30 - - 2 -

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

30 - - 2 -

Integumentary System (62001-62063) Excision of facial skin tumor 62001C 1 within 1cm in diameter v v v v 1180 62002C 12 1cm to 2cm in diameter v v v v 2520 62003C 2 over 2cm in diameter v v v v 5530 Repair of facial laceration 62004C 5 within 5cm v v v v 1030 62005C 5 10 5 to 10 cm v v v v 2580 62006C 10 over 10cm v v v v 5150 62007C Full thickness skin graft, (FTSG) v v v v 5530 62008B Tube pedicle graft v v v 7850 62009C 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 1287 62011C 5 10 5 to 10 cm v v v v 1367 62012C 10 over 10cm v v v v 1775 62013B 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 3350 62015B 10-20 BSA 10 to 20 BSA v v v 5530 62016A 20 BSA over 20 BSA v v 10880 62017C Dermal over graft v v v v 3030 62018C Z-plasty v v v v 3030 62019B Argon laser therapy v v v 3030 62020B CO2 laser operation v v v 2590 62021C Skoog operation v v v v 3100 - - 3 -

Excision of skin cncer & SSG 62022C 2 within 2cm in diameter v v v v 8700 62023B 2-5 2cm to 5cm in diameter v v v 10880 62024B 5 over 5cm in diameter v v v 13090 62025B Temporal muscle flap v v v 10120 62026B Pharyngeal flap v v v 10880 62027B Abbe flap v v v 8700 62028B Exlander flap, Exlander v v v 10880 62029B Cross leg skin flap v v v 10000 62030B Cross palm skin flap v v v 7540 62031B Cross arm skin flap v v v 9270 Microvascular free flap 62032B cutaneous v v v 24250 62033B muscle v v v 24250 62034B bone v v v 34920 62035B omentum v v v 34920 62036B intestine v v v 34920 62037B Fascia free flap v v v 24250 62038B v v v 34920 Functioning muscle free flap 62039B Cutaneous flap - - 4 - v v v 7850 62040B v v v 7850

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 - - 5 - 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 v v v - - 6 -

Breast (6300163010) Partial mastectomy 63001B unilateral v v v 4080 63002B bilateral v v v 7100 Simple mastectomy 63003B unilateral v v v 4410 63004B bilateral v v v 8430 Excision of breast tumor 63005C unilateral v v v v 2987 63006C bilateral v v v v 3470 Radical mastectomy 63007B unilateral v v v 9530 63008B bilateral v v v 13810 63009C Subcutaneous mastectomy v v v v 4020 63010C Breast tumor biopsy v v v v 1180 - - 7 -

Musculoskeletal System (6400164267) 64001B Fenestration v v v 1570 64002B Bone graft - medium v v v 2970 64003C 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 4940 64007B Ostectomy v v v 2540 Reconstruction of fractured nasal bone 64008C simple fracture v v v v 2360 64009C communited fracture v v v v 4340 64010C v v v v 790 Closed reduction of dislocated nasal bone 64011B v v v 11080 Discotomy-lumbar spine 64012B Costo-transversectomy v v v 3580 - - 8 -

64013B Excision of clavicle, partial v v v 2900 64014B Excision of clavicle, total v v v 6150 64015C 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 3510 780 64020B Partial excision of rib v v v 2510 64021B Radical curettage of thoracic cold abscess Amputation of limbs v v v 1790 64022B thigh v v v 5370 64023B low leg, upper arm, forearm v v v 3580 64024B hand, foot v v v 3580 64025C 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 1440 64028C v v v v 11000 Open reduction for fracture of femoral shaft 64029B v v v 12000 Open reduction for fracture of femoral neck : including intertrochan or peritrochanteric fracture 64030B, v v v 14000 Open reduction for fracture of femoral neck with muscle pedicle bone graft - - 9 -

64031C v v v v 10000 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 4690 64034B 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 11330 64039B 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 3250 64042C 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 2460 - - 10 -

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 6140 64051B Excision of tibial tubercle v v v 3400 Arthrotomy for acute septic joint 64052B hip v v v 5710 64053B v v v 4500 shoulder, elbow, wrist, knee or ankle Synovectomy or/and capsulectomy 64054B hip v v v 8290 64055B knee v v v 7080 64056B v v v 4940 shoulder elbow, wrist or ankle 64057B phalangers v v v 2580 64058B Arthrodesis of finger, toe v v v 3390 64059B Disarticulation of elbow v v v 4400 64060B Disarticulation of wrist v v v 4400 64061B Disarticulation of knee v v v 5140 64062B Disarticulation of ankle v v v 5140 - - 11 -

64063C Disarticulation of finger or toe v v v v 1440 64064B Open reduction for dislocation of hip joint 64065B Open reduction for dislocation of shoulder joint v v v 6150 v v v 4940 64066C 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 1960 64074C Closed reduction for dislocation of shoulder joint 64075C Closed reduction for dislocation of elbow joint v v v v 1040 v v v v 1040 - - 12 -

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 2030 64084B v v v 2000 Myotomy of scalaneus muscle 64085B Operation for torticollis/wry neck (Open) v v v 3470 64086B 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 2650 64091C one added v v v v 1500 - - 13 -

64092B v v v 4540 Capsulectomy of digital joint 64095B Gillies' operation v v v 2650 64096B, Zygoma,close reduction v v v 2650, Zygoma; open reduction 64098B simple v v v 3750 64099B complicated v v v 4880 64100B v v v 1510 Extirpation of benign tumors on palate or tongue Open reduction for fracture of palate 64101B single v v v 4010 64102B multiple v v v 5530 64103B Mandibular osteotomy v v v 8240 Resection of mandible 64104B marginal v v v 4280 64105B partial v v v 6820 64106B hemi-resection v v v 6820 64107C Reduction of dislocation of mandibular v v v v 2670 64108B v v v 4200 Reduction of mandible; simple 64109B Maxilla suspension wiring v v v 5440 64110B 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 5210 64113B autograft v v v 9700 - - 14 -

64114B Inter-maxillary wiring (Inter-dental wiring) 64115B Release of T.M. joint ankylosis v v v 6160 v v v 5780 64116C 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 4490 64121B mild v v v 5210 64122B massive v v v 7070 64123B, ( ) Gluteal deltoid muscle contracture or snaping hip release. v v v 5210 64124B Acromioplasty v v v 2630 64125C 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 4940 - - 15 -

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 2770 64134B v v v 11090 Lignment reconstruction of basal joint 64135B v v v 7230 Lignment interposition of basal joint 64136B v v v 11440 Fascial interposition for carpal bone 64137B v v v 3250 Regional hand pedicle flap 64138C Division of pedicle flap v v v v 2420 64139C Excision of hand tumor v v v v 2360 64140C Reconstruction of nail v v v v 4640 64141C v v v v 5480 Release of scar contracture (restriction of the exercise) : 64142B Epiphysiodesis (include stapling) v v v 4910 64143B v v v 6330 Excision of tumor mass of bone and joint 64144B Curettage of vertebral body v v v 8450 - - 16 -

Discotomy 64145B cervical spine v v v 19010 64146B thoracic v v v 16000 64148B Hemipelvectomy v v v 19010 64149B v v v 10140 Excision operation of malignant tumor of upper jaw with lymphadectomy 64150B Excision v v v 18000 operation of malignant tumor of upper jaw with neck dissection 64151B v v v 10140 Excision operation of malignant tumor of lower jaw with lymphadectomy 64152B v v v 18000 Excision operation of malignant tumor of lower jaw with neck dissection Replantation 64153A one finger v v 15650 64154A two fingers v v 28680 64155A three fingers v v 41730 64156A four fingers v v 54770 64157A five fingers v v 67800 64158A v v 36970 Replantation-arm, leg,metatarsal or foot 64159A v v 47530 including toe replantation, toe to finger amputation & recipient site preparation, one finger 64160B Open reduction for fractrue of spine v v v 13190 - - 17 -

64161B Open reduction for fractrue of pelvis v v v 10560 64162B Total hip replacement v v v 19800 64163B Total shoulder replacement v v v 8830 64164B Total knee replacement v v v 19800 64165B Total elbow replacement v v v 8830 64166B Total wrist replacement v v v 8830 64167B Total ankle replacement v v v 8830 64168B Total finger or toe replacement Partial joint replacement v v v 3520 64169B v v v 11000 femoral condylar or tibial plateau or unicompartment 64170B v v v 11500 cup or hip prosthesis or unicompartment 64171B Arthroplasty of hip joint v v v 13460 64172B Arthroplasty of elbow joint v v v 8740 64173B Arthroplasty of shoulder joint v v v 8740 64174B Arthroplasty of wrist joint v v v 5030 64175B Arthroplasty of ankle joint v v v 7920 64176B Arthroplasty of knee joint v v v 9090 64177B v v v 6300 Arthroplasty of finger toemetatarsal or metacarpal joint 64178B Arthrodesis of hip joint v v v 14580 64179B Arthrodesis of shoulder joint v v v 9470 64180B Arthrodesis of knee joint v v v 9040 - - 18 -

64181B Arthrodesis of elbow joint v v v 8200 64182B v v v 5450 Arthrodesis of wrist joint or carpal joint 64183B Arthrodesis of ankle joint v v v 8200 64184B Disarticulation of hip v v v 14580 64185B Disarticulation of shoulder v v v 10560 64186B 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 11830 v v v 7060 v v v 6040 64190A one added v v 2000 64191B Tendon transposition or tendon transfer v v v 6000 64192B one added v v v 2910 64193B Tendon lengthening v v v 3400 64194C Tenolysis v v v v 4000 Tendon or ligament repair 64195C extraarticular v v v v 5070 64196B intraarticular v v v 7640 64197C Tenotomy or fasciotomy Removal of prosthesis v v v v 3240 64198B hip, shoulder, knee v v v 6000 64199B wrist, ankle v v v 2890 64200B finger, toe v v v 2540 - - 19 -

64201B v v v 25720 Revision total hip replacement 64202B v v v 25720 Revision total knee replacement 64203B Girdlestone procedure of hip v v v 9830 64204B ( ) v v v 18930 Wide excision-bone tumor,malignant 64205B v v v 24030 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 18930 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 24030 64210B v v v 6780 Rupture of achilles tendon reconstruction 64211B Rupture of patella tendon reconstruction v v v 6780 64212B MCL, LCL repair v v v 6780 64213B MCL, LCL reconstruction v v v 9100 64214B ATF reconstruction v v v 6780 64215B 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 6780 - - 20 -

64218B Partial menisetomy v v v 8000 : 64219B, v v v 7900 Recurrent anterior shoulder dislocation capsular shift procedure 64220B,, v v v 15300 Anterior spinal fusion (T-spine) transthoracic, without spinal instrumentation 64221B,, v v v 15300 Anterior spinal fusion (TL-spine) transthoracic, transabdominal without spinal instrumentation 64222B, v v v 15300 Anterior spinal fusion (L-spine) Retroperitoneal transabdominal without spinal instrumentation 64223B v v v 24030 Anterior spinal fusion (T-spine) with spinal instrumentation 64224B v v v 24030 Anterior spinal fusion (TL-spine) with spinal instrumentation 64225B v v v 24030 Anterior spinal fusion (L-spine) with spinal instrumentation 64226B v v v 21580 Posterior spinal fusion with spinal instrumentation 64227B v v v 6050 Prothetic arthroplasty of basal joint 64228B Regional fasciectomy v v v 2400 64229B Island pedicle flap v v v 7310 64230B Free vascularized bone graft, free muscle graft v v v 18930 - - 21 -

64231B Pollicization v v v 18930 64232B Volar plate arthroplasty v v v 7760 64233B Tendon prosthesis implant v v v 5310 64234B Distal radio-ulnar joint reconstruction v v v 6040 64235B v v v 4720 Open reduction for scapula fracture juxta-articular 64236B Open reduction for acetabulum or hip socket fracture v v v 8000 64237C Application of external fixation appratus v v v v 2905 1. 2. 64238B Cord decompression for ANFH (trephing) v v v 6150 64239B v v v 8000 Open treatment of close or open humeral condylar fracture,medial or lateral Osteoplasty 64240B Shorting v v v 11000 64241B Lengthening v v v 12000 64242B Excision,radial head v v v 4150 - - 22 -

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 6000 64247C 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 - - 23 -

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 - - 24 -

Reapiratory System Nose (65001-65074) Nasal polypectomy 65001C single v v v v 820 65002C multiple v v v v 1360 (multiple polypectomy) 65003C Nasal turbinate, electric cauterization (uni or bil) v v v v 570 65004C (S.M.R) Submucous resection of septum (uni or bil) v v v v 4050 65005C turbinectomy, total or partial v v v v 2040 65006C Antrostomy for maxillary sinus v v v v 2250 65007C Cyrosurgery v v v v 980 65008C Nasopharyngenal biopsy v v v v 290 65009B 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 830 65012B Endonasal ethmoidectomy v v v 3580 65013B Multiple sinusectomy v v v 8940 65014B Pansinusectomy : v v v 10470 - - 25 -

65015B Post operation cheek cyst, revised Luc's op v v v 6080 65016B Dacryocystorhinostomy v v v 5010 65017C Lysis of nasal synechia v v v v 290 Septomeatal plasty 65018B unilateral v v v 6750 65019B bilateral v v v 9500 65020C Biopsy nose soft tissue v v v v 170 65021C Drainage. abscess or hematoma nasal septal v v v v 510 65022C v v v v 490 Drainage abscess intranasal or hematoma of lateral cartilage (SMT) 65023C unilateral v v v v 4050 65024C bilateral v v v v 5220 65025C Exploratory antrotomy v v v v 2040 65026B, Atrophic rhinitis operation,unilateral v v v 3250 65027B v v v 4710 Dacryoaploifinostomy + canaliailar intubation 65028B Repair of oroantral fistula v v v 3750 65029B Infestor turbinoplasty v v v 4310 65030B Ethmoidectomy external v v v 6880 65031B Closure of perforation of septum v v v 2410 65032B Septal reconstruction/septoplasty v v v 4590 65033C Ordinary conchotomy v v v v 1990 - - 26 -

65034B Rhinoplasty v v v 8450 65035B Vidian neurectomy v v v 8450 65036B Excision of nasal tumor with skin graft v v v 6330 65037B Lynch's operation v v v 9510 Maxillectomy 65038B partial v v v 11100 65039B total v v v 15350 65040B 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 8100 65047B trans nasal v v v 4420 65048B trans oral v v v 13770 65049B Denker's Denker's operation v v v 11420 65050B Excision of nasopharyngeal tumor v v v 10560 65051A Killian Killian operation v v 11830 - - 27 -

65052B Sphenoidectomy v v v 4910 65053B Excision of nasopalatinal cyst v v v 10360 (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 4600 65057A Craniofacial resection v v 24300 65058A Degloving midfacial surgery 65059B Open reduction of nasal fracture v v 14180 v v v 8220 65060A v v 10130 External ethmoidectomy for CSF rhiorrhea Endoscopic functional sinus surgery 65063B unilateral v v v 5610 65064B bilateral v v v 12390 65065B v v v 10130 External frontoethmoidectomy 65066B v v v 13830 External frontoethmoidectomy with mucoperitoneal flap reconstruction 65067B Osteoplastic approach for frontal sinus surgery v v v 13830 65068B v v v 13830 Osteoplastic approach for frontal sinus surgery with fat obliteration - - 28 -

65069B Trephination of frontal sinus v v v 12030 65070B Nasal button insertion v v v 8220 65071B Lateral rhinotomy v v v 10130 v v v v v v v v v v - - 29 -

Throat (66002-66031) 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 5430 66005A complicated v v 10370 66006B Permanent tracheostomy with skin graft Thyroid cartilage plasty v v v 5400 66007B simple v v v 6080 66008A complicated v v 12090 66009B Laryngotomy v v v 6330 66010B Thyroitomy v v v 7640 66011B Laryngofissure v v v 7640 66012B v v v 18230 Laryngectomy without neck dissection 66013B Laryngectomy v v v 28350 with radical neck dissection 66014B v v v 24300 Laryngectomy with T-E shunt Hemilaryngectomy 66015B horizontal v v v 16630 66016B vertical (lateral/anterior) v v v 16200 Radical neck lymphatic 66017B v v v 16200 dissection 66018B Arytenoidectomy v v v 10560 (Arytenoidopexy) - - 30 -

66019B Arytenoidectomy, endoscopic v v v 7250 66020A Supraglottic laryngectomy v v 12430 66021A Laryngotracheal reconstruction v v 16200 66022A Larynx reconstruction v v 13730 66023A Laryngopharyngectomy v v 24300 66024B v v v 6940 Thyroid cartilage plasty-two types 66025B UPPP uvuloplastopharyngoplasty v v v 9100 66026B Cricopharyn geal myotomy v v v 9830 66027B Pharyngeal flap v v v 9100 66028B Stomaplasty v v v 9830 66029B Total excision of thyroglossal duct cyst v v v 4510 66030B Excision of brachial cyst v v v 7050 66031C Laryngo micro-surgery with CO2 laser v v v v 3730 - - 31 -

Thoracic (67001-67037) 67001B Chest wall resection v v v 6850 67002B Exploratory thoracotomy v v v 8460 67003B v v v 8010 Correction for sternal or rib fracture open reduction 67004B Trans-thoracic vagotomy v v v 9330 67005B Thymectomy v v v 14540 67006C Closed drainage v v v v 2640 67007B Open drainage v v v 7550 67008B Debridement of chest wall including wound closure v v v 1950 67009B Exploratory pneumonotomy v v v 7850 67010B Segmental resection v v v 14980 67011B v v v 20000 Wedge or partial resection of lung Removal of tracheal, bronchial or bronchioral foreign body 67012C by bronchoscopy v v v v 3900 67032B by exploration v v v 19190 67013B Repair of tracheo-bronchial tree 67014B Reconstruction of tracheo-bronchial tree v v v 15950 v v v 17840 - - 32 -

67015B Chest wall resection & myoplasty Thoracoplasty v v v 25010 67016B stage v v v 13820 67017B () stage, v v v 5150 67019B Decortication of pleura v v v 22000 67020B ( ) v v v 13060 Pneumonolysis, intrapleural(extrapleural) 67022B v v v 21700 Pneumonectomy with concomitent thoracoplasty or bronchoplasty 67023B v v v 20230 Lobectomy & thoracoplasty or bronchoplasty 67024B Pneumonectomy, total v v v 20230 67025B Plombage thoracoplasty v v v 7800 67026B Cavernostomy v v v 10970 67027B Close of bronchial fistula v v v 20990 67028B Combined resection of lung cancer v v v 22700 67029B Sleeve resection v v v 27160 67030B v v v 2930 67031B Surgery of portal hypertension v v v 13370 v v v v v v v v v v v v - - 33 -

v v v - - 34 -

Cardiovascular System (68001-68039) 68001B v v v 10280 Pericardiotomy with exploration 68002B Pericardiocentesis v v v 1360 68003B Pericardiectomy v v v 15880 68005B Cardiorrhaphy for heart wound or v v v 12820 injury 68006A Exploratory cardiotomy includes removal of foreign body v v 19220 68007A 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 17160 v v 12950 v v 19170 v v 26340 68011B v v v 13970 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 4610 - - 35 -

68015A Valvular or/and annuloplasty v v 31730 68016A v v 36760 Single valve replacement 68017A Double valves replacement v v 40070 68018A Triple valves replacement v v 45510 68019A Repair ventricular aneurysm v v 28100 68020A A.S.D. Repair atrial-septal defect, secundum v v 24270 68021A Repair endocardial cushion defect 68022A Valsalva-sinus Repair fistula sinus of valsalva Coronary artery bypass grafting(cabg) v v 32180 v v 27830 68023A one vessel v v 35200 68024A two vessels v v 42970 68025A three vessels v v 49680 68026A v v 33930 Repair anomalous venous return total or partial 68027A (VSD) Repair ventricular septal defect v v 33390 68028A (T.F) Repair tetralogy of Fallot v v 49680 68029A Closed mitral or open mitral commissurotomy (pulmonary valve commissurotomy) v v 25560 - - 36 -

68030A Endocardium biopsy v v 4860 68031A Epicardium biopsy v v 4860 68032A Transposition of great arteries v v 49820 68033A - Fontan operation v v 42310 68034A Heart procurement v v 14420 68035A Heart implantation v v 88070 68034A68035A 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) 3. - - 37 -

(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) 4. 5. 6. ICU 68036A v v 8470 External Coporeal Circulation :1. (1) (2) (3) (4) 2. - - 38 -

68037A Lung transplantation v v 88070 1. 2. 68038A 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) - - 39 -

(7) Eisenmenger s (8) 4. 5. 6. ICU 7. 68038A Lung harvest (donor pneumonectomy) v v 14300 68039B v v v 25130 B-T shunt of TF - - 40 -

(69001-69035) - - 41-69001B Embolectomy, arterial v v v 6450 69002B v v v 6450 Embolectomy, arterial catheter 69003B Thrombectomy, venous v v v 6450 69004B v v v 15470 Arteriao endarterectomy with orwithout bypass graft 69005B Exploration vascular v v v 3150 69006C 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 2910 69008B Anastomosis of blood vessel v v v 9150 69009B Arteriorrhaphy v v v 8840 1. 2. 69010B v v v 2660 Ligation external, carotid artery 69011B Ligation, femoral vein v v v 2690 69012B Ligation and/or division of common iliac vein : Ligation of hypogastric artery unilateral or bilateral, v v v 3160 69013B 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 2950 69015B bilateral v v v 5430 Ligation & division & complete stripping of long and short saphenous veins 69016B unilateral v v v 5010 69017B bilateral v v v 7190 69018B Ligation of jugular venous v v v 1170 69019B (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 16530 Embolectomy arterial, pulmonary artery 69023B ( v v v 11430 Excision & graft bypass or direct repair A-V fistula neck or extremity (aneurysm excision) 69024A v v 18270 Excision & graft bypass or direct repair A-V fistula of chest or abdomen (Aneurysm Excision) 69025A Pulmonary artery banding v v 17410 69026A v v 25130 Repair aorto-pulmonary window (Repair aortic arch anomalies as vascular ring) 69027A Repair coarctation aorta v v 15220 69028A Excision tumor carotid body v v 9180 Exploration for postoperative hemorrhage or thrombosis 69029B neck v v v 5610 69030B chest v v v 4820 69031A v v 14420

Surgical obliteration for PDA 69032C v v v v 5930 Repair and anastomosis of peripheral vassel (A-V fistula) 69033B v v v 24270 Balloon pulmonary valvuloplasty 69034C ( ) v v v v 5930 A-V shunt with goretex graft 69035B Bental procedure v v v 35000 - - 43 -

Hemic & Lymphatic System Spleen (70001-70005) 70001B Splenectomy v v v 7520 70002B Splenorrhaphy v v v 6660 70003B Partial splenectomy v v v 7360 70004B Auto-implantation of spleen v v v 6410 70005B v v v 11910 Splenorenal shunt (including splenectomy) - - 44 -

Radical Lymphadenectomy (70201-70213) 70201C Biopsy lymphnode v v v v 530 Excision of T.B lymphadenitis fistula 70202C superficial v v v v 610 70203B deep v v v 1510 70204B 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 14460 Pelvic lymphadenectomy 70209B v v v 13390 Retroperitoneal lymphadenectomy Ileo-inguinal lymphadenectomy 70210B Unilateral v v v 7210 70211B Bilateral v v v 12360 70212B v v v 6110 Lymphocelectomy 70213B ( ) v v v 13390 - - 45 -

Mediasrinumand Diaphragm (70401-70413) 70401B Excision of mediastinal cyst or tumor v v v 14440 70402B Mediastinotomy v v v 5470 70403B v v v 9750 Removal of foreign body, mediastinum transthoracic,intercostal approach 70404B Diaphragmatic fundo-plication v v v 11170 70405B v v v 14770 Repair of diaphragmatic hernia trans-abdominal 70406B v v v 12490 Repair of diaphragmatic hernia transthoracic 70407B v v v 10820 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 10340 Removal of forgeign body mediastinum by sternal split 70413B v v v 17700 Repair of diaphragmatic hernia, combined thoraco-abdominal approach - - 46 -

Digestive System Mouth,Lip & Tonsils (71001-71023) 71001B v v v 13410 Oral tumor excision, with lymphadenectomy 71002C Incision of ranula v v v v 490 71003C Excision of ranula v v v v 3200 71004B Partial/wedge glossectomy v v v 3580 71005C Repair of tongue injury or wound v v v v 1630 (lip repair) 71006C Resection of Platine tonsil (bilateral) v v v v 2350 71007C Lingual tonsillectomy v v v v 2340 71008C Palatina & adenoid tonsillectomy v v v v 2930 71009C Cryotherapy for tonsillar v v v v 810 71010B Ablation of submaxillary gland v v v 7660 71011C Biopsy of oral mucosa v v v v 230 71012B v v v 28350 Oral tumor excision with radical neck dissection 71013B v v v 20130 Tongue cancer excision with lymphadenectomy & radical neck dissection 71014B Suprahyoid dissection v v v 12760 71015B Excision of parotid tumor v v v 12150 71016B Hemiglossectomy v v v 7490 - - 47 -

71017B Total glossectomy ( ) Ligation of internal maxillary 71018B artery 71019B, Parotidectomy, total lobectomy v v v 14950 v v v 4880 v v v 12230 71020B, Parotidectomy, excision v v v 8510 71021B Commando op. v v v 14140 71022B Composite resection for oral cancer 71023B Deep neck incision & drainage v v v 17090 v v v 810 - - 48 -

Esophagus (71201-71219) 71201B Esophageal myomectomy Heller type 71202B Excision of esophageal diverticulum v v v 11470 v v v 11470 71203C Endoesophageal intubation v v v v 8290 71204B Esophagofundostomy bypass v v v 13890 71205B Esophagofundostomy v v v 13050 71206B Esophagogastrostomy bypass v v v 12810 71207B Retrograde esophageal dilatation (esophagectasia, retrograde) 71208B Esophagogastric fistula closure v v v 1420 v v v 7300 71209B Esophagectomy v v v 17540 71210B Esophagectomy & reconstruction v v v 34410 71211B Esophagotomy transcervicle or transthoracic 71212B Excision of esophageal cyst & tumor v v v 14040 v v v 9750 71213B Reconstruction of esophagus v v v 20150 71214B Repair of esophageal laceration v v v 14840 71215B ) Excision of v v v 34180 esophageal cancer, with lymphadenectomy 71216B, Ligation of v v v 14040 esophageal varices, transthoracic or transabdominal, Devascularization procedure 71217B transthoracic v v v 18050 71218B transabdominal v v v 16980 71219B v v v 8140 Esophagogastric stent for esophagus or cardia portion cancer - - 49 -

Stomach (72001-72041) Gastrotomy 72001B exploration v v v 4550 72002B removal of foreign body v v v 5160 72003B (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 17730 enblock total gastrectomy 72008B v v v 6370 Gastrostomy & pyloroplasty Gastrectomy,subtotal or hemigastrectomy 72009B without vagotomy v v v 14564 72010B with vagotomy v v v 14556 72011B v v v 13646 Vagotomy and pyloroplasty 72012B Pyloroplasty v v v 6860 72013B Gastro-duodenostomy v v v 7590 Braum 72014B Gastrojejunostomy v v v 7480 72015B Gastroenterostomy v v v 7590 72016B v v v 9410 Gastrojejunostomy with vagotomy 72017C Gastrostomy v v v v 5040 72018B 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 - - 50 -

72021B Re-exploration for postgastrectomy bleeding v v v 5870 72022C Closure of gastrostomy v v v v 6460 72023B Duodenostomy v v v 5020 72024B Excision of duodenum tumor v v v 7830 72025B Excision or inversion of duodenal diverticulum v v v 7930 72026B Closure of duodenal fistula v v v 7930 72027B Duodenal obstruction v v v 7990 72028B Highly selective vagotomy v v v 7740 72029B Vagotomy v v v 7500 72030B Proximal gastrectomy v v v 17850 & esophagectomy & reconstruction 72031B Gastrectomy, v v v 23300 total, with splenectomy or partital pancreatectomy 72032B Gastrectomy, radical v v v 26313 72033B Revision of gastrojejunostomy v v v 9070 72034B Resection of retained antrum, postgastrectomy v v v 9500 72035B Gastric partition v v v 16320 72036B Transduodenal sphinteroplasty v v v 14760 72037B Plication of stomach v v v 10710 72038B ( ) Gastropexy for gastric volvulus v v v 7780 72039B EPT (endoscopic v v v 12360 papillectomy) 72040B v v v 12810 Belsy s mark iv anti-reflux procedure - - 51 -

72041B Laparoscopic gastric partition v v v 16320 - - 52 -

( ) Intestine (Except Rectum) (73001-73041) - - 53-73001B Enterolysis, freeing adhesion v v v 8460 Enterolysis 73002B with bowel decompression v v v 6500 73003B with resection & v v v 13110 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 11060 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 6860 73009B Meckel's diverticulectomy v v v 7020 73010B Resection of small bowel, with anastomosis 73011B Colectomy, partial, with anastomosis v v v 10660 v v v 10490 73012B v v v 13390 Colectomy, radical hemicolectomy with anastomosis ascending colon (transverse colectomy Radical Hemicolectomy) 73013B Colectomy, low anterior resection with anastomosis v v v 13680 73014B v v v 14830 Colectomy, low anterior resection with anastomosis with lymph node dissection Colectomy, subtotal 73015B with ileo-(or v v v 18790 ceco -) rectostomy 73016B with ileostomy v v v 18540

- - 54-73017B v v v 16080 Colectomy, total with proctectomy, with ileostomy 73018B v v v 6420 Revision of colostomy or enterostomy 73019B Enterorrhaphy v v v 5300 73020C 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 8810 73024B entero-colic v v v 8520 73025B fistula of bowel with v v v 11740 other organs or complicated Closure of colon fistula 73026B colocutaneous v v v 8300 73027B ( ) v v v 8520 gastroclic without gastrectomy 73028B ( ) v v v 11150 gastroclic with gastrectomy 73029B v v v 11750 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

73032B v v v 6760 for intestinal atresia or stenosis 73033B Repair of intestinal perforation v v v 5260 73034B Suture and repair of esentry v v v 4780 73035B Resection of intestinal polyp v v v 7120 73036B Intestinal plication, Noble type v v v 5620 73037B Tube enterostomy or tube v v v 4680 cecostomy 73038B Take down of anastomosis, v v v 10660 revision of ileo-colostomy and reconstruction 73040B v v v 10660 Revision of ileasl conduit 73041B Antireflux procedure in the intestine v v v 5300 - - 55 -

Appendix (74001-74003) 74001B Drainage of appendiceal abscess transabdominal v v v 3500 74002B Appendectomy v v v 7102 74003B Closure of appendiceal fistula v v v 6100 - - 56 -

Rectum (74201-74220) - - 57-74201C 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 7290 74205B ( ) v v v 28550 Radical protectomy with pelvic lymph node dissection 74206B Hartmann Harmann's operation v v v 16610 74207C Transrectal colonic Polypectomy v v v v 5330 74208B v v v 6940 Rectal procidentia, prolapse perineal approach & anastomosis 74209B v v v 14620 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 28800 Restorative proctectomy with colo-anal anastomosis 74214B v v v 31490 Restorative proctocolectomy, pelvic ileal pouch with ileoanal anastomosis

74215B Closure fistula,reco-vesical v v v 10170 74216B v v v 27900 Combined abdominal perineal resection for colon cancer 74217B Pull through v v v 28270 Proctosigmoidectomy with pull through colon anal anastomosis 74218B Turnbull-cutait ( ) v v v 24030 Proctectomy second stage revision of turnbulcutait op 74219A (Kraske) v v 9910 Posterior proctotomy, transacrococcygeal excision of benign lesion (kraske approach) 74220A v v 11410 (Kraske) Posterior proctotomy, transacrococcygeal segmental resection of rectum with anastomosis (kraske approach) - - 58 -

Anus (74401-74420) 74401C Fistulotomy, subcutaneous v v v v 520 74420C fistulectomy, subcutaneous v v v v 3100 74402C Sphincterotomy anal v v v v 680 74403C v v v v 1760 fissurectomy or ulcerectomy, anal : (with or without anal sphincterotomy) Cryptectomy 74404C single v v v v 1110 74405C multiple v v v v 1310 74406C Hemorrhoidectomy, external v v v v 2450 74407C Hemorrhoidectomy, partial, internal & external Papillectomy anal v v v v 3340 74408C single v v v v 1190 74409C multiple v v v v 1300 74410C 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 1320 74413B Anoplasty for stricture or imperforate v v v 4030 74414B v v v 4100 Sphincteroplasty anal for incontinence 74415B APR Karlex Removal of Karlex sponge s/p APR v v v 1610 - - 59 -

74416C Check anal bleeding v v v v 2140 74417C Internal hemorrhoid ligation v v v v 1050 74418B S Anal reconstruction or anoplasty with S-pedicle graft v v v 7850 74419B Levator plication procedure v v v 5960 - - 60 -

Liver (75001-75022) - - 61-75001B v v v 5030 Wedge biopsy of liver, laparotomy 75002B Partial hepatectomy v v v 11600 Segemental hepatectomy 75003B one segement v v v 17070 75004B two segements v v v 20440 75005B three segements v v v 30950 75006B v v v 6730 Drainage or marsupialization of cyst or abscess of liver 75007B 5 Hepatorrhaphy, suture of liver wound < 5cm v v v 9680 75008B v v v 14410 Hepatorrhaphy, with common duct or gallbladder drainage 75009B 5 v v v 10750 Hepatorrhaphy, suture of liver wound,complicated or >5cm 75010B Hepatic artery ligation for liver bleeding v v v 5720 75011B Hepato-onterostomy (Longmire Op.) v v v 9650 75012B Portocavo shunt (H-graft) v v v 17330 75014B Warren Warren's shunt v v v 17330 75015B Total right lobectomy v v v 26130 75016B Total left lobectomy v v v 23270 75017B Extended right lobectomy v v v 41130 75018B Extended left lobectomy v v v 37070 75019B Hepatectomy, Removal of Calculus v v v 12670 1. 75020A Liver(Hepatic) transplantation v v 122540 :

2. 75021A75022A 3. (1) (2) A. B. C.1 D. E. (3) A. B. C. (4) (5) (6) (7)Budd-Chiari (8) 4. 5. 6. ICU 7. 75021A Cadaveric liver harvest(donor hepatectomy) 75022A Partial hepatectomy for livingrelated liver transplantation v v 35500 v v 42600 - - 62 -

Biliary System (75201-75217) 75201B Cholecystostomy (hepaticostomy) v v v 6360 75202B Cholecystolithotomy (transduodenal) v v v 8650 75203B Cholecystectomy v v v 9340 75204B Choledochojejenostomy v v v 11380 75205B Cholecystoenterostomy v v v 6560 75206B v v v 14470 Total excision of common bile duct 75208B v v v 10030 Choledochotomy with T-tube drainage 75209B v v v 13512 Choledocholithotomy with T-tube drainage 75210B Choledochoplasty v v v 14800 75211B Biopsy of biliary tract v v v 1950 75212B v v v 10800 Choledochoduodenostomy 75213B Plasty of extrahepatic bile duct v v v 15900 75214B Closure of biliary fistula v v v 9040 75215B Laparoscopic cholecystectomy v v v 27250 :53% 75216B ROUX-EN-Y ROUX-EN-Y hepaticojejunostomy 75217B - - Hepatic cysto enterostomy v v v 11380 v v v 8620 - - 63 -

Pancrease (75401-75414) 75401B v v v 6710 Drainage of pancreatic abscess or cyst or pancreatitis 75402B Pancreas incisional biopsy v v v 7320 75403B v v v 10310 Excision or enucleation of pancreatic tumor or cyst 75404B Distal partial v v v 10420 pancreatectomy 75405B Body partial pancreatectomy v v v 12810 75406B Pencreatic fistulectomy v v v 11800 75407B v v v 11520 Anastomosis of pancreatic cyst to GI tract direct internal drainage 75408B v v v 13950 Anastomosis of pancreatic cyst to GI tract directinternal drainage (Roux-en-Y) 75409B v v v 10920 Removal pancreatic calculus 75410B Pancreatectomy subtotal Puestow procedure v v v 14200 75411B Total pancreatectomy (95%) v v v 21260 75412A Whipple v v 60000 Pancreatico-duodenectomy, Whipple type,with reconstruction (Including Partial - - 64 -

Gastrectomy) 75413B Pancreatico-Jejunostomy end to end side to side v v v 14450 75414B v v v 9040 Marsupialization of pancreatic cyst - - 65 -

Abdominal Wall (75601-75610) 75601C v v v v 1100 Drainage of abdominal wall abscess Excision of abdominal wall tumor 75602C benign v v v v 3440 75603B malignant v v v 12070 Repair of ventral hernia 75604B with bowel resection v v v 8110 75605C without bowel resection v v v v 6660 (Incisional hernia) Repair of inguinal hernia 75606B with bowel resection v v v 8360 75607C without bowel resection v v v v 6614 75608B Repair of lumbar hernia v v v 4780 75609B Peritoneal toilet v v v 1100 75610B Laparoscopic herniorrhaphy v v v 6614 - - 66 -

(75801-75816) 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 4390 75804C transanal v v v v 4030 75805B Exploratory laparotomy v v v 7200 75806B 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 12810 75811B v v v 16540 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 - - 67 -

75814B simple with/without reconstruction v v v 6160 75815A extensive with reconstruction or v v 8830 prosthesis 75816B v v v 6910 Suture of abdominal wall for evisceration of dehiscence for secondary closure - - 68 -

Uninary & Genital System Kidney (76001-76024) 76001B v v v 4640 Drainage abscess perirenal or renal 76002B v v v 13820 Pyelotomy with exploration drainage or pyelolithotomy 76003B Open renal biopsy v v v 6310 Open renal biopsy 76004B Nephrectomy v v v 11530 76005B Partial nephrectomy v v v 14240 heminephrectomy 76006B Decapsulation cyst kidney, unilateral v v v 5880 76007B v v v 15310 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 12550 Stag-horn stone nephro-pyelolithotomy 76013B Nephrorrhaphy v v v 12150 - - 69 -

76014B v v v 12420 Pyeloplasty 76015B v v v 6440 Pyelostomy 76016B v v v 12100 Percutaneous nephrostolithotomy (PCNSL) :1. 2. 76017B PCN v v v 7080 Nephroscope (including secondary surgical operation of PCNSL) :1. PCNSL 2. 76018A v v 8840 Nephrectomy from cadaver donor 76019A v v 12880 Nephrectomy from living donor 76020A v v 17270 Renal implantation 76021B v v v 11530 Laparoscopic nephrectomy 76022B v v v 14240 Enucleation of renal hematoma 76023B v v v 12550 Anatrophic nephrolithotomy 76024B Endoscopic pyelotomy v v v 6440 - - 70 -

Ureter (77001-770235) Ureterolithotomy 77001B 13 v v v 7410 77002B 13 v v v 5880 77003B v v v 7080 Ureterectomy, with bladder cuff Ureteroplasty 77004B unilateral v v v 7080 77005B bilateral v v v 8620 Ureterolysis 77006B unilateral v v v 7080 77007B bilateral v v v 8620 77008B v v v 12020 Ureteropyelostomy or ureteropyeloplasty 77009B v v v 12040 Ureteroureterostomy 77010B v v v 13100 Transureteroureterostomy Ureteroneocystomy 77011B unilateral v v v 12140 77012B bilateral v v v 14060 77013B unilateral v v v 8000 77014B bilateral v v v 9260 77015B v v v 10800 Ureterosigmoidostomy Replacement ureter of all or part of ureter by bowel segment 77016B unilateral v v v 10800 77017B bilateral v v v 14200 Ureterostomy, unilateral, transplantation of ureter to skin 77018B unilateral v v v 6480 77019B bilateral v v v 8000 77020B Closure fistula, ureterocutaneous v v v 7080 - - 71 -

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 12100 v v v 6030 v v v 11680 v v v 7410 v v v 12140 v v v 10800 v v v 14200 v v v 4270 v v v 6440 - - 72 -

Bladder (78001-78038) 78001C Aspiration bladder, with catheterization Cystostomy - - 73 - v v v v 500 78002C Open method v v v v 4410 78003C Trocar method v v v v 2870 78004C Closure of cystostomy v v v v 4760 78005B Cystolithotomy v v v 4410 78006B 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 6770 78010C Partial cystectomy v v v v 5800 Total cystectomy, without lymphadenectomy 78011B without cystoplasty v v v 11750 78012B with cystoplasty v v v 18230 Total cystectomy, with lymphadenectomy 78013B without cystoplasty v v v 14810 78014B with cystoplasty v v v 21290 78015B v v v 7080 Cystoplasty or cystourethroplasty 78016B v v v 10800 Cystourethroplasty with unilateral or bilateral uretero neo cystotomy 78017B v v v 4880 Vesicourethropexy, anteriro or Urethropexy as Marshall-Marchetti type 78018B Cystorrhaphy 5090 78019B v v v 8000

Closure fistula, vesicovaginal abdominal approach 78020B v v v 7610 Closure fistula, vesicouterine with or without hysterectomy 78021B v v v 10800 Enterocystoplasty including bowel anastomosis 78022C Cutaneous vesicostomy v v v v 6440 78023C 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 3900 78026C 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 5170 78029B transvaginal approach v v v 3670 78030A Burch operation v v 8370 78031C 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 7080 - - 74 -

78035B Augmentation of U-B with intestine 78036B Suspension of urinary bladder v v v 10800 v v v 5170 78037B KELLYKELLY operation v v v 3670 80007B( ), 78038B Artificial urinary sphincter implantation v v v 9340 - - 75 -

Urethra (78201-78214) 78201C v v v v 1610 Remove of urethral stone or foreign body Repair of urethral stricture 78202B anterior urethral v v v 6310 78203B 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 9340 78206C v v v v 1160 Polypectomy, external urethral 78207C Urethrostomy v v v v 1950 78208B v v v 4490 Urethral diverticulectomy, anterior (posteriro) urethra 78209C Otis urethrotomy v v v v 1590 78210C Opitic uretrotomy v v v v 3110 Repair of urethral rupture 78211B Posterior urethra v v v 7080 78212B Anterior urethra v v v 3580 Operation for hypospadias 78213B glandular type v v v 7760 78214B others v v v 10330 78215B 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 1590 - - 76 -