seealso Anastomosis, esophagus, tointestinal segment 42.54antesternal or antethoracic NEC --see alsoAnastomosis, esophagus, antesternal,to intestinal segment 42.64esophagoesophageal (intrathoracic) 42.51antesternal or antethoracic 42.61esophagogastric (intrathoracic) 42.52antesternal or antethoracic 42.62esophagus (intrapleural) (intrathoracic)(retrosternal) NEC 42.59withgastrectomy (partial) 43.5complete or total 43.99interposition (of) NEC 42.58colon 42.55jejunum 42.53small bowel 42.53antesternal or antethoracic NEC 42.69withinterposition (of) NEC 42.68colon 42.65jejunal loop 42.63small bowel 42.63rubber tube 42.68to intestinal segment NEC 42.64with interposition 42.68colon NEC 42.66with interposition 42.65small bowel NEC 42.64with interposition 42.63to intestinal segment(intrathoracic)NEC42.54with interposition 42.58278

ICD-9-CM INDEX TO PROCEDURES (FY10) A.Anastomosis---Cont.antesternal or antethoracic NEC 42.64with interposition 42.68colon (intrathoracic) NEC 42.56with interposition 42.55antesternal or antethoracic 42.66with interposition 42.65small bowel NEC 42.54with interposition 42.53antesternal or antethoracic 42.64with interposition 42.63facial- accessory nerve 04.72facial- hypoglossal nerve 04.71fallopian tube 66.73by reanastomosis 66.79gallbladder 51.35tohepatic ducts 51.31intestine 51.32pancreas 51.33stomach 51.34gastroepiploic artery to coronary artery36.17hepatic duct 51.39hypoglossal- accessory nerve 04.73hypoglossal- facial nerve 04.71ileal loop to bladder 57.87 [45.51]ileoanal 45.95ileorectal 45.93inferior vena cava and portal vein 39.1internal mammary artery (to)coronary artery (single vessel) 36.15double vessel 36.16myocardium 36.2intestine 45.90large- to- anus 45.95large- to- large 45.94large- to- rectum 45.94large- to- small 45.93small- to- anus 45.95small- to- large 45.93small- to- rectal stump 45.92small- to- small 45.91intrahepatic 51.79intrathoracic vessel NEC 39.23kidney (pelvis) 55.86lacrimal sac to conjunctiva 09.82left- to- right (systemic- pulmonary artery)39.0lymphatic (channel) (peripheral) 40.9mesenteric- caval 39.1mesocaval 39.1nasolacrimal 09.81nerve (cranial) (peripheral) NEC 04.74accessory- facial 04.72accessory- hypoglossal 04.73hypoglossal- facial 04.71Anastomosis---Cont.pancreas (duct) (to) 52.96bile duct 51.39gall bladder 51.33intestine 52.96jejunum 52.96stomach 52.96pleurothecal (with valve) 03.79portacaval 39.1portal vein to inferior vena cava 39.1pulmonary- aortic (Pott's) 39.0pulmonary artery and superior vena cava39.21pulmonary- innominate artery (Blalock)39.0pulmonary- subclavian artery(Blalock- Taussig) 39.0pulmonary vein and azygos vein 39.23pyeloileocutaneous 56.51pyeloureterovesical 55.86radial artery 36.19rectum, rectal NEC 48.74stump to small intestine 45.92renal (pelvis) 55.86vein and splenic vein 39.1renoportal 39.1salpingothecal (with valve) 03.79splenic to renal veins 39.1splenorenal (venous) 39.1arterial 39.26subarachnoid- peritoneal (with valve)03.71subarachnoid- ureteral (with valve) 03.72subclavian- aortic 39.22superior vena cava to pulmonaryartery39.21systemic- pulmonary artery 39.0thoracic artery (to)coronary artery (single) 36.15double 36.16myocardium 36.2ureter (to) NEC 56.79bladder 56.74colon 56.71ileal pouch (bladder) 56.51ileum 56.71intestine 56.71skin 56.61ureterocalyceal 55.86ureterocolic 56.71ureterovesical 56.74urethra (end- to- end) 58.44vas deferens 63.82veins (suture of proximal to distal end)(with bypass graft) 39.29with excision or resection of vessel--see Phlebectomy, withanastomosis, by sitemesenteric to vena cava 39.1279

ICD-9-CM INDEX TO PROCEDURES (FY10)Anastomosis - veins ---Cont.portal to inferior vena cava 39.1revision 39.49splenic and renal 39.1ventricle, ventricular (intracerebral) (withvalve) --see also Shunt, ventricular 02.2ventriculoatrial (with valve) 02.32ventriculocaval (with valve) 02.32ventriculomastoid (with valve) 02.31ventriculopleural (with valve) 02.33vesicle --see Anastomosis, bladderAnderson operation (tibial lengthening)78.37Anel operation (dilation of lacrimal duct)09.42Anesthesiaacupunture for 99.91cryoanalgesia nerve (cranial)(peripheral) 04.2spinal --omit codeAneurysmectomy 38.60withanastomosis 38.30abdominalartery 38.36vein 38.37aorta (arch)(ascending)(descending)38.34head and neck NEC 38.32intracranial NEC 38.31lower limbartery 38.38vein 38.39thoracic NEC 38.35upper limb (artery) (vein) 38.33graft replacement (interposition) 38.40abdominalaortaendovascular approach 39.71open approach 38.4439.71artery 38.46vein 38.47aorta (arch)(ascending)(descendingthoracic)abdominal 38.44thoracic 38.45thoracoabdominal 38.45 [38.44]head and neck NEC 38.42intracranial NEC 38.41lower limbartery 38.48vein 38.49thoracic NEC 38.45upper limb (artery) (vein) 38.43abdominalartery 38.66vein 38.67aorta (arch)(ascending)(descending) 38.64Aneurysmectomy ---Cont.atrial, auricular 37.32head and neck NEC 38.62heart 37.32intracranial NEC 38.61lower limbartery 38.68vein 38.69sinus of Valsalva 35.39thoracic NEC 38.65upper limb (artery) (vein) 38.63ventricle (myocardium) 37.32Aneurysmoplasty --see AneurysmorrhaphyAneurysmorrhaphy NEC 39.52by or withanastomosis --see Aneurysmectomy,with anastomosis, by siteclipping 39.51coagulation 39.52electrocoagulation 39.52endovascular graftabdominal aorta 39.71lower extremity artery(s) 39.79thoracic aorta 39.73upper extremity artery(s) 39.79excision or resection --see alsoAneurys- mectomy, by sitewithanastomosis --see Aneurysmectomy,with anastomosis, by sitegraft replacement --see Aneurysmectomy,with graft replacement, by sitefilipuncture 39.52graft replacement --see Aneurysmectomy,with graft replacement, by sitemethyl methacrylate 39.52suture 39.52wiring 39.52wrapping 39.52Matas' 39.52Aneurysmotomy --see AneurysmectomyAngiectomywithanastomosis 38.30abdominalartery 38.36vein 38.37aorta (arch) (ascending)(descending) 38.34head and neck NEC 38.32intracranial NEC 38.31lower limbartery 38.38vein 38.39thoracic vessel NEC 38.35upper limb (artery) (vein) 38.33280

ICD-9-CM INDEX TO PROCEDURES (FY10) A.Angiectomy-with ---Cont.graft replacement (interposition) 38.40abdominalaorta 38.44artery 38.46vein 38.47aorta (arch) (ascending)(descending thoracic)abdominal 38.44thoracic 38.45thoracoabdominal 38.45 [38.44]head and neck NEC 38.42intracranial NEC 38.41lower limbartery 38.48vein 38.49thoracic vessel NEC 38.45upper limb (artery) (vein) 38.43Angiocardiography (selective) 88.50carbon dioxide (negative contrast) 88.58combined right and left heart 88.54intra- operative fluorescence vascular88.59left heart (aortic valve) (atrium) (ventricle)(ventricular outflow tract) 88.53combined with right heart 88.54right heart (atrium) (pulmonary valve)(ventricle) (ventricular outflow tract)88.52combined with left heart 88.54SPY 88.59vena cava (inferior) (superior) 88.51Angiography (arterial) --see alsoArteriography 88.40by C.A.T. --seeScan, C.A.T., by siteby computed tomography --seeScan,C.A.T., by siteby radioisotope --see Scan, radioisotope,by siteby ultrasound --see Ultrasonography,by sitebasilar 88.41brachial 88.49carotid (internal) 88.41celiac 88.47cerebral (posterior circulation) 88.41coronary NEC 88.57intra- operative fluorescence vascular88.59eye (fluorescein) 95.12femoral 88.48heart 88.50intra- abdominal NEC 88.47intracranial 88.41intrathoracic vessels NEC 88.44lower extremity NEC 88.48neck 88.41placenta 88.46Angiography ---Cont.pulmonary 88.43renal 88.45specified artery NEC 88.49transfemoral 88.48upper extremity NEC 88.49veins --see Phlebographyvertebral 88.41Angioplasty (laser)--see also Repair, bloodvesselNote: Also use 00.40, 00.41, 00.42, or 00.43to show the total number of vesselstreated. Use code 00.44 once to showprocedure on a bifurcated vessel. Inaddition, use 00.45, 00.46, 00.47, or00.48 to show the number of vascularstents inserted.balloon (percutaneous transluminal) NEC 39.50coronary artery 00.66coronary 36.09open chest approach 36.03percutaneous transluminal (balloon) 00.66percutaneous transluminal (balloon)(single vessel)basilar 00.61carotid 00.61cerebral (intracranial) 00.62cerebrovascularcerebral (intracranial) 00.62precerebral (extracranial) 00.61carotid 00.61coronary (balloon)) 00.66femoropopliteal 39.50iliac 39.50lower extremity NOS 39.50mesenteric 39.50peripheral NEC 39.50precerebral (extracranial) 00.61carotid 00.61renal 39.50subclavian 39.50upper extremity NOS 39.50vertebral 00.61specified site NEC 39.50cerebrovascularcerebral (intracranial) 00.62precerebral (extracranial) 00.61peripheral 39.50Angiorrhaphy 39.30artery 39.31vein 39.32Angioscopy, percutaneous 38.22eye (fluorescein) 95.12Angiotomy 38.00abdominalartery 38.06vein 38.07aorta (arch) (ascending) (descending) 38.04281

ICD-9-CM INDEX TO PROCEDURES (FY10)Angiotomy ---Cont.head and neck NEC 38.02intracranial NEC 38.01lower limbartery 38.08vein 38.09thoracic NEC 38.05upper limb (artery) (vein) 38.03Angiotripsy 39.98Ankylosis, production of --see ArthrodesisAnnuloplasty (heart) (posteromedial) 35.33Anoplasty 49.79with hemorrhoidectomy 49.46Anoscopy 49.21Antibiogram --see Examination, microscopicAntiembolic filter, vena cava 38.7Antiphobic treatment 94.39Antrectomymastoid 20.49maxillary 22.39radical 22.31pyloric 43.6Antrostomy --see AntrotomyAntrotomy (exploratory) (nasal sinus) 22.2Caldwell- Luc (maxillary sinus) 22.39with removal of membrane lining 22.31intranasal 22.2with external approach (Caldwell- Luc)22.39radical 22.31maxillary (simple) 22.2with Caldwell- Luc approach 22.39with removal of membrane lining22.31external (Caldwell- Luc approach) 22.39with removal of membrane lining22.31radical(with removal of membrane lining)22.31Antrum window operation--see Antrotomy,maxillaryAorticopulmonary window operation 39.59Aortogram, aortography (abdominal)(retrograde) (selective) (translumbar)88.42Aortoplasty (aortic valve) (gusset type) 35.11Aortotomy 38.04Apexcardiogram (with ECG lead) 89.57Apheresis, therapeutic --see category 99.7Apicectomylung 32.39thoracoscopic 32.30petrous pyramid 20.59tooth (root) 23.73with root canal therapy 23.72Apicoectomy 23.73with root canal therapy 23.72Apicolysis (lung) 33.39Apicostomy, alveolar 24.0Aponeurectomy 83.42hand 82.33Aponeurorrhaphy--see also Suture,tendon 83.64hand--see also Suture, tendon, hand82.45Aponeurotomy 83.13hand 82.11Appendectomy (with drainage) 47.09incidental 47.19laparoscopic 47.11laparoscopic 47.01Appendicectomy (with drainage) 47.09incidental 47.19laparoscopic 47.11laparoscopic 47.01Appendicocecostomy 47.91Appendicoenterostomy 47.91Appendicolysis 54.59with appendectomy 47.09laparoscopic 47.01other 47.09laparoscopic 54.51Appendicostomy 47.91closure 47.92Appendicotomy 47.2Applicationadhesion barrier substance 99.77anti- shock trousers 93.58arch bars (orthodontic) 24.7for immobilization (fracture) 93.55barrier substance, adhesion 99.77Barton's tongs (skull) (with synchronousskeletal traction) 02.94bone growth stimulator (surface)(transcutaneous) 99.86bone morphogenetic protein(OP- ) (recombinant) (rhBMP) 84.52Bryant's traction 93.44with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationBuck's traction 93.46caliper tongs (skull) (with synchronousskeletal traction) 02.94cast (fiberglass) (plaster) (plastic)NEC 93.53with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationspica 93.51cervical collar 93.52with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationclamp, cerebral aneurysm (Crutchfield)(Silverstone) 39.51croupette, croup tent 93.94crown (artificial) 23.41282

ICD-9-CM INDEX TO PROCEDURES (FY10) A.Application---Cont.Crutchfield tongs (skull) (with synchronousskeletal traction) 02.94Dunlop's traction 93.44with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationelastic stockings 93.59electronic gaiter 93.59external fixator device (bone) 78.10carpal, metacarpal 78.14clavicle 78.11computer assisted (dependent) 84.73femur 78.15fibula 78.17humerus 78.12hybrid device or system 84.73Ilizarov type 84.72monoplanar system or device 84.71patella 78.16pelvic 78.19phalanges (foot) (hand) 78.19radius 78.13ring device or system 84.72scapula 78.11Sheffield type 84.72specified site NEC 78.19tarsal, metatarsal 78.18thorax (ribs) (sternum) 78.11tibia 78.17ulna 78.13vertebrae 78.19forceps, with delivery --see Delivery, forcepsgraft --see Graftgravity (G- ) suit 93.59intermittent pressure device 93.59Jewett extension brace 93.59Jobst pumping unit (reduction of edema)93.59Lyman Smith traction 93.44with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationMAST (military anti- shock trousers) 93.58Minerva jacket 93.52minifixator device (bone)--see category 78.1neck support (molded) 93.52obturator (orthodontic) 24.7orthodontic appliance(obturator)(wiring) 24.7pelvic sling 93.44with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationperidontal splint (orthodontic) 24.7plaster jacket 93.51Minerva 93.52Application---Cont.pressuredressing (bandage) (Gibney) (RobertJones') (Shanz) 93.56trousers (anti- shock) (MAST) 93.58prosthesis for missing ear 18.71Russell's traction 93.44with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationsplint, for immobilization (plaster)(pneumatic) (tray) 93.54with fracture reduction--see Reduction,fracturestereotactic head frame 93.59strapping (non- traction) 93.59substance, adhesion barrier 99.77Thomas collar 93.52with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationtractionwith reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationadhesive tape (skin) 93.46boot 93.46Bryant's 93.44Buck's 93.46Cotrel's 93.42Dunlop's 93.44gallows 93.46Lyman Smith 93.44Russell's 93.44skeletal NEC 93.44intermittent 93.43skin, limbs NEC 93.46spinal NEC 93.42with skull device (halo)(caliper)(Crutchfield) (Gardner- Wells)(Vinke) (tongs) 93.41with synchronous insertion 02.94Thomas' splint 93.45Unna's paste boot 93.53vasopneumatic device 93.58Velpeau dressing 93.59Vinke tongs (skull) (with synchronousskeletal traction) 02.94wound dressing NEC 93.57Aquapheresis 99.78Arc lamp --see PhotocoagulationArcuplasty 81.66Arrestbone growth (epiphyseal) 78.20by stapling --see Stapling, epiphyseal platefemur 78.25fibula 78.27humerus 78.22radius 78.23283

ICD-9-CM INDEX TO PROCEDURES (FY10)Arrest -bone growth---Cont.tibia 78.27ulna 78.23cardiac, induced (anoxic)(circulatory)39.63circulatory, induced (anoxic) 39.63hemorrhage --see Control, hemorrhageArslan operation(fenestration of inner ear)20.61Arteriectomy 38.60withanastomosis 38.30abdominal 38.36aorta (arch) (ascending)(descending) 38.34head and neck NEC 38.32intracranial NEC 38.31lower limb 38.38thoracic NEC 38.35upper limb 38.33graft replacement (interposition) 38.40abdominalaorta 38.44aorta (arch) (ascending)(descending thoracic)(thoracic)abdominal 38.44thoracic 38.45thoracoabdominal 38.45 [38.44]head and neck NEC 38.42intracranial NEC 38.41lower limb 38.48thoracic NEC 38.45upper limb 38.43abdominal 38.66aorta (arch) (ascending)(descending) 38.64head and neck NEC 38.62intracranial NEC 38.61lower- limb 38.68thoracic NEC 38.65upper limb 38.63Arteriography (contrast) (fluoroscopic)(retrograde) 88.40byradioisotope --see Scan, radioisotopeultrasound(Doppler)--see Ultrasonography, by siteaorta (arch) (ascending) (descending) 88.42basilar 88.41brachial 88.49carotid (internal) 88.41cerebral (posterior circulation) 88.41coronary (direct) (selective) NEC 88.57double catheter technique (Judkins)(Ricketts and Abrams) 88.56intra- operative fluorescence vascular88.59single catheter technique (Sones) 88.55Doppler (ultrasonic) --seeUltrasono- graphy, by siteArteriography---Cont.femoral 88.48head and neck 88.41intra- abdominal NEC 88.47intrathoracic NEC 88.44lower extremity 88.48placenta 88.46pulmonary 88.43SPY 88.59radioisotope --see Scan, radioisotoperenal 88.45specified site NEC 88.49superior mesenteric artery 88.47transfemoral 88.48ultrasound --see Ultrasonography, by siteupper extremity 88.49Arterioplasty --see Repair, arteryArteriorrhaphy 39.31Arteriotomy 38.00abdominal 38.06aorta (arch) (ascending) (descending)38.04head and neck NEC 38.02intracranial NEC 38.01lower limb 38.08thoracic NEC 38.05upper limb 38.03Arteriovenostomy 39.29for renal dialysis 39.27Arthrectomy 80.90ankle 80.97elbow 80.92foot and toe 80.98hand and finger 80.94hip 80.95intervertebral disc --see category 80.5knee 80.96semilunar cartilage 80.6shoulder 80.91specified site NEC 80.99spine NEC 80.99wrist 80.93Arthrocentesis 81.91for arthrography --see ArthrogramArthrodesis (compression) (extra- articular)(intra- articular) (with bone graft) (withfixation device) 81.20ankle 81.11carporadial 81.25cricoarytenoid 31.69elbow 81.24finger 81.28foot NEC 81.17hip 81.21interphalangealfinger 81.28toe NEC 77.58claw toe repair 77.57hammer toe repair 77.56ischiofemoral 81.21284

ICD-9-CM INDEX TO PROCEDURES (FY10) A.Arthrodesis ---Cont.knee 81.22lumbosacral, lumbar NEC 81.08ALIF (anterior lumbar interbody fusion)81.06anterior (interbody), anterolateraltechnique 81.06lateral transverse process technique81.07PLIF (posterior lumbar interbodyfusion) 81.08posterior (interbody), posterolateraltechnique 81.08TLIF (transforaminal lumbarinterbody fusion) 81.08McKeever (metatarsophalangeal) 81.16metacarpocarpal 81.26metacarpophalangeal 81.27metatarsophalangeal 81.16midtarsal 81.14pantalar 81.11sacroiliac 81.08shoulder 81.23specified joint NEC 81.29spinal --see also Fusion, spinal 81.00subtalar 81.13tarsometatarsal 81.15tibiotalar 81.11toe NEC 77.58claw toe repair 77.57hammer toe repair 77.56triple 81.12wrist 81.26Arthroendoscopy --see ArthroscopyArthroereisis, subtalar joint 81.18Arthrogram, arthrography 88.32temporomandibular 87.13Arthrolysis 93.26Arthroplasty (with fixation device) (withtraction) 81.96ankle 81.49carpals 81.75with prosthetic implant 81.74carpocarpal, carpometacarpal 81.75with prosthetic implant 81.74Carroll and Taber (proximalinterphalangeal joint) 81.72cup (partial hip) 81.52Curtis (interphalangeal joint) 81.72elbow 81.85with prosthetic replacement (partial)(total) 81.84femoral head NEC 81.40with prosthetic implant 81.52finger(s) 81.72with prosthetic implant 81.71foot (metatarsal) with joint replacement81.57Fowler (metacarpophalangeal joint) 81.72Arthroplasty ---Cont.hand (metacarpophalangeal)(interphalangeal) 81.72with prosthetic implant 81.71hip (with bone graft) 81.40cup (partial hip) 81.52femoral head NEC 81.40with prosthetic implant 81.52with total replacement 81.51partial replacement 81.52total replacement 81.51interphalangeal joint 81.72with prosthetic implant 81.71Kessler (carpometacarpal joint) 81.74knee --see also Repair, knee 81.47prosthetic replacement(bicompartmental) (hemijoint)(partial) (total) (tricompartmental)(unicompartmental) 81.54revision 81.85metacarpophalangeal joint 81.72with prosthetic implant 81.71shoulder 81.83prosthetic replacement (partial) 81.81total 81.80for recurrent dislocation 81.82temporomandibular 76.5toe NEC 77.58with prosthetic replacement 81.57for hallux valgus repair 77.59wrist 81.75with prosthetic implant 81.74total replacement 81.73Arthroscopy 80.20ankle 80.27elbow 80.22finger 80.24foot 80.28hand 80.24hip 80.25knee 80.26shoulder 80.21specified site NEC 80.29toe 80.28wrist 80.23Arthrostomy --see also Arthrotomy 80.10Arthrotomy 80.10as operative approach --omit codewitharthrography --see Arthrogramarthroscopy --see Arthroscopyinjection of drug 81.92removal of prosthesis withoutreplacement --see Removal,prosthesis, joint structuresankle 80.17elbow 80.12foot and toe 80.18hand and finger 80.14285

Arthrotomy ---Cont.hip 80.15knee 80.16shoulder 80.11specified site NEC 80.19spine 80.19wrist 80.13Artificialheart 37.52AbioCor® 37.52- t) 37.52insemination 69.92kidney 39.95rupture of membranes 73.09Arytenoidectomy 30.29Arytenoidopexy 31.69Asai operation (larynx) 31.75Aspirationabscess --see Aspiration, by siteanterior chamber, eye (therapeutic) 12.91diagnostic 12.21aqueous (eye) (humor) (therapeutic) 12.91diagnostic 12.21ascites 54.91Bartholin'sgland(cyst)(percutaneous)71.21biopsy --see Biopsy, by sitebladder (catheter) 57.0percutaneous (needle) 57.11bone marrow (for biopsy) 41.31from donor for transplant 41.91stem cell 99.79branchial cleft cyst 29.0breast 85.91bronchus 96.05with lavage 96.56bursa (percutaneous) 83.94hand 82.92calculus, bladder 57.0cataract 13.3withphacoemulsification 13.41phacofragmentation 13.43posterior route 13.42chest 34.91cisternal 01.01cranial (puncture) 01.09craniobuccal pouch 07.72craniopharyngioma 07.72cul- de- sac (abscess) 70.0curettage, uterus 69.59after abortion or delivery 69.52diagnostic 69.59to terminate pregnancy 69.51cyst --see Aspiration, by sitediverticulum, pharynx 29.0endotracheal 96.04with lavage 96.56extradural 01.09ICD-9-CM INDEX TO PROCEDURES (FY10)Aspiration---Cont.eye (anterior chamber) (therapeutic)12.91diagnostic 12.21fallopian tube 66.91fascia 83.95hand 82.93gallbladder (percutaneous 51.01hematoma --see also Aspiration, by siteobstetrical 75.92incisional 75.91hydrocele, tunica vaginalis 61.91hygroma --see Aspiration, by sitehyphema 12.91hypophysis 07.72intracranial space (epidural) (extradural)(subarachnoid) (subdural)(ventricular) 01.09through previously implanted catheteror reservoir (Ommaya) (Rickham)01.02joint 81.91for arthrography --see Arthrogramkidney (cyst) (pelvis) (percutaneous)(therapeutic) 55.92diagnostic 55.23liver (percutaneous 50.91lung (percutaneous) (puncture) (needle)(trocar) 33.93middle ear 20.09with intubation 20.01muscle 83.95hand 82.93nail 86.01nasal sinus 22.00by puncture 22.01through natural ostium 22.02nasotracheal 96.04with lavage 96.56orbit, diagnostic 16.22ovary 65.91percutaneous --see Aspiration, by sitepericardium (wound) 37.0pituitary gland 07.72pleural cavity 34.91prostate (percutaneous) 60.91Rathke's pouch 07.72seminal vesicles 60.71seroma --see Aspiration, by siteskin 86.01soft tissue NEC 83.95hand 82.93spermatocele 63.91spinal (puncture) 03.31spleen (cyst) 41.1stem cell 99.79subarachnoid space (cerebral) 01.09subcutaneous tissue 86.01subdural space (cerebral) 01.09286

ICD-9-CM INDEX TO PROCEDURES (FY10) A.Aspiration ---Cont.tendon 83.95hand 82.93testis 62.91thymus 07.92thoracoscopic 07.95thyroid (field) (gland) 06.01postoperative 06.02trachea 96.04with lavage 96.56percutaneous 31.99tunica vaginalis (hydrocele)(percutaneous) 61.91vitreous (and replacement) 14.72diagnostic 14.11Assessmentfitness to testify 94.11mental status 94.11nutritional status 89.39personality 94.03temperament 94.02vocational 93.85Assistancecardiac --see also Resuscitation, cardiacextracorporeal circulation 39.61endotracheal respiratory --see category96.7hepatic, extracorporeal 50.92respiratory (endotracheal) (mechanical)--see Ventilation, mechanical 96.7Asymmetrogammagram--see Scan, radioisotopeAtherectomycerebrovascular --see angioplastycoronary --see Angioplastyperipheral 39.50Atriocommissuropexy (mitral valve) 35.12Atrioplasty NEC 37.99combined with repair of valvular andventricular septal defects --seeRepair, endocardial cushion defectseptum (heart) NEC 35.71Atrioseptopexy --see also Repair, atrialseptal defect 35.71Atrioseptoplasty --see also Repair, atrialseptal defect 35.71Atrioseptostomy (balloon) 35.41Atriotomy 37.11Atrioventriculostomy (cerebral- heart) 02.32Attachmentabutment (screw) for prosthetic ear devicepercutaneous 20.99eye muscleorbicularis oculi to eyebrow 08.36rectus to frontalis 15.9Attachment ---Cont.pedicle (flap) graft 86.74hand 86.73lip 27.57mouth 27.57pharyngeal flap (for cleft palate repair)27.62secondary or subsequent 27.63prosthetic ear device, abutment 20.99retina --see Reattachment, retinaAtticoantrostomy (ear) 20.49Atticoantrotomy (ear) 20.49Atticotomy (ear) 20.23Audiometry (Bekesy 5- tone) (impedance)(stapedial reflex response) (subjective)95.41Augmentationbladder 57.87breast --see Mammoplasty, augmentationbuttock ("fanny- lift") 86.89chin 76.68genioplasty 76.68mammoplasty --see Mammoplasty,augmentationoutflow tract (pulmonary valve) (gussettype) 35.26in total repair of tetralogy of Fallot35.81vocal cord(s) 31.0Auriculectomy 18.39Autograft --see GraftAutologous --see Blood, transfusionAutopsy 89.8Autotransfusion (whole blood) 99.02--see Blood, transfusionAutotransplant, autotransplantation--see also Reimplantationadrenal tissue (heterotopic) (orthotopic)07.45kidney 55.61lung --see Transplant, transplantation,lung 33.5ovary 65.72laparoscopic 65.75pancreatic tissue 52.81parathyroid tissue (heterotopic)(orthotopic) 06.95thyroid tissue (heterotopic) (orthotopic)06.94tooth 23.5Avulsion, nerve (cranial) (peripheral) NEC04.07acoustic 04.01phrenic 33.31sympathetic 05.29Azygography 88.63287

ICD-9-CM INDEX TO PROCEDURES (FY10)BBacterial smear --see Examination,microscopicBaffes operation (interatrial transpositionof venous return) 35.91Baffle, atrial or interatrial 35.91Balanoplasty 64.49Baldy-Webster operation (uterinesuspension) 69.22Ballistocardiography 89.59Balloonangioplasty --see Angioplasty, balloonpump, intra- aortic 37.61systostomy (atrial) 35.41Ball operationherniorrhaphy--see Repair, hernia,inguinalundercutting 49.02Bandage 93.37elastic 93.56Bandinggastric 44.68vertical 44.68pulmonary artery 38.85Bankhart operation (capsular repair intoglenoid, for shoulder dislocation) 81.82Bardenheurer operation (ligation ofinnominate artery) 38.85Barium swallow 87.61Barkan operation (goniotomy) 12.52with goniopuncture 12.53Barr operation (transfer of tibialis posteriortendon) 83.75Barsky operation(closure of cleft hand)82.82Basal metabolic rate 89.39Basiotripsy 73.8Bassett operation (vulvectomy with inguinallymph node dissection) 71.5 [40.3]Bassini operation--see Repair,hernia,inguinalBatch-Spittler-McFaddin operation(knee disarticulation) 84.16Batista operation (partial ventriculectomy)(ventricular reduction) (ventricularremodeling) 37.35Bearing surface, hipceramic- on- ceramic 00.76ceramic- on- polyethylene 00.77metal- on- metal 00.75metal on polyethylene 00.74Beck operationaorta- coronary sinus shunt 36.39epicardial poudrage 36.39Beck-Jianu operation (permanentgastrostomy) 43.19Behavior modification 94.33Bell-Beuttner operation (subtotalabdominal hysterectomy) 68.39laparoscopic 68.31Belsey operation (esophagogastricsphincter) 44.65Benenenti operation (rotation of bulbousurethra) 58.49Berke operation (levator resection of eyelid)08.33Bicuspidization of heart valve 35.10aortic 35.11mitral 35.12Bicycle dynamometer 93.01Biesenberger operation (size reduction ofbreast, bilateral) 85.32unilateral 85.31Bifurcation, bone --see also Osteotomy 77.30Bigelow operation (litholapaxy) 57.0Bililite therapy (ultraviolet) 99.82Billroth I operation (partial gastrectomywith gastroduodenostomy) 43.6Billroth II operation (partialgastrectomy withgastrojejunostomy) 43.7Binnie operation (hepatopexy) 50.69Biofeedback, psychotherapy 94.39Biopsyabdominal wall 54.22adenoid 28.11adrenal gland NEC 07.11closed 07.11open 07.12percutaneous (aspiration) (needle) 07.11alveolus 24.12anus 49.23appendix 45.26artery (any site) 38.21aspiration --see Biopsy, by sitebile ducts 51.14closed (endoscopic) 51.14open 51.13percutaneous (needle) 51.12bladder 57.33closed 57.33open 57.34transurethral 57.33blood vessel (any site) 38.21bone 77.40carpal, metacarpal 77.44clavicle 77.41facial 76.11femur 77.45fibula 77.47humerus 77.42288

ICD-9-CM INDEX TO PROCEDURES (FY10) B.Biopsy - bone ---Cont.marrow 41.31patella 77.46pelvic 77.49phalanges (foot) (hand) 77.49radius 77.43scapula 77.41specified site NEC 77.49tarsal, metatarsal 77.48thorax (ribs) (sternum) 77.41tibia 77.47ulna 77.43vertebrae 77.49bowel --see Biopsy, intestinebrain NEC 01.13closed 01.13open 01.14percutaneous (needle) 01.13breast 85.11blind 85.11closed 85.11open 85.12percutaneous (needle) (Vimm- Silverman)85.11bronchus NEC 33.24brush 33.24closed (endoscopic) 33.24open 33.25transbronchoscopic needleaspiration (TBNA) 33.24Wang needle (transbronchoscopic)33.24washings 33.24bursa 83.21cardioesophageal (junction) 44.14closed (endoscopic) 44.14open 44.15cecum 45.25brush 45.25closed (endoscopic) 45.25open 45.26cerebral meninges NEC 01.11closed 01.11open 01.12percutaneous (needle) 01.11cervix (punch) 67.12conization (sharp) 67.2chest wall 34.23clitoris 71.11colon 45.25brush 45.25closed (endoscopic) 45.25open 45.26conjunctiva 10.21cornea 11.22cul- de- sac 70.23diaphragm 34.27duodenum 45.14brush 45.14Biopsy - duodenum ---Cont.closed (endoscopic) 45.14open 45.15ear (external) 18.12middle or inner 20.32endocervix 67.11endometrium NEC 68.16byaspiration curettage 69.59dilation and curettage 69.09closed (endoscopic) 68.16open 68.13epididymis 63.01esophagus 42.24closed (endoscopic) 42.24open 42.25extraocular muscle or tendon 15.01eye 16.23muscle (oblique) (rectus) 15.01eyelid 08.11fallopian tube 66.11fascia 83.21fetus 75.33gallbladder 51.12closed (endoscopic) 51.14open 51.13percutaneous (needle) 51.12ganglion (cranial) (peripheral) NEC 04.11closed 04.11open 04.12percutaneous (needle) 04.11sympathetic nerve 05.11gum 24.11heart 37.25hypophysis --see also Biopsy, pituitarygland 07.15ileum 45.14brush 45.14closed (endoscopic) 45.14open 45.15intestine NEC 45.27large 45.25brush 45.25closed (endoscopic) 45.25open 45.26small 45.14brush 45.14closed (endoscopic) 45.14open 45.15intra- abdominal mass 54.24closed 54.24percutaneous (needle) 54.24iris 12.22jejunum 45.14brush 45.14closed (endoscopic) 45.14open 45.15joint structure (aspiration) 80.30ankle 80.37289

ICD-9-CM INDEX TO PROCEDURES (FY10)Biopsy - joint structure ---Cont.elbow 80.32foot and toe 80.38hand and finger 80.34hip 80.35knee 80.36shoulder 80.31specified site NEC 80.39spine 80.39wrist 80.33kidney 55.23closed 55.23open 55.24percutaneous (aspiration) (needle)55.23labia 71.11lacrimalgland 09.11sac 09.12larynx 31.43brush 31.43closed (endoscopic) 31.43open 31.45lip 27.23liver 50.11closed 50.11laparoscopic 50.14open 50.12percutaneous (aspiration) (needle)50.11transjugular 50.13transvenous 50.13lung NEC 33.27brush 33.24closed (percutaneous) (needle) 33.26brush 33.24endoscopic 33.27brush 33.24endoscopic 33.27brush 33.24open 33.28transbronchial 33.27transthoracic 33.26thoracoscopic 33.20lymphatic structure (channel) (node)(vessel) 40.11mediastinum NEC 34.25closed 34.25open 34.26percutaneous (needle) 34.25meninges (cerebral) NEC 01.11closed 01.11open 01.12percutaneous (needle) 01.11spinal 03.32mesentery 54.23mouth NEC 27.24muscle 83.21extraocular 15.01Biopsy - muscle ---Cont.ocular 15.01nasopharynx 29.12nerve (cranial) (peripheral) NEC 04.11closed 04.11open 04.12percutaneous (needle) 04.11sympathetic 05.11nose, nasal 21.22sinus 22.11closed (endoscopic) (needle) 22.11open 22.12ocular muscle or tendon 15.01omentumclosed 54.24open 54.23percutaneous (needle) 54.24orbit 16.23by aspiration 16.22ovary 65.12by aspiration 65.11laparoscopic 65.13palate (bony) 27.21soft 27.22pancreas 52.11closed (endoscopic) 52.11open 52.12percutaneous (aspiration) (needle) 52.11pancreatic duct 52.14closed (endoscopic) 52.14parathyroid gland 06.13penis 64.11perianal tissue 49.22pericardium 37.24periprostatic 60.15perirectal tissue 48.26perirenal tissue 59.21peritoneal implantclosed 54.24open 54.23percutaneous (needle) 54.24peritoneumclosed 54.24open 54.23percutaneous (needle) 54.24periurethral tissue 58.24perivesical tissue 59.21pharynx, pharyngeal 29.12pineal gland 07.17pituitary gland 07.15transfrontal approach 07.13transsphenoidal approach 07.14pleura, pleural 34.24thoracoscopic 34.20prostate NEC 60.11closed (transurethral) 60.11open 60.12percutaneous (needle) 60.11transrectal 60.11290

ICD-9-CM INDEX TO PROCEDURES (FY10) B.Biopsy---Cont.rectum 48.24brush 48.24closed (endoscopic) 48.24open 48.25retroperitoneal tissue 54.24salivary gland or duct 26.11closed (needle) 26.11open 26.12scrotum 61.11seminal vesicle NEC 60.13closed 60.13open 60.14percutaneous (needle) 60.13sigmoid colon 45.25brush 45.25closed (endoscopic) 45.25open 45.26sinus, nasal 22.11closed (endoscopic) (needle) 22.11open 22.12skin (punch) 86.11skull 01.15soft palate 27.22soft tissue NEC 83.21spermatic cord 63.01sphincter of Oddi 51.14closed (endoscopic) 51.14open 51.13spinal cord (meninges) 03.32spleen 41.32closed 41.32open 41.33percutaneous (aspiration) (needle)41.32stomach 44.14brush 44.14closed (endoscopic) 44.14open 44.15subcutaneous tissue (punch) 86.11supraglottic mass 29.12sympathetic nerve 05.11tendon 83.21extraocular 15.01ocular 15.01testis NEC 62.11closed 62.11open 62.12percutaneous (needle) 62.11thymus 07.16thyroid gland NEC 06.11closed 06.11open 06.12percutaneous(aspiration) (needle) 06.11tongue 25.01closed (needle) 25.01open 25.02Biopsy---Cont.tonsil 28.11trachea 31.44brush 31.44closed (endoscopic) 31.44open 31.45tunica vaginalis 61.11umbilicus 54.22ureter 56.33closed (percutaneous) 56.32endoscopic 56.33open 56.34transurethral 56.33urethra 58.23uterus, uterine (endometrial) 68.16byaspiration curettage 69.59dilation and curettage 69.09closed (endoscopic) 68.16ligaments 68.15closed (endoscopic) 68.15open 68.14open 68.13uvula 27.22vagina 70.24vas deferens 63.01vein (any site) 38.21vulva 71.11BiPAP 93.90delivered byendotracheal tube --see category 96.7tracheostomy --seecategory 96.7BIS (bispectral index) monitoring00.94 [89.14]Bischoff operation(ureteroneocystostomy) 56.74Bisection --see also Excisionhysterectomy 68.39laparoscopic 68.31ovary 65.29laparoscopic 65.25stapes foot plate 19.19with incus replacement 19.11Bischoff operation (spinal myelotomy) 03.29Blalock operation (systemic- pulmonaryanastomosis) 39.0Blalock-Hanlon operation (creation of atrialseptal defect) 35.42Blalock-Taussig operation(subclavian- pulmonaryanastomosis) 39.0Blascovic operation (resection andadvancement of levator palpebraesuperioris) 08.33Blepharectomy 08.20Blepharoplasty --see alsoReconstruction, eyelid 08.70extensive 08.44291

ICD-9-CM INDEX TO PROCEDURES (FY10)Blepharorrhaphy 08.52division or severing 08.02Blepharotomy 08.09Blind rehabilitation therapy NEC 93.78Blockcaudal --see Injection, spinal celiacganglion or plexus 05.31dissectionbreastbilateral 85.46unilateral 85.45bronchus 32.6larynx 30.3lymph nodes 40.50neck 40.40vulva 71.5epidural, spinal --see Injection, spinalgasserian ganglion 04.81intercostal nerves 04.81intrathecal --see injection, spinalnerve (cranial) (peripheral) NEC 04.81paravertebral stellate ganglion 05.31peripheral nerve 04.81spinal nerve root (intrathecal)--see Injection, spinalstellate (ganglion) 05.31subarachnoid, spinal --see Injection,spinalsympathetic nerve 05.31trigeminal nerve 04.81Bloodflow study, Doppler- type (ultrasound)--see Ultrasonographypatch, spine (epidural) 03.95transfusionantihemophilic factor 99.06autologouscollected prior to surgery 99.02intraoperative 99.00perioperative 99.00postoperative 99.00previously collected 99.02salvage 99.00blood expander 99.08blood surrogate 99.09coagulation factors 99.06exchange 99.01granulocytes 99.09hemodilution 99.03other substance 99.09packed cells 99.04plasma 99.07platelets 99.05serum, other 99.07thrombocytes 99.05Blount operationfemoral shortening(with blade plate) 78.25by epiphyseal stapling 78.25Boari operation (bladder flap) 56.74Bobb operation (cholelithotomy) 51.04Boneage studies 88.33mineral density study 88.98Bonney operation (abdominal hysterectomy)68.49laparoscopic 68.41Borthen operation (iridotasis) 12.63Bost operationplantar dissection 80.48radiocarpal fusion 81.26Bosworth operationarthroplasty for acromioclavicularseparation 81.83fusion of posterior lumbar andlumbosacral spine 81.08for pseudarthrosis 81.38Resection of radial head ligaments (fortennis elbow) 80.92shelf procedure, hip 81.40Bottle repair of hydrocele, tunica-vaginalis61.2Boyd operation (hip disarticulation) 84.18Brachytherapyintravascular 92.27Brauer operation (cardiolysis) 37.10Breech extraction --see Extraction, breechBricker operation (ileoureterostomy) 56.51Brisement (forcé) 93.26Bristow operation (repair of shoulderdislocation) 81.82Brock operation (pulmonary valvotomy)35.03Brockman operation (soft tissue release forclubfoot) 83.84Bronchogram, bronchography 87.32endotracheal 87.31transcricoid 87.32Bronchoplasty 33.48Bronchorrhaphy 33.41Bronchoscopy NEC 33.23with biopsy 33.24lung 33.27brush 33.24fiberoptic 33.22with biopsy 33.24lung 33.27brush 33.24through tracheostomy 33.21with biopsy 33.24lung 33.27brush 33.24Bronchospirometry 89.38Bronchostomy 33.0closure 33.42Bronchotomy 33.0Browne (-Denis) operation(hypospadias repair) 58.45Brunschwig operation (temporarygastrostomy) 43.19292

ICD-9-CM INDEX TO PROCEDURES (FY10) B.Buckling, scleral 14.49withair tamponade 14.49implant (silicone) (vitreous) 14.41resection of sclera 14.49vitrectomy 14.49vitreous implant (silicone) 14.41Bunionectomy (radical) 77.59witharthrodesis 77.52osteotomy of first metatarsal 77.51resection of joint with prostheticimplant 77.59soft tissue correction NEC 77.53Bunnell operation (tendon transfer) 82.56Burch procedure (retropubic urethralsuspension for urinary stressincontinence) 59.5Burgess operation(amputation of ankle) 84.14Burn dressing 93.57Burr holes 01.24Bursectomy 83.5hand 82.31Bursocentesis 83.94hand 82.92Bursotomy 83.03hand 83.03Burying of fimbriae in uterine wall 66.97Bypassabdominal - coronary artery 36.17aortocoronary (catheter stent) (withprosthesis) (with saphenous veingraft) (with vein graft) 36.10one coronary vessel 36.11two coronary vessels 36.12three coronary vessels 36.13four coronary vessels 36.14arterial (graft) (mandril grown graft)(vein graft) NEC 39.29carotid- cerebral 39.28carotid- vertebral 39.28extracranial- intracranial [EC- IC] 39.28intra- abdominal NEC 39.26intrathoracic NEC 39.23peripheral NEC 39.29cardiopulmonary 39.61open 39.61percutaneous (closed) 39.66carotid- cerebral 39.28carotid- vertebral 39.28coronary --see also Bypass,aortocoronary 36.10extracranial- intracranial [EC- IC]39.28gastric 44.39high 44.31laparoscopic 44.38Printen and Mason 44.31Bypass ---Cont.gastroduodenostomy (jaboulay's) 44.39laparoscopic 44.38percutaneous [endoscopic] 44.32gastroenterostomy 44.39laparoscopic 44.38gastroepiploic - coronary artery 36.17gastrogastrostomy 44.39laparoscopic 44.38graft, pressurized treatment 00.16heart- lung (complete) (partial) 39.61open 39.61percutaneous (closed) 39.66high gastric 44.31ileo- jejunal 45.91internal mammary- coronary artery(single) 36.13double vessel 36.16jejunal- ileum 45.91pulmonary 39.61open 39.61percutaneous (closed) 39.66shuntintestinelarge- to- large 45.94small- to- large 45.93small- to- small 45.91stomach 44.39high gastric 44.31laparoscopic 44.38terminal ileum 45.93vascular (arterial) (graft) (mandril growngraft) (vein graft) NEC 39.29aorta- carotid- brachial 39.22aorta- iliac- femoral 39.25aorta- renal 39.24aorta- subclavian- carotid 39.22aortic- superior mesenteric 39.26aortocarotid 39.22aortoceliac 39.26aortocoronary --see also Bypass,aortocoronary 36.10aortofemoral 39.25aortofemoral- popliteal 39.25aortoiliac 39.25to popliteal 39.25aortoiliofemoral 39.25aortomesenteric 39.26aortopopliteal 39.25aortorenal 39.24aortosubclavian 39.22axillary- brachial 39.29axillary- femoral (superficial) 39.29axillofemoral (superficial) 39.29carotid- cerebral 39.28carotid- vertebral 39.28carotid to subclavian artery 39.22common hepatic- common iliac- renal39.26293

Bypass---Cont.coronary --see also Bypass,aortocoronary 36.10extracranial- intracranial [EC- IC] 39.28femoral- femoral 39.29femoroperoneal 39.29femoropopliteal (reversed saphenousvein) (saphenous) 39.29femorotibial (anterior) (posterior) 39.29iliofemoral 39.25ilioiliac 39.26internal mammary- coronaryartery (single) 36.15double vessel 36.16intra- abdominal (arterial) NEC 39.26venous NEC 39.1intrathoracic NEC 39.23peripheral artery NEC 39.29popliteal- tibial 39.29renal artery 39.24splenorenal (venous) 39.1arterial 39.26subclavian- axillary 39.29subclavian- carotid 39.22subclavian- subclavian 39.22Y graft to renal arteries 39.24ICD-9-CM INDEX TO PROCEDURES (FY10)294

ICD-9-CM INDEX TO PROCEDURES (FY10) C.CCaldwell operation (sulcus extension) 24.91Caldwell-Luc operation (maxillarysinusotomy) 22.39with removal of membrane lining 22.31Calibration, urethra 89.29Calicectomy (renal) 55.4Callander operation (kneedisarticulation) 84.16Caloric test, vestibular function 95.44Calycectomy (renal) 55.4Calyco-ileoneocystostomy 55.86Calycotomy (renal) 55.11Campbell operationbone block, ankle 81.11fasciotomy (iliac crest) 83.14reconstruction of anterior cruciateligament 81.45Campimetry 95.05Canaliculodacryocystorhinostomy 09.81Canaliculoplasty 09.73Canaliculorhinostomy 09.81Canaloplasty,external auditory meatus18.6Cannulation --see also Insertion, catheterampulla of Vater 51.99antrum 22.01arteriovenous 39.93artery 38.91caval- mesenteric vein 39.1cisterna chyli 40.61Eustachian tube 20.8lacrimal apparatus 09.42lymphatic duct, left (thoracic) 40.61nasal sinus (by puncture) 22.01through natural ostium 22.02pancreatic duct 52.92by retrograde endoscopy (ERP) 52.93renoportal 39.1sinus (nasal) (by puncture) 22.01through natural ostium 22.02splenorenal (venous) 39.1arterial 39.26thoracic duct (cervical approach)(thoracic approach) 40.61Cannulization --see CannulationCanthocystostomy 09.82Canthoplasty 08.59Canthorrhaphy 08.52division or severing 08.02Canthotomy 08.51Capsulectomyjoint --see also Arthrectomy 80.90kidney 55.91lens 13.65with extraction of lens 13.51Capsulectomy ---Cont.ovary 65.29laparoscopic 65.25Capsulo-iridectomy 13.65Capsuloplasty --see ArthroplastyCapsulorrhaphy 81.96with arthroplasty --see Arthroplastyankle 81.94foot 81.94lower extremity NEC 81.95upper extremity 81.93Capsulotomyjoint --see also Division, joint capsule 80.40for claw toe repair 77.57lens 13.64withdiscission of lens 13.2removal of foreign body 13.02by magnet extraction 13.01Cardiacmapping 37.27massage (external) (closed chest) 99.63open chest 37.91retraining 93.36Cardiac support device (CSD) 37.41Cardiectomy (stomach) 43.5Cardiocentesis 37.0Cardiography --see also Angiocardiography88.50Cardiolysis 37.10Cardiomyopexy 36.39Cardiomyotomy 42.7Cardio-omentopexy 36.39Cardiopericardiopexy 36.39Cardioplasty (stomach and esophagus) 44.65stomach alone 44.66laparoscopic 44.67Cardioplegia 39.63Cardiopneumopexy 36.39Cardiorrhaphy 37.49Cardioschisis 37.12Cardiosplenopexy 36.39Cardiotomy (exploratory) 37.11Cardiovalvulotomy --see Valvulotomy, heartCardioversion (external) 99.62atrial 99.61Heart (TAH- t) 37.52Carotid pulse tracing with ECG lead 89.56Carpectomy (partial) 77.84total 77.94Carroll and Taber arthroplasty (proximalinterphalangeal joint) 81.72295

ICD-9-CM INDEX TO PROCEDURES (FY10)Casting (for immobilization) NEC 93.53with fracture- reduction --see Reduction,fractureCastrationfemale (oophorectomy, bilateral) 65.51laparoscopic 65.53male 62.41C.A.T. (computerized axialtomography) --see also Scan,C.A.T. 88.38Catheterization --see also Insertion, catheterarteriovenous 39.93artery 38.91bladder, indwelling 57.94percutaneous (cystostomy) 57.17suprapubic NEC 57.18bronchus 96.05with lavage 96.56cardiac (right) 37.21combined left and right 37.23left 37.22combined with right heart 37.23right 37.21combined with left heart 37.23central venous NEC 38.93peripherally inserted centralcatheter (PICC) 38.93chest 34.04revision (with lysis of adhesions) 34.04thoracoscopic 34.06thoracoscopic 34.06Eustachian tube 20.8heart (right) 37.21combined left and right 37.23left 37.22combined with right heart 37.23right 37.21combined with left heart 37.23hepatic vein 38.93inferior vena cava 38.93intercostal space (with water seal), fordrainage 34.04revision (with lysis of adhesions) 34.04thoracoscopic 34.06thoracoscopic 34.06lacrimonasal duct 09.44laryngeal 96.05nasolacrimal duct 09.44pancreatic cyst 52.01renal vein 38.93Swan- Ganz (pulmonary) 89.64transtracheal for oxygenation 31.99umbilical vein 38.92ureter (to kidney) 59.8for retrograde pyelogram 87.74urethra, indwelling 57.94vein NEC 38.93for renal dialysis 38.95Cattell operation (herniorrhaphy) 53.51Cauterization --see also Destruction,lesion, by siteanus NEC 49.39endoscopic 49.31Bartholin's gland 71.24broad ligament 69.19bronchus 32.09endoscopic 32.01canaliculi 09.73cervix 67.32chalazion 08.25choroid plexus 02.14conjunctiva 10.33lesion 10.32cornea (fistula) (ulcer) 11.42ear, external 18.29endometrial implant --see Excision, lesion,by siteentropion 08.41esophagus 42.39endoscopic 42.33eyelid 08.25for entropion or ectropion 08.41fallopian tube 66.61by endoscopy (hysteroscopy)(laparoscopy) 66.29hemorrhoids 49.43iris 12.41lacrimalgland 09.21punctum 09.72for eversion 09.71sac 09.6larynx 30.09liver 50.29lung 32.29endoscopic 32.28meibomian gland 08.25nose, for epistaxis (with packing) 21.03ovary 65.29laparoscopic 65.25palate (bony) 27.31pannus (superficial) 11.42pharynx 29.39punctum, lacrimal 09.72for eversion 09.71rectum 48.32radical 48.31round ligament 69.19sclera 12.84with iridectomy 12.62skin 86.3subcutaneous tissue 86.3tonsillar fossa 28.7urethra 58.39endoscopic 58.31uterosacral ligament 69.19uterotubal ostia 66.61uterus 68.29296

ICD-9-CM INDEX TO PROCEDURES (FY10) C.Cauterization ---Cont.vagina 70.33vocal cords 30.09vulva 71.3Cavernoscopy 34.21Cavernostomy 33.1Cavernotomy, kidney 55.39Cavography (inferior vena cava) 88.51CCM (implantation of cardiac contractilitymodulation)rechargeable pulse generator only 17.52total system 17.51Cecectomy (with resection of terminal ileum)laparoscopic 17.32open and other 45.72Cecil operation (urethral reconstruction)58.46Cecocoloplicopexy 46.63Cecocolostomy 45.94Cecofixation 46.64Ceco-ileostomy 45.93Cecopexy 46.64Cecoplication 46.62Cecorrhaphy 46.75Cecosigmoidostomy 45.94Cecostomy (tube)--see also Colostomy46.10Cecotomy 45.03Celiocentesis 54.91Celioscopy 54.21Celiotomy, exploratory 54.11Cell block and Papanicolaou smear--see Examination, microscopicCentriMag® acute circulatory supportdevice 37.62Cephalogram 87.17dental 87.12orthodontic 87.12Cephalometry, cephalometrics 87.17echo 88.78orthodontic 87.12ultrasound (sonar) 88.78x- ray 87.81Cephalotomy, fetus 73.8Cerclageanus 49.72cervix 67.51transabdominal 67.51transvaginal 67.59isthmus uteri (cervix) 67.59retinal reattachment --see alsoBuckling, scleral 14.49sclera --see also Buckling, scleral 14.49Cervicectomy (with synchronouscolporrhaphy) 67.4Cervicoplasty 67.69Cesarean section 74.99classical 74.0corporeal 74.0extraperitoneal 74.2fundal 74.0laparotrachelotomy 74.1Latzko 74.2low cervical 74.1lower uterine segment 74.1peritoneal exclusion 74.4specified type NEC 74.4supravesical 74.2transperitoneal 74.4classical 74.0low cervical 74.1upper uterine segment 74.0vaginal 74.4Waters 74.2Chamberlain procedure --see MediastinotomyChandler operation (hip fusion) 81.21Change --see also Replacementcast NEC 97.13lower limb 97.12upper limb 97.11cystostomy catheter or tube 59.94gastrostomy tube 97.02lengthbone --see either category 78.2 Shortening,bone or category 78.3 Lengthening,bonemuscle 83.85hand 82.55tendon 83.85hand 82.55nephrostomy catheter or tube 55.93pyelostomy catheter or tube 55.94splint 97.14tracheostomy tube 97.23ureterostomy catheter or tube 55.93urethral catheter, indwelling 57.95Character analysis, psychologic 94.03Charles operation (correction oflymphedema) 40.9Charnley operation (compression arthrodesis)ankle 81.11hip 81.21knee 81.22Cheatle-Henry operation --see Repair,hernia, femoralCheckautomatic implantablecardioverter/defibrillator (AICD)(interrogation only) 89.49CRT- D (cardiac resynchronizationdefibrillator) (interrogation only) 89.49CRT- P (cardiac resynchronizationpacemaker) (interrogation only) 89.45297

ICD-9-CM INDEX TO PROCEDURES (FY10)Check ---Cont.pacemaker, artificial (cardiac)(function)(interrogation only)(rate) 89.45amperage threshold 89.48artifact wave form 89.46electrode impedance 89.47voltage threshold 89.48vision NEC 95.09Cheiloplasty 27.59Cheilorrhaphy 27.51Cheilostomatoplasty 27.59Cheilotomy 27.0Chemical peel, skin 86.24Chemocauterization --see also Destruction,lesion, by sitecorneal epithelium 11.41palate 27.31Chemodectomy 39.8Chemoembolization 99.25Chemolysisnerve (peripheral) 04.2spinal canal structure 03.8Chemoneurolysis 04.2Chemonucleolysis (nucleus pulposus) 80.52Chemopallidectomy 01.42Chemopeel (skin) 86.24Chemosurgeryesophagus 42.39endoscopic 42.33Mohs' 86.24skin (superficial) 86.24stomach 43.49endoscopic 43.41Chemothalamectomy 01.41Chemotherapy --see also ImmunotherapyAntabuse 94.25for cancer NEC 99.25brain wafer implantation 00.10CLO 17.70clofarabine 17.70CLOLAR® 17.70implantation of chemotherapeuticagent 00.10interstitial implantation 00.10intracavitary implantation 00.10wafer chemotherapy 00.10ithium 94.22methadone 94.25palate (bony) 27.31Chevalier-Jackson operation(partial laryngectomy) 30.29Child operation (radical subtotalpancreatectomy) 52.53Cholangiocholangiostomy 51.39Cholangiocholecystocholedochectomy51.22Cholangio-enterostomy 51.39Cholangiogastrostomy 51.39Cholangiogram 87.54endoscopic retrograde (ERC) 51.11intraoperative 87.53intravenous 87.52percutaneous hepatic 87.51transhepatic 87.53Cholangiography --see alsoCholangiogram 87.54Cholangiojejunostomy (intrahepatic) 51.39Cholangiopancreatography, endoscopicretrograde (ERCP) 51.10Cholangiostomy 51.59Cholangiotomy 51.59Cholecystectomy (total) 51.22partial 51.21laparoscopic 51.24total 51.22laparoscopic 51.23Cholecystenterorrhaphy 51.91Cholecystocecostomy 51.32Cholecystocholangiogram 87.59Cholecystocolostomy 51.32Cholecystoduodenostomy 51.32Cholecystoenterostomy (Winiwater) 51.32Cholecystogastrostomy 51.34Cholecystogram 87.59Cholecystoileostomy 51.32Cholecystojejunostomy (Roux- en- Y)(with jejunojejunostomy) 51.32Cholecystopancreatostomy 51.33Cholecystopexy 51.99Cholecystorrhaphy 51.91Cholecystostomy NEC 51.03by trocar 51.02Cholecystotomy 51.04percutaneous 51.01Choledochectomy 51.63Choledochoduodenostomy 51.36Choledochoenterostomy 51.36Choledochojejunostomy 51.36Choledocholithotomy 51.41endoscopic 51.88Choledocholithotripsy 51.41endoscopic 51.88Choledochopancreatostomy 51.39Choledochoplasty 51.72Choledochorrhaphy 51.71Choledochoscopy 51.11Choledochostomy 51.51Choledochotomy 51.51Cholelithotomy 51.04Chondrectomy 80.90ankle 80.97elbow 80.92foot and toe 80.98hand and finger 80.94hip 80.95intervertebral cartilage --see category 80.5knee (semilunar cartilage) 80.6298

ICD-9-CM INDEX TO PROCEDURES (FY10) C.Chondrectomy---Contnasal (submucous) 21.5semilunar cartilage (knee) 80.6shoulder 80.91specified site NEC 80.99spine --see category 80.5wrist 80.93Chondroplasty --see ArthroplastyChondrosternoplasty (for pectus excavatumrepair) 34.74Chondrotomy--see also Division, cartilage80.40nasal 21.1Chopart operation (midtarsal amputation)84.12Chordectomy, vocal 30.22Chordotomy (spinothalmic) (anterior)(posterior) NEC 03.29percutaneous 03.21stereotactic 03.21Ciliarotomy 12.55Ciliectomy (ciliary body) 12.44eyelid margin 08.20Cinch, cinchingfor scleral buckling --see also Buckling,scleral 14.49ocular muscle (oblique) (rectus) 15.22multiple (two or more muscles) 15.4Cineangiocardiography --see alsoAngiocardiography 88.50Cineplasty, cineplastic prosthesisamputation --see Amputationarm 84.44biceps 84.44extremity 84.40lower 84.48upper 84.44leg 84.48Cineradiograph --see RadiographyCingulumotomy (brain) (percutaneousradio- frequency) 01.32Circumcision (male) 64.0female 71.4CISH [classic infrafascial SEMM hysterectomy]68.31Clagett operation (closure of chest wallfollowing open flap drainage) 34.72Clamp and cautery, hemorrhoids 49.43Clampinganeurysm (cerebral) 39.51blood vessel --see Ligation, blood vesselventricular shunt 02.43Clavicotomy 77.31fetal 73.8Claviculectomy (partial) 77.81total 77.91Clayton operation (resection of metatarsalheads and bases of phalanges) 77.88Cleaning, wound 96.59Clearancebladder (transurethral) 57.0pelvicfemale 68.8male 57.71prescalene fat pad 40.21renal pelvis (transurethral) 56.0ureter (transurethral) 56.0Cleidotomy 77.31fetal 73.8Clippinganeurysm (basilar) (carotid) (cerebellar)(cerebellopontine) (communicatingartery) (vertebral) 39.51arteriovenous fistula 39.53frenulum, frenumlabia (lips) 27.91lingual (tongue) 25.91left atrial appendage 37.36tip of uvula 27.72Clitoridectomy 71.4Clitoridotomy 71.4Clivogram 87.02Closure --see also Repairabdominal wall 54.63delayed (granulating wound) 54.62secondary 54.61tertiary 54.62amputation stump, secondary 84.3anular disc 80.54with graft or prosthesis 80.53anulus fibrosus 80.54with graft or prosthesis 80.53aorticopulmonary fenestration(fistula) 39.59appendicostomy 47.92artificial openingbile duct 51.79bladder 57.82bronchus 33.42common duct 51.72esophagus 42.83gallbladder 51.92hepatic duct 51.79intestine 46.50large 46.52small 46.51kidney 55.82larynx 31.62rectum 48.72stomach 44.62thorax 34.72trachea 31.72ureter 56.83urethra 58.42atrial septal defect --see also Repair, atrialseptal defect 35.71with umbrella device(King- Mills type)35.52299

ICD-9-CM INDEX TO PROCEDURES (FY10)Closure - atrial septal defect ---Cont.combined with repair of valvular andventricular septal defects --seeRepair, endocardial cushion defectbronchostomy 33.42cecostomy 46.52cholecystostomy 51.92cleft hand 82.82colostomy 46.52cystostomy 57.82diastema (alveolar) (dental) 24.8disrupted abdominal wall (postoperative)54.61duodenostomy 46.51encephalocele 02.12endocardial cushion defect --see also Repair,endocardial cushion defect 35.73enterostomy 46.50esophagostomy 42.83fenestrationaorticopulmonary 39.59septal, heart --see also Repair, heart,septum 35.70filtering bleb, corneoscleral(post- glaucoma) 12.66fistulaabdominothoracic 34.83anorectal 48.73anovaginal 70.73antrobuccal 22.71anus 49.73aorticopulmonary (fenestration) 39.59aortoduodenal 39.59appendix 47.92biliary tract 51.79bladder NEC 57.84branchial cleft 29.52bronchocutaneous 33.42bronchoesophageal 33.42bronchomediastinal 34.73bronchopleural 34.73bronchopleurocutaneous 34.73bronchopleuromediastinal 34.73bronchovisceral 33.42bronchus 33.42cecosigmoidal 46.76cerebrospinal fluid 02.12cervicoaural 18.79cervicosigmoidal 67.62cervicovesical 57.84cervix 67.62cholecystocolic 51.93cholecystoduodenal 51.93cholecystoenteric 51.93cholecystogastric 51.93cholecystojejunal 51.93cisterna chyli 40.63colon 46.76colovaginal 70.72Closure fistula ---Cont.common duct 51.72cornea 11.49with lamellar graft (homograft) 11.62autograft 11.61diaphragm 34.83duodenum 46.72ear, middle 19.9ear drum 19.4enterocolic 46.74enterocutaneous 46.74enterouterine 69.42enterovaginal 70.74enterovesical 57.83esophagobronchial 33.42esophagocutaneous 42.84esophagopleurocutaneous 34.73esophagotracheal 31.73esophagus NEC 42.84fecal 46.79gallbladder 51.93gastric NEC 44.63gastrocolic 44.63gastroenterocolic 44.63gastroesophageal 42.84gastrojejunal 44.63gastrojejunocolic 44.63heart valve --see Repair, heart, valvehepatic duct 51.79hepatopleural 34.73hepatopulmonary 34.73ileorectal 46.74ileosigmoidal 46.74ileovesical 57.83ileum 46.74in ano 49.73intestine 46.79large 46.76small NEC 46.74intestinocolonic 46.74intestinoureteral 56.84intestinouterine 69.42intestinovaginal 70.74intestinovesical 57.83jejunum 46.74kidney 55.83lacrimal 09.99laryngotracheal 31.62larynx 31.62lymphatic duct, left (thoracic) 40.63mastoid (antrum) 19.9mediastinobronchial 34.73mediastinocutaneous 34.73mouth (external) 27.53nasal 21.82sinus 22.71nasolabial 21.82nasopharyngeal 21.82oroantral 22.71300

ICD-9-CM INDEX TO PROCEDURES (FY10) C.Closure fistula ---Cont.oronasal 21.82oval window (ear) 20.93pancreaticoduodenal 52.95perilymph 20.93perineorectal 48.73perineosigmoidal 46.76perineourethroscrotal 58.43perineum 71.72perirectal 48.93pharyngoesophageal 29.53pharynx NEC 29.53pleura, pleural NEC 34.93pleurocutaneous 34.73pleuropericardial 37.49pleuroperitoneal 34.83pulmonoperitoneal 34.83rectolabial 48.73rectoureteral 56.84rectourethral 58.43rectovaginal 70.73rectovesical 57.83rectovesicovaginal 57.83rectovulvar 48.73rectum NEC 48.73renal 55.83reno- intestinal 55.83round window 20.93salivary (gland) (duct) 26.42scrotum 61.42sigmoidovaginal 70.74sigmoidovesical 57.83splenocolic 41.95stomach NEC 44.63thoracic duct 40.63thoracoabdominal 34.83thoracogastric 34.83thoracointestinal 34.83thorax NEC 34.73trachea NEC 31.73tracheoesophageal 31.73tympanic membrane --see alsoTympanoplasty 19.4umbilicourinary 57.51ureter 56.84ureterocervical 56.84ureterorectal 56.84ureterosigmoidal 56.84ureterovaginal 56.84ureterovesical 56.84urethra 58.43urethroperineal 58.43urethroperineovesical 57.84urethrorectal 58.43urethroscrotal 58.43urethrovaginal 58.43uteroenteric 69.42uterointestinal 69.42uterorectal 69.42Closure fistula ---Cont.uteroureteric 56.84uterovaginal 69.42uterovesical 57.84vagina 70.75vaginocutaneous 70.75vaginoenteric 70.74vaginoperineal 70.75vaginovesical 57.84vesicocervicovaginal 57.84vesicocolic 57.83vesicocutaneous 57.84vesicoenteric 57.83vesicometrorectal 57.83vesicoperineal 57.84vesicorectal 57.83vesicosigmoidal 57.83vesicosigmoidovaginal 57.83vesicoureteral 56.84vesicoureterovaginal 56.84vesicourethral 57.84vesicourethrorectal 57.83vesicouterine 57.84vesicovaginal 57.84vulva 71.72vulvorectal 48.73foramen ovale (patent) 35.71withprosthesis(open heart technique)35.51closed heart technique 35.52tissue graft 35.61gastroduodenostomy 44.5gastrojejunostomy 44.5gastrostomy 44.62ileostomy 46.51jejunostomy 46.51laceration --see also Suture, by siteliver 50.61laparotomy, delayed 54.62meningocele (spinal) 03.51cerebral 02.12myelomeningocele 03.52nephrostomy 55.82palmar cleft 82.82patent ductus arteriosus 38.85pelviostomy 55.82peptic ulcer (bleeding) (perforated) 44.40perforationear drum--see also Tympanoplasty 19.4esophagus 42.82nasal septum 21.88tympanic membrane --see alsoTympanoplasty 19.4proctostomy 48.72punctum, lacrimal (papilla) 09.91pyelostomy 55.82rectostomy 48.72septum defect (heart) --see also Repair,heart, septum 35.70301

ICD-9-CM INDEX TO PROCEDURES (FY10)Closure ---Cont.sigmoidostomy 46.52skin (V- Y type) 86.59stomabile duct 51.79bladder 57.82bronchus 33.42common duct 51.72esophagus 42.83gallbladder 51.92hepatic duct 51.79intestine 46.50large 46.52small 46.51kidney 55.82larynx 31.62rectum 48.72stomach 44.62thorax 34.72trachea 31.72ureter 56.83urethra 58.42thoracostomy 34.72tracheostomy 31.72ulcer (bleeding) (peptic) (perforated) 44.40duodenum 44.42gastric 44.41intestine (perforated) 46.79skin 86.59stomach 44.41ureterostomy 56.83urethrostomy 58.42vagina 70.8vascularpercutaneous puncture --omit codevesicostomy 57.22wound --see also Suture, by sitewith graft --see Graftwith tissue adhesive 86.59Coagulation, electrocoagulation --see alsoDestruction,lesion, by siteaneurysm (cerebral) (peripheral vessel)39.52arteriovenous fistula 39.53brain tissue (incremental) (radiofrequency)01.59broad ligament 69.19cervix 67.32earexternal 18.29inner 20.79middle 20.51fallopian tube 66.61gasserian ganglion 04.05nose, for epistaxis (with packing) 21.03ovary 65.29laparoscopic 65.25pharynx (by diathermy) 29.39prostatic bed 60.94Coagulation, electrocoagulation ---Cont.rectum (polyp) 48.32radical 48.31retina (for)destruction of lesion 14.21reattachment 14.51repair for tear 14.31round ligament 69.19semicircular canals 20.79spinal cord (lesion) 03.4urethrovesical junction,transurethral 57.49uterosacral ligament 69.19uterus 68.29vagina 70.33vulva 71.3Coating, aneurysm of brain 39.52Cobalt-60 therapy (treatment) 92.23Coccygectomy (partial) 77.89total 77.99Coccygotomy 77.39"Cocked hat" procedure (metacarpallengthening and transfer of local flap) 82.69Cockett operation (varicose vein)lower limb 38.59upper limb 38.53Cody tack (perforation of footplate) 19.0Coffey operation (uterine suspension)(Meig's modification) 69.22Cole operation (anterior tarsal wedgeosteotomy) 77.28Colectomy (partial) (segmental) (subtotal)cecum (with terminal ileum)laparoscopic 17.32open and other 45.72laparoscopic 17.39left (Hartmann) (lower) (radical)laparoscopic 17.35open and other 45.75multiple segmentallaparoscopic 17.31open and other 45.71open and other 45.79right (radical)laparoscopic 17.33open and other 45.73sigmoidlaparoscopic 17.36open and other 45.76terminal ileum with cecumlaparoscopic 17.32open and other 45.72totallaparoscopic 45.81open 45.82other 45.83unspecified 45.83transverselaparoscopic 17.34open and other 45.74302

ICD-9-CM INDEX TO PROCEDURES (FY10) C.Collapse, lung, surgical 33.39bydestruction of phrenic nerve 33.31pneumoperitoneum 33.33pneumothorax, artificially- induced 33.32thoracoplasty 33.34Collection, sperm for artificialinsemination 99.96Collis-Nissen operation (hiatal hernia repairwith esophagogastroplasty) 53.80Colocentesis 45.03Colocolostomy 45.94proximal to distal segment 45.79Colocystoplasty 57.87 [45.52]Colofixation 46.64Coloileotomy 45.00Colonna operationadductor tenotomy (first stage) 83.12hip arthroplasty (second stage) 81.40reconstruction of hip (second stage) 81.40Colonoscopy 45.23withbiopsy 45.25rectum 48.24stent --see Insertion, stent, colonfiberoptic (flexible) 45.23intraoperative 45.21through stoma (artificial) 45.22transabdominal 45.21Colopexy 46.63Coloplication 46.64Coloproctostomy 45.94Colorectosigmoidostomy 45.94Colorectostomy 45.94Colorrhaphy 46.75Coloscopy --see ColonoscopyColosigmoidostomy 45.94Colostomy (ileo- ascending) (ileotransverse)(perineal) (transverse) 46.10with anterior rectal resection 48.62delayed opening 46.14loop 46.03permanent (magnetic) 46.13temporary 46.11Colotomy 45.03Colpectomy 70.4Colpoceliocentesis 70.0Colpocentesis 70.0Colpocleisis (complete) (partial) 70.8Colpohysterectomy 68.59laparoscopically assisted (LAVH) 68.51Colpoperineoplasty 70.79with repair of urethrocele 70.51with graft or prosthesis 70.53Colpoperineorrhaphy 70.71following delivery 75.69Colpopexy 70.77with graft or prosthesis 70.78Colpoplasty 70.79Colpopoiesis 70.61vaginal construction 70.61with graft or prosthesis 70.63Colporrhaphy 70.71anterior (cystocele repair) 70.51with graft or prosthesis 70.54for repair ofcystocele 70.51with rectocele 70.50with graft or prosthesis 70.53enterocele 70.92with graft or prosthesis 70.93rectocele 70.52with cystocele 70.50with graft or prosthesis 70.53urethrocele 70.51with graft or prosthesis 70.54posterior (rectocele repair) 70.52with graft or prosthesis 70.55Colposcopy 70.21Colpotomy 70.14for pelvic peritoneal drainage 70.12Commando operation (radicalglossectomy) 25.4Commissurotomyclosed heart technique --see Valvulotomy,heartopen heart technique --seeValvuloplasty, heartCompression, trigeminal nerve 04.02Conchectomy 21.69Conchotomy 21.1Conduction study, nerve 89.15Conduitogram, ileum 87.78Condylectomy --see category 77.8mandible 76.5Condylotomy NEC --see also Division,joint capsule 80.40mandible (open) 76.62closed 76.61Conizationcervix (knife) (sharp) (biopsy) 67.2bycryosurgery 67.33electroconization 67.32Conjunctivocystorhinostomy 09.82with insertion of tube or stent 09.83Conjunctivodacryocystorhinostomy(CDCR) 09.82with insertion of tube or stent 09.83Conjunctivodacryocystostomy 09.82with insertion of tube or stent 09.83Conjunctivoplasty 10.49Conjunctivorhinostomy 09.82with insertion of tube or stent 09.83Constriction of globe, for scleral buckling--see also Buckling, scleral 14.49303

ICD-9-CM INDEX TO PROCEDURES (FY10)Constructionauricle,ear(with graft)(with implant)18.71earauricle(with graft)(with implant) 18.71meatus (osseous) (skin- lined) 18.6endorectal ileal pouch (J- pouch)(H- pouch) (S- pouch) (withanastomosis to anus) 45.95esophagus, artificial --see Anastomosis,esophagusileal bladder (open) 56.51closed 57.87 [45.51]ileal conduit 56.51larynx, artificial 31.75patent meatus (ear) 18.6penis (rib graft) (skin graft)(myocutaneous flap) 64.43pharyngeal valve, artificial 31.75urethra 58.46vagina, artificial 70.61with graft or prosthesis 70.63venous valves (peripheral) 39.59Consultation 89.09comprehensive 89.07limited (single organ system) 89.06specified type NEC 89.08Continuous positive airway pressure[CPAP] (non- invasive) 93.90delivered byendotracheal tube --see category 96.7tracheostomy --seecategory 96.7Controlatmospheric pressure and compositionNEC 93.98antigen- free air conditioning 93.98decompression chamber 93.97mountain sanatorium 93.98epistaxis 21.00bycauterization (and packing) 21.03coagulation (with packing) 21.03electrocoagulation (with packing)21.03excision of nasal mucosa withgrafting 21.07ligation of artery 21.09ethmoidal 21.04external carotid 21.06maxillary (transantral) 21.05packing (nasal) (anterior) 21.01posterior (and anterior) 21.02specified means NEC 21.09hemorrhage 39.98abdominal cavity 54.19adenoids (postoperative) 28.7anus (postoperative) 49.95bladder (postoperative) 57.93chest 34.09Control hemorrhage ---Cont.colon 45.49endoscopic 45.43duodenum (ulcer) 44.49byembolization (transcatheter) 44.44suture (ligation) 44.42endoscopic 44.43esophagus 42.39endoscopic 42.33gastric (ulcer) 44.49byembolization (transcatheter) 44.44suture (ligation) 44.41endoscopic 44.43intrapleural 34.09postoperative (recurrent) 34.03laparotomy site 54.12nose --see also Control, epistaxis 21.00peptic (ulcer) 44.49byembolization (transcatheter) 44.44suture (ligation) 44.40endoscopic 44.43pleura, pleural cavity 34.09postoperative (recurrent) 34.03postoperative NEC 39.98postvascular surgery 39.41prostate 60.94specified site NEC 39.98stomach --see Control, hemorrhage,gastricthorax NEC 34.09postoperative (recurrent) 34.03thyroid (postoperative) 06.02tonsils (postoperative) 28.7Conversionanastomosis --see Revision, anastomosisatrial rhythm (to sinus rhythm) 99.61cardiac rhythm NEC 99.69to sinus rhythm 99.62gastrostomy to jejunostomy(endoscopic)for feeding tube placement 46.32obstetrical position --see VersionCooling, gastric 96.3137.41Cordectomy, vocal 30.22Cordopexy, vocal 31.69Cordotomyspinal (bilateral) NEC 03.29percutaneous 03.21vocal 31.3Corectomy 12.12Corelysis 12.35Coreoplasty 12.35Corneoconjunctivoplasty 11.53Corpectomy, (vertebral) 80.99with diskectomy 80.99304

ICD-9-CM INDEX TO PROCEDURES (FY10) C.Correction --see also Repairatresiaesophageal 42.85by magnetic forces 42.99external meatus (ear) 18.6nasopharynx, nasopharyngeal 29.4rectum 48.0tricuspid 35.94atrial septal defect --see also Repair,atrial septal defect 35.71combined with repair of valvularand ventricular septal defects--see Repair, endocardialcushion defectblepharoptosis --see also Repair,blepharoptosis 08.36bunionette (with osteotomy) 77.54chordee 64.42claw toe 77.57cleftlip 27.54palate 27.62clubfoot NEC 83.84coarctation of aortawithanastomosis 38.34graft replacement 38.44cornea NEC 11.59refractive NEC 11.79epikeratophakia 11.76keratomileusis 11.71keratophakia 11.72radial keratotomy 11.75esophageal atresia 42.85by magnetic forces 42.99everted lacrimal punctum 09.71eyelidptosis --see also Repair,blepharoptosis 08.36retraction 08.38fetal defect 75.36forcible, of musculoskeletal deformityNEC 93.29hammer toe 77.56hydraulic pressure, open surgery forpenile inflatable prosthesis 64.99urinary artificial sphincter 58.99intestinal malrotation 46.80large 46.82small 46.81inverted uterus --see Repair, inverteduteruslymphedema (of limb) 40.9excision with graft 40.9obliteration of lymphatics 40.9transplantation of autogenouslymphatics 40.9nasopharyngeal atresia 29.4overlapping toes 77.58Correction ---Cont.palate (cleft) 27.62prognathism NEC 76.64prominent ear 18.5punctum (everted) 09.71spinal pseudarthrosis --see Refusion,spinalsyndactyly 86.85tetralogy of Fallotone- stage 35.81partial --see specific proceduretotal 35.81total anomalous pulmonary venousconnectionone- stage 35.82partial --see specific proceduretotal 35.82transposition, great arteries, total 35.84tricuspid atresia 35.94truncus arteriosusone- stage 35.83partial --see specific proceduretotal 35.83ureteropelvic junction 55.87ventricular septal defect --see also Repair,ventricular septal defect 35.72combined with repair of valvular andatrial septal defects --see Repair,endocardial cushion defectCostectomy 77.91with lung excision --see Excision, lungassociated with thoracic operation--omit codeCostochondrectomy 77.91associated with thoracic operation--omit codeCostosternoplasty (pectus excavatumrepair) 34.74Costotomy 77.31Costotransversectomy 77.91associated with thoracic operation--omit codeCounseling (for) NEC 94.49alcoholism 94.46drug addiction 94.45employers 94.49Counseling ---Cont.family (medical) (social) 94.49marriage 94.49ophthalmologic (with instruction) 95.36pastoral 94.49Countershock, cardiac NEC 99.62Coventry operation (tibial wedgeosteotomy) 77.27CPAP (continuous positive airwaypressure) 93.90delivered byendotracheal tube --see category 96.7tracheostomy --seecategory 96.7305

ICD-9-CM INDEX TO PROCEDURES (FY10)Craniectomy 01.25linear (opening of cranial suture) 02.01reopening of site 01.23strip (opening of cranial suture) 02.01Cranioclasis, fetal 73.8Cranioplasty 02.06with synchronous repair of encephalocele02.12Craniotomy 01.24as operative approach --omit codefetal 73.8for decompression of fracture 02.02reopening of site 01.23Craterization, bone --see also Excision,lesion, bone 77.60Crawford operation (tarso- frontalis slingof eyelid) 08.32Creation --see also Formationcardiac device (defibrillator) (pacemaker)pocketwith initial insertion of cardiac device--omit codenew site (skin) (subcutaneous) 37.79conduitileal (urinary) 56.51left ventricle and aorta 35.93right atrium and pulmonary artery 35.94right ventricle and pulmonary(distal) artery 35.92in repair ofpulmonary artery atresia 35.92transposition of great vessels 35.92truncus arteriosus 35.83endorectal ileal pouch (J- pouch) (H- pouch)(S- pouch) (with anastomosis to anus)45.95esophagogastric sphincteric competenceNEC 44.66laparoscopic 44.67Hartmann pouch --see Colectomy, by siteinteratrial fistula 35.42pericardial window 37.12pleural window, for drainage 34.09pocketcardiac device (defibrillator) (pacemaker)with initial insertion of cardiacdevice --omit codenew site (skin)(subcutaneous) 37.79loop recorder 37.79thalamic stimulator pulse generatorwith initial insertion of batterypackage --omit codenew site (skin)(subcutaneous) 86.09shunt --see also Shuntarteriovenous fistula, for dialysis 39.93left- to- right (systemic topulmonary circulation) 39.0Creation ---Cont.subcutaneous tunnel for esophagealanastomosis 42.86with anastomosis --see Anastomosis,esophagus, antesternalsyndactyly (finger) (toe) 86.89thalamic stimulator pulse generatorwith initial insertion of battery package--omit codenew site (skin)(subcutaneous) 86.09tracheoesophageal fistula 31.95windowpericardial 37.12pleura, for drainage 34.09Credé maneuver 73.59Cricoidectomy 30.29Cricothyreotomy (for assistance in breathing)31.1Cricothyroidectomy 30.29Cricothyrostomy 31.1Cricothyrotomy (for assistance inbreathing) 31.1Cricotomy (for assistance in breathing) 31.1Cricotracheotomy (for assistance inbreathing) 31.1Crisis intervention 94.35Croupette, croup tent 93.94Crown, dental (ceramic) (gold) 23.41Crushingbone --see category 78.4calculusbile (hepatic) passage 51.49endoscopic 51.88bladder (urinary) 57.0pancreatic duct 52.09endoscopic 52.94fallopian tube --see also Ligation,fallopian tube 66.39ganglion --see Crushing, nervehemorrhoids 49.45nasal septum 21.88nerve (cranial) (peripheral) NEC 04.03acoustic 04.01auditory 04.01phrenic 04.03for collapse of lung 33.31sympathetic 05.0trigeminal 04.02vestibular 04.01vas deferens 63.71Cryoablation --see AblationCryoanalgesia nerve (cranial) (peripheral) 04.2Cryoconization, cervix 67.33Cryodestruction--see Destruction,lesion,by siteCryoextraction, lens --see also Extraction,cataract, intracapsular 13.19Cryohypophysectomy (complete) (total)--see also Hypophysectomy 07.69Cryoleucotomy 01.32306

ICD-9-CM INDEX TO PROCEDURES (FY10) C.Cryopexy, retinal --see Cryotherapy, retinaCryoprostatectomy 60.62Cryoretinopexy (for)reattachment 14.52repair of tear or defect 14.32Cryosurgery --see CryotherapyCryothalamectomy 01.41Cryotherapy --see also Destruction, lesion, bysitebladder 57.59brain 01.59cataract 13.19cervix 67.33choroid --see Cryotherapy, retinaciliary body 12.72corneal lesion (ulcer) 11.43to reshape cornea 11.79earexternal 18.29inner 20.79esophagus 42.39endoscopic 42.33eyelid 08.25hemorrhoids 49.44iris 12.41nasal turbinates 21.61palate (bony) 27.31prostate 60.62retina (for)destruction of lesion 14.22reattachment 14.52repair of tear 14.32skin 86.3stomach 43.49endoscopic 43.41subcutaneous tissue 86.3turbinates (nasal) 21.61warts 86.3genital 71.3Cryptectomy (anus) 49.39endoscopic 49.31Cryptorchidectomy (unilateral) 62.3bilateral 62.41Cryptotomy (anus) 49.39endoscopic 49.31Cuirass 93.99Culdocentesis 70.0Culdoplasty 70.92with graft or prosthesis 70.93Culdoscopy (exploration) (removal offoreign body or lesion) 70.22Culdotomy 70.12Culp-Deweerd operation (spiral flappyeloplasty) 55.87Culp-Scardino operation (ureteral flappyeloplasty) 55.87Culture (and sensitivity) --see Examination,microscopicCurettage (with packing) (with secondaryclosure)--see also Dilation and curettageadenoids 28.6anus 49.39endoscopic 49.31bladder 57.59transurethral 57.49bone--see also Excision,lesion,bone77.60brain 01.59bursa 83.39hand 82.29cartilage --see also Excision, lesion,joint 80.80cerebral meninges 01.51chalazion 08.25conjunctiva (trachoma follicles) 10.33corneal epithelium 11.41for smear or culture 11.21ear, external 18.29eyelid 08.25joint--see also Excision, lesion,joint 80.80meninges (cerebral) 01.51spinal 03.4muscle 83.32hand 82.22nerve (peripheral) 04.07sympathetic 05.29sclera 12.84skin 86.3spinal cord (meninges) 03.4subgingival 24.31tendon 83.39sheath 83.31hand 82.21uterus (with dilation) 69.09aspiration (diagnostic) NEC 69.59after abortion or delivery 69.52to terminate pregnancy 69.51following delivery or abortion 69.02Curette evacuation, lens 13.2Curtis operation (interphalangeal jointarthroplasty) 81.72Cutaneolipectomy 86.83Cutdown, venous 38.94Cuttingnerve (cranial) (peripheral) NEC 04.03acoustic 04.01auditory 04.01root, spinal 03.1sympathetic 05.0trigeminal 04.02vestibular 04.01pedicle (flap) graft 86.71pylorus (with wedge resection) 43.3spinal nerve root 03.1ureterovesical orifice 56.1urethral sphincter 58.5CVP (central venous pressure monitoring)89.62307

ICD-9-CM INDEX TO PROCEDURES (FY10)Cyclectomy (ciliary body) 12.44eyelid margin 08.20Cyclicotomy 12.55Cycloanemization 12.74Cyclocryotherapy 12.72Cyclodialysis (initial) (subsequent) 12.55Cyclodiathermy (penetrating) (surface)12.71Cycloelectrolysis 12.71Cyclophotocoagulation 12.73Cyclotomy 12.55Cystectomy --see also Excision, lesion,by sitegallbladder --see Cholecystectomyurinary (partial) (subtotal) 57.6complete (with urethrectomy) 57.79radical 57.71with pelvic exenteration (female) 68.8total (with urethrectomy) 57.79Cystocolostomy 57.88Cystogram, cystography NEC 87.77Cystolitholapaxy 57.0Cystolithotomy 57.19Cystometrogram 89.22Cystopexy NEC 57.89Cystoplasty NEC 57.89Cystoproctostomy 57.88Cystoprostatectomy, radical 57.71Cystopyelography 87.74Cystorrhaphy 57.81Cystoscopy (transurethral) 57.32with biopsy 57.33forcontrol of hemorrhagebladder 57.93prostate 60.94retrograde pyelography 87.74ileal conduit 56.35through stoma (artificial) 57.31Cystostomyclosed (suprapubic) (percutaneous) 57.17open (suprapubic) 57.18percutaneous (closed) (suprapubic) 57.17suprapubicclosed 57.17open 57.18Cystotomy (open) (for removal of calculi)57.19Cystourethrogram (retrograde) (voiding)87.76Cystourethropexy (by) 59.79levator muscle sling 59.71retropubic suspension 59.5suprapubic suspension 59.4Cystourethroplasty 57.85Cystourethroscopy 57.32with biopsybladder 57.33ureter 56.33Cytology --see Examination, microscopic308

ICD-9-CM INDEX TO PROCEDURES (FY10)

ICD-9-CM INDEX TO PROCEDURES (FY10)Decompression ---Cont.common bile duct 51.42by intubation 51.43endoscopic 51.87percutaneous 51.98cranial 01.24for skull fracture 02.02endolymphatic sac 20.79ganglion (peripheral) NEC 04.49cranial NEC 04.42gastric 96.07heart 37.0intestine 96.08by incision 45.00endoscopic (balloon) 46.85intracranial 01.24labyrinth 20.79laminectomy 03.09laminotomy 03.09median nerve 04.43muscle 83.02hand 82.02nerve (peripheral) NEC 04.49auditory 04.42cranial NEC 04.42median 04.43trigeminal (root) 04.41orbit --see also Orbitotomy 16.09pancreatic duct 52.92endoscopic 52.93pericardium 37.0rectum 48.0skull fracture 02.02spinal cord (canal) 03.09tarsal tunnel 04.44tendon (sheath) 83.01hand 82.01thoracic outletbymyotomy (division of scalenusanticus muscle) 83.19tenotomy 83.13trigeminal (nerve root) 04.41Decorticationarterial 05.25brain 01.51cerebral meninges 01.51heart 37.31kidney 55.91lung (partial) (total) 34.51thoracoscopic 34.52nasal turbinates --see Turbinectomynose 21.89ovary 65.29laparoscopic 65.25periarterial 05.25pericardium 37.31ventricle, heart (complete) 37.31Decoy, E2F 00.16Deepeningalveolar ridge 24.5buccolabial sulcus 24.91lingual sulcus 24.91Defatting, flap or pedicle graft 86.75Defibrillation,electric(external)(internal)99.62automatic cardioverter/defibrillator--see category 37.9de Grandmont operation (tarsectomy) 08.35Delaying of pedicle graft 86.71Delivery (with)assisted spontaneous 73.59breech extraction (assisted) 72.52partial 72.52with forceps to aftercoming head 72.51total 72.54with forceps to aftercoming head 72.53unassisted (spontaneous delivery)--omit codecesarean section --see Cesarean sectionCredé maneuver 73.59De Lee maneuver 72.4forceps 72.9application to aftercoming head(Piper)72.6with breech extractionpartial 72.51total 72.53Barton's 72.4failed 73.3high 72.39with episiotomy 72.31low (outlet) 72.0with episiotomy 72.1mid 72.29with episiotomy 72.21outlet (low) 72.0with episiotomy 72.1rotation of fetal head 72.4trial 73.3instrumental NEC 72.9specified NEC 72.8key- in- lock rotation 72.4Kielland rotation 72.4Malstrom's extraction 72.79with episiotomy 72.71manually assisted (spontaneous) 73.59spontaneous (unassisted) 73.59assisted 73.59vacuum extraction 72.79with episiotomy 72.71Delorme operationpericardiectomy 37.31proctopexy 48.76repair of prolapsed rectum 48.76thoracoplasty 33.34310

ICD-9-CM INDEX TO PROCEDURES (FY10) D.Denervationaortic body 39.8carotid body 39.8facet, percutaneous(radiofrequency)03.96ovarian 65.94paracervical uterine 69.3uterosacral 69.3Denker operation (radical maxillaryantrotomy) 22.31Dennis-Barco operation--see Repair, hernia, femoralDenonvillier operation (limited rhinoplasty)21.86Densitometry, bone (serial) (radiographic)88.98Depilation, skin 86.92Derlacki operation (tympanoplasty) 19.4Dermabond 86.59Dermabrasion (laser) 86.25for wound debridement 86.28Derotation --see Reduction, torsionDesensitizationallergy 99.12psychologic 94.33Desmotomy --see also Division, ligament80.40Destructionbreast 85.20chorioretinopathy --see also Destruction,lesion, choroid 14.29ciliary body 12.74epithelial downgrowth, anterior chamber12.93fallopian tube 66.39withcrushing (and ligation) 66.31by endoscopy (laparoscopy) 66.21division (and ligation) 66.32by endoscopy (culdoscopy)(hysteroscopy) (laparoscopy)(peritoneoscopy) 66.22ligation 66.39withcrushing 66.31by endoscopy (laparoscopy)66.21division 66.32by endoscopy (culdoscopy)(hysteroscopy) (laparoscopy)(peritoneoscopy) 66.22fetus 73.8hemorrhoids 49.49bycryotherapy 49.44sclerotherapy 49.42inner ear NEC 20.79by injection 20.72Destruction ---Cont.intervertebral disc (NOS) 80.50by injection 80.52by other specified method 80.59herniated (nucleus pulposus) 80.51lacrimal sac 09.6LAA 37.36left atrial appendage 37.36lesion (local)anus 49.39endoscopic 49.31Bartholin's gland 71.24byaspiration 71.21excision 71.24incision 71.22marsupialization 71.23biliary ducts 51.69endoscopic 51.64bladder 57.59transurethral 57.49bone --see Excision, lesion, bonebowel --see Destruction, lesion, intestinebrain (transtemporal approach)NEC 01.59by stereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31breast NEC 85.20bronchus NEC 32.09endoscopic 32.01cerebral NEC 01.59meninges 01.51cervix 67.39bycauterization 67.32cryosurgery, cryoconization 67.33electroconization 67.32choroid 14.29bycryotherapy 14.22diathermy 14.21implantation of radiation source14.27photocoagulation 14.25laser 14.24xenon arc 14.23radiation therapy 14.26ciliary body (nonexcisional) 12.43by excision 12.44conjunctiva 10.32by excision 10.31311

ICD-9-CM INDEX TO PROCEDURES (FY10)Destruction - lesion (local) --- Cont.cornea NEC 11.49bycryotherapy 11.43electrocauterization 11.42thermocauterization 11.42cul- de- sac 70.32duodenum NEC 45.32by excision 45.31endoscopic 45.30endoscopic 45.30esophagus (chemosurgery)(cryosurgery) (electroresection)(fulguration) NEC 42.39by excision 42.32endoscopic 42.33endoscopic 42.33eye NEC 16.93eyebrow 08.25eyelid 08.25excisional--see Excision, lesion, eyelidheartby catheter ablation 37.34by endovascular approach 37.34by open approach 37.33left atrial appendage 37.36intestine (large) 45.49by excision 45.41endoscopic 45.43polypectomy 45.42endoscopic 45.43polypectomy 45.42small 45.34by excision 45.33intranasal 21.31iris (nonexcisional) NEC 12.41by excision 12.42kidney 55.39by marsupialization 55.31lacrimal sac 09.6larynx 30.09liver 50.29lung 32.29endoscopic 32.28meninges (cerebral) 01.51spinal 03.4nerve (peripheral) 04.07sympathetic 05.29nose 21.30intranasal 21.31specified NEC 21.32ovarybyaspiration 65.91excision 65.29laparoscopic 65.25cyst by rupture (manual) 65.93palate (bony) (local) 27.31wide 27.32Destruction - lesion (local) --- Cont.pancreas 52.22by marsupialization 52.3endoscopic 52.21pancreatic duct 52.22endoscopic 52.21penis 64.2pharynx (excisional) 29.39pituitary glandby stereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31rectum (local) 48.32bycryosurgery 48.34electrocoagulation 48.32excision 48.35fulguration 48.32laser (Argon) 48.33polyp 48.36radical 48.31retina 14.29bycryotherapy 14.22diathermy 14.21implantation of radiation source 14.27photocoagulation 14.25laser 14.24xenon arc 14.23radiation therapy 14.26salivary gland NEC 26.29by marsupialization 26.21sclera 12.84scrotum 61.3skin NEC 86.3sphincter of Oddi 51.69endoscopic 51.64spinal cord (meninges) 03.4spleen 41.42by marsupialization 41.41stomach NEC 43.49by excision 43.42endoscopic 43.41endoscopic 43.41subcutaneous tissue NEC 86.3testis 62.2tongue 25.1urethra (excisional) 58.39endoscopic 58.31uterus 68.29nerve (cranial) (peripheral) (bycryo- analgesia) (by radiofrequency) 04.2sympathetic, by injection of neurolyticagent 05.32312

Destruction --- Cont.neuromaacoustic 04.01by craniotomy 04.01by stereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31cranial 04.07Morton's 04.07peripheralMorton's 04.07prostate (prostatic tissue)bycryotherapy 60.62microwave 60.96radiofrequency 60.97transurethral microwavethermotherapy (TUMT) 60.96transurethral needle ablation (TUNA)60.97TULIP (transurethral (ultrasound)guided laser inducedprostatectomy) 60.21TUMT (transurethral microwavethermotherapy) 60.96TUNA (transurethral needle ablation)60.97semicircular canals, by injection 20.72vestibule, by injection 20.72Detachment, uterosacral ligaments 69.3Determinationmental status (clinical) (medico- legal)(psychiatric) NEC 94.11psychologic NEC 94.09vital capacity (pulmonary) 89.37Detorsionintestine (twisted) (volvulus) 46.80large 46.82endoscopic (balloon) 46.85small 46.81kidney 55.84ovary 65.95spermatic cord 63.52with orchiopexy 62.5testis 63.52with orchiopexy 62.5volvulus 46.80endoscopic (balloon) 46.85Detoxification therapy 94.25alcohol 94.62with rehabilitation 94.63combined alcohol and drug 94.68with rehabilitation 94.69ICD-9-CM INDEX TO PROCEDURES (FY10) D.Detoxification therapy --- Contdrug 94.65with rehabilitation 94.66combined alcohol and drug 94.68with rehabilitation 94.69Devascularization, stomach 44.99Device37.41external fixator --see Fixator, externalDewebbingesophagus 42.01syndactyly (fingers) (toes) 86.85Dextrorotation --see Reduction, torsionDialysishemodiafiltration, hemofiltration(extracorporeal) 39.95kidney (extracorporeal) 39.95liver 50.92peritoneal 54.98renal (extracorporeal) 39.95Diaphanoscopynasal sinuses 89.35skull (newborn) 89.16Diaphysectomy --see category 77.8Diathermy 93.34choroid --see Diathermy, retinanasal turbinates 21.61retinafordestruction of lesion 14.21reattachment 14.51repair of tear 14.31surgical --see Destruction, lesion, by siteturbinates (nasal) 21.61Dickson operation (fascial transplant) 83.82Dickson-Diveley operation (tendontransfer and arthrodesis to correct clawtoe) 77.57Dieffenbach operation (hip disarticulation)84.18Dilationachalasia 42.92ampulla of Vater 51.81endoscopic 51.84anus, anal (sphincter) 96.23biliary ductendoscopic 51.84pancreatic duct 52.99endoscopic 52.98percutaneous (endoscopy) 51.98sphincterof Oddi 51.81endoscopic 51.84pancreatic 51.82endoscopic 51.85bladder 96.25neck 57.92bronchus 33.91313

ICD-9-CM INDEX TO PROCEDURES (FY10)Dilation ----Cont.cervix (canal) 67.0obstetrical 73.1to assist delivery 73.1choanae (nasopharynx) 29.91colon (endoscopic) (balloon) 46.85with insertion of colonic stentendoscopic 46.86other 46.87colostomy stoma 96.24duodenum (endoscopic) (balloon) 46.85with insertion of colonic stentendoscopic 46.86other 46.87endoscopic --see Dilation, by siteenterostomy stoma 96.24esophagus(by bougie)(by sound) 42.92fallopian tube 66.96foreskin (newborn) 99.95frontonasal duct 96.21gastrojejunostomy site, endoscopic 44.22heart valve --see Valvulotomy, heartileostomy stoma 96.24ileum (endoscopic) (balloon) 46.85with insertion of colonic stentendoscopic 46.86other 46.87intestinal stoma (artificial) 96.24intestine (endoscopic) (balloon) 46.85with insertion of colonic stentendoscopic 46.86other 46.87jejunum (endoscopic) (balloon) 46.85with insertion of colonic stentendoscopic 46.86other 46.87lacrimalduct 09.42punctum 09.41larynx 31.98lymphatic structure(s) (peripheral) 40.9nares 21.99nasolacrimal duct (retrograde) 09.43with insertion of tube or stent 09.44nasopharynx 29.91pancreatic duct 52.99endoscopic 52.98pharynx 29.91prostatic urethra (transurethral) (balloon)60.95punctum, lacrimal papilla 09.41pylorusby incision 44.21endoscopic 44.22rectum 96.22salivary duct 26.91sphenoid ostia 22.52sphincteranal 96.23Dilation - sphincter ---Cont.cardiac 42.92of Oddi 51.81endoscopic 51.84pancreatic 51.82endoscopic 51.85pylorus, endoscopic 44.22by incision 44.21Stenson's duct 26.91trachea 31.99ureter 59.8meatus 56.91ureterovesical orifice 59.8urethra 58.6prostatic (transurethral) (balloon)60.95urethrovesical junction 58.6vagina (instrumental) (manual) NEC 96.16vesical neck 57.92Wharton's duct 26.91Wirsung's duct 52.99endoscopic 52.98Dilation and curettage,uterus (diagnostic)69.09afterabortion 69.02delivery 69.02to terminate pregnancy 69.01Diminution, ciliary body 12.74Disarticulation 84.91ankle 84.13elbow 84.06finger, except thumb 84.01thumb 84.02hip 84.18knee 84.16shoulder 84.08thumb 84.02toe 84.11wrist 84.04Discectomy --see DiskectomyDiscissioncapsular membrane 13.64cataract (Wheeler knife) (Ziegler knife)13.2congenital 13.69secondary membrane 13.64iris 12.12lens (capsule) (Wheeler knife) (Ziegler knife)(with capsulotomy) 13.2orbitomaxillary, radical 16.51pupillary 13.2secondary membrane (after cataract) 13.64vitreous strands (posterior approach) 14.74anterior approach 14.73Discogram, diskogram 87.21Discolysis (by injection) 80.52314

ICD-9-CM INDEX TO PROCEDURES (FY10) D.Diskectomy(discectomy),intervertebral80.51with corpectomy 80.99herniated (nucleus pulposus) 80.51percutaneous 80.59Dispensing (with fitting)contact lens 95.32low vision aids NEC 95.33spectacles 95.31Disruptionblood brain barrier via infusion [BBBD]00.19Dissection --see also Excisionaneurysm 38.60artery- vein- nerve bundle 39.91branchial cleft fistula or sinus 29.52bronchus 32.1femoral hernia 53.29groin, radical 40.54larynx block (en bloc) 30.3mediastinum with pneumonectomy 32.59thoracoscopic 32.50neck, radical 40.40with laryngectomy 30.4bilateral 40.42unilateral 40.41orbital fibrous bands 16.92pterygium (with reposition) 11.31radical neck --see Dissection, neck, radicalretroperitoneal NEC 59.00thoracic structures (block) (en bloc)(radical) (brachial plexus,bronchus, lobe of lung, ribs, andsympathetic nerves) 32.6vascular bundle 39.91Distention, bladder (therapeutic)(intermittent) 96.25Diversionbiliopancreatic(BPD) 43.7 [45.51] [45.91]with duodenal switch 43.89[45.51][45.91]urinarycutaneous 56.61ileal conduit 56.51internal NEC 56.71ureter tointestine 56.71skin 56.61uretero- ileostomy 56.51Diversional therapy 93.81Diverticulectomybladder (suprapubic) 57.59transurethral approach 57.49duodenum 45.31endoscopic 45.30esophagus 42.31endoscopic 42.33esophagomyotomy 42.7hypopharyngeal (by cricopharyngealmyotomy) 29.32Diverticulectomy ---Cont.intestinelarge 45.41endoscopic 45.43small 45.33kidney 55.39Meckel's 45.33pharyngeal (by cricopharyngeal myotomy)29.32pharyngoesophageal (bycrico- pharyngeal myotomy) 29.32stomach 43.42endoscopic 43.41urethra 58.39endoscopic 58.31DivisionAchilles tendon 83.11adductor tendon (hip) 83.12adhesions --see Lysis, adhesionsangle of mandible (open) 76.62closed 76.61anterior synechiae 12.32aponeurosis 83.13arcuate ligament (spine) --omit codearteriovenous fistula (with ligation) 39.53artery (with ligation) 38.80abdominal 38.86aorta (arch) (ascending) (descending)38.84head and neck NEC 38.82intracranial NEC 38.81lower limb 38.88thoracic NEC 38.85upper limb 38.83bladder neck 57.91blepharorrhaphy 08.02blood vessels, cornea 10.1bone --see also Osteotomy 77.30brain tissue 01.32cortical adhesions 02.91canaliculus 09.52canthorrhaphy 08.02cartilage 80.40ankle 80.47elbow 80.42foot and toe 80.48hand and finger 80.44hip 80.45knee 80.46shoulder 80.41specified site NEC 80.49spine 80.49wrist 80.43cerebral tracts 01.32chordae tendineae 35.32common wall between posterior leftatrium and coronary sinus (withroofing of resultant defect withpatch graft) 35.82315

ICD-9-CM INDEX TO PROCEDURES (FY10)Division ---Cont.congenital weblarynx 31.98pharynx 29.54endometrial synechiae 68.21fallopian tube--see Ligation, fallopian tubefascia 83.14hand 82.12frenulum, frenumlabial 27.91lingual 25.91tongue 25.91ganglion, sympathetic 05.0glossopharyngeal nerve 29.92goniosynechiae 12.31hypophyseal stalk --see alsoHypophysectomy, partial 07.63iliotibial band 83.14isthmushorseshoe kidney 55.85thyroid 06.91joint capsule 80.40ankle 80.47elbow 80.42foot and toe 80.48hand and finger 80.44hip 80.45knee 80.46shoulder 80.41specified site NEC 80.49wrist 80.43labial frenum 27.91lacrimal ductules 09.0laryngeal nerve (external) (recurrent)(superior) 31.91ligament 80.40ankle 80.47arcuate (spine) --omit codecanthal 08.36elbow 80.42foot and toe 80.48hand and finger 80.44hip 80.45knee 80.46palpebrae 08.36shoulder 80.41specified site NEC 80.49spine 80.49arcuate --omit codeflavum --omit codeuterosacral 69.3wrist 80.43ligamentum flavum (spine) --omit codemeninges (cerebral) 01.31muscle 83.19hand 82.19nasolacrimal duct stricture (with drainage)09.59Division ---Cont.nerve (cranial) (peripheral) NEC 04.03acoustic 04.01adrenal gland 07.42auditory 04.01glossopharyngeal 29.92lacrimal branch 05.0laryngeal (external) (recurrent)(superior) 31.91phrenic 04.03for collapse of lung 33.31root, spinal or intraspinal 03.1sympathetic 05.0tractscerebral 01.32spinal cord 03.29percutaneous 03.21trigeminal 04.02vagus --see also Vagotomy 44.00vestibular 04.01otosclerotic process or material, middleear 19.0papillary muscle (heart) 35.31patent ductus arteriosus 38.85penile adhesions 64.93posterior synechiae 12.33pylorus (with wedge resection) 43.3rectum (stricture) 48.91scalenus anticus muscle 83.19Skene's gland 71.3soft tissue NEC 83.19hand 82.19sphincteranal (external) (internal) 49.59left lateral 49.51posterior 49.52cardiac 42.7of Oddi 51.82endoscopic 51.85pancreatic 51.82endoscopic 51.85spinalcord tracts 03.29percutaneous 03.21nerve root 03.1symblepharon(with insertion ofconformer) 10.5synechiaeendometrial 68.21iris (posterior) 12.33anterior 12.32tarsorrhaphy 08.02tendon 83.13Achilles 83.11adductor (hip) 83.12hand 82.11trabeculae carneae cordis (heart) 35.35tympanum 20.23uterosacral ligaments 69.3316

ICD-9-CM INDEX TO PROCEDURES (FY10) D.Division ---Cont.vaginal septum 70.14vas deferens 63.71vein (with ligation) 38.80abdominal 38.87head and neck NEC 38.82intracranial NEC 38.81lower limb 38.89varicose 38.59thoracic NEC 38.85upper limb 38.83varicose 38.50abdominal 38.57head and neck NEC 38.52intracranial NEC 38.51lower limb 38.59thoracic NEC 38.55upper limb 38.53vitreous, cicatricial bands (posteriorapproach) 14.74anterior approach 14.73Doleris operation (shortening of roundligaments) 69.22D'Ombrain operation (excision ofpterygium with corneal graft) 11.32Domestic tasks therapy 93.83Dopplergram, Doppler flow mapping--see also Ultrasonographyaortic arch 88.73head and neck 88.71heart 88.72thorax NEC 88.73Dorrance operation (push- backoperation for cleft palate) 27.62Dotter operation (transluminal angioplasty)39.59Douche, vagina 96.44Douglas' operation (suture of tongue tolip for micrognathia) 25.59Downstream® System (AO therapy)(aqueous oxygen) 00.49Doyle operation (paracervical uterinedenervation) 69.3Drainagebyanastomosis --see Anastomosisaspiration --see Aspirationincision --see Incisionabdomen 54.19percutaneous 54.91abscess --see also Drainage, by siteand Incision, by siteappendix 47.2with appendectomy 47.09laparoscopic 47.01parapharyngeal(oral)(transcervical) 28.0peritonsillar (oral) (transcervical) 28.0retropharyngeal(oral)(transcervical) 28.0Drainage abscess ---Cont.thyroid (field) (gland) 06.09percutaneous (needle) 06.01postoperative 06.02tonsil,tonsillar(oral)(transcervical) 28.0antecubital fossa 86.04appendix 47.91with appendectomy 47.09laparoscopic 47.01abscess 47.2with appendectomy 47.09laparoscopic 47.01axilla 86.04bladder (without incision) 57.0by indwelling catheter 57.94percutaneous suprapubic (closed) 57.17suprapubic NEC 57.18buccal space 27.0bursa 83.03by aspiration 83.94hand 82.92hand 82.03by aspiration 82.92radial 82.03ulnar 82.03cerebrum, cerebral (meninges) (ventricle)(incision) (trephination) 01.39byanastomosis --see Shunt, ventricularaspiration 01.09through previously implantedcatheter 01.02chest (closed) 34.04open (by incision) 34.09thoracoscopic 34.06cranial sinus (incision) (trephination) 01.21by aspiration 01.09cul- de- sac 70.12by aspiration 70.0cyst --see also Drainage, by site andIncision, by sitepancreas (by catheter) 52.01by marsupialization 52.3internal (anastomosis) 52.4pilonidal 86.03spleen, splenic(by marsupialization) 41.41duodenum (tube) 46.39by incision 45.01earexternal 18.09inner 20.79middle (by myringotomy) 20.09with intubation 20.01epidural space, cerebral (incision)(trephination) 01.24by aspiration 01.09extradural space, cerebral (incision)(trephination) 01.24by aspiration 01.09317

ICD-9-CM INDEX TO PROCEDURES (FY10)Drainage ---Cont.extraperitoneal 54.0facial region 27.0fascial compartments, head and neck 27.0fetal hydrocephalic head (needling)(trocar) 73.8gallbladder 51.04byanastomosis 51.35aspiration 51.01incision 51.04groin region(abdominal wall) (inguinal)54.0skin 86.04subcutaneous tissue 86.04hematoma --see Drainage, by site andIncision, by sitehydrocephalic head(needling)(trocar) 73.8hypochondrium 54.0intra- abdominal 54.19iliac fossa 54.0infratemporal fossa 27.0intracranial space (epidural)(extradural) (incision)(trephination) 01.24by aspiration 01.09subarachnoid or subdural (incision)(trephination) 01.31by aspiration 01.09intraperitoneal 54.19percutaneous 54.91kidney (by incision) 55.01byanastomosis 55.86catheter 59.8pelvis (by incision) 55.11liver 50.0by aspiration 50.91Ludwig's angina 27.0lung (by incision) 33.1by punch (needle) (trocar) 33.93midpalmar space 82.04mouth floor 27.0mucocele, nasal sinus 22.00by puncture 22.01through natural ostium 22.02omentum 54.19percutaneous 54.91ovary (aspiration) 65.91by incision 65.09laparoscopic 65.01palmar space (middle) 82.04pancreas (by catheter) 52.01by anastomosis 52.96parapharyngeal 28.0paronychia 86.04parotid space 27.0pelvic peritoneum (female) 70.12male 54.19Drainage ---Cont.pericardium 37.0perigastric 54.19percutaneous 54.91perineumfemale 71.09male 86.04perisplenic tissue 54.19percutaneous 54.91peritoneum 54.19pelvic (female) 70.12percutaneous 54.91peritonsillar 28.0pharyngeal space, lateral 27.0pilonidal cyst or sinus 86.03pleura (closed) 34.04open (by incision) 34.09thoracoscopic 34.06popliteal space 86.04postural 93.99postzygomatic space 27.0pseudocyst, pancreas 52.3by anastomosis 52.4pterygopalatine fossa 27.0retropharyngeal 28.0scrotum 61.0skin 86.04spinal (canal) (cord) 03.09by anastomosis --see Shunt, spinaldiagnostic 03.31spleen 41.2cyst (by marsupialization) 41.41subarachnoid space, cerebral(incision) (trephination) 01.31by aspiration 01.09subcutaneous tissue 86.04subdiaphragmatic 54.19percutaneous 54.91subdural space, cerebral (incision)(trephination) 01.31by aspiration 01.09subhepatic space 54.19percutaneous 54.91sublingual space 27.0submental space 27.0subphrenic space 54.19percutaneous 54.91supraclavicular fossa 86.04temporal pouches 27.0tendon (sheath) 83.01hand 82.01thenar space 82.04thorax (closed) 34.04open (by incision) 34.09thoracoscopic 34.06thyroglossal tract (by incision) 06.09by aspiration 06.01318

ICD-9-CM INDEX TO PROCEDURES (FY10) D.Drainage ---Cont.thyroid (field) (gland) (by incision) 06.09by aspiration 06.01postoperative 06.02tonsil 28.0tunica vaginalis 61.0ureter (by catheter) 59.8byanastomosis NEC --see alsoAnastomosis, ureter 56.79incision 56.2ventricle (cerebral) (incision) NEC 02.39byanastomosis --see Shunt, ventricularaspiration 01.09through previously implantedcatheter 01.02vertebral column 03.09Drawing test 94.08Dressingburn 93.57ulcer 93.56wound 93.57Drillingbone --see also Incision, bone 77.10ovary 65.99Drotrecogin alfa (activated), infusion 00.11Ductogram, mammary 87.35Duhamel operation (abdominoperinealpull- through) 48.65Duhrssen'sincisions (cervix, to assist delivery) 73.93operation (vaginofixation of uterus) 69.22Dunn operation (triple arthrodesis) 81.12Duodenectomy 45.62withgastrectomy --see Gastrectomypancreatectomy --see PancreatectomyDuodenocholedochotomy 51.51Duodenoduodenostomy 45.91proximal to distal segment 45.62Duodenoileostomy 45.91Duodenojejunostomy 45.91Duodenorrhaphy 46.71Duodenoplasty 46.79Duodenoscopy 45.13through stoma (artificial) 45.12transabdominal (operative) 45.11Duodenostomy 46.39Duodenotomy 45.01Dupuytren operationfasciectomy 82.35fasciotomy 82.12with excision 82.35shoulder disarticulation 84.08Durabond 86.59Duraplasty 02.12Durham (-Caldwell) operation(transfer of biceps femoris tendon)83.75DuToit and Roux operation (staplecapsulorrhaphy of shoulder) 81.82DuVries operation (tenoplasty) 83.88Dwyer operationfasciotomy 83.14soft tissue release NEC 83.84wedge osteotomy, calcaneus 77.28319

ICD-9-CM INDEX TO PROCEDURES (FY10)EE2F decoy 00.16Eagleton operation (extrapetrosal drainage)20.22ECG --see ElectrocardiogramEchocardiography 88.72intracardiac (heart chambers) (ICE) 37.28intravascular (coronary vessels) 00.24transesophageal 88.72monitoring (Doppler)(ultrasound)89.68Echoencephalography 88.71Echography --see UltrasonographyEchogynography 88.79Echoplacentogram 88.78ECMO (extracorporeal membraneoxygenation) 39.65Eden-Hybinette operation (glenoidbone block) 78.01Educational therapy (bed- boundchildren) (handicapped) 93.82EEG (electroencephalogram) 89.14monitoring (radiographic) (video) 89.19Effler operation (heart) 36.2Effleurage 93.39EGD (esophagogastroduodenoscopy) 45.13with closed biopsy 45.16Eggers operationtendon release (patellar retinacula) 83.13tendon transfer (biceps femoris tendon)(hamstring tendon) 83.75EKG --see also Electrocardiogram 89.52Elastic hosiery 93.59Electrocardiogram (with 12 or more leads)89.52with vectorcardiogram 89.53fetal (scalp), intrauterine 75.32rhythm (with one to three leads) 89.51Electrocautery --see also Cauterizationcervix 67.32corneal lesion (ulcer) 11.42esophagus 42.39endoscopic 42.33Electrocoagulation --see also Destruction,lesion, by siteaneurysm (cerebral) (peripheral vessels)39.52cervix 67.32cystoscopic 57.49earexternal 18.29inner 20.79middle 20.51fallopian tube (lesion) 66.61for tubal ligation --see Ligation,fallopian tubegasserian ganglion 04.02Electrocoagulation ---Cont.nasal turbinates 21.61nose, for epistaxis (with packing) 21.03ovary 65.29laparoscopic 65.25prostatic bed 60.94rectum (polyp) 48.32radical 48.31retina (for)destruction of lesion 14.21reattachment 14.51repair of tear 14.31round ligament 69.19semicircular canals 20.79urethrovesical junction,transurethral 57.49uterine ligament 69.19uterosacral ligament 69.19uterus 68.29vagina 70.33vulva 71.3Electrocochleography 20.31Electroconization, cervix 67.32Electroconvulsive therapy (ECT) 94.27Electroencephalogram (EEG) 89.14monitoring (radiographic) (video) 89.19Electrogastrogram 44.19Electrokeratotomy 11.49Electrolysisciliary body 12.71hair follicle 86.92retina (for)destruction of lesion 14.21reattachment 14.51repair of tear 14.31skin 86.92subcutaneous tissue 86.92Electromyogram, electromyography (EMG)(muscle) 93.08eye 95.25urethral sphincter 89.23Electronarcosis 94.29Electronic gaiter 93.59Electronystagmogram (ENG) 95.24Electro-oculogram (EOG) 95.22Electroresection --see also Destruction,lesion, by sitebladder neck (transurethral) 57.49esophagus 42.39endoscopic 42.33prostate (transurethral) 60.29stomach 43.49endoscopic 43.41Electroretinogram (ERG) 95.21Electroshock therapy (EST) 94.27subconvulsive 94.26320

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Elevationbone fragments (fractured)orbit 76.79sinus (nasal)frontal 22.79maxillary 22.79skull (with debridement) 02.02spinal 03.53pedicle graft 86.71Elliot operation (scleral trephinationwith iridectomy) 12.61Ellis Jones operation (repair of peronealtendon) 83.88Ellison operation (reinforcement ofcollateral ligament) 81.44Elmslie-Cholmeley operation (tarsalwedge osteotomy) 77.28Eloesser operationthoracoplasty 33.34thoracostomy 34.09Elongation --see LengtheningEmbolectomy 38.00with endarterectomy --see Endarterectomyabdominalartery 38.06vein 38.07aorta (arch) (ascending) (descending)38.04arteriovenous shunt or cannula 39.49bovine graft 39.49head and neck NEC 38.02intracranial NEC 38.01lower limbartery 38.08vein 38.09mechanicalendovascularhead and neck 39.74pulmonary (artery) (vein) 38.05thoracic NEC 38.05upper limb (artery) (vein) 38.03Embolization (transcatheter)adhesive (glue) 39.79head and neck 39.72arteriovenous fistula 39.53endovascular 39.72artery (selective) 38.80byendovascular approach 39.79head and neck vesselsbare coils 39.75bioactive coils 39.76percutaneous transcatheter infusion99.29abdominal NEC 38.86duodenal (transcatheter) 44.44gastric (transcatheter) 44.44renal (transcatheter) 38.86Embolization artery ---Cont.aorta (arch) (ascending) (descending)38.84duodenal (transcatheter) 44.44gastric (transcatheter) 44.44head and neck NEC 38.82intracranial NEC 38.81lower limb 38.88renal (transcatheter) 38.86thoracic NEC 38.85upper limb 38.83AVM,intracranial,endovascularapproach39.72carotid cavernous fistula 39.53chemoembolization 99.25coil, endovascular 39.79head and neckbare coils 39.75bioactive coils 39.76vein (selective) 38.80byendovascular approach 39.79head and neck 39.72abdominal NEC 38.87duodenal (transcatheter) 44.44gastric (transcatheter) 44.44duodenal (transcatheter) 44.44gastric (transcatheter) 44.44Embryotomy 73.8EMG --see ElectromyogramEmmet operation (cervix) 67.61Encephalocentesis --see also Puncture 01.09fetal head, transabdominal 73.8Encephalography (cisternal puncture)(fractional) (lumbar)(pneumoencephalogram) 87.01Encephalopuncture 01.09Encircling procedure --see also Cerclagesclera, for buckling 14.49with implant 14.41Endarterectomy (gas) (with patch graft) 38.10abdominal 38.16aorta (arch) (ascending) (descending) 38.14coronary artery --see category 36.0open chest approach 36.03head and neck (open) NEC 38.12Note: Also use 00.40, 00.41, 00.42, or00.43 to show the total number ofvessels treated. Use code 00.44 onceto show procedure on a bifurcatedvessel. In addition, use 00.45, 00.46,00.47, or 00.48 to show the numberof vascular stents inserted.percutaneous approach,intracranial vessel(s) 00.62percutaneous approach, precerebral(extracranial) vessel(s) 00.61321

ICD-9-CM INDEX TO PROCEDURES (FY10)Endarterectomy ---Cont.intracranial (open) NEC 38.11Note: Also use 00.40, 00.41, 00.42, or00.43 to show the total numberof vessels treated. Use code00.44 once to show procedure ona bifurcated vessel. In addition,use 00.45, 00.46, 00.47, or00.48 to show the number ofvascular stents inserted.percutaneous approach, intracranialvessel(s) 00.62lower limb 38.18thoracic NEC 38.15upper limb 38.13Endoaneurysmorrhaphy --see alsoAneurysmorrhaphy 39.52by or withendovascular graftabdominal aorta 39.71lower extremity artery(s) 39.79thoracic aorta 39.73upper extremity artery(s) 39.79Endolymphatic (-subarachnoid) shunt20.71Endometrectomy (uterine) (internal) 68.29bladder 57.59cul- de- sac 70.32Endoprosthesisbile duct 51.87femoral head (bipolar) 81.52Endoscopywith biopsy --see Biopsy, by site, closedanus 49.21biliary tract (operative) 51.11by retrograde cholangiography (ERC)51.11by retrograde cholangiopancreatography(ERCP) 51.10intraoperative 51.11percutaneous (via T- tube or other tract)51.98with removal of common duct stones51.96bladder 57.32through stoma (artificial) 57.31bronchus NEC 33.23with biopsy 33.24fiberoptic 33.22through stoma (artificial) 33.21colon 45.23through stoma (artificial) 45.22transabdominal (operative) 45.21cul- de- sac 70.22ear 18.11esophagus NEC 42.23through stoma (artificial) 42.22transabdominal (operative) 42.21Endoscopy ---Cont.ileum 45.13through stoma (artificial) 45.12transabdominal (operative) 45.11intestine NEC 45.24large 45.24fiberoptic (flexible) 45.23through stoma (artificial) 45.22transabdominal (intraoperative) 45.21small 45.13esophagogastroduodenosopy (EGD)45.13with closed biopsy 45.16through stoma (artificial) 45.12transabdominal (operative) 45.11jejunum 45.13through stoma (artificial) 45.12transabdominal (operative) 45.11kidney 55.21larynx 31.42through stoma (artificial) 31.41lung --see Bronchoscopymediastinum (transpleural) 34.22nasal sinus 22.19nose 21.21pancreatic duct 52.13pelvis 55.22peritoneum 54.21pharynx 29.11rectum 48.23through stoma (artificial) 48.22transabdominal (operative) 48.21sinus, nasal 22.19stomach NEC 44.13through stoma (artificial) 44.12transabdominal (operative) 44.11thorax (transpleural) 34.21trachea NEC 31.42through stoma (artificial) 31.41transpleuralmediastinum 34.22thorax 34.21ureter 56.31urethra 58.22uterus 68.12vagina 70.21Enema (transanal) NEC 96.39for removal of impacted feces 96.38ENG (electronystagmogram) 95.24Enlargementaortic lumen, thoracic 38.14atrial septal defect (pre- existing) 35.41in repair of total anomalous pulmonaryvenous connection 35.82eye socket 16.64foramen ovale (pre- existing) 35.41in repair of total anomalous pulmonaryvenous connection 35.82322

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Enlargement ---Contintestinal stoma 46.40large intestine 46.43small intestine 46.41introitus 96.16orbit (eye) 16.64palpebral fissure 08.51punctum 09.41sinus tract (skin) 86.89Enterectomy NEC 45.63Enteroanastomosislarge- to- large intestine 45.94small- to- large intestine 45.93small- to- small intestine 45.91Enterocelectomy 53.9female 70.92with graft or prosthesis 70.93vaginal 70.92with graft or prosthesis 70.93Enterocentesis 45.00duodenum 45.01large intestine 45.03small intestine NEC 45.02Enterocholecystostomy 51.32Enteroclysis (small bowel) 96.43Enterocolectomy NEC 45.79Enterocolostomy 45.93Enteroentectropy 46.99Enteroenterostomy 45.90small- to- large intestine 45.93small- to- small intestine 45.91Enterogastrostomy 44.39laparoscopic 44.38Enterolithotomy 45.00Enterolysis 54.59laparoscopic 54.51Enteropancreatostomy 52.96Enterorrhaphy 46.79large intestine 46.75small intestine 46.73Enterostomy NEC 46.39cecum --see also Colostomy 46.10colon (transverse) --see also Colostomy46.10loop 46.03delayed opening 46.31duodenum 46.39loop 46.01feeding NEC 46.39percutaneous (endoscopic) 46.32ileum (Brooke) (Dragstedt) 46.20loop 46.01jejunum (feeding) 46.39loop 46.01percutaneous (endoscopic) 46.32sigmoid colon --see also Colostomy 46.10loop 46.03transverse colon --see also Colostomy46.10loop 46.03Enterotomy 45.00large intestine 45.03small intestine 45.02Enucleation--see also Excision, lesion, by sitecystbroad ligament 69.19dental 24.4liver 50.29ovarian 65.29laparoscopic 65.25parotid gland 26.29salivary gland 26.29skin 86.3subcutaneous tissue 86.3eyeball 16.49with implant(into Tenon's capsule) 16.42with attachment of muscles 16.41EOG (electro- oculogram) 95.22Epicardiectomy 36.39Epididymectomy 63.4with orchidectomy (unilateral) 62.3bilateral 62.41Epididymogram 87.93Epididymoplasty 63.59Epididymorrhaphy 63.81Epididymotomy 63.92Epididymovasostomy 63.83Epiglottidectomy 30.21Epikeratophakia 11.76Epilationeyebrow (forceps) 08.93cryosurgical 08.92electrosurgical 08.91eyelid (forceps) NEC 08.93cryosurgical 08.92electrosurgical 08.91skin 86.92Epiphysiodesis --see also Arrest, bone growth--see category 78.2Epiphysiolysis --see also Arrest, bone growth--see category 78.2Epiploectomy 54.4Epiplopexy 54.74Epiplorrhaphy 54.74Episioperineoplasty 71.79Episioperineorrhaphy 71.71obstetrical 75.69Episioplasty 71.79Episioproctotomy 73.6Episiorrhaphy 71.71following episiotomy --see Episiotomyfor obstetrical laceration 75.69Episiotomy(with subsequent episiorrhaphy)73.6high forceps 72.31low forceps 72.1mid forceps 72.21nonobstetrical 71.09outlet forceps 72.1323

ICD-9-CM INDEX TO PROCEDURES (FY10)EPS (electrophysiologic stimulation)as part of intraoperative testing --omit codecatheter based invasive electrophysiologictesting 37.26device interrogation only without arrhythmiainduction (bedside check) 89.45- 89.49noninvasive programmed electricalstimulation (NIPS) 37.20Eptifibatide, infusion 99.20Equalization, leglengthening --see category 78.3shortening --see category 78.2Equilibration (occlusal) 24.8Equiloudness balance 95.43ERC (endoscopic retrogradecholangiography) 51.11ERCP (endoscopic retrogradecholangiopancreatography) 51.10cannulation of pancreatic duct 52.93ERG (electroretinogram) 95.21ERP (endoscopic retrogradepancreatography) 52.13Eruption, tooth, surgical 24.6Erythrocytapheresis, therapeutic 99.73Escharectomy 86.22Escharotomy 86.09Esophageal voice training(postlaryngectomy) 93.73Esophagectomy 42.40abdominothoracocervical (combined)(synchronous) 42.42partial or subtotal 42.41total 42.42Esophagocologastrostomy (intrathoracic)42.55antesternal or antethoracic 42.65Esophagocolostomy(intrathoracic)NEC42.56with interposition of colon 42.55antesternal or antethoracic NEC 42.66with interposition of colon 42.65Esophagoduodenostomy(intrathoracic)NEC42.54withcomplete gastrectomy 43.99interposition of small bowel 42.53Esophagoenterostomy (intrathoracic) NEC--see also Anastomosis, esophagus, tointestinal segment 42.54antesternal or antethoracic --see alsoAnastomosis, esophagus, antesternal,to intestinal segment 42.64Esophagoesophagostomy (intrathoracic)42.51antesternal or antethoracic 42.61Esophagogastrectomy 43.99Esophagogastroduodenoscopy (EGD) 45.13with closed biopsy 45.16through stoma (artificial) 45.12transabdominal (operative) 45.11Esophagogastromyotomy 42.7Esophagogastropexy 44.65Esophagogastroplasty 44.65Esophagogastroscopy NEC 44.13through stoma (artificial) 44.12transabdominal (operative) 44.11Esophagogastrostomy (intrathoracic) 42.52with partial gastrectomy 43.5antesternal or antethoracic 42.62Esophagoileostomy(intrathoracic)NEC42.54with interposition of small bowel 42.53antesternal or antethoracic NEC 42.64with interposition of small bowel 42.63Esophagojejunostomy(intrathoracic) NEC 42.54withcomplete gastrectomy 43.99interposition of small bowel 42.53antesternal or antethoracic NEC 42.64with interposition of small bowel 42.63Esophagomyotomy 42.7Esophagoplasty NEC 42.89Esophagorrhaphy 42.82Esophagoscopy NEC 42.23by incision (operative) 42.21with closed biopsy 42.24through stoma (artificial) 42.22transabdominal (operative) 42.21Esophagostomy 42.10cervical 42.11thoracic 42.19Esophagotomy NEC 42.09Estes operation (ovary) 65.72laparoscopic 65.75Estlander operation (thoracoplasty) 33.34ESWL (extracorporeal shockwave lithotripsy)NEC 98.59bile duct 98.52bladder 98.51gallbladder 98.52kidney 98.51Kock pouch (urinary diversion) 98.51renal pelvis 98.51specified site NEC 98.59ureter 98.51Ethmoidectomy 22.63Ethmoidotomy 22.51Evacuationabscess --see Drainage, by siteanterior chamber (eye) (aqueous)(hyphema) 12.91cyst --see also Excision, lesion, by sitebreast 85.91kidney 55.01liver 50.29hematoma --see also Incision, hematomaobstetrical 75.92incisional 75.91hemorrhoids (thrombosed) 49.47324

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Evacuation ---Cont.pelvic blood clot (by incision) 54.19byculdocentesis 70.0culdoscopy 70.22retained placentawith curettage 69.02manual 75.4streptothrix from lacrimal duct 09.42Evaluation (of)audiological 95.43cardiac rhythm device (CRT- D) (CRT- P)(AICD) (pacemaker) --see Interrogationcriminal responsibility, psychiatric 94.11functional (physical therapy) 93.01hearing NEC 95.49orthotic (for brace fitting) 93.02prosthetic (for artificial limb fitting) 93.03psychiatric NEC 94.19commitment 94.13psychologic NEC 94.08testimentary capacity, psychiatric 94.11Evans operation (release of clubfoot) 83.84Eviscerationeyeball 16.39with implant (into scleral shell) 16.31ocular contents 16.39with implant (into scleral shell) 16.31orbit --see also Exenteration, orbit 16.59pelvic (anterior) (posterior) (partial)(total) (female) 68.8male 57.71Evulsionnail (bed) (fold) 86.23skin 86.3subcutaneous tissue 86.3Examination (for)breastmanual 89.36radiographic NEC 87.37thermographic 88.85ultrasonic 88.73cervical rib (by x- ray) 87.43colostomy stoma (digital) 89.33dental (oral mucosa) (peridontal) 89.31radiographic NEC 87.12enterostomy stoma (digital) 89.33eye 95.09color vision 95.06comprehensive 95.02dark adaptation 95.07limited (with prescription ofspectacles) 95.01under anesthesia 95.04fetus, intrauterine 75.35general physical 89.7glaucoma 95.03gynecological 89.26hearing 95.47Examination (for)---Cont.microscopic (specimen) (of) 91.9Note -- Use the following fourth- digitsubclassification with categories 90- 91to identify type of examination:1 bacterial smear2 culture3 culture and sensitivity4 parasitology5 toxicology6 cell block and Papanicolaou smear9 other microscopic examinationadenoid 90.3adrenal gland 90.1amnion 91.4anus 90.9appendix 90.9bile ducts 91.0bladder 91.3blood 90.5bone 91.5marrow 90.6brain 90.0breast 91.6bronchus 90.4bursa 91.5cartilage 91.5cervix 91.4chest wall 90.4chorion 91.4colon 90.9cul- de- sac 91.1dental 90.8diaphragm 90.4duodenum 90.8ear 90.3endocrine gland NEC 90.1esophagus 90.8eye 90.2fallopian tube 91.4fascia 91.5female genital tract 91.4fetus 91.4gallbladder 91.0hair 91.6ileum 90.9jejunum 90.9joint fluid 91.5kidney 91.2large intestine 90.9larynx 90.3ligament 91.5liver 91.0lung 90.4lymph (node) 90.7meninges 90.0mesentery 91.1mouth 90.8325

ICD-9-CM INDEX TO PROCEDURES (FY10)Examination - microscopic ---Cont.muscle 91.5musculoskeletal system 91.5nails 91.6nerve 90.0nervous system 90.0nose 90.3omentum 91.1operative wound 91.7ovary 91.4pancreas 91.0parathyroid gland 90.1penis 91.3perirenal tissue 91.2peritoneum (fluid) 91.1periureteral tissue 91.2perivesical (tissue) 91.3pharynx 90.3pineal gland 90.1pituitary gland 90.1placenta 91.4pleura (fluid) 90.4prostate 91.3rectum 90.9retroperitoneum 91.1semen 91.3seminal vesicle 91.3sigmoid 90.9skin 91.6small intestine 90.9specified site NEC 91.8spinal fluid 90.0spleen 90.6sputum 90.4stomach 90.8stool 90.9synovial membrane 91.5tendon 91.5thorax NEC 90.4throat 90.3thymus 90.1thyroid gland 90.1tonsil 90.3trachea 90.4ureter 91.2urethra 91.3urine 91.3uterus 91.4vagina 91.4vas deferens 91.3vomitus 90.8vulva 91.4neurologic 89.13neuro- ophthalmology 95.03ophthalmoscopic 16.21panorex, mandible 87.12pelvic (manual) 89.26instrumental (by pelvimeter) 88.25pelvimetric 88.25Examination (for) ---Cont.physical, general 89.7postmortem 89.8rectum (digital) 89.34endoscopic 48.23through stoma (artificial) 48.22transabdominal 48.21retinal disease 95.03specified type (manual) NEC 89.39thyroid field, postoperative 06.02uterus (digital) 68.11endoscopic 68.12vagina 89.26endoscopic 70.21visual field 95.05Exchange transfusion 99.01intrauterine 75.2Excisionaberrant tissue --see Excision, lesion,by site of tissue originabscess --see Excision, lesion, by siteaccessory tissue --see also Excision, lesion,by site of tissue originlung 32.29endoscopic 32.28thoracoscopic 32.20spleen 41.93adenoids (tag) 28.6with tonsillectomy 28.3adenoma --see Excision, lesion, by siteadrenal gland--see also Adrenalectomy 07.22ampulla of Vater (with reimplantation ofcommon duct) 51.62anal papilla 49.39endoscopic 49.31aneurysm (arteriovenous) --see alsoAneurysmectomy 38.60coronary artery 36.91heart 37.32myocardium 37.32sinus of Valsalva 35.39ventricle (heart) 37.32anus (complete) (partial) 49.6aortic subvalvular ring 35.35apocrine gland 86.3aponeurosis 83.42hand 82.33appendage, left atrial 37.36appendiceal stump 47.09laparoscopic 47.01appendices epiploicae 54.4appendix --see also Appendectomyepididymis 63.3testis 62.2arcuate ligament (spine) --omit codearteriovenous fistula --see alsoAneurysmectomy 38.60artery --see also Arteriectomy 38.60Baker's cyst, knee 83.39326

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Excision ---Cont.Bartholin's gland 71.24basal ganglion 01.59bile duct 51.69endoscopic 51.64bladder --see also Cystectomybleb (emphysematous), lung 32.29endoscopic 32.28thoracoscopic 32.20blood vessel --see also Angiectomy 38.60bone (ends) (partial), except facial--see category 77.8facial NEC 76.39total 76.45with reconstruction 76.44for graft (autograft) (homograft)--see category 77.7fragments (chips) --see also Incision,bone 77.10joint --see also Arthrotomy 80.10necrotic --see also Sequestrectomy,bone 77.00heterotopic, frommuscle 83.32hand 82.22skin 86.3tendon 83.31hand 82.21mandible 76.31with arthrodesis --see Arthrodesistotal 76.42with reconstruction 76.41spur --see Excision, lesion, bonetotal, except facial --see category 77.9facial NEC 76.45with reconstruction 76.44mandible 76.42with reconstruction 76.41brain 01.59hemisphere 01.52lobe 01.53branchial cleft cyst or vestige 29.2breast --see also Mastectomy 85.41aberrant tissue 85.24accessory 85.24ectopic 85.24nipple 85.25accessory 85.24segmental 85.23supernumerary 85.24wedge 85.21broad ligament 69.19bronchogenic cyst 32.09endoscopic 32.01bronchus (wide sleeve) NEC 32.1buccal mucosa 27.49bulbourethral gland 58.92bulbous tuberosities (mandible) (maxilla)(fibrous) (osseous) 24.31Excision ---Cont.bunion --see also Bunionectomy 77.59bunionette (with osteotomy) 77.54bursa 83.5hand 82.31canal of Nuck 69.19cardioma 37.33carotid body (lesion) (partial) (total) 39.8cartilage --see also Chondrectomy 80.90intervertebral --see category 80.5knee (semilunar) 80.6larynx 30.29nasal (submucous) 21.5caruncle, urethra 58.39endoscopic 58.31cataract--see also Extraction,cataract 13.19secondary membrane (after cataract) 13.65cervicalrib 77.91stump 67.4cervix (stump) NEC 67.4cold (knife) 67.2conization 67.2cryoconization 67.33electroconization 67.32chalazion (multiple) (single) 08.21cholesteatoma--see Excision, lesion, by sitechoroid plexus 02.14cicatrix (skin) 86.3cilia base 08.20ciliary body, prolapsed 12.98clavicle (head) (partial) 77.81total (complete) 77.91clitoris 71.4coarctation of aorta (end- to- endanastomosis) 38.64withgraft replacement (interposition)abdominal 38.44thoracic 38.45thoracoabdominal 38.45 [38.44]commonduct 51.63wall between posterior and coronarysinus (with roofing or resultantdefect with patch graft) 35.82condyle --see category 77.8mandible 76.5conjunctival ring 10.31cornea 11.49epithelium(with chemocauterization) 11.41for smear or culture 11.21costal cartilage 80.99cul- de- 70.92with graft or prosthesis 70.93cusp, heart valve 35.10aortic 35.11mitral 35.12tricuspid 35.14327

ICD-9-CM INDEX TO PROCEDURES (FY10)Excision ---Cont.cyst --see also Excision, lesion, by siteapical (tooth) 23.73with root canal therapy 23.72Baker's (popliteal) 83.39breast 85.21broad ligament 69.19bronchogenic 32.09endoscopic 32.01cervix 67.39dental 24.4dentigerous 24.4epididymis 63.2fallopian tube 66.61Gartner's duct 70.33hand 82.29labia 71.3lung 32.29endoscopic 32.28thoracoscopic 32.20mesonephric duct 69.19Morgagnifemale 66.61male 62.2mullerian duct 60.73nasolabial 27.49nasopalatine 27.31by wide excision 27.32ovary 65.29laparoscopic 65.25parovarian 69.19pericardium 37.31periodontal (apical) (lateral) 24.4popliteal (Baker's), knee 83.39radicular 24.4spleen 41.42synovial (membrane) 83.39thyroglossal (with resection of hyoidbone) 06.7urachal (bladder) 57.51abdominal wall 54.3vagina (Gartner's duct) 70.33cysticduct remnant 51.61hygroma 40.29dentinoma 24.4diaphragm 34.81disc, intervertebral NOS 80.50herniated (nucleus pulposus) 80.51other specified (diskectomy) 80.51diverticulumampulla of Vater 51.62anus 49.39endoscopic 49.31bladder 57.59transurethral 57.49duodenum 45.31endoscopic 45.30Excision - diverticulum ---Cont.esophagus (local) 42.31endoscopic 42.33hypopharyngeal (by cricopharyngealmyotomy) 29.32intestinelarge 45.41endoscopic 45.43small NEC 45.33Meckel's 45.33pharyngeal (by cricopharyngealmyotomy) 29.32pharyngoesophageal (by cricopharyngealmyotomy) 29.32stomach 43.42endoscopic 43.41urethra 58.39endoscopic 58.31ventricle, heart 37.33ductmullerian 69.19paramesonephric 69.19thyroglossal (with resection of hyoidbone) 06.7ear, external (complete) NEC 18.39partial 18.29radical 18.31ectopicabdominal fetus 74.3tissue --see also Excision, lesion, bysite of tissue originbone, from muscle 83.32breast 85.24lung 32.29endoscopic 32.28thoracoscopic 32.20spleen 41.93empyema pocket, lung 34.09epididymis 63.4epiglottis 30.21epithelial downgrowth, anteriorchamber (eye) 12.93epulis (gingiva) 24.31esophagus --see also Esophagectomy42.40exostosis --see also Excision, lesion,bone 77.60auditory canal, external 18.29facial bone 76.2first metatarsal (hallux valgus repair)--see Bunionectomyeye 16.49with implant(into Tenon's capsule)16.42with attachment of muscles 16.41eyelid 08.20redundant skin 08.86falciform ligament 54.4fallopian tube --see Salpingectomy328

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Excision ---Cont.fascia 83.44for graft 83.43hand 82.34hand 82.35for graft 82.34fat pad NEC 86.3knee (infrapatellar) (prepatellar) 86.3scalene 40.21fibroadenoma, breast 85.21fissure, anus 49.39endoscopic 49.31fistula --see also Fistulectomyanal 49.12arteriovenous --see alsoAneurysmectomy 38.60ileorectal 46.74lacrimalgland 09.21sac 09.6rectal 48.73vesicovaginal 57.84frenulum, frenumlabial (lip) 27.41lingual (tongue) 25.92ganglion (hand) (tendon sheath) (wrist)82.21gasserian 04.05site other than hand or nerve 83.31sympathetic nerve 05.29trigeminal nerve 04.05gastrocolic ligament 54.4gingiva 24.31glomus jugulare tumor 20.51goiter --see Thyroidectomygum 24.31hallux valgus --see also Bunionectomywith prosthetic implant 77.59hamartoma, mammary 85.21heart assist system --see Removalhematocele, tunica vaginalis 61.92hematoma --see Drainage, by sitehemorrhoids(external)(internal) (tag) 49.46heterotopic bone, frommuscle 83.32hand 82.22skin 86.3tendon 83.31hand 82.21hydatid of Morgagnifemale 66.61male 62.2hydatid cyst, liver 50.29hydrocelecanal of Nuck (female) 69.19male 63.1round ligament 69.19spermatic cord 63.1tunica vaginalis 61.2Excision ---Cont.hygroma, cystic 40.29hymen (tag) 70.31hymeno- urethral fusion 70.31intervertebral disc --see Excision, disc,intervertebral (NOS) 80.50intestine--see also Resection,intestine 45.8for interposition 45.50large 45.52small 45.51large (total)for interposition 45.52laparoscopic 45.81open 45.82other 45.83local 45.41endoscopic 45.43segmental 45.79laparoscopic 17.39multiplelaparoscopic 17.31open and other 45.71open and other 45.79unspecified 45.83small (total) 45.63for interposition 45.51local 45.33partial 45.62segmental 45.62multiple 45.61intraductal papilloma 85.21iris prolapse 12.13joint --see also Arthrectomy 80.90keloid (scar), skin 86.3LAA 37.36labia --see Vulvectomylacrimalgland 09.20partial 09.22total 09.23passage 09.6sac 09.6left atrial appendage 37.36lesion (local)abdominal wall 54.3accessory sinus --see Excision, lesion,nasal sinusadenoids 28.92adrenal gland(s) 07.21alveolus 24.4ampulla of Vater 51.62anterior chamber (eye) NEC 12.40anus 49.39endoscopic 49.31apocrine gland 86.3artery 38.60abdominal 38.66aorta (arch) (ascending) (descendingthoracic) 38.64329

ICD-9-CM INDEX TO PROCEDURES (FY10)Excision -lesion - artery ---Cont.with end- to- end anastomosis 38.45abdominal 38.44thoracic 38.45thoracoabdominal 38.45 [38.44]with graft interposition graftreplacement 38.45abdominal 38.44thoracic 38.45thoracoabdominal 38.45 [38.44]head and neck NEC 38.62intracranial NEC 38.61lower limb 38.68thoracic NEC 38.65upper limb 38.63atrium 37.33auditory canal or meatus,external 18.29radical 18.31auricle, ear 18.29radical 18.31biliary ducts 51.69endoscopic 51.64bladder (transurethral) 57.49open 57.59suprapubic 57.59blood vessel 38.60abdominalartery 38.66vein 38.67aorta (arch) (ascending) (descending)38.64head and neck NEC 38.62intracranial NEC 38.61lower limbartery 38.68vein 38.69thoracic NEC 38.65upper limb (artery) (vein) 38.63bone 77.60carpal, metacarpal 77.64clavicle 77.61facial 76.2femur 77.65fibula 77.67humerus 77.62jaw 76.2dental 24.4patella 77.66pelvic 77.69phalanges (foot) (hand) 77.69radius 77.63scapula 77.61skull 01.6specified site NEC 77.69tarsal, metatarsal 77.68thorax (ribs) (sternum) 77.61tibia 77.67ulna 77.63vertebrae 77.69Excision lesion ---Cont.brain(transtemporal approach)NEC 01.59by stereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31breast (segmental) (wedge) 85.21broad ligament 69.19bronchus NEC 32.09endoscopic 32.01cerebral (cortex) NEC 01.59meninges 01.51cervix (myoma) 67.39chest wall 34.4choroid plexus 02.14ciliary body 12.44colon 45.41endoscopic NEC 45.43polypectomy 45.42conjunctiva 10.31cornea 11.49cranium 01.6cul- de- sac (Douglas') 70.32dental (jaw) 24.4diaphragm 34.81duodenum (local) 45.31endoscopic 45.30ear, external 18.29radical 18.31endometrium 68.29epicardium 37.31epididymis 63.3epiglottis 30.09esophagus NEC 42.32endoscopic 42.33eye, eyeball 16.93anterior segment NEC 12.40eyebrow (skin) 08.20eyelid 08.20byhalving procedure 08.24wedge resection 08.24majorfull- thickness 08.24partial- thickness 08.23minor 08.22fallopian tube 66.61fascia 83.39hand 82.29groin region (abdominal wall)(inguinal) 54.3skin 86.3subcutaneous tissue 86.3gum 24.31heart 37.33330

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Excision lesion ---Cont.hepatic duct 51.69inguinal canal 54.3intestinelarge 45.41endoscopic NEC 45.43polypectomy 45.42small NEC 45.33intracranial NEC 01.59intranasal 21.31intraspinal 03.4iris 12.42jaw 76.2dental 24.4joint 80.80ankle 80.87elbow 80.82foot and toe 80.88hand and finger 80.84hip 80.85knee 80.86shoulder 80.81specified site NEC 80.89spine 80.89wrist 80.83kidney 55.39with partial nephrectomy 55.4labia 71.3lacrimalgland (frontal approach) 09.21passage 09.6sac 09.6larynx 30.09ligament (joint) --see also Excision,lesion, joint 80.80broad 69.19round 69.19uterosacral 69.19lip 27.43by wide excision 27.42liver 50.29lung NEC 32.29by lung volume reduction surgery32.22biologic lung volume reduction(BLVR) --see category 33.7by wide excision 32.39thoracoscopic 32.30endoscopic 32.28thoracoscopic 32.20lymph structure(s) (channel) (vessel)NEC 40.29node --see Excision, lymph, nodemammary duct 85.21mastoid (bone) 20.49mediastinum 34.3meninges (cerebral) 01.51spinal 03.4mesentery 54.4Excision -lesion ---Cont.middle ear 20.51mouth NEC 27.49muscle 83.32hand 82.22ocular 15.13myocardium 37.33nail 86.23nasal sinus 22.60antrum 22.62with Caldwell- Luc approach 22.61specified approach NEC 22.62ethmoid 22.63frontal 22.42maxillary 22.62with Caldwell- Luc approach 22.61specified approach NEC 22.62sphenoid 22.64nasopharynx 29.3nerve (cranial) (peripheral) 04.07sympathetic 05.29nonodontogenic 24.31nose 21.30intranasal 21.31polyp 21.31skin 21.32specified site NEC 21.32odontogenic 24.4omentum 54.4orbit 16.92ovary 65.29by wedge resection 65.22laparoscopic 65.24that by laparoscope 65.25palate (bony) 27.31by wide excision 27.32soft 27.49pancreas (local) 52.22endoscopic 52.21parathyroid 06.89parotid gland or duct NEC 26.29pelvic wall 54.3pelvirectal tissue 48.82penis 64.2pericardium 37.31perineum (female) 71.3male 86.3periprostatic tissue 60.82perirectal tissue 48.82perirenal tissue 59.91peritoneum 54.4perivesical tissue 59.91pharynx 29.39diverticulum 29.32pineal gland 07.53pinna 18.29radical 18.31pituitary (gland) --see alsoHypophysectomy, partial 07.63331

ICD-9-CM INDEX TO PROCEDURES (FY10)Excision lesion -pituitary ---Cont.by stereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31pleura 34.59pouch of Douglas 70.32preauricular (ear) 18.21presacral 54.4prostate (transurethral) 60.61pulmonary (fibrosis) 32.29endoscopic 32.28thoracoscopic 32.20rectovaginal septum 48.82rectum 48.35polyp (endoscopic) 48.36retroperitoneum 54.4salivary gland or duct NEC 26.29en bloc 26.32sclera 12.84scrotum 61.3sinus (nasal) --see Excision, lesion,nasal sinusSkene's gland 71.3skin 86.3breast 85.21nose 21.32radical (wide) (involving underlyingor adjacent structure) (with flapclosure) 86.4scrotum 61.3skull 01.6soft tissue NEC 83.39hand 82.29spermatic cord 63.3sphincter of Oddi 51.62endoscopic 51.64spinal cord (meninges) 03.4spleen (cyst) 41.42stomach NEC 43.42endoscopic 43.41polyp 43.41polyp (endoscopic) 43.41subcutaneous tissue 86.3breast 85.21subgingival 24.31sweat gland 86.3tendon 83.39hand 82.29ocular 15.13sheath 83.31hand 82.21testis 62.2thorax 34.4Excision -lesion ---Cont.thymuspartial (open) (other) 07.81thoracoscopic 07.83total (open) (other) 07.82thoracoscopic 07.84thyroid 06.31substernal or transsternal route 06.51tongue 25.1tonsil 28.92trachea 31.5tunica vaginalis 61.92ureter 56.41urethra 58.39endoscopic 58.31uterine ligament 69.19uterosacral ligament 69.19uterus 68.29vagina 70.33vein 38.60abdominal 38.67head and neck NEC 38.62intracranial NEC 38.61lower limb 38.69thoracic NEC 38.65upper limb 38.63ventricle (heart) 37.33vocal cords 30.09vulva 71.3ligament --see also Arthrectomy 80.90broad 69.19round 69.19uterine 69.19uterosacral 69.19ligamentum flavum (spine) --omit codelingual tonsil 28.5lip 27.43liver (partial) 50.22loose bodybone --see Sequestrectomy, bonejoint 80.10lung (with mediastinal dissection)32.59accessory or ectopic tissue 32.29endoscopic 32.28thoracoscopic 32.20segmental 32.3thoracoscopic 32.30specified type NEC 32.29endoscopic 32.28thoracoscopic 32.20thoracoscopic 32.50volume reduction surgery 32.22wedge 32.29thoracoscopic 32.20332

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Excision ---Cont.lymph, lymphaticdrainage area 40.29radical --see Excision, lymph, node,radicalregional (with lymph node, skin,subcutaneous tissue, and fat) 40.3node (simple) NEC 40.29withlymphatic drainage area(including skin,subcutaneoustissue, and fat) 40.3mastectomy --see Mastectomy,radicalmuscle and deep fascia --seeExcision, lymph, node, radicalaxillary 40.23radical 40.51regional (extended) 40.3cervical (deep) (with excision ofscalene fat pad) 40.21with laryngectomy 30.4radical (including muscle anddeep fascia) 40.40bilateral 40.42unilateral 40.41regional (extended) 40.3superficial 40.29groin 40.24radical 40.54regional (extended) 40.3iliac 40.29radical 40.53regional (extended) 40.3inguinal (deep) (superficial) 40.24radical 40.54regional (extended) 40.3jugular --see Excision, lymph, node,cervicalmammary (internal) 40.22external 40.29radical 40.59regional (extended) 40.3radical 40.59regional (extended) 40.3paratracheal --see Excision, lymph,node, cervicalperiaortic 40.29radical 40.52regional (extended) 40.3radical 40.50with mastectomy--see Mastectomy, radicalspecified site NEC 40.59regional (extended) 40.3sternal --see Excision, lymph, node,mammaryExcision lymph ---Cont.structure(s) (simple) NEC 40.29radical 40.59regional (extended) 40.3lymphangioma (simple) --see also Excision,lymph, lymphatic, node, 40.29lymphocele 40.29mastoid --see also Mastoidectomy 20.49median bar, transurethral approach 60.29meibomian gland 08.20meniscus (knee) 80.6acromioclavicular 80.91jaw 76.5sternoclavicular 80.91temporomandibular (joint) 76.5wrist 80.93mullerian duct cyst 60.73muscle 83.45for graft 83.43hand 82.34hand 82.36for graft 82.34myositis ossificans 83.32hand 82.22nail (bed) (fold) 86.23nasolabial cyst 27.49nasopalatine cyst 27.31by wide excision 27.32neoplasm --see Excision, lesion, by sitenerve (cranial) (peripheral) NEC 04.07sympathetic 05.29neuroma(Morton's)(peripheral nerve) 04.07acousticby craniotomy 04.01by stereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31sympathetic nerve 05.29nipple 85.25accessory 85.24odontoma 24.4orbital contents --see also Exenteration,orbit 16.59osteochondritis dissecans --see alsoExcision, lesion, joint 80.80ovary --see also Oophorectomypartial 65.29by wedge resection 65.22laparoscopic 65.24that by laparoscope 65.25Pancoast tumor (lung) 32.6pancreas (total) (with synchronousduodenectomy) 52.6333

ICD-9-CM INDEX TO PROCEDURES (FY10)Excision -pancreas ---Cont.partial NEC 52.59distal (tail) (with part of body) 52.52proximal (head) (with part of body)(with synchronousduodenectomy) 52.51radical subtotal 52.53radical (one- stage) (two- stage)52.7subtotal 52.53paramesonephric duct 69.19parathyroid gland (partial) (subtotal) NEC--see also Parathyroidectomy 06.89parotid gland --see also Excision,salivary gland 26.30parovarian cyst 69.19patella (complete) 77.96partial 77.86pelvirectal tissue 48.82perianal tissue 49.04skin tags 49.03pericardial adhesions 37.31periprostatic tissue 60.82perirectal tissue 48.82perirenal tissue 59.91periurethral tissue 58.92perivesical tissue 59.91petrous apex cells 20.59pharyngeal bands 29.54pharynx (partial) 29.33pilonidal cyst or sinus (open) (withpartial closure) 86.21pineal gland (complete) (total) 07.54partial 07.53pituitary gland (complete) (total)--see also Hypophysectomy 07.69pleura NEC 34.59polyp --see also Excision, lesion, by siteesophagus 42.32endoscopic 42.33large intestine 45.41endoscopic 45.42nose 21.31rectum (endoscopic) 48.36stomach (endoscopic) 43.41preauricularappendage (remnant) 18.29cyst, fistula, or sinus (congenital) 18.21remnant 18.29prolapsed iris (in wound) 12.13prostate --see Prostatectomypterygium (simple) 11.39with corneal graft 11.32radius (head) (partial) 77.83total 77.93ranula, salivary gland NEC 26.29rectal mucosa 48.35rectum --see Resection, rectumExcision ---Cont.redundant mucosacolostomy 45.41endoscopic 45.43duodenostomy 45.31endoscopic 45.30ileostomy 45.33jejunostomy 45.33perineum 71.3rectum 48.35vulva 71.3renal vessel, aberrant 38.66rib (cervical) 77.91ring of conjunctiva around cornea 10.31round ligament 69.19salivary gland 26.30complete 26.32partial 26.31radical 26.32scalene fat pad 40.21scar --see also Excision, lesion, by siteepicardium 37.31mastoid 20.92pericardium 37.31pleura 34.59skin 86.3thorax 34.4secondary membrane, lens 13.65seminal vesicle 60.73with radical prostatectomy 60.5septum --see also Excision, by siteuterus (congenital) 68.22vagina 70.33sinus --see also Excision, lesion, by sitenasal --see Sinusectomypilonidal 86.21preauricular (ear) (radical) 18.21tarsi 80.88thyroglossal (with resection of hyoidbone) 06.7urachal (bladder) 57.51abdominal wall 54.3Skene's gland 71.3skin (local) 86.3for graft (with closure of donor site)86.91radical (wide) (involving underlying oradjacent structure) (with flapclosure) 86.4tagsperianal 49.03periauricular 18.29soft tissue NEC 83.49hand 82.39spermatocele 63.2spinous process 77.89spleen (total) 41.5accessory 41.93partial 41.43334

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Excision ---Cont.stomach --see Gastrectomysublingual gland (salivary) --see alsoExcision, salivary gland 26.30submaxillary gland --see also Excision,salivary gland 26.30supernumerarybreast 85.24digits 86.26sweat gland 86.3synechiae --see also Lysis, synechiaeendometrial 68.21tarsal plate (eyelid) 08.20by wedge resection 08.24tattoo 86.3by dermabrasion 86.25tendon (sheath) 83.42for graft 83.41hand 82.32hand 82.33for graft 82.32thymus --see also Thymectomy 07.80thyroglossal duct or tract (with resectionof hyoid bone) 06.7thyroid NEC--see also Thyroidectomy 06.39tongue (complete) (total) 25.3partial or subtotal 25.2radical 25.4tonsil 28.2with adenoidectomy 28.3lingual 28.5tag 28.4tooth NEC --see also Removal, tooth,surgical 23.19from nasal sinus 22.60toruslingual 76.2mandible, mandibularis 76.2palate, palatinus 27.31by wide excision 27.32trabeculae carneae cordis (heart) 35.35trochanteric lipomatosis 86.83tumor --see Excision, lesion, by siteulcer --see also Excision, lesion, by siteduodenum 45.31endoscopic 45.30stomach 43.42endoscopic 43.41umbilicus 54.3urachus, urachal (cyst) (bladder) 57.51abdominal wall 54.3ureter, ureteral 56.40with nephrectomy --see Nephrectomypartial 56.41stricture 56.41total 56.42ureterocele 56.41Excision ---Cont.urethra, urethral 58.39endoscopic 58.31with complete cystectomy 57.79septum 58.0stricture 58.39endoscopic 58.31valve (congenital) 58.39endoscopic (transurethral)(transvesical) 58.31urethrovaginal septum 70.33uterus (corpus) --see also Hysterectomy68.9cervix 67.4lesion 67.39lesion 68.29septum 68.22uvula 27.72vagina (total) 70.4varicocele, spermatic cord 63.1vein --see also Phlebectomy 38.60varicose 38.50abdominal 38.57head and neck NEC 38.52intracranial NEC 38.51lower limb 38.59ovarian 38.67thoracic NEC 38.55upper limb 38.53verucca --see also Excision, lesion, by siteeyelid 08.22vesicovaginal septum 70.33vitreous opacity 14.74anterior approach 14.73vocal cord(s) (submucous) 30.22vulva (bilateral) (simple) --see alsoVulvectomy 71.62wart --see also Excision, lesion, by siteeyelid 08.22wolffian duct 69.19xanthoma (tendon sheath, hand) 82.21site other than hand 83.31Excisional biopsy --see BiopsyExclusionleft atrial appendage 37.36pyloriclaparoscopic 44.38open 44.39Exenterationethmoid air cells 22.63orbit 16.59withremoval of adjacent structures 16.51temporalis muscle transplant 16.59therapeutic removal of bone 16.52pelvic (organs) (female) 68.8male 57.71petrous pyramid air cells 20.59335

ICD-9-CM INDEX TO PROCEDURES (FY10)Exercise (physical therapy) NEC 93.19active musculoskeletal NEC 93.12assisting 93.11in pool 93.31breathing 93.18musculoskeletalactive NEC 93.12passive NEC 93.17neurologic 89.13passive musculoskeletal NEC 93.17resistive 93.13Exfoliation, skin, by chemical 86.24Exostectomy --see also Excision, lesion,bone 77.60first metatarsal (hallux valgus repair)--see Bunionectomyhallux valgus repair (with wedgeosteotomy) --see BunionectomyExpiratory flow rate 89.38Explant, explantation --see RemovalExploration --see also Incisionabdomen 54.11abdominal wall 54.0adrenal (gland) 07.41field 07.00bilateral 07.02unilateral 07.01artery 38.00abdominal 38.06aorta (arch) (ascending) (descending)38.04head and neck NEC 38.02intracranial NEC 38.01lower limb 38.08thoracic NEC 38.05upper limb 38.03auditory canal, external 18.02axilla 86.09bile duct(s) 51.59common duct 51.51endoscopic 51.11forrelief of obstruction 51.42endoscopic 51.84removal of calculus 51.41endoscopic 51.88laparoscopic 51.11for relief of obstruction 51.49endoscopic 51.84bladder (by incision) 57.19endoscopic 57.32through stoma (artificial) 57.31bone --see also Incision, bone 77.10brain (tissue) 01.39breast 85.0bronchus 33.0endoscopic --see Bronchoscopybursa 83.03hand 82.03Exploration ---Cont.carotid body 39.8carpal tunnel 04.43choroid 14.9ciliary body 12.44colon 45.03common bile duct 51.51endoscopic 51.11forrelief of obstruction 51.42endoscopic 51.84removal of calculus 51.41endoscopic 51.88coronary artery 36.99cranium 01.24cul- de- sac 70.12endoscopic 70.22disc space 03.09duodenum 45.01endoscopic --see Endoscopy, by siteepididymis 63.92esophagus (by incision) NEC 42.09endoscopic --see Esophagoscopyethmoid sinus 22.51eyelid 08.09fallopian tube 66.01fascia 83.09hand 82.09flank 54.0fossa (superficial) NEC 86.09pituitary 07.71frontal sinus 22.41frontonasal duct 96.21gallbladder 51.04groin (region) (abdominal wall) (inguinal) 54.0skin and subcutaneous tissue 86.09heart 37.11hepatic duct 51.59hypophysis 07.72ileum 45.02inguinal canal (groin) 54.0intestine (by incision) NEC 45.00large 45.03small 45.02intrathoracic 34.02jejunum 45.02joint structures--see also Arthrotomy 80.10kidney 55.01pelvis 55.11labia 71.09lacrimalgland 09.0sac 09.53laparotomy site 54.12larynx (by incision) 31.3endoscopic 31.42liver 50.0lung (by incision) 33.1336

ICD-9-CM INDEX TO PROCEDURES (FY10) E.Exploration ---Cont.lymphatic structure(s) (channel) (node)(vessel) 40.0mastoid 20.21maxillary antrum or sinus (Caldwell- Lucapproach) 22.39mediastinum 34.1endoscopic 34.22middle ear (transtympanic) 20.23muscle 83.02hand 82.02neck --see also Exploration, thyroid 06.09nerve (cranial) (peripheral) NEC 04.04auditory 04.01root (spinal) 03.09nose 21.1orbit --see also Orbitotomy 16.09pancreas 52.09endoscopic 52.13pancreatic duct 52.09endoscopic 52.13pelvis (by laparotomy) 54.11by colpotomy 70.12penis 64.92perinephric area 59.09perineum (female) 71.09male 86.09peripheral vesselslower limbartery 38.08vein 38.09upper limb (artery) (vein) 38.03periprostatic tissue 60.81perirenal tissue 59.09perivesical tissue 59.19petrous pyramid air cells 20.22pilonidal sinus 86.03pineal (gland) 07.52field 07.51pituitary (gland) 07.72fossa 07.71pleura 34.09popliteal space 86.09prostate 60.0rectum --see also Proctoscopy 48.23by incision 48.0retroperitoneum 54.0retropubic 59.19salivary gland 26.0sclera (by incision) 12.89scrotum 61.0shuntventriculoperitoneal atperitoneal site 54.95ventricular site 02.41sinusethmoid 22.51frontal 22.41Exploration -sinus ---Cont.maxillary (Caldwell- Luc approach) 22.39sphenoid 22.52tract,skin and subcutaneous tissue 86.09skin 86.09soft tissue NEC 83.09hand 82.09spermatic cord 63.93sphenoidal sinus 22.52spinal (canal) (nerve root) 03.09spleen 41.2stomach (by incision) 43.0endoscopic --see Gastroscopysubcutaneous tissue 86.09subdiaphragmatic space 54.11superficial fossa 86.09tarsal tunnel 04.44tendon (sheath) 83.01hand 82.01testes 62.0thymus (gland) 07.92field 07.91thoracoscopic 07.95thyroid (field) (gland) (by incision) 06.09postoperative 06.02trachea (by incision) 31.3endoscopic --see Tracheoscopytunica vaginalis 61.0tympanum 20.09transtympanic route 20.23ureter (by incision) 56.2endoscopic 56.31urethra (by incision) 58.0endoscopic 58.22uterus (corpus) 68.0cervix 69.95digital 68.11postpartal, manual 75.7vagina (by incision) 70.14endoscopic 70.21vas deferens 63.6vein 38.00abdominal 38.07head and neck NEC 38.02intracranial NEC 38.01lower limb 38.09thoracic NEC 38.05upper limb 38.03vulva (by incision) 71.09Exposure --see also Incision, by sitetooth (for orthodontic treatment) 24.6Expression, trachoma follicles 10.33Exsanguination transfusion 99.01Extensionbuccolabial sulcus 24.91limb, forced 93.25lingual sulcus 24.91mandibular ridge 76.43337

ICD-9-CM INDEX TO PROCEDURES (FY10)Exteriorizationesophageal pouch 42.12intestine 46.03large 46.03small 46.01maxillary sinus 22.9pilonidal cyst or sinus (open excision)(with partial closure) 86.21Extirpation --see also Excision, by siteaneurysm --see Aneurysmectomyarteriovenous fistula --see Aneurysmectomylacrimal sac 09.6larynx 30.3with radical neck dissection (withsynchronous thyroidectomy) (withsynchronous tracheostomy) 30.4nerve, tooth --see also Therapy,root canal 23.70varicose vein(peripheral)(lower limb) 38.59upper limb 38.53Extracorporealcirculation(regional),except hepatic 39.61hepatic 50.92percutaneous 39.66hemodialysis 39.95membrane oxygenation (ECMO) 39.65photopheresis, therapeutic 99.88shockwave lithotripsy (ESWL) NEC 98.59bile duct 98.52bladder 98.51gallbladder 98.52kidney 98.51renal pelvis 98.51specified site NEC 98.59ureter 98.51Extracranial-intracranial bypass [EC- IC]39.28Extractionbreech (partial) 72.52with forceps to aftercoming head 72.51total 72.54with forceps to aftercoming head72.53cataract 13.19after cataract (by)capsulectomy 13.65capsulotomy 13.64discission 13.64excision 13.65iridocapsulectomy 13.65mechanical fragmentation 13.66needling 13.64phacofragmentation(mechanical)13.66aspiration (simple) (with irrigation) 13.3cryoextraction (intracapsular approach)13.19temporal inferior route (in presenceof fistulization bleb) 13.11Extraction - cataract ---Cont.curette evacuation (extracapsularapproach) 13.2emulsification (and aspiration) 13.41erysiphake (intracapsular approach) 13.19temporal inferior route (in presenceof fistulization bleb) 13.11extracapsular approach (withiridectomy) NEC 13.59by temporal inferior route (in presenceof fistulization bleb) 13.51aspiration(simple)(with irrigation) 13.3curette evacuation 13.2emulsification (and aspiration) 13.41linear extraction 13.2mechanical fragmentation withaspiration byposterior route 13.42specified route NEC 13.43phacoemulsification (ultrasonic)(with aspiration) 13.41phacofragmentation (mechanical)with aspiration byposterior route 13.42specified route NEC 13.43ultrasonic (with aspiration) 13.41rotoextraction (mechanical) withaspiration byposterior route 13.42specified route NEC 13.43intracapsular (combined) (simple) (withiridectomy) (with suction) (withzonulolysis) 13.19by temporal inferior route (in presenceof fistulization bleb) 13.11linear extraction (extracapsular approach)13.2phacoemulsification (and aspiration) 13.41phacofragmentation (mechanical)with aspiration byposterior route 13.42specified route NEC 13.43ultrasonic 13.41rotoextraction (mechanical)with aspiration byposterior route 13.42specified route NEC 13.43secondary membranous (aftercataract) (by)capsulectomy 13.65capsulotomy 13.64discission 13.64excision 13.65iridocapsulectomy 13.65mechanical fragmentation 13.66needling 13.64phacofragmentation(mechanical)13.66338

Extraction ----Cont.common duct stones (percutaneous)(through sinus tract)(with basket)51.96foreign body --see Removal, foreignbodykidney stone(s), percutaneous 55.03with fragmentation procedure 55.04lens (eye) --see also Extraction, cataract13.19Malstrom's 72.79with episiotomy 72.71menstrual, menses 69.6milk from lactating breast (manual)(pump) 99.98tooth (by forceps) (multiple) (single)NEC 23.09with mucoperiosteal flap elevation23.19deciduous 23.01surgical NEC --see also Removal,tooth, surgical 23.19vacuum, fetus 72.79with episiotomy 72.71vitreous --see also Removal, vitreous14.72ICD-9-CM INDEX TO PROCEDURES (FY10) E.339

ICD-9-CM INDEX TO PROCEDURES (FY10)FFace lift 86.82Facetectomy 77.89Facilitation,intraocular circulation NEC12.59Failed (trial) forceps 73.3Familycounselling (medical) (social) 94.49therapy 94.42Farabeuf operation(ischiopubiotomy) 77.39Fasanella-Servatt operation(blepharoptosis repair) 08.35Fasciaplasty --see FascioplastyFascia sling operation--see Operation, slingFasciectomy 83.44for graft 83.43hand 82.34hand 82.35for graft 82.34palmar (release of Dupuytren'scontracture) 82.35Fasciodesis 83.89hand 82.89Fascioplasty--see also Repair, fascia 83.89hand--see also Repair, fascia,hand 82.89Fasciorrhaphy --see Suture, fasciaFasciotomy 83.14Dupuytren's 82.12with excision 82.35Dwyer 83.14hand 82.12Ober- Yount 83.14orbital --see also Orbitotomy 16.09palmar (release of Dupuytren'scontracture) 82.12with excision 82.35Fenestrationaneurysm(dissecting),thoracic aorta 39.54aortic aneurysm 39.54cardiac valve 35.10chest wall 34.01earinner (with graft) 20.61revision 20.62tympanic 19.55labyrinth (with graft) 20.61Lempert's (endaural) 19.9operation (aorta) 39.54oval window, ear canal 19.55palate 27.1pericardium 37.12semicircular canals (with graft) 20.61stapes foot plate(with vein graft) 19.19with incus replacement 19.11tympanic membrane 19.55vestibule (with graft) 20.61Ferguson operation (hernia repair) 53.00Fetography 87.81Fetoscopy 75.31Fiberoscopy --see Endoscopy, by siteFibroidectomy, uterine 68.29Fick operation (perforation of foot plate) 19.0Filipuncture (aneurysm) (cerebral) 39.52Filletinghammer toe 77.56pancreas 52.3Filling, tooth (amalgam)(plastic)(silicate) 23.2root canal --see also Therapy,root canal23.70Fimbriectomy --see also Salpingectomy, partial66.69Uchida (with tubal ligation) 66.32Finney operation (pyloroplasty) 44.29Fissurectomy, anal 49.39endoscopic 49.31skin (subcutaneous tissue) 49.04Fistulectomy--see also Closure, fistula, by siteabdominothoracic 34.83abdominouterine 69.42anus 49.12appendix 47.92bile duct 51.79biliary tract NEC 51.79bladder (transurethral approach) 57.84bone--see also Excision, lesion, bone 77.60branchial cleft 29.52bronchocutaneous 33.42bronchoesophageal 33.42bronchomediastinal 34.73bronchopleural 34.73bronchopleurocutaneous 34.73bronchopleuromediastinal 34.73bronchovisceral 33.42cervicosigmoidal 67.62cholecystogastroenteric 51.93cornea 11.49diaphragm 34.83enterouterine 69.42esophagopleurocutaneous 34.73esophagus NEC 42.84fallopian tube 66.73gallbladder 51.93gastric NEC 44.63hepatic duct 51.79hepatopleural 34.73hepatopulmonary 34.73intestinelarge 46.76small 46.74intestinouterine 69.42joint --see also Excision, lesion, joint 80.80340

ICD-9-CM INDEX TO PROCEDURES (FY10) F.Fistulectomy---Cont.lacrimalgland 09.21sac 09.6laryngotracheal 31.62larynx 31.62mediastinocutaneous 34.73mouth NEC 27.53nasal 21.82sinus 22.71nasolabial 21.82nasopharyngeal 21.82oroantral 22.71oronasal 21.82pancreas 52.95perineorectal 71.72perineosigmoidal 71.72perirectal, not opening into rectum 48.93pharyngoesophageal 29.53pharynx NEC 29.53pleura 34.73rectolabial 71.72rectourethral 58.43rectouterine 69.42rectovaginal 70.73rectovesical 57.83rectovulvar 71.72rectum 48.73salivary (duct) (gland) 26.42scrotum 61.42skin 86.3stomach NEC 44.63subcutaneous tissue 86.3thoracoabdominal 34.83thoracogastric 34.83thoracointestinal 34.83thorax NEC 34.73trachea NEC 31.73tracheoesophageal 31.73ureter 56.84urethra 58.43uteroenteric 69.42uterointestinal 69.42uterorectal 69.42uterovaginal 69.42vagina 70.75vesicosigmoidovaginal 57.83vocal cords 31.62vulvorectal 71.72Fistulizationappendix 47.91arteriovenous 39.27cisterna chyli 40.62endolymphatic sac (for decompression)20.79esophagus, external 42.10cervical 42.11specified technique NEC 42.19interatrial 35.41Fistulization---Cont.labyrinth (for decompression) 20.79lacrimal sac into nasal cavity 09.81larynx 31.29lymphatic duct, left (thoracic) 40.62orbit 16.09peritoneal 54.93salivary gland 26.49sclera 12.69by trephination 12.61with iridectomy 12.65sinus, nasal NEC 22.9subarachnoid space 02.2thoracic duct 40.62trachea 31.29tracheoesophageal 31.95urethrovaginal 58.0ventricle, cerebral --see also Shunt,ventricular 02.2Fistulogramabdominal wall 88.03chest wall 87.38retroperitoneum 88.14specified site NEC 88.49Fistulotomy, anal 49.11Fittingarch bars (orthodontic) 24.7for immobilization (fracture) 93.55artificial limb 84.40contact lens 95.32denture (total) 99.97bridge (fixed) 23.42removable 23.43partial (fixed) 23.42removable 23.43hearing aid 95.48obturator (orthodontic) 24.7ocular prosthetics 95.34orthodonticappliance 24.7obturator 24.7wiring 24.7orthotic device 93.23periodontal splint (orthodontic) 24.7prosthesis, prosthetic deviceabove knee 84.45arm 84.43lower (and hand) 84.42upper (and shoulder) 84.41below knee 84.46hand (and lower arm) 84.42leg 84.47above knee 84.45below knee 84.46limb NEC 84.40ocular 95.34penis (external) 64.94shoulder (and upper arm) 84.41spectacles 95.31341

ICD-9-CM INDEX TO PROCEDURES (FY10)Five-in-one repair, knee 81.42Fixationboneexternal, without reduction 93.59with fracture reduction--see Reduction, fracturecast immobilization NEC 93.53external fixator --see Fixator, externalsplint 93.54traction (skeletal) NEC 93.44intermittent 93.43internal(without fracture reduction)78.50with fracture reduction--see Reduction, fracturecarpal, metacarpal 78.54clavicle 78.51femur 78.55fibula 78.57humerus 78.52patella 78.56pelvic 78.59phalanges (foot) (hand) 78.59radius 78.53scapula 78.51specified site NEC 78.59tarsal, metatarsal 78.58thorax (ribs) (sternum) 78.51tibia 78.57ulna 78.53vertebrae 78.59breast (pendulous) 85.6cardinal ligaments 69.22cervical collar 93.52duodenum 46.62to abdominal wall 46.61external (without manipulation forreduction) 93.59with fracture reduction--see Reduction, fracturecast immobilization NEC 93.53pressure dressing 93.56splint 93.54strapping (non- traction) 93.59traction (skeletal) NEC 93.44intermittent 93.43hip 81.40ileum 46.62to abdominal wall 46.61internalwith fracture reduction--see Reduction, fracturewithout fracture reduction--see Fixation, bone, internalintestine 46.60large 46.64to abdominal wall 46.63Fixation -intestine ---Cont.small 46.62to abdominal wall 46.61to abdominal wall 46.60iris (bombé) 12.11jejunum 46.62to abdominal wall 46.61joint --see Arthroplastykidney 55.7ligamentcardinal 69.22palpebrae 08.36omentum 54.74parametrial 69.22plaster jacket 93.51other cast 93.53rectum (sling) 48.76spine,with fusion--see also Fusion,spinal81.00spleen 41.95splint 93.54tendon 83.88hand 82.85testis in scrotum 62.5tongue 25.59urethrovaginal (to Cooper's ligament) 70.77with graft or prosthesis 70.78uterus (abdominal) (vaginal) (ventrofixation)69.22vagina 70.77with graft or prosthesis 70.78Fixator, externalcomputer assisted (dependent) 84.73hybrid device or system 84.73Ilizarov type 84.72monoplanar system 84.71ring device or system 84.72Sheffield type 84.72Flooding (psychologic desensitization) 94.33Flowmetry, Doppler (ultrasonic) --see alsoUltrasonographyaortic arch 88.73head and neck 88.71heart 88.72thorax NEC 88.73Fluoroscopy --see RadiographyFog therapy (respiratory) 93.94Folding, eye muscle 15.22multiple (two or more muscles) 15.4Foley operation (pyeloplasty) 55.87Fontan operation(creation of conduit betweenright atrium and pulmonary artery) 35.94Foraminotomy 03.09Forced extension, limb 93.25Forceps delivery --see Delivery, forcepsFormationadhesionspericardium 36.39pleura 34.6342

ICD-9-CM INDEX TO PROCEDURES (FY10) F.Formation ---Cont.anus, artificial --see Colostomyduodenostomy 46.39ileostomy --see Ileostomyjejunostomy 46.39percutaneous (endoscopic) (PEJ) 46.32arteriovenous fistula (for kidney dialysis)(peripheral) (shunt) 39.27external cannula 39.93cardiac device (defibrillator) (pacemaker)pocketwith initial insertion of cardiac device--omit codenew site (skin) (subcutaneous) 37.79colostomy --see Colostomyconduitileal (urinary) 56.51left ventricle and aorta 35.93right atrium and pulmonary artery 35.94right ventricle and pulmonary (distal)artery 35.92in repair ofpulmonary artery atresia 35.92transposition of great vessels 35.92truncus arteriosus 35.83endorectal ileal pouch (J- pouch) (H- pouch)(S- pouch) (with anastomosis to anus)45.95fistulaarteriovenous (for kidney dialysis)(peripheral shunt) 39.27external cannula 39.93bladder to skin NEC 57.18with bladder flap 57.21percutaneous 57.17cutaneoperitoneal 54.93gastric 43.19percutaneous (endoscopic)(transabdominal) 43.11mucous --see also Colostomy 46.13rectovaginal 48.99tracheoesophageal 31.95tubulovalvular (Beck- Jianu) (Frank's)(Janeway) (Spivack's)(Ssabanejew- Frank) 43.19urethrovaginal 58.0ilealbladderclosed 57.87 [45.51]open 56.51conduit 56.51interatrial fistula 35.42mucous fistula --see Colostomypericardialbaffle, interatrial 35.91window 37.12pleural window (for drainage) 34.09Formation - pericardial ---Cont.pocketcardiac device (defibrillator) (pacemaker)with initial insertion of cardiac device--omit codenew site (skin)(subcutaneous) 37.79loop recorder 37.79thalamic stimulator pulse generatorwith initial insertion of batterypackage --omit codenew site (skin)(subcutaneous) 86.09pupil 12.39by iridectomy 12.14rectovaginal fistula 48.99reversed gastric tube (intrathoracic)(retrosternal) 42.58antesternal or antethoracic 42.68septal defect, interatrial 35.42shuntabdominovenous 54.94arteriovenous 39.93peritoneojugular 54.94peritoneo- vascular 54.94pleuroperitoneal 34.05transjugular intrahepatic portosystemic(TIPS) 39.1subcutaneous tunnelesophageal 42.86with anastomosis --see Anastomosis,esophagus, antesternalpulse generator lead wire 86.99with initial procedure --omit codethalamic stimulator pulse generator pocketwith initial insertion of battery package--omit codenew site (skin)(subcutaneous) 86.09syndactyly (finger) (toe) 86.89tracheoesophageal 31.95tubulovalvular fistula (Beck- Jianu) (Frank's)(Janeway) (Spivak's) (Ssabanejew- Frank)43.19uretero- ileostomy, cutaneous 56.51ureterostomy, cutaneous 56.61ileal 56.51urethrovaginal fistula 58.0windowpericardial 37.12pleural (for drainage) 34.09thoracoscopic 34.06Fothergill (-Donald) operation (uterinesuspension) 69.22Fowler operationarthroplasty of metacarpophalangeal joint81.72release (mallet finger repair) 82.84tenodesis (hand) 82.85thoracoplasty 33.34Fox operation (entropion repair with wedgeresection) 08.43343

ICD-9-CM INDEX TO PROCEDURES (FY10)Fracture, surgical --see also Osteoclasis78.70turbinates (nasal) 21.62Fragmentationlithotriptor --see Lithotripsymechanicalcataract (with aspiration) 13.43posterior route 13.42secondary membrane 13.66secondary membrane(after cataract)13.66ultrasoniccataract (with aspiration) 13.41stones, urinary (Kock pouch) 59.95urinary stones 59.95percutaneous nephrostomy 55.04Franco operation (suprapubic cystotomy)57.18Frank operation (permanent gastrostomy)43.19Frazier (-Spiller) operation (subtemporaltrigeminal rhizotomy) 04.02Fredet-Ramstedt operation (pyloromyotomy)(with wedge resection) 43.3Freeingadhesions --see Lysis, adhesionsanterior synechiae (with injection of airor liquid) 12.32artery- vein- nerve bundle 39.91extraocular muscle, entrapped 15.7goniosynechiae (with injection of air orliquid) 12.31intestinal segment for interposition 45.50large 45.52small 45.51posterior synechiae 12.33synechiae (posterior) 12.33anterior (with injection of air or liquid)12.32vascular bundle 39.91vessel 39.91Freezinggastric 96.32prostate 60.62Frenckner operation (intrapetrosal drainage)20.22Frenectomylabial 27.41lingual 25.92lip 27.41maxillary 27.41tongue 25.92Frenotomylabial 27.91lingual 25.91Frenulumectomy --see FrenectomyFrickman operation (abdominal proctopexy)48.75Frommel operation (shortening ofutero- sacral ligaments) 69.22Fulguration --see also Electrocoagulationand Destruction, lesion,by siteadenoid fossa 28.7anus 49.39endoscopic 49.31bladder (transurethral) 57.49suprapubic 57.59choroid 14.21duodenum 45.32endoscopic 45.30esophagus 42.39endoscopic 42.33large intestine 45.49endoscopic 45.43polypectomy 45.42penis 64.2perineum, female 71.3prostate, transurethral 60.29rectum 48.32radical 48.31retina 14.21scrotum 61.3Skene's gland 71.3skin 86.3small intestine NEC 45.34duodenum 45.32endoscopic 45.30stomach 43.49endoscopic 43.41subcutaneous tissue 86.3tonsillar fossa 28.7urethra 58.39endoscopic 58.31vulva 71.3Functionstudy --see also Scan, radioisotopegastric 89.39muscle 93.08ocular 95.25nasal 89.12pulmonary --see categories 89.37- 89.38renal 92.03thyroid 92.01urethral sphincter 89.23Fundectomy, uterine 68.39Fundoplication (esophageal) (Nissen's) 44.66laparoscopic 44.67Fundusectomy, gastric 43.89Fusionatlas- axis (spine) --see Fusion, spinal,atlas- axisbone --see also Osteoplasty 78.40cervical (spine) (C2 level or below)--see Fusion, spinal, cervicalclaw toe 77.57craniocervical- seeFusion,spinal,craniocervical344

ICD-9-CM INDEX TO PROCEDURES (FY10) F.Fusion ---Cont.dorsal, dorsolumbar --see Fusion, spinal,dorsal, dorsolumbarepiphyseal- diaphyseal --see also Arrest,bone growth 78.20epiphysiodesis --see also Arrest, bonegrowth 78.20hammer toe 77.56joint (with bone graft)--see also Arthrodesis 81.20ankle 81.11claw toe 77.57foot NEC 81.17hammer toe 77.56hip 81.21interphalangeal, finger 81.28ischiofemoral 81.21metatarsophalangeal 81.16midtarsal 81.14overlapping toe(s) 77.58pantalar 81.11spinal --see also Fusion, spinal 81.00subtalar 81.13tarsal joints NEC 81.17tarsometatarsal 81.15tibiotalar 81.11toe NEC 77.58claw toe 77.57hammer toe 77.56overlapping toe(s) 77.58lip to tongue 25.59lumbar, lumbosacral --see Fusion, spinal,lumbar, lumbosacralocciput- C2 (spinal) --see Fusion, spinal,occiputspinal (with graft) (with internal fixation)(with instrumentation) 81.00anterior lumbar interbody fusion (ALIF)81.06atlas- axis (anterior transoral) (posterior)81.01for pseudarthrosis 81.31Fusion -spinal ---Cont.cervical (C2 level or below) NEC 81.02anterior (interbody), anterolateraltechnique 81.02for pseudarthrosis 81.32C1- C2 level (anterior)(posterior) 81.01for pseudarthrosis 81.31for pseudarthrosis 81.32posterior (interbody), posterolateraltechnique 81.03for pseudarthrosis 81.33craniocervical (anterior transoral)(posterior) 81.01for pseudarthrosis 81.31dorsal, dorsolumbar NEC 81.05anterior (interbody), anterolateraltechnique 81.04for pseudarthrosis 81.34for pseudarthrosis 81.35posterior (interbody), posterolateraltechnique 81.05for pseudarthrosis 81.35lumbar, lumbosacral NEC 81.08anterior (interbody), anterolarteraltechnique 81.06for pseudarthrosis 81.36for pseudoarthrosis 81.38lateral transverse process technique81.07for pseudarthrosis 81.37posterior (interbody), posterolateraltechnique 81.08for pseudarthrosis 81.38number of vertebrae--see codes 81.62 - 81.64occiput- C2 (anterior transoral) (posterior)81.01for pseudarthrosis 81.31posterior lumbar interbody fusion(PLIF) 81.08transforaminal lumbar interbody fusion(TLIF) 81.08Note: Also use either 81.62, 81.63, or81.64 as an additional code to show thetotal number of vertebrae fusedtongue (to lip) 25.59345

ICD-9-CM INDEX TO PROCEDURES (FY10)GGait training 93.22Galeaplasty 86.89Galvanoionization 99.27Gamescompetitive 94.39organized 93.89Gamma irradiation, stereotactic 92.32Ganglionectomygasserian 04.05lumbar sympathetic 05.23nerve (cranial) (peripheral) NEC 04.06sympathetic 05.29sphenopalatine (Meckel's) 05.21tendon sheath (wrist) 82.21site other than hand 83.31trigeminal 04.05Ganglionotomy, trigeminal (radiofrequency)04.02Gant operation (wedge osteotomy oftrochanter) 77.25Garceau operation (tibial tendon transfer)83.75Gardner operation (spinal meningocelerepair) 03.51Gas endarterectomy 38.10abdominal 38.16aorta (arch)(ascending)(descending) 38.14coronary artery 36.09head and neck NEC 38.12intracranial NEC 38.11lower limb 38.18thoracic NEC 38.15upper limb 38.13Gastrectomy (partial) (subtotal) NEC 43.89withanastomosis (to) NEC 43.89duodenum 43.6esophagus 43.5gastrogastric 43.89jejunum 43.7esophagogastrostomy 43.5gastroduodenostomy (bypass) 43.6gastroenterostomy (bypass) 43.7gastrogastrostomy (bypass) 43.89gastrojejunostomy (bypass) 43.7jejunal transposition 43.81complete NEC 43.99with intestinal interposition 43.91distal 43.6Hofmeister 43.7Polya 43.7proximal 43.5radical NEC 43.99with intestinal interposition 43.91total NEC 43.99with intestinal interposition 43.91Gastrocamera 44.19Gastroduodenectomy --see GastrectomyGastroduodenoscopy 45.13through stoma (artificial) 45.12transabdominal (operative) 45.11Gastroduodenostomy (bypass) (Jaboulay's)44.39with partial gastrectomy 43.6laparoscopic 44.38Gastroenterostomy (bypass) NEC 44.39with partial gastrectomy 43.7laparoscopic 44.38Gastrogastrostomy (bypass) 44.39with partial gastrectomy 43.89laparoscopic 44.38Gastrojejunostomy (bypass) 44.39with partial gastrectomy 43.7laparoscopic 44.38percutaneous (endoscopic)for bypass 44.32for feeding tube placement 46.32Gastrolysis 54.59laparoscopic 54.51Gastropexy 44.64Gastroplasty NEC 44.69laparoscopic 44.68vertical banded gastroplasty (VBG) 44.68Gastroplication 44.69laparoscopic 44.68Gastropylorectomy 43.6Gastrorrhaphy 44.61Gastroscopy NEC 44.13through stoma (artificial) 44.12transabdominal (operative) 44.11Gastrostomy (Brunschwig's) (decompression)(fine caliber tube) (Kader) (permanent)(Stamm) (Stamm- Kader) (temporary)(tube) (Witzel) 43.19Beck- Jianu 43.19Frank's 43.19Janeway 43.19percutaneous (endoscopic) (PEG) 43.11Spivack's 43.19Ssabanejew- Frank 43.19Gastrotomy 43.0for control of hemorrhage 44.49Gavage, gastric 96.35Gelman operation (release of clubfoot) 83.84Genioplasty (augmentation) (with graft)(with implant) 76.68reduction 76.67Ghormley operation (hip fusion) 81.21Gifford operationdestruction of lacrimal sac 09.6keratotomy (delimiting) 11.1radial (refractive) 11.75346

ICD-9-CM INDEX TO PROCEDURES (FY10) G.Gill operationarthrodesis of shoulder 81.23laminectomy 03.09Gill-Stein operation (carporadialarthrodesis) 81.25Gilliam operation (uterine suspension)69.22Gingivectomy 24.31Gingivoplasty (with bone graft) (with softtissue graft) 24.2Girdlestone operationlaminectomy with spinal fusion 81.00muscle transfer for claw toe repair 77.57resection of femoral head and neck (withoutinsertion of joint prosthesis) 77.85with replacement prosthesis--see Implant, joint, hipresection of hip prosthesis 80.05with replacement prosthesis--see Implant, joint, hipGirdlestone-Taylor operation (muscletransfer for claw toe repair) 77.57Glenn operation (anastomosis of superiorvena cava to right pulmonary artery)39.21Glenoplasty, shoulder 81.83withpartial replacement 81.81total replacement 81.80for recurrent dislocation 81.82Glomectomycarotid 39.8jugulare 20.51Glossectomy (complete) (total) 25.3partial or subtotal 25.2radical 25.4Glossopexy 25.59Glossoplasty NEC 25.59Glossorrhaphy 25.51Glossotomy NEC 25.94for tongue tie 25.91Glycoprotein IIB/IIIa inhibitor 99.20Goebel-Frangenheim-Stoeckel operation(urethrovesical suspension) 59.4Goldner operation (clubfoot release) 80.48Goldthwaite operationankle stabilization 81.11patellar stabilization 81.44tendon transfer for stabilization of patella81.44Gonadectomyovarybilateral 65.51laparoscopic 65.53unilateral 65.39laparoscopic 65.31testisbilateral 62.41unilateral 62.3Goniopuncture 12.51with goniotomy 12.53Gonioscopy 12.29Goniospasis 12.59Goniotomy (Barkan's) 12.52with goniopuncture 12.53Goodal-Power operation (vagina) 70.8Gordon-Taylor operation (hindquarteramputation) 84.19GP IIB/IIIa inhibitor, infusion 99.20Graber-Duvernay operation (drilling offemoral head) 77.15Graft, graftinganeurysm 39.52endovascularabdominal aorta 39.71lower extremity artery(s) 39.79thoracic aorta 39.73upper extremity artery(s) 39.79artery, arterial (patch) 39.58withexcision or resection of vessel --seeArteriectomy, with graft replacementsynthetic patch (Dacron) (Teflon) 39.57tissue patch (vein) (autogenous)(homograft) 39.56blood vessel (patch) 39.58withexcision or resection of vessel --seeAngiectomy, with graft replacementsynthetic patch (Dacron) (Teflon) 39.57tissue patch (vein) (autogenous)(homograft) 39.56bone (autogenous) (bone bank) (dual onlay)(heterogenous) (inlay) (massive onlay)(multiple) (osteoperiosteal) (peg)(subperiosteal) (with metallic fixation)78.00witharthrodesis --see Arthrodesisarthroplasty --see Arthroplastygingivoplasty 24.2lengthening --see Lengthening, bonecarpals, metacarpals 78.04clavicle 78.01facial NEC 76.91with total ostectomy 76.44femur 78.05fibula 78.07humerus 78.02joint --see Arthroplastymandible 76.91with total mandibulectomy 76.41marrow --see Transplant, bone, marrownose --see Graft, nosepatella 78.06pelvic 78.09pericranial 02.04phalanges (foot) (hand) 78.09347

ICD-9-CM INDEX TO PROCEDURES (FY10)Graft, grafting bone ---Cont.radius 78.03scapula 78.01skull 02.04specified site NEC 78.09spine 78.09with fusion --see Fusion, spinaltarsal, metatarsal 78.08thorax (ribs) (sternum) 78.01thumb (with transfer of skin flap) 82.69tibia 78.07ulna 78.03vertebrae 78.09with fusion --see Fusion, spinalbreast --see also Mammoplasty 85.89buccal sulcus 27.99cartilage (joint) --see also Arthroplastynose --see Graft, nosechest wall (mesh) (silastic) 34.79conjunctiva (free) (mucosa) 10.44for symblepharon repair 10.41cornea --see also Keratoplasty 11.60dermal- fat 86.69dermal regenerative 86.67dura 02.12earauricle 18.79external auditory meatus 18.6inner 20.61pedicle preparation 86.71esophagus NEC 42.87with interposition (intrathoracic) NEC42.58antesternal or antethoracic NEC 42.68colon (intrathoracic) 42.55antesternal or antethoracic 42.65small bowel (intrathoracic) 42.53antesternal or antethoracic 42.63eyebrow --see also Reconstruction, eyelid,with graft 08.69eyelid --see also Reconstruction,eyelid, with graft 08.69free mucous membrane 08.62eye socket (skin) (cartilage) (bone) 16.63fallopian tube 66.79fascia 83.82with hernia repair --see Repair, herniaeyelid 08.32hand 82.72tarsal cartilage 08.69fat pad NEC 86.89with skin graft --see Graft, skin,full- thicknessflap (advanced) (rotating) (sliding)--see also Graft, skin, pedicletarsoconjunctival 08.64hair- bearing skin 86.64handfascia 82.72Graft, grafting -hand ---Cont.free skin 86.62muscle 82.72pedicle (flap) 86.73tendon 82.79heart, for revascularization- see category 36.3joint --see Arthroplastylarynx 31.69lip 27.56full- thickness 27.55lymphatic structure(s)(channel)(node)(vessel)40.9mediastinal fat to myocardium 36.39meninges (cerebral) 02.12mouth, except palate 27.56full- thickness 27.55muscle 83.82hand 82.72myocardium, for revascularization 36.39nasolabial flaps 21.86nerve (cranial) (peripheral) 04.5nipple 85.86nose 21.89withaugmentation 21.85rhinoplasty --see Rhinoplastytotal reconstruction 21.83septum 21.88tip 21.86omentum 54.74to myocardium 36.39orbit (bone) (cartilage) (skin) 16.63outflow tract (patch) (pulmonary valve) 35.26in total repair of tetralogy of Fallot 35.81ovary 65.92palate 27.69for cleft palate repair 27.62pedicle --see Graft, skin, pediclepenis (rib) (skin) 64.49pigskin 86.65pinch --see Graft, skin, freepocket --see Graft, skin, pedicleporcine 86.65postauricular (Wolff) 18.79razor --see Graft, skin, freerope --see Graft, skin, pediclesaphenous vein in aortocoronary bypass--see Bypass, aortocoronaryscrotum 61.49skin (partial- thickness) (split- thickness) 86.69amnionic membrane 86.66auditory meatus (ear) 18.6dermal- fat 86.69for breast augmentation 85.50dermal regenerative 86.67earauditory meatus 18.6postauricular 18.79eyelid 08.61flap --see Graft, skin, pedicle348

ICD-9-CM INDEX TO PROCEDURES (FY10) G.Graft, grafting -skin ---Cont.free (autogenous) NEC 86.60breastdeep inferior epigastric arteryperforator (DIEP) flap, free85.74gluteal artery perforator [GAP]flap, free 85.76superficial inferior epigastricartery (SIEA) flap, free 85.75transverse rectus abdominismusculocutaneous (TRAM)flap, free 85.73lip 27.56thumb 86.62forpollicization 82.61reconstruction 82.69full- thickness 86.63breast 85.83hand 86.61hair- bearing 86.64eyelid or eyebrow 08.63hand 86.62full- thickness 86.61heterograft 86.65homograft 86.66island flap 86.70mucous membrane 86.69eyelid 08.62nose --see Graft, nosepedicle (flap) (tube) 86.70advancement 86.72attachment to site (advanced)(double)(rotating) (sliding) 86.74hand (cross finger) (pocket) 86.73lip 27.57mouth 27.57thumb 86.73forpollicization 82.61reconstruction NEC 82.69breast 85.84deep inferior epigastric arteryperforator (DIEP) flap, free85.74gluteal artery perforator (GAP)flap, free 85.76latissimus dorsi myocutaneousflap 85.71superficial inferior epigastricartery (SIEA) flap, free 85.75transverse rectus abdominismusculocutaneous (TRAM)flap, free 85.73transverse rectus abdominismyocutaneous (TRAM) flap,pedicled 85.72defatting 86.75Graft, grafting -skin pedicle ---Cont.delayed 86.71design and raising 86.71elevation 86.71preparation of (cutting) 86.71revision 86.75sculpturing 86.71transection 86.71transfer 86.74trimming 86.71postauricular 18.79rotation flap 86.70specified site NEC 86.69full- thickness 86.63tarsal cartilage 08.69temporalis muscle to orbit 16.63with exenteration of orbit 16.59tendon 83.81for joint repair --see Arthroplastyhand 82.79testicle 62.69thumb (for reconstruction) NEC 82.69tongue (mucosal) (skin) 25.59trachea 31.79tubular (tube) --see Graft, skin, pedicletunnel --see Graft, skin, pedicletympanum --see also Tympanoplasty 19.4ureter 56.89vaginabiological 70.94synthetic 70.95vein (patch) 39.58withexcision or resection of vessel--see Phlebectomy, with graftreplacementsynthetic patch (Dacron) (Teflon)39.57tissue patch (vein) (autogenous)(homograft) 39.56vermilion border (lip) 27.56Grattage, conjunctiva 10.31Green operation (scapulopexy) 78.41Grice operation (subtalar arthrodesis) 81.13Grip, strength 93.04Gritti-Stokes operation (knee disarticulation)84.16Gross operation (herniorrhaphy)laparoscopic 53.43with graft or prosthesis 53.42other and open with graft or prosthesis53.41other open 53.49Group therapy 94.44Guttering, bone --see also Excision,lesion, bone 77.60Guyon operation (amputation of ankle) 84.13349

ICD-9-CM INDEX TO PROCEDURES (FY10)HHagner operation (epididymotomy) 63.92Halsted operation --see Repair, hernia, inguinalHampton operation (anastomosis smallintestine to rectal stump) 45.92Hanging hip operation (muscle release) 83.19Harelip operation 27.54Harrison-Richardson operation (vaginalsuspension) 70.77with graft or prosthesis 70.78Hartmann resection (of intestine) (withpouch) --see Colectomy, by siteHarvestingbone marrow 41.91stem cells 99.79Hauser operationachillotenotomy 83.11bunionectomy with adductor tendontransfer 77.53stabilization of patella 81.44Heaney operation(vaginal hysterectomy)68.59laparoscopically assisted (LAVH) 68.51Hearing aid (with battery replacement)95.49Hearing test 95.47HeartMate® implantable heart assistsystem 37.66HeartMate® II left ventricular assistsystem [LVAS] 37.66Hegar operation (perineorrhaphy) 71.79Heine operation (cyclodialysis) 12.55Heineke-Mikulicz operation (pyloroplasty)44.29Heller operation (esophagomyotomy) 42.7Hellstöm operation (transplantation ofaberrant renal vessel) 39.55Hemicolectomyleftlaparoscopic 17.35open and other 45.75right (extended)laparoscopic 17.33open and other 45.73Hemicystectomy 57.6Hemigastrectomy --see GastrectomyHemiglossectomy 25.2Hemilaminectomy (decompression)(exploration) 03.09Hemilaryngectomy (anterior) (lateral)(vertical) 30.1Hemimandibulectomy 76.31Hemimastectomy (radical) 85.23Hemimaxillectomy (with bone graft)(with prosthesis) 76.39Heminephrectomy 55.4Hemipelvectomy 84.19Hemispherectomy (cerebral) 01.52Hemithyroidectomy (with removal of isthmus)(with removal of portion of remaining lobe) 06.2Hemodiafiltration (extracorporeal) 39.95Hemodialysis (extracorporeal) 39.95Hemodilution 99.03Hemofiltration (extracorporeal) 39.95Hemorrhage control --see Control, hemorrhageHemorrhoidectomy 49.46bycautery, cauterization 49.43crushing 49.45cryotherapy, cryosurgery 49.44excision 49.46injection 49.42ligation 49.45Hemostasis --see Control, hemorrhageHenley operation (jejunal transposition) 43.81Hepatectomy (complete) (total) 50.4partial or subtotal 50.22Hepatic assistance, extracorporeal 50.92Hepaticocholangiojejunostomy 51.37Hepaticocystoduodenostomy 51.37Hepaticodochotomy 51.59Hepaticoduodenostomy 51.37Hepaticojejunostomy 51.37Hepaticolithectomy 51.49endoscopic 51.88Hepaticolithotomy 51.49endoscopic 51.88Hepaticostomy 51.59Hepaticotomy 51.59Hepatocholangiocystoduodenostomy 51.37Hepatocholedochostomy 51.43endoscopic 51.87Hepatoduodenostomy 50.69Hepatogastrostomy 50.69Hepatojejunostomy 50.69Hepatolithotomyhepatic duct 51.49liver 50.0Hepatopexy 50.69Hepatorrhaphy 50.61Hepatostomy (external) (internal) 50.69Hepatotomy (with packing) 50.0Hernioplasty --see Repair, herniaHerniorrhaphy --see Repair, herniaHerniotomy --see Repair, herniaHeterograft --see GraftHeterotransplant, heterotransplantation--see TransplantHey operation (amputation of foot) 84.12Hey-Groves operation (reconstruction ofanterior cruciate ligament) 81.45Heyman operation (soft tissue release forclubfoot) 83.84350

ICD-9-CM INDEX TO PROCEDURES (FY10) H.Heyman-Herndon (- Strong) operation(correction of metatarsus varus) 80.48Hibbs operation (lumbar spinal fusion)--see Fusion, lumbarHiggins operation --see Repair, hernia,femoralHigh forceps delivery 72.39with episiotomy 72.31Hill-Allison operation (hiatal herniarepair, transpleural approach) 53.80Hinging, mitral valve 35.12His bundle recording 37.29Hitchcock operation (anchoring tendonof biceps) 83.88Hofmeister operation (gastrectomy) 43.7Hoke operationmidtarsal fusion 81.14triple arthrodesis 81.12Holth operationiridencleisis 12.63sclerectomy 12.65Homan operation (correction oflymphedema) 40.9Homograft --see GraftHomotransplant, homotransplantation--see TransplantHosiery, elastic 93.59Hutch operation (ureteroneocystostomy)56.74Hybinette-Eden operation (glenoid boneblock) 78.01Hydrocelectomycanal of Nuck (female) 69.19male 63.1round ligament 69.19spermatic cord 63.1tunica vaginalis 61.2Hydrotherapy 93.33assisted exercise in pool 93.31whirlpool 93.32Hymenectomy 70.31Hymenoplasty 70.76Hymenorrhaphy 70.76Hymenotomy 70.11Hyperalimentation (parenteral) 99.15Hyperbaric oxygenation 93.95wound 93.59Hyperextension, joint 93.25Hyperthermia NEC 93.35for cancer treatment (interstitial) (local)(radiofrequency) (regional)(ultrasound) (whole- body) 99.85Hypnodrama, psychiatric 94.32Hypnosis (psychotherapeutic) 94.32for anesthesia --omit codeHypnotherapy 94.32Hypophysectomy (complete) (total) 07.69partial or subtotal 07.63transfrontal approach 07.61Hypophysectomy -partial ---Cont.transsphenoidal approach 07.62specified approach NEC 07.68transfrontal approach (complete) (total) 07.64partial 07.61transsphenoidal approach (complete) (total)07.65partial 07.62Hypothermia (central) (local) 99.81gastric (cooling) 96.31freezing 96.32systemic (in open heart surgery) 39.62Hypotympanotomy 20.23Hysterectomy 68.9abdominal 68.49laparoscopic (total) [TLH] 68.41partial or subtotal (supracervical)(supravaginal) 68.39radical (modified) (Wertheim's) 68.69laparoscopic (total) [TLRH] 68.61supracervical 68.39classic infrafascial SEMM hysterectomy[CISH] 68.31laparoscopically assisted [LASH] 68.31vaginal (complete) (partial) (subtotal)(total) 68.59laparoscopically assisted (LAVH) 68.51radical (Schauta) 68.79laparoscopic [LRVH] 68.71Hysterocolpectomy (radical) (vaginal) 68.79abdominal 68.69laparoscopic 68.61laparoscopic 68.71Hysterogram NEC 87.85percutaneous 87.84Hysterolysis 54.59laparoscopic 54.51Hysteromyomectomy 68.29Hysteropexy 69.22Hysteroplasty 69.49Hysterorrhaphy 69.41Hysterosalpingography gas (contrast) 87.82opaque dye (contrast) 87.83Hysterosalpingostomy 66.74Hysteroscopy 68.12withablationendometrial 68.23biopsy 68.16Hysterotomy (with removal of foreign body)(with removal of hydatidiform mole) 68.0for intrauterine transfusion 75.2obstetrical 74.99for termination of pregnancy 74.91Hysterotrachelectomy 67.4Hysterotracheloplasty 69.49Hysterotrachelorrhaphy 69.41Hysterotrachelotomy 69.95351

ICD-9-CM INDEX TO PROCEDURES (FY10)IIAEMT (intraoperative anesthetic effectmonitoring and titration) 00.94 [ 89.14]ICCE (intracapsular cataract extraction) 13.19Ilealbladderclosed 57.87 [45.51]open (ileoureterostomy) 56.51conduit (ileoureterostomy) 56.51Ileocecostomy 45.93Ileocolectomylaparoscopic 17.33open and other 45.73Ileocolostomy 45.93Ileocolotomy 45.00Ileocystoplasty (isolated segmentanastomosis) (open loop) 57.87 [45.51]Ileoduodenotomy 45.01Ileoectomy (partial) 45.62with cecectomylaparoscopic 17.32open and other 45.72Ileoentectropy 46.99Ileoesophagostomy 42.54Ileoileostomy 45.91proximal to distal segment 45.62Ileoloopogram 87.78Ileopancreatostomy 52.96Ileopexy 46.61Ileoproctostomy 45.95Ileorectostomy 45.93Ileorrhaphy 46.73Ileoscopy 45.13through stoma (artificial) 45.12transabdominal (operative) 45.11Ileosigmoidostomy 45.93Ileostomy 46.20continent (permanent) 46.22for urinary diversion 56.51delayed opening 46.24Hendon (temporary) 46.21loop 46.01Paul (temporary) 46.21permanent 46.23continent 46.22repair 46.41revision 46.41tangential (temporary) 46.21temporary 46.21transplantation to new site 46.23tube (temporary) 46.21ureteralexternal 56.51internal 56.71Ileotomy 45.02Ileotransversostomy 45.93Ileoureterostomy (Bricker's) (ileal bladder) 56.51Imaging (diagnostic)byoptical coherence tomography (OCT) --seeOCT and Tomography, optical coherencediagnostic, not elsewhere classified 88.90endovascular ultrasound --see Imaging,intravascular ultrasoundintraoperativeiMRI --see Imaging, magnetic resonanceintravascular --see Imaging, intravascularultrasoundintravascular ultrasound (IVUS) 00.29aorta 00.22aortic arch 00.22carotid vessel 00.21cerebral vessel, extracranial 00.21coronary vessel 00.24intrathoracic vessel 00.22other specified vessel 00.28peripheral vessel 00.23renal vessel 00.25vena cava (inferior) (superior) 00.22magnetic resonance (nuclear) (proton)NEC88.97abdomen 88.97bladder (urinary) 88.95bone marrow blood supply 88.94brain (brain stem) 88.91intraoperative (iMRI) 88.96real- time 88.96chest (hilar) (mediastinal) 88.92computer assisted surgery (CAS) withMR/MRA 00.32extremity (upper) (lower) 88.94eye orbit 88.97face 88.97head NEC 88.97musculoskeletal 88.94myocardium 88.92neck 88.97orbit of eye 88.97prostate 88.95specified site NEC 88.97spinal canal (cord) (spine) 88.93- IVUS --see Imaging (diagnostic),intravascular ultrasound (IVUS), by sitevirtual histology intravascular ultrasound--see Imaging (diagnostic), intravascularultrasound (IVUS), by sitewith fracture- reduction--see Reduction,fracturebandage 93.59bone 93.53352

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Immobilization (by)cast NEC 93.53with reduction of fracture or dislocation--see Reduction, fracture, andReduction, dislocationdevice NEC 93.59pressure dressing 93.56splint (plaster) (tray) 93.54with reduction of fracture or dislocation--see Reduction, fracture, andReduction, dislocationstereotactic head frame 93.59strapping (non- traction) 93.59Immunization --see also Vaccinationallergy 99.12autoimmune disease 99.13BCG 99.33brucellosis 99.55cholera 99.31diphtheria 99.36DPT 99.39epidemic parotitis 99.46German measles 99.47Hemophilus influenzae 99.52influenza 99.52measles 99.45meningococcus 99.55mumps 99.46pertussis 99.37plague 99.34poliomyelitis 99.41rabies 99.44rubella 99.47salmonella 99.55smallpox 99.42staphylococcus 99.55TAB 99.32tetanus 99.38triple vaccine 99.48tuberculosis 99.33tularemia 99.35typhoid- paratyphoid 99.32typhus 99.55viral NEC 99.55whooping cough 99.37yellow fever 99.43Immunoadsorption,extracorporeal (ECI)99.76Immunotherapy, antineoplastic 99.28C- Parvum 99.28Interferon 99.28Interleukin- 2 (low- dose) 99.28high- dose 00.15Levamisole 99.28Proleukin (low- dose) 99.28high- dose 00.15Thymosin 99.28Impella® percutaneous external heartassist device 37.68Implant, implantationabdominal artery to coronary artery 36.17arteryaortic branches to heart muscle 36.2mammary to ventricular wall (Vineberg)36.2baffle, atrial or interatrial 35.91biliary fistulous tract into stomach orintestine 51.39bipolar endoprosthesis (femoral head)81.52bladder sphincter,artificial(inflatable)58.93blood vessels to myocardium 36.2bone growth stimulator (invasive)(percutaneous) (semi- invasive)--see category 78.9bone morphogenetic protein(OP- (recombinant) (rhBMP) 84.52bone void filler 84.55that with percutaneous vertebralaugmentation 81.66that with percutaneousvertebroplasty 81.65breast (for augmentation) (bilateral) 85.54unilateral 85.53cardiac contractility modulation (CCM)rechargeable pulse generator only 17.52total system 17.51CCM (cardiac contractility modulation)rechargeable pulse generator only 17.52total system 17.51cardiac resynchronization devicedefibrillator (biventricular) (BiV ICD)(BiV pacemaker with defibrillator)(BiV pacing with defibrillator)(CRT- D) (device and one or moreleads) (total system) 00.51left ventricular coronary venous leadonly 00.52pulse generator only 00.54pacemaker (BiV) (biventricular) (CRT- P)(device and one or more leads)(total system) 00.50left ventricular coronary venous leadonly 00.52pulse generator only 00.53cardiac support device (CSD) 37.41cardiomyostimulation system 37.67cardioverter/defibrillator (automatic) 37.94leads only (patch electrode)(sensing) (pacing) 37.95pulse generator only 37.96total system 37.94chest wall (mesh) (silastic) 34.79chin (polyethylene) (silastic) 76.68353

ICD-9-CM INDEX TO PROCEDURES (FY10)Implant, implantation ---Cont.cochlear (electrode) 20.96prosthetic device(electrode andreceiver) 20.96channel (single) 20.97multiple 20.98electrode only 20.99internal coil only 20.99coil(s), endovascular 39.79head or neck vesselsbare metal 39.75bioactive 39.7637.41cornea 11.73CRT- D (biventricular defibrillator)(BiV ICD) (BiV pacemaker withdefibrillator) (BiV pacing withdefibrillator) (cardiacresynchronization defibrillator)(device and one or more leads) 00.51left ventricular coronary venous leadonly 00.52pulse generator only 00.54CRT- P (biventricular pacemaker) (BiVpacemaker) (cardiacresynchronization pacemaker)(device and one or more leads) 00.50left ventricular coronary venous leadonly 00.52pulse generator only 00.53custodis eye 14.41dental (endosseous) (prosthetic) 23.6deviceadjustable gastric band and port 44.95bronchial device NOS 33.79bronchial substance NOS 33.79bronchial valvemultiple lobes 33.73single lobe 33.71cardiac support device (CSD) 37.4137.41epicardial support device 37.41Lap- 44.95left atrial appendage 37.90left atrial filter 37.90left atrial occluder 37.90prosthetic cardiac support device 37.41subcutaneous for intracardiac or greatvessel hemodynamic monitoring00.57vascular access 86.07ventricular support device 37.41diaphragmatic pacemaker 34.85Dynesys® 84.82electrode(s)brain 02.93depth 02.93foramen ovale 02.93sphenoidal 02.96Implant, implantation -device ---Cont.cardiac (initial) (transvenous) 37.70atrium (initial) 37.73replacement 37.76atrium and ventricle (initial) 37.72replacement 37.76epicardium (sternotomy orthoracotomy approach) 37.74left ventricular coronary venoussystem 00.52temporary transvenous pacemakersystem 37.78during and immediately followingcardiac surgery 39.64ventricle (initial) 37.71replacement 37.76carotid sinus 39.8depth 02.93foramen ovale 02.93gastric 04.92heart --see also Implant,electrode(s), cardiac 37.70intracranial 02.93osteogenic (invasive) for bone growthstimulation --see category 78.9peripheral nerve 04.92sacral nerve 04.92sphenoidal 02.96spine 03.93electroencephalographic receiverbrain 02.93intracranial 02.93electronic stimulatoranus (subcutaneous) 49.92bladder 57.96bone growth (invasive) (percutaneous)(semi- invasive) 78.9brain --see Implant, neurostimulator, braincarotid sinus 39.8cochlear 20.96channel (single) 20.97multiple 20.98gastric 04.92intracranial --see Implant,neurostimulator, intracranialperipheral nerve --see Implant,neurostimulator, peripheral nervephrenic nerve 34.85skeletal muscle 83.92spine --see Implant, neurostimulator, spineureter 56.92electrostimulator --see Implant, electronicstimulator, by siteendoprosthesisbile duct 51.87femoral head (bipolar) 81.52pancreatic duct 52.93endosseous (dental) 23.6epidural pegs 02.93354

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Implant, implantation ---Cont.epikeratoprosthesis 11.73estradiol (pellet) 99.23eye (Iowa type) 16.61integrated 16.41facial bone, synthetic (alloplastic) 76.92fallopian tube (Mulligan hood) (silastictube) (stent) 66.93into uterus 66.74gastroepipolic artery to coronary artery36.17hearing device, electromagnetic 20.95heartartificial 37.52total internal biventricularreplacement system 37.52AbioCor® 37.52- t) 37.52assist systemCentriMag® --seeInsertion,circulatory support deviceexternal heart assist device,percutaneous --seeInsertion,circulatory support deviceexternal heart assist system, openapproach 37.65extrinsic 37.68HeartMate® implantable heart assistsystem 37.66HeartMate® II left ventricularassist system [LVAS] 37.66Impella® percutaneous externalcirculatory assist device --seeInsertion, circulatory supportdeviceimplantable 37.66non- implantable --see Insertion,circulatory support devicepercutaneous external circulatoryassist device --seeInsertion,circulatory support devicepulsation balloon 37.61pVAD (percutaneous VAD)--see Insertion, circulatorysupport deviceTandemHeart® --see Insertion,circulatory support devicetemporary non- implantablecirculatory assist device--see Insertion, circulatorysupport devicethat for destination therapy (DT)37.66auxiliary ventricle 37.62cardiac support device (CSD) 37.41circulatory assist system --see Implant,heart, assist system37.41epicardial support device 37.41Implant, implantation - heart---Cont.pacemaker --see also Implant,pacemaker, cardiac 37.80prosthetic cardiac support device 37.41total internal biventricular replacementsystem 37.52valve(s)prosthesis or synthetic device (partial)(synthetic) (total) 35.20aortic 35.22mitral 35.24pulmonary 35.26tricuspid 35.28tissue graft 35.20aortic 35.21mitral 35.23pulmonary 35.25tricuspid 35.27ventricular support device 37.41inert materialbreast (for augmentation) (bilateral) 85.54unilateral 85.53larynx 31.0nose 21.85orbit (eye socket) 16.69reinsertion 16.62scleral shell (cup) (with evisceration ofeyeball) 16.31reinsertion 16.62Tenon's capsule (with enucleation ofeyeball) 16.42with attachment of muscles 16.41reinsertion 16.62urethra 59.79vocal cord(s) 31.0infusion pump 86.06interbody spinal fusion device 84.51intracardiac or great vessel hemodynamicmonitor, subcutaneous 00.57joint (prosthesis) (silastic) (Swanson type)NEC 81.96ankle (total) 81.56revision 81.59carpocarpal, carpometacarpal 81.74elbow (total) 81.84revision 81.97extremity (bioelectric) (cineplastic)(kineplastic) 84.40lower 84.48revision 81.59upper 84.44revision 81.97femoral (bipolar endoprosthesis) 81.52revision NOS 81.53acetabular and femoral components(total) 00.70acetabular component only 00.71acetabular liner and/or femoralhead only 00.73355

ICD-9-CM INDEX TO PROCEDURES (FY10)Implant - joint femoral- revision---Cont.femoral component only 00.72femoral head only and/oracetabular liner 00.73total (acetabular and femoralcomponents) 00.70finger 81.71hand (metacarpophalangeal)(interphalangeal) 81.71revision 81.97hip (partial) 81.52revision NOS 81.53acetabular and femoralcomponents (total) 00.70acetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73partialacetabular component only00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73total (acetabular and femoralcomponents) 00.70total 81.51revision (acetabular and femoralcomponents) 00.70interphalangeal 81.71revision 81.97knee (partial) (total) 81.54revision NOS 81.55femoral component 00.82partialfemoral component 00.82patellar component 00.83tibial component 00.81tibial insert 00.84patellar component 00.83tibial component 00.81tibial insert 00.84total (all components) 00.80metacarpophalangeal 81.71revision 81.97shoulder (partial) 81.81revision 81.97total replacement 81.80toe 81.57for hallux valgus repair 77.59revision 81.59wrist (partial) 81.74revision 81.97total replacement 81.73Implant, implantation ---Cont.kidney, mechanical 55.97Lap- 44.95larynx 31.0leads (cardiac) --see Implant, electrode(s),cardiaclimb lengthening device, internal (NOS)84.54with kinetic distraction 84.53mammary arteryin ventricle (Vineberg) 36.2to coronary artery (single vessel) 36.15double vessel 36.16M- Brace 84.82Mulligan hood, fallopian tube 66.93nerve (peripheral) 04.79neuropacemaker --see Implant,neurostimulator, by siteneurostimulatorelectrodesbrain 02.93carotid sinus 39.8gastric 04.92intracranial 02.93peripheral nerve 04.92sacral nerve 04.92spine 03.93pulse generator 86.96dual array 86.95rechargeable 86.98single array 86.94rechargeable 86.97nose 21.85Ommaya reservoir 02.2orbit 16.69reinsertion 16.62outflow tract prosthesis (heart) (gusset type)inpulmonary valvuloplasty 35.26total repair of tetralogy of Fallot 35.81ovary into uterine cavity 65.72laparoscopic 65.75pacemakerbrain - see Implant, neurostimulator, braincardiac (device) (initial) (permanent)(replacement) 37.80dual- chamber device (initial) 37.83replacement 37.87resynchronization device (biventricularpacemaker) (BiV pacemaker) (CRT- P)device only (initial)(replacement) 00.53total system (device and one or moreleads) 00.50transvenous lead into left ventricularcoronary venous system 00.52single- chamber device (initial) 37.81rate responsive 37.82replacement 37.85rate responsive 37.86356

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Implant pacemaker cardiac ---Cont.temporary transvenous pacemakersystem 37.78during and immediately followingcardiac surgery 39.64carotid sinus 39.8diaphragm 34.85gastric 04.92intracranial --see Implant,neurostimulator, intracranialneural- see Implant, neurostimulator,by siteperipheral nerve - see Implant,neurostimulator, peripheral nervespine - see Implant,neurostimulator,spinepancreas (duct) 52.96penis, prosthesis (internal)inflatable 64.97non- inflatable 64.95port, vascular access device 86.07premaxilla 76.68progesterone (subdermal) 99.23prosthesis, prosthetic deviceacetabulum (Aufranc- Turner) 81.52ankle (total) 81.56arm (bioelectric) (cineplastic)(kineplastic) 84.44breast (Cronin) (Dow- Corning)(Perras- Pappillon) (bilateral) 85.54unilateral 85.53cochlear 20.96channel (single) 20.97multiple 20.98extremity (bioelectric) (cineplastic)(kineplastic) 84.40lower 84.48upper 84.44fallopian tube (Mulligan hood)(stent)66.93femoral head (Austin- Moore) (bipolar)(Eicher) (Thompson) 81.52joint (Swanson type) NEC 81.96ankle (total) 81.56carpocarpal, carpometacarpal 81.74elbow (total) 81.84finger 81.71hand (metacarpophalangeal)(interphalangeal) 81.71hip (partial) 81.52total 81.51interphalangeal 81.71knee (partial) (total) 81.54revision 81.55metacarpophalangeal 81.71Implant prosthesis - joint ---Cont.shoulder (partial) 81.81total 81.80toe 81.57for hallux valgus repair 77.59wrist (partial) 81.74total 81.73leg (bioelectric) (cineplastic) (kineplastic)84.48lens 13.91outflow tract (heart) (gusset type)inpulmonary valvuloplasty 35.26total repair of tetralogy of Fallot 35.81penis (internal) (non- inflatable) 64.95inflatable (internal) 64.97skin (dermal regenerative)(matrix) 86.67testicular (bilateral) (unilateral) 62.7pulsation balloon (phase- shift) 37.61pump, infusion 86.06radial artery 36.19radioactive isotope 92.27radium (radon) 92.27retinal attachment 14.41with buckling 14.41device 39.8Rickham reservoir 02.2siliconebreast (bilateral) 85.54unilateral 85.53skin (for filling of defect) 86.02for augmentation NEC 86.89spine NEC 84.59facet replacement device(s) 84.84interspinous process decompressiondevice 84.80pedicle- based dynamic stabilizationdevice(s) 84.82posterior motion preservation device(s)--see category 84.8stimoceiver - see Implant, neurostimulator,by sitestimulatorcarotid sinus 39.8suduralgrids 02.93strips 02.93Swanson prosthesis (joint) (silastic) NEC81.96carpocarpal, carpometacarpal 81.74finger 81.71hand (metacarpophalangeal)(interphalangeal) 81.71interphalangeal 81.71knee (partial) (total) 81.54revision 81.55metacarpophalangeal 81.71357

ICD-9-CM INDEX TO PROCEDURES (FY10)Implant - Swanson prosthesis ---Cont.toe 81.57for hallux valgus repair 77.59wrist (partial) 81.74total 81.73systemic arteries into myocardium(Vineberg type operation) 36.237.68telescope (IMT) (miniature) 13.91testicular prosthesis (bilateral) (unilateral)62.7tissue expander (skin) NEC 86.93breast 85.95tissue mandril (for vascular graft) 39.99withblood vessel repair 39.56vascular bypass or shunt --see Bypass,vasculartooth (bud) (germ) 23.5prosthetic 23.6umbrella, vena cava 38.7ureters intobladder 56.74intestine 56.71external diversion 56.51skin 56.61urethrafor repair of urinary stress incontinencecollagen 59.72fat 59.72polytef 59.72urethral sphincter,artificial(inflatable)58.93urinary sphincter, artificial(inflatable)58.93vascular access device 86.07vitreous (silicone) 14.75for retinal reattachment 14.41with buckling 14.41vocal cord(s) (paraglottic) 31.9884.80Implosion (psychologic desensitization)94.33Incision (and drainage)withexploration --see Explorationremoval of foreign body--see Removal, foreign bodyabdominal wall 54.0as operative approach --omit codeabscess --see also Incision, by siteantecubital fossa 86.04appendix 47.2with appendectomy 47.09laparoscopic 47.01axilla 86.04cheek 86.04extraperitoneal 54.0face 86.04Incision (and drainage) - abscess ---Cont.gluteal 86.04groin region (abdominal wall) (inguinal) 54.0skin 86.04subcutaneous tissue 86.04hair follicle 86.04ischiorectal 49.01lip 27.0nailbed or nailfold 86.04neck 86.04omental 54.19paronychia 86.04perianal 49.01perigastric 54.19perineum (female) 71.09male 86.04perisplenic 54.19peritoneal NEC 54.19pelvic (female) 70.12popliteal space 86.04retroperitoneal 54.0sclera 12.89skin 86.04subcutaneous tissue 86.04subdiaphragmatic 54.19subhepatic 54.19submaxillary 86.04subphrenic 54.19supraclavicular fossa 86.04vas deferens 63.6adrenal gland 07.41alveolus, alveolar bone 24.0antecubital fossa 86.09anus NEC 49.93fistula 49.11septum 49.91appendix 47.2artery 38.00abdominal 38.06aorta (arch) (ascending) (descending) 38.04head and neck NEC 38.02intracranial NEC 38.01lower limb 38.08thoracic NEC 38.05upper limb 38.03atrium (heart) 37.11auditory canal or meatus, external 18.02auricle 18.09axilla 86.09Bartholin's gland or cyst 71.22bile duct (with T or Y tube insertion) NEC51.59common (exploratory) 51.51forrelief of obstruction NEC 51.42removal of calculus 51.41forexploration 51.59relief of obstruction 51.49358

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Incision (and drainage) ---Cont.bladder 57.19neck (transurethral) 57.91percutaneous suprapubic (closed) 57.17suprapubic NEC 57.18blood vessel --see also Angiotomy 38.00bone 77.10alveolus, alveolar 24.0carpals, metacarpals 77.14clavicle 77.11facial 76.09femur 77.15fibula 77.17humerus 77.12patella 77.16pelvic 77.19phalanges (foot) (hand) 77.19radius 77.13scapula 77.11skull 01.24specified site NEC 77.19tarsals, metatarsals 77.18thorax (ribs) (sternum) 77.11tibia 77.17ulna 77.13vertebrae 77.19brain 01.39cortical adhesions 02.91breast (skin) 85.0with removal of tissue expander 85.96bronchus 33.0buccal space 27.0bulbourethral gland 58.91bursa 83.03hand 82.03pharynx 29.0carotid body 39.8cerebral (meninges) 01.39epidural or extradural space 01.24subarachnoid or subdural space 01.31cerebrum 01.39cervix 69.95toassist delivery 73.93replace inverted uterus 75.93chalazion 08.09with removal of capsule 08.21cheek 86.09chest wall (for extrapleural drainage) (forremoval of foreign body) 34.01as operative approach --omit codecommon bile duct (for exploration) 51.51forrelief of obstruction 51.42removal of calculus 51.41common wall between posterior leftatrium and coronary sinus (withroofing of resultant defect withpatch graft) 35.82Incision (and drainage) ---Cont.conjunctiva 10.1cornea 11.1radial (refractive) 11.75cranial sinus 01.21craniobuccal pouch 07.72cul- de- sac 70.12cystdentigerous 24.0radicular (apical) (periapical) 24.0Duhrssen's (cervix, to assist delivery) 73.93duodenum 45.01earexternal 18.09inner 20.79middle 20.23endocardium 37.11endolymphatic sac 20.79epididymis 63.92epidural space, cerebral 01.24epigastric region 54.0intra- abdominal 54.19esophagus, esophageal NEC 42.09web 42.01exploratory --see Explorationextradural space (cerebral) 01.24extrapleural 34.01eyebrow 08.09eyelid 08.09margin (trichiasis) 08.01face 86.09fallopian tube 66.01fascia 83.09with division 83.14hand 82.12hand 82.09with division 82.12fascial compartments, head and neck 27.0fistula, anal 49.11flank 54.0furuncle --see Incision, by sitegallbladder 51.04gingiva 24.0gluteal 86.09groin region(abdominal wall)(inguinal) 54.0skin 86.09subcutaneous tissue 86.09gum 24.0hair follicles 86.09heart 37.10valve --see Valvulotomyhematoma --see also Incision, by siteaxilla 86.04broad ligament 69.98ear 18.09episiotomy site 75.91fossa (superficial) NEC 86.04359

ICD-9-CM INDEX TO PROCEDURES (FY10)Incision (and drainage) - hematoma ---Cont.groin region (abdominal wall)(inguinal) 54.0skin 86.04subcutaneous tissue 86.04laparotomy site 54.12mediastinum 34.1perineum (female) 71.09male 86.04popliteal space 86.04scrotum 61.0skin 86.04space of Retzius 59.19subcutaneous tissue 86.04vagina (cuff) 70.14episotomy site 75.91obstetrical NEC 75.92hepatic ducts 51.59hordeolum 08.09hygroma --see also Incision, by sitecystic 40.0hymen 70.11hypochondrium 54.0intra- abdominal 54.19hypophysis 07.72iliac fossa 54.0infratemporal fossa 27.0ingrown nail 86.09intestine 45.00large 45.03small 45.02intracerebral 01.39intracranial (epidural space) (extraduralspace) 01.24subarachnoid or subdural space 01.31intraperitoneal 54.19ischiorectal tissue 49.02abscess 49.01joint structures--see also Arthrotomy80.10kidney 55.01pelvis 55.11labia 71.09lacrimalcanaliculus 09.52gland 09.0passage NEC 09.59punctum 09.51sac 09.53larynx NEC 31.3ligamentum flavum (spine) --omit codeliver 50.0lung 33.1lymphangioma 40.0lymphatic structure (channel) (node)(vessel) 40.0mastoid 20.21mediastinum 34.1meibomian gland 08.09Incision (and drainage) ---Cont.meninges (cerebral) 01.31spinal 03.09midpalmar space 82.04mouth NEC 27.92floor 27.0muscle 83.02with division 83.19hand 82.19hand 82.02with division 82.19myocardium 37.11nailbed or nailfold 86.09nasolacrimal duct (stricture) 09.59neck 86.09nerve (cranial) (peripheral) NEC 04.04root (spinal) 03.1nose 21.1omentum 54.19orbit --see also Orbitotomy 16.09ovary 65.09laparoscopic 65.01palate 27.1palmar space (middle) 82.04pancreas 52.09pancreatic sphincter 51.82endoscopic 51.85parapharyngeal (oral) (transcervical) 28.0paronychia 86.09parotidgland or duct 26.0space 27.0pelvirectal tissue 48.81penis 64.92perianal (skin) (tissue) 49.02abscess 49.01perigastric 54.19perineum (female) 71.09male 86.09peripheral vesselslower limbartery 38.08vein 38.09upper limb (artery) (vein) 38.03periprostatic tissue 60.81perirectal tissue 48.81perirenal tissue 59.09perisplenic 54.19peritoneum 54.95by laparotomy 54.19pelvic (female) 70.12male 54.19periureteral tissue 59.09periurethral tissue 58.91perivesical tissue 59.19petrous pyramid (air cells) (apex)(mastoid) 20.22pharynx, pharyngeal (bursa) 29.0space, lateral 27.0360

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Incision (and drainage) ---Cont.pilonidal sinus (cyst) 86.03pineal gland 07.52pituitary (gland) 07.72pleura NEC 34.09popliteal space 86.09postzygomatic space 27.0pouch of Douglas 70.12prostate (perineal approach)(transurethral approach) 60.0pterygopalatine fossa 27.0pulp canal (tooth) 24.0Rathke's pouch 07.72rectovaginal septum 48.81rectum 48.0stricture 48.91renal pelvis 55.11retroperitoneum 54.0retropharyngeal (oral) (transcervical) 28.0salivary gland or duct 26.0sclera 12.89scrotum 61.0sebaceous cyst 86.04seminal vesicle 60.72sinus --see SinusotomySkene's duct or gland 71.09skin 86.09with drainage 86.04breast 85.0cardiac pacemaker pocket, new site37.79ear 18.09nose 21.1subcutaneous tunnel for pulsegenerator lead wire 86.99with initial procedure --omit codethalamic stimulator pulse generatorpocket, new site 86.09with initial insertion of batterypackage --omit codetunnel, subcutaneous for pulsegenerator lead wire 86.99with initial procedure --omit codeskull (bone) 01.24soft tissue NEC 83.09with division 83.19hand 82.19hand 82.09with division 82.19space of Retzius 59.19spermatic cord 63.93sphincter of Oddi 51.82endoscopic 51.85spinalcord 03.09nerve root 03.1spleen 41.2stomach 43.0stye 08.09Incision (and drainage) ---Cont.subarachnoid space, cerebral 01.31subcutaneous tissue 86.09with drainage 86.04tunnelesophageal 42.86with anastomosis - see Anastomosis,esophagus, antesternalpulse generator lead wire 86.99with initial procedure --omit codesubdiaphragmatic space 54.19subdural space, cerebral 01.31sublingual space 27.0submandibular space 27.0submaxillary 86.09with drainage 86.04submental space 27.0subphrenic space 54.19supraclavicular fossa 86.09with drainage 86.04sweat glands, skin 86.04temporal pouches 27.0tendon (sheath) 83.01with division 83.13hand 82.11hand 82.01with division 82.11testis 62.0thenar space 82.04thymus (open) (other) 07.92thoracoscopic 07.95thyroid (field) (gland) NEC 06.09postoperative 06.02tongue NEC 25.94for tongue tie 25.91tonsil 28.0trachea NEC 31.3tunica vaginalis 61.0umbilicus 54.0urachal cyst 54.0ureter 56.2urethra 58.0uterus (corpus) 68.0cervix 69.96for termination of pregnancy 74.91septum (congenital) 68.22uvula 27.71vagina (cuff) (septum) (stenosis) 70.14forincisional hematoma (episiotomy)75.91obstetrical hematoma NEC 75.92pelvic abscess 70.12vas deferens 63.6vein 38.00abdominal 38.07head and neck NEC 38.02intracranial NEC 38.01lower limb 38.09361

ICD-9-CM INDEX TO PROCEDURES (FY10)Incision (and drainage) - vein ---Cont.thoracic NEC 38.05upper limb 38.03vertebral column 03.09vulva 71.09obstetrical 75.92web, esophageal 42.01Incudectomy NEC 19.3withstapedectomy--see also Stapedectomy19.19tympanoplasty --see TympanoplastyIncudopexy 19.19Incudostapediopexy 19.19with incus replacement 19.11Indentation, sclera, for buckling--see also Buckling,scleral 14.49Indicator dilution flow measurement 89.68InductionabortionbyD and C 69.01insertion of prostaglandinsuppository 96.49intra- amniotic injection(prostaglandin) (saline) 75.0labormedical 73.4surgical 73.01intra- and extra- amniotic injection 73.1stripping of membranes 73.1Inflationbelt wrap 93.99Eustachian tube 20.8fallopian tube 66.8with injection of therapeutic agent66.95Infolding, sclera, for buckling--see also Buckling, scleral 14.49Infraction, turbinates (nasal) 21.62Infundibulectomyhypophyseal --see also Hypophysectomy,partial 07.63ventricle (heart) (right) 35.34in total repair of tetralogy of Fallot35.81Infusion (intra- arterial) (intravenous)withdisruption of blood brain barrier [BBBD]00.19Abciximab 99.20antibioticoxazolidinone class 00.14antineoplastic agent(chemotherapeutic)99.25biological response modifier[BRM]99.28cintredekin besudotox 99.28CLO 17.70Infusion - antineoplastic agent ---Cont.clofarabine 17.70CLOLAR® 17.70high- dose interleukin- 2 00.15low- dose interleukin- 2 99.28biological response modifier [BRM],antineoplastic agent 99.28cintredekin besudotox 99.28high- dose interleukin- 2 00.15low- dose interleukin- 2 99.28cancer chemotherapy agent NEC 99.25cintredekin besudotox 99.28CLO 17.70clofarabine 17.70CLOLAR® 17.70drotrecogin alfa (activated) 00.11electrolytes 99.18enzymes, thrombolytic (streptokinase) (tissueplasminogen activator) (TPA) (urokinase)direct coronary artery 36.04intravenous 99.10Eptifibatide 99.20gamma globulin 99.14GP IIB/IIIa inhibitor 99.20hormone substance NEC 99.24human B- type natriuretic peptide(hBNP) 00.13immunosuppressive antibody therapy 00.18interleukin- 2high- dose 00.15low- dose 99.28nesiritide 00.13neuroprotective agent 99.75nimodipine 99.75nutritional substance --see Nutritionplatelet inhibitordirect coronary artery 36.04intravenous 99.20Proleukin (low- dose) 99.28high- dose 00.15prophylactic substance NEC 99.29radioisotope (liquid brachytherapy)(liquid I- 125) 92.20radioimmunoconjugate 92.28radioimmunotherapy 92.28recombinant protein 00.11reteplase 99.10therapeutic substance NEC 99.29thrombolytic agent (enzyme)(streptokinase) 99.10with percutaneous transluminalangioplastyNote: Also use 00.40, 00.41, 00.42, or00.43 to show the total numberof vessels treated.coronary (single vessel) 36.02multiple vessels 36.05non- coronary vessel(s) 39.50specified site NEC 39.50direct intracoronary artery 36.04362

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Infusion---Cont.tirofiban (HCL) 99.20vaccinetumor 99.28vasopressor 00.17Injection (into) (hypodermically)(intramuscularly) (intravenously)(acting locally or systemically)Actinomycin D, for cancer chemotherapy99.25adhesion barrier substance 99.77alcoholnerve --see Injection, nervespinal 03.8anterior chamber, eye (air) (liquid)(medication) 12.92antibiotic 99.21oxazolidinone class 00.14anticoagulant 99.19anti- D (Rhesus) globulin 99.11antidote NEC 99.16anti- infective NEC 99.22antineoplastic agent (chemotherapeutic)NEC 99.25biological response modifier [BRM]99.28cintredekin besudotox 99.28high- dose interleukin- 2 00.15low- dose interleukin- 2 99.28antivenin 99.16barrier substance, adhesion 99.77BCGfor chemotherapy 99.25vaccine 99.33biological response modifier [BRM],antineoplastic agent 99.28cintredekin besudotox 99.28high- dose interleukin- 2 00.15low- dose interleukin- 2 99.28bone marrow 41.92transplant --see Transplant, bone,marrowbreast (therapeutic agent) 85.92inert material (silicone) (bilateral) 85.52unilateral 85.51bursa (therapeutic agent) 83.96hand 82.94cancer chemotherapeutic agent 99.25caudal --see Injection, spinalcintredekin besudotox 99.28cortisone 99.23costochondral junction 81.92dinoprost- tromethine, intra- amniotic 75.0disc, intervertebral (herniated) 80.52ear, with alcohol 20.72electrolytes 99.18Injection---Cont.enzymes, thrombolytic (streptokinase)(tissue plasminogen activator) (TPA)(urokinase)direct coronary artery 36.04intravenous 99.10epidural, spinal --see Injection, spinalesophageal varices or blood vessel(endoscopic) (sclerosing agent) 42.33Eustachian tube (inert material) 20.8eye (orbit) (retrobulbar) 16.91anterior chamber 12.92subconjunctival 10.91fascia 83.98hand 82.96gamma globulin 99.14ganglion, sympathetic 05.39ciliary 12.79paravertebral stellate 05.39gel, adhesion barrier --see Injection,adhesion barrier substanceglobulinanti- D (Rhesus) 99.11gamma 99.14Rh immune 99.11heart 37.92heavy metal antagonist 99.16hemorrhoids (sclerosing agent) 49.42hormone NEC 99.24human B- type natriuretic peptide (hBNP)00.13immune sera 99.14inert material --see Implant, inert materialinner ear, for destruction 20.72insulin 99.17intervertebral space for herniated disc 80.52intra- amnioticfor induction ofabortion 75.0labor 73.1intrathecal --see Injection, spinaljoint (therapeutic agent) 81.92temporomandibular 76.96kidney (cyst) (therapeutic substance) NEC55.96larynx 31.0ligament (joint)(therapeutic substance) 81.92liver 50.94lung, for surgical collapse 33.32Methotrexate, for cancer chemotherapy 99.25nerve (cranial) (peripheral) 04.80agent NEC 04.89alcohol 04.2anesthetic for analgesia 04.81for operative anesthesia --omit codeneurolytic 04.2phenol 04.2laryngeal (external) (recurrent) (superior)31.91363

ICD-9-CM INDEX TO PROCEDURES (FY10)Injection-nerve ---Cont.optic 16.91sympathetic 05.39alcohol 05.32anesthetic for analgesia 05.31neurolytic agent 05.32phenol 05.32nesiritide 00.13neuroprotective agent 99.75nimodipine 99.75orbit 16.91pericardium 37.93peritoneal cavityair 54.96locally- acting therapeutic substance54.97platelet inhibitordirect coronary artery 36.04intravenous 99.20prophylactic substance NEC 99.29prostate 60.92radioimmunoconjugate 92.28radioimmunotherapy 92.28radioisotopes (intracavitary) (intravenous)92.28renal pelvis (cyst) 55.96retrobulbar (therapeutic substance) 16.91for anesthesia --omit codeRh immune globulin 99.11RhoGAM 99.11sclerosing agent NEC 99.29esophageal varices (endoscopic) 42.33hemorrhoids 49.42pleura 34.92treatment of malignancy (cytotoxicagent) 34.92 [99.25]with tetracycline 34.92 [99.21]varicose vein 39.92vein NEC 39.92semicircular canals, for destruction 20.72silicone --see Implant, inert materialskin (sclerosing agent) (filling material)86.02soft tissue 83.98hand 82.96spinal (canal) NEC 03.92alcohol 03.8anesthetic agent for analgesia 03.91for operative anesthesia --omit codecontrast material (for myelogram) 87.21destructive agent NEC 03.8neurolytic agent NEC 03.8phenol 03.8proteolytic enzyme (chymodiactin)(chymopapain) 80.52saline (hypothermic) 03.92steroid NEC 03.92spinal nerve root (intrathecal)--see Injection, spinalInjection ---Cont.steroid NEC 99.23subarachnoid, spinal --see Injection, spinalsubconjunctival 10.91tendon 83.97hand 82.95testis 62.92therapeutic agent NEC 99.29thoracic cavity 34.92thrombolytic agent (enzyme)(streptokinase)99.10with percutaneous transluminal angioplastyNote: Also use 00.40, 00.41, 00.42, or00.43 to show the total numberof vessels treated.coronary 00.66non coronary vessels 39.50specified site NEC 39.50direct intracoronary artery 36.04trachea 31.94tranquilizer 99.26tunica vaginalis (with aspiration) 61.91tympanum 20.94urethra (inert material)for repair of urinary stress incontinencecollagen implant 59.72endoscopic injection of implant 59.72fat implant 59.72polytef implant 59.72vaccinetumor 99.28varices, esophagus (endoscopic) (sclerosingagent) 42.33varicose vein (sclerosing agent) 39.92esophagus (endoscopic) 42.33vestibule, for destruction 20.72vitreous substitute (silicone) 14.75for reattachment of retina 14.59vocal cords 31.0Inlay, tooth 23.3Inoculationantitoxins --see Administration, antitoxinstoxoids --see Administration, toxoidsvaccine --see Administration, vaccineInsemination, artificial 69.92Insertionairwayesophageal obturator 96.03nasopharynx 96.01oropharynx 96.02Allen- Brown cannula 39.93arch bars (orthodontic) 24.7for immobilization (fracture) 93.55atrial septal umbrella 35.52Austin- Moore prosthesis 81.52baffle, heart (atrial) (interatrial)(intra- atrial) 35.91364

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Insertion---Cont.bag, cervix (nonobstetrical) 67.0after delivery or abortion 75.8to assist delivery or induce labor 73.1Baker's (tube) (for stenting) 46.85balloongastric 44.93heart (pulsation- type) (Kantrowitz) 37.61intestine (for decompression)(for dilation) 46.85with insertion of colonic stentendoscopic 46.86other 46.87band (adjustable)gastric, laparoscopic 44.95Lap- 44.95Barton's tongs (skull) (with synchronousskeletal traction) 02.94bipolar endoprosthesis (femoral head) 81.52Blakemore- Sengstaken tube 96.06bone growth stimulator (invasive)(percutaneous) (semi- invasive)--see category 78.9bone morphogenetic protein )(OP- (recombinant) (rhBMP) 84.52bone void filler 84.55that with percutaneous vertebralaugmentation 81.66that with percutaneousvertebroplasty 81.65bougie, cervix, nonobstetrical 67.0to assist delivery or induce labor 73.1breast implant (for augmentation)(bilateral) 85.54unilateral 85.53bridge (dental) (fixed) 23.42removable 23.43bubble (balloon), stomach 44.93caliper tongs (skull) (with synchronousskeletal traction) 02.94cannulaAllen- Brown 39.93for extracorporeal membraneoxygenation (ECMO) --omit codenasal sinus (by puncture) 22.01through natural ostium 22.02pancreatic duct 52.92endoscopic 52.93vessel to vessel 39.93cardiac resynchronization devicedefibrillator (biventricular defibrillator)(BiV ICD) (BiV pacemaker withdefibrillator) (BiV pacing withdefibrillator) (CRT- D) (device andone or more leads) (total system)00.51left ventricular coronary venous leadonly 00.52pulse generator only 00.54Insertion cardiac resynchronization device ---Cont.pacemaker (biventricular pacemaker) (BiVpacemaker) (CRT- P) (device and oneor more leads) (total system) 00.50left ventricular coronary venous leadonly 00.52pulse generator only 00.5337.41carotid artery stent(s)(stent graft) (00.63)Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated. Usecode 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 to showthe number of vascular stentsinserted.catheterabdomen of fetus, for intrauterinetransfusion 75.2anterior chamber (eye), for permanent drainage(glaucoma) 12.79artery 38.91bile duct(s) 51.59common 51.51endoscopic 51.87endoscopic 51.87bladder, indwelling 57.94suprapubic 57.18percutaneous (closed) 57.17bronchus 96.05with lavage 96.56central venous NEC 38.93forhemodialysis 38.95pressure monitoring 89.62peripherally inserted central catheter(PICC) 38.93chest 34.04revision (with lysis of adhesions) 34.04thoracoscopic 34.06thoracoscopic 34.06cranial cavity 01.26placement via burr hole(s) 01.28esophagus (nonoperative) 96.06permanent tube 42.81intercostal (with water seal), fordrainage 34.04revision (with lysis of adhesions) 34.04thoracoscopic 34.06thoracoscopic 34.06intracerebral 01.26placement via burr hole(s) 01.28spinal canal space (epidural)(subarachnoid) (subdural) forinfusion of therapeutic or palliativesubstances 03.90365

ICD-9-CM INDEX TO PROCEDURES (FY10)Insertion catheter ---Cont.Swan- Ganz (pulmonary) 89.64transtracheal for oxygenation 31.99vein NEC 38.93for renal dialysis 38.95chest tube 34.04thoracoscopic 34.06choledochohepatic tube (fordecompression) 51.43endoscopic 51.87circulatory support deviceCentriMag® 37.62external heart assist devicebiventricular 37.60Impella® 37.68percutaneous 37.68temporary 37.62non- implantable 37.62pVAD (percutaneous VAD) 37.68TandemHeart® 37.68temporary non- implantable circulatoryassist device 37.62cochlear prosthetic device --see Implant,cochlear prosthetic devicecontraceptive device (intrauterine) 69.737.41cordis cannula 54.98coronary (artery)Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated.Use code 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 toshow the number of vascularstents inserted.stent, drug- eluting 36.07stent, non- drug- eluting 36.06Crosby- Cooney button 54.98CRT- D (biventricular defibrillator) (BiVICD) (BiV pacemaker withdefibrillator) (BiV pacing withdefibrillator) (cardiacresynchronization defibrillator)(device and one or more leads) 00.51left ventricular coronary venous leadonly 00.52pulse generator only 00.54CRT- P (biventricular pacemaker) (BiVpacemaker) (cardiac resynchronizationpacemaker) (device and one or moreleads) 00.50left ventricular coronary venous leadonly 00.52pulse generator only 00.53Crutchfield tongs (skull) (withsynchronous skeletal traction) 02.94Insertion ---Cont.Davidson button 54.98denture (total) 99.97deviceadjustable gastric band and port 44.95bronchial device NOS 33.79bronchial substance NOS 33.79bronchial valve(s)multiple lobes 33.73single lobe 33.71cardiac resynchronization --see Insertion,cardiac resynchronization devicecardiac support device (CSD) 37.4137.41epicardial support device 37.41Lap- 44.95left atrial appendage 37.90left atrial filter 37.90left atrial occluder 37.90prosthetic cardiac support device 37.41vascular access 86.07ventricular support device 37.41diaphragm, vagina 96.17drainage tubekidney 55.02pelvis 55.12renal pelvis 55.12Dynesys® 84.82elbow prosthesis (total) 81.84revision 81.97electrode(s)bone growth stimulator (invasive)(percutaneous) (semi- invasive)--see category 78.9brain 02.93depth 02.93foramen ovale 02.93sphenoidal 02.96depth 02.93foramen ovale 02.93gastric 04.92heart (initial) (transvenous) 37.70atrium (initial) 37.73replacement 37.76atrium and ventricle (initial) 37.72replacement 37.76epicardium (sternotomy orthoracotomy approach) 37.74left ventricular coronary venoussystem 00.52temporary transvenous pacemakersystem 37.78during and immediately followingcardiac surgery 39.64ventricle (initial) 37.71replacement 37.76intracranial 02.93osteogenic (for bone growthstimulation) --see category 78.9366

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Insertion -electrode(s) ---Cont.peripheral nerve 04.92sacral nerve 04.92sphenoidal 02.96spine 03.93electroencephalographic receiver --seeImplant, electroencephalographicreceiver, by siteelectronic stimulator --see Implant, electronicstimulator, by siteelectrostimulator --see Implant, electronicstimulator, by siteendograft(s), endovascular graft(s)endovascular, abdominal aorta 39.71endovascular, head and neckvessels 39.72endovascular, other vessels (foraneurysm) 39.79endovascular, thoracic aorta 39.73endoprosthesisbile duct 51.87femoral head (bipolar) 81.52pancreatic duct 52.93epidural pegs 02.93external fixation device (bone) --seecategory 78.1facial bone implant (alloplastic)(synthetic) 76.92filling material, skin (filling of defect)86.02filtervena cava (inferior) (superior)(transvenous) 38.7fixator, mini device (bone)--see category 78.1frame (stereotactic)for radiosurgery 93.59Gardner Wells tongs (skull) (withsynchronous skeletal traction) 02.94gastric bubble (balloon) 44.93globe, into eye socket 16.69Greenfield filter 38.7halo device (skull) (with synchronousskeletal traction) 02.94Harrington rod --see also Fusion, spinal,by levelwith dorsal, dorsolumbar fusion 81.05Harris pin 79.15heartassist system --see Implant, heartassist systemcardiac support device (CSD) 37.41circulatory assist system --see Implant,heart assist system37.41epicardial support device 37.41Impella® 37.68pacemaker --see Insertion, pacemaker,cardiacInsertion -heart ---Cont.prosthetic cardiac support device 37.41pump (Kantrowitz) 37.62valve --see Replacement, heart valveventricular support device 37.41hip prosthesis (partial) 81.52revision NOS 81.53acetabular and femoral components(total) 00.70acetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/or acetabularliner 00.73partialacetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73total (acetabular and femoralcomponents) 00.70total 81.51revisionacetabular and femoral components(total) 00.70total (acetabular and femoralcomponents) 00.70Holter valve 02.2Hufnagel valve --see Replacement, heartvalveimplant --see Insertion, prosthesisinfusion pump 86.06interbody spinal fusion device 84.51intercostal catheter (with water seal) fordrainage 34.04revision (with lysis of adhesions) 34.04thoracoscopic 34.06intra- arterial blood gas monitoring system89.60intrauterinecontraceptive device 69.7radium (intracavitary) 69.91tamponade (nonobstetric) 69.91Kantrowitzheart pump 37.62pulsation balloon (phase- shift) 37.61keratoprosthesis 11.73King- Mills umbrella device (heart) 35.52Kirschner wire 93.44with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationknee prosthesis (partial (total) 81.54revision NOS 81.55femoral component 00.82367

ICD-9-CM INDEX TO PROCEDURES (FY10)Insertion-knee prosthesis - revision ---Cont.partialfemoral component 00.82patellar component 00.83tibial component 00.81tibial insert 00.84patellar component 00.83tibial component 00.81tibial insert 00.84total (all components) 00.80Lap- 44.95laminaria, cervix 69.93larynx, valved tube 31.75leads --see Insertion, electrode(s)lens, prosthetic (intraocular) 13.70with cataract extraction, one- stage13.71secondary (subsequent to cataractextraction) 13.72limb lengthening device, internal, NOS84.54with kinetic distraction 84.53loop recorder 37.79M- 84.82metal staples into epiphyseal plate --seealso Stapling, epiphyseal plate 78.20minifixator device (bone)--see category 78.1Mobitz- Uddin umbrella, vena cava 38.7mold, vagina 96.15Moore (cup) 81.52myringotomy device (button) (tube) 20.01with intubation 20.01nasobiliary drainage tube (endoscopic)51.86nasogastric tubefordecompression, intestinal 96.07feeding 96.6naso- intestinal tube 96.08nasolacrimal tube or stent 09.44nasopancreatic drainage tube (endoscopic)52.97neuropacemaker --see Implant,neurostimulator, by siteneurostimulator --see Implant,neurostimulator, by sitenon- coronary vesselstent(s) (stent graft)Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated.Use code 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 toshow the number of vascularstents inserted.Insertion - non- coronary vessel - stent ---Cont.with angioplasty or atherectomy 39.50with bypass --omit codebasilar 00.64carotid 00.63extracranial 00.64intracranial 00.65peripheral 39.90bare, drug- coated 39.90drug- eluting 00.55vertebral 00.64non- invasive (transcutaneous) (surface)stimulator 99.86obturator (orthodontic) 24.7ocular implantwith synchronousenucleation 16.42with muscle attachment to implant16.41evisceration 16.31following or secondary toenucleation 16.61evisceration 16.61Ommaya reservoir 02.2orbital implant (stent) (outside muscle cone)16.69with orbitotomy 16.02orthodontic appliance (obturator) (wiring)24.7outflow tract prosthesis (gusset type) (heart)inpulmonary valvuloplasty 35.26total repair of tetralogy of Fallot 35.81pacemakerbrain --see Implant, neurostimulator, braincardiac (device) (initial) (permanent)(replacement) 37.80dual- chamber device (initial) 37.83replacement 37.87during and immediately followingcardiac surgery 39.64resynchronization (biventricularpacemaker) (BiV pacemaker) (CRT- P)(device)device only (initial) (replacement)00.53total system (device and one ormore leads) 00.50transvenous lead into left ventricularcoronary venous system 00.52single- chamber device (initial) 37.81rate responsive 37.82replacement 37.85rate responsive 37.86temporary transvenous pacemakersystem 37.78during and immediately followingcardiac surgery 39.64carotid 39.8368

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Insertion -pacemaker ---Cont.gastric 04.92heart--see Insertion, pacemaker, cardiacintracranial --see Implant,neurostimulator, intracranialneural --see Implant, neurostimulator,by siteperipheral nerve --see Implant,neurostimulator, peripheral nervespine --see Implant, neurostimulator,spinepacing catheter --see Insertion,pacemaker, cardiacpackauditory canal, external 96.11cervix (nonobstetrical) 67.0after delivery or abortion 75.8to assist delivery or induce labor 73.1rectum 96.19sella turcica 07.79vagina (nonobstetrical) 96.14after delivery or abortion 75.8palatal implant 27.64penile prosthesis (non- inflatable) (internal)64.95inflatable (internal) 64.97peridontal splint (orthodontic) 24.7peripheral blood vessel --see non- coronarypessarycervix 96.18to assist delivery or induce labor 73.1vagina 96.18pharyngeal valve, artificial 31.75port, vascular access 86.07prostaglandin suppository (for abortion)96.49prosthesis, prosthetic deviceacetabulum (partial) 81.52hip 81.52revision NOS 81.53acetabular and femoralcomponents (total) 00.70acetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73partialacetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73total (acetabular and femoralcomponents) 00.70revision 81.53ankle (total) 81.56Insertion -pacemaker ---Cont.arm (bioelectric) (cineplastic)(kineplastic) 84.44biliary tract 51.99breast (bilateral) 85.54unilateral 85.5337.41chin (polyethylene) (silastic) 76.68elbow (total) 81.84revision 81.97extremity (bioelectric) (cineplastic)(kineplastic) 84.40lower 84.48upper 84.44fallopian tube 66.93femoral head (Austin- Moore) (bipolar)(Eicher) (Thompson) 81.52hip (partial) 81.52revision NOS 81.53acetabular and femoralcomponents (total) 00.70acetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73partialacetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73total (acetabular and femoralcomponents) 00.70total 81.51revisionacetabular and femoral components(total) 00.70total (acetabular and femoralcomponents) 00.70joint --see Arthroplastyknee (partial) (total) 81.54revision NOS 81.55femoral component 00.82partialfemoral component 00.82patellar component 00.83tibial component 00.81tibial insert 00.84patellar component 00.83tibial component 00.81tibial insert 00.84total (all components) 00.80leg (bioelectric) (cineplastic)(kineplastic) 84.48lens 13.91369

ICD-9-CM INDEX TO PROCEDURES (FY10)Insertion - prosthesis ---Cont.ocular (secondary) 16.61with orbital exenteration 16.42outflow tract (gusset type) (heart)inpulmonary valvuloplasty 35.26total repair of tetralogy of Fallot35.81penis (internal) (noninflatable) 64.95withconstruction 64.43reconstruction 64.44inflatable (internal) 64.97Rosen (for urinary incontinence) 59.79shoulderpartial 81.81revision 81.97total 81.80spineartificial disc, NOS 84.60cervical 84.62nucleus 84.61partial 84.61total 84.62lumbar, lumbosacral 84.65nucleus 84.64partial 84.64total 84.65thoracic (partial)(total) 84.63other device 84.59testicular (bilateral) (unilateral) 62.7toe 81.57hallux valgus repair 77.59vaginasynthetic 70.95pseudophakos --see also Insertion, lens13.70pump, infusion 86.06radioactive isotope 92.27radium 92.27radon seeds 92.27,Reuter bobbin (with intubation) 20.01Rickham reservoir 02.2Rosen prosthesis (for urinaryincontinence) 59.79Scribner shunt 39.93Sengstaken- Blakemore tube 96.06sensor(lead)intra- aneurysm sac pressuremonitoring device 00.58intra- arterial, for continuous bloodgas monitoring 89.60intracardiac or great vesselhemodynamic monitoring 00.56shunt --seeShuntsieve, vena cava 38.7skeletal muscle stimulator 83.92skullplate 02.05Insertion prosthesis - skull ---Cont.stereotactic frame 93.59tongs (Barton) (caliper) (Garder Wells)(Vinke) (with synchronous skeletaltraction) 02.94spacer (cement) (joint)(methylmethacrylate) 84.56spine 84.51sphenoidal electrodes 02.96spinebone void fillerthat with percutaneous vertebralaugmentation 81.66that with percutaneous vertebroplasty81.65cage (BAK) 84.51facet replacement device(s) 84.84interbody spinal fusion device 84.51interspinous process decompressiondevice 84.80non- fusion stabilization device seecategory 84.8pedicle- based dynamic stabilizationdevice(s) 84.82posterior motion preservation device(s)--see category 84.8spacer 84.51Spitz- Holter valve 02.2Steinmann pin 93.44with reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationstent(s) (stent graft)artery (bare) (bonded) (drug coated)(non- drug- eluting)Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated. Usecode 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 to showthe number of vascular stentsinserted.basilar 00.64carotid 00.63cerebrovascularcerebral (intracranial) 00.65precerebral (extracranial) 00.64carotid 00.63coronary (bare) (bonded) (drug coated)(non- drug- eluting) 36.06drug- eluting 36.07extracranial 00.64carotid 00.63intracranial 00.65non- coronary vesselfrdbasilar 00.64370

Insertion stent(s) artery- non- coronary---Cont.carotid 00.63extracranial 00.64intracranial 00.65peripheral 39.90bare, drug- coated 39.90drug- eluting 00.55vertebral 00.64bile duct 51.43endoscopic 51.87percutaneous transhepatic 51.98colonendoscopic (fluoroscopic guidance)46.86other 46.87coronary (artery)(bare) (bonded)(drug coated) (non- drug- eluting)36.06Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated.Use code 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 toshow the number of vascularstents inserted.drug- eluting 36.07esophagus(endoscopic)(fluoroscopic)42.81mesenteric 39.90bare, drug- coated 39.90drug- eluting 00.55non- coronary vesselNote: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated.Use code 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 toshow the number of vascularstents inserted.ICD-9-CM INDEX TO PROCEDURES (FY10) I.Insertion stent(s) - non- coronary vessel --- Cont.renal 39.90bare, drug- coated 39.90drug- eluting 00.55vertebral 00.64pancreatic duct 52.92endoscopic 52.93peripheral vessel 39.90with angioplasty or atherectomy 39.50with bypass --omit codebasilar 00.64carotid 00.63extracranial 00.64intracranial 00.65mesenteric 39.90bare, drug- coated 39.90drug- eluting 00.55peripheral 39.90bare, drug- coated 39.90drug- eluting 00.55Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated. Usecode 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 to showthe number of vascular stentsinserted.bare, drug- coated 39.90drug- eluting 00.55precerebral 00.64Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated. Usecode 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 to showthe number of vascular stentsinserted.renal 39.90bare, drug- coated 39.90drug- eluting 00.55subclavian 39.90Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated. Usecode 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 to showthe number of vascular stentsinserted.bare, drug- coated 39.90drug- eluting 00.55tracheobronchial 96.05vertebral 00.64Note: Also use 00.40, 00.41, 00.42,or 00.43 to show the totalnumber of vessels treated. Usecode 00.44 once to showprocedure on a bifurcatedvessel. In addition, use 00.45,00.46, 00.47, or 00.48 to showthe number of vascular stentsinserted.371

ICD-9-CM INDEX TO PROCEDURES (FY10)Insertion---Cont.stimoceiver --see Implant, neurostimulator,by sitestimulator for bone growth--see category 78.9subduralgrids 02.93strips 02.93suppositoryprostaglandin (for abortion) 96.49vagina 96.49Swan- Ganz catheter (pulmonary) 89.64tamponesophagus 96.06uterus 69.91vagina 96.14after delivery or abortion 75.837.68telescope (IMT) (miniature) 13.91testicular prosthesis (bilateral) (unilateral)62.7tissue expander (skin) NEC 86.93breast 85.95tissue mandril (peripheral vessel) (Dacron)(Spark's type) 39.99withblood vessel repair 39.56vascular bypass or shunt--see Bypass, vasculartongs, skull (with synchronous skeletaltraction) 02.94totally implanted device for bone growth(invasive) --see category 78.9tube --see also Catheterization andIntubationbile duct 51.43endoscopic 51.87chest 34.04revision (with lysis of adhesions)34.04thoracoscopic 34.06thoracoscopic 34.06endotracheal 96.04esophagus (nonoperative) (Sengstaken)96.06permanent (silicone) (Souttar) 42.81feedingesophageal 42.81gastric 96.6nasogastric 96.6gastricby gastrostomy --see category 43.1fordecompression, intestinal 96.07feeding 96.6intercostal(with water seal),fordrainage34.04revision(with lysis of adhesions) 34.04thoracoscopic 34.06Insertion tube ---Cont.Miller- Abbott (for intestinaldecompression) 96.08nasobiliary (drainage) 51.86nasogastric (for intestinaldecompression) NEC 96.07naso- intestinal 96.08nasopancreatic drainage (endoscopic)52.97pancreatic duct 52.92endoscopic 52.93rectum 96.09stomach (nasogastric) (for intestinaldecompression) NEC 96.07for feeding 96.6tracheobronchial 96.05umbrella deviceatrial septum (King- Mills) 35.52vena cava (Mobitz- Uddin) 38.7ureteral stent (transurethral) 59.8with ureterotomy 59.8 [56.2]urinary sphincter, artificial (AUS) (inflatable)58.93vaginal mold 96.15valve(s)bronchusmultiple lobes 33.73single lobe 33.71Holter 02.2Hufnagel --see Replacement, heart valvepharyngeal (artificial) 31.75Spitz- Holter 02.2vas deferens 63.95vascular access device,totallyimplantable86.07vena cava sieve or umbrella 38.7Vinke tongs (skull) (with synchronousskeletal traction) 02.9484.80Instillationbladder 96.49digestive tract, except gastric gavage96.43genitourinary NEC 96.49radioisotope (intracavitary) (intravenous)92.28thoracic cavity 34.92InsufflationEustachian tube 20.8fallopian tube (air)(dye)(gas)(saline) 66.8for radiography--see Hysterosalpingographytherapeutic substance 66.95lumbar retroperitoneal, bilateral 88.15Intercricothyroidotomy (for assistance inbreathing) 31.1Interleukin-2, infusionhigh- dose 00.15low- dose 99.28372

ICD-9-CM INDEX TO PROCEDURES (FY10) I.Intermittent positive pressure breathing(IPPB) 93.91Interposition operationesophageal reconstruction (intrathoracic)(retrosternal) NEC --see alsoAnastomosis, esophagus, with,interposition 42.58antesternal or antethoracic NEC --see alsoAnastomosis, esophagus, antesternal,with, interposition 42.68uterine suspension 69.21Interrogationcardioverter- defibrillator, automatic(AICD)with catheter based invasiveelectrophysiologic testing 37.26with NIPS (arrhythmia induction) 37.26interrogation only (bedside devicecheck) 89.49CRT- D (cardiac resynchronizationdefibrillator)with catheter based invasiveelectrophysiologic testing 37.26with NIPS (arrhythmia induction) 37.26interrogation only (bedside devicecheck) 89.49CRT- P (cardiac resynchronizationpacemaker)with catheter based invasiveelectrophysiologic testing 37.26with NIPS (arrhythmia induction) 37.26interrogation only(bedside device check)89.45pacemakerwith catheter based invasiveelectro- physiologic testing 37.26with NIPS (arrhythmia induction) 37.26interrogation only(bedside device check)89.45Interruptionvena cava (inferior) (superior) 38.7Interview (evaluation) (diagnostic)medical, except psychiatric 89.05brief (abbreviated history) 89.01comprehensive (history and evaluationof new problem) 89.03limited (interval history) 89.02specified type NEC 89.04psychiatric NEC 94.19follow- up 94.19initial 94.19pre- commitment 94.13Intimectomy 38.10abdominal 38.16aorta (arch)(ascending)(descending) 38.14head and neck NEC 38.12intracranial NEC 38.11lower limb 38.18thoracic NEC 38.15upper limb 38.13Intraoperative anesthetic effect monitoringand titration (IAEMT) 00.94 [ 89.14]Introductionorthodontic appliance 24.7therapeutic substance (acting locally orsystemically) NEC 99.29bursa 83.96hand 82.94fascia 83.98hand 82.96heart 37.92joint 81.92temporomandibular 76.96ligament (joint) 81.92pericardium 37.93soft tissue NEC 83.98hand 82.96tendon 83.97hand 82.95vein 39.92Intubation --see also Catheterization and Insertionbile duct(s) 51.59common 51.51endoscopic 51.87endoscopic 51.87esophagus(nonoperative)(Sengstaken) 96.06permanent tube (silicone)(Souttar) 42.81Eustachian tube 20.8intestine (for decompression) 96.08lacrimal fordilation 09.42tear drainage, intranasal 09.81larynx 96.05nasobiliary (drainage) 51.86nasogastricfordecompression, intestinal 96.07feeding 96.6naso- intestinal 96.08nasolacrimal (duct) (with irrigation) 09.44nasopancreatic drainage(endoscopic)52.97respiratory tract NEC 96.05small intestine (Miller- Abbott) 96.08stomach (nasogastric) (for intestinaldecompression) NEC 96.07for feeding 96.6trachea 96.04ventriculocisternal 02.2Invagination, diverticulumgastric 44.69laparoscopic 44.68pharynx 29.59stomach 44.69laparoscopic 44.68373

ICD-9-CM INDEX TO PROCEDURES (FY10)Inversionappendix 47.99diverticulumgastric 44.69laparoscopic 44.68intestinelarge 45.49endoscopic 45.43small 45.34stomach 44.69laparoscopic 44.68tunica vaginalis 61.49IOERT (intra- operative electron radiationtherapy) 92.41IOM (intra- operative neurophysiologicmonitoring) 00.94Ionization, medical 99.27Iontherapy 99.27Iontophoresis 99.27Iridectomy (basal) (buttonhole) (optical)(peripheral) (total) 12.14withcapsulectomy 13.65cataract extraction --see Extraction,cataractfiltering operation (for glaucoma) NEC12.65scleralfistulization 12.65thermocauterization 12.62trephination 12.61Iridencleisis 12.63Iridesis 12.63Irido-capsulectomy 13.65Iridocyclectomy 12.44Iridocystectomy 12.42Iridodesis 12.63Iridoplasty NEC 12.39Iridosclerectomy 12.65Iridosclerotomy 12.69Iridotasis 12.63Iridotomy 12.12by photocoagulation 12.12with transfixion 12.11for iris bombé 12.11specified type NEC 12.12Iron lung 93.99Irradiationgamma, stereotactic 92.32Irrigationanterior chamber (eye) 12.91bronchus NEC 96.56canaliculus 09.42catheterureter 96.46urinary, indwelling NEC 96.48vascular 96.57ventricular 02.41wound 96.58Irrigation ---Cont.cholecystostomy 96.41cornea 96.51with removal of foreign body 98.21corpus cavernosum 64.98cystostomy 96.47ear (removal of cerumen) 96.52enterostomy 96.36eye 96.51with removal of foreign body 98.21gastrostomy 96.36lacrimalcanaliculi 09.42punctum 09.41muscle 83.02hand 82.02nasalpassages 96.53sinus 22.00nasolacrimal duct 09.43with insertion of tube or stent 09.44nephrostomy 96.45peritoneal 54.25pyelostomy 96.45rectal 96.39stomach 96.33tendon (sheath) 83.01hand 82.01trachea NEC 96.56traumatic cataract 13.3tubebiliary NEC 96.41nasogastric NEC 96.34pancreatic 96.42ureterostomy 96.46ventricular shunt 02.41wound (cleaning) NEC 96.59Irving operation (tubal ligation) 66.32Irwin operation --see also Osteotomy 77.30Ischiectomy (partial) 77.89total 77.99Ischiopubiotomy 77.39Isolationafter contact with infectious disease 99.84ileal loop 45.51intestinal segment or pedicle flaplarge 45.52small 45.51Isthmectomy, thyroid--see also Thyroidectomy, partial 06.39IVUS --see Ultrasound, intravascular, by site374

ICD-9-CM INDEX TO PROCEDURES (FY10) I.JJaboulay operation(gastroduodenostomy) 44.39laparoscopic 44.38Janeway operation (permanentgastrostomy) 43.19Jatene operation (arterial switch) 35.84Jejunectomy 45.62Jejunocecostomy 45.93Jejunocholecystostomy 51.32Jejunocolostomy 45.93Jejunoileostomy 45.91Jejunojejunostomy 45.91Jejunopexy 46.61Jejunorrhaphy 46.73Jejunostomy (feeding) 46.39delayed opening 46.31loop 46.01percutaneous (endoscopic) (PEJ) 46.32revision 46.41Jejunotomy 45.02Johanson operation (urethralreconstruction) 58.46Jones operationclaw toe (transfer of extensor hallucislongus tendon) 77.57modified (with arthrodesis) 77.57dacryocystorhinostomy 09.81hammer toe (interphalangeal fusion) 77.56modified (tendon transfer witharthrodesis) 77.57repair of peroneal tendon 83.88Joplin operation (exostectomy with tendontransfer) 77.53375

ICD-9-CM INDEX TO PROCEDURES (FY10)KKader operation (temporary gastrostomy)43.19Kasai portoenterostomy 51.37Kaufman operation (for urinary stressincontinence) 59.79Kazanjiian operation (buccal vestibularsulcus extension) 24.91Kehr operation (hepatopexy) 50.69Keller operation (bunionectomy) 77.59Kelly (-Kennedy) operation(urethrovesical plication) 59.3Kelly-Stoeckel operation(urethrovesical plication) 59.3Kelotomy 53.9Keratectomy (complete) (partial)(superficial) 11.49for pterygium 11.39with corneal graft 11.32Keratocentesis (for hyphema) 12.91Keratomileusis 11.71Keratophakia 11.72Keratoplasty (tectonic) (with autograft)(with homograft) 11.60lamellar (nonpenetrating) (withhomograft) 11.62with autograft 11.61penetrating (full- thickness) (withhomograft) 11.64with autograft 11.63perforating --see Keratoplasty,penetratingrefractive 11.71specified type NEC 11.69Keratoprosthesis 11.73Keratotomy (delimiting) (posterior) 11.1radial (refractive) 11.75Kerr operation (low cervical cesareansection) 74.1Kessler operation (arthroplasty,carpometacarpal joint) 81.74Kidner operation (excision of accessorynavicular bone) (withtendon transfer) 77.98Killian operation (frontal sinusotomy)22.41Kineplasty --see CineplastyKing-Steelquist operation(hind- quarter amputation) 84.19Kirk operation (amputation throughthigh) 84.17Kock pouchbowel anastomosis --omit codecontinent ileostomy 46.22cutaneous uretero- ileostomy 56.51ESWL (electrocorporeal shockwavelithotripsy) 98.51removal, calculus 57.19revision, cutaneous uretero- ileostomy56.52urinary diversion procedure 56.51Kockogram (ileal conduitogram) 87.78Kockoscopy 45.12Kondoleon operation (correction oflymphedema) 40.9Krause operation (sympatheticdenervation) 05.29Kroener operation (partialsalpingectomy) 66.69Kroenlein operation (lateral orbitotomy)16.01Kronig operation (low cervical cesareansection) 74.1Krunkenberg operation (reconstructionof below- elbow amputation) 82.89Kuhnt-Szymanowski operation(ectropion repair with lidreconstruction) 08.44Kyphoplasty 81.66376

ICD-9-CM INDEX TO PROCEDURES (FY10) L.LLabbe operation (gastrotomy) 43.0Labiectomy (bilateral) 71.62unilateral 71.61Labyrinthectomy (transtympanic) 20.79Labyrinthotomy (transtympanic) 20.79Ladd operation (mobilization of intestine)54.95Lagrange operation (iridosclerectomy) 12.65Lambrinudi operation (triple arthrodesis)81.12Laminectomy (decompression)(for exploration) 03.09as operative approach --omit codewithexcision of herniated intervertebral disc(nucleus pulposus) 80.51excision of other intraspinallesion(tumor) 03.4reopening of site 03.02Laminography --see RadiographyLaminoplasty, expansile 03.09Laminotomy (decompression)(for exploration) 03.09as operative approach --omit codereopening of site 03.02Langenbeck operation(cleft palate repair)27.62Laparoamnioscopy 75.31Laparorrhaphy 54.63Laparoscopy 54.21withbiopsy (intra- abdominal) 54.24uterine ligaments 68.15uterus 68.16destruction of fallopian tubes--see Destruction, fallopian tubeLaparotomy NEC 54.19as operative approach --omit codeexploratory (pelvic) 54.11reopening of recent operative site (for controlof hemorrhage) (for exploration) (forincision of hematoma) 54.12Laparotrachelotomy 74.1Lapidus operation (bunionectomy withmetatarsal osteotomy) 77.51Larry operation (shoulder disarticulation)84.08Laryngectomywith radical neck dissection (withsynchronous thyroidectomy) (withsynchronous tracheostomy) 30.4complete (with partial laryngectomy)(with synchronous tracheostomy) 30.3with radical neck dissection (withsynchronous thyroidectomy) (withsynchronous tracheostomy) 30.4Laryngectomy---Cont.frontolateral partial (extended) 30.29glottosupraglottic partial 30.29lateral partial 30.29partial (frontolateral) (glottosupraglottic)(lateral) (submucous) (supraglottic)(vertical) 30.29radical (with synchronous thyroidectomy)(with synchronous tracheostomy) 30.4submucous (partial) 30.29supraglottic partial 30.29total (with partial pharyngectomy) (withsynchronous tracheostomy) 30.3with radical neck dissection (withsynchronous thyroidectomy) (withsynchronous tracheostomy) 30.4vertical partial 30.29wide field 30.3Laryngocentesis 31.3Laryngoesophagectomy 30.4Laryngofissure 30.29Laryngogram 87.09contrast 87.07Laryngopharyngectomy (with synchronoustracheostomy) 30.3radical(with synchronous thyroidectomy) 30.4Laryngopharyngoesophagectomy (withsynchronous tracheostomy) 30.3with radical neck dissection (withsynchronous thyroidectomy) 30.4Laryngoplasty 31.69Laryngorrhaphy 31.61Laryngoscopy (suspension) (through artificialstoma) 31.42Laryngostomy (permanent) 31.29revision 31.63temporary (emergency) 31.1Laryngotomy 31.3Laryngotracheobronchoscopy 33.23with biopsy 33.24Laryngotracheoscopy 31.42Laryngotracheostomy (permanent) 31.29temporary (emergency) 31.1Laryngotracheotomy (temporary) 31.1permanent 31.29Laser --see also Coagulation, Destruction, andPhotocoagulation by siteangioplasty, percutaneous transluminal 39.59coronary --see Angioplasty, coronaryLaser interstitial thermal therapy (LITT)under guidancelesionbrain 17.61breast 17.69head and neck 17.62liver 17.63377

ICD-9-CM INDEX TO PROCEDURES (FY10)Laser interstitial thermal therapy- lesion---Cont.lung 17.69prostate 17.69thyroid 17.62Lash operationinternal cervical os repair 67.59laparoscopic supracervical hysterectomy68.31LASIK(Laser- assisted in situ keratomileusis)11.71Latzko operationcesarean section 74.2colpocleisis 70.8Lavageantral 22.00bronchus NEC 96.56diagnostic (endoscopic) bronchoalveolarlavage (BAL) 33.24endotracheal 96.56gastric 96.33lung (total)(whole) 33.99diagnostic (endoscopic) bronchoalveolarlavage (BAL) 33.24nasal sinus(es) 22.00by puncture 22.01through natural ostium 22.02peritoneal (diagnostic) 54.25trachea NEC 96.56Leadbetter operation (urethralreconstruction) 58.46Leadbetter-Politano operation(ureteroneocystostomy) 56.74LEEP(loop electrosurgical excision procedure) ofcervix 67.32Le Fort operation (colpocleisis) 70.8LeMesurier operation (cleft lip repair) 27.54Lengtheningbone (with bone graft) 78.30femur 78.35for reconstruction of thumb 82.69specified site NEC --see also category78.3, 78.39tibia 78.37ulna 78.33extraocular muscle NEC 15.21multiple (two or more muscles) 15.4fascia 83.89hand 82.89hamstring NEC 83.85heel cord 83.85legfemur 78.35tibia 78.37levator palpebrae muscle 08.38muscle 83.85extraocular 15.21multiple (two or more muscles) 15.4hand 82.55Lengthening ---Cont.palate 27.62secondary or subsequent 27.63tendon 83.85for claw toe repair 77.57hand 82.55Leriche operation (periarterialsympathectomy) 05.25Leucotomy, leukotomy 01.32Leukopheresis, therapeutic 99.72Lid suture operation (blepharoptosis) 08.31Ligationadrenal vessel (artery) (vein) 07.43aneurysm 39.52appendages, dermal 86.26arteriovenous fistula 39.53coronary artery 36.99artery 38.80abdominal 38.86adrenal 07.43aorta (arch)(ascending)(descending)38.84coronary (anomalous) 36.99ethmoidal 21.04external carotid 21.06for control of epistaxis--see Control,epistaxishead and neck NEC 38.82intracranial NEC 38.81lower limb 38.88maxillary (transantral) 21.05middle meningeal 02.13thoracic NEC 38.85thyroid 06.92upper limb 38.83atrium, heart 37.99auricle, heart 37.99bleeding vessel --see Control, hemorrhageblood vessel 38.80abdominalartery 38.86vein 38.87adrenal 07.43aorta (arch)(ascending)(descending) 38.84esophagus 42.91endoscopic 42.33head and neck 38.82intracranial NEC 38.81lower limbartery 38.88vein 38.89meningeal (artery) (longitudinal sinus) 02.13thoracic NEC 38.85thyroid 06.92upper limb (artery) (vein) 38.83bronchus 33.92cisterna chyli 40.64coronaryartery (anomalous) 36.99sinus 36.39378

ICD-9-CM INDEX TO PROCEDURES (FY10) L.Ligation---Cont.dermal appendage 86.26ductus arteriosus, patent 38.85esophageal vessel 42.91endoscopic 42.33ethmoidal artery 21.04external carotid artery 21.06fallopian tube (bilateral) (remaining)(solitary) 66.39by endoscopy (culdoscopy) (hysteroscopy)(laparoscopy) (peritoneoscopy) 66.29withcrushing 66.31by endoscopy (laparoscopy) 66.21division 66.32by endoscopy (culdoscopy)(laparoscopy) (peritoneoscopy)66.22Falope ring 66.39by endoscopy (laparoscopy) 66.29unilateral 66.92fistula, arteriovenous 39.53coronary artery 36.99gastricartery 38.86varices 44.91endoscopic 43.41hemorrhoids 49.45longitudinal sinus (superior) 02.13lymphatic (channel) (peripheral) 40.9thoracic duct 40.64maxillary artery 21.05meningeal vessel 02.13spermaticcord 63.72varicocele 63.1vein (high) 63.1splenic vessels 38.86subclavian artery 38.85superior longitudinal sinus 02.13supernumerary digit 86.26thoracic duct 40.64thyroid vessel (artery) (vein) 06.92toes (supernumerary) 86.26tooth 93.55impacted 24.6ulcer (peptic) (base) (bed) (bleeding vessel)44.40duodenal 44.42gastric 44.41ureter 56.95varicesesophageal 42.91endoscopic 42.33gastric 44.91endoscopic 43.41peripheral vein (lower limb) 38.59upper limb 38.53varicocele 63.1Ligation---Cont.vas deferens 63.71vein 38.80abdominal 38.87adrenal 07.43head and neck NEC 38.82intracranial NEC 38.81lower limb 38.89spermatic, high 63.1thoracic NEC 38.85thyroid 06.92upper limb 38.83varicose 38.50abdominal 38.57esophagus 42.91endoscopic 42.33gastric 44.91endoscopic 43.41head and neck 38.52intracranial NEC 38.51lower limb 38.59stomach 44.91thoracic NEC 38.55upper limb 38.53vena cava, inferior 38.7venous connection between anomalousvein toleft innominate vein 35.82superior vena cava 35.82wart 86.26Light coagulation --see PhotocoagulationLindholm operation (repair of rupturedtendon) 83.88Lingulectomy, lung 32.39Linton operation (varicose vein) 38.59Lipectomy (subcutaneous tissue)(abdominal) (submental) 86.83Liposuction 86.83Lip reading training 95.49Lip shave 27.43Lisfranc operationfoot amputation 84.12shoulder disarticulation 84.08Litholapaxy, bladder 57.0by incision 57.19Lithotomybile passage 51.49bladder (urinary) 57.19common duct 51.41percutaneous 51.96gallbladder 51.04hepatic duct 51.49kidney 55.01percutaneous 55.03ureter 56.2Lithotripsybile duct NEC 51.49extracorporeal shockwave(ESWL) 98.52379

ICD-9-CM INDEX TO PROCEDURES (FY10)Lithotripsy ---Cont.bladder 57.0with ultrasonic fragmentation57.0[59.95]extracorporeal shockwave (ESWL) 98.51extracorporeal shockwave (ESWL) NEC 98.59bile duct 98.52bladder (urinary) 98.51gallbladder 98.52kidney 98.51Kock pouch 98.51renal pelvis 98.51specified site NEC 98.59ureter 98.51gallbladder NEC 51.04endoscopic 51.88extracorporeal shockwave (ESWL) 98.52kidney 56.0extracorporeal shockwave (ESWL) 98.51percutaneous nephrostomy withfrag- mentation (laser) (ultrasound)55.04renal pelvis 56.0extracorporeal shockwave (ESWL) 98.51percutaneous nephrostomy withfragmentation (laser) (ultrasound)55.04ureter 56.0extracorporeal shockwave (ESWL) 98.51LITT (laser interstitial thermal therapy)under guidancelesionbrain 17.61breast 17.69head and neck 17.62liver 17.63lung 17.69prostate 17.69thyroid 17.62Littlewood operation (forequarteramputation) 84.09LLETZ (large loop excision of thetransformation zone) of cervix 67.32Lloyd-Davies operation (abdominoperinealresection), NOS 48.50laparoscopic 48.51open 48.52other 48.59Lobectomybrain 01.53partial 01.59liver (with partial excision of adjacent lobes)50.3lung (complete) 32.49partial 32.39thoracoscopic 32.30segmental (with resection of adjacentlobes) 32.49thoracoscopic 32.41thoracoscopic 32.41Lobectomy ---Cont.thyroid (total) (unilateral) (with removal ofisthmus) (with removal of portion ofremaining lobe) 06.2partial --see also Thyroidectomy,partial 06.39substernal 06.51subtotal --see also Thyroidectomy, partial06.39Lobotomy, brain 01.32Localization, placenta 88.78by RISA injection 92.17Longmire operation (bile duct anastomosis)51.39Loop ileal stoma (see also Ileostomy) 46.01Loopogram 87.78Looposcopy (ileal conduit)380

ICD-9-CM INDEX TO PROCEDURES (FY10) L.Lysis adhesions ---Cont.bladder (neck) (intraluminal) 57.12external 59.11laparoscopic 59.12transurethral 57.41blood vessels 39.91bone --see category 78.4bursa 83.91by stretching or manipulation 93.28hand 82.91cartilage of joint 93.26chest wall 33.99choanae (nasopharynx) 29.54conjunctiva 10.5corneovitreal 12.34cortical (brain) 02.91ear, middle 20.23Eustachian tube 20.8extraocular muscle 15.7extrauterine 54.59laparoscopic 54.51eyelid 08.09and conjunctiva 10.5eye muscle 15.7fallopian tube 65.89laparoscopic 65.81fascia 83.91hand 82.91by stretching or manipulation 93.26gallbladder 54.59laparoscopic 54.51ganglion (peripheral) NEC 04.49cranial NEC 04.42hand 82.91by stretching or manipulation 93.26heart 37.10intestines 54.59laparoscopic 54.51iris (posterior) 12.33anterior 12.32joint (capsule) (structure) --see alsoDivision, joint capsule 80.40kidney 59.02laparoscopic 59.03labia (vulva) 71.01larynx 31.92liver 54.59laparoscopic 54.51lung (for collapse of lung) 33.39mediastinum 34.99meninges (spinal) 03.6cortical 02.91middle ear 20.23muscle 83.91by stretching or manipulation 93.27extraocular 15.7hand 82.91by stretching or manipulation 93.26nasopharynx 29.54Lysis adhesions ---Cont.nerve (peripheral) NEC 04.49cranial NEC 04.42roots, spinal 03.6trigeminal 04.41nose, nasal 21.91ocular muscle 15.7ovary 65.89laparoscopic 65.81pelvic 54.59laparoscopic 54.51penile 64.93pericardium 37.12perineal (female) 71.01peripheral vessels 39.91perirectal 48.81perirenal 59.02laparoscopic 59.03peritoneum (pelvic) 54.59laparoscopic 54.51periureteral 59.02laparoscopic 59.03perivesical 59.11laparoscopic 59.12pharynx 29.54pleura (for collapse of lung) 33.39spermatic cord 63.94spinal (cord) (meninges) (nerve roots) 03.6spleen 54.59laparoscopic 54.51tendon 83.91by stretching or manipulation 93.27hand 82.91by stretching or manipulation 93.26thorax 34.99tongue 25.93trachea 31.92tubo- ovarian 65.89laparoscopic 65.81ureter 59.02with freeing or repositioning of ureter59.02intraluminal 56.81laparoscopic 59.03urethra (intraluminal) 58.5uterus 54.59intraluminal 68.21laparoscopic 54.51peritoneal 54.59laparoscopic 54.51vagina (intraluminal) 70.13vitreous (posterior approach) 14.74anterior approach 14.73vulva 71.01goniosynechiae (with injection of air or liquid)12.31synechiae (posterior) 12.33anterior (with injection of air or liquid)12.32381

ICD-9-CM INDEX TO PROCEDURES (FY10)MMadlener operation (tubal ligation) 66.31Magnet extractionforeign bodyanterior chamber, eye 12.01choroid 14.01ciliary body 12.01conjunctiva 98.22cornea 11.0eye, eyeball NEC 98.21anterior segment 12.01posterior segment 14.01intraocular (anterior segment) 12.01iris 12.01lens 13.01orbit 98.21retina 14.01sclera 12.01vitreous 14.01Magnetic resonance imaging (nuclear)--see Imaging, magnetic resonanceMagnuson (-Stack) operation (arthroplastyfor recurrent shoulder dislocation) 81.82--see category 17.4Malleostapediopexy 19.19with incus replacement 19.11Malström's vacuum extraction 72.79with episiotomy 72.71Mammaplasty --see MammoplastyMammectomy --see also Mastectomysubcutaneous (unilateral) 85.34with synchronous implant 85.33bilateral 85.36with synchronous implant 85.35Mammilliplasty 85.87Mammography NEC 87.37Mammoplasty 85.89withfull- thickness graft 85.83muscle flap 85.85pedicle graft 85.84split- thickness graft 85.82amputative (reduction) (bilateral) 85.32unilateral 85.31augmentation 85.50withbreast implant (bilateral) 85.54unilateral 85.53injection into breast (bilateral) 85.52unilateral 85.51reduction (bilateral) 85.32unilateral 85.31revision 85.89size reduction (gynecomastia) (bilateral)85.32unilateral 85.31Mammotomy 85.0Manchester (-Donald) (-Fothergill)operation (uterine suspension) 69.22Mandibulectomy (partial) 76.31total 76.42with reconstruction 76.41Maneuver (method)Bracht 72.52Credé 73.59De Lee (key- in- lock) 72.4Kristeller 72.54Loveset's (extraction of arms in breechbirth) 72.52Mauriceau (- Smellie- Veit) 72.52Pinard (total breech extraction) 72.54Prague 72.52Ritgen 73.59Scanzoni (rotation) 72.4Van Hoorn 72.52Wigand- Martin 72.52Manipulationwith reduction of fracture or dislocation--see Reduction, fracture andReduction, dislocationenterostomy stoma (with dilation) 96.24intestine (intra- abdominal) 46.80large 46.82small 46.81jointadhesions 93.26temporomandibular 76.95dislocation --see Reduction, dislocationlacrimal passage (tract) NEC 09.49muscle structures 93.27musculoskeletal(physical therapy) NEC 93.29nasal septum, displaced 21.88osteopathic NEC 93.67for general mobilization (generalarticulation) 93.61high- velocity, low- amplitude forces(thrusting) 93.62indirect forces 93.65isotonic, isometric forces 93.64low- velocity, high- amplitude forces(springing) 93.63to move tissue fluids 93.66rectum 96.22salivary duct 26.91stomach, intraoperative 44.92temporomandibular joint NEC 76.95ureteral calculus by catheterwith removal 56.0without removal 59.8382

ICD-9-CM INDEX TO PROCEDURES (FY10) M.Manipulation ---Cont.uterus NEC 69.98gravid 75.99invertedmanual replacement (followingdelivery) 75.94surgical --see Repair, inverted uterusManometryesophageal 89.32spinal fluid 89.15urinary 89.21Manual arts therapy 93.81Mappingcardiac (electrophysiologic) 37.27doppler (flow) 88.72electrocardiogram only 89.52Marckwald operation (cervical os repair)67.59Marshall-Marchetti (- Krantz) operation(retropubic urethral suspension) 59.5Marsupialization --see also Destruction,lesion, by sitecystBartholin's 71.23brain 01.59cervical (nabothian) 67.31dental 24.4dentigerous 24.4kidney 55.31larynx 30.01liver 50.21ovary 65.21laparoscopic 65.23pancreas 52.3pilonidal (open excision) (with partialclosure) 86.21salivary gland 26.21spinal (intraspinal) (meninges) 03.4spleen, splenic 41.41lesionbrain 01.59cerebral 01.59liver 50.21pilonidal cyst or sinus (open excision)(with partial closure) 86.21pseudocyst, pancreas 52.3ranula, salivary gland 26.21Massagecardiac (external) (manual) (closed) 99.63open 37.91prostatic 99.94rectal (for levator spasm) 99.93MAST (military anti- shock trousers) 93.58Mastectomy (complete) (prophylactic)(simple) (unilateral) 85.41withexcision of regional lymph nodes 85.43bilateral 85.44Mastectomy -with ---Cont.preservation of skin and nipple 85.34with synchronous implant 85.33bilateral 85.36with synchronous implant 85.35bilateral 85.42extendedradical (Urban) (unilateral) 85.47bilateral 85.48simple (with regional lymphadenectomy)(unilateral) 85.43bilateral 85.44modified radical (unilateral) 85.43bilateral 85.44partial 85.23radical (Halsted) (Meyer) (unilateral) 85.45bilateral 85.46extended (Urban) (unilateral) 85.47bilateral 85.48modified (unilateral) 85.43bilateral 85.44subcutaneous 85.34with synchronous implant 85.33bilateral 85.36with synchronous implant 85.35subtotal 85.23Masters' stress test (two- step) 89.42Mastoidectomy (cortical)(conservative) 20.49complete (simple) 20.41modified radical 20.49radical 20.42modified 20.49simple (complete) 20.41Mastoidotomy 20.21Mastoidotympanectomy 20.42Mastopexy 85.6Mastoplasty --see MammoplastyMastorrhaphy 85.81Mastotomy 85.0Matas operation (aneurysmorrhaphy) 39.52Mayo operationbunionectomy 77.59herniorrhaphylaparoscopic 53.43with graft or prosthesis 53.42other and open with graft or prosthesis53.41other open 53.49vaginal hysterectomy 68.59laparoscopically assisted (LAVH) 68.51Mazet operation (knee disarticulation) 84.16McBride operation (bunionectomy with softtissue correction) 77.53McBurney operation --see Repair, hernia,inguinalMcCall operation (enterocele repair) 70.92McCauley operation(release of clubfoot) 83.84McDonald operation (encirclement suture,cervix) 67.59383

ICD-9-CM INDEX TO PROCEDURES (FY10)McIndoe operation (vaginal construction)70.61with graft or prosthesis 70.63McKeever operation (fusion of firstmetatarsophalangeal joint for halluxvalgus repair) 77.52McKissock operation (breast reduction)85.33McReynolds operation (transposition ofpterygium) 11.31McVay operationfemoral hernia --see Repair, hernia,femoralinguinal hernia --see Repair, hernia,inguinalMeasurementairway resistance 89.38anatomic NEC 89.39arterial blood gases 89.65basal metabolic rate (BMR) 89.39blood gasesarterial 89.65continuous intra- arterial 89.60venous 89.66body 93.07cardiac output (by)Fick method 89.67indicator dilution technique 89.68oxygen consumption technique 89.67thermodilution indicator 89.68cardiovascular NEC 89.59central venous pressure 89.62coronary blood flow 89.69fractional flow reserve (FFR) 00.59intravascular pressure measurement00.59gastric function NEC 89.39girth 93.07intelligence 94.01intracranial pressure 01.10intraocular tension or pressure 89.11as part of extended ophthalmologicwork- up 95.03intrauterine pressure 75.35intravascular pressure 00.69coronary 00.59iliac 00.69intra- abdominal 00.69intrathoracic 00.67aorta 00.67aortic arch 00.67carotid 00.67mesenteric 00.69peripheral 00.68renal 00.69limb length 93.06lung volume 89.37mixed venous blood gases 89.66physiologic NEC 89.39portovenous pressure 89.62pulmonary airway flow, endoscopic 33.72Measurement ---Cont.range of motion 93.05renal clearance 89.29respiratory NEC 89.38skin fold thickness 93.07skull circumference 93.07sphincter of Oddi pressure 51.15systemic arterialblood gases 89.65continuous intra- arterial 89.60pressure 89.61urine (bioassay) (chemistry) 89.29vascular 89.59venous blood gases 89.66vital capacity (pulmonary) 89.37Meatoplastyear 18.6urethra 58.47Meatotomyureter 56.1urethra 58.1internal 58.5Mechanical ventilation --see VentilationMediastinectomy 34.3Mediastinoscopy 34.22Mediastinotomy (Chamberlain procedure) 34.1with pneumonectomy 32.59thoracoscopic 32.50Meloplasty, facial 86.82Meningeorrhaphy (cerebral) 02.12spinal NEC 03.59formeningocele 03.51myelomeningocele 03.52Meniscectomy (knee) NEC 80.6acromioclavicular 80.91sternoclavicular 80.91temporomandibular (joint) 76.5wrist 80.93Menstrual extraction or regulation 69.6Mentoplasty (augmentation) (with graft)(with implant) 76.68reduction 76.67Mesenterectomy 54.4Mesenteriopexy 54.75Mesenteriplication 54.75Mesocoloplication 54.75Mesopexy 54.75Metatarsectomy 77.98Metroplasty 69.49Mid forceps delivery 72.29Mikulicz operation (exteriorization of intestine)(first stage) 46.03second stage 46.04Miles operation (proctectomy), NOS 48.50laparoscopic 48.51open 48.52other 48.59Military anti-shock trousers (MAST) 93.58384

ICD-9-CM INDEX TO PROCEDURES (FY10) M.Millard operation (cheiloplasty) 27.54Miller operationmidtarsal arthrodesis 81.14urethrovesical suspension 59.4Millin-Read operation (urethrovesicalsuspension) 59.4Mist therapy 93.94Mitchell operation(hallux valgus repair) 77.51Mobilizationjoint NEC 93.16mandible 76.95neostrophingic (mitral valve) 35.12spine 93.15stapes (transcrural) 19.0testis in scrotum 62.5Mohs operation (chemosurgical excision ofskin) 86.24Molegraphy 87.81MonitoringBIS (bispectral index) monitoring00.94 [ 89.14]brain temperature 01.17cardiac output (by)ambulatory (ACM) 89.50electrographic 89.54during surgery --omit codeFick method 89.67Holter- type device 89.50indicator dilution technique 89.68intracardiac or great vessel hemodynamicsensor (lead) 00.56subcutaneous device 00.57oxygen consumption technique 89.67specified technique NEC 89.68telemetry (cardiac) 89.54thermodilution indicator 89.68transesophageal (Doppler)(ultrasound) 89.68central venous pressure 89.62circulatory NEC 89.69continuous intra- arterial blood gas 89.60coronary blood flow (coincidencecounting technique) 89.69fractional flow reserve (FFR) 00.59intravascular pressure measurement00.59electroencephalographic 89.19radio- telemetered 89.19video 89.19fetus (fetal heart)antepartumnonstress (fetal activity accelerationdeterminations) 75.34oxytocin challenge (contractionstress test) 75.35ultrasonography (early pregnancy)(Doppler) 88.78Monitoring - fetus ---Cont.intrapartum (during labor)(extrauterine) (external) 75.34ausculatory (stethoscopy) --omit codeinternal (with contraction measurements)(ECG) 75.32intrauterine (direct) (ECG) 75.32phonocardiographic (extrauterine)75.34pulsed ultrasound (Doppler) 88.78transcervical fetal oxygen saturationmonitoring 75.38transcervical fetal SpO 2monitoring75.38Holter- type device (cardiac) 89.50IAEMT (intraoperative anesthetic effectmonitoring and titration) 00.94 [ 89.14]intra- aneursym sac pressure 00.58intracranial oxygen 01.16intracranial pressure 01.10intraoperative anesthetic effect monitoringand titration (IAEMT) 00.94 [ 89.14]intravascular pressure 00.69coronary 00.59iliac 00.69intra- abdominal 00.69intrathoracic 00.67aorta 00.67aortic arch 00.67carotid 00.67mesenteric 00.69peripheral 00.68renal 00.69neurophysiologicintra- operative 00.94partial pressure of brain oxygen (PbtO 2)01.16pulmonary arterypressure 89.63wedge 89.64sleep (recording) --see categories 89.17- 89.18systemic arterial pressure 89.61intra- aneursym sac pressure 00.58telemetry (cardiac) 89.54transesophageal cardiac output(Doppler)89.68ventricular pressure (cardiac) 89.62Moore operation (arthroplasty) 81.52Moschowitzenterocele repair 70.92with graft or prosthesis 70.93herniorrhaphy --see Repair, hernia, femoralsigmoidopexy 46.63Mountain resort sanitarium 93.98Mouth-to-mouth resuscitation 93.93Moxibustion 93.35MRI --see Imaging, magnetic resonanceMuller operation (banding of pulmonaryartery) 38.85Multiple sleep latency test (MSLT) 89.18385

ICD-9-CM INDEX TO PROCEDURES (FY10)Mumford operation (partial claviculectomy)77.81Musculoplasty --see also Repair, muscle 83.87hand --see also Repair, muscle, hand 82.89Music therapy 93.84Mustard operation (interatrialtransposition of venous return) 35.91Myectomy 83.45anorectal 48.92eye muscle 15.13multiple 15.3for graft 83.43hand 82.34hand 82.36for graft 82.34levator palpebrae 08.33rectal 48.92Myelogram, myelography (air) (gas) 87.21posterior fossa 87.02Myelotomyspine, spinal (cord) (tract) (one- stage)(two- stage) 03.29percutaneous 03.21Myocardiectomy (infarcted area) 37.33Myocardiotomy 37.11Myoclasis 83.99hand 82.99Myomectomy (uterine) 68.29broad ligament 69.19Myoplasty --see also Repair, muscle 83.87hand --see also Repair, muscle, hand 82.89mastoid 19.9Myorrhaphy 83.65hand 82.46Myosuture 83.65hand 82.46Myotasis 93.27Myotenontoplasty --see also Repair, tendon83.88hand 82.86Myotenoplasty --see also Repair, tendon 83.88hand 82.86Myotenotomy 83.13hand 82.11Myotomy 83.02with division 83.19hand 82.19colon NEC 46.92sigmoid 46.91cricopharyngeal 29.31that for pharyngeal (pharyngoesophageal)diverticulectomy 29.32esophagus 42.7eye (oblique) (rectus) 15.21multiple (two or more muscles) 15.4hand 82.02with division 82.19levator palpebrae 08.38sigmoid (colon) 46.91Myringectomy 20.59Myringodectomy 20.59Myringomalleolabyrinthopexy 19.52Myringoplasty (epitympanic, type I)(by cauterization) (by graft) 19.4revision 19.6Myringostapediopexy 19.53Myringostomy 20.01Myringotomy (with aspiration) (withdrainage) 20.09with insertion of tube or drainagedevice (button) (grommet) 20.01386

ICD-9-CM INDEX TO PROCEDURES (FY10) N.NNailing, intramedullarywith fracture reduction --see Reduction,fracture with internal fixationinternal (without fracture reduction) 78.50Narcoanalysis 94.21Narcosynthesis 94.21Narrowing, palpebral fissure 08.51Nasopharyngogram 87.09contrast 87.06Necropsy 89.8Needleoscopy (fetus) 75.31NeedlingBartholin's gland (cyst) 71.21cataract (secondary) 13.64fallopian tube 66.91hydrocephalic head 73.8lens (capsule) 13.2pupillary membrane (iris) 12.35Nephrectomy (complete) (total) (unilateral)55.51bilateral 55.54partial (wedge) 55.4remaining or solitary kidney 55.52removal transplanted kidney 55.53Nephrocolopexy 55.7Nephrocystanastomosis NEC 56.73Nephrolithotomy 55.01Nephrolysis 59.02laparoscopic 59.03Nephropexy 55.7Nephroplasty 55.89Nephropyeloplasty 55.87Nephropyeloureterostomy 55.86Nephrorrhaphy 55.81Nephroscopy 55.21Nephrostolithotomy, percutaneous 55.03Nephrostomy (with drainage tube) 55.02closure 55.82percutaneous 55.03with fragmentation (ultrasound) 55.04Nephrotomogram, nephrotomography NEC87.72Nephrotomy 55.01Nephroureterectomy (with bladder cuff)55.51Nephroureterocystectomy 55.51 [57.79]Nerve block (cranial) (peripheral) NEC--see also Block, by site 04.81Neurectasis (cranial) (peripheral) 04.91Neurectomy (cranial) (infraorbital) (occipital)(peripheral) (spinal) NEC 04.07gastric (vagus)--see also Vagotomy 44.00opticociliary 12.79paracervical 05.22Neurectomy ---Cont.presacral 05.24retrogasserian 04.07sympathetic --see Sympathectomytrigeminal 04.07tympanic 20.91Neurexeresis NEC 04.07Neuroablationradiofrequency 04.2Neuroanastomosis(cranial)(peripheral) NEC04.74accessory- facial 04.72accessory- hypoglossal 04.73hypoglossal- facial 04.71Neurolysis (peripheral nerve) NEC 04.49carpal tunnel 04.43cranial nerve NEC 04.42spinal (cord) (nerve roots) 03.6tarsal tunnel 04.44trigeminal nerve 04.41Neuromonitoringintra- operative 00.94Neuroplasty (cranial) (peripheral) NEC 04.79of old injury (delayed repair) 04.76revision 04.75Neurorrhaphy (cranial) (peripheral) 04.3Neurotomy(cranial)(peripheral)(spinal) NEC04.04acoustic 04.01glossopharyngeal 29.92lacrimal branch 05.0retrogasserian 04.02sympathetic 05.0vestibular 04.01Neurotripsy (peripheral) NEC 04.03trigeminal 04.02Nicola operation (tenodesis for recurrentdislocation of shoulder) 81.82Nimodipine, infusion 99.75NIPS (non- invasive programmed electricalstimulation) 37.20Nissen operation (fundoplication of stomach)44.66laparoscopic 44.67Noble operation(plication of small intestine)46.62Norman Miller operation (vaginopexy) 70.77with graft or prosthesis 70.78Norton operation (extraperitoneal cesareansection) 74.2Nuclear magnetic resonance imaging--see Imaging, magnetic resonanceNutrition, concentrated substancesenteral infusion (of) 96.6parenteral, (total) 99.15peripheral parenteral 99.15387

ICD-9-CM INDEX TO PROCEDURES (FY10)OOber (-Yount) operation (gluteal- iliotibialfasciotomy) 83.14Obliterationbone cavity --see also Osteoplasty 78.40calyceal diverticulum 55.39canaliculi 09.6cerebrospinal fistula 02.12cul- de- sac 70.92with graft or prosthesis 70.93frontal sinus (with fat) 22.42lacrimal punctum 09.91lumbar pseudomeningocele 03.51lymphatic structure(s) (peripheral) 40.9maxillary sinus 22.31meningocele (sacral) 03.51pelvic 68.8pleural cavity 34.6sacral meningocele 03.51Skene's gland 71.3tympanomastoid cavity 19.9vagina, vaginal (partial) (total) 70.4vault 70.8Occlusal molds (dental) 89.31Occlusionarteryby embolization- see Embolization,arteryby endovascular approach--see Embolization, arteryby ligation --see Ligation, arteryfallopian tube --see Ligation,fallopian tubepatent ductus arteriosus (PDA) 38.85veinby embolization --see Embolization, veinby endovascular approach- see Embolization, veinby ligation --see Ligation, veinvena cava (surgical) 38.7Occupational therapy 93.83OCT (optical coherence tomography)(intravascular imaging)coronary vessel(s) 38.24non- coronary vessel(s) 38.25O'Donoghue operation (triad knee repair) 81.43Odontectomy NEC --see also Removal, tooth,surgical 23.19Oleothorax 33.39Olshausen operation (uterine suspension)69.22Omentectomy 54.4Omentofixation 54.74Omentopexy 54.74Omentoplasty 54.74Omentorrhaphy 54.74Omentotomy 54.19Omphalectomy 54.3Onychectomy 86.23Onychoplasty 86.86Onychotomy 86.09with drainage 86.04Oophorectomy (unilateral) 65.39with salpingectomy 65.49laparoscopic 65.41bilateral (same operative episode) 65.51laparoscopic 65.53with salpingectomy 65.61laparoscopic 65.63laparoscopic 65.31partial 65.29laparoscopic 65.25wedge 65.22that by laparoscope 65.24remaining ovary 65.52laparoscopic 65.54with tube 65.62laparoscopic 65.64Oophorocystectomy 65.29laparoscopic 65.25Oophoropexy 65.79Oophoroplasty 65.79Oophororrhaphy 65.71laparoscopic 65.74Oophorostomy 65.09laparoscopic 65.01Oophorotomy 65.09laparoscopic 65.01Openingbony labyrinth (ear) 20.79cranial suture 02.01heart valveclosed heart technique--see Valvulotomy, by siteopen heart technique--see Valvuloplasty, by sitespinal dura 03.09OperationAbbeconstruction of vagina 70.61with graft or prosthesis 70.63intestinal anastomosis--see Anastomosis,intestineabdominal (region) NEC 54.99abdominoperineal NOS 48.50laparoscopic 48.51open 48.52other 48.59Aburel (intra- amniotic injection forabortion) 75.0Adamsadvancement of round ligament 69.22crushing of nasal septum 21.88excision of palmar fascia 82.35adenoids NEC 28.99388

ICD-9-CM INDEX TO PROCEDURES (FY10) O.Operation ---Cont.adrenal (gland) (nerve) (vessel) NEC 07.49Albeebone peg, femoral neck 78.05graft for slipping patella 78.06sliding inlay graft, tibia 78.07Albert (arthrodesis, knee) 81.22Aldridge (- Studdiford) (urethral sling) 59.5Alexanderprostatectomyperineal 60.62suprapubic 60.3shortening of round ligaments of uterus69.22Alexander- Adams (shortening of roundligaments of uterus) 69.22Almoor (extrapetrosal drainage) 20.22Altemeier (perineal rectal pull- through) 48.49Ammon (dacryocystotomy) 09.53Anderson (tibial lengthening) 78.37Anel (dilation of lacrimal duct) 09.42anterior chamber (eye) NEC 12.99anti- incontinence NEC 59.79antrum window (nasal sinus) 22.2with Caldwell- Luc approach 22.39anus NEC 49.99aortic body NEC 39.8aorticopulmonary window 39.59appendix NEC 47.99Arslan (fenestration of inner ear) 20.61artery NEC 39.99Asai (larynx) 31.75Baffes (interatrial transposition of venousreturn) 35.91Baldy- Webster (uterine suspension) 69.22Ballherniorrhaphy--see Repair, hernia, inguinalundercutting 49.02Bankhart (capsular repair into glenoid, forshoulder dislocation) 81.82Bardenheurer (ligation of innominate artery)38.85Barkan (goniotomy) 12.52with goniopuncture 12.53Barr (transfer of tibialis posterior tendon)83.75Barsky (closure of cleft hand) 82.82Bassett (vulvectomy with inguinal lymphnode dissection) 71.5 [40.3]Bassini (herniorrhaphy) --see Repair, hernia,inguinalBatch- Spittler- McFaddin (knee disarticulation)84.16Batista (partial ventriculectomy)(ventricularreduction)(ventricular remodeling) 37.35Beck I (epicardial poudrage) 36.39Beck II (aorta- coronary sinus shunt) 36.39Beck- Jianu (permanent gastrostomy) 43.19Operation ---Cont.Bell- Beuttner (subtotal abdominalhysterectomy) 68.39Belsey (esophagogastric sphincter) 44.65Benenenti (rotation of bulbous urethra)58.49Berke (levator resection eyelid) 08.33Biesenberger (size reduction of breast,bilateral) 85.32unilateral 85.31Bigelow (litholapaxy) 57.0biliary (duct) (tract) NEC 51.99Billroth I (partial gastrectomy withgastroduodenostomy) 43.6Billroth II (partial gastrectomy withgastrojejunostomy) 43.7Binnie (hepatopexy) 50.69Bischoff (ureteroneocystostomy) 56.74bisection hysterectomy 68.39laparoscopic 68.31Bishoff (spinal myelotomy) 03.29bladder NEC 57.99flap 56.74Blalock (systemic- pulmonary anastomosis)39.0Blalock- Hanlon (creation of atrial septaldefect) 35.42Blalock- Taussig (subclavian- pulmonaryanastomosis) 39.0Blascovic (resection and advancement oflevator palpebrae superioris) 08.33blood vessel NEC 39.99Blountfemoral shortening(with blade plate) 78.25by epiphyseal stapling 78.25Boari (bladder flap) 56.74Bobb (cholelithotomy) 51.04bone NEC --see category 78.4facial 76.99injury NEC --see category 79.9marrow NEC 41.98skull NEC 02.99Bonney (abdominal hysterectomy) 68.49laparoscopic 68.41Borthen (iridotasis) 12.63Bostplantar dissection 80.48radiocarpal fusion 81.26Boswortharthroplasty for acromioclavicularseparation 81.83fusion of posterior lumbar spine 81.08for pseudarthrosis 81.38resection of radial head ligaments(for tennis elbow) 80.92shelf procedure, hip 81.40Bottle (repair of hydrocele of tunicavaginalis) 61.2Boyd (hip disarticulation) 84.18389

ICD-9-CM INDEX TO PROCEDURES (FY10)Operation ---Cont.brain NEC 02.99Brauer (cardiolysis) 37.10breast NEC 85.99Bricker (ileoureterostomy) 56.51Bristow (repair of shoulder dislocation) 81.82Brock (pulmonary valvulotomy) 35.03Brockman (soft tissue release for clubfoot)83.84bronchus NEC 33.98Browne (- Denis)(hypospadias repair) 58.45Brunschwig (temporary gastrostomy) 43.19buccal cavity NEC 27.99Bunnell (tendon transfer) 82.56Burch procedure (retropubic urethralsuspension for urinary stressincontinence) 59.5Burgess (amputation of ankle) 84.14bursa NEC 83.99hand 82.99bypass --see BypassCaldwell (sulcus extension) 24.91Caldwell- Luc (maxillary sinusotomy) 22.39with removal of membrane lining 22.31Callander (knee disarticulation) 84.16Campbellbone block, ankle 81.11fasciotomy (iliac crest) 83.14reconstruction of anterior cruciateligaments 81.45canthus NEC 08.99cardiac NEC 37.99septum NEC 35.98valve NEC 35.99carotid body or gland NEC 39.8Carroll and Taber (arthroplasty proximalinterphalangeal joint) 81.72Cattell (herniorrhaphy) 53.51Cecil (urethral reconstruction) 58.46cecum NEC 46.99cerebral (meninges) NEC 02.99cervix NEC 69.99Chandler (hip fusion) 81.21Charles (correction of lymphedema) 40.9Charnley (compression arthrodesis)ankle 81.11hip 81.21knee 81.22Cheatle- Henry --see Repair, hernia, femoralchest cavity NEC 34.99Chevalier- Jackson (partial laryngectomy) 30.29Child (radical subtotal pancreatectomy) 52.53Chopart (midtarsal amputation) 84.12chordae tendineae NEC 35.32choroid NEC 14.9ciliary body NEC 12.98cisterna chyli NEC 40.69Clagett (closure of chest wall followingopen flap drainage) 34.72Operation ---Cont.Clayton (resection of metatarsal headsand bases of phalanges) 77.88clitoris NEC 71.4cocked hat (metacarpal lengthening andtransfer of local flap) 82.69Cockett (varicose vein)lower limb 38.59upper limb 38.53Cody tack (perforation of footplate) 19.0Coffey (uterine suspension) (Meigs'modification) 69.22Cole (anterior tarsal wedge osteotomy)77.28Collis- Nissen (hiatal hernia repair) 53.80colon NEC 46.99Colonnaadductor tenotomy (first stage) 83.12hip arthroplasty (second stage) 81.40reconstruction of hip (second stage)81.40commando (radical glossectomy) 25.4conjunctiva NEC 83.12destructive NEC 10.33cornea NEC 11.99Coventry (tibial wedge osteotomy) 77.27Cox- maze procedure (ablation ordestruction of heart tissue) --seemaze procedureCrawford (tarso- frontalis sling of eyelid)08.32cul- de- sac NEC 70.92Culp- Deweerd (spiral flap pyeloplasty)55.87Culp- Scardino (ureteral flap pyeloplasty)55.87Curtis (interphalangeal joint arthroplasty)81.72cystocele NEC 70.51Dahlman (excision of esophagealdiverticulum) 42.31Dana (posterior rhizotomy) 03.1Danforth (fetal) 73.8Darrach (ulnar resection) 77.83Davis (intubated ureterotomy) 56.2de Grandmont (tarsectomy) 08.35Delormepericardiectomy 37.31proctopexy 48.76repair of prolapsed rectum 48.76thoracoplasty 33.34Denker (radical maxillary antrotomy)22.31Dennis- Varco (herniorrhaphy)--see Repair, hernia, femoralDenonvillier (limited rhinoplasty) 21.86dental NEC 24.99orthodontic NEC 24.8Derlacki (tympanoplasty) 19.4390

ICD-9-CM INDEX TO PROCEDURES (FY10) O.Operation ---Cont.diaphragm NEC 34.89Dickson (fascial transplant) 83.82Dickson- Diveley (tendon transfer andarthrodesis to correct claw toe) 77.57Dieffenbach (hip disarticulation) 84.18digestive tract NEC 46.99Doleris (shortening of round ligaments) 69.22D'Ombrain (excision of pterygium withcorneal graft) 11.32Dorrance (push- back operation forcleft palate) 27.62Dotter (transluminal angioplasty) 39.59Douglas (suture of tongue to lip formicrognathia) 25.59Doyle (paracervical uterinedenervation) 69.3Dühamel (abdominoperinealpull- through) 48.65Duhrssen (vaginofixation of uterus) 69.22Dunn (triple arthrodesis) 81.12duodenum NEC 46.99Dupuytrenfasciectomy 82.35fasciotomy 82.12with excision 82.35shoulder disarticulation 84.08Durham (- Caldwell) (transfer of bicepsfemoris tendon) 83.75DuToit and Roux (staplecapsulorrhaphy of shoulder) 81.82DuVries (tenoplasty) 83.88Dwyerfasciotomy 83.14soft tissue release NEC 83.84wedge osteotomy, calcaneus 77.28Eagleton (extrapetrosal drainage) 20.22ear (external) NEC 18.9middle or inner NEC 20.99Eden- Hybinette (glenoid bone block) 78.01Effler (heart) 36.2Eggerstendon release(patellar retinacula) 83.13tendon transfer (biceps femoris tendon)(hamstring tendon) 83.75Elliot(scleral trephination with iridectomy)12.61Ellis Jones(repair of peroneal tendon) 83.88Ellison (reinforcement of collateral ligament)81.44Elmslie- Cholmeley(tarsal wedge osteotomy)77.28Eloesserthoracoplasty 33.34thoracostomy 34.09Emmet (cervix) 67.61endorectal pull- through 48.41epididymis NEC 63.99esophagus NEC 42.99Operation ---Cont.Estes (ovary) 65.72laparoscopic 65.75Estlander (thoracoplasty) 33.34Evans (release of clubfoot) 83.84extraocular muscle NEC 15.9multiple (two or more muscles) 15.4with temporary detachment fromglobe 15.3revision 15.6single 15.29with temporary detachment fromglobe 15.19eyeball NEC 16.99eyelid(s) NEC 08.99face NEC 27.99facial bone or joint NEC 76.99fallopian tube NEC 66.99Farabeuf (ischiopubiotomy) 77.39Fasanella- Servatt(blepharoptosisrepair) 08.35fascia NEC 83.99hand 82.99female (genital organs) NEC 71.9hysterectomy NEC 68.9fenestration (aorta) 39.54Ferguson (hernia repair) 53.00Fick (perforation of footplate) 19.0filtering (for glaucoma) 12.79with iridectomy 12.65Finney (pyloroplasty) 44.29fistulizing, sclera NEC 12.69Foley (pyeloplasty) 55.87Fontan (creation of conduit betweenright atrium and pulmonary artery)35.94Fothergill(- Donald)(uterinesuspension) 69.22Fowlerarthroplasty of metacarpophalangealjoint 81.72release (mallet finger repair) 82.84tenodesis (hand) 82.85thoracoplasty 33.34Fox (entropion repair with wedgeresection) 08.43Franco (suprapubic cystotomy) 57.19Frank (permanent gastrostomy) 43.19Frazier (- Spiller) (subtemporaltrigeminal rhizotomy) 04.02Fredet- Ramstedt (pyloromyotomy)(with wedge resection) 43.3Frenckner (intrapetrosal drainage) 20.22Frickman (abdominal proctopexy) 48.75Frommel (shortening of uterosacralligaments) 69.22391

ICD-9-CM INDEX TO PROCEDURES (FY10)Operation ---Cont.Gabriel (abdominoperineal resection ofrectum), NOS 48.50laparoscopic 48.51open 48.52other 48.59gallbladder NEC 51.99ganglia NEC 04.99sympathetic 05.89Gant(wedge osteotomy of trochanter) 77.25Garceau (tibial tendon transfer) 83.75Gardner (spinal meningocele repair) 03.51gastric NEC 44.99Gelman (release of clubfoot) 83.84genital organ NECfemale 71.9male 64.99Ghormley (hip fusion) 81.21Giffoddestruction of lacrimal sac 09.6keratotomy (delimiting) 11.1Gillarthrodesis of shoulder 81.23laminectomy 03.09Gill- Stein (carporadial arthrodesis) 81.25Gilliam (uterine suspension) 69.22Girdlestonelaminectomy with spinal fusion 81.00muscle transfer for claw toe 77.57resection of femoral head and neck(without insertion of jointprosthesis) 77.85with replacement prosthesis--see Implant, joint, hipresection of hip prosthesis 80.05with replacement prosthesis--see Implant, joint, hipGirdlestone- Taylor (muscle transfer forclaw toe repair) 77.57glaucoma NEC 12.79Glenn (anastomosis of superior vena cavato right pulmonary artery) 39.21globus pallidus NEC 01.42Goebel- Frangenheim- Stoeckel(urethrovesical suspension) 59.4Goldner (clubfoot release) 80.48Goldthwaiteankle stabilization 81.11patella stabilization 81.44tendon transfer for patelladislocation 81.44Goodall- Power (vagina) 70.4Gordon- Taylor (hindquarteramputation) 84.19Graber- Duvernay (drilling femoral head)77.15Green (scapulopexy) 78.41Grice (subtalar arthrodesis) 81.13Gritti- Stokes (knee disarticulation) 84.16Operation ---Cont.Gross (herniorrhaphy)laparoscopic 53.43with graft or prosthesis 53.42other and open with graft orprosthesis 53.41other open 53.49gum NEC 24.39Guyon (amputation of ankle) 84.13Hagner (epididymotomy) 63.92Halsted --see Repair, hernia, inguinalHalsted mastectomy 85.45Hampton (anastomosis small intestineto rectal stump) 45.92hanging hip (muscle release) 83.19harelip 27.54Harrison- Richardson (vaginalsuspension) 70.77with graft or prosthesis 70.78Hartmann --see Colectomy, by siteHauserachillotenotomy 83.11bunionectomy with adductor tendontransfer 77.53stabilization of patella 81.44Heaney (vaginal hysterectomy) 68.59laparoscopically assisted (LAVH) 68.51heart NEC 37.99valve NEC 35.99adjacent structure NEC 35.39Hegar (perineorrhaphy) 71.79Heine (cyclodialysis) 12.55Heineke- Mikulicz (pyloroplasty)--see category 44.2Heller (esophagomyotomy) 42.7Hellström (transplantation of aberrantrenal vessel) 39.55hemorrhoids NEC 49.49Henley (jejunal transposition) 43.81hepatic NEC 50.99hernia --see Repair, herniaHey (amputation of foot) 84.12Hey- Groves (reconstruction of anteriorcruciate ligament) 81.45Heyman (soft tissue release forclubfoot) 83.84Heyman- Herndon (- Strong) (correctionof metatarsus varus) 80.48Hibbs (lumbar spinal fusion)--see Fusion, lumbarHiggins --see Repair, hernia, femoralHill- Allison (hiatal hernia repair,transpleural approach) 53.80Hitchcock (anchoring tendon of biceps)83.88Hofmeister (gastrectomy) 43.7Hokemidtarsal fusion 81.14triple arthrodesis 81.12392

ICD-9-CM INDEX TO PROCEDURES (FY10) O.Operation ---Cont.Holthiridencleisis 12.63sclerectomy 12.65Homan (correction of lymphedema) 40.9Hutch (ureteroneocystostomy) 56.74Hybinette- eden (glenoid bone block) 78.01hymen NEC 70.91hypopharynx NEC 29.99hypophysis NEC 07.79ileal loop 56.51ileum NEC 46.99intestine NEC 46.99iris NEC 12.97inclusion 12.63Irving (tubal ligation) 66.32Irwin --see also Osteotomy 77.30Jaboulay (gastroduodenostomy) 44.39laparoscopic 44.38Janeway (permanent gastrostomy) 43.19Jatene (arterial switch) 35.84jejunum NEC 46.99Johanson (urethral reconstruction) 58.46joint (capsule) (ligament) (structure) NEC81.99facial NEC 76.99Jonesclaw toe (transfer of extensor hallucislongus tendon) 77.57modified (with arthrodesis) 77.57dacryocystorhinostomy 09.81hammer toe (interphalangeal fusion) 77.56modified (tendon transfer witharthrodesis) 77.57repair of peroneal tendon 83.88Joplin (exostectomy with tendon transfer)77.53Kader (temporary gastrostomy) 43.19Kaufman (for urinary stress incontinence)59.79Kazanjiian (buccal vestibular sulcusextension) 24.91Kehr (hepatopexy) 50.69Keller (bunionectomy) 77.59Kelly (- Kennedy)(urethrovesical plication) 59.3Kelly- Stoeckel (urethrovesical plication) 59.3Kerr (cesarean section) 74.1Kessler (arthroplasty, carpometacarpaljoint) 81.74Kidner (excision of accessory navicularbone) (with tendon transfer) 77.98kidney NEC 55.99Killian (frontal sinusotomy) 22.41King- Steelquist (hindquarter amputation)84.19Kirk (amputation through thigh) 84.17Operation ---Cont.Kock pouchbowel anastomosis --omit codecontinent ileostomy 46.22cutaneous uretero- ileostomy 56.51ESWL (electrocorporeal shockwavelithotripsy) 98.51removal, calculus 57.19revision, cutaneous uretero- ileostomy56.52urinary diversion procedure 56.51Kondoleon(correction of lymphedema)40.9Krause (sympathetic denervation) 05.29Kroener (partial salpingectomy) 66.69Kroenlein (lateral orbitotomy) 16.01Kronig (low cervical cesarean section)74.1Krukenberg (reconstruction ofbelow- elbow amputation) 82.89Kuhnt- Szymanowski (ectropion repairwith lid reconstruction) 08.44Labbe (gastrotomy) 43.0labia NEC 71.8lacrimalgland 09.3system NEC 09.99Ladd (mobilization of intestine) 54.95Lagrange (iridosclerectomy) 12.65Lambrinudi (triple arthrodesis) 81.12Langenbeck (cleft palate repair) 27.62Lapidus (bunionectomy with metatarsalosteotomy) 77.51Larry (shoulder disarticulation) 84.08larynx NEC 31.98Lashinternal cervical os repair 67.59laparoscopic supracervicalhysterectomy 68.31Latzkocesarean section, extraperitoneal 74.2colpocleisis 70.8Leadbetter (urethral reconstruction) 58.46Leadbetter- Politano(ureteroneocystostomy) 56.74Le Fort (colpocleisis) 70.8LeMesurier (cleft lip repair) 27.54lens NEC 13.90Leriche (periarterial sympathectomy) 05.25levator muscle slingeyelid ptosis repair 08.33urethrovesical suspension 59.71urinary stress incontinence 59.71lid suture (blepharoptosis) 08.31ligament NEC 81.99broad NEC 69.98round NEC 69.98uterine NEC 69.98Lindholm(repair of ruptured tendon) 83.88393

ICD-9-CM INDEX TO PROCEDURES (FY10)Operation ---Cont.Linton (varicose vein) 38.59lip NEC 27.99Lisfrancfoot amputation 84.12shoulder disarticulation 84.08Littlewood (forequarter amputation) 84.09liver NEC 50.99Lloyd- Davies (abdominoperinealresection), NOS 48.50laparoscopic 48.51open 48.52other 48.59Longmire (bile duct anastomosis) 51.39Lorddilation of anal canal for hemorrhoids49.49hemorrhoidectomy 49.49orchidopexy 62.5Lucas and Murray (knee arthrodesis withplate) 81.22lung NEC 33.99Lung volume reduction 32.22biologic lung volume reduction(BLVR) --see category 33.7lymphatic structure(s) NEC 40.9duct, left (thoracic) NEC 40.69Madlener (tubal ligation) 66.31Magnuson (- Stack) (arthroplasty forrecurrent shoulder dislocation) 81.82male genital organs NEC 64.99Manchester (- Donald) (- Fothergill)(uterine suspension) 69.22mandible NEC 76.99orthognathic 76.64Marckwald (cervical os repair) 67.59Marshall- Marchetti (- Krantz) (retropubicurethral suspension) 59.5Matas (aneurysmorrhaphy) 39.52Mayobunionectomy 77.59herniorrhaphylaparoscopic 53.43with graft or prosthesis 53.42other and open with graft or prosthesis53.41other open 53.49vaginal hysterectomy 68.59laparoscopically assisted(LAVH) 68.51maze procedure (ablation or destructionof heart tissue)by incision (open) 37.33by peripherally inserted catheter 37.34endovascular approach 37.34trans- thoracic approach 37.33Mazet (knee disarticulation) 84.16McBride (bunionectomy with soft tissuecorrection) 77.53McBurney --see Repair, hernia, inguinalOperation ---Cont.McCall (enterocele repair) 70.92with graft or prosthesis 70.93McCauley (release of clubfoot) 83.84McDonald (encirclement suture, cervix)67.59McIndoe (vaginal construction) 70.61with graft or prosthesis 70.63McKeever (fusion of firstmetatarsophalangeal joint forhallux valgus repair) 77.52McKissock (breast reduction) 85.33McReynolds (transposition ofpterygium) 11.31McVayfemoral hernia--see Repair, hernia, femoralinguinal hernia--see Repair, hernia, inguinalmeninges (spinal) NEC 03.99cerebral NEC 02.99mesentery NEC 54.99Mikulicz (exteriorization of intestine)(first stage) 46.03second stage 46.04Miles (complete proctectomy), NOS48.50laparoscopic 48.51open 48.52other 48.59Millard (cheiloplasty) 27.54Millermidtarsal arthrodesis 81.14urethrovesical suspension 59.4Millin- Read (urethrovesicalsuspension) 59.4Mitchell (hallux valgus repair) 77.51Mohs (chemosurgical excision of skin)86.24Moore (arthroplasty) 81.52Moschowitzenterocele repair 70.92with graft or prosthesis 70.93herniorrhaphy --see Repair, hernia,femoralsigmoidopexy 46.63mouth NEC 27.99Muller (banding of pulmonary artery)38.85Mumford (partial claviculectomy) 77.81muscle NEC 83.99extraocular --see Operation,extraocularhand NEC 82.99papillary heart NEC 35.31musculoskeletal system NEC 84.99Mustard (interatrial transposition ofvenous return) 35.91nail (finger) (toe) NEC 86.99394

ICD-9-CM INDEX TO PROCEDURES (FY10) O.Operation ---Cont.nasal sinus NEC 22.9nasopharynx NEC 29.99nerve (cranial) (peripheral) NEC 04.99adrenal NEC 07.49sympathetic NEC 05.89nervous system NEC 05.9Nicola (tenodesis for recurrentdislocation of shoulder) 81.82nipple NEC 85.99Nissen (fundoplication of stomach) 44.66laparoscopic 44.67Noble (plication of small intestine) 46.62node (lymph) NEC 40.9Norman Miller (vaginopexy) 70.77with graft or prosthesis 70.78Norton(extraperitoneal cesarean operation)74.2nose, nasal NEC 21.99sinus NEC 22.9Ober(- Yount)(gluteal- iliotibial fasciotomy)83.14obstetric NEC 75.99ocular NEC 16.99muscle--see Operation, extraocular muscleO'Donoghue (triad knee repair) 81.43Olshausen (uterine suspension) 69.22omentum NEC 54.99ophthalmologic NEC 16.99oral cavity NEC 27.99orbicularis muscle sling 08.36orbit NEC 16.98oropharynx NEC 29.99orthodontic NEC 24.8orthognathic NEC 76.69Oscar Miller (midtarsal arthrodesis) 81.14Osmond- Clark (soft tissue release withperoneus brevis tendon transfer) 83.75ovary NEC 65.99Oxford (for urinary incontinence) 59.4palate NEC 27.99palpebral ligament sling 08.36Panas (linear proctotomy) 48.0Pancoast (division of trigeminal nerve atforamen ovale) 04.02pancreas NEC 52.99pantaloon(revision of gastric anastomosis)44.5papillary muscle (heart) NEC 35.31Paquin (ureteroneocystostomy) 56.74parathyroid gland(s) NEC 06.99parotid gland or duct NEC 26.99Partsch (marsupialization of dental cyst)24.4Pattee (auditory canal) 18.6Peet (splanchnic resection) 05.29Pembertonosteotomy of ilium 77.39rectum (mobilization and fixation forprolapse repair) 48.76Operation ---Cont.penis NEC 64.98Pereyra (paraurethral suspension) 59.6pericardium NEC 37.99perineum (female) NEC 71.8male NEC 86.99perirectal tissue NEC 48.99perirenal tissue NEC 59.92peritoneum NEC 54.99periurethral tissue NEC 58.99perivesical tissue NEC 59.92pharyngeal flap (cleft palate repair) 27.62secondary or subsequent 27.63pharynx, pharyngeal (pouch) NEC 29.99pineal gland NEC 07.59Pinsker (obliteration of nasoseptaltelangiectasia) 21.07Piper (forceps) 72.6Pirogoff (ankle amputation throughmalleoli of tibia and fibula) 84.14pituitary gland NEC 07.79plastic --see Repair, by sitepleural cavity NEC 34.99Politano- Leadbetter(ureteroneocystostomy) 56.74pollicization (with nerves and bloodsupply) 82.61Polya (gastrectomy) 43.7Pomeroy (ligation and division offallopian tubes) 66.32Poncetlengthening of Achilles tendon 83.85urethrostomy, perineal 58.0Porro (cesarean section) 74.99posterior chamber (eye) NEC 14.9Potts- Smith (descending aorta- leftpulmonary artery anastomosis) 39.0Printen and Mason (high gastric bypass)44.31prostate NEC --see also Prostatectomy60.69specified type 60.99pterygium 11.39with corneal graft 11.32Puestow (pancreaticojejunostomy) 52.96pull- through NEC 48.49pulmonary NEC 33.99push- back (cleft palate repair) 27.62Putti- Platt (capsulorrhaphy of shoulderfor recurrent dislocation) 81.82pyloric exclusion 44.39laparoscopic 44.38pyriform sinus NEC 29.99"rabbit ear" (anterior urethropexy)(Tudor) 59.79Ramadier (intrapetrosal drainage) 20.22Ramstedt (pyloromyotomy) (with wedgeresection) 43.3395

ICD-9-CM INDEX TO PROCEDURES (FY10)Operation ---Cont.Rankinexteriorization of intestine 46.03proctectomy (complete), NOS 48.50laparoscopic 48.51open 48.52other 48.59Rashkind (balloon septostomy) 35.41Rastelli (creation of conduit between rightventricle and pulmonary artery) 35.92in repair ofpulmonary artery atresia 35.92transposition of great vessels 35.92truncus arteriosus 35.83Raz- Pereyra procedure (bladder necksuspension) 59.79rectal NEC 48.99rectocele NEC 70.52re- entry (aorta) 39.54renal NEC 55.99respiratory (tract) NEC 33.99retina NEC 14.9Ripstein (repair of rectal prolapse) 48.75Rodney Smith (radical subtotalpancreatectomy) 52.53Roux- en- Ybile duct 51.36cholecystojejunostomy 51.32esophagus (intrathoracic) 42.54gastroenterostomy 44.39laparoscopic 44.38gastrojejunostomy 44.39laparoscopic 44.38pancreaticojejunostomy 52.96Roux- Goldthwait (repair of patellardislocation) 81.44Roux- Herzen- Judine (jejunal loopinterposition) 42.63Ruiz- Mora (proximal phalangectomy forhammer toe) 77.99Russe (bone graft of scaphoid) 78.04Saemisch (corneal section) 11.1salivary gland or duct NEC 26.99Salter (innominate osteotomy) 77.39Sauer- Bacon (abdominoperineal resection),NOS 48.50laparoscopic 48.51open 48.52other 48.59Schanz (femoral osteotomy) 77.35Schauta (- Amreich) (radical vaginalhysterectomy) 68.79Schede (thoracoplasty) 33.34Scheiecautery of sclera 12.62sclerostomy 12.62Schlatter (total gastrectomy) 43.99Schroeder (endocervical excision) 67.39Schuchardt (nonobstetrical episiotomy) 71.09Operation ---Cont.Schwartze (simple mastoidectomy) 20.41sclera NEC 12.89Scottintestinal bypass for obesity 45.93jejunocolostomy (bypass) 45.93scrotum NEC 61.99Seddon- Brooks (transfer of pectoralismajor tendon) 83.75Semb (apicolysis of lung) 33.39seminal vesicle NEC 60.79Senning (correction of transposition ofgreat vessels) 35.91Sever (division of soft tissue of arm) 83.19Sewell (heart) 36.2sex transformation NEC 64.5Sharrard (iliopsoas muscle transfer) 83.77shelf (hip arthroplasty) 81.40Shirodkar (encirclement suture, cervix)67.59sigmoid NEC 46.99Silver (bunionectomy) 77.59Sistrunk(excision of thyroglossal cyst) 06.7Skene's gland NEC 71.8skin NEC 86.99skull NEC 02.99slingeyelidfascia lata, palpebral 08.36frontalis fascial 08.32levator muscle 08.33orbicularis muscle 08.36palpebrae ligament, fascia lata 08.36tarsus muscle 08.35fascial (fascia lata)eye 08.32for facial weakness (trigeminalnerve paralysis) 86.81palpebral ligament 08.36tongue 25.59tongue (fascial) 25.59urethra (suprapubic) 59.4retropubic 59.5urethrovesical 59.5Slocum (pes anserinus transfer) 81.47Sluder (tonsillectomy) 28.2Smith (open osteotomy of mandible) 76.62Smith- Peterson(radiocarpalarthrodesis) 81.25Smithwick (sympathectomy) 05.29Soave (endorectal pull- through) 48.41soft tissue NEC 83.99hand 82.99Sonneberg (inferior maxillary neurectomy)04.07Sorondo- Ferré(hindquarteramputation) 84.19Soutter (iliac crest fasciotomy) 83.14396

ICD-9-CM INDEX TO PROCEDURES (FY10) O.Operation ---Cont.Spalding- Richardson (uterine suspension)69.22spermatic cord NEC 63.99sphincter of Oddi NEC 51.89spinal (canal) (cord) (structures) NEC03.99Spinelli (correction of inverted uterus) 75.93Spivack (permanent gastrostomy) 43.19spleen NEC 41.99S.P. Rogers (knee disarticulation) 84.16Ssabanejew- Frank (permanent gastrostomy)43.19Stacke (simple mastoidectomy) 20.41Stallard (conjunctivocystorhinostomy) 09.82with insertion of tube or stent 09.83Stamm (- Kader) (temporary gastrostomy)43.19Steinberg 44.5Steindlerfascia stripping(for cavus deformity)83.14flexorplasty (elbow) 83.77muscle transfer 83.77sterilization NECfemale --see also specific operation 66.39male--see also Ligation, vas deferens63.70Stewart (renal plication with pyeloplasty)55.87stomach NEC 44.99Stone (anoplasty) 49.79Strassman (metroplasty) 69.49metroplasty (Jones modification) 69.49uterus 68.22Strayer (gastrocnemius recession) 83.72stress incontinence --see Repair, stressincontinenceStromeyer- Little (hepatotomy) 50.0Strong (unbridling of celiac artery axis) 39.91Sturmdorf (conization of cervix) 67.2subcutaneous tissue NEC 86.99sublingual gland or duct NEC 26.99submaxillary gland or duct NEC 26.99Summerskill (dacryocystorhinostomy byintubation) 09.81Surmay (jejunostomy) 46.39Swensonbladder reconstruction 57.87proctectomy 48.49Swinney (urethral reconstruction) 58.46Symeankle amputation through malleoli of tibiaand fibula 84.14urethrotomy, external 58.0sympathetic nerve NEC 05.89Taarnhoj (trigeminal nerve rootdecompression) 04.41Tack (sacculotomy) 20.79Talma- Morison (omentopexy) 54.74Tanner (devascularization of stomach) 44.99Operation ---Cont.TAPVC NEC 35.82tarsus NEC 08.99muscle sling 08.35tendon NEC 83.99extraocular NEC 15.9hand NEC 82.99testis NEC 62.99tetralogy of Fallotpartial repair --see specific proceduretotal (one- stage) 35.81Thal (repair of esophageal stricture)42.85thalamus 01.41by stereotactic radiosurgery 92.32cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31Thierschanus 49.79skin graft 86.69hand 86.62Thompsoncleft lip repair 27.54correction of lymphedema 40.9quadricepsplasty 83.86thumb apposition with bone graft82.69thoracic duct NEC 40.69thorax NEC 34.99Thorek (partial cholecystectomy) 51.21three- snip, punctum 09.51thymus NEC 07.99thoracoscopic, NEC 07.98thyroid gland NEC 06.98TKP (thermokeratoplasty) 11.74Tomkins (metroplasty) 69.49tongue NEC 25.99flap, palate 27.62tie 25.91tonsil NEC 28.99Torek (- Bevan) (orchidopexy) (first stage)(second stage) 62.5Torkildsen (ventriculocisternal shunt)02.2Torpin (cul- de- sac resection) 70.92Toti (dacryocystorhinostomy) 09.81Touchas 86.83Touroff(ligation of subclavian artery) 38.85trabeculae corneae cordis(heart) NEC35.35trachea NEC 31.99Trauner (lingual sulcus extension) 24.91truncus arteriosus NEC 35.83Tsuge (macrodactyly repair) 82.83Tudor "rabbit ear" (anterior urethropexy) 59.79397

ICD-9-CM INDEX TO PROCEDURES (FY10)Operation ---Cont.Tuffierapicolysis of lung 33.39vaginal hysterectomy 68.59laparoscopically assisted(LAVH) 68.51tunica vaginalis NEC 61.99Turco (release of joint capsules in clubfoot)80.48Uchida (tubal ligation with or withoutfimbriectomy) 66.32umbilicus NEC 54.99urachus NEC 57.51Urban (mastectomy) (unilateral) 85.47bilateral 85.48ureter NEC 56.99urethra NEC 58.99urinary system NEC 59.99uterus NEC 69.99supporting structures NEC 69.98uvula NEC 27.79vagina NEC 70.91vascular NEC 39.99vas deferens NEC 63.99ligation NEC 63.71vein NEC 39.99vena cava sieve 38.7vertebra NEC 78.49vesical (bladder) NEC 57.99vessel NEC 39.99cardiac NEC 36.99Vicq d'Azyr (larynx) 31.1Vidal (varicocele ligation) 63.1Vineberg (implantation of mammary arteryinto ventricle) 36.2vitreous NEC 14.79vocal cord NEC 31.98von Kraske (proctectomy) 48.64Voss (hanging hip operation) 83.19Vulpius (- Compere) (lengthening ofgastrocnemius muscle) 83.85vulva NEC 71.8Ward- Mayo (vaginal hysterectomy) 68.59laparoscopically assisted (LAVH) 68.51Wardill (cleft palate) 27.62Waters (extraperitoneal cesarean section) 74.2Waterston (aorta- right pulmonary arteryanastomosis) 39.0Watkins (- Wertheim) (uterus interposition)69.21Watson- Joneship arthrodesis 81.21reconstruction of lateral ligaments, ankle81.49shoulder arthrodesis(extra- articular) 81.23tenoplasty 83.88Weirappendicostomy 47.91correction of nostrils 21.86Operation ---Cont.Wertheim (radical hysterectomy) 68.69laparoscopic 68.61West (dacryocystorhinostomy) 09.81Wheelerentropion repair 08.44halving procedure (eyelid) 08.24Whipple (radicalpancreaticoduodenectomy) 52.7Child modification (radical subtotalpancreatectomy) 52.53Rodney Smith modification (radicalsubtotal pancreatectomy) 52.53White (lengthening of tendo calcaneusby incomplete tenotomy) 83.11Whiteheadglossectomy, radical 25.4hemorrhoidectomy 49.46Whitmanfoot stabilization (talectomy) 77.98hip reconstruction 81.40repair of serratus anterior muscle83.87talectomy 77.98trochanter wedge osteotomy 77.25Wier (entropion repair) 08.44Williams- Richardson (vaginalconstruction) 70.61with graft or prosthesis 70.63Wilms (thoracoplasty) 33.34Wilson (angulation osteotomy for halluxvalgus) 77.51windowantrum (nasal sinus) --see Antrotomy,maxillaryaorticopulmonary 39.59bone cortex--see also Incision,bone77.10facial 76.09nasoantral --see Antrotomy, maxillarypericardium 37.12pleural 34.09Winiwarter (cholecystoenterostomy) 51.32Witzel (temporary gastrostomy) 43.19Woodward (release of high ridingscapula) 81.83Youngepispadias repair 58.45tendon transfer (anterior tibialis)(repair of flat foot) 83.75Yount (division of iliotibial band) 83.14Zancollicapsuloplasty 81.72tendon transfer (biceps) 82.56Ziegler (iridectomy) 12.14Operculectomy 24.6Ophthalmectomy 16.49with implant (into Tenon's capsule) 16.42with attachment of muscles 16.41398

ICD-9-CM INDEX TO PROCEDURES (FY10) O.Ophthalmoscopy 16.21Opponensplasty (hand) 82.56Optical coherence tomography (OCT)(intravascular imaging)coronary vessel(s) 38.24non- coronary vessel(s) 38.25Orbitomaxillectomy, radical 16.51Orbitotomy (anterior) (frontal)(temporofrontal) (transfrontal) NEC 16.09withbone flap 16.01insertion of implant 16.02Kroenlein (lateral) 16.01lateral 16.01Orchidectomy (with epididymectomy)(unilateral) 62.3bilateral (radical) 62.41remaining or solitary testis 62.42Orchidopexy 62.5Orchidoplasty 62.69Orchidorrhaphy 62.61Orchidotomy 62.0Orchiectomy (with epididymectomy)(unilateral) 62.3bilateral (radical) 62.41remaining or solitary testis 62.42Orchiopexy 62.5Orchioplasty 62.69Orthoroentgenography --see RadiographyOscar Miller operation (midtarsal arthrodesis)81.14Osmond-Clark operation (soft tissue releasewith peroneus brevis tendon transfer)83.75Ossiculectomy NEC 19.3withstapedectomy --see also Stapedectomy19.19stapes mobilization 19.0tympanoplasty 19.53revision 19.6Ossiculotomy NEC 19.3Ostectomy (partial), except facial--see also category 77.8facial NEC 76.39total 76.45with reconstruction 76.44first metatarsal head --see Bunionectomyfor graft (autograft) (homograft)--see also category 77.7mandible 76.31total 76.42with reconstruction 76.41total, except facial--see also category 77.9facial NEC 76.45with reconstruction 76.44mandible 76.42with reconstruction 76.41Osteoarthrotomy--see also Osteotomy 77.30Osteoclasis 78.70carpal, metacarpal 78.74clavicle 78.71ear 20.79femur 78.75fibula 78.77humerus 78.72patella 78.76pelvic 78.79phalanges (foot) (hand) 78.79radius 78.73scapula 78.71specified site NEC 78.79tarsal, metatarsal 78.78thorax (ribs) (sternum) 78.71tibia 78.77ulna 78.73vertebrae 78.79Osteolysis --see category 78.4Osteopathic manipulation --see alsoManipulation, osteopathic 93.67Osteoplasty NEC --see category 78.4with bone graft --see Graft, boneforbone lengthening--see Lengthening,bonebone shortening --see Shortening, bonerepair of malunion or nonunion of fracture--see Repair, fracture, malunion ornonunioncarpal, metacarpal 78.44clavicle 78.41cranium NEC 02.06withflap (bone) 02.03graft (bone) 02.04facial bone NEC 76.69femur 78.45fibula 78.47humerus 78.42mandible, mandibular NEC 76.64body 76.63ramus (open) 76.62closed 76.61maxilla (segmental) 76.65total 76.66nasal bones 21.89patella 78.46pelvic 78.49phalanges (foot) (hand) 78.49radius 78.43scapula 78.41skull NEC 02.06withflap (bone) 02.03graft (bone) 02.04specified site NEC 78.49tarsal, metatarsal 78.48399

ICD-9-CM INDEX TO PROCEDURES (FY10)Osteoplasty NEC ---Cont.thorax (ribs) (sternum) 78.41tibia 78.47ulna 78.43vertebrae 78.49Osteorrhaphy --see also Osteoplasty 78.40Osteosynthesis (fracture) --see Reduction,fractureOsteotomy (adduction) (angulation) (block)(derotational) (displacement) (partial)(rotational) 77.30carpals, metacarpals 77.34wedge 77.24clavicle 77.31wedge 77.21facial bone NEC 76.69femur 77.35wedge 77.25fibula 77.37wedge 77.27humerus 77.32wedge 77.22mandible (segmental) (subapical) 76.64angle (open) 76.62closed 76.61body 76.63Gigli saw 76.61ramus (open) 76.62closed 76.61maxilla (segmental) 76.65total 76.66metatarsal 77.38wedge 77.28for hallux valgus repair 77.51patella 77.36wedge 77.26pelvic 77.39wedge 77.29phalanges (foot) (hand) 77.39for repair ofbunion --see Bunionectomybunionette 77.54hallux valgus --see Bunionectomywedge 77.29for repair ofbunion --see Bunionectomybunionette 77.54hallux valgus --see Bunionectomyradius 77.33wedge 77.23scapula 77.31wedge 77.21specified site NEC 77.39wedge 77.29tarsal 77.38wedge 77.28thorax (ribs) (sternum) 77.31wedge 77.21Osteotomy ---Cont.tibia 77.37wedge 77.27toe 77.39for repair ofbunion --see Bunionectomybunionette 77.54hallux valgus --see Bunionectomywedge 77.29for repair ofbunion --see Bunionectomybunionette 77.54hallux valgus --see Bunionectomyulna 77.33wedge 77.23vertebrae 77.39wedge 77.29Otonecrectomy (inner ear) 20.79Otoplasty (external) 18.79auditory canal or meatus 18.6auricle 18.79cartilage 18.79reconstruction 18.71prominent or protruding 18.5Otoscopy 18.11Outfolding, sclera, for buckling --see alsoBuckling, scleral 14.49Outfracture, turbinates (nasal) 21.62Output and clearance, circulatory 92.05Overdistension, bladder (therapeutic)96.25Overlapping, sclera, for buckling--see also Buckling, scleral 14.49Oversewingleft atrial appendage (LAA) 37.36pleural bleb 32.21ulcer crater (peptic) 44.40duodenum 44.42stomach 44.41Oxford operation (for urinary incontinence)59.4Oximetryfetal pulse 75.38Oxygenation 93.96extracorporeal membrane (ECMO) 39.65hyperbaric 93.95wound 93.59infusion therapy, Super 00.49Oxygen therapy (catalytic) (pump) 93.96hyperbaric 93.95SuperSaturated 00.49400

ICD-9-CM INDEX TO PROCEDURES (FY10) P.PPacemakercardiac --see also Insertion, pacemaker,cardiacintraoperative (temporary) 39.64temporary (during and immediatelyfollowing cardiac surgery) 39.64Packing --see also Insertion, packauditory canal 96.11nose, for epistaxis (anterior) 21.01posterior (and anterior) 21.02rectal 96.19sella turcica 07.79vaginal 96.14Palatoplasty 27.69for cleft palate 27.62secondary or subsequent 27.63Palatorrhaphy 27.61for cleft palate 27.62Pallidectomy 01.42Pallidoansotomy 01.42Pallidotomy 01.42by stereotactic radiosurgery 92.32cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31Panas operation (linear proctotomy) 48.0Pancoast operation (division of trigeminalnerve at foramen ovale) 04.02Pancreatectomy (total) (with synchronousduodenectomy) 52.6partial NEC 52.59distal (tail) (with part of body) 52.52proximal (head) (with part of body) (withsynchronous duodenectomy) 52.51radical 52.53subtotal 52.53radical 52.7subtotal 52.53Pancreaticocystoduodenostomy 52.4Pancreaticocystoenterostomy 52.4Pancreaticocystogastrostomy 52.4Pancreaticocystojejunostomy 52.4Pancreaticoduodenectomy (total) 52.6partial NEC 52.59proximal 52.51radical subtotal 52.53radical (one- stage) (two- stage) 52.7subtotal 52.53Pancreaticoduodenostomy 52.96Pancreaticoenterostomy 52.96Pancreaticogastrostomy 52.96Pancreaticoileostomy 52.96Pancreaticojejunostomy 52.96Pancreatoduodenectomy (total) 52.6partial NEC 52.59radical (one- stage) (two- stage) 52.7subtotal 52.53Pancreatogram 87.66endoscopic retrograde (ERP) 52.13Pancreatolithotomy 52.09endoscopic 52.94Pancreatotomy 52.09Pancreolithotomy 52.09endoscopic 52.94Panendoscopy 57.32specified site, other than bladder--see Endoscopy, by sitethrough artificial stoma 57.31Panhysterectomy (abdominal) 68.49laparoscopic 68.41vaginal 68.59laparoscopically assisted (LAVH) 68.51Panniculectomy 86.83Panniculotomy 86.83Pantaloon operation (revision of gastricanastomosis) 44.5Papillectomy, anal 49.39endoscopic 49.31Papillotomy (pancreas) 51.82endoscopic 51.85Paquin operation(ureteroneocystostomy) 56.74Paracentesisabdominal (percutaneous) 54.91anterior chamber, eye 12.91bladder 57.11cornea 12.91eye (anterior chamber) 12.91thoracic, thoracis 34.91tympanum 20.09with intubation 20.01Parasitology --see Examination, microscopicParathyroidectomy(partial)(subtotal)NEC 06.89complete 06.81ectopic 06.89global removal 06.81mediastinal 06.89total 06.81Parenteral nutrition, total 99.15peripheral 99.15Parotidectomy 26.30complete 26.32partial 26.31radical 26.32Partsch operation (marsupialization of dentalcyst) 24.4Passage --see Insertion and IntubationPassage of sounds, urethra 58.6401

ICD-9-CM INDEX TO PROCEDURES (FY10)Patchblood, spinal (epidural) 03.95graft --see Graftspinal, blood (epidural) 03.95subdural, brain 02.12Patellapexy 78.46Patellaplasty NEC 78.46Patellectomy 77.96partial 77.86Pattee operation (auditory canal) 18.6PDT (percutaneous dilatational tracheostomy)see TracheostomyPectenotomy --see also Sphincterotomy, anal49.59Pedicle flap --see Graft, skin, pediclePeet operation (splanchnic resection) 05.29PEG (percutaneous endoscopic gastrostomy)43.11PEJ (percutaneous endoscopic jejunostomy)46.32PEGJJ (percutaneous [endoscopic]gastrojejunostomy) 44.32Pelvectomy, kidney (partial) 55.4Pelvimetry 88.25gynecological 89.26Pelviolithotomy 55.11Pelvioplasty, kidney 55.87Pelviostomy 55.12closure 55.82Pelviotomy 77.39to assist delivery 73.94Pelvi-ureteroplasty 55.87Pemberton operationosteotomy of ilium 77.39rectum (mobilization and fixation forprolapse repair) 48.76Penectomy 64.3Pereyra operation(paraurethral suspension)59.6Perforationstapes footplate 19.0Perfusion NEC 39.97carotid artery 39.97coronary artery 39.97forchemotherapy NEC 99.25hormone therapy NEC 99.24head 39.97hyperthermic (lymphatic), localized regionor site 93.35intestine (large) (local) 46.96small 46.95kidney, local 55.95limb (lower) (upper) 39.97liver, localized 50.93neck 39.97subarachnoid (spinal cord)(refrigerated saline) 03.92total body 39.96Pericardiectomy 37.31Pericardiocentesis 37.0Pericardiolysis 37.12Pericardioplasty 37.49Pericardiorrhaphy 37.49Pericardiostomy (tube) 37.12Pericardiotomy 37.12Peridectomy 10.31Perilimbal suction 89.11Perimetry 95.05Perineoplasty 71.79Perineorrhaphy 71.71obstetrical laceration (current) 75.69Perineotomy (nonobstetrical) 71.09to assist delivery --see EpisiotomyPeriosteotomy--see also Incision, bone 77.10facial bone 76.09Perirectofistulectomy 48.93Peritectomy 10.31Peritomy 10.1Peritoneocentesis 54.91Peritoneoscopy 54.21Peritoneotomy 54.19Peritoneumectomy 54.4Phacoemulsification (ultrasonic) (withaspiration) 13.41Phacofragmentation (mechanical) (withaspiration) 13.43posterior route 13.42ultrasonic 13.41Phalangectomy (partial) 77.89claw toe 77.57cockup toe 77.58hammer toe 77.56overlapping toe 77.58total 77.99Phalangization (fifth metacarpal) 82.81Pharyngeal flap operation (cleft palaterepair) 27.62secondary or subsequent 27.63Pharyngectomy (partial) 29.33with laryngectomy 30.3Pharyngogram 87.09contrast 87.06Pharyngolaryngectomy 30.3Pharyngoplasty (with silastic implant) 29.4for cleft palate 27.62secondary or subsequent 27.63Pharyngorrhaphy 29.51for cleft palate 27.62Pharyngoscopy 29.11Pharyngotomy 29.0Phenopeel (skin) 86.24Phlebectomy 38.60withanastomosis 38.30abdominal 38.37head and neck NEC 38.32402

ICD-9-CM INDEX TO PROCEDURES (FY10) P.Phlebectomy -with anastomosis---Cont.intracranial NEC 38.31lower limb 38.39thoracic NEC 38.35upper limb 38.33graft replacement 38.40abdominal 38.47head and neck NEC 38.42intracranial NEC 38.41lower limb 38.49thoracic NEC 38.45upper limb 38.43abdominal 38.67head and neck NEC 38.62intracranial NEC 38.61lower limb 38.69thoracic NEC 38.65upper limb 38.63varicose 38.50abdominal 38.57head and neck NEC 38.52intracranial NEC 38.51lower limb 38.59thoracic NEC 38.55upper limb 38.53Phlebogoniostomy 12.52Phlebography (contrast) (retrograde) 88.60by radioisotope --see Scan, radioisotope,by siteadrenal 88.65femoral 88.66head 88.61hepatic 88.64impedance 88.68intra- abdominal NEC 88.65intrathoracic NEC 88.63lower extremity NEC 88.66neck 88.61portal system 88.64pulmonary 88.62specified site NEC 88.67vena cava (inferior) (superior) 88.51Phleborrhaphy 39.32Phlebotomy 38.99Phonocardiogram, with ECG lead 89.55Photochemotherapy NEC 99.83extracorporeal 99.88Photocoagulationciliary body 12.73eye, eyeball 16.99iris 12.41macular hole--see Photocoagulation,retinaorbital lesion 16.92retinafordestruction of lesion 14.25reattachment 14.55repair of tear or defect 14.35Photocoagulation -retina- --Cont.laser (beam)fordestruction of lesion 14.24reattachment 14.54repair of tear or defect 14.34xenon arcfordestruction of lesion 14.23reattachment 14.53repair of tear or defect 14.33Photography 89.39fundus 95.11Photopheresis, therapeutic 99.88Phototherapy NEC 99.83newborn 99.83ultraviolet 99.82Phrenemphraxis 04.03for collapse of lung 33.31Phrenicectomy 04.03for collapse of lung 33.31Phrenicoexeresis 04.03for collapse of lung 33.31Phrenicotomy 04.03for collapse of lung 33.31Phrenicotripsy 04.03for collapse of lung 33.31Phrenoplasty 34.84Physical medicine --see Therapy, physicalPhysical therapy --see Therapy, physicalPhysiotherapy, chest 93.99PICC (peripherally inserted central catheter)38.93Piercing ear, external (pinna) 18.01Pigmenting, skin 86.02Pilojection (aneurysm) (Gallagher) 39.52Pinealectomy (complete) (total) 07.54partial 07.53Pinealotomy (with drainage) 07.52Pinningbone --see Fixation, bone, internalear 18.5Pinsker operation (obliteration of nasoseptaltelangiectasia) 21.07Piper operation (forceps) 72.6Pirogoff operation (ankle amputation throughmalleoli of tibia and fibula) 84.14Pituitectomy (complete) (total) --see alsoHypophysectomy 07.69Placentogram, placentography 88.46with radioisotope (RISA) 92.17Planing, skin 86.25Plantation, tooth (bud) (germ) 23.5prosthetic 23.6Plasma exchange 99.07Plasmapheresis, therapeutic 99.71Plastic repair --see Repair, by site403

ICD-9-CM INDEX TO PROCEDURES (FY10)Plasty --see also Repair, by sitebladder neck (V- Y) 57.85skin (without graft) 86.89subcutaneous tissue 86.89Platelet inhibitor (GP IIB/IIIa inhibitor only),infusion 99.20Plateletpheresis, therapeutic 99.74Playpsychotherapy 94.36therapy 93.81Pleatingeye muscle 15.22multiple (two or more muscles) 15.4sclera, for buckling --see also Buckling,scleral 14.49Plethysmogram (carotid) 89.58air- filled (pneumatic) 89.58capacitance 89.58cerebral 89.58differential 89.58oculoplethysmogram 89.58penile 89.58photoelectric 89.58regional 89.58respiratory function measurement (body)89.38segmental 89.58strain- gauge 89.58thoracic impedance 89.38venous occlusion 89.58water- filled 89.58Plethysmography89.58penile 89.58Pleurectomy NEC 34.59Pleurocentesis 34.91Pleurodesis 34.6chemical 34.92with cancer chemotherapy substance34.92 [99.25]tetracycline 34.92 [99.21]Pleurolysis (for collapse of lung) 33.39Pleuropexy 34.99Pleurosclerosis 34.6chemical 34.92with cancer chemotherapy substance34.92 [99.25]tetracycline 34.92 [99.21]Pleurotomy 34.09Plexectomychoroid 02.14hypogastric 05.24Plicationaneurysmheart 37.32annulus, heart valve 35.33bleb (emphysematous), lung 32.21broad ligament 69.22Plication---Cont.diaphragm(for hernia repair)(thoracicapproach) (thoracoabdominalapproach) 53.81eye muscle (oblique) (rectus) 15.22multiple (two or more muscles) 15.4fascia 83.89hand 82.89inferior vena cava 38.7intestine (jejunum) (Noble) 46.62Kelly(- Stoeckel) (urethrovesical junction) 59.3levator, for blepharoptosis 08.34ligament --see also Arthroplasty 81.96broad 69.22round 69.22uterosacral 69.22mesentery 54.75round ligament 69.22sphincter, urinary bladder 57.85stomach 44.69laparoscopic 44.68superior vena cava 38.7tendon 83.85hand 82.55tricuspid valve (with repositioning) 35.14ureter 56.89urethra 58.49urethrovesical junction 59.3vein (peripheral) 39.59vena cava (inferior) (superior) 38.7ventricle (heart)aneurysm 37.32Plicotomy, tympanum 20.23Plombage, lung 33.39Pneumocentesis 33.93Pneumocisternogram 87.02Pneumoencephalogram 87.01Pneumogram, pneumographyextraperitoneal 88.15mediastinal 87.33orbit 87.14pelvic 88.13peritoneum NEC 88.13presacral 88.15retroperitoneum 88.15Pneumogynecography 87.82Pneumomediastinography 87.33Pneumonectomy (complete) (extended)(radical) (standard) (total) (withmediastinal dissection) 32.59partialcomplete excision, one lobe 32.49resection (wedge), one lobe 32.39thoracoscopic 32.50Pneumonolysis (for collapse of lung) 33.39Pneumonotomy (with exploration) 33.1Pneumoperitoneum(surgically- induced) 54.96for collapse of lung 33.33pelvic 88.12404

ICD-9-CM INDEX TO PROCEDURES (FY10) P.Pneumothorax (artificial) (surgical) 33.32intrapleural 33.32Pneumoventriculogram 87.02Politano-Leadbetter operation(ureteroneocystostomy) 56.74Politzerization, Eustachian tube 20.8Pollicization (with carry over of nerves andblood supply) 82.61Polya operation (gastrectomy) 43.7Polypectomy--see also Excision,lesion,by siteesophageal 42.32endoscopic 42.33gastric (endoscopic) 43.41large intestine (colon) 45.42nasal 21.31rectum (endoscopic) 48.36Polysomnogram 89.17Pomeroy operation (ligation and division offallopian tubes) 66.32Poncet operationlengthening of Achilles tendon 83.85urethrostomy, perineal 58.0Porro operation (cesarean section) 74.99Portoenterostomy (Kasai) 51.37Positrocephalogram 92.11Positron emission tomography (PET)--see Scan, radioisotopePostmortem examination 89.8Potts-Smith operation (descending aortaleftpulmonary artery anastomosis) 39.0Poudrageintrapericardial 36.39pleural 34.6PPN (peripheral parenteral nutrition) 99.15Preparation (cutting), pedicle (flap) graft86.71Preputiotomy 64.91Prescription for glasses 95.31Pressurizedgraft treatment 00.16Printen and Mason operation (high gastricbypass) 44.31Probingcanaliculus, lacrimal (with irrigation) 09.42lacrimalcanaliculi 09.42punctum (with irrigation) 09.41nasolacrimal duct (with irrigation) 09.43with insertion of tube or stent 09.44salivary duct (for dilation of duct) (forremoval of calculus) 26.91with incision 26.0Procedure --see also specific procedurediagnostic NECabdomen (region) 54.29adenoid 28.19adrenal gland 07.19alveolus 24.19amnion 75.35anterior chamber, eye 12.29anus 49.29appendix 45.28biliary tract 51.19bladder 57.39blood vessel (any site) 38.29bone 78.80carpal, metacarpal 78.84clavicle 78.81facial 76.19femur 78.85fibula 78.87humerus 78.82marrow 41.38patella 78.86pelvic 78.89phalanges (foot) (hand) 78.89radius 78.83scapula 78.81specified site NEC 78.89tarsal, metatarsal 78.88thorax (ribs) (sternum) 78.81tibia 78.87ulna 78.83vertebrae 78.89brain 01.18breast 85.19bronchus 33.29buccal 27.24bursa 83.29canthus 08.19cecum 45.28cerebral meninges 01.18cervix 67.19chest wall 34.28choroid 14.19ciliary body 12.29clitoris 71.19colon 45.28conjunctiva 10.29cornea 11.29cul- de- sac 70.29dental 24.19diaphragm 34.28duodenum 45.19earexternal 18.19inner and middle 20.39epididymis 63.09esophagus 42.29Eustachian tube 20.39extraocular muscle or tendon 15.09405

ICD-9-CM INDEX TO PROCEDURES (FY10)Procedure - diagnostic ---Cont.eye 16.29anterior chamber 12.29posterior chamber 14.19eyeball 16.29eyelid 08.19fallopian tube 66.19fascia (any site) 83.29fetus 75.35gallbladder 51.19ganglion (cranial) (peripheral) 04.19sympathetic 05.19gastric 44.19globus pallidus 01.18gum 24.19heart 37.29hepatic 50.19hypophysis 07.19ileum 45.19intestine 45.29large 45.28small 45.19iris 12.29jejunum 45.19joint (capsule) (ligament) (structure)NEC 81.98facial 76.19kidney 55.29labia 71.19lacrimal (system) 09.19large intestine 45.28larynx 31.48ligament 81.98uterine 68.19liver 50.19lung 33.29lymphatic structure (channel) (gland)(node) (vessel) 40.19mediastinum 34.29meninges (cerebral) 01.18spinal 03.39mouth 27.29muscle 83.29extraocular (oblique) (rectus) 15.09papillary (heart) 37.29nail 86.19nasopharynx 29.19nerve (cranial) (peripheral) NEC 04.19sympathetic 05.19nipple 85.19nose, nasal 21.29sinus 22.19ocular 16.29muscle 15.09omentum 54.29ophthalmologic 16.29oral (cavity) 27.29orbit 16.29orthodontic 24.19Procedure - diagnostic ---Cont.ovary 65.19laparoscopic 65.14palate 27.29pancreas 52.19papillary muscle (heart) 37.29parathyroid gland 06.19penis 64.19perianal tissue 49.29pericardium 37.29periprostatic tissue 60.18perirectal tissue 48.29perirenal tissue 59.29peritoneum 54.29periurethral tissue 58.29perivesical tissue 59.29pharynx 29.19pineal gland 07.19pituitary gland 07.19pleura 34.28posterior chamber, eye 14.19prostate 60.18pulmonary 33.29rectosigmoid 48.29rectum 48.29renal 55.29respiratory 33.29retina 14.19retroperitoneum 59.29salivary gland or duct 26.19sclera 12.29scrotum 61.19seminal vesicle 60.19sigmoid 45.28sinus, nasal 22.19skin 86.19skull 01.19soft tissue 83.29spermatic cord 63.09sphincter of Oddi 51.19spine, spinal (canal) (cord) (meninges)(structure) 03.39spleen 41.39stomach 44.19subcutaneous tissue 86.19sympathetic nerve 05.19tarsus 09.19tendon NEC 83.29extraocular 15.09testicle 62.19thalamus 01.18thoracic duct 40.19thorax 34.28thymus 07.19thyroid gland 06.19tongue 25.09tonsils 28.19tooth 24.19trachea 31.49406

ICD-9-CM INDEX TO PROCEDURES (FY10) P.Procedure - diagnostic ---Cont.tunica vaginalis 61.19ureter 56.39urethra 58.29uterus and supporting structures 68.19uvula 27.29vagina 70.29vas deferens 63.09vesical 57.39vessel (blood) (any site) 38.29vitreous 14.19vulva 71.19fistulizing, sclera NEC 12.69miscellaneous (nonoperative) NEC 99.99respiratory (nonoperative) NEC 93.99surgical --see OperationProctectasis 96.22Proctectomy (partial) --see also Resection,rectum 48.69Abdominoperineal, NOS 48.59laparoscopic 48.51open 48.52other 48.59complete (Miles) (Rankin), NOS 48.59laparoscopic 48.51open 48.52other 48.59pull- throughlaparoscopic 48.42not otherwise specified 48.40open 48.43other 48.49Proctoclysis 96.37Proctolysis 48.99Proctopexy (Delorme) 48.76abdominal (Ripstein) 48.75Proctoplasty 48.79Proctorrhaphy 48.71Proctoscopy 48.23with biopsy 48.24through stoma (artificial) 48.22transabdominal approach 48.21Proctosigmoidectomy --see also Resection,rectum 48.69Proctosigmoidopexy 48.76Proctosigmoidoscopy (rigid) 48.23with biopsy 48.24flexible 45.24through stoma (artificial) 48.22transabdominal approach 48.21Proctostomy 48.1Proctotomy (decompression) (linear) 48.0Production --see also Formation and Creationatrial septal defect 35.42subcutaneous tunnel for esophagealanastomosis 42.86with anastomosis --see Anastomosis,esophagus, antesternalPrognathic recession 76.64Prophylaxis, dental(scaling)(polishing) 96.54Prostatectomy(complete)(partial) NEC 60.69loop 60.29perineal 60.62radical (any approach) 60.5retropubic (punch) (transcapsular) 60.4suprapubic (punch) (transvesical) 60.3transcapsular NEC 60.69retropubic 60.4transperineal 60.62transurethral 60.29ablation(contact)(noncontact)by laser60.21electrovaporization 60.29enucleative 60.29resection of prostate (TURP) 60.29ultrasound guided laser induced (TULIP)60.21transvesical punch (suprapubic) 60.3Prostatocystotomy 60.0Prostatolithotomy 60.0Prostatotomy (perineal) 60.0Prostatovesiculectomy 60.5Protection (of)individual from his surroundings 99.84surroundings from individual 99.84Psychoanalysis 94.31Psychodrama 94.43Psychotherapy NEC 94.39biofeedback 94.39exploratory verbal 94.37group 94.44for psychosexual dysfunctions 94.41play 94.36psychosexual dysfunctions 94.34supportive verbal 94.38PTCA (percutaneous transluminal coronaryangioplasty) --see Angioplasty, balloon,coronaryPtyalectasis 26.91Ptyalithotomy 26.0Ptyalolithotomy 26.0Pubiotomy 77.39assisting delivery 73.94Pubococcygeoplasty 59.71Puestow operation (pancreaticojejunostomy)52.96Pull-throughabdomino- anal 48.49abdominoperineal 48.49Duhamel type 48.65endorectal 48.41Pulmowrap 93.99Pulpectomy--see also Therapy,root canal 23.70Pulpotomy--see also Therapy, root canal 23.70Pump-oxygenator, for extracorporealcirculation 39.61percutaneous 39.66407

ICD-9-CM INDEX TO PROCEDURES (FY10)Punchoperationbladder neck, transurethral 57.49prostate --see Prostatectomyresection, vocal cords 30.22Punctureantrum (nasal) (bilateral) (unilateral) 22.01artery NEC 38.98forarteriography --see also Arteriography88.40forcoronary arteriography --see alsoArteriography, coronary 88.57percutaneous vascular closure --omitcodebladder, suprapubic (for drainage) NEC57.18needle 57.11percutaneous (suprapubic) 57.17bursa 83.94hand 82.92cisternal 01.01with contrast media 87.02cranial 01.09with contrast media 87.02craniobuccal pouch 07.72craniopharyngioma 07.72fallopian tube 66.91fontanel, anterior 01.09heart 37.0for intracardiac injection 37.92hypophysis 07.72iris 12.12joint 81.91kidney (percutaneous) 55.92larynx 31.98lumbar (diagnostic) (removal of dye) 03.31lung (for aspiration) 33.93nasal sinus 22.01pericardium 37.0pituitary gland 07.72pleural cavity 34.91Rathke's pouch 07.72spinal 03.31spleen 41.1for biopsy 41.32sternal (for bone marrow biopsy) 41.31donor for bone marrow transplant 41.91vein NEC 38.99forphlebography--see also Phlebography88.60transfusion --see Transfusionventricular shunt tubing 01.02Pupillotomy 12.35Push-back operation (cleft palate repair)27.62Putti-Platt operation (capsulorrhaphy ofshoulder for recurrent dislocation) 81.82pVAD (percutaneous ventricular assist device)37.68Pyelogram (intravenous) 87.73infusion (continuous) (diuretic) 87.73percutaneous 87.75retrograde 87.74Pyeloileostomy 56.71Pyelolithotomy 55.11Pyeloplasty 55.87Pyelorrhaphy 55.81Pyeloscopy 55.22Pyelostolithotomy, percutaneous 55.03Pyelostomy 55.12closure 55.82Pyelotomy 55.11Pyeloureteroplasty 55.87Pylorectomy 43.6Pyloroduodenotomy --see category 44.2Pyloromyotomy (Ramstedt) (with wedgeresection) 43.3Pyloroplasty(Finney)(Heineke- Mikulicz) 44.29dilation, endoscopic 44.22by incision 44.21not elsewhere classified 44.29revision 44.29Pylorostomy --see GastrostomyQQuadrant resection of breast 85.22Quadricepsplasty (Thompson) 83.86Quarantine 99.84Quenuthoracoplasty 77.31Quotient, respiratory 89.38408

ICD-9-CM INDEX TO PROCEDURES (FY10)RRachicentesis 03.31Rachitomy 03.09Radiation therapy--see also Therapy,radiationteleradiotherapy --see TeleradiotherapyRadical neck dissection--seeDissection,neckRadicotomy 03.1Radiculectomy 03.1Radiculotomy 03.1Radiography (diagnostic) NEC 88.39abdomen, abdominal (flat plate) NEC88.19wall (soft tissue) NEC 88.09adenoid 87.09ankle (skeletal) 88.28soft tissue 88.37bone survey 88.31bronchus 87.49chest (routine) 87.44wall NEC 87.39clavicle 87.43computer assisted surgery (CAS) withfluoroscopy 00.33contrast (air) (gas) (radio- opaquesubstance) NECabdominal wall 88.03arteries (by fluoroscopy)--see Arteriographybile ducts NEC 87.54bladder NEC 87.77brain 87.02breast 87.35bronchus NEC (transcricoid) 87.32endotracheal 87.31epididymis 87.93esophagus 87.61fallopian tubesgas 87.82opaque dye 87.83fistula (sinus tract) --see alsoRadiography, contrast, by siteabdominal wall 88.03chest wall 87.38gallbladder NEC 87.59intervertebral disc(s) 87.21joints 88.32larynx 87.07lymph --see Lymphangiogrammammary ducts 87.35mediastinum 87.33nasal sinuses 87.15nasolacrimal ducts 87.05nasopharynx 87.06orbit 87.14Radiography - contrast ---Cont.pancreas 87.66pelvisgas 88.12opaque dye 88.11peritoneum NEC 88.13retroperitoneum NEC 88.15seminal vesicles 87.91sinus tract --see also Radiography,contrast, by siteabdominal wall 88.03chest wall 87.38nose 87.15skull 87.02spinal disc(s) 87.21trachea 87.32uterusgas 87.82opaque dye 87.83vas deferens 87.94veins (by fluoroscopy)--see Phlebographyvena cava (inferior) (superior) 88.51dental NEC 87.12diaphragm 87.49digestive tract NEC 87.69barium swallow 87.61lower GI series 87.64small bowel series 87.63upper GI series 87.62elbow (skeletal) 88.22soft tissue 88.35epididymis NEC 87.95esophagus 87.69barium- swallow 87.61eye 95.14face, head, and neck 87.09facial bones 87.16fallopian tubes 87.85foot 88.28forearm (skeletal) 88.22soft tissue 88.35frontal area, facial 87.16genital organsfemale NEC 87.89male NEC 87.99hand (skeletal) 88.23soft tissue 88.35head NEC 87.09heart 87.49hip (skeletal) 88.26soft tissue 88.37intestine NEC 87.65kidney- ureter- bladder (KUB) 87.79knee (skeletal) 88.27soft tissue 88.37409

ICD-9-CM INDEX TO PROCEDURES (FY10)Radiography ---Cont.KUB (kidney- ureter- bladder) 87.79larynx 87.09lower leg (skeletal) 88.27soft tissue 88.37lower limb (skeletal) NEC 88.29soft tissue NEC 88.37lung 87.49mandible 87.16maxilla 87.16mediastinum 87.49nasal sinuses 87.16nasolacrimal duct 87.09nasopharynx 87.09neck NEC 87.09nose 87.16orbit 87.16pelvis (skeletal) 88.26pelvimetry 88.25soft tissue 88.19prostate NEC 87.92retroperitoneum NEC 88.16ribs 87.43root canal 87.12salivary gland 87.09seminal vesicles NEC 87.92shoulder (skeletal) 88.21soft tissue 88.35skeletal NEC 88.33series (whole or complete) 88.31skull (lateral, sagittal or tangentialprojection) NEC 87.17spine NEC 87.29cervical 87.22lumbosacral 87.24sacrococcygeal 87.24thoracic 87.23sternum 87.43supraorbital area 87.16symphysis menti 87.16teeth NEC 87.12full- mouth 87.11thigh (skeletal) 88.27soft tissue 88.37thyroid region 87.09tonsils and adenoids 87.09trachea 87.49ultrasonic --see Ultrasonographyupper arm (skeletal) 88.21soft tissue 88.35upper limb (skeletal) NEC 88.24soft tissue NEC 88.35urinary system NEC 87.79uterus NEC 87.85gravid 87.81uvula 87.09vas deferens NEC 87.95wrist 88.23zygomaticomaxillary complex 87.16Radioimmunotherapy 92.28Radioisotopescanning --see Scan, radioisotopetherapy --see Therapy, radioisotopeRadiologydiagnostic --see Radiographytherapeutic --see Therapy, radiationRadiosurgery, stereotactic 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31Raising, pedicle graft 86.71Ramadier operation(intrapetrosaldrainage) 20.22Ramisection (sympathetic) 05.0Ramstedt operation (pyloromyotomy)(with wedge resection) 43.3Range of motion testing 93.05Rankin operationexteriorization of intestine 46.03proctectomy (complete), NOS 48.50laparoscopic 48.51open 48.52other 48.59Rashkind operation (balloon septostomy)35.41Rastelli operation (creation of conduitbetween rightventricle and pulmonaryartery) 35.92in repair ofpulmonary artery atresia 35.92transposition of great vessels 35.92truncus arteriosus 35.83Raz-Pereyra procedure (bladder necksuspension) 59.79RCSA(radical cryosurgical ablation) ofprostate 60.62Readjustment --see AdjustmentReamputation, stump 84.3Reanastomosis --see AnastomosisReattachmentamputated ear 18.72ankle 84.27arm (upper) NEC 84.24choroid and retina NEC 14.59bycryotherapy 14.52diathermy 14.51electrocoagulation 14.51photocoagulation 14.55laser 14.54xenon arc 14.53ear (amputated) 18.72extremity 84.29ankle 84.27410

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Reattachment-extremity ---Cont.arm (upper) NEC 84.24fingers, except thumb 84.22thumb 84.21foot 84.26forearm 84.23hand 84.23leg (lower) NEC 84.27thigh 84.28thumb 84.21toe 84.25wrist 84.23finger 84.22thumb 84.21foot 84.26forearm 84.23hand 84.23joint capsule --see also Arthroplasty81.96leg (lower) NEC 84.27ligament --see also Arthroplastyuterosacral 69.22muscle 83.74hand 82.54papillary (heart) 35.31nerve (peripheral) 04.79nose (amputated) 21.89papillary muscle (heart) 35.31penis (amputated) 64.45retina (and choroid) NEC 14.59bycryotherapy 14.52diathermy 14.51electrocoagulation 14.51photocoagulation 14.55laser 14.54xenon arc 14.53tendon (to tendon) 83.73hand 82.53to skeletal attachment 83.88hand 82.85thigh 84.28thumb 84.21toe 84.25tooth 23.5uterosacral ligament(s) 69.22vessels (peripheral) 39.59renal, aberrant 39.55wrist 84.23Recessionextraocular muscle 15.11multiple (two or more muscles) (withadvancement or resection) 15.3gastrocnemius tendon(Strayer operation)83.72levator palpebrae (superioris)muscle 08.38prognathic jaw 76.64tendon 83.72hand 82.52Reclosure --see also Closure disruptedabdominal wall (postoperative) 54.61Reconstruction (plastic) --see alsoConstruction and Repair, by sitealveolus, alveolar (process) (ridge) (withgraft or implant) 24.5artery (graft) --see Graft, arteryartificial stoma, intestine 46.40auditory canal (external) 18.6auricle (ear) 18.71bladder 57.87withileum 57.87 [45.51]sigmoid 57.87 [45.52]bone,except facial--see alsoOsteoplasty78.40facial NEC 76.46with total ostectomy 76.44mandible 76.43with total mandibulectomy 76.41breast, total, NOS 85.70deep inferior epigastric artery perforator(DIEP) flap, free 85.74gluteal artery perforator (GAP) flap, free 85.76latissimus dorsi myocutaneous flap 85.71other 85.79superficial inferior epigastric artery (SIEA)flap, free 85.75transverse rectus abdominis musculo- cutaneous (TRAM) flap, free 85.73transverse rectus abdominis myocutaneous(TRAM) flap, pedicled 85.72bronchus 33.48canthus (lateral) 08.59cardiac annulus 35.33chest wall (mesh) (silastic) 34.79cleft lip 27.54conjunctival cul- de- sac 10.43with graft (buccal mucousmembrane) (free) 10.42cornea NEC 11.79diaphragm 34.84ear (external) (auricle) 18.71external auditory canal 18.6meatus (new) (osseous skin- lined) 18.6ossicles 19.3prominent or protruding 18.5eyebrow 08.70eyelid 08.70with graft or flap 08.69hair follicle 08.63mucous membrane 08.62skin 08.61tarsoconjunctival (one- stage)(two- stage) 08.64full- thickness 08.74involving lid margin 08.73partial- thickness 08.72involving lid margin 08.71411

ICD-9-CM INDEX TO PROCEDURES (FY10)Reconstruction ---Cont.eye socket 16.64with graft 16.63fallopian tube 66.79foot and toes (with fixation device) 81.57with prosthetic implant 81.57frontonasal duct 22.79hip (total) (with prosthesis) 81.51intraoral 27.59joint --see Arthroplastylymphatic (by transplantation) 40.9mandible 76.43with total mandibulectomy 76.41mastoid cavity 19.9mouth 27.59nipple NEC 85.87nose (total) (with arm flap) (with foreheadflap) 21.83ossicles (graft) (prosthesis) NEC 19.3withstapedectomy 19.19tympanoplasty 19.53pelvic floor 71.79penis (rib graft) (skin graft)(myocutaneous flap) 64.44pharynx 29.4scrotum (with pedicle flap) (withrotational flap) 61.49skin (plastic) (without graft) NEC 86.89with graft --see Graft, skinsubcutaneous tissue (plastic) (withoutskin graft) NEC 86.89with graft --see Graft, skintendon pulley(with graft)(with localtissue)83.83for opponensplasty 82.71hand 82.71thumb (osteoplastic) (with bone graft)(with skin graft) 82.69trachea (with graft) 31.75umbilicuslaparoscopic 53.43with graft or prosthesis 53.42other and open with graft or prosthesis53.41other open 53.49ureteropelvic junction 55.87urethra 58.46vagina 70.62with graft or prosthesis 70.64vas deferens, surgically divided 63.82Recontour, gingiva 24.2Recreational therapy 93.81Rectectomy--see also Resection,rectum48.69Rectopexy (Delorme) 48.76abdominal (Ripstein) 48.75Rectoplasty 48.79Rectorectostomy 48.74Rectorrhaphy 48.71Rectosigmoidectomy --see also Resection,rectum 48.69transsacral 48.61Rectosigmoidostomy 45.94Rectostomy 48.1closure 48.72Red cell survival studies 92.05Reductionadipose tissue 86.83batwing arms 86.83breast (bilateral) 85.32unilateral 85.31bulbous tuberosities (mandible) (maxilla)(fibrous) (osseous) 24.31buttocks 86.83diastasis, ankle mortise (closed) 79.77open 79.87dislocation (of joint) (manipulation) (withcast) (with splint) (with traction device)(closed) 79.70with fracture --see Reduction,fracture,by siteankle (closed) 79.77open 79.87elbow (closed) 79.72open 79.82finger (closed) 79.74open 79.84foot (closed) 79.78open 79.88hand (closed) 79.74open 79.84hip (closed) 79.75open 79.85knee (closed) 79.76open 79.86open (with external fixation) (withinternal fixation) 79.80specified site NEC 79.89shoulder (closed) 79.71open 79.81specified site (closed) NEC 79.79open 79.89temporomandibular (closed) 76.93open 76.94toe (closed) 79.78open 79.88wrist (closed) 79.73open 79.83elephantiasis, scrotum 61.3epistaxis--see also Control, epistaxis 21.00fracture (bone) (with cast) (with splint) (withtraction device) (closed) 79.00with internal fixation 79.10alveolar process(with stabilization of teeth)mandible (closed) 76.75open 76.77maxilla (closed) 76.73open 76.77open 76.77412

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Reduction-fracture --Cont.ankle --see Reduction, fracture, legarm (closed) NEC 79.02with internal fixation 79.12open 79.22with internal fixation 79.32blow- out --see Reduction, fracture, orbitcarpal, metacarpal (closed) 79.03with internal fixation 79.13open 79.23with internal fixation 79.33epiphysis --see Reduction, separationfacial (bone) NEC 76.70closed 76.78open 76.79femur (closed) 79.05with internal fixation 79.15open 79.25with internal fixation 79.35fibula (closed) 79.06with internal fixation 79.16open 79.26with internal fixation 79.36foot (closed) NEC 79.07with internal fixation 79.17open 79.27with internal fixation 79.37hand (closed) NEC 79.03with internal fixation 79.13open 79.23with internal fixation 79.33humerus (closed) 79.01with internal fixation 79.11open 79.21with internal fixation 79.31jaw (lower) --see also Reduction, fracture,mandibleupper--see Reduction,fracture,maxillalarynx 31.64leg (closed) NEC 79.06with internal fixation 79.16open 79.26with internal fixation 79.36malar (closed) 76.71open 76.72mandible(with dental wiring)(closed) 76.75open 76.76maxilla(with dental wiring)(closed) 76.73open 76.74nasal (closed) 21.71open 21.72open 79.20with internal fixation 79.30specified site NEC 79.29with internal fixation 79.39orbit (rim) (wall) (closed) 76.78open 76.79patella(open)(with internal fixation) 79.36Reduction-fracture --Cont.phalangesfoot (closed) 79.08with internal fixation 79.18open 79.28with internal fixation 79.38hand (closed) 79.04with internal fixation 79.14open 79.24with internal fixation 79.34radius (closed) 79.02with internal fixation 79.12open 79.22with internal fixation 79.32skull 02.02specified site (closed) NEC 79.09with internal fixation 79.19open 79.29with internal fixation 79.39spine 03.53tarsal, metatarsal (closed) 79.07with internal fixation 79.17open 79.27with internal fixation 79.37tibia (closed) 79.06with internal fixation 79.16open 79.26with internal fixation 79.36ulna (closed) 79.02with internal fixation 79.12open 79.22with internal fixation 79.32vertebra 03.53zygoma, zygomatic arch (closed) 76.71open 76.72fracture dislocation--see Reduction,fractureheart volume 37.35hemorrhoids (manual) 49.41hernia --see also Repair, herniamanual 96.27intussusception (open) 46.80withfluoroscopy 96.29ionizing radiation enema 96.29ultrasonography guidance 96.29hydrostatic 96.29large intestine 46.82endoscopic (balloon) 46.85pneumatic 96.29small intestine 46.81lung volume 32.22biologic lung volume reduction (BLVR)--see category 33.7malrotation,intestine(manual)(surgical) 46.80large 46.82endoscopic (balloon) 46.85small 46.81mammoplasty (bilateral) 85.32unilateral 85.31413

ICD-9-CM INDEX TO PROCEDURES (FY10)Reduction --Cont.prolapseanus (operative) 49.94colostomy (manual) 96.28enterostomy (manual) 96.28ileostomy (manual) 96.28rectum (manual) 96.26uterusby pessary 96.18surgical 69.22ptosis overcorrection 08.37retroversion, uterus by pessary 96.18separation, epiphysis (with internalfixation) (closed) 79.40femur (closed) 79.45open 79.55fibula (closed) 79.46open 79.56humerus (closed) 79.41open 79.51open 79.50specified site (closed) NEC --see alsocategory 79.4open --see category 79.5tibia (closed) 79.46open 79.56sizeabdominal wall (adipose) (pendulous) 86.83arms (adipose) (batwing) 86.83breast (bilateral) 85.32unilateral 85.31buttocks (adipose) 86.83finger (macrodactyly repair) 82.83skin 86.83subcutaneous tissue 86.83thighs (adipose) 86.83torsionintestine (manual) (surgical) 46.80large 46.82endoscopic (balloon) 46.85small 46.81kidney pedicle 55.84omentum 54.74spermatic cord 63.52with orchiopexy 62.5testis 63.52with orchiopexy 62.5uterus NEC 69.98gravid 75.99ventricular 37.35volvulusintestine 46.80large 46.82endoscopic (balloon) 46.85small 46.81stomach 44.92Reefing, joint capsule --see also Arthroplasty81.96Re-entry operation (aorta) 39.54Re-establishment, continuity--see also Anastomosisbowel 46.50fallopian tube 66.79vas deferens 63.82Referral (for)psychiatric aftercare (halfway house)(outpatient clinic) 94.52psychotherapy 94.51rehabilitationalcoholism 94.53drug addiction 94.54psychologic NEC 94.59vocational 94.55Reformationcardiac pacemaker pocket, new site (skin)(subcutaneous) 37.79cardioverter/defibrillator (automatic)pocket, new site (skin) (subcutaneous)37.79chamber of eye 12.99Refracturebone (for faulty union) --see also Osteoclasis78.70nasal bones 21.88Refusionspinal, NOS 81.30atlas- axis (anterior) (transoral)(posterior) 81.31cervical (C2 level or below) NEC 81.32anterior (interbody), anterolateraltechnique 81.32C1- C2 level (anterior)(posterior) 81.31posterior (interbody), posterolateraltechnique 81.33craniocervical(anterior)(transoral)(posterior) 81.31dorsal, dorsolumbar NEC 81.35anterior (interbody), anterolateraltechnique 81.34posterior (interbody) posterolateraltechnique 81.35lumbar, lumbosacral NEC 81.38anterior (interbody), anterolateraltechnique 81.36anterior lumbar interbody fusion(ALIF) 81.36lateral transverse process technique81.37posterior (interbody), posterolateraltechnique 81.38posterior lumbar interbody fusion(PLIF) 81.38transforaminal lumbar interbodyfusion (TLIF) 81.38number of vertebrae--see codes 81.62 - 81.64occiput- C2 (anterior) (transoral)(posterior) 81.31414

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Refusion --Contrefusion NEC 81.39Note : Also use either 81.62, 81.63, or81.64 as an additional code to show thetotal number of vertebrae fusedRegional blood flow study 92.05Regulation, menstrual 69.6Rehabilitation programs NEC 93.89alcohol 94.61with detoxification 94.63combined alcohol and drug 94.67with detoxification 94.69drug 94.64with detoxification 94.66combined drug and alcohol 94.67with detoxification 94.69sheltered employment 93.85vocational 93.85Reimplantationadrenal tissue (heterotopic) (orthotopic)07.45artery 39.59renal, aberrant 39.55bile ducts following excision of ampullaof Vater 51.62extremity --see Reattachment, extremityfallopian tube into uterus 66.74kidney 55.61lung 33.5ovary 65.72laparoscopic 65.75pancreatic tissue 52.81parathyroid tissue (heterotopic)(orthotopic) 06.95pulmonary artery for hemitruncus repair35.83renal vessel, aberrant 39.55testis in scrotum 62.5thyroid tissue (heterotopic) (orthotopic)06.94tooth 23.5ureter into bladder 56.74Reinforcement --see also Repair, by sitesclera NEC 12.88with graft 12.87Reinsertion --see also Insertion or Revisioncystostomy tube 59.94fixation device (internal) --see also Fixation,bone, internal 78.50heart valve (prosthetic) 35.95Holter (- Spitz) valve 02.42implant (expelled) (extruded)eyeball (with conjunctival graft) 16.62orbital 16.62nephrostomy tube 55.93pyelostomy tube 55.94Reinsertion --Contureteral stent (transurethral) 59.8with ureterotomy 59.8 [56.2]ureterostomy tube 59.93valveheart (prosthetic) 35.95ventricular (cerebral) 02.42Relaxation --see also Release training 94.33Releasecarpal tunnel (for nerve decompression)04.43celiac artery axis 39.91central slip, extensor tendon hand(mallet finger repair) 82.84chordee 64.42clubfoot NEC 83.84de Quervain's tenosynovitis 82.01Dupuytren's contracture (by palmarfasciectomy) 82.35by fasciotomy (subcutaneous) 82.12with excision 82.35Fowler (mallet finger repair) 82.84joint (capsule) (adherent) (constrictive)--see also Division, joint capsule 80.40laryngeal 31.92ligament --see also Division, ligament 80.40median arcuate 39.91median arcuate ligament 39.91muscle (division) 83.19hand 82.19nerve (peripheral) NEC 04.49cranial NEC 04.42trigeminal 04.41pressure, intraocular 12.79scar tissueskin 86.84stoma --see Revision, stomatarsal tunnel 04.44tendon 83.13hand 82.11extensor, central slip (repair malletfinger) 82.84sheath 83.01hand 82.01tenosynovitis 83.01abductor pollicis longus 82.01de Quervain's 82.01external pollicis brevis 82.01hand 82.01torsionintestine 46.80large 46.82endoscopic (balloon) 46.85small 46.81kidney pedicle 55.84ovary 65.95testes 63.52transverse carpal ligament (for nervedecompression) 04.43415

ICD-9-CM INDEX TO PROCEDURES (FY10)Release ---Cont.trigger finger or thumb 82.01urethral stricture 58.5Volkmann's contractureexcision of scar, muscle 83.32fasciotomy 83.14muscle transplantation 83.77web contracture (skin) 86.84Relief --see ReleaseRelocation --see also Revisioncardiac device (CRT- D)(CRT- P)(defibrillator)(pacemaker) pocket, new site (skin)(subcutaneous) 37.79CRT- D pocket 37.79CRT- P pocket 37.79subcutaneous device pocket NEC 86.09Remobilizationjoint 93.16stapes 19.0Remodelventricle 37.35Removal --see also ExcisionAbrams bar (chest wall) 34.01abscess --see Incision, by siteadenoid tag(s) 28.6anal sphincterwith revision 49.75without revision 49.76arch bars (orthodontic) 24.8immobilization device 97.33artificial heartinternal biventricular replacement system37.55arterial graft or prosthesis 39.49arteriovenous shunt (device) 39.43with creation of new shunt 39.42Barton's tongs (skull) 02.95with synchronous replacement 02.94bladder sphincter, artificial 58.99with replacement 58.93blood clot --see also Incision, by sitebladder (by incision) 57.19without incision 57.0kidney (without incision) 56.0by incision 55.01ureterby incision 56.2bone fragment (chip) --see also Incision,bone 77.10joint --see also Arthrotomy 80.10necrotic --see also Sequestrectomy, bone77.00joint --see also Arthrotomy 80.10skull 01.25with debridement compound fracture02.02bone growth stimulator--see category 78.6bony spicules, spinal canal 03.53brace 97.88Removal ---Cont.breast implant 85.94tissue expander 85.96bronchial device or substanceendoscopic 33.78calcareous depositbursa 83.03hand 82.03tendon, intratendinous 83.39hand 82.29calcification, heart valve leafletssee Valvuloplasty,heartcalculusbile duct (by incision) 51.49endoscopic 51.88laparoscopic 51.88percutaneous 51.98bladder (by incision) 57.19without incision 57.0common duct (by incision) 51.41endoscopic 51.88laparoscopic 51.88percutaneous 51.96gallbladder 51.04endoscopic 51.88laparoscopic 51.88kidney (by incision) 55.01without incision (transurethral) 56.0percutaneous 55.03with fragmentation (ultrasound) 55.04renal pelvis (by incision) 55.11percutaneous nephostomy 55.03with fragmentation 55.04transurethral 56.0lacrimalcanaliculi 09.42by incision 09.52gland 09.3by incision 09.0passage(s) 09.49by incision 09.59punctum 09.41by incision 09.51sac 09.49by incision 09.53pancreatic duct (by incision) 52.09endoscopic 52.94perirenal tissue 59.09pharynx 29.39prostate 60.0salivary gland (by incision) 26.0by probe 26.91ureter (by incision) 56.2without incision 56.0urethra (by incision) 58.0without incision 58.6caliper tongs (skull) 02.95416

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Removal ---Cont.cannulafor extracorporeal membraneoxygenation (ECMO) --omit codecardiac pacemaker (device) (initial)(permanent)(cardiac resynchronizationdevice,CRT- P) 37.89with replacement (by)cardiac resynchronization pacemaker(CRT- P)device only 00.53total system 00.50dual chamber device 37.87single- chamber device 37.85rate responsive 37.86cardioverter/defibrillator pulse generatorwithout replacement (cardiacresynchronization defibrillatordevice (CRT- D)) 37.79cast 97.88with reapplication 97.13lower limb 97.12upper limb 97.11catheter (indwelling) --see also Removal,tubebladder 97.64cranial cavity 01.27middle ear (tympanum) 20.1ureter 97.62urinary 97.64ventricular (cerebral) 02.43with synchronous replacement 02.42CCM (cardiac contractility modulation)without replacement (rechargeablepulse generator) (total system) 37.79cerclage material, cervix 69.96cerumen, ear 96.52corneal epithelium 11.41for smear or culture 11.21coronary artery obstruction (thrombus)36.09direct intracoronary artery infusion36.04open chest approach 36.03percutaneous transluminal (balloon)Note: Also use 00.40, 00.41,00.42, or 00.43 to show thetotal number of vesselstreated. Use code 00.44once to show procedure ona bifurcated vessel. Inaddition, use 00.45, 00.46,00.47, or 00.48 to show thenumber of vascular stentsinserted.with thrombolytic agent infusion36.02multiple vessels 36.05Removal---Cont.Crutchfield tongs (skull) 02.95with synchronous replacement 02.94cyst --see also Excision, lesion, by sitedental 24.4lung 32.29endoscopic 32.28thoracoscopic 32.20cystic duct remnant 51.61decidua (by)aspiration curettage 69.52curettage (D and C) 69.02manual 75.4dental wiring(immobilization device) 97.33orthodontic 24.8device (therapeutic) NEC 97.89abdomen NEC 97.86bronchus 33.78valve 33.78digestive system NEC 97.59drainage --see Removal, tubeexternal fixation device 97.88mandibular NEC 97.36minifixator (bone) --see category 78.6for musculoskeletal immobilizationNEC 97.88genital tract NEC 97.79head and neck NEC 97.39intrauterine contraceptive 97.71spine 80.09thorax NEC 97.49trunk NEC 97.87urinary system NEC 97.69diaphragm, vagina 97.73drainage device --see Removal, tubedye, spinal canal 03.31ectopic fetus (from) 66.02abdominal cavity 74.3extraperitoneal (intraligamentous) 74.3fallopian tube (by salpingostomy) 66.02by salpingotomy 66.01with salpingectomy 66.62intraligamentous 74.3ovarian 74.3peritoneal (following uterine or tubalrupture) 74.3site NEC 74.3tubal (by salpingostomy) 66.02by salpingotomy 66.01with salpingectomy 66.62electrodesbone growth stimulator--see category 78.6brain 01.22depth 01.22with synchronous replacement 02.93foramen ovale 01.22with synchronous replacement 02.93sphenoidal --omit codewith synchronous replacement 02.96417

ICD-9-CM INDEX TO PROCEDURES (FY10)Removal electrodes ---Cont.cardiac pacemaker (atrial) (transvenous)(ventricular) 37.77with replacement 37.76carotid sinus 04.93with synchronous replacement 04.92depth 01.22with synchronous replacement 02.93epicardial (myocardial) 37.77with replacement (by)atrial and/or ventricular lead(s)(electrode) 37.76epicardial lead 37.74epidural pegs 01.22with synchronous replacement 02.93foramen ovale 01.22with synchronous replacement 02.93gastric 04.93with synchronous replacement 04.92intracranial 01.22with synchronous replacement 02.93peripheral nerve 04.93with synchronous replacement 04.92sacral nerve 04.93sphenoidal --omit codewith synchronous replacement 02.96spinal 03.94with synchronous replacement 03.93temporary transvenous pacemakersystem --omit codeelectroencephalographic receiver (brain)(intracranial) 01.22with synchronous replacement 02.93electronicstimulator --see Removal,neurostimulator, by sitebladder 57.98bone 78.6skeletal muscle 83.93with synchronous replacement 83.92ureter 56.94electrostimulator --see Removal, electronic,stimulator, by siteembolus 38.00with endarterectomy--see Endarterectomyabdominalartery 38.06vein 38.07aorta (arch) (ascending) (descending)38.04arteriovenous shunt or cannula 39.49bovine graft 39.49head and neck vesselendovascular approach 39.74open approach, intracranial vessels38.01open approach, other vessels ofhead and neck 38.02Removal embolus ---Cont.intracranial vesselendovascular approach 39.74open approach, intracranial vessels38.01open approach, other vessels ofhead and neck 38.02lower limbartery 38.08vein 38.09pulmonary (artery) (vein) 38.05thoracic vessel NEC 38.05upper limb (artery) (vein) 38.03embryo --see Removal, ectopic fetusencircling tube, eye (episcleral) 14.6epithelial downgrowth, anterior chamber12.93external fixation device 97.88mandibular NEC 97.36minifixator (bone) --see category 78.6extrauterine embryo --see Removal, ectopicfetuseyeball 16.49with implant 16.42with attachment of muscles 16.41fallopian tube --see Salpingectomyfeces (impacted) (by flushing) (manual) 96.38fetus, ectopic --see Removal, ectopic fetusfingers, supernumerary 86.26fixation deviceexternal 97.88mandibular NEC 97.36minifixator (bone) --see category 78.6internal 78.60carpal, metacarpal 78.64clavicle 78.61facial (bone) 76.97femur 78.65fibula 78.67humerus 78.62patella 78.66pelvic 78.69phalanges (foot) (hand) 78.69radius 78.63scapula 78.61specified site NEC 78.69tarsal, metatarsal 78.68thorax (ribs) (sternum) 78.61tibia 78.67ulna 78.63vertebrae 78.69foreign body NEC --see also Incision, bysite 98.20abdominal (cavity) 54.92wall 54.0adenoid 98.13by incision 28.91alveolus, alveolar bone 98.22by incision 24.0418

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Removal -foreign body ---Cont.antecubital fossa 98.27by incision 86.05anterior chamber 12.00by incision 12.02with use of magnet 12.01anus (intraluminal) 98.05by incision 49.93artificial stoma (intraluminal) 98.18auditory canal, external 18.02axilla 98.27by incision 86.05bladder (without incision) 57.0by incision 57.19bone, except fixation device --see alsoIncision, bone 77.10alveolus, alveolar 98.22by incision 24.0brain 01.39without incision into brain 01.24breast 85.0bronchus (intraluminal) 98.15by incision 33.0bursa 83.03hand 82.03canthus 98.22by incision 08.51cerebral meninges 01.31cervix (intraluminal) NEC 98.16penetrating 69.97choroid (by incision) 14.00with use of magnet 14.01without use of magnet 14.02ciliary body (by incision) 12.00with use of magnet 12.01without use of magnet 12.02conjunctiva (by magnet) 98.22by incision 10.0cornea 98.21byincision 11.1magnet 11.0duodenum 98.03by incision 45.01ear (intraluminal) 98.11with incision 18.09epididymis 63.92esophagus (intraluminal) 98.02by incision 42.09extrapleural (by incision) 34.01eye, eyeball (by magnet) 98.21anterior segment (by incision) 12.00with use of magnet 12.01without use of magnet 12.02posterior segment (by incision) 14.00with use of magnet 14.01without use of magnet 14.02superficial 98.21Removal -foreign body ---Cont.eyelid 98.22by incision 08.09fallopian tubeby salpingostomy 66.02by salpingotomy 66.01fascia 83.09hand 82.09foot 98.28gall bladder 51.04groin region (abdominal wall) (inguinal)54.0gum 98.22by incision 24.0hand 98.26head and neck NEC 98.22heart 37.11internal fixation device --see Removal,fixation device, internalintestineby incision 45.00large (intraluminal) 98.04by incision 45.03small (intraluminal) 98.03by incision 45.02intraocular (by incision) 12.00with use of magnet 12.01without use of magnet 12.02iris (by incision) 12.00with use of magnet 12.01without use of magnet 12.02joint structures --see also Arthrotomy80.10kidney (transurethral) (by endoscopy) 56.0by incision 55.01pelvis (transurethral) 56.0by incision 55.11labia 98.23by incision 71.09lacrimalcanaliculi 09.42by incision 09.52gland 09.3by incision 09.0passage(s) 09.49by incision 09.59punctum 09.41by incision 09.51sac 09.49by incision 09.53large intestine (intraluminal) 98.04by incision 45.03larynx (intraluminal) 98.14by incision 31.3lens 13.00by incision 13.02with use of magnet 13.01liver 50.0lower limb, except foot 98.29foot 98.28419

ICD-9-CM INDEX TO PROCEDURES (FY10)Removal -foreign body ---Cont.lung 33.1mediastinum 34.1meninges (cerebral) 01.31spinal 03.01mouth (intraluminal) 98.01by incision 27.92muscle 83.02hand 82.02nasal sinus 22.50antrum 22.2with Caldwell- Luc approach 22.39ethmoid 22.51frontal 22.41maxillary 22.2with Caldwell- Luc approach 22.39sphenoid 22.52nerve (cranial) (peripheral) NEC 04.04root 03.01nose (intraluminal) 98.12by incision 21.1oral cavity (intraluminal) 98.01by incision 27.92orbit (by magnet) 98.21by incision 16.1palate (penetrating) 98.22by incision 27.1pancreas 52.09penis 98.24by incision 64.92pericardium 37.12perineum (female) 98.23by incision 71.09male 98.25by incision 86.05perirenal tissue 59.09peritoneal cavity 54.92perivesical tissue 59.19pharynx (intraluminal) 98.13by pharyngotomy 29.0pleura (by incision) 34.09popliteal space 98.29by incision 86.05rectum (intraluminal) 98.05by incision 48.0renal pelvis (transurethral) 56.0by incision 56.1retina (by incision) 14.00with use of magnet 14.01without use of magnet 14.02retroperitoneum 54.92sclera (by incision) 12.00with use of magnet 12.01without use of magnet 12.02scrotum 98.24by incision 61.0sinus (nasal) 22.50antrum 22.2with Caldwell- Luc approach 22.39Removal -foreign body sinus --Cont.ethmoid 22.51frontal 22.41maxillary 22.2with Caldwell- Luc approach 22.39sphenoid 22.52skin NEC 98.20by incision 86.05skull 01.24with incision into brain 01.39small intestine (intraluminal) 98.03by incision 45.02soft tissue NEC 83.09hand 82.09spermatic cord 63.93spinal (canal) (cord) (meninges) 03.01stomach (intraluminal) 98.03bubble (balloon) 44.94by incision 43.0subconjunctival (by magnet) 98.22by incision 10.0subcutaneous tissue NEC 98.20by incision 86.05supraclavicular fossa 98.27by incision 86.05tendon (sheath) 83.01hand 82.01testis 62.0thorax (by incision) 34.09thyroid (field) (gland) (by incision) 06.09tonsil 98.13by incision 28.91trachea (intraluminal) 98.15by incision 31.3trunk NEC 98.25tunica vaginalis 98.24upper limb, except hand 98.27hand 98.26ureter (transurethral) 56.0by incision 56.2urethra (intraluminal) 98.19by incision 58.0uterus (intraluminal) 98.16vagina (intraluminal) 98.17by incision 70.14vas deferens 63.6vitreous (by incision) 14.00with use of magnet 14.01without use of magnet 14.02vulva 98.23by incision 71.09gallstonesbile duct (by incision) NEC 51.49endoscopic 51.88common duct (by incision) 51.41endoscopic 51.88percutaneous 51.96duodenum 45.01420

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Removal -gallstones ---Cont.gallbladder 51.04endoscopic 51.88laparoscopic 51.88hepatic ducts 51.49endoscopic 51.88intestine 45.00large 45.03small NEC 45.02liver 50.0Gardner Wells tongs (skull) 02.95with synchronous replacement 02.94gastric band(adjustable),laparoscopic44.97gastric bubble (balloon) 44.94granulation tissue --see also Excision,lesion, by sitewith repair --see Repair, by sitecranial 01.6skull 01.6halo traction device (skull) 02.95with synchronous replacement 02.94heart assist systemwith replacement 37.63intra- aortic balloon pump (IABP) 97.44nonoperative 97.44open removal 37.64percutaneous external device 97.44heart replacement systeminternal biventricular 37.55hematoma --see Drainage, by siteHoffman minifixator device (bone)--see category 78.6hydatidiform mole 68.0impactedfeces (rectum)(by flushing)(manual)96.38tooth 23.19from nasal sinus (maxillary) 22.61implantbreast 85.94cochlear prosthetic device 20.99cornea 11.92lens (prosthetic) 13.8middle ear NEC 20.99ocular 16.71posterior segment 14.6orbit 16.72retina 14.6tympanum 20.1implantable hemodynamic sensor (lead)and monitor device 37.79internal biventricular heart replacementsystem 37.55internal fixation device --see Removal,fixation device, internalintra- aortic balloon pump (IABP) 97.44intrauterine contraceptive device (IUD)97.71joint (structure) NOS 80.90ankle 80.97Removal -joint ---Cont.elbow 80.92foot and toe 80.98hand and finger 80.94hip 80.95knee 80.96other specified sites 80.99shoulder 80.91spine 80.99toe 80.98wrist 80.93Kantrowitz heart pump 37.64nonoperative 97.44keel (tantalum plate), larynx 31.98kidney --see also Nephrectomymechanical 55.98transplanted or rejected 55.53laminaria (tent), uterus 97.79leads (cardiac) --see Removal, electrodes,cardiac pacemakerlesion --see Excision, lesion, by siteligamentum flavum (spine) --omit codeligaturefallopian tube 66.79ureter 56.86vas deferens 63.84limb lengthening device, internal--see category 78.6loop recorder 86.05loose bodybone --see Sequestrectomy, bonejoint 80.10mesh (surgical) --see Removal, foreignbody, by sitelymph node --see Excision, lymph, nodeminifixator device (bone)--see category 78.6external fixation device 97.88Mulligan hood, fallopian tube 66.94with synchronous replacement 66.93muscle stimulator (skeletal) 83.93with replacement 83.92myringotomy device or tube 20.1nail (bed) (fold) 86.23internal fixation device --see Removal,fixation device, internalnecrosisskin 86.28excisional 86.22neuropacemaker --see Removal,neurostimulator, by siteneurostimulatorelectrodesbrain 01.22with synchronous replacement 02.93carotid sinus 04.93with synchronous replacement 04.92gastric 04.93with synchronous replacement 04.92421

ICD-9-CM INDEX TO PROCEDURES (FY10)Removal neurostimulator electrodes ---Cont.intracranial 01.22with synchronous replacement 02.93peripheral nerve 04.93with synchronous replacement 04.92sacral nerve 04.93with synchronous replacement 04.92spinal 03.94with synchronous replacement 03.93pulse generator (single array, dual array)86.05with synchronous replacement 86.96dual array 86.95rechargeable 86.98single array 86.94rechargeable 86.97nonabsorbable surgical material NEC--see Removal, foreign body, by siteodontoma (tooth) 24.4orbital implant 16.72osteocartilagenous loose body, jointstructures --see also Arthrotomy 80.10outer attic wall (middle ear) 20.59ovo- testis (unilateral) 62.3bilateral 62.41pacemakerbrain (intracranial) - - see Removal,neurostimulatorcardiac (device)(initial)(permanent)37.89with replacementdual- chamber device 37.87single- chamber device 37.85rate responsive 37.86electrodes (atrial) (transvenous)(ventricular) 37.77with replacement 37.76epicardium (myocardium) 37.77with replacement (by)atrial and/or ventricular lead(s)(electrode) 37.76epicardial lead 37.74temporary transvenous pacemakersystem --omit codeintracranial--see Removal, neurostimulatorneural --see Removal, neurostimulatorperipheral nerve --see Removal,neurostimulatorspinal --see Removal, neurostimulatorpack, packingdental 97.34intrauterine 97.72nasal 97.32rectum 97.59trunk NEC 97.85vagina 97.75vulva 97.75pantopaque dye, spinal canal 03.31patella (complete) 77.96partial 77.86Removal ---Cont.pectus deformity implant device 34.01pelvic viscera, en masse (female) 68.8male 57.71pessary, vagina NEC 97.74pharynx (partial) 29.33phlebolith --see Removal, embolusplacenta (by)aspiration curettage 69.52D and C 69.02manual 75.4plaque, dental 96.54plate, skull 02.07with synchronous replacement 02.05polyp --see also Excision, lesion, by siteesophageal 42.32endoscopic 42.33gastric (endoscopic) 43.41intestine 45.41endoscopic 45.42nasal 21.31prosthesisbile duct 51.95nonoperative 97.55cochlear prosthetic device 20.99dental 97.35eye 97.31facial bone 76.99fallopian tube 66.94with synchronous replacement 66.93joint structureswith replacement --see Revision, jointreplacement, by sitewithout replacementankle 80.07elbow 80.02foot and toe 80.08hand and finger 80.04hip 80.05knee 80.06shoulder 80.01specified site NEC 80.09spine 80.09unspecified site 80.00wrist 80.03lens 13.8penis (internal) without replacement 64.96Rosen (urethra) 59.99testicular, by incision 62.0urinary sphincter, artificial 58.99with replacement 58.93pseudophakos 13.8pterygium 11.39with corneal graft 11.32pulse generatorcardiac pacemaker 37.86cardioverter/defibrillator 37.79neurostimulator --see Removal,neurostimulator, pulse generator422

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Removal ---Cont.pump assist device, heart 37.64with replacement 37.63nonoperative 97.44radioactive material --see Removal,foreign body, by siteredundant skin, eyelid 08.86rejected organkidney 55.53testis 62.42reservoir, ventricular (Ommaya) (Rickham)02.43with synchronous replacement 02.42retained placenta (by)aspiration curettage 69.52D and C 69.02manual 75.4retinal implant 14.6device 86.05rhinolith 21.31rice bodies, tendon sheaths 83.01hand 82.01Roger- Anderson minifixator device (bone)--see category 78.6root, residual (tooth) (buried) (retained)23.11Rosen prosthesis (urethra) 59.99scleral buckle or implant 14.6Scribner shunt 39.43secondary membranous cataract (withiridectomy) 13.65secundines (by)aspiration curettage 69.52D and C 69.02manual 75.4sequestrum --see Sequestrectomyseton, anus 49.93Shepard's tube (ear) 20.1Shirodkar suture, cervix 69.96shuntarteriovenous 39.43with creation of new shunt 39.42lumbar- subarachnoid NEC 03.98pleurothecal 03.98salpingothecal 03.98spinal (thecal) NEC 03.98subarachnoid- peritoneal 03.98subarachnoid- ureteral 03.98silastic tubesear 20.1fallopian tubes 66.94with synchronous replacement 66.93skinnecrosis or slough 86.28excisional 86.22superficial layer(by dermabrasion)86.25skull tongs 02.95with synchronous replacement 02.94Removal ---Cont.spacer (cement) (joint) 84.57splint 97.88stentbile duct 97.55larynx 31.98ureteral 97.62urethral 97.65stimoceiver - see Removal,neurostimulatorsubduralgrids 01.22strips 01.22supernumerary digit(s) 86.26suture(s) NEC 97.89abdominal wall 97.83by incision --see Incision, by sitegenital tract 97.79head and neck 97.38thorax 97.43trunk NEC 97.84symblepharon --see Repair, symblepharontemporary transvenous pacemaker system--omit codetestis (unilateral) 62.3bilateral 62.41remaining or solitary 62.42thrombus 38.00with endarterectomy--see Endarterectomyabdominalartery 38.06vein 38.07aorta (arch) (ascending) (descending)38.04arteriovenous shunt or cannula 39.49bovine graft 39.49coronary artery 36.09head and neck vessel NEC 38.02intracranial vessel NEC 38.01lower limbartery 38.08vein 38.09pulmonary (artery) (vein) 38.05thoracic vessel NEC 38.05upper limb (artery) (vein) 38.03tissue expander (skin) NEC 86.05breast 85.96toes, supernumerary 86.26tongs, skull 02.95with synchronous replacement 02.94tonsil tag 28.4tooth (by forceps) (multiple) (single) NEC23.09deciduous 23.01surgical NEC 23.19impacted 23.19residual root 23.11root apex 23.73with root canal therapy 23.72423

ICD-9-CM INDEX TO PROCEDURES (FY10)Removal---Cont.trachoma follicles 10.33T- tube (bile duct) 97.55tubeappendix 97.53bile duct (T- tube) NEC 97.55cholecystostomy 97.54cranial cavity 01.27cystostomy 97.63ear (button) 20.1gastrostomy 97.51large intestine 97.53liver 97.55mediastinum 97.42nephrostomy 97.61pancreas 97.56peritoneum 97.82pleural cavity 97.41pyelostomy 97.61retroperitoneum 97.81small intestine 97.52thoracotomy 97.41tracheostomy 97.37tympanostomy 20.1tympanum 20.1ureterostomy 97.62ureteral splint (stent) 97.62urethral sphincter, artificial 58.99with replacement 58.93urinary sphincter, artificial 58.99with replacement 58.93utricle 20.79valvevas deferens 63.85ventricular (cerebral) 02.43vascular graft or prosthesis 39.49ventricular shunt or reservoir 02.43with synchronous replacement 02.42Vinke tongs (skull) 02.95with synchronous replacement 02.94vitreous (with replacement) 14.72anterior approach (partial) 14.71open sky technique 14.71Wagner- Brooker minifixator device (bone)--see category 78.6wiring, dental(immobilization device) 97.33orthodontic 24.8Renipuncture (percutaneous) 55.92Renogram 92.03Renotransplantation NEC 55.69Note: To report donor source:cadaver 00.93live non- related donor 00.92live related donor 00.91live unrelated donor 00.92Reopening --see also Incision, by siteblepharorrhaphy 08.02canthorrhaphy 08.02cilia base 08.71Reopening ---Cont.craniotomy or craniectomy site 01.23fallopian tube (divided) 66.79iris in anterior chambers 12.97laminectomy or laminotomy site 03.02laparotomy site 54.12osteotomy site --see also Incision, bone 77.10facial bone 76.09tarsorrhaphy 08.02thoracotomy site (for control of hemorrhage)(for examination) (for exploration) 34.03thyroid field wound (for control of hemorrhage)(for examination) (for exploration) (forremoval of hematoma) 06.02Repacking --see Replacement, pack, by siteRepairabdominal wall 54.72adrenal gland 07.44alveolus, alveolar (process) (ridge) (withgraft) (with implant) 24.5anal sphincter 49.79artificial sphincterimplantation 49.75revision 49.75laceration (by suture) 49.71obstetric (current) 75.62old 49.79aneurysm (false) (true) 39.52by or withclipping 39.51coagulation 39.52coil, NEC (endovascular approach) 39.79head and neckbare coils 39.75bioactive coils 39.76electrocoagulation 39.52excision or resection of vessel--see also Aneurysmectomy, by sitewithanastomosis--see Aneurysmectomy, withanastomosis, by sitegraft replacement--see Aneurysmectomy, withgraft replacement, by siteendovascular graft 39.79abdominal aorta 39.71head and neck 39.72lower extremity artery(s) 39.79thoracic aorta 39.73upper extremity artery(s) 39.79filipuncture 39.52graft replacement --see Aneurysmectomy,with graft replacement, by siteligation 39.52liquid tissue adhesive (glue) 39.79endovascular approach 39.79head and neck 39.72424

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Repair - aneurysm - by or with ---Cont.methyl methacrylate 39.52endovascular approach 39.79head and neck 39.72occlusion 39.52endovascular approach 39.79head and neck 39.72suture 39.52trapping 39.52wiring 39.52wrapping (gauze) (methylmethacrylate) (plastic) 39.52coronary artery 36.91heart 37.32sinus of Valsalva 35.39thoracic aorta (dissecting), byfenestration 39.54anomalous pulmonary venous connection(total)one- stage 35.82partial --see specific proceduretotal 35.82anular disc 80.54with graft or prosthesis 80.53anulus fibrosus 80.54with graft or prosthesis 80.53anus 49.79laceration (by suture) 49.71obstetric (current) 75.62old 49.79aorta 39.31aorticopulmonary window 39.59arteriovenous fistula 39.53by or withclipping 39.53coagulation 39.53coil, NEC (endovascular approach)39.79head and neck vesselsbare coils 39.75bioactive coils 39.76division 39.53excision or resection --see alsoAneurysmectomy, by sitewithanastomosis --seeAneurysmectomy, withanastomosis, by sitegraft replacement--see Aneurysmectomy, withgraft replacement, by siteligation 39.53coronary artery 36.99occlusion 39.53endovascular approach 39.79head and neck 39.72suture 39.53Repair---Cont.artery NEC 39.59byabdominal aorta 39.71endovascular approachhead and neck (embolization orocclusion) 39.72other repair (of aneurysm) 39.79percutaneous repair of intracranialvessel(s) (for stent insertion) 00.62Note: Also use 00.40, 00.41,00.42, or 00.43 to show thetotal number of vesselstreated. Use code 00.44once to show procedure ona bifurcated vessel. Inaddition, use 00.45, 00.46,00.47, or 00.48 to show thenumber of vascular stentsinserted.percutaneous repair of precerebral(extracranial) vessel(s) (for stentinsertion) 00.61Note: Also use 00.40, 00.41,00.42, or 00.43 to show thetotal number of vesselstreated. Use code 00.44once to show procedure ona bifurcated vessel. Inaddition, use 00.45, 00.46,00.47, or 00.48 to show thenumber of vascular stentsinserted.non- coronary percutaneous transluminalangioplasty or atherectomyNote: Also use 00.40, 00.41,00.42, or 00.43 to show thetotal number of vesselstreated. Use code 00.44once to show procedure ona bifurcated vessel. Inaddition, use 00.45, 00.46,00.47, or 00.48 to show thenumber of vascular stentsinserted.basilar 00.61carotid 00.61femoropopliteal 39.50iliac 39.50lower extremity NOS 39.50mesenteric 39.50renal 39.50upper extremity NOS 39.50vertebral 00.61425

ICD-9-CM INDEX TO PROCEDURES (FY10)Repair -artery ---Cont.withpatch graft 39.58with excision or resection of vessel--see Arteriectomy, with graftreplacement, by sitesynthetic (Dacron) (Teflon) 39.57tissue (vein) (autogenous)(homograft) 39.56suture 39.31coronary NEC 36.99by angioplasty --see Angioplasty,coronaryby atherectomy --see Angioplasty,coronaryartificial opening --see Repair, stomaatrial septal defect 35.71withprosthesis (open heart technique)35.51closed heart technique 35.52tissue graft 35.61combined with repair of valvular andventricular septal defects --seeRepair, endocardial cushion defectin total repair of total anomalouspulmonary venous connection 35.82atrioventricular canal defect (any type) 35.73withprosthesis 35.54tissue graft 35.63bifid digit (finger) 82.89bile duct NEC 51.79laceration (by suture) NEC 51.79common bile duct 51.71bladder NEC 57.89exstrophy 57.86for stress incontinence --see Repair,stress incontinencelaceration (by suture) 57.81obstetric (current) 75.61old 57.89neck 57.85blepharophimosis 08.59blepharoptosis 08.36byfrontalis muscle technique (with)fascial sling 08.32suture 08.31levator muscle technique 08.34with resection or advancement 08.33orbicularis oculi muscle sling 08.36tarsal technique 08.35blood vessel NEC 39.59withpatch graft 39.58with excision or resection --seeAngiectomy,with graft replacementsynthetic (Dacron) (Teflon) 39.57Repair - blood vessel NEC -with ---Cont.tissue (vein) (autogenous) (homograft)39.56resection --see Angiectomysuture 39.30coronary artery NEC 36.99by angioplasty--see Angioplasty, coronaryby atherectomy--see Angioplasty, coronaryperipheral vessel NEC 39.59by angioplasty 39.50Note: Also use 00.40, 00.41,00.42, or 00.43 to showthe total number ofvessels treated. Use code00.44 once to showprocedure on a bifurcatedvessel. In addition, use00.45, 00.46, 00.47, or00.48 to show the numberof vascular stents inserted.by atherectomy 39.50Note: Also use 00.40, 00.41,00.42, or 00.43 to showthe total number ofvessels treated. Use code00.44 once to showprocedure on a bifurcatedvessel. In addition, use00.45, 00.46, 00.47, or00.48 to show the numberof vascular stents inserted.by endovascular approach 39.79bone NEC --see also Osteoplasty --seecategory 78.4by synostosis technique --see Arthrodesisaccessory sinus 22.79cranium NEC 02.06withflap (bone) 02.03graft (bone) 02.04for malunion, nonunion, or delayedunion of fracture --see Repair,fracture, malunion or nonunionnasal 21.89skull NEC 02.06withflap (bone) 02.03graft (bone) 02.04bottle, hydrocele of tunica vaginalis 61.2brain (trauma) NEC 02.92breast (plastic)--see also Mammoplasty 85.89broad ligament 69.29bronchus NEC 33.48laceration (by suture) 33.41bunionette (with osteotomy) 77.54canaliculus, lacrimal 09.73426

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Repair ---Cont.canthus (lateral) 08.59cardiac pacemaker NEC 37.89electrode(s) (lead) NEC 37.75cardioverter/defibrillator (automatic)pocket, (skin) (subcutaneous) 37.99cerebral meninges 02.12cervix 67.69internal os 67.59transabdominal 67.51transvaginal 67.59aceration (by suture) 67.61obstetric (current) 75.51old 67.69chest wall (mesh) (silastic) NEC 34.79chordae tendineae 35.32choroid NEC 14.9with retinal repair --see Repair, retinacisterna chyli 40.69claw toe 77.57clefthand 82.82laryngotracheal 31.69lip 27.54palate 27.62secondary or subsequent 27.63coarctation of aorta --see Excision,coarctation of aortacochlear prosthetic device 20.99external components only 95.49cockup toe 77.58colostomy 46.43conjunctiva NEC 10.49with scleral repair 12.81laceration 10.6with repair of sclera 12.81late effect of trachoma 10.49cornea NEC 11.59withconjunctival flap 11.53transplant --see Keratoplastypostoperative dehiscence 11.52coronary artery NEC 36.99by angioplasty --see Angioplasty,coronaryby atherectomy --see Angioplasty,coronarycranium NEC 02.06withflap (bone) 02.03graft (bone) 02.04cusp, valve --see Repair, heart, valvecystocele 70.51with graft or prosthesis 70.54and rectocele 70.50with graft or prosthesis 70.53dental arch 24.8diaphragm NEC 34.84diastasis recti 83.65Repair ---Cont.diastematomyelia 03.59ear (external) 18.79auditory canal or meatus 18.6auricle NEC 18.79cartilage NEC 18.79laceration (by suture) 18.4lop ear 18.79middle NEC 19.9prominent or protruding 18.5ectropion 08.49by or withlid reconstruction 08.44suture (technique) 08.42thermocauterization 08.41wedge resection 08.43encephalocele (cerebral) 02.12endocardial cushion defect 35.73withprosthesis (grafted to septa) 35.54tissue graft 35.63enterocele (female) 70.92with graft or prosthesis 70.93male 53.9enterostomy 46.40entropion 08.49by or withlid reconstruction 08.44suture (technique) 08.42thermocauterization 08.41wedge resection 08.43epicanthus (fold) 08.59epididymis (and spermatic cord) NEC 63.59with vas deferens 63.89epiglottis 31.69episiotomyroutine following delivery--see Episiotomysecondary 75.69epispadias 58.45esophagus, esophageal NEC 42.89fistula NEC 42.84stricture 42.85exstrophy of bladder 57.86eye, eyeball 16.89multiple structures 16.82rupture 16.82socket 16.64with graft 16.63eyebrow 08.89linear 08.81eyelid 08.89full- thickness 08.85involving lid margin 08.84laceration 08.81full- thickness 08.85involving lid margin 08.84partial- thickness 08.83involving lid margin 08.82427

ICD-9-CM INDEX TO PROCEDURES (FY10)Repair - eyelid ---Cont.linear 08.81partial- thickness 08.83involving lid margin 08.82retraction 08.38fallopian tube (with prosthesis) 66.79byreanastomosis 66.79reimplantation intoovary 66.72uterus 66.74suture 66.71false aneurysm --see Repair, aneurysmfascia 83.89by or witharthroplasty --see Arthroplastygraft (fascial) (muscle) 83.82hand 82.72tendon 83.81hand 82.79suture (direct) 83.65hand 82.46hand 82.89bygraft NEC 82.79fascial 82.72muscle 82.72suture (direct) 82.46joint --see Arthroplastyfiltering bleb (corneal) (scleral) (by excision)12.82bycorneal graft --see also Keratoplasty11.60scleroplasty 12.82suture 11.51with conjunctival flap 11.53fistula --see also Closure, fistulaanovaginal 70.73arteriovenous 39.53clipping 39.53coagulation 39.53endovascular approach 39.79head and neck 39.72division 39.53excision or resection --see alsoAneurysmectomy, by sitewithanastomosis--see Aneurysmectomy,with anastomosis, by sitegraft replacement--see Aneurysmectomy, withgraft replacement, by siteligation 39.53coronary artery 36.99occlusion 39.53endovascular approach 39.79head and neck 39.72suture 39.53Repair -fistula ---Cont.cervicovesical 57.84cervix 67.62choledochoduodenal 51.72colovaginal 70.72enterovaginal 70.74enterovesical 57.83esophagocutaneous 42.84ileovesical 57.83intestinovaginal 70.74intestinovesical 57.83oroantral 22.71perirectal 48.93pleuropericardial 37.49rectovaginal 70.73rectovesical 57.83rectovesicovaginal 57.83scrotum 61.42sigmoidovaginal 70.74sinusnasal 22.71of Valsalva 35.39splenocolic 41.95urethroperineovesical 57.84urethrovesical 57.84urethrovesicovaginal 57.84uterovesical 57.84vagina NEC 70.75vaginocutaneous 70.75vaginoenteric NEC 70.74vaginoileal 70.74vaginoperineal 70.75vaginovesical 57.84vesicocervicovaginal 57.84vesicocolic 57.83vesicocutaneous 57.84vesicoenteric 57.83vesicointestinal 57.83vesicometrorectal 57.83vesicoperineal 57.84vesicorectal 57.83vesicosigmoidal 57.83vesicosigmoidovaginal 57.83vesicourethral 57.84vesicourethrorectal 57.83vesicouterine 57.84vesicovaginal 57.84vulva 71.72vulvorectal 48.73foramen ovale (patent) 35.71withprosthesis (open heart technique) 35.51closed heart technique 35.52tissue graft 35.61fracture --see also Reduction, fracturelarynx 31.64428

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Repair -fracture ---Cont.malunion or nonunion (delayed) NEC--see category 78.4withgraft --see Graft, boneinsertion (of)bone growth stimulator (invasive)--see category 78.9internal fixation device 78.5manipulation for realignment--seeReduction, fracture, by site, closedosteotomywithcorrection of alignment--see category 77.3with internal fixation device--see categories 77.3[78.5]with intramedullary rod--see categories 77.3[78.5]replacement arthroplasty--see Arthroplastysequestrectomy --see category 77.0Sofield type procedure--see categories 77.3 [78.5]synostosis technique--see Arthrodesisvertebra 03.53funnel chest (with implant) 34.74gallbladder 51.91gastroschisis 54.71great vessels NEC 39.59laceration (by suture) 39.30artery 39.31vein 39.32hallux valgus NEC 77.59resection of joint with prosthetic implant77.59hammer toe 77.56hand 82.89with graft or implant 82.79fascia 82.72muscle 82.72tendon 82.79heart 37.49assist system 37.63septum 35.70withprosthesis 35.50tissue graft 35.60atrial 35.71withprosthesis (open heart technique)35.51closed heart technique 35.52tissue graft 35.61combined with repair of valvularand ventricular septal defects--see Repair, endocardialcushion defectRepair heart septal - atrial ---Cont.in total repair oftetralogy of Fallot 35.81total anomalous pulmonaryvenous connection 35.82truncus arteriosus 35.83combined with repair of valvular defect--see Repair,endocardial cushion defectventricular 35.72withprosthesis (open heart technique)35.53closed heart technique 35.55tissue graft 35.62combined with repair of valvular andatrial septal defects --see Repair,endocardial cushion defectin total repair oftetralogy of Fallot 35.81total anomalous pulmonary venousconnection 35.82truncus arteriosus 35.83total internal biventricular replacementsystem 37.52implantable battery 37.54implantable controller 37.54thoracic unit 37.53transcutaneous energy transfer [TET]device 37.54valve (cusps) (open heart technique) 35.10with prosthesis or tissue graft 35.20aortic (without replacement) 35.11withprosthesis 35.22tissue graft 35.21combined with repair of atrial andventricular septal defects--see Repair, endocardial cushion defectmitral (without replacement) 35.12withprosthesis 35.24tissue graft 35.23pulmonary (without replacement) 35.13withprosthesis 35.26in total repair of tetralogy ofFallot 35.81tissue graft 35.25tricuspid (without replacement) 35.14withprosthesis 35.28tissue graft 35.27hepatic duct 51.79hernia NEC 53.9anterior abdominal wall NEC 53.59with prosthesis or graftlaparoscopic 53.63other and open 53.69colostomy 46.42429

ICD-9-CM INDEX TO PROCEDURES (FY10)Repair -hernia ---Cont.crural 53.29cul- de- sac (Douglas') 70.92diaphragmaticabdominal approachlaparoscopic 53.71other and open 53.72unspecified 53.75thoracic, thoracoabdominal approach53.80laparoscopic 53.83other and open 53.84epigastric 53.59with prosthesis or graft 53.69esophageal hiatusabdominal approachlaparoscopic 53.71other and open 53.72unspecified 53.75thoracic, thoracoabdominal approach53.80fascia 83.89hand 82.89femoral (unilateral) 53.29with prosthesis or graft 53.21bilateral 53.39with prosthesis or graft 53.31Ferguson 53.00Halsted 53.00Hill- Allison (hiatal hernia repair,transpleural approach) 53.80hypogastric 53.59with prosthesis or graft 53.69incisional 53.51laparoscopic with prosthesis or graft53.62other open with prosthesis or graft53.61inguinal (unilateral) 53.00with prosthesis or graft 53.05bilateral 53.10with prosthesis or graft 53.17laparoscopic 17.24directlaparoscopic with graft orprosthesis 17.21other and open 53.11with prosthesis or graft 53.14direct and indirectlaparoscopic with graft orprosthesis 17.23other and open 53.13with prosthesis or graft 53.16indirectlaparoscopic with graft orprosthesis 17.22other and open 53.12with prosthesis or graft 53.15Repair hernia - inguinal ---Cont.direct (unilateral)and indirect (unilateral)laparoscopic with graft orprosthesis 17.11other and open 53.01with prosthesis or graft 53.03laparoscopic with graft or prosthesis17.11other and open 53.01with prosthesis or graft 53.03indirect (unilateral)laparoscopic with graft or prosthesis17.12other and open 53.02with prosthesis or graft 53.04laparoscopic with graft or prosthesis,NOS 17.13internal 53.9ischiatic 53.9ischiorectal 53.9lumbar 53.9manual 96.27obturator 53.9omental 53.9paraesophageallaparoscopic 53.71other and open 53.72unspecified 53.75parahiatallaparoscopic 53.71other and open 53.72unspecified 53.75paraileostomy 46.41parasternal 53.82paraumbilicallaparoscopic 53.43with graft or prosthesis 53.42other and open with prosthesis 53.41other open 53.49pericolostomy 46.42perineal (enterocele) 53.9preperitoneal 53.29pudendal 53.9retroperitoneal 53.9sciatic 53.9scrotal --see Repair, hernia, inguinalspigelian 53.59with prosthesis or graft 53.69umbilicallaparoscopic 53.43with graft or prosthesis 53.42other and open with prosthesis 53.41other open 53.49uveal 12.39ventral 53.59with prosthesis or graftlaparoscopic 53.63other and open 53.69430

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Repair hernia - ventral ---Cont.incisional 53.51other open with prosthesis or graft53.61hydroceleround ligament 69.19spermatic cord 63.1tunica vaginalis 61.2hymen 70.76hypospadias 58.45ileostomy 46.41ingrown toenail 86.23intestine, intestinal NEC 46.79fistula --see Closure, fistula, intestinelacerationlarge intestine 46.75small intestine NEC 46.73stoma --see Repair, stomainverted uterus NEC 69.29manualnonobstetric 69.94obstetric 75.94obstetricalmanual 75.94surgical 75.93vaginal approach 69.23iris (rupture) NEC 12.39jejunostomy 46.41joint (capsule) (cartilage) NEC --see alsoArthroplasty 81.96kidney NEC 55.89knee (joint) NEC 81.47collateral ligaments 81.46cruciate ligaments 81.45five- in- one 81.42triad 81.43labia --see Repair, vulvalaceration --see Suture, by sitelacrimal system NEC 09.99canaliculus 09.73punctum 09.72for eversion 09.71laryngostomy 31.62laryngotracheal cleft 31.69larynx 31.69fracture 31.64laceration 31.61leads (cardiac) NEC 37.75ligament --see also Arthroplasty 81.96broad 69.29collateral, knee NEC 81.46cruciate, knee NEC 81.45round 69.29uterine 69.29lip NEC 27.59cleft 27.54laceration (by suture) 27.51liver NEC 50.69laceration 50.61Repair ---Cont.lop ear 18.79lung NEC 33.49lymphatic (channel) (peripheral) NEC 40.9duct, left (thoracic) NEC 40.69macrodactyly 82.83mallet finger 82.84mandibular ridge 76.64mastoid (antrum) (cavity) 19.9meninges (cerebral) NEC 02.12spinal NEC 03.59meningocele 03.51myelomeningocele 03.52meningocele (spinal) 03.51cranial 02.12mesentery 54.75mouth NEC 27.59laceration NEC 27.52muscle NEC 83.87bygraft or implant(fascia)(muscle) 83.82hand 82.72tendon 83.81hand 82.79suture (direct) 83.65hand 82.46transfer or transplantation (muscle) 83.77hand 82.58hand 82.89bygraft or implant NEC 82.79fascia 82.72suture (direct) 82.46transfer or transplantation (muscle)82.58musculotendinous cuff, shoulder 83.63myelomeningocele 03.52nasalseptum (perforation) NEC 21.88sinus NEC 22.79fistula 22.71nasolabial flaps (plastic) 21.86nasopharyngeal atresia 29.4nerve (cranial) (peripheral) NEC 04.79old injury 04.76revision 04.75sympathetic 05.81nipple NEC 85.87nose (external) (internal) (plastic) NEC--see also Rhinoplasty 21.89laceration (by suture) 21.81notched lip 27.59omentum 54.74omphalocelelaparoscopic 53.43with graft or prosthesis 53.42other and open with graft or prosthesis53.41other open 53.49431

ICD-9-CM INDEX TO PROCEDURES (FY10)Repair ---Cont.orbit 16.89wound 16.81ostiumprimum defect 35.73withprosthesis 35.54tissue graft 35.63secundum defect 35.71withprosthesis(open heart technique) 35.51closed heart technique 35.52tissue graft 35.61ovary 65.79with tube 65.73laparoscopic 65.76overlapping toe 77.58pacemakercardiacdevice (permanent) 37.89electrodes (leads) NEC 37.75pocket (skin) (subcutaneous) 37.79palate NEC 27.69cleft 27.62secondary or subsequent 27.63laceration (by suture) 27.61pancreas NEC 52.95Wirsung's duct 52.99papillary muscle (heart) 35.31patent ductus arteriosus 38.85pectus deformity (chest) (carinatum)(excavatum) 34.74pelvic floor NEC 70.79obstetric laceration (current) 75.69old 70.79penis NEC 64.49for epispadias or hypospadias 58.45inflatable prosthesis 64.99laceration 64.41pericardium 37.49perineum (female) 71.79laceration (by suture) 71.71obstetric (current) 75.69old 71.79male NEC 86.89laceration (by suture) 86.59peritoneum NEC 54.73by suture 54.64pharynx NEC 29.59laceration (by suture) 29.51plastic 29.4pleura NEC 34.93postcataract wound dehiscence 11.52with conjunctival flap 11.53pouch of Douglas 70.52primum ostium defect 35.73withprosthesis 35.54tissue graft 35.63Repair ---Cont.prostate 60.93ptosis, eyelid --see Repair, blepharoptosispunctum, lacrimal NEC 09.72for correction of eversion 09.71quadriceps (mechanism) 83.86rectocele (posterior colporrhaphy) 70.52with graft or prosthesis 70.55and cystocele 70.50with graft or prosthesis 70.53rectum NEC 48.79laceration (by suture) 48.71prolapse NEC 48.76abdominal approach 48.75STARR procedure 48.74retina, retinaldetachment 14.59bycryotherapy 14.52diathermy 14.51photocoagulation 14.55laser 14.54xenon arc 14.53scleral buckling --see also Buckling,scleral 14.49tear or defect 14.39bycryotherapy 14.32diathermy 14.31photocoagulation 14.35laser 14.34xenon arc 14.33retroperitoneal tissue 54.73rotator cuff (graft) (suture) 83.63round ligament 69.29ruptured tendon NEC 83.88hand 82.86salivary gland or duct NEC 26.49sclera, scleral 12.89fistula 12.82staphyloma NEC 12.86with graft 12.85scrotum 61.49sinusnasal NEC 22.79of Valsalva (aneurysm) 35.39skin (plastic) (without graft) 86.89laceration (by suture) 86.59skull NEC 02.06withflap (bone) 02.03graft (bone) 02.04spermatic cord NEC 63.59laceration (by suture) 63.51sphincter ani 49.79laceration (by suture) 49.71obstetric (current) 75.62old 49.79432

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Repair ---Cont.spina bifida NEC 03.59meningocele 03.51myelomeningocele 03.52spinal (cord) (meninges) (structures) NEC03.59meningocele 03.51myelomeningocele 03.52spleen 41.95sternal defect 78.41stomabile duct 51.79bladder 57.22bronchus 33.42common duct 51.72esophagus 42.89gallbladder 51.99hepatic duct 51.79intestine 46.40large 46.43small 46.41kidney 55.89larynx 31.63rectum 48.79stomach 44.69laparoscopic 44.68thorax 34.79trachea 31.74ureter 56.62urethra 58.49stomach NEC 44.69laceration (by suture) 44.61laparoscopic 44.68stress incontinence (urinary) NEC 59.79byanterior urethropexy 59.79Burch 59.5cystourethropexy (with levatormuscle sling) 59.71injection of implant (fat) (collagen)(polytef) 59.72paraurethral suspension (Pereyra)59.6periurethral suspension 59.6plication of urethrovesical junction 59.3pubococcygeal sling 59.71retropubic urethral suspension 59.5suprapubic sling 59.4tension free vaginal tape 59.79urethrovesical suspension 59.4gracilis muscle transplant 59.71levator muscle sling 59.71subcutaneous tissue (plastic) (withoutskin graft) 86.89laceration (by suture) 86.59supracristal defect (heart) 35.72withprosthesis (open heart technique) 35.53closed heart technique 35.55tissue graft 35.62Repair ---Cont.symblepharon NEC 10.49by division (with insertion of conformer)10.5with free graft 10.41syndactyly 86.85synovial membrane, joint2--see Arthroplastytelecanthus 08.59tendon 83.88by or witharthroplasty --see Arthroplastygraft or implant (tendon) 83.81fascia 83.82hand 82.72hand 82.79muscle 83.82hand 82.72suture (direct) (immediate) (primary)--see also Suture, tendon 83.64hand 82.45transfer for transplantation (tendon)83.75hand 82.56hand 82.86bygraft or implant (tendon) 82.79suture (direct) (immediate) (primary)--see also Suture, tendon, hand)82.45transfer or transplantation (tendon)82.56rotator cuff (direct suture) 83.63ruptured NEC 83.88hand 82.86sheath (direct suture) 83.61hand 82.41testis NEC 62.69tetralogy of Fallotpartial --see specific proceduretotal (one- stage) 35.81thoracic duct NEC 40.69thoracostomy 34.72thymus (gland) 07.93tongue NEC 25.59tooth NEC 23.2bycrown (artificial) 23.41filling (amalgam) (plastic) (silicate) 23.2inlay 23.3total anomalous pulmonary venous connectionpartial --see specific proceduretotal (one- stage) 35.82trachea NEC 31.79laceration (by suture) 31.71tricuspid atresia 35.94truncus arteriosuspartial --see specific proceduretotal (one- stage) 35.83433

ICD-9-CM INDEX TO PROCEDURES (FY10)Repair ---Cont.tunica vaginalis 61.49laceration (by suture) 61.41tympanum --see Tympanoplastyureter NEC 56.89laceration (by suture) 56.82ureterocele 56.89urethra NEC 58.49laceration (by suture) 58.41obstetric (current) 75.61old 58.49meatus 58.47urethrocele (anterior colporrhaphy) (female)70.51with graft or prosthesis 70.54and rectocele 70.50with graft or prosthesis 70.53urinary sphincter, artificial (component)58.99urinary stress incontinence --see Repair,stress incontinenceuterus, uterine 69.49inversion --see Repair, inverted uteruslaceration (by suture) 69.41obstetric (current) 75.50old 69.49ligaments 69.29byinterposition 69.21plication 69.22uvula 27.73with synchronous cleft palate repair27.62vagina, vaginal (cuff) (wall) NEC 70.79anterior 70.51with graft or prosthesis 70.54with posterior repair 70.50with graft or prosthesis 70.53cystocele 70.51with graft or prosthesis 70.54and rectocele 70.50with graft or prosthesis 70.53enterocele 70.92with graft or prosthesis 70.93laceration (by suture) 70.71obstetric (current) 75.69old 70.79posterior 70.52with anterior repair 70.50with graft or prosthesis 70.53rectocele 70.52with graft or prosthesis 70.55and cystocele 70.50with graft or prosthesis 70.53urethrocele 70.51with graft or prosthesis 70.54and rectocele 70.50with graft or prosthesis 70.53varicocele 63.1Repair ---Cont.vas deferens 63.89byanastomosis 63.82to epididymis 63.83reconstruction 63.82laceration (by suture) 63.81vein NEC 39.59byendovascular approachhead and neck(embolization orocclusion) 39.72withpatch graft 39.58with excision or resection of vessel--see Phlebectomy, with graftreplacement, by sitesynthetic (Dacron) (Teflon) 39.57tissue (vein) (autogenous)(homograft) 39.56suture 39.32ventricular septal defect 35.72withprosthesis (open heart technique) 35.53closed heart technique 35.55in total repair of tetralogy of Fallot35.81tissue graft 35.62combined with repair of valvular andatrial septal defects --see Repair,endocardial cushion defectin total repair oftetralogy of Fallot 35.81truncus arteriosus 35.83vertebral arch defect (spina bifida) 03.59vulva NEC 71.79laceration (by suture) 71.71obstetric (current) 75.69old 71.79Wirsung's duct 52.99wound (skin) (without graft) 86.59abdominal wall 54.63dehiscence 54.61postcataract dehiscence (corneal) 11.52Replacementacetabulum (with prosthesis) 81.52ankle, total 81.56revision 81.59aortic valve (with prosthesis) 35.22with tissue graft 35.21artery --see Graft, arterybag --see Replacement, pack or bagBarton's tongs (skull) 02.94bladderwithileal loop 57.87 [45.51]sigmoid 57.87 [45.52]sphincter, artificial 58.93bronchial device NOS 33.79434

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Replacement ---Cont.bronchial substance NOS 33.79bronchial valve(s)multiple lobes 33.73single lobe 33.71caliper tongs (skull) 02.94cannulaarteriovenous shunt 39.94pancreatic duct 97.05vessel- to- vessel (arteriovenous) 39.94cardiac contractility modulation (CCM)rechargeable pulse generator only 17.52total system 17.51cardiac resynchronization devicedefibrillator (biventricular defibrillator)(BiV ICD) (BiV pacemaker withdefibrillator) (BiV pacing withdefibrillator) (CRT- D) (device and oneor more leads) (total system) 00.51left ventricular coronary venouslead only 00.52pulse generator only 00.54pacemaker (biventricular pacemaker)(BiV pacemaker) (CRT- P) (deviceand one or more leads) (totalsystem) 00.50left ventricular coronary venouslead only 00.52pulse generator only 00.53cardioverter/defibrillator(total system) 37.94leads only (electrodes) (sensing)(pacing) 37.97pulse generator only 37.98cast NEC 97.13lower limb 97.12upper limb 97.11catheterbladder (indwelling) 57.95cystostomy 59.94ventricular shunt (cerebral) 02.42wound 97.15CCM (cardiac contractility modulation)rechargeable pulse generator only 17.52total system 17.51CRT- D (biventricular defibrillator) (BiV ICD)(BiV pacemaker with defibrillator) (BiVpacing with defibrillator) (cardiacresynchronization defibrillator)(deviceand one or more leads) 00.51left ventricular coronary venous lead only00.52pulse generator only 00.54CRT- P (biventricular pacemaker) (BiVpacemaker) (cardiac resynchronizationpacemaker) (device and one or moreleads) 00.50left ventricular coronary venous lead only00.52pulse generator only 00.53Replacement ---Cont.Crutchfield tongs (skull) 02.94cystostomy tube (catheter) 59.94devicesubcutaneous for intracardiac or greatvessel hemodynamic monitoring 00.57diaphragm, vagina 97.24disc --see Replacement, intervertebral discdrain --see also Replacement, tubevagina 97.26vulva 97.26wound, musculoskeletal or skin 97.16ear (prosthetic) 18.71elbow (joint), total 81.84electrode(s) --see Implant, electrode or leadby site or name of devicebraindepth 02.93foramen ovale 02.93sphenoidal 02.96carotid sinus 04.92depth 02.93foramen ovale 02.93gastric 04.92intracranial 02.93pacemaker --see Replacement, pacemaker,electrode(s)peripheral nerve 04.92sacral nerve 04.92sphenoidal 02.96spine 03.93electroencephalographic receiver (brain)(intracranial) 02.93electroniccardioverter/defibrillator--see Replacement, cardioverter/defibrillatorleads (electrode)(s) --see Replacement,electrode(s)stimulator --see also Implant, electronicstimulator, by sitebladder 57.97muscle (skeletal) 83.92ureter 56.93electrostimulator --see Implant, electronicstimulator, by siteenterostomy device (tube)large intestine 97.04small intestine 97.03epidural pegs 02.93femoral head, by prosthesis 81.52revision 81.53Gardner Wells tongs (skull) 02.94gastric band, laparoscopic 44.96gastric port device (subcutaneous) 44.96graft --see Grafthalo traction device (skull) 02.94Harrington rod (with refusion of spine)--see Refusion, spinal435

ICD-9-CM INDEX TO PROCEDURES (FY10)Replacement ---Cont.heartartificialtotal internal biventricularreplacement system 37.52implantable battery 37.54implantable controller 37.54thoracic unit 37.53transcutaneous energy transfer[TET] device 37.54total internal biventricular replacementsystem 37.52implantable battery 37.54implantable controller 37.54thoracic unit 37.53transcutaneous energy transfer[TET] device 37.54valve (with prosthesis) (with tissuegraft) 35.20aortic (with prosthesis) 35.22with tissue graft 35.21mitral (with prosthesis) 35.24with tissue graft 35.23poppet (prosthetic) 35.95pulmonary (with prosthesis) 35.26with tissue graft 35.25in total repair of tetralogy of Fallot35.81tricuspid (with prosthesis) 35.28with tissue graft 35.27hip (partial) (with fixation device) (withprosthesis) (with traction) 81.52acetabulum 81.52revision 81.53femoral head 81.52revision 81.53total 81.51revision 81.53intervertebral discartificial, NOS 84.60cervical 84.62nucleus 84.61partial 84.61total 84.62lumbar, lumbosacral 84.65nucleus 84.64partial 84.64total 84.65thoracic (partial) (total) 84.63inverted uterus --see Repair, inverted uterusiris NEC 12.39kidney, mechanical 55.97knee (bicompartmental) (hemijoint)(partial) (total) (tricompartmental)(unicompartmental) 81.54revision 81.55laryngeal stent 31.93leads (electrode)(s) --see Replacement,electrode(s)Replacement ---Cont.mechanical kidney 55.97mitral valve (with prosthesis) 35.24with tissue graft 35.23Mulligan hood, fallopian tube 66.93muscle stimulator (skeletal) 83.92nephrostomy tube 55.93neuropacemaker --see Implant,neurostimulator, by siteneurostimulator --see also Implant,neurostimulator, by siteskeletal muscle 83.92pacemakerbrain --see Implant, neurostimulator,braincardiac device (initial) (permanent)dual- chamber device 37.87resynchronization--see Replacement, CRT- Psingle- chamber device 37.85rate responsive 37.86electrode(s), cardiac (atrial) (transvenous)(ventricular) 37.76epicardium (myocardium) 37.74left ventricular coronary venoussystem 00.52gastric --see Implant, neurostimulator,gastricintracranial --see Implant, neurostimulator,intracranialneural --see Implant, neurostimulator,by siteperipheral nerve --see Implant,neurostimulator, peripheral nervesacral nerve --see Implant,neurostimulator, sacral nervespine- see Implant,neurostimulator,spinetemporary transvenous pacemakersystem 37.78pack or bagnose 97.21teeth, tooth 97.22vagina 97.26vulva 97.26wound 97.16pessary, vagina NEC 97.25prosthesisacetabulum 81.53arm (bioelectric) (cineplastic) (kineplastic)84.44biliary tract 51.99cochlear 20.96channel (single) 20.97multiple 20.98elbow 81.97extremity (bioelectric) (cineplastic)(kineplastic) 84.40lower 84.48upper 84.44436

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Replacement prosthesis ---Cont.fallopian tube(Mulligan hood)(stent) 66.93femur 81.53knee 81.55leg (bioelectric) (cineplastic)(kineplastic) 84.48penis (internal) (non- inflatable) 64.95inflatable (internal) 64.97pulmonary valve (with prosthesis) 35.26with tissue graft 35.25in total repair of tetralogy of Fallot 35.81pyelostomy tube 55.94rectal tube 96.09device 39.8sensor (lead)intracardiac or great vessel hemodynamicmonitoring 00.56shoulder NEC 81.83partial 81.81total 81.80skullplate 02.05tongs 02.94spacer (cement) (joint)(methylmethacrylate) 84.56specified appliance or device NEC 97.29spinal motion preservation devicefacet replacement device(s) 84.84interspinous process device(s) 84.80pedicle- based dynamic stabilizationdevice(s) 84.82splint 97.14stentbile duct 97.05fallopian tube 66.93larynx 31.93pancreatic duct 97.05trachea 31.93stimoceiver--see Implant, stimoceiver,by sitestimulatorcarotid sinus 39.8subduralgrids 02.93strips 02.93testis in scrotum 62.5tongs, skull 02.94tracheal stent 31.93tricuspid valve (with prosthesis) 35.28with tissue graft 35.27tubebile duct 97.05bladder 57.95cystostomy 59.94esophagostomy 97.01gastrostomy 97.02large intestine 97.04nasogastric 97.01Replacement tube ---Cont.nephrostomy 55.93pancreatic duct 97.05pyelostomy 55.94rectal 96.09small intestine 97.03tracheostomy 97.23ureterostomy 59.93ventricular (cerebral) 02.42umbilical cord, prolapsed 73.92ureter (with)bladder flap 56.74ileal segment implanted into bladder56.89 [45.51]ureterostomy tube 59.93urethral sphincter, artificial 58.93urinary sphincter, artificial 58.93valveheart --see also Replacement, heart valvepoppet (prosthetic) 35.95ventricular (cerebral) 02.42ventricular shunt (catheter) (valve) 02.42Vinke tongs (skull) 02.94vitreous (silicone) 14.75for retinal reattachment 14.59Replant, replantation --see also Reattachmentextremity --see Reattachment, extremitypenis 64.45scalp 86.51tooth 23.5Repositioncardiac pacemakerelectrode(s) (atrial) (transvenous)(ventricular) 37.75pocket 37.79cardiac resynchronization defibrillator(CRT- D) --see Revision, cardiacresynchronization defibrillatorcardiac resynchronization pacemaker(CRT- P) --see Revision, cardiacresynchronization pacemakercardioverter/defibrillator (automatic)lead(s) (sensing) (pacing) (epicardial patch)37.75pocket 37.79pulse generator 37.79cilia base 08.71implantable hemodynamic sensor (lead)and monitor device 37.79iris 12.39neurostimulatorleadssubcutaneous, without devicereplacement 86.09within brain 02.93within or over gastric nerve 04.92within or over peripheral nerve 04.92within or over sacral nerve 04.92within spine 03.93437

ICD-9-CM INDEX TO PROCEDURES (FY10)Reposition - neurostimulator---Cont.pulse generatorsubcutaneous, without devicereplacement 86.09renal vessel, aberrant 39.55subcutaneous device pocket NEC 86.09thyroid tissue 06.94tricuspid valve (with plication) 35.14Resection --see also Excision, by siteabdominoendorectal (combined), NOS48.50laparoscopic 48.51open 48.52other 48.59abdominoperineal (rectum), NOS 48.50pull- through(Altemeier)(Swenson) NEC48.49Duhamel type 48.65laparoscopic 48.42not otherwise specified 48.40open 48.43alveolar process and palate (en bloc) 27.32aneurysm --see Aneurysmectomyaortic valve (for subvalvular stenosis)35.11artery --see Arteriectomybile duct NEC 51.69common duct NEC 51.63bladder (partial) (segmental) (transvesical)(wedge) 57.6complete or total 57.79lesion NEC 57.59transurethral approach 57.49neck 57.59transurethral approach 57.49blood vessel --see Angiectomybrain 01.59bystereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31hemisphere 01.52lobe 01.53breast --see also Mastectomyquadrant 85.22segmental 85.23broad ligament 69.19bronchus (sleeve) (wide sleeve) 32.1block (en bloc) (with radical dissectionof brachial plexus, bronchus, lobeof lung, ribs, and sympatheticnerves) 32.6bursa 83.5hand 82.31Resection ---Cont.cecum (and terminal ileum)laparoscopic 17.32open and other 45.72cerebral meninges 01.51chest wall 34.4clavicle 77.81clitoris 71.4colon (partial) (segmental) 45.79ascending (cecum and terminal ileum)laparoscopic 17.32open and other 45.72cecum (and terminal ileum)laparoscopic 17.32open and other 45.72completelaparoscopic 45.81open 45.82other 45.83unspecified 45.83descending (sigmoid)laparoscopic 17.36open and other 45.76for interposition 45.52Hartmannlaparoscopic 17.35open and other 45.75hepatic flexurelaparoscopic 17.33open and other 45.73laparoscopic 17.39left radical (hemicolon)laparoscopic 17.35open and other 45.75multiple segmentallaparoscopic 17.31open and other 45.71open and other 45.79right radical (hemicolon) (ileocolectomy)laparoscopic 17.33open and other 45.73segmental NECsegmental NEClaparoscopic 17.39Multiplelaparoscopic 17.31open and other 45.71open and other 45.79sigmoidlaparoscopic 17.36open and other 45.76splenic flexurelaparoscopic 17.35open and other 45.75totallaparoscopic 45.81open 45.82other 45.83unspecified 45.83438

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Resection colon ---Cont.transverselaparoscopic 17.34open and other 45.74conjunctiva, for pterygium 11.39corneal graft 11.32cornual (fallopian tube) (unilateral) 66.69bilateral 66.63diaphragm 34.81endaural 20.79endorectal (pull- through) (Soave) 48.41combined abdominal, NOS 48.50laparoscopic 48.51open 48.52other 48.59esophagus (partial) (subtotal) --see alsoEsophagectomy 42.41total 42.42exteriorized intestine --see Resection,intestine, exteriorizedfascia 83.44for graft 83.43hand 82.34hand 82.35for graft 82.34gallbladder (total) 51.22gastric (partial) (sleeve) (subtotal) NEC--see also Gastrectomy 43.89with anastomosis NEC 43.89esophagogastric 43.5gastroduodenal 43.6gastrogastric 43.89gastrojejunal 43.7complete or total NEC 43.99with intestinal interposition 43.91radical NEC 43.99with intestinal interposition 43.91wedge 43.42endoscopic 43.41hallux valgus (joint) --see also Bunionectomywith prosthetic implant 77.59hepaticduct 51.69flexure (colon)laparoscopic 17.33open and other 45.73infundibula, heart (right) 35.34intestine (partial) NECcecum (with terminal ileum)laparoscopic 17.32open and other 45.72exteriorized (large intestine) 46.04small intestine 46.02for interposition 45.50large intestine 45.52small intestine 45.51hepatic flexurelaparoscopic 17.33open and other 45.73Resection intestine ---Cont.ileum 45.62with cecumlaparoscopic 17.32open and other 45.72laparoscopic 17.39large (partial) (segmental) NEC 45.79for interposition 45.52laparoscopic 17.39multiple segmentallaparoscopic 17.31open and other multiple segmental45.71other 45.79totallaparoscopic 45.81open 45.82other 45.83unspecified 45.83unspecified 45.79left hemicolonlaparoscopic 17.35open and other 45.75multiple segmental (large intestine)laparoscopic 17.31open and other 45.71small intestine 45.61open and other 45.79right hemicolonlaparoscopic 17.33open and other 45.73segmental (large intestine) 45.79laparoscopic 17.39multiplelaparoscopic 17.31open and other 45.71small intestine 45.62multiple 45.61sigmoidlaparoscopic 17.36open and other 45.76small (partial) (segmental) NEC 45.62for interposition 45.51multiple segmental 45.61total 45.63totallarge intestinelaparoscopic 45.81open 45.82other 45.83unspecified 45.83small intestine 45.63joint structure NEC --see also Arthrectomy80.90kidney (segmental) (wedge) 55.4larynx --see also Laryngectomysubmucous 30.29lesion --see Excision, lesion, by sitelevator palpebrae muscle 08.33439

ICD-9-CM INDEX TO PROCEDURES (FY10)Resection ---Cont.ligament --see also Arthrectomy 80.90broad 69.19round 69.19uterine 69.19lip (wedge) 27.43liver (partial) (wedge) 50.22lobe (total) 50.3total 50.4lung (wedge) NEC 32.29endoscopic 32.28segmental (any part) 32.39thoracoscopic 32.30thoracoscopic 32.20volume reduction 32.22biologic lung volume reduction (BLVR)--see category 33.7meninges (cerebral) 01.51spinal 03.4mesentery 54.4muscle 83.45extraocular 15.13withadvancement or recession of othereye muscle 15.3suture of original insertion 15.13levator palpebrae 08.33Muller's, for blepharoptosis 08.35orbicularis oculi 08.20tarsal, for blepharoptosis 08.35for graft 83.43hand 82.34hand 82.36for graft 82.34ocular --see Resection, muscle, extraocularmyocardium 37.33nasal septum (submucous) 21.5nerve (cranial) (peripheral) NEC 04.07phrenic 04.03for collapse of lung 33.31sympathetic 05.29vagus --see Vagotomynose (complete) (extended) (partial)(radical) 21.4omentum 54.4orbitomaxillary, radical 16.51ovary --see also Oophorectomywedge 65.22laparoscopic 65.24palate (bony) (local) 27.31by wide excision 27.32soft 27.49pancreas (total) (with synchronousduodenectomy) 52.6partial NEC 52.59distal (tail) (with part of body) 52.52proximal (head) (with part of body) (withsynchronous duodenectomy) 52.51radical subtotal 52.53Resection - pancreas ---Cont.radical (one- stage) (two- stage) 52.7subtotal 52.53pancreaticoduodenal --see alsoPancreatectomy 52.6pelvic viscera (en masse) (female) 68.8male 57.71penis 64.3pericardium (partial) (for)chronic constrictive pericarditis 37.31drainage 37.12removal of adhesions 37.31peritoneum 54.4pharynx (partial) 29.33phrenic nerve 04.03for collapse of lung 33.31prostate --see also Prostatectomytransurethral (punch) 60.29pterygium 11.39radial head 77.83rectosigmoid --see also Resection, rectum48.69rectum (partial) NEC 48.69withpelvic exenteration 68.8transsacral sigmoidectomy 48.61abdominoendorectal (combined), NOS 48.50laparoscopic 48.51open 48.52other 48.59abdominoperineal, NOS 48.50laparoscopic 48.51open 48.52other 48.59pull- through NEC 48.49Duhamel type 48.65laparoscopic 48.42not otherwise specified 48.40open 48.43anterior 48.63with colostomy (synchronous) 48.62Duhamel 48.65endorectal 48.41combined abdominal, NOS 48.50laparoscopic 48.51open 48.52other 48.59posterior 48.64pull- through NEC 48.49endorectal 48.41laparoscopic 48.42not otherwise specified 48.40open 48.43STARR procedure 48.74submucosal (Soave) 48.41combined abdominal, NOS 48.50laparoscopic 48.51open 48.52other 48.59440

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Resection ---Cont.rib (transaxillary) 77.91as operative approach --omit codeincidental to thoracic operation--omit coderight ventricle (heart), for infundibularstenosis 35.34root (tooth) (apex) 23.73with root canal therapy 23.72residual or retained 23.11round ligament 69.19sclera 12.65with scleral buckling --see also Buckling,scleral 14.49lamellar (for retinal reattachment) 14.49with implant 14.41scrotum 61.3soft tissue NEC 83.49hand 82.39sphincter of Oddi 51.89spinal cord (meninges) 03.4splanchnic 05.29splenic flexure (colon) 45.75sternum 77.81stomach (partial) (sleeve) (subtotal) NEC--see also Gastrectomy 43.89with anastomosis NEC 43.89esophagogastric 43.5gastroduodenal 43.6gastrogastric 43.89gastrojejunal 43.7complete or total NEC 43.99with intestinal interposition 43.91fundus 43.89radical NEC 43.99with intestinal interposition 43.91wedge 43.42endoscopic 43.41submucouslarynx 30.29nasal septum 21.5vocal cords 30.22synovial membrane (complete) (partial)--see also Synovectomy 80.70tarsolevator 08.33tendon 83.42hand 82.33thoracic structures (block) (en bloc) (radical)(brachial plexus, bronchus, lobes of lung,ribs, and sympathetic nerves) 32.6thorax 34.4tongue 25.2wedge 25.1tooth root 23.73with root canal therapy 23.72apex (abscess) 23.73with root canal therapy 23.72residual or retained 23.11trachea 31.5Resection ---Cont.transurethralbladder NEC 57.49prostate 60.29transverse colonlaparoscopic 17.34open and other 45.74turbinates --see Turbinectomyureter (partial) 56.41total 56.42uterus --see Hysterectomyvein --see Phlebectomyventricle (heart) 37.35infundibula 35.34vesical neck 57.59transurethral 57.49vocal cords (punch) 30.22Respirator, volume-controlled (Bennett)(Byrd) --see VentilationRestorationcardioesophageal angle 44.66laparoscopic 44.67dental NEC 23.49byapplication of crown (artificial) 23.41insertion of bridge (fixed) 23.42removable 23.43extremity --see Reattachment, extremityeyebrow 08.70with graft 08.63eye socket 16.64with graft 16.63tooth NEC 23.2bycrown (artificial) 23.41filling(amalgam)(plastic)(silicate) 23.2inlay 23.3Restrictivegastric band, laparoscopic 44.95Resurfacing, hip 00.86acetabulum 00.87with femoral head 00.85femoral head 00.86with acetabulum 00.85partial NOS 00.85acetabulum 00.87femoral head 00.86total (acetabulum and femoral head) 00.85Resuscitationartificial respiration 93.93cardiac 99.60cardioversion 99.62atrial 99.61defibrillation 99.62external massage 99.63open chest 37.91intracardiac injection 37.92cardiopulmonary 99.60endotracheal intubation 96.04441

ICD-9-CM INDEX TO PROCEDURES (FY10)Resuscitation ---Cont.manual 93.93mouth- to- mouth 93.93pulmonary 93.93Resutureabdominal wall 54.61cardiac septum prosthesis 35.95chest wall 34.71heart valve prosthesis (poppet) 35.95wound (skin and subcutaneous tissue)(without graft) NEC 86.59Retavase, infusion 99.10Reteplase, infusion 99.10Retightening (noninvasive)external fixator device - omit codeRetinaculotomy NEC --see also Division,ligament 80.40carpal tunnel (flexor) 04.43Retrainingcardiac 93.36vocational 93.85Retrogasserian neurotomy 04.02Revascularizationcardiac (heart muscle) (myocardium) (direct)36.10withbypass anastomosisabdominal artery to coronary artery36.17aortocoronary (catheter stent)(homograft) (prosthesis)(saphenous vein graft) 36.10one coronary vessel 36.11two coronary vessels 36.12three coronary vessels 36.13four coronary vessels 36.14gastroepiploic artery to coronaryartery 36.17internal mammary- coronary artery(single vessel) 36.15double vessel 36.16specified type NEC 36.19thoracic artery- coronary artery(single vessel) 36.15double vessel 36.16implantation of artery into heart(muscle)(myocardium) (ventricle) 36.2indirect 36.2specified type NEC 36.39transmyocardialendoscopic 36.33endovascular 36.34open chest 36.31percutaneous 36.34specified type NEC 36.32thoracoscopic 36.33Reversal, intestinal segment 45.50large 45.52small 45.51Revisionamputation stump 84.3current traumatic --see Amputationanastomosisbiliary tract 51.94blood vessel 39.49gastric, gastrointestinal (with jejunalinterposition) 44.5intestine (large) 46.94small 46.93pleurothecal 03.97pyelointestinal 56.72salpingothecal 03.97subarachnoid- peritoneal 03.97subarachnoid- ureteral 03.97ureterointestinal 56.72ankle replacement (prosthesis) 81.59anterior segment (eye) wound (operative)NEC 12.83arteriovenous shunt(cannula)(for dialysis)39.42arthroplasty --see Arthroplastybone flap, skull 02.06breast implant 85.93bronchostomy 33.42bypass graft (vascular) 39.49abdominal - coronary artery 36.17aortocoronary (catheter stent)(withprosthesis)( with saphenous veingraft)(with vein graft) 36.10one coronary vessel 36.11two coronary vessels 36.12three coronary vessels 36.13four coronary vessels 36.14CABG --see Revision, aortocoronarybypass graftchest tube --see intercostal cathetercoronary artery bypass graft (CABG) --seeRevision, aortocoronary bypass graft,abdominal - coronary artery bypass, andinternal mammary - coronary artery bypassinternal mammary - coronary artery(single) 36.15double vessel 36.16cannula, vessel- to- vessel (arteriovenous) 39.94canthus, lateral 08.59cardiac pacemakerdevice (permanent) 37.89electrode(s) (atrial) (transvenous)(ventricular) 37.75pocket 37.79cardiac resynchronization defibrillator (CRT- D)device 37.79electrode(s) 37.75pocket 37.79cardiac resynchronization pacemaker (CRT- P)device (permanent) 37.89electrode(s) (atrial) (transvenous)(ventricular) 37.75442

Revision -CRT- P ---Cont.pocket 37.79cardioverter/defibrillator (automatic)pocket 37.79cholecystostomy 51.99cleft palate repair 27.63colostomy 46.43conduit, urinary 56.52cystostomy (stoma) 57.22disc- see Revision, intervertebral discelbow replacement (prosthesis) 81.97enterostomy (stoma) 46.40large intestine 46.43small intestine 46.41enucleation socket 16.64with graft 16.63esophagostomy 42.83exenteration cavity 16.66with secondary graft 16.65extraocular muscle surgery 15.6fenestration, inner ear 20.62filtering bleb 12.66fixation device (broken) (displaced)--see also Fixation, bone, internal78.50flap or pedicle graft (skin) 86.75foot replacement (prosthesis) 81.59gastric anastomosis (with jejunalinterposition) 44.5gastric band, laparoscopic 44.96gastric port devicelaparoscopic 44.96gastroduodenostomy (with jejunalinterposition) 44.5gastrointestinal anastomosis (with jejunalinterposition) 44.5gastrojejunostomy 44.5gastrostomy 44.69laparoscopic 44.68hand replacement (prosthesis) 81.97heart procedure NEC 35.95hip replacement NOS 81.53acetabular and femoral components(total) 00.70acetabular component only 00.71acetabular liner and/or femoral headonly 00.73femoral component only 00.72femoral head only and/or acetabularliner 00.73partialacetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73total (acetabular and femoralcomponents) 00.70Holter (- Spitz) valve 02.42ICD-9-CM INDEX TO PROCEDURES (FY10) R.Revision --- Cont.intercostal catheter(with lysis of adhesions)34.04thoracoscopic 34.06ileal conduit 56.52ileostomy 46.41intervertebral disc, artificial (partial) (total)NOS 84.69cervical 84.66lumbar, lumbosacral 84.68thoracic 84.67Jejunoileal bypass 46.93jejunostomy 46.41joint replacementacetabular and femoral components(total) 00.70acetabular component only 00.71acetabular liner and/or femoral headonly 00.73ankle 81.59elbow 81.97femoral component only 00.72femoral head only and/or acetabularliner 00.73foot 81.59hand 81.97hip 81.53acetabular and femoral components(total) 00.70acetabular component only 00.71acetabular liner and/or femoral headonly 00.73femoral component only 00.72femoral head only and/or acetabularliner 00.73partialacetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73total (acetabular and femoralcomponents) 00.70knee replacement NOS 81.55femoral component 00.82partialfemoral component 00.82patellar component 00.83tibial component 00.81tibial insert 00.84patellar component 00.83tibial component 00.81tibial insert 00.84total (all components) 00.80lower extremity NEC 81.59toe 81.59upper extremity 81.97wrist 81.97443

ICD-9-CM INDEX TO PROCEDURES (FY10)Revision - joint replacement---Cont.knee replacement (prosthesis) NOS 81.55femoral component 00.82partialfemoral component 00.82patellar component 00.83tibial component 00.81tibial insert 00.84patellar component 00.83tibial component 00.81tibial insert 00.84total (all components) 00.80laryngostomy 31.63lateral canthus 08.59mallet finger 82.84mastoid antrum 19.9mastoidectomy 20.92nephrostomy 55.89neuroplasty 04.75ocular implant 16.62orbital implant 16.62pocketcardiac device (defibrillator) (pacemaker)with initial insertion of cardiac device--omit codenew site (cardiac device pocket) (skin)(subcutaneous) 37.79intracardiac hemodynamic monitoring37.79subcutaneous device pocket NECwith initial insertion of generator ordevice --omit codenew site 86.09thalamic stimulator pulse generatorwith initial insertion of batterypackage --omit codenew site (skin)(subcutaneous) 86.09previous mastectomy site --see categories85.0- 85.99proctostomy 48.79prosthesisacetabular and femoral components(total) 00.70acetabular component only 00.71acetabular liner and/or femoral headonly 00.73ankle 81.59breast 85.93elbow 81.97femoral component only 00.72femoral head only and/or acetabularliner 00.73foot 81.59hand 81.97heart valve (poppet) 35.95hip 81.53acetabular component only 00.71acetabular liner and/or femoral headonly 00.73Revision prosthesis- hip ---Cont.femoral component only 00.72femoral head only and/or acetabularliner 00.73partialacetabular component only 00.71acetabular liner and/or femoralhead only 00.73femoral component only 00.72femoral head only and/oracetabular liner 00.73acetabular and femoral components(total) 00.70total (acetabular and femoralcomponents) 00.70knee NOS 81.55femoral component 00.82partialfemoral component 00.82patellar component 00.83tibial component 00.81tibial insert 00.84patellar component 00.83tibial component 00.81tibial insert 00.84total (all components) 00.80lower extremity NEC 81.59spinefacet replacement device(s) 84.85interspinous process device(s) 84.81pedicle- based dynamic stabilizationdevice(s) 84.83shoulder 81.97toe 81.59upper extremity 81.97wrist 81.97ptosis overcorrection 08.37pyelostomy 55.12pyloroplasty 44.29rhinoplasty 21.84scarskin 86.84with excision 86.3scleral fistulization 12.66shoulder replacement (prosthesis) 81.97shuntarteriovenous (cannula) (for dialysis) 39.42lumbar- subarachnoid NEC 03.97peritoneojugular 54.99peritoneovascular 54.99pleurothecal 03.97salpingothecal 03.97spinal (thecal) NEC 03.97subarachnoid- peritoneal 03.97subarachnoid- ureteral 03.97ventricular (cerebral) 02.42ventriculoperitonealat peritoneal site 54.95at ventricular site 02.42444

ICD-9-CM INDEX TO PROCEDURES (FY10) R.Revision ---Cont.stapedectomy NEC 19.29with incus replacement (homograft)(prosthesis) 19.21stomabile duct 51.79bladder (vesicostomy) 57.22bronchus 33.42common duct 51.72esophagus 42.89gallbladder 51.99hepatic duct 51.79intestine 46.40large 46.43small 46.41kidney 55.89larynx 31.63rectum 48.79stomach 44.69laparoscopic 44.68thorax 34.79trachea 31.74ureter 56.62urethra 58.49tack operation 20.79toe replacement (prosthesis) 81.59tracheostomy 31.74tunnelpulse generator lead wire 86.99with initial procedure --omit codetympanoplasty 19.6uretero- ileostomy, cutaneous 56.52ureterostomy (cutaneous) (stoma) NEC56.62ileal 56.52urethrostomy 58.49urinary conduit 56.52vascular procedure (previous) NEC 39.49ventricular shunt (cerebral) 02.42vesicostomy stoma 57.22wrist replacement (prosthesis) 81.97Rhinectomy 21.4Rhinocheiloplasty 27.59cleft lip 27.54Rhinomanometry 89.12Rhinoplasty (external) (internal) NEC 21.87augmentation (with graft) (with syntheticimplant) 21.85limited 21.86revision 21.84tip 21.86twisted nose 21.84Rhinorrhaphy (external) (internal) 21.81for epistaxis 21.09Rhinoscopy 21.21Rhinoseptoplasty 21.84Rhinotomy 21.1Rhizotomy (radiofrequency) (spinal) 03.1acoustic 04.01trigeminal 04.02Rhytidectomy (facial) 86.82eyelidlower 08.86upper 08.87Rhytidoplasty (facial) 86.82Ripstein operation (repair of prolapsed rectum)48.75Robotic assisted surgeryendoscopic 17.44laparoscopic 17.42open 17.41other and unspecified 17.49percutaneous 17.43thoracoscopic 17.45Rodney Smith operation (radical subtotalpancreatectomy) 52.53Roentgenography --see also Radiographycardiac, negative contrast 88.58Rolling of conjunctiva 10.33Rootcanal (tooth) (therapy) 23.70withapicoectomy 23.72irrigation 23.71resection (tooth) (apex) 23.73with root canal therapy 23.72residual or retained 23.11Rotation of fetal headforceps (instrumental) (Kielland) (Scanzoni)(key- in- lock) 72.4manual 73.51Routinechest x- ray 87.44psychiatric visit 94.12Roux-en-Y operationbile duct 51.36cholecystojejunostomy 51.32esophagus (intrathoracic) 42.54gastroenterostomy 44.39laparoscopic 44.38gastrojejunostomy 44.39laparoscopic 44.38pancreaticojejunostomy 52.96Roux-Goldthwait operation (repair ofrecurrent patellar dislocation) 81.44Roux-Herzen-Judine operation(jejunal loop interposition) 42.63Rubin test (insufflation of fallopian tube) 66.8Ruiz-Mora operation (proximalphalangectomy for hammer toe) 77.99Ruptureesophageal web 42.01joint adhesions, manual 93.26membranes, artificial 73.09for surgical induction of labor 73.01ovarian cyst, manual 65.93Russe operation (bone graft of scaphoid)78.04445

ICD-9-CM INDEX TO PROCEDURES (FY10)SSacculotomy (tack) 20.79Sacrectomy (partial) 77.89total 77.99Saemisch operation (corneal section) 11.1Salpingectomy (bilateral) (total)(transvaginal) 66.51with oophorectomy 65.61laparoscopic 65.63partial (unilateral) 66.69with removal of tubal pregnancy 66.62bilateral 66.63for sterilization 66.39by endoscopy 66.29remaining or solitary tube 66.52with ovary 65.62laparoscopic 65.64unilateral (total) 66.4withoophorectomy 65.49laparoscopic 65.41removal of tubal pregnancy 66.62partial 66.69Salpingography 87.85Salpingohysterostomy 66.74Salpingo-oophorectomy (unilateral) 65.49that by laparoscope 65.41bilateral (same operative episode) 65.61laparoscopic 65.63remaining or solitary tube and ovary 65.62laparoscopic 65.64Salpingo-oophoroplasty 65.73laparoscopic 65.76Salpingo-oophororrhaphy 65.79Salpingo-oophorostomy 66.72Salpingo-oophorotomy 65.09laparoscopic 65.01Salpingoplasty 66.79Salpingorrhaphy 66.71Salpingosalpingostomy 66.73Salpingostomy (for removal of non- rupturedectopic pregnancy) 66.02Salpingotomy 66.01Salpingo-uterostomy 66.74Salter operation (innominate osteotomy)77.39Salvage (autologous blood) (intraoperative)(perioperative) (postoperative) 99.00Sampling, blood for genetic determinationof fetus 75.33Sandpapering (skin) 86.25Saucerizationbone--see also Excision, lesion, bone 77.60rectum 48.99Sauer-Bacon operation (abdominoperinealresection) 48.50laparoscopic 48.51open 48.52other 48.59Scalenectomy 83.45Scalenotomy 83.19Scaling and polishing, dental 96.54Scan, scanningC.A.T.(computerized axial tomography)88.38with computer assisted surgery(CAS)00.31abdomen 88.01bone 88.38mineral density 88.98brain 87.03cardiac 87.41coronary 87.41head 87.03kidney 87.71skeletal 88.38mineral density 88.98thorax 87.41computerized axial tomography (C.A.T.)--see also Scan, C.A.T. 88.38C.T. --see Scan, C.A.T.gallium --see Scan, radioisotopeliver 92.02MUGA (multiple gated acquisition)--see Scan, radioisotopepositron emission tomography (PET)--see Scan, radioisotoperadioisotopeadrenal 92.09bone 92.14marrow 92.05bowel 92.04cardiac output 92.05cardiovascular 92.05cerebral 92.11circulation time 92.05eye 95.16gastrointestinal 92.04head NEC 92.12hematopoietic 92.05intestine 92.04iodine- 131 92.01kidney 92.03liver 92.02lung 92.15lymphatic system 92.16myocardial infarction 92.05pancreatic 92.04parathyroid 92.13pituitary 92.11446

ICD-9-CM INDEX TO PROCEDURES (FY10) S.Scan, scanning ---Cont.placenta 92.17protein- bound iodine 92.01pulmonary 92.15radio- iodine uptake 92.01renal 92.03specified site NEC 92.19spleen 92.05thyroid 92.01total body 92.18uterus 92.19renal 92.03thermal --see ThermographyScapulectomy (partial) 77.81total 77.91Scapulopexy 78.41Scarificationconjunctiva 10.33nasal veins (with packing) 21.03pericardium 36.39pleura 34.6chemical 34.92with cancer chemotherapy substance34.92 [99.25]tetracycline 34.92 [99.21]Schanz operation (femoral osteotomy) 77.35Schauta (-Amreich) operation (radicalvaginal hysterectomy) 68.79laparoscopic 68.71Schede operation (thoracoplasty) 33.34Scheie operationcautery of sclera 12.62sclerostomy 12.62Schlatter operation(total gastrectomy) 43.99Schroeder operation (endocervicalexcision) 67.39Schuchardt operation (nonobstetricalepisiotomy) 71.09Schwartze operation (simple mastoidectomy)20.41Scintiphotography --see Scan, radioisotopeScintiscan --see Scan, radioisotopeSclerectomy (punch) (scissors) 12.65for retinal reattachment 14.49Holth's 12.65trephine 12.61with implant 14.41Scleroplasty 12.89Sclerosis --see SclerotherapySclerostomy (Scheie's) 12.62Sclerotherapyesophageal varices (endoscopic) 42.33hemorrhoids 49.42pleura 34.92treatment of malignancy (cytotoxicagent) 34.92 [99.25]with tetracycline 34.92 [99.21]varicose vein 39.92vein NEC 39.92Sclerotomy (exploratory) 12.89anterior 12.89withiridectomy 12.65removal of vitreous 14.71posterior 12.89withiridectomy 12.65removal of vitreous 14.72Scott operationintestinal bypass for obesity 45.93jejunocolostomy (bypass) 45.93Scrapingcorneal epithelium 11.41for smear or culture 11.21trachoma follicles 10.33Scrotectomy (partial) 61.3Scrotoplasty 61.49Scrotorrhaphy 61.41Scrototomy 61.0Scrub, posterior nasal (adhesions) 21.91Sculpturing, heart valve--see Valvuloplasty, heartSection --see also Division and Incisioncesarean --see Cesarean sectionganglion, sympathetic 05.0hypophyseal stalk --see alsoHypophysectomy, partial 07.63ligamentum flavum (spine) --omit codenerve (cranial) (peripheral) NEC 04.03acoustic 04.01spinal root (posterior) 03.1sympathetic 05.0trigeminal tract 04.02Saemisch (corneal) 11.1spinal ligament 80.49arcuate --omit codeflavum --omit codetooth (impacted) 23.19Seddon-Brooks operation (transfer ofpectoralis major tendon) 83.75Semb operation (apicolysis of lung) 33.39Senning operation (correction oftransposition of great vessels) 35.91Separationtwins (attached) (conjoined) (Siamese)84.93asymmetrical (unequal) 84.93symmetrical (equal) 84.92Septectomyatrial (closed) 35.41open 35.42transvenous method (balloon) 35.41submucous (nasal) 21.5Septoplasty NEC 21.88with submucous resection of septum 21.5Septorhinoplasty 21.84Septostomy (atrial) (balloon) 35.41Septotomy, nasal 21.1447

ICD-9-CM INDEX TO PROCEDURES (FY10)Sequestrectomybone 77.00carpals, metacarpals 77.04clavicle 77.01facial 76.01femur 77.05fibula 77.07humerus 77.02nose 21.32patella 77.06pelvic 77.09phalanges (foot) (hand) 77.09radius 77.03scapula 77.01skull 01.25specified site NEC 77.09tarsals, metatarsals 77.08thorax (ribs) (sternum) 77.01tibia 77.07ulna 77.03vertebrae 77.09nose 21.32skull 01.25Sesamoidectomy 77.98Setback, ear 18.5Sever operation (division of soft tissue ofarm) 83.19Severing of blepharorrhaphy 08.02Sewell operation (heart) 36.2Sharrard operation (iliopsoas muscletransfer) 83.77Shavingbone --see also Excision, lesion, bone77.60cornea (epithelium) 11.41for smear or culture 11.21patella 77.66Shelf operation (hip arthroplasty) 81.40Shirodkar operation (encirclement suture,cervix) 67.59Shock therapychemical 94.24electroconvulsive 94.27electrotonic 94.27insulin 94.24subconvulsive 94.26Shorteningbone (fusion) 78.20femur 78.25specified site NEC --see category 78.2tibia 78.27ulna 78.23endopelvic fascia 69.22extraocular muscle NEC 15.22multiple (two or more muscles) 15.4eyelid margin 08.71Shortening ---Cont.eye muscle NEC 15.22multiple (two or more muscles) (withlengthening) 15.4finger (macrodactyly repair) 82.83heel cord 83.85levator palpebrae muscle 08.33ligament --see also Arthroplastyround 69.22uterosacral 69.22muscle 83.85extraocular 15.22multiple (two or more muscles) 15.4hand 82.55sclera (for repair of retinal detachment)14.59by scleral buckling --see also Buckling,scleral 14.49tendon 83.85hand 82.55ureter (with reimplantation) 56.41Shunt --see also Anastomosis and Bypass,vascularabdominovenous 54.94aorta- coronary sinus 36.39aorta (descending)- pulmonary (artery) 39.0aortocarotid 39.22aortoceliac 39.26aortofemoral 39.25aortoiliac 39.25aortoiliofemoral 39.25aortomesenteric 39.26aorto- myocardial (graft) 36.2aortorenal 39.24aortosubclavian 39.22apicoaortic 35.93arteriovenous NEC 39.29for renal dialysis (by)anastomosis 39.27external cannula 39.93ascending aorta to pulmonary artery(Waterston) 39.0axillary- femoral 39.29carotid- carotid 39.22carotid- subclavian 39.22caval- mesenteric 39.1corpora cavernosa- corpus spongiosum64.98corpora- saphenous 64.98descending aorta to pulmonary artery(Potts- Smith) 39.0endolymphatic (- subarachnoid) 20.71endolymph- perilymph 20.71extracranial- intracranial (EC- IC) 39.28femoroperoneal 39.29femoropopliteal 39.29iliofemoral 39.25ilioiliac 39.25448

ICD-9-CM INDEX TO PROCEDURES (FY10) S.Shunt ---Cont.intestinallarge- to- large 45.94small- to- large 45.93small- to- small 45.91left subclavian to descending aorta(Blalock- Park) 39.0left- to- right (systemic- pulmonary artery)39.0left ventricle (heart) (apex) and aorta 35.93lienorenal 39.1lumbar- subarachnoid (with valve) NEC 03.79mesocaval 39.1peritoneal- jugular 54.94peritoneo- vascular 54.94peritoneovenous 54.94pleuroperitoneal 34.05pleurothecal (with valve) 03.79portacaval (double) 39.1portal- systemic 39.1portal vein to vena cava 39.1pulmonary- innominate 39.0pulmonary vein to atrium 35.82renoportal 39.1right atrium and pulmonary artery 35.94right ventricle and pulmonary artery (distal)35.92in repair ofpulmonary artery atresia 35.92transposition of great vessels 35.92truncus arteriosus 35.83salpingothecal (with valve) 03.79semicircular subarachnoid 20.71spinal (thecal) (with valve) NEC 03.79subarachnoid- peritoneal 03.71subarachnoid- ureteral 03.72splenorenal (venous) 39.1arterial 39.26subarachnoid- peritoneal (with valve) 03.71subarachnoid- ureteral (with valve) 03.72subclavian- pulmonary 39.0subdural- peritoneal (with valve) 02.34superior mesenteric- caval 39.1systemic- pulmonary artery 39.0transjugular intrahepatic portosystemic[TIPS] 39.1vena cava to pulmonary artery (Green)39.21ventricular (cerebral) (with valve) 02.2toabdominal cavity or organ 02.34bone marrow 02.39cervical subarachnoid space 02.2circulatory system 02.32cisterna magna 02.2extracranial site NEC 02.39gallbladder 02.34head or neck structure 02.31intracerebral site NEC 02.2Shunt ventricular to ---Cont.lumbar site 02.39mastoid 02.31nasopharynx 02.31peritoneal 02.34thoracic cavity 02.33ureter 02.35urinary system 02.35venous system 02.32ventriculoatrial (with valve) 02.32ventriculocaval (with valve) 02.32ventriculocisternal (with valve) 02.2ventriculolumbar (with valve) 02.39ventriculomastoid (with valve) 02.31ventriculonasopharyngeal 02.31ventriculopleural (with valve) 02.33Sialoadenectomy (parotid) (sublingual)(submaxillary) 26.30complete 26.32partial 26.31radical 26.32Sialoadenolithotomy 26.0Sialoadenotomy 26.0Sialodochoplasty NEC 26.49Sialogram 87.09Sialolithotomy 26.0Sieve, vena cava 38.7Sigmoid bladder 57.87 [45.52]Sigmoidectomylaparoscopic 17.36open and other 45.76Sigmoidomyotomy 46.91Sigmoidopexy (Moschowitz) 46.63Sigmoidoproctectomy --see also Resection,rectum 48.69Sigmoidoproctostomy 45.94Sigmoidorectostomy 45.94Sigmoidorrhaphy 46.75Sigmoidoscopy (rigid) 48.23with biopsy 45.25flexible 45.24through stoma (artificial) 45.22transabdominal 45.21Sigmoidosigmoidostomy 45.94proximal to distal segmentlaparoscopic 17.36open and other 45.76Sigmoidostomy --see also Colostomy 46.10Sigmoidotomy 45.03Sign language 93.75Silver operation (bunionectomy) 77.59Sinogramabdominal wall 88.03chest wall 87.38retroperitoneum 88.14Sinusectomy (nasal) (complete) (partial)(with turbinectomy) 22.60antrum 22.62with Caldwell- Luc approach 22.61449

ICD-9-CM INDEX TO PROCEDURES (FY10)Sinusectomy ---Cont.ethmoid 22.63frontal 22.42maxillary 22.62with Caldwell- Luc approach 22.61sphenoid 22.64Sinusotomy (nasal) 22.50antrum (intranasal) 22.2with external approach (Caldwell- Luc)22.39radical (with removal of membranelining) 22.31ethmoid 22.51frontal 22.41maxillary (intranasal) 22.2external approach (Caldwell- Luc) 22.39radical (with removal of membranelining) 22.31multiple 22.53perinasal 22.50sphenoid 22.52Sistrunk operation (excision ofthyro- glossal cyst) 06.7Size reductionabdominal wall (adipose) (pendulous) 86.83arms (adipose) (batwing) 86.83breast (bilateral) 85.32unilateral 85.31buttocks (adipose) 86.83skin 86.83subcutaneous tissue 86.83thighs (adipose) 86.83Skeletal series (x- ray) 88.31SKyphoplasty 81.66Sling --see also Operation, slingfascial (fascia lata)for facial weakness (trigeminal nerveparalysis) 86.81mouth 86.81orbicularis (mouth) 86.81tongue 25.59levator muscle (urethrocystopexy) 59.71pubococcygeal 59.71rectum (puborectalis) 48.76tongue (fascial) 25.59Slittingcanaliculus forpassage of tube 09.42removal of streptothrix 09.42lens 13.2prepuce (dorsal) (lateral) 64.91Slocum operation(pes anserinus transfer)81.47Sluder operation (tonsillectomy) 28.2Small bowel series (x- ray) 87.63Smith operation (open osteotomy ofmandible) 76.62Smith-Peterson operation (radiocarpalarthrodesis) 81.25Smithwick operation (sympathectomy) 05.29Snaring, polyp, colon (endoscopic) 45.42Snip, punctum (with dilation) 09.51Soave operation (endorectal pull- through)48.41Somatotherapy, psychiatric NEC 94.29Sonneberg operation (inferior maxillaryneurectomy) 04.07Sorondo-Ferré operation (hindquarteramputation) 84.19Soutter operation (iliac crest fasciotomy) 83.14Spaulding-Richardson operation (uterinesuspension) 69.22Spectrophotometry NEC 89.39blood 89.39placenta 89.29urine 89.29Spectroscopyintravascular 38.23near infrared (NIR) 38.23Speech therapy NEC 93.75Spermatocelectomy 63.2Spermatocystectomy 60.73Spermatocystotomy 60.72Sphenoidectomy 22.64Sphenoidotomy 22.52Sphincterectomy, anal 49.6Sphincteroplastyanal 49.79obstetrical laceration (current) 75.62old 49.79bladder neck 57.85pancreas 51.83sphincter of Oddi 51.83Sphincterorrhaphy, anal 49.71obstetrical laceration (current) 75.62old 49.79Sphincterotomyanal (external) (internal) 49.59left lateral 49.51posterior 49.52bladder (neck) (transurethral) 57.91choledochal 51.82endoscopic 51.85iris 12.12pancreatic 51.82endoscopic 51.85sphincter of Oddi 51.82endoscopic 51.85transduodenal ampullary 51.82endoscopic 51.85Spinal anesthesia --omit codeSpinelli operation (correction of inverteduterus) 75.93Spineoplasty 81.66Spirometry (incentive) (respiratory) 89.37Spivack operation (permanent gastrostomy) 43.19Splanchnicectomy 05.29Splanchnicotomy 05.0450

ICD-9-CM INDEX TO PROCEDURES (FY10) S.Splenectomy (complete) (total) 41.5partial 41.43Splenogram 88.64radioisotope 92.05Splenolysis 54.59laparoscopic 54.51Splenopexy 41.95Splenoplasty 41.95Splenoportogram (by splenic arteriography)88.64Splenorrhaphy 41.95Splenotomy 41.2Splintingdental (for immobilization) 93.55orthodontic 24.7musculoskeletal 93.54ureteral 56.2Splitting --see also Divisioncanaliculus 09.52lacrimal papilla 09.51spinal cord tracts 03.29percutaneous 03.21tendon sheath 83.01hand 82.01Spondylosyndesis --see also Fusion, spinal81.00S.P. Rogers operation (knee disarticulation)84.16Ssabanejew-Frank operation (permanentgastrostomy) 43.19Stab, intercostal 34.09Stabilization, joint --see also Arthrodesispatella (for recurrent dislocation) 81.44Stacke operation (simple mastoidectomy)20.41Stallard operation(conjunctivocysto- rhinostomy) 09.82with insertion of tube or stent 09.83Stamm (- Kader) operation (temporarygastrostomy) 43.19Stapedectomy 19.19with incus replacement (homograft)(prosthesis) 19.11revision 19.29with incus replacement 19.21Stapediolysis 19.0Staplingartery 39.31blebs, lung (emphysematous) 32.21diaphysis --see also Stapling, epiphysealplate 78.20epiphyseal plate 78.20femur 78.25fibula 78.27humerus 78.22radius 78.23specified site NEC 78.29tibia 78.27ulna 78.23Stapling ---Contgastric varices 44.91graft --see Graftleft atrial appendage 37.36vein 39.32STARR (stapled transanal rectal resection)48.74StaXx® FX Structural Kyphoplasty System81.66Steinberg operation 44.5Steindler operationfascia stripping (for cavus deformity) 83.14flexorplasty (elbow) 83.77muscle transfer 83.77Stereotactic radiosurgery 92.30cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31Stereotactic head frame application 93.59Sterilizationfemale --see also specific operation 66.39male NEC --see also Ligation, vas deferens63.70Sternotomy 77.31as operative approach --omit codefor bone marrow biopsy 41.31Stewart operation (renal plication withpyeloplasty) 55.87Stimulation (electronic) --see also Implant,electronic stimulatorbone growth (percutaneous)--see category 78.9transcutaneous (surface) 99.86cardiac (external) 99.62internal 37.91carotid sinus 99.6489.58defibrillatoras part of intraoperative testing --omit codecatheter based invasiveelectro- physiologic testing 37.26device interrogation only withoutarrhythmia induction (bedsidecheck) 89.45 - 89.49non- invasive programmed electricalstimulation (NIPS) 37.20electrophysiologic, cardiacas part of intraoperative testing --omit codecatheter based invasiveelectrophysiologic testing 37.26device interrogation only withoutarrhythmia induction (bedsidecheck) 89.45 - 89.49noninvasive programmed electricalstimulation (NIPS) 37.20451

ICD-9-CM INDEX TO PROCEDURES (FY10)Stimulation ---Contnerve89.58penile 89.58peripheral or spinal cord,transcutaneous 93.39Stitch, Kelly-Stoeckel (urethra) 59.3Stomatoplasty 27.59Stomatorrhaphy 27.52Stone operation (anoplasty) 49.79Strapping (non- traction) 93.59Strassman operation (metroplasty) 69.49Strayer operation (gastrocnemius recession)83.72Stretchingeyelid (with elongation) 08.71fascia 93.28foreskin 99.95iris 12.63muscle 93.27nerve (cranial) (peripheral) 04.91tendon 93.27Strippingbone --see also Incision, bone 77.10carotid sinus 39.8cranial suture 02.01fascia 83.14hand 82.12membranes for surgical induction oflabor 73.1meninges (cerebral) 01.51spinal 03.4saphenous vein, varicose 38.59subdural membrane (cerebral) 01.51spinal 03.4varicose veins (lower limb) 38.59upper limb 38.53vocal cords 30.09Stromeyer-Little operation (hepatotomy) 50.0Strong operation (unbridling of celiacartery axis) 39.91Stryker frame 93.59Studybone mineral density 88.98bundle of His 37.29color vision 95.06conduction, nerve (median) 89.15dark adaptation, eye 95.07electrophysiologic stimulation andrecording, cardiacas part of intraoperative testing--omit codecatheter based invasiveelectrophysiologic testing 37.26device interrogation only withoutarrhythmia induction (bedsidecheck) 89.45 - 89.49noninvasive programmed electricalstimulation (NIPS) 37.20Study ---Contfunction --see also Function, studyradioisotope --see Scan, radioisotopelacrimal flow (radiographic) 87.05ocular motility 95.15pulmonaryairway flow measurement, endoscopic33.72function --see categories 89.37- 89.38radiographic --see Radiographyradio- iodinated triolein 92.04renal clearance 92.03spirometer 89.37tracer --see also Scan, radioisotope eye(P32) 95.16ultrasonic --see Ultrasonographyvisual field 95.05xenon flow NEC 92.19cardiovascular 92.05pulmonary 92.15Sturmdorf operation (conization of cervix)67.2Submucous resectionlarynx 30.29nasal septum 21.5Summerskill operation dacryocystorhinostomyby intubation) 09.81Surgerycomputer assisted (CAS) 00.39with robotics --see category 17.4CAS with CT/CTA 00.31CAS with fluoroscopy 00.33CAS with MR/MRA 00.32CAS with multiple datasets 00.35imageless 00.34other CAS 00.39robotic assisted --see category 17.4IGS --see Surgery, computer assistedimage guided --see Surgery, computer assistednavigation (CT- free, IGN image guided,imageless)--see Surgery, computer assistedSurmay operation (jejunostomy) 46.39Suspensionbalanced, for traction 93.45bladder NEC 57.89diverticulum, pharynx 29.59kidney 55.7Olshausen (uterus) 69.22ovary 65.79paraurethral (Pereyra) 59.6periurethral 59.6urethra (retropubic) (sling) 59.5urethrovesicalGoebel- Frangenheim- Stoeckel 59.4gracilis muscle transplant 59.71levator muscle sling 59.71Marshall- Marchetti (- Krantz) 59.5Millin- Read 59.4suprapubic 59.4452

ICD-9-CM INDEX TO PROCEDURES (FY10) S.Suspension ---Contuterus (abdominal or vaginal approach)69.22vagina 70.77with graft or prosthesis 70.78Suture (laceration)abdominal wall 54.63secondary 54.61adenoid fossa 28.7adrenal (gland) 07.44aneurysm (cerebral) (peripheral) 39.52anus 49.71obstetric laceration (current) 75.62old 49.79aorta 39.31aponeurosis --see also Suture, tendon83.64arteriovenous fistula 39.53artery 39.31percutaneous puncture closure- - omit codebile duct 51.79bladder 57.81obstetric laceration (current) 75.61blood vessel NEC 39.30artery 39.31percutaneous puncture closure --omit codevein 39.32breast (skin) 85.81bronchus 33.41bursa 83.99hand 82.99canaliculus 09.73cecum 46.75cerebral meninges 02.11cervix (traumatic laceration) 67.61internal os, encirclement 67.59obstetric laceration (current) 75.51old 67.69chest wall 34.71cleft palate 27.62clitoris 71.4colon 46.75common duct 51.71conjunctiva 10.6cornea 11.51with conjunctival flap 11.53corneoscleral 11.51with conjunctival flap 11.53diaphragm 34.82duodenum 46.71ulcer (bleeding) (perforated) 44.42endoscopic 44.43dura mater (cerebral) 02.11spinal 03.59ear, external 18.4enterocele 70.92with graft or prosthesis 70.93entropion 08.42epididymis (and)spermatic cord 63.51Suture- epididymis (and)---Cont.vas deferens 63.81episiotomy --see Episiotomyesophagus 42.82eyeball 16.89eyebrow 08.81eyelid 08.81with entropion or ectropion repair 08.42fallopian tube 66.71fascia 83.65hand 82.46to skeletal attachment 83.89hand 82.89gallbladder 51.91ganglion, sympathetic 05.81gingiva 24.32great vessel 39.30artery 39.31vein 39.32gum 24.32heart 37.49hepatic duct 51.79hymen 70.76ileum 46.73intestine 46.79large 46.75small 46.73jejunum 46.73joint capsule 81.96with arthroplasty --see Arthroplastyankle 81.94foot 81.94lower extremity NEC 81.95upper extremity 81.93kidney 55.81labia 71.71laceration --see Suture, by sitelarynx 31.61ligament 81.96with arthroplasty --see Arthroplastyankle 81.94broad 69.29Cooper's 54.64foot and toes 81.94gastrocolic 54.73knee 81.95lower extremity NEC 81.95sacrouterine 69.29upper extremity 81.93uterine 69.29ligation --see Ligationlip 27.51liver 50.61lung 33.43meninges (cerebral) 02.11spinal 03.59mesentery 54.75mouth 27.52453

ICD-9-CM INDEX TO PROCEDURES (FY10)Suture ---Cont.muscle 83.65hand 82.46ocular (oblique) (rectus) 15.7nerve (cranial) (peripheral) 04.3sympathetic 05.81nose (external) (internal) 21.81for epistaxis 21.09obstetric laceration NEC 75.69bladder 75.61cervix 75.51corpus uteri 75.52pelvic floor 75.69perineum 75.69periurethral 75.69rectum 75.62sphincter ani 75.62urethra 75.61uterus 75.50vagina 75.69vulva 75.69omentum 54.64ovary 65.71laparoscopic 65.74palate 27.61cleft 27.62palpebral fissure 08.59pancreas 52.95pelvic floor 71.71obstetric laceration (current) 75.69penis 64.41peptic ulcer (bleeding) (perforated) 44.40pericardium 37.49perineum (female) 71.71after delivery 75.69episiotomy repair --see Episiotomymale 86.59periosteum 78.20carpal, metacarpal 78.24femur 78.25fibula 78.27humerus 78.22pelvic 78.29phalanges (foot) (hand) 78.29radius 78.23specified site NEC 78.29tarsal, metatarsal 78.28tibia 78.27ulna 78.23vertebrae 78.29peritoneum 54.64periurethral tissue to symphysis pubis 59.5pharynx 29.51pleura 34.93rectum 48.71obstetric laceration (current) 75.62retina (for reattachment) 14.59sacrouterine ligament 69.29salivary gland 26.41Suture ---Cont.scalp 86.59replantation 86.51sclera (with repair of conjunctiva) 12.81scrotum (skin) 61.41secondaryabdominal wall 54.61episiotomy 75.69peritoneum 54.64sigmoid 46.75skin (mucous membrane) (without graft)86.59with graft --see Graft, skinbreast 85.81ear 18.4eyebrow 08.81eyelid 08.81nose 21.81penis 64.41scalp 86.59replantation 86.51scrotum 61.41vulva 71.71specified site NEC --see Repair, by sitespermatic cord 63.51sphincter ani 49.71obstetric laceration (current) 75.62old 49.79spinal meninges 03.59spleen 41.95stomach 44.61ulcer (bleeding) (perforated) 44.41endoscopic 44.43subcutaneous tissue (without skin graft)86.59with graft --see Graft, skintendon (direct) (immediate) (primary) 83.64delayed (secondary) 83.62hand NEC 82.43flexors 82.42hand NEC 82.45delayed (secondary) 82.43flexors 82.44delayed (secondary) 82.42ocular 15.7rotator cuff 83.63sheath 83.61hand 82.41supraspinatus (rotator cuff repair) 83.63to skeletal attachment 83.88hand 82.85Tenon's capsule 15.7testis 62.61thymus 07.93thyroid gland 06.93tongue 25.51tonsillar fossa 28.7trachea 31.71tunica vaginalis 61.41454

ICD-9-CM INDEX TO PROCEDURES (FY10) S.Suture ---Cont.ulcer (bleeding) (perforated) (peptic) 44.40duodenum 44.42endoscopic 44.43gastric 44.41endoscopic 44.43intestine 46.79skin 86.59stomach 44.41endoscopic 44.43ureter 56.82urethra 58.41obstetric laceration (current) 75.61uterosacral ligament 69.29uterus 69.41obstetric laceration (current) 75.50old 69.49uvula 27.73vagina 70.71obstetric laceration (current) 75.69old 70.79vas deferens 63.81vein 39.32vulva 71.71obstetric laceration (current) 75.69old 71.79Suture-ligation --see also Ligationblood vessel --see Ligation, blood vesselSweep, anterior iris 12.97Swenson operationbladder reconstruction 57.87proctectomy 48.49Swinney operation (urethral reconstruction)58.46Switch, switchingcoronary arteries 35.84great arteries, total 35.84Syme operationankle amputation through malleoli of tibiaand fibula 84.14urethrotomy, external 58.0Sympathectomy NEC 05.29cervical 05.22cervicothoracic 05.22lumbar 05.23periarterial 05.25presacral 05.24renal 05.29thoracolumbar 05.23tympanum 20.91Sympatheticotripsy 05.0Symphysiotomy 77.39assisting delivery (obstetrical) 73.94kidney (horseshoe) 55.85Symphysis, pleural 34.6Synchondrotomy --see also Division, cartilage80.40Syndactylization 86.89Syndesmotomy --see also Division, ligament80.40Synechiotomyendometrium 68.21iris (posterior) 12.33anterior 12.32Synovectomy (joint) (complete) (partial) 80.70ankle 80.77elbow 80.72foot and toe 80.78hand and finger 80.74hip 80.75knee 80.76shoulder 80.71specified site NEC 80.79spine 80.79tendon sheath 83.42hand 82.33wrist 80.73Syringinglacrimal duct or sac 09.43nasolacrimal duct 09.43withdilation 09.43insertion of tube or stent 09.44455

ICD-9-CM INDEX TO PROCEDURES (FY10)TTaarnhoj operation (trigeminal nerve rootdecompression) 04.41Tack operation (sacculotomy) 20.79--seecategory 17.4Take-downanastomosisarterial 39.49blood vessel 39.49gastric, gastrointestinal 44.5intestine 46.93stomach 44.5vascular 39.49ventricular 02.43arterial bypass 39.49arteriovenous shunt 39.43with creation of new shunt 39.42cecostomy 46.52colostomy 46.52duodenostomy 46.51enterostomy 46.50esophagostomy 42.83gastroduodenostomy 44.5gastrojejunostomy 44.5ileostomy 46.51intestinal stoma 46.50large 46.52small 46.51jejunoileal bypass 46.93jejunostomy 46.51laryngostomy 31.62sigmoidostomy 46.52stomabile duct 51.79bladder 57.82bronchus 33.42common duct 51.72esophagus 42.83gall bladder 51.92hepatic duct 51.79intestine 46.50large 46.52small 46.51kidney 55.82larynx 31.62rectum 48.72stomach 44.62thorax 34.72trachea 31.72ureter 56.83urethra 58.42systemic- pulmonary artery anastomosis39.49in total repair of tetralogy of Fallot 35.81tracheostomy 31.72Take-down ---Cont.vascular anastomosis or bypass 39.49ventricular shunt (cerebral) 02.43Talectomy 77.98Talma-Morison operation (omentopexy) 54.74Tamponadeesophageal 96.06intrauterine (nonobstetric) 69.91after delivery or abortion 75.8antepartum 73.1vagina 96.14after delivery or abortion 75.8antepartum 73.1Tanner operation (devascularization ofstomach) 44.99Tapabdomen 54.91chest 34.91cisternal 01.01cranial 01.09joint 81.91lumbar (diagnostic) (removal of dye) 03.31perilymphatic 20.79spinal (diagnostic) 03.31subdural (through fontanel) 01.09thorax 34.91Tarsectomy 08.20de Grandmont 08.35Tarsoplasty --see also Reconstruction, eyelid08.70Tarsorrhaphy (lateral) 08.52division or severing 08.02Tattooingcornea 11.91skin 86.02Tautening, eyelid for entropion 08.42Telemetry (cardiac) 89.54Teleradiotherapybeta particles 92.25intra- operative 92.41Betatron 92.24cobalt- 60 92.23electrons 92.25intra- operative 92.41iodine- 125 92.23linear accelerator 92.24neutrons 92.26particulate radiation NEC 92.26photons 92.24protons 92.26radioactive cesium 92.23radioisotopes NEC 92.23Temperament assessment 94.02Temperature gradient study --see alsoThermography 88.89Tendinoplasty --see Repair, tendon456

ICD-9-CM INDEX TO PROCEDURES (FY10) T.Tendinosuture (immediate) (primary)--see also Suture, tendon 83.64hand --see also Suture, tendon, hand 82.45Tendolysis 83.91hand 82.91Tendoplasty --see Repair, tendonTenectomy 83.39eye 15.13levator palpebrae 08.33multiple (two or more tendons) 15.3hand 82.29levator palpebrae 08.33tendon sheath 83.31hand 82.21Tenodesis (tendon fixation to skeletalattachment) 83.88Fowler 82.85hand 82.85Tenolysis 83.91hand 82.91Tenomyoplasty --see also Repair, tendon83.88hand --see also Repair, tendon, hand 82.86Tenomyotomy --see TenonectomyTenonectomy 83.42for graft 83.41hand 82.32hand 82.33for graft 82.32Tenontomyoplasty --see Repair, tendonTenontoplasty --see Repair, tendonTenoplasty --see also Repair, tendon 83.88hand --see also Repair, tendon, hand 82.86Tenorrhaphy --see also Suture, tendon 83.64hand --see also Suture, tendon, hand 82.45to skeletal attachment 83.88hand 82.85Tenosuspension 83.88hand 82.86Tenosuture --see also Suture, tendon 83.64hand --see also Suture, tendon, hand 82.45to skeletal attachment 83.88hand 82.85Tenosynovectomy 83.42hand 82.33Tenotomy 83.13Achilles tendon 83.11adductor (hip) (subcutaneous) 83.12eye 15.12levator palpebrae 08.38multiple (two or more tendons) 15.4hand 82.11levator palpebrae 08.38pectoralis minor tendon (decompressionthoracic outlet) 83.13stapedius 19.0tensor tympani 19.0Tenovaginotomy --see TenotomyTensing, orbicularis oculi 08.59Termination of pregnancybyaspiration curettage 69.51dilation and curettage 69.01hysterectomy --see Hysterectomyhysterotomy 74.91intra- amniotic injection (saline) 75.0Test, testing (for)14 C- Urea breath 89.39auditory function NEC 95.46Bender Visual- Motor Gestalt 94.02Benton Visual Retention 94.02cardiac (vascular)function NEC 89.59stress 89.44bicycle ergometer 89.43Masters' two- step 89.42treadmill 89.41Denver developmental (screening) 94.02fetus, fetalnonstress (fetal activity accelerationdeterminations) 75.34oxytocin challenge (contraction stress)75.35sensitivity (to oxytocin) --omit codefunctioncardiac NEC 89.59hearing NEC 95.46muscle (by)electromyography 93.08manual 93.04neurologic NEC 89.15vestibular 95.46clinical 95.44glaucoma NEC 95.26hearing 95.47clinical NEC 95.42intelligence 94.01internal jugular- subclavian venous reflux89.62intracarotid amobarbital (Wada) 89.10Masters' two- step stress (cardiac) 89.42muscle function (by)electromyography 93.08manual 93.04neurologic function NEC 89.15neurophysiologic monitoringintra- operative 00.94nocturnal penile tumescence 89.29provocative, for glaucoma 95.26psychologic NEC 94.08psychometric 94.01radio- cobalt B12 Schilling 92.04range of motion 93.05rotation (Bárány chair) (hearing) 95.45sleep disorder function --see categories89.17- 89.18Stanford- Binet 94.01457

ICD-9-CM INDEX TO PROCEDURES (FY10)Test, testing ---Cont.Thallium stress(transesophageal pacing)89.44tuning fork (hearing) 95.42Urea breath, (14 C) 89.39vestibular function NEC 95.46thermal 95.44Wada (hemispheric function) 89.10whispered speech (hearing) 95.42TEVAP (transurethral electrovaporizationof prostate) 60.29Thalamectomy 01.41Thalamotomy 01.41by stereotactic radiosurgery 92.32cobalt 60 92.32linear accelerator (LINAC) 92.31multi- source 92.32particle beam 92.33particulate 92.33radiosurgery NEC 92.39single source photon 92.31Thal operation (repair of esophagealstricture) 42.85Theleplasty 85.87TherapyAntabuse 94.25aqueous oxygen (AO) 00.49art 93.89aversion 94.33behavior 94.33Bennett respirator --see category 96.7blind rehabilitation NEC 93.78Byrd respirator --see category 96.7carbon dioxide 94.25cobalt- 60 92.23conditioning, psychiatric 94.33continuous positive airway pressure(CPAP) 93.90delivered byendotracheal tube --see category 96.7tracheostomy --see category 96.7croupette, croup tent 93.94daily living activities 93.83for the blind 93.78dance 93.89desensitization 94.33detoxification 94.25diversional 93.81domestic tasks 93.83for the blind 93.78Downstream® system 00.49educational (bed- bound children)(handicapped) 93.82electroconvulsive (ECT) 94.27electroshock (EST) 94.27subconvulsive 94.26electrotonic (ETT) 94.27encounter group 94.44extinction 94.33Therapy ---Cont.family 94.42fog (inhalation) 93.94gamma ray 92.23group NEC 94.44for psychosexual dysfunctions 94.41hearing NEC 95.49heat NEC 93.35for cancer treatment 99.85helium 93.98hot pack(s) 93.35hyperbaric oxygen 93.95wound 93.59hyperthermia NEC 93.35for cancer treatment 99.85individual, psychiatric NEC 94.39for psychosexual dysfunction 94.34industrial 93.89infrared irradiation 93.35inhalation NEC 93.96nitric oxide 00.12insulin shock 94.24intermittent positive pressure breathing(IPPB) 93.91IPPB (intermittent positive pressurebreathing) 93.91leech 99.99lithium 94.22LITT (laser interstitial thermal therapy) underguidancelesionbrain 17.61breast 17.69head and neck 17.62liver 17.63lung 17.69prostate 17.69thyroid 17.62maggot 86.28manipulative, osteopathic --see alsoManipulation, osteopathic 93.67manual arts 93.81methadone 94.25mist (inhalation) 93.94music 93.84nebulizer 93.94neuroleptic 94.23nitric oxide 00.12occupational 93.83oxygen 93.96aqueous 00.49catalytic 93.96hyperbaric 93.95wound 93.59SuperSaturated 00.49wound (hyperbaric) 93.59paraffin bath 93.35458

ICD-9-CM INDEX TO PROCEDURES (FY10) T.Therapy ---Cont.physical NEC 93.39combined (without mention ofcomponents) 93.38diagnostic NEC 93.09play 93.81psychotherapeutic 94.36positive and expiratory pressure--see category 96.7psychiatric NEC 94.39drug NEC 94.25lithium 94.22radiation 92.29contact (150 KVP or less) 92.21deep (200- 300 KVP) 92.22electron, intra- operative 92.41high voltage (200- 300 KVP) 92.22low voltage (150 KVP or less) 92.21megavoltage 92.24orthovoltage 92.22particle source NEC 92.26photon 92.24radioisotope (teleradiotherapy) 92.23retinal lesion 14.26superficial (150 KVP or less) 92.21supervoltage 92.24radioisotope, radioisotopic NEC 92.29implantation or insertion 92.27injection or instillation 92.28teleradiotherapy 92.23radium (radon) 92.23recreational 93.81rehabilitation NEC 93.89respiratory NEC 93.99bi- level airway pressure [BiPAP] 93.90delivered byendotracheal tube --see category 96.7tracheostomy --see category 96.7continuous positive airway pressure[CPAP] 93.90delivered byendotracheal tube --see category 96.7tracheostomy --see category 96.7endotracheal respiratory assistance--see category 96.7intermittent positive pressure breathing[IPPB] 93.91negative pressure (continuous) [CNP]93.99nitric oxide 00.12non- invasive positive pressure(NIPPV)93.90other continuous invasive (unspecifiedduration) 96.70for less than 96 consecutive hours 96.71for 96 consecutive hours or more 96.72positive and expiratory pressure [PEEP]invasive --see category 96.7non- invasive 93.90Therapy ---Cont.root canal 23.70withapicoectomy 23.72irrigation 23.71shockchemical 94.24electric 94.27subconvulsive 94.26insulin 94.24speech 93.75for correction of defect 93.74SuperOxygenation (SSO2) 00.49SuperSaturated oxygen 00.49ultrasoundheat therapy 93.35hyperthermia for cancer treatment 99.85physical therapy 93.35therapeutic --see Ultrasoundultraviolet light 99.82Thermocautery --see CauterizationThermography 88.89blood vessel 88.86bone 88.83breast 88.85cerebral 88.81eye 88.82lymph gland 88.89muscle 88.84ocular 88.82osteoarticular 88.83specified site NEC 88.89vein, deep 88.86Thermokeratoplasty 11.74Thermosclerectomy 12.62Thermotherapy (hot packs) (paraffin bath)NEC 93.35prostatebymicrowave 60.96radiofrequency 60.97transurethral microwave thermotherapy(TUMT) 60.96transurethral needle ablation(TUNA) 60.97TUMT (transurethral microwavethermotherapy) 60.96TUNA(transurethral needle ablation) 60.97Thiersch operationanus 49.79skin graft 86.69hand 86.62Thompson operationcleft lip repair 27.54correction of lymphedema 40.9quadricepsplasty 83.86thumb apposition with bone graft 82.69Thoracectomy 34.09for lung collapse 33.34Thoracentesis 34.91459

ICD-9-CM INDEX TO PROCEDURES (FY10)Thoracocentesis 34.91Thoracolysis (for collapse of lung) 33.39Thoracoplasty (anterior) (extrapleural)(paravertebral) (posterolateral) (complete)partial) 33.34Thoracoscopy, transpleural(for exploration)34.21Thoracostomy 34.09for lung collapse 33.32Thoracotomy (with drainage) 34.09as operative approach --omit codeexploratory 34.02Thoratec® implantable ventricular assist37.66Thoratec® ventricular assist device (VAD)system 37.66Three-snip operation, punctum 09.51Thrombectomy 38.00with endarterectomy --see Endarterectomyabdominalartery 38.06vein 38.07aorta (arch) (ascending)(descending) 38.04arteriovenous shunt or cannula 39.49bovine graft 39.49coronary artery 36.09head and neck vessel NEC 38.02intracranial vessel NEC 38.01lower limbartery 38.08vein 38.09mechanicalendovascularhead and neck 39.74pulmonary vessel 38.05thoracic vessel NEC 38.05upper limb (artery) (vein) 38.03Thromboendarterectomy 38.10abdominal 38.16aorta (arch) (ascending)(descending) 38.14coronary artery 36.09open chest approach 36.03head and neck NEC 38.12intracranial NEC 38.11lower limb 38.18thoracic NEC 38.15upper limb 38.13Thymectomy 07.80Partial (open) (other) 07.81thoracoscopic 07.83Total (open) (other) 07.82thoracoscopic 07.84transcervical 07.99Thyrochondrotomy 31.3Thyrocricoidectomy 30.29Thyrocricotomy (for assistance in breathing)31.1Thyroidectomy NEC 06.39by mediastinotomy --see alsoThyroidectomy, substernal 06.50with laryngectomy --see Laryngectomycomplete or total 06.4substernal (by mediastinotomy)(transsternal route) 06.52transoral route (lingual) 06.6lingual (complete)(partial)(subtotal)(total)06.6partial or subtotal NEC 06.39with complete removal of remaining lobe06.2submental route (lingual) 06.6substernal (by mediastinotomy)(transsternal route) 06.51remaining tissue 06.4submental route (lingual) 06.6substernal (by mediastinotomy) (transsternalroute) 06.50complete or total 06.52partial or subtotal 06.51transoral route (lingual) 06.6transsternal route --see alsoThyroidectomy, substernal 06.50unilateral (with removal of isthmus) (withremoval of portion of other lobe) 06.2Thyroidorrhaphy 06.93Thyroidotomy (field) (gland) NEC 06.09postoperative 06.02Thyrotomy 31.3with tantalum plate 31.69Tirofiban (HCL), infusion 99.20Toiletteskin --see Debridement, skin orsubcutaneous tissuetracheostomy 96.55Token economy (behavior therapy) 94.33Tomkins operation (metroplasty) 69.49Tomography --see also Radiographyabdomen NEC 88.02cardiac 87.42computerized axial NEC 88.38abdomen 88.01bone 88.38quantitative 88.98brain 87.03cardiac 87.41coronary 87.41head 87.03kidney 87.71skeletal 88.38quantitative 88.98thorax 87.41head NEC 87.04kidney NEC 87.72lung 87.42optical coherence (intravascular imaging)coronary vessel(s) 38.24non- coronary vessel(s) 38.25thorax NEC 87.42460

ICD-9-CM INDEX TO PROCEDURES (FY10) T.Tongue tie operation 25.91Tonography 95.26Tonometry 89.11Tonsillectomy 28.2with adenoidectomy 28.3Tonsillotomy 28.0Topectomy 01.32Torek (-Bevan) operation (orchidopexy)(first stage) (second stage) 62.5Torkildsen operation (ventriculocisternalshunt) 02.2Torpin operation (cul- de- sac resection)70.92Toti operation(dacryocystorhinostomy)09.81Touchas operation 86.83Touroff operation (ligation of subclavianartery) 38.85Toxicology --see Examination, microscopicTPN (total parenteral nutrition) 99.15Trabeculectomy ab externo 12.64Trabeculodialysis 12.59Trabeculotomy ab externo 12.54Trachelectomy 67.4Trachelopexy 69.22Tracheloplasty 67.69Trachelorrhaphy (Emmet) (suture) 67.61obstetrical 75.51Trachelotomy 69.95obstetrical 73.93Tracheocricotomy (for assistance inbreathing) 31.1Tracheofissure 31.1Tracheography 87.32Tracheolaryngotomy (emergency) 31.1permanent opening 31.29Tracheoplasty 31.79with artificial larynx 31.75Tracheorrhaphy 31.71Tracheoscopy NEC 31.42through tracheotomy (stoma) 31.41Tracheostomy (emergency) (temporary) (forassistance in breathing) 31.1mediastinal 31.21percutaneous dilatationalother permanent 31.29temporary 31.1permanent NEC 31.29revision 31.74Tracheotomy (emergency) (temporary) (forassistance in breathing) 31.1percutaneous dilatationalother permanent 31.29temporary 31.1permanent 31.29Tracing, carotid pulse with ECG lead 89.56TRAM (transverse rectus abdominismusculocutaneous) flap of breastfree 85.73pedicled 85.72Tractionwith reduction of fracture or dislocation--see Reduction, fracture and Reduction,dislocationadhesive tape (skin) 93.46boot 93.46Bryant's (skeletal) 93.44Buck's 93.46caliper tongs 93.41with synchronous insertion of device 02.94Cortel's (spinal) 93.42Crutchfield tongs 93.41with synchronous insertion of device 02.94Dunlop's (skeletal) 93.44gallows 93.46Gardner Wells 93.41with synchronous insertion of device 02.94halo device, skull 93.41with synchronous insertion of device 02.94Lyman Smith (skeletal) 93.44manual, intermittent 93.21mechanical, intermittent 93.21Russell's (skeletal) 93.44skeletal NEC 93.44intermittent 93.43skin, limbs NEC 93.46spinal NEC 93.42with skull device (halo)(caliper)(Crutchfield)(Gardner Wells) (Vinke) (tongs) 93.41with synchronous insertion of device02.94Thomas' splint 93.45Vinke tongs 93.41with synchronous insertion of device 02.94Tractotomybrain 01.32medulla oblongata 01.32mesencephalon 01.32percutaneous 03.21spinal cord (one- stage) (two- stage) 03.29trigeminal (percutaneous) (radiofrequency)04.02Training (for) (in)ADL (activities of daily living) 93.83for the blind 93.78ambulation 93.22braille 93.77crutch walking 93.24dyslexia 93.71dysphasia 93.72esophageal speech(postlaryngectomy)93.73gait 93.22joint movements 93.14lip reading 93.75Moon (blind reading) 93.77orthoptic 95.35prenatal (natural childbirth) 93.37prosthetic or orthotic device usage 93.24relaxation 94.33461

ICD-9-CM INDEX TO PROCEDURES (FY10)Training (for) (in) ---Cont.speech NEC 93.75esophageal type 93.73for correction of defect 93.74use of lead dog for the blind 93.76vocational 93.85Transactional analysisgroup 94.44individual 94.39Transection --see also Divisionartery (with ligation) --see also Division,artery 38.80renal, aberrant (with reimplantation)39.55bone --see also Osteotomy 77.30fallopian tube (bilateral) (remaining)(solitary) 66.39by endoscopy 66.22unilateral 66.92isthmus, thyroid 06.91muscle 83.19eye 15.13multiple (two or more muscles) 15.3hand 82.19nerve (cranial) (peripheral) NEC 04.03acoustic 04.01root (spinal) 03.1sympathetic 05.0tracts in spinal cord 03.29trigeminal 04.02vagus (transabdominal)--see also Vagotomy 44.00pylorus (with wedge resection) 43.3renal vessel, aberrant (with reimplantation)39.55spinalcord tracts 03.29nerve root 03.1tendon 83.13hand 82.11uvula 27.71vas deferens 63.71vein (with ligation) --see also Division, vein38.80renal,aberrant(with reimplantation)39.55varicose (lower limb) 38.59Transfer, transferencebone shaft, fibula into tibia 78.47digital (to replace absent thumb) 82.69finger (to thumb) (same hand) 82.61tofinger, except thumb 82.81opposite hand (with amputation) 82.69[84.01]toe (to thumb) (with amputation)82.69 [84.11]to finger, except thumb 82.81 [84.11]fat pad NEC 86.89with skin graft --see Graft, skin, full- thicknessTransfer, transference ---Cont.finger (to replace absent thumb)(same hand) 82.61tofinger, except thumb 82.81opposite hand (with amputation) 82.69[84.01]muscle origin 83.77hand 82.58nerve (cranial) (peripheral) (radial anterior)(ulnar) 04.6pedicle graft 86.74pes anserinus (tendon) (repair of knee) 81.47tarsoconjunctival flap, from opposing lid08.64tendon 83.75hand 82.56pes anserinus (repair of knee) 81.47toe- to- thumb (free) (pedicle) (withamputation) 82.69 [84.11]Transfixion --see also Fixationiris (bombé) 12.11Transfusion (of) 99.03antihemophilic factor 99.06antivenin 99.16autologous bloodcollected prior to surgery 99.02intraoperative 99.00perioperative 99.00postoperative 99.00previously collected 99.02salvage 99.00blood (whole) NOS 99.03expander 99.08surrogate 99.09bone marrow 41.00allogeneic 41.03with purging 41.02allograft 41.03with purging 41.02autograft 41.01with purging 41.09autologous 41.01with purging 41.09coagulation factors 99.06Dextran 99.08exchange 99.01intraperitoneal 75.2in utero (with hysterotomy) 75.2exsanguination 99.01gamma globulin 99.14granulocytes 99.09hemodilution 99.03intrauterine 75.2packed cells 99.04plasma 99.07platelets 99.05replacement, total 99.01serum NEC 99.07462

ICD-9-CM INDEX TO PROCEDURES (FY10) T.Transfusion (of) ---Cont.substitution 99.01thrombocytes 99.05Transilluminationnasal sinuses 89.35skull (newborn) 89.16Translumbar aortogram 88.42Transplant, transplantationNote: To report donor source:cadaver 00.93live non- related donor 00.92live related donor 00.91live unrelated donor 00.92artery 39.59renal, aberrant 39.55autotransplant --see Reimplantationblood vessel 39.59renal, aberrant 39.55bone --see also Graft, bone 78.00marrow 41.00allogeneic 41.03with purging 41.02allograft 41.03with purging 41.02autograft 41.01with purging 41.09autologous 41.01with purging 41.09stem cellallogeneic (hematopoietic) 41.05with purging 41.08autologous (hematopoietic) 41.04with purging 41.07cord blood 41.06stem cellallogeneic (hematopoietic) 41.05with purging 41.08autologous (hematopoietic) 41.04with purging 41.07cord blood 41.06combined heart- lung 33.6conjunctiva, for pterygium 11.39corneal --see also Keratoplasty 11.60dura 02.12fascia 83.82hand 82.72finger (replacing absent thumb) (samehand) 82.61tofinger, except thumb 82.81opposite hand (with amputation)82.69 [84.01]gracilis muscle (for) 83.77anal incontinence 49.74urethrovesical suspension 59.71hair follicleseyebrow 08.63eyelid 08.63scalp 86.64Transplant, transplantation ---Cont.heart (orthotopic) 37.51combined with lung 33.6ileal stoma to new site 46.23intestine 46.97Islets of Langerhans (cells) 52.86allotransplantation of cells 52.85autotransplantation of cells 52.84heterotransplantation 52.85homotransplantation 52.84kidney NEC 55.69liver 50.59auxiliary (permanent) (temporary)(recipient's liver in situ) 50.51cells into spleen via percutaneouscatheterization 38.91lung 33.50bilateral 33.50combined with heart 33.6double 33.52single 33.51unilateral 33.51lymphatic structure(s) (peripheral) 40.9mammary artery to myocardium orventricular wall 36.2muscle 83.77gracilis (for) 83.77anal incontinence 49.74urethrovesical suspension 59.71hand 82.58temporalis 83.77with orbital exenteration 16.59nerve (cranial) (peripheral) 04.6ovary 65.92pancreas 52.80heterotransplant 52.83homotransplant 52.82Islets of Langerhans (cells) 52.86allotransplantation of cells 52.85autotransplantation of cells 52.84heterotransplantation 52.85homotransplantation 52.84reimplantation 52.81pes anserinus(tendon)(repair of knee) 81.47renal NEC 55.69vessel, aberrant 39.55salivary duct opening 26.49skin --see Graft, skinspermatic cord 63.53spleen 41.94stem cellsallogeneic (hematopoietic) 41.05with purging 41.08autologous (hematopoietic) 41.04with purging 41.07cord blood 41.06tendon 83.75hand 82.56pes anserinus (repair of knee) 81.47463

ICD-9-CM INDEX TO PROCEDURES (FY10)Transplant, transplantation - tendon ---Cont.superior rectus (blepharoptosis) 08.36testis to scrotum 62.5thymus 07.94thyroid tissue 06.94toe (replacing absent thumb) (withamputation) 82.69 [84.11]to finger, except thumb 82.81 [84.11]tooth 23.5ureter tobladder 56.74ileum (external diversion) 56.51internal diversion only 56.71intestine 56.71skin 56.61vein (peripheral) 39.59renal, aberrant 39.55vitreous 14.72anterior approach 14.71Transpositionextraocular muscles 15.5eyelash flaps 08.63eye muscle (oblique) (rectus) 15.5finger (replacing absent thumb) (samehand) 82.61tofinger, except thumb 82.81opposite hand(with amputation)82.69 [84.01]interatrial venous return 35.91jejunal (Henley) 43.81joint capsule --see also Arthroplasty81.96muscle NEC 83.79extraocular 15.5hand 82.59nerve (cranial) (peripheral) (radialanterior) (ulnar) 04.6nipple 85.86pterygium 11.31tendon NEC 83.76hand 82.57vocal cords 31.69Transureteroureterostomy 56.75Transversostomy --see also Colostomy46.10Trapping, aneurysm (cerebral) 39.52Trauner operation (lingual sulcus extension)24.91Trephination, trephiningaccessory sinus --see Sinusotomycorneoscleral 12.89cranium 01.24nasal sinus --see Sinusotomysclera (with iridectomy) 12.61Trial (failed) forceps 73.3Trigonectomy 57.6Trimming, amputation stump 84.3Triple arthrodesis 81.12Trochanterplasty 81.40Tsuge operation (macrodactyly repair) 82.83Tuck, tucking --see also Plicationeye muscle 15.22multiple (two or more muscles) 15.4levator palpebrae, for blepharoptosis 08.34Tudor "rabbit ear" operation (anteriorurethropexy) 59.79Tuffier operationapicolysis of lung 33.39vaginal hysterectomy 68.59laparoscopically assisted (LAVH) 68.51TULIP (transurethral ultrasound guided laserinduced prostectomy) 60.21TUNA (transurethral needle ablation) ofprostate 60.97TUMT (transurethral microwavethermotherapy) of prostate 60.96Tunnel, subcutaneous (antethoracic) 42.86esophageal 42.68with anastomosis --see Anastomosis,esophagus,antesternal 42.68pulse generator lead wire 86.99with initial procedure --omit codeTurbinectomy (complete) (partial) NEC 21.69bycryosurgery 21.61diathermy 21.61with sinusectomy --see SinusectomyTurco operation (release of joint capsules inclubfoot) 80.48TURP(transurethral resection of prostate) 60.29Tylectomy (breast) (partial) 85.21Tympanectomy 20.59with tympanoplasty --see TympanoplastyTympanogram 95.41Tympanomastoidectomy 20.42Tympanoplasty (type I) (with graft) 19.4withair pocket over round window 19.54fenestra in semicircular canal 19.55graft againstincus or malleus 19.52mobile and intact stapes 19.53incudostapediopexy 19.52epitympanic, type I 19.4revision 19.6typeII (graft against incus or malleus) 19.52III (graft against mobile and intact stapes)19.53IV (air pocket over round window) 19.54V (fenestra in semicircular canal) 19.55Tympanosympathectomy 20.91Tympanotomy 20.09with intubation 20.01464

ICD-9-CM INDEX TO PROCEDURES (FY10) U.UUchida operation (tubal ligation with orwithout fimbriectomy) 66.32UFR (uroflowmetry) 89.24Ultrafiltration 99.78hemodiafiltration 39.95hemodialysis (kidney) 39.95removal, plasma water 99.78therapeutic plasmapheresis 99.71Ultrasonographyabdomen 88.76aortic arch 88.73biliary tract 88.74breast 88.73deep vein thrombosis 88.77digestive system 88.74eye 95.13head and neck 88.71heart 88.72intestine 88.74intravascular --see Ultrasound,intra- vascular (IVUS)lung 88.73midline shift, brain 88.71multiple sites 88.79peripheral vascular system 88.77retroperitoneum 88.76thorax NEC 88.73therapeutic --see Ultrasoundtotal body 88.79urinary system 88.75uterus 88.79gravid 88.78Ultrasounddiagnostic --see Ultrasonographyfragmentation (of)cataract (with aspiration) 13.41urinary calculus, stones (Kock pouch)59.95heartintracardiac (heart chambers)(ICE)37.28intravascular (coronary vessels)(IVUS)00.24non- invasive 88.72inner ear 20.79intravascular (IVUS) - IVUS) 00.29aorta 00.22aortic arch 00.22cerebral vessel, extracranial 00.21coronary vessel 00.24intrathoracic vessel 00.22other specified vessel 00.28peripheral vessel 00.23renal vessel 00.25vena cava (inferior) (superior) 00.22Ultrasound---Cont.therapeutichead 00.01heart 00.02neck 00.01other therapeutic ultrasound 00.09peripheral vascular vessels 00.03vessels of head and neck 00.01therapy 93.35- IVUS --see Ultrasound, intravascular,by sitevirtual histology intravascular ultrasound--see Ultrasound, intravascular, by siteUmbilectomy 54.3Unbridlingblood vessel, peripheral 39.91celiac artery axis 39.91Uncovering --see Incision, by siteUndercuttinghair follicle 86.09perianal tissue 49.02Unroofing --see also Incision, by siteexternalauditory canal 18.02ear NEC 18.09kidney cyst 55.39UPP (urethral pressure profile) 89.25Upper GI series (x- ray) 87.62UPPP (uvulopalatopharyngoplasty)27.69 [29.4]Uranoplasty (for cleft palate repair) 27.62Uranorrhaphy (for cleft palate repair) 27.62Uranostaphylorrhaphy 27.62Urban operation(mastectomy)(unilateral)85.47bilateral 85.48Ureterectomy 56.40with nephrectomy 55.51partial 56.41total 56.42Ureterocecostomy 56.71Ureterocelectomy 56.41Ureterocolostomy 56.71Ureterocystostomy 56.74Ureteroenterostomy 56.71Ureteroileostomy (internal diversion) 56.71external diversion 56.51Ureterolithotomy 56.2Ureterolysis 59.02with freeing or repositioning of ureter59.02laparoscopic 59.03Ureteroneocystostomy 56.74Ureteropexy 56.85Ureteroplasty 56.89Ureteroplication 56.89465

ICD-9-CM INDEX TO PROCEDURES (FY10)Ureteroproctostomy 56.71Ureteropyelography (intravenous) (diureticinfusion) 87.73percutaneous 87.75retrograde 87.74Ureteropyeloplasty 55.87Ureteropyelostomy 55.86Ureterorrhaphy 56.82Ureteroscopy 56.31with biopsy 56.33Ureterosigmoidostomy 56.71Ureterostomy (cutaneous) (external) (tube)56.61closure 56.83ileal 56.51Ureterotomy 56.2Ureteroureterostomy (crossed) 56.75lumbar 56.41resection with end- to- end anastomosis56.41spatulated 56.41Urethral catheterization, indwelling 57.94Urethral pressure profile (UPP) 89.25Urethrectomy (complete) (partial) (radical)58.39withcomplete cystectomy 57.79pelvic exenteration 68.8radical cystectomy 57.71Urethrocystography(retrograde)(voiding)87.76Urethrocystopexy (by) 59.79levator muscle sling 59.71retropubic suspension 59.5suprapubic suspension 59.4Urethrolithotomy 58.0Urethrolysis 58.5Urethropexy 58.49anterior 59.79Urethroplasty 58.49augmentation 59.79collagen implant 59.72fat implant 59.72injection (endoscopic) of implant intourethra 59.72polytef implant 59.72Urethrorrhaphy 58.41Urethroscopy 58.22for control of hemorrhage of prostate60.94perineal 58.21Urethrostomy (perineal) 58.0Urethrotomy (external) 58.0internal (endoscopic) 58.5Uroflowmetry (UFR) 89.24Urography (antegrade) (excretory)(intravenous) 87.73retrograde 87.74Uteropexy (abdominal approach) (vaginalapproach) 69.22UVP (uvulopalatopharyngoplasty)27.69 [29.4]Uvulectomy 27.72Uvulopalatopharyngoplasty (UPPP)27.69 [29.4]Uvulotomy 27.71466

ICD-9-CM INDEX TO PROCEDURES (FY10) V.VVaccination (prophylactic) (against) 99.59anthrax 99.55brucellosis 99.55cholera 99.31common cold 99.51disease NEC 99.55arthropod- borne viral NEC 99.54encephalitis, arthropod- borne viral 99.53German measles 99.47hydrophobia 99.44infectious parotitis 99.46influenza 99.52measles 99.45mumps 99.46paratyphoid fever 99.32pertussis 99.37plague 99.34poliomyelitis 99.41rabies 99.44Rocky Mountain spotted fever 99.55rubella 99.47rubeola 99.45smallpox 99.42Staphylococcus 99.55Streptococcus 99.55tuberculosis 99.33tularemia 99.35tumor 99.28typhoid 99.32typhus 99.55undulant fever 99.55yellow fever 99.43Vacuum extraction, fetal head 72.79with episiotomy 72.71VADvascular access device --see Vascularaccess device,totally implantableventricular assist device --see Implant,heart assist systemVagectomy (subdiaphragmatic) --see alsoVagotomy 44.00Vaginal douche 96.44Vaginectomy 70.4Vaginofixation 70.77with graft or prosthesis 70.78Vaginoperineotomy 70.14Vaginoplasty 70.79Vaginorrhaphy 70.71obstetrical 75.69Vaginoscopy 70.21Vaginotomy 70.14forculdocentesis 70.0pelvic abscess 70.12Vagotomy (gastric) 44.00parietal cell 44.02selective NEC 44.03highly 44.02Holle's 44.02proximal 44.02truncal 44.01Valvotomy --see ValvulotomyValvulectomy, heart --see Valvuloplasty, heartValvuloplastyheart (open heart technique) (without valvereplacement) 35.10with prosthesis or tissue graft--see Replacement, heart, valve, by siteaortic valve 35.11percutaneous (balloon) 35.96combined with repair of atrial andventricular septal defects --seeRepair, endocardial cushion defectmitral valve 35.12percutaneous (balloon) 35.96pulmonary valve 35.13in total repair of tetralogy of Fallot35.81percutaneous (balloon) 35.96tricuspid valve 35.14Valvulotomyheart (closed heart technique) (transatrial)(transventricular) 35.00aortic valve 35.01mitral valve 35.02open heart technique --see Valvuloplasty,heartpulmonary valve 35.03in total repair of tetralogy of Fallot35.81tricuspid valve 35.04Varicocelectomy, spermatic cord 63.1Varicotomy, peripheral vessels(lower limb)38.59upper limb 38.53Vascular access device, totally implantable86.07Vascular closure, percutaneous puncture--omit codeVascularization --see RevascularizationVasectomy (complete) (partial) 63.73Vasogram 87.94Vasoligation 63.71gastric 38.86Vasorrhaphy 63.81Vasostomy 63.6Vasotomy 63.6Vasotripsy 63.71Vasovasostomy 63.82Vectorcardiogram (VCG) (with ECG) 89.53467

ICD-9-CM INDEX TO PROCEDURES (FY10)Vectra® vascular access graft 86.07Venectomy --see PhlebectomyVenipuncture NEC 38.99for injection of contrast material--see PhlebographyVenography --see PhlebographyVenorrhaphy 39.32Venotomy 38.00abdominal 38.07head and neck NEC 38.02intracranial NEC 38.01lower limb 38.09thoracic NEC 38.05upper limb 38.03Venotripsy 39.98Venovenostomy 39.29Ventilationbi- level positive airway pressure [BiPAP]93.90delivered byendotracheal tube --see category 96.7tracheostomy --see category 96.7continuous positive airway pressure[CPAP] 93.90delivered byendotracheal tube --see category 96.7tracheostomy --see category 96.7endotracheal respiratory assistance--see category 96.7intermittent positive pressure breathing[IPPB] 93.91mechanical, NOS 93.90by endotracheal tube --see category 96.7by tracheostomy --see category 96.7endotracheal respiratory assistance--see category 96.7invasive --see category 96.7non- invasive [NIPPV] 93.90other continuous (unspecified duration)96.70for less than 96 consecutive hours96.71for 96 consecutive hours or more96.72positive and expiratory pressure [PEEP]invasive --see category 96.7non- invasive 93.90negative pressure (continuous) [CNP] 93.99non- invasive positive pressure(NIPPV)93.90Ventriculectomy, heartpartial 37.35Ventriculocholecystostomy 02.34Ventriculocisternostomy 02.2Ventriculocordectomy 30.29Ventriculogram, ventriculography(cerebral) 87.02cardiacleft ventricle (outflow tract) 88.53combined with right heart 88.54right ventricle (outflow tract) 88.52combined with left heart 88.54radionuclide cardiac 92.05Ventriculomyocardiotomy 37.11Ventriculoperitoneostomy 02.34Ventriculopuncture 01.09through previously implanted catheteror reservoir (Ommaya) (Rickham)01.02Ventriculoseptopexy --see also Repair,ventricular septal defect 35.72Ventriculoseptoplasty --see also Repair,ventricular septal defect 35.72Ventriculostomy 02.2Ventriculotomycerebral 02.2heart 37.11Ventriculoureterostomy 02.35Ventriculovenostomy 02.32Ventrofixation, uterus 69.22Ventrohysteropexy 69.22Ventrosuspension, uterus 69.22VEP (visual evoked potential) 95.23Version, obstetrical (bimanual) (cephalic)(combined) (internal) (podalic) 73.21with extraction 73.22Braxton Hicks 73.21with extraction 73.22external (bipolar) 73.91Potter's (podalic) 73.21with extraction 73.22Wigand's (external) 73.91Wright's (cephalic) 73.21with extraction 73.22Vertebroplasty, percutaneous 81.65Vesicolithotomy (suprapubic) 57.19Vesicostomy 57.21Vesicourethroplasty 57.85Vesiculectomy 60.73with radical prostatectomy 60.5Vesiculogram, seminal 87.92contrast 87.91Vesiculotomy 60.72Vestibuloplasty (buccolabial) (lingual) 24.91Vestibulotomy 20.79-IVUS --see Ultrasound, intravascular,by siteVicq D'azyr operation (larynx) 31.1Vidal operation (varicocele ligation) 63.1Vidianectomy 05.21Villusectomy --see also Synovectomy 80.70Vision check 95.09Visual evoked potential (VEP) 95.23468

ICD-9-CM INDEX TO PROCEDURES (FY10) V.Vitrectomy (mechanical) (posterior approach)14.74with scleral buckling 14.49anterior approach 14.73Vocationalassessment 93.85retraining 93.85schooling 93.82Voice training (postlaryngectomy) 93.73von Kraske operation (proctectomy) 48.64Voss operation(hanging hip operation) 83.19Vulpius (-Compere) operation (lengtheningof gastrocnemius muscle) 83.85Vulvectomy (bilateral) (simple) 71.62partial (unilateral) 71.61radical (complete) 71.5unilateral 71.61V-Y operation (repair)bladder 57.89neck 57.85ectropion 08.44lip 27.59skin (without graft) 86.89subcutaneous tissue (without skin graft)86.89tongue 25.59WWada test (hemispheric function) 89.10Wang needle aspiration biopsybronchus 33.24Ward-Mayo operation (vaginalhysterectomy) 68.59laparoscopically assisted (LAVH) 68.51Washing --see Lavage and IrrigationWaterston operation (aorta- rightpulmonary artery anastomosis) 39.0Watkins (-Wertheim) operation (uterusinterposition) 69.21Watson-Jones operationhip arthrodesis 81.21reconstruction of lateral ligaments,ankle 81.49shoulder arthrodesis (extra- articular) 81.23tenoplasty 83.88Webbing (syndactylization) 86.89Weir operationappendicostomy 47.91correction of nostrils 21.86Wertheim operation (radical hysterectomy)68.69laparoscopic 68.61West operation (dacryocystorhinostomy)09.81Wheeler operationentropion repair 08.44halving procedure (eyelid) 08.24Whipple operation (radicalpancreatico- duodenectomy) 52.7Child modification (radical subtotalpancreatectomy) 52.53Rodney Smith modification (radical subtotalpancreatectomy) 52.53White operation (lengthening of tendocalcaneus by incomplete tenotomy) 83.11Whitehead operationglossectomy, radical 25.4hemorrhoidectomy 49.46Whitman operationfoot stabilization (talectomy) 77.98hip reconstruction 81.40repair of serratus anterior muscle 83.87talectomy 77.98trochanter wedge osteotomy 77.25Wier operation (entropion repair) 08.44Williams-Richardson operation (vaginalconstruction) 70.61with graft or prosthesis 70.63Wilms operation (thoracoplasty) 33.34Wilson operation (angulation osteotomy forhallux valgus) 77.51Window operationantrum (nasal sinus)--see Antrotomy,maxillaryaorticopulmonary 39.59bone cortex --see also Incision, bone 77.10facial 76.09nasoantral --see Antrotomy, maxillarypericardium 37.12pleura 34.09Winiwarter operation(cholecystoenterostomy) 51.32Wiringaneurysm 39.52dental (for immobilization) 93.55with fracture- reduction --see Reduction,fractureorthodontic 24.7Wirsungojejunostomy 52.96Witzel operation (temporary gastrostomy)43.19Woodward operation (release of high ridingscapula) 81.83Wrapping, aneurysm (gauze) (methylmethacrylate) (plastic) 39.52469

ICD-9-CM INDEX TO PROCEDURES (FY10)XXenograft 86.65Xerography, breast 87.36Xeromammography 87.36Xiphoidectomy 77.81X-raychest (routine) 87.44wall NEC 87.39contrast --see Radiography, contrastdiagnostic --see Radiographyinjection of radio- opaque substance --seeRadiography, contrastskeletal series, whole or complete 88.31therapeutic --see Therapy, radiationYYoung operationepispadias repair 58.45tendon transfer (anterior tibialis) (repair offlat foot) 83.75Yount operation (division of iliotibial band)83.14ZZancolli operationcapsuloplasty 81.72tendon transfer (biceps) 82.56Zeus® Robotic Surgical System--see category 17.4Ziegler operation (iridectomy) 12.14Zonulolysis (with lens extraction) --see alsoExtraction,cataract, intracapsular 13.19Z-plastyepicanthus 08.59eyelid --see also Reconstruction, eyelid08.70hypopharynx 29.4skin (scar) (web contracture) 86.84with excision of lesion 86.3470