| (99) Transurethral excision, drainage, or removal urinary
obstruction (requiring surgical or radiological procedures);
(100) Ureteral catheterization;
(101) Nephrotomy or nephrostomy;
(102) Nephrectomy, partial or complete;
(103) Kidney transplant;
(104) Genitourinary incontinence procedures (requiring
surgical or radiological procedures);
(105) Extracorporeal lithotripsy, urinary (requiring
surgical or radiological procedures);
(106) Indwelling catheter;
(107) Procedures on the urethra (requiring surgical
or radiological procedures);
(108) Other diagnostic procedures of urinary tract
(requiring surgical or radiological procedures);
(109) Other non-operating room therapeutic procedures
of urinary tract (requiring surgical or radiological procedures);
(110) Other operating room therapeutic procedures of
urinary tract (requiring surgical or radiological procedures);
(111) Transurethral resection of prostate (TURP);
(112) Open prostatectomy;
(113) Circumcision;
(114) Diagnostic procedures, male genital (requiring
surgical or radiological procedures);
(115) Other non-operating room therapeutic procedures,
male genital (requiring surgical or radiological procedures);
(116) Other operating room therapeutic procedures,
male genital (requiring surgical or radiological procedures);
(117) Oophorectomy, unilateral or bilateral;
(118) Other operations on ovary (requiring surgical
or radiological procedures);
(119) Ligation of fallopian tubes (requiring surgical
or radiological procedures);
(120) Removal of ectopic pregnancy (requiring surgical
or radiological procedures);
(121) Other operations on fallopian tubes (requiring
surgical or radiological procedures);
(122) Hysterectomy, abdominal or vaginal (requiring
surgical or radiological procedures);
(123) Other excision of cervix or uterus;
(124) Abortion (termination of pregnancy);
(125) Dilatation and curettage (D&C), aspiration
after delivery or abortion (requiring surgical or radiological procedures);
(126) Diagnostic dilatation and curettage (D&C);
(127) Repair of cystocele or rectocele, obliteration
of vaginal vault (requiring surgical or radiological procedures);
(128) Other diagnostic procedures, female organs (requiring
surgical or radiological procedures);
(129) Other non-operating room therapeutic procedures,
female organs (requiring surgical or radiological procedures);
(130) Other operating room therapeutic procedures,
female organs (requiring surgical or radiological procedures);
(131) Episiotomy;
(132) Cesarean section;
(133) Forceps, vacuum, or breech delivery (requiring
surgical or radiological procedures);
(134) Artificial Rupture of membranes to assist delivery
(requiring surgical procedures);
(135) Other procedures to assist delivery (requiring
surgical or radiological procedures);
(136) Diagnostic amniocentesis;
(137) Fetal monitoring (requiring surgical or radiological
procedures);
(138) Repair of current obstetric laceration;
(139) Other therapeutic obstetrical procedures (requiring
surgical or radiological procedures);
(140) Partial excision bone;
(141) Bunionectomy or repair of toe deformities (requiring
surgical or radiological procedures);
(142) Treatment, facial fracture or dislocation (requiring
surgical or radiological procedures);
(143) Treatment, fracture or dislocation of radius
and ulna (requiring surgical or radiological procedures);
(144) Treatment, fracture or dislocation of hip and
femur (requiring surgical or radiological procedures);
(145) Treatment, fracture or dislocation of lower extremity
(other than hip or femur) (requiring surgical or radiological procedures);
(146) Other fracture and dislocation procedure (requiring
surgical or radiological procedures);
(147) Arthroscopy;
(148) Division of joint capsule, ligament or cartilage;
(149) Excision of semilunar cartilage of knee;
(150) Arthroplasty knee;
(151) Hip replacement, total or partial;
(152) Arthroplasty other than hip or knee;
(153) Arthrocentesis;
(154) Injections and aspirations of muscles, tendons,
bursa, joints and soft tissue (requiring surgical or radiological
procedures);
(155) Amputation of lower extremity;
(156) Spinal fusion (requiring surgical or radiological
procedures);
(157) Other diagnostic procedures on musculoskeletal
system (requiring surgical or radiological procedures);
(158) Other therapeutic procedures on muscles and tendons
(requiring surgical or radiological procedures);
(159) Other operating room therapeutic procedures on
bone (requiring surgical or radiological procedures);
(160) Other operating room therapeutic procedures on
joints (requiring surgical or radiological procedures);
(161) Other non-operating room therapeutic procedures
on musculoskeletal system (requiring surgical or radiological procedures);
(162) Other operating room therapeutic procedures on
musculoskeletal system (requiring surgical or radiological procedures);
(163) Breast biopsy or other diagnostic procedures
on breast (requiring surgical or radiological procedures);
(164) Lumpectomy, quadrantectomy of breast;
(165) Mastectomy;
(166) Incision and drainage, skin and subcutaneous
tissue (requiring surgical or radiological procedures);
(167) Excision of skin lesion;
(168) Suture of skin or subcutaneous tissue;
(169) Skin graft;
(170) Other diagnostic procedures on skin or subcutaneous
tissue;
(171) Other non-operating room therapeutic procedures
on skin or breast (requiring surgical or radiological procedures);
(172) Other operating room therapeutic procedures on
skin or breast (requiring surgical or radiological procedures);
(173) Other organ transplantation;
(174) Computerized axial tomography (CT) scan head;
(175) Computerized axial tomography (CT) scan chest;
(176) Computerized axial tomography (CT) scan abdomen;
(177) Other Computerized axial tomography (CT) scan;
(178) Myelogram;
(179) Mammography;
(180) Routine chest X-ray;
(181) Intraoperative cholangiogram;
(182) Upper gastrointestinal X-ray;
(183) Lower gastrointestinal X-ray;
(184) Intravenous pyelogram;
(185) Cerebral arteriogram;
(186) Contrast aortogram;
(187) Contrast arteriogram of femoral or lower extremity
arteries;
(188) Arteriogram or venogram (not heart or head);
(189) Diagnostic ultrasound of head or neck;
(190) Diagnostic ultrasound of heart (echocardiogram);
(191) Diagnostic ultrasound of gastrointestinal tract;
(192) Diagnostic ultrasound of urinary tract;
(193) Diagnostic ultrasound of abdomen or retroperitoneum;
(194) Other diagnostic ultrasound;
(195) Magnetic resonance imaging;
(196) Electroencephalogram (EEG) (requiring surgical
or radiological procedures);
(197) Swan-Ganz catheterization for monitoring;
(198) Radioisotope bone scan;
(199) Radioisotope pulmonary scan;
(200) Radioisotope scan or function studies;
(201) Other radioisotope scan;
(202) Therapeutic Radiology;
(203) Traction, splints, or other wound care (requiring
surgical or radiological procedures);
Cont'd... |
