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Pediatric Defined Category Tracked Codes For Defined Category Pediatric Only Specialty: Surgery Area: PEDIATRIC Type: ANTIREFLUX PROCEDURE-LAPAROSCOPIC (PEDS) Code Def Cat Description 43279 Laparoscopic - Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performed Complex/Pediatric/DC and Vasc Exposure 43280 Laparoscopic - Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures) Complex/Pediatric/DC and Vasc Exposure 43281 DC and Vasc Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without Exposure/Esophagus/Laparoscopi implantation of mesh c - Complex/Pediatric 43282 DC and Vasc Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with Exposure/Esophagus/Laparoscopi implantation of mesh c - Complex/Pediatric Area: PEDIATRIC Type: ANTIREFLUX PROCEDURE-OPEN (PEDS) Code Def Cat Description 43325 Esophagus/Thoracic Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure) Other/Abdominal Other/Pediatric/DC and Vasc Exposure 43332 DC and Vasc Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without Exposure/Esophagus/Abdominal implantation of mesh or other prosthesis Other/Pediatric 43333 DC and Vasc Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with Exposure/Esophagus/Abdominal implantation of mesh or other prosthesis Other/Pediatric 43334 DC and Vasc Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without Exposure/Esophagus/Thoracic implantation of mesh or other prosthesis Other/Pediatric 43335 DC and Vasc Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with Exposure/Esophagus/Thoracic implantation of mesh or other prosthesis Other/Pediatric 43336 DC and Vasc Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except Exposure/Esophagus/Thoracic neonatal; without implantation of mesh or other prosthesis Other/Abdominal Other/Pediatric 43337 DC and Vasc Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except Exposure/Esophagus/Thoracic neonatal; with implantation of mesh or other prosthesis Other/Abdominal Other/Pediatric Area: PEDIATRIC Type: DEFIN OP FOR HIRSCHSPRUNGs/IMPERF ANUS Code Def Cat Description 45120 Pediatric/DC and Vasc Exposure Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation) 45121 Pediatric/DC and Vasc Exposure Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with subtotal or total colectomy, with multiple biopsies 46715 Pediatric/DC and Vasc Exposure Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) 46716 Pediatric/DC and Vasc Exposure Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula 46730 Pediatric/DC and Vasc Exposure Repair of high imperforate anus without fistula; perineal or sacroperineal approach 46735 Pediatric/DC and Vasc Exposure Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches 46740 Pediatric/DC and Vasc Exposure Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach 46742 Pediatric/DC and Vasc Exposure Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches 46744 Pediatric/DC and Vasc Exposure Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, sacroperineal approach © 2020 Accreditation Council for Graduate Medical Education (ACGME) 1 9/17/2020 46746 Pediatric/DC and Vasc Exposure Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; 46748 Pediatric/DC and Vasc Exposure Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps Area: PEDIATRIC Type: EXC WILMs TUMOR/NEUROBLASTOMA Code Def Cat Description 50220 Pediatric/DC and Vasc Exposure Nephrectomy, including partial ureterectomy, any open approach including rib resection; Area: PEDIATRIC Type: HERNIORRHAPHY, INGUINAL/UMBILICAL Code Def Cat Description 49495 Pediatric/DC and Vasc Exposure 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 hydrocelectomy; reducible 49496 Pediatric/DC and Vasc Exposure 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 hydrocelectomy; incarcerated or strangulated 49500 Pediatric/DC and Vasc Exposure Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible 49501 Pediatric/DC and Vasc Exposure Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated 49505 Pediatric/DC and Vasc Exposure Repair initial inguinal hernia, age 5 years or older; reducible 49507 Pediatric/DC and Vasc Exposure Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated 49580 Pediatric/DC and Vasc Exposure Repair umbilical hernia, younger than age 5 years; reducible 49582 Pediatric/DC and Vasc Exposure Repair umbilical hernia, younger than age 5 years; incarcerated or strangulated 49585 Pediatric/DC and Vasc Exposure Repair umbilical hernia, age 5 years or older; reducible 49587 Pediatric/DC and Vasc Exposure Repair umbilical hernia, age 5 years or older; incarcerated or strangulated Area: PEDIATRIC Type: OPERATION FOR MALROTATION/INTUSSUSCEPT Code Def Cat Description 44050 Pediatric/DC and Vasc Exposure Reduction of volvulus, intussusception, internal hernia, by laparotomy 44055 Pediatric/DC and Vasc Exposure Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure) Area: PEDIATRIC Type: ORCHIOPEXY Code Def Cat Description 54550 Pediatric/DC and Vasc Exposure Exploration for undescended testis (inguinal or scrotal area) 54560 Pediatric/DC and Vasc Exposure Exploration for undescended testis with abdominal exploration 54600 Pediatric/DC and Vasc Exposure Reduction of torsion of testis, surgical, with or without fixation of contralateral testis 54620 Pediatric/DC and Vasc Exposure Fixation of contralateral testis (separate procedure) 54640 Pediatric/DC and Vasc Exposure Orchiopexy, inguinal or scrotal approach Area: PEDIATRIC Type: OTHER MAJOR PEDIATRIC Code Def Cat Description 33822 Pediatric/DC and Vasc Exposure Repair of patent ductus arteriosus; by division, younger than 18 years 38550 Pediatric/DC and Vasc Exposure Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection 38555 Pediatric/DC and Vasc Exposure Excision of cystic hygroma, axillary or cervical; with deep neurovascular dissection 43653 DC and Vasc Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate Exposure/Stomach/Laparoscopic - procedure) Complex/Pediatric © 2020 Accreditation Council for Graduate Medical Education (ACGME) 2 9/17/2020 43831 Pediatric/DC and Vasc Exposure Gastrostomy, open; neonatal, for feeding 46070 Pediatric/DC and Vasc Exposure Incision, anal septum (infant) 46705 Pediatric/DC and Vasc Exposure Anoplasty, plastic operation for stricture; infant 46751 Pediatric/DC and Vasc Exposure Sphincteroplasty, anal, for incontinence or prolapse; child 47700 Pediatric/DC and Vasc Exposure Exploration for congenital atresia of bile ducts, without repair, with or without liver biopsy, with or without cholangiography 47701 Pediatric/DC and Vasc Exposure Portoenterostomy (eg, Kasai procedure) 51500 Pediatric/DC and Vasc Exposure Excision of urachal cyst or sinus, with or without umbilical hernia repair Area: PEDIATRIC Type: PROC FOR MECONIUM ILEUS/NEC ENTEROCOLIT Code Def Cat Description 44140 Pediatric/DC and Vasc Exposure Colectomy, partial; with anastomosis Area: PEDIATRIC Type: REP BRANCHIAL CLEFT ANOM/THYRO DUCT CYST Code Def Cat Description 42810 Head and Neck/Pediatric/DC and Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Vasc Exposure 42815 Head and Neck/Pediatric/DC and Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx Vasc Exposure 60280 Head and Neck/Pediatric/DC and Excision of thyroglossal duct cyst or sinus; Vasc Exposure 60281 Head and Neck/Pediatric/DC and Excision of thyroglossal duct cyst or sinus; recurrent Vasc Exposure Area: PEDIATRIC Type: REP ESOPH ATRESIA/TRACHEO-ESOPH FIST Code Def Cat Description 43300 Pediatric/DC and Vasc Exposure Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistula 43305 Pediatric/DC and Vasc Exposure Esophagoplasty (plastic repair or reconstruction), cervical approach; with repair of tracheoesophageal fistula 43310 Pediatric/DC and Vasc Exposure Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistula 43312 Pediatric/DC
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