Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC 1 CHAPTER 4 Mean 2549 PROCEDURES OF THE NECK, 2 MOUTH AND PHARYNX 3 4 5 NECK 6 7 Non-operative procedures 8 200-13-01 Application of neck support 9 10 11 NECK SKIN 12 Includes : Neck subcutaneous tissue 13 14 Diagnostic procedures 15 201-04-00 Biopsy of neck skin and subcutaneous tissue 1,000 16 17 Non-operative procedures Insertion of totally implantable infusion pump 18 201-10-00 into neck skin 1,000 Insertion of totally implantable vascular access 19 201-10-01 device into neck skin 1,000 20 201-10-02 Insertion of tissue expander into neck skin 7,500 Removal of foreign body from neck skin and 21 201-11-00 subcutaneous tissue 500 22 23 Operative procedures 24 201-21-00 Incision of pilonidal cyst or sinus of neck skin 3,000 25 201-21-08 Other incision of neck skin and subcutaneous 6,500 26 Exploration of sinus tract, skin 27 Exploration of superficial fossa 28 29 201-22-00 Aspiration of neck skin and subcutaneous tissue 1,000 30 Aspiration of: 31 abscess 32 hematoma ICD-10-TM Procedural Coding System 1 Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC 33 seroma 34 35 201-22-01 Drainage of neck skin and subcutaneous tissue 2,000 36 Include: Incision and drainage 37 Excisional debridement of wound, infection or 38 201-26-00 burn of neck skin 2,000 39 Removal by excision of: 40 devitalized tissue 41 necrosis 42 slough 43 44 201-26-01 Excision of pilonidal cyst or sinus of neck skin 7,500 45 Marsupialization of cyst 46 47 201-26-02 Excision of neck skin for graft to other site 5,000 Other local excision of lesion of neck skin and 48 201-26-08 subcutaneous tissue 5,000 49 201-26-10 Cutting and preparation of pedical grafts of flaps 5,000 50 201-26-15 Radical excision of neck skin lesion 7,00 Wide excision of skin lesion involving 51 underlying or adjacent structure 52 53 201-28-01 Chemosurgery of neck skin 1,500 54 Chemical peel of skin 55 56 201-28-02 Dermabrasion of neck skin 7,500 57 Include: that with laser 58 59 201-28-03 Ligation of dermal appendage of neck skin 1,500 60 201-28-04 Electrolysis and other epilation of neck skin 2,000 Nonexcisional debridement of wound, infection 61 201-28-05 or burn of neck skin 800 Removal of devitalized tissue, necrosis and 62 slough by: 63 brushing 64 irrigation (under pressure) ICD-10-TM Procedural Coding System 2 Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC 65 scrubbing 66 washing 67 Other local destruction of lesion of neck skin and 68 201-28-08 subcutaneous tissue 7,000 69 Destruction of neck skin by: 70 cauterization 71 cryosurgery 72 fulguration 73 laser beam 74 That with Z-plasty 75 76 201-39-00 Suture of laceration of neck skin 7,000 77 201-39-08 Other repair of neck skin 7,000 78 201-47-00 Revision of pedicle or flap graft of neck skin 7,500 79 201-48-00 Advancement of pedicle graft of neck skin 15,000 80 201-48-01 Attachment of pedicle or flap graft of neck skin 15,000 81 201-48-02 Neck skin reduction plastic operation 15,000 82 201-48-03 Relaxation of scar or web contracture of neck skin 10,000 83 201-48-09 Other reconstruction of neck skin 84 201-50-00 Hair transplant of neck skin 25,000 85 201-50-01 Split-thickness neck skin graft 9,000 86 201-50-02 Full-thickness neck skin graft 9,000 87 201-50-03 Heterograft to neck skin 9,000 88 Pigskin graft 89 Porcine graft 90 91 201-50-04 Homograft to neck skin 9,000 92 Graft to skin of: 93 amnionic membrane from donor 94 skin 95 96 201-50-05 Dermal regenerative graft of neck skin 2,200 97 Artificial skin 98 Creation of neodermis 99 Decullularization allodermis 100 Integumentary matrix implants ICD-10-TM Procedural Coding System 3 Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC 101 Prosthetic implant of dermal layer of skin 102 Regenerate dermal layer of skin 103 104 Miscellaneous procedures 105 201-80-00 Wound dressing at neck 500 106 201-81-00 Injection or tattooing of neck skin lesion and 10,000 107 Injection 108 Insertion of filling material 109 Pigmentation 110 111 Other procedures and operations 112 201-99-99 Other procedures and operations on neck skin 4,500 113 114 115 BRANCHIAL REMNANT 116 117 Operative procedures 118 204-26-01 Excision of branchial cleft cyst or vestige 8,300 119 204-39-00 Closure of branchial cleft fistula 15,000 120 121 Other procedures and operations Other procedures and operations on branchial 122 204-99-99 cleft cyst or fistula 10,500 123 124 125 CAROTID ARTERY 126 127 Examination and Assessment 128 205-04-00 Biopsy of carotid artery 12,500 Note : see chapter 18 for more codes on 129 radiology services of neck 130 131 Non-operative procedures 132 205-10-00 Arterial catheterization of carotid artery 133 205-10-01 Insertion of carotid artery stent 22,500 134 135 Operative procedures ICD-10-TM Procedural Coding System 4 Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC 136 205-21-00 Incision of carotid artery 13,300 137 Embolectomy 138 Thrombectomy 139 140 205-24-00 Freeing of carotid artery 9,700 Control of hemorrage following arterial surgery 141 205-25-00 of carotid artery 11,200 142 205-26-01 Endarterectomy of carotid artery 20,400 143 Endarterectomy with: 144 embolectomy 145 patch graft 146 temporary bypass during procedure 147 thrombectomy 148 149 205-26-02 Resection of carotid artery with anastomosis 20,400 150 Angiectomy 151 Excision of: with anastomosis 152 aneurysm (arteriovenous) 153 blood vessel (lesion) 154 155 205-26-08 Other excision of carotid artery 15,000 156 205-30-00 Ligation of carotid artery 8,000 157 205-30-01 Embolization of carotid artery 22,500 158 205-30-59 Transcatheter embolization of carotid artery 159 205-30-98 Other surgical occlusion of carotid artery 10,200 160 Clamping of carotid artery 161 Occlusion of carotid artery 162 163 205-31-00 Dilation of carotid artery 164 209-31-50 Angioplasty of carotid artery 13,800 Percutaneous transluminal angioplasty (PTA) of 165 carotid artery 166 167 205-35-00 Aorto-subclavian-carotid bypass 168 205-35-01 Extracranial-intracranial(EC-IC) vascular bypass 169 205-39-00 Suture of carotid artery 15,000 170 205-39-01 Repair of aneurysm of carotid artery 28,600 ICD-10-TM Procedural Coding System 5 Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC 171 Repair of aneurysm by: 172 coagulation 173 electrocoagulation 174 filipuncture 175 methyl methacrylate 176 suture 177 wiring, wrapping 178 Repair of arteriovenous fistula or arteriovenous 179 205-39-02 malformation of carotid artery 22,400 180 Embolization of carotid cavernous fistula Repair of arteriovenous fistula or arteriovenous 181 malformation by: 182 clipping 183 coagulation 184 ligation and division 185 186 205-39-03 Repair of carotid artery with tissue patch graft 21,400 187 205-39-04 Repair of carotid artery with synthetic patch graft 21,400 188 205-39-05 Repair of carotid artery with unspecified patch 21,400 189 205-39-06 Endoarterial repair of carotid artery 190 205-39-08 Other repair of carotid artery Transcatheter thrombolysis of carotid artery, 191 209-41-50 using thrombolytic agent Transcatheter thrombolysis of carotid artery, 192 209-41-51 using mechanical removal 193 205-46-00 Resection of carotid artery with replacement 194 Angiectomy 195 Excision of: with replacement 196 aneurysm (arteriovenous) 197 blood vessel (lesion) 198 199 205-47-00 Revision of arterial procedures of carotid artery 10,200 200 205-48-00 Reconstruction of carotid artery 13,800 201 202 Other procedures and operations 203 205-99-01 Operations on carotid body 20,400 ICD-10-TM Procedural Coding System 6 Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC 204 Chemodectomy 205 Denervation of carotid body 206 Glomectomy, carotid Implantation of electronic stimulator or 207 pacemaker into carotid body 208 209 205-99-99 Other procedures and operations on carotid artery 210 211 212 HEAD AND NECK ARTERY Note : During coding operations on head and neck artery, if coders can find more information of exact artery(e.g. vertebral, thyroidal artery etc.), the coder must change anatomical axis code(209=head and neck artery, unspecified) into 213 more specific code as specific anatomical code 205 = carotid artery; 206 = internal carotid 214 artery; 207 = thyroid artery; 215 208 = vertebral artery 216 217 Embolization and thrombolysis 218 209-30-59 Transcatheter embolization of head & neck artery Percutaneous transluminal angioplasty of head & 219 209-31-50 neck artery Transcatheter thrombolysis of head & neck 220 209-41-50 artery, using thrombolytic agent Transcatheter thrombolysis of head & neck 221 209-41-51 artery, using mechanical removal 222 223 224 CERVICAL LYMPH NODES ICD-10-TM Procedural Coding System 7 Chapter 4 Procedures of the neck, mouth and pharynx ICD-10-TM ABC Note : During coding operations on cervical lymph nodes, if coders can find more information of exact cervical lymph nodes(e.g.