2007 CPT Update Demo
Introduction
New and changed CPT4 codes are introduced for 2007. These changes are affective January 1, 2007. This tutorial will list the new codes and changes. New technology codes must be used if they exist in place of the CPT code. The new technology codes are not discussed in this tutorial.
Anesthesia
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New |
00625 |
Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not utilizing one lung ventilation |
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New |
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Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ventilation |
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Changed |
Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age |
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Changed |
Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than one year of age |
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Changed |
Anesthesia for hernia repairs in the lower abdomen not otherwise specified, younger than 1 year of age |
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Changed |
Anesthesia for hernia repairs in the lower abdomen not otherwise specified, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery |
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Changed |
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy |
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Changed |
Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified |
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Changed |
Anesthesia for open procedures involving upper two-thirds of femur; amputation |
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Changed |
Anesthesia for open procedures involving upper two-thirds of femur; radical resection |
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Changed |
Anesthesia for all closed procedures on lower one-third of femur |
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Changed |
Anesthesia for all open procedures on lower one-third of femur |
Integumentary System
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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 |
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New |
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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 |
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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. |
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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) |
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New |
Forehead flap with preservation of vascular pedicle (such as axial pattern flap, paramedian forehead flap) |
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New |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy. This code replaces 15831 |
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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. |
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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 |
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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. |
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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. |
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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. |
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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. |
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New |
Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma |
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New |
Mastectomy for gynecomastia. This code replaces 19140 |
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New |
Mastectomy, partial (such as lumpectomy, tylectomy, quadrantectomy, segmentectomy). This code replaces 19160. |
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New |
Mastectomy, partial (such as lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lym-phadenectomy. This code replaces 19162. |
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New |
Mastectomy, simple, complete. This code replaces 19180 |
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New |
Mastectomy, subcutaneous. This code replaces 19182 |
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New |
Mastectomy, radical, including pectoral muscles, axillary lymph nodes. |
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New |
Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation). This code replaces 19200 |
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New |
Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle. This code replaces 19240 |
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Changed |
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050) |
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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) |
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Changed |
Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children |
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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) |
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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 |
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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) |
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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) |
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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) |
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Changed |
Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children |
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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) |
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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 |
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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) |
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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) |
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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) |
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Changed |
Acellular dermal replacement, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children |
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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) |
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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 |
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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) |
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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 |
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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) |
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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 |
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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) |
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Changed |
Acellular dermal allograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children |
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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) |
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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 |
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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) |
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Changed |
Tissue cultured allogeneic dermal substitute, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children |
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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) |
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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 |
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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) |
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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 |
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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) |
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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 |
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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) |
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Changed |
Acellular xenograft implant; first 100 sq cm or less, or 1% of body area of infants and children |
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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) |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad |
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Changed |
Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area |
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Changed |
Destruction (such as, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (such as actinic keratoses); first lesion |
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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) |
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Changed |
Destruction (such as laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalig-nant lesions (such as actinic keratoses), 15 or more lesions |
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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 |
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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 |
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Changed |
Electrolysis epilation, each 30 minutes |
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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 |
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Changed |
Breast reconstruction with latissimus dorsi flap, without prosthetic implant |
Musculoskeletal System
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New |
22526 |
Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level |
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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) |
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New |
Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, single interspace |
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New |
Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace |
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New |
Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace |
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New |
Excision of tendon, forearm and/or wrist, flexor or extensor, each. |
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New |
Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation. This code replaces 25611. |
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New |
Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation. This code replaces 25620 |
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New |
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments. This code replaces 25620 |
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New |