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CPT Information

40490 Biopsy of lip

40500 Vermilionectomy (lip shave), with mucosal advancement

40510 Excision of lip; transverse wedge excision with primary closure

40520 Excision of lip; V-excision with primary direct linear closure

40525 Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan)

40527 Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander)

40530 Resection of lip, more than one-fourth, without reconstruction

40650 Repair lip, full thickness; vermilion only

40652 Repair lip, full thickness; up to half vertical height

40654 Repair lip, full thickness; over one-half vertical height, or complex

40700 Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral

40701 Plastic repair of cleft lip/nasal deformity; primary bilateral, one stage procedure

40702 Plastic repair of cleft lip/nasal deformity; primary bilateral, one of two stages

40720 Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure

40761 Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicle

40799 Unlisted procedure, lips

40800 Drainage of abscess, cyst, hematoma, vestibule of mouth; simple

40801 Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated

40804 Removal of embedded foreign body, vestibule of mouth; simple

40805 Removal of embedded foreign body, vestibule of mouth; complicated

40806 Incision of labial frenum (frenotomy)

40808 Biopsy, vestibule of mouth

40810 Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair

40812 Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair

40814 Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair

40816 Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle

40818 Excision of mucosa of vestibule of mouth as donor graft

40819 Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)

40820 Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)

40830 Closure of laceration, vestibule of mouth; 2.5 cm or less

40831 Closure of laceration, vestibule of mouth; over 2.5 cm or complex

40840 Vestibuloplasty; anterior

40842 Vestibuloplasty; posterior, unilateral

40843 Vestibuloplasty; posterior, bilateral

40844 Vestibuloplasty; entire arch

40845 Vestibuloplasty; complex (including ridge extension, muscle repositioning)

40899 Unlisted procedure, vestibule of mouth

41000 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingual

41005 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficial

41006 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoid

41007 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental space

41008 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular space

41009 Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator space

41010 Incision of lingual frenum (frenotomy)

41015 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingual

41016 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submental

41017 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular

41018 Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator space

41100 Biopsy of tongue; anterior two-thirds

41105 Biopsy of tongue; posterior one-third

41108 Biopsy of floor of mouth

41110 Excision of lesion of tongue without closure

41112 Excision of lesion of tongue with closure; anterior two-thirds

41113 Excision of lesion of tongue with closure; posterior one-third

41114 Excision of lesion of tongue with closure; with local tongue flap

41115 Excision of lingual frenum (frenectomy)

41116 Excision, lesion of floor of mouth

41120 Glossectomy; less than one-half tongue

41130 Glossectomy; hemiglossectomy

41135 Glossectomy; partial, with unilateral radical neck dissection

41140 Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection

41145 Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection

41150 Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissection

41153 Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection

41155 Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)

41250 Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

41251 Repair of laceration 2.5 cm or less; posterior one-third of tongue

41252 Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex

41500 Fixation of tongue, mechanical, other than suture (eg, K-wire)

41510 Suture of tongue to lip for micrognathia (Douglas type procedure)

41520 Frenoplasty (surgical revision of frenum, eg, with Z-plasty)

41599 Unlisted procedure, tongue, floor of mouth

41800 Drainage of abscess, cyst, hematoma from dentoalveolar structures

41805 Removal of embedded foreign body from dentoalveolar structures; soft tissues

41806 Removal of embedded foreign body from dentoalveolar structures; bone

41820 Gingivectomy, excision gingiva, each quadrant

41821 Operculectomy, excision pericoronal tissues

41822 Excision of fibrous tuberosities, dentoalveolar structures

41823 Excision of osseous tuberosities, dentoalveolar structures

41825 Excision of lesion or tumor (except listed above), dentoalveolar structures; without repair

41826 Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair

41827 Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repair

41828 Excision of hyperplastic alveolar mucosa, each quadrant (specify)

41830 Alveolectomy, including curettage of osteitis or sequestrectomy

41850 Destruction of lesion (except excision), dentoalveolar structures

41870 Periodontal mucosal grafting

41872 Gingivoplasty, each quadrant (specify)

41874 Alveoloplasty, each quadrant (specify)

41899 Unlisted procedure, dentoalveolar structures

42000 Drainage of abscess of palate, uvula

42100 Biopsy of palate, uvula

42104 Excision, lesion of palate, uvula; without closure

42106 Excision, lesion of palate, uvula; with simple primary closure

42107 Excision, lesion of palate, uvula; with local flap closure

42120 Resection of palate or extensive resection of lesion

42140 Uvulectomy, excision of uvula

42145 Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)

42160 Destruction of lesion, palate or uvula (thermal, cryo or chemical)

42180 Repair, laceration of palate; up to 2 cm

42182 Repair, laceration of palate; over 2 cm or complex

42200 Palatoplasty for cleft palate, soft and/or hard palate only

42205 Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only

42210 Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft)

42215 Palatoplasty for cleft palate; major revision

42220 Palatoplasty for cleft palate; secondary lengthening procedure

42225 Palatoplasty for cleft palate; attachment pharyngeal flap

42226 Lengthening of palate, and pharyngeal flap

42227 Lengthening of palate, with island flap

42235 Repair of anterior palate, including vomer flap

42260 Repair of nasolabial fistula

42280 Maxillary impression for palatal prosthesis

42281 Insertion of pin-retained palatal prosthesis

42299 Unlisted procedure, palate, uvula

42300 Drainage of abscess; parotid, simple

42305 Drainage of abscess; parotid, complicated

42310 Drainage of abscess; submaxillary or sublingual, intraoral

42320 Drainage of abscess; submaxillary, external

42325 Fistulization of sublingual salivary cyst (ranula);

42326 Fistulization of sublingual salivary cyst (ranula); with prosthesis

42330 Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral

42335 Sialolithotomy; submandibular (submaxillary), complicated, intraoral

42340 Sialolithotomy; parotid, extraoral or complicated intraoral

42400 Biopsy of salivary gland; needle

42405 Biopsy of salivary gland; incisional

42408 Excision of sublingual salivary cyst (ranula)

42409 Marsupialization of sublingual salivary cyst (ranula)

42410 Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection

42415 Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve

42420 Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve

42425 Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerve

42426 Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissection

42440 Excision of submandibular (submaxillary) gland

42450 Excision of sublingual gland

42500 Plastic repair of salivary duct, sialodochoplasty; primary or simple

42505 Plastic repair of salivary duct, sialodochoplasty; secondary or complicated

42507 Parotid duct diversion, bilateral (Wilke type procedure);

42508 Parotid duct diversion, bilateral (Wilke type procedure); with excision of one submandibular gland

42509 Parotid duct diversion, bilateral (Wilke type procedure); with excision of both submandibular glands

42510 Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton''s) ducts

42550 Injection procedure for sialography

42600 Closure salivary fistula

42650 Dilation salivary duct

42660 Dilation and catheterization of salivary duct, with or without injection

42665 Ligation salivary duct, intraoral

42699 Unlisted procedure, salivary glands or ducts

42700 Incision and drainage abscess; peritonsillar

42720 Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approach

42725 Incision and drainage abscess; retropharyngeal or parapharyngeal, external approach

42800 Biopsy; oropharynx

42802 Biopsy; hypopharynx

42804 Biopsy; nasopharynx, visible lesion, simple

42806 Biopsy; nasopharynx, survey for unknown primary lesion

42808 Excision or destruction of lesion of pharynx, any method

42809 Removal of foreign body from pharynx

42810 Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues

42815 Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx

42820 Tonsillectomy and adenoidectomy; under age 12

42821 Tonsillectomy and adenoidectomy; age 12 or over

42825 Tonsillectomy, primary or secondary; under age 12

42826 Tonsillectomy, primary or secondary; age 12 or over

42830 Adenoidectomy, primary; under age 12

42831 Adenoidectomy, primary; age 12 or over

42835 Adenoidectomy, secondary; under age 12

42836 Adenoidectomy, secondary; age 12 or over

42842 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure

42844 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)

42845 Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap

42860 Excision of tonsil tags

42870 Excision or destruction lingual tonsil, any method (separate procedure)

42890 Limited pharyngectomy

42892 Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls

42894 Resection of pharyngeal wall requiring closure with myocutaneous flap

42900 Suture pharynx for wound or injury

42950 Pharyngoplasty (plastic or reconstructive operation on pharynx)

42953 Pharyngoesophageal repair

42955 Pharyngostomy (fistulization of pharynx, external for feeding)

42960 Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple

42961 Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization

42962 Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical intervention

42970 Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cautery

42971 Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization

42972 Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical intervention

42999 Unlisted procedure, pharynx, adenoids, or tonsils

43020 Esophagotomy, cervical approach, with removal of foreign body

43030 Cricopharyngeal myotomy

43045 Esophagotomy, thoracic approach, with removal of foreign body

43100 Excision of lesion, esophagus, with primary repair; cervical approach

43101 Excision of lesion, esophagus, with primary repair; thoracic or abdominal approach

43107 Total or near total esophagectomy, without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (transhiatal)

43108 Total or near total esophagectomy, without thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation and anastomosis(es)

43112 Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty

43113 Total or near total esophagectomy, with thoracotomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)

43116 Partial esophagectomy, cervical, with free intestinal graft, including microvascular anastomosis, obtaining the graft and intestinal reconstruction

43117 Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)

43118 Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)

43121 Partial esophagectomy, distal two-thirds, with thoracotomy only, with or without proximal gastrectomy, with thoracic esophagogastrostomy, with or without pyloroplasty

43122 Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplasty

43123 Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)

43124 Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomy

43130 Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach

43135 Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approach

43200 Esophagoscopy, rigid or flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

43201 Esophagoscopy, rigid or flexible; with directed submucosal injection(s), any substance

43202 Esophagoscopy, rigid or flexible; with biopsy, single or multiple

43204 Esophagoscopy, rigid or flexible; with injection sclerosis of esophageal varices

43205 Esophagoscopy, rigid or flexible; with band ligation of esophageal varices

43215 Esophagoscopy, rigid or flexible; with removal of foreign body

43216 Esophagoscopy, rigid or flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

43217 Esophagoscopy, rigid or flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

43219 Esophagoscopy, rigid or flexible; with insertion of plastic tube or stent

43220 Esophagoscopy, rigid or flexible; with balloon dilation (less than 30 mm diameter)

43226 Esophagoscopy, rigid or flexible; with insertion of guide wire followed by dilation over guide wire

43227 Esophagoscopy, rigid or flexible; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)

43228 Esophagoscopy, rigid or flexible; with ablation of tumor(s), polyp(s), or other lesion(s), not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique

43231 Esophagoscopy, rigid or flexible; with endoscopic ultrasound examination

43232 Esophagoscopy, rigid or flexible; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s)

43234 Upper gastrointestinal endoscopy, simple primary examination (eg, with small diameter flexible endoscope) (separate procedure)

43235 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

43236 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed submucosal injection(s), any substance

43237 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with endoscopic ultrasound examination limited to the esophagus

43238 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), esophagus (includes endoscopic ultrasound examination limited to the esophagus)

43239 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with biopsy, single or multiple

43240 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transmural drainage of pseudocyst

43241 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic intraluminal tube or catheter placement

43242 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (Includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum and/or jejunum as appropriate)

43243 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with injection sclerosis of esophageal and/or gastric varices

43244 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with band ligation of esophageal and/or gastric varices

43245 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with dilation of gastric outlet for obstruction (eg, balloon, guide wire, bougie)

43246 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with directed placement of percutaneous gastrostomy tube

43247 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of foreign body

43248 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with insertion of guide wire followed by dilation of esophagus over guide wire

43249 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with balloon dilation of esophagus (less than 30 mm diameter)

43250 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

43251 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

43255 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with control of bleeding, any method

43256 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with transendoscopic stent placement (includes predilation)

43258 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique

43259 Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum and/or jejunum as appropriate

43260 Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

43261 Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multiple

43262 Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy

43263 Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi (pancreatic duct or common bile duct)

43264 Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde removal of calculus/calculi from biliary and/or pancreatic ducts

43265 Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde destruction, lithotripsy of calculus/calculi, any method

43267 Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion of nasobiliary or nasopancreatic drainage tube

43268 Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion of tube or stent into bile or pancreatic duct

43269 Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde removal of foreign body and/or change of tube or stent

43271 Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde balloon dilation of ampulla, biliary and/or pancreatic duct(s)

43272 Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique

43280 Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)

43289 Unlisted laparoscopy procedure, esophagus

43300 Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula

43305 Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula

43310 Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula

43312 Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistula

43313 Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistula

43314 Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula

43320 Esophagogastrostomy (cardioplasty), with or without vagotomy and pyloroplasty, transabdominal or transthoracic approach

43324 Esophagogastric fundoplasty (eg, Nissen, Belsey IV, Hill procedures)

43325 Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)

43326 Esophagogastric fundoplasty; with gastroplasty (eg, Collis)

43330 Esophagomyotomy (Heller type); abdominal approach

43331 Esophagomyotomy (Heller type); thoracic approach

43340 Esophagojejunostomy (without total gastrectomy); abdominal approach

43341 Esophagojejunostomy (without total gastrectomy); thoracic approach

43350 Esophagostomy, fistulization of esophagus, external; abdominal approach

43351 Esophagostomy, fistulization of esophagus, external; thoracic approach

43352 Esophagostomy, fistulization of esophagus, external; cervical approach

43360 Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with stomach, with or without pyloroplasty

43361 Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)

43400 Ligation, direct, esophageal varices

43401 Transection of esophagus with repair, for esophageal varices

43405 Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation

43410 Suture of esophageal wound or injury; cervical approach

43415 Suture of esophageal wound or injury; transthoracic or transabdominal approach

43420 Closure of esophagostomy or fistula; cervical approach

43425 Closure of esophagostomy or fistula; transthoracic or transabdominal approach

43450 Dilation of esophagus, by unguided sound or bougie, single or multiple passes

43453 Dilation of esophagus, over guide wire

43456 Dilation of esophagus, by balloon or dilator, retrograde

43458 Dilation of esophagus with balloon (30 mm diameter or larger) for achalasia

43460 Esophagogastric tamponade, with balloon (Sengstaaken type)

43496 Free jejunum transfer with microvascular anastomosis

43499 Unlisted procedure, esophagus

43500 Gastrotomy; with exploration or foreign body removal

43501 Gastrotomy; with suture repair of bleeding ulcer

43502 Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg, Mallory-Weiss)

43510 Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg, Celestin or Mousseaux-Barbin)

43520 Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)

43600 Biopsy of stomach; by capsule, tube, peroral (one or more specimens)

43605 Biopsy of stomach; by laparotomy

43610 Excision, local; ulcer or benign tumor of stomach

43611 Excision, local; malignant tumor of stomach

43620 Gastrectomy, total; with esophagoenterostomy

43621 Gastrectomy, total; with Roux-en-Y reconstruction

43622 Gastrectomy, total; with formation of intestinal pouch, any type

43631 Gastrectomy, partial, distal; with gastroduodenostomy

43632 Gastrectomy, partial, distal; with gastrojejunostomy

43633 Gastrectomy, partial, distal; with Roux-en-Y reconstruction

43634 Gastrectomy, partial, distal; with formation of intestinal pouch

43635 Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure)

43638 Gastrectomy, partial, proximal, thoracic or abdominal approach including esophagogastrostomy, with vagotomy;

43639 Gastrectomy, partial, proximal, thoracic or abdominal approach including esophagogastrostomy, with vagotomy; with pyloroplasty or pyloromyotomy

43640 Vagotomy including pyloroplasty, with or without gastrostomy; truncal or selective

43641 Vagotomy including pyloroplasty, with or without gastrostomy; parietal cell (highly selective)

43651 Laparoscopy, surgical; transection of vagus nerves, truncal

43652 Laparoscopy, surgical; transection of vagus nerves, selective or highly selective

43653 Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)

43659 Unlisted laparoscopy procedure, stomach

43750 Percutaneous placement of gastrostomy tube

43752 Naso- or oro-gastric tube placement, requiring physician''s skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)

43760 Change of gastrostomy tube

43761 Repositioning of the gastric feeding tube, any method, through the duodenum for enteric nutrition

43800 Pyloroplasty

43810 Gastroduodenostomy

43820 Gastrojejunostomy; without vagotomy

43825 Gastrojejunostomy; with vagotomy, any type

43830 Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)

43831 Gastrostomy, open; neonatal, for feeding

43832 Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)

43840 Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury

43842 Gastric restrictive procedure, without gastric bypass, for morbid obesity; vertical-banded gastroplasty

43843 Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty

43846 Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (less than 100 cm) Roux-en-Y gastroenterostomy

43847 Gastric restrictive procedure, with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption

43848 Revision of gastric restrictive procedure for morbid obesity (separate procedure)

43850 Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; without vagotomy

43855 Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; with vagotomy

43860 Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy

43865 Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; with vagotomy

43870 Closure of gastrostomy, surgical

43880 Closure of gastrocolic fistula

43999 Unlisted procedure, stomach

44005 Enterolysis (freeing of intestinal adhesion) (separate procedure)

44010 Duodenotomy, for exploration, biopsy(s), or foreign body removal

44015 Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure)

44020 Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal

44021 Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)

44025 Colotomy, for exploration, biopsy(s), or foreign body removal

44050 Reduction of volvulus, intussusception, internal hernia, by laparotomy

44055 Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)

44100 Biopsy of intestine by capsule, tube, peroral (one or more specimens)

44110 Excision of one or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy

44111 Excision of one or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomies

44120 Enterectomy, resection of small intestine; single resection and anastomosis

44121 Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)

44125 Enterectomy, resection of small intestine; with enterostomy

44126 Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without tapering

44127 Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; with tapering

44128 Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)

44130 Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)

44132 Donor enterectomy, open, with preparation and maintenance of allograft; from cadaver donor

44133 Donor enterectomy, open, with preparation and maintenance of allograft; partial, from living donor

44135 Intestinal allotransplantation; from cadaver donor

44136 Intestinal allotransplantation; from living donor

44139 Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)

44140 Colectomy, partial; with anastomosis

44141 Colectomy, partial; with skin level cecostomy or colostomy

44143 Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)

44144 Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula

44145 Colectomy, partial; with coloproctostomy (low pelvic anastomosis)

44146 Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy

44147 Colectomy, partial; abdominal and transanal approach

44150 Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy

44151 Colectomy, total, abdominal, without proctectomy; with continent ileostomy

44152 Colectomy, total, abdominal, without proctectomy; with rectal mucosectomy, ileoanal anastomosis, with or without loop ileostomy

44153 Colectomy, total, abdominal, without proctectomy; with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy

44155 Colectomy, total, abdominal, with proctectomy; with ileostomy

44156 Colectomy, total, abdominal, with proctectomy; with continent ileostomy

44160 Colectomy, partial, with removal of terminal ileum with ileocolostomy

44200 Laparoscopy, surgical; enterolysis (freeing of intestinal adhesion) (separate procedure)

44201 Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)

44202 Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis

44203 Laparoscopy, surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure)

44204 Laparoscopy, surgical; colectomy, partial, with anastomosis

44205 Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy

44206 Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)

44207 Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)

44208 Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy

44210 Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy

44211 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, with or without rectal mucosectomy

44212 Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy

44238 Unlisted laparoscopy procedure, intestine (except rectum)

44239 Unlisted laparoscopy procedure, rectum

44300 Enterostomy or cecostomy, tube (eg, for decompression or feeding) (separate procedure)

44310 Ileostomy or jejunostomy, non-tube (separate procedure)

44312 Revision of ileostomy; simple (release of superficial scar) (separate procedure)

44314 Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)

44316 Continent ileostomy (Kock procedure) (separate procedure)

44320 Colostomy or skin level cecostomy; (separate procedure)

44322 Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure)

44340 Revision of colostomy; simple (release of superficial scar) (separate procedure)

44345 Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)

44346 Revision of colostomy; with repair of paracolostomy hernia (separate procedure)

44360 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

44361 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multiple

44363 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body

44364 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

44365 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

44366 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)

44369 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique

44370 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation)

44372 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tube

44373 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube

44376 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

44377 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multiple

44378 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)

44379 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent placement (includes predilation)

44380 Ileoscopy, through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

44382 Ileoscopy, through stoma; with biopsy, single or multiple

44383 Ileoscopy, through stoma; with transendoscopic stent placement (includes predilation)

44385 Endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

44386 Endoscopic evaluation of small intestinal (abdominal or pelvic) pouch; with biopsy, single or multiple

44388 Colonoscopy through stoma; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)

44389 Colonoscopy through stoma; with biopsy, single or multiple

44390 Colonoscopy through stoma; with removal of foreign body

44391 Colonoscopy through stoma; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)

44392 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

44393 Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique

44394 Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

44397 Colonoscopy through stoma; with transendoscopic stent placement (includes predilation)

44500 Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure)

44602 Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation

44603 Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations

44604 Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy

44605 Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy

44615 Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction

44620 Closure of enterostomy, large or small intestine;

44625 Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal

44626 Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)

44640 Closure of intestinal cutaneous fistula

44650 Closure of enteroenteric or enterocolic fistula

44660 Closure of enterovesical fistula; without intestinal or bladder resection

44661 Closure of enterovesical fistula; with intestine and/or bladder resection

44680 Intestinal plication (separate procedure)

44700 Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)

44701 Intraoperative colonic lavage (List separately in addition to code for primary procedure)

44799 Unlisted procedure, intestine

44800 Excision of Meckel''s diverticulum (diverticulectomy) or omphalomesenteric duct

44820 Excision of lesion of mesentery (separate procedure)

44850 Suture of mesentery (separate procedure)

44899 Unlisted procedure, Meckel''s diverticulum and the mesentery

44900 Incision and drainage of appendiceal abscess; open

44901 Incision and drainage of appendiceal abscess; percutaneous

44950 Appendectomy;

44955 Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)

44960 Appendectomy; for ruptured appendix with abscess or generalized peritonitis

44970 Laparoscopy, surgical, appendectomy

44979 Unlisted laparoscopy procedure, appendix

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