CHAPTER 4 Mean 2549 PROCEDURES OF THE NECK, MOUTH AND PHARYNX

Transcription

1 A B C CHAPTER 4 Mean 2549 PROCEDURES OF THE NECK, MOUTH AND PHARYNX NECK Non-operative procedures Application of neck support NECK SKIN Includes : Neck subcutaneous tissue Diagnostic procedures Biopsy of neck skin and subcutaneous tissue 1,000 Non-operative procedures Insertion of totally implantable infusion pump into neck skin 1, Insertion of totally implantable vascular access device into neck skin 1, Insertion of tissue expander into neck skin 7, Removal of foreign body from neck skin and subcutaneous tissue 500 Operative procedures Incision of pilonidal cyst or sinus of neck skin 3, Other incision of neck skin and subcutaneous 6,500 Exploration of sinus tract, skin Exploration of superficial fossa Aspiration of neck skin and subcutaneous tissue 1,000 Aspiration of: abscess hematoma Procedural Coding System 1

2 A B C seroma Drainage of neck skin and subcutaneous tissue 2,000 Include: Incision and drainage Excisional debridement of wound, infection or burn of neck skin 2,000 Removal by excision of: devitalized tissue necrosis slough Excision of pilonidal cyst or sinus of neck skin 7,500 Marsupialization of cyst Excision of neck skin for graft to other site 5, Other local excision of lesion of neck skin and subcutaneous tissue 5, Cutting and preparation of pedical grafts of flaps 5, Radical excision of neck skin lesion 7,00 Wide excision of skin lesion involving underlying or adjacent structure Chemosurgery of neck skin 1,500 Chemical peel of skin Dermabrasion of neck skin 7,500 Include: that with laser Ligation of dermal appendage of neck skin 1, Electrolysis and other epilation of neck skin 2, Nonexcisional debridement of wound, infection or burn of neck skin 800 Removal of devitalized tissue, necrosis and slough by: brushing irrigation (under pressure) Procedural Coding System 2

3 A B C scrubbing washing Other local destruction of lesion of neck skin and subcutaneous tissue 7,000 Destruction of neck skin by: cauterization cryosurgery fulguration laser beam That with Z-plasty Suture of laceration of neck skin 7, Other repair of neck skin 7, Revision of pedicle or flap graft of neck skin 7, Advancement of pedicle graft of neck skin 15, Attachment of pedicle or flap graft of neck skin 15, Neck skin reduction plastic operation 15, Relaxation of scar or web contracture of neck skin 10, Other reconstruction of neck skin Hair transplant of neck skin 25, Split-thickness neck skin graft 9, Full-thickness neck skin graft 9, Heterograft to neck skin 9,000 Pigskin graft Porcine graft Homograft to neck skin 9,000 Graft to skin of: amnionic membrane from donor skin Dermal regenerative graft of neck skin 2,200 Artificial skin Creation of neodermis Decullularization allodermis Integumentary matrix implants Procedural Coding System 3

4 A B C Prosthetic implant of dermal layer of skin Regenerate dermal layer of skin Miscellaneous procedures Wound dressing at neck Injection or tattooing of neck skin lesion and 10,000 Injection Insertion Pigmentation of filling material Other procedures and operations Other procedures and operations on neck skin 4,500 BRANCHIAL REMNANT Operative procedures Excision of branchial cleft cyst or vestige 8, Closure of branchial cleft fistula 15, Other procedures and operations Other procedures and operations on branchial cleft cyst or fistula 10,500 CAROTID ARTERY Examination and Assessment Biopsy of carotid artery 12,500 Note : see chapter 18 for more codes on radiology services of neck Non-operative procedures Arterial catheterization of carotid artery Insertion of carotid artery stent 22,500 Operative procedures Procedural Coding System 4

5 A B C Incision of carotid artery 13,300 Embolectomy Thrombectomy Freeing of carotid artery 9, Control of hemorrage following arterial surgery of carotid artery 11, Endarterectomy of carotid artery 20,400 Endarterectomy with: embolectomy patch graft temporary bypass during procedure thrombectomy Resection of carotid artery with anastomosis 20,400 Angiectomy Excision of: with anastomosis aneurysm (arteriovenous) blood vessel (lesion) Other excision of carotid artery 15, Ligation of carotid artery 8, Embolization of carotid artery 22, Transcatheter embolization of carotid artery Other surgical occlusion of carotid artery 10,200 Clamping of carotid artery Occlusion of carotid artery Dilation of carotid artery Angioplasty of carotid artery 13,800 Percutaneous transluminal angioplasty (PTA) of carotid artery Aorto-subclavian-carotid bypass Extracranial-intracranial(EC-IC) vascular bypass Suture of carotid artery 15, Repair of aneurysm of carotid artery 28,600 Procedural Coding System 5

6 A B C Repair of aneurysm by: coagulation electrocoagulation filipuncture methyl methacrylate suture wiring, wrapping Repair of arteriovenous fistula or arteriovenous malformation of carotid artery 22,400 Embolization of carotid cavernous fistula Repair of arteriovenous fistula or arteriovenous malformation by: clipping coagulation ligation and division Repair of carotid artery with tissue patch graft 21, Repair of carotid artery with synthetic patch graft 21, Repair of carotid artery with unspecified patch 21, Endoarterial repair of carotid artery Other repair of carotid artery Transcatheter thrombolysis of carotid artery, using thrombolytic agent Transcatheter thrombolysis of carotid artery, using mechanical removal Resection of carotid artery with replacement Angiectomy Excision of: with replacement aneurysm (arteriovenous) blood vessel (lesion) Revision of arterial procedures of carotid artery 10, Reconstruction of carotid artery 13,800 Other procedures and operations Operations on carotid body 20,400 Procedural Coding System 6

7 A B C Chemodectomy Denervation of carotid body Glomectomy, carotid Implantation of electronic stimulator or pacemaker into carotid body Other procedures and operations on carotid artery HEAD AND NECK ARTERY Note : During coding operations on head and neck artery, if coders can find more information of exact artery(e.g. vertebral, thyroidal artery etc.), the coder must change anatomical axis code(209=head and neck artery, unspecified) into more specific code as specific anatomical code 205 = carotid artery; 206 = internal carotid artery; 207 = thyroid artery; 208 = vertebral artery Embolization and thrombolysis Transcatheter embolization of head & neck artery Percutaneous transluminal angioplasty of head & neck artery Transcatheter thrombolysis of head & neck artery, using thrombolytic agent Transcatheter thrombolysis of head & neck artery, using mechanical removal CERVICAL LYMPH NODES Procedural Coding System 7

8 A B C Note : During coding operations on cervical lymph nodes, if coders can find more information of exact cervical lymph nodes(e.g. superficial, deep etc.), the coder must change anatomical axis code(214=cervical lymph nodes, unspecified) into more specific code as specific anatomical code below. 212 = superficial cervial lymph nodes; 213 = deep cervical lymph nodes Diagnostic procedure Biopsy of lymphatic structure 3, Biopsy of cervical lymph node 3, Other diagnostic procedure on lymphatic structure 3,000 Incision Incision of lymphatic structure 3,000 Excision or destruction Excision of cervical lymph node 4, Simple excision of other neck lymphatic 17,500 Excision of: cystic hygroma lymphangioma Regional cervical lymph node excision 17,500 Extended regional lymph node excision Radical neck dissection, unilateral 25, Modified radical neck dissection, unilateral 25, Radical neck dissection, bilateral 30, Modified radical neck dissection, bilateral 30, Radical neck dissection, not otherwise specified 30,000 Other procedures and operations Teleradiotherapy of the cervical nodes tumor Procedural Coding System 8

9 A B C Other procedures and operations on cervical lymph nodes SUPRACLAVICULAR LYMPH NODES Teleradiotherapy of the supraclavicular lymph nodes tumor Other procedures and operations on supraclavicular lymph nodes NECK SPACES Incision Incision and drainage of submandibular space 6, Incision and drainage of other fascial space of head and neck 6,000 THYROID GLANDS Diagnostic procedure Closed (percutaneous) (needle) biopsy of thyroid gland Fine needle aspiration biopsy of thyroid 1, Closed and imaging guided biopsy of thyroid Fine needle aspiration biopsy of thyroid under ultrasound guidance Open biopsy of thyroid gland 6, Other diagnostic procedures on thyroid glands Incision Incision of thyroid field 900 Thyroidotomy Procedural Coding System 9

10 A B C Other incision of thyroid field Aspiration of thyroid field 1,200 Percutaneous or needle drainage of thyroid field Drainage of hematoma of thyroid field Division of thyroid isthmus 9,000 Excision or destruction Excision of lesion of thyroid 10,200 Isthmectomy Unilateral thyroid lobectomy 15,000 Complete removal of one lobe of thyroid(with removal of isthmus or portion of other lobe) Hemithyroidectomy Subtotal thyroidectomy 20, Excision of lingual thyroid 20,000 Excision of thyroid by: substernal route transoral route Near total thyroidectomy 20, Complete thyroidectomy 20, Other thyroidectomy Endoscopic assisted excision of thyroid lesion 12, Endoscopic assisted thyroid lobectomy 17, Endoscopic assisted subtotal thyroidectomy 18, Other endoscopic assisted thyroidectomy Partial substernal thyroidectomy 21, Complete substenal thyroidectomy 22, Substernal thyroidectomy, not otherwise specified 23, Ligation of thyroid vessels 10,200 Repair or reconstruction Transposition of lingual thyroid 27, Suture of thyroid glands 8,000 Procedural Coding System 10

11 A B C Other procedures and operations Reopening of wound of thyroid field 8,000 Reopening of wound of thyroid field for: examination exploration Thyroid tissue reimplantation 15,000 Autotransplantation of thyroid tissue Other operation on thyroid glands 29,600 PARATHYROID GLANDS Diagnostic procedure Biopsy of parathyroid gland 6, Other diagnostic procedures on parathyroid Excision or destruction Complete parathyroidectomy 18, Other parathyroidectomy 18,700 Parathyroidectomy Partial parathyroidectomy Repair or reconstruction Parathyroid tissue reimplantation 6,600 Autotransplantation of parathyroid tissue Other procedures and operations Other operation on parathyroid glands THYROGLOSSAL REMNANT Incision Drainage of thyroglossal tract by incision 900 Procedural Coding System 11

12 A B C Excision or destruction Excision of thyroglossal duct or tract 12, Other procedures and operations Other procedures and operations on thyroglossal remnant 12,200 LIP Note : During coding operations on lip, if coders can find more information of exact lip(e.g. upper, lower etc.), the coder must change anatomical axis code(225=lip, unspecified) into more specific code as specific anatomical code below. 222 = upper lip; 223 = lower lip; 224 = Diagnostic procedure Biopsy of lip 1,000 Incision Incision of lip 1,000 Excision or destruction Wide excison of lesion of lip 10, Other excision of lesion or tissue of lip 10,000 Repair or reconstruction Suture of laceration of lip 7, Repair of cleft lip 15,000 Cheiloplasty Full-thickness skin graft to lip 9, Other skin graft to lip Attachment of pedicle or flap graft to lip 16, Other plastic repair of lip Procedural Coding System 12

13 A B C Other procedures and operations Other procedures and operations on lip LABIAL MUCOSA Incision Labial frenotomy 1,500 Excision or destruction Labial frenectomy 3,000 Other procedures and operations Other procedures and operations on labial mucosa 1,500 FLOOR OF MOUTH Incision Drainage of floor of mouth 7,000 Include: Incision and drainage Drainage of Ludwig s angina Marsupialization of floor of mouth lesion 3,000 Other procedures and operations Other procedures and operations on floor of 5,000 MOUTH Note : During coding operations on mouth, if coders can find more information of exact mouth location(e.g. upper, lower etc.), the coder must change anatomical axis code(233=mouth, unspecified) into more specific code as specific anatomical code below. 422 Procedural Coding System 13

14 A B C 226 = labial mucosa; 227 = upper arch of mouth; 228 = lower arch of mouth; 229 = floor of mouth; 230 = oral vestibule labial; 231 = oral vestibule buccal; 232 = oral frenulum; 234 = buccal Diagnostic procedure Biopsy of mouth 1, Other diagnostic procedures on oral cavity Non-operative removal of foreign body Removal of foreign body from mouth without incision 1,000 Incision Incision of mouth, unspecified structure 2, Drainage of mouth 4,800 Include: Incision and drainage Excision or destruction Debridement of mouth 3, Wide excision of lesion of mouth 6, Other excision of mouth Repair or reconstruction Suture of laceration of mouth 6, Closure of fistula of mouth 9,000 Oro-cutaneous fistula Oro-nasal fistula Full-thickness skin graft to mouth 10, Mucosal graft to the mouth 10, Other skin graft to mouth Attachment of pedical or flap to mouth 10, Extension of deepening of buccolabial or lingual sulcus 18,000 Vestibuloplasty of mouth Procedural Coding System 14

15 A B C Other plastic repair of mouth 12,000 Miscellaneous procedures Wound dressing at mouth Irrigation of mouth 300 Other procedures and operations Other procedures and operations on oral cavity 9,000 TONGUE Diagnostic procedure Closed (needle) biopsy of tongue 1, Open biopsy of tongue 2,500 Wedge biopsy of tongue Other diagnostic procedures on tongue 2,500 Incision Lingual frenulotomy 3, Other glossotomy 3, Lysis of adhesions of tongue 3,500 Excision or destruction Lingual frenectomy 3,000 Excision of tongue tie Excision of ankyloglossia Excision of lesion or tissue of tongue 3, Partial glossectomy 20, Complete glossectomy 30,000 Glosstectomy Radical glossectomy 37, Destruction of lesion or tissue of tongue 32, Radiofrequency surgery of tongue base Procedural Coding System 15

16 A B C Repair or reconstruction Suture of laceration of tongue 5, Other repair and plastic operations on tongue Fascail sling of tongue Fusion of tongue(to lip) Graft of mucosa or skin to tongue Other procedures and operations Other procedures and operations on tongue 9,000 GINGIVA, GUM Diagnostic procedure Biopsy of gum 1, Biopsy of alveoli 1, Other diagnostic procedures on gums and alveoli 1,000 Incision Incision of gum or alveolar bone 2,500 Apical alveolotomy Excision or destruction Excision of lesion or tissue of gum 5,000 Repair or reconstruction Suture of laceration of gum 3, Gingivoplasty 5,800 Gingivoplasty with bone or soft tissue graft Other procedures and operations Other procedures and operation on gum 6,000 DECIDUOUS TEETH Procedural Coding System 16

17 A B C Note : Codes included in this chapter are surgical procedure codes on teeth only. Please see chapter 16 for more codes on dental procedures of deciduous teeth General procedures Surgical removal of deciduous teeth Extraction of deciduous teeth PERMANENT TEETH Note : Codes included in this chapter are surgical procedure codes on teeth only. Please see chapter 16 for more codes on dental procedures of permanent teeth General procedures Removal of dental packing 2, Removal of dental wiring 3, Extraction of permanent teeth Replacement of dental packing Replacement of dental wiring Exposure of tooth Surgical removal of permanent teeth (nonimpacted tooth) Surgical removal of permanent teeth (soft tissue impaction) Surgical removal of permanent teeth (partial bony impaction) Surgical removal of permanent teeth (complete bony impaction) Surgical removal of permanent teeth (variation of impaction, embedded tooth) Dental wiring 7, Reimplantation teeth Tooth transplantation Procedural Coding System 17

18 A B C ABNORMAL TEETH Note : Codes included in this chapter are surgical procedure codes on teeth only. Please see chapter 16 for more codes on dental procedures General procedures Surgical removal of abnormal teeth Natal and neonatal tooth Supernumerary tooth Mesiodens Distomolar Fourth molar Paramolar Extraction of abnormal teeth Natal and neonatal tooth Supernumerary tooth Mesiodens Distomolar Fourth molar Paramolar HARD PALATE Diagnostic procedure Biopsy of bony palate 2,000 Incision Incision of palate 1,000 Excision or destruction Local excision of lesion or tissue of bony palate 6,000 Local excision or destruction of palate by: cautery chemotherapy Procedural Coding System 18

19 A B C cryotherapy Wide excision of lesion or tissue of bony palate 12,000 En bloc resection of alveolar process and palate Other procedures and operations Other procedures and operation on hard palate 12,000 SOFT PALATE Diagnostic procedure Biopsy of soft palate 1,500 Incision Incision of soft palate 2,000 Repair or reconstruction Excision of lesion of soft palate Wide excision of lesion of soft palate Suture of laceration of palate 6, Revision of cleft palate repair 18,000 Secondary: attachment of pharyngeal flap lengthening of palate Correction of cleft palate 18,000 Correction of cleft palate by push-back operation Palatoplasty reconstruction of palate 18, Uvulopalatoplasty (UPP) 18, Uvulopalatopharyngoplasty (UPPP) 18, Laser-assisted uvulopalatoplasty (LAUP) 18, Cautery assisted palatal stiffen operation 10, Radiofrequency surgery of soft palate 10, Other plastic repair of palate 18,000 Procedural Coding System 19

20 A B C Other procedures and operations Other procedures and operation on soft palate UVULA Diagnostic procedure Biopsy of uvula 1,500 Incision Incision of uvula 2,000 Excision or destruction Excision of uvula 3, Excision of uvula using laser 3,500 Repair or reconstruction Repair of uvula 5,000 Other procedures and operations Other procedures and operations on uvula 5,000 PHARYNX Include: oropharrynx, hypopharynx Diagnostic procedure Pharyngoscopy Pharyngeal biopsy 5,000 Biopsy of supraglottic mass Other diagnostic procedures on pharynx 3,000 Incision Pharyngotomy 8,000 Drainage of pharyngeal bursa Procedural Coding System 20

21 A B C Incision and drainage (oral) (transcervical) of parapharyngeal, Retropharyngeal abscess 10, Lysis of pharyngeal adhesions 5,000 Excision or destruction Cricopharyngeal myotomy 13, Pharyngeal diverticulectomy 13, Pharyngectomy(partial) 17, Other excision of lesion or tissue of pharynx 15, Other destruction of lesion or tissue of pharynx 15,000 Repair or reconstruction Dilation of pharynx 6, Suture of laceration of pharynx 10, Other repair of pharynx 10, Closure of other fistula of pharynx 12,000 Pharyngoesophageal fistulectomy Plastic operation on pharynx 17,500 Miscellaneous procedures Insertion of oropharyngeal airway Removal of foreign body from pharynx without incision 3,500 Other procedures and operations Other operation on pharynx TONSILS AND ADENOIDS Diagnostic procedure Biopsy of tonsils and adenoids 1, Other diagnostic procedures on tonsils and 1,500 Incision Procedural Coding System 21

22 A B C Incision and drainage of tonsil and peritonsillar structures 2,500 Drainage of peritonsillar abscess, tonsillar Excision or destruction Excision of lesion of tonsils and adenoid 10, Excision of tonsil tag 10, Excision of lingual tonsil 12, Tonsillectomy without adenoidectomy 10, Adenoidectomy without tonsillectomy 10,000 Excision of adenoid tag Tonsillectomy with adenoidectomy 15, Radiofrequency surgery of tonsils Miscellaneous procedures Removal of foreign body from tonsil and adenoid 3,000 without incision Control of hemorrhage after tonsillectomy and adenoidectomy 6,000 Removal of foreign body from tonsil and adenoid by incision 3,000 Other procedures and operations Other procedures and operations on tonsils and adenoid 10,000 LARYNX Include : Supraglottic, subglottic and larynx Diagnostic procedure Layngoscopy Fiberoptic laryngoscopy 4, Closed (endoscopic) biopsy of larynx 4, Open biopsy of larynx 7, Other diagnostic procedures on larynx 6,500 Procedural Coding System 22

23 A B C Insertion and removal of device or foreign body Closed (endoscopic) insertion of laryngeal stent 10, Removal of keel or stent from larynx 8, Removal of intraluminal foreign body from larynx 8, Closed (endoscopic) replacement of laryngeal 8,000 Incision Laryngofissure 13, Other incision of larynx 13, Marsupialization of laryngeal cyst 13, Lysis of adhesions of larynx 16, Lysis of adhesions of larynx using laser 16, Division of congenital web of larynx 13, Division of congenital web of larynx using laser 13,000 Excision or destruction Excision of lesion or tissue of larynx 12, Excision of lesion or tissue of larynx, using laser 12, Epiglottidectomy 20, Hemilaryngectomy 27, Other partial laryngectomy 27,500 Excision of laryngeal cartilage Supraglottic laryngectomy Supracricoid laryngectomy Near total laryngectomy Complete laryngectomy 35,000 Block dissection of larynx (with thyroidectomy) (with synchronous tracheostomy) Total laryngectomy Laryngopharyngectomy Radical laryngectomy 55,000 Complete laryngectomy with radical neck dissection(with thyroidectomy)(with synchonous tracheostomy) 763 Procedural Coding System 23

24 A B C Other excision of lesion or tissue of larynx 13, Other destruction of lesion or tissue of larynx 13,000 Repair or reconstruction Dilation of larynx 8, Suture of laceration of larynx 10, Repair of laryngeal fracture 15, Other repair of larynx 12,000 Graft of larynx Closure of fistula of larynx 12,000 Laryngotracheal fistulectomy Take-down of laryngostomy Open insertion of laryngeal stent Open replacement of laryngeal stent Revision of laryngostomy 12,500 Other procedures and operations Injection of larynx 13,000 Injection of inert material into larynx Excludes : Medialization of vocal cord ( Other procedures and operation on larynx 13,000 VOCAL CORD Excision or destruction Vocal cord stripping 12, Vocal cordectomy 18,000 Excision of vocal cord Vocal cordectomy using laser 18, Arytenoidectomy 20, Laser arytenoidectomy 20,000 Procedural Coding System 24

25 A B C Repair or reconstruction Arytenoidopexy 22, Medialization of vocal cord 15,000 Injection of inert material into vocal cord Medialization of vocal cord, external approach 15, Lateralization of vocal cord 15, Transposition of vocal cord 15, Other repair of vocal cord 15,000 Other procedures and operations Other procedures and operations on larynx LARYNGEAL NERVE Excision or destruction Division of laryngeal nerve 10,000 Repair or reconstruction Repair of laryngeal nerve 15,000 Other procedures and operations Injection of botulinum toxin of steroid into laryngeal nerve Other procedures and operations of laryngeal 15,000 TRACHEA Diagnostic procedure Tracheoscopy through artificial stoma 2, Fiberoptic laryngotracheoscopy 2, Tracheoscopy using rigid endoscope 8, Closed(endoscopic) biopsy of trachea 8, Open biopsy of trachea 10,000 Procedural Coding System 25

26 A B C Other diagnostic procedures on trachea 10,000 Insertion, removal and replacement of endotracheal devices Endotracheal intubation 1,500 Insertion of endotracheal tube Insertion tracheal or tracheobronchial stent 9, Removal of tracheostomy tube 1, Removal of intraluminal foreign body from 8, Removal of tracheal or tracheobronchial stent 8, Replacement of tracheostomy tube 1, Replacement of tracheal stent 8,000 Incision, lavage and lysis of adhesions Other incision of trachea 8, Tracheostomy toilette 1, Other lavage of trahea Lysis of adhesion of trachea 10, Lysis of adhesion of trachea using laser 10, Excision or destruction Local excision or destruction of lesion or tissue of trachea 10,000 Local excision or destruction of lesion of tissue of trachea using laser 18,000 Repair or reconstruction Dilatation of trachea 8, Temporary tracheostomy 5,000 Tracheostomy for assistance of breathing Mediastinal tracheostomy 10, Other permanent tracheostomy 10, Tracheoesophageal fistulization 17, Suture of laceration of trachea 13, Other repair operations on trachea 13,000 Procedural Coding System 26

27 A B C Closure of external fistula of trachea 12,000 Closure of tracheostomy stoma Closure of other fistula of trachea 13,000 Tracheoesophageal fistulectomy Revision of tracheostomy 7, Tracheal resection and end to end anastomosis 35, Tracheal resection and cricotacheal anastomosis 35, Tracheal resection and thyrotracheal anstomosis 35, Reconstruction of trachea and construction of artificial larynx 35,000 Tracheoplasty with artificial larynx Other plastic operations on trachea 25,000 Other procedures and operations Injection of locally-acting therapeutic substance into trachea 2, Other procedures and operation on trachea 16,000 From Chapter 5 Bronchus Diagnostic procidures Fiber-optic bronchoscopy 2, Closed[endoscopic]biopsy of bronchus 3,000 General procidures Removal of intraluminal foreign body from bronchus 8, Endoscopic excision of lesion or tissue of bronchus 3, Other excision of bronchus 4,000 Procedural Coding System 27

28 A B C Other procidures and operations Other procidures and operations on bronchus 4,000 From Chapter 6 Esophagus Diagnostic procidures Fiberoptic esophagoscopy 2, Esophagoscopy through artificial stoma 2, Esophageal manometry 2, Closed endoscopic biopsy of esophagus 2, Open biopsy of esophagus 26,000 General procidures Insertion of permanent tube into esiophagus 5, Insertion of Sengstagen-Blakemore tube 2, Removal of foreign body from esophagus without incision 5,000 Procedural Coding System 28

29 1 D percentile 90_2549 E ,500 1,500 1,500 36,600 5,000 7,000 8,000 1,500 Procedural Coding System 29

30 D 4,400 4,100 20,600 29,000 7,000 35,700 12,900 3,000 14,700 3,000 3,400 1,300 E Procedural Coding System 30

31 D E ,000 9,000 10,000 31,600 31,600 31,600 22,800 22,500 30,000 30,000 29,000 15,800 14,700 3,600 Procedural Coding System 31

32 D 1,300 15,000 9,000 20,000 20,000 20,000 15,000 E , Procedural Coding System 32

33 D 22,100 16,200 18,700 34,000 34,000 34,000 13,600 25,000 20,000 23,000 E ,000 47,600 Procedural Coding System 33

34 D 37,400 E ,700 35,700 35, , ,000 Procedural Coding System 34

35 D E Procedural Coding System 35

36 D E ,000 5,000 5,000 5,000 6,000 20,000 20,000 31,500 33,100 35,000 35,000 35,000 Procedural Coding System 36

37 D E ,000 9,000 2, , , Procedural Coding System 37

38 D 2,000 1,500 12,000 18,000 27,000 E ,900 20,400 32,300 35,700 20,400 28,900 30,600 35,700 37,400 39,100 17,000 30,000 15,000 Procedural Coding System 38

39 D E , , , , , , , ,500 = Procedural Coding System 39

40 D 20,400 20,400 E ,200 1,500 20,800 15,000 23,400 54,200 31,300 33,200 Procedural Coding System 40

41 D 2,100 6,200 3,000 15,800 5,000 10,000 E 422 Procedural Coding System 41

42 D E , ,200 3,000 7,500 6,200 14,000 8,000 15,000 29,000 29,000 30,500 32, Procedural Coding System 42

43 D E , , , , , , , , , , , , , , Procedural Coding System 43

44 D 8,600 13,000 1,500 1,500 1,500 3,500 7,000 4,000 9,700 9,000 E Procedural Coding System 44

45 D E ,500 4, , Procedural Coding System 45

46 D E , , , Procedural Coding System 46

47 D E , , , , , , , , , , , , , , Procedural Coding System 47

48 D E , , , , , , , , , , Procedural Coding System 48

49 D E ,000 7,500 15,000 15,000 20,000 18,000 18,000 8,500 12,500 12,500 15,000 20, ,000 2,500 2,500 Procedural Coding System 49

50 D E ,000 12,500 12,500 15,000 12,500 12,500 17,500 3,500 8,000 4, ,500 5,000 6,500 10,000 8,000 Procedural Coding System 50

51 D 12,000 10,000 10,000 12,000 15,000 15,000 15,000 17,500 17,500 17,500 17,500 15,000 15,000 25,000 30,000 30,000 40,000 E , Procedural Coding System 51

52 D E , , , , , , , , , , , , , , ,500 Procedural Coding System 52

53 D 25,000 20,000 20,000 20,000 20,000 20,000 13,000 25,000 E ,000 3,000 3,000 10,000 10,000 13,000 Procedural Coding System 53

54 D 13,000 E ,000 10,000 2,000 13,000 10,000 2,000 12,000 10,000 1, ,500 12,500 12, ,000 12,500 7,500 15,000 15,000 20,000 18,000 18,000 Procedural Coding System 54

55 D 13,000 15,000 10,000 40,000 40,000 40,000 40,000 30,000 E ,000 18,000 3,000 4,000 10,000 8,000 5,000 Procedural Coding System 55

56 D 5,000 4,000 4,000 6,000 4,000 44,000 10,000 3,000 8,000 E Procedural Coding System 56