CHAPTER M
URINARY
(CODES M01-M86)

Includes:  PROSTATE

Excludes:  PENIS (except URETHRAL ORIFICE) (Chapter N)
OPERATIONS FOR SEXUAL TRANSFORMATION (Chapter X)
OPERATIONS FOR DISORDERS OF SEX DEVELOPMENT (Chapter X)

Note:  Use a subsidiary code for minimal access approach (Y74-Y76)
Use a subsidiary code to identify method of image control (Y53)



M01 Transplantation of kidney
 
M01.1 Autotransplantation of kidney
M01.2 Allotransplantation of kidney from live donor
  Note:  Use a subsidiary code to identify donor status (Y99)


M01.3 Allotransplantation of kidney from cadaver NEC
M01.4 Allotransplantation of kidney from cadaver heart beating
M01.5 Allotransplantation of kidney from cadaver heart non-beating
M01.8 Other specified
M01.9 Unspecified

M02 Total excision of kidney
 
M02.1 Nephrectomy and excision of perirenal tissue
  Includes:  Nephroureterectomy and excision of perirenal tissue


M02.2 Nephroureterectomy NEC
M02.3 Bilateral nephrectomy
M02.4 Excision of half of horseshoe kidney
M02.5 Nephrectomy NEC
M02.6 Excision of rejected transplanted kidney
M02.7 Excision of transplanted kidney NEC
M02.8 Other specified
M02.9 Unspecified

M03 Partial excision of kidney
 
M03.1 Heminephrectomy of duplex kidney
M03.2 Division of isthmus of horseshoe kidney
M03.8 Other specified
M03.9 Unspecified
  Includes:  Partial nephrectomy NEC



M04 Open extirpation of lesion of kidney
 
M04.1 Deroofing of cyst of kidney
M04.2 Open excision of lesion of kidney NEC
M04.3 Open destruction of lesion of kidney
M04.8 Other specified
M04.9 Unspecified

M05 Open repair of kidney
 
M05.1 Open pyeloplasty
M05.2 Open revision of pyeloplasty
M05.3 Nephropexy
M05.4 Plication of kidney
  Note:  Use an additional code for coincidental translocation of branch of renal artery (L41.5)


M05.5 Repair of laceration of kidney
M05.8 Other specified
M05.9 Unspecified

M06 Incision of kidney
  Includes:  Pelvis of kidney



M06.1 Open removal of calculus from kidney
  Includes:  Nephrolithotomy
Pyelolithotomy

Excludes:  Percutaneous nephrolithotomy (M09.4)


M06.2 Drainage of kidney NEC
  Includes:  Nephrostomy NEC
Insertion of nephrostomy tube NEC

Excludes:  Percutaneous insertion of nephrostomy tube (M13.6)


M06.3 Closure of nephrostomy
M06.4 Code retired - refer to introduction
M06.8 Other specified
M06.9 Unspecified

M07 Therapeutic ureteroscopic operations on kidney
  Excludes:  Nephroscopic percutaneous extraction of calculus of kidney (M09)
Nephroscopic percutaneous lithotripsy of calculus of kidney NEC (M09)
Other therapeutic endoscopic operations on kidney (M10)

Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of kidney (M11.3, M11.9)



M07.1 Ureteroscopic laser fragmentation of calculus of kidney
M07.2 Ureteroscopic extraction of calculus of kidney NEC
M07.8 Other specified
M07.9 Unspecified

M08 Other open operations on kidney
  Includes:  Pelvis of kidney



M08.1 Open biopsy of lesion of kidney
  Includes:  Open biopsy of kidney


M08.2 Open denervation of kidney
M08.3 Exploration of kidney
M08.4 Exploration of transplanted kidney
M08.8 Other specified
M08.9 Unspecified

M09 Therapeutic endoscopic operations on calculus of kidney
  Includes:  Nephroscopic percutaneous extraction of calculus of kidney
Nephroscopic percutaneous lithotripsy of calculus of kidney
Percutaneous lithotripsy of calculus of kidney NEC

Excludes:  Therapeutic ureteroscopic operations on kidney (M07)

Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of kidney (M11.9)



M09.1 Endoscopic ultrasound fragmentation of calculus of kidney
M09.2 Endoscopic electrohydraulic shockwave fragmentation of calculus of kidney
M09.3 Endoscopic laser fragmentation of calculus of kidney
M09.4 Endoscopic extraction of calculus of kidney NEC
  Includes:  Percutaneous nephrolithotomy NEC


M09.8 Other specified
M09.9 Unspecified

M10 Other therapeutic endoscopic operations on kidney
  Excludes:  Therapeutic ureteroscopic operations on kidney (M07)

Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of kidney (M11.9)



M10.1 Endoscopic extirpation of lesion of kidney NEC
  Includes:  Enucleation of lesion of kidney


M10.2 Endoscopic pyeloplasty
M10.3 Endoscopic deroofing of multiple cysts of kidney
M10.4 Endoscopic cryoablation of lesion of kidney
M10.5 Endoscopic endoluminal balloon rupture of stenosis of pelviureteric junction of kidney
M10.8 Other specified
M10.9 Unspecified

M11 Diagnostic endoscopic examination of kidney
 
M11.1 Diagnostic endoscopic examination of kidney and biopsy of lesion of kidney NEC
  Includes:  Diagnostic endoscopic examination of kidney and biopsy of kidney NEC
Endoscopic biopsy of lesion of kidney NEC
Endoscopic biopsy of kidney NEC


M11.2 Diagnostic endoscopic retrograde examination of kidney and biopsy of lesion of kidney
  Includes:  Diagnostic endoscopic retrograde examination of kidney and biopsy of kidney
Endoscopic retrograde biopsy of lesion of kidney
Endoscopic retrograde biopsy of kidney


M11.3 Diagnostic endoscopic retrograde examination of kidney NEC
  Includes:  Ureterorenoscopy NEC


M11.8 Other specified
M11.9 Unspecified
  Includes:  Nephroscopy NEC



M12 Percutaneous studies of upper urinary tract
 
M12.1 Percutaneous pyeloureterodynamics
M12.8 Other specified
M12.9 Unspecified

M13 Percutaneous puncture of kidney
  Includes:  Pelvis of kidney



M13.1 Percutaneous needle biopsy of lesion of kidney
  Includes:  Percutaneous needle biopsy of kidney
Biopsy of lesion of kidney NEC
Biopsy of kidney NEC


M13.2 Percutaneous drainage of kidney
M13.3 Percutaneous aspiration of kidney NEC
M13.4 Percutaneous injection of therapeutic substance into kidney
M13.5 Percutaneous injection of radiocontrast substance into kidney
  Includes:  Antegrade pyelography


M13.6 Percutaneous insertion of nephrostomy tube
M13.7 Percutaneous radiofrequency ablation of lesion of kidney
M13.8 Other specified
M13.9 Unspecified

M14 Extracorporeal fragmentation of calculus of kidney
 
M14.1 Extracorporeal shock wave lithotripsy of calculus of kidney
  Includes:  Shockwave lithotripsy of calculus of kidney


M14.8 Other specified
M14.9 Unspecified

M15 Operations on kidney along nephrostomy tube track
 
M15.1 Nephrostomography
M15.8 Other specified
M15.9 Unspecified

M16 Other operations on kidney
  Excludes:  Renal dialysis (X40.1)



M16.1 Irrigation of kidney
M16.2 Maintenance of drainage tube of kidney
  Includes:  Maintenance of nephrostomy tube


M16.4 Code retired - refer to introduction
M16.5 Removal of nephrostomy tube
M16.8 Other specified
M16.9 Unspecified

M17 Interventions associated with transplantation of kidney
 
M17.1 Live kidney donor screening
M17.2 Pre-transplantation of kidney work-up - recipient
M17.3 Pre-transplantation of kidney work-up - live donor
M17.4 Post-transplantation of kidney examination - recipient
M17.5 Post-transplantation of kidney examination - live donor
M17.8 Other specified
M17.9 Unspecified

M18 Excision of ureter
 
M18.1 Total ureterectomy
  Includes:  Ureterectomy NEC


M18.2 Excision of segment of ureter
M18.3 Secondary ureterectomy
M18.4 Excision of duplex ureter
M18.8 Other specified
M18.9 Unspecified

M19 Urinary diversion
  Note:  Principal category, extended at M24



M19.1 Construction of ileal conduit
  Note:  Use as a supplementary code when associated with concurrent total excision of bladder (M34)


M19.2 Creation of urinary diversion to intestine NEC
  Note:  Use as a supplementary code when associated with concurrent total excision of bladder (M34)


M19.3 Revision of urinary diversion
  Includes:  Revision of ileal conduit
Urinary undiversion


M19.4 Cutaneous ureterostomy NEC
M19.5 Revision of ureterostomy stoma
M19.6 Percutaneous tunnelled kidney to bladder bypass using prosthesis
M19.7 Construction of orthotopic bladder substitute using intestine
  Includes:  Construction of neobladder

Note:  Use as a supplementary code when associated with concurrent total excision of bladder (M34)


M19.8 Other specified
M19.9 Unspecified

M20 Replantation of ureter
 
M20.1 Bilateral replantation of ureter
M20.2 Unilateral replantation of ureter
M20.3 Replantation of ureter after urinary diversion
M20.8 Other specified
M20.9 Unspecified

M21 Other connection of ureter
 
M21.1 Direct anastomosis of ureter to bladder
M21.2 Anastomosis of ureter to bladder using flap of bladder
M21.3 Ileal replacement of ureter
M21.4 Colonic replacement of ureter
M21.5 Revision of anastomosis of ureter NEC
M21.6 Ureteroureterostomy
M21.8 Other specified
M21.9 Unspecified

M22 Repair of ureter
 
M22.1 Suture of ureter
M22.2 Removal of ligature from ureter
M22.3 Closure of ureteric fistula
M22.8 Other specified
M22.9 Unspecified

M23 Incision of ureter
 
M23.1 Open ureterolithotomy
M23.8 Other specified
M23.9 Unspecified

M24 Other urinary diversion
  Note:  Principal M19



M24.1 Construction of continent catheterisable intestinal pouch NEC
  Includes:  Construction of continent catheterisable urinary diversion NEC
Construction of continent catheterisable urinary reservoir NEC

Note:  Use as a supplementary code when associated with concurrent total excision of bladder (M34)


M24.2 Construction of continent catheterisable intestinal pouch with continent cystostomy NEC
  Includes:  Construction of continent catheterisable urinary diversion with continent cystostomy NEC
Construction of continent catheterisable urinary reservoir with continent cystostomy NEC

Note:  Use as a supplementary code when associated with concurrent total excision of bladder (M34)


M24.3 Construction of continent catheterisable intestinal pouch with continent cystostomy using appendix
  Includes:  Construction of continent catheterisable urinary diversion with continent cystostomy using appendix
Construction of continent catheterisable urinary reservoir with continent cystostomy using appendix

Note:  Use as a supplementary code when associated with concurrent total excision of bladder (M34)


M24.4 Construction of continent catheterisable intestinal pouch with continent cystostomy using ileum
  Includes:  Construction of continent catheterisable urinary diversion with continent cystostomy using ileum
Construction of continent catheterisable urinary reservoir with continent cystostomy using ileum

Note:  Use as a supplementary code when associated with concurrent total excision of bladder (M34)


M24.5 Creation of continent cystostomy NEC
M24.6 Creation of continent cystostomy using appendix
  Includes:  Appendicovesicostomy


M24.7 Creation of continent cystostomy using ileum
M24.8 Other specified
M24.9 Unspecified

M25 Other open operations on ureter
 
M25.1 Excision of ureterocele
M25.2 Open excision of lesion of ureter NEC
M25.3 Ureterolysis
M25.4 Open biopsy of lesion of ureter
  Includes:  Open biopsy of ureter


M25.5 Open exploration of ureter
M25.8 Other specified
M25.9 Unspecified

M26 Therapeutic nephroscopic operations on ureter
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9)



M26.1 Nephroscopic laser fragmentation of calculus of ureter
M26.2 Nephroscopic fragmentation of calculus of ureter NEC
M26.3 Nephroscopic extraction of calculus of ureter
M26.4 Nephroscopic insertion of tubal prosthesis into ureter
M26.8 Other specified
M26.9 Unspecified

M27 Therapeutic ureteroscopic operations on ureter
  Includes:  Endoscopic removal of calculus from ureter NEC

Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9)



M27.1 Ureteroscopic laser fragmentation of calculus of ureter
M27.2 Ureteroscopic fragmentation of calculus of ureter NEC
M27.3 Ureteroscopic extraction of calculus of ureter
M27.4 Ureteroscopic insertion of ureteric stent
  Includes:  Ureteroscopic insertion of ureteric stent using guide catheter


M27.5 Ureteroscopic removal of ureteric stent
  Includes:  Ureteroscopic removal of ureteric stent using guide catheter
Ureteroscopic removal of ureteric stent using snare


M27.6 Ureteroscopic endoluminal balloon rupture of stenosis of ureter
M27.7 Ureteroscopic dilation of ureter
M27.8 Other specified
M27.9 Unspecified

M28 Other endoscopic removal of calculus from ureter
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9)



M28.1 Code retired - refer to introduction
M28.2 Code retired - refer to introduction
M28.3 Code retired - refer to introduction
M28.4 Endoscopic catheter drainage of calculus of ureter
M28.5 Endoscopic drainage of calculus of ureter by dilation of ureter
M28.8 Other specified
M28.9 Unspecified

M29 Other therapeutic endoscopic operations on ureter
  Includes:  Therapeutic cystoscopic operations on ureter NEC

Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9)



M29.1 Endoscopic extirpation of lesion of ureter
M29.2 Endoscopic insertion of tubal prosthesis into ureter NEC
  Excludes:  Ureteroscopic insertion of ureteric stent (M27.4)


M29.3 Endoscopic removal of tubal prosthesis from ureter
  Excludes:  Ureteroscopic removal of ureteric stent (M27.5)


M29.4 Endoscopic dilation of ureter
  Excludes:  Ureteroscopic dilation of ureter (M27.7)


M29.5 Endoscopic renewal of tubal prosthesis into ureter
  Excludes:  Ureteroscopic renewal of ureteric stent (M27)


M29.8 Other specified
M29.9 Unspecified

M30 Diagnostic endoscopic examination of ureter
  Note:  Use as a supplementary code when associated with diagnostic endoscopic examination of bladder (M45)



M30.1 Endoscopic retrograde pyelography
M30.2 Endoscopic catheterisation of ureter
M30.3 Endoscopic ureteric urine sampling
M30.4 Nephroscopic ureteroscopy
M30.5 Diagnostic endoscopic examination of ureter and biopsy of lesion of ureter NEC
  Includes:  Diagnostic endoscopic examination of ureter and biopsy of ureter NEC
Endoscopic biopsy of lesion of ureter NEC
Endoscopic biopsy of ureter NEC
Biopsy of lesion of ureter NEC
Biopsy of ureter NEC


M30.6 Diagnostic endoscopic examination of ureter and biopsy of lesion of ureter using rigid ureteroscope
  Includes:  Diagnostic endoscopic examination of ureter and biopsy of ureter using rigid ureteroscope
Endoscopic biopsy of lesion of ureter using rigid ureteroscope
Endoscopic biopsy of ureter using rigid ureteroscope


M30.8 Other specified
M30.9 Unspecified
  Includes:  Ureteroscopy NEC



M31 Extracorporeal fragmentation of calculus of ureter
 
M31.1 Extracorporeal shockwave lithotripsy of calculus of ureter
  Includes:  Shockwave lithotripsy of calculus of ureter


M31.8 Other specified
M31.9 Unspecified

M32 Operations on ureteric orifice
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9)



M32.1 Endoscopic extirpation of lesion of ureteric orifice
M32.2 Endoscopic meatotomy of ureteric orifice
M32.3 Endoscopic injection of inert substance around ureteric orifice
M32.4 Endoscopic dilation of ureteric orifice
M32.5 Endoscopic incision of ureterocele
M32.6 Endoscopic transurethral resection of ureteric orifice
M32.8 Other specified
M32.9 Unspecified

M33 Percutaneous ureteric stent procedures
 
M33.1 Percutaneous insertion of metallic stent into ureter
M33.2 Percutaneous insertion of plastic stent into ureter
M33.3 Percutaneous replacement of metallic stent into ureter
M33.4 Percutaneous replacement of plastic stent into ureter
M33.5 Percutaneous insertion of ureteric stent into ureter NEC
M33.6 Percutaneous removal of ureteric stent from ureter NEC
M33.8 Other specified
M33.9 Unspecified

M34 Total excision of bladder
  Note:  Use a supplementary code for concurrent construction of urinary diversion (M19.-)



M34.1 Cystoprostatectomy
M34.2 Cystourethrectomy
M34.3 Cystectomy NEC
M34.4 Simple cystectomy
M34.8 Other specified
M34.9 Unspecified

M35 Partial excision of bladder
 
M35.1 Diverticulectomy of bladder
M35.8 Other specified
M35.9 Unspecified
  Includes:  Partial cystectomy NEC



M36 Enlargement of bladder
 
M36.1 Caecocystoplasty
M36.2 Ileocystoplasty
M36.3 Colocystoplasty
M36.8 Other specified
M36.9 Unspecified

M37 Other repair of bladder
  Excludes:  Reconstruction of neck of male bladder NEC (M64.6)
Reconstruction of neck of female bladder NEC (M54.2)



M37.1 Cystourethroplasty
M37.2 Repair of vesicocolic fistula
M37.3 Repair of rupture of bladder
M37.4 Closure of exstrophy
M37.5 Repair of fistula of bladder NEC
M37.8 Other specified
M37.9 Unspecified

M38 Open drainage of bladder
 
M38.1 Perineal urethrostomy and drainage of bladder
M38.2 Cystostomy and insertion of suprapubic tube into bladder
M38.3 Cystostomy NEC
  Excludes:  Creation of continent cystostomy (M24.5-M24.7)


M38.8 Other specified
M38.9 Unspecified

M39 Other open operations on contents of bladder
 
M39.1 Open removal of calculus from bladder
M39.2 Open removal of foreign body from bladder
M39.8 Other specified
M39.9 Unspecified

M41 Other open operations on bladder
 
M41.1 Open extirpation of lesion of bladder
M41.2 Creation of vesicovaginal fistula
M41.3 Open transection of bladder
M41.4 Open biopsy of lesion of bladder
  Includes:  Open biopsy of bladder


M41.5 Exploration of bladder
M41.6 Detrusor myotomy
M41.8 Other specified
M41.9 Unspecified

M42 Endoscopic extirpation of lesion of bladder
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)



M42.1 Endoscopic resection of lesion of bladder
M42.2 Endoscopic cauterisation of lesion of bladder
M42.3 Endoscopic destruction of lesion of bladder NEC
M42.8 Other specified
M42.9 Unspecified

M43 Endoscopic operations to increase capacity of bladder
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)



M43.1 Endoscopic transection of bladder
M43.2 Endoscopic hydrostatic distension of bladder
M43.3 Endoscopic overdistension of bladder NEC
M43.4 Endoscopic injection of neurolytic substance into nerve of bladder
M43.8 Other specified
M43.9 Unspecified

M44 Other therapeutic endoscopic operations on bladder
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)



M44.1 Endoscopic lithopaxy
M44.2 Endoscopic extraction of calculus of bladder NEC
M44.3 Endoscopic removal of foreign body from bladder
M44.4 Endoscopic removal of blood clot from bladder
M44.5 Endoscopic removal of mesh from bladder
  Includes:  Endoscopic removal of eroded or exposed mesh from bladder


M44.8 Other specified
M44.9 Unspecified

M45 Diagnostic endoscopic examination of bladder
  Includes:  Prostate (M45.2)

Note:  Use a supplementary code for diagnostic endoscopic examination of ureter (M30)



M45.1 Diagnostic endoscopic examination of bladder and biopsy of lesion of bladder NEC
  Includes:  Diagnostic endoscopic examination of bladder and biopsy of bladder NEC
Endoscopic biopsy of lesion of bladder NEC
Endoscopic biopsy of bladder NEC
Biopsy of lesion of bladder NEC
Biopsy of bladder NEC


M45.2 Diagnostic endoscopic examination of bladder and biopsy of lesion of prostate NEC
  Includes:  Diagnostic endoscopic examination of bladder and biopsy of prostate NEC
Endoscopic biopsy of lesion of prostate NEC
Endoscopic biopsy of prostate NEC


M45.3 Diagnostic endoscopic examination of bladder and biopsy of lesion of bladder using rigid cystoscope
  Includes:  Diagnostic endoscopic examination of bladder and biopsy of bladder using rigid cystoscope
Endoscopic biopsy of lesion of bladder using rigid cystoscope
Endoscopic biopsy of bladder using rigid cystoscope


M45.4 Diagnostic endoscopic examination of bladder and biopsy of lesion of prostate using rigid cystoscope
  Includes:  Diagnostic endoscopic examination of bladder and biopsy of prostate using rigid endoscope
Endoscopic biopsy of lesion of prostate using rigid cystoscope
Endoscopic biopsy of prostate using rigid cystoscope


M45.5 Diagnostic endoscopic examination of bladder using rigid cystoscope
  Includes:  Rigid cystourethroscopy
Rigid cystoscopy


M45.8 Other specified
M45.9 Unspecified
  Includes:  Cystourethroscopy NEC
Cystoscopy NEC



M47 Urethral catheterisation of bladder
  Excludes:  Voiding cystourethrogram (U12.1)
Micturating cystography (M49.6)



M47.1 Urethral irrigation of bladder
  Includes:  Urethral lavage of bladder


M47.2 Change of urethral catheter into bladder
M47.3 Removal of urethral catheter from bladder
M47.4 Urodynamic studies using catheter
  Excludes:  Urodynamics NEC (U26.4)
Urodynamic studies using suprapubic tube (M48.2)


M47.5 Maintenance of urethral catheter in bladder
M47.8 Other specified
M47.9 Unspecified

M48 Operations on bladder
  Note:  Principal M49



M48.1 Suprapubic aspiration of bladder
M48.2 Urodynamic studies using suprapubic tube
  Excludes:  Urodynamics NEC (U26.4)
Urodynamic studies using catheter (M47.4)


M48.8 Other specified
M48.9 Unspecified

M49 Other operations on bladder
  Note:  Principal category, extended at M48



M49.1 Closure of cystostomy
M49.2 Change of suprapubic tube into bladder
M49.3 Removal of suprapubic tube from bladder
M49.4 Introduction of therapeutic substance into bladder
  Includes:  Instillation of therapeutic substance into bladder


M49.5 Injection of therapeutic substance into bladder wall
M49.6 Micturating cystography
  Excludes:  Nuclear cystography (U12.7)


M49.7 High intensity focused ultrasound of bladder
M49.8 Other specified
M49.9 Unspecified

M51 Combined abdominal and vaginal operations to support outlet of female bladder
 
M51.1 Abdominoperineal suspension of urethra
  Includes:  Abdominovaginal suspension of urethra


M51.2 Endoscopic suspension of neck of bladder
M51.3 Insertion of autologous sling
  Includes:  Insertion of autologous fascial sling
Sling on a string
Native tissue sling

Excludes:  Suprapubic sling operation NEC (M52.1)

Note:  Use a subsidiary code to identify harvest of fascia (Y60)


M51.8 Other specified
M51.9 Unspecified

M52 Abdominal operations to support outlet of female bladder
 
M52.1 Suprapubic sling operation NEC
  Excludes:  Insertion of autologous sling (M51.3)


M52.2 Retropubic suspension of neck of bladder
M52.3 Colposuspension of neck of bladder
M52.4 Urethrolysis
M52.8 Other specified
M52.9 Unspecified

M53 Vaginal operations to support outlet of female bladder
  Note:  Principal category, extended at M57



M53.1 Vaginal buttressing of urethra
M53.2 Introduction of biethium bean through vagina
M53.3 Introduction of tension-free vaginal tape
M53.4 Total removal of tension-free vaginal tape
M53.5 Partial removal of tension-free vaginal tape
M53.6 Introduction of transobturator tape
M53.7 Total removal of transobturator tape
M53.8 Other specified
M53.9 Unspecified

M54 Open operations on outlet of female bladder
  Note:  Principal M55



M54.1 Creation of urethrovaginal fistula
M54.2 Reconstruction of neck of female bladder NEC
M54.3 Removal of artificial urinary sphincter from outlet of female bladder
M54.4 Attention to artificial urinary sphincter in outlet of female bladder
M54.8 Other specified
M54.9 Unspecified

M55 Other open operations on outlet of female bladder
  Note:  Principal category, extended at M54



M55.1 Open resection of outlet of female bladder
M55.2 Implantation of artificial urinary sphincter into outlet of female bladder
M55.3 Insertion of prosthetic collar around outlet of female bladder
M55.4 Maintenance of prosthetic collar around outlet of female bladder
M55.5 Removal of prosthetic collar from around outlet of female bladder
M55.6 Insertion of retropubic device for female stress urinary incontinence NEC
  Includes:  Insertion of female adjustable continence therapy balloon


M55.7 Removal of female retropubic device NEC
  Includes:  Removal of female adjustable continence therapy balloon


M55.8 Other specified
M55.9 Unspecified

M56 Therapeutic endoscopic operations on outlet of female bladder
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)



M56.1 Endoscopic resection of outlet of female bladder
M56.2 Endoscopic incision of outlet of female bladder
M56.3 Endoscopic injection of inert substance into outlet of female bladder
M56.4 Endoscopic removal of inert substance from outlet of female bladder
M56.8 Other specified
M56.9 Unspecified

M57 Other vaginal operations to support outlet of female bladder
  Note:  Principal M53



M57.1 Introduction of vaginal tape NEC
M57.2 Total removal of vaginal tape NEC
M57.3 Partial removal of vaginal tape NEC
M57.4 Partial removal of transobturator tape
M57.5 Division of tension-free vaginal tape
M57.6 Division of transobturator tape
M57.7 Division of vaginal tape NEC
M57.8 Other specified
M57.9 Unspecified

M58 Other operations on outlet of female bladder
 
M58.1 Closed urethrotomy of outlet of female bladder
M58.2 Dilation of outlet of female bladder
M58.3 Removal of inert substance from outlet of female bladder
  Excludes:  Endoscopic removal of inert substance from outlet of female bladder (M56.4)


M58.8 Other specified
M58.9 Unspecified

M60 Open operations on outlet of male bladder
  Note:  Principal M64



M60.1 Insertion of male retropubic continence device NEC
  Includes:  Insertion of male adjustable continence therapy balloon


M60.2 Removal of male retropubic device NEC
  Includes:  Removal of male adjustable continence therapy balloon


M60.3 Removal of artificial urinary sphincter from outlet of male bladder
M60.4 Attention to artificial urinary sphincter in outlet of male bladder
M60.5 Total removal of transobturator sling
M60.6 Partial removal of transobturator sling
M60.8 Other specified
M60.9 Unspecified

M61 Open excision of prostate
  Excludes:  Cystoprostatectomy (M34.1)



M61.1 Total excision of prostate and capsule of prostate
M61.2 Retropubic prostatectomy
M61.3 Transvesical prostatectomy
M61.4 Perineal prostatectomy
M61.8 Other specified
M61.9 Unspecified
  Includes:  Prostatectomy NEC



M62 Other open operations on prostate
 
M62.1 Open extirpation of lesion of prostate
M62.2 Open biopsy of lesion of prostate
  Includes:  Open biopsy of prostate


M62.3 Prostatotomy
M62.4 Repair of rectoprostatic fistula
M62.8 Other specified
M62.9 Unspecified

M64 Other open operations on outlet of male bladder
  Note:  Principal category, extended at M60



M64.1 Open resection of outlet of male bladder
M64.2 Implantation of artificial urinary sphincter into outlet of male bladder
M64.3 Insertion of prosthetic collar around outlet of male bladder
M64.4 Maintenance of prosthetic collar around outlet of male bladder
M64.5 Removal of prosthetic collar from around outlet of male bladder
M64.6 Reconstruction of neck of male bladder NEC
M64.7 Introduction of transobturator sling
M64.8 Other specified
M64.9 Unspecified

M65 Endoscopic resection of outlet of male bladder
  Includes:  Endoscopic resection of lesion of outlet of male bladder
Transurethral resection of prostate

Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)
Use a subsidiary code for robotic assisted minimal access approach to body cavity (Y76.5)



M65.1 Endoscopic resection of prostate using electrotome
M65.2 Endoscopic resection of prostate using punch
M65.3 Endoscopic resection of prostate NEC
M65.4 Endoscopic resection of prostate using laser
M65.5 Endoscopic resection of prostate using vapotrode
M65.6 Endoscopic ablation of prostate using steam
M65.8 Other specified
M65.9 Unspecified

M66 Other therapeutic endoscopic operations on outlet of male bladder
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)



M66.1 Endoscopic sphincterotomy of external sphincter of male bladder
M66.2 Endoscopic incision of outlet of male bladder NEC
M66.3 Endoscopic injection of inert substance into outlet of male bladder
M66.4 Endoscopic removal of inert substance from outlet of male bladder
M66.8 Other specified
M66.9 Unspecified

M67 Other therapeutic endoscopic operations on prostate
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)



M67.1 Endoscopic cryotherapy to lesion of prostate
M67.2 Endoscopic destruction of lesion of prostate NEC
M67.3 Endoscopic drainage of prostate
M67.4 Endoscopic removal of calculus from prostate
M67.5 Endoscopic microwave destruction of lesion of prostate
M67.6 Endoscopic radiofrequency ablation of lesion of prostate
  Excludes:  Transurethral radiofrequency needle ablation prostate (M70.7)


M67.8 Other specified
M67.9 Unspecified

M68 Endoscopic insertion of prosthesis into prostate
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)



M68.1 Endoscopic insertion of prostatic stent
M68.2 Endoscopic removal of prostatic stent
M68.3 Endoscopic insertion of prosthesis to compress lobe of prostate
M68.8 Other specified
M68.9 Unspecified

M70 Other operations on outlet of male bladder
  Note:  Principal category, extended at M71



M70.1 Aspiration of prostate NEC
M70.2 Perineal needle biopsy of prostate
  Includes:  Needle biopsy of prostate NEC
Biopsy of prostate NEC


M70.3 Rectal needle biopsy of prostate
M70.4 Balloon dilation of prostate
M70.5 Massage of prostate
M70.6 Radioactive seed implantation into prostate
  Note:  Use an additional code to specify radiotherapy delivery (X65)


M70.7 Transurethral radiofrequency needle ablation of prostate
  Excludes:  Endoscopic radiofrequency ablation of lesion of prostate (M67.6)


M70.8 Other specified
M70.9 Unspecified

M71 Other operations on prostate
  Note:  Principal M70



M71.1 High intensity focused ultrasound of prostate
M71.2 Implantation of radioactive substance into prostate
  Note:  Use an additional code to specify radiotherapy delivery (X65)


M71.8 Other specified
M71.9 Unspecified

M72 Excision of urethra
 
M72.1 Partial urethrectomy
M72.2 Urethrectomy NEC
M72.3 Excision of lesion of urethra NEC
M72.4 Secondary urethrectomy
M72.8 Other specified
M72.9 Unspecified

M73 Repair of urethra
 
M73.1 Repair of hypospadias
M73.2 Repair of epispadias
M73.3 Closure of fistula of urethra
M73.4 Reconstruction of urethra
M73.5 Pull through of urethra
M73.6 Urethroplasty NEC
M73.7 Repair of rupture of urethra NEC
M73.8 Other specified
M73.9 Unspecified

M75 Other open operations on urethra
 
M75.1 Open biopsy of lesion of urethra
  Includes:  Open biopsy of urethra


M75.2 Insertion of prosthesis for compression of bulb of male urethra
M75.3 External urethrotomy
  Note:  Do not use as approach code (Y52.2)


M75.4 Open extraction of calculus from urethra
M75.8 Other specified
M75.9 Unspecified

M76 Therapeutic endoscopic operations on urethra
  Note:  Principal category, extended at M78
It is not necessary to code additionally any mention of examination of urethra (M77.9)



M76.1 Endoscopic extirpation of lesion of urethra
M76.2 Endoscopic removal of foreign body from urethra
M76.3 Optical urethrotomy
M76.4 Endoscopic dilation of urethra
M76.5 Endoscopic destruction of urethral valves
M76.6 Endoscopic insertion of urethral stent
M76.7 Endoscopic removal of urethral stent
M76.8 Other specified
M76.9 Unspecified

M77 Diagnostic endoscopic examination of urethra
 
M77.1 Diagnostic endoscopic examination of urethra and biopsy of lesion of urethra
  Includes:  Diagnostic endoscopic examination of urethra and biopsy of urethra
Endoscopic biopsy of lesion of urethra
Endoscopic biopsy of urethra
Biopsy of lesion of urethra NEC
Biopsy of urethra NEC


M77.8 Other specified
M77.9 Unspecified
  Includes:  Urethroscopy NEC



M78 Other therapeutic endoscopic operations on urethra
  Note:  Principal M76
It is not necessary to code additionally any mention of examination of urethra (M77.9)



M78.1 Endoscopic removal of mesh from urethra
  Includes:  Endoscopic removal of eroded or exposed mesh from urethra


M78.8 Other specified
M78.9 Unspecified

M79 Other operations on urethra
 
M79.1 Bouginage of urethra
M79.2 Dilation of urethra NEC
M79.3 Calibration of urethra
M79.4 Internal urethrotomy NEC
M79.5 Urethrography ascending and descending
M79.6 Urethrography ascending NEC
M79.7 Urethrography descending NEC
M79.8 Other specified
M79.9 Unspecified

M81 Operations on urethral orifice
 
M81.1 Extirpation of lesion of meatus of urethra
M81.2 Meatoplasty of urethra
M81.3 External meatotomy of urethral orifice
M81.4 Dilation of meatus of urethra
M81.8 Other specified
M81.9 Unspecified

M83 Other operations on urinary tract
 
M83.1 Drainage of paravesical abscess
M83.2 Exploration of retropubic space
M83.3 Removal of foreign body from urinary tract NEC
M83.8 Other specified
M83.9 Unspecified

M85 Diagnostic endoscopic examination of urinary diversion
 
M85.1 Endoscopic examination of intestinal conduit
M85.8 Other specified
M85.9 Unspecified

M86 Therapeutic endoscopic operations on urinary diversion
 
M86.1 Endoscopic extraction of calculus of urinary diversion
M86.8 Other specified
M86.9 Unspecified


CHAPTER N
MALE GENITAL ORGANS
(CODES N01-N35)

Excludes:  PROSTATE (Chapter M)
URETHRAL ORIFICE (Chapter M)
OPERATIONS FOR MALE SEXUAL TRANSFORMATION (Chapter X)
OPERATIONS FOR DISORDERS OF SEX DEVELOPMENT (Chapter X)

Note:  Use a subsidiary code for minimal access approach (Y74-Y76)
Use a subsidiary code to identify method of image control (Y53)



N01 Extirpation of scrotum
  Includes:  Skin of scrotum

Note:  Codes from Chapter S may be used to enhance these codes



N01.1 Excision of scrotum
N01.2 Excision of lesion of scrotum
N01.3 Destruction of lesion of scrotum
N01.8 Other specified
N01.9 Unspecified

N03 Other operations on scrotum
  Note at  N01 applies

Includes:  Skin of scrotum

Excludes:  Dermatological non-operative interventions involving the scrotum (N35.1)



N03.1 Biopsy of lesion of scrotum
  Includes:  Biopsy of scrotum


N03.2 Drainage of scrotum
N03.3 Suture of scrotum
N03.4 Exploration of scrotum
N03.5 Removal of foreign body from scrotum
N03.6 Reconstruction of scrotum
N03.8 Other specified
N03.9 Unspecified

N05 Bilateral excision of testes
 
N05.1 Bilateral subcapsular orchidectomy
N05.2 Bilateral orchidectomy NEC
N05.3 Bilateral inguinal orchidectomy
  Includes:  Bilateral inguinal orchidectomy and excision of spermatic cord


N05.8 Other specified
N05.9 Unspecified
  Includes:  Male castration



N06 Other excision of testis
 
N06.1 Subcapsular orchidectomy NEC
N06.2 Excision of aberrant testis
N06.3 Orchidectomy NEC
N06.4 Excision of testicular appendage
N06.5 Division of cremaster
N06.6 Inguinal orchidectomy NEC
  Includes:  Inguinal orchidectomy and excision of spermatic cord NEC


N06.8 Other specified
N06.9 Unspecified

N07 Extirpation of lesion of testis
 
N07.1 Excision of lesion of testis
  Includes:  Excision of hydatid of Morgagni of testis


N07.2 Destruction of lesion of testis
N07.8 Other specified
N07.9 Unspecified

N08 Bilateral placement of testes in scrotum
 
N08.1 Bilateral microvascular transfer of testes to scrotum
N08.2 One stage bilateral orchidopexy NEC
N08.3 First stage bilateral orchidopexy
N08.4 Second stage bilateral orchidopexy
N08.8 Other specified
N08.9 Unspecified

N09 Other placement of testis in scrotum
 
N09.1 Microvascular transfer of testis to scrotum NEC
N09.2 One stage orchidopexy NEC
N09.3 First stage orchidopexy NEC
N09.4 Second stage orchidopexy NEC
N09.8 Other specified
N09.9 Unspecified

N10 Prosthesis of testis
 
N10.1 Insertion of prosthetic replacement for testis
N10.2 Removal of prosthetic replacement for testis
N10.8 Other specified
N10.9 Unspecified

N11 Operations on hydrocele sac
  Excludes:  Correction of hydrocele of infancy (T19.3)



N11.1 Excision of hydrocele sac
N11.2 Plication of hydrocele sac
N11.3 Eversion of hydrocele sac
N11.4 Drainage of hydrocele sac
N11.5 Aspiration of hydrocele sac
  Includes:  Tapping of hydrocele sac


N11.6 Injection sclerotherapy to hydrocele sac
N11.8 Other specified
N11.9 Unspecified

N13 Other operations on testis
  Excludes:  Testicular sperm extraction (N34.6)



N13.1 Drainage of testis
N13.2 Fixation of testis
  Includes:  Tether of testis


N13.3 Reduction of torsion of testis
N13.4 Biopsy of testis
  Includes:  Biopsy of lesion of testis


N13.5 Exploration of testis
N13.6 Removal of foreign body from testis
N13.7 Repair of rupture of testis
N13.8 Other specified
N13.9 Unspecified

N15 Operations on epididymis
 
N15.1 Bilateral epididymectomy
N15.2 Unilateral epididymectomy
N15.3 Excision of lesion of epididymis
  Includes:  Excision of hydatid of Morgagni of epididymis


N15.4 Drainage of epididymis
N15.5 Biopsy of lesion of epididymis
  Includes:  Biopsy of epididymis


N15.6 Aspiration of lesion of epididymis
  Excludes:  Microsurgical epididymal sperm aspiration (N34.4)
Percutaneous epididymal sperm aspiration (N34.5)


N15.7 Epididymovasostomy
N15.8 Other specified
N15.9 Unspecified
  Includes:  Epididymectomy NEC



N17 Excision of vas deferens
 
N17.1 Bilateral vasectomy
  Includes:  Vasectomy NEC


N17.2 Ligation of vas deferens NEC
N17.8 Other specified
N17.9 Unspecified

N18 Repair of spermatic cord
 
N18.1 Reversal of bilateral vasectomy
N18.2 Suture of vas deferens NEC
N18.8 Other specified
N18.9 Unspecified

N19 Operations on varicocele
 
N19.1 Ligation of varicocele
N19.2 Embolisation of varicocele
N19.8 Other specified
N19.9 Unspecified

N20 Other operations on spermatic cord
 
N20.1 Excision of lesion of spermatic cord
  Includes:  Excision of hydatid of Morgagni of spermatic cord


N20.2 Biopsy of spermatic cord
  Includes:  Biopsy of lesion of spermatic cord


N20.3 Drainage of spermatic cord
N20.4 Vasotomy
N20.5 Vasography
N20.8 Other specified
N20.9 Unspecified

N22 Operations on seminal vesicle
 
N22.1 Excision of seminal vesicle
N22.2 Incision of seminal vesicle
N22.3 Seminal vesiculography
N22.4 Transrectal needle biopsy of seminal vesicle
N22.5 Resection of ejaculatory duct
N22.8 Other specified
N22.9 Unspecified

N24 Operations on male perineum
  Includes:  Skin of male perineum (N24.1, N24.2)

Excludes:  Dermatological non-operative interventions involving the male perineum (N35.3)

Note:  Codes from Chapter S may be used to enhance these codes



N24.1 Excision of sweat gland bearing skin of male perineum
N24.2 Operations on skin of male perineum NEC
N24.3 Excision of male periurethral tissue NEC
N24.4 Incision of male periurethral tissue
N24.8 Other specified
N24.9 Unspecified

N26 Amputation of penis
 
N26.1 Total amputation of penis
N26.2 Partial amputation of penis
N26.8 Other specified
N26.9 Unspecified

N27 Extirpation of lesion of penis
  Includes:  Skin of penis

Note:  Codes from Chapter S may be used to enhance these codes



N27.1 Excision of lesion of penis
N27.2 Cauterisation of lesion of penis
N27.3 Destruction of lesion of penis NEC
N27.4 Extracorporeal shockwave lithotripsy to lesion of penis
  Includes:  Shockwave lithotripsy to lesion of penis
Shockwave treatment for Peyronie's disease


N27.8 Other specified
N27.9 Unspecified

N28 Plastic operations on penis
  Note at  N27 applies

Includes:  Skin of penis



N28.1 Construction of penis
N28.2 Reconstruction of penis
N28.3 Plication of corpora of penis
N28.4 Frenuloplasty of penis
N28.5 Correction of chordee of penis
N28.6 Repair of fracture of penis
N28.7 Graft to penis
  Note:  Use a supplementary code for concurrent incision of penis (N32.3)


N28.8 Other specified
N28.9 Unspecified

N29 Prosthesis of penis
 
N29.1 Implantation of prosthesis into penis
N29.2 Attention to prosthesis in penis
N29.8 Other specified
N29.9 Unspecified

N30 Operations on prepuce
  Includes:  Skin of prepuce

Note:  Codes from Chapter S may be used to enhance these codes



N30.1 Prepuceplasty
N30.2 Freeing of adhesions of prepuce
N30.3 Circumcision
N30.4 Dorsal slit of prepuce
  Includes:  Lateral slit of prepuce


N30.5 Stretching of prepuce
N30.6 Manual reduction of prepuce
N30.8 Other specified
N30.9 Unspecified

N32 Other operations on penis
  Note at  N27 applies

Includes:  Skin of penis

Excludes:  Dermatological non-operative interventions involving the penis (N35.2)



N32.1 Biopsy of lesion of penis
  Includes:  Biopsy of penis


N32.2 Drainage of penis
N32.3 Incision of penis NEC
  Includes:  Incision of penis for Peyronie's disease

Note:  Use as a supplementary code when associated with concurrent graft to penis (N28.7)


N32.4 Injection of therapeutic substance into penis
  Includes:  Penile injection to produce erection
Penile injection to deflate priapism


N32.5 Removal of constricting object from penis
N32.6 Operations on penis for erectile dysfunction NEC
  Excludes:  Injection of therapeutic substance into penis for erectile dysfunction (N32.4)


N32.8 Other specified
N32.9 Unspecified

N34 Other operations on male genital tract
  Excludes:  Non-operative interventions to male genitalia (N35)



N34.1 Fertility investigation of male NEC
N34.2 Collection of sperm NEC
N34.3 Male colposcopy
N34.4 Microsurgical epididymal sperm aspiration
N34.5 Percutaneous epididymal sperm aspiration
N34.6 Testicular sperm extraction
N34.8 Other specified
N34.9 Unspecified

N35 Non-operative interventions to male genitalia
 
N35.1 Dermatological non-operative interventions involving the scrotum
N35.2 Dermatological non-operative interventions involving the penis
N35.3 Dermatological non-operative interventions involving the male perineum
N35.8 Other specified
N35.9 Unspecified