2006 ICD-9-CM OFFICIAL CODES
DISEASES TABULAR LIST 9
ICDMENU
9. OPERATIONS ON THE DIGESTIVE SYSTEM (42-54)
42 Operations on esophagus
42.0 Esophagotomy
42.01 Incision of esophageal web
42.09 Other incision of esophagus
Esophagotomy NOS
Excludes: esophagomyotomy (42.7)
esophagostomy (42.10-42.19)
42.1 Esophagostomy
42.10 Esophagostomy, not otherwise specified
42.11 Cervical esophagostomy
42.12 Exteriorization of esophageal pouch
42.19 Other external fistulization of esophagus
Thoracic esophagostomy
Code also any resection (42.40-42.42)
42.2 Diagnostic procedures on esophagus
42.21 Operative esophagoscopy by incision
42.22 Esophagoscopy through artificial stoma
Excludes: that with biopsy (42.24)
42.23 Other esophagoscopy
Excludes: that with biopsy (42.24)
42.24 Closed [endoscopic] biopsy of esophagus
Brushing or washing for specimen collection
Esophagoscopy with biopsy
Suction biopsy of the esophagus
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
42.25 Open biopsy of esophagus
42.29 Other diagnostic procedures on esophagus
Excludes: barium swallow (87.61)
esophageal manometry (89.32)
microscopic examination of specimen from esophagus
(90.81-90.89)
42.3 Local excision or destruction of lesion or tissue of esophagus
42.31 Local excision of esophageal diverticulum
42.32 Local excision of other lesion or tissue of esophagus
Excludes: biopsy of esophagus (42.24-42.25)
esophageal fistulectomy (42.84)
42.33 Endoscopic excision or destruction of lesion or
tissue of esophagus
Ablation of esophageal neoplasm by endoscopic
approach
Control of esophageal bleeding by endoscopic
approach
Esophageal polypectomy by endoscopic approach
Esophageal varices by endoscopic approach
Injection of esophageal varices by endoscopic
approach
Excludes: biopsy of esophagus (42.24-42.25)
fistulectomy (42.84)
open ligation of esophageal varices (42.91)
42.39 Other destruction of lesion or tissue of esophagus
Excludes: that by endoscopic approach (42.33)
42.4 Excision of esophagus
Excludes: esophagogastrectomy NOS (43.99)
42.40 Esophagectomy, not otherwise specified
42.41 Partial esophagectomy
Code also any synchronous:
anastomosis other than end-to-end (42.51-42.69)
esophagostomy (42.10-42.19)
gastrostomy (43.11-43.19)
42.42 Total esophagectomy
Code also any synchronous:
gastrostomy (43.11-43.19)
interposition or anastomosis other than end-to-end
(42.51-42.69)
Excludes: esophagogastrectomy (43.99)
42.5 Intrathoracic anastomosis of esophagus
Code also any synchronous:
esophagectomy (42.40-42.42)
gastrostomy (43.1)
42.51 Intrathoracic esophagoesophagostomy
42.52 Intrathoracic esophagogastrostomy
42.53 Intrathoracic esophageal anastomosis with
interposition of small bowel
42.54 Other intrathoracic esophagoenterostomy
Anastomosis of esophagus to intestinal segment
NOS
42.55 Intrathoracic esophageal anastomosis with
interposition of colon
42.56 Other intrathoracic esophagocolostomy
Esophagocolostomy NOS
42.58 Intrathoracic esophageal anastomosis with other
interposition
Construction of artificial esophagus
Retrosternal formation of reversed gastric tube
42.59 Other intrathoracic anastomosis of esophagus
42.6 Antesternal anastomosis of esophagus
Code also any synchronous:
esophagectomy (42.40-42.42)
gastrostomy (43.1)
42.61 Antesternal esophagoesophagostomy
42.62 Antesternal esophagogastrostomy
42.63 Antesternal esophageal anastomosis with interposition
of small bowel
42.64 Other antesternal esophagoenterostomy
Antethoracic:
esophagoenterostomy
esophagoileostomy
esophagojejunostomy
42.65 Antesternal esophageal anastomosis with interposition
of colon
42.66 Other antesternal esophagocolostomy
Antethoracic esophagocolostomy
42.68 Other antesternal esophageal anastomosis with
interposition
42.69 Other antesternal anastomosis of esophagus
42.7 Esophagomyotomy
42.8 Other repair of esophagus
42.81 Insertion of permanent tube into esophagus
42.82 Suture of laceration of esophagus
42.83 Closure of esophagostomy
42.84 Repair of esophageal fistula, not elsewhere classified
Excludes: repair of fistula:
bronchoesophageal (33.42)
esophagopleurocutaneous (34.73)
pharyngoesophageal (29.53)
tracheoesophageal (31.73)
42.85 Repair of esophageal stricture
42.86 Production of subcutaneous tunnel without esophageal
anastomosis
42.87 Other graft of esophagus
Excludes: antesternal esophageal anastomosis with interposition of:
colon (42.65)
small bowel (42.63)
antesternal esophageal anastomosis with other
interposition (42.68)
intrathoracic esophageal anastomosis with
interposition of:
colon (42.55)
small bowel (42.53)
intrathoracic esophageal anastomosis with other
interposition (42.58)
42.89 Other repair of esophagus
42.9 Other operations on esophagus
42.91 Ligation of esophageal varices
Excludes: that by endoscopic approach (42.33)
42.92 Dilation of esophagus
Dilation of cardiac sphincter
Excludes: intubation of esophagus (96.03, 96.06-96.08)
42.99 Other
Excludes: insertion of Sengstaken tube (96.06)
intubation of esophagus (96.03, 96.06-96.08)
removal of intraluminal foreign body from esophagus
without incision (98.02)
tamponade of esophagus (96.06)
43 Incision and excision of stomach
Code also any application or administration of an adhesion barrier
substance (99.77)
43.0 Gastrotomy
Excludes: gastrostomy (43.11-43.19)
that for control of hemorrhage (44.49)
43.1 Gastrostomy
43.11 Percutaneous [endoscopic] gastrostomy [PEG]
Percutaneous transabdominal gastrostomy
43.19 Other gastrostomy
Excludes: percutaneous [endoscopic] gastrostomy [PEG] (43.11)
43.3 Pyloromyotomy
43.4 Local excision or destruction of lesion or tissue of stomach
43.41 Endoscopic excision or destruction of lesion or
tissue of stomach
Gastric polypectomy by endoscopic approach
Gastric varices by endoscopic approach
Excludes: biopsy of stomach (44.14-44.15)
control of hemorrhage (44.43)
open ligation of gastric varices (44.91)
43.42 Local excision of other lesion or tissue of stomach
Excludes: biopsy of stomach (44.14-44.15)
gastric fistulectomy (44.62-44.63)
partial gastrectomy (43.5-43.89)
43.49 Other destruction of lesion or tissue of stomach
Excludes: that by endoscopic approach (43.41)
43.5 Partial gastrectomy with anastomosis to esophagus
Proximal gastrectomy
43.6 Partial gastrectomy with anastomosis to duodenum
Billroth I operation
Distal gastrectomy
Gastropylorectomy
43.7 Partial gastrectomy with anastomosis to jejunum
Billroth II operation
43.8 Other partial gastrectomy
43.81 Partial gastrectomy with jejunal transposition
Henley jejunal transposition operation
Code also any synchronous intestinal resection (45.51)
43.89 Other
Partial gastrectomy with bypass
gastrogastrostomy
Sleeve resection of stomach
43.9 Total gastrectomy
43.91 Total gastrectomy with intestinal interposition
43.99 Other total gastrectomy
Complete gastroduodenectomy
Esophagoduodenostomy with complete gastrectomy
Esophagogastrectomy NOS
Esophagojejunostomy with complete gastrectomy
Radical gastrectomy
44 Other operations on stomach
Code also any application or administration of an adhesion barrier
substance (99.77)
44.0 Vagotomy
44.00 Vagotomy, not otherwise specified
Division of vagus nerve NOS
44.01 Truncal vagotomy
44.02 Highly selective vagotomy
Parietal cell vagotomy
Selective proximal vagotomy
44.03 Other selective vagotomy
44.1 Diagnostic procedures on stomach
44.11 Transabdominal gastroscopy
Intraoperative gastroscopy
Excludes: that with biopsy (44.14)
44.12 Gastroscopy through artificial stoma
Excludes: that with biopsy (44.14)
44.13 Other gastroscopy
Excludes: that with biopsy (44.14)
44.14 Closed [endoscopic] biopsy of stomach
Brushing or washing for specimen collection
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
44.15 Open biopsy of stomach
44.19 Other diagnostic procedures on stomach
Excludes: gastric lavage (96.33)
microscopic examination of specimen from stomach
(90.81-90.89)
upper GI series (87.62)
44.2 Pyloroplasty
44.21 Dilation of pylorus by incision
44.22 Endoscopic dilation of pylorus
Dilation with balloon endoscope
Endoscopic dilation of gastrojejunostomy site
44.29 Other pyloroplasty
Pyloroplasty NOS
Revision of pylorus
44.3 Gastroenterostomy without gastrectomy
44.31 High gastric bypass
Printen and Mason gastric bypass
44.32 Percutaneous [endoscopic] gastrojejunostomy
Endoscopic conversion of gastrostomy to
jejunostomy
PEG
44.38 Laparoscopic gastroenterostomy
Bypass: gastroduodenostomy
gastroenterostomy
gastrogastrostomy
Laparoscopic gastrojejunostomy without
gastrectomy NEC
Excludes: gastroenterostomy, open approach (44.39)
44.39 Other gastroenterostomy
Bypass:
gastroduodenostomy
gastroenterostomy
gastrogastrostomy
Gastrojejunostomy without gastrectomy NOS
44.4 Control of hemorrhage and suture of ulcer of stomach or duodenum
44.40 Suture of peptic ulcer, not otherwise specified
44.41 Suture of gastric ulcer site
Excludes: ligation of gastric varices (44.91)
44.42 Suture of duodenal ulcer site
44.43 Endoscopic control of gastric or duodenal bleeding
44.44 Transcatheter embolization for gastric or duodenal
bleeding
Excludes: surgical occlusion of abdominal vessels (38.86-38.87)
44.49 Other control of hemorrhage of stomach or duodenum
That with gastrotomy
44.5 Revision of gastric anastomosis
Closure of:
gastric anastomosis
gastroduodenostomy
gastrojejunostomy
Pantaloon operation
44.6 Other repair of stomach
44.61 Suture of laceration of stomach
Excludes: that of ulcer site (44.41)
44.62 Closure of gastrostomy
44.63 Closure of other gastric fistula
Closure of:
gastrocolic fistula
gastrojejunocolic fistula
44.64 Gastropexy
44.65 Esophagogastroplasty
Belsey operation
Esophagus and stomach cardioplasty
44.66 Other procedures for creation of esophagogastric
sphincteric competence
Fundoplication
Gastric cardioplasty
Nissen's fundoplication
Restoration of cardio-esophageal angle
Excludes: that by laparoscopy (44.67)
44.67 Laparoscopic procedures for creation of
esophagogastric sphincteric competence
Fundoplication
Gastric cardioplasty
Nissen's fundoplication
Restoration of cardio-esophageal angle
44.68 Laparoscopic gastroplasty
Banding
Silastic vertical banding
Vertical banded gastroplasty (VBG)
Code also any synchronous laparoscopic gastroenterostomy (44.38)
Excludes: insertion, laparoscopic adjustable gastric band
(restrictive procedure) (44.95)
other repair of stomach, open approach (44.61-44.65,
44.69)
44.69 Other
Inversion of gastric diverticulum
Repair of stomach NOS
44.9 Other operations on stomach
44.91 Ligation of gastric varices
Excludes: that by endoscopic approach (43.41)
44.92 Intraoperative manipulation of stomach
Reduction of gastric volvulus
44.93 Insertion of gastric bubble (balloon)
44.94 Removal of gastric bubble (balloon)
44.95 Laparoscopic gastric restrictive procedure
Adjustable gastric band and port insertion
Excludes: laparoscopic gastroplasty (44.68)
other repair of stomach (44.69)
44.96 Laparoscopic revision of gastric restrictive procedure
Revision or replacement of:
adjustable gastric band
subcutaneous gastric port device
44.97 Laparoscopic removal of gastric restrictive device(s)
Removal of either or both:
adjustable gastric band
subcutaneous port device
Excludes: nonoperative removal of gastric restrictive device(s)
(97.86)
open removal of gastric restrictive device(s) (44.99)
44.98 (Laparoscopic) adjustment of size of adjustable
gastric restrictive device
Infusion of saline for device tightening
Withdrawal of saline for device loosening
Code also any:
abdominal ultrasound (88.76)
abdominal wall fluoroscopy (88.09)
barium swallow (87.61)
44.99 Other
Excludes: change of gastrostomy tube (97.02)
dilation of cardiac sphincter (42.92)
gastric:
cooling (96.31)
freezing (96.32)
gavage (96.35)
hypothermia (96.31)
lavage (96.33)
insertion of nasogastric tube (96.07)
irrigation of gastrostomy (96.36)
irrigation of nasogastric tube (96.34)
removal of:
gastrostomy tube (97.51)
intraluminal foreign body from stomach without
incision (98.03)
replacement of:
gastrostomy tube (97.02)
(naso-)gastric tube (97.01)
45 Incision, excision, and anastomosis of intestine
Code also any application or administration of an adhesion barrier
substance (99.77)
45.0 Enterotomy
Excludes: duodenocholedochotomy (51.41-51.42, 51.51)
that for destruction of lesion (45.30-45.34)
that of exteriorized intestine (46.14, 46.24, 46.31)
45.00 Incision of intestine, not otherwise specified
45.01 Incision of duodenum
45.02 Other incision of small intestine
45.03 Incision of large intestine
Excludes: proctotomy (48.0)
45.1 Diagnostic procedures on small intestine
Code also any laparotomy (54.11-54.19)
45.11 Transabdominal endoscopy of small intestine
Intraoperative endoscopy of small intestine
Excludes: that with biopsy (45.14)
45.12 Endoscopy of small intestine through artificial stoma
Excludes: that with biopsy (45.14)
45.13 Other endoscopy of small intestine
Esophagogastroduodenoscopy [EGD]
Excludes: that with biopsy (45.14, 45.16)
45.14 Closed [endoscopic] biopsy of small intestine
Brushing or washing for specimen collection
Excludes: esophagogastroduodenoscopy [EGD] with closed biopsy (45.16)
45.15 Open biopsy of small intestine
45.16 Esophagogastroduodenoscopy [EGD] with closed biopsy
Biopsy of one or more sites involving
esophagus, stomach, and/or duodenum
45.19 Other diagnostic procedures on small intestine
Excludes: microscopic examination of specimen from small intestine
(90.91-90.99)
radioisotope scan (92.04)
ultrasonography (88.74)
x-ray (87.61-87.69)
45.2 Diagnostic procedures on large intestine
Code also any laparotomy (54.11-54.19)
45.21 Transabdominal endoscopy of large intestine
Intraoperative endoscopy of large intestine
Excludes: that with biopsy (45.25)
45.22 Endoscopy of large intestine through artificial stoma
Excludes: that with biopsy (45.25)
45.23 Colonoscopy
Flexible fiberoptic colonoscopy
Excludes: endoscopy of large intestine through artificial stoma
(45.22)
flexible sigmoidoscopy (45.24)
rigid proctosigmoidoscopy (48.23)
transabdominal endoscopy of large intestine (45.21)
45.24 Flexible sigmoidoscopy
Endoscopy of descending colon
Excludes: rigid proctosigmoidoscopy (48.23)
45.25 Closed [endoscopic] biopsy of large intestine
Biopsy, closed, of unspecified intestinal site
Brushing or washing for specimen collection
Colonoscopy with biopsy
Excludes: proctosigmoidoscopy with biopsy (48.24)
45.26 Open biopsy of large intestine
45.27 Intestinal biopsy, site unspecified
45.28 Other diagnostic procedures on large intestine
45.29 Other diagnostic procedures on intestine, site
unspecified
Excludes: microscopic examination of specimen (90.91-90.99)
scan and radioisotope function study (92.04)
ultrasonography (88.74)
x-ray (87.61-87.69)
45.3 Local excision or destruction of lesion or tissue of small
intestine
45.30 Endoscopic excision or destruction of lesion of
duodenum
Excludes: biopsy of duodenum (45.14-45.15)
control of hemorrhage (44.43)
fistulectomy (46.72)
45.31 Other local excision of lesion of duodenum
Excludes: biopsy of duodenum (45.14-45.15)
fistulectomy (46.72)
multiple segmental resection (45.61)
that by endoscopic approach (45.30)
45.32 Other destruction of lesion of duodenum
Excludes: that by endoscopic approach (45.30)
45.33 Local excision of lesion or tissue of small
intestine, except duodenum
Excision of redundant mucosa of ileostomy
Excludes: biopsy of small intestine (45.14-45.15)
fistulectomy (46.74)
multiple segmental resection (45.61)
45.34 Other destruction of lesion of small intestine,
except duodenum
45.4 Local excision or destruction of lesion or tissue of large
intestine
45.41 Excision of lesion or tissue of large intestine
Excision of redundant mucosa of colostomy
Excludes: biopsy of large intestine (45.25-45.27)
endoscopic polypectomy of large intestine (45.42)
fistulectomy (46.76)
multiple segmental resection (45.71)
that by endoscopic approach (45.42-45.43)
45.42 Endoscopic polypectomy of large intestine
Excludes: that by open approach (45.41)
45.43 Endoscopic destruction of other lesion or tissue of
large intestine
Endoscopic ablation of tumor of large intestine
Endoscopic control of colonic bleeding
Excludes: endoscopic polypectomy of large intestine (45.42)
45.49 Other destruction of lesion of large intestine
Excludes: that by endoscopic approach (45.43)
45.5 Isolation of intestinal segment
Code also any synchronous:
anastomosis other than end-to-end (45.90-45.94)
enterostomy (46.10-46.39)
45.50 Isolation of intestinal segment, not otherwise
specified
Isolation of intestinal pedicle flap
Reversal of intestinal segment
45.51 Isolation of segment of small intestine
Isolation of ileal loop
Resection of small intestine for interposition
45.52 Isolation of segment of large intestine
Resection of colon for interposition
45.6 Other excision of small intestine
Code also any synchronous:
anastomosis other than end-to-end (45.90-45.93,
45.95)
colostomy (46.10-46.13)
enterostomy (46.10-46.39)
Excludes: cecectomy (45.72)
enterocolectomy (45.79)
gastroduodenectomy (43.6-43.99)
ileocolectomy (45.73)
pancreatoduodenectomy (52.51-52.7)
45.61 Multiple segmental resection of small intestine
Segmental resection for multiple traumatic
lesions of small intestine
45.62 Other partial resection of small intestine
Duodenectomy
Ileectomy
Jejunectomy
Excludes: duodenectomy with synchronous pancreatectomy (52.51-52.7)
resection of cecum and terminal ileum (45.72)
45.63 Total removal of small intestine
45.7 Partial excision of large intestine
Code also any synchronous:
anastomosis other than end-to-end (45.92-45.94)
enterostomy (46.10-46.39)
45.71 Multiple segmental resection of large intestine
Segmental resection for multiple traumatic
lesions of large intestine
45.72 Cecectomy
Resection of cecum and terminal ileum
45.73 Right hemicolectomy
Ileocolectomy
Right radical colectomy
45.74 Resection of transverse colon
45.75 Left hemicolectomy
Excludes: proctosigmoidectomy (48.41-48.69)
second stage Mikulicz operation (46.04)
45.76 Sigmoidectomy
45.79 Other partial excision of large intestine
Enterocolectomy NEC
45.8 Total intra-abdominal colectomy
Excision of cecum, colon, and sigmoid
Excludes: coloproctectomy (48.41-48.69)
45.9 Intestinal anastomosis
Code also any synchronous resection (45.31-45.8, 48.41-48.69)
Excludes: end-to-end anastomosis -- omit code
45.90 Intestinal anastomosis, not otherwise specified
45.91 Small-to-small intestinal anastomosis
45.92 Anastomosis of small intestine to rectal stump
Hampton procedure
45.93 Other small-to-large intestinal anastomosis
45.94 Large-to-large intestinal anastomosis
Excludes: rectorectostomy (48.74)
45.95 Anastomosis to anus
Formation of endorectal ileal pouch (H- pouch)
(J-pouch) (S-pouch) with anastomosis of small
intestine to anus
46 Other operations on intestine
Code also any application or administration of an adhesion barrier
substance (99.77)
46.0 Exteriorization of intestine
Includes: loop enterostomy
multiple stage resection of intestine
46.01 Exteriorization of small intestine
Loop ileostomy
46.02 Resection of exteriorized segment of small intestine
46.03 Exteriorization of large intestine
Exteriorization of intestine NOS
First stage Mikulicz exteriorization of
intestine
Loop colostomy
46.04 Resection of exteriorized segment of large intestine
Resection of exteriorized segment of intestine
NOS
Second stage Mikulicz operation
46.1 Colostomy
Code also any synchronous resection (45.49, 45.71-45.79, 45.8)
Excludes: loop colostomy (46.03)
that with abdominoperineal resection of rectum (48.5)
that with synchronous anterior rectal resection
(48.62)
46.10 Colostomy, not otherwise specified
46.11 Temporary colostomy
46.13 Permanent colostomy
46.14 Delayed opening of colostomy
46.2 Ileostomy
Code also any synchronous resection (45.34, 45.61-45.63)
Excludes: loop ileostomy (46.01)
46.20 Ileostomy, not otherwise specified
46.21 Temporary ileostomy
46.22 Continent ileostomy
46.23 Other permanent ileostomy
46.24 Delayed opening of ileostomy
46.3 Other enterostomy
Code also any synchronous resection (45.61-45.8)
46.31 Delayed opening of other enterostomy
46.32 Percutaneous (endoscopic) jejunostomy [PEJ]
46.39 Other
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