Excludes: PENIS (except URETHRAL ORIFICE) (Chapter N) OPERATIONS FOR SEXUAL TRANSFORMATION (Chapter X) OPERATIONS FOR DISORDERS OF SEX DEVELOPMENT (Chapter X)
M01Transplantation of kidney M01.1 Autotransplantation of kidney M01.2 Allotransplantation of kidney from live donor Note: Use a subsidiary code to identify donor status (Y99)
M01.3 Allotransplantation of kidney from cadaver NEC M01.4 Allotransplantation of kidney from cadaver heart beating M01.5 Allotransplantation of kidney from cadaver heart non-beating M01.8 Other specified M01.9 Unspecified
M02Total excision of kidney Excludes: Donation of kidney (X45.1)
Note: Use an additional code for concurrent removal of thrombus from vena cava (L90.4)
M02.1 Nephrectomy and excision of perirenal tissue Note: Use an additional code for concurrent excision of ureter (M18)
M02.2 Nephroureterectomy NEC M02.3 Bilateral nephrectomy M02.4 Excision of half of horseshoe kidney M02.5 Nephrectomy NEC M02.6 Excision of rejected transplanted kidney M02.7 Excision of transplanted kidney NEC M02.8 Other specified M02.9 Unspecified
M03Partial excision of kidney Note: Use an additional code for concurrent removal of thrombus from vena cava (L90.4)
M03.1 Heminephrectomy of duplex kidney M03.2 Division of isthmus of horseshoe kidney M03.3 Diverticulectomy of kidney M03.8 Other specified M03.9 Unspecified Includes: Partial nephrectomy NEC
M04Open extirpation of lesion of kidney M04.1 Deroofing of cyst of kidney M04.2 Open excision of lesion of kidney NEC M04.3 Open destruction of lesion of kidney M04.8 Other specified M04.9 Unspecified
M05Open repair of kidney M05.1 Open pyeloplasty M05.2 Open revision of pyeloplasty M05.3 Nephropexy M05.4 Plication of kidney Note: Use an additional code for coincidental translocation of branch of renal artery (L41.5)
M05.5 Repair of laceration of kidney M05.8 Other specified M05.9 Unspecified
M06Incision of kidney Includes: Pelvis of kidney
M06.1 Open removal of calculus from kidney Includes: Nephrolithotomy Pyelolithotomy
M06.2 Drainage of kidney NEC Includes: Nephrostomy NEC Insertion of nephrostomy tube NEC
Excludes: Percutaneous insertion of nephrostomy tube (M13.6)
M06.3 Closure of nephrostomy M06.4 Code retired - refer to introduction M06.8 Other specified M06.9 Unspecified
M07Therapeutic endoscopic operations on kidney Includes: Therapeutic endoscopic retrograde operations on kidney
Excludes: Percutaneous endoscopic extraction of calculus of kidney (M09) Percutaneous endoscopic lithotripsy of calculus of kidney NEC (M09) Therapeutic percutaneous antegrade endoscopic operations on calculus of kidney (M09) Other therapeutic percutaneous endoscopic operations on kidney (M10)
Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of kidney (M88.9) Use a subsidiary code for approach to organ through artificial opening (Y52)
M07.1 Endoscopic laser fragmentation of calculus of kidney M07.2 Endoscopic extraction of calculus of kidney NEC M07.3 Endoscopic extirpation of lesion of kidney Includes: Endoscopic enucleation of lesion of kidney
M07.4 Endoscopic endoluminal balloon rupture of stenosis of pelviureteric junction of kidney M07.8 Other specified M07.9 Unspecified
M08Other open operations on kidney Includes: Pelvis of kidney
M08.1 Open biopsy of lesion of kidney Includes: Open biopsy of kidney
M08.2 Open denervation of kidney M08.3 Exploration of kidney M08.4 Exploration of transplanted kidney M08.8 Other specified M08.9 Unspecified
M09Therapeutic percutaneous endoscopic operations on calculus of kidney Includes: Percutaneous endoscopic extraction of calculus of kidney Percutaneous endoscopic lithotripsy of calculus of kidney Percutaneous lithotripsy of calculus of kidney NEC
Excludes: Therapeutic endoscopic operations on kidney (M07) Therapeutic endoscopic retrograde operations on kidney (M07)
Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of kidney (M11.9)
M09.1 Percutaneous endoscopic ultrasound fragmentation of calculus of kidney M09.2 Percutaneous endoscopic electrohydraulic shockwave fragmentation of calculus of kidney M09.3 Percutaneous endoscopic laser fragmentation of calculus of kidney M09.4 Percutaneous endoscopic extraction of calculus of kidney NEC Includes: Percutaneous nephrolithotomy NEC
M09.8 Other specified M09.9 Unspecified
M10Other therapeutic percutaneous endoscopic operations on kidney Excludes: Therapeutic endoscopic operations on kidney (M07) Therapeutic endoscopic retrograde operations on kidney (M07)
Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of kidney (M11.9)
M10.1 Percutaneous endoscopic extirpation of lesion of kidney NEC Includes: Enucleation of lesion of kidney
M10.2 Percutaneous endoscopic pyeloplasty M10.3 Percutaneous endoscopic deroofing of multiple cysts of kidney M10.4 Percutaneous endoscopic cryoablation of lesion of kidney M10.5 Code retired - refer to introduction M10.6 Percutaneous endoscopic deroofing of single cyst of kidney M10.8 Other specified M10.9 Unspecified
M11Diagnostic percutaneous endoscopic examination of kidney Excludes: Diagnostic endoscopic examination of kidney (M88) Diagnostic endoscopic retrograde examination of kidney (M88)
M11.1 Diagnostic percutaneous endoscopic examination of kidney and biopsy of lesion of kidney NEC Includes: Diagnostic percutaneous endoscopic examination of kidney and biopsy of kidney NEC Percutaneous endoscopic biopsy of lesion of kidney NEC Percutaneous endoscopic biopsy of kidney NEC
M11.2 Code retired - refer to introduction M11.3 Code retired - refer to introduction M11.8 Other specified M11.9 Unspecified Includes: Nephroscopy NEC
M12Percutaneous studies of upper urinary tract M12.1 Percutaneous pyeloureterodynamics M12.8 Other specified M12.9 Unspecified
M13Percutaneous puncture of kidney Includes: Pelvis of kidney
M13.1 Percutaneous needle biopsy of lesion of kidney Includes: Percutaneous needle biopsy of kidney Biopsy of lesion of kidney NEC Biopsy of kidney NEC
M13.2 Percutaneous drainage of kidney Note: Do not use a supplementary code for insertion of a nephrostomy tube (M06.2, M13.6)
M13.3 Percutaneous aspiration of kidney NEC M13.4 Percutaneous injection of therapeutic substance into kidney M13.5 Percutaneous injection of radiocontrast substance into kidney Includes: Antegrade pyelography
Excludes: Antegrade pyelography along nephrostomy tube track (M15.1)
M13.6 Percutaneous insertion of nephrostomy tube M13.7 Percutaneous radiofrequency ablation of lesion of kidney M13.8 Other specified M13.9 Unspecified
M14Extracorporeal fragmentation of calculus of kidney M14.1 Extracorporeal shock wave lithotripsy of calculus of kidney Includes: Shockwave lithotripsy of calculus of kidney
M14.8 Other specified M14.9 Unspecified
M15Operations on kidney along nephrostomy tube track M15.1 Nephrostomography Includes: Nephrostogram Antegrade pyelography along nephrostomy tube track
M15.8 Other specified M15.9 Unspecified
M16Other operations on kidney Excludes: Renal dialysis (X40.1)
M16.4 Code retired - refer to introduction M16.5 Removal of nephrostomy tube M16.8 Other specified M16.9 Unspecified
M17Interventions associated with transplantation of kidney M17.1 Live kidney donor screening M17.2 Pre-transplantation of kidney work-up - recipient M17.3 Pre-transplantation of kidney work-up - live donor M17.4 Post-transplantation of kidney examination - recipient M17.5 Post-transplantation of kidney examination - live donor M17.8 Other specified M17.9 Unspecified
M18Excision of ureter M18.1 Total ureterectomy Includes: Ureterectomy NEC
M18.2 Excision of segment of ureter M18.3 Secondary ureterectomy M18.4 Excision of duplex ureter M18.8 Other specified M18.9 Unspecified
M19Urinary diversion Note: Principal category, extended at M24
M19.1 Construction of ileal conduit Note: Use as a supplementary code when associated with concurrent total excision of bladder (M34)
M19.2 Creation of urinary diversion to intestine NEC Includes: Creation of urinary diversion to large bowel NEC
Note: Use as a supplementary code when associated with concurrent total excision of bladder (M34)
M19.3 Revision of urinary diversion Includes: Revision of ileal conduit Urinary undiversion
M19.4 Cutaneous ureterostomy NEC M19.5 Revision of ureterostomy stoma M19.6 Percutaneous tunnelled kidney to bladder bypass using prosthesis M19.7 Construction of orthotopic bladder substitute using intestine Includes: Construction of neobladder
Note: Use as a supplementary code when associated with concurrent total excision of bladder (M34)
M19.8 Other specified M19.9 Unspecified
M20Reimplantation of ureter Includes: Ureteroneocystostomy
M20.1 Bilateral reimplantation of ureter M20.2 Unilateral reimplantation of ureter M20.3 Reimplantation of ureter after urinary diversion M20.4 Psoas hitch reimplantation of ureter Note: Use an additional code when associated with concurrent bladder flap procedures (M21.2)
M20.8 Other specified M20.9 Unspecified
M21Other connection of ureter M21.1 Code retired - refer to introduction M21.2 Anastomosis of ureter to bladder using flap of bladder Note: Use as an additional code when associated with concurrent psoas hitch reimplantation of ureter (M20.4)
M21.3 Ileal replacement of ureter M21.4 Colonic replacement of ureter M21.5 Revision of anastomosis of ureter NEC M21.6 Ureteroureterostomy M21.7 Transureteroureterostomy M21.8 Other specified M21.9 Unspecified
M22Repair of ureter Excludes: When associated with reimplantation of ureter (M20) or other connection of ureter (M21)
M22.1 Suture of ureter M22.2 Removal of ligature from ureter M22.3 Closure of ureteric fistula M22.8 Other specified M22.9 Unspecified
M23Incision of ureter M23.1 Open ureterolithotomy M23.8 Other specified M23.9 Unspecified
M24.1 Construction of continent catheterisable intestinal pouch NEC Includes: Construction of continent catheterisable urinary diversion NEC Construction of continent catheterisable urinary reservoir NEC
Note: Use as a supplementary code when associated with concurrent total excision of bladder (M34)
M24.2 Construction of continent catheterisable intestinal pouch with continent cystostomy NEC Includes: Construction of continent catheterisable urinary diversion with continent cystostomy NEC Construction of continent catheterisable urinary reservoir with continent cystostomy NEC
Note: Use as a supplementary code when associated with concurrent total excision of bladder (M34)
M24.3 Construction of continent catheterisable intestinal pouch with continent cystostomy using appendix Includes: Construction of continent catheterisable urinary diversion with continent cystostomy using appendix Construction of continent catheterisable urinary reservoir with continent cystostomy using appendix
Note: Use as a supplementary code when associated with concurrent total excision of bladder (M34)
M24.4 Construction of continent catheterisable intestinal pouch with continent cystostomy using ileum Includes: Construction of continent catheterisable urinary diversion with continent cystostomy using ileum Construction of continent catheterisable urinary reservoir with continent cystostomy using ileum
Note: Use as a supplementary code when associated with concurrent total excision of bladder (M34)
M24.5 Creation of continent cystostomy NEC M24.6 Creation of continent cystostomy using appendix
M24.7 Creation of continent cystostomy using ileum M24.8 Other specified M24.9 Unspecified
M25Other open operations on ureter M25.1 Excision of ureterocele M25.2 Open excision of lesion of ureter NEC M25.3 Ureterolysis M25.4 Open biopsy of lesion of ureter Includes: Open biopsy of ureter
M25.5 Open exploration of ureter M25.8 Other specified M25.9 Unspecified
M26Therapeutic percutaneous endoscopic operations on ureter Includes: Therapeutic percutaneous endoscopic antegrade operations on ureter
Excludes: Therapeutic endoscopic retrograde operations on ureter (M89)
Note: It is not necessary to code additionally any mention of diagnostic percutaneous endoscopic examination of ureter (M90.9)
M26.1 Percutaneous endoscopic laser fragmentation of calculus of ureter
Note: Use a supplementary code for placement of stent (Y14)
M26.8 Other specified M26.9 Unspecified
M27Category retired - refer to introduction
M28Other endoscopic removal of calculus from ureter Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9) or bladder (M45.9) Use a subsidiary code for approach to organ through artificial opening (Y52)
M28.1 Code retired - refer to introduction M28.2 Code retired - refer to introduction M28.3 Code retired - refer to introduction M28.4 Endoscopic catheter drainage of calculus of ureter
M29Other therapeutic endoscopic operations on ureter Includes: Other therapeutic endoscopic retrograde operations on ureter
Excludes: Therapeutic percutaneous endoscopic operations on ureter (M26)
Note: Principal category, extended at M89 It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9) or bladder (M45.9) Use a subsidiary code for approach to organ through artificial opening (Y52)
M29.1 Endoscopic extirpation of lesion of ureter M29.2 Endoscopic insertion of stent into ureter NEC
Includes: Endoscopic insertion of ureteric stent using guide catheter
Note: Use a supplementary code for placement of stent (Y14)
M29.3 Endoscopic removal of stent from ureter Includes: Endoscopic removal of ureteric stent using guide catheter Endoscopic removal of ureteric stent using snare
M29.4 Endoscopic dilation of ureter M29.5 Endoscopic renewal of stent into ureter
M29.6 Endoscopic endoluminal balloon rupture of stenosis of ureter M29.7 Endoscopic laser fragmentation of calculus of ureter M29.8 Other specified M29.9 Unspecified
M30Diagnostic endoscopic examination of ureter Includes: Diagnostic endoscopic retrograde examination of ureter
Excludes: Diagnostic percutaneous endoscopic examination of ureter (M90)
Note: Use as a supplementary code when associated with diagnostic endoscopic examination of bladder (M45) Use a subsidiary code for approach to organ through artificial opening (Y52)
M30.1 Endoscopic retrograde pyelography M30.2 Endoscopic catheterisation of ureter M30.3 Endoscopic ureteric urine sampling M30.4 Code retired - refer to introduction M30.5 Diagnostic endoscopic examination of ureter and biopsy of lesion of ureter NEC Includes: Diagnostic endoscopic examination of ureter and biopsy of ureter NEC Endoscopic biopsy of lesion of ureter NEC Endoscopic biopsy of ureter NEC Biopsy of lesion of ureter NEC Biopsy of ureter NEC
M30.6 Diagnostic endoscopic examination of ureter and biopsy of lesion of ureter using rigid ureteroscope Includes: Diagnostic endoscopic examination of ureter and biopsy of ureter using rigid ureteroscope Endoscopic biopsy of lesion of ureter using rigid ureteroscope Endoscopic biopsy of ureter using rigid ureteroscope
M30.8 Other specified M30.9 Unspecified Includes: Ureteroscopy NEC
M31Extracorporeal fragmentation of calculus of ureter M31.1 Extracorporeal shockwave lithotripsy of calculus of ureter
Includes: Shockwave lithotripsy of calculus of ureter
M31.8 Other specified M31.9 Unspecified
M32Therapeutic endoscopic operations on ureteric orifice Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9) or bladder (M45.9)
M32.1 Endoscopic extirpation of lesion of ureteric orifice M32.2 Endoscopic meatotomy of ureteric orifice M32.3 Endoscopic injection of inert substance around ureteric orifice M32.4 Endoscopic dilation of ureteric orifice M32.5 Endoscopic incision of ureterocele M32.6 Endoscopic transurethral resection of ureteric orifice M32.8 Other specified M32.9 Unspecified
M33Percutaneous ureteric stent procedures Excludes: Percutaneous endoscopic insertion of stent into ureter (M26.4)
M33.1 Percutaneous insertion of metallic stent into ureter M33.2 Percutaneous insertion of plastic stent into ureter M33.3 Percutaneous replacement of metallic stent into ureter M33.4 Percutaneous replacement of plastic stent into ureter M33.5 Percutaneous insertion of ureteric stent into ureter NEC M33.6 Percutaneous removal of ureteric stent from ureter NEC M33.8 Other specified M33.9 Unspecified
M34Total excision of bladder Note: Use a supplementary code for concurrent construction of urinary diversion (M19)
M34.1 Cystoprostatectomy M34.2 Cystourethrectomy M34.3 Cystectomy NEC M34.4 Simple cystectomy M34.8 Other specified M34.9 Unspecified
M35Partial excision of bladder M35.1 Diverticulectomy of bladder M35.8 Other specified M35.9 Unspecified Includes: Partial cystectomy NEC
M36Enlargement of bladder M36.1 Caecocystoplasty M36.2 Ileocystoplasty M36.3 Colocystoplasty M36.8 Other specified M36.9 Unspecified
M37Other repair of bladder Excludes: Reconstruction of neck of male bladder NEC (M64.6) Reconstruction of neck of female bladder NEC (M54.2)
M37.1 Cystourethroplasty M37.2 Repair of vesicocolic fistula M37.3 Repair of rupture of bladder M37.4 Closure of exstrophy M37.5 Repair of fistula of bladder NEC M37.8 Other specified M37.9 Unspecified
M38Open drainage of bladder M38.1 Perineal urethrostomy and drainage of bladder Includes: Perineal urethrostomy and insertion of catheter into bladder
Note: Use as a supplementary code when associated with total amputation of penis (N26.1)
M38.2 Cystostomy and insertion of suprapubic tube into bladder Excludes: Percutaneous insertion of suprapubic tube into bladder (M48.3)
M38.3 Cystostomy NEC Excludes: Creation of continent cystostomy (M24.5-M24.7)
M38.8 Other specified M38.9 Unspecified
M39Other open operations on contents of bladder M39.1 Open removal of calculus from bladder M39.2 Open removal of foreign body from bladder M39.8 Other specified M39.9 Unspecified
M41Other open operations on bladder M41.1 Open extirpation of lesion of bladder M41.2 Creation of vesicovaginal fistula M41.3 Open transection of bladder M41.4 Open biopsy of lesion of bladder Includes: Open biopsy of bladder
M41.5 Exploration of bladder M41.6 Detrusor myotomy M41.8 Other specified M41.9 Unspecified
M42Endoscopic extirpation of lesion of bladder Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9) Use a subsidiary code for approach to organ through artificial opening (Y52)
M42.1 Endoscopic resection of lesion of bladder M42.2 Endoscopic cauterisation of lesion of bladder
M42.3 Endoscopic destruction of lesion of bladder NEC M42.8 Other specified M42.9 Unspecified
M43Endoscopic operations to increase capacity of bladder Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9) Use a subsidiary code for approach to organ through artificial opening (Y52)
M43.1 Endoscopic transection of bladder M43.2 Endoscopic hydrostatic distension of bladder M43.3 Endoscopic overdistension of bladder NEC
Includes: Endoscopic injection of neurolytic substance into bladder Endoscopic injection of neurolytic substance into bladder wall
M43.8 Other specified M43.9 Unspecified
M44Other therapeutic endoscopic operations on bladder Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9) Use a subsidiary code for approach to organ through artificial opening (Y52)
M44.1 Endoscopic lithopaxy M44.2 Endoscopic extraction of calculus of bladder NEC M44.3 Endoscopic removal of foreign body from bladder
Note: Use a supplementary code for diagnostic endoscopic examination of ureter (M30)
M45.1 Diagnostic endoscopic examination of bladder and biopsy of lesion of bladder NEC Includes: Diagnostic endoscopic examination of bladder and biopsy of bladder NEC Endoscopic biopsy of lesion of bladder NEC Endoscopic biopsy of bladder NEC Biopsy of lesion of bladder NEC Biopsy of bladder NEC
M45.2 Diagnostic endoscopic examination of bladder and biopsy of lesion of prostate NEC Includes: Diagnostic endoscopic examination of bladder and biopsy of prostate NEC Endoscopic biopsy of lesion of prostate NEC Endoscopic biopsy of prostate NEC
M45.3 Diagnostic endoscopic examination of bladder and biopsy of lesion of bladder using rigid cystoscope Includes: Diagnostic endoscopic examination of bladder and biopsy of bladder using rigid cystoscope Endoscopic biopsy of lesion of bladder using rigid cystoscope Endoscopic biopsy of bladder using rigid cystoscope
M45.4 Diagnostic endoscopic examination of bladder and biopsy of lesion of prostate using rigid cystoscope Includes: Diagnostic endoscopic examination of bladder and biopsy of prostate using rigid endoscope Endoscopic biopsy of lesion of prostate using rigid cystoscope Endoscopic biopsy of prostate using rigid cystoscope
M45.5 Diagnostic endoscopic examination of bladder using rigid cystoscope Includes: Rigid cystourethroscopy Rigid cystoscopy
M45.8 Other specified M45.9 Unspecified Includes: Cystourethroscopy NEC Cystoscopy NEC
M47.1 Urethral irrigation of bladder Includes: Urethral lavage of bladder
M47.2 Change of urethral catheter into bladder M47.3 Removal of urethral catheter from bladder M47.4 Urodynamic studies using catheter NEC Excludes: Ambulatory urodynamics (U37.4) Urodynamics NEC (U26.4) Urodynamic studies using suprapubic tube NEC (M48.2) Video urodynamics (U37.3)
M47.5 Attention to urethral catheter in bladder NEC M47.8 Other specified M47.9 Unspecified
M48.1 Suprapubic aspiration of bladder M48.2 Urodynamic studies using suprapubic tube NEC Excludes: Ambulatory urodynamics (U37.4) Urodynamics NEC (U26.4) Urodynamic studies using catheter NEC (M47.4) Video urodynamics (U37.3)
M48.3 Percutaneous insertion of suprapubic tube into bladder Excludes: Cystostomy and insertion of suprapubic tube into bladder (M38.2)
M48.8 Other specified M48.9 Unspecified
M49Other operations on bladder Note: Principal category, extended at M48
M49.1 Closure of cystostomy M49.2 Change of suprapubic tube into bladder M49.3 Removal of suprapubic tube from bladder M49.4 Introduction of therapeutic substance into bladder
M49.7 High intensity focused ultrasound of bladder M49.8 Other specified M49.9 Unspecified
M51Combined abdominal and vaginal operations to support outlet of female bladder M51.1 Abdominoperineal suspension of urethra Includes: Abdominovaginal suspension of urethra
M51.2 Endoscopic suspension of neck of bladder M51.3 Insertion of autologous sling
M54.1 Creation of urethrovaginal fistula M54.2 Reconstruction of neck of female bladder NEC M54.3 Removal of artificial urinary sphincter from outlet of female bladder M54.4 Attention to artificial urinary sphincter in outlet of female bladder M54.8 Other specified M54.9 Unspecified
M55Other open operations on outlet of female bladder Note: Principal category, extended at M54
M55.1 Open resection of outlet of female bladder M55.2 Implantation of artificial urinary sphincter into outlet of female bladder M55.3 Insertion of prosthetic collar around outlet of female bladder M55.4 Attention to prosthetic collar around outlet of female bladder NEC M55.5 Removal of prosthetic collar from around outlet of female bladder M55.6 Insertion of retropubic device for female stress urinary incontinence NEC Includes: Insertion of female adjustable continence therapy balloon
M55.7 Removal of female retropubic device NEC Includes: Removal of female adjustable continence therapy balloon
M55.8 Other specified M55.9 Unspecified
M56Therapeutic endoscopic operations on outlet of female bladder Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)
M56.1 Endoscopic resection of outlet of female bladder M56.2 Endoscopic incision of outlet of female bladder M56.3 Endoscopic injection of inert substance into outlet of female bladder M56.4 Endoscopic removal of inert substance from outlet of female bladder M56.8 Other specified M56.9 Unspecified
M57Other vaginal operations to support outlet of female bladder
M58Other operations on outlet of female bladder M58.1 Closed urethrotomy of outlet of female bladder M58.2 Dilation of outlet of female bladder M58.3 Removal of inert substance from outlet of female bladder Excludes: Endoscopic removal of inert substance from outlet of female bladder (M56.4)
M60.1 Insertion of male retropubic continence device NEC Includes: Insertion of male adjustable continence therapy balloon
M60.2 Removal of male retropubic device NEC Includes: Removal of male adjustable continence therapy balloon
M60.3 Removal of artificial urinary sphincter from outlet of male bladder M60.4 Attention to artificial urinary sphincter in outlet of male bladder M60.5 Total removal of transobturator sling
M61Open excision of prostate Excludes: Cystoprostatectomy (M34.1)
M61.1 Total excision of prostate and capsule of prostate M61.2 Retropubic prostatectomy M61.3 Transvesical prostatectomy M61.4 Perineal prostatectomy M61.5 Partial excision of prostate M61.8 Other specified M61.9 Unspecified Includes: Prostatectomy NEC
M62Other open operations on prostate M62.1 Open extirpation of lesion of prostate M62.2 Open biopsy of lesion of prostate Includes: Open biopsy of prostate
M62.3 Prostatotomy M62.4 Repair of rectoprostatic fistula M62.8 Other specified M62.9 Unspecified
M64Other open operations on outlet of male bladder Note: Principal category, extended at M60
M64.1 Open resection of outlet of male bladder M64.2 Implantation of artificial urinary sphincter into outlet of male bladder M64.3 Insertion of prosthetic collar around outlet of male bladder M64.4 Attention to prosthetic collar around outlet of male bladder NEC M64.5 Removal of prosthetic collar from around outlet of male bladder M64.6 Reconstruction of neck of male bladder NEC M64.7 Introduction of transobturator sling
M65Endoscopic resection of outlet of male bladder Includes: Endoscopic resection of lesion of outlet of male bladder Transurethral resection of prostate
Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9) Use a subsidiary code for robotic assisted endoscopic approach to body cavity (Y85.5)
M65.1 Endoscopic resection of prostate using electrocautery M65.2 Endoscopic resection of prostate using punch M65.3 Endoscopic resection of prostate NEC M65.4 Endoscopic resection of prostate using laser M65.5 Endoscopic resection of prostate using vapotrode M65.6 Endoscopic ablation of prostate using steam M65.7 Endoscopic ablation of prostate using waterjet M65.8 Other specified M65.9 Unspecified
M66Other therapeutic endoscopic operations on outlet of male bladder Note: Use a subsidiary site code to identify prostate (Z42.2) It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)
M66.1 Endoscopic sphincterotomy of external sphincter of male bladder M66.2 Endoscopic incision of outlet of male bladder NEC M66.3 Endoscopic injection of inert substance into outlet of male bladder M66.4 Endoscopic removal of inert substance from outlet of male bladder M66.8 Other specified M66.9 Unspecified
M67Other therapeutic endoscopic operations on prostate Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)
M67.1 Endoscopic cryotherapy to lesion of prostate M67.2 Endoscopic destruction of lesion of prostate NEC M67.3 Endoscopic drainage of prostate M67.4 Endoscopic removal of calculus from prostate M67.5 Endoscopic microwave destruction of lesion of prostate M67.6 Endoscopic radiofrequency ablation of lesion of prostate Excludes: Transurethral radiofrequency needle ablation prostate (M70.7)
M67.8 Other specified M67.9 Unspecified
M68Endoscopic insertion of prosthesis into prostate Note: It is not necessary to code additionally any mention of diagnostic endoscopic examination of bladder (M45.5, M45.9)
M68.1 Endoscopic insertion of prostatic stent M68.2 Endoscopic removal of prostatic stent M68.3 Endoscopic insertion of prosthesis to compress lobe of prostate M68.4 Endoscopic insertion of temporary expanding prosthesis into prostate M68.8 Other specified M68.9 Unspecified
M70Other operations on outlet of male bladder Note: Principal category, extended at M71
M70.1 Aspiration of prostate NEC M70.2 Perineal needle biopsy of prostate Includes: Needle biopsy of prostate NEC Biopsy of prostate NEC
M70.3 Rectal needle biopsy of prostate M70.4 Balloon dilation of prostate M70.5 Massage of prostate M70.6 Radioactive seed implantation into prostate
M72.4 Secondary urethrectomy M72.8 Other specified M72.9 Unspecified
M73Repair of urethra Note: Principal category, extended at M74
M73.1 Repair of hypospadias M73.2 Repair of epispadias M73.3 Closure of fistula of urethra M73.4 Reconstruction of urethra NEC M73.5 Pull through of urethra
M74.1 Urethroplasty using graft Includes: Augmentation urethroplasty using graft Augmented anastomotic urethroplasty using graft
Note: Use a subsidiary code to identify harvest of tissue (Y54-Y67, Y69, Y83) Use a subsidiary site code as necessary from prostatic urethra (O53.1), bulbar urethra (O53.2) or penile urethra (O53.3)
M74.2 Urethroplasty using local flap of skin and graft Note: Use a subsidiary code to identify harvest of tissue (Y54-Y67, Y69, Y83) Use a subsidiary site code as necessary from prostatic urethra (O53.1), bulbar urethra (O53.2) or penile urethra (O53.3)
M74.3 Urethroplasty using local flap of skin Note: Use a subsidiary code to identify harvest of tissue (Y54-Y67, Y69, Y83) Use a subsidiary site code as necessary from prostatic urethra (O53.1), bulbar urethra (O53.2) or penile urethra (O53.3)
M74.8 Other specified M74.9 Unspecified
M75Other open operations on urethra M75.1 Open biopsy of lesion of urethra Includes: Open biopsy of urethra
M75.2 Insertion of prosthesis for compression of bulb of male urethra M75.3 External urethrotomy Note: Do not use as approach code (Y52.2)
M75.4 Open extraction of calculus from urethra M75.8 Other specified M75.9 Unspecified
M76Therapeutic endoscopic operations on urethra Note: Principal category, extended at M78 It is not necessary to code additionally any mention of examination of urethra (M77.9)
M76.1 Endoscopic extirpation of lesion of urethra M76.2 Endoscopic removal of foreign body from urethra
M76.3 Optical urethrotomy M76.4 Endoscopic dilation of urethra NEC M76.5 Endoscopic destruction of urethral valves M76.6 Endoscopic insertion of urethral stent M76.7 Endoscopic removal of urethral stent M76.8 Other specified M76.9 Unspecified
M77Diagnostic endoscopic examination of urethra M77.1 Diagnostic endoscopic examination of urethra and biopsy of lesion of urethra Includes: Diagnostic endoscopic examination of urethra and biopsy of urethra Endoscopic biopsy of lesion of urethra Endoscopic biopsy of urethra Biopsy of lesion of urethra NEC Biopsy of urethra NEC
M77.8 Other specified M77.9 Unspecified Includes: Urethroscopy NEC
M78Other therapeutic endoscopic operations on urethra
Includes: Endoscopic removal of eroded or exposed mesh from urethra
M78.2 Endoscopic balloon dilation of urethra M78.8 Other specified M78.9 Unspecified
M79Other operations on urethra M79.1 Bouginage of urethra M79.2 Dilation of urethra NEC M79.3 Calibration of urethra M79.4 Internal urethrotomy NEC M79.5 Urethrography ascending and descending M79.6 Urethrography ascending NEC M79.7 Urethrography descending NEC M79.8 Other specified M79.9 Unspecified
M81Operations on urethral orifice M81.1 Extirpation of lesion of meatus of urethra M81.2 Meatoplasty of urethra M81.3 External meatotomy of urethral orifice M81.4 Dilation of meatus of urethra M81.8 Other specified M81.9 Unspecified
M83Other operations on urinary tract M83.1 Drainage of paravesical abscess M83.2 Exploration of retropubic space M83.3 Removal of foreign body from urinary tract NEC M83.8 Other specified M83.9 Unspecified
M85Diagnostic endoscopic examination of urinary diversion Excludes: Diagnostic percutaneous endoscopic examination of urinary diversion (M92)
Note: Use a subsidiary code for approach to organ through artificial opening (Y52)
M85.1 Endoscopic examination of intestinal conduit M85.8 Other specified M85.9 Unspecified
M86Therapeutic endoscopic operations on urinary diversion Excludes: Therapeutic percutaneous endoscopic operations on urinary diversion (M91)
Note: Use a subsidiary code for approach to organ through artificial opening (Y52) It is not necessary to code additionally any mention of diagnostic endoscopic examination of urinary diversion (M85)
M86.1 Endoscopic extraction of calculus of urinary diversion M86.2 Endoscopic insertion of stent into intestinal conduit M86.3 Endoscopic renewal of stent into intestinal conduit M86.4 Endoscopic removal of stent from intestinal conduit M86.5 Endoscopic destruction of lesion of intestinal conduit M86.6 Endoscopic dilation of intestinal conduit M86.8 Other specified M86.9 Unspecified
M87.1 Percutaneous cryoablation of lesion of kidney M87.2 Percutaneous destruction of lesion of kidney NEC M87.8 Other specified M87.9 Unspecified
M88Diagnostic endoscopic examination of kidney Includes: Diagnostic endoscopic retrograde examination of kidney and biopsy of kidney
Excludes: Diagnostic percutaneous endoscopic examination of kidney (M11)
Note: Use a subsidiary code for approach to organ through artificial opening (Y52)
M88.1 Diagnostic endoscopic examination of kidney and biopsy of lesion of kidney Includes: Diagnostic endoscopic retrograde examination of kidney and biopsy of kidney Endoscopic retrograde biopsy of lesion of kidney Endoscopic retrograde biopsy of kidney
M88.8 Other specified M88.9 Unspecified Includes: Ureterorenoscopy NEC
Includes: Therapeutic endoscopic retrograde operations on ureter
Excludes: Therapeutic percutaneous endoscopic operations on ureter (M26)
Note: Principal M29 It is not necessary to code additionally any mention of diagnostic endoscopic examination of ureter (M30.9) or bladder (M45.9) Use a subsidiary code for approach to organ through artificial opening (Y52)
M89.1 Endoscopic fragmentation of calculus of ureter NEC M89.2 Endoscopic extraction of calculus of ureter M89.8 Other specified M89.9 Unspecified
M90Diagnostic percutaneous endoscopic examination of ureter Excludes: Diagnostic endoscopic retrograde examination of ureter (M30)
M90.1 Diagnostic percutaneous endoscopic examination of ureter and biopsy of lesion of ureter M90.8 Other specified M90.9 Unspecified
M91Therapeutic percutaneous endoscopic therapeutic operations on urinary diversion Excludes: Therapeutic endoscopic operations on urinary diversion (M86)
Note: It is not necessary to code additionally any mention of percutaneous endoscopic diagnostic examination of urinary diversion (M92)
M91.1 Percutaneous endoscopic insertion of stent into intestinal conduit M91.2 Percutaneous endoscopic renewal of stent into intestinal conduit M91.3 Percutaneous endoscopic removal of stent from intestinal conduit M91.4 Percutaneous endoscopic destruction of lesion of intestinal conduit M91.5 Percutaneous endoscopic dilation of intestinal conduit M91.8 Other specified M91.9 Unspecified
M92Diagnostic percutaneous endoscopic examination of urinary diversion Excludes: Diagnostic endoscopic examination of urinary diversion (M85)
M92.1 Percutaneous endoscopic examination of intestinal conduit M92.8 Other specified M92.9 Unspecified
MALE GENITAL ORGANS (CODES N01-N35) Excludes: PROSTATE (Chapter M) URETHRAL ORIFICE (Chapter M) OPERATIONS FOR MALE SEXUAL TRANSFORMATION (Chapter X) OPERATIONS FOR DISORDERS OF SEX DEVELOPMENT (Chapter X)
N01Extirpation of scrotum Includes: Skin of scrotum
Note: Codes from Chapter S may be used to enhance these codes
N01.1 Excision of scrotum N01.2 Excision of lesion of scrotum N01.3 Destruction of lesion of scrotum N01.8 Other specified N01.9 Unspecified
N03Other operations on scrotum Note at N01 applies
Includes: Skin of scrotum
Excludes: Dermatological non-operative interventions involving the scrotum (N35.1)
N03.1 Biopsy of lesion of scrotum Includes: Biopsy of scrotum
N03.2 Drainage of scrotum N03.3 Suture of scrotum N03.4 Exploration of scrotum N03.5 Removal of foreign body from scrotum N03.6 Reconstruction of scrotum N03.8 Other specified N03.9 Unspecified
N05Bilateral excision of testes N05.1 Bilateral subcapsular orchidectomy N05.2 Bilateral orchidectomy NEC Includes: Bilateral scrotal orchidectomy
N05.3 Bilateral inguinal orchidectomy Includes: Bilateral inguinal orchidectomy and excision of spermatic cord
N05.8 Other specified N05.9 Unspecified Includes: Male castration
N06Other excision of testis N06.1 Subcapsular orchidectomy NEC N06.2 Excision of aberrant testis NEC N06.3 Orchidectomy NEC Includes: Scrotal orchidectomy NEC
N06.4 Excision of testicular appendage Includes: Excision of hydatid of Morgagni of testis
N06.5 Division of cremaster N06.6 Inguinal orchidectomy NEC Includes: Inguinal orchidectomy and excision of spermatic cord NEC
N07Extirpation of lesion of testis N07.1 Excision of lesion of testis N07.2 Destruction of lesion of testis N07.8 Other specified N07.9 Unspecified
N08Bilateral placement of testes in scrotum N08.1 Bilateral microvascular transfer of testes to scrotum N08.2 One stage bilateral orchidopexy NEC N08.3 First stage bilateral orchidopexy N08.4 Second stage bilateral orchidopexy N08.8 Other specified N08.9 Unspecified
N09Other placement of testis in scrotum N09.1 Microvascular transfer of testis to scrotum NEC N09.2 One stage orchidopexy NEC N09.3 First stage orchidopexy NEC N09.4 Second stage orchidopexy NEC N09.8 Other specified N09.9 Unspecified
N10Prosthesis of testis N10.1 Insertion of prosthetic replacement for testis N10.2 Removal of prosthetic replacement for testis N10.3 Attention to prosthetic replacement of testis N10.8 Other specified N10.9 Unspecified
N11Operations on hydrocele sac Excludes: Correction of hydrocele of infancy (T19.3)
N11.1 Excision of hydrocele sac N11.2 Plication of hydrocele sac N11.3 Eversion of hydrocele sac N11.4 Drainage of hydrocele sac N11.5 Aspiration of hydrocele sac Includes: Tapping of hydrocele sac
N11.6 Injection sclerotherapy to hydrocele sac N11.8 Other specified N11.9 Unspecified
N13Other operations on testis Excludes: Testicular sperm extraction (N34.6)
N13.1 Drainage of testis N13.2 Fixation of testis Includes: Tether of testis
N13.3 Reduction of torsion of testis N13.4 Biopsy of testis Includes: Biopsy of lesion of testis
N13.5 Exploration of testis N13.6 Removal of foreign body from testis N13.7 Repair of rupture of testis N13.8 Other specified N13.9 Unspecified
N15Operations on epididymis N15.1 Bilateral epididymectomy N15.2 Unilateral epididymectomy N15.3 Excision of lesion of epididymis Includes: Excision of hydatid of Morgagni of epididymis
N15.4 Drainage of epididymis N15.5 Biopsy of lesion of epididymis Includes: Biopsy of epididymis
N15.6 Aspiration of lesion of epididymis Excludes: Microsurgical epididymal sperm aspiration (N34.4) Percutaneous epididymal sperm aspiration (N34.5)
N15.7 Epididymovasostomy Includes: Vasoepididymostomy When associated with vasectomy reversal
Note: Use a subsidiary code to identify laterality (Z94)
N15.8 Other specified N15.9 Unspecified Includes: Epididymectomy NEC
N17Excision of vas deferens N17.1 Bilateral vasectomy Includes: Vasectomy NEC
N19Operations on varicocele N19.1 Ligation of varicocele NEC Includes: Inguinal ligation of varicocele
N19.2 Embolisation of varicocele N19.3 Subinguinal ligation of varicocele N19.4 Retroperitoneal ligation of varicocele N19.8 Other specified N19.9 Unspecified
N20Other operations on spermatic cord N20.1 Excision of lesion of spermatic cord Includes: Excision of hydatid of Morgagni of spermatic cord Excision of lesion of vas deferens
N20.2 Biopsy of spermatic cord Includes: Biopsy of lesion of spermatic cord Biopsy of lesion of vas deferens Biopsy of vas deferens
N20.3 Drainage of spermatic cord N20.4 Vasotomy N20.5 Vasography N20.6 Denervation of spermatic cord N20.8 Other specified N20.9 Unspecified
N22Operations on seminal vesicle N22.1 Excision of seminal vesicle N22.2 Incision of seminal vesicle N22.3 Seminal vesiculography Includes: Seminovesiculoscopy
N22.4 Transrectal needle biopsy of seminal vesicle N22.5 Resection of ejaculatory duct N22.8 Other specified N22.9 Unspecified
N24Operations on male perineum Includes: Skin of male perineum (N24.1, N24.2)
Excludes: Dermatological non-operative interventions involving the male perineum (N35.3)
Note: Codes from Chapter S may be used to enhance these codes
N24.1 Excision of sweat gland bearing skin of male perineum N24.2 Operations on skin of male perineum NEC N24.3 Excision of male periurethral tissue NEC N24.4 Incision of male periurethral tissue N24.8 Other specified Includes: Male perineoplasty
N24.9 Unspecified
N25Reconstruction of male perineum Excludes: Male perineoplasty (N24.8) Operations for pelvic organ prolapse (H35, H36, H42)
Note: Use as a supplementary code when associated with concurrent excision of rectum (H33, H45)
N25.1 Reconstruction of male perineum using vertical rectus abdominis myocutaneous flap N25.2 Reconstruction of male perineum using gracilis flap N25.3 Reconstruction of male perineum using gluteal artery perforator flap N25.4 Reconstruction of male perineum using anterolateral thigh flap N25.5 Reconstruction of male perineum using flap NEC N25.6 Reconstruction of male perineum using mesh N25.8 Other specified N25.9 Unspecified
N26Amputation of penis Includes: Excision of penis Penectomy
N26.1 Total amputation of penis Note: Use a supplementary code for concurrent perineal urethrostomy (M38.1)
N26.2 Partial amputation of penis NEC Includes: Subtotal penectomy NEC
N26.3 Excision of glans of penis Includes: Glansectomy
N26.8 Other specified N26.9 Unspecified
N27Extirpation of lesion of penis Includes: Skin of penis
Note: Codes from Chapter S may be used to enhance these codes
N27.1 Excision of lesion of penis Includes: Wide local excision of lesion of penis
N27.2 Cauterisation of lesion of penis N27.3 Destruction of lesion of penis NEC N27.4 Extracorporeal shockwave lithotripsy to lesion of penis Includes: Shockwave lithotripsy to lesion of penis Shockwave treatment for Peyronie's disease
N27.5 Laser destruction of lesion of penis N27.8 Other specified N27.9 Unspecified
N28Plastic operations on penis Note at N27 applies
Includes: Skin of penis
N28.1 Construction of penis N28.2 Reconstruction of penis N28.3 Plication of corpora of penis Note: Use an additional code for concurrent circumcision (N30.3)
N28.4 Frenuloplasty of penis N28.5 Correction of chordee of penis N28.6 Repair of fracture of penis N28.7 Graft to penis
Includes: Skin of penis Corpus cavernosum Corpus spongiosum Corporal bodies of penis NEC Penis NEC
Excludes: Dermatological non-operative interventions involving the penis (N35.2)
N32.1 Biopsy of lesion of penis Includes: Biopsy of penis
N32.2 Drainage of penis Includes: Drainage for priapism NEC
Note: Use a supplementary code as necessary to classify aspiration (Y22.1, Y22.2)
N32.3 Incision of penis NEC Includes: Incision of penis for Peyronie's disease
Note: Use as a supplementary code when associated with concurrent graft to penis (N28.7)
N32.4 Injection of therapeutic substance into penis Includes: Penile injection to produce erection Penile injection to deflate priapism
N32.5 Removal of constricting object from penis N32.6 Operations on penis for erectile dysfunction NEC Excludes: Injection of therapeutic substance into penis for erectile dysfunction (N32.4)
N32.8 Other specified N32.9 Unspecified
N34Other operations on male genital tract Excludes: Non-operative interventions to male genitalia (N35)
N34.1 Fertility investigation of male NEC N34.2 Collection of sperm NEC Includes: Testicular sperm aspiration NEC
Note: Use an additional code for fine needle aspiration (Y20.4) Use a subsidiary site code (Z43)
N35Non-operative interventions to male genitalia N35.1 Dermatological non-operative interventions involving the scrotum N35.2 Dermatological non-operative interventions involving the penis N35.3 Dermatological non-operative interventions involving the male perineum N35.8 Other specified N35.9 Unspecified