CMS released the 2026 proposed payment rule for hospital outpatient departments and ASCs on July 15.
The proposal included the addition of 276 procedures to the Covered Procedures List for ASCs. It also proposed phasing out the inpatient only list, beginning with the removal of 285 mostly musculoskeletal procedures. Most of these will be added to the CPL list for ASCs.
Here are the procedures proposed for addition to the ASC-CPL, as well as the procedures being removed from the IPO list and proposed for addition to the ASC-CPL.
| HCPCS Code | Long Descriptor |
| 20100 | Exploration of penetrating wound (separate procedure); neck |
| 20101 | Exploration of penetrating wound (separate procedure); chest |
| 20102 | Exploration of penetrating wound (separate procedure); abdomen/flank/back |
| 20660 | Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure) |
| 21049 | Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s]) |
| 21141 | Reconstruction midface, lefort i; single piece, segment movement in any direction (eg, for long face syndrome), without bone graft |
| 21142 | Reconstruction midface, lefort i; 2 pieces, segment movement in any direction, without bone graft |
| 21143 | Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, without bone graft |
| 21172 | Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts) |
| 21175 | Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts) |
| 21193 | Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; without bone graft |
| 21196 | Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation |
| 21255 | Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) |
| 21256 | Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia) |
| 21261 | Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach |
| 21263 | Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement |
| 21346 | Open treatment of nasomaxillary complex fracture (lefort ii type); with wiring and/or local fixation |
| 21347 | Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches |
| 21366 | Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) |
| 21385 | Open treatment of orbital floor blowout fracture; transantral approach (caldwell-luc type operation) |
| 21386 | Open treatment of orbital floor blowout fracture; periorbital approach |
| 21387 | Open treatment of orbital floor blowout fracture; combined approach |
| 21395 | Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) |
| 21408 | Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) |
| 21422 | Open treatment of palatal or maxillary fracture (lefort i type); |
| 21470 | Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints |
| 21601 | Excision of chest wall tumor including rib(s) |
| 21742 | Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (nuss procedure), without thoracoscopy |
| 21743 | Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (nuss procedure), with thoracoscopy |
| 22100 | Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical |
| 22101 | Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic |
| 22630 | Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; |
| 22632 | Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (list separately in addition to code for primary procedure) |
| 22633 | Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; |
| 22848 | Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (list separately in addition to code for primary procedure) |
| 23473 | Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component |
| 24150 | Radical resection of tumor, shaft or distal humerus |
| 24935 | Stump elongation, upper extremity |
| 25170 | Radical resection of tumor, radius or ulna |
| 25909 | Amputation, forearm, through radius and ulna; re-amputation |
| 27027 | Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle), unilateral |
| 27057 | Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas, and/or tensor fascia lata muscle) with debridement of nonviable muscle, unilateral |
| 27179 | Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (heyman type procedure) |
| 27235 | Percutaneous skeletal fixation of femoral fracture, proximal end, neck |
| 27477 | Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia and fibula, proximal |
| 27485 | Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) |
| 27722 | Repair of nonunion or malunion, tibia; with sliding graft |
| 28360 | Reconstruction, cleft foot |
| 28805 | Amputation, foot; transmetatarsal |
| 31241 | Nasal/sinus endoscopy, surgical; with ligation of sphenopalatine artery |
| 31292 | Nasal/sinus endoscopy, surgical, with orbital decompression; medial or inferior wall |
| 31293 | Nasal/sinus endoscopy, surgical, with orbital decompression; medial and inferior wall |
| 31294 | Nasal/sinus endoscopy, surgical, with optic nerve decompression |
| 31584 | Laryngoplasty; with open reduction and fixation of (eg, plating) fracture, includes tracheostomy, if performed |
| 31587 | Laryngoplasty, cricoid split, without graft placement |
| 31600 | Tracheostomy, planned (separate procedure); |
| 31601 | Tracheostomy, planned (separate procedure); younger than 2 years |
| 31610 | Tracheostomy, fenestration procedure with skin flaps |
| 31660 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 1 lobe |
| 31661 | Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial thermoplasty, 2 or more lobes |
| 31785 | Excision of tracheal tumor or carcinoma; cervical |
| 32551 | Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure) |
| 32560 | Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) |
| 32561 | Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day |
| 32562 | Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day |
| 32601 | Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy |
| 32604 | Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy |
| 32606 | Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy |
| 32607 | Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incisional), unilateral |
| 32608 | Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral |
| 32609 | Thoracoscopy; with biopsy(ies) of pleura |
| 33244 | Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction |
| 33272 | Removal of subcutaneous implantable defibrillator electrode |
| 34101 | Embolectomy or thrombectomy, with or without catheter; axillary, brachial, innominate, subclavian artery, by arm incision |
| 34111 | Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision |
| 34201 | Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg incision |
| 34203 | Embolectomy or thrombectomy, with or without catheter; popliteal-tibio peroneal artery, by leg incision |
| 34421 | Thrombectomy, direct or with catheter; vena cava, iliac, femoropopliteal vein, by leg incision |
| 34471 | Thrombectomy, direct or with catheter; subclavian vein, by neck incision |
| 34501 | Valvuloplasty, femoral vein |
| 34510 | Venous valve transposition, any vein donor |
| 34520 | Cross-over vein graft to venous system |
| 34530 | Saphenopopliteal vein anastomosis |
| 35011 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm and associated occlusive disease, axillary-brachial artery, by arm incision |
| 35045 | Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch graft; for aneurysm, pseudoaneurysm, and associated occlusive disease, radial or ulnar artery |
| 35180 | Repair, congenital arteriovenous fistula; head and neck |
| 35184 | Repair, congenital arteriovenous fistula; extremities |
| 35190 | Repair, acquired or traumatic arteriovenous fistula; extremities |
| 35201 | Repair blood vessel, direct; neck |
| 35206 | Repair blood vessel, direct; upper extremity |
| 35226 | Repair blood vessel, direct; lower extremity |
| 35231 | Repair blood vessel with vein graft; neck |
| 35236 | Repair blood vessel with vein graft; upper extremity |
| 35256 | Repair blood vessel with vein graft; lower extremity |
| 35261 | Repair blood vessel with graft other than vein; neck |
| 35266 | Repair blood vessel with graft other than vein; upper extremity |
| 35286 | Repair blood vessel with graft other than vein; lower extremity |
| 35321 | Thromboendarterectomy, including patch graft, if performed; axillary-brachial |
| 35860 | Exploration for postoperative hemorrhage, thrombosis or infection; extremity |
| 35879 | Revision, lower extremity arterial bypass, without thrombectomy, open; with vein patch angioplasty |
| 35881 | Revision, lower extremity arterial bypass, without thrombectomy, open; with segmental vein interposition |
| 35883 | Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg, polyester, eptfe, bovine pericardium) |
| 35884 | Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft |
| 35903 | Excision of infected graft; extremity |
| 36460 | Transfusion, intrauterine, fetal |
| 36838 | Distal revascularization and interval ligation (dril), upper extremity hemodialysis access (steal syndrome) |
| 37183 | Revision of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recannulization/dilatation, stent placement and all associated imaging guidance and documentation) |
| 37191 | Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed |
| 37195 | Thrombolysis, cerebral, by intravenous infusion |
| 37213 | Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; |
| 37214 | Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method |
| 37244 | Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation |
| 37565 | Ligation, internal jugular vein |
| 37600 | Ligation; external carotid artery |
| 37605 | Ligation; internal or common carotid artery |
| 37606 | Ligation; internal or common carotid artery, with gradual occlusion, as with selverstone or crutchfield clamp |
| 37615 | Ligation, major artery (eg, post-traumatic, rupture); neck |
| 37619 | Ligation of inferior vena cava |
| 38120 | Laparoscopy, surgical, splenectomy |
| 38207 | Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage |
| 38208 | Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, without washing, per donor |
| 38209 | Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest, with washing, per donor |
| 38210 | Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest, t-cell depletion |
| 38211 | Transplant preparation of hematopoietic progenitor cells; tumor cell depletion |
| 38212 | Transplant preparation of hematopoietic progenitor cells; red blood cell removal |
| 38213 | Transplant preparation of hematopoietic progenitor cells; platelet depletion |
| 38214 | Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion |
| 38215 | Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma, mononuclear, or buffy coat layer |
| 38240 | Hematopoietic progenitor cell (hpc); allogeneic transplantation per donor |
| 38720 | Cervical lymphadenectomy (complete) |
| 39401 | Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed |
| 39402 | Mediastinoscopy; with lymph node biopsy(ies) (eg, lung cancer staging) |
| 42842 | Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure |
| 42844 | Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal) |
| 43020 | Esophagotomy, cervical approach, with removal of foreign body |
| 43280 | Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) |
| 43281 | Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh |
| 43282 | Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh |
| 43420 | Closure of esophagostomy or fistula; cervical approach |
| 43497 | Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [poem]) |
| 43510 | Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, celestin or mousseaux-barbin) |
| 43647 | Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum |
| 43648 | Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum |
| 43651 | Laparoscopy, surgical; transection of vagus nerves, truncal |
| 43652 | Laparoscopy, surgical; transection of vagus nerves, selective or highly selective |
| 43770 | Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components) |
| 43772 | Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only |
| 43773 | Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only |
| 43830 | Gastrostomy, open; without construction of gastric tube (eg, stamm procedure) (separate procedure) |
| 43831 | Gastrostomy, open; neonatal, for feeding |
| 44180 | Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) |
| 44186 | Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) |
| 44950 | Appendectomy; |
| 44955 | Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (list separately in addition to code for primary procedure) |
| 44970 | Laparoscopy, surgical, appendectomy |
| 47370 | Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequency |
| 47371 | Laparoscopy, surgical, ablation of 1 or more liver tumor(s); cryosurgical |
| 47490 | Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation |
| 47550 | Biliary endoscopy, intraoperative (choledochoscopy) (list separately in addition to code for primary procedure) |
| 49185 | Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed |
| 49323 | Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavity |
| 49405 | Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous |
| 49491 | Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible |
| 49492 | Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or strangulated |
| 50020 | Drainage of perirenal or renal abscess, open |
| 50541 | Laparoscopy, surgical; ablation of renal cysts |
| 50542 | Laparoscopy, surgical; ablation of renal mass lesion(s), including intraoperative ultrasound guidance and monitoring, when performed |
| 50543 | Laparoscopy, surgical; partial nephrectomy |
| 50544 | Laparoscopy, surgical; pyeloplasty |
| 50945 | Laparoscopy, surgical; ureterolithotomy |
| 51060 | Transvesical ureterolithotomy |
| 51845 | Abdomino-vaginal vesical neck suspension, with or without endoscopic control (eg, stamey, raz, modified pereyra) |
| 51860 | Cystorrhaphy, suture of bladder wound, injury or rupture; simple |
| 51990 | Laparoscopy, surgical; urethral suspension for stress incontinence |
| 53500 | Urethrolysis, transvaginal, secondary, open, including cystourethroscopy (eg, postsurgical obstruction, scarring) |
| 54332 | 1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap |
| 54336 | 1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap |
| 54411 | Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue |
| 54417 | Removal and replacement of non-inflatable (semi-rigid) or inflatable (self contained) penile prosthesis through an infected field at the same operative session, including irrigation and debridement of infected tissue |
| 54535 | Orchiectomy, radical, for tumor; with abdominal exploration |
| 55866 | Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed |
| 55867 | Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robotic assistance, when performed |
| 57106 | Vaginectomy, partial removal of vaginal wall; |
| 57107 | Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) |
| 57109 | Vaginectomy, partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) |
| 57284 | Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach |
| 57285 | Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach |
| 57292 | Construction of artificial vagina; with graft |
| 57330 | Closure of vesicovaginal fistula; transvesical and vaginal approach |
| 57423 | Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach |
| 57555 | Excision of cervical stump, vaginal approach; with anterior and/or posterior repair |
| 58263 | Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele |
| 58270 | Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele |
| 58290 | Vaginal hysterectomy, for uterus greater than 250 g; |
| 58291 | Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) |
| 58292 | Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele |
| 58294 | Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele |
| 58770 | Salpingostomy (salpingoneostomy) |
| 58920 | Wedge resection or bisection of ovary, unilateral or bilateral |
| 58925 | Ovarian cystectomy, unilateral or bilateral |
| 59030 | Fetal scalp blood sampling |
| 59409 | Vaginal delivery only (with or without episiotomy and/or forceps); |
| 59612 | Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); |
| 60252 | Thyroidectomy, total or subtotal for malignancy; with limited neck dissection |
| 60271 | Thyroidectomy, including substernal thyroid; cervical approach |
| 60502 | Parathyroidectomy or exploration of parathyroid(s); re-exploration |
| 60520 | Thymectomy, partial or total; transcervical approach (separate procedure) |
| 61623 | Endovascular temporary balloon arterial occlusion, head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded, positioning and inflation of occlusion balloon, concomitant neurological monitoring, and radiologic supervision and interpretation of all angiography required for balloon occlusion and to exclude vascular injury post occlusion |
| 61626 | Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; non-central nervous system, head or neck (extracranial, brachiocephalic branch) |
| 61720 | Creation of lesion by stereotactic method, including burr hole(s) and localizing and recording techniques, single or multiple stages; globus pallidus or thalamus |
| 61891 | Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s) |
| 61892 | Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed |
| 62000 | Elevation of depressed skull fracture; simple, extradural |
| 62351 | Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomy |
| 63011 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), 1 or 2 vertebral segments; sacral |
| 63012 | Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (gill type procedure) |
| 63015 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; cervical |
| 63016 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; thoracic |
| 63017 | Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy or discectomy (eg, spinal stenosis), more than 2 vertebral segments; lumbar |
| 63035 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar (list separately in addition to code for primary procedure) |
| 63040 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; cervical |
| 63043 | Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; each additional cervical interspace (list separately in addition to code for primary procedure) |
| 63048 | Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional vertebral segment, cervical, thoracic, or lumbar (list separately in addition to code for primary procedure) |
| 63057 | Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment; each additional segment, thoracic or lumbar (list separately in addition to code for primary procedure) |
| 63064 | Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; single segment |
| 63066 | Costovertebral approach with decompression of spinal cord or nerve root(s) (eg, herniated intervertebral disc), thoracic; each additional segment (list separately in addition to code for primary procedure) |
| 63075 | Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace |
| 63076 | Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (list separately in addition to code for primary procedure) |
| 63265 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; cervical |
| 63266 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic |
| 63267 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar |
| 63268 | Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; sacral |
| 63741 | Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural, or other; percutaneous, not requiring laminectomy |
| 64804 | Sympathectomy, cervicothoracic |
| 64911 | Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve |
| 69725 | Decompression facial nerve, intratemporal; including medial to geniculate ganglion |
| 69955 | Total facial nerve decompression and/or repair (may include graft) |
| 69960 | Decompression internal auditory canal |
| 69970 | Removal of tumor, temporal bone |
| 93650 | Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placement |
| 93653 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and his bundle recording, when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway, accessory atrioventricular connection, cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry |
| 93654 | Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus, including intracardiac electrophysiologic 3-dimensional mapping, right ventricular pacing and recording, left atrial pacing and recording from coronary sinus or left atrium, and his bundle recording, when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording, when performed |
| 93655 | Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (list separately in addition to code for primary procedure) |
| 93656 | Comprehensive electrophysiologic evaluation with transseptal catheterizations, insertion and repositioning of multiple electrode catheters, induction or attempted induction of an arrhythmia including left or right atrial pacing/recording, and intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation, including intracardiac electrophysiologic 3- dimensional mapping, intracardiac echocardiography with imaging supervision and interpretation, right ventricular pacing/recording, and his bundle recording, when performed |
| 93657 | Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (list separately in addition to code for primary procedure) |
| 0184T | Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, tems), including muscularis propria (ie, full thickness) |
| 0221T | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar |
| 0222T | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment (list separately in addition to code for primary procedure) |
| 0505T | Endovenous femoral-popliteal arterial revascularization, with transcatheter placement of intravascular stent graft(s) and closure by any method, including percutaneous or open vascular access, ultrasound guidance for vascular access |
| when performed, all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention, all associated radiological supervision and interpretation, when performed, with crossing of the occlusive lesion in an extraluminal fashion | |
| 0515T | Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; complete system (includes electrode and generator [transmitter and battery]) |
| 0516T | Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; electrode only |
| 0517T | Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming, and imaging supervision and interpretation, when performed; both components of pulse generator (battery and transmitter) only |
| 0518T | Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; battery component only |
| 0519T | Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; both components (battery and transmitter) |
| 0520T | Removal and replacement of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only |
| 0645T | Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart catheterization, venous angiography, coronary sinus angiography, imaging guidance, and supervision and interpretation, when performed |
| 0692T | Therapeutic ultrafiltration |
| 0744T | Insertion of bioprosthetic valve, open, femoral vein, including duplex ultrasound imaging guidance, when performed, including autogenous or nonautogenous patch graft (eg, polyester, eptfe, bovine pericardium), when performed |
| 0861T | Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter) |
| 0862T | Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only |
| 0863T | Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only |
| C9602 | Percutaneous transluminal coronary atherectomy, with drug eluting intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branch |
| C9603 | Percutaneous transluminal coronary atherectomy, with drug-eluting intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (list separately in addition to code for primary procedure) |
| C9604 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vessel |
| C9605 | Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of drug-eluting intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) |
| C9607 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; single vessel |
| C9608 | Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of drug-eluting intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronary artery branch, or bypass graft (list separately in addition to code for primary procedure) |
| C9760 | Non-randomized, non-blinded procedure for nyha class ii, iii, iv heart failure; transcatheter implantation of interatrial shunt, including right and left heart catheterization, transeptal puncture, trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice), and all imaging with or without guidance (e.g., ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study |
| C9779 | Endoscopic submucosal dissection (esd), including endoscopy or colonoscopy, mucosal closure, when performed |
| C9780 | Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g., inside-out technique), including imaging guidance |
| C9782 | Blinded procedure for new york heart association (nyha) class ii or iii heart failure, or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g., mononuclear) or placebo control, autologous bone marrow harvesting and preparation for transplantation, left heart catheterization including ventriculography, all laboratory services, and all imaging with or without guidance (e.g., transthoracic echocardiography, ultrasound, fluoroscopy), performed in an approved investigational device exemption (ide) study |
| C9783 | Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control, including vascular access and closure, right heart catheterization, venous and coronary sinus angiography, imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study |
| C9785 | Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components |
| C9792 | Blinded or nonblinded procedure for symptomatic new york heart association (nyha) class ii, iii, iva heart failure; transcatheter implantation of left atrial to coronary sinus shunt using jugular vein access, including all imaging necessary to intra procedurally map the coronary sinus for optimal shunt placement (e.g., tee or ice ultrasound, fluoroscopy), performed under general anesthesia in an approved investigational device exemption (ide) study) |
| C9901 | Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components |
| G0413 | Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum) |
The following procedures are those that are proposed for removal from the IPO list for addition to the ASC-CPL:
| HCPCS Code | Long Descriptor |
| 0095T | Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure) |
| 0098T | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure) |
| 0164T | Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (list separately in addition to code for primary procedure) |
| 0165T | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (list separately in addition to code for primary procedure) |
| 0202T | Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine |
| 0219T | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical |
| 0220T | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic |
| 0656T | Anterior lumbar or thoracolumbar vertebral body tethering; up to 7 vertebral segments |
| 0657T | Anterior lumbar or thoracolumbar vertebral body tethering; 8 or more vertebral segments |
| 0790T | Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed |
| 20661 | Application of halo, including removal; cranial |
| 20664 | Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) |
| 20802 | Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure) |
| 20805 | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure) |
| 20808 | Anesthesia for interpelviabdominal (hindquarter) amputation |
| 20816 | Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation |
| 20824 | Replantation, thumb (includes carpometacarpal joint to mp joint), complete amputation |
| 20827 | Replantation, thumb (includes distal tip to mp joint), complete amputation |
| 20838 | Anesthesia for open procedures involving upper two-thirds of femur; radical resection |
| 20955 | Bone graft with microvascular anastomosis; fibula |
| 20956 | Bone graft with microvascular anastomosis; iliac crest |
| 20957 | Bone graft with microvascular anastomosis; metatarsal |
| 20962 | Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal |
| 20969 | Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe |
| 20970 | Free osteocutaneous flap with microvascular anastomosis; iliac crest |
| 21045 | Excision of malignant tumor of mandible; radical resection |
| 21145 | Reconstruction midface, lefort i; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) |
| 21146 | Reconstruction midface, lefort i; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft) |
| 21147 | Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteotomies) |
| 21151 | Reconstruction midface, lefort ii; any direction, requiring bone grafts (includes obtaining autografts) |
| 21154 | Reconstruction midface, lefort iii (extracranial), any type, requiring bone grafts (includes obtaining autografts); without lefort i |
| 21155 | Reconstruction midface, lefort iii (extracranial), any type, requiring bone grafts (includes obtaining autografts); with lefort i |
| 21159 | Reconstruction midface, lefort iii (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without lefort i |
| 21160 | Reconstruction midface, lefort iii (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with lefort i |
| 21179 | Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) |
| 21180 | Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) |
| 21182 | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm |
| 21183 | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm |
| 21184 | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 80 sq cm |
| 21188 | Reconstruction midface, osteotomies (other than lefort type) and bone grafts (includes obtaining autografts) |
| 21247 | Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia) |
| 21268 | Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach |
| 21343 | Open treatment of depressed frontal sinus fracture |
| 21344 | Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches |
| 21348 | Open treatment of nasomaxillary complex fracture (lefort ii type); with bone grafting (includes obtaining graft) |
| 21423 | Open treatment of palatal or maxillary fracture (lefort i type); complicated (comminuted or involving cranial nerve foramina), multiple approaches |
| 21431 | Closed treatment of craniofacial separation (lefort iii type) using interdental wire fixation of denture or splint |
| 21432 | Open treatment of craniofacial separation (lefort iii type); with wiring and/or internal fixation |
| 21433 | Open treatment of craniofacial separation (lefort iii type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches |
| 21435 | Open treatment of craniofacial separation (lefort iii type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation) |
| 21436 | Open treatment of craniofacial separation (lefort iii type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) |
| 21510 | Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax |
| 21602 | Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy |
| 21603 | Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy |
| 21615 | Excision first and/or cervical rib; |
| 21616 | Excision first and/or cervical rib; with sympathectomy |
| 21620 | Ostectomy of sternum, partial |
| 21627 | Sternal debridement |
| 21630 | Radical resection of sternum |
| 21705 | Division of scalenus anticus; with resection of cervical rib |
| 21740 | Reconstructive repair of pectus excavatum or carinatum; open |
| 21750 | Closure of median sternotomy separation with or without debridement (separate procedure) |
| 21825 | Open treatment of sternum fracture with or without skeletal fixation |
| 22010 | Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic |
| 22015 | Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral |
| 22110 | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical |
| 22112 | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic |
| 22114 | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar |
| 22116 | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22206 | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic |
| 22207 | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar |
| 22208 | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22210 | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical |
| 22212 | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic |
| 22214 | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar |
| 22216 | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (list separately in addition to primary procedure) |
| 22220 | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical |
| 22222 | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic |
| 22224 | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar |
| 22226 | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22318 | Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting |
| 22319 | Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting |
| 22325 | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar |
| 22326 | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical |
| 22327 | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic |
| 22328 | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (list separately in addition to code for primary procedure) |
| 22532 | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic |
| 22533 | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar |
| 22534 | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22548 | Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with or without excision of odontoid process |
| 22556 | Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic |
| 22558 | Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar |
| 22586 | Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, l5-s1 interspace |
| 22590 | Arthrodesis, posterior technique, craniocervical (occiput-c2) |
| 22595 | Arthrodesis, posterior technique, atlas-axis (c1-c2) |
| 22600 | Arthrodesis, posterior or posterolateral technique, single level; cervical below c2 segment |
| 22610 | Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse technique, when performed) |
| 22800 | Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments |
| 22802 | Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments |
| 22804 | Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments |
| 22808 | Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments |
| 22810 | Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments |
| 22812 | Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments |
| 22818 | Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments |
| 22819 | Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments |
| 22830 | Exploration of spinal fusion |
| 22836 | Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments |
| 22837 | Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; 8 or more vertebral segments |
| 22838 | Revision (eg, augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed |
| 22841 | Internal spinal fixation by wiring of spinous processes (list separately in addition to code for primary procedure) |
| 22843 | Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (list separately in addition to code for primary procedure) |
| 22844 | Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (list separately in addition to code for primary procedure) |
| 22846 | Anterior instrumentation; 4 to 7 vertebral segments (list separately in addition to code for primary procedure) |
| 22847 | Anterior instrumentation; 8 or more vertebral segments (list separately in addition to code for primary procedure) |
| 22849 | Reinsertion of spinal fixation device |
| 22850 | Removal of posterior nonsegmental instrumentation (eg, harrington rod) |
| 22852 | Removal of posterior segmental instrumentation |
| 22855 | Removal of anterior instrumentation |
| 22857 | Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); single interspace, lumbar |
| 22860 | Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression); second interspace, lumbar (list separately in addition to code for primary procedure) |
| 22861 | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical |
| 22862 | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar |
| 22864 | Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical |
| 22865 | Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar |
| 23200 | Radical resection of tumor; clavicle |
| 23210 | Radical resection of tumor; scapula |
| 23220 | Radical resection of tumor, proximal humerus |
| 23335 | Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder) |
| 23474 | Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component |
| 23900 | Interthoracoscapular amputation (forequarter) |
| 23920 | Disarticulation of shoulder; |
| 24900 | Amputation, arm through humerus; with primary closure |
| 24920 | Amputation, arm through humerus; open, circular (guillotine) |
| 24930 | Amputation, arm through humerus; re-amputation |
| 24931 | Amputation, arm through humerus; with implant |
| 24940 | Cineplasty, upper extremity, complete procedure |
| 25900 | Amputation, forearm, through radius and ulna; |
| 25905 | Amputation, forearm, through radius and ulna; open, circular (guillotine) |
| 25915 | Krukenberg procedure |
| 25920 | Disarticulation through wrist; |
| 25924 | Disarticulation through wrist; re-amputation |
| 25927 | Transmetacarpal amputation; |
| 26551 | Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft |
| 26553 | Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single |
| 26554 | Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double |
| 26556 | Transfer, free toe joint, with microvascular anastomosis |
| 26992 | Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) |
| 27005 | Tenotomy, hip flexor(s), open (separate procedure) |
| 27025 | Fasciotomy, hip or thigh, any type |
| 27030 | Arthrotomy, hip, with drainage (eg, infection) |
| 27036 | Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas) |
| 27054 | Arthrotomy with synovectomy, hip joint |
| 27070 | Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); superficial |
| 27071 | Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg, osteomyelitis or bone abscess); deep (subfascial or intramuscular) |
| 27075 | Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis |
| 27076 | Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum |
| 27077 | Radical resection of tumor; innominate bone, total |
| 27078 | Radical resection of tumor; ischial tuberosity and greater trochanter of femur |
| 27090 | Removal of hip prosthesis; (separate procedure) |
| 27091 | Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer |
| 27120 | Acetabuloplasty; (eg, whitman, colonna, haygroves, or cup type) |
| 27122 | Acetabuloplasty; resection, femoral head (eg, girdlestone procedure) |
| 27125 | Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty) |
| 27132 | Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft |
| 27134 | Revision of total hip arthroplasty; both components, with or without autograft or allograft |
| 27137 | Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft |
| 27138 | Revision of total hip arthroplasty; femoral component only, with or without allograft |
| 27140 | Osteotomy and transfer of greater trochanter of femur (separate procedure) |
| 27146 | Osteotomy, iliac, acetabular or innominate bone; |
| 27147 | Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip |
| 27151 | Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy |
| 27156 | Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip |
| 27158 | Osteotomy, pelvis, bilateral (eg, congenital malformation) |
| 27161 | Osteotomy, femoral neck (separate procedure) |
| 27165 | Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast |
| 27170 | Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) |
| 27175 | Treatment of slipped femoral epiphysis; by traction, without reduction |
| 27176 | Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ |
| 27177 | Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) |
| 27178 | Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning |
| 27181 | Open treatment of slipped femoral epiphysis; osteotomy and internal fixation |
| 27185 | Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur |
| 27187 | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur |
| 27222 | Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction |
| 27226 | Open treatment of posterior or anterior acetabular wall fracture, with internal fixation |
| 27227 | Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation |
| 27228 | Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation |
| 27232 | Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction |
| 27236 | Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement |
| 27240 | Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction |
| 27244 | Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage |
| 27245 | Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage |
| 27248 | Open treatment of greater trochanteric fracture, includes internal fixation, when performed |
| 27253 | Open treatment of hip dislocation, traumatic, without internal fixation |
| 27254 | Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation |
| 27258 | Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); |
| 27259 | Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening |
| 27268 | Closed treatment of femoral fracture, proximal end, head; with manipulation |
| 27269 | Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed |
| 27280 | Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed |
| 27282 | Arthrodesis, symphysis pubis (including obtaining graft) |
| 27284 | Arthrodesis, hip joint (including obtaining graft); |
| 27286 | Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy |
| 27290 | Interpelviabdominal amputation (hindquarter amputation) |
| 27295 | Disarticulation of hip |
| 27303 | Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) |
| 27365 | Radical resection of tumor, femur or knee |
| 27448 | Osteotomy, femur, shaft or supracondylar; without fixation |
| 27450 | Osteotomy, femur, shaft or supracondylar; with fixation |
| 27454 | Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, sofield type procedure) |
| 27455 | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure |
| 27457 | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure |
| 27465 | Osteoplasty, femur; shortening (excluding 64876) |
| 27466 | Osteoplasty, femur; lengthening |
| 27470 | Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) |
| 27472 | Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) |
| 27486 | Revision of total knee arthroplasty, with or without allograft; 1 component |
| 27487 | Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component |
| 27488 | Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee |
| 27495 | Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur |
| 27506 | Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws |
| 27507 | Open treatment of femoral shaft fracture with plate/screws, with or without cerclage |
| 27511 | Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed |
| 27513 | Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed |
| 27514 | Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed |
| 27519 | Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed |
| 27535 | Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed |
| 27536 | Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation |
| 27540 | Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed |
| 27556 | Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction |
| 27557 | Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair |
| 27558 | Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with augmentation/reconstruction |
| 27580 | Arthrodesis, knee, any technique |
| 27590 | Amputation, thigh, through femur, any level; |
| 27591 | Amputation, thigh, through femur, any level; immediate fitting technique including first cast |
| 27592 | Amputation, thigh, through femur, any level; open, circular (guillotine) |
| 27596 | Amputation, thigh, through femur, any level; re-amputation |
| 27598 | Disarticulation at knee |
| 27645 | Radical resection of tumor; tibia |
| 27646 | Radical resection of tumor; fibula |
| 27703 | Arthroplasty, ankle; revision, total ankle |
| 27712 | Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) |
| 27715 | Osteoplasty, tibia and fibula, lengthening or shortening |
| 27724 | Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) |
| 27725 | Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method |
| 27727 | Repair of congenital pseudarthrosis, tibia |
| 27880 | Amputation, leg, through tibia and fibula; |
| 27881 | Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast |
| 27882 | Amputation, leg, through tibia and fibula; open, circular (guillotine) |
| 27886 | Amputation, leg, through tibia and fibula; re-amputation |
| 27888 | Amputation, ankle, through malleoli of tibia and fibula (eg, syme, pirogoff type procedures), with plastic closure and resection of nerves |
| 28800 | Amputation, foot; midtarsal (eg, chopart type procedure) |
| 35372 | Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral |
| 35800 | Exploration for postoperative hemorrhage, thrombosis or infection; neck |
| 37182 | Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract formation/dilatation, stent placement and all associated imaging guidance and documentation) |
| 37617 | Ligation, major artery (eg, post-traumatic, rupture); abdomen |
| 38562 | Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic |
| 43840 | Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury |
| 44300 | Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) |
| 44314 | Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) |
| 44345 | Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) |
| 44346 | Revision of colostomy; with repair of paracolostomy hernia (separate procedure) |
| 44602 | Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation |
| 49010 | Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) |
| 49255 | Omentectomy, epiploectomy, resection of omentum (separate procedure) |
| 51840 | Anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, burch); simple |
| 56630 | Vulvectomy, radical, partial; |
| 61624 | Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord) |
| G0412 | Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed |
| G0414 | Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami) |
| G0415 | Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum) |
