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Icpm - Vol 1 PDF
Icpm - Vol 1 PDF
Procedures in Medicine
Volume l
Page
INTRODUCTION
TABULAR LIST
1. PROCEDURES FOR MEDICAL DIAGNOSIS . . . 1-1
2. LABORATORY PROCEDURES . . . . . . . 2-1
4. PREVENTIVE PROCEDURES . . . . . . . . 4-1
5. SURGICAL PROCEDURES . . . . . . . . . 5-1
8. OTHER THERAPEUTIC PROCEDURES . . . . 8-1
9. ANCILLARY PROCEDURES . . . . . . . , 9-1
ALPHABETICAL INDEX . . . . . . . . . . , 1-1
To b'e published:
A c t i v i t i e s f o r t h e preparation of t h e proposals f o r t h e I n t e r n a t i o n a l
C l a s s i f i c a t i o n o f P r o c e d u r e s i n Medicine began a t a b o u t t h e same t i m e a s
t h o s e f o r t h e N i n t h R e v i s i o n of t h e I n t e r n a t i o n a l C l a s s i f i c a t i o n o f
D i s e a s e s and were c a r r i e d o u t i n p a r a l l e l .
(b) i t s h o u l d be a p p l i c a b l e t o i n p a t i e n t s and o u t p a t i e n t s ;
(c) i t s h o u l d i n c l u d e a l l t y p e s o f p r o c e d u r e s t o be r e c o r d e d f o r
s t a t i s t i c a l , administrative, c l i n i c a l o r research purposes,
encompassing e x p l o r a t o r y , r a d i o l o g i c a l , s u r g i c a l and o t h e r
procedures of a d i a g n o s t i c , prophylactic o r t h e r a p e u t i c n a t u r e .
I n a c c o r d a n c e w i t h t h e s e recommendations, t h e p r e s e n t p r o v i s i o n a l
C l a s s i f i c a t i o n c o n s i s t s of nine chapters:
2. Laboratory procedures l
1
3. Radiology and c e r t a i n o t h e r a p p l i c a t i o n s o f p h y s i c s i n m e d i c i n e
4. Preventive procedures
5. Surgical operations
1
6 and 7. Drugs, medicaments and b i o l o g i c a l a g e n t s
8. Other t h e r a p e u t i c procedures
9. Ancillary procedures
Structure
The I n t e r n a t i o n a l C l a s s i f i c a t i o n of P r o c e d u r e s i n Medicine h a s a
s t r u c t u r e s i m i l a r t o t h a t of t h e I n t e r n a t i o n a l C l a s s i f i c a t i o n of Diseases.
Each volume w i l l c o n t a i n a t a b u l a r l i s t and an a l p h a b e t i c a l i n d e x .
To be p u b l i s h e d s u b s e q u e n t l y .
vii
Sources
The c l a s s i f i c a t i o n o f l a b o r a t o r y p r o c e d u r e s ( c h a p t e r 2 ) i s b a s e d
l a r g e l y on a French p r o j e c t which was m o d i f i e d i n o r d e r t o t a k e i n t o
a c c o u n t t h e e v e r growing number o f new t e c h n i q u e s .
The E i g h t h R e v i s i o n o f t h e I n t e r n a t i o n a l C l a s s i f i c a t i o n o f D i s e a s e s
(Adapted) ( U n i t e d S t a t e s P u b l i c H e a l t h S e r v i c e P u b l i c a t i o n No. 1693)
s e r v e d a s a b a s i s f o r t h e c l a s s i f i c a t i o n o f s u r g i c a l o p e r a t i o n s ( c h a p t e r S),
b u t some i t e m s were e x t r a c t e d from o t h e r s o u r c e s , p a r t i c u l a r l y t h e Dutch
code (Algemene Ziekenfondsen, 1968) and t h e C l a s s i f i c a t i o n o f t h e O f f i c e
o f P o p u l a t i o n Censuses and Surveys (England and Wales, 1 9 7 4 ) , a s w e l l a s
s e v e r a l o t h e r l i s t s and working documents i s s u e d by h o s p i t a l s and p u b l i c
h e a l t h a d m i n i s t r a t i o n s i n a l l r e g i o n s o f t h e world. However, t h e a r r a n g e -
ment o f c a t e g o r i e s i s b a s e d on t o p o g r a p h y , n o t s u r g i c a l s p e c i a l t y .
Two c h a p t e r s a r e p r o v i d e d f o r t h e c l a s s i f i c a t i o n o f d r u g s , medicaments
and b i o l o g i c a l a g e n t s ( c h a p t e r s 6 and 7 ) . They f o l l o w a s c l o s e l y a s
p o s s i b l e t h e c o r r e s p o n d i n g s e r i e s o f c a t e g o r i e s i n s e c t i o n s 960-979 o f t h e
Ninth R e v i s i o n o f ICD, which c l a s s i f y t h e t o x i c e f f e c t s o f t h e s e sub-
stances. The code numbers have been d e r i v e d by o m i t t i n g t h e ICD f i r s t
d i g i t "9" and by adding an a d d i t i o n a l d i g i t f o r f u r t h e r d e t a i l . For
example, t h e ICD c a t e g o r y 960.0 P e n i c i l l i n s becomes 6-00 i n t h e Drugs
c l a s s i f i c a t i o n and t h e s u b d i v i s i % s 6-000 t o 6-009 a l l o w f o r i d e n t i f i -
c a t i o n of t h e v a r i e t i e s of p e n i c i l l i n .
Mode o f u t i l i z a t i o n
The u s e o f t h e I n t e r n a t i o n a l C l a s s i f i c a t i o n o f P r o c e d u r e s i n Medicine
s h o u l d n o t p r e s e n t r e a l problems f o r c o d e r s , s i n c e t h e s t e p s f o r a s s i g n i n g
t h e code numbers a r e s i m i l a r t o t h o s e f o l l o w e d f o r c o d i n g w i t h ICD.
E v i d e n t l y , t h e u s e r s h o u l d c a r e f u l l y review t h e arrangement o f t h e
t a b u l a r l i s t s and t h e a l p h a b e t i c a l i n d e x e s i n o r d e r t o become f a m i l i a r
w i t h t h e c o n t e n t s and t h e manner o f p r e s e n t a t i o n and e s p e c i a l l y t o become
f a m i l i a r with t h e terminology used i n t h e s e c l a s s i f i c a t i o n s .
I n t h e t a b u l a r l i s t s t h e c a t e g o r i e s a r e n u m e r i c a l l y o r d e r e d , b u t some
gaps w i l l be found which a r e i n t e n d e d f o r g r e a t e r f l e x i b i l i t y and p o s s i b l e
m o d i f i c a t i o n s i f t h e need a r i s e s . A s i n ICD t h e f o u r t h - d i g i t sub-
d i v i s i o n s c o n t a i n a few i n c l u s i o n t e r m s t o c l a r i f y t h e c o n t e n t s o f t h e
c a t e g o r y ; e x c l u s i o n n o t e s a r e a l s o used f o r t h a t p u r p o s e . The r e f e r e n c e :
"Other a v a i l a b l e codes: ...l1 i n d i c a t e s t o t h e r e a d e r t h e p l a c e where
o t h e r r e l a t e d p r o c e d u r e s have been c l a s s i f i e d .
For some p u r p o s e s t h e c h a p t e r s of t h e I n t e r n a t i o n a l C l a s s i f i c a t i o n of
P r o c e d u r e s i n Medicine can be used s e p a r a t e l y , f o r example: c h a p t e r 3 by
a r a d i o t h e r a p y d e p a r t m e n t , c h a p t e r 2 by a l a b o r a t o r y s e r v i c e , c h a p t e r 4 by
a p r e v e n t i v e u n i t n o t o f f e r i n g t r e a t m e n t s e r v i c e s , and c h a p t e r s 6 and 7 by
a pharmacy. H e a l t h i n s t i t u t i o n s s h o u l d , however, s t r i v e t o u s e t h e
complete s e t o f n i n e c h a p t e r s .
S i n c e i n t h e m a j o r i t y o f c i r c u m s t a n c e s a p a t i e n t w i l l be s u b j e c t t o
more t h a n one p r o c e d u r e , t h e p r i n c i p l e o f m u l t i p l e c o d i n g a p p e a r s
e s s e n t i a l , w i t h i n c h a p t e r s a s w e l l a s between c h a p t e r s . Ideally, a l l
t h e p r o c e d u r e s s h o u l d be coded. T h i s i s e s p e c i a l l y a d v i s a b l e from t h e
a d m i n i s t r a t i v e s t a n d p o i n t ( c h a r g e s , a c c o u n t i n g , etc.) and f o r s t a t i s t i c a l
purposes. However, i t i s f o r t h e h e a l t h i n s t i t u t i o n o r a d m i n i s t r a t i o n t o
d e c i d e how many i t e m s s h o u l d be coded from each c h a p t e r and i n each c a s e .
Coding w i t h t h e I n t e r n a t i o n a l C l a s s i f i c a t i o n o f P r o c e d u r e s i n
Medicine i s s i m p l e r t h a n c o d i n g w i t h ICD, s i n c e t h e r e a r e no s p e c i a l r u l e s
f o r c o d i n g a s i s t h e c a s e f o r ICD, where we f i n d a s e t o f r u l e s f o r s i n g l e -
c o n d i t i o n c o d i n g i n m o r t a l i t y and m o r b i d i t y . Coding problems e n c o u n t e r e d
w i t h t h e s e new c l a s s i f i c a t i o n s , i f any, s h o u l d be d e a l t w i t h i n a c l a s s -
room s i t u a t i o n .
Comments
- and s u g g e s t i o n s
Users o f t h e I n t e r n a t i o n a l C l a s s i f i c a t i o n o f P r o c e d u r e s i n Medicine
a r e r e q u e s t e d t o f o r w a r d t h e i r comments and s u g g e s t i o n s , a f t e r an
e x p e r i e n c e o f two o r t h r e e y e a r s , t o :
Head, WHO C e n t r e f o r C l a s s i f i c a t i o n o f D i s e a s e s
O f f i c e o f P o p u l a t i o n Censuses and Surveys
S t C a t h e r i n e ' s House
1 0 Kingsway
London WCZB 6JP
United Kingdom
MEDICAL SERVICES
The f o l l o w i n g f o u r t h - d i g i t s u b d i v i s i o n s a r e f o r u s e w i t h c a t e g o r i e s 1-10
t o 1-18:
0 Brief
w i t h s h o r t o r i n t e r v a l h i s t o r y and g e n e r a l i n s p e c t i o n o f
the patient
1 Limited
w i t h h i s t o r y p l u s e x t e r n a l e x a m i n a t i o n r e f e r r e d t o one
o r g a n o r two s y m e t r i c o r g a n s
2 Intermediate
w i t h h i s t o r y p l u s e x t e r n a l e x a m i n a t i o n r e f e r r e d t o one body
system
3 Extensive
w i t h h i s t o r y p l u s e x t e r n a l e x a m i n a t i o n r e f e r r e d t o two o r
more body systems
4 Complete
w i t h h i s t o r y p l u s e x t e r n a l e x a m i n a t i o n r e f e r r e d t o t h e whole
body
9 Not o t h e r w i s e s p e c i f i e d
Includes : recording o f :
history
p h y s i c a l examinat i o n a t t h e s t a r t of t h e
i n t e n d e d d i a g n o s t i c program current episode
treatment prescribed of c a r e
1-10 I n i t i a l medical a t t e n t i o n , o u t p a t i e n t
1-11 I n i t i a l medical a t t e n t i o n , i n p a t i e n t
1-12 I n i t i a l medical a t t e n t i o n , o t h e r p a t i e n t
Includes: day h o s p i t a l
domiciliary
emergency s e r v i c e patient
extended c a r e
o r convalescent
night hospital
SUBSEQUENT MEDICAL ATTENTION
Includes: recording o f :
history
physical examinations
o t h e r examinations a f t e r t h e s t a r t of t h e current
treatment given episode of c a r e
evolution
f i n a l summary
diagnoses )
of t h e c u r r e n t episode of c a r e
CONSULTATION
Excludes: s u b s e q u e n t a t t e n t i o n s i f t h e c o n s u l t a n t p h y s i c i a n assumes
t h e r e s p o n s i b i l i t y f o r continuing services t o t h e
p a t i e n t (1-13 t o 1-15)
NEWBORN SERVICES
1-19 I n - h o s p i t a l newborn c a r e
1-194 R e c o r d i n g o f crown-heel l e n g t h
1-198 S u b s e q u e n t c a r e o f h e a l t h y newborn
1-199 Not o t h e r w i s e s p e c i f i e d
EXAMINATION OF SPECIAL SYSTEMS
For h e a r t m o n i t o r i n g
1-262 Dynamic e l e c t r o c a r d i o g r a p h y
DC G
With e x e r c i s e t e s t
Contourograph
1-269 O t h e r and u n s p e c i f i e d e l e c t r i c a l r e s p o n s e o f h e a r t
Excludes: monitoring
- of f e t a l h e a r t d u r i n g l a b o r (8-961)
1-27 C a t h e t e r i z a t i o n o f h e a r t and v e s s e l s
Cardiac c a t h e t e r i z a t i o n , unqualified
1-275 R e t r o g r a d e c a t h e t e r i z a t i o n of l e f t h e a r t
1-278 O t h e r c a t h e t e r i z a t i o n of h e a r t
1-279 Other d i a g n o s t i c c a t h e t e r i z a t i o n of v e s s e l s
EXAMINATION OF OTHER SPECIAL SYSTEMS
1-301 DMF ( d i s e a s e d , m i s s i n g , f i l l e d ) c h a r t i n g
1-302 D i a g n o s t i c o c c l u s a l mulds
1-304 Buccal e x a m i n a t i o n w i t h f i n g e r
1-310 Pharyngeal e x a m i n a t i o n w i t h f i n g e r
1-312 R e t r i e v a l of vomit f o r a n a l y s i s
1-319 O t h e r i n s t r u m e n t a l e x a m i n a t i o n o f upper d i g e s t i v e t r a c t
1-32 G a s t r o i n t e s t i n a l examination
1-320 D i g i t a l e x p l o r a t i o n o f rectum
1-321 Electrogastrogram
1-322 Stoma1 c a l i b r a t i o n
1-33 Examination of u r i n a r y t r a c t
1-331 R e s i d u a l u r i n a r y volume
1-333 Continuous f l o w c y s t o m e t r y
A i r cystometry
Cystometrography
1-335 U r e t h r a l p r e s s u r e measurements
1-336 Meatal c a l i b r a t i o n
1-340 I n - d e p t h c l i n i c a l e x a m i n a t i o n of male g e n i t a l o r g a n s
Excludes: e x a m i n a t i o n o f s p e r m a t i c f l u i d (2-285)
1-351 Endocrine a s s e s s m e n t , v a g i n a l c y t o l o g y
1-352 Endocrine a s s e s s m e n t , e n d o m e t r i a l c y t o l o g y
1-354 I n t r a u t e r i n e p r e s s u r e measurement
Excludes: a m n i o c e n t e s i s (5-753)
1-360 I n - d e p t h c l i n i c a l e x a m i n a t i o n o f m u s c u l o s k e l e t a l system
D e t e c t i o n o f asymmetry
BIOPSY
1-426 Lymphatic b i o p s y
S c a l e n e node b i o p s y
1-43 Biopsy of o t h e r r e s p i r a t o r y o r g a n s
1-431 Lung, p e r c u t a n e o u s b i o p s y
1-432 B i o p s y o f b r o n c h u s by endoscopy
1-433 P l e u r a l biopsy
1-434 Biopsy o f c h e s t
1-44 Biopsy o f u p p e r a l i m e n t a r y t r a c t
1-442 Duodenal c a p s u l e b i o p s y
1-45 Biopsy o f o t h e r a l i m e n t a r y o r g a n s
Sigmoidoscopic biopsy
1-460 Kidney, p e r c u t a n e o u s b i o p s y
1-461 Biopsy o f u r e t e r
1-462 Biopsy of b l a d d e r
1-463 Riopsy o f p r o s t a t e
1-11
1-464 Biopsy of u r e t h r a
1-465 Biopsy o f t e s t i s , epididymis and s p e r m a t i c c o r d
1-466 Biopsy of p e n i s
1-470 Ovary, a s p i r a t i o n b i o p s y
1-472 C e r v i c a l smear
( F o r r o u t i n e s c r e e n i n g u s e 4-250)
1-474 Ring b i o p s y o f c e r v i x
1-476 V a g i n a l b i o p s y o r smear
1-477 Biopsy o f i n t r o i t u s
1-481 Abdominal w a l l b i o p s y
Excludes: s k i n o f n o s e (1-414)
s k i n o f e a r (1-410)
s k i n o f e y e l i d o r eyebrow (1-4121
1-484 Bone o r j o i n t b i o p s y
D r i l l biopsy
1-49 Biopsy o f u n s p e c i f i e d s i t e
1-499 Biopsy, u n q u a l i f i e d
SURGICAL BIOPSY
Includes: b i o p s y by i n c i s i o n , open o p e r a t i o n o r e x c i s i o n o f t i s s u e
Excludes: b r e a s t (1-501)
e a r (1-530)
e y e l i d (1-520)
l i p (1-540)
n o s e (1-538)
p e n i s (1-564)
scrotum (1-569)
v u l v a (1-573)
1-501 Breast
Mammary g l a n d
1-502 Muscle
1-503 Bone
1-504 Joint
Arthrotomy f o r b i o p s y
1-519 Other
1-52 Eye
1-520 Eyelid
1-521 Conjunctiva
1-523 Cornea
1-529 Other
1-13
1-530 External e a r
1-532 Ear, o t h e r
1-537 Nose, i n t e r n a l
1-538 Nose, o t h e r
1-540 Lip
1-541 Tongue
1-542 S a l i v a r y glands
1-543 V e s t i b u l e o f mouth
1-545 Mouth, o t h e r
1-546 Oropharynx
1-547 Hypopharynx
1-548 Nasopharynx
1-549 Pharynx, o t h e r
1-55 O t h e r o r g a n s o f t h e d i g e s t i v e s y s t e m , diaphragm
1-550 Diaphragm
1-551 Liver
1-553 Pancreas
1-554 Stomach
1-555 Small i n t e s t i n e
1-556 Colon
1-557 Rectum
1-558 Anus
1-559 Other
I n t e s t i n e NOS
Peritoneum
1-56 U r i n a r y t r a c t and male g e n i r a l o r g a n s
1-560 Kidney
1-561 Urethra
1-563 Prostate
1-564 Penis
1-565 Testis
1-57 Female g e n i t a l o r g a n s
1-571 Cervix
1-572 Vagina
1-573 Vulva
1-574 Perineum, f e m a l e
1-579 Other
1-580 Pericardium
1-582 T h y r o i d and p a r a t h y r o i d g l a n d s
1-589 Other
1-59 Surgical biopsy, not otherwise specified
1-599 Surgical biopsy
ENDOSCOPY
1-644 Anoscopy
1-65 U r i n a r y t r a c t endoscopy
1-650 Ureteroscopy
1-651 Pyeloscopy
1-652 Cystoscopy
1-653 Panendoscopy
1-654 C o l l e c t i o n o f u r i n e from s i n g l e u r e t e r
1-655 Urethroscopy
1-66 Endoscopy o f f e m a l e g e n i t a l t r a c t
1-660 Hysteroscopy
1-663 Colposcopy
Excludes : c u l d o s c o p y (1-696)
1-67 O t h e r s p e c i f i e d endoscopy
1-670 Cavernoscopy
Excludes: o f r e n a l p e l v i s (1-551)
1-679 O t h e r s p e c i f i e d endoscopy
1-68 Endoscopy o f u n s p e c i f i e d s i t e
1-680 Endoscopy v i a o r i f i c e
1-681 Endoscopy p h o t o g r a p h y
1-689 Endoscopy, u n q u a l i f i e d
Endoscopy w i t h o u t i n c i s i o n
1-69 Endoscopy w i t h p u n c t u r e o r i n c i s i o n
1-691 Thoracoscopy
Cardioscopy ( e x t e r n a l ) Transpleural
Mediastinoscopy
By e n t e r o t o m y By p a r a c e n t e s i s
1-694 Laparoscopy
Peritoneoscopy
Choledochoscopy Pyeloscopy
During c o u r s e o f o p e r a t i o n Ureteroscopy
Gastroscopy
1-696 Culdoscopy
1-697 Arthroscopy
Endoscopy o f c e r e b r a l v e n t r i c l e S p i n a l endoscopy
1-699 S u r g i c a l endoscopy, u n q u a l i f i e d
O p e r a t i v e endoscopy
1-70 T e s t s o f immunological s t a t u s
1-701 Skin t e s t s f o r s u s c e p t i b i l i t y
Bacterial: b r u c e l l o s i s (Brucellergen)
l e p r o s y (lepromin, histamine lepromin)
s t r e p t o c o c c i (Dick, S c h u l t z - C a r l t o n )
t u l a r e m i a (Foshay)
B a c t e r i a l t o x i n d i p h t h e r i a (Schick)
V i r u s : lymphogranuloma venereum ( F r e i t e s t )
1-702 Skin t e s t f o r h y p e r s e n s i t i v i t y
Delayed r e a c t i o n : t y p e 1 1 1 , A r t h u s r e a c t i o n , IgE ( h o u r s )
Immediate r e a c t i o n : t y p e I , r e a g i n , IgE ( m i n u t e s )
a t o p i c asthma ( p o l l e n )
r h i n i t i s (hay f e v e r )
L a t e r e a c t i o n : t y p e IV? lymphocyte m e d i a t e d ( d a y s )
M e t a l s : n i c k e l , beryllium f u n g a l s k i n r e a c t i o n s
Reactions f o r helminths (Casoni, Melcherl
1-703 Tuberculin t e s t i n g
Kveim t e s t ( s a r c o i d ) , histoplasmosis
1-705 Passive transfer t e s t
Prausnitz-Kustner reaction
1-706 Nasal c h a l l e n g e f o r a l l e r g y
A l l e r g i c a l v e o l i t i s (farmer's lung)
B r o n c h i a l edema, PMN r e a c t i o n
By i n s u f f l a t i o n
Non-atopic asthma
1-708 Other s p e c i f i e d t e s t s
Subconjunctival Sublingual
1-709 A l l e r g y t e s t i n g NOS
Gas d i l u t i o n : Spirometry:
r e s i d u a l volume t i d a l volume
t o t a l lung capacity v i t a l capacity
Dynamic s p i r o m e t r y Maximum b r e a t h i n g c a p a c i t y
Forced e x p i r a t o r y flow r a t e s Peak f l o w r a t e
Forced v i t a l c a p a c i t y
1-712 Resistance t o r e s p i r a t i o n
Airways c o n d u c t a n c e Esophageal p r e s s u r e
Airways r e s i s t a n c e Pulmonary r e s i s t a n c e
Body plethysmography Total flow r e s i s t a n c e
Dynamic c o m p l i a n c e T o t a l s t a t i c compliance
1-713 D i s t r i b u t i o n o f v e n t i l a t o r y a n r f low
M u l t i - b r e a t h washout Regional v e n t i l a t o r y f u n c t i o n
Nitrogen Single breath expiration t e s t
Radioactive gas
1-714 D i s t r i b u t i o n o f c i r c u l a t o r y b l o o d f low
Pulmonary v a s c u l a r r e s i s t a n c e
1-715 Gas exchange and v e n t i l a t i o n - p e r f u s i o n e f f i c i e n c y
Alveolar-arterial tension gradients f o r r e s p i r a t o r y gases
Dead s p a c e / t i d a l volume r a t i o
T r a n s f e r f a c t o r f o r carbon monoxide
1-716 Ventilatory control
Response t o carbon d i o x i d e
1-719 Other r e s p i r a t o r y f u n c t i o n t e s t s
Excludes: m e t a b o l i c f u n c t i o n t e s t s (1-76)
s t a n d a r d i z e d e x e r c i s e v e n t i l a t i o n (1-724)
1-72 Cardiac f u n c t i o n t e s t s
1-720 Intracardiac pressures
1-729 Not o t h e r w i s e s p e c i f i e d
1-73 Circulatory function t e s t s
1-730 Blood flow i n s i n g l e a r t e r y
Renal a r t e r y flow
1-731 Blood flow i n limb
1-732 Circulatory s t r e s s t e s t i n g
1-733 P o r t a l venous p r e s s u r e measurement
V)
Q)
a
3
r(
U
X
W
Metallo-organic compounds in blood
mercury Tetra-ethyl lead
Ethyl alcohol in blood
Other alcohols in blood
Estimation of alcohol in exhaled breath
Other exogenous organic compounds in exhaled breath
Other exogenous organic compounds in blood
Other organic substances in blood
Organic acids and salts in blood
Bile acids and salts in blood
Products of acidosis and ketosis
Other endogenous organic substances in blood
Physical and other chemical blood tests
Blood pH
Osmolality of blood
CryoScopy Electrical conductivity
2-182 Density of blood
2-183 Viscosity of blood
2-188 Physicochemical blood tests, not elsewhere classified
2-189 Biochemistry of blood, not otherwise specified
Examination o f i n t e s t i n a l t r a c t c o n t e n t s
Aminoacids i n f e c e s
Other f e c a l n i t r o g e n e x c r e t i o n
Lipids i n feces
D e t e c t i o n of o c c u l t blood i n f e c e s
Enzymes i n f e c e s
Other c o n s t i t u e n t s o f f e c e s
Excludes: i n t e s t i n a l d i g e s t i v e f u n c t i o n (2-31)
2-27 C e r e b r o s p i n a l f l u i d examinat i o n
2-270 Blood i n c e r e b r o s p i n a l f l u i d
2-272 Glucose i n c e r e b r o s p i n a l f l u i d
2-273 Urea i n c e r e b r o s p i n a l f l u i d
2-275 T e s t s f o r abnormal p r o t e i n i n c e r e b r o s p i n a l f l u i d
2-276 Aminoacids i n c e r e b r o s p i n a l f l u i d
Enzymes
Excludes : f o r e n s i c (2-943)
g a s t r i c f u n c t i o n (2-30)
2-282 P l e u r a l f l u i d examination
C h l o r i d e sodium
2-285 Spermatic fluid examination
Excludes: microscopic examination (2-915)
2-286 Amniotic fluid examination
Excludes: alpha-fetoprotein (2-632)
2-288 Examination of other body fluids
2-289 Biochemistry, other and unspecified
Enzyme a c t i v i t y
2-34 Renal f u n c t i o n
2-340 Aminoacid c l e a r a n c e p a t t e r n
2-341 C l e a r a n c e o f endogenous s u b s t a n c e
2-342 C l e a r a n c e o f exogenous s u b s t a n c e s
2-345 O t h e r chemical t e s t s o f f u n c t i o n
2-35 Chemical m e t a b o l i c f u n c t i o n t e s t s
2-351 E l e c t r o l y t e balance
Potassium b a l a n c e Sodium b a l a n c e
Fat loading t e s t
2-354 Adrenal f u n c t i o n t e s t s
A s c o r b i c a c i d d e p l e t i o n method Water l o a d i n g t e s t
Excludes: c o r t i c o t r o p h i n s t i m u l a t i o n (2-420)
Excludes: b a s a l m e t a b o l i c r a t e (1-760)
Bone metabolism tests
Calcium balance
Phosphate balance
Calcium phosphate balance
Parathyroid hormone (PTH)
Vitamin D
Other bone metabolism tests
Thyroid function
Protein-bound iodine in serum
Thyroxine-binding globulin
Total serum thyroxine (T-4)
Competitive protein binding Saturation analysis
2-403 Iodine uptake and conversion
Circulating tri-iodothyronine Tri-iodothyronine (T-3) uptake
2-404 Free thyroxine index
Effective thyroxine ratio (ETR) Normalized thyroxine ratio (NTR)
Non-protein-bound thyroxine Serum free thyroxine (T-4)
2-405 Thyroid urinary excretion
2-406 Plasma thyrotrophin
Dynamic response to hypothalamic Immunoassay of TSH
releasing factor (TRH) Thyroid stimulating hormone (TSH)
2-407 Other chemical tests of thyroid function
Long-acting thyroid stimulator (LATS) Thyroid clearance
2-409 Other tests of thyroid function
Excludes : basal metabolic rate (1-760)
tendon reflex time (1-202)
2-41 Pituitary function tests
2-410 Response to metyrapone
2-411 Response to antidiuretic hormone
2-412 Serum follicle stimulating hormone (FSH)
2-413 Serum human growth hormone (HGH)
2-414 Adrenocorticotrophin assay
2-415 Luteinizing hormone response
2-416 Thyrotrophic release factor assay (TRF)
2-417 Other examination of pituitary hormones
Cigarette test for diabetes insipidus
2-419 Pituitary function test, not otherwise specified
2-42 Hypothalamic-pituitary-adrenocorticalaxis function
2-420 Adrenocorticotrophin stimulation response
2-421 Growth hormone response to hypoglycemia
2-422 Plasma glucocorticoids
2-423 Aldosterone activity
2-424 Response to gonadotrophins
2-425 Steroid suppression test
2-429 Other tests of hypothalamic-pituitary-adrenocorticalaxis
function
2-43 Blood hormones and steroids
2-430 Adrenal cortex hormones in blood
2-431 Adrenal medulla hormones in blood
Adrenalin (epinephrine) Noradrenalin, levarterenol
Excludes: plasma renin (2-344)
2-432 Estrogens in blood
2-433 Pregnancy hormones in blood
Chorionic somatomammotropin Pregnancy lactogen
Plasma chorionic gonadotropin Progesterone
2-439 Other blood steroids and hormones
Caval sampling
2-44 Urinary hormones and steroids
2-440 Pituitary hormones in urine
2-441 Adrenal cortex hormones in urine
2-442 Other adrenal hormones in urine
Aldosterone Urinary catecholamines
2-443 Estrogens in urine
2-444 Pregnancy hormones in urine
Chorionic gonadotropin (HCG) Pregnanediol
Gonadotropin inhibiting factor Pregnanetriol
in urine Progesterone
2-449 Other urinary hormones and steroids
2-45 Oxidoreductase enzymes
Hepatic enzyme
Hydrolase enzymes
2-470 Amylase
(Somogyi units)
2-471 Lipase
Lipoprotein lipase Triglyceride lipase
-
2 60 Serological diagnosis of treponemal diseases
2-600 Complement fixation test on blood
Protein antigen (Reiter) (RPCF) Wassermann reaction
2-601 Flocculation and precipitin tests on blood
VDRL (qualitative) slide test
2-602 Quantitative tests on blood
Kahn Quantitative VDRL
2-603 Complement fixation tests on cerebrospinal fluid
2-604 Treponema immobilization
2-605 Fluorescent Treponema antibody absorption (FTA-ABS)
Treponema hemagglutination (TPHA)
2-609 Other serological tests for syphilis
2-61 Direct serological reactions with micro-organisms
2-610 Assay of Salmonella agglutinins
Ohne Haut (0), Haut (H) and
Virulent (Vi)
2-611 Detection of incomplete antibodies
2-612 Other bacterial agglutination
Microscopic slide test (MST) Microscopic agglutination test
(MAT1
2-613 Agglutination against other micro-organisms
Rickettsia1 (Proteus OX) (Weil-Fe1ix)
2-614 Agar gel diffusion precipitation technique (Ouchterlony)
O t h e r immunofluorescent methods
B a c t e r i o s t a t i c power o f serum
O t h e r a n t i g e n i c r e a c t i o n s o f o t h e r body f l u i d s
Mycological e x a m i n a t i ~ n s
Stained Uns t a i n e d
2-701 C u l t u r e o f fungus
S a b o u r a u d ' s medium
2-702 I d e n t i f i c a t i o n of fungus
Fermentation r e a c t i o n s P r o d u c t i o n of a u x i n e s (growth
factors)
2- 704 D e t e c t i o n o f fungus by u l t r a v i o l e t l i g h t
Wood' S l i g h t
2-705 Animal i n o c u l a t i o n o f fungus
2-706 Postmortem i s o l a t i o n of fungus
2- 709 Other mycological examination
2-71 Examination f o r i n t e s t i n a l p a r a s i t e s
2-710 M i c r o s c o p i c e x a m i n a t i o n of f e c e s
2-711 M i c r o s c o p i c e x a m i n a t i o n a f t e r ova c o n c e n t r a t i o n
2-712 M i c r o s c o p i c e x a m i n a t i o n of f e c e s s t a i n e d f o r ova
2-713 Microscopic examination o f f e c e s , o t h e r s t a i n i n g
2-714 Macroscopic e x a m i n a t i o n o f f e c e s
Hookworm Schistosome
2- 72 Examination of c i r c u l a t i n g body f l u i d s f o r p a r a s i t e s
2-722 Blood c e n t r i f u g a t i o n t e c h n i q u e f o r p a r a s i t e s
2- 723 C u l t u r e o f blood p a r a s i t e s
2-725 Examination o f c e r e b r o s p i n a l f l u i d f o r p a r a s i t e s
2-727 I d e n t i f i c a t i o n o f blood p a r a s i t e s
2-730 Examination o f o c u l a r t i s s u e s f o r p a r a s i t e s
2-733 Examination o f u r i n e f o r p a r a s i t e s
2-734 Examination o f v a g i n a l s e c r e t i o n f o r p a r a s i t e s
2-735 Organ p u n c t u r e f o r p a r a s i t e s
2-736 Postmortem e x a m i n a t i o n f o r p a r a s i t e s
2-737 I d e n t i f i c a t i o n of o t h e r p a r a s i t e s
Blood i n c u b a t i o n i n f e c t i v i t y t e s t (BIIT)
2-74 Culture of p a r a s i t e s
2-741 C u l t u r e o f p r o t o z o a by animal p a s s a g e
2-743 C u l t u r e of h e l m i n t h s by animal p a s s a g e
2-745 Xenodiagnosis o f p a r a s i t e s
2-749 Other c u l t u r e of p a r a s i t e s
Insects Ticks
Mites
2-75 Serology of p a r a s i t e s
2-750 D e t e c t i o n of p a r a s i t e a n t i g e n
2-751 S e p a r a t i o n of p a r a s i t e a n t i g e n
2-752 Latex a g g l u t i n a t i o n o f p a r a s i t e s
Trypanosoma c r u z i
2-753 Immunofluorescent s e r o l o g y o f p a r a s i t e s
2-754 I n d i r e c t hemagglutination of p a r a s i t e s
F e r r i t i n ( e l e c t r o n microscopy) f o r
Leishmania
HEMATOLOGY
2-800 Blood c e l l p r e c u r s o r s
2-801 Blood c o u n t
I n c o u n t i n g chamber o f s t a i n e d Total :
smear w h i t e and r e d
Ratio
2-802 P l a t e l e t count
Vital staining
2-806 S i z e of r e d blood c e l l s
Halome t r y
2-807 Automated blood count
2-809 Other blood cytology
2-81 Other examination of red blood cells
2-810 Erythrocyte sedimentation rate
2-811 Hematocrit (HCT)
Packed cell volume
2-812 Red cell fragility
2-813 Red cell volume
2-814 Splenic blood pool
2-819 Other examination of red blood cells
Excludes: blood volume estimation (1-737)
2-82 Blood groups and other hemolytic factors
2-820 Cross matching
Pre-transfusion compatibility test
2-821 Major blood groups
ABH, Rhesus
2-822 Subgroups and other minor groups
A1 A2 Du C c E Kell Duffy (FY) MNS
2-823 Test for antibodies
Pooled anti-D
2-824 Coombs test
Indirect antiglobulin test (IAGT)
2-825 Hemagglutinins
2-826 Enzyme test for blood groups
Salivary enzymes
2-829 Other investigation of hemolysis
2-83 Hemoglobin and iron analyses
2-830 Estimation of total hemoglobin
2-831 Corpuscular hemoglobin
2-832 Chemical differentiation of hemoglobin components
Carboxyhemoglobin Oxyhemoglobin
Cyanhemoglobin Sulfhemoglobin
Methemoglobin
2-833 Iron-binding capacity
2-834 Hematin detection
Porphyrins
2-835 Estimation of iron
Transferrin
2-836 Detection of blood in body fluids
2-839 Other analyses of iron and compounds
2-84 Varieties of hemoglobin
2-840 Sickling
2-841 Electrophoretic separation of hemoglobin
2-842 Familial studies of hemoglobin inheritance
2-843 Detection of red blood cells containing Hb-F
Kleihauer test
2-849 Other investigations on varieties of hemoglobin
2-85 Erythrokinetics
2- 850 Iron absorption
2-851 Red cell survival time
Cohort labelling Rate of destruction
2-852 Site of red cell destruction
2-853 Plasma iron transport rate
2-854 Folic acid metabolism
2-855 Cyanocobalamin metabolism (Vitamin B12)
2-856 Thrombokinetic studies
2-859 Other studies on production and destruction of red blood cells
2-86 Hemostasis and coagulation defects
2-860 Rapid screening tests
Bleeding time (BT) Clot retraction (CR)
Capillary resistance test (CRT) Coagulation (CT)
2-861 Control of anticoagulant therapy
Heparin assay Thrombin clotting time (TCT)
2-862 Prothrombin tests
One-stage prothrombin test (PT)
Partial prothromboplastin time (PTT)
Prothrombin time (with Russell's viper venom) (PTV)
Prothrombin and proconvertin (Owren) (P&P)
2-863 Quantitative tests
Accelerator globulin ACG (Factor V),proaccelerin
Platelet defects
Platelet life span
Prothrombin consumption test
Specific coagulation defects
2-864 Graphical record
Coagulogram Thromboelastogram
2-865 Tests of fibrinolytic activity
Fibrinogen-fibrin related antigen (FR)
Products of fdbrinogen degeneration (FDP)
Thromboplast in generation test (TGT)
Excludes: fibrinogen titre (FGT) (2-321)
2-866 Other tests for blood components
Platelet aggregation time (PAT)
2-869 Other tests of hemostasis and coagulation of blood
2-87 Lymphocytes
2-870 Thymus-dependent lymphocytes
EAC cells E-binding lymphocytes
2-871 Reactive B-lymphocytes
Membrane-associated immunoglobulins Membrane-staining techniques
2-872 Lupus erythematosus (L.E.) cells
2-873 Lymphocyte transformation test
Stimulation of mitosis by culture with
phytohemagglutinin (PHA)
2-874 Lymphocyte rosette inhibition test
2- 875 Antibody-dependent toxicity
2-876 Hamazaki-Wesenberg bodies in lymph nodes
2-879 Other examinations of lymphocytes
2-88 Other leukocytes
2-880 Total leukocyte count
2-881 Differential leukocyte count
2-882 Staining for eosinophils
2-883 Indirect staining of leukocytes
2-884 Classification of polymorphonuclear cells by lobulation
2-885 Nitro blue tetrazolium test (NBT)
2-886 Migration inhibition
Macrophage electrophoretic mobility (MEM)
Opsonic index
2-887 Enzyme activity of leukocytes
2-889 Other examination of leukocytes and blood
l GENERAL PATHOLOGY
2-90 Histology
2-900 Unfixed section, unstained
2-901 Optical microscopy by special techniques
Polarizing microscopy Reflexion microscopy
2-902 Stained sections
Hematoxylin and eosin Reticulum stain
2-903 Histochemistry
2-904 Enzyme cytology of tissue
l
Pentose shunt in epithelia1 smear (G-6 PD)
Tartrate-resistant acid phosphatase
2-905 Immunofluorescence i n s e c t i o n s
Computer image a n a l y s i s
J ej u n a l biopsy R e c t a l mucosal b i p s y
2-91 Cytology
2-910 Examination of c e r e b r o s p i n a l f l u i d c e l l s
Bronchial Nasal
Colonic Feces
2-914 Examination o f u r i n a r y c e l l s
2-915 Examination o f s p e r m a t i c f l u i d
Spermiogram
Volume, c o u n t , m o t i l i t y , d i f f e r e n t i a l c o u n t
Excludes: f o r e n s i c e x a m i n a t i o n (2-942)
Papanicolaou s t a i n
2-917 C y t o l o g i c a l e x a m i n a t i o n o f o t h e r body f l u i d s
Amniotic f l u i d Peritonea1 f l u i d
Ascitic fluid Pleural f l u i d
2-919 O t h e r c y t o l o g i c a l examination
2- 920 Nucleus/cytoplasm r a t i o
2-922 Sex c h r o m a t i n
Barr drumstick
Chromosome a b e r r a t i o n s
2-31
4-119 Other g e r i a t r i c c a r e
4-12 H e a l t h e x a m i n a t i o n r e l a t e d t o employment
4-120 H e a l t h e x a m i n a t i o n b e f o r e employment
4-139 Adult h e a l t h e x a m i n a t i o n , n o t o t h e r w i s e s p e c i f i e d
4-14 P s y c h i a t r i c assessment f o r l e g a l p u r p o s e s
4-140 Determination of l e g a l r e s p o n s i b i l i t y
4-149 O t h e r p s y c h i a t r i c assessment
4-150 Medical e x a m i n a t i o n o f r a p e v i c t i m
4-156 Medical e x a m i n a t i o n of v i c t i m o f o t h e r a g g r e s s i o n
4-159 Medical e x a m i n a t i o n f o r l e g a l p u r p o s e , n o t o t h e r w i s e s p e c i f i e d
4-16 O t h e r h e a l t h examinati0.n f o r a d m i n i s t r a t i v e p u r p o s e s
4-161 For d r i v i n g l i c e n c e
4-221 S c r e e n i n g f o r b a t t e r e d baby s u s p e c t
4-229 O t h e r i n f a n c y s c r e e n i n g examination
4-23 Childhood s c r e e n i n g e x a m i n a t i o n
Pediculosis P l a n t a r wart S
4-24 Adult s c r e e n i n g e x a m i n a t i o n
4-240 S c r e e n i n g by c h e s t r a d i o g r a p h y
4-25 Cancer s c r e e n i n g e x a m i n a t i o n
4-250 P r o p h y l a c t i c smear f o r c y t o l o g y
4-26 _Biochemical s c r e e n i n g
4-260 S c r e e n i n g f o r b i o c h e m i c a l changes
4-30 I s o l a t i o n on a c c o u n t o f i n f e c t i o n
4-300 I s o l a t i o n of p a t i e n t with i n f e c t i o u s d i s e a s e
4-301 I s o l a t i o n of c o n t a c t of i n f e c t e d p a t i e n t
4-302 I s o l a t i o n of c a r r i e r of i n f e c t i o n
Isolation of immunosuppressed patient
Isolation, unqualified
Surveillance and investigation for infection
Surveillance of contact
Surveillance of carrier
Search for new cases
Tracing and investigation of contact
Investigation of carrier
Surveillance for infectious disease, not otherwise specified
Immunization against bacterial disease
Cholera immunization
Immunization against Salmonella group
TAB (C)
4-323 Plague immunization
4-324 Meningococcal immunization
4-329 Unspecified bacterial immunization
4-33 Immunization against other bacterial disease
4-330 Tuberculosis immunization
BCG vaccination
4-331 Brucellosis immunization
4-332 Tularemia immunization
4-333 Diphtheria immunization
4-334 Whooping cough immunization
Bordetella pertussis vaccination
4-335 Tetanus immunization
4-336 DPT immunization
4-339 Other bacterial immunization
4-34 Immunization against viral disease
4-340 Smallpox vaccination
4-341 Yellow fever immunization
Rabies immunization
Influenza immunization
Typhus immunization
Immunization against other viral and unspecified disease
Measles immunization
Rubella immunization
Mumps immunization
Poliomyelitis immunization
Other viral immunization
Other immunization
Drug protection against protozoa1 and helminth infection
Antimalarial drug prophylaxis
Antia,~~ebicdrug prophylaxis
Antischistosomal drug prophylaxis
Antifilarial drug prophylaxis
Anthelminthic drug prophylaxis
Drug protection against other infections
Antibiotic prophylaxis against rheumatic fever
Other antibiotic prophylaxis
Chemoprophylaxis against tuberculosis
Administration of medicaments after tuberculin conversion without sign
of disease
4-374 Drug prophylaxis for meningococcal carrier
4-379 Drug prophylaxis against infection
4-38 Other prophylaxis against infection
4-389 Prophylaxis against infection, not otherwise specified
4-50 S u r v e i l l a n c e and n o t i f i c a t i o n of d i s e a s e
4- 500 Not i f i c a t i o n o f o p h t h a l m i a
4-501 Surveillance of l o c a l d i s e a s e
4-509 N o t i f i c a t i o n of l o c a l d i s e a s e
P1 aque removal
4-521 D e n t a l s c a l i n g and p o l i s h i n g
4-530 A n t i - t o o t h - d e c a y serum
4-531 Fluoride d e n t i f r i c e
4-532 Topical f l u o r i d e a p p l i c a t i o n
Excludes : w a t e r f l u o r i d a t i o n (4-533)
Use o f f l u o r i d a t e d w a t e r
Other d e n t a l prophylaxis
Home c o n t r o l o f v e c t o r s
Control of f l i e s
Control of mosauitos
C o n t r o l o f bedbugs
Control o f o t h e r arthropods
C o n t r o l of r o d e n t s
C o n t r o l o f o t h e r mammals
Not o t h e r w i s e s p e c i f i e d
MATERNAL AND CHILD HEALTH CARE
Prenatal, f i r s t trimester
P r e n a t a l , second t r i m e s t e r
Prenatal, t h i r d trimester
I n i t i a l m e d i c a l ambulatory a t t e n t i o n a f t e r d e l i v e r y
Prenat a1
Postnatal
Includes: s e r v i c e s p r o v i d e d by:
graduate o r r e g i s t e r e d nurse (with public h e a l t h t r a i n i n g )
midwife w i t h u n i v e r s i t y d e g r e e o r e q u i v a l e n t
4-630 R e g i s t r a t i o n f o r i n i t i a t i o n of c a r e
Prenat a1
4-631 R e g i s t r a t i o n f o r i n i t i a t i o n of c a r e
Postnatal
4-632 At h e a l t h c e n t e r , p r e n a t a l c a r e
4-635 A t home, p r e n a t a l v i s i t
4-650 Contraceptive i n s t r u c t i o n
4-651 P r e s c r i p t i o n of o r a l c o n t r a c e p t i v e
4-652 P r e s c r i p t i o n of i n t r a u t e r i n e d e v i c e
4-653 I n s e r t i o n of i n t r a u t e r i n e d e v i c e
Eugenic p r o c e d u r e s
Genetic counselling
P r e v e n t i o n of s p e c i f i c c o n g e n i t a l a b n o r m a l i t i e s
Other e u g e n i c p r o c e d u r e
General m o t h e r c r a f t i n s t r u c t i o n t o group
N u t r i t i o n i n f o r m a t i o n and d e m o n s t r a t i o n
Other h e a l t h education a c t i v i t i e s
Other h e a l t h a c t i v i t i e s r e l a t e d t o maternal o r c h i l d c a r e
Premature c a r e a t home
Incubator
Other
Well baby h e a l t h c a r e
I n i t i a l medical a t t e n t i o n
Subsequent medical a t t e n t i o n
F i r s t nurse-parent(s) conference a t h e a l t h c e n t e r
Subsequent n u r s e - p a r e n t ( s ) conferences a t h e a l t h center
F i r s t n u r s e home v i s i t r e l a t e d t o baby
Preschool c h i l d h e a l t h c a r e
I n i t i a l medical a t t e n t i o n
Subsequent m e d i c a l a t t e n t i o n
F i r s t n u r s e home v i s i t r e l a t e d t o c h i l d
Subsequent n u r s e home v i s i t s r e l a t e d t o c h i l d
4-73 School c h i l d h e a l t h c a r e
4-730 E n t r a n c e medical e x a m i n a t i o n , p r i m a r y s c h o o l s t u d e n t
4-731 O t h e r medical e x a m i n a t i o n , p r i m a r y s c h o o l s t u d e n t
4-733 O t h e r medical e x a m i n a t i o n , o t h e r s c h o o l s t u d e n t
4-78 H e a l t h c a r e by o t h e r p e r s o n n e l
Includes: s e r v i c e s provided a t t h e h e a l t h u n i t
4-780 F i r s t p r e n a t a l a t t e n t i o n , c u r r e n t pregnancy
4-783 Subsequent p o s t n a t a l a t t e n t i o n
4-786 Preschool c h i l d , f i r s t a t t e n t i o n
4-788 School c h i l d , f i r s t a t t e n t i o n
4-789 School c h i l d , s u b s e q u e n t a t t e n t i o n
4-79 Home h e a l t h c a r e by o t h e r p e r s o n n e l
4-792 Home v i s i t r e l a t e d t o c a r e o f p r e s c h o o l c h i l d
4-793 Home v i s i t r e l a t e d t o c a r e o f s c h o o l c h i l d
5. SURGICAL PROCEDURES
5-1
5 - SURGICAL PROCEDURES
I
5-02 Other operations on skull, brain and meninges
5-020 Granioplasty
Elevation of bone fragments Removal of bcm e or plate
Linear craniectomy Repair with 4;raft or plate
I Opening cranial suture
5-021 Repair of cerebral meninges
Graft of dura Repair of encephalocele
Ligation, meningeal artery or meningocele
Ligation, venous sinus
5-022 Ventriculostomy
Anastomosis, ventricle to cisterna magna
Ventriculocisternal drainage
5-023 Extracranial ventricular shunt
Anastomosis, ventriculo-atrial
ventriculo-pleural
ventriculo-caval
5-024 Revision of ventricular shunt
Removal or replacement of valve or catheter
Excludes: irrigation of shunt (8-151)
5-029 Other operations on skull, brain and meninges
Freeing of intracranial adhesions
Excludes: hypophysectomy (5-075)
operations on pineal gland (5-074)
5-03 Operations on spinal cord and spinal canal structures
5-030 Exploration of spinal canal
Laminectomy Reopening of laminectomy site
Laminotomy
5-031 Division of intraspinal nerve root
5-032 Chordotomy
Electrocoagulation Stereotaxis
Percutaneous division of cord Tractotomy
5-033 Excision or destruction of spinal cord and meninges
5-034 Plastic operations on spinal cord and meninges
Elevation of bone fragments Removal of granulation tissue
Repair of spina bifida Suture of meninges
5-035 Freeing adhesions of spinal cord and nerve roots
5-036 Spinal drainage
Drainage by puncture
Drainage by shunt of spinal theca
(Other available code: diagnostic spinal puncture 1-206)
5-037 Injection of destructive agent into spinal canal
(Other available code: injection of other drugs 8-570)
5-039 Other operations on spinal cord and canal structures
Insertion of neuropacemaker
Excludes: excision of intervertebral disc (5-803)
other operations on vertebral column (5-78, 5-80 and 5-810)
5-04 Operations on cranial and peripheral nerves
5-040 Division and excision of nerve
Crushing Ramisection
Excludes: glossopharyngeal nerve (5-299)
opticociliary neurectomy (5-133)
spinal nerve roots (5-031)
superior laryngeal nerve (5-319)
sympathetic ganglia (5-051)
5-041 Other destruction of nerve
5-042 Suture of nerve
Reanastomosis of divided nerve
5-043 Freeing of adhesions and decompression of nerve
Release of nerve in carpal tunnel
5-044 Nerve graft
5-045 Transposition of nerve
5-046 Other neuroplasty
Cross anastomosis, nerve Repair of old injury
New attachment of nerve
5-047 Injection into nerve
(Other available code: anesthesia for operation 8-571)
5-049 Other operations on cranial and peripheral nerves
5-05 Operations on sympathetic nerves or ganglia
Includes: parasympathetic nervous system
Excludes: sympathetic nerves to:
adrenals (5-073) uterus (5-694)
eye (5-133) vascular bundles (5-399)
tympanum (5-209)
5-050 Division of sympathetic nerve or ganglion
Crushing Splanchnicotomy
5-051 Sympathectomy
Excision of nerve or ganglion
Presacral neurectomy
Excludes: periarterial stripping (5-397)
ty~mpanosympathectomy(5-209)
5-052 Injection into sympathetic nerve or ganglion
5-053 Other operations on sympathetic nerves or ganglia
Gangliorrhapy Suture of nerve
5-059 Other operations on the nervous system
I 5-100
5-101
Myotomy and tenotomy of ocular muscles
Excision of ocular muscle or tendon
with recession or advancement of same muscle
5-102 Advancement or recession of ocular muscle
5-103 Transposition of ocular muscle
Excludes: transposition for correction of ptosis (5-094)
5-104 Other shortening of ocular muscle
5-105 Freeing of adhesions of ocular muscle
5-109 Other operations on ocular muscle
5-11 Operations on conjunctiva
5-18 O p e r a t i o n s on e x t e r n a l e a r
5-180 I n c i s i o n of e x t e r n a l e a r
Drainage of f u r u n c l e
(Other a v a i l a b l e code: p u n c t u r e of f u r u n c l e 8-150)
5-181 E x c i s i o n o r d e s t r u c t i o n of l e s i o n of e x t e r n a l e a r
Curettage Excision of preauricular f i s t u l a
5-182 Other e x c i s i o n of e x t e r n a l e a r
Amputation of e a r Radical e x c i s i o n of e a r
5-183 S u t u r e of e x t e r n a l e a r
5-184 S u r g i c a l c o r r e c t i o n of prominent e a r
Cartilage graft Otoplasty
5-185 Reconstruction of external auditory canal
C o r r e c t i o n of meatal a t r e s i a Skin g r a f t l i n i n g
5-186 O t h e r r e p a i r of e x t e r n a l e a r
R e c o n s t r u c t i o n of a u r i c l e of e a r
5-189 Other o p e r a t i o n s on e x t e r n a l e a r
(Other a v a i l a b l e codes: removal of cerumen 8-171
removal of f o r e i g n body i n meatus 8-103)
5-12
5-19 Reconstructive operations on middle ear
5-190 Stapes mobilization
Crurotomy of stapes
Division of otosclerotic material
Remobilization
5-191 Stapedectomy
With fenestration of footplate
With graft of vein or fat
With wire prosthesis
5-192 Revision of stapedectomy
5-193 Other operations on ossicular chain
5-194 Myringoplasty
Construction of tympanum Type I tympanoplasty
Repair of eardrum
5-195 Other tympanoplasty
Type 11, graft against incus or malleus
Type 111, myringostapediopexy
Type IV, leaving mobile foot plate
Type V, graft covering semicircular canal
5-196 Revision of tympanoplasty
5-199 Other repair of middle ear
Closure of mastoid fistula
5-20 Other operations on middle and inner ear
5-200 Myringotomy
Insertion of tympanotomy tube Paracentesis tympani
5-201 Removal of tympanostomy tube
Removal of grommet
5-202 Incision of mastoid and middle ear
Atticotomy Exploration, transtympanic
Drainage of mastoid antrum Hypotympanotomy
5-203 Mastoidectomy
Attico-antrotomy Mastoid antrotomy
(Other available codes: skin grafting 5-893
tympanoplasty 5-194, 5-195)
5-204 Other excision of middle ear
Excision of cholesteatoma Removal of outer attic wall
Excision of petrous apex cells
5-205 Fenestration of inner ear
With partial ossiculectomy
With skin or vein graft
5-206 Revision of fenestration
5-207' Incision and destruction of inner ear
Drainage Labyrinthotomy
Endolymphatic shunt Sacculotomy
Excision, glomus jugulare tumor Vestibulotomy
5-209 Other operations on middle and inner ear
Revision of mastoidectomv Tympanosympathectomy
(Other available codes: insufflation of Eustachian tube 8-173
tympanic injection 8-573
ultrasonic destruction - see chapter 3)
5-226 Repair of n a s a l s i n u s
P l a s t i c o p e r a t i o n on s i n u s R e p a i r of o r o - a n t r a l f i s t u l a
Excludes: e l e v a t i o n o f f r a c t u r e d bone:
f r o n t a l s i n u s (5-767)
m a x i l l a r y s i n u s (5-763)
5-229 O t h e r o p e r a t i o n s on n a s a l s i n u s e s
5-230 Forceps e x t r a c t i o n o f t o o t h
5-231 S u r g i c a l removal of t o o t h
5-232 R e s t o r a t i o n o f t o o t h by f i l l i n g
With d r i l l i n g o f c a v i t y
5-233 R e s t o r a t i o n o f t o o t h by i n l a y
Gold i n l a y
5-234 Other d e n t a l r e s t o r a t i o n
5-235 Reimplantation of t o o t h
5-236 P r o s t h e t i c d e n t a l implant
Endosseous i m p l a n t
Canal f i l l i n g Pulpectomy
Nerve e x t i r p a t i o n
5-241 Gingivoplasty
With g r a f t o f bone o r s o f t t i s s u e
5-16
5-242 Other operations on gum
Curettage of periodontium Suture of gingiva
Excision of epulis or granuloma of gum
5-243 Excision of dental lesion of jaw
Dental cyst Odontome
5-244 Alveoloplasty
Alveolectomy Vestibuloplasty
Reconstruction of alveolar ridge
5-245 Exposure of tooth
5-246 Application of orthodontic appliance
Arch bars Orthodontic wiring
Obturator Periodontal splint
(Other available codes: insertion of orthodontic appliance 8-350
wiring of teeth 8-334)
5-247 Other orthodontic operation
Equilibration Repair of dental arch
5-249 Other dental operation
(Other available codes: dental prophylaxis 4-520 to 4-529
removable denture or appliance 9-301 to 9-303)
5-25 Operation on tongue
5-250 Excision or destruction of lesion of tongue
Excision of benign neoplasm Frenumectomy
Excludes: frenotomy of tongue (5-258)
5-251 Partial glossectomy
Glossectomy, unqualified Wedge resection of tongue
5-252 Complete glossectomy
(Other available code: regional lymph node excision 5-402)
5-253 Radical glossectomy
Commando removal of tongue and jaw
(Other available code: radical cervical lymphadenectomy 5-403)
5-254 Repair of tongue and glossoplasty
Fascia1 sling Fusion to lip
Freeing of adhesions Graft, skin or mucosa
5-258 Frenotomy, l i n g u a l
5-259 O t h e r o p e r a t i o n s on tongue
I n c i s i o n and d r a i n a g e
5-26 O p e r a t i o n s on s a l i v a r y g l a n d s and d u c t s
5-260 I n c i s i o n of s a l i v a r y g l a n d o r d u c t
Drainage o f a b s c e s s Sialoadenotomy
Enlargement of d u c t o r i f i c e Sialolithotomy
E x c i s i o n o f benign neoplasm
Marsupialization of sublingual cyst
5-262 O t h e r e x c i s i o n of s a l i v a r y g l a n d
Lobectomy o f p a r o t i d g l a n d
Closure of f i s t u l a Sialodochoplasty
R e v i s i o n o f s c a r of d u c t T r a n s p l a n t a t i o n of d u c t ope
5-269 O t h e r o p e r a t i o n s on s a l i v a r y g l a n d s and d u c t s
(Other a v a i l a b l e c o d e s : d i l a t i o n o f d u c t 8-223
removal o f c a l c u l u s 8-110)
5-270 D r a i n a g e o f f a c e o r f l o o r of mouth
Excludes: d r a i n a g e o f t h y r o g l o s s a l t r a c t (5-060)
5-271 I n c i s i o n of p a l a t e
Drainage o f a b s c e s s Fenestration of p a l a t e
5-272 E x c i s i o n of p a l a t e
5-273 E x c i s i o n o f o t h e r p a r t s o f mouth
5-274 P l a s t i c r e p a i r o f mouth
Closure of f i s t u l a Stomatoplasty
Correction of buccal deformity With g r a f t o f s k i n o r mucosa
Excludes: c l o s u r e o f o r o - a n t r a l f i s t u l a (5-226)
c o r r e c t i o n o f microstoma o r macrostoma (5-898)
r e p a i r o f c l e f t l i p (5-898)
5-275 Palatoplasty
Repair of cleft palate Suture
Reconstruction of palate With bone or skin graft
5-276 Operations on uvula
5-279 Other operations on mouth and face
Labial frenotomy with suture
(Other available code: removal of foreign body
from mouth or palate 8-110)
5-28 Operations on tonsils and adenoids
5-280 Oral drainage of pharyngeal abscess
Parapharyngeal Retropharyngeal
Peritonsillar Tonsillar
5-281 Tonsillectomy (without adenoidectomy)
5-282 Tonsillectomy with adenoidectomy
5-283 Excision of tonsil tag
5-284 Excision of lingual tonsil
5-285 Adenoidectomy (without tonsillectomy)
Excision of adenoid tag
5-289 Other operations on tonsils or adenoids
Excision of lesion
(Other available code: control of hemorrhage after tonsillectomy 8-894)
5-29 Operations on pharynx
5-290 Pharyngotomy
Aspiration of diverticulum Removal of foreign body
Excludes: drainage of retropharyngeal abscess (5-280)
(Other available code: removal of foreign body
without incision 8-110)
5-291 Excision of branchial cleft vestiges
Excludes: excision of thyroglossal tract (5-066)
5-292 Excision or destruction of lesion of pharynx
Diverticulectomy Pharyngectomy
Excision or closure of fistula (except branchial)
Excludes: laryngopharyngectomy (5-304)
5-19
5-293 Plastic operation on pharynx
Correction of atresia Reconstruction
5-294 Other repair of pharynx
Division of adhesions or web Invagination of diverticulum
(Other available code: dilation 8-224)
5-346 R e p a i r of c h e s t w a l l
C o r r e c t i o n o f p e c t u s excavatum
5-347 O p e r a t i o n s on diaphragm
Drainage Resect i o n
Excision of l e s i o n Suture
5-349 O t h e r o p e r a t i o n s on t h o r a x
Excludes: l y s i s o f a d h e s i o n s (5-333)
t h o r a c o c e n t e s i s (5-962)
Commissurotomy, t r a n s v e n t r i c u l a r D i g i t a l opening of v a l v e
5-352 Replacement o f h e a r t v a l v e
Reattachment o f p a p i l l a r y muscle
R e p a i r o f s i n u s o f V a l s a l v a aneurysm
5-355 P r o d u c t i o n of s e p t a l d e f e c t i n h e a r t
Enlargement o f foramen
5-356 O t h e r r e p a i r o f v a l v e o r septum w i t h p r o s t h e s i s
Outflow p r o t h e s i s Tube p r o s t h e s i s f o r
P l a s t i c p a t c h implant pulmonary a r t e r y
5-357 Other repair of valve or septum (without prosthesis)
Auricular ligation Repair of endocardial defect
Closure of septal fenestration Repair with tissue graft
Interatrial baffle (pericardial)
5-359 Other operations on valves and septum of heart
5-36 Operations on vessels of heart
5-360 Removal of coronary artery obstruction
Coronary endarterectomy
Includes: venous graft or patch repair
5-361 Bypass anastomosis for heart revascularization
Aortocoronary anastomosis Internal mammary to coronary
Direct revascularization anastomosis
5-362 Heart revascularization by arterial implant
Implantation of aortic branches
Implantation of internal mammary artery into heart muscle
Indirect vascularization
5-363 Other heart revascularization
Abrasion of epicardium Introduction of irritants
Cardio-omentopexy Poudrage
5-369 Other operations on vessels of heart
Ligation of coronary arteriovenous fistula
5-37 Other operations on heart and pericardium
5-370 Pericardiocentesis
(Other available codes: cardioscopy 1-691
diagnostic pericardial aspiration 1-842
drainage aspiration of pericardial cavity 8-153
pericardial injection 8-575)
5-371 Pericardiotomy
Division of adhesions Pericardial window operation
Evacuation of hematoma Removal of foreign body
5-372 Pericardiectomy
Decortication Excision of cyst
Excision of adhesions or scar
5-373 Excision of lesion of heart
Atrial appendectomy Excision of aneurysm
Excision of akinetic area Myocardiectomy of infarct
5-374 Other repair of heart and pericardium
Ligat ion Suture
Repair of ruptured aneurysm
5-375 Heart transplant
5-376 Implant of heart assist system
Art ificial heart Intra-aortic balloon pump
Includes: removal, replacement or repair of system
5-377 Implant of cardiac pacemaker
Implant of epicardial electrodes
Implant of pulse generator (battery)
By thoracotomy or mediastinotomy
(Other available codes: cardiac pacing 8-650 to 8-658
electrical conversion of cardiac rhythm
8-640 to 8-649
intravenous endocardial electrode 8-840)
3-378 Removal or replacement of implanted cardiac pacemaker
Excludes: replacement of battery (5-973)
5-379 Other operations on heart or pericardium
Open chest cardiac massage
Excludes: replacement or removal of transvenous electrodes (8-882)
5-38 Incision, excision and occlusion of vessels
Optional anatomical subdivision, fifth digit:
1 intracranial 5 abdominal arteries
2 other head and neck 6 abdominal veins
3 upper limb vessels 7 lower limb arteries
4 thoracic vessels 8 lower limb veins
Excludes: heart vessels (5-360 to 5-369)
5-380 Incision of vessel
Embolectomy Exploration
Excludes: catheterization of vessel (8-830 to 8-839)
puncture of vessel (8-840 to 8-849)
5- 25
5-381 Endarterectomy
Thromboendarterectomy
Includes: removal of thrombus
temporary bypass during operation
vein patch closure
5-382 Resection of vessel with reanastomosis
Correction of coarctation of aorta
Excision of aneurysm with reanastomosis
5-383 Resection of vessel with replacement
Graft or synthetic bypass
Graft or synthetic implant
5-384 Ligation and stripping of varicose veins
5-385 Other excision of vessels
Aneurysmectomy Excision of vein for graft
Excision of lesion of vessel
Excludes: aneurysmectomy of heart (5-373)
5-386 Plication of vena cava
Antiembolic filter Ligation
5-387 Other surgical occlusion of vessels
Banding or ligation Suture of aneurysmal
Division sacculation
Excludes: adrenal artery (5-073)
coronary artery (5-369)
gastric or duodenal vessel (ulcer) (5-443)
meningeal vessels (5-021)
thyroid artery (5-069)
5-39 Other operations on vessels
5-390 Systemic to pulmonary arterial shunt
Anastomosis:
aorta-pulmonary artery
left to right shunt
pulmonary-innominate artery
subclavian-pulmonary artery
5-391 Intra-abdominal venous anastomosis
Anastomosis:
mesenteric-caval
portacaval
portal decompression
splenorenal
Portal venous shunt
5-26
5-392 O t h e r s h u n t o r v a s c u l a r bypass
5-394 R e v i s i o n of v a s c u l a r p r o c e d u r e
C o n t r o l o f hemorrhage Replacement of v a s c u l a r g r a f t
Removal o f c l o t s o r i n f e c t e d t i s s u e
3-395 Other r e p a i r of v e s s e l
A r t i f i c i a l h e a r t and l u n g
Decortication or denervation of a r t e r y
5-398 O p e r a t i o n on c a r o t i d and o t h e r v a s c u l a r b o d i e s
Chemodectomy I n s e r t i o n o f pacemaker
5-399 O t h e r o p e r a t i o n s on v e s s e l s
F r e e i n g o f a d h e r e n t t i s s u e i n v a s c u l a r bundle
5-40 O p e r a t i o n s on l y m p h a t i c system
5-400 I n c i s i o n of lymphatic s t r u c t u r e s
Drainage Lymphadenotomy
I n c i s i o n o f c y s t i c hygroma Lymphang i o t omy
5-401 Simple e x c i s i o n of l y m p h a t i c s t r u c t u r e
5-405 O p e r a t i o n s on t h o r a c i c d u c t
5-409 O t h e r o p e r a t i o n s on l y m p h a t i c s t r u c t u r e s
E x c i s i o n o f lymvhedema T r a n s p l a n t a t i o n o f lymphat i c s
Lymph node g r a f t
5-412 Splenotomy
Drainage o f a b s c e s s Exploration
5-413 Splenectomy
T o t a l splenectomy
Excision of l e s i o n
P a r t i a l splenectomy
5-419 O t h e r o p e r a t i o n s on s p l e e n
Excludes: f r e e i n g o f a d h e s i o n s of s p l e e n (5-544)
5-42 O p e r a t i o n s on esophagus
5-420 Esophagotomy
D e t o r s i o n o f omentum P l i c a t i o n of i n t e s t i n e
Fixat ion of i n t e s t i n e S u t u r e o r m e s e n t e r y and
G r a f t i n g of omentum ligaments
5-549 O t h e r o p e r a t i o n s i n abdominal r e g i o n
Removal o f f o r e i g n body i n p e r i t o n e a 1 c a v i t y
Repair o f m u l t i p l e i n j u r i e s t o abdominal o r g a n s
5-55 O p e r a t i o n s on kidney
Drainage Removal o f c a l c u l u s o r f o r e i g n
Exploration body
Drainage Removal o f c a l c u l u s i n r e n a l
Exploration pelvis
5-553 P a r t i a l nephrectomy
Calycectomy Wedge r e s e c t i o n
Heminephrectomy
5-554 T o t a l nephrectomy
5-555 T r a n s p l a n t o f kidney
5- 556 Nephropexy
F i x a t i o n o f movable kidney
5-557 O t h e r r e p a i r o f kidney
5-562 Ureterotomy
Exploration Removal of calculus
Implantation of electronic Ureteral splinting
stimulator
5- 563 Ureterectomy
Excision of lesion
Resection with end-to-end anastomosis
5-564 Cutaneous uretero-ileostomy
Ileal bladder Ileal conduit
5-565 Other external urinary diversion
Implantation of ureter into skin
5-566 Urinary diversion to intestine
Implantation of ureter into: ileum, colon, rectum
Includes: associated colostomy
5-567 Other anastomosis or bypass of ureter
Nephrocystanastomosis
Pyeloureterovesical anastomosis
Reimplantation of ureter into bladder
Revision of anastomosis
5-568 Repair of ureter
Closure of fistula Graft
Freeing of internal adhesions Suture
5-569 Other operations on ureter
Ligat ion
Excludes: denervation (5-051)
ureteral catheterization and dilation (5-598)
5-57 Operations on urinary bladder
5-570 Transurethral clearance from bladder
Aspiration of blood clot Crushing and removal of calculus
(Other available codes: bladder washout 8-133
other aspiration 8-161
removal of foreign body 8-114)
5-571 Cystotomy
Drainage (suction) Removal of calculus, clot or
Exploration foreign body
Implantation of electronic Suprapubic catheterization
stimulator
5-572 Cystostomy
(Other available code: removal or replacement of tube 8-136)
5-573 Transurethral excision or destruction of bladder
Bladder neck Papilloma
Diathermy fulguration Punch operation
Electroresection Ulcer
Excludes: instillation of cytotoxic drug (5-965)
(Other available code: radioactive implant- see chapter 3)
5-574 Other excision or destruction of bladder
Diverticulectomy
Excision of urachal cyst
Open operation for resection or fulguration of tumor
5-575 Partial cystectomy
l
Dome of bladder Wedge resection
Trigonectomy
5-576 Complete cystectomy
Cystoprostatectomy Radical cystectomy
Pelvic clearance, in male With removal of urethra
Closure of f i s t u l a Sphincteroplasty
Cystocolic anastomosis Suture
Cystoplasty
Excludes: c l o s u r e o f v e s i c o r e c t a l f i s t u l a (5-486)
c l o s u r e o f v e s i c o v a g i n a l f i s t u l a (5-706)
o p e r a t i o n f o r s t r e s s i n c o n t i n e n c e (5-592 t o 5-597)
r e p a i r o f c y s t o c e l e (5-704)
5-579 O t h e r o p e r a t i o n s on u r i n a r y b l a d d e r
Freeing of i n t e r n a l adhesions
Excludes: f r e e i n g o f e x t e r n a l a d h e s i o n s (5-544)
5-58 O ~ e r a t i o n son u r e t h r a
Exploration Urethrostomy
Removal of c a l c u l u s by i n c i s i o n
5-581 U r e t h r a l meatotomy
5-582 Excision o r d e s t r u c t i o n o f u r e t h r a
5-583 Repair of u r e t h r a
Excludes: c l o s u r e o f u r e t h r o r e c t a l f i s t u l a (5-486)
c l o s u r e o f u r e t h r o v a g i n a l f i s t u l a (5-706)
r e p a i r o f e p i s p a d i a s o r h y p o s p a d i a s (5-643)
r e p a i r o f o b s t e t r i c l a c e r a t i o n (5-756)
r e p a i r of u r e t h r o c e l e (5-704)
5-584 F r e e i n g o f s t r i c t u r e of u r e t h r a
I n t e r n a l urethrotomy
5-585 Dilation of u r e t h r a
Calibration of u r e t h r a
5-589 O t h e r o p e r a t i o n s on u r e t h r a
Drainage of b u l b o u r e t h r a l gland
I n c i s i o n and e x c i s i o n o f p e r i u r e t h r a l t i s s u e
5-59 Other operations on urinary tract
5-590 Dissection of retroperitoneal tissue
Drainage Perirenal tissue
Exploration Periureteral tissue
Freeing of adhesions
5-591 Incision of perivesical tissue
Drainage Perinea1 tissue
Exploration Retropubic tissue
5-592 Plication of urethrovesical junction
Kelly-Stoeckel plication or stitch
5-593 Levator muscle operation
Ingleman-Sundberg operation Pubococcygeoplasty or sling
5-594 Suprapubic sling operation
Fascia lata sling
5-595 Retropubic urethral suspension
Marshall-Marchetti-Kranz operation
1 Suture of paraurethral tissue to symphysis pubis
I Pereyra operation
Suspension of urethrovesical junction
En masse e x c i s i o n o f o v a r i e s , t u b e s , u t e r u s , v a g i n a
b l a d d e r and u r e t h r a
5-69 O t h e r o p e r a t i o n s on u t e r u s and s u p p o r t s
Removal o f : Removal o f :
mole retained products of conception
missed a b o r t i o n following d e l i v e r y o r
abortion
Removal o f i n t r a u t e r i n e c o n t r a c e p t i v e d e v i c e
Broad l i g a m e n t Hematoma
Canal o f Nuck Hydrocel e
Cyst ( p a r o v a r i a n ) Round l i g a m e n t
Division of u t e r o s a c r a l ligament
5-695 Repair of u t e r u s
Hystero ( t r a c h e l o ) rrhaphy
Repair of n o n o b s t e t r i c l a c e r a t i o n
5-699 O t h e r o p e r a t i o n s on u t e r u s , c e r v i x and s u p p o r t i n g s t r u c t u r e s
Removal o f e n c i r c l i n g s u t u r e o f c e r v i x
Excludes: o b s t e t r i c d i l a t i o n o r i n c i s i o n o f c e r v i x (5-739)
o b s t e t r i c i n s e r t i o n of bag o r pack (5-758)
(Other available codes: insertion of intrauterine contraceptive
appliance 4-653
menstrual regulation 8-165
paracervical nerve block 8-891)
.70 Operations on vagina
5-700 Culdocentesis
Aspiration of cul-de-sac
Excludes: culdoscopy (5-916)
5-701 Incision of vagina
Colpotomy Exploration
Culdotomy Hymenotomy
Drainage, pelvic abscess Vaginoperineotomy
5-702 Local excision or destruction of vagina
Colpectomy, partial
Excision of: Excision of:
cyst polyp
hymen septum
Excludes: f istulectomy (5-706)
5-703 Obliteration and total excision of vagina
Colpectomy, total Colpocleisis
5-704 Repair of cystocele and rectocele
Repair of: Repair of:
pouch of Douglas vaginal wall (anterior,
urethrocele posterior)
5-705 Vaginal reconstruction
Colpopoiesis With graft (skin, colon)
5-706 Other repair of vagina
Colpoperineorrhaphy Freeing of adhesions
Excision and closure of fistula Hymenorrhaphy
Fixation Suture
Excludes: repair of vagina during the immediate postpartum period
(5-756)
5-707 Obliteration of vaginal vault
Repair of enterocele
Suture to obliterate cul-de-sac
5-709 Other operations on vagina
Removal of foreign body by incision
(Other available codes: dilation of vagina 8-228
packing to control hemorrhage, nonobstetric
8-503)
5-71 Operations on vulva and perineum
Includes: Bartholin's gland labia (minora, majora)
clitoris Skene's gland
Excludes: hymen (5-701 to 5-709)
5-710 Incision of vulva and perineum
Drainage Exploration
Enlargement of introitus Removal of foreign body by
incision
5-711 Operations on Bartholin' S gland
Drainage Marsupialization.
Excludes: perineal cauterization (5-912)
5-712 Other local excision or destruction of vulva and perineum
Division of Skene's gland Excision of redundant mucosa
Excludes: perineal cauterization (5-912)
5-713 Operations on clitoris
Amputation of clitoris
5-714 Radical vulvectomy
5-715 Other vulvectomy
Bilateral (simple) Partial (unilateral)
5-716 Repair of vulva and perineum
Closure of perineal fistula Perineorrhaphy
Perineoplasty
Excludes: repair of vulva and perineum during the immediate
postpartum period (5-756)
5-719 Other operations on female genital organs
(Other available code: dilation of introitus 8-228)
OBSTETRIC OPERATIONS
Trial forceps
5-734 Operations on fetus to facilitate delivery
Cleidotomy Drainage of hydrocephalus
l
5-738 Episiotomy
With repair
5-739 Other operations assisting delivery
l
Dilation or incision of cervix Symphysiotomy
Pubiotomy
Upper u t e r i n e segment, t r a n s p e r i t o n e a l
Lower u t e r i n e segment, t r a n s p e r i t o n e a l
S u p r a v e s i c a l , without opening p e r i t o n e a 1 c a v i t y
Abdominal ( e c t o p i c ) pregnancy
O v a r i a n pregnancy
Ruptured t u b a 1 pregnancy
By h y s t e r o t o m y Hysterectomy d u r i n g pregnancy
Embryectomy
Excludes: removal o f u t e r i n e mole (5-690)
t e r m i n a t i o n o f pregnancy (5-750 t o 5-752)
( O t h e r a v a i l a b l e code: m e n s t r u a l e x t r a c t i o n 8-165)
5-75 Other o b s t e t r i c o p e r a t i o n s
5-750 Amniotic i n j e c t i o n f o r t e r m i n a t i o n o f p r e g n a n c y
Injection of:
prostaglandin
saline
Excludes: f o r i n d u c t i o n o f l a b o r (9-250)
5-752 O t h e r t e r m i n a t i o n o f pregnancy
Excludes: by h y s t e r o t o m y (5-744)
5-753 Amniocentesis
Exchange t r a n s f u s i o n i n u t e r o
I n t r a p e r i t o n e a l b l o o d t r a n s f u s i o n exchange
5-755 O t h e r i n t r a u t e r i n e o p e r a t i o n s on f e t u s
5-756 Removal o f r e t a i n e d p l a c e n t a
5-757 Repair of o b s t e t r i c l a c e r a t i o n of u t e r u s
Repair of ruptured u t e r u s S u t u r e of t o r n c e r v i x
5-758 Repair of o t h e r o b s t e t r i c l a c e r a t i o n s
Episiorrhaphy Secondary r e p a i r o f l a c e r a t i o n
Perineorrhaphy
E v a c u a t i o n o f hematoma o f v u l v a
E x p l o r a t i o n of u t e r l n e c a v i t y , p o s t p a r t u m
S u r g i c a l c o r r e c t i o n of i n v e r t e d u t e r u s :
i n c i s i o n of cervix
t r a n s s e c t i o n of c e r v i x
Tamponade o f u t e r u s , o b s t e t r i c
Excludes: e p i s i o t o m y (5-738)
(Other a v a i l a b l e c o d e s : e x p r e s s i o n o f p l a c e n t a 8-510
e x t e r n a l v e r s i o n 8-251
m a n i p u l a t i o n s o f f e t u s o r u t e r u s 8 - 2 5 0 t o 8-259
manual replacement o f i n v e r t e d u t e r u s 8-256
manual replacement o f r e t r o v e r t e d g r a v i d u t e r u s
8-252)
5-76 Reduction o f f a c i a l f r a c t u r e s
5-764 Open r e d u c t i o n o f a l v e o l a r f r a c t u r e
5-54
5-765 Open r e d u c t i o n o f o r b i t a l f r a c t u r e
With g r a f t o r i m p l a n t
5-767 O t h e r open r e d u c t i o n o f f a c i a l f r a c t u r e
( O t h e r a v a i l a b l e code: d e n t a l w i r i n g 8-334)
5-770 I n c i s i o n o f f a c i a l bone
5-771 E x c i s i o n o r d e s t r u c t i o n of f a c i a l bone l e s i o n
Excludes: e x c i s i o n o f o d o n t o g e n i c l e s i o n (5-243)
With bone g r a f t o r p r o s t h e s i s
With bone g r a f t o r p r o s t h e s i s
5-774 Temporomandibular a r t h r o p l a s t y
Condylectomy ( i n t r a c a p s u l a r ) Removal o f j o i n t s t r u c t u r e s
Meniscectomy
(Other a v a i l a b l e c o d e s : i n j e c t i o n o f t h e r a p e u t i c s u b s t a n c e s 8-584
and 8-585
m a n i p u l a t i o n o f temporomandibular j o i n t 8-211)
5-78 O p e r a t i o n s on o t h e r bones
5-780 I n c i s i o n o f bone
(Other a v a i l a b l e c o d e s : c l o s e d r e d u c t i o n o f d i s l o c a t i o n 8-206
c l o s e d r e d u c t i o n o f f r a c t u r e 8-200 t o 8-205
s k e l e t a l and o t h e r t r a c t i o n 8-400 t o 8-430,
8-470 t o 8-479)
5-790 Closed r e d u c t i o n o f f r a c t u r e w i t h i n t e r n a l f i x a t i o n
5-791 Open r e d u c t i o n o f f r a c t u r e ( w i t h o u t i n t e r n a l f i x a t i o n )
5-792 Open r e d u c t i o n o f f r a c t u r e w i t h i n t e r n a l f i x a t i o n
Band, p l a t e , s c r e w , w i r e
5-793 Closed r e d u c t i o n o f s e p a r a t e d e p i p h y s i s
5-794 Open r e d u c t i o n o f s e p a r a t e d e p i p h y s i s
5-795 T o i l e t o f open f r a c t u r e s i t e
Removal o f bone f r a g m e n t s
5-796 Open r e d u c t i o n o f d i s l o c a t i o n o f j o i n t
5-797 O p e r a t i o n s f o r m u l t i p l e f r a c t u r e s and i n j u r i e s , n o t e l s e w h e r e
classified
5-80 I n c i s i o n and e x c i s i o n o f j o i n t s t r u c t u r e s
Excision of:
g a n g l i o n , l e s i o n of tendon s h e a t h , m y o s i t i s o s s i f i c a n s
5-826 R e c o n s t r u c t i o n o f thumb
Cocked h a t p r o c e d u r e
D i g i t a l t r a n s f e r t o a c t a s thumb
P o l l i c j z a t i o n . w i t h n e u r o v a s c u l a r bundle
Toe t o thumb t r a n s f e r
With bone g r a f t , s k i n g r a f t o r i s l a n d g r a f t
5-827 P l a s t i c o p e r a t i o n on hand w i t h g r a f t o r i m p l a n t
Opponens p l a s t y With g r a f t o f f a s c i a ,
Tendon p u l l e y r e c o n s t r u c t i o n muscle o r tendon
5-828 O t h e r p l a s t i c o p e r a t i o n s on hand
F i x a t i o n o f tendon P o l l i c i z a t i o n of f i n g e r
Lengthening of t e n d o n S h o r t e n i n g o f tendon
Plication of fascia
Freeing of adhesions
(Other a v a i l a b l e c o d e s : s t r e t c h i n g o f f a s c i a , muscle
o r tendon 8-215 and 8-216)
5-83 O p e r a t i o n s on o t h e r m u s c l e s , t e n d o n s , f a s c i a and b u r s a e
Advancement Recession
Reattachment Transposition
Cmross f i n g e r f l a p Pocket f l a p
Double p e d i c l e d f l a p
5-896 Attachment t o o t h e r s i t e s of f l a p o r p e d i c l e g r a f t
Transfer of p e d i c l e
5-897 Revision of f l a p o r p e d i c l e g r a f t
Defat t i n g
Cheilostomatoplasty With f l a p , p e d i c l e o r f r e e s k i n
Reconstruction f o r c l e f t l i p graft
Excludes: c l e f t p a l a t e o p e r a t i o n (5-275)
c u t t i n g and p r e p a r a t i o n o f f l a p o r p e d i c l e g r a f t (5-894)
Correction of syndactyly
5-900 F a c i a l r h y t idectomy
Face F a s c i a 1 s l i n g f o r f a c i a l weakness
Adipectomy
Panniculectomy
Reduction o f a d i p o s e t i s s u e o f :
abdominal w a l l
arms
buttocks
thigh
Excludes: b r e a s t (5-874)
5-902 Hair t r a n s p l a n t
Graft of hair-bearing s k i n
5-903 Removal o f s u p e r f i c i a l s k i n l a y e r s
Keratotomy
DISRUPTION OF TISSUE
5-91 Cauterization
5-910 Cornea1 cauterization
5-911 Nasal cauterization
Excludes: for epistaxis control (5-210)
5-912 Perinea1 cauterization
Bartholin'S gland Perianal
Condyloma acuminata Vulva
5-913 Skin cauterization
5-914 Electrocautery
5-92 Surgical diathermy
Excludes: for eye conditions
5-920 Nasal electrocoagulation
Excludes: for turbinectomy (5-215)
5-921 Cystoscopic electrocoagulation
5-922 Electrocoagulation of skin
Warts Nevi
5-929 Other coagulation
Excludes: endoscopic electrocoagulation of tracheal lesion (5-314)
5-93 Other electrical destruction
Includes: electrolysis iontophoresis
ionization
5-930 E l e c t r o l y s i s of eyelash
5-931 Nasal i o n i z a t i o n
5-932 Fulguration of l e s i o n
5-933 Ionization o r electrolysis, unqualified
5-94 Cryosurgery
5-95 C a u s t i c s and o t h e r c h e m i c a l s
5-951 Endoscopic a p p l i c a t i o n o f c a u s t i c
5-952 I n j e c t i o n of c a u s t i c i n t o t i s s u e
Excludes: p r o s t a t i c i n j e c t i o n o f c a u s t i c (8-581)
5-953 Endoscopic i n j e c t i o n o f c a u s t i c
5-954 Chemopeel
5-960 Subarachnoid i n j e c t i o n o f c y t o t o x i c d r u g
5-961 A r t e r i a l i n j e c t i o n i n t o head o f c y t o t o x i c d r u g
5-962 O t h e r a r t e r i a l i n j e c t i o n o f c y t o t o x i c drug
5-963 P l e u r a l i n s t i l l a t i o n of c y t o t o x i c drug
5-966 S u p e r f i c i a l a p p l i c a t i o n of c y t o t o x i c d r u g
5-971 S c l e r o s i s of veins of l e g
P r o d u c t i o n o f thrombosis
Varicose vein i n j e c t i o n
8. OTHER THERAPEUTIC PROCEDURES
8-10 Removal o f o b j e c t
Excludes: f o r e i g n body p e n e t r a t i n g c o r n e a
8-104 Removal o f o b j e c t by r h i n o s c o p y
8-106 Removal o f o b j e c t by t r a c h e o s c o p y
Removal o f t r a c h e o s t o m y t u b e
8-11 O t h e r removal o f o b j e c t
From t o n s i l , a d e n o i d o r s a l i v a r y d u c t
l
8-111 Removal o f o b j e c t by pharyngoscopy and esophagoscopy
I 8-112 Removal o f o b j e c t by g a s t r o s c o p y
I1 8-113
8-114
Removal o f o b j e c t by endoscopy o f lower bowel
Removal o f o b j e c t by c y s t o s c o p y
l E x t r a c t i o n o f Dracunculus m e d i n e n s i s o r h e l m i n t h l a r v a
, Lavage
1 Tapping of ascites
i
l 8-158 Aspiration of liver
8-16 O t h e r t h e r a p e u t i c a s p i r a t i o n , p u n c t u r e and e v a c u a t i o n
8-160 A s p i r a t i o n o f kidney
Aspirat ion o f :
renal cyst
renal pelvis
8-162 Aspiration of p r o s t a t e
Aspiration of p r o s t a t i c abscess
8-163 A s p i r a t i o n o f male g e n i t a l o r g a n s
Spermatocele Hydrocele
Tunica v a g i n a l i s
8-164 Aspiration of ovary
8-165 Aspiration of u t e r u s
Menstrual e x t r a c t i o n
8-169 Other a s p i r a t i o n of f l u i d
Excludes: b r e a s t (5-870)
8-17 Evacuation by s y r i n g i n g o r i r r i g a t i o n , i n s u f f l a t i o n
8-170 S y r i n g i n g of l a c r i m a l s a c o r d u c t
Removal o f cerumen
8-172 S y r i n g i n g o f middle e a r
S u c t i o n c l e a r a n c e o f middle e a r
8-173 I n s u f f l a t i o n of E u s t a c h i a n t u b e
8-174 I r r i g a t i o n of n a s a l s i n u s
Antral lavage
Continuous s u c t i o n drainage
8-181 E p i l a t i o n of e y e l a s h
8-182 Dermabrasion
8-183 W h i r l i n g b r u s h on s k i n
8-185 O t h e r removal o f s k i n b l e m i s h e s
8-186 Removal of n a i l
Avulsion of n a i l
8-187 L i g a t i o n o f dermal p r o t u b e r a n c e
Supernumerary d i g i t Wart
8-190 Wound c l e a n i n g , u n q u a l i f i e d
8-191 T o i l e t o f wound, u n q u a l i f i e d
8-192 D r e s s i n g o f wound
8-193 D r e s s i n g of u l c e r
E l a s t i c bandaging
8-20 C o r r e c t i o n of f r a c t u r e o r d i s l o c a t i o n
8-200 C l o s e d r e d u c t i o n o f f r a c t u r e o f n a s a l bone
8-202 C l o s e d r e d u c t i o n o f f r a c t u r e o f u p p e r arm
Elbow Shoulder
Humerus
8-203 Closed r e d u c t i o n o f f r a c t u r e o f forearm and hand
Femur Knee
Hip
Ankle T i b i a and f i b u l a
Metatarsus Toe o r h a l l u x
8-208 Closed r e d u c t i o n of o t h e r f r a c t u r e
8-209 Closed r e d u c t i o n o f d i s l o c a t i o n of j o i n t
8-210 I n f r a c t i o n o f t u r b i n a t e o r n a s a l bone
8-211 M a n i p u l a t i o n of temporomandibular j o i n t
Hyperextension o f j o i n t
8-213 R e f r a c t u r e o f bone
Osteoclasis
8-214 Rupture o f j o i n t a d h e s i o n s
8-215 S t r e t c h i n g o f muscle o r t e n d o n
8-216 Stretching of f a s c i a
8-219 O t h e r f o r c i b l e c o r r e c t i o n of d e f o r m i t y
8-22 Gradual c o r r e c t i o n of a b n o r m a l i t y
8-220 Endoscopic d i l a t i o n , u n q u a l i f i e d
8-223 D i l a t i o n of s a l i v a r y duct
8-224 D i l a t i o n o f pharynx
Anal s p h i n c t e r I l e o s t o m y opening
Colostomy opening P e c t e n band
Hemorrhoids
8-7
8-227 S t r e t c h i n g of f o r e s k i n
8-228 D i l a t i o n of i n t r o i t u s and v a g i n a
8-229 Other d i l a t i o n
8-23 C o r r e c t i o n by a p p l i a n c e
8-230 Wedging o f p l a s t e r
8-24 Replacement o f d i s p l a c e d o r g a n
8-240 Reimplantation of t o o t h
8-241 Manual r e d u c t i o n o f h e r n i a
8-253 Reposition of f e t u s
Conversion o f f a c e - t o - p u b i s p r e s e n t a t i o n
Manual f l e x i o n o f head o r r o t a t i o n o f head
8-255 Manually a s s i s t e d v a g i n a l d e l i v e r y
8-290 Chiropraxy
8-291 Osteopathy
8-335 O t h e r s p l i n t i n g of t e e t h
8-34 Compression
8-340 Compression u n i o n of f r a c t u r e
8-35 O t h e r r e s t r a i n t by a p p l i a n c e
8-350 O r t h o d o n t i c a r c h bands
8-351 Pneumatic s p l i n t i n g
8-359 O t h e r r e s t r a i n t by a p p l i a n c e
8-360 Urethral s p l i n t i n g
8-362 N a i l i n g o f bone
8-371 S p i n a l frame
Trunk c o r s e t
8-373 S p e c i a l bed
C a r d i a c bed
8-381 Removal o f s p l i n t
8-382 Removal o f s u p p o r t o r b r a c e
8-389 Removal o f o t h e r f i x a t i o n
8-10
SKELETAL AND OTHER TRACTION
8-40 T r a c t i o n by bone f i x a t i o n
8-400 I n f i x e d bone p i n
Bohler s t i r r u p Through t i b i a l c o n d y l e
8-402 Balanced s k e l e t a l t r a c t i o n
90- 90 t r a c t i o n
8-41 Spinal t r a c t i o n
8-411 Halo t r a c t i o n o f s k u l l
Caliper tongs
8-412 Other c e r v i c a l t r a c t i o n
8-413 Lumbar t r a c t i o n
8-420 Skin t r a c t i o n
Adhesive t a p e t r a c t i o n
8-421 Boot t r a c t i o n
8-422 Thomas' s p l i n t t r a c t i o n
8-423 Gallows t r a c t i o n
8-430 Balanced s u s p e n s i o n
Buck's s u s p e n s i o n
8-45 S o f t t i s s u e t r a c t i o n on neck
8-450 C e r v i c a l c o l l a r f o r head t r a c t i o n
8-46 Removal o f t r a c t i o n d e v i c e o r s u p p o r t
8-47 Other t r a c t i o n
Traction f o r closed f r a c t u r e
T r a c t i o n f o r f r a c t u r e of jaw
Traction f o r dislocation
Hinged t r a c t i o n
Abduction t r a c t i o n
Intermittent traction
T r a c t i o n , o t h e r and u n q u a l i f i e d
8-481 Removal o f o r t h o p e d i c a p p l i a n c e
8-50 C o n t r o l of hemorrhage by p a c k i n g
8-500 C o n t r o l o f hemorrhage by p a c k i n g
8-501 C o n t r o l o f n a s a l hemorrhage
8-502 C o n t r o l of r e c t a l hemorrhage
8-503 C o n t r o l of n o n - o b s t e t r i c u t e r i n e hemorrhage
8-504 C o n t r o l o f v a g i n a l hemorrhage
8-51 Expression of p l a c e n t a
8-510 Cred6 e x p r e s s i o n
8-52 C a r d i a c massage
8-53 O t h e r e x t e r n a l m a n i p u l a t i o n o r compression
8-563 A p p l i c a t i o n of p r o s t h e s i s
8-564 F i t t i n g of a r t i f i c i a l limb
8-570 I n j e c t i o n i n t o s p i n a l canal
Spinal anesthesia
Excludes: i n j e c t i o n o f d e s t r u c t i v e a g e n t (5-037)
Excludes: o p t i c o c i l i a r y i n j e c t i o n (5-133)
8-573 I n j e c t i o n i n t o tympanum
8-577 I n j e c t i o n i n t o lymphatics
Lymphatics o f b r e a s t
Excludes: d i a g n o s t i c i n j e c t i o n i n t o l y m p h a t i c s (1-801)
8-578 I n j e c t i o n i n t o bone marrow
8- 580 I n j e c t i o n i n t o kidney
8-584 I n j e c t i o n i n t o j o i n t o r ligament
Injection of t r i g g e r point
8-586 I n j e c t i o n i n t o s k i n and s u b c u t a n e o u s t i s s u e
8-14
8-60 Heating
8-600 Local h e a t i n g
Infra-red i r r a d i a t i o n
Whole body h y p e r t h e r m i a
8-603 Baths
S h o r t wave t h e r a p y
Infra-red physiotherapy
8-606 Moxibustion
8-61 Cooling
8-610 Hypothermia, u n q u a l i f i e d
8-611 General c o o l i n g
8-612 Local c o o l i n g
Excludes: c r y o s u r g e r y (5-949)
8-614 Hypothermia w i t h h y p o t e n s i o n
8-62 R a d i a t i o n and p h o t o t h e r a p y
8-620 Phototherapy
8-15
General b o d i l y e f f e c t Sun t a n
Arc l i g h t c o a g u l a t i o n o f r e t i n a
8-623 D e s t r u c t i o n of l e s i o n by u l t r a v i o l e t l i g h t
Electronarcosis E.C.T.
8-631 Faradism
8-64 E l e c t r i c a l c o n v e r s i o n o f c a r d i a c rhythm
External cardioversion
8-649 O t h e r c o n v e r s i o n o f c a r d i a c rhythm
Transvenous c a t h e t e r e l e c t r o d e
Fixed-rate v e n t r i c u l a r stimulator
8-654 T r i g g e r e d pacemaker
A t r i a l synchronous p a c i n g Non-competitive p a c i n g
Cemand p a c i n g
RESPIRATORY PROCEDURES
Kiss o f l i f e
8-723 Other r e s p i r a t o r y a s s i s t a n c e
E x t e r n a l c o u n t e r p u l s a t i o n (ECP)
8-724 Operative r e s u s c i t a t i o n
Excludes: s u r g i c a l c o l l a p s e (5-332)
8-731 T h e r a p e u t i c pneumothorax
8-732 Controlled a t e l e c t a s i s
8-733 Pneumoperitoneum
Underwater s e a l
8-741 Pluggingofflailchest
8-742 R e l i e f of t e n s i o n pneumothorax
8-749 P r e v e n t i o n o f c o l l a p s e of l u n g
8-750 Mist t h e r a p y
8-752 Laryngeal i n t u b a t i o n i n h a l a t i o n
8-760 Oxygen t h e r a p y
8-761 C a t a l y t i c oxygen t h e r a p y
8-762 Hyperbaric oxygen
High pressure oxygen
8-763 Cytoreductive effect
8-764 Oxygenators
8-77 Control of atmospheric pressure and composition
8-770 Mountain resort sanatorium
8-771 Antigen-free air conditioning
Pollen free room
8-772 Decompression chamber
8-773 Helium therapy
8-78 Other respiratory procedures
8-780 Drug prevention of further asthma attacks
8-782 Physiotherapy for prevent ion of pulmonary complications
of disease or trauma
8-789 Other respiratory procedures
Dextran i n j e c t i o n
8-813 D r i e d plasma i n j e c t i o n
8-814 Transfusion of antihemophilic f a c t o r
8-815 Maintenance o f c i r c u l a t i o n
8-820 Venesection
8-821 Blood d o n a t i o n
8-822 Forced d i u r e s i s
8-83 C a t h e t e r i z a t i o n o r cannulation of v e s s e l
8-831 Femoral a r t e r y c a n n u l i z a t i o n
8-832 I n s e r t i o n of arteriovenous cannula
8-833 C a t h e t e r i z a t i o n of u m b i l i c a l v e s s e l
Excludes : d i a g n o s t i c (1-860)
8-834 Venous c a t h e t e r i z a t i o n o r c a n n u l a t i o n
8-84 I n j e c t i o n o r puncture of v e s s e l
8-844 A r t e r i a l puncture
8-845 Cut-down i n t r a v e n o u s i n j e c t i o n
8- 846 Venipuncture
Intravenous i n je c t i o n
8-852 A r t e r i o v e n o u s c a n n u l a t i o n f o r blood t r e a t m e n t
8-853 Hemodialysis
Renal d i a l y s i s
8-854 E x t r a c o r p o r e a l kidney
8-856 E x t r a c o r p o r e a l i r r a d i a t i o n o f blood
8-857 U l t r a f i l t r a t i o n o f blood
Excludes: o x y g e n a t o r s (8-76)
8-860 Peritonea1 d i a l y s i s
I n t e s t i n a l loop lavage
8-87 O t h e r a d d i t i o n s t o blood s t r e a m
8-870 A r t e r i a l perfusion
8-872 Renal p e r f u s i o n
8-873 Regional p e r f u s i o n
8-875 Cut-down i n f u s i o n
8-876 R e g u l a t i o n o f f l u i d and e l e c t r o l y t e b a l a n c e
8-88 O t h e r p r o c e d u r e s on c i r c u l a t o r y system
8-881 Replacement of s u b c u t a n e o u s p u l s e g e n e r a t o r o r b a t t e r y
8-884 A d m i n i s t r a t i o n of a n t i c o a g u l a n t s
Physiotherapy f o r prevention of v a s c u l a r complications of
d i s e a s e o r trauma
P h y s i o t h e r a p y f o r maintenance o f c a r d i o v a s c u l a r performance
Other c i r c u l a t o r y procedures
(Other a v a i l a b l e codes f o r u s e w i t h a n e s t h e s i a :
c a r d i a c a r r e s t 8-660
hypothermia 8-611
a n e s t h e t i c d r u g s - s e e Chapter 6)
8-891 Local a n e s t h e s i a f o r o p e r a t i v e p r o c e d u r e s
(Other a v a i l a b l e c o d e s : a c u p u n c t u r e 8-541
r e g i o n a l 8-571
s p i n a l 8-570)
8-892 General a n e s t h e s i a f o r o p e r a t i v e p r o c e d u r e s
8-893 A n e s t h e s i a w i t h muscle r e l a x a n t
8-895 C o n t r o l o f hemorrhage a f t e r o p e r a t i o n on g e n i t a l o r g a n s
A f t e r o p e r a t i o n on p r o s t a t e
A f t e r o p e r a t i o n o f u t e r u s ( e x c e p t o b s t e t r i c hemorrhage 5-758)
8-896 C o n t r o l o f o t h e r p o s t o p e r a t i v e hemorrhage
Excludes: p o s t - v a s c u l a r s u r g e r y (5-394)
9-100 Emergency d r e s s i n g
9-11 Therapeutic p r e s c r i p t i o n
9-110 Drug p r e s c r i p t i o n
(See d e t a i l e d l i s t i n C h a p t e r s 6 , 7 )
9-111 Replacement t h e r a p y
9-12 Drug t h e r a p y
9-120 Drug a d m i n i s t r a t i o n
9-121 I n t r a m u s c u l a r i n j e c t i o n o f drug
9-12 2 Hypodermic i n j e c t i o n of d r u g
9-123 Automated d r u g a d m i n i s t r a t i o n
Micro-inj e c t o r
9-124 Automated c o n t r o l o f d r u g a d m i n i s t r a t i o n
A r t i f i c i a l pancreas
9-129 Chemotherapy, u n q u a l i f i e d
9-130 Repeated p r e s c r i p t i o n
Rep. Mist.
9-131 Repeat o f p r e v i o u s t r e a t m e n t
9-14 D i e t a r y regime
9-141 Fluid d i e t
9-142 Mild d i e t
9-144 Gluten-free d i e t
9-145 Phenylalanine- f r e e d i e t
C a r e o f head i n j u r i e s Cerebrovascular a t t a c k c a r e
9-153 Metabolic u n i t
9-154 Burns u n i t
( O t h e r a v a i l a b l e c o d e s : m o n i t o r i n g 8 - 1 0 t o 8-99)
9-160 Emergency a d m i s s i o n
9-169 I n - p a t i e n t admission
9-170 Night h o s p i t a l c a r e
9-172 Day h o s p i t a l c a r e
9-173 P s y c h i a t r i c day c a r e
9-175 Extendedcare
9-176 Domiciliary c a r e
9-178 Newborn
Healthy, born i n t h e h o s p i t a l
9-181 Antenatal r e g i s t r a t i o n
Booking f o r d e l i v e r y
9-182 Booking o f a p p o i n t m e n t
For c l i n i c a t t e n d a n c e
9-la3 Waiting l i s t
OTHER CARE
9-231 Hyperalimentation
9-232 Prolonged i n t r a v e n o u s f e e d i n g
9-233 Nasal t u b e f e e d i n g
9-240 P r o v i s i o n o f a r t i f i c i a l arm
9-250 Medical i n d u c t i o n o f l a b o r
9-251 I n d u c t i o n by i n t r a v e n o u s i n j e c t i o n o r d r i p
9-252 I n d u c t i o n by i n t r a u t e r i n e i n j e c t i o n
Intra-amniotic injection
9-26 Conduct o f d e l i v e r y
9-260 R o u t i n e s u p e r v i s i o n o f normal d e l i v e r y
9-263 Routine e p i s i o t o m y
With s u b s e q u e n t r e p a i r
9-27 Treatment f o r i n f e r t i l i t y
9-270 A r t i f i c i a l insemination
9-299 Other s p e c i a l i z e d t h e r a p y
ANATOMO-PHYSIOLOGICAL ASSISTANCE
9-30 Dental a i d
9-300 Temporary d e n t a 1 f i l l i n g
9-301 P r o v i s i o n of removable d e n t u r e
9-302 I n s e r t i o n o f removable d e n t u r e
9-309 Dental a i d , u n q u a l i f i e d
Excludes: d e n t a l p r o p h y l a x i s (4-53)
s c a l i n g and p o l i s h i n g (4-521)
9-31 Auditory a i d
9-313 Replacement o f b a t t e r y
9-32 Visual a i d
F a c i a l measurements Specification
9-322 Provision of s p e c t a c l e s
Fitting Revi S i o n
Adj ustment Verification
9-323 C o n t a c t l e n s , mold
Excludes: i n s e r t i o n of p r o s t h e s i s f o r a p h a k i a (5-147)
F i t t i n g , adjustment, i n s e r t i o n
9-6
9-33 Locomotory a i d
9-330 P h y s i o l o g i c a l a s s i s t a n c e f o r locomotion
9-331 S u r g i c a l b o o t s and f o o t w e a r
9-332 S u r g i c a l and s u p p o r t i v e s t o c k i n g s
9-335 Chiropody
9-336 Provision of a r t i f i c i a l l e g
9-341 Maintenance o f p o s t u r e
9-344 A p p l i a n c e f o r head a n d n e c k
9-345 Arm a p p l i a n c e
9-350 Colostomy a i d t r a i n i n g
9-360 Incontinence c o n t r o l
9-361 E l e c t r i c a l s t i m u l a t i o n of b l a d d e r and s p h i n c t e r
9-363 Indwelling u r e t h r a l c a t h e t e r
Fixed o r removable
9-371 Breast nonsurgical prosthesis
Removable r e p l a c e m e n t b r e a s t
9-379 Other cosmetic p r o s t h e s i s
9-40 Remedial t h e r a p y f o r v i s u a l d e f e c t s
9-400 O r t h o p t i c t r a i n i n g and e x e r c i s e s
9-41 Remedial t h e r a p y f o r s p e e c h d e f e c t s a n d d e a f n e s s
9-410 Speech t h e r a p y
9-411 Speech t r a i n i n g
9-412 Dyslexia t r a i n i n g
9-413 Dysphasia t r a i n i n g
9-415 Speech d e f e c t t r a i n i n g
9-416 T r a i n i n g o f d e a f p e r s o n s i n communication
9-42 Oral r e h a b i l i t a t i o n
9-429 Other o r a l r e h a b i l i t a t i o n
9-430 Neuromuscular r e - e d u c a t i o n
Rigidity Spasticity
Paralysis
9-44 Locomotor t r a i n i n g
9-440 Gait t r a i n i n g
9-441 T r a i n i n g i n use of lower limb p r o s t h e s i s
9-453 E x e r c i s e f o r muscle s t r e n g t h
9-454 E x e r c i s e f o r endurance
9-463 T r a i n i n g i n j o i n t movements
9-464 Mobilization of j o i n t
9-470 Combined p h y s i c a l t h e r a p y
9-471 Massage
9-473 Cardiovascular r e t r a i n i n g
9-474 Reduction o f edema
9-475 T r a i n i n g d u r i n g pregnancy
9-476 R e t r a i n i n g postparturn
PSYCHOTHERAPY
i
9-12
9-73 Child guidance therapy
9-739 Therapeutic child guidance
Excludes: medical guidance (4-670)
8-74 Counselling
9-740 Medical counselling of patient
9-741 Social counselling of patient
9-742 Medical counselling of family
9-743 Social counselling of family
9-744 Vocational counselling
9-745 Psychological counselling
9-746 Counselling of employer
8-75 Protective sociopsychological care
9-750 Abandoned baby care
9-751 Substitute mothering
9-752 Care of disabled
9-753 Care of aged
9-76 Other sociopsychological care
9-760 Economic rehabilitation measures
9-761 Legal measures for rehabilitation
9-762 Other socioeconomic measures
9-763 After care, unqualified
9-769 Other sociopsychological care
9-77 Other specialized treatment
9-779 Specialized treatment
LONG-TERM AND FOLLOW-UP PROCEDURES
i
1-22 INDEX
- - hemodialysis 8-853
- - skin 5-882 - - hepatic insufficiency 8-855
- - spermatic cord 5-639 - - in open heart surgery 5-396
- - spine, spinal cord 5-030 - - operative 8-85 1
- - spleen 5-412 - kidney 8-854
- - stomach 5-430 Extraction
- - subcutaneous tissue 5-882 - breech (total) 5-725
subdiaphragmatic space 5-54 1 - - partial 5-727
- - tendon 5-830 - cataract 5-146
- - thorax 5-340 - - combined 5- 145
- - thyroid 5-060 - - - with iridectomy 5-145
- - trachea 5-313 - - erisiphake 5- 144
- - tympanum by transtympanic route - - extracapsular 5- 145
5-202 - intracapsular 5- 144
- - ureter 5-562 - - linear 5-142
- - urethra 5-580 - comedones 8-185
- - uterus - foreign body (see also Removal, foreign
- - hysterotomy 5-680
W
body)
- - vagina 5-701 - - abdominal cavity
- - vessels 5-380 - - - by incision 5-549
- - vulva 5-710 - abdominal wall
- uterus - - - by incision 5-540
- - curettage 5-690 - - anterior chamber
Exposure - - - magnetic 5-131
- abscess - - anus
- - subdural5-011 - - - by incision 5-499
- mastoid 5-203 - - bladder
- nerve 5-043 - - - by incision 5-57 1
- tooth - - - endoscopic 5-570
- orthodontic 5-245 - - bone
Expression - - - by osteotomy 5-780
- placenta (Crede) 8-510 - breast
- trachoma follicles 5-111 - - - by incision 5-871
Exsanguination 8-803 - - bronchus by incision 5-330
- blood exchange 8-803 - - bursa
- transfusion 8-803 - - - by incision 5-830
Exstrophy - - by incision 5-909
- bladder - - cervix (vaginal approach) 5-691
- - repair 5-578 - - chest wall
Extended care 9-175 - - - by incision 5-340
Extension 8-470 - - choroid
- spinal 8-410 - - - by incision 5- 150
Exteriorization - - ciliary body
1-54 INDEX
Eye
- artificial (removable) 9-326 I-
Eye muscle balance
testing 1-216
1-56 INDEX
- canaliculus, lacrima15-084
- - orbit 5-160 - capsule
- - ovary 5-650 lens 5-143
- palate 5-271 - carbuncle 5-882
- pancreas 5-520 - carotid gland (body) 5-398
- pelvic - cellulitis 5-882
- - - female 5-701 - cervix 5-680
- - - male 5-541 - - obstetric 5-739
INDEX 1-71
- operation
- other plasty 5-837 - - vascular graft 5-394
- reconstruction 5-836 - prescription 9-130
- - suture 5-835 - previous treatment 9- 131
- testis 5-625 Replacement
- tetralogy of Fallot - acetabulum 5-816
- - anastomosis aortopulmonary 5-390 - - and femoral head 5-8 15
- correction of septal defect 5-357 - battery
- - valvulotomy, pulmonary 5-35 1 - - hearing aid 9-3 13
- thymus gland 5-079 - bladder
- tongue 5-254 - - with ileal loop 5-577
- tooth 5-232 - - with sigmoid 5-577
- trachea 5-3 l 6 - bladder drainage 8-135
- tunica vaginalis 5-613 - catheter
- tympanum 5- 194 - cerebral ventricle 5-024
- ureter 5-568 - indwelling
- ureterostomy opening 5-568 - - - bladder 8- 135
- urethra 5-583 - - urethral 8- 135
- - obstetric 5-758 - cord (umbilical) (to assist delivery) 5-739
- urethrocele (female) 5-704 - cystostomy tube 8-136
- urinary injuries 5-578 - drainage device
- uterus 5-695 - - urinary tract 5-599
- - following delivery or abortion 5-757 - electrode
prolapsed 5-693 - - endocardial8-882
- - supports 5-693 - - myocardial 5-378
- uvula 5-276 - femur 5-786
- vagina 5-706 - - head 5-816
- for - heart 5-375
- - - cystocele 5-704 - - assist system 5-3 76
- - hernia 5-704 - valve 5-352
- - - rectocele 5-704 - hip
- - - urethrocele 5-704 - - total 5-815
- - postpartum 5-758 - indwelling catheter
- - prolapse 5-704 - - bladder 8- 135
- - wall 5-706 - intravenous electrode 8-882
INDEX 1-113
- sterilization 5-981
- smear, for hormone study 1-476 - unilateral 5-636
Vaginectomy Vasoligation
- see colpectomy 5-702 - gastric 5-387
Vaginofixation 5-706 - varicocele 5-630
Vaginoperineotomy 5-70 1 Vasopressin
Vaginopexy 5-706 - concentration test 1-741
Vaginoplasty 5-705 Vasorrhaphy 5-63 7
Vaginorrhaphy 5-706 Vasotomy 5-635
Vaginoscopy 1-663 Vasovasotomy 5-637
Vaginotomy 5-701 VDRL slide test 2-601
- for pelvic abscess 5-701 Vector cardiography 1-263
Vagotomy 5-440 Vena cava sieve 5-386
- abdominal 5-440 Venectomy 5-385
- parietal cell 5-440 - varicose 5-384
- superselective 5-440 - - with reanastomosis 5-382
- trunca15-440 - - with replacement 5-383
- with Venesection, venisection 8-820
- - gastroenterostomy 5-442 Venipuncture 8-846
- - other gastric operation 5-445 - base of brain 5-010
- - partial gastrectomy 5-438 - diagnostic 1-869
Valine - intracrania15-010
- serum identification 2-100 Venotomy 5-380
Valve Venovenostomy 5-392
1-136 INDEX
Y
Y-ostectomy
- jaw (upper) 5-772
I Yount's operation 5-831
Z-plasty Z-suture
- canthus 5-092 - esophagus 5-427
- eyelid 5-096 Ziegler's operation 5- 135
- face 5-891 Ziehl-Neelsen (strain) 2-504
- relaxing 5-891 Zinc
- - scar 5-891 - blood 2-156
- skin 5-891 - turbidity 2-321
- thoracic artery 5-395 Zonulolysis, zonulysis (lens) 5-144
- wrinkled scar 5-891