CHAPTER V
BONES AND JOINTS OF SKULL AND SPINE
(CODES V01-V70)

Excludes:  BONES AND JOINTS OF SACRUM AND COCCYX (Chapter W)

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



V01 Plastic repair of cranium
  Note:  Principal category, extended at V02
Use an additional code for application of distractors or springs (V18)



V01.1 Cranioplasty using prosthesis
V01.2 Cranioplasty using bone graft
  Note:  Use an additional code for associated removal of autologous bone flap from subcutaneous storage pocket (S63.3)


V01.3 Opening of suture of cranium
V01.4 Removal of prosthesis from cranium
V01.5 Revision of cranioplasty NEC
V01.6 Strip craniectomy
V01.7 Strip craniectomy with remodelling of cranial bones HFQ
V01.8 Other specified
V01.9 Unspecified

V02 Other plastic repair of cranium
  Note:  Principal V01
Use an additional code for application of distractors or springs (V18)



V02.1 Posterior calvarial release
V02.2 Remodelling of calvarium HFQ
V02.3 Reconstruction of cranium NEC
V02.8 Other specified
V02.9 Unspecified

V03 Opening of cranium
  Note:  Do not use as approach code (Y46, Y47)



V03.1 Exploratory open craniotomy
  Includes:  Open craniotomy


V03.2 Reopening of cranium and re-exploration of intracranial operation site and surgical arrest of postoperative bleeding
V03.3 Reopening of cranium and re-exploration of intracranial operation site NEC
V03.4 Reopening of cranium NEC
V03.5 Trephine of cranium
V03.6 Exploratory burrhole of cranium
V03.7 Decompressive craniectomy
  Includes:  Excision of cranial bone flap for relief of intracranial pressure

Note:  Use an additional code when associated with creation of subcutaneous storage pocket and placement of autologous bone flap (S63.2)


V03.8 Other specified
V03.9 Unspecified
  Includes:  Exploratory craniotomy NEC
Craniotomy NEC
Craniectomy NEC



V04 Reshaping of cranium
 
V04.1 Fitting dynamic cranioplasty bands
V04.8 Other specified
V04.9 Unspecified

V05 Other operations on cranium
 
V05.1 Extirpation of lesion of cranium
V05.2 Biopsy of lesion of cranium
  Includes:  Biopsy of cranium


V05.3 Elevation of depressed fracture of cranium
V05.4 Repair of fracture of cranium NEC
V05.5 Graft of bone to cranium
V05.6 Transpetrous excision of lesion of jugular foramen
V05.7 Hemicraniotomy
V05.8 Other specified
V05.9 Unspecified

V06 Excision of maxilla
 
V06.1 Medial maxillectomy
V06.8 Other specified
V06.9 Unspecified
  Includes:  Maxillectomy



V07 Excision of bone of face
 
V07.1 Extensive excision of bone of face
V07.2 Partial excision of bone of face NEC
V07.3 Excision of lesion of bone of face
  Excludes:  Excision of dental lesion of maxilla (F18)


V07.4 Excision of lesion of infratemporal fossa
V07.8 Other specified
V07.9 Unspecified

V08 Reduction of fracture of maxilla
 
V08.1 Reduction of fracture of alveolus of maxilla
V08.2 Open reduction of fracture of maxilla NEC
V08.3 Closed reduction of fracture of maxilla NEC
V08.8 Other specified
V08.9 Unspecified

V09 Reduction of fracture of other bone of face
  Excludes:  Fracture of orbit (C08)



V09.1 Reduction of fracture of nasoethmoid complex of bones
V09.2 Reduction of fracture of nasal bone NEC
  Includes:  Reduction of fracture of nose


V09.3 Reduction of fracture of zygomatic complex of bones
V09.8 Other specified
V09.9 Unspecified

V10 Division of bone of face
  Note:  Use an additional code for application of distractors or springs (V18)



V10.1 Intracranial osteotomy of bone of face
V10.2 Transorbital subcranial osteotomy of bone of face
V10.3 Osteotomy of maxilla involving nasal complex
V10.4 Low level osteotomy of maxilla
  Includes:  Osteotomy of maxilla NEC

Note:  Use an additional code when associated with surgically assisted expansion of palate using orthodontic appliance (F32.7)


V10.5 Osteotomy of alveolar segment of maxilla
  Includes:  Dentoalveolar level osteotomy of maxilla


V10.6 Osteotomy of bones of face and translocation of orbit
V10.7 Subcranial U-osteotomy of bones of face and translocation of orbit
V10.8 Other specified
V10.9 Unspecified

V11 Fixation of bone of face
  Includes:  Fixator of bone of face



V11.1 Intermaxillary fixation of maxilla
V11.2 Internal fixation of maxilla NEC
V11.3 Extraoral fixation of maxilla
V11.4 Fixation of maxilla NEC
V11.5 Removal of fixation from bone of face
V11.8 Other specified
V11.9 Unspecified

V12 Operations on bones of skull
 
V12.1 Advancement and remodelling of cranium and orbits HFQ
  Note:  Use an additional code for application of distractors or springs (V18)


V12.2 Advancement and remodelling of cranium and facial bones HFQ
  Note:  Use an additional code for application of distractors or springs (V18)


V12.3 Transcranial repair of craniofacial cleft and reconstruction of cranial and facial bones HFQ
  Excludes:  Correction of cleft lip (F03)
Correction of cleft palate (F29)


V12.4 Subcranial repair of craniofacial cleft and reconstruction of cranial and facial bones HFQ
  Excludes:  Correction of cleft lip (F03)
Correction of cleft palate (F29)


V12.5 Reconstruction of skull NEC
  Includes:  Skull base

Excludes:  Reconstruction of cranium NEC (V02.3)


V12.8 Other specified
V12.9 Unspecified

V13 Other operations on bone of face
 
V13.1 Reconstruction of bone of face
V13.2 Alveolar bone graft to maxilla
V13.3 Biopsy of lesion of bone of face
  Includes:  Biopsy of bone of face


V13.4 Bipartition of facial bones and maxilla
  Includes:  Bipartition and advancement of facial bones and maxilla

Note:  Use an additional code for application of distractors or springs (V18)


V13.8 Other specified
V13.9 Unspecified

V14 Excision of mandible
  Includes:  Jaw NEC



V14.1 Hemimandibulectomy
V14.2 Extensive excision of mandible NEC
V14.3 Partial excision of mandible NEC
  Includes:  Limited excision of mandible NEC


V14.4 Excision of lesion of mandible
  Excludes:  Excision of dental lesion of mandible (F18)


V14.8 Other specified
V14.9 Unspecified
  Includes:  Mandibulectomy NEC



V15 Reduction of fracture of mandible
  Includes:  Jaw NEC



V15.1 Reduction of fracture of alveolus of mandible
V15.2 Open reduction of fracture of mandible NEC
V15.3 Closed reduction of fracture of mandible NEC
V15.8 Other specified
V15.9 Unspecified

V16 Division of mandible
  Includes:  Jaw NEC



V16.1 Osteotomy of mandible and advancement of mandible
V16.2 Osteotomy of mandible and retrusion of mandible
V16.3 Osteotomy of alveolar segment of mandible
  Includes:  Dentoalveolar level osteotomy of mandible


V16.8 Other specified
V16.9 Unspecified

V17 Fixation of mandible
  Includes:  Fixator of mandible
Jaw NEC



V17.1 Intermaxillary fixation of mandible
V17.2 Internal fixation of mandible NEC
V17.3 Extraoral fixation of mandible
V17.4 Removal of fixation from mandible
V17.8 Other specified
V17.9 Unspecified

V18 Distraction osteogenesis of bones of skull
 
V18.1 Application of external distractor to skull
V18.2 Insertion of internal distractor into skull
V18.3 Attention to external distractor of skull
V18.4 Attention to internal distractor of skull
V18.5 Removal of external distractor from skull
V18.6 Removal of internal distractor from skull
V18.8 Other specified
V18.9 Unspecified

V19 Other operations on mandible
  Includes:  Jaw NEC



V19.1 Reconstruction of mandible
V19.2 Genioplasty of mandible
V19.3 Alveolar bone graft to mandible
V19.4 Biopsy of lesion of mandible
  Includes:  Biopsy of mandible


V19.5 Manipulation of mandible NEC
V19.8 Other specified
V19.9 Unspecified

V20 Reconstruction of temporomandibular joint
 
V20.1 Total prosthetic replacement of temporomandibular joint
V20.2 Prosthetic replacement of temporomandibular joint NEC
V20.3 Intra-articular arthroplasty of temporomandibular joint
V20.8 Other specified
V20.9 Unspecified
  Includes:  Arthroplasty of temporomandibular joint NEC



V21 Other operations on temporomandibular joint
 
V21.1 Meniscectomy of temporomandibular joint
  Includes:  Discectomy of temporomandibular joint


V21.2 Reduction of dislocation of temporomandibular joint
V21.8 Other specified
V21.9 Unspecified

V22 Primary decompression operations on cervical spine
  Includes:  Decompression operations on cervical spine NEC

Note:  Principal category, extended at V69
Use an additional code to specify levels of spine (V55)



V22.1 Primary anterior decompression of cervical spinal cord and fusion of joint of cervical spine
V22.2 Primary anterior decompression of cervical spinal cord NEC
V22.3 Primary foraminotomy of cervical spine
V22.4 Primary anterior corpectomy of cervical spine with reconstruction HFQ
V22.5 Primary decompression of posterior fossa and upper cervical spinal cord and instrumentation
V22.6 Primary decompression of posterior fossa and upper cervical spinal cord NEC
V22.7 Primary laminoplasty of cervical spine
V22.8 Other specified
V22.9 Unspecified

V23 Revisional decompression operations on cervical spine
  Note:  Principal category, extended at V70
Use an additional code to specify levels of spine (V55)



V23.1 Revisional anterior decompression of cervical spinal cord and fusion of joint of cervical spine
V23.2 Revisional anterior decompression of cervical spinal cord NEC
V23.3 Revisional foraminotomy of cervical spine
V23.4 Revisional anterior corpectomy of cervical spine with reconstruction HFQ
V23.5 Revisional decompression of posterior fossa and upper cervical spinal cord and instrumentation
V23.6 Revisional decompression of posterior fossa and upper cervical spinal cord NEC
V23.7 Revisional laminoplasty of cervical spine
V23.8 Other specified
V23.9 Unspecified

V24 Decompression operations on thoracic spine
  Note:  Use an additional code to specify levels of spine (V55)



V24.1 Primary decompression of thoracic spinal cord and fusion of joint of thoracic spine
  Includes:  Decompression of thoracic spinal cord and fusion of joint of thoracic spine


V24.2 Primary decompression of thoracic spinal cord NEC
  Includes:  Decompression of thoracic spinal cord NEC


V24.3 Revisional decompression of thoracic spinal cord NEC
V24.4 Primary anterior corpectomy of thoracic spine and reconstruction HFQ
  Includes:  Anterior corpectomy of thoracic spine and reconstruction HFQ


V24.5 Revisional anterior corpectomy of thoracic spine and reconstruction HFQ
V24.6 Primary posterior laminectomy decompression of thoracic spine
V24.7 Revisional posterior laminectomy decompression of thoracic spine
V24.8 Other specified
V24.9 Unspecified

V25 Primary decompression operations on lumbar spine
  Includes:  Decompression operations on lumbar spine NEC

Excludes:  Primary insertion of lumbar interspinous process spacer (V28.1)

Note:  Principal category, extended at V67
Use an additional code to specify levels of spine (V55)



V25.1 Primary extended decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V25.2 Primary extended decompression of lumbar spine NEC
V25.3 Primary posterior decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V25.4 Primary posterior laminectomy decompression of lumbar spine
V25.5 Primary posterior decompression of lumbar spine NEC
V25.6 Primary lateral foraminotomy of lumbar spine
V25.7 Primary anterior corpectomy of lumbar spine and reconstruction HFQ
V25.8 Other specified
V25.9 Unspecified

V26 Revisional decompression operations on lumbar spine
  Excludes:  Revisional insertion of lumbar interspinous process spacer (V28.2)

Note:  Principal category, extended at V68
Use an additional code to specify levels of spine (V55)



V26.1 Revisional extended decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V26.2 Revisional extended decompression of lumbar spine NEC
V26.3 Revisional posterior decompression of lumbar spine and intertransverse fusion of joint of lumbar spine
V26.4 Revisional posterior laminectomy decompression of lumbar spine
V26.5 Revisional posterior decompression of lumbar spine NEC
V26.6 Revisional lateral foraminotomy of lumbar spine
V26.7 Revisional anterior corpectomy of lumbar spine and reconstruction HFQ
V26.8 Other specified
V26.9 Unspecified

V27 Decompression operations on unspecified spine
  Note:  Use an additional code to specify levels of spine (V55)



V27.1 Primary decompression of spinal cord and fusion of joint of spine NEC
  Includes:  Decompression of spinal cord and fusion of joint of spine NEC


V27.2 Primary decompression of spinal cord NEC
  Includes:  Decompression of spinal cord NEC


V27.3 Revisional decompression of spinal cord NEC
V27.8 Other specified
V27.9 Unspecified

V28 Insertion of lumbar interspinous process spacer
  Note:  Use an additional code to specify levels of spine (V55)



V28.1 Primary insertion of lumbar interspinous process spacer
V28.2 Revisional insertion of lumbar interspinous process spacer
V28.8 Other specified
V28.9 Unspecified

V29 Primary excision of cervical intervertebral disc
  Includes:  Excision of cervical intervertebral disc NEC

Note:  Use an additional code to specify level of spine (V55)



V29.1 Primary laminectomy excision of cervical intervertebral disc
V29.2 Primary hemilaminectomy excision of cervical intervertebral disc
V29.3 Primary fenestration excision of cervical intervertebral disc
V29.4 Primary anterior excision of cervical intervertebral disc and interbody fusion of joint of cervical spine
V29.5 Primary anterior excision of cervical intervertebral disc NEC
V29.6 Primary microdiscectomy of cervical intervertebral disc
V29.8 Other specified
V29.9 Unspecified

V30 Revisional excision of cervical intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V30.1 Revisional laminectomy excision of cervical intervertebral disc
V30.2 Revisional hemilaminectomy excision of cervical intervertebral disc
V30.3 Revisional fenestration excision of cervical intervertebral disc
V30.4 Revisional anterior excision of cervical intervertebral disc and interbody fusion of joint of cervical spine
V30.5 Revisional anterior excision of cervical intervertebral disc NEC
V30.6 Revisional microdiscectomy of cervical intervertebral disc
V30.8 Other specified
V30.9 Unspecified

V31 Primary excision of thoracic intervertebral disc
  Includes:  Excision of thoracic intervertebral disc NEC

Note:  Use an additional code to specify levels of spine (V55)



V31.1 Primary anterolateral excision of thoracic intervertebral disc and graft HFQ
V31.2 Primary anterolateral excision of thoracic intervertebral disc NEC
V31.3 Primary costotransversectomy of thoracic intervertebral disc
V31.4 Primary percutaneous endoscopic excision of thoracic intervertebral disc
V31.8 Other specified
V31.9 Unspecified

V32 Revisional excision of thoracic intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V32.1 Revisional anterolateral excision of thoracic intervertebral disc and graft HFQ
V32.2 Revisional anterolateral excision of thoracic intervertebral disc NEC
V32.3 Revisional costotransversectomy of thoracic intervertebral disc
V32.4 Revisional percutaneous endoscopic excision of thoracic intervertebral disc
V32.8 Other specified
V32.9 Unspecified

V33 Primary excision of lumbar intervertebral disc
  Includes:  Excision of lumbar intervertebral disc NEC

Note:  Principal category, extended at V51
Use an additional code to specify levels of spine (V55)



V33.1 Primary laminectomy excision of lumbar intervertebral disc
V33.2 Primary fenestration excision of lumbar intervertebral disc
V33.3 Primary anterior excision of lumbar intervertebral disc and interbody fusion of joint of lumbar spine
V33.4 Primary anterior excision of lumbar intervertebral disc NEC
V33.5 Primary anterior excision of lumbar intervertebral disc and posterior graft fusion of joint of lumbar spine
V33.6 Primary anterior excision of lumbar intervertebral disc and posterior instrumentation of lumbar spine
V33.7 Primary microdiscectomy of lumbar intervertebral disc
V33.8 Other specified
  Includes:  Primary posterior excision of lumbar intervertebral disc


V33.9 Unspecified

V34 Revisional excision of lumbar intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V34.1 Revisional laminectomy excision of lumbar intervertebral disc
V34.2 Revisional fenestration excision of lumbar intervertebral disc
V34.3 Revisional anterior excision of lumbar intervertebral disc and interbody fusion of joint of lumbar spine
V34.4 Revisional anterior excision of lumbar intervertebral disc NEC
V34.5 Revisional anterior excision of lumbar intervertebral disc and posterior graft fusion of joint of lumbar spine
V34.6 Revisional anterior excision of lumbar intervertebral disc and posterior instrumentation of lumbar spine
V34.7 Revisional microdiscectomy of lumbar intervertebral disc
V34.8 Other specified
  Includes:  Revisional posterior excision of lumbar intervertebral disc


V34.9 Unspecified

V35 Excision of unspecified intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V35.1 Primary excision of intervertebral disc NEC
  Includes:  Excision of intervertebral disc NEC


V35.2 Revisional excision of intervertebral disc NEC
V35.8 Other specified
V35.9 Unspecified

V36 Prosthetic replacement of intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V36.1 Prosthetic replacement of cervical intervertebral disc
V36.2 Prosthetic replacement of thoracic intervertebral disc
V36.3 Prosthetic replacement of lumbar intervertebral disc
V36.8 Other specified
V36.9 Unspecified

V37 Primary fusion of joint of cervical spine
  Includes:  Fusion of joint of cervical spine NEC
Fusion of joint of cervical spine for stabilisation

Note:  Use an additional code to specify levels of spine (V55)



V37.1 Posterior fusion of atlantoaxial joint NEC
V37.2 Posterior fusion of joint of cervical spine NEC
V37.3 Transoral fusion of atlantoaxial joint
V37.4 Fusion of atlanto-occipital joint
V37.5 Posterior fusion of atlantoaxial joint using transarticular screw
V37.6 Posterior fusion of atlantoaxial joint using pedicle screw
V37.7 Fusion of occipitocervical junction NEC
V37.8 Other specified
V37.9 Unspecified

V38 Primary fusion of other joint of spine
  Includes:  Fusion of joint of spine NEC
Unspecified spine
Fusion of joint of spine for stabilisation

Note:  Use an additional code to specify levels of spine (V55)



V38.1 Primary fusion of joint of thoracic spine
V38.2 Primary posterior interlaminar fusion of joint of lumbar spine
V38.3 Primary posterior fusion of joint of lumbar spine NEC
  Includes:  Primary posterior interspinous fusion of lumbar spine


V38.4 Primary intertransverse fusion of joint of lumbar spine NEC
V38.5 Primary posterior interbody fusion of joint of lumbar spine
V38.6 Primary transforaminal interbody fusion of joint of lumbar spine
V38.8 Other specified
V38.9 Unspecified

V39 Revisional fusion of joint of spine
  Includes:  Revisional fusion of joint of spine for stabilisation

Note:  Principal category, extended at V66
Use an additional code to specify levels of spine (V55)



V39.1 Revisional fusion of joint of cervical spine NEC
V39.2 Revisional fusion of joint of thoracic spine
V39.3 Revisional posterior interlaminar fusion of joint of lumbar spine
V39.4 Revisional posterior fusion of joint of lumbar spine NEC
  Includes:  Revisional posterior interspinous fusion of lumbar spine


V39.5 Revisional intertransverse fusion of joint of lumbar spine NEC
V39.6 Revisional posterior interbody fusion of joint of lumbar spine
V39.7 Revisional transforaminal interbody fusion of joint of lumbar spine
V39.8 Other specified
V39.9 Unspecified

V40 Stabilisation of spine
  Note:  Use an additional code to specify levels of spine (V55)



V40.1 Non-rigid stabilisation of spine
  Excludes:  Fusion of spine for stabilisation (V37-V39)


V40.2 Posterior instrumented fusion of cervical spine NEC
V40.3 Posterior instrumented fusion of thoracic spine NEC
V40.4 Posterior instrumented fusion of lumbar spine NEC
V40.5 Removal of instrumentation from spine
  Excludes:  Removal of fixation device from spine (V46.5)


V40.8 Other specified
V40.9 Unspecified

V41 Instrumental correction of deformity of spine
  Excludes:  Implantation of vertical expanding prosthetic titanium rib (O09.1 (W))

Note:  Use an additional code to specify levels of spine (V55)



V41.1 Posterior attachment of correctional instrument to spine
V41.2 Anterior attachment of correctional instrument to spine
V41.3 Removal of correctional instrument from spine
V41.4 Anterior and posterior attachment of correctional instrument to spine
V41.5 Posterior attachment of spinal growing system
  Excludes:  Posterior attachment of correctional instrument to spine (V41.1)


V41.6 Attention to spinal growing system
V41.7 Surgical distraction of spinal growing system
V41.8 Other specified
V41.9 Unspecified

V42 Other correction of deformity of spine
  Note:  Use an additional code to specify levels of spine (V55)



V42.1 Excision of rib hump
V42.2 Epiphysiodesis of spinal apophyseal joint for correction of deformity
V42.3 Anterolateral release of spine for correction of deformity and graft HFQ
V42.4 Anterior and posterior epiphysiodesis of spine for correction of deformity
V42.5 Anterior epiphysiodesis of spine for correction of deformity NEC
V42.6 Posterior epiphysiodesis of spine for correction of deformity NEC
V42.8 Other specified
V42.9 Unspecified

V43 Extirpation of lesion of spine
  Note:  Use an additional code to specify levels of spine (V55)



V43.1 Excision of lesion of cervical vertebra
V43.2 Excision of lesion of thoracic vertebra
V43.3 Excision of lesion of lumbar vertebra
V43.8 Other specified
V43.9 Unspecified

V44 Decompression of fracture of spine
  Note:  Use an additional code to specify levels of spine (V55)



V44.1 Complex decompression of fracture of spine
V44.2 Anterior decompression of fracture of spine
V44.3 Posterior decompression of fracture of spine NEC
V44.4 Vertebroplasty of fracture of spine NEC
  Excludes:  Vertebroplasty with augmentation of fracture of spine using intravertebral implant (V44.6)


V44.5 Balloon kyphoplasty of fracture of spine
V44.6 Augmentation vertebroplasty of fracture of spine using intravertebral implant
  Includes:  Insertion of intravertebral implant with cement for fracture of spine


V44.8 Other specified
V44.9 Unspecified

V45 Other reduction of fracture of spine
  Note:  Use an additional code to specify levels of spine (V55)



V45.1 Open reduction of fracture of spine and excision of facet of spine
V45.2 Open reduction of fracture of spine NEC
V45.3 Manipulative reduction of fracture of spine
V45.8 Other specified
V45.9 Unspecified

V46 Fixation of fracture of spine
  Note:  Use an additional code to specify levels of spine (V55)



V46.1 Fixation of fracture of spine using plate
V46.2 Fixation of fracture of spine using Harrington rod
V46.3 Fixation of fracture of spine using wire
V46.4 Fixation of fracture of spine and skull traction HFQ
V46.5 Removal of fixation device from spine
  Excludes:  Removal of instrumentation from spine (V40.5)


V46.6 Fixation of fracture of spine using screw
V46.8 Other specified
V46.9 Unspecified

V47 Biopsy of spine
  Includes:  Biopsy of lesion of spine

Note:  Use an additional code to specify levels of spine (V55)



V47.1 Biopsy of cervical vertebra
V47.2 Biopsy of thoracic vertebra
V47.3 Biopsy of lumbar vertebra
V47.8 Other specified
V47.9 Unspecified

V48 Denervation of spinal facet joint of vertebra
  Note:  Use an additional code to specify levels of spine (V55)



V48.1 Radiofrequency controlled thermal denervation of spinal facet joint of cervical vertebra
V48.2 Denervation of spinal facet joint of cervical vertebra NEC
V48.3 Radiofrequency controlled thermal denervation of spinal facet joint of thoracic vertebra
V48.4 Denervation of spinal facet joint of thoracic vertebra NEC
V48.5 Radiofrequency controlled thermal denervation of spinal facet joint of lumbar vertebra
V48.6 Denervation of spinal facet joint of lumbar vertebra NEC
V48.7 Radiofrequency controlled thermal denervation of spinal facet joint of vertebra NEC
V48.8 Other specified
V48.9 Unspecified

V49 Exploration of spine
  Note:  Do not use as approach code (Y48-Y50)
Use an additional code to specify levels of spine (V55)



V49.1 Exploratory cervical laminectomy
V49.2 Exploratory thoracic laminectomy
V49.3 Exploratory lumbar laminectomy
V49.4 Exploratory laminectomy NEC
V49.5 Transthoracic exploration of spine
V49.6 Transperitoneal exploration of spine
V49.8 Other specified
V49.9 Unspecified

V50 Manipulation of spine
  Note:  Use an additional code to specify levels of spine (V55)



V50.1 Manipulation of spine using traction
V50.8 Other specified
V50.9 Unspecified

V51 Other primary excision of lumbar intervertebral disc
  Includes:  Excision of lumbar intervertebral disc NEC

Note:  Principal V33
Use an additional code to specify levels of spine (V55)



V51.1 Primary direct lateral excision of lumbar intervertebral disc and interbody fusion of joint of lumbar spine
V51.8 Other specified
V51.9 Unspecified

V52 Other operations on intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V52.1 Enzyme destruction of intervertebral disc
V52.2 Destruction of intervertebral disc NEC
  Excludes:  Primary percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc (V62)
Revisional percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc (V63)


V52.3 Discography of intervertebral disc
V52.4 Biopsy of lesion of intervertebral disc NEC
  Includes:  Biopsy of intervertebral disc NEC


V52.5 Aspiration of intervertebral disc NEC
V52.8 Other specified
V52.9 Unspecified

V54 Other operations on spine
  Note:  Use an additional code to specify levels of spine (V55)



V54.1 Transoral excision of odontoid process of axis
V54.2 Graft of bone to spine NEC
V54.3 Osteotomy of spine NEC
V54.4 Injection around spinal facet of spine
V54.8 Other specified
V54.9 Unspecified

V55 Levels of spine
  Note:  Codes in this category are not intended as primary codes. They represent the number of levels operated upon not the anatomical region of the spine



V55.1 One level of spine
V55.2 Two levels of spine
V55.3 Greater than two levels of spine
V55.8 Other specified
V55.9 Unspecified

V56 Primary foraminoplasty of spine
  Includes:  Foraminoplasty of spine NEC

Note:  Use an additional code to specify levels of spine (V55)



V56.1 Primary laser foraminoplasty of cervical spine
V56.2 Primary laser foraminoplasty of thoracic spine
V56.3 Primary laser foraminoplasty of lumbar spine
V56.4 Primary laser foraminoplasty of spine NEC
V56.8 Other specified
V56.9 Unspecified

V57 Revisional formaminoplasty of spine
  Note:  Use an additional code to specify levels of spine (V55)



V57.1 Revisional laser foraminoplasty of cervical spine
V57.2 Revisional laser foraminoplasty of thoracic spine
V57.3 Revisional laser foraminoplasty of lumbar spine
V57.4 Revisional laser foraminoplasty of spine NEC
V57.8 Other specified
V57.9 Unspecified

V58 Primary automated percutaneous mechanical excision of intervertebral disc
  Includes:  Automated percutaneous mechanical excision of intervertebral disc NEC

Note:  Use an additional code to specify levels of spine (V55)



V58.1 Primary automated percutaneous mechanical excision of cervical intervertebral disc
V58.2 Primary automated percutaneous mechanical excision of thoracic intervertebral disc
V58.3 Primary automated percutaneous mechanical excision of lumbar intervertebral disc
V58.8 Other specified
V58.9 Unspecified

V59 Revisional automated percutaneous mechanical excision of intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V59.1 Revisional automated percutaneous mechanical excision of cervical intervertebral disc
V59.2 Revisional automated percutaneous mechanical excision of thoracic intervertebral disc
V59.3 Revisional automated percutaneous mechanical excision of lumbar intervertebral disc
V59.8 Other specified
V59.9 Unspecified

V60 Primary percutaneous decompression using coblation to intervertebral disc
  Includes:  Percutaneous decompression using coblation to intervertebral disc NEC

Note:  Use an additional code to specify levels of spine (V55)



V60.1 Primary percutaneous decompression using coblation to cervical intervertebral disc
V60.2 Primary percutaneous decompression using coblation to thoracic intervertebral disc
V60.3 Primary percutaneous decompression using coblation to lumbar intervertebral disc
V60.8 Other specified
V60.9 Unspecified

V61 Revisional percutaneous decompression using coblation to intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V61.1 Revisional percutaneous decompression using coblation to cervical intervertebral disc
V61.2 Revisional percutaneous decompression using coblation to thoracic intervertebral disc
V61.3 Revisional percutaneous decompression using coblation to lumbar intervertebral disc
V61.8 Other specified
V61.9 Unspecified

V62 Primary percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc
  Includes:  Percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc NEC

Note:  Use an additional code to specify levels of spine (V55)



V62.1 Primary percutaneous intradiscal radiofrequency thermocoagulation to cervical intervertebral disc
V62.2 Primary percutaneous intradiscal radiofrequency thermocoagulation to thoracic intervertebral disc
V62.3 Primary percutaneous intradiscal radiofrequency thermocoagulation to lumbar intervertebral disc
V62.8 Other specified
V62.9 Unspecified

V63 Revisional percutaneous intradiscal radiofrequency thermocoagulation to intervertebral disc
  Note:  Use an additional code to specify levels of spine (V55)



V63.1 Revisional percutaneous intradiscal radiofrequency thermocoagulation to cervical intervertebral disc
V63.2 Revisional percutaneous intradiscal radiofrequency thermocoagulation to thoracic intervertebral disc
V63.3 Revisional percutaneous intradiscal radiofrequency thermocoagulation to lumbar intervertebral disc
V63.8 Other specified
V63.9 Unspecified

V66 Other revisional fusion of joint of spine
  Includes:  Revisional fusion of joint of spine for stabilisation

Note:  Principal V39
Use an additional code to specify levels of spine (V55)



V66.1 Revisional fusion of occipitocervical junction
V66.2 Revisional posterior fusion of atlantoaxial joint using transarticular screw
V66.3 Revisional posterior fusion of atlantoaxial joint using pedicle screw
V66.4 Revisional posterior fusion of atlantoaxial joint NEC
V66.8 Other specified
V66.9 Unspecified

V67 Other primary decompression operations on lumbar spine
  Includes:  Decompression operations on lumbar spine NEC

Excludes:  Primary insertion of lumbar interspinous process spacer (V28.1)

Note:  Principal V25
Use an additional code to specify levels of spine (V55)



V67.1 Primary posterior lumbar medial facetectomy
V67.2 Primary hemilaminectomy decompression of lumbar spine
V67.8 Other specified
V67.9 Unspecified

V68 Other revisional decompression operations on lumbar spine
  Excludes:  Revisional insertion of lumbar interspinous process spacer (V28.2)

Note:  Principal V26
Use an additional code to specify levels of spine (V55)



V68.1 Revisional posterior lumbar medial facetectomy
V68.2 Revisional hemilaminectomy decompression of lumbar spine
V68.8 Other specified
V68.9 Unspecified

V69 Other primary decompression operations on cervical spine
  Note:  Principal V22
Use an additional code to specify levels of spine (V55)



V69.1 Primary posterior laminectomy decompression of cervical spine
V69.8 Other specified
V69.9 Unspecified

V70 Other revisional decompression operations on cervical spine
  Note:  Principal V23
Use an additional code to specify levels of spine (V55)



V70.1 Revisional posterior laminectomy decompression of cervical spine
V70.8 Other specified
V70.9 Unspecified


CHAPTER W
OTHER BONES AND JOINTS
(CODES W01-W99, O06-O10, O17-O19, O21-O27, O29, O32, O35, O37-O41, O49, O51)

Includes:  BONES AND JOINTS OF SACRUM AND COCCYX

Excludes:  BONES AND JOINTS OF SKULL AND SPINE (Chapter V)
SOME OPERATIONS ON BONES FOR CORRECTION OF
CONGENITAL DEFORMITY OF LIMB (Chapter X)

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



W01 Complex reconstruction of thumb
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W01.1 Microvascular transfer of toe to thumb
W01.2 Pollicisation of finger
W01.3 Reconstruction of thumb using bone graft and skin flap
W01.4 Reconstruction of thumb using bone lengthening procedure
W01.5 Opposition transfer to thumb
W01.8 Other specified
W01.9 Unspecified

W02 Other complex reconstruction of hand
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W02.1 Proximal row carpectomy
W02.2 Metacarpal support operations on carpus
W02.3 Multiple joint reconstruction of hand NEC
W02.4 Complex reconstruction of soft tissue of hand NEC
W02.8 Other specified
W02.9 Unspecified

W03 Complex reconstruction of forefoot
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W03.1 Excision of heads of multiple lesser metatarsals
W03.2 Osteotomy of multiple metatarsals
W03.3 Total correction of claw toe
W03.4 Transfer of extensor hallucis longus tendon to head of first metatarsal and fusion of interphalangeal joints
W03.5 Localised fusion of joints of midfoot and forefoot
W03.6 Osteotomy of multiple metatarsals and fixation HFQ
W03.8 Other specified
W03.9 Unspecified

W04 Complex reconstruction of hindfoot
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W04.1 Localised fusion of joints of hindfoot
W04.2 Triple fusion of joints of hindfoot
W04.3 Subtalar fusion of joints of hindfoot
W04.4 Stripping of muscle from os calcis
W04.5 Release of medial soft tissue of hindfoot and excision of lateral wedge of os calcis and fusion of os calcis
W04.8 Other specified
W04.9 Unspecified

W05 Prosthetic replacement of bone
  Excludes:  Prosthetic replacement of joint (W37-W54, W93-W98, O06-O08, O18, O21-O26)
Placement of bone prosthesis (O09)



W05.1 Articulated prosthetic replacement of bone
W05.2 Implantation massive endoprosthetic replacement of bone
W05.3 Implantation endoprosthetic replacement of bone NEC
W05.4 Attention to massive endoprosthesis of bone
W05.5 Attention to endoprosthesis of bone NEC
W05.8 Other specified
W05.9 Unspecified

W06 Total excision of bone
  Excludes:  Excision of rib to gain access to chest cavity (T03.9)



W06.1 Total excision of cervical rib
W06.2 Total excision of rib NEC
W06.3 Total excision of patella
W06.4 Total excision of sesamoid bone NEC
W06.5 Total excision of bone of foot NEC
W06.6 Total excision of coccyx
W06.7 Total excision of pelvic bones
W06.8 Other specified
W06.9 Unspecified
  Includes:  Ostectomy NEC



W07 Excision of ectopic bone
 
W07.1 Excision of cross union of bone
W07.2 Excision of periarticular ectopic bone
W07.3 Excision of intramuscular ectopic bone
W07.8 Other specified
W07.9 Unspecified

W08 Other excision of bone
  Excludes:  For complex reconstruction of foot (W03, W04)
Some similar operations for correction of congenital deformity (X19-X27)

Note:  Principal category, extended at O29



W08.1 Excision of natural protuberance of bone
  Includes:  Excision of tuberosity of bone
Excision of tubercle of bone


W08.2 Excision of overgrowth of bone
W08.3 Excision of excrescence of bone
W08.4 Excision of fragment of bone
W08.5 Partial excision of bone NEC
W08.6 Disarticulation of bone
  Excludes:  Total excision of bone (W06)
Disarticulation for amputation of limb (X07-X11)


W08.7 Excision of accessory ossicle
W08.8 Other specified
W08.9 Unspecified

W09 Extirpation of lesion of bone
 
W09.1 Excision of lesion of bone NEC
W09.2 Curettage of lesion of bone and graft HFQ
W09.3 Curettage of lesion of bone NEC
W09.4 Destruction of lesion of bone NEC
W09.5 Curettage of tumour of bone and graft HFQ
W09.6 Curettage of tumour of bone NEC
W09.7 Excision of tumour of bone
W09.8 Other specified
W09.9 Unspecified

W10 Open surgical fracture of bone
 
W10.1 Open osteoclasis and angular correction and internal fixation HFQ
W10.2 Open osteoclasis and angular correction and external fixation HFQ
W10.3 Open osteoclasis and angular correction NEC
W10.4 Open osteoclasis and internal fixation NEC
W10.5 Open osteoclasis and external fixation NEC
W10.8 Other specified
W10.9 Unspecified
  Includes:  Open osteoclasis NEC



W11 Other surgical fracture of bone
 
W11.1 Closed osteoclasis
W11.8 Other specified
W11.9 Unspecified

W12 Angulation periarticular division of bone
  Excludes:  For stabilisation of joint (W77.5)
Some similar operations for correction of congenital deformity (X19-X27)



W12.1 Biosseus angulation periarticular osteotomy and internal fixation HFQ
W12.2 Angulation periarticular osteotomy and internal fixation NEC
W12.3 Biosseus angulation periarticular osteotomy and external fixation HFQ
W12.4 Angulation periarticular osteotomy and external fixation NEC
W12.5 Biosseus angulation periarticular osteotomy NEC
W12.8 Other specified
W12.9 Unspecified
  Includes:  Angulation periarticular osteotomy NEC



W13 Other periarticular division of bone
  Excludes:  For stabilisation of joint (W77.5)
Some similar operations for correction of congenital deformity (X19-X27)



W13.1 Rotation periarticular osteotomy
W13.2 Displacement osteotomy
W13.3 Cuneiform osteotomy NEC
W13.4 Relocation and derotation osteotomy
W13.8 Other specified
W13.9 Unspecified

W14 Diaphyseal division of bone
 
W14.1 Angulation diaphyseal osteotomy and internal fixation HFQ
W14.2 Angulation diaphyseal osteotomy and external fixation HFQ
W14.3 Angulation diaphyseal osteotomy NEC
W14.4 Rotation diaphyseal osteotomy and internal fixation HFQ
W14.5 Rotation diaphyseal osteotomy and external fixation HFQ
W14.6 Rotation diaphyseal osteotomy NEC
W14.8 Other specified
W14.9 Unspecified

W15 Division of bone of foot
  Excludes:  For complex reconstruction of foot (W03, W04)
Some similar operations for correction of congenital deformity (X19-X27)

Note:  Use as a secondary code when associated with soft tissue correction of hallux valgus (W79.1)



W15.1 Osteotomy of neck of first metatarsal bone
W15.2 Osteotomy of base of first metatarsal bone
W15.3 Osteotomy of first metatarsal bone NEC
W15.4 Osteotomy of head of metatarsal bone
W15.5 Osteotomy of midfoot tarsal bone
W15.6 Cuneiform osteotomy of proximal phalanx with resection of head of first metatarsal
W15.7 Osteotomy of bone of foot and fixation HFQ
W15.8 Other specified
W15.9 Unspecified

W16 Other division of bone
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W16.1 Multiple osteotomy and internal fixation HFQ
W16.2 Multiple osteotomy and external fixation HFQ
W16.3 Multiple osteotomy NEC
W16.4 Osteotomy and internal fixation NEC
W16.5 Osteotomy and external fixation NEC
W16.8 Other specified
W16.9 Unspecified
  Includes:  Osteotomy NEC



W17 Other reconstruction of bone
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W17.1 Step cut lengthening of bone
W17.2 Traction lengthening of diaphysis of bone
W17.3 Traction lengthening of epiphyseal plate of bone
W17.4 Shortening of bone
W17.5 Revision of reconstruction of bone
W17.6 Traction lengthening of bone with intramedullary fixation
W17.8 Other specified
W17.9 Unspecified

W18 Drainage of bone
 
W18.1 Fenestration of cortex of bone
W18.2 Saucerisation of bone
W18.3 Sequestrectomy of bone
W18.4 Decompression of fourage of bone
W18.5 Insertion of drainage system into bone
W18.6 Removal of drainage system from bone
W18.8 Other specified
W18.9 Unspecified

W19 Primary open reduction of fracture of bone and intramedullary fixation
  Includes:  Open reduction of fracture of bone and intramedullary fixation NEC

Excludes:  Fracture dislocation (W65)



W19.1 Primary open reduction of fracture of neck of femur and open fixation using pin and plate
  Includes:  Primary open reduction of fracture of neck of femur and open fixation using dynamic hip screw


W19.2 Primary open reduction of fracture of long bone and fixation using rigid nail NEC
W19.3 Primary open reduction of fracture of long bone and fixation using flexible nail
W19.4 Primary open reduction of fracture of short bone and fixation using screw
W19.5 Primary open reduction of fragment of bone and fixation using screw
W19.6 Primary open reduction of fragment of bone and fixation using wire system
W19.8 Other specified
W19.9 Unspecified

W20 Primary open reduction of fracture of bone and extramedullary fixation
  Includes:  Primary open reduction of fracture of bone and fixation NEC
Open reduction of fracture of bone and extramedullary fixation NEC
Open reduction of fracture of bone and fixation NEC

Excludes:  Fracture dislocation (W65)



W20.1 Primary open reduction of fracture of long bone and extramedullary fixation using plate NEC
W20.2 Primary open reduction of fracture of long bone and extramedullary fixation using cerclage
  Includes:  Primary open reduction of fracture of long bone and extramedullary fixation using tension band wiring


W20.3 Primary open reduction of fracture of long bone and extramedullary fixation using suture
W20.4 Primary open reduction of fracture of long bone and complex extramedullary fixation NEC
W20.5 Primary open reduction of fracture of ankle and extramedullary fixation NEC
W20.6 Wiring of sternum
W20.8 Other specified
W20.9 Unspecified

W21 Primary open reduction of intra-articular fracture of bone
  Includes:  Open reduction of intra-articular fracture of bone NEC

Excludes:  Fracture dislocation (W65)



W21.1 Primary reduction of intra-articular fracture of bone using arthrotomy as approach
W21.2 Primary excision of intra-articular fragment of intra-articular fracture of bone
W21.3 Primary fixation of fragment of chondral cartilage of intra-articular fracture of bone
W21.4 Primary intra-articular fixation of intra-articular fracture of bone NEC
W21.5 Primary extra-articular reduction of intra-articular fracture of bone
W21.8 Other specified
W21.9 Unspecified

W22 Other primary open reduction of fracture of bone
  Includes:  Open reduction of fracture of bone NEC

Excludes:  Fracture dislocation (W65)



W22.1 Primary open reduction of fracture of bone and skeletal traction HFQ
W22.2 Primary open reduction of fracture of bone and external fixation HFQ
W22.8 Other specified
W22.9 Unspecified

W23 Secondary open reduction of fracture of bone
 
W23.1 Secondary open reduction of fracture of bone and intramedullary fixation HFQ
W23.2 Secondary open reduction of fracture of bone and extramedullary fixation HFQ
  Includes:  Secondary open reduction of fracture of bone and tension band wiring


W23.3 Secondary open reduction of intra-articular fracture of bone
W23.4 Secondary open reduction of fracture of bone and skeletal traction HFQ
W23.5 Secondary open reduction of fracture of bone and external fixation HFQ
W23.6 Secondary open reduction of fracture of bone and internal fixation HFQ
W23.8 Other specified
W23.9 Unspecified

W24 Closed reduction of fracture of bone and internal fixation
  Includes:  Internal fixation of fracture of bone without mention of reduction

Excludes:  Fracture dislocation (W66)



W24.1 Closed reduction of intracapsular fracture of neck of femur and fixation using nail or screw
W24.2 Closed reduction of fracture of long bone and rigid internal fixation NEC
W24.3 Closed reduction of fracture of long bone and flexible internal fixation HFQ
W24.4 Closed reduction of fracture of short bone and fixation using screw
W24.5 Closed reduction of fragment of bone and fixation using screw
W24.6 Closed reduction of fracture of bone and fixation using nail or screw
W24.7 Closed reduction of fracture of bone and fixation using plate
W24.8 Other specified
W24.9 Unspecified

W25 Closed reduction of fracture of bone and external fixation
  Includes:  External fixation of fracture of bone without mention of reduction

Excludes:  Fracture dislocation (W66)



W25.1 Closed reduction of fracture of bone and fixation to skeleton HFQ
W25.2 Closed reduction of fracture of bone and fixation using functional bracing system
  Includes:  Closed reduction of fracture of bone and fixation using cast brace


W25.3 Remanipulation of fracture of bone and external fixation HFQ
W25.8 Other specified
W25.9 Unspecified

W26 Other closed reduction of fracture of bone
  Excludes:  Fracture dislocation (W66)



W26.1 Manipulation of fracture of bone and skeletal traction NEC
W26.2 Manipulation of fracture of bone NEC
W26.3 Remanipulation of fracture of bone and skeletal traction NEC
W26.4 Remanipulation of fracture of bone NEC
W26.8 Other specified
W26.9 Unspecified

W27 Fixation of epiphysis
 
W27.1 Permanent cross union epiphysiodesis
W27.2 Epiphysioplasty
W27.3 Insertion of staple into epiphysis
W27.4 Removal of staple from epiphysis
W27.5 Temporary fixation of epiphysis
  Includes:  Hemiepiphysiodesis


W27.6 Attention to fixation of epiphysis
W27.7 Removal of fixation from epiphysis NEC
W27.8 Other specified
W27.9 Unspecified
  Includes:  Epiphysiodesis NEC



W28 Other internal fixation of bone
  Includes:  Internal fixator of bone NEC

Note:  Principal category, extended at O49



W28.1 Application of internal fixation to bone NEC
  Excludes:  Insertion of intramedullary fixation of bone NEC (W28.6)


W28.2 Adjustment to internal fixation of bone NEC
W28.3 Removal of internal fixation from bone NEC
  Excludes:  Removal of intramedullary fixation from bone (O49.1)


W28.4 Insertion of intramedullary fixation and cementing of bone
  Excludes:  Intramedullary fixation for fracture of bone (W19, W23.1, W24)


W28.5 Insertion of telescopic intramedullary fixation of bone
  Includes:  Insertion of intramedullary growing rod


W28.6 Insertion of intramedullary fixation of bone NEC
  Excludes:  Intramedullary fixation for fracture of bone (W19, W23.1, W24)


W28.7 Attention to intramedullary fixation of bone NEC
W28.8 Other specified
W28.9 Unspecified

W29 Skeletal traction of bone
 
W29.1 Application of skeletal traction to bone NEC
W29.2 Adjustment to skeletal traction of bone
W29.3 Removal of skeletal traction from bone
W29.8 Other specified
W29.9 Unspecified

W30 Other external fixation of bone
  Includes:  External fixator of bone NEC
Fixation of bone NEC
Fixator of bone NEC

Excludes:  Immobilisation (X48, X49)



W30.1 Application of external fixation to bone NEC
W30.2 Adjustment to external fixation of bone NEC
W30.3 Removal of external fixation from bone NEC
W30.4 Application of external ring fixation to bone NEC
W30.8 Other specified
W30.9 Unspecified

W31 Other autograft of bone
  Excludes:  Autograft of bone marrow (W34.1)



W31.1 Inlay autograft to cortex of bone
W31.2 Onlay autograft to cortex of bone
W31.3 Cancellous strip autograft of bone
W31.4 Cancellous chip autograft of bone
  Includes:  Morcellised autograft of bone


W31.5 Vascularised pedicle autograft of bone
W31.6 Muscle pedicle autograft of bone
W31.7 Bone tendon autograft of bone
W31.8 Other specified
W31.9 Unspecified

W32 Other graft of bone
 
W32.1 Prepared graft of bone
W32.2 Allograft of bone NEC
  Excludes:  Allograft of bone marrow NEC (W34.2)


W32.3 Xenograft of bone
W32.4 Synthetic graft of bone
W32.5 Cancellous chip allograft of bone
  Includes:  Morcellised allograft of bone


W32.6 Bulk allograft of bone
W32.8 Other specified
W32.9 Unspecified

W33 Other open operations on bone
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W33.1 Open biopsy of lesion of bone
  Includes:  Open biopsy of bone


W33.2 Debridement of open fracture of bone
  Includes:  Debridement of fracture of bone


W33.3 Suture of periosteum
W33.4 Implantation of electromagnetic stimulator into bone
W33.5 Attention to electromagnetic stimulator in bone
W33.6 Debridement of bone NEC
W33.7 Lavage of bone
W33.8 Other specified
W33.9 Unspecified

W34 Graft of bone marrow
  Includes:  Bone marrow transplant

Excludes:  Graft of cord blood stem cells to bone marrow (W99)



W34.1 Autograft of bone marrow
W34.2 Allograft of bone marrow NEC
W34.3 Allograft of bone marrow from sibling donor
W34.4 Allograft of bone marrow from matched unrelated donor
W34.5 Allograft of bone marrow from haploidentical donor
W34.6 Allograft of bone marrow from unmatched unrelated donor
W34.8 Other specified
W34.9 Unspecified

W35 Therapeutic puncture of bone
 
W35.1 Introduction of therapeutic substance into bone
W35.2 Introduction of destructive substance into bone
W35.3 Removal of implanted substance from bone
W35.4 Therapeutic drilling of bone NEC
W35.5 Therapeutic percutaneous puncture of bone
W35.6 Percutaneous radiofrequency ablation of lesion of bone
W35.8 Other specified
W35.9 Unspecified

W36 Diagnostic puncture of bone
 
W36.1 Percutaneous needle biopsy of lesion of bone
  Includes:  Percutaneous needle biopsy of bone


W36.2 Needle biopsy of lesion of bone NEC
  Includes:  Needle biopsy of bone NEC
Biopsy of lesion of bone NEC
Biopsy of bone NEC


W36.3 Diagnostic drilling of bone
W36.4 Diagnostic puncture of sternum
  Includes:  Aspiration of bone marrow of sternum


W36.5 Diagnostic extraction of bone marrow NEC
  Includes:  Aspiration of bone marrow NEC
Biopsy of bone marrow NEC


W36.8 Other specified
W36.9 Unspecified

W37 Total prosthetic replacement of hip joint using cement
 
W37.1 Primary total prosthetic replacement of hip joint using cement
W37.2 Conversion to total prosthetic replacement of hip joint using cement
  Note:  Use a subsidiary conversion from code as necessary


W37.3 Revision of total prosthetic replacement of hip joint using cement
W37.4 Revision of one component of total prosthetic replacement of hip joint using cement
W37.8 Other specified
W37.9 Unspecified
W37.0 Conversion from previous cemented total prosthetic replacement of hip joint

W38 Total prosthetic replacement of hip joint not using cement
 
W38.1 Primary total prosthetic replacement of hip joint not using cement
W38.2 Conversion to total prosthetic replacement of hip joint not using cement
  Note:  Use a subsidiary conversion from code as necessary


W38.3 Revision of total prosthetic replacement of hip joint not using cement
W38.4 Revision of one component of total prosthetic replacement of hip joint not using cement
W38.8 Other specified
W38.9 Unspecified
W38.0 Conversion from previous uncemented total prosthetic replacement of hip joint

W39 Other total prosthetic replacement of hip joint
 
W39.1 Primary total prosthetic replacement of hip joint NEC
W39.2 Conversion to total prosthetic replacement of hip joint NEC
  Note:  Use a subsidiary conversion from code as necessary


W39.3 Revision of total prosthetic replacement of hip joint NEC
W39.4 Attention to total prosthetic replacement of hip joint NEC
W39.5 Revision of one component of total prosthetic replacement of hip joint NEC
W39.6 Closed reduction of dislocated total prosthetic replacement of hip joint
W39.8 Other specified
W39.9 Unspecified
W39.0 Conversion from previous total prosthetic replacement of hip joint NEC

W40 Total prosthetic replacement of knee joint using cement
 
W40.1 Primary total prosthetic replacement of knee joint using cement
W40.2 Conversion to total prosthetic replacement of knee joint using cement
  Note:  Use a subsidiary conversion from code as necessary


W40.3 Revision of total prosthetic replacement of knee joint using cement
W40.4 Revision of one component of total prosthetic replacement of knee joint using cement
W40.8 Other specified
W40.9 Unspecified
W40.0 Conversion from previous cemented total prosthetic replacement of knee joint

W41 Total prosthetic replacement of knee joint not using cement
 
W41.1 Primary total prosthetic replacement of knee joint not using cement
W41.2 Conversion to total prosthetic replacement of knee joint not using cement
  Note:  Use a subsidiary conversion from code as necessary


W41.3 Revision of total prosthetic replacement of knee joint not using cement
W41.4 Revision of one component of total prosthetic replacement of knee joint not using cement
W41.8 Other specified
W41.9 Unspecified
W41.0 Conversion from previous uncemented total prosthetic replacement of knee joint

W42 Other total prosthetic replacement of knee joint
 
W42.1 Primary total prosthetic replacement of knee joint NEC
W42.2 Conversion to total prosthetic replacement of knee joint NEC
  Note:  Use a subsidiary conversion from code as necessary


W42.3 Revision of total prosthetic replacement of knee joint NEC
W42.4 Attention to total prosthetic replacement of knee joint NEC
W42.5 Revision of one component of total prosthetic replacement of knee joint NEC
W42.6 Arthrolysis of total prosthetic replacement of knee joint
W42.8 Other specified
W42.9 Unspecified
W42.0 Conversion from previous total prosthetic replacement of knee joint NEC

W43 Total prosthetic replacement of other joint using cement
 
W43.1 Primary total prosthetic replacement of joint using cement NEC
W43.2 Conversion to total prosthetic replacement of joint using cement NEC
  Note:  Use a subsidiary conversion from code as necessary


W43.3 Revision of total prosthetic replacement of joint using cement NEC
W43.4 Revision of one component of total prosthetic replacement of joint using cement NEC
W43.8 Other specified
W43.9 Unspecified
W43.0 Conversion from previous cemented total prosthetic replacement of joint NEC

W44 Total prosthetic replacement of other joint not using cement
 
W44.1 Primary total prosthetic replacement of joint not using cement NEC
W44.2 Conversion to total prosthetic replacement of joint not using cement NEC
  Note:  Use a subsidiary conversion from code as necessary


W44.3 Revision of total prosthetic replacement of joint not using cement NEC
W44.4 Revision of one component of total prosthetic replacement of joint not using cement NEC
W44.8 Other specified
W44.9 Unspecified
W44.0 Conversion from previous uncemented total prosthetic replacement of joint NEC

W45 Other total prosthetic replacement of other joint
 
W45.1 Primary total prosthetic replacement of joint NEC
W45.2 Conversion to total prosthetic replacement of joint NEC
  Note:  Use a subsidiary conversion from code as necessary


W45.3 Revision of total prosthetic replacement of joint NEC
W45.4 Attention to total prosthetic replacement of joint NEC
W45.5 Revision of one component of total prosthetic replacement of joint NEC
W45.8 Other specified
W45.9 Unspecified
W45.0 Conversion from previous total prosthetic replacement of joint NEC

W46 Prosthetic replacement of head of femur using cement
  Includes:  Prosthetic hemiarthroplasty of head of femur using cement



W46.1 Primary prosthetic replacement of head of femur using cement
W46.2 Conversion to prosthetic replacement of head of femur using cement
  Note:  Use a subsidiary conversion from code as necessary


W46.3 Revision of prosthetic replacement of head of femur using cement
W46.8 Other specified
W46.9 Unspecified
W46.0 Conversion from previous cemented prosthetic replacement of head of femur

W47 Prosthetic replacement of head of femur not using cement
  Includes:  Prosthetic hemiarthroplasty of head of femur not using cement



W47.1 Primary prosthetic replacement of head of femur not using cement
W47.2 Conversion to prosthetic replacement of head of femur not using cement
  Note:  Use a subsidiary conversion from code as necessary


W47.3 Revision of prosthetic replacement of head of femur not using cement
W47.8 Other specified
W47.9 Unspecified
W47.0 Conversion from previous uncemented prosthetic replacement of head of femur

W48 Other prosthetic replacement of head of femur
  Includes:  Prosthetic hemiarthroplasty of head of femur NEC



W48.1 Primary prosthetic replacement of head of femur NEC
W48.2 Conversion to prosthetic replacement of head of femur NEC
  Note:  Use a subsidiary conversion from code as necessary


W48.3 Revision of prosthetic replacement of head of femur NEC
W48.4 Attention to prosthetic replacement of head of femur NEC
W48.5 Closed reduction of dislocated prosthetic replacement of head of femur
W48.8 Other specified
W48.9 Unspecified
W48.0 Conversion from previous prosthetic replacement of head of femur NEC

W49 Prosthetic replacement of head of humerus using cement
  Includes:  Prosthetic hemiarthroplasty of head of humerus using cement



W49.1 Primary prosthetic replacement of head of humerus using cement
W49.2 Conversion to prosthetic replacement of head of humerus using cement
  Note:  Use a subsidiary conversion from code as necessary


W49.3 Revision of prosthetic replacement of head of humerus using cement
W49.4 Resurfacing hemiarthroplasty of head of humerus using cement
W49.8 Other specified
W49.9 Unspecified
W49.0 Conversion from previous cemented prosthetic replacement of head of humerus

W50 Prosthetic replacement of head of humerus not using cement
  Includes:  Prosthetic hemiarthroplasty of head of humerus not using cement



W50.1 Primary prosthetic replacement of head of humerus not using cement
W50.2 Conversion to prosthetic replacement of head of humerus not using cement
  Note:  Use a subsidiary conversion from code as necessary


W50.3 Revision of prosthetic replacement of head of humerus not using cement
W50.4 Resurfacing hemiarthroplasty of head of humerus not using cement
W50.8 Other specified
W50.9 Unspecified
W50.0 Conversion from previous uncemented prosthetic replacement of head of humerus

W51 Other prosthetic replacement of head of humerus
  Includes:  Prosthetic hemiarthroplasty of head of humerus NEC



W51.1 Primary prosthetic replacement of head of humerus NEC
W51.2 Conversion to prosthetic replacement of head of humerus NEC
  Note:  Use a subsidiary conversion from code as necessary


W51.3 Revision of prosthetic replacement of head of humerus NEC
W51.4 Attention to prosthetic replacement of head of humerus NEC
W51.5 Resurfacing hemiarthroplasty of head of humerus NEC
W51.8 Other specified
W51.9 Unspecified
W51.0 Conversion from previous prosthetic replacement of head of humerus NEC

W52 Prosthetic replacement of articulation of other bone using cement
  Includes:  Prosthetic hemiarthroplasty of articulation of bone using cement NEC



W52.1 Primary prosthetic replacement of articulation of bone using cement NEC
W52.2 Conversion to prosthetic replacement of articulation of bone using cement NEC
  Note:  Use a subsidiary conversion from code as necessary


W52.3 Revision of prosthetic replacement of articulation of bone using cement NEC
W52.8 Other specified
W52.9 Unspecified
W52.0 Conversion from previous cemented prosthetic replacement of articulation of bone NEC

W53 Prosthetic replacement of articulation of other bone not using cement
  Includes:  Prosthetic hemiarthroplasty of articulation of bone not using cement NEC



W53.1 Primary prosthetic replacement of articulation of bone not using cement NEC
W53.2 Conversion to prosthetic replacement of articulation of bone not using cement NEC
  Note:  Use a subsidiary conversion from code as necessary


W53.3 Revision of prosthetic replacement of articulation of bone not using cement NEC
W53.8 Other specified
W53.9 Unspecified
W53.0 Conversion from previous uncemented prosthetic replacement of articulation of bone NEC

W54 Other prosthetic replacement of articulation of other bone
  Includes:  Prosthetic hemiarthroplasty of articulation of bone NEC



W54.1 Primary prosthetic replacement of articulation of bone NEC
W54.2 Conversion to prosthetic replacement of articulation of bone NEC
  Note:  Use a subsidiary conversion from code as necessary


W54.3 Revision of prosthetic replacement of articulation of bone NEC
W54.4 Attention to prosthetic replacement of articulation of bone NEC
W54.8 Other specified
W54.9 Unspecified
W54.0 Conversion from previous prosthetic replacement of articulation of bone NEC

W55 Prosthetic interposition reconstruction of joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W55.1 Primary prosthetic interposition arthroplasty of joint
  Includes:  Prosthetic interposition arthroplasty of joint


W55.2 Revision of prosthetic interposition arthroplasty of joint
W55.3 Conversion to prosthetic interposition arthroplasty of joint
  Note:  Use a subsidiary conversion from code as necessary


W55.4 Attention to prosthetic interposition arthroplasty of joint NEC
W55.8 Other specified
W55.9 Unspecified
W55.0 Conversion from previous prosthetic interposition arthroplasty of joint

W56 Other interposition reconstruction of joint
  Includes:  Interposition reconstruction of joint using natural tissue

Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W56.1 Primary interposition arthroplasty of metatarsophalangeal joint NEC
  Includes:  Interposition arthroplasty of metatarsophalangeal joint NEC


W56.2 Primary interposition arthroplasty of joint NEC
  Includes:  Interposition arthroplasty of joint NEC


W56.3 Revision of interposition arthroplasty of joint NEC
W56.4 Conversion to interposition arthroplasty of joint NEC
  Note:  Use a subsidiary conversion from code as necessary


W56.8 Other specified
W56.9 Unspecified
W56.0 Conversion from previous interposition arthroplasty of joint NEC

W57 Excision reconstruction of joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W57.1 Primary excision arthroplasty of first metatarsophalangeal joint
  Includes:  Excision arthroplasty of first metatarsophalangeal joint


W57.2 Primary excision arthroplasty of joint NEC
  Includes:  Excision arthroplasty of joint NEC


W57.3 Revision of excision arthroplasty of joint
W57.4 Conversion to excision arthroplasty of joint
  Note:  Use a subsidiary conversion from code as necessary


W57.8 Other specified
W57.9 Unspecified
W57.0 Conversion from previous excision arthroplasty of joint

W58 Other reconstruction of joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W58.1 Primary resurfacing arthroplasty of joint
W58.2 Revision of resurfacing arthroplasty of joint
W58.3 Osteochondroplasty of hip
W58.8 Other specified
W58.9 Unspecified
W58.0 Conversion from previous resurfacing arthroplasty of joint

W59 Fusion of joint of toe
  Excludes:  For complex reconstruction of foot (W03, W04)

Note:  Use as a secondary code when associated with soft tissue correction of hallux valgus (W79.1)



W59.1 Fusion of first metatarsophalangeal joint and replacement of lesser metatarsophalangeal joint
W59.2 Fusion of first metatarsophalangeal joint and excision of lesser metatarsophalangeal joint
W59.3 Fusion of first metatarsophalangeal joint NEC
W59.4 Fusion of interphalangeal joint of great toe
W59.5 Fusion of interphalangeal joint of toe NEC
W59.6 Revision of fusion of joint of toe
W59.8 Other specified
W59.9 Unspecified

W60 Fusion of other joint and extra-articular bone graft
  Includes:  Fusion of joint and bone graft NEC



W60.1 Primary arthrodesis and extra-articular bone graft NEC
  Includes:  Arthrodesis and extra-articular bone graft NEC


W60.2 Revision of arthrodesis and extra-articular bone graft NEC
W60.3 Conversion to arthrodesis and extra-articular bone graft NEC
  Note:  Use a subsidiary conversion from code as necessary


W60.8 Other specified
W60.9 Unspecified
W60.0 Conversion from previous arthrodesis and extra-articular bone graft NEC

W61 Fusion of other joint and other articular bone graft
 
W61.1 Primary arthrodesis and articular bone graft NEC
  Includes:  Arthrodesis and articular bone graft NEC


W61.2 Revision of arthrodesis and articular bone graft NEC
W61.3 Conversion to arthrodesis and articular bone graft NEC
  Note:  Use a subsidiary conversion from code as necessary


W61.8 Other specified
W61.9 Unspecified
W61.0 Conversion from previous arthrodesis and articular bone graft NEC

W62 Other primary fusion of other joint
  Includes:  Fusion of joint NEC



W62.1 Primary arthrodesis and internal fixation of joint NEC
W62.2 Primary arthrodesis and external fixation of joint NEC
W62.8 Other specified
W62.9 Unspecified
  Includes:  Primary arthrodesis NEC
Simple arthrodesis NEC
Arthrodesis NEC



W63 Revisional fusion of other joint
 
W63.1 Revision of arthrodesis and internal fixation NEC
W63.2 Revision of arthrodesis and external fixation NEC
W63.8 Other specified
W63.9 Unspecified
  Includes:  Revision of simple arthrodesis NEC
Revision of arthrodesis NEC



W64 Conversion to fusion of other joint
 
W64.1 Conversion to arthrodesis and internal fixation NEC
W64.2 Conversion to arthrodesis and external fixation NEC
W64.8 Other specified
W64.9 Unspecified
  Includes:  Conversion to simple arthrodesis NEC
Conversion to arthrodesis NEC


W64.0 Conversion from previous arthrodesis NEC

W65 Primary open reduction of traumatic dislocation of joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W65.1 Primary open reduction of fracture dislocation of joint and skeletal traction HFQ
  Includes:  Open reduction of fracture dislocation of joint and skeletal traction HFQ


W65.2 Primary open reduction of traumatic dislocation of joint and skeletal traction NEC
  Includes:  Open reduction of traumatic dislocation of joint and skeletal traction NEC


W65.3 Primary open reduction of fracture dislocation of joint NEC
  Includes:  Open reduction of fracture dislocation of joint NEC


W65.4 Primary open reduction of fracture dislocation of joint and internal fixation NEC
  Includes:  Open reduction of fracture dislocation of joint and internal fixation NEC


W65.5 Primary open reduction of fracture dislocation of joint and combined internal and external fixation
  Includes:  Open reduction of fracture dislocation of joint and combined internal and external fixation NEC


W65.8 Other specified
W65.9 Unspecified
  Includes:  Open reduction of traumatic dislocation of joint NEC
Open reduction of dislocation of joint NEC



W66 Primary closed reduction of traumatic dislocation of joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W66.1 Primary closed reduction of fracture dislocation of joint and skeletal traction HFQ
  Includes:  Closed reduction of fracture dislocation of joint and skeletal traction HFQ


W66.2 Primary closed reduction of traumatic dislocation of joint and skeletal traction NEC
  Includes:  Closed reduction of traumatic dislocation of joint and skeletal traction NEC
Reduction of traumatic dislocation of joint and skeletal traction NEC
Reduction of dislocation of joint and skeletal traction NEC


W66.3 Primary manipulative closed reduction of fracture dislocation of joint NEC
  Includes:  Closed reduction of fracture dislocation of joint NEC
Manipulative reduction of fracture dislocation of joint NEC


W66.4 Primary closed reduction of fracture dislocation of joint and internal fixation
  Includes:  Closed reduction of fracture dislocation of joint and internal fixation


W66.8 Other specified
W66.9 Unspecified
  Includes:  Manipulative reduction of traumatic dislocation of joint NEC
Manipulative reduction of dislocation of joint NEC
Reduction of traumatic dislocation of joint NEC
Reduction of dislocation of joint NEC



W67 Secondary reduction of traumatic dislocation of joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W67.1 Secondary open reduction of fracture dislocation of joint and skeletal traction HFQ
W67.2 Secondary open reduction of traumatic dislocation of joint and skeletal traction NEC
  Includes:  Secondary open reduction of dislocation of joint and skeletal traction NEC


W67.3 Secondary open reduction of fracture dislocation of joint NEC
W67.4 Secondary open reduction of traumatic dislocation of joint NEC
  Includes:  Secondary open reduction of dislocation of joint NEC


W67.5 Remanipulation of fracture dislocation of joint
W67.6 Remanipulation of traumatic dislocation of joint
  Includes:  Remanipulation of dislocation of joint NEC


W67.7 Secondary open reduction of fracture dislocation of joint and internal fixation NEC
W67.8 Other specified
W67.9 Unspecified

W68 Primary reduction of injury to growth plate
 
W68.1 Open reduction of injury to growth plate and internal fixation HFQ
W68.2 Open reduction of injury to growth plate and traction HFQ
W68.3 Open reduction of injury to growth plate NEC
W68.4 Closed reduction of injury to growth plate and internal fixation HFQ
W68.5 Closed reduction of injury to growth plate and traction HFQ
W68.6 Closed reduction of injury to growth plate NEC
W68.8 Other specified
W68.9 Unspecified

W69 Open operations on synovial membrane of joint
 
W69.1 Total synovectomy
W69.2 Subtotal synovectomy
W69.3 Partial synovectomy
  Includes:  Synovectomy NEC


W69.4 Open biopsy of synovial membrane of joint
  Includes:  Open biopsy of lesion of synovial membrane of joint
Biopsy of synovial membrane of joint NEC
Biopsy of lesion of synovial membrane of joint NEC


W69.5 Open division of synovial plica
W69.8 Other specified
W69.9 Unspecified

W70 Open operations on meniscus of knee joint
  Includes:  Operations on meniscus of knee joint NEC



W70.1 Open total excision of meniscus of knee joint
W70.2 Open excision of meniscus of knee joint NEC
  Includes:  Open excision of lesion of meniscus of knee joint


W70.3 Open repair of meniscus of knee joint
W70.4 Open total replacement of meniscus of knee joint
W70.5 Open partial replacement of meniscus of knee joint
W70.8 Other specified
W70.9 Unspecified

W71 Other open operations on intra-articular structure
  Includes:  Operations on intra-articular structure NEC



W71.1 Open drilling of articular cartilage
W71.2 Open excision of intra-articular osteophyte
W71.3 Forage of joint
W71.4 Open autologous chondrocyte implantation into articular structure
W71.5 Open stem cell implantation into articular structure
W71.8 Other specified
W71.9 Unspecified

W72 Prosthetic replacement of ligament
  Note:  Use as a secondary code when associated with transposition of ligament for stabilisation of joint (W77.7)



W72.1 Primary prosthetic replacement of multiple ligaments
W72.2 Prosthetic replacement of multiple ligaments NEC
W72.3 Primary prosthetic replacement of intra-articular ligament
W72.4 Prosthetic replacement of intra-articular ligament NEC
W72.5 Primary prosthetic replacement of extra-articular ligament
W72.6 Prosthetic replacement of extra-articular ligament NEC
W72.8 Other specified
W72.9 Unspecified

W73 Prosthetic reinforcement of ligament
 
W73.1 Primary extra-articular prosthetic augmentation of intra-articular ligament NEC
W73.2 Extra-articular prosthetic augmentation of intra-articular ligament NEC
W73.3 Primary prosthetic reinforcement of intra-articular ligament NEC
W73.4 Prosthetic reinforcement of intra-articular ligament NEC
W73.5 Primary prosthetic reinforcement of extra-articular ligament NEC
W73.6 Prosthetic reinforcement of extra-articular ligament NEC
W73.8 Other specified
W73.9 Unspecified

W74 Other reconstruction of ligament
 
W74.1 Reconstruction of multiple ligaments NEC
W74.2 Reconstruction of intra-articular ligament NEC
  Excludes:  Reconstruction of intra-articular ligament for stabilisation of joint (O27.5)


W74.3 Reconstruction of extra-articular ligament NEC
  Excludes:  Reconstruction of extra-articular ligament for stabilisation of joint (O27.1)


W74.8 Other specified
W74.9 Unspecified

W75 Other open repair of ligament
  Includes:  Repair of ligament NEC



W75.1 Open repair of multiple ligaments NEC
W75.2 Open repair of intra-articular ligament NEC
W75.3 Open repair of extra-articular ligament NEC
W75.8 Other specified
W75.9 Unspecified

W76 Other operations on ligament
 
W76.1 Excision of ligament
W76.2 Excision of lesion of ligament
W76.3 Biopsy of lesion of ligament
  Includes:  Biopsy of ligament


W76.8 Other specified
W76.9 Unspecified

W77 Stabilising operations on joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)

Note:  Principal category, extended at O27



W77.1 Repair of capsule of joint for stabilisation of joint NEC
W77.2 Transposition of muscle for stabilisation of joint
W77.3 Blocking operations on joint using prosthesis for stabilisation of joint
W77.4 Blocking operations on joint using bone for stabilisation of joint
W77.5 Periarticular osteotomy for stabilisation of joint
W77.6 Annular ligament reconstruction for stabilisation of joint
W77.7 Transposition of ligament for stabilisation of joint
  Note:  Use a supplementary code for concurrent prosthetic replacement of ligament (W72)


W77.8 Other specified
W77.9 Unspecified

W78 Release of contracture of joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W78.1 Release of contracture of shoulder joint
W78.2 Release of contracture of hip joint
W78.3 Release of contracture of knee joint
W78.4 Limited release of contracture of capsule of joint
  Includes:  Release of contracture of capsule of joint NEC


W78.5 Release of contracture of elbow joint
  Includes:  Arthrolysis of elbow joint NEC


W78.8 Other specified
W78.9 Unspecified

W79 Soft tissue operations on joint of toe
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W79.1 Soft tissue correction of hallux valgus
  Includes:  Soft tissue correction of hallux valgus and excision of bunion

Note:  Use a supplementary code for concurrent osteotomy of first metatarsal bone (W15)
Use a supplementary code for concurrent arthrodesis (W59)


W79.2 Excision of bunion NEC
  Includes:  Bunionectomy
Simple excision of bunion
Excision of bunionette


W79.3 Syndactylisation of lesser toes
W79.8 Other specified
W79.9 Unspecified

W80 Debridement and irrigation of joint
 
W80.1 Open debridement and irrigation of joint
W80.2 Open debridement of joint NEC
W80.3 Open irrigation of joint NEC
W80.8 Other specified
W80.9 Unspecified

W81 Other open operations on joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)

Note:  Principal category, extended at O35



W81.1 Excision of lesion of joint NEC
W81.2 Open removal of loose body from joint
W81.3 Drainage of joint
W81.4 Incision of joint NEC
  Includes:  Arthrotomy NEC


W81.5 Exploration of joint NEC
W81.6 Capsulorrhaphy of joint
  Includes:  Plication of capsule of joint


W81.7 Insertion of therapeutic spacer into joint
W81.8 Other specified
W81.9 Unspecified

W82 Therapeutic endoscopic operations on meniscus of knee joint
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of knee joint (W87.9)



W82.1 Endoscopic total excision meniscus of knee joint
W82.2 Endoscopic resection of meniscus of knee joint
W82.3 Endoscopic repair of meniscus of knee joint
W82.4 Endoscopic total replacement of meniscus of knee joint
W82.5 Endoscopic partial replacement of meniscus of knee joint
W82.8 Other specified
W82.9 Unspecified

W83 Therapeutic endoscopic operations on other articular cartilage
  Note:  Principal category, extended at W89
It is not necessary to code additionally any mention of diagnostic endoscopic examination of same joint (W87.9, W88.9)



W83.1 Endoscopic drilling of lesion of articular cartilage
W83.2 Endoscopic fixation of lesion of articular cartilage
W83.3 Endoscopic shaving of articular cartilage
W83.4 Endoscopic articular abrasion chondroplasty
W83.5 Endoscopic articular thermal chondroplasty
W83.6 Endoscopic excision of articular cartilage NEC
W83.7 Endoscopic osteochondral autograft
  Includes:  Endoscopic osteoarticular transfer system
Endoscopic mosaicplasty


W83.8 Other specified
W83.9 Unspecified

W84 Therapeutic endoscopic operations on other joint structure
  Note:  Principal category, extended at O19
It is not necessary to code additionally any mention of diagnostic endoscopic examination of same joint (W87.9, W88.9)



W84.1 Endoscopic repair of intra-articular ligament
W84.2 Endoscopic reattachment of intra-articular ligament
W84.3 Endoscopic division of synovial plica
W84.4 Endoscopic decompression of joint
W84.5 Endoscopic drilling of epiphysis for repair of articular cartilage
  Includes:  Endoscopic microfracture of bone for repair of articular cartilage


W84.6 Endoscopic excision of synovial plica
W84.7 Endoscopic repair of superior glenoid labrum anterior to posterior tear
W84.8 Other specified
W84.9 Unspecified

W85 Therapeutic endoscopic operations on cavity of knee joint
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of knee joint (W87.9)



W85.1 Endoscopic removal of loose body from knee joint
W85.2 Endoscopic irrigation of knee joint
  Includes:  Endoscopic lavage of knee joint
Endoscopic washout of knee joint


W85.3 Endoscopic autologous chondrocyte implantation of knee joint
W85.8 Other specified
W85.9 Unspecified

W86 Therapeutic endoscopic operations on cavity of other joint
  Note:  It is not necessary to code additionally any mention of diagnostic endoscopic examination of same joint (W88.9)



W86.1 Endoscopic removal of loose body from joint NEC
W86.8 Other specified
W86.9 Unspecified

W87 Diagnostic endoscopic examination of knee joint
  Note:  Do not use as approach code (Y76.7)



W87.1 Diagnostic endoscopic examination of knee joint and biopsy of lesion of knee joint
  Includes:  Diagnostic endoscopic examination of knee joint and biopsy of knee joint
Endoscopic biopsy of lesion of knee joint
Endoscopic biopsy of knee joint


W87.8 Other specified
W87.9 Unspecified
  Includes:  Arthroscopy of knee joint NEC



W88 Diagnostic endoscopic examination of other joint
 
W88.1 Diagnostic endoscopic examination of joint and biopsy of lesion of joint NEC
  Includes:  Diagnostic endoscopic examination of joint and biopsy of joint NEC
Endoscopic biopsy of lesion of joint NEC
Endoscopic biopsy of joint NEC


W88.8 Other specified
W88.9 Unspecified
  Includes:  Arthroscopy NEC



W89 Other therapeutic endoscopic operations on other articular cartilage
  Note:  Principal W83



W89.1 Endoscopic chondroplasty NEC
W89.2 Endoscopic harvest of autologous chondrocytes
W89.3 Endoscopic stem cell implantation into articular cartilage
W89.8 Other specified
W89.9 Unspecified

W90 Puncture of joint
 
W90.1 Aspiration of joint
W90.2 Arthrography
W90.3 Injection of therapeutic substance into joint
W90.4 Injection into joint NEC
W90.8 Other specified
W90.9 Unspecified

W91 Other manipulation of joint
 
W91.1 Manipulation of joint using traction NEC
W91.2 Ponsetti manipulation
  Includes:  Ponsetti treatment


W91.3 Manipulation of prosthetic joint NEC
W91.8 Other specified
W91.9 Unspecified

W92 Other operations on joint
  Excludes:  Some similar operations for correction of congenital deformity (X19-X27)



W92.1 Biopsy of lesion of joint NEC
  Includes:  Biopsy of joint NEC


W92.2 Distension of joint
W92.3 Examination of joint under image intensifier
W92.4 Examination of joint under anaesthetic
W92.5 Examination of joint NEC
W92.6 Chemical synovectomy
W92.7 Radiation synovectomy
W92.8 Other specified
W92.9 Unspecified

W93 Hybrid prosthetic replacement of hip joint using cemented acetabular component
 
W93.1 Primary hybrid prosthetic replacement of hip joint using cemented acetabular component
W93.2 Conversion to hybrid prosthetic replacement of hip joint using cemented acetabular component
  Note:  Use a subsidiary conversion from code as necessary


W93.3 Revision of hybrid prosthetic replacement of hip joint using cemented acetabular component
W93.4 Revision of one component of hybrid prosthetic replacement of hip joint using cemented acetabular component
  Note:  Use a subsidiary site code to identify the component that has been revised (Z75.6, Z76.1)


W93.8 Other specified
W93.9 Unspecified
W93.0 Conversion from previous hybrid prosthetic replacement of hip joint using cemented acetabular component

W94 Hybrid prosthetic replacement of hip joint using cemented femoral component
 
W94.1 Primary hybrid prosthetic replacement of hip joint using cemented femoral component
W94.2 Conversion to hybrid prosthetic replacement of hip joint using cemented femoral component
  Note:  Use a subsidiary conversion from code as necessary


W94.3 Revision of hybrid prosthetic replacement of hip joint using cemented femoral component
W94.4 Revision of one component of hybrid prosthetic replacement of hip joint using cemented femoral component
  Note:  Use a subsidiary site code to identify the component that has been revised (Z75.6, Z76.1)


W94.8 Other specified
W94.9 Unspecified
W94.0 Conversion from previous hybrid prosthetic replacement of hip joint using cemented femoral component

W95 Hybrid prosthetic replacement of hip joint using cement
  Includes:  Hybrid prosthetic replacement of hip joint NEC



W95.1 Primary hybrid prosthetic replacement of hip joint using cement NEC
W95.2 Conversion to hybrid prosthetic replacement of hip joint using cement NEC
  Note:  Use a subsidiary conversion from code as necessary


W95.3 Revision of hybrid prosthetic replacement of hip joint using cement NEC
W95.4 Attention to hybrid prosthetic replacement of hip joint using cement NEC
W95.5 Revision of one component of hybrid prosthetic replacement of hip joint using cement NEC
  Note:  Use a subsidiary site code to identify the component that has been revised (Z75.6, Z76.1)


W95.8 Other specified
W95.9 Unspecified
W95.0 Conversion from previous hybrid prosthetic replacement of hip joint using cement NEC

W96 Total prosthetic replacement of shoulder joint using cement
 
W96.1 Primary total prosthetic replacement of shoulder joint using cement
W96.2 Conversion to total prosthetic replacement of shoulder joint using cement
  Excludes:  Conversion to reverse polarity total prosthetic replacement of shoulder joint using cement (O37.1)

Note:  Use a subsidiary conversion from code as necessary


W96.3 Revision of total prosthetic replacement of shoulder joint using cement
W96.4 Revision of one component of total prosthetic replacement of shoulder joint using cement
  Excludes:  Revision of one component of reverse polarity total prosthetic replacement of shoulder joint using cement (O37.2)


W96.5 Primary reverse polarity total prosthetic replacement of shoulder joint using cement
W96.6 Revision of reverse polarity total prosthetic replacement of shoulder joint using cement
W96.8 Other specified
W96.9 Unspecified
W96.0 Conversion from total prosthetic replacement of shoulder joint using cement
  Excludes:  Conversion from reverse polarity total prosthetic replacement of shoulder joint using cement (O37.0)



W97 Total prosthetic replacement of shoulder joint not using cement
 
W97.1 Primary total prosthetic replacement of shoulder joint not using cement
W97.2 Conversion to total prosthetic replacement of shoulder joint not using cement
  Excludes:  Conversion to reverse polarity total prosthetic replacement of shoulder joint not using cement (O38.1)

Note:  Use a subsidiary conversion from code as necessary


W97.3 Revision of total prosthetic replacement of shoulder joint not using cement
W97.4 Revision of one component of total prosthetic replacement of shoulder joint not using cement
  Excludes:  Revision of one component of reverse polarity total prosthetic replacement of shoulder joint not using cement (O38.2)


W97.5 Primary reverse polarity total prosthetic replacement of shoulder joint not using cement
W97.6 Revision of reverse polarity total prosthetic replacement of shoulder joint not using cement
W97.8 Other specified
W97.9 Unspecified
W97.0 Conversion from total prosthetic replacement of shoulder joint not using cement
  Excludes:  Conversion from reverse polarity total prosthetic replacement of shoulder joint not using cement (O38.0)



W98 Total prosthetic replacement of shoulder joint
  Includes:  Total prosthetic replacement of shoulder joint NEC



W98.1 Primary total prosthetic replacement of shoulder joint NEC
W98.2 Conversion to total prosthetic replacement of shoulder joint NEC
  Excludes:  Conversion to reverse polarity total prosthetic replacement of shoulder joint NEC (O39.1)

Note:  Use a subsidiary conversion from code as necessary


W98.3 Revision of total prosthetic replacement of shoulder joint NEC
W98.4 Attention to total prosthetic replacement of shoulder joint NEC
  Excludes:  Attention to reverse polarity total prosthetic replacement of shoulder joint NEC (O39.2)


W98.5 Revision of one component of total prosthetic replacement of shoulder joint NEC
  Excludes:  Revision of one component of reverse polarity total prosthetic replacement of shoulder joint NEC (O39.2)


W98.6 Primary reverse polarity total prosthetic replacement of shoulder joint NEC
W98.7 Revision of reverse polarity total prosthetic replacement of shoulder joint NEC
W98.8 Other specified
W98.9 Unspecified
W98.0 Conversion from total prosthetic replacement of shoulder joint NEC
  Excludes:  Conversion from reverse polarity total prosthetic replacement of shoulder joint NEC (O39.0)



W99 Graft of cord blood stem cells to bone marrow
 
W99.1 Allograft of cord blood stem cells to bone marrow
W99.8 Other specified
W99.9 Unspecified

O06 Hybrid prosthetic replacement of shoulder joint using cemented humeral component
  Excludes:  Reverse polarity hybrid prosthetic replacement of shoulder joint using cement (O40)



O06.1 Primary hybrid prosthetic replacement of shoulder joint using cemented humeral component
O06.2 Conversion to hybrid prosthetic replacement of shoulder joint using cemented humeral component
  Note:  Use a subsidiary conversion from code as necessary


O06.3 Revision of hybrid prosthetic replacement of shoulder joint using cemented humeral component
O06.4 Revision of one component of hybrid prosthetic replacement of shoulder joint using cemented humeral component
  Note:  Use a subsidiary site code to identify the component that has been revised (Z68.4, Z69.1)


O06.8 Other specified
O06.9 Unspecified
O06.0 Conversion from previous hybrid prosthetic replacement of shoulder joint using cemented humeral component

O07 Hybrid prosthetic replacement of shoulder joint using cemented glenoid component
  Excludes:  Reverse polarity hybrid prosthetic replacement of shoulder joint using cement (O40)



O07.1 Primary hybrid prosthetic replacement of shoulder joint using cemented glenoid component
O07.2 Conversion to hybrid prosthetic replacement of shoulder joint using cemented glenoid component
  Note:  Use a subsidiary conversion from code as necessary


O07.3 Revision of hybrid prosthetic replacement of shoulder joint using cemented glenoid component
O07.4 Revision of one component of hybrid prosthetic replacement of shoulder joint using cemented glenoid component
  Note:  Use a subsidiary site code to identify the component that has been revised (Z68.4, Z69.1)


O07.8 Other specified
O07.9 Unspecified
O07.0 Conversion from previous hybrid prosthetic replacement of shoulder joint using cemented glenoid component

O08 Hybrid prosthetic replacement of shoulder joint using cement
  Includes:  Hybrid prosthetic replacement of shoulder joint NEC

Excludes:  Reverse polarity hybrid prosthetic replacement of shoulder joint using cement (O40)



O08.1 Primary hybrid prosthetic replacement of shoulder joint using cement NEC
O08.2 Conversion to hybrid prosthetic replacement of shoulder joint using cement NEC
  Note:  Use a subsidiary conversion from code as necessary


O08.3 Revision of hybrid prosthetic replacement of shoulder joint using cement NEC
O08.4 Attention to hybrid prosthetic replacement of shoulder joint using cement NEC
O08.5 Revision of one component of hybrid prosthetic replacement of shoulder joint using cement NEC
  Note:  Use a subsidiary site code to identify the component that has been revised (Z68.4, Z69.1)


O08.8 Other specified
O08.9 Unspecified
O08.0 Conversion from previous hybrid prosthetic replacement of shoulder joint using cement NEC

O09 Placement of bone prosthesis
  Excludes:  Prosthetic replacement of bone (W05)



O09.1 Implantation of vertical expanding prosthetic titanium rib
O09.8 Other specified
O09.9 Unspecified

O10 Complex reconstruction of shoulder
 
O10.1 Extra-articular scapular resection with reconstruction of shoulder
O10.8 Other specified
O10.9 Unspecified

O17 Secondary closed reduction of fracture of bone and internal fixation
  Includes:  Secondary internal fixation of fracture of bone without mention of reduction
Remanipulation of fracture of bone and internal fixation

Excludes:  Fracture dislocation (W66)



O17.1 Remanipulation of intracapsular fracture of neck of femur and fixation using nail or screw
O17.2 Remanipulation of fracture of long bone and rigid internal fixation NEC
O17.3 Remanipulation of fracture of long bone and flexible internal fixation HFQ
O17.4 Remanipulation of fracture of short bone and fixation using screw
O17.5 Remanipulation of fragment of bone and fixation using screw
O17.6 Remanipulation of fracture of bone and fixation using plate
O17.8 Other specified
O17.9 Unspecified

O18 Hybrid prosthetic replacement of knee joint using cement
  Includes:  Hybrid prosthetic replacement of knee joint NEC



O18.1 Primary hybrid prosthetic replacement of knee joint using cement
  Note:  Use a subsidiary site code to identify cemented component (Z76.5, Z77.1)


O18.2 Conversion to hybrid prosthetic replacement of knee joint using cement
  Note:  Use a subsidiary conversion from code as necessary


O18.3 Revision of hybrid prosthetic replacement of knee joint using cement
O18.4 Attention to hybrid prosthetic replacement of knee joint using cement
O18.5 Revision of cemented component of hybrid prosthetic replacement of knee joint
  Note:  Use a subsidiary site code to identify the component that has been revised (Z76.5, Z77.1)


O18.6 Revision of uncemented component of hybrid prosthetic replacement of knee joint
  Note:  Use a subsidiary site code to identify the component that has been revised (Z76.5, Z77.1)


O18.8 Other specified
O18.9 Unspecified
O18.0 Conversion from previous hybrid prosthetic replacement of knee joint using cement

O19 Other therapeutic endoscopic operations on other joint structure
  Note:  Principal W84
It is not necessary to code additionally any mention of diagnostic endoscopic examination of same joint (W87.9, W88.9)



O19.1 Endoscopic autologous matrix induced chondrogenesis of joint
O19.2 Endoscopic excision of infrapatellar fat pad
O19.8 Other specified
O19.9 Unspecified

O21 Total prosthetic replacement of elbow joint using cement
 
O21.1 Primary total prosthetic replacement of elbow joint using cement
O21.2 Conversion to total prosthetic replacement of elbow joint using cement
  Note:  Use a subsidiary conversion from code as necessary


O21.3 Revision of total prosthetic replacement of elbow joint using cement
O21.4 Revision of one component of total prosthetic replacement of elbow joint using cement
O21.8 Other specified
O21.9 Unspecified
O21.0 Conversion from total prosthetic replacement of elbow joint using cement

O22 Total prosthetic replacement of elbow joint not using cement
 
O22.1 Primary total prosthetic replacement of elbow joint not using cement
O22.2 Conversion to total prosthetic replacement of elbow joint not using cement
  Note:  Use a subsidiary conversion from code as necessary


O22.3 Revision of total prosthetic replacement of elbow joint not using cement
O22.4 Revision of one component of total prosthetic replacement of elbow joint not using cement
O22.8 Other specified
O22.9 Unspecified
O22.0 Conversion from total prosthetic replacement of elbow joint not using cement

O23 Total prosthetic replacement of elbow joint
  Includes:  Total prosthetic replacement of elbow joint NEC



O23.1 Primary total prosthetic replacement of elbow joint NEC
O23.2 Conversion to total prosthetic replacement of elbow joint NEC
  Note:  Use a subsidiary conversion from code as necessary


O23.3 Revision of total prosthetic replacement of elbow joint NEC
O23.4 Attention to total prosthetic replacement of elbow joint NEC
O23.5 Revision of one component of total prosthetic replacement of elbow joint NEC
O23.8 Other specified
O23.9 Unspecified
O23.0 Conversion from total prosthetic replacement of elbow joint NEC

O24 Prosthetic replacement of head of radius using cement
  Includes:  Prosthetic hemiarthroplasty of head of radius using cement



O24.1 Primary prosthetic replacement of head of radius using cement
O24.2 Conversion to prosthetic replacement of head of radius using cement
  Note:  Use a subsidiary conversion from code as necessary


O24.3 Revision of prosthetic replacement of head of radius using cement
O24.8 Other specified
O24.9 Unspecified
O24.0 Conversion from previous cemented prosthetic replacement of head of radius

O25 Prosthetic replacement of head of radius not using cement
  Includes:  Prosthetic hemiarthroplasty of head of radius not using cement



O25.1 Primary prosthetic replacement of head of radius not using cement
O25.2 Conversion to prosthetic replacement of head of radius not using cement
  Note:  Use a subsidiary conversion from code as necessary


O25.3 Revision of prosthetic replacement of head of radius not using cement
O25.8 Other specified
O25.9 Unspecified
O25.0 Conversion from previous uncemented prosthetic replacement of head of radius

O26 Other prosthetic replacement of head of radius
  Includes:  Prosthetic hemiarthroplasty of head of radius NEC



O26.1 Primary prosthetic replacement of head of radius NEC
O26.2 Conversion to prosthetic replacement of head of radius NEC
  Note:  Use a subsidiary conversion from code as necessary


O26.3 Revision of prosthetic replacement of head of radius NEC
O26.4 Attention to prosthetic replacement of head of radius NEC
O26.8 Other specified
O26.9 Unspecified
O26.0 Conversion from previous prosthetic replacement of head of radius NEC

O27 Other stabilising operations on joint
  Note:  Principal W77



O27.1 Extra-articular ligament reconstruction for stabilisation of joint
O27.2 Repair of capsule and anterior and posterior labrum for stabilisation of glenohumeral joint
O27.3 Repair of capsule and anterior labrum for stabilisation of glenohumeral joint
O27.4 Repair of capsule and posterior labrum for stabilisation of glenohumeral joint
O27.5 Intra-articular ligament reconstruction for stabilisation of joint
O27.8 Other specified
O27.9 Unspecified

O29 Excision of bone
  Note:  Principal W08



O29.1 Subacromial decompression
  Includes:  Acromioplasty NEC


O29.8 Other specified
O29.9 Unspecified

O32 Total prosthetic replacement of ankle joint
 
O32.1 Primary total prosthetic replacement of ankle joint NEC
O32.2 Conversion to total prosthetic replacement of ankle joint NEC
  Note:  Use a subsidiary conversion from code as necessary


O32.3 Revision of total prosthetic replacement of ankle joint NEC
O32.4 Attention to total prosthetic replacement of ankle joint NEC
O32.5 Revision of one component of total prosthetic replacement of ankle joint NEC
O32.8 Other specified
O32.9 Unspecified
O32.0 Conversion from total prosthetic replacement of ankle joint NEC

O35 Open operations on joint
  Note:  Principal W81



O35.1 Attention to therapeutic joint spacer
O35.8 Other specified
O35.9 Unspecified

O37 Reverse polarity total prosthetic replacement of shoulder joint using cement
  Excludes:  Primary reverse polarity total prosthetic replacement of shoulder joint using cement (W96.5)
Revision of reverse polarity total prosthetic replacement of shoulder joint using cement (W96.6)



O37.1 Conversion to reverse polarity total prosthetic replacement of shoulder joint using cement
O37.2 Revision of one component of reverse polarity total prosthetic replacement of shoulder joint using cement
O37.8 Other specified
O37.9 Unspecified
O37.0 Conversion from reverse polarity total prosthetic replacement of shoulder joint using cement

O38 Reverse polarity total prosthetic replacement of shoulder joint not using cement
  Excludes:  Primary reverse polarity total prosthetic replacement of shoulder joint not using cement (W97.5)
Revision of reverse polarity total prosthetic replacement of shoulder joint not using cement (W97.6)



O38.1 Conversion to reverse polarity total prosthetic replacement of shoulder joint not using cement
O38.2 Revision of one component of reverse polarity total prosthetic replacement of shoulder joint not using cement
O38.8 Other specified
O38.9 Unspecified
O38.0 Conversion from reverse polarity total prosthetic replacement of shoulder joint not using cement

O39 Reverse polarity total prosthetic replacement of shoulder joint
  Includes:  Reverse polarity total prosthetic replacement of shoulder joint NEC

Excludes:  Primary reverse polarity total prosthetic replacement of shoulder joint NEC (W98.6)
Revision of reverse polarity total prosthetic replacement of shoulder joint NEC (W98.7)



O39.1 Conversion to reverse polarity total prosthetic replacement of shoulder joint NEC
O39.2 Attention to reverse polarity total prosthetic replacement of shoulder joint NEC
O39.3 Revision of one component of reverse polarity total prosthetic replacement of shoulder joint NEC
O39.8 Other specified
O39.9 Unspecified
O39.0 Conversion from reverse polarity total prosthetic replacement of shoulder joint NEC

O40 Reverse polarity hybrid prosthetic replacement of shoulder joint using cement
  Includes:  Reverse polarity hybrid prosthetic replacement of shoulder joint NEC



O40.1 Primary reverse polarity hybrid prosthetic replacement of shoulder joint using cement
  Note:  Use a subsidiary site code to identify cemented component (Z68.4, Z69.1)


O40.2 Conversion to reverse polarity hybrid total prosthetic replacement of shoulder joint using cement
O40.3 Revision of reverse polarity hybrid prosthetic replacement of shoulder joint using cement
O40.4 Attention to hybrid reverse polarity total prosthetic replacement of shoulder joint using cement
O40.5 Revision of cemented component of hybrid reverse polarity prosthetic replacement of shoulder joint
  Note:  Use a subsidiary site code to identify the component that has been revised (Z68.4, Z69.1)


O40.6 Revision of uncemented component of hybrid reverse polarity prosthetic replacement of shoulder joint
  Note:  Use a subsidiary site code to identify the component that has been revised (Z68.4, Z69.1)


O40.8 Other specified
O40.9 Unspecified
O40.0 Conversion from previous reverse polarity hybrid prosthetic replacement of shoulder joint using cement

O41 Operations on cartilage of joint
  Excludes:  Open operations on meniscus of knee joint (W70)
Therapeutic endoscopic operations on meniscus of knee joint (W82)
Therapeutic endoscopic operations on other articular cartilage (W83)
Other therapeutic endoscopic operations on other articular cartilage (W89)



O41.1 Reconstruction of acetabular labrum
O41.2 Repair of acetabular labrum
O41.3 Debridement of acetabular labrum
  Excludes:  When associated with reconstruction of acetabular labrum (O41.1) or repair of acetabular labrum (O41.2)


O41.8 Other specified
O41.9 Unspecified

O49 Internal fixation of bone
  Includes:  Internal fixator of bone NEC

Note:  Principal W28



O49.1 Removal of intramedullary fixation from bone
O49.8 Other specified
O49.9 Unspecified

O51 Prosthetic replacement of wrist joint
  Excludes:  Prosthetic interposition arthroplasty of wrist joint (W55)



O51.1 Primary total prosthetic replacement of wrist joint
O51.2 Conversion to total prosthetic replacement of wrist joint
  Note:  Use a subsidiary conversion from code as necessary


O51.3 Revision of total prosthetic replacement of wrist joint
O51.4 Attention to total prosthetic replacement of wrist joint
O51.5 Primary prosthetic replacement of articulation of bone of wrist
  Includes:  Prosthetic hemiarthroplasty of articulation of bone of wrist

Note:  Use a subsidiary site code to identify resurfaced bone (Z70.5, Z72.4)


O51.6 Revision of prosthetic replacement of articulation of bone of wrist
  Includes:  Revision of prosthetic hemiarthroplasty of articulation of bone of wrist

Note:  Use a subsidiary site code to identify resurfaced bone revised (Z70.5, Z72.4)


O51.8 Other specified
O51.9 Unspecified
O51.0 Conversion from previous total prosthetic replacement of wrist joint


CHAPTER X
MISCELLANEOUS OPERATIONS
(CODES X01-X98)

Includes:  OPERATIONS COVERING MULTIPLE SYSTEMS

Note:  This chapter contains certain codes designed to precede codes in Chapter Y when more precise preceding codes cannot be determined or are not applicable
Use a subsidiary code for minimal access approach (Y74-Y76)
Use a subsidiary code to identify method of image control (Y53)



X01 Replantation of upper limb
 
X01.1 Replantation of whole arm
X01.2 Replantation of forearm
X01.3 Replantation of hand
X01.4 Replantation of thumb
X01.5 Replantation of finger NEC
X01.8 Other specified
X01.9 Unspecified
  Includes:  Replantation of arm NEC



X02 Replantation of lower limb
 
X02.1 Replantation of whole leg
X02.2 Replantation of foot
X02.3 Replantation of toe
X02.8 Other specified
X02.9 Unspecified
  Includes:  Replantation of leg NEC



X03 Replantation of other organ
 
X03.1 Replantation of ear
X03.2 Replantation of nose
X03.8 Other specified
X03.9 Unspecified

X04 Transplantation between systems
 
X04.1 Autotransplantation of adrenal medulla to caudate nucleus of brain
X04.8 Other specified
X04.9 Unspecified

X05 Implantation of prosthesis for limb
 
X05.1 Implantation of bioelectrical prosthesis for limb
X05.2 Implantation of kineplastic prosthesis for limb
X05.3 Attention to prosthesis for limb
X05.8 Other specified
X05.9 Unspecified

X07 Amputation of arm
 
X07.1 Forequarter amputation
X07.2 Disarticulation of shoulder
X07.3 Amputation of arm above elbow
X07.4 Amputation of arm through elbow
X07.5 Amputation of arm through forearm
X07.8 Other specified
X07.9 Unspecified

X08 Amputation of hand
 
X08.1 Amputation of hand at wrist
X08.2 Amputation of thumb
  Excludes:  Amputation of duplicate thumb (X21.5)


X08.3 Amputation of phalanx of finger
X08.4 Amputation of finger NEC
  Excludes:  Amputation of supernumerary finger (X21.6)


X08.8 Other specified
X08.9 Unspecified

X09 Amputation of leg
 
X09.1 Hindquarter amputation
X09.2 Disarticulation of hip
X09.3 Amputation of leg above knee
X09.4 Amputation of leg through knee
X09.5 Amputation of leg below knee
X09.8 Other specified
X09.9 Unspecified

X10 Amputation of foot
 
X10.1 Amputation of foot through ankle
X10.2 Disarticulation of tarsal bones
X10.3 Disarticulation of metatarsal bones
X10.4 Amputation through metatarsal bones
X10.8 Other specified
X10.9 Unspecified

X11 Amputation of toe
  Excludes:  Amputation of supernumerary toe (X27.3)



X11.1 Amputation of great toe
X11.2 Amputation of phalanx of toe
X11.8 Other specified
X11.9 Unspecified
  Includes:  Disarticulation of toe



X12 Operations on amputation stump
 
X12.1 Reamputation at higher level
X12.2 Excision of lesion of amputation stump
X12.3 Shortening of length of amputation stump
X12.4 Revision of coverage of amputation stump
X12.5 Drainage of amputation stump
X12.8 Other specified
X12.9 Unspecified

X14 Clearance of pelvis
 
X14.1 Total exenteration of pelvis
  Includes:  Exenteration of pelvis NEC


X14.2 Anterior exenteration of pelvis
X14.3 Posterior exenteration of pelvis
X14.4 Pelvic side wall clearance
  Includes:  Pelvic side wall clearance with internal iliac artery and vein resection


X14.8 Other specified
X14.9 Unspecified

X15 Operations for sexual transformation
  Excludes:  Operations for disorders of sex development (X16)



X15.1 Combined operations for transformation from male to female
X15.2 Combined operations for transformation from female to male
X15.3 Code retired - refer to introduction
X15.4 Construction of scrotum
X15.8 Other specified
X15.9 Unspecified

X16 Operations for disorders of sex development
  Excludes:  Operations for sexual transformation (X15)



X16.1 Excision of Mullerian duct remnant
  Includes:  Excision of uterine horn
Excision of rudimentary uterus

Excludes:  Excision of accessory uterus (Q07.6)


X16.2 Excision of lesion of Mullerian duct remnant
X16.3 Excision of gonad from abdomen
  Note:  Use a supplementary code for concurrent excision of fallopian tube (Q22-Q24)


X16.4 Excision of gonad from pelvis
  Note:  Use a supplementary code for concurrent excision of fallopian tube (Q22-Q24)


X16.5 Excision of gonad from inguinal canal
  Note:  Use a supplementary code for concurrent excision of fallopian tube (Q22-Q24)


X16.6 Excision of gonad NEC
  Note:  Use a supplementary code for concurrent excision of fallopian tube (Q22-Q24)


X16.8 Other specified
X16.9 Unspecified

X17 Separation of conjoined twins
 
X17.1 Combined operations to separate conjoined twins
X17.8 Other specified
X17.9 Unspecified

X19 Correction of congenital deformity of shoulder or upper arm
 
X19.1 Reduction of Sprengel deformity
X19.2 Correction of obstetric palsy
X19.8 Other specified
X19.9 Unspecified

X20 Correction of congenital deformity of forearm
 
X20.1 Excision of anlage of radius
X20.2 Excision of anlage of ulna
X20.3 Centralisation of carpus for correction of congenital deformity of forearm
X20.4 Revision of release of radius for correction of congenital deformity of forearm
X20.5 Revision of release of ulna for correction of congenital deformity of forearm
X20.8 Other specified
X20.9 Unspecified

X21 Correction of congenital deformity of hand
 
X21.1 Reduction of gigantism of hand
X21.2 Correction of mirror hand
X21.3 Correction of syndactyly of fingers using skin graft
X21.4 Correction of syndactyly of fingers using skin expander
X21.5 Amputation of duplicate thumb
X21.6 Amputation of supernumerary finger NEC
X21.7 Reconstruction of radial club hand
X21.8 Other specified
X21.9 Unspecified

X22 Correction of congenital deformity of hip
 
X22.1 Open reduction of congenital deformity of hip
X22.2 Primary osteotomy of pelvis for correction of congenital deformity of hip
  Includes:  Osteotomy of pelvis for correction of congenital deformity of hip


X22.3 Secondary arthroplasty of hip for correction of congenital deformity of hip
X22.4 Intra-articular soft tissue procedures for correction of congenital deformity of hip
X22.5 Extra-articular procedures for correction of congenital deformity of hip
X22.6 Closed reduction of congenital deformity of hip
X22.8 Other specified
X22.9 Unspecified

X23 Correction of congenital deformity of leg
 
X23.1 Operative reduction of congenital dislocation of knee
X23.2 Correction of pseudoarthrosis of tibia
X23.3 Excision of anlage of fibula
X23.4 Excision of anlage of tibia
X23.5 Centralisation of tarsus for correction of congenital deformity of leg
X23.6 Reversal of rotation plasty of ankle for correction of congenital deformity of leg
X23.8 Other specified
X23.9 Unspecified

X24 Primary correction of congenital deformity of foot
 
X24.1 Release of pantalar joints for correction of congenital deformity of foot
X24.2 Posterior release of joints of foot for correction of congenital deformity of foot
X24.3 Medial release of joints of foot for correction of congenital deformity of foot
X24.4 Anterior release of joints of foot for correction of congenital deformity of foot
X24.8 Other specified
X24.9 Unspecified

X25 Other correction of congenital deformity of foot
  Includes:  Late correction of congenital deformity of foot



X25.1 Osteotomy of body of os calcis
X25.2 Wedge tarsectomy for correction of congenital deformity of foot
X25.3 Reduction of gigantism of foot
X25.4 Separation of tarsal coalition
X25.8 Other specified
X25.9 Unspecified

X27 Correction of minor congenital deformity of foot
 
X27.1 Release of Streeter band
X27.2 Release of syndactyly of toes
X27.3 Amputation of supernumerary toe
X27.4 Correction of curly fifth toe
X27.5 Correction of congenital crossed toes
X27.8 Other specified
X27.9 Unspecified

X28 Intermittent infusion of therapeutic substance
  Excludes:  Continuous infusion of therapeutic substance (X29)



X28.1 Intermittent intravenous infusion of therapeutic substance
X28.2 Intermittent subcutaneous infusion of therapeutic substance
X28.8 Other specified
X28.9 Unspecified

X29 Continuous Infusion of therapeutic substance
  Excludes:  Intermittent infusion of therapeutic substance (X28)



X29.1 Continuous subcutaneous infusion of insulin
  Includes:  Subcutaneous infusion with insulin pump


X29.2 Continuous intravenous infusion of therapeutic substance NEC
X29.3 Continuous subcutaneous infusion of therapeutic substance NEC
  Includes:  Subcutaneous infusion of fluids NEC


X29.8 Other specified
X29.9 Unspecified

X30 Injection of therapeutic substance
  Includes:  Injection of prophylactic substance



X30.1 Injection of Rh immune globulin
X30.2 Injection of gamma globulin
  Includes:  Intravenous immunoglobulin NEC


X30.3 Injection of immune serum NEC
X30.4 Injection of thrombin NEC
X30.5 Injection of sclerosing substance NEC
X30.6 Injection of anaesthetic agent NEC
X30.8 Other specified
X30.9 Unspecified

X31 Injection of radiocontrast material
 
X31.1 Intravenous cholecystography
X31.2 Intravenous pyelography
  Includes:  Intravenous urogram


X31.3 Intravenous injection of radiocontrast material NEC
X31.8 Other specified
X31.9 Unspecified

X32 Exchange blood transfusion
  Includes:  Therapeutic apheresis

Note:  Principal category, extended at X47
Use a subsidiary code for extracorporeal circulation NEC (Y73.2) if the exchange is automated



X32.1 Neonatal exchange blood transfusion
X32.2 Exchange of plasma (single)
  Includes:  Plasmapheresis (single)
Plasma separation (single)


X32.3 Exchange of plasma (2-9)
  Includes:  Plasmapheresis (2-9)
Plasma separation (2-9)


X32.4 Exchange of plasma (10-19)
  Includes:  Plasmapheresis (10-19)
Plasma separation (10-19)


X32.5 Exchange of plasma (>19)
  Includes:  Plasmapheresis (>19)
Plasma separation (>19)


X32.6 Red cell exchange
  Includes:  Erythrocytopheresis

Excludes:  Autologous transfusion of red blood cells (X33.7)


X32.7 Leucopheresis
X32.8 Other specified
X32.9 Unspecified

X33 Other blood transfusion
 
X33.1 Intra-arterial blood transfusion
X33.2 Intravenous blood transfusion of packed cells
X33.3 Intravenous blood transfusion of platelets
X33.4 Autologous peripheral blood stem cell transplant
X33.5 Syngeneic peripheral blood stem cell transplant
X33.6 Allogeneic peripheral blood stem cell transplant
X33.7 Autologous transfusion of red blood cells
  Excludes:  Exchange blood transfusion (X32)


X33.8 Other specified
X33.9 Unspecified
  Includes:  Intravenous blood transfusion NEC



X34 Other intravenous transfusion
 
X34.1 Transfusion of coagulation factor
X34.2 Transfusion of plasma NEC
X34.3 Transfusion of serum NEC
X34.4 Transfusion of blood expander
X34.8 Other specified
X34.9 Unspecified

X35 Other intravenous injection
  Includes:  Intravenous bolus injection
Intravenous bolus NEC



X35.1 Intravenous induction of labour
X35.2 Intravenous chemotherapy
X35.3 Intravenous immunotherapy
  Excludes:  Intravenous injection of vaccine (X44.1)


X35.4 Intravenous injection of non radioactive diagnostic substance
X35.5 Intravenous injection of antimicrobial therapy
X35.8 Other specified
X35.9 Unspecified

X36 Blood withdrawal
 
X36.1 Blood donation
X36.2 Venesection
X36.3 Venous sampling
X36.4 Autologous blood salvage
X36.8 Other specified
X36.9 Unspecified

X37 Intramuscular injection
 
X37.1 Intramuscular calcitonin therapy
X37.2 Intramuscular gold therapy
X37.3 Intramuscular chemotherapy
X37.4 Intramuscular immunotherapy
  Excludes:  Intramuscular injection of vaccine (X44.2)


X37.5 Intramuscular injection for local action
X37.6 Intramuscular hormone therapy
X37.8 Other specified
X37.9 Unspecified

X38 Subcutaneous injection
 
X38.1 Injection of triamcinolone for local action
  Includes:  Injection of triamcinolone


X38.2 Injection of steroid for local action NEC
  Includes:  Injection of steroid NEC


X38.3 Injection of hormone for local action NEC
  Includes:  Injection of hormone NEC


X38.4 Subcutaneous chemotherapy
X38.5 Subcutaneous immunotherapy
  Excludes:  Subcutaneous injection of vaccine (X44.3)


X38.6 Subcutaneous injection for local action NEC
  Includes:  Subcutaneous injection NEC


X38.7 Subcutaneous injection of haematological growth factor
X38.8 Other specified
X38.9 Unspecified

X39 Other route of administration of therapeutic substance
 
X39.1 Oral administration of therapeutic substance
  Excludes:  Oral administration of vaccine (X44.4)


X39.2 Sublingual administration of therapeutic substance
X39.3 Intranasal administration of therapeutic substance
X39.4 Inhalation administration of therapeutic substance
X39.5 Transdermal administration of therapeutic substance
X39.6 Intraocular administration of therapeutic substance
X39.8 Other specified
X39.9 Unspecified

X40 Compensation for renal failure
 
X40.1 Renal dialysis
X40.2 Peritoneal dialysis NEC
X40.3 Haemodialysis NEC
X40.4 Haemofiltration
X40.5 Automated peritoneal dialysis
X40.6 Continuous ambulatory peritoneal dialysis
X40.7 Haemoperfusion
X40.8 Other specified
X40.9 Unspecified

X41 Placement of ambulatory apparatus for compensation for renal failure
 
X41.1 Insertion of ambulatory peritoneal dialysis catheter
X41.2 Removal of ambulatory peritoneal dialysis catheter
X41.8 Other specified
X41.9 Unspecified

X42 Placement of other apparatus for compensation for renal failure
 
X42.1 Insertion of temporary peritoneal dialysis catheter
X42.8 Other specified
X42.9 Unspecified

X43 Compensation for liver failure
 
X43.1 Extracorporeal albumin haemodialysis
X43.8 Other specified
X43.9 Unspecified

X44 Administration of vaccine
  Excludes:  Administration of Bacillus Calmette-Guerin vaccine (E95.2)



X44.1 Intravenous injection of vaccine
X44.2 Intramuscular injection of vaccine
X44.3 Subcutaneous injection of vaccine
X44.4 Oral administration of vaccine
X44.8 Other specified
X44.9 Unspecified

X45 Donation of organ
 
X45.1 Donation of kidney
X45.2 Donation of heart
X45.3 Donation of lobe of lung
X45.8 Other specified
X45.9 Unspecified

X46 Donation of other tissue
 
X46.1 Donation of bone marrow
X46.2 Donation of skin
X46.8 Other specified
X46.9 Unspecified

X47 Other exchange blood transfusion
  Includes:  Therapeutic apheresis

Note:  Principal X32
Use a subsidiary code for extracorporeal circulation NEC (Y73.2) if the exchange is automated



X47.1 Low-density lipoprotein apheresis
X47.8 Other specified
X47.9 Unspecified

X48 Immobilisation using plaster cast
 
X48.1 Application of plaster cast
  Note:  This code is not normally used when associated with another operation for treatment of fracture or disease of bone (Chapter V-W)


X48.2 Change of plaster cast
X48.3 Removal of plaster cast
X48.8 Other specified
X48.9 Unspecified

X49 Other external support of limb
  Note:  These codes are not normally used when associated with another operation for treatment of fracture or disease of bone (Chapter V-W)



X49.1 Application of splint NEC
X49.2 Change of splint NEC
X49.3 Removal of splint NEC
X49.4 Skin traction
X49.5 Application of sling NEC
  Includes:  Collar and cuff


X49.6 Application of elastic support bandage NEC
X49.7 Application of gauze support bandage NEC
X49.8 Other specified
X49.9 Unspecified

X50 External resuscitation
 
X50.1 Direct current cardioversion
X50.2 External cardioversion NEC
X50.3 Advanced cardiac pulmonary resuscitation
X50.4 External ventricular defibrillation
  Includes:  Cardiac defibrillation NEC


X50.5 Evaluation of cardioverter defibrillator
  Includes:  Evaluation of transvenous cardioverter defibrillator by induction of ventricular fibrillation
Evaluation of subcutaneous cardioverter defibrillator by induction of ventricular fibrillation


X50.8 Other specified
X50.9 Unspecified

X51 Change of body temperature
 
X51.1 Hypothermia therapy
X51.2 Active cooling
X51.8 Other specified
X51.9 Unspecified

X52 Oxygen therapy
  Excludes:  Extracorporeal membrane oxygenation (X58.1)
Oxygen therapy support (E87)



X52.1 Hyperbaric therapy
X52.2 High flow nasal oxygen therapy
  Includes:  High flow nasal cannula oxygen therapy

Excludes:  High flow continuous positive airway pressure (E85.6)

Note:  Use a supplementary code for concurrent prone positioning of the patient during high flow nasal oxygen therapy (O48.1)


X52.8 Other specified
X52.9 Unspecified

X53 Extirpation of unspecified organ
 
X53.1 Excision of unspecified organ
X53.2 Excision of lesion of unspecified organ
X53.3 Destruction of lesion of unspecified organ
  Includes:  Photodynamic therapy of lesion of unspecified organ


X53.8 Other specified
X53.9 Unspecified

X55 Other operations on unspecified organ
 
X55.1 Biopsy of lesion of unspecified organ
  Includes:  Biopsy of unspecified organ

Note:  Use a subsidiary code to identify biopsy of abdominal mass (Z31.9)


X55.2 Incision of unspecified organ
X55.3 Fenestration of unspecified organ
X55.8 Other specified
X55.9 Unspecified

X56 Intubation of trachea
 
X56.1 Nasotracheal intubation
X56.2 Endotracheal intubation
  Note:  Use Y80.2 for endotracheal intubation as part of general anaesthetic


X56.3 Tracheal intubation using laryngeal mask airway
  Includes:  Intubation using laryngeal mask airway


X56.8 Other specified
X56.9 Unspecified
  Includes:  Intubation trachea NEC



X58 Artificial support for body system
 
X58.1 Extracorporeal membrane oxygenation
X58.8 Other specified
X58.9 Unspecified

X59 Anaesthetic without surgery
 
X59.1 Preoperative anaesthetic death
X59.8 Other specified
X59.9 Unspecified

X60 Rehabilitation assessment
  Excludes:  Assessment (X62)



X60.1 Rehabilitation assessment by multidisciplinary non-specialised team
X60.2 Rehabilitation assessment by multidisciplinary specialised team
X60.3 Rehabilitation assessment by unidisciplinary non-specialised team
X60.4 Rehabilitation assessment by unidisciplinary specialised team
X60.8 Other specified
X60.9 Unspecified

X61 Complementary therapy
 
X61.1 Functional therapy session
X61.2 Relaxation therapy session
X61.3 Body massage
  Includes:  Acupressure


X61.4 Movement therapy NEC
  Includes:  Yoga
Tai chi


X61.8 Other specified
X61.9 Unspecified

X62 Assessment
  Excludes:  Rehabilitation assessment (X60)



X62.1 Assessment by uniprofessional team NEC
X62.2 Assessment by multiprofessional team NEC
X62.3 Assessment by multidisciplinary team NEC
X62.8 Other specified
X62.9 Unspecified

X63 Category retired - refer to introduction
 

X64 Category retired - refer to introduction
 

X65 Radiotherapy delivery
  Note:  Principal category, extended at X69



X65.1 Delivery of a fraction of total body irradiation
  Note:  Use a subsidiary code to identify external beam radiotherapy (Y91)


X65.2 Delivery of a fraction of intracavitary radiotherapy
  Note:  Use a subsidiary code to identify introduction of radioactive material (Y35, Y36)
Use a subsidiary code to identify brachytherapy (Y89)


X65.3 Delivery of a fraction of interstitial radiotherapy
  Note:  Use a subsidiary code to identify introduction of radioactive material (Y35, Y36)
Use a subsidiary code to identify brachytherapy (Y89)


X65.4 Delivery of a fraction of external beam radiotherapy NEC
  Note:  Use a subsidiary code to identify external beam radiotherapy (Y91)


X65.5 Oral delivery of radiotherapy for thyroid ablation
  Includes:  Oral radioactive iodine therapy

Excludes:  Delivery of radionuclide therapy NEC (X65.7)


X65.6 Delivery of a fraction of intraluminal brachytherapy
  Note:  Use a subsidiary code to identify introduction of radioactive material (Y35, Y36)
Use a subsidiary code to identify brachytherapy (Y89)


X65.7 Delivery of radionuclide therapy NEC
  Excludes:  Oral delivery of radiotherapy for thyroid ablation (X65.5)


X65.8 Other specified
X65.9 Unspecified

X66 Cognitive behavioural therapy
 
X66.1 Cognitive behavioural therapy by unidisciplinary team
X66.2 Cognitive behavioural therapy by multidisciplinary team
X66.8 Other specified
X66.9 Unspecified

X67 Preparation for external beam radiotherapy
  Note:  Use a subsidiary code to identify the use of technical support (Y92)



X67.1 Preparation for intensity modulated radiation therapy
  Includes:  Imaging and dosimetry


X67.2 Preparation for total body irradiation
X67.3 Preparation for hemi body irradiation
X67.4 Preparation for simple radiotherapy with imaging and dosimetry
X67.5 Preparation for simple radiotherapy with imaging and simple calculation
X67.6 Preparation for superficial radiotherapy with simple calculation
X67.7 Preparation for complex conformal radiotherapy
X67.8 Other specified
X67.9 Unspecified

X68 Preparation for brachytherapy
  Note:  Use a subsidiary code to identify the use of technical support (Y92)



X68.1 Preparation for intraluminal brachytherapy
X68.2 Preparation for intracavitary brachytherapy
X68.3 Preparation for interstitial brachytherapy
X68.8 Other specified
X68.9 Unspecified

X69 Other radiotherapy
  Note:  Principal X65



X69.1 Delivery of a fraction of hemi-body radiation
  Note:  Use a subsidiary code to identify external beam radiotherapy (Y91)


X69.2 Delivery of a fraction of total skin radiotherapy
  Note:  Use a subsidiary code to identify external beam radiotherapy (Y91)


X69.8 Other specified
X69.9 Unspecified

X70 Procurement of drugs for chemotherapy for neoplasm in Bands 1-5
  Excludes:  Other chemotherapy drugs (X74)



X70.1 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 1
X70.2 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 2
X70.3 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 3
X70.4 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 4
X70.5 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 5
X70.8 Other specified
X70.9 Unspecified

X71 Procurement of drugs for chemotherapy for neoplasm in Bands 6-10
  Excludes:  Other chemotherapy drugs (X74)



X71.1 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 6
X71.2 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 7
X71.3 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 8
X71.4 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 9
X71.5 Procurement of drugs for chemotherapy for neoplasm for regimens in Band 10
X71.8 Other specified
X71.9 Unspecified

X72 Delivery of chemotherapy for neoplasm
  Excludes:  Exclusive delivery of oral chemotherapy (X73)
Other chemotherapy drugs (X74)



X72.1 Delivery of complex chemotherapy for neoplasm including prolonged infusional treatment at first attendance
X72.2 Delivery of complex parenteral chemotherapy for neoplasm at first attendance
X72.3 Delivery of simple parenteral chemotherapy for neoplasm at first attendance
X72.4 Delivery of subsequent element of cycle of chemotherapy for neoplasm
X72.8 Other specified
X72.9 Unspecified

X73 Delivery of oral chemotherapy for neoplasm
  Excludes:  Other chemotherapy drugs (X74)



X73.1 Delivery of exclusively oral chemotherapy for neoplasm
X73.8 Other specified
X73.9 Unspecified

X74 Other chemotherapy drugs
  Excludes:  Procurement of drugs for chemotherapy for neoplasm (X70-X71)
Delivery of chemotherapy for neoplasm (X72-X73)
High cost drugs (X81-X98)



X74.1 Cancer hormonal treatment drugs Band 1
X74.2 Cancer supportive drugs Band 1
X74.8 Other specified
X74.9 Unspecified

X81 High cost gastrointestinal drugs
  Excludes:  Other chemotherapy drugs (X74)



X81.8 Other specified
X81.9 Unspecified

X82 High cost hypertension drugs
  Excludes:  Other chemotherapy drugs (X74)



X82.1 Pulmonary arterial hypertension drugs Band 1
X82.2 Pulmonary arterial hypertension drugs Band 2
X82.3 Pulmonary arterial hypertension drugs Band 3
X82.4 Pulmonary arterial hypertension drugs Band 4
X82.8 Other specified
X82.9 Unspecified

X83 High cost other cardiovascular drugs
  Excludes:  Other chemotherapy drugs (X74)



X83.1 Blood products Band 1
X83.2 Blood products Band 2
X83.3 Fibrinolytic drugs Band 1
X83.8 Other specified
X83.9 Unspecified

X84 High cost respiratory drugs
  Excludes:  Other chemotherapy drugs (X74)



X84.1 Medical gases Band 1
X84.2 Pulmonary surfactant drugs Band 1
X84.3 Mucolytic drugs Band 1
X84.8 Other specified
X84.9 Unspecified

X85 High cost neurology drugs
  Excludes:  Other chemotherapy drugs (X74)



X85.1 Torsion dystonias and other involuntary movements drugs Band 1
X85.2 Amyotrophic lateral sclerosis drugs Band 1
X85.3 Hypnotic drugs Band 1
X85.4 Analgesic drugs Band 1
X85.5 Neurodegenerative condition drugs Band 1
X85.6 Neuromuscular disorder drugs Band 1
X85.8 Other specified
X85.9 Unspecified

X86 High cost anti-infective drugs
  SEE ALSO X98

Excludes:  Other chemotherapy drugs (X74)



X86.1 Antifungal drugs Band 1
X86.2 Antifungal drugs Band 2
X86.3 Hepatitis B treatment drugs Band 1
X86.4 Respiratory syncytial virus treatment and Hepatitis C treatment drugs Band 1
X86.5 Respiratory syncytial virus prevention drugs Band 1
X86.6 Antiretroviral drugs Band 1
X86.7 Cytomegalovirus drugs Band 1
X86.8 Other specified
X86.9 Unspecified

X87 High cost endocrinology drugs
  Excludes:  Other chemotherapy drugs (X74)



X87.1 Growth hormone receptor antagonist drugs Band 1
X87.2 Growth hormone analogue drugs Band 1
X87.3 Bone metabolism drugs Band 1
X87.4 Vasopressin antagonist drugs Band 1
X87.8 Other specified
X87.9 Unspecified

X88 High cost reproductive and urinary tract drugs
  Excludes:  Other chemotherapy drugs (X74)



X88.8 Other specified
X88.9 Unspecified

X89 High cost immunosuppressant drugs
  Excludes:  Other chemotherapy drugs (X74)



X89.1 Monoclonal antibodies Band 1
X89.2 Monoclonal antibodies Band 2
X89.3 Immunomodulating drugs Band 1
X89.4 Somatostatin analogues Band 1
X89.5 Allergic emergency drugs Band 1
X89.8 Other specified
X89.9 Unspecified

X90 High cost haematology and nutrition drugs
  Excludes:  Other chemotherapy drugs (X74)



X90.1 Hypoplastic haemolytic and renal anaemia drugs Band 1
X90.2 Hypoplastic haemolytic and renal anaemia drugs Band 2
X90.3 Neutropenia drugs Band 1
X90.4 Intravenous nutrition Band 1
X90.5 Platelet disorder drugs Band 1
X90.6 Protein tyrosine kinase inhibitors Band 1
X90.7 Myelodysplastic syndrome drugs Band 1
X90.8 Other specified
X90.9 Unspecified

X91 High cost metabolic drugs
  Excludes:  Other chemotherapy drugs (X74)



X91.1 Metabolic disorder drugs Band 1
X91.2 Metabolic disorder drugs Band 2
X91.3 Metabolic disorder drugs Band 3
X91.4 Metabolic disorder drugs Band 4
X91.8 Other specified
X91.9 Unspecified

X92 High cost musculoskeletal drugs
  Excludes:  Other chemotherapy drugs (X74)



X92.1 Cytokine inhibitor drugs Band 1
X92.2 Hyperuricaemia drugs Band 1
X92.3 Bone morphogenetic proteins Band 1
X92.4 Soft tissue disorder drugs Band 1
X92.8 Other specified
X92.9 Unspecified

X93 High cost ophthalmology drugs
  Excludes:  Other chemotherapy drugs (X74)



X93.1 Subfoveal choroidal neovascularisation drugs Band 1
X93.2 Macular oedema drugs Band 1
X93.3 Retinal disorder drugs Band 1
X93.8 Other specified
X93.9 Unspecified

X94 High cost ear, nose and throat drugs
  Excludes:  Other chemotherapy drugs (X74)



X94.8 Other specified
X94.9 Unspecified

X95 High cost dermatology drugs
  Excludes:  Other chemotherapy drugs (X74)



X95.1 Immune response drugs Band 1
X95.2 Skin condition drugs Band 1
X95.8 Other specified
X95.9 Unspecified

X96 High cost immunology drugs
  Excludes:  Other chemotherapy drugs (X74)



X96.1 Immunoglobulins Band 1
X96.2 Allergen immunotherapy drugs Band 1
X96.3 Poison management drugs Band 1
X96.8 Other specified
X96.9 Unspecified

X97 High cost anaesthesia drugs
  Excludes:  Other chemotherapy drugs (X74)



X97.8 Other specified
X97.9 Unspecified

X98 Other high cost drugs
  SEE ALSO X86

Excludes:  Other chemotherapy drugs (X74)



X98.1 Antibacterial drugs Band 1
X98.8 Other specified
X98.9 Unspecified