2006 ICD-9-CM OFFICIAL CODES
DISEASES TABULAR LIST 14
ICDMENU
14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)
76 Operations on facial bones and joints
Excludes: accessory sinuses (22.00-22.9)
nasal bones (21.00-21.99)
skull (01.01-02.99)
76.0 Incision of facial bone without division
76.01 Sequestrectomy of facial bone
Removal of necrotic bone chip from facial bone
76.09 Other incision of facial bone
Reopening of osteotomy site of facial bone
Excludes: osteotomy associated with orthognathic surgery (76.61-76.69)
removal of internal fixation device (76.97)
76.1 Diagnostic procedures on facial bones and joints
76.11 Biopsy of facial bone
76.19 Other diagnostic procedures on facial bones and joints
Excludes: contrast arthrogram of temporomandibular joint (87.13)
other x-ray (87.11-87.12, 87.14-87.16)
76.2 Local excision or destruction of lesion of facial bone
Excludes: biopsy of facial bone (76.11)
excision of odontogenic lesion (24.4)
76.3 Partial ostectomy of facial bone
76.31 Partial mandibulectomy
Hemimandibulectomy
Excludes: that associated with temporomandibular arthroplasty (76.5)
76.39 Partial ostectomy of other facial bone
Hemimaxillectomy (with bone graft or prosthesis)
76.4 Excision and reconstruction of facial bones
76.41 Total mandibulectomy with synchronous reconstruction
76.42 Other total mandibulectomy
76.43 Other reconstruction of mandible
Excludes: genioplasty (76.67-76.68)
that with synchronous total mandibulectomy (76.41)
76.44 Total ostectomy of other facial bone with synchronous
reconstruction
76.45 Other total ostectomy of other facial bone
76.46 Other reconstruction of other facial bone
Excludes: that with synchronous total ostectomy (76.44)
76.5 Temporomandibular arthroplasty
76.6 Other facial bone repair and orthognathic surgery
Code also any synchronous:
bone graft (76.91)
synthetic implant (76.92)
Excludes: reconstruction of facial bones (76.41-76.46)
76.61 Closed osteoplasty [osteotomy] of mandibular ramus
Gigli saw osteotomy
76.62 Open osteoplasty [osteotomy] of mandibular ramus
76.63 Osteoplasty [osteotomy] of body of mandible
76.64 Other orthognathic surgery on mandible
Mandibular osteoplasty NOS
Segmental or subapical osteotomy
76.65 Segmental osteoplasty [osteotomy] of maxilla
Maxillary osteoplasty NOS
76.66 Total osteoplasty [osteotomy] of maxilla
76.67 Reduction genioplasty
Reduction mentoplasty
76.68 Augmentation genioplasty
Mentoplasty:
NOS
with graft or implant
76.69 Other facial bone repair
Osteoplasty of facial bone NOS
76.7 Reduction of facial fracture
Includes: internal fixation
Code also any synchronous:
bone graft (76.91)
synthetic implant (76.92)
Excludes: that of nasal bones (21.71-21.72)
76.70 Reduction of facial fracture, not otherwise specified
76.71 Closed reduction of malar and zygomatic fracture
76.72 Open reduction of malar and zygomatic fracture
76.73 Closed reduction of maxillary fracture
76.74 Open reduction of maxillary fracture
76.75 Closed reduction of mandibular fracture
76.76 Open reduction of mandibular fracture
76.77 Open reduction of alveolar fracture
Reduction of alveolar fracture with
stabilization of teeth
76.78 Other closed reduction of facial fracture
Closed reduction of orbital fracture
Excludes: nasal bone (21.71)
76.79 Other open reduction of facial fracture
Open reduction of orbit rim or wall
Excludes: nasal bone (21.72)
76.9 Other operations on facial bones and joints
76.91 Bone graft to facial bone
Autogenous graft to facial bone
Bone bank graft to facial bone
Heterogenous graft to facial bone
76.92 Insertion of synthetic implant in facial bone
Alloplastic implant to facial bone
76.93 Closed reduction of temporomandibular dislocation
76.94 Open reduction of temporomandibular dislocation
76.95 Other manipulation of temporomandibular joint
76.96 Injection of therapeutic substance into
temporomandibular joint
76.97 Removal of internal fixation device from facial bone
Excludes: removal of:
dental wiring (97.33)
external mandibular fixation device NEC (97.36)
76.99 Other
77 Incision, excision, and division of other bones
Excludes: laminectomy for decompression (03.09)
operations on:
accessory sinuses (22.00-22.9)
ear ossicles (19.0-19.55)
facial bones (76.01-76.99)
joint structures (80.00-81.99)
mastoid (19.9-20.99)
nasal bones (21.00-21.99)
skull (01.01-02.99)
The following fourth-digit subclassification is for
use with appropriate categories in section 77 to
identify the site. Valid fourth-digit categories are
in brackets under each code.
0 unspecified site
1 scapula, clavicle, and thorax [ribs and sternum]
2 humerus
3 radius and ulna
4 carpals and metacarpals
5 femur
6 patella
7 tibia and fibula
8 tarsals and metatarsals
9 other
Pelvic bones
Phalanges (of foot) (of hand)
Vertebrae
77.0_ Sequestrectomy
[0-9]
77.1_ Other incision of bone without division
[0-9]
Reopening of osteotomy site
Excludes: aspiration of bone marrow (41.31, 41.91)
removal of internal fixation device (78.60-78.69)
77.2_ Wedge osteotomy
[0-9]
Excludes: that for hallux valgus (77.51)
77.3_ Other division of bone
[0-9]
Osteoarthrotomy
Excludes: clavicotomy of fetus (73.8)
laminotomy or incision of vertebra (03.01-03.09)
pubiotomy to assist delivery (73.94)
sternotomy incidental to thoracic operation -- omit
code
77.4_ Biopsy of bone
[0-9]
77.5 Excision and repair of bunion and other toe deformities
77.51 Bunionectomy with soft tissue correction and
osteotomy of the first metatarsal
77.52 Bunionectomy with soft tissue correction and
arthrodesis
77.53 Other bunionectomy with soft tissue correction
77.54 Excision or correction of bunionette
That with osteotomy
77.56 Repair of hammer toe
Fusion of hammer toe
Phalangectomy (partial) of hammer toe
Filleting of hammer toe
77.57 Repair of claw toe
Fusion of claw toe
Phalangectomy (partial) of claw toe
Capsulotomy of claw toe
Tendon lengthening of claw toe
77.58 Other excision, fusion and repair of toes
Cockup toe repair
Overlapping toe repair
That with use of prosthetic materials
77.59 Other bunionectomy
Resection of hallux valgus joint with insertion
of prosthesis
77.6_ Local excision of lesion or tissue of bone
[0-9]
Excludes: biopsy of bone (77.40-77.49)
debridement of compound fracture (79.60-79.69)
77.7_ Excision of bone for graft
[0-9]
77.8_ Other partial ostectomy
[0-9]
Condylectomy
Excludes: amputation (84.00-84.19, 84.91)
arthrectomy (80.90-80.99)
excision of bone ends associated with:
arthrodesis (81.00-81.29)
arthroplasty (81.31-81.87)
excision of cartilage (80.5-80.6, 80.80-80.99)
excision of head of femur with synchronous
replacement (00.70-00.73, 81.51-81.53)
hemilaminectomy (03.01-03.09)
laminectomy (03.01-03.09)
ostectomy for hallux valgus (77.51-77.59)
partial amputation:
finger (84.01)
thumb (84.02)
toe (84.11)
resection of ribs incidental to thoracic operation
-- omit code
that incidental to other operation -- omit code
77.9_ Total ostectomy
[0-9]
Excludes: amputation of limb (84.00-84.19, 84.91)
that incidental to other operation -- omit code
78 Other operations on bones, except facial bones
Excludes: operations on:
accessory sinuses (22.00-22.9)
facial bones (76.01-76.99)
joint structures (80.00-81.99)
nasal bones (21.00-21.99)
skull (01.01-02.99)
The following fourth-digit subclassification is for
use with categories in section 78 to identify the
site. Valid fourth- digit categories are in
[brackets] under each code.
0 unspecified site
1 scapula, clavicle, and thorax [ribs and sternum]
2 humerus
3 radius and ulna
4 carpals and metacarpals
5 femur
6 patella
7 tibia and fibula
8 tarsals and metatarsals
9 other
Pelvic bones
Phalanges (of foot) (of hand)
Vertebrae
78.0_ Bone graft
[0-9]
Bone:
bank graft
graft (autogenous) (heterogenous)
That with debridement of bone graft site
(removal of sclerosed, fibrous or necrotic bone
or tissue)
Transplantation of bone
Code also any excision of bone for graft (77.70-77.79)
Excludes: that for bone lengthening (78.30-78.39)
78.1_ Application of external fixator device
[0-9]
Fixator with insertion of pins/wires/screws
into bone
Code also any type of fixator device, if known (84.71-84.73)
Excludes: other immobilization, pressure, and attention to wound
(93.51-93.59)
78.2_ Limb shortening procedures
[0,2-5,7-9]
Epiphyseal stapling
Open epiphysiodesis
Percutaneous epiphysiodesis
Resection/osteotomy
78.3_ Limb lengthening procedures
[0,2-5,7-9]
Bone graft with or without internal fixation
devices or osteotomy
Distraction technique with or without
corticotomy/osteotomy
Code also any application of an external fixation device (78.10-78.19)
78.4_ Other repair or plastic operations on bone
[0-9]
Other operation on bone NEC
Repair of malunion or nonunion fracture NEC
Excludes: application of external fixation device (78.10-78.19)
limb lengthening procedures (78.30-78.39)
limb shortening procedures (78.20-78.29)
osteotomy (77.3)
reconstruction of thumb (82.61-82.69)
repair of pectus deformity (34.74)
repair with bone graft (78.00-78.09)
78.5_ Internal fixation of bone without fracture reduction
[0-9]
Internal fixation of bone (prophylactic)
Reinsertion of internal fixation device
Revision of displaced or broken fixation device
Excludes: arthroplasty and arthrodesis (81.00-81.85)
bone graft (78.00-78.09)
limb shortening procedures (78.20-78.29)
that for fracture reduction (79.10-79.19,79.30-79.59)
78.6_ Removal of implanted devices from bone
[0-9]
External fixator device (invasive)
Internal fixation device
Removal of bone growth stimulator (invasive)
Removal of internal limb lengthening device
Excludes: removal of cast, splint, and traction device (Kirschner
wire) (Steinmann pin) (97.88)
removal of skull tongs or halo traction device
(02.95)
78.7_ Osteoclasis
[0-9]
78.8_ Diagnostic procedures on bone, not elsewhere
classified
[0-9]
Excludes: biopsy of bone (77.40-77.49)
magnetic resonance imaging (88.94)
microscopic examination of specimen from bone
(91.51-91.59)
radioisotope scan (92.14)
skeletal x-ray (87.21-87.29, 87.43, 88.21-88.33)
thermography (88.83)
78.9_ Insertion of bone growth stimulator
[0-9]
Insertion of:
bone stimulator (electrical) to aid bone healing
osteogenic electrodes for bone growth
stimulation
totally implanted device (invasive)
Excludes: non-invasive (transcutaneous) (surface) stimulator (99.86)
79 Reduction of fracture and dislocation
Includes: application of cast or splint reduction with insertion of
traction device (Kirschner wire) (Steinmann pin)
Code also any:
application of external fixator device (78.10-78.19)
type of fixator device, if known (84.71-84.73)
Excludes: external fixation alone for immobilization of fracture
(93.51-93.56, 93.59)
internal fixation without reduction of fracture
(78.50-78.59)
operations on:
facial bones (76.70-76.79)
nasal bones (21.71-21.72)
orbit (76.78-76.79)
skull (02.02)
vertebrae (03.53)
removal of cast or splint (97.88)
replacement of cast or splint (97.11-97.14)
traction alone for reduction of fracture
(93.41-93.46)
The following fourth-digit subclassification is for
use with appropriate categories in section 79 to
identify the site. Valid fourth-digit categories are
in [brackets] under each code.
0 unspecified site
1 humerus
2 radius and ulna
Arm NOS
3 carpals and metacarpals
Hand NOS
4 phalanges of hand
5 femur
6 tibia and fibula
Leg NOS
7 tarsals and metatarsals
Foot NOS
8 phalanges of foot
9 other specified bone
79.0_ Closed reduction of fracture without internal fixation
[0-9]
Excludes: that for separation of epiphysis (79.40-79.49)
79.1_ Closed reduction of fracture with internal fixation
[0-9]
Excludes: that for separation of epiphysis (79.40-79.49)
79.2_ Open reduction of fracture without internal fixation
[0-9]
Excludes: that for separation of epiphysis (79.50-79.59)
79.3_ Open reduction of fracture with internal fixation
[0-9]
Excludes: that for separation of epiphysis (79.50-79.59)
79.4_ Closed reduction of separated epiphysis
[0-2,5,6,9]
Reduction with or without internal fixation
79.5_ Open reduction of separated epiphysis
[0-2,5,6,9]
Reduction with or without internal fixation
79.6_ Debridement of open fracture site
[0-9]
Debridement of compound fracture
79.7 Closed reduction of dislocation
Includes: closed reduction (with external traction device)
Excludes: closed reduction of dislocation of temporomandibular joint
(76.93)
79.70 Closed reduction of dislocation of unspecified site
79.71 Closed reduction of dislocation of shoulder
79.72 Closed reduction of dislocation of elbow
79.73 Closed reduction of dislocation of wrist
79.74 Closed reduction of dislocation of hand and finger
79.75 Closed reduction of dislocation of hip
79.76 Closed reduction of dislocation of knee
79.77 Closed reduction of dislocation of ankle
79.78 Closed reduction of dislocation of foot and toe
79.79 Closed reduction of dislocation of other specified
sites
79.8 Open reduction of dislocation
Includes: open reduction (with internal and external fixation devices)
Excludes: open reduction of dislocation of temporomandibular joint
(76.94)
79.80 Open reduction of dislocation of unspecified site
79.81 Open reduction of dislocation of shoulder
79.82 Open reduction of dislocation of elbow
79.83 Open reduction of dislocation of wrist
79.84 Open reduction of dislocation of hand and finger
79.85 Open reduction of dislocation of hip
79.86 Open reduction of dislocation of knee
79.87 Open reduction of dislocation of ankle
79.88 Open reduction of dislocation of foot and toe
79.89 Open reduction of dislocation of other specified sites
79.9_ Unspecified operation on bone injury
[0-9]
80 Incision and excision of joint structures
Includes: operations on:
capsule of joint
cartilage
condyle
ligament
meniscus
synovial membrane
Excludes: cartilage of:
ear (18.01-18.9)
nose (21.00-21.99)
temporomandibular joint (76.01-76.99)
The following fourth-digit subclassification is for
use with appropriate categories in section 80 to
identify the site:
0 unspecified site
1 shoulder
2 elbow
3 wrist
4 hand and finger
5 hip
6 knee
7 ankle
8 foot and toe
9 other specified sites
Spine
80.0_ Arthrotomy for removal of prosthesis
[0-9]
Code also any:
insertion of (cement)(joint) spacer (84.56)
removal of (cement)(joint) spacer (84.57)
80.1_ Other arthrotomy
[0-9]
Arthrostomy
Excludes: that for:
arthrography (88.32)
arthroscopy (80.20-80.29)
injection of drug (81.92)
operative approach -- omit code
80.2_ Arthroscopy
[0-9]
80.3_ Biopsy of joint structure
[0-9]
Aspiration biopsy
80.4_ Division of joint capsule, ligament, or cartilage
[0-9]
Goldner clubfoot release
Heyman-Herndon(-Strong) correction of
metatarsus varus
Release of:
adherent or constrictive joint capsule
joint
ligament
Excludes: symphysiotomy to assist delivery (73.94)
that for:
carpal tunnel syndrome (04.43)
tarsal tunnel syndrome (04.44)
80.5 Excision or destruction of intervertebral disc
80.50 Excision or destruction of intervertebral disc,
unspecified
Unspecified as to excision or destruction
80.51 Excision of intervertebral disc
Diskectomy
Removal of herniated nucleus pulposus
Level:
cervical
thoracic
lumbar (lumbosacral)
That by laminotomy or hemilaminectomy
That with decompression of spinal nerve root at
same level
Requires additional code for any concomitant
decompression of spinal nerve root at different
level from excision site
Code also any concurrent spinal fusion (81.00 - 81.09)
Excludes: that for insertion of (non-fusion) spinal disc
replacement device (84.60 - 84.69)
intervertebral chemonucleolysis (80.52)
laminectomy for exploration of intraspinal canal
(03.09)
laminotomy for decompression of spinal nerve root
only (03.09)
80.52 Intervertebral chemonucleolysis
With aspiration of disc fragments
With diskography
Injection of proteolytic enzyme into
intervertebral space (chymopapain)
Excludes: injection of anestheti substance (03.91)
injection of other substances (03.92)
80.59 Other destruction of intervertebral disc
Destruction NEC
That by laser
80.6 Excision of semilunar cartilage of knee
Excision of meniscus of knee
80.7_ Synovectomy
[0-9]
Complete or partial resection of synovial
membrane
Excludes: excision of Baker's cyst (83.39)
80.8_ Other local excision or destruction of lesion of joint
[0-9]
80.9_ Other excision of joint
[0-9]
Excludes: cheilectomy of joint (77.80-77.89)
excision of bone ends (77.80-77.89)
81 Repair and plastic operations on joint structures
81.0 Spinal fusion
Includes: arthrodesis of spine with:
bone graft
internal fixation
Code also any insertion of interbody spinal fusion device (84.51)
any insertion of recombinant bone morphogenetic
protein (84.52)
the total number of vertebrae fused (81.62-81.64)
Excludes:correction of pseudarthrosis of spine (81.30- 81.39)
refusion of spine (81.30 - 81.39)
81.00 Spinal fusion, not otherwise specified
81.01 Atlas-axis spinal fusion
Craniocervical fusion by anterior, transoral,
or posterior technique
C1-C2 fusion by anterior, transoral, or
posterior technique
Occiput C2 fusion by anterior, transoral, or
posterior technique
81.02 Other cervical fusion, anterior technique
Arthrodesis of C2 level or below:
anterior (interbody) technique
anterolateral technique
81.03 Other cervical fusion, posterior technique
Arthrodesis of C2 level or below:
posterior (interbody) technique
posterolateral technique
81.04 Dorsal and dorsolumbar fusion, anterior technique
Arthrodesis of thoracic or thoracolumbar region:
anterior (interbody) technique
anterolateral technique
81.05 Dorsal and dorsolumbar fusion, posterior technique
Arthrodesis of thoracic or thoracolumbar region:
posterior (interbody) technique
posterolateral technique
81.06 Lumbar and lumbosacral fusion, anterior technique
Anterior lumbar interbody fusion (ALIF)
Arthrodesis of lumbar or lumbosacral region:
anterior (interbody) technique
anterolateral technique
81.07 Lumbar and lumbosacral fusion, lateral transverse
process technique
81.08 Lumbar and lumbosacral fusion, posterior technique
Arthrodesis of lumbar or lumbosacral region:
posterior (interbody) technique
posterolateral technique
Posterior lumbar interbody fusion (PLIF)
Transforaminal lumbar interbody fusion (TLIF)
81.1 Arthrodesis and arthroereisis of foot and ankle
Includes: arthrodesis of foot and ankle with:
bone graft
external fixation device
81.11 Ankle fusion
Tibiotalar fusion
81.12 Triple arthrodesis
Talus to calcaneus and calcaneus to cuboid and
navicular
81.13 Subtalar fusion
Excludes: arthroereisis (81.18)
81.14 Midtarsal fusion
81.15 Tarsometatarsal fusion
81.16 Metatarsophalangeal fusion
81.17 Other fusion of foot
81.18 Subtalar joint arthroereisis
81.2 Arthrodesis of other joint
Includes: arthrodesis with:
bone graft
external fixation device
excision of bone ends and compression
&