October 07 Add B. Status Description HCPCS

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1 00100 Anesth, salivary gland N Anesth, repair of cleft lip N Anesth, blepharoplasty N Anesth, electroshock N Anesth, ear surgery N Anesth, ear exam N Anesth, tympanotomy N Anesth, procedures on eye N Anesth, lens surgery N Anesth, corneal transplant N Anesth, vitreoretinal surg N Anesth, iridectomy N Anesth, eye exam N Anesth, nose/sinus surgery N Anesth, nose/sinus surgery N Anesth, biopsy of nose N Anesth, procedure on mouth N Anesth, cleft palate repair N Anesth, pharyngeal surgery N Anesth, pharyngeal surgery C Anesth, face/skull bone surg N Anesth, facial bone surgery C Anesth, open head surgery N Anesth, skull drainage N Anesth, skull drainage C Anesth, skull repair/fract C Anesth, head vessel surgery N Anesth, special head surgery N Anesth, intrcrn nerve N Anesth, head nerve surgery N Anesth, head/neck/ptrunk N Anesth, neck organ, 1 & over N Anesth, biopsy of thyroid N Anesth, larynx/trach, < 1 yr N Anesth, neck vessel surgery N Anesth, neck vessel surgery N Anesth, skin, ext/per/atrunk N Anesth, surgery of breast N Anesth, surgery of breast N Anesth, surgery of breast N Anesth, correct heart rhythm N Anesth, surgery of shoulder N Anesth, surgery of shoulder C Anesth, collar bone biopsy N Anesth, removal of rib N Anesth, chest wall repair N Anesth, surgery of rib(s) C Anesth, esophageal surgery N Anesth, chest procedure N Anesth, chest lining biopsy N Anesth, chest drainage C Anesth, chest partition view N Anesth, chest partition view N Anesth, pacemaker insertion N Anesth, vascular access N Anesth, cardioverter/defib N Anesth, cardiac electrophys N Anesth, trach-bronch reconst N Anesth, chest surgery C Anesth, one lung ventilation N Anesth, release of lung C Anesth, lung,chest wall surg C Anesth, trachea,bronchi surg N Anesth, sternal debridement N Anesth, heart surg w/o pump C Anesth, heart surg < age 1 C Anesth, heart surg w/pump C Anesth, heart surg w/arrest N Anesth, cabg w/o pump N Anesth, heart/lung transplnt C Anesth, spine, cord surgery N Anesth, sitting procedure C Anesth, spine, cord surgery N Anesth, removal of nerves C Anes spine tranthor w/o vent N Anes, spine transthor w/vent N Anesth, spine, cord surgery N Anesth, removal of nerves C Anesth for chemonucleolysis N Anesth, lumbar puncture N Anesth, spine manipulation N Anesth, spine, cord surgery C Anesth, abdominal wall surg N Anesth, for liver biopsy N Anesth, abdominal wall surg N Anesth, upper gi visualize N Anesth, repair of hernia N 1 of 154

2 00752 Anesth, repair of hernia N Anesth, repair of hernia N Anesth, repair of hernia N Anesth, blood vessel repair N Anesth, surg upper abdomen N Anesth, hemorr/excise liver C Anesth, pancreas removal C Anesth, for liver transplant C Anesth, surgery for obesity N Anesth, abdominal wall surg N Anesth, fat layer removal C Anesth, low intestine scope N Anesth, abdominal wall surg N Anesth, repair of hernia N Anesth, repair of hernia N Anesth, hernia repair< 1 yr N Anesth hernia repair preemie N Anesth, surg lower abdomen N Anesth, amniocentesis N Anesth, pelvis surgery C Anesth, hysterectomy C Anesth, pelvic organ surg C Anesth, tubal ligation N Anesth, surgery of abdomen N Anesth, kidney/ureter surg N Anesth, removal of bladder C Anesth, removal of prostate C Anesth, removal of adrenal C Anesth, kidney transplant C Anesth, bladder stone surg N Anesth kidney stone destruct N Anesth kidney stone destruct N Anesth, abdomen vessel surg N Anesth, major vein ligation C Anesth, anorectal surgery N Anesth, perineal surgery C Anesth, removal of vulva N Anesth, removal of prostate C Anesth, bladder surgery N Anesth, bladder tumor surg N Anesth, removal of prostate N Anesth, bleeding control N Anesth, stone removal N Anesth, genitalia surgery N Anesth, vasectomy N Anesth, sperm duct surgery N Anesth, testis exploration N Anesth, removal of testis N Anesth, removal of testis N Anesth, testis suspension N Anesth, amputation of penis C Anesth, penis, nodes removal C Anesth, penis, nodes removal C Anesth, insert penis device N Anesth, vaginal procedures N Anesth, surg on vag/urethral N Anesth, vaginal hysterectomy C Anesth, repair of cervix N Anesth, vaginal endoscopy N Anesth, hysteroscope/graph N Anesth, bone aspirate/bx N Anesth, pelvis surgery N Anesth, body cast procedure N Anesth, amputation at pelvis C Anesth, pelvic tumor surgery C Anesth, pelvis procedure N Anesth, pelvis surgery N Anesth, fx repair, pelvis N Anesth, pelvis nerve removal N Anesth, pelvis nerve removal N Anesth, hip joint procedure N Anesth, arthroscopy of hip N Anesth, hip joint surgery N Anesth, hip disarticulation C Anesth, hip arthroplasty C Anesth, revise hip repair N Anesth, procedure on femur N Anesth, surgery of femur N Anesth, amputation of femur C Anesth, radical femur surg C Anesth, upper leg surgery N Anesth, upper leg veins surg N Anesth, thigh arteries surg N Anesth, femoral artery surg C Anesth, femoral embolectomy C Anesth, knee area surgery N Anesth, knee area procedure N 2 of 154

3 01360 Anesth, knee area surgery N Anesth, knee joint procedure N Anesth, dx knee arthroscopy N Anesth, knee area procedure N Anesth, knee area surgery N Anesth, knee joint surgery N Anesth, knee arthroplasty C Anesth, amputation at knee C Anesth, knee joint casting N Anesth, knee veins surgery N Anesth, knee vessel surg N Anesth, knee arteries surg N Anesth, knee artery surg C Anesth, knee artery repair C Anesth, lower leg procedure N Anesth, ankle/ft arthroscopy N Anesth, lower leg surgery N Anesth, achilles tendon surg N Anesth, lower leg surgery N Anesth, lower leg bone surg N Anesth, radical leg surgery N Anesth, lower leg revision N Anesth, ankle replacement C Anesth, lower leg casting N Anesth, leg arteries surg N Anesth, lwr leg embolectomy C Anesth, lower leg vein surg N Anesth, lower leg vein surg N Anesth, surgery of shoulder N Anesth, shoulder procedure N Anes dx shoulder arthroscopy N Anesth, surgery of shoulder N Anesth, surgery of shoulder C Anesth, shoulder joint amput C Anesth, forequarter amput C Anesth, shoulder replacement C Anesth, shoulder artery surg N Anesth, shoulder vessel surg C Anesth, shoulder vessel surg C Anesth, arm-leg vessel surg C Anesth, shoulder vein surg N Anesth, shoulder casting N Anesth, airplane cast N Anesth, elbow area surgery N Anesth, uppr arm tendon surg N Anesth, uppr arm tendon surg N Anesth, biceps tendon repair N Anesth, uppr arm procedure N Anesth, dx elbow arthroscopy N Anesth, upper arm surgery N Anesth, humerus surgery N Anesth, humerus repair N Anesth, radical humerus surg C Anesth, humeral lesion surg N Anesth, elbow replacement N Anesth, uppr arm artery surg N Anesth, uppr arm embolectomy N Anesth, upper arm vein surg N Anesth, uppr arm vein repair N Anesth, lower arm surgery N Anesth, lower arm procedure N Anesth, dx wrist arthroscopy N Anesth, lower arm surgery N Anesth, wrist replacement N Anesth, lwr arm artery surg N Anesth, lwr arm embolectomy N Anesth, vascular shunt surg N Anesth, lower arm vein surg N Anesth, lwr arm vein repair N Anesth, lower arm casting N Anes, spine inject, x-ray/re N Anesth, dx arteriography N Anesth, catheterize heart N Anesth, cat or MRI scan N Anes, ther interven rad, art N Anes, ther interven rad, car N Anes, tx interv rad hrt/cran N Anes, ther interven rad, vei N Anes, ther interven rad, tip N Anes, tx interv rad, th vein N Anes, tx interv rad, cran v N Anesth, burn, less 4 percent N Anesth, burn, 4-9 percent N Anesth, burn, each 9 percent N Anesth, antepartum manipul N Anesth, vaginal delivery N Anesth, cs delivery N 3 of 154

4 01962 Anesth, emer hysterectomy N Anesth, cs hysterectomy N Anesth, inc/missed ab proc N Anesth, induced ab procedure N Anesth/analg, vag delivery N Anes/analg cs deliver add-on N Anesth/analg cs hyst add-on N Support for organ donor C Anesth, nerve block/inj N Anesth, n block/inj, prone N Hosp manage cont drug admin N Unlisted anesth procedure N Fna w/o image T Fna w/image T Acne surgery T Drainage of skin abscess T Drainage of skin abscess T Drainage of pilonidal cyst T Drainage of pilonidal cyst T Remove foreign body T Remove foreign body T Drainage of hematoma/fluid T Puncture drainage of lesion T Complex drainage, wound T Debride infected skin T Debride infected skin add-on T Debride genitalia & perineum C Debride abdom wall C Debride genit/per/abdom wall C Remove mesh from abd wall C Debride skin, fx T Debride skin/muscle, fx T Debride skin/muscle/bone, fx T Debride skin, partial T Debride skin, full T Debride skin/tissue T Debride tissue/muscle T Debride tissue/muscle/bone T Trim skin lesion T Trim skin lesions, 2 to 4 T Trim skin lesions, over 4 T Biopsy, skin lesion T Biopsy, skin add-on T Removal of skin tags T Remove skin tags add-on T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Shave skin lesion T Exc tr-ext b9+marg 0.5 < cm T Exc tr-ext b9+marg cm T Exc tr-ext b9+marg cm T Exc tr-ext b9+marg cm T Exc tr-ext b9+marg cm T Exc tr-ext b9+marg > 4.0 cm T Exc h-f-nk-sp b9+marg 0.5 < T Exc h-f-nk-sp b9+marg T Exc h-f-nk-sp b9+marg T Exc h-f-nk-sp b9+marg T Exc h-f-nk-sp b9+marg T Exc h-f-nk-sp b9+marg > 4 cm T Exc face-mm b9+marg 0.5 < cm T Exc face-mm b9+marg cm T Exc face-mm b9+marg cm T Exc face-mm b9+marg cm T Exc face-mm b9+marg cm T Exc face-mm b9+marg > 4 cm T Removal, sweat gland lesion T Removal, sweat gland lesion T Removal, sweat gland lesion T Removal, sweat gland lesion T Removal, sweat gland lesion T Removal, sweat gland lesion T Exc tr-ext mlg+marg 0.5 < cm T Exc tr-ext mlg+marg cm T Exc tr-ext mlg+marg cm T Exc tr-ext mlg+marg cm T Exc tr-ext mlg+marg cm T Exc tr-ext mlg+marg > 4 cm T of 154

5 11620 Exc h-f-nk-sp mlg+marg 0.5 < T Exc h-f-nk-sp mlg+marg T Exc h-f-nk-sp mlg+marg T Exc h-f-nk-sp mlg+marg T Exc h-f-nk-sp mlg+marg T Exc h-f-nk-sp mlg+mar > 4 cm T Exc face-mm malig+marg 0.5 < T Exc face-mm malig+marg T Exc face-mm malig+marg T Exc face-mm malig+marg T Exc face-mm malig+marg T Exc face-mm mlg+marg > 4 cm T Trim nail(s) T Debride nail, 1-5 T Debride nail, 6 or more T Removal of nail plate T Remove nail plate, add-on T Drain blood from under nail T Removal of nail bed T Remove nail bed/finger tip T Biopsy, nail unit T Repair of nail bed T Reconstruction of nail bed T Excision of nail fold, toe T Removal of pilonidal lesion T Removal of pilonidal lesion T Removal of pilonidal lesion T Injection into skin lesions T Added skin lesions injection T Correct skin color defects T Correct skin color defects T Correct skin color defects T Therapy for contour defects T Therapy for contour defects T Therapy for contour defects T Therapy for contour defects T Insert tissue expander(s) T Replace tissue expander T Remove tissue expander(s) T Insert contraceptive cap E Removal of contraceptive cap T Removal/reinsert contra cap E Implant hormone pellet(s) X Insert drug implant device X Remove drug implant device X Remove/insert drug implant X Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Repair superficial wound(s) T Closure of split wound T Closure of split wound T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Layer closure of wound(s) T Repair of wound or lesion T Repair of wound or lesion T Repair wound/lesion add-on T Repair of wound or lesion T Repair of wound or lesion T Repair wound/lesion add-on T Repair of wound or lesion T of 154

6 13132 Repair of wound or lesion T Repair wound/lesion add-on T Repair of wound or lesion T Repair of wound or lesion T Repair of wound or lesion T Repair wound/lesion add-on T Late closure of wound T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Skin tissue rearrangement T Wnd prep, ch/inf, trk/arm/lg T Wnd prep, ch/inf addl 100 cm T Wnd prep ch/inf, f/n/hf/g T Wnd prep, f/n/hf/g, addl cm T Harvest cultured skin graft T Skin pinch graft T Skin splt grft, trnk/arm/leg T Skin splt grft t/a/l, add-on T Epidrm autogrft trnk/arm/leg T Epidrm autogrft t/a/l add-on T Epidrm a-grft face/nck/hf/g T Epidrm a-grft f/n/hf/g addl T Skn splt a-grft fac/nck/hf/g T Skn splt a-grft f/n/hf/g add T Derm autograft, trnk/arm/leg T Derm autograft t/a/l add-on T Derm autograft face/nck/hf/g T Derm autograft, f/n/hf/g add T Cult epiderm grft t/arm/leg T Cult epiderm grft t/a/l addl T Cult epiderm graft t/a/l +% T Cult epiderm graft, f/n/hf/g T Cult epidrm grft f/n/hfg add T Cult epiderm grft f/n/hfg +% T Acell graft trunk/arms/legs T Acell graft t/arm/leg add-on T Acellular graft, f/n/hf/g T Acell graft, f/n/hf/g add-on T Skin full graft, trunk T Skin full graft trunk add-on T Skin full graft sclp/arm/leg T Skin full graft add-on T Skin full grft face/genit/hf T Skin full graft add-on T Skin full graft een & lips T Skin full graft add-on T Apply skinallogrft, t/arm/lg T Apply sknallogrft t/a/l addl T Apply skin allogrft f/n/hf/g T Aply sknallogrft f/n/hfg add T Aply acell alogrft t/arm/leg T Aply acell grft t/a/l add-on T Apply acell graft, f/n/hf/g T Aply acell grft f/n/hf/g add T Apply cult skin substitute T Apply cult skin sub add-on T Apply cult derm sub, t/a/l T Aply cult derm sub t/a/l add T Apply cult derm sub f/n/hf/g T Apply cult derm f/hf/g add T Apply skin xenograft, t/a/l T Apply skn xenogrft t/a/l add T Apply skin xgraft, f/n/hf/g T Apply skn xgrft f/n/hf/g add T Apply acellular xenograft T Apply acellular xgraft add T Form skin pedicle flap T Form skin pedicle flap T Form skin pedicle flap T Form skin pedicle flap T Skin graft T Skin graft T Skin graft T Skin graft T Transfer skin pedicle flap T Forehead flap w/vasc pedicle T Muscle-skin graft, head/neck T Muscle-skin graft, trunk T Muscle-skin graft, arm T Muscle-skin graft, leg T of 154

7 15740 Island pedicle flap graft T Neurovascular pedicle graft T Free myo/skin flap microvasc C Free skin flap, microvasc C Free fascial flap, microvasc C Composite skin graft T Derma-fat-fascia graft T Hair transplant punch grafts T Hair transplant punch grafts T Abrasion treatment of skin T Abrasion treatment of skin T Abrasion treatment of skin T Abrasion treatment of skin T Abrasion, lesion, single T Abrasion, lesions, add-on T Chemical peel, face, epiderm T Chemical peel, face, dermal T Chemical peel, nonfacial T Chemical peel, nonfacial T Plastic surgery, neck T Revision of lower eyelid T Revision of lower eyelid T Revision of upper eyelid T Revision of upper eyelid T Removal of forehead wrinkles T Removal of neck wrinkles T Removal of brow wrinkles T Removal of face wrinkles T Removal of skin wrinkles T Exc skin abd T Excise excessive skin tissue T Excise excessive skin tissue T Excise excessive skin tissue T Excise excessive skin tissue T Excise excessive skin tissue T Excise excessive skin tissue T Excise excessive skin tissue T Excise excessive skin tissue T Graft for face nerve palsy T Graft for face nerve palsy T Flap for face nerve palsy T Skin and muscle repair, face T Exc skin abd add-on T Removal of sutures T Removal of sutures T Dressing change not for burn X Test for blood flow in graft X Suction assisted lipectomy T Suction assisted lipectomy T Suction assisted lipectomy T Suction assisted lipectomy T Removal of tail bone ulcer T Removal of tail bone ulcer T Remove sacrum pressure sore T Remove sacrum pressure sore T Remove sacrum pressure sore T Remove sacrum pressure sore T Remove sacrum pressure sore T Remove sacrum pressure sore T Remove hip pressure sore T Remove hip pressure sore T Remove hip pressure sore T Remove hip pressure sore T Remove hip pressure sore T Remove thigh pressure sore T Remove thigh pressure sore T Remove thigh pressure sore T Remove thigh pressure sore T Remove thigh pressure sore T Remove thigh pressure sore T Removal of pressure sore T Initial treatment of burn(s) T Dress/debrid p-thick burn, s T Dress/debrid p-thick burn, m T Dress/debrid p-thick burn, l T Incision of burn scab, initi T Escharotomy; add'l incision C Destruct premalg lesion T Destruct premalg les, 2-14 T Destroy premlg lesions 15+ T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruct b9 lesion, 1-14 T Destruct lesion, 15 or more T Chemical cautery, tissue T Destruction of skin lesions T of 154

8 17261 Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Destruction of skin lesions T Mohs, 1 stage, h/n/hf/g T Mohs addl stage T Mohs, 1 stage, t/a/l T Mohs, addl stage, t/a/l T Mohs surg, addl block T Cryotherapy of skin T Skin peel therapy T Hair removal by electrolysis T Skin tissue procedure T Drainage of breast lesion T Drain breast lesion add-on T Incision of breast lesion T Injection for breast x-ray N Bx breast percut w/o image T Biopsy of breast, open T Bx breast percut w/image T Bx breast percut w/device T Cryosurg ablate fa, each T Nipple exploration T Excise breast duct fistula T Removal of breast lesion T Excision, breast lesion T Excision, addl breast lesion T Removal of chest wall lesion T Revision of chest wall C Extensive chest wall surgery C Place needle wire, breast N Place needle wire, breast N Place breast clip, percut S Place po breast cath for rad T Place breast cath for rad T Place breast rad tube/caths S Removal of breast tissue T Partical mastectomy T P-mastectomy w/ln removal T Mast, simple, complete T Mast, subq T Mast, radical C Mast, rad, urban type C Mast, mod rad T Suspension of breast T Reduction of large breast T Enlarge breast T Enlarge breast with implant T Removal of breast implant T Removal of implant material T Immediate breast prosthesis T Delayed breast prosthesis T Breast reconstruction T Correct inverted nipple(s) T Breast reconstruction T Breast reconstr w/lat flap C Breast reconstruction C Breast reconstruction T Breast reconstruction C Breast reconstruction C Breast reconstruction C Surgery of breast capsule T Removal of breast capsule T Revise breast reconstruction T Design custom breast implant T Breast surgery procedure T Incision of abscess T Incision of deep abscess T Explore wound, neck T Explore wound, chest T Explore wound, abdomen T Explore wound, extremity T Excise epiphyseal bar T Muscle biopsy T of 154

9 20205 Deep muscle biopsy T Needle biopsy, muscle T Bone biopsy, trocar/needle T Bone biopsy, trocar/needle T Bone biopsy, excisional T Bone biopsy, excisional T Open bone biopsy T Open bone biopsy T Injection of sinus tract T Inject sinus tract for x-ray N Removal of foreign body T Removal of foreign body T Ther injection, carp tunnel T Inj tendon sheath/ligament T Inj tendon origin/insertion T Inj trigger point, 1/2 muscl T Inject trigger points, =/> 3 T Drain/inject, joint/bursa T Drain/inject, joint/bursa T Drain/inject, joint/bursa T Aspirate/inj ganglion cyst T Treatment of bone cyst T Insert and remove bone pin T Apply, rem fixation device C Application of head brace C Application of pelvis brace T Application of thigh brace T Halo brace application C Removal of fixation device X Removal of support implant T Removal of support implant T Apply bone fixation device T Apply bone fixation device T Adjust bone fixation device T Remove bone fixation device T Replantation, arm, complete C Replant forearm, complete C Replantation hand, complete C Replantation digit, complete C Replantation digit, complete T Replantation thumb, complete C Replantation thumb, complete C Replantation foot, complete C Removal of bone for graft T Removal of bone for graft T Remove cartilage for graft T Remove cartilage for graft T Removal of fascia for graft T Removal of fascia for graft T Removal of tendon for graft T Removal of tissue for graft T Spinal bone allograft C Spinal bone allograft C Spinal bone autograft C Spinal bone autograft C Spinal bone autograft C Fluid pressure, muscle T Fibula bone graft, microvasc C Iliac bone graft, microvasc C Mt bone graft, microvasc C Other bone graft, microvasc C Bone/skin graft, microvasc C Bone/skin graft, iliac crest C Bone/skin graft, metatarsal T Bone/skin graft, great toe T Electrical bone stimulation A Electrical bone stimulation X Us bone stimulation X Ablate, bone tumor(s) perq T Musculoskeletal surgery T Incision of jaw joint T Resection of facial tumor T Excision of bone, lower jaw T Excision of facial bone(s) T Contour of face bone lesion T Excise max/zygoma b9 tumor T Remove exostosis, mandible T Remove exostosis, maxilla T Excise max/zygoma mlg tumor T Excise mandible lesion T Removal of jaw bone lesion T Extensive jaw surgery C Remove mandible cyst complex T Excise lwr jaw cyst w/repair T Remove maxilla cyst complex T Excis uppr jaw cyst w/repair T Removal of jaw joint T of 154

10 21060 Remove jaw joint cartilage T Remove coronoid process T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Prepare face/oral prosthesis T Maxillofacial fixation T Interdental fixation T Injection, jaw joint x-ray N Reconstruction of chin T Reconstruction of chin T Reconstruction of chin T Reconstruction of chin T Augmentation, lower jaw bone T Augmentation, lower jaw bone T Reduction of forehead T Reduction of forehead T Reduction of forehead T Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort T Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct midface, lefort C Reconstruct orbit/forehead C Reconstruct orbit/forehead T Reconstruct entire forehead C Reconstruct entire forehead C Contour cranial bone lesion T Reconstruct cranial bone C Reconstruct cranial bone C Reconstruct cranial bone C Reconstruction of midface C Reconst lwr jaw w/o graft C Reconst lwr jaw w/graft C Reconst lwr jaw w/o fixation T Reconst lwr jaw w/fixation C Reconstr lwr jaw segment T Reconstr lwr jaw w/advance T Reconstruct upper jaw bone T Augmentation of facial bones T Reduction of facial bones T Face bone graft T Lower jaw bone graft T Rib cartilage graft T Ear cartilage graft T Reconstruction of jaw joint T Reconstruction of jaw joint T Reconstruction of jaw joint T Reconstruction of lower jaw T Reconstruction of jaw T Reconstruction of jaw T Reconstruct lower jaw bone C Reconstruction of jaw T Reconstruction of jaw T Reconstruct lower jaw bone C Reconstruction of orbit C Revise eye sockets T Revise eye sockets T Revise eye sockets T Revise eye sockets T Revise eye sockets C Augmentation, cheek bone T Revision, orbitofacial bones T Revision of eyelid T Revision of eyelid T Revision of jaw muscle/bone T Revision of jaw muscle/bone T Cranio/maxillofacial surgery T Treatment of nose fracture T Treatment of nose fracture T Treatment of nose fracture T of 154

11 21325 Treatment of nose fracture T Treatment of nose fracture T Treatment of nose fracture T Treat nasal septal fracture T Treat nasal septal fracture T Treat nasoethmoid fracture T Treat nasoethmoid fracture T Treatment of nose fracture T Treatment of sinus fracture C Treatment of sinus fracture C Treat nose/jaw fracture T Treat nose/jaw fracture C Treat nose/jaw fracture C Treat nose/jaw fracture C Treat cheek bone fracture T Treat cheek bone fracture T Treat cheek bone fracture C Treat cheek bone fracture C Treat cheek bone fracture C Treat eye socket fracture C Treat eye socket fracture C Treat eye socket fracture C Treat eye socket fracture T Treat eye socket fracture C Treat eye socket fracture T Treat eye socket fracture T Treat eye socket fracture T Treat eye socket fracture T Treat eye socket fracture T Treat mouth roof fracture T Treat mouth roof fracture C Treat mouth roof fracture C Treat craniofacial fracture C Treat craniofacial fracture C Treat craniofacial fracture C Treat craniofacial fracture C Treat craniofacial fracture C Treat dental ridge fracture T Treat dental ridge fracture T Treat lower jaw fracture T Treat lower jaw fracture T Treat lower jaw fracture T Treat lower jaw fracture T Treat lower jaw fracture T Treat lower jaw fracture T Treat lower jaw fracture T Treat lower jaw fracture T Treat lower jaw fracture T Reset dislocated jaw T Reset dislocated jaw T Repair dislocated jaw T Treat hyoid bone fracture T Interdental wiring T Head surgery procedure T Drain neck/chest lesion T Drain chest lesion T Drainage of bone lesion C Biopsy of neck/chest T Remove lesion, neck/chest T Remove lesion, neck/chest T Remove tumor, neck/chest T Partial removal of rib T Partial removal of rib T Removal of rib C Removal of rib and nerves C Partial removal of sternum C Sternal debridement C Extensive sternum surgery C Extensive sternum surgery C Hyoid myotomy & suspension T Revision of neck muscle T Revision of neck muscle/rib C Revision of neck muscle T Revision of neck muscle T Reconstruction of sternum C Repair stern/nuss w/o scope T Repair sternum/nuss w/scope T Repair of sternum separation C Treatment of rib fracture T Treatment of rib fracture T Treatment of rib fracture(s) C Treat sternum fracture T Treat sternum fracture C Neck/chest surgery procedure T Biopsy soft tissue of back T Biopsy soft tissue of back T Remove lesion, back or flank T of 154

12 21935 Remove tumor, back T I&d, p-spine, c/t/cerv-thor C I&d, p-spine, l/s/ls C Remove part of neck vertebra T Remove part, thorax vertebra T Remove part, lumbar vertebra T Remove extra spine segment T Remove part of neck vertebra C Remove part, thorax vertebra C Remove part, lumbar vertebra C Remove extra spine segment C Revision of neck spine C Revision of thorax spine C Revision of lumbar spine C Revise, extra spine segment C Revision of neck spine C Revision of thorax spine T Revision of lumbar spine C Revise, extra spine segment C Treat spine process fracture T Treat spine fracture T Treat spine fracture T Treat odontoid fx w/o graft C Treat odontoid fx w/graft C Treat spine fracture C Treat neck spine fracture C Treat thorax spine fracture C Treat each add spine fx C Manipulation of spine T Percut vertebroplasty thor T Percut vertebroplasty lumb T Percut vertebroplasty add'l T Percut kyphoplasty, thor T Percut kyphoplasty, lumbar T Percut kyphoplasty, add-on T Idet, single level T Idet, 1 or more levels T Lat thorax spine fusion C Lat lumbar spine fusion C Lat thor/lumb, addæl seg C Neck spine fusion C Neck spine fusion C Thorax spine fusion C Lumbar spine fusion C Additional spinal fusion C Spine & skull spinal fusion C Neck spinal fusion C Neck spine fusion C Thorax spine fusion C Lumbar spine fusion T Spine fusion, extra segment T Lumbar spine fusion C Spine fusion, extra segment C Fusion of spine C Fusion of spine C Fusion of spine C Fusion of spine C Fusion of spine C Fusion of spine C Kyphectomy, 1-2 segments C Kyphectomy, 3 or more C Exploration of spinal fusion C Insert spine fixation device C Insert spine fixation device C Insert spine fixation device C Insert spine fixation device C Insert spine fixation device C Insert spine fixation device C Insert spine fixation device C Insert spine fixation device C Insert pelv fixation device C Reinsert spinal fixation C Remove spine fixation device C Apply spine prosth device T Remove spine fixation device C Remove spine fixation device C Lumbar artif diskectomy C Revise lumbar artif disc C Remove lumb artif disc C Spine surgery procedure T Remove abdominal wall lesion T Abdomen surgery procedure T Removal of calcium deposits T Release shoulder joint T Drain shoulder lesion T Drain shoulder bursa T Drain shoulder bone lesion T of 154

13 23040 Exploratory shoulder surgery T Exploratory shoulder surgery T Biopsy shoulder tissues T Biopsy shoulder tissues T Removal of shoulder lesion T Removal of shoulder lesion T Remove tumor of shoulder T Biopsy of shoulder joint T Shoulder joint surgery T Remove shoulder joint lining T Incision of collarbone joint T Explore treat shoulder joint T Partial removal, collar bone T Removal of collar bone T Remove shoulder bone, part T Removal of bone lesion T Removal of bone lesion T Removal of bone lesion T Removal of humerus lesion T Removal of humerus lesion T Removal of humerus lesion T Remove collar bone lesion T Remove shoulder blade lesion T Remove humerus lesion T Remove collar bone lesion T Remove shoulder blade lesion T Remove humerus lesion T Partial removal of scapula T Removal of head of humerus T Removal of collar bone C Removal of shoulder blade C Partial removal of humerus C Partial removal of humerus C Partial removal of humerus C Remove shoulder foreign body T Remove shoulder foreign body T Remove shoulder foreign body C Injection for shoulder x-ray N Muscle transfer,shoulder/arm T Muscle transfers T Fixation of shoulder blade T Incision of tendon & muscle T Incise tendon(s) & muscle(s) T Repair rotator cuff, acute T Repair rotator cuff, chronic T Release of shoulder ligament T Repair of shoulder T Repair biceps tendon T Remove/transplant tendon T Repair shoulder capsule T Repair shoulder capsule T Repair shoulder capsule T Repair shoulder capsule T Repair shoulder capsule T Repair shoulder capsule T Reconstruct shoulder joint T Reconstruct shoulder joint C Revision of collar bone T Revision of collar bone T Reinforce clavicle T Reinforce shoulder bones T Treat clavicle fracture T Treat clavicle fracture T Treat clavicle fracture T Treat clavicle dislocation T Treat clavicle dislocation T Treat clavicle dislocation T Treat clavicle dislocation T Treat clavicle dislocation T Treat clavicle dislocation T Treat clavicle dislocation T Treat clavicle dislocation T Treat shoulder blade fx T Treat shoulder blade fx T Treat scapula fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat shoulder dislocation T Treat shoulder dislocation T Treat shoulder dislocation T Treat dislocation/fracture T Treat dislocation/fracture T of 154

14 23675 Treat dislocation/fracture T Treat dislocation/fracture T Fixation of shoulder T Fusion of shoulder joint T Fusion of shoulder joint T Amputation of arm & girdle C Amputation at shoulder joint C Amputation follow-up surgery T Shoulder surgery procedure T Drainage of arm lesion T Drainage of arm bursa T Drain arm/elbow bone lesion T Exploratory elbow surgery T Release elbow joint T Biopsy arm/elbow soft tissue T Biopsy arm/elbow soft tissue T Remove arm/elbow lesion T Remove arm/elbow lesion T Remove tumor of arm/elbow T Biopsy elbow joint lining T Explore/treat elbow joint T Remove elbow joint lining T Removal of elbow bursa T Remove humerus lesion T Remove/graft bone lesion T Remove/graft bone lesion T Remove elbow lesion T Remove/graft bone lesion T Remove/graft bone lesion T Removal of head of radius T Removal of arm bone lesion T Remove radius bone lesion T Remove elbow bone lesion T Partial removal of arm bone T Partial removal of radius T Partial removal of elbow T Radical resection of elbow T Extensive humerus surgery T Extensive humerus surgery T Extensive radius surgery T Extensive radius surgery T Removal of elbow joint T Remove elbow joint implant T Remove radius head implant T Removal of arm foreign body T Removal of arm foreign body T Injection for elbow x-ray N Manipulate elbow w/anesth T Muscle/tendon transfer T Arm tendon lengthening T Revision of arm tendon T Repair of arm tendon T Revision of arm muscles T Revision of arm muscles T Tenolysis, triceps T Repair of biceps tendon T Repair arm tendon/muscle T Repair of ruptured tendon T Repr elbow lat ligmnt w/tiss T Reconstruct elbow lat ligmnt T Repr elbw med ligmnt w/tissu T Reconstruct elbow med ligmnt T Repair of tennis elbow T Repair of tennis elbow T Repair of tennis elbow T Repair of tennis elbow T Revision of tennis elbow T Reconstruct elbow joint T Reconstruct elbow joint T Reconstruct elbow joint T Replace elbow joint T Reconstruct head of radius T Reconstruct head of radius T Revision of humerus T Revision of humerus T Revision of humerus T Repair of humerus T Repair humerus with graft T Revision of elbow joint T Decompression of forearm T Reinforce humerus T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T of 154

15 24538 Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat humerus fracture T Treat elbow fracture T Treat elbow fracture T Treat elbow dislocation T Treat elbow dislocation T Treat elbow dislocation T Treat elbow fracture T Treat elbow fracture T Treat elbow dislocation T Treat radius fracture T Treat radius fracture T Treat radius fracture T Treat radius fracture T Treat ulnar fracture T Treat ulnar fracture T Treat ulnar fracture T Fusion of elbow joint T Fusion/graft of elbow joint T Amputation of upper arm C Amputation of upper arm C Amputation follow-up surgery T Amputation follow-up surgery C Amputate upper arm & implant C Revision of amputation T Revision of upper arm C Upper arm/elbow surgery T Incision of tendon sheath T Incise flexor carpi radialis T Decompress forearm 1 space T Decompress forearm 1 space T Decompress forearm 2 spaces T Decompress forearm 2 spaces T Drainage of forearm lesion T Drainage of forearm bursa T Treat forearm bone lesion T Explore/treat wrist joint T Biopsy forearm soft tissues T Biopsy forearm soft tissues T Removal forearm lesion subcu T Removal forearm lesion deep T Remove tumor, forearm/wrist T Incision of wrist capsule T Biopsy of wrist joint T Explore/treat wrist joint T Remove wrist joint lining T Remove wrist joint cartilage T Excise tendon forearm/wrist T Remove wrist tendon lesion T Remove wrist tendon lesion T Reremove wrist tendon lesion T Remove wrist/forearm lesion T Remove wrist/forearm lesion T Excise wrist tendon sheath T Partial removal of ulna T Removal of forearm lesion T Remove/graft forearm lesion T Remove/graft forearm lesion T Removal of wrist lesion T Remove & graft wrist lesion T Remove & graft wrist lesion T Remove forearm bone lesion T Partial removal of ulna T Partial removal of radius T Extensive forearm surgery T Removal of wrist bone T Removal of wrist bones T Partial removal of radius T Partial removal of ulna T Injection for wrist x-ray N Remove forearm foreign body T Removal of wrist prosthesis T Removal of wrist prosthesis T Manipulate wrist w/anesthes T Repair forearm tendon/muscle T Repair forearm tendon/muscle T Repair forearm tendon/muscle T Repair forearm tendon/muscle T of 154

16 25272 Repair forearm tendon/muscle T Repair forearm tendon/muscle T Repair forearm tendon sheath T Revise wrist/forearm tendon T Incise wrist/forearm tendon T Release wrist/forearm tendon T Fusion of tendons at wrist T Fusion of tendons at wrist T Transplant forearm tendon T Transplant forearm tendon T Revise palsy hand tendon(s) T Revise palsy hand tendon(s) T Repair/revise wrist joint T Revise wrist joint T Realignment of hand T Reconstruct ulna/radioulnar T Revision of radius T Revision of radius T Revision of ulna T Revise radius & ulna T Revise radius or ulna T Revise radius & ulna T Shorten radius or ulna T Lengthen radius or ulna T Shorten radius & ulna T Lengthen radius & ulna T Repair carpal bone, shorten T Repair radius or ulna T Repair/graft radius or ulna T Repair radius & ulna T Repair/graft radius & ulna T Repair/graft radius or ulna T Repair/graft radius & ulna T Vasc graft into carpal bone T Repair nonunion carpal bone T Repair/graft wrist bone T Reconstruct wrist joint T Reconstruct wrist joint T Reconstruct wrist joint T Reconstruct wrist joint T Reconstruct wrist joint T Wrist replacement T Repair wrist joint(s) T Remove wrist joint implant T Revision of wrist joint T Revision of wrist joint T Reinforce radius T Reinforce ulna T Reinforce radius and ulna T Treat fracture of radius T Treat fracture of radius T Treat fracture of radius T Treat fracture of radius T Treat fracture of radius T Treat fracture of radius T Treat fracture of ulna T Treat fracture of ulna T Treat fracture of ulna T Treat fracture radius & ulna T Treat fracture radius & ulna T Treat fracture radius & ulna T Treat fracture radius/ulna T Treat fracture radius/ulna T Treat fracture radius/ulna T Treat fx distal radial T Treat fx rad extra-articul T Treat fx rad intra-articul T Treat fx radial 3+ frag T Treat wrist bone fracture T Treat wrist bone fracture T Treat wrist bone fracture T Treat wrist bone fracture T Treat wrist bone fracture T Treat wrist bone fracture T Treat wrist bone fracture T Pin ulnar styloid fracture T Treat fracture ulnar styloid T Treat wrist dislocation T Treat wrist dislocation T Pin radioulnar dislocation T Treat wrist dislocation T Treat wrist dislocation T Treat wrist fracture T Treat wrist fracture T Treat wrist dislocation T Treat wrist dislocation T Fusion of wrist joint T of 154

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