Anda di halaman 1dari 126

Sheet1

Kode ICD 9 CM
ICD 9
01.01
01.02
01.09
01.11
01.12
01.13
01.14
01.15
01.18
01.19
01.21
01.22
01.23
01.24
01.25
01.31
01.32
01.39
01.41
01.42
01.51
01.52
01.53
01.59
01.6
02.01
02.02
02.03
02.04
02.05
02.06
02.07
02.11
02.12
02.13
02.14
02.2
02.31
02.32
02.33
02.34
02.35
02.39
02.41
02.42

Page 1

Sheet1
02.43
02.91
02.92
02.93
02.94
02.95
02.96
02.99
03.01
03.02
03.09
03.1
03.21
03.29
03.31
03.32
03.39
03.4
03.51
03.52
03.53
03.59
03.6
03.71
03.72
03.79
03.8
03.90
03.91
03.92
03.93
03.94
03.95
03.96
03.97
03.98
03.99
04.0
04.01
04.02
04.03
04.04
04.05
04.06
04.07
04.1
04.11
04.12
04.19
04.2

Page 2

Sheet1
04.3
04.4
04.41
04.42
04.43
04.44
04.49
04.5
04.6
04.7
04.71
04.72
04.73
04.74
04.75
04.76
04.79
04.8
04.80
04.81
04.89
04.9
04.91
04.92
04.93
04.99
05.0
05.1
05.11
05.19
05.2
05.21
05.22
05.23
05.24
05.25
05.29
05.3
05.31
05.32
05.39
05.8
05.81
05.89
05.9
06.0
06.01
06.02
06.09
06.1

Page 3

Sheet1
06.11
06.12
06.13
06.19
06.2
06.31
06.39
06.4
06.50
06.51
06.52
06.6
06.7
06.81
06.89
06.91
06.92
06.93
06.94
06.95
06.98
06.99
07.00
07.01
07.02
07.11
07.12
07.13
07.14
07.15
07.16
07.17
07.19
07.21
07.22
07.29
07.3
07.41
07.42
07.43
07.44
07.45
07.49
07.51
07.52
07.53
07.54
07.59
07.61
07.62

Page 4

Sheet1
07.63
07.64
07.65
07.68
07.69
07.71
07.72
07.79
07.80
07.81
07.82
07.91
07.92
07.93
07.94
07.99
08.01
08.02
08.09
08.11
08.19
08.20
08.21
08.22
08.23
08.24
08.25
08.31
08.32
08.33
08.34
08.35
08.36
08.37
08.38
08.41
08.42
08.43
08.44
08.49
08.51
08.52
08.59
08.61
08.62
08.63
08.64
08.69
08.70
08.71

Page 5

Sheet1
08.72
08.73
08.74
08.81
08.82
08.83
08.84
08.85
08.86
08.87
08.89
08.91
08.92
08.93
08.99
09.0
09.11
09.12
09.19
09.20
09.21
09.22
09.23
09.3
09.41
09.42
09.43
09.44
09.49
09.51
09.52
09.53
09.59
09.6
09.71
09.72
09.73
09.81
09.82
09.83
09.91
09.99
10.0
10.1
10.21
10.29
10.31
10.32
10.33
10.41

Page 6

Sheet1
10.42
10.43
10.44
10.49
10.5
10.6
10.9
10.91
10.99
11.0
11.1
11.21
11.22
11.29
11.39
11.41
11.42
11.43
11.49
11.51
11.52
11.53
11.59
11.60
11.61
11.62
11.63
11.64
11.69
11.71
11.72
11.73
11.74
11.75
11.76
11.79
11.91
11.92
11.99
12.00
12.01
12.02
12.11
12.12
12.13
12.14
12.21
12.22
12.29
12.31

Page 7

Sheet1
12.32
12.33
12.34
12.35
12.39
12.40
12.41
12.42
12.43
12.44
12.51
12.52
12.53
12.54
12.55
12.59
12.61
12.62
12.63
12.64
12.65
12.66
12.69
12.71
12.72
12.73
12.74
12.79
12.81
12.82
12.83
12.84
12.85
12.86
12.87
12.88
12.89
12.91
12.92
12.93
12.97
12.98
12.99
13.00
13.01
13.02
13.11
13.19
13.2
13.3

Page 8

Sheet1
13.41
13.42
13.51
13.59
13.64
13.65
13.66
13.69
13.70
13.71
13.72
13.8
13.9
14.00
14.01
14.02
14.21
14.22
14.26
14.27
14.29
14.31
14.32
14.33
14.34
14.35
14.39
14.41
14.49
14.51
14.52
14.53
14.54
14.55
14.59
14.6
14.71
14.72
14.73
14.74
14.75
14.79
14.9
15.01
15.09
15.11
15.12
15.13
15.19
15.21

Page 9

Sheet1
15.22
15.29
15.3
15.4
15.5
15.6
15.7
15.9
16.01
16.02
16.09
16.1
16.23
16.29
16.31
16.39
16.41
16.42
16.49
16.51
16.52
16.59
16.61
16.62
16.63
16.64
16.65
16.66
16.69
16.71
16.72
16.81
16.82
16.89
16.92
16.93
16.98
16.99
18.21
18.31
18.39
18.5
18.6
18.71
18.72
18.79
18.9
19.0
19.11
19.19

Page 10

Sheet1
19.21
19.29
19.3
19.4
19.52
19.53
19.54
19.55
19.6
19.9
20.21
20.22
20.23
20.32
20.39
20.41
20.42
20.49
20.51
20.59
20.61
20.62
20.71
20.72
20.79
20.91
20.92
20.93
20.95
20.96
20.97
20.98
20.99
21.04
21.05
21.06
21.07
21.09
21.4
21.5
21.61
21.62
21.69
21.72
21.82
21.83
21.84
21.85
21.86
21.87

Page 11

Sheet1
21.88
21.89
21.99
22.12
22.31
22.39
22.41
22.42
22.50
22.51
22.52
22.53
22.60
22.61
22.62
22.63
22.64
22.71
22.79
22.9
24.2
24.4
24.5
25.02
25.1
25.2
25.3
25.4
25.59
25.94
25.99
26.12
26.21
26.29
26.30
26.31
26.32
26.41
26.42
26.49
26.99
27.0
27.1
27.21
27.22
27.31
27.32
27.42
27.43
27.49

Page 12

Sheet1
27.53
27.54
27.55
27.56
27.57
27.59
27.61
27.62
27.63
27.69
27.71
27.72
27.73
27.79
27.92
27.99
28.0
28.11
28.19
28.2
28.3
28.4
28.5
28.6
28.7
28.91
28.92
28.99
29.0
29.2
29.3
29.31
29.32
29.33
29.39
29.4
29.51
29.52
29.53
29.54
29.59
29.92
29.99
30.01
30.09
30.1
30.21
30.22
30.29
30.3

Page 13

Sheet1
30.4
31.21
31.29
31.3
31.45
31.5
31.61
31.62
31.63
31.64
31.69
31.71
31.72
31.73
31.74
31.75
31.79
31.91
31.92
31.95
31.98
31.99
32.09
32.1
32.21
32.22
32.29
32.3
32.4
32.5
32.6
32.9
33.0
33.1
33.25
33.28
33.29
33.34
33.39
33.41
33.42
33.43
33.48
33.49
33.5
33.50
33.52
33.6
33.92
33.93

Page 14

Sheet1
33.98
33.99
34.01
34.02
34.03
34.1
34.21
34.22
34.26
34.27
34.28
34.29
34.3
34.4
34.51
34.59
34.6
34.71
34.72
34.73
34.74
34.79
34.81
34.82
34.83
34.84
34.85
34.89
34.91
34.92
34.93
34.99
35.00
35.01
35.02
35.03
35.04
35.10
35.11
35.12
35.13
35.14
35.20
35.21
35.22
35.23
35.24
35.25
35.26
35.27

Page 15

Sheet1
35.28
35.31
35.32
35.33
35.34
35.35
35.39
35.41
35.42
35.50
35.51
35.52
35.53
35.54
35.60
35.61
35.62
35.63
35.70
35.71
35.72
35.73
35.81
35.82
35.83
35.84
35.91
35.92
35.93
35.94
35.95
35.96
35.98
35.99
36.01
36.02
36.03
36.04
36.05
36.06
36.09
36.10
36.11
36.12
36.13
36.14
36.15
36.16

Page 16

Sheet1
36.17
36.19
36.2
36.3
36.91
36.99
37.10
37.11
37.12
37.21
37.22
37.23
37.24
37.26
37.27
37.31
37.32
37.33
37.34
37.35
37.4
37.5
37.61
37.62
37.63
37.64
37.65
37.66
37.70
37.71
37.72
37.73
37.74
37.75
37.76
37.77
37.79
37.80
37.81
37.82
37.83
37.85
37.86
37.87
37.89
37.91

Page 17

Sheet1
37.94
37.95
37.96
37.97
37.98
37.99
38.0
38.00
38.01
38.02
38.03
38.04
38.05
38.06
38.07
38.08
38.09
38.10
38.11
38.12
38.13
38.14
38.15
38.16
38.18
38.21
38.29
38.30
38.31
38.32
38.33
38.34
38.35
38.36
38.37
38.38
38.39
38.40
38.41
38.42
38.43
38.44
38.45
38.46
38.47
38.48
38.49
38.50
38.51

Page 18

Sheet1
38.52
38.53
38.55
38.57
38.59
38.60
38.61
38.62
38.63
38.64
38.65
38.66
38.67
38.68
38.69
38.7
38.8
39.0
39.1
39.2
39.22
39.23
39.24
39.25
39.26
39.27
39.28
39.29
39.3
39.31
39.32
39.41
39.42
39.43
39.49
39.50
39.51
39.52
39.53
39.54
39.55
39.56
39.57
39.58
39.59
39.6
39.64
39.65
39.66
39.8

Page 19

Sheet1
39.9
39.91
39.92
39.93
39.94
39.95
39.99
40.0
40.11
40.19
40.21
40.22
40.23
40.24
40.29
40.3
40.40
40.41
40.42
40.50
40.51
40.52
40.53
40.54
40.59
40.61
40.62
40.63
40.64
40.69
40.9
41.00
41.01
41.02
41.03
41.04
41.05
41.06
41.07
41.08
41.09
41.2
41.33
41.41
41.42
41.43
41.5
41.93
41.94
41.95

Page 20

Sheet1
41.99
42.01
42.09
42.10
42.11
42.12
42.19
42.21
42.25
42.31
42.32
42.39
42.40
42.41
42.42
42.51
42.52
42.53
42.54
42.55
42.56
42.58
42.59
42.61
42.62
42.63
42.64
42.65
42.66
42.68
42.69
42.7
42.82
42.83
42.84
42.85
42.86
42.87
42.89
42.91
43.0
43.19
43.3
43.42
43.49
43.5
43.6
43.7
43.81
43.89

Page 21

Sheet1
43.91
43.99
44.00
44.01
44.02
44.03
44.11
44.15
44.21
44.29
44.31
44.32
44.39
44.40
44.41
44.42
44.44
44.49
44.5
44.61
44.62
44.63
44.64
44.65
44.66
44.69
44.91
44.92
44.99
45.00
45.01
45.02
45.03
45.11
45.15
45.21
45.26
45.31
45.32
45.33
45.34
45.41
45.49
45.50
45.51
45.52
45.61
45.62
45.63
45.71

Page 22

Sheet1
45.72
45.73
45.74
45.75
45.76
45.79
45.8
45.90
45.91
45.92
45.93
45.94
45.95
46.01
46.02
46.03
46.04
46.10
46.11
46.13
46.20
46.21
46.22
46.23
46.39
46.40
46.41
46.42
46.43
46.50
46.51
46.52
46.60
46.61
46.62
46.63
46.64
46.71
46.72
46.73
46.74
46.75
46.76
46.79
46.80
46.81
46.82
46.91
46.92
46.93

Page 23

Sheet1
46.94
46.97
46.99
47.01
47.09
47.11
47.19
47.2
47.91
47.92
47.99
48.0
48.1
48.21
48.25
48.26
48.31
48.32
48.33
48.34
48.35
48.36
48.41
48.49
48.5
48.61
48.62
48.63
48.64
48.65
48.69
48.71
48.72
48.73
48.74
48.75
48.76
48.79
48.81
48.82
48.91
48.92
48.93
48.99
49.01
49.02
49.03
49.04
49.11
49.12

Page 24

Sheet1
49.22
49.23
49.29
49.44
49.45
49.46
49.49
49.51
49.52
49.59
49.6
49.71
49.72
49.73
49.74
49.75
49.76
49.79
49.91
49.92
49.93
49.94
49.95
49.99
50.11
50.12
50.19
50.21
50.22
50.29
50.3
50.4
50.51
50.59
50.61
50.69
50.92
50.99
51.01
51.02
51.03
51.04
51.13
51.19
51.21
51.22
51.23
51.24
51.31
51.32

Page 25

Sheet1
51.33
51.34
51.35
51.36
51.37
51.39
51.41
51.42
51.43
51.49
51.51
51.59
51.61
51.62
51.63
51.69
51.71
51.72
51.79
51.81
51.82
51.83
51.89
51.91
51.92
51.93
51.94
51.95
51.99
52.01
52.09
52.12
52.19
52.22
52.3
52.4
52.51
52.52
52.53
52.59
52.6
52.7
52.8
52.81
52.82
52.83
52.84
52.85
52.86
52.92

Page 26

Sheet1
52.95
52.96
52.97
52.99
53.00
53.01
53.02
53.03
53.04
53.05
53.10
53.11
53.12
53.13
53.14
53.15
53.16
53.17
53.21
53.29
53.31
53.39
53.41
53.49
53.51
53.59
53.61
53.69
53.7
53.80
53.81
53.82
53.9
54.0
54.11
54.12
54.19
54.21
54.23
54.29
54.3
54.4
54.51
54.59
54.61
54.62
54.63
54.64
54.71
54.72

Page 27

Sheet1
54.73
54.74
54.75
54.92
54.93
54.94
54.95
54.96
54.97
54.98
54.99
55.01
55.02
55.03
55.04
55.11
55.12
55.24
55.29
55.31
55.39
55.4
55.51
55.52
55.53
55.54
55.61
55.69
55.7
55.81
55.82
55.83
55.84
55.85
55.86
55.87
55.89
55.91
55.97
55.98
55.99
56.0
56.1
56.2
56.31
56.32
56.33
56.34
56.35
56.39

Page 28

Sheet1
56.40
56.41
56.42
56.51
56.52
56.61
56.62
56.71
56.72
56.73
56.74
56.75
56.79
56.81
56.82
56.83
56.84
56.85
56.86
56.89
56.92
56.93
56.94
56.95
56.99
57.0
57.12
57.17
57.18
57.19
57.21
57.22
57.33
57.34
57.39
57.41
57.49
57.51
57.59
57.6
57.71
57.79
57.81
57.82
57.83
57.84
57.85
57.86
57.87
57.88

Page 29

Sheet1
57.89
57.91
57.93
57.96
57.97
57.98
57.99
58.0
58.1
58.23
58.24
58.29
58.31
58.39
58.41
58.42
58.43
58.44
58.45
58.46
58.47
58.49
58.5
58.91
58.92
58.93
58.99
59.00
59.02
59.03
59.09
59.11
59.12
59.19
59.21
59.29
59.3
59.4
59.5
59.6
59.71
59.72
59.79
59.91
59.92
59.95
60.0
60.11

Page 30

Sheet1
60.12
60.13
60.14
60.15
60.18
60.19
60.21
60.29
60.3
60.4
60.5
60.61
60.62
60.69
60.72
60.73
60.79
60.81
60.82
60.93
60.94
60.95
60.97
60.99
61.0
61.2
61.3
61.41
61.42
61.49
61.92
61.99
62.0
62.12
62.19
62.2
62.3
62.41
62.42
62.5
62.61
62.69
62.7
62.99
63.09
63.1
63.2
63.3
63.4
63.5

Page 31

Sheet1
63.51
63.52
63.53
63.59
63.6
63.70
63.71
63.72
63.73
63.81
63.82
63.83
63.84
63.85
63.89
63.92
63.93
63.94
63.95
63.99
64.0
64.11
64.2
64.3
64.41
64.42
64.43
64.44
64.45
64.49
64.5
64.92
64.93
64.96
64.97
64.98
64.99
65.01
65.09
65.11
65.12
65.13
65.14
65.19
65.21
65.22
65.23
65.24
65.25
65.29

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Sheet1
65.31
65.39
65.41
65.49
65.51
65.52
65.53
65.54
65.61
65.62
65.63
65.64
65.71
65.72
65.73
65.74
65.75
65.76
65.79
65.81
65.89
65.91
65.92
65.93
65.94
65.95
65.99
66.01
66.02
66.11
66.19
66.21
66.22
66.29
66.31
66.32
66.39
66.4
66.51
66.52
66.61
66.62
66.63
66.69
66.71
66.72
66.73
66.74
66.79
66.91

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Sheet1
66.92
66.93
66.94
66.95
66.96
66.97
66.99
67.0
67.11
67.12
67.19
67.2
67.31
67.32
67.33
67.39
67.4
67.51
67.59
67.61
67.62
67.69
68.0
68.12
68.13
68.14
68.15
68.16
68.19
68.21
68.22
68.23
68.29
68.3
68.4
68.5
68.51
68.59
68.6
68.7
68.8
68.9
69.01
69.02
69.09
69.19
69.21
69.22
69.23
69.29

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69.3
69.4
69.41
69.42
69.49
69.51
69.52
69.59
69.95
69.97
69.98
69.99
70.0
70.11
70.12
70.13
70.14
70.21
70.22
70.23
70.24
70.29
70.31
70.32
70.33
70.4
70.50
70.51
70.52
70.61
70.62
70.71
70.72
70.73
70.74
70.75
70.76
70.77
70.79
70.8
70.91
70.92
71.01
71.09
71.11
71.19
71.21
71.22
71.23
71.24

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71.29
71.3
71.4
71.5
71.61
71.62
71.71
71.72
71.79
71.8
71.9
74.0
74.1
74.2
74.3
74.4
74.91
74.99
75.0
75.1
75.31
75.33
75.35
75.36
75.50
75.51
75.52
75.61
75.62
75.69
75.91
75.92
75.93
75.99
76.01
76.09
76.11
76.19
76.2
76.31
76.39
76.41
76.42
76.43
76.44
76.45
76.46
76.5
76.61

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76.62
76.63
76.64
76.65
76.66
76.67
76.68
76.69
76.70
76.71
76.72
76.74
76.75
76.76
76.77
76.78
76.79
76.91
76.92
76.93
76.94
76.97
76.99
77.00
77.01
77.02
77.03
77.04
77.05
77.06
77.07
77.08
77.09
77.10
77.11
77.12
77.13
77.14
77.15
77.16
77.17
77.18
77.19
77.20
77.21
77.22
77.23

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77.24
77.25
77.26
77.27
77.28
77.29
77.30
77.31
77.32
77.33
77.34
77.35
77.36
77.37
77.38
77.39
77.40
77.41
77.42
77.43
77.44
77.45
77.46
77.47
77.48
77.49
77.51
77.52
77.53
77.54
77.56
77.57
77.58
77.59
77.6
77.61
77.62
77.63
77.64
77.65
77.66
77.67
77.68
77.69
77.70
77.71
77.72
77.73

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77.74
77.75
77.76
77.77
77.78
77.79
77.80
77.81
77.82
77.83
77.84
77.85
77.86
77.87
77.88
77.89
77.90
77.91
77.92
77.93
77.94
77.95
77.96
77.97
77.98
77.99
78.00
78.01
78.02
78.03
78.04
78.05
78.06
78.07
78.08
78.09
78.10
78.11
78.12
78.13
78.14
78.15
78.16
78.17
78.18
78.19
78.20
78.22

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78.23
78.24
78.25
78.27
78.28
78.29
78.30
78.32
78.33
78.34
78.35
78.37
78.38
78.39
78.40
78.41
78.42
78.43
78.44
78.45
78.46
78.47
78.48
78.49
78.50
78.51
78.52
78.53
78.54
78.55
78.56
78.57
78.58
78.59
78.60
78.61
78.62
78.63
78.64
78.65
78.66
78.67
78.70
78.71
78.72

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78.73
78.74
78.75
78.76
78.77
78.78
78.79
78.80
78.81
78.82
78.83
78.84
78.85
78.86
78.87
78.88
78.89
78.90
78.91
78.92
78.93
78.94
78.95
78.96
78.97
78.98
78.99
79.80
79.81
79.82
79.83
79.84
79.85
79.86
79.87
79.88
79.89
80.50
80.51
80.52
80.59
80.6
80.70
80.71
80.72
80.73
80.74

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80.75
80.76
80.77
80.78
80.79
80.80
80.81
80.82
80.83
80.84
80.85
80.86
80.87
80.88
80.89
81.00
81.01
81.02
81.03
81.04
81.05
81.06
81.07
81.08
81.09
81.11
81.12
81.13
81.14
81.15
81.16
81.17
81.20
81.21
81.22
81.23
81.24
81.25
81.26
81.27
81.28
81.29
81.40
81.42
81.43
81.44
81.45
81.46
81.47
81.49

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81.51
81.52
81.53
81.54
81.55
81.56
81.57
81.59
81.71
81.72
81.73
81.74
81.75
81.79
81.80
81.81
81.82
81.83
81.84
81.85
81.93
81.94
81.95
81.96
81.97
81.98
81.99
82.01
82.02
82.03
82.09
82.11
82.12
82.19
82.21
82.22
82.29
82.31
82.32
82.33
82.34
82.35
82.36
82.39
82.41
82.42
82.43
82.44
82.45
82.46

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82.51
82.52
82.53
82.54
82.55
82.56
82.57
82.58
82.59
82.61
82.69
82.71
82.72
82.79
82.81
82.82
82.83
82.84
82.85
82.86
82.89
82.91
82.99
83.01
83.02
83.03
83.09
83.11
83.12
83.13
83.14
83.19
83.29
83.31
83.32
83.39
83.41
83.42
83.43
83.44
83.45
83.49
83.61
83.62
83.63
83.64
83.65
83.71
83.72

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83.73
83.74
83.75
83.76
83.77
83.79
83.81
83.82
83.83
83.84
83.85
83.86
83.87
83.88
83.89
83.91
83.92
83.93
83.99
84.00
84.01
84.02
84.03
84.04
84.05
84.06
84.07
84.08
84.09
84.10
84.11
84.12
84.13
84.14
84.15
84.16
84.17
84.18
84.19
84.21
84.22
84.23
84.24
84.25
84.26
84.27
84.28
84.29
84.3
84.40

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84.44
84.48
84.91
84.92
84.93
84.99
85.0
85.12
85.20
85.21
85.22
85.23
85.24
85.25
85.31
85.32
85.33
85.34
85.35
85.36
85.41
85.42
85.43
85.44
85.45
85.46
85.47
85.48
85.50
85.53
85.54
85.6
85.7
85.82
85.83
85.84
85.85
85.86
85.87
85.89
85.93
85.94
85.95
85.96
85.99
86.06
86.07
86.09
86.21
86.3

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86.4
86.60
86.61
86.62
86.63
86.65
86.66
86.67
86.69
86.70
86.71
86.72
86.73
86.74
86.75
86.81
86.82
86.83
86.84
86.85
86.86
86.89
86.91
86.93
88.50
88.51
88.52
88.53
88.54
88.55
88.56
88.57
88.58
88.60
88.61
88.62
88.63
88.64
88.65
88.66
88.67
88.68
88.71
88.72
88.73
88.74
88.75
88.76
88.77
88.78

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88.79
88.81
88.82
88.83
88.84
88.85
88.86
88.89
88.90
88.91
88.92
88.93
88.94
88.95
88.97
88.98
89.01
89.02
89.03
89.04
89.05
89.06
89.07
89.08
89.09
89.10
89.11
89.12
89.13
89.14
89.15
89.16
89.17
89.18
89.19
89.21
89.22
89.23
89.24
89.25
89.26
89.29
89.31
89.32
89.33
89.34
89.35
89.36
89.37

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89.38
89.39
89.41
89.42
89.43
89.44
89.45
89.46
89.47
89.48
89.50
89.51
89.52
89.53
89.54
89.55
89.56
89.57
89.58
89.59
89.61
89.62
89.63
89.64
89.65
89.66
89.67
89.68
89.69
89.7
89.8
90.01
90.02
90.03
90.04
90.05
90.06
90.09
90.11
90.12

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90.13
90.14
90.15
90.16
90.19
90.21
90.22
90.23
90.24
90.25
90.26
90.29
90.31
90.32
90.33
90.34
90.35
90.36
90.39
90.41
90.42
90.43
90.44
90.45
90.46
90.49
90.51
90.52
90.53
90.54
90.55
90.56
90.59
90.61
90.62

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Sheet1
90.63
90.64
90.65
90.66
90.69
90.71
90.72
90.73
90.74
90.75
90.76
90.79
90.81
90.82
90.83
90.84
90.85
90.86
90.89
90.91
90.92
90.93
90.94
90.95
90.96
90.99
91.01
91.02

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91.03
91.04
91.05
91.06
91.09
91.11
91.12
91.13
91.14
91.15
91.16
91.19
91.21
91.22
91.23
91.24
91.25
91.26
91.29
91.31
91.32
91.33
91.34
91.35
91.36

91.39
91.41

Page 52

Sheet1
91.42
91.43
91.44
91.45
91.46
91.49
91.51
91.52
91.53
91.54
91.55
91.56
91.59
91.61
91.62
91.63
91.64
91.65
91.66
91.69
91.71
91.72
91.73
91.74
91.75
91.76
91.79
91.81
91.82
91.83
91.84
91.85

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Sheet1
91.86
91.89
91.91
91.92
91.93
91.94
91.95
91.96
91.99
92.01
92.02
92.03
92.04
92.05
92.09
92.11
92.12
92.13
92.14
92.15
92.16
92.17
92.18
92.19
92.21
92.22
92.23
92.24
92.25
92.26
92.27
92.28
92.29
92.3
93.01
93.02
93.03
93.04
93.05
93.06
93.07
93.08
93.09
93.11
93.12
93.13
93.14

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93.15
93.16
93.17
93.18
93.19
93.21
93.22
93.23
93.24
93.25
93.26
93.27
93.28
93.29
93.31
93.32
93.33
93.34
93.35
93.36
93.37
93.38
93.39
93.41
93.42
93.43
93.44
93.45
93.46
93.51
93.52
93.53
93.54
93.55
93.56
93.57
93.58
93.59
93.61
93.62

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93.63
93.64
93.65
93.66
93.67
93.71
93.72
93.73
93.74
93.75
93.76
93.77
93.78
93.81
93.82
93.83
93.84
93.85
93.89
93.90
93.91
93.93
93.94
93.95
93.96
93.97
93.98
93.99
94.01
94.02
94.03
94.08
94.09
94.11
94.12
94.13
94.19
94.21
94.22
94.23
94.24
94.25
94.26
94.27
94.29

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94.31
94.32
94.33
94.34
94.35
94.36
94.37
94.38
94.39
94.41
94.42
94.43
94.44
94.45
94.46
94.49
94.51
94.52
94.53
94.54
94.55
94.59
94.61
94.62
94.63
94.64
94.65
94.66
94.67
94.68
94.69
95.01
95.02
95.03
95.04
95.05
95.06
95.07
95.09
95.11
95.12
95.13
95.14
95.15
95.16
95.21
95.22
95.23

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95.24
95.25
95.26
95.31
95.32
95.33
95.34
95.35
95.36
95.41
95.42
95.43
95.44
95.45
95.46
95.47
95.48
95.49
96.01
96.02
96.03
96.04
96.05
96.06
96.07
96.08
96.09
96.11
96.14
96.15
96.16
96.17
96.18
96.19
96.21
96.22
96.23
96.24
96.25
96.26
96.27
96.28
96.31
96.32
96.33
96.34
96.35
96.36
96.37
96.38

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96.39
96.41
96.42
96.43
96.44
96.45
96.46
96.47
96.48
96.49
96.51
96.52
96.53
96.54
96.55
96.56
96.57
96.58
96.59
96.6
96.70
96.71
96.72
97.03
97.04
97.05
97.11
97.12
97.13
97.14
97.15
97.16
97.21
97.22
97.23
97.24
97.25
97.26
97.29
97.31
97.32
97.33
97.34
97.35
97.36
97.37
97.38
97.39
97.41

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97.42
97.43
97.49
97.51
97.52
97.53
97.54
97.55
97.56
97.59
97.61
97.62
97.63
97.64
97.65
97.69
97.71
97.72
97.73
97.74
97.75
97.79
97.81
97.82
97.83
97.84
97.85
97.86
97.87
97.88
97.89
98.01
98.04
98.05
98.11
98.12
98.13
98.15
98.16
98.17
98.18
98.19
98.20
98.21
98.22
98.23
98.24
98.25
98.26

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98.27
98.28
98.29
98.51
98.52
98.59
99.00
99.01
99.02
99.03
99.04
99.05
99.06
99.07
99.08
99.09
99.10
99.11
99.12
99.13
99.14
99.15
99.16
99.17
99.18
99.19
99.21
99.22
99.23
99.24
99.25
99.26
99.27
99.28
99.29
99.31
99.32
99.33
99.34
99.35
99.36
99.37
99.38
99.39
99.41
99.42

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99.43
99.44
99.45
99.46
99.47
99.48
99.51
99.52
99.53
99.54
99.55

99.56
99.57
99.58
99.59
99.60
99.61
99.62
99.63
99.64
99.69
99.71
99.72
99.73
99.74
99.79
99.81
99.82
99.83
99.84
99.85

99.86
99.88
99.91
99.92
99.93
99.94
99.95
99.96
99.97

Page 62

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99.98

Page 63

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Kode ICD 9 CM
DIAGNOSA
Cisternal puncture
Ventriculopuncture through previously implanted catheter
Other cranial puncture
Closed (percutaneous) (needle) biosy cerebral
Open biopsy of cerebral meninges
Closed (percutaneous) (needle) biosy of brain
Open biopsy of brain
Biopsy of skull
Other diagnostic procedures on brain and cerebral meninges
Other diagnostic procedures on skull
Incision and drainage of cranial sinus
Removal of intaracranial neurostimulator
Reopening of craniotomy site
Other craniotomy
Other craniectomy
Incision of cerebral meninges
Lobotomy and tractotomy
Other incision of brain
Operations on thalamus
Operations on globus pallidus
Excision of lesion or tissue of cerebral meninges
Hemispherectomy
Lobectomy of brain
Other excision or destruction of lesion or tissue of brain
Excision of lesion of skull
Opening of cranial suture
Elevation of skull fracture fragments
Formation of cranial bane flap
bone graft to skull
Insertion of skull plate
Other cranial osteoplasty
Removal of skull plate
Simple suture of dura mater of brain
Other repair of cerebral meninges
Ligation of meningeal vessel
Choroid plexectomy
Ventriculostomy
Ventricular shunt to structure in head and neck
Ventricular shunt to circulatory system
Ventricular shunt to thoracic cavity
Ventricular shunt to abdominal cavity ang organs
Ventricular shunt to urinary system
Other operations to establish drainage of ventricle
Irrigation of ventricular shunt
Replacement of ventrucular shunt

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Removal of ventricular shunt
Lysis of cortical adhesions
Repair of brain
Implantation of intracranial neurostimulator
Insertion or replacement of skull tongs or halo traction
Removal of skull tongs or halo travtion device
Insertion of sphenoidal electrodes
Other operation on skull
Removal of foreign body from spinal canal
Reopening of laminectomy site
Other exploration and decompression of spinal canal
Division of intraspinal nerve root
Percutaneus chordotomy
Other chordotomy
Spinal tap
Biopsy of spinal cord or spinal meninges
Other diagnostic procedures on spinal cord and spinal
Excision or destruction of lesion of spinal cord or spinal meninges
Repair of spinal meningocele
Repair of spinal myelomeningocele
Repair of vertebral fracture
Other repair and plastic operations on spinal cord
Lysis of adhesions of spinal cord and nerve roots
Spinal subarachnoid-peritoneal shunt
Spinal subarachnoid-ureteral shunt
Other shunt of spinal theca
Injection of destructive agent into spinal canal
Insertion of catheter into spinal canal for infusion
Injection of anesthetic into spinal canal for analgessia
Injection of other agent into spinal canal
Insertion or replacement of spinal neurostimulator
Removal of spinal neurostimulator
Spinal blood patch
Percutaneus denervation of facet
Revision of spinal thecal shunt
Removal of spinal thecal shunt
Other operation on spinal
Incision, division, and excision of cranial
Excision of acoustic neuroma
Division of trigeminal nerve
Division or crushing of other cranial and peripheral
Other incision of cranial and peripheral nerves
Gasserian ganglionectomy
Other cranial or peripheral ganglionectomy
Other excision or avulsion of cranial and peripheral
Diagnostic procedural on peripheral nervous system
Close (percutaneous) (needle) biopsy of cranial or peripheral
Open biopsy of cranial or peripheral nerve or ganglion
Other diagnostic procedures on cranial and peripheral
Destruction of cranial and peripheral nerves

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Suture of cranial and peripheral nerves
Lysis of adhesions and decompression of cranial
Decompression of trigeminal nerve root
Other cranial nerve decompression
Release of carpal tunnel
Release of tarsal tunnel
Other peripheral nerve or ganglion decompression or lysis
Cranial or peripheral nerve graft
Transposition of cranial and peripheral nerves
Other cranial or peripheral neuroplasty
Hypoglossal-facial anastomosis
Accessory-facial anastomosis
Accessory-hypoglossal anastomosis
Other anastomosis of cranial or peripheral nerve
Revision of previous repair of cranial and peripheral nerves
Repair of old traumatic injury of cranial and peripheral
Other neuroplasty
Injection into peripheral nerve
Peripheral nerve injection, NOS
Injection of anesthetic into perpheral nerve for analgesia
Injection of other agent, except neurolytic
Other operations on cranial and peripheral nerves
Neurectatasis
Implantation of replecement of peripheral neurostimulator
Removal of peipheral neurostimulator
Other opertions on cranial
Division of sympathetic nerve ganglion
Diagnostic procedures on sympathetic nerves or ganglia
Biopsy of sympathetic nerve ganglion
Other diagnostic procedures on sympathetic nerves or ganglia
Sympathetomy
Sphenopalatine ganglionectomy
Cervical sympathectomy
lumbar sympathectomy
Presacral sympathectomy
Periarterial sympathectomy
Other sympathectomy and ganglionectomy
Injection into sympathetic nerve or ganglion
Injection of anesthetic into sympathetic neve for analgesia
Injection of neurolytic agent into sympathetic nerve
Other injection into sympathetic nerve ganglion
Other operation on sympathetic nerves or ganglia
Repair of sympathetic nerve or ganglia
Other operation on sympathetic nerves or ganglia
Other operations on nervous system
Incision of thyroid field
Aspiration of thyroid field
Reopening of wound of thyroid field
Other incision of thyroid field
Diagnostic procedures on thyroid and parathyroid glands

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Close (percutaneous) (needle) biopsy of thyroid gland
Open biopsy of thyroid gland
Biopsy of parathyroid gland
Other diagnostic proceres on thyroid and parthyroid glans
Unilateral thyroid lobectomy
Excision of lesion of thyroid
Other partial thyroidectomy
Complete thyroidectomy
Substernal thyroidectomy
Partial subternal thyroidectomy
Complete substernal thyroidectomy
Excision of lingual thyroid
Excision of thyroglossal duct or trac
Complete parathyroidectomy
Other parathyroidectomy
Division of thyroid isthmus
Ligation of thyroid vessels
Suture of thyroid glans
Thyroid tissue reimplatation
Parathyroid tissue reimplantation
Other operation on thyroid glans
Other operations on parathyroid glans
Exploration of adrenal field
Unilateral exploration of adrenal field
Bilateral explaration of adrenal field
Close (percutaneous) (needle) biobsy of adrenal
Open biopsy of adrenal glans
Biopsy of pituitary gland, transfrontal approach
Biopsy of pituitary gland, transsphenoidal approach
Biopsy of pituitary gland, unspecified approach
Biopsy of thymus
Biopsy of pineal gland
Other diagnostic procedures on adrenal glands
Excision of lesion of adrenal gland
Unilateral adrenalectomy
Other partial adrenalectomy
Bilateral adrenalectomy
Incision of adrenal gland
Division of nerves to adrenal glans
Ligation of adrenal vessels
Repair of adrenal gland
Reimplantation of adrenal tissue
Other operations on adrenal glans
Exploration of pinel field
Incision of pinel gland
Partial excision of pineal gland
Total excision of pineal glans
Other operations on pineal gland
Partial excision of pituitary gland
Partial excision of pituitary gland, transsphenoidal

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Partial excision of pituitary gland, unspecified
Total excision of pituitary gland, transfrontal
Total excision of pituitary gland, transsphenoidal approach
Total excision of pituitary gland, other specified appoach
Total excision of pituitary gland, unspecified approach
Exploration of pituitary fossa
Incision of pituitary gland
Other operations on hypophysis
Thymectomy NOS
Patrial excision of thymus
Total excision of thymus
Exploration of thymus field
Incision of thymus
Repair of thymus
Transplantation of thymus
Other operation on thymus
Incision of lid margin
Severing of blepharorrhaphy
Other incision of eyelid
Biopsy of eyelid
Other diagnostic procedures on eyelid
Removal of lesion of eyelid
Excision of chalazion
Excision of other minor lesion of eyelid
Excision of major lesion of eyelid, prtial-thickness
Excision of major lesion of eyelid, full-thickness
Destruction of lesion of eyelid
Repair of blepharoptosis by frontalis muscle
Repair of blepharoptosis by frontalis muscle technigue with fascial sling
Repair of blepharoptosis by resection or advancement of levator
Repair of blepharoptosis by other levator
Repair of blepharoptosis by tarsal
Repair of blepharoptosis by other techniques
Reduction of over correction of ptosis
Correction of lid retraction
Repair of entropion or ectropion by thermocaurization
Repair of entropion or ectropion by suture technique
Repair of entropion or ectropion with wedge resection
Repair of entropion or ectropion with fid recontruction
Other repair of entropion or ectropion
Canthotomy
Blepharorrhaphy
Other canthoplasty NOS
Reconstruction of eyelid with skin flap
Reconstruction of eyelid with mucous
Reconstruction of eyelid with hair follicle graft
Reconstruction of eyelid with tarsoconjuctival
Other reconstruction of eyelid with flaps
Reconstruction of eyelid NOS
Reconctruction of eyelid invloing lid margin

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Other reconstruction of eyelid involving lid margin
Reconstruction of eyelid involving lid margin full
Other reconstruction of eyelid, full-thicknes
Linear repair of leceration of eyelid or eyebrow
Repair of laceration involving lid margin, partial thickness
Other repair of laceration of eyelid, partial-hickness
Repair of laceration involving lid margin, full-thickness
Other repair of laceration of eyelid, full-thickness
Lower eyelid rhytidectomy
Upper eyelid rhytidectomy
Other eyelid repair
Electrosugical epilation of eyelid
Cryosurgical epilation of eyelid
Other epilation of eyelid
Other operation on lacrimal system
Incision of lacrimal gland
Biopsy of lacrimal gland
Biopsy of lacrimal sac
Other diagnostic procedures on lacrimal system
Excision of lacrinal gland, NOS
Excision of lesion of lactimal gland
Other partial dacryoadenectomy
Total dacryoadenectomy
Other operations on lacrimal gland
Probing of lacrimal punctum
Probing of lacrimal canaliculi
Probing of nasolacrimal duct
Intubation of nasolacrimal duct
Other manipulation of lacrimal passage
Incision of lacrimal punctum
Incision of lacrimal canaliculi
Incision of lacrimal sac
Other incision of lacrimal paasages
Excision of lacrimal sac and passage
Correction of everted punctum
Other repair of punctum
Repair of canaliculus
Dacryocystorhinostomy
Conjuctivocystorhinostomy
Conjuctivocystorhinostomy with insertion of tube or stent
Obliteration of lacrimal punctum
Other operations on conjunctiva
Removal of embedded foreign body from conjuntiva
Other incision of conjunctiva
Biopsy of conjunctiva
Other diagnostic procedures on conjunctiva
Excision of lesion or tissue of conjunctive
Destruction of lesion of conjunctiva
Other destructive procedures on conjunctive
Repair of symblepharon with free graft

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Reconstruction of conjunctival cul-de-sac with free graft
Other reconstruction of conjunctival cul-de-sac
Other free graft to conjunctiva
Other conjunctivoplasty
Lysis of adhesions of conjunctive and eyelid
Repair of laceration of conjunctive
Other operations on conjunctiva
Subconjunctival injection
Others
Magnetic removal of embedded foreign body from comea
Incision of comea
Scraping of comea for smear or culture
Biopsy of cornea
Other diagnostic procedures on comea
Other excision of pterygium
Mechanical removal of comeal epithelium
Themocautenzation of comeal lesion
Cryotherapy of comeal lesion
Other removal or destruction of comeal lesion
Suture of comeal laceration
Repair of postoperative wound dehiscence of cornea
Repair of corneal laceration or wound with conjuntival flap
Other repair of cornea
Comeal transplant, NOS
Lamellar keratoplasty with autograft
Other lamellar keratoplasty
Penetrating keratoplasty with autograft
Other penetrating keratoplasty
Other comeal transplant
Keratomileusis
Keratophakia
Keratoprosthesis
Thennokeratoplasty
Radial keratotomy
Epikeratophakia
Other operations on iris, ciliary body, sclera
Tattooing of cornea
Removal of artificial implant from cornea
Other operations operations on cornea
Removal of intraocular foreign body from ant seg of eye, NOS
Removal of intraocular fireign body from ant seg of eye with use of magnet
Removal of intraocular foreign body from ant seg of eye without use of magnet
Iridotomy with transfixion
Other iridotomy
Excision of prolapsed iris
Other iridectomy
Diagnostic aspirtion of ant chamber of eye
Bipsy of iris
Other diagnostic procedures on iris, cliary body
Lysis of goniosynechiae

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Lysis of other ant synechiae
lysis of posterior sysnechiae
lysis of coerneovitreal adhesions
Coreoplasty
Other iridoplasty
Removal of lesion of ant seg of eye NOS
Destruction of lesion of iris, nonexcisional
Excision of lesion of iris
Destruction of lesion of ciliary body, nonexcisional
Excision of lesion of ciliary body
Goniopuncture without goniotomy
Goniotomy without goniopuncture
Goniotomy with goniopuncture
Trabeculotomy ab extemo
Cyciodialysis
Other facilitation of intraocular circulation
Trephination of sclera with indectomy
Thennocauterization of sclera with iridectomy
Indencleisis and iridotasis
Trabeculectomy ab extermo
Other scleral fistulization with indectomy
Postoperative revision of scleral fistulization procedures
Other fistulizing procedure
Cyclodiathermy
Cycllocryottherapy
Cyclophotocoagulation
Diminution of ciliary body, NOS
Other glaucoma procedures
Suture of laceration of sclera
Repair of sclera fistula
Revision of operative wound of ant seg NOS
Excision or destruction of lesion of sclera
Repair of scleral staphyloma with graft
Other repair of scleral staphyloma
Scleral reinforcement with graft
Other operations reinforcement
Other operations on sclera
Therapeutic evacuation of ant chamber
Injection into ant chamber
Removale or destruction of epithefiral downgrowth from
Other operations on iris
Other operations on ciliary body
Other operations on ant chamber
Removal of foreign body from lens NOS
Removal of foreign body from lens with use of magnet
Removal of foreign body from lens without use of magnet
Intracapsular extraction of lens by temporal inf route
Other intracap extraction
Extracap extraction of lens by linear extra technique
Extracap extraction of lens by simple aspiration

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Phaco and aspiration of catarac
Mechaic phacofragment and aspi of catarac
Extracap extraction of lens by temporal infer route
Other extracap extrac of lens
Discission of secondary membra
Excision of secondary membra
Mechanical fragme of secondary membra
Other catarac extraction
Insert of psedophakos NOS
Insert of intra lens prosthesis at time catarac
Secondary insert of intrao lens prosthesis
Removal insert of intrao lens prosthesis
Other oprations on lens
Removal of foreign body from post segment of eye NOS
Removal of foreign body from post segment of eye with use magnet
Removal of foreign body from post segment of eye without use magnet
Destruction of chorioretinal lesion by diathermy
Destruction of chorioretinal lesion by cryottherapy
Destruction of chorioretinal lesion by radiation
Destruction of chorioretinal lesion by implant
Other destruction of chorioretinal lesion
Repair of retinal tear by diathermy
Repair of retinal tear by cryotherapy
Repair of retinal tear by xenon arc photo
Repair of retinal tear by laser photo
Repair of retinal tear by photo of unspec type
Other repair of retinal detac
Scleral buckling with implant
Other scleral buckling
Repair of retinal detac with diathermy
Repair of retinal detac with cryotherapy
Repair of retinal detac with xrnon arc
Repair of retinal detac with laser
Repair of retinal detac with photo
Other repair of retinal detac
Removal of surgically implant material from post seg of eye
Removal of vireous, ant approach
Other removal of vireous
Mechanical vitrectomy by ant appoach
Other mechanical vitrectomy
Injection of vitreous substitute
Other operation on vitreous
Other operations on retina, choroid
Biopsy of extraocular muscle or tendon
Other diagnostic procedures on extra muscles
Recession of one extrao muscle
Advancement of one extrao muscle
Resection of extraocular muscle
Other operations on one extraocular muscle invlov
Lengthening procedure on one extrao muscle

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Shortening procedure on one extrao muscle
Other operations on one extraocular muscle
Operations on two or more extrao muscles involving
Other operations on two or more extra muscles, one or both eyes
Transplantation of extrao muscles
Revision of injury of extra muscles
Repair of injury of extra muscle
Other operation on extraocular muscles and tendons
Orbitotomy with bone flap
Orbitotomy with lateral approach
Other orbitotomy
Removal of penetrating foreign body from eye
Biopsy of eyeball and orbit
Other diagnostic procedures on orbit and eyeball
Removal of ocular contents with synchronous implant into
Other evisceration of eyeball
Enucleation of eyeball synchronous implat into tendon
Enucleation of eyeball with other syncho impalnt
Other enucleation of eyeball
Exenteration of orbital contents
Exenteration of orbit with therapetic removal of orbital bone
Other exenteration of orbit
Secondary insert of ocular implant
Revision and reinsert of ocular implant
Revision of enucleation socket with graft
Other revision of enucleation socket
Secondary graft to exenter cavity
Other revision of exentre cavity
Other secondary procedures after removal of eyeball
Removal of ocular implant
Removal of orbital impalt
Repair of woud of orbit
Repair of rupture of eyeball
Other repair of injury of eyebll or orbit
Excision of lesion of orbit
Excision of lesion of eye, unspecified
Other operations on orbit
Other operations on eyeball
Excision of preauricular sinus
Radical excision of lesion of external ear
Other amputation of external ear
Surgical correction of prominent ear
Reconstruction of external auditory canal
Construction of auricle of ear
Reattachrment of amputated ear
Other plastic repair of external ear
Other operation on external ear
Stapes mobilization
Stapedectomy with incus replacement
Other stapedectomy

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Revision of stapedectomy with incus replacement
Other revision of stapedectomy
Other operations on ossicular chain
Myringoplasty
Type II tympanoplasty
Type III tympanoplasty
Type IV tympanoplasty
Type V tympanoplasty
Revision of tympanoplasty
Other repair of middle ear
incision of mastoid and midlle ear
incision of petrous pyramid air cells
incision of middle ear
biopsy of middle and inner ear
other diagnostic procedures on middle and inner ear
simple mastoidectomy
radical mastoidectomy
other mastoidectomy
excision of lesion of middle ear
other excision of middle ear
fenestration of inner ear
revision of fenestation of inner ear
endolymphatic shunt
injection into inner ear
other incision, excision, and destruction of inner ear
tympanosympathectomy
revision of mastoidectomy
repair of oval and round windows
implantation of electromagnetic hearing device
implantation or replacement of cochlearprosthetic device,single channel
implantation or replacement of cochlearprosthetic device,multiple channel
implantation or replacement of cochlear prosthetic device, single channel
implantation or replacement of cochlear prosthetic device, multiple channel
control of epistaxis by ligation ofethmodial arteries
control of epistaxis by (transratal) ligation of the maxillary artery
control of epistaxis by ligation of the external carotid artery
control of epistaxis by exicison of nasal mucosa
turbinectomy associated with sinusectomy
resection of nose
submucous resection of nasal septum
turbinectomy by diathermy of cryosurgery
fractures of turbinates
other turbinectomy
open reduction of nasal fracture
closure of nasal fistula
total nasal reconstruction
revision rhinoplasty
augmentation rhinoplasty
limited rhinoplasty
other rhinoplasty

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other septoplasty
other repair and plastic operation on nose
other operations on nose
open biopsy of nasal sinus
radical maxilary antrotomy
other external maxillary antrotomy
frontal sinusotomy
frontal sinusectomy
sinusotomy not otherwise specified
ethmoidotomy
sphenoidotomy
incision of multiple nasal sinuses
sinusectomy, not otherwise specified
excision of lesion of maxillary sinus with caldwell-luc
excision of lesion of maxillary sinus with other approach
ethmoidectomy
sphenoidectomy
closure of nasal sinus fistula
other repair of nasal sinus
other operation of nasal sinus
gingivoplasty
excision of dental lesion of jaws
alveoloplasty
open biopsy of tongue
excision or destruction of lesion or tissue of tongue
partial glossectomy
complete glossectomy
radical glossectomy
other repair and plastic operation of tongue
other glossotomy
other operations on tongue
open biopsy of salivary gland or duct
marsupialization of salivary gland cyst
other excision of salivary gland lesion
sialoadenectomy, unspecified
partial sialoadenectomy
complete sialoadenectomy
suture of laceration of salivary gland
closure of salivary fistula
other repair and plastic operations on salivary gland or duct
other operations salivary gland or duct
drainage of face and floor of mouth
incision of palate
biopsy of bony palate
biopsy of uvula and soft palate
local excision or destruction of lesion or tissue of bony palate
wide excision or destruction of lesion or tissue of bony palate
wide excision of lesion of lip
other excision of lesion or tissue of lip
other excision of mouth

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closure of fistula of mouth
repair of cleft lip
full thickness skin graft to lip and mouth
other skin graft to life and mouth
attachment of pedicle or flap graft to lip and mouth
other plastic repair of mouth
suture of laceration of palate
correction of cleft palate
revision of cleft palate repair
other plastic repair of palate
incision of ovula
excision of uvula
repair of uvula
other operation of uvula
incison of mouth, unspecified structure
other operation on oral cavity
incision and drainage of tonsil and peritonsilar structures
biopsy of tonsil and adenoid
other diagnostic procedureson tonsil and adenoids
tonsillectomy without adennoidectomy
tonsillectomy with adennoidectomy
excision of tonsil tag
excision of lingual tonsil
adenoidectomy without tonsillectomy
control of hemmorhage after tosillectomy and adenoidectomy
removal of foreign body from tonsil and adenoid by incision
excision of lesion of tonsil and adenoid
other operations on tonsils and adenoids
pharyngotomy
excision on branchial cleft cyst or vestige
excision or destruction of lesion or tissue of pharynx
cricopharyngeal myotomy
pharyngeal diverticulectomy
pharyngectomy (partial)
other excision or destruction of lesion or tissue of pharynx
plastic operation of pharynx
suture of laceration of pharynx
closure of branchial cleft fistula
closure of other fistula of pharynx
lysis of pharyngeal adhesion
other repair of pharynx
division of glossopharyngeal nerve
other operations on pharynx
Marsupialization of laryngeal cyst
Other excision or destruction of lesion or tissue or larynx
Hemilaryngectomy
Epiglottidectomy
Vocal cordectomy
Other partial laryngectomy
Complete laryngectomy

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Radical laryngectomy
Mediastinal tracheostomy
Other permanent Tracheostomy
Other incision of larynx or trachea
Open biopsy of larynx or trachea
Local excision or destruction of lesion or tissue of trachea
Suture of laceration of larynx
Closure of fistula of larynx
Revision of laryngostomy
Repair of laryngeal fracture
Other repair of larynx
Suture of laceration of trachea
Closure of external fistula of trachea
Closure of other fistula of trachea
Revision of tracheostomy
Reconstruction of trachea and construction of artificial larynx
Other repair and plastic operations of trachea
Division of laryngeal nerve
Lysis of adhesions of trachea or larynx
Tracheoesophangeal fistulization
Other operations on larynx
Other operations on trachea
Other local excision or destruction of lesion or tissue of bronchus
Other excision of bronchus
Plication of emphysematous bleb
Lung volume reduction surgery
Other local excision or destruction of lesion or tissue of lung
Segmental resection of lung
Lobectomy of lung
Complete pneumonectomy
Radical dissection of thoracic structures
Other excision of lung
Incision of bronchus
Incision of lung
Open biopsy of bronchus
Open biopsy of lung
Other diagnostic procedures on lung and bronchus
Thoracoplasty
Other surgical for collapse of lung
Suture of laceration of bronchus
Closure of bronchial fistula
Closure of laceration of lung
Other repair and plastic operations of bronchus
Other repair and plastic operations of lung
Lung transplant
Lung transplantation, not otherwise specified 33.51
Bilatera lung transplantation
Combined heart-lung transplantation
Ligation of bronchus
Puncture of lung

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Other operations on bronchus
Other operations on lung
Incission of chest wall
Exploratory thoracotomy
Reopening of recent thoracotomy site
Incision of mediastinum
Transpleural thoracoscopy
Mediastinoscopy
Open mediastinum biopsy
Biopsy of diaphragm
Other diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm
Other diagnostic procedures on mediastinum
Excision or destruction of lesion or tissue on mediastinum
Excision or destruction of lesion of chest wall
Decortication of lung
Other excision of pleura
Scarification of pleura
Suture of chest wall laceration
Closure of thoracostomy
Closure of other fistula of thorax
Repair of pectus deformity
Other repair of chest wall
Excision of lesion or tissue of diaphragm
Suture of laceration of diaphragm
Closure of fistula of diaphragm
Other repair of diaphragm
Implantation of diaphragmatic pacemaker
Other operations on diaphragm
Thoracentesis
Injection into thoracic cavity
Repair of pleura
Other opraetion on thorax
Closed heart valvotomy, unspecified valve
Closed heart valvotomy, aortic valve
Closed heart valvotomy, mitral valve
Closed heart valvotomy, pulmonary valve
Closed heart valvotomy, tricuspid valve
Open heart valvuloplasty without replacement, unspecified valve
Open heart valvuloplasty of aortic valve without replacement
Open heart valvuloplasty of mitral valve without replacement
Open heart valvuloplasty of pulmonary valve without replacement
Open heart valvuloplasty of tricuspid valve without replacement
Replacement of unspecified heart valve
Replacement of aortic valve with tissue graft
Other replacement of aortic valve
Replacement of mitral valve with tissue graft
Other replacement of mitral valve
Replacement of pulmonary valve with tissue graft
Other replacement of pulmonary valve
Replacement of tricusopid valve with tissue graft

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Other replacement of tricusopid valve
Operations on papillary muscle
Operations on chordae tendineae
Annuloplasty
Influndibulectomy
Operations on trabeculae corneae cordis
Operations on other structures adjacent to valves of heart
Enlargement of existing atrial septal defect
Creation of septal defect in heart
Repair of unspecified septal defect of heart with prothesis
Repair of atrial septal defect with prosthesis, open technique
Repair of atrial septal defect with prosthesis, closed technique
Repair ventricular septal defect with prosthesis
Repair of endocardial cushion defect with prosthesis
Repair of unspecified septal defect of heart with tissue graft
Repair of atrial septal defect with tissue graft
Repair of ventricular septal defect with tissue graft
Repair of endocardial cushion defect with tissue graft
Other and unspecified repair of unspecified septal defect of heart
Other and unspecified repair of atrial septal defect
Other and unspecified repair of ventricular septal defect
Other and unspecified repair of endocardial cushion defect
Total repair of tetralogy of fallot
Total repair of total anomalous pulmonary venous connection
Total repair of truncus arteriosus
Total correction of transposition of great vessels, not otherwise specified
Interatrial transposition of venous return
Creation of conduit between right ventricle and pulmonary artery
Creation of conduit between left ventricle and aorta
Creation of conduit between atrium and pulmonary artery
Revision of corrective procedure on heart
Percutaneous valvuloplasty
Other operations on septa of heart
Other operations on valves of heart
Single vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary
atherectomy without mention of thrombolytic agent
Single vessel percutaneous transluminal coronary angioplasty [PTCA] or coronary
atherectomy with mention of thrombolytic agent
Open chest coronary artery angioplasty
Intracoronary artery thrombolytic infusion
Multiple vessel percutaneous transluminal coronary
Insertion of coronary artery stent(s)
Other removal of coronary artery obstruction
Aortocoronary bypass for heart revascularization, not otherwise specified
Aortocoronary bypass of one coronary artery
Aortocoronary bypass of two coronary arteries
Aortocoronary bypass of three coronary arteries
Aortocoronary bypass of four or more coronary arteries
Single internal Mammary-coronary artery bypass
Double internal Mammary-coronary artery bypass

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Abdominal-coronary artery bypass
Other bypass anastomosis for heart revascularization
Heart revascularization by arterial implant
Other heart revascularization
Repair of aneurysm of coronary vessel
Other operations on vessels of heart
Incision of heart, not otherwise specified
Cardiotomy
Pericardiotomy
Right heart cardiac catheterization
Left heart cardiac catheterization
Combined right and left heart cardiac catheterization
Biopsy of pericardium
Cardiac electrophysiologic stimulation and recording studies
Cardiac mapping
Pericardiectomy
Excision of aneurysm of heart
Excision of destruction on other lesion or tissue of heart
Catheter ablation of lesion or tissues of heart
Partial ventriculectomy
Repair of heart and pericardium
Heart transplantation
Implant of pulsation baloon
Implant of other heart assist system
Replacement and repair of heart assist system
Removal of heart assist system
Implant of external, pulsatile heart assist system
Implant of an implantable, pulsatile heart assist system
Initial insertion of lead [electrode], not otherwise specified
Initial insertion of transvenous lead [electrode] into ventricle
Initial insertion of transvenous leads [electrodes] into atrium
Initial insertion of transvenous lead [electrode] into atrium
Insertion of replacement of epicardial lead [electrode] into epicardium
Revision of lead [electrode]
Replacement of transvenous atrial and/or ventricular lead(s)[electrode]
Removal of lead(s)[electrode] without replacement
Revision or relocation of pacemaker pocket
Insertion of permanent pacemaker, initial or replacement, type of device not specified
Initial insertion of single-chamber device, not specified as rate responsive
Initial insertion of single-chamber device, rate responsive
Initial insertion of dual-chamber device
Replacement of any type of pacemaker device with single-chamber device, not specified
as rate responsive
Replacement of any type of pacemaker device with single-chamber device, rate
responsive
Replacement of any type pacemaker device with dual-chamber device
Revision or removal of pacemaker device
Open chest cardiac massage

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Implantation or replacement of automatic cardioverter/defibrillator, total system [AICD]
Implantation of automatic cardioverter/defibrillator with lead(s) only
Implantation of automatic cardioverter/defibrillator pulse generator only
Replacement of automatic cardioverter/defibrillator with lead(s) only
Replacement of automatic cardioverter/defibrillator pulse generator only
Other oprations on heart and pericardium
Incision of vessel
Incision of vessel, unspecified site
Incision of vessel, intracranial vessels
Incision of vessel, other vesel of head and neck
Incision of vessel, upper limb vessels
Incision of vessel, aorta, abdominal
Incision of vessel, thoracic vessels
Incision of vessel abdominal arteries
Incision of vessel abdominal veins
Incision of vessel, lower limb arteries
Incision of vessel, lower limb veins
Endarterectomy, unspecified site
Endarterectomy intracranial vessels
Endarterectomy other vesel of head and neck
Endarterectomy upper limb vessels
Emdarterectopmy aorta, abdominal
Endarterectomy thoracic vessels
Endarterectomy abdominal arteries
Endarterectomy lower limb arteries
Biopsy of blod vessels
Other diagnostic procedures on blood vessels
Resection of vessel with anastomosis, unspecified site
Resection of vessel with anastomosis intracranial vessels
Resection of vessel with anastomosis other vesel of head and neck
Resection of vessel with anastomosis upper limb vessels
Resectin of vessel with anastomosis aorta, abdominal
Resection of vessel with anastomosis thoracic vessels
Resection of vessel with anastomosis abdominal arteries
Incision of vessel abdominal arteries
Resection of vessel with anastomosis lower limb arteries
Resection of vessel with anastomosis lower limb veins
Resection of vessel with replacement, unspecified site
Resection of vessel with replacement intracranial vessels
Resection of vessel with replacement other vesel of head and neck
Resection of vessel with replacement upper limb vessels
Resectin of vessel with replacement aorta, abdominal
Resection of vessel with replacement thoracic vessels
Resection of vessel with replacement abdominal arteries
Resection of vessel with replacement abdominal veins
Resection of vessel with replacement lower limb arteries
Resection of vessel with replacement lower limb veins
Ligation and stripping of varicose veins, unspecified site
Ligation and stripping of varicose veins, intracranial vessels

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Ligation and stripping of varicose veins, other vesel of head and neck
Ligation and stripping of varicose veins, upper limb vessels
Ligation and stripping of varicose veins, thoracic vessels
Ligation and stripping of varicose veins abdominal veins
Ligation and stripping of varicose veins, lower limb veins
Other excision of vessel, unspecified site
Other excision of vessel intracranial vessels
Other excision of vessel other vesel of head and neck
Other excision of vessel upper limb vessels
Other excision of vessel aorta, abdominal
Other excision of vessel thoracic vessels
Other excision of vessel abdominal arteries
Other excision of vesselabdominal veins
Other excision of vessel lower limb arteries
Other excision of vessel lower limb veins
Interruption of the vena cava
Other surgical occlusion of vessels
Systemic to pulmonary artery shunt
Intra abdominal venous shunt
Other shunt or vascular bypass
Aorta subclavian carotid by pass
Other intra thoracic vascular shunt or by pass
Aorta renal bypass
Aorta -iliac- femoral by pass
Other intra abdomial vascular shunt or by pass
Arteriovenostomy for renal dialysis
Extracranial-intracranial (EC-IC) vascular by pass
Other (peripheral) vascular shunt or bypass
Suture of vessel
Suture of artery
Suture of vein
Control of hemmorhage following vascular surgery
Revision of arteriovenous shunt for renal dialysis
Removal of arteriovenous shunt for renal dialysis
Other revision of vascular procedures
Angioplasty or atherectomy of non-coronary vessel
Clipping of anneurysm
Other repair of aneurysm
Repair of arteriovenous fistula
Re-entry operation (aorta)
Reimplantation of aberrant renal vessel
Repair of blood vessel with tissue
Repair of blood with synthetic patch graft
Repair of blood vessel with unspecified type of patch graft
Other repair of vessel
Extracorporeal circulation and procedure auxialiary to heart
Intraoperative cardiac pacemaker
Extracorporeal membrane oxygenation
Percutaneous cardiopulmonary bypass
Operations on carotid body and other vascula bodies

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Other operations on vessel
Freeing the vessel
Injection of sclerosing agent into vein
Insertion of vessel-to-vessel canula
Replacement of vessel-to-vessel canula
Hemodialysis
Other operations of vessels
Incision of lymphatic structures
Biopsy of lymphatic structures
Other diagnostic procedures on lymphatic structures
Excision of deep cervial lymph node
Excision of internal mammary lymph node
Excision of axillary lymph node
Excision of inguinal lymph node
Simple excision of other lymphatic structure
Regional lymph node excsion
Radical neck dissection, not otherwise specified
Radical neck dissection, unilateral
Radical neck dissection, bilateral
Radical excision of lymph nodes, not otherwise specified
Radical excision of axillary lymph nodes
Radical excision of periaortic lymph nodes
Radical excision of iliac lymph nodes
Radical groin dissection
Radical excision of other lymph nodes
Cannulation of thoracic duct
Fistulization of thoracic duct
Closure of fistula of thoracic duct
Ligation of thoracic duct
Other operations on thoracic duct
Other operations on lymphatic structures
Bone marrow transplant, not otherwise specified
Autologous bone marrow transplant
Allogeneic bone marrow transplant with purging
Allogeneic bone marrow transplant without purging
Autologous hematopoietic stem cell transplant
Allogeneic hematopoietic stem cell transplant
Cord blood stem cell transplant
Autologous hematopoietic stem cell transplant with purging
Allogeneic hematopoietic stem cell transplant with purging
Autologous bone marrow transplant with purging
Splenotomy
Open biopsy of spleen
Marsupialization of splenic cyst
Excision of lesion or tissue of spleen
Partian splenectomy
Total splenectomy
Excision of accessory spleen
Transplantation of spleen
Repair and plastic operations on spleen

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Other operations on spleen
Incision of eshopageal web
Other incision of esophagus
Esophagostomy, not otherwise specified
Cervical esophagostomy
Exteriorization of esopagheal pouch
Other external fistulization of esophagus
Operative esophagoscopy by incision
Open biopsy of esophagus
Local excision of esophageal diverticulum
Local excision of other lesion or tissue of esophagus
Other destruction of lesion or tissue of esophagus
Esophagectomy, not otherwise specified
Partial esophagectomy
Total esophagectomy
Intrathoracic esophagoesophagostomy
Intrathoracic esophagogastrostomy
Intrathoracic esophageal anastomosis with interposition of small bowel
Other intrathoracic esophagoenterostomy
Intrathoracic esophageal anastomosis with interposition of colon
Other intrathoracic esophagocolostomy
Intrathoracic esophageal anastomosis with other interposition
Other intrathoracic anastomosis of esophagus
Antesternal esophagoesophagostomy
Antesternal esophagogastrostomy
Antesternal esophageal anastomosis with interposition of small bowel
Other antesternal esophagoenterostomy
Antesternal esophageal anastomosis with interposition of colon
Other antesternal esophagocolostomy
Antesternal esophageal anastomosis with interposition
Other antesternal anastomosis of esophagus
Esophagomyotomy
Suture of laceration of esophagus
Closure of esophagostomy
Repair of esophageal fistula, not elsewhere classified
Repair of esophageal structure
Production of subcutaneous tunnel without esophageal anastomosis
Other graft of esopagus
Other repair of esopagus
Ligation of esophageal varices
Gastrotomy
Other gastrostomy
Pyloromyotomy
Local excision of other lesion or tissue of stomach
Other destruction of lesion or tissue of stomach
Partial gastrectomy with anastomosis to esophagus
Partial gastrectomy with anastomosis to duodenum
Partial gastrectomy with anastomosis to jejunum
Partial gastrectomy with jejunal transposition
Other partial gastrectomy

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Total gastrectomy with intestinal interposition
Other total gastrectomy
Vagotomy, not otherwise specified
Truncal vagotomy
Highly selective vagotomy
Other selective vagotomy
Transabdominal gastroscopy
Open biopsy of stomach
Dilation of pylorus by incision
Other pyloroplasty
High gastric bypass
Percutaneous [endoscopic] gastrojejunustomy
Other gastroenterostomy
Suture of peptic ulcer, not otherwise specified
Suture of gastric ulcer site
Suture of duodenal ulcer site
Transcatheter embolization for gastric or duodenal bleeding
Other control of hemorrhage of stomach or duodenum
Revision of gastric anastomosis
Suture of laceration of stomach
Closure of gastrostomy
Closure of other gastric fistula
Gastropexy
Esophagogastroplasty
Other procedures for creation of esophagogastric sphincteric competence
Other repair of stomach
Ligation of gastric varices
Intraoperative manipulation of stomach
Other oparations on stomach
Incision of intestine, not otherwise specified
Incision of duodenum
Other incision of small intestine
Incision of large intestine
Transabdominal endoscopy of small intestine
Open biopsy of small intestine
Transabdominal endoscopy of large intestine
Open biopsy of large intestine
Other local excision or destruction of lesion of duodenum
Other destruction of lesion of duodenum
Local excision of lesion or tissue of small intestine, except duodenum
Other destruction of lesion or tissue of small intestine, except duodenum
Excision of lesion or tissue of large intestine
Other destrudtion of lesion of large intestine
Isolation of intestinal segment, not otherwise specified
Isolation of segment of small intestine
Isolation of segment of large intestine
Multiple segmental resection of small intestine
Other partial resection of small intestine
Total removal of small intestine
Multiple segmental resection of large intestine

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Cecectomy
Right hemicolectomy
Resection of transverse colon
Left hemicolectomy
Sigmoidectomy
Other partial excision of large intestine
Total intra-abdominal colectomy
Intestinal anastomosis, not otherwise specified
Small-to-small intestinal anastomosis
Anastomosis of small intensite to rectal stump
Other small-to-large intestinal anastomosis
Large-to-large intestinal anastomosis
Anastomosis to anus
Exteriorization of small intestine
Resection of exteriorized segment of small intestine
Exteriorization of large intestine
Resection of exteriorized segment of large intestine
Colostomy, not otherwise specified
Temporary colostomy
Permanent colostomy
Ileostomy, not otherwise specified
Temporary ileostomy
Continent ileostomy
Permanent ileostomy
Other enterostomy
Revision of intestinal stoma, not otherwise specified
Revision of stoma of small intestine
Repair of pericolostomy hernia
Other revision of stoma of large intestine
Closure of intestinal stoma, not otherwise specified
Closure of stoma of small intestine
Closure of stoma of large intestine
Fixation of intestine, not otherwise specified
Fixation of small intestine to abdominal wall
Other fixation of small intestine
Fixation of large intestine to abdominal wall
Other fixation of large intestine
Suture of laceration of duodenum
Closure of fistula of duodenum
Suture of laceration of small intestine, except duodenum
Closure of fistula of small intestine, except duodenum
Suture of laceration of large intestine
Closure of fistula of large intestine
Other repair of intestine
Intra-abdominal manipulation of intestine, not otherwise specified
Intra-abdominal manipulation of small intestine
Intra-abdominal manipulation of large intestine
Myotomy of sigmoid colon
Myotomy of other parts of colon
Revision of anastomosis of small intestine

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Revision of anastomosis of large intestine
Transplat of intestine
Other operations on intestines
Laparoscopic appendectomy
Other appendectomy
Laparoscopic incidental appendectomy
Other incidental appendectomy
Drainage of appediceal abscess
Appendicostomy
Closure of appendiceal fistula
Other operations on intestines
Proctotomy
Proctostomy
Transabdominal proctosigmoidoscopy
Open biopsy of rectum
Biopsy of perirectal tissue
Radical electrocoagulation of rectal lesion or tissue
Other electrocoagulation of rectal lesion or tissue
Destruction of rectal lesion or tissue by laser
Destruction of rectal lesion or tissue by cryosurgery
Local excision of rectal lesion or tissue
[Endoscopic] polypectomy of rectum
Soave submucosal resection of rectum
Other pull-through resection of rectum
Abdominoperineal resection of rectum
Transsacral rectosigmoidectomy
Anterior resection of rectum with synchronous colostomy
Other anterior resection of rectum
Posterior resection of rectum
Duhamel resection of rectum
Other resection of rectum
Suture of laceration of rectum
Closure of proctostomy
Closure of other rectal fistula
Rectorectostomy
Abdominal proctopexy
Other proctopexy
Other repair of rectum
Incision of perirectal tissue
Excision of perirectal tissue
Incision of rectal stricture
Anorectal myectomy
Repair of perirectal fistula
Other opeartions on rectum and perirectal tissue
Incision of perianal abscess
Other incision of perianal tissue
Excision of perianal skin tags
Other excision of perianal tissue
Anal fistulotomy
Anal fistulectomy

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Biopsy of perianal tissue
Biopsy of anus
Diagnostic procedure on anus and perianal tissue
Destruction of hemorrhoids by cryotherapy
Ligation of hemorrhoids
Excision of hemorrhoids
Other procedures on hemorrhoids
Left lateral anal sphincterotomy
Posterior anal sphincterotomy
Other anal sphincterotomy
Excision of anus
Suture of laceration of anus
Anal cerclage
Closure of anal fistula
Gracilis muscle transplant for anal incontinence
Implantation or revision of artificial anal sphincter
Removal of artificial anal sphincter
Other repair of anal sphincter
Incision of anal spectum
Insertion of subcutaneous electrical anal stimulator
Other incision of anus
Reduction of anal prolapse
Control of (postoperative) hemorrhage of anus
Other operations on anus
Closed (percutaneus/needle) biopsy of liver
Open biopsy of liver
Other diagnostic procedures on liver
Marsupialization of lesion of liver
Partial hepatectomy
Other destruction of lesion of liver
Lobectomy of liver
Total hepatectomy
Auxiliary liver transplant
Other transplant of liver
Closure of leceration of liver
Other repair of liver
Extracorporeal hepatic assistance
Other opeartions on liver
Percutaneus aspiration of gall bladder
Trocar cholecystotomy
Other cholecystotomy
Other cholecystostomy
Open biopsy of gallbladder or bile ducts
Other diagnostic procedures on biliary tract
Other partial cholecystectomy
Cholecystectomy
Laparoscopic cholecystectomy
Laparoscopic partial cholecystectomy
Anastomosis of gallbladder to hepatic ducts
Anastomosis of gallbladder to intestine

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Anastomosis of gallbladder to pancreas
Anastomosis of gallbladder to stomach
Other gallbladder anastomosis
Choledochoenterostomy
Anastomosis of hepatic duct to gastrointestinal tract
Other bile duct anastomosis
Common duct exploration for removal of calculus
Common duct exploration for relief of other obstruction
Insertion of choledochohepatic tube for decompression
Incision of other bile ducts for relief of obstruction
Exploration of common duct
Incision of other bile duct
Excision of cystic duct remnant
Excision of ampullaof Vater (with reimplantation of common duct)
Other excision of common duct
Excision of other bile duct
Simple suture of common bile duct
Choledochoplasty
Repair of other bile ducts
Dilation of sphincter of Oddi
Pancreatic sphincterotomy
Pancreatic sphincteroplasty
Other operations on sphincter of Oddi
Repair of laceration of gallbladder
Closure of cholecystostomy
Closure of other biliary fistula
Revision of anastomosis of biliary tract
Removal of prosthetic device from bile duct nonoperative removal (97.55)
Other opeartions on biliary tract
Drainage of pancreatic cyst by catheter
Other pancreatotomy
Opern biopsy of pancreas
Other diagnostic procedures of pancreas
Other excision or destruction of lesion or tissue of pancreas or pancreatic duct
Marsupialization of pancrteatic cyst drainage of cyst by catheter (52.01)
Internal drainage of pancreatic cyst
Proximal pancreatectomy
Distal pancreatectomy
Radical subtotal pancreatectomy
Other partial pancreatectomy
Total pancreatectomy
Radical pancreaticoduodenectomy
Pancreatic transplant, not otherwise specified
Reimplantation of pancreatic tissue
Homotransplant of pancreas
Heterotranplant of pancreas
Autotransplantation of cells of islets of Langerhans
Allotransplantation of cells of islets of Langerhans
Transplantation of cells of islets of Langerhans
Cannulation of pancreatic dust

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Other repair of pancreas
Anastomosis of pancreas
Endoscopic insertion of nasopancreatic drainage tube
Other opeartions on pancreas
Unilateral repair of inguinal hernia, not otherwise specified
Repair of direct inguinal hernia
Repair of indirect inguinal hernia
Repair of direct inguinal hernia with graft or prosthesis
Repair of indirect inguinal hernia with graft or prosthesis
Repair of inguinal hernia with graft or prosthesis, not otherwise specified
Bilateral repair of inguinal hernia, not otherwise specified
Bilateral repair of direct inguinal hernia
Bilateral repair of indirect inguinal hernia
Bilateral repair of inguinal hernia, one direct and one indirect
Bilateral repair of direct inguinal hernia with graft or prosthetis
Bilateral repair of indirect inguinal hernia with graft or prosthesis
Bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis
Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified
Unilateral repair of femoral hernia with graft or prosthesis
Other unilateral femoral herniorraphy
Bilateral repair of femoral hernia with graft of prosthesis
Other bilateral femoral herniorraphy
Repair of umbilical hernia with prosthesis
Other umbilical herniorraphy
Incisional hernia repair
Repair of other hernia of anterior abdominal wall
Incisional hernia repair with prosthesis
Repair of other hernia of anterior abdominal wall with prosthesis
Repair of diaphragmatic hernia, abdominal approach
Repair of diaphragmatic hernia with thoracic approach, not otherwise specified
Plication of the diaphagm
Repair of parasternal hernia
Other hernia repair
Incision of abdominal wall
Exploratory laparotomy
Reopening of recent laparotomy site
Other laparotomy
Laparoscopy
Biopsy of peritoneum
Other diagnostic procedures of abdominal region
Excision or destruction of lession or tissue of abdominal wall or umbilicus
Excision or destruction of peritoneal tissue
Laparoscopic lysis of peritoneal adhesions
Other lysis of peritoneal adhesions
Reclosure of postoperative disruption of abdominal wall
Delayed closure of granulating abdominal wound
Other suture of abdominal wall
Suture of peritoneum
Repair of gastroschisis
Other repair of abdominal wall

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Other repair of peritoneum
Other repair of omentum
Other repair of mesentery
Removal of foreign body from peritoeal cavity
Creation of cutaneoperitoneal fistula
Creation of peritoneovascular shunt
Incision of pertoneum
Injection of air into peritoneal cavity
Injection of locally acting therapeutic substance into peritoneal cavity
Peritoneal dialysis
Abdominal region operation
Nephrotomy
Nephrostomy
Percutaneous nephrostomy without fragmentation
Percutaneous nephrostomy with fragmentation
Pyelotomy
Pyelostomy
Open biopsy of kidney
Other diagnostic procedures on kidney
Marsupialization of kidney lesion
Other local destruction or exicion of renal lesion or tissue
Partial nephrectomy
Nephroureterectomy
Nephrectomy of remaininmg kidney
Removal of transplanted or rejected kidney
Bilateran nephrectomy
Renal autotransplantation
Other kidney transplantation
Nephropexy
Suture of laceration of kidney
Closure of nephrostomy and pyelostomy
Closure of other fistula of kidney
Reduction of torsion of renal pedicle
Symphysiotomy for horseshoe kidney
Anastomosis of kidney
Correction of ureteropelvic junction
Other repair of kidney
Decapsulatiojn of kidney
Inplantation of replacement of mecanical kidney
Removal of mecanical kidney
Other operations on kidney
Transurethral removal of obstruction from ureter and renal pelvis
Ureteral meatotomy
Ureterotomy
Ureteroscopy
Closed percutaneous biopsy of ureter
Closed endoscopic biopsy of ureter
Open biopsy of ureter
Endoscopy (cystoscopy)(looposcopy) of ileal conduit
Other diagnostic prosedures on ureter

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Ureterectomy, nor otherwise specified
Partial ureterectomy
Total ureterectomy
Formation of cutaneous uretero-ileostomy
Revision of cutaneous uretero-ileostomy
Formation of other cutaneous ureterostomy
Revision of other cutaneous ureterostomy
Urinary diversion to intestine
Revision of ureterointestinal anastomosis
Nephrocystanastomosis, not otherwise specified
Ureteroneocystostomy
Transureteroureterostomy
Other anastomosis or bypass of ureter
Lysis of intraluminal adhesions of ureter
Suture of laceration of ureter
repair of ureter, Closure of ureterostomy
Closure of other fistula of ureter
Ureteropexy
Removal of ligature from ureter
Other repair of ureter
Implantation of electronic ureteral smulator
Replacement of electronic ureteral smulator
Removal of electronic ureteral smulator
Ligation of ureter
Other operations on ureter
Transurethral clearance of bladder
Lysis of intraluminal adhesions with incision into bladder
Percutaneous cystostomy
Other suprapubic cystostomy
Other cystostomy
Vesicostomy
Revision or closure of vesicostomy
Closed [transurethral] biopsy of bladder
Open biopsy of bladder
Other diagnostic procedures on bladder
Transurethral lysis of intraluminal adhesions
Other transurethral excision or destruction of lesion or tissue of bladder
Excision of urachus
Other excision or destruction of other lesion or tissue of bladder
Partial cystectomy
Radical cystectomy
Other total cystectomy
Sutuire of lacerationof bladder
Closure of cystectomy
Reopair of fistula involving bladder and intensite
Repair of other fistula of bladder
Cystourethroplasty and plasticrepair of bladder neck
Repair of bladder exthropy
Reconstruction of urinary bladder
Other anastomosis of bladder

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Other repair of bladder
Sphincterotomy of bladder
Control of (postoperative) hemorrhage of bladder
Implantation of electronic bladder smulator
Replacement of electronic bladder smulator
Removal of electronic bladder smulator
Other operation on bladder
Urethrotomy
Urethral meatotomy
Biopsy of urethra
Biopsy of periurethral tissue
Other diagnostic procedures on urethra and periurethral tissue
Endoscopic excision or destruction of lesion or tissue of urethra
Other local excision or destruction of lesion or tissue of urethra
Suture of laceration of urethra
Repair of urethra, Closure of urethrostomy
Closure of other fistula of urethra
Reanastomisis of urethra
Repair of hypospadias or epispadias
Other reconstruction of urethra
Urethral meatoplasty
Other repair of urethra
Release of urethral stricture
Incision of periurethral tissue
Excision of periurethral tissue
Implantation of artificial urinary sphincter [AUS]
Other operation on urethra and periurethral tissue
Retroperitoneal dissection, not otherwisespecified
Other lysis of perirenal or periureteral adhesions that by laparoscope (59.03)
Laparoscopic lysis of perirenal or periureteral adhesions
Other incision of perirenal or periureteral tissue
Other lysis of perivesical adhesions
Laparoscopic lysis of perivesical adhesions
Other incisionof of |perivesical tissue
Biopsy of perirenal and perivesical tissue
Other Diagnostic procedures on perirenal tissue, perivesical tissue, and retroperitoneum
Plication of urethrovesical junction
Suprapubic sling operation
Rethropubic urethral suspension
Paraurethral suspension
Levator muscle operation for urethrovesical suspension
Injection of implant intourethra and/or bladder neck
Repair of urinary incontinence
Excision of perirenal or perivesical tissue
Other operations on perirenal or perivesical tissue
Ultrasonic fragmentation of urinary stones
incision of prostate
Closed [percutaneous][needle] biopsy of prostate Aproach: transrectal transurethral,
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open biopsy of prostate
Closed [percutaneous] biopsy of seminal vesicles, needle biopsy of seminal vesicles
open biopsy of seminal vesicles
biopsy of periprostatic tissue
other diangnostic procedures on prostate and periprostatic tissue
other diagnostic procedures on seminal vesicles
transurethral (ultrasound) guided laser induced prostatectomy
other transurethral prostatectomy
suprapubic prostatectomy
retropubic prostatectomy
radical prostatectomy
local excision of lesion of prostate
perineal prostatectomy
prostatectomy
inscision of seminal vesicle
excision of seminal vesicle
other operations of seminal vesicle
inscision of periprostatic tissue
excision of periprostatic tissue
repair of prostate
control of (postoperative)hemorrhage of prostate
transurethral balloon dilation of the prostatic urethra
transurethral destruction of the prostate tissue by other thermothe
Operation of prostate
inscision and drainage of scrotum and tunica vaginalis
excision of hydrocele (of tunica vaginalis)
excision or destruction of lesion or tissue of scrotum
suture of laceration of scrotum and tunica vaginalis
repair of scrotal fistula
other repair of scrotum and tunica vaginalis
excision of lesion of tunica vaginalis other than hydrocele
other operation on scrotum and tunica vaginalis
inscision of testis
open biopsy of testis
other diagnostic procedures on testes
excision or destruction of testicular lesion
unilateral orchiectomy
removal of both testis
removal of remaining testis
orchiopexy
suture of laceration of testis
other repair of testes
insertion of testicular prosthesis
other operations on testes
other diagnostic procedures on spermatic cord, epididymis or vas deferens
excision of varicocele and hydrocele of spermatic cord
excision of cysst of epididymis
excision of other lesion or tissue of spermatic cord and epididymis
epididymectomy
repair of spermatic cord and epididymis

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suture of laceration of spermatic cord and epididymis
reduction of torsion of testis of spermatic cord
transplantation of spermatic cord
other repair of spermatic cord and epididymis
vasotomy
Ligation of vas deferens
Ligation of spermatic cord
Vasectomy
Aspiration of spermatocele
suture of laceration of vas deferens and epididymis
reconstruction of surgically divided vas deferens
epididymotomy
removal of ligature from vas deferens
removal of valve from vas deferens
other repair of vas deferens and epididymis
epididiotomy
incision of spermatic cord
lysis of adhesions of spermatic cord
insertion of valve in vas deferens
other operation on spermatic cord/epididymis/vas deferens
circumcision
biopsy of penis
local excision or destruction of lesion of penis
amputation of penis
suture of laceration of penis
release of chordee
construction of penis
reconstruction of penis
replantation of penis
other repair of penis
operations for sex transformation, not elsewhere classified
incision of penis
division of penile adhesions
removal of internal prosthesis of penis
insertion or replacement of non inflatable penil prosthesis
other operation on penis
other operation on male genital organ
laparoscopic oophorotomy
other oophorotomy
aspiration biopsy of ovary
other biopsy of ovary
laparoscopic biopsy of ovary
other laparoscopic diagnostic procedures on ovaries
other diagnostic procedures on ovaries
marsupalization of ovarian cyst
wedge resection of ovary
laparoscopic marsupaliazation of ovarian cyst
laparoscopic wedge resection of ovary
other laparoscopic local excision or destruction of ovary
other local excision or destruction of ovary

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laparoscopic unilateral oophorectomy
other unilateral oophorectomy
laparoscopic unilateral salpingo -oophorectomy
other unilateral salpingo-oophorectomy
other removal of both ovaries at same operative prosedur
other removal remaining ovary
laparoscopic removal of both ovaries at same
laparoscopic removal of remaining ovary
other removal of both ovaries and tubes at same operative episode
other removal of remaining ovary and tube
laparoscopic removal of both ovaries and tubes at same operative episode
laparoscopic removal of remaining ovary
other simple suture of ovary
other reimplantation of ovary
other salpingo-oophoroblasty
laparoscopic simple suture of ovary
laparoscopic reimplantation of ovary
laparoscopic salpingo-oophoroplasty
other repair of ovary
laparoscopic lysis of adhesion of ovary
other lysis of adhesion of ovary and fallopian tube
aspiration of ovary
transplantation of ovary
manual rupture of ovarian cyst
ovarian denervation
release of torsion of ovary
other operation on ovary
salpingotomy
salpingostomy
biopsy of falopian tube
other diagnostic procedures on fallopian tubes
bilateral endoscopic ligation and crushing of fallopian tubes
bilateral endoscopic destruction or occlusion of fallopian tubes''
other bilateral endoscopic destruction or occlusion of fallopian tubes
other bilateral ligation and crushing of fallopian tubes
other bilateral ligation and division of fallopian tubes
other bilateral destruction or occlusion of fallopian tubes
total unilateral salpingectom
removal bothi fallopian tubes at same operative episode
removal of remaining fallopian tube
excision or destruction of lesion of fallopian tube
salpingectomy with removal of tubal pregnancy
bilateral partial salpingectomy, not otherwise specified
other partial salpingectomy
simple suture of falopian tube
salpingo-oophorostomy
salpingo-salpingostomy
salpingo-uterostomy
other repair of allopian tube
Dilation of cervical canal

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unilateral destruction or occlusion of fallopian tube
implantation or replacement of protsthesis of fallopian tube
removal of prosthesis of fallopian tube
insufflation of therapeutic agent into fallopian tubes
dilation of fallopian tubes
burying of fimbriae in uterine wall
other operations on fallopian tubes
Dilation of cervical canal
endocervical biopsy
other cervical biopsy
other diagnostic procedures on cervix
Conization of cervix
marsupalization of cervical cyst
destruction of lesion of cervix by cauterization
destruction of lesion of cervix by cryosurgery
other excision or destruction of lesion or tissue of cervix
transabdominal cerclage of cervix
amputation of cervix
repair of internal cervical os
suture of laceration of cervix
repair of fistula of cervix
other repair of cervix
Hysterotomy
Hysteroscopy
open biopsy of uterus
open biopsy of uterine ligaments
closed biopsy of uterine ligaments
closed biopsy of uterus
other diagnostic procedures on uterus and supporting stuctures
division of endometrial synnechiae
incision or excision of congenital septum of uterus
endometrial ablation
other excision or destruction of lesion or tissue of uterus
subtotal abdominal hysterectomy
total abdominal hysterectomy
vaginal hysterectomy
laparoscopically assisted vaginal hysterectomy (LAVH)
other vaginal hysterectomy
radical abdominal hysterectomy
radical vaginal hysterectomy
pelvic evisceration
other and unspecified hysterectomy
dilation and curettage for termination of pregnancy
dilation and curettage following delivery or abortion
other dilation and curettage
other excision or destruction of lesion or tissue of uterus and supporting structures
interposition operation
other uterine suspension
vaginal repair of chronic inversion of uterus
other repair of uterus and supporting structures

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paracervical uterine denervation
uterine repair
suture of laceration of uterus
closure of fistula of uterus
other repair of uterus
aspiration curettage of uterus for termination of pregnancy
aspiration curettage following delivery or abortion
Aspiration curretage of uterus
incision of cervix
removal of other penetrating foreign body from cervix
other operations on supporting structures of uterus
other operations on cervix and uterus
Culdocentesis
Hymenotomy
culdotomy
lysis of intraluminal adhesions of vagina
other vaginotomy
Vaginoscopy
Culdoscopy
biopsy of cul-de-sac
vaginal biopsy
other diagnostic procedures on vagina and cul-de-sac
hymenectomy
Excision/destruction of lesion cul-de-sac
excision or destruction of lesion of vagina
obliteration and total excision of vagina
repair of cystocele
repair of rectocele
vaginal construction and reconstruction
vaginal construction
vaginal reconstruction
suture of laceration of vagina
repair of colovaginal fistula
repair of rectovaginal fistula
repair of other vaginoenteric fistula
repair of other fistula of vagina
hymenorraphy
vaginal suspension and vixation
other repair of vagina
obliteration of vagina vault
other operations on vagina
other operations on cul-de-sac
lysis of vulvar adhesions
other incision of vulva and perineum
Diagnostic procedures on vulva, biopsy of vulva
other diagnostic procedures on vulva
Percutaneous aspiration of Bartholin's gland (cyst)
incision of Bartholin's gland (cyst)
marsupialization of Bartholin's gland (cyst)
excision or other destruction of Bartholin's gland (cyst)

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other operations on Bartholin's gland
other local excision or destruction of vulva and perineum
operations on clitoris
radical vulvectomy
unilateral vulvectomy
bilateral vulvectomy
suture of laceration of vulva or perineum
repair of fistula of vulva or perineum
other repair of vulva and perineum
other operations on vulva
other operations on female genital organs
classical cesarean section
low cervical cesarean section
extraperitoneal cesarean section
removal of extratubal ectopic pregnancy
cesarean section of other specified type
hysterotomy to terminate pregnancy
other cesarean section of unspecified type
Intra-amniotic injection for abortion
diagnostic amnioscentesis
amnioscopy
fetal blood sampling and biopsy
other diagnostic procedures on fetus and amnion
correction of fetal defect
repair of current obstetric laceration of uterus not otherwise specified
repair of current obstetric laceration of cervix
repair of current obstetric laceration of corpus uteri
repair of current obstetric laceration of bladder and urethra
repair of current obstetric laceration of rectum and sphincter ani
repair of other current obstetric laceration Episioperineorrhaphy secondary repair of
episiotomy
evacuation of obstetrical insicional hematoma of perineum
evacuation of other hematoma of vulva or vagina
surgical corrections of inverted uterus
other obstectric operations
sequestrectomy of facial bone
other incision of facial bone reopening of osteotomy site of facial bone
biopsy of facial bone
other diagnostic procedures on facial bones and joints
local excision or destruction of lesion of facial bone
partial mandibulectomy hemimandibulectomy
partial ostectomy of other facial bone hemimaxilectomy
total mandibulectomy with synchronous reconstruction
other total mandibulectomy
other reconstruction of mandible
total ostectomy of other facial bone with synchronous reconstruction
other total ostectomy of other facial bone
other reconsteruction of other facial bone
temporomandibular arthroplasty
closed osteoplasty (ostetomy) of mandibular ramus Gigli saw osteotomy

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open osteoplasty of mandibular ramus
osteoplasty (osteotomy) of body mandible
other orthognathic surgery on mandible mandibular osteoplasty NOS segmental nor
subapical osteotomy
segmental osteoplasty (osteotomy) of maxilla maxillary osteoplasty
total osteoplasty (osteotomy) of maxilla
reduction genioplasty reduction mentoplasty
augmentation genioplasty mentoplasty: NOS with graft or implant
other facial bone repair osteoplasty of facial bone NOS
reudction of facial fracture, not otherwise specified
Closed reduction of malar & zygomatic fracture
open reduction of malar and zygomatic fracture
open reduction of maxillary fracture
Closed reduction of mandibular fracture
Open reduction of mandibular fractur
open reduction of alveolar fracture
Closed reduction of facial fracture
other open reduction of facial fracture
bone graft to facial bone
insertion of synthetic implant in facial bone
Closed reduction of temporomandibular dislocation
open reduction of temporomandibular disloaction
removal of internal fixation device from facial bone
other operations on facial bones and joints
Sequestrectomy, unspecified site
Sequestrectomy, scapula, clavicle, and thorax (ribs and sternum)
Sequestrectomy, humerus
Sequestrectomy, radius and ulna
Sequestrectomy, carpals and metacarpals
Sequestrectomy, femur
Sequestrectomy, patella
Sequestrectomy, tibia and fibula
Sequestrectomy, tarsals and metatarsals
Sequestrectomy, other pelvic bones phalanges (foot/hand) vertebrae
Other incision of bone without division, unspecified site
Other incision of bone without division, scapula, clavicle, and thorax (ribs and sternum)
Other incision
Other incision
Other incision
Other incision
Other incision
Other incision
Other incision
Other incision
vertebrae
Wedge
Wedge
Wedge
Wedge

of
of
of
of
of
of
of
of

bone
bone
bone
bone
bone
bone
bone
bone

osteotomy,
osteotomy,
osteotomy,
osteotomy,

without
without
without
without
without
without
without
without

division,
division,
division,
division,
division,
division,
division,
division,

humerus
radius and ulna
carpals and metacarpals
femur
patella
tibia and fibula
tarsals and metatarsals
other pelvic bones phalanges (foot/hand)

unspecified site
scapula, clavicle, and thorax (ribs and sternum)
humerus
radius and ulna

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Wedge osteotomy, carpals and metacarpals
Wedge osteotomy, femur
Wedge osteotomy, patella
Wedge osteotomy, tibia and fibula
Wedge osteotomy, tarsals and metatarsals
Wedge osteotomy, other pelvic bones phalanges (foot/hand) vertebrae
Other division of bone, unspecified site
Other division of bone, scapula, clavicle, and thorax (ribs and sternum)
Other division of bone, humerus
Other division of bone, radius and ulna
Other division of bone, carpals and metacarpals
Other division of bone, femur
Other division of bone, patella
Other division of bone, tibia and fibula
Other division of bone, tarsals and metatarsals
Other division of bone, other pelvic bones phalanges (foot/hand) vertebrae
Biopsy of bone, unspecified site
Biopsy of bone, scapula, clavicle, and thorax (ribs and sternum)
Biopsy of bone, humerus
Biopsy of bone, radius and ulna
Biopsy of bone, carpals and metacarpals
Biopsy of bone, femur
Biopsy of bone, patella
Biopsy of bone, tibia and fibula
Biopsy of bone, tarsals and metatarsals
Biopsy of bone, other pelvic bones phalanges (foot/hand) vertebrae
bunionectomy with soft tissue correction and osteotomy of the first metatarsal
bunionectomy with soft tissue correction and arthrodesis
other bunionectomy with soft tissue correction
excision or correction of bunionette
repair of hammer toe
repair of claw toe
other excision of lesion or tissue of bone
other bunionectomy
Local excision of lesion or tissue of bone unspecified site
Local excision of lesion or tissue of bone scapula, clavicle, and thorax (ribs and sternum)
Local excision
Local excision
Local excision
Local excision
Local excision
Local excision
Local excision
Local excision
vertebrae
Excision
Excision
Excision
Excision

of
of
of
of

of
of
of
of
of
of
of
of

bone
bone
bone
bone

lesion
lesion
lesion
lesion
lesion
lesion
lesion
lesion
for
for
for
for

or
or
or
or
or
or
or
or

graft,
graft,
graft,
graft,

tissue
tissue
tissue
tissue
tissue
tissue
tissue
tissue

of
of
of
of
of
of
of
of

bone,
bone,
bone,
bone,
bone,
bone,
bone,
bone,

humerus
radius and ulna
carpals and metacarpals
femur
patella
tibia and fibula
tarsals and metatarsals
other pelvic bones phalanges (foot/hand)

unspecified site
scapula, clavicle, and thorax (ribs and sternum)
humerus
radius and ulna

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Excision of bone for graft, carpals and metacarpals
Excision of bone for graft, femur
Excision of bone for graft, patella
Excision of bone for graft, tibia and fibula
Excision of bone for graft, tarsals and metatarsals
Excision of bone for graft, other pelvic bones phalanges (foot/hand) vertebrae
Other partial ostectomy, unspecified site
Other partial ostectomy, scapula, clavicle, and thorax (ribs and sternum)
Other partial ostectomy, humerus
Other partial ostectomy, radius and ulna
Other partial ostectomy, carpals and metacarpals
Other partial ostectomy, femur
Other partial ostectomy, patella
Other partial ostectomy, tibia and fibula
Other partial ostectomy, tarsals and metatarsals
Other partial ostectomy, other pelvic bones phalanges (foot/hand) vertebrae
Total ostectomy, unspecified site
Total ostectomy, scapula, clavicle, and thorax (ribs and sternum)
Total ostectomy, humerus
Total ostectomy, radius and ulna
Total ostectomy, carpals and metacarpals
Total ostectomy, femur
Total ostectomy, patella
Total ostectomy, tibia and fibula
Total ostectomy, tarsals and metatarsals
Total ostectomy, other pelvic bones phalanges (foot/hand) vertebrae
Bone graft, unspecified site
Bone graft, scapula, clavicle, and thorax (ribs and sternum)
Bone graft, humerus
Bone graft, radius and ulna
Bone graft, carpals and metacarpals
Bone graft, femur
Bone graft, patella
Bone graft, tibia and fibula
Bone graft, tarsals and metatarsals
Bone graft, other pelvic bones phalanges (foot/hand) vertebrae
Application of external fixation device, unspecified site
Application of external fixation device, scapula, clavicle, and thorax (ribs and sternum)
Application
Application
Application
Application
Application
Application
Application
Application
vertebrae

of
of
of
of
of
of
of
of

external
external
external
external
external
external
external
external

fixation
fixation
fixation
fixation
fixation
fixation
fixation
fixation

device,
device,
device,
device,
device,
device,
device,
device,

humerus
radius and ulna
carpals and metacarpals
femur
patella
tibia and fibula
tarsals and metatarsals
other pelvic bones phalanges (foot/hand)

Limb shortening procedures, unspecified site


Limb shortening procedures, humerus

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Limb shortening procedures, radius and ulna
Limb shortening procedures, carpals and metacarpals
Limb shortening procedures, femur
Limb shortening procedures, tibia and fibula
Limb shortening procedures, tarsals and metatarsals
Limb shortening procedures, other pelvic bones phalanges (foot/hand) vertebrae
Limb lighthening procedures, unspecified site
Limb lighthening procedures, humerus
Limb lighthening procedures, radius and ulna
Limb lighthening procedures, carpals and metacarpals
Limb lighthening procedures, femur
Limb lighthening procedures, tibia and fibula
Limb lighthening procedures, tarsals and metatarsals
Limb lighthening procedures, other pelvic bones phalanges (foot/hand) vertebrae
Other repair or plastic operations of bone, unspecified site
Other repair or plastic operations of bone, scapula, clavicle, and thorax (ribs and sternum)
Other repair
Other repair
Other repair
Other repair
Other repair
Other repair
Other repair
Other repair
vertebrae

or
or
or
or
or
or
or
or

plastic
plastic
plastic
plastic
plastic
plastic
plastic
plastic

operations
operations
operations
operations
operations
operations
operations
operations

of
of
of
of
of
of
of
of

bone,
bone,
bone,
bone,
bone,
bone,
bone,
bone,

humerus
radius and ulna
carpals and metacarpals
femur
patella
tibia and fibula
tarsals and metatarsals
other pelvic bones phalanges (foot/hand)

internal fixation of bone without fracture reduction, unspecified site


internal fixation of bone without fracture reduction, scapula, clavicle, and thorax (ribs and
sternum)
internal fixation of bone
internal fixation of bone
internal fixation of bone
internal fixation of bone
internal fixation of bone
internal fixation of bone
Internal fixation of bone
Internal fixation of bone
vertebra, bone graft

without fracture
without fracture
without fracture
without fracture
without fracture
without fracture
without fracture
without fracture

reduction,
reduction,
reduction,
reduction,
reduction,
reduction,
reduction,
reduction,

humerus
radius and ulna
carpals and metacarpals
femur
patella
tibia and fibula
tarsal/metatarsal
other, pelvic bones, phalanges,

Removal of implanted devices from bone, unspecified site


Removal of implanted devices from bone, scapula, clavicle, and thorax (ribs and sternum)
Removal of implanted devices from bone, humerus
Removal of implanted devices from bone, radius and ulna
Removal of implanted devices from bone, carpals and metacarpals
Removal of implanted devices from bone, femur
Removal of implanted devices from bone, patella
Removal of implanted devices from tibia/fibula
Osteoclasis, unspecified site
Osteoclasis, scapula, clavicle, and thorax (ribs and sternum)
Osteoclasis, humerus

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Osteoclasis, radius and ulna
Osteoclasis, carpals and metacarpals
Osteoclasis, femur
Osteoclasis, patella
Osteoclasis, tibia and fibula
Osteoclasis, tarsals and metatarsals
Osteoclasis, other pelvic bones phalanges (foot/hand) vertebrae
Diagnosis procedures on bone, not elsewhere classified, unspecified site
Diagnosis procedures on bone, not elsewhere classified, scapula, clavicle, and thorax (ribs
and sternum)
Diagnosis procedures on
Diagnosis procedures on
Diagnosis procedures on
Diagnosis procedures on
Diagnosis procedures on
Diagnosis procedures on
Diagnosis procedures on
Diagnosis procedures on
(foot/hand) vertebrae

bone,
bone,
bone,
bone,
bone,
bone,
bone,
bone,

Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
Insertion
graft

stimulator
stimulator
stimulator
stimulator
stimulator
stimulator
stimulator
stimulator
stimulator
stimulator

of
of
of
of
of
of
of
of
of
of

bone
bone
bone
bone
bone
bone
bone
bone
bone
bone

growth
growth
growth
growth
growth
growth
growth
growth
growth
growth

not
not
not
not
not
not
not
not

elsewhere
elsewhere
elsewhere
elsewhere
elsewhere
elsewhere
elsewhere
elsewhere
into
into
into
into
into
into
into
into
into
into

classified,
classified,
classified,
classified,
classified,
classified,
classified,
classified,

humerus
radius and ulna
carpals and metacarpals
femur
patella
tibia and fibula
tarsals and metatarsals
other pelvic bones phalanges

unspecified bone
scapula, clavicula, and thorax
humerus
radius and ulna
carpals and metacarpals
femur
patella
tibia and fibula
tarsals and metatarsals
other, pelvic bones, phalanges, vertebrae, bone

open reduction of dislocation unspecified site


open reduction of dislocation of shoulder
open reduction of dislocation of elbow
open reduction of dislocation of wrist
open reduction of dislocation of hand and finger
open reduction of dislocation of hip
open reduction of dislocation of knee
open reduction of dislocation of ankle
open reduction of dislocation of foot and toe
open reduction of dislocation of other specified site
excision or destruction of intervertebral disc
excision of intervertebral disc
Intervertebral chemonucleolysis
other destruction of intervertebral disc
excision of semilunar cartilage of knee
Synovectomy of unspecified site
Synovectomy of shoulder
Synovectomy of elbow
Synovectomy of wrist
Synovectomy of hand and finger

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Synovectomy of hip
Synovectomy of knee
Synovectomy of ankle
Synovectomy of foot and toe
Synovectomy of other specified sites, spine
Other local excision or destruction of lesion of joint of unspecified site
Other local excision or destruction of lesion of joint of shoulders
Other local excision or destruction of lesion of joint of elbows
Other local excision or destruction of lesion of joint of wrists
Other local excision or destruction of lesion of joint of hand and fingers
Other local excision or destruction of lesion of joint of hips
Other local excision or destruction of lesion of joint of knees
Other local excision or destruction of lesion of joint of ankles
Other local excision or destruction of lesion of joint of foot and toes
Other local excision or destruction of lesion of joint of other specified sites, spines
spinal fusion, not elsewhere specified
atlas axis spinal fusion
other cervical fusion, anterior technique
other cervical fusion, posterior technique
dorsal and dorsolumbar fusion, anterior technique
dorsal and dorsolumbar fusion, posterior technique
lumbar and lumbosacral fusion, anterior technique
lumbar and lumbosacral fusion, lateral transverse process technique
lumbar and lumbosacral fusion, posterior tecnique
refusion of spine, any level or technique
ankle fusion
triple arthrodesis
subfalar fusion
midtarsal fusion
tarsometatarsal fusion
metatarsophalangeal fusion
other fusion of foot
arthrodesis of unspecified joint
arthrodesis of hip
arthrodesis of knee
arthrodesis of shoulder
arthrodesis of elbow
carporadial fusion
metacarpocarpal fusion
metacarpophalangeal fusion
interphalangeal fusion
arthrodesis of other specified joints
repair of hip, not elsewhere classified
five-in-one repair of knee
triad knee repair
patellar stabilization
other repair of the cruciate ligaments
other repair of the colateral ligaments
other repair of knee
other repair of ankle

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total hip replacement
partial hip replacement
replacement of prolapsed umbilical cord
total knee replacement
revision of knee replacement
total ankle replacement
replacement of joint of foot and toe
revision of joint replacement of lower extremity, not elsewhere classified
arthroplasty of metacarpophalangeal and interphalangeal joint with implant
arthroplasty of metacarpophalangeal and interphalangeal joint without implant
total wrist replacement
arthroplasty of carpocarpal or carpometacarpal joint with implant
arthroplasty of carpocarpal or carpometacarpal joint without implant
other repair of hand, finger and wirst
total shoulder replacement
partial shoulder replacement
repair of recurrent dislocation of shoulder
other repair of shoulder
total elbow replacement
other repair of elbow
suture of capsule or ligament of upper extremity
suture of capsule or ligament of ankle and foot
suture of capsule or ligament of other lower extremity
other repair of joint
revision of joint replacement of upper extremity
other diagnostic procedures on joint structures
other operations on joint structures
exploration of tendon sheath of hand
myotomy of hand
bursotomy of hand
other incision of soft tissue and hand
tenotomy of hand
fasciotomy of hand
other division of soft tissue of hand
excision of lesion of tendon sheath of hand
excision of other lesion of tendon sheath (wrist)
excision of other lesion of soft tissue of hand
bursectomy of hand
excision of tendon of hand for graft
other tenonectomy of hand
excision of muscle or fascia of hand for graft
other fasciectomy of hand
other myectomy of hand
other excision of soft tissue and hand
suture of tendon sheath of hand
delayed suture of flexor tendon of hand
delayed suture of other tendon of hand
other suture of flexor tendon of hand
other suture of other tendon of hand
suture of muscle or fascia of hand

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Transplantation of muscle and tendon of hand advancement of tendon of hand
recession of tendon of hand
reattachment of tendon of hand
reattachment of muscle and hand
other change in hand muscle or tendon length
other hand tendon transfer or transplantation
other hand tendon transposition
other hand muscle transfer or transplantation
other muscle transposition
poliization operation carrying over nerves and blood supply
other reconstruction of thumbs
tendon pulley reconstruction
plastic operation on hand with graft of muscle or fascia
plastic operation on hand with other graft or implant
transfer of finger, except thumb
repair of cleft hand
repair of macrodactyly
repair of mallet finger
other tenodesis of hand
other tenoplasty of hand
other palstic operations of hand
lysis of adhesion of hand
other operations on muscle, tendon and fascia of hand
exploration of tendon sheath
myotomy
bursotomy
other incision of soft tissue
achillotenotomy
adductor tenotomy of hip
other tenotomy
fasciotomy
other division of soft tissue
other diagnostic prosedures on muscle, tendon, fascia and bursa including that of hand
excision of lesion of tendon sheath
excision of lesion of muscle
excision of lesion of other soft tissue
excision of tendon for graft
other tenonectomy
excision muscle or fascia for graft
other fasciectomy
other myectomy
other excision of soft tissue
suture of tendon sheath
delayed suture of tendon
rotator cuff repair
other suture of tendon
other suture of muscle of fascia
Reconstruction of muscle and tendon advancement of tendon of hand
recession of tendon

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reattachement of tendon
reattachement of muscle
tendon transfer or transplantation
other tendon transposition
muscle transfer or transplantation
other muscle transposition
tendon graft
graft of muscle or fascia
tendon pulley reconstruction
release of clubfoot, not elsewhere classified
other change in muscle and tendon length
quadricepsplasty
other plastic operations of muscle
other plastic operations of tendon
other plastic operations on fascia
lysis of adhesions of muscl, tendon, fascia and bursa
insertion or replacement of skeletal muscle stimulator
removal of skeletal muscle stimulator
other operations on muscle, tendon, fascia and bursa
upper limb amputation, not otherwise specified
amputation and disarticulation of finger
amputation and disarticulation of thumb
Amputation of upper limb amputation through hand
disarticulation of wrist
Amputation of upper limb amputation through forearm
disarticulation of shoulder
amputation through forearm
disarticulation of shoulder
interthoracospular amputation
lower limb amputation, not otherwise specified
amputation of toe
amputation of through foot
disarticulation of ankle
amputation of ankle through malleoli of tibia and fibula
other amputation below knee
disarticulation of knee
amputation above knee
disarticulation of hip
abdominopelvic amputation
thumb reattachment
finger reattachment
forearm, wrist, or hand attachment
Reattachment of extrimity, upper arm reattachment
toe reattachment
foot reattachment
lower leg or ankle reattachment
thigh reattachment
other reattachment
revision of amputation
implantation of fitting of prosthetic limb device

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implantation of prosthetic device of arm
implantation on musculosceletal system
amputation, not otherwise specified
separation of equal conjoined twins
separation of unequal conjoined twins
other operations on musculosceletal system
Mastotomy
Open biopsy of breast
Excision or destruction of breast tissue, nor otherwise specified
Local excision of lesion of breast
Resection of quadrant of breast
Subtotal mastectomy
Excision of ectopic breast tissue
Excision of nipple
Unilateral reduction mammoplasty
Bilateral reduction mammoplasty
Unilateral subcutaneous mammectomy with synchronous implant
Other unilateral subcutaneous mammectomy
Bilateral subcutaneous mammectomy with synchronous implant
Other bilateral subcutaneous mammectomy
Unilateral simple mastectomy
Bilateral simple mastectomy
Unilateral extended simple mastectomy
Bilateral extended simple mastectomy
Unilateral radical mastectomy
Bilateral radical mastectomy
Unilateral extended radical mastectomy
Bilateral extended radical mastectomy
Augmentation mammoplasty, not otherwise specified
Unilateral breast implant
Bilateral breast implant
Mastopexy
Total reconstruction of breast
Split-thickness graft to breast
Full-thickness graft to breast
Pedicle graft to breast
Muscle flap graft to breast
Transportation of nipple
Other repair or reconstruction of nipple
Other mammoplasty
Revision of implant of breast
Removal of implant of breast
Insertion of breast tissue expander
Removal of breast tissue expander
Other operations on the breast
Insertion of totally implantable infusion pump
Insertion of totally implantable vascular access device (VAD)
Other incision of skin and subcutaneous tissue
Excision of pilonidal cyst or sinus
Other local excision or destruction of lesion or tissue of skin and subcutaneous tissue

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Radical excision of skin lesion
Free skin graft, not otherwise specified
Full-thickness skin graft to hand
Other skin graft to hand
Full-thickness skin graft to other sites
Heterograft of skin
Homograft of skin
Dermal regenerative graft
Other skin graft to other sites
Pedicle or flaps graft, not otherwise specified
Cutting and preparation of pedicle grafts or flaps
Advancement of pedicle graft
Attachment of pedicle of flap graft to hand
Attachment of pedicle of flap graft to other site
Revision of pedicle of flap graft
Repair for facial weakness
Facial rhytidectomy
Size reduction plastic operation
Relaxation of scar or web contracture of skin
Correction of syndactyly
Onychoplasty
Other repair and reconstruction of skin and subcutaneous tissue
Excision of skin for graft
Insertion of tissue expander
Angiocardiography, not otherwise specified
Angiocardiography of venae cavae
Angiocardiography of right heart structures
Angiocardiography of left heart structures
Combined right and left heart angiocardiography
Coronary arteriography using a single catheter
Coronary arteriography using two catheters
Other and unspecified coronary arteriography
Negative-contrast cardiac roentgenography
Phlebography using contrast material, unspecified site
Phlebography of veins of head and neck using contrast material
Phlebography of pulmonary veins using contrast material
Phlebography of other intrathoracic veins using contrast material
Phlebography of the portal venous system using contrast material
Phlebography of other intra-abdominal veins using contrast material
Phlebography of femoral and other lower extremity veins using contrast material
Phlebography of other specified sites using contrast material
Impedance phlebography
Diagnostic ultrasound of head and neck
Diagnostic ultrasound of heart
Diagnostic ultrasound of other sites of thorax
Diagnostic ultrasound of digestive system
Diagnostic ultrasound of urinary system
Diagnostic ultrasound of abdomen and retroperitoneum
Diagnostic ultrasound of peripheral vascular system
Diagnostic ultrasound of gravid uterus

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Other diagnostic ultrasound
Cerebral thermography
Ocular thermography
Bone thermography
Muscle thermography
Breast thermography
Blood vessel thermography
Thermography of other sites
Diagnostic imaging, not elsewhere classified
Magnetic resonance imaging of brain and brain stem
Magnetic resonance imaging of chest and myocardium for evaluation of hilar and
mediastinal lymphadenopathy
Magnetic resonance imaging of spinal canal
Magnetic resonance imaging of musculoskeletal
Magnetic resonance imaging of pelvis, prostate, and bladder
Magnetic resonance imaging of other and unspecified sites
Bone mineral density studies
Interview and evaluation, described as brief
Interview and evaluation, described as limited
Interview and evaluation, described as comprehensive
Other interview and evaluation
Diagnostic interview and evaluation, not otherwise specified
Consultation, described as limited
Consultation, described as comprehensive
Other consultation
Consultation, not otherwise specified
Intracarotid amobarbital test, Wada test
Tonometry
Nasal function study, rhinomanometry
Neurologic examination
Electroencephalogram
Other nonoperative neurologic function tests
Transillumination of newborn skull
Polysomnogram
Other sleep disorder function tests
Video and radio-telemetered electroencephalographic monitoring
Urinary manometry
Cystometrogram
Urethral sphincter electromyogram
Uroflowmetry [UFR]
Urethral pressure profile [UPP]
Gynecological examination
Other nonoperative genitourinary system measurements
Dental examination, oral mucosal survey, periodontal survey
Esophageal manometry
Digital examination of enterostomy stoma
Digital examination of rectum
Transillumination of nasal sinuses
Manual examination of breast
Vital capacity determination

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Other nonoperative respiratory measurements Plethysmography for measurement of
respiratory function, Thoracic impedance plethysmography
Other nonoperative measurements and examinations, 14 C Urea breath test, Basal
metabolic rate, Gastric: analysis, function NEC
Cardiovascular stress test using treadmill
Masters' two-step stress test
Cardiovascular stress test using bicycle ergometer
Other cardiovascular stress test, Thalium stress test with or without transesophageal
pacing
Artificial pacemaker rate check, artificial pacemaker function check NOS
Artificial pacemaker artifact wave form check
Artificial pacemaker electrode impedance check
Artificial pacemaker voltage or amperage threshold check
Ambulatory cardiac monitoring, analog devices [Holter type]
Rhythm electrocardiogram (with onw to three leads)
Electrocardiogram NOS (with 12 or more leads)
Vectorcardiogram (with ECG)
Electrographic monitoring, telemetry
Phonocardiogram with ECG lead
Carotid pulse tracing with ECG lead
Apexcardiogram (with ECG lead)
Plethysmogram
Other nonoperative cardiac and vascular measurements
Systemic arterial pressure monitoring
Central venous pressure monitoring
Pulmonary artery pressure monitoring
Pulmonary artery wedge monitoring
Measurement of systemic arterial blood gases
Measurement of mixed venous blood gases
Monitoring of cardiac output by oxygen consumption technique
Monitoring of cardiac output by other technique, COP monitor by thermodilution indicator
Monitoring of coronary blood flow, coronary blood flow monitoring by coincidence
General physical examination
Autopsy
Microscopic examination of specimen from nervous system and spinal fluid, bacterial
smear
Microscopic examination of specimen from nervous system and spinal fluid, culture
Microscopic examination of specimen from nervous system and spinal fluid, culture and
sensitivity
Microscopic examination of specimen from nervous system and spinal fluid, parasitology
Microscopic examination of specimen from nervous system and spinal fluid, toxicology
Microscopic examination of specimen from nervous system and spinal fluid, cell block and
papaniculaou smear
Microscopic examination of specimen from nervous system and spinal fluid, bacterial
smear
Microscopic examination of specimen from endocrine gland, NEC, bacterial smear
Microscopic examination of specimen from endocrine gland, NEC, culture

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Microscopic examination of specimen from endocrine gland, NEC, culture and sensitivity
Microscopic examination of specimen from endocrine gland, NEC, parasitology
Microscopic examination of specimen from endocrine gland, NEC, toxicology
Microscopic examination of specimen from endocrine gland, NEC, cell block and
papaniculaou smear
Microscopic examination of specimen from endocrine gland, NEC, other microscopic
examination
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic

examination
examination
examination
examination
examination
examination
examination
examination

of
of
of
of
of
of
of
of

specimen
specimen
specimen
specimen
specimen
specimen
specimen
specimen

from
from
from
from
from
from
from
from

eye, bacterial smear


eye, culture
eye, culture and sensitivity
eye, parasitology
eye, toxicology
eye, cell block and papaniculaou smear
eye, other microscopic examination
ear, nose, throat and larynx, bacterial smear

Microscopic examination of specimen from ear, nose, throat and larynx, culture
Microscopic examination of specimen from ear, nose, throat and larynx, culture and
sensitivity
Microscopic examination of specimen from ear, nose, throat and larynx, parasitology
Microscopic examination of specimen from ear, nose, throat and larynx, toxicology
Microscopic examination of specimen from ear, nose, throat and larynx, cell block and
papaniculaou smear
Microscopic examination of specimen from ear, nose, throat and larynx, other microscopic
examination
Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum, bacterial smear
Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum, culture
Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum, culture and sensitivity
Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum, parasitology
Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum, toxicology
Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum, cell block and papaniculaou smear
Microscopic examination of specimen from trachea, bronchus, pleura, lung, and other
thoracic specimen, and of sputum, other microscopic examination
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic

examination
examination
examination
examination
examination
examination
examination
examination

of
of
of
of
of
of
of
of

blood, bacterial smear


blood, culture
blood, culture and sensitivity
blood, parasitology
blood, toxicology
blood, cell block and papaniculaou smear
blood, other microscopic examination
specimen from spleen and of bone marow, bacterial smear

Microscopic examination of specimen from spleen and of bone marow, culture

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Microscopic examination of specimen from spleen and of bone marow, culture and
sensitivity
Microscopic examination of specimen from spleen and of bone marow, parasitology
Microscopic examination of specimen from spleen and of bone marow, toxicology
Microscopic examination of specimen from spleen and of bone marow, cell block and
papaniculaou smear
Microscopic examination of specimen from spleen and of bone marow, other microscopic
examination
Microscopic examination of specimen from lymph node and of lymph, bacterial smear
Microscopic examination of specimen from lymph node and of lymph, culture
Microscopic examination of specimen from lymph node and of lymph, culture and
sensitivity
Microscopic examination of specimen from lymph node and of lymph, parasitology
Microscopic examination of specimen from lymph node and of lymph, toxicology
Microscopic examination of specimen from lymph node and of lymph, cell block and
papaniculaou smear
Microscopic examination of specimen from lymph node and of lymph, other microscopic
examination
Microscopic examination of specimen from upper gastrointestinal tract and of vomitus,
bacterial smear
Microscopic examination of specimen from upper gastrointestinal tract and of vomitus,
culture
Microscopic examination of specimen from upper gastrointestinal tract and of vomitus,
culture and sensitivity
Microscopic examination of specimen from upper gastrointestinal tract and of vomitus,
parasitology
Microscopic examination of specimen from upper gastrointestinal tract and of vomitus,
toxicology
Microscopic examination of specimen from upper gastrointestinal tract and of vomitus,
cell block and papaniculaou smear
Microscopic examination of specimen from upper gastrointestinal tract and of vomitus,
other microscopic examination
Microscopic examination of specimen from lower gastrointestinal tract and of stool,
bacterial smear
Microscopic examination of specimen from lower gastrointestinal tract and of stool,
culture
Microscopic examination of specimen from lower gastrointestinal tract and of stool,
culture and sensitivity
Microscopic examination of specimen from lower gastrointestinal tract and of stool,
parasitology
Microscopic examination of specimen from lower gastrointestinal tract and of stool,
toxicology
Microscopic examination of specimen from lower gastrointestinal tract and of stool, cell
block and papaniculaou smear
Microscopic examination of specimen from lower gastrointestinal tract and of stool, other
microscopic examination
Microscopic examination of specimen from liver, biliary tract, and pancreas, bacterial
smear
Microscopic examination of specimen from liver, biliary tract, and pancreas, culture

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Microscopic examination of specimen from liver, biliary tract, and pancreas, culture and
sensitivity
Microscopic examination of specimen from liver, biliary tract, and pancreas, parasitology
Microscopic examination of specimen from liver, biliary tract, and pancreas, toxicology
Microscopic examination of specimen from liver, biliary tract, and pancreas, cell block and
papaniculaou smear
Microscopic examination of specimen from liver, biliary tract, and pancreas, other
microscopic examination
Microscopic examination of peritoneal and retroperitoneal specimen, bacterial smear
Microscopic examination of peritoneal and retroperitoneal specimen, culture
Microscopic examination of peritoneal and retroperitoneal specimen, culture and
sensitivity
Microscopic examination of peritoneal and retroperitoneal specimen, parasitology
Microscopic examination of peritoneal and retroperitoneal specimen, toxicology
Microscopic examination of peritoneal and retroperitoneal specimen, cell block and
papaniculaou smear
Microscopic examination of peritoneal and retroperitoneal specimen, other microscopic
examination
Microscopic examination of specimen from kidney, ureter, perirenal and periureteral
tissue bacterial smear
Microscopic examination of specimen from kidney, ureter, perirenal and periureteral
tissue bacterial smear
Microscopic examination of specimen from kidney, ureter, perirenal and periureteral
tissue culture and sensitivity
Microscopic examination of specimen from kidney, ureter, perirenal and periureteral
tissue parasitology
Microscopic examination of specimen from kidney, ureter, perirenal and periureteral
tissue toxicology
Microscopic examination of specimen from kidney, ureter, perirenal and periureteral
tissue cell block and papaniculaou smear
Microscopic examination of specimen from kidney, ureter, perirenal and periureteral
tissue other microscopic examination
Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen, bacterial smear
Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen, culture
Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen, culture and sensitivity
Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen, parasitology
Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen, toxicology
Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen, cell block and papaniculaou smear
Microscopic examination of specimen from bladder, urethra, prostate, seminal vesicle,
perivesical tissue, and of urine and semen, other microscopic examination
Microscopic examination of specimen from female genital tract, bacterial smear

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Microscopic examination of specimen from female genital tract, culture
Microscopic examination of specimen from female genital tract, culture and sensitivity
Microscopic examination of specimen from female genital tract, parasitology
Microscopic examination of specimen from female genital tract, toxicology
Microscopic examination of specimen from female genital tract, cell block and
papaniculaou smear
Microscopic examination of specimen from female genital tract, other microscopic
examination
Microscopic examination of specimen from musculoskeletal system and of joint fluid,
bacterial smear
Microscopic examination of specimen from musculoskeletal system and of joint fluid,
culture
Microscopic examination of specimen from musculoskeletal system and of joint fluid,
culture and sensitivity
Microscopic examination of specimen from musculoskeletal system and of joint fluid,
parasitology
Microscopic examination of specimen from musculoskeletal system and of joint fluid,
toxicology
Microscopic examination of specimen from musculoskeletal system and of joint fluid, cell
block and papaniculaou smear
Microscopic examination of specimen from musculoskeletal system and of joint fluid,
other microscopic examination
Microscopic examination of specimen from skin and other integument, bacterial smear
Microscopic examination of specimen from skin and other integument, bacterial smear
Microscopic examination of specimen from skin and other integument, culture and
sensitivity
Microscopic examination of specimen from skin and other integument, parasitology
Microscopic examination of specimen from skin and other integument, toxicology
Microscopic examination of specimen from skin and other integument, cell block and
papaniculaou smear
Microscopic examination of specimen from skin and other integument, other microscopic
examination
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
smear

examination
examination
examination
examination
examination
examination

of
of
of
of
of
of

specimen
specimen
specimen
specimen
specimen
specimen

from
from
from
from
from
from

operative
operative
operative
operative
operative
operative

wound,
wound,
wound,
wound,
wound,
wound,

bacterial smear
culture
culture and sensitivity
parasitology
toxicology
cell block and papaniculaou

Microscopic examination of specimen from operative wound, other microscopic


examination
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic

examination
examination
examination
examination
examination

of
of
of
of
of

specimen
specimen
specimen
specimen
specimen

from
from
from
from
from

other
other
other
other
other

site,
site,
site,
site,
site,

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bacterial smear
culture
culture and sensitivity
parasitology
toxicology

Sheet1
Microscopic examination of specimen from other site, cell block and papaniculaou smear
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
Microscopic
smear

examination
examination
examination
examination
examination
examination
examination

of
of
of
of
of
of
of

specimen
specimen
specimen
specimen
specimen
specimen
specimen

from
from
from
from
from
from
from

other site, other microscopic examination


unspecified, bacterial smear
unspecified, culture
unspecified, culture and sensitivity
unspecified, parasitology
unspecified, toxicology
unspecified, cell block and papaniculaou

Microscopic examination of specimen from unspecified, other microscopic examination


Thyroid scan and radioisotope function studies
Liver scan and radioisotope function study
Renal scan and radioisotope function study
Gastrointestinal scan and radioisotope function study
Cardiovascular and hematopoietic scan and radioisotope function study
Other radioisotope function studies
Cerebral scan
Scan of other sites of head
Parathyroid scan
Bone scan
Pulmonary scan
Scan of lymphatic system
Placental scan
Total body scan
Scan of other sites
Superficial radiation, contact radiation [up to 150 KVP]
Orthovoltage radiation, deep radiation [200-300 KVP]
Radioisotopic teleradiotherapy
Teleradiotherapy using photons
Teleradiotherapy using electrons
Teleradiotherapy of other particulate radiation
Implantation or insertion of radioactive elements
Injection or instillation of radioisotopes
Other radiotherapeutic procedure
Stereotactic radiosurgery
Functional evaluation
Orthotic evaluation
Prosthetic evaluation
Manual testing of muscle function
Range of motion testing
Measurement of limb length
Body measurement
Electromyography
Other diagnostic physical therapy procedure
Assisting exercise
Other active musculoskeletal exercise
Resistive exercise
Training in joint movements

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Mobilization of spine
Mobilization of other joints
Other passive musculoskeletal exercise
Breathing exercise
Exercise, not elsewhere classified
Manual and mechanical traction
Ambulation and gait training
Fitting of orthotic device
Training in use of prosthetic or orthotic device
Forced extension of limb
Manual rupture of joint adhesions
Stretching of muscle or tendon
Stretching of fascia
Other forcible correction of deformity
Assisted exercise in pool
Whirlpool treatment
Other hydrotherapy
Diathermy
Other heat therapy, Acupuncture with with smouldering moxa, hot packs, Hyperthermia
NEC, infrared irradiation, moxibution, paraffin bath
Cardiac retraining
Prenatal training
Combined physical therapy without mention of the components
Other physical therapy
Spinal traction using skull device, traction using: calliper tongs, Crutchfield tongs, halo
device, Vinke tongs
Other spinal traction, Cotrel's traction
Intermittent skeletal traction
Other skeletal traction, Bryant's traction, Dunlop's traction, Lyman Smith traction,
Russell's traction
Thomas' splint traction
Other skin traction of limbs, adhesive tape traction, Boot traction, Buck's traction, Gallows
traction
Application of plaster jacket
Application of neck support, application of: cervical collar, Minerva jacket, molded neck
support,
Application of other cast
Application of splint, plaster splint, Tray splint
Dental wiring
Application of pressure dressing, application of: Gibney bandage, Robert Jones' bandage,
Shanz dressing
Application of other wound dressing
Application of pressure trousers, application of: anti shock trousers, vasopneumatic device
Other immobilization, pressure, and attention to wound, elastic stockings, Electronic
gaiter
Osteopathic manipulative treatment for general mobilization, general articulatory
treatment
Osteopathic manipulative treatment using high- velocity, low amplitude forces, Thrusting
forces

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Osteopathic manipulative treatment using low- velocity, high amplitude forces, Springing
forces
Osteopathic manipulative treatment using isotonic, isometric forces
Osteopathic manipulative treatment using indirect forces
Osteopathic manipulative treatment to move tissue fluids, Lymphatic pump
Other specified Osteopathic manipulative treatment
Dyslexia training
Dysphasia training
Esophageal speech training
Speech defect training
Other speech training and therapy
Training in use of lead dog for the blind
Training in braille or Moon
Other rehabilitation for the blind
Recreation therapy, diversional therapy, play therapy
Educational therapy, Edication of bed-bound children, special schooling for the
handicapped
Occupational therapy, special daily liing therapy
Music therapy
Vocational rehabilitation
Rehabilitation, not elsewhere classified
Continuous positive airway pressure [CPAP]
Intermittent positive pressure breathing [IPPB]
Nonmechanical methods of resuscitation, artificial respiration, manual resuscitation,
mouth-to-mouth resuscitation
Respiratory medication administered by nebulizer, mist therapy
Hyperbaric oxygenation
Other oxygen enrichment, catalytic oxygen therapy, cytoreductive effect, oxygenators,
oxygen therapy
Decompression chamber
Other control of atmospheric pressure and composition
Other respiratory procedures, continous negative pressure ventilation, postural drainage
Administration of intelligence test
Administration of psychologic test
Character analysis
Other psychologic evaluation and testing
Psychologic mental status determination, not otherwise specified
Psychiatric mental status determination
Routine psychiatric visit, not otherwise specified
Psychiatric commitment evaluation
Other psychiatric interview and evaluation
Narcoanalysis
Lithium therapy
Neuroleptic therapy
Chemical shock therapy
Other psychiatric drug therapy
Subconvulsive electroshock therapy
Other electroshock therapy, electroconvulsive therapy (ECT), EST
Other psychiatric somatotherapy

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Psychoanalysis
Hypnotherapy
Behavior therapy
Individual therapy for psychosexual dysfunction
Crisis intervention
Play psychotherapy
Exploratory verbal psychotherapy
Supportive verbal psychotherapy
Other individual psychotherapy, biofeedback
Group therapy for psychosexual dysfunction
Family therapy
Psychodrama
Other group therapy
Drug addiction counselling
Alcoholism counselling
Other counselling
Referral for psychotherapy
Referral for psychiatric aftercare:
Referral for alcoholism rehabilitation
Referral for drug addiction rehabilitation
Referral for vocational rehabilitation
Referral for other psychologic rehabilitation
Alcohol rehabilitation
Alcohol detoxification
Alcohol rehabilitation and detoxification
Drug rehabilitation
Drug detoxification
Drug rehabilitation and detoxification
Combined alcohol and drug rehabilitation
Combined alcohol and drug detoxification
Combined alcohol and drug rehabilitation and detoxification
Limited eye examination, eye examination with prescription of spectacles
Comprehensive eye examination, eye examination covering all aspects of the visual
system
Extended Ophthalmologic work-up, examination for: glaucoma, neuro-ophtalmology,
retinal diseases
Eye examination under anesthesia
Visual field study
Color vision study
Dark adaptation study
Eye examination, not otherwise specified
Fundus photography
Fluorescein angiography or angioscopy of eye
Ultrasound study of eye
X-ray study of eye
Ocular motility study
P32 and other tracer studies of eye
Electroretinogram [ERG]
Electro-oculogram [EOG]
Visual evoked potential [VEP]

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Electronystagmogram [ENG)
Electromyogram of eye [EfviGj
Tonography, provocative tests, and other glaucoma testing
Fitting and dispensing of spectacles
Prescription, fitting, and dispensing of contact lens
Dispensing of other low vision aids
Ocular prosthetics
Orthoptic training
Ophthalmologic counselling and instruction
Audiometry
Clinical test of hearing
Audiological evaluation
Clinical vestibular function tests
Rotation tests
Other auditory and vestibular function tests
Hearing examination, not otherwise specified
Fitting of hearing aid
Other nonoperative procedures related to hearing
Insertion of nasopharyngeal airway
Insertion of oropharyngeal airway
Insertion of esophageal obturator airway
Insertion of endotracheal tube
Other intubation of respiratory tract
Insertion of Sengstaken tube
Insertion of other (naso-)gastric tube
Insertion of (naso-)intestinal tube
Insertion of rectal tube
Packing of external auditory canal
Vaginal packing
Insertion of vaginal mold
Other vaginal dilation
Insertion of vaginal diaphragm
Insertion of other vaginal pessary
Rectal packing
Dilation of frontonasal duct
Dilation of rectum
Dilation of anal sphincter
Dilation and manipulation of enterostomy stoma
Therapeutic distention of bladder
Manual reduction of rectal prolapse
Manual reduction of hernia
Manual reduction of enterostomy prolapse
Gastric cooling
Gastric freezing
Gastric lavage
Other irrigation of (naso-)gastric tube
Gastric gavage
Irrigation of gastrostomy or enterostomy
Proctoclysis
Removal of impacted feces, by flushing manually

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Other transanal enema, rectal irrigation
Irrigation of cholecystostomy and other biliary tube
Irrigation of pancreatic tube
Digestive tract instillation, except gastric gavage
Vaginal douche
Irrigation of nephrostomy and pyelostomy
Irrigation of ureterostomy and ureteral catheter
Irrigation of cystostomy
Irrigation of other indwelling urinary catheter
Other genitourinary instillation, insertion of prostaglandin suppository
Irrigation of eye
Irrigation of ear
Irrigation of nasal passages
Dental scaling, polishing, and debridement
Tracheostomy toilette
Other lavage of bronchus and trachea
Irrigation of vascular catheter
Irrigation of wound catheter
Other irrigation of wound, wound cleaning NOS
Enteral infusion of concentrated nutritional substances
Continuous mechanical ventilation of unspecified duration, mecahnical ventilation NOS
Continuous mechanical ventilation for less than 96 consecutive hours
Continuous mechanical ventilation for 96 consecutive hours or more
Replacement of tube or enterostomy device of small
Replacement of tube or enterostomy device of large
Replacement of stent (tube) in biliary or pancreatic duct
Replacement of cast on upper limb
Replacement of cast on lower limb
Replacement of other cast
Replacement of other device for musculoskeletal immobilization
Replacement of wound catheter
Replacement of wound packing or drain
Replacement of nasal packing
Replacement of dental packing
Replacement of tracheostomy tube
Replacement and refitting of vaginal diaphragm
Replacement of other vaginal pessary
Replacement of vaginal or vulvar packing or drain
Other nonoperative replacements
Removal of eye prosthesis
Removal of nasal packing
Removal of dental wiring
Removal of dental packing
Removal of dental prosthesis
Removal of other external mandibular fixation device
Removal of tracheostomy tube
Removal of sutures from head and neck
Removal of other therapeutic device from head and neck
Removal of thoracotomy tube or pleural cavity drain

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Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal
Removal

of mediastinal drain
of sutures from thorax
of other device from thorax
of gastrostomy tube
of tube from small intestine
of tube from large intestine or appendix
of cholecystostomy tube
of T-tube, other bile duct tube, or liver tube
of pancreatic tube or drain
of other device from digestive system
of pyelostomy and nephrostomy tube
of ureterostomy tube and ureteral catheter
of cystostomy tube
of other urinary drainage device
of urethral stent
of other device from urinary system
of intrauterine contraceptive device
of intrauterine pack
of vaginal diaphragm
of other vaginal pessary
of vaginal or vulvar packing
ot other device from genital tract
of retroperitoneal drainage device
of peritoneal drainage device
of abdominal wall sutures
of sutures from trunk, not elsewhere classified
of packing from trunk, not elsewhere classified
of other device from abdomen
of other device from trunk
of external immobilization device
of other therapeutic device
of intraluminal foreign body from mouth, without incision
of intraluminal foreign body from large intestine without incision
of intraluminal foreign body from rectum and anus without incision
of intraluminal foreign body from ear without incision
of intraluminal foreign body from nose without incision
of intraluminal foreign body from pharynx without incision
of intraluminal foreign body from trachea and bronchus without incision
of intraluminal foreign body from uterus without incision
of intraluminal foreign body from vagina without incision
of intraluminal foreign body from artificial stoma without incision
of intraluminal foreign body from urethra without incision
of foreign body, not otherwise specified
of superficial foreign body from eye without incision
of other foreign body without incision from head and neck
of foreign body from vulva without incision
of foreign body from scrotum or penis without incision
of other foreign body without incision from trunk except scrotum, penis, or vulva

Removal of foreign body from hand without incision

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Removal of foreign body without incision from upper limb, except hand
Removal of foreign body from foot without incision
Removal of foreign body without incision from lower limb, excapt foot.
Extracorporeal shockwave lithotripsy [ESWL] of the kidney, ureter, and or bladder
Extracorporeal shockwave lithotripsy [ESWL] of the gallbladder and or bile duct
Extracorporeal shockwave lithotripsy of other sites
Perioperative autologous transfusion of whole blood or
Exchange transfusion
Transfusion of previously collected autologous blood
Other transfusion of whole blood, Transfusion blood NOS, Hemodilution
Transfusion of packed cells
Transfusion of platelets, Transfusion of thrombocytes
Transfusion of coagulation factors, Transfusion of antihemophillic factor
Transfusion of other serum, Transfusion of plasma
Transfusion of blood expander, Transfusion of dextran
Transfusion of other substance, Transfusion of blood surrogate, granulocytes
Injection or infusion of therapeutic or prophylactic substance
Injection of Rh immune globulin, Injection of anti-D (rhesus) globulin, Injection of RhoGAM
Immunization for allergy, Desensilization
Immunization for autoimmune disease
Injection of gamma globulin, Injection on immune sera
Parenteral infusion of concentrated nutritional substances, Hyperalimentation, Total
parenteral nutrition (TPN), Peripheral parenteral nutrition (PPN)
Injection
Injection
Injection
Injection
Injection
Injection
Injection
Injection
Injection
Injection

of antidote, Injection of antivenin, Injection of heavy metal antagonist


of Insulin
or infusion of electrolytes
of anticoagulant
of antibiotic
of other anti-infective
of steroid, Injection of cortisone, Subdermal implantation of progesterone
of other hormone
or infusion of cancer chemotherapeutic substance, Chermoembolization,
ot infusion of antineoplastic agent

Injection of tranquilizer
Iontophoresis
Injection or infusion of biological response modifier (BRM] as an antineoplastic agent,
Immunotherapy, antineoplastic
Injection or infusion of other therapeutic or prophylactic substance
Vaccination against cholera
Vaccination against typhoid and paratyphoid fever
Vaccination against tuberculosis
Vaccination against plague
Vaccination against tularemia
Administration of diphtheria toxoid
Vaccination against pertussis
Administration of tetanus toxoid
Administration of diphtheria-tetanus- pertussis.
Administration of poliomyelitis vaccine
Vaccination against smallpox

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Vaccination against yellow fever
Vaccination against rabies
Vaccination against measles
Vaccination against mumps
Vaccination against rubella
Administration of measles-mumps-rubella vaccine
Prophylactic vaccination against the common cold
Prophylactic vaccination against influenza
Prophylactic vaccination against arthropod- borne viral encephalitis
Prophylactic vaccination against other arthropod-borne viral diseases
Prophylactic administration of vaccine against other diseases, Vaccination against
anthrax, bruceliosis, rocky mountain spotted fever, staphylococcus, streptococcus, thypus
Administration of tetanus antitoxin
Administration of botulism antitoxin
Administration of other antitoxins, Administration of diphtheria antitoxin, gas gangrene
antitoxin, scarlet fever antitoxin
Other vaccination and inoculation, Vaccination NOS
Cardiopulmonary resuscitation, not otherwise specified
Atrial cardioversion
Other electric countershock of heart, Cardioversion : NOS, external, Conversion to sinus
rhythm, Defibrillation, External electrocode stimulation
Closed chest cardiac massage, Cardiac message NOS, Manual external cardiac message
Carotid sinus stimulation
Other conversion of cardiac rhythm
Therapeutic plasmapheresis
Therapeutic leukopheresis, Therapeutic leukocytapheresis
Therapeutic erythrocytapheresis, Therapeutic erythropheresis
Therapeutic plateletpheresis
Other, Apheresis (harvest) of stem cells
Hypothermia (central) (local)
Ultraviolet light therapy, Actinotherapy
Other phototherapy, Phototherapy of the newborn
Isolation, Isolation after contact with infection disease, Protection of individual from his
surroundings, Protection surroundings fro individual
Hyperthermia for treatment of cancer Hyperthermia (adjunct therapy) induced by
microwave, ultrasound, low energy radio frequency, probes (interstitial) or other means in
the treatment of cancer
Non-invasive placement of bone growth stimulator, Transcutaneous (surface) placement
of pads or patches for stimulation to aid bone healing
Therapeutic photopheresis, Extracorporeal photochemotherapy, Extracorporeal
photopheresis
Acupuncture for anesthesia
Other acupuncture
Rectal massage (for levator spasm)
Prostatic massage
Stretching of foreskin
Collection of sperm for artificial Insemination
Fitting of denture

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Extraction of milk from lactating breast

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