13.07.2015 Views

ICD-9 Procedure Codes effective 10/1/2008 (v26.0) Source: Centers ...

ICD-9 Procedure Codes effective 10/1/2008 (v26.0) Source: Centers ...

ICD-9 Procedure Codes effective 10/1/2008 (v26.0) Source: Centers ...

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services0001 THER ULT HEAD & NECK VES0002 THER ULTRASOUND OF HEART0003 THER ULT PERIPHERAL VES0009 OTHER THERAPEUTIC ULTSND00<strong>10</strong> IMPLANT CHEMOTHERA AGENT0011 INFUS DROTRECOGIN ALFA0012 ADM INHAL NITRIC OXIDE0013 INJECT/INFUS NESIRITIDE0014 INJECTION OXAZOLIDINONE0015 HIGH-DOSE INFUSION IL-20016 PRESSURIZED TREAT GRAFT0017 INFUSION OF VASOPRESSOR0018 INFUS IMMUNOSUP ANTIBODY0019 BBBD VIA INFUSION0021 IVUS EXTRACRAN CEREB VES0022 IVUS INTRATHORACIC VES0023 IVUS PERIPHERAL VESSELS0024 IVUS CORONARY VESSELS0025 IVUS RENAL VESSELS0028 INTRAVASCUL IMAGING NEC0029 INTRAVASCUL IMAGING NOS0031 CAS W CT/CTA0032 CAS W MR/MRA0033 CAS W FLUOROSCOPY0034 IMAGELESS COMP ASST SURG0035 CAS W MULTIPLE DATASETS0039 OTHER CAS0040 PROCEDURE-ONE VESSEL0041 PROCEDURE-TWO VESSELS0042 PROCEDURE-THREE VESSELS0043 PROCEDURE-FOUR+ VESSELS0044 PROC-VESSEL BIFURCATION0045 INSERT 1 VASCULAR STENT0046 INSERT 2 VASCULAR STENTS0047 INSERT 3 VASCULAR STENTS0048 INSERT 4+ VASCULR STENTS0049 SUPERSAT O2 THERAPY0050 IMPL CRT PACEMAKER SYS0051 IMPL CRT DEFIBRILLAT SYS0052 IMP/REP LEAD LF VEN SYS0053 IMP/REP CRT PACEMAKR GEN0054 IMP/REP CRT DEFIB GENAT0055 INS D-E PERIPHERAL STENT0056 INS/REP IMPL SENSOR LEAD0057 IMP/REP SUBCUE CARD DEV0058 INS INTRA-ANSM PRES MNTR0059 INTRAVASC MSMNT COR ART0061 PERC ANGIO PRECEREB VESS0062 PERC ANGIO INTRACRAN VES0063 PERC INS CAROTID STENT0064 PERC INS PRECEREB STENT0065 PERC INS INTRACRAN STENT0066 PTCA OR CORONARY ATHER0067 INTRAVAS MSMNT THORC ART0068 INTRAVAS MSMT PERIPH ART0069 INTRAVS MSMT VES NEC/NOS0070 REV HIP REPL-ACETAB/FEM0071 REV HIP REPL-ACETAB COMP0072 REV HIP REPL-FEM COMP0073 REV HIP REPL-LINER/HEAD0074 HIP SURFACE, METAL/POLY0075 HIP SURFACE, METAL/METAL0076 HIP SURFACE, CERMC/CERMC0077 HIP SURFACE, CERMC/POLY0080 REV KNEE REPLACEMT-TOTAL0081 REV KNEE REPL-TIBIA COMP0082 REV KNEE REPL-FEMUR COMP0083 REV KNEE REPLACE-PATELLA0084 REV KNEE REPL-TIBIA LIN0085 RESRF HIP,TOTAL-ACET/FEM0086 RESRF HIP,PART-FEM HEAD0087 RESRF HIP,PART-ACETABLUM0091 TRNSPLNT LIVE REL DONOR0092 TRNSPLNT LIVE NONREL DON0093 TRANSPLANT CADAVER DONOR0094 INTRA-OP NEUROPHYS MONTR0<strong>10</strong>1 CISTERNAL PUNCTURE0<strong>10</strong>2 VENTRICL SHUNT TUBE PUNC0<strong>10</strong>9 CRANIAL PUNCTURE NEC01<strong>10</strong> INTRACRAN PRESSURE MONTR0111 CLOS CEREB MENINGES BX0112 OPEN CEREB MENINGES BX0113 CLOSED BRAIN BIOPSY0114 OPEN BRAIN BIOPSY0115 SKULL BIOPSY0116 INTRACRANIAL 02 MONITOR0117 BRAIN TEMP MONITORING0118 OTHER BRAIN DX PROCEDURE0119 OTHER SKULL DX PROCEDURE0121 CRANIAL SINUS I & D0122 REMOVAL BRAIN STIM LEAD0123 REOPEN CRANIOTOMY SITE0124 OTHER CRANIOTOMY0125 OTHER CRANIECTOMY0126 INS CATH CRANIAL CAV/TIS0127 REM CATH CRANIAL CAV/TIS0128 INTRACEREB CTH-BURR HOLE0131 INCISE CEREBRAL MENINGES0132 LOBOTOMY & TRACTOTOMY0139 OTHER BRAIN INCISION0141 THALAMUS OPERATIONS0142 GLOBUS PALLIDUS OPS0151 EX CEREB MENINGEAL LES0152 HEMISPHERECTOMY0153 BRAIN LOBECTOMY0159 OTHER BRAIN EXCISION016 EXCISE SKULL LESION0201 LINEAR CRANIECTOMY0202 ELEVATE SKULL FX FRAGMNT0203 SKULL FLAP FORMATION0204 BONE GRAFT TO SKULL0205 SKULL PLATE INSERTION0206 CRANIAL OSTEOPLASTY NEC0207 SKULL PLATE REMOVAL0211 SIMPLE SUTURE OF DURA0212 BRAIN MENINGE REPAIR NEC0213 MENINGE VESSEL LIGATION0214 CHOROID PLEXECTOMY022 VENTRICULOSTOMY0231 VENTRICL SHUNT-HEAD/NECK0232 VENTRI SHUNT-CIRCULA SYS0233 VENTRICL SHUNT-THORAX0234 VENTRICL SHUNT-ABDOMEN0235 VENTRI SHUNT-UNINARY SYS0239 OTHER VENTRICULAR SHUNT0241 IRRIGATE/EXPL VENT SHUNT0242 REPLACE VENTRICLE SHUNT0243 REMOVE VENTRICLE SHUNT0291 LYSIS CORTICAL ADHESION0292 BRAIN REPAIR0293 IMP/REPL BRAIN STIM LEAD0294 INSERT/REPLAC SKULL TONG0295 REMOVE SKULL TONGS0296 INSERT SPHENOID ELECTROD0299 SKULL & BRAIN OP NEC0301 REMOVAL FB SPINAL CANAL0302 REOPEN LAMINECTOMY SITE0309 SPINAL CANAL EXPLOR NEC031 INTRASPIN NERVE ROOT DIV0321 PERCUTANEOUS CHORDOTOMY0329 OTHER CHORDOTOMY0331 SPINAL TAP0332 SPINAL CORD/MENINGES BX0339 OTHER SPINAL DX PROC034 EXCIS SPINAL CORD LESION0351 SPINE MENINGOCELE REPAIR0352 MYELOMENINGOCEL REPAIR0353 VERTEBRAL FX REPAIR0359 SPINAL STRUCT REPAIR NEC036 SPINAL CORD ADHESIOLYSIS0371 SUBARACH-PERITON SHUNT0372 SUBARACH-URETERAL SHUNT0379 OTH SPINAL THECAL SHUNT038 DESTR INJECT-SPINE CANAL0390 INSERT SPINAL CANAL CATH0391 ANESTH INJECT-SPIN CANAL0392 SPINAL CANAL INJECT NEC0393 IMP/REPL SPINE STIM LEAD0394 REMOVAL SPINE STIM LEAD0395 SPINAL PATCH0396 PERCUTAN FACET DENERVAT0397 REVISE SPINE THECA SHUNT0398 REMOVE SPINE THECA SHUNT0399 SPINE CANAL STRUC OP NEC0401 EXCISION ACOUSTC NEUROMA0402 TRIGEMINAL NERV DIVISION0403 PERIPH NERVE DIV NEC0404 PERIPH NERVE INCIS NECwww.ahd.com Page 1 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services0405 GASSERIAN GANGLIONECTOMY0406 PERIPH GANGLIONECT NEC0407 PERIPH NERV EXCISION NEC0411 CLOS PERIPH NERVE BIOPSY0412 OPEN PERIPH NERVE BIOPSY0419 PERIPH NERVE DX PROC NEC042 PERIPH NERVE DESTRUCTION043 PERIPHERAL NERVE SUTURE0441 DECOMPRESS TRIGEM ROOT0442 CRAN NERV ROOT DECOM NEC0443 CARPAL TUNNEL RELEASE0444 TARSAL TUNNEL RELEASE0449 PER NERVE ADHESIOLYS NEC045 PERIPHERAL NERVE GRAFT046 PERIPH NERVE TRANSPOSIT0471 HYPOGLOSS-FACIAL ANASTOM0472 ACCESSORY-FACIAL ANASTOM0473 ACCESS-HYPOGLOSS ANASTOM0474 PERIPH NERV ANASTOM NEC0475 POSTOP REVIS PER NERV OP0476 LATE REPAIR PER NERV INJ0479 OTHER NEUROPLASTY0480 PERIPH NERVE INJECT NOS0481 ANESTH INJEC PERIPH NERV0489 PERIPH NERVE INJECT NEC0491 NEURECTASIS0492 IMP/REPL PERI STIM LEAD0493 REMOVAL PERI STIM LEAD0499 PERIPHERAL NERVE OPS NEC050 SYMPATH NERVE DIVISION0511 SYMPATHETIC NERVE BIOPSY0519 SYMPATH NRV DX PROC NEC0521 SPHENOPALATIN GANGLIONEC0522 CERVICAL SYMPATHECTOMY0523 LUMBAR SYMPATHECTOMY0524 PRESACRAL SYMPATHECTOMY0525 PERIART SYMPATHECTOMY0529 OTHER SYMPATHECTOMY0531 ANESTH INJECT SYMP NERVE0532 NEUROLYT INJEC-SYMP NRV0539 SYMPATH NERVE INJECT NEC0581 SYMPATHETIC NERVE REPAIR0589 SYMPATHETIC NERVE OP NEC059 OTHER NERVOUS SYSTEM OPS0601 THYROID FIELD ASPIRATION0602 REOPEN THYROID FIELD WND0609 INCIS THYROID FIELD NEC0611 CLOSED THYROID GLAND BX0612 OPEN THYROID GLAND BX0613 PARATHYROID BIOPSY0619 THYR/PARATHY DX PROC NEC062 UNILAT THYROID LOBECTOMY0631 EXCISION THYROID LESION0639 PART THYROIDECTOMY NEC064 COMPLETE THYROIDECTOMY0650 SUBSTERN THYROIDECT NOS0651 PART SUBSTERN THYROIDECT0652 TOT SUBSTERN THYROIDECT066 LINGUAL THYROID EXCISION067 THYROGLOSS DUCT EXCISION0681 TOTAL PARATHYROIDECTOMY0689 OTHER PARATHYROIDECTOMY0691 THYROID ISTHMUS DIVISION0692 THYROID VESSEL LIGATION0693 THYROID SUTURE0694 THYROID REIMPLANTATION0695 PARATHYROID REIMPLANT0698 OTHER THYROID OPERATIONS0699 OTHER PARATHYROID OPS0700 ADRENAL EXPLORATION NOS0701 UNILAT ADRENAL EXPLORAT0702 BILAT ADRENAL EXPLORAT0711 CLOSED ADRENAL GLAND BX0712 OPEN ADRENAL GLAND BX0713 TRANSFRONT PITUITARY BX0714 TRANSPHEN PITUITARY BX0715 PITUITARY BIOPSY NOS0716 THYMUS BIOPSY0717 PINEAL BIOPSY0719 ENDOCRINE DX PROC NEC0721 ADRENAL LESION EXCISION0722 UNILATERAL ADRENALECTOMY0729 PART ADRENALECTOMY NEC073 BILATERAL ADRENALECTOMY0741 ADRENAL INCISION0742 ADRENAL NERVE DIVISION0743 ADRENAL VESSEL LIGATION0744 ADRENAL REPAIR0745 ADRENAL REIMPLANTATION0749 ADRENAL OPERATION NEC0751 PINEAL FIELD EXPLORATION0752 PINEAL GLAND INCISION0753 PARTIAL PINEALECTOMY0754 TOTAL PINEALECTOMY0759 PINEAL OPERATION NEC0761 EXC PITUIT LES-TRANSFRON0762 EXC PITUIT LES-TRANSPHEN0763 PART EXCIS PITUITARY NOS0764 TOT EXC PITUIT-TRANSFRON0765 TOT EXC PITUIT-TRANSPHEN0768 TOTAL EXC PITUITARY NEC0769 TOTAL EXC PITUITARY NOS0771 PITUITARY FOSSA EXPLORAT0772 PITUITARY GLAND INCISION0779 PITUITARY OPERATION NEC0780 THYMECTOMY NOS0781 OTH PART EXCISION THYMUS0782 OTH TOTL EXCISION THYMUS0783 THORAC PART EXISN THYMUS0784 THORAC TOTAL EXC THYMUS0791 THYMUS FIELD EXPLORATION0792 OTHER INCISION OF THYMUS0793 REPAIR OF THYMUS0794 THYMUS TRANSPLANTATION0795 THORAC INCISION THYMUS0798 OTH THORAC OP THYMUS NOS0799 OTHER THYMUS OPS NOS0801 INCISION OF LID MARGIN0802 BLEPHARORRHAPHY SEVERING0809 OTHER EYELID INCISION0811 EYELID BIOPSY0819 EYELID DX PROCEDURE NEC0820 REMOVE EYELID LESION NOS0821 CHALAZION EXCISION0822 EXCISE MINOR LES LID NEC0823 EXC MAJ LES LID PRT-THIC0824 EXC MAJ LES LID FUL-THIC0825 DESTRUCTION LID LESION0831 PTOSIS REP-FRONT MUS SUT0832 PTOSIS REP-FRON MUS SLNG0833 PTOSIS REP-LEVAT MUS ADV0834 PTOSIS REP-LEVAT MUS NEC0835 PTOS REP-TARSAL TECHNIQ0836 BLEPHAROPTOS REPAIR NEC0837 REDUC OVERCORRECT PTOSIS0838 CORRECT LID RETRACTION0841 THERMOCAUT/ENTROPION REP0842 SUTURE ENTROPION REPAIR0843 WEDG RESEC ENTROPION REP0844 LID RECONS ENTROPION REP0849 ENTROPION/ECTROP REP NEC0851 CANTHOTOMY0852 BLEPHARORRHAPHY0859 ADJUST LID POSITION NEC0861 LID RECONST W SKIN GRAFT0862 LID RECONST W MUC GRAFT0863 LID RECONST W HAIR GRAFT0864 LID RECON-TARSOCONJ FLAP0869 LID RECONSTR W GRAFT NEC0870 LID RECONSTRUCTION NOS0871 LID MARG RECON-PART THIC0872 LID RECONS-PART THIC NEC0873 LID MARG RECONS FUL THIC0874 LID RECONST-FUL THIC NEC0881 LINEAR REP LID LACER0882 LID MARG LAC RX-PART TH0883 LID LACER RX-PRT TH NEC0884 LID MARG LAC RX-FUL THIC0885 LID LAC RX-FUL THIC NEC0886 LOWER LID RHYTIDECTOMY0887 UPPER LID RHYTIDECTOMY0889 EYELID REPAIR NEC0891 ELECTROSURG LID EPILAT0892 CRYOSURG LID EPILATION0893 EYELID EPILATION NEC0899 EYELID OPERATION NEC090 LACRIMAL GLAND INCISION0911 LACRIMAL GLAND BIOPSYwww.ahd.com Page 2 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services0912 LACRIMAL SAC BIOPSY0919 LACRIMAL SYS DX PROC NEC0920 EXC LACRIMAL GLAND NOS0921 EXCIS LES LACRIMAL GLAND0922 PART DACRYOADENECT NEC0923 TOTAL DACRYOADENECTOMY093 OTHER LACRIMAL GLAND OPS0941 LACRIMAL PUNCTUM PROBE0942 LAC CANALICULI PROBE0943 NASOLACRIMAL DUCT PROBE0944 NASOLAC DUCT INTUBAT0949 LAC PASSAGE MANIP NEC0951 LAC PUNCTUM INCISION0952 LAC CANALICULI INCISION0953 LACRIMAL SAC INCISION0959 LACRIM PASSAGE INCIS NEC096 LACRIM SAC/PASSAGE EXCIS0971 CORRECT EVERTED PUNCTUM0972 PUNCTUM REPAIR NEC0973 CANALICULUS REPAIR0981 DACRYOCYSTORHINOSTOMY0982 CONJUNCTIVOCYSTORHINOST0983 CONJUNCTIVORHINOS W TUBE0991 LAC PUNCTUM OBLITERATION0999 LACRIMAL SYSTEM OP NEC<strong>10</strong>0 INCISE/REMOV CONJUNCT FB<strong>10</strong>1 CONJUNCTIVA INCISION NEC<strong>10</strong>21 CONJUNCTIVAL BIOPSY<strong>10</strong>29 CONJUNCTIVA DX PROC NEC<strong>10</strong>31 EXCISE CONJUNCTIV LESION<strong>10</strong>32 DESTRUCT CONJUNC LES NEC<strong>10</strong>33 OTH CONJUNC DESTRUC PROC<strong>10</strong>41 SYMBLEPH REP W FREE GRFT<strong>10</strong>42 GRAFT CONJUNC CUL-DE-SAC<strong>10</strong>43 CONJUN CUL-DE-SAC RX NEC<strong>10</strong>44 CONJUNC FREE GRAFT NEC<strong>10</strong>49 CONJUNCTIVOPLASTY NEC<strong>10</strong>5 CONJUNC/LID ADHESIOLYSIS<strong>10</strong>6 REPAIR CONJUNCT LACERAT<strong>10</strong>91 SUBCONJUNCTIVAL INJECT<strong>10</strong>99 CONJUNCTIVAL OP NEC1<strong>10</strong> MAGNET REMOVAL CORNEA FB111 CORNEAL INCISION1121 CORNEAL SCRAPE FOR SMEAR1122 CORNEAL BIOPSY1129 CORNEAL DX PROC NEC1131 PTERYGIUM TRANSPOSITION1132 PTERYG EXC W CORNEA GRFT1139 PTERYGIUM EXCISION NEC1141 MECH REMOV CORNEA EPITH1142 THERMOCAUT CORNEA LESION1143 CRYOTHERAP CORNEA LESION1149 DESTRUCT CORNEA LES NEC1151 SUTURE CORNEA LACERATION1152 REP CORNEA POSTOP DEHISC1153 RX CORNEA LAC W CONJ FLP1159 CORNEAL REPAIR NEC1160 CORNEAL TRANSPLANT NOS1161 LAM KERATPLAST W AUTGRFT1162 LAMELLAR KERATOPLAST NEC1163 PERF KERATOPL W AUTOGRFT1164 PERFORAT KERATOPLAST NEC1169 CORNEAL TRANSPLANT NEC1171 KERATOMILEUSIS1172 KERATOPHAKIA1173 KERATOPROSTHESIS1174 THERMOKERATOPLASTY1175 RADIAL KERATOTOMY1176 EPIKERATOPHAKIA1179 CORNEA RECONSTRUCT NEC1191 CORNEAL TATTOOING1192 REMOVE CORNEAL IMPLANT1199 CORNEAL OPERATION NEC1200 REMOV ANT SEGMNT FB NOS1201 MAGNET REMOV ANT SEG FB1202 NONMAG REMOV ANT SEG FB1211 IRIDOTOMY W TRANSFIXION1212 IRIDOTOMY NEC1213 PROLAPSED IRIS EXCISION1214 IRIDECTOMY NEC1221 DX ASPIRAT-ANT CHAMBER1222 IRIS BIOPSY1229 ANT SEGMENT DX PROC NEC1231 GONIOSYNECHIAE LYSIS1232 ANT SYNECHIA LYSIS NEC1233 POST SYNECHIAE LYSIS1234 CORNEOVITREAL ADHESIOLYS1235 COREOPLASTY1239 IRIDOPLASTY NEC1240 REMOV ANT SEGMNT LES NOS1241 NONEXC DESTRUC IRIS LES1242 EXCISION OF IRIS LESION1243 NONEXC DESTR CIL BOD LES1244 EXCISE CILIARY BODY LES1251 GONIOPUNCTURE1252 GONIOTOMY1253 GONIOTOMY W GONIOPUNCTUR1254 TRABECULOTOMY AB EXTERNO1255 CYCLODIALYSIS1259 FACILIT INTRAOC CIRC NEC1261 TREPHIN SCLERA W IRIDECT1262 THERMCAUT SCLER W IRIDEC1263 IRIDENCLEISIS/IRIDOTASIS1264 TRABECULECTOM AB EXTERNO1265 SCLER FISTULIZ W IRIDECT1266 POSTOP REVIS SCL FISTUL1269 SCLER FISTULIZING OP NEC1271 CYCLODIATHERMY1272 CYCLOCRYOTHERAPY1273 CYCLOPHOTOCOAGULATION1274 CIL BODY DIMINUTION NOS1279 GLAUCOMA PROCEDURE NEC1281 SUTURE SCLERAL LACER1282 SCLERAL FISTULA REPAIR1283 REVIS ANT SEG OP WND NEC1284 DESTRUCT SCLERAL LESION1285 REPAIR STAPHYLOM W GRAFT1286 REP SCLER STAPHYLOMA NEC1287 GRAFT REINFORCE SCLERA1288 SCLERA REINFORCEMENT NEC1289 SCLERAL OPERATION NEC1291 THERAPEUT EVAC ANT CHAMB1292 ANTERIOR CHAMBER INJECT1293 REMOV EPITHEL DOWNGROWTH1297 IRIS OPERATION NEC1298 CILIARY BODY OP NEC1299 ANTERIOR CHAMBER OP NEC1300 REMOVE FB LENS NOS1301 MAGNET REMOVE FB LENS1302 NONMAGNET REMOVE FB LENS1311 TEMP-INF INTRCAP LENS EX1319 INTRACAPSUL LENS EXT NEC132 LINEAR EXTRACAP LENS EXT133 SIMPL ASPIR LENS EXTRACT1341 CATARAC PHACOEMULS/ASPIR1342 POST CATARAC FRAG/ASPIR1343 CATARACT FRAG/ASPIR NEC1351 TEMP-INF XTRACAP LENS EX1359 EXTRACAP LENS EXTRAC NEC1364 AFTER-CATAR DISCISSION1365 AFTER-CATARACT EXCISION1366 AFTER CATAR FRAGMNTATION1369 CATARACT EXTRACTION NEC1370 INSERT PSEUDOPHAKOS NOS1371 INSERT LENS AT CATAR EXT1372 SECONDARY INSERT LENS138 IMPLANTED LENS REMOVAL1390 OPERATION ON LENS NEC1391 IMPL INTRAOC TELESC PROS1400 REMOV POST SEGMNT FB NOS1401 MAGNET REMOV POST SEG FB1402 NONMAG REMOV POST SEG FB1411 DIAGNOST VITREOUS ASPIR1419 DX PROC POST SEG NEC1421 CHORIORET LES DIATHERMY1422 CHORIORETIN LES CRYOTHER1423 CHORIORET LES XENON COAG1424 CHORIORET LES LASER COAG1425 CHORIORET LES P/COAG NOS1426 CHORIORET LES RADIOTHER1427 CHORIORET LES RAD IMPLAN1429 CHORIORET LES DESTR NEC1431 RETINAL TEAR DIATHERMY1432 RETINAL TEAR CRYOTHERAPY1433 RETINAL TEAR XENON COAG1434 RETINAL TEAR LASER COAG1435 RETINA TEAR PHOTOCOA NOS1439 RETINAL TEAR REPAIR NECwww.ahd.com Page 3 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services1441 SCLERAL BUCKLE W IMPLANT1449 SCLERAL BUCKLING NEC1451 DETACH RETINA-DIATHERMY1452 DETACH RETINA-CRYOTHERAP1453 DETACH RETINA XENON COAG1454 DETACH RETINA LASER COAG1455 DETACH RET PHOTOCOAG NOS1459 REPAIR RETINA DETACH NEC146 REMOV PROS MAT POST SEG1471 ANTERIOR REMOV VITREOUS1472 VITREOUS REMOVAL NEC1473 ANTERIOR MECHAN VITRECT1474 MECH VITRECTOMY NEC1475 VITREOUS SUBSTITUT INJEC1479 VITREOUS OPERATION NEC149 OTHER POST SEGMENT OPS1501 EXTRAOC MUSC-TEND BIOPSY1509 EXTRAOC MUSC DX PROC NEC1511 ONE EXTRAOC MUS RECESS1512 1 EXTRAOC MUSCL ADVANCE1513 1 EXTRAOC MUSCL RESECT1519 XTRAOC MUS OP/DETACH NEC1521 LENGTHEN 1 EXTRAOC MUSC1522 SHORTEN 1 EXTRAOC MUSC1529 OP ON 1 EXTRAOC MUSC NEC153 TEMP DETACH >1 XTROC MUS154 OTH OP ON >L EXTRAOC MUS155 EXTRAOCUL MUS TRANSPOSIT156 REVIS EXTRAOC MUSC SURG157 EXTRAOC MUSC INJ REPAIR159 OTH EXTRAOC MUS-TEND OP1601 ORBITOTOMY W BONE FLAP1602 ORBITOTOMY W IMPLANT1609 ORBITOTOMY NEC161 REMOVE PENETRAT FB EYE1621 OPHTHALMOSCOPY1622 DIAGNOSTIC ASP OF ORBIT1623 EYEBALL & ORBIT BIOPSY1629 EYEBAL/ORBIT DX PROC NEC1631 EYE EVISC W SYNCH IMPLAN1639 EYEBALL EVISCERATION NEC1641 EYE ENUC/IMPLAN/MUSC ATT1642 EYE ENUC W IMPLANT NEC1649 EYEBALL ENUCLEATION NEC1651 RADICAL ORBITOMAXILLECT1652 ORBIT EXENT W BONE REMOV1659 ORBITAL EXENTERATION NEC1661 2NDRY OCULAR IMP INSERT1662 REVIS/REINSERT OCUL IMP1663 REVIS ENUC SOCKET W GRFT1664 ENUC SOCKET REVIS NEC1665 2NDRY EXENT CAVITY GRAFT1666 REVIS EXENTER CAVITY NEC1669 2ND OP POST EYE REM NEC1671 REMOVE OCULAR IMPLANT1672 REMOVE ORBITAL IMPLANT1681 REPAIR OF ORBITAL WOUND1682 REPAIR EYEBALL RUPTURE1689 EYE/ORBIT INJ REPAIR NEC1691 RETROBULBAR INJECTION1692 EXCISION ORBITAL LESION1693 EXCISION EYE LESION NOS1698 OPERATION ON ORBIT NEC1699 OPERATION ON EYEBALL NEC1711 LAP DIR ING HERN-GRAFT1712 LAP INDIR ING HERN-GRAFT1713 LAP ING HERN-GRAFT NOS1721 LAP BIL DIR ING HRN-GRFT1722 LAP BI INDIR ING HRN-GRF1723 LAP BI DR/IND ING HRN-GR1724 LAP BIL ING HERN-GRF NOS1731 LAP MUL SEG RES LG INTES1732 LAPAROSCOPIC CECECTOMY1733 LAP RIGHT HEMICOLECTOMY1734 LAP RES TRANSVERSE COLON1735 LAP LEFT HEMICOLECTOMY1736 LAP SIGMOIDECTOMY1739 LAP PT EX LRG INTEST NEC1741 OPEN ROBOTIC ASSIST PROC1742 LAP ROBOTIC ASSIST PROC1743 PERC ROBOTIC ASSIST PROC1744 ENDO ROBOTIC ASSIST PROC1745 THORACO ROBOTIC AST PROC1749 ROBOTIC AST PROC NEC/NOS1801 PIERCING OF EAR LOBE1802 EXT AUDITORY CANAL INCIS1809 EXTERNAL EAR INCIS NEC1811 OTOSCOPY1812 EXTERNAL EAR BIOPSY1819 EXT EAR DIAGNOS PROC NEC1821 PREAURICULAR SINUS EXCIS1829 DESTRUCT EXT EAR LES NEC1831 RAD EXCIS EXT EAR LES1839 EXCIS EXTERNAL EAR NEC184 SUTURE EXT EAR LAC185 CORRECTION PROMINENT EAR186 EXT AUDIT CANAL RECONSTR1871 CONSTRUCTION EAR AURICLE1872 REATTACH AMPUTATED EAR1879 PLASTIC REP EXT EAR NEC189 OTHER EXT EAR OPERATIONS190 STAPES MOBILIZATION1911 STAPEDECT W REPLAC INCUS1919 STAPEDECTOMY NEC1921 REV STAPDEC W INCUS REPL1929 STAPEDECTOMY REVIS NEC193 OSSICULAR CHAIN OP NEC194 MYRINGOPLASTY1952 TYPE 2 TYMPANOPLASTY1953 TYPE 3 TYMPANOPLASTY1954 TYPE 4 TYMPANOPLASTY1955 TYPE 5 TYMPANOPLASTY196 TYMPANOPLASTY REVISION199 MIDDLE EAR REPAIR NEC2001 MYRINGOTOMY W INTUBATION2009 MYRINGOTOMY NEC201 TYMPANOSTOMY TUBE REMOVE2021 MASTOID INCISION2022 PETRUS PYRAM AIR CEL INC2023 MIDDLE EAR INCISION2031 ELECTROCOCHLEOGRAPHY2032 MID & INNER EAR BIOPSY2039 MID/IN EAR DX PROC NEC2041 SIMPLE MASTOIDECTOMY2042 RADICAL MASTOIDECTOMY2049 MASTOIDECTOMY NEC2051 EXCISE MIDDLE EAR LESION2059 MIDDLE EAR EXCISION NEC2061 INNER EAR FENESTRATION2062 REVIS INNER EAR FENESTRA2071 ENDOLYMPHATIC SHUNT2072 INNER EAR INJECTION2079 INC/EXC/DESTR IN EAR NEC208 EUSTACHIAN TUBE OPS2091 TYMPANOSYMPATHECTOMY2092 MASTOIDECTOMY REVISION2093 REPAIR OVAL/ROUND WINDOW2094 TYMPANIC INJECTION2095 ELECMAG HEAR DEV IMPLANT2096 IMPLT COCHLEAR PROST NOS2097 IMP/REP SCHAN COCH PROS2098 IMP/REP MCHAN COCHL PROS2099 MID-INNER EAR OPS NEC2<strong>10</strong>0 CONTROL OF EPISTAXIS NOS2<strong>10</strong>1 ANT NASAL PACK FOR EPIST2<strong>10</strong>2 POST NASAL PAC FOR EPIST2<strong>10</strong>3 CAUTERY TO STOP EPISTAX2<strong>10</strong>4 ETHMOID ART LIGAT-EPIST2<strong>10</strong>5 MAX ART LIG FOR EPISTAX2<strong>10</strong>6 EXT CAROT ART LIG-EPIST2<strong>10</strong>7 NASAL SEPT GRFT-EPISTAX2<strong>10</strong>9 EPISTAXIS CONTROL NEC211 INCISION OF NOSE2121 RHINOSCOPY2122 NASAL BIOPSY2129 NASAL DX PROC NEC2130 NASAL LESION EXCIS NOS2131 INTRANAS LES DESTRUCTION2132 NASAL LES DESTRUCT NEC214 RESECTION OF NOSE215 SUBMUC NASAL SEPT RESECT2161 DIATHER/CRYO TURBINECTOM2162 TURBINATE FRACTURE2169 TURBINECTOMY NEC2171 CLOS REDUCTION NASAL FX2172 OPEN REDUCTION NASAL FX2181 NASAL LACERATION SUTURE2182 NASAL FISTULA CLOSUREwww.ahd.com Page 4 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services2183 TOT NASAL RECONSTRUCTION2184 REVISION RHINOPLASTY2185 AUGMENTATION RHINOPLASTY2186 LIMITED RHINOPLASTY2187 RHINOPLASTY NEC2188 SEPTOPLASTY NEC2189 NASAL REPAIR NEC2191 LYSIS OF NASAL ADHESIONS2199 NASAL OPERATION NEC2200 SINUS ASPIRAT/LAVAGE NOS2201 SINUS PUNCT FOR LAVAGE2202 SINUS LAVAGE THRU OSTIUM2211 CLOSED NASAL SINUS BX2212 OPEN BIOPSY NASAL SINUS2219 NASAL SINUS DX PROC NEC222 INTRANASAL ANTROTOMY2231 RADICAL MAXILLARY ANTROT2239 EXT MAXILLARY ANTROT NEC2241 FRONTAL SINUSOTOMY2242 FRONTAL SINUSECTOMY2250 SINUSOTOMY NOS2251 ETHMOIDOTOMY2252 SPHENOIDOTOMY2253 MULTIPLE SINUS INCISION2260 SINUSECTOMY NOS2261 C-LUC EXC MAX SINUS LES2262 EXC MAX SINUS LESION NEC2263 ETHMOIDECTOMY2264 SPHENOIDECTOMY2271 NASAL SINUS FISTULA CLOS2279 NASAL SINUS REPAIR NEC229 OTHER NASAL SINUS OPS2301 DECIDUOUS TOOTH EXTRACT2309 TOOTH EXTRACTION NEC2311 RESIDUAL ROOT REMOVAL2319 SURG TOOTH EXTRACT NEC232 TOOTH RESTOR BY FILLING233 TOOTH RESTORAT BY INLAY2341 CROWN APPLICATION2342 FIXED BRIDGE INSERTION2343 INSERT REMOVABLE BRIDGE2349 DENTAL RESTORATION NEC235 TOOTH IMPLANTATION236 PROSTHET DENTAL IMPLANT2370 ROOT CANAL NOS2371 ROOT CANAL W IRRIGATION2372 ROOT CANAL W APICOECTOMY2373 APICOECTOMY240 GUM OR ALVEOLAR INCISION2411 GUM BIOPSY2412 ALVEOLUS BIOPSY2419 TOOTH & GUM DX PROC NEC242 GINGIVOPLASTY2431 GUM LESION EXCISION2432 SUTURE OF GUM LACERATION2439 GUM OPERATION NEC244 EXC OF DENTAL LES OF JAW245 ALVEOLOPLASTY246 EXPOSURE OF TOOTH247 ORTHODON APPLIANC APPLIC248 OTHER ORTHODONTIC OPERAT2491 EXTEN BUCCOLABIAL/SULCUS2499 DENTAL OPERATION NEC2501 CLOSED BIOPSY OF TONGUE2502 OPEN BIOPSY OF TONGUE2509 TONGUE DX PROCEDURE NEC251 DESTRUCTION TONGUE LES252 PARTIAL GLOSSECTOMY253 COMPLETE GLOSSECTOMY254 RADICAL GLOSSECTOMY2551 SUTURE OF TONGUE LACERAT2559 REPAIR OF TONGUE NEC2591 LINGUAL FRENOTOMY2592 LINGUAL FRENECTOMY2593 LYSIS OF TONGUE ADHESION2594 OTHER GLOSSOTOMY2599 TONGUE OPERATION NEC260 INCIS SALIVARY GLND/DUCT2611 CLOS BX SALIV GLAND/DUCT2612 OPEN BX SALIV GLAND/DUCT2619 SALIV GLND DX PROC NEC2621 SALIVARY CYST MARSUPIAL2629 SALIV LESION EXCIS NEC2630 SIALOADENECTOMY NOS2631 PARTIAL SIALOADENECTOMY2632 COMPLETE SIALOADENECTOMY2641 SUTURE OF SALIV GLND LAC2642 SALIVARY FISTULA CLOSURE2649 SALIVARY REPAIR NEC2691 SALIVARY DUCT PROBING2699 SALIVARY OPERATION NEC270 DRAIN FACE & MOUTH FLOOR271 INCISION OF PALATE2721 BONY PALATE BIOPSY2722 UVULA AND SOFT PALATE BX2723 LIP BIOPSY2724 MOUTH BIOPSY NOS2729 ORAL CAVITY DX PROC NEC2731 LOC EXC BONY PALATE LES2732 WIDE EXC BONY PALATE LES2741 LABIAL FRENUMECTOMY2742 WIDE EXCISION OF LIP LES2743 EXCISION OF LIP LES NEC2749 EXCISION OF MOUTH NEC2751 SUTURE OF LIP LACERATION2752 SUTURE OF MOUTH LAC NEC2753 CLOSURE OF MOUTH FISTULA2754 REPAIR OF CLEFT LIP2755 FULL-THICK GRFT TO MOUTH2756 SKIN GRAFT TO MOUTH NEC2757 PEDICLE ATTACH TO MOUTH2759 MOUTH REPAIR NEC2761 SUTURE OF PALATE LACERAT2762 CLEFT PALATE CORRECTION2763 REVIS CLEFT PALAT REPAIR2764 INSERT PALATAL IMPLANT2769 OTH PLASTIC REPAIR PALAT2771 INCISION OF UVULA2772 EXCISION OF UVULA2773 REPAIR OF UVULA2779 OTHER UVULA OPERATIONS2791 LABIAL FRENOTOMY2792 MOUTH INCISION NOS2799 ORAL CAVITY OPS NEC280 PERITONSILLAR I & D2811 TONSIL&ADENOID BIOPSY2819 TONSIL&ADENOID DX OP NEC282 TONSILLECTOMY283 TONSILLECTOMY/ADENOIDEC284 EXCISION OF TONSIL TAG285 EXCISION LINGUAL TONSIL286 ADENOIDECTOMY287 HEMORR CONTRL POST T & A2891 INCIS TO REMOV TONSIL FB2892 EXCIS TONSIL/ADENOID LES2899 TONSIL/ADENOID OPS NEC290 PHARYNGOTOMY2911 PHARYNGOSCOPY2912 PHARYNGEAL BIOPSY2919 PHARYNGEAL DX PROC NEC292 EXC BRANCHIAL CLEFT CYST2931 CRICOPHARYNGEAL MYOTOMY2932 PHARYNGEAL DIVERTICULEC2933 PHARYNGECTOMY2939 EXCIS/DESTR LES PHAR NEC294 PLASTIC OP ON PHARYNX2951 SUTURE OF PHARYNGEAL LAC2952 CLOS BRANCH CLEFT FISTUL2953 CLOS PHARYNX FISTULA NEC2954 LYSIS PHARYNGEAL ADHES2959 PHARYNGEAL REPAIR NEC2991 PHARYNGEAL DILATION2992 DIVIS GLOSSOPHARYNG NERV2999 PHARYNGEAL OPERATION NEC3001 LARYNX CYST MARSUPIALIZ3009 DESTRUCT LARYNX LES NEC301 HEMILARYNGECTOMY3021 EPIGLOTTIDECTOMY3022 VOCAL CORDECTOMY3029 OTHER PART LARYNGECTOMY303 COMPLETE LARYNGECTOMY304 RADICAL LARYNGECTOMY3<strong>10</strong> INJECTION OF LARYNX311 TEMPORARY TRACHEOSTOMY3121 MEDIASTINAL TRACHEOSTOMY3129 OTHER PERM TRACHEOSTOMY313 INCIS LARYNX TRACHEA NEC3141 TRACHEOSCOPY THRU STOMAwww.ahd.com Page 5 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services3142 LARYGNOSCOPY/TRACHEOSCOP3143 CLOSED BIOPSY LARYNX3144 CLOSED BIOPSY TRACHEA3145 OPN BX LARYNX OR TRACHEA3148 OTH LARYNX DX PROCEDURE3149 OTH TRACHEA DX PROCEDURE315 LOCAL DESTRUC TRACH LES3161 SUTURE OF LARYNGEAL LAC3162 LARYNGEAL FISTULA CLOS3163 LARYNGOSTOMY REVISION3164 LARYNGEAL FX REPAIR3169 OTHER LARYNGEAL REPAIR3171 SUTURE OF TRACHEAL LACER3172 CLOSURE OF TRACHEOSTOMY3173 TRACHEA FISTULA CLOS NEC3174 REVISION OF TRACHEOSTOMY3175 TRACHEAL RECONSTRUCTION3179 OTHER TRACHEAL REPAIR3191 LARYNGEAL NERV DIVISION3192 LYSIS TRACH/LARYNX ADHES3193 REPLACE TRAC/LARYN STENT3194 TRACHEAL INJECTION3195 TRACHEOESOPH FISTULIZAT3198 OTH LARYNGEAL OPERATION3199 OTHER TRACHEAL OPERATION3201 ENDOSC DESTRUC BRONC LES3209 OTHER DESTRUC BRONC LES321 OTHER BRONCHIAL EXCISION3220 THORAC EXC LUNG LESION3221 EMPHYSEMA BLEB PLICATION3222 LUNG VOL REDUCTION SURG3223 OPEN ABLTN LUNG LES/TISS3224 PERC ABLTN LUNG LES/TISS3225 THOR ABLTN LUNG LES/TISS3226 ABLTN LUNG TISS NEC/NOS3228 ENDOSC DESTRUC LUNG LES3229 DESTROY LOC LUNG LES NEC3230 THORAC SEG LUNG RESECT3239 OTH SEG LUNG RESECT NOS3241 THORAC LOBECTOMY LUNG3249 LOBECTOMY OF LUNG NEC3250 THORACOSPC PNEUMONECTOMY3259 OTHER PNEUMONECTOMY NOS326 RAD DISSEC THORAC STRUCT329 OTHER EXCISION OF LUNG330 INCISION OF BRONCHUS331 INCISION OF LUNG3320 THORACOSCOPC LUNG BIOPSY3321 BRONCHOSCOPY THRU STOMA3322 FIBER-OPTIC BRONCHOSCOPY3323 OTHER BRONCHOSCOPY3324 CLOSED BRONCHIAL BIOPSY3325 OPEN BRONCHIAL BIOPSY3326 CLOSED LUNG BIOPSY3327 CLOS ENDOSCOPIC LUNG BX3328 OPEN LUNG BIOPSY3329 BRONCH/LUNG DX PROC NEC3331 DESTR PHREN-LUNG COLLAPS3332 PNEMOTHORAX-LUNG COLLAPS3333 PNEUMOPERIT-LUNG COLLAPS3334 THORACOPLASTY3339 SURG COLLAPS OF LUNG NEC3341 BRONCHIAL LACERAT SUTURE3342 BRONCHIAL FISTULA CLOS3343 LUNG LACERATION CLOSURE3348 BRONCHIAL REPAIR NEC3349 LUNG REPAIR NEC3350 LUNG TRANSPLANT NOS3351 UNILAT LUNG TRANSPLANT3352 BILAT LUNG TRANSPLANT336 COMB HEART/LUNG TRANSPLA3371 ENDO INSRT/REPL BRON VAL3372 ENDO PULM ARWY FLOW MSMT3378 ENDO REM BRONCH DEVC/SUB3379 ENDO INSRT BRONC DEF/SUB3391 BRONCHIAL DILATION3392 BRONCHIAL LIGATION3393 PUNCTURE OF LUNG3398 BRONCHIAL OPERATION NEC3399 LUNG OPERATION NEC3401 INCISION OF CHEST WALL3402 EXPLORATORY THORACOTOMY3403 REOPEN THORACOTOMY SITE3404 INSERT INTERCOSTAL CATH3405 PLEUROPERITONEAL SHUNT3406 THORAC DRAIN PLEURL CAV3409 OTHER PLEURAL INCISION341 INCISION OF MEDIASTINUM3420 THORACOSCOPIC PLEURAL BX3421 TRANSPLEURA THORACOSCOPY3422 MEDIASTINOSCOPY3423 CHEST WALL BIOPSY3424 PLEURAL BIOPSY NEC3425 CLOS MEDIASTINAL BIOPSY3426 OPEN MEDIASTINAL BIOPSY3427 BIOPSY OF DIAPHRAGM3428 DX PROCEDURE THORAX NEC3429 DX PROC MEDIASTINUM NEC343 DESTRUCT MEDIASTIN LES344 DESTRUCT CHEST WALL LES3451 DECORTICATION OF LUNG3452 THORACOSCOPC DECORT LUNG3459 OTHER PLEURAL EXCISION346 SCARIFICATION OF PLEURA3471 SUTURE CHEST WALL LACER3472 THORACOSTOMY CLOSURE3473 CLOS THORACIC FISTUL NEC3474 PECTUS DEFORMITY REPAIR3479 OTHER CHEST WALL REPAIR3481 EXCISE DIAPHRAGM LESION3482 SUTURE DIAPHRAGM LACERAT3483 CLOSE DIAPHRAGM FISTULA3484 OTHER DIAPHRAGM REPAIR3485 IMPLANT DIAPHRA PACEMAKE3489 DIAPHRAGM OPERATION NEC3491 THORACENTESIS3492 INJECT INTO THORAX CAVIT3493 REPAIR OF PLEURA3499 THORACIC OPERATION NEC3500 CLOSED VALVOTOMY NOS3501 CLOSED AORTIC VALVOTOMY3502 CLOSED MITRAL VALVOTOMY3503 CLOSED PULMON VALVOTOMY3504 CLOSED TRICUSP VALVOTOMY35<strong>10</strong> OPEN VALVULOPLASTY NOS3511 OPN AORTIC VALVULOPLASTY3512 OPN MITRAL VALVULOPLASTY3513 OPN PULMON VALVULOPLASTY3514 OPN TRICUS VALVULOPLASTY3520 REPLACE HEART VALVE NOS3521 REPLACE AORT VALV-TISSUE3522 REPLACE AORTIC VALVE NEC3523 REPLACE MITR VALV-TISSUE3524 REPLACE MITRAL VALVE NEC3525 REPLACE PULM VALV-TISSUE3526 REPLACE PULMON VALVE NEC3527 REPLACE TRIC VALV-TISSUE3528 REPLACE TRICUSP VALV NEC3531 PAPILLARY MUSCLE OPS3532 CHORDAE TENDINEAE OPS3533 ANNULOPLASTY3534 INFUNDIBULECTOMY3535 TRABECUL CARNEAE CORD OP3539 TISS ADJ TO VALV OPS NEC3541 ENLARGE EXISTING SEP DEF3542 CREATE SEPTAL DEFECT3550 PROSTH REP HRT SEPTA NOS3551 PROS REP ATRIAL DEF-OPN3552 PROS REPAIR ATRIA DEF-CL3553 PROS REP VENTRIC DEF-OPN3554 PROS REP ENDOCAR CUSHION3555 PROS REP VENTRC DEF-CLOS3560 GRFT REPAIR HRT SEPT NOS3561 GRAFT REPAIR ATRIAL DEF3562 GRAFT REPAIR VENTRIC DEF3563 GRFT REP ENDOCAR CUSHION3570 HEART SEPTA REPAIR NOS3571 ATRIA SEPTA DEF REP NEC3572 VENTR SEPTA DEF REP NEC3573 ENDOCAR CUSHION REP NEC3581 TOT REPAIR TETRAL FALLOT3582 TOTAL REPAIR OF TAPVC3583 TOT REP TRUNCUS ARTERIOS3584 TOT COR TRANSPOS GRT VES3591 INTERAT VEN RETRN TRANSP3592 CONDUIT RT VENT-PUL ART3593 CONDUIT LEFT VENTR-AORTA3594 CONDUIT ARTIUM-PULM ARTwww.ahd.com Page 6 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services3595 HEART REPAIR REVISION3596 PERC HEART VALVULOPLASTY3598 OTHER HEART SEPTA OPS3599 OTHER HEART VALVE OPS3603 OPEN CORONRY ANGIOPLASTY3604 INTRCORONRY THROMB INFUS3606 INS NONDRUG ELUT COR ST3607 INS DRUG-ELUT CORONRY ST3609 REM OF COR ART OBSTR NEC36<strong>10</strong> AORTOCORONARY BYPASS NOS3611 AORTOCOR BYPAS-1 COR ART3612 AORTOCOR BYPAS-2 COR ART3613 AORTOCOR BYPAS-3 COR ART3614 AORTCOR BYPAS-4+ COR ART3615 1 INT MAM-COR ART BYPASS3616 2 INT MAM-COR ART BYPASS3617 ABD-CORON ARTERY BYPASS3619 HRT REVAS BYPS ANAS NEC362 ARTERIAL IMPLANT REVASC3631 OPEN CHEST TRANS REVASC3632 OTH TRANSMYO REVASCULAR3633 ENDO TRANSMYO REVASCULAR3634 PERC TRANSMYO REVASCULAR3639 OTH HEART REVASCULAR3691 CORON VESS ANEURYSM REP3699 HEART VESSEL OP NEC370 PERICARDIOCENTESIS37<strong>10</strong> INCISION OF HEART NOS3711 CARDIOTOMY3712 PERICARDIOTOMY3720 NONINVAS ELECT STIMULATN3721 RT HEART CARDIAC CATH3722 LEFT HEART CARDIAC CATH3723 RT/LEFT HEART CARD CATH3724 PERICARDIAL BIOPSY3725 CARDIAC BIOPSY3726 CATH BASE INVASV EP TEST3727 CARDIAC MAPPING3728 INTRACARDIAC ECHOCARDIO3729 HRT/PERICAR DX PROC NEC3731 PERICARDIECTOMY3732 HEART ANEURYSM EXCISION3733 EXC/DEST HRT LESION OPEN3734 EXC/DEST HRT LES OTHER3735 PARTIAL VENTRICULECTOMY3736 EXC LEFT ATRIAL APPENDAG3741 IMPL CARDIAC SUPPORT DEV3749 HEART/PERICARD REPR NEC3751 HEART TRANSPLANTATION3752 IMP TOT INT BI HT RP SYS3753 REPL/REP THR UNT TOT HRT3754 REPL/REP OTH TOT HRT SYS3755 REM INT BIVENT HRT SYS3760 IMP BIVN EXT HRT AST SYS3761 PULSATION BALLOON IMPLAN3762 INSRT NON-IMPL CIRC DEV3763 REPAIR HEART ASSIST SYS3764 REMVE EXT HRT ASSIST SYS3765 IMP VENT EXT HRT AST SYS3766 IMPLANTABLE HRT ASSIST3767 IMP CARDIOMYOSTIMUL SYS3768 PERCUTAN HRT ASSIST SYST3770 INT INSERT PACEMAK LEAD3771 INT INSERT LEAD IN VENT3772 INT INSER LEAD ATRI-VENT3773 INT INSER LEAD IN ATRIUM3774 INT OR REPL LEAD EPICAR3775 REVISION OF LEAD3776 REPL TV ATRI-VENT LEAD3777 REMOVAL OF LEAD W/O REPL3778 INSER TEMP PACEMAKER SYS3779 REV/RELOC CARD DEV POCKT3780 INT OR REPL PERM PACEMKR3781 INT INSERT 1-CHAM, NON3782 INT INSERT 1-CHAM, RATE3783 INT INSERT DUAL-CHAM DEV3785 REPL PACEM W 1-CHAM, NON3786 REPL PACEM 1-CHAM, RATE3787 REPL PACEM W DUAL-CHAM3789 REVISE OR REMOVE PACEMAK3790 INS LEFT ATR APPEND DEV3791 OPN CHEST CARDIAC MASSAG3792 INJECTION INTO HEART3793 INJECTION INTO PERICARD3794 IMPLT/REPL CARDDEFIB TOT3795 IMPLT CARDIODEFIB LEADS3796 IMPLT CARDIODEFIB GENATR3797 REPL CARDIODEFIB LEADS3798 REPL CARDIODEFIB GENRATR3799 OTHER HEART/PERICARD OPS3800 INCISION OF VESSEL NOS3801 INTRACRAN VESSEL INCIS3802 HEAD/NECK VES INCIS NEC3803 UPPER LIMB VESSEL INCIS3804 INCISION OF AORTA3805 THORACIC VESSEL INC NEC3806 ABDOMEN ARTERY INCISION3807 ABDOMINAL VEIN INCISION3808 LOWER LIMB ARTERY INCIS3809 LOWER LIMB VEIN INCISION38<strong>10</strong> ENDARTERECTOMY NOS3811 INTRACRAN ENDARTERECTOMY3812 HEAD & NECK ENDARTER NEC3813 UPPER LIMB ENDARTERECTOM3814 ENDARTERECTOMY OF AORTA3815 THORACIC ENDARTERECTOMY3816 ABDOMINAL ENDARTERECTOMY3818 LOWER LIMB ENDARTERECT3821 BLOOD VESSEL BIOPSY3822 PERCUTANEOUS ANGIOSCOPY3823 INTRAVASCLR SPECTROSCOPY3829 BLOOD VESSEL DX PROC NEC3830 VESSEL RESECT/ANAST NOS3831 INTRACRAN VES RESEC-ANAS3832 HEAD/NECK VES RESEC-ANAS3833 ARM VESSEL RESECT/ANAST3834 AORTA RESECTION & ANAST3835 THOR VESSEL RESECT/ANAST3836 ABD VESSEL RESECT/ANAST3837 ABD VEIN RESECT & ANAST3838 LEG ARTERY RESECT/ANAST3839 LEG VEIN RESECT/ANASTOM3840 VESSEL RESECT/REPLAC NOS3841 INTRACRAN VES RESEC-REPL3842 HEAD/NECK VES RESEC-REPL3843 ARM VES RESECT W REPLACE3844 RESECT ABDM AORTA W REPL3845 RESECT THORAC VES W REPL3846 ABD ARTERY RESEC W REPLA3847 ABD VEIN RESECT W REPLAC3848 LEG ARTERY RESEC W REPLA3849 LEG VEIN RESECT W REPLAC3850 VARICOSE V LIG-STRIP NOS3851 INTCRAN VAR V LIG-STRIP3852 HEAD/NECK VAR V LIG-STR3853 ARM VARICOSE V LIG-STRIP3855 THORAC VAR V LIG-STRIP3857 ABD VARICOS V LIGA-STRIP3859 LEG VARICOS V LIGA-STRIP3860 EXCISION OF VESSEL NOS3861 INTRACRAN VESSEL EXCIS3862 HEAD/NECK VESSEL EXCIS3863 ARM VESSEL EXCISION3864 EXCISION OF AORTA3865 THORACIC VESSEL EXCISION3866 ABDOMINAL ARTERY EXCIS3867 ABDOMINAL VEIN EXCISION3868 LEG ARTERY EXCISION3869 LEG VEIN EXCISION387 INTERRUPTION VENA CAVA3880 SURG VESSEL OCCLUS NEC3881 OCCLUS INTRACRAN VES NEC3882 OCCLUS HEAD/NECK VES NEC3883 OCCLUDE ARM VESSEL NEC3884 OCCLUDE AORTA NEC3885 OCCLUDE THORACIC VES NEC3886 OCCLUDE ABD ARTERY NEC3887 OCCLUDE ABD VEIN NEC3888 OCCLUDE LEG ARTERY NEC3889 OCCLUDE LEG VEIN NEC3891 ARTERIAL CATHETERIZATION3892 UMBILICAL VEIN CATH3893 VENOUS CATH NEC3894 VENOUS CUTDOWN3895 VEN CATH RENAL DIALYSIS3898 ARTERIAL PUNCTURE NEC3899 VENOUS PUNCTURE NEC390 SYSTEMIC-PULM ART SHUNTwww.ahd.com Page 7 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services391 INTRA-ABD VENOUS SHUNT3921 CAVAL-PULMON ART ANASTOM3922 AORTA-SUBCLV-CAROT BYPAS3923 INTRATHORACIC SHUNT NEC3924 AORTA-RENAL BYPASS3925 AORTA-ILIAC-FEMOR BYPASS3926 INTRA-ABDOMIN SHUNT NEC3927 DIALYSIS ARTERIOVENOSTOM3928 EXTRACRAN-INTRACR BYPASS3929 VASC SHUNT & BYPASS NEC3930 SUTURE OF VESSEL NOS3931 SUTURE OF ARTERY3932 SUTURE OF VEIN3941 POSTOP VASC OP HEM CONTR3942 REVIS REN DIALYSIS SHUNT3943 REMOV REN DIALYSIS SHUNT3949 VASC PROC REVISION NEC3950 ANGIO OTH NON-CORONARY3951 CLIPPING OF ANEURYSM3952 ANEURYSM REPAIR NEC3953 ARTERIOVEN FISTULA REP3954 RE-ENTRY OPERATION3955 REIMPLAN ABERR RENAL VES3956 REPAIR VESS W TIS PATCH3957 REP VESS W SYNTH PATCH3958 REPAIR VESS W PATCH NOS3959 REPAIR OF VESSEL NEC3961 EXTRACORPOREAL CIRCULAT3962 HYPOTHERMIA W OPEN HEART3963 CARDIOPLEGIA3964 INTRAOP CARDIAC PACEMAK3965 EXTRACORPOREAL MEMB OXY3966 PER CARDIOPULMON BYPASS3971 ENDO IMPL GRFT ABD AORTA3972 ENDOVASC REPAIR HEAD VES3973 ENDO IMP GRFT THOR AORTA3974 ENDO REM OBS HD/NECK VES3979 ENDO REPAIR OTHER VESSEL398 CARTD BODY/SINUS/VASC OP3990 INS NON-D-E PERPHRL STEN3991 FREEING OF VESSEL3992 VEIN INJECT-SCLEROS AGNT3993 INSERT VES-TO-VES CANNUL3994 REPLAC VES-TO-VES CANNUL3995 HEMODIALYSIS3996 TOTAL BODY PERFUSION3997 OTHER PERFUSION3998 HEMORRHAGE CONTROL NOS3999 VESSEL OPERATION NEC400 INCIS LYMPHATIC STRUCTUR4011 LYMPHATIC STRUCT BIOPSY4019 LYMPHATIC DIAG PROC NEC4021 EXCIS DEEP CERVICAL NODE4022 EXCISE INT MAMMARY NODE4023 EXCISE AXILLARY NODE4024 EXCISE INGUINAL NODE4029 SIMP EXC LYMPH STRUC NEC403 REGIONAL LYMPH NODE EXC4040 RAD NECK DISSECTION NOS4041 UNILAT RAD NECK DISSECT4042 BILAT RAD NECK DISSECT4050 RAD NODE DISSECTION NOS4051 RAD DISSEC AXILLARY NODE4052 RAD DISSEC PERIAORT NODE4053 RAD DISSECT ILIAC NODES4054 RADICAL GROIN DISSECTION4059 RAD NODE DISSECTION NEC4061 THORAC DUCT CANNULATION4062 THORACIC DUCT FISTULIZAT4063 CLOSE THORACIC DUCT FIST4064 LIGATE THORACIC DUCT4069 THORACIC DUCT OP NEC409 LYMPH STRUCTURE OP NEC4<strong>10</strong>0 BONE MARROW TRNSPLNT NOS4<strong>10</strong>1 AUTO BONE MT W/O PURG4<strong>10</strong>2 ALO BONE MARROW TRNSPLNT4<strong>10</strong>3 ALLOGRFT BONE MARROW NOS4<strong>10</strong>4 AUTO HEM STEM CT W/O PUR4<strong>10</strong>5 ALLO HEM STEM CT W/O PUR4<strong>10</strong>6 CORD BLD STEM CELL TRANS4<strong>10</strong>7 AUTO HEM STEM CT W PURG4<strong>10</strong>8 ALLO HEM STEM CT W PURG4<strong>10</strong>9 AUTO BONE MT W PURGING411 PUNCTURE OF SPLEEN412 SPLENOTOMY4131 BONE MARROW BIOPSY4132 CLOSED SPLEEN BIOPSY4133 OPEN SPLEEN BIOPSY4138 MARROW DIAGNOST PROC NEC4139 SPLEEN DIAGNOST PROC NEC4141 SPLENIC CYST MARSUPIAL4142 EXC SPLENIC LESION/TISS4143 PARTIAL SPLENECTOMY415 TOTAL SPLENECTOMY4191 DONOR MARROW ASPIRATION4192 INJECTION INTO MARROW4193 EXC OF ACCESSORY SPLEEN4194 SPLEEN TRANSPLANTATION4195 REPAIR OF SPLEEN4198 BONE MARROW OPS NEC4199 SPLEEN OPERATION NEC4201 ESOPHAGEAL WEB INCISION4209 ESOPHAGEAL INCISION NEC42<strong>10</strong> ESOPHAGOSTOMY NOS4211 CERVICAL ESOPHAGOSTOMY4212 ESOPH POUCH EXTERIORIZAT4219 EXT FISTULIZAT ESOPH NEC4221 ESOPHAGOSCOPY BY INCIS4222 ESOPHAGOSCOPY THRU STOMA4223 ESOPHAGOSCOPY NEC4224 CLOSED BX OF ESOPHAGUS4225 OPEN BIOPSY OF ESOPHAGUS4229 ESOPHAGEAL DX PROC NEC4231 LOC EXCIS ESOPH DIVERTIC4232 LOCAL EXCIS ESOPHAG NEC4233 ENDOSC DESTRUC ESOPH LES4239 DESTRUCT ESOPHAG LES NEC4240 ESOPHAGECTOMY NOS4241 PARTIAL ESOPHAGECTOMY4242 TOTAL ESOPHAGECTOMY4251 THORAC ESOPHAGOESOPHAGOS4252 THORAC ESOPHAGOGASTROST4253 THORAC SM BOWEL INTERPOS4254 THORAC ESOPHAGOENTER NEC4255 THORAC LG BOWEL INTERPOS4256 THORAC ESOPHAGOCOLOS NEC4258 THORAC INTERPOSITION NEC4259 THORAC ESOPHAG ANAST NEC4261 STERN ESOPHAGOESOPHAGOST4262 STERN ESOPHAGOGASTROSTOM4263 STERN SM BOWEL INTERPOS4264 STERN ESOPHAGOENTER NEC4265 STERN LG BOWEL INTERPOS4266 STERN ESOPHAGOCOLOS NEC4268 STERN INTERPOSITION NEC4269 STERN ESOPHAG ANAST NEC427 ESOPHAGOMYOTOMY4281 INSERT PERM TUBE ESOPHAG4282 SUTURE ESOPHAGEAL LACER4283 ESOPHAGOSTOMY CLOSURE4284 ESOPH FISTULA REPAIR NEC4285 ESOPHAG STRICTURE REPAIR4286 PROD SUBQ TUNNEL NO ANAS4287 ESOPHAGEAL GRAFT NEC4289 ESOPHAGEAL REPAIR NEC4291 LIGATION ESOPH VARIX4292 ESOPHAGEAL DILATION4299 ESOPHAGEAL OPERATION NEC430 GASTROTOMY4311 PERCU ENDOSC GASTROSTOMY4319 OTHER GASTROSTOMY433 PYLOROMYOTOMY4341 ENDOSC DESTR STOMACH LES4342 LOCAL GASTR EXCISION NEC4349 LOCAL GASTR DESTRUCT NEC435 PROXIMAL GASTRECTOMY436 DISTAL GASTRECTOMY437 PART GASTREC W JEJ ANAST4381 PART GAST W JEJ TRANSPOS4389 PARTIAL GASTRECTOMY NEC4391 TOT GAST W INTES INTERPO4399 TOTAL GASTRECTOMY NEC4400 VAGOTOMY NOS4401 TRUNCAL VAGOTOMY4402 HIGHLY SELECT VAGOTOMY4403 SELECTIVE VAGOTOMY NEC4411 TRANSABDOMIN GASTROSCOPY4412 GASTROSCOPY THRU STOMAwww.ahd.com Page 8 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services4413 GASTROSCOPY NEC4414 CLOSED GASTRIC BIOPSY4415 OPEN GASTRIC BIOPSY4419 GASTRIC DIAGNOS PROC NEC4421 DILATE PYLORUS, INCISION4422 ENDOSCOP DILATE PYLORUS4429 OTHER PYLOROPLASTY4431 HIGH GASTRIC BYPASS4432 PERCU GASTROJEJUNOSTOMY4438 LAP GASTROENTEROSTOMY4439 GASTROENTEROSTOMY NEC4440 SUTURE PEPTIC ULCER NOS4441 SUT GASTRIC ULCER SITE4442 SUTURE DUODEN ULCER SITE4443 ENDOSC CONTROL GAST HEM4444 TRANSCATH EMBO GAST HEM4449 OTHER CONTROL GAST HEM445 REVISION GASTRIC ANASTOM4461 SUTURE GASTRIC LACERAT4462 GASTROSTOMY CLOSURE4463 CLOSE GASTRIC FISTUL NEC4464 GASTROPEXY4465 ESOPHAGOGASTROPLASTY4466 CREAT ESOPHAGASTR SPHINC4467 LAP CREAT ESOPH SPHINCT4468 LAPAROSCOP GASTROPLASTY4469 GASTRIC REPAIR NEC4491 LIGATE GASTRIC VARICES4492 INTRAOP GASTRIC MANIPUL4493 INSERT GASTRIC BUBBLE4494 REMOVE GASTRIC BUBBLE4495 LAP GASTRIC RESTRIC PROC4496 LAP REV GAST RESTRI PROC4497 LAP REM GAST RESTRIC DEV4498 ADJUST GAST RESTRICT DEV4499 GASTRIC OPERATION NEC4500 INTESTINAL INCISION NOS4501 DUODENAL INCISION4502 SMALL BOWEL INCISION NEC4503 LARGE BOWEL INCISION4511 TRANSAB SM BOWEL ENDOSC4512 ENDOSC SM BOWEL THRU ST4513 SM BOWEL ENDOSCOPY NEC4514 CLOS SMALL BOWEL BIOPSY4515 OPEN SMALL BOWEL BIOPSY4516 EGD WITH CLOSED BIOPSY4519 SM BOWEL DX PROC NEC4521 TRANSAB LG BOWEL ENDOSC4522 ENDOSC LG BOWEL THRU ST4523 COLONOSCOPY4524 FLEXIBLE SIGMOIDOSCOPY4525 CLOS LARGE BOWEL BIOPSY4526 OPEN LARGE BOWEL BIOPSY4527 INTESTINAL BIOPSY NOS4528 LG BOWEL DX PROCED NEC4529 BOWEL DIAGNOST PROC NEC4530 ENDOSC DESTRU DUODEN LES4531 OTH EXCISE DUODENUM LES4532 DESTRUCT DUODEN LES NEC4533 LOCAL EXCIS SM BOWEL NEC4534 DESTR SM BOWEL LES NEC4541 EXCISE LG INTESTINE LES4542 ENDO POLPECTOMY LRGE INT4543 ENDOSC DESTRU LG INT LES4549 DESTRUC LG BOWEL LES NEC4550 INTEST SEG ISOLAT NOS4551 SM BOWEL SEGMENT ISOLAT4552 LG BOWEL SEGMENT ISOLAT4561 MULT SEG SM BOWEL EXCIS4562 PART SM BOWEL RESECT NEC4563 TOTAL REMOVAL SM BOWEL4571 OPN MUL SEG LG INTES NEC4572 OPEN CECECTOMY NEC4573 OPN RT HEMICOLECTOMY NEC4574 OPN TRANSV COLON RES NEC4575 OPN LFT HEMICOLECTMY NEC4576 OPEN SIGMOIDECTOMY NEC4579 PRT LG INTES EXC NEC/NOS4581 LAP TOT INTR-AB COLECTMY4582 OP TOT INTR-ABD COLECTMY4583 TOT ABD COLECTMY NEC/NOS4590 INTESTINAL ANASTOM NOS4591 SM-TO-SM BOWEL ANASTOM4592 SM BOWEL-RECT STUMP ANAS4593 SMALL-TO-LARGE BOWEL NEC4594 LG-TO-LG BOWEL ANASTOM4595 ANAL ANASTOMOSIS4601 SM BOWEL EXTERIORIZATION4602 RESECT EXT SEG SM BOWEL4603 LG BOWEL EXTERIORIZATION4604 RESECT EXT SEG LG BOWEL46<strong>10</strong> COLOSTOMY NOS4611 TEMPORARY COLOSTOMY4613 PERMANENT COLOSTOMY4614 DELAY OPENING COLOSTOMY4620 ILEOSTOMY NOS4621 TEMPORARY ILEOSTOMY4622 CONTINENT ILEOSTOMY4623 PERMANENT ILEOSTOMY NEC4624 DELAY OPENING ILEOSTOMY4631 DELAY OPENING ENTEROSTOM4632 PERCU ENDOSC JEJUNOSTOMY4639 ENTEROSTOMY NEC4640 INTEST STOMA REVIS NOS4641 SM BOWEL STOMA REVISION4642 PERICOLOST HERNIA REPAIR4643 LG BOWEL STOMA REVIS NEC4650 INTEST STOMA CLOSURE NOS4651 SM BOWEL STOMA CLOSURE4652 LG BOWEL STOMA CLOSURE4660 INTESTINAL FIXATION NOS4661 SM BOWEL-ABD WALL FIXAT4662 SMALL BOWEL FIXATION NEC4663 LG BOWEL-ABD WALL FIXAT4664 LARGE BOWEL FIXATION NEC4671 DUODENAL LACERAT SUTURE4672 DUODENAL FISTULA CLOSURE4673 SMALL BOWEL SUTURE NEC4674 CLOSE SM BOWEL FIST NEC4675 SUTURE LG BOWEL LACERAT4676 CLOSE LG BOWEL FISTULA4679 REPAIR OF INTESTINE NEC4680 INTRA-AB BOWEL MANIP NOS4681 INTRA-ABD SM BOWEL MANIP4682 INTRA-ABD LG BOWEL MANIP4685 DILATION OF INTESTINE4691 MYOTOMY OF SIGMOID COLON4692 MYOTOMY OF COLON NEC4693 REVISE SM BOWEL ANASTOM4694 REVISE LG BOWEL ANASTOM4695 LOCAL SM BOWEL PERFUSION4696 LOCAL LG BOWEL PERFUSION4697 TRANSPLANT OF INTESTINE4699 INTESTINAL OP NEC4701 LAP APPENDECTOMY4709 OTHER APPENDECTOMY4711 LAP INCID APPENDECTOMY4719 OTHER INCID APPENDECTOMY472 DRAIN APPENDICEAL ABSC4791 APPENDICOSTOMY4792 CLOSE APPENDICEAL FISTUL4799 APPENDICEAL OPS NEC480 PROCTOTOMY481 PROCTOSTOMY4821 TRANSAB PROCTOSIGMOIDOSC4822 PROCTOSIGMOIDOSC THRU ST4823 RIGID PROCTOSIGMOIDOSCPY4824 CLOSED RECTAL BIOPSY4825 OPEN RECTAL BIOPSY4826 PERIRECTAL TISSUE BIOPSY4829 RECT/PERIRECT DX OP NEC4831 RAD ELECTROCOAG-RECT LES4832 ELECTROCOAG RECT LES NEC4833 LASER DESTRUC RECTAL LES4834 CRYOSURG DESTR RECT LES4835 LOCAL EXCIS RECTAL LES4836 POLYPECTOMY OF RECTUM4840 PULL-THRU RES RECTUM NOS4841 SOAVE SUBMUC RECT RESECT4842 LAP PULL-THRU RES RECTUM4843 OPN PULL-THRU RES RECTUM4849 PULL-THRU RECT RESEC NEC4850 ABDPERNEAL RES RECTM NOS4851 LAP ABDPERNEAL RESC REC4852 OPN ABDPERNEAL RESC REC4859 ABDPERNEAL RESC RECT NEC4861 TRANSSAC RECTOSIGMOIDECT4862 ANT RECT RESECT W COLOSTwww.ahd.com Page 9 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services4863 ANTERIOR RECT RESECT NEC4864 POSTERIOR RECT RESECTION4865 DUHAMEL RECTAL RESECTION4869 RECTAL RESECTION NEC4871 SUTURE OF RECTAL LACER4872 CLOSURE OF PROCTOSTOMY4873 CLOSE RECTAL FIST NEC4874 RECTORECTOSTOMY4875 ABDOMINAL PROCTOPEXY4876 PROCTOPEXY NEC4879 REPAIR OF RECTUM NEC4881 PERIRECTAL INCISION4882 PERIRECTAL EXCISION4891 INCIS RECTAL STRICTURE4892 ANORECTAL MYOMECTOMY4893 REPAIR PERIRECT FISTULA4899 RECTAL PERIRECT OP NEC4901 INCIS PERIANAL ABSCESS4902 PERIANAL INCISION NEC4903 EXCIS PERIANAL SKIN TAG4904 PERIANAL EXCISION NEC4911 ANAL FISTULOTOMY4912 ANAL FISTULECTOMY4921 ANOSCOPY4922 PERIANAL BIOPSY4923 ANAL BIOPSY4929 ANAL/PERIAN DX PROC NEC4931 ENDOSC DESTRUC ANUS LES4939 OTHER DESTRUC ANUS LES4941 HEMORRHOID REDUCTION4942 HEMORRHOID INJECTION4943 HEMORRHOID CAUTERIZAT4944 HEMORRHOID CRYOTHERAPY4945 HEMORRHOID LIGATION4946 HEMORRHOIDECTOMY4947 HEMORRHOID EVACUATION4949 HEMORRHOID PROCEDURE NEC4951 LEFT LAT SPHINCTEROTOMY4952 POST SPHINCTEROTOMY4959 ANAL SPHINCTEROTOMY NEC496 EXCISION OF ANUS4971 SUTURE ANAL LACERATION4972 ANAL CERCLAGE4973 CLOSURE OF ANAL FISTULA4974 GRACILIS MUSC TRANSPLAN4975 IMPL OR REV ART ANAL SPH4976 REMOV ART ANAL SPHINCTER4979 ANAL SPHINCT REPAIR NEC4991 INCISION OF ANAL SEPTUM4992 INSERT SUBQ ANAL STIMUL4993 ANAL INCISION NEC4994 REDUCTION ANAL PROLAPSE4995 CONTROL ANAL HEMORRHAGE4999 ANAL OPERATION NEC500 HEPATOTOMY5011 CLOSED LIVER BIOPSY5012 OPEN LIVER BIOPSY5013 TRANSJUGULAR LIVER BX5014 LAPAROSCOPIC LIVER BX5019 HEPATIC DX PROC NEC5021 MARSUPIALIZAT LIVER LES5022 PARTIAL HEPATECTOMY5023 OPN ABLTN LIVER LES/TISS5024 PERC ABLTN LIVER LES/TIS5025 LAP ABLTN LIVER LES/TISS5026 ABLTN LIVER LES/TISS NEC5029 DESTRUC HEPATIC LES NEC503 HEPATIC LOBECTOMY504 TOTAL HEPATECTOMY5051 AUXILIARY LIVER TRANSPL5059 LIVER TRANSPLANT NEC5061 CLOSURE LIVER LACERAT5069 LIVER REPAIR NEC5091 PERCUTAN LIVER ASPIRAT5092 EXTRACORPOR HEPAT ASSIS5093 LOCAL PERFUSION LIVER5094 HEPATIC INJECTION NEC5099 LIVER OPERATION NEC5<strong>10</strong>1 PERCUTAN ASPIRATION GB5<strong>10</strong>2 TROCAR CHOLECYSTOSTOMY5<strong>10</strong>3 CHOLECYSTOSTOMY NEC5<strong>10</strong>4 CHOLECYSTOTOMY NEC51<strong>10</strong> ENDOSC RETRO CHOLANGIOPA5111 ENDOSC RETRO CHOLANGIO5112 PERCU BX GB/BILE DUCT5113 OPEN BILIARY TRACT BX5114 CLO ENDOSC BX BILE DUCT5115 SPHINCT OF ODDI MEASURE5119 BILIARY TR DX PROC NEC5121 OTH PART CHOLECYSTECTOMY5122 CHOLECYSTECTOMY5123 LAPAROSCOPIC CHOLECYSTEC5124 LAP PART CHOLECYSTECTOMY5131 GB-TO-HEPAT DUCT ANAST5132 GB-TO-INTESTINE ANASTOM5133 GB-TO-PANCREAS ANASTOM5134 GB-TO-STOMACH ANASTOMOS5135 GALLBLADDER ANASTOM NEC5136 CHOLEDOCHOENTEROSTOMY5137 HEPATIC DUCT-GI ANASTOM5139 BILE DUCT ANASTOMOS NEC5141 CDE FOR CALCULUS REMOV5142 CDE FOR OBSTRUCTION NEC5143 CHOLEDOCHOHEPAT INTUBAT5149 INCIS OBSTR BILE DUC NEC5151 COMMON DUCT EXPLORATION5159 BILE DUCT INCISION NEC5161 EXCIS CYST DUCT REMNANT5162 EXCIS AMPULLA OF VATER5163 COMMON DUCT EXCIS NEC5164 ENDOSC DESTRU BILE LES5169 BILE DUCT EXCISION NEC5171 SIMPLE SUT-COMMON DUCT5172 CHOLEDOCHOPLASTY5179 BILE DUCT REPAIR NEC5181 SPHINCTER OF ODDI DILAT5182 PANCREAT SPHINCTEROTOM5183 PANCREAT SPHINCTEROPLAS5184 ENDOSC DILATION AMPULLA5185 ENDOSC SPHINCTEROTOMY5186 ENDOSC INSER NASOBIL TUB5187 ENDOSC INSER STENT BILE5188 ENDOSC REMOVE BILE STONE5189 SPHINCT OF ODDI OP NEC5191 REPAIR GB LACERATION5192 CLOSURE CHOLECYSTOSTOMY5193 CLOS BILIARY FISTUL NEC5194 REVIS BILE TRACT ANASTOM5195 REMOVE BILE DUCT PROSTH5196 PERC EXTRAC COM DUC CALC5198 OTH PERC PROC BIL TRCT5199 BILIARY TRACT OP NEC5201 CATH DRAIN-PANCREAT CYST5209 PANCREATOTOMY NEC5211 CLOSED PANCREATIC BIOPSY5212 OPEN PANCREATIC BIOPSY5213 ENDOSC RETRO PANCREATOG5214 CLO ENDOSC BX PANCRE DUC5219 PANCREATIC DX PROC NEC5221 ENDOSC DESTR PANCREA LES5222 OTHER DESTRU PANCREA LES523 PANCREAT CYST MARSUPIALI524 INT DRAIN PANCREAT CYST5251 PROXIMAL PANCREATECTOMY5252 DISTAL PANCREATECTOMY5253 RAD SUBTOT PANCREATECTOM5259 PARTIAL PANCREATECT NEC526 TOTAL PANCREATECTOMY527 RAD PANCREATICODUODENECT5280 PANCREAT TRANSPLANT NOS5281 REIMPLANT PANCREATIC TIS5282 PANCREATIC HOMOTRANSPLAN5283 PANCREATIC HETEROTRANSPL5284 AUTOTRNSPLNT ISLETS LANG5285 ALLOTRNSPLNT ISLETS LANG5286 TRNSPLNT ISLETS LANG NOS5292 CANNULATION PANCREA DUC5293 ENDOSC INSER PANC STENT5294 ENDOSC REMOVE PANC STONE5295 PANCREATIC REPAIR NEC5296 PANCREATIC ANASTOMOSIS5297 ENDOSC INSER NASOPAN TUB5298 ENDOSC DIL PANCREAT DUCT5299 PANCREATIC OPERATION NEC5300 UNILAT ING HERN REP NOS5301 OPN REP DIR ING HERN NEC5302 OPN REP IND ING HERN NEC5303 OPN DIR ING HERN-GFT NECwww.ahd.com Page <strong>10</strong> of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services5304 OPN IND ING HERN-GFT NEC5305 ING HERNIA REP-GRAFT NOS53<strong>10</strong> BILAT ING HERNIA REP NOS5311 OPN BIL DIR ING HERN NEC5312 OPN BIL IND ING HERN NEC5313 OPN BI DR/IN ING HRN NEC5314 OPN BI DR ING HRN-GR NEC5315 OP BI IN ING HRN-GRF NEC5316 OP BI DR/IN IG HR-GR NEC5317 BIL ING HRN REP-GRFT NOS5321 UNIL FEMOR HRN REP-GRFT5329 UNIL FEMOR HERN REP NEC5331 BIL FEM HERN REPAIR-GRFT5339 BIL FEM HERN REPAIR NEC5341 OPN REP UMB HRN-GRFT NEC5342 LAP UMBIL HERNIA-GRAFT5343 LAP UMBILICAL HERNIA NEC5349 OPEN REP UMBIL HERN NEC5351 INCISIONAL HERNIA REPAIR5359 ABD WALL HERN REPAIR NEC5361 OPEN INCIS HERN-GRFT NEC5362 LAP INCIS HERN REPR-GRFT5363 LAP HERN ANT ABD-GFT NEC5369 OPN HERN ANT ABD-GRF NEC5371 LAP ABD REP-DIAPHR HERN5372 OPN ABD DIAPHRM HERN NEC5375 ABD REP-DIAPHR HERN NOS5380 THOR REP-DIAPH HERN NOS5381 DIAPHRAGMATIC PLICATION5382 PARASTERN HERNIA REPAIR5383 LAP THORC APP-DIAPH HERN5384 OPN THORC DIAPH HERN NEC539 OTHER HERNIA REPAIR540 ABDOMINAL WALL INCISION5411 EXPLORATORY LAPAROTOMY5412 REOPEN RECENT LAP SITE5419 LAPAROTOMY NEC5421 LAPAROSCOPY5422 ABDOMINAL WALL BIOPSY5423 PERITONEAL BIOPSY5424 CLOSED INTRA-ABD MASS BX5425 PERITONEAL LAVAGE5429 ABD REGION DX PROC NEC543 DESTRUCT ABD WALL LESION544 DESTRUCT PERITONEAL TISS5451 LAP PERITON ADHESIOLYSIS5459 OTH PERITON ADHESIOLYSIS5461 RECLOSE POST OP DISRUPT5462 DELAYED CLOS ABD WOUND5463 ABD WALL SUTURE NEC5464 PERITONEAL SUTURE5471 REPAIR OF GASTROSCHISIS5472 ABDOMEN WALL REPAIR NEC5473 PERITONEAL REPAIR NEC5474 OMENTAL REPAIR NEC5475 MESENTERIC REPAIR NEC5491 PERCU ABDOMINAL DRAINAGE5492 REMOVE FB FROM PERITON5493 CREATE CUTANPERITON FIST5494 CREAT PERITONEOVAS SHUNT5495 PERITONEAL INCISION5496 INJEC AIR-PERITON CAVITY5497 INJ THERAP SUBST PERITON5498 PERITONEAL DIALYSIS5499 ABDOMEN REGION OPS NEC5501 NEPHROTOMY5502 NEPHROSTOMY5503 PERCU NEPHROSTM W/O FRAG5504 PERCU NEPHROSTMY W FRAG5511 PYELOTOMY5512 PYELOSTOMY5521 NEPHROSCOPY5522 PYELOSCOPY5523 CLOSED RENAL BIOPSY5524 OPEN RENAL BIOPSY5529 RENAL DIAGNOST PROC NEC5531 RENAL LES MARSUPIALIZAT5532 OPN ABLTN RENAL LES/TISS5533 PERC ABLTN RENL LES/TISS5534 LAP ABLTN RENAL LES/TISS5535 ABLTN RENAL LES/TISS NEC5539 LOC DESTR RENAL LES NEC554 PARTIAL NEPHRECTOMY5551 NEPHROURETERECTOMY5552 SOLITARY KIDNEY NEPHRECT5553 REJECTED KIDNEY NEPHRECT5554 BILATERAL NEPHRECTOMY5561 RENAL AUTOTRANSPLANT5569 KIDNEY TRANSPLANT NEC557 NEPHROPEXY5581 SUTURE KIDNEY LACERATION5582 CLOSE NEPHROST & PYELOST5583 CLOSE RENAL FISTULA NEC5584 REDUCE RENAL PEDICL TORS5585 SYMPHYSIOTOMY5586 RENAL ANASTOMOSIS5587 CORRECT URETEROPELV JUNC5589 RENAL REPAIR NEC5591 RENAL DECAPSULATION5592 PERCUTAN RENAL ASPIRAT5593 REPLACE NEPHROSTOMY TUBE5594 REPLACE PYELOSTOMY TUBE5595 LOCAL RENAL PERFUSION5596 RENAL INJECTION NEC5597 IMPLANT MECHANIC KIDNEY5598 REMOV MECHANICAL KIDNEY5599 RENAL OPERATION NEC560 TU REMOV URETER OBSTRUCT561 URETERAL MEATOTOMY562 URETEROTOMY5631 URETEROSCOPY5632 CLOSED URETERAL BIOPSY5633 CLOS ENDOSC URETERAL BX5634 OPEN URETERAL BIOPSY5635 ENDOSCOPIC ILEAL CONDUIT5639 URETERAL DX PROCEDUR NEC5640 URETERECTOMY NOS5641 PARTIAL URETERECTOMY5642 TOTAL URETERECTOMY5651 FORM CUTAN ILEOURETEROST5652 REVIS CUTAN ILEOURETEROS5661 FORM CUTAN URETEROSTOMY5662 REVIS CUTAN URETEROS NEC5671 URIN DIVERSION TO BOWEL5672 REVIS URETEROENTEROSTOMY5673 NEPHROCYSTANASTOMOSI NOS5674 URETERONEOCYSTOSTOMY5675 TRANSURETEROURETEROSTOMY5679 URETERAL ANASTOMOSIS NEC5681 INTRALUM URETE ADHESIOLY5682 SUTURE URETERAL LACERAT5683 URETEROSTOMY CLOSURE5684 CLOSE URETER FISTULA NEC5685 URETEROPEXY5686 REMOVE URETERAL LIGATURE5689 REPAIR OF URETER NEC5691 URETERAL MEATUS DILATION5692 IMPLANT URETERAL STIMUL5693 REPLACE URETERAL STIMUL5694 REMOVE URETERAL STIMULAT5695 LIGATION OF URETER5699 URETERAL OPERATION NEC570 TU BLADDER CLEARANCE5711 PERCUTAN BLADDER ASPIRAT5712 CYSTOTOMY & ADHESIOLYSIS5717 PERCUTANEOUS CYSTOSTOMY5718 OTHER SUPRAPU CYSTOSTOMY5719 CYSTOTOMY NEC5721 VESICOSTOMY5722 REVISE CLO VESICOSTOMY5731 CYSTOSCOPY THRU STOMA5732 CYSTOSCOPY NEC5733 CLOS TRANSURETH BLADD BX5734 OPEN BLADDER BIOPSY5739 BLADDER DIAGNOS PROC NEC5741 TU ADHESIOLYSIS BLADDER5749 TU DESTRUC BLADD LES NEC5751 EXCISION OF URACHUS5759 BLADDER LES DESTRUCT NEC576 PARTIAL CYSTECTOMY5771 RADICAL CYSTECTOMY5779 TOTAL CYSTECTOMY NEC5781 SUTURE BLADDER LACERAT5782 CYSTOSTOMY CLOSURE5783 ENTEROVESICO FIST REPAIR5784 VESIC FISTULA REPAIR NEC5785 CYSTOURETHROPLASTY5786 BLADDER EXSTROPHY REPAIRwww.ahd.com Page 11 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services5787 BLADDER RECONSTRUCTION5788 BLADDER ANASTOMOSIS NEC5789 BLADDER REPAIR NEC5791 BLADDER SPHINCTEROTOMY5792 BLADDER NECK DILATION5793 CONTROL BLADD HEMORRHAGE5794 INSERT INDWELLING CATH5795 REPLACE INDWELLING CATH5796 IMPLANT BLADDER STIMULAT5797 REPLACE BLADDER STIMULAT5798 REMOVE BLADDER STIMULAT5799 BLADDER OPERATION NEC580 URETHROTOMY581 URETHRAL MEATOTOMY5821 PERINEAL URETHROSCOPY5822 URETHROSCOPY NEC5823 URETHRAL BIOPSY5824 PERIURETHRAL BIOPSY5829 URETHRAL DX PROC NEC5831 ENDOSC DESTR URETHRA LES5839 OTHER DESTRU URETHRA LES5841 SUTURE URETHRAL LACERAT5842 URETHROSTOMY CLOSURE5843 CLOSE URETH FISTULA NEC5844 URETHRAL REANASTOMOSIS5845 HYPO-EPISPADIUS REPAIR5846 URETH RECONSTRUCTION NEC5847 URETHRAL MEATOPLASTY5849 URETHRAL REPAIR NEC585 URETH STRICTURE RELEASE586 URETHRAL DILATION5891 PERIURETHRAL INCISION5892 PERIURETHRAL EXCISION5893 IMPLT ARTF URIN SPHINCT5899 URETH/PERIURETH OP NEC5900 RETROPERIT DISSECT NOS5902 PERIREN ADHESIOLYS NEC5903 LAP LYS PERIREN/URET ADH5909 PERIREN/URETER INCIS NEC5911 OTH LYS PERIVES ADHESIO5912 LAP LYS PERIVESURETH ADH5919 PERIVESICAL INCISION NEC5921 PERIREN/URETERAL BIOPSY5929 PERIREN/URET DX PROC NEC593 URETHROVES JUNCT PLICAT594 SUPRAPUBIC SLING OP595 RETROPUBIC URETH SUSPENS596 PARAURETHRAL SUSPENSION5971 LEVATOR MUSC SUSPENSION5972 INJECT IMPLANT URETHRA5979 URIN INCONTIN REPAIR NEC598 URETERAL CATHETERIZATION5991 PERIREN/VESICLE EXCISION5992 PERIREN/VESICLE OP NEC5993 REPLACE URETEROST TUBE5994 REPLACE CYSTOSTOMY TUBE5995 ULTRASON FRAGMENT-STONE5999 URINARY SYSTEM OP NEC600 INCISION OF PROSTATE6011 CLOSED PROSTATIC BIOPSY6012 OPEN PROSTATIC BIOPSY6013 CLOS SEMINAL VESICLES BX6014 OPEN SEMINAL VESICLES BX6015 PERIPROSTATIC BIOPSY6018 PROSTATIC DX PROCED NEC6019 SEMIN VES DX PROCED NEC6021 TRANSURETH PROSTATECTOMY6029 OTH TRANSURETH PROSTATEC603 SUPRAPUBIC PROSTATECTOMY604 RETROPUBIC PROSTATECTOMY605 RADICAL PROSTATECTOMY6061 LOS EXCIS PROSTATIC LES6062 PERINEAL PROSTATECTOMY6069 PROSTATECTOMY NEC6071 PERCUT SEMIN VES ASPIRAT6072 SEMINAL VESICLE INCISION6073 SEMINAL VESICLE EXCISION6079 SEMINAL VESICLE OP NEC6081 PERIPROSTATIC INCISION6082 PERIPROSTATIC EXCISION6091 PERCUT PROSTATIC ASPIRAT6092 INJECTION INTO PROSTATE6093 REPAIR OF PROSTATE6094 CONTROL PROSTATE HEMORR6095 TRANS BAL DIL PROS URETH6096 TU DESTR PROSTATE BY MT6097 OTH TU DESTR PROS - RT6099 PROSTATIC OPERATION NEC6<strong>10</strong> SCROTUM & TUNICA I & D6111 SCROTUM & TUNICA BIOPSY6119 SCROT/TUNICA DX PROC NEC612 EXCISION OF HYDROCELE613 SCROTAL LES DESTRUCTION6141 SUTURE SCROTAL LACERAT6142 SCROTAL FISTULA REPAIR6149 SCROTUM/TUNIC REPAIR NEC6191 PERCUT TUNICA ASPIRATION6192 EXCISION TUNICA LES NEC6199 SCROTUM & TUNICA OP NEC620 INCISION OF TESTES6211 CLOSED TESTICULAR BIOPSY6212 OPEN TESTICULAR BIOPSY6219 TESTES DX PROCEDURE NEC622 TESTICULAR LES DESTRUCT623 UNILATERAL ORCHIECTOMY6241 REMOVE BOTH TESTES6242 REMOVE SOLITARY TESTIS625 ORCHIOPEXY6261 SUTURE TESTICULAR LACER6269 TESTICULAR REPAIR NEC627 INSERT TESTICULAR PROSTH6291 ASPIRATION OF TESTES6292 INJECTION INTO TESTES6299 TESTICULAR OPERATION NEC6301 SPERMATIC CORD/VAS BIOPS6309 SPERMAT CORD/VAS DX NEC631 EXC SPERMATIC VARICOCELE632 EXCISE EPIDIDYMIS CYST633 EXCISE CORD/EPID LES NEC634 EPIDIDYMECTOMY6351 SUTURE CORD & EPID LACER6352 REDUCTION TORSION TESTES6353 TRANSPLANT SPERMAT CORD6359 CORD & EPIDID REPAIR NEC636 VASOTOMY6370 MALE STERILIZATION NOS6371 LIGATION OF VAS DEFERENS6372 SPERMATIC CORD LIGATION6373 VASECTOMY6381 SUTURE VAS & EPIDID LAC6382 POSTOP VAS RECONSTRUCT6383 EPIDIDYMOVASOSTOMY6384 REMOVAL VAS LIGATURE6385 REMOV VAS DEFERENS VALVE6389 VAS & EPIDIDY REPAIR NEC6391 SPERMATOCELE ASPIRATION6392 EPIDIDYMOTOMY6393 SPERMATIC CORD INCISION6394 SPERM CORD ADHESIOLYSIS6395 INSERT VALVE IN VAS DEF6399 CORD/EPID/VAS OPS NEC640 CIRCUMCISION6411 PENILE BIOPSY6419 PENILE DIAGNOST PROC NEC642 LOCAL EXCIS PENILE LES643 AMPUTATION OF PENIS6441 SUTURE PENILE LACERATION6442 RELEASE OF CHORDEE6443 CONSTRUCTION OF PENIS6444 RECONSTRUCTION OF PENIS6445 REPLANTATION OF PENIS6449 PENILE REPAIR NEC645 SEX TRANSFORMAT OP NEC6491 DORSAL/LAT SLIT PREPUCE6492 INCISION OF PENIS6493 DIVISION OF PENILE ADHES6494 FIT EXT PENILE PROSTHES6495 INS NONINFL PENIS PROSTH6496 REMOVE INT PENILE PROSTH6497 INS INFLATE PENIS PROSTH6498 PENILE OPERATION NEC6499 MALE GENITAL OP NEC6501 LAPAROSCOPIC OOPHOROTOMY6509 OTHER OOPHOROTOMY6511 OVARIAN ASPIRAT BIOPSY6512 OVARIAN BIOPSY NEC6513 LAP BIOPSY OF OVARY6514 OTH LAP DX PROC OVARIESwww.ahd.com Page 12 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services6519 OVARIAN DX PROCEDURE NEC6521 OVARIAN CYST MARSUPIALIZ6522 OVARIAN WEDGE RESECTION6523 LAP MARSUP OVARIAN CYST6524 LAP WEDGE RESECT OVARY6525 OTH LAP LOC EXC DEST OVA6529 LOCAL DESTR OVA LES NEC6531 LAP UNILAT OOPHORECTOMY6539 OTH UNILAT OOPHORECTOMY6541 LAP UNI SALPINGO-OOPHOR6549 OTH UNI SALPINGO-OOPHOR6551 OTH REMOVE BOTH OVARIES6552 OTH REMOVE REMAIN OVARY6553 LAP REMOVE BOTH OVARIES6554 LAP REMOVE REMAIN OVARY6561 OTH REMOVE OVARIES/TUBES6562 OTH REMOVE REM OVA/TUBE6563 LAP REMOVE OVARIES/TUBES6564 LAP REMOVE REM OVA/TUBE6571 OTH SIMPLE SUTURE OVARY6572 OTH REIMPLANT OF OVARY6573 OTH SALPINGO-OOPHOROPLAS6574 LAP SIMPLE SUTURE OVARY6575 LAP REIMPLANT OF OVARY6576 LAP SALPINGO-OOPHOROPLAS6579 REPAIR OF OVARY NEC6581 LAP ADHESIOLYS OVA/TUBE6589 ADHESIOLYSIS OVARY/TUBE6591 ASPIRATION OF OVARY6592 TRANSPLANTATION OF OVARY6593 MANUAL RUPT OVARIAN CYST6594 OVARIAN DENERVATION6595 OVARIAN TORSION RELEASE6599 OVARIAN OPERATION NEC6601 SALPINGOTOMY6602 SALPINGOSTOMY6611 FALLOPIAN TUBE BIOPSY6619 FALLOP TUBE DX PROC NEC6621 BILAT ENDOSC CRUSH TUBE6622 BILAT ENDOSC DIVIS TUBE6629 BILAT ENDOS OCC TUBE NEC6631 BILAT TUBAL CRUSHING NEC6632 BILAT TUBAL DIVISION NEC6639 BILAT TUBAL DESTRUCT NEC664 TOTAL UNILAT SALPINGECT6651 REMOVE BOTH FALLOP TUBES6652 REMOVE SOLITARY FAL TUBE6661 DESTROY FALLOP TUBE LES6662 REMOV TUBE & ECTOP PREG6663 BILAT PART SALPINGEC NOS6669 PARTIAL SALPINGECTOM NEC6671 SIMPL SUTURE FALLOP TUBE6672 SALPINGO-OOPHOROSTOMY6673 SALPINGO-SALPINGOSTOMY6674 SALPINGO-UTEROSTOMY6679 FALLOP TUBE REPAIR NEC668 FALLOPIAN TUBE INSUFFLAT6691 FALLOPIAN TUBE ASPIRAT6692 UNILAT FALLOP TUBE DESTR6693 IMPL FALLOP TUBE PROSTH6694 REMOV FALLOP TUBE PROSTH6695 BLOW THERAPEUT INTO TUBE6696 FALLOPIAN TUBE DILATION6697 BURY FIMBRIAE IN UTERUS6699 FALLOPIAN TUBE OP NEC670 CERVICAL CANAL DILATION6711 ENDOCERVICAL BIOPSY6712 CERVICAL BIOPSY NEC6719 CERVICAL DX PROCEDUR NEC672 CONIZATION OF CERVIX6731 CERVICAL CYST MARSUPIAL6732 CERVICAL LES CAUTERIZAT6733 CERVICAL LES CRYOTHERAPY6739 CERVICAL LES DESTRUC NEC674 AMPUTATION OF CERVIX6751 TRANSAB CERCLAGE CERVIX6759 OTH REP INT CERVICAL OS6761 SUTURE CERVICAL LACERAT6762 CERVICAL FISTULA REPAIR6769 CERVICAL REPAIR NEC680 HYSTEROTOMY6811 DIGITAL EXAM OF UTERUS6812 HYSTEROSCOPY6813 OPEN UTERINE BIOPSY6814 OPEN UTERINE LIGAMENT BX6815 CLOS UTERINE LIGAMENT BX6816 CLOSED UTERINE BIOPSY6819 UTERUS/ADNEX DX PROC NEC6821 ENDOMET SYNECHIAE DIVIS6822 INCISION UTERINE SEPTUM6823 ENDOMETRIAL ABLATION6829 UTERINE LES DESTRUCT NEC6831 LAP SCERVIC HYSTERECTOMY6839 SUBTOTL ABD HYST NEC/NOS6841 LAP TOTAL ABDOMINAL HYST6849 TOTAL ABD HYST NEC/NOS6851 LAP AST VAG HYSTERECTOMY6859 VAG HYSTERECTOMY NEC/NOS6861 LAP RADICAL ABDOMNL HYST6869 RADICAL ABD HYST NEC/NOS6871 LAP RADICAL VAGINAL HYST6879 RADICAL VAG HYST NEC/NOS688 PELVIC EVISCERATION689 HYSTERECTOMY NEC/NOS6901 D & C FOR PREG TERMINAT6902 D & C POST DELIVERY6909 D & C NEC6919 DESTRUC UTER SUPPORT NEC6921 INTERPOSIT OP UTERIN LIG6922 UTERINE SUSPENSION NEC6923 VAG REPAIR INVERS UTERUS6929 UTERUS/ADNEXA REPAIR NEC693 PARACERV UTERINE DENERV6941 SUTURE UTERINE LACERAT6942 CLOSURE UTERINE FISTULA6949 UTERINE REPAIR NEC6951 ASPIRAT CURET-PREG TERMI6952 ASPIRAT CURET-POST DELIV6959 ASPIR CURETT UTERUS NEC696 MENSTRUAL EXTRACTION697 INSERTION OF IUD6991 INSERT UTERINE DEVICE6992 ARTIFICIAL INSEMINATION6993 INSERTION OF LAMINARIA6994 MAN REPLACE INVERT UTER6995 INCISION OF CERVIX6996 REMOVE CERVICAL CERCLAGE6997 REMOVE PENETRAT CERV FB6998 UTERINE SUPPORT OP NEC6999 UTERINE OPERATION NEC700 CULDOCENTESIS7011 HYMENOTOMY7012 CULDOTOMY7013 INTRALUM VAG ADHESIOLYS7014 VAGINOTOMY NEC7021 VAGINOSCOPY7022 CULDOSCOPY7023 CUL-DE-SAC BIOPSY7024 VAGINAL BIOPSY7029 VAGIN/CUL-DE-SAC DX NEC7031 HYMENECTOMY7032 EXCIS CUL-DE-SAC LESION7033 EXCISION VAGINAL LESION704 VAGINAL OBLITERATION7050 CYSTOCEL/RECTOCEL REPAIR7051 CYSTOCELE REPAIR7052 RECTOCELE REPAIR7053 CYSTO & RECTO W GRF/PROS7054 REP CYSTOCEL W GRFT/PROS7055 REP RECTOCELE W GRF/PROS7061 VAGINAL CONSTRUCTION7062 VAGINAL RECONSTRUCTION7063 VAGINAL CONST W GRF/PROS7064 VAG RECONST W GRFT/PROS7071 SUTURE VAGINA LACERATION7072 REPAIR COLOVAGIN FISTULA7073 REPAIR RECTOVAG FISTULA7074 REP VAGINOENT FISTUL NEC7075 REPAIR VAG FISTULA NEC7076 HYMENORRHAPHY7077 VAGINAL SUSPENS & FIXAT7078 VAG SUSP/FIX W GRFT/PROS7079 VAGINAL REPAIR NEC708 VAGINAL VAULT OBLITERAT7091 VAGINAL OPERATION NEC7092 CUL-DE-SAC OPERATION NEC7093 CUL-DE-SAC GRF/PROS NEC7094 INSERT BIOLOGICAL GRAFTwww.ahd.com Page 13 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services7095 INSERT SYNTH GRAFT/PROST7<strong>10</strong>1 VULVAR ADHESIOLYSIS7<strong>10</strong>9 INCIS VULVA/PERINEUM NEC7111 VULVAR BIOPSY7119 VULVAR DIAGNOS PROC NEC7121 PERCUTAN BARTHOLIN ASPIR7122 INCISE BARTHOLIN'S GLAND7123 BARTHOLIN GLAND MARSUP7124 DESTRUC BARTHOLIN GLAND7129 BARTHOLIN'S GLAND OP NEC713 LOCAL VULVAR EXCIS NEC714 OPERATIONS ON CLITORIS715 RADICAL VULVECTOMY7161 UNILATERAL VULVECTOMY7162 BILATERAL VULVECTOMY7171 SUTURE VULVAR LACERATION7172 REPAIR VULVAR FISTULA7179 VULVAR/PERIN REPAIR NEC718 OTHER VULVAR OPERATIONS719 OTHER FEMALE GENITAL OPS720 LOW FORCEPS OPERATION721 LOW FORCEPS W EPISIOTOMY7221 MID FORCEPS W EPISIOTOMY7229 MID FORCEPS OP NEC7231 HIGH FORCEPS W EPISIOT7239 HIGH FORCEPS OP NEC724 FORCEPS ROTAT FETAL HEAD7251 PART BRCH EXTRAC W FORCP7252 PART BREECH EXTRACT NEC7253 TOT BRCH EXTRAC W FORCEP7254 TOT BREECH EXTRAC NEC726 FORCEPS-AFTERCOMING HEAD7271 VACUUM EXT DEL W EPISIOT7279 VACUUM EXTRACT DEL NEC728 INSTRUMENT DELIVERY NEC729 INSTRUMENT DELIVERY NOS7301 INDUCT LABOR-RUPT MEMB7309 ARTIF RUPT MEMBRANES NEC731 SURG INDUCT LABOR NEC7321 INT/COMB VERSION NO EXTR7322 INT/COMB VERSION W EXTR733 FAILED FORCEPS734 MEDICAL INDUCTION LABOR7351 MANUAL ROTAT FETAL HEAD7359 MANUAL ASSIST DELIV NEC736 EPISIOTOMY738 FETAL OPS-FACILITATE DEL7391 EXT VERSION-ASSIST DELIV7392 REPLACE PROLAPSED CORD7393 INCIS CX TO ASSIST DELIV7394 PUBIOTOMY TO ASSIST DEL7399 OPS ASSISTING DELIV NEC740 CLASSICAL C-SECTION741 LOW CERVICAL C-SECTION742 EXTRAPERITONEAL C-SECT743 REM EXTRATUB ECTOP PREG744 CESAREAN SECTION NEC7491 HYSTEROTOMY TO TERMIN PG7499 CESAREAN SECTION NOS750 INTRA-AMNION INJ FOR AB751 DIAGNOSTIC AMNIOCENTESIS752 INTRAUTERINE TRANSFUSION7531 AMNIOSCOPY7532 FETAL EKG7533 FETAL BLOOD SAMPLE/BX7534 OTHER FETAL MONITORING7535 DX PROC FETUS/AMNION NEC7536 CORRECTION FETAL DEFECT7537 AMNIOINFUSION7538 FETAL PULSE OXIMETRY754 MANUAL REMOVAL-PLACENTA7550 REPAIR OB LAC UTERUS NOS7551 REPAIR OB LACERAT CERVIX7552 REPAIR OB LAC CORP UTERI7561 REPAIR OB LAC BLAD/URETH7562 REPAIR OB LAC RECT/ANUS7569 REPAIR OB LACERATION NEC757 MANUAL EXPLOR UTERUS P/P758 OB TAMPONADE UTERUS/VAG7591 EVAC OB INC HEMAT PERIN7592 EVAC OB HEMAT VULVA/VAG7593 SURG CORR INVERT UTERUS7594 MAN REPLAC INVERT UTERUS7599 OBSTETRIC OPERATION NEC7601 FACIAL BONE SEQUESTRECT7609 FACIAL BONE INCISION NEC7611 FACIAL BONE BIOPSY7619 FACIAL BONE DX PROC NEC762 DESTRUCT FACIAL BONE LES7631 PARTIAL MANDIBULECTOMY7639 PART FACIAL OSTECTOM NEC7641 TOT MANDIBULEC W RECONST7642 TOTAL MANDIBULECTOMY NEC7643 MANDIBULAR RECONST NEC7644 TOT FACE OSTECT W RECONS7645 TOT FACE BONE OSTECT NEC7646 FACIAL BONE RECONSTR NEC765 TEMPOROMAND ARTHROPLASTY7661 CL OSTEOPLASTY MAND RAMI7662 OPEN OSTEOPLAS MAND RAMI7663 OSTEOPLASTY MANDIBLE BDY7664 MAND ORTHOGNATHIC OP NEC7665 SEG OSTEOPLASTY MAXILLA7666 TOT OSTEOPLASTY MAXILLA7667 REDUCTION GENIOPLASTY7668 AUGMENTATION GENIOPLASTY7669 FACIAL BONE REPAIR NEC7670 REDUCTION FACIAL FX NOS7671 CL REDUCT MALAR/ZYGO FX7672 OPN REDUCT MALAR/ZYGO FX7673 CL REDUCT MAXILLARY FX7674 OPEN REDUCT MAXILLARY FX7675 CL REDUCT MANDIBLE FX7676 OPEN REDUCT MANDIBLE FX7677 OPEN REDUCT ALVEOLAR FX7678 CL REDUCT FACIAL FX NEC7679 OPEN REDUCT FACE FX NEC7691 BONE GRAFT TO FACE BONE7692 SYN IMPLANT TO FACE BONE7693 CLOS REDUCT TM DISLOCAT7694 OPEN REDUCT TM DISLOCAT7695 TM MANIPULATION NEC7696 INJEC THERAP SBST TM JNT7697 REMOVE INT FIX FACE BONE7699 FACIAL BONE/JNT OP NEC7700 SEQUESTRECTOMY NOS7701 CHEST CAGE SEQUESTREC7702 HUMERUS SEQUESTRECTOMY7703 RADIUS & ULNA SEQUESTREC7704 METACARP/CARP SEQUESTREC7705 FEMORAL SEQUESTRECTOMY7706 PATELLAR SEQUESTRECTOMY7707 TIBIA/FIBULA SEQUESTREC7708 METATAR/TAR SEQUESTREC7709 SEQUESTRECTOMY NEC77<strong>10</strong> OTHER BONE INCISION NOS7711 OTHER CHEST CAGE INCIS7712 OTHER HUMERUS INCISION7713 OTHER RADIUS/ULNA INCIS7714 OTH METACARP/CARP INCIS7715 OTHER FEMORAL INCISION7716 OTHER PATELLAR INCISION7717 OTHER TIBIA/FIBULA INCIS7718 OTH METATARS/TARS INCIS7719 BONE INCIS W/O DIV NEC7720 WEDGE OSTEOTOMY NOS7721 CHEST CAGE WEDG OSTEOTOM7722 HUMERUS WEDGE OSTEOTOMY7723 RADIUS/ULNA WEDG OSTEOTO7724 METACAR/CAR WEDG OSTEOTO7725 FEMORAL WEDGE OSTEOTOMY7726 PATELLAR WEDGE OSTEOTOMY7727 TIBIA/FIBUL WEDG OSTEOT7728 METATAR/TAR WEDG OSTEOT7729 WEDGE OSTEOTOMY NEC7730 OTHER BONE DIVISION NOS7731 CHEST CAGE BONE DIV NEC7732 HUMERUS DIVISION NEC7733 RADIUS/ULNA DIVISION NEC7734 METACAR/CAR DIVISION NEC7735 FEMORAL DIVISION NEC7736 PATELLAR DIVISION NEC7737 TIBIA/FIBULA DIV NEC7738 METATAR/TAR DIVISION NEC7739 BONE DIVISION NEC7740 BONE BIOPSY NOS7741 CHEST CAGE BONE BIOPSY7742 HUMERUS BIOPSYwww.ahd.com Page 14 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services7743 RADIUS & ULNA BIOPSY7744 METACARPAL/CARPAL BIOPSY7745 FEMORAL BIOPSY7746 PATELLAR BIOPSY7747 TIBIA & FIBULA BIOPSY7748 METATARSAL/TARSAL BIOPSY7749 BONE BIOPSY NEC7751 BUNIONECT/SFT/OSTEOTOMY7752 BUNIONECT/SFT/ARTHRODES7753 OTH BUNIONECT W SFT CORR7754 EXC CORRECT BUNIONETTE7756 REPAIR OF HAMMER TOE7757 REPAIR OF CLAW TOE7758 OTH EXC, FUS, REPAIR TOE7759 BUNIONECTOMY NEC7760 LOC EXC BONE LESION NOS7761 EXC CHEST CAGE BONE LES7762 LOC EXC BONE LES HUMERUS7763 LOC EXC LES RADIUS/ULNA7764 LOC EXC LES METACAR/CAR7765 LOC EXC BONE LES FEMUR7766 LOC EXC BONE LES PATELLA7767 LOC EXC LES TIBIA/FIBULA7768 LOC EXC LES METATAR/TAR7769 LOC EXC BONE LESION NEC7770 EXCISE BONE FOR GRFT NOS7771 EX CHEST CAGE BONE-GFT7772 EXCISE HUMERUS FOR GRAFT7773 EXCIS RADIUS/ULNA-GRAFT7774 EXCIS METACAR/CAR-GRAFT7775 EXCISE FEMUR FOR GRAFT7776 EXCISE PATELLA FOR GRAFT7777 EXCISE TIB/FIB FOR GRAFT7778 EXCIS METATAR/TAR-GRAFT7779 EXCISE BONE FOR GFT NEC7780 OTH PART OSTECTOMY NOS7781 OTH CHEST CAGE OSTECTOMY7782 PARTIAL HUMERECTOMY NEC7783 PART OSTECT-RADIUS/ULNA7784 PART OSTECT-METACAR/CAR7785 PART OSTECTOMY-FEMUR7786 PARTIAL PATELLECTOMY7787 PART OSTECT-TIBIA/FIBULA7788 PART OSTECT-METATAR/TAR7789 PARTIAL OSTECTOMY NEC7790 TOTAL OSTECTOMY NOS7791 TOT CHEST CAGE OSTECTOMY7792 TOTAL OSTECTOMY-HUMERUS7793 TOT OSTECT-RADIUS/ULNA7794 TOT OSTECT-METACARP/CARP7795 TOT OSTECTOMY-FEMUR7796 TOTAL PATELLECTOMY7797 TOT OSTECT-TIBIA/FIBULA7798 TOT OSTECT-METATARS/TARS7799 TOTAL OSTECTOMY NEC7800 BONE GRAFT NOS7801 BONE GRAFT TO CHEST CAGE7802 BONE GRAFT TO HUMERUS7803 BONE GRAFT-RADIUS/ULNA7804 BONE GRFT TO METACAR/CAR7805 BONE GRAFT TO FEMUR7806 BONE GRAFT TO PATELLA7807 BONE GRAFT-TIBIA/FIBULA7808 BONE GRAFT-METATAR/TAR7809 BONE GRAFT NEC78<strong>10</strong> APPLIC EXT FIX DEV NOS7811 APPL EXT FIX-CHEST CAGE7812 APPLIC EXT FIX-HUMERUS7813 APPL EXT FIX-RADIUS/ULNA7814 APPL EXT FIX-METACAR/CAR7815 APPLIC EXT FIX DEV-FEMUR7816 APPL EXT FIX DEV-PATELLA7817 APPL EXT FIX-TIB/FIBULA7818 APPL EXT FIX-METATAR/TAR7819 APPLIC EXT FIX DEV NEC7820 LIMB SHORTEN PROC NOS7822 LIMB SHORT PROC-HUMERUS7823 LIMB SHORTEN-RADIUS/ULNA7824 LIMB SHORTEN-METACAR/CAR7825 LIMB SHORT PROC-FEMUR7827 LIMB SHORTEN-TIB/FIBULA7828 LIMB SHORTEN-METATAR/TAR7829 LIMB SHORTEN PROC NEC7830 LIMB LENGTHEN PROC NOS7832 LIMB LENGTH PROC-HUMERUS7833 LIMB LENGTH-RADIUS/ULNA7834 LIMB LENGTH-METACAR/CAR7835 LIMB LENGTH PROC-FEMUR7837 LIMB LENGTHEN-TIB/FIBULA7838 LIMB LENGTHN-METATAR/TAR7839 LIMB LENGTHEN PROC NEC7840 OTH BONE REPAIR/PLAST OP7841 OTH CHEST CAGE REP/PLAST7842 OTH HUMERUS REPAIR/PLAST7843 OTH RAD/ULN REPAIR/PLAST7844 OTH METAC/CARP REP/PLAST7845 OTH FEMUR REPAIR/PLASTIC7846 OTH PATELLA REPAIR/PLAST7847 OTH TIB/FIB REPAIR/PLAST7848 OTH META/TAR REPA/PLAST7849 OTH BONE REPA/PLAST NEC7850 INT FIX W/O FX REDUC NOS7851 INT FIXATION-CHEST CAGE7852 INT FIXATION-HUMERUS7853 INT FIXATION-RADIUS/ULNA7854 INT FIXATION-METACAR/CAR7855 INTERNAL FIXATION-FEMUR7856 INTERNAL FIX-PATELLA7857 INT FIXATION-TIBIA/FIBUL7858 INT FIXATION-METATAR/TAR7859 INT FIX-NO FX REDUCT NEC7860 REMOVE IMP DEVICE NOS7861 REMOV IMP DEV-CHEST CAGE7862 REMOVE IMPL DEV-HUMERUS7863 REMOV IMP DEV-RADIUS/ULN7864 REMOV IMP DEV-METAC/CARP7865 REMOVE IMP DEVICE-FEMUR7866 REMOV IMP DEVICE-PATELLA7867 REMOV IMP DEV-TIB/FIBULA7868 REMOVE IMP DEV-METAT/TAR7869 REMOVE IMPL DEVICE NEC7870 OSTEOCLASIS NOS7871 OSTEOCLASIS-CHEST CAGE7872 OSTEOCLASIS-HUMERUS7873 OSTEOCLASIS-RADIUS/ULNA7874 OSTEOCLASIS-METACAR/CAR7875 OSTEOCLASIS-FEMUR7876 OSTEOCLASIS-PATELLA7877 OSTEOCLASIS-TIBIA/FIBULA7878 OSTEOCLASIS-METATAR/TAR7879 OSTEOCLASIS NEC7880 OTHER BONE DX PROC NOS7881 OTH DX PROCED-CHEST CAGE7882 OTH DX PROCED-HUMERUS7883 OTH DX PROC-RADIUS/ULNA7884 OTH DX PROC-METACAR/CAR7885 OTH DX PROCED-FEMUR7886 OTH DX PROCED-PATELLA7887 OTH DX PROC-TIBIA/FIBULA7888 OTH DX PROC-METATAR/TAR7889 OTHER BONE DX PROC NEC7890 INSERT BONE STIMUL NOS7891 INSERT BONE STIMUL-CHEST7892 INSERT BONE STIM-HUMERUS7893 INSER BONE STIM-RAD/ULNA7894 INSER BONE STIM-META/CAR7895 INSERT BONE STIM-FEMUR7896 INSERT BONE STIM-PATELLA7897 INSER BONE STIM-TIB/FIB7898 INSER BONE STIM-META/TAR7899 INSERT BONE STIMUL NEC7900 CLOSED FX REDUCTION NOS7901 CLOSED FX REDUCT HUMERUS7902 CL FX REDUC-RADIUS/ULNA7903 CL FX REDUC-METACAR/CAR7904 CL FX REDUC-FINGER7905 CL FX REDUC-FEMUR7906 CL FX REDUC-TIBIA/FIBULA7907 CL FX REDUC-METATAR/TAR7908 CL FX REDUC-TOE7909 CLOSED FX REDUCTION NEC79<strong>10</strong> CL FX REDUC-INT FIX NOS7911 CLOS RED-INT FIX HUMERUS7912 CL RED-INT FIX RAD/ULNA7913 CL RED-INT FIX METAC/CAR7914 CLOSE RED-INT FIX FINGER7915 CLOSED RED-INT FIX FEMUR7916 CL RED-INT FIX TIB/FIBUwww.ahd.com Page 15 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services7917 CL RED-INT FIX METAT/TAR7918 CLOSE RED-INT FIX TOE FX7919 CL FX REDUC-INT FIX NEC7920 OPEN FX REDUCTION NOS7921 OPEN REDUC-HUMERUS FX7922 OPEN REDUC-RADIUS/ULN FX7923 OPEN REDUC-METAC/CAR FX7924 OPEN REDUCTION-FINGER FX7925 OPEN REDUCTION-FEMUR FX7926 OPEN REDUC-TIBIA/FIB FX7927 OPEN REDUC-METAT/TARS FX7928 OPEN REDUCTION-TOE FX7929 OPEN FX REDUCTION NEC7930 OPN FX RED W INT FIX NOS7931 OPEN RED-INT FIX HUMERUS7932 OP RED-INT FIX RAD/ULNA7933 OP RED-INT FIX METAC/CAR7934 OPEN RED-INT FIX FINGER7935 OPEN REDUC-INT FIX FEMUR7936 OP RED-INT FIX TIB/FIBUL7937 OP RED-INT FIX METAT/TAR7938 OPEN REDUCT-INT FIX TOE7939 OPN FX RED W INT FIX NEC7940 CLS REDUC-SEP EPIPHY NOS7941 CLOSE RED-HUMERUS EPIPHY7942 CLS RED-RADIUS/UL EPIPHY7945 CLOSE REDUC-FEMUR EPIPHY7946 CLS RED-TIBIA/FIB EPIPHY7949 CLS REDUC-SEP EPIPHY NEC7950 OPEN RED-SEP EPIPHY NOS7951 OPN RED-SEP EPIPHY-HUMER7952 OP RED-RADIUS/ULN EPIPHY7955 OPN RED-SEP EPIPHY-FEMUR7956 OP RED-TIBIA/FIB EPIPHYS7959 OPEN RED-SEP EPIPHY NEC7960 OPEN FX SITE DEBRIDE NOS7961 DEBRID OPEN FX-HUMERUS7962 DEBRID OPN FX-RADIUS/ULN7963 DEBRID OPN FX-METAC/CAR7964 DEBRID OPN FX-FINGER7965 DEBRID OPN FX-FEMUR7966 DEBRID OPN FX-TIBIA/FIB7967 DEBRID OPN FX-METAT/TAR7968 DEBRID OPN FX-TOE7969 OPEN FX SITE DEBRIDE NEC7970 CL REDUC DISLOC NOS7971 CL REDUC DISLOC-SHOULDER7972 CL REDUC DISLOC-ELBOW7973 CL REDUC DISLOC-WRIST7974 CL REDUC DISLOC-HAND/FNG7975 CL REDUC DISLOC-HIP7976 CL REDUC DISLOC-KNEE7977 CL REDUC DISLOC-ANKLE7978 CL REDUC DISLOC-FOOT/TOE7979 CL REDUC DISLOCATION NEC7980 OPEN REDUC-DISLOCAT NOS7981 OPN REDUC DISLOC-SHOULDR7982 OPEN REDUC-ELBOW DISLOC7983 OPEN REDUC-WRIST DISLOC7984 OPN REDUC DISLOC-HAND7985 OPEN REDUC-HIP DISLOCAT7986 OPEN REDUC-KNEE DISLOCAT7987 OPEN REDUC-ANKLE DISLOC7988 OPN REDUC DISLOC-FT/TOE7989 OPEN REDUC-DISLOCAT NEC7990 UNSPEC OP BONE INJ NOS7991 HUMERUS INJURY OP NOS7992 RADIUS/ULNA INJ OP NOS7993 METACARP/CARP INJ OP NOS7994 FINGER INJURY OP NOS7995 FEMUR INJURY OP NOS7996 TIBIA/FIBULA INJ OP NOS7997 METATARS/TARS INJ OP NOS7998 TOE INJURY OPERATION NOS7999 UNSPEC OP-BONE INJ NEC8000 ARTHROT & PROS REMOV NOS8001 ARTHROT/PROS REMOV-SHLDR8002 ARTHROT/PROS REMOV-ELBOW8003 ARTHROT/PROS REMOV-WRIST8004 ARTHROT/PROS REMOV-HAND8005 ARTHROT/PROS REMOV-HIP8006 ARTHROT/PROS REMOV-KNEE8007 ARTHROT/PROS REMOV-ANKLE8008 ARTHROT/PROS REMOV-FOOT8009 ARTHROT & PROS REMOV NEC80<strong>10</strong> OTHER ARTHROTOMY NOS8011 OTH ARTHROTOMY-SHOULDER8012 OTH ARTHROTOMY-ELBOW8013 OTH ARTHROTOMY-WRIST8014 OTH ARTHROTOMY-HAND/FNGR8015 OTH ARTHROTOMY-HIP8016 OTH ARTHROTOMY-KNEE8017 OTH ARTHROTOMY-ANKLE8018 OTH ARTHROTOMY-FOOT/TOE8019 OTHER ARTHROTOMY NEC8020 ARTHROSCOPY NOS8021 SHOULDER ARTHROSCOPY8022 ELBOW ARTHROSCOPY8023 WRIST ARTHROSCOPY8024 HAND & FINGER ARTHROSCOP8025 HIP ARTHROSCOPY8026 KNEE ARTHROSCOPY8027 ANKLE ARTHROSCOPY8028 FOOT & TOE ARTHROSCOPY8029 ARTHROSCOPY NEC8030 JOINT BIOPSY NOS8031 SHOULDER JOINT BIOPSY8032 ELBOW JOINT BIOPSY8033 WRIST JOINT BIOPSY8034 HAND/FINGER JOINT BIOPSY8035 HIP JOINT BIOPSY8036 KNEE JOINT BIOPSY8037 ANKLE JOINT BIOPSY8038 FOOT & TOE JOINT BIOPSY8039 JOINT BIOPSY NEC8040 JT STRUCTUR DIVISION NOS8041 SHOULDER STRUCT DIVISION8042 ELBOW STRUCTURE DIVISION8043 WRIST STRUCTURE DIVISION8044 HAND JOINT STRUCT DIVIS8045 HIP STRUCTURE DIVISION8046 KNEE STRUCTURE DIVISION8047 ANKLE STRUCTURE DIVISION8048 FOOT JOINT STRUCT DIVIS8049 JT STRUCTUR DIVISION NEC8050 EXC/DEST INTVRT DISC NOS8051 EXCISION INTERVERT DISC8052 CHEMONUCLEOLYSIS IV DISC8053 REP ANULUS FIBROSUS-GRFT8054 REP ANULS FIBROS NEC/NOS8059 OTH EXC/DEST INTVRT DISC806 EXCIS KNEE SEMILUN CARTL8070 SYNOVECTOMY-SITE NOS8071 SHOULDER SYNOVECTOMY8072 ELBOW SYNOVECTOMY8073 WRIST SYNOVECTOMY8074 HAND SYNOVECTOMY8075 HIP SYNOVECTOMY8076 KNEE SYNOVECTOMY8077 ANKLE SYNOVECTOMY8078 FOOT SYNOVECTOMY8079 SYNOVECTOMY-SITE NEC8080 DESTRUCT JOINT LES NOS8081 DESTRUC-SHOULDER LES NEC8082 DESTRUC-ELBOW LESION NEC8083 DESTRUC-WRIST LESION NEC8084 DESTRUC-HAND JT LES NEC8085 DESTRUCT-HIP LESION NEC8086 DESTRUCT-KNEE LESION NEC8087 DESTRUC-ANKLE LESION NEC8088 DESTRUC-FOOT JT LES NEC8089 DESTRUCT JOINT LES NEC8090 EXCISION OF JOINT NOS8091 EXCISION OF SHOULDER NEC8092 EXCISION OF ELBOW NEC8093 EXCISION OF WRIST NEC8094 EXCISION HAND JOINT NEC8095 EXCISION OF HIP NEC8096 EXCISION OF KNEE NEC8097 EXCISION OF ANKLE NEC8098 EXCISION FOOT JOINT NEC8099 EXCISION OF JOINT NEC8<strong>10</strong>0 SPINAL FUSION NOS8<strong>10</strong>1 ATLAS-AXIS FUSION8<strong>10</strong>2 OTHER CERVICAL FUS ANT8<strong>10</strong>3 OTHER CERVICAL FUS POST8<strong>10</strong>4 DORSAL/DORSOLUM FUS ANT8<strong>10</strong>5 DORSAL/DORSOLUM FUS POSTwww.ahd.com Page 16 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services8<strong>10</strong>6 LUMBAR/LUMBOSAC FUS ANT8<strong>10</strong>7 LUMBAR/LUMBOSAC FUS LAT8<strong>10</strong>8 LUMBAR/LUMBOSAC FUS POST8111 ANKLE FUSION8112 TRIPLE ARTHRODESIS8113 SUBTALAR FUSION8114 MIDTARSAL FUSION8115 TARSOMETATARSAL FUSION8116 METATARSOPHALANGEAL FUS8117 OTHER FUSION OF FOOT8118 SUBTALR JT ARTHROEREISIS8120 ARTHRODESIS NOS8121 ARTHRODESIS OF HIP8122 ARTHRODESIS OF KNEE8123 ARTHRODESIS OF SHOULDER8124 ARTHRODESIS OF ELBOW8125 CARPORADIAL FUSION8126 METACARPOCARPAL FUSION8127 METACARPOPHALANGEAL FUS8128 INTERPHALANGEAL FUSION8129 ARTHRODESIS NEC8130 SPINAL REFUSION NOS8131 REFUSION OF ATLAS-AXIS8132 REFUSION OF OTH CERV ANT8133 REFUS OF OTH CERV POST8134 REFUSION OF DORSAL ANT8135 REFUSION OF DORSAL POST8136 REFUSION OF LUMBAR ANT8137 REFUSION OF LUMBAR LAT8138 REFUSION OF LUMBAR POST8139 REFUSION OF SPINE NEC8140 REPAIR OF HIP, NEC8142 FIVE-IN-ONE KNEE REPAIR8143 TRIAD KNEE REPAIR8144 PATELLAR STABILIZATION8145 CRUCIATE LIG REPAIR NEC8146 COLLATERL LIG REPAIR NEC8147 OTHER REPAIR OF KNEE8149 OTHER REPAIR OF ANKLE8151 TOTAL HIP REPLACEMENT8152 PARTIAL HIP REPLACEMENT8153 REVISE HIP REPLACEMT NOS8154 TOTAL KNEE REPLACEMENT8155 REVISE KNEE REPLACE NOS8156 TOTAL ANKLE REPLACEMENT8157 REPL JOINT OF FOOT, TOE8159 REV JT REPL LOW EXT NEC8162 FUS/REFUS 2-3 VERTEBRAE8163 FUS/REFUS 4-8 VERTEBRAE8164 FUS/REFUS 9 VERTEBRAE8165 PERCUTAN VERTEBROPLASTY8166 PERCUT VERTEBRAL AUGMENT8171 ARTHROPLAS METACARP WIT8172 ARTHROPLASTY METACAR W/O8173 TOTAL WRIST REPLACEMENT8174 ARTHROPLASTY CARPAL WIT8175 ARTHROPLASTY CARPAL W/O8179 OTH REPAIR HAN/FIN/WRIS8180 TOTAL SHOULDER REPLACE8181 PARTIAL SHOULDER REPLACE8182 REP RECUR SHLDER DISLOC8183 SHOULDER ARTHROPLAST NEC8184 TOTAL ELBOW REPLACEMENT8185 ELBOW ARTHROPLASTY NEC8191 ARTHROCENTESIS8192 INJECTION INTO JOINT8193 SUTUR CAPSUL/LIGAMEN ARM8194 SUTURE CAPSUL/LIG ANK/FT8195 SUTUR CAPSUL/LIG LEG NEC8196 OTHER REPAIR OF JOINT8197 REV JT REPL UPPER EXTREM8198 OTHER JOINT DX PROCEDURE8199 JOINT STRUCTURE OP NEC8201 EXPLOR TEND SHEATH-HAND8202 MYOTOMY OF HAND8203 BURSOTOMY OF HAND8204 I & D PALMAR/THENAR SPAC8209 INC SOFT TISSUE HAND NEC8211 TENOTOMY OF HAND8212 FASCIOTOMY OF HAND8219 DIV SOFT TISSUE HAND NEC8221 EXC LES TEND SHEATH HAND8222 EXCISION HAND MUSCLE LES8229 EXC LES SFT TISS HND NEC8231 BURSECTOMY OF HAND8232 EXCIS HAND TEND FOR GRFT8233 HAND TENONECTOMY NEC8234 EXC HND MUS/FAS FOR GRFT8235 HAND FASCIECTOMY NEC8236 OTHER MYECTOMY OF HAND8239 HAND SOFT TISSUE EXC NEC8241 SUTURE TENDN SHEATH HAND8242 DELAY SUT FLEX TEND HAND8243 DELAY SUT HAND TEND NEC8244 SUTUR FLEX TEND HAND NEC8245 SUTURE HAND TENDON NEC8246 SUTURE HAND MUSCLE/FASC8251 HAND TENDON ADVANCEMENT8252 HAND TENDON RECESSION8253 HAND TENDON REATTACHMENT8254 HAND MUSCLE REATTACHMENT8255 CHNG HND MUS/TEN LNG NEC8256 TRANSPLANT HAND TEND NEC8257 TRANSPOSIT HAND TEND NEC8258 TRANSPLANT HAND MUSC NEC8259 TRANSPOSIT HAND MUSC NEC8261 POLLICIZATION OPERATION8269 THUMB RECONSTRUCTION NEC8271 HAND TEND PULLEY RECONST8272 PLAST OP HND-MUS/FAS GRF8279 PLAST OP HAND W GRFT NEC8281 TRANSFER OF FINGER8282 REPAIR OF CLEFT HAND8283 REPAIR OF MACRODACTYLY8284 REPAIR OF MALLET FINGER8285 OTHER TENODESIS OF HAND8286 OTHER TENOPLASTY OF HAND8289 HAND PLASTIC OP NEC8291 LYSIS OF HAND ADHESIONS8292 ASPIRATION BURSA OF HAND8293 ASPIR SOFT TISS HAND NEC8294 INJECT BURSA OF HAND8295 INJECT TENDON OF HAND8296 HAND SFT TISSU INJEC NEC8299 HAND MUS/TEN/FAS/OPS NEC8301 TENDON SHEATH EXPLORAT8302 MYOTOMY8303 BURSOTOMY8309 SOFT TISSUE INCISION NEC8311 ACHILLOTENOTOMY8312 ADDUCTOR TENOTOMY OF HIP8313 OTHER TENOTOMY8314 FASCIOTOMY8319 SOFT TISSUE DIVISION NEC8321 SOFT TISSUE BIOPSY8329 SOFT TISSUE DX PROC NEC8331 EXCIS LES TENDON SHEATH8332 EXCIS LESION OF MUSCLE8339 EXC LES SOFT TISSUE NEC8341 TENDON EXCISION FOR GRFT8342 OTHER TENONECTOMY8343 MUSC/FASC EXCIS FOR GRFT8344 OTHER FASCIECTOMY8345 OTHER MYECTOMY8349 OTHER SOFT TISSUE EXCIS835 BURSECTOMY8361 TENDON SHEATH SUTURE8362 DELAYED TENDON SUTURE8363 ROTATOR CUFF REPAIR8364 OTHER SUTURE OF TENDON8365 OTHER MUSCLE/FASC SUTURE8371 TENDON ADVANCEMENT8372 TENDON RECESSION8373 TENDON REATTACHMENT8374 MUSCLE REATTACHMENT8375 TENDON TRNSFR/TRANSPLANT8376 OTHER TENDON TRANSPOSIT8377 MUSCLE TRNSFR/TRANSPLANT8379 OTHER MUSCLE TRANSPOSIT8381 TENDON GRAFT8382 MUSCLE OR FASCIA GRAFT8383 TENDON PULLEY RECONSTRUC8384 CLUBFOOT RELEASE NEC8385 MUSC/TEND LNG CHANGE NEC8386 QUADRICEPSPLASTY8387 OTHER PLASTIC OPS MUSCLE8388 OTHER PLASTIC OPS TENDON8389 OTHER PLASTIC OPS FASCIAwww.ahd.com Page 17 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services8391 ADHESIOLYSIS MUS/TEN/FAS8392 INSERT SKEL MUSC STIMULA8393 REMOV SKEL MUSC STIMULAT8394 ASPIRATION OF BURSA8395 SOFT TISSUE ASPIRAT NEC8396 INJECTION INTO BURSA8397 INJECTION INTO TENDON8398 SOFT TISSUE INJECT NEC8399 MUS/TEN/FAS/BUR OP NEC8400 UPPER LIMB AMPUTAT NOS8401 FINGER AMPUTATION8402 THUMB AMPUTATION8403 AMPUTATION THROUGH HAND8404 DISARTICULATION OF WRIST8405 AMPUTATION THRU FOREARM8406 DISARTICULATION OF ELBOW8407 AMPUTATION THRU HUMERUS8408 SHOULDER DISARTICULATION8409 FOREQUARTER AMPUTATION84<strong>10</strong> LOWER LIMB AMPUTAT NOS8411 TOE AMPUTATION8412 AMPUTATION THROUGH FOOT8413 DISARTICULATION OF ANKLE8414 AMPUTAT THROUGH MALLEOLI8415 BELOW KNEE AMPUTAT NEC8416 DISARTICULATION OF KNEE8417 ABOVE KNEE AMPUTATION8418 DISARTICULATION OF HIP8419 HINDQUARTER AMPUTATION8421 THUMB REATTACHMENT8422 FINGER REATTACHMENT8423 FOREARM/WRIST/HAND REATT8424 UPPER ARM REATTACHMENT8425 TOE REATTACHMENT8426 FOOT REATTACHMENT8427 LOWER LEG/ANKLE REATTACH8428 THIGH REATTACHMENT8429 REATTACHMENT NEC843 AMPUTATION STUMP REVIS8440 IMPLNT/FIT PROS LIMB NOS8441 FIT UP ARM/SHOULD PROSTH8442 FIT LO ARM/HAND PROSTHES8443 FIT ARM PROSTHESIS NOS8444 IMPLANT ARM PROSTHESIS8445 FIT ABOVE KNEE PROSTHES8446 FIT BELOW KNEE PROSTHES8447 FIT LEG PROSTHESIS NOS8448 IMPLANT LEG PROSTHESIS8451 INS SPINAL FUSION DEVICE8452 INSERT RECOMBINANT BMP8453 IMP LIMB LENGTH KINETIC8454 IMPL OTHER LIMB LENGTH8455 INS BONE VOID FILLER8456 INS OR REP CEMENT SPACER8457 REMOVAL OF CEMENT SPACER8459 INSERT OTHR SPIN DEVICE8460 INSERT DISC PROS NOS8461 INS PART DISC PROS CERV8462 INS TOT DISC PROST CERV8463 INS SPIN DISC PROS THOR8464 INS PART DISC PROS LUMB8465 INS TOTL DISC PROS LUMB8466 REVISE DISC PROST CERV8467 REVISE DISC PROST THORA8468 REVISE DISC PROSTH LUMB8469 REVISE DISC PROSTH NOS8471 APP EXT FIX DEV-MONOPLAN8472 APP EXT FIX DEV-RING SYS8473 APP HYBRID EXT FIX DEV8480 INS/REPL INTERSPINE DEV8481 REV INTERSPINE DEVICE8482 INS/REPL PDCL STABIL DEV8483 REV PEDCL DYN STABIL DEV8484 INS/REPL FACET REPLC DEV8485 REV FACET REPLACE DEVICE8491 AMPUTATION NOS8492 SEPARAT EQUAL JOIN TWIN8493 SEPARAT UNEQUL JOIN TWIN8499 MUSCULOSKELETAL OP NEC850 MASTOTOMY8511 CLOSED BREAST BIOPSY8512 OPEN BREAST BIOPSY8519 BREAST DX PROCEDURE NEC8520 BREAST TISSU DESTRUC NOS8521 LOCAL EXCIS BREAST LES8522 QUADRANT RESECT BREAST8523 SUBTOTAL MASTECTOMY8524 EXC ECTOPIC BREAST TISSU8525 EXCISION OF NIPPLE8531 UNILAT REDUCT MAMMOPLAST8532 BILAT REDUCT MAMMOPLASTY8533 UNIL SUBQ MAMMECT-IMPLNT8534 UNILAT SUBQ MAMMECT NEC8535 BIL SUBQ MAMMECT-IMPLANT8536 BILAT SUBQ MAMMECTOM NEC8541 UNILAT SIMPLE MASTECTOMY8542 BILAT SIMPLE MASTECTOMY8543 UNILAT EXTEN SIMP MASTEC8544 BILAT EXTEND SIMP MASTEC8545 UNILAT RADICAL MASTECTOM8546 BILAT RADICAL MASTECTOMY8547 UNIL EXT RAD MASTECTOMY8548 BIL EXTEN RAD MASTECTOMY8550 AUGMENT MAMMOPLASTY NOS8551 UNIL BREAST INJEC-AUGMEN8552 BIL BREAST INJEC-AUGMENT8553 UNILAT BREAST IMPLANT8554 BILATERAL BREAST IMPLANT856 MASTOPEXY8570 TOTL RECONSTC BREAST NOS8571 LATISS DORSI MYOCUT FLAP8572 TRAM FLAP, PEDICLED8573 TRAM FLAP, FREE8574 DIEP FLAP, FREE8575 SIEA FLAP, FREE8576 GAP FLAP, FREE8579 TOTL RECONST BREAST NEC8581 SUTURE BREAST LACERATION8582 BREAST SPLIT-THICK GRAFT8583 BREAST FULL-THICK GRAFT8584 BREAST PEDICLE GRAFT8585 BREAST MUSCLE FLAP GRAFT8586 TRANSPOSITION OF NIPPLE8587 NIPPLE REPAIR NEC8589 MAMMOPLASTY NEC8591 ASPIRATION OF BREAST8592 BREAST INJECTION8593 BREAST IMPLANT REVISION8594 BREAST IMPLANT REMOVAL8595 INSER BREAST TISSU EXPAN8596 REMOV BREAST TISSU EXPAN8599 BREAST OPERATION NEC8601 ASPIRATION SKIN & SUBQ8602 SKIN DEFECT TATTOOING8603 INCISION PILONIDAL SINUS8604 OTHER SKIN & SUBQ I & D8605 REMOVAL FB/DEV FROM SKIN8606 INSERT INFUSION PUMP8607 INSERT VASC ACCESS DEV8609 SKIN & SUBQ INCISION NEC8611 SKIN & SUBQ BIOPSY8619 SKIN & SUBQ DX PROC NEC8621 EXCISION OF PILONID CYST8622 EXC WOUND DEBRIDEMENT8623 NAIL REMOVAL8624 SKIN CHEMOSURGERY8625 DERMABRASION8626 LIGATION DERMAL APPENDAG8627 DEBRIDEMENT OF NAIL8628 NONEXCIS DEBRIDEMENT WND863 OTHER LOCAL DESTRUC SKIN864 RADICAL EXCIS SKIN LES8651 REPLANTATION OF SCALP8659 SKIN CLOSURE NEC8660 FREE SKIN GRAFT NOS8661 FULL-THICK HAND SKIN GRF8662 HAND SKIN GRAFT NEC8663 FULL-THICK SKIN GRFT NEC8664 HAIR TRANSPLANT8665 HETEROGRAFT TO SKIN8666 HOMOGRAFT TO SKIN8667 DERMAL REGENER GRAFT8669 FREE SKIN GRAFT NEC8670 PEDICLE GRAFT/FLAP NOS8671 CUT & PREP PEDICLE GRAFT8672 PEDICLE GRAFT ADVANCEMEN8673 ATTACH PEDICLE TO HAND8674 ATTACH PEDICLE GRAFT NECwww.ahd.com Page 18 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services8675 REVISION OF PEDICLE GRFT8681 REPAIR FACIAL WEAKNESS8682 FACIAL RHYTIDECTOMY8683 SIZE REDUCT PLASTIC OP8684 RELAXATION OF SCAR8685 SYNDACTYLY CORRECTION8686 ONYCHOPLASTY8689 SKIN REPAIR & PLASTY NEC8691 SKIN EXCISION FOR GRAFT8692 EPILATION OF SKIN8693 INSERT TISSUE EXPANDER8694 INS/REPL SINGLE PUL GEN8695 INS/REPL DUAL PULSE GEN8696 INSERT/REPL OTH NEUROST8697 INS/REP 1 PUL GEN,RECHRG8698 INS/REP 2 PUL GEN,RECHRG8699 SKIN & SUBQ OP NEC8701 PNEUMOENCEPHALOGRAM8702 BRAIN/SKULL CONTRST XRAY8703 C.A.T. SCAN OF HEAD8704 HEAD TOMOGRAPHY NEC8705 CONTRAST DACRYOCYSTOGRAM8706 NASOPHARY CONTRAST X-RAY8707 CONTRAST LARYNGOGRAM8708 CERVICAL LYMPHANGIOGRAM8709 HEAD SOFT TISS X-RAY NEC8711 FULL-MOUTH X-RAY8712 DENTAL X-RAY NEC8713 TM CONTRAST ARTHROGRAM8714 CONTRAST X-RAY OF ORBIT8715 CONTRAST X-RAY OF SINUS8716 FACIAL BONE X-RAY NEC8717 SKULL X-RAY NEC8721 CONTRAST MYELOGRAM8722 CERVICAL SPINE X-RAY NEC8723 THORACIC SPINE X-RAY NEC8724 LUMBOSAC SPINE X-RAY NEC8729 SPINAL X-RAY NEC8731 ENDOTRACHEAL BRONCHOGRAM8732 CONTRAST BRONCHOGRAM NEC8733 MEDIASTINAL PNEUMOGRAM8734 INTRATHOR LYMPHANGIOGRAM8735 CONTR MAMMARY DUCTOGRAM8736 BREAST XEROGRAPHY8737 MAMMOGRAPHY NEC8738 CHEST WALL SINOGRAM8739 THORAX SFT TISS XRAY NEC8741 C.A.T. SCAN OF THORAX8742 THORACIC TOMOGRAPHY NEC8743 RIB/STERNUM/CLAVIC X-RAY8744 ROUTINE CHEST X-RAY8749 CHEST X-RAY NEC8751 PERC HEPAT CHOLANGIOGRAM8752 INTRAVEN CHOLANGIOGRAM8753 INTRAOPER CHOLANGIOGRAM8754 CHOLANGIOGRAM NEC8759 BILIARY TRACT X-RAY NEC8761 BARIUM SWALLOW8762 UPPER GI SERIES8763 SMALL BOWEL SERIES8764 LOWER GI SERIES8765 INTESTINAL X-RAY NEC8766 CONTRAST PANCREATOGRAM8769 DIGESTIVE TRACT XRAY NEC8771 C.A.T. SCAN OF KIDNEY8772 NEPHROTOMOGRAM NEC8773 INTRAVENOUS PYELOGRAM8774 RETROGRADE PYELOGRAM8775 PERCUTANEOUS PYELOGRAM8776 RETROGR CYSTOURETHROGRAM8777 CYSTOGRAM NEC8778 ILEAL CONDUITOGRAM8779 URINARY SYSTEM X-RAY NEC8781 X-RAY OF GRAVID UTERUS8782 GAS HYSTEROSALPINGOGRAM8783 DYE HYSTEROSALPINGOGRAM8784 PERCUTANEOUS HYSTEROGRAM8785 TUBE & UTERUS X-RAY NEC8789 FEMALE GENITAL X-RAY NEC8791 CONTR SEMIN VESICULOGRAM8792 PROSTAT/SEM VES XRAY NEC8793 CONTRAST EPIDIDYMOGRAM8794 CONTRAST VASOGRAM8795 EPIDIDYMIS/VAS X-RAY NEC8799 MALE GENITAL X-RAY NEC8801 C.A.T. SCAN OF ABDOMEN8802 ABDOMINAL TOMOGRAPHY NEC8803 ABDOMINAL WALL SINOGRAM8804 ABDOMINAL LYMPHANGIOGRAM8809 ABDOMINAL WALL X-RAY NEC8811 PELVIC DYE CONTRAST XRAY8812 PELVIC GAS CONTRAST XRAY8813 PERITON PNEUMOGRAM NEC8814 RETROPERITON FISTULOGRAM8815 RETROPERITON PNEUMOGRAM8816 RETROPERITONEAL XRAY NEC8819 ABDOMINAL X-RAY NEC8821 SKL XRAY-SHOULDER/UP ARM8822 SKEL XRAY-ELBOW/FOREARM8823 SKEL XRAY-WRIST & HAND8824 SKEL XRAY-UPPER LIMB NOS8825 PELVIMETRY8826 SKEL XRAY-PELVIS/HIP NEC8827 SKEL XRAY-THIGH/KNEE/LEG8828 SKEL XRAY-ANKLE & FOOT8829 SKEL XRAY-LOWER LIMB NOS8831 SKELETAL SERIES X-RAY8832 CONTRAST ARTHROGRAM8833 OTHER SKELETAL X-RAY8834 UPPER LIMB LYMPHANGIOGRM8835 UP LIMB SFT TIS XRAY NEC8836 LOWER LIMB LYMPHANGIOGRM8837 LO LIMB SFT TIS XRAY NEC8838 OTHER C.A.T. SCAN8839 X-RAY NEC AND NOS8840 CONTRAST ARTERIOGRAM NOS8841 CONTR CEREBR ARTERIOGRAM8842 CONTRAST AORTOGRAM8843 CONTR PULMON ARTERIOGRAM8844 CONTR THOR ARTERIOGR NEC8845 CONTRAST RENAL ARTERIOGR8846 CONTRAST PLACENTOGRAM8847 CONTR ABD ARTERIOGRM NEC8848 CONTRAST ARTERIOGRAM-LEG8849 CONTRAST ARTERIOGRAM NEC8850 ANGIOCARDIOGRAPHY NOS8851 VENA CAV ANGIOCARDIOGRAM8852 RT HEART ANGIOCARDIOGRAM8853 LT HEART ANGIOCARDIOGRAM8854 RT & LT HEART ANGIOCARD8855 CORONAR ARTERIOGR-1 CATH8856 CORONAR ARTERIOGR-2 CATH8857 CORONARY ARTERIOGRAM NEC8858 NEGATVE-CONTR CARDIOGRAM8859 INTRA-OP FLUOR VASC ANGI8860 CONTRAST PHLEBOGRAM NOS8861 CONTR PHLEBOGRAM-HD/NECK8862 CONTR PHLEBOGRAM-PULMON8863 THORAC CONTR PHLEBOG NEC8864 PORTAL CONTR PHLEBOGRAM8865 ABD CONTR PHLEBOGRAM NEC8866 CONTRAST PHLEBOGRAM-LEG8867 CONTRAST PHLEBOGRAM NEC8868 IMPEDANCE PHLEBOGRAM8871 DX ULTRASOUND-HEAD/NECK8872 DX ULTRASOUND-HEART8873 DX ULTRASOUND-THORAX NEC8874 DX ULTRASOUND-DIGESTIVE8875 DX ULTRASOUND-URINARY8876 DX ULTRASOUND-ABDOMEN8877 DX ULTRASOUND-VASCULAR8878 DX ULTRASOUND-GRAV UTER8879 DX ULTRASOUND NEC8881 CEREBRAL THERMOGRAPHY8882 OCULAR THERMOGRAPHY8883 BONE THERMOGRAPHY8884 MUSCLE THERMOGRAPHY8885 BREAST THERMOGRAPHY8886 BLOOD VESSEL THERMOGRAPH8889 THERMOGRAPHY NEC8890 DIAGNOSTIC IMAGING NOS8891 MRI OF BRAIN & BRAINSTEM8892 MRI CHEST & HEART8893 MRI SPINAL CANAL8894 MRI MUSCULOSKELETAL8895 MRI PELVIS,PROSTATE,BLAD8896 OTH INTRAOP MAG RES IMAG8897 MAGNETIC RES IMAGE UNSPwww.ahd.com Page 19 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services8898 BONE MINERAL DENSITY8901 BRIEF INTERVIEW & EVALUA8902 LIMITED INTERVIEW/EVALUA8903 COMPREHEN INTERVIEW/EVAL8904 INTERVIEW & EVALUAT NEC8905 INTERVIEW & EVALUAT NOS8906 LIMITED CONSULTATION8907 COMPREHENSIVE CONSULTAT8908 CONSULTATION NEC8909 CONSULTATION NOS89<strong>10</strong> INTRACAROT AMOBARB TEST8911 TONOMETRY8912 NASAL FUNCTION STUDY8913 NEUROLOGIC EXAMINATION8914 ELECTROENCEPHALOGRAM8915 NEUROLOGIC FUNC TEST NEC8916 SKULL TRANSILLUMINAT8917 POLYSOMNOGRAM8918 OTH SLEEP DIS FUNCT TEST8919 VIDEO/RADIO EEG MONITOR8921 URINARY MANOMETRY8922 CYSTOMETROGRAM8923 URETHRAL SPHINCTER EMG8924 UROFLOWMETRY8925 URETHRAL PRESSURE PROFIL8926 GYNECOLOGIC EXAMINATION8929 OTHER GU SYSTEM EXAMS8931 DENTAL EXAMINATION8932 ESOPHAGEAL MANOMETRY8933 DIGITAL ENTEROSTOMY EXAM8934 DIGITAL RECTAL EXAM8935 NASAL SINUS TRANSILLUMIN8936 MANUAL EXAM OF BREAST8937 VITAL CAPACITY DETERMIN8938 RESPIRATORY MEASURE NEC8939 NONOPERATIVE EXAMS NEC8941 TREADMILL STRESS TEST8942 MASTERS' 2-STEP TEST8943 BICYCLE ERGOMETER TEST8944 CARDIAC STRESS TEST NEC8945 PACEMAKER RATE CHECK8946 PACEMAKER WAVE FORM CHCK8947 PACEMAKER IMPEDANCE CHCK8948 PACEMAKER VOLT THRESHOLD8949 A<strong>ICD</strong> CHECK8950 AMBU CARDIAC MONITORING8951 RHYTHM ELECTROCARDIOGRAM8952 ELECTROCARDIOGRAM8953 VECTORCARDIOGRAM8954 ELECTROCARDIOGRAPH MONIT8955 PHONOCARDIOGRAM8956 CAROTID PULSE TRACING8957 APEXCARDIOGRAM8958 PLETHYSMOGRAM8959 NONOP CARDIAC/VASC EXAM8960 CNT INTRAART BLD GAS MON8961 ARTERIAL PRESSURE MONIT8962 CVP MONITORING8963 PULMON ART PRESS MONITOR8964 PULMON ART WEDGE MONITOR8965 ARTERIAL BLD GAS MEASURE8966 MIX VENOUS BLD GAS MEAS8967 OXYGEN CONSUMPTION MONIT8968 OTH CARDIAC MON OUTPUT8969 CORONARY BLD FLOW MONIT897 GENERAL PHYSICAL EXAM898 AUTOPSY9001 BACT SMEAR-NERVOUS SYST9002 CULTURE-NERVOUS SYST9003 C & S-NERVOUS SYST9004 PARASITOLOGY-NERV SYST9005 TOXICOLOGY-NERVOUS SYST9006 CELL BLK/PAP-NERVOUS SYS9009 MICRO EXAM-NERVOUS NEC9011 BACT SMEAR-ENDOCRINE9012 CULTURE-ENDOCRINE9013 C & S-ENDOCRINE9014 PARASITOLOGY-ENDOCRINE9015 TOXICOLOGY-ENDOCRINE9016 CELL BLOCK/PAP-ENDOCRINE9019 MICRO EXAM-ENDOCRINE NEC9021 BACT SMEAR-EYE9022 CULTURE-EYE9023 C & S-EYE9024 PARASITOLOGY-EYE9025 TOXICOLOGY-EYE9026 CELL BLOCK/PAP-EYE9029 MICRO EXAM-EYE NEC9031 BACT SMEAR-ENT/LARYNX9032 CULTURE-ENT/LARYNX9033 C & S-ENT/LARYNX9034 PARASITOLOGY-ENT/LARYNX9035 TOXICOLOGY-ENT/LARYNX9036 CELL BLOCK/PAP-ENT/LARYN9039 MICRO EXAM-ENT/LARYN NEC9041 BACT SMEAR-LOWER RESP9042 CULTURE-LOWER RESP9043 C & S-LOWER RESP9044 PARASITOLOGY-LOWER RESP9045 TOXICOLOGY-LOWER RESP9046 CELL BLOCK/PAP-LOWR RESP9049 MICRO EXAM-LOWR RESP NEC9051 BACT SMEAR-BLOOD9052 CULTURE-BLOOD9053 C & S-BLOOD9054 PARASITOLOGY-BLOOD9055 TOXICOLOGY-BLOOD9056 CELL BLOCK/PAP-BLOOD9059 MICRO EXAM-BLOOD NEC9061 BACT SMEAR-SPLEEN/MARROW9062 CULTURE-SPLEEN/MARROW9063 C & S-SPLEEN/MARROW9064 PARASITOL-SPLEEN/MARROW9065 TOXICOLOGY-SPLEEN/MARROW9066 CELL BLK/PAP-SPLEEN/MARR9069 MICRO EXAM-SPLN/MARR NEC9071 BACT SMEAR-LYMPH SYSTEM9072 CULTURE-LYMPH SYSTEM9073 C & S-LYMPH SYSTEM9074 PARASITOLOGY-LYMPH SYS9075 TOXICOLOGY-LYMPH SYSTEM9076 CELL BLK/PAP-LYMPH SYS9079 MICRO EXAM-LYMPH SYS NEC9081 BACT SMEAR-UPPER GI9082 CULTURE-UPPER GI9083 C & S-UPPER GI9084 PARASITOLOGY-UPPER GI9085 TOXICOLOGY-UPPER GI9086 CELL BLK/PAP-UPPER GI9089 MICRO EXAM-UPPER GI NEC9091 BACT SMEAR-LOWER GI9092 CULTURE-LOWER GI9093 C & S-LOWER GI9094 PARASITOLOGY-LOWER GI9095 TOXICOLOGY-LOWER GI9096 CELL BLK/PAP-LOWER GI9099 MICRO EXAM-LOWER GI NEC9<strong>10</strong>1 BACT SMEAR-BILI/PANCREAS9<strong>10</strong>2 CULTURE-BILI/PANCREAS9<strong>10</strong>3 C & S-BILI/PANCREAS9<strong>10</strong>4 PARASITOLOGY-BILI/PANCR9<strong>10</strong>5 TOXICOLOGY-BILI/PANCREAS9<strong>10</strong>6 CELL BLK/PAP-BILI/PANCRE9<strong>10</strong>9 MICRO EXAM-BILI/PANC NEC9111 BACT SMEAR-PERITONEUM9112 CULTURE-PERITONEUM9113 C & S-PERITONEUM9114 PARASITOLOGY-PERITONEUM9115 TOXICOLOGY-PERITONEUM9116 CELL BLK/PAP-PERITONEUM9119 MICRO EXAM-PERITON NEC9121 BACT SMEAR-UPPER URINARY9122 CULTURE-UPPER URINARY9123 C & S-UPPER URINARY9124 PARASITOLOGY-UPPER URIN9125 TOXICOLOGY-UPPER URINARY9126 CELL BLK/PAP-UPPER URIN9129 MICRO EXAM-UPPR URIN NEC9131 BACT SMEAR-LOWER URINARY9132 CULTURE-LOWER URINARY9133 C & S-LOWER URINARY9134 PARASITLOLGY-LOWER URIN9135 TOXICOLOGY-LOWER URINARY9136 CELL BLK/PAP-LOWER URIN9139 MICRO EXAM-LOW URIN NEC9141 BACT SMEAR-FEMALE GENIT9142 CULTURE-FEMALE GENITAL9143 C & S-FEMALE GENITALwww.ahd.com Page 20 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services9144 PARASITOLOGY-FEMALE GEN9145 TOXICOLOGY-FEMALE GENIT9146 CELL BLK/PAP-FEMALE GEN9149 MICRO EXAM-FEMAL GEN NEC9151 BACT SMEAR-MUSCULOSKEL9152 CULTURE-MUSCULOSKELETAL9153 C & S-MUSCULOSKELETAL9154 PARASITOLOGY-MUSCULOSKEL9155 TOXICOLOGY-MUSCULOSKEL9156 CELL BLK/PAP-MUSCULOSKEL9159 MICRO EXAM-MUSCULOSK NEC9161 BACT SMEAR-INTEGUMENT9162 CULTURE-INTEGUMENT9163 C & S-INTEGUMENT9164 PARASITOLOGY-INTEGUMENT9165 TOXICOLOGY-INTEGUMENT9166 CELL BLK/PAP-INTEGUMENT9169 MICRO EXAM-INTEGUMEN NEC9171 BACT SMEAR-OP WOUND9172 CULTURE-OP WOUND9173 C & S-OP WOUND9174 PARASITOLOGY-OP WOUND9175 TOXICOLOGY-OP WOUND9176 CELL BLK/PAP-OP WOUND9179 MICRO EXAM-OP WOUND NEC9181 BACT SMEAR NEC9182 CULTURE NEC9183 C & S NEC9184 PARASITOLOGY NEC9185 TOXICOLOGY NEC9186 CELL BLK/PAP NEC9189 MICRO EXAM NEC9191 BACT SMEAR NOS9192 CULTURE NOS9193 C & S NOS9194 PARASITOLOGY NOS9195 TOXICOLOGY NOS9196 CELL BLK/PAP NOS9199 MICRO EXAM NOS9201 THYROID SCAN/ISOTOP FUNC9202 LIVER SCAN/ISOTOPE FUNCT9203 RENAL SCAN/ISOTOPE FUNCT9204 GI SCAN & ISOTOPE FUNCT9205 C-VASC SCAN/ISOTOP FUNCT9209 OTHER ISOTOPE FUNCTION9211 CEREBRAL SCAN9212 HEAD SCAN NEC9213 PARATHYROID SCAN9214 BONE SCAN9215 PULMONARY SCAN9216 LYMPHATIC SYSTEM SCAN9217 PLACENTAL SCAN9218 TOTAL BODY SCAN9219 SCAN OF OTHER SITES9220 INF LIQUID BRACHY ISOTOP9221 SUPERFICIAL RADIATION9222 ORTHOVOLTAGE RADIATION9223 RADIOISOT TELERADIOTHER9224 TELERADIO USING PHOTONS9225 ELECTRON TELERADIOTHERAP9226 PARTICUL TELERADIOTH NEC9227 RADIOACTIVE ELEM IMPLANT9228 ISOTOPE INJECT/INSTILL9229 RADIOTHERAPEUT PROC NEC9230 STEREO RADIOSURGERY NOS9231 SING SOURCE RADIOSURGERY9232 MULTISOURCE RADIOSURGERY9233 PARTICULATE RADIOSURGERY9239 STEREO RADIOSURGERY NEC9241 INTRA-OP ELECTRON RAD RX9301 FUNCTIONAL PT EVALUATION9302 ORTHOTIC EVALUATION9303 PROSTHETIC EVALUATION9304 MANUAL MUSCLE FUNCT TEST9305 RANGE OF MOTION TESTING9306 LIMB LENGTH MEASUREMENT9307 BODY MEASUREMENT9308 ELECTROMYOGRAPHY9309 OTHER DX PT PROCEDURE9311 ASSISTING EXERCISE9312 ACTIV MUSCULOSK EXER NEC9313 RESISTIVE EXERCISE9314 JOINT MOVEMENT TRAINING9315 MOBILIZATION OF SPINE9316 OTHER JOINT MOBILIZATION9317 PASS MUSCULOSK EXER NEC9318 PT BREATHING EXERCISE9319 PT EXERCISE NEC9321 MANUAL & MECHAN TRACTION9322 AMBULAT & GAIT TRAINING9323 ORTHOTIC DEVICE FITTING9324 PROSTHET/ORTHOT TRAINING9325 FORCED LIMB EXTENSION9326 MANUAL RUPT JOINT ADHES9327 MUSC OR TEND STRETCHING9328 STRETCHING OF FASCIA9329 FORCIB CORRECT DEFOR NEC9331 ASSISTED POOL EXERCISE9332 WHIRLPOOL TREATMENT9333 OTHER HYDROTHERAPY9334 DIATHERMY9335 OTHER HEAT THERAPY9336 CARDIAC RETRAINING9337 PRENATAL TRAINING9338 COMBINED PT NOS9339 PHYSICAL THERAPY NEC9341 SPINE TRACT W SKULL DEV9342 OTHER SPINAL TRACTION9343 INTERMITT SKEL TRACTION9344 OTHER SKELETAL TRACTION9345 THOMAS' SPLINT TRACTION9346 LIMB SKIN TRACTION NEC9351 PLASTER JACKET APPLICAT9352 NECK SUPPORT APPLICATION9353 OTHER CAST APPLICATION9354 APPLICATION OF SPLINT9355 DENTAL WIRING9356 PRESSURE DRESSING APPLIC9357 DRESSING OF WOUND NEC9358 PRESSURE TROUSER APPLICA9359 IMMOBILIZ/WOUND ATTN NEC9361 OMT FOR GEN'L MOBILIZAT9362 OMT WITH HI-VEL,LO-AMPLI9363 OMT WITH LO-VEL,HI-AMPLI9364 OMT WITH ISOTON,ISOMETRI9365 OMT WITH INDIRECT FORCES9366 OMT TO MOVE TISSUE FLUID9367 OSTEOPATH MANIPULAT NEC9371 DYSLEXIA TRAINING9372 DYSPHASIA TRAINING9373 ESOPHAG SPEECH TRAINING9374 SPEECH DEFECT TRAINING9375 OTHER SPEECH THERAPY9376 TRAINING IN LEAD DOG USE9377 BRAILLE OR MOON TRAINING9378 REHAB FOR THE BLIND NEC9381 RECREATIONAL THERAPY9382 EDUCATIONAL THERAPY9383 OCCUPATIONAL THERAPY9384 MUSIC THERAPY9385 VOCATIONAL REHABILITAT9389 REHABILITATION NEC9390 NON-INVASIVE MECH VENT9391 IPPB9393 NONMECHAN RESUSCITATION9394 NEBULIZER THERAPY9395 HYPERBARIC OXYGENATION9396 OXYGEN ENRICHMENT NEC9397 DECOMPRESSION CHAMBER9398 ATMOS PRESS/COMPOS CONTR9399 OTHER RESP PROCEDURES9401 INTELLIGENCE TEST ADMIN9402 PSYCHOLOGIC TEST ADMINIS9403 CHARACTER ANALYSIS9408 PSYCHOL EVAL & TEST NEC9409 PSYCHOL MENTAL STAT NOS9411 PSYCHIAT MENTAL DETERMIN9412 ROUTINE PSYCHIAT VISIT9413 PSYCHIA COMMITMENT EVAL9419 PSYCHIA INTERV/EVAL NEC9421 NARCOANALYSIS9422 LITHIUM THERAPY9423 NEUROLEPTIC THERAPY9424 CHEMICAL SHOCK THERAPY9425 PSYCHIAT DRUG THERAP NEC9426 SUBCONVULSIVE EST9427 ELECTROSHOCK THERAPY NEC9429 PSYCHIATR SOMATOTHER NECwww.ahd.com Page 21 of 23


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services9431 PSYCHOANALYSIS9432 HYPNOTHERAPY9433 BEHAVIOR THERAPY9434 IND THERAP PSYCHSEX DYSF9435 CRISIS INTERVENTION9436 PLAY PSYCHOTHERAPY9437 EXPLOR VERBAL PSYCHOTHER9438 SUPPOR VERBAL PSYCHOTHER9439 INDIVID PSYCHOTHERAP NEC9441 GRP THERAP PSYCHSEX DYSF9442 FAMILY THERAPY9443 PSYCHODRAMA9444 OTHER GROUP THERAPY9445 DRUG ADDICT COUNSELLING9446 ALCOHOLISM COUNSELLING9449 OTHER COUNSELLING9451 REFERRAL FOR PSYCHOTHER9452 REFERRAL PSYCH AFTERCARE9453 REFERRAL ALCOHOL REHAB9454 REFERRAL FOR DRUG REHAB9455 REFERRAL VOCATION REHAB9459 REFERRAL PSYCH REHAB NEC9461 ALCOHOL REHABILITATION9462 ALCOHOL DETOXIFICATION9463 ALCOHOL REHAB/DETOX9464 DRUG REHABILITATION9465 DRUG DETOXIFICATION9466 DRUG REHAB/DETOX9467 COMB ALCOHOL/DRUG REHAB9468 COMB ALCOHOL/DRUG DETOX9469 COMB ALCO/DRUG REHA/DETO9501 LIMITED EYE EXAMINATION9502 COMPREHENSIVE EYE EXAM9503 EXTENDED OPHTHAL WORK-UP9504 ANESTHETIZED EYE EXAM9505 VISUAL FIELD STUDY9506 COLOR VISION STUDY9507 DARK ADAPTATION STUDY9509 EYE EXAMINATION NOS9511 FUNDUS PHOTOGRAPHY9512 EYE FLUORESCEIN ANGIOGRA9513 ULTRASOUND STUDY OF EYE9514 X-RAY STUDY OF EYE9515 OCULAR MOTILITY STUDY9516 P32 & EYE TRACER NEC9521 ELECTRORETINOGRAM9522 ELECTRO-OCULOGRAM9523 VISUAL EVOKED POTENTIAL9524 ELECTRONYSTAGMOGRAM9525 ELECTROMYOGRAM OF EYE9526 GLAUCOMA TESTING9531 SPECTACLE FIT & DISPENSE9532 PERSCR/FIT/DISP CONTACTS9533 OTH LO VISION AID DISPEN9534 OCULAR PROSTHETICS9535 ORTHOPTIC TRAINING9536 OPHTH COUNSEL & INSTRUCT9541 AUDIOMETRY9542 CLINICAL HEARING TEST9543 AUDIOLOGICAL EVALUATION9544 CLIN VESTIBUL FUNCT TEST9545 ROTATION TESTS9546 AUDIT & VESTIB TEST NEC9547 HEARING EXAMINATION NOS9548 FITTING OF HEARING AID9549 NON-OP HEARING PROC NEC9601 INSERT NASOPHARYN AIRWAY9602 INSERT OROPHARYN AIRWAY9603 INSERT ESOPH OBTU AIRWAY9604 INSERT ENDOTRACHEAL TUBE9605 RESP TRACT INTUBAT NEC9606 INSERT SENGSTAKEN TUBE9607 INSERT GASTRIC TUBE NEC9608 INSERT INTESTINAL TUBE9609 INSERT RECTAL TUBE9611 PACK EXT AUDITORY CANAL9614 VAGINAL PACKING9615 VAGINAL MOLD INSERTION9616 OTHER VAGINAL DILATION9617 VAG DIAPHRAGM INSERTION9618 OTH VAGIN PESSARY INSERT9619 RECTAL PACKING9621 DILAT FRONTONASAL DUCT9622 DILATION OF RECTUM9623 DILATION ANAL SPHINCTER9624 DILAT ENTEROSTOMY STOMA9625 THERAPEUT DISTENT BLADD9626 MANUAL REDUC RECT PROLAP9627 MANUAL REDUCTION HERNIA9628 MANL REDUCT STOMA PROLAP9629 REDUCT INTUSS ALI TRACT9631 GASTRIC COOLING9632 GASTRIC FREEZING9633 GASTRIC LAVAGE9634 GASTRIC TUBE IRRIGAT NEC9635 GASTRIC GAVAGE9636 GI OSTOMY IRRIGATION9637 PROCTOCLYSIS9638 IMPACTED FECES REMOVAL9639 OTHER TRANSANAL ENEMA9641 BILIARY TUBE IRRIGATION9642 PANCREATIC TUBE IRRIGAT9643 GI TRACT INSTILLAT NEC9644 VAGINAL DOUCHE9645 NEPHROST/PYELOST IRRIGAT9646 URTEROST/URETE CTH IRRIG9647 CYSTOSTOMY IRRIGATION9648 INDWELL CATH IRRIG NEC9649 OTHER GU INSTILLATION9651 IRRIGATION OF EYE9652 IRRIGATION OF EAR9653 IRRIGATION OF NASAL PASS9654 DENTAL SCALING & DEBRIDE9655 TRACHEOSTOMY TOILETTE9656 BRONCH/TRACH LAVAGE NEC9657 VASCULAR CATH IRRIGATION9658 WOUND CATHETER IRRIGAT9659 WOUND IRRIGATION NEC966 ENTRAL INFUS NUTRIT SUB9670 CON INV MEC VEN-UNSP DUR9671 CONT INV MEC VEN


<strong>ICD</strong>-9 <strong>Procedure</strong> <strong>Codes</strong> <strong>effective</strong> <strong>10</strong>/1/<strong>2008</strong> (<strong>v26.0</strong>)<strong>Source</strong>: <strong>Centers</strong> for Medicare and Medicaid Services9772 REMOV INTRAUTERINE PACK9773 REMOV VAGINAL DIAPHRAGM9774 REMOVAL OTH VAG PESSARY9775 REMOV VAG/VULV PACKING9779 REMOV OTHER GENIT DEVICE9781 REMOV RETROPERITON DRAIN9782 REMOV PERITONEAL DRAIN9783 REMOV ABDOM WALL SUTURE9784 REMOV TRUNK SUTURE NEC9785 REMOV TRUNK PACKING NEC9786 REMOV ABDOMEN DEVICE NEC9787 REMOV TRUNK DEVICE NEC9788 REMOV EXT IMMOBILIZATION9789 REMOV THERAPEUT DEV NEC9801 REMOV INTRALUM MOUTH FB9802 REMOV INTRALUM ESOPH FB9803 REMOV INTRALUM GASTR FB9804 REMOV INTRALUM COLON FB9805 REMOV INTRALUM RECT FB9811 REMOV INTRALUM EAR FB9812 REMOV INTRALUM NOSE FB9813 REMOV INTRALUM PHARYN FB9814 REMOV INTRALUM LARYN FB9815 REMOV INTRALUM TRACH FB9816 REMOV INTRALUM UTER FB9817 REMOV INTRALUM VAG FB9818 REMOV INTRALUM STOMA FB9819 REMOVE INTRALUM URETH FB9820 REMOVAL OF FB NOS9821 REMOVAL SUPERFIC FB EYE9822 REMOVAL HEAD/NECK FB9823 REMOVAL VULVAR FB9824 REMOVAL SCROTAL/PENIS FB9825 REMOVAL TRUNK FB NEC9826 REMOVAL FB FROM HAND9827 REMOVAL FB FROM ARM9828 REMOVAL FB FROM FOOT9829 REMOVAL FB FROM LEG9851 ESWL KID/URETER/BLADDER9852 ESWL GB/BILE DUCT9859 ESWL OTHER SITES9900 PERIOP AUT TRANS HOL BLD9901 EXCHANGE TRANSFUSION9902 TRANSFUS PREV AUTO BLOOD9903 WHOLE BLOOD TRANSFUS NEC9904 PACKED CELL TRANSFUSION9905 PLATELET TRANSFUSION9906 COAG FACTOR TRANSFUSION9907 SERUM TRANSFUSION NEC9908 BLOOD EXPANDER TRANSFUS9909 TRANSFUSION NEC99<strong>10</strong> INJECT/INF THROMBO AGENT9911 INJECT RH IMMUNE GLOBUL9912 ALLERGY IMMUNIZATION9913 AUTOIMMUNE DIS IMMUNIZAT9914 INJ/INFUS GAMMA GLOBULIN9915 PARENT INFUS NUTRIT SUB9916 INJECT ANTIDOTE9917 INJECT INSULIN9918 INJECT/INFUSE ELECTROLYT9919 INJECT ANTICOAGULANT9920 INJ/INF PLATELET INHIBIT9921 INJECT ANTIBIOTIC9922 INJECT ANTI-INFECT NEC9923 INJECT STEROID9924 INJECT HORMONE NEC9925 INJECT CA CHEMOTHER NEC9926 INJECT TRANQUILIZER9927 IONTOPHORESIS9928 IMMUNOTHERAPY AS ANTINEO9929 INJECT/INFUSE NEC9931 CHOLERA VACCINATION9932 TYPHOID/PARATYPHOID VACC9933 TUBERCULOSIS VACCINATION9934 PLAGUE VACCINATION9935 TULAREMIA VACCINATION9936 DIPHTHERIA TOXOID ADMIN9937 PERTUSSIS VACCINATION9938 TETANUS TOXOID ADMINIST9939 DPT ADMINISTRATION9941 POLIO VACCINE ADMINISTRA9942 SMALLPOX VACCINATION9943 YELLOW FEVER VACCINATION9944 RABIES VACCINATION9945 MEASLES VACCINATION9946 MUMPS VACCINATION9947 RUBELLA VACCINATION9948 MMR ADMINISTRATION9951 COMMON COLD VACCINATION9952 INFLUENZA VACCINATION9953 ARBOVIRUS ENCEPH VACCIN9954 ARBOVIRUS VACCINAT NEC9955 VACCINATION NEC9956 TETANUS ANTITOXIN ADMINI9957 BOTULISM ANTITOXIN ADMIN9958 ANTITOXIN ADMINISTRA NEC9959 VACCINATION/INNOCULA NEC9960 CARDIOPULM RESUSCITA NOS9961 ATRIAL CARDIOVERSION9962 HEART COUNTERSHOCK NEC9963 CLOSED CHEST CARD MASSAG9964 CAROTID SINUS STIUMLAT9969 CARDIAC RHYTHM CONV NEC9971 THERAPEU PLASMAPHERESIS9972 THERAPEUTC LEUKOPHERESIS9973 THERAPEU ERYTHROPHERESIS9974 THERAPEU PLATELTPHERESIS9975 ADM NEUROPROTECTIVE AGNT9976 EXTRACORP IMMUNOABSORPT9977 APP ADHESION BARRIER SUB9978 AQUAPHERESIS9979 OTHER THERAPEU APHERESIS9981 HYPOTHERMIA9982 ULTRAVIOLET LIGHT THERAP9983 OTHER PHOTOTHERAPY9984 ISOLATION9985 HYPERTHERMIA CA THERAPY9986 NON-INVASIVE BONE STIMUL9988 THERAPEUTC PHOTOPHERESIS9991 ANESTHESIA ACUPUNCTURE9992 OTHER ACUPUNCTURE9993 RECTAL MASSAGE9994 PROSTATIC MASSAGE9995 STRETCHING OF FORESKIN9996 SPERM COLLECTION9997 DENTURE FITTING9998 MILK EXTRACTION9999 MISCELLANEOUS PROC NECwww.ahd.com Page 23 of 23

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!