CHAPTER 4 PROCEDURES OF THE NECK, MOUTH AND …Closed and imaging guided biopsy of thyroid ; Fine...

Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM

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CHAPTER 4 Mean 2549PROCEDURES OF THE NECK, MOUTH AND PHARYNX

NECK

Non-operative procedures200-13-01 Application of neck support

NECK SKINIncludes : Neck subcutaneous tissue

Diagnostic procedures201-04-00 Biopsy of neck skin and subcutaneous tissue 1,000

Non-operative procedures

201-10-00Insertion of totally implantable infusion pump into neck skin 1,000

201-10-01Insertion of totally implantable vascular access device into neck skin 1,000

201-10-02 Insertion of tissue expander into neck skin 7,500

201-11-00Removal of foreign body from neck skin and subcutaneous tissue 500

Operative procedures201-21-00 Incision of pilonidal cyst or sinus of neck skin 3,000201-21-08 Other incision of neck skin and subcutaneous 6,500

Exploration of sinus tract, skinExploration of superficial fossa

201-22-00 Aspiration of neck skin and subcutaneous tissue 1,000Aspiration of: abscess hematoma

ICD-10-TM Procedural Coding System 1


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seroma

201-22-01 Drainage of neck skin and subcutaneous tissue 2,000Include: Incision and drainage

201-26-00Excisional debridement of wound, infection or burn of neck skin 2,000Removal by excision of: devitalized tissue necrosis slough

201-26-01 Excision of pilonidal cyst or sinus of neck skin 7,500Marsupialization of cyst

201-26-02 Excision of neck skin for graft to other site 5,000

201-26-08Other local excision of lesion of neck skin and subcutaneous tissue 5,000

201-26-10 Cutting and preparation of pedical grafts of flaps 5,000201-26-15 Radical excision of neck skin lesion 7,00

Wide excision of skin lesion involving underlying or adjacent structure

201-28-01 Chemosurgery of neck skin 1,500Chemical peel of skin

201-28-02 Dermabrasion of neck skin 7,500Include: that with laser

201-28-03 Ligation of dermal appendage of neck skin 1,500201-28-04 Electrolysis and other epilation of neck skin 2,000

201-28-05Nonexcisional debridement of wound, infection or burn of neck skin 800Removal of devitalized tissue, necrosis and slough by: brushing irrigation (under pressure)



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scrubbing washing

201-28-08Other local destruction of lesion of neck skin and subcutaneous tissue 7,000Destruction of neck skin by: cauterization cryosurgery fulguration laser beamThat with Z-plasty

201-39-00 Suture of laceration of neck skin 7,000201-39-08 Other repair of neck skin 7,000201-47-00 Revision of pedicle or flap graft of neck skin 7,500201-48-00 Advancement of pedicle graft of neck skin 15,000201-48-01 Attachment of pedicle or flap graft of neck skin 15,000201-48-02 Neck skin reduction plastic operation 15,000201-48-03 Relaxation of scar or web contracture of neck skin 10,000201-48-09 Other reconstruction of neck skin201-50-00 Hair transplant of neck skin 25,000201-50-01 Split-thickness neck skin graft 9,000201-50-02 Full-thickness neck skin graft 9,000201-50-03 Heterograft to neck skin 9,000

Pigskin graftPorcine graft

201-50-04 Homograft to neck skin 9,000Graft to skin of: amnionic membrane from donor skin

201-50-05 Dermal regenerative graft of neck skin 2,200Artificial skinCreation of neodermisDecullularization allodermisIntegumentary matrix implants



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Prosthetic implant of dermal layer of skinRegenerate dermal layer of skin

Miscellaneous procedures201-80-00 Wound dressing at neck 500201-81-00 Injection or tattooing of neck skin lesion and 10,000

Injection Insertion of filling materialPigmentation

Other procedures and operations201-99-99 Other procedures and operations on neck skin 4,500

BRANCHIAL REMNANT

Operative procedures204-26-01 Excision of branchial cleft cyst or vestige 8,300204-39-00 Closure of branchial cleft fistula 15,000

Other procedures and operations

204-99-99Other procedures and operations on branchial cleft cyst or fistula 10,500

CAROTID ARTERY

Examination and Assessment205-04-00 Biopsy of carotid artery 12,500

Note : see chapter 18 for more codes on radiology services of neck

Non-operative procedures205-10-00 Arterial catheterization of carotid artery205-10-01 Insertion of carotid artery stent 22,500

Operative proceduresICD-10-TM Procedural Coding System 4


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205-21-00 Incision of carotid artery 13,300EmbolectomyThrombectomy

205-24-00 Freeing of carotid artery 9,700

205-25-00Control of hemorrage following arterial surgery of carotid artery 11,200

205-26-01 Endarterectomy of carotid artery 20,400Endarterectomy with: embolectomy patch graft temporary bypass during procedure thrombectomy

205-26-02 Resection of carotid artery with anastomosis 20,400AngiectomyExcision of: with anastomosis aneurysm (arteriovenous) blood vessel (lesion)

205-26-08 Other excision of carotid artery 15,000205-30-00 Ligation of carotid artery 8,000205-30-01 Embolization of carotid artery 22,500205-30-59 Transcatheter embolization of carotid artery 205-30-98 Other surgical occlusion of carotid artery 10,200

Clamping of carotid arteryOcclusion of carotid artery

205-31-00 Dilation of carotid artery209-31-50 Angioplasty of carotid artery 13,800

Percutaneous transluminal angioplasty (PTA) of carotid artery

205-35-00 Aorto-subclavian-carotid bypass205-35-01 Extracranial-intracranial(EC-IC) vascular bypass205-39-00 Suture of carotid artery 15,000205-39-01 Repair of aneurysm of carotid artery 28,600



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Repair of aneurysm by: coagulation electrocoagulation filipuncture methyl methacrylate suture wiring, wrapping

205-39-02Repair of arteriovenous fistula or arteriovenous malformation of carotid artery 22,400Embolization of carotid cavernous fistulaRepair of arteriovenous fistula or arteriovenous malformation by: clipping coagulation ligation and division

205-39-03 Repair of carotid artery with tissue patch graft 21,400205-39-04 Repair of carotid artery with synthetic patch graft 21,400205-39-05 Repair of carotid artery with unspecified patch 21,400205-39-06 Endoarterial repair of carotid artery205-39-08 Other repair of carotid artery

209-41-50Transcatheter thrombolysis of carotid artery, using thrombolytic agent

209-41-51Transcatheter thrombolysis of carotid artery, using mechanical removal

205-46-00 Resection of carotid artery with replacementAngiectomyExcision of: with replacement aneurysm (arteriovenous) blood vessel (lesion)

205-47-00 Revision of arterial procedures of carotid artery 10,200205-48-00 Reconstruction of carotid artery 13,800

Other procedures and operations205-99-01 Operations on carotid body 20,400



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224

ChemodectomyDenervation of carotid bodyGlomectomy, carotidImplantation of electronic stimulator or pacemaker into carotid body

205-99-99 Other procedures and operations on carotid artery

HEAD AND NECK ARTERYNote : During coding operations on head and neck artery, if coders can find more information of exact artery(e.g. vertebral, thyroidal artery etc.), the coder must change anatomical axis code(209=head and neck artery, unspecified) into more specific code as specific anatomical code 205 = carotid artery; 206 = internal carotid artery; 207 = thyroid artery;208 = vertebral artery

Embolization and thrombolysis209-30-59 Transcatheter embolization of head & neck artery

209-31-50Percutaneous transluminal angioplasty of head & neck artery

209-41-50Transcatheter thrombolysis of head & neck artery, using thrombolytic agent

209-41-51Transcatheter thrombolysis of head & neck artery, using mechanical removal

CERVICAL LYMPH NODES



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Note : During coding operations on cervical lymph nodes, if coders can find more information of exact cervical lymph nodes(e.g. superficial, deep etc.), the coder must change anatomical axis code(214=cervical lymph nodes, unspecified) into more specific code as specific anatomical code below.212 = superficial cervial lymph nodes; 213 = deep cervical lymph nodes

Diagnostic procedure214-04-00 Biopsy of lymphatic structure 3,000214-04-01 Biopsy of cervical lymph node 3,000214-04-08 Other diagnostic procedure on lymphatic structure 3,000

Incision214-21-00 Incision of lymphatic structure 3,000

Excision or destruction 214-26-00 Excision of cervical lymph node 4,500214-26-01 Simple excision of other neck lymphatic 17,500

Excision of: cystic hygroma lymphangioma

214-26-02 Regional cervical lymph node excision 17,500Extended regional lymph node excision

214-26-03 Radical neck dissection, unilateral 25,000214-26-04 Modified radical neck dissection, unilateral 25,000214-26-05 Radical neck dissection, bilateral 30,000214-26-06 Modified radical neck dissection, bilateral 30,000214-26-09 Radical neck dissection, not otherwise specified 30,000

Other procedures and operations214-92-20 Teleradiotherapy of the cervical nodes tumor



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214-99-99Other procedures and operations on cervical lymph nodes

SUPRACLAVICULAR LYMPH NODES

215-92-20Teleradiotherapy of the supraclavicular lymph nodes tumor

215-99-99Other procedures and operations on supraclavicular lymph nodes

NECK SPACES

Incision216-22-10 Incision and drainage of submandibular space 6,000

217-22-10Incision and drainage of other fascial space of head and neck 6,000

THYROID GLANDS

Diagnostic procedure219-04-00 Closed (percutaneous) (needle) biopsy of thyroid gland

Fine needle aspiration biopsy of thyroid 1,200

219-00-60 Closed and imaging guided biopsy of thyroid Fine needle aspiration biopsy of thyroid under ultrasound guidance

219-04-01 Open biopsy of thyroid gland 6,000219-04-08 Other diagnostic procedures on thyroid glands

Incision219-21-00 Incision of thyroid field 900

Thyroidotomy



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219-21-08 Other incision of thyroid field219-22-00 Aspiration of thyroid field 1,200

Percutaneous or needle drainage of thyroid field

219-22-01 Drainage of hematoma of thyroid field 900219-24-00 Division of thyroid isthmus 9,000

Excision or destruction 219-26-00 Excision of lesion of thyroid 10,200

Isthmectomy

219-26-01 Unilateral thyroid lobectomy 15,000Complete removal of one lobe of thyroid(with removal of isthmus or portion of other lobe)Hemithyroidectomy

219-26-02 Subtotal thyroidectomy 20,000219-26-03 Excision of lingual thyroid 20,000

Excision of thyroid by: substernal route transoral route

219-26-04 Near total thyroidectomy 20,000219-26-05 Complete thyroidectomy 20,000219-26-08 Other thyroidectomy219-26-10 Endoscopic assisted excision of thyroid lesion 12,200219-26-11 Endoscopic assisted thyroid lobectomy 17,300219-26-12 Endoscopic assisted subtotal thyroidectomy 18,400219-26-18 Other endoscopic assisted thyroidectomy219-26-21 Partial substernal thyroidectomy 21,400219-26-22 Complete substenal thyroidectomy 22,400219-26-29 Substernal thyroidectomy, not otherwise specified 23,500219-29-00 Ligation of thyroid vessels 10,200

Repair or reconstruction219-38-00 Transposition of lingual thyroid 27,500219-39-00 Suture of thyroid glands 8,000



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Other procedures and operations219-47-00 Reopening of wound of thyroid field 8,000

Reopening of wound of thyroid field for: examination exploration

219-49-00 Thyroid tissue reimplantation 15,000Autotransplantation of thyroid tissue

219-99-99 Other operation on thyroid glands 29,600

PARATHYROID GLANDS

Diagnostic procedure220-04-00 Biopsy of parathyroid gland 6,000220-04-99 Other diagnostic procedures on parathyroid

Excision or destruction 220-26-00 Complete parathyroidectomy 18,700220-26-08 Other parathyroidectomy 18,700

ParathyroidectomyPartial parathyroidectomy

Repair or reconstruction220-49-00 Parathyroid tissue reimplantation 6,600

Autotransplantation of parathyroid tissue

Other procedures and operations220-99-99 Other operation on parathyroid glands

THYROGLOSSAL REMNANT

Incision221-22-00 Drainage of thyroglossal tract by incision 900



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Excision or destruction 221-26-00 Excision of thyroglossal duct or tract 12,200


221-99-99 Other procedures and operations on thyroglossal remnant 12,200

LIPNote : During coding operations on lip, if coders can find more information of exact lip(e.g. upper, lower etc.), the coder must change anatomical axis code(225=lip, unspecified) into more specific code as specific anatomical code below.222 = upper lip; 223 = lower lip; 224 =

Diagnostic procedure225-04-00 Biopsy of lip 1,000

Incision225-21-00 Incision of lip 1,000

Excision or destruction 225-26-00 Wide excison of lesion of lip 10,000225-26-99 Other excision of lesion or tissue of lip 10,000

Repair or reconstruction225-39-00 Suture of laceration of lip 7,500225-39-01 Repair of cleft lip 15,000

Cheiloplasty

225-48-00 Full-thickness skin graft to lip 9,000225-48-08 Other skin graft to lip 225-48-10 Attachment of pedicle or flap graft to lip 16,000225-48-99 Other plastic repair of lip



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Other procedures and operations225-99-99 Other procedures and operations on lip

LABIAL MUCOSA

Incision226-21-00 Labial frenotomy 1,500

Excision or destruction 226-26-00 Labial frenectomy 3,000

Other procedures and operations226-99-99 Other procedures and operations on labial mucosa 1,500

FLOOR OF MOUTH

Incision229-22-00 Drainage of floor of mouth 7,000

Include: Incision and drainageDrainage of Ludwig’s angina

229-22-01 Marsupialization of floor of mouth lesion 3,000

Other procedures and operations229-99-99 Other procedures and operations on floor of 5,000

MOUTH

Note : During coding operations on mouth, if coders can find more information of exact mouth location(e.g. upper, lower etc.), the coder must change anatomical axis code(233=mouth, unspecified) into more specific code as specific anatomical code below.



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226 = labial mucosa; 227 = upper arch of mouth; 228 = lower arch of mouth; 229 = floor of mouth; 230 = oral vestibule labial; 231 = oral vestibule buccal; 232 = oral frenulum; 234 = buccal

Diagnostic procedure233-04-00 Biopsy of mouth 1,500233-04-99 Other diagnostic procedures on oral cavity

Non-operative removal of foreign body

233-11-00Removal of foreign body from mouth without incision 1,000

Incision233-21-00 Incision of mouth, unspecified structure 2,500233-22-00 Drainage of mouth 4,800

Include: Incision and drainage

Excision or destruction 233-26-00 Debridement of mouth 3,700233-26-01 Wide excision of lesion of mouth 6,000233-26-99 Other excision of mouth

Repair or reconstruction233-39-00 Suture of laceration of mouth 6,500233-40-00 Closure of fistula of mouth 9,000

Oro-cutaneous fistulaOro-nasal fistula

233-48-00 Full-thickness skin graft to mouth 10,000233-48-01 Mucosal graft to the mouth 10,000233-48-08 Other skin graft to mouth233-48-10 Attachment of pedical or flap to mouth 10,000

233-48-20Extension of deepening of buccolabial or lingual sulcus 18,000Vestibuloplasty of mouth



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233-48-99 Other plastic repair of mouth 12,000

Miscellaneous procedures233-80-00 Wound dressing at mouth 300233-83-00 Irrigation of mouth 300

Other procedures and operations233-99-99 Other procedures and operations on oral cavity 9,000

TONGUE

Diagnostic procedure235-04-00 Closed (needle) biopsy of tongue 1,500235-04-01 Open biopsy of tongue 2,500

Wedge biopsy of tongue

235-04-99 Other diagnostic procedures on tongue 2,500

Incision235-21-00 Lingual frenulotomy 3,000235-21-99 Other glossotomy 3,000235-24-00 Lysis of adhesions of tongue 3,500

Excision or destruction 235-26-00 Lingual frenectomy 3,000

Excision of tongue tieExcision of ankyloglossia

235-26-01 Excision of lesion or tissue of tongue 3,500235-26-02 Partial glossectomy 20,000235-26-03 Complete glossectomy 30,000

Glosstectomy

235-26-04 Radical glossectomy 37,500235-28-00 Destruction of lesion or tissue of tongue 32,500235-28-01 Radiofrequency surgery of tongue base



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Repair or reconstruction235-39-00 Suture of laceration of tongue 5,100235-48-99 Other repair and plastic operations on tongue

Fascail sling of tongueFusion of tongue(to lip)Graft of mucosa or skin to tongue

Other procedures and operations235-99-99 Other procedures and operations on tongue 9,000

GINGIVA, GUM

Diagnostic procedure236-04-00 Biopsy of gum 1,000236-04-01 Biopsy of alveoli 1,000236-04-99 Other diagnostic procedures on gums and alveoli 1,000

Incision236-21-00 Incision of gum or alveolar bone 2,500

Apical alveolotomy

Excision or destruction 236-26-00 Excision of lesion or tissue of gum 5,000

Repair or reconstruction236-39-00 Suture of laceration of gum 3,000236-48-00 Gingivoplasty 5,800

Gingivoplasty with bone or soft tissue graft

Other procedures and operations236-99-99 Other procedures and operation on gum 6,000

DECIDUOUS TEETH



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Note : Codes included in this chapter are surgical procedure codes on teeth only. Please see chapter 16 for more codes on dental procedures of deciduous teeth

General procedures237-26-00 Surgical removal of deciduous teeth237-27-00 Extraction of deciduous teeth

PERMANENT TEETHNote : Codes included in this chapter are surgical procedure codes on teeth only. Please see chapter 16 for more codes on dental procedures of permanent teeth

General procedures238-14-00 Removal of dental packing 2,000238-14-01 Removal of dental wiring 3,000238-14-02 Extraction of permanent teeth238-15-00 Replacement of dental packing238-15-01 Replacement of dental wiring238-23-00 Exposure of tooth

238-26-00Surgical removal of permanent teeth (non-impacted tooth)

238-26-01Surgical removal of permanent teeth (soft tissue impaction)

238-26-02Surgical removal of permanent teeth (partial bony impaction)

238-26-03Surgical removal of permanent teeth (complete bony impaction)

238-26-04Surgical removal of permanent teeth (variation of impaction, embedded tooth)

238-37-00 Dental wiring 7,500238-49-00 Reimplantation teeth238-50-00 Tooth transplantation



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ABNORMAL TEETHNote : Codes included in this chapter are surgical procedure codes on teeth only. Please see chapter 16 for more codes on dental procedures

General procedures239-26-00 Surgical removal of abnormal teeth

Natal and neonatal toothSupernumerary toothMesiodensDistomolarFourth molarParamolar

239-27-00 Extraction of abnormal teethNatal and neonatal toothSupernumerary toothMesiodensDistomolarFourth molarParamolar

HARD PALATE

Diagnostic procedure240-04-00 Biopsy of bony palate 2,000

Incision240-21-00 Incision of palate 1,000

Excision or destruction 240-26-00 Local excision of lesion or tissue of bony palate 6,000

Local excision or destruction of palate by: cautery chemotherapy



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cryotherapy

240-26-01 Wide excision of lesion or tissue of bony palate 12,000En bloc resection of alveolar process and palate

Other procedures and operations240-99-99 Other procedures and operation on hard palate 12,000

SOFT PALATE

Diagnostic procedure241-04-00 Biopsy of soft palate 1,500

Incision241-21-00 Incision of soft palate 2,000

Repair or reconstruction241-26-00 Excision of lesion of soft palate241-26-01 Wide excision of lesion of soft palate241-39-00 Suture of laceration of palate 6,000241-47-00 Revision of cleft palate repair 18,000

Secondary: attachment of pharyngeal flap lengthening of palate

241-48-00 Correction of cleft palate 18,000Correction of cleft palate by push-back operation

241-48-01 Palatoplasty reconstruction of palate 18,000241-48-02 Uvulopalatoplasty (UPP) 18,000241-48-03 Uvulopalatopharyngoplasty (UPPP) 18,000241-48-04 Laser-assisted uvulopalatoplasty (LAUP) 18,000241-48-05 Cautery assisted palatal stiffen operation 10,000241-48-06 Radiofrequency surgery of soft palate 10,000241-48-99 Other plastic repair of palate 18,000



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Other procedures and operations241-99-99 Other procedures and operation on soft palate

UVULA

Diagnostic procedure242-04-00 Biopsy of uvula 1,500

Incision242-21-00 Incision of uvula 2,000

Excision or destruction 242-26-00 Excision of uvula 3,500242-26-01 Excision of uvula using laser 3,500

Repair or reconstruction242-39-00 Repair of uvula 5,000

Other procedures and operations242-99-99 Other procedures and operations on uvula 5,000

PHARYNXInclude: oropharrynx, hypopharynx

Diagnostic procedure244-00-00 Pharyngoscopy 500244-04-00 Pharyngeal biopsy 5,000

Biopsy of supraglottic mass

244-04-99 Other diagnostic procedures on pharynx 3,000

Incision244-22-00 Pharyngotomy 8,000

Drainage of pharyngeal bursa



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244-22-01 Incision and drainage (oral) (transcervical) of parapharyngeal, Retropharyngeal abscess 10,000

244-44-00 Lysis of pharyngeal adhesions 5,000

Excision or destruction 244-26-00 Cricopharyngeal myotomy 13,000244-26-01 Pharyngeal diverticulectomy 13,000244-26-02 Pharyngectomy(partial) 17,000244-26-99 Other excision of lesion or tissue of pharynx 15,000244-28-99 Other destruction of lesion or tissue of pharynx 15,000

Repair or reconstruction244-31-00 Dilation of pharynx 6,500244-39-00 Suture of laceration of pharynx 10,000244-39-99 Other repair of pharynx 10,000244-40-00 Closure of other fistula of pharynx 12,000

Pharyngoesophageal fistulectomy

244-48-00 Plastic operation on pharynx 17,500

Miscellaneous procedures 244-10-00 Insertion of oropharyngeal airway 300

244-11-00Removal of foreign body from pharynx without incision 3,500

Other procedures and operations244-99-99 Other operation on pharynx

TONSILS AND ADENOIDS

Diagnostic procedure245-04-00 Biopsy of tonsils and adenoids 1,500245-04-99 Other diagnostic procedures on tonsils and 1,500

Incision



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709

710

711

712

713

714

715

716

717

718

719

720

721

722

723

724

725

726

727

728

729

245-22-00Incision and drainage of tonsil and peritonsillar structures 2,500Drainage of peritonsillar abscess, tonsillar

Excision or destruction 245-26-00 Excision of lesion of tonsils and adenoid 10,000245-26-01 Excision of tonsil tag 10,000245-26-02 Excision of lingual tonsil 12,000245-26-03 Tonsillectomy without adenoidectomy 10,000245-26-04 Adenoidectomy without tonsillectomy 10,000

Excision of adenoid tag

245-26-05 Tonsillectomy with adenoidectomy 15,000245-26-06 Radiofrequency surgery of tonsils

Miscellaneous procedures245-11-00 Removal of foreign body from tonsil and adenoid 3,000 without incision

245-25-00Control of hemorrhage after tonsillectomy and adenoidectomy 6,000

245-45-00 Removal of foreign body from tonsil and adenoid by incision 3,000


245-99-99Other procedures and operations on tonsils and adenoid 10,000

LARYNX Include : Supraglottic, subglottic and larynx

Diagnostic procedure247-00-00 Layngoscopy247-00-01 Fiberoptic laryngoscopy 4,000247-04-00 Closed (endoscopic) biopsy of larynx 4,000247-04-01 Open biopsy of larynx 7,500247-04-99 Other diagnostic procedures on larynx 6,500



730

A B C

731

732

733

734

735

736

737

738

739

740

741

742

743

744

745

746

747

748

749

750

751

752

753

754

755

756

757

758

759

760

761

762

763

Insertion and removal of device or foreign body247-10-00 Closed (endoscopic) insertion of laryngeal stent 10,000247-11-00 Removal of keel or stent from larynx 8,000247-11-01 Removal of intraluminal foreign body from larynx 8,000247-12-00 Closed (endoscopic) replacement of laryngeal 8,000

Incision247-21-00 Laryngofissure 13,000247-21-99 Other incision of larynx 13,000247-22-00 Marsupialization of laryngeal cyst 13,000247-24-00 Lysis of adhesions of larynx 16,000247-24-01 Lysis of adhesions of larynx using laser 16,000247-24-02 Division of congenital web of larynx 13,000247-24-03 Division of congenital web of larynx using laser 13,000

Excision or destruction 247-26-00 Excision of lesion or tissue of larynx 12,500247-26-01 Excision of lesion or tissue of larynx, using laser 12,500247-26-02 Epiglottidectomy 20,000247-26-03 Hemilaryngectomy 27,500247-26-08 Other partial laryngectomy 27,500

Excision of laryngeal cartilageSupraglottic laryngectomy Supracricoid laryngectomyNear total laryngectomy

247-26-10 Complete laryngectomy 35,000Block dissection of larynx (with thyroidectomy) (with synchronous tracheostomy)Total laryngectomyLaryngopharyngectomy

247-26-11 Radical laryngectomy 55,000Complete laryngectomy with radical neck dissection(with thyroidectomy)(with synchonous tracheostomy)



764

A B C

765

766

767

768

769

770

771

772

773

774

775

776

777

778

779

780

781

782

783

784

785

786

787

788

789

790

791

792

793

794

795

796

797

798

799

800

247-26-99 Other excision of lesion or tissue of larynx 13,000247-28-99 Other destruction of lesion or tissue of larynx 13,000

Repair or reconstruction247-31-00 Dilation of larynx 8,000247-39-00 Suture of laceration of larynx 10,000247-39-01 Repair of laryngeal fracture 15,000247-39-99 Other repair of larynx 12,000

Graft of larynx

247-40-00 Closure of fistula of larynx 12,000Laryngotracheal fistulectomyTake-down of laryngostomy

247-44-00 Open insertion of laryngeal stent247-46-00 Open replacement of laryngeal stent247-47-00 Revision of laryngostomy 12,500

Other procedures and operations247-81-00 Injection of larynx 13,000

Injection of inert material into larynx Excludes : Medialization of vocal cord (248-81-

247-99-99 Other procedures and operation on larynx 13,000

VOCAL CORD

Excision or destruction 248-26-00 Vocal cord stripping 12,000248-26-01 Vocal cordectomy 18,000

Excision of vocal cord

248-26-02 Vocal cordectomy using laser 18,000248-26-03 Arytenoidectomy 20,000248-26-04 Laser arytenoidectomy 20,000



801

A B C

802

803

804

805

806

807

808

809

810

811

812

813

814

815

816

817

818

819

820

821

822

823

824

825

826

827

828

829

830

831

832

833

834

835

836

Repair or reconstruction248-34-00 Arytenoidopexy 22,500248-38-00 Medialization of vocal cord 15,000 Injection of inert material into vocal cord

248-38-01 Medialization of vocal cord, external approach 15,000248-38-02 Lateralization of vocal cord 15,000248-38-03 Transposition of vocal cord 15,000248-38-99 Other repair of vocal cord 15,000

Other procedures and operations248-99-99 Other procedures and operations on larynx

LARYNGEAL NERVE

Excision or destruction249-24-00 Division of laryngeal nerve 10,000

Repair or reconstruction249-39-00 Repair of laryngeal nerve 15,000


249-81-00Injection of botulinum toxin of steroid into laryngeal nerve

249-99-99 Other procedures and operations of laryngeal 15,000

TRACHEA

Diagnostic procedure250-00-00 Tracheoscopy through artificial stoma 2,500250-00-01 Fiberoptic laryngotracheoscopy 2,500250-00-02 Tracheoscopy using rigid endoscope 8,000250-04-00 Closed(endoscopic) biopsy of trachea 8,000250-04-01 Open biopsy of trachea 10,000



837

A B C

838

839

840

841

842

843

844

845

846

847

848

849

850

851

852

853

854

855

856

857

858

859

860

861

862

863

864

865

866

867

868

869

870

250-04-99 Other diagnostic procedures on trachea 10,000

Insertion, removal and replacement of endotracheal devices

250-10-00 Endotracheal intubation 1,500Insertion of endotracheal tube

250-10-01 Insertion tracheal or tracheobronchial stent 9,000250-11-00 Removal of tracheostomy tube 1,500250-11-01 Removal of intraluminal foreign body from 8,000250-11-02 Removal of tracheal or tracheobronchial stent 8,000250-12-00 Replacement of tracheostomy tube 1,800250-12-01 Replacement of tracheal stent 8,000

Incision, lavage and lysis of adhesions250-21-99 Other incision of trachea 8,000250-22-00 Tracheostomy toilette 1,000250-22-08 Other lavage of trahea 500250-24-00 Lysis of adhesion of trachea 10,000250-24-01 Lysis of adhesion of trachea using laser 10,000

Excision or destruction

250-26-00 Local excision or destruction of lesion or tissue of trachea 10,000

250-26-01 Local excision or destruction of lesion of tissue of trachea using laser 18,000

Repair or reconstruction250-31-00 Dilatation of trachea 8,000250-33-00 Temporary tracheostomy 5,000

Tracheostomy for assistance of breathing

250-33-01 Mediastinal tracheostomy 10,000250-33-09 Other permanent tracheostomy 10,000250-33-10 Tracheoesophageal fistulization 17,500250-39-00 Suture of laceration of trachea 13,000250-39-99 Other repair operations on trachea 13,000



871

A B C

872

873

874

875

876

877

878

879

880

881

882

883

884

885

886

887

888

889

890

891

892

893

894

895

896

897

898

899

900

901

902

903

904

905

250-40-00 Closure of external fistula of trachea 12,000Closure of tracheostomy stoma

250-40-01 Closure of other fistula of trachea 13,000Tracheoesophageal fistulectomy

250-47-00 Revision of tracheostomy 7,500250-48-00 Tracheal resection and end to end anastomosis 35,000250-48-01 Tracheal resection and cricotacheal anastomosis 35,000250-48-02 Tracheal resection and thyrotracheal anstomosis 35,000

250-48-03 Reconstruction of trachea and construction of artificial larynx 35,000 Tracheoplasty with artificial larynx

250-48-99 Other plastic operations on trachea 25,000


250-81-00Injection of locally-acting therapeutic substance into trachea 2,000

250-99-99 Other procedures and operation on trachea 16,000

From Chapter 5

BronchusDiagnostic procidures367-00-00 Fiber-optic bronchoscopy 2,500367-04-00 Closed[endoscopic]biopsy of bronchus 3,000

General procidures367-11-00 Removal of intraluminal foreign body from bronchus 8,000367-26-00 Endoscopic excision of lesion or tissue of bronchus 3,000367-26-98 Other excision of bronchus 4,000



906

A B C

925


907

908

909

910

911

912

913

914

915

916

917

918

919

920

921

922

923

924

Other procidures and operations367-99-99 Other procidures and operations on bronchus 4,000

From Chapter 6Esophagus

Diagnostic procidures439-00-00 Fiberoptic esophagoscopy 2,000439-00-02 Esophagoscopy through artificial stoma 2,000439-02-00 Esophageal manometry 2,000439-04-00 Closed endoscopic biopsy of esophagus 2,000

439-04-01 Open biopsy of esophagus 26,000

General procidures439-10-00 Insertion of permanent tube into esiophagus 5,000

439-10-02 Insertion of Sengstagen-Blakemore tube 2,000439-11-00 Removal of foreign body from esophagus without incision 5,000


D E

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

percentile 90_2549

1,500

1,500

1,50036,600

5,000

7,0008,000

1,500



33

D E

34

35

36

37

38

39

40

41

42

43

44

45

46

47

48

49

50

51

52

53

54

55

56

57

58

59

60

61

62

63

64

4,400

4,100

20,600

29,000

7,00035,70012,900

3,000

14,700

3,0003,400

1,300



65

D E

66

67

68

69

70

71

72

73

74

75

76

77

78

79

80

81

82

83

84

85

86

87

88

89

90

91

92

93

94

95

96

97

98

99

100

10,000

9,00010,00031,60031,60031,60022,80022,500

30,00030,00029,00015,800

14,700

3,600



101

D E

102

103

104

105

106

107

108

109

110

111

112

113

114

115

116

117

118

119

120

121

122

123

124

125

126

127

128

129

130

131

132

133

134

135

1,30015,000

9,000

20,00020,000

20,000

15,000

25,000



136

D E

137

138

139

140

141

142

143

144

145

146

147

148

149

150

151

152

153

154

155

156

157

158

159

160

161

162

163

164

165

166

167

168

169

170

22,100

16,200

18,70034,000

34,000

34,00013,60025,000

20,000

23,000

20,00047,600



171

D E

172

173

174

175

176

177

178

179

180

181

182

183

184

185

186

187

188

189

190

191

192

193

194

195

196

197

198

199

200

201

202

203

37,400

35,70035,70035,700

17,000

34,000ICD-10-TM Procedural Coding System 34


204

D E

205

206

207

208

209

210

211

212

213

214

215

216

217

218

219

220

221

222

223

224



D E

225

226

227

228

229

230

231

232

233

234

235

236

237

238

239

240

241

242

243

244

245

246

247

248

249

250

251

252

253

5,0005,0005,000

5,000

6,00020,000

20,000

31,50033,10035,00035,00035,000



D E

254

255

256

257

258

259

260

261

262

263

264

265

266

267

268

269

270

271

272

273

274

275

276

277

278

279

280

281

282

283

284

285

9,000

9,000

2,000

8,000

1,500



286

D E

287

288

289

290

291

292

293

294

295

296

297

298

299

300

301

302

303

304

305

306

307

308

309

310

311

312

313

314

315

316

317

318

319

320

321

2,000

1,50012,000

18,000

27,000

28,90020,400

32,30035,700

20,40028,90030,600

35,70037,40039,10017,000

30,00015,000



322

D E

323

324

325

326

327

328

329

330

331

332

333

334

335

336

337

338

339

340

341

342

343

344

345

346

347

348

349

350

351

352

353

354

355

356

357

358

10,000

25,000

49,300

9,000

31,10031,100

11,100

1,500 =ICD-10-TM Procedural Coding System 39


359

D E

360

361

362

363

364

365

366

367

368

369

370

371

372

373

374

375

376

377

378

379

380

381

382

383

384

385

386

387

388

389

390

20,400

20,400

3,200

1,500

20,80015,000

23,40054,200

31,300

33,200



391

D E

392

393

394

395

396

397

398

399

400

401

402

403

404

405

406

407

408

409

410

411

412

413

414

415

416

417

418

419

420

421

422

2,100

6,200

3,000

15,800

5,000

10,000



D E

423

424

425

426

427

428

429

430

431

432

433

434

435

436

437

438

439

440

441

442

443

444

445

446

447

448

449

450

451

452

453

454

2,000

1,200

3,0007,500

6,20014,000

8,00015,000

29,00029,000

30,500

32,900



455

D E

456

457

458

459

460

461

462

463

464

465

466

467

468

469

470

471

472

473

474

475

476

477

478

479

480

481

482

483

484

485

486

487

488

489

490

491

15,000

500500

13,000

2,0004,500

3,000

4,8005,0005,000

7,500

8,20033,30045,600

43,20037,500



492

D E

493

494

495

496

497

498

499

500

501

502

503

504

505

506

507

508

509

510

511

512

513

514

515

516

517

518

519

520

521

522

523

524

525

526

527

8,600

13,000

1,5001,5001,500

3,500

7,000

4,0009,700

9,000



D E

528

529

530

531

532

533

534

535

536

537

538

539

540

541

542

543

544

545

546

547

548

549

550

551

552

553

2,5004,500

9,000



554

D E

555

556

557

558

559

560

561

562

563

564

565

566

567

568

569

570

571

572

573

574

575

576

577

578

579

580

581

582

583

584

585

586

587

588

2,500

2,000

9,000



589

D E

590

591

592

593

594

595

596

597

598

599

600

601

602

603

604

605

606

607

608

609

610

611

612

613

614

615

616

617

618

619

620

621

622

623

624

625

16,000

16,000

4,000

3,900

12,20033,200

38,700

46,30020,00020,00020,00015,00015,00020,000



626

D E

627

628

629

630

631

632

633

634

635

636

637

638

639

640

641

642

643

644

645

646

647

648

649

650

651

652

653

654

655

656

657

658

659

660

661

662

2,000

2,500

5,0005,000

9,000

9,000

1,0009,000

5,000

12,500



D E

663

664

665

666

667

668

669

670

671

672

673

674

675

676

677

678

679

680

681

682

683

684

685

686

687

688

689

690

691

692

693

694

695

696

15,0007,500

15,00015,00020,00018,00018,000

8,50012,50012,50015,000

20,000

500

5,000

2,5002,500



D E

697

698

699

700

701

702

703

704

705

706

707

708

709

710

711

712

713

714

715

716

717

718

719

720

721

722

723

724

725

726

727

728

729

3,000

12,50012,50015,00012,50012,500

17,500

3,500

8,000

4,500

12,500

5,0006,500

10,0008,000



730

D E

731

732

733

734

735

736

737

738

739

740

741

742

743

744

745

746

747

748

749

750

751

752

753

754

755

756

757

758

759

760

761

762

763

12,00010,00010,00012,000

15,00015,00015,00017,50017,50017,50017,500

15,00015,00025,00030,00030,000

40,000

60,000



764

D E

765

766

767

768

769

770

771

772

773

774

775

776

777

778

779

780

781

782

783

784

785

786

787

788

789

790

791

792

793

794

795

796

797

798

799

800

20,00020,000

10,00015,00017,50020,000

20,000

17,500

15,000

18,000

15,00020,000

20,00022,50022,500



801

D E

802

803

804

805

806

807

808

809

810

811

812

813

814

815

816

817

818

819

820

821

822

823

824

825

826

827

828

829

830

831

832

833

834

835

836

25,00020,000

20,00020,00020,00020,000

13,000

25,000

25,000

3,0003,000

10,00010,00013,000



837

D E

838

839

840

841

842

843

844

845

846

847

848

849

850

851

852

853

854

855

856

857

858

859

860

861

862

863

864

865

866

867

868

869

870

13,000

2,000

10,0002,000

13,00010,000

2,00012,000

10,0001,500

80012,50012,500

12,500

20,000

12,5007,500

15,00015,00020,00018,00018,000



871

D E

872

873

874

875

876

877

878

879

880

881

882

883

884

885

886

887

888

889

890

891

892

893

894

895

896

897

898

899

900

901

902

903

904

905

13,000

15,000

10,00040,00040,00040,000

40,000

30,000

4,00018,000

3,0004,000

10,0008,0005,000



906

D E

925


907

908

909

910

911

912

913

914

915

916

917

918

919

920

921

922

923

924

5,000

4,0004,0006,0004,000

44,000

10,000

3,0008,000

CHAPTER 4 PROCEDURES OF THE NECK, MOUTH AND …Closed and imaging guided biopsy of thyroid ; Fine...

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Transcript of CHAPTER 4 PROCEDURES OF THE NECK, MOUTH AND …Closed and imaging guided biopsy of thyroid ; Fine...