Pediatric Planned Procedure Codes
ICD-9-CM Codes and Code Descriptions for Planned Procedures (continued)
A list of ICD-9-CM procedures codes to be used to identify planned pediatric procedures.
| ICD-9-CM Procedure Code | ICD-9-CM Procedure Code Description |
|---|---|
| 31 | Other Operations On Larynx And Trachea |
| 3149 | Other Diagnostic Procedures On Trachea |
| 3173 | Closure Of Other Fistula Of Trachea |
| 3195 | Tracheoesophageal Fistulization |
| 320 | Local Excision Or Destruction Of Lesion Or Tissue Of Bronchus |
| 3209 | Other Local Excision Or Destruction Of Lesion Or Tissue Of Bronchus |
| 321 | Other Excision Of Bronchus |
| 3220 | Thoracoscopic Excision Of Lesion Or Tissue Of Lung |
| 3221 | Plication Of Emphysematous Bleb |
| 3223 | Open Ablation Of Lung Lesion Or Tissue |
| 3225 | Thoracoscopic Ablation Of Lung Lesion Or Tissue |
| 3226 | Other And Unspecified Ablation Of Lung Lesion Or Tissue |
| 3229 | Other Local Excision Or Destruction Of Lesion Or Tissue Of Lung |
| 323 | Segmental Resection Of Lung |
| 3230 | Thoracoscopic Segmental Resection Of Lung |
| 3239 | Other And Unspecified Segmental Resection Of Lung |
| 324 | Lobectomy Of Lung |
| 3241 | Thoracoscopic Lobectomy Of Lung |
| 3249 | Other Lobectomy Of Lung |
| 325 | Pneumonectomy |
| 3250 | Thoracoscopic Pneumonectomy |
| 3259 | Other And Unspecified Pneumonectomy |
| 326 | Radical Dissection Of Thoracic Structures |
| 329 | Other Excision Of Lung |
| 330 | Incision Of Bronchus |
| 331 | Incision Of Lung |
| 332 | Diagnostic Procedures On Lung And Bronchus |
| 3320 | Thoracoscopic Lung Biopsy |
| 3325 | Open Biopsy Of Bronchus |
| 3328 | Open Biopsy Of Lung |
| 3329 | Other Diagnostic Procedures On Lung Or Bronchus |
| 3334 | Thoracoplasty |
| 3342 | Closure Of Bronchial Fistula |
| 3348 | Other Repair And Plastic Operations On Bronchus |
| 3349 | Other Repair And Plastic Operations On Lung |
| 339 | Other Operations On Lung And Bronchus |
| 3398 | Other Operations On Bronchus |
| 3399 | Other Operations On Lung |
| 34 | Operations On Chest Wall, Pleura, Mediastinum, And Diaphragm |
| 3401 | Incision Of Chest Wall |
| 3403 | Reopening Of Recent Thoracotomy Site |
| 3405 | Creation Of Pleuroperitoneal Shunt |
| 341 | Incision Of Mediastinum |
| 3420 | Thoracoscopic Pleural Biopsy |
| 3421 | Transpleural Thoracoscopy |
| 3422 | Mediastinoscopy |
| 3423 | Biopsy Of Chest Wall |
| 3424 | Other Pleural Biopsy |
| 3426 | Open Mediastinal Biopsy |
| 3427 | Biopsy Of Diaphragm |
| 3429 | Other Diagnostic Procedures On Mediastinum |
| 343 | Excision Or Destruction Of Lesion Or Tissue Of Mediastinum |
| 344 | Excision Or Destruction Of Lesion Of Chest Wall |
| 3459 | Other Excision Of Pleura |
| 346 | Scarification Of Pleura |
| 3472 | Closure Of Thoracostomy |
| 3473 | Closure Of Other Fistula Of Thorax |
| 3474 | Repair Of Pectus Deformity |
| 3479 | Other Repair Of Chest Wall |
| 3481 | Excision Of Lesion Or Tissue Of Diaphragm |
| 3483 | Closure Of Fistula Of Diaphragm |
| 3484 | Other Repair Of Diaphragm |
| 3485 | Implantation Of Diaphragmatic Pacemaker |
| 3489 | Other Operations On Diaphragm |
| 3493 | Repair Of Pleura |
| 3499 | Other Operations On Thorax |
| 3505 | Endovascular Replacement Of Aortic Valve |
| 351 | Open Heart Valvuloplasty Without Replacement |
| 3510 | Open Heart Valvuloplasty Without Replacement, Unspecified Valve |
| 3511 | Open Heart Valvuloplasty Of Aortic Valve Without Replacement |
| 3512 | Open Heart Valvuloplasty Of Mitral Valve Without Replacement |
| 3513 | Open Heart Valvuloplasty Of Pulmonary Valve Without Replacement |
| 3514 | Open Heart Valvuloplasty Of Tricuspid Valve Without Replacement |
| 352 | Replacement Of Heart Valve |
| 3520 | Open And Other Replacement Of Unspecified Heart Valve |
| 3521 | Open And Other Replacement Of Aortic Valve With Tissue Graft |
| 3522 | Open And Other Replacement Of Aortic Valve |
| 3523 | Open And Other Replacement Of Mitral Valve With Tissue Graft |
| 3524 | Open And Other Replacement Of Mitral Valve |
| 3525 | Open And Other Replacement Of Pulmonary Valve With Tissue Graft |
| 3526 | Open And Other Replacement Of Pulmonary Valve |
| 3527 | Open And Other Replacement Of Tricuspid Valve With Tissue Graft |
| 3528 | Open And Other Replacement Of Tricuspid Valve |
| 353 | Operations On Structures Adjacent To Heart Valves |
| 3531 | Operations On Papillary Muscle |
| 3532 | Operations On Chordae Tendineae |
| 3533 | Annuloplasty |
| 3534 | Infundibulectomy |
| 3535 | Operations On Trabeculae Carneae Cordis |
| 3539 | Operations On Other Structures Adjacent To Valves Of Heart |
| 3541 | Enlargement Of Existing Atrial Septal Defect |
| 3542 | Creation Of Septal Defect In Heart |
| 3550 | Repair Of Unspecified Septal Defect Of Heart With Prosthesis |
| 3551 | Repair Of Atrial Septal Defect With Prosthesis, Open Technique |
| 3552 | Repair Of Atrial Septal Defect With Prosthesis, Closed Technique |
| 3553 | Repair Of Ventricular Septal Defect With Prosthesis, Open Technique |
| 3554 | Repair Of Endocardial Cushion Defect With Prosthesis |
| 3555 | Repair Of Ventricular Septal Defect With Prosthesis, Closed Technique |
| 3560 | Repair Of Unspecified Septal Defect Of Heart With Tissue Graft |
| 3561 | Repair Of Atrial Septal Defect With Tissue Graft |
| 3562 | Repair Of Ventricular Septal Defect With Tissue Graft |
| 3563 | Repair Of Endocardial Cushion Defect With Tissue Graft |
| 3570 | Other And Unspecified Repair Of Unspecified Septal Defect Of Heart |
| 3571 | Other And Unspecified Repair Of Atrial Septal Defect |
| 3572 | Other And Unspecified Repair Of Ventricular Septal Defect |
| 3573 | Other And Unspecified Repair Of Endocardial Cushion Defect |
| 3581 | Total Repair Of Tetralogy Of Fallot |
| 3583 | Total Repair Of Truncus Arteriosus |
| 3584 | Total Correction Of Transposition Of Great Vessels, Not Elsewhere Classified |
| 359 | Other Operations On Valves And Septa Of Heart |
| 3591 | Interatrial Transposition Of Venous Return |
| 3592 | Creation Of Conduit Between Right Ventricle And Pulmonary Artery |
| 3593 | Creation Of Conduit Between Left Ventricle And Aorta |
| 3594 | Creation Of Conduit Between Atrium And Pulmonary Artery |
| 3595 | Revision Of Corrective Procedure On Heart |
| 3597 | Percutaneous Mitral Valve Repair With Implant |
| 3598 | Other Operations On Septa Of Heart |
| 3599 | Other Operations On Valves Of Heart |
| 3609 | Other Removal Of Coronary Artery Obstruction |
| 3610 | Aortocoronary Bypass For Heart Revascularization, Not Otherwise Specified |
| 3611 | (Aorto)Coronary Bypass Of One Coronary Artery |
| 3612 | (Aorto)Coronary Bypass Of Two Coronary Arteries |
| 3613 | (Aorto)Coronary Bypass Of Three Coronary Arteries |
| 3614 | (Aorto)Coronary Bypass Of Four Or More Coronary Arteries |
| 3615 | Single Internal Mammary-Coronary Artery Bypass |
| 3616 | Double Internal Mammary-Coronary Artery Bypass |
| 3617 | Abdominal-Coronary Artery Bypass |
| 3619 | Other Bypass Anastomosis For Heart Revascularization |
| 362 | Heart Revascularization By Arterial Implant |
| 363 | Other Heart Revascularization |
| 3631 | Open Chest Transmyocardial Revascularization |
| 3632 | Other Transmyocardial Revascularization |
| 3633 | Endoscopic Transmyocardial Revascularization |
| 3634 | Percutaneous Transmyocardial Revascularization |
| 3737 | Excision Or Destruction Of Other Lesion Or Tissue Of Heart, Thoracoscopic Approach |
| 3639 | Other Heart Revascularization |
| 3691 | Repair Of Aneurysm Of Coronary Vessel |
| 3699 | Other Operations On Vessels Of Heart |
| 370 | Pericardiocentesis |
| 371 | Cardiotomy And Pericardiotomy |
| 3710 | Incision Of Heart, Not Otherwise Specified |
| 3711 | Cardiotomy |
| 3712 | Pericardiotomy |
| 3724 | Biopsy Of Pericardium |
| 3725 | Biopsy Of Heart |
| 3731 | Pericardiectomy |
| 3732 | Excision Of Aneurysm Of Heart |
| 3733 | Excision Or Destruction Of Other Lesion Or Tissue Of Heart, Open Approach |
| 3734 | Excision Or Destruction Of Other Lesion Or Tissue Of Heart, Endovascular Approach |
| 3735 | Partial Ventriculectomy |
| 3736 | Excision, Destruction, Or Exclusion Of Left Atrial Appendage (Laa) |
| 3741 | Implantation Of Prosthetic Cardiac Support Device Around The Heart |
| 3752 | Implantation Of Total Internal Biventricular Heart Replacement System |
| 3753 | Replacement Or Repair Of Thoracic Unit Of (Total) Replacement Heart System |
| 3760 | Implantation Or Insertion Of Biventricular External Heart Assist System |
| 3765 | Implant Of Single Ventricular (Extracorporeal) External Heart Assist System |
| 3766 | Insertion Of Implantable Heart Assist System |
| 3777 | Removal Of Lead(S) [Electrode] Without Replacement |
| 3779 | Revision Or Relocation Of Cardiac Device Pocket |
| 3785 | Replacement Of Any Type Pacemaker Device With Single-Chamber Device, Not Specified As Rate Responsive |
| 3786 | Replacement Of Any Type Of Pacemaker Device With Single-Chamber Device, Rate Responsive |
| 3787 | Replacement Of Any Type Pacemaker Device With Dual-Chamber Device |
| 3789 | Revision Or Removal Of Pacemaker Device |
| 3794 | Implantation Or Replacement Of Automatic Cardioverter/Defibrillator, Total System [Aicd] |
| 3795 | Implantation Of Automatic Cardioverter/Defibrillator Lead(S) Only |
| 3796 | Implantation Of Automatic Cardioverter/Defibrillator Pulse Generator Only |
| 3797 | Replacement Of Automatic Cardioverter/Defibrillator Lead(S) Only |
| 3798 | Replacement Of Automatic Cardioverter/Defibrillator Pulse Generator Only |
| 3799 | Other Operations On Heart And Pericardium |
| 3800 | Incision Of Vessel, Unspecified Site |
| 3802 | Incision Of Vessel, Other Vessels Of Head And Neck |
| 3803 | Incision Of Vessel, Upper Limb Vessels |
| 3805 | Incision Of Vessel, Other Thoracic Vessels |
| 3806 | Incision Of Vessel, Abdominal Arteries |
| 3807 | Incision Of Vessel, Abdominal Veins |
| 3809 | Incision Of Vessel, Lower Limb Veins |
| 3830 | Resection Of Vessel With Anastomosis, Unspecified Site |
| 3831 | Resection Of Vessel With Anastomosis, Intracranial Vessels |
| 3832 | Resection Of Vessel With Anastomosis, Other Vessels Of Head And Neck |
| 3833 | Resection Of Vessel With Anastomosis, Upper Limb Vessels |
| 3834 | Resection Of Vessel With Anastomosis, Aorta |
| 3835 | Resection Of Vessel With Anastomosis, Other Thoracic Vessels |
| 3836 | Resection Of Vessel With Anastomosis, Abdominal Arteries |
| 3837 | Resection Of Vessel With Anastomosis, Abdominal Veins |
| 3838 | Resection Of Vessel With Anastomosis, Lower Limb Arteries |
| 3839 | Resection Of Vessel With Anastomosis, Lower Limb Veins |
| 3840 | Resection Of Vessel With Replacement, Unspecified Site |
| 3842 | Resection Of Vessel With Replacement, Other Vessels Of Head And Neck |
| 3843 | Resection Of Vessel With Replacement, Upper Limb Vessels |
| 3844 | Resection Of Vessel With Replacement, Aorta, Abdominal |
| 3845 | Resection Of Vessel With Replacement, Thoracic Vessels |
| 3846 | Resection Of Vessel With Replacement, Abdominal Arteries |
| 3847 | Resection Of Vessel With Replacement, Abdominal Veins |
| 3848 | Resection Of Vessel With Replacement, Lower Limb Arteries |
| 3849 | Resection Of Vessel With Replacement, Lower Limb Veins |
| 3860 | Other Excision Of Vessels, Unspecified Site |
| 3862 | Other Excision Of Vessels, Other Vessels Of Head And Neck |
| 3863 | Other Excision Of Vessels, Upper Limb Vessels |
| 3864 | Other Excision Of Vessels, Aorta, Abdominal |
| 3865 | Other Excision Of Vessels, Thoracic Vessels |
| 3866 | Other Excision Of Vessels, Abdominal Arteries |
| 3867 | Other Excision Of Vessels, Abdominal Veins |
| 3868 | Other Excision Of Vessels, Lower Limb Arteries |
| 3869 | Other Excision Of Vessels, Lower Limb Veins |
| 3880 | Other Surgical Occlusion Of Vessels, Unspecified Site |
| 3882 | Other Surgical Occlusion Of Vessels, Other Vessels Of Head And Neck |
| 3883 | Other Surgical Occlusion Of Vessels, Upper Limb Vessels |
| 3884 | Other Surgical Occlusion Of Vessels, Aorta, Abdominal |
| 3885 | Other Surgical Occlusion Of Vessels, Thoracic Vessels |
| 3886 | Other Surgical Occlusion Of Vessels, Abdominal Arteries |
| 3887 | Other Surgical Occlusion Of Vessels, Abdominal Veins |
| 3888 | Other Surgical Occlusion Of Vessels, Lower Limb Arteries |
| 3889 | Other Surgical Occlusion Of Vessels, Lower Limb Veins |
| 3897 | Central Venous Catheter Placement With Guidance |
| 390 | Systemic To Pulmonary Artery Shunt |
| 391 | Intra-Abdominal Venous Shunt |
| 392 | Other Shunt Or Vascular Bypass |
| 3921 | Caval-Pulmonary Artery Anastomosis |
| 3923 | Other Intrathoracic Vascular Shunt Or Bypass |
| 3924 | Aorta-Renal Bypass |
| 3926 | Other Intra-Abdominal Vascular Shunt Or Bypass |
| 3927 | Arteriovenostomy For Renal Dialysis |
| 3928 | Extracranial-Intracranial (Ec-Ic) Vascular Bypass |
| 3942 | Revision Of Arteriovenous Shunt For Renal Dialysis |
| 3943 | Removal Of Arteriovenous Shunt For Renal Dialysis |
| 3949 | Other Revision Of Vascular Procedure |
| 395 | Other Repair Of Vessels |
| 3953 | Repair Of Arteriovenous Fistula |
| 3954 | Re-Entry Operation (Aorta) |
| 3955 | Reimplantation Of Aberrant Renal Vessel |
| 3956 | Repair Of Blood Vessel With Tissue Patch Graft |
| 3957 | Repair Of Blood Vessel With Synthetic Patch Graft |
| 3958 | Repair Of Blood Vessel With Unspecified Type Of Patch Graft |
| 3972 | Endovascular (Total) Embolization Or Occlusion Of Head And Neck Vessels |
| 3975 | Endovascular Embolization Or Occlusion Of Vessel(S) Of Head Or Neck Using Bare Coils |
| 3976 | Endovascular Embolization Or Occlusion Of Vessel(S) Of Head Or Neck Using Bioactive Coils |
| 3978 | Endovascular Implantation Of Branching Or Fenestrated Graft(S) In Aorta |
| 3991 | Freeing Of Vessel |
| 3993 | Insertion Of Vessel-To-Vessel Cannula |
| 3994 | Replacement Of Vessel-To-Vessel Cannula |
| 3999 | Other Operations On Vessels |
| 400 | Incision Of Lymphatic Structures |
| 401 | Diagnostic Procedures On Lymphatic Structures |
| 4011 | Biopsy Of Lymphatic Structure |
| 4019 | Other Diagnostic Procedures On Lymphatic Structures |
| 402 | Simple Excision Of Lymphatic Structure |
| 4021 | Excision Of Deep Cervical Lymph Node |
| 4022 | Excision Of Internal Mammary Lymph Node |
| 4023 | Excision Of Axillary Lymph Node |
| 4024 | Excision Of Inguinal Lymph Node |
| 4029 | Simple Excision Of Other Lymphatic Structure |
| 403 | Regional Lymph Node Excision |
| 404 | Radical Excision Of Cervical Lymph Nodes |
| 4040 | Radical Neck Dissection, Not Otherwise Specified |
| 4041 | Radical Neck Dissection, Unilateral |
| 4042 | Radical Neck Dissection, Bilateral |
| 4050 | Radical Excision Of Lymph Nodes, Not Otherwise Specified |
| 4051 | Radical Excision Of Axillary Lymph Nodes |
| 4052 | Radical Excision Of Periaortic Lymph Nodes |
| 4053 | Radical Excision Of Iliac Lymph Nodes |
| 4054 | Radical Groin Dissection |
| 4059 | Radical Excision Of Other Lymph Nodes |
| 4061 | Cannulation Of Thoracic Duct |
| 4062 | Fistulization Of Thoracic Duct |
| 4063 | Closure Of Fistula Of Thoracic Duct |
| 4064 | Ligation Of Thoracic Duct |
| 4069 | Other Operations On Thoracic Duct |
| 409 | Other Operations On Lymphatic Structures |
| 4100 | Bone Marrow Transplant, Not Otherwise Specified |
| 4101 | Autologous Bone Marrow Transplant Without Purging |
| 4102 | Allogeneic Bone Marrow Transplant With Purging |
| 4103 | Allogeneic Bone Marrow Transplant Without Purging |
| 4104 | Autologous Hematopoietic Stem Cell Transplant Without Purging |
| 4105 | Allogeneic Hematopoietic Stem Cell Transpant Without Purging |
| 4106 | Cord Blood Stem Cell Transplant |
| 4107 | Autologous Hematopoietic Stem Cell Transplant With Purging |
| 4108 | Allogeneic Hematopoietic Stem Cell Transplant With Purging |
| 4109 | Autologous Bone Marrow Transplant With Purging |
| 411 | Puncture Of Spleen |
| 412 | Splenotomy |
| 4131 | Biopsy Of Bone Marrow |
| 4132 | Closed [Aspiration] [Percutaneous] Biopsy Of Spleen |
| 4133 | Open Biopsy Of Spleen |
| 4139 | Other Diagnostic Procedures On Spleen |
| 4141 | Marsupialization Of Splenic Cyst |
| 4142 | Excision Of Lesion Or Tissue Of Spleen |
| 4143 | Partial Splenectomy |
| 415 | Total Splenectomy |
| 4191 | Aspiration Of Bone Marrow From Donor For Transplant |
| 4192 | Injection Into Bone Marrow |
| 4193 | Excision Of Accessory Spleen |
| 4195 | Repair And Plastic Operations On Spleen |
| 4198 | Other Operations On Bone Marrow |
| 4199 | Other Operations On Spleen |
| 42 | Operations On Esophagus |
| 4201 | Incision Of Esophageal Web |
| 4209 | Other Incision Of Esophagus |
| 4210 | Esophagostomy, Not Otherwise Specified |
| 4211 | Cervical Esophagostomy |
| 4212 | Exteriorization Of Esophageal Pouch |
| 4219 | Other External Fistulization Of Esophagus |
| 4225 | Open Biopsy Of Esophagus |
| 4231 | Local Excision Of Esophageal Diverticulum |
| 4232 | Local Excision Of Other Lesion Or Tissue Of Esophagus |
| 4233 | Endoscopic Excision Or Destruction Of Lesion Or Tissue Of Esophagus |
| 4239 | Other Destruction Of Lesion Or Tissue Of Esophagus |
| 4240 | Esophagectomy, Not Otherwise Specified |
| 4241 | Partial Esophagectomy |
| 4242 | Total Esophagectomy |
| 4251 | Intrathoracic Esophagoesophagostomy |
| 4252 | Intrathoracic Esophagogastrostomy |
| 4253 | Intrathoracic Esophageal Anastomosis With Interposition Of Small Bowel |
| 4254 | Other Intrathoracic Esophagoenterostomy |
| 4255 | Intrathoracic Esophageal Anastomosis With Interposition Of Colon |
| 4256 | Other Intrathoracic Esophagocolostomy |
| 4258 | Intrathoracic Esophageal Anastomosis With Other Interposition |
| 4259 | Other Intrathoracic Anastomosis Of Esophagus |
| 4261 | Antesternal Esophagoesophagostomy |
| 4262 | Antesternal Esophagogastrostomy |
| 4263 | Antesternal Esophageal Anastomosis With Interposition Of Small Bowel |
| 4264 | Other Antesternal Esophagoenterostomy |
| 4265 | Antesternal Esophageal Anastomosis With Interposition Of Colon |
| 4266 | Other Antesternal Esophagocolostomy |
| 4268 | Other Antesternal Esophageal Anastomosis With Interposition |
| 4269 | Other Antesternal Anastomosis Of Esophagus |
| 427 | Esophagomyotomy |
| 4282 | Suture Of Laceration Of Esophagus |
| 4283 | Closure Of Esophagostomy |
| 4284 | Repair Of Esophageal Fistula, Not Elsewhere Classified |
| 4285 | Repair Of Esophageal Stricture |
| 4286 | Production Of Subcutaneous Tunnel Without Esophageal Anastomosis |
| 4287 | Other Graft Of Esophagus |
| 4289 | Other Repair Of Esophagus |
| 4292 | Dilation Of Esophagus |
| 4299 | Other Operations On Esophagus |
| 43 | Incision And Excision Of Stomach |
| 430 | Gastrotomy |
| 431 | Gastrostomy |
| 4311 | Percutaneous [Endoscopic] Gastrostomy [Peg] |
| 4319 | Other Gastrostomy |
| 433 | Pyloromyotomy |
| 4341 | Endoscopic Excision Or Destruction Of Lesion Or Tissue Of Stomach |
| 4342 | Local Excision Of Other Lesion Or Tissue Of Stomach |
| 4349 | Other Destruction Of Lesion Or Tissue Of Stomach |
| 435 | Partial Gastrectomy With Anastomosis To Esophagus |
| 436 | Partial Gastrectomy With Anastomosis To Duodenum |
| 437 | Partial Gastrectomy With Anastomosis To Jejunum |
| 4381 | Partial Gastrectomy With Jejunal Transposition |
| 4382 | Laparoscopic Vertical (Sleeve) Gastrectomy |
| 4389 | Open And Other Partial Gastrectomy |
| 4391 | Total Gastrectomy With Intestinal Interposition |
| 4399 | Other Total Gastrectomy |
| 4400 | Vagotomy, Not Otherwise Specified |
| 441 | Diagnostic Procedures On Stomach |
| 4415 | Open Biopsy Of Stomach |
| 4422 | Endoscopic Dilation Of Pylorus |
| 443 | Gastroenterostomy Without Gastrectomy |
| 4431 | High Gastric Bypass |
| 4432 | Percutaneous [Endoscopic] Gastrojejunostomy |
| 4438 | Laparoscopic Gastroenterostomy |
| 4439 | Other Gastroenterostomy Without Gastrectomy |
| 4440 | Suture Of Peptic Ulcer, Not Otherwise Specified |
| 4443 | Endoscopic Control Of Gastric Or Duodenal Bleeding |
| 445 | Revision Of Gastric Anastomosis |
| 4462 | Closure Of Gastrostomy |
| 4463 | Closure Of Other Gastric Fistula |
| 4464 | Gastropexy |
| 4465 | Esophagogastroplasty |
| 4466 | Other Procedures For Creation Of Esophagogastric Sphincteric Competence |
| 4467 | Laparoscopic Procedures For Creation Of Esophagogastric Sphincteric Competence |
| 4468 | Laparoscopic Gastroplasty |
| 4469 | Other Repair Of Stomach |
| 449 | Other Operations On Stomach |
| 4491 | Ligation Of Gastric Varices |
| 4495 | Laparoscopic Gastric Restrictive Procedure |
| 4496 | Laparoscopic Revision Of Gastric Restrictive Procedure |
| 4497 | Laparoscopic Removal Of Gastric Restrictive Device(S) |
| 4498 | (Laparoscopic) Adjustment Of Size Of Adjustable Gastric Restrictive Device |
| 4499 | Other Operations On Stomach |
| 45 | Incision, Excision, And Anastomosis Of Intestine |
| 4500 | Incision Of Intestine, Not Otherwise Specified |
| 4501 | Incision Of Duodenum |
| 4502 | Other Incision Of Small Intestine |
| 4503 | Incision Of Large Intestine |
| 4511 | Transabdominal Endoscopy Of Small Intestine |
| 4515 | Open Biopsy Of Small Intestine |
| 4526 | Open Biopsy Of Large Intestine |
| 4530 | Endoscopic Excision Or Destruction Of Lesion Of Duodenum |
| 4531 | Other Local Excision Of Lesion Of Duodenum |
| 4532 | Other Destruction Of Lesion Of Duodenum |
| 4533 | Local Excision Of Lesion Or Tissue Of Small Intestine, Except Duodenum |
| 4534 | Other Destruction Of Lesion Of Small Intestine, Except Duodenum |
| 4541 | Excision Of Lesion Or Tissue Of Large Intestine |
| 4543 | Endoscopic Destruction Of Other Lesion Or Tissue Of Large Intestine |
| 4549 | Other Destruction Of Lesion Of Large Intestine |
| 4550 | Isolation Of Intestinal Segment, Not Otherwise Specified |
| 4551 | Isolation Of Segment Of Small Intestine |
| 4552 | Isolation Of Segment Of Large Intestine |
| 4561 | Multiple Segmental Resection Of Small Intestine |
| 4562 | Other Partial Resection Of Small Intestine |
| 4563 | Total Removal Of Small Intestine |
| 4571 | Open And Other Multiple Segmental Resection Of Large Intestine |
| 4572 | Open And Other Cecectomy |
| 4573 | Open And Other Right Hemicolectomy |
| 4574 | Open And Other Resection Of Transverse Colon |
| 4575 | Open And Other Left Hemicolectomy |
| 4576 | Open And Other Sigmoidectomy |
| 4579 | Other And Unspecified Partial Excision Of Large Intestine |
| 458 | Total Intra-Abdominal Colectomy |
| 4581 | Laparoscopic Total Intra-Abdominal Colectomy |
| 4582 | Open Total Intra-Abdominal Colectomy |
| 4583 | Other And Unspecified Total Intra-Abdominal Colectomy |
| 4590 | Intestinal Anastomosis, Not Otherwise Specified |
| 4591 | Small-To-Small Intestinal Anastomosis |
| 4592 | Anastomosis Of Small Intestine To Rectal Stump |
| 4593 | Other Small-To-Large Intestinal Anastomosis |
| 4594 | Large-To-Large Intestinal Anastomosis |
| 4595 | Anastomosis To Anus |
| 46 | Other Operations On Intestine |
| 4601 | Exteriorization Of Small Intestine |
| 4602 | Resection Of Exteriorized Segment Of Small Intestine |
| 4603 | Exteriorization Of Large Intestine |
| 4604 | Resection Of Exteriorized Segment Of Large Intestine |
| 4610 | Colostomy, Not Otherwise Specified |
| 4611 | Temporary Colostomy |
| 4613 | Permanent Colostomy |
| 4614 | Delayed Opening Of Colostomy |
| 4620 | Ileostomy, Not Otherwise Specified |
| 4621 | Temporary Ileostomy |
| 4622 | Continent Ileostomy |
| 4623 | Other Permanent Ileostomy |
| 4639 | Other Enterostomy |
| 4640 | Revision Of Intestinal Stoma, Not Otherwise Specified |
| 4641 | Revision Of Stoma Of Small Intestine |
| 4642 | Repair Of Pericolostomy Hernia |
| 4643 | Other Revision Of Stoma Of Large Intestine |
| 4650 | Closure Of Intestinal Stoma, Not Otherwise Specified |
| 4651 | Closure Of Stoma Of Small Intestine |
| 4652 | Closure Of Stoma Of Large Intestine |
| 4660 | Fixation Of Intestine, Not Otherwise Specified |
| 4661 | Fixation Of Small Intestine To Abdominal Wall |
| 4662 | Other Fixation Of Small Intestine |
| 4663 | Fixation Of Large Intestine To Abdominal Wall |
| 4664 | Other Fixation Of Large Intestine |
| 4672 | Closure Of Fistula Of Duodenum |
| 4674 | Closure Of Fistula Of Small Intestine, Except Duodenum |
| 4676 | Closure Of Fistula Of Large Intestine |
| 4686 | Endoscopic Insertion Of Colonic Stent(S) |
| 4687 | Other Insertion Of Colonic Stent(S) |
| 4694 | Revision Of Anastomosis Of Large Intestine |
| 4699 | Other Operations On Intestines |
| 479 | Other Operations On Appendix |
| 4791 | Appendicostomy |
| 4792 | Closure Of Appendiceal Fistula |
| 4799 | Other Operations On Appendix |
| 480 | Proctotomy |
| 4825 | Open Biopsy Of Rectum |
| 4826 | Biopsy Of Perirectal Tissue |
| 4834 | Destruction Of Rectal Lesion Or Tissue By Cryosurgery |
| 4835 | Local Excision Of Rectal Lesion Or Tissue |
| 4840 | Pull-Through Resection Of Rectum, Not Otherwise Specified |
| 4841 | Soave Submucosal Resection Of Rectum |
| 4842 | Laparoscopic Pull-Through Resection Of Rectum |
| 4843 | Open Pull-Through Resection Of Rectum |
| 4849 | Other Pull-Through Resection Of Rectum |
| 485 | Abdominoperineal Resection Of Rectum |
| 4850 | Abdominoperineal Resection Of The Rectum, Not Otherwise Specified |
| 4851 | Laparoscopic Abdominoperineal Resection Of The Rectum |
| 4852 | Open Abdominoperineal Resection Of The Rectum |
| 4859 | Other Abdominoperineal Resection Of The Rectum |
| 4861 | Transsacral Rectosigmoidectomy |
| 4862 | Anterior Resection Of Rectum With Synchronous Colostomy |
| 4863 | Other Anterior Resection Of Rectum |
| 4864 | Posterior Resection Of Rectum |
| 4865 | Duhamel Resection Of Rectum |
| 4869 | Other Resection Of Rectum |
| 4871 | Suture Of Laceration Of Rectum |
| 4873 | Closure Of Other Rectal Fistula |
| 4874 | Rectorectostomy |
| 4875 | Abdominal Proctopexy |
| 4876 | Other Proctopexy |
| 4881 | Incision Of Perirectal Tissue |
| 4882 | Excision Of Perirectal Tissue |
| 489 | Other Operations On Rectum And Perirectal Tissue |
| 4891 | Incision Of Rectal Stricture |
| 4892 | Anorectal Myectomy |
| 4893 | Repair Of Perirectal Fistula |
| 4899 | Other Operations On Rectum And Perirectal Tissue |
| 4901 | Incision Of Perianal Abscess |
| 4902 | Other Incision Of Perianal Tissue |
| 4903 | Excision Of Perianal Skin Tags |
| 4904 | Other Excision Of Perianal Tissue |
| 4911 | Anal Fistulotomy |
| 4912 | Anal Fistulectomy |
| 4921 | Anoscopy |
| 4922 | Biopsy Of Perianal Tissue |
| 4923 | Biopsy Of Anus |
| 493 | Local Excision Or Destruction Of Other Lesion Or Tissue Of Anus |
| 4939 | Other Local Excision Or Destruction Of Lesion Or Tissue Of Anus |
| 4942 | Injection Of Hemorrhoids |
| 4943 | Cauterization Of Hemorrhoids |
| 4944 | Destruction Of Hemorrhoids By Cryotherapy |
| 4945 | Ligation Of Hemorrhoids |
| 4949 | Other Procedures On Hemorrhoids |
| 4951 | Left Lateral Anal Sphincterotomy |
| 4952 | Posterior Anal Sphincterotomy |
| 4959 | Other Anal Sphincterotomy |
| 496 | Excision Of Anus |
| 4972 | Anal Cerclage |
| 4973 | Closure Of Anal Fistula |
| 4975 | Implantation Or Revision Of Artificial Anal Sphincter |
| 4976 | Removal Of Artificial Anal Sphincter |
| 4979 | Other Repair Of Anal Sphincter |
| 499 | Other Operations On Anus |
| 4991 | Incision Of Anal Septum |
| 4993 | Other Incision Of Anus |
| 4994 | Reduction Of Anal Prolapse |
| 4999 | Other Operations On Anus |
| 50 | Operations On Liver |
| 500 | Hepatotomy |
| 5012 | Open Biopsy Of Liver |
| 5014 | Laparoscopic Liver Biopsy |
| 5019 | Other Diagnostic Procedures On Liver |
| 5022 | Partial Hepatectomy |
| 5023 | Open Ablation Of Liver Lesion Or Tissue |
| 5024 | Percutaneous Ablation Of Liver Lesion Or Tissue |
| 5025 | Laparoscopic Ablation Of Liver Lesion Or Tissue |
| 5026 | Other And Unspecified Ablation Of Liver Lesion Or Tissue |
| 5029 | Other Destruction Of Lesion Of Liver |
| 503 | Lobectomy Of Liver |
| 5099 | Other Operations On Liver |
| 51 | Operations On Gallbladder And Biliary Tract |
| 5102 | Trocar Cholecystostomy |
| 5103 | Other Cholecystostomy |
| 5104 | Other Cholecystotomy |
| 511 | Diagnostic Procedures On Biliary Tract |
| 5121 | Other Partial Cholecystectomy |
| 5122 | Cholecystectomy |
| 5123 | Laparoscopic Cholecystectomy |
| 5124 | Laparoscopic Partial Cholecystectomy |
| 5131 | Anastomosis Of Gallbladder To Hepatic Ducts |
| 5132 | Anastomosis Of Gallbladder To Intestine |
| 5133 | Anastomosis Of Gallbladder To Pancreas |
| 5134 | Anastomosis Of Gallbladder To Stomach |
| 5135 | Other Gallbladder Anastomosis |
| 5136 | Choledochoenterostomy |
| 5137 | Anastomosis Of Hepatic Duct To Gastrointestinal Tract |
| 5139 | Other Bile Duct Anastomosis |
| 5141 | Common Duct Exploration For Removal Of Calculus |
| 5142 | Common Duct Exploration For Relief Of Other Obstruction |
| 5143 | Insertion Of Choledochohepatic Tube For Decompression |
| 5149 | Incision Of Other Bile Ducts For Relief Of Obstruction |
| 5151 | Exploration Of Common Duct |
| 5159 | Other Incision Of Other Bile Duct |
| 5161 | Excision Of Cystic Duct Remnant |
| 5162 | Excision Of Ampulla Of Vater (With Reimplantation Of Common Duct) |
| 5163 | Other Excision Of Common Duct |
| 5169 | Excision Of Other Bile Duct |
| 5171 | Simple Suture Of Common Bile Duct |
| 5172 | Choledochoplasty |
| 5179 | Repair Of Other Bile Ducts |
| 5187 | Endoscopic Insertion Of Stent (Tube) Into Bile Duct |
| 5188 | Endoscopic Removal Of Stone(S) From Biliary Tract |
| 519 | Other Operations On Biliary Tract |
| 5191 | Repair Of Laceration Of Gallbladder |
| 5192 | Closure Of Cholecystostomy |
| 5193 | Closure Of Other Biliary Fistula |
| 5194 | Revision Of Anastomosis Of Biliary Tract |
| 5195 | Removal Of Prosthetic Device From Bile Duct |
| 5199 | Other Operations On Biliary Tract |
| 52 | Operations On Pancreas |
| 5201 | Drainage Of Pancreatic Cyst By Catheter |
| 5209 | Other Pancreatotomy |
| 5212 | Open Biopsy Of Pancreas |
| 522 | Local Excision Or Destruction Of Pancreas And Pancreatic Duct |
| 5221 | Endoscopic Excision Or Destruction Of Lesion Or Tissue Of Pancreatic Duct |
| 5222 | Other Excision Or Destruction Of Lesion Or Tissue Of Pancreas Or Pancreatic Duct |
| 523 | Marsupialization Of Pancreatic Cyst |
| 524 | Internal Drainage Of Pancreatic Cyst |
| 525 | Partial Pancreatectomy |
| 5251 | Proximal Pancreatectomy |
| 5252 | Distal Pancreatectomy |
| 5253 | Radical Subtotal Pancreatectomy |
| 5259 | Other Partial Pancreatectomy |
| 526 | Total Pancreatectomy |
| 527 | Radical Pancreaticoduodenectomy |
| 529 | Other Operations On Pancreas |
| 5293 | Endoscopic Insertion Of Stent (Tube) Into Pancreatic Duct |
| 5294 | Endoscopic Removal Of Stone(S) From Pancreatic Duct |
| 5295 | Other Repair Of Pancreas |
| 5296 | Anastomosis Of Pancreas |
| 5297 | Endoscopic Insertion Of Nasopancreatic Drainage Tube |
| 5298 | Endoscopic Dilation Of Pancreatic Duct |
| 5299 | Other Operations On Pancreas |
| 53 | Repair Of Hernia |
| 5300 | Unilateral Repair Of Inguinal Hernia, Not Otherwise Specified |
| 5301 | Other And Open Repair Of Direct Inguinal Hernia |
| 5302 | Other And Open Repair Of Indirect Inguinal Hernia |
| 5303 | Other And Open Repair Of Direct Inguinal Hernia With Graft Or Prosthesis |
| 5304 | Other And Open Repair Of Indirect Inguinal Hernia With Graft Or Prosthesis |
| 5305 | Repair Of Inguinal Hernia With Graft Or Prosthesis, Not Otherwise Specified |
| 531 | Other Bilateral Repair Of Inguinal Hernia |
| 5310 | Bilateral Repair Of Inguinal Hernia, Not Otherwise Specified |
| 5311 | Other And Open Bilateral Repair Of Direct Inguinal Hernia |
| 5312 | Other And Open Bilateral Repair Of Indirect Inguinal Hernia |
| 5313 | Other And Open Bilateral Repair Of Inguinal Hernia, One Direct And One Indirect |
| 5314 | Other And Open Bilateral Repair Of Direct Inguinal Hernia With Graft Or Prosthesis |
| 5315 | Other And Open Bilateral Repair Of Indirect Inguinal Hernia With Graft Or Prosthesis |
| 5316 | Other And Open Bilateral Repair Of Inguinal Hernia, One Direct And One Indirect, With Graft Or Prosthesis |
| 5317 | Bilateral Inguinal Hernia Repair With Graft Or Prosthesis, Not Otherwise Specified |
| 532 | Unilateral Repair Of Femoral Hernia |
| 5321 | Unilateral Repair Of Femoral Hernia With Graft Or Prosthesis |
| 5329 | Other Unilateral Femoral Herniorrhaphy |
| 5331 | Bilateral Repair Of Femoral Hernia With Graft Or Prosthesis |
| 5341 | Other And Open Repair Of Umbilical Hernia With Graft Or Prosthesis |
| 5349 | Other Open Umbilical Herniorrhaphy |
| 5351 | Incisional Hernia Repair |
| 5359 | Repair Of Other Hernia Of Anterior Abdominal Wall |
| 5361 | Other Open Incisional Hernia Repair With Graft Or Prosthesis |
| 5362 | Laparoscopic Incisional Hernia Repair With Graft Or Prosthesis |
| 5369 | Other And Open Repair Of Other Hernia Of Anterior Abdominal Wall With Graft Or Prosthesis |
| 537 | Repair Of Diaphragmatic Hernia, Abdominal Approach |
| 5371 | Laparoscopic Repair Of Diaphragmatic Hernia, Abdominal Approach |
| 5372 | Other And Open Repair Of Diaphragmatic Hernia, Abdominal Approach |
| 5375 | Repair Of Diaphragmatic Hernia, Abdominal Approach, Not Otherwise Specified |
| 5380 | Repair Of Diaphragmatic Hernia With Thoracic Approach, Not Otherwise Specified |
| 5381 | Plication Of The Diaphragm |
| 5382 | Repair Of Parasternal Hernia |
| 5383 | Laparoscopic Repair Of Diaphragmatic Hernia, With Thoracic Approach |
| 5384 | Other And Open Repair Of Diaphragmatic Hernia, With Thoracic Approach |
| 539 | Other Hernia Repair |
| 54 | Other Operations On Abdominal Region |
| 543 | Excision Or Destruction Of Lesion Or Tissue Of Abdominal Wall Or Umbilicus |
| 5451 | Laparoscopic Lysis Of Peritoneal Adhesions |
| 5471 | Repair Of Gastroschisis |
| 5491 | Percutaneous Abdominal Drainage |
| 5492 | Removal Of Foreign Body From Peritoneal Cavity |
| 5494 | Creation Of Peritoneovascular Shunt |
| 5499 | Other Operations Of Abdominal Region |
| 5504 | Percutaneous Nephrostomy With Fragmentation |
| 5521 | Nephroscopy |
| 5522 | Pyeloscopy |
| 5523 | Closed [Percutaneous] [Needle] Biopsy Of Kidney |
| 5524 | Open Biopsy Of Kidney |
| 5531 | Marsupialization Of Kidney Lesion |
| 5532 | Open Ablation Of Renal Lesion Or Tissue |
| 5533 | Percutaneous Ablation Of Renal Lesion Or Tissue |
| 5534 | Laparoscopic Ablation Of Renal Lesion Or Tissue |
| 5535 | Other And Unspecified Ablation Of Renal Lesion Or Tissue |
| 5539 | Other Local Destruction Or Excision Of Renal Lesion Or Tissue |
| 554 | Partial Nephrectomy |
| 5551 | Nephroureterectomy |
| 5552 | Nephrectomy Of Remaining Kidney |
| 5553 | Removal Of Transplanted Or Rejected Kidney |
| 5554 | Bilateral Nephrectomy |
| 5561 | Renal Autotransplantation |
| 5569 | Other Kidney Transplantation |
| 557 | Nephropexy |
| 5582 | Closure Of Nephrostomy And Pyelostomy |
| 5585 | Symphysiotomy For Horseshoe Kidney |
| 5586 | Anastomosis Of Kidney |
| 5587 | Correction Of Ureteropelvic Junction |
| 5591 | Decapsulation Of Kidney |
| 5631 | Ureteroscopy |
| 5632 | Closed Percutaneous Biopsy Of Ureter |
| 5633 | Closed Endoscopic Biopsy Of Ureter |
| 5634 | Open Biopsy Of Ureter |
| 5635 | Endoscopy (Cystoscopy) (Looposcopy) Of Ileal Conduit |
| 5640 | Ureterectomy, Not Otherwise Specified |
| 5641 | Partial Ureterectomy |
| 5642 | Total Ureterectomy |
| 5651 | Formation Of Cutaneous Uretero-Ileostomy |
| 5652 | Revision Of Cutaneous Uretero-Ileostomy |
| 5661 | Formation Of Other Cutaneous Ureterostomy |
| 5662 | Revision Of Other Cutaneous Ureterostomy |
| 5671 | Urinary Diversion To Intestine |
| 5672 | Revision Of Ureterointestinal Anastomosis |
| 5674 | Ureteroneocystostomy |
| 5675 | Transureteroureterostomy |
| 5679 | Other Anastomosis Or Bypass Of Ureter |
| 5683 | Closure Of Ureterostomy |
| 5684 | Closure Of Other Fistula Of Ureter |
| 5692 | Implantation Of Electronic Ureteral Stimulator |
| 5693 | Replacement Of Electronic Ureteral Stimulator |
| 5694 | Removal Of Electronic Ureteral Stimulator |
| 5718 | Other Suprapubic Cystostomy |
| 5719 | Other Cystotomy |
| 5721 | Vesicostomy |
| 5722 | Revision Or Closure Of Vesicostomy |
| 5731 | Cystoscopy Through Artificial Stoma |
| 5732 | Other Cystoscopy |
| 5733 | Closed [Transurethral] Biopsy Of Bladder |
| 5734 | Open Biopsy Of Bladder |
| 5749 | Other Transurethral Excision Or Destruction Of Lesion Or Tissue Of Bladder |
| 5751 | Excision Of Urachus |
| 5759 | Open Excision Or Destruction Of Other Lesion Or Tissue Of Bladder |
| 576 | Partial Cystectomy |
| 5771 | Radical Cystectomy |
| 5779 | Other Total Cystectomy |
| 5782 | Closure Of Cystostomy |
| 5783 | Repair Of Fistula Involving Bladder And Intestine |
| 5784 | Repair Of Other Fistula Of Bladder |
| 5785 | Cystourethroplasty And Plastic Repair Of Bladder Neck |
| 5786 | Repair Of Bladder Exstrophy |
| 5787 | Reconstruction Of Urinary Bladder |
| 5788 | Other Anastomosis Of Bladder |
| 5791 | Sphincterotomy Of Bladder |
| 5796 | Implantation Of Electronic Bladder Stimulator |
| 5797 | Replacement Of Electronic Bladder Stimulator |
| 5798 | Removal Of Electronic Bladder Stimulator |
| 580 | Urethrotomy |
| 581 | Urethral Meatotomy |
| 5822 | Other Urethroscopy |
| 5823 | Biopsy Of Urethra |
| 5824 | Biopsy Of Periurethral Tissue |
| 583 | Excision Or Destruction Of Lesion Or Tissue Of Urethra |
| 5831 | Endoscopic Excision Or Destruction Of Lesion Or Tissue Of Urethra |
| 5839 | Other Local Excision Or Destruction Of Lesion Or Tissue Of Urethra |
| 5842 | Closure Of Urethrostomy |
| 5843 | Closure Of Other Fistula Of Urethra |
| 5844 | Reanastomosis Of Urethra |
| 5845 | Repair Of Hypospadias Or Epispadias |
| 5846 | Other Reconstruction Of Urethra |
| 5847 | Urethral Meatoplasty |
| 5849 | Other Repair Of Urethra |
| 585 | Release Of Urethral Stricture |
| 5893 | Implantation Of Artificial Urinary Sphincter [Aus] |
| 5900 | Retroperitoneal Dissection, Not Otherwise Specified |
| 5902 | Other Lysis Of Perirenal Or Periureteral Adhesions |
| 5903 | Laparoscopic Lysis Of Perirenal Or Periureteral Adhesions |
| 5909 | Other Incision Of Perirenal Or Periureteral Tissue |
| 5911 | Other Lysis Of Perivesical Adhesions |
| 5912 | Laparoscopic Lysis Of Perivesical Adhesions |
| 5921 | Biopsy Of Perirenal Or Perivesical Tissue |
| 593 | Plication Of Urethrovesical Junction |
| 594 | Suprapubic Sling Operation |
| 595 | Retropubic Urethral Suspension |
| 596 | Paraurethral Suspension |
| 5971 | Levator Muscle Operation For Urethrovesical Suspension |
| 5972 | Injection Of Implant Into Urethra And/Or Bladder Neck |
| 5979 | Other Repair Of Urinary Stress Incontinence |
| 5991 | Excision Of Perirenal Or Perivesical Tissue |
| 5992 | Other Operations On Perirenal Or Perivesical Tissue |
| 5995 | Ultrasonic Fragmentation Of Urinary Stones |
Page last reviewed August 2013
Internet Citation: Pediatric Planned Procedure Codes : ICD-9-CM Codes and Code Descriptions for Planned Procedures (continued).
August 2013. Agency for Healthcare Research and Quality, Rockville, MD. https://archive.ahrq.gov/policymakers/chipra/chipraarch/pedprocedurecodes2.html
5600 Fishers Lane Rockville, MD 20857