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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