Resource ValueSet/FHIR Server from package us.nlm.vsac#0.23.0 (2391 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)"
},
{<