Surgical Cross Coder Essential links from CPT® codes to

ICD-9-CM and HCPCS codes

2016

i

ContentsIntroduction..................................................... iii

General...............................................................1

Integumentary System........................................9

Musculoskeletal System .................................173

Respiratory System ........................................462

Cardiovascular System...................................527

Digestive System ............................................707

Urinary System ..............................................945

Male Genital System ....................................1029

Contents Surgical Cross Coder

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Reproductive System Procedures .................1051

Intersex Surgery ...........................................1052

Female Genital System.................................1053

Maternity Care and Delivery ........................1110

Endocrine System.........................................1140

Nervous System............................................1145

Eye and Ocular Adnexa................................1237

Auditory System...........................................1285

Operating Microscope ..................................1300

Appendix

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IntroductionSurgical Cross Coder

Surgical Cross Coder

Surgical Cross Coder

Surgical Cross Coder

Surgical Cross Coder Current Procedural Terminology

International Classification of Diseases, 9th Revision, Clinical Modification

Healthcare Common Procedural Coding System Level II

Surgical Cross Coder

Surgical Cross Coder Surgical Cross Coder

Surgical Cross Coder

Surgical Cross Coder

CPT 2015

Surgical Cross CoderSurgical Cross

Coder

Surgical Cross Coder

FormatSurgical Cross Coder

SectionsSurgical Cross Coder

Codes and Code RangesSurgical Cross Coder

Musculoskeletal SystemGeneral

20005Incision and drainage of soft tissue abscess, subfascial (ie, involves the soft tissuebelow the deep fascia)

20005

ICD-9-CM DiagnosticPsoas muscle abscess567.31Other disorder of muscle, ligament, and fascia — (Use additional E code to identifydrug, if drug-induced)

728.89

Infection and inflammatory reaction due to internal joint prosthesis — (Use additionalcode to identify specified infections. Use additional code to identify infected prostheticjoint: V43.60-V43.69)

996.66

Infection and inflammatory reaction due to other internal orthopedic device, implant,and graft — (Use additional code to identify specified infections)

996.67

Other postoperative infection — (Use additional code to identify infection)998.59

ICD-9-CM ProceduralMyotomy of hand82.02Other incision of soft tissue of hand82.09Myotomy83.02Other incision of soft tissue83.09

20100Exploration of penetrating wound (separate procedure); neck20100

ICD-9-CM DiagnosticOpen wound of larynx with trachea, without mention of complication874.00Open wound of larynx, without mention of complication874.01Open wound of trachea, without mention of complication874.02Open wound of larynx with trachea, complicated874.10Open wound of larynx, complicated874.11Open wound of trachea, complicated874.12Open wound of thyroid gland, without mention of complication874.2Open wound of thyroid gland, complicated874.3Open wound of pharynx, without mention of complication874.4Open wound of pharynx, complicated874.5Open wound of other and unspecified parts of neck, without mention ofcomplication 2

874.8

Open wound of other and unspecified parts of neck, complicated 2874.9

Injury of face and neck, other and unspecified959.09Injury, other and unspecified, other specified sites, including multiple959.8

ICD-9-CM ProceduralOther incision of thyroid field06.09Myotomy83.02Other incision of soft tissue83.09Other suture of muscle or fascia83.65Other operations on musculoskeletal system84.99Incision with removal of foreign body or device from skin and subcutaneous tissue86.05Other incision of skin and subcutaneous tissue86.09Excisional debridement of wound, infection, or burn86.22Nonexcisional debridement of wound, infection, or burn86.28

HCPCS Level II Supplies & ServicesDisposable drug delivery system, flow rate of 50 ml or greater per hourA4305

20101Exploration of penetrating wound (separate procedure); chest20101

ICD-9-CM DiagnosticOpen wound of chest (wall), without mention of complication875.0Open wound of chest (wall), complicated875.1Open wound of breast, without mention of complication879.0Open wound of breast, complicated879.1

Open wound(s) (multiple) of unspecified site(s), without mention of complication 2879.8

Open wound(s) (multiple) of unspecified site(s), complicated 2879.9

Other injury of chest wall959.11Injury, other and unspecified, other specified sites, including multiple959.8

ICD-9-CM ProceduralSuture of laceration of chest wall34.71Other repair of chest wall34.79Myotomy83.02Other incision of soft tissue83.09Fasciotomy83.14Other suture of muscle or fascia83.65Other operations on musculoskeletal system84.99Mastotomy85.0Incision with removal of foreign body or device from skin and subcutaneous tissue86.05Other incision of skin and subcutaneous tissue86.09Excisional debridement of wound, infection, or burn86.22Nonexcisional debridement of wound, infection, or burn86.28

HCPCS Level II Supplies & ServicesDisposable drug delivery system, flow rate of 50 ml or greater per hourA4305

20102Exploration of penetrating wound (separate procedure); abdomen/flank/back20102

ICD-9-CM DiagnosticOpen wound of back, without mention of complication876.0Open wound of back, complicated876.1Open wound of buttock, without mention of complication877.0Open wound of buttock, complicated877.1Open wound of abdominal wall, anterior, without mention of complication879.2Open wound of abdominal wall, anterior, complicated879.3Open wound of abdominal wall, lateral, without mention of complication879.4Open wound of abdominal wall, lateral, complicated879.5Open wound of other and unspecified parts of trunk, without mention ofcomplication 2

879.6

Open wound of other and unspecified parts of trunk, complicated 2879.7

Open wound(s) (multiple) of unspecified site(s), without mention of complication 2879.8

Open wound(s) (multiple) of unspecified site(s), complicated 2879.9

Other injury of abdomen959.12Other injury of other sites of trunk959.19Injury, other and unspecified, other specified sites, including multiple959.8

ICD-9-CM ProceduralIncision of abdominal wall54.0Other suture of abdominal wall54.63Other repair of abdominal wall54.72Myotomy83.02

E Manifestation code2 Unspecified code173: Male diagnosis; Female diagnosis[Resequenced code]CPT © 2014 American Medical Association. All Rights Reserved.

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Appendix AAdd-On Codes