2006 ICD-9-CM OFFICIAL CODES
DISEASES TABULAR LIST 15
ICDMENU
15. OPERATIONS ON THE INTEGUMENTARY SYSTEM (85-86)
85 Operations on the breast
Includes: operations on the skin and subcutaneous tissue of:
breast female or male
previous mastectomy site female or male
revision of previous mastectomy site
85.0 Mastotomy
Incision of breast (skin)
Mammotomy
Excludes: aspiration of breast (85.91)
removal of implant (85.94)
85.1 Diagnostic procedures on breast
85.11 Closed [percutaneous] [needle] biopsy of breast
85.12 Open biopsy of breast
85.19 Other diagnostic procedures on breast
Excludes: mammary ductogram (87.35)
mammography NEC (87.37)
manual examination (89.36)
microscopic examination of specimen (91.61-91.69)
thermography (88.85)
ultrasonography (88.73)
xerography (87.36)
85.2 Excision or destruction of breast tissue
Excludes: mastectomy (85.41-85.48)
reduction mammoplasty (85.31-85.32)
85.20 Excision or destruction of breast tissue, not
otherwise specified
85.21 Local excision of lesion of breast
Lumpectomy
Removal of area of fibrosis from breast
Excludes: biopsy of breast (85.11-85.12)
85.22 Resection of quadrant of breast
85.23 Subtotal mastectomy
Excludes: quadrant resection (85.22)
85.24 Excision of ectopic breast tissue
Excision of accessory nipple
85.25 Excision of nipple
Excludes: excision of accessory nipple (85.24)
85.3 Reduction mammoplasty and subcutaneous mammectomy
85.31 Unilateral reduction mammoplasty
Unilateral:
amputative mammoplasty
size reduction mammoplasty
85.32 Bilateral reduction mammoplasty
Amputative mammoplasty
Reduction mammoplasty (for gynecomastia)
85.33 Unilateral subcutaneous mammectomy with synchronous
implant
Excludes: that without synchronous implan (85.34)
85.34 Other unilateral subcutaneous mammectomy
Removal of breast tissue with preservation of
skin and nipple
Subcutaneous mammectomy NOS
85.35 Bilateral subcutaneous mammectomy with synchronous
implant
Excludes: that without synchronous implan (85.36)
85.36 Other bilateral subcutaneous mammectomy
85.4 Mastectomy
85.41 Unilateral simple mastectomy
Mastectomy:
NOS
complete
85.42 Bilateral simple mastectomy
Bilateral complete mastectomy
85.43 Unilateral extended simple mastectomy
Extended simple mastectomy NOS
Modified radical mastectomy
Simple mastectomy with excision of regional
lymph nodes
85.44 Bilateral extended simple mastectomy
85.45 Unilateral radical mastectomy
Excision of breast, pectoral muscles, and
regional lymph nodes [axillary, clavicular,
supraclavicular]
Radical mastectomy NOS
85.46 Bilateral radical mastectomy
85.47 Unilateral extended radical mastectomy
Excision of breast, muscles, and lymph nodes
[axillary, clavicular, supraclavicular,
internal mammary, and mediastinal]
Extended radical mastectomy NOS
85.48 Bilateral extended radical mastectomy
85.5 Augmentation mammoplasty
Excludes: that associated with subcutaneous mammectomy (85.33, 85.35)
85.50 Augmentation mammoplasty, not otherwise specified
85.51 Unilateral injection into breast for augmentation
85.52 Bilateral injection into breast for augmentation
Injection into breast for augmentation NOS
85.53 Unilateral breast implant
85.54 Bilateral breast implant
Breast implant NOS
85.6 Mastopexy
85.7 Total reconstruction of breast
85.8 Other repair and plastic operations on breast
Excludes: that for:
augmentation (85.50-85.54)
reconstruction (85.7)
reduction (85.31-85.32)
85.81 Suture of laceration of breast
85.82 Split-thickness graft to breast
85.83 Full-thickness graft to breast
85.84 Pedicle graft to breast
85.85 Muscle flap graft to breast
85.86 Transposition of nipple
85.87 Other repair or reconstruction of nipple
85.89 Other mammoplasty
85.9 Other operations on the breast
85.91 Aspiration of breast
Excludes: percutaneous biopsy of breast (85.11)
85.92 Injection of therapeutic agent into breast
Excludes: that for augmentation of breast (85.51-85.52)
85.93 Revision of implant of breast
85.94 Removal of implant of breast
85.95 Insertion of breast tissue expander
Insertion (soft tissue) of tissue expander
(one or more) under muscle or platysma to
develop skin flaps for donor use
85.96 Removal of breast tissue expander
85.99 Other
86 Operations on skin and subcutaneous tissue
Includes: operations on:
hair follicles
male perineum
nails
sebaceous glands
subcutaneous fat pads
sudoriferous glands
superficial fossae
Excludes: those on skin of:
anus (49.01-49.99)
breast (mastectomy site) (85.0-85.99)
ear (18.01-18.9)
eyebrow (08.01-08.99)
eyelid (08.01-08.99)
female perineum (71.01-71.9)
lips (27.0-27.99)
nose (21.00-21.99)
penis (64.0-64.99)
scrotum (61.0-61.99)
vulva (71.01-71.9)
86.0 Incision of skin and subcutaneous tissue
86.01 Aspiration of skin and subcutaneous tissue
Aspiration of:
abscess of nail, skin, or subcutaneous tissue
hematoma of nail, skin, or subcutaneous tissue
seroma of nail, skin, or subcutaneous tissue
86.02 Injection or tattooing of skin lesion or defect
Injection of filling material
Insertion of filling material
Pigmenting of skin of filling material
86.03 Incision of pilonidal sinus or cyst
Excludes: marsupialization (86.21)
86.04 Other incision with drainage of skin and subcutaneous
tissue
Excludes: drainage of:
fascial compartments of face and mouth (27.0)
palmar or thenar spac 82.04)
pilonidal sinus or cys 86.03)
86.05 Incision with removal of foreign body or device from
skin and subcutaneous tissue
Removal of loop recorder
Removal of neurostimulator pulse generator
(single array, dual array)
Removal of tissue expander(s) from skin or soft
tissue other than breast tissue
Excludes: removal of foreign body without incision (98.20-98.29)
86.06 Insertion of totally implantable infusion pump
Code also any associated catheterization
Excludes: insertion of totally implantable vascular access device
(86.07)
86.07 Insertion of totally implantable vascular access
device [VAD]
Totally implanted port
Excludes: insertion of totally implantable infusion pump (86.06)
86.09 Other incision of skin and subcutaneous tissue
Creation of thalamic stimulator pulse generator
pocket, new site
Escharotomy
Exploration:
sinus tract, skin
superficial fossa
Relocation of subcutaneous device pocket NEC
Reopening subcutaneous pocket for device
revision without replacement
Undercutting of hair follicle
Excludes: creation of loop recorder pocket, new site and
insertion/relocation of device (37.79)
creation of pocket for implantable,
patient-activated cardiac event recorder and
insertion/relocation of device (37.79)
removal of catheter from cranial cavity (01.27)
that of:
cardiac pacemaker pocket, new site (37.79)
fascial compartments of face and mouth (27.0)
86.1 Diagnostic procedures on skin and subcutaneous tissue
86.11 Biopsy of skin and subcutaneous tissue
86.19 Other diagnostic procedures on skin and subcutaneous
tissue
Excludes: microscopic examination of specimen from skin and
subcutaneous tissue (91.61-91.79)
86.2 Excision or destruction of lesion or tissue of skin and
subcutaneous tissue
86.21 Excision of pilonidal cyst or sinus
Marsupialization of cyst
Excludes: incision of pilonidal cyst or sinus (86.03)
86.22 Excisional debridement of wound, infection, or burn
Removal by excision of:
devitalized tissue
necrosis
slough
Excludes: debridement of:
abdominal wall (wound) (54.3)
bone (77.60-77.69)
muscle (83.45)
of hand (82.36)
nail (bed) (fold) (86.27)
nonexcisional debridement of wound, infection, or
burn (86.28)
open fracture site (79.60-79.69)
pedicle or flap graft (86.75)
86.23 Removal of nail, nail bed, or nail fold
86.24 Chemosurgery of skin
Chemical peel of skin
86.25 Dermabrasion
That with laser
Excludes: dermabrasion of wound to remove embedded debris (86.28)
86.26 Ligation of dermal appendage
Excludes: excision of preauricula appendage (18.29)
86.27 Debridement of nail, nail bed, or nail fold
Removal of:
necrosis
slough
Excludes: removal of nail, nail bed, or nail fold (86.23)
86.28 Nonexcisional debridement of wound, infection or burn
Debridement NOS
Maggot therapy
Removal of devitalized tissue, necrosis and
slough by such methods as:
brushing
irrigation (under pressure)
scrubbing
washing
86.3 Other local excision or destruction of lesion or tissue of skin
and subcutaneous tissue
Destruction of skin by:
cauterization cryosurgery
fulguration
laser beam
That with Z-plasty
Excludes: adipectomy (86.83)
biopsy of skin (86.11)
wide or radical excision of skin (86.4)
Z-plasty without excision (86.84)
86.4 Radical excision of skin lesion
Wide excision of skin lesion involving underlying or
adjacent structure
Code also any lymph node dissection (40.3-40.5)
86.5 Suture or other closure of skin and subcutaneous tissue
86.51 Replantation of scalp
86.59 Closure of skin and subcutaneous tissue of other sites
Adhesives (surgical) (tissue)
Staples
Sutures
Excludes: application of adhesive strips (butterfly) - omit code
86.6 Free skin graft
Includes: excision of skin for autogenous graft
Excludes: construction or reconstruction of:
penis (64.43-64.44)
trachea (31.75)
vagina (70.61-70.62)
86.60 Free skin graft, not otherwise specified
86.61 Full-thickness skin graft to hand
Excludes: heterograft (86.65)
homograft (86.66)
86.62 Other skin graft to hand
Excludes: heterograft (86.65)
homograft (86.66)
86.63 Full-thickness skin graft to other sites
Excludes: heterograft (86.65)
homograft (86.66)
86.64 Hair transplant
Excludes: hair follicle transplant to eyebrow or eyelash (08.63)
86.65 Heterograft to skin
Pigskin graft
Porcine graft
Excludes: application of dressing only (93.57)
86.66 Homograft to skin
Graft to skin of:
amnionic membrane from donor skin from donor
86.67 Dermal regenerative graft
Artificial skin, NOS
Creation of "neodermis"
Decellularized allodermis
Integumentary matrix implants
Prosthetic implant of dermal layer of skin
Regenerate dermal layer of skin
Excludes: heterograft to skin (86.65)
homograft to skin (86.66)
86.69 Other skin graft to other sites
Excludes: heterograft (86.65)
homograft (86.66)
86.7 Pedicle grafts or flaps
Excludes: construction or reconstruction of:
penis (64.43-64.44)
trachea (31.75)
vagina (70.61-70.62)
86.70 Pedicle or flap graft, not otherwise specified
86.71 Cutting and preparation of pedicle grafts or flaps
Elevation of pedicle from its bed
Flap design and raising
Partial cutting of pedicle or tube
Pedicle delay
Excludes: pollicization or digita transfer (82.61, 82.81)
revision of pedicle (86.75)
86.72 Advancement of pedicle graft
86.73 Attachment of pedicle or flap graft to hand
Excludes: pollicization or digita transfer (82.61, 82.81)
86.74 Attachment of pedicle or flap graft to other sites
Attachment by:
advanced flap
double pedicled flap
pedicle graft
rotating flap
sliding flap
tube graft
86.75 Revision of pedicle or flap graft
Debridement of pedicle or flap graft
Defatting of pedicle or flap graft
86.8 Other repair and reconstruction of skin and subcutaneous tissue
86.81 Repair for facial weakness
86.82 Facial rhytidectomy
Face lift
Excludes: rhytidectomy of eyelid (08.86-08.87)
86.83 Size reduction plastic operation
Liposuction
Reduction of adipose tissue of:
abdominal wall (pendulous)
arms (batwing)
buttock
thighs (trochanteric lipomatosis)
Excludes: breast (85.31-85.32)
86.84 Relaxation of scar or web contracture of skin
Z-plasty of skin
Excludes: Z-plasty with excision of lesio (86.3)
86.85 Correction of syndactyly
86.86 Onychoplasty
86.89 Other repair and reconstruction of skin and
subcutaneous tissue
Excludes: mentoplasty (76.67-76.68)
86.9 Other operations on skin and subcutaneous tissue
86.91 Excision of skin for graft
Excision of skin with closure of donor site
Excludes: that with graft at sam operative episode (86.60- 86.69)
86.92 Electrolysis and other epilation of skin
Excludes: epilation of eyelid (08.91-08.93)
86.93 Insertion of tissue expander
Insertion (subcutaneous) (soft tissue) of
expander(one or more) in scalp (subgaleal
space), face, neck, trunk except breast, and
upper and lower extremities for development of
skin flaps for donor use
Excludes: flap graft preparation (86.71)
tissue expander, breast (85.95)
86.94 Insertion or replacement of single array
neurostimulator pulse generator, not specified
as rechargeable
Pulse generator (single array, single channel)
for intracranial, spinal, and peripheral
neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
Excludes: insertion or replacement of single array rechargeable
neurostimulator pulse generator (86.97)
86.95 Insertion or replacement of dual array
neurostimulator pulse generator, not specified
as rechargeable
Pulse generator (dual array, dual channel) for
intracranial, spinal, and peripheral
neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
Excludes: insertion or replacement of dual array rechargeable
neurostimulator pulse generator (86.98)
86.96 Insertion or replacement of other neurostimulator
pulse generator
Code also any associated lead implantation (02.93,03.93,04.92)
Excludes: insertion of dual array neurostimulator pulse generator
(86.95, 86.98)
insertion of single array neurostimulator pulse
generator (86.94, 86.97)
86.97 Insertion or replacement of single array rechargeable
neurostimulator pulse generator
Rechargeable pulse generator (single array,
single channel) for intracranial, spinal, and
peripheral neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
86.98 Insertion or replacement of dual array rechargeable
neurostimulator pulse generator
Rechargeable pulse generator (dual array, dual
channel) for intracranial, spinal, and
peripheral neurostimulator
Code also any associated lead implantation (02.93,03.93,04.92)
86.99 Other
Excludes: removal of sutures from:
abdomen (97.83)
head and neck (97.38)
thorax (97.43)
trunk NEC (97.84)
wound catheter:
irrigation (96.58)
replacement (97.15)