cpt-pcm-nhsn.xlsx
Transcript of cpt-pcm-nhsn.xlsx
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Introduction to New NHSN Procedure Code Mappings
This document replaces content within Table 1 (page 9-3 thru 9-8) of the NHSN Surg
ICD-10-PCS codes will replace ICD-9-CM codes on October 1, 01!" Beginning Octobersur%eillance, #acilities should use the new NHSN &rocedure 'ode e(g( 'O)O or H*S+" !appingsti&e period" Beginning with the NHSN release in January, 2016 #acilities will once again be a
the NHSN Operati%e &rocedure 'ode category( .ntering the $'-10-&'S and '&+ code /elds wi
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'()$C* COD( OP(+$#I( P+OC(D+(
$$$ $bdo&inal $ortic $neur.s& +epair
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D(SC+IP#ION
+esection o/ abdo&inal aorta wit% anasto&osis or replace&ent
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'&+ 'O.S
5
30
31
32501
502
5041
5042
5102
510
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'()$C* COD( OP(+$#I( P+OC(D+(
$MP 'i&b $&putation
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D(SC+IP#ION
#otal or partial a&putation or disarticulation o/ t%e upper or lower li&bs, including
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'&+ 'O.S
1152
2400
2420
23400
23420
2340
2341
23430
25400
25405
25404
25420
25422
25423
254225424
2541
26551
26410
26451
26452
2240
2245
2540
25412542
254
20
22
23
26
2
24
200
205210
220
225
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'()$C* COD( OP(+$#I( P+OC(D+( D(SC+IP#ION
$PP* $ppendi Surger. Operation o/ appendi not incidental to anot%er procedure2
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'()$C* COD( OP(+$#I( P+OC(D+(
$SD S%unt /or dial.sis
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D(SC+IP#ION CP# COD(S
$rterio3enosto&. /or renal dial.sis
600
610
615
61
614620
621
62
6
6
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'()$C* COD( OP(+$#I( P+OC(D+( D(SC+IP#ION
4I'I 4ile duct, li3er or pancreatic surger.(cision o/ bile ducts or operati3e procedures on t%e biliar. tpancreas does not include operations on gall bladder onl.2
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'()$C* COD( OP(+$#I( P+OC(D+( D(SC+IP#ION
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'()$C* COD( OP(+$#I( P+OC(D+( D(SC+IP#ION
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).'* 'O. O&.7+$8. &7O'.97.
4+S# 4reast Surger.
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.S'7$&+$ON
(cision o/ lesion or tissue o/ breast including radical, &odi5ed, or6uadrant resection, lu&pecto&., incisional biops., or &a&&oplast.
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'&+ 'O.S
1141
14101
14110
14112
14120
14125
14126
1400
1401
1402
140
1403
1405
1406140
1416
141
1423
1425
142
140
1430
1432
1450145
1461
1463
1466
146
146
1464
140
141
140
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).'* 'O. O&.7+$8. &7O'.97.
C$+D Cardiac Surger.
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.S'7$&+$ON '&+ 'O.S
265
2654
2661015
020
025
00
01
050
120
10
250
251253
255
256
25
25
254
261
265
266
0005
10
15
65
66
300
301
30
303
305
306
310
311
312
31
313
315
316
Procedures on t%e %eart7 includes 3al3es or septu&7 doesnot include coronar. arter. b.pass gra/t, surger. on 3essels,%eart transplantation, or pace&a8er i&plantation
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31
320
325
326
32
30
36036
363
365
36
30
31
35
36
3
346532
535
53
600
602
60
610
611
612
615
614
631
635
63
660
665
60
65
66
6
61
63
6
642
64
02
10
20
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22
2
5
6
0
36
0
2
6
1
13
420
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).'* 'O. O&.7+$8. &7O'.97.
C4)4Coronar. arter. b.pass gra/t wit% 4O#Hc%est and donor site incisions
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.S'7$&+$ON
C%est procedure to per/or& direct re3asculariation o/ t%e %eart7includes obtaining suitable 3ein /ro& donor site /or gra/ting
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).'* 'O. O&.7+$8. &7O'.97.
C4)CCoronar. arter. b.pass gra/t wit% c%estincision onl.
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.S'7$&+$ON
C%est procedures to per/or& direct 3asculariation o/ t%e internal&a&&ar. t%oracic2 arter.
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'&+ 'O.S
5
53
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'()$C* COD( OP(+$#I( P+OC(D+(
C($ Carotid endarterecto&.
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.S'7$&+$ON '&+ 'O.S
501
540
5401
(ndarterecto&. on 3essels o/ %ead and nec8 includescarotid arter. and :ugular 3ein2
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'()$C* COD( OP(+$#I( P+OC(D+(
CHO' )allbladder surger.
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D(SC+IP#ION CP# COD(S
C%olec.stecto&. and c%olec.stoto&.
330
3562
356
3600
3605
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).'* 'O. O&.7+$8. &7O'.97.
CO'O Colon surger.
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.S'7$&+$ON
Incision, resection, or anasto&osis o/ t%e large intestine7 includes large-to-s&alland s&all-to-large bowel anasto&osis7 does not include rectal operations
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'&+ 'O.S
33025
331
3314
33130
33131
3313
33133
33135
33136
3313
33150
33151
33155
33156
3315
3315
33160
331
33203
33205
33206
3320
3320
3321033211
33212
3321
3322
3300
3320
3322
3330
3335
333633603
33605
33626
50
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'()$C* COD( OP(+$#I( P+OC(D+(
C+$N Cranioto&.
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D(SC+IP#ION
(cision, repair or eploration o/ t%e brain or &eninges7 does notinclude taps or punctures
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CP# COD(S
0164+
550
5632
563555
56
61105
6110
6110
61120
61130
61150
61151
6115361156
61210
61250
6125
6103
6105
6112
611
6113
6115
6120
6121
6122
612
610
612
61
6130
6135
61330
6130
6130
61340
61510
61512
61513
61516
6151
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61514
61520
61521
61522
61523
61526
61506151
615
6153
6155
6156
615
615
6154
61530
6153161532
6153
61533
61535
61536
6153
61556
6155
61566
6150
6151
6155
6156
6150
6151
6152
615
6153
6155
6156
61540
61541
61542
61545
6154
61600
61601
61605
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61606
6160
6160
61610
61612
61615
616166161
61614
6160
6162
6163
6166
61640
61642
6164
61646100
6102
610
6105
610
6110
6111
6120
615
6150
6151
6160
610
6150
6160
616
6163
616
616
610
615
610
615
616
61
62000
62005
62010
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62100
62120
62121
62161
6216
62163
6216560
610
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'()$C* COD( OP(+$#I( P+OC(D+(
CS(C Cesarean section
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D(SC+IP#ION CP# COD(S
Obstetrical deli3er. b. cesarean section
54100
54510
54513
54515
546154620
54622
545
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'()$C* COD( OP(+$#I( P+OC(D+(
;SN Spinal /usion or re/usions
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D(SC+IP#ION CP# COD(S
I&&obiliation o/ spinal colu&n
0145+
0146+
004+
20402041
2046
204
204
2252
225
2253
2253
22551
2255222553
22556
2255
2255
2256
22540
22545
22600
22610
22612
22613
2260
2262
226
2263
2200
2202
2203
220
2210
2212
2230
2232
2251
220
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'()$C* COD( OP(+$#I( P+OC(D+(
;< Open +eduction o/ ;racture
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D(SC+IP#ION
Open reduction o/ /racture or dislocation o/ long bones wit% our wit%out internalor eternal 5ation7 does not include place&ent o/ :oint prost%esis
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CP# COD(S
2615
2616
260
260
260
23515
23516
23535
23536
2355
2354
2356
235
2365
23665
23666
2365
25
25515
25526
25535
2553
2555
25602560
25604
25652
21
21
214
211
2233
2235
2232253
2264
2506
250
2511
251
2513
2514
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2523
255
256
2530
25
254
23242
226
22
22
224
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'()$C* COD( OP(+$#I( P+OC(D+(
)$S# )astric Surger.
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D(SC+IP#ION CP# COD(S
311
311
3121
3122
320
320
325
32
32
360
3500
3501
3502
36053610
3611
3620
3621
3622
361
362
36
363
36303631
3633
3635
30
31
32
3
33
35
300310
320
325
330
332
33
336
33
Incision or ecision o/ sto&ac%7 includes subtotal or totalgastrecto&.7 does not include 3agoto&. and /undoplication
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33
350
355
360
365
30
3036
3
3
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'()$C* COD( OP(+$#I( P+OC(D+(
H(+ Herniorr%ap%.
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D(SC+IP#ION+epair o/ inguinal, /e&oral, u&bilical, or anterior abdo&inal wall %ernia7 doesnot include repair o/ diap%rag&atic or %iatal %ernia or %ernias at ot%er bod.
sites
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CP# COD(S
34341
34342
34345
34346
34500
34501
34505
3450
34520
34521
34525
34550
3455
3456034561
34565
34566
3456
3450
3452
3450
3452
3455
34534540
34600
34605
34606
34610
34611
34650
34651
34652
346534653
34655
34656
3465
34654
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'()$C* COD( OP(+$#I( P+OC(D+( D(SC+IP#ION
HP+O Hip prost%esis $rt%roplast. o/ %ip
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CP# COD(S
213
21
21
210
2125226
212
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'()$C* COD( OP(+$#I( P+OC(D+(
H#P Heart transplant
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D(SC+IP#ION CP# COD(S
#ransplantation o/ %eart
0051+
005+
433
435
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'()$C* COD( OP(+$#I( P+OC(D+(
H*S# $bdo&inal %.sterecto&.
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D(SC+IP#ION CP# COD(S
$bdo&inal %.sterecto&.7 includes t%at b. laparoscope
5150
5152
510
5200
52105531
5532
553
5533
553
550
551
552
55
5451545
5453
5456
54525
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'()$C* COD( OP(+$#I( P+OC(D+( D(SC+IP#ION
=P+O =nee prost%esis $rt%roplast. o/ 8nee
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CP# COD(S
23
23
2330
2331
2332233
2335
2336
233
236
23
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'()$C* COD( OP(+$#I( P+OC(D+(
=#P =idne. transplant
+otal
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D(SC+IP#ION CP# COD(S
#ransplantation o/ 8idne.
502
5025
502
502
50245030
5060
5065
500
.rr:50
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'()$C* COD( OP(+$#I( P+OC(D+(
'$M 'a&inecto&.
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D(SC+IP#ION CP# COD(S
004+
016+
0165+
011+012+
0214+
0220+
0221+
0222+
023+
025+
05+
22220
2222222223
22226
220
2234
2256
225
225
2261
2262
613
622
6250
6251
6001
600
6005
6011
6012
6015
6016
601
6020
600
605
6030
6032
603
6033
(ploration or deco&pression o/ spinal cord t%roug% ecisionor incision into 3ertebral structures
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6035
6036
603
603
6050
6051
605606
60
60
601
602
605
606
60
60
60406041
6101
6102
610
610
612
61
610
612
615
6140
6141
6143
6145
6146
614
614
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).'* 'O. O&.7+$8. &7O'.97. .S'7$&+$ON
'#P 'i3er transplant #ransplantation o/ li3er
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'&+ 'O.S
315
316
313
3133
31353136
313
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).'* 'O. O&.7+$8. &7O'.97.
N(C= Nec8 surger.
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'&+ 'O.S
100
165
16
1610
15
10
12
140
145
1300
1320
1560
15611544
0
532
20
23
3115
31130
31135
31155
32320
32325
32326
64150
64155
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'()$C* COD( OP(+$#I( P+OC(D+(
N(PH =idne. surger.
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D(SC+IP#ION
+esection or &anipulation o/ t%e 8idne. wit% or wit%out re&o3al o/related structures
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CP# COD(S
50010
50020
50030
5003550060
50065
5000
5005
50120
50125
5010
5015
50205
5022050225
5020
5023
5026
50230
50250
5020
50240
5020
50300
50305
50531
50532
5053
50535
50536
5053
5053
5055
50562
5050
5052
5053
5055
5056
5050
5054
5253
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5255
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'()$C* COD( OP(+$#I( P+OC(D+(
O+* O3arian surger.
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D(SC+IP#ION CP# COD(S
Operations on o3ar. and related structures
551
5552
5660
5661
5662564
520
530
500
505
520
522
525
5400
54205425
5430
543
5450
5452
540
5444
54120
54121
54150
54151
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).'* 'O. O&.7+$8. &7O'.97.
P$C( Pace&a8er Surger.
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.S'7$&+$ON '&+ 'O.S
Insertion, &anipulation or replace&ent o/ pace&a8er
0+
0+
202
20
20620
20
210
211
212
21
213
215
216
2121
220
221
222
22
223
225
226
22
22
224
20
21
2
23
25
26
2
2
230
231
23
233
234
262
26
263
20
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21
22
2
40
430
444
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'()$C* COD( OP(+$#I( P+OC(D+(
P+S# Prostate surger.
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D(SC+IP#ION
Suprapubic, retropubic, radical, or perineal ecision o/ t%eprostate7 does not include transuret%ral resection o/ t%e
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CP# COD(S
5505
5510
5512
5515
5521
551
5530
5532
5535
5566
5544
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'()$C* COD( OP(+$#I( P+OC(D+(
P4* Perip%eral 3ascular b.pass surger.
-
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100/126
D(SC+IP#ION CP# COD(S
4.pass operations on perip%eral arteries
5516
551
5521
5522
5525525
55
554
5530
5556
555
5566
550
551
55555
55
5616
5621
562
5650
5653
5656
5661
5666561
566
-
7/25/2019 cpt-pcm-nhsn.xlsx
101/126
'()$C* COD( OP(+$#I( P+OC(D+( D(SC+IP#ION
+(C +ectal surger. Operations on rectu&
-
7/25/2019 cpt-pcm-nhsn.xlsx
102/126
CP# COD(S
013+
35100
35110
35111
351123511
35113
35116
35114
35120
35121
3512
3510
3515
351603511
3512
3545
354
35562
3556
3500
3505
3520
3525
35444
-
7/25/2019 cpt-pcm-nhsn.xlsx
103/126
'()$C* COD( OP(+$#I( P+OC(D+(
S4 S&all bowel surger.
-
7/25/2019 cpt-pcm-nhsn.xlsx
104/126
D(SC+IP#ION
Incision or resection o/ t%e s&all intestine7 does not include s&all-to-largebowel anasto&osis
-
7/25/2019 cpt-pcm-nhsn.xlsx
105/126
CP# COD(S
3346
335
33010
3301533020
33021
33110
33111
33120
33121
33125
33126
3312
33123310
3316
331
33202
3320
3310
3312
3313
3316
33602
3360
33615
33625
33630
33650
33660
33661
3344
3300
3516
-
7/25/2019 cpt-pcm-nhsn.xlsx
106/126
'()$C* COD( OP(+$#I( P+OC(D+(
SP'( Spleen Surger.
-
7/25/2019 cpt-pcm-nhsn.xlsx
107/126
D(SC+IP#ION CP# COD(S
+esection or &anipulation o/ spleen
100
101
102
115
120200
444
-
7/25/2019 cpt-pcm-nhsn.xlsx
108/126
'()$C* COD( OP(+$#I( P+OC(D+(
#HO+ #%oracic surger.
-
7/25/2019 cpt-pcm-nhsn.xlsx
109/126
-
7/25/2019 cpt-pcm-nhsn.xlsx
110/126
D(SC+IP#ION
Noncardiac, non3ascular t%oracic surger.7 includes pneu&onecto&. and %iatal %ernrepair or diap%rag&atic %ernia repair ecept t%roug% abdo&inal approac%2
-
7/25/2019 cpt-pcm-nhsn.xlsx
111/126
-
7/25/2019 cpt-pcm-nhsn.xlsx
112/126
CP# COD(S
14260
1421
1422
2010110
15
144
2046
204
2100
2110
2120
2123
21302131
2151
2200
2215
2220
2225
210
220
2330
2332
2335
230
232
233
236
23
2341
2501
250
2503
2505
2506
250
2530
255
260
260
2604
-
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113/126
2651
2652
2655
2662
266
2666
266266
2664
260
261
262
200
215
2405
2406
24302460
2444
4000
4010
4200
4220
4501
4535
4560
4561
4544
321
322
33
35
36
3
3
34300
6336
-
7/25/2019 cpt-pcm-nhsn.xlsx
114/126
).'* 'O. O&.7+$8. &7O'.97.
#H*+ #%.roid and>or parat%.roid surger.
-
7/25/2019 cpt-pcm-nhsn.xlsx
115/126
.S'7$&+$ON '&+ 'O.S
+esection or &anipulation o/ t%.roid and>or parat%.roid
60000
60200
60210
60212
6022060225
60230
60252
60253
60260
6020
6021
6020
6021
600060500
60502
60505
60512
60644
-
7/25/2019 cpt-pcm-nhsn.xlsx
116/126
'()$C* COD( OP(+$#I( P+OC(D+(
H*S aginal H.sterecto&.
-
7/25/2019 cpt-pcm-nhsn.xlsx
117/126
D(SC+IP#ION '&+ 'O.S
aginal %.sterecto&.7 includes t%at b. laparoscope
5550
51425
525
520
5255260
5262
526
555
5553
526
520
5240
5241
5242524
5243
-
7/25/2019 cpt-pcm-nhsn.xlsx
118/126
'()$C* COD( OP(+$#I( P+OC(D+(
SHN entricular s%unt
-
7/25/2019 cpt-pcm-nhsn.xlsx
119/126
D(SC+IP#ION
entricular s%unt operations, including re3ision and re&o3al o/ s%unt
-
7/25/2019 cpt-pcm-nhsn.xlsx
120/126
-
7/25/2019 cpt-pcm-nhsn.xlsx
121/126
'()$C* COD( OP(+$#I( P+OC(D+(
-
7/25/2019 cpt-pcm-nhsn.xlsx
122/126
-
7/25/2019 cpt-pcm-nhsn.xlsx
123/126
-
7/25/2019 cpt-pcm-nhsn.xlsx
124/126
-
7/25/2019 cpt-pcm-nhsn.xlsx
125/126
'&+ 'O.S
11005
11006
1100
116020102
22400
22401
22402
2240
22403
22405
530
450
45304531
32
3
33005
3310
3300
3320
3350
3015
3400034002
34010
34020
34030
34060
3420
34203
34205
34215
34220
34250
34255
3423
3425
3426
34302
34312
34314
-
7/25/2019 cpt-pcm-nhsn.xlsx
126/126
34321
34400
34403
34405
34406
34444
5460