CPT CHAPTER 4

4.12 #4 Arthroscopy of the left wrist with repair of triangular fibrocartilage and joint debridement

29846-LT

4.15 #2 Left nasal endoscopy for control of epistaxis

31238-LT

4 physican services #2 The surgeon performed an anterior to posterior (total) intranasal endoscopic ethmoidectomy with sphenoidotomy

31287

4 facility #14 Patient has a large obstructing mass of the left glottis and subglottis. A direct laryngoscopy with biopsy was performed to reveal squamous cell carcinoma

31535

4.23 #6 Open revision of AV fistula with thrombectomy, patient receiving hemodialysis

36833

4.29 #2 Cystoscopy, left ureteroscopy with laser lithotripsy

52353-LT

4.35 #4 D&C performed for a patient with dysfunctional bleeding

58120

4.35 #6 Abdominal hysterectomy with salpingo-oophorectomy (uterus weight 270g)

58150

4.37 #10 Endometrial cryoablation with ultrasonic guidance

58356

4 facility #6 Bilateral tympanostomy with insertion of ventilating tube, performed under general anesthesia

69436-50

4.38 #4 Laparoscopic hemithyroidectomy

60659

9 Review #8 Anesthesia services for blepharoplasty; patient is in good health

00103-P1

9 Review #10 Anesthesia services for left lobectomy due to lung carcinoma; patient also has severe chronic obstructive pulmonary disease and emphysema treated with bronchodilators

00540-P3

9 Review #6 Anesthesia services for partial nephrectomy in a patient with renal cell carcinoma; 45 year old patient also has mild coronary artery disease and hypertension treated with medication

00862-P2

9 Review #12 Anesthesia services radical orchiectomy, inguinal approach

00926-P1

9 Review #2 Anesthesia services for cervical cerclage; patient is 25 years old and in good health

00948-P!

9 Review #4 Anesthesia services for open repair for malunion fracture of humerus. Patient is 85 years old but healthy

01744-P1, 99100

4.32 #2 Incision and drainage of subcutaneous abscess of penis

10060

4.1 #4 The surgeon performs debridement down to and including the fascia of the abdominal wall due to necrotizing fasciitis

11005

4.1 #2 The patient had a mesh inserted during an inguinal hernia repair a couple of years ago. The patient presents for removal of the infected mesh and debridement of necrotic tissue. The physician performed a debridement of the wound, including the fascia and removed the mesh.

11005, 11008

4.9 #2 Debridement of below-knee amputation stump. The necrotic wounds were sharply excised down to and including the fascia with 10-blade scalpal (15sq cm)

11043

4.2 #4 In the physician's office, patient has 17 skin tags removed

11200, 11201

4 facility #12 Diagnosis: Mass of chest area. The surgeon made an elliptical incision encompassing the whole mass (6.5 cm x 3cm x 1.5 cm) dissecting laterally deep to the subcutaneous tissue. Pathology report reveals inflamed epidermal cyst

11406

4.2 #2 Physician excised a 1.0-cm squamous cell carcinoma from the forehead. The excision required margins 1.0 cm around the lesion.

11643

4.9 #6 Excision of pilondial cyst requiring single-layer suture

11770

4.4 #2 A child is seen in the physician's office for a superficial laceration of the right knee. The physician repairs the 2.5 cm laceration with simple suturing

12001

4 facility #2 Layered (intermediate wound repair of a 3 cm laceration of the hand and an intermediate repair of 5.0 cm of arm.

12042, 12032

4.9 #10 Wide excision of a maligant lesion of back (5.0cm x 3.0cm) with adjacent skin graft.

14001

4.6 #2 Physician performs a wide resection of a 3.0 cm malignant skin lesion of the left leg. The defect required an adjacent tissue transfer measuring 15 sq cm.

14021

4.6 #4 The surgeon performed a tubed pedicle flap from the forehead to cover the defect on the nose.

15576

4.9 #4 Dermabrasion of chin for severe acne

15781

4.2 #6 Laser removal of sixteen benign skin lesions from the back

17111

4.9 #8 With the use of ultrasound guidance, the surgeon placed a metallic clip to indentify the suspicious tissue in the left breast. A percutaneous core needle biopsy was performed.

19083-LT

4.14 #10 Surgical exploration of stab wound of chest with included coagulation of blood vessels and enlargement of the wound.

20101

4.10 #6 Open treatment with internal fixation of three rib fractures

21811

4.14 #6 Arthroscopy of the right wrist with partial synovectomy

29844-RT

4.14 #8 Repair of medial collateral ligament of right elbow using local tissue

24345-RT

4.10 #2 Open reduction with internal fixation (screws), for a fracture of the left humeral shaft

24515-LT

4.10 #8 The surgeon performed open reduction with internal fixation of medial condylar fracture of the humerus

24579

4.14 #4 Removal of splinter embedded deep in the left knee

27372-LT

4.10 #4 The orthopedic surgeon reduces a fracture of the left proximal fibula. After closed treatment and skeletal traction, the physician applies a short leg cast.

27781-LT

4 physician services #4 Closed treatment of distal fibular fracture without manipulation the patient was in the postoperative period for an arthoscopy of the shoulder performed 2 weeks ago; the same surgeon performed both surgeries.

27786-79

4.14 #2 Repair of hammertoe, second digit of right foot

28285-T6

4 facility #16 Diagnosis: Hallux abductiovalgus deformity, left foot. Procedure: Excision of medial eminence with osteotomy of the proximal phalanx

28298-TA

4 facility #18 Arthroscopy of the left elbow with removal of loose body

29834-LT

4.12 #2 Arthroscopic synovectomy of the medial and lateral tibiofemoral compartments and the patellofemoral compartment of the left knee

29876-LT

4.21 #6 Patient treated in the ER for severe expistaxis (first visit for this condition); physician performs posterior packing, bilateral

30905-50

4 physician services #14 Direct laryngoscopy with injection of botulinum toxin for treatment of laryngeal dystonia

31570

4.17 #4 Flexible laryngoscopy with laser destruction of lesion, left vocal cord

31572

4.21 #10 Patient has a history of persistent hoarseness. The surgeon performs flexible larygoscopy to evaluate the larynx.

31575

4.17 #2 Flexible laryngoscopy performed for removal of a dime lodged in the patient's larynx.

31577

4.21. #4 Flexible bronchoscopy with bronchial brushings and cell washings

31623

4.19 #2 Bronchoscopy with transbronchial biopsy of lung

31628

4.19 #4 Bronchoscopy with EBUS-guided transbronchial sampling of tw0 mediastinal lymph nodes.

31652

4.21 #8 Revision of tracheostomy scar

31830

4.21 #2 Percutaneous drainage of pleural cavity via indwelling catheter, with imaging

32557

4 physician services #10 Insertion of permanent cardiac pacemaker with right atrial and ventrical transvenous electrodes at a university hospital . The surgeon performed procedure but not the preoperative or postoperative care

33208-54

4.23 #8 The patient has been diagnosed with severe aortic stenosis. Through a percutaneous incision in the leg (transfemoral), the surgeon performs a transcatheter aortic valve replacement (TAVR).

33361

4.23 #10 A coronary artery bypass graft (CABG) procedure was performed. The surgeon bypassed three coronary artery sites by grafting the left internal mammary artery (LIMA) and one site was treated by grafting the greater saphenous venous graft to the obtuse marginal from the aorta.

33535, 33517

4.23 #2 Percutaneous thrombectomy of forearm AV graft that was inserted for dialysis treatment

36904

4.23 #4 A patient is seen for surgical treatment of an occlusion of the femoral artery, left. Percutaneously under guidance, the surgeon inserts a catheter to perform an atherectomy (lower extremity revascularization).

37225

4 facility #4 Mediatinoscopy with biopsy of mediastinal adenoma

39401

4.28 #10 Palatoplasty for cleft palate, soft

42200

4.24 #4 ERCP with removal of biliary stent

43275

4 physican services #6 Laparoscopic esophagectomy

43289

4.28 #2 Laparoscopic gastric bypass and Roux-en-Y gastroenterostomy performed for obesity

43644

4.24 #6 Laparoscopic pyloroplasty

43659

4.24 #2 Proctosigmoidoscopy with removal of two polyps with the use of hot biopsy forceps.

45315

4 physician services #12 The surgeon performs a colonoscopy that extends to the first portion of the ascending colon before being stopped due to equipment failure.

45378-53

4.28 #4 Under fluoroscopy, the physician percutaneously places an external biliary catheter into the bile duct for drainage

47533

4.28 #8 Laparoscopic cholecystectomy with exploration of common duct

47564

4.28 #6 Laparoscopic aspiration of ovarian cyst

49322

4.35 #2 Laparoscopy with aspiration of ovarian cyst

49322

4.26 #4 Recurrent incarcerated inguinal hernia repair with implantation of mesh (56-year-old patient)

49521

4.26 #6 Initial repair of strangulated ventral hernia requiring mesh (49-year-old patient)

49561, 49568

4.26 #2 Laprascopic repair of recurrent incisional hernia

49656

4.31 #2 Under ultrasound guidance, the physician percutaneously inserts a ureteral stent. This was a new access and no neprhostomy catheter was needed.

50694

4.31 #4 Closure of ureterocutaneous fistula

50920

4.31 #10 Cystotomy with excision of bladder diverticulum

51525

4.31 #8 Endoscopic injection of pyrolytic carbon coated beads (Durasphere) into the bladder neck for a patient with incontinence

51715

4 facility #10 Cystourethroscopy with fulgratoin of bladder tumor (3.0 cm)

52235

4.29 #4 Cystoscopy with insertion of permanent urethral stent

52282

4.31 #6 Cystoscopy with ureteroscopy for removal of ureteral stone

52352

4.34 #2 Removal of condylomas of the penis with use of cyrosurgery

54056

4.34 #10 One-stage distal hypospadias repair with simple meatal advancement

54322

4.34 #8 Removal of inflatable multi-component penile prosthesis (no replacement)

54406

4.34 #4 Incision into abscess of scrotal wall to drain pus

55100

4.32 #4 For elective sterilization, the surgeon performs a vasectomy

55250

4.34 #6 Laparoscopic retropubic radical prostectomy

55866

4.37 #6 Biopsy of two lesions, one from labia minora and another from the vaginal oriface, which required suture closure

56605, 56606, 57105

4.37 #2 Vulvectomy, partial removal of skin and superficial subcutaneous tissues

56620

4.37 #8 Hysteroscopy with removal of fibroids

58561

4 facility #20 Diagnosis: Chronic menometrorrhagia, uterine leiomyomata, and left Bartholin's gland cyst. Procedure: Operative hysteroscopy with resection of submucous myomas and left Bartholin's gland cystectomy

58561, 56740

4 physican services #8 Laparoscopy with removal of tubes and ovaries; the procedure was extremely difficult to perform and took two hours longer to complete than usual.

58661-22

4.37 #4 Patient desires elective sterilization. Surgeon performs laparoscopic coagulation of the Fallopian tubes

58670

4.38 #2 Parathyroidectomy

60500

4.38 #6 Laparoscopic adrenalectomy, complete

60650

4.41 #6 Craniotomy for evacuation of supratentorial subdural hematoma

61312

4.41 #4 Patient with severe bacck pain requires a single interlaminar epidural steroid injection, L5-S1 interspace with imaging

62323

4 facility #8 Open lumbar laminectomy for decompression of spinal cord, L3-L4

63005

4.41 #2 Glycerol rhizotomy of trigeminal nerve

64600

4.41 #8 Sciatic neuroplasty, leg

64712

4.41 #10 Suture repair of posterior tibial nerve

64840

4.43 #10 Patient has severe diabetes with retinopathy. The surgeon performs laser photocoagulation to resolve the leaking microaneurysms in the left retina.

67228-LT

4.43 #2 Strabismus correction involving the lateral rectus muscle

67311

4.43 #4 Orbitotomy of right eye to remove a piece of glass

67413-RT

4.43 #8 Patient is experiencing pain along the lower right eyelash line. The surgeon diagnoses trichiasis and uses cryosurgery to destroy the follicles

67825-E4

4.43 #6 Excisonal transverse blepharotomy with one fourth lid margin rotation graft

67961

4.45 #2 Under general anesthesia, a surgeon removes a pebble from the left external auditory canal of 1-year-old child

69205-LT

4.45 #4 The surgeon inserted cochlear implants in both ears

69930-50