Outpatient Surgical Procedures CPT
retiredURL
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1195.239Copied!
Version20190125Copied!
PublisherNJII StewardDate2019-01-25T01:00:10-05:00Purpose(Clinical Focus: Denominator criteria for Outpatient procedures performed in free-standing ambulatory surgery centers AETNA600 measure.),(Data Element Scope: CPT codes.),(Inclusion Criteria: As defined in measure AETNA600),(Exclusion Criteria: As defined in measure AETNA600)
Expansion
| Code | Display | System |
|---|---|---|
| 26055 | http://www.ama-assn.org/go/cpt | |
| 45380 | http://www.ama-assn.org/go/cpt | |
| 43249 | http://www.ama-assn.org/go/cpt | |
| 19342 | http://www.ama-assn.org/go/cpt | |
| 66984 | http://www.ama-assn.org/go/cpt | |
| 27650 | http://www.ama-assn.org/go/cpt | |
| 42826 | http://www.ama-assn.org/go/cpt | |
| 29880 | http://www.ama-assn.org/go/cpt | |
| 43239 | http://www.ama-assn.org/go/cpt | |
| 64721 | http://www.ama-assn.org/go/cpt | |
| 69631 | http://www.ama-assn.org/go/cpt | |
| 30520 | http://www.ama-assn.org/go/cpt | |
| 29877 | http://www.ama-assn.org/go/cpt | |
| 42821 | http://www.ama-assn.org/go/cpt | |
| 29826 | http://www.ama-assn.org/go/cpt | |
| 46260 | http://www.ama-assn.org/go/cpt | |
| 27792 | http://www.ama-assn.org/go/cpt | |
| 45384 | http://www.ama-assn.org/go/cpt | |
| 29807 | http://www.ama-assn.org/go/cpt | |
| 45378 | http://www.ama-assn.org/go/cpt |
systemhttp://www.ama-assn.org/go/cpt
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"display" : "Excision of pilonidal cyst or sinus; extensive",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
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"system" : "http://www.ama-assn.org/go/cpt",
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"display" : "Breast reduction",
"version" : "2024"
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"display" : "Insertion or replacement of breast implant on separate day from mastectomy",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
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"display" : "Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "23412",
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"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "23515",
"display" : "Open treatment of clavicular fracture, includes internal fixation, when performed",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "25111",
"display" : "Excision of ganglion, wrist (dorsal or volar); primary",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "25609",
"display" : "Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "26055",
"display" : "Tendon sheath incision (eg, for trigger finger)",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "26160",
"display" : "Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "27570",
"display" : "Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "27650",
"display" : "Repair, primary, open or percutaneous, ruptured Achilles tendon",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "27792",
"display" : "Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "28285",
"display" : "Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "28289",
"display" : "Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "28296",
"display" : "Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29807",
"display" : "Arthroscopy, shoulder, surgical; repair of SLAP lesion",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29822",
"display" : "Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29823",
"display" : "Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29824",
"display" : "Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29826",
"display" : "Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29827",
"display" : "Arthroscopy, shoulder, surgical; with rotator cuff repair",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29848",
"display" : "Endoscopy, wrist, surgical, with release of transverse carpal ligament",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29875",
"display" : "Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29876",
"display" : "Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29877",
"display" : "Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29879",
"display" : "Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29880",
"display" : "Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",
"version" : "2024"
}, {
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"code" : "29881",
"display" : "Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "29888",
"display" : "Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "30140",
"display" : "Submucous resection inferior turbinate, partial or complete, any method",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "30520",
"display" : "Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "31541",
"display" : "Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "38510",
"display" : "Biopsy or excision of lymph node(s); open, deep cervical node(s)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "42820",
"display" : "Tonsillectomy and adenoidectomy; younger than age 12",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "42821",
"display" : "Tonsillectomy and adenoidectomy; age 12 or over",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "42826",
"display" : "Tonsillectomy, primary or secondary; age 12 or over",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "42830",
"display" : "Adenoidectomy, primary; younger than age 12",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "43235",
"display" : "Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "43239",
"display" : "Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "43248",
"display" : "Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "43249",
"display" : "Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "45331",
"display" : "Sigmoidoscopy, flexible; with biopsy, single or multiple",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "45378",
"display" : "Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "45380",
"display" : "Colonoscopy, flexible; with biopsy, single or multiple",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "45384",
"display" : "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "45385",
"display" : "Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "46260",
"display" : "Hemorrhoidectomy, internal and external, 2 or more columns/groups",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "49505",
"display" : "Repair initial inguinal hernia, age 5 years or older; reducible",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "49650",
"display" : "Laparoscopy, surgical; repair initial inguinal hernia",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "50590",
"display" : "Lithotripsy, extracorporeal shock wave",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "52005",
"display" : "Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "52204",
"display" : "Cystourethroscopy, with biopsy(s)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "52351",
"display" : "Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "54161",
"display" : "Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "55040",
"display" : "Excision of hydrocele; unilateral",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "58561",
"display" : "Hysteroscopy, surgical; with removal of leiomyomata",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "58670",
"display" : "Laparoscopy, surgical; with fulguration of oviducts (with or without transection)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "64479",
"display" : "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "64483",
"display" : "Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "64494",
"display" : "Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "64636",
"display" : "Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "64718",
"display" : "Neuroplasty and/or transposition; ulnar nerve at elbow",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "64721",
"display" : "Neuroplasty and/or transposition; median nerve at carpal tunnel",
"version" : "2024"
}, {
"system" : "http://www.ama-assn.org/go/cpt",
"code" : "66982",
"display" : "Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in routine cataract surgery (eg, iris expansion device, suture support for intraocular lens, or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation",
"version" : "2024"
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"code" : "66984",
"display" : "Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "67108",
"display" : "Repair of retinal detachment; with vitrectomy, any method, including, when performed, air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "67113",
"display" : "Repair of complex retinal detachment (eg, proliferative vitreoretinopathy, stage C-1 or greater, diabetic traction retinal detachment, retinopathy of prematurity, retinal tear of greater than 90 degrees), with vitrectomy and membrane peeling, including, when performed, air, gas, or silicone oil tamponade, cryotherapy, endolaser photocoagulation, drainage of subretinal fluid, scleral buckling, and/or removal of lens",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "67311",
"display" : "Strabismus surgery, recession or resection procedure; 1 horizontal muscle",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "69436",
"display" : "Tympanostomy (requiring insertion of ventilating tube), general anesthesia",
"version" : "2024"
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"system" : "http://www.ama-assn.org/go/cpt",
"code" : "69631",
"display" : "Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision; without ossicular chain reconstruction",
"version" : "2024"
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}| Title | Version | Status | Publisher | Date |
|---|---|---|---|---|
| Outpatient Surgical Procedures CPT | 20190125 | active | NJII Steward | - |
| Outpatient Surgical Procedures CPT | 20190125 | active | NJII Steward | - |