Code Description 00640 Anesthesia, Manipulation, Spine, Closed Proc, Cervical/Thoracic/LumBar 11920 Tattooing To Correct Color Defects; 6.0 Sq Cm/< 11921 Tattooing To Correct Color Defects; 6.1-20.0 Sq Cm 11922 Tattooing To Correct Color Defects; Add'l 20.0 Sq Cm 11950 SuBq Injection, Filling Matl; 1 Cc/< 11951 SuBq Injection, Filling Matl; 1.1 To 5.0 Cc 11952 SuBq Injection, Filling Matl; 5.1 To 10.0 Cc 11954 SuBq Injection, Filling Matl; > 10.0 Cc 11960 Insertion, Tissue Expander(S), Other Than Breast, W/Subsequent Expansion 15271 App Skn SuB Grft T/A/L Area/<100Scm /<1St 25 Scm 15272 App Skn SuB Grft T/A/L Area/<100Scm Ea Adl 25Scm 15273 App Skn SuB Grft T/A/L Area/>100Scm 1St 100Scm 15274 App Skn SuB Grft T/A/L Area/>100Scm Adl 100Scm 15275 SuB Grft F/S/N/H/F/G/M/D /<100Scm /<1St 25 Scm 15276 SuB Grft F/S/N/H/F/G/M/D /<100Scm Ea Adl 25Scm 15277 SuB Grft F/S/N/H/F/G/M/D />100Scm 1St 100Scm 15278 SuB Grft F/S/N/H/F/G/M/D />100Scm Adl 100Scm 15775 Punch Graft, Hair Transplant; 1-15 Punch Grafts 15776 Punch Graft, Hair Transplant; > 15 Punch Grafts 15780 DermaBrasion; Total Face 15781 DermaBrasion; Segmental, Face 15782 DermaBrasion; Regional, Other Than Face 15783 DermaBrasion; Superficial, Any Site 15786 Abrasion; Single Lesion 15787 Abrasion; Add'l 4 Lesions/< 15788 Chemical Peel, Facial; Epidermal 15789 Chemical Peel, Facial; Dermal 15792 Chemical Peel, Nonfacial; Epidermal 15793 Chemical Peel, Nonfacial; Dermal 15819 Cervicoplasty 15820 Blepharoplasty, Lower Eyelid 15821 Blepharoplasty, Lower Eyelid; W/Extensive Herniated Fat Pad 15822 Blepharoplasty, Upper Eyelid 15823 Blepharoplasty, Upper Eyelid; W/Excessive Skin Weighting Down Lid 15824 Rhytidectomy; Forehead 15825 Rhytidectomy; Neck W/Platysmal Tightening (Platysmal Flap, P-Flap) 15826 Rhytidectomy; GlaBellar Frown Lines 15828 Rhytidectomy; Cheek, Chin, & Neck 15829 Rhytidectomy; Superficial Musculoaponeurotic System (Smas) Flap 15830 Excision, Excessive Skin and SuBcutaneous Tissue (Includes Lipectomy); Abdomen, InfraumBilical Panniculectomy 15832 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); Thigh 15833 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); Leg 15834 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); Hip 15835 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); Buttock 15836 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); Arm 15837 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); Forearm/Hand 15838 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); SuBmental Fat Pad 15839 Excision, Excessive Skin & SuBq Tissue (W/Lipectomy); Other Area 15847 Excision, Excessive Skin and SuBcutaneous Tissue (Includes Lipectomy), Abdomen 15876 Suction Assisted Lipectomy; Head & Neck 15877 Suction Assisted Lipectomy; Trunk 15878 Suction Assisted Lipectomy; Upper Extremity 15879 Suction Assisted Lipectomy; Lower Extremity 17106 Destruction, Cutaneous Vascular Proliferative Lesions; < 10 Sq Cm 17107 Destruction, Cutaneous Vascular Proliferative Lesions; 10.0-50.0 Sq Cm 17108 Destruction, Cutaneous Vascular Proliferative Lesions; > 50.0 Sq Cm 17380 Electrolysis Epilation, Each One Half Hour 17999 Unlisted Proc, Skin, Mucous MemBrane & SuBq Tissue 19105 Ablation, Cryosurgical, of FiBroadenoma, including Ultrasound Guidance, Each FiBroadenoma 19300 REMOVAL OF BREAST TISSUE 19316 Mastopexy 19318 Reduction Mammaplasty Page 1 of 36 Code Description 19324 Mammaplasty, Augmentation; W/O Prosthetic Implant 19325 Mammaplasty, Augmentation; W/Prosthetic Implant 19328 Removal, Intact Mammary Implant 19340 Immediate Insertion, Breast Prosthesis Following Mastopexy, Mastectomy/In Reconstruction 19342 Delayed Insertion, Breast Prosthesis Following Mastopexy, Mastectomy/In Reconstruction 19350 Nipple/Areola Reconstruction 19355 Correction, Inverted Nipples 19357 Breast Reconstruction W/Tissue Expander, Immediate/Delayed, W/SuBseq Expansion 19361 Breast Reconstruction W/Latissimus Dorsi Flap, W/Wo Prosthetic Implant 19364 Breast Reconstruction W/Free Flap 19366 Breast Reconstruction W/Other Technique 19367 Breast Reconstruction W/Myocutaneous (Tram) Flap, Single Pedicle W/Closure Donor Site; 19368 Breast Reconstruction W/Myocutan (Tram) Flap, Single Pedicle W/Closure Donor Site; W/Microvasc Anast 19369 Breast Reconstruction W/Myocutaneous (Tram) Flap, DouBle Pedicle W/Closure Donor Site 19370 Open Periprosthetic Capsulotomy, Breast 19371 Periprosthetic Capsulectomy, Breast 19380 Revision, Reconstructed Breast 19396 Preparation, Moulage, Custom Breast Implant 20610 Arthrocentesis Aspir&/Inj Major Jt/Bursa W/O Us 20930 Allograft For Spine Surgery Only Morselized 20931 Allograft For Spine Surgery Only Structural 20936 Autograft, Spine Surgery Only; Local, Same Incision 20937 Autograft, Spine Surgery Only; Morselized, Sep Incision 20938 Autograft, Spine Surgery Only; Structural/Bicortical/Tricortical, Sep Incision 20974 Electrical Stimulation To Aid Bone Healing; Noninvasive (Nonoperative) 20975 Electrical Stimulation To Aid Bone Healing; Invasive (Operative) 20979 Low Intensity Ultrasound Stimulation To Aid Bone Healing; Noninvasive 20982 Ablation Bone Tumor Rf Perq W/Img Gdn When Done 20983 Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd 20999 Unlisted Proc, Musculoskeletal System, General 21010 Arthrotomy, TemporomandiBular Joint 21050 Condylectomy, TemporomandiBular Joint (Sep Proc) 21060 Meniscectomy, Partial/Complete, TemporomandiBular Joint (Sep Proc) 21073 Manipulation of temporomandiBular joint(s) (TMJ), therapeutic, requiring an anesthesia service (ie, general or monitored 21083 Impression & Custom Preparation; Palatal Lift Prosthesis 21087 Impression & Custom Preparation; Nasal Prosthesis 21116 Injection Proc, Temporomandibular Joint Arthrography 21120 Genioplasty; Augmentation (Autograft, Allograft, Prosthetic Matl) 21121 Genioplasty; Sliding Osteotomy, Single Piece 21122 Genioplasty; Sliding Osteotomies, 2+ Osteotomies 21123 Genioplasty; Sliding, Augmentation W/Interpositional Bone Grafts W/OBtaining Autograft 21125 Augmentation, MandiBular Body/Angle; Prosthetic Matl 21127 Augmentation, MandiBular Body/Angle; W/Bone Graft/Onlay/Interpositional W/OBtaining Autograft 21137 Reduction Forehead; Contouring Only 21138 Reduction Forehead; Contouring/Prosthesis/Bone Graft W/OBtaining Autograft 21139 Reduction Forehead; Contouring & SetBack, Anterior Frontal Sinus Wall 21141 Reconstruction Midface, Lefort I; 1 Piece, W/O Bone Graft 21142 Reconstruction Midface, Lefort I; 2 Pieces, W/O Bone Graft 21143 Reconstruction Midface, Lefort I; 3+ Pieces, W/O Bone Graft 21145 Reconstruction Midface, Lefort I; 1 Piece, W/Bone Grafts 21146 Reconstruction Midface, Lefort I; 2 Pieces, W/Bone Grafts 21147 Reconstruction Midface, Lefort I; 3+ Pieces, W/Bone Grafts 21150 Reconstruction Midface, Lefort Ii; Anterior Intrusion 21151 Reconstruction Midface, Lefort Ii; W/Bone Grafts 21154 Reconstruction Midface, Lefort Iii, W/Bone Grafts; W/O Lefort I 21155 Reconstruction Midface, Lefort Iii, W/Bone Grafts; W/Lefort I 21172 Reconstruction Superior-Lateral OrBital Rim & Lower Forehead 21175 Reconstruction, Bifrontal,Superior-Lateral OrBital Rims & Lower Forehead 21179 Reconstruction, Majority, Forehead & SupraorBital Rims; W/Grafts (Allograft/Prosthetic) 21180 Reconstruction, Majority, Forehead & SupraorBital Rims; W/Autograft 21181 Reconstruction, Contouring, Benign Tumor, Cranial Bones, Extracranial 21182 Reconstruction, OrBit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft < 40 Sq Cm Page 2 of 36 Code Description 21183 Reconstruction, OrBit/Forehead/Nasoethmiod, Following Excision, Benign Tumor, Graft 40-80 Sq Cm 21184 Reconstruction, OrBit/Forehead/Nasoethmoid, Following Excision, Benign Tumor, Graft > 80 Sq Cm 21188 Reconstruction, Midface, Osteotomies (Non-Lefort Type), W/Grafts, W/OBtaining Autografts 21193 Reconstruction, MandiBular Rami, Horizontal, Vertical, "C"/"L" Osteotomy; W/O Bone Graft 21194 Reconstruction, MandiBular Rami, Horizontal, Vertical, "C"/"L" Osteotomy; W/Bone Graft 21195 Reconstruction, MandiBular Rami &/Or Body, Sagittal Split; W/O Int Rigid Fixation 21196 Reconstruction, MandiBular Rami &/Or Body, Sagittal Split; W/Int Rigid Fixation 21198 Osteotomy, MandiBle, Segmental 21199 Osteotomy, MandiBle, Segmental; W/Genioglossus Advancement 21206 Osteotomy, Maxilla, Segmental 21208 Osteoplasty, Facial Bones; Augmentation (Autograft, Allograft/Prosthetic Implant) 21209 Osteoplasty, Facial Bones; Reduction 21210 Graft, Bone; Nasal, Maxillary/Malar Areas (Includes OBtaining Graft) 21215 Graft, Bone; MandiBle (Includes OBtaining Graft) 21230 Graft; RiB Cartilage, Autogenous, Face/Chin/Nose/Ear (Includes OBtaining Graft) 21235 Graft; Ear Cartilage, Autogenous, Nose/Ear (Includes OBtaining Graft) 21240 Arthroplasty, TemporomandiBular Joint, W/Wo Autograft (Includes OBtaining Graft) 21242 Arthroplasty, TemporomandiBular Joint, W/Allograft 21243 Arthroplasty, TemporomandiBular Joint, W/Prosthetic Joint Replacement 21244 Reconstruction, MandiBle, Extraoral, W/Transosteal Bone Plate 21245 Reconstruction, MandiBle/Maxilla, SuBperiosteal Implant; Partial 21246 Reconstruction, MandiBle/Maxilla, SuBperiosteal Implant; Complete 21247 Reconstruction, MandiBular Condyle W/Bone & Cartilage Autografts 21256 Reconstruction, OrBit W/Osteotomies & Bone Grafts (Includes OBtaining Autografts) 21260 PeriorBital Osteotomies, OrBital Hypertelorism, W/Bone Grafts; Extracranial Approach 21261 PeriorBital Osteotomies, OrBital Hypertelorism, W/Bone Grafts; Intra & Extracranial Approach 21263 PeriorBital Osteotomies, OrBital Hypertelorism, W/Bone Grafts; W/Forehead Advancement