CPT Codes CPTList Code Descri - Steven Bernard

[Pages:25]CPT Codes

CPTList

Code

Description

Fee

10040 Acne Surgery (opening of multiple cyst, comedones...)

75

10060 Incision and drainage (I&D) of skin abscess (hidradenitis, cyst, furuncle, paronychia) - simple or single

100

10061 Incision and drainage (I&D) of skin abscess (hidradenitis, cyst, furuncle, paronychia) - complex or multiple

200

10080 Incision and drainage (I&D) of pilonidal cyst; simple

150

10081 Incision and drainage (I&D) of pilonidal cyst; complex

250

10120 Incision and removal of foreign body, subcutaneous; simple

75

10121 Incision and removal of foreign body, subcutaneous; complex

200

10140 Incision and drainage (I&D) of hematoma or seroma

100

10160 Puncture aspiration of abscess, hematoma, seroma

50

10180 Incision and drainage (I&D) complex post-op infection

250

11000 Debridement skin partial thickness for ecaema 10%

50

11004 Debridement Necrotizing Fascitis perineum/genitalia

11005 Debridement Necrotizing Fascitis abdominal wall (with or without closure)

11006 Debridement Necrotizing Fascitis abdominal wall (with or without closure) and perineum/genitalia

11008 Removal of prosthetic mesh associated with necrotizing fascitis of the abdominal wall

11010 Debridement Associated with fracture; Skin/subcutaneous tissue

11011 Debridement Associated with fracture; Skin/subcutaneous tissue/muscle

11012 Debridement Associated with fracture; Skin/subcutaneous tissue/muscle/bone

11040 Debridement skin partial thickness

150

11041 Debridement skin full thickness

200

11042 Debridement skin and subcutaneous tissue

250

11043 Debridement skin and subcutaneous tissue and muscle

350

11044 Debridement skin and subcutaneous tissue, muscle, & bone

500

11055 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion

11056 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); two to four lesions

11057 Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than four lesions

11100 Biopsy of skin lesion (includes simple closure)

150

11101 Biopsy of additional skin lesion

100

11200 Excision of skin tags up to 15

75

11201 Excision of additional skin tags for each additional 10

75

11400 Excision of benign skin lesion to the trunk/arms/legs 4.0cm?

300

Excision of benign skin lesion to the scalp hands feet genitalia neck 4.0cm? benign

400

Excision of benign skin lesion to the benign face ears eyes nose lips mucosa 4.0cm? benign

500

11450 Excision of hidradenitis axillary simple

600

11451 Excision of hidradenitis axillary complex repair

600

11462 Excision of hidradenitis inguinal simple

750

11463 Excision of hidradenitis inguinal complex repair

750

11470 Excision of hidradinitis perianal, umbilical, perineal simple

750

11471 Excision of hidradinitis perianal, umbilical, perineal complex

750

11600 Excision of malignant skin lesion; trunk arms legs 4.0cm?

600

11620 Excision of malignant skin lesion; scalp hands feet genitalia neck 4.0cm? malignant

800

11640 Excision of malignant skin lesion; face ears eyes noseCliPpsTLmiusct osa 4.0cm? malignant 11740 Evacuation of subungual hematoma 11750 Removal of nail and matrix - partial or complete (eg. ingrown deformed); nail ablation 11752 Removal of nail and matrix - partial or complete (eg. ingrown deformed); nail ablation with tip amputation 11755 Biopsy of the nail unit 11760 Repair of nail bed 11762 Reconstruction of nail bed with graft 11765 Wedge excision of nail fold (ingrown nail) 11770 Excision of pilonidal cyst 11771 Excision of pilonidal cyst extensive 11772 Excision of pilonidal cyst complicated 11920 Tattooing - up to 6.0 cm? 11921 Tattooing - up to 6.1 - 20.0 cm? 11922 Tattooing - each additional 20.0 cm? 11950 Subcutaneous injection of collagen; 1cc or less 11951 Subcutaneous injection of collagen; 1.1 - 5.0 cc 11952 Subcutaneous injection of collagen; 5.1 - 10.0 cc 11954 Subcutaneous injection of collagen; >10.0 cc 11960 Insertion of tissue expander for other than breast reconstruction 11970 Replace expander with permanent prothesis (includes exchange for breast reconstruction) 11971 Removal tissue expander without insertion 12001 Simple repair of wound(s) except face 30cm except face 12011 Simple repair of wound(s) face 30cm face 12020 Treatment of superficial wound dehiscence - simple closure 12021 Treatment of superficial wound dehiscence - treated with packing 12031 Layered closure of wound(s) - intermediate - scalp trunk ext. 30cm 12041 Layered closure of wound(s) - intermediate - 30cm neck hands feet genitals 12051 Layered closure of wound(s) - intermediate - 30cm face ears eyes nose lips 13100 Repair of wound - complex - trunk 1.1-2.5cm 13101 Repair of wound - complex - trunk 2.6-7.5cm 13102 Repair of wound - complex - trunk; each additional 5 cm to 13101 13120 Repair of wound - complex - scalp arms legs 1.1-2.5cm 13121 Repair of wound - complex - scalp arms legs 2.6-7.5cm 13122 Repair of wound - complex - scalp arms legs; each additional 5 cm to 13121 13131 Repair of wound - complex - 1.1-2.5cm; face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals 13132 Repair of wound - complex - 2.6-7.5cm; face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals

Repair of wound - complex - face (forehead/cheeks/chin/mouth), neck, ax., hands, feet, genitals; each additional 5

13133 cm to 13132

13150 Repair of wound - complex - 0-1cm eyes ears nose lipPs age 2

300 400 500 600 800 1000 75 350 500

500 750 175 750 1000 1200 700 1400 700 300 600 1000 1500 1500 1500 300 100 200 300 400 500 600 200 300 400 500 600 800 1000 250 250 200 300 400 500 600

250 350 450 550

300 400 600 800 1000 1200

300 500

400 600

500 750

500

13151 Repair of wound - complex - 1.1-2.5cm eyes ears nosCe PlipTsList

13152 Repair of wound - complex - 2.6-7.5cm eyes ears nose lips 13153 Repair of wound - complex - eyes ears nose lips; each additional 5 cm to 13153 13160 Secondary closure of surgical wound or dehiscence - complex 13300 ******NO LONGER VALID - DELETED 2000 Repair of wound - complex - >7.5cm? 14000 Skin tissue rearrangement - to 10cm? - trunk 14001 Skin tissue rearrangement - to 10 - 30cm? - trunk 14020 Skin tissue rearrangement - to 10cm? - scalp arms legs 14021 Skin tissue rearrangement - to 10 - 30cm? - scalp arms legs 14040 Skin tissue rearrangement - to 10cm? - face hands ax genitals feet 14041 Skin tissue rearrangement - to 10 - 30cm? - face hands ax genitalia feet 14060 Skin tissue rearrangement - to 10cm? - eye, nose ear lip 14061 Skin tissue rearrangement - to 10 - 30cm? - eye, nose ear lip (for full thickness eye - see 67961) 14300 Skin tissue rearrangement - unusual or > 30cm? (code includes lesion excision and add flap and defect for size) 14350 Toe or finger filet flap

!Changed'99! Surg prep or creation of recipient site by excision of wound or eschar (not just for burns -

15000 osteomyelitis); 1st 100 cm? (soft tissue debridement) Surg prep or creation of recipient site by excision of wound or eschar; each add. 100 cm? (not just for burns -

15001 osteomyelitis)(soft tissue debridement) 15040 Harvest of skin for cultured skin autograft 15050 Pinch skin graft up to 2 cm? 15100 Split thickness skin graft (STSG) to 100cm? (or 1% TBSA in kids) trunk arms legs 15101 Split thickness skin graft (STSG) each additional 100cm? 15110 Epidermal autograft (autologous epidermis thin STSG) trunk/arms/legs; 1st 100 cm? 15111 Epidermal autograft (autologous epidermis thin STSG) trunk/arms/legs; each add 100 cm? 15115 Epidermal autograft (autologous epidermis thin STSG) all else (face/hands/feet...); 1st 100 cm? 15116 Epidermal autograft (autologous epidermis thin STSG) all else (face/hands/feet...); each add 100 cm? 15120 Split thickness skin graft (STSG) to 100cm? face eyes mouth ears genitals multiple digits 15121 Split thickness skin graft (STSG) each additional 100cm? 15130 Dermal autograft (autologous autogenous dermis graft) trunk/arms/legs; 1st 100 cm? 15131 Dermal autograft (autologous autogenous dermis graft) trunk/arms/legs; each add 100 cm? 15135 Dermal autograft (autologous autogenous dermis graft) all else (face/hands/feet...); 1st 100 cm? 15136 Dermal autograft (autologous autogenous dermis graft) all else (face/hands/feet...); each add 100 cm? 15150 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; 1st 25 cm? 15151 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 25 cm? to 75 15152 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 100 cm? 15155 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; 1st 25 cm? 15156 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 25 cm? to 75 15157 Tissue cultured epidermal autograft (CEA, Epicel, Epidex) trunk/arms/legs; each add 100 cm? 15170 Tissue derived or manufactured "neodermis" (Integra) trunk/arms/legs; 1st 100 cm? 15171 Tissue derived or manufactured "neodermis" (Integra) trunk/arms/legs; each add 100 cm? 15175 Tissue derived or manufactured "neodermis" (Integra) all else (face/hands/feet...); 1st 100 cm? 15176 Tissue derived or manufactured "neodermis" (Integra) all else (face/hands/feet...); each add 100 cm? 15200 Full thickness skin graft (FTSG) to 20cm? trunk: closure included 15201 Full thickness skin graft (FTSG) each additional 20cm? to 15200 15220 Full thickness skin graft (FTSG) to 20cm? scalp arms legs: closure included 15221 Full thickness skin graft (FTSG) each additional 20cm? to 15220 15240 Full thickness skin graft (FTSG) to 20cm? face, genitals, axil., hands, feet: closure included 15241 Full thickness skin graft (FTSG) each additional 20cm? to 15240 15260 Full thickness skin graft (FTSG) to 20cm? nose ears eyes: closure included 15261 Full thickness skin graft (FTSG) each additional 20cm? to 15260

Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft) trunk/arms/legs; 1st

15300 100 cm? 15301 Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft) 15320 Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft) 15321 Allograft for temporary wound closure (cadaveric skin non-autologous human skin homograft) 15330 Acellular dermal allograft (allogenic dermis Alloderm) trunk/arms/legs; 1st 100 cm? 15331 Acellular dermal allograft (allogenic dermis Alloderm) trunk/arms/legs; each add 100 cm? 15335 Acellular dermal allograft (allogenic dermis Alloderm) all else (face/hands/feet...); 1st 100 cm? 15336 Acellular dermal allograft (allogenic dermis Alloderm) all else (face/hands/feet...); each add 100 cm? 15340 Tissue cultured ALLOgenic skin substitute (contains both dermis and epi Apligraf) trunk/arms/legs; 1st 25 cm?

750 1000 750 500 750 700 1000 750 1200 1000 1500 2000

750

500 750 250

1000 500

500 250 750 250 1000 500 1200 750

15341 Tissue cultured ALLOgenic skin substitute (contains both dermis and epi Apligraf) trunk/arms/legs; each add 25 cm? 15350 Application of allograft (cadaver skin/allograft/Alloderm); 1st 100 cm? 15351 Application of allograft (cadaver skin/allograft/Alloderm); each additional 100 cm? 15360 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) trunk/arms/legs; 1st 100 cm? 15361 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) trunk/arms/legs; each add 100 cm? 15365 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) all else (face/hands/feet...); 1st 100 cm?

15366 Tissue cultured ALLOgenic dermal substitute (Transcyte Dermagraft) all else (face/hands/feet...); each add 100 cm?

15400 Application of Xenograft (pigskin EZ Derm Mediskin) trPuankg/earm3 s/legs (not hands/feet; see 420); 1st 100 cm?

Application of Xenograft (pigskin EZ Derm Mediskin) tCruPnkT/Larismts/legs (not hands/feet; see 420); each add 100 cm?

15401 additional 15420 Application of Xenograft (pigskin EZ Derm Mediskin) all else (face, hands...); 1st 100 cm? 15421 Application of Xenograft (pigskin EZ Derm Mediskin) all else (face, hands...); each add. 100 cm? 15570 Formation of direct or tubed pedicle, with or without transfer; trunk 15572 Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs

Formation of direct or tubed pedicle, with or without transfer; cross finger flap, face, hands, feet, neck, axilla,

15574 genitalia (groin flap)(code skin graft sep.) 15576 Formation of direct or tubed pedicle, with or without transfer; eyes, ears, nose, lips, or mucosa 15600 Delay or sectioning of flap (divisionand inset); trunk 15610 Delay or sectioning of flap (divisionand inset); scalp, arms, or legs

800 1000

1200 1500 500 500

15620 Delay or sectioning of flap (divisionand inset); forehead, cheek, neck, axillae, genitalia, hands (cross finger), or feet

15625 ******No longer valid - 2000 ********* use 15620.58 Delay or sectioning of flap (divisionand inset); crossfinger

15630 Delay or sectioning of flap (divisionand inset); eyelids, ears, nose, or lips

15650 Transfer, intermediate, of any pedicle flap (walking tube eg) any location

15732 Muscle, myocutaneous, or fasciocutaneous flap; head and neck

15734 Muscle, myocutaneous, or fasciocutaneous flap; trunk

15736 Muscle, myocutaneous, or fasciocutaneous flap; upper extremity

15738 Muscle, myocutaneous, or fasciocutaneous flap; lower extremity

15740 Flap: island pedicle (any location)

15750 Neurovascular pedicle island flap

15755 - DELETED FOR 1997 -

Free flap (15845 for CN VII muscle free flap)

15756 Free flap; muscle with or without overlying skin (TRAM, myocutaneous...)

15757 Free flap; skin (radial forearm or scapular with skin)

15758 Free flap; fascial (TPL...)

15760 Composite graft; including ala and ear

15770 Composite graft; including dermal/fat/fascia

15775 Hair transplant punch grafts; 1 to 15

15776 Hair transplant punch grafts; more than 15 (for strip grafts, use 15220)

15780 Dermabrasion total face

15781 Dermabrasion segmantal face

15782 Dermabrasion other than face

15783 Dermabrasion; superficial (tattoo...)

15786 Dermabrasion; single lesion (eg keratosis or scar)

15787 Dermabrasion; each addition 4 lesions or less (eg keratosis or scar)

15788 Chemical peel of face - epidermal (TCA...)

15789 Chemical peel of face - dermal (Phenol)

15792 Chemical peel, nonfacial - epidermal (TCA...)

15793 Chemical peel, nonfacial - dermal (phenol...)

15810 Salabrasion; 20cm? or less

15811 Salabrasion; over 20cm?

15819 Cervicoplasty

15820 Blepharoplasty of lower eyelid

15821 Blepharoplasty of lower eyelid; extensive fat

15822 Blepharoplasty of upper eyelid

15823 Blepharoplasty of upper eyelid with excessive skin or fat weighting down eyelids

15824 Rhytidectomy of forehead; browlift (for brow ptosis use 67900)

15825 Rhytidectomy of neck with platysmal tightening

15826 Rhytidectomy of glabellar frown lines

15828 Rhytidectomy of cheek, chin, and neck

15829 Rhytidectomy of SMAS (for bilateral use -50 modifier)

15831 Abdominoplasty

15832 Thigh plasty

15833 Excision of excess fat in the leg

15834 Excision of excess fat in the hip

15835 Excision of excess fat in the buttock

15836 Excision of excess fat in the arm (brachioplasty)

15837 Excision of excess fat in the forearm and hand

15838 Excision of excess fat in the submental fat pad

15839 Excision of excess fat in another area

15840 Graft (fascia or tendon) for facial nerve palsy (CN VII paralysis) eg. TFL (includes obtaining graft)

15841 Graft (muscle non microvascular) for facial nerve palsy (CN VII paralysis)

15842 Graft (muscle free flap) for facial nerve palsy (CN VII paralysis)

15845 Regional muscle transfer (eg temporalis) for facial nerve palsy (CN VII paralysis)

15850 Removal of sutures under anesthesia - same surgeon

15851 Removal of sutures under anesthesia - different surgeon

15852 Dressing change under anesthesia (other than burns)

15860 Fluorescein injection to test flap viability

15876 Suction assisted lipectomy; head and neck

15877 Suction assisted lipectomy; trunk

Page 4

600 500 750

2750 2250 2500 2500 1500 1500

1000 1500

1500 1000 545 350 75 75

1400 250 710

2500 1425 1355 1350 1480 2200 1740 1325 4500 4500 3000 3500 2000 2500 2500 2000 1500 1000

3000

7500 3500 250 500 500 250 1000 2000

15878 Suction assisted lipectomy; upper extremities 15879 Suction assisted lipectomy; lower extremities

CPTList

15920 Excision of coccygeal pressure ulcer with 1? closure (decubitus sore)

15922 Excision of coccygeal pressure ulcer with flap closure (decubitus sore)

15931 Excision of sacral pressure ulcer with 1? closure (decubitus sore)

15933 Excision of sacral pressure ulcer with ostectomy and 1? closure (decubitus sore)

15934 Excision of sacral pressure ulcer with flap closure (decubitus sore)

15935 Excision of sacral pressure ulcer with ostectomy and flap closure (decubitus sore)

Excision of sacral pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code)

15936 CHANGED'99

15937 Excision of sacral pressure ulcer with ostectomy and myocutaneous flap closure (ID flap with separate code)

15940 Excision of ischial pressure ulcer with 1? closure (decubitus sore)

15941 Excision of ischial pressure ulcer with ostectomy and 1? closure (decubitus sore)

15944 Excision of ischial pressure ulcer with flap closure (decubitus sore)

15945 Excision of ischial pressure ulcer with myocutaneous flap closure (ID flap with separate code)

Excision of ischial pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code)

15946 CHANGED'99

15950 Excision of trochanteric pressure ulcer with 1? closure (decubitus sore)

15951 Excision of trochanteric pressure ulcer with ostectomy and 1? closure (decubitus sore)

15952 Excision of trochanteric pressure ulcer with flap closure (decubitus sore)

15953 Excision of trochanteric pressure ulcer with flap closure (decubitus sore)

Excision of trochanteric pressure ulcer IN PREP FOR myocutaneous flap closure (ID flap with separate code)

15956 CHANGED'99

15958 Excision of trochanteric pressure ulcer with ostectomy and myocutaneous flap closure (ID flap with separate code)

15999 Excision of pressure ulcer (decubitus sore) other

16010 Debridement of small burn under anesthesia

16015 Debridement of large burn under anesthesia

16020 Debridement of small burn no anesthesia

16025 Debridement of medium burn under anesthesia

16030 Debridement of large burn under anesthesia

16035 Escharotomy

17000 Destruction benign/premalignant by any means: first lesion

17003 Destruction benign/premalignant by any means: 2 - 14 lesions

17004 Destruction benign/premalignant by any means: 15 or more lesions

17106 Destruction of cutaneous vascular proliferative lesions (laser...) less than 10cm?

17107 Destruction of cutaneous vascular proliferative lesions (laser...) 10cm? to 50cm?

17108 Destruction of cutaneous vascular proliferative lesions (laser...) greater than 50cm?

17110 Destruction of warts up to 14

17111 Destruction of warts 15 or more

17250 Chemical cauterization of granulation tissue (Silver nitrate)

17304 Mohs' chemosurgery; 1st stage up to 5 specimens

17305 Mohs' chemosurgery; 2nd stage up to 5 specimens

17306 Mohs' chemosurgery; 3rd stage up to 5 specimens

17307 Mohs' chemosurgery; additional stages beyond 3 up to 5 specimens

17310 Mohs' chemosurgery; any stage more than 5 specimens

17360 Chemical exfoliation for acne

17999 Tissue grafts - other (use for Platelet rich graft, plt - document need in op note)

19000 Puncture aspiration of cyst of breast; first

19001 Puncture aspiration of cyst of breast; each additional

19020 Mastotomy with exploration or drainage of abscess, deep

19030 Injection procedure for ductogram

19100 Breast biopsy; Tru-cut needle (for fine needle aspiration, use 88170)

19101 Biopsy of breast; incisional

19110 Nipple exploration with or without excision of duct

19112 Excision of lactiferous duct fistula

19120 Excision of breast tumor; benign or malignant, ectopic, supernumery, axillary

19125 Excision of breast lesion identified by wire (needle localization biopsy); single

19126 Excision of breast lesion identified by wire (needle localization biopsy); each additional

19140 Mastectomy for gynecomastia

19160 Partial mastectomy

19162 Partial mastectomy with axillary lymphadenectomy

19180 Mastectomy, simple, complete (+/- prophylactic)

19182 Mastectomy, subcutaneous (+/- prophylactic)

19200 Radical mastectomy

19240 Modified radical mastectomy with axillary lymphadenectomy

19260 Excision of chest wall tumor including ribs

19271 Excision of chest wall tumor including ribs with plastic reconstruction; without lymphadenectomy

19272 Excision of chest wall tumor including ribs with plastic reconstruction; with lymphadenectomy

19316 Mastopexy

19318 Breast reduction (use -50 modifier for bilateral)

19324 Breast augmentation mammaplasty without implant Page 5

1000 2000 750 1000 750 1200 1000 1500 2000 2500 1000 1500 1500 2000 2500 750 1000 1500 1800 2000 2500

500

2000

2500 3150 1500

19325 Breast augmentation mammaplasty with implant CPTList

19328 Removal of intact mammary implant 19330 Removal of implant material (broken implant) 19340 Immediate breast reconstruction with implant 19342 Delayed breast reconstruction with implant 19350 Nipple - areola reconstruction (includes flaps and FTSG) 19355 Correction of inverted nipples 19357 Breast reconstruction (immediate or delayed) with tissue expander (including expansion) (see 11970 for exchange) 19361 Breast reconstruction with latissimus dorsi flap with or without implant 19364 Breast reconstruction with free flap (NOW ALL INCLUSIVE (shaping, flap, vessels...) CHANGED'99 19366 Breast reconstruction with other technique 19367 Unipedical TRAM including donor closure (transverse) 19368 Supercharged TRAM (transverse) 19369 Bipedical TRAM (transverse) 19370 Open periprosthetic capsulotomy 19371 Periprosthetic capsulectomy 19380 Revision of reconstructed breast 19396 Preparation of moulage for custom implant 20000 Incision of soft tissue abscess; superficial (I&D) 20005 Incision of soft tissue abscess; deep or complicated 20100 Exploration of penetrating neck trauma 20101 Exploration of penetrating chest wound 20102 Exploration of penetrating trunk wound 20103 Exploration of penetrating extremity wound 20200 Biopsy, muscle, superficial 20205 Biopsy, muscle, deep 20220 Biopsy, bone; superficial with trocar or needle (sacrum, sternum, ribs...) 20225 Biopsy, bone; deep with trocar or needle (femur, humerus...) 20240 Biopsy, bone; superficial excisional (sacrum, sternum, ribs...) 20245 Biopsy, bone; deep excisional (femur, humerus...) 20520 Removal of foreign body in muscle or tendon sheath - simple 20525 Removal of foreign body in muscle or tendon sheath - complex 20550 Injection of trigger points, trigger fingers, ligaments (tennis elbow), ganglion cysts, tendon sheath, steroid 20600 Arthrocentesis, aspiration and/or injection small joint, bursa or ganglion cyst (eg. finger or toes), steroid 20650 Insertion of wire or pin with application of skeletal traction, in cluding removal (separate procedure) 20670 Removal pin or wire - buried but superficial 20680 Removal pin or plate - deep (sternal wire) 20693 Adjustment or revision of external fixation system requiring anesthesia (eg. new pins...) 20694 Removal of external fixation device under anesthesia 20802 Replantation of arm at the level of the humerus; complete amputation 20804 Replantation of arm at the level of the humerus; incomplete amputation 20805 Replantation of forearm at the level of the radius/ulna; complete amputation (incomplete report each repair) 20808 Replantation of the hand at wrist; complete (if incomplete, report individual structure repair - tendon, bone...)

2500 500 1000 2000 2000 750 750 2000 3500 7500 5000

700 1000 18 150 300

250 500 50 200 550

9000 9000 8000

20816 Replantation of a digit - except thumb MCP to insertion of sublimus tendon; complete (incomplete report each repair) 2800

Replantation of a digit - except thumb distal to insertion of sublimus tendon; complete (incomplete report each

20822 repair)

2000

20824 Replantation thumb - CMC to MCP; complete (incomplete report each repair)

3500

20827 Replantation thumb - distal to MCP; complete (incomplete report each repair - tendon, bone...)

3500

20838 Replantation foot; complete (20832-20834 have been deleted - report individual repairs instead of replant)

20900 Removal of bone graft for any small area

400

20902 Removal of bone graft for major or large

800

20910 Removal of cartilage graft; rib (microtia reconstruction)

800

20912 Removal of cartilage graft; nasal septum

500

20920 Removal of fascia lata graft (TFL) with stripper (eg. for CN VII)

250

20922 Removal of fascia lata graft (TFL) with incision (eg. for CN VII)

500

20924 Removal of tendon graft from a distance

250

20926 Removal of other tissue graft (dermal fat graft, paratenon, dermis) - (use for Platelet rich harvest - plt)

250

20950 Insertion and monitoring of compartment pressures

200

20955 Free bone flap; fibula (free flap)

8500

20956 Bone free flap; iliac crest

20957 Bone free flap; metatarsal

20960 Bone free flap; other - DELETED FOR 1997 - use 20962

8500

20962 Bone free flap; other

20969 Osteocutaneous free flap; other

20970 Osteocutaneous free flap; iliac crest

8500

20971 Osteocutaneous free flap; rib - DELETED FOR 1997 - use 20969

8500

20972 Osteocutaneous free flap; metatarsal

8500

20973 Osteocutaneous free flap; Great toe with web space

8500

21015 Radical resection of tumor (eg. malignant neoplasm), soft tissue of face or scalp

21025 Excision/debridement of bone (eg. for osteomyelitis); mPaangdeibl6e

1200

21026 Excision/debridement of bone (eg. for osteomyelitis); CfacPiaTlLbiosnt es

21029 Removal by contouring of facial bone (eg. fibrous dysplasia) 21030 Excision of benign tumor of facial bone other than mandible 21031 Excision of torus mandibularis (exostosis) 21032 Excision of torus platinus of the maxilla 21034 Excision of malignant tumor of facial bone other than the mandible 21040 Excision of benign cyst or tumor of the mandible 21041 Excision of benign cyst or tumor of the mandible; complex 21044 Excision of malignant tumor of the mandible 21045 Radical excision of tumor of the mandible 21050 Condylectomy, TMJ 21060 Meniscectomy, partial or complete TMJ 21070 Coronoidectomy 21100 Apply halo appliance for maxillofacial fixation 21110 IMF for other than trauma 21116 TMJ injection for arthrogram 21120 Genioplasty with implant; autograft, allograft, prosthetic 21121 Genioplasty sliding osteotomy - single piece 21122 Genioplasty sliding osteotomy - multiple pieces for asymmetry 21123 Genioplasty sliding osteotomy with interpositional bone graft 21125 Augmentation of mandible body or angle with prosthesis 21127 Augmentation of mandible with bone 21137 Reduction of forehead; contuoring only 21138 Reduction of forehead; contuoring and graft 21139 Reduction of forehead; with set back 21141 Reconstruction of the midface, LeFort I; single piece without bone (eg. for long face) 21142 Reconstruction of the midface, LeFort I; two pieces without bone (eg. for long face) 21143 Reconstruction of the midface, LeFort I; three or more pieces without bone (eg. for long face) 21145 Reconstruction of the midface, LeFort I; single piece with bone (eg. for long face) 21146 Reconstruction of the midface, LeFort I; two pieces with bone (eg. for long face) 21147 Reconstruction of the midface, LeFort I; three or more pieces with bone (eg. for long face) 21150 Reconstruction of the midface, LeFort II; single piece without bone (eg. anterior intrusion Treacher-Collins) 21151 Reconstruction of the midface, LeFort II; above with bone graft 21154 Reconstruction of the midface, LeFort III; with bone and without LeFort I 21155 Reconstruction of the midface, LeFort III; with LeFort I 21159 Reconstruction of the midface, LeFort III; frontalorbital advance (mono bloc) without LeFort I 21160 Reconstruction of the midface, LeFort III; frontalorbital advance (mono bloc) with LeFort I 21172 Fronto-orbital advancement with or without bone grafts (includes getting grafts) (for craniotomy 61556) 21175 Fronto-orbital advancement (as above, but bifrontal) 21179 Reconstruct entire or majority of forehead with allograft or implants 21180 Reconstruct entire or majority of forehead with autograft (includes getting graft) 21181 Reconstruction by contouring of benign tumor of cranial bones (eg. fibrous dysplasia) 21182 Reconstruct cranial bone after extripation of benign tumor - 800cm? bone graft 21188 Reconstruction of midface with osteotomies other than LeFort's 21193 Reconstruction of mandibular rami, horizontal, vertical, "C", "L", osteotomy; without bone graft 21194 Reconstruction of mandibular rami, horizontal, vertical, "C", "L", osteotomy; with bone graft (includes getting) 21195 Reconstruction of mandibular rami/body sagittal split; without internal rigid fixation 21196 Reconstruction of mandibular rami/body sagittal split; with internal rigid fixation 21198 Mandibular osteotomies; segmental 21206 Maxillary osteotomies; Wassmund or Schuchard 21208 Osteoplasty, facial bones; augmentation (auto, allo, prosth) 21209 Reduction of facial bones 21210 Bone graft to the nose, maxilla, and/or malar bone graft (non-cleft) (includes obtaining the graft) 21215 Bone graft to the mandible (includes obtaining the graft) 21230 Rib cartilage graft to the nose, chin, face, ear (includes obtaining the graft) 21235 Ear cartilage graft to nose (includes harvest) 21240 Arthroplasty TMJ with or without autograft (includes getting graft) 21242 Arthroplasty TMJ with allograft 21243 Arthroplasty TMJ with prosthesis 21244 Reconstruction of mandible with bone plate 21245 Reconstruction of mandible with subperiosteal implant; partial 21246 Reconstruction of mandible with subperiosteal implant; complete 21247 Reconstruction of mandible - condyle with graft 21248 Reconstruction of maxilla with endosteal implant; partial 21249 Reconstruction of maxilla with endosteal implant; complete 21255 Reconstruction of Zygoma with bone graft (includes getting) 21256 Reconstruction of orbit with osteotomies and bone graft (eg. micro-ophthalmia) 21260 Periorbital osteotomies for hypertelorism extracranial approach with bone graft

21261 Periorbital osteotomies for hypertelorism extracranial aPnadginetr7acranial approach with bone graft

1400 1800 2250

1500 2000 2500 3000 2500 3500 2370 3075 3350

2000 3500 4000 4500

2160 3500 2800 3500 2500 1670

21263 Periorbital osteotomies for hypertelorism extracranial CapPpTroLaicsht with bone graft with forehead advance

21267 Orbital repositioning with bone graft; unilateral extracranial 21268 Orbital repositioning with bone graft; unilateral extracranial and intracranial 21270 Malar augmentation with prosthesis (with bone see 21210) 21275 Secondary revision of orbitalcranialfacial reconstruction 21280 Medial canthopexy (for canthoplasty see 67950) 21282 Lateral canthopexy 21295 Revision of masseter muscle and bone (eg. for benign masseteric hypertrophy); extraoral approach 21296 Revision of masseter muscle and bone (eg. for benign masseteric hypertrophy); intraoral approach 21299 Other unlisted craniofacial procedure 21300 Closed treatment of skull fracture 21310 Treatment of nasal fracture without manipulation 21315 Closed treatment of nasal fracture without splint 21320 Closed treatment of nasal fracture with splint 21325 Open treatment of nasal fracture - uncomplicated 21330 Open treatment of nasal fracture - complicated with internal/external fixation (ORIF nose) 21335 Open treatment of nasal fracture - above with septum 21336 Open treatment of nasal septal fracture with or without stabilzation 21337 Closed treatment of nasal septal fracture with or without stabilzation 21338 Open treatment of nasoethmoidal (NOE) fracture without external fixation 21339 Open treatment of nasoethmoidal (NOE) fracture with external fixation 21340 Percutaneous treatment of NOE including canthal ligament repair and/or nasolacrimal apparatus 21343 Open treatment of depressed frontal sinus fracture 21344 Open treatment of depressed frontal sinus fracture - complex (posterior wall, comminuted, mult. approach) 21345 Closed treatment of LeFort II (nasomaxillary fracture) with IMF 21346 Open treatment (ORIF) of LeFort II (nasomaxillary fracture) with IMF and wire or plates 21347 Open treatment of LeFort II (ORIF) (nasomaxillary fracture) with IMF and wire or plates from multiple approaches 21348 Open treatment of LeFort II (ORIF) (nasomaxillary fracture) with bone graft 21355 Percutaneous treatment of Zygomatic arch with manipulation 21356 Open treatment of Zygomatic arch (eg Gilles approach) 21360 Open treatment of Zygomatic arch or tripod (ZMC complex) 21365 Open treatment (ORIF) of Zygomatic arch or tripod (ZMC complex) - complex

2000

150 250 500 750 1500 2500

250 2000 2500 3000 2000

2000 2500 3000

1000

1800 2500

21366 Open treatment (ORIF) of Zygomatic arch or tripod (ZMC complex) - complex with bone graft (includes getting bone)

21385 Open treatment of orbital blowout fracture (floor) transantral approach

21386 Open treatment of orbital blowout fracture (floor) periorbital approach

2500

21387 Open treatment of orbital blowout fracture (floor) combined approach

2500

21390 Open treatment of orbital blowout fracture (floor) periorbital approach with alloplastic implant

2500

21395 Open treatment of orbital blowout fracture (floor) periorbital approach with bone graft

3500

21400 Closed treatment of orbital fracture (non-blowout) - no manipulation

200

21401 Closed treatment of orbital fracture (non-blowout) - with manipulation

1000

21406 Open treatment of orbital fracture (non-blowout)

2000

21407 Closed treatment of orbital fracture (non-blowout) with implant

2500

21408 Closed treatment of orbital fracture (non-blowout) with bone graft

21421 Closed treatment of maxillary fracture - LeFort I with IMF alone

1800

21422 Open treatment of maxillary fracture - LeFort I

2500

21423 Open treatment of maxillary fracture - LeFort I - complex with multiple approaches

21431 Closed treatment of Craniofacial dissocation fracture (LeFort III) with IMF alone

2500

21432 Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF)

2500

21433 Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) and multiple approaches 3000

21435 Open treatment of Craniofacial dissocation fracture (LeFort III) - above with external fixation as well

4000

21436 Open treatment of Craniofacial dissocation fracture (LeFort III) with IMF or plates (ORIF) with bone graft

21440 Closed treatment of mandibular or maxillary alveolar ridge fracture

1800

21445 Open treatment of mandibular or maxillary alveolar ridge fracture

2200

21450 Closed treatment of mandibular fracture without manipulation

21451 Closed treatment of mandibular fracture with manipulation

21452 Closed treatment of mandibular fracture with manipulation with external fixation

21453 Closed treatment of mandibular fracture with manipulation with IMF

21454 Open treatment of mandibular fracture with manipulation with external fixation

21461 Open treatment of mandibular fracture with manipulation without IMF

21462 Open treatment of mandibular fracture with manipulation with IMF

21465 Open treatment of mandibular condyle fracture

21470 Open treatment of mandibular condyle fracture - complex ORIF...

21480 Closed treatment of TMJ dislocation

21485 Closed treatment of TMJ dislocation - complicated requiring IMF...

21490 Open treatment of TMJ dislocation

21493 Closed treatment of Hyoid fracture

21494 Closed treatment of Hyoid fracture - with manipulation

21495 Open treatment of Hyoid fracture

21497 IMF for condition other than fracture

21499 Unlisted musculoskeletal procedure of the head - othePr age 8

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