ALL REFERENCE. Page 1. ASC Group HCPCS Short Descriptor ASC HCPCS. ASC Group

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1 10121 Remove foreign body Repair of wound or lesion Apply skin xenograft, t/a/l Complex drainage, wound Repair wound/lesion add-on Apply skn xenogrft t/a/l add Debride skin, fx Repair of wound or lesion Apply skin xgraft, f/n/hf/g Debride skin/muscle, fx Repair of wound or lesion Apply skn xgrft f/n/hf/g add Debride skin/muscle/bone, fx Repair of wound or lesion Apply acellular xenograft Debride skin/tissue Repair wound/lesion add-on Apply acellular xgraft add Debride tissue/muscle Late closure of wound Form skin pedicle flap Debride tissue/muscle/bone Skin tissue rearrangement Form skin pedicle flap Exc tr-ext b9+marg cm Skin tissue rearrangement Form skin pedicle flap Exc tr-ext b9+marg > 4.0 cm Skin tissue rearrangement Form skin pedicle flap Exc h-f-nk-sp b9+marg Skin tissue rearrangement Skin graft Exc h-f-nk-sp b9+marg > 4 cm Skin tissue rearrangement Skin graft Exc face-mm b9+marg cm Skin tissue rearrangement Skin graft Exc face-mm b9+marg > 4 cm Skin tissue rearrangement Skin graft Removal, sweat gland lesion Skin tissue rearrangement Transfer skin pedicle flap Removal, sweat gland lesion Skin tissue rearrangement Forehead flap w/vasc pedicle Removal, sweat gland lesion Skin tissue rearrangement Muscle-skin graft, head/neck Removal, sweat gland lesion Wound prep, 1st 100 sq cm Muscle-skin graft, trunk Removal, sweat gland lesion Wound prep, addl 100 sq cm Muscle-skin graft, arm Removal, sweat gland lesion Wnd prep, ch/inf, trk/arm/lg Muscle-skin graft, leg Exc tr-ext mlg+marg cm Wnd prep, ch/inf addl 100 cm Island pedicle flap graft Exc tr-ext mlg+marg > 4 cm Wnd prep ch/inf, f/n/hf/g Neurovascular pedicle graft Exc h-f-nk-sp mlg+marg Wnd prep, f/n/hf/g, addl cm Composite skin graft Exc h-f-nk-sp mlg+mar > 4 cm Harvest cultured skin graft Derma-fat-fascia graft Exc face-mm malig+marg Skin pinch graft Hair transplant punch grafts Exc face-mm mlg+marg > 4 cm Skin splt grft, trnk/arm/leg Hair transplant punch grafts Removal of pilonidal lesion Skin splt grft t/a/l, add-on Revision of lower eyelid Removal of pilonidal lesion Epidrm autogrft trnk/arm/leg Revision of lower eyelid Removal of pilonidal lesion Epidrm autogrft t/a/l add-on Revision of upper eyelid Insert tissue expander(s) Epidrm a-grft face/nck/hf/g Revision of upper eyelid Replace tissue expander Epidrm a-grft f/n/hf/g addl Removal of forehead wrinkles Remove tissue expander(s) Skn splt a-grft fac/nck/hf/g Removal of neck wrinkles Repair superficial wound(s) Skn splt a-grft f/n/hf/g add Removal of brow wrinkles Repair superficial wound(s) Derm autograft, trnk/arm/leg Removal of face wrinkles Repair superficial wound(s) Derm autograft t/a/l add-on Removal of skin wrinkles Repair superficial wound(s) Derm autograft face/nck/hf/g Exc skin abd Repair superficial wound(s) Derm autograft, f/n/hf/g add Excise excessive skin tissue Repair superficial wound(s) Cult epiderm grft t/arm/leg Excise excessive skin tissue Closure of split wound Cult epiderm grft t/a/l addl Excise excessive skin tissue Closure of split wound Cult epiderm graft t/a/l +% Excise excessive skin tissue Layer closure of wound(s) Cult epiderm graft, f/n/hf/g Excise excessive skin tissue Layer closure of wound(s) Cult epidrm grft f/n/hfg add Excise excessive skin tissue Layer closure of wound(s) Cult epiderm grft f/n/hfg +% Excise excessive skin tissue Layer closure of wound(s) Skin full graft, trunk Graft for face nerve palsy Layer closure of wound(s) Skin full graft trunk add-on Graft for face nerve palsy Layer closure of wound(s) Skin full graft sclp/arm/leg Skin and muscle repair, face Layer closure of wound(s) Skin full graft add-on Exc skin abd add-on Layer closure of wound(s) Skin full grft face/genit/hf Suction assisted lipectomy Layer closure of wound(s) Skin full graft add-on Suction assisted lipectomy Layer closure of wound(s) Skin full graft een & lips Suction assisted lipectomy Layer closure of wound(s) Skin full graft add-on Suction assisted lipectomy Layer closure of wound(s) Apply skinallogrft, t/arm/lg Removal of tail bone ulcer Repair of wound or lesion Apply sknallogrft t/a/l addl Removal of tail bone ulcer Repair of wound or lesion Apply skin allogrft f/n/hf/g Remove sacrum pressure sore Repair wound/lesion add-on Aply sknallogrft f/n/hfg add Remove sacrum pressure sore Repair of wound or lesion Aply acell alogrft t/arm/leg Remove sacrum pressure sore Repair of wound or lesion Aply acell grft t/a/l add-on Remove sacrum pressure sore Repair wound/lesion add-on Apply acell graft, f/n/hf/g Remove sacrum pressure sore Repair of wound or lesion Aply acell grft f/n/hf/g add Remove sacrum pressure sore 4 Page 1

2 15940 Remove hip pressure sore Bone biopsy, trocar/needle Augmentation, cheek bone Remove hip pressure sore Bone biopsy, excisional Revision, orbitofacial bones Remove hip pressure sore Bone biopsy, excisional Revision of eyelid Remove hip pressure sore Open bone biopsy Revision of eyelid Remove hip pressure sore Open bone biopsy Revision of jaw muscle/bone Remove thigh pressure sore Removal of foreign body Revision of jaw muscle/bone Remove thigh pressure sore Insert and remove bone pin Treatment of skull fracture Remove thigh pressure sore Removal of support implant Treatment of nose fracture Remove thigh pressure sore Removal of support implant Treatment of nose fracture Remove thigh pressure sore Apply bone fixation device Treatment of nose fracture Remove thigh pressure sore Apply bone fixation device Treatment of nose fracture Dress/debrid p-thick burn, m Adjust bone fixation device Treatment of nose fracture Dress/debrid p-thick burn, l Remove bone fixation device Treatment of nose fracture Incision of breast lesion Removal of bone for graft Treat nasal septal fracture Bx breast percut w/o image Removal of bone for graft Treat nasal septal fracture Biopsy of breast, open Remove cartilage for graft Treat nasoethmoid fracture Bx breast percut w/image Remove cartilage for graft Treat nasoethmoid fracture Bx breast percut w/device Removal of fascia for graft Treatment of nose fracture Nipple exploration Removal of fascia for graft Treat nose/jaw fracture Excise breast duct fistula Removal of tendon for graft Treat cheek bone fracture Removal of breast lesion Removal of tissue for graft Treat cheek bone fracture Excision, breast lesion Electrical bone stimulation Treat eye socket fracture Excision, addl breast lesion Incision of jaw joint Treat eye socket fracture Removal of breast tissue Resection of facial tumor Treat mouth roof fracture Partial mastectomy Excision of bone, lower jaw Treat dental ridge fracture P-mastectomy w/ln removal Excision of facial bone(s) Treat lower jaw fracture Removal of breast Contour of face bone lesion Treat lower jaw fracture Removal of breast Excise max/zygoma mlg tumor Treat lower jaw fracture Place needle wire, breast Excise mandible lesion Treat lower jaw fracture Place needle wire, breast Removal of jaw bone lesion Treat lower jaw fracture Place breast clip, percut Remove mandible cyst complex Treat lower jaw fracture Place po breast cath for rad Excise lwr jaw cyst w/repair Treat lower jaw fracture Place breast cath for rad Removal of jaw joint Treat lower jaw fracture Place breast rad tube/caths Remove jaw joint cartilage Reset dislocated jaw Removal of breast tissue Remove coronoid process Reset dislocated jaw Partical mastectomy Maxillofacial fixation Repair dislocated jaw P-mastectomy w/ln removal Reconstruction of chin Interdental wiring Mast, simple, complete Reconstruction of chin Drain neck/chest lesion Mast, subq Reconstruction of chin Drain chest lesion Suspension of breast Reconstruction of chin Remove lesion, neck/chest Reduction of large breast Augmentation, lower jaw bone Remove lesion, neck/chest Enlarge breast Augmentation, lower jaw bone Partial removal of rib Enlarge breast with implant Contour cranial bone lesion Partial removal of rib Removal of breast implant Reconstruct upper jaw bone Revision of neck muscle Removal of implant material Augmentation of facial bones Revision of neck muscle Immediate breast prosthesis Reduction of facial bones Revision of neck muscle Delayed breast prosthesis Face bone graft Treatment of rib fracture Breast reconstruction Lower jaw bone graft Treatment of rib fracture Correct inverted nipple(s) Rib cartilage graft Treat sternum fracture Breast reconstruction Ear cartilage graft Biopsy soft tissue of back Breast reconstruction Reconstruction of jaw joint Remove lesion, back or flank Surgery of breast capsule Reconstruction of jaw joint Remove tumor, back Removal of breast capsule Reconstruction of jaw joint Treat spine process fracture Revise breast reconstruction Reconstruction of lower jaw Treat spine fracture Incision of deep abscess Reconstruction of jaw Treat spine fracture Muscle biopsy Reconstruction of jaw Manipulation of spine Deep muscle biopsy Reconstruction of jaw Percut vertebroplasty thor Needle biopsy, muscle Reconstruction of jaw Percut vertebroplasty lumb Bone biopsy, trocar/needle Revise eye sockets Percut vertebroplasty addæl 9 Page 2

3 22900 Remove abdominal wall lesion Treat clavicle fracture Removal of arm foreign body Removal of calcium deposits Treat clavicle fracture Muscle/tendon transfer Release shoulder joint Treat clavicle dislocation Arm tendon lengthening Drain shoulder lesion Treat clavicle dislocation Revision of arm tendon Drain shoulder bursa Treat clavicle dislocation Repair of arm tendon Drain shoulder bone lesion Treat clavicle dislocation Revision of arm muscles Exploratory shoulder surgery Treat clavicle dislocation Revision of arm muscles Exploratory shoulder surgery Treat clavicle dislocation Repair of biceps tendon Biopsy shoulder tissues Treat clavicle dislocation Repair arm tendon/muscle Removal of shoulder lesion Treat clavicle dislocation Repair of ruptured tendon Removal of shoulder lesion Treat shoulder blade fx Repr elbw med ligmnt w/tissu Remove tumor of shoulder Treat shoulder blade fx Repair of tennis elbow Biopsy of shoulder joint Treat scapula fracture Repair of tennis elbow Shoulder joint surgery Treat humerus fracture Repair of tennis elbow Remove shoulder joint lining Treat humerus fracture Repair of tennis elbow Incision of collarbone joint Treat humerus fracture Revision of tennis elbow Explore treat shoulder joint Treat humerus fracture Reconstruct elbow joint Partial removal, collar bone Treat humerus fracture Reconstruct elbow joint Removal of collar bone Treat shoulder dislocation Reconstruct elbow joint Remove shoulder bone, part Treat shoulder dislocation Replace elbow joint Removal of bone lesion Treat shoulder dislocation Reconstruct head of radius Removal of bone lesion Treat dislocation/fracture Reconstruct head of radius Removal of bone lesion Treat dislocation/fracture Revision of humerus Removal of humerus lesion Treat dislocation/fracture Revision of humerus Removal of humerus lesion Treat dislocation/fracture Revision of humerus Removal of humerus lesion Fixation of shoulder Repair of humerus Remove collar bone lesion Fusion of shoulder joint Repair humerus with graft Remove shoulder blade lesion Fusion of shoulder joint Revision of elbow joint Remove humerus lesion Amputation follow-up surgery Decompression of forearm Remove collar bone lesion Drainage of arm lesion Reinforce humerus Remove shoulder blade lesion Drainage of arm bursa Treat humerus fracture Remove humerus lesion Drain arm/elbow bone lesion Treat humerus fracture Partial removal of scapula Exploratory elbow surgery Treat humerus fracture Removal of head of humerus Release elbow joint Treat humerus fracture Remove shoulder foreign body Biopsy arm/elbow soft tissue Treat humerus fracture Remove shoulder foreign body Remove arm/elbow lesion Treat humerus fracture Muscle transfer,shoulder/arm Remove arm/elbow lesion Treat humerus fracture Muscle transfers Remove tumor of arm/elbow Treat humerus fracture Fixation of shoulder blade Biopsy elbow joint lining Treat humerus fracture Incision of tendon & muscle Explore/treat elbow joint Treat humerus fracture Incise tendon(s) & muscle(s) Remove elbow joint lining Treat humerus fracture Repair rotator cuff, acute Removal of elbow bursa Treat humerus fracture Repair rotator cuff, chronic Remove humerus lesion Treat humerus fracture Release of shoulder ligament Remove/graft bone lesion Treat humerus fracture Repair of shoulder Remove/graft bone lesion Treat humerus fracture Repair biceps tendon Remove elbow lesion Treat humerus fracture Remove/transplant tendon Remove/graft bone lesion Treat humerus fracture Repair shoulder capsule Remove/graft bone lesion Treat elbow fracture Repair shoulder capsule Removal of head of radius Treat elbow fracture Repair shoulder capsule Removal of arm bone lesion Treat elbow dislocation Repair shoulder capsule Remove radius bone lesion Treat elbow dislocation Repair shoulder capsule Remove elbow bone lesion Treat elbow dislocation Repair shoulder capsule Partial removal of arm bone Treat elbow fracture Revision of collar bone Partial removal of radius Treat elbow fracture Revision of collar bone Partial removal of elbow Treat radius fracture Reinforce clavicle Removal of elbow joint Treat radius fracture Reinforce shoulder bones Remove elbow joint implant Treat radius fracture Treat clavicle fracture Remove radius head implant Treat ulnar fracture 1 Page 3

4 24675 Treat ulnar fracture Transplant forearm tendon Treat wrist bone fracture Treat ulnar fracture Transplant forearm tendon Treat wrist dislocation Fusion of elbow joint Revise palsy hand tendon(s) Treat wrist dislocation Fusion/graft of elbow joint Revise palsy hand tendon(s) Pin radioulnar dislocation Amputation follow-up surgery Repair/revise wrist joint Treat wrist dislocation Incision of tendon sheath Revise wrist joint Treat wrist dislocation Decompress forearm 1 space Realignment of hand Treat wrist fracture Decompress forearm 1 space Reconstruct ulna/radioulnar Treat wrist fracture Decompress forearm 2 spaces Revision of radius Treat wrist dislocation Decompress forearm 2 spaces Revision of radius Treat wrist dislocation Drainage of forearm lesion Revision of ulna Fusion of wrist joint Drainage of forearm bursa Revise radius & ulna Fusion/graft of wrist joint Treat forearm bone lesion Revise radius or ulna Fusion/graft of wrist joint Explore/treat wrist joint Revise radius & ulna Fusion of hand bones Biopsy forearm soft tissues Shorten radius or ulna Fuse hand bones with graft Removal forearm lesion subcu Lengthen radius or ulna Fusion, radioulnar jnt/ulna Removal forearm lesion deep Shorten radius & ulna Amputation follow-up surgery Remove tumor, forearm/wrist Lengthen radius & ulna Amputate hand at wrist Incision of wrist capsule Repair radius or ulna Amputation follow-up surgery Biopsy of wrist joint Repair/graft radius or ulna Drainage of finger abscess Explore/treat wrist joint Repair radius & ulna Drain hand tendon sheath Remove wrist joint lining Repair/graft radius & ulna Drainage of palm bursa Remove wrist joint cartilage Repair/graft radius or ulna Drainage of palm bursa(s) Remove wrist tendon lesion Repair/graft radius & ulna Treat hand bone lesion Remove wrist tendon lesion Repair/graft wrist bone Release palm contracture Reremove wrist tendon lesion Reconstruct wrist joint Release palm contracture Remove wrist/forearm lesion Reconstruct wrist joint Incise finger tendon sheath Remove wrist/forearm lesion Reconstruct wrist joint Incision of finger tendon Excise wrist tendon sheath Reconstruct wrist joint Explore/treat hand joint Partial removal of ulna Reconstruct wrist joint Explore/treat finger joint Removal of forearm lesion Wrist replacement Explore/treat finger joint Remove/graft forearm lesion Repair wrist joint(s) Biopsy hand joint lining Remove/graft forearm lesion Remove wrist joint implant Biopsy finger joint lining Removal of wrist lesion Revision of wrist joint Biopsy finger joint lining Remove & graft wrist lesion Revision of wrist joint Removal hand lesion subcut Remove & graft wrist lesion Reinforce radius Removal hand lesion, deep Remove forearm bone lesion Reinforce ulna Remove tumor, hand/finger Partial removal of ulna Reinforce radius and ulna Release palm contracture Partial removal of radius Treat fracture of radius Release palm contracture Removal of wrist bone Treat fracture of radius Release palm contracture Removal of wrist bones Treat fracture of radius Remove wrist joint lining Partial removal of radius Treat fracture of radius Revise finger joint, each Partial removal of ulna Treat fracture of radius Revise finger joint, each Remove forearm foreign body Treat fracture of ulna Tendon excision, palm/finger Removal of wrist prosthesis Treat fracture of ulna Remove tendon sheath lesion Removal of wrist prosthesis Treat fracture radius & ulna Removal of palm tendon, each Repair forearm tendon/muscle Treat fracture radius & ulna Removal of finger tendon Repair forearm tendon/muscle Treat fracture radius/ulna Remove finger bone Repair forearm tendon/muscle Treat fracture radius/ulna Remove hand bone lesion Repair forearm tendon/muscle Treat fx distal radial Remove/graft bone lesion Repair forearm tendon/muscle Treat fx rad extra-articul Removal of finger lesion Repair forearm tendon/muscle Treat fx rad intra-articul Remove/graft finger lesion Repair forearm tendon sheath Treat fx radial 3+ frag Partial removal of hand bone Revise wrist/forearm tendon Treat fracture radius/ulna Partial removal, finger bone Incise wrist/forearm tendon Treat fracture radius/ulna Partial removal, finger bone Release wrist/forearm tendon Treat wrist bone fracture Extensive hand surgery Fusion of tendons at wrist Treat wrist bone fracture Extensive hand surgery Fusion of tendons at wrist Treat wrist bone fracture Extensive finger surgery 3 Page 4

5 26261 Extensive finger surgery Release finger contracture Amputate metacarpal bone Partial removal of finger Revise knuckle joint Amputation of finger/thumb Removal of implant from hand Revise knuckle with implant Amputation of finger/thumb Repair finger/hand tendon Revise finger joint Drainage of pelvis lesion Repair/graft hand tendon Revise/implant finger joint Drainage of pelvis bursa Repair finger/hand tendon Repair hand joint Incision of hip tendon Repair finger/hand tendon Repair hand joint with graft Incision of hip tendon Repair/graft hand tendon Repair hand joint with graft Incision of hip tendon Repair finger/hand tendon Reconstruct finger joint Exploration of hip joint Repair/graft hand tendon Repair nonunion hand Denervation of hip joint Repair finger/hand tendon Reconstruct finger joint Biopsy of soft tissues Revise hand/finger tendon Construct thumb replacement Biopsy of soft tissues Repair/graft hand tendon Positional change of finger Remove hip/pelvis lesion Repair hand tendon Repair of web finger Remove hip/pelvis lesion Repair/graft hand tendon Repair of web finger Remove tumor, hip/pelvis Excision, hand/finger tendon Repair of web finger Biopsy of sacroiliac joint Graft hand or finger tendon Correct metacarpal flaw Biopsy of hip joint Repair finger tendon Correct finger deformity Removal of ischial bursa Repair/graft finger tendon Lengthen metacarpal/finger Remove femur lesion/bursa Repair finger/hand tendon Repair hand deformity Removal of hip bone lesion Repair/graft finger tendon Reconstruct extra finger Removal of hip bone lesion Repair finger tendon Repair finger deformity Remove/graft hip bone lesion Repair finger tendon Repair muscles of hand Removal of tail bone Repair/graft finger tendon Release muscles of hand Remove hip foreign body Realignment of tendons Excision constricting tissue Remove hip foreign body Release palm/finger tendon Treat metacarpal fracture Revision of hip tendon Release palm & finger tendon Treat metacarpal fracture Transfer tendon to pelvis Release hand/finger tendon Treat metacarpal fracture Transfer of abdominal muscle Release forearm/hand tendon Treat metacarpal fracture Transfer of spinal muscle Incision of palm tendon Treat thumb fracture Transfer of iliopsoas muscle Incision of finger tendon Treat thumb fracture Transfer of iliopsoas muscle Incise hand/finger tendon Treat thumb fracture Treat pelvic ring fracture Fusion of finger tendons Treat hand dislocation Treat pelvic ring fracture Fusion of finger tendons Pin hand dislocation Treat tail bone fracture Tendon lengthening Treat hand dislocation Treat thigh fracture Tendon shortening Treat hand dislocation Treat thigh fracture Lengthening of hand tendon Treat knuckle dislocation Treat thigh fracture Shortening of hand tendon Pin knuckle dislocation Treat hip dislocation Transplant hand tendon Treat knuckle dislocation Treat hip dislocation Transplant/graft hand tendon Treat finger fracture, each Treat hip dislocation Transplant palm tendon Treat finger fracture, each Treat hip dislocation Transplant/graft palm tendon Treat finger fracture, each Treat hip dislocation Revise thumb tendon Treat finger fracture, each Manipulation of hip joint Tendon transfer with graft Pin finger fracture, each Drain thigh/knee lesion Hand tendon/muscle transfer Treat finger fracture, each Incise thigh tendon & fascia Revise thumb tendon Pin finger dislocation Incision of thigh tendon Finger tendon transfer Treat finger dislocation Incision of thigh tendons Finger tendon transfer Thumb fusion with graft Exploration of knee joint Revision of finger Fusion of thumb Partial removal, thigh nerve Hand tendon reconstruction Thumb fusion with graft Partial removal, thigh nerve Hand tendon reconstruction Fusion of hand joint Biopsy, thigh soft tissues Hand tendon reconstruction Fusion/graft of hand joint Biopsy, thigh soft tissues Release thumb contracture Fusion of knuckle Neurectomy, hamstring Thumb tendon transfer Fusion of knuckle with graft Neurectomy, popliteal Fusion of knuckle joint Fusion of finger joint Removal of thigh lesion Fusion of knuckle joints Fusion of finger jnt, add-on Removal of thigh lesion Fusion of knuckle joints Fusion/graft of finger joint Remove tumor, thigh/knee Release knuckle contracture Fuse/graft added joint Biopsy, knee joint lining 4 Page 5

6 27331 Explore/treat knee joint Treat thigh fx growth plate Revision of ankle joint Removal of knee cartilage Treat thigh fx growth plate Removal of ankle implant Removal of knee cartilage Treat kneecap fracture Incision of tibia Remove knee joint lining Treat knee fracture Incision of fibula Remove knee joint lining Treat knee fracture Incision of tibia & fibula Removal of kneecap bursa Treat knee fracture(s) Repair of tibia epiphysis Removal of knee cyst Treat knee dislocation Repair of fibula epiphysis Remove knee cyst Treat knee dislocation Repair lower leg epiphyses Removal of kneecap Treat kneecap dislocation Repair of leg epiphyses Remove femur lesion Treat kneecap dislocation Repair of leg epiphyses Remove femur lesion/graft Treat kneecap dislocation Reinforce tibia Remove femur lesion/graft Fixation of knee joint Treatment of tibia fracture Remove femur lesion/fixation Amputation follow-up surgery Treatment of tibia fracture Partial removal, leg bone(s) Decompression of lower leg Treatment of tibia fracture Removal of foreign body Decompression of lower leg Treatment of tibia fracture Repair of kneecap tendon Decompression of lower leg Treatment of tibia fracture Repair/graft kneecap tendon Drain lower leg lesion Treatment of ankle fracture Repair of thigh muscle Drain lower leg bursa Treatment of ankle fracture Repair/graft of thigh muscle Incision of achilles tendon Treatment of ankle fracture Incision of thigh tendon Incision of achilles tendon Treatment of fibula fracture Incision of thigh tendons Treat lower leg bone lesion Treatment of fibula fracture Incision of thigh tendons Explore/treat ankle joint Treatment of fibula fracture Lengthening of thigh tendon Exploration of ankle joint Treatment of ankle fracture Lengthening of thigh tendons Biopsy lower leg soft tissue Treatment of ankle fracture Lengthening of thigh tendons Remove tumor, lower leg Treatment of ankle fracture Transplant of thigh tendon Remove lower leg lesion Treatment of ankle fracture Transplants of thigh tendons Remove lower leg lesion Treatment of ankle fracture Revise thigh muscles/tendons Explore/treat ankle joint Treatment of ankle fracture Repair of knee cartilage Remove ankle joint lining Treatment of ankle fracture Repair of knee ligament Remove ankle joint lining Treatment of ankle fracture Repair of knee ligament Removal of tendon lesion Treatment of ankle fracture Repair of knee ligaments Remove lower leg bone lesion Treatment of ankle fracture Repair degenerated kneecap Remove/graft leg bone lesion Treat lower leg fracture Revision of unstable kneecap Remove/graft leg bone lesion Treat lower leg fracture Revision of unstable kneecap Partial removal of tibia Treat lower leg fracture Revision/removal of kneecap Partial removal of fibula Treat lower leg fracture Lat retinacular release open Extensive ankle/heel surgery Treat lower leg fracture Reconstruction, knee Repair achilles tendon Treat lower leg joint Reconstruction, knee Repair/graft achilles tendon Treat lower leg dislocation Reconstruction, knee Repair of achilles tendon Treat lower leg dislocation Revision of thigh muscles Repair leg fascia defect Treat lower leg dislocation Incision of knee joint Repair of leg tendon, each Treat ankle dislocation Revise kneecap Repair of leg tendon, each Treat ankle dislocation Revise kneecap with implant Repair of leg tendon, each Treat ankle dislocation Revision of knee joint Repair of leg tendon, each Treat ankle dislocation Revision of knee joint Repair lower leg tendons Fixation of ankle joint Revision of knee joint Repair lower leg tendons Fusion of ankle joint, open Decompression of thigh/knee Release of lower leg tendon Fusion of tibiofibular joint Decompression of thigh/knee Release of lower leg tendons Amputation follow-up surgery Decompression of thigh/knee Revision of lower leg tendon Amputation of foot at ankle Decompression of thigh/knee Revise lower leg tendons Decompression of leg Treatment of thigh fracture Revision of calf tendon Decompression of leg Treatment of thigh fracture Revise lower leg tendon Decompression of leg Treatment of thigh fracture Revise lower leg tendon Treatment of foot infection Treatment of thigh fracture Revise additional leg tendon Treatment of foot infection Treatment of thigh fracture Repair of ankle ligament Treat foot bone lesion Treatment of thigh fracture Repair of ankle ligaments Incision of foot fascia Treatment of thigh fracture Repair of ankle ligament Incision of toe tendons 3 Page 6

7 28020 Exploration of foot joint Release of big toe Treat foot dislocation Exploration of foot joint Revision of foot fascia Repair foot dislocation Exploration of toe joint Release of midfoot joint Treat foot dislocation Removal of foot nerve Revision of foot tendon Treat foot dislocation Decompression of tibia nerve Revision of foot and ankle Repair foot dislocation Excision of foot lesion Release of midfoot joint Treat toe dislocation Excision of foot lesion Release of foot contracture Treat toe dislocation Resection of tumor, foot Fusion of toes Repair toe dislocation Biopsy of foot joint lining Repair of hammertoe Treat toe dislocation Biopsy of foot joint lining Repair of hammertoe Treat toe dislocation Biopsy of toe joint lining Partial removal of foot bone Repair of toe dislocation Neurectomy, foot Repair hallux rigidus Fusion of foot bones Partial removal, foot fascia Correction of bunion Fusion of foot bones Removal of foot fascia Correction of bunion Fusion of foot bones Removal of foot joint lining Correction of bunion Fusion of foot bones Removal of foot joint lining Correction of bunion Fusion of foot bones Removal of foot lesion Correction of bunion Revision of foot bones Excise foot tendon sheath Correction of bunion Fusion of foot bones Excise foot tendon sheath Correction of bunion Fusion of big toe joint Removal of foot lesion Correction of bunion Fusion of big toe joint Removal of toe lesions Incision of heel bone Fusion of big toe joint Removal of ankle/heel lesion Incision of ankle bone Amputation toe & metatarsal Remove/graft foot lesion Incision of midfoot bones Amputation of toe Remove/graft foot lesion Incise/graft midfoot bones Partial amputation of toe Removal of foot lesion Incision of metatarsal Jaw arthroscopy/surgery Remove/graft foot lesion Incision of metatarsal Jaw arthroscopy/surgery Remove/graft foot lesion Incision of metatarsal Shoulder arthroscopy, dx Removal of toe lesions Incision of metatarsals Shoulder arthroscopy/surgery Part removal of metatarsal Revision of big toe Shoulder arthroscopy/surgery Part removal of metatarsal Revision of toe Shoulder arthroscopy/surgery Part removal of metatarsal Repair deformity of toe Shoulder arthroscopy/surgery Part removal of metatarsal Removal of sesamoid bone Shoulder arthroscopy/surgery Removal of metatarsal heads Repair of foot bones Shoulder arthroscopy/surgery Revision of foot Repair of metatarsals Shoulder arthroscopy/surgery Removal of heel bone Resect enlarged toe tissue Shoulder arthroscopy/surgery Removal of heel spur Resect enlarged toe Shoulder arthroscopy/surgery Part removal of ankle/heel Repair extra toe(s) Shoulder arthroscopy/surgery Partial removal of foot bone Repair webbed toe(s) Arthroscop rotator cuff repr Partial removal of toe Treatment of heel fracture Elbow arthroscopy Removal of ankle bone Treatment of heel fracture Elbow arthroscopy/surgery Removal of metatarsal Treatment of heel fracture Elbow arthroscopy/surgery Removal of toe Treat heel fracture Elbow arthroscopy/surgery Partial removal of toe Treat/graft heel fracture Elbow arthroscopy/surgery Partial removal of toe Treatment of ankle fracture Elbow arthroscopy/surgery Extensive foot surgery Treatment of ankle fracture Wrist arthroscopy Extensive foot surgery Treat ankle fracture Wrist arthroscopy/surgery Extensive foot surgery Treat midfoot fracture Wrist arthroscopy/surgery Removal of foot foreign body Treat midfoot fracture, each Wrist arthroscopy/surgery Removal of foot foreign body Treat metatarsal fracture Wrist arthroscopy/surgery Repair of foot tendon Treat metatarsal fracture Wrist arthroscopy/surgery Repair/graft of foot tendon Treat big toe fracture Wrist endoscopy/surgery Repair of foot tendon Treat big toe fracture Knee arthroscopy/surgery Repair/graft of foot tendon Treat toe fracture Knee arthroscopy/surgery Release of foot tendons Treat sesamoid bone fracture Tibial arthroscopy/surgery Release of foot tendon Treat foot dislocation Tibial arthroscopy/surgery Release of foot tendons Treat foot dislocation Hip arthroscopy, dx Incision of foot tendon Repair foot dislocation Hip arthroscopy/surgery Revision of foot tendon Treat foot dislocation Hip arthroscopy/surgery 9 Page 7

8 29863 Hip arthroscopy/surgery Repair nasal septum defect Larynscop w/tumr exc + scope Knee arthroscopy, dx Ablate inf turbinate, superf Remove vc lesion w/scope Knee arthroscopy/drainage Cauterization, inner nose Remove vc lesion scope/graft Knee arthroscopy/surgery Control of nosebleed Laryngoscop w/arytenoidectom Knee arthroscopy/surgery Control of nosebleed Larynscop, remve cart + scop Knee arthroscopy/surgery Repeat control of nosebleed Laryngoscope w/vc inj Knee arthroscopy/surgery Ligation, nasal sinus artery Laryngoscop w/vc inj + scope Knee arthroscopy/surgery Ligation, upper jaw artery Laryngoscopy with biopsy Knee arthroscopy/surgery Ther fx, nasal inf turbinate Remove foreign body, larynx Knee arthroscopy/surgery Exploration, maxillary sinus Removal of larynx lesion Knee arthroscopy/surgery Exploration, maxillary sinus Revision of larynx Knee arthroscopy/surgery Explore sinus, remove polyps Revision of larynx Knee arthroscopy/surgery Exploration, sphenoid sinus Revision of larynx Knee arthroscopy/surgery Sphenoid sinus surgery Reinnervate larynx Knee arthroscopy/surgery Exploration of frontal sinus Larynx nerve surgery Knee arthroscopy/surgery Exploration of frontal sinus Incision of windpipe Knee arthroscopy/surgery Removal of frontal sinus Surgery/speech prosthesis Knee arthroscopy/surgery Removal of frontal sinus Puncture/clear windpipe Knee arthroscopy/surgery Removal of frontal sinus Repair windpipe opening Ankle arthroscopy/surgery Removal of frontal sinus Repair windpipe opening Ankle arthroscopy/surgery Removal of frontal sinus Visualization of windpipe Scope, plantar fasciotomy Removal of frontal sinus Endobronchial us add-on Ankle arthroscopy/surgery Exploration of sinuses Dx bronchoscope/wash Ankle arthroscopy/surgery Removal of ethmoid sinus Dx bronchoscope/brush Ankle arthroscopy/surgery Removal of ethmoid sinus Dx bronchoscope/lavage Ankle arthroscopy/surgery Removal of ethmoid sinus Bronchoscopy w/biopsy(s) Ankle arthroscopy/surgery Nasal/sinus endoscopy, dx Bronchoscopy/lung bx, each Mcp joint arthroscopy, dx Nasal/sinus endoscopy, dx Bronchoscopy/needle bx, each Mcp joint arthroscopy, surg Nasal/sinus endoscopy, surg Bronchoscopy dilate/fx repr Mcp joint arthroscopy, surg Nasal/sinus endoscopy, surg Bronchoscopy, dilate w/stent Removal of nose polyp(s) Nasal/sinus endoscopy, surg Bronchoscopy w/fb removal Removal of intranasal lesion Nasal/sinus endoscopy, surg Bronchoscopy, bronch stents Removal of intranasal lesion Revision of ethmoid sinus Bronchoscopy, stent add-on Revision of nose Removal of ethmoid sinus Bronchoscopy, revise stent Removal of nose lesion Exploration maxillary sinus Bronchoscopy w/tumor excise Excise inferior turbinate Endoscopy, maxillary sinus Bronchoscopy, treat blockage Resect inferior turbinate Sinus endoscopy, surgical Diag bronchoscope/catheter Partial removal of nose Nasal/sinus endoscopy, surg Bronchoscopy, clear airways Removal of nose Nasal/sinus endoscopy, surg Bronchoscopy, reclear airway Insert nasal septal button Removal of larynx lesion Bronchoscopy, inj for x-ray Remove nasal foreign body Diagnostic incision, larynx Insertion of airway catheter Remove nasal foreign body Revision of larynx Bronchial brush biopsy Reconstruction of nose Removal of epiglottis Clearance of airways Reconstruction of nose Laryngoscopy with biopsy Intro, windpipe wire/tube Reconstruction of nose Remove foreign body, larynx Repair of windpipe Revision of nose Removal of larynx lesion Repair of windpipe Revision of nose Injection into vocal cord Closure of windpipe lesion Revision of nose Laryngoscopy for aspiration Repair of windpipe defect Revision of nose Dx laryngoscopy excl nb Revise windpipe scar Revision of nose Dx laryngoscopy w/oper scope Drainage of chest Repair nasal stenosis Laryngoscopy for treatment Needle biopsy chest lining Repair of nasal septum Laryngoscopy and dilation Biopsy, lung or mediastinum Repair nasal defect Laryngoscopy and dilation Puncture/clear lung Repair nasal defect Laryngoscopy w/fb removal Drainage of heart sac Release of nasal adhesions Laryngoscopy w/fb & op scope Repeat drainage of heart sac Repair upper jaw fistula Laryngoscopy w/biopsy Insertion of pulse generator Repair mouth/nose fistula Laryngoscopy w/bx & op scope Insertion of pulse generator Intranasal reconstruction Laryngoscopy w/exc of tumor Revise pocket, pacemaker 2 Page 8

9 33223 Revise pocket, pacing-defib Revision of major vein Drainage of mouth lesion Removal of pacemaker system Revise leg vein Drainage of mouth lesion Repair blood vessel lesion Ligate/strip short leg vein Drainage of mouth lesion Repair blood vessel lesion Ligate/strip long leg vein Excision of tongue lesion Removal of clot in graft Removal of leg veins/lesion Excision of tongue lesion Removal of clot in graft Ligation, leg veins, open Excision of tongue lesion Insertion of infusion pump Revision of leg vein Excision of mouth lesion Revision of infusion pump Ligate/divide/excise vein Partial removal of tongue Removal of infusion pump Penile venous occlusion Repair tongue laceration Endovenous rf, 1st vein Drainage, lymph node lesion Repair tongue laceration Endovenous rf, vein add-on Drainage, lymph node lesion Repair tongue laceration Endovenous laser, 1st vein Incision of lymph channels Fixation of tongue Endovenous laser vein addon Biopsy/removal, lymph nodes Tongue to lip surgery Insert non-tunnel cv cath Needle biopsy, lymph nodes Reconstruction, tongue fold Insert non-tunnel cv cath Biopsy/removal, lymph nodes Drainage of gum lesion Insert tunneled cv cath Biopsy/removal, lymph nodes Excision of gum lesion Insert tunneled cv cath Biopsy/removal, lymph nodes Drainage mouth roof lesion Insert tunneled cv cath Biopsy/removal, lymph nodes Excision lesion, mouth roof Insert tunneled cv cath Explore deep node(s), neck Remove palate/lesion Insert tunneled cv cath Removal, neck/armpit lesion Excision of uvula Insert tunneled cv cath Removal, neck/armpit lesion Repair palate, pharynx/uvula Insert tunneled cv cath Laparoscopy, lymph node biop Repair palate Insert picc cath Laparoscopy, lymphadenectomy Repair palate Insert picc cath Laparoscopy, lymphadenectomy Reconstruct cleft palate Insert picvad cath Remove armpit lymph nodes Reconstruct cleft palate Insert picvad cath Remove armpit lymph nodes Reconstruct cleft palate Repair tunneled cv cath Remove groin lymph nodes Reconstruct cleft palate Repair tunneled cv cath Partial excision of lip Reconstruct cleft palate Replace tunneled cv cath Partial excision of lip Lengthening of palate Replace cvad cath Partial excision of lip Repair palate Replace tunneled cv cath Reconstruct lip with flap Repair nose to lip fistula Replace tunneled cv cath Reconstruct lip with flap Drainage of salivary gland Replace tunneled cv cath Partial removal of lip Drainage of salivary gland Replace picc cath Repair lip Drainage of salivary gland Replace picvad cath Repair lip Drainage of salivary gland Removal tunneled cv cath Repair lip Removal of salivary stone Removal tunneled cv cath Repair cleft lip/nasal Biopsy of salivary gland Insertion catheter, artery Repair cleft lip/nasal Excision of salivary cyst Insertion of cannula Repair cleft lip/nasal Drainage of salivary cyst Insertion of cannula Repair cleft lip/nasal Excise parotid gland/lesion Insertion of cannula Drainage of mouth lesion Excise parotid gland/lesion Av fuse, uppr arm, cephalic Excise/repair mouth lesion Excise parotid gland/lesion Av fuse, uppr arm, basilic Excision of mouth lesion Excise parotid gland/lesion Av fusion/forearm vein Excise oral mucosa for graft Excise submaxillary gland Av fusion direct any site Excise lip or cheek fold Excise sublingual gland Artery-vein autograft Repair mouth laceration Repair salivary duct Artery-vein nonautograft Reconstruction of mouth Repair salivary duct Open thrombect av fistula Reconstruction of mouth Parotid duct diversion Av fistula revision, open Reconstruction of mouth Parotid duct diversion Av fistula revision Reconstruction of mouth Parotid duct diversion Repair A-V aneurysm Reconstruction of mouth Parotid duct diversion Artery to vein shunt Drainage of mouth lesion Closure of salivary fistula External cannula declotting Drainage of mouth lesion Ligation of salivary duct Cannula declotting Drainage of mouth lesion Drainage of tonsil abscess Percut thrombect av fistula Drainage of mouth lesion Drainage of throat abscess Endoscopy ligate perf veins Drainage of mouth lesion Drainage of throat abscess Ligation of a-v fistula Incision of tongue fold Biopsy of throat Temporal artery procedure Drainage of mouth lesion Biopsy of upper nose/throat 1 Page 9

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