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~'~e _ 18,lXlJ JO.1XXl
Retrogasserian neuro<OIn'l.y _
14>2J.OO Decom~"""""oflrigeminal nen~ root ()\II

CRANIAL NERVES 7, FACIAL NERVE

Upa ot;I't procedures
1~·2J.OO Facial nervedecompressicn, mastoidsegmml 002 JO.1XXl
J.f7..2}.{IJ Facial nerve deampl'Nion,lab)'rinthinesegmeot ()\I2 JO.IXXl
,:,--,== o:
IfI-23-02 Facial nerve decompre&'iion, lAC segment ()\I2 JO.1XXl

CRANIAL NERVES 8, ACOUSTIC NERVE

Optrtui\'t I!.roct(/urts
148-26-01 Excision oracoustic neuronra,translabyrinlhineor t.ranscochk'.ar approach (»() 5O.1XXl
= I, --== IOO,1XXl
"--"= ,,,
1.j8.26<Il Ilxcisionof_neuroma, retrosigmoidapproach 001 5O,1XXl IOO.1XXl
148-26-08 Exooonofacoustic neuroma,otber approach (}K)I 5O,1XXl IOO.1XXl

CRANIAL NERVES 11, ACCESSORY NERVE

Qptmtil'u roc.edures -...., _
151·J8.00 A='YJ~-!....";a":
I _,!,,,!,,,!!!!!,!!!,
·'- _ JO.1XXl
ISl-~1 A=ry-tiYJlOll!(),sa"I_
~~~' _ 0472 JO.1XXl oo.lXXl

CRANIAL NERVES 12, HYPOGLOSSAL NERVE

(}ptrat;I'e procedures _
152-J8.00 Hypog1oosa1-facial nen
,. :·e::.:_= = =· _ JO.1XXl eorm

CRANIAL NERVES
Note : During coding operations oncerebral arteries. ifcoderscan find more informationofexact cranial nerve
sitete.g. trigeminal nerve, facial nerve, etc.), the coder must change anatomicaJ axis code( 153=unspecifled
cranial nerve) intomorespecific codeas specific anatomical codebelow,
141=01faetory nerve; 142=opticnerve: 143=oculomotor nerve; 144--troch1e3rnerve:
145=trigeminal nerve; l46=abducen nerve; 147=facial nerve;
l4R=veeaihulocochlear nerve; 14~~avnPeal nerve: 15O=vai'll(; rerve :
15 Ieeccessory nerve; 152=hypoglossal nerve

® ~ W& 2549 7
O!!!rmil'e procedures
153-38-00 Transposition of cranial nerves
- --- -
016
- ----
18,COO TI,COO
ISO
I
153-39-00 Repairofcranial nerves 0479 18,COO TI,COO
1
153-39-01 Cranial nerves grail 015 l8.COO _ 21fi1J 1
153-39-02 Repair ofoldtraumatic injuryofcranialnerves 0116 3O,COO
- -
15347-00 Revision ofprevious repairofcranial nerves 0175 25.COO 3O,COO
153-50-00 ~lantation of cranial nerves
----
016 25,COO 3O,COO
I
- - ------
1
Orherprocedureralldope
:::m=tio
" ,,,
u .....,...,----------~":":_-_,.,=:__,":C:"'"'
153-_99
_~~ Otherproceduresand o~rations on cranial nen'es 0199 25.COO 3O,COO

FACE
Includes:Skin andsubcutaneous tissue of face
Excludes: Ears
Eyes and orbits
Mouth IlI1d lips
Nose and nasal cavity
Diagnostic procedures
154-04-01 Biopsy orracial skin and subcutaneous tissue 8611
Shaveb1<>l>!l' ~ "'_"=_ -~ 300
+-_ _ ~l1Ch biopsy 400
_~_ Incision andexclsional biopsies: lesion < I em I,HXl
Incision and excisional biopsies:lesion 1·3o n 2,COO 2,fJJJ

NOll-operaJil'e procedur~!- .....,._,----------_:=--:_c:_-_,..-

154-10-00 Insertion ollissu~.~ "="r~in"to,,l=acilIl
=·" skin=''-:-: - :- -"o=._-",~'---".C
8693 IO.COO 19•.COO
IS4-U-OO Removal offoreignbodyfrom facial skinandsubcutaneous tissue 9822 3,ClX> 5,(0)

Q~rafi.!'e--P.!(){edllres
154-21-00 Incision ofpilonidal cyst or sinus offacial skin III:ffi 3.COO _ __Io.COO
154-21-01 Other iilcision offacialskinand subcu taneoustissue 8601 3,1XXl 6,1XXl
154-22-00 Aspirationoffacial skin and subcutaneoustissue 8(jJ1 1.1XXl 2.1XXl
154-22-01 Drainage offacial skinand subcu taneous tissue 8601 Y'XJ 5.1XXl
154-26-00 Excisional debridement ofwound, infection or burnoffacial skin 8622 3.1XXl 1.1XXl
154-26-01 Excisionofpilonidal cyst orsinusoffacial skin Ii62I 5,ClX> 16,1XXl
Marsupialization of ~st
154-26-05 Radical excision offacial skinlesion 861 8.1XXl 14.1XXl
Wideexcision offacial skin lesion
154-26-06 Excision offacial skinfor graft toothersite 8691 5,1XXl 23,1XXl
154-26-08 Other local excision oflesion offacialskinandsubcutaneous tissue 863 5,1XXl 23.1XXl
154-26-10 Colti!'B andpreparation 01pedical graftsolOaps olla", 8611 5,IXXl 23,1XXl
154-28-00 Nonexcisional debridement orwound, infectionor burn offacial skin 8628 4,IXXl 7,IXXl
154-23-01 Ch. mosorgeryollaclal skin 8624 4.500 1I,IXXl
Chemical peel of skin
154-23-02 Dermabrasion offacialskin 8625 ioon 13,ClX>

~ ~ WJil. 2549 8
 , CHAPfER I Procedures of (he head and maxillo -facial area

1CD-9Code M"" Pertentile 00

Ligation ofdermalappendage of facial skin 8626 4.00J 9.00J

Electrolysis and otherepilation offacialskin 11692 2,00J UlXl
154-39-00 Sutureoflaceration offacial skin 8659 5.00J
Repair forfacial weakness
154-39'O::;I---'?":O"::;'E:;:.::=.=-= 8681 V.OOJ 86,00J
-'-""'----'="----==
Repairoffacialparalysis
154-39.02 .!'aciahllytidectomy 8682 25.00J 47.OOJ
Face lift
154-39-08 Otherrepc;31,,
'r"'of;:'fa:;'c:::ial"skin:::·
"'--;c-;:;C7-;-;-; - -;:=::=_-7;:;:;:~_;;?:::~
8689 15.00J 18,00J
15447.00 Revision ofpedicle or flapgraft offacialskin 8675 14.00J 24.00J
154-48-00 Advancement ofpedk1e graftoffacial skin 8672 14.00J 24,00J
l5448-01 Attachment ofpedkle or flapgraft orracialskin 8674 14.00J 24.00J
15448-02 Facial skinreduction plastic operation 8683 6.00J 1O.00J
._ - -
15448-03 Relaxation ofscar or webcontracture offacial skin 8684 10.1:00
I54-Sfl.OIl Split-thickness facial skin graft 8689 9.00J 24.00J
154-50-01 Full-thickness facial skin 8683 9.00J 25.00J
154-50-02 Ueterografttofacialskln 8665 7.00J 12,00J
15+50-03 Homograft tofacial skin 8665 7.00J 12,(0)
Artificial skin
Creation of neodermis
Decellularhzed allodermis
Integumentarymatirx implants
Prosthetic lJl1plant ofdermal Iayer of skin
Regenerative dermallayerofskin

MAXILLA
Note: Duringcodingoperationson maxilla, coderscanuse operation codestrucrure infac ial
bones section (161-X};-:u;) to code exact operations inthatcase inaddition10 codes below.

Qeeratirt' pn.x:edurts
159-22-00 MarsupiaJizatioo of maxilla 7({J. 9.OOJ 15,00J
159-26-00 Excision ofdental(odontogenic)lesion ofmaxilla 7({J. 10.00J 16,00J
159-~
::=-1
159-u.o2
-:===="""'' ' ' '===='' ' -
Excision of non-odontogenic lesion ofmaxilla
Seq_myolmaxilla
761. IO,OOJ 16,00J
'---=:---:':'.:'':'''_-'''':''':'
7001 5,00J 9,00J
159-26-10 Pllrtial maxi1lectomy 7693 25,00J 48.00J
MediaJ maxillectomy
159-26-11 Total maxillectorny, unilateral 7645 ?9.OOJ 48,00J
Excludes : Total rnaxillectomy with orbital exenteration
(Radical orbi tomaxiUectom ~ 1n -26-12)
"-,btaJ maxillectornlJbiJa"'raJ
159-26-.,,12e-ll 7645 5O,00J
159-26-18 Other resection operation ofmaxilla 7645 2200J
159-:l6-OO Clesed reduction ofmaxiUary fracture 7673 2200J
159-36·01 Open reduction of maxillary fracture 7674 4O,00J
159-36-02 Open reduction of maxillary alveolar fracture 7673 9,00J 15,00J
159-37-00 External fixation 01maxillary fracture 7fU1 2O.00J 43,00J
159-37.01 Internal fixation ofmaxillary fracture 7fU1 2O,00J

~ ~W1il. 2549 9
 CllAPTER J Procedures of the head and maxillo-facia l area

lQ)..9 0 :xte Me:u) PcrI:tntiIelX)

I S9-39~ _Segmentalostooplasty ofmaxilla 7665 _ _11 ,<00 19,<00

Maxillary osteoplasty
:;;-,;;;-;;~-.;S.U.bapi cal osteotomy of maxi!la
159-39-01 Total osteoplastyofmaxilla 7fBj 20,<00 33,<00
Le fort Iosteotomy
Lefon n OS
~-_
::;:
__ -
loo=t=on=''::y------~----------
... ...... ...•..

MUltiple piecesLefort l csteotomy

- -
1 ~~2 _ AlvOOlopl~ol maxill
==.
· ;::.
a ~_ _ _ _ 245 5,<00
Alveolectomy of maxilla
159-39-03 TorectomyofmaXi!la
:::_:=..-=-
- - - 7fifJ 5,<00 8,<00
Remove lorus I:3 ~ti n ~
-
t59-44-00 Insertionolsyntheticimplant inmaxillabon' 7ff!i. 16,<00 39,<00
1594 5-00 Removal ofinternal fixat ion devicefrom maxilla 7® 7,<00 12,(0)
159-4S-00
- -- - - -
Ridge augmentation ofmaxilla with allop::I3S
-- - ---
= ate;.;n:·:;al=--
= tic;.;m _ 7fifJ 18,<00 39,<00
159-48-01 Bone gralt tomaxilla 7691 16,<00 26,<00
.:.:..- " iar::c7lc:f;t::w"'it"h"bo-n~c-~ ---- - -- - -
al"o;': - - - -":.:.:..- -'-= -=--"= =
Sinus lift procedure
15948-02 Boneand softtissue reconstruction ofmaxilla 7646 33,<00 69,<00

MANDffiLE

'!fl!..'"£./~ra/~~e procedures
160-lJ.·OO Removal ofexternalmandibularfixation devices 7iflJ 3,<00 12,(0)

O/leraJ~
iI 'f!.E.~~~-::--::-_::--:::-;- =:-_ 10,(0)
160-22-01 Marsupializationofmandible 762
160-26-00 Excisionof dental (odontogenic) lesion ofmandible 762 5,OCO 18.<00
160-26-0I_ Excision ofnon-odontogenic lesionofmandible 762 .5 ,~
t6().26{]2 ,
Coronoidectomy 762 12.000
76111 9,<00
9,<00
"=.""":=7.77"-- - - - - - - - - - - ::o
7fil' --:':::"--= =
::-
762 20.<00
7631 28,<00

7641 611,<00
7642 37.<00
7675 15,<00
7676 23,<00
7675 15,<00
7iflJ 17.<00
36,<00
-- 39,lJ)J
 Cf-tAPl't.R 1 Procedures 1,1 uic head cud maxillo-facial area

lfiO.~1 OpenostCQl!lastr..of mandibular ramus 25,( 0) 45,OCO

Sagital ~pl i l (ramus)_oste(i.=om"'y'--_ _
Bilateral sagital splitosteotomy
( Lntra~ra IJ ...ertical ramus osteotomy
lfiO.39-02 Osteoplasty Of bodyof
::.mandi
:==·=bl::.'= = _ 7ffil 25M 45.0c0
IfiO.39.(lJ Otber ortbognallUc surgery 00 mandible 76&1 25M 45.0c0
Mao<tibul" 0>le0p1"'Y
Segmental orsubapical ()~teoIDmy,- _
lfiO.39~ Reduction geniopIasly 7«J7 14,OCO 23JID
Reduction lnenlq>I~_
IfiO.39-05 A1v~ of m""dib~ _ :lI5 5M :'ll.OCO
Aheolectom...t.~f mandible
T _y ofmandible _ 7(if} 5.0c0 2O,OCO
Remo.. -e torusmandibularis
lfi0.44..00 InsertionofS)lllheticimplant in mandible 7(fJ2 11OCO 31,OCO
IfiO.45.<)() Removal ofinlemaJ fiution device from mandible 7(fJ7 7.0c0 15.0c0
I~ Augmentalioogenioplasty 7<J68 16.0c0 TIM
Mentoplasry
16IJ-48.l)1 lllige augmentation or mandible with alJoplastic material 7668 2O,lXXl_ 39M
1fi0.48.02 Bone graft tomandible 7691 15.0c0 26,OCO
16IJ-48.l)3 Bone and soft tissue reconstruction or mandible 7M3 36.0c0 fJO.OCO

FACIAL BONES
Note: Duringcoding operationsonfacialbones, ifcoderscanfind moreinfonnationofexact facial boot sitete.g.
zygoma, ethomoid. ctc.). the coder must change anatomicalaxiscode( 16 lefaciul bones) into more specific
codeas specific anatomical code below.
I 55=zygoma bone; 156=ellunoid,bone ; 157=nasalbone; I 58=sphenoid bone
Excludes: Mandible
Maxilla
Temporo-mandibularjoint
,

Dia~~"os(;C pmct'dure,f
161~ Biopsyeffadalbone ~ 7611 4.500 IlOCO

Non-operative procedures
161·1(J.OO Insertiooofelectrodesintofacial bones 4M _ 7,OCO
Insertionof sJ?!1enoidal"'e"lectrodes""'"-
= _

Operali,,'!-.£rocedurt!$
161·21~ Otberindsionoffacialbooe 7fi1! 4M 7.500
Reopenmg of 05t~,,-my~te of facial bone
161·2IHIO Debridement oflesion offadal booe 162 4,OCO 7.0c0
--
161·2&<)1 Localexcision of lesion of facial bone 162 7,500 16.0c0
161·2&<)2 PartialosIedomyoffacialbooe 7639 I(),(XXI 37.0c0
"'"-"-:-:---:-
161·2&<)3 TotalostectOOll orracial bonewith~)'IJdlronous reconstruction 7001 25M 41,(XX1
Total ostectom)'offacial bone withsimultaneous reconstruction

~ wa 2 5 4 9 II
 CH, \PT£"R I Procedures ot the head and maxillo-facial area

ICD-9Codo Moan _"l

!61.l/Hll Sequestrectomy otfadal bone 7001_ J5.((X) 2O'(xx)

Removalofnecroticbone chip fromfacial bone
161·28-«) Destruction eneeon offacialbone 76:!. IO,roJ 2O,i1JJ
161·J6.00 Closed reduction 01 facial fracture 7678 5,roJ 15,(XX)
161·36-01 Open reduction offocial fracture 7679 6.(XX) 22,roJ
-
161·37.(J() External fixation 01 facial fracture
~-
7(fF)
-
13,roJ n.on
161·37-01 lnternallixation oIfaciai fracture 7(fF) 22,roJ 45.roJ
161·39.(J() Repairoffacial bone 71flJ
1
Osteoplastyof facial ~me
161-44-00 Insertion of synthetic implant in facial bone 7m 16,roJ 26.(XX)
Ot
16148-00 Removal ofinternal fixation device from facial bone 7(fF) 1fl!1 I<m]
16'
16148-00 Bone graft to facial bone 7691 16,roJ 26,roJ
161-48-01 Bone andsoft tissue reconstruction offacial bone 7646 25.roJ 41 ,(0)
16148-10 Augmentation ofracial bone withalloplastic material 7(ij8 16,roJ 3O,roJ

Otherp roudurtS and0ffralions

161·99-99 Otherprocedures and operations on facial bone 7(fF) 2O,roJ 25,roJ

TEMPQRO·MANDffiULAR JOINT
Diagllosricprocedures
162.QO.(J() Temporomandibularjoint arthroscopy )(fF) JO.roJ 22,000

Non-ooerauve procedures
162·U.(J() Removal ofintemalfixation device from temporomandibularjoint 7(fF) te» 12,roJ
162-1 5-00 Manipulation of temporomandibularjoint 7ffJ5 6,roJ men
QE.erat i~'e
procedures
162·24-00 Arthroscopic lysis adhesion of temporomandibular.Joint 7(fF) 1O,roJ 23,(XX)
162·26.(J() Debridement oftemporomandibularjoint 7(fF) 10.roJ 13,roJ
162-26-01 Coodyiar sI1j!ve 7(fF) 12,roJ Jll,roJ
162-26-02 !!igI] condyl!ctooty 7(fF) 15,roJ 31,(XX)
162-26.Q3 TemporomandibuIarjoint _ y 7(fF) 18,lXX) 29,roJ
162-2<>04 Temporomandibularjointmenisectomy 7(fF) 18,(0) 29/X1J
162·26-05 Temporomandibularjoint synovectomy 7(fF) 18,(0) 29.roJ
162-26.Q6 Temporomandibularjointmyotomy 7(fF) 18,roJ 29'(xx)
162-26-07 Thmporomandibular joint dis<edomy 7(fF) 18.roJ 29,roJ
162-26-10 Arthroscopic debridement ortemporomandibularjoint 7(fF) 14.roJ 23.(XX)
162·26-15 Arthroscopicsynovectomy of temporomandibular joint 7(fF) 14,(XX) 23M
162-26-17 Artbroscoplc dis<edomy oItemporomandibuIarjoin' 7(fF) J4.roJ 23.roJ
162-26-20 Gaparthroplasty oCtemporomandibularjoint 7(fF) 22,roJ 36M
162-26-21 Gaparthroplasty of lemporonWlClibularjoint with inte~tion material )(fF) 29.roJ 49.roJ
162-J6.00 C1os<d reduction oItemporomandibular dislocation 7ffJ3 6,roJ 10.roJ
162-36-01 ~ reduction oItemporl1mandibuIar dislocation 7fB4 J7.(XX) 28,roJ
162-38-10 ~!lh~i~!emporomandibuJar arti~rdisc repositioning and
stabilization 7(fF) 14.roJ
---- . .-
162·39.(J() ReW temlJO!lllllJdibular@!ICllI1§l!le
23.roJ
7(fF) 2O,roJ 16,roJ

~ ~W.Q..25 49 12
 CHAPTER J Proccdun..':-O of the head and maxillo -facial area

162·J9.{)1 Repair lemj>OOllUldibuiarjoinllJlefli<;m<; 2O.00l 36,00l

162-39-10 Temporomart<libularjoint dis< n!pllir 22.00l 36.00l
162-41-00 Operative inoiertioo ofarticular disc ollemporomandibularjoint 7m 2O.00l 25.00l
16~ Temporomandibulararthroplasly 7fU) 2O.OOl 36,00l
I~I ThluporomandibuJar join. reoonstroctioo l1"itb autogenous material 7m 2O.OOl 36,00l
162-48-m Temporomandibularjoinl reoonstroctioo .ilb aIkJpIastic material 7m :!5JXX) 49JXXl

M lKtlltlflLOUS proc~d l/r-"",,---- _

162-.'11~ I Injedion or tb<nlpeulic substance into temporomandibular join' IJXXl

OtN!1!roctdur~~ al/dopuariOtJJ
162-99-10 N~;:gi<aI treatments of temporoollUldibular join. 7m IJXXl
Acuj>UOCfWe tbem\aI }
Jawexercise --
~I usa!'!pl inl oftemporomandibular joint
Ph~ __
U1ttasoundand med~ica~b~'OO~ _

El: ~ wa 2549 13
 (fJAPTER 3 Procedures of the car, nose and ~IOUse~

CHAYfER3
PROCEDURES OF THE EAR,
NOSE AND SINUSES 1<D-9Code M"", _.90
EXTERNAL EAR
Includes:external auditory canal
ssinand cartilage ofauricle and meatus
00

Di:tgrrt'StK: prt!Ctdun
1'J3.00.00 OI'"'W 1811 300 500
j9l I~ ..!i!ID0fextemalear 1812 I,OCO 2,100
IlWOl Biopszoflesion ofeinna 1812 1,IXXl 2,100
IlWOl Biopsyof external auditorycanallesionor tissue 1812 I,OCO 3.300

hrimm
171>21.00- PIercing ofear\Qbe 1~1 1.0c0 l.soo
Piercingofpinna
171>21.(11 Incisioo ofexternal audiwf)' canal IIll1 I,OCO l.soo
171>21.(18 9tber incision of pinna 1~ I.OCO rxo
1J8.2J.'19 Other incision or external ear _I ~ I,OCO ixo
1711-22.00 Drainage ofseroma or hematoma of pinna IIll1 l.soo 4.soo
Includes: Incisionand drainage
178-22-0J Drainage of external aOdilof)' canal I~ 1.soo 3,!Xll
Includes: Incisionand drainage

£nw/'IfJ ()f dt!structioll

IJ8.26.00 Debridementofexternalen' 1839 l OCO 6,OCO
IJ8.26.(11 ~n ofpreauri<ular remnant (appendage) 1829 5,OCO 6,OCO
1J8.26.(12 Excision ofpreauricularsinus 1821 5,OCO 7,OCO
Radical excision ofpreauricularsinusor SfSt
lJ8.li>03 Excision ofle:sion of externalear 1829. 5.0c0 6,OCO
IJ8.J6.IlI Excision oflesion ?f pinna 1829 5.0c0 6,OCO
178-26.(15 Excision of1esion ofexternal auditorycanal 1829 5,OCO 6.0c0
1J8.26.(15 Excision ofexostosis ofexternal audito canal 1829 6,IXXl is»
178-26-10 Radical excision ofexternal ear 1831 120c0 15,OCO
178-26-1I Radical excision oflesion ofpinna 1831 IO,OCO 12(0)
178-26-12 RadkaI excision ofltsion of external auditory canal 1831 12,lm 15,OCO
1J8.26-99 Other excision ofexternal ear 1829 7,500 10,OCO
1J8. J8.(lI) Destruction oflesion of external ear 1829 7,1XXl is»
Ceurenzaticn
Coagulation
Cryosurgery } of external ear
Curettage
Electroeoagularioo
1J8.J9.00 Amputation ofauricle 1839 9,200 15,400

~ ~ w.a 254 9 29
 CHAPTER 3 Procedures of the car. nose and sinuses

~ ~ WJi1. 2549 30

7
 CHAPTf:R 3 Procedures nf the ear. nose and sinuses

L)oi~ oradhesionofmiddJe ear _

= IS,<XXJ 20,000
[)i\bion oft)mpanwn
= 15,<XXJ 20,000

,000
b.ci.'>ioo oflesion 0(middle ear :!lSI IS,<XXJ 20.000
[\lNtlll or glomus tumor ofmiddle ear :!lS::I_ _ 25,00J
~~3O.ooo
000 b .. ;.,jmofglomus"IJ''mpan
''= = o<um
= _ _ _ _25.00J 30.000
~ of~lomus JUgu..I.an:
~ _ JO.1XX) 3S.OOO
-
Olho-" dsion of middIe-ear Jl59 25JXXl 30.000
000 AjHo: -y of """'"' p)T.m
~id
·~
- - - - - _-
y

oir,.., ",,,,rul1llf:llllll
Olho- npairof middle ear 199 25.000
000
iIro'"".T!Jt'''''
ObIitmltion oI1)m panomasloid cavity 199 2UOOJ 25,000
Injectinnoll)mpanum ml I.<XXJ 1.500
Xl Oper:- tio~ onEustachian tube Jll __ 3,00J _ _3,S(X)
Ca:hett:nzauon
InllJrion
000 InjtC1kmfTeflcn ~~:!e):..---,----,----,-­ of Eustachian tube
ImuOlatlOll(boric acid-salicylicacid)
lllluhation
Plllitzeriz.ation _
1)_ 0 1,"pa ' "_=
' =y _

--
l(lJ1 IS,<XXJ 25.000
Olheroperalionoll", mid
", =
' "dIe=ear _ lS.<XXJ 25,000

TYMPANIC MEMBRANE

1)mpanopillStj1lypel) 194 IS.OOO 20.000

EpIt)1npani=c."'IYP"
= ' _
M)1ll18O!'1asty,_ -:- ---,,.,--_ _,.,--_==
TYJl'lI 1}l1.panoplasty IS.OOO _ -==
1952: ..-_ --"'= 20.000
Closure ofperforation withgraft against incus or malleus
Type lUtympanoplasty 1953 IS.OOJ 20,000
Graft placed incontact withmobileand intact stapes
1)·ptJV1}mpanopiasty 1954 15.000 20,000
\'.: nle fOOlplJ.1t leftexposed with air pockrt between round window andgraft
liJtoV1}l1.panopIasty 2O,00J _ -==
195:::S'--_ -== 25,000
~ inhorizontal semicircularcanalcovered by graft
Re\ision oI1}mpanopillSty 196 2UOOJ 25,000

1ltmo\'IlIoItym"""""",,,y bJbe 20'

Replacemen t of !Lm~ bJbe 9729

~ ~WJl.2549 31
 CHAPTER 3 Procedures of the cal, nose and smuscs

ICD-9Code MoM _~

AUDITORY OSSICLES
It!fisiOJI
182-21.(JQ Stapes mobilization I~ 20,(00 25,(00
_ ~ Di_vis_o
i_n.Qtosc
_·_lcrou<
7 ·"'-- _
Reruobilization of stapes
Stapediolysis
Transcrurat stapes mobilization

Excision or destruction
182-26-00 Os<icuI<domy
182-U>OI lncud<cJom..L-
182-U>O
=Z,---,Sta
'------------':;'--==--==
=pedectomywith incus replacement
193
193
1911
20,(00
1fJ,(OO
1fJ,(OO
25,(00
25,(00
25,(00
Excludes : Stapes mobilization only(l82-21-OO)
182-26-99 Otherstapedeewmy 1919 25,(00
182-47.(JQ Revision o(sta~y~ith incus replacement 192J 25,(0) 30,(00
18247,99 Other revision ofstapedectomy 1929 25,0CIl 3O.0CIl

Repairor r~(ftlsrructiOlt
18248.(JQ QsskuIopla>ty. 193 25.0CIl
182-48-99 Reconstruction ofossicle chains,secood stage 25,(00

O!!Ie! gperatiolls
182·99-99 Other?J!Cl"ltion 00 ossicuIar
= ' = :;:chai=·n' - 193 -_ - '2D,0CIl
-"'' ='''-- '25,0CIl
==

MASTOID

183-21.(JQ Incision ofmastoid 2021 3,0CIl

183-21-01 Incision ofpetrous pYTamid aircells 2022 15.0CIl 20,0CIl

2041 1fJ,0CIl 25,0CIl

I83-U>OI Modified1'adi<lll1llll<loid<!dom 2049 200CIl 25 0CIl
- - - ~:=""''''''===''------------~='-~-''=''- -'''''=
I83-U>02 RadiraillUlSloidectomy 2042 1fJ,0CIl 25,0CIl
183-26-99 Otherma<toidectomy 2O,0CIl 25.0CIl
Atticoantrotomy
M~t~idect~y,N:;:O:;:S _:=--_:c=:_-==
25,(00
18347-00 Revision ofmastoidectomy

Repair or reconstruction
l8J.4O.(JQ ' "'fi"stn"'la" -
Closureo( masl",oid
", 199
- ''''-_ _=''''-_-==~
2O,0CIl 25.0CIl
l~ Mastoid myoplasty 199 1fJ,OO) 25,OCIl

INNER EAR
Diagnosticprocedure
184-04-00 Biopsy ofinner ear 1fJJ2 15,OCIl 20,0CIl
184-04-99 Other diagnostic procedures oninner ear 15,oo? 20,ooq,

~ ~W.Q. 2549 32
 " •. meet ures 0 t c Cal , nose all smuses

1CD-9Code M"" _90

Illtisum
184-21-00 Incisionofendolymphaticsac 1fJ79 zsa» 30,M
184-21-99 Otherincision ofinner ear 1fJ79 lj,(lX) 30,000
184-22-00 Drainage ofinner ear 1fJ79 lj,M 30,000
184-22<11 Endolymphaticshunt 2071 lj,M 30,000
184-2:410 1fJ79 lj,M 30.000
184-23<11 Decompressionoflabyrinth 1fJ79 zsrco 30,000
184-23<12 Fenestration ofinnerear (initial) nl lj,M 30,000
Fenestrationof:
labyrinlh
semicircular canals
vestibule
} with graft (skin)(vein)

Excludes, that with !Xmpanoplasty type V(181-39-05)

184-23<l3 Fistulization oflabyrith orendolymphatic sac 1fJ79 zsrco 30,000
184-33-00 Opening oroollY labyrinth 1fJ79 zsrco 30,000
18447-00 Revision offenestrationofinnerear n2 lj.M
184-81-00 Injection intoinner ear 2072 15,M 20,000
Destruction by inject ionlalcohol):
Inner ear.semicircularcanal, vestibule

ExcisiCRIordestruction
184-26-00 Chemical labyrinthectomy,transtympan!c route 1fJ79 10,M 15,000
184-lIHlI Labyrinthectomy, trans(externalauditory) canaJ approach 1fJ79 zson 30,000
184-lIHl2 Labyrinthectomy, transmastoid approach 1fJ79 lj,M 30,000
184-26-00 Labyrinthectomy, not othenvise ~ 1fJ79 lj,M 30,000
184-26-99 Otherexcision of innerear 1fJ79 zson 30,000
184-28-99 Other destruction ofinner ear 1fJ79 lj,M 30,000

Repairorreconstruction
,
184-39-00 Repair of oval and round wi.ndows lj,M 30,000
Closure offistula :
oval window ,
,
perilymph
round window

Orheropt'raIions
184-44-00 Implantationofelectromagnetic h~ device 2095 3O,M 35,000
184-44-01 Implantation ofcochlear prosthetic device,single channel ?1.1!7 3O,M 35,000
184-44-02 Implantationofcochlearprosthetic device, multiplechannel 2098 3O,M 35,000
184-44-98 Other implantation ofcochlear prosthetic device 2096 3O,M 35,000
184-44-99 Implantationofcochlear prostheticdevice, nototherwise specified 2096 3O,M 35,000
1844S-OO Removal orcochlear protheticdevice 2099 3O,M 35,000
184-46-00 Replacementofcochlear prosthetic device, single channel ?1.1!7 3O,M 35,000
184-46-01 Replacement of cochlear prostheticdevice, multiple channel 2098 3O,M 35,000
184-46-98 Otherre lacement of cochlear rosthetic device 2096 3O,M 35,000
184-46-99 Replacementofcochlearprosthetic device, nototherwise specifies 2096 3O,M 35,000
18+99-99 OtheroperatiolL'l of innerear :?lIJ9 3O.COO 35,000

~ ~WJi1.2549 33
 CHAPTER:; Procedure" of the Cal, nose and sinuses

__===:::--::-:-::-:=.:::-=:::-"'""====-:-===.. . .::'1ID"""9"'C!'!00e~_.., _.!'Q

SPEECH, LANGUAGE, AUDITORY &VESTmULAR SYSTEM
..Moln

Diagnostic procedure. training andother procedures

See chapter 15 for details ofother procedures onspeech. language, auditoryand
vestibular system

NOSE
Includes:skin and cartilage of nose

Diagnosricprocedure
18S-Q4..00 Biopsyofnose ~ 122 1,500 2,500

hreiriQlIllI - - - - - - - - - - - ---c _
J85-Z1.Q!) I ncision of n~ _ _ _ _ _ _ _ _ _ _ _211_

185-80-(10-.J)ressing wound on,Jl()Sj; .J):i} _ so 1,000

185-99-99 Otheroperation onnose 2199. 7,rm 10,000

NASAL CAVITY II
Diagnostic proetdurt
1 m Rhinos<oIlY 2121 500 800 R<
1~1 Rhin<Jscopy ~ endoscope 2 1~ I,IXX! 1":;00 ~

~ ~ W-'I. 254 9 34
 CHAPTER 3 Procedures of the ear, nose and sinuses

187-48-00 Turbincplasty 2189 7,M 10.000

~ ~W.Gl . 2549 35
 Ernum.

NASAL SEPTUM

188-21-00 Nasal septetomy 211 3.500 10,000

188-22-00 Drainageofseptal abscess 211 3.100

Excision or destruction
188-26-00 Submucous resection ofseptumofnose 215 15,000 20,000

® ~ W,Q, 2549 36
 CHAPTER J Procedures of the car, nose and \inll\l'~

1?J.22-10 Intranasal antrolomy 2253 is» lo.em

Inferiorantrostomy
Middle antrostomy
192-22-11 Nasoanb1ll
, window m 7.em 10.000
1?J.22-12 Radical ~ antrotornX 223 1 15,em 20,000
Removal oflining membrane of maxillary sinus using Caldwell-Lee aJ)l?fO;lCh
Antrectomy Qr classicalCaldwell-Lacoperation
19),22-19 Other external maxillary antrotorny 2239 IS,OClJ 20.000
Excision of lesionof maxillary sinuswith Caldwell-Luc apprcech
Ex..mOIl ordesmcuon
1?J.J6.00 Exds:ion oflesion of maxillary sinuswith Caldwell-Lacapproach 2261 IS,OClJ 20.000
192·2'>1)1 Excision oflesion ofmaxillary sinus using endoscope 2262 IS.em 20.000
192·26-lJ8 Excision oflesion ofmaxillary sinuswithotherapproach 2262 rson 20,000

PARANASAL SINUSES
Note:Duringcoding operations onparanasal sinuses. ifcoders can find more infonnation of exact sinussite(e.g.
frontal. maxillary etc.j.thecodermust changeanatomical axisoode(193=paranasalsinuses, unspecified) into
morespecific code asspecific anatomicalcode below.
189=frontalsinus; 190=ethmoidsinus; 191 = spenoidsinus; 192 =maxiUary sinus
~nosli(' P:::YOC
;;'".""-:":';;:-:-:--;-_ ;-;- _
19J.OO.OO -Transillumination of nasal sinus 8935 1,000
----

~ ~W.lil . 254 9 37
 CHAPTER 3 Procedures of the ear, nose and SJIlUSCS

ICD-9COOo Mean _90

193-00-01 Endoscopy ofnasal sinuses (without biopsy) 2219 lim 2,500

J93-04-00_ Close (endoscopic)(needle)biopsy ofnasal sinus 2211 1,800 2,500
19~1 Openbiopsy ofnasalsinus 2212 7:i1J 10,000

Incision
193-21-00 Incision of multiele nasal sinues 2253 12,500 16,000
193-22-00 2202 1:i1J 2,500
193-22-01 2201 1:i1J 2,0C!l
193-22-09 Aspiration and lavage ofnasal sinus,not otherwise specified 1:i1J 2,0CfJ
Sinusotomy, not ethewise specified is» 10.rnJ

XJ,rnJ
'iJl,rnJ

Repoirorreconsfmcrioll
~93-39-~ Otherrepairofnasal sinus 15.000 2O.0CfJ
Reconstruction of frontonasaldUCI
Repair ofbone of accessoa sinus
19J-40.00_Cklsure olnasal sinus"-fi"'ist"'u"'Ia' - ~_ _~_'227.!.
1 _ _-"",,,,,,-_
15M -,,,,,,,,
20,000
Reoairoforo-antral fistula

Qrhfroperatiol/s
'- -'
193-99-99 Otheroperation on nasal sinuses 15,(XXl 20,000

NASOPHARYNX
DiagnbSlicprocedure
194,OO.<XJ Na<opharynj:ea1 CXlIUI""'' 'usm'' ·!'lg''m' 'in'o!l!!JrC - _ 29JI 100 500
-
1'!<!-QlH)1 N_Iu!!:IJ1gea! examusiug ""sible or rigid end<w>pe 29JI WXI 1.\00.
I~I N""'~ugeaJbioosv"'>-------------1212 2.lQQ. 21!!J
l~2_!L"",pbaangeal bio=~nd_=- ""''"____'''''''_
2912 2M _'''''''
2,500
194-04-9!l-Other ~osticprocedures onnasopharynx 2919 2.000 2"5111.
Infisit:Hl
194-:z4.00 Lysis olnasopba!lReaI adhesion 2954 7,(XXl Ilb..® .
Excisionordeslruclion
194-26-00 Excision ofbenignnon-vascular nasopharyngeal twnor 2939 15,rnJ 20.000
194-2fHI1 Excision of nasopbaryngeaJ angiofibroma 2939 30.00) 31!m.
194-2641 Excision ofma!ignant nasopbaryngeaJ lumo"-r_-_--_~- '!f!'fi 30,000 35,00Q
19+26-99 Olherexcision oflesion or tmue ofnasopharynx 2939 15,@ 20,0CfJ
1~28-99 Otherdestruction of lesion or tissue ofnasopharynx 2'm 15,000 20,lXXJ
Repairorrecollsln"',"'
'''''io",,:-= :-_ -:-:- _
194-10-00 Insertion 01 _barynjlel!1 airway 9001 1,000 1,500
194-31:!Jll -llilalalion of""'!'l'ltaJ:l'nx _ 2991 2,rnJ 5,!!XI
~ Comctionof~~f!jlell1,.atresia =·"'- 294
__=""__ 20,~ _ ~,t:W
_..."

~ ~ W.lit 2549 38
 CHAPTER J Procedures 01 the ear, nose and sinuses

194-9').99 Other"!?pcration onnasopharynx Wi 15,00] 25,000

PAROTID SALIVARY GLAND

DWI.(flf)Jlicprocedure
1~ Closed (needle)biopsy ofparotidgland or duct 2611
---
1,JOO 2,000
1~ 1 Open biopsy ofparotid glandor duct 2612 7,400 15.000
1 ~99 Otherdiagnostic procedures onparotid gland or duets 2619 l2,JOO 15,000

fMiS/lm
1%-J2,()1 Drainage.ofabscess of parotid area 2611 12,JOO 15,000
1!11-J6.00 SuJl"licial parotidectomy, partial parotidectomy 2631 25,000 30.000
195-26-01 ToIa1 parotidectomy 2632 30.00] 35.000
1%-26-98 Otherexcisionofparotid gland lesion ]A."'! 2$,(0) _ 30,000
1%-26-99 Parotidectomy, nototherwisespecified 2630 25,00] 30.000

~r orreconstruaion
19>31-00 Dilatation ofparotid salivary duct 2619 1,500 2,100
-
I9>J9.IIO
-
Repair of parotid salivary duct 2649 17,500 21500
195·39<)1 Suture oflaceration of parotid gland 2611 17,500 20.000
19S-3?-.9lL-.Qther repaironparotid gland or duct 2619 15,00] 20,000
Pistubzatonofparotidgland
19>-lO.1JO Closureorparotid gland fistula 2642 17,500 18,300
I\15-U-OO Removal ofcalculus from parotid salivary duct
19545-00 ~n remo~ ofcalculus from parotid salivary duct
=
1ff!!
3500
7,500
10,200
10,200

SUBMANDmULAR GLAND
DidgntJStif2rf!l:i'4u! L -
1%-ill-OO c;losed (needl~ biO(IDI o[submandibular~()r duct __ 2§11 1,500 2,000
1~1 -2e,en bio~)' ofsubmandibular glandor duet
--- 2612 7.000 10,000

In.... ,
,
1!16-O4-99 Other diagnostic procedures onsubmandibular glandorducts 2619 7.00] 10,000

196-22-00 Drainage ofabscess ofsubmandibular gland 260 2,JOO 5,000

196-l6.IJO Partial excision ofsubmandibular gland 2631 12,500 15,000

196-26-01 Total excision of submandibular gland 2632 15,00] 20,000
1'l).~ Otherexcision ofsubmandibular gland 2629 J2,500 15,000
1'Jl.l6-99 Excision ofsubmandibular gland, not otherwise specified 2630 J5,00] 20lXX)
Rrf'tlilorm:onstmctiOtl
1%-31-00 Dilatation ofsubmandibular duct 2649 1500 2.000
I'll-J9.IJO Repair ofsubmandibular duct 2619 12,500 15,000
196--Wl Suture oflaceration of submandibularsalivary gland 2641 12,500 15.000
196-.19-99 Otherrepaironsubmandibular gland or duct 2649
Fisulizarion ofsubmandibulargland 7500 10,000
IU110 C1~~ orsubmandibular gland fistula 2642 12,500 15,000
1_ 99 Otherplastic operation on submandibular gland or duct 2649 12,500 15,000

~ ~ ws. 2549 39
 CHAPfER J Procedures 01 the car. nose and smuses

IQ).9Co:1e Mean PerrentHeOO

Other0J?t,ratiotlS
1%-11-00 Removal ofcalculus fromsubmandibular duct 5,000
19645-00 Openremoval ofcalculus from submandibular duct 7:n:J 10,000
196-99-99 Other operation ofsubmandibular glandor duct 7:n:J 10,000

SALIVARY GLAND & DUCT

Note:During coding operationsonsalivary gland, ifcoders can find more infonnation ofexact salivary gland
locatiotue.g.parotid, submandibulargland etc.). the coder must change anatomical axis code(l9S= sarivary gland
& duet, unspecified) into morespecificcodeasspecificanatomical codebelow.
195 = Parotid salivary gland; 196 =Submandibular salivary gland;
197 = Sublingual & minor salivary

Diagnostic procedure
198-04-00 Closed (needle)biopsyofsalivaryg1Jrn
=d=- =:'-' -_ -':'=-__"'-:"
2611 1:n:J 2,000
I9IklI-O1 Openbiopsy ofsalivary gland 2611 7,000 10,000
1~99 Otherdiagnostic procedures onsalivaryglandor duct 2619 7,000 10,000

Incision
!98-21-OO Incision ofsalivary gland or duet 'iff) 7,000 10,000
198-22-00 Drainage ofabscess ofsalivary gland 'iff) 6{:[fJ 10,000
198-22-01 Marsupialization ofsalivary ~ or duct 2621 6{:[fJ 10,000

Excision ordestruc/ioll
198-UHlO Partial siaIoadenectomy 2631 12,500 15.000
!98-2/i.{)1 Completesialoadenedomy 2632 12,500 20,000
!98-26-99 Sialoadenectnmy,oolllt1leMse specified 2630 12.500 20,000

Repair orreconstruction
198-31-00 Dilatation of salivary dnct 2649 1.500 2,000
!98-39-00 Repair of salivary dnct 2649 12,500 20,000
198-39-01 SuIureoilacerationofsalivary gland 2641 12,500 20,000
198-39-99 Ouierrepair onsalivary glandor duct 2649 12,500 15,000
Fistulization of salivary gland
I !J8.4(;.OO ClO5Ure ofsalivaryglandlistula 2642 125 00 15,000
J.98.<Ilkl8 Other plasticoperation on salivary gland or duct 1ff!9 12500 15,000
Plastic repair ofsalivary gland
Transplantationofsalivary gland

Other o rations
198-44-00 Probingorsalivary duct WI 500 1,000
198-11-00 Removal ofcalculusfromsalivary duct 9822 2500 5,000
198-45-00 Openremoval ofcalculus fromsalivaryduct 1ff!9 7,500 10,000
!98-99-99 Other operation ofsalivary gland orduct 1ff!9 7,500 10,000

~ ~ w.a. 25 4 9 40

b
 Cllrll>TER 4 Procedures of the neck mouth and pharynx

~ ~ Wilt2549 41
CHAPTER 4 Procedures 01 the neck mouth and phurvn x

I<D9Qxk M"'" _Je!ll

201·28-<)8 Otherlocal destruction of~on ofneckskinandsubcutaneous tissue 863 7,fJJJ IQ){«I

cauterization
cry(l~~'1-
fulguration
laser
-
beam
___ ~at with ZjJlasty
201·~ Sutureoflaceration of neckskin
-- ~

8659 7,fJJJ 9,Wl

201·39-08 Otherrepairofneck skin S689 1,fJJJ 100Wl
20147-00 Revision ofpedicle or flapgraft ofneck skin 8615 7,Y:1J 31,600
20148-00 Advancement or pedicle graft orneck skin 86n 15,fJJJ 31,600
20148-01 Attaclunent ofpedicle or flap ~ ofneck skin 8674 15,® 31 ,600
20148-02 Neck skinreduction plastic operanon 8683 15,fJJJ 22,llOO
20148-03 Relaxation ofscaror web contracture ofneck skin 8684 lO,fJJJ 22.lOO
201-50-00 Hair transplantof neck skin 8664 lS,1XlJ JO,Wl
201,50-01 Split-thickness neckskingraft 8669 9,fJJJ JO,Wl
201·50-02 Full-thickness neck skingraft 8663 9,fJJJ 29,Wl
201-50-03 Heterograft toneck skin 8665 9,1XlJ 15,800
Pigskin gmt)
P=ine2
201-50-04 Homograft toneckskin 9,fJJJ 14,700
Grafttoskinof: }
arnniomc membrane from donor
skin
201-50-05 Dermal regenerative graftof neckskin 8657 3,600

lntegumentary matrix implants

PIDsthetic implant ofdennal layer ofskin

,
Re eneraredermal la erof skin

¥is':~f/an eous p"'roc

"'t"d"u"'rc"' - ~~~~~_~ __~ _ ~
201 -80-00 Wound dressing at neck 9357 500 I,JOO
201-81-01 injection or ta~ ofneckskinlesion and defect IO,(JJJ 15,COO
Injection }
Insenion ~o"-
f -'.
fI1
'"I'-'
i n,.
g_'m
,,'"'te"_n,,
· ',,
1 -
Pigmcnlation
Other procedures andoperations
201-99-99 Other procedures andoperationson neck skin 4,Y:1J 9,IXlJ

~ ~w.Q . 2~49 42
 CllAPTF:::1? 4 Procedures of the neck mo uth ,IIlU ph ary IlX

1Cl).90K1< M= _90

BRANCHIAL REMNANT
~rative eroced/lres
~26-0 1 Excision of branchial cleft C 5t or vesti e 292 8,300 20,0::0
2.04-39-00 Closure of branchial cleft fistula 2952 15,000 20,000
----
OlMrp'!Xedures and operations
204-99-99 Otherprocedures andoperations onbranchial cleft cyst or fistula FIOO 10,500 20,000

CAROTID ARTERY
ExamitultionandAssessmellt
~ Biopsy of carotidartery 3821 12,500 15 ,~
Note .seechapter 18formorecodeson radiology servicesofneck
----

NOII-.<!2traliw: procedures
205-1{).()1 Insertionofcarotidarteryslent 3m 22,500 25,000

Opem1iveprocedures
~21-«l Incision ofcarotid artery 3802 13,300 22,100
Embolectomy
Thrombectomy
0 :lJ!.24-00- i....IDg ofcarotid artery 3991 9,700 16,200
11)5.25-00 Control ofbemorrage following arterial surgeryofcarotidartery 3941 11,200 18,700
:lJ!.l6<11 Endarter<ctomy ofcarotidartery 3812 20,400 34.000
Endarterectomy with:
embolectomy

temporary byPaSS during procedure

ihrombectomy
.26-0~ ~ofcarotidartelJ\tithanastomosis 20,400 34,000
Angiectomy
Excision of:
aneurysm(artenovenous) } with anastomosis
blood vessel (lesion)
!OJ Resectionofruptured carotid aneurysm 38J4 25.500 42.500
uo Other excision ofcarotid artery 3862 15,000 34,000
Exei$ioo of infected graft 14.300 23.800
Ligationofcarotid artery 8,000 13,600
•Externalcarotid
3882 .
-Inernalcarotid
'1m 1 EmixJIi1atioo ofcarotid artery 3882 22.500 25.000
Other S\lrgical occlusion of carotid artery 3882 10,200 20.000
Cwm~ng ofcarotid artery
Occlusion ofcarotid artery
Sutureol"'rotid artery 3931 15,000 20,000

~ ~W.lil.2549 43
205-39-01 Repair ofaneurysm ofcarotid artery 3952
Repair ofaneurysm by:
coagulation
electrocoagulation
filipuncture
methyl methacrylate
SUlUre
,wiring, wrapping
205.39-02 Repair of arteriovenous fistulaorarteriovenous maJfonnation
ofcarotid artery 3953 22.400
Embolization ofcarotid cavernous fistula
Repair ofarteriovenous fistula crarteriovenous malformationby:
dipping
coagulation
ligation anddivision
205·39-03 Repalr cf carotidarterywith tissuepatch graft 3956 21,400
205-39.(J4 Repaircfcarotid arterywithsyntheticpatch graft 3957 21,400
205-39.()5 Repair orcarotid arterywith unspecified patch graft 3958 21,400
~7-OO Revision ofarterial procedures ofcarotid artery 3949 10,200
2Q5-43.OO Angioplasty ofcarotid artery 3959 13,800
Percutaneous transluminal angioplasry (PTA)ofcarotid artery

Other2.rocedures andoperoliOllS
205-99-01 Operationson"ca"ro
Cbemodecromy
"ti..,'d"'hod
=y ='-'-_==__
398 20,400

Denervarionofcarotid body
Glomectomy, carotid
Implantationofelectronic stimulatororpacemakerintocarotidbody

"
CERVICAL LYMPH NODES
,
Note: During codingoperations oncervical lymph nodes, if coders can fi nd more informat ion ofexactcersica
lymph nodes(e.g.superficial. deeperc.). thecodermustchange anatomical axis code(1I 4=eervicaJ lymph
nodes. unspecified)into morespecific code asspecific anatomical code below.
212 = superficialcerviallymphnodes;213 = deepcervicallymphnodes

Dlagnanicprocedure
2!4.(J4-00 Bi'!l!!l: oflymphaticstrueture 4011 3,000
214-04-01 Biopsy ofcervicall,.mph node 4011 ..1..000 _
214-04-08 Otherdiagnostic pro<tdure on lymphatic structure 4019 ", 3,000

[ncislon
214-21-00 Incision of lymphaticstructure 400 3,000

~ ~W.liL 2549 44
 CHA Pl1:R 4 Procedures of the neck mouth and pharynx

EitiliMor €k!!7U(ti0l1 -,-,:_~

11+26-00 ExdsionofcenlkaJ Iylllph::;n=ode=--,-, - -_----'-':::---.:"""=-_-:-'~
4029 4,500 6,000
114-26-01 Simele excisionofother neck lymphatic structures 4029 17500 20,000
Excision of:
"'-~~~~~~~~~~~~~~~~~~-
~rstic ~Y~
=la _
lymphangioma _
-
214-26:02 Regional cenicaJlymph node excision 403 17,500 20,000
Extended regional lymph node excision
114-J6.ro Radical neck dissection,unilateral
====='-::----., ~~~~~~
4011 25.000 n.soo
214-26-04 Modified radicalneck dissection,unilateral 4011 ~_2 5 ,000 33,100
21+)6.0; Radical neckdissection, bilateral 4012 30,000 35,000
214-16-06 Modified radical neck dissection, bilateral 4012 30,000 35,000
214.26-00 Radical neck dissection, nototherwise sped fied 4040 30.000 35,000

NECK SPACES
Irtisltm
-- -
Zl6-2MO Incision and drdinage ofsubmandibular spate 6.000 9,000
211·22-10 Incision and dcairulge of otherfascial ' pac<ofheadand neck 6,000 9,000

THYROID GLANDS
Dial~~~p;;:
rrx,.e"du;:;'''-e- , - - 7 : ---::-;-;-;--- ::;---;c;-;- - ; - - ; - - - - -= : - - - - - - - -
21 ~ Closed (percntllneous) (needle) biopsy ofthyroid gland 0611
F'Ule needleaspiration biopsY of thyroid 1,200 2,000
l J9.04.()I Open biopsyofthyroidglJlnd 0612 6,000 8,000

Inrio/!!l
219-21-00 Incisionoftl]y"ro"'id"fi"'lel"'d WJJ
---""'--_ 900
_-"""--_ ---'-""'"
1.500
Thymi<lot"'om"""y'-:----;:c:-c-,-- --:-:c-,--_ _= __:---:
219-l2-OO Aspirationofthyroidfleld 0601 1,200 2.000
•
Percutaneous orneedle drainage ofthyroid field
1 1 9-~ 1 DrainagtofhematomaofthyroidfJeld WJJ 900 1,500
ZI9-U-OO Oil-ision ofthyroid isthmus 0691 9,000 12,000

Extision (lr di!struct;o"

- ---~-:--:-:--~-:-:7
0631 10.200 18,000

219-l6<J1 Unilateralthyroid lobectomy 062 15,000 27,000

Completeremovalof one l obeof thmi d(~i~moval ofisthmusorportioo'ofother lobe)
Hemithyroidectomy
lI9-J6.02 Snbtotal th roidectolll 0639 20,000 28,900
119-l6<J3 ExcisionoftingnaJ thyroid 066 20,000 20,400
Excision ofthyroid by:
substernal route
transoral route

~ ~w.,Q. 2549 45
 CHAPTER 4 Pro(,;CUUl CS of the neck mouth and pharynx

1CD-9 ~ Mean f't:rwltileOO

21!l,Ui-04 Neartotal~"' om x _ ~9 20,000 32,300

219·26-05 Complete thyroid",,""y (l)4 20,000 35.700
219·26-10 Endoscopicassisted excision of thyroid lesion ()531 12,200 20,400
219·26-U Endoscopicassisted thyroidlobectomy 1m 17,300 28,900
219-26-U Endoscopic assisted subtotalthyroidectomy ()539 18,400 30,600
219·26-21 Partialsubsternalthyroidectomy (X;5() 21,400 35,700
. 219·26-22 Completesubstenalthyroidectomy (X;51 22,400 37,400
219·26-29 Substernal thyroidectomy, not otherwise specified (X;5() 23,500 39,100
219·29-00 Ligationofthyroidvessels WJl 10,200 17,000
219·99-99 Otheroperationon thyroidglands
Thyroidectomy with neck dissection. unilateral 00J8 29,600 49,300

Ref!!:l iror ~tQlIstructi,?"

219·38-00 Thmspo5itionof1ingua1 thyroid 00J8 27,500 30,000
219·39-00 Suture of thyroidglands 00)3 8,000 15,000

Other pTOc?edllTes andoperanons

219-47-00 Reopeningofwound ofthyroidfield 00J2 8,000 10,000
Reopeningofwoundofthyroidfield for:
-
exploration
21949-00 Thyroid tissue reanplantation 00!4 15,000 25,000
Autotransplantation ofthyroidtissue

PARATHYROID GLANDS
Diagnostic procedure
22O-()l.()() Biopsy of parathyroidgland lli l3 6,000 9,000
I
Excisionordestruaion
220-26-00 Complete parathyroidectomj: (liS1 18,700 31,100
220-26-08 Other paiathyroidect<»ny 0689 18,700 31,100
Parathyroidectomy
Partialparathyroidectomy j
Repairorrecons truction
22(>49-00 Parathyroid tissue reimplantaticn
Autotransplantation of parathyroid tissue
f1fJ5 6,600 11 ,100
i
THYROGLOSSAL REMNANT I 1
221·22-00 Drainageofthyroglossal tractbyincision lli09 900 1,500 !
Excision ordestruction
221·26-00 Excision ofthyroglossalductor tract 067 12,200 20,400

~
- ~ ~ W.lil .2549 46

L,
 121·9').9'1 Oth<rproctduresand operations onthyroglossal remnanl 12.200 20,400

LIP
Note ;Duringcoding operations onlip, if coders can fi nd more information ofexact Iip(e.g.upper, lowereic.), the
coder-must change anatomical axis code(225=lip. unspecified) into more specific code 3S specific anatomical
code below.
222 = upper lip; 223 = lower lip; 224 = commissure

Dkl.~'If'\ticL1t!£edu~~ _
l25-til-OO Bi!!JlSY ~--,,-- -,,,,=
-=:_- _ _ 1,000

l/J<if/lIll
225·21 .00 !ncisionoflip. -- --- 1,000 --
--'='--~=""- 1.500

Elr;jKm or desfnlctioll
225-~ Wideexciso"n"o:.:f1"""""o"n,,of:.:li,,
'p'--_ -:-c- ..:::c::.._
!742 --'10,000
-"":;:.-_-'=::;:;:
20.800
225-26-99...Qther excision oflesion Qr tissue of lip 2743 10,000 15,000

flfptJi':!!r rtl.:()n~t,:ro<
.:"7.rio",,'--7'--::;:-_._ --:=O-_ _7=__=_=
22",.39-00 Suture oflaceration oflip 2'79 7,500 23,400
125-J9.0! Repair ofc1elllip 2754 15,000 54,200
Chcilop:::;I"'Y
""--:c_ -:--:- = ,--_ ':":':-:-"_ c:-:-:
22548-00 Full-thickness skingraft to lip Z755 9,000 31.300
2".548-10 Attachment of pedicle or nap graft to lip Z757 16,000 33,200

LABIAL MUCOSA

1,500 2,100
,
Eu:ision ordestruction ,
226-26.00 Labiall'renectom 2741 3,000 6,200

226-99-99 Otherprocedures and operations onlabial muOOS3 2m 1,500 3.000

FLOOR OF MOurn

lm.:ision
220/.22<10 Drainage ofDoor ofmouth Z70 7,000 15.800
Include: Incisionanddrainage
Drainage ofLudwig'sangina
22'}·22-01 Marsu~tion orOoorofmouth lesion 3,000 5,000

® ~ WJit. 2549 47
Otherproceduresand openuions
229-99-99 Otherprocedurt'5andoperatiollSOllnoorofmouth 5,000 10.00:1

MOUTH
Note ; Duringcoding operations on mouth, if coderscan find more informationof exact mouth locarioo(e.g. upper.
lower etc'). thecoder must change anatomicalaxis code(233:::;mouth, unspecified) into morespecific code as
specificanatomical code below.
226 = labial mucosa; 227 = upperarcb of mouth;228 = lower arch of mouth; 229:::; floor of mouth: 230 = oral
vestibule labial:23J = oral vestibulebuccal; 232= oral frenulum;234:::; buccal mucosa

Dia$IIoSlicprocedure
23..'\.04.00 Biopsy ofmouth 271A 1,500 2.(0)

l"cisioll
233-21.00 Incision ofmouth, unspedlied structure rm 2,500 3,000
233-22-00 Drainageofmouth zo 4,800 7,500
Include:Incision and drainage

Excision ordestruakm

_
233-26-00 Debridementofmooth
.. -
233-26-01 \Vlde exdsonoflesion of mouth
TI9
2749 6,000 14,000

Rtpairor reOOIISIruction.
233-39-00 Sutureoflaceration ofmouth '1152 6,500 8,000
--
2J3.4O.OO Closure offistula ofmouth 2753 9,000 15,000
Oro-cutaneousfistula
Oro-nasalfistula
23J.48.OO Full-thicknessskln graft to mouth 2755 10,000 29,000
233-48<11 Mucosal~raft to the mouth 2759 10,000 29,000
-
. .-
233-48-10 Attachment ofpedieal or flap 10 mouth
233-48-20 ~xtension of deepening orbuccolabtal or lingual sulcus
2757
2491
10.000
18.000
30,500
32,900
Vestibuloplasty ofmouth
233-48-99 ~lasticrepairotmouth 1759 12,000 15.000

Miscellaneousprocedures
233-11-00 Removal offoreign bodyfrom mouth without incision 9801 1,000 1,200
~ Wounddrtssingalmouth 9357 300 500
233-83-00 Irrill?tion ofmouth TI99 300 500

Otherprocedures and operations

233-99-99 Otherprocedures andoperations onoralcavity 9,000 13,000

~ ~ w.ta. 2549 48
 CII4I'TER.J Proced ures or the neck mouth and phaf) D"\

ICD-9Code MeM ~lile90

TONGUE
Diagnosticprocedure
2J54I.OO Closed (ll<'<dIe)biopsyoftongue 2S01 1,500 2,000
lJ5.<I4.')l Open biopsy oftongue 2502 2,500 4.500
Wedge biopsyoftongue
~99 Other diagnostic procedures ontongue 2502 2,500 3,000

Intisiotl
2JS.21-OO UnguaIfrenulotomy 2591 3,000 4,800
2JS.21-99 Otherglossotomy 2594 3,000 5,OC1J
2JS.24-00 L~ ofadhesions oftongue 2593 3,500 5,000

E.xcisictl ordeslruction
2JS.26-00 Lingualfrenectomy 2592 3.000 7,500
Excision oftonguetie
Excisionofankyloglossia
23",·26-01 Excision oflesion or tissue oftongue. 251 3,500 8,200
2JS.~ Panialgl_r 252 20,000 33,300
2JS.l6-03 Completeg\<J!!;!domY 253 30,000 45,600
Glossteetomy

~ 2JS.l6-04 Radical~
.lli-28-00 Destruction oflesion ortissue oftongue
254
251
37,500
32,500
43,200
37,500

ReJ?!!.iror reconstruction
~ 2JS.J9.00 Sotoreoflacerationoftongue 2551 5.100 8,600
0
{)thtr procedJlreS and operouons
~99 Otherproceduresand operationson tongue 2599 9,000 13,000
~
0r
0
GINGIVA, GUM
,,
DitJgnoscice.rocedurt
2J6.04.OO Biopsy ofgum 2411 1,000 1,500
~1 Biopsyofalveoli 2412 1,000 1500
2J6..04.99 Other ~tic procedures ongums and alveoli 2419 1,000 1.500

!
I
lndsiOfl
236-21.00 Incision ofgum oralveolarbone
Apical alveolOlOmy
240 2,500 3.500

ExcisiOfl ordtSlnldion
~26-00 ExtEooof lesionor~eorgum 2431 5,000 7.000

~ ~WJil.2549 49
--- - - - - CHAPTER -/. Procedures of the neck mouth and pharynx

l<D-9Co<k Mean

RCl!fliror reconstruaion
236-~ Suture of Laceration of"GU =ID'-- -"'=__
2432 ==__-"""
3,000
23648-00 Gingivoplasty 242 5.800
Gingivoplasty with bone Of soft tissuegraft

OTherprocedures andoperations
236-99·9'} Other procedures and operationon gum 2439

PERMANENT TEETH
Note 'Codes included in this chapter aresurgical procedure codes on teeth only. Pleaseseechapter 5 for more
codes ondental procedures of deciduous teeth

General procedures
238-14-00 Removal of dental packing 2499 2,000 2.500
238-14-0IRernoval ofdental "!ring 2499 3,000 4.500
238-37-00 Dentahiring' - -==__
2499 ="-__
7.100 9,1XXJ
.uzi:

HARD PALATE

240-04-00 Biopsy ofOOny palate 2721 2,(11)

IncisilNl
240-2)-00 Incision of palate 271 2,(0)

Excisionordestruction
1AO-26-00 Local excisionoflesion or tissue ofOOny palate 2731 6,1XXl 9.1XXl
Local excisionOf destruction of palateby:
cautery
cbemolhel1lpy, ~------------- -----
cryotheripy
240-26-0] Wide excision oflesion or tissue orOOny palate 2732 12,1XXl 16,000
En blocresectionof alveolarprocess andpalate

Otherprocedures andoperations
240-99-99 Otherprocedures andoperation on hard palate 12,000 16.000

SOFTPALATE
Diagnosncprou "du,,"'-::-:-:__- - - - - - - - - -- - - - --==---::-:::-- --:-:=
241.(ll.()() Biopsyofsonpalak 2712 1,500

Incision
24J~21-OO Incision ofsoftpalate 3,900

~ ~W .Gl 2549 50
 CHAP/ER..J Procedures 01 the neck mouth and pharynx

.90 1(D9Code M<an _.90

Ii!Pa!.rorreconstruaion
tIOO 241·J9.00 Suture oflaceration o(palate 1761 6lX1J 12.200
700 :lU47.IJO Revision of cleft palaterepair 1763 18,00) 33,200
Secondary:
attachrnentof pharyngealflap
lengthening ofpalate
241-48.00 Correction ofcleft palate 1762 18,00) 38,700
Correctionofcleft palate by push-backoperation
W48-01 Palatoplasty reconstruction ofpalate 2769 18,00) 46,300
111~ Un OOpalatopla<;ly (UPP) 1769 18,00) 20,00)
, 11148-03 U\ldojJala~ (upPP) 1769 18,00) 20.00)
241_ Laser-assisted uvuIopaiatopla<ty (LAUP) 1769 18,00) 20,00)
241-48-1J5 Cautery assisted palatalstrefen operation(CAPSO) 17ffJ 10.00) 15,00)
241410 Radiotrequency ofson palate 17ffJ 10,00) 15,00)
~ 241499 Other plastic repair ofpalate 1769 18,00) 20,000

-
iOO
UVULA
DiagMSlk roceaure
24J.O.l.OO Biopsy ofuvula m4 1.500 2,000
r-r-
ir--:
OO Incisioll
24J.21.IJO Incision ofuvula ml 2.000 2,500

/iO &cisioll ordestruction

24J.26.IJO Excision ofuvula 1772 3.500 5,000
24J.2lHI1 Excision ofuvula using laser 1772 3,500 5,000
~
Repairor reconstruction
242-39.IJO Repairofuvula 5,000 9,000

- Otherprocedures and~m/io1lS
~ 24J.'J9.99 Other procedures and operations onmula 1779 5.000 9,000

PHARYNX
-
~ Include: Q!1lI'h"!Ynx, hypopharynx

Diagnosticprocedllrt
J44.OO.OO ~ 2911 500 1.000
J.l4.O.I.OO Pharyngeal biopsy 2912 5,000 9.000
!12 Biopsy ofsupraglottic mass
2444)4.99 Other diagnostic procedures on pharynx 2919 3,000 5.000

-
00

~ ~ W"," 2549 51
CHAPTER oJ Procedures of the neck mouth end pharynx

~ ~ WJiL 2549 52
 CH/iP7ER -l Procedures oj the neck mouth and pharynx

1CD-9 COOe Mean Perccotile90

M!,It-r/ltllU'qlfflJY(i(;t"d",u,,,,,",-
, _
245-U.oo Removal offoreign body fromtonsil and adenoid without incision 9813 3,000 3,500
l4.~J5.00 Control ofhemorrl1a
J" allertonsiUectomy and adenoidectomy W 6,000 8,000
24545-00 Removal offoreign body from tonsiland adenoid byincision 2891 3,000 4,500

Othtrpnxedu~~s tl1uJ
=op'
= m:::tI"ons
"'-c-_ -,- c--c-,--cc-_~~~
245-99-99 Other procedu !!San~ opera= =ti=
ons
=o::n=tOOSl
= ·Js=an=d::a:::d=ellOt
= ·d:.- ~="__= =--==
10,000 12,500

LARYNX
Include :Supraglottic. subglottic and larynx

Fi~ ~ 3143 4.000 5.000

Clesed fendoscoplc) biopsy
e "'of
::la
"'rynx
= '- -:~--:?:~--:~
3143 4,000 6,500
_Ope.!l biopsy of larynx 3145 7,500 10.000
~E.'r diagnostic proetdurtSon larynx 3148 6,500 8,000

- - c : - - - - -- - - -- - - --::-=----:-:-::
La!Jng<>lj$ure 13,000_ 15,000
Otherincision oflarynx 13,000 15,000
Marsupialization oflaryngrol cyst 13,000 15,000
Lysis ofadhesions oflarynx 16.000 17,5iXl
Lysis ofadhesions oflarynxusing laser 16,000 17,500
Division ofcongenital web oflaJ:ynx 13,000 17,500
Division of congenital web oflarynxusing laser 13.000 17,5.QO

Excision or desrmctiofl
247-26-01) E:~cisio'l of lesion or tissue oflaQ1lX 12,500 15,000
247·26-(11 Excisio'nof lesion or tissue ofiarynx,using laser 12,500 15,000
147.26<J2 ~", ~ =·"",<:"'-y -""'''--''"'''''''-'-'''''''''
3021 20,000 25,000
2f)-2=-"====
147-~
6-(J,JH!:!!!i!aryng!diy 301 27,500
""-_-"'"=_-"'"=
27,500
30,000
Other partilIllaryng!domy 3029 30,000
Excision oflaryngealcartilage
Supraglottic laryngectomy
Supracricoid laryngectomy
Neartoral 1an-ngectomy
247-26-10 Complete 1llryng<domy 303 35.000
_ BlocJ;. dissectionQflarynx (with thyrojdcc_!Q!.l~_tll, ~"'chro
=noo=s"'trac
=b<os7.= to
"m"'y'L) _
Total laryngw omy
Laryngopharyngectomy
247·26-11

247-26-99
247·28-99

~ ~W.Sl , 2549 53
CliAI'TLR.f. Procedures of the neck mouth and pharynx

1CD-9COO< /Man _W

Repairerreconstruction
247-39-00 Sutureoflaceration oflarynx 3161 10,000 15,000
247-39-01 Repair otlaryngeal fl1l<'ture 3164 15,000 17,500
247-39-99 Otherrel"'irofiarynx 31(J/ 12,000 20.000
Graftoflarynx
247~ Closureoffistula oflarynx 3162 12,000 20,000
Laryngotracheal fistulectomy
Take-down oflary ngostomy
24747.OlJ Revisionoflaryngostomy 316J 12,500 17,500

Miscelumeous procedures
247-10-00 Closed (endoscop ic) insertion oflaryngeai stent 3198 10,000 12.000
247-U.OlJ Removal ofkeelorstentfrom larynx 3198 8,000 10,000
247-U.o1 Removal ofinJralwninal for<ign bodyfrom Jarynx 9814 8.000 10.000
247-12.01) CI05ed (endoscopic)replacement oflaryngea1SleDt 3193 8,000 12,(XX)
247-3I.OlJ Dilationoflarynx
24744.00 Openinsertion of laryngeal stent
3198
3198
----
8,000
12,000
10.000
15,000
--
247-4().OlJ Open replacement oflaryngeal stent 3193 13,000 17,500
---
247-8I.OlJ Injectionoflarynx 310 13,000 15,000
Injectionof ~ materia) intoIfl!1!U___ _
Excludes : Medialization ofvocal cord (248-81-00)

Otherprocedures alit! operations

247-99-99 Otherproceduresandoperation onlarynx 3198 13,000 18.000

VOCAL CORD
Excision ordestruction
248-l6.OlJ Voeai, cordstripping JOO') 12.000 15,000
248-26.01 Voeai cordectom J022 18000 26000
Excision ,ofvocalcord
248-26.02 Voeaico_ynsinglaser J022 18,000 20,000
248-26.03 Arytenoidectomy JOO') 20,000 22,500
248-26.04 Laser arytenoidectomy JOO') 20,000 22.500

Repairorreconstruction
248-34-00 Arytenoi<Iopay 31(J/ 22,500 2.5,000
248-38.OlJ Media1ilation ofvocal cord 31fi1 15,000 2O.0(X)
Injectionofinertmaterial into vocalcord
248-38.01 Medialilation ofvoeai cord,external approach 31(J/ 15.000 20.000
248-38.02 Lateralization ofvocal cord 31(J/ 15,000 20,000
248-38.03 1'ransp()sition of \-'OCa1 cord 31(1/ 15,000 20,000
248-38-99 Other repairofvocal cord 31(1/ 15.000 20,000

Otherproc!-d!!.res andoperations
248-99-99 Otherproceduresand operations on larynx 3198 15,000 20,000

~ ~ WJiI. 2549 54
 CHAPTER 4 Procedun..~ of the neck mouth and pharynx

LARYNGEAL NERVE
Excisioll ordtsrructio/l
z.t9.l4-OO Di,jgjon ~~ne"!rv
,,,e
,,- _ 10.000 .l3..,lXX1

Rrpair or m;OIlS:~
tn",
"::"~
'OI~
I ~

lA9-J9.00 Repairoflaryngealnerve ~-~~~

043 15,000 -,..':=
25,00)

OdItr procedures (llld 0p'rariolls

249-91),.99 Other procedures and operations oflal)ngeaI nerve 3J9S 15.000 25.000

TRACHEA
DiagIlOSricprocetk''!
re'- -,.,
l i().OO.OO Traeheoscopy 1hro!!Jlb artiJicIaI stoma 3141 2.500 _ _3..000
~I Fiberoptic ~y 3.142 2,500 3..000
~ 1i'a'hooscopyusing ~ri~ g;~d~en"'d~oscope
~~ ;.::=--~~--7:=
3142 8.000 10.000
l~ CI..oo (endoscopiccL ) b"'io"!psy
'Ol.'O~f"tra"""'hea
""_ - - _ _~~'-~'=:_--':"C':
3.144 8.000 10.000
25O#OJ Open biopsy oftrachea 3.145 10.000 13,000
~!)9 Other~ostic procedllf'eS on..!.rachea 3149 10,000 13..000

/fKition
----------------
)51).21·99 Olberincision ottrachea 3. l3. 8,000
-----
10.000

Exfision ordestruaion
lSI).l(;.OO Local excisionordestruction oflesion ortissue oftra~a 315 10.000 12,!QQ
lSI). 2Ij.()1 Local excision ordestruction of lesion oftissue oftrache using laser 3.15 18.000 20.000

RI!J"~ll or1efP1I!.rTllction
251~J9.00 Suture otlaceration oftrachea 3171 13,000 1 8.~
2,'lJ.3.9-99 Other~operationson trachea 3.179 l3..OOO 18,000
~ C1<lsureofexternallistu1a
, oftrachea 3172 12,000 l3.,000
.t:::Iosute oftraeheostomy stoma 2,000 3.000
~!. Closure ofother fistula oftrachea 3m 13.000 15.000
Tracheoesophageal f istulecroruy
l5I).47.4X) Revision oftracbeostomy 3.174 7,500 10,000
2,~ Tracheal resection and end toend anastomosis 3179 3.5.000 40.000
~I Tracbealreseeticn and cricotacheaJ anastomosi>; 3.179 3.5,000 40,000
l~2 Tntcbeal resection and t!tyrotracheal anstcmesls 3.179 35.000 40.000
~ .~ecom:truction oftrachea and construction ofartificial larynx 3.175 3.5.000 40.000
Tracheoplasty withartificial larynx
J;048.99 Other plastic operations ontrachea 3.179 25.000 3.0.000

,\fioc t'lJm~ procedures

lSI).lo.oo Endotracheal intubation 9roI 1.500 2,000
Insertionof endotracheal tube
---
2,'lJ.lfl.Ol Insernen tracheal ortracheobronchialstent 3.199 9,000 10.000
lil'lI.4X) Remo, a1 of_ tomXtube W7 1,500 2.000

~ ~W.GI.2549 55
CHAP7 ER'; Procedures of the neck mouth and pharynx

JCD.9Code M<M

250-U4)1 Removal ofintraluminal foreign body from trachea 9815 8.000 13.000
250-U4)2 Removal oftracheal ortracheobronchial stent 3199 8.000 10,000
250-124)0 Replacement of tracheostomy tnbe ml 1.800 2.000
250-124)1 Replacement of tracheal stent 3193 8.000 12,000
250-224)0 Ttaeheostcmytcilette 9655 1.000 1,5011
250-224)8 Other lavage oftrabea 9655 500 8011
250-24-01)Lysis ofadhesion of.!J"3chea 3192 10.000 12.5011
250-24-01 Lysis ofadhesion of trachea using laser 3192 10.000 12,5011
250-314)0 Dilatation oftrachea 3199 8,000 12.5011
250-334lO Temporary tracheostomy Jil 5,000 7,5011
Tracheostomy forassistance ofbreathing
250-334l1 Media<linaI trachen<lomy 3121 10,000 15,000
250-J34)9 OtIrerpennanenl tracheostomy 3129 10.000 15,000
250-33-10 1hlclleoesopbag I'istulilJltion 3195 17.500 20.000
250-814)0 Injection oflocally-acting therapeuticsubstance into trachea 3194 2,OCX) 4,000

Other procedures andoperations

250-99·99 Other procedures and operation ontrachea 3199 16,000 18.0lIO

,
,

~ ~w.Q. 2549 56