, 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 -
78218B ( ) Urethral fistulectomy (posterior) 78219B Repair of ruptured corpus cavernosum, bilateral 78220B ( ) Urethral fistulectomy (anterior) 78221B Repair of ruptured corpus cavernosum,unilateral v v v 7080 v v v 7080 v v v 3580 v v v 3580 78222B v v v 7760 Reconstruction of hypospadias and correction of painful erection 78223B v v v 7760 One stage reconstruction of hypospadias 78224B v v v 7080 Total urethrectomy 78225B I&D for peri-urethral abscess v v v 1160 - - 77 -
Penis (78401-78412) 78401C Biopsy penis v v v v 900 78402B Partial amputation of penis v v v 3580 78403B Total amputation of penis v v v 7080 78404B Radical op. of penis cancer v v v 11830 78405B v v v 14580 Radical op. of penis cancer with lymphadenectomy 78406B v v v 5540 Penis repair for severe trauma 78407C Hydrocelectomy ( ) v v v v 3250 78408C Removal of foreign body, scrotum v v v v 1560 78409B Resection of scrotum v v v 2340 78410B v v v 5540 Nesbit procedure for curvature of penis 78411C v v v v 1560 Scrotal repair 78412C I&D for scrotal abscess v v v v 1160 - - 78 -
Testis (78601-78611) Testis biopsy 78601C incisional,unilateral v v v v 640 78602C incisional,bilateral v v v v 1280 Orchiedectomy 78603C unilateral v v v v 4040 78604B bilateral v v v 6060 (testicle lesion excision) Orchiopexy 78605C unilateral v v v v 3760 78606C bilateral v v v v 5880 (with or without hernia repair) 78607C Orchiopexy for undescended testis v v v v 5730 1. 2. ( ) 78608C Suture or repair testicular injury 78609B Orchidectomy for malignant tumor v v v v 2630 v v v 3250 78610B v v v 11720 Orchidectomy for malignant tumor including lymphadenectomy 78611C Laparoscopic orchiectomy v v v v 4040 - - 79 -
Epididymis (78801-78805) Epididymectomy 78801C unilateral v v v v 3250 78802B bilateral v v v 4880 Epididymo-vasostomy 78803B unilateral v v v 4510 78804B bilateral v v v 6250 78805C I & D for epididymal abscess drainage v v v v 2630 - - 80 -
Vas Deferens & Seminal Vesicle (79001-79002) 79001C Vasotomy, unilateral or bilateral v v v v 1160 79002B Vesiculectomy, seminal vesicle v v v 6500 - - 81 -
Spermatic Cord (79201-79204) 79201C Excision lesion, spermatic cord v v v v 1950 79202B Varico-celectomy v v v 3250 79203C v v v v 3250 High ligation or internal spermatic vein for varicocele 79204C v v v v 3250 Laparoscopic high ligation of internal spormatic vein - - 82 -
Prostate (79401-79409) 79401C Biopsy prostate (punch) 79402C Biopsy prostate (incisional) 79403B Radical Prostatectomy (including vesiculectomy) v v v v 560 v v v v 2630 v v v 15000 79404B Suprapubic prostatectomy v v v 6890 79405B Retropublic prostatectomy v v v 6890 79406B TUR for prostate gland v v v 13520 :supra-pubic irrigation,sounding,urethrotomy 79407C TUR for prostate gland biopsies supra-pubic irrigation, sounding, urethrotomy 79408C abscess drainage prostatic v v v v 2630 v v v v 2630 79409C v v v v 2630 Laparoscopic prostate cyst resection - - 83 -
Perineum (79601~79603) 79601C v v v v 1160 Drainage abscess perineal, nonobsterical 79602C repair of perineum v v v v 1160 79603C Excision of genital leukoderma v v v v 1160 - - 84 -
Vulva & Introitus (79801-79810) 79801C v v v v 1840 Drainage of abscess vulva, extensive 79802C v v v v 1280 Marsupialization of Bartholin abscess 79803C Excision of Bartholin gland v v v v 1610 (Bartholin duct cyst or sken's gland cyst excision) vulvectomy 79804B v v v 7230 79810B v v v 9570 79805B Circumcision female v v v 1160 79806C Clitoridectomy simple v v v v 1160 79807B Clitoridectomy extensive v v v 1460 79808C Hymenotomy v v v v 530 79809A Radical Vulvgectomy v v 22120 - - 85 -
Vagina (80001-80025) 80001B v v v 1590 Calpotomy with exploration or drainage of pelvic abscess 80002C Excision of vaginal cyst v v v v 1290 80003B Resection of vaginal Septum v v v 2090 80004B v v v 1140 Posterior celiotomy (Colpotomy) 80005B v v v 1480 Colporrhaphy, suture of injury of vagina Nonobstetrical 80006B, v v v 2200 Colpoperineorrhaphy, suture of injury of vagina and/or perineum nonobstetrical 80007B Colporrhaphy, anterior v v v 2990 80008B Colporrhaphy, Posterior (with perineorrhaphy) v v v 2360 80009B Colporrhaphy combined anterior-posterior v v v 4050 80010B v v v 5160 Colporrhaphy combined anterior-posterior with Enterocele repair 80011B v v v 5160 Colpopexy, abdominal approach 80012C Vaginal dilation under anesthesia v v v v 880 80014C Laparoscopy operative Colpectomy v v v v 3320 80015A Partial resection of vagina v v 4140 80016A Complete resection of vagina v v 5180 80017B LeFort colpocleisis v v v 5180 - - 86 -
( ) Construction artificial vagina for vaginal atresia or absence 80018B without skin graft v v v 7090 80019B with skin, colon and other graft v v v 10500 80020B Rectovaginal fistula closure v v v 6450 80021B Recto-vaginal fistula repair v v v 6450 80022B Urethral vaginal fistula v v v 4170 repair 80023B Vesico vaginal fistula repair v v v 4170 80024B. v v v 4050 Colpopexy, vaginal approach 80025B Laparoscopic colpopexy v v v 5160 - - 87 -
Cervix Uteri (80201-80209) 80201C Trachelectomy (cervicectomy) v v v v 2010 80202C Tracheloplasty v v v v 2010 shirodker or lash type 80203C Trachelurrhaphy, vaginal approach McDonald op. v v v v 2010 80204C v v v v 1340 D&C for cervical-stump 80205B Conization of the uterine cervix : Laser conization, CO2 v v v 2620 80206B Cervical amputation v v v 2010 80207C Cervical polypectomy v v v v 300 80208B Excision cervical-stump v v v 3220 80209B Manchester operation v v v 2300 - - 88 -
Corpus Uteri (80401-80419) 80401C v v v v 1160 D & C for diagnostic 80402C Myomectomy v v v v 7450 80403B Total hysterectomy v v v 9580 (transvaginal hysterectomy, TVH) (transabdominal hysterectomy, TAH) 80404B Subtotal hysterectomy 6600 80405B v v v 3410 Lysis of pelvic (abdominal) adhesion 80406B v v v 4210 Suspension, uterine (Alexander's op.) Spalding-Webster method 80407B v v v 2840 Repair or excision of broad ligment tear 80408B Hysterosalpingostomy v v v 5780 80409B Hysterorrhaphy v v v 2530 80410B (Strassman ) v v v 3650 Hysteroplasty (Metroplasty) repair of uterine anomaly Strassman type Jone'sTompkin's op. 80411B Spalding-Richardson v v v 4240 Spalding-Richardson compensation op. for uterine prolapse 80412B v v v 18080 Hysterectomy, total extended 80413A v v 24000 Radical Hysterectomy for cervical cancer 80414A (Schauta ) v v 15740 Hysterectomy vaginal radical, Schauta type procedure 80415B v v v 16580 Hysteroscopic myomectomy (Transcervical Resection of myoma) 39% 80416B Laparoscopy assisted vaginal hysterectomy v v v 38250 - - 89 -
64% 80417A (BSO+omentectomy+ATH+retroperitoneal lymphadenectomy) 80418A (BSO+omentectomy+ATH+retroperitoneal lymphadenectomy)+radical dissection for debulking 80419A Laparotomy of abdomen for 2 nd look v v 27390 v v 28750 v v 12970 - - 90 -
Oviduct (80601-80607) 80601C Salpingectomy v v v v 4890 80602C Salpingo-oophorectomy v v v v 5440 80603C Salpingoplasty v v v v 5590 80604B v v v 3410 Salpingolysis with microscopic 80605B End to end anastomosis v v v 5780 80606B v v v 5590 Salpingostomy without microscopic 80607B Reimplantation with microscopic v v v 5590 - - 91 -
Ovary (80801-80810) 80801B v v v 13830 Oophorectomy with omentectomy 80802C v v v v 5070 Oophorectomy, partial or total 80803C v v v v 4320 Drainage cyst ovarian single or multiple cysts 80804C Drainage abscess ovarian v v v v 4320 80805C Biopsy ovary, incisional v v v v 2840 80806C Ovary wedge resection v v v v 5070 80807B ( ) v v v 30420 Laparoscopic oophorectomy (partial or total) or salpingo-oophorectomy 67% 80808B Suture of ruptured corpusluterm cyst 80809B Second look operation for ovarian cancer 80810B Enculestion of ovarian cyst v v v 5070 v v v 3010 v v v 4320 - - 92 -
DeliverysectionCesarean & Abortion (81001-81026) - - 93-81001C Removal of hydatidiform mole v v v v 2360 81002C Ectopic pregnancy operation v v v v 6130 81003C Manual removal of placenta v v v v 730 81004C Cesarean section v v v v 7420 81005C v v v v 8240 Cesarean section with hysterectomy subtotal (total) 81006C D&C 12.Week v v v v 1010 81007C D&C v v v v 1320 >12.Week 81008B v v v 7050 Abortion, therapeutic Transabdominal approach Medical induction for fetal death 81009C 36 v v v v 1660 81010C 6 v v v v 3310 81012B Destruction of the dead fetus v v v 3690 81013A v v 43690 Pelvic exenteration-total or Anterior or Posterior 81014B v v v 4750 Excision & electric cauterization of pelvic endometriosis 81015C v v v v 4080 81016B v v v 3100 Pre-sacral sympathectomy, without other procedure 81017C (, ) v v v v 4200 81018C (, ) v v v v 6300 81019C (, ) v v v v 7200 81020B v v v 33960 Laparoscopic ectopic pregnancy 66% 81021B v v v 11750 Debulking operation for gyn cancer 81022B Septic abortion treatment v v v 1320
81023B v v v 4750 Eendometrial ablation or transcervical endometrial resection 81024C v v v v 7420 81025C v v v v 9795 81026C v v v v 10812 - - 94 -
Endocrine System (82001-82014) 82001C v v v v 5930 Unilateral subtotal thyroidectomy 82002C v v v v 9300 Bilateral subtotal thyroidectomy 82003C v v v v 5000 Excision of thyroid cyst or thyroyglossal cyst 82004B v 10300 Total thyroidectomy 82005A 82006A Neck lymph node dissection unilateral v v v v 9400 17740 bilateral 82007A Parathyroidectomy v v 8620 82008A v v 16660 Radical thyroidectomy with unilateral neck lymphonode dissection 82009A, Adrenalectomy, unilateral v v 10430 Adrenalectomy with retorperitoneal tumor dissection 82010A unilateral v v 10880 82011A bilateral v v 12000 resection of adrenal tumor) 82012C v v v v 5930 Re-implant parathyroid gland : 82013B v v v 8620 Parathyroidectomy+au totransplantation 82014B Adrenalectomy v v v 10430 - - 95 -
Neurosurgery (83001-83088) 83001B Microvascular decompression v v v 17620 : Laminectomy for decompression 83002C 2 segments v v v v 11080 83003C 2 segments v v v v 16080 Subtemporal decompression 83004B unilateral v v v 10900 83005B bilateral v v v 13630 : Decompression of mediun nerve at wrist 83006C unilateral v v v v 4090 83007C bilateral v v v v 8190 Decompression of lateral femoral cutaneous nerve at inguinal 83008C unilateral v v v v 3820 83009C bilateral v v v v 6240 83010B Brain biopsy v v v 9260 : Depressed fracture of skull 83011B simple fracture v v v 8490 83012B open fracture v v v 10380 : 83013C v v v v 2980 Burr hole (trephination) for hemostasis, drainage or ventricular puncture 83014C one hole added v v v v 1510 83015C Craniectomy v v v v 11080 (remove F.B) (decompression) (neurotomy) 83016B Cranioplasty v v v 10380 : Brain tumor (I.C.T. / cephalocele) 83017B v v v 20720 - - 96 -
83018B v v v 29660 83019B v v v 34610 83020B Myelotomy v v v 14760 1. (cordotomy) 2. 83021B Posterior rhizotomy v v v 14760 : Diskectomy 83022C cervical v v v v 19010 83023C thoracic v v v v 16000 83024C lumbar v v v v 13000 83025C Cervical sympathectomy v v v v 7340 83026C Dorsal sympathectomy v v v v 14760 83027C Lumbar sympathectomy v v v v 8390 83028C Neurectomy v v v v 3150 83029C : one added v v v v 1050 83030B Neurolysis v v v 4090 83031C Nerve transposition v v v v 5240 83032B Nerve graft v v v 12180 83033B Lamino plasty v v v 16080 83034B v v v 8180 Anastomosis of peripheral nerve 83035B Facial hypoglossal nerve anastomosis v v v 11280 : 83036C Removal of epidural hematoma v v v v 13630 83037C v v v v 13630 Removal of acute subdural hematoma 83038C v v v v 10380 Removal of chronic subdural hematoma 83039B Removal of intracerebral hematoma v v v 15630 : - - 97 -
83040B Bemign intraspinal tumor, excision v v v 23220 83041B Malignant intraspinal tumor, excision : 83042B Intraspinal intramedullary tumor, excision : - - 98 - v v v 18700 v v v 23220 Spinal fusion anterior spinal fusion 83043B 1. without spinal instrumentation v v v 15300 83044B 2. with spinal instrumentation v v v 24030 posterior spinal fusion 83045B 1. without spinal instrumentation v v v 13480 83046B 2. with spinal instrumentation v v v 21580 83047B v v v 13630 Repair of meningocele or encephalocele : 83048C Scalp tumor v v v v 4190 1. (suture of scalp) 2. 83049B V-P shunt v v v 10560 : 83050B V-A shunt v v v 13630 : 83051B External ventricular drainage v v v 3150 : 83052C Omaya reservoir implantation v v v v 3250 : 83053B - v v v 7550 Lumbar-peritoneal shunt : 83054B v v v 2000 External lumbar cisternal drainage : 83055B Revision of CSF shunt v v v 10560
. 83056A Brain lobectomy for epilepsy v v 40000 (EEG) (lobotomy) (corpus callasum), (focal excision or destruction), (pituitectomy) 83057A Transsphenoidal removal of pituitary adenoma : v v 25160 83058B Carotid embolization v v v 7700 Carotid artery ligation 83059B Acute ligation v v v 4470 gradual occlusion with special clamp 83060B 1. application of clamp v v v 5000 83061B 2. removal of clamp v v v 6000 83062A Carotid endarterectomy v v 12060 83063A EC-IC by-pass v v 19990 : Craniotomy for vascular lesions aneurysms 83064A 1. asymptomatic v v 40000 83065A 2. symptomatic v v 45000 83066A 3. giant v v 50000 Arteriovenous malformations 1. small (D2.5cm) 83067A (1) superficial v v 36000 83068A (2) deep v v 42000 2. medium (2.5cmD5cm) 83069A (1) superficial v v 48000 83070A (2) deep v v 54000 83071A 3. large (D5cm) v v 60000 : Excision of intraspinal AVM 83072A 2 segments v v 36000 - - 99 -
83073A 2 segments v v 42000 : Facial tic 83074C Alcohol block v v v v 500 83075B Selective neurectomy v v v 5460 : 83076C v v v v 2690 Excision of neuroma or neruofibroma Operation for craniosynostosis 83077B v v v 8440 Simple suturectomy 83078B Morcellation v v v 8960 83079B Radiofrequency coagulation v v v 5360 : 83080B ICP monitoring v v v 7000 : Stereotaxic procedure 83081A for biopsy v v 18000 83082A for aspiration v v 18000 83083A v v 25000 for implantation of radio-isotope 83084A for functional disorder v v 25000 : 83085B v v v 6000 Transendoscopic dorsal sympathectomy 83086B Brachial plexus repair v v v 14760 (include all kinds of nerve repair) 83087B v v v 10900 Facial nerve decompression 83088A Skull Base Tumor Surgery v v 78000 - - 100 -
Auditory System (84001-84037) - - 101-84001C v v v v 470 I & D for auricle abscess or hematoma 84002C v v v v 140 Ear canal foreign body removal with otoscope 84003C v v v v 1360 Ear canal foreign body removal, with otoscope, under anesthesia 84004C T.D. v v v v 850 Myringotomy with T.D. plunger 84005C v v v v 1780 Excision of preauricular fistula or cyst 84006C v v v v 840 Suture of ear injury 84007C Myringotomy v v v v 550 84008B v v v 4000 Removal of external ear tumor (microscope) 84009B v v v 12430 Removal of external ear malignant tumor 84010B Meatoplasty & canaloplasty v v v 10560 84011B Traumatic otoplasty v v v 10560 84012B Ear canal plastic operation v v v 7940 84013B Myringoplasty : v v v 7800 84014B Polypectomy, middle ear v v v 2110 84015B v v v 2030 Myringotomy with eustachian tube inflation Under microscope 84016B Exploratory tympanotomy v v v 4640 84017B Myringoplasty (including skin graft) v v v 5930 Tympanoplasty 84018B without mastoidectomy v v v 12000 84019B with mastoidectomy v v v 15000 (including skin graft) 84020B Ossiculoplasty v v v 11650
Mastoidectomy 84021B simple v v v 7250 84022B modified v v v 9470 84023A Intracranial operation otologically v v 11070 84024A v v 7300 Drainage of otogenic epidural abscess 84025B v v v 8740 Stapedectomy with prosthesis 84026B Stapes mobilization v v v 5450 84027B Suture of postauricular v v v 1180 84028B v v v 9750 Transtympanic transmastoid labyrinthectomy 84029B v v v 9720 Endolymphatic sac decompression 84030A Labyrinthotomy v v 9470 84031A Labyrinthectomy (including mastoidectomy) v v 9320 84032A v v 28350 Translabyrinthine acoustic neuroma excision 84033A Petrouectomy (apicectomy, v v 12680 petrous) 84034A v v 20250 Temporal bone dissection with mastoidectomy 84035B v v v 8780 Sacculotomy for Meniere's disease 84036B v v v 7410 Fenestration of semicircular canals 84037B Replantation of ear v v v 15650 1. 2. 84011B - - 102 -
Visual System Eyeball (85001-85004) 85001C Enucleation v v v v 3160 85002C Evisceration of eyeball v v v v 3160 Repair of eyeball wound 85003C scleral peforation v v v v 3150 85004C corneoscleral peforation v v v v 4190 - - 103 -
Cornea (8520185214) 85201C Keratotomy v v v v 2680 85202C Paracentesis v v v v 1480 85203C v v v v 1920 Excision pterygium, simple with keratectomy (including membrane or skin graft) 85204C v v v v 3580 Excision pterygium, complicated with keratectomy 1. (including membrane or skin graft) 2. 85205C v v v v 330 Removal of corneal stitches under microscope 85206C Suture of cornea v v v v 3700 85207C Peritomy v v v v 1240 85208B Trephining corneosecleral v v v 670 85209C v v v v 230 Removal of corneal embedded foreign body 85210C Keratectomy v v v v 3930 85211B Epikeratophakia v v v 10560 85212A Lamellar keratoplasty v v 10560 85213A Penetrating keratoplasty v v 12390 85214C Limbal transplantation v v v v 4800 - - 104 -
Anterior Chamber (8540185407) 85401C Removal of foreign body in anterior chamber 85402C Diagnostic aspiration aqureous v v v v 4150 v v v v 1480 85403C v v v v 1480 Paracentesis, anterior chamber for vitreal prolapse 85404C Goniopuncture v v v v 3130 85405C Goniotomy v v v v 4910 85406C v v v v 1480 Air injection into anterior chamber 85407C Removal of hyphema paracentesis v v v v 2580 - - 105 -
Sclera (8560185611) 85601C Sclerotomy, for glaucoma v v v v 4790 85602B Elliot's operation v v v 2460 85603B Lagrange's operation v v v 1650 85604B v v v 4530 Sclerotomy, posterior, with drainage of fluid 85605B v v v 5660 Sclerotomy, Posterior, with removal of intraocular foreign body by magnetic extraction 85606A v v 6040 Sclerotomy, posterior, with removal of intraocular foreign body by nonmagnetic extraction 85607B, v v v 9360 Perforting injury of eye ball,any type of scleral repair. 85608B v v v 11540 Resection, scleral, with graft or buckling 85609B v v v 2890 sclera graft 85610B v v v 550 Removal of scleral surface foreign body 85611B Sclerectomy v v v 3130 - - 106 -
Iris & Ciliary body (8580185823) 85801C Iridotomy v v v v 2680 (iridosclerotomy) 85802C Synechiotomy (iridodialysis) v v v v 6930 85803C Cyclocryotherapy v v v v 3290 85804C Cyclodiathermy v v v v 3290 85805C Trabeculotomy under microscope v v v v 5660 85806C Trabeculectomy under microscope : (peripheral iridectomy) v v v v 5660 85807C Optical iridectomy v v v v 2680 (sector iridectomy) 85808C Peripheral iridectomy v v v v 2680 85809B Scheiev v v 5240 Scheie's operation (microsurgery) 85810C Iridencleisis for glaucoma v v v v 3470 85811B Corneoscleral iridocyclectomy v v v 5220 : (iridosclerectomy) 85812C Repair of iridodialysis v v v v 5450 85813C Cyclodialysis v v v v 3900 (ciliarotomy) 85814C Complete iridectomy v v v v 9130 85815C Cauterization, iris v v v v 2480 85816B Iridocystectomy v v v 5650 85817C Iridotasis streching of iris v v v v 5650 85818A v v 1880 Iridoplasty fixation transfixation (microsurgery) 85819B v v v 10810 Iridoplasty grafting under (microsurgery) 85820A v v 5220 Ciliarybody excision of prolapse 85821B Ciliarybody biopsy v v v 2450 85822B Division of goniopunture v v v 1940 85823B Ahmed tube v v v 3470 - - 107 -
Crystalline Lens (86001-86013) 86001C Discission of membranous cataract under microscope 86002C Linear extraction for cataract 86003C 86004C 86005C 86006C Lens capsulotomy and aspiration of lens under v v v v 3500 v v v v 4070 Cryotherapy for cataract v v v v 4070 Recurrent cataract op. v v v v 4070 Capsulectomy for cataract v v v v 4070 v v v v 4070 microscope 86007C Extracapsular (intracapsular) lens extraction (ECLE) (ICLE) v v v v 7500 1. (including iridotomy) 2. 86008C v v v v 9000 Intracapsular (extracapsular) lens extraction under microscope + IOL insertion (including iridotomy) 86009C Phacoemulcification v v v v 6020 86010A v v 7960 Pars plana lensectomy (ocutome) IOL implantation 86011C primary v v v v 1500 86012C secondary v v v v 5000 86013C reposition v v v v 5000 - - 108 -
Vitreous (86201-86215) 86201C Intravitreous injection v v v v 1480 86202B Optic iridectomy (vitrector) v v v 1730 86203B Anterior vitrectomy (vitrector) v v v 2980 86204B v v v 3580 Anterior segment reconstruction (vitrector) 86205B v v v 2460 Discission, anterior hyaloid for pupillary block Pars plana vitrectomy (vitrector) 86206B simple v v v 8450 86207B complicated v v v 14780 : Removal of epiretinal membrance 86208C v v v v 12330 Lensectomy & vitrectomy (vitrector) 86209B v v v 17550 Removal of dislocated lens combined vitrectomy (vitrector) 86210B Aspiration of vitreous v v v 1480 86211B v v v 4450 Transplantation vitreous including sclerotomy 86212B v v v 9750 Primary vitrectomy for pathologic vitreous 86213B Remove intraocular F.B. v v v 2650 86214C Removal of silicon oil v v v v 1480 86215C Fluid gas exchange v v v v 1480 - - 109 -
Retina (86401-86408) 86401B v v v 2250 Removal of intraocular foreign body with magnet.(surface) 86402B v v v 6260 Reattachment retina with diathermy or cryopexy initial 86403B v v v 7730 Drainage with reattachment of retina 86404B v v v 2680 Cryotherapy for retinal degeneration or break 86405B v v v 4880 Removal of intraocular foreign body with magnet (embeded) 86406B v v v 2790 Lamellar sclera resection Photocoagulation therapy 86407B Simple v v v 3580 86408A Complicated v v 9130 - - 110 -
Extraocular Muscles (86601-86605) - Recession and resection- strabismus 86601C v v v v 3000 86602C v v v v 5000 86603C v v v v 1000 86604C v v v v 4410 Transplant extraocular muscle 86605C Suture or tucking of extraocular muscle tendon v v v v 3110 - - 111 -
Orbit (86801-86811) 86801B Orbitotomy with exploration v v v 3930 Orbitotomy 86802B v v v 4100 with drainage of intraorbital abscess 86803B v v v 6130 with removal of intraorbital foreign body or benign tumor Removal of orbital tumor 86804B anterior approach v v v 6920 86805B lateral approach v v v 9270 86806B cranial approach v v v 14830 86807B Reconstruction of orbital socket v v v 6130 86808B Exenteration of orbit v v v 6130 86809B Orbital decompression v v v 7550 86810B Repair of orbital floor v v v 4350 86811B Excision orbit lesion, requiring v v v 7360 - - 112 -
Eyelid (87001-87031) 87001C v v v v 480 Excision of lid tumor, benign 87002C v v v v 4330 Excision of lid tumor, malignant 87003C v v v v 3580 Excision of lid tumor with lid reconstruction 87004C v v v v 3870 Frontalis sling for ptosis 87005C Fascia lata sling v v v v 7760 87006C Skin graft for ectropion or entropion v v v v 3580 (corrective operation for ectropion or entropion) 87007C Z-plasty v v v v 1790 87008C Corrective operation for ectropion v v v v 2520 87009C v v v v 2520 Correction of entropion 87010C Operation for entropion, simple Hotz's operation v v v v 2260 87011C Repair lacerated eyelid v v v v 2550 87012C v v v v 1790 Tarsorrhaphy for intermargin lid adhesion 87013C Canthoplasty v v v v 840 87014C Blepharorrhaphy (Excision of eye lid margin) v v v v 2890 Cryotherapy on lid tumor 87015B benign v v v 920 - - 113 -
87016B malignancy v v v 1740 87017C v v v v 5820 Levator muscle resection (for blepharoptosis) (congenital) 87018C Blepharoplasty for double lid fold v v v v 2180 1. (Traumatic) 2. 87019C Canthotomy v v v v 170 87020C Suture of eyelid v v v v 170 87021C Wheeler Wheeler's operation v v v v 3160 87022C Excision of tarsal plate v v v v 1210 87023C v v v v 2010 Relief of symblepharon 87024B v v v 3340 Relief of symblepharon with conjunctiva or mucosa graft 87025C Incision & curettage for chalazion v v v v 480 87026C Relief of ankyloblepharon v v v v 2010 87027B v v v 6130 Eyelid protractor myectomy of essential blepharospasm 87028B Hard palate graft v v v 4330 1. 2. 87029B HUGHES Hughes flap 1. ( 50%) 2. v v v 4330 87030B Mullerectomy v v v 5820 87031B Correction of v v v 5820 lower lid retraction corneal exposure - - 114 -
Conjunctiva (87201-87219) - - 115-87202C Suture of conjunctiva v v v v 260 87203C Biopsy of conjunctiva v v v v 290 Excision lesion of conjunctiva, benign 87204C 3mm less than 3mm v v v v 680 87205C 3mm large than 3mm v v v v 1010 87206C v v v v 3850 Excision lesion of conjunctiva, malignant with mucous membrane graft Conjunctiva plasty 87207B with graft v v v 4120 87208B without graft v v v 1650 87209C Conjunctival flap peritectomy v v v v 1240 87210C v v v v 680 Cryotherapy of conjunctival tumor, benign 87211B v v v 760 Cryotherapy of conjunctival tumor, malignancy Excision of pterygium 87212C primary v v v v 1630 87213C complicated or recurrent v v v v 3250 87214B v v v 1390 Partial conjunctival sac reformation (including mucous membrane or skin graft) 87215B v v v 3220 Total conjunctival sac reformation (including mucous membrane or skin graft) 87216B Combined plastic surgery of conjuntive and skin v v v 4290
(including mucous membrane or skin graft) 87217B v v v 2520 Conjunctive flap for perforating injuries or secondary closure of operative 87218B ( ) v v v 260 Removal of conjunctival stitches under microscope 87219B Biopsy of external eye v v v 290 - - 116 -
lacrimal (87401-87417) 87401C v v v v 650 Drainage of lacrimal gland abscess (dacryocystotomy) 87402B v v v 4150 Excision lacrimal gland (dacryoadenectomy) 87403B v v v 3470 Dacryocystectomy (excision of lacrimal sac) 87404B v v v 3750 Excision lacrimal gland or lacrimal sac tumor 87405B Dacryocystorhinostomy v v v 5750 87406B v v v 8240 Conjunctivodacryocystorhinostomy 87407C Canaliculotomy v v v v 620 87408C Fistulectomy for lacrimal fistula v v v v 1560 87409C Plastic operation on canaliculi v v v v 1220 87410C Suture of canaliculus v v v v 1220 87412B Conjunctivodacryocystostomy v v v 5190 87413C v v v v 5210 Lacrimal apparatus, primary repair 87414B v v v 6730 Lacrimal apparatus, secondary repair Dacrocysto-hinostomy 87415B simple v v v 7760 87416B complicated v v v 9700 87417B Suture of punctum v v v 620 () 53031C ( ) - - 117 -
(88001-88054) 88001A v v 26180 Extensive Necrotizing EnterocolitisResection & Anastomosis 88002A v v 21110 Extensive Necrotizing Enterocolitis Jejunostomy/Ieostomy Meconium Peritonitsis 88003A simple v v 9100 88004A complex v v 14670 88005A v v 35600 Choledochocyst, excision & choledocho-jejunostomy 88006A v v 33350 Esophagoplasty with repair of T-E fistula 88007A v v 20500 Repair of Idiopathic Gastric Perforation,neonatal 88008A v v 23020 Repair of Diaphragmatic Hernia 88009A v v 19600 Plication of Diaphragm, for diaphragm eventration 88010A v v 6670 Pyloromyotomy, Fredet Ramstedt 88011A v v 22000 Congenital Duodenal Atresia, or Annular Pancreas 88012A v v 11300 Malrotation, Ladd's Procedure 88013A Resection & Anastomosis, intestinal atresia v v 17400 - - 118 -
88014A Sacrococcygeal tumor, excision 88015A Sacrococcygeal tumor, extensive excision 88016A Congenital Biliary Atresia, exploration without repair v v 10000 v v 18860 v v 9000 88017A v v 35600 Congenital Biliary Atresia, Kasai's Procedure, or other Hepato/Jejunal Anastomosis Congenital abdominal wall defect, primary closure 88018B simple v v v 10000 88019A complex v v 21000 Omphalocele repair, primary closuree 88020B simple v v v 5820 88021A complex v v 13640 88022B Closure, extrophy bladder v v v 28100 88023B v v v 21110 Cystic hygroma, complicated, excision 88024A Imperforate anus, low type v v 18700 88025A Imperforate anus, high type v v 34600 88026A v v 28100 Congenital Megacolon, pull-through 88027A v v 34600 Congenital Megacolon, total aganglionosis, pull-through 88028A Urethroplasty, Island flap procedure v v 21110 - - 119 -
88029C Inguinal hernia operation v v v v 5660 88030A v v 6510 Correction of anterior wall defect 88031B Correction of chordee v v v 10200 88032B v v v 7870 Excision of branchial cleft sinus or cyst 88033B otoplasty v v v 4770 88034B v v v 10340 Excision of urachus or its fistula 88035B v v v 17400 Excision of vitelline duct or its fistula 88036A v v 11690 Excision of sacrococcygeal teratoma 88037A v v 20680 Repair of Meningocele or Meningomyelocele 88038B Bone Valgus or varus v v v 10340 Congenital dislocation of hips 88039B open reduction v v v 9430 88040B closed reduction v v v 1970 88041C v v v v 4060 Reconstruction of polydactyly or syndactyly 88042C v v v v 1450 Cheiloplasty 88043B v v v 5820 88044B v v v 8730 88045B v v v 12610 Hemangioma excision 88046C 2 v v v v 3880 88047C 2 5 v v v v 6790 88048B 5 v v v 8730 88049B, v v v 4770 Microtia,stage one,tissue expand 88050B, v v v 4770 Microtia,stage one,no tissue expand 88051B, v v v 4770 Microtia,stage two,prosthesis 88052B, v v v 4770 - - 120 -
Microtia,stage two,autograft 88053B, v v v 4770 Microtia,stage three,autograft 88054B - Congenital dislocation of hips-change cast v v v 1970 - - 121 -