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
Duodenostomy
Feeding enterostomy
46.4 Revision of intestinal stoma
46.40 Revision of intestinal stoma, not otherwise specified
Plastic enlargement of intestinal stoma
Reconstruction of stoma of intestine
Release of scar tissue of intestinal stoma
Excludes: excision of redundant mucosa (45.41)
46.41 Revision of stoma of small intestine
Excludes: excision of redundant mucosa (45.33)
46.42 Repair of pericolostomy hernia
46.43 Other revision of stoma of large intestine
Excludes: excision of redundant mucosa (45.41)
46.5 Closure of intestinal stoma
Code also any synchronous resection (45.34, 45.49, 45.61-45.8)
46.50 Closure of intestinal stoma, not otherwise specified
46.51 Closure of stoma of small intestine
46.52 Closure of stoma of large intestine
Closure or take-down of:
cecostomy
colostomy
sigmoidostomy
46.6 Fixation of intestine
46.60 Fixation of intestine, not otherwise specified
Fixation of intestine to abdominal wall
46.61 Fixation of small intestine to abdominal wall
Ileopexy
46.62 Other fixation of small intestine
Noble plication of small intestine
Plication of jejunum
46.63 Fixation of large intestine to abdominal wall
Cecocoloplicopexy
Sigmoidopexy (Moschowitz)
46.64 Other fixation of large intestine
Cecofixation
Colofixation
46.7 Other repair of intestine
Excludes: closure of:
ulcer of duodenum (44.42)
vesicoenteric fistula (57.83)
46.71 Suture of laceration of duodenum
46.72 Closure of fistula of duodenum
46.73 Suture of laceration of small intestine, except
duodenum
46.74 Closure of fistula of small intestine, except duodenum
Excludes: closure of:
artificial stoma (46.51)
vaginal fistula (70.74)
repair of gastrojejunocolic fistula (44.63)
46.75 Suture of laceration of large intestine
46.76 Closure of fistula of large intestine
Excludes: closure of:
gastrocolic fistula (44.63)
rectal fistula (48.73)
sigmoidovesical fistula (57.83)
stoma (46.52)
vaginal fistula (70.72-70.73)
vesicocolic fistula (57.83)
vesicosigmoidovaginal fistula (57.83)
46.79 Other repair of intestine
Duodenoplasty
46.8 Dilation and manipulation of intestine
46.80 Intra-abdominal manipulation of intestine, not
otherwise specified
Correction of intestinal malrotation
Reduction of:
intestinal torsion
intestinal volvulus
intussusception
Excludes: reduction of intussusception with:
fluoroscopy (96.29)
ionizing radiation enema (96.29)
ultrasonography guidance (96.29)
46.81 Intra-abdominal manipulation of small intestine
46.82 Intra-abdominal manipulation of large intestine
46.85 Dilation of intestine
Dilation (balloon) of duodenum
Dilation (balloon) of jejunum
Endoscopic dilation (balloon) of large intestine
That through rectum or colostomy
46.9 Other operations on intestines
46.91 Myotomy of sigmoid colon
46.92 Myotomy of other parts of colon
46.93 Revision of anastomosis of small intestine
46.94 Revision of anastomosis of large intestine
46.95 Local perfusion of small intestine
Code also substance perfused (99.21-99.29)
46.96 Local perfusion of large intestine
Code also substance perfused (99.21-99.29)
46.97 Transplant of intestine
Note: To report donor source - see codes
00.91-00.93
46.99 Other
Ileoentectropy
Excludes: diagnostic procedures on intestine (45.11-45.29)
dilation of enterostomy stoma (96.24)
intestinal intubation (96.08)
removal of:
intraluminal foreign body from large intestine
without incision (98.04)
intraluminal foreign body from small intestine
without incision (98.03)
tube from large intestine (97.53)
tube from small intestine (97.52)
replacement of:
large intestine tube or enterostomy device (97.04)
small intestine tube or enterostomy device (97.03)
47 Operations on appendix
Includes: appendiceal stump
Code also any application or administration of an adhesion barrier
substance (99.77)
47.0 Appendectomy
Excludes: incidental appendectomy, so described
laparoscopic (47.11)
other (47.19)
47.01 Laparoscopic appendectomy
47.09 Other appendectomy
47.1 Incidental appendectomy
47.11 Laparoscopic incidental appendectomy
47.19 Other incidental appendectomy
47.2 Drainage of appendiceal abscess
Excludes: that with appendectomy (47.0)
47.9 Other operations on appendix
47.91 Appendicostomy
47.92 Closure of appendiceal fistula
47.99 Other
Anastomosis of appendix
Excludes: diagnostic procedures on appendix (45.21-45.29)
48 Operations on rectum, rectosigmoid and perirectal tissue
Code also any application or administration of an adhesion barrier
substance (99.77)
48.0 Proctotomy
Decompression of imperforate anus
Panas' operation [linear proctotomy]
Excludes: incision of perirectal tissue (48.81)
48.1 Proctostomy
48.2 Diagnostic procedures on rectum, rectosigmoid and perirectal
tissue
48.21 Transabdominal proctosigmoidoscopy
Intraoperative proctosigmoidoscopy
Excludes: that with biopsy (48.24)
48.22 Proctosigmoidoscopy through artificial stoma
Excludes: that with biopsy (48.24)
48.23 Rigid proctosigmoidoscopy
Excludes: flexible sigmoidoscopy (45.24)
48.24 Closed [endoscopic] biopsy of rectum
Brushing or washing for specimen collection
Proctosigmoidoscopy with biopsy
48.25 Open biopsy of rectum
48.26 Biopsy of perirectal tissue
48.29 Other diagnostic procedures on rectum, rectosigmoid
and perirectal tissue
Excludes: digital examination of rectum (89.34)
lower GI series (87.64)
microscopic examination of specimen from rectum
(90.91-90.99)
48.3 Local excision or destruction of lesion or tissue of rectum
48.31 Radical electrocoagulation of rectal lesion or tissue
48.32 Other electrocoagulation of rectal lesion or tissue
48.33 Destruction of rectal lesion or tissue by laser
48.34 Destruction of rectal lesion or tissue by cryosurgery
48.35 Local excision of rectal lesion or tissue
Excludes: biopsy of rectum (48.24-48.25)
excision of perirectal tissue (48.82)
hemorrhoidectomy (49.46)
[endoscopic] polypectomy of rectum (48.36)
rectal fistulectomy (48.73)
48.36 [Endoscopic] polypectomy of rectum
48.4 Pull-through resection of rectum
Code also any synchronous anastomosis other than end-to-end (45.90,
45.92-45.95)
48.41 Soave submucosal resection of rectum
Endorectal pull-through operation
48.49 Other pull-through resection of rectum
Abdominoperineal pull-through
Altemeier operation
Swenson proctectomy
Excludes: Duhamel abdominoperineal pull through (48.65)
48.5 Abdominoperineal resection of rectum
Includes: with synchronous colostomy
Combined abdominoendorectal resection
Complete proctectomy
Code also any synchronous anastomosis other than end-to-end (45.90,
45.92-45.95)
Excludes: Duhamel abdominoperineal pull-through (48.65)
that as part of pelvic exenteration (68.8)
48.6 Other resection of rectum
Code also any synchronous anastomosis other than end-to-end (45.90,
45.92-45.95)
48.61 Transsacral rectosigmoidectomy
48.62 Anterior resection of rectum with synchronous
colostomy
48.63 Other anterior resection of rectum
Excludes: that with synchronous colostomy (48.62)
48.64 Posterior resection of rectum
48.65 Duhamel resection of rectum
Duhamel abdominoperineal pull-through
48.69 Other
Partial proctectomy
Rectal resection NOS
48.7 Repair of rectum
Excludes: repair of:
current obstetric laceration (75.62)
vaginal rectocele (70.50, 70.52)
48.71 Suture of laceration of rectum
48.72 Closure of proctostomy
48.73 Closure of other rectal fistula
Excludes: fistulectomy:
perirectal (48.93)
rectourethral (58.43)
rectovaginal (70.73)
rectovesical (57.83)
rectovesicovaginal (57.83)
48.74 Rectorectostomy
Rectal anastomosis NOS
48.75 Abdominal proctopexy
Frickman procedure
Ripstein repair of rectal prolapse
48.76 Other proctopexy
Delorme repair of prolapsed rectum
Proctosigmoidopexy
Puborectalis sling operation
Excludes: manual reduction of rectal prolapse (96.26)
48.79 Other repair of rectum
Repair of old obstetric laceration of rectum
Excludes: anastomosis to:
large intestine (45.94)
small intestine (45.92-45.93)
repair of:
current obstetrica laceration (75.62)
vaginal rectocele (70.50, 70.52)
48.8 Incision or excision of perirectal tissue or lesion
Includes: pelvirectal tissue
rectovaginal septum
48.81 Incision of perirectal tissue
Incision of rectovaginal septum
48.82 Excision of perirectal tissue
Excludes: perirectal biopsy (48.26)
perirectofistulectomy (48.93)
rectal fistulectomy (48.73)
48.9 Other operations on rectum and perirectal tissue
48.91 Incision of rectal stricture
48.92 Anorectal myectomy
48.93 Repair of perirectal fistula
Excludes: that opening into rectum (48.73)
48.99 Other
Excludes: digital examination of rectum (89.34)
dilation of rectum (96.22)
insertion of rectal tube (96.09)
irrigation of rectum (96.38-96.39)
manual reduction of rectal prolapse (96.26)
proctoclysis (96.37)
rectal massage (99.93)
rectal packing (96.19)
removal of:
impacted feces (96.38)
intraluminal foreign body from rectum without
incision (98.05)
rectal packing (97.59)
transanal enema (96.39)
49 Operations on anus
Code also any application or administration of an adhesion barrier
substance (99.77)
49.0 Incision or excision of perianal tissue
49.01 Incision of perianal abscess
49.02 Other incision of perianal tissue
Undercutting of perianal tissue
Excludes: anal fistulotomy (49.11)
49.03 Excision of perianal skin tags
49.04 Other excision of perianal tissue
Excludes: anal fistulectomy (49.12)
biopsy of perianal tissu (49.22)
49.1 Incision or excision of anal fistula
Excludes: closure of anal fistula (49.73)
49.11 Anal fistulotomy
49.12 Anal fistulectomy
49.2 Diagnostic procedures on anus and perianal tissue
49.21 Anoscopy
49.22 Biopsy of perianal tissue
49.23 Biopsy of anus
49.29 Other diagnostic procedures on anus and perianal
tissue
Excludes: microscopic examination of specimen from anus (90.91-90.99)
49.3 Local excision or destruction of other lesion or tissue of anus
Anal cryptotomy
Cauterization of lesion of anus
Excludes: biopsy of anus (49.23)
control of (postoperative) hemorrhage of anus (49.95)
hemorrhoidectomy (49.46)
49.31 Endoscopic excision or destruction of lesion or
tissue of anus
49.39 Other local excision or destruction of lesion or
tissue of anus
Excludes: that by endoscopic approach (49.31)
49.4 Procedures on hemorrhoids
49.41 Reduction of hemorrhoids
49.42 Injection of hemorrhoids
49.43 Cauterization of hemorrhoids
Clamp and cautery of hemorrhoids
49.44 Destruction of hemorrhoids by cryotherapy
49.45 Ligation of hemorrhoids
49.46 Excision of hemorrhoids
Hemorrhoidectomy NOS
49.47 Evacuation of thrombosed hemorrhoids
49.49 Other procedures on hemorrhoids
Lord procedure
49.5 Division of anal sphincter
49.51 Left lateral anal sphincterotomy
49.52 Posterior anal sphincterotomy
49.59 Other anal sphincterotomy
Division of sphincter NOS
49.6 Excision of anus
49.7 Repair of anus
Excludes: repair of current obstetric laceration (75.62)
49.71 Suture of laceration of anus
49.72 Anal cerclage
49.73 Closure of anal fistula
Excludes: excision of anal fistula (49.12)
49.74 Gracilis muscle transplant for anal incontinence
49.75 Implantation or revision of artificial anal sphincter
Removal with subsequent replacement
Replacement during same or subsequent operative
episode
49.76 Removal of artificial anal sphincter
Explantation or removal without replacement
Excludes: revision with implantation during same operative episode
(49.75)
49.79 Other repair of anal sphincter
Repair of old obstetric laceration of anus
Excludes: anoplasty with synchronous hemorrhoidectomy (49.46)
repair of current obstetric laceration (75.62)
49.9 Other operations on anus
Excludes: dilation of anus (sphincter) (96.23)
49.91 Incision of anal septum
49.92 Insertion of subcutaneous electrical anal stimulator
49.93 Other incision of anus
Removal of:
foreign body from anus with incision
seton from anus
Excludes: anal fistulotomy (49.11)
removal of intraluminal foreign body without
incision (98.05)
49.94 Reduction of anal prolapse
Excludes: manual reduction of rectal prolapse (96.26)
49.95 Control of (postoperative) hemorrhage of anus
49.99 Other
50 Operations on liver
Code also any application or administration of an adhesion barrier
substance (99.77)
50.0 Hepatotomy
Incision of abscess of liver
Removal of gallstones from liver
Stromeyer-Little operation
50.1 Diagnostic procedures on liver
50.11 Closed (percutaneous) [needle] biopsy of liver
Diagnostic aspiration of liver
50.12 Open biopsy of liver
Wedge biopsy
50.19 Other diagnostic procedures on liver
Laparoscopic liver biopsy
Excludes: liver scan and radioisotope function study (92.02)
microscopic examination of specimen from liver
(91.01-91.09)
50.2 Local excision or destruction of liver tissue or lesion
50.21 Marsupialization of lesion of liver
50.22 Partial hepatectomy
Wedge resection of liver
Excludes: biopsy of liver (50.11-50.12)
hepatic lobectomy (50.3)
50.29 Other destruction of lesion of liver
Cauterization of hepatic lesion
Enucleation of hepatic lesion
Evacuation of hepatic lesion
Excludes: percutaneous aspiration of lesion (50.91)
50.3 Lobectomy of liver
Total hepatic lobectomy with partial excision of other lobe
50.4 Total hepatectomy
50.5 Liver transplant
Note: To report donor source - see codes 00.91-00.93
50.51 Auxiliary liver transplant
Auxiliary hepatic transplantation leaving
patient's own liver in situ
50.59 Other transplant of liver
50.6 Repair of liver
50.61 Closure of laceration of liver
50.69 Other repair of liver
Hepatopexy
50.9 Other operations on liver
Excludes: lysis of adhesions (54.5)
50.91 Percutaneous aspiration of liver
Excludes: percutaneous biopsy (50.11)
50.92 Extracorporeal hepatic assistance
Liver dialysis
50.93 Localized perfusion of liver
50.94 Other injection of therapeutic substance into liver
50.99 Other
51 Operations on gallbladder and biliary tract
Includes: operations on:
ampulla of Vater
common bile duct
cystic duct
hepatic duct
intrahepatic bile duct
sphincter of Oddi
Code also any application or administration of an adhesion barrier
substance (99.77)
51.0 Cholecystotomy and cholecystostomy
51.01 Percutaneous aspiration of gallbladder
Percutaneous cholecystotomy for drainage
That by: needle or catheter
Excludes: needle biopsy (51.12)
51.02 Trocar cholecystostomy
51.03 Other cholecystostomy
51.04 Other cholecystotomy
Cholelithotomy NOS
51.1 Diagnostic procedures on biliary tract
Excludes: that for endoscopic procedures classifiable to 51.64,
51.84-51.88, 52.14, 52.21, 52.93-52.94, 52.97-52.98
51.10 Endoscopic retrograde cholangiopancreatography [ERCP]
Excludes: endoscopic retrograde:
cholangiography [ERC] (51.11)
pancreatography [ERP] (52.13)
51.11 Endoscopic retrograde cholangiography [ERC]
Laparoscopic exploration of common bile duct
Excludes: endoscopic retrograde:
cholangiopancreatography [ERCP] (51.10)
pancreatography [ERP] (52.13)
51.12 Percutaneous biopsy of gallbladder or bile ducts
Needle biopsy of gallbladder
51.13 Open biopsy of gallbladder or bile ducts
51.14 Other closed [endoscopic] biopsy of biliary duct or
sphincter of Oddi
Brushing or washing for specimen collection
Closed biopsy of biliary duct or sphincter of
Oddi by procedures classifiable to 51.10-51.11,
52.13
51.15 Pressure measurement of sphincter of Oddi
Pressure measurement of sphincter by procedures
classifiable to 51.10-51.11, 52.13
51.19 Other diagnostic procedures on biliary tract
Excludes: biliary tract x-ray (87.51-87.59)
microscopic examination of specimen from biliary
tract (91.01-91.09)
51.2 Cholecystectomy
51.21 Other partial cholecystectomy
Revision of prior cholecystectomy
Excludes: that by laparoscope (51.24)
51.22 Cholecystectomy
Excludes: laparoscopic cholecystectomy (51.23)
51.23 Laparoscopic cholecystectomy
That by laser
51.24 Laparoscopic partial cholecystectomy
51.3 Anastomosis of gallbladder or bile duct
Excludes: resection with end-to-end anastomosis (51.61-51.69)
51.31 Anastomosis of gallbladder to hepatic ducts
51.32 Anastomosis of gallbladder to intestine
51.33 Anastomosis of gallbladder to pancreas
51.34 Anastomosis of gallbladder to stomach
51.35 Other gallbladder anastomosis
Gallbladder anastomosis NOS
51.36 Choledochoenterostomy
51.37 Anastomosis of hepatic duct to gastrointestinal tract
Kasai portoenterostomy
51.39 Other bile duct anastomosis
Anastomosis of bile duct NOS
Anastomosis of unspecified bile duct to:
intestine
liver
pancreas
stomach
51.4 Incision of bile duct for relief of obstruction
51.41 Common duct exploration for removal of calculus
Excludes: percutaneous extraction (51.96)
51.42 Common duct exploration for relief of other
obstruction
51.43 Insertion of choledochohepatic tube for decompression
Hepatocholedochostomy
51.49 Incision of other bile ducts for relief of obstruction
51.5 Other incision of bile duct
Excludes:that for relief of obstruction (51.41-51.49)
51.51 Exploration of common duct
Incision of common bile duct
51.59 Incision of other bile duct
51.6 Local excision or destruction of lesion or tissue of biliary
ducts and sphincter of Oddi
Code also anastomosis other than end-to-end (51.31,51.36-51.39)
Excludes:biopsy of bile duct (51.12-51.13)
51.61 Excision of cystic duct remnant
51.62 Excision of ampulla of Vater (with reimplantation of
common duct)
51.63 Other excision of common duct
Choledochectomy
Excludes: fistulectomy (51.72)
51.64 Endoscopic excision or destruction of lesion of
biliary ducts or sphincter of Oddi
Excision or destruction of lesion of biliary
duct by procedures classifiable to 51.10-51.11,
52.13
51.69 Excision of other bile duct
Excision of lesion of bile duct NOS
Excludes: fistulectomy (51.79)
51.7 Repair of bile ducts
51.71 Simple suture of common bile duct
51.72 Choledochoplasty
Repair of fistula of common bile duct
51.79 Repair of other bile ducts
Closure of artificial opening of bile duct
NOS
Suture of bile duct NOS
Excludes: operative removal of prosthetic device (51.95)
51.8 Other operations on biliary ducts and sphincter of Oddi
51.81 Dilation of sphincter of Oddi
Dilation of ampulla of Vater
Excludes: that by endoscopic approach (51.84)
51.82 Pancreatic sphincterotomy
Incision of pancreatic sphincter
Transduodenal ampullary sphincterotomy
Excludes: that by endoscopic approach (51.85)
51.83 Pancreatic sphincteroplasty
51.84 Endoscopic dilation of ampulla and biliary duct
Dilation of ampulla and biliary duct by
procedures classifiable to 51.10-51.11, 52.13
51.85 Endoscopic sphincterotomy and papillotomy
Sphincterotomy and papillotomy by procedures
classifiable to 51.10-51.11, 52.13
51.86 Endoscopic insertion of nasobiliary drainage tube
Insertion of nasobiliary tube by procedures
classifiable to 51.10-51.11, 52.13
51.87 Endoscopic insertion of stent (tube) into bile duct
Endoprosthesis of bile duct
Insertion of stent into bile duct by procedures
classifiable to 51.10-51.11, 52.13
Excludes: nasobiliary drainage tub (51.86)
replacement of stent (tube) (97.05)
51.88 Endoscopic removal of stone(s) from biliary tract
Laparoscopic removal of stone(s) from biliary
tract
Removal of biliary tract stone(s) by procedures
classifiable to 51.10-51.11, 52.13
Excludes: percutaneous extraction of common duct stones (51.96)
51.89 Other operations on sphincter of Oddi
51.9 Other operations on biliary tract
51.91 Repair of laceration of gallbladder
51.92 Closure of cholecystostomy
51.93 Closure of other biliary fistula
Cholecystogastroenteric fistulectomy
51.94 Revision of anastomosis of biliary tract
51.95 Removal of prosthetic device from bile duct
Excludes: nonoperative removal (97.55)
51.96 Percutaneous extraction of common duct stones
51.98 Other percutaneous procedures on biliary tract
Percutaneous biliary endoscopy via existing
T-tube or other tract for:
dilation of biliary duct stricture
removal of stone(s) except common duct stone
exploration (postoperative)
Percutaneous transhepatic biliary drainage
Excludes: percutaneous aspiration of gallbladder (51.01)
percutaneous biopsy and/or collection of specimen by
brushing or washing (51.12)
percutaneous removal of common duct stone(s) (51.96)
51.99 Other
Insertion or replacement of biliary tract
prosthesis
Excludes: biopsy of gallbladder (51.12-51.13)
irrigation of cholecystostomy and other biliary tube
(96.41)
lysis of peritoneal adhesions (54.5)
nonoperative removal of:
cholecystostomy tube (97.54)
tube from biliary tract or liver (97.55)
52 Operations on pancreas
Includes: operations on pancreatic duct
Code also any application or administration of an adhesion barrier
substance (99.77)
52.0 Pancreatotomy
52.01 Drainage of pancreatic cyst by catheter
52.09 Other pancreatotomy
Pancreatolithotomy
Excludes: drainage by anastomosis (52.4, 52.96)
incision of pancreatic sphincte (51.82)
marsupialization of cyst (52.3)
52.1 Diagnostic procedures on pancreas
52.11 Closed [aspiration] [needle] [percutaneous] biopsy of
pancreas
52.12 Open biopsy of pancreas
52.13 Endoscopic retrograde pancreatography [ERP]
Excludes: endoscopic retrograde:
cholangiography [ERC] (51.11)
cholangiopancreatography [ERCP] (51.10)
that for procedures classifiabl to 51.14-51.15,
51.64, 51.84-51.88, 52.14, 52.21, 52.92-52.94,
52.97-52.98
52.14 Closed [endoscopic] biopsy of pancreatic duct
Closed biopsy of pancreatic duct by procedures
classifiable to 51.10-51.11, 52.13
52.19 Other diagnostic procedures on pancreas
Excludes: contrast pancreatogram (87.66)
endoscopic retrograde pancreatography [ERP] (52.13)
microscopic examination of specimen from pancreas
(91.01-91.09)
52.2 Local excision or destruction of pancreas and pancreatic duct
Excludes: biopsy of pancreas (52.11-52.12, 52.14)
pancreatic fistulectomy (52.95)
52.21 Endoscopic excision or destruction of lesion or
tissue of pancreatic duct
Excision or destruction of lesion or tissue of
pancreatic duct by procedures classifiable to
51.10-51.11, 52.13
52.22 Other excision or destruction of lesion or tissue of
pancreas or pancreatic duct
52.3 Marsupialization of pancreatic cyst
Excludes: drainage of cyst by catheter (52.01)
52.4 Internal drainage of pancreatic cyst
Pancreaticocystoduodenostomy
Pancreaticocystogastrostomy
Pancreaticocystojejunostomy
52.5 Partial pancreatectomy
Excludes: pancreatic fistulectomy (52.95)
52.51 Proximal pancreatectomy
Excision of head of pancreas (with part of body)
Proximal pancreatectomy with synchronous
duodenectomy
52.52 Distal pancreatectomy
Excision of tail of pancreas (with part of body)
52.53 Radical subtotal pancreatectomy
52.59 Other partial pancreatectomy
52.6 Total pancreatectomy
Pancreatectomy with synchronous duodenectomy
52.7 Radical pancreaticoduodenectomy
One-stage pancreaticoduodenal resection with
choledochojejunal anastomosis, pancreaticojejunal
anastomosis, and gastrojejunostomy
Two-stage pancreaticoduodenal resection (first stage)
(second stage)
Radical resection of the pancreas
Whipple procedure
Excludes: radical subtotal pancreatectomy (52.53)
52.8 Transplant of pancreas
Note: To report donor source - see codes 00.91-00.93
52.80 Pancreatic transplant, not otherwise specified
52.81 Reimplantation of pancreatic tissue
52.82 Homotransplant of pancreas
52.83 Heterotransplant of pancreas
52.84 Autotransplantation of cells of Islets of Langerhans
Homotransplantation of islet cells of pancreas
52.85 Allotransplantation of cells of Islets of Langerhans
Heterotransplantation of islet cells of pancreas
52.86 Transplantation of cells of Islets of Langerhans, not
otherwise specified
52.9 Other operations on pancreas
52.92 Cannulation of pancreatic duct
Excludes: that by endoscopic approach (52.93)
52.93 Endoscopic insertion of stent (tube) into pancreatic
duct
Insertion of cannula or stent into pancreatic
duct by procedures classifiable to 51.10-51.11,
52.13
Excludes: endoscopic insertion of nasopancreatic drainage tube (52.97)
replacement of stent (tube) (97.05)
52.94 Endoscopic removal of stone(s) from pancreatic duct
Removal of stone(s) from pancreatic duct by
procedures classifiable to 51.10-51.11, 52.13
52.95 Other repair of pancreas
Fistulectomy of pancreas
Simple suture of pancreas
52.96 Anastomosis of pancreas
Anastomosis of pancreas (duct) to:
intestine
jejunum
stomach
Excludes: anastomosis to:
bile duct (51.39)
gallbladder (51.33)
52.97 Endoscopic insertion of nasopancreatic drainage tube
Insertion of nasopancreatic drainage tube by
procedures classifiable to 51.10-51.11, 52.13
Excludes: drainage of pancreatic cyst by catheter (52.01)
replacement of stent (tube) (97.05)
52.98 Endoscopic dilation of pancreatic duct
Dilation of Wirsung's duct by procedures
classifiable to 51.10-51.11, 52.13
52.99 Other
Dilation of pancreatic [Wirsung's] duct by open
approach
Repair of pancreatic [Wirsung's] duct by open
approach
Excludes: irrigation of pancreatic tube (96.42)
removal of pancreatic tub (97.56)
53 Repair of hernia
Includes: hernioplasty
herniorrhaphy
Code also any application or administration of an adhesion barrier
substance (99.77)
Excludes: manual reduction of hernia (96.27)
53.0 Unilateral repair of inguinal hernia
53.00 Unilateral repair of inguinal hernia, not otherwise
specified
Inguinal herniorrhaphy NOS
53.01 Repair of direct inguinal hernia
53.02 Repair of indirect inguinal hernia
53.03 Repair of direct inguinal hernia with graft or
prosthesis
53.04 Repair of indirect inguinal hernia with graft or
prosthesis
53.05 Repair of inguinal hernia with graft or prosthesis,
not otherwise specified
53.1 Bilateral repair of inguinal hernia
53.10 Bilateral repair of inguinal hernia, not otherwise
specified
53.11 Bilateral repair of direct inguinal hernia
53.12 Bilateral repair of indirect inguinal hernia
53.13 Bilateral repair of inguinal hernia, one direct and
one indirect
53.14 Bilateral repair of direct inguinal hernia with graft
or prosthesis
53.15 Bilateral repair of indirect inguinal hernia with
graft or prosthesis
53.16 Bilateral repair of inguinal hernia, one direct and
one indirect, with graft or prosthesis
53.17 Bilateral inguinal hernia repair with graft or
prosthesis, not otherwise specified
53.2 Unilateral repair of femoral hernia
53.21 Unilateral repair of femoral hernia with graft or
prosthesis
53.29 Other unilateral femoral herniorrhaphy
53.3 Bilateral repair of femoral hernia
53.31 Bilateral repair of femoral hernia with graft or
prosthesis
53.39 Other bilateral femoral herniorrhaphy
53.4 Repair of umbilical hernia
Excludes: repair of gastroschisis (54.71)
53.41 Repair of umbilical hernia with prosthesis
53.49 Other umbilical herniorrhaphy
53.5 Repair of other hernia of anterior abdominal wall (without graft
or prosthesis)
53.51 Incisional hernia repair
53.59 Repair of other hernia of anterior abdominal wall
Repair of hernia:
epigastric
hypogastric
spigelian
ventral
53.6 Repair of other hernia of anterior abdominal wall with graft or
prosthesis
53.61 Incisional hernia repair with prosthesis
53.69 Repair of other hernia of anterior abdominal wall
with prosthesis
53.7 Repair of diaphragmatic hernia, abdominal approach
53.8 Repair of diaphragmatic hernia, thoracic approach
53.80 Repair of diaphragmatic hernia with thoracic
approach, not otherwise specified
Thoracoabdominal repair of diaphragmatic hernia
53.81 Plication of the diaphragm
53.82 Repair of parasternal hernia
53.9 Other hernia repair
Repair of hernia:
ischiatic
ischiorectal
lumbar
obturator
omental
retroperitoneal
sciatic
Excludes: relief of strangulated hernia with exteriorization of
intestine (46.01, 46.03)
repair of pericolostomy hernia (46.42)
repair of vaginal enterocele (70.92)
54 Other operations on abdominal region
Includes: operations on:
epigastric region
flank
groin region
hypochondrium
inguinal region
loin region
male pelvic cavity
mesentery
omentum
peritoneum
retroperitoneal tissue space
Code also any application or administration of an adhesion barrier
substance (99.77)
Excludes: female pelvic cavity (69.01-70.92)
hernia repair (53.00-53.9)
obliteration of cul-de-sac (70.92)
retroperitoneal tissue dissection (59.00-59.09)
skin and subcutaneous tissue of abdominal
wall (86.01-86.99)
54.0 Incision of abdominal wall
Drainage of:
abdominal wall
extraperitoneal abscess
retroperitoneal abscess
Excludes: incision of peritoneum (54.95)
laparotomy (54.11-54.19)
54.1 Laparotomy
54.11 Exploratory laparotomy
Excludes: exploration incidental to intra abdominal surgery -- omit
code
54.12 Reopening of recent laparotomy site
Reopening of recent laparotomy site for:
control of hemorrhage
exploration
incision of hematoma
54.19 Other laparotomy
Drainage of intraperitoneal abscess or hematoma
Excludes: culdocentesis (70.0)
drainage of appendiceal abscess (47.2)
exploration incidental to intra abdominal surgery --
omit code
Ladd operation (54.95)
percutaneous drainage of abdomen (54.91)
removal of foreign body (54.92)
54.2 Diagnostic procedures of abdominal region
54.21 Laparoscopy
Peritoneoscopy
Excludes: laparoscopic cholecystectomy (51.23)
that incidental to destruction of fallopian tubes
(66.21-66.29)
54.22 Biopsy of abdominal wall or umbilicus
54.23 Biopsy of peritoneum
Biopsy of:
mesentery
omentum
peritoneal implant
Excludes:closed biopsy of:
omentum (54.24)
peritoneum (54.24)
54.24 Closed [percutaneous] [needle] biopsy of
intra-abdominal mass
Closed biopsy of:
omentum
peritoneal implant
peritoneum
Excludes: that of:
fallopian tube (66.11)
ovary (65.11)
uterine ligaments (68.15)
uterus (68.16)
54.25 Peritoneal lavage
Diagnostic peritoneal lavage
Excludes: peritoneal dialysis (54.98)
54.29 Other diagnostic procedures on abdominal region
Excludes: abdominal lymphangiogram (88.04)
abdominal x-ray NEC (88.19)
angiocardiography of venae cava (88.51)
C.A.T. scan of abdomen (88.01)
contrast x-ray of abdominal cavity (88.11-88.15)
intra-abdominal arteriography NEC (88.47)
microscopic examination of peritoneal and
retroperitoneal specimen (91.11-91.19)
phlebography of:
intra-abdominal vessels NEC (88.65)
portal venous system (88.64)
sinogram of abdominal wall (88.03)
soft tissue x-ray of abdominal wall NEC (88.09)
tomography of abdomen NE (88.02)
ultrasonography of abdomen and retroperitoneum
(88.76)
54.3 Excision or destruction of lesion or tissue of abdominal wall or
umbilicus
Debridement of abdominal wall
Omphalectomy
Excludes: biopsy of abdominal wall or umbilicus (54.22)
size reduction operation (86.83)
that of skin of abdominal wall (86.22, 86.26, 86.3)
54.4 Excision or destruction of peritoneal tissue
Excision of:
appendices epiploicae
falciform ligament
gastrocolic ligament
lesion of:
mesentery
omentum
peritoneum
presacral lesion NOS
retroperitoneal lesion NOS
Excludes: biopsy of peritoneum (54.23)
endometrectomy of cul-de-sac (70.32)
54.5 Lysis of peritoneal adhesions
Freeing of adhesions of:
biliary tract
intestines
liver
pelvic peritoneum
peritoneum
spleen
uterus
Excludes: lysis of adhesions of:
bladder (59.11)
fallopian tube and ovary
laparoscopic (65.81)
other (65.89)
kidney (59.02)
ureter (59.02)
54.51 Laparoscopic lysis of peritoneal adhesions
54.59 Other lysis of peritoneal adhesions
54.6 Suture of abdominal wall and peritoneum
54.61 Reclosure of postoperative disruption of abdominal
wall
54.62 Delayed closure of granulating abdominal wound
Tertiary subcutaneous wound closure
54.63 Other suture of abdominal wall
Suture of laceration of abdominal wall
Excludes: closure of operative wound -- omit code
54.64 Suture of peritoneum
Secondary suture of peritoneum
Excludes: closure of operative wound -- omit code
54.7 Other repair of abdominal wall and peritoneum
54.71 Repair of gastroschisis
54.72 Other repair of abdominal wall
54.73 Other repair of peritoneum
Suture of gastrocolic ligament
54.74 Other repair of omentum
Epiplorrhaphy
Graft of omentum
Omentopexy
Reduction of torsion of omentum
Excludes: cardio-omentopexy (36.39)
54.75 Other repair of mesentery
Mesenteric plication
Mesenteropexy
54.9 Other operations of abdominal region
Excludes: removal of ectopic pregnancy (74.3)
54.91 Percutaneous abdominal drainage
Paracentesis
Excludes: creation of cutaneoperitoneal fistula (54.93)
54.92 Removal of foreign body from peritoneal cavity
54.93 Creation of cutaneoperitoneal fistula
54.94 Creation of peritoneovascular shunt
Peritoneovenous shunt
54.95 Incision of peritoneum
Exploration of ventriculoperitoneal shunt at
peritoneal site
Ladd operation
Revision of distal catheter of ventricular shunt
Revision of ventriculoperitoneal shunt at
peritoneal site
Excludes: that incidental to laparotomy (54.11-54.19)
54.96 Injection of air into peritoneal cavity
Pneumoperitoneum
Excludes: that for:
collapse of lung (33.33)
radiography (88.12-88.13, 88.15)
54.97 Injection of locally-acting therapeutic substance
into peritoneal cavity
Excludes: peritoneal dialysis (54.98)
54.98 Peritoneal dialysis
Excludes: peritoneal lavage (diagnostic) (54.25)
54.99 Other
Excludes: removal of:
abdominal wall suture (97.83)
peritoneal drainage device (97.82)
retroperitoneal drainage device (97.81)