SJH Procedures
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SJH Procedures - Orthopedics and Podiatry Service New Name Old Name CPT Code Service ABLATION, PLANTAR WART, USING CO2 LASER LASER VAPORIZATION (WARTS/LESIONS) PLANTAR FOOT W CO2 LASER 17110 Destruction (eg, laser surgery, electrosurgery, cryosurgery, Podiatry chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions ACROMIOPLASTY, ARTHROSCOPIC, WITH DISTAL CLAVICLE EXCISION ARTHROSCOPY DISTAL CLAVICLE ACROMIOPLASTY/REPAIR/EXCISION 29824 Arthroscopy, shoulder, surgical; distal claviculectomy including Orthopedics distal articular surface (Mumford procedure) 29826 Arthroscopy, shoulder, surgical; decompression of subacromial Orthopedics space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure) ALLOGRAFT, OSTEOCHONDRAL, KNEE, OPEN OSTEOCHONDRAL ALLOGRAFT TRANSPLANTATION OPEN KNEE 27415 Osteochondral allograft, knee, open Orthopedics AMPUTATION, BELOW KNEE AMPUTATION LEG BELOW KNEE *27880 Amputation, leg, through tibia and fibula; Vascular, Orthopedics *27881 Amputation, leg, through tibia and fibula; with immediate Vascular, Orthopedics fitting technique including application of first cast *27882 Amputation, leg, through tibia and fibula; open, circular Vascular, Orthopedics (guillotine) *27886 Amputation, leg, through tibia and fibula; re-amputation Vascular, Orthopedics AMPUTATION, FINGER AMPUTATION FINGER 26910 Amputation, metacarpal, with finger or thumb (ray Orthopedics, Vascular amputation), single, with or without interosseous transfer 26951 Amputation, finger or thumb, primary or secondary, any joint Orthopedics, Vascular or phalanx, single, including neurectomies; with direct closure 26952 Amputation, finger or thumb, primary or secondary, any joint Orthopedics, Vascular or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) AMPUTATION, FOOT, AT ANKLE, LEFT AMPUTATION FOOT/ANKLE *27888 Amputation, ankle, through malleoli of tibia and fibula (eg, Vascular, Orthopedics, Syme, Pirogoff type procedures), with plastic closure and Podiatry resection of nerves AMPUTATION, FOOT, TRANSMETATARSAL AMPUTATION TRANSMETATARSAL 28805 Amputation, foot; transmetatarsal Vascular, General, Orthopedics, Podiatry AMPUTATION, METACARPAL BONE, WITH FINGER AMPUTATION FINGER RAE 26910 Amputation, metacarpal, with finger or thumb (ray Orthopedics amputation), single, with or without interosseous transfer AMPUTATION, TOE AMPUTATION TOE 28810 Amputation, metatarsal, with toe, single Vascular, Orthopedics, Podiatry 28820 Amputation, toe; metatarsophalangeal joint Vascular, Orthopedics, Podiatry 28825 Amputation, toe; interphalangeal joint Vascular, Orthopedics, Podiatry AMPUTATION, TOE, 2 OR MORE TOES AMPUTATION TOES MULTIPLE 28810 Amputation, metatarsal, with toe, single Vascular, Orthopedics, Podiatry 28820 Amputation, toe; metatarsophalangeal joint Vascular, Orthopedics, Podiatry 28825 Amputation, toe; interphalangeal joint Vascular, Orthopedics, Podiatry AMPUTATION, UPPER EXTREMITY AMPUTATION ARM *23900 Interthoracoscapular amputation (forequarter) Orthopedics *23920 Disarticulation of shoulder; Orthopedics 23921 Disarticulation of shoulder; secondary closure or scar revision Orthopedics *24900 Amputation, arm through humerus; with primary closure Orthopedics Page 1 of 46 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Orthopedics and Podiatry Service New Name Old Name CPT Code Service AMPUTATION, UPPER EXTREMITY AMPUTATION ARM *24920 Amputation, arm through humerus; open, circular (guillotine) Orthopedics 24925 Amputation, arm through humerus; secondary closure or scar Orthopedics revision *24931 Amputation, arm through humerus; with implant Orthopedics *25900 Amputation, forearm, through radius and ulna; Orthopedics *25905 Amputation, forearm, through radius and ulna; open, circular Orthopedics (guillotine) 25907 Amputation, forearm, through radius and ulna; secondary Orthopedics closure or scar revision 25909 Amputation, forearm, through radius and ulna; re-amputation Orthopedics *25915 Krukenberg procedure Orthopedics *25920 Disarticulation through wrist; Orthopedics 25922 Disarticulation through wrist; secondary closure or scar revision Orthopedics *25924 Disarticulation through wrist; re-amputation Orthopedics *25927 Transmetacarpal amputation; Orthopedics 25929 Transmetacarpal amputation; secondary closure or scar Orthopedics revision 25931 Transmetacarpal amputation; re-amputation Orthopedics 26910 Amputation, metacarpal, with finger or thumb (ray Orthopedics amputation), single, with or without interosseous transfer 26951 Amputation, finger or thumb, primary or secondary, any joint Orthopedics or phalanx, single, including neurectomies; with direct closure 26952 Amputation, finger or thumb, primary or secondary, any joint Orthopedics or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood) APPLICATION, GRAFT, SKIN, TO FOOT FLAP SKIN TOE/FOOT 15120 Split-thickness autograft, face, scalp, eyelids, mouth, neck, Podiatry 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) 15240 Full thickness graft, free, including direct closure of donor site, Podiatry forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less ARTHROPLASTY OSTEOTOMY TOE/TOES UNILATERAL Podiatry ARTHROPLASTY, ACROMIOCLAVICULAR JOINT REPAIR ACROMIOCLAVICULAR JOINT SHOULDER 23470 Arthroplasty, glenohumeral joint; hemiarthroplasty Orthopedics *23472 Arthroplasty, glenohumeral joint; total shoulder (glenoid and Orthopedics proximal humeral replacement (eg, total shoulder)) 23473 Revision of total shoulder arthroplasty, including allograft Orthopedics when performed; humeral or glenoid component *23474 Revision of total shoulder arthroplasty, including allograft Orthopedics when performed; humeral and glenoid component ARTHROPLASTY, ANKLE, TOTAL TOTAL REPLACEMENT ANKLE *27702 Arthroplasty, ankle; with implant (total ankle) Orthopedics *27703 Arthroplasty, ankle; revision, total ankle Orthopedics ARTHROPLASTY, CARPOMETACARPAL (CMC) JOINT ARTHROPLASTY CARPAL METACARPAL 25447 Arthroplasty, interposition, intercarpal or carpometacarpal Orthopedics joints 26530 Arthroplasty, metacarpophalangeal joint; each joint Orthopedics ARTHROPLASTY, DIGIT OF HAND ARTHROPLASTY FINGER/THUMB 26530 Arthroplasty, metacarpophalangeal joint; each joint Orthopedics Page 2 of 46 * Indicates Inpatient only CPT Code/Procedure SJH Procedures - Orthopedics and Podiatry Service New Name Old Name CPT Code Service ARTHROPLASTY, DIGIT OF HAND ARTHROPLASTY FINGER/THUMB 26531 Arthroplasty, metacarpophalangeal joint; with prosthetic Orthopedics implant, each joint 26535 Arthroplasty, interphalangeal joint; each joint Orthopedics 26536 Arthroplasty, interphalangeal joint; with prosthetic implant, Orthopedics each joint ARTHROPLASTY, ELBOW, TOTAL TOTAL REPLACEMENT ELBOW 24363 Arthroplasty, elbow; with distal humerus and proximal ulnar Orthopedics prosthetic replacement (eg, total elbow) ARTHROPLASTY, FOOT ARTHROPLASTY FOOT 0335T Insertion of sinus tarsi implant Orthopedics, Podiatry 26535 Arthroplasty, interphalangeal joint; each joint Orthopedics, Podiatry 26536 Arthroplasty, interphalangeal joint; with prosthetic implant, Orthopedics, Podiatry each joint ARTHROPLASTY, HIP, BILATERAL, TOTAL TOTAL REPLACEMENT HIP BILATERAL *27130 Arthroplasty, acetabular and proximal femoral prosthetic Orthopedics replacement (total hip arthroplasty), with or without autograft or allograft ARTHROPLASTY, HIP, BILATERAL, TOTAL, ANTERIOR APPROACH TOTAL REPLACEMENT HIP ANTERIOR APPROACH BILATERAL *27130 Arthroplasty, acetabular and proximal femoral prosthetic Orthopedics replacement (total hip arthroplasty), with or without autograft or allograft ARTHROPLASTY, HIP, RESURFACING, USING BIRMINGHAM SYSTEM TOTAL RESURFACING HIP (BIRMINGHAM) *27130 Arthroplasty, acetabular and proximal femoral prosthetic Orthopedics replacement (total hip arthroplasty), with or without autograft or allograft ARTHROPLASTY, HIP, TOTAL, ANTERIOR APPROACH TOTAL REPLACEMENT HIP ANTERIOR APPROACH *27130 Arthroplasty, acetabular and proximal femoral prosthetic Orthopedics replacement (total hip arthroplasty), with or without autograft or allograft ARTHROPLASTY, HIP, TOTAL, RESURFACING, WITH CONVERSION TO TOTAL RESURFACING HIP W POSSIBLE TOTAL REPLACEMENT HIP *27130 Arthroplasty, acetabular and proximal femoral prosthetic Orthopedics TOTAL HIP REPLACEMENT IF INDICATED replacement (total hip arthroplasty), with or without autograft or allograft *27132 Conversion of previous hip surgery to total hip arthroplasty, Orthopedics with or without autograft or allograft ARTHROPLASTY, HIP, UNILATERAL, TOTAL TOTAL REPLACEMENT HIP UNILATERAL *27130 Arthroplasty, acetabular and proximal femoral prosthetic Orthopedics replacement (total hip arthroplasty), with or without autograft or allograft ARTHROPLASTY, KNEE, BILATERAL, TOTAL TOTAL REPLACEMENT/RESURFACING KNEE BILATERAL 27447 Arthroplasty, knee, condyle and plateau; medial AND lateral Orthopedics compartments with or without patella resurfacing (total knee arthroplasty) ARTHROPLASTY, KNEE, BILATERAL, TOTAL, USING COMPUTER-ASSISTED TOTAL KNEE REPLACEMENT BILATERAL NAVIGATED 0054T Computer-assisted musculoskeletal surgical navigational Orthopedics NAVIGATION orthopedic procedure, with image-guidance based on fluoroscopic images (List separately