A B C D ICD10 TM mean 2549 percentile PROCEDURES OF THE EAR, NOSE AND SINUSES

Transcription

1 A B C D ICD10 TM mean 2549 percentile procedure PROCEDURES OF THE EAR, NOSE AND SINUSES EXTERNAL EAR Includes: external auditory canal skin and cartilage of auricle and meatus Diagnostic procedure Otoscopy Biopsy of external ear 1,000 2, Biopsy of lesion of pinna 1,000 2, Biopsy of external auditory canal lesion or tissue 1,000 3, Other diagnostic procedures on external ear Unspecified diagnostic procedures on external ear Non-operative procedures Removal of packing of external auditory canal 500 1, Removal of cerumen from ear 500 1, Removal of intraluminal foreign body from ear 1,000 1,500 Removal of intraluminal foreign body from ear under general anesthesia 1,500 2, Removal of keratosis obturan 1,500 2, Replacement of external auditory canal packing 500 1, Packing of external auditory canal 500 1,000 Incision Piercing of ear lobe 1,000 1,500 Piercing of pinna Procedural Coding System 1

2 A B C D Incision of external auditory canal 1,000 1, Incision of pinna 1,000 1, Incision of external ear, part unspecified 1,000 1,500 Excludes : Incision of external auditory canal( ) Incision of pinna( ) Drainage of external auditory canal Includes: Incision and drainage Drainage of seroma or hematoma of pinna 1,500 4,500 Includes: Incision and drainage Drainage of other lesions of pinna 1,000 1, Drainage of external ear, part unspecified 1,500 3,900 Excludes : Drainage of external auditory canal( ) Drainage of seroma or hematoma of pinna( ) Drainage of other lesions of pinna( ) Excision or destruction Debridement of external ear 3,000 6, Excision of preauricular remnant (appendage) 5,000 6, Excision of preauricular sinus 5,000 7,000 Radical excision of preauricular sinus or cyst Excision of lesion of external ear 5,000 6, Excision of lesion of pinna 5,000 6, Excision of lesion of external auditory cana 5,000 6, Excision of exostosis of external auditory cana 6,000 7, Radical excision of external ear 12,000 15,000 Procedural Coding System 2

3 A B C D Radical excision of lesion of pinna 10,000 12, Radical excision of lesion of external auditory cana 12,000 15, Other excision of external ear 7,500 10, Excision of external ear, part unspecified 7,500 10, Destruction of lesion of external ear 7,000 7,500 Cauterization Coagulation Cryosurgery Curettage Electrocoagulation of external ear Amputation of auricle 9,200 15,400 Repair or reconstruction Suture of laceration of external ear or pinna 7,000 17, Suture of laceration of external auditory cana 12,000 15, Surgical correction of prominent ear 12,000 15,000 Ear pining Ear setback Construction of auricle of ear 35,000 70,000 Prosthetic appliance for absent ear Reconstruction of auricle Reconstruction of external auditory cana 20,000 25,000 Canaloplasty of external auditory meatus Construction [reconstruction] of external meatus of ear osseous portion skin-lined portion(with skin graft) Other plastic repair of external ear 15,000 19,000 Procedural Coding System 3

4 A B C D Otoplasty Post auricular skin graft Repair of lop ear Reattachment of amputated ear 20,000 30,600 Other procedures and operations Dressing wound of external ear 500 1, Irrigation of external auditory canal 500 1, Other operation on external ear MIDDLE EAR Diagnostic procedure Exploration of middle ear, examination 15,000 20, Biopsy of middle ear 15,000 20, Open biopsy of middle ear 15,000 20,000 Biopsy after exploration of middle ear Other diagnostic procedures on middle ear 15,000 20, Unspecified diagnostic procedures on middle ear Incision Incision of middle ear 15,000 20,000 Atticotomy Aspiration of middle ear 1,500 2, Myringotomy with insertion of tube 1,500 2,000 Myringostomy 1,500 2,000 Procedural Coding System 4

5 A B C D Other myringotomy 1,500 2, Lysis of adhesion of middle ear 15,000 20, Division of tympanum 15,000 20,000 Excision or destruction Excision of lesion of middle ear 15,000 20, Excision of glomus tumor of middle ear 25,000 30,000 Excision of glomus tympanicum 25,000 30,000 Excision of glomus jugulare 30,000 35, Other excision of middle ear 20,000 25,000 Apicectomy of petrous pyramid Tympanectomy Repair or reconstruction Other repair of middle ear 20,000 25,000 Other operations Obliteration of tympanomastoid cavity 20,000 25, Injection of tympanum 1,000 1, Operations on Eustachian tube 3,000 3,500 Catheterization Inflation Injection(Teflon paste) Insufflation(boric acid-salicylic acid) Intubation Politzerization of Eustachian tube Tympanosympathectomy 15,000 25, Other operation on middle ear Procedural Coding System 5

6 A B C D TYMPANIC MEMBRANE Insertion, removal and replacement of tympanoplasty tube Insertion of tympanostomy tube 1,000 1, Removal of tympanostomy tube 500 1, Replacement of tympanostomy tube 1,000 1,500 Repair or reconstruction Tympanoplasty(type I) 15,000 20,000 Epitympanic, type I Myringoplasty Type II tympanoplasty 15,000 20,000 Closure of perforation with graft against incus or malleus Type III tympanoplasty 15,000 20,000 Graft placed in contact with mobile and intact stapes Type IV tympanoplasty 15,000 20,000 Mobile footplate left exposed with air pocket between round window and graft Type V tympanoplasty 20,000 25, Fenestra in horizontal semicircular canal covered by graft Revision of tympanoplasty 20,000 25,000 Procedural Coding System 6

7 A B C D AUDITORY OSSICLES Incision Stapes mobilization 20,000 25,000 Division, otosclerotic Remobilization of stapes Stapediolysis Transcrural stapes mobilization Excision or destruction Ossiculectomy 25, Incudectomy 25, Stapedectomy with incus replacement 25,000 Excludes : Stapes mobilization only( ) Other stapedectomy 20,000 25, Revision of stapedectomy with incus replacement 25,000 30, Other revision of stapedectomy 25,000 30,000 Repair or reconstruction Ossiculoplasty 20,000 25, Reconstruction of ossicle chains, second stage 20,000 25,000 Other operations Other operation on ossicular chain 20,000 25,000 MASTOID Incision Incision of mastoid 2,000 3,000 Procedural Coding System 7

8 A B C D Incision of petrous pyramid air cells 15,000 20,000 Excision or destruction Simple mastoidetomy 20,000 25, Modified radical mastoidectomy 20, Radical mastoidectomy 20,000 25, Other mastoidectomy 20,000 25,000 Atticoantrotomy Mastoidectomy, NOS Revision of mastoidectomy 20,000 25,000 Repair or reconstruction Closure of mastoid fistula 20,000 25, Mastoid myoplasty 20,000 25,000 INNER EAR Diagnostic procedure Biopsy of inner ear 15,000 20, Other diagnostic procedures on inner ear 15,000 20,000 Incision Incision of endolymphatic sac 25,000 30, Other incision of inner ear 25,000 30, Drainage of inner ear 25,000 30, Endolymphatic shunt 25,000 30, Perilymphatic tap 25,000 30, Decompression of labyrinth 25,000 30, Fenestration of inner ear (initial) 25,000 30,000 Procedural Coding System 8

9 A B C D Fenestration of: labyrinth semicircular canals with graft(skin)(vein) vestibule Excludes : that with tympanoplasty type V( ) Fistulization of labyrith or endolymphatic sac 25,000 30,000 Excision or destruction Chemical labyrinthectomy, transtympanic route 10,000 15,000 Labyrinthectomy, trans (external auditory) canal approach 25,000 30, Labyrinthectomy, transmastoid approach 25,000 30, Labyrinthectomy, not otherwise specifies 25,000 30, Other excision of inner ear 25,000 30,000 Obliteration of (membranous labyrinth of) semicircular canal 25,000 30, Other destruction of inner ear 25,000 30, Opening of bony labyrinth 25,000 30,000 Repair or reconstruction Repair of oval and round windows 25,000 30,000 Closure of fistula : oval window perilymph round window Other procedures and operations Implantation of electromagnetic hearing device 30,000 35, Implantation of cochlear prosthetic device, single channe 30,000 35,000 Procedural Coding System 9

10 A B C D Implantation of cochlear prosthetic device, multiple channel 30,000 35, Other implantation of cochlear prosthetic device 30,000 35,000 Implantation of cochlear prosthetic device, not otherwise specified 30,000 35, Removal of cochlear prothetic device 30,000 35,000 Replacement of cochlear prosthetic device, single channel 30,000 35, Replacement of cochlear prosthetic device, multiple channel 30,000 35, Other replacement of cochlear prosthetic device 30,000 35,000 Replacement of cochlear prosthetic device, not otherwise specifies 30,000 35, Revision of fenestration of inner ear 30,000 35, Injection into inner ear Destruction by injection(alcohol) : Inner ear, semicircular canal, vestibule Stereotactic radiosurgery of acoustic neuroma of the inner ear Other procedures and operations of inner ear SPEECH, LANGUAGE, AUDITORY & VESTIBULAR SYSTEM Diagnostic procedure, training and other procedures See chapter 15 for details of other procedures on speech, language, auditory and vestibular system Procedural Coding System 10

11 A B C D NOSE Includes: skin and cartilage of nose Diagnostic procedure Biopsy of nose 1,500 2,000 Incision Incision of nose 3,000 4,000 Chondrotomy Incision of skin of nose 1,000 1,500 Excision or destruction Excision of naso-alveolar cyst 7,000 10, Resection of nose 10,000 15, Local excision of other lesion of nose 7,000 10, Local excision of lesion of nose, not otherwise specified 7,000 10, Destruction of lesion of nose 10,000 12, Local destruction of other lesion of nose 10,000 12,500 Local destruction of lesion of nose, not otherwise specified 10,000 12, Amputation of nose 12,000 32,600 Repair or reconstruction Suture of laceration of nose 6,000 9, Other repair and plastic operation on nose 13,000 17, Closure of nasal fistula 10,000 19,800 Nasolabial Nasopharyngeal Oronasal fistulectomy Procedural Coding System 11

12 A B C D Total nasal reconstruction 30,000 37,600 Reconstruction of nose with: arm flap forehead flap Reattachment of amputated nose 25,000 35,000 Other operations Dressing wound on nose 500 1, Other operation on nose 7,000 10,000 NASAL CAVITY Diagnostic procedure Rhinoscopy Rhinoscopy using endoscope 1,000 15, Biopsy of intranasal lesion 1,500 2, Biopsy of intranasal lesion using endoscope 2,000 3, Other diagnostic procedures on nose 2,000 3,500 Removal and replacement of nasal packing Removal of nasal packing 1,000 1, Removal of intraluminal foreign body from nasal cavity 1,000 1,500 Removal of intraluminal foreign body from nasal cavity under general anesthesia 2,500 3, Replacement of nasal packing 3,000 5,000 Incision Lysis of adhesions of nose 3,000 4,500 Posterior nasal scrub Procedural Coding System 12

13 A B C D Control of epitaxis Control of epistaxis by anterior nasal packing 3,000 4,000 Control of epistaxis by posterior (and anterior) nasal packing 6,000 8, Control of epistaxis by cauterization (and packing) 3,000 5, Control of epistaxis by ligation of ethmoid arteries 15,000 20,000 Control of epistaxis by endoscopic ligation of the sphenopalatine artery 15,000 20,000 Control of epistaxis by (transantral) ligation of the maxillary artery 15,000 20,000 Control of epistaxis by ligation of the external carotid artery 15,000 20, Control of epistaxis by excision of nasal mucosa and skin grafting of septum and lateral nasal wall 15,000 20, Control of epitaxis by other means 15,000 20, Control of epitaxis, not otherwise specified 15,000 20,000 Excision or destruction Nasal polypectomy 10,000 15, Nasal polypectomy using microscope 15,000 17, Nasal polypectomy using endoscope 15,000 17, Local excision of intranasal lesion 10,000 15, Local excision of intranasal lesion using microscope 15,000 17, Local excision of intranasal lesion using endoscope 15,000 17, Local destruction of intranasal lesion 15,000 17, Local destruction of intranasal lesion using endoscope 15,000 17,000 Other operations Irrigation of nasal passages 500 1, Other operation on nasal cavity 5,000 15,000 Procedural Coding System 13

14 A B C D NASAL TURBINATES Excision or destruction Fracture of the turbinates 1,500 2, Turbinectomy by diathermy or cryosurgery 3,000 5, Laser turbinectomy 4,500 6, Other turbinectomy 4,,000 5,000 Repair or reconstruction Turbinoplasty 7,000 10,000 NASAL SEPTUM Incision Nasal septotomy 3,500 10, Drainage of septal abscess 3,100 5,200 Excision or destruction Submucous resection of septum of nose 15,000 20,000 Repair or reconstruction Revision rhinoplasty 20,000 35,200 Rhinoseptoplasty Twisted nose rhinoplasty Limited rhinoplasty 15,000 33,300 Plastic repair of nasolabial flaps Tip rhinoplasty Procedural Coding System 14

15 A B C D Augmentation rhinoplasty 20,000 41,700 Augmentation rhinoplasty with: graft synthethic implant Other rhinoplasty 20,000 25, Other septoplasty 15,000 20,000 Crushing of nasal septum Repair of septal perforation Excludes : septoplasty with synchonous submucous resection of septum ( ) FRONTAL NASAL SINUSES Incision Frontal sinusotomy 15,000 20, Frontal sinusotomy using endoscope 15,000 20, Frontal sinusotomy, external approach 15,000 20,000 Excision or destruction Excision of lesion of frontal sinus 15,000 22, Excision of lesion of frontal sinus using endoscope 15,000 22, Excision of lesion of frontal sinus, external approach 17,500 30, Frontal sinusectomy 20,000 36, Obliteration of frontal sinus(with fat) 25,000 45,100 Osteoplastic flap Repair or reconstruction Dilation of frontonasal duct 1,500 2, Reconstruction of frontonasal duct 15,000 20,000 Procedural Coding System 15

16 A B C D ETHMOID NASAL SINUSES Incision Ethmoidotomy 17,500 20, Ethmoidotomy using endoscope 17,500 20,000 Excision or destruction Ethmoidectomy 20,000 22,500 Anterior ethmoidectomy Posterior ethmoidectomy Transantral ethmoidectomy 20,000 22, External ethmoidectomy 20,000 22, Ethmoidectomy using endoscope 20,000 22,500 SPHENOID NASAL SINUSES Incision Sphenoidotomy 20,000 25, Sphenoidotomy using endoscope 20,000 25,000 Excision or destruction Sphenoidectomy 27,500 30, Sphenoidectomy using endoscope 27,500 30, Transeptal sphenoidectomy 27,500 30,000 MAXILLARY NASAL SINUSES Procedural Coding System 16

17 A B C D Incision Intranasal antrotomy 7,000 10,000 Inferior antrostomy Middle antrostomy Nasoantral window 7,000 10, Radical maxillary antrotomy 15,000 20,000 Removal of lining membrane of maxillary sinus using Caldwell-Luc approach Antrectomy or classical Caldwell-Luc operation Other external maxillary antrotomy 15,000 Exploration of maxillary antrum with Caldwell-Luc approach Excision or destruction Excision of lesion of maxillary sinus with Caldwell-Luc approach 15, Excision of lesion of maxillary sinus using endoscope 15, Excision of lesion of maxillary sinus with other approach 15,000 PARANASAL SINUSES Note : During coding operations on paranasal sinuses, if coders can find more information of exact sinus site(e.g. frontal, maxillary etc.), the coder must change anatomical axis code(193=paranasal sinuses, unspecified) into more specific code as specific 189 = frontal sinus; 190 = ethmoid sinus; 191 = spenoid sinus; 192 = maxillary sinus Procedural Coding System 17

18 A B C D Diagnostic procedure Transillumination of nasal sinus 500 1, Endoscopy of nasal sinuses (without biopsy) 1,800 2, Close (endoscopic)(needle) biopsy of nasal sinus 1,800 2, Open biopsy of nasal sinus 7,500 10, Other diagnostic procedures on nasal sinuses 7,500 10,000 Incision Incision of multiple nasal sinues 12,500 16,000 Aspiration and lavage of nasal sinus through natural ostium 1,500 2, Puncture of nasal sinus for aspiration or lavage 1,500 2,000 Aspiration and lavage of nasal sinus, not otherwise specified 1,500 2, Sinusotomy, not othewise specified 7,000 10,000 Excision or destruction Sinusectomy 20,000 25, Sinusectomy, not otherwise specified 20,000 25,000 Repair or reconstruction Other repair of nasal sinus 15,000 20,000 Reconstruction of frontonasal duct Repair of bone of accessory sinus Closure of nasal sinus fistula 15,000 20,000 Repair of oro-antral fistula Other operations Other operation on nasal sinuses 15,000 20,000 Procedural Coding System 18

19 A B C D NASOPHARYNX Diagnostic procedure Nasopharyngeal exam using mirror Nasopharyngeal exam using flexible or rigid endoscope 1,000 1, Nasopharyngeal biopsy 2,000 2, Nasopharyngeal biopsy using endoscope 2,000 2, Other diagnostic procedures on nasopharynx 2,000 2,500 Incision Lysis of nasopharygeal adhesion 7,000 10,000 Excision or destruction Excision of benign non-vascular nasopharyngeal tumor 15,000 20, Excision of nasopharyngeal angiofibroma 30,000 35, Excision of malignant nasopharyngeal tumor 30,000 35, Other excision of lesion or tissue of nasopharynx 15,000 20, Other destruction of lesion or tissue of nasopharynx 15,000 20,000 Repair or reconstruction Insertion of nasopharyngeal airway 1,000 1, Dilatation of nasopharynx 2,000 5, Correction of nasopharyngeal atresia 20,000 30,000 Other procedures and operations Brachytherapy of the nasopharynx tumor Teleradiotherapy of the nasopharynx tumor Other procedures and operations on nasopharynx 15,000 25,000 Procedural Coding System 19

20 A B C D PAROTID SALIVARY GLAND Diagnostic procedure Closed (needle) biopsy of parotid gland or duct 1,300 2, Open biopsy of parotid gland or duct 7,400 15, Other diagnostic procedures on parotid gland or ducts 12,500 15,000 Non-operative removal of calculus Removal of calculus from parotid salivary duct 3,500 10,200 Incision Drainage of abscess of parotid area 12,500 15, Superficial parotidectomy, partial parotidectomy 25,000 30, Total parotidectomy 30,000 35, Other excision of parotid gland lesion 25,000 30, Parotidectomy, not otherwise specified 25,000 30,000 Repair or reconstruction Dilatation of parotid salivary duct 1,500 2, Repair of parotid salivary duct 17,500 21, Suture of laceration of parotid gland 17,500 20, Other repair on parotid gland or duct 15,000 20,000 Fistulization of parotid gland Closure of parotid gland fistula 17,500 18, Other plastic operation on parotid gland or duct 15,000 20,000 Plastic repair of parotid gland Transplantation of parotid gland Open removal of calculus from parotid salivary duct 3,500 10,200 Procedural Coding System 20

21 Other operation of parotid salivary gland or duct 7,500 10,200 SUBMANDIBULAR GLAND Diagnostic procedure Closed(needle) biopsy of submandibular gland or duct 1,500 2, Open biopsy of submandibular gland or duct 7,000 10, Other diagnostic procedures on submandibular gland or ducts 7,000 10,000 Non-operative removal of calculus Removal of calculus from submandibular duct 2,500 5,000 Incision Drainage of abscess of submandibular gland 2,500 5,000 Excision or destruction Partial excision of submandibular gland 12,500 15, Total excision of submandibular gland 15,000 20, Other excision of submandibular gland 12,500 15, Excision of submandibular gland, not otherwise specified 15,000 20,000 Repair or reconstruction Dilatation of submandibular duct 1,500 2, Repair of submandibular duct 12,500 15, Suture of laceration of submandibular salivary gland 12,500 15, Other repair on submandibular gland or duct 7,500 10,000 Fistulization of submandibular gland Closure of submandibular gland fistula 12,500 15,000 Procedural Coding System 21

22 A B C D Other operations Open removal of calculus from submandibular duct 7,500 10, Other plastic operation on submandibular gland or duct 12,500 15, Other operation of submandibular gland or duct 7,500 10,000 SALIVARY GLAND & DUCT Note : During coding operations on salivary gland, if coders can find more information of exact salivary gland location(e.g.parotid, submandibular gland etc.), the coder must change anatomical axis code(198= salivary gland & duct, unspecified) into more s 195 = Parotid salivary gland; 196 = Submandibular salivary gland; 197 = Sublingual & minor salivary Diagnostic procedure Closed(needle) biopsy of salivary gland 1,500 2, Open biopsy of salivary gland 7,000 10, Other diagnostic procedures on salivary gland or duct 7,000 10,000 Non-operative removal of calculus Removal of calculus from salivary duct 2,500 5,000 Incision Incision of salivary gland or duct 7,000 10, Drainage of abscess of salivary gland 6,000 10, Marsupialization of salivary gland or duct 6,000 10,000 Excision or destruction Procedural Coding System 22

23 A B C D Partial sialoadenectomy 12,500 15, Complete sialoadenectomy 12,500 20, Other excision of salivary gland lesion 12,500 20, Sialoadenectomy, not otherwise specified 12,500 20,000 Repair or reconstruction Dilatation of salivary duct 1,500 2, Repair of salivary duct 12,500 20, Suture of laceration of salivary gland 12,500 20, Other repair on salivary gland or duct 12,500 15,000 Fistulization of salivary gland Closure of salivary gland fistula 12,500 15,000 Other operations Probing of salivary duct 500 1, Open removal of calculus from salivary duct 7,500 10, Other plastic operation on salivary gland or duct 7,500 10,000 Plastic repair of salivary gland Transplantation of salivary gland Other operation of salivary gland or duct 7,500 10,000 Procedural Coding System 23

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40 E F G H ,000 20,000 20,000 20, Procedural Coding System 40

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