New

15002

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children.  This code replaces 15000

New

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)  This code replaces 15001

New

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children. 

New

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)

New

Forehead flap with preservation of vascular pedicle (such as axial pattern flap, paramedian forehead flap)

New

Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy.  This code replaces 15831

New

Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (such as abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary proce­dure).  This code replaces 15831.

New

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks.  This code replaces 17304

New

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure).    This code replaces 17305.

New

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as  hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks.  This code replaces 17306.

New

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure).  This code replaces 17307.

New

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure).  This code replaces 17310.

New

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

New

Mastectomy for gynecomastia.  This code replaces 19140

New

Mastectomy, partial (such as lumpectomy, tylectomy, quadrantectomy, segmentectomy).  This code replaces 19160.

New

Mastectomy, partial (such as lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lym-phadenectomy.  This code replaces 19162.

New

Mastectomy, simple, complete.  This code replaces 19180

New

Mastectomy, subcutaneous.  This code replaces 19182

New

Mastectomy, radical, including pectoral muscles, axillary lymph nodes. 

New

Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation).  This code replaces 19200

New

Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle.  This code replaces 19240

Changed

Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Changed

Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple dig­its; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple dig­its; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Changed

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or par t thereof (List separately in addition to code for primary procedure)

Changed

Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Tissue cultured epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary proce­dure)

Changed

Tissue cultured epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/ or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Acellular dermal replacement, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Acellular dermal replacement, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Allograft skin for temporary wound closure, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Allograft skin for temporary wound closure, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Acellular dermal allograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and chil­dren

Changed

Acellular dermal allograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or par t thereof (List separately in addition to code for primary procedure)

Changed

Tissue cultured allogeneic dermal substitute, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Tissue cultured allogeneic dermal substitute, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Xenograft, skin (dermal), for temporary wound closure, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Xenograft, skin (dermal), for temporary wound closure, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Acellular xenograft implant; first 100 sq cm or less, or 1% of body area of infants and children

Changed

Acellular xenograft implant; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad

Changed

Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area

Changed

Destruction (such as, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (such as actinic keratoses); first lesion

Changed

Destruction (such as laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (such as actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)

Changed

Destruction (such as laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalig-nant lesions (such as actinic keratoses), 15 or more lesions

Changed

Destruction (such as, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular lesions; up to 14 lesions

Changed

Destruction (such as laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular lesions; 15 or more lesions

Changed

Electrolysis epilation, each 30 minutes

Changed

Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nip­ple or areolar lesion (except 19300), open, male or female, one or more lesions

Changed

Breast reconstruction with latissimus dorsi flap, without prosthetic implant

New

22526

Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level

New

Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; one or more additional levels (List separately in addition to code for primary procedure)

New

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, single interspace

New

Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace

New

Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace

New

Excision of tendon, forearm and/or wrist, flexor or extensor, each. 

New

Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation.  This code replaces 25611.

New

Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation.  This code replaces 25620

New

Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments.  This code replaces 25620

New

Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments.  This code replaces 25620

New

Neurectomy, hamstring muscle.  This code replaces 27315

New

Neurectomy, popliteal (gastrocnemius).  This code replaces 27320

New

Neurectomy, intrinsic musculature of foot.  This code replaces 28030

Changed

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical

Changed

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic

Changed

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar

Changed

Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; each additional ver­tebral segment (List separately in addition to code for primary procedure)

Changed

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic

Changed

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar.

Changed

Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar, each additional vertebral segment (List separately in addition to code for primary procedure)

Changed

Closed treatment of distal radial fracture (such as Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation

Changed

Excision of tendon, palm, flexor or extensor, single, each tendon

Changed

Excision of tendon, finger, flexor or extensor, each tendon

New

32998

Ablation therapy for reduction or eradication of one or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension, percutaneous, radiofrequency, unilateral

New

Insertion of epicardial electrode(s); open incision (eg, thoracotomy, median sternotomy, subxiphoid approach).  This code replaces 33201

New

Insertion of epicardial electrode(s); endoscopic approach (such as, thoracoscopy, pericardioscopy).  This code replaces 33200.

New

Operative tissue ablation and reconstruction of atria, limited (such as modified maze procedure).  This code replaces 33253

New

Operative tissue ablation and reconstruction of atria, extensive (such as maze procedure); without cardiopulmonary bypass.  This code replaces 33253

New

Operative tissue ablation and reconstruction of atria, extensive (such as maze procedure); with cardiopulmonary bypass.  This code replaces 33253

New

Endoscopy, surgical; operative tissue ablation and reconstruction of atria, limited (such as modified maze proce­dure), without cardiopulmonary bypass.  This code replaces 33253

New

Endoscopy, surgical; operative tissue ablation and reconstruction of atria, extensive (such as maze procedure), without cardiopulmonary bypass.  This code replaces 33253

New

Closure of multiple ventricular septal defects. 

New

Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic).

New

Closure of multiple ventricular septal defects; with removal of pulmonary artery band, with or without gus­set. 

New

Repair of isolated partial anomalous pulmonary venous return (such as Scimitar Syndrome)

New

Repair of pulmonary venous stenosis

New

Thromboendarterectomy, including patch graft, if performed; superficial femoral artery

New

Thromboendarterectomy, including patch graft, if performed; popliteal artery.  This code replaces 35381

New

Thromboendarterectomy, including patch graft, if performed; tibioperoneal trunk artery.  This code replaces 35381.

New

Thromboendarterectomy, including patch graft, if performed; tibial or peroneal artery, initial vessel.  This code replaces 35381

New

Thromboendarterectomy, including patch graft, if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure).  This code replaces 35381.

New

Bypass graft, with vein; aortoiliac.  This code replaces 35541

New

Bypass graft, with vein; aortobi-iliac.  This code replaces 35541

New

Bypass graft, with vein; aortofemoral.  This code replaces 35546

New

Bypass graft, with vein; aortobifemoral.  This code replaces 35546

New

Bypass graft, with other than vein; aortoiliac.  This code replaces 35541

New

Bypass graft, with other than vein; aortobi-iliac.  This code replaces 35641

New

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (such as Dacron, ePTFE, bovine pericardium). 

New

Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with autogenous vein patch graft

Changed

Closure of single ventricular septal defect, with or without patch;

Changed

Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision

Changed

Bypass graft, with vein; common carotid-ipsilateral internal carotid

Changed

Bypass graft, with vein; carotid-subclavian or subclavian-carotid

Changed

Bypass graft, with vein; carotid-contralateral carotid

Changed

Bypass graft, with other than vein; common carotid-ipsilateral internal carotid

Changed

Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; femoral or jugular vein

Changed

Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; scalp vein

Changed

Venipuncture, younger than age 3 years, necessitating physician's skill, not to be used for routine venipuncture; other vein

Changed

Venipuncture, cutdown; younger than age 1 year

Changed

Push transfusion, blood, 2 years or younger

Changed

Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age

Changed

Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age

Changed

Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; younger than 5 years of age

Changed

Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump; younger than 5 years of age

Changed

Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age

New

43647

Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrum

New

Laparoscopy, surgical; revision or removal of gastric neurostimulator electrodes, antrum

New

Implantation or replacement of gastric neurostimulator electrodes, antrum, open

New

Revision or removal of gastric neurostimulator electrodes, antrum, open

New

Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rec­tal mucosectomy, when performed.  This code replaces 44152

New

Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performed.  This code replaces 44153

New

Anastomosis, choledochal cyst, without excision.  This code replaces 47716

New

Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis.  This code replaces 48005

New

Pancreaticojejunostomy, side-to-side anastomosis (Puestow-type operation).  This code replaces 48180

New

Laparoscopy, surgical; with insertion of intraperitoneal cannula or catheter, permanent

New

Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performed

New

Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)

New

Removal of peritoneal foreign body from peritoneal cavity.  This code replaces 49085

New

Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure). 

New

Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter

Changed

Tonsillectomy and adenoidectomy; younger than age 12

Changed

Tonsillectomy, primary or secondary; younger than age 12

Changed

Adenoidectomy, primary; younger than age 12

Changed

Adenoidectomy, secondary; younger than age 12

Changed

Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performed

Changed

Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible

Changed

Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or strangulated

Changed

Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydro-celectomy; reducible

Changed

Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydro-celectomy; incarcerated or strangulated

Changed

Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reduc­ible

Changed

Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incar­cerated or strangulated

Changed

Repair initial inguinal hernia, age 5 years or older ; reducible

Changed

Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated

Changed

Repair umbilical hernia, younger than age 5 years; reducible

Changed

Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated

Changed

Repair umbilical hernia, age 5 years or older; reducible

Changed

Repair umbilical hernia, age 5 years or older; incarcerated or strangulated

New

37210

Uterine fibroid embolization (UFE, embolization of the uterine arteries to treat uterine fibroids, leiomyomata), percutaneous approach inclusive of vascular access, vessel selection, embolization, and all radiologi­cal supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the procedure

New

Hymenotomy, simple incision.  This code replaces 56720

New

Revision (including removal) of prosthetic vaginal graft; open abdominal approach. 

New

Dilation and curettage of cervical stump.  This code replaces 57820

New

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less;

New

Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)

New

Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g;

New

Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)

New

Laparoscopy, surgical, with radical hysterectomy, with bilateral total pelvic lymphadenectomy and para-aor­tic lymph node sampling (biopsy), with removal of tube(s) and ovary(s), if performed

New

Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed;

New

Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy

Changed

Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach

Changed

Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach

Changed

Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myo-mas with total weight greater than 250 g, abdominal approach

Changed

Vaginal hysterectomy, for uterus 250 g or less;

Changed

Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)

Changed

Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele

Changed

Vaginal hysterectomy, for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra type) with or without endoscopic control

Changed

Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele

Changed

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy;

Changed

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy

Changed

Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (such as radical excision or destruction, intra-abdominal or retroperitoneal tumors)

Changed

51720

Bladder instillation of anticarcinogenic agent (including retention time)

Changed

Cystourethroscopy, with biopsy(s)

New

54865

Exploration of epididymis, with or without biopsy.  This code replaces 54820

New

Transperineal placement of needles or catheters into prostate for interstitial radioelement application, with or without cystoscopy.  This code replaces 55859

New

Placement of interstitial device(s) for radiation therapy guidance (such as  fiducial markers, dosimeter), prostate (via needle, any approach), single or multiple

Changed

Circumcision, using clamp or other device with regional dorsal penile or ring block

Changed

Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less). 

Changed

Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age

New

64910

Nerve repair; with synthetic conduit or vein allograft (such as nerve tube), each nerve

New

Nerve repair; with autogenous vein graft (includes harvest of vein graft), each nerve

New

Biopsy of extraocular muscle.  This code replaces 67350

Changed

Twist drill hole(s) for subdural or ventricular puncture

Changed

Twist drill hole(s) for subdural, intracerebral, or ventricular puncture; for implanting ventricular catheter, pressure recording device, or other intracerebral monitoring device

Changed

Burr hole(s); for implanting ventricular catheter, reservoir, EEG electrode(s, pressure recording device, or other cerebral monitoring device (separate procedure)

Changed

Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling

Changed

Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver

New

70554

Magnetic resonance imaging, brain, functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation, not requiring physician or psychologist administration

New

Magnetic resonance imaging, brain, functional MRI; requiring physician or psychologist administration of entire neurofunctional testing

New

Radiological supervision and interpretation, percutaneous vertebroplasty or vertebral augmentation includ­ing cavity creation, per vertebral body; under fluoroscopic guidance.  This code replaces 76012

New

Radiological supervision and interpretation, percutaneous vertebroplasty or vertebral augmentation includ­ing cavity creation, per vertebral body; under CT guidance.  This code replaces 76013

New

Ultrasound, transplanted kidney, real time and duplex Doppler with image documentation

New

Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation

New

Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separately in addi­tion to code for primary procedure)

New

Ultrasonic guidance, intraoperative

New

Fluoroscopic guidance for central venous access device placement, replacement (catheter only or com­plete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any neces­sary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)

New

Fluoroscopic guidance for needle placement (such as biopsy, aspiration, injection, localization device)

New

Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or ther­apeutic injection procedures (epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve, or sacroiliac joint), including neurolytic agent destruction

New

Computed tomography guidance for stereotactic localization

New

Computed tomography guidance for needle placement (such biopsy, aspiration, injection, localization device), radiological supervision and interpretation

New

Computerized tomography guidance for, and monitoring of, parenchymal tissue ablation

New

Computed tomography guidance for placement of radiation therapy fields.

New

Magnetic resonance guidance for needle placement (such as for biopsy, needle aspiration, injection, or place­ment of localization device) radiological supervision and interpretation

New

Magnetic resonance guidance for, and monitoring of, parenchymal tissue ablation

New

Stereotactic localization guidance for breast biopsy or needle placement (such as for wire localization or for injection), each lesion, radiological supervision and interpretation.  This code replaces 76095

New

Mammographic guidance for needle placement, breast (such as for wire localization or for injection), each lesion, radiological supervision and interpretation.  This code replaces 76096

New

Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with fur­ther physician review for interpretation, with or without digitization of film radiographic images; diagnostic mammography (List separately in addition to code for primary procedure)

New

Computer-aided detection (computer algorithm analysis of digital image data for lesion detection) with fur­ther physician review for interpretation, with or without digitization of film radiographic images; screening mammography (List separately in addition to code for primary procedure)

New

Mammary ductogram or galactogram, single duct, radiological supervision and interpretation

New

Mammary ductogram or galactogram, multiple ducts, radiological supervision and interpretation

New

Mammography; unilateral

New

Mammography; bilateral

New

Screening mammography, bilateral (2-view film study of each breast).  This code replaces 76092

New

Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral.  This code replaces 76093

New

Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral.  This code replaces 76094

New

Manual application of stress performed by physician for joint radiography, including contralateral joint if indi­cated

New

Bone age studies

New

Bone length studies (orthoroentgenogram, scanogram)

New

Radiologic examination, osseous survey; limited (such as for metastases)

New

Radiologic examination, osseous survey; complete (axial and appendicular skeleton)

New

Radiologic examination, osseous survey, infant

New

Joint survey, single view, 2 or more joints (specify)

New

Computed tomography, bone mineral density study, 1 or more sites; axial skeleton (such as hips, pelvis, spine)

New

Computed tomography, bone mineral density study, 1 or more sites; appendicular skeleton (peripheral) (such as radius, wrist, heel)

New

Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (such as hips, pel­vis, spine)

New

Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)

New

Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; vertebral fracture assess­ment

New

Radiographic absorptiometry (such as photodensitometry, radiogrammetry), 1 or more sites

New

Magnetic resonance (such as proton) imaging, bone marrow blood supply

New

Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cerebral lesion(s) consisting of 1 session; multi-source Cobalt 60 based

New

Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cerebral lesion(s) consisting of 1 session; linear accelerator based

New

Stereotactic body radiation therapy, treatment delivery, per fraction to 1 or more lesions, including image guidance, entire course not to exceed 5 fractions

New

Stereotactic body radiation therapy, treatment management, per treatment course, to one or more lesions, including image guidance, entire course not to exceed 5 fractions

Changed

Magnetic resonance (such as proton) imaging, orbit, face, and/or neck; without contrast material(s)

Changed

Magnetic resonance (such as proton) imaging, orbit, face, and/or neck; with contrast material(s)

Changed

Magnetic resonance (such as proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences

Changed

Computed tomographic angiography, chest (noncoronary), without contrast material(s), followed by con­trast material(s) and further sections, including image postprocessing

Changed

Discography, cervical or thoracic, radiological supervision and interpretation

Changed

Discography, lumbar, radiological supervision and interpretation

Changed

Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated

Changed

Ultrasound, soft tissues of head and neck (such as thyroid, parathyroid, parotid), real time with image documen­tation

Changed

Ultrasound, chest (includes mediastinum), real time with image documentation

Changed

Ultrasound, breast(s) (unilateral or bilateral), real time with image documentation

Changed

Ultrasound, abdominal, real time with image documentation; complete

Changed

Ultrasound, abdominal, real time with image documentation; limited (such as single organ, quadrant, follow-up)

Changed

Ultrasound, retroperitoneal (such as renal, aorta, nodes), real time with image documentation; complete

Changed

Ultrasound, retroperitoneal (such as renal, aorta, nodes), real time with image documentation; limited

New

82107

Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio)

New

Lipoprotein-associated phospholipase A2, (Lp-PLA2)

New

Molecular diagnostics; RNA stabilization

New

Antibody; West Nile virus, IgM

New

Antibody; West Nile virus

New

Infectious agent antigen detection by enzyme immunoassay technique, qualitative or semiquantitative, mul­tiple-step method; Aspergillus

New

Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique

New

Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, amplified probe tech­nique

New

Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus, methicillin resistant, amplified probe technique

New

Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus, group B, amplified probe tech­nique

New

Infectious agent antigen detection by immunoassay with direct optical observation; Trichomonas vaginalis

Changed

Culture, bacterial; with isolation and presumptive identification of each isolate, urine

Changed

Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpre­tation

Changed

Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears and simple filter preparation with interpretation

Changed

Alpha-fetoprotein (AFP); serum

Changed

Alpha-fetoprotein (AFP); amniotic fluid

Changed

Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)

New

91111

Gastrointestinal tract imaging, intraluminal (such as capsule endoscopy), esophagus with physician interpretation and report

New

Computerized corneal topography, unilateral or bilateral, with interpretation and report

New

Diagnostic analysis with programming of auditory brainstem implant, per hour

New

Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or psychologist, with review of test results and report

New

Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/family

New

Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syn­drome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma

New

Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of Inter­national Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; initial 90 days of therapy (must include a minimum of 8 INR measurements)

New

Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of Inter­national Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; each subsequent 90 days of therapy (must include a minimum of 3 INR measurements)

Changed

Influenza virus vaccine, split virus, when administered to 3 years of age and older, for intramuscular use

Changed

Pneumococcal conjugate vaccine, polyvalent, when administered to children younger than 5 years, for intramuscular use

Changed

Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to younger than 7 years, for intramuscular use

Changed

Diphtheria and tetanus toxoids (DT) adsorbed when administered to younger than 7 years, for intramuscu­lar use

Changed

Tetanus and diphtheria toxoids (Td) adsorbed, preservative free, when administered to 7 years or older, for intramuscular use

Changed

Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to 7 years or older, for intramuscular use

Changed

Tetanus and diphtheria toxoids (Td) adsorbed when administered to 7 years or older, for intramuscular use

Changed

Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, when admin­istered to 2 years or older, for subcutaneous or intramuscular use

Changed

Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary proce­dure)

Changed

Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)

Changed

End-stage renal disease (ESRD) related services per full month; for patients twenty years of age and older

Changed

End-stage renal disease (ESRD) related services (less than full month), per day; for patients younger than two years of age

Changed

End-stage renal disease (ESRD) related services (less than full month), per day; for patients twenty years of age and older

Changed

Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programming

Changed

Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogramming

Changed

Pulmonary stress testing; simple (such as 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry)

Changed

Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addi­tion to code for primary procedure)

Changed

Chemotherapy administration, intra-arterial; infusion technique, each additional hour (List separately in addition to code for primary procedure)

Changed

Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pres­sure monitoring); 45 minutes

Changed

Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pres­sure monitoring); 30 minutes

Changed

Inpatient consultation for a new or established patient, which requires these three key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Physicians typically spend 20 minutes at the bedside and on the patient's hospital floor or unit.

Changed

Inpatient consultation for a new or established patient, which requires these three key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward med­ical decision making. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low severity. Physicians typically spend 40 minutes at the bedside and on the patient's hospital floor or unit.

Changed

Inpatient consultation for a new or established patient, which requires these three key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate severity. Physicians typically spend 55 minutes at the bedside and on the patient's hospital floor or unit.

Changed

Inpatient consultation for a new or established patient, which requires these three key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate com­plexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting prob-lem(s) are of moderate to high severity. Physicians typically spend 80 minutes at the bedside and on the patient's hospital floor or unit.

Changed

Inpatient consultation for a new or established patient, which requires these three key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend 110 minutes at the bedside and on the patient's hospi­tal floor or unit.

New

94002

Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or con­trolled breathing; hospital inpatient/observation, initial day.  This code replaces 94656

New

Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or con­trolled breathing; hospital inpatient/observation, each subsequent day.  This code replaces 94657

New

Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or con­trolled breathing; nursing facility, per day

New

Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living) requiring review of status, review of laboratories and other studies and revi­sion of orders and respiratory care plan (as appropriate), within a calendar month, 30 minutes or more

New

Intrapulmonary surfactant administration by a physician through endotracheal tube

New

Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour

New

Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure)

New

Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; includes monitor attachment, download of data, physician review, interpretation, and preparation of a report

New

Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and disconnection)

New

Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s) and analyses by com­puter only

New

Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; physician review, interpretation and preparation of report only

New

Nitric oxide expired gas determination