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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
600Incision Of Prostate
6012Open Biopsy Of Prostate
6013Closed [Percutaneous] Biopsy Of Seminal Vesicles
6014Open Biopsy Of Seminal Vesicles
6015Biopsy Of Periprostatic Tissue
602Transurethral Prostatectomy
6029Other Transurethral Prostatectomy
604Retropubic Prostatectomy
605Radical Prostatectomy
6061Local Excision Of Lesion Of Prostate
6062Perineal Prostatectomy
6069Other Prostatectomy
6071Percutaneous Aspiration Of Seminal Vesicle
6073Excision Of Seminal Vesicle
6081Incision Of Periprostatic Tissue
6082Excision Of Periprostatic Tissue
6091Percutaneous Aspiration Of Prostate
6111Biopsy Of Scrotum Or Tunica Vaginalis
612Excision Of Hydrocele (Of Tunica Vaginalis)
613Excision Or Destruction Of Lesion Or Tissue Of Scrotum
6142Repair Of Scrotal Fistula
6191Percutaneous Aspiration Of Tunica Vaginalis
6192Excision Of Lesion Of Tunica Vaginalis Other Than Hydrocele
6211Closed [Percutaneous] [Needle] Biopsy Of Testis
6212Open Biopsy Of Testis
6219Other Diagnostic Procedures On Testes
622Excision Or Destruction Of Testicular Lesion
623Unilateral Orchiectomy
6241Removal Of Both Testes At Same Operative Episode
6242Removal Of Remaining Testis
625Orchiopexy
627Insertion Of Testicular Prosthesis
6291Aspiration Of Testis
6301Biopsy Of Spermatic Cord, Epididymis, Or Vas Deferens
6309Other Diagnostic Procedures On Spermatic Cord, Epididymis, And Vas Deferens
631Excision Of Varicocele And Hydrocele Of Spermatic Cord
632Excision Of Cyst Of Epididymis
633Excision Of Other Lesion Or Tissue Of Spermatic Cord And Epididymis
634Epididymectomy
6353Transplantation Of Spermatic Cord
6382Reconstruction Of Surgically Divided Vas Deferens
6383Epididymovasostomy
6384Removal Of Ligature From Vas Deferens
6391Aspiration Of Spermatocele
6394Lysis Of Adhesions Of Spermatic Cord
640Circumcision
6411Biopsy Of Penis
642Local Excision Or Destruction Of Lesion Of Penis
643Amputation Of Penis
6442Release Of Chordee
6443Construction Of Penis
6444Reconstruction Of Penis
6449Other Repair Of Penis
645Operations For Sex Transformation, Not Elsewhere Classified
6493Division Of Penile Adhesions
6495Insertion Or Replacement Of Non-Inflatable Penile Prosthesis
6497Insertion Or Replacement Of Inflatable Penile Prosthesis
650Oophorotomy
6501Laparoscopic Oophorotomy
6509Other Oophorotomy
651Diagnostic Procedures On Ovaries
6512Other Biopsy Of Ovary
6513Laparoscopic Biopsy Of Ovary
6514Other Laparoscopic Diagnostic Procedures On Ovaries
6519Other Diagnostic Procedures On Ovaries
652Local Excision Or Destruction Of Ovarian Lesion Or Tissue
6571Other Simple Suture Of Ovary
6572Other Reimplantation Of Ovary
6574Laparoscopic Simple Suture Of Ovary
6575Laparoscopic Reimplantation Of Ovary
6576Laparoscopic Salpingo-Oophoroplasty
658Lysis Of Adhesions Of Ovary And Fallopian Tube
6581Laparoscopic Lysis Of Adhesions Of Ovary And Fallopian Tube
6589Other Lysis Of Adhesions Of Ovary And Fallopian Tube
6592Transplantation Of Ovary
6611Biopsy Of Fallopian Tube
6619Other Diagnostic Procedures On Fallopian Tubes
6652Removal Of Remaining Fallopian Tube
6661Excision Or Destruction Of Lesion Of Fallopian Tube
6663Bilateral Partial Salpingectomy, Not Otherwise Specified
6669Other Partial Salpingectomy
6671Simple Suture Of Fallopian Tube
6679Other Repair Of Fallopian Tube
6691Aspiration Of Fallopian Tube
67Operations On Cervix
6711Endocervical Biopsy
6712Other Cervical Biopsy
6719Other Diagnostic Procedures On Cervix
675Repair Of Internal Cervical Os
6751Transabdominal Cerclage Of Cervix
6762Repair Of Fistula Of Cervix
6769Other Repair Of Cervix
68Other Incision And Excision Of Uterus
681Diagnostic Procedures On Uterus And Supporting Structures
6812Hysteroscopy
6813Open Biopsy Of Uterus
6814Open Biopsy Of Uterine Ligaments
6815Closed Biopsy Of Uterine Ligaments
6816Closed Biopsy Of Uterus
6819Other Diagnostic Procedures On Uterus And Supporting Structures
6822Incision Or Excision Of Congenital Septum Of Uterus
6829Other Excision Or Destruction Of Lesion Of Uterus
69Other Operations On Uterus And Supporting Structures
691Excision Or Destruction Of Lesion Or Tissue Of Uterus And Supporting Structures
692Repair Of Uterine Supporting Structures
6942Closure Of Fistula Of Uterus
6959Other Aspiration Curettage Of Uterus
6995Incision Of Cervix
70Operations On Vagina And Cul-De-Sac
700Culdocentesis
7011Hymenotomy
7021Vaginoscopy
7023Biopsy Of Cul-De-Sac
7024Vaginal Biopsy
7029Other Diagnostic Procedures On Vagina And Cul-De-Sac
7031Hymenectomy
7032Excision Or Destruction Of Lesion Of Cul-De-Sac
7033Excision Or Destruction Of Lesion Of Vagina
7050Repair Of Cystocele And Rectocele
7051Repair Of Cystocele
7052Repair Of Rectocele
7053Repair Of Cystocele And Rectocele With Graft Or Prosthesis
7054Repair Of Cystocele With Graft Or Prosthesis
7055Repair Of Rectocele With Graft Or Prosthesis
7061Vaginal Construction
7062Vaginal Reconstruction
7063Vaginal Construction With Graft Or Prosthesis
7064Vaginal Reconstruction With Graft Or Prosthesis
7076Hymenorrhaphy
71Operations On Vulva And Perineum
7101Lysis Of Vulvar Adhesions
711Diagnostic Procedures On Vulva
7111Biopsy Of Vulva
7119Other Diagnostic Procedures On Vulva
712Operations On Bartholin's Gland
7122Incision Of Bartholin's Gland (Cyst)
7123Marsupialization Of Bartholin's Gland (Cyst)
7124Excision Or Other Destruction Of Bartholin's Gland (Cyst)
7129Other Operations On Bartholin's Gland
714Operations On Clitoris
717Repair Of Vulva And Perineum
7172Repair Of Fistula Of Vulva Or Perineum
7301Induction Of Labor By Artificial Rupture Of Membranes
7309Other Artificial Rupture Of Membranes
731Other Surgical Induction Of Labor
734Medical Induction Of Labor
740Classical Cesarean Section
742Extraperitoneal Cesarean Section
744Cesarean Section Of Other Specified Type
7491Hysterotomy To Terminate Pregnancy
7499Other Cesarean Section Of Unspecified Type
7536Correction Of Fetal Defect
7591Evacuation Of Obstetrical Incisional Hematoma Of Perineum
7592Evacuation Of Other Hematoma Of Vulva Or Vagina
7609Other Incision Of Facial Bone
761Diagnostic Procedures On Facial Bones And Joints
7611Biopsy Of Facial Bone
7619Other Diagnostic Procedures On Facial Bones And Joints
762Local Excision Or Destruction Of Lesion Of Facial Bone
763Partial Ostectomy Of Facial Bone
7631Partial Mandibulectomy
7639Partial Ostectomy Of Other Facial Bone
764Excision And Reconstruction Of Facial Bones
7641Total Mandibulectomy With Synchronous Reconstruction
7643Other Reconstruction Of Mandible
7644Total Ostectomy Of Other Facial Bone With Synchronous Reconstruction
7645Other Total Ostectomy Of Other Facial Bone
7646Other Reconstruction Of Other Facial Bone
765Temporomandibular Arthroplasty
7661Closed Osteoplasty [Osteotomy] Of Mandibular Ramus
7662Open Osteoplasty [Osteotomy] Of Mandibular Ramus
7663Osteoplasty [Osteotomy] Of Body Of Mandible
7664Other Orthognathic Surgery On Mandible
7665Segmental Osteoplasty [Osteotomy] Of Maxilla
7666Total Osteoplasty [Osteotomy] Of Maxilla
7667Reduction Genioplasty
7668Augmentation Genioplasty
7669Other Facial Bone Repair
7670Reduction Of Facial Fracture, Not Otherwise Specified
7671Closed Reduction Of Malar And Zygomatic Fracture
7672Open Reduction Of Malar And Zygomatic Fracture
7673Closed Reduction Of Maxillary Fracture
7674Open Reduction Of Maxillary Fracture
7675Closed Reduction Of Mandibular Fracture
7676Open Reduction Of Mandibular Fracture
7678Other Closed Reduction Of Facial Fracture
7679Other Open Reduction Of Facial Fracture
7691Bone Graft To Facial Bone
7692Insertion Of Synthetic Implant In Facial Bone
7693Closed Reduction Of Temporomandibular Dislocation
7695Other Manipulation Of Temporomandibular Joint
7696Injection Of Therapeutic Substance Into Temporomandibular Joint
7697Removal Of Internal Fixation Device From Facial Bone
7699Other Operations On Facial Bones And Joints
7700Sequestrectomy, Unspecified Site
7701Sequestrectomy, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7702Sequestrectomy, Humerus
7703Sequestrectomy, Radius And Ulna
7704Sequestrectomy, Carpals And Metacarpals
7705Sequestrectomy, Femur
7706Sequestrectomy, Patella
7707Sequestrectomy, Tibia And Fibula
7708Sequestrectomy, Tarsals And Metatarsals
7709Sequestrectomy, Other Bones
771Other Incision Of Bone Without Division
7710Other Incision Of Bone Without Division, Unspecified Site
7711Other Incision Of Bone Without Division, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7712Other Incision Of Bone Without Division, Humerus
7713Other Incision Of Bone Without Division, Radius And Ulna
7714Other Incision Of Bone Without Division, Carpals And Metacarpals
7715Other Incision Of Bone Without Division, Femur
7716Other Incision Of Bone Without Division, Patella
7717Other Incision Of Bone Without Division, Tibia And Fibula
7718Other Incision Of Bone Without Division, Tarsals And Metatarsals
7719Other Incision Of Bone Without Division, Other Bones
772Wedge Osteotomy
7720Wedge Osteotomy, Unspecified Site
7721Wedge Osteotomy, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7722Wedge Osteotomy, Humerus
7723Wedge Osteotomy, Radius And Ulna
7724Wedge Osteotomy, Carpals And Metacarpals
7725Wedge Osteotomy, Femur
7726Wedge Osteotomy, Patella
7727Wedge Osteotomy, Tibia And Fibula
7728Wedge Osteotomy, Tarsals And Metatarsals
7729Wedge Osteotomy, Other Bones
7730Other Division Of Bone, Unspecified Site
7731Other Division Of Bone, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7732Other Division Of Bone, Humerus
7733Other Division Of Bone, Radius And Ulna
7734Other Division Of Bone, Carpals And Metacarpals
7735Other Division Of Bone, Femur
7736Other Division Of Bone, Patella
7737Other Division Of Bone, Tibia And Fibula
7738Other Division Of Bone, Tarsals And Metatarsals
7739Other Division Of Bone, Other Bones
7740Biopsy Of Bone, Unspecified Site
7741Biopsy Of Bone, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7742Biopsy Of Bone, Humerus
7743Biopsy Of Bone, Radius And Ulna
7744Biopsy Of Bone, Carpals And Metacarpals
7745Biopsy Of Bone, Femur
7746Biopsy Of Bone, Patella
7747Biopsy Of Bone, Tibia And Fibula
7748Biopsy Of Bone, Tarsals And Metatarsals
7749Biopsy Of Bone, Other Bones
7751Bunionectomy With Soft Tissue Correction And Osteotomy Of The First Metatarsal
7752Bunionectomy With Soft Tissue Correction And Arthrodesis
7753Other Bunionectomy With Soft Tissue Correction
7754Excision Or Correction Of Bunionette
7756Repair Of Hammer Toe
7757Repair Of Claw Toe
7758Other Excision, Fusion And Repair Of Toes
7759Other Bunionectomy
7760Local Excision Of Lesion Or Tissue Of Bone, Unspecified Site
7761Local Excision Of Lesion Or Tissue Of Bone, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7762Local Excision Of Lesion Or Tissue Of Bone, Humerus
7763Local Excision Of Lesion Or Tissue Of Bone, Radius And Ulna
7764Local Excision Of Lesion Or Tissue Of Bone, Carpals And Metacarpals
7765Local Excision Of Lesion Or Tissue Of Bone, Femur
7766Local Excision Of Lesion Or Tissue Of Bone, Patella
7767Local Excision Of Lesion Or Tissue Of Bone, Tibia And Fibula
7768Local Excision Of Lesion Or Tissue Of Bone, Tarsals And Metatarsals
7769Local Excision Of Lesion Or Tissue Of Bone, Other Bones
7770Excision Of Bone For Graft, Unspecified Site
7771Excision Of Bone For Graft, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7772Excision Of Bone For Graft, Humerus
7773Excision Of Bone For Graft, Radius And Ulna
7774Excision Of Bone For Graft, Carpals And Metacarpals
7775Excision Of Bone For Graft, Femur
7776Excision Of Bone For Graft, Patella
7777Excision Of Bone For Graft, Tibia And Fibula
7778Excision Of Bone For Graft, Tarsals And Metatarsals
7779Excision Of Bone For Graft, Other Bones
7780Other Partial Ostectomy, Unspecified Site
7781Other Partial Ostectomy, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7782Other Partial Ostectomy, Humerus
7783Other Partial Ostectomy, Radius And Ulna
7784Other Partial Ostectomy, Carpals And Metacarpals
7785Other Partial Ostectomy, Femur
7786Other Partial Ostectomy, Patella
7787Other Partial Ostectomy, Tibia And Fibula
7788Other Partial Ostectomy, Tarsals And Metatarsals
7789Other Partial Ostectomy, Other Bones
779Total Ostectomy
7790Total Ostectomy, Unspecified Site
7791Total Ostectomy, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7792Total Ostectomy, Humerus
7793Total Ostectomy, Radius And Ulna
7794Total Ostectomy, Carpals And Metacarpals
7795Total Ostectomy, Femur
7796Total Ostectomy, Patella
7797Total Ostectomy, Tibia And Fibula
7798Total Ostectomy, Tarsals And Metatarsals
7799Total Ostectomy, Other Bones
780Bone Graft
7800Bone Graft, Unspecified Site
7801Bone Graft, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7802Bone Graft, Humerus
7803Bone Graft, Radius And Ulna
7804Bone Graft, Carpals And Metacarpals
7805Bone Graft, Femur
7806Bone Graft, Patella
7807Bone Graft, Tibia And Fibula
7808Bone Graft, Tarsals And Metatarsals
7809Bone Graft, Other Bones
7811Application Of External Fixator Device, Scapula, Clavicle, And Thorax [Ribs And Sternum]
782Limb Shortening Procedures
7820Limb Shortening Procedures, Unspecified Site
7822Limb Shortening Procedures, Humerus
7823Limb Shortening Procedures, Radius And Ulna
7824Limb Shortening Procedures, Carpals And Metacarpals
7825Limb Shortening Procedures, Femur
7827Limb Shortening Procedures, Tibia And Fibula
7828Limb Shortening Procedures, Tarsals And Metatarsals
7829Limb Shortening Procedures, Other Bones
783Limb Lengthening Procedures
7830Limb Lengthening Procedures, Unspecified Site
7832Limb Lengthening Procedures, Humerus
7833Limb Lengthening Procedures, Radius And Ulna
7834Limb Lengthening Procedures, Carpals And Metacarpals
7835Limb Lengthening Procedures, Femur
7837Limb Lengthening Procedures, Tibia And Fibula
7838Limb Lengthening Procedures, Tarsals And Metatarsals
7839Limb Lengthening Procedures, Other Bones
7840Other Repair Or Plastic Operations On Bone, Unspecified Site
7850Internal Fixation Of Bone Without Fracture Reduction, Unspecified Site
7851Internal Fixation Of Bone Without Fracture Reduction, Scapula, Clavicle, And Thorax [Ribs
And Sternum]
7852Internal Fixation Of Bone Without Fracture Reduction, Humerus
7853Internal Fixation Of Bone Without Fracture Reduction, Radius And Ulna
7854Internal Fixation Of Bone Without Fracture Reduction, Carpals And Metacarpals
7855Internal Fixation Of Bone Without Fracture Reduction, Femur
7856Internal Fixation Of Bone Without Fracture Reduction, Patella
7857Internal Fixation Of Bone Without Fracture Reduction, Tibia And Fibula
7858Internal Fixation Of Bone Without Fracture Reduction, Tarsals And Metatarsals
7859Internal Fixation Of Bone Without Fracture Reduction, Other Bones
7860Removal Of Implanted Devices From Bone, Unspecified Site
7861Removal Of Implanted Devices From Bone, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7862Removal Of Implanted Devices From Bone, Humerus
7863Removal Of Implanted Devices From Bone, Radius And Ulna
7864Removal Of Implanted Devices From Bone, Carpals And Metacarpals
7865Removal Of Implanted Devices From Bone, Femur
7866Removal Of Implanted Devices From Bone, Patella
7867Removal Of Implanted Devices From Bone, Tibia And Fibula
7868Removal Of Implanted Devices From Bone, Tarsals And Metatarsals
7869Removal Of Implanted Devices From Bone, Other Bones
7870Osteoclasis, Unspecified Site
7871Osteoclasis, Scapula, Clavicle, And Thorax [Ribs And Sternum]
7872Osteoclasis, Humerus
7873Osteoclasis, Radius And Ulna
7874Osteoclasis, Carpals And Metacarpals
7875Osteoclasis, Femur
7876Osteoclasis, Patella
7877Osteoclasis, Tibia And Fibula
7878Osteoclasis, Tarsals And Metatarsals
7879Osteoclasis, Other Bones
7885Diagnostic Procedures On Bone, Not Elsewhere Classified, Femur
7887Diagnostic Procedures On Bone, Not Elsewhere Classified, Tibia And Fibula
7910Closed Reduction Of Fracture With Internal Fixation, Unspecified Site
7920Open Reduction Of Fracture Without Internal Fixation, Unspecified Site
7921Open Reduction Of Fracture Without Internal Fixation, Humerus
7922Open Reduction Of Fracture Without Internal Fixation, Radius And Ulna
7923Open Reduction Of Fracture Without Internal Fixation, Carpals And Metacarpals
7924Open Reduction Of Fracture Without Internal Fixation, Phalanges Of Hand
7925Open Reduction Of Fracture Without Internal Fixation, Femur
7926Open Reduction Of Fracture Without Internal Fixation, Tibia And Fibula
7927Open Reduction Of Fracture Without Internal Fixation, Tarsals And Metatarsals
7928Open Reduction Of Fracture Without Internal Fixation, Phalanges Of Foot
7929Open Reduction Of Fracture Without Internal Fixation, Other Specified Bone
7930Open Reduction Of Fracture With Internal Fixation, Unspecified Site
7931Open Reduction Of Fracture With Internal Fixation, Humerus
7932Open Reduction Of Fracture With Internal Fixation, Radius And Ulna
7933Open Reduction Of Fracture With Internal Fixation, Carpals And Metacarpals
7934Open Reduction Of Fracture With Internal Fixation, Phalanges Of Hand
7935Open Reduction Of Fracture With Internal Fixation, Femur
7936Open Reduction Of Fracture With Internal Fixation, Tibia And Fibula
7937Open Reduction Of Fracture With Internal Fixation, Tarsals And Metatarsals
7938Open Reduction Of Fracture With Internal Fixation, Phalanges Of Foot
7939Open Reduction Of Fracture With Internal Fixation, Other Specified Bone
7950Open Reduction Of Separated Epiphysis, Unspecified Site
7951Open Reduction Of Separated Epiphysis, Humerus
7952Open Reduction Of Separated Epiphysis, Radius And Ulna
7955Open Reduction Of Separated Epiphysis, Femur
7956Open Reduction Of Separated Epiphysis, Tibia And Fibula
7959Open Reduction Of Separated Epiphysis, Other Specified Bone

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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/pedprocedurecodes3.html

 

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