Surgical Cross Coder. Essential links from CPT codes to ICD-9-CM and HCPCS codes

Transcription

1 Essential links from CPT codes to ICD-9-CM and HCPCS codes 2016

2 Contents Introduction... iii Cardiovascular System Digestive System General...1 Integumentary System...9 Musculoskeletal System Urinary System Male Genital System Respiratory System i

3 Contents Reproductive System Procedures Intersex Surgery Female Genital System Eye and Ocular Adnexa Auditory System Maternity Care and Delivery Endocrine System Operating Microscope Nervous System Appendix ii

4 Introduction 2015 CPT Coder Surgical Cross Coder Terminology Surgical Cross Current Procedural International Classification of Diseases, 9th Revision, Clinical Modification Healthcare Common Procedural Coding System Level II Format Sections Codes and Code Ranges iii

5 Musculoskeletal System General Incision and drainage of soft tissue abscess, subfascial (ie, involves the soft tissue below the deep fascia) Psoas muscle abscess Other disorder of muscle, ligament, and fascia (Use additional E code to identify drug, if drug-induced) Infection and inflammatory reaction due to internal joint prosthesis (Use additional code to identify specified infections. Use additional code to identify infected prosthetic joint: V43.60-V43.69) Infection and inflammatory reaction due to other internal orthopedic device, implant, and graft (Use additional code to identify specified infections) Other postoperative infection (Use additional code to identify infection) Myotomy of hand Other incision of soft tissue of hand Other incision of soft tissue Exploration of penetrating wound (separate procedure); neck Open wound of larynx with trachea, without mention of complication Open wound of larynx, without mention of complication Open wound of trachea, without mention of complication Open wound of larynx with trachea, complicated Open wound of larynx, complicated Open wound of trachea, complicated Open wound of thyroid gland, without mention of complication Open wound of thyroid gland, complicated Open wound of pharynx, without mention of complication Open wound of pharynx, complicated Open wound of other and unspecified parts of neck, without mention of complication Open wound of other and unspecified parts of neck, complicated Injury of face and neck, other and unspecified Injury, other and unspecified, other specified sites, including multiple Other incision of thyroid field Other incision of soft tissue Other suture of muscle or fascia Other operations on musculoskeletal system Incision with removal of foreign body or device from skin and subcutaneous tissue Other incision of skin and subcutaneous tissue Excisional debridement of wound, infection, or burn Nonexcisional debridement of wound, infection, or burn HCPCS Level II Supplies & Services A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour Exploration of penetrating wound (separate procedure); chest Open wound of chest (wall), without mention of complication Open wound of chest (wall), complicated Open wound of breast, without mention of complication Open wound of breast, complicated Open wound(s) (multiple) of unspecified site(s), without mention of complication Open wound(s) (multiple) of unspecified site(s), complicated Other injury of chest wall Injury, other and unspecified, other specified sites, including multiple Suture of laceration of chest wall Other repair of chest wall Other incision of soft tissue Fasciotomy Other suture of muscle or fascia Other operations on musculoskeletal system 85.0 Mastotomy Incision with removal of foreign body or device from skin and subcutaneous tissue Other incision of skin and subcutaneous tissue Excisional debridement of wound, infection, or burn Nonexcisional debridement of wound, infection, or burn HCPCS Level II Supplies & Services A4305 Disposable drug delivery system, flow rate of 50 ml or greater per hour Exploration of penetrating wound (separate procedure); abdomen/flank/back Open wound of back, without mention of complication Open wound of back, complicated Open wound of buttock, without mention of complication Open wound of buttock, complicated Open wound of abdominal wall, anterior, without mention of complication Open wound of abdominal wall, anterior, complicated Open wound of abdominal wall, lateral, without mention of complication Open wound of abdominal wall, lateral, complicated Open wound of other and unspecified parts of trunk, without mention of complication Open wound of other and unspecified parts of trunk, complicated Open wound(s) (multiple) of unspecified site(s), without mention of complication Open wound(s) (multiple) of unspecified site(s), complicated Other injury of abdomen Other injury of other sites of trunk Injury, other and unspecified, other specified sites, including multiple 54.0 Incision of abdominal wall Other suture of abdominal wall Other repair of abdominal wall CPT 2014 American Medical Association. All Rights Reserved. [Resequenced code] 2 Unspecified code ; Female diagnosis E Manifestation code : Male diagnosis 173

6 Appendix A Add-On Codes 1301