ICD-9-CM Procedures (FY10)

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