Transcription

1 , 53 () ; () () () 62001C-62038B

2

3 Integumentary System ( ) Excision of facial skin tumor 62001C 1 within 1cm in diameter v v v v C 12 1cm to 2cm in diameter v v v v C 2 over 2cm in diameter v v v v 5530 Repair of facial laceration 62004C 5 within 5cm v v v v C to 10 cm v v v v C 10 over 10cm v v v v C Full thickness skin graft, (FTSG) v v v v B Tube pedicle graft v v v C Removal of v v v v 1040 subscutaneous, In muscle or deep foreign body Excision of subcutaneous tumor 62010C 5 within 5cm v v v v C to 10 cm v v v v C 10 over 10cm v v v v B Cross finger skin flap v v v 2800 Split thickness skin graft S.T.S.G 62014C 10 BSA within 10 BSA v v v v B BSA 10 to 20 BSA v v v A 20 BSA over 20 BSA v v C Dermal over graft v v v v C Z-plasty v v v v B Argon laser therapy v v v B CO2 laser operation v v v C Skoog operation v v v v

4 Excision of skin cncer & SSG 62022C 2 within 2cm in diameter v v v v B 2-5 2cm to 5cm in diameter v v v B 5 over 5cm in diameter v v v B Temporal muscle flap v v v B Pharyngeal flap v v v B Abbe flap v v v B Exlander flap, Exlander v v v B Cross leg skin flap v v v B Cross palm skin flap v v v B Cross arm skin flap v v v 9270 Microvascular free flap 62032B cutaneous v v v B muscle v v v B bone v v v B omentum v v v B intestine v v v B Fascia free flap v v v B v v v Functioning muscle free flap 62039B Cutaneous flap v v v B v v v 7850

5 62041B & (5 ) v v v 1287 Micro & general dermabrasion(<5cm) v v v 1367 v v v 1775 v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v

6 v v v v v v v v v v v v v v v v v v v v v

7 Breast ( ) Partial mastectomy 63001B unilateral v v v B bilateral v v v 7100 Simple mastectomy 63003B unilateral v v v B bilateral v v v 8430 Excision of breast tumor 63005C unilateral v v v v C bilateral v v v v 3470 Radical mastectomy 63007B unilateral v v v B bilateral v v v C Subcutaneous mastectomy v v v v C Breast tumor biopsy v v v v

8 Musculoskeletal System ( ) 64001B Fenestration v v v B Bone graft - medium v v v C v v v v 3250 Seguestretomy or saucerization & debridement for osteomyelitis (including phalanges, metacarpal, metatarsal) 64004C v v v v 4620 Sequestretomy or saucerization & debridement for osteomyelitis(including tibia, fibula, radius ulna humerus, pelvis) : 64005B v v v 5850 ( ) Seguestrectomy or saucerization & debridement for osteomyelitis 64006B Corrective osteotomy v v v B Ostectomy v v v 2540 Reconstruction of fractured nasal bone 64008C simple fracture v v v v C communited fracture v v v v C v v v v 790 Closed reduction of dislocated nasal bone 64011B v v v Discotomy-lumbar spine 64012B Costo-transversectomy v v v

9 64013B Excision of clavicle, partial v v v B Excision of clavicle, total v v v C v v v v 3680 Open Reduction of clavicle fracture 64016C v v v v 1010 Closed reduction & immobilization of fractured clavicle 64017C v v v v 460 Immobilization of rib fracture 64018B 64019B Excision of rib v v v v v v B Partial excision of rib v v v B Radical curettage of thoracic cold abscess Amputation of limbs v v v B thigh v v v B low leg, upper arm, forearm v v v B hand, foot v v v C finger, toe v v v v 2500 Revision of amputated stump (need osteoplasty) 64026B v v v 1790 thigh, leg, upper arm, forearm 64027C finger,toe v v v v C v v v v Open reduction for fracture of femoral shaft 64029B v v v Open reduction for fracture of femoral neck : including intertrochan or peritrochanteric fracture 64030B, v v v Open reduction for fracture of femoral neck with muscle pedicle bone graft

10 64031C v v v v Open reduction for fracture of tibia 64032B v v v 5360 Open reduction for fracture of radiusulna 64033B Open reduction for fracture of humerus v v v B v v v 4480 Open reduction for fracture of patella 64035C v v v v 5600 Open reduction for fracture of carpal, tarsal,meta-carpal,meta-tarsal 64036C v v v v 2580 Open reduction for fracture of toe 64037B v v v 2680 Excision of carpal and tarsal bone Osteosynthesis 64038B femur v v v B v v v 7370 tibia,humers or forearm bone 64040B v v v 4820 metacarpal, metatarsal or clavicle 64041C Closed reduction for fracture of femur bone v v v v C v v v v 3250 Closed reduction for fracture of spine or pelvis bone 64043C v v v v 2460 Closed reduction for fracture of tibia humerus bone 64044C Closed reduction for fracture of forearm bone v v v v

11 64045C v v v v 2030 Closed reduction for fracture of carpal bone 64046C v v v v 1690 Closed reduction for fracture of ankle bone 64047C v v v v 1500 Closed reduction for fracture of metacarpal bone x 64048C v v v v 920 Closed reduction for fracture of metatarsal bone 64049C v v v v 1450 Closed reduction for fracture of toe bone x 64050B ( ) Realiqnment of patella v v v B Excision of tibial tubercle v v v 3400 Arthrotomy for acute septic joint 64052B hip v v v B v v v 4500 shoulder, elbow, wrist, knee or ankle Synovectomy or/and capsulectomy 64054B hip v v v B knee v v v B v v v 4940 shoulder elbow, wrist or ankle 64057B phalangers v v v B Arthrodesis of finger, toe v v v B Disarticulation of elbow v v v B Disarticulation of wrist v v v B Disarticulation of knee v v v B Disarticulation of ankle v v v

12 64063C Disarticulation of finger or toe v v v v B Open reduction for dislocation of hip joint 64065B Open reduction for dislocation of shoulder joint v v v 6150 v v v C v v v v 4150 Open reduction for dislocation of elbow joint 64067C v v v v 6150 Open reduction for dislocation of knee joint 64068C v v v v 3070 Open reduction for dislocation of wrist joint 64069C v v v v 4940 Open reduction for dislocation of ankle joint 64070C v v v v 2500 Open reduction for dislocation of finger, toe 64071B v v v 4150 Open reduction for dislocation of sterno-clavicular 64072B v v v 4940 Open reduction for dislocation of acromio-clavicle 64073C Closed reduction for dislocation of hip joint v v v v C Closed reduction for dislocation of shoulder joint 64075C Closed reduction for dislocation of elbow joint v v v v 1040 v v v v

13 64076C v v v v 1220 Closed reduction for dislocation of knee joint 64077C v v v v 1790 Closed reduction for dislocation of wrist joint 64078C v v v v 1040 Closed reduction for dislocation of ankle joint 64079C v v v v 330 Closed reduction for dislocation of finger,toe 64080C v v v v 1790 Brisement force (manipulation of joint) 64081C Trigger finger v v v v 2500 myositis of positis 64082B v v v 3470 yositis of positis, gluteal or femural 64083B other myositis v v v B v v v 2000 Myotomy of scalaneus muscle 64085B Operation for torticollis/wry neck (Open) v v v B v v v 3970 Excision of cervical fistula, cervical cyst 64087C v v v v 2030 Excision of ganglion or hygrom 64088C v v v v 4500 Subcutaneous tenorrhaphy 64089B v v v 250 Subcutaneous tenectomy Tendon repair 64090C single v v v v C one added v v v v

14 64092B v v v 4540 Capsulectomy of digital joint 64095B Gillies' operation v v v B, Zygoma,close reduction v v v 2650, Zygoma; open reduction 64098B simple v v v B complicated v v v B v v v 1510 Extirpation of benign tumors on palate or tongue Open reduction for fracture of palate 64101B single v v v B multiple v v v B Mandibular osteotomy v v v 8240 Resection of mandible 64104B marginal v v v B partial v v v B hemi-resection v v v C Reduction of dislocation of mandibular v v v v B v v v 4200 Reduction of mandible; simple 64109B Maxilla suspension wiring v v v B v v v 4200 Maxilla open reduction, simple 64111B v v v 5800 Maxilla open reduction, complicated Orbital floor open reduction 64112B silicon sheet implant v v v B autograft v v v

15 64114B Inter-maxillary wiring (Inter-dental wiring) 64115B Release of T.M. joint ankylosis v v v 6160 v v v C v v v v 4150 Benign neck mass excision (simple) 64117C Rupture of achilles tendon primary suture 64118B Rupture of patella tendon repair 64119B Rupture of biceps tendon repair 64120B Rupture of quadriceps tendon repair Rotator cuff tear repair v v v v 5210 v v v 4490 v v v 4490 v v v B mild v v v B massive v v v B, ( ) Gluteal deltoid muscle contracture or snaping hip release. v v v B Acromioplasty v v v C v v v v 4490 Osgood schaltter's disease, excision 64126B Patella subluxation lateral release 64127C Chondromalacia of patella(drilling or shaving) 64128B ATF (Anterior tibio-fibular ligament) repair v v v 4490 v v v v 4980 v v v

16 64129B v v v 5210 ATF + CF (Calcanco-fibular ligament) repair 64130B v v v 5210 ATF + CF + PTF (Posterior tibio-fibalar ligament) repair 64131B v v v 5250 Rupture of deltoid ligament of ankle 64132B Hallux valgus v v v 2770 (McBride procedure) 64133C Hallux valgus (Chevron) v v v v B v v v Lignment reconstruction of basal joint 64135B v v v 7230 Lignment interposition of basal joint 64136B v v v Fascial interposition for carpal bone 64137B v v v 3250 Regional hand pedicle flap 64138C Division of pedicle flap v v v v C Excision of hand tumor v v v v C Reconstruction of nail v v v v C v v v v 5480 Release of scar contracture (restriction of the exercise) : 64142B Epiphysiodesis (include stapling) v v v B v v v 6330 Excision of tumor mass of bone and joint 64144B Curettage of vertebral body v v v

17 Discotomy 64145B cervical spine v v v B thoracic v v v B Hemipelvectomy v v v B v v v Excision operation of malignant tumor of upper jaw with lymphadectomy 64150B Excision v v v operation of malignant tumor of upper jaw with neck dissection 64151B v v v Excision operation of malignant tumor of lower jaw with lymphadectomy 64152B v v v Excision operation of malignant tumor of lower jaw with neck dissection Replantation 64153A one finger v v A two fingers v v A three fingers v v A four fingers v v A five fingers v v A v v Replantation-arm, leg,metatarsal or foot 64159A v v including toe replantation, toe to finger amputation & recipient site preparation, one finger 64160B Open reduction for fractrue of spine v v v

18 64161B Open reduction for fractrue of pelvis v v v B Total hip replacement v v v B Total shoulder replacement v v v B Total knee replacement v v v B Total elbow replacement v v v B Total wrist replacement v v v B Total ankle replacement v v v B Total finger or toe replacement Partial joint replacement v v v B v v v femoral condylar or tibial plateau or unicompartment 64170B v v v cup or hip prosthesis or unicompartment 64171B Arthroplasty of hip joint v v v B Arthroplasty of elbow joint v v v B Arthroplasty of shoulder joint v v v B Arthroplasty of wrist joint v v v B Arthroplasty of ankle joint v v v B Arthroplasty of knee joint v v v B v v v 6300 Arthroplasty of finger toemetatarsal or metacarpal joint 64178B Arthrodesis of hip joint v v v B Arthrodesis of shoulder joint v v v B Arthrodesis of knee joint v v v

19 64181B Arthrodesis of elbow joint v v v B v v v 5450 Arthrodesis of wrist joint or carpal joint 64183B Arthrodesis of ankle joint v v v B Disarticulation of hip v v v B Disarticulation of shoulder v v v B Arthoplasty of temporomandibular joint 64187B Reconstruction of cruciate ligament 64188B Repair of cruciate ligament 64189B Tendon graft-single v v v 5210 v v v v v v 7060 v v v A one added v v B Tendon transposition or tendon transfer v v v B one added v v v B Tendon lengthening v v v C Tenolysis v v v v 4000 Tendon or ligament repair 64195C extraarticular v v v v B intraarticular v v v C Tenotomy or fasciotomy Removal of prosthesis v v v v B hip, shoulder, knee v v v B wrist, ankle v v v B finger, toe v v v

20 64201B v v v Revision total hip replacement 64202B v v v Revision total knee replacement 64203B Girdlestone procedure of hip v v v B ( ) v v v Wide excision-bone tumor,malignant 64205B v v v Wide excision-bone,soft tissue,tumor, malignant, two stage 64206B v v v 9830 Bone tumor benign, curettage and bone graft 64207B v v v Wide excision sof tissue tumor, malignant 64208C, v v v v 9080 Excision of soft tissue tumor, benign, large or deep 64209A Forequater amputation v v B v v v 6780 Rupture of achilles tendon reconstruction 64211B Rupture of patella tendon reconstruction v v v B MCL, LCL repair v v v B MCL, LCL reconstruction v v v B ATF reconstruction v v v B v v v 8010 ATF CF reconstruction 64216B v v v 8010 ATF CF PTF reconstruction 64217B Rupture of deltoid ligament of ankle reconstruction capsular shift procedure v v v

21 64218B Partial menisetomy v v v 8000 : 64219B, v v v 7900 Recurrent anterior shoulder dislocation capsular shift procedure 64220B,, v v v Anterior spinal fusion (T-spine) transthoracic, without spinal instrumentation 64221B,, v v v Anterior spinal fusion (TL-spine) transthoracic, transabdominal without spinal instrumentation 64222B, v v v Anterior spinal fusion (L-spine) Retroperitoneal transabdominal without spinal instrumentation 64223B v v v Anterior spinal fusion (T-spine) with spinal instrumentation 64224B v v v Anterior spinal fusion (TL-spine) with spinal instrumentation 64225B v v v Anterior spinal fusion (L-spine) with spinal instrumentation 64226B v v v Posterior spinal fusion with spinal instrumentation 64227B v v v 6050 Prothetic arthroplasty of basal joint 64228B Regional fasciectomy v v v B Island pedicle flap v v v B Free vascularized bone graft, free muscle graft v v v

22 64231B Pollicization v v v B Volar plate arthroplasty v v v B Tendon prosthesis implant v v v B Distal radio-ulnar joint reconstruction v v v B v v v 4720 Open reduction for scapula fracture juxta-articular 64236B Open reduction for acetabulum or hip socket fracture v v v C Application of external fixation appratus v v v v B Cord decompression for ANFH (trephing) v v v B v v v 8000 Open treatment of close or open humeral condylar fracture,medial or lateral Osteoplasty 64240B Shorting v v v B Lengthening v v v B Excision,radial head v v v

23 Arthroscopic surgery 64243B v v v 3000 Arthroscopy with synovial biopsyirrigation & larvage debridement 64244B v v v 8000 Arthroscopic shaving or abrasion arthroplasty drilling or pinning or removal of loose body or osteochrondral fragment : 64245C removal of internal fixator v v v v 3250,,,,, 64246B removal of internal fixator v v v C removal of internal fixator v v v v 2460 v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v

24 v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v v Scaphoid Bone Fracture Open reduction of Scaphoid Fracture

25 Reapiratory System Nose ( ) Nasal polypectomy 65001C single v v v v C multiple v v v v 1360 (multiple polypectomy) 65003C Nasal turbinate, electric cauterization (uni or bil) v v v v C (S.M.R) Submucous resection of septum (uni or bil) v v v v C turbinectomy, total or partial v v v v C Antrostomy for maxillary sinus v v v v C Cyrosurgery v v v v C Nasopharyngenal biopsy v v v v B Caldwell Luc's operation, unilateral v v v 5370 (palatal fenestration) 65010B v v v 8040 Caldwell Luc's operation & ethmoidectomy 65011C Repair of sinus fistula v v v v B Endonasal ethmoidectomy v v v B Multiple sinusectomy v v v B Pansinusectomy : v v v

26 65015B Post operation cheek cyst, revised Luc's op v v v B Dacryocystorhinostomy v v v C Lysis of nasal synechia v v v v 290 Septomeatal plasty 65018B unilateral v v v B bilateral v v v C Biopsy nose soft tissue v v v v C Drainage. abscess or hematoma nasal septal v v v v C v v v v 490 Drainage abscess intranasal or hematoma of lateral cartilage (SMT) 65023C unilateral v v v v C bilateral v v v v C Exploratory antrotomy v v v v B, Atrophic rhinitis operation,unilateral v v v B v v v 4710 Dacryoaploifinostomy + canaliailar intubation 65028B Repair of oroantral fistula v v v B Infestor turbinoplasty v v v B Ethmoidectomy external v v v B Closure of perforation of septum v v v B Septal reconstruction/septoplasty v v v C Ordinary conchotomy v v v v

27 65034B Rhinoplasty v v v B Vidian neurectomy v v v B Excision of nasal tumor with skin graft v v v B Lynch's operation v v v 9510 Maxillectomy 65038B partial v v v B total v v v B Nasopharyngeal exploration through palate approach 65041B Excision of intranasal tumor, malignant 65042B Opening of choanal atresia 65043B Maxillary ethmoid sphenoid sinus radical operation 65044B Excision of tumor from frontal sinus 65045B Excision of tumor from maxillary sinus 65046B Excision of tumor from ethmoidal sinus Choanal plasty v v v 7390 v v v 7100 v v v 7100 v v v 9370 v v v 8100 v v v 5450 v v v B trans nasal v v v B trans oral v v v B Denker's Denker's operation v v v B Excision of nasopharyngeal tumor v v v A Killian Killian operation v v

28 65052B Sphenoidectomy v v v B Excision of nasopalatinal cyst v v v (nasoalveolar tumor) 65054B Repair choanal atresia intranasal 65055B Repair choanal atresia transseptal 65056B Repair choanal atresia transspalatine v v v 3240 v v v 460 v v v A Craniofacial resection v v A Degloving midfacial surgery 65059B Open reduction of nasal fracture v v v v v A v v External ethmoidectomy for CSF rhiorrhea Endoscopic functional sinus surgery 65063B unilateral v v v B bilateral v v v B v v v External frontoethmoidectomy 65066B v v v External frontoethmoidectomy with mucoperitoneal flap reconstruction 65067B Osteoplastic approach for frontal sinus surgery v v v B v v v Osteoplastic approach for frontal sinus surgery with fat obliteration

29 65069B Trephination of frontal sinus v v v B Nasal button insertion v v v B Lateral rhinotomy v v v v v v v v v v v v v

30 Throat ( ) 66002B v v v 3730 Laryngoscopy, operative including excision of tumor and/or stripping or vocal cords or epiglottis 66003B Teflon v v v 3010 Teflon intracordal injection Laryngeal plasty 66004B simple v v v A complicated v v B Permanent tracheostomy with skin graft Thyroid cartilage plasty v v v B simple v v v A complicated v v B Laryngotomy v v v B Thyroitomy v v v B Laryngofissure v v v B v v v Laryngectomy without neck dissection 66013B Laryngectomy v v v with radical neck dissection 66014B v v v Laryngectomy with T-E shunt Hemilaryngectomy 66015B horizontal v v v B vertical (lateral/anterior) v v v Radical neck lymphatic 66017B v v v dissection 66018B Arytenoidectomy v v v (Arytenoidopexy)

31 66019B Arytenoidectomy, endoscopic v v v A Supraglottic laryngectomy v v A Laryngotracheal reconstruction v v A Larynx reconstruction v v A Laryngopharyngectomy v v B v v v 6940 Thyroid cartilage plasty-two types 66025B UPPP uvuloplastopharyngoplasty v v v B Cricopharyn geal myotomy v v v B Pharyngeal flap v v v B Stomaplasty v v v B Total excision of thyroglossal duct cyst v v v B Excision of brachial cyst v v v C Laryngo micro-surgery with CO2 laser v v v v

32 Thoracic ( ) 67001B Chest wall resection v v v B Exploratory thoracotomy v v v B v v v 8010 Correction for sternal or rib fracture open reduction 67004B Trans-thoracic vagotomy v v v B Thymectomy v v v C Closed drainage v v v v B Open drainage v v v B Debridement of chest wall including wound closure v v v B Exploratory pneumonotomy v v v B Segmental resection v v v B v v v Wedge or partial resection of lung Removal of tracheal, bronchial or bronchioral foreign body 67012C by bronchoscopy v v v v B by exploration v v v B Repair of tracheo-bronchial tree 67014B Reconstruction of tracheo-bronchial tree v v v v v v

33 67015B Chest wall resection & myoplasty Thoracoplasty v v v B stage v v v B () stage, v v v B Decortication of pleura v v v B ( ) v v v Pneumonolysis, intrapleural(extrapleural) 67022B v v v Pneumonectomy with concomitent thoracoplasty or bronchoplasty 67023B v v v Lobectomy & thoracoplasty or bronchoplasty 67024B Pneumonectomy, total v v v B Plombage thoracoplasty v v v B Cavernostomy v v v B Close of bronchial fistula v v v B Combined resection of lung cancer v v v B Sleeve resection v v v B v v v B Surgery of portal hypertension v v v v v v v v v v v v v v v

34 v v v

35 Cardiovascular System ( ) 68001B v v v Pericardiotomy with exploration 68002B Pericardiocentesis v v v B Pericardiectomy v v v B Cardiorrhaphy for heart wound or v v v injury 68006A Exploratory cardiotomy includes removal of foreign body v v A A.S.D. Blalock-Hanlon Creation of atrial-septal-defect, Blalock-Hanlon type, closed 68008A A.S.D. Rashkind Creation, atrial-septal-defect Rashkind type, including-cardiac catheterization (transvenous or balloon method) 68009A A.S.D. Creation of A.S.D. with inflow occlusion 68010A Excision of tumor intracardiac v v v v v v v v B v v v Insertion or replacement of permanent interal pacenaker & myocardial electrodes by thoracotomy 68012B v v v 6850 Insertion or replacement of permanent pacemaker 68013B Temporary insertion, transvenous electrode v v v

36 68015A Valvular or/and annuloplasty v v A v v Single valve replacement 68017A Double valves replacement v v A Triple valves replacement v v A Repair ventricular aneurysm v v A A.S.D. Repair atrial-septal defect, secundum v v A Repair endocardial cushion defect 68022A Valsalva-sinus Repair fistula sinus of valsalva Coronary artery bypass grafting(cabg) v v v v A one vessel v v A two vessels v v A three vessels v v A v v Repair anomalous venous return total or partial 68027A (VSD) Repair ventricular septal defect v v A (T.F) Repair tetralogy of Fallot v v A Closed mitral or open mitral commissurotomy (pulmonary valve commissurotomy) v v

37 68030A Endocardium biopsy v v A Epicardium biopsy v v A Transposition of great arteries v v A - Fontan operation v v A Heart procurement v v A Heart implantation v v A68035A 1. (1) A. B. (2) 2. (1) Maximal VO2<100ml/kg/min (2) Miximal VO2<14ml/kg/min (3) LVEF<20% ( ACE inhibitors, Digoxin. Diuretics) LVEF<25% (4) LVEF<20% (5) Dopamine Dobutamine>5g/kg/min LVEF<25% Cardiac index<2.0l/min/m 2 (6) ECMOVAD (7) (8)

38 (1) 65 ( ) (2) (3) (4) (5) (6) (7) (8) (9) 6 Wood Unit ( 12 Wood Unit) (10) GPT (11) (Creatinine > 30mg/dlCcr<20ml/min)( ) (12) (FEVI<50% of predictedfevi/fvc<40% of predicted) (13) (14) (15) (16) ICU 68036A v v 8470 External Coporeal Circulation :1. (1) (2) (3) (4)

39 68037A Lung transplantation v v A 3. : (1) A. (FEV1.0)<25% ( ) B. <50-60mmH C. D. E. FEV1.0 (2) A. <60-65% B. C. D. (3) A. B. >10mmHg C. >50mmHg D. (Cardiac index)<2.5 l/min/m2 (4) A.FEV1.0<30% ( ) B. <55mmHg C. D. (5) (6)

40 (7) Eisenmenger s (8) ICU A Lung harvest (donor pneumonectomy) v v B v v v B-T shunt of TF

41 ( ) B Embolectomy, arterial v v v B v v v 6450 Embolectomy, arterial catheter 69003B Thrombectomy, venous v v v B v v v Arteriao endarterectomy with orwithout bypass graft 69005B Exploration vascular v v v C v v v v 1360 Insertion cannula for hemodialysis or other purpose, vein to vein 69007B Scribner Insertion cannula arterio-venous, external scribner type 1. A-V shunt 2.Gimino (Gimino type A-V cannula insertion) v v v B Anastomosis of blood vessel v v v B Arteriorrhaphy v v v B v v v 2660 Ligation external, carotid artery 69011B Ligation, femoral vein v v v B Ligation and/or division of common iliac vein : Ligation of hypogastric artery unilateral or bilateral, v v v B v v v 2400 Ligation & division of long saphenous vein at sapheno-femoral junction, Ligation & division & complete stripping oflong or

42 short saphenous veins 69014B Unilateral v v v B bilateral v v v 5430 Ligation & division & complete stripping of long and short saphenous veins 69016B unilateral v v v B bilateral v v v B Ligation of jugular venous v v v B (Luinton) v v v 4050 Stripping, subfascial, radical as Linton type with or without shin graft 69020B v v v 810 Ligation and division of short saphenous vein at sapheno- popliteal junction 69021B v v v 730 Suture, ligation or stripping of minor varicose vein 69022A v v Embolectomy arterial, pulmonary artery 69023B ( v v v Excision & graft bypass or direct repair A-V fistula neck or extremity (aneurysm excision) 69024A v v Excision & graft bypass or direct repair A-V fistula of chest or abdomen (Aneurysm Excision) 69025A Pulmonary artery banding v v A v v Repair aorto-pulmonary window (Repair aortic arch anomalies as vascular ring) 69027A Repair coarctation aorta v v A Excision tumor carotid body v v 9180 Exploration for postoperative hemorrhage or thrombosis 69029B neck v v v B chest v v v A v v 14420

43 Surgical obliteration for PDA 69032C v v v v 5930 Repair and anastomosis of peripheral vassel (A-V fistula) 69033B v v v Balloon pulmonary valvuloplasty 69034C ( ) v v v v 5930 A-V shunt with goretex graft 69035B Bental procedure v v v

44 Hemic & Lymphatic System Spleen ( ) 70001B Splenectomy v v v B Splenorrhaphy v v v B Partial splenectomy v v v B Auto-implantation of spleen v v v B v v v Splenorenal shunt (including splenectomy)

45 Radical Lymphadenectomy ( ) 70201C Biopsy lymphnode v v v v 530 Excision of T.B lymphadenitis fistula 70202C superficial v v v v B deep v v v B v v v 1750 Removal of axillary lymphnode (remove of cervicle lymphnode) 70205B v v v 6110 Dissection of axillary lymphatics 70206C v v v v 1110 Excision of inguinal lymphnode 70207B v v v 6110 Radical inguinal lymphnode dissection 70208B v v v Pelvic lymphadenectomy 70209B v v v Retroperitoneal lymphadenectomy Ileo-inguinal lymphadenectomy 70210B Unilateral v v v B Bilateral v v v B v v v 6110 Lymphocelectomy 70213B ( ) v v v

46 Mediasrinumand Diaphragm ( ) 70401B Excision of mediastinal cyst or tumor v v v B Mediastinotomy v v v B v v v 9750 Removal of foreign body, mediastinum transthoracic,intercostal approach 70404B Diaphragmatic fundo-plication v v v B v v v Repair of diaphragmatic hernia trans-abdominal 70406B v v v Repair of diaphragmatic hernia transthoracic 70407B v v v Repair of acute traumatic Diaphragmentic hernia 70408B v v v 5270 Mediastinotomy with exploration or drainage,cervical approach 70409B v v v 7990 Mediastinotomy with exploration or drainage transthoracic intercostal apporach 70410B v v v 9750 Mediastinotomy with exploration or drainage by sternal split 70411B v v v 4950 Removal forgeign body of mediastinum,cervical of approach 70412B v v v Removal of forgeign body mediastinum by sternal split 70413B v v v Repair of diaphragmatic hernia, combined thoraco-abdominal approach

47 Digestive System Mouth,Lip & Tonsils ( ) 71001B v v v Oral tumor excision, with lymphadenectomy 71002C Incision of ranula v v v v C Excision of ranula v v v v B Partial/wedge glossectomy v v v C Repair of tongue injury or wound v v v v 1630 (lip repair) 71006C Resection of Platine tonsil (bilateral) v v v v C Lingual tonsillectomy v v v v C Palatina & adenoid tonsillectomy v v v v C Cryotherapy for tonsillar v v v v B Ablation of submaxillary gland v v v C Biopsy of oral mucosa v v v v B v v v Oral tumor excision with radical neck dissection 71013B v v v Tongue cancer excision with lymphadenectomy & radical neck dissection 71014B Suprahyoid dissection v v v B Excision of parotid tumor v v v B Hemiglossectomy v v v

48 71017B Total glossectomy ( ) Ligation of internal maxillary 71018B artery 71019B, Parotidectomy, total lobectomy v v v v v v 4880 v v v B, Parotidectomy, excision v v v B Commando op. v v v B Composite resection for oral cancer 71023B Deep neck incision & drainage v v v v v v

49 Esophagus ( ) 71201B Esophageal myomectomy Heller type 71202B Excision of esophageal diverticulum v v v v v v C Endoesophageal intubation v v v v B Esophagofundostomy bypass v v v B Esophagofundostomy v v v B Esophagogastrostomy bypass v v v B Retrograde esophageal dilatation (esophagectasia, retrograde) 71208B Esophagogastric fistula closure v v v 1420 v v v B Esophagectomy v v v B Esophagectomy & reconstruction v v v B Esophagotomy transcervicle or transthoracic 71212B Excision of esophageal cyst & tumor v v v v v v B Reconstruction of esophagus v v v B Repair of esophageal laceration v v v B ) Excision of v v v esophageal cancer, with lymphadenectomy 71216B, Ligation of v v v esophageal varices, transthoracic or transabdominal, Devascularization procedure 71217B transthoracic v v v B transabdominal v v v B v v v 8140 Esophagogastric stent for esophagus or cardia portion cancer

50 Stomach ( ) Gastrotomy 72001B exploration v v v B removal of foreign body v v v B (Fredet-Ramstedt v v v 6420 Pyloromyotomy, Fredet-Ramstedt 72005B Stomach biopsy v v v 5920 by laparotomy 72006B v v v 7150 Local excision, ulcer or tumor 72007B Gastrectomy,total v v v enblock total gastrectomy 72008B v v v 6370 Gastrostomy & pyloroplasty Gastrectomy,subtotal or hemigastrectomy 72009B without vagotomy v v v B with vagotomy v v v B v v v Vagotomy and pyloroplasty 72012B Pyloroplasty v v v B Gastro-duodenostomy v v v 7590 Braum 72014B Gastrojejunostomy v v v B Gastroenterostomy v v v B v v v 9410 Gastrojejunostomy with vagotomy 72017C Gastrostomy v v v v B v v v 6820 Duodenorrhpahy, suture of perforated ulcer 72019B v v v 8819 Gastrorrhaphy, suture or repair wound, injury perforated ulcer of stomach 72020B v v v 9640 Revision of gastroduodenostomy with or without vagotomy

51 72021B Re-exploration for postgastrectomy bleeding v v v C Closure of gastrostomy v v v v B Duodenostomy v v v B Excision of duodenum tumor v v v B Excision or inversion of duodenal diverticulum v v v B Closure of duodenal fistula v v v B Duodenal obstruction v v v B Highly selective vagotomy v v v B Vagotomy v v v B Proximal gastrectomy v v v & esophagectomy & reconstruction 72031B Gastrectomy, v v v total, with splenectomy or partital pancreatectomy 72032B Gastrectomy, radical v v v B Revision of gastrojejunostomy v v v B Resection of retained antrum, postgastrectomy v v v B Gastric partition v v v B Transduodenal sphinteroplasty v v v B Plication of stomach v v v B ( ) Gastropexy for gastric volvulus v v v B EPT (endoscopic v v v papillectomy) 72040B v v v Belsy s mark iv anti-reflux procedure

52 72041B Laparoscopic gastric partition v v v

53 ( ) Intestine (Except Rectum) ( ) B Enterolysis, freeing adhesion v v v 8460 Enterolysis 73002B with bowel decompression v v v B with resection & v v v anastomosis of intestinum 73004B Mikulicz v v v 6630 Exteriorization of intestine, Mikulicz resection 73005B Reduction of intussusception v v v 7300 (laparotomy for volrulus) 73006B v v v Reduction of intussusception with bowel resection & anastomosis 73007B v v v 8500 Reduction of intussusception with enterostomy or colostomy 73008B Excision, Benign bowel lesion v v v B Meckel's diverticulectomy v v v B Resection of small bowel, with anastomosis 73011B Colectomy, partial, with anastomosis v v v v v v B v v v Colectomy, radical hemicolectomy with anastomosis ascending colon (transverse colectomy Radical Hemicolectomy) 73013B Colectomy, low anterior resection with anastomosis v v v B v v v Colectomy, low anterior resection with anastomosis with lymph node dissection Colectomy, subtotal 73015B with ileo-(or v v v ceco -) rectostomy 73016B with ileostomy v v v 18540

54 B v v v Colectomy, total with proctectomy, with ileostomy 73018B v v v 6420 Revision of colostomy or enterostomy 73019B Enterorrhaphy v v v C V v v v 6270 Closure of loop enterostomy or Colostomy 73021B v v v 6270 Closure of duble-barrel enterostomy or colostomy 73039B v v v 9630 Closure of enterostomy or colostomy,with resection and anastomosis,by laparotomy 73022B ( ) v v v 5050 Enterostomy (including clostomy Jujunostomy permanent enterostomy) Closure of intestinal fistula 73023B Enterocutaneous v v v B entero-colic v v v B fistula of bowel with v v v other organs or complicated Closure of colon fistula 73026B colocutaneous v v v B ( ) v v v 8520 gastroclic without gastrectomy 73028B ( ) v v v gastroclic with gastrectomy 73029B v v v fistula of colon with other organs or complicated Anastomosis of bowel 73030B v v v 6050 entero-enterostomy or duodeno-enterostomy 73031B v v v 6070 Anastomosis of bowel ileo-colostomy,with bypass

55 73032B v v v 6760 for intestinal atresia or stenosis 73033B Repair of intestinal perforation v v v B Suture and repair of esentry v v v B Resection of intestinal polyp v v v B Intestinal plication, Noble type v v v B Tube enterostomy or tube v v v 4680 cecostomy 73038B Take down of anastomosis, v v v revision of ileo-colostomy and reconstruction 73040B v v v Revision of ileasl conduit 73041B Antireflux procedure in the intestine v v v

56 Appendix ( ) 74001B Drainage of appendiceal abscess transabdominal v v v B Appendectomy v v v B Closure of appendiceal fistula v v v

57 Rectum ( ) C V v v v 1770 Incision and drainage for periproctal abscess 74202C V v v v 2100 Rectal incisional biopsy 74203C Repair of rectal laceration or injury V v v v 5700 (Repair of Rectal fistula) 74204B Proctopexy v v v B ( ) v v v Radical protectomy with pelvic lymph node dissection 74206B Hartmann Harmann's operation v v v C Transrectal colonic Polypectomy v v v v B v v v 6940 Rectal procidentia, prolapse perineal approach & anastomosis 74209B v v v Rectal procidentia, prolapse abdominal perineal approach and anastomosis Ripstein 74210B v v v 5350 Excision, sacrococcygeal tumor, benign 74211B v v v 8310 Extensive excision of sacrococcygeal rectal villous adenoma or malignancy 74212B v v v 4120 Rectoplasty for stricture or stenosis 74213B v v v Restorative proctectomy with colo-anal anastomosis 74214B v v v Restorative proctocolectomy, pelvic ileal pouch with ileoanal anastomosis

58 74215B Closure fistula,reco-vesical v v v B v v v Combined abdominal perineal resection for colon cancer 74217B Pull through v v v Proctosigmoidectomy with pull through colon anal anastomosis 74218B Turnbull-cutait ( ) v v v Proctectomy second stage revision of turnbulcutait op 74219A (Kraske) v v 9910 Posterior proctotomy, transacrococcygeal excision of benign lesion (kraske approach) 74220A v v (Kraske) Posterior proctotomy, transacrococcygeal segmental resection of rectum with anastomosis (kraske approach)

59 Anus ( ) 74401C Fistulotomy, subcutaneous v v v v C fistulectomy, subcutaneous v v v v C Sphincterotomy anal v v v v C v v v v 1760 fissurectomy or ulcerectomy, anal : (with or without anal sphincterotomy) Cryptectomy 74404C single v v v v C multiple v v v v C Hemorrhoidectomy, external v v v v C Hemorrhoidectomy, partial, internal & external Papillectomy anal v v v v C single v v v v C multiple v v v v C v v v v 6660 Hemorrhoidectomy, internal & external (including repair of prolaps anus) 74411C v v v v 4520 Anal fistulectomy or fistulotomy with hemorrhoidectomy 74412C Thrombectomy, external hemorrhoid v v v v B Anoplasty for stricture or imperforate v v v B v v v 4100 Sphincteroplasty anal for incontinence 74415B APR Karlex Removal of Karlex sponge s/p APR v v v

60 74416C Check anal bleeding v v v v C Internal hemorrhoid ligation v v v v B S Anal reconstruction or anoplasty with S-pedicle graft v v v B Levator plication procedure v v v

61 Liver ( ) B v v v 5030 Wedge biopsy of liver, laparotomy 75002B Partial hepatectomy v v v Segemental hepatectomy 75003B one segement v v v B two segements v v v B three segements v v v B v v v 6730 Drainage or marsupialization of cyst or abscess of liver 75007B 5 Hepatorrhaphy, suture of liver wound < 5cm v v v B v v v Hepatorrhaphy, with common duct or gallbladder drainage 75009B 5 v v v Hepatorrhaphy, suture of liver wound,complicated or >5cm 75010B Hepatic artery ligation for liver bleeding v v v B Hepato-onterostomy (Longmire Op.) v v v B Portocavo shunt (H-graft) v v v B Warren Warren's shunt v v v B Total right lobectomy v v v B Total left lobectomy v v v B Extended right lobectomy v v v B Extended left lobectomy v v v B Hepatectomy, Removal of Calculus v v v A Liver(Hepatic) transplantation v v :

62 A75022A 3. (1) (2) A. B. C.1 D. E. (3) A. B. C. (4) (5) (6) (7)Budd-Chiari (8) ICU A Cadaveric liver harvest(donor hepatectomy) 75022A Partial hepatectomy for livingrelated liver transplantation v v v v

63 Biliary System ( ) 75201B Cholecystostomy (hepaticostomy) v v v B Cholecystolithotomy (transduodenal) v v v B Cholecystectomy v v v B Choledochojejenostomy v v v B Cholecystoenterostomy v v v B v v v Total excision of common bile duct 75208B v v v Choledochotomy with T-tube drainage 75209B v v v Choledocholithotomy with T-tube drainage 75210B Choledochoplasty v v v B Biopsy of biliary tract v v v B v v v Choledochoduodenostomy 75213B Plasty of extrahepatic bile duct v v v B Closure of biliary fistula v v v B Laparoscopic cholecystectomy v v v :53% 75216B ROUX-EN-Y ROUX-EN-Y hepaticojejunostomy 75217B - - Hepatic cysto enterostomy v v v v v v

64 Pancrease ( ) 75401B v v v 6710 Drainage of pancreatic abscess or cyst or pancreatitis 75402B Pancreas incisional biopsy v v v B v v v Excision or enucleation of pancreatic tumor or cyst 75404B Distal partial v v v pancreatectomy 75405B Body partial pancreatectomy v v v B Pencreatic fistulectomy v v v B v v v Anastomosis of pancreatic cyst to GI tract direct internal drainage 75408B v v v Anastomosis of pancreatic cyst to GI tract directinternal drainage (Roux-en-Y) 75409B v v v Removal pancreatic calculus 75410B Pancreatectomy subtotal Puestow procedure v v v B Total pancreatectomy (95%) v v v A Whipple v v Pancreatico-duodenectomy, Whipple type,with reconstruction (Including Partial

65 Gastrectomy) 75413B Pancreatico-Jejunostomy end to end side to side v v v B v v v 9040 Marsupialization of pancreatic cyst

66 Abdominal Wall ( ) 75601C v v v v 1100 Drainage of abdominal wall abscess Excision of abdominal wall tumor 75602C benign v v v v B malignant v v v Repair of ventral hernia 75604B with bowel resection v v v C without bowel resection v v v v 6660 (Incisional hernia) Repair of inguinal hernia 75606B with bowel resection v v v C without bowel resection v v v v B Repair of lumbar hernia v v v B Peritoneal toilet v v v B Laparoscopic herniorrhaphy v v v

67 ( ) 75801C v v v v 5570 Drainage of intraabdominal abscess for acute perforation peritonitis (drainage of interloop abscess) 75802B Drainage of subphrenic abscess v v v 4920 (retroperitoneal or suprahepatic abscess drainage) Drainage of pelvic abscess 75803C transabdominal v v v v C transanal v v v v B Exploratory laparotomy v v v B Excision of intraabdominal tumor, benign 75807B Excision of retroperitoneal tumor, benign 75808B Removal of intraabdominal foreign body 75809B Retroperitoneal exploratory laparotomy 75810B Excision of intraabdominal tumor, malignant v v v 5690 v v v 9370 v v v 4460 v v v 5890 v v v B v v v Excision of retroperitoneal tumor, malignant with retroperitoneal lymphadenectomy 75812B v v v 8910 Peritoneo-Venous shunt 75813B v v v 8020 Excision of Urachal duct or fistula with partial cholecystectomy Repair of abdominal wall injury

68 75814B simple with/without reconstruction v v v A extensive with reconstruction or v v 8830 prosthesis 75816B v v v 6910 Suture of abdominal wall for evisceration of dehiscence for secondary closure

69 Uninary & Genital System Kidney ( ) 76001B v v v 4640 Drainage abscess perirenal or renal 76002B v v v Pyelotomy with exploration drainage or pyelolithotomy 76003B Open renal biopsy v v v 6310 Open renal biopsy 76004B Nephrectomy v v v B Partial nephrectomy v v v heminephrectomy 76006B Decapsulation cyst kidney, unilateral v v v B v v v Radical nephrectomy with lymphadectomy 76008B v v v 7080 Kidney masupialization 76009C v v v v 5170 Nephropexy fixation or suspension 76010C v v v v 6340 Nephrostomy, operative 76011B v v v 8370 Nephro-pyelolithotomy 76012B v v v Stag-horn stone nephro-pyelolithotomy 76013B Nephrorrhaphy v v v

70 76014B v v v Pyeloplasty 76015B v v v 6440 Pyelostomy 76016B v v v Percutaneous nephrostolithotomy (PCNSL) : B PCN v v v 7080 Nephroscope (including secondary surgical operation of PCNSL) :1. PCNSL A v v 8840 Nephrectomy from cadaver donor 76019A v v Nephrectomy from living donor 76020A v v Renal implantation 76021B v v v Laparoscopic nephrectomy 76022B v v v Enucleation of renal hematoma 76023B v v v Anatrophic nephrolithotomy 76024B Endoscopic pyelotomy v v v

71 Ureter ( ) Ureterolithotomy 77001B 13 v v v B 13 v v v B v v v 7080 Ureterectomy, with bladder cuff Ureteroplasty 77004B unilateral v v v B bilateral v v v 8620 Ureterolysis 77006B unilateral v v v B bilateral v v v B v v v Ureteropyelostomy or ureteropyeloplasty 77009B v v v Ureteroureterostomy 77010B v v v Transureteroureterostomy Ureteroneocystomy 77011B unilateral v v v B bilateral v v v B unilateral v v v B bilateral v v v B v v v Ureterosigmoidostomy Replacement ureter of all or part of ureter by bowel segment 77016B unilateral v v v B bilateral v v v Ureterostomy, unilateral, transplantation of ureter to skin 77018B unilateral v v v B bilateral v v v B Closure fistula, ureterocutaneous v v v

72 77021B Closuer fistula, ureterovisceral 77022B Uretero-ileal cutaneous diversion 77023C Ureter catheterization : 77024B Internal dilatation of ureteral stricture Ureteroscopy & removal of ureteral stone 77026B simple endoscopic 77027B with SONO/EHL : 77028B with Nd-YAG laser 77029B Abdominal perineal urethral suspension (APUS) 77030B Ureterolithotomy 77031B Ureterorrhapy 77032B ( ) Ureteroileal cutaneous driversion,unilateral 77033B ( ) Ureteroileal cutaneous driversion, bilateral 77034B Endoscopic ureterotomy 77035B Transurethral incision of ureterocele v v v 8620 v v v 8000 v v v v 840 v v v 960 v v v 4270 v v v v v v 6030 v v v v v v 7410 v v v v v v v v v v v v 4270 v v v

73 Bladder ( ) 78001C Aspiration bladder, with catheterization Cystostomy v v v v C Open method v v v v C Trocar method v v v v C Closure of cystostomy v v v v B Cystolithotomy v v v B v v v 5170 Cystotomy for simple excision of bladder neck 78007B v v v 6440 Cystotomy for excision of bladder diverticulum, single or multiple Cystotomy for excision of bladder tumor 78008C TURB tumor resection v v v v 7760 : 78009B open method v v v C Partial cystectomy v v v v 5800 Total cystectomy, without lymphadenectomy 78011B without cystoplasty v v v B with cystoplasty v v v Total cystectomy, with lymphadenectomy 78013B without cystoplasty v v v B with cystoplasty v v v B v v v 7080 Cystoplasty or cystourethroplasty 78016B v v v Cystourethroplasty with unilateral or bilateral uretero neo cystotomy 78017B v v v 4880 Vesicourethropexy, anteriro or Urethropexy as Marshall-Marchetti type 78018B Cystorrhaphy B v v v 8000

74 Closure fistula, vesicovaginal abdominal approach 78020B v v v 7610 Closure fistula, vesicouterine with or without hysterectomy 78021B v v v Enterocystoplasty including bowel anastomosis 78022C Cutaneous vesicostomy v v v v C v v v v 1860 Cystourethroscopy with internal ureterotomy 78024C Cystourethroscopy v v v v 2190 with removal of ureteral calculus 78025B Tur for bladder neck v v v C v v v v 3250 Endoscopic cystolitholapay, simple crushing of calculus in bladder and remove < 1cm 78027C v v v v 4490 Endoscopic cystalitholapay, complicated >1cm Bladder neck suspension for female stree urinary incontinence 78028B transabdominal approach v v v B transvaginal approach v v v A Burch operation v v C v v v v 1560 Cystourethroscopy with dilation of bladder for interstitial cystitis 78032C v v v v 7760 Coagulation of bladder diverticulum 78033C v v v v 5800 Partial cystectomy with excision of bladder diverticulum 78034B Repair of bladder rupture v v v

75 78035B Augmentation of U-B with intestine 78036B Suspension of urinary bladder v v v v v v B KELLYKELLY operation v v v B( ), 78038B Artificial urinary sphincter implantation v v v

76 Urethra ( ) 78201C v v v v 1610 Remove of urethral stone or foreign body Repair of urethral stricture 78202B anterior urethral v v v B posterior urehtral v v v 8130 Urethroplasty, formation of urethra as Dennis Brown type procedure 78204B including urinary v v v 7790 diversion, penile or penoscrotal 78205B repeat procedure v v v C v v v v 1160 Polypectomy, external urethral 78207C Urethrostomy v v v v B v v v 4490 Urethral diverticulectomy, anterior (posteriro) urethra 78209C Otis urethrotomy v v v v C Opitic uretrotomy v v v v 3110 Repair of urethral rupture 78211B Posterior urethra v v v B Anterior urethra v v v 3580 Operation for hypospadias 78213B glandular type v v v B others v v v B v v v 3900 TUI(Transurothral incision of prostate ) 78216B v v v 1610 Resection of urethral urethral tumor 78217B Repair of urethral cutanous fistula v v v