The 298 orthopedic procedures, codes that CMS may return to the inpatient-only list

Alan Condon -   Print  |
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Last year, CMS removed 298 musculoskeletal-related services from the inpatient-only list and detailed its plan to phase out all 1,700 procedures from the inpatient-only list by 2024.

But on July 19, under the 2022 Hospital Outpatient Prospective Payment System and ASC Payment System proposed rule, the agency proposed walking back this move and halting the elimination of the inpatient-only list, citing patient safety concerns.

The 298 procedures include 16 related anesthesia codes and 16 codes recommended by the hospital outpatient payment panel.

The proposed rule also would remove 258 of the 266 procedures added to the ASC covered procedures list in January.

Following are the 298 procedures, and their codes, that could be returned to the inpatient-only list next year:

CY 2021 CPT Code CY 2021 Short Descriptor CY 2021 Long Descriptor
00192 Anesth facial bone surgery Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism)
00474 Anesth surgery of ri Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum)
00604 Anesth sitting procedur Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position
00904 Anesth perineal surger Anesthesia for; radical perineal procedure
0095T Rmvl artific disc addl crvcl Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure)
0098T Rev artific disc add Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure)
01140 Anesth amputation at pelvis Anesthesia for interpelviabdominal (hindquarter) amputation
01150 Anesth pelvic tumor surgery Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation
01212 Anesth hip disarticulation Anesthesia for open procedures involving hip joint; hip disarticulation
01232 Anesth amputation of femur Anesthesia for open procedures involving upper two-thirds of femur; amputation
01234 Anesth radical femur surg Anesthesia for open procedures involving upper two-thirds of femur; radical resection
01274 Anesth femoral embolectomy Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy
01404 Anesth amputation at knee Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee
01486 Anesth ankle replacement Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement
0163T Lumb artif diskectomy addl Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (list separately in addition to code for primary procedure)
01634 Anesth shoulder joint amput Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation
01636 Anesth forequarter amput Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation
01638 Anesth shoulder replacement Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement
0164T Remove lumb artif disc add Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (list separately in addition to code for primary procedure)
0165T Revise lumb artif disc addl Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (list separately in addition to code for primary procedure)
01756 Anesth radical humerus sur Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures
0202T Post vert arthrplst 1 lumba Posterior vertebral joint(s) arthroplasty (for example, 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 Plmt post facet implt cerv 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 Plmt post facet implt thor 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
20661 Application of head brace Application of halo, including removal; cranial
20664 Application of halo Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)
20802 Replantation arm complete Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation
20805 Replant forearm complete Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation
20808 Replantation hand complete Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation
20816 Replantation digit complete Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation
20824 Replantation thumb complete Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation
20827 Replantation thumb complete Replantation, thumb (includes distal tip to MP joint), complete amputation
20838 Replantation foot complete Replantation, foot, complete amputation
20955 Fibula bone graft microvasc Bone graft with microvascular anastomosis; fibula
20956 Iliac bone graft microvasc Bone graft with microvascular anastomosis; iliac crest
20957 Mt bone graft microvasc Bone graft with microvascular anastomosis; metatarsal
20962 Other bone graft microvasc Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal
20969 Bone/skin graft microvasc Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe
20970 Bone/skin graft iliac crest Free osteocutaneous flap with microvascular anastomosis; iliac crest
21045 Extensive jaw surgery Excision of malignant tumor of mandible; radical resection
21141 Lefort i-1 piece w/o graft Reconstruction midface, lefort i; single piece, segment movement in any direction (for example, for long face syndrome), without bone graft
21142 Lefort i-2 piece w/o graft Reconstruction midface, lefort i; 2 pieces, segment movement in any direction, without bone graft
21143 Lefort i-3/> piece w/o graft Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, without bone graft
21145 Lefort i-1 piece w/ graft Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)
21146 Lefort i-2 piece w/ graft Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)
21147 Lefort i-3/> piece w/ graft Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)
21151 Lefort ii w/bone grafts Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)
21154 Lefort iii w/o lefort i Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I
21155 Lefort iii w/ lefort i Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I
21159 Lefort iii w/fhdw/o lefort i Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (for example, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I
21160 Lefort iii w/fhd w/ lefort i Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (for example, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I
21179 Reconstruct entire forehead Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)
21180 Reconstruct entire forehead Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)
21182 Reconstruct cranial bone Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (for example, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm
21183 Reconstruct cranial bone Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (for example, 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 Reconstruct cranial bone Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (for example, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 80 sq cm
21188 Reconstruction of midface Reconstruction midface, osteotomies (other than lefort type) and bone grafts (includes obtaining autografts)
21194 Reconst lwr jaw w/graft Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; with bone graft (includes obtaining graft)
21196 Reconst lwr jaw w/fixation Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation
21247 Reconstruct lower jaw bone Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (for example, for hemifacial microsomia)
21255 Reconstruct lower jaw bone Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)
21268 Revise eye sockets Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach
21343 Open tx dprsd front sinus fx Open treatment of depressed frontal sinus fracture
21344 Open tx compl front sinus fx Open treatment of complicated (for example, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches
21347 Opn tx nasomax fx multple Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches
21348 Opn tx nasomax fx w/graft Open treatment of nasomaxillary complex fracture (lefort ii type); with bone grafting (includes obtaining graft)
21366 Opn tx complx malar w/grft Open treatment of complicated (for example, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)
21422 Treat mouth roof fracture Open treatment of palatal or maxillary fracture (lefort i type);
21423 Treat mouth roof fracture Open treatment of palatal or maxillary fracture (lefort i type); complicated (comminuted or involving cranial nerve foramina), multiple approaches
21431 Treat craniofacial fracture Closed treatment of craniofacial separation (lefort iii type) using interdental wire fixation of denture or splint
21432 Treat craniofacial fracture Open treatment of craniofacial separation (lefort iii type); with wiring and/or internal fixation
21433 Treat craniofacial fracture Open treatment of craniofacial separation (lefort iii type); complicated (for example, comminuted or involving cranial nerve foramina), multiple surgical approaches
21435 Treat craniofacial fracture Open treatment of craniofacial separation (lefort iii type); complicated, utilizing internal and/or external fixation techniques (for example, head cap, halo device, and/or intermaxillary fixation)
21436 Treat craniofacial fracture Open treatment of craniofacial separation (lefort iii type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)
21510 Drainage of bone lesion Incision, deep, with opening of bone cortex (for example, for osteomyelitis or bone abscess), thorax
21602 Exc ch wal tum w/o lymphadec Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy
21603 Exc ch wal tum w/lymphadec Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy
21615 Removal of rib Excision first and/or cervical rib;
21616 Removal of rib and nerves Excision first and/or cervical rib; with sympathectomy
21620 Partial removal of sternum Ostectomy of sternum, partial
21627 Sternal debridement Sternal debridement
21630 Extensive sternum surgery Radical resection of sternum;
21632 Extensive sternum surgery Radical resection of sternum; with mediastinal lymphadenectomy
21705 Revision of neck muscle/rib Division of scalenus anticus; with resection of cervical rib
21740 Reconstruction of sternum Reconstructive repair of pectus excavatum or carinatum; open
21750 Repair of sternum separation Closure of median sternotomy separation with or without debridement (separate procedure)
21825 Treat sternum fracture Open treatment of sternum fracture with or without skeletal fixation
22010 I&d p-spine c/t/cerv-thor Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic
22015 I&d abscess p-spine l/s/ls Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral
22110 Remove part of neck vertebra Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical
22112 Remove part thorax vertebra Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic
22114 Remove part lumbar vertebra Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar
22116 Remove extra spine segment 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 Incis spine 3 column thorac Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); thoracic
22207 Incis spine 3 column lumbar Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); lumbar
22208 Incis spine 3 column adl seg Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); each additional vertebral segment (list separately in addition to code for primary procedure)
22210 Incis 1 vertebral seg cerv Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical
22212 Incis 1 vertebral seg thorac Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic
22214 Incis 1 vertebral seg lumbar Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar
22216 Incis addl spine segment Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (list separately in addition to primary procedure)
22220 Incis w/discectomy cervical Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical
22222 Incis w/discectomy thoracic Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic
22224 Incis w/discectomy lumbar Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar
22226 Revise extra spine segment Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (list separately in addition to code for primary procedure)
22318 Treat odontoid fx w/o graft 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 Treat odontoid fx w/graft 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 Treat spine fracture Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar
22326 Treat neck spine fracture Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical
22327 Treat thorax spine fracture Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic
22328 Treat each add spine fx 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 Lat thorax spine fusion Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic
22533 Lat lumbar spine fusion Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
22534 Lat thor/lumb addl seg 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 Neck spine fusion Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with or without excision of odontoid process
22556 Thorax spine fusion Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic
22558 Lumbar spine fusion Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar
22586 Prescrl fuse w/ instr l5-s1 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 Spine & skull spinal fusion Arthrodesis, posterior technique, craniocervical (occiput-c2)
22595 Neck spinal fusion Arthrodesis, posterior technique, atlas-axis (c1-c2)
22600 Neck spine fusion Arthrodesis, posterior or posterolateral technique, single level; cervical below c2 segment
22610 Thorax spine fusion Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse technique, when performed)
22630 Lumbar spine fusion Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar
22632 Spine fusion extra segment Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional interspace (list separately in addition to code for primary procedure)
22800 Post fusion </6 vert seg Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
22802 Post fusion 7-12 vert seg Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments
22804 Post fusion 13/> vert seg Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
22808 Ant fusion 2-3 vert seg Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments
22810 Ant fusion 4-7 vert seg Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments
22812 Ant fusion 8/> vert seg Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments
22818 Kyphectomy 1-2 segments Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments
22819 Kyphectomy 3 or more 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 Exploration of spinal fusion
22841 Insert spine fixation device Internal spinal fixation by wiring of spinous processes (list separately in addition to code for primary procedure)
22843 Insert spine fixation device Posterior segmental instrumentation (for example, 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 Insert spine fixation device Posterior segmental instrumentation (for example, 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 Insert spine fixation device Anterior instrumentation; 4 to 7 vertebral segments (list separately in addition to code for primary procedure)
22847 Insert spine fixation device Anterior instrumentation; 8 or more vertebral segments (list separately in addition to code for primary procedure)
22848 Insert pelv fixation device Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (list separately in addition to code for primary procedure)
22849 Reinsert spinal fixation Reinsertion of spinal fixation device
22850 Remove spine fixation device Removal of posterior nonsegmental instrumentation (for example, harrington rod)
22852 Remove spine fixation device Removal of posterior segmental instrumentation
22855 Remove spine fixation device Removal of anterior instrumentation
22857 Lumbar artif diskectomy Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar
22861 Revise cerv artific disc Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical
22862 Revise lumbar artif disc Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar
22864 Remove cerv artif disc Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical
22865 Remove lumb artif disc Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar
23200 Resect clavicle tumor Radical resection of tumor; clavicle
23210 Resect scapula tumor Radical resection of tumor; scapula
23220 Resect prox humerus tumor Radical resection of tumor, proximal humerus
23335 Shoulder prosthesis removal Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (for example, total shoulder)
23472 Reconstruct shoulder joint Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (for example, total shoulder))
23474 Revis reconst shoulder joint Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component
23900 Amputation of arm & girdle Interthoracoscapular amputation (forequarter)
23920 Amputation at shoulder joint Disarticulation of shoulder;
24900 Amputation of upper arm Amputation, arm through humerus; with primary closure
24920 Amputation of upper arm Amputation, arm through humerus; open, circular (guillotine)
24930 Amputation follow-up surgery Amputation, arm through humerus; re-amputation
24931 Amputate upper arm & implant Amputation, arm through humerus; with implant
24940 Revision of upper arm Cineplasty, upper extremity, complete procedure
25900 Amputation of forearm Amputation, forearm, through radius and ulna;
25905 Amputation of forearm Amputation, forearm, through radius and ulna; open, circular (guillotine)
25915 Amputation of forearm Krukenberg procedure
25920 Amputate hand at wrist Disarticulation through wrist;
25924 Amputation follow-up surgery Disarticulation through wrist; re-amputation
25927 Amputation of hand Transmetacarpal amputation;
26551 Great toe-hand transfer Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft
26553 Single transfer toe-hand Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single
26554 Double transfer toe-hand Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double
26556 Toe joint transfer Transfer, free toe joint, with microvascular anastomosis
26992 Drainage of bone lesion Incision, bone cortex, pelvis and/or hip joint (for example, osteomyelitis or bone abscess)
27005 Incision of hip tendon Tenotomy, hip flexor(s), open (separate procedure)
27025 Incision of hip/thigh fascia Fasciotomy, hip or thigh, any type
27030 Drainage of hip joint Arthrotomy, hip, with drainage (for example, infection)
27036 Excision of hip joint/muscle 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 Removal of hip joint lining Arthrotomy with synovectomy, hip joint
27070 Part remove hip bone super Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (for example, osteomyelitis or bone abscess); superficial
27071 Part removal hip bone deep Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (for example, osteomyelitis or bone abscess); deep (subfascial or intramuscular)
27075 Resect hip tumor Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis
27076 Resect hip tum incl acetabul Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum
27077 Resect hip tum w/innom bone Radical resection of tumor; innominate bone, total
27078 Rsect hip tum incl femur Radical resection of tumor; ischial tuberosity and greater trochanter of femur
27090 Removal of hip prosthesis Removal of hip prosthesis; (separate procedure)
27091 Removal of hip prosthesis Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer
27120 Reconstruction of hip socket Acetabuloplasty; (for example, whitman, colonna, haygroves, or cup type)
27122 Reconstruction of hip socket Acetabuloplasty; resection, femoral head (for example, girdlestone procedure)
27125 Partial hip replacement Hemiarthroplasty, hip, partial (for example, femoral stem prosthesis, bipolar arthroplasty)
27132 Total hip arthroplasty Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft
27134 Revise hip joint replacement Revision of total hip arthroplasty; both components, with or without autograft or allograft
27137 Revise hip joint replacement Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft
27138 Revise hip joint replacement Revision of total hip arthroplasty; femoral component only, with or without allograft
27140 Transplant femur ridge Osteotomy and transfer of greater trochanter of femur (separate procedure)
27146 Incision of hip bone Osteotomy, iliac, acetabular or innominate bone;
27147 Revision of hip bone Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip
27151 Incision of hip bones Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy
27156 Revision of hip bones Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip
27158 Revision of pelvis Osteotomy, pelvis, bilateral (for example, congenital malformation)
27161 Incision of neck of femur Osteotomy, femoral neck (separate procedure)
27165 Incision/fixation of femur Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast
27170 Repair/graft femur head/neck Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft)
27175 Treat slipped epiphysis Treatment of slipped femoral epiphysis; by traction, without reduction
27176 Treat slipped epiphysis Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ
27177 Treat slipped epiphysis Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)
27178 Treat slipped epiphysis Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning
27181 Treat slipped epiphysis Open treatment of slipped femoral epiphysis; osteotomy and internal fixation
27185 Revision of femur epiphysis Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur
27187 Reinforce hip bones Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur
27222 Treat hip socket fracture Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction
27226 Treat hip wall fracture Open treatment of posterior or anterior acetabular wall fracture, with internal fixation
27227 Treat hip fracture(s) Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation
27228 Treat hip fracture(s) 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 Treat thigh fracture Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction
27236 Treat thigh fracture Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement
27240 Treat thigh fracture Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction
27244 Treat thigh fracture Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage
27245 Treat thigh fracture Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage
27248 Treat thigh fracture Open treatment of greater trochanteric fracture, includes internal fixation, when performed
27253 Treat hip dislocation Open treatment of hip dislocation, traumatic, without internal fixation
27254 Treat hip dislocation Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation
27258 Treat hip dislocation Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc);
27259 Treat hip dislocation 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 Cltx thigh fx w/mnpj Closed treatment of femoral fracture, proximal end, head; with manipulation
27269 Optx thigh fx Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed
27280 Fusion of sacroiliac joint Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed
27282 Fusion of pubic bones Arthrodesis, symphysis pubis (including obtaining graft)
27284 Fusion of hip joint Arthrodesis, hip joint (including obtaining graft);
27286 Fusion of hip joint Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy
27290 Amputation of leg at hip Interpelviabdominal amputation (hindquarter amputation)
27295 Amputation of leg at hip Detachment of hip joint
27303 Drainage of bone lesion Incision, deep, with opening of bone cortex, femur or knee (for example, osteomyelitis or bone abscess)
27365 Resect femur/knee tumor Radical resection of tumor, femur or knee
27445 Revision of knee joint Arthroplasty, knee, hinge prosthesis (for example, walldius type)
27448 Incision of thigh Osteotomy, femur, shaft or supracondylar; without fixation
27450 Incision of thigh Osteotomy, femur, shaft or supracondylar; with fixation
27454 Realignment of thigh bone Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (for example, sofield type procedure)
27455 Realignment of knee Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure
27457 Realignment of knee Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure
27465 Shortening of thigh bone Osteoplasty, femur; shortening (excluding 64876)
27466 Lengthening of thigh bone Osteoplasty, femur; lengthening
27468 Shorten/lengthen thighs Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer
27470 Repair of thigh Repair, nonunion or malunion, femur, distal to head and neck; without graft (for example, compression technique)
27472 Repair/graft of thigh Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft)
27486 Revise/replace knee joint Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft)
27487 Revise/replace knee joint Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component
27488 Removal of knee prosthesis Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee
27495 Reinforce thigh Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur
27506 Treatment of thigh fracture 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 Treatment of thigh fracture Open treatment of femoral shaft fracture with plate/screws, with or without cerclage
27511 Treatment of thigh fracture Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed
27513 Treatment of thigh fracture Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed
27514 Treatment of thigh fracture Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed
27519 Treat thigh fx growth plate Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed
27535 Treat knee fracture Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed
27536 Treat knee fracture Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation
27540 Treat knee fracture Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed
27556 Treat knee dislocation Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction
27557 Treat knee dislocation Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair
27558 Treat knee dislocation Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair
27580 Fusion of knee Arthrodesis, knee, any technique
27590 Amputate leg at thigh Amputation, thigh, through femur, any level;
27591 Amputate leg at thigh Amputation, thigh, through femur, any level; immediate fitting technique including first cast
27592 Amputate leg at thigh Amputation, thigh, through femur, any level; open, circular (guillotine)
27596 Amputation follow-up surgery Amputation, thigh, through femur, any level; re-amputation
27598 Amputate lower leg at knee Disarticulation at knee
27645 Resect tibia tumor Radical resection of tumor; tibia
27646 Resect fibula tumor Radical resection of tumor; fibula
27702 Reconstruct ankle joint Arthroplasty, ankle; with implant (total ankle)
27703 Reconstruction ankle joint Arthroplasty, ankle; revision, total ankle
27712 Realignment of lower leg Osteotomy; multiple, with realignment on intramedullary rod (for example, sofield type procedure)
27715 Revision of lower leg Osteoplasty, tibia and fibula, lengthening or shortening
27724 Repair/graft of tibia Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft)
27725 Repair of lower leg Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method
27727 Repair of lower leg Repair of congenital pseudarthrosis, tibia
27880 Amputation of lower leg Amputation, leg, through tibia and fibula;
27881 Amputation of lower leg Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast
27882 Amputation of lower leg Amputation, leg, through tibia and fibula; open, circular (guillotine)
27886 Amputation follow-up surgery Amputation, leg, through tibia and fibula; re-amputation
27888 Amputation of foot at ankle Amputation, ankle, through malleoli of tibia and fibula (for example, syme, pirogoff type procedures), with plastic closure and resection of nerves
28800 Amputation of midfoot Amputation, foot; midtarsal (for example, chopart type procedure)
G0412 Open tx iliac spine uni/bil 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 Pelvic ring fx treat int fix 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 tx post pelvic fxcture 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)
35372 Rechanneling of artery Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral
35800 Explore neck vessels Exploration for postoperative hemorrhage, thrombosis or infection; neck
37182 Insert hepatic shunt (tips) 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 of abdomen artery Ligation, major artery (eg, post-traumatic, rupture); abdomen
38562 Removal pelvic lymph nodes Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic
43840 Repair of stomach lesion Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury
44300 Open bowel to skin Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)
44314 Revision of ileostomy Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)
44345 Revision of colostomy Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)
44346 Revision of colostomy Revision of colostomy; with repair of paracolostomy hernia (separate procedure)
44602 Suture small intestine Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation
49010 Exploration behind abdomen Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)
49255 Removal of omentum Omentectomy, epiploectomy, resection of omentum (separate procedure)
51840 Attach bladder/urethra Anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, burch); simple
56630 Extensive vulva surgery Vulvectomy, radical, partial;
61624 Transcath occlusion cns 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)

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