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
81.20 Arthrodesis of unspecified joint
81.21 Arthrodesis of hip
81.22 Arthrodesis of knee
81.23 Arthrodesis of shoulder
81.24 Arthrodesis of elbow
81.25 Carporadial fusion
81.26 Metacarpocarpal fusion
81.27 Metacarpophalangeal fusion
81.28 Interphalangeal fusion
81.29 Arthrodesis of other specified joints
81.3 Refusion of spine
Includes: arthrodesis of spine with:
bone graft
internal fixation
correction of pseudarthrosis of spine
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)
81.30 Refusion of spine, not otherwise specified
81.31 Refusion of atlas-axis spine
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
81.32 Refusion of other cervical spine, anterior technique
Arthrodesis of C2 level or below:
anterior (interbody) technique
anterolateral technique
81.33 Refusion of other cervical spine, posterior technique
Arthrodesis of C2 level or below:
posterior (interbody) technique
posterolateral technique
81.34 Refusion of dorsal and dorsolumbar spine, anterior
technique
Arthrodesis of thoracic or thoracolumbar region:
anterior (interbody) technique
anterolateral technique
81.35 Refusion of dorsal and dorsolumbar spine, posterior
technique
Arthrodesis of thoracic or thoracolumbar region:
posterior (interbody) technique
posterolateral technique
81.36 Refusion of lumbar and lumbosacral spine, anterior
technique
Anterior lumbar interbody fusion (ALIF)
Arthrodesis of lumbar or lumbosacral region:
anterior (interbody) technique
anterolateral technique
81.37 Refusion of lumbar and lumbosacral spine, lateral
transverse process technique
81.38 Refusion of lumbar and lumbosacral spine, posterior
technique
Arthrodesis of lumbar or lumbosacral region:
posterior (interbody) technique
posterolateral technique
Posterior lumbar interbody fusion (PLIF)
Transforaminal lumbar interbody fusion (TLIF)
81.39 Refusion of spine, not elsewhere classified
81.4 Other repair of joint of lower extremity
Includes: arthroplasty of lower extremity with:
external traction or fixation
graft of bone (chips) or cartilage
internal fixation device
81.40 Repair of hip, not elsewhere classified
81.42 Five-in-one repair of knee
Medial meniscectomy, medial collateral ligament
repair, vastus medialis advancement,
semitendinosus advancement, and pes anserinus
transfer
81.43 Triad knee repair
Medial meniscectomy with repair of the anterior
cruciate ligament and the medial collateral
ligament
O'Donoghue procedure
81.44 Patellar stabilization
Roux-Goldthwait operation for recurrent
dislocation of patella
81.45 Other repair of the cruciate ligaments
81.46 Other repair of the collateral ligaments
81.47 Other repair of knee
81.49 Other repair of ankle
81.5 Joint replacement of lower extremity
Includes: arthroplasty of lower extremity with:
external traction or fixation
graft of bone (chips) or cartilage
internal fixation device or prosthesis
removal of cement spacer
81.51 Total hip replacement
Replacement of both femoral head and acetabulum
by prosthesis
Total reconstruction of hip
Code also any type of bearing surface, if known (00.74-00.76)
81.52 Partial hip replacement
Bipolar endoprosthesis
Code also any type of bearing surface, if known (00.74 - 00.76)
81.53 Revision of hip replacement, not otherwise specified
Revision of hip replacement, not specified as
to components(s) replaced, (acetabular, femoral
or both)
Code also any:
removal of (cement)(joint) spacer (84.57)
type of bearing surface, if known (00.74-00.76)
Excludes: revision of hip replacement, components specified
(00.70-00.73)
81.54 Total knee replacement
Bicompartmental
Tricompartmental
Unicompartmental (hemijoint)
81.55 Revision of knee replacement,not otherwise specified
Code also any removal of (cement) spacer (84.57)
Excludes: arthrodesis of knee (81.22)
revision of knee replacement, components specified
(00.80-00.84)
81.56 Total ankle replacement
81.57 Replacement of joint of foot and toe
81.59 Revision of joint replacement of lower extremity, not
elsewhere classified
81.6 Other procedures on spine
Note: Number of vertebrae
The vertebral spine consists of 25 vertebrae in the
following order and number:
Cervical: C1 (atlas), C2 (axis), C3, C4, C5, C6, C7
Thoracic or Dorsal: T1, T2, T3, T4, T5, T6, T7, T8, T9,
T10, T11, T12
Lumbar and Sacral: L1, L2, L3, L4, L5, S1
Coders should report only one code from the series 81.62 or 81.63 or
81.64 to show the total number of vertebrae fused on
the patient.
Code also the level and approach of the fusion or refusion
(81.00-81.08, 81.30-81.39)
81.62 Fusion or refusion of 2-3 vertebrae
81.63 Fusion or refusion of 4- 8 vertebrae
81.64 Fusion or refusion of 9 or more vertebrae
81.65 Vertebroplasty
Injection of bone void filler (cement)
(polymethylmethacrylate) (PMMA) into the
diseased or fractured
vertebral body
Excludes: kyphoplasty (81.66)
81.66 Kyphoplasty
Insertion of inflatable balloon, bone tamp, or
other device to create a cavity for partial
restoration of height of
diseased or fractured vertebral body prior to
injection of bone void filler
(cement)(polymethylmethacrylate)
(PMMA)
Excludes: vertebroplasty (81.65)
81.7 Arthroplasty and repair of hand, fingers and wrist
Includes: arthroplasty of hand and finger with:
external traction or fixation
graft of bone (chips) or cartilage
internal fixation device or prosthesis
Excludes: operations on muscle, tendon and fascia of hand
(82.01-82.99)
81.71 Arthroplasty of metacarpophalangeal and
interphalangeal joint with implant
81.72 Arthroplasty of metacarpophalangeal and
interphalangeal joint without implant
81.73 Total wrist replacement
81.74 Arthroplasty of carpocarpal or carpometacarpal joint
with implant
81.75 Arthroplasty of carpocarpal or carpometacarpal joint
without implant
81.79 Other repair of hand, fingers and wrist
81.8 Arthroplasty and repair of shoulder and elbow
Includes: arthroplasty of upper limb NEC with:
external traction or fixation
graft of bone (chips) or cartilage
internal fixation device or prosthesis
81.80 Total shoulder replacement
81.81 Partial shoulder replacement
81.82 Repair of recurrent dislocation of shoulder
81.83 Other repair of shoulder
Revision of arthroplasty of shoulder
81.84 Total elbow replacement
81.85 Other repair of elbow
81.9 Other operations on joint structures
81.91 Arthrocentesis
Joint aspiration
Excludes: that for:
arthrography (88.32)
biopsy of joint structure 80.30-80.39)
injection of drug (81.92)
81.92 Injection of therapeutic substance into joint or
ligament
81.93 Suture of capsule or ligament of upper extremity
Excludes: that associated wit arthroplasty (81.71-81.75, 81.80-81.81,
81.84)
81.94 Suture of capsule or ligament of ankle and foot
Excludes: that associated wit arthroplasty (81.56-81.59)
81.95 Suture of capsule or ligament of other lower extremity
Excludes: that associated wit arthroplasty (81.51-81.55, 81.59)
81.96 Other repair of joint
81.97 Revision of joint replacement of upper extremity
Partial
Removal of cement spacer
Total
81.98 Other diagnostic procedures on joint structures
Excludes: arthroscopy (80.20-80.29)
biopsy of joint structure (80.30-80.39)
microscopic examination of specimen from joint
(91.51-91.59)
thermography (88.83)
x-ray (87.21-87.29, 88.21-88.33)
81.99 Other
82 Operations on muscle, tendon, and fascia of hand
Includes: operations on:
aponeurosis
synovial membrane (tendon sheath)
tendon sheath
82.0 Incision of muscle, tendon, fascia, and bursa of hand
82.01 Exploration of tendon sheath of hand
Incision of tendon sheath of hand
Removal of rice bodies in tendon sheath of hand
Excludes: division of tendon (82.11)
82.02 Myotomy of hand
Excludes: myotomy for division (82.19)
82.03 Bursotomy of hand
82.04 Incision and drainage of palmar or thenar space
82.09 Other incision of soft tissue of hand
Excludes: incision of skin an subcutaneous tissue alone (86.01-86.09)
82.1 Division of muscle, tendon, and fascia of hand
82.11 Tenotomy of hand
Division of tendon of hand
82.12 Fasciotomy of hand
Division of fascia of hand
82.19 Other division of soft tissue of hand
Division of muscle of hand
82.2 Excision of lesion of muscle, tendon, and fascia of hand
82.21 Excision of lesion of tendon sheath of hand
Ganglionectomy of tendon sheath (wrist)
82.22 Excision of lesion of muscle of hand
82.29 Excision of other lesion of soft tissue of hand
Excludes: excision of lesion of skin and subcutaneous tissue
(86.21-86.3)
82.3 Other excision of soft tissue of hand
Code also any skin graft (86.61-86.62, 86.73)
Excludes: excision of skin and subcutaneous tissue (86.21-86.3)
82.31 Bursectomy of hand
82.32 Excision of tendon of hand for graft
82.33 Other tenonectomy of hand
Tenosynovectomy of hand
Excludes: excision of lesion of:
tendon (82.29)
sheath (82.21)
82.34 Excision of muscle or fascia of hand for graft
82.35 Other fasciectomy of hand
Release of Dupuytren's contracture
Excludes: excision of lesion of fascia (82.29)
82.36 Other myectomy of hand
Excludes: excision of lesion of muscle (82.22)
82.39 Other excision of soft tissue of hand
Excludes: excision of skin (86.21-86.3)
excision of soft tissue lesion (82.29)
82.4 Suture of muscle, tendon, and fascia of hand
82.41 Suture of tendon sheath of hand
82.42 Delayed suture of flexor tendon of hand
82.43 Delayed suture of other tendon of hand
82.44 Other suture of flexor tendon of hand
Excludes: delayed suture of flexor tendon of hand (82.42)
82.45 Other suture of other tendon of hand
Excludes: delayed suture of other tendon of hand (82.43)
82.46 Suture of muscle or fascia of hand
82.5 Transplantation of muscle and tendon of hand
82.51 Advancement of tendon of hand
82.52 Recession of tendon of hand
82.53 Reattachment of tendon of hand
82.54 Reattachment of muscle of hand
82.55 Other change in hand muscle or tendon length
82.56 Other hand tendon transfer or transplantation
Excludes: pollicization of thumb (82.61)
transfer of finger, except thum (82.81)
82.57 Other hand tendon transposition
82.58 Other hand muscle transfer or transplantation
82.59 Other hand muscle transposition
82.6 Reconstruction of thumb
Includes: digital transfer to act as thumb
Code also any amputation for digital transfer (84.01, 84.11)
82.61 Pollicization operation carrying over nerves and
blood supply
82.69 Other reconstruction of thumb
"Cocked-hat" procedure [skin flap and bone]
Grafts:
bone to thumb skin (pedicle) to thumb
82.7 Plastic operation on hand with graft or implant
82.71 Tendon pulley reconstruction
Reconstruction for opponensplasty
82.72 Plastic operation on hand with graft of muscle or
fascia
82.79 Plastic operation on hand with other graft or implant
Tendon graft to hand
82.8 Other plastic operations on hand
82.81 Transfer of finger, except thumb
Excludes: pollicization of thumb (82.61)
82.82 Repair of cleft hand
82.83 Repair of macrodactyly
82.84 Repair of mallet finger
82.85 Other tenodesis of hand
Tendon fixation of hand NOS
82.86 Other tenoplasty of hand
Myotenoplasty of hand
82.89 Other plastic operations on hand
Plication of fascia
Repair of fascial hernia
Excludes: that with graft or implant (82.71-82.79)
82.9 Other operations on muscle, tendon, and fascia of hand
Excludes: diagnostic procedures on soft tissue of hand (83.21-83.29)
82.91 Lysis of adhesions of hand
Freeing of adhesions of fascia, muscle, and
tendon of hand
Excludes: decompression of carpal tunnel (04.43)
that by stretching o manipulation only (93.26)
82.92 Aspiration of bursa of hand
82.93 Aspiration of other soft tissue of hand
Excludes: skin and subcutaneous tissue (86.01)
82.94 Injection of therapeutic substance into bursa of hand
82.95 Injection of therapeutic substance into tendon of hand
82.96 Other injection of locally-acting therapeutic
substance into soft tissue of hand
Excludes: subcutaneous or intramuscular injection (99.11-99.29)
82.99 Other operations on muscle, tendon, and fascia of hand
83 Operations on muscle, tendon, fascia, and bursa, except hand
Includes: operations on:
aponeurosis
synovial membrane of bursa and tendon sheaths
tendon sheaths
Excludes: diaphragm (34.81-34.89)
hand (82.01-82.99)
muscles of eye (15.01-15.9)
83.0 Incision of muscle, tendon, fascia, and bursa
83.01 Exploration of tendon sheath
Incision of tendon sheath
Removal of rice bodies from tendon sheath
83.02 Myotomy
Excludes: cricopharyngeal myotomy (29.31)
83.03 Bursotomy
Removal of calcareous deposit of bursa
Excludes: aspiration of burs (percutaneous) (83.94)
83.09 Other incision of soft tissue
Incision of fascia
Excludes: incision of skin an subcutaneous tissue alone (86.01-86.09)
83.1 Division of muscle, tendon, and fascia
83.11 Achillotenotomy
83.12 Adductor tenotomy of hip
83.13 Other tenotomy
Aponeurotomy
Division of tendon
Tendon release
Tendon transection
Tenotomy for thoracic outlet decompression
83.14 Fasciotomy
Division of fascia
Division of iliotibial band
Fascia stripping
Release of Volkmann's contracture by fasciotomy
83.19 Other division of soft tissue
Division of muscle
Muscle release
Myotomy for thoracic outlet decompression
Myotomy with division
Scalenotomy
Transection of muscle
83.2 Diagnostic procedures on muscle, tendon, fascia, and bursa,
including that of hand
83.21 Biopsy of soft tissue
Excludes: biopsy of chest wall (34.23)
biopsy of skin and subcutaneous tissue (86.11)
83.29 Other diagnostic procedures on muscle, tendon,
fascia, and bursa, including that of hand
Excludes: microscopic examination of specimen (91.51-91.59)
soft tissue x-ray (87.09, 87.38-87.39, 88.09, 88.35,
88.37)
thermography of muscle (88.84)
83.3 Excision of lesion of muscle, tendon, fascia, and bursa
Excludes: biopsy of soft tissue (83.21)
83.31 Excision of lesion of tendon sheath
Excision of ganglion of tendon sheath, except
of hand
83.32 Excision of lesion of muscle
Excision of:
heterotopic bone
muscle scar for release of Volkmann's
contracture
myositis ossificans
83.39 Excision of lesion of other soft tissue
Excision of Baker's cyst
Excludes: bursectomy (83.5)
excision of lesion of skin and subcutaneous tissue
(86.3)
synovectomy (80.70-80.79)
83.4 Other excision of muscle, tendon, and fascia
83.41 Excision of tendon for graft
83.42 Other tenonectomy
Excision of:
aponeurosis
tendon sheath
Tenosynovectomy
83.43 Excision of muscle or fascia for graft
83.44 Other fasciectomy
83.45 Other myectomy
Debridement of muscle NOS
Scalenectomy
83.49 Other excision of soft tissue
83.5 Bursectomy
83.6 Suture of muscle, tendon, and fascia
83.61 Suture of tendon sheath
83.62 Delayed suture of tendon
83.63 Rotator cuff repair
83.64 Other suture of tendon
Achillorrhaphy
Aponeurorrhaphy
Excludes: delayed suture of tendon (83.62)
83.65 Other suture of muscle or fascia
Repair of diastasis recti
83.7 Reconstruction of muscle and tendon
Excludes: reconstruction of muscle and tendon associated with
arthroplasty
83.71 Advancement of tendon
83.72 Recession of tendon
83.73 Reattachment of tendon
83.74 Reattachment of muscle
83.75 Tendon transfer or transplantation
83.76 Other tendon transposition
83.77 Muscle transfer or transplantation
Release of Volkmann's contracture by muscle
transplantation
83.79 Other muscle transposition
83.8 Other plastic operations on muscle, tendon, and fascia
Excludes: plastic operations on muscle, tendon, and fascia
associated with arthroplasty
83.81 Tendon graft
83.82 Graft of muscle or fascia
83.83 Tendon pulley reconstruction
83.84 Release of clubfoot, not elsewhere classified
Evans operation on clubfoot
83.85 Other change in muscle or tendon length
Hamstring lengthening
Heel cord shortening
Plastic achillotenotomy
Tendon plication
83.86 Quadricepsplasty
83.87 Other plastic operations on muscle
Musculoplasty
Myoplasty
83.88 Other plastic operations on tendon
Myotenoplasty
Tendon fixation
Tenodesis
Tenoplasty
83.89 Other plastic operations on fascia
Fascia lengthening
Fascioplasty
Plication of fascia
83.9 Other operations on muscle, tendon, fascia, and bursa
Excludes: nonoperative:
manipulation (93.25-93.29)
stretching (93.27-93.29)
83.91 Lysis of adhesions of muscle, tendon, fascia, and
bursa
Excludes: that for tarsal tunnel syndrome (04.44)
83.92 Insertion or replacement of skeletal muscle stimulator
Implantation, insertion, placement, or
replacement of skeletal muscle:
electrodes
stimulator
83.93 Removal of skeletal muscle stimulator
83.94 Aspiration of bursa
83.95 Aspiration of other soft tissue
Excludes: that of skin and subcutaneous tissue (86.01)
83.96 Injection of therapeutic substance into bursa
83.97 Injection of therapeutic substance into tendon
83.98 Injection of locally-acting therapeutic substance
into other soft tissue
Excludes: subcutaneous or intramuscular injection (99.11-99.29)
83.99 Other operations on muscle, tendon, fascia, and bursa
Suture of bursa
84 Other procedures on musculoskeletal system
84.0 Amputation of upper limb
Excludes: revision of amputation stump (84.3)
84.00 Upper limb amputation, not otherwise specified
Closed flap amputation of upper limb NOS
Kineplastic amputation of upper limb NOS
Open or guillotine amputation of upper limb NOS
Revision of current traumatic amputation of
upper limb NOS
84.01 Amputation and disarticulation of finger
Excludes: ligation of supernumerary finge (86.26)
84.02 Amputation and disarticulation of thumb
84.03 Amputation through hand
Amputation through carpals
84.04 Disarticulation of wrist
84.05 Amputation through forearm
Forearm amputation
84.06 Disarticulation of elbow
84.07 Amputation through humerus
Upper arm amputation
84.08 Disarticulation of shoulder
84.09 Interthoracoscapular amputation
Forequarter amputation
84.1 Amputation of lower limb
Excludes: revision of amputation stump (84.3)
84.10 Lower limb amputation, not otherwise specified
Closed flap amputation of lower limb NOS
Kineplastic amputation of lower limb NOS
Open or guillotine amputation of lower limb NOS
Revision of current traumatic amputation of
lower limb NOS
84.11 Amputation of toe
Amputation through metatarsophalangeal joint
Disarticulation of toe
Metatarsal head amputation
Ray amputation of foot (disarticulation of the
metatarsal head of the toe extending across the
forefoot just proximal to the
metatarsophalangeal crease)
Excludes: ligation of supernumerary toe (86.26)
84.12 Amputation through foot
Amputation of forefoot
Amputation through middle of foot
Chopart's amputation
Midtarsal amputation
Transmetatarsal amputation (amputation of the
forefoot, including all the toes)
Excludes: Ray amputation of foot (84.11)
84.13 Disarticulation of ankle
84.14 Amputation of ankle through malleoli of tibia and
fibula
84.15 Other amputation below knee
Amputation of leg through tibia and fibula NOS
84.16 Disarticulation of knee
Batch, Spitler, and McFaddin amputation
Mazet amputation
S.P. Roger's amputation
84.17 Amputation above knee
Amputation of leg through femur
Amputation of thigh
Conversion of below-knee amputation into
above-knee amputation
Supracondylar above-knee amputation
84.18 Disarticulation of hip
84.19 Abdominopelvic amputation
Hemipelvectomy
Hindquarter amputation
84.2 Reattachment of extremity
84.21 Thumb reattachment
84.22 Finger reattachment
84.23 Forearm, wrist, or hand reattachment
84.24 Upper arm reattachment
Reattachment of arm NOS
84.25 Toe reattachment
84.26 Foot reattachment
84.27 Lower leg or ankle reattachment
Reattachment of leg NOS
84.28 Thigh reattachment
84.29 Other reattachment
84.3 Revision of amputation stump
Reamputation of stump
Secondary closure of stump
Trimming of stump
Excludes: revision of current traumatic amputation [revision by
further amputation of current injury] (84.00-84.19,
84.91)
84.4 Implantation or fitting of prosthetic limb device
84.40 Implantation or fitting of prosthetic limb device,
not otherwise specified
84.41 Fitting of prosthesis of upper arm and shoulder
84.42 Fitting of prosthesis of lower arm and hand
84.43 Fitting of prosthesis of arm, not otherwise specified
84.44 Implantation of prosthetic device of arm
84.45 Fitting of prosthesis above knee
84.46 Fitting of prosthesis below knee
84.47 Fitting of prosthesis of leg, not otherwise specified
84.48 Implantation of prosthetic device of leg
84.5 Implantation of other musculoskeletal devices and substances
Excludes: insertion of (non-fusion) spinal disc replacement device
(84.60 - 84.69)
84.51 Insertion of interbody spinal fusion device
Insertion of:cages (carbon, ceramic, metal,
plastic or titanium)
interbody fusion cage
synthetic cages or spacers
threaded bone dowels
Code also refusion of spine (81.30 - 81.39)
Code also spinal fusion (81.00 - 81.08)
84.52 Insertion of recombinant bone morphogenetic protein
rhBMP
That via collagen sponge, coral, ceramic and
other carriers
Code also primary procedure performed:
fracture repair (79.00-79.99)
spinal fusion (81.00 - 81.08)
spinal refusion (81.30 - 81.39)
84.53 Implantation of internal limb lengthening device with
kinetic distraction
Code also limb lengthening procedure (78.30 - 78.39)
84.54 Implantation of other internal limb lengthening device
Implantation of internal limb lengthening
device, Not Otherwise Specified (NOS)
Code also limb lengthening procedure (78.30 - 78.39)
84.55 Insertion of bone void filler
Insertion of:
acrylic cement (PMMA)
bone void cement
calcium based bone void filler
polymethylmethacrylate (PMMA)
Excludes: that with kyphoplasty (81.66)
that with vertebroplasty (81.65)
84.56 Insertion of (cement) spacer
Insertion of joint spacer
84.57 Removal of (cement) spacer
Removal of joint spacer
84.58 Implantation of interspinous process decompression
device
Excludes: fusion of spine (81.00-81.08, 81.30-81.39)
84.59 Insertion of other spinal devices
84.6 Replacement of spinal disc
Includes: non-fusion arthroplasty of the spine with insertion of
artificial disc prosthesis
84.60 Insertion of spinal disc prosthesis, not otherwise
specified
Replacement of spinal disc, NOS
Includes: diskectomy (discectomy)
84.61 Insertion of partial spinal disc prosthesis, cervical
Nuclear replacement device, cervical
Partial artificial disc prosthesis (flexible),
cervical
Replacement of nuclear disc (nucleus pulposus),
cervical
Includes: diskectomy (discectomy)
84.62 Insertion of total spinal disc prosthesis, cervical
Replacement of cervical spinal disc, NOS
Replacement of total spinal disc, cervical
Total artificial disc prosthesis (flexible),
cervical
Includes: diskectomy (discectomy)
84.63 Insertion of spinal disc prosthesis, thoracic
Artificial disc prosthesis (flexible), thoracic
Replacement of thoracic spinal disc, partial or
total
Includes: diskectomy (discectomy)
84.64 Insertion of partial spinal disc prosthesis,
lumbosacral
Nuclear replacement device, lumbar
Partial artificial disc prosthesis (flexible),
lumbar
Replacement of nuclear disc (nucleus pulposus),
lumbar
Includes: diskectomy (discectomy)
84.65 Insertion of total spinal disc prosthesis, lumbosacral
Replacement of lumbar spinal disc, NOS
Replacement of total spinal disc, lumbar
Total artificial disc prosthesis (flexible),
lumbar
Includes: diskectomy (discectomy)
84.66 Revision or replacement of artificial spinal disc
prosthesis, cervical
Removal of (partial) (total) spinal disc
prosthesis with synchronous insertion of new
(partial) (total) spinal
disc prosthesis, cervical
Repair of previously inserted spinal disc
prosthesis, cervical
84.67 Revision or replacement of artificial spinal disc
prosthesis, thoracic
Removal of (partial) (total) spinal disc
prosthesis with synchronous insertion of new
(partial) (total) spinal
disc prosthesis, thoracic
Repair of previously inserted spinal disc
prosthesis, thoracic
84.68 Revision or replacement of artificial spinal disc
prosthesis, lumbosacral
Removal of (partial) (total) spinal disc
prosthesis with synchronous insertion of new
(partial)(total) spinal
disc prosthesis, lumbosacral
Repair of previously inserted spinal disc
prosthesis, lumbosacral
84.69 Revision or replacement of artificial spinal disc
prosthesis, not otherwise specified
Removal of (partial) (total) spinal disc
prosthesis with synchronous insertion of new
(partial)(total) spinal
disc prosthesis
Repair of previously inserted spinal disc
prosthesis
84.7 Adjunct codes for external fixator devices
Code also any primary procedure performed:
application of external fixator device (78.10,
78.12-78.13, 78.15, 78.17- 78.19)
reduction of fracture and dislocation (79.00-79.89)
84.71 Application of external fixator device, monoplanar
system
Excludes: other hybrid device or system (84.73)
ring device or system (84.72)
84.72 Application of external fixator device, ring system
Ilizarov type
Sheffield type
Excludes: monoplanar device or system (84.71)
other hybrid device or system (84.73)
84.73 Application of hybrid external fixator device
Hybrid system using both ring and monoplanar
devices
Excludes: monoplanar device or system, when used alone (84.71)
ring device or system, when used alone (84.72)
84.9 Other operations on musculoskeletal system
Excludes: nonoperative manipulation (93.25-93.29)
84.91 Amputation, not otherwise specified
84.92 Separation of equal conjoined twins
84.93 Separation of unequal conjoined twins
Separation of conjoined twins NOS
84.99 Other