Essential links from CPT codes to ICD-9-CM and HCPCS codes 2016
Contents Introduction... iii Cardiovascular System...527 Digestive System...707 General...1 Integumentary System...9 Musculoskeletal System...173 Urinary System...945 Male Genital System...1029 Respiratory System...462 i
Contents Reproductive System Procedures...1051 Intersex Surgery...1052 Female Genital System...1053 Eye and Ocular Adnexa...1237 Auditory System...1285 Maternity Care and Delivery...1110 Endocrine System...1140 Operating Microscope...1300 Nervous System...1145 Appendix ii
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
Musculoskeletal System General 20005 20005 Incision and drainage of soft tissue abscess, subfascial (ie, involves the soft tissue below the deep fascia) 567.31 Psoas muscle abscess 728.89 Other disorder of muscle, ligament, and fascia (Use additional E code to identify drug, if drug-induced) 996.66 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) 996.67 Infection and inflammatory reaction due to other internal orthopedic device, implant, and graft (Use additional code to identify specified infections) 998.59 Other postoperative infection (Use additional code to identify infection) 82.02 Myotomy of hand 82.09 Other incision of soft tissue of hand 83.09 Other incision of soft tissue 20100 20100 Exploration of penetrating wound (separate procedure); neck 874.00 Open wound of larynx with trachea, without mention of complication 874.01 Open wound of larynx, without mention of complication 874.02 Open wound of trachea, without mention of complication 874.10 Open wound of larynx with trachea, complicated 874.11 Open wound of larynx, complicated 874.12 Open wound of trachea, complicated 874.2 Open wound of thyroid gland, without mention of complication 874.3 Open wound of thyroid gland, complicated 874.4 Open wound of pharynx, without mention of complication 874.5 Open wound of pharynx, complicated 874.8 Open wound of other and unspecified parts of neck, without mention of complication 2 874.9 Open wound of other and unspecified parts of neck, complicated 2 959.09 Injury of face and neck, other and unspecified 959.8 Injury, other and unspecified, other specified sites, including multiple 06.09 Other incision of thyroid field 83.09 Other incision of soft tissue 83.65 Other suture of muscle or fascia 84.99 Other operations on musculoskeletal system 86.05 Incision with removal of foreign body or device from skin and subcutaneous tissue 86.09 Other incision of skin and subcutaneous tissue 86.22 Excisional debridement of wound, infection, or burn 86.28 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 20101 20101 Exploration of penetrating wound (separate procedure); chest 875.0 Open wound of chest (wall), without mention of complication 875.1 Open wound of chest (wall), complicated 879.0 Open wound of breast, without mention of complication 879.1 Open wound of breast, complicated 879.8 Open wound(s) (multiple) of unspecified site(s), without mention of complication 2 879.9 Open wound(s) (multiple) of unspecified site(s), complicated 2 959.11 Other injury of chest wall 959.8 Injury, other and unspecified, other specified sites, including multiple 34.71 Suture of laceration of chest wall 34.79 Other repair of chest wall 83.09 Other incision of soft tissue 83.14 Fasciotomy 83.65 Other suture of muscle or fascia 84.99 Other operations on musculoskeletal system 85.0 Mastotomy 86.05 Incision with removal of foreign body or device from skin and subcutaneous tissue 86.09 Other incision of skin and subcutaneous tissue 86.22 Excisional debridement of wound, infection, or burn 86.28 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 20102 20102 Exploration of penetrating wound (separate procedure); abdomen/flank/back 876.0 Open wound of back, without mention of complication 876.1 Open wound of back, complicated 877.0 Open wound of buttock, without mention of complication 877.1 Open wound of buttock, complicated 879.2 Open wound of abdominal wall, anterior, without mention of complication 879.3 Open wound of abdominal wall, anterior, complicated 879.4 Open wound of abdominal wall, lateral, without mention of complication 879.5 Open wound of abdominal wall, lateral, complicated 879.6 Open wound of other and unspecified parts of trunk, without mention of complication 2 879.7 Open wound of other and unspecified parts of trunk, complicated 2 879.8 Open wound(s) (multiple) of unspecified site(s), without mention of complication 2 879.9 Open wound(s) (multiple) of unspecified site(s), complicated 2 959.12 Other injury of abdomen 959.19 Other injury of other sites of trunk 959.8 Injury, other and unspecified, other specified sites, including multiple 54.0 Incision of abdominal wall 54.63 Other suture of abdominal wall 54.72 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
Appendix A Add-On Codes 1301