UPPER DIGESTIVE TRACT (CODES G01-G82) Note: Use a subsidiary code for minimal access approach (Y74-Y76) Use a subsidiary code to identify method of image control (Y53)
G01Excision of oesophagus and stomach G01.1 Oesophagogastrectomy and anastomosis of oesophagus to stomach G01.2 Oesophagogastrectomy and anastomosis of oesophagus to transposed jejunum G01.3 Oesophagogastrectomy and anastomosis of oesophagus to jejunum NEC G01.8 Other specified G01.9 Unspecified
G02Total excision of oesophagus G02.1 Total oesophagectomy and anastomosis of pharynx to stomach G02.2 Total oesophagectomy and interposition of microvascularly attached jejunum G02.3 Total oesophagectomy and interposition of jejunum NEC G02.4 Total oesophagectomy and interposition of microvascularly attached colon G02.5 Total oesophagectomy and interposition of colon NEC G02.8 Other specified G02.9 Unspecified
G03Partial excision of oesophagus G03.1 Partial oesophagectomy and end to end anastomosis of oesophagus Includes: Partial oesophagectomy and reanastomosis of oesophagus to stomach
G03.2 Partial oesophagectomy and interposition of microvascularly attached jejunum G03.3 Partial oesophagectomy and anastomosis of oesophagus to transposed jejunum G03.4 Partial oesophagectomy and anastomosis of oesophagus to jejunum NEC G03.5 Partial oesophagectomy and interposition of microvascularly attached colon G03.6 Partial oesophagectomy and interposition of colon NEC G03.8 Other specified G03.9 Unspecified Includes: Oesophagectomy NEC
G04Open extirpation of lesion of oesophagus G04.1 Excision of lesion of oesophagus G04.2 Open laser destruction of lesion of oesophagus G04.3 Open destruction of lesion of oesophagus NEC G04.8 Other specified G04.9 Unspecified
G05Bypass of oesophagus Includes: Anastomosis or interposition of oesophagus without mention of bypass
Excludes: When associated with excision of oesophagus (G01-G03)
G05.1 Bypass of oesophagus by anastomosis of oesophagus to oesophagus G05.2 Bypass of oesophagus by anastomosis of oesophagus to stomach G05.3 Bypass of oesophagus by interposition of microvascularly attached jejunum G05.4 Bypass of oesophagus by interposition of jejunum NEC G05.5 Bypass of oesophagus by interposition of microvascularly attached colon G05.6 Bypass of oesophagus by interposition of colon NEC G05.8 Other specified G05.9 Unspecified
G06Attention to connection of oesophagus G06.1 Revision of interposition anastomosis of oesophagus G06.2 Revision of anastomosis of oesophagus NEC Includes: Revision of bypass of oesophagus NEC
G06.3 Removal of bypass of oesophagus Includes: Conversion of interposition anastomosis to direct anastomosis of oesophagus
G06.4 Closure of bypass of oesophagus NEC G06.8 Other specified G06.9 Unspecified G06.0 Conversion from previous direct anastomosis of oesophagus Note: For use as a subsidiary code when associated with construction of interposition anastomosis of oesophagus (G05)
G07Repair of oesophagus G07.1 Closure of tracheo-oesophageal fistula Includes: Excision of tracheo-oesophageal fistula
G07.2 Closure of fistula of oesophagus NEC Includes: Excision of fistula of oesophagus NEC
G07.3 Correction of congenital atresia of oesophagus G07.4 Repair of rupture of oesophagus G07.8 Other specified G07.9 Unspecified
G08Artificial opening into oesophagus G08.1 Exteriorisation of pouch of oesophagus G08.2 External fistulisation of oesophagus NEC G08.3 Tube oesophagostomy Includes: Insertion of feeding tube through artificial opening of oesophagus
G08.8 Other specified G08.9 Unspecified Includes: Oesophagostomy NEC
G09Incision of oesophagus G09.1 Cardiomyotomy G09.2 Oesophagomyotomy NEC G09.3 Division of web of oesophagus G09.4 Drainage of oesophagus Includes: Drainage of perioesophageal tissue
G09.8 Other specified G09.9 Unspecified
G10Open operations on varices of oesophagus Excludes: Portal decompression operations (L77)
G10.1 Disconnection of azygos vein G10.2 Transection of oesophagus using staple gun G10.3 Transection of oesophagus NEC G10.4 Local ligation of varices of oesophagus G10.5 Open injection sclerotherapy to varices of oesophagus G10.8 Other specified G10.9 Unspecified
G11Open placement of prosthesis in oesophagus G11.1 Insertion of tubal prosthesis into oesophagus through stomach G11.2 Open insertion of tubal prosthesis into oesophagus NEC G11.3 Open revision of tubal prosthesis in oesophagus G11.4 Open removal of tubal prosthesis from oesophagus G11.8 Other specified G11.9 Unspecified
G12Other fibreoptic endoscopic extirpation of lesion of oesophagus
Includes: Endoscopic extirpation of lesion of oesophagus NEC
Excludes: When associated with general fibreoptic endoscopic examination of upper gastrointestinal tract (G42,G43)
Note: Principal G14 It is not necessary to code diagnostic fibreoptic endoscopic examination limited to oesophagus (G16.9)
G12.1 Fibreoptic endoscopic mucosal resection of lesion of oesophagus G12.8 Other specified G12.9 Unspecified
G13Other open operations on oesophagus G13.1 Open biopsy of lesion of oesophagus Includes: Open biopsy of oesophagus
G13.2 Open removal of foreign body from oesophagus G13.8 Other specified G13.9 Unspecified
G14Fibreoptic endoscopic extirpation of lesion of oesophagus Includes: Endoscopic extirpation of lesion of oesophagus NEC
Excludes: When associated with general fibreoptic endoscopic examination of upper gastrointestinal tract (G42,G43)
Note: Principal category, extended at G12 It is not necessary to code diagnostic fibreoptic endoscopic examination limited to oesophagus (G16.9)
G14.1 Fibreoptic endoscopic snare resection of lesion of oesophagus G14.2 Fibreoptic endoscopic laser destruction of lesion of oesophagus G14.3 Fibreoptic endoscopic cauterisation of lesion of oesophagus G14.4 Fibreoptic endoscopic injection sclerotherapy to varices of oesophagus G14.5 Fibreoptic endoscopic destruction of lesion of oesophagus NEC G14.6 Fibreoptic endoscopic submucosal resection of lesion of oesophagus G14.7 Fibreoptic endoscopic photodynamic therapy of lesion of oesophagus G14.8 Other specified G14.9 Unspecified
G15Other therapeutic fibreoptic endoscopic operations on oesophagus Includes: Therapeutic endoscopic operations on oesophagus NEC
Excludes: When associated with general fibreoptic endoscopic examination of upper gastrointestinal tract (G44, G46)
Note: Principal category, extended at G20 It is not necessary to code diagnostic fibreoptic endoscopic examination limited to oesophagus (G16.9)
G15.1 Fibreoptic endoscopic removal of foreign body from oesophagus Includes: Removal of foreign body from oesophagus NEC
G15.2 Fibreoptic endoscopic balloon dilation of oesophagus G15.3 Fibreoptic endoscopic dilation of oesophagus NEC G15.4 Fibreoptic endoscopic insertion of tubal prosthesis into oesophagus G15.5 Fibreoptic endoscopic dilation of web of oesophagus G15.6 Fibreoptic endoscopic insertion of expanding metal stent into oesophagus NEC G15.7 Fibreoptic endoscopic insertion of expanding covered metal stent into oesophagus G15.8 Other specified G15.9 Unspecified
G16Diagnostic fibreoptic endoscopic examination of oesophagus Includes: Diagnostic endoscopic examination of oesophagus NEC Biopsy of lesion of oesophagus NEC Biopsy of oesophagus NEC
G16.1 Diagnostic fibreoptic endoscopic examination of oesophagus and biopsy of lesion of oesophagus Includes: Diagnostic fibreoptic endoscopic examination of oesophagus and biopsy of oesophagus Fibreoptic endoscopic biopsy of lesion of oesophagus Fibreoptic endoscopic biopsy of oesophagus Biopsy of lesion of oesophagus NEC Biopsy of oesophagus NEC
G16.2 Diagnostic fibreoptic endoscopic ultrasound examination of oesophagus G16.3 Diagnostic fibreoptic insertion of Bravo pH capsule into oesophagus Excludes: When associated with general fibreoptic examination of upper gastrointestinal tract (G45.3)
G16.8 Other specified G16.9 Unspecified Includes: Fibreoptic oesophagoscopy NEC Oesophagoscopy NEC
G17Endoscopic extirpation of lesion of oesophagus using rigid oesophagoscope Includes: Endoscopic extirpation of lesion of stomach using rigid gastroscope
Excludes: Endoscopic extirpation of lesion of stomach NEC (G42, G43)
Note: It is not necessary to code diagnostic endoscopic examination of oesophagus using rigid oesophagoscope (G19.9)
G17.1 Endoscopic snare resection of lesion of oesophagus using rigid oesophagoscope G17.2 Endoscopic laser destruction of lesion of oesophagus using rigid oesophagoscope G17.3 Endoscopic cauterisation of lesion of oesophagus using rigid oesophagoscope G17.4 Endoscopic injection sclerotherapy to varices of oesophagus using rigid oesophagoscope G17.8 Other specified G17.9 Unspecified
G18Other therapeutic endoscopic operations on oesophagus using rigid oesophagoscope Includes: Therapeutic endoscopic operations on stomach using rigid gastroscope NEC
Excludes: Therapeutic endoscopic operations on stomach NEC (G44, G46)
Note: It is not necessary to code diagnostic endoscopic examination of oesophagus using rigid oesophagoscope (G19.9)
G18.1 Endoscopic removal of foreign body from oesophagus using rigid oesophagoscope G18.2 Endoscopic balloon dilation of oesophagus using rigid oesophagoscope G18.3 Endoscopic dilation of oesophagus using rigid oesophagoscope NEC G18.4 Endoscopic insertion of tubal prosthesis into oesophagus using rigid oesophagoscope G18.5 Dilation of web of oesophagus using rigid oesophagoscope G18.8 Other specified G18.9 Unspecified
G19Diagnostic endoscopic examination of oesophagus using rigid oesophagoscope Includes: Diagnostic endoscopic examination of stomach using rigid gastroscope
Excludes: Diagnostic endoscopic examination of stomach NEC (G45)
G19.1 Diagnostic endoscopic examination of oesophagus and biopsy of lesion of oesophagus using rigid oesophagoscope Includes: Diagnostic endoscopic examination of oesophagus and biopsy of oesophagus using rigid oesophagoscope Endoscopic biopsy of lesion of oesophagus using rigid oesophagoscope Biopsy of lesion of oesophagus using rigid oesophagoscope NEC Biopsy of oesophagus using rigid oesophagoscope NEC
Excludes: Biopsy of lesion of stomach NEC (G45.1) Biopsy of stomach NEC (G45.1)
G19.2 Diagnostic endoscopic insertion of Bravo pH capsule using rigid oesophagoscope Excludes: When associated with general fibreoptic examination of upper gastrointestinal tract (G45.3)
G19.8 Other specified G19.9 Unspecified
G20Therapeutic fibreoptic endoscopic operations on oesophagus
G20.2 Fibreoptic endoscopic coagulation of bleeding lesion of oesophagus using haemostatic spray G20.8 Other specified G20.9 Unspecified
G21Other operations on oesophagus G21.1 Intubation of oesophagus for pH manometry G21.2 Intubation of oesophagus for pressure manometry G21.3 Intubation of oesophagus and instillation of acid or alkali HFQ G21.4 Intubation of oesophagus NEC
G21.5 Insertion of stent into oesophagus NEC G21.6 Cytology of oesophagus using ingestible sponge G21.8 Other specified G21.9 Unspecified
G23Repair of diaphragmatic hernia G23.1 Repair of oesophageal hiatus using thoracic approach G23.2 Repair of diaphragmatic hernia using thoracic approach NEC G23.3 Repair of oesophageal hiatus using abdominal approach G23.4 Repair of diaphragmatic hernia using abdominal approach NEC G23.8 Other specified G23.9 Unspecified
G24Antireflux operations G24.1 Antireflux fundoplication using thoracic approach G24.2 Antireflux operation using thoracic approach NEC G24.3 Antireflux fundoplication using abdominal approach G24.4 Antireflux gastropexy G24.5 Gastroplasty and antireflux procedure HFQ G24.6 Insertion of Angelchick prosthesis G24.8 Other specified G24.9 Unspecified
G25Revision of antireflux operations G25.1 Revision of fundoplication of stomach G25.2 Adjustment to Angelchick prosthesis G25.3 Removal of Angelchick prosthesis G25.8 Other specified G25.9 Unspecified
G26Transplantation of stomach G26.1 Allotransplantation of stomach G26.8 Other specified G26.9 Unspecified
G27Total excision of stomach G27.1 Total gastrectomy and excision of surrounding tissue Note: Use an additional code as necessary for excision of lymph node (T87)
G27.2 Total gastrectomy and anastomosis of oesophagus to duodenum G27.3 Total gastrectomy and interposition of jejunum G27.4 Total gastrectomy and anastomosis of oesophagus to transposed jejunum G27.5 Total gastrectomy and anastomosis of oesophagus to jejunum NEC G27.8 Other specified G27.9 Unspecified
G28Partial excision of stomach G28.1 Partial gastrectomy and anastomosis of stomach to duodenum G28.2 Partial gastrectomy and anastomosis of stomach to transposed jejunum G28.3 Partial gastrectomy and anastomosis of stomach to jejunum NEC G28.4 Sleeve gastrectomy and duodenal switch Excludes: Duodenal switch (G71.6)
G28.5 Sleeve gastrectomy NEC G28.8 Other specified G28.9 Unspecified Includes: Gastrectomy NEC
G29Open extirpation of lesion of stomach G29.1 Open excision of polyp of stomach G29.2 Open excision of lesion of stomach NEC G29.3 Open laser destruction of lesion of stomach G29.4 Diathermy to lesion of stomach G29.5 Cryotherapy to lesion of stomach G29.8 Other specified G29.9 Unspecified
G30Plastic operations on stomach G30.1 Gastroplasty NEC G30.2 Partitioning of stomach NEC G30.3 Partitioning of stomach using band G30.4 Partitioning of stomach using staples G30.5 Maintenance of gastric band
G31Connection of stomach to duodenum Includes: Gastroduodenostomy
Excludes: Connection of stomach to duodenum when associated with concurrent excision of stomach (G27.2, G28.1)
G31.1 Bypass of stomach by anastomosis of oesophagus to duodenum G31.2 Bypass of stomach by anastomosis of stomach to duodenum G31.3 Revision of anastomosis of stomach to duodenum G31.4 Conversion to anastomosis of stomach to duodenum Note: Use a subsidiary conversion from code as necessary
G31.5 Closure of connection of stomach to duodenum G31.6 Attention to connection of stomach to duodenum Excludes: Revision of anastomosis of stomach to duodenum (G31.3) Closure of connection of stomach to duodenum (G31.5)
G31.8 Other specified G31.9 Unspecified G31.0 Conversion from previous anastomosis of stomach to duodenum
G32Connection of stomach to transposed jejunum Excludes: Connection of stomach to transposed jejunum when associated with concurrent excision of stomach (G27.4, G28.2)
G32.1 Bypass of stomach by anastomosis of stomach to transposed jejunum G32.2 Revision of anastomosis of stomach to transposed jejunum G32.3 Conversion to anastomosis of stomach to transposed jejunum Note: Use a subsidiary conversion from code as necessary
G32.4 Closure of connection of stomach to transposed jejunum G32.5 Attention to connection of stomach to transposed jejunum Excludes: Revision of anastomosis of stomach to transposed jejunum (G32.2) Closure of anastomosis of stomach to transposed jejunum (G32.4)
G32.8 Other specified G32.9 Unspecified G32.0 Conversion from previous anastomosis of stomach to transposed jejunum
G33Other connection of stomach to jejunum Includes: Gastroenterostomy NEC
Excludes: Connection of stomach to jejunum when associated with concurrent excision of stomach NEC (G27.5, G28.3)
G33.1 Bypass of stomach by anastomosis of stomach to jejunum NEC Note: Use as a secondary code when associated with concurrent vagotomy (A27)
G33.2 Revision of anastomosis of stomach to jejunum NEC G33.3 Conversion to anastomosis of stomach to jejunum NEC Note: Use a subsidiary conversion from code as necessary
G33.4 Open reduction of intussusception of gastroenterostomy G33.5 Closure of connection of stomach to jejunum NEC G33.6 Attention to connection of stomach to jejunum Excludes: Revision of anastomosis of stomach to jejunum NEC (G33.2) Closure of anastomosis of stomach to jejunum NEC (G33.5)
G33.8 Other specified G33.9 Unspecified G33.0 Conversion from previous anastomosis of stomach to jejunum NEC
G34Artificial opening into stomach G34.1 Creation of permanent gastrostomy G34.2 Creation of temporary gastrostomy Includes: Creation of gastrostomy NEC
G34.3 Reconstruction of gastrostomy G34.4 Closure of gastrostomy G34.5 Attention to gastrostomy tube
G35Operations on ulcer of stomach G35.1 Closure of perforated ulcer of stomach G35.2 Closure of ulcer of stomach NEC Includes: Suture of ulcer of stomach NEC
G35.8 Other specified G35.9 Unspecified
G36Other repair of stomach G36.1 Gastropexy NEC G36.2 Closure of perforation of stomach NEC G36.3 Closure of abnormal opening of stomach NEC G36.8 Other specified G36.9 Unspecified
G38Other open operations on stomach G38.1 Open biopsy of lesion of stomach Includes: Open biopsy of stomach
G38.2 Open insertion of prosthesis into stomach G38.3 Open insertion of feeding tube into stomach G38.4 Open removal of foreign body from stomach G38.5 Incision of stomach NEC Includes: Gastrotomy NEC
G38.6 Reduction of volvulus of stomach G38.7 Removal of gastric band G38.8 Other specified G38.9 Unspecified
G40Incision of pylorus G40.1 Pyloromyotomy Note: Use as a secondary code when associated with concurrent vagotomy (A27)
G40.2 Repair of congenital atresia of pylorus G40.3 Pyloroplasty NEC Note: Use as a secondary code when associated with concurrent vagotomy (A27)
G40.4 Revision of pyloroplasty G40.5 Closure of pyloroplasty G40.6 Open dilation of pylorus G40.8 Other specified G40.9 Unspecified
G41Other operations on pylorus G41.1 Open biopsy of lesion of pylorus Includes: Open biopsy of pylorus
G41.2 Repair of perforation of pylorus G41.8 Other specified G41.9 Unspecified
G42Other fibreoptic endoscopic extirpation of lesion of upper gastrointestinal tract
Includes: Endoscopic extirpation of lesion of upper gastrointestinal tract NEC Oesophagus Stomach Pylorus Proximal duodenum
Excludes: When associated with endoscopic examination limited to oesophagus (G14, G17) When associated with endoscopic examination limited to duodenum (G54.1)
Note: Principal G43 It is not necessary to code diagnostic endoscopic examination of upper gastrointestinal tract (G45.9) Use a subsidiary site code as necessary
G42.1 Fibreoptic endoscopic submucosal resection of lesion of upper gastrointestinal tract G42.2 Fibreoptic endoscopic photodynamic therapy of lesion of upper gastrointestinal tract G42.3 Fibreoptic endoscopic mucosal resection of lesion of upper gastrointestinal tract G42.8 Other specified G42.9 Unspecified
G43Fibreoptic endoscopic extirpation of lesion of upper gastrointestinal tract Includes: Endoscopic extirpation of lesion of upper gastrointestinal tract NEC Oesophagus Stomach Pylorus Proximal duodenum
Excludes: When associated with endoscopic examination limited to oesophagus (G14, G17) When associated with endoscopic examination limited to duodenum (G54.1)
Note: Principal category, extended at G42 It is not necessary to code diagnostic endoscopic examination of upper gastrointestinal tract (G45.9) Use a subsidiary site code as necessary
G43.1 Fibreoptic endoscopic snare resection of lesion of upper gastrointestinal tract G43.2 Fibreoptic endoscopic laser destruction of lesion of upper gastrointestinal tract G43.3 Fibreoptic endoscopic cauterisation of lesion of upper gastrointestinal tract G43.4 Fibreoptic endoscopic sclerotherapy to lesion of upper gastrointestinal tract G43.5 Fibreoptic endoscopic destruction of lesion of upper gastrointestinal tract NEC G43.6 Fibreoptic endoscopic injection therapy to lesion of upper gastrointestinal tract NEC G43.7 Fibreoptic endoscopic rubber band ligation of upper gastrointestinal tract varices G43.8 Other specified G43.9 Unspecified
G44Other therapeutic fibreoptic endoscopic operations on upper gastrointestinal tract Includes: Therapeutic endoscopic operations on upper gastrointestinal tract NEC Oesophagus Stomach Pylorus Proximal duodenum
Excludes: When associated with endoscopic examination limited to oesophagus (G15, G18) When associated with endoscopic examination limited to duodenum (G54)
Note: Principal category, extended at G46 It is not necessary to code additionally any mention of diagnostic endoscopic examination of upper gastrointestinal tract (G45.9) Use a subsidiary site code as necessary
G44.1 Fibreoptic endoscopic insertion of prosthesis into upper gastrointestinal tract Includes: Endoscopic insertion of expanding metal stent into upper gastrointestinal tract
G44.2 Fibreoptic endoscopic removal of foreign body from upper gastrointestinal tract G44.3 Fibreoptic endoscopic dilation of upper gastrointestinal tract NEC G44.4 Fibreoptic endoscopic reduction of intussusception of gastroenterostomy G44.5 Fibreoptic endoscopic percutaneous insertion of gastrostomy G44.6 Fibreoptic endoscopic pressure controlled balloon dilation of lower oesophageal sphincter G44.7 Fibreoptic endoscopic removal of gastrostomy tube
G45Diagnostic fibreoptic endoscopic examination of upper gastrointestinal tract Includes: Diagnostic endoscopic examination of upper gastrointestinal tract NEC Oesophagus Stomach Pylorus Proximal duodenum
Excludes: When associated with examination limited to oesophagus (G16) When associated with examination limited to duodenum (G55)
Note: Use a subsidiary site code as necessary
G45.1 Fibreoptic endoscopic examination of upper gastrointestinal tract and biopsy of lesion of upper gastrointestinal tract Includes: Fibreoptic endoscopic examination of upper gastrointestinal tract and biopsy of upper gastrointestinal tract Biopsy of lesion of upper gastrointestinal tract NEC Biopsy of upper gastrointestinal tract NEC
G45.2 Fibreoptic endoscopic ultrasound examination of upper gastrointestinal tract Includes: Endoscopic ultrasound examination of upper gastrointestinal tract NEC
G45.3 Fibreoptic endoscopic insertion of Bravo pH capsule into upper gastrointestinal tract Excludes: When associated with examination limited to oesophagus (G16.3, G19.2)
G45.4 Fibreoptic endoscopic examination of upper gastrointestinal tract and staining of gastric mucosa Includes: Staining of gastric mucosa NEC
G45.8 Other specified G45.9 Unspecified Includes: Fibreoptic gastroscopy NEC Gastroscopy NEC
G46Therapeutic fibreoptic endoscopic operations on upper gastrointestinal tract
Includes: Therapeutic endoscopic operations on upper gastrointestinal tract NEC Oesophagus Stomach Pylorus Proximal duodenum
Excludes: When associated with endoscopic examination limited to oesophagus (G15, G18) When associated with endoscopic examination limited to duodenum (G54)
Note: Principal G44 It is not necessary to code additionally any mention of diagnostic endoscopic examination of upper gastrointestinal tract (G45.9) Use a subsidiary site code as necessary
G46.1 Fibreoptic endoscopic endoluminal plication of gastro-oesophageal junction G46.2 Fibreoptic endoscopic coagulation of bleeding lesion of upper gastrointestinal tract NEC
G46.3 Fibreoptic endoscopic coagulation of bleeding lesion of upper gastrointestinal tract using haemostatic spray G46.8 Other specified G46.9 Unspecified
G47Intubation of stomach G47.1 Intubation of stomach for pH manometry G47.2 Intubation of stomach for pressure manometry G47.3 Irrigation of stomach Includes: Lavage of stomach Washout of stomach
G47.4 Intubation of stomach for study of gastric secretion G47.5 Insertion of nasogastric tube
G48Other operations on stomach G48.1 Insertion of gastric bubble G48.2 Attention to gastric bubble G48.3 Induction of emesis G48.4 Administration of activated charcoal G48.5 Insertion of gastric balloon G48.6 Attention to gastric balloon
G49Excision of duodenum Excludes: Pancreaticoduodenectomy (J56)
G49.1 Gastroduodenectomy G49.2 Total excision of duodenum G49.3 Partial excision of duodenum G49.8 Other specified G49.9 Unspecified Includes: Duodenectomy NEC
G50Open extirpation of lesion of duodenum G50.1 Excision of lesion of duodenum G50.2 Open destruction of lesion of duodenum G50.8 Other specified G50.9 Unspecified
G51Bypass of duodenum G51.1 Bypass of duodenum by anastomosis of stomach to jejunum G51.2 Bypass of duodenum by anastomosis of duodenum to duodenum G51.3 Bypass of duodenum by anastomosis of duodenum to jejunum G51.4 Bypass of duodenum by anastomosis of duodenum to colon G51.8 Other specified G51.9 Unspecified
G52Operations on ulcer of duodenum G52.1 Closure of perforated ulcer of duodenum G52.2 Suture of ulcer of duodenum NEC G52.3 Oversew of blood vessel of duodenal ulcer G52.8 Other specified G52.9 Unspecified
G53Other open operations on duodenum G53.1 Open biopsy of lesion of duodenum Includes: Open biopsy of duodenum
G53.2 Closure of perforation of duodenum NEC G53.3 Open removal of foreign body from duodenum G53.4 Open insertion of tubal prosthesis into duodenum G53.5 Incision of duodenum NEC Includes: Duodenotomy NEC
G53.6 Correction of malrotation of duodenum G53.8 Other specified G53.9 Unspecified
G54Therapeutic endoscopic operations on duodenum Excludes: When associated with general endoscopic examination of upper gastrointestinal tract (G42, G43, G44, G46) When associated with endoscopic examination of biliary and pancreatic ducts (J40-J42)
Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination limited to duodenum (G55.9)
G54.1 Endoscopic extirpation of lesion of duodenum Includes: Snare resection of duodenum
G54.2 Endoscopic dilation of duodenum G54.3 Endoscopic insertion of tubal prosthesis into duodenum G54.8 Other specified G54.9 Unspecified
G55Diagnostic endoscopic examination of duodenum Excludes: When not limited to duodenum (G45)
G55.1 Diagnostic endoscopic examination of duodenum and biopsy of lesion of duodenum Includes: Diagnostic endoscopic examination of duodenum and biopsy of duodenum Endoscopic biopsy of lesion of duodenum Endoscopic biopsy of duodenum Biopsy of lesion of duodenum NEC Biopsy of duodenum NEC
G55.8 Other specified G55.9 Unspecified Includes: Duodenoscopy NEC
G57Other operations on duodenum G57.1 Intubation of duodenum for studies of pancreatic function HFQ G57.2 Intubation of duodenum NEC G57.8 Other specified G57.9 Unspecified
G58Excision of jejunum G58.1 Total jejunectomy and anastomosis of stomach to ileum G58.2 Total jejunectomy and anastomosis of duodenum to ileum G58.3 Total jejunectomy and anastomosis of duodenum to colon G58.4 Partial jejunectomy and anastomosis of jejunum to ileum Includes: Jejunectomy and anastomosis of jejunum to jejunum
G58.5 Partial jejunectomy and anastomosis of duodenum to colon G58.8 Other specified G58.9 Unspecified Includes: Jejunectomy NEC
G59Extirpation of lesion of jejunum G59.1 Excision of lesion of jejunum G59.2 Open destruction of lesion of jejunum G59.8 Other specified G59.9 Unspecified
G60Artificial opening into jejunum G60.1 Creation of jejunostomy G60.2 Refashioning of jejunostomy G60.3 Closure of jejunostomy G60.4 Attention to jejunostomy tube G60.8 Other specified G60.9 Unspecified
G61Bypass of jejunum G61.1 Bypass of jejunum by anastomosis of jejunum to jejunum G61.2 Bypass of jejunum by anastomosis of jejunum to ileum G61.3 Bypass of jejunum by anastomosis of jejunum to colon G61.8 Other specified G61.9 Unspecified
G62Open endoscopic operations on jejunum G62.1 Open jejunoscopy Includes: Operative jejunoscopy
G62.8 Other specified G62.9 Unspecified
G63Other open operations on jejunum G63.1 Open biopsy of lesion of jejunum Includes: Open biopsy of jejunum Biopsy of lesion of jejunum NEC Biopsy of jejunum NEC
G63.2 Incision of jejunum G63.3 Closure of perforation of jejunum G63.4 Open intubation of jejunum G63.8 Other specified G63.9 Unspecified
G64Therapeutic endoscopic operations on jejunum Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of jejunum (G65.9)
G64.1 Endoscopic extirpation of lesion of jejunum G64.2 Endoscopic dilation of jejunum G64.3 Endoscopic insertion of tubal prosthesis into jejunum G64.8 Other specified G64.9 Unspecified
G65Diagnostic endoscopic examination of jejunum G65.1 Diagnostic endoscopic examination of jejunum and biopsy of lesion of jejunum Includes: Diagnostic endoscopic examination of jejunum and biopsy of jejunum Endoscopic biopsy of lesion of jejunum Endoscopic biopsy of jejunum
G65.8 Other specified G65.9 Unspecified Includes: Jejunoscopy NEC
G67Other operations on jejunum G67.1 Intubation of jejunum for decompression of intestine G67.2 Intubation of jejunum for measurement of intestinal function G67.3 Passage of Crosby capsule into jejunum for biopsy of mucosa of jejunum G67.4 Intubation of jejunum NEC G67.5 Insertion of nasojejunal tube
G68Transplantation of ileum Includes: Small intestine NEC
G68.1 Allotransplantation of ileum G68.8 Other specified G68.9 Unspecified
G69Excision of ileum Includes: Small intestine NEC
G69.1 Ileectomy and anastomosis of stomach to ileum G69.2 Ileectomy and anastomosis of duodenum to ileum G69.3 Ileectomy and anastomosis of ileum to ileum G69.4 Ileectomy and anastomosis of ileum to colon G69.8 Other specified G69.9 Unspecified Includes: Ileectomy NEC
G70Open extirpation of lesion of ileum Includes: Small intestine NEC
G70.1 Excision of Meckel's diverticulum G70.2 Excision of lesion of ileum NEC G70.3 Open destruction of lesion of ileum G70.8 Other specified G70.9 Unspecified
G71Bypass of ileum Includes: Small intestine NEC
G71.1 Bypass of ileum by anastomosis of jejunum to ileum G71.2 Bypass of ileum by anastomosis of ileum to ileum G71.3 Bypass of ileum by anastomosis of ileum to caecum G71.4 Bypass of ileum by anastomosis of ileum to transverse colon G71.5 Bypass of ileum by anastomosis of ileum to colon NEC Includes: Bypass of ileum by anastomosis of ileum to rectum
G71.7 Reversal of duodenal switch G71.8 Other specified G71.9 Unspecified
G72Other connection of ileum Includes: Small intestine NEC
Excludes: When associated with concurrent excision of ileum (G69)
G72.1 Anastomosis of ileum to caecum G72.2 Anastomosis of ileum to transverse colon G72.3 Anastomosis of ileum to colon NEC G72.4 Anastomosis of ileum to rectum G72.5 Anastomosis of ileum to anus and creation of pouch HFQ G72.8 Other specified G72.9 Unspecified
G73Attention to connection of ileum Includes: Small intestine NEC
G73.1 Revision of anastomosis of ileum Includes: Revision of ileocolic anastomosis Revision of anastomosis of small intestine NEC
G73.2 Closure of anastomosis of ileum G73.3 Resection of ileostomy G73.4 Resection of ileocolic anastomosis G73.8 Other specified G73.9 Unspecified
G74Creation of artificial opening into ileum Includes: Small intestine NEC
G74.1 Creation of continent ileostomy G74.2 Creation of temporary ileostomy G74.3 Creation of defunctioning ileostomy Includes: Creation of split ileostomy
G74.8 Other specified G74.9 Unspecified
G75Attention to artificial opening into ileum Includes: Small intestine NEC
G75.1 Refashioning of ileostomy G75.2 Repair of prolapse of ileostomy G75.3 Closure of ileostomy G75.4 Dilation of ileostomy G75.5 Reduction of prolapse of ileostomy G75.6 Resiting of ileostomy G75.8 Other specified G75.9 Unspecified
G76Intra-abdominal manipulation of ileum Includes: Small intestine NEC
G76.1 Open reduction of intussusception of ileum G76.2 Open relief of strangulation of ileum G76.3 Open relief of obstruction of ileum NEC G76.4 Plication of ileum G76.8 Other specified G76.9 Unspecified
G78Other open operations on ileum Includes: Small intestine NEC
G78.1 Open biopsy of lesion of ileum Includes: Open biopsy of ileum Biopsy of lesion of ileum NEC Biopsy of ileum NEC
G78.2 Strictureplasty of ileum G78.3 Removal of foreign body from ileum G78.4 Closure of perforation of ileum G78.5 Exclusion of segment of ileum G78.6 Open intubation of ileum G78.8 Other specified G78.9 Unspecified
G79Therapeutic endoscopic operations on ileum Includes: Small intestine NEC
Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of ileum (G80.9)
G79.1 Endoscopic extirpation of lesion of ileum G79.2 Endoscopic dilation of ileum G79.3 Endoscopic insertion of tubal prosthesis into ileum G79.8 Other specified G79.9 Unspecified
G80.1 Diagnostic endoscopic examination of ileum and biopsy of lesion of ileum Includes: Diagnostic endoscopic examination of ileum and biopsy of ileum Endoscopic biopsy of lesion of ileum Endoscopic biopsy of ileum
G80.2 Code retired - refer to introduction G80.3 Diagnostic endoscopic balloon examination of ileum G80.8 Other specified G80.9 Unspecified Includes: Ileoscopy NEC Enteroscopy NEC
G82Other operations on ileum Includes: Small intestine NEC
G82.1 Radiological reduction of intussusception of ileum using barium enema G82.2 Intubation of ileum for decompression of intestine G82.3 Intubation of ileum for studies on function HFQ G82.4 Intubation of ileum NEC G82.5 Radiological reduction of intussusception of ileum using air enema G82.8 Other specified G82.9 Unspecified
LOWER DIGESTIVE TRACT (CODES H01-H73) Note: Use a subsidiary code for minimal access approach (Y74-Y76) Use a subsidiary code to identify method of image control (Y53)
H01Emergency excision of appendix H01.1 Emergency excision of abnormal appendix and drainage HFQ H01.2 Emergency excision of abnormal appendix NEC H01.3 Emergency excision of normal appendix H01.8 Other specified H01.9 Unspecified Includes: Emergency appendicectomy NEC
H02Other excision of appendix H02.1 Interval appendicectomy H02.2 Planned delayed appendicectomy NEC H02.3 Prophylactic appendicectomy NEC H02.4 Incidental appendicectomy Includes: Appendicectomy performed during course of other abdominal operation
Note: Use as a secondary code when performed during creation of caecostomy (H14.9)
H02.8 Other specified H02.9 Unspecified Includes: Appendicectomy NEC
H03Other operations on appendix H03.1 Drainage of abscess of appendix H03.2 Drainage of appendix NEC H03.3 Exteriorisation of appendix Includes: Appendicostomy
H03.8 Other specified H03.9 Unspecified
H04Total excision of colon and rectum Excludes: Subtotal excision of colon (H29)
H04.1 Panproctocolectomy and ileostomy Includes: Proctocolectomy NEC
H04.2 Panproctocolectomy and anastomosis of ileum to anus and creation of pouch HFQ H04.3 Panproctocolectomy and anastomosis of ileum to anus NEC H04.8 Other specified H04.9 Unspecified
H05Total excision of colon Excludes: Subtotal excision of colon (H29)
H05.1 Total colectomy and anastomosis of ileum to rectum H05.2 Total colectomy and ileostomy and creation of rectal fistula HFQ H05.3 Total colectomy and ileostomy NEC H05.8 Other specified H05.9 Unspecified
H06Extended excision of right hemicolon Includes: Excision of right colon and other segment of ileum or colon and surrounding tissue Caecum
H06.1 Extended right hemicolectomy and end to end anastomosis H06.2 Extended right hemicolectomy and anastomosis of ileum to colon H06.3 Extended right hemicolectomy and anastomosis NEC H06.4 Extended right hemicolectomy and ileostomy HFQ H06.5 Extended right hemicolectomy and end to side anastomosis H06.8 Other specified H06.9 Unspecified
H07Other excision of right hemicolon Includes: Limited excision of caecum and terminal ileum caecum
H07.1 Right hemicolectomy and end to end anastomosis of ileum to colon Includes: Ileocaecal resection
H07.2 Right hemicolectomy and side to side anastomosis of ileum to transverse colon H07.3 Right hemicolectomy and anastomosis NEC H07.4 Right hemicolectomy and ileostomy HFQ H07.5 Right hemicolectomy and end to side anastomosis H07.8 Other specified H07.9 Unspecified
H08Excision of transverse colon H08.1 Transverse colectomy and end to end anastomosis H08.2 Transverse colectomy and anastomosis of ileum to colon H08.3 Transverse colectomy and anastomosis NEC H08.4 Transverse colectomy and ileostomy HFQ H08.5 Transverse colectomy and exteriorisation of bowel NEC Note: Use a secondary code for type of exteriorisation of bowel (H14, H15)
H08.6 Transverse colectomy and end to side anastomosis H08.8 Other specified H08.9 Unspecified
H09Excision of left hemicolon H09.1 Left hemicolectomy and end to end anastomosis of colon to rectum H09.2 Left hemicolectomy and end to end anastomosis of colon to colon H09.3 Left hemicolectomy and anastomosis NEC H09.4 Left hemicolectomy and ileostomy HFQ H09.5 Left hemicolectomy and exteriorisation of bowel NEC Note: Use a secondary code for type of exteriorisation of bowel (H14, H15)
H09.6 Left hemicolectomy and end to side anastomosis H09.8 Other specified H09.9 Unspecified
H10Excision of sigmoid colon H10.1 Sigmoid colectomy and end to end anastomosis of ileum to rectum H10.2 Sigmoid colectomy and anastomosis of colon to rectum H10.3 Sigmoid colectomy and anastomosis NEC H10.4 Sigmoid colectomy and ileostomy HFQ H10.5 Sigmoid colectomy and exteriorisation of bowel NEC Note: Use a secondary code for type of exteriorisation of bowel (H14, H15)
H10.6 Sigmoid colectomy and end to side anastomosis H10.8 Other specified H10.9 Unspecified
H11Other excision of colon Includes: Excision of colon where segment removed is not stated
H11.1 Colectomy and end to end anastomosis of colon to colon NEC H11.2 Colectomy and side to side anastomosis of ileum to colon NEC H11.3 Colectomy and anastomosis NEC H11.4 Colectomy and ileostomy NEC H11.5 Colectomy and exteriorisation of bowel NEC Note: Use a secondary code for type of exteriorisation of bowel (H14, H15)
H11.6 Colectomy and end to side anastomosis NEC H11.8 Other specified H11.9 Unspecified Includes: Colectomy NEC Hemicolectomy NEC
H12Extirpation of lesion of colon Includes: Caecum
H12.1 Excision of diverticulum of colon H12.2 Excision of lesion of colon NEC H12.3 Destruction of lesion of colon NEC H12.8 Other specified H12.9 Unspecified
H13Bypass of colon Includes: Caecum
Excludes: Bypass of colon when associated with excision of colon (H04-H11)
H13.1 Bypass of colon by anastomosis of ileum to colon H13.2 Bypass of colon by anastomosis of caecum to sigmoid colon H13.3 Bypass of colon by anastomosis of transverse colon to sigmoid colon H13.4 Bypass of colon by anastomosis of transverse colon to rectum H13.5 Bypass of colon by anastomosis of colon to rectum NEC H13.8 Other specified H13.9 Unspecified
H14Exteriorisation of caecum H14.1 Tube caecostomy H14.2 Refashioning of caecostomy H14.3 Closure of caecostomy H14.4 Appendicocaecostomy H14.8 Other specified H14.9 Unspecified Includes: Caecostomy NEC
H15Other exteriorisation of colon Note: Principal category, extended at H32
H15.1 Loop colostomy H15.2 End colostomy H15.3 Refashioning of colostomy H15.4 Closure of colostomy
H15.5 Dilation of colostomy H15.6 Reduction of prolapse of colostomy H15.7 Percutaneous endoscopic sigmoid colostomy H15.8 Other specified H15.9 Unspecified Includes: Colostomy NEC
H16Incision of colon Includes: Caecum
H16.1 Drainage of colon Includes: Drainage of pericolonic tissue
H16.2 Caecotomy H16.3 Colotomy H16.8 Other specified H16.9 Unspecified
H17Intra-abdominal manipulation of colon Includes: Caecum
H17.1 Open reduction of intussusception of colon H17.2 Open reduction of volvulus of caecum H17.3 Open reduction of volvulus of sigmoid colon H17.4 Open reduction of volvulus of colon NEC H17.5 Open relief of strangulation of colon H17.6 Open relief of obstruction of colon NEC H17.8 Other specified H17.9 Unspecified
H18Open endoscopic operations on colon Includes: Caecum
H18.1 Open colonoscopy Includes: Operative colonoscopy
H18.8 Other specified H18.9 Unspecified
H19Other open operations on colon Includes: Caecum
H19.1 Open biopsy of lesion of colon Includes: Open biopsy of colon Biopsy of lesion of colon Biopsy of colon
H19.2 Fixation of colon H19.3 Enterorrhaphy of colon H19.4 Open removal of foreign body from colon H19.8 Other specified H19.9 Unspecified
H20Endoscopic extirpation of lesion of colon Includes: Endoscopic extirpation of lesion of lower bowel NEC Large Intestine Rectum
Excludes: Fibreoptic endoscopic extirpation of lesion using fibreoptic sigmoidoscope (H23)
Note: Principal category, extended at H38 It is not necessary to code additionally any mention of diagnostic endoscopic examination limited to colon (H22.9) Use a subsidiary site code as necessary
H20.1 Fibreoptic endoscopic snare resection of lesion of colon H20.2 Fibreoptic endoscopic cauterisation of lesion of colon H20.3 Fibreoptic endoscopic laser destruction of lesion of colon H20.4 Fibreoptic endoscopic destruction of lesion of colon NEC H20.5 Fibreoptic endoscopic submucosal resection of lesion of colon H20.6 Fibreoptic endoscopic resection of lesion of colon NEC H20.7 Fibreoptic endoscopic mucosal resection of lesion of colon H20.8 Other specified H20.9 Unspecified
H21Other therapeutic endoscopic operations on colon Includes: Endoscopic operations on lower bowel NEC Large Intestine Rectum
Excludes: Other therapeutic fibreoptic endoscopic operations using fibreoptic sigmoidoscope (H24)
Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination limited to colon (H22.9) Use a subsidiary site code as necessary
H21.1 Fibreoptic endoscopic dilation of colon H21.2 Fibreoptic endoscopic coagulation of blood vessel of colon H21.3 Fibreoptic endoscopic removal of foreign body from colon H21.4 Fibreoptic endoscopic insertion of expanding metal stent into colon H21.5 Fibreoptic endoscopic decompression of colon Includes: Fibreoptic endoscopic decompression of colon with or without insertion of flatus tube
H21.6 Fibreoptic endoscopic insertion of tubal prosthesis into colon H21.8 Other specified H21.9 Unspecified
H22Diagnostic endoscopic examination of colon Includes: Diagnostic endoscopic examination of lower bowel NEC Large Intestine Rectum
Excludes: Diagnostic fibreoptic endoscopic examination using fibreoptic sigmoidoscope (H25)
Note: Use a subsidiary site code as necessary
H22.1 Diagnostic fibreoptic endoscopic examination of colon and biopsy of lesion of colon
Includes: Diagnostic fibreoptic endoscopic examination of colon and biopsy of colon Fibreoptic endoscopic biopsy of lesion of colon Fibreoptic endoscopic biopsy of colon
H22.8 Other specified H22.9 Unspecified Includes: Colonoscopy NEC
H23Endoscopic extirpation of lesion of lower bowel using fibreoptic sigmoidoscope Includes: Colon Rectum
Note: It is not necessary to code diagnostic endoscopic examination of lower bowel using fibreoptic sigmoidoscope (H25.9) Use a subsidiary site code as necessary
H23.1 Endoscopic snare resection of lesion of lower bowel using fibreoptic sigmoidoscope H23.2 Endoscopic cauterisation of lesion of lower bowel using fibreoptic sigmoidoscope H23.3 Endoscopic laser destruction of lesion of lower bowel using fibreoptic sigmoidoscope H23.4 Endoscopic destruction of lesion of lower bowel using fibreoptic sigmoidoscope NEC H23.5 Endoscopic submucosal resection of lesion of lower bowel using fibreoptic sigmoidoscope H23.6 Endoscopic resection of lesion of lower bowel using fibreoptic sigmoidoscope NEC H23.7 Endoscopic mucosal resection of lesion of lower bowel using fibreoptic sigmoidoscope H23.8 Other specified H23.9 Unspecified
H24Other therapeutic endoscopic operations on lower bowel using fibreoptic sigmoidoscope Includes: Colon Rectum
Note: It is not necessary to code diagnostic endoscopic examination of lower bowel using fibreoptic sigmoidoscope (H25.9) Use a subsidiary site code as necessary
H24.1 Endoscopic dilation of lower bowel using fibreoptic sigmoidoscope H24.2 Endoscopic coagulation of blood vessel of lower bowel using fibreoptic sigmoidoscope H24.3 Endoscopic insertion of tubal prosthesis into lower bowel using fibreoptic sigmoidoscope H24.4 Endoscopic insertion of expanding metal stent into lower bowel using fibreoptic sigmoidoscope H24.5 Endoscopic decompression of lower bowel using fibreoptic sigmoidoscope Includes: Endoscopic decompression of lower bowel using fibreoptic sigmoidoscope with or without insertion of flatus tube
H24.8 Other specified H24.9 Unspecified
H25Diagnostic endoscopic examination of lower bowel using fibreoptic sigmoidoscope Includes: Colon Rectum
Excludes: General diagnostic examination of colon (H22.9)
Note: Use a subsidiary site code as necessary
H25.1 Diagnostic endoscopic examination of lower bowel and biopsy of lesion of lower bowel using fibreoptic sigmoidoscope Includes: Diagnostic endoscopic examination of lower bowel and biopsy of lower bowel using fibreoptic sigmoidoscope. Endoscopic biopsy of lower bowel using fibreoptic sigmoidoscope
H25.2 Diagnostic endoscopic examination of lower bowel and sampling for bacterial overgrowth using fibreoptic sigmoidoscope Includes: Sampling for bacterial overgrowth of lower bowel NEC
H25.8 Other specified H25.9 Unspecified Includes: Fibreoptic sigmoidoscopy NEC Fibrosigmoidoscopy NEC Sigmoidoscopy NEC
H26Endoscopic extirpation of lesion of sigmoid colon using rigid sigmoidoscope Includes: Rectum
Note: Principal category, extended at H37 It is not necessary to code diagnostic endoscopic operations on sigmoid colon using rigid sigmoidoscope (H28.9) | Use a subsidiary site code as necessary
H26.1 Endoscopic snare resection of lesion of sigmoid colon using rigid sigmoidoscope H26.2 Endoscopic cauterisation of lesion of sigmoid colon using rigid sigmoidoscope H26.3 Endoscopic laser destruction of lesion of sigmoid colon using rigid sigmoidoscope H26.4 Endoscopic cryotherapy to lesion of sigmoid colon using rigid sigmoidoscope H26.5 Endoscopic destruction of lesion of sigmoid colon using rigid sigmoidoscope NEC H26.6 Endoscopic submucosal resection of lesion of sigmoid colon using rigid sigmoidoscope H26.7 Endoscopic resection of lesion of sigmoid colon using rigid sigmoidoscope NEC H26.8 Other specified H26.9 Unspecified
H27Other therapeutic endoscopic operations on sigmoid colon using rigid sigmoidoscope Includes: Rectum
Note: It is not necessary to code diagnostic endoscopic examination of sigmoid colon using rigid sigmoidoscope (H28.9) Use a subsidiary site code as necessary
H27.1 Endoscopic dilation of sigmoid colon using rigid sigmoidoscope H27.2 Endoscopic removal of foreign body from sigmoid colon using rigid sigmoidoscope H27.3 Endoscopic insertion of tubal prosthesis into sigmoid colon using rigid sigmoidoscope H27.4 Endoscopic insertion of expanding metal stent into sigmoid colon using rigid sigmoidoscope H27.5 Endoscopic decompression of sigmoid colon using rigid sigmoidoscope Includes: Endoscopic decompression of sigmoid colon using rigid sigmoidoscope with or without insertion of flatus tube
H27.8 Other specified H27.9 Unspecified
H28Diagnostic endoscopic examination of sigmoid colon using rigid sigmoidoscope Includes: Rectum
Note: Use a subsidiary site code as necessary
H28.1 Diagnostic endoscopic examination of sigmoid colon and biopsy of lesion of sigmoid colon using rigid sigmoidoscope Includes: Diagnostic endoscopic examination of sigmoid colon and biopsy of sigmoid colon using rigid sigmoidoscope Endoscopic biopsy of lesion of lower bowel using rigid sigmoidoscope Endoscopic biopsy of lower bowel using rigid sigmoidoscope Biopsy of lesion of sigmoid colon using rigid sigmoidoscope Biopsy of sigmoid colon using rigid sigmoidoscope
H28.8 Other specified H28.9 Unspecified
H29Subtotal excision of colon H29.1 Subtotal excision of colon and rectum and creation of colonic pouch and anastomosis of colon to anus H29.2 Subtotal excision of colon and rectum and creation of colonic pouch NEC H29.3 Subtotal excision of colon and creation of colonic pouch and anastomosis of colon to rectum H29.4 Subtotal excision of colon and creation of colonic pouch NEC H29.5 Subtotal excision of colon and anastomosis of colon to ileum H29.8 Other specified H29.9 Unspecified
H30Other operations on colon H30.1 Radiological reduction of intussusception of colon using barium enema H30.2 Intubation of colon for pressure manometry Includes: Manometry of colon NEC
H30.3 Passage of flatus tube to reduce volvulus of sigmoid colon H30.4 Intubation of colon NEC H30.5 Irrigation of colon Includes: Lavage of colon Washout of colon
H30.8 Other specified H30.9 Unspecified
H31Image guided colorectal therapeutic operations H31.1 Image guided percutaneous occlusion of colorectal fistula H31.2 Image guided transluminal occlusion of colorectal fistula H31.3 Image guided balloon dilation of colorectal stricture H31.4 Image guided insertion of colorectal stent H31.5 Image guided removal of colorectal stent H31.8 Other specified H31.9 Unspecified
H32.1 Resiting of colostomy H32.8 Other specified H32.9 Unspecified
H33Excision of rectum Includes: Excision of whole or part of rectum with or without part of sigmoid colon
H33.1 Abdominoperineal excision of rectum and end colostomy H33.2 Proctectomy and anastomosis of colon to anus H33.3 Anterior resection of rectum and anastomosis of colon to rectum using staples Includes: Rectosigmoidectomy and anastomosis of colon to rectum
H33.4 Anterior resection of rectum and anastomosis NEC H33.5 Rectosigmoidectomy and closure of rectal stump and exteriorisation of bowel Note: Use a secondary code for type of exteriorisation of bowel (G74, H14-H15)
H33.6 Anterior resection of rectum and exteriorisation of bowel Note: Use a secondary code for type of exteriorisation of bowel (G74, H14-H15)
H33.8 Other specified H33.9 Unspecified Includes: Rectosigmoidectomy NEC
H34Open extirpation of lesion of rectum H34.1 Open excision of lesion of rectum H34.2 Open cauterisation of lesion of rectum H34.3 Open cryotherapy to lesion of rectum H34.4 Open laser destruction of lesion of rectum H34.5 Open destruction of lesion of rectum NEC H34.8 Other specified H34.9 Unspecified
Note: Use an additional code when associated with excision of sigmoid colon (H10)
H35.1 Anterior fixation of rectum NEC H35.2 Posterior fixation of rectum using prosthetic material H35.3 Posterior fixation of rectum NEC H35.4 Fixation of rectum using fascia lata H35.5 Anterior fixation of rectum using prosthetic material H35.8 Other specified H35.9 Unspecified
H36Other abdominal operations for prolapse of rectum H36.1 Abdominal repair of levator ani muscles Includes: Repair of levator ani muscles Repair of pelvic floor muscles
H36.8 Other specified H36.9 Unspecified
H37Other endoscopic extirpation of lesion of sigmoid colon using rigid sigmoidoscope
Note: Principal H26 It is not necessary to code diagnostic endoscopic operations on sigmoid colon using rigid sigmoidoscope (H28.9) Use a subsidiary site code as necessary
H37.1 Endoscopic mucosal resection of lesion of sigmoid colon using rigid sigmoidoscope H37.8 Other specified H37.9 Unspecified
H38Other endoscopic extirpation of lesion of colon
Includes: Endoscopic extirpation of lesion of lower bowel NEC Large Intestine Rectum
Excludes: Fibreoptic endoscopic extirpation of lesion using fibreoptic sigmoidoscope (H23)
Note: Principal H20 It is not necessary to code additionally any mention of diagnostic endoscopic examination limited to colon (H22.9) Use a subsidiary site code as necessary
H38.1 Fibreoptic endoscopic cryotherapy to lesion of colon H38.8 Other specified H38.9 Unspecified
H40Operations on rectum through anal sphincter H40.1 Trans-sphincteric excision of mucosa of rectum H40.2 Trans-sphincteric excision of lesion of rectum Includes: Trans-sphincteric biopsy of lesion of rectum Trans-sphincteric biopsy of rectum
H40.3 Trans-sphincteric destruction of lesion of rectum H40.4 Trans-sphincteric anastomosis of colon to anus H40.8 Other specified H40.9 Unspecified
H41Other operations on rectum through anus H41.1 Rectosigmoidectomy and peranal anastomosis H41.2 Peranal excision of lesion of rectum Includes: Peranal biopsy of lesion of rectum Peranal biopsy of rectum
H41.3 Peranal destruction of lesion of rectum H41.4 Peranal mucosal proctectomy and endoanal anastomosis H41.5 Peranal resection of rectum using staples Includes: Transanal resection of rectum using staples
H41.8 Other specified H41.9 Unspecified
H42Perineal operations for prolapse of rectum Includes: Perineal operations for prolapse of mucosa of rectum
H42.1 Insertion of encircling suture around perianal sphincter Includes: Insertion of Thiersch wire around perianal sphincter Insertion of suture around perianal sphincter
H42.2 Perineal plication of levator ani muscles and anal sphincters H42.3 Insertion of supralevator sling H42.4 Removal of encircling suture from around perianal sphincter H42.5 Excision of mucosal prolapse of rectum NEC
H44Manipulation of rectum H44.1 Manual removal of foreign body from rectum H44.2 Manual reduction of prolapse of rectum H44.3 Manual evacuation of impacted faeces from rectum H44.4 Examination of rectum under anaesthetic H44.5 Massage of rectum H44.8 Other specified H44.9 Unspecified
H46Other operations on rectum H46.1 Radiological reduction of intussusception of rectum using barium enema H46.2 Hydrostatic reduction of intussusception of rectum H46.3 Intubation of rectum for pressure manometry H46.4 Intubation of rectum NEC H46.8 Other specified H46.9 Unspecified
H47Excision of anus H47.1 Excision of sphincter of anus H47.8 Other specified H47.9 Unspecified
H48Excision of lesion of anus Includes: Perianal region Skin of perianal region
Note: Codes from Chapter S may be used to enhance these codes
H48.1 Excision of polyp of anus H48.2 Excision of skin tag of anus H48.3 Excision of perianal wart H48.8 Other specified H48.9 Unspecified
H49Destruction of lesion of anus Includes: Perianal region Skin of perianal region
Note: Codes from Chapter S may be used to enhance these codes
H49.1 Cauterisation of lesion of anus H49.2 Laser destruction of lesion of anus H49.3 Cryotherapy to lesion of anus H49.8 Other specified H49.9 Unspecified
H50Repair of anus Excludes: Other operations on the anal sphincter to control continence (H57)
H50.1 Posterior repair of anal sphincter H50.2 Anterior repair of anal sphincter H50.3 Cutback of covered anus H50.4 Reanastomosis of rectum to anal canal for correction of congenital atresia of rectum NEC H50.5 Reanastomosis of rectum to anal canal and creation of anal sphincter Includes: Posterior sagittal anorectoplasty
H50.8 Other specified H50.9 Unspecified Includes: Anoplasty NEC
H52.1 Cryotherapy to haemorrhoid H52.2 Infrared photocoagulation of haemorrhoid H52.3 Injection of sclerosing substance into haemorrhoid Includes: Injection into haemorrhoid Sclerotherapy to haemorrhoid
H53.1 Evacuation of perianal haematoma Includes: Evacuation of thrombosed haemorrhoid
H53.2 Forced manual dilation of anus for haemorrhoid H53.3 Manual reduction of prolapsed haemorrhoid H53.8 Other specified H53.9 Unspecified
H54Dilation of anal sphincter H54.1 Anorectal stretch Excludes: Forced manual dilation for haemorrhoid (H53.2)
H54.8 Other specified H54.9 Unspecified
H55Other operations on perianal region H55.1 Laying open of low anal fistula H55.2 Laying open of high anal fistula H55.3 Laying open of anal fistula NEC H55.4 Insertion of seton into high anal fistula and partial laying open of track HFQ H55.5 Fistulography of anal fistula H55.6 Probing of perineal fistula H55.7 Repair of anal fistula using plug H55.8 Other specified H55.9 Unspecified
H56Other operations on anus H56.1 Biopsy of lesion of anus Includes: Biopsy of anus Biopsy of perianal skin region
Note: Codes from Chapter S may be used to enhance biopsy of perianal skin region
H56.2 Lateral sphincterotomy of anus H56.3 Incision of septum of anus H56.4 Excision of anal fissure H56.8 Other specified H56.9 Unspecified
H57Other operations on the anal sphincter to control continence Excludes: Repair of anus (H50)
H57.1 Placement of artificial anal sphincter NEC H57.2 Maintenance of artificial anal sphincter NEC H57.3 Removal of artificial anal sphincter NEC H57.4 Creation of graciloplasty sphincter H57.5 Placement of dynamic graciloplasty sphincter H57.6 Maintenance of dynamic graciloplasty sphincter H57.7 Removal of dynamic graciloplasty sphincter H57.8 Other specified H57.9 Unspecified
H58Drainage through perineal region H58.1 Drainage of ischiorectal abscess H58.2 Drainage of perianal abscess H58.3 Drainage of perirectal abscess H58.8 Other specified H58.9 Unspecified
H59Excision of pilonidal sinus Includes: Pilonidal cyst Pilonidal abscess
H59.1 Excision of pilonidal sinus and Z plasty skin flap HFQ H59.2 Excision of pilonidal sinus and skin flap NEC H59.3 Excision of pilonidal sinus and skin graft HFQ H59.4 Excision of pilonidal sinus and suture HFQ H59.8 Other specified H59.9 Unspecified
H60Other operations on pilonidal sinus Includes: Pilonidal cyst Pilonidal abscess
H60.1 Destruction of pilonidal sinus H60.2 Laying open of pilonidal sinus H60.3 Drainage of pilonidal sinus H60.4 Injection of radiocontrast substance into pilonidal sinus Includes: Sinography of pilonidal sinus
H60.8 Other specified H60.9 Unspecified
H62Other operations on bowel Includes: Sigmoid colon Colon Rectum
H62.1 Laser recanalisation of bowel NEC H62.2 Mobilisation of bowel NEC H62.3 Dilation of bowel NEC H62.4 Intubation of bowel NEC H62.5 Irrigation of bowel NEC
Includes: Lavage of bowel NEC Washout of bowel NEC
H62.6 Proctoscopy H62.7 Endoanal ultrasound examination of lower bowel Includes: Endorectal ultrasound examination of lower bowel
H62.8 Other specified H62.9 Unspecified
H66Therapeutic operations on ileoanal pouch H66.1 Excision of ileoanal pouch H66.2 Revision of ileoanal pouch H66.8 Other specified H66.9 Unspecified
H68Diagnostic endoscopic examination of enteric pouch using colonoscope H68.1 Diagnostic endoscopic examination of colonic pouch and biopsy of colonic pouch using colonoscope H68.2 Diagnostic endoscopic examination of colonic pouch using colonoscope NEC H68.3 Diagnostic endoscopic examination of ileoanal pouch and biopsy of ileoanal pouch using colonoscope H68.4 Diagnostic endoscopic examination of ileoanal pouch using colonoscope NEC H68.8 Other specified H68.9 Unspecified
H69Diagnostic endoscopic examination of enteric pouch using fibreoptic sigmoidoscope Includes: Diagnostic examination of enteric pouch using endoscope NEC
H69.1 Diagnostic endoscopic examination of colonic pouch and biopsy of colonic pouch using fibreoptic sigmoidoscope H69.2 Diagnostic endoscopic examination of colonic pouch using fibreoptic sigmoidoscope NEC H69.3 Diagnostic endoscopic examination of ileoanal pouch and biopsy of ileoanal pouch using fibreoptic sigmoidoscope H69.4 Diagnostic endoscopic examination of ileoanal pouch using fibreoptic sigmoidoscope NEC H69.8 Other specified H69.9 Unspecified
H70Diagnostic endoscopic examination of enteric pouch using rigid sigmoidoscope H70.1 Diagnostic endoscopic examination of colonic pouch and biopsy of colonic pouch using rigid sigmoidoscope H70.2 Diagnostic endoscopic examination of colonic pouch using rigid sigmoidoscope NEC H70.3 Diagnostic endoscopic examination of ileoanal pouch and biopsy of ileoanal pouch using rigid sigmoidoscope H70.4 Diagnostic endoscopic examination of ileoanal pouch using rigid sigmoidoscope NEC H70.8 Other specified H70.9 Unspecified
H71Therapeutic endoscopic operations on enteric pouch H71.1 Fibreoptic endoscopic balloon dilation of colonic pouch NEC H71.8 Other specified H71.9 Unspecified
H72Therapeutic operations on anus using high resolution anoscope Note: It is not necessary to code additionally any mention of diagnostic high resolution examination of anus (H73.9)
H72.1 Excision of lesion of anus using high resolution anoscope H72.2 Destruction of lesion of anus using high resolution anoscope H72.8 Other specified H72.9 Unspecified
H73Diagnostic operations on anus using high resolution anoscope H73.1 Diagnostic examination of anus and biopsy of anus using high resolution anoscope H73.8 Other specified H73.9 Unspecified Includes: High resolution anoscopy