Adopted Regulation February 18, 2010



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36860

100.45

External cannula declotting (separate procedure); without balloon catheter

36861

822.55

External cannula declotting (separate procedure); with balloon catheter

36870

1,438.51

Thrombectomy, percutaneous, arteriovenous fistula, autogenous or nonautogenous graft (includes mechanical thrombus extraction and intra-graft thrombolysis)

37184

1,464.36

Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel

37185

1,464.36

Primary percutaneous transluminal mechanical thrombectomy, noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure)

37186

1,464.36

Secondary percutaneous transluminal thrombectomy (e.g., nonprimary mechanical, snare basket, suction technique), noncoronary, arterial or arterial bypass graft, including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections, provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure)

37187

1,464.36

Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance

37188

1,464.36

Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during course of thrombolytic therapy

37200

1,080.61

Transcatheter biopsy

37203

1,080.61

Transcatheter retrieval, percutaneous, of intravascular foreign body (e.g., fractured venous or arterial catheter)

37500

1,019.19

Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS)

37607

720.76

Ligation or banding of angioaccess arteriovenous fistula

37609

484.44

Ligation or biopsy, temporal artery

37650

692.67

Ligation of femoral vein

37700

692.67

Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions

37718

720.76

Ligation, division, and stripping, short saphenous vein

37722

1,019.19

Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below

37735

1,019.19

Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower le.g., with excision of deep fascia

37760

720.76

Ligation of perforator veins, subfascial, radical (Linton type), with or without skin graft, open

37765

993.93

Stab phlebectomy of varicose veins, one extremity; 10-20 stab incisions

37766

993.93

Stab phlebectomy of varicose veins, one extremity; more than 20 incisions

37780

720.76

Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)

37785

720.76

Ligation, division, and/or excision of varicose vein cluster(s), one leg

37790

869.73

Penile venous occlusive procedure

38205

417.76

Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; allogenic

38206

417.76

Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous

38220

95.76

Bone marrow; aspiration only

38221

100.31

Bone marrow; biopsy, needle or trocar

38230

1,118.35

Bone marrow harvesting for transplantation

38241

1,118.35

Bone marrow or blood-derived peripheral stem cell transplantation; autologous

38242

417.76

Bone marrow or blood-derived peripheral stem cell transplantation; allogeneic donor lymphocyte infusions

38300

374.89

Drainage of lymph node abscess or lymphadenitis; simple

38305

547.84

Drainage of lymph node abscess or lymphadenitis; extensive

38308

625.98

Lymphangiotomy or other operations on lymphatic channels

38500

625.98

Biopsy or excision of lymph node(s); open, superficial

38505

239.50

Biopsy or excision of lymph node(s); by needle, superficial (e.g., cervical, inguinal, axillary)

38510

625.98

Biopsy or excision of lymph node(s); open, deep cervical node(s)

38520

625.98

Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad

38525

625.98

Biopsy or excision of lymph node(s); open, deep axillary node(s)

38530

625.98

Biopsy or excision of lymph node(s); open, internal mammary node(s)

38542

1,053.12

Dissection, deep jugular node(s)

38550

654.07

Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection

38555

706.72

Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection

38570

1,428.92

Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple

38571

1,857.56

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy

38572

1,428.92

Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single or multiple

38700

860.55

Suprahyoid lymphadenectomy

38740

1,053.12

Axillary lymphadenectomy; superficial

38745

1,133.86

Axillary lymphadenectomy; complete

38760

625.98

Inguinofemoral lymphadenectomy, superficial, including Cloquets node (separate procedure)

40490

63.95

Biopsy of lip

40500

508.83

Vermilionectomy (lip shave), with mucosal advancement

40510

645.34

Excision of lip; transverse wedge excision with primary closure

40520

508.83

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

40525

645.34

Excision of lip; full thickness, reconstruction with local flap (e.g., Estlander or fan)

40527

645.34

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

40530

645.34

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

40650

340.49

Repair lip, full thickness; vermilion only

40652

340.49

Repair lip, full thickness; up to half vertical height

40654

340.49

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

40700

1,197.16

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

40701

1,197.16

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

40702

1,521.12

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

40720

1,197.16

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

40761

984.35

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

40800

51.32

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

40801

332.52

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

40804

23.47

Removal of embedded foreign body, vestibule of mouth; simple

40805

158.73

Removal of embedded foreign body, vestibule of mouth; complicated

40806

73.04

Incision of labial frenum (frenotomy)

40808

108.41

Biopsy, vestibule of mouth

40810

112.31

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

40812

140.88

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

40814

508.83

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

40816

645.34

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

40818

126.20

Excision of mucosa of vestibule of mouth as donor graft

40819

282.94

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

40820

161.97

Destruction of lesion or scar of vestibule of mouth by physical methods (e.g., laser, thermal, cryo, chemical)

40830

120.13

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

40831

282.94

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

40840

645.34

Vestibuloplasty; anterior

40842

673.43

Vestibuloplasty; posterior, unilateral

40843

673.43

Vestibuloplasty; posterior, bilateral

40844

1,075.18

Vestibuloplasty; entire arch

40845

1,075.18

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

41000

80.51

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

41005

126.20

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

41006

595.76

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

41007

459.25

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

41008

459.25

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

41009

126.20

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

41010

282.94

Incision of lingual frenum (frenotomy)

41015

126.20

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

41016

282.94

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

41017

282.94

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

41018

282.94

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

41019

899.28

Placement of needles, catheters, or other device(s) into the head and/or neck region (percutaneous, transoral, or transnasal) for subsequent interstitial radioelement application

41100

84.72

Biopsy of tongue; anterior two-thirds

41105

83.75

Biopsy of tongue; posterior one-third

41108

77.58

Biopsy of floor of mouth

41110

112.31

Excision of lesion of tongue without closure

41112

508.83



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