CHAPTER 1 Procedures on Nervous System

Transcription

1 CHAPTER 1 Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 Procedures on Nervous System BLOCK 1 Examination of skull, meninges or brain Intracranial stereotactic localisation Neuroendoscopy BLOCK 2 Cranial tap or puncture Cisternal puncture Other cranial puncture Ventricular puncture Tap for subdural haemorrhage Aspiration of brain cyst BLOCK 3 Insertion of intracranial cerebrospinal fluid devices Insertion of ventricular reservoir Insertion of external ventricular drain Insertion of intracranial pressure [ICP] monitoring device, with monitoring BLOCK 4 Removal of intracranial cerebrospinal fluid devices Removal of intracranial pressure [ICP] monitoring device Removal of external ventricular drain Removal of ventricular reservoir BLOCK 5 Irrigation, insertion or removal of intracranial cerebrospinal fluid shunt Removal of ventricular shunt Insertion of cisternal shunt Irrigation of cerebrospinal fluid shunt Insertion of ventriculopleural shunt Insertion of ventricular shunt to other extracranial site Insertion of ventriculoperitoneal shunt Insertion of ventriculo-atrial shunt Removal of cisternal shunt BLOCK 6 Other application, insertion or removal procedures on skull, meninges or brain Subcutaneous implantation of neurostimulator device/receiver Insertion of skull caliper Removal of intracranial electrode via burr holes Placement of intracranial electrode via craniotomy Placement of intracranial electrode via burr holes Removal of subcutaneously implanted neurostimulator device/receiver Removal of intracranial electrode via craniotomy BLOCK 7 Incisional exploration of meninges or brain Burr holes BLOCK 8 Intracranial drainage Drainage of intracranial tumour or cyst CHAPTER 1 Procedures on Nervous System 1 din 193

2 Drainage of intracranial haemorrhage Drainage of intracranial infection BLOCK 9 Intracranial decompression Posterior cranial fossa decompression Subtemporal decompression Hind brain decompression Decompression of intracranial tumour via osteoplastic craniotomy BLOCK 10 Postoperative reopening of craniotomy or craniectomy site Postoperative re-opening of craniotomy or craniectomy site BLOCK 11 Destruction of intracranial aneurysm or other vascular lesion Obliteration of carotid cavernous fistula Ligation of cervical vessel for intracranial aneurysm Clipping of cerebral aneurysm Clipping of intracranial proximal artery BLOCK 12 Biopsy of brain or meninges Biopsy of cerebral meninges via burr holes Biopsy of brain via neuroendoscopy Biopsy of cerebral meninges via osteoplastic craniotomy Biopsy of brain via burr holes Biopsy of brain via osteoplastic craniotomy BLOCK 13 Excision of skull for tumour or infection Craniectomy for infection of skull Excision of lesion of skull Excision of tumour of skull BLOCK 14 Removal of intracranial haematoma or abscess Removal of intracranial abscess Removal of intracranial haematoma via osteoplastic craniotomy Removal of intracranial haematoma with craniectomy BLOCK 15 Removal of intracranial tumour Removal of tumour of brain stem Removal of cerebellopontine angle tumour Removal of other intracranial tumour Removal of tumour of cerebellum Removal of tumour of cerebrum Removal of intraventricular tumour Removal of tumour of cerebral meninges BLOCK 16 Other intracranial excision Topectomy Hemispherectomy Anterior section of corpus callosum CHAPTER 1 Procedures on Nervous System 2 din 193

3 Excision of intracranial arteriovenous malformation Partial lobectomy of brain Corticectomy of brain Removal of brain cyst BLOCK 17 Skull base surgery for tumour Excision of tumour of foramen magnum, transcondylar approach Excision of clival tumour, transoral approach Excision of tumour of cavernous sinus with intracranial carotid artery exposure Excision of tumour of foramen magnum, far lateral suboccipital approach Excision of clival tumour, transmaxillary approach Removal of tumour involving middle cranial and infratemporal fossae Removal of petroclival and clival tumour Removal of tumour involving anterior cranial fossa with radical clearance of paranasal sinus and orbital fossa extensions Removal of tumour involving anterior cranial fossa with clearance of paranasal sinus extension Removal of tumour involving anterior cranial fossa Removal of tumour involving infratemporal fossa Excision of tumour of cavernous sinus BLOCK 18 Skull base surgery for vascular lesion Excision of vascular lesion of foramen magnum, far lateral suboccipital approach Excision of vascular lesion of cavernous sinus, with intracranial carotid artery exposure Excision of vascular lesion of foramen magnum, transcondylar approach Excision of vascular lesion of cavernous sinus BLOCK 19 Ventriculostomy Ventriculocisternostomy Endoscopic third ventriculostomy Third ventriculostomy BLOCK 20 Repair of dura of brain Repair of dura of brain via craniotomy with cranioplasty Repair of dura of brain via craniotomy BLOCK 21 Extracranial to intracranial bypass Extracranial to intracranial bypass with saphenous vein graft Extracranial to intracranial bypass with radial artery graft Extracranial to intracranial bypass with superficial temporal artery graft BLOCK 22 Other repair of meninges or brain Reinforcement of cerebral aneurysm Repair of encephalocele Plugging of obex BLOCK 23 Cranioplasty Cranioplasty with insertion of skull plate Cranioplasty with bone graft Cranioplasty with skull flap CHAPTER 1 Procedures on Nervous System 3 din 193

4 Other cranioplasty BLOCK 24 Revision of intracranial cerebrospinal fluid shunt Revision of cisternal shunt Revision of ventricular shunt Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 BLOCK 25 Procedures for skull fracture Reduction of compound skull fracture Debridement of compound skull fracture Reduction of compound skull fracture with repair of dura and brain Reduction of closed skull fracture Elevation of closed skull fracture Elevation of compound skull fracture with repair of dura and brain Elevation of compound skull fracture BLOCK 27 Functional intracranial stereotactic procedure Functional intracranial stereotactic procedure BLOCK 28 Other procedures on skull, meninges or brain Other diagnostic procedures on skull, brain or cerebral meninges Other procedures on skull Other procedures on brain or cerebral meninges BLOCK 29 Examination of spinal canal and spinal cord structures Spinal stereotactic localisation BLOCK 30 Lumbar puncture Lumbar puncture BLOCK 31 Intradiscal or vertebral injection Injection of chemonucleolytic agent into disc Injection into costotransverse joint Injection into zygo-apophyseal (facet) joint BLOCK 32 Epidural injection Epidural injection of other therapeutic substance, combined preoperative, intraoperative and postoperative Epidural injection of opioid, preoperative Epidural injection of other therapeutic substance, preoperative Epidural injection of local anaesthetic, postoperative Epidural injection of opioid, postoperative Epidural injection of opioid, combined preoperative, intraoperative and postoperative Epidural injection of neurolytic agent Epidural injection for lysis of adhesions Epidural injection of other therapeutic substance, postoperative Epidural injection of local anaesthetic, combined preoperative, intraoperative and postoperative Epidural injection of local anaesthetic, preoperative BLOCK 33 Epidural infusion Epidural infusion of local anaesthetic, preoperative CHAPTER 1 Procedures on Nervous System 4 din 193

5 Epidural infusion of other therapeutic substance, combined preoperative, intraoperative and postoperative Epidural infusion of other therapeutic substance, preoperative Epidural infusion of opioid, preoperative Epidural infusion of opioid, postoperative Epidural infusion of other therapeutic substance, postoperative Epidural infusion of local anaesthetic, postoperative Epidural infusion of local anaesthetic, combined preoperative, intraoperative and postoperative Epidural infusion of opioid, combined preoperative, intraoperative and postoperative BLOCK 34 Caudal injection Caudal injection of opioid, preoperative Caudal injection of opioid, postoperative Caudal injection of opioid, combined preoperative, intraoperative and postoperative Caudal injection of other therapeutic substance, preoperative Caudal injection of local anaesthetic, combined preoperative, intraoperative and postoperative Caudal injection of other therapeutic substance, combined preoperative, intraoperative and postoperative Caudal injection of other therapeutic substance, postoperative Caudal injection of local anaesthetic, postoperative Caudal injection of local anaesthetic, preoperative BLOCK 35 Caudal infusion Caudal infusion of other therapeutic substance, postoperative Caudal infusion of local anaesthetic, preoperative Caudal infusion of local anaesthetic, postoperative Caudal infusion of local anaesthetic, combined preoperative, intraoperative and postoperative Caudal infusion of opioid, preoperative Caudal infusion of opioid, postoperative Caudal infusion of opioid, combined preoperative, intraoperative and postoperative Caudal infusion of other therapeutic substance, preoperative Caudal infusion of other therapeutic substance, combined preoperative, intraoperative and postoperative BLOCK 36 Spinal injection Spinal injection of opioid, preoperative Spinal injection of other therapeutic substance, combined preoperative, intraoperative and postoperative Spinal injection of other therapeutic substance, preoperative Spinal injection of other therapeutic substance, postoperative Spinal injection of local anaesthetic, postoperative Spinal injection of local anaesthetic, preoperative Spinal injection of opioid, combined preoperative, intraoperative and postoperative Spinal injection of opioid, postoperative Spinal injection of neurolytic agent Spinal injection of local anaesthetic, combined preoperative, intraoperative and postoperative BLOCK 37 Spinal infusion Spinal infusion of other therapeutic substance, preoperative Spinal infusion of other therapeutic substance, combined preoperative, intraoperative and postoperative CHAPTER 1 Procedures on Nervous System 5 din 193

6 Spinal infusion of other therapeutic substance, postoperative Spinal infusion of local anaesthetic, postoperative Spinal infusion of opioid, combined preoperative, intraoperative and postoperative Spinal infusion of opioid, postoperative Spinal infusion of local anaesthetic, combined preoperative, intraoperative and postoperative Spinal infusion of opioid, preoperative Spinal infusion of local anaesthetic, preoperative BLOCK 38 Spinal blood patch Spinal blood patch BLOCK 39 Insertion of spinal catheter, infusion device or pump Insertion of implantable spinal infusion pump Insertion of implantable spinal infusion device Insertion or replacement of spinal catheter BLOCK 40 Removal of spinal catheter, infusion device or pump Removal of spinal catheter Removal of implantable spinal infusion device or pump BLOCK 41 Insertion and removal of spinal cerebrospinal fluid drain Insertion of lumbar cerebrospinal fluid drain Removal of lumbar cerebrospinal fluid drain BLOCK 42 Insertion and removal of spinal cerebrospinal fluid shunt Insertion of spinal shunt Removal of spinal shunt Insertion of cerebrospinal fluid shunt with laminectomy BLOCK 43 Insertion of spinal electrodes and neurostimulator for pain relief Insertion of epidural electrodes by laminectomy Insertion of epidural electrodes by laminectomy with subcutaneous implantation of spinal neurostimulator device Subcutaneous implantation of spinal neurostimulator device/receiver Percutaneous insertion of epidural electrodes Percutaneous insertion of epidural electrodes with subcutaneous implantation of spinal neurostimulator device BLOCK 44 Removal of spinal electrodes or neurostimulator Removal of epidural electrodes Removal of spinal neurostimulator device BLOCK 45 Cordotomy or myelotomy Cordotomy Dorsal root entry zone [DREZ] procedure Myelotomy BLOCK 46 Decompression of cervical spinal cord Decompression of cervical spinal cord with anterior fusion, 1 level Decompression of cervical spinal cord with anterior fusion, 2 or more levels Decompression of cervical spinal cord, 1 level CHAPTER 1 Procedures on Nervous System 6 din 193

7 Decompression of cervical spinal cord, 2 or more levels BLOCK 47 Decompression of thoracic and thoracolumbar spinal cord Decompression of thoracic spinal cord via thoracotomy Decompression of thoracic spinal cord via costotransversectomy Anterior decompression of thoracolumbar spinal cord BLOCK 48 Decompression of lumbar spinal canal Decompression of lumbar spinal cord, >= 2 levels Decompression of lumbar spinal cord, 1 level BLOCK 49 Other incision procedures on spinal canal or spinal cord structures Release of congenital tethered spinal cord Postoperative re-opening of laminotomy or laminectomy site Spinal rhizolysis BLOCK 50 Biopsy of spinal cord or spinal meninges Biopsy of spinal cord or spinal meninges BLOCK 51 Discectomy for recurrent disc lesion Discectomy for recurrent disc lesion, 2 or more levels Discectomy for recurrent disc lesion, 1 level BLOCK 52 Other discectomy Percutaneous lumbar discectomy Cervical discectomy, 1 level Discectomy, 2 or more levels Discectomy, 1 level Cervical discectomy, 2 or more levels BLOCK 53 Removal of spinal lesion Removal of spinal intramedullary lesion Excision of spinal arteriovenous malformation Removal of spinal intradural lesion Removal of spinal extradural lesion BLOCK 54 Other excision procedures on spinal canal or spinal cord structures Spinal rhizolysis with laminectomy BLOCK 55 Repair of spinal canal or spinal cord structures Repair of myelomeningocele Other repair on spinal canal or spinal cord structures Repair of spinal meningocele BLOCK 56 Revision procedures on spinal canal or spinal cord structures Revision of spinal catheter Revision of spinal shunt Revision of implantable spinal infusion device Revision of implantable spinal infusion pump CHAPTER 1 Procedures on Nervous System 7 din 193

8 BLOCK 58 Functional spinal stereotactic procedure Functional spinal stereotactic procedure BLOCK 59 Other procedures on spinal canal or spinal cord structures Procedure for craniocervical junction lesion, transoral approach Other procedures on spinal canal or spinal cord structures Other diagnostic procedures on spinal canal or spinal cord structures BLOCK 60 Injection of anaesthetic agent around cranial nerve Injection of anaesthetic agent around spinal accessory nerve Injection of anaesthetic agent around glossopharyngeal nerve Injection of anaesthetic agent around vagus nerve Retrobulbar or peribulbar injection of anaesthetic agent Injection of anaesthetic agent around other cranial nerve Injection of anaesthetic agent around peripheral branch of trigeminal nerve Injection of anaesthetic agent around primary branch of trigeminal nerve Injection of anaesthetic agent around facial nerve BLOCK 61 Injection of neurolytic agent into cranial nerve Injection of neurolytic agent into primary branch of trigeminal nerve Injection of neurolytic agent into cranial nerve BLOCK 62 Injection into primary posterior rami of spinal nerve Injection of anaesthetic agent around primary posterior rami of spinal nerve Injection of neurolytic agent into primary posterior rami of spinal nerve BLOCK 63 Injection of anaesthetic agent around other peripheral nerve Injection of anaesthetic agent around cervical plexus Injection of anaesthetic agent around saphenous nerve Injection of anaesthetic agent around brachial plexus Injection of anaesthetic agent around median nerve Injection of anaesthetic agent around suprascapular nerve Injection of anaesthetic agent around obturator nerve Injection of anaesthetic agent around pudendal nerve Injection of anaesthetic agent around multiple intercostal nerves Injection of anaesthetic agent around popliteal nerve Injection of anaesthetic agent around ulnar nerve Injection of anaesthetic agent around femoral nerve Injection of anaesthetic agent around ilio-inguinal nerve Injection of anaesthetic agent around genitofemoral nerve Injection of anaesthetic agent around sural nerve Injection of anaesthetic agent around paravertebral lumbar nerve Injection of anaesthetic agent around posterior tibial nerve Injection of anaesthetic agent around sciatic nerve Injection of anaesthetic agent around paravertebral nerves, multiple levels Injection of anaesthetic agent around paravertebral sacral nerve CHAPTER 1 Procedures on Nervous System 8 din 193

9 Injection of anaesthetic agent around other peripheral nerve Injection of anaesthetic agent around paravertebral thoracic nerve Injection of anaesthetic agent around paravertebral cervical nerve Injection of anaesthetic agent around single intercostal nerve Injection of anaesthetic agent around greater occipital nerve Injection of anaesthetic agent around phrenic nerve Injection of anaesthetic agent around radial nerve Injection of anaesthetic agent around iliohypogastric nerve Injection of anaesthetic agent around paravertebral coccygeal nerve BLOCK 64 Injection of neurolytic agent into other peripheral nerve Injection of neurolytic agent into other peripheral nerve BLOCK 65 Injection of anaesthetic agent around sympathetic nervous system Injection of anaesthetic agent around other sympathetic nerve Injection of anaesthetic agent around splanchnic nerve Injection of anaesthetic agent around thoracic portion of sympathetic nervous system Injection of anaesthetic agent around sphenopalatine ganglion Injection of anaesthetic agent around coeliac plexus Injection of anaesthetic agent around carotid sinus nerve Injection of anaesthetic agent around cervical portion of sympathetic nervous system Injection of anaesthetic agent around lumbar portion of sympathetic nervous system BLOCK 66 Injection of neurolytic agent into sympathetic nervous system Injection of neurolytic agent into coeliac plexus Injection of neurolytic agent into sphenopalatine ganglion Injection of neurolytic agent into other sympathetic nerve Injection of neurolytic agent into thoracic portion of sympathetic nervous system Injection of neurolytic agent into cervical portion of sympathetic nervous system Injection of neurolytic agent into splanchnic nerve Injection of neurolytic agent into lumbar portion of sympathetic nervous system BLOCK 67 Implantation and removal of peripheral neurostimulator Implantation of peripheral neurostimulator Removal of peripheral neurostimulator BLOCK 68 Exploration of brachial plexus Exploration of brachial plexus BLOCK 69 Incision of optic nerve meninges Incision of optic nerve meninges BLOCK 70 Trigeminal gangliotomy Trigeminal gangliotomy by injection Trigeminal gangliotomy by radiofrequency Trigeminal gangliotomy by balloon compression BLOCK 71 Percutaneous neurotomy of primary posterior rami of spinal nerve CHAPTER 1 Procedures on Nervous System 9 din 193

10 Percutaneous neurotomy of primary posterior rami of spinal nerve BLOCK 72 Percutaneous neurotomy of other peripheral nerve Percutaneous neurotomy for facet joint denervation by cryoprobe Other percutaneous neurotomy by radiofrequency Other percutaneous neurotomy by cryoprobe Percutaneous neurotomy for facet joint denervation by radiofrequency BLOCK 73 Division of intracranial nerve Intracranial section of vestibular nerve Division of intracranial trigeminal nerve Division of other intracranial nerve BLOCK 74 Division of peripheral nerve Open neurotomy of deep peripheral nerve Open neurotomy of superficial peripheral nerve BLOCK 75 Decompression of intracranial nerve Intracranial decompression of other cranial nerve Intracranial decompression of facial nerve BLOCK 76 Release of carpal and tarsal tunnel Release of tarsal tunnel Release of carpal tunnel Endoscopic release of carpal tunnel BLOCK 77 Other neurolysis of peripheral nerve and nerve trunk Open neurolysis of peripheral nerve, not elsewhere classified Open neurolysis of interfascicular peripheral nerve trunk BLOCK 78 Destruction of nerve Cryotherapy to peripheral branches of trigeminal nerve BLOCK 79 Biopsy of nerve Biopsy of nerve BLOCK 80 Removal of tumour of nerve Removal of tumour from deep peripheral nerve Removal of tumour from superficial peripheral nerve Excision of neuroblastoma, not elsewhere classified BLOCK 81 Surgical sympathectomy Lumbar surgical sympathectomy Sacral surgical sympathectomy Other surgical sympathectomy Thoracic surgical sympathectomy Cervical surgical sympathectomy BLOCK 82 Other peripheral neurectomy Neurectomy of superficial peripheral nerve CHAPTER 1 Procedures on Nervous System 10 din 193

11 Neurectomy of deep peripheral nerve BLOCK 83 Repair of nerve or nerve trunk Anastomosis of facio-accessory nerve Anastomosis of faciohypoglossal nerve Primary repair of nerve Nerve graft Transposition of nerve Primary repair of nerve trunk Nerve graft to nerve trunk BLOCK 84 Secondary repair of nerve or nerve trunk Secondary repair of nerve Secondary repair of nerve trunk BLOCK 85 Reoperation for previous sympathectomy Lumbar surgical sympathectomy, re-operation Other surgical sympathectomy, re-operation Sacral surgical sympathectomy, re-operation Cervical surgical sympathectomy, re-operation Thoracic surgical sympathectomy, re-operation BLOCK 86 Other procedures on nerves Other diagnostic procedures on nerves Other procedure on nerves CHAPTER 1 Procedures on Nervous System 11 din 193

12 CHAPTER 2 Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 Procedures on Endocrine System BLOCK 110 Application, insertion or removal procedures on thyroid or parathyroid gland Aspiration of thyroid BLOCK 111 Incision procedures on thyroid Re-opening of wound of thyroid Incision of thyroid BLOCK 112 Biopsy of parathyroid or thyroid gland Percutaneous [needle] biopsy of parathyroid glands Biopsy of parathyroid glands Percutaneous [needle] biopsy of thyroid gland Biopsy of thyroid gland BLOCK 113 Parathyroidectomy Total parathyroidectomy Subtotal parathyroidectomy BLOCK 114 Subtotal thyroidectomy Subtotal thyroidectomy, following previous thyroid surgery Subtotal thyroidectomy for thyrotoxicosis Subtotal thyroidectomy, bilateral Subtotal thyroidectomy, substernal Subtotal thyroidectomy, unilateral BLOCK 115 Total thyroidectomy Total thyroidectomy Total thyroidectomy, following previous thyroid surgery Total thyroid lobectomy, unilateral Total thyroidectomy, substernal BLOCK 116 Other excision procedures on thyroid or parathyroid gland Excision of thyroglossal cyst Radical excision of thyroglossal cyst or fistula Excision of lesion of thyroid BLOCK 117 Other procedures on thyroid or parathyroid gland Other procedures on parathyroid gland Other procedures on thyroid gland BLOCK 118 Biopsy of adrenal gland Percutaneous [needle] biopsy of adrenal gland Biopsy of adrenal gland BLOCK 119 Adrenalectomy Total adrenalectomy, bilateral Total adrenalectomy, unilateral Partial adrenalectomy CHAPTER 2 Procedures on Endocrine System 12 din 193

13 BLOCK 120 Other excision procedures on adrenal gland Excision of tumour of adrenal gland BLOCK 121 Other procedures on adrenal gland Other procedures on adrenal gland Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 BLOCK 122 Excision procedures on pineal gland Biopsy of pineal gland Percutaneous [needle] biopsy of pineal gland Removal of tumour of pineal body BLOCK 123 Other procedures on pineal gland Other procedures on pineal gland BLOCK 124 Biopsy of pituitary gland Biopsy of pituitary gland, transfrontal approach Biopsy of pituitary gland, transsphenoidal approach BLOCK 125 Other excision procedures on pituitary gland Partial excision of pituitary gland, transcranial approach Total excision of pituitary gland, transcranial approach Partial excision of pituitary gland, transsphenoidal approach Total excision of pituitary gland, transsphenoidal approach Removal of craniopharyngioma Removal of tumour of pituitary gland via transcranial approach Removal of tumour of pituitary gland via transsphenoidal approach BLOCK 126 Other procedures on pituitary gland Other procedures on pituitary gland BLOCK 127 Biopsy of thymus Percutaneous [needle] biopsy of thymus gland Biopsy of thymus BLOCK 128 Removal of thymus Removal of thymus via cervical route Mediastinoscopic thymectomy Removal of thymus via sternotomy Removal of thymus via thoracotomy Removal of thymus via mediastinotomy BLOCK 129 Other procedures on thymus Other procedures on thymus CHAPTER 2 Procedures on Endocrine System 13 din 193

14 CHAPTER 3 Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 Procedures on Eye and Adnexa BLOCK 160 Examination procedures on eyeball Ophthalmological examination BLOCK 161 Excision procedures on eyeball Enucleation of eyeball without implant Enucleation of eyeball with sphere implant Enucleation of eyeball with integrated implant Enucleation of eyeball with hydroxy apatite (coralline) implant Evisceration of eyeball without implant Evisceration of eyeball with insertion of intrascleral ball or cartilaginous implant BLOCK 162 Repair of perforating wound of eyeball Repair of perforating wound of eyeball with suture of corneal and scleral lacerations Repair of perforating wound of eyeball involving lens or vitreous Repair of perforating wound of eyeball involving uveal tissue Repair of perforating wound of eyeball with suture of corneal laceration Repair of perforating wound of eyeball with suture of scleral laceration BLOCK 163 Other repair procedures on eyeball Other repair of eyeball Resuture of operative wound following previous intra-ocular procedure Resuture of operative wound following previous intra-ocular procedure with excision of prolapsed iris BLOCK 164 Secondary procedures after removal of eyeball Placement of motility integrating peg into existing orbital implant Removal of orbital implant Insertion of cartilaginous orbital implant to anophthalmic orbit Insertion of wired in conformer to anophthalmic socket Insertion of artificial orbital integrated implant to anophthalmic socket Repair of anophthalmic socket with dermofat graft Skin graft to anophthalmic orbit, secondary procedure Revision of anophthalmic socket Insertion of artificial implant to anophthalmic orbit BLOCK 165 Other procedures on eyeball Other procedures on eyeball BLOCK 166 Application, insertion or removal procedures on cornea Removal of superficial foreign body from cornea Removal of corneal sutures Removal of embedded foreign body from cornea by magnet BLOCK 167 Incision procedures on cornea Incision of cornea, nonpenetrating, with compression sutures for correction of surgically induced astigmatism Radial keratotomy CHAPTER 3 Procedures on Eye and Adnexa 14 din 193

15 Removal of embedded foreign body from cornea Incision of cornea, nonpenetrating, for correction of surgically induced astigmatism Incision of cornea BLOCK 168 Destruction procedures on cornea Thermocauterisation of cornea Cryotherapy of cornea Removal of pterygium by laser Destruction of cornea by laser Coagulation of corneal blood vessels by laser BLOCK 169 Biopsy of cornea Biopsy of cornea BLOCK 170 Keratectomy Phototherapeutic keratectomy [PTK] Partial keratectomy BLOCK 171 Excision of limbic tumour Excision of limbic tumour Excision of limbic tumour with keratectomy Excision of limbic tumour with sclerectomy BLOCK 172 Other excision procedures on cornea Epithelial debridement of cornea Excision of pterygium BLOCK 173 Keratoplasty Photorefractive keratoplasty [PRK] Full thickness transplantation of cornea Superficial transplantation of cornea Refractive keratoplasty by laser Refractive keratoplasty Other keratoplasty BLOCK 174 Other repair procedures on cornea Limbal stem cell transplant Repair of corneal perforation by sealing Manipulation of running corneal suture Other repair of cornea Repair of corneal laceration by conjunctival flap Conjunctival flap over cornea BLOCK 175 Reoperation procedures on cornea Re-operation of keratoplasty, 3rd or subsequent procedure Re-operation of keratoplasty, 2nd procedure BLOCK 176 Other procedures on cornea Other procedures on cornea CHAPTER 3 Procedures on Eye and Adnexa 15 din 193

16 BLOCK 177 Application, insertion or removal procedures on sclera Removal of superficial foreign body from sclera BLOCK 178 Incision procedures on sclera Removal of embedded foreign body from sclera Incision of sclera BLOCK 179 Destruction procedures on sclera Coagulation of scleral blood vessels by laser Destruction of lesion of sclera Destruction of pinguecula by laser BLOCK 180 Biopsy of sclera Biopsy of sclera BLOCK 181 Other excision procedures on sclera Excision of pinguecula Excision of lesion of sclera BLOCK 182 Repair procedures on sclera Full thickness transplantation of sclera Superficial transplantation of sclera BLOCK 183 Revision procedures on sclera Revision of operative wound of anterior segment, not elsewhere classified BLOCK 184 Other procedures on sclera Other procedures on sclera BLOCK 185 Application, insertion or removal procedures on iris, ciliary body or anterior chamber Injection of therapeutic substance into anterior chamber Magnetic removal of intra-ocular foreign body from anterior segment Irrigation of anterior chamber BLOCK 186 Division of synechiae Division of corneovitreal adhesions by laser Division of anterior synechiae Division of corneovitreal adhesions Division of anterior synechiae by laser Division of posterior synechiae Division of posterior synechiae by laser BLOCK 187 Other incision procedures on iris, ciliary body or anterior chamber Sphincterotomy of iris Iridotomy Nonmagnetic removal of intra-ocular foreign body from anterior segment BLOCK 188 Destruction procedures on iris, ciliary body or anterior chamber Destruction of lesion of iris by laser Iridotomy by laser CHAPTER 3 Procedures on Eye and Adnexa 16 din 193

17 Cryotherapy of ciliary body with external probe BLOCK 189 Excision procedures on iris, ciliary body or anterior chamber Excision of lesion of ciliary body Excision of other lesion of anterior chamber Excision of lesion involving ciliary body and iris Iridectomy Biopsy of iris BLOCK 190 Repair procedures on iris, ciliary body or anterior chamber Laser photomydriasis Iridoplasty by laser Iridoplasty Laser photoiridosyneresis BLOCK 191 Procedures for glaucoma Insertion of aqueous shunt for glaucoma Trabeculectomy Destruction of ciliary body Goniotomy Removal of aqueous shunt for glaucoma Revision of scleral fistulisation procedure Other filtering (fistulisation) procedures for glaucoma, not elsewhere classified Thermocauterisation of sclera with iridectomy Management of postoperative hypotony/fistula using tamponade device Iridencleisis or iridotasis Trabeculoplasty by laser Other procedures for glaucoma Division of scleral sutures by laser following trabeculoplasty Trephination of sclera with iridectomy BLOCK 192 Other procedures on iris, ciliary body or anterior chamber Other procedures on anterior chamber Other procedures on iris Other procedures on ciliary body BLOCK 193 Insertion of intra-ocular lens prosthesis Insertion of foldable artificial lens Insertion of artificial lens into posterior chamber and suture to iris and sclera Insertion of other artificial lens BLOCK 194 Replacement or removal of artificial lens Replacement of artificial lens Replacement of artificial lens by posterior chamber insertion and suture to iris and sclera Removal of artificial lens BLOCK 195 Intracapsular crystalline lens extraction Intracapsular extraction of crystalline lens with insertion of other artificial lens CHAPTER 3 Procedures on Eye and Adnexa 17 din 193

18 Intracapsular extraction of crystalline lens with insertion of foldable artificial lens Intracapsular extraction of crystalline lens BLOCK 196 Extracapsular crystalline lens extraction by aspiration alone Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of other artificial lens Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique with insertion of foldable artificial lens Extracapsular extraction of crystalline lens by simple aspiration (and irrigation) technique BLOCK 197 Extracapsular crystalline lens extraction by phacoemulsification Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of foldable artificial lens Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract Extracapsular extraction of crystalline lens by phacoemulsification and aspiration of cataract with insertion of other artificial lens BLOCK 198 Extracapsular crystalline lens extraction by mechanical phacofragmentation Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of other artificial lens Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract Extracapsular extraction of crystalline lens by mechanical phacofragmentation and aspiration of cataract with insertion of foldable artificial lens BLOCK 199 Other extracapsular crystalline lens extraction Other extracapsular extraction of crystalline lens with insertion of other artificial lens Other extracapsular extraction of crystalline lens Other extracapsular extraction of crystalline lens with insertion of foldable artificial lens BLOCK 200 Other extraction of crystalline lens Extraction of crystalline lens by posterior chamber sclerotomy with removal of vitreous Other extraction of crystalline lens with insertion of other artificial lens Other extraction of crystalline lens with insertion of foldable artificial lens Other extraction of crystalline lens BLOCK 201 Removal of after cataract Capsulotomy of lens Capsulectomy of lens Capsulotomy of lens by laser Needling of posterior capsule of lens Mechanical fragmentation of secondary membrane Capsulectomy of lens by posterior chamber sclerotomy with removal of vitreous Corticolysis of lens material by laser Capsulectomy of lens by posterior chamber sclerotomy BLOCK 202 Other application, insertion or removal procedures on lens Removal of juvenile cataract BLOCK 203 Other procedures on lens Repositioning of artificial lens with suture of lens Repositioning of artificial lens Other procedures on lens BLOCK 204 Aspiration of aqueous or vitreous Therapeutic aspiration of vitreous CHAPTER 3 Procedures on Eye and Adnexa 18 din 193

19 Diagnostic aspiration of aqueous humor Therapeutic aspiration of aqueous humor Diagnostic aspiration of vitreous BLOCK 205 Other application, insertion or removal procedures on aqueous or vitreous Removal of silicone oil BLOCK 206 Destruction procedures on aqueous or vitreous Intracameral laser lysis of vitreous humor Intracameral laser lysis of fibrin BLOCK 207 Vitrectomy Removal of vitreous, anterior approach Removal of vitreous with division of vitreal bands Removal of vitreous with division of vitreal bands and removal of preretinal membrane BLOCK 208 Other procedures on vitreous Other procedures on vitreous BLOCK 209 Application, insertion or removal procedures on retina, choroid or posterior chamber Removal of surgically implanted material from posterior segment of eye Magnetic removal of intra-ocular foreign body from posterior segment Injection of therapeutic substance into posterior chamber BLOCK 210 Incision procedures on retina, choroid or posterior chamber Nonmagnetic removal of intra-ocular foreign body from posterior segment Posterior sclerotomy BLOCK 211 Destruction procedures on retina, choroid or posterior chamber Destruction of retina by photocoagulation Cryotherapy of retina with external probe Destruction of retinal lesion by diathermy BLOCK 212 Repair of retinal detachment Repair of retinal detachment with scleral buckling Repair of retinal detachment by photocoagulation Other repair of retinal detachment Repair of retinal detachment by cryotherapy Repair of retinal detachment by diathermy BLOCK 213 Revision procedures on retina, choroid or posterior chamber Revision of previous retinal detachment procedure BLOCK 214 Other procedures on retina, choroid or posterior chamber Other procedures on retina or choroid Other procedures on posterior chamber BLOCK 215 Excision procedures on extraocular muscle Biopsy of extraocular muscle or tendon BLOCK 216 Strabismus repair CHAPTER 3 Procedures on Eye and Adnexa 19 din 193

20 Strabismus procedure involving 1 or 2 muscles, one eye Strabismus procedure involving 1 or 2 muscles, both eyes Strabismus procedure involving 3 or more muscles, both eyes Strabismus procedure involving 3 or more muscles, one eye Injection of botulinum toxin for strabismus Muscle transplant for strabismus BLOCK 217 Other repair of extraocular muscle Repair of ruptured extraocular muscle BLOCK 218 Revision procedures on extraocular muscle Re-adjustment of adjustable sutures following previous surgery for correction of strabismus,1 eye Re-adjustment of adjustable sutures following previous surgery for correction of strabismus, both eyes BLOCK 219 Reoperation procedures on extraocular muscle Re-operation of strabismus procedure involving 1 or 2 muscles, both eyes, 3rd or subsequent procedure Re-operation strabismus procedure involving 1 or 2 muscles, 1 eye - 3rd or subsequent procedure Re-operation of strabismus procedure involving 1 or 2 muscles, both eyes, 2nd procedure Re-operation of strabismus procedure involving 1 or 2 muscles,1 eye, 2nd procedure Re-operation of strabismus procedure involving 3 or more muscles, 1 eye, 2nd procedure Re-operation of strabismus procedure involving 3 or more muscles, both eyes - 2nd procedure Re-operation of strabismus procedure involving 3 or more muscles, 1 eye - 3rd or subsequent procedure Re-operation of muscle transplant procedure for strabismus, 3rd or subsequent procedure Re-operation of strabismus procedure involving >= 3 muscles, both eyes, 3rd or subsequent procedure Re-operation of muscle transplant procedure for strabismus, 2nd procedure BLOCK 220 Other procedures on extraocular muscle or tendon Other procedures on extraocular muscle or tendon BLOCK 221 Application, insertion or removal procedures on orbit Retrobulbar injection of alcohol or other drug BLOCK 222 Orbitotomy Exploratory orbitotomy BLOCK 223 Other incision procedures on orbit Drainage of orbital abscess Drainage of orbital cyst BLOCK 224 Orbitotomy with biopsy or excision Exploratory orbitotomy, anterior aspect, with excision of lesion Orbitotomy for decompression of orbit by removal of intraorbital (peribulbar)(retrobulbar) fat Exploratory orbitotomy, retrobulbar aspect, with removal of foreign body Exploratory orbitotomy, retrobulbar aspect, with excision of lesion Exploratory orbitotomy, anterior aspect, with removal of foreign body Exploratory orbitotomy with biopsy BLOCK 225 Exenteration of orbit Exenteration of orbit with skin graft and temporalis muscle transplant CHAPTER 3 Procedures on Eye and Adnexa 20 din 193

21 Exenteration of orbit with removal of adjacent structures Exenteration of orbit Exenteration of orbit with therapeutic removal of orbital bone Exenteration of orbit with temporalis muscle transplant Exenteration of orbit with skin graft BLOCK 226 Other excision procedures on orbit Excision of periorbital dermoid, anterior to orbital septum Excision of orbital dermoid, posterior to orbital septum BLOCK 227 Orbitotomy with removal and replacement of bone Exploratory orbitotomy with excision of lesion, requiring removal and replacement of bone Exploratory orbitotomy with removal of foreign body, requiring removal and replacement of bone Orbitotomy for decompression of orbit by fenestration of >= 2 walls Exploratory orbitotomy with biopsy, requiring removal and replacement of bone Exploratory orbitotomy requiring removal and replacement of bone BLOCK 228 Other repair procedures on orbit Other repair of orbit Repair of wound of orbit BLOCK 229 Other procedures on orbit Other procedures on orbit Retrobulbar transillumination BLOCK 230 Application, insertion or removal procedures on eyelid Injection of botulinum toxin into eyelid Insertion of implant into eyelid BLOCK 231 Incision procedures on eyelid Incision of eyelid Severing of blepharorrhaphy Canthotomy BLOCK 232 Biopsy of eyelid Biopsy of eyelid BLOCK 233 Other excision procedures on eyelid Excision of cartilage of tarsal plate Excision of cyst of tarsal plate BLOCK 234 Graft to eyelid Graft to upper eyelid, with recession of lid retractors, 1eye Graft to upper eyelid, with recession of lid retractors, both eyes Graft to lower eyelid, with recession of lid retractors, both eyes Graft to lower eyelid, with recession of lid retractors, 1 eye BLOCK 235 Canthoplasty Lateral canthoplasty Medial canthoplasty CHAPTER 3 Procedures on Eye and Adnexa 21 din 193

22 BLOCK 236 Other repair procedures on eyelid Recession of eyelid Other repair of eyelid Tarsorrhaphy Repair of medial palpebral ligament Elevation of eyebrow for paretic state Repair of wound of eyelid Propunere noua clasificare proceduri folosind codificarea ICD-10-AM versiunea 3, 30 martie 2004 BLOCK 237 Reconstruction procedure on eyelid Reconstruction of eyelid with hair follicle graft BLOCK 238 Procedures for correction of trichiasis Correction of trichiasis by cryotherapy, both eyes Correction of trichiasis by laser, 1 eye Correction of trichiasis by electrolysis, 1 eye Correction of trichiasis by electrolysis, both eyes Correction of trichiasis by laser, both eyes Correction of trichiasis by cryotherapy, 1 eye BLOCK 239 Procedures for ectropion or entropion Cauterisation of ectropion Repair of ectropion or entropion by other repair of inferior retractors Repair of ectropion or entropion by tightening or shortening of inferior retractors Correction of ectropion or entropion with wedge resection Correction of ectropion or entropion by suture technique Cauterisation of entropion BLOCK 240 Other procedures on eyelid Other procedures on eyelid BLOCK 241 Probing of lacrimal passages Probing of lacrimal passages, unilateral Probing of lacrimal passages, bilateral BLOCK 242 Insertion, replacement or removal of nasolacrimal tube Insertion of other nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage Replacement of nasolacrimal tube, unilateral Replacement of nasolacrimal tube, bilateral Insertion of glass (Pyrex) nasolacrimal tube/stent into lacrimal/conjunctival sac for drainage Removal of nasolacrimal tube, bilateral Removal of nasolacrimal tube, unilateral BLOCK 243 Other application, insertion or removal procedures on lacrimal system Removal of punctal plug Occlusion of lacrimal punctum by plug BLOCK 244 Incision procedures on lacrimal system Incision of lacrimal sac CHAPTER 3 Procedures on Eye and Adnexa 22 din 193

23 Incision of lacrimal punctum Incision of lacrimal gland Other incision of lacrimal passages BLOCK 245 Destruction procedures on lacrimal system Permanent occlusion of lacrimal punctum by cautery BLOCK 246 Excision procedures on lacrimal system Excision of lacrimal gland Excision of lacrimal sac Biopsy of lacrimal gland Excision of lacrimal passages BLOCK 247 Repair procedures on lacrimal system Conjunctivodacryocystorhinostomy [CDCR] Repair of lacrimal punctum, not elsewhere classified Repair of lacrimal canaliculus Dacryocystorhinostomy [DCR] BLOCK 248 Reoperation procedures on lacrimal passages Re-operation of dacryocystorhinostomy - 2nd or subsequent procedure BLOCK 249 Procedures for establishment of lacrimal patency Closed procedure for establishment of patency lacrimal canalicular system, 1 eye Closed procedure for establishment of patency lacrimal canalicular system, both eyes Open procedure for establishment of patency lacrimal canalicular system, 1 eye Open procedure for establishment of patency lacrimal canalicular system, both eyes BLOCK 250 Other procedures on lacrimal system Other procedures on lacrimal system BLOCK 251 Application, insertion or removal procedures on conjunctiva Removal of superficial foreign body from conjunctiva Subconjunctival injection BLOCK 252 Incision procedures on conjunctiva Removal of embedded foreign body from conjunctiva Incision of conjunctiva BLOCK 253 Destruction procedures on conjunctiva Cryotherapy of conjunctiva Cauterisation of conjunctiva BLOCK 254 Excision procedures on conjunctiva Biopsy of conjunctiva Excision of lesion or tissue of conjunctiva BLOCK 255 Repair procedures on conjunctiva Autoconjunctival transplant Repair of laceration of conjunctiva CHAPTER 3 Procedures on Eye and Adnexa 23 din 193