Resource ValueSet/FHIR Server from package us.nlm.vsac#0.22.0 (2875 ms)
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{
"resourceType" : "ValueSet",
"id" : "2.16.840.1.113762.1.4.1235.1",
"meta" : {
"versionId" : "7",
"lastUpdated" : "2025-02-08T01:04:21.000-05:00",
"profile" : [
"http://hl7.org/fhir/StructureDefinition/shareablevalueset",
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/computable-valueset-cqfm",
"http://hl7.org/fhir/us/cqfmeasures/StructureDefinition/publishable-valueset-cqfm"
]
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/valueset-author",
"valueContactDetail" : {
"name" : "B.well Connected Health Author"
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/resource-lastReviewDate",
"valueDate" : "2025-02-08"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/valueset-effectiveDate",
"valueDate" : "2025-02-08"
}
],
"url" : "http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1235.1",
"identifier" : [
{
"system" : "urn:ietf:rfc:3986",
"value" : "urn:oid:2.16.840.1.113762.1.4.1235.1"
}
],
"version" : "20250208",
"name" : "TestDiabetesCodes",
"title" : "Test Diabetes codes",
"status" : "active",
"date" : "2025-02-08T01:04:21-05:00",
"publisher" : "B.well Connected Health Steward",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"purpose" : "(Clinical Focus: ),(Data Element Scope: ),(Inclusion Criteria: ),(Exclusion Criteria: )",
"compose" : {
"include" : [
{
"system" : "http://www.ama-assn.org/go/cpt",
"concept" : [
{
"code" : "00210",
"display" : "Anesthesia for intracranial procedures; not otherwise specified"
},
{
"code" : "00211",
"display" : "Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma"
},
{
"code" : "00216",
"display" : "Anesthesia for intracranial procedures; vascular procedures"
},
{
"code" : "00350",
"display" : "Anesthesia for procedures on major vessels of neck; not otherwise specified"
},
{
"code" : "00404",
"display" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast"
},
{
"code" : "00406",
"display" : "Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection"
},
{
"code" : "00500",
"display" : "Anesthesia for all procedures on esophagus"
},
{
"code" : "00540",
"display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); not otherwise specified"
},
{
"code" : "00541",
"display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation"
},
{
"code" : "00542",
"display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); decortication"
},
{
"code" : "00546",
"display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty"
},
{
"code" : "00548",
"display" : "Anesthesia for thoracotomy procedures involving lungs, pleura, diaphragm, and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi"
},
{
"code" : "00560",
"display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; without pump oxygenator"
},
{
"code" : "00561",
"display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than 1 year of age"
},
{
"code" : "00562",
"display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, age 1 year or older, for all noncoronary bypass procedures (eg, valve procedures) or for re-operation for coronary bypass more than 1 month after original operation"
},
{
"code" : "00563",
"display" : "Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest"
},
{
"code" : "00566",
"display" : "Anesthesia for direct coronary artery bypass grafting; without pump oxygenator"
},
{
"code" : "00567",
"display" : "Anesthesia for direct coronary artery bypass grafting; with pump oxygenator"
},
{
"code" : "00580",
"display" : "Anesthesia for heart transplant or heart/lung transplant"
},
{
"code" : "00600",
"display" : "Anesthesia for procedures on cervical spine and cord; not otherwise specified"
},
{
"code" : "00604",
"display" : "Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position"
},
{
"code" : "00620",
"display" : "Anesthesia for procedures on thoracic spine and cord, not otherwise specified"
},
{
"code" : "00622",
"display" : "Anesthesia for procedures on thoracic spine and cord; thoracolumbar sympathectomy"
},
{
"code" : "00625",
"display" : "Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing 1 lung ventilation"
},
{
"code" : "00626",
"display" : "Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing 1 lung ventilation"
},
{
"code" : "00670",
"display" : "Anesthesia for extensive spine and spinal cord procedures (eg, spinal instrumentation or vascular procedures)"
},
{
"code" : "00792",
"display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy)"
},
{
"code" : "00794",
"display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy, partial or total (eg, Whipple procedure)"
},
{
"code" : "00796",
"display" : "Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient)"
},
{
"code" : "00844",
"display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection"
},
{
"code" : "00846",
"display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy"
},
{
"code" : "00848",
"display" : "Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration"
},
{
"code" : "00860",
"display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified"
},
{
"code" : "00862",
"display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy"
},
{
"code" : "00864",
"display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy"
},
{
"code" : "00865",
"display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; radical prostatectomy (suprapubic, retropubic)"
},
{
"code" : "00866",
"display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy"
},
{
"code" : "00868",
"display" : "Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal transplant (recipient)"
},
{
"code" : "00880",
"display" : "Anesthesia for procedures on major lower abdominal vessels; not otherwise specified"
},
{
"code" : "00904",
"display" : "Anesthesia for; radical perineal procedure"
},
{
"code" : "00906",
"display" : "Anesthesia for; vulvectomy"
},
{
"code" : "00908",
"display" : "Anesthesia for; perineal prostatectomy"
},
{
"code" : "00926",
"display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal"
},
{
"code" : "00928",
"display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, abdominal"
},
{
"code" : "00932",
"display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis"
},
{
"code" : "00934",
"display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy"
},
{
"code" : "00936",
"display" : "Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy"
},
{
"code" : "00944",
"display" : "Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); vaginal hysterectomy"
},
{
"code" : "01130",
"display" : "Anesthesia for body cast application or revision"
},
{
"code" : "01140",
"display" : "Anesthesia for interpelviabdominal (hindquarter) amputation"
},
{
"code" : "01150",
"display" : "Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation"
},
{
"code" : "01173",
"display" : "Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum"
},
{
"code" : "01210",
"display" : "Anesthesia for open procedures involving hip joint; not otherwise specified"
},
{
"code" : "01212",
"display" : "Anesthesia for open procedures involving hip joint; hip disarticulation"
},
{
"code" : "01214",
"display" : "Anesthesia for open procedures involving hip joint; total hip arthroplasty"
},
{
"code" : "01215",
"display" : "Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty"
},
{
"code" : "01230",
"display" : "Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified"
},
{
"code" : "01232",
"display" : "Anesthesia for open procedures involving upper two-thirds of femur; amputation"
},
{
"code" : "01234",
"display" : "Anesthesia for open procedures involving upper two-thirds of femur; radical resection"
},
{
"code" : "01270",
"display" : "Anesthesia for procedures involving arteries of upper leg, including bypass graft; not otherwise specified"
},
{
"code" : "01272",
"display" : "Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery ligation"
},
{
"code" : "01274",
"display" : "Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy"
},
{
"code" : "01360",
"display" : "Anesthesia for all open procedures on lower one-third of femur"
},
{
"code" : "01392",
"display" : "Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella"
},
{
"code" : "01400",
"display" : "Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified"
},
{
"code" : "01402",
"display" : "Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty"
},
{
"code" : "01404",
"display" : "Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee"
},
{
"code" : "01480",
"display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified"
},
{
"code" : "01482",
"display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; radical resection (including below knee amputation)"
},
{
"code" : "01484",
"display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; osteotomy or osteoplasty of tibia and/or fibula"
},
{
"code" : "01486",
"display" : "Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement"
},
{
"code" : "01500",
"display" : "Anesthesia for procedures on arteries of lower leg, including bypass graft; not otherwise specified"
},
{
"code" : "01638",
"display" : "Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement"
},
{
"code" : "01654",
"display" : "Anesthesia for procedures on arteries of shoulder and axilla; bypass graft"
},
{
"code" : "01656",
"display" : "Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft"
},
{
"code" : "01760",
"display" : "Anesthesia for open or surgical arthroscopic procedures of the elbow; total elbow replacement"
},
{
"code" : "0500F",
"display" : "Initial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. Report also date of visit and, in a separate field, the date of the last menstrual period [LMP]) (Prenatal)"
},
{
"code" : "0501F",
"display" : "Prenatal flow sheet documented in medical record by first prenatal visit (documentation includes at minimum blood pressure, weight, urine protein, uterine size, fetal heart tones, and estimated date of delivery). Report also: date of visit and, in a separate field, the date of the last menstrual period [LMP] (Note: If reporting 0501F Prenatal flow sheet, it is not necessary to report 0500F Initial prenatal care visit) (Prenatal)"
},
{
"code" : "0502F",
"display" : "Subsequent prenatal care visit (Prenatal) [Excludes: patients who are seen for a condition unrelated to pregnancy or prenatal care (eg, an upper respiratory infection; patients seen for consultation only, not for continuing care)]"
},
{
"code" : "0503F",
"display" : "Postpartum care visit (Prenatal)"
},
{
"code" : "10004",
"display" : "Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "10005",
"display" : "Fine needle aspiration biopsy, including ultrasound guidance; first lesion"
},
{
"code" : "10006",
"display" : "Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "10007",
"display" : "Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"
},
{
"code" : "10008",
"display" : "Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "10009",
"display" : "Fine needle aspiration biopsy, including CT guidance; first lesion"
},
{
"code" : "10010",
"display" : "Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "10011",
"display" : "Fine needle aspiration biopsy, including MR guidance; first lesion"
},
{
"code" : "10012",
"display" : "Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "10021",
"display" : "Fine needle aspiration biopsy, without imaging guidance; first lesion"
},
{
"code" : "10022",
"display" : "Fine needle aspiration; with imaging guidance"
},
{
"code" : "10030",
"display" : "Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous"
},
{
"code" : "10035",
"display" : "Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; first lesion"
},
{
"code" : "10036",
"display" : "Placement of soft tissue localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous, including imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "10040",
"display" : "Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)"
},
{
"code" : "10060",
"display" : "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single"
},
{
"code" : "10061",
"display" : "Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple"
},
{
"code" : "10080",
"display" : "Incision and drainage of pilonidal cyst; simple"
},
{
"code" : "10081",
"display" : "Incision and drainage of pilonidal cyst; complicated"
},
{
"code" : "10120",
"display" : "Incision and removal of foreign body, subcutaneous tissues; simple"
},
{
"code" : "10121",
"display" : "Incision and removal of foreign body, subcutaneous tissues; complicated"
},
{
"code" : "10140",
"display" : "Incision and drainage of hematoma, seroma or fluid collection"
},
{
"code" : "10160",
"display" : "Puncture aspiration of abscess, hematoma, bulla, or cyst"
},
{
"code" : "10180",
"display" : "Incision and drainage, complex, postoperative wound infection"
},
{
"code" : "11000",
"display" : "Debridement of extensive eczematous or infected skin; up to 10% of body surface"
},
{
"code" : "11001",
"display" : "Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "11004",
"display" : "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum"
},
{
"code" : "11005",
"display" : "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure"
},
{
"code" : "11006",
"display" : "Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure"
},
{
"code" : "11008",
"display" : "Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure)"
},
{
"code" : "11010",
"display" : "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues"
},
{
"code" : "11011",
"display" : "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle"
},
{
"code" : "11012",
"display" : "Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone"
},
{
"code" : "11042",
"display" : "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less"
},
{
"code" : "11043",
"display" : "Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less"
},
{
"code" : "11044",
"display" : "Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less"
},
{
"code" : "11045",
"display" : "Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "11046",
"display" : "Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "11047",
"display" : "Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "11055",
"display" : "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion"
},
{
"code" : "11056",
"display" : "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions"
},
{
"code" : "11057",
"display" : "Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions"
},
{
"code" : "11100",
"display" : "Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion"
},
{
"code" : "11101",
"display" : "Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; each separate/additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "11102",
"display" : "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"
},
{
"code" : "11103",
"display" : "Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "11104",
"display" : "Punch biopsy of skin (including simple closure, when performed); single lesion"
},
{
"code" : "11105",
"display" : "Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "11106",
"display" : "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"
},
{
"code" : "11107",
"display" : "Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)"
},
{
"code" : "1111F",
"display" : "Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)"
},
{
"code" : "11200",
"display" : "Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions"
},
{
"code" : "11201",
"display" : "Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "1125F",
"display" : "Pain severity quantified; pain present (COA) (ONC)"
},
{
"code" : "1126F",
"display" : "Pain severity quantified; no pain present (COA) (ONC)"
},
{
"code" : "11300",
"display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less"
},
{
"code" : "11301",
"display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm"
},
{
"code" : "11302",
"display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm"
},
{
"code" : "11303",
"display" : "Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm"
},
{
"code" : "11305",
"display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less"
},
{
"code" : "11306",
"display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm"
},
{
"code" : "11307",
"display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm"
},
{
"code" : "11308",
"display" : "Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm"
},
{
"code" : "11310",
"display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less"
},
{
"code" : "11311",
"display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm"
},
{
"code" : "11312",
"display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm"
},
{
"code" : "11313",
"display" : "Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm"
},
{
"code" : "11400",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less"
},
{
"code" : "11401",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm"
},
{
"code" : "11402",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm"
},
{
"code" : "11403",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm"
},
{
"code" : "11404",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm"
},
{
"code" : "11406",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm"
},
{
"code" : "11420",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less"
},
{
"code" : "11421",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm"
},
{
"code" : "11422",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"
},
{
"code" : "11423",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm"
},
{
"code" : "11424",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm"
},
{
"code" : "11426",
"display" : "Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm"
},
{
"code" : "11440",
"display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less"
},
{
"code" : "11441",
"display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm"
},
{
"code" : "11442",
"display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm"
},
{
"code" : "11443",
"display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm"
},
{
"code" : "11444",
"display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm"
},
{
"code" : "11446",
"display" : "Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm"
},
{
"code" : "11450",
"display" : "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair"
},
{
"code" : "11451",
"display" : "Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair"
},
{
"code" : "11462",
"display" : "Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with simple or intermediate repair"
},
{
"code" : "11463",
"display" : "Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair"
},
{
"code" : "11470",
"display" : "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair"
},
{
"code" : "11471",
"display" : "Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair"
},
{
"code" : "1157F",
"display" : "Advance care plan or similar legal document present in the medical record (COA)"
},
{
"code" : "1158F",
"display" : "Advance care planning discussion documented in the medical record (COA)"
},
{
"code" : "1159F",
"display" : "Medication list documented in medical record (COA)"
},
{
"code" : "11600",
"display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less"
},
{
"code" : "11601",
"display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm"
},
{
"code" : "11602",
"display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm"
},
{
"code" : "11603",
"display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm"
},
{
"code" : "11604",
"display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm"
},
{
"code" : "11606",
"display" : "Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm"
},
{
"code" : "1160F",
"display" : "Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)"
},
{
"code" : "11620",
"display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less"
},
{
"code" : "11621",
"display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm"
},
{
"code" : "11622",
"display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"
},
{
"code" : "11623",
"display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm"
},
{
"code" : "11624",
"display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm"
},
{
"code" : "11626",
"display" : "Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm"
},
{
"code" : "11640",
"display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less"
},
{
"code" : "11641",
"display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm"
},
{
"code" : "11642",
"display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm"
},
{
"code" : "11643",
"display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm"
},
{
"code" : "11644",
"display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm"
},
{
"code" : "11646",
"display" : "Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm"
},
{
"code" : "1170F",
"display" : "Functional status assessed (COA) (RA)"
},
{
"code" : "11719",
"display" : "Trimming of nondystrophic nails, any number"
},
{
"code" : "11720",
"display" : "Debridement of nail(s) by any method(s); 1 to 5"
},
{
"code" : "11721",
"display" : "Debridement of nail(s) by any method(s); 6 or more"
},
{
"code" : "11730",
"display" : "Avulsion of nail plate, partial or complete, simple; single"
},
{
"code" : "11732",
"display" : "Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)"
},
{
"code" : "11740",
"display" : "Evacuation of subungual hematoma"
},
{
"code" : "11750",
"display" : "Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal"
},
{
"code" : "11752",
"display" : "Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal; with amputation of tuft of distal phalanx"
},
{
"code" : "11755",
"display" : "Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)"
},
{
"code" : "11760",
"display" : "Repair of nail bed"
},
{
"code" : "11762",
"display" : "Reconstruction of nail bed with graft"
},
{
"code" : "11765",
"display" : "Wedge excision of skin of nail fold (eg, for ingrown toenail)"
},
{
"code" : "11770",
"display" : "Excision of pilonidal cyst or sinus; simple"
},
{
"code" : "11771",
"display" : "Excision of pilonidal cyst or sinus; extensive"
},
{
"code" : "11772",
"display" : "Excision of pilonidal cyst or sinus; complicated"
},
{
"code" : "11900",
"display" : "Injection, intralesional; up to and including 7 lesions"
},
{
"code" : "11901",
"display" : "Injection, intralesional; more than 7 lesions"
},
{
"code" : "11920",
"display" : "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.0 sq cm or less"
},
{
"code" : "11921",
"display" : "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; 6.1 to 20.0 sq cm"
},
{
"code" : "11922",
"display" : "Tattooing, intradermal introduction of insoluble opaque pigments to correct color defects of skin, including micropigmentation; each additional 20.0 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "11950",
"display" : "Subcutaneous injection of filling material (eg, collagen); 1 cc or less"
},
{
"code" : "11951",
"display" : "Subcutaneous injection of filling material (eg, collagen); 1.1 to 5.0 cc"
},
{
"code" : "11952",
"display" : "Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc"
},
{
"code" : "11954",
"display" : "Subcutaneous injection of filling material (eg, collagen); over 10.0 cc"
},
{
"code" : "11960",
"display" : "Insertion of tissue expander(s) for other than breast, including subsequent expansion"
},
{
"code" : "11970",
"display" : "Replacement of tissue expander with permanent implant"
},
{
"code" : "11971",
"display" : "Removal of tissue expander without insertion of implant"
},
{
"code" : "11976",
"display" : "Removal, implantable contraceptive capsules"
},
{
"code" : "11980",
"display" : "Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)"
},
{
"code" : "11981",
"display" : "Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)"
},
{
"code" : "11982",
"display" : "Removal, non-biodegradable drug delivery implant"
},
{
"code" : "11983",
"display" : "Removal with reinsertion, non-biodegradable drug delivery implant"
},
{
"code" : "12001",
"display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less"
},
{
"code" : "12002",
"display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm"
},
{
"code" : "12004",
"display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm"
},
{
"code" : "12005",
"display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"
},
{
"code" : "12006",
"display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"
},
{
"code" : "12007",
"display" : "Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"
},
{
"code" : "12011",
"display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"
},
{
"code" : "12013",
"display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"
},
{
"code" : "12014",
"display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"
},
{
"code" : "12015",
"display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"
},
{
"code" : "12016",
"display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"
},
{
"code" : "12017",
"display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm"
},
{
"code" : "12018",
"display" : "Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"
},
{
"code" : "12020",
"display" : "Treatment of superficial wound dehiscence; simple closure"
},
{
"code" : "12021",
"display" : "Treatment of superficial wound dehiscence; with packing"
},
{
"code" : "12031",
"display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less"
},
{
"code" : "12032",
"display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm"
},
{
"code" : "12034",
"display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm"
},
{
"code" : "12035",
"display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm"
},
{
"code" : "12036",
"display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm"
},
{
"code" : "12037",
"display" : "Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm"
},
{
"code" : "12041",
"display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"
},
{
"code" : "12042",
"display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm"
},
{
"code" : "12044",
"display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm"
},
{
"code" : "12045",
"display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm"
},
{
"code" : "12046",
"display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm"
},
{
"code" : "12047",
"display" : "Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; over 30.0 cm"
},
{
"code" : "12051",
"display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"
},
{
"code" : "12052",
"display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"
},
{
"code" : "12053",
"display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"
},
{
"code" : "12054",
"display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"
},
{
"code" : "12055",
"display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"
},
{
"code" : "12056",
"display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm"
},
{
"code" : "12057",
"display" : "Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; over 30.0 cm"
},
{
"code" : "13100",
"display" : "Repair, complex, trunk; 1.1 cm to 2.5 cm"
},
{
"code" : "13101",
"display" : "Repair, complex, trunk; 2.6 cm to 7.5 cm"
},
{
"code" : "13102",
"display" : "Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)"
},
{
"code" : "13120",
"display" : "Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm"
},
{
"code" : "13121",
"display" : "Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm"
},
{
"code" : "13122",
"display" : "Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)"
},
{
"code" : "13131",
"display" : "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm"
},
{
"code" : "13132",
"display" : "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm"
},
{
"code" : "13133",
"display" : "Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)"
},
{
"code" : "13151",
"display" : "Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm"
},
{
"code" : "13152",
"display" : "Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm"
},
{
"code" : "13153",
"display" : "Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)"
},
{
"code" : "13160",
"display" : "Secondary closure of surgical wound or dehiscence, extensive or complicated"
},
{
"code" : "14000",
"display" : "Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less"
},
{
"code" : "14001",
"display" : "Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm"
},
{
"code" : "14020",
"display" : "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less"
},
{
"code" : "14021",
"display" : "Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm"
},
{
"code" : "14040",
"display" : "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less"
},
{
"code" : "14041",
"display" : "Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm"
},
{
"code" : "14060",
"display" : "Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less"
},
{
"code" : "14061",
"display" : "Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm"
},
{
"code" : "14300",
"display" : "Adjacent tissue transfer or rearrangement, more than 30 sq cm, unusual or complicated, any area"
},
{
"code" : "14301",
"display" : "Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm"
},
{
"code" : "14302",
"display" : "Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "14350",
"display" : "Filleted finger or toe flap, including preparation of recipient site"
},
{
"code" : "15002",
"display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children"
},
{
"code" : "15003",
"display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)"
},
{
"code" : "15004",
"display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children"
},
{
"code" : "15005",
"display" : "Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)"
},
{
"code" : "15040",
"display" : "Harvest of skin for tissue cultured skin autograft, 100 sq cm or less"
},
{
"code" : "15050",
"display" : "Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter"
},
{
"code" : "15100",
"display" : "Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"
},
{
"code" : "15101",
"display" : "Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15110",
"display" : "Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children"
},
{
"code" : "15111",
"display" : "Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15115",
"display" : "Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children"
},
{
"code" : "15116",
"display" : "Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15120",
"display" : "Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"
},
{
"code" : "15121",
"display" : "Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15130",
"display" : "Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children"
},
{
"code" : "15131",
"display" : "Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15135",
"display" : "Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children"
},
{
"code" : "15136",
"display" : "Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15150",
"display" : "Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less"
},
{
"code" : "15151",
"display" : "Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)"
},
{
"code" : "15152",
"display" : "Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15155",
"display" : "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less"
},
{
"code" : "15156",
"display" : "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)"
},
{
"code" : "15157",
"display" : "Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15170",
"display" : "Acellular dermal replacement, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15175",
"display" : "Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15200",
"display" : "Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less"
},
{
"code" : "15201",
"display" : "Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15220",
"display" : "Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less"
},
{
"code" : "15221",
"display" : "Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15240",
"display" : "Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less"
},
{
"code" : "15241",
"display" : "Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15260",
"display" : "Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less"
},
{
"code" : "15261",
"display" : "Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15271",
"display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
},
{
"code" : "15272",
"display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15273",
"display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"
},
{
"code" : "15274",
"display" : "Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15275",
"display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"
},
{
"code" : "15276",
"display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15277",
"display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"
},
{
"code" : "15278",
"display" : "Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15300",
"display" : "Allograft skin for temporary wound closure, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15320",
"display" : "Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15330",
"display" : "Acellular dermal allograft, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15335",
"display" : "Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15350",
"display" : "Application of allograft, skin"
},
{
"code" : "15360",
"display" : "Tissue cultured allogeneic dermal substitute; trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15365",
"display" : "Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15400",
"display" : "Xenograft, skin (dermal), for temporary wound closure; trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15420",
"display" : "Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15430",
"display" : "Acellular xenograft implant; first 100 sq cm or less, or one percent of body area of infants and children"
},
{
"code" : "15570",
"display" : "Formation of direct or tubed pedicle, with or without transfer; trunk"
},
{
"code" : "15572",
"display" : "Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs"
},
{
"code" : "15574",
"display" : "Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet"
},
{
"code" : "15576",
"display" : "Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral"
},
{
"code" : "15600",
"display" : "Delay of flap or sectioning of flap (division and inset); at trunk"
},
{
"code" : "15610",
"display" : "Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs"
},
{
"code" : "15620",
"display" : "Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet"
},
{
"code" : "15630",
"display" : "Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips"
},
{
"code" : "15650",
"display" : "Transfer, intermediate, of any pedicle flap (eg, abdomen to wrist, Walking tube), any location"
},
{
"code" : "15730",
"display" : "Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"
},
{
"code" : "15731",
"display" : "Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap)"
},
{
"code" : "15732",
"display" : "Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg, temporalis, masseter muscle, sternocleidomastoid, levator scapulae)"
},
{
"code" : "15733",
"display" : "Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"
},
{
"code" : "15734",
"display" : "Muscle, myocutaneous, or fasciocutaneous flap; trunk"
},
{
"code" : "15736",
"display" : "Muscle, myocutaneous, or fasciocutaneous flap; upper extremity"
},
{
"code" : "15738",
"display" : "Muscle, myocutaneous, or fasciocutaneous flap; lower extremity"
},
{
"code" : "15740",
"display" : "Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel"
},
{
"code" : "15750",
"display" : "Flap; neurovascular pedicle"
},
{
"code" : "15756",
"display" : "Free muscle or myocutaneous flap with microvascular anastomosis"
},
{
"code" : "15757",
"display" : "Free skin flap with microvascular anastomosis"
},
{
"code" : "15758",
"display" : "Free fascial flap with microvascular anastomosis"
},
{
"code" : "15760",
"display" : "Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area"
},
{
"code" : "15769",
"display" : "Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"
},
{
"code" : "15770",
"display" : "Graft; derma-fat-fascia"
},
{
"code" : "15771",
"display" : "Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"
},
{
"code" : "15772",
"display" : "Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15773",
"display" : "Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; 25 cc or less injectate"
},
{
"code" : "15774",
"display" : "Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and/or feet; each additional 25 cc injectate, or part thereof (List separately in addition to code for primary procedure)"
},
{
"code" : "15775",
"display" : "Punch graft for hair transplant; 1 to 15 punch grafts"
},
{
"code" : "15776",
"display" : "Punch graft for hair transplant; more than 15 punch grafts"
},
{
"code" : "15777",
"display" : "Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)"
},
{
"code" : "15780",
"display" : "Dermabrasion; total face (eg, for acne scarring, fine wrinkling, rhytids, general keratosis)"
},
{
"code" : "15781",
"display" : "Dermabrasion; segmental, face"
},
{
"code" : "15782",
"display" : "Dermabrasion; regional, other than face"
},
{
"code" : "15783",
"display" : "Dermabrasion; superficial, any site (eg, tattoo removal)"
},
{
"code" : "15786",
"display" : "Abrasion; single lesion (eg, keratosis, scar)"
},
{
"code" : "15787",
"display" : "Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)"
},
{
"code" : "15788",
"display" : "Chemical peel, facial; epidermal"
},
{
"code" : "15789",
"display" : "Chemical peel, facial; dermal"
},
{
"code" : "15792",
"display" : "Chemical peel, nonfacial; epidermal"
},
{
"code" : "15793",
"display" : "Chemical peel, nonfacial; dermal"
},
{
"code" : "15810",
"display" : "Salabrasion; 20 sq cm or less"
},
{
"code" : "15811",
"display" : "Salabrasion; over 20 sq cm"
},
{
"code" : "15819",
"display" : "Cervicoplasty"
},
{
"code" : "15820",
"display" : "Blepharoplasty, lower eyelid"
},
{
"code" : "15821",
"display" : "Blepharoplasty, lower eyelid; with extensive herniated fat pad"
},
{
"code" : "15822",
"display" : "Blepharoplasty, upper eyelid"
},
{
"code" : "15823",
"display" : "Blepharoplasty, upper eyelid; with excessive skin weighting down lid"
},
{
"code" : "15824",
"display" : "Rhytidectomy; forehead"
},
{
"code" : "15825",
"display" : "Rhytidectomy; neck with platysmal tightening (platysmal flap, P-flap)"
},
{
"code" : "15826",
"display" : "Rhytidectomy; glabellar frown lines"
},
{
"code" : "15828",
"display" : "Rhytidectomy; cheek, chin, and neck"
},
{
"code" : "15829",
"display" : "Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap"
},
{
"code" : "15830",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy"
},
{
"code" : "15831",
"display" : "Excision, excessive skin and subcutaneous tissue (including lipectomy); abdomen (abdominoplasty)"
},
{
"code" : "15832",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh"
},
{
"code" : "15833",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg"
},
{
"code" : "15834",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip"
},
{
"code" : "15835",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock"
},
{
"code" : "15836",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm"
},
{
"code" : "15837",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand"
},
{
"code" : "15838",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad"
},
{
"code" : "15839",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area"
},
{
"code" : "15840",
"display" : "Graft for facial nerve paralysis; free fascia graft (including obtaining fascia)"
},
{
"code" : "15841",
"display" : "Graft for facial nerve paralysis; free muscle graft (including obtaining graft)"
},
{
"code" : "15842",
"display" : "Graft for facial nerve paralysis; free muscle flap by microsurgical technique"
},
{
"code" : "15845",
"display" : "Graft for facial nerve paralysis; regional muscle transfer"
},
{
"code" : "15847",
"display" : "Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure)"
},
{
"code" : "15850",
"display" : "Removal of sutures under anesthesia (other than local), same surgeon"
},
{
"code" : "15851",
"display" : "Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation)"
},
{
"code" : "15852",
"display" : "Dressing change (for other than burns) under anesthesia (other than local)"
},
{
"code" : "15860",
"display" : "Intravenous injection of agent (eg, fluorescein) to test vascular flow in flap or graft"
},
{
"code" : "15876",
"display" : "Suction assisted lipectomy; head and neck"
},
{
"code" : "15877",
"display" : "Suction assisted lipectomy; trunk"
},
{
"code" : "15878",
"display" : "Suction assisted lipectomy; upper extremity"
},
{
"code" : "15879",
"display" : "Suction assisted lipectomy; lower extremity"
},
{
"code" : "15920",
"display" : "Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture"
},
{
"code" : "15922",
"display" : "Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure"
},
{
"code" : "15931",
"display" : "Excision, sacral pressure ulcer, with primary suture"
},
{
"code" : "15933",
"display" : "Excision, sacral pressure ulcer, with primary suture; with ostectomy"
},
{
"code" : "15934",
"display" : "Excision, sacral pressure ulcer, with skin flap closure"
},
{
"code" : "15935",
"display" : "Excision, sacral pressure ulcer, with skin flap closure; with ostectomy"
},
{
"code" : "15936",
"display" : "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure"
},
{
"code" : "15937",
"display" : "Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy"
},
{
"code" : "15940",
"display" : "Excision, ischial pressure ulcer, with primary suture"
},
{
"code" : "15941",
"display" : "Excision, ischial pressure ulcer, with primary suture; with ostectomy (ischiectomy)"
},
{
"code" : "15944",
"display" : "Excision, ischial pressure ulcer, with skin flap closure"
},
{
"code" : "15945",
"display" : "Excision, ischial pressure ulcer, with skin flap closure; with ostectomy"
},
{
"code" : "15946",
"display" : "Excision, ischial pressure ulcer, with ostectomy, in preparation for muscle or myocutaneous flap or skin graft closure"
},
{
"code" : "15950",
"display" : "Excision, trochanteric pressure ulcer, with primary suture"
},
{
"code" : "15951",
"display" : "Excision, trochanteric pressure ulcer, with primary suture; with ostectomy"
},
{
"code" : "15952",
"display" : "Excision, trochanteric pressure ulcer, with skin flap closure"
},
{
"code" : "15953",
"display" : "Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy"
},
{
"code" : "15956",
"display" : "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure"
},
{
"code" : "15958",
"display" : "Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy"
},
{
"code" : "15999",
"display" : "Unlisted procedure, excision pressure ulcer"
},
{
"code" : "16000",
"display" : "Initial treatment, first degree burn, when no more than local treatment is required"
},
{
"code" : "16020",
"display" : "Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)"
},
{
"code" : "16025",
"display" : "Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)"
},
{
"code" : "16030",
"display" : "Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)"
},
{
"code" : "16035",
"display" : "Escharotomy; initial incision"
},
{
"code" : "16036",
"display" : "Escharotomy; each additional incision (List separately in addition to code for primary procedure)"
},
{
"code" : "17000",
"display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion"
},
{
"code" : "17003",
"display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)"
},
{
"code" : "17004",
"display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions"
},
{
"code" : "17106",
"display" : "Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm"
},
{
"code" : "17107",
"display" : "Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm"
},
{
"code" : "17108",
"display" : "Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm"
},
{
"code" : "17110",
"display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions"
},
{
"code" : "17111",
"display" : "Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions"
},
{
"code" : "17250",
"display" : "Chemical cauterization of granulation tissue (ie, proud flesh)"
},
{
"code" : "17260",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less"
},
{
"code" : "17261",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm"
},
{
"code" : "17262",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm"
},
{
"code" : "17263",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm"
},
{
"code" : "17264",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm"
},
{
"code" : "17266",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm"
},
{
"code" : "17270",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less"
},
{
"code" : "17271",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm"
},
{
"code" : "17272",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm"
},
{
"code" : "17273",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm"
},
{
"code" : "17274",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm"
},
{
"code" : "17276",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm"
},
{
"code" : "17280",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less"
},
{
"code" : "17281",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm"
},
{
"code" : "17282",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm"
},
{
"code" : "17283",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm"
},
{
"code" : "17284",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm"
},
{
"code" : "17286",
"display" : "Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm"
},
{
"code" : "17311",
"display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks"
},
{
"code" : "17312",
"display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)"
},
{
"code" : "17313",
"display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks"
},
{
"code" : "17314",
"display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)"
},
{
"code" : "17315",
"display" : "Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure)"
},
{
"code" : "17340",
"display" : "Cryotherapy (CO2 slush, liquid N2) for acne"
},
{
"code" : "17360",
"display" : "Chemical exfoliation for acne (eg, acne paste, acid)"
},
{
"code" : "17380",
"display" : "Electrolysis epilation, each 30 minutes"
},
{
"code" : "17999",
"display" : "Unlisted procedure, skin, mucous membrane and subcutaneous tissue"
},
{
"code" : "19000",
"display" : "Puncture aspiration of cyst of breast"
},
{
"code" : "19001",
"display" : "Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)"
},
{
"code" : "19020",
"display" : "Mastotomy with exploration or drainage of abscess, deep"
},
{
"code" : "19030",
"display" : "Injection procedure only for mammary ductogram or galactogram"
},
{
"code" : "19081",
"display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance"
},
{
"code" : "19082",
"display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)"
},
{
"code" : "19083",
"display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance"
},
{
"code" : "19084",
"display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)"
},
{
"code" : "19085",
"display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance"
},
{
"code" : "19086",
"display" : "Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)"
},
{
"code" : "19100",
"display" : "Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)"
},
{
"code" : "19101",
"display" : "Biopsy of breast; open, incisional"
},
{
"code" : "19105",
"display" : "Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma"
},
{
"code" : "19110",
"display" : "Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct"
},
{
"code" : "19112",
"display" : "Excision of lactiferous duct fistula"
},
{
"code" : "19120",
"display" : "Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions"
},
{
"code" : "19125",
"display" : "Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion"
},
{
"code" : "19126",
"display" : "Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)"
},
{
"code" : "19140",
"display" : "Mastectomy for gynecomastia"
},
{
"code" : "19160",
"display" : "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy);"
},
{
"code" : "19162",
"display" : "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy"
},
{
"code" : "19180",
"display" : "Mastectomy, simple, complete"
},
{
"code" : "19182",
"display" : "Mastectomy, subcutaneous"
},
{
"code" : "19200",
"display" : "Mastectomy, radical, including pectoral muscles, axillary lymph nodes"
},
{
"code" : "19220",
"display" : "Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)"
},
{
"code" : "19240",
"display" : "Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle"
},
{
"code" : "19260",
"display" : "Excision of chest wall tumor including ribs"
},
{
"code" : "19271",
"display" : "Excision of chest wall tumor involving ribs, with plastic reconstruction; without mediastinal lymphadenectomy"
},
{
"code" : "19272",
"display" : "Excision of chest wall tumor involving ribs, with plastic reconstruction; with mediastinal lymphadenectomy"
},
{
"code" : "19281",
"display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance"
},
{
"code" : "19282",
"display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for primary procedure)"
},
{
"code" : "19283",
"display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance"
},
{
"code" : "19284",
"display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)"
},
{
"code" : "19285",
"display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance"
},
{
"code" : "19286",
"display" : "Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)"
},
{
"code" : "19287",
"display" : "Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance"
},
{
"code" : "19288",
"display" : "Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)"
},
{
"code" : "19294",
"display" : "Preparation of tumor cavity, with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure)"
},
{
"code" : "19296",
"display" : "Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; on date separate from partial mastectomy"
},
{
"code" : "19297",
"display" : "Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy, includes imaging guidance; concurrent with partial mastectomy (List separately in addition to code for primary procedure)"
},
{
"code" : "19298",
"display" : "Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy, includes imaging guidance"
},
{
"code" : "19300",
"display" : "Mastectomy for gynecomastia"
},
{
"code" : "19301",
"display" : "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)"
},
{
"code" : "19302",
"display" : "Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy"
},
{
"code" : "19303",
"display" : "Mastectomy, simple, complete"
},
{
"code" : "19304",
"display" : "Mastectomy, subcutaneous"
},
{
"code" : "19305",
"display" : "Mastectomy, radical, including pectoral muscles, axillary lymph nodes"
},
{
"code" : "19306",
"display" : "Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation)"
},
{
"code" : "19307",
"display" : "Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle"
},
{
"code" : "19316",
"display" : "Mastopexy"
},
{
"code" : "19318",
"display" : "Breast reduction"
},
{
"code" : "19324",
"display" : "Mammaplasty, augmentation; without prosthetic implant"
},
{
"code" : "19325",
"display" : "Breast augmentation with implant"
},
{
"code" : "19328",
"display" : "Removal of intact breast implant"
},
{
"code" : "19330",
"display" : "Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"
},
{
"code" : "19340",
"display" : "Insertion of breast implant on same day of mastectomy (ie, immediate)"
},
{
"code" : "19342",
"display" : "Insertion or replacement of breast implant on separate day from mastectomy"
},
{
"code" : "19350",
"display" : "Nipple/areola reconstruction"
},
{
"code" : "19355",
"display" : "Correction of inverted nipples"
},
{
"code" : "19357",
"display" : "Tissue expander placement in breast reconstruction, including subsequent expansion(s)"
},
{
"code" : "19361",
"display" : "Breast reconstruction; with latissimus dorsi flap"
},
{
"code" : "19364",
"display" : "Breast reconstruction; with free flap (eg, fTRAM, DIEP, SIEA, GAP flap)"
},
{
"code" : "19366",
"display" : "Breast reconstruction with other technique"
},
{
"code" : "19367",
"display" : "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap"
},
{
"code" : "19368",
"display" : "Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap, requiring separate microvascular anastomosis (supercharging)"
},
{
"code" : "19369",
"display" : "Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap"
},
{
"code" : "19370",
"display" : "Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"
},
{
"code" : "19371",
"display" : "Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"
},
{
"code" : "19380",
"display" : "Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"
},
{
"code" : "19396",
"display" : "Preparation of moulage for custom breast implant"
},
{
"code" : "19499",
"display" : "Unlisted procedure, breast"
},
{
"code" : "1P",
"display" : "Performance Measure Exclusion Modifier due to Medical Reasons"
},
{
"code" : "20005",
"display" : "Incision and drainage of soft tissue abscess, subfascial (ie, involves the soft tissue below the deep fascia)"
},
{
"code" : "20100",
"display" : "Exploration of penetrating wound (separate procedure); neck"
},
{
"code" : "20101",
"display" : "Exploration of penetrating wound (separate procedure); chest"
},
{
"code" : "20102",
"display" : "Exploration of penetrating wound (separate procedure); abdomen/flank/back"
},
{
"code" : "20103",
"display" : "Exploration of penetrating wound (separate procedure); extremity"
},
{
"code" : "20150",
"display" : "Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision"
},
{
"code" : "20200",
"display" : "Biopsy, muscle; superficial"
},
{
"code" : "20205",
"display" : "Biopsy, muscle; deep"
},
{
"code" : "20206",
"display" : "Biopsy, muscle, percutaneous needle"
},
{
"code" : "20220",
"display" : "Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)"
},
{
"code" : "20225",
"display" : "Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)"
},
{
"code" : "2022F",
"display" : "Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)"
},
{
"code" : "20240",
"display" : "Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)"
},
{
"code" : "20245",
"display" : "Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft)"
},
{
"code" : "2024F",
"display" : "7 standard field stereoscopic retinal photos with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)"
},
{
"code" : "20250",
"display" : "Biopsy, vertebral body, open; thoracic"
},
{
"code" : "20251",
"display" : "Biopsy, vertebral body, open; lumbar or cervical"
},
{
"code" : "2026F",
"display" : "Eye imaging validated to match diagnosis from 7 standard field stereoscopic retinal photos results documented and reviewed; with evidence of retinopathy (DM)"
},
{
"code" : "20500",
"display" : "Injection of sinus tract; therapeutic (separate procedure)"
},
{
"code" : "20501",
"display" : "Injection of sinus tract; diagnostic (sinogram)"
},
{
"code" : "20520",
"display" : "Removal of foreign body in muscle or tendon sheath; simple"
},
{
"code" : "20525",
"display" : "Removal of foreign body in muscle or tendon sheath; deep or complicated"
},
{
"code" : "20526",
"display" : "Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel"
},
{
"code" : "20527",
"display" : "Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contracture)"
},
{
"code" : "20550",
"display" : "Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar \"fascia\")"
},
{
"code" : "20551",
"display" : "Injection(s); single tendon origin/insertion"
},
{
"code" : "20552",
"display" : "Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)"
},
{
"code" : "20553",
"display" : "Injection(s); single or multiple trigger point(s), 3 or more muscles"
},
{
"code" : "20555",
"display" : "Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure)"
},
{
"code" : "20560",
"display" : "Needle insertion(s) without injection(s); 1 or 2 muscle(s)"
},
{
"code" : "20561",
"display" : "Needle insertion(s) without injection(s); 3 or more muscles"
},
{
"code" : "20600",
"display" : "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance"
},
{
"code" : "20604",
"display" : "Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"
},
{
"code" : "20605",
"display" : "Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance"
},
{
"code" : "20606",
"display" : "Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"
},
{
"code" : "20610",
"display" : "Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance"
},
{
"code" : "20611",
"display" : "Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting"
},
{
"code" : "20612",
"display" : "Aspiration and/or injection of ganglion cyst(s) any location"
},
{
"code" : "20615",
"display" : "Aspiration and injection for treatment of bone cyst"
},
{
"code" : "20650",
"display" : "Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)"
},
{
"code" : "20660",
"display" : "Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)"
},
{
"code" : "20661",
"display" : "Application of halo, including removal; cranial"
},
{
"code" : "20662",
"display" : "Application of halo, including removal; pelvic"
},
{
"code" : "20663",
"display" : "Application of halo, including removal; femoral"
},
{
"code" : "20664",
"display" : "Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta)"
},
{
"code" : "20665",
"display" : "Removal of tongs or halo applied by another individual"
},
{
"code" : "20670",
"display" : "Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)"
},
{
"code" : "20680",
"display" : "Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)"
},
{
"code" : "20690",
"display" : "Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system"
},
{
"code" : "20692",
"display" : "Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)"
},
{
"code" : "20693",
"display" : "Adjustment or revision of external fixation system requiring anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or bar[s])"
},
{
"code" : "20694",
"display" : "Removal, under anesthesia, of external fixation system"
},
{
"code" : "20696",
"display" : "Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)"
},
{
"code" : "20697",
"display" : "Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; exchange (ie, removal and replacement) of strut, each"
},
{
"code" : "20700",
"display" : "Manual preparation and insertion of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)"
},
{
"code" : "20701",
"display" : "Removal of drug-delivery device(s), deep (eg, subfascial) (List separately in addition to code for primary procedure)"
},
{
"code" : "20702",
"display" : "Manual preparation and insertion of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)"
},
{
"code" : "20703",
"display" : "Removal of drug-delivery device(s), intramedullary (List separately in addition to code for primary procedure)"
},
{
"code" : "20704",
"display" : "Manual preparation and insertion of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)"
},
{
"code" : "20705",
"display" : "Removal of drug-delivery device(s), intra-articular (List separately in addition to code for primary procedure)"
},
{
"code" : "20802",
"display" : "Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation"
},
{
"code" : "20805",
"display" : "Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation"
},
{
"code" : "20808",
"display" : "Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation"
},
{
"code" : "20816",
"display" : "Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation"
},
{
"code" : "20822",
"display" : "Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation"
},
{
"code" : "20824",
"display" : "Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation"
},
{
"code" : "20827",
"display" : "Replantation, thumb (includes distal tip to MP joint), complete amputation"
},
{
"code" : "20838",
"display" : "Replantation, foot, complete amputation"
},
{
"code" : "20900",
"display" : "Bone graft, any donor area; minor or small (eg, dowel or button)"
},
{
"code" : "20902",
"display" : "Bone graft, any donor area; major or large"
},
{
"code" : "20910",
"display" : "Cartilage graft; costochondral"
},
{
"code" : "20912",
"display" : "Cartilage graft; nasal septum"
},
{
"code" : "20920",
"display" : "Fascia lata graft; by stripper"
},
{
"code" : "20922",
"display" : "Fascia lata graft; by incision and area exposure, complex or sheet"
},
{
"code" : "20924",
"display" : "Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)"
},
{
"code" : "20926",
"display" : "Tissue grafts, other (eg, paratenon, fat, dermis)"
},
{
"code" : "20930",
"display" : "Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)"
},
{
"code" : "20931",
"display" : "Allograft, structural, for spine surgery only (List separately in addition to code for primary procedure)"
},
{
"code" : "20932",
"display" : "Allograft, includes templating, cutting, placement and internal fixation, when performed; osteoarticular, including articular surface and contiguous bone (List separately in addition to code for primary procedure)"
},
{
"code" : "20933",
"display" : "Allograft, includes templating, cutting, placement and internal fixation, when performed; hemicortical intercalary, partial (ie, hemicylindrical) (List separately in addition to code for primary procedure)"
},
{
"code" : "20934",
"display" : "Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure)"
},
{
"code" : "20936",
"display" : "Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)"
},
{
"code" : "20937",
"display" : "Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)"
},
{
"code" : "20938",
"display" : "Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)"
},
{
"code" : "20939",
"display" : "Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)"
},
{
"code" : "20950",
"display" : "Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome"
},
{
"code" : "20955",
"display" : "Bone graft with microvascular anastomosis; fibula"
},
{
"code" : "20956",
"display" : "Bone graft with microvascular anastomosis; iliac crest"
},
{
"code" : "20957",
"display" : "Bone graft with microvascular anastomosis; metatarsal"
},
{
"code" : "20962",
"display" : "Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal"
},
{
"code" : "20969",
"display" : "Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe"
},
{
"code" : "20970",
"display" : "Free osteocutaneous flap with microvascular anastomosis; iliac crest"
},
{
"code" : "20972",
"display" : "Free osteocutaneous flap with microvascular anastomosis; metatarsal"
},
{
"code" : "20973",
"display" : "Free osteocutaneous flap with microvascular anastomosis; great toe with web space"
},
{
"code" : "20974",
"display" : "Electrical stimulation to aid bone healing; noninvasive (nonoperative)"
},
{
"code" : "20975",
"display" : "Electrical stimulation to aid bone healing; invasive (operative)"
},
{
"code" : "20979",
"display" : "Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)"
},
{
"code" : "20982",
"display" : "Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; radiofrequency"
},
{
"code" : "20983",
"display" : "Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; cryoablation"
},
{
"code" : "20985",
"display" : "Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)"
},
{
"code" : "20999",
"display" : "Unlisted procedure, musculoskeletal system, general"
},
{
"code" : "21010",
"display" : "Arthrotomy, temporomandibular joint"
},
{
"code" : "21011",
"display" : "Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm"
},
{
"code" : "21012",
"display" : "Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater"
},
{
"code" : "21013",
"display" : "Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm"
},
{
"code" : "21014",
"display" : "Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater"
},
{
"code" : "21015",
"display" : "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm"
},
{
"code" : "21016",
"display" : "Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater"
},
{
"code" : "21025",
"display" : "Excision of bone (eg, for osteomyelitis or bone abscess); mandible"
},
{
"code" : "21026",
"display" : "Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)"
},
{
"code" : "21029",
"display" : "Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)"
},
{
"code" : "21030",
"display" : "Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage"
},
{
"code" : "21031",
"display" : "Excision of torus mandibularis"
},
{
"code" : "21032",
"display" : "Excision of maxillary torus palatinus"
},
{
"code" : "21034",
"display" : "Excision of malignant tumor of maxilla or zygoma"
},
{
"code" : "21040",
"display" : "Excision of benign tumor or cyst of mandible, by enucleation and/or curettage"
},
{
"code" : "21044",
"display" : "Excision of malignant tumor of mandible"
},
{
"code" : "21045",
"display" : "Excision of malignant tumor of mandible; radical resection"
},
{
"code" : "21046",
"display" : "Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])"
},
{
"code" : "21047",
"display" : "Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion[s])"
},
{
"code" : "21048",
"display" : "Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])"
},
{
"code" : "21049",
"display" : "Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion[s])"
},
{
"code" : "21050",
"display" : "Condylectomy, temporomandibular joint (separate procedure)"
},
{
"code" : "21060",
"display" : "Meniscectomy, partial or complete, temporomandibular joint (separate procedure)"
},
{
"code" : "21070",
"display" : "Coronoidectomy (separate procedure)"
},
{
"code" : "21073",
"display" : "Manipulation of temporomandibular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored anesthesia care)"
},
{
"code" : "21076",
"display" : "Impression and custom preparation; surgical obturator prosthesis"
},
{
"code" : "21077",
"display" : "Impression and custom preparation; orbital prosthesis"
},
{
"code" : "21079",
"display" : "Impression and custom preparation; interim obturator prosthesis"
},
{
"code" : "21080",
"display" : "Impression and custom preparation; definitive obturator prosthesis"
},
{
"code" : "21081",
"display" : "Impression and custom preparation; mandibular resection prosthesis"
},
{
"code" : "21082",
"display" : "Impression and custom preparation; palatal augmentation prosthesis"
},
{
"code" : "21083",
"display" : "Impression and custom preparation; palatal lift prosthesis"
},
{
"code" : "21084",
"display" : "Impression and custom preparation; speech aid prosthesis"
},
{
"code" : "21085",
"display" : "Impression and custom preparation; oral surgical splint"
},
{
"code" : "21086",
"display" : "Impression and custom preparation; auricular prosthesis"
},
{
"code" : "21087",
"display" : "Impression and custom preparation; nasal prosthesis"
},
{
"code" : "21088",
"display" : "Impression and custom preparation; facial prosthesis"
},
{
"code" : "21089",
"display" : "Unlisted maxillofacial prosthetic procedure"
},
{
"code" : "21100",
"display" : "Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)"
},
{
"code" : "21110",
"display" : "Application of interdental fixation device for conditions other than fracture or dislocation, includes removal"
},
{
"code" : "21116",
"display" : "Injection procedure for temporomandibular joint arthrography"
},
{
"code" : "21120",
"display" : "Genioplasty; augmentation (autograft, allograft, prosthetic material)"
},
{
"code" : "21121",
"display" : "Genioplasty; sliding osteotomy, single piece"
},
{
"code" : "21122",
"display" : "Genioplasty; sliding osteotomies, 2 or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)"
},
{
"code" : "21123",
"display" : "Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)"
},
{
"code" : "21125",
"display" : "Augmentation, mandibular body or angle; prosthetic material"
},
{
"code" : "21127",
"display" : "Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)"
},
{
"code" : "21137",
"display" : "Reduction forehead; contouring only"
},
{
"code" : "21138",
"display" : "Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)"
},
{
"code" : "21139",
"display" : "Reduction forehead; contouring and setback of anterior frontal sinus wall"
},
{
"code" : "21141",
"display" : "Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft"
},
{
"code" : "21142",
"display" : "Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, without bone graft"
},
{
"code" : "21143",
"display" : "Reconstruction midface, LeFort I; 3 or more pieces, segment movement in any direction, without bone graft"
},
{
"code" : "21145",
"display" : "Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)"
},
{
"code" : "21146",
"display" : "Reconstruction midface, LeFort I; 2 pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft)"
},
{
"code" : "21147",
"display" : "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)"
},
{
"code" : "21150",
"display" : "Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)"
},
{
"code" : "21151",
"display" : "Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)"
},
{
"code" : "21154",
"display" : "Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I"
},
{
"code" : "21155",
"display" : "Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I"
},
{
"code" : "21159",
"display" : "Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I"
},
{
"code" : "21160",
"display" : "Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I"
},
{
"code" : "21172",
"display" : "Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)"
},
{
"code" : "21175",
"display" : "Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts)"
},
{
"code" : "21179",
"display" : "Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)"
},
{
"code" : "21180",
"display" : "Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)"
},
{
"code" : "21181",
"display" : "Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial"
},
{
"code" : "21182",
"display" : "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"
},
{
"code" : "21183",
"display" : "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"
},
{
"code" : "21184",
"display" : "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"
},
{
"code" : "21188",
"display" : "Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)"
},
{
"code" : "21193",
"display" : "Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft"
},
{
"code" : "21194",
"display" : "Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)"
},
{
"code" : "21195",
"display" : "Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation"
},
{
"code" : "21196",
"display" : "Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation"
},
{
"code" : "21198",
"display" : "Osteotomy, mandible, segmental"
},
{
"code" : "21199",
"display" : "Osteotomy, mandible, segmental; with genioglossus advancement"
},
{
"code" : "21206",
"display" : "Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)"
},
{
"code" : "21208",
"display" : "Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)"
},
{
"code" : "21209",
"display" : "Osteoplasty, facial bones; reduction"
},
{
"code" : "21210",
"display" : "Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)"
},
{
"code" : "21215",
"display" : "Graft, bone; mandible (includes obtaining graft)"
},
{
"code" : "21230",
"display" : "Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)"
},
{
"code" : "21235",
"display" : "Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)"
},
{
"code" : "21240",
"display" : "Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)"
},
{
"code" : "21242",
"display" : "Arthroplasty, temporomandibular joint, with allograft"
},
{
"code" : "21243",
"display" : "Arthroplasty, temporomandibular joint, with prosthetic joint replacement"
},
{
"code" : "21244",
"display" : "Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)"
},
{
"code" : "21245",
"display" : "Reconstruction of mandible or maxilla, subperiosteal implant; partial"
},
{
"code" : "21246",
"display" : "Reconstruction of mandible or maxilla, subperiosteal implant; complete"
},
{
"code" : "21247",
"display" : "Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)"
},
{
"code" : "21248",
"display" : "Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial"
},
{
"code" : "21249",
"display" : "Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete"
},
{
"code" : "21255",
"display" : "Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)"
},
{
"code" : "21256",
"display" : "Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)"
},
{
"code" : "21260",
"display" : "Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach"
},
{
"code" : "21261",
"display" : "Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach"
},
{
"code" : "21263",
"display" : "Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement"
},
{
"code" : "21267",
"display" : "Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach"
},
{
"code" : "21268",
"display" : "Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach"
},
{
"code" : "21270",
"display" : "Malar augmentation, prosthetic material"
},
{
"code" : "21275",
"display" : "Secondary revision of orbitocraniofacial reconstruction"
},
{
"code" : "21280",
"display" : "Medial canthopexy (separate procedure)"
},
{
"code" : "21282",
"display" : "Lateral canthopexy"
},
{
"code" : "21295",
"display" : "Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach"
},
{
"code" : "21296",
"display" : "Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach"
},
{
"code" : "21299",
"display" : "Unlisted craniofacial and maxillofacial procedure"
},
{
"code" : "21310",
"display" : "Closed treatment of nasal bone fracture without manipulation"
},
{
"code" : "21315",
"display" : "Closed treatment of nasal bone fracture with manipulation; without stabilization"
},
{
"code" : "21320",
"display" : "Closed treatment of nasal bone fracture with manipulation; with stabilization"
},
{
"code" : "21325",
"display" : "Open treatment of nasal fracture; uncomplicated"
},
{
"code" : "21330",
"display" : "Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation"
},
{
"code" : "21335",
"display" : "Open treatment of nasal fracture; with concomitant open treatment of fractured septum"
},
{
"code" : "21336",
"display" : "Open treatment of nasal septal fracture, with or without stabilization"
},
{
"code" : "21337",
"display" : "Closed treatment of nasal septal fracture, with or without stabilization"
},
{
"code" : "21338",
"display" : "Open treatment of nasoethmoid fracture; without external fixation"
},
{
"code" : "21339",
"display" : "Open treatment of nasoethmoid fracture; with external fixation"
},
{
"code" : "21340",
"display" : "Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus"
},
{
"code" : "21343",
"display" : "Open treatment of depressed frontal sinus fracture"
},
{
"code" : "21344",
"display" : "Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches"
},
{
"code" : "21345",
"display" : "Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint"
},
{
"code" : "21346",
"display" : "Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation"
},
{
"code" : "21347",
"display" : "Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches"
},
{
"code" : "21348",
"display" : "Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)"
},
{
"code" : "21355",
"display" : "Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation"
},
{
"code" : "21356",
"display" : "Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)"
},
{
"code" : "21360",
"display" : "Open treatment of depressed malar fracture, including zygomatic arch and malar tripod"
},
{
"code" : "21365",
"display" : "Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches"
},
{
"code" : "21366",
"display" : "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)"
},
{
"code" : "21385",
"display" : "Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)"
},
{
"code" : "21386",
"display" : "Open treatment of orbital floor blowout fracture; periorbital approach"
},
{
"code" : "21387",
"display" : "Open treatment of orbital floor blowout fracture; combined approach"
},
{
"code" : "21390",
"display" : "Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant"
},
{
"code" : "21395",
"display" : "Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)"
},
{
"code" : "21400",
"display" : "Closed treatment of fracture of orbit, except blowout; without manipulation"
},
{
"code" : "21401",
"display" : "Closed treatment of fracture of orbit, except blowout; with manipulation"
},
{
"code" : "21406",
"display" : "Open treatment of fracture of orbit, except blowout; without implant"
},
{
"code" : "21407",
"display" : "Open treatment of fracture of orbit, except blowout; with implant"
},
{
"code" : "21408",
"display" : "Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)"
},
{
"code" : "21421",
"display" : "Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint"
},
{
"code" : "21422",
"display" : "Open treatment of palatal or maxillary fracture (LeFort I type)"
},
{
"code" : "21423",
"display" : "Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches"
},
{
"code" : "21431",
"display" : "Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint"
},
{
"code" : "21432",
"display" : "Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation"
},
{
"code" : "21433",
"display" : "Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches"
},
{
"code" : "21435",
"display" : "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)"
},
{
"code" : "21436",
"display" : "Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)"
},
{
"code" : "21440",
"display" : "Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)"
},
{
"code" : "21445",
"display" : "Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)"
},
{
"code" : "21450",
"display" : "Closed treatment of mandibular fracture; without manipulation"
},
{
"code" : "21451",
"display" : "Closed treatment of mandibular fracture; with manipulation"
},
{
"code" : "21452",
"display" : "Percutaneous treatment of mandibular fracture, with external fixation"
},
{
"code" : "21453",
"display" : "Closed treatment of mandibular fracture with interdental fixation"
},
{
"code" : "21454",
"display" : "Open treatment of mandibular fracture with external fixation"
},
{
"code" : "21461",
"display" : "Open treatment of mandibular fracture; without interdental fixation"
},
{
"code" : "21462",
"display" : "Open treatment of mandibular fracture; with interdental fixation"
},
{
"code" : "21465",
"display" : "Open treatment of mandibular condylar fracture"
},
{
"code" : "21470",
"display" : "Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints"
},
{
"code" : "21480",
"display" : "Closed treatment of temporomandibular dislocation; initial or subsequent"
},
{
"code" : "21485",
"display" : "Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent"
},
{
"code" : "21490",
"display" : "Open treatment of temporomandibular dislocation"
},
{
"code" : "21493",
"display" : "Closed treatment of hyoid fracture; without manipulation"
},
{
"code" : "21494",
"display" : "Closed treatment of hyoid fracture; with manipulation"
},
{
"code" : "21495",
"display" : "Open treatment of hyoid fracture"
},
{
"code" : "21497",
"display" : "Interdental wiring, for condition other than fracture"
},
{
"code" : "21499",
"display" : "Unlisted musculoskeletal procedure, head"
},
{
"code" : "21501",
"display" : "Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax"
},
{
"code" : "21502",
"display" : "Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy"
},
{
"code" : "21510",
"display" : "Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax"
},
{
"code" : "21550",
"display" : "Biopsy, soft tissue of neck or thorax"
},
{
"code" : "21552",
"display" : "Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater"
},
{
"code" : "21554",
"display" : "Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater"
},
{
"code" : "21555",
"display" : "Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm"
},
{
"code" : "21556",
"display" : "Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm"
},
{
"code" : "21557",
"display" : "Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm"
},
{
"code" : "21558",
"display" : "Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater"
},
{
"code" : "21600",
"display" : "Excision of rib, partial"
},
{
"code" : "21601",
"display" : "Excision of chest wall tumor including rib(s)"
},
{
"code" : "21602",
"display" : "Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy"
},
{
"code" : "21603",
"display" : "Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy"
},
{
"code" : "21610",
"display" : "Costotransversectomy (separate procedure)"
},
{
"code" : "21615",
"display" : "Excision first and/or cervical rib"
},
{
"code" : "21616",
"display" : "Excision first and/or cervical rib; with sympathectomy"
},
{
"code" : "21620",
"display" : "Ostectomy of sternum, partial"
},
{
"code" : "21627",
"display" : "Sternal debridement"
},
{
"code" : "21630",
"display" : "Radical resection of sternum"
},
{
"code" : "21632",
"display" : "Radical resection of sternum; with mediastinal lymphadenectomy"
},
{
"code" : "21685",
"display" : "Hyoid myotomy and suspension"
},
{
"code" : "21700",
"display" : "Division of scalenus anticus; without resection of cervical rib"
},
{
"code" : "21705",
"display" : "Division of scalenus anticus; with resection of cervical rib"
},
{
"code" : "21720",
"display" : "Division of sternocleidomastoid for torticollis, open operation; without cast application"
},
{
"code" : "21725",
"display" : "Division of sternocleidomastoid for torticollis, open operation; with cast application"
},
{
"code" : "21740",
"display" : "Reconstructive repair of pectus excavatum or carinatum; open"
},
{
"code" : "21742",
"display" : "Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy"
},
{
"code" : "21743",
"display" : "Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy"
},
{
"code" : "21750",
"display" : "Closure of median sternotomy separation with or without debridement (separate procedure)"
},
{
"code" : "21800",
"display" : "Closed treatment of rib fracture, uncomplicated, each"
},
{
"code" : "21805",
"display" : "Open treatment of rib fracture without fixation, each"
},
{
"code" : "21810",
"display" : "Treatment of rib fracture requiring external fixation (flail chest)"
},
{
"code" : "21811",
"display" : "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs"
},
{
"code" : "21812",
"display" : "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs"
},
{
"code" : "21813",
"display" : "Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 7 or more ribs"
},
{
"code" : "21820",
"display" : "Closed treatment of sternum fracture"
},
{
"code" : "21825",
"display" : "Open treatment of sternum fracture with or without skeletal fixation"
},
{
"code" : "21899",
"display" : "Unlisted procedure, neck or thorax"
},
{
"code" : "21920",
"display" : "Biopsy, soft tissue of back or flank; superficial"
},
{
"code" : "21925",
"display" : "Biopsy, soft tissue of back or flank; deep"
},
{
"code" : "21930",
"display" : "Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm"
},
{
"code" : "21931",
"display" : "Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater"
},
{
"code" : "21932",
"display" : "Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm"
},
{
"code" : "21933",
"display" : "Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater"
},
{
"code" : "21935",
"display" : "Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm"
},
{
"code" : "21936",
"display" : "Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater"
},
{
"code" : "22010",
"display" : "Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic"
},
{
"code" : "22015",
"display" : "Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral"
},
{
"code" : "22100",
"display" : "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical"
},
{
"code" : "22101",
"display" : "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic"
},
{
"code" : "22102",
"display" : "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar"
},
{
"code" : "22103",
"display" : "Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; each additional segment (List separately in addition to code for primary procedure)"
},
{
"code" : "22110",
"display" : "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical"
},
{
"code" : "22112",
"display" : "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic"
},
{
"code" : "22114",
"display" : "Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar"
},
{
"code" : "22116",
"display" : "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)"
},
{
"code" : "22206",
"display" : "Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); thoracic"
},
{
"code" : "22207",
"display" : "Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (eg, pedicle/vertebral body subtraction); lumbar"
},
{
"code" : "22208",
"display" : "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)"
},
{
"code" : "22210",
"display" : "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical"
},
{
"code" : "22212",
"display" : "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic"
},
{
"code" : "22214",
"display" : "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar"
},
{
"code" : "22216",
"display" : "Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)"
},
{
"code" : "22220",
"display" : "