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20000 Incision of soft tissue abscess (eg, secondary to osteomyelitis); superficial
20005 Incision of soft tissue abscess (eg, secondary to osteomyelitis); deep or complicated
20100 Exploration of penetrating wound (separate procedure); neck
20101 Exploration of penetrating wound (separate procedure); chest
20102 Exploration of penetrating wound (separate procedure); abdomen/flank/back
20103 Exploration of penetrating wound (separate procedure); extremity
20150 Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision
20200 Biopsy, muscle; superficial
20205 Biopsy, muscle; deep
20206 Biopsy, muscle, percutaneous needle
20220 Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)
20225 Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)
20240 Biopsy, bone, open; superficial (eg, ilium, sternum, spinous process, ribs, trochanter of femur)
20245 Biopsy, bone, open; deep (eg, humerus, ischium, femur)
20250 Biopsy, vertebral body, open; thoracic
20251 Biopsy, vertebral body, open; lumbar or cervical
20500 Injection of sinus tract; therapeutic (separate procedure)
20501 Injection of sinus tract; diagnostic (sinogram)
20520 Removal of foreign body in muscle or tendon sheath; simple
20525 Removal of foreign body in muscle or tendon sheath; deep or complicated
20526 Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel
20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")
20551 Injection(s); single tendon origin/insertion
20552 Injection(s); single or multiple trigger point(s), one or two muscle(s)
20553 Injection(s); single or multiple trigger point(s), three or more muscle(s)
20600 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)
20605 Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa)
20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
20612 Aspiration and/or injection of ganglion cyst(s) any location
20615 Aspiration and injection for treatment of bone cyst
20650 Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)
20660 Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)
20661 Application of halo, including removal; cranial
20662 Application of halo, including removal; pelvic
20663 Application of halo, including removal; femoral
20664 Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta), requiring general anesthesia
20665 Removal of tongs or halo applied by another physician
20670 Removal of implant; superficial, (eg, buried wire, pin or rod) (separate procedure)
20680 Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)
20690 Application of a uniplane (pins or wires in one plane), unilateral, external fixation system
20692 Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)
20693 Adjustment or revision of external fixation system requiring anesthesia (eg, new pin(s) or wire(s) and/or new ring(s) or bar(s))
20694 Removal, under anesthesia, of external fixation system
20802 Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation
20805 Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation
20808 Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation
20816 Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation
20822 Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation
20824 Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation
20827 Replantation, thumb (includes distal tip to MP joint), complete amputation
20838 Replantation, foot, complete amputation
20900 Bone graft, any donor area; minor or small (eg, dowel or button)
20902 Bone graft, any donor area; major or large
20910 Cartilage graft; costochondral
20912 Cartilage graft; nasal septum
20920 Fascia lata graft; by stripper
20922 Fascia lata graft; by incision and area exposure, complex or sheet
20924 Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)
20926 Tissue grafts, other (eg, paratenon, fat, dermis)
20930 Allograft for spine surgery only; morselized
20931 Allograft for spine surgery only; structural
20936 Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision
20937 Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision)
20938 Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision)
20950 Monitoring of interstitial fluid pressure (includes insertion of device, eg, wick catheter technique, needle manometer technique) in detection of muscle compartment syndrome
20955 Bone graft with microvascular anastomosis; fibula
20956 Bone graft with microvascular anastomosis; iliac crest
20957 Bone graft with microvascular anastomosis; metatarsal
20962 Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal
20969 Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe
20970 Free osteocutaneous flap with microvascular anastomosis; iliac crest
20972 Free osteocutaneous flap with microvascular anastomosis; metatarsal
20973 Free osteocutaneous flap with microvascular anastomosis; great toe with web space
20974 Electrical stimulation to aid bone healing; noninvasive (nonoperative)
20975 Electrical stimulation to aid bone healing; invasive (operative)
20979 Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)
20982 Ablation, bone tumor(s) (eg, osteoid osteoma, metastasis) radiofrequency, percutaneous, including computed tomographic guidance
20999 Unlisted procedure, musculoskeletal system, general
21010 Arthrotomy, temporomandibular joint
21015 Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp
21025 Excision of bone (eg, for osteomyelitis or bone abscess); mandible
21026 Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)
21029 Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)
21030 Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage
21031 Excision of torus mandibularis
21032 Excision of maxillary torus palatinus
21034 Excision of malignant tumor of maxilla or zygoma
21040 Excision of benign tumor or cyst of mandible, by enucleation and/or curettage
21044 Excision of malignant tumor of mandible;
21045 Excision of malignant tumor of mandible; radical resection
21046 Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion(s))
21047 Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg, locally aggressive or destructive lesion(s))
21048 Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion(s))
21049 Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg, locally aggressive or destructive lesion(s))
21050 Condylectomy, temporomandibular joint (separate procedure)
21060 Meniscectomy, partial or complete, temporomandibular joint (separate procedure)
21070 Coronoidectomy (separate procedure)
21076 Impression and custom preparation; surgical obturator prosthesis
21077 Impression and custom preparation; orbital prosthesis
21079 Impression and custom preparation; interim obturator prosthesis
21080 Impression and custom preparation; definitive obturator prosthesis
21081 Impression and custom preparation; mandibular resection prosthesis
21082 Impression and custom preparation; palatal augmentation prosthesis
21083 Impression and custom preparation; palatal lift prosthesis
21084 Impression and custom preparation; speech aid prosthesis
21085 Impression and custom preparation; oral surgical splint
21086 Impression and custom preparation; auricular prosthesis
21087 Impression and custom preparation; nasal prosthesis
21088 Impression and custom preparation; facial prosthesis
21089 Unlisted maxillofacial prosthetic procedure
21100 Application of halo type appliance for maxillofacial fixation, includes removal (separate procedure)
21110 Application of interdental fixation device for conditions other than fracture or dislocation, includes removal
21116 Injection procedure for temporomandibular joint arthrography
21120 Genioplasty; augmentation (autograft, allograft, prosthetic material)
21121 Genioplasty; sliding osteotomy, single piece
21122 Genioplasty; sliding osteotomies, two or more osteotomies (eg, wedge excision or bone wedge reversal for asymmetrical chin)
21123 Genioplasty; sliding, augmentation with interpositional bone grafts (includes obtaining autografts)
21125 Augmentation, mandibular body or angle; prosthetic material
21127 Augmentation, mandibular body or angle; with bone graft, onlay or interpositional (includes obtaining autograft)
21137 Reduction forehead; contouring only
21138 Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft)
21139 Reduction forehead; contouring and setback of anterior frontal sinus wall
21141 Reconstruction midface, LeFort I; single piece, segment movement in any direction (eg, for Long Face Syndrome), without bone graft
21142 Reconstruction midface, LeFort I; two pieces, segment movement in any direction, without bone graft
21143 Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, without bone graft
21145 Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts)
21146 Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted unilateral alveolar cleft)
21147 Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (eg, ungrafted bilateral alveolar cleft or multiple osteotomies)
21150 Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome)
21151 Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts)
21154 Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I
21155 Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I
21159 Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I
21160 Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (eg, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I
21172 Reconstruction superior-lateral orbital rim and lower forehead, advancement or alteration, with or without grafts (includes obtaining autografts)
21175 Reconstruction, bifrontal, superior-lateral orbital rims and lower forehead, advancement or alteration (eg, plagiocephaly, trigonocephaly, brachycephaly), with or without grafts (includes obtaining autografts)
21179 Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material)
21180 Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts)
21181 Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial
21182 Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm
21183 Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm
21184 Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 80 sq cm
21188 Reconstruction midface, osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts)
21193 Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; without bone graft
21194 Reconstruction of mandibular rami, horizontal, vertical, C, or L osteotomy; with bone graft (includes obtaining graft)
21195 Reconstruction of mandibular rami and/or body, sagittal split; without internal rigid fixation
21196 Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation
21198 Osteotomy, mandible, segmental;
21199 Osteotomy, mandible, segmental; with genioglossus advancement
21206 Osteotomy, maxilla, segmental (eg, Wassmund or Schuchard)
21208 Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)
21209 Osteoplasty, facial bones; reduction
21210 Graft, bone; nasal, maxillary or malar areas (includes obtaining graft)
21215 Graft, bone; mandible (includes obtaining graft)
21230 Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)
21235 Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)
21240 Arthroplasty, temporomandibular joint, with or without autograft (includes obtaining graft)
21242 Arthroplasty, temporomandibular joint, with allograft
21243 Arthroplasty, temporomandibular joint, with prosthetic joint replacement
21244 Reconstruction of mandible, extraoral, with transosteal bone plate (eg, mandibular staple bone plate)
21245 Reconstruction of mandible or maxilla, subperiosteal implant; partial
21246 Reconstruction of mandible or maxilla, subperiosteal implant; complete
21247 Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg, for hemifacial microsomia)
21248 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial
21249 Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete
21255 Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts)
21256 Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg, micro-ophthalmia)
21260 Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach
21261 Periorbital osteotomies for orbital hypertelorism, with bone grafts; combined intra- and extracranial approach
21263 Periorbital osteotomies for orbital hypertelorism, with bone grafts; with forehead advancement
21267 Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; extracranial approach
21268 Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach
21270 Malar augmentation, prosthetic material
21275 Secondary revision of orbitocraniofacial reconstruction
21280 Medial canthopexy (separate procedure)
21282 Lateral canthopexy
21295 Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); extraoral approach
21296 Reduction of masseter muscle and bone (eg, for treatment of benign masseteric hypertrophy); intraoral approach
21299 Unlisted craniofacial and maxillofacial procedure
21300 Closed treatment of skull fracture without operation
21310 Closed treatment of nasal bone fracture without manipulation
21315 Closed treatment of nasal bone fracture; without stabilization
21320 Closed treatment of nasal bone fracture; with stabilization
21325 Open treatment of nasal fracture; uncomplicated
21330 Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation
21335 Open treatment of nasal fracture; with concomitant open treatment of fractured septum
21336 Open treatment of nasal septal fracture, with or without stabilization
21337 Closed treatment of nasal septal fracture, with or without stabilization
21338 Open treatment of nasoethmoid fracture; without external fixation
21339 Open treatment of nasoethmoid fracture; with external fixation
21340 Percutaneous treatment of nasoethmoid complex fracture, with splint, wire or headcap fixation, including repair of canthal ligaments and/or the nasolacrimal apparatus
21343 Open treatment of depressed frontal sinus fracture
21344 Open treatment of complicated (eg, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches
21345 Closed treatment of nasomaxillary complex fracture (LeFort II type), with interdental wire fixation or fixation of denture or splint
21346 Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation
21347 Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches
21348 Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft)
21355 Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation
21356 Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)
21360 Open treatment of depressed malar fracture, including zygomatic arch and malar tripod
21365 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
21366 Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft)
21385 Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation)
21386 Open treatment of orbital floor blowout fracture; periorbital approach
21387 Open treatment of orbital floor blowout fracture; combined approach
21390 Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant
21395 Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft)
21400 Closed treatment of fracture of orbit, except blowout; without manipulation
21401 Closed treatment of fracture of orbit, except blowout; with manipulation
21406 Open treatment of fracture of orbit, except blowout; without implant
21407 Open treatment of fracture of orbit, except blowout; with implant
21408 Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft)
21421 Closed treatment of palatal or maxillary fracture (LeFort I type), with interdental wire fixation or fixation of denture or splint
21422 Open treatment of palatal or maxillary fracture (LeFort I type);
21423 Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina), multiple approaches
21431 Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint
21432 Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation
21433 Open treatment of craniofacial separation (LeFort III type); complicated (eg, comminuted or involving cranial nerve foramina), multiple surgical approaches
21435 Open treatment of craniofacial separation (LeFort III type); complicated, utilizing internal and/or external fixation techniques (eg, head cap, halo device, and/or intermaxillary fixation)
21436 Open treatment of craniofacial separation (LeFort III type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft)
21440 Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)
21445 Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure)
21450 Closed treatment of mandibular fracture; without manipulation
21451 Closed treatment of mandibular fracture; with manipulation
21452 Percutaneous treatment of mandibular fracture, with external fixation
21453 Closed treatment of mandibular fracture with interdental fixation
21454 Open treatment of mandibular fracture with external fixation
21461 Open treatment of mandibular fracture; without interdental fixation
21462 Open treatment of mandibular fracture; with interdental fixation
21465 Open treatment of mandibular condylar fracture
21470 Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation, interdental fixation, and/or wiring of dentures or splints
21480 Closed treatment of temporomandibular dislocation; initial or subsequent
21485 Closed treatment of temporomandibular dislocation; complicated (eg, recurrent requiring intermaxillary fixation or splinting), initial or subsequent
21490 Open treatment of temporomandibular dislocation
21493 Closed treatment of hyoid fracture; without manipulation
21494 Closed treatment of hyoid fracture; with manipulation
21495 Open treatment of hyoid fracture
21497 Interdental wiring, for condition other than fracture
21499 Unlisted musculoskeletal procedure, head
21501 Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax;
21502 Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax; with partial rib ostectomy
21510 Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax
21550 Biopsy, soft tissue of neck or thorax
21555 Excision tumor, soft tissue of neck or thorax; subcutaneous
21556 Excision tumor, soft tissue of neck or thorax; deep, subfascial, intramuscular
21557 Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or thorax
21600 Excision of rib, partial
21610 Costotransversectomy (separate procedure)
21615 Excision first and/or cervical rib;
21616 Excision first and/or cervical rib; with sympathectomy
21620 Ostectomy of sternum, partial
21627 Sternal debridement
21630 Radical resection of sternum;
21632 Radical resection of sternum; with mediastinal lymphadenectomy
21685 Hyoid myotomy and suspension
21700 Division of scalenus anticus; without resection of cervical rib
21705 Division of scalenus anticus; with resection of cervical rib
21720 Division of sternocleidomastoid for torticollis, open operation; without cast application
21725 Division of sternocleidomastoid for torticollis, open operation; with cast application
21740 Reconstructive repair of pectus excavatum or carinatum; open
21742 Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), without thoracoscopy
21743 Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy
21750 Closure of median sternotomy separation with or without debridement (separate procedure)
21800 Closed treatment of rib fracture, uncomplicated, each
21805 Open treatment of rib fracture without fixation, each
21810 Treatment of rib fracture requiring external fixation (flail chest)
21820 Closed treatment of sternum fracture
21825 Open treatment of sternum fracture with or without skeletal fixation
21899 Unlisted procedure, neck or thorax
21920 Biopsy, soft tissue of back or flank; superficial
21925 Biopsy, soft tissue of back or flank; deep
21930 Excision, tumor, soft tissue of back or flank
21935 Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank
22100 Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; cervical
22101 Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; thoracic
22102 Partial excision of posterior vertebral component (eg, spinous process, lamina or facet) for intrinsic bony lesion, single vertebral segment; lumbar
22103 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)
22110 Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical
22112 Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic
22114 Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar
22116 Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)
22210 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; cervical
22212 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; thoracic
22214 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; lumbar
22216 Osteotomy of spine, posterior or posterolateral approach, one vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)
22220 Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; cervical
22222 Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; thoracic
22224 Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; lumbar
22226 Osteotomy of spine, including diskectomy, anterior approach, single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure)
22305 Closed treatment of vertebral process fracture(s)
22310 Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing
22315 Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing, with and including casting and/or bracing, with or without anesthesia, by manipulation or traction
22318 Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting
22319 Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting
22325 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebrae or dislocated segment; lumbar
22326 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebrae or dislocated segment; cervical
22327 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebrae or dislocated segment; thoracic
22328 Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, one fractured vertebrae or dislocated segment; each additional fractured vertebrae or dislocated segment (List separately in addition to code for primary procedure)
22505 Manipulation of spine requiring anesthesia, any region
22520 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic
22521 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; lumbar
22522 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)
22532 Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for decompression); thoracic
22533 Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for decompression); lumbar
22534 Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)
22548 Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid process
22554 Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); cervical below C2
22556 Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); thoracic
22558 Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); lumbar
22585 Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)
22590 Arthrodesis, posterior technique, craniocervical (occiput-C2)
22595 Arthrodesis, posterior technique, atlas-axis (C1-C2)
22600 Arthrodesis, posterior or posterolateral technique, single level; cervical below C2 segment
22610 Arthrodesis, posterior or posterolateral technique, single level; thoracic (with or without lateral transverse technique)
22612 Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral transverse technique)
22614 Arthrodesis, posterior or posterolateral technique, single level; each additional vertebral segment (List separately in addition to code for primary procedure)
22630 Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than for decompression), single interspace; lumbar
22632 Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than for decompression), single interspace; each additional interspace (List separately in addition to code for primary procedure)
22800 Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments
22802 Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments
22804 Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments
22808 Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments
22810 Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments
22812 Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments
22818 Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments
22819 Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments
22830 Exploration of spinal fusion
22840 Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across one interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation)
22841 Internal spinal fixation by wiring of spinous processes
22842 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments
22843 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments
22844 Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments
22845 Anterior instrumentation; 2 to 3 vertebral segments
22846 Anterior instrumentation; 4 to 7 vertebral segments
22847 Anterior instrumentation; 8 or more vertebral segments
22848 Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum
22849 Reinsertion of spinal fixation device
22850 Removal of posterior nonsegmental instrumentation (eg, Harrington rod)
22851 Application of intervertebral biomechanical device(s) (eg, synthetic cage(s), threaded bone dowel(s), methylmethacrylate) to vertebral defect or interspace
22852 Removal of posterior segmental instrumentation
22855 Removal of anterior instrumentation
22899 Unlisted procedure, spine
22900 Excision, abdominal wall tumor, subfascial (eg, desmoid)
22999 Unlisted procedure, abdomen, musculoskeletal system
23000 Removal of subdeltoid calcareous deposits, open
23020 Capsular contracture release (eg, Sever type procedure)
23030 Incision and drainage, shoulder area; deep abscess or hematoma
23031 Incision and drainage, shoulder area; infected bursa
23035 Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area
23040 Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body
23044 Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body
23065 Biopsy, soft tissue of shoulder area; superficial
23066 Biopsy, soft tissue of shoulder area; deep
23075 Excision, soft tissue tumor, shoulder area; subcutaneous
23076 Excision, soft tissue tumor, shoulder area; deep, subfascial, or intramuscular
23077 Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area
23100 Arthrotomy, glenohumeral joint, including biopsy
23101 Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage
23105 Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy
23106 Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy
23107 Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body
23120 Claviculectomy; partial
23125 Claviculectomy; total
23130 Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release
23140 Excision or curettage of bone cyst or benign tumor of clavicle or scapula;
23145 Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)
23146 Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft
23150 Excision or curettage of bone cyst or benign tumor of proximal humerus;
23155 Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)
23156 Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft
23170 Sequestrectomy (eg, for osteomyelitis or bone abscess), clavicle
23172 Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula
23174 Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck
23180 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), clavicle
23182 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), scapula
23184 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus
23190 Ostectomy of scapula, partial (eg, superior medial angle)
23195 Resection, humeral head
23200 Radical resection for tumor; clavicle
23210 Radical resection for tumor; scapula
23220 Radical resection of bone tumor, proximal humerus;
23221 Radical resection of bone tumor, proximal humerus; with autograft (includes obtaining graft)
23222 Radical resection of bone tumor, proximal humerus; with prosthetic replacement
23330 Removal of foreign body, shoulder; subcutaneous
23331 Removal of foreign body, shoulder; deep (eg, Neer hemiarthroplasty removal)
23332 Removal of foreign body, shoulder; complicated (eg, total shoulder)
23350 Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography
23395 Muscle transfer, any type, shoulder or upper arm; single
23397 Muscle transfer, any type, shoulder or upper arm; multiple
23400 Scapulopexy (eg, Sprengels deformity or for paralysis)
23405 Tenotomy, shoulder area; single tendon
23406 Tenotomy, shoulder area; multiple tendons through same incision
23410 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute
23412 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
23415 Coracoacromial ligament release, with or without acromioplasty
23420 Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
23430 Tenodesis of long tendon of biceps
23440 Resection or transplantation of long tendon of biceps
23450 Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation
23455 Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)
23460 Capsulorrhaphy, anterior, any type; with bone block
23462 Capsulorrhaphy, anterior, any type; with coracoid process transfer
23465 Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block
23466 Capsulorrhaphy, glenohumeral joint, any type multi-directional instability
23470 Arthroplasty, glenohumeral joint; hemiarthroplasty
23472 Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))
23480 Osteotomy, clavicle, with or without internal fixation;
23485 Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation)
23490 Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; clavicle
23491 Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus
23500 Closed treatment of clavicular fracture; without manipulation
23505 Closed treatment of clavicular fracture; with manipulation
23515 Open treatment of clavicular fracture, with or without internal or external fixation
23520 Closed treatment of sternoclavicular dislocation; without manipulation
23525 Closed treatment of sternoclavicular dislocation; with manipulation
23530 Open treatment of sternoclavicular dislocation, acute or chronic;
23532 Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
23540 Closed treatment of acromioclavicular dislocation; without manipulation
23545 Closed treatment of acromioclavicular dislocation; with manipulation
23550 Open treatment of acromioclavicular dislocation, acute or chronic;
23552 Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)
23570 Closed treatment of scapular fracture; without manipulation
23575 Closed treatment of scapular fracture; with manipulation, with or without skeletal traction (with or without shoulder joint involvement)
23585 Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation
23600 Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation
23605 Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction
23615 Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without internal or external fixation, with or without repair of tuberosity(s);
23616 Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without internal or external fixation, with or without repair of tuberosity(s); with proximal humeral prosthetic replacement
23620 Closed treatment of greater humeral tuberosity fracture; without manipulation
23625 Closed treatment of greater humeral tuberosity fracture; with manipulation
23630 Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation
23650 Closed treatment of shoulder dislocation, with manipulation; without anesthesia
23655 Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia
23660 Open treatment of acute shoulder dislocation
23665 Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation
23670 Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or external fixation
23675 Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation
23680 Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without internal or external fixation
23700 Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)
23800 Arthrodesis, glenohumeral joint;
23802 Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)
23900 Interthoracoscapular amputation (forequarter)
23920 Disarticulation of shoulder;
23921 Disarticulation of shoulder; secondary closure or scar revision
23929 Unlisted procedure, shoulder
23930 Incision and drainage, upper arm or elbow area; deep abscess or hematoma
23931 Incision and drainage, upper arm or elbow area; bursa
23935 Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow
24000 Arthrotomy, elbow, including exploration, drainage, or removal of foreign body
24006 Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)
24065 Biopsy, soft tissue of upper arm or elbow area; superficial
24066 Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)
24075 Excision, tumor, soft tissue of upper arm or elbow area; subcutaneous
24076 Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)
24077 Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area
24100 Arthrotomy, elbow; with synovial biopsy only
24101 Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body
24102 Arthrotomy, elbow; with synovectomy
24105 Excision, olecranon bursa
24110 Excision or curettage of bone cyst or benign tumor, humerus;
24115 Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft)
24116 Excision or curettage of bone cyst or benign tumor, humerus; with allograft
24120 Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process;
24125 Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft)
24126 Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft
24130 Excision, radial head
24134 Sequestrectomy (eg, for osteomyelitis or bone abscess), shaft or distal humerus
24136 Sequestrectomy (eg, for osteomyelitis or bone abscess), radial head or neck
24138 Sequestrectomy (eg, for osteomyelitis or bone abscess), olecranon process
24140 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), humerus
24145 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck
24147 Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process
24149 Radical resection of capsule, soft tissue, and heterotopic bone, elbow, with contracture release (separate procedure)
24150 Radical resection for tumor, shaft or distal humerus;
24151 Radical resection for tumor, shaft or distal humerus; with autograft (includes obtaining graft)
24152 Radical resection for tumor, radial head or neck;
24153 Radical resection for tumor, radial head or neck; with autograft (includes obtaining graft)
24155 Resection of elbow joint (arthrectomy)
24160 Implant removal; elbow joint
24164 Implant removal; radial head
24200 Removal of foreign body, upper arm or elbow area; subcutaneous
24201 Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)
24220 Injection procedure for elbow arthrography
24300 Manipulation, elbow, under anesthesia
24301 Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)
24305 Tendon lengthening, upper arm or elbow, each tendon
24310 Tenotomy, open, elbow to shoulder, each tendon
24320 Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-Brookes type procedure)
24330 Flexor-plasty, elbow (eg, Steindler type advancement);
24331 Flexor-plasty, elbow (eg, Steindler type advancement); with extensor advancement
24332 Tenolysis, triceps
24340 Tenodesis of biceps tendon at elbow (separate procedure)
24341 Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)
24342 Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
24343 Repair lateral collateral ligament, elbow, with local tissue
24344 Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)
24345 Repair medial collateral ligament, elbow, with local tissue
24346 Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)
24350 Fasciotomy, lateral or medial (eg, tennis elbow or epicondylitis);
24351 Fasciotomy, lateral or medial (eg, tennis elbow or epicondylitis); with extensor origin detachment
24352 Fasciotomy, lateral or medial (eg, tennis elbow or epicondylitis); with annular ligament resection
24354 Fasciotomy, lateral or medial (eg, tennis elbow or epicondylitis); with stripping
24356 Fasciotomy, lateral or medial (eg, tennis elbow or epicondylitis); with partial ostectomy
24360 Arthroplasty, elbow; with membrane (eg, fascial)
24361 Arthroplasty, elbow; with distal humeral prosthetic replacement
24362 Arthroplasty, elbow; with implant and fascia lata ligament reconstruction
24363 Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (eg, total elbow)
24365 Arthroplasty, radial head;
24366 Arthroplasty, radial head; with implant
24400 Osteotomy, humerus, with or without internal fixation
24410 Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure)
24420 Osteoplasty, humerus (eg, shortening or lengthening) (excluding 64876)
24430 Repair of nonunion or malunion, humerus; without graft (eg, compression technique)
24435 Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)
24470 Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal humerus)
24495 Decompression fasciotomy, forearm, with brachial artery exploration
24498 Prophylactic treatment (nailing, pinning, plating or wiring), with or without methylmethacrylate, humeral shaft
24500 Closed treatment of humeral shaft fracture; without manipulation
24505 Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction
24515 Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
24516 Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws
24530 Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation
24535 Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction
24538 Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension
24545 Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external fixation; without intercondylar extension
24546 Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or external fixation; with intercondylar extension
24560 Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation
24565 Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation
24566 Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation
24575 Open treatment of humeral epicondylar fracture, medial or lateral, with or without internal or external fixation
24576 Closed treatment of humeral condylar fracture, medial or lateral; without manipulation
24577 Closed treatment of humeral condylar fracture, medial or lateral; with manipulation
24579 Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation
24582 Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation
24586 Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius);
24587 Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty
24600 Treatment of closed elbow dislocation; without anesthesia
24605 Treatment of closed elbow dislocation; requiring anesthesia
24615 Open treatment of acute or chronic elbow dislocation
24620 Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation
24635 Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with or without internal or external fixation
24640 Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation
24650 Closed treatment of radial head or neck fracture; without manipulation
24655 Closed treatment of radial head or neck fracture; with manipulation
24665 Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision;
24666 Open treatment of radial head or neck fracture, with or without internal fixation or radial head excision; with radial head prosthetic replacement
24670 Closed treatment of ulnar fracture, proximal end (olecranon process); without manipulation
24675 Closed treatment of ulnar fracture, proximal end (olecranon process); with manipulation
24685 Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or external fixation
24800 Arthrodesis, elbow joint; local
24802 Arthrodesis, elbow joint; with autogenous graft (includes obtaining graft)
24900 Amputation, arm through humerus; with primary closure
24920 Amputation, arm through humerus; open, circular (guillotine)
24925 Amputation, arm through humerus; secondary closure or scar revision
24930 Amputation, arm through humerus; re-amputation
24931 Amputation, arm through humerus; with implant
24935 Stump elongation, upper extremity
24940 Cineplasty, upper extremity, complete procedure
24999 Unlisted procedure, humerus or elbow
