Last year, CMS removed 298 musculoskeletal-related services from the inpatient-only list and detailed its plan to phase out all 1,700 procedures from the inpatient-only list by 2024.
But on July 19, under the 2022 Hospital Outpatient Prospective Payment System and ASC Payment System proposed rule, the agency proposed walking back this move and halting the elimination of the inpatient-only list, citing patient safety concerns.
The 298 procedures include 16 related anesthesia codes and 16 codes recommended by the hospital outpatient payment panel.
The proposed rule also would remove 258 of the 266 procedures added to the ASC covered procedures list in January.
Following are the 298 procedures, and their codes, that could be returned to the inpatient-only list next year:
| CY 2021 CPT Code | CY 2021 Short Descriptor | CY 2021 Long Descriptor |
| 00192 | Anesth facial bone surgery | Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism) |
| 00474 | Anesth surgery of ri | Anesthesia for partial rib resection; radical procedures (eg, pectus excavatum) |
| 00604 | Anesth sitting procedur | Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position |
| 00904 | Anesth perineal surger | Anesthesia for; radical perineal procedure |
| 0095T | Rmvl artific disc addl crvcl | Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure) |
| 0098T | Rev artific disc add | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, cervical (list separately in addition to code for primary procedure) |
| 01140 | Anesth amputation at pelvis | Anesthesia for interpelviabdominal (hindquarter) amputation |
| 01150 | Anesth pelvic tumor surgery | Anesthesia for radical procedures for tumor of pelvis, except hindquarter amputation |
| 01212 | Anesth hip disarticulation | Anesthesia for open procedures involving hip joint; hip disarticulation |
| 01232 | Anesth amputation of femur | Anesthesia for open procedures involving upper two-thirds of femur; amputation |
| 01234 | Anesth radical femur surg | Anesthesia for open procedures involving upper two-thirds of femur; radical resection |
| 01274 | Anesth femoral embolectomy | Anesthesia for procedures involving arteries of upper leg, including bypass graft; femoral artery embolectomy |
| 01404 | Anesth amputation at knee | Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee |
| 01486 | Anesth ankle replacement | Anesthesia for open procedures on bones of lower leg, ankle, and foot; total ankle replacement |
| 0163T | Lumb artif diskectomy addl | Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar (list separately in addition to code for primary procedure) |
| 01634 | Anesth shoulder joint amput | Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; shoulder disarticulation |
| 01636 | Anesth forequarter amput | Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; interthoracoscapular (forequarter) amputation |
| 01638 | Anesth shoulder replacement | Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement |
| 0164T | Remove lumb artif disc add | Removal of total disc arthroplasty, (artificial disc), anterior approach, each additional interspace, lumbar (list separately in addition to code for primary procedure) |
| 0165T | Revise lumb artif disc addl | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (list separately in addition to code for primary procedure) |
| 01756 | Anesth radical humerus sur | Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures |
| 0202T | Post vert arthrplst 1 lumba | Posterior vertebral joint(s) arthroplasty (for example, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine |
| 0219T | Plmt post facet implt cerv | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical |
| 0220T | Plmt post facet implt thor | Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic |
| 20661 | Application of head brace | Application of halo, including removal; cranial |
| 20664 | Application of halo | Application of halo, including removal, cranial, 6 or more pins placed, for thin skull osteology (eg, pediatric patients, hydrocephalus, osteogenesis imperfecta) |
| 20802 | Replantation arm complete | Replantation, arm (includes surgical neck of humerus through elbow joint), complete amputation |
| 20805 | Replant forearm complete | Replantation, forearm (includes radius and ulna to radial carpal joint), complete amputation |
| 20808 | Replantation hand complete | Replantation, hand (includes hand through metacarpophalangeal joints), complete amputation |
| 20816 | Replantation digit complete | Replantation, digit, excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon), complete amputation |
| 20824 | Replantation thumb complete | Replantation, thumb (includes carpometacarpal joint to MP joint), complete amputation |
| 20827 | Replantation thumb complete | Replantation, thumb (includes distal tip to MP joint), complete amputation |
| 20838 | Replantation foot complete | Replantation, foot, complete amputation |
| 20955 | Fibula bone graft microvasc | Bone graft with microvascular anastomosis; fibula |
| 20956 | Iliac bone graft microvasc | Bone graft with microvascular anastomosis; iliac crest |
| 20957 | Mt bone graft microvasc | Bone graft with microvascular anastomosis; metatarsal |
| 20962 | Other bone graft microvasc | Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal |
| 20969 | Bone/skin graft microvasc | Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe |
| 20970 | Bone/skin graft iliac crest | Free osteocutaneous flap with microvascular anastomosis; iliac crest |
| 21045 | Extensive jaw surgery | Excision of malignant tumor of mandible; radical resection |
| 21141 | Lefort i-1 piece w/o graft | Reconstruction midface, lefort i; single piece, segment movement in any direction (for example, for long face syndrome), without bone graft |
| 21142 | Lefort i-2 piece w/o graft | Reconstruction midface, lefort i; 2 pieces, segment movement in any direction, without bone graft |
| 21143 | Lefort i-3/> piece w/o graft | Reconstruction midface, lefort i; 3 or more pieces, segment movement in any direction, without bone graft |
| 21145 | Lefort i-1 piece w/ graft | Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) |
| 21146 | Lefort i-2 piece w/ graft | Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) |
| 21147 | Lefort i-3/> piece w/ graft | Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone grafts (includes obtaining autografts) |
| 21151 | Lefort ii w/bone grafts | Reconstruction midface, LeFort II; any direction, requiring bone grafts (includes obtaining autografts) |
| 21154 | Lefort iii w/o lefort i | Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); without LeFort I |
| 21155 | Lefort iii w/ lefort i | Reconstruction midface, LeFort III (extracranial), any type, requiring bone grafts (includes obtaining autografts); with LeFort I |
| 21159 | Lefort iii w/fhdw/o lefort i | Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (for example, mono bloc), requiring bone grafts (includes obtaining autografts); without LeFort I |
| 21160 | Lefort iii w/fhd w/ lefort i | Reconstruction midface, LeFort III (extra and intracranial) with forehead advancement (for example, mono bloc), requiring bone grafts (includes obtaining autografts); with LeFort I |
| 21179 | Reconstruct entire forehead | Reconstruction, entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) |
| 21180 | Reconstruct entire forehead | Reconstruction, entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) |
| 21182 | Reconstruct cranial bone | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (for example, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm |
| 21183 | Reconstruct cranial bone | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (for example, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm |
| 21184 | Reconstruct cranial bone | Reconstruction of orbital walls, rims, forehead, nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (for example, fibrous dysplasia), with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 80 sq cm |
| 21188 | Reconstruction of midface | Reconstruction midface, osteotomies (other than lefort type) and bone grafts (includes obtaining autografts) |
| 21194 | Reconst lwr jaw w/graft | Reconstruction of mandibular rami, horizontal, vertical, c, or l osteotomy; with bone graft (includes obtaining graft) |
| 21196 | Reconst lwr jaw w/fixation | Reconstruction of mandibular rami and/or body, sagittal split; with internal rigid fixation |
| 21247 | Reconstruct lower jaw bone | Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (for example, for hemifacial microsomia) |
| 21255 | Reconstruct lower jaw bone | Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) |
| 21268 | Revise eye sockets | Orbital repositioning, periorbital osteotomies, unilateral, with bone grafts; combined intra- and extracranial approach |
| 21343 | Open tx dprsd front sinus fx | Open treatment of depressed frontal sinus fracture |
| 21344 | Open tx compl front sinus fx | Open treatment of complicated (for example, comminuted or involving posterior wall) frontal sinus fracture, via coronal or multiple approaches |
| 21347 | Opn tx nasomax fx multple | Open treatment of nasomaxillary complex fracture (lefort ii type); requiring multiple open approaches |
| 21348 | Opn tx nasomax fx w/graft | Open treatment of nasomaxillary complex fracture (lefort ii type); with bone grafting (includes obtaining graft) |
| 21366 | Opn tx complx malar w/grft | Open treatment of complicated (for example, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) |
| 21422 | Treat mouth roof fracture | Open treatment of palatal or maxillary fracture (lefort i type); |
| 21423 | Treat mouth roof fracture | Open treatment of palatal or maxillary fracture (lefort i type); complicated (comminuted or involving cranial nerve foramina), multiple approaches |
| 21431 | Treat craniofacial fracture | Closed treatment of craniofacial separation (lefort iii type) using interdental wire fixation of denture or splint |
| 21432 | Treat craniofacial fracture | Open treatment of craniofacial separation (lefort iii type); with wiring and/or internal fixation |
| 21433 | Treat craniofacial fracture | Open treatment of craniofacial separation (lefort iii type); complicated (for example, comminuted or involving cranial nerve foramina), multiple surgical approaches |
| 21435 | Treat craniofacial fracture | Open treatment of craniofacial separation (lefort iii type); complicated, utilizing internal and/or external fixation techniques (for example, head cap, halo device, and/or intermaxillary fixation) |
| 21436 | Treat craniofacial fracture | Open treatment of craniofacial separation (lefort iii type); complicated, multiple surgical approaches, internal fixation, with bone grafting (includes obtaining graft) |
| 21510 | Drainage of bone lesion | Incision, deep, with opening of bone cortex (for example, for osteomyelitis or bone abscess), thorax |
| 21602 | Exc ch wal tum w/o lymphadec | Excision of chest wall tumor involving rib(s), with plastic reconstruction; without mediastinal lymphadenectomy |
| 21603 | Exc ch wal tum w/lymphadec | Excision of chest wall tumor involving rib(s), with plastic reconstruction; with mediastinal lymphadenectomy |
| 21615 | Removal of rib | Excision first and/or cervical rib; |
| 21616 | Removal of rib and nerves | Excision first and/or cervical rib; with sympathectomy |
| 21620 | Partial removal of sternum | Ostectomy of sternum, partial |
| 21627 | Sternal debridement | Sternal debridement |
| 21630 | Extensive sternum surgery | Radical resection of sternum; |
| 21632 | Extensive sternum surgery | Radical resection of sternum; with mediastinal lymphadenectomy |
| 21705 | Revision of neck muscle/rib | Division of scalenus anticus; with resection of cervical rib |
| 21740 | Reconstruction of sternum | Reconstructive repair of pectus excavatum or carinatum; open |
| 21750 | Repair of sternum separation | Closure of median sternotomy separation with or without debridement (separate procedure) |
| 21825 | Treat sternum fracture | Open treatment of sternum fracture with or without skeletal fixation |
| 22010 | I&d p-spine c/t/cerv-thor | Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic |
| 22015 | I&d abscess p-spine l/s/ls | Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral |
| 22110 | Remove part of neck vertebra | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; cervical |
| 22112 | Remove part thorax vertebra | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; thoracic |
| 22114 | Remove part lumbar vertebra | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; lumbar |
| 22116 | Remove extra spine segment | Partial excision of vertebral body, for intrinsic bony lesion, without decompression of spinal cord or nerve root(s), single vertebral segment; each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22206 | Incis spine 3 column thorac | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); thoracic |
| 22207 | Incis spine 3 column lumbar | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); lumbar |
| 22208 | Incis spine 3 column adl seg | Osteotomy of spine, posterior or posterolateral approach, 3 columns, 1 vertebral segment (for example, pedicle/vertebral body subtraction); each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22210 | Incis 1 vertebral seg cerv | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; cervical |
| 22212 | Incis 1 vertebral seg thorac | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic |
| 22214 | Incis 1 vertebral seg lumbar | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar |
| 22216 | Incis addl spine segment | Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (list separately in addition to primary procedure) |
| 22220 | Incis w/discectomy cervical | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical |
| 22222 | Incis w/discectomy thoracic | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic |
| 22224 | Incis w/discectomy lumbar | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar |
| 22226 | Revise extra spine segment | Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22318 | Treat odontoid fx w/o graft | Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; without grafting |
| 22319 | Treat odontoid fx w/graft | Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum), anterior approach, including placement of internal fixation; with grafting |
| 22325 | Treat spine fracture | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; lumbar |
| 22326 | Treat neck spine fracture | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; cervical |
| 22327 | Treat thorax spine fracture | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; thoracic |
| 22328 | Treat each add spine fx | Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (list separately in addition to code for primary procedure) |
| 22532 | Lat thorax spine fusion | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic |
| 22533 | Lat lumbar spine fusion | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar |
| 22534 | Lat thor/lumb addl seg | Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (list separately in addition to code for primary procedure) |
| 22548 | Neck spine fusion | Arthrodesis, anterior transoral or extraoral technique, clivus-c1-c2 (atlas-axis), with or without excision of odontoid process |
| 22556 | Thorax spine fusion | Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic |
| 22558 | Lumbar spine fusion | Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar |
| 22586 | Prescrl fuse w/ instr l5-s1 | Arthrodesis, pre-sacral interbody technique, including disc space preparation, discectomy, with posterior instrumentation, with image guidance, includes bone graft when performed, l5-s1 interspace |
| 22590 | Spine & skull spinal fusion | Arthrodesis, posterior technique, craniocervical (occiput-c2) |
| 22595 | Neck spinal fusion | Arthrodesis, posterior technique, atlas-axis (c1-c2) |
| 22600 | Neck spine fusion | Arthrodesis, posterior or posterolateral technique, single level; cervical below c2 segment |
| 22610 | Thorax spine fusion | Arthrodesis, posterior or posterolateral technique, single level; thoracic (with lateral transverse technique, when performed) |
| 22630 | Lumbar spine fusion | Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; lumbar |
| 22632 | Spine fusion extra segment | Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace; each additional interspace (list separately in addition to code for primary procedure) |
| 22800 | Post fusion </6 vert seg | Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments |
| 22802 | Post fusion 7-12 vert seg | Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments |
| 22804 | Post fusion 13/> vert seg | Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments |
| 22808 | Ant fusion 2-3 vert seg | Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments |
| 22810 | Ant fusion 4-7 vert seg | Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments |
| 22812 | Ant fusion 8/> vert seg | Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments |
| 22818 | Kyphectomy 1-2 segments | Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments |
| 22819 | Kyphectomy 3 or more | Kyphectomy, circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments |
| 22830 | Exploration of spinal fusion | Exploration of spinal fusion |
| 22841 | Insert spine fixation device | Internal spinal fixation by wiring of spinous processes (list separately in addition to code for primary procedure) |
| 22843 | Insert spine fixation device | Posterior segmental instrumentation (for example, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (list separately in addition to code for primary procedure) |
| 22844 | Insert spine fixation device | Posterior segmental instrumentation (for example, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (list separately in addition to code for primary procedure) |
| 22846 | Insert spine fixation device | Anterior instrumentation; 4 to 7 vertebral segments (list separately in addition to code for primary procedure) |
| 22847 | Insert spine fixation device | Anterior instrumentation; 8 or more vertebral segments (list separately in addition to code for primary procedure) |
| 22848 | Insert pelv fixation device | Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (list separately in addition to code for primary procedure) |
| 22849 | Reinsert spinal fixation | Reinsertion of spinal fixation device |
| 22850 | Remove spine fixation device | Removal of posterior nonsegmental instrumentation (for example, harrington rod) |
| 22852 | Remove spine fixation device | Removal of posterior segmental instrumentation |
| 22855 | Remove spine fixation device | Removal of anterior instrumentation |
| 22857 | Lumbar artif diskectomy | Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), single interspace, lumbar |
| 22861 | Revise cerv artific disc | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical |
| 22862 | Revise lumbar artif disc | Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar |
| 22864 | Remove cerv artif disc | Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; cervical |
| 22865 | Remove lumb artif disc | Removal of total disc arthroplasty (artificial disc), anterior approach, single interspace; lumbar |
| 23200 | Resect clavicle tumor | Radical resection of tumor; clavicle |
| 23210 | Resect scapula tumor | Radical resection of tumor; scapula |
| 23220 | Resect prox humerus tumor | Radical resection of tumor, proximal humerus |
| 23335 | Shoulder prosthesis removal | Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (for example, total shoulder) |
| 23472 | Reconstruct shoulder joint | Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (for example, total shoulder)) |
| 23474 | Revis reconst shoulder joint | Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component |
| 23900 | Amputation of arm & girdle | Interthoracoscapular amputation (forequarter) |
| 23920 | Amputation at shoulder joint | Disarticulation of shoulder; |
| 24900 | Amputation of upper arm | Amputation, arm through humerus; with primary closure |
| 24920 | Amputation of upper arm | Amputation, arm through humerus; open, circular (guillotine) |
| 24930 | Amputation follow-up surgery | Amputation, arm through humerus; re-amputation |
| 24931 | Amputate upper arm & implant | Amputation, arm through humerus; with implant |
| 24940 | Revision of upper arm | Cineplasty, upper extremity, complete procedure |
| 25900 | Amputation of forearm | Amputation, forearm, through radius and ulna; |
| 25905 | Amputation of forearm | Amputation, forearm, through radius and ulna; open, circular (guillotine) |
| 25915 | Amputation of forearm | Krukenberg procedure |
| 25920 | Amputate hand at wrist | Disarticulation through wrist; |
| 25924 | Amputation follow-up surgery | Disarticulation through wrist; re-amputation |
| 25927 | Amputation of hand | Transmetacarpal amputation; |
| 26551 | Great toe-hand transfer | Transfer, toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft |
| 26553 | Single transfer toe-hand | Transfer, toe-to-hand with microvascular anastomosis; other than great toe, single |
| 26554 | Double transfer toe-hand | Transfer, toe-to-hand with microvascular anastomosis; other than great toe, double |
| 26556 | Toe joint transfer | Transfer, free toe joint, with microvascular anastomosis |
| 26992 | Drainage of bone lesion | Incision, bone cortex, pelvis and/or hip joint (for example, osteomyelitis or bone abscess) |
| 27005 | Incision of hip tendon | Tenotomy, hip flexor(s), open (separate procedure) |
| 27025 | Incision of hip/thigh fascia | Fasciotomy, hip or thigh, any type |
| 27030 | Drainage of hip joint | Arthrotomy, hip, with drainage (for example, infection) |
| 27036 | Excision of hip joint/muscle | Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie, gluteus medius, gluteus minimus, tensor fascia latae, rectus femoris, sartorius, iliopsoas) |
| 27054 | Removal of hip joint lining | Arthrotomy with synovectomy, hip joint |
| 27070 | Part remove hip bone super | Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (for example, osteomyelitis or bone abscess); superficial |
| 27071 | Part removal hip bone deep | Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (for example, osteomyelitis or bone abscess); deep (subfascial or intramuscular) |
| 27075 | Resect hip tumor | Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis |
| 27076 | Resect hip tum incl acetabul | Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum |
| 27077 | Resect hip tum w/innom bone | Radical resection of tumor; innominate bone, total |
| 27078 | Rsect hip tum incl femur | Radical resection of tumor; ischial tuberosity and greater trochanter of femur |
| 27090 | Removal of hip prosthesis | Removal of hip prosthesis; (separate procedure) |
| 27091 | Removal of hip prosthesis | Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer |
| 27120 | Reconstruction of hip socket | Acetabuloplasty; (for example, whitman, colonna, haygroves, or cup type) |
| 27122 | Reconstruction of hip socket | Acetabuloplasty; resection, femoral head (for example, girdlestone procedure) |
| 27125 | Partial hip replacement | Hemiarthroplasty, hip, partial (for example, femoral stem prosthesis, bipolar arthroplasty) |
| 27132 | Total hip arthroplasty | Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft |
| 27134 | Revise hip joint replacement | Revision of total hip arthroplasty; both components, with or without autograft or allograft |
| 27137 | Revise hip joint replacement | Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft |
| 27138 | Revise hip joint replacement | Revision of total hip arthroplasty; femoral component only, with or without allograft |
| 27140 | Transplant femur ridge | Osteotomy and transfer of greater trochanter of femur (separate procedure) |
| 27146 | Incision of hip bone | Osteotomy, iliac, acetabular or innominate bone; |
| 27147 | Revision of hip bone | Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip |
| 27151 | Incision of hip bones | Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy |
| 27156 | Revision of hip bones | Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip |
| 27158 | Revision of pelvis | Osteotomy, pelvis, bilateral (for example, congenital malformation) |
| 27161 | Incision of neck of femur | Osteotomy, femoral neck (separate procedure) |
| 27165 | Incision/fixation of femur | Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast |
| 27170 | Repair/graft femur head/neck | Bone graft, femoral head, neck, intertrochanteric or subtrochanteric area (includes obtaining bone graft) |
| 27175 | Treat slipped epiphysis | Treatment of slipped femoral epiphysis; by traction, without reduction |
| 27176 | Treat slipped epiphysis | Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ |
| 27177 | Treat slipped epiphysis | Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) |
| 27178 | Treat slipped epiphysis | Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning |
| 27181 | Treat slipped epiphysis | Open treatment of slipped femoral epiphysis; osteotomy and internal fixation |
| 27185 | Revision of femur epiphysis | Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur |
| 27187 | Reinforce hip bones | Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur |
| 27222 | Treat hip socket fracture | Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction |
| 27226 | Treat hip wall fracture | Open treatment of posterior or anterior acetabular wall fracture, with internal fixation |
| 27227 | Treat hip fracture(s) | Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, with internal fixation |
| 27228 | Treat hip fracture(s) | Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both column fracture with complete articular detachment, or single column or transverse fracture with associated acetabular wall fracture, with internal fixation |
| 27232 | Treat thigh fracture | Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction |
| 27236 | Treat thigh fracture | Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement |
| 27240 | Treat thigh fracture | Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction |
| 27244 | Treat thigh fracture | Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage |
| 27245 | Treat thigh fracture | Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage |
| 27248 | Treat thigh fracture | Open treatment of greater trochanteric fracture, includes internal fixation, when performed |
| 27253 | Treat hip dislocation | Open treatment of hip dislocation, traumatic, without internal fixation |
| 27254 | Treat hip dislocation | Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal or external fixation |
| 27258 | Treat hip dislocation | Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); |
| 27259 | Treat hip dislocation | Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with femoral shaft shortening |
| 27268 | Cltx thigh fx w/mnpj | Closed treatment of femoral fracture, proximal end, head; with manipulation |
| 27269 | Optx thigh fx | Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed |
| 27280 | Fusion of sacroiliac joint | Arthrodesis, open, sacroiliac joint, including obtaining bone graft, including instrumentation, when performed |
| 27282 | Fusion of pubic bones | Arthrodesis, symphysis pubis (including obtaining graft) |
| 27284 | Fusion of hip joint | Arthrodesis, hip joint (including obtaining graft); |
| 27286 | Fusion of hip joint | Arthrodesis, hip joint (including obtaining graft); with subtrochanteric osteotomy |
| 27290 | Amputation of leg at hip | Interpelviabdominal amputation (hindquarter amputation) |
| 27295 | Amputation of leg at hip | Detachment of hip joint |
| 27303 | Drainage of bone lesion | Incision, deep, with opening of bone cortex, femur or knee (for example, osteomyelitis or bone abscess) |
| 27365 | Resect femur/knee tumor | Radical resection of tumor, femur or knee |
| 27445 | Revision of knee joint | Arthroplasty, knee, hinge prosthesis (for example, walldius type) |
| 27448 | Incision of thigh | Osteotomy, femur, shaft or supracondylar; without fixation |
| 27450 | Incision of thigh | Osteotomy, femur, shaft or supracondylar; with fixation |
| 27454 | Realignment of thigh bone | Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (for example, sofield type procedure) |
| 27455 | Realignment of knee | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure |
| 27457 | Realignment of knee | Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure |
| 27465 | Shortening of thigh bone | Osteoplasty, femur; shortening (excluding 64876) |
| 27466 | Lengthening of thigh bone | Osteoplasty, femur; lengthening |
| 27468 | Shorten/lengthen thighs | Osteoplasty, femur; combined, lengthening and shortening with femoral segment transfer |
| 27470 | Repair of thigh | Repair, nonunion or malunion, femur, distal to head and neck; without graft (for example, compression technique) |
| 27472 | Repair/graft of thigh | Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) |
| 27486 | Revise/replace knee joint | Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) |
| 27487 | Revise/replace knee joint | Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component |
| 27488 | Removal of knee prosthesis | Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee |
| 27495 | Reinforce thigh | Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur |
| 27506 | Treatment of thigh fracture | Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws |
| 27507 | Treatment of thigh fracture | Open treatment of femoral shaft fracture with plate/screws, with or without cerclage |
| 27511 | Treatment of thigh fracture | Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed |
| 27513 | Treatment of thigh fracture | Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed |
| 27514 | Treatment of thigh fracture | Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed |
| 27519 | Treat thigh fx growth plate | Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed |
| 27535 | Treat knee fracture | Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed |
| 27536 | Treat knee fracture | Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation |
| 27540 | Treat knee fracture | Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed |
| 27556 | Treat knee dislocation | Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or augmentation/reconstruction |
| 27557 | Treat knee dislocation | Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair |
| 27558 | Treat knee dislocation | Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair |
| 27580 | Fusion of knee | Arthrodesis, knee, any technique |
| 27590 | Amputate leg at thigh | Amputation, thigh, through femur, any level; |
| 27591 | Amputate leg at thigh | Amputation, thigh, through femur, any level; immediate fitting technique including first cast |
| 27592 | Amputate leg at thigh | Amputation, thigh, through femur, any level; open, circular (guillotine) |
| 27596 | Amputation follow-up surgery | Amputation, thigh, through femur, any level; re-amputation |
| 27598 | Amputate lower leg at knee | Disarticulation at knee |
| 27645 | Resect tibia tumor | Radical resection of tumor; tibia |
| 27646 | Resect fibula tumor | Radical resection of tumor; fibula |
| 27702 | Reconstruct ankle joint | Arthroplasty, ankle; with implant (total ankle) |
| 27703 | Reconstruction ankle joint | Arthroplasty, ankle; revision, total ankle |
| 27712 | Realignment of lower leg | Osteotomy; multiple, with realignment on intramedullary rod (for example, sofield type procedure) |
| 27715 | Revision of lower leg | Osteoplasty, tibia and fibula, lengthening or shortening |
| 27724 | Repair/graft of tibia | Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft) |
| 27725 | Repair of lower leg | Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method |
| 27727 | Repair of lower leg | Repair of congenital pseudarthrosis, tibia |
| 27880 | Amputation of lower leg | Amputation, leg, through tibia and fibula; |
| 27881 | Amputation of lower leg | Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast |
| 27882 | Amputation of lower leg | Amputation, leg, through tibia and fibula; open, circular (guillotine) |
| 27886 | Amputation follow-up surgery | Amputation, leg, through tibia and fibula; re-amputation |
| 27888 | Amputation of foot at ankle | Amputation, ankle, through malleoli of tibia and fibula (for example, syme, pirogoff type procedures), with plastic closure and resection of nerves |
| 28800 | Amputation of midfoot | Amputation, foot; midtarsal (for example, chopart type procedure) |
| G0412 | Open tx iliac spine uni/bil | Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed |
| G0414 | Pelvic ring fx treat int fix | Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami) |
| G0415 | Open tx post pelvic fxcture | Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum) |
| 35372 | Rechanneling of artery | Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral |
| 35800 | Explore neck vessels | Exploration for postoperative hemorrhage, thrombosis or infection; neck |
| 37182 | Insert hepatic shunt (tips) | Insertion of transvenous intrahepatic portosystemic shunt(s) (tips) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract formation/dilatation, stent placement and all associated imaging guidance and documentation) |
| 37617 | Ligation of abdomen artery | Ligation, major artery (eg, post-traumatic, rupture); abdomen |
| 38562 | Removal pelvic lymph nodes | Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic |
| 43840 | Repair of stomach lesion | Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury |
| 44300 | Open bowel to skin | Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) |
| 44314 | Revision of ileostomy | Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) |
| 44345 | Revision of colostomy | Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) |
| 44346 | Revision of colostomy | Revision of colostomy; with repair of paracolostomy hernia (separate procedure) |
| 44602 | Suture small intestine | Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation |
| 49010 | Exploration behind abdomen | Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) |
| 49255 | Removal of omentum | Omentectomy, epiploectomy, resection of omentum (separate procedure) |
| 51840 | Attach bladder/urethra | Anterior vesicourethropexy, or urethropexy (eg, marshall-marchetti-krantz, burch); simple |
| 56630 | Extensive vulva surgery | Vulvectomy, radical, partial; |
| 61624 | Transcath occlusion cns | Transcatheter permanent occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, to occlude a vascular malformation), percutaneous, any method; central nervous system (intracranial, spinal cord) |