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  • Endoscopic Sinus Surgery
    CPT
    Nasal endoscopy, diagnostic (uni- or bilateral) 31231
    Nasal/sinus endoscopy, diagnostic with maxillary sinus 31233
    Nasal/sinus endoscopy, diagnostic with sphenoid sinus 31235
    Nasal/sinus endoscopy, surgical  
         - with biopsy/polypectomy/debridement 31237
         - with epistaxis control 31238
         - with DCR 31239
         - with concha bullosa resection 31240
    Nasal/sinus endoscopy, surgical, anterior ethmoidectomy 31254
    Nasal/sinus endoscopy, surgical, total ethmoidectomy 31255
    Nasal/sinus endoscopy, surgical, maxillary antrostomy 31256
         - with removal of tissue 31267
    Nasal/sinus endoscopy, surgical, frontal sinusotomy 31276
    Nasal/sinus endoscopy, surgical, sphenoidotomy 31287
         - with removal of tissue 31288
    Nasal/sinus endoscopy, surgical, ethmoid CSF leak 31290
    Nasal/sinus endoscopy, surgical, sphenoid CSF leak 31291
    Nasal/sinus endoscopy, surgical,  
         - with medial or inferior orbital decompression 31292
         - with medial and inferior orbital decompression 31293
         - with optic nerve decompression 31294
    Image guidance, pre-operative evaluation (-51 exempt) 61795
       
    Non-Endoscopic Sinus Surgery CPT
    Maxillary sinus lavage, antral puncture, cannulation 31000
    Caldwell-Luc without removal of antrochoanal polyp 31030
         - with removal of antrochoanal polyp 31032
    Pterygomaxillary fossa surgery 31040
    Sphenoid sinosotomy,  31050
         - with removal of mucosa, polyp 31051
    Frontal sinus trephine 31070
    Frontal sinusotomy, transorbital, Lynch 31075
         - obliterative, osteoplastic, brow incision 31084
         - obliterative, osteoplastic, coronal incision 31085
         - non-obliterative, osteoplastic, brow incision 31086
         - non-obliterative, osteoplastic, coronal incision 31087
    Ethmoidectomy, external, total 31205
    Sinusotomy, unilateral, 3 or more sinuses 31090
       
    Turbinates CPT
    Excision turbinate, any method, partial or complete 30130
    Submucous resection, any method, partial or compete 30140
    Cautery/ ablation, any method, superficial 30801
         - intramural 30802
    Fracture, therapeutic 30930
       
    Nasal Surgery CPT
    Excision or destruction, intranasal lesion, intranasal 30117
         - extranasal approach, lateral rhinotomy 30118
    Rhinophyma excision 30120
    Rhinectomy, partial 30150
         - total 30160
    Removal of FB, intranasal 30300
         - with general anesthesia 30310
         - via lateral rhinotomy 30320
    Rhinoplasty, primary, partial, cartilages, tip 30400
         - complete, osteotomy, cartilages, tip 30410
         - with septal repair 30420
    Rhinoplasty, secondary, minor, tip 30430
         - intermediate, bony with osteotomy 30435
         - major, tip and osteotomy 30450
    Septoplasty 30520
    Choanal atresia repair, intranasal 30540
         - transpalatine 30545
    Septal dermatoplasty (add graft harvest) 30620
    Repair nasal septal perforations 30630
    Maxillectomy without orbital exeneration 31225
    Maxillectomy with orbital exeneration 31230
       
    Tonsillectomy & Adenoidectomy CPT
    T&A, < age 12 42820
         - > age 12 42821
    Tonsillectomy, < age 12 42825
         - > age 12 42826
    Adenoidectomy, < age 12 42830
         - > age 12 42831
    PTA 42700
    Lingual tonsillectomy 42870
       
    Sleep Apnea CPT
    Uvulectomy 42140
    Palatopharyngoplasty (doesn’t include tonsillectomy) 42145
    LAUP 42145-52
    Destruction of lesion, palate or uvula (thermal, cryo) 42160
    Palate Somnoplasty 42145-52
    BOT Somnoplasty 41120-52
    Genioglossal advancement  
    Genioplasty, sliding osteotomy, single piece 21121
    Hyoid suspension  
    Maxillomandibular advancement  
       
    Oral Cavity CPT
    Excision of lip, transverse wedge with primary closure 40510
         - V-excision with direct linear closure 40520
         - full thickness, local flap reconstruction 40525
         - full thickness, cross lip flap reconstruction 40527
    Resection of lip, more than quarter without reconstruction 40530
    Incision of labial frenulum 40806
    Excision lesion of tongue, without closure 41110
    Excision of tongue lesion, with closure, anterior two-thirds 41112
         - posterior one-third 41113
         - with local tongue flap 41114
    Excision lingual frenulum 41115
    Frenuloplasty 41520
    Excision lesion FOM 41116
    Glossectomy, less than one-half tongue 41120
         - hemiglossectomy 41130
         - partial, with unilateral RND 41135
         - total, with/without trach, without RND 41140
         - composite with FOM, mandible, without RND 41150
         - composite with FOM, with suprahyoid ND 41153
         - composite with FOM, mandible, with RND 41155
       
    Pharynx CPT
    Resection of palate, extensive resection of lesion 42120
    Lengthening of palate and pharyngeal flap 42226
    Lengthening of palate with island flap 42227
    Limited pharyngectomy 42890
    Resection of lateral pharyngeal wall or PS, direct closure 42892
    Resection of pharyngeal wall requiring closure with flap 42894
       
    Larynx CPT
    Laryngotomy, with removal of laryngocele, cordectomy 31300
         - diagnostic 31320
    Laryngectomy, total, without neck dissection 31360
         - total, with neck dissection 31365
         - supraglottic without neck dissection 31367
         - supraglottic with neck dissection 31368
    Partial laryngectomy, horizontal 31370
         - laterovertical 31375
         - anterovertical 31380
         - antero-latero-vertical 31382
    Pharyngolaryngectomy, with neck, without reconstruction 31390
         - with reconstruction 31395
    Arytenoidectomy or arytenoidopexy, external approach 31400
    Epiglottidectomy 31420
    Intubation, endotracheal, emergent (-51 exempt) 31500
    Laryngoscopy, indirect, with biopsy 31510
         - with FB removal 31511
         - with removal of lesion 31512
         - with vocal cord injection 31513
    DL, diagnostic, newborn 31520
         - except newborn 31525
         - with operating microscope 31526
    DL, operative, FB removal 31530
              - with microscope 31531
         - biopsy 31535
              - with microscope 31536
         - excision of tumor, vocal cord, epiglottis stripping 31540
              - with microscope 31541
         - arytenoidectomy 31560
              - with microscope 31561
         - injection into vocal cords 31570
              - with microscope 31571
    Laryngoplasty, for web, keel insertion and removal 31580
         - for stenosis, with graft, including tracheotomy 31582
         - with open reduction of fracture 31584
    Closed laryngeal fracture, without manipulation 31585
         - with manipulation 31586
    Laryngoplasty, cricoid split 31587
    Laryngoplasty, thyroplasty 31588
    Recurrent nerve section, unilateral 31595
       
    Trachea/Bronchus CPT
    Tracheotomy, planned 31600
         - under two years 31601
    Tracheotomy, emergent, transtracheal 31603
         - cricothyroidotomy 31605
    Tracheotomy, fenestration, with skin flaps 31610
    TEP 31611
    Tracheostoma revision, simple, without flap rotation 31613
         - complex, with flap rotation 31614
    Bronchoscopy, diagnostic 31622
         - with biopsy 31625
         - with removal of FB 31635
         - with excision of tumor 31640
    Tracheoplasty, cervical 31750
    Excision tracheal stenosis and anastamosis, cervical 31780
    Surgical closure tracheostomy,fistula, without plastic repair 31820
         - with plastic repair 31825
    Revision of tracheostomy scar 31830
       
    Esophagus CPT
    Esophagotomy, cervical with removal of FB 43020
    Cricopharyngeal myotomy 43030
    Esophagoscopy, diagnostic 43200
         - with biopsy 43202
         - with removal of FB 43215
    Dilation of esophagus, single or multiple passes 43450
       
    Salivary Glands CPT
    Drainage of parotid abscess, complicated 42305
         - sublingual, intraoral 42310
         - submaxillary, external 42320
    Sialolithotomy, uncomplicated, intraoral 42330
         - submandibular, complicated, intraoral 42335
         - parotid, extraoral or complicated intraoral 42340
    Excision of ranula 42408
    Marsupialization of ranula 42409
    Parotidectomy, lateral lobe, with FN dissection 42415
         - total, with FN dissection 42420
         - total, en bloc, with FN sacrifice 42425
         - total, with unilateral neck dissection 42426
    Submandibular gland excision 42440
    Sublingual gland excision 42450
    Repair of salivary duct, primary or simple 42500
         - secondary or complicated 42505
       
    Neck CPT
    Exploration of penetrating wound, neck 20100
    Excision of tumor, soft tissue of neck, subcutaneous 21555
         - deep, subfascial, intramuscular 21556
    Division of SCM for torticollis, open, without cast 21720
    Exploration, not followed by repair, carotid artery 35701
    Exploration for postoperative hemorrhage, neck vessels 35800
    Ligation, internal jugular vein 37565
         - external carotid artery 37600
         - common or internal carotid artery 37605
         - temporal artery, biopsy 37609
         - major artery, post-traumatic, rupture 37615
    Ligation of thoracic duct, cervical approach 38380
    Biopsy or excision of lymph node, superficial 38500
         - deep cervical nodes 38510
    Dissection deep jugular nodes 38542
    Excision cystic hygroma, without deep dissection 38550
         - with deep dissection 38555
    Suprahyoid lymphadenectomy 38700
    Cervical lymphadenectomy, complete 38720
         - modified radical 38724
    Excision of branchial cleft cyst, limited to skin and subQ 42810
         - extending below subcutaneous tissue or pharynx 42815
    I&D infected thyroglossal duct cyst 60000
    Excision of thyroglossal duct cyst 60280
         - recurrent 60281
    Thyroid, unilateral lobectomy 60220
         - with contralateral subtotal lobectomy 60225
         - total 60240
         - total with limited neck dissection 60252
         - total with radical neck dissection 60254
         - completion 60260
         - total with substernal thyroid, cervical approach 60271
    Excision of carotid body tumor, without carotid excision 60600
         - with carotid excision 60605
       
    Bleeding Surgery CPT
    Control hemorrhage, anterior, simple 30901
         - anterior, complex 30903
         - posterior, initial 30905
         - subsequent 30906
    Ligation ethmoid arteries 30915
         - IMA, transantral 30930
    Nasal/sinus endoscopy, surgical, with epistaxis control 31238
    Control of oropharyngeal hemorrhage, simple 42960
         - complicated, requiring hospitalization 42961
         - with secondary surgical intervention 42962
    Control of nasopharyngeal hemorrhage, simple 42970
         - complicated, requiring hospitalization 42971
         - with secondary surgical intervention 42972
    Ligation, external carotid artery 37600
       
    Abscess CPT
    I&D abscess, subQ, Q , cyst, furucle, simple, single 10060
         - complicated, multiple 10061
    I&D hematoma, seroma, fluid collection 10140
    Puncture aspiration of abscess, cyst, hematoma 10160
    I&D complex, postoperative wound infection 10180
    I&D deep neck abscess, hematoma 21501
    I&D nasal abscess, hematoma, nasal 30000
         - septal 30020
    I&D vestibule of mouth, simple 40800
         - complicated 40801
    I&D, intraoral, tongue, FOM, lingual 41000
         - sublingual, superficial 41005
         - sublingual, deep, supramylohyoid 41006
         - submental space 41007
         - submandibular space 41008
         - masticator space 41009
    I&D, extraoral, FOM, sublingual 41015
         - submental space 41016
         - submandibular space 41017
         - masticator space 41018
    I&D parotid abscess, complicated 42305
         - sublingual, intraoral 42310
         - submaxillary, external 42320
    I&D peritonsillar 42700
    I&D retropharyngeal or parapharyngeal, intraoral approach 42720
         - external approach 42725
    I&D infected thyroglossal duct cyst 60000
    I&D external ear, simple 69000
         - complicated 69005
    I&D EAC 69020
    Excision of bone, mandible, for osteo, abscess 21025
         - Facial bones 21026
       
    Fractures CPT
    Closed tx of nasal bone fx without manipulation 21310
    Closed tx of nasal bone fx without stabilization 21315
         - with stabilization 21320
    Open tx of nasal bone fx, uncomplicated 21325
         - complicated, with fixation 21330
         - with concomitant treatment of fractured septum 21335
    Open tx of nasal septal fx 21337
    Open tx of nasoethmoid fx, without fixation 21338
         - with fixation 21339
    Percutaneous tx of NEC fx, including repair of  
         - canthal ligaments, nasolacrimal apparatus 21340
    Open tx of depressed frontal sinus fx 21343
    Open tx of complicated frontal sinus fx 21344
    Closed tx of LeFort II fx, with interdental fixation 21345
    Open tx of LeFort II fx, with wiring, local fixation 21346
         - with multiple open approaches 21347
         - with bone grafting, includes harvest 21348
    Open tx of depressed zygomatic arch fx, Gilles approach 21356
    Open tx of depressed ZMC fx 21360
    Open tx of complicated ZMC fx with internal fixation and  
         - multiple approaches 21365
         - with bone grafting 21366
    Open tx of orbital floor blowout fx, transantral 21385
         - periorbital approach 21386
         - combined approach 21387
         - periorbital approach with implant 21390
         - periorbital approach with bone graft, inc. harvest 21395
    Closed tx of LeFort I with interdental wire fixation 21421
    Open tx of LeFort I 21422
         - complicated,with multiple approaches 21423
    Closed tx of LeFort III with interdental wire fixation 21431
    Open tx of LeFort III with wiring or internal fixation 21432
         - complicated, with multiple surgical procedures 21433
         - complicated, with internal and external fixation 21435
         - complicated, multiple approaches, with bone graft 214361
    Closed tx of alveolar ridge 21440
    Open tx of alveolar ridge fx 21445
    Closed tx of mandible fx, without manipulation 21450
         - with manipulation 21451
    Percutaneous tx of mandible fx with external fixation 21452
    Closed tx of mandible fx, with interdental fixation 21453
    Open tx of mandible fx, wth external fixation 21454
    Open tx of mandible fx without interdental fixation 21461
         - with interdental fixation 21462
    Open tx of mandibular condyle fx 21465
    Open tx of complex mandible fx, multiple approaches 21470
    Closed laryngeal fracture, without manipulation 31585
         - with manipulation 31586
       
    Office Procedures CPT
    Biopsy, nasal  30100
         - lip 40490
         - buccal mucosa 40808
         - tongue, anterior 2/3 41100
         - tongue, posterior, base of tongue 41105
         - floor of mouth 41108
         - palate, uvula 42100
         - oropharynx 42800
         - hypopharynx 42802
         - nasopharynx, visible mass 42804
         - nasopharynx, unknown primary 42806
    Sialolithotomy, uncomplicated, intraoral 42330
         - submandibular, complicated, intraoral 42335
         - parotid, extraoral or complicated intraoral 42340
    I&D abscess, subQ, Q , cyst, furucle, simple, single 10060
         - complicated, multiple 10061
    I&D hematoma, seroma, fluid collection 10140
    Puncture aspiration of abscess, cyst, hematoma 10160
    I&D complex, postoperative wound infection 10180
    I&D nasal abscess, hematoma, nasal 30000
         - septal 30020
    I&D vestibule of mouth, simple 40800
         - complicated 40801
    I&D, intraoral, tongue, FOM, lingual 41000
         - sublingual, superficial 41005
    I&D, extraoral, FOM, sublingual 41015
         - submental space 41016
         - submandibular space 41017
    I&D peritonsillar 42700
    I&D infected thyroglossal duct cyst 60000
    I&D external ear, simple 69000
         - complicated 69005
    I&D EAC 69020
       
    Closed tx of nasal bone fx without stabilization 21315
         - with stabilization 21320
       
    Incision of labial frenulum 40806
    Excision lingual frenulum 41115
       
    Uvulectomy 42140
    LAUP 42145-52
    Destruction of lesion, palate or uvula (thermal, cryo) 42160
    Palate Somnoplasty 42145-52
    BOT Somnoplasty 41120-52
    Turbinate Somnoplasty 30140-52
    Cautery/ ablation, any method, superficial 30801
         - intramural 30802
       
    Nasal/sinus endoscopy, surgical, debridement 31237
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