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