mytoolsforgrowth FACT SHEET SPECIALISM MODULE

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1 mytoolsforgrowth FACT SHEET SPECIALISM MODULE I. Region or country Argentina Netherlands Australia New Zealand Austria Norway Belgium Philippines Brazil Poland Chile Portugal China Romania Colombia Russia Czech Republic Saudi Arabia Denmark Singapore Egypt South Africa Finland South Korea France Spain Germany Sweden Hungary Switzerland India Taiwan Indonesia Thailand Ireland Turkey Italy UAE Japan UK Malaysia US Mexico Vietnam Last updated: Aug 03, 2017 II. Sections A. CARDIOLOGY Intravascular imaging of intrathoracic vessels Intravascular imaging of coronary vessels Procedure on single vessel Procedure on two vessels Insertion of one vascular stent Insertion of two vascular stents Implantation of cardiac resynchronization pacemaker without mention of defibrillation, to Implantation of cardiac resynchronization defibrillator, total system [CRT-D] Implantation or replacement of cardiac resynchronization pacemaker pulse generator on Insertion of drug-eluting stent(s) of other peripheral vessel(s) Insertion of intra-aneurysm sac pressure monitoring device (intraoperative) Intravascular pressure measurement of coronary arteries Percutaneous angioplasty of extracranial vessel(s) Percutaneous angioplasty of intracranial vessel(s) Percutaneous insertion of carotid artery stent(s) Percutaneous insertion of other extracranial artery stent(s) Percutaneous insertion of intracranial vascular stent(s) Percutaneous transluminal coronary angioplasty [PTCA] Intravascular pressure measurement of intrathoracic arteries Intravascular pressure measurement of peripheral arteries Intravascular pressure measurement, other specified and unspecified vessels Endovascular replacement of aortic valve Open heart valvuloplasty without replacement 35.1 Open heart valvuloplasty of aortic valve without replacement Open heart valvuloplasty of mitral valve without replacement Open heart valvuloplasty of tricuspid valve without replacement Open and other replacement of heart valve 35.2 Open and other replacement of aortic valve with tissue graft Open and other replacement of aortic valve Open and other replacement of mitral valve with tissue graft Open and other replacement of mitral valve Operations on structures adjacent to heart valves 35.3 Operations on papillary muscle Operations on chordae tendineae Annuloplasty Infundibulectomy Repair of atrial and ventricular septa with prosthesis 35.5 Repair of atrial septal defect with prosthesis, open technique Repair of atrial septal defect with prosthesis, closed technique Repair of ventricular septal defect with prosthesis, open technique Repair of endocardial cushion defect with prosthesis Percutaneous balloon valvuloplasty Removal of coronary artery obstruction and insertion of stent(s) 36.0 Open chest coronary artery angioplasty Intracoronary artery thrombolytic infusion Insertion of non-drug-eluting coronary artery stent(s) Insertion of drug-eluting coronary artery stent(s) Other removal of coronary artery obstruction Bypass anastomosis for heart revascularization 36.1 Aortocoronary bypass for heart revascularization, not otherwise specified (Aorto)coronary bypass of one coronary artery 36.11

2 (Aorto)coronary bypass of two coronary arteries (Aorto)coronary bypass of three coronary arteries (Aorto)coronary bypass of four or more coronary arteries Single internal mammary-coronary artery bypass Double internal mammary-coronary artery bypass Abdominal-coronary artery bypass Other bypass anastomosis for heart revascularization Heart revascularization by arterial implant (36.2) 36.2 Other heart revascularization 36.3 Other heart revascularization Right heart cardiac catheterization Left heart cardiac catheterization Combined right and left heart cardiac catheterization Excision or destruction of other lesion or tissue of heart, endovascular approach Excision, destruction, or exclusion of left atrial appendage (LAA) Heart replacement procedures 37.5 Heart transplantation Implant of pulsation balloon Initial insertion of transvenous leads [electrodes] into atrium and ventricle Insertion of temporary transvenous pacemaker system Revision or relocation of cardiac device pocket Insertion, replacement, removal, and revision of pacemaker device 37.8 Insertion of permanent pacemaker, initial or replacement, type of device not specified Initial insertion of single-chamber device, not specified as rate responsive Initial insertion of single-chamber device, rate responsive Initial insertion of dual-chamber device Replacement of any type pacemaker device with single-chamber device, not specified a Replacement of any type of pacemaker device with single-chamber device, rate respon Replacement of any type pacemaker device with dual-chamber device Revision or removal of pacemaker device Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD] Implantation of automatic cardioverter/defibrillator lead(s) only Implantation of automatic cardioverter/defibrillator pulse generator only Replacement of automatic cardioverter/defibrillator pulse generator only Incision of vessel 38.0 Incision of vessel, unspecified site Incision of vessel, intracranial vessels Incision of vessel, other vessels of head and neck Incision of vessel, upper limb vessels Incision of vessel, aorta Incision of vessel, other thoracic vessels Incision of vessel, abdominal arteries Incision of vessel, abdominal veins Incision of vessel, lower limb arteries Incision of vessel, lower limb veins Endarterectomy 38.1 Endarterectomy, intracranial vessels Endarterectomy, other vessels of head and neck Endarterectomy, upper limb vessels Endarterectomy, aorta Endarterectomy, other thoracic vessels Endarterectomy, abdominal arteries Endarterectomy, lower limb arteries Biopsy of blood vessel Percutaneous angioscopy Intravascular imaging of coronary vessel(s) by optical coherence tomography [OCT] Other diagnostic procedures on blood vessels Resection of vessel with anastomosis 38.3 Resection of vessel with anastomosis, other vessels of head and neck Resection of vessel with anastomosis, aorta Resection of vessel with anastomosis, abdominal arteries Resection of vessel with anastomosis, lower limb arteries Resection of vessel with replacement 38.4 Resection of vessel with replacement, other vessels of head and neck Resection of vessel with replacement, upper limb vessels Resection of vessel with replacement, aorta, abdominal Resection of vessel with replacement, thoracic vessels Resection of vessel with replacement, abdominal arteries Resection of vessel with replacement, abdominal veins Resection of vessel with replacement, lower limb arteries Resection of vessel with replacement, lower limb veins Ligation and stripping of varicose veins 38.5 Ligation and stripping of varicose veins, lower limb veins Other excision of vessels, intracranial vessels Other excision of vessels, lower limb veins Interruption of the vena cava (38.7) 38.7 Other surgical occlusion of vessels, intracranial vessels Other surgical occlusion of vessels, lower limb veins Arterial catheterization Venous catheterization, not elsewhere classified Venous catheterization for renal dialysis Other puncture of vein Systemic to pulmonary artery shunt (39.0) 39.0 Intra-abdominal venous shunt (39.1) 39.1 Aorta-subclavian-carotid bypass Aorta-iliac-femoral bypass Arteriovenostomy for renal dialysis Other (peripheral) vascular shunt or bypass Suture of vessel 39.3 Suture of artery 39.31

3 B. NEUROLOGY Revision of arteriovenous shunt for renal dialysis Removal of arteriovenous shunt for renal dialysis Other revision of vascular procedure Angioplasty of other non-coronary vessel(s) Clipping of aneurysm Other repair of aneurysm Repair of arteriovenous fistula Repair of blood vessel with synthetic patch graft Repair of blood vessel with unspecified type of patch graft Other repair of vessel Extracorporeal circulation auxiliary to open heart surgery Endovascular implantation of other graft in abdominal aorta Endovascular (total) embolization or occlusion of head and neck vessels Endovascular removal of obstruction from head and neck vessel(s) Endovascular embolization or occlusion of vessel(s) of head or neck using bare coils Endovascular embolization or occlusion of vessel(s) of head or neck using bioactive coi Other endovascular procedures on other vessels Insertion of non-drug-eluting peripheral (non-coronary) vessel stent(s) Injection of sclerosing agent into vein Insertion of vessel-to-vessel cannula Hemodialysis Total body perfusion Other operations on vessels Arteriography of femoral and other lower extremity arteries Angiocardiography of left heart structures Coronary arteriography using a single catheter Coronary arteriography using two catheters Other and unspecified coronary arteriography Diagnostic ultrasound of digestive system Excision of lesion of skull 01.6 Intracranial pressure monitoring Intracranial oxygen monitoring Reopening of craniotomy site Other craniotomy Other craniectomy Incision of cerebral meninges Other incision of brain Excision of lesion or tissue of cerebral meninges Other excision or destruction of lesion or tissue of brain Insertion of skull plate Extracranial ventricular shunt 02.3 Ventricular shunt to abdominal cavity and organs Replacement of ventricular shunt Implantation or replacement of intracranial neurostimulator lead(s) Other exploration and decompression of spinal canal Excision or destruction of lesion of spinal cord or spinal meninges 03.4 Plastic operations on spinal cord structures 03.5 Repair of vertebral fracture Lysis of adhesions of spinal cord and nerve roots 03.6 Implantation or replacement of spinal neurostimulator lead(s) Removal of spinal neurostimulator lead(s) Excision of acoustic neuroma Destruction of cranial and peripheral nerves 04.2 Suture of cranial and peripheral nerves 04.3 Decompression of trigeminal nerve root Release of carpal tunnel Release of tarsal tunnel Cranial or peripheral nerve graft 04.5 Transposition of cranial and peripheral nerves 04.6 Implantation or replacement of peripheral neurostimulator lead(s) Sympathectomy 05.2 Other sympathectomy and ganglionectomy C. ORTHOPEDICS Open biopsy of soft tissue Amputation of lower limb 84.1 Hip bearing surface, metal-on-polyethylene Hip bearing surface, ceramic-on-polyethylene Revision of knee replacement, tibial component Revision of knee replacement, femoral component Other facial bone repair and orthognathic surgery 76.6 Reduction of facial fracture 76.7 Open reduction of mandibular fracture Bone graft to facial bone Other division of bone, tarsals and metatarsals Biopsy of bone 77.4 Bunionectomy with soft tissue correction and osteotomy of the first metatarsal Excision or correction of bunionette Local excision of lesion or tissue of bone 77.6 Local excision of lesion or tissue of bone, femur Local excision of lesion or tissue of bone, tibia and fibula Local excision of lesion or tissue of bone, tarsals and metatarsals 77.68

4 Other partial ostectomy 77.8 Other partial ostectomy, scapula, clavicle, and thorax [ribs and sternum] Other partial ostectomy, radius and ulna Other partial ostectomy, tibia and fibula Other partial ostectomy, tarsals and metatarsals Total ostectomy 77.9 Total ostectomy, carpals and metacarpals Bone graft 78.0 Bone graft, femur Bone graft, tibia and fibula Application of external fixator device 78.1 Application of external fixator device, tibia and fibula Internal fixation of bone without fracture reduction 78.5 Internal fixation of bone without fracture reduction, femur Internal fixation of bone without fracture reduction, tibia and fibula Internal fixation of bone without fracture reduction, tarsals and metatarsals Removal of implanted devices from bone 78.6 Removal of implanted devices from bone, humerus Removal of implanted devices from bone, radius and ulna Removal of implanted devices from bone, femur Removal of implanted devices from bone, tibia and fibula Insertion of bone growth stimulator 78.9 Closed reduction of fracture without internal fixation 79.0 Closed reduction of fracture without internal fixation, humerus Closed reduction of fracture without internal fixation, radius and ulna Closed reduction of fracture without internal fixation, tibia and fibula Closed reduction of fracture with internal fixation 79.1 Closed reduction of fracture with internal fixation, humerus Closed reduction of fracture with internal fixation, carpals and metacarpals Closed reduction of fracture with internal fixation, femur Closed reduction of fracture with internal fixation, tibia and fibula Open reduction of fracture without internal fixation 79.2 Open reduction of fracture with internal fixation 79.3 Open reduction of fracture with internal fixation, humerus Open reduction of fracture with internal fixation, femur Open reduction of fracture with internal fixation, tibia and fibula Closed reduction of dislocation 79.7 Closed reduction of dislocation of shoulder Closed reduction of dislocation of elbow Closed reduction of dislocation of hip Open reduction of dislocation 79.8 Arthroscopy 80.2 Arthroscopy, shoulder Arthroscopy, elbow Arthroscopy, wrist Arthroscopy, hip Arthroscopy, knee Arthroscopy, ankle Excision, destruction and other repair of intervertebral disc 80.5 Excision of intervertebral disc Intervertebral chemonucleolysis Repair of the anulus fibrosus with graft or prosthesis Other and unspecified repair of the anulus fibrosus Excision of semilunar cartilage of knee 80.6 Synovectomy 80.7 Synovectomy, knee Spinal fusion 81.0 Spinal fusion, not otherwise specified Other cervical fusion of the anterior column, anterior technique Dorsal and dorsolumbar fusion of the posterior column, posterior technique Lumbar and lumbosacral fusion of the anterior column, anterior technique Lumbar and lumbosacral fusion of the anterior column, posterior technique Ankle fusion Subtalar fusion Midtarsal fusion Metatarsophalangeal fusion Other fusion of foot Refusion of spine 81.3 Refusion of other cervical spine, anterior column, anterior technique Refusion of lumbar and lumbosacral spine, anterior column, posterior technique Refusion of spine, not elsewhere classified Other repair of the cruciate ligaments Joint replacement of lower extremity 81.5 Total hip replacement Partial hip replacement Revision of hip replacement, not otherwise specified Total knee replacement Revision of knee replacement, not otherwise specified Total ankle replacement Replacement of joint of foot and toe Other procedures on spine 81.6 Fusion or refusion of 2-3 vertebrae Fusion or refusion of 4-8 vertebrae Fusion or refusion of 9 or more vertebrae Percutaneous vertebroplasty Percutaneous vertebral augmentation Arthroplasty and repair of hand, fingers and wrist 81.7

5 Arthoplasty and repair of shoulder and elbow 81.8 Other total shoulder replacement Partial shoulder replacement Repair of recurrent dislocation of shoulder Other repair of shoulder Total elbow replacement Exploration of tendon sheath of hand Excision of lesion of muscle, tendon, and fascia of hand 82.2 Excision of lesion of tendon sheath of hand Excision of other lesion of soft tissue of hand Other excision of soft tissue of hand 82.3 Other tenonectomy of hand Other fasciectomy of hand Suture of muscle, tendon, and fascia of hand 82.4 Delayed suture of flexor tendon of hand Delayed suture of other tendon of hand Other suture of flexor tendon of hand Other suture of other tendon of hand Transplantation of muscle of hand 82.5 Lysis of adhesions of hand Bursectomy 83.5 Reconstruction of muscle and tendon 83.7 Reattachment of tendon Other tendon transposition Amputation of toe Amputation through foot Other amputation below knee Amputation above knee Reattachment of extremity 84.2 Finger reattachment Insertion of interbody spinal fusion device Insertion of total spinal disc prosthesis, cervical Insertion of total spinal disc prosthesis, lumbosacral Insertion or replacement of interspinous process device(s) Insertion or replacement of pedicle-based dynamic stabilization device(s) Revision of pedicle-based dynamic stabilization device(s) D. PLASTIC Mastotomy (85.0) 85.0 Closed [percutaneous] [needle] biopsy of breast Open biopsy of breast Local excision of lesion of breast Resection of quadrant of breast Unilateral reduction mammoplasty Bilateral reduction mammoplasty Unilateral subcutaneous mammectomy with synchronous implant Other unilateral subcutaneous mammectomy Mastectomy 85.4 Unilateral simple mastectomy Bilateral simple mastectomy Unilateral extended simple mastectomy Unilateral radical mastectomy Augmentation mammoplasty 85.5 Augmentation mammoplasty, not otherwise specified Unilateral breast implant Bilateral breast implant Mastopexy (85.6) 85.6 total reconstruction of breast (85.7) 85.7 Other repair and plastic operations on breast 85.8 Muscle flap graft to breast Other repair or reconstruction of nipple Other mammoplasty Revision of implant of breast Removal of implant of breast Incision of skin and subcutaneous tissue 86.0 Other incision with drainage of skin and subcutaneous tissue Incision with removal of foreign body or device from skin and subcutaneous tissue Insertion of totally implantable infusion pump Insertion of totally implantable vascular access device [VAD] Other incision of skin and subcutaneous tissue Excision or destruction of lesion or tissue of skin and subcutaneous tissue 86.2 Excision of pilonidal cyst or sinus Excisional debridement of wound, infection, or burn Removal of nail, nail bed, or nail fold Chemosurgery of skin Dermabrasion Debridement of nail, nail bed, or nail fold Nonexcisional debridement of wound, infection or burn Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue ( Radical excision of skin lesion (86.4) 86.4 Suture or other closure of skin and subcutaneous tissue 86.5 Closure of skin and subcutaneous tissue of other sites Free skin graft 86.6 Free skin graft, not otherwise specified Other skin graft to hand 86.62

6 Full-thickness skin graft to other sites Heterograft to skin Homograft to skin Dermal regenerative graft Other skin graft to other sites Pedicle grafts or flaps 86.7 Pedicle or flap graft, not otherwise specified Advancement of pedicle graft Attachment of pedicle or flap graft to other sites Facial rhytidectomy Size reduction plastic operation Relaxation of scar or web contracture of skin Other operations on skin and subcutaneous tissue 86.9 Insertion of tissue expander Insertion or replacement of single array neurostimulator pulse generator, not specified a Insertion or replacement of multiple array neurostimulator pulse generator, not specified Insertion or replacement of other neurostimulator pulse generator Insertion or replacement of single array rechargeable neurostimulator pulse generator Insertion or replacement of multiple array (two or more) rechargeable neurostimulator pu Other operations on skin and subcutaneous tissue F. OBGYN Oophorotomy 65.0 Laparoscopic oophorotomy Other laparoscopic local excision or destruction of ovary Other local excision or destruction of ovary Unilateral oophorectomy 65.3 Laparoscopic unilateral salpingo-oophorectomy Other unilateral salpingo-oophorectomy Other removal of both ovaries and tubes at same operative episode Other removal of remaining ovary and tube Laparoscopic removal of both ovaries and tubes at same operative episode Laparoscopic removal of remaining ovary and tube Lysis of adhesions of ovary and fallopian tube 65.8 Bilateral endoscopic destruction or occlusion of fallopian tubes 66.2 Other bilateral ligation and crushing of fallopian tubes Other bilateral ligation and division of fallopian tubes Other bilateral destruction or occlusion of fallopian tubes Total unilateral salpingectomy 66.4 Total bilateral salpingectomy 66.5 Other salpingectomy 66.6 Conization of cervix 67.2 Amputation of cervix 67.4 Hysteroscopy Closed biopsy of uterus Subtotal abdominal hysterectomy 68.3 Other and unspecified subtotal abdominal hysterectomy Total abdominal hysterectomy 68.4 Laparoscopic total abdominal hysterectomy Vaginal hysterectomy 68.5 Laparoscopically assisted vaginal hysterectomy (LAVH) Other and unspecified vaginal hysterectomy Radical abdominal hysterectomy 68.6 Other and unspecified radical abdominal hysterectomy Pelvic evisceration 68.8 Other and unspecified hysterectomy 68.9 Dilation and curettage of uterus 69.0 Other excision or destruction of uterus and supporting structures Other oophorotomy Laparoscopic marsupialization of ovarian cyst Laparoscopic unilateral oophorectomy Other unilateral oophorectomy Other removal of both ovaries at same operative episode Other removal of remaining ovary Laparoscopic removal of both ovaries at same operative episode Laparoscopic removal of remaining ovary Laparoscopic lysis of adhesions of ovary and fallopian tube Salpingotomy Bilateral endoscopic ligation and crushing of fallopian tubes Bilateral endoscopic ligation and division of fallopian tubes Other bilateral endoscopic destruction or occlusion of fallopian tubes Removal of both fallopian tubes at same operative episode Removal of remaining fallopian tube Excision or destruction of lesion of fallopian tube Salpingectomy with removal of tubal pregnancy Bilateral partial salpingectomy, not otherwise specified Other partial salpingectomy Insufflation of fallopian tube 66.8 Dilation of cervical canal 67.0 Endocervical biopsy Destruction of lesion of cervix by cauterization Endometrial ablation Other excision or destruction of lesion of uterus Laparoscopic supracervical hysterectomy [LSH] Other and unspecified total abdominal hysterectomy 68.49

7 Laparoscopic radical abdominal hysterectomy Laparoscopic radical vaginal hysterectomy [LRVH] Other and unspecified radical vaginal hysterectomy Dilation and curettage for termination of pregnancy Dilation and curettage following delivery or abortion Other dilation and curettage Other uterine suspension Aspiration curettage of uterus 69.5 Aspiration curettage of uterus for termination of pregnancy Aspiration curettage following delivery or abortion Other aspiration curettage of uterus Vaginoscopy Repair of cystocele and rectocele Repair of cystocele Repair of rectocele Repair of cystocele and rectocele with graft or prosthesis Repair of cystocele with graft or prosthesis Repair of rectocele with graft or prosthesis Suture of laceration of vagina Other operations on cul-de-sac Artificial rupture of membranes 73.0 Other artificial rupture of membranes Episiotomy 73.6 Classical cesarean section 74.0 Low cervical cesarean section 74.1 Cesarean section of other specified type 74.4 Other cesarean section of unspecified type Diagnostic amniocentesis 75.1 Fetal blood sampling and biopsy Manual removal of retained placenta 75.4 G. THORACIC Marsupialization of laryngeal cyst Other excision or destruction of lesion or tissue of larynx Hemilaryngectomy (30.1) 30.1 Epiglottidectomy Vocal cordectomy Other partial laryngectomy Complete laryngectomy (30.3) 30.3 Radical laryngectomy (30.4) 30.4 Injection of larynx (31.0) 31.0 Temporary tracheostomy (31.1) 31.1 Other permanent tracheostomy Laryngoscopy and other tracheoscopy Closed [endoscopic] biopsy of larynx Closed [endoscopic] biopsy of trachea Open biopsy of larynx or trachea Other diagnostic procedures on larynx Other diagnostic procedures on trachea Repair of larynx 31.6 Suture of laceration of larynx Closure of fistula of larynx Revision of laryngostomy Repair of laryngeal fracture Other repair of larynx Reconstruction of trachea and construction of artificial larynx Division of laryngeal nerve Lysis of adhesions of trachea or larynx Replacement of laryngeal or tracheal stent Other operations on larynx Local excision or destruction of lesion or tissue of bronchus 32.0 Endoscopic excision or destruction of lesion or tissue of bronchus Thoracoscopic excision of lesion or tissue of lung Open ablation of lung lesion or tissue Thoracoscopic ablation of lung lesion or tissue Endoscopic excision or destruction of lesion or tissue of lung Other local excision or destruction of lesion or tissue of lung Segmental resection of lung 32.3 Thoracoscopic segmental resection of lung Other and unspecified segmental resection of lung Lobectomy of lung 32.4 Thoracoscopic lobectomy of lung Other lobectomy of lung Pneumonectomy 32.5 Thoracoscopic pneumonectomy Other and unspecified pneumonectomy Radical dissection of thoracic structures (32.6) 32.6 Bronchoscopy through artificial stoma Fiber-optic bronchoscopy Other bronchoscopy Closed [endoscopic] biopsy of bronchus Closed [percutaneous] [needle] biopsy of lung Closed endoscopic biopsy of lung Endoscopic insertion or replacement of bronchial valve(s), single lobe Endoscopic pulmonary airway flow measurement 33.72

8 H. ENDOCRINOLOGY I. ENT Endoscopic insertion or replacement of bronchial valve(s), multiple lobes Endoscopic removal of bronchial device(s) or substances Reopening of recent thoracotomy site Insertion of intercostal catheter for drainage Thoracoscopic drainage of pleural cavity Other incision of pleura Transpleural thoracoscopy Biopsy of chest wall Excision or destruction of lesion or tissue of mediastinum (34.3) 34.3 Excision or destruction of lesion of chest wall (34.4) 34.4 Pleurectomy 34.5 Decortication of lung Thoracoscopic decortication of lung Other excision of pleura Scarification of pleura (34.6) 34.6 Repair of chest wall (34.7) 34.7 Thoracentesis Injection into thoracic cavity Unilateral thyroid lobectomy 06.2 Excision of lesion of thyroid Other partial thyroidectomy Complete thyroidectomy 06.4 Parathyroidectomy 06.8 Complete parathyroidectomy Other parathyroidectomy Partial adrenalectomy 07.2 Excision of lesion of adrenal gland Unilateral adrenalectomy Other partial adrenalectomy Bilateral adrenalectomy 07.3 Hypophysectomy 07.6 Partial excision of pituitary gland, transsphenoidal approach Total excision of pituitary gland, transsphenoidal approach Control of epistaxis 21.0 Control of epistaxis, not otherwise specified Control of epistaxis by anterior nasal packing Control of epistaxis by posterior (and anterior) packing Control of epistaxis by cauterization (and packing) Control of epistaxis by ligation of ethmoidal arteries Control of epistaxis by (transantral) ligation of the maxillary artery Control of epistaxis by ligation of the external carotid artery Control of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral Control of epistaxis by other means Incision of nose 21.1 Local excision or destruction of intranasal lesion Submucous resection of nasal septum 21.5 Turbinectomy 21.6 Turbinectomy by diathermy or cryosurgery Fracture of the turbinates Other turbinectomy Reduction of nasal fracture 21.7 Closed reduction of nasal fracture Suture of laceration of nose Revision rhinoplasty Augmentation rhinoplasty Limited rhinoplasty Other rhinoplasty Otoscopy Stapedectomy 19.1 Stapedectomy with incus replacement Other stapedectomy Revision of stapedectomy with incus replacement Other revision of stapedectomy Other operations on ossicular chain 19.3 Myringoplasty 19.4 Other Tympanoplasty 19.5 Type II tympanoplasty Type III tympanoplasty Type IV tympanoplasty Revision of tympanoplasty 19.6 Myringotomy 20.0 Myringotomy with insertion of tube Other myringotomy Mastoidectomy 20.4 Simple mastoidectomy Radical mastoidectomy Other mastoidectomy Other septoplasty Other operations on nose 21.9 Intranasal antrotomy 22.2

9 J. HEMIC AND LYMPHATIC SYSTEM Therapies & Interventions External maxillary antrotomy 22.3 Frontal sinusotomy Frontal sinusectomy Other nasal sinusotomy 22.5 Sinusotomy, not otherwise specified Ethmoidotomy Sphenoidotomy Incision of multiple nasal sinuses Other nasal sinusectomy 22.6 Sinusectomy, not otherwise specified Excision of lesion of maxillary sinus with Caldwell-Luc approach Excision of lesion of maxillary sinus with other approach Ethmoidectomy Sphenoidectomy Repair of nasal sinus 22.7 Closure of nasal sinus fistula Other operations on nasal sinuses 22.9 Excision or destruction of lesion or tissue of tongue 25.1 Partial glossectomy 25.2 Complete glossectomy 25.3 Radical glossectomy 25.4 Sialoadenectomy 26.3 Sialoadenectomy, not otherwise specified Partial sialoadenectomy Complete sialoadenectomy Suture of laceration of lip Suture of laceration of palate Correction of cleft palate Revision of cleft palate repair Insertion of palatal implant Other plastic repair of palate Repair of uvula Tonsillectomy without adenoidectomy 28.2 Tonsillectomy with adenoidectomy 28.3 Excision of tonsil tag 28.4 Adenoidectomy without tonsillectomy 28.6 Excision of branchial cleft cyst or vestige 29.2 Incision of lymphatic structures 40.0 Biopsy of lymphatic structure Simple excision of lymphatic structure 40.2 Excision of deep cervical lymph node Excision of internal mammary lymph node Excision of axillary lymph node Excision of inguinal lymph node Simple excision of other lymphatic structure Regional lymph node excision 40.3 Radical neck dissection, not otherwise specified Radical neck dissection, unilateral Radical neck dissection, bilateral Radical excision of other lymph nodes 40.5 Radical excision of lymph nodes, not otherwise specified Radical excision of axillary lymph nodes Radical excision of periaortic lymph nodes Radical excision of iliac lymph nodes Radical groin dissection Radical excision of other lymph nodes Bone marrow or hematopoietic stem cell transplant 41.0 Autologous hematopoietic stem cell transplant without purging Allogeneic hematopoietic stem cell transpant without purging Total splenectomy 41.5 K. OPHTHALMOLOGY Repair of entropion or ectropion 08.4 Repair of entropion or ectropion by suture technique Repair of entropion or ectropion with lid reconstruction Reconstruction of eyelid with flaps or grafts 08.6 Fistulization of lacrimal tract to nasal cavity 09.8 Dacryocystorhinostomy [DCR] Excision or destruction of lesion or tissue of conjunctiva 10.3 Repair of laceration of conjunctiva 10.6 Excision of pterygium 11.3 Excision or destruction of tissue or other lesion of cornea 11.4 Repair of cornea 11.5 Suture of corneal laceration Corneal transplant 11.6 Other iridectomy Other iridoplasty Intracapsular extraction of lens 13.1 Extracapsular extraction of lens by linear extraction technique 13.2 Extracapsular extraction of lens by simple aspiration (and irrigation) technique 13.3 Extracapsular extraction of lens by fragmentation and aspiration technique 13.4

10 L. GENERAL Phacoemulsification and aspiration of cataract Other extracapsular extraction of lens 13.5 Other extracapsular extraction of lens Other cataract extraction 13.6 Discission of secondary membrane [after cataract] Insertion of prosthetic lens [pseudophakos] 13.7 Removal of implanted lens 13.8 Destruction of lesion of retina and choroid 14.2 Repair of retinal tear 14.3 Scleral buckling with implant Operations on vitreous 14.7 Mechanical vitrectomy by anterior approach Other mechanical vitrectomy Laparoscopic repair of direct inguinal hernia with graft or prosthesis Laparoscopic repair of indirect inguinal hernia with graft or prosthesis Laparoscopic repair of inguinal hernia with graft or prosthesis, not otherwise specified Laparoscopic bilateral repair of direct inguinal hernia with graft or prosthesis Laparoscopic bilateral repair of indirect inguinal hernia with graft or prosthesis Laparoscopic bilateral repair of inguinal hernia, one direct and one indirect, with graft or Laparoscopic bilateral repair of inguinal hernia with graft or prosthesis, not otherwise sp Laparoscopic multiple segmental resection of large intestine Laparoscopic cecectomy Laparoscopic right hemicolectomy Laparoscopic left hemicolectomy Laparoscopic sigmoidectomy Open robotic assisted procedure Laparoscopic robotic assisted procedure Percutaneous robotic assisted procedure Endoscopic robotic assisted procedure Thoracoscopic robotic assisted procedure Other and unspecified robotic assisted procedure Esophagoscopy through artificial stoma Other esophagoscopy Closed [endoscopic] biopsy of esophagus Excision of esophagus 42.4 Esophagectomy, not otherwise specified Partial esophagectomy Total esophagectomy Percutaneous [endoscopic] gastrostomy [PEG] Endoscopic excision or destruction of lesion or tissue of stomach Partial gastrectomy with anastomosis to esophagus (43.5) 43.5 Partial gastrectomy with anastomosis to duodenum (43.6) 43.6 Partial gastrectomy with anastomosis to jejunum (43.7) 43.7 Other partial gastrectomy 43.8 Partial gastrectomy with jejunal transposition Laparoscopic vertical (sleeve) gastrectomy Open and other partial gastrectomy Total gastrectomy 43.9 Total gastrectomy with intestinal interposition Other total gastrectomy Transabdominal gastroscopy Gastroscopy through artificial stoma Other gastroscopy Closed [endoscopic] biopsy of stomach Gastroenterostomy without gastrectomy 44.3 High gastric bypass Laparoscopic gastroenterostomy Other gastroenterostomy without gastrectomy Endoscopic control of gastric or duodenal bleeding Revision of gastric anastomosis (44.5) 44.5 Other procedures for creation of esophagogastric sphincteric competence Laparoscopic procedures for creation of esophagogastric sphincteric competence Laparoscopic gastroplasty Other repair of stomach Laparoscopic gastric restrictive procedure Laparoscopic revision of gastric restrictive procedure Laparoscopic removal of gastric restrictive device(s) (Laparoscopic) adjustment of size of adjustable gastric restrictive device Enterotomy (45.0) 45.0 Endoscopy of small intestine through artificial stoma Other endoscopy of small intestine Closed [endoscopic] biopsy of small intestine Esophagogastroduodenoscopy [EGD] with closed biopsy Other diagnostic procedures on small intestine Endoscopy of large intestine through artificial stoma Colonoscopy Flexible sigmoidoscopy Closed [endoscopic] biopsy of large intestine Local excision or destruction of lesion or tissue of small intestine 45.3 Endoscopic excision or destruction of lesion of duodenum Other local excision of lesion of duodenum Other destruction of lesion of duodenum Local excision of lesion or tissue of small intestine, except duodenum Endoscopic polypectomy of large intestine 45.42

11 Endoscopic destruction of other lesion or tissue of large intestine Isolation of segment of small intestine Multiple segmental resection of small intestine Other partial resection of small intestine Open and other partial excision of large intestine 45.7 Open and other cecectomy Open and other right hemicolectomy Open and other resection of transverse colon Open and other left hemicolectomy Open and other sigmoidectomy Total intra-abdominal colectomy 45.8 Laparoscopic total intra-abdominal colectomy Open total intra-abdominal colectomy Other and unspecified total intra-abdominal colectomy Intestinal anastomosis 45.9 Intestinal anastomosis, not otherwise specified Small-to-small intestinal anastomosis Other small-to-large intestinal anastomosis Large-to-large intestinal anastomosis Anastomosis to anus Colostomy 46.1 Temporary colostomy Permanent colostomy Ileostomy 46.2 Ileostomy, not otherwise specified Temporary ileostomy Appendectomy 47.0 Laparoscopic appendectomy Other appendectomy Laparoscopic incidental appendectomy Other incidental appendectomy Drainage of appendiceal abscess (47.2) 47.2 Local excision of rectal lesion or tissue Pull-through resection of rectum, not otherwise specified Soave submucosal resection of rectum Laparoscopic pull-through resection of rectum Open pull-through resection of rectum Other pull-through resection of rectum Abdominoperineal resection of rectum 48.5 Abdominoperineal resection of the rectum, not otherwise specified Laparoscopic abdominoperineal resection of the rectum Open abdominoperineal resection of the rectum Other abdominoperineal resection of the rectum Transsacral rectosigmoidectomy Anterior resection of rectum with synchronous colostomy Other anterior resection of rectum Posterior resection of rectum Duhamel resection of rectum Other resection of rectum Abdominal proctopexy Other proctopexy Procedures on hemorrhoids 49.4 Cauterization of hemorrhoids Destruction of hemorrhoids by cryotherapy Ligation of hemorrhoids Excision of hemorrhoids Other procedures on hemorrhoids Division of anal sphincter 49.5 Left lateral anal sphincterotomy Repair of anus 49.7 Closure of anal fistula Closed (percutaneous) [needle] biopsy of liver Open biopsy of liver Laparoscopic liver biopsy Other diagnostic procedures on liver Partial hepatectomy Percutaneous ablation of liver lesion or tissue Laparoscopic ablation of liver lesion or tissue Other destruction of lesion of liver Lobectomy of liver (50.3) 50.3 Total hepatectomy (50.4) 50.4 Liver transplant 50.5 Other transplant of liver Percutaneous aspiration of liver Endoscopic retrograde cholangiopancreatography [ERCP] Endoscopic retrograde cholangiography [ERC] Percutaneous biopsy of gallbladder or bile ducts Other closed [endoscopic] biopsy of biliary duct or sphincter of Oddi Cholecystectomy 51.2 Cholecystectomy Laparoscopic cholecystectomy Laparoscopic partial cholecystectomy Anastomosis of gallbladder or bile duct 51.3 Anastomosis of hepatic duct to gastrointestinal tract Endoscopic excision or destruction of lesion of biliary ducts or sphincter of Oddi Endoscopic dilation of ampulla and biliary duct Endoscopic sphincterotomy and papillotomy 51.85

12 Endoscopic insertion of nasobiliary drainage tube Endoscopic insertion of stent (tube) into bile duct Endoscopic removal of stone(s) from biliary tract Endoscopic retrograde pancreatography [ERP] Proximal pancreatectomy Distal pancreatectomy Radical subtotal pancreatectomy Other partial pancreatectomy Total pancreatectomy (52.6) 52.6 Radical pancreaticoduodenectomy (52.7) 52.7 Endoscopic insertion of stent (tube) into pancreatic duct Endoscopic removal of stone(s) from pancreatic duct Endoscopic insertion of nasopancreatic drainage tube Endoscopic dilation of pancreatic duct Other unilateral repair of inguinal hernia 53.0 Unilateral repair of inguinal hernia, not otherwise specified Other and open repair of direct inguinal hernia Other and open repair of indirect inguinal hernia Other and open repair of direct inguinal hernia with graft or prosthesis Other and open repair of indirect inguinal hernia with graft or prosthesis Repair of inguinal hernia with graft or prosthesis, not otherwise specified Other bilateral repair of inguinal hernia 53.1 Bilateral repair of inguinal hernia, not otherwise specified Other and open bilateral repair of indirect inguinal hernia Other and open bilateral repair of direct inguinal hernia with graft or prosthesis Other and open bilateral repair of indirect inguinal hernia with graft or prosthesis Other and open bilateral repair of inguinal hernia, one direct and one indirect, with graft Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified Unilateral repair of femoral hernia 53.2 Unilateral repair of femoral hernia with graft or prosthesis Other unilateral femoral herniorrhaphy Bilateral repair of femoral hernia (53.3) 53.3 Repair of umbilical hernia 53.4 Other and open repair of umbilical hernia with graft or prosthesis Other laparoscopic umbilical herniorrhaphy Other open umbilical herniorrhaphy Repair of other hernia of anterior abdominal wall (without graft or prosthesis) 53.5 Incisional hernia repair Repair of other hernia of anterior abdominal wall Repair of other hernia of anterior abdominal wall with graft or prosthesis 53.6 Other open incisional hernia repair with graft or prosthesis Laparoscopic incisional hernia repair with graft or prosthesis Other laparoscopic repair of other hernia of anterior abdominal wall with graft or prosthe Other and open repair of other hernia of anterior abdominal wall with graft or prosthesis Repair of diaphragmatic hernia, abdominal approach 53.7 Laparoscopic repair of diaphragmatic hernia, abdominal approach Other hernia repair (53.9) 53.9 Laparotomy 54.1 Exploratory laparotomy Reopening of recent laparotomy site Laparoscopy Peritoneal lavage Lysis of peritoneal adhesions 54.5 Laparoscopic lysis of peritoneal adhesions Other lysis of peritoneal adhesions Other repair of abdominal wall Percutaneous abdominal drainage Peritoneal dialysis Percutaneous nephrostomy without fragmentation M. UROLOGY Percutaneous nephrostomy with fragmentation Pyelostomy Partial nephrectomy (55.4) 55.4 Complete nephrectomy 55.5 Nephroureterectomy Nephrectomy of remaining kidney Removal of transplanted or rejected kidney Bilateral nephrectomy Transplant of kidney 55.6 Other kidney transplantation Transurethral removal of obstruction from ureter and renal pelvis (56.0) 56.0 Ureterotomy (56.2) 56.2 Ureteroscopy Closed endoscopic biopsy of ureter Ureterectomy 56.4 Partial ureterectomy Formation of cutaneous uretero-ileostomy Transurethral clearance of bladder (57.0) 57.0 Vesicostomy 57.2 Vesicostomy Revision or closure of vesicostomy Cystoscopy through artificial stoma Other cystoscopy Closed [transurethral] biopsy of bladder Transurethral excision or destruction of bladder tissue 57.4 Other transurethral excision or destruction of lesion or tissue of bladder 57.49

13 Open excision or destruction of other lesion or tissue of bladder Partial cystectomy (57.6) 57.6 Total cystectomy 57.7 Radical cystectomy Other total cystectomy Reconstruction of urinary bladder Insertion of indwelling urinary catheter Urethrotomy (58.0) 58.0 Urethral meatotomy (58.1) 58.1 Dilation of urethra (58.6) 58.6 Suprapubic sling operation (59.4) 59.4 Retropubic urethral suspension (59.5) 59.5 Paraurethral suspension (59.6) 59.6 Other repair of urinary stress incontinence 59.7 Other repair of urinary stress incontinence Ureteral catheterization (59.8) 59.8 Transurethral prostatectomy 60.2 Transurethral (ultrasound) guided laser induced prostatectomy (TULIP) Other transurethral prostatectomy Suprapubic prostatectomy (60.3) 60.3 Retropubic prostatectomy (60.4) 60.4 Radical prostatectomy (60.5) 60.5 Other prostatectomy 60.6 Local excision of lesion of prostate Incision and drainage of scrotum and tunica vaginalis (61.0) 61.0 Excision of hydrocele (of tunica vaginalis) (61.2) 61.2 Excision or destruction of lesion or tissue of scrotum (61.3) 61.3 Vasectomy 63.73