319.

other operation on muscle, tendon and fascia of hand

320. lysis of adhesions of hand. Freeing of adhesions of fascia, muscle, and tendon
of hand
321. aspiration of bursa of hand
322. aspiration of other soft tissue of hand
323. injection of therapeutic substance into bursa of hand
324. injection of therapeutic substance into tendon of hand
325. other injection of locally acting therapeutic substance into soft tissue of hand
326. other operations on muscle, tendon, and fascia of hand
327. operation on muscle, tendon, fascia, and bursa, except hand. Includes
operations on: aponeurosis, synovial membrane of bursa and tendon sheaths,
tendon sheaths.
328. incision of muscle, tendon, fascia, and bursa
329. exploration of tendon sheath. Incision of tendon sheath. Removal of rice bodies
from tendon sheath
330. myotomy
331. bursotomy, removal of calcaneus deposit of bursa
332. other incision of soft tissue. Incision of fascia
333. division of muscle, tendon, and fascia
334. achillotenotomy
335. adductor tenotomy of hip
336. other tenotomy. Aponeurotomy, division of tendon, tendon release, tendon
transection, tenotomy fot thoracic outlet decompression
337. fasciotomy, division of fascia, division of iliotibial band, fascia stripping, release
of folkmann s contracture by fasciotomy
338. other division of soft tissue. Division of muscle, muscle release, myotomy for
thoracic outlet decompression, myotomy with division, scalenotomy, transection of
muscle
339. diagnostic procedures on muscle, tendon, fascia, and bursa including that of
hand

340. biopsy of soft tissue

341. other diagnostic prosedures on muscle, tendon, fascia, and bursa, including
that of hand
342. excision of lesion of muscle, tendon, fascia and bursa
343. excision of lesion of tendon sheath. Excision of ganglion of tendon sheath,
except of hand
344. excision of lesion of muscle. Excision of: heterotopic bone, muscle scar for
release of folkmanns contracture, myositis ossificans
345. excision of lesion of other soft tissue. Excisin of bakers cyst
346. other excision of muscle, tendon, and fascia
347. excision of tendon for graft
348. other tenonectomy. Excision of: aponeurosis, tendon sheath , tenosynovectomy
349. excision of muscle or fascia for graft
350. other fasciectomy
351. other myectomy. Debridement of muscle NOS. scalenectomy
352. other excision of soft tissue
353. bursectomy

445. insertion of total spinal discprosthesis cervical. Replacement of cervical spinal

disc, NOS. replacement of total spinal disc, cervical. Toal artificial disc prosthesis
(flexible), cervical. Includes : discectomy (discectomy)
446. insertion of spinal disc prosthesis, thoracic. Artificial disc prosthesis (flexible ),
thoracic. Replacement of thoracic spinal disc, partial of total. Includes : discectomy (
discectomy )
447. insertion of partial spinal disc prosthesis, lumbosacral. Nuclear replacement
device, lumbar. Partial artificial disc prosthesis (flexible), lumbar. Replacement of
nuclear disc (nuleus pulposus) lumbar. Includes : discectomy ( discectomy )
448. insertion of total spinal disc prosthesis, lumbosacral. Replacement of lumbar
spinal disc, NOS. replacement of total spinal disc, lumbar. Total artificial disc
prosthesis (flexible), lumbar. Includes : discectomy (discectomy)
449. revision of replacement of artificial spinal disc prosthesis, cervical. Removal of
(partial) (total) spinal disc prosthesis with synchronous insertion of new (partial)
(total) spinal disc prosthesis, cervical. Repair of previously inserted spinal disc
prostheisis, cervical
450. revision or replacement of artificial spinal disc prosthesis, thoracic. Removal of
(partial) (total) spinal disc prosthesis with synchronous insertion of new (partial)
(total) spinal disc prosthesis, thoracic. Repair of previously inserted spinal disc
prosthesis, thoracic.
451. revision or replacement of artificial spinal disc prosthesis, lumbosacral.
Removal of (partial) (total) spinal disc prosthesis with synchronous insertion of new
(partial) (total) spinal disc prosthesis, lumbosacral. Repair of previously inserted
spinal disc prosthesis, lumbosacral.
452. revision or replacement of artificial spinal disc prosthesis, not otherwise
specified. Removal of (partial) (total) spinal disc prosthesis with synchronous
insertion of new (partial) (total) spinal disc prosthesis. Repair of previously inserted
spinal disc prosthesis.
453. adjunct codes for external fixaor devices. Code also any primary procedure
performed : applications of external pixator device
(78.10,78.12,78.13,78.15,78.17,78.19), reduction of fracture and dislocation (79.0079.89)
454. application of exerna fixation device, monoplanar system
455. application of exerna fixation device, ring system. Illizarov type. Sheffield type

456. application of hybride external fixation device. Computer (assisted) (depended)

external fixation device. Hybride system usin both ring monoplanar device.

457. insertion, replacement and refision of posterior spinal motion preservation

device. Dyamic spinal stabilization device. Includes any synchronous facetecomy
(partial, total) performed at the same level. Code also any synchronous surgical
decompression (foraminotomy, laminectomy, laminotomy) if performed
458. insertion of replacement of interspinous process device. Interspinous process
decompression device. Interspinous process distraction device.
459. revision of interspinous process device. Repair of previously inserted
interspinous process device.
460. insertion of replacement of pedicle-based dynamic stabilization device
461. revision of pedicle-based dynamic stabilization device. Repair of previously
inserted pedicle-based dynamic stabilization device
462. insertion or replacement of facet replacement device. Facet arthroplasty
463. revision of facet risplecement device. Repair of previously inserted facet
replacement device
464. other operations on musculosceletel system
465. amputasion, not otherwise specified
466. separation of equal conjoined twin
467. separation of unequal conjoined twin. separation of conjoined twin NOS.
468. other
469. operations on skin and subcutaneous tissue. Includes : operation on : hair
follicles, male perineum, nail. Sebaceous gland, subcutaneous fat pads, sudoriferous
gland, superficial fossae.
470. insicion of skin and subcutaneous tissue
471. aspiration of skin and subcutaneous tissue. Aspiration of : abscess of nail ,
skin, or subcutaneous tissue. Hamatoma of nail, skin or subcutaneous tissue seroma

of nail, hematoma of nail , skin, or subcutaneous tissue. Seroma of nail, skin ,

subcutaneous tissue.
472. injection or tattooing of skin lesion or defect, injection of filling material,
insertion of filling material, pigmenting of skin of filling material.
473. incision of pilonidal sinus or cyst.
474. other incision with drainage of skin and subcuanenous tissue
475. incision with removal of foreign body or device from skin and subcutaneous
tissue. Removal of carotid sinus baroreflex activation device. Removal of loop
recorder. Removel of neurostimulator pulse generator ( single array, dual array).
Removal of tissue expander rom skin or soft tissue other than breast tissue
476. insertion of tottaly implant table infusion pump. Code also any asssoiated
catheterization.
477. insertion of totally implant table vascular access device (VAD). Tottaly
implanted port

423. implantation or fitting of prosthetic lymb device

424. implantation or fitting of prosthetic lymb device, no otherwise specified
425. fitting of prosthesis of upper arm and shoulder
426. fitting of prosthesis of lower arm and hand
427. fitting of prosthesis of arm and not otherwise specified
428. implantation of prosthetic device of arm
429. fitting of prosthesis above knee
430. fitting of prosthesis below knee
431. fitting of prosthesis of leg, not otherwise specified
432. implantation of prosthetic device of leg
433. implantation of other muscoloseletal device substances
434. insertion of interbody spinal fusion device. Insertion of: cages (carbon,
ceramic, metal, plastic or titanium), interbody fusion cage, syntetic cages or
spacers, threaded bone doels. Code also refusion of spine (81.30-81.39). code also
spinal fusion (81.00-81.08)
435. insertion of recombinant bone more phoenetic protein. rhBNP that via collagent
sponge, coral, ceramic, cariers. Code also primary procedure performed: fracture
repair (79.00-79.99), spinal fusion (81.00-81.08), spinal refusion (81.30-81.39)
436. implantation of internal lymb lengthening device with kinetic distraction. Code
also lymb lengthening procedure (78.30-78.39)

437. implantation of other internal lymb lengthening device. implantation of internal

lymb lengthening device, not otherwise specified (NOS). code also lymb lengthening
procedure (78.30-78.39)
438. insertion of bone void filler. Insertion of: acrylic cement (PMMA), bone void
cement, calcium based bone void filler, polymethylmethacrylate (PMMA)
439. insertion or replacement of (cement spacer). Insertion or replacement of joint
(methylmethacrylate) spacer
440. removal of (cement) spacer. Removal of joint (methylmethacrylate) spacer
441. insertion of other spinal device
442. replacement of spinal disc. Includes: non-fusion arthroplasty of the spine with
insertion of artifisial disc prosthesis
443. insertion of spinal disc prosthesis, not otherwise specified. Replacement of
spinal disc, NOS. includes: discectomy (discectomy)
444. insertion of partial spinal disc prosthesis, cervical. Nuclear replacement device,
cervical. Partial artificial disc prosthesis (flexsible, cervical). Replacement of nuclear
disc (nucleuspulposus), cervical. includes: discectomy (discectomy)