CPT4
Current Procedural Terminology (CPT®)
CPT (Current Procedural Terminology) codes, often referred to as CPT-4 codes, are a set of medical codes used for reporting medical, surgical, and diagnostic procedures and services. Developed and maintained by the American Medical Association (AMA), these codes serve as a universal language among healthcare providers, payers, and facilities, ensuring a standardized system for describing healthcare procedures and services. CPT codes are integral in the billing process, as they allow healthcare providers to communicate accurately and efficiently with insurance companies about the procedures and services performed on a patient. This ensures that providers are reimbursed correctly for their services. Moreover, CPT codes are used for a variety of administrative purposes, including tracking healthcare utilization, measuring performance, and identifying treatment patterns and trends. These codes are also essential in research and policy development for the assessment of healthcare outcomes and resource allocation. Each CPT code is a unique five-digit numeric code that precisely defines the type of service or procedure performed, thereby streamlining the process of filing and processing insurance claims and enhancing the efficiency of the healthcare system.
CPT4 codes starting with 4
- 4000FTobacco use cessation intervention, counseling (COPD, CAP, CAD, Asthma) (DM) (PV)CPT4
- 4001FTobacco use cessation intervention, pharmacologic therapy (COPD, CAD, CAP, PV, Asthma) (DM) (PV)CPT4
- 4003FPatient education, written/oral, appropriate for patients with heart failure, performed (NMA-No Measure Associated)CPT4
- 4004FPatient screened for tobacco use and received tobacco cessation intervention (counseling, pharmacotherapy, or both), if identified as a tobacco user (PV, CAD)CPT4
- 4005FPharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed (OP) (IBD)CPT4
- 4007FAge-Related Eye Disease Study (AREDS) formulation prescribed or recommended (EC)CPT4
- 4008FBeta-blocker therapy prescribed or currently being taken (CAD,HF)CPT4
- 4010FAngiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) therapy prescribed or currently being taken (CAD, CKD, HF) (DM)CPT4
- 4011FOral antiplatelet therapy prescribed (CAD)CPT4
- 4013FStatin therapy prescribed or currently being taken (CAD)CPT4
- 4014FWritten discharge instructions provided to heart failure patients discharged home (Instructions include all of the following components: activity level, diet, discharge medications, follow-up appointment, weight monitoring, what to do if symptoms worsen) CPT4
- 4015FPersistent asthma, preferred long term control medication or an acceptable alternative treatment, prescribed (NMA-No Measure Associated)CPT4
- 4019FDocumentation of receipt of counseling on exercise and either both calcium and vitamin D use or counseling regarding both calcium and vitamin D use (OP)CPT4
- 4025FInhaled bronchodilator prescribed (COPD)CPT4
- 4030FLong-term oxygen therapy prescribed (more than 15 hours per day) (COPD)CPT4
- 4035FInfluenza immunization recommended (COPD) (IBD)CPT4
- 4037FInfluenza immunization ordered or administered (COPD, PV, CKD, ESRD)(IBD)CPT4
- 4040FPneumococcal vaccine administered or previously received (COPD) (PV), (IBD)CPT4
- 4041FDocumentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2)CPT4
- 4042FDocumentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor given intraoperatively (PERI 2)CPT4
- 4044FDocumentation that an order was given for venous thromboembolism (VTE) prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time (PERI 2)CPT4
- 4045FAppropriate empiric antibiotic prescribed (CAP), (EM)CPT4
- 4046FDocumentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or given intraoperatively (PERI 2)CPT4
- 4047FDocumentation of order for prophylactic parenteral antibiotics to be given within 1 hour (if fluoroquinolone or vancomycin, 2 hours) prior to surgical incision (or start of procedure when no incision is required) (PERI 2)CPT4
- 4048FDocumentation that administration of prophylactic parenteral antibiotic was initiated within 1 hour (if fluoroquinolone or vancomycin, 2 hours) prior to surgical incision (or start of procedure when no incision is required) as ordered (PERI 2)CPT4
- 40490Biopsy of lipCPT4
- 4049FDocumentation that order was given to discontinue prophylactic antibiotics within 24 hours of surgical end time, non-cardiac procedure (PERI 2)CPT4
- 40500Vermilionectomy (lip shave), with mucosal advancementCPT4
- 40510Excision of lip; transverse wedge excision with primary closureCPT4
- 40520Excision of lip; V-excision with primary direct linear closureCPT4
- 40525Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan)CPT4
- 40527Excision of lip; full thickness, reconstruction with cross lip flap (Abbe-Estlander)CPT4
- 40530Resection of lip, more than one-fourth, without reconstructionCPT4
- 4056FAppropriate oral rehydration solution recommended (PAG)CPT4
- 4058FPediatric gastroenteritis education provided to caregiver (PAG)CPT4
- 4062FPatient referral for psychotherapy documented (MDD, MDD ADOL)CPT4
- 4064FAntidepressant pharmacotherapy prescribed (MDD, MDD ADOL)CPT4
- 40650Repair lip, full thickness; vermilion onlyCPT4
- 40652Repair lip, full thickness; up to half vertical heightCPT4
- 40654Repair lip, full thickness; over one-half vertical height, or complexCPT4
- 40700Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateralCPT4
- 40701Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedureCPT4
- 40702Plastic repair of cleft lip/nasal deformity; primary bilateral, 1 of 2 stagesCPT4
- 4070FDeep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR)CPT4
- 40720Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosureCPT4
- 40761Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type), including sectioning and inserting of pedicleCPT4
- 4077FDocumentation that tissue plasminogen activator (t-PA) administration was considered (STR)CPT4
- 40799Unlisted procedure, lipsCPT4
- 40800Drainage of abscess, cyst, hematoma, vestibule of mouth; simpleCPT4
- 40801Drainage of abscess, cyst, hematoma, vestibule of mouth; complicatedCPT4
- 40804Removal of embedded foreign body, vestibule of mouth; simpleCPT4
- 40805Removal of embedded foreign body, vestibule of mouth; complicatedCPT4
- 40806Incision of labial frenum (frenotomy)CPT4
- 40808Biopsy, vestibule of mouthCPT4
- 40810Excision of lesion of mucosa and submucosa, vestibule of mouth; without repairCPT4
- 40812Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repairCPT4
- 40814Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repairCPT4
- 40816Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscleCPT4
- 40818Excision of mucosa of vestibule of mouth as donor graftCPT4
- 40819Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)CPT4
- 40820Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)CPT4
- 40830Closure of laceration, vestibule of mouth; 2.5 cm or lessCPT4
- 40831Closure of laceration, vestibule of mouth; over 2.5 cm or complexCPT4
- 40840Vestibuloplasty; anteriorCPT4
- 40842Vestibuloplasty; posterior, unilateralCPT4
- 40845Vestibuloplasty; complex (including ridge extension, muscle repositioning)CPT4
- 4086FAspirin or clopidogrel prescribed or currently being taken (CAD)CPT4
- 41000Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; lingualCPT4
- 41005Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, superficialCPT4
- 41006Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; sublingual, deep, supramylohyoidCPT4
- 41007Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submental spaceCPT4
- 41008Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; submandibular spaceCPT4
- 41009Intraoral incision and drainage of abscess, cyst, or hematoma of tongue or floor of mouth; masticator spaceCPT4
- 41010Incision of lingual frenum (frenotomy)CPT4
- 41015Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; sublingualCPT4
- 41016Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submentalCPT4
- 41017Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibularCPT4
- 41018Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; masticator spaceCPT4
- 41100Biopsy of tongue; anterior two-thirdsCPT4
- 41105Biopsy of tongue; posterior one-thirdCPT4
- 41108Biopsy of floor of mouthCPT4
- 41110Excision of lesion of tongue without closureCPT4
- 41112Excision of lesion of tongue with closure; anterior two-thirdsCPT4
- 41113Excision of lesion of tongue with closure; posterior one-thirdCPT4
- 41114Excision of lesion of tongue with closure; with local tongue flapCPT4
- 41115Excision of lingual frenum (frenectomy)CPT4
- 41116Excision, lesion of floor of mouthCPT4
- 41120Glossectomy; less than one-half tongueCPT4
- 41130Glossectomy; hemiglossectomyCPT4
- 41135Glossectomy; partial, with unilateral radical neck dissectionCPT4
- 41140Glossectomy; complete or total, with or without tracheostomy, without radical neck dissectionCPT4
- 41145Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissectionCPT4
- 41150Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radical neck dissectionCPT4
- 41153Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissectionCPT4
- 41155Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)CPT4
- 4120FAntibiotic prescribed or dispensed (URI, PHAR), (A-BRONCH)CPT4
- 4124FAntibiotic neither prescribed nor dispensed (URI, PHAR), (A-BRONCH)CPT4
- 41250Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongueCPT4
- 41251Repair of laceration 2.5 cm or less; posterior one-third of tongueCPT4
- 41252Repair of laceration of tongue, floor of mouth, over 2.6 cm or complexCPT4
- 4130FTopical preparations (including OTC) prescribed for acute otitis externa (AOE)CPT4
- 4131FSystemic antimicrobial therapy prescribed (AOE)CPT4
- 4132FSystemic antimicrobial therapy not prescribed (AOE)CPT4
- 4140FInhaled corticosteroids prescribed (Asthma)CPT4
- 4145FTwo or more anti-hypertensive agents prescribed or currently being taken (CAD, HTN)CPT4
- 41512Tongue base suspension, permanent suture techniqueCPT4
- 41520Frenoplasty (surgical revision of frenum, eg, with Z-plasty)CPT4
- 4157FHepatitis B vaccine series previously received (HEP-C)CPT4
- 41599Unlisted procedure, tongue, floor of mouthCPT4
- 4174FCounseling about the potential impact of glaucoma on visual functioning and quality of life, and importance of treatment adherence provided to patient and/or caregiver(s) (EC)CPT4
- 4175FBest-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC)CPT4
- 4177FCounseling about the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of age-related macular degeneration (AMD) provided to patient and/or caregiver(s) (EC)CPT4
- 4179FTamoxifen or aromatase inhibitor (AI) prescribed (ONC)CPT4
- 41800Drainage of abscess, cyst, hematoma from dentoalveolar structuresCPT4
- 41805Removal of embedded foreign body from dentoalveolar structures; soft tissuesCPT4
- 41806Removal of embedded foreign body from dentoalveolar structures; boneCPT4
- 41820Gingivectomy, excision gingiva, each quadrantCPT4
- 41821Operculectomy, excision pericoronal tissuesCPT4
- 41822Excision of fibrous tuberosities, dentoalveolar structuresCPT4
- 41823Excision of osseous tuberosities, dentoalveolar structuresCPT4
- 41825Excision of lesion or tumor (except listed above), dentoalveolar structures; without repairCPT4
- 41826Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repairCPT4
- 41827Excision of lesion or tumor (except listed above), dentoalveolar structures; with complex repairCPT4
- 41828Excision of hyperplastic alveolar mucosa, each quadrant (specify)CPT4
- 41830Alveolectomy, including curettage of osteitis or sequestrectomyCPT4
- 41850Destruction of lesion (except excision), dentoalveolar structuresCPT4
- 41870Periodontal mucosal graftingCPT4
- 41874Alveoloplasty, each quadrant (specify)CPT4
- 4187FDisease modifying anti-rheumatic drug therapy prescribed or dispensed (RA)CPT4
- 41899Unlisted procedure, dentoalveolar structuresCPT4
- 42000Drainage of abscess of palate, uvulaCPT4
- 42100Biopsy of palate, uvulaCPT4
- 42104Excision, lesion of palate, uvula; without closureCPT4
- 42106Excision, lesion of palate, uvula; with simple primary closureCPT4
- 42107Excision, lesion of palate, uvula; with local flap closureCPT4
- 42120Resection of palate or extensive resection of lesionCPT4
- 42140Uvulectomy, excision of uvulaCPT4
- 42145Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty)CPT4
- 42160Destruction of lesion, palate or uvula (thermal, cryo or chemical)CPT4
- 42180Repair, laceration of palate; up to 2 cmCPT4
- 42182Repair, laceration of palate; over 2 cm or complexCPT4
- 42200Palatoplasty for cleft palate, soft and/or hard palate onlyCPT4
- 42205Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue onlyCPT4
- 42210Palatoplasty for cleft palate, with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft)CPT4
- 42215Palatoplasty for cleft palate; major revisionCPT4
- 42220Palatoplasty for cleft palate; secondary lengthening procedureCPT4
- 42225Palatoplasty for cleft palate; attachment pharyngeal flapCPT4
- 42226Lengthening of palate, and pharyngeal flapCPT4
- 42235Repair of anterior palate, including vomer flapCPT4
- 42260Repair of nasolabial fistulaCPT4
- 42281Insertion of pin-retained palatal prosthesisCPT4
- 42300Drainage of abscess; parotid, simpleCPT4
- 42305Drainage of abscess; parotid, complicatedCPT4
- 42310Drainage of abscess; submaxillary or sublingual, intraoralCPT4
- 42320Drainage of abscess; submaxillary, externalCPT4
- 42330Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoralCPT4
- 42335Sialolithotomy; submandibular (submaxillary), complicated, intraoralCPT4
- 42340Sialolithotomy; parotid, extraoral or complicated intraoralCPT4
- 42400Biopsy of salivary gland; needleCPT4
- 42405Biopsy of salivary gland; incisionalCPT4
- 42408Excision of sublingual salivary cyst (ranula)CPT4
- 42409Marsupialization of sublingual salivary cyst (ranula)CPT4
- 42410Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissectionCPT4
- 42415Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerveCPT4
- 42420Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerveCPT4
- 42425Excision of parotid tumor or parotid gland; total, en bloc removal with sacrifice of facial nerveCPT4
- 42426Excision of parotid tumor or parotid gland; total, with unilateral radical neck dissectionCPT4
- 42440Excision of submandibular (submaxillary) glandCPT4
- 42450Excision of sublingual glandCPT4
- 42500Plastic repair of salivary duct, sialodochoplasty; primary or simpleCPT4
- 42505Plastic repair of salivary duct, sialodochoplasty; secondary or complicatedCPT4
- 4250FActive warming used intraoperatively for the purpose of maintaining normothermia, or at least 1 body temperature equal to or greater than 36 degrees Centigrade (or 96.8 degrees Fahrenheit) recorded within the 30 minutes immediately before or the 15 minuteCPT4
- 42510Parotid duct diversion, bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ductsCPT4
- 4255FDuration of general or neuraxial anesthesia 60 minutes or longer, as documented in the anesthesia record (CRIT) (Peri2)CPT4
- 42650Dilation salivary ductCPT4
- 4265FUse of wet to dry dressings prescribed or recommended (CWC)CPT4
- 42660Dilation and catheterization of salivary duct, with or without injectionCPT4
- 42665Ligation salivary duct, intraoralCPT4
- 42699Unlisted procedure, salivary glands or ductsCPT4
- 42700Incision and drainage abscess; peritonsillarCPT4
- 42720Incision and drainage abscess; retropharyngeal or parapharyngeal, intraoral approachCPT4
- 42725Incision and drainage abscess; retropharyngeal or parapharyngeal, external approachCPT4
- 4274FInfluenza immunization administered or previously received (HIV) (P-ESRD)CPT4
- 42800Biopsy; oropharynxCPT4
- 42804Biopsy; nasopharynx, visible lesion, simpleCPT4
- 42806Biopsy; nasopharynx, survey for unknown primary lesionCPT4
- 42808Excision or destruction of lesion of pharynx, any methodCPT4
- 42809Removal of foreign body from pharynxCPT4
- 42810Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissuesCPT4
- 42815Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynxCPT4
- 42820Tonsillectomy and adenoidectomy; younger than age 12CPT4
- 42821Tonsillectomy and adenoidectomy; age 12 or overCPT4
- 42825Tonsillectomy, primary or secondary; younger than age 12CPT4
- 42826Tonsillectomy, primary or secondary; age 12 or overCPT4
- 42830Adenoidectomy, primary; younger than age 12CPT4
- 42831Adenoidectomy, primary; age 12 or overCPT4
- 42835Adenoidectomy, secondary; younger than age 12CPT4
- 42836Adenoidectomy, secondary; age 12 or overCPT4
- 42842Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closureCPT4
- 42844Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)CPT4
- 42845Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flapCPT4
- 42870Excision or destruction lingual tonsil, any method (separate procedure)CPT4
- 42890Limited pharyngectomyCPT4
- 42892Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal wallsCPT4
- 42900Suture pharynx for wound or injuryCPT4
- 4293FPatient screened for high-risk sexual behavior (HIV)CPT4
- 42950Pharyngoplasty (plastic or reconstructive operation on pharynx)CPT4
- 42953Pharyngoesophageal repairCPT4
- 42960Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simpleCPT4
- 42961Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalizationCPT4
- 42962Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); with secondary surgical interventionCPT4
- 42970Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); simple, with posterior nasal packs, with or without anterior packs and/or cauteryCPT4
- 42971Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalizationCPT4
- 42972Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); with secondary surgical interventionCPT4
- 42999Unlisted procedure, pharynx, adenoids, or tonsilsCPT4
- 43030Cricopharyngeal myotomyCPT4
- 4305FPatient education regarding appropriate foot care and daily inspection of the feet received (CWC)CPT4
- 4306FPatient counseled regarding psychosocial and pharmacologic treatment options for opioid addiction (SUD)CPT4
- 43101Excision of lesion, esophagus, with primary repair; thoracic or abdominal approachCPT4
- 43112Total or near total esophagectomy, with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy, with or without pyloroplasty (ie, McKeown esophagectomy or tri-incisional esophagectomy)CPT4
- 43117Partial esophagectomy, distal two-thirds, with thoracotomy and separate abdominal incision, with or without proximal gastrectomy; with thoracic esophagogastrostomy, with or without pyloroplasty (Ivor Lewis)CPT4
- 43122Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with esophagogastrostomy, with or without pyloroplastyCPT4
- 43123Partial esophagectomy, thoracoabdominal or abdominal approach, with or without proximal gastrectomy; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and anastomosis(es)CPT4
- 43124Total or partial esophagectomy, without reconstruction (any approach), with cervical esophagostomyCPT4
- 43130Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approachCPT4
- 43135Diverticulectomy of hypopharynx or esophagus, with or without myotomy; thoracic approachCPT4
- 43180Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg, Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performedCPT4
- 43191Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure)CPT4
- 43192Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substanceCPT4
- 43193Esophagoscopy, rigid, transoral; with biopsy, single or multipleCPT4
- 43194Esophagoscopy, rigid, transoral; with removal of foreign body(s)CPT4
- 43195Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)CPT4
- 43196Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wireCPT4
- 43197Esophagoscopy, flexible, transnasal; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 43198Esophagoscopy, flexible, transnasal; with biopsy, single or multipleCPT4
- 43200Esophagoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 43201Esophagoscopy, flexible, transoral; with directed submucosal injection(s), any substanceCPT4
- 43202Esophagoscopy, flexible, transoral; with biopsy, single or multipleCPT4
- 43204Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varicesCPT4
- 43205Esophagoscopy, flexible, transoral; with band ligation of esophageal varicesCPT4
- 4320FPatient counseled regarding psychosocial and pharmacologic treatment options for alcohol dependence (SUD)CPT4
- 43210Esophagogastroduodenoscopy, flexible, transoral; with esophagogastric fundoplasty, partial or complete, includes duodenoscopy when performedCPT4
- 43212Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 43213Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed)CPT4
- 43214Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)CPT4
- 43215Esophagoscopy, flexible, transoral; with removal of foreign body(s)CPT4
- 43216Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forcepsCPT4
- 43217Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCPT4
- 43220Esophagoscopy, flexible, transoral; with transendoscopic balloon dilation (less than 30 mm diameter)CPT4
- 43226Esophagoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) over guide wireCPT4
- 43227Esophagoscopy, flexible, transoral; with control of bleeding, any methodCPT4
- 43229Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 4322FCaregiver provided with education and referred to additional resources for support (DEM)CPT4
- 43231Esophagoscopy, flexible, transoral; with endoscopic ultrasound examinationCPT4
- 43232Esophagoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s)CPT4
- 43233Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)CPT4
- 43235Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 43236Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substanceCPT4
- 43237Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structuresCPT4
- 43238Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent struCPT4
- 43239Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multipleCPT4
- 43240Esophagogastroduodenoscopy, flexible, transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s], when performed, and endoscopic ultrasound, when performed)CPT4
- 43241Esophagogastroduodenoscopy, flexible, transoral; with insertion of intraluminal tube or catheterCPT4
- 43242Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgicallCPT4
- 43243Esophagogastroduodenoscopy, flexible, transoral; with injection sclerosis of esophageal/gastric varicesCPT4
- 43244Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varicesCPT4
- 43245Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)CPT4
- 43246Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tubeCPT4
- 43247Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)CPT4
- 43248Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wireCPT4
- 43249Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)CPT4
- 43250Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forcepsCPT4
- 43251Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCPT4
- 43252Esophagogastroduodenoscopy, flexible, transoral; with optical endomicroscopyCPT4
- 43253Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of CPT4
- 43254Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resectionCPT4
- 43255Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any methodCPT4
- 43257Esophagogastroduodenoscopy, flexible, transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia, for treatment of gastroesophageal reflux diseaseCPT4
- 43259Esophagogastroduodenoscopy, flexible, transoral; with endoscopic ultrasound examination, including the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosisCPT4
- 4325FMedical and surgical treatment options reviewed with patient (or caregiver) (Prkns)CPT4
- 43260Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 43261Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy, single or multipleCPT4
- 43262Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomyCPT4
- 43264Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)CPT4
- 43265Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi, any method (eg, mechanical, electrohydraulic, lithotripsy)CPT4
- 43266Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 43270Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 43273Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure)CPT4
- 43274Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stentCPT4
- 43275Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s)CPT4
- 43276Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchangCPT4
- 43277Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each ductCPT4
- 43278Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performedCPT4
- 43279Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when performedCPT4
- 43280Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)CPT4
- 43281Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of meshCPT4
- 43282Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of meshCPT4
- 43283Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)CPT4
- 43284Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band), including cruroplasty when performedCPT4
- 43285Removal of esophageal sphincter augmentation deviceCPT4
- 43287Esophagectomy, distal two-thirds, with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with separate thoracoscopic mobilization of the middle aCPT4
- 43288Esophagectomy, total or near total, with thoracoscopic mobilization of the upper, middle, and lower mediastinal esophagus, with separate laparoscopic proximal gastrectomy, with laparoscopic pyloric drainage procedure if performed, with open cervical pharyCPT4
- 43289Unlisted laparoscopy procedure, esophagusCPT4
- 4328FPatient (or caregiver) queried about sleep disturbances (Prkns)CPT4
- 43300Esophagoplasty (plastic repair or reconstruction), cervical approach; without repair of tracheoesophageal fistulaCPT4
- 43310Esophagoplasty (plastic repair or reconstruction), thoracic approach; without repair of tracheoesophageal fistulaCPT4
- 43312Esophagoplasty (plastic repair or reconstruction), thoracic approach; with repair of tracheoesophageal fistulaCPT4
- 43313Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; without repair of congenital tracheoesophageal fistulaCPT4
- 43325Esophagogastric fundoplasty, with fundic patch (Thal-Nissen procedure)CPT4
- 43327Esophagogastric fundoplasty partial or complete; laparotomyCPT4
- 43330Esophagomyotomy (Heller type); abdominal approachCPT4
- 43331Esophagomyotomy (Heller type); thoracic approachCPT4
- 43332Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesisCPT4
- 43333Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesisCPT4
- 43334Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; without implantation of mesh or other prosthesisCPT4
- 43335Repair, paraesophageal hiatal hernia (including fundoplication), via thoracotomy, except neonatal; with implantation of mesh or other prosthesisCPT4
- 43336Repair, paraesophageal hiatal hernia, (including fundoplication), via thoracoabdominal incision, except neonatal; without implantation of mesh or other prosthesisCPT4
- 43338Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)CPT4
- 43341Esophagojejunostomy (without total gastrectomy); thoracic approachCPT4
- 43352Esophagostomy, fistulization of esophagus, external; cervical approachCPT4
- 43361Gastrointestinal reconstruction for previous esophagectomy, for obstructing esophageal lesion or fistula, or for previous esophageal exclusion; with colon interposition or small intestine reconstruction, including intestine mobilization, preparation, and CPT4
- 43405Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforationCPT4
- 43410Suture of esophageal wound or injury; cervical approachCPT4
- 43415Suture of esophageal wound or injury; transthoracic or transabdominal approachCPT4
- 43420Closure of esophagostomy or fistula; cervical approachCPT4
- 43450Dilation of esophagus, by unguided sound or bougie, single or multiple passesCPT4
- 43453Dilation of esophagus, over guide wireCPT4
- 43460Esophagogastric tamponade, with balloon (Sengstaken type)CPT4
- 43499Unlisted procedure, esophagusCPT4
- 43500Gastrotomy; with exploration or foreign body removalCPT4
- 43501Gastrotomy; with suture repair of bleeding ulcerCPT4
- 4350FCounseling provided on symptom management, end of life decisions, and palliation (DEM)CPT4
- 43520Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)CPT4
- 43605Biopsy of stomach, by laparotomyCPT4
- 43610Excision, local; ulcer or benign tumor of stomachCPT4
- 43611Excision, local; malignant tumor of stomachCPT4
- 43620Gastrectomy, total; with esophagoenterostomyCPT4
- 43621Gastrectomy, total; with Roux-en-Y reconstructionCPT4
- 43622Gastrectomy, total; with formation of intestinal pouch, any typeCPT4
- 43631Gastrectomy, partial, distal; with gastroduodenostomyCPT4
- 43632Gastrectomy, partial, distal; with gastrojejunostomyCPT4
- 43633Gastrectomy, partial, distal; with Roux-en-Y reconstructionCPT4
- 43635Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)CPT4
- 43644Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less)CPT4
- 43645Laparoscopy, surgical, gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorptionCPT4
- 43647Laparoscopy, surgical; implantation or replacement of gastric neurostimulator electrodes, antrumCPT4
- 43653Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)CPT4
- 43659Unlisted laparoscopy procedure, stomachCPT4
- 43752Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)CPT4
- 43753Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performedCPT4
- 43754Gastric intubation and aspiration, diagnostic; single specimen (eg, acid analysis)CPT4
- 43755Gastric intubation and aspiration, diagnostic; collection of multiple fractional specimens with gastric stimulation, single or double lumen tube (gastric secretory study) (eg, histamine, insulin, pentagastrin, calcium, secretin), includes drug administratCPT4
- 43757Duodenal intubation and aspiration, diagnostic, includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube, includes drug administrationCPT4
- 43760Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidanceCPT4
- 43761Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutritionCPT4
- 43762Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tractCPT4
- 43763Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tractCPT4
- 43770Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)CPT4
- 43771Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component onlyCPT4
- 43772Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component onlyCPT4
- 43774Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port componentsCPT4
- 43775Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)CPT4
- 43800PyloroplastyCPT4
- 43810GastroduodenostomyCPT4
- 43820Gastrojejunostomy; without vagotomyCPT4
- 43830Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)CPT4
- 43832Gastrostomy, open; with construction of gastric tube (eg, Janeway procedure)CPT4
- 43840Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injuryCPT4
- 43845Gastric restrictive procedure with partial gastrectomy, pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch)CPT4
- 43846Gastric restrictive procedure, with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomyCPT4
- 43848Revision, open, of gastric restrictive procedure for morbid obesity, other than adjustable gastric restrictive device (separate procedure)CPT4
- 43850Revision of gastroduodenal anastomosis (gastroduodenostomy) with reconstruction; without vagotomyCPT4
- 43860Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomyCPT4
- 43870Closure of gastrostomy, surgicalCPT4
- 43886Gastric restrictive procedure, open; revision of subcutaneous port component onlyCPT4
- 43887Gastric restrictive procedure, open; removal of subcutaneous port component onlyCPT4
- 43999Unlisted procedure, stomachCPT4
- 44005Enterolysis (freeing of intestinal adhesion) (separate procedure)CPT4
- 4400FRehabilitative therapy options discussed with patient (or caregiver) (Prkns)CPT4
- 44010Duodenotomy, for exploration, biopsy(s), or foreign body removalCPT4
- 44015Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure)CPT4
- 44020Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removalCPT4
- 44021Enterotomy, small intestine, other than duodenum; for decompression (eg, Baker tube)CPT4
- 44025Colotomy, for exploration, biopsy(s), or foreign body removalCPT4
- 44050Reduction of volvulus, intussusception, internal hernia, by laparotomyCPT4
- 44055Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg, Ladd procedure)CPT4
- 44110Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomyCPT4
- 44111Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; multiple enterotomiesCPT4
- 44120Enterectomy, resection of small intestine; single resection and anastomosisCPT4
- 44121Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)CPT4
- 44125Enterectomy, resection of small intestine; with enterostomyCPT4
- 44126Enterectomy, resection of small intestine for congenital atresia, single resection and anastomosis of proximal segment of intestine; without taperingCPT4
- 44130Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)CPT4
- 44139Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)CPT4
- 44140Colectomy, partial; with anastomosisCPT4
- 44141Colectomy, partial; with skin level cecostomy or colostomyCPT4
- 44143Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)CPT4
- 44144Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistulaCPT4
- 44145Colectomy, partial; with coloproctostomy (low pelvic anastomosis)CPT4
- 44146Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomyCPT4
- 44147Colectomy, partial; abdominal and transanal approachCPT4
- 44150Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomyCPT4
- 44155Colectomy, total, abdominal, with proctectomy; with ileostomyCPT4
- 44158Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, creation of ileal reservoir (S or J), includes loop ileostomy, and rectal mucosectomy, when performedCPT4
- 44160Colectomy, partial, with removal of terminal ileum with ileocolostomyCPT4
- 44180Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)CPT4
- 44186Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)CPT4
- 44187Laparoscopy, surgical; ileostomy or jejunostomy, non-tubeCPT4
- 44188Laparoscopy, surgical, colostomy or skin level cecostomyCPT4
- 44202Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosisCPT4
- 44204Laparoscopy, surgical; colectomy, partial, with anastomosisCPT4
- 44205Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomyCPT4
- 44206Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)CPT4
- 44207Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)CPT4
- 44208Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomyCPT4
- 44210Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomyCPT4
- 44211Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileoanal anastomosis, creation of ileal reservoir (S or J), with loop ileostomy, includes rectal mucosectomy, when performedCPT4
- 44212Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomyCPT4
- 44213Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)CPT4
- 44227Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosisCPT4
- 44238Unlisted laparoscopy procedure, intestine (except rectum)CPT4
- 44300Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)CPT4
- 44310Ileostomy or jejunostomy, non-tubeCPT4
- 44312Revision of ileostomy; simple (release of superficial scar) (separate procedure)CPT4
- 44314Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)CPT4
- 44320Colostomy or skin level cecostomyCPT4
- 44322Colostomy or skin level cecostomy; with multiple biopsies (eg, for congenital megacolon) (separate procedure)CPT4
- 44340Revision of colostomy; simple (release of superficial scar) (separate procedure)CPT4
- 44345Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)CPT4
- 44346Revision of colostomy; with repair of paracolostomy hernia (separate procedure)CPT4
- 44360Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 44361Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with biopsy, single or multipleCPT4
- 44363Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of foreign body(s)CPT4
- 44364Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCPT4
- 44365Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cauteryCPT4
- 44366Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)CPT4
- 44369Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare techniqueCPT4
- 44370Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with transendoscopic stent placement (includes predilation)CPT4
- 44372Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of percutaneous jejunostomy tubeCPT4
- 44373Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tubeCPT4
- 44376Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)CPT4
- 44377Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with biopsy, single or multipleCPT4
- 44378Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)CPT4
- 44380Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 44381Ileoscopy, through stoma; with transendoscopic balloon dilationCPT4
- 44382Ileoscopy, through stoma; with biopsy, single or multipleCPT4
- 44384Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 44385Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 44386Endoscopic evaluation of small intestinal pouch (eg, Kock pouch, ileal reservoir [S or J]); with biopsy, single or multipleCPT4
- 44388Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 44389Colonoscopy through stoma; with biopsy, single or multipleCPT4
- 44391Colonoscopy through stoma; with control of bleeding, any methodCPT4
- 44392Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forcepsCPT4
- 44394Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCPT4
- 44403Colonoscopy through stoma; with endoscopic mucosal resectionCPT4
- 44404Colonoscopy through stoma; with directed submucosal injection(s), any substanceCPT4
- 44405Colonoscopy through stoma; with transendoscopic balloon dilationCPT4
- 44408Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performedCPT4
- 44500Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure)CPT4
- 44602Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforationCPT4
- 44603Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforationsCPT4
- 44604Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomyCPT4
- 44605Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomyCPT4
- 44615Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstructionCPT4
- 44620Closure of enterostomy, large or small intestineCPT4
- 44625Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectalCPT4
- 44626Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)CPT4
- 44640Closure of intestinal cutaneous fistulaCPT4
- 44650Closure of enteroenteric or enterocolic fistulaCPT4
- 44660Closure of enterovesical fistula; without intestinal or bladder resectionCPT4
- 44661Closure of enterovesical fistula; with intestine and/or bladder resectionCPT4
- 44700Exclusion of small intestine from pelvis by mesh or other prosthesis, or native tissue (eg, bladder or omentum)CPT4
- 44701Intraoperative colonic lavage (List separately in addition to code for primary procedure)CPT4
- 44705Preparation of fecal microbiota for instillation, including assessment of donor specimenCPT4
- 44799Unlisted procedure, small intestineCPT4
- 44800Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric ductCPT4
- 4481FPatient receiving ACE inhibitor/ARB therapy and beta-blocker therapy for less than 3 months or patient not receiving ACE inhibitor/ARB therapy and beta-blocker therapy (HF)CPT4
- 44850Suture of mesentery (separate procedure)CPT4
- 44899Unlisted procedure, Meckel's diverticulum and the mesenteryCPT4
- 44900Incision and drainage of appendiceal abscess, openCPT4
- 44950AppendectomyCPT4
- 44955Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)CPT4
- 44960Appendectomy; for ruptured appendix with abscess or generalized peritonitisCPT4
- 44970Laparoscopy, surgical, appendectomyCPT4
- 44979Unlisted laparoscopy procedure, appendixCPT4
- 45000Transrectal drainage of pelvic abscessCPT4
- 45005Incision and drainage of submucosal abscess, rectumCPT4
- 45020Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscessCPT4
- 45100Biopsy of anorectal wall, anal approach (eg, congenital megacolon)CPT4
- 45110Proctectomy; complete, combined abdominoperineal, with colostomyCPT4
- 45111Proctectomy; partial resection of rectum, transabdominal approachCPT4
- 45112Proctectomy, combined abdominoperineal, pull-through procedure (eg, colo-anal anastomosis)CPT4
- 45113Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomyCPT4
- 45119Proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy when performedCPT4
- 45120Proctectomy, complete (for congenital megacolon), abdominal and perineal approach; with pull-through procedure and anastomosis (eg, Swenson, Duhamel, or Soave type operation)CPT4
- 45123Proctectomy, partial, without anastomosis, perineal approachCPT4
- 45126Pelvic exenteration for colorectal malignancy, with proctectomy (with or without colostomy), with removal of bladder and ureteral transplantations, and/or hysterectomy, or cervicectomy, with or without removal of tube(s), with or without removal of ovary(CPT4
- 45130Excision of rectal procidentia, with anastomosis; perineal approachCPT4
- 45171Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)CPT4
- 45172Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)CPT4
- 45190Destruction of rectal tumor (eg, electrodesiccation, electrosurgery, laser ablation, laser resection, cryosurgery) transanal approachCPT4
- 45300Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)CPT4
- 45303Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide wire, bougie)CPT4
- 45305Proctosigmoidoscopy, rigid; with biopsy, single or multipleCPT4
- 45307Proctosigmoidoscopy, rigid; with removal of foreign bodyCPT4
- 45308Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cauteryCPT4
- 45309Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare techniqueCPT4
- 45317Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)CPT4
- 45320Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique (eg, laser)CPT4
- 45321Proctosigmoidoscopy, rigid; with decompression of volvulusCPT4
- 45330Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 45331Sigmoidoscopy, flexible; with biopsy, single or multipleCPT4
- 45332Sigmoidoscopy, flexible; with removal of foreign body(s)CPT4
- 45333Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forcepsCPT4
- 45334Sigmoidoscopy, flexible; with control of bleeding, any methodCPT4
- 45335Sigmoidoscopy, flexible; with directed submucosal injection(s), any substanceCPT4
- 45337Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performedCPT4
- 45338Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCPT4
- 45340Sigmoidoscopy, flexible; with transendoscopic balloon dilationCPT4
- 45341Sigmoidoscopy, flexible; with endoscopic ultrasound examinationCPT4
- 45342Sigmoidoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s)CPT4
- 45346Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 45347Sigmoidoscopy, flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 45349Sigmoidoscopy, flexible; with endoscopic mucosal resectionCPT4
- 45350Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrhoids)CPT4
- 45378Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 45379Colonoscopy, flexible; with removal of foreign body(s)CPT4
- 45380Colonoscopy, flexible; with biopsy, single or multipleCPT4
- 45381Colonoscopy, flexible; with directed submucosal injection(s), any substanceCPT4
- 45382Colonoscopy, flexible; with control of bleeding, any methodCPT4
- 45384Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forcepsCPT4
- 45385Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare techniqueCPT4
- 45386Colonoscopy, flexible; with transendoscopic balloon dilationCPT4
- 45388Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 45389Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)CPT4
- 45390Colonoscopy, flexible; with endoscopic mucosal resectionCPT4
- 45391Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structuresCPT4
- 45392Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and aCPT4
- 45393Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performedCPT4
- 45395Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomyCPT4
- 45397Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performedCPT4
- 45398Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)CPT4
- 45399Unlisted procedure, colonCPT4
- 45400Laparoscopy, surgical; proctopexy (for prolapse)CPT4
- 45402Laparoscopy, surgical; proctopexy (for prolapse), with sigmoid resectionCPT4
- 45499Unlisted laparoscopy procedure, rectumCPT4
- 45500Proctoplasty; for stenosisCPT4
- 45505Proctoplasty; for prolapse of mucous membraneCPT4
- 4551FNutritional support offered (ALS)CPT4
- 45520Perirectal injection of sclerosing solution for prolapseCPT4
- 45540Proctopexy (eg, for prolapse); abdominal approachCPT4
- 45541Proctopexy (eg, for prolapse); perineal approachCPT4
- 4554FPatient received inhalational anesthetic agent (Peri2)CPT4
- 45550Proctopexy (eg, for prolapse); with sigmoid resection, abdominal approachCPT4
- 4555FPatient did not receive inhalational anesthetic agent (Peri2)CPT4
- 45560Repair of rectocele (separate procedure)CPT4
- 45562Exploration, repair, and presacral drainage for rectal injuryCPT4
- 45563Exploration, repair, and presacral drainage for rectal injury; with colostomyCPT4
- 4558FPatient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and intraoperatively (Peri2)CPT4
- 4559FAt least 1 body temperature measurement equal to or greater than 35.5 degrees Celsius (or 95.9 degrees Fahrenheit) recorded within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time (Peri2)CPT4
- 45800Closure of rectovesical fistulaCPT4
- 45805Closure of rectovesical fistula; with colostomyCPT4
- 45820Closure of rectourethral fistulaCPT4
- 45900Reduction of procidentia (separate procedure) under anesthesiaCPT4
- 45905Dilation of anal sphincter (separate procedure) under anesthesia other than localCPT4
- 45910Dilation of rectal stricture (separate procedure) under anesthesia other than localCPT4
- 45915Removal of fecal impaction or foreign body (separate procedure) under anesthesiaCPT4
- 45990Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnosticCPT4
- 45999Unlisted procedure, rectumCPT4
- 46020Placement of setonCPT4
- 46030Removal of anal seton, other markerCPT4
- 46040Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)CPT4
- 46045Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesiaCPT4
- 46050Incision and drainage, perianal abscess, superficialCPT4
- 46060Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of setonCPT4
- 46080Sphincterotomy, anal, division of sphincter (separate procedure)CPT4
- 46083Incision of thrombosed hemorrhoid, externalCPT4
- 46200Fissurectomy, including sphincterotomy, when performedCPT4
- 46220Excision of single external papilla or tag, anusCPT4
- 46221Hemorrhoidectomy, internal, by rubber band ligation(s)CPT4
- 46230Excision of multiple external papillae or tags, anusCPT4
- 46250Hemorrhoidectomy, external, 2 or more columns/groupsCPT4
- 46255Hemorrhoidectomy, internal and external, single column/groupCPT4
- 46257Hemorrhoidectomy, internal and external, single column/group; with fissurectomyCPT4
- 46258Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performedCPT4
- 46260Hemorrhoidectomy, internal and external, 2 or more columns/groupsCPT4
- 46261Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomyCPT4
- 46262Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performedCPT4
- 46270Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneousCPT4
- 46275Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphinctericCPT4
- 46280Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performedCPT4
- 46285Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stageCPT4
- 46288Closure of anal fistula with rectal advancement flapCPT4
- 46320Excision of thrombosed hemorrhoid, externalCPT4
- 46500Injection of sclerosing solution, hemorrhoidsCPT4
- 46505Chemodenervation of internal anal sphincterCPT4
- 46600Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)CPT4
- 46601Anoscopy; diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performedCPT4
- 46604Anoscopy; with dilation (eg, balloon, guide wire, bougie)CPT4
- 46606Anoscopy; with biopsy, single or multipleCPT4
- 46607Anoscopy; with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multipleCPT4
- 46608Anoscopy; with removal of foreign bodyCPT4
- 46610Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cauteryCPT4
- 46611Anoscopy; with removal of single tumor, polyp, or other lesion by snare techniqueCPT4
- 46612Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar cautery or snare techniqueCPT4
- 46614Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)CPT4
- 46615Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare techniqueCPT4
- 46700Anoplasty, plastic operation for stricture; adultCPT4
- 46707Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS])CPT4
- 46716Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistulaCPT4
- 46730Repair of high imperforate anus without fistula; perineal or sacroperineal approachCPT4
- 46740Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approachCPT4
- 46746Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approachCPT4
- 46748Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty, combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flapsCPT4
- 46750Sphincteroplasty, anal, for incontinence or prolapse; adultCPT4
- 46751Sphincteroplasty, anal, for incontinence or prolapse; childCPT4
- 46753Graft (Thiersch operation) for rectal incontinence and/or prolapseCPT4
- 46761Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repair)CPT4
- 46762Sphincteroplasty, anal, for incontinence, adult; implantation artificial sphincterCPT4
- 46900Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemicalCPT4
- 46910Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccationCPT4
- 46916Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgeryCPT4
- 46917Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; laser surgeryCPT4
- 46922Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excisionCPT4
- 46924Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)CPT4
- 46930Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulation, cautery, radiofrequency)CPT4
- 46940Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); initialCPT4
- 46945Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidanceCPT4
- 46946Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidanceCPT4
- 46947Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by staplingCPT4
- 46948Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including ultrasound guidance, with mucopexy, when performedCPT4
- 46999Unlisted procedure, anusCPT4
- 47000Biopsy of liver, needle; percutaneousCPT4
- 47001Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure)CPT4
- 47010Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stagesCPT4
- 47100Biopsy of liver, wedgeCPT4
- 47120Hepatectomy, resection of liver; partial lobectomyCPT4
- 47122Hepatectomy, resection of liver; trisegmentectomyCPT4
- 47125Hepatectomy, resection of liver; total left lobectomyCPT4
- 47130Hepatectomy, resection of liver; total right lobectomyCPT4
- 47135Liver allotransplantation, orthotopic, partial or whole, from cadaver or living donor, any ageCPT4
- 47140Donor hepatectomy (including cold preservation), from living donor; left lateral segment only (segments II and III)CPT4
- 47141Donor hepatectomy (including cold preservation), from living donor; total left lobectomy (segments II, III and IV)CPT4
- 47142Donor hepatectomy (including cold preservation), from living donor; total right lobectomy (segments V, VI, VII and VIII)CPT4
- 47143Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation, including cholecystectomy, if necessary, and dissection and removal of surrounding soft tissues to prepare the vena cava, portal vein, hepatic artery, and commCPT4
- 47146Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis, eachCPT4
- 47147Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis, eachCPT4
- 47350Management of liver hemorrhage; simple suture of liver wound or injuryCPT4
- 47360Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligationCPT4
- 47361Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liverCPT4
- 47362Management of liver hemorrhage; re-exploration of hepatic wound for removal of packingCPT4
- 47370Laparoscopy, surgical, ablation of 1 or more liver tumor(s); radiofrequencyCPT4
- 47379Unlisted laparoscopic procedure, liverCPT4
- 47382Ablation, 1 or more liver tumor(s), percutaneous, radiofrequencyCPT4
- 47383Ablation, 1 or more liver tumor(s), percutaneous, cryoablationCPT4
- 47399Unlisted procedure, liverCPT4
- 47420Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplastyCPT4
- 47480Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)CPT4
- 47490Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretationCPT4
- 47531Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing accessCPT4
- 47532Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cCPT4
- 47533Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; externalCPT4
- 47534Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-externalCPT4
- 47535Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interprCPT4
- 47536Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radioloCPT4
- 47537Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological sCPT4
- 47538Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiologicaCPT4
- 47539Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiologicaCPT4
- 47540Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiologicaCPT4
- 47541Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg, rendezvous procedure), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluorosCPT4
- 47542Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty), percutaneous, including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, each duct (List separately in addition to code for primary prCPT4
- 47543Endoluminal biopsy(ies) of biliary tree, percutaneous, any method(s) (eg, brush, forceps, and/or needle), including imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation, single or multiple (List separately in CPT4
- 47544Removal of calculi/debris from biliary duct(s) and/or gallbladder, percutaneous, including destruction of calculi by any method (eg, mechanical, electrohydraulic, lithotripsy) when performed, imaging guidance (eg, fluoroscopy), and all associated radiologCPT4
- 47550Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)CPT4
- 47554Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculiCPT4
- 47562Laparoscopy, surgical; cholecystectomyCPT4
- 47563Laparoscopy, surgical; cholecystectomy with cholangiographyCPT4
- 47564Laparoscopy, surgical; cholecystectomy with exploration of common ductCPT4
- 47579Unlisted laparoscopy procedure, biliary tractCPT4
- 47600CholecystectomyCPT4
- 47605Cholecystectomy; with cholangiographyCPT4
- 47610Cholecystectomy with exploration of common ductCPT4
- 47612Cholecystectomy with exploration of common duct; with choledochoenterostomyCPT4
- 47620Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty, with or without cholangiographyCPT4
- 47711Excision of bile duct tumor, with or without primary repair of bile duct; extrahepaticCPT4
- 47712Excision of bile duct tumor, with or without primary repair of bile duct; intrahepaticCPT4
- 47715Excision of choledochal cystCPT4
- 47720Cholecystoenterostomy; directCPT4
- 47760Anastomosis, of extrahepatic biliary ducts and gastrointestinal tractCPT4
- 47780Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tractCPT4
- 47785Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tractCPT4
- 47801Placement of choledochal stentCPT4
- 47900Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)CPT4
- 47999Unlisted procedure, biliary tractCPT4
- 48100Biopsy of pancreas, open (eg, fine needle aspiration, needle core biopsy, wedge biopsy)CPT4
- 48102Biopsy of pancreas, percutaneous needleCPT4
- 48105Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitisCPT4
- 48120Excision of lesion of pancreas (eg, cyst, adenoma)CPT4
- 48140Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomyCPT4
- 48146Pancreatectomy, distal, near-total with preservation of duodenum (Child-type procedure)CPT4
- 48148Excision of ampulla of VaterCPT4
- 48150Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomyCPT4
- 48152Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomyCPT4
- 48153Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); with pancreatojejunostomyCPT4
- 48154Pancreatectomy, proximal subtotal with near-total duodenectomy, choledochoenterostomy and duodenojejunostomy (pylorus-sparing, Whipple-type procedure); without pancreatojejunostomyCPT4
- 48155Pancreatectomy, totalCPT4
- 48551Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation, including dissection of allograft from surrounding soft tissues, splenectomy, duodenotomy, ligation of bile duct, ligation of mesenteric vessels, and Y-graft arteCPT4
- 48554Transplantation of pancreatic allograftCPT4
- 48999Unlisted procedure, pancreasCPT4
- 49000Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)CPT4
- 49002Reopening of recent laparotomyCPT4
- 49010Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)CPT4
- 49020Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, openCPT4
- 49021Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess; percutaneousCPT4
- 49060Drainage of retroperitoneal abscess, openCPT4
- 49082Abdominal paracentesis (diagnostic or therapeutic); without imaging guidanceCPT4
- 49083Abdominal paracentesis (diagnostic or therapeutic); with imaging guidanceCPT4
- 49084Peritoneal lavage, including imaging guidance, when performedCPT4
- 49180Biopsy, abdominal or retroperitoneal mass, percutaneous needleCPT4
- 49185Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretationCPT4
- 49203Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or lessCPT4
- 49204Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameterCPT4
- 49205Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameterCPT4
- 49215Excision of presacral or sacrococcygeal tumorCPT4
- 49250Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)CPT4
- 49255Omentectomy, epiploectomy, resection of omentum (separate procedure)CPT4
- 49320Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)CPT4
- 49321Laparoscopy, surgical; with biopsy (single or multiple)CPT4
- 49322Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)CPT4
- 49323Laparoscopy, surgical; with drainage of lymphocele to peritoneal cavityCPT4
- 49324Laparoscopy, surgical; with insertion of tunneled intraperitoneal catheterCPT4
- 49325Laparoscopy, surgical; with revision of previously placed intraperitoneal cannula or catheter, with removal of intraluminal obstructive material if performedCPT4
- 49326Laparoscopy, surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure)CPT4
- 49327Laparoscopy, surgical; with placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), intra-abdominal, intrapelvic, and/or retroperitoneum, including imaging guidance, if performed, single or multiple (List sepaCPT4
- 49329Unlisted laparoscopy procedure, abdomen, peritoneum and omentumCPT4
- 49400Injection of air or contrast into peritoneal cavity (separate procedure)CPT4
- 49402Removal of peritoneal foreign body from peritoneal cavityCPT4
- 49405Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneousCPT4
- 49406Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneousCPT4
- 49407Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectalCPT4
- 49411Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multipleCPT4
- 49412Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), open, intra-abdominal, intrapelvic, and/or retroperitoneum, including image guidance, if performed, single or multiple (List separately in addition to coCPT4
- 49418Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervCPT4
- 49419Insertion of tunneled intraperitoneal catheter, with subcutaneous port (ie, totally implantable)CPT4
- 49421Insertion of tunneled intraperitoneal catheter for dialysis, openCPT4
- 49422Removal of tunneled intraperitoneal catheterCPT4
- 49423Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)CPT4
- 49424Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)CPT4
- 49425Insertion of peritoneal-venous shuntCPT4
- 49427Injection procedure (eg, contrast media) for evaluation of previously placed peritoneal-venous shuntCPT4
- 49436Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheterCPT4
- 49440Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and reportCPT4
- 49441Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and reportCPT4
- 49446Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and reportCPT4
- 49450Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and reportCPT4
- 49451Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and reportCPT4
- 49452Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and reportCPT4
- 49460Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation anCPT4
- 49465Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and reportCPT4
- 49491Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducibleCPT4
- 49492Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; incarcerated or strangulatedCPT4
- 49495Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducibleCPT4
- 49496Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; incarcerated or strangulatedCPT4
- 49500Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducibleCPT4
- 49501Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulatedCPT4
- 49505Repair initial inguinal hernia, age 5 years or older; reducibleCPT4
- 49507Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulatedCPT4
- 49520Repair recurrent inguinal hernia, any age; reducibleCPT4
- 49521Repair recurrent inguinal hernia, any age; incarcerated or strangulatedCPT4
- 49525Repair inguinal hernia, sliding, any ageCPT4
- 49540Repair lumbar herniaCPT4
- 49550Repair initial femoral hernia, any age; reducibleCPT4
- 49553Repair initial femoral hernia, any age; incarcerated or strangulatedCPT4
- 49555Repair recurrent femoral hernia; reducibleCPT4
- 49557Repair recurrent femoral hernia; incarcerated or strangulatedCPT4
- 49560Repair initial incisional or ventral hernia; reducibleCPT4
- 49561Repair initial incisional or ventral hernia; incarcerated or strangulatedCPT4
- 49565Repair recurrent incisional or ventral hernia; reducibleCPT4
- 49566Repair recurrent incisional or ventral hernia; incarcerated or strangulatedCPT4
- 49568Implantation of mesh or other prosthesis for open incisional or ventral hernia repair or mesh for closure of debridement for necrotizing soft tissue infection (List separately in addition to code for the incisional or ventral hernia repair)CPT4
- 49570Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure)CPT4
- 49572Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulatedCPT4
- 49580Repair umbilical hernia, younger than age 5 years; reducibleCPT4
- 49582Repair umbilical hernia, younger than age 5 years; incarcerated or strangulatedCPT4
- 49585Repair umbilical hernia, age 5 years or older; reducibleCPT4
- 49587Repair umbilical hernia, age 5 years or older; incarcerated or strangulatedCPT4
- 49590Repair spigelian herniaCPT4
- 49600Repair of small omphalocele, with primary closureCPT4
- 49605Repair of large omphalocele or gastroschisis; with or without prosthesisCPT4
- 49606Repair of large omphalocele or gastroschisis; with removal of prosthesis, final reduction and closure, in operating roomCPT4
- 49610Repair of omphalocele (Gross type operation); first stageCPT4
- 49650Laparoscopy, surgical; repair initial inguinal herniaCPT4
- 49651Laparoscopy, surgical; repair recurrent inguinal herniaCPT4
- 49652Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); reducibleCPT4
- 49653Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulatedCPT4
- 49654Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); reducibleCPT4
- 49655Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when performed); incarcerated or strangulatedCPT4
- 49656Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); reducibleCPT4
- 49657Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insertion, when performed); incarcerated or strangulatedCPT4
- 49659Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomyCPT4
- 49900Suture, secondary, of abdominal wall for evisceration or dehiscenceCPT4
- 49904Omental flap, extra-abdominal (eg, for reconstruction of sternal and chest wall defects)CPT4
- 49905Omental flap, intra-abdominal (List separately in addition to code for primary procedure)CPT4
- 49906Free omental flap with microvascular anastomosisCPT4
- 49999Unlisted procedure, abdomen, peritoneum and omentumCPT4