Spreadsheet: 81495d1281643099-vlookup-function-compare
Sheet: TMM Procedure (OFF CODES)

CPT/ HCPC Procedure Code | Code Description | Milliman LOS v13 | ORG | ORG Description | UMR review is considered OFF | Is the Code on the OP preservice list?: Yes/No | IP Precert On and then OP off for precert | IP Precert on and OP On for [NAME] | Additional Codes, not included in the BABW ROI model yet part of the ORG online | [NAME]
00.10 | IMPLANTATION OF CHEMOTHERAPEUTIC AGENT | A | W0074 | Medical Oncology GRG | On |  |  |  |  | #N/A
00.70 | ? | A or 3 | S-560 | [NAME] | Off |  |  |  |  | #N/A
00.80 | Revision of knee replacement, total (all components) | 2 | W0081 | [NAME] | Off |  |  |  |  | #N/A
00.82 | ? | 3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
01.23 | REOPENING OF CRANIOTOMY SITE | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
01.24 | OTHER CRANIOTOMY | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
01.31 | INCISION OF CEREBRAL MENINGES | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
01.39 | OTHER INCISION OF BRAIN | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
01.41 | OPERATIONS ON THE NERVOUS SYSTEM; INCISION AND EXCISION OF SKULL, BRAIN, AND CEREBRAL MENINGES; OPERATIONS ON THALAMUS AND GLOBUS PALLIDUS; OPERATIONS ON THALAMUS | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  | Yes | #N/A
01.42 | OPERATIONS ON THE NERVOUS SYSTEM; INCISION AND EXCISION OF SKULL, BRAIN, AND CEREBRAL MENINGES; OPERATIONS ON THALAMUS AND GLOBUS PALLIDUS; OPERATIONS ON GLOBUS PALLIDUS | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  | Yes | #N/A
01.51 | EXCISION OF LESION OR TISSUE OF CEREBRAL MENINGES | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
01.52 | OPERATIONS ON THE NERVOUS SYSTEM; INCISION AND EXCISION OF SKULL, BRAIN, AND CEREBRAL MENINGES; OTHER EXCISION OR DESTRUCTION OF BRAIN AND MENINGES; HEMISPHERECTOMY | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  | Yes | #N/A
01.53 | LOBECTOMY OF BRAIN | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
01.59 | OTHER EXCISION OR DESTRUCTION OF LESION OR TISSUE OF BRAIN | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
02.02 | ELEVATION OF SKULL FRACTURE FRAGMENTS | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
02.05 | INSERTION OF SKULL PLATE | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
02.06 | OTHER CRANIAL OSTEOPLASTY | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
02.34 | [NAME] SHUNT TO ABDOMINAL CAVITY AND ORGANS | 1 | S-1050 | Shunt, Ventriculoperitoneal for Hydrocephalus | Off |  |  |  |  | #N/A
02.92 | REPAIR OF BRAIN | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
04.41 | DECOMPRESSION OF TRIGEMINAL NERVE ROOT | A-2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
06.81 | [NAME] PARATHYROIDECTOMY | A or 1 | W0070 | Parathyroidectomy | Off |  |  |  |  | #N/A
06.89 | OTHER PARATHYROIDECTOMY | A or 1 | W0070 | Parathyroidectomy | Off |  |  |  |  | #N/A
07.21 | EXCISION OF LESION OF ADRENAL GLAND | 4 | S-20 | Adrenalectomy, Partial or [NAME] | Off |  |  |  |  | #N/A
07.21 | EXCISION OF LESION OF ADRENAL GLAND | A-1 | S-22 | Adrenalectomy by Laparoscopy | Off |  |  |  |  | #N/A
07.22 | UNILATERAL ADRENALECTOMY | 4 | S-20 | Adrenalectomy, Partial or [NAME] | Off |  |  |  |  | #N/A
07.22 | UNILATERAL ADRENALECTOMY | A-1 | S-22 | Adrenalectomy by Laparoscopy | Off |  |  |  |  | #N/A
07.29 | OTHER PARTIAL ADRENALECTOMY | 4 | S-20 | Adrenalectomy, Partial or [NAME] | Off |  |  |  |  | #N/A
07.29 | OTHER PARTIAL ADRENALECTOMY | A-1 | S-22 | Adrenalectomy by Laparoscopy | Off |  |  |  |  | #N/A
7.40 | CLASSICAL CESAREAN SECTION; Transperitoneal classical cesarean | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
07.61 | PARTIAL EXCISION OF PITUITARY GLAND, TRANSFRONTAL APPROACH | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
07.62 | PARTIAL EXCISION OF PITUITARY GLAND, TRANSSPHENOIDAL APPROACH | 1 or 2 | S-640 | Hypophysectomy, Nasal Approach | Off |  |  |  |  | #N/A
07.65 | TOTAL EXCISION OF PITUITARY GLAND, TRANSSPHENOIDAL APPROACH | 1 or 2 | S-640 | Hypophysectomy, Nasal Approach | Off |  |  |  |  | #N/A
07.80 | THYMECTOMY, NOT OTHERWISE SPECIFIED | A-2 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
07.81 | PARTIAL EXCISION OF THYMUS | 3 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
17.31 | LAPAROSCOPIC MULTIPLE SEGMENTAL RESECTION OF LARGE INTESTINE | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  | Yes | #N/A
17.32 | LAPAROSCOPIC CECECTOMY | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  | Yes | #N/A
17.33 | Laparoscopic right hemicolectomy | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
17.34 | LAPAROSCOPIC CECECTOMY | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  | Yes | #N/A
17.35 | LAPAROSCOPIC CECECTOMY | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  | Yes | #N/A
17.36 | Laparoscopic sigmoidectomy | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
17.39 | Other laparoscopic partial excision of large intestine | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
30.1 | OPERATIONS ON THE RESPIRATORY SYSTEM; EXCISION OF LARYNX; HEMILARYNGECTOMY | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  | Yes | #N/A
30.21 | OPERATIONS ON THE RESPIRATORY SYSTEM; EXCISION OF LARYNX; OTHER PARTIAL LARYNGECTOMY; EPIGLOTTIDECTOMY | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  | Yes | #N/A
30.22 | OPERATIONS ON THE RESPIRATORY SYSTEM; EXCISION OF LARYNX; OTHER PARTIAL LARYNGECTOMY; VOCAL CORDECTOMY | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  | Yes | #N/A
30.29 | OTHER PARTIAL LARYNGECTOMY; Excision of laryngeal cartilage | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  |  | #N/A
30.3 | COMPLETE LARYNGECTOMY; Block dissection of larynx (with | 6 | S-780 | Laryngectomy, complete | Off |  |  |  |  | #N/A
30.4 | RADICAL LARYNGECTOMY; [NAME] [total] laryngectomy with | 6 | S-780 | Laryngectomy, complete | Off |  |  |  |  | #N/A
32.20 | ? | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.21 | PLICATION OF EMPHYSEMATOUS BLEB | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32.21 | PLICATION OF EMPHYSEMATOUS BLEB | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.23 | OPERATIONS ON THE RESPIRATORY SYSTEM; EXCISION OF LUNG AND BRONCHUS; LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF LUNG; OPEN ABLATION OF LUNG LESION OR TISSUE | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  | Yes | #N/A
32.28 | ENDOSCOPIC EXCISION OR DESTRUCTION OF LESION OR TISSUE OF | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.29 | OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32.29 | OTHER LOCAL EXCISION OR DESTRUCTION OF LESION OR TISSUE OF | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.3 | SEGMENTAL RESECTION OF LUNG; Partial lobectomy | 2 | S-802 | Lobectomy, [NAME], by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.3 | SEGMENTAL RESECTION OF LUNG; Partial lobectomy | 4 | [NAME] | Lobectomy, Lung | Off |  |  |  |  | #N/A
32.30 | Thoracoscopic segmental resection of lung | 2 | S-802 | Lobectomy, [NAME], by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.39 | Other and unspecified segmental resection of lung | 4 | [NAME] | Lobectomy, Lung | Off |  |  |  |  | #N/A
32.4 | LOBECTOMY OF LUNG; Lobectomy with segmental resection of | 2 | S-802 | Lobectomy, [NAME], by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.4 | LOBECTOMY OF LUNG; Lobectomy with segmental resection of | 4 | [NAME] | Lobectomy, Lung | Off |  |  |  |  | #N/A
32.41 | Thoracoscopic lobectomy of lung | 2 | S-802 | Lobectomy, [NAME], by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32.49 | Other lobectomy of lung | 4 | [NAME] | Lobectomy, Lung | Off |  |  |  |  | #N/A
33.2 | ? | A-1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off | No |  |  |  | #N/A
33.28 | OPEN BIOPSY OF LUNG | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
33.28 | OPEN BIOPSY OF LUNG | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.02 | EXPLORATORY THORACOTOMY | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
34.03 | REOPENING OF RECENT THORACOTOMY SITE | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
34.04 | INSERTION OF INTERCOSTAL CATHETER FOR DRAINAGE; Chest tube; | A or 2 | M-500 | Pneumothorax | Off |  |  |  |  | #N/A
34.06 | ? | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.20 | ? | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.21 | TRANSPLEURAL THORACOSCOPY | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.24 | OPERATIONS ON THE RESPIRATORY SYSTEM; OPERATIONS ON CHEST WALL, PLEURA, [NAME], AND DIAPHRAGM; DIAGNOSTIC PROCEDURES ON CHEST WALL, PLEURA, [NAME], AND DIAPHRAGM; OTHER PLEURAL BIOPSY | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  | Yes | #N/A
34.51 | DECORTICATION OF LUNG | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
34.51 | DECORTICATION OF LUNG | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.59 | OTHER EXCISION OF PLEURA; Excision of pleural lesion | 3 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.59 | OTHER EXCISION OF PLEURA; Excision of pleural lesion | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.6 | SCARIFICATION OF PLEURA; Pleurosclerosis | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
34.6 | SCARIFICATION OF PLEURA; Pleurosclerosis | A-1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
34.84 | OTHER REPAIR OF DIAPHRAGM | 5 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
34.91 | THORACENTESIS | A or 2 | M-540 | Pleural Effusion | Off |  |  |  |  | #N/A
34.92 | INJECTION INTO THORACIC CAVITY; Chemical pleurodesis, | A or 2 | M-540 | Pleural Effusion | Off |  |  |  |  | #N/A
35.01 | [NAME], AORTIC VALVE | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.02 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; CLOSED HEART VALVOTOMY; CLOSED HEART VALVOTOMY, MITRAL VALVE | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.03 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; CLOSED HEART VALVOTOMY; CLOSED HEART VALVOTOMY, [NAME] VALVE | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.04 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; CLOSED HEART VALVOTOMY; CLOSED HEART VALVOTOMY, TRICUSPID VALVE | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.10 | OPEN HEART VALVULOPLASTY WITHOUT REPLACEMENT, UNSPECIFIED | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.11 | OPEN HEART VALVULOPLASTY OF AORTIC VALVE WITHOUT REPLACEMENT | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.12 | OPEN HEART VALVULOPLASTY OF MITRAL VALVE WITHOUT REPLACEMENT | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.13 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; OPEN HEART VALVULOPLASTY WITHOUT REPLACEMENT; OPEN HEART VALVULOPLASTY OF PULMONARY VALVE WITHOUT REPLACEMENT | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.14 | OPEN HEART VALVULOPLASTY OF TRICUSPID VALVE WITHOUT | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.20 | REPLACEMENT OF UNSPECIFIED HEART VALVE; Repair of | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.21 | REPLACEMENT OF AORTIC VALVE WITH TISSUE GRAFT; Repair of | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.22 | OTHER REPLACEMENT OF AORTIC VALVE; Repair of aortic valve | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.23 | REPLACEMENT OF MITRAL VALVE WITH TISSUE GRAFT; Repair of | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.24 | OTHER REPLACEMENT OF MITRAL VALVE; Repair of mitral valve | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.25 | REPLACEMENT OF PULMONARY VALVE WITH TISSUE GRAFT; Repair of | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.26 | OTHER REPLACEMENT OF PULMONARY VALVE; Repair of pulmonary | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.27 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; REPLACEMENT OF HEART VALVE; REPLACEMENT OF TRICUSPID VALVE WITH TISSUE GRAFT | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.28 | OTHER REPLACEMENT OF TRICUSPID VALVE; Repair of tricuspid | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.31 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; OPERATIONS ON STRUCTURES ADJACENT TO HEART VALVES; OPERATIONS ON PAPILLARY MUSCLE | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.32 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; OPERATIONS ON STRUCTURES ADJACENT TO HEART VALVES; OPERATIONS ON CHORDAE TENDINEAE | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.33 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; OPERATIONS ON STRUCTURES ADJACENT TO HEART VALVES; ANNULOPLASTY | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.34 | INFUNDIBULECTOMY; Right ventricular infundibulectomy | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
35.35 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; OPERATIONS ON STRUCTURES ADJACENT TO HEART VALVES; OPERATIONS ON TRABECULAE CARNEAE CORDIS | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
35.41 | ENLARGEMENT OF EXISTING ATRIAL SEPTAL DEFECT; [NAME] | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.42 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; PRODUCTION OF SEPTAL DEFECT IN HEART; CREATION OF SEPTAL DEFECT IN HEART | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
35.50 | REPAIR OF UNSPECIFIED SEPTAL DEFECT OF HEART WITH PROSTHESIS | 3 | S-281 | Cardiac Septal Defect: Atrial, Repair | Off |  |  |  |  | #N/A
35.52 | REPAIR OF ATRIAL SEPTAL DEFECT WITH PROSTHESIS, CLOSED | 3 | S-281 | Cardiac Septal Defect: Atrial, Repair | Off |  |  |  |  | #N/A
35.54 | REPAIR OF ENDOCARDIAL CUSHION DEFECT WITH PROSTHESIS; | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.61 | REPAIR OF ATRIAL SEPTAL DEFECT WITH TISSUE GRAFT; | 3 | S-281 | Cardiac Septal Defect: Atrial, Repair | Off |  |  |  |  | #N/A
35.62 | REPAIR OF VENTRICULAR SEPTAL DEFECT WITH TISSUE GRAFT; | 3 | S-284 | Cardiac Septal Defect: [NAME], Repair | Off |  |  |  |  | #N/A
35.63 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; REPAIR OF ATRIAL AND [NAME] WITH TISSUE GRAFT; REPAIR OF ENDOCARDIAL CUSHION DEFECT WITH TISSUE GRAFT | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
35.70 | OTHER AND UNSPECIFIED REPAIR OF UNSPECIFIED SEPTAL DEFECT OF | 3 | S-281 | Cardiac Septal Defect: Atrial, Repair | Off |  |  |  |  | #N/A
35.71 | OTHER AND UNSPECIFIED REPAIR OF ATRIAL SEPTAL DEFECT; Repair | 3 | S-281 | Cardiac Septal Defect: Atrial, Repair | Off |  |  |  |  | #N/A
35.72 | OTHER AND UNSPECIFIED REPAIR OF VENTRICULAR SEPTAL DEFECT; | 3 | S-284 | Cardiac Septal Defect: [NAME], Repair | Off |  |  |  |  | #N/A
35.73 | OTHER AND UNSPECIFIED REPAIR OF ENDOCARDIAL CUSHION DEFECT; | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.81 | TOTAL REPAIR OF TETRALOGY OF FALLOT; One-stage total | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.82 | TOTAL REPAIR OF TOTAL ANOMALOUS PULMONARY VENOUS CONNECTION; | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.83 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; TOTAL REPAIR OF CERTAIN CONGENITAL CARDIAC ANOMALIES; TOTAL REPAIR OF TRUNCUS ARTERIOSUS | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
35.84 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; TOTAL REPAIR OF CERTAIN CONGENITAL CARDIAC ANOMALIES; TOTAL CORRECTION OF TRANSPOSITION OF GREAT VESSELS, NOT ELSEWHERE CLASSIFIED | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
35.91 | INTERATRIAL TRANSPOSITION OF VENOUS RETURN; Baffle: Atrial, | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.92 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; OTHER OPERATIONS ON VALVES AND SEPTA OF HEART; CREATION OF CONDUIT BETWEEN RIGHT VENTRICLE AND PULMONARY ARTERY | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
35.93 | CREATION OF CONDUIT BETWEEN LEFT VENTRICLE AND AORTA; | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.94 | CREATION OF CONDUIT BETWEEN ATRIUM AND [NAME] ARTERY; | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
35.99 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OPERATIONS ON VALVES AND SEPTA OF HEART; OTHER OPERATIONS ON VALVES AND SEPTA OF HEART; OTHER OPERATIONS ON VALVES OF HEART | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
36.1 | BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION | 1 | W0043 | Coronary Artery Bypass Graft, Minimally Invasive Direct (MIDCAB) | Off |  |  |  |  | #N/A
36.1 | BYPASS ANASTOMOSIS FOR HEART REVASCULARIZATION | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.10 | AORTOCORONARY BYPASS FOR HEART REVASCULARIZATION, NOT | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.11 | AORTOCORONARY BYPASS OF ONE CORONARY ARTERY | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.12 | [NAME] TWO CORONARY ARTERIES | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.13 | [NAME] THREE CORONARY ARTERIES | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.14 | [NAME] FOUR OR MORE CORONARY ARTERIES | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.15 | SINGLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS; Anastomosis | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.16 | DOUBLE INTERNAL MAMMARY-CORONARY ARTERY BYPASS; [NAME], | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
36.19 | [NAME] FOR HEART REVASCULARIZATION | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
38.12 | Other vessels of head and neck; Carotid artery (common) | 1 | [NAME] | Carotid Endarterectomy | Off |  |  |  |  | #N/A
38.14 | Aorta | 5 or 6 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
38.31 | Intracranial vessels; Cerebral (anterior) (middle), Circle | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
38.31 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; INCISION, EXCISION, AND OCCLUSION OF VESSELS; RESECTION OF VESSEL WITH ANASTOMOSIS; Intracranial vessels | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  | Yes | #N/A
38.34 | Aorta | 3 | S-150 | Aortic Coarctation, Excision or Repair | Off |  |  |  |  | #N/A
38.41 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; INCISION, EXCISION, AND OCCLUSION OF VESSELS; RESECTION OF VESSEL WITH REPLACEMENT; Intracranial vessels | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  | Yes | #N/A
38.44 | AORTA, ABDOMINAL | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
38.45 | THORACIC VESSEL; Aorta, Innominate, [NAME] (artery) | 3 | S-150 | Aortic Coarctation, Excision or Repair | Off |  |  |  |  | #N/A
38.45 | THORACIC VESSEL; Aorta, Innominate, [NAME] (artery) | 5 | S-140 | Aortic Aneurysm, Thoracic, Repair with Graft | Off |  |  |  |  | #N/A
38.46 | Abdominal arteries; [NAME], Gastric, Hepatic, Iliac, | 5 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
38.64 | AORTA, ABDOMINAL | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
38.81 | Intracranial vessels; Cerebral (anterior) (middle), Circle | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
38.81 | Intracranial vessels; Cerebral (anterior) (middle), Circle | 8 | S-412 | Craniotomy, Supratentorial, for Surgery of Bleeding Intracranial Aneurysm | Off |  |  |  |  | #N/A
38.85 | THORACIC VESSEL; Aorta, Innominate, [NAME] (artery) | 1 | S-950 | Patent [NAME], Ligation or Division | Off |  |  |  |  | #N/A
39.21 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OTHER OPERATIONS ON VESSELS; OTHER SHUNT OR VASCULAR BYPASS; CAVAL-PULMONARY ARTERY [NAME] | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
39.23 | OPERATIONS ON THE CARDIOVASCULAR SYSTEM; OTHER OPERATIONS ON VESSELS; OTHER SHUNT OR VASCULAR BYPASS; OTHER INTRATHORACIC VASCULAR SHUNT OR BYPASS | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
39.25 | AORTA-ILIAC-FEMORAL BYPASS; Bypass: Aortofemoral, Aortoiliac, | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
39.29 | OTHER (PERIPHERAL) VASCULAR SHUNT OR BYPASS; [NAME] (graft): | 2 | [NAME] | Femoral Popliteal Bypass | Off |  |  |  |  | #N/A
39.5 | [NAME] or atherectomy of other non-coronary vessel(s) | A-1 | S-152 | Aortic Coarctation, [NAME] | On |  |  |  |  | #N/A
39.51 | CLIPPING OF ANEURYSM | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
39.52 | OTHER REPAIR OF ANEURYSM; Repair of aneurysm by: Coagulation, | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
39.71 | ENDOVASCULAR IMPLANTATION OF GRAFT IN ABDOMINAL AORTA; | 1 | W0084 | Abdominal Aortic Aneurysm, Endovascular Repair | Off |  |  |  |  | #N/A
39.90 | INSERTION OF NON-DRUG-ELUTING, NON-CORONARY ARTERY STENT(S); | A or 1 | S-152 | Aortic Coarctation, [NAME] | On |  |  |  |  | #N/A
40.40 | RADICAL NECK DISSECTION, NOT OTHERWISE SPECIFIED | 2 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
40.41 | RADICAL NECK DISSECTION, UNILATERAL | 2 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
40.42 | RADICAL NECK DISSECTION, BILATERAL | 2 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
42.40 | ESOPHAGECTOMY, NOT OTHERWISE SPECIFIED | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
42.41 | PARTIAL ESOPHAGECTOMY | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
42.42 | TOTAL ESOPHAGECTOMY | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43.3 | PYLOROMYOTOMY | 1 | P-370 | Pyloromyotomy for Pyloric Stenosis - Pediatric | Off |  |  |  |  | #N/A
43.6 | PARTIAL GASTRECTOMY WITH [NAME] TO DUODENUM; Billroth I | 4 or 6 | S-510 | Gastrectomy, Partial - Billroth I or II | Off |  |  |  |  | #N/A
43.7 | PARTIAL GASTRECTOMY WITH [NAME] TO [NAME]; Billroth II | 4 or 6 | S-510 | Gastrectomy, Partial - Billroth I or II | Off |  |  |  |  | #N/A
43.89 | OTHER; Partial gastrectomy with bypass gastrogastrostomy, | 4 or 6 | S-510 | Gastrectomy, Partial - Billroth I or II | Off |  |  |  |  | #N/A
44.00 | VAGOTOMY, NOT OTHERWISE SPECIFIED; Division of vagus nerve | 4 or 6 | S-990 | [NAME] and Vagotomy | Off |  |  |  |  | #N/A
44.29 | OTHER PYLOROPLASTY; [NAME], Revision of pylorus | 4 or 6 | S-990 | [NAME] and Vagotomy | Off |  |  |  |  | #N/A
44.42 | SUTURE OF DUODENAL ULCER SITE | 4 or 6 | S-990 | [NAME] and Vagotomy | Off |  |  |  |  | #N/A
45.02 | OTHER INCISION OF SMALL INTESTINE | 5 or 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
45.31 | OTHER LOCAL EXCISION OF LESION OF DUODENUM | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
45.41 | EXCISION OF LESION OR TISSUE OF LARGE INTESTINE; Excision of | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.61 | MULTIPLE SEGMENTAL RESECTION OF SMALL INTESTINE; Segmental | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
45.62 | OTHER PARTIAL RESECTION OF SMALL INTESTINE; [NAME], | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
45.63 | TOTAL REMOVAL OF SMALL INTESTINE | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
45.71 | MULTIPLE SEGMENTAL RESECTION OF LARGE INTESTINE; Segmental | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.72 | CECECTOMY; Resection of cecum and terminal ileum | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.73 | RIGHT HEMICOLECTOMY; Ileocolectomy, Right radical colectomy | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.74 | RESECTION OF TRANSVERSE COLON | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.75 | LEFT HEMICOLECTOMY | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.76 | SIGMOIDECTOMY | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.79 | OTHER PARTIAL EXCISION OF LARGE INTESTINE; Enterocolectomy | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
45.82 | Open abdominoperineal resection of the rectum | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  |  | #N/A
45.83 | OPERATIONS ON THE DIGESTIVE SYSTEM; INCISION, EXCISION, AND [NAME] OF INTESTINE; OTHER AND UNSPECIFIED TOTAL INTRA-ABDOMINAL COLECTOMY | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  | Yes | #N/A
45.91 | SMALL-TO-SMALL INTESTINAL ANASTOMOSIS | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
45.94 | LARGE-TO-LARGE INTESTINAL ANASTOMOSIS | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
46.03 | EXTERIORIZATION OF LARGE INTESTINE; Exteriorization of | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
46.52 | CLOSURE OF STOMA OF LARGE INTESTINE; Closure or take-down | 4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
46.80 | INTRA-ABDOMINAL MANIPULATION OF INTESTINE, NOT OTHERWISE | 3 | P-210 | Intussusception Reduction, Surgical - Pediatric | Off |  |  |  |  | #N/A
46.81 | INTRA-ABDOMINAL MANIPULATION OF SMALL INTESTINE | 3 | P-210 | Intussusception Reduction, Surgical - Pediatric | Off |  |  |  |  | #N/A
47.09 | OTHER APPENDECTOMY | 1 | S-170 | Appendectomy, without Peritonitis | Off |  |  |  |  | #N/A
47.09 | OTHER APPENDECTOMY | 1 | S-180 | Appendectomy, with [NAME] or Peritonitis | Off |  |  |  |  | #N/A
48.40 | OPERATIONS ON THE DIGESTIVE SYSTEM; OPERATIONS ON RECTUM, RECTOSIGMOID, AND PERIRECTAL TISSUE; PULL-THROUGH RESECTION OF RECTUM NOT OTHERWISE SPECIFIED | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  | Yes | #N/A
48.41 | OPERATIONS ON THE DIGESTIVE SYSTEM; OPERATIONS ON RECTUM, RECTOSIGMOID, AND PERIRECTAL TISSUE; PULL-THROUGH RESECTION OF RECTUM; SOAVE SUBMUCOSAL RESECTION OF RECTUM | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  | Yes | #N/A
48.43 | OPERATIONS ON THE DIGESTIVE SYSTEM; OPERATIONS ON RECTUM, RECTOSIGMOID, AND PERIRECTAL TISSUE; OPEN PULL-THROUGH RESECTION OF RECTUM | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  | Yes | #N/A
48.49 | OTHER PULL-THROUGH RESECTION OF RECTUM; Abdominoperineal | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  |  | #N/A
48.50 | Abdominoperineal resection of the rectum, not otherwise specified | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  |  | #N/A
48.52 | OPERATIONS ON THE DIGESTIVE SYSTEM; OPERATIONS ON RECTUM, RECTOSIGMOID, AND PERIRECTAL TISSUE; OPEN ABDOMINOPERINEAL RESECTION OF THE RECTUM | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  | Yes | #N/A
48.59 | Other abdominoperineal resection of the rectum | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  |  | #N/A
48.62 | ANTERIOR RESECTION OF RECTUM WITH SYNCHRONOUS COLOSTOMY | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  |  | #N/A
48.63 | OTHER ANTERIOR RESECTION OF RECTUM | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  |  | #N/A
48.65 | OPERATIONS ON THE DIGESTIVE SYSTEM; OPERATIONS ON RECTUM, RECTOSIGMOID, AND PERIRECTAL TISSUE; OTHER RESECTION OF RECTUM; DUHAMEL RESECTION OF RECTUM | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  | Yes | #N/A
48.69 | OTHER; Partial proctectomy, Rectal resection NOS | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  |  | #N/A
48.79 | OTHER REPAIR OF RECTUM; Repair of old obstetric laceration | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
51.22 | TOTAL CHOLECYSTECTOMY | 3 | S-370 | Cholecystectomy with Common Duct Exploration | Off |  |  |  |  | #N/A
51.22 | TOTAL CHOLECYSTECTOMY | 2 | S-360 | Cholecystectomy | Off |  |  |  |  | #N/A
51.41 | COMMON DUCT EXPLORATION FOR REMOVAL OF CALCULUS | 3 | S-370 | Cholecystectomy with Common Duct Exploration | Off |  |  |  |  | #N/A
51.42 | OPERATIONS ON THE DIGESTIVE SYSTEM; OPERATIONS ON GALLBLADDER AND BILIARY TRACT; INCISION OF BILE DUCT FOR RELIEF OF OBSTRUCTION; COMMON DUCT EXPLORATION FOR RELIEF OF OTHER OBSTRUCTION | 3 | S-370 | Cholecystectomy with Common Duct Exploration | Off |  |  |  | Yes | #N/A
51.51 | EXPLORATION OF COMMON DUCT; Incision of common bile duct | 3 | S-370 | Cholecystectomy with Common Duct Exploration | Off |  |  |  |  | #N/A
52.51 | OPERATIONS ON THE DIGESTIVE SYSTEM; OPERATIONS ON PANCREAS; PARTIAL PANCREATECTOMY; PROXIMAL PANCREATECTOMY | 7 | S-1200 | Whipple Procedure | Off |  |  |  | Yes | #N/A
52.52 | DISTAL PANCREATECTOMY; Excision of tail of pancreas (with | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
52.53 | RADICAL SUBTOTAL PANCREATECTOMY | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
52.59 | OTHER PARTIAL PANCREATECTOMY | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
52.6 | TOTAL PANCREATECTOMY; [NAME] with synchronous | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
52.7 | RADICAL PANCREATICODUODENECTOMY; One-stage pancreaticoduodenal | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
53.72 | OPERATIONS ON THE DIGESTIVE SYSTEM; REPAIR OF HERNIA; REPAIR OF DIAPHRAGMATIC HERNIA; OTHER AND OPEN REPAIR OF DIAPHRAGMATIC HERNIA, ABDOMINAL APPROACH | 3 | S-540 | Hiatal Hernia Repair, Abdominal | Off |  |  |  | Yes | #N/A
53.75 | Repair of diaphragmatic hernia, abdominal approach, not otherwise specified | 3 | S-540 | Hiatal Hernia Repair, Transthoracic | Off |  |  |  |  | #N/A
53.80 | REPAIR OF DIAPHRAGMATIC HERNIA WITH THORACIC APPROACH, NOT | 3 | S-550 | Hiatal Hernia Repair, Transthoracic | Off |  |  |  |  | #N/A
53.84 | OPERATIONS ON THE DIGESTIVE SYSTEM; REPAIR OF HERNIA; REPAIR OF DIAPHRAGMATIC HERNIA, THORACIC APPROACH; OTHER AND OPEN REPAIR OF DIAPHRAGMATIC HERNIA, WITH THORACIC APPROACH | 3 | S-550 | Hiatal Hernia Repair, Transthoracic | Off |  |  |  | Yes | #N/A
54.51 | LAPAROSCOPIC LYSIS OF PERITONEAL ADHESIONS | 3 | S-840 | Lysis of Adhesions | Off |  |  |  |  | #N/A
54.59 | [NAME] OF PERITONEAL ADHESIONS | 3 | S-840 | Lysis of Adhesions | Off |  |  |  |  | #N/A
55.4 | PARTIAL NEPHRECTOMY; Calycectomy, Wedge resection of Kidney | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
55.4 | PARTIAL NEPHRECTOMY; Calycectomy, Wedge resection of Kidney | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
55.51 | NEPHROURETERECTOMY; Nephroureterectomy with bladder cuff, | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
55.51 | NEPHROURETERECTOMY; Nephroureterectomy with bladder cuff, | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
55.52 | NEPHRECTOMY OF REMAINING KIDNEY; Removal of solitary kidney | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
55.52 | NEPHRECTOMY OF REMAINING KIDNEY; Removal of solitary kidney | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
55.53 | OPERATIONS ON THE URINARY SYSTEM; OPERATIONS ON KIDNEY; COMPLETE NEPHRECTOMY; REMOVAL OF TRANSPLANTED OR REJECTED KIDNEY | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  | Yes | #N/A
55.53 | OPERATIONS ON THE URINARY SYSTEM; OPERATIONS ON KIDNEY; COMPLETE NEPHRECTOMY; REMOVAL OF TRANSPLANTED OR REJECTED KIDNEY | 3 | S-870 | Nephrectomy | Off |  |  |  | Yes | #N/A
55.54 | BILATERAL NEPHRECTOMY | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
55.54 | BILATERAL NEPHRECTOMY | 1 -- 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
55.69 | OPERATIONS ON THE URINARY SYSTEM; OPERATIONS ON KIDNEY; TRANSPLANT OF KIDNEY; OTHER KIDNEY TRANSPLANTATION | 4 | W0027 | Renal Transplant | Off |  |  |  | Yes | #N/A
56.2 | URETEROTOMY; Incision of ureter for: Drainage, Exploration, | 2 | S-1150 | Ureterotomy, Nontransurethral for Stone | Off |  |  |  |  | #N/A
56.51 | FORMATION OF CUTANEOUS URETERO-ILEOSTOMY; Construction of | 7 | [NAME] | Ureteroileal Conduit | Off |  |  |  |  | #N/A
56.51 | FORMATION OF CUTANEOUS URETERO-ILEOSTOMY; Construction of | 5--6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
56.61 | OPERATIONS ON THE URINARY SYSTEM; OPERATIONS ON URETER; OTHER EXTERNAL URINARY DIVERSION; FORMATION OF OTHER CUTANEOUS URETEROSTOMY | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  | Yes | #N/A
56.71 | OPERATIONS ON THE URINARY SYSTEM; OPERATIONS ON URETER; OTHER ANASTOMOSIS OR BYPASS OF URETER; URINARY DIVERSION TO INTESTINE | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  | Yes | #N/A
57.19 | OTHER CYSTOTOMY; [NAME] | A-1 | S-200 | Bladder Incision: Cystotomy | On |  |  |  |  | #N/A
57.59 | OPEN EXCISION OR DESTRUCTION OF OTHER LESION OR TISSUE OF | A-1 | S-200 | Bladder Incision: Cystotomy | On |  |  |  |  | #N/A
57.71 | RADICAL CYSTECTOMY; Pelvic exenteration in male; Removal of | 5--6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
57.79 | OTHER TOTAL CYSTECTOMY | 5--6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
58.43 | CLOSURE OF OTHER FISTULA OF URETHRA | A-2 | S-1172 | Urethroplasty, Complex Reconstruction | Off |  |  |  |  | #N/A
58.47 | URETHRAL MEATOPLASTY | A-2 | S-1172 | Urethroplasty, Complex Reconstruction | Off |  |  |  |  | #N/A
58.49 | OTHER REPAIR OF URETHRA; [NAME] rotation of bulbous | A-2 | S-1172 | Urethroplasty, Complex Reconstruction | Off |  |  |  |  | #N/A
60.29 | OTHER TRANSURETHRAL PROSTATECTOMY; Excision of median bar by | A or 1 | S-970 | Prostatectomy, Transurethral Resection (TURP) | On |  |  |  |  | #N/A
60.3 | [NAME] PROSTATECTOMY; Transvesical prostatectomy | 3 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
60.4 | RETROPUBIC PROSTATECTOMY | 2 or 3 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
60.5 | RADICAL PROSTATECTOMY; Prostatovesiculectomy, Radical | 1--2 | S-960 | Prostatectomy, Radical | Off |  |  |  |  | #N/A
68.31 | LAPAROSCOPIC SUPRACERVICAL HYSTERECTOMY (LSH) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
68.39 | OTHER SUBTOTAL ABDOMINAL HYSTERECTOMY, NOS | 2 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
68.41 | Laparoscopic total abdominal hysterectomy | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
68.49 | ? | 2 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
68.51 | LAPAROSCOPICALLY ASSISTED VAGINAL HYSTERECTOMY (LAVH) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
68.61 | Laparoscopic radical abdominal hysterectomy | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
68.71 | Laparoscopic radical vaginal hysterectomy [LRVH] | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
68.9 | OTHER AND UNSPECIFIED HYSTERECTOMY; Hysterectomy NOS | 2 | Supp. SG-OBS | [NAME] and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
70.50 | REPAIR OF CYSTOCELE AND RECTOCELE | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.51 | REPAIR OF CYSTOCELE; Anterior colporrhaphy (with urethrocele | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.52 | REPAIR OF RECTOCELE; Posterior colporrhaphy | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.53 | ? | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.54 | ? | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.77 | VAGINAL SUSPENSION AND FIXATION | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.79 | OTHER REPAIR OF VAGINA; Colpoperineoplasty, Repair of old | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.92 | OTHER OPERATIONS ON CUL-DE-SAC; Obliteration of cul-de-sac, | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
70.93 | ? | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On |  |  |  |  | #N/A
72.0 | LOW FORCEPS OPERATION; Outlet forceps operation | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
72.1 | LOW FORCEPS OPERATION WITH EPISIOTOMY; Outlet forceps | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
72.31 | HIGH FORCEPS OPERATION WITH EPISIOTOMY | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
72.54 | OTHER TOTAL BREECH EXTRACTION | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
72.71 | VACUUM EXTRACTION WITH EPISIOTOMY | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
72.79 | OTHER VACUUM EXTRACTION | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
73.01 | INDUCTION OF LABOR BY ARTIFICIAL RUPTURE OF MEMBRANES; | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
73.09 | OTHER ARTIFICIAL RUPTURE OF MEMBRANES; Artificial rupture of | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
73.59 | OTHER MANUALLY ASSISTED DELIVERY; Assisted spontaneous | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
73.6 | EPISIOTOMY; Episioproctotomy, Episiotomy with subsequent | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
74.1 | LOW [NAME] SECTION; Lower uterine segment cesarean | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
74.99 | OTHER CESAREAN SECTION OF UNSPECIFIED TYPE; Cesarean section | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
75.69 | REPAIR OF OTHER CURRENT OBSTETRIC LACERATION; | 1 | Supp. SG-OBS | [NAME] and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
77.27 | Tibia and fibula | 1 | S-1131 | Tibial Osteotomy, Child or Adolescent | Off |  |  |  |  | #N/A
77.27 | Tibia and fibula | A-1 | S-1132 | Tibial Osteotomy, [NAME] | On |  |  |  |  | #N/A
77.37 | Tibia and fibula | 1 | S-1131 | Tibial Osteotomy, Child or Adolescent | Off |  |  |  |  | #N/A
77.37 | Tibia and fibula | A-1 | S-1132 | Tibial Osteotomy, [NAME] | On |  |  |  |  | #N/A
78.53 | Radius and ulna | A or 1 | S-424 | [NAME]: Fracture of Olecranon, Open Treatment | Off |  |  |  |  | #N/A
78.55 | Femur | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
79.06 | Tibia and fibula; [NAME] | A or 1 | S-1111 | Tibia/Fibula Shaft Fracture Closed, Closed Reduction without Internal Fixation | On |  |  |  |  | #N/A
79.15 | Femur | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
79.23 | Carpals and metacarpals; Hand NOS | A or 1 | W0007 | Wrist Fracture, Open Treatment | On |  |  |  |  | #N/A
79.25 | Femur | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
79.33 | Carpals and metacarpals; Hand NOS | A or 1 | W0007 | Wrist Fracture, Open Treatment | On |  |  |  |  | #N/A
79.35 | Femur | 2 | S-470 | Femur Fracture, Shaft, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
79.36 | Tibia and fibula; [NAME] | 2 | S-110 | Ankle Fracture, Open, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
79.36 | Tibia and fibula; [NAME] | A or 1 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
79.36 | Tibia and fibula; [NAME] | A-1 | S-90 | Ankle Fracture, Closed, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
79.37 | Tarsals and metatarsals; Foot NOS | A or 1 | S-490 | Foot Fracture, Calcaneus or Talus, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
79.85 | OPEN REDUCTION OF DISLOCATION OF HIP | 1 | [NAME] | Hip: Congenital Dislocation, Open Reduction - Pediatric | Off |  |  |  |  | #N/A
79.86 | OPEN REDUCTION OF DISLOCATION OF KNEE | 1 | S-675 | [NAME] or Open Treatment | Off |  |  |  |  | #N/A
79.87 | OPEN REDUCTION OF DISLOCATION OF ANKLE | A or 1 | S-82 | Ankle Dislocation, Open or Open Reduction | Off |  |  |  |  | #N/A
81.51 | TOTAL HIP REPLACEMENT; Replacement of both femoral head and | A or 3 | S-560 | [NAME] | Off |  |  |  |  | #N/A
81.52 | PARTIAL HIP REPLACEMENT; Bipolar endoprosthesis | 3 | S-600 | Hip: Displaced Fracture of Femoral Neck, [NAME] | Off |  |  |  |  | #N/A
81.53 | REVISION OF HIP REPLACEMENT; Partial, Total | A or 3 | S-560 | [NAME] | Off |  |  |  |  | #N/A
81.54 | TOTAL KNEE REPLACEMENT; Bicompartmental, Tricompartmental, | 2 | W0081 | [NAME] | Off |  |  |  |  | #N/A
81.55 | REVISION OF KNEE REPLACEMENT | 2 | W0081 | [NAME] | Off |  |  |  |  | #N/A
81.80 | TOTAL SHOULDER REPLACEMENT | A or 2 | S-634 | [NAME] | Off |  |  |  |  | #N/A
81.81 | PARTIAL SHOULDER REPLACEMENT | 2 | S-633 | Shoulder [NAME] | Off |  |  |  |  | #N/A
81.84 | TOTAL ELBOW REPLACEMENT | A or 1 | S-420 | Elbow Arthroplasty | On |  |  |  |  | #N/A
81.85 | OTHER REPAIR OF ELBOW | A or 1 | S-420 | Elbow Arthroplasty | On |  |  |  |  | #N/A
84.12 | AMPUTATION THROUGH FOREFOOT; Amputation of forefoot, | 2 or 3 | S-500 | Foot: Transmetatarsal Amputation | Off |  |  |  |  | #N/A
84.15 | OTHER AMPUTATION BELOW KNEE; Amputation of leg through tibia | 2 or 3 | S-690 | Knee: Below Knee Amputation | Off |  |  |  |  | #N/A
84.16 | DISARTICULATION OF KNEE; [NAME], [NAME], and [NAME] | 2 or 3 | [NAME] | Knee: Above Knee Amputation | Off |  |  |  |  | #N/A
84.17 | AMPUTATION ABOVE KNEE; Amputation of leg through femur, | 2 or 3 | [NAME] | Knee: Above Knee Amputation | Off |  |  |  |  | #N/A
86.09 | OTHER INCISION OF SKIN AND SUBCUTANEOUS TISSUE; Creation of | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off |  |  |  |  | #N/A
86.22 | EXCISIONAL DEBRIDEMENT OF WOUND, INFECTION, OR BURN; Removal | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off |  |  |  |  | #N/A
86.28 | NONEXCISIONAL DEBRIDEMENT OF WOUND, INFECTION, OR BURN; | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off |  |  |  |  | #N/A
92.27 | IMPLANTATION OR INSERTION OF RADIOACTIVE ELEMENTS; | A or 1 | W0074 | Medical Oncology GRG | On |  |  |  |  | #N/A
92.28 | INJECTION OR INSTILLATION OF RADIOISOTOPES; Intracavitary, | A | W0074 | Medical Oncology GRG | On |  |  |  |  | #N/A
93.57 | APPLICATION OF OTHER WOUND DRESSING; Porcine wound dressing | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off |  |  |  |  | #N/A
98.51 | EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY [ESWL] OF THE KIDNEY, | A or 1 | M-320 | [NAME] and [NAME] | On |  |  |  |  | #N/A
00567 | Anesthesia for direct coronary artery bypass grafting; with pump oxygenator | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  | Yes | #N/A
11004 | ? | A-5 | Supp. PG-WS | Wound and Skin Management GRG | Off |  |  |  |  | #N/A
11005 | ? | A-3 | Supp. PG-WS | Wound and Skin Management GRG | Off |  |  |  |  | #N/A
11008 | ? | A-3 | Supp. PG-WS | Wound and Skin Management GRG | Off |  |  |  |  | #N/A
11010 | Debridement including removal of foreign material associated with open fracture(s) and/or | A-2 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
11011 | Debridement including removal of foreign material associated with open fracture(s) and/or | A-4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
11012 | Debridement including removal of foreign material associated with open fracture(s) and/or | A-3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
13160 | Secondary closure of surgical wound or dehiscence, extensive or complicated | A-3 | Supp. PG-WS | Wound and Skin Management GRG | Off |  |  |  |  | #N/A
15101 | Split graft, trunk, arms, legs; each additional 100 sq cm, or each additional one percent | A or 5 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
15121 | Split graft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/o | A-6 | Supp. PG-WS | Wound and Skin Management GRG | Off |  |  |  |  | #N/A
16020 | Dressings and/or debridement, initial or subsequent; without anesthesia, office or hospita | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off |  |  |  |  | #N/A
16025 | Dressings and/or debridement, initial or subsequent; without anesthesia, medium (eg, whole | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off |  |  |  |  | #N/A
16030 | Dressings and/or debridement, initial or subsequent; without anesthesia, large (eg, more t | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off |  |  |  |  | #N/A
16035 | Escharotomy; initial incision | 2 | P-100 | Burn, Major, Noncritical - Pediatric | Off | No |  |  |  | #N/A
19260 | Excision of chest wall tumor including ribs | A-3 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
20005 | Incision of soft tissue abscess (eg, secondary to osteomyelitis); deep or complicated | A-2 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
20005 | Incision of soft tissue abscess (eg, secondary to osteomyelitis); deep or complicated | A-2 | Supp. PG-WS | Wound and Skin Management GRG | Off |  |  |  |  | #N/A
20102 | Exploration of penetrating wound (separate procedure); abdomen/flank/back | A-2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
20950 | Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter | A-4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
21365 | Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fractur | A or 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
21557 | Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax | A-2 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
21627 | Sternal debridement | 7 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
21750 | Closure of median sternotomy separation with or without debridement (separate procedure) | 5 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
22315 | Closed treatment of vertebral fracture(s) [NAME]) requiring casting or braci | A-2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
22325 | Open treatment and/or reduction of vertebral fracture(s) [NAME]), posterior | 3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
22326 | Open treatment and/or reduction of vertebral fracture(s) [NAME]), posterior | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
22327 | Open treatment and/or reduction of vertebral fracture(s) [NAME]), posterior | 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
22595 | Arthrodesis, posterior technique, atlas-axis (C1-C2) | 3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
23030 | Incision and drainage, shoulder area; deep abscess or hematoma | A-3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
23470 | Arthroplasty, glenohumeral joint; hemiarthroplasty | 2 | S-633 | Shoulder [NAME] | Off |  |  |  |  | #N/A
23472 | Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement | A or 2 | S-634 | [NAME] | Off |  |  |  |  | #N/A
23616 | Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without | 2 | S-633 | Shoulder [NAME] | Off |  |  |  |  | #N/A
24363 | Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, to | A or 1 | S-420 | Elbow Arthroplasty | On | No |  |  |  | #N/A
24685 | Open treatment of ulnar fracture proximal end (olecranon process), with or without interna | A or 1 | S-424 | [NAME]: Fracture of Olecranon, Open Treatment | Off | No |  |  |  | #N/A
25628 | Open treatment of carpal scaphoid (navicular) fracture, with or without internal or extern | A or 1 | W0007 | Wrist Fracture, Open Treatment | On | No |  |  |  | #N/A
27030 | Arthrotomy, hip, with drainage (eg, infection) | 5 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27049 | Radical resection of tumor, soft tissue of pelvis and hip area (eg, malignant neoplasm) | A-3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27090 | Removal of hip prosthesis; (separate procedure) | 5 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27091 | Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate | 5 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27125 | Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) | 3 | S-600 | Hip: Displaced Fracture of Femoral Neck, [NAME] | Off |  |  |  |  | #N/A
27130 | Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplas | 2 | S-560 | [NAME] | Off |  |  |  |  | #N/A
27132 | Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or | 2 | S-560 | [NAME] | Off |  |  |  |  | #N/A
27134 | Revision of total hip arthroplasty; both components, with or without autograft or allograf | 2 | S-560 | [NAME] | Off |  |  |  |  | #N/A
27137 | Revision of total hip arthroplasty; acetabular component only, with or without autograft o | 2 | S-560 | [NAME] | Off |  |  |  |  | #N/A
27138 | Revision of total hip arthroplasty; femoral component only, with or without allograft | A or 3 | S-560 | [NAME] | Off |  |  |  |  | #N/A
27165 | Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation an | 2 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27176 | Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ | A or 1 | P-443 | Slipped Upper Femoral Epiphysis, Closed Reduction - Pediatric | Off | No |  |  |  | #N/A
27178 | Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple p | A or 1 | P-443 | Slipped Upper Femoral Epiphysis, Closed Reduction - Pediatric | Off | No |  |  |  | #N/A
27193 | Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; without m | A-4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27194 | Closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation; with mani | A-3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27216 | Percutaneous skeletal fixation of posterior pelvic ring fracture and/or dislocation (inclu | 4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27217 | Open treatment of anterior ring fracture and/or dislocation with internal fixation (includ | 5 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27226 | Open treatment of posterior or anterior acetabular wall fracture, with internal fixation | 4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27228 | Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, i | 5 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27235 | Percutaneous skeletal fixation of femoral fracture, proximal end, neck | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
27236 | Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic re | 3 | S-600 | Hip: Displaced Fracture of Femoral Neck, [NAME] | Off |  |  |  |  | #N/A
27244 | Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
27245 | Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
27246 | Closed treatment of greater trochanteric fracture, without manipulation | A-2 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27248 | Open treatment of greater trochanteric fracture, with or without internal or external fixa | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
27258 | Open treatment of spontaneous hip dislocation (developmental, including congenital or path | 1 | [NAME] | Hip: Congenital Dislocation, Open Reduction - Pediatric | Off |  |  |  |  | #N/A
27259 | Open treatment of spontaneous hip dislocation (developmental, including congenital or path | 1 | [NAME] | Hip: Congenital Dislocation, Open Reduction - Pediatric | Off |  |  |  |  | #N/A
27269 | Open treatment of femoral fracture, proximal end, neck, internal fixation when performed | 3 | S-615 | Hip Fracture, Open Repair | Off |  |  |  |  | #N/A
27269 | Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed | 2 | S-470 | Femur Fracture, Shaft, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  | Yes | #N/A
27329 | Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area | A-2 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27445 | Arthroplasty, knee, hinge prosthesis (eg, Walldius type) | 1 | W0081 | [NAME] | Off |  |  |  |  | #N/A
27446 | Arthroplasty, knee, condyle and plateau; medial OR lateral compartment | 1 | W0081 | [NAME] | Off |  |  |  |  | #N/A
27447 | Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without p | 1 | W0081 | [NAME] | Off |  |  |  |  | #N/A
27455 | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of | 1 | S-1131 | Tibial Osteotomy, Child or Adolescent | Off |  |  |  |  | #N/A
27457 | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of | A or 1 | S-1132 | Tibial Osteotomy, [NAME] | On | No |  |  |  | #N/A
27486 | Revision of total knee arthroplasty, with or without allograft; one component | 2 | W0081 | [NAME] | Off |  |  |  |  | #N/A
27487 | Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial | 2 | W0081 | [NAME] | Off |  |  |  |  | #N/A
27488 | Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without | 4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27495 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacr | 3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27506 | Open treatment of femoral shaft fracture, with or without external fixation, with insertio | 2 | S-470 | Femur Fracture, Shaft, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27507 | Open treatment of femoral shaft fracture with plate/screws, with or without cerclage | 2 | S-470 | Femur Fracture, Shaft, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27511 | Open treatment of femoral supracondylar or transcondylar fracture without intercondylar ex | 3 | S-740 | Knee: Fracture of Femur, Intercondylar, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27513 | Open treatment of femoral supracondylar or transcondylar fracture with intercondylar exten | 3 | S-740 | Knee: Fracture of Femur, Intercondylar, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27514 | Open treatment of femoral fracture, distal end, medial or lateral condyle, with or without | 3 | S-740 | Knee: Fracture of Femur, Intercondylar, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27524 | Open treatment of patellar fracture, with internal fixation and/or partial or complete pat | A or 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
27535 | Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without intern | 2 | S-760 | Knee: Fracture of Tibial Plateau, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27536 | Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without interna | 2 | S-760 | Knee: Fracture of Tibial Plateau, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27556 | Open treatment of knee dislocation, with or without internal or external fixation; without | 1 | S-675 | [NAME] or Open Treatment | Off |  |  |  |  | #N/A
27557 | Open treatment of knee dislocation, with or without internal or external fixation; with pr | 1 | S-675 | [NAME] or Open Treatment | Off |  |  |  |  | #N/A
27558 | Open treatment of knee dislocation, with or without internal or external fixation; with pr | 1 | S-675 | [NAME] or Open Treatment | Off |  |  |  |  | #N/A
27590 | Amputation, thigh, through femur, any level; | 2 or 3 | [NAME] | Knee: Above Knee Amputation | Off |  |  |  |  | #N/A
27591 | Amputation, thigh, through femur, any level; immediate fitting technique including first cast | 2 or 3 | [NAME] | Knee: Above Knee Amputation | Off |  |  |  | Yes | #N/A
27592 | Amputation, thigh, through femur, any level; open, circular (guillotine) | 2 or 3 | [NAME] | Knee: Above Knee Amputation | Off |  |  |  |  | #N/A
27596 | Amputation, thigh, through femur, any level; re-amputation | 4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27598 | Disarticulation at knee | 2 or 3 | [NAME] | Knee: Above Knee Amputation | Off |  |  |  |  | #N/A
27600 | Decompression fasciotomy, leg; anterior and/or lateral compartments only | A-4 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27601 | Decompression fasciotomy, leg; posterior compartment(s) only | A-3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27602 | Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s) | A-7 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27720 | Repair of nonunion or malunion, tibia; without graft, (eg, compression technique) | A-1 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27724 | Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining g | A-2 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
27752 | Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipul | A or 1 | S-1111 | Tibia/Fibula Shaft Fracture Closed, Closed Reduction without Internal Fixation | On | No |  |  |  | #N/A
27756 | Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) | A or 2 | S-1124 | Tibia/Fibula Shaft Fracture, Open or Open Reduction Internal Fixation | Off |  |  |  |  | #N/A
27758 | Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/scr | A or 2 | S-1124 | Tibia/Fibula Shaft Fracture, Open or Open Reduction Internal Fixation | Off |  |  |  |  | #N/A
27759 | Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary im | A or 2 | S-1124 | Tibia/Fibula Shaft Fracture, Open or Open Reduction Internal Fixation | Off |  |  |  |  | #N/A
27766 | Open treatment of medial malleolus fracture, with or without internal or external fixation | 2 | S-110 | Ankle Fracture, Open, Open Reduction, Internal Fixation (ORIF) | Off | No |  |  |  | #N/A
27766 | Open treatment of medial malleolus fracture, with or without internal or external fixation | A-1 | S-90 | Ankle Fracture, Closed, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27769 | Open treatment of posterior malleolus fracture, includes internal fixation, when performed | 2 | S-110 | Ankle Fracture, Open, Open Reduction, Internal Fixation (ORIF) | Off | No |  |  |  | #N/A
27769 | Open treatment of posterior malleolus fracture, includes internal fixation, when performed | A-1 | S-90 | Ankle Fracture, Closed, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27769 | Open treatment of posterior malleolus fracture, includes internal fixation, when performed | 2 | S-110 | Ankle Fracture, Open, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  | Yes | #N/A
27780 | Closed treatment of proximal fibula or shaft fracture; without manipulation | A or 1 | S-1111 | Tibia/Fibula Shaft Fracture Closed, Closed Reduction without Internal Fixation | On | No |  |  |  | #N/A
27784 | Open treatment of proximal fibula or shaft fracture, with or without internal or external | A or 2 | S-1124 | Tibia/Fibula Shaft Fracture, Open or Open Reduction Internal Fixation | Off | No |  |  |  | #N/A
27792 | Open treatment of distal fibular fracture (lateral malleolus), with or without internal or | 2 | S-110 | Ankle Fracture, Open, Open Reduction, Internal Fixation (ORIF) | Off | No |  |  |  | #N/A
27792 | Open treatment of distal fibular fracture (lateral malleolus), with or without internal or | A-1 | S-90 | Ankle Fracture, Closed, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27810 | Closed treatment of bimalleolar ankle fracture, (including Potts); with manipulation | A or 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
27814 | Open treatment of bimalleolar ankle fracture, with or without internal or external fixatio | A or 1 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off | No |  |  |  | #N/A
27818 | Closed treatment of trimalleolar ankle fracture; with manipulation | A or 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
27822 | Open treatment of trimalleolar ankle fracture, with or without internal or external fixati | A or 1 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off | No |  |  |  | #N/A
27823 | Open treatment of trimalleolar ankle fracture, with or without internal or external fixati | A or 1 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27826 | Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg | A or 1 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27827 | Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg | A or 1 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27828 | Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg | A or 1 | S-100 | Ankle Fracture, Complex, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
27846 | Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; witho | A or 1 | S-82 | Ankle Dislocation, Open or Open Reduction | Off |  |  |  |  | #N/A
27848 | Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with | A or 1 | S-82 | Ankle Dislocation, Open or Open Reduction | Off |  |  |  |  | #N/A
27880 | Amputation, leg, through tibia and fibula; | 2 or 3 | S-690 | Knee: Below Knee Amputation | Off |  |  |  |  | #N/A
27881 | Amputation, leg, through tibia and fibula; with immediate fitting technique including appl | 2 or 3 | S-690 | Knee: Below Knee Amputation | Off |  |  |  |  | #N/A
27882 | Amputation, leg, through tibia and fibula; open, circular (guillotine) | 2 or 3 | S-690 | Knee: Below Knee Amputation | Off |  |  |  |  | #N/A
27884 | Amputation, leg, through tibia and fibula; secondary closure or scar revision | 2 or 3 | S-690 | Knee: Below Knee Amputation | Off |  |  |  |  | #N/A
27886 | Amputation, leg, through tibia and fibula; re-amputation | 2 or 3 | S-690 | Knee: Below Knee Amputation | Off |  |  |  |  | #N/A
28005 | Incision, bone cortex (eg, osteomyelitis or bone abscess), foot | A-3 | Supp. SG-MS | Musculoskeletal Surgery or Procedure GRG | Off |  |  |  |  | #N/A
28415 | Open treatment of calcaneal fracture, with or without internal or external fixation; | A or 1 | S-490 | Foot Fracture, Calcaneus or Talus, Open Reduction, Internal Fixation (ORIF) | Off | No |  |  |  | #N/A
28420 | Open treatment of calcaneal fracture, with or without internal or external fixation; with | A or 1 | S-490 | Foot Fracture, Calcaneus or Talus, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
28445 | Open treatment of talus fracture, with or without internal or external fixation | A or 1 | S-490 | Foot Fracture, Calcaneus or Talus, Open Reduction, Internal Fixation (ORIF) | Off |  |  |  |  | #N/A
28800 | Amputation, foot; midtarsal (eg, [NAME] type procedure) | 2 or 3 | S-500 | Foot: Transmetatarsal Amputation | Off |  |  |  |  | #N/A
28805 | Amputation, foot; transmetatarsal | 2 or 3 | S-500 | Foot: Transmetatarsal Amputation | Off |  |  |  |  | #N/A
28810 | Amputation, metatarsal, with toe, single | A or 3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
30906 | Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method | A-3 | Supp. SG-HNS | Head and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
31360 | Laryngectomy; total, without radical neck dissection | 6 | S-780 | Laryngectomy, [NAME] | Off |  |  |  |  | #N/A
31365 | Laryngectomy; total, with radical neck dissection | 6 | S-780 | Laryngectomy, [NAME] | Off |  |  |  |  | #N/A
31367 | Laryngectomy; subtotal supraglottic, without radical neck dissection | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  |  | #N/A
31368 | Laryngectomy; subtotal supraglottic, with radical neck dissection | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  |  | #N/A
31370 | Partial laryngectomy (hemilaryngectomy); horizontal | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  |  | #N/A
31375 | Partial laryngectomy (hemilaryngectomy); laterovertical | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  |  | #N/A
31380 | Partial laryngectomy (hemilaryngectomy); anterovertical | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  |  | #N/A
31382 | Partial laryngectomy (hemilaryngectomy); [NAME] | 4 | S-790 | Laryngectomy, Partial | Off |  |  |  |  | #N/A
31390 | Pharyngolaryngectomy, with radical neck dissection; without reconstruction | 6 | S-780 | Laryngectomy, [NAME] | Off |  |  |  |  | #N/A
31395 | Pharyngolaryngectomy, with radical neck dissection; with reconstruction | 6 | S-780 | Laryngectomy, [NAME] | Off |  |  |  |  | #N/A
31600 | Tracheostomy, planned (separate procedure); | 12 | Supp. SG-HNS | Head and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
31603 | Tracheostomy, emergency procedure; transtracheal | 6 | Supp. SG-HNS | Head and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
31610 | Tracheostomy, fenestration procedure with skin flaps | 11 | Supp. SG-HNS | Head and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
32095 | Thoracotomy, limited, for biopsy of lung or pleura | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32100 | Thoracotomy, major; with exploration and biopsy | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32120 | Thoracotomy, major; for postoperative complications | 7 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
32124 | Thoracotomy, major; with open intrapleural pneumonolysis | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32140 | Thoracotomy, major; with cyst(s) removal, with or without a pleural procedure | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32141 | Thoracotomy, major; with excision-plication of bullae, with or without any pleural procedu | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32150 | Thoracotomy, major; with removal of intrapleural foreign body or fibrin deposit | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32151 | Thoracotomy, major; with removal of intrapulmonary foreign body | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32215 | Pleural scarification for repeat pneumothorax | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32220 | Decortication, pulmonary (separate procedure); total | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32225 | Decortication, pulmonary (separate procedure); partial | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32310 | Pleurectomy, parietal (separate procedure) | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32320 | Decortication and parietal pleurectomy | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32402 | Biopsy, pleura; open | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off | No |  |  |  | #N/A
32422 | Thoracentesis with insertion of tube with or without water seal (eg, for pneumothorax) (se | A or 2 | M-540 | Pleural Effusion | Off |  |  |  |  | #N/A
32440 | Removal of lung, total pneumonectomy; | 5 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
32480 | Removal of lung, other than total pneumonectomy; single lobe (lobectomy) | 4 | [NAME] | Lobectomy, Lung | Off |  |  |  |  | #N/A
32482 | Removal of lung, other than total pneumonectomy; two lobes (bilobectomy) | 4 | [NAME] | Lobectomy, Lung | Off |  |  |  |  | #N/A
32484 | Removal of lung, other than total pneumonectomy; single segment (segmentectomy) | 4 | [NAME] | Lobectomy, Lung | Off |  |  |  |  | #N/A
32500 | Removal of lung, other than total pneumonectomy; wedge resection, single or multiple | 3 | S-1080 | Thoracotomy with Biopsy or Miscellaneous Procedures | Off |  |  |  |  | #N/A
32551 | Tube thoracostomy with or without water seal (eg, for abscess, hemothorax, empyema) (separ | A or 2 | M-540 | Pleural Effusion | Off |  |  |  |  | #N/A
32560 | Chemical pleurodesis (eg, for recurrent or persistant pneumothorax) | A or 2 | M-500 | Pneumothorax | Off |  |  |  |  | #N/A
32601 | Thoracoscopy, diagnostic (separate procedure); lungs and pleural space, without biopsy | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off | No |  |  |  | #N/A
32602 | Thoracoscopy, diagnostic (separate procedure); lungs and pleural space, with biopsy | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off | No |  |  |  | #N/A
32650 | Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical) | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off | No |  |  |  | #N/A
32651 | Thoracoscopy, surgical; with partial pulmonary decortication | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32652 | Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumon | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32653 | Thoracoscopy, surgical; with removal of intrapleural foreign body or fibrin deposit | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32655 | Thoracoscopy, surgical; with excision-plication of bullae, including any pleural procedure | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32656 | Thoracoscopy, surgical; with parietal pleurectomy | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32657 | Thoracoscopy, surgical; with wedge resection of lung, single or multiple | A or 1 | S-1082 | Thoracotomy with Biopsy or Miscellaneous Procedure by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
32663 | Thoracoscopy, surgical; with lobectomy, total or segmental | 2 | S-802 | Lobectomy, [NAME], by Video-Assisted Thoracic Surgery (VATS) | Off |  |  |  |  | #N/A
33025 | Creation of pericardial window or partial resection for drainage | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
33400 | Valvuloplasty, aortic valve; open, with cardiopulmonary bypass | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33401 | Valvuloplasty, aortic valve; open, with inflow occlusion | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33403 | Valvuloplasty, aortic valve; using transventricular dilation, with cardiopulmonary bypass | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33404 | Construction of apical-aortic conduit | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33405 | Replacement, aortic valve, with cardiopulmonary bypass; with prosthetic valve other than h | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33406 | Replacement, aortic valve, with cardiopulmonary bypass; with allograft valve (freehand) | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33410 | Replacement, aortic valve, with cardiopulmonary bypass; with stentless tissue valve | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33411 | Replacement, aortic valve; with aortic annulus enlargement, noncoronary cusp | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33412 | Replacement, aortic valve; with transventricular aortic annulus enlargement ([NAME] procedu | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33413 | Replacement, aortic valve; by translocation of autologous pulmonary valve with allograft r | 4 | S-291 | Cardiac Valve: Ross Procedure | Off |  |  |  |  | #N/A
33414 | Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow t | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33415 | Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33416 | Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg, asymmetr | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33417 | [NAME] (gusset) for supravalvular stenosis | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33420 | Valvotomy, mitral valve; closed heart | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33422 | Valvotomy, mitral valve; open heart, with cardiopulmonary bypass | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33425 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33426 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; with prosthetic ring | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33427 | Valvuloplasty, mitral valve, with cardiopulmonary bypass; radical reconstruction, with or | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33430 | Replacement, mitral valve, with cardiopulmonary bypass | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33460 | Valvectomy, tricuspid valve, with cardiopulmonary bypass | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33463 | Valvuloplasty, tricuspid valve; without ring insertion | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33464 | Valvuloplasty, tricuspid valve; with ring insertion | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33465 | Replacement, tricuspid valve, with cardiopulmonary bypass | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33468 | Tricuspid valve repositioning and plication for [NAME] anomaly | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33470 | Valvotomy, pulmonary valve, closed heart; transventricular | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33471 | Valvotomy, pulmonary valve, closed heart; via pulmonary artery | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33472 | Valvotomy, pulmonary valve, open heart; with inflow occlusion | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33474 | Valvotomy, pulmonary valve, open heart; with cardiopulmonary bypass | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33475 | Replacement, pulmonary valve | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33476 | Right ventricular resection for infundibular stenosis, with or without commissurotomy | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33478 | Outflow tract augmentation (gusset), with or without commissurotomy or infundibular resect | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33510 | Coronary artery bypass, vein only; single coronary venous graft | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33511 | Coronary artery bypass, vein only; two coronary venous grafts | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33512 | Coronary artery bypass, vein only; three coronary venous grafts | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33513 | Coronary artery bypass, vein only; four coronary venous grafts | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33514 | Coronary artery bypass, vein only; five coronary venous grafts | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33516 | Coronary artery bypass, vein only; six or more coronary venous grafts | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33517 | Coronary artery bypass, using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  | Yes | #N/A
33518 | Coronary artery bypass, using venous graft(s) and arterial graft(s); two venous grafts ([NAME] | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33519 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  | Yes | #N/A
33521 | Coronary artery bypass, using venous graft(s) and arterial graft(s); four venous grafts (L | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33522 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  | Yes | #N/A
33523 | Coronary artery bypass, using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  | Yes | #N/A
33530 | Reoperation, coronary artery bypass procedure or valve procedure, more than 1 month after original operation (List separately in addition to code for primary procedure) | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  | Yes | #N/A
33533 | Coronary artery bypass, using arterial graft(s); single arterial graft | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33534 | Coronary artery bypass, using arterial graft(s); two coronary arterial grafts | 2 | W0043 | Coronary Artery Bypass Graft, Minimally Invasive Direct (MIDCAB) | Off |  |  |  |  | #N/A
33535 | Coronary artery bypass, using arterial graft(s); three coronary arterial grafts | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33536 | Coronary artery bypass, using arterial graft(s); four or more coronary arterial grafts | 2 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  |  | #N/A
33542 | Myocardial resection (eg, [NAME]) | 7 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
33545 | Repair of postinfarction ventricular septal defect, with or without myocardial resection | 3 | S-284 | Cardiac Septal Defect: [NAME], Repair | Off |  |  |  |  | #N/A
33572 | Coronary endarterectomy, open, any method, of left anterior descending, circumflex, or right coronary artery performed in conjunction with coronary artery bypass graft procedure, each vessel (List separately in addition to primary procedure) | 3 | W0042 | Coronary Artery Bypass Graft (CABG) | Off |  |  |  | Yes | #N/A
33600 | Closure of atrioventricular valve (mitral or tricuspid) by suture or patch | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  | Yes | #N/A
33602 | Closure of semilunar valve (aortic or pulmonary) by suture or patch | 4 | [NAME] | Cardiac Valve Replacement or Repair | Off |  |  |  |  | #N/A
33606 | Anastomosis of pulmonary artery to aorta ([NAME] procedure) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33608 | Repair of complex cardiac anomaly other than pulmonary atresia with [NAME] def | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33610 | Repair of complex cardiac anomalies (eg, single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33611 | Repair of double outlet right ventricle with intraventricular tunnel repair; | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33612 | Repair of double outlet right ventricle with intraventricular tunnel repair; with repair o | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33615 | Repair of complex cardiac anomalies (eg, tricuspid atresia) by closure of atrial septal de | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33617 | Repair of complex cardiac anomalies (eg, single ventricle) by modified Fontan procedure | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33619 | Repair of single ventricle with aortic outflow obstruction and aortic arch [NAME] ([NAME] | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33641 | Repair atrial septal defect, secundum, with cardiopulmonary bypass, with or without patch | 3 | S-281 | Cardiac Septal Defect: Atrial, Repair | Off |  |  |  |  | #N/A
33647 | Repair of atrial septal defect and ventricular septal defect, with direct or patch closure | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
33660 | Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33665 | Repair of intermediate or transitional atrioventricular canal, with or without atrioventri | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33670 | Repair of complete atrioventricular canal, with or without prosthetic valve | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33675 | Closure of multiple ventricular septal defects | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33676 | Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33677 | Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gusset | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33681 | Closure of ventricular septal defect, with or without patch; | 3 | S-284 | Cardiac Septal Defect: [NAME], Repair | Off |  |  |  |  | #N/A
33684 | Closure of ventricular septal defect, with or without patch; with pulmonary valvotomy or i | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33688 | Closure of single ventricular septal defect, with or without patch; with removal of pulmonary artery band, with or without gusset | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33692 | Complete repair tetralogy of Fallot without pulmonary atresia; | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33694 | Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33697 | Complete repair tetralogy of Fallot with pulmonary atresia including construction of condu | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33724 | Repair of isolated partial anomalous pulmonary venous return (eg, Scimitar syndrome) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33730 | Complete repair of anomalous venous return (supracardiac, intracardiac, or infracardiac ty | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33732 | Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membran | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33735 | Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33736 | Atrial septectomy or septostomy; open heart with cardiopulmonary bypass | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33737 | Atrial septectomy or septostomy; open heart, with inflow occlusion | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33750 | Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33755 | Shunt; ascending aorta to pulmonary artery (Waterston type operation) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33762 | Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33764 | Shunt; central, with prosthetic graft | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33766 | Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical [NAME] procedure) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33767 | Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional [NAME] | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33770 | Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33771 | Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33774 | Repair of transposition of the great arteries, atrial baffle procedure (eg, [NAME] or Sen | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33775 | Repair of transposition of the great arteries, atrial baffle procedure (eg, [NAME] or Senning type) with cardiopulmonary bypass; with removal of pulmonary band | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33776 | Repair of transposition of the great arteries, atrial baffle procedure (eg, [NAME] or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33777 | Repair of transposition of the great arteries, atrial baffle procedure (eg, [NAME] or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33778 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33779 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33780 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33781 | Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (eg, | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33786 | Total repair, truncus arteriosus ([NAME] type operation) | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  | Yes | #N/A
33788 | Reimplantation of an anomalous pulmonary artery | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33820 | Repair of patent ductus arteriosus; by ligation | 1 | S-950 | Patent [NAME], Ligation or Division | Off |  |  |  |  | #N/A
33840 | Excision of coarctation of aorta, with or without associated patent ductus arteriosus; wit | 3 | S-150 | Aortic Coarctation, Excision or Repair | Off |  |  |  |  | #N/A
33845 | Excision of coarctation of aorta, with or without associated patent ductus arteriosus; wit | 3 | S-150 | Aortic Coarctation, Excision or Repair | Off |  |  |  |  | #N/A
33851 | Excision of coarctation of aorta, with or without associated patent ductus arteriosus; rep | 3 | S-150 | Aortic Coarctation, Excision or Repair | Off |  |  |  |  | #N/A
33860 | Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; | 5 | S-140 | Aortic Aneurysm, Thoracic, Repair with Graft | Off |  |  |  |  | #N/A
33863 | Ascending aorta graft, with cardiopulmonary bypass, with or without valve suspension; with | 6 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
33864 | Ascending aorta graft, with cardiopulmonary bypass, with valve suspension; with coronary reconstruction and valve sparing aortic annulus remodeling | 5 | S-140 | Aortic Aneurysm, Thoracic, Repair with Graft | Off |  |  |  |  | #N/A
33870 | Transverse arch graft, with cardiopulmonary bypass | 5 | S-140 | Aortic Aneurysm, Thoracic, Repair with Graft | Off |  |  |  |  | #N/A
33875 | Descending thoracic [NAME], with or without bypass | 5 | S-140 | Aortic Aneurysm, Thoracic, Repair with Graft | Off |  |  |  |  | #N/A
33877 | Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary byp | 5 | S-140 | Aortic Aneurysm, Thoracic, Repair with Graft | Off |  |  |  |  | #N/A
33917 | Repair of pulmonary artery stenosis by reconstruction with patch or graft | 5 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
33920 | Repair of pulmonary atresia with [NAME] defect, by construction or replacement | 4 | S-272 | Cardiac Congenital Defects, Complex Repair | Off |  |  |  |  | #N/A
33967 | Insertion of intra-aortic balloon assist device, percutaneous | 6 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
33968 | Removal of intra-aortic balloon assist device, percutaneous | 5 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
33970 | Insertion of intra-aortic balloon assist device through the femoral artery, open approach | 6 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
33971 | Removal of intra-aortic balloon assist device including repair of femoral artery, with or | 6 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
34101 | Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, sub | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
34111 | Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm inci | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
34201 | Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
34203 | Embolectomy or thrombectomy, with or without catheter; popliteal-tibio-peroneal artery, by | 5 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
34800 | Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using aorto-aor | 1 | W0084 | Abdominal Aortic Aneurysm, Endovascular Repair | Off |  |  |  |  | #N/A
34803 | Endovascular repair of infranrenal abdominal aortic aneurysm of dissection; using modular bifurcated prosthesis (two docking limbs) | 1 | W0084 | Abdominal Aortic Aneurysm, Endovascular Repair | Off |  |  |  |  | #N/A
34804 | Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using unibody b | 1 | W0084 | Abdominal Aortic Aneurysm, Endovascular Repair | Off |  |  |  |  | #N/A
34805 | Endovascular repair of infranrenal abdominal aortic aneurysm of dissection; using aorto-uniiliac or aorto-unifemoral prosthesis | 1 | W0084 | Abdominal Aortic Aneurysm, Endovascular Repair | Off |  |  |  |  | #N/A
34820 | Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion duri | 1 | W0084 | Abdominal Aortic Aneurysm, Endovascular Repair | Off |  |  |  |  | #N/A
34825 | Placement of proximal or distal extension prosthesis for endovascular repair of infrarenal | 1 | W0084 | Abdominal Aortic Aneurysm, Endovascular Repair | Off |  |  |  |  | #N/A
34830 | Open repair of infrarenal aortic aneurysm or dissection, plus repair of associated arteria | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
34900 | Endovascular graft replacement for repair of iliac artery (eg, aneurysm, pseudoaneurysm, a | 1 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35081 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
35082 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
35091 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
35092 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
35102 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
35103 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 4 | W0038 | Aortic Aneurysm, Abdominal, Repair or Excision with Graft Replacement | Off |  |  |  |  | #N/A
35141 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35151 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insert | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35190 | Repair, acquired or traumatic arteriovenous fistula; extremities | A-1 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35206 | Repair blood vessel, direct; upper extremity | A-2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35221 | Repair blood vessel, direct; intra-abdominal | 6 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35226 | Repair blood vessel, direct; lower extremity | A-3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35256 | Repair blood vessel with vein graft; lower extremity | 3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35286 | Repair blood vessel with graft other than vein; lower extremity | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35301 | Thromboendarterectomy, with or without patch graft; carotid, vertebral, subclavian, by nec | 1 | [NAME] | Carotid Endarterectomy | Off |  |  |  |  | #N/A
35351 | Thromboendarterectomy, with or without patch graft; iliac | 3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35355 | Thromboendarterectomy, with or without patch graft; iliofemoral | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35371 | Thromboendarterectomy, with or without patch graft; common femoral | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35372 | Thromboendarterectomy, with or without patch graft; deep (profunda) femoral | 3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35390 | Reoperation, carotid, thromboendarterectomy, more than 1 month after original operation (List separately in addition to code for primary procedure) | 1 | [NAME] | Carotid Endarterectomy | Off |  |  |  | Yes | #N/A
35472 | Transluminal balloon angioplasty, percutaneous; aortic | A or 1 | S-152 | Aortic Coarctation, [NAME] | On | No |  |  |  | #N/A
35537 | Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure); aortoiliac | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35538 | Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure);aortobi-illiac | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35539 | Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure); aortofemoral | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35540 | Harvest of upper extremity vein, one segment, for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure); aortobifemoral | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35551 | Bypass graft, with vein; aortofemoral-popliteal | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35556 | Bypass graft, with vein; femoral-popliteal | 2 | [NAME] | Femoral Popliteal Bypass | Off |  |  |  |  | #N/A
35566 | Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or oth | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35571 | Bypass graft, with vein; popliteal-tibial, -peroneal artery or other distal vessels | 5 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35572 | Harvest of femoropopliteal vein, one segment, for vascular reconstruction procedure (eg, a | 5 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35583 | In-situ vein bypass; femoral-popliteal | 3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35585 | In-situ vein bypass; femoral-anterior tibial, posterior tibial, or peroneal artery | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35606 | Bypass graft, with other than vein; carotid-subclavian | 1 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35631 | Bypass graft, with other than vein; aortoceliac, aortomesenteric, aortorenal | 7 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35637 | Bypass graft, with other than vein; aortoiliac | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35638 | Bypass graft, with other than vein; aortobi-iliac | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35646 | Bypass graft, with other than vein; aortobifemoral | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35647 | Bypass graft, with other than vein; aortofemoral | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35651 | Bypass graft, with other than vein; aortofemoral-popliteal | 4 | S-160 | Aortofemoral or [NAME] | Off |  |  |  |  | #N/A
35654 | Bypass graft, with other than vein; axillary-femoral-femoral | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35656 | Bypass graft, with other than vein; femoral-popliteal | 2 | [NAME] | Femoral Popliteal Bypass | Off |  |  |  |  | #N/A
35661 | Bypass graft, with other than vein; femoral-femoral | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35665 | Bypass graft, with other than vein; iliofemoral | 3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35666 | Bypass graft, with other than vein; femoral-anterior tibial, posterior tibial, or peroneal | 5 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35721 | Exploration (not followed by surgical repair), with or without lysis of artery; femoral ar | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35761 | Exploration (not followed by surgical repair), with or without lysis of artery; other vess | A-4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35800 | Exploration for postoperative hemorrhage, thrombosis or infection; neck | 2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35820 | Exploration for postoperative hemorrhage, thrombosis or infection; chest | 6 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35840 | Exploration for postoperative hemorrhage, thrombosis or infection; abdomen | A-7 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35860 | Exploration for postoperative hemorrhage, thrombosis or infection; extremity | A-4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35875 | Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); | 3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35876 | Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with | 4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35879 | Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch ang | 1 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
35903 | Excision of infected graft; extremity | A-4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
37617 | Ligation, major artery (eg, post-traumatic, rupture); abdomen | A-3 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
37618 | Ligation, major artery (eg, post-traumatic, rupture); extremity | A-2 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
37620 | Interruption, partial or complete, of inferior [NAME] cava by suture, ligation, plication, c | A-4 | Supp. SG-CVS | Cardiovascular Surgery or Procedure GRG | Off |  |  |  |  | #N/A
38102 | Splenectomy; total, en bloc for extensive disease, in conjunction with other procedure ([NAME] | 8 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
38562 | Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic | A-2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
38571 | Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy | 1 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
38700 | Suprahyoid lymphadenectomy | 2 | S-1000 | Radical Neck Dissection | Off |  |  |  |  | #N/A
38720 | Cervical lymphadenectomy (complete) | 2 | S-1000 | Radical Neck Dissection | Off |  |  |  |  | #N/A
38724 | Cervical lymphadenectomy (modified radical neck dissection) | 2 | S-1000 | Radical Neck Dissection | Off |  |  |  |  | #N/A
38746 | Thoracic lymphadenectomy, regional, including mediastinal and peritracheal nodes (List sep | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
38747 | Abdominal lymphadenectomy, regional, including celiac, gastric, portal, peripancreatic, wi | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
38760 | Inguinofemoral lymphadenectomy, superficial, including Cloquets node (separate procedure) | A-2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
38770 | Pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separa | 3 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
38780 | Retroperitoneal transabdominal lymphadenectomy, extensive, including pelvic, aortic, and r | 4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
39010 | Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; transthorac | A-4 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
39220 | Excision of mediastinal tumor | 3 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
39502 | Repair, paraesophageal hiatus hernia, transabdominal, with or without fundoplasty, vagotom | 3 | S-540 | Hiatal Hernia Repair, Abdominal | Off |  |  |  |  | #N/A
39520 | Repair, diaphragmatic hernia (esophageal hiatal); transthoracic | 3 | S-550 | Hiatal Hernia Repair, Transthoracic | Off |  |  |  |  | #N/A
39599 | Unlisted procedure, diaphragm | A-2 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
42720 | Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach | 2 | P-380 | Retropharyngeal Abscess - Pediatric | Off |  |  |  |  | #N/A
42725 | Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach | 2 | P-380 | Retropharyngeal Abscess - Pediatric | Off |  |  |  |  | #N/A
43030 | Cricopharyngeal myotomy | A-3 | Supp. SG-HNS | Head and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43107 | Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervic | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43108 | Total or near total esophagectomy, without thoracotomy; with colon interposition or small | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43112 | Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43113 | Total or near total esophagectomy, with thoracotomy; with colon interposition or small int | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43117 | Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43121 | Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43122 | Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal ga | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43124 | Total or partial esophagectomy, without reconstruction (any approach), with cervical esoph | 7 | S-440 | Esophagectomy | Off |  |  |  |  | #N/A
43130 | Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach | A or 1 | S-445 | [NAME], Endoscopic Stapling | Off |  |  |  |  | #N/A
43324 | Esophagogastric fundoplasty (eg, Nissen, [NAME], [NAME] procedures) | 3 | S-540 | Hiatal Hernia Repair, Abdominal | Off |  |  |  |  | #N/A
43501 | Gastrotomy; with suture repair of bleeding ulcer | 8 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43520 | Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation) | 1 | P-370 | Pyloromyotomy for Pyloric Stenosis - Pediatric | Off |  |  |  |  | #N/A
43610 | Excision, local; ulcer or benign tumor of stomach | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43621 | Gastrectomy, total; with Roux-en-Y reconstruction | 8 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43631 | Gastrectomy, partial, distal; with gastroduodenostomy | 4 or 6 | S-510 | Gastrectomy, Partial - Billroth I or II | Off |  |  |  |  | #N/A
43632 | Gastrectomy, partial, distal; with gastrojejunostomy | 4 or 6 | S-510 | Gastrectomy, Partial - Billroth I or II | Off |  |  |  |  | #N/A
43633 | Gastrectomy, partial, distal; with Roux-en-Y reconstruction | 4 or 6 | S-510 | Gastrectomy, Partial - Billroth I or II | Off |  |  |  |  | #N/A
43634 | Gastrectomy, partial, distal; with formation of intestinal pouch | 4 or 6 | S-510 | Gastrectomy, Partial - Billroth I or II | Off |  |  |  |  | #N/A
43640 | Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective | 4 or 6 | S-990 | [NAME] and Vagotomy | Off |  |  |  |  | #N/A
43641 | Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly select | 4 or 6 | S-990 | [NAME] and Vagotomy | Off |  |  |  |  | #N/A
43800 | Pyloroplasty | 4 or 6 | S-990 | [NAME] and Vagotomy | Off |  |  |  |  | #N/A
43820 | Gastrojejunostomy; without vagotomy | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43830 | Gastrostomy, open; without construction of gastric tube (eg, [NAME] procedure) (separate pr | A-4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43832 | Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure) | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43840 | Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
43860 | Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or wit | 4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44005 | Enterolysis (freeing of intestinal adhesion) (separate procedure) | 3 | S-840 | Lysis of Adhesions | Off |  |  |  |  | #N/A
44020 | Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign b | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44021 | Enterotomy, small intestine, other than duodenum; for decompression (eg, [NAME] tube) | 8 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44050 | Reduction of volvulus, intussusception, internal hernia, by laparotomy | 3 | P-210 | Intussusception Reduction, Surgical - Pediatric | Off |  |  |  |  | #N/A
44055 | Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus ( | 4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44110 | Excision of one or more lesions of small or large intestine not requiring anastomosis, ext | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44120 | Enterectomy, resection of small intestine; single resection and anastomosis | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
44121 | Enterectomy, resection of small intestine; each additional resection and anastomosis (List | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
44125 | Enterectomy, resection of small intestine; with enterostomy | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
44126 | Enterectomy, resection of small intestine for congenital atresia, single resection and ana | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
44127 | Enterectomy, resection of small intestine for congenital atresia, single resection and ana | 4 or 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  |  | #N/A
44128 | Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis | 4 of 5 | S-250 | [NAME]: Small Intestine Resection | Off |  |  |  | Yes | #N/A
44130 | Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separa | 8 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44139 | Mobilization (take-down) of splenic flexure performed in conjunction with partial colectom | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44140 | Colectomy, partial; with anastomosis | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44141 | Colectomy, partial; with skin level cecostomy or colostomy | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44143 | Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type proced | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44144 | Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistul | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44145 | Colectomy, partial; with coloproctostomy (low pelvic anastomosis) | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44146 | Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44147 | Colectomy, partial; abdominal and transanal approach | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44150 | Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
44151 | Colectomy, total, abdominal, without proctectomy; with continent ileostomy | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
44155 | Colectomy, total, abdominal, with proctectomy; with ileostomy | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
44156 | Colectomy, total, abdominal, with proctectomy; with continent ileostomy | 5 | S-220 | [NAME]: Abdominoperineal Resection or Total Colectomy with Proctectomy | Off |  |  |  | Yes | #N/A
44157 | Colectomy, total, abdominal, with proctectomy; with continent ileostomy | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
44158 | Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, inlcudes loop ileostomy and rectal mucosectomy, when performed | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
44160 | Colectomy, partial, with removal of terminal ileum with ileocolostomy | 4 | [NAME] | Bowel Surgery: Colectomy, Partial, with or without Ostomy | Off |  |  |  |  | #N/A
44202 | Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and ana | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44204 | Laparoscopy, surgical; colectomy, partial, with anastomosis | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
44205 | Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolosto | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
44206 | Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segmen | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
44207 | Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pel | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
44208 | Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pel | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
44210 | Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
44213 | Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) | 3 | S-235 | Bowel Surgery: Colectomy, Partial, with or without [NAME], by Laparoscopy | Off |  |  |  |  | #N/A
44300 | Enterostomy or cecostomy, tube (eg, for decompression or feeding) (separate procedure) | 9 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44310 | Ileostomy or jejunostomy, non-tube (separate procedure) | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44345 | Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44346 | Revision of colostomy; with repair of paracolostomy hernia (separate procedure) | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
44602 | Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injur | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44603 | Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injur | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44604 | Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44615 | Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for in | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44620 | Closure of enterostomy, large or small intestine; | 4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44625 | Closure of enterostomy, large or small intestine; with resection and anastomosis other tha | 3 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44626 | Closure of enterostomy, large or small intestine; with resection and colorectal anastomosi | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44640 | Closure of intestinal cutaneous fistula | 8 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44661 | Closure of enterovesical fistula; with intestine and/or bladder resection | 6 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
44700 | Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg | A-4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44799 | Unlisted procedure, intestine | A-4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
44900 | Incision and drainage of appendiceal abscess; open | 1 | S-180 | Appendectomy, with [NAME] or Peritonitis | Off |  |  |  |  | #N/A
44950 | Appendectomy; | 1 | S-170 | Appendectomy, without Peritonitis | Off | No |  |  |  | #N/A
44960 | Appendectomy; for ruptured appendix with abscess or generalized peritonitis | 1 | S-180 | Appendectomy, with [NAME] or Peritonitis | Off |  |  |  |  | #N/A
45020 | Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess | A-2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
45110 | Proctectomy; complete, combined abdominoperineal, with colostomy | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
45112 | Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis) | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
45120 | Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pu | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
45121 | Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with su | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
45395 | Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
45397 | Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed | 5 | S-220 | Appendectomy, with [NAME] or Peritonitis, by Laparoscopy | Off |  |  |  |  | #N/A
45541 | Proctopexy for prolapse; perineal approach | A-2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
45560 | Repair of rectocele (separate procedure) | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
47011 | Hepatotomy; for percutaneous drainage of abscess or cyst, one or two stages | A-5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
47120 | Hepatectomy, resection of liver; partial lobectomy | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
47490 | Percutaneous cholecystostomy | A-6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
47600 | Cholecystectomy; | 2 | S-360 | Cholecystectomy | Off |  |  |  |  | #N/A
47605 | Cholecystectomy; with cholangiography | 2 | S-360 | Cholecystectomy | Off |  |  |  |  | #N/A
47610 | Cholecystectomy with exploration of common duct; | 3 | S-370 | Cholecystectomy with Common Duct Exploration | Off |  |  |  |  | #N/A
47760 | Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
47780 | Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract | 7 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
48100 | Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy) | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
48140 | Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunosto | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
48146 | Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure) | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
48148 | Excision of ampulla of Vater | 7 | S-1200 | Whipple Procedure | Off |  |  |  | Yes | #N/A
48150 | Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledocho | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
48152 | Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledocho | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
48153 | Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
48154 | Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
48155 | Pancreatectomy, total | 7 | S-1200 | Whipple Procedure | Off |  |  |  |  | #N/A
49002 | Reopening of recent laparotomy | 5 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
49010 | Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) | A-3 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
49020 | Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess; | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
49021 | Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess; | A-4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
49040 | Drainage of subdiaphragmatic or subphrenic abscess; open | 5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
49060 | Drainage of retroperitoneal abscess; open | 6 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
49255 | Omentectomy, epiploectomy, resection of omentum (separate procedure) | 4 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
49491 | Repair, initial inguinal hernia, preterm infant (less than 37 weeks gestation at birth), p | A-2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
49900 | Suture, secondary, of abdominal wall for evisceration or dehiscence | A-5 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
50220 | Nephrectomy, including partial ureterectomy, any open approach including rib resection; | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50225 | Nephrectomy, including partial ureterectomy, any open approach including rib resection; co | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50230 | Nephrectomy, including partial ureterectomy, any open approach including rib resection; ra | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50234 | Nephrectomy with total ureterectomy and bladder cuff; through same incision | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50236 | Nephrectomy with total ureterectomy and bladder cuff; through separate incision | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50240 | Nephrectomy, partial | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50320 | Donor nephrectomy, open from living donor (excluding preparation and maintenance of allogr | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50340 | Recipient nephrectomy (separate procedure) | 3 | S-870 | Nephrectomy | Off |  |  |  |  | #N/A
50360 | Renal allotransplantation, implantation of graft; without recipient nephrectomy | 4 | W0027 | Renal Transplant | Off |  |  |  | Yes | #N/A
50365 | Renal allotransplantation, implantation of graft; with recipient nephrectomy | 4 | W0027 | Renal Transplant | Off |  |  |  | Yes | #N/A
50400 | Pyeloplasty ([NAME]), plastic operation on renal pelvis, with or without plas | 2 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
50405 | Pyeloplasty ([NAME]), plastic operation on renal pelvis, with or without plas | A-1 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
50543 | Laparoscopy, surgical; partial nephrectomy | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
50545 | Laparoscopy, surgical; radical nephrectomy (includes removal of [NAME]'s fascia and surrou | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
50546 | Laparoscopy, surgical; nephrectomy, including partial ureterectomy | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
50547 | Laparoscopy, surgical; donor nephrectomy from living donor (excluding preparation and main | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
50548 | Laparoscopy, surgical; nephrectomy with total ureterectomy | 1 or 2 | S-872 | Nephrectomy by Laparoscopy | Off |  |  |  |  | #N/A
50590 | [NAME], extracorporeal shock wave | A or 1 | M-320 | [NAME] and [NAME] | On | No |  |  |  | #N/A
50605 | Ureterotomy for insertion of indwelling stent, all types | 2 | S-1150 | Ureterotomy, Nontransurethral for Stone | Off |  |  |  |  | #N/A
50610 | Ureterolithotomy; upper one-third of ureter | 2 | S-1150 | Ureterotomy, Nontransurethral for Stone | Off |  |  |  |  | #N/A
50630 | Ureterolithotomy; lower one-third of ureter | 2 | S-1150 | Ureterotomy, Nontransurethral for Stone | Off |  |  |  |  | #N/A
50715 | Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis | A-2 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
50780 | Ureteroneocystostomy; anastomosis of single ureter to bladder | 3 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
50820 | Ureteroileal conduit (ileal bladder), including intestine anastomosis ([NAME] operation) | 7 | [NAME] | Ureteroileal Conduit | Off |  |  |  |  | #N/A
51020 | Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51040 | Cystostomy, cystotomy with drainage | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51045 | Cystotomy, with insertion of ureteral catheter or stent (separate procedure) | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51050 | Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51065 | Cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmenta | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51520 | Cystotomy; for simple excision of vesical neck (separate procedure) | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51525 | Cystotomy; for excision of bladder diverticulum, single or multiple (separate procedure) | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51530 | Cystotomy; for excision of bladder tumor | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51535 | Cystotomy for excision, incision, or repair of ureterocele | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
51570 | Cystectomy, complete; (separate procedure) | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
51575 | Cystectomy, complete; with bilateral pelvic lymphadenectomy, including external iliac, hyp | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
51580 | Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  | Yes | #N/A
51585 | Cystectomy, complete, with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  | Yes | #N/A
51590 | Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine an | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
51595 | Cystectomy, complete, with ureteroileal conduit or sigmoid bladder, including intestine an | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
51596 | Cystectomy, complete, with continent diversion, any open technique, using any segment of s | 5 or 6 | S-190 | Bladder Excision: Cystectomy with Urinary Diversion, Conduit or Continent | Off |  |  |  |  | #N/A
51860 | Cystorrhaphy, suture of bladder wound, injury or rupture; simple | 5 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
51865 | Cystorrhaphy, suture of bladder wound, injury or rupture; complicated | 2 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
51980 | Cutaneous vesicostomy | A or 1 | S-200 | Bladder Incision: Cystotomy | On | No |  |  |  | #N/A
52353 | Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral cathete | A or 1 | M-320 | [NAME] and [NAME] | On | No |  |  |  | #N/A
52601 | Transurethral electrosurgical resection of prostate, including control of postoperative bl | A or 1 | S-970 | Prostatectomy, Transurethral Resection (TURP) | On | No |  |  |  | #N/A
52630 | Transurethral resection; of regrowth of obstructive tissue longer than one year postoperat | A or 1 | S-970 | Prostatectomy, Transurethral Resection (TURP) | On | No |  |  |  | #N/A
53415 | Urethroplasty, transpubic or perineal, one stage, for reconstruction or repair of prostati | A or 2 | S-1172 | Urethroplasty, Complex Reconstruction | Off | No |  |  |  | #N/A
54160 | Circumcision, surgical excision other than clamp, device or dorsal slit; newborn | A or 1 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
54332 | One stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection | A or 2 | S-1172 | Urethroplasty, Complex Reconstruction | Off |  |  |  |  | #N/A
54336 | One stage perineal hypospadias repair requiring extensive dissection to correct chordee an | A or 2 | S-1172 | Urethroplasty, Complex Reconstruction | Off |  |  |  |  | #N/A
54348 | Repair of hypospadias complications (ie, fistula, stricture, [NAME]); requiring exten | A or 2 | S-1172 | Urethroplasty, Complex Reconstruction | Off |  |  |  |  | #N/A
54352 | Repair of hypospadias cripple requiring extensive dissection and excision of previously co | A or 2 | S-1172 | Urethroplasty, Complex Reconstruction | Off |  |  |  |  | #N/A
55810 | Prostatectomy, perineal radical; | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  |  | #N/A
55812 | Prostatectomy, perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  | Yes | #N/A
55815 | Prostatectomy, perineal radical; with bilateral pelvic lymphadenectomy, including external | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  |  | #N/A
55821 | Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral | 4 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
55831 | Prostatectomy (including control of postoperative bleeding, vasectomy, meatotomy, urethral | 3 | Supp. SG-US | Urologic Surgery or Procedure GRG | Off |  |  |  |  | #N/A
55840 | Prostatectomy, retropubic radical, with or without nerve sparing; | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  |  | #N/A
55842 | Prostatectomy, retropubic radical, with or without nerve sparing; with lymph node biopsy(s | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  |  | #N/A
55845 | Prostatectomy, retropubic radical, with or without nerve sparing; with bilateral pelvic ly | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  |  | #N/A
55866 | Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  |  | #N/A
55866 | Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing | 1 or 2 | S-960 | Prostatectomy, Radical | Off |  |  |  | Yes | #N/A
57120 | Colpocleisis (Le Fort type) | A-1 | W0074 | Medical Oncology GRG | On | No |  |  |  | #N/A
57240 | Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
57250 | Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
57260 | Combined anteroposterior colporrhaphy; | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
57265 | Combined anteroposterior colporrhaphy; with enterocele repair | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
57268 | Repair of enterocele, vaginal approach (separate procedure) | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
57270 | Repair of enterocele, abdominal approach (separate procedure) | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
57280 | Colpopexy, abdominal approach | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
57283 | ? | A or 1 | S-1020 | Repair of Cystocele, Rectocele, or [NAME] and Other Prolapse | On | No |  |  |  | #N/A
58150 | Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with | 1 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
58152 | Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with | 1 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
58180 | Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of t | 1 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
58200 | Total abdominal hysterectomy, including partial vaginectomy, with para-aortic and pelvic l | 1 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
58210 | Radical abdominal hysterectomy, with bilateral total pelvic lymphadenectomy and [NAME] | 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
58541 | Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
58542 | Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
58542 | Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58543 | Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
58543 | Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58544 | Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58548 | Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58550 | Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
58552 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58553 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 grams; | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  |  | #N/A
58554 | Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58570 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58571 | Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58572 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58573 | Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) | A or 1 | W0010 | Hysterectomy, Laparoscopic; Hysterectomy, Vaginal, Laparoscopically-assisted | Off |  |  |  | Yes | #N/A
58951 | Resection of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oopho | 2 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
58952 | Resection of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oopho | 4 | Supp. SG-OBS | [NAME] and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
58953 | Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical | 2 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
58954 | Bilateral salpingo-oophorectomy with omentectomy, total abdominal hysterectomy and radical | 2 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
58956 | ? | 2 | W0009 | Hysterectomy, Abdominal | Off |  |  |  |  | #N/A
59160 | Curettage, postpartum | A or 1 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
59200 | Insertion of cervical dilator (eg, laminaria, prostaglandin) (separate procedure) | A-2 | Supp. SG-OBS | [NAME] and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
59300 | Episiotomy or vaginal repair, by other than attending physician | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
59400 | Routine obstetric care including antepartum care, vaginal delivery (with or without episio | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
59409 | Vaginal delivery only (with or without episiotomy and/or forceps); | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
59410 | Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum ca | 1 | W0048 | Vaginal Delivery, Operative | Off |  |  |  |  | #N/A
59414 | Delivery of placenta (separate procedure) | 1 | Supp. SG-OBS | [NAME] and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
59510 | Routine obstetric care including antepartum care, cesarean delivery, and postpartum care | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
59514 | Cesarean delivery only; | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
59515 | Cesarean delivery only; including postpartum care | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
59525 | Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) | 2 | W0009 | Hysterectomy, Abdominal | Off |  |  |  | Yes | #N/A
59610 | Routine obstetric care including antepartum care, vaginal delivery (with or without episio | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
59612 | Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
59614 | Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or | 1 | W0047 | Vaginal Delivery | Off |  |  |  |  | #N/A
59618 | Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
59622 | Cesarean delivery only, following attempted vaginal delivery after previous cesarean deliv | 2 | W0045 | [NAME] | Off |  |  |  |  | #N/A
60500 | Parathyroidectomy or exploration of parathyroid(s); | A or 1 | W0070 | Parathyroidectomy | Off | No |  |  |  | #N/A
60502 | Parathyroidectomy or exploration of parathyroid(s); re- exploration | A or 1 | W0070 | Parathyroidectomy | Off |  |  |  |  | #N/A
60521 | Thymectomy, partial or total; sternal split or transthoracic approach, without radical med | 3 | Supp. SG-TS | [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
60540 | Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy | 4 | S-20 | Adrenalectomy, Partial or [NAME] | Off |  |  |  |  | #N/A
60545 | Adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy | 4 | S-20 | Adrenalectomy, Partial or [NAME] | Off |  |  |  |  | #N/A
60650 | Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal | A or 1 | S-22 | Adrenalectomy by Laparoscopy | Off |  |  |  |  | #N/A
61304 | Craniectomy or craniotomy, exploratory; supratentorial | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61312 | Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdur | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
61313 | Craniectomy or craniotomy for evacuation of hematoma, supratentorial; intracerebral | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
61314 | Craniectomy or craniotomy for evacuation of hematoma, infratentorial; extradural or subdur | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
61315 | Craniectomy or craniotomy for evacuation of hematoma, infratentorial; intracerebellar | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
61320 | Craniectomy or craniotomy, drainage of intracranial abscess; supratentorial | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61322 | Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of int | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
61323 | Craniectomy or craniotomy, decompressive, with or without duraplasty, for treatment of int | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
61343 | Craniectomy, suboccipital with cervical laminectomy for decompression of medulla and spina | 3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61458 | Craniectomy, suboccipital; for exploration or decompression of cranial nerves | 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61500 | Craniectomy; with excision of tumor or other bone lesion of skull | A-1 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61510 | Craniectomy, trephination, bone flap craniotomy; for excision of brain tumor, supratentori | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61512 | Craniectomy, trephination, bone flap craniotomy; for excision of meningioma, supratentoria | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61514 | Craniectomy, trephination, bone flap craniotomy; for excision of brain abscess, supratento | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61516 | Craniectomy, trephination, bone flap craniotomy; for excision or fenestration of cyst, sup | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61518 | Craniectomy for excision of brain tumor, infratentorial or posterior fossa; except [NAME] | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61520 | Craniectomy for excision of brain tumor, infratentorial or posterior fossa; cerebelloponti | 3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61537 | ? | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61538 | Craniotomy with elevation of bone flap; for lobectomy with electrocorticography during sur | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61539 | Craniotomy with elevation of bone flap; for lobectomy with electrocorticography during sur | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61540 | ? | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61541 | Craniotomy with elevation of bone flap; for transection of corpus callosum | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61542 | Craniotomy with elevation of bone flap; for total hemispherectomy | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61543 | Craniotomy with elevation of bone flap; for partial or subtotal hemispherectomy | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61544 | Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  | Yes | #N/A
61548 | Hypophysectomy or excision of pituitary tumor, transnasal or transseptal approach, nonster | 1 or 2 | S-640 | Hypophysectomy, Nasal Approach | Off |  |  |  |  | #N/A
61566 | ? | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61567 | Craniotomy with elevation of bone flap; for multiple subpial transections, with electrocorticography during surgery | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  | Yes | #N/A
61571 | Craniectomy or craniotomy; with treatment of penetrating wound of brain | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
61595 | Transtemporal approach to posterior cranial fossa, jugular foramen or midline skull base, | 3 | Supp. SG-HNS | Head and [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
61616 | Resection or excision of neoplastic, vascular or infectious lesion of base of posterior cr | 3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61618 | Secondary repair of dura for cerebrospinal fluid leak, anterior, middle or posterior crani | 3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61624 | Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve h | 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
61680 | Surgery of intracranial arteriovenous malformation; supratentorial, simple | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61682 | Surgery of intracranial arteriovenous malformation; supratentorial, complex | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61690 | Surgery of intracranial arteriovenous malformation; dural, simple | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61692 | Surgery of intracranial arteriovenous malformation; dural, complex | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61697 | Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
61698 | Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulati | 8 | S-412 | Craniotomy, Supratentorial, for Surgery of Bleeding Intracranial Aneurysm | Off |  |  |  |  | #N/A
61700 | Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation | 3 | S-410 | Craniotomy, Supratentorial | Off |  |  |  |  | #N/A
62005 | Elevation of depressed skull fracture; compound or comminuted, extradural | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
62010 | Elevation of depressed skull fracture; with repair of [NAME] of brain | 7 | S-414 | Craniotomy for Traumatic Brain Injury or Intracerebral Hemorrhage | Off |  |  |  |  | #N/A
62140 | [NAME] for skull defect; up to 5 cm diameter | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
62141 | [NAME] for skull defect; larger than 5 cm diameter | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
62142 | Removal of bone flap or prosthetic plate of skull | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
62143 | Replacement of bone flap or prosthetic plate of skull | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
62145 | [NAME] for skull defect with reparative brain surgery | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
62146 | [NAME] with autograft (includes obtaining bone grafts); up to 5 cm diameter | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
62147 | [NAME] with autograft (includes obtaining bone grafts); larger than 5 cm diameter | 1 | S-400 | [NAME] | Off |  |  |  |  | #N/A
62165 | Neuroendoscopy, intracranial; with excision of pituitary tumor, transnasal or trans-spheno | 1 or 2 | S-640 | Hypophysectomy, Nasal Approach | Off |  |  |  |  | #N/A
62223 | Creation of shunt; ventriculo-peritoneal, -pleural, other terminus | 1 | S-1050 | Shunt, Ventriculoperitoneal for Hydrocephalus | Off |  |  |  |  | #N/A
62230 | Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catheter | 2 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
62256 | Removal of complete cerebrospinal fluid shunt system; without replacement | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
62258 | Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other | 1 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
63707 | Repair of dural/cerebrospinal fluid leak, not requiring laminectomy | 4 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
63709 | Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy | 3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
63710 | Dural graft, spinal | A-3 | Supp. SG-NS | Neurosurgery or Procedure GRG | Off |  |  |  |  | #N/A
85.21 | LOCAL EXCISION OF LESION OF BREAST; Lumpectomy, Removal of | 2 | W0008 | Mastectomy, Partial (Lumpectomy) with Axillary Lymphadenectomy | Off |  |  |  |  | #N/A
85.23 | SUBTOTAL MASTECTOMY | 2 | W0008 | Mastectomy, Partial (Lumpectomy) with Axillary Lymphadenectomy | Off |  |  |  |  | #N/A
19301 | Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure) | 2 | W0008 | Mastectomy, Partial (Lumpectomy) with Axillary Lymphadenectomy | Off | No |  |  |  | #N/A
19302 | Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy | 2 | W0008 | Mastectomy, Partial (Lumpectomy) with Axillary Lymphadenectomy | Off | No |  |  |  | #N/A
85.53 | UNILATERAL BREAST IMPLANT | 2 | W0022 | Mastectomy, Modified Radical, with Insertion of Breast Prosthesis or Tissue Expander | Off |  |  |  |  | #N/A
85.95 | INSERTION OF BREAST TISSUE EXPANDER; Insertion (soft tissue) | 2 | W0022 | Mastectomy, Modified Radical, with Insertion of Breast Prosthesis or Tissue Expander | Off |  |  |  |  | #N/A
19303 | Mastectomy, simple, complete | 2 | W0022 | Mastectomy, Modified Radical, with Insertion of Breast Prosthesis or Tissue Expander | Off | Yes | Yes |  |  | #N/A
19307 | Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle | 2 | W0022 | Mastectomy, Modified Radical, with Insertion of Breast Prosthesis or Tissue Expander | Off |  |  |  |  | #N/A
19340 | Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruct | 2 | W0022 | Mastectomy, Modified Radical, with Insertion of Breast Prosthesis or Tissue Expander | Off | Yes |  | Yes |  | #N/A
19357 | Breast reconstruction, immediate or delayed, with tissue expander, including subsequent ex | 2 | W0022 | Mastectomy, Modified Radical, with Insertion of Breast Prosthesis or Tissue Expander | Off | Yes |  | Yes |  | #N/A
19304 | Mastectomy, subcutaneous | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off | Yes | Yes |  |  | #N/A
19305 | Mastectomy, radical, including pectoral muscles, axillary lymph nodes | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
19306 | Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.34 | OTHER UNILATERAL SUBCUTANEOUS MAMMECTOMY; Removal of breast | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.35 | BILATERAL SUBCUTANEOUS MAMMECTOMY WITH SYNCHRONOUS IMPLANT | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.45 | UNILATERAL RADICAL MASTECTOMY; Excision of breast, pectoral | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.46 | BILATERAL RADICAL MASTECTOMY | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.47 | UNILATERAL [NAME]; Excision of breast, | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.48 | BILATERAL EXTENDED RADICAL MASTECTOMY | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.54 | BILATERAL BREAST IMPLANT; Breast implant NOS | 2 | Supp. SG-GS | General [NAME] or Procedure GRG | Off |  |  |  |  | #N/A
85.41 | UNILATERAL SIMPLE MASTECTOMY; Mastectomy: NOS, complete | 2 | W0002 | Mastectomy, Modified Radical | Off |  |  |  |  | #N/A
85.42 | BILATERAL SIMPLE MASTECTOMY; Bilateral complete mastectomy | 2 | W0002 | Mastectomy, Modified Radical | Off |  |  |  |  | #N/A
85.43 | UNILATERAL EXTENDED SIMPLE MASTECTOMY; Extended simple | 2 | W0002 | Mastectomy, Modified Radical | Off |  |  |  |  | #N/A
85.44 | BILATERAL EXTENDED SIMPLE MASTECTOMY | 2 | W0002 | Mastectomy, Modified Radical | Off |  |  |  |  | #N/A
85.22 | Resection of quadrant of breast | 2 | W0008 | Mastectomy, Partial (Lumpectomy) with Axillary Lymphadenectomy | Off |  |  |  |  | #N/A
85.33 | Unilateral subcutaneous mammectomy with synchronous | 2 | W0022 | Mastectomy, Modified Radical, with Insertion of Breast Prosthesis or Tissue Expander | Off |  |  |  |  | #N/A
35.21 | Replacement of aortic valve with tissue graft | 4 | S-291 | Cardiac Valve: Ross Procedure | Off |  |  |  |  | #N/A
35.25 | Replacement of pulmonary valve with tissue graft | 4 | S-291 | Cardiac Valve: Ross Procedure | Off |  |  |  |  | #N/A