Surgical Procedures CPT Codes and Descriptions

Surgical Procedures CPT codes and descriptions

This list of codes applies to Anthem clinical guideline CG-Surg-52: Site of Care: Hospital-Based Ambulatory Surgical Procedures and Endoscopic Services.

The following codes for treatments and procedures applicable to this guideline are included below for informational purposes. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member.

Procedure codes effective December 1, 2020

CPT CODES BODY SYSTEM DESCRIPTION

10060 INTEGUMENTARY SYSTEM DRAINAGE OF SKIN ABSCESS

10061 INTEGUMENTARY SYSTEM DRAINAGE OF SKIN ABSCESS

10080 INTEGUMENTARY SYSTEM DRAINAGE OF PILONIDAL CYST

10081 INTEGUMENTARY SYSTEM DRAINAGE OF PILONIDAL CYST

10120 INTEGUMENTARY SYSTEM REMOVE FOREIGN BODY

10121 INTEGUMENTARY SYSTEM REMOVE FOREIGN BODY

10140 INTEGUMENTARY SYSTEM DRAINAGE OF HEMATOMA/FLUID

10160 INTEGUMENTARY SYSTEM PUNCTURE DRAINAGE OF LESION

10180 INTEGUMENTARY SYSTEM COMPLEX DRAINAGE WOUND

11000 INTEGUMENTARY SYSTEM DEBRIDE INFECTED SKIN

11010 INTEGUMENTARY SYSTEM DEBRIDE SKIN AT FX SITE

11012 INTEGUMENTARY SYSTEM DEB SKIN BONE AT FX SITE

11042 INTEGUMENTARY SYSTEM DEB SUBQ TISSUE 20 SQ CM/<

11044 INTEGUMENTARY SYSTEM DEB BONE 20 SQ CM/<

11200 INTEGUMENTARY SYSTEM REMOVAL OF SKIN TAGS

11310 INTEGUMENTARY SYSTEM SHAVE SKIN LESION 0.5 CM/<

11402 INTEGUMENTARY SYSTEM EXC TR-EXT B9+MARG 1.1-2 CM

CPT CODES BODY SYSTEM DESCRIPTION

11403 INTEGUMENTARY SYSTEM EXC TR-EXT B9+MARG 2.1-3CM

11404 INTEGUMENTARY SYSTEM EXC TR-EXT B9+MARG 3.1-4 CM

11406 INTEGUMENTARY SYSTEM EXC TR-EXT B9+MARG >4.0 CM

11420 INTEGUMENTARY SYSTEM EXC H-F-NK-SP B9+MARG 0.5/<

11421 INTEGUMENTARY SYSTEM EXC H-F-NK-SP B9+MARG 0.6-1

11422 INTEGUMENTARY SYSTEM EXC H-F-NK-SP B9+MARG 1.1-2

11423 INTEGUMENTARY SYSTEM EXC H-F-NK-SP B9+MARG 2.1-3

11424 INTEGUMENTARY SYSTEM EXC H-F-NK-SP B9+MARG 3.1-4

11426 INTEGUMENTARY SYSTEM EXC H-F-NK-SP B9+MARG >4 CM

11440 INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 0.5 CM/<

11441 INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 0.6-1 CM

11442 INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 1.1-2 CM

11443 INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 2.1-3 CM

11444 INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG 3.1-4 CM

11446 INTEGUMENTARY SYSTEM EXC FACE-MM B9+MARG >4 CM

11450 INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11451 INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11462 INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11463 INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11470 INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11471 INTEGUMENTARY SYSTEM REMOVAL SWEAT GLAND LESION

11601 INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 0.6-1 CM

11602 INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 1.1-2 CM

CPT CODES BODY SYSTEM DESCRIPTION

11603 INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 2.1-3 CM

11604 INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG 3.1-4 CM

11606 INTEGUMENTARY SYSTEM EXC TR-EXT MAL+MARG >4 CM

11620 INTEGUMENTARY SYSTEM EXC H-F-NK-SP MAL+MARG 0.5/<

11621 INTEGUMENTARY SYSTEM EXC S/N/H/F/G MAL+MRG 0.6-1

11622 INTEGUMENTARY SYSTEM EXC S/N/H/F/G MAL+MRG 1.1-2

11623 INTEGUMENTARY SYSTEM EXC S/N/H/F/G MAL+MRG 2.1-3

11624 INTEGUMENTARY SYSTEM EXC S/N/H/F/G MAL+MRG 3.1-4

11626 INTEGUMENTARY SYSTEM EXC S/N/H/F/G MAL+MRG >4 CM

11640 INTEGUMENTARY SYSTEM EXC F/E/E/N/L MAL+MRG 0.5CM<

11641 INTEGUMENTARY SYSTEM EXC F/E/E/N/L MAL+MRG 0.6-1

11642 INTEGUMENTARY SYSTEM EXC F/E/E/N/L MAL+MRG 1.1-2

11643 INTEGUMENTARY SYSTEM EXC F/E/E/N/L MAL+MRG 2.1-3

11644 INTEGUMENTARY SYSTEM EXC F/E/E/N/L MAL+MRG 3.1-4

11646 INTEGUMENTARY SYSTEM EXC F/E/E/N/L MAL+MRG >4 CM

11730 INTEGUMENTARY SYSTEM REMOVAL OF NAIL PLATE

11750 INTEGUMENTARY SYSTEM REMOVAL OF NAIL BED

11760 INTEGUMENTARY SYSTEM REPAIR OF NAIL BED

11765 INTEGUMENTARY SYSTEM EXCISION OF NAIL FOLD TOE

11770 INTEGUMENTARY SYSTEM REMOVE PILONIDAL CYST SIMPLE

11772 INTEGUMENTARY SYSTEM REMOVE PILONIDAL CYST COMPL

11900 INTEGUMENTARY SYSTEM INJECT SKIN LESIONS

12001 INTEGUMENTARY SYSTEM RPR S/N/AX/GEN/TRNK 2.5CM/<

CPT CODES BODY SYSTEM DESCRIPTION

12002 INTEGUMENTARY SYSTEM RPR S/N/AX/GEN/TRNK2.6-7.5CM

12011 INTEGUMENTARY SYSTEM RPR F/E/E/N/L/M 2.5 CM/<

12020 INTEGUMENTARY SYSTEM CLOSURE OF SPLIT WOUND

12031 INTEGUMENTARY SYSTEM INTMD RPR S/A/T/EXT 2.5 CM/<

12032 INTEGUMENTARY SYSTEM INTMD RPR S/A/T/EXT 2.6-7.5

12034 INTEGUMENTARY SYSTEM INTMD RPR S/TR/EXT 7.6-12.5

12035 INTEGUMENTARY SYSTEM INTMD RPR S/A/T/EXT 12.6-20

12037 INTEGUMENTARY SYSTEM INTMD RPR S/TR/EXT >30.0 CM

12041 INTEGUMENTARY SYSTEM INTMD RPR N-HF/GENIT 2.5CM/<

12042 INTEGUMENTARY SYSTEM INTMD RPR N-HF/GENIT2.6-7.5

12051 INTEGUMENTARY SYSTEM INTMD RPR FACE/MM 2.5 CM/<

12052 INTEGUMENTARY SYSTEM INTMD RPR FACE/MM 2.6-5.0 CM

13100 INTEGUMENTARY SYSTEM CMPLX RPR TRUNK 1.1-2.5 CM

13101 INTEGUMENTARY SYSTEM CMPLX RPR TRUNK 2.6-7.5 CM

13120 INTEGUMENTARY SYSTEM CMPLX RPR S/A/L 1.1-2.5 CM

13121 INTEGUMENTARY SYSTEM CMPLX RPR S/A/L 2.6-7.5 CM

13131 INTEGUMENTARY SYSTEM CMPLX RPR F/C/C/M/N/AX/G/H/F

13132 INTEGUMENTARY SYSTEM CMPLX RPR F/C/C/M/N/AX/G/H/F

13151 INTEGUMENTARY SYSTEM CMPLX RPR E/N/E/L 1.1-2.5 CM

13152 INTEGUMENTARY SYSTEM CMPLX RPR E/N/E/L 2.6-7.5 CM

13160 INTEGUMENTARY SYSTEM LATE CLOSURE OF WOUND

14020 INTEGUMENTARY SYSTEM TIS TRNFR S/A/L 10 SQ CM/<

14301 INTEGUMENTARY SYSTEM TIS TRNFR ANY 30.1-60 SQ CM

CPT CODES BODY SYSTEM DESCRIPTION

15004 INTEGUMENTARY SYSTEM WOUND PREP F/N/HF/G

15100 INTEGUMENTARY SYSTEM SKIN SPLT GRFT TRNK/ARM/LEG

15120 INTEGUMENTARY SYSTEM SKN SPLT A-GRFT FAC/NCK/HF/G

15220 INTEGUMENTARY SYSTEM SKIN FULL GRAFT SCLP/ARM/LEG

15240 INTEGUMENTARY SYSTEM SKIN FULL GRFT FACE/GENIT/HF

15260 INTEGUMENTARY SYSTEM SKIN FULL GRAFT EEN & LIPS

15576 INTEGUMENTARY SYSTEM PEDICLE E/N/E/L/NTRORAL

15760 INTEGUMENTARY SYSTEM COMPOSITE SKIN GRAFT

15770 INTEGUMENTARY SYSTEM DERMA-FAT-FASCIA GRAFT

17000 INTEGUMENTARY SYSTEM DESTRUCT PREMALG LESION

17004 INTEGUMENTARY SYSTEM DESTROY PREMAL LESIONS 15/>

17110 INTEGUMENTARY SYSTEM DESTRUCT B9 LESION 1-14

17111 INTEGUMENTARY SYSTEM DESTRUCT LESION 15 OR MORE

20220 MUSCULOSKELETAL SYSTEM BONE BIOPSY TROCAR/NEEDLE

20225 MUSCULOSKELETAL SYSTEM BONE BIOPSY TROCAR/NEEDLE

20240 MUSCULOSKELETAL SYSTEM BONE BIOPSY OPEN SUPERFICIAL

20245 MUSCULOSKELETAL SYSTEM BONE BIOPSY OPEN DEEP

20520 MUSCULOSKELETAL SYSTEM REMOVAL OF FOREIGN BODY

20525 MUSCULOSKELETAL SYSTEM REMOVAL OF FOREIGN BODY

20526 MUSCULOSKELETAL SYSTEM THER INJECTION CARP TUNNEL

20551 MUSCULOSKELETAL SYSTEM INJ TENDON ORIGIN/INSERTION

20552 MUSCULOSKELETAL SYSTEM INJ TRIGGER POINT 1/2 MUSCL

20553 MUSCULOSKELETAL SYSTEM INJECT TRIGGER POINTS 3/>

CPT CODES BODY SYSTEM DESCRIPTION

20600 MUSCULOSKELETAL SYSTEM DRAIN/INJ JOINT/BURSA W/O US

20604 MUSCULOSKELETAL SYSTEM DRAIN/INJ JOINT/BURSA W/US

20611 MUSCULOSKELETAL SYSTEM DRAIN/INJ JOINT/BURSA W/US

20612 MUSCULOSKELETAL SYSTEM ASPIRATE/INJ GANGLION CYST

20680 MUSCULOSKELETAL SYSTEM REMOVAL OF SUPPORT IMPLANT

21011 MUSCULOSKELETAL SYSTEM EXC FACE LES SC <2 CM

21012 MUSCULOSKELETAL SYSTEM EXC FACE LES SBQ 2 CM/>

21013 MUSCULOSKELETAL SYSTEM EXC FACE TUM DEEP < 2 CM

21014 MUSCULOSKELETAL SYSTEM EXC FACE TUM DEEP 2 CM/>

21029 MUSCULOSKELETAL SYSTEM CONTOUR OF FACE BONE LESION

21030 MUSCULOSKELETAL SYSTEM EXCISE MAX/ZYGOMA B9 TUMOR

21031 MUSCULOSKELETAL SYSTEM REMOVE EXOSTOSIS MANDIBLE

21040 MUSCULOSKELETAL SYSTEM EXCISE MANDIBLE LESION

21315 MUSCULOSKELETAL SYSTEM CLOSED TX NOSE FX W/O STABLJ

21320 MUSCULOSKELETAL SYSTEM CLOSED TX NOSE FX W/ STABLJ

21325 MUSCULOSKELETAL SYSTEM OPEN TX NOSE FX UNCOMPLICATD

21330 MUSCULOSKELETAL SYSTEM OPEN TX NOSE FX W/SKELE FIXJ

21335 MUSCULOSKELETAL SYSTEM OPEN TX NOSE & SEPTAL FX

21336 MUSCULOSKELETAL SYSTEM OPEN TX SEPTAL FX W/WO STABJ

21337 MUSCULOSKELETAL SYSTEM CLOSED TX SEPTAL&NOSE FX

21356 MUSCULOSKELETAL SYSTEM OPN TX DPRSD ZYGOMATIC ARCH

21550 MUSCULOSKELETAL SYSTEM BIOPSY OF NECK/CHEST

21552 MUSCULOSKELETAL SYSTEM EXC NECK LES SC 3 CM/>

CPT CODES BODY SYSTEM DESCRIPTION

21554 MUSCULOSKELETAL SYSTEM EXC NECK TUM DEEP 5 CM/>

21555 MUSCULOSKELETAL SYSTEM EXC NECK LES SC < 3 CM

21556 MUSCULOSKELETAL SYSTEM EXC NECK TUM DEEP < 5 CM

21557 MUSCULOSKELETAL SYSTEM RESECT NECK THORAX TUMOR<5CM

21920 MUSCULOSKELETAL SYSTEM BIOPSY SOFT TISSUE OF BACK

21930 MUSCULOSKELETAL SYSTEM EXC BACK LES SC < 3 CM

21931 MUSCULOSKELETAL SYSTEM EXC BACK LES SC 3 CM/>

21932 MUSCULOSKELETAL SYSTEM EXC BACK TUM DEEP < 5 CM

21933 MUSCULOSKELETAL SYSTEM EXC BACK TUM DEEP 5 CM/>

22900 MUSCULOSKELETAL SYSTEM EXC ABDL TUM DEEP < 5 CM

22901 MUSCULOSKELETAL SYSTEM EXC ABDL TUM DEEP 5 CM/>

22902 MUSCULOSKELETAL SYSTEM EXC ABD LES SC < 3 CM

22903 MUSCULOSKELETAL SYSTEM EXC ABD LES SC 3 CM/>

23030 MUSCULOSKELETAL SYSTEM DRAIN SHOULDER LESION

23071 MUSCULOSKELETAL SYSTEM EXC SHOULDER LES SC 3 CM/>

23075 MUSCULOSKELETAL SYSTEM EXC SHOULDER LES SC < 3 CM

23076 MUSCULOSKELETAL SYSTEM EXC SHOULDER TUM DEEP < 5 CM

23140 MUSCULOSKELETAL SYSTEM REMOVAL OF BONE LESION

24066 MUSCULOSKELETAL SYSTEM BIOPSY ARM/ELBOW SOFT TISSUE

24071 MUSCULOSKELETAL SYSTEM EXC ARM/ELBOW LES SC 3 CM/>

24073 MUSCULOSKELETAL SYSTEM EX ARM/ELBOW TUM DEEP 5 CM/>

24075 MUSCULOSKELETAL SYSTEM EXC ARM/ELBOW LES SC < 3 CM

24076 MUSCULOSKELETAL SYSTEM EX ARM/ELBOW TUM DEEP < 5 CM

CPT CODES BODY SYSTEM DESCRIPTION

24101 MUSCULOSKELETAL SYSTEM EXPLORE/TREAT ELBOW JOINT

24102 MUSCULOSKELETAL SYSTEM REMOVE ELBOW JOINT LINING

24105 MUSCULOSKELETAL SYSTEM REMOVAL OF ELBOW BURSA

24110 MUSCULOSKELETAL SYSTEM REMOVE HUMERUS LESION

24120 MUSCULOSKELETAL SYSTEM REMOVE ELBOW LESION

24130 MUSCULOSKELETAL SYSTEM REMOVAL OF HEAD OF RADIUS

24201 MUSCULOSKELETAL SYSTEM REMOVAL OF ARM FOREIGN BODY

24310 MUSCULOSKELETAL SYSTEM REVISION OF ARM TENDON

24340 MUSCULOSKELETAL SYSTEM REPAIR OF BICEPS TENDON

24357 MUSCULOSKELETAL SYSTEM REPAIR ELBOW PERC

24358 MUSCULOSKELETAL SYSTEM REPAIR ELBOW W/DEB OPEN

24366 MUSCULOSKELETAL SYSTEM RECONSTRUCT HEAD OF RADIUS

24515 MUSCULOSKELETAL SYSTEM TREAT HUMERUS FRACTURE

24586 MUSCULOSKELETAL SYSTEM TREAT ELBOW FRACTURE

24665 MUSCULOSKELETAL SYSTEM TREAT RADIUS FRACTURE

24666 MUSCULOSKELETAL SYSTEM TREAT RADIUS FRACTURE

25000 MUSCULOSKELETAL SYSTEM INCISION OF TENDON SHEATH

25071 MUSCULOSKELETAL SYSTEM EXC FOREARM LES SC 3 CM/>

25073 MUSCULOSKELETAL SYSTEM EXC FOREARM TUM DEEP 3 CM/>

25075 MUSCULOSKELETAL SYSTEM EXC FOREARM LES SC < 3 CM

25076 MUSCULOSKELETAL SYSTEM EXC FOREARM TUM DEEP < 3 CM

25085 MUSCULOSKELETAL SYSTEM INCISION OF WRIST CAPSULE

25105 MUSCULOSKELETAL SYSTEM REMOVE WRIST JOINT LINING

CPT CODES BODY SYSTEM DESCRIPTION

25107 MUSCULOSKELETAL SYSTEM REMOVE WRIST JOINT CARTILAGE

25109 MUSCULOSKELETAL SYSTEM EXCISE TENDON FOREARM/WRIST

25110 MUSCULOSKELETAL SYSTEM REMOVE WRIST TENDON LESION

25111 MUSCULOSKELETAL SYSTEM REMOVE WRIST TENDON LESION

25112 MUSCULOSKELETAL SYSTEM REREMOVE WRIST TENDON LESION

25605 MUSCULOSKELETAL SYSTEM TREAT FRACTURE RADIUS/ULNA

25606 MUSCULOSKELETAL SYSTEM TREAT FX DISTAL RADIAL

25607 MUSCULOSKELETAL SYSTEM TREAT FX RAD EXTRA-ARTICUL

25608 MUSCULOSKELETAL SYSTEM TREAT FX RAD INTRA-ARTICUL

25609 MUSCULOSKELETAL SYSTEM TREAT FX RADIAL 3+ FRAG

25624 MUSCULOSKELETAL SYSTEM TREAT WRIST BONE FRACTURE

25628 MUSCULOSKELETAL SYSTEM TREAT WRIST BONE FRACTURE

25635 MUSCULOSKELETAL SYSTEM TREAT WRIST BONE FRACTURE

25645 MUSCULOSKELETAL SYSTEM TREAT WRIST BONE FRACTURE

26160 MUSCULOSKELETAL SYSTEM REMOVE TENDON SHEATH LESION

26180 MUSCULOSKELETAL SYSTEM REMOVAL OF FINGER TENDON

26200 MUSCULOSKELETAL SYSTEM REMOVE HAND BONE LESION

26210 MUSCULOSKELETAL SYSTEM REMOVAL OF FINGER LESION

27006 MUSCULOSKELETAL SYSTEM INCISION OF HIP TENDONS

27043 MUSCULOSKELETAL SYSTEM EXC HIP PELVIS LES SC 3 CM/>

27045 MUSCULOSKELETAL SYSTEM EXC HIP/PELV TUM DEEP 5 CM/>

27047 MUSCULOSKELETAL SYSTEM EXC HIP/PELVIS LES SC < 3 CM

27048 MUSCULOSKELETAL SYSTEM EXC HIP/PELV TUM DEEP < 5 CM

CPT CODES BODY SYSTEM DESCRIPTION

27062 MUSCULOSKELETAL SYSTEM REMOVE FEMUR LESION/BURSA

27345 MUSCULOSKELETAL SYSTEM REMOVAL OF KNEE CYST

27347 MUSCULOSKELETAL SYSTEM REMOVE KNEE CYST

27613 MUSCULOSKELETAL SYSTEM BIOPSY LOWER LEG SOFT TISSUE

27614 MUSCULOSKELETAL SYSTEM BIOPSY LOWER LEG SOFT TISSUE

27618 MUSCULOSKELETAL SYSTEM EXC LEG/ANKLE TUM < 3 CM

27619 MUSCULOSKELETAL SYSTEM EXC LEG/ANKLE TUM DEEP <5 CM

27632 MUSCULOSKELETAL SYSTEM EXC LEG/ANKLE LES SC 3 CM/>

27634 MUSCULOSKELETAL SYSTEM EXC LEG/ANKLE TUM DEP 5 CM/>

30100 RESPIRATORY SYSTEM INTRANASAL BIOPSY

30117 RESPIRATORY SYSTEM REMOVAL OF INTRANASAL LESION

30118 RESPIRATORY SYSTEM REMOVAL OF INTRANASAL LESION

30220 RESPIRATORY SYSTEM INSERT NASAL SEPTAL BUTTON

30310 RESPIRATORY SYSTEM REMOVE NASAL FOREIGN BODY

30630 RESPIRATORY SYSTEM REPAIR NASAL SEPTUM DEFECT

30901 RESPIRATORY SYSTEM CONTROL OF NOSEBLEED

30903 RESPIRATORY SYSTEM CONTROL OF NOSEBLEED

30930 RESPIRATORY SYSTEM THER FX NASAL INF TURBINATE

31020 RESPIRATORY SYSTEM EXPLORATION MAXILLARY SINUS

31030 RESPIRATORY SYSTEM EXPLORATION MAXILLARY SINUS

31238 RESPIRATORY SYSTEM NASAL/SINUS ENDOSCOPY SURG

31526 RESPIRATORY SYSTEM DX LARYNGOSCOPY W/OPER SCOPE

31528 RESPIRATORY SYSTEM LARYNGOSCOPY AND DILATION

CPT CODES BODY SYSTEM DESCRIPTION

31529 RESPIRATORY SYSTEM LARYNGOSCOPY AND DILATION

31530 RESPIRATORY SYSTEM LARYNGOSCOPY W/FB REMOVAL

31535 RESPIRATORY SYSTEM LARYNGOSCOPY W/BIOPSY

31536 RESPIRATORY SYSTEM LARYNGOSCOPY W/BX & OP SCOPE

31540 RESPIRATORY SYSTEM LARYNGOSCOPY W/EXC OF TUMOR

31541 RESPIRATORY SYSTEM LARYNSCOP W/TUMR EXC + SCOPE

31545 RESPIRATORY SYSTEM REMOVE VC LESION W/SCOPE

31570 RESPIRATORY SYSTEM LARYNGOSCOPE W/VC INJ

31571 RESPIRATORY SYSTEM LARYNGOSCOP W/VC INJ + SCOPE

31575 RESPIRATORY SYSTEM DIAGNOSTIC LARYNGOSCOPY

31576 RESPIRATORY SYSTEM LARYNGOSCOPY WITH BIOPSY

31578 RESPIRATORY SYSTEM LARGSC W/REMOVAL LESION

31622 RESPIRATORY SYSTEM DX BRONCHOSCOPE/WASH

31623 RESPIRATORY SYSTEM DX BRONCHOSCOPE/BRUSH

31624 RESPIRATORY SYSTEM DX BRONCHOSCOPE/LAVAGE

31625 RESPIRATORY SYSTEM BRONCHOSCOPY W/BIOPSY(S)

31628 RESPIRATORY SYSTEM BRONCHOSCOPY/LUNG BX EACH

31652 RESPIRATORY SYSTEM BRONCH EBUS SAMPLNG 1/2 NODE

31820 RESPIRATORY SYSTEM CLOSURE OF WINDPIPE LESION

40490 DIGESTIVE SYSTEM BIOPSY OF LIP

40510 DIGESTIVE SYSTEM PARTIAL EXCISION OF LIP

40520 DIGESTIVE SYSTEM PARTIAL EXCISION OF LIP

40525 DIGESTIVE SYSTEM RECONSTRUCT LIP WITH FLAP

40530 DIGESTIVE SYSTEM PARTIAL REMOVAL OF LIP

CPT CODES BODY SYSTEM DESCRIPTION

40808 DIGESTIVE SYSTEM BIOPSY OF MOUTH LESION

40810 DIGESTIVE SYSTEM EXCISION OF MOUTH LESION

40812 DIGESTIVE SYSTEM EXCISE/REPAIR MOUTH LESION

40814 DIGESTIVE SYSTEM EXCISE/REPAIR MOUTH LESION

40816 DIGESTIVE SYSTEM EXCISION OF MOUTH LESION

41010 DIGESTIVE SYSTEM INCISION OF TONGUE FOLD

41100 DIGESTIVE SYSTEM BIOPSY OF TONGUE

41105 DIGESTIVE SYSTEM BIOPSY OF TONGUE

41108 DIGESTIVE SYSTEM BIOPSY OF FLOOR OF MOUTH

41110 DIGESTIVE SYSTEM EXCISION OF TONGUE LESION

41112 DIGESTIVE SYSTEM EXCISION OF TONGUE LESION

41113 DIGESTIVE SYSTEM EXCISION OF TONGUE LESION

41116 DIGESTIVE SYSTEM EXCISION OF MOUTH LESION

41520 DIGESTIVE SYSTEM RECONSTRUCTION TONGUE FOLD

41825 DIGESTIVE SYSTEM EXCISION OF GUM LESION

42100 DIGESTIVE SYSTEM BIOPSY ROOF OF MOUTH

42104 DIGESTIVE SYSTEM EXCISION LESION MOUTH ROOF

42106 DIGESTIVE SYSTEM EXCISION LESION MOUTH ROOF

42107 DIGESTIVE SYSTEM EXCISION LESION MOUTH ROOF

42140 DIGESTIVE SYSTEM EXCISION OF UVULA

42330 DIGESTIVE SYSTEM REMOVAL OF SALIVARY STONE

42335 DIGESTIVE SYSTEM REMOVAL OF SALIVARY STONE

42405 DIGESTIVE SYSTEM BIOPSY OF SALIVARY GLAND

CPT CODES BODY SYSTEM DESCRIPTION

42408 DIGESTIVE SYSTEM EXCISION OF SALIVARY CYST

42410 DIGESTIVE SYSTEM EXCISE PAROTID GLAND/LESION

42415 DIGESTIVE SYSTEM EXCISE PAROTID GLAND/LESION

42420 DIGESTIVE SYSTEM EXCISE PAROTID GLAND/LESION

42425 DIGESTIVE SYSTEM EXCISE PAROTID GLAND/LESION

42440 DIGESTIVE SYSTEM EXCISE SUBMAXILLARY GLAND

42450 DIGESTIVE SYSTEM EXCISE SUBLINGUAL GLAND

42500 DIGESTIVE SYSTEM REPAIR SALIVARY DUCT

42650 DIGESTIVE SYSTEM DILATION OF SALIVARY DUCT

42800 DIGESTIVE SYSTEM BIOPSY OF THROAT

42804 DIGESTIVE SYSTEM BIOPSY OF UPPER NOSE/THROAT

42808 DIGESTIVE SYSTEM EXCISE PHARYNX LESION

42810 DIGESTIVE SYSTEM EXCISION OF NECK CYST

42870 DIGESTIVE SYSTEM EXCISION OF LINGUAL TONSIL

43195 DIGESTIVE SYSTEM ESOPHAGOSCOPY RIGID BALLOON

43197 DIGESTIVE SYSTEM ESOPHAGOSCOPY FLEX DX BRUSH

43200 DIGESTIVE SYSTEM ESOPHAGOSCOPY FLEXIBLE BRUSH

43202 DIGESTIVE SYSTEM ESOPHAGOSCOPY FLEX BIOPSY

43214 DIGESTIVE SYSTEM ESOPHAGOSC DILATE BALLOON 30

43220 DIGESTIVE SYSTEM ESOPHAGOSCOPY BALLOON <30MM

43226 DIGESTIVE SYSTEM ESOPH ENDOSCOPY DILATION

43233 DIGESTIVE SYSTEM EGD BALLOON DIL ESOPH30 MM/>

43235 DIGESTIVE SYSTEM EGD DIAGNOSTIC EXAM

CPT CODES BODY SYSTEM DESCRIPTION

43236 DIGESTIVE SYSTEM UPPER GI SCOPE W/SUBMUC INJ

43239 DIGESTIVE SYSTEM EGD WITH BIOPSY (SINGLE/MULTIPLE)

43241 DIGESTIVE SYSTEM EGD TUBE/CATH INSERTION

43243 DIGESTIVE SYSTEM EGD INJECTION VARICES

43244 DIGESTIVE SYSTEM EGD VARICES LIGATION

43245 DIGESTIVE SYSTEM EGD DILATE STRICTURE

43246 DIGESTIVE SYSTEM EGD PLACE GASTROSTOMY TUBE

43247 DIGESTIVE SYSTEM EGD REMOVE FOREIGN BODY

43248 DIGESTIVE SYSTEM EGD GUIDE WIRE INSERTION

43249 DIGESTIVE SYSTEM ESOPH EGD DILATION <30 MM

43250 DIGESTIVE SYSTEM EGD CAUTERY TUMOR POLYP

43251 DIGESTIVE SYSTEM EGD REMOVE LESION SNARE

43254 DIGESTIVE SYSTEM EGD ENDO MUCOSAL RESECTION

43255 DIGESTIVE SYSTEM EGD CONTROL BLEEDING ANY

43266 DIGESTIVE SYSTEM EGD ENDOSCOPIC STENT PLACE

43270 DIGESTIVE SYSTEM EGD LESION ABLATION

43450 DIGESTIVE SYSTEM DILATE ESOPHAGUS 1/MULT PASS

43453 DIGESTIVE SYSTEM DILATE ESOPHAGUS

44340 DIGESTIVE SYSTEM REVISION OF COLOSTOMY

44360 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY

44361 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY/BIOPSY

44364 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY

44369 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY

CPT CODES BODY SYSTEM DESCRIPTION

44376 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY

44377 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY/BIOPSY

44380 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY BR/WA

44381 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY BR/WA

44382 DIGESTIVE SYSTEM SMALL BOWEL ENDOSCOPY

44385 DIGESTIVE SYSTEM ENDOSCOPY OF BOWEL POUCH

44386 DIGESTIVE SYSTEM ENDOSCOPY BOWEL POUCH/BIOP

44388 DIGESTIVE SYSTEM COLONOSCOPY THRU STOMA SPX

44389 DIGESTIVE SYSTEM COLONOSCOPY WITH BIOPSY

44392 DIGESTIVE SYSTEM COLONOSCOPY & POLYPECTOMY

44394 DIGESTIVE SYSTEM COLONOSCOPY W/SNARE

44705 DIGESTIVE SYSTEM PREPARE FECAL MICROBIOTA

45100 DIGESTIVE SYSTEM BIOPSY OF RECTUM

45171 DIGESTIVE SYSTEM EXC RECT TUM TRANSANAL PART

45172 DIGESTIVE SYSTEM EXC RECT TUM TRANSANAL FULL

45190 DIGESTIVE SYSTEM DESTRUCTION RECTAL TUMOR

45305 DIGESTIVE SYSTEM PROCTOSIGMOIDOSCOPY W/BX

45330 DIGESTIVE SYSTEM DIAGNOSTIC SIGMOIDOSCOPY

45331 DIGESTIVE SYSTEM SIGMOIDOSCOPY AND BIOPSY

45334 DIGESTIVE SYSTEM SIGMOIDOSCOPY FOR BLEEDING

45335 DIGESTIVE SYSTEM SIGMOIDOSCOPY W/SUBMUC INJ

45340 DIGESTIVE SYSTEM SIG W/TNDSC BALLOON DILATION

45341 DIGESTIVE SYSTEM SIGMOIDOSCOPY W/ULTRASOUND

CPT CODES BODY SYSTEM DESCRIPTION

45342 DIGESTIVE SYSTEM SIGMOIDOSCOPY W/US GUIDE BX

45346 DIGESTIVE SYSTEM SIGMOIDOSCOPY W/ABLATION

45349 DIGESTIVE SYSTEM SIGMOIDOSCOPY W/RESECTION

45350 DIGESTIVE SYSTEM SGMDSC W/BAND LIGATION

45378 DIGESTIVE SYSTEM DIAGNOSTIC COLONOSCOPY

45379 DIGESTIVE SYSTEM COLONOSCOPY W/FB REMOVAL

45380 DIGESTIVE SYSTEM COLONOSCOPY AND BIOPSY

45381 DIGESTIVE SYSTEM COLONOSCOPY SUBMUCOUS NJX

45384 DIGESTIVE SYSTEM COLONOSCOPY W/ LESION REMOVAL

45385 DIGESTIVE SYSTEM COLONSOCOPY W/ LESION REMOVAL

45386 DIGESTIVE SYSTEM COLONOSCOPY W/BALLOON DILAT

45388 DIGESTIVE SYSTEM COLONOSCOPY W/ ABLATION

45389 DIGESTIVE SYSTEM COLONOSCOPY W/STENT PLCMT

45390 DIGESTIVE SYSTEM COLONOSCOPY W/RESECTION

45391 DIGESTIVE SYSTEM COLONOSCOPY W/ENDOSCOPE US

45398 DIGESTIVE SYSTEM COLONOSCOPY W/BAND LIGATION

45505 DIGESTIVE SYSTEM REPAIR OF RECTUM

45541 DIGESTIVE SYSTEM CORRECT RECTAL PROLAPSE

45560 DIGESTIVE SYSTEM REPAIR OF RECTOCELE

45905 DIGESTIVE SYSTEM DILATION OF ANAL SPHINCTER

45910 DIGESTIVE SYSTEM DILATION OF RECTAL NARROWING

45915 DIGESTIVE SYSTEM REMOVE RECTAL OBSTRUCTION

45990 DIGESTIVE SYSTEM SURG DX EXAM ANORECTAL

CPT CODES BODY SYSTEM DESCRIPTION

46020 DIGESTIVE SYSTEM PLACEMENT OF SETON

46030 DIGESTIVE SYSTEM REMOVAL OF RECTAL MARKER

46040 DIGESTIVE SYSTEM INCISION OF RECTAL ABSCESS

46045 DIGESTIVE SYSTEM INCISION OF RECTAL ABSCESS

46050 DIGESTIVE SYSTEM INCISION OF ANAL ABSCESS

46060 DIGESTIVE SYSTEM INCISION OF RECTAL ABSCESS

46080 DIGESTIVE SYSTEM INCISION OF ANAL SPHINCTER

46083 DIGESTIVE SYSTEM INCISE EXTERNAL HEMORRHOID

46200 DIGESTIVE SYSTEM REMOVAL OF ANAL FISSURE

46220 DIGESTIVE SYSTEM EXCISE ANAL EXT TAG/PAPILLA

46221 DIGESTIVE SYSTEM LIGATION OF HEMORRHOID(S)

46230 DIGESTIVE SYSTEM REMOVAL OF ANAL TAGS

46250 DIGESTIVE SYSTEM REMOVE EXT HEM GROUPS 2+

46255 DIGESTIVE SYSTEM REMOVE INT/EXT HEM 1 GROUP

46257 DIGESTIVE SYSTEM REMOVE IN/EX HEM GRP & FISS

46258 DIGESTIVE SYSTEM REMOVE IN/EX HEM GRP W/FISTU

46260 DIGESTIVE SYSTEM REMOVE IN/EX HEM GROUPS 2+

46261 DIGESTIVE SYSTEM REMOVE IN/EX HEM GRPS & FISS

46262 DIGESTIVE SYSTEM REMOVE IN/EX HEM GRPS W/FIST

46270 DIGESTIVE SYSTEM REMOVE ANAL FIST SUBQ

46275 DIGESTIVE SYSTEM REMOVE ANAL FIST INTER

46280 DIGESTIVE SYSTEM REMOVE ANAL FIST COMPLEX

46285 DIGESTIVE SYSTEM REMOVE ANAL FIST 2 STAGE

CPT CODES BODY SYSTEM DESCRIPTION

46288 DIGESTIVE SYSTEM REPAIR ANAL FISTULA

46320 DIGESTIVE SYSTEM REMOVAL OF HEMORRHOID CLOT

46606 DIGESTIVE SYSTEM ANOSCOPY AND BIOPSY

46610 DIGESTIVE SYSTEM ANOSCOPY REMOVE LESION

46612 DIGESTIVE SYSTEM ANOSCOPY REMOVE LESIONS

46615 DIGESTIVE SYSTEM ANOSCOPY

46700 DIGESTIVE SYSTEM REPAIR OF ANAL STRICTURE

46706 DIGESTIVE SYSTEM REPR OF ANAL FISTULA W/GLUE

46750 DIGESTIVE SYSTEM REPAIR OF ANAL SPHINCTER

46910 DIGESTIVE SYSTEM DESTRUCTION ANAL LESION(S)

46917 DIGESTIVE SYSTEM LASER SURGERY ANAL LESIONS

46922 DIGESTIVE SYSTEM EXCISION OF ANAL LESION(S)

46924 DIGESTIVE SYSTEM DESTRUCTION ANAL LESION(S)

46930 DIGESTIVE SYSTEM DESTROY INTERNAL HEMORRHOIDS

46940 DIGESTIVE SYSTEM TREATMENT OF ANAL FISSURE

46945 DIGESTIVE SYSTEM INT HRHC LIG 1 HROID W/O IMG

46946 DIGESTIVE SYSTEM INT HRHC LIG 2+HROID W/O IMG

46947 DIGESTIVE SYSTEM HEMORRHOIDOPEXY BY STAPLING

47000 DIGESTIVE SYSTEM NEEDLE BIOPSY OF LIVER

49083 DIGESTIVE SYSTEM ABD PARACENTESIS W/IMAGING

49180 DIGESTIVE SYSTEM BIOPSY ABDOMINAL MASS

49500 DIGESTIVE SYSTEM RPR ING HERNIA INIT REDUCE

49505 DIGESTIVE SYSTEM PRP I/HERN INIT REDUC >5 YR

CPT CODES BODY SYSTEM DESCRIPTION

49507 DIGESTIVE SYSTEM PRP I/HERN INIT BLOCK >5 YR

49520 DIGESTIVE SYSTEM REREPAIR ING HERNIA REDUCE

49521 DIGESTIVE SYSTEM REREPAIR ING HERNIA BLOCKED

49525 DIGESTIVE SYSTEM REPAIR ING HERNIA SLIDING

49550 DIGESTIVE SYSTEM RPR REM HERNIA INIT REDUCE

49553 DIGESTIVE SYSTEM RPR FEM HERNIA INIT BLOCKED

49560 DIGESTIVE SYSTEM RPR VENTRAL HERN INIT REDUC

49561 DIGESTIVE SYSTEM RPR VENTRAL HERN INIT BLOCK

49570 DIGESTIVE SYSTEM RPR EPIGASTRIC HERN REDUCE

49572 DIGESTIVE SYSTEM RPR EPIGASTRIC HERN BLOCKED

49585 DIGESTIVE SYSTEM RPR UMBIL HERN REDUC > 5 YR

49587 DIGESTIVE SYSTEM RPR UMBIL HERN BLOCK > 5 YR

49650 DIGESTIVE SYSTEM LAP ING HERNIA REPAIR INIT

49651 DIGESTIVE SYSTEM LAP ING HERNIA REPAIR RECUR

49652 DIGESTIVE SYSTEM LAP VENT/ABD HERNIA REPAIR

49653 DIGESTIVE SYSTEM LAP VENT/ABD HERN PROC COMP

49654 DIGESTIVE SYSTEM LAP INC HERNIA REPAIR

49655 DIGESTIVE SYSTEM LAP INC HERN REPAIR COMP

49656 DIGESTIVE SYSTEM LAP INC HERNIA REPAIR RECUR

49900 DIGESTIVE SYSTEM REPAIR OF ABDOMINAL WALL

50435 URINARY SYSTEM EXCHANGE NEPHROSTOMY CATH

50575 URINARY SYSTEM KIDNEY ENDOSCOPY

50590 URINARY SYSTEM FRAGMENTING OF KIDNEY STONE

CPT CODES BODY SYSTEM DESCRIPTION

50688 URINARY SYSTEM CHANGE OF URETER TUBE/STENT

51040 URINARY SYSTEM INCISE & DRAIN BLADDER

51102 URINARY SYSTEM DRAIN BL W/CATH INSERTION

51600 URINARY SYSTEM INJECTION FOR BLADDER X-RAY

51610 URINARY SYSTEM INJECTION FOR BLADDER X-RAY

51702 URINARY SYSTEM INSERT TEMP BLADDER CATH

51710 URINARY SYSTEM CHANGE OF BLADDER TUBE

51720 URINARY SYSTEM TREATMENT OF BLADDER LESION

51726 URINARY SYSTEM COMPLEX CYSTOMETROGRAM

51728 URINARY SYSTEM CYSTOMETROGRAM W/VP

51729 URINARY SYSTEM CYSTOMETROGRAM W/VP&UP

52000 URINARY SYSTEM CYSTOSCOPY

52005 URINARY SYSTEM CYSTOSCOPY & URETER CATHETER

52007 URINARY SYSTEM CYSTOSCOPY AND BIOPSY

52204 URINARY SYSTEM CYSTOSCOPY W/BIOPSY(S)

52214 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52224 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52234 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52240 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52260 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52265 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52275 URINARY SYSTEM CYSTOSCOPY & REVISE URETHRA

52276 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

CPT CODES BODY SYSTEM DESCRIPTION

52281 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52282 URINARY SYSTEM CYSTOSCOPY IMPLANT STENT

52283 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52285 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52310 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52315 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52317 URINARY SYSTEM REMOVE BLADDER STONE

52318 URINARY SYSTEM REMOVE BLADDER STONE

52320 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52325 URINARY SYSTEM CYSTOSCOPY STONE REMOVAL

52327 URINARY SYSTEM CYSTOSCOPY INJECT MATERIAL

52330 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52332 URINARY SYSTEM CYSTOSCOPY AND TREATMENT

52341 URINARY SYSTEM CYSTO W/URETER STRICTURE TX

52344 URINARY SYSTEM CYSTO/URETERO STRICTURE TX

52351 URINARY SYSTEM CYSTOURETERO & OR PYELOSCOPE

52352 URINARY SYSTEM CYSTOURETERO W/STONE REMOVE

52353 URINARY SYSTEM CYSTOURETERO W/LITHOTRIPSY

52354 URINARY SYSTEM CYSTOURETERO W/BIOPSY

52356 URINARY SYSTEM CYSTO/URETERO W/LITHOTRIPSY

52500 URINARY SYSTEM REVISION OF BLADDER NECK

52601 URINARY SYSTEM PROSTATECTOMY (TURP)

52630 URINARY SYSTEM REMOVE PROSTATE REGROWTH

CPT CODES BODY SYSTEM DESCRIPTION

52640 URINARY SYSTEM RELIEVE BLADDER CONTRACTURE

53020 URINARY SYSTEM INCISION OF URETHRA

53200 URINARY SYSTEM BIOPSY OF URETHRA

53230 URINARY SYSTEM REMOVAL OF URETHRA LESION

53260 URINARY SYSTEM TREATMENT OF URETHRA LESION

53265 URINARY SYSTEM TREATMENT OF URETHRA LESION

53270 URINARY SYSTEM REMOVAL OF URETHRA GLAND

53440 URINARY SYSTEM MALE SLING PROCEDURE

53450 URINARY SYSTEM REVISION OF URETHRA

53500 URINARY SYSTEM URETHRLYS TRANSVAG W/ SCOPE

53605 URINARY SYSTEM DILATE URETHRA STRICTURE

53665 URINARY SYSTEM DILATION OF URETHRA

54001 MALE GENITAL SYSTEM SLITTING OF PREPUCE

54055 MALE GENITAL SYSTEM DESTRUCTION PENIS LESION(S)

54057 MALE GENITAL SYSTEM LASER SURG PENIS LESION(S)

54060 MALE GENITAL SYSTEM EXCISION OF PENIS LESION(S)

54100 MALE GENITAL SYSTEM BIOPSY OF PENIS

54110 MALE GENITAL SYSTEM TREATMENT OF PENIS LESION

54512 MALE GENITAL SYSTEM EXCISE LESION TESTIS

54530 MALE GENITAL SYSTEM REMOVAL OF TESTIS

54600 MALE GENITAL SYSTEM REDUCE TESTIS TORSION

54640 MALE GENITAL SYSTEM ORCHIOPEXY INGUN/SCROT APPR

54700 MALE GENITAL SYSTEM DRAINAGE OF SCROTUM

CPT CODES BODY SYSTEM DESCRIPTION

54830 MALE GENITAL SYSTEM REMOVE EPIDIDYMIS LESION

54860 MALE GENITAL SYSTEM REMOVAL OF EPIDIDYMIS

55000 MALE GENITAL SYSTEM DRAINAGE OF HYDROCELE

55060 MALE GENITAL SYSTEM REPAIR OF HYDROCELE

55110 MALE GENITAL SYSTEM EXPLORE SCROTUM

55120 MALE GENITAL SYSTEM REMOVAL OF SCROTUM LESION

55250 MALE GENITAL SYSTEM REMOVAL OF SPERM DUCT(S)

55400 MALE GENITAL SYSTEM REPAIR OF SPERM DUCT

55500 MALE GENITAL SYSTEM REMOVAL OF HYDROCELE

55520 MALE GENITAL SYSTEM REMOVAL OF SPERM CORD LESION

55540 MALE GENITAL SYSTEM REVISE HERNIA & SPERM VEINS

56405 FEMALE GENITAL SYSTEM I & D OF VULVA/PERINEUM

56420 FEMALE GENITAL SYSTEM DRAINAGE OF GLAND ABSCESS

56440 FEMALE GENITAL SYSTEM SURGERY FOR VULVA LESION

56441 FEMALE GENITAL SYSTEM LYSIS OF LABIAL LESION(S)

56442 FEMALE GENITAL SYSTEM HYMENOTOMY

56501 FEMALE GENITAL SYSTEM DESTROY VULVA LESIONS SIM

56515 FEMALE GENITAL SYSTEM DESTROY VULVA LESION/S COMPL

56605 FEMALE GENITAL SYSTEM BIOPSY OF VULVA/PERINEUM

56620 FEMALE GENITAL SYSTEM PARTIAL REMOVAL OF VULVA

56700 FEMALE GENITAL SYSTEM PARTIAL REMOVAL OF HYMEN

56740 FEMALE GENITAL SYSTEM REMOVE VAGINA GLAND LESION

56821 FEMALE GENITAL SYSTEM EXAM/BIOPSY OF VULVA W/SCOPE

CPT CODES BODY SYSTEM DESCRIPTION

57000 FEMALE GENITAL SYSTEM EXPLORATION OF VAGINA

57061 FEMALE GENITAL SYSTEM DESTROY VAG LESIONS SIMPLE

57065 FEMALE GENITAL SYSTEM DESTROY VAG LESIONS COMPLEX

57100 FEMALE GENITAL SYSTEM BIOPSY OF VAGINA

57105 FEMALE GENITAL SYSTEM BIOPSY OF VAGINA

57106 FEMALE GENITAL SYSTEM REMOVE VAGINA WALL PARTIAL

57130 FEMALE GENITAL SYSTEM REMOVE VAGINA LESION

57135 FEMALE GENITAL SYSTEM REMOVE VAGINA LESION

57210 FEMALE GENITAL SYSTEM REPAIR VAGINA/PERINEUM

57240 FEMALE GENITAL SYSTEM ANTERIOR COLPORRHAPHY

57250 FEMALE GENITAL SYSTEM REPAIR RECTUM & VAGINA

57260 FEMALE GENITAL SYSTEM CMBN ANT PST COLPRHY

57268 FEMALE GENITAL SYSTEM REPAIR OF BOWEL BULGE

57282 FEMALE GENITAL SYSTEM COLPOPEXY EXTRAPERITONEAL

57287 FEMALE GENITAL SYSTEM REVISE/REMOVE SLING REPAIR

57288 FEMALE GENITAL SYSTEM REPAIR BLADDER DEFECT

57300 FEMALE GENITAL SYSTEM REPAIR RECTUM-VAGINA FISTULA

57400 FEMALE GENITAL SYSTEM DILATION OF VAGINA

57410 FEMALE GENITAL SYSTEM PELVIC EXAMINATION

57415 FEMALE GENITAL SYSTEM REMOVE VAGINAL FOREIGN BODY

57420 FEMALE GENITAL SYSTEM EXAM OF VAGINA W/SCOPE

57421 FEMALE GENITAL SYSTEM EXAM/BIOPSY OF VAG W/SCOPE

57425 FEMALE GENITAL SYSTEM LAPAROSCOPY SURG COLPOPEXY

CPT CODES BODY SYSTEM DESCRIPTION

57452 FEMALE GENITAL SYSTEM EXAM OF CERVIX W/SCOPE

57454 FEMALE GENITAL SYSTEM BX/CURETT OF CERVIX W/SCOPE

57456 FEMALE GENITAL SYSTEM ENDOCERV CURETTAGE W/SCOPE

57461 FEMALE GENITAL SYSTEM CONZ OF CERVIX W/SCOPE LEEP

57500 FEMALE GENITAL SYSTEM BIOPSY OF CERVIX

57505 FEMALE GENITAL SYSTEM ENDOCERVICAL CURETTAGE

57510 FEMALE GENITAL SYSTEM CAUTERIZATION OF CERVIX

57511 FEMALE GENITAL SYSTEM CRYOCAUTERY OF CERVIX

57513 FEMALE GENITAL SYSTEM LASER SURGERY OF CERVIX

57520 FEMALE GENITAL SYSTEM CONIZATION OF CERVIX

57522 FEMALE GENITAL SYSTEM CONIZATION OF CERVIX

57530 FEMALE GENITAL SYSTEM REMOVAL OF CERVIX

57700 FEMALE GENITAL SYSTEM REVISION OF CERVIX

57720 FEMALE GENITAL SYSTEM REVISION OF CERVIX

57800 FEMALE GENITAL SYSTEM DILATION OF CERVICAL CANAL

58100 FEMALE GENITAL SYSTEM BIOPSY OF UTERUS LINING

58120 FEMALE GENITAL SYSTEM DILATION AND CURETTAGE

58353 FEMALE GENITAL SYSTEM ENDOMETR ABLATE THERMAL

58558 FEMALE GENITAL SYSTEM HYSTEROSCOPY BIOPSY

58560 FEMALE GENITAL SYSTEM HYSTEROSCOPY RESECT SEPTUM

58561 FEMALE GENITAL SYSTEM HYSTEROSCOPY REMOVE MYOMA

58562 FEMALE GENITAL SYSTEM HYSTEROSCOPY REMOVE FB

58563 FEMALE GENITAL SYSTEM HYSTEROSCOPY ABLATION

CPT CODES BODY SYSTEM DESCRIPTION

58565 FEMALE GENITAL SYSTEM HYSTEROSCOPY STERILIZATION

58660 FEMALE GENITAL SYSTEM LAPAROSCOPY LYSIS

58661 FEMALE GENITAL SYSTEM LAPAROSCOPY REMOVE ADNEXA

58662 FEMALE GENITAL SYSTEM LAPAROSCOPY EXCISE LESIONS

58670 FEMALE GENITAL SYSTEM LAPAROSCOPY TUBAL CAUTERY

58671 FEMALE GENITAL SYSTEM LAPAROSCOPY TUBAL BLOCK

58700 FEMALE GENITAL SYSTEM REMOVAL OF FALLOPIAN TUBE

58925 FEMALE GENITAL SYSTEM REMOVAL OF OVARIAN CYST(S)

59200 FEMALE GENITAL SYSTEM INSERT CERVICAL DILATOR

64776 NERVOUS SYSTEM REMOVE DIGIT NERVE LESION

64782 NERVOUS SYSTEM REMOVE LIMB NERVE LESION

64784 NERVOUS SYSTEM REMOVE NERVE LESION

64788 NERVOUS SYSTEM REMOVE SKIN NERVE LESION

65275 EYE, OCULAR ADNEXA, AND EAR REPAIR OF EYE WOUND

65400 EYE, OCULAR ADNEXA, AND EAR REMOVAL OF EYE LESION

65420 EYE, OCULAR ADNEXA, AND EAR REMOVAL OF EYE LESION

65426 EYE, OCULAR ADNEXA, AND EAR REMOVAL OF EYE LESION

65435 EYE, OCULAR ADNEXA, AND EAR CURETTE/TREAT CORNEA

65436 EYE, OCULAR ADNEXA, AND EAR CURETTE/TREAT CORNEA

65710 EYE, OCULAR ADNEXA, AND EAR CORNEAL TRANSPLANT

65730 EYE, OCULAR ADNEXA, AND EAR CORNEAL TRANSPLANT

65750 EYE, OCULAR ADNEXA, AND EAR CORNEAL TRANSPLANT

65755 EYE, OCULAR ADNEXA, AND EAR CORNEAL TRANSPLANT

CPT CODES BODY SYSTEM DESCRIPTION

65800 EYE, OCULAR ADNEXA, AND EAR DRAINAGE OF EYE

65815 EYE, OCULAR ADNEXA, AND EAR DRAINAGE OF EYE

65820 EYE, OCULAR ADNEXA, AND EAR RELIEVE INNER EYE PRESSURE

65850 EYE, OCULAR ADNEXA, AND EAR INCISION OF EYE

65865 EYE, OCULAR ADNEXA, AND EAR INCISE INNER EYE ADHESIONS

65875 EYE, OCULAR ADNEXA, AND EAR INCISE INNER EYE ADHESIONS

65920 EYE, OCULAR ADNEXA, AND EAR REMOVE IMPLANT OF EYE

66020 EYE, OCULAR ADNEXA, AND EAR INJECTION TREATMENT OF EYE

66170 EYE, OCULAR ADNEXA, AND EAR GLAUCOMA SURGERY

66172 EYE, OCULAR ADNEXA, AND EAR INCISION OF EYE

66179 EYE, OCULAR ADNEXA, AND EAR AQUEOUS SHUNT EYE W/O GRAFT

66180 EYE, OCULAR ADNEXA, AND EAR AQUEOUS SHUNT EYE W/GRAFT

66184 EYE, OCULAR ADNEXA, AND EAR REVISION OF AQUEOUS SHUNT

66185 EYE, OCULAR ADNEXA, AND EAR REVISE AQUEOUS SHUNT EYE

66250 EYE, OCULAR ADNEXA, AND EAR FOLLOW-UP SURGERY OF EYE

66682 EYE, OCULAR ADNEXA, AND EAR REPAIR IRIS & CILIARY BODY

66710 EYE, OCULAR ADNEXA, AND EAR CILIARY TRANSSLERAL THERAPY

66711 EYE, OCULAR ADNEXA, AND EAR ECP CILIARY BODY DESTRUCTION

66762 EYE, OCULAR ADNEXA, AND EAR REVISION OF IRIS

66821 EYE, OCULAR ADNEXA, AND EAR AFTER CATARACT LASER SURGERY

66825 EYE, OCULAR ADNEXA, AND EAR REPOSITION INTRAOCULAR LENS

66982 EYE, OCULAR ADNEXA, AND EAR XCAPSL CTRC RMVL CPLX WO ECP

66983 EYE, OCULAR ADNEXA, AND EAR CATARACT SURG W/IOL 1 STAGE

CPT CODES BODY SYSTEM DESCRIPTION

66984 EYE, OCULAR ADNEXA, AND EAR XCAPSL CTRC RMVL W/O ECP

66986 EYE, OCULAR ADNEXA, AND EAR EXCHANGE LENS PROSTHESIS

67005 EYE, OCULAR ADNEXA, AND EAR PARTIAL REMOVAL OF EYE FLUID

67015 EYE, OCULAR ADNEXA, AND EAR RELEASE OF EYE FLUID

67025 EYE, OCULAR ADNEXA, AND EAR REPLACE EYE FLUID

67031 EYE, OCULAR ADNEXA, AND EAR LASER SURGERY EYE STRANDS

67036 EYE, OCULAR ADNEXA, AND EAR REMOVAL OF INNER EYE FLUID

67039 EYE, OCULAR ADNEXA, AND EAR LASER TREATMENT OF RETINA

67040 EYE, OCULAR ADNEXA, AND EAR LASER TREATMENT OF RETINA

67041 EYE, OCULAR ADNEXA, AND EAR VIT FOR MACULAR PUCKER

67042 EYE, OCULAR ADNEXA, AND EAR VIT FOR MACULAR HOLE

67043 EYE, OCULAR ADNEXA, AND EAR VIT FOR MEMBRANE DISSECT

67101 EYE, OCULAR ADNEXA, AND EAR REPAIR DETACHED RETINA CRTX

67105 EYE, OCULAR ADNEXA, AND EAR REPAIR DETACHED RETINA PC

67107 EYE, OCULAR ADNEXA, AND EAR REPAIR DETACHED RETINA

67108 EYE, OCULAR ADNEXA, AND EAR REPAIR DETACHED RETINA

67110 EYE, OCULAR ADNEXA, AND EAR REPAIR DETACHED RETINA

67113 EYE, OCULAR ADNEXA, AND EAR REPAIR RETINAL DETACH CPLX

67120 EYE, OCULAR ADNEXA, AND EAR REMOVE EYE IMPLANT MATERIAL

67121 EYE, OCULAR ADNEXA, AND EAR REMOVE EYE IMPLANT MATERIAL

67141 EYE, OCULAR ADNEXA, AND EAR TREATMENT OF RETINA

67145 EYE, OCULAR ADNEXA, AND EAR TREATMENT OF RETINA

67210 EYE, OCULAR ADNEXA, AND EAR TREATMENT OF RETINAL LESION

CPT CODES BODY SYSTEM DESCRIPTION

67221 EYE, OCULAR ADNEXA, AND EAR OCULAR PHOTODYNAMIC THER

67228 EYE, OCULAR ADNEXA, AND EAR TREATMENT X10SV RETINOPATHY

67311 EYE, OCULAR ADNEXA, AND EAR REVISE EYE MUSCLE

67312 EYE, OCULAR ADNEXA, AND EAR REVISE TWO EYE MUSCLES

67314 EYE, OCULAR ADNEXA, AND EAR REVISE EYE MUSCLE

67316 EYE, OCULAR ADNEXA, AND EAR REVISE TWO EYE MUSCLES

67318 EYE, OCULAR ADNEXA, AND EAR REVISE EYE MUSCLE(S)

67400 EYE, OCULAR ADNEXA, AND EAR EXPLORE/BIOPSY EYE SOCKET

67412 EYE, OCULAR ADNEXA, AND EAR EXPLORE/TREAT EYE SOCKET

67414 EYE, OCULAR ADNEXA, AND EAR EXPLR/DECOMPRESS EYE SOCKET

67420 EYE, OCULAR ADNEXA, AND EAR EXPLORE/TREAT EYE SOCKET

67445 EYE, OCULAR ADNEXA, AND EAR EXPLR/DECOMPRESS EYE SOCKET

67550 EYE, OCULAR ADNEXA, AND EAR INSERT EYE SOCKET IMPLANT

67560 EYE, OCULAR ADNEXA, AND EAR REVISE EYE SOCKET IMPLANT

67700 EYE, OCULAR ADNEXA, AND EAR DRAINAGE OF EYELID ABSCESS

67800 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LESION

67801 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LESIONS

67805 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LESIONS

67808 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LESION(S)

67810 EYE, OCULAR ADNEXA, AND EAR BIOPSY EYELID & LID MARGIN

67825 EYE, OCULAR ADNEXA, AND EAR REVISE EYELASHES

67840 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LESION

67875 EYE, OCULAR ADNEXA, AND EAR CLOSURE OF EYELID BY SUTURE

CPT CODES BODY SYSTEM DESCRIPTION

67880 EYE, OCULAR ADNEXA, AND EAR REVISION OF EYELID

67911 EYE, OCULAR ADNEXA, AND EAR REVISE EYELID DEFECT

67917 EYE, OCULAR ADNEXA, AND EAR REPAIR EYELID DEFECT

67924 EYE, OCULAR ADNEXA, AND EAR REPAIR EYELID DEFECT

67935 EYE, OCULAR ADNEXA, AND EAR REPAIR EYELID WOUND

67938 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID FOREIGN BODY

67950 EYE, OCULAR ADNEXA, AND EAR REVISION OF EYELID

67961 EYE, OCULAR ADNEXA, AND EAR REVISION OF EYELID

67966 EYE, OCULAR ADNEXA, AND EAR REVISION OF EYELID

67971 EYE, OCULAR ADNEXA, AND EAR RECONSTRUCTION OF EYELID

67975 EYE, OCULAR ADNEXA, AND EAR RECONSTRUCTION OF EYELID

68100 EYE, OCULAR ADNEXA, AND EAR BIOPSY OF EYELID LINING

68110 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LINING LESION

68115 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LINING LESION

68135 EYE, OCULAR ADNEXA, AND EAR REMOVE EYELID LINING LESION

68440 EYE, OCULAR ADNEXA, AND EAR INCISE TEAR DUCT OPENING

68530 EYE, OCULAR ADNEXA, AND EAR CLEARANCE OF TEAR DUCT

68720 EYE, OCULAR ADNEXA, AND EAR CREATE TEAR SAC DRAIN

68750 EYE, OCULAR ADNEXA, AND EAR CREATE TEAR DUCT DRAIN

68761 EYE, OCULAR ADNEXA, AND EAR CLOSE TEAR DUCT OPENING

68801 EYE, OCULAR ADNEXA, AND EAR DILATE TEAR DUCT OPENING

68811 EYE, OCULAR ADNEXA, AND EAR PROBE NASOLACRIMAL DUCT

68815 EYE, OCULAR ADNEXA, AND EAR PROBE NASOLACRIMAL DUCT

CPT CODES BODY SYSTEM DESCRIPTION

69000 AUDITORY SYSTEM DRAIN EXTERNAL EAR LESION

69100 AUDITORY SYSTEM BIOPSY OF EXTERNAL EAR

69110 AUDITORY SYSTEM REMOVE EXTERNAL EAR PARTIAL

69140 AUDITORY SYSTEM REMOVE EAR CANAL LESION(S)

69145 AUDITORY SYSTEM REMOVE EAR CANAL LESION(S)

69205 AUDITORY SYSTEM CLEAR OUTER EAR CANAL

69222 AUDITORY SYSTEM CLEAN OUT MASTOID CAVITY

69310 AUDITORY SYSTEM REBUILD OUTER EAR CANAL

69320 AUDITORY SYSTEM REBUILD OUTER EAR CANAL

69421 AUDITORY SYSTEM INCISION OF EARDRUM

69424 AUDITORY SYSTEM REMOVE VENTILATING TUBE

69433 AUDITORY SYSTEM CREATE EARDRUM OPENING

69436 AUDITORY SYSTEM CREATE EARDRUM OPENING

69440 AUDITORY SYSTEM EXPLORATION OF MIDDLE EAR

69450 AUDITORY SYSTEM EARDRUM REVISION

69502 AUDITORY SYSTEM MASTOIDECTOMY

69505 AUDITORY SYSTEM REMOVE MASTOID STRUCTURES

69550 AUDITORY SYSTEM REMOVE EAR LESION

69602 AUDITORY SYSTEM MASTOID SURGERY REVISION

69610 AUDITORY SYSTEM REPAIR OF EARDRUM

69620 AUDITORY SYSTEM REPAIR OF EARDRUM

69631 AUDITORY SYSTEM REPAIR EARDRUM STRUCTURES

69632 AUDITORY SYSTEM REBUILD EARDRUM STRUCTURES

CPT CODES BODY SYSTEM DESCRIPTION

69633 AUDITORY SYSTEM REBUILD EARDRUM STRUCTURES

69635 AUDITORY SYSTEM REPAIR EARDRUM STRUCTURES

69636 AUDITORY SYSTEM REBUILD EARDRUM STRUCTURES

69641 AUDITORY SYSTEM REVISE MIDDLE EAR & MASTOID

69642 AUDITORY SYSTEM REVISE MIDDLE EAR & MASTOID

69643 AUDITORY SYSTEM REVISE MIDDLE EAR & MASTOID

69644 AUDITORY SYSTEM REVISE MIDDLE EAR & MASTOID

69645 AUDITORY SYSTEM REVISE MIDDLE EAR & MASTOID

69646 AUDITORY SYSTEM REVISE MIDDLE EAR & MASTOID

69650 AUDITORY SYSTEM RELEASE MIDDLE EAR BONE

69660 AUDITORY SYSTEM REVISE MIDDLE EAR BONE

69661 AUDITORY SYSTEM REVISE MIDDLE EAR BONE

69662 AUDITORY SYSTEM REVISE MIDDLE EAR BONE

69666 AUDITORY SYSTEM REPAIR MIDDLE EAR STRUCTURES

69801 AUDITORY SYSTEM INCISE INNER EAR

69805 AUDITORY SYSTEM EXPLORE INNER EAR

69806 AUDITORY SYSTEM EXPLORE INNER EAR

Consideration for provider privileging

At this time, your patient’s procedure won’t be denied at an outpatient hospital if you do not have privileges at a network ambulatory surgery center. As with all requirements, Anthem will continue to evaluate and make adjustments as appropriate. We encourage you to review network ambulatory surgery centers in your area and obtain privileges with those centers that best meet your needs and your patients’ needs. Appropriate.Safe.Affordable © 2020 AIM Specialty Health 0420 Surgical Procedures CPT codes and descriptions

AtCPT this CODES time, your patient’sBODY procedure SYSTEM won’t be denied at an outpatientDESCRIPTION hospital if you do not have privileges at a network ambulatory surgery center. As with all requirements, Anthem will continue to evaluate and make adjustments as appropriate. We encourage you to review network ambulatory surgery centers in your area and obtain privileges with those centers that best meet your needs and your patients’ needs.