2014 CPT Codes Anesthesia & Surgery

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2014 CPT Codes – Anesthesia & SurgeryANESTHESIACategoryCode RangeNewDeletedRevisedTotal01000 - 019990000CategoryCode RangeNewDeletedRevisedTotalSURGERY10021 - 69990723772181Integumentary System10021 -19499156021Musculoskeletal System20000 - 29999322631Respiratory System30000 - 329990101Cardiovascular System33010 - 37799186226Hemic and Lymphatic Systems38100 - 389990000Digestive System40490 - 4999926184185Urinary System50010 - 538991102Maternity Care/Delivery59000 - 599990101Nervous System61000 - 6997992314ANESTHESIASURGERYIntegumentary SystemNew CodesThere are new bundled codes to describe breast biopsy procedures that include imaging guidance as well asplacement of one or more localization device(s) and imaging of the specimen when performed. Codes were alsocreated to report the placement of clips and other breast localization devices without biopsy or during aspirationprocedures. These codes have replaced the breast surgery codes in the “deleted” section. 10030 - Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele,cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous19081 - Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), whenperformed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, includingstereotactic guidance19082 - Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), whenperformed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion,including stereotactic guidance (List separately in addition to code for primary procedure)19083 - Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), whenperformed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, includingultrasound guidanceAdvantEdge Healthcare Solutionsahsrcm.com 877 501 1611

19084 - ; each additional lesion, including ultrasound guidance (List separately in addition to code forprimary procedure)19085 - Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), whenperformed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, includingmagnetic resonance guidance19086 -; each additional lesion, including magnetic resonance guidance (List separately in addition to codefor primary procedure)19281 - Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactiveseeds), percutaneous; first lesion, including mammographic guidance19282 -; each additional lesion, including mammographic guidance (List separately in addition to code forprimary procedure)19283 - Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactiveseeds), percutaneous; first lesion, including stereotactic guidance19284 - ; each additional lesion, including stereotactic guidance (List separately in addition to code forprimary procedure)19285 - Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactiveseeds), percutaneous; first lesion, including ultrasound guidance19286 - ; each additional lesion, including ultrasound guidance (List separately in addition to code forprimary procedure)19287 - Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds),percutaneous; first lesion, including magnetic resonance guidance19288 - ; each additional lesion, including magnetic resonance guidance (List separately in addition tocode for primary procedure)Deleted Codes 13150 - Repair, complex, eyelids, nose, ears and/or lips; 1.0 cm or less19102 - Biopsy of breast; percutaneous, needle core, using imaging guidance19103 - Biopsy of breast; percutaneous, automated vacuum assisted or rotating biopsy device, usingimaging guidance19290 - Preoperative placement of needle localization wire, breast;19291 - Preoperative placement of needle localization wire, breast; each additional lesion (List separatelyin addition to code for primary procedure)19295 - Image guided placement, metallic localization clip, percutaneous, during breast biopsy/aspiration(List separately in addition to code for primary procedure)AdvantEdge Healthcare Solutionsahsrcm.com 877 501 1611

Musculoskeletal SystemNew Codes 23333 - Removal of foreign body, shoulder; deep (subfascial or intramuscular) – replaces 2333123334 - Removal of prosthesis, includes debridement and synovectomy when performed; humeral orglenoid component – Replaces 23331, 2333323335 - Removal of prosthesis, includes debridement and synovectomy when performed; humeral andglenoid components (eg, total shoulder)Deleted Codes 23331 - Removal of foreign body, shoulder; deep (eg, Neer hemiarthroplasty removal) – Replaced by newcode 2333323332 - Removal of foreign body, shoulder; complicated (eg, total shoulder) – Replaced by codes 23330 &23333Revised Codes 21015 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of face or scalp; lessthan 2 cm21016 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of face or scalp; 2 cm orgreater21557 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of neck or anteriorthorax; less than 5 cm21558 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of neck or anteriorthorax; 5 cm or greater21935 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of back or flank; lessthan 5 cm21936 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of back or flank; 5 cm orgreater22904 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of abdominal wall; lessthan 5 cm22905 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of abdominal wall; 5 cmor greater23077 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of shoulder area; lessthan 5 cm23078 - Radical resection of tumor (eg malignant neoplasm sarcoma), soft tissue of shoulder area; 5 cmor greater24077 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of upper arm or elbowarea; less than 5 cm24079 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of upper arm or elbowarea; 5 cm or greater24160 - Implant removal; elbow joint Removal of prosthesis, includes debridement and synovectomy whenperformed; humeral and ulnar components24164 - Implant removal; radial head Removal of prosthesis, includes debridement and synovectomy whenperformed; radial head25077 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of forearm and/or wristarea; less than 3 cm25078 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of forearm and/or wristarea; 3 cm or greaterAdvantEdge Healthcare Solutionsahsrcm.com 877 501 1611

26117 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of hand or finger; lessthan 3 cm26118 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of hand or finger; 3 cmor greater27049 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of pelvis and hip area;less than 5 cm27059 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of pelvis and hip area; 5cm or greater27329 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of thigh or knee area;less than 5 cm27364 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of thigh or knee area; 5cm or greater27615 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of leg or ankle area; lessthan 5 cm27616 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of leg or ankle area; 5cm or greater28046 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of foot or toe; less than3 cm28047 - Radical resection of tumor (eg, malignant neoplasm sarcoma), soft tissue of foot or toe; 3 cm orgreaterRespiratory SystemThere are no new or revised codes.Deleted Codes 32201 - Pneumonostomy; with percutaneous drainage of abscess or cystCardiovascular SystemNew Codes 33366 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure(eg, left thoracotomy)34841 - Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetratingulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aorticendograft and all associated radiological supervision and interpretation, including target zone angioplasty,when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renalartery)34842 - ; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34843 - ; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renalartery[s])34844 - ; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renalartery[s])AdvantEdge Healthcare Solutionsahsrcm.com 877 501 1611

34845 - Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm,pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with afenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft andall associated radiological supervision and interpretation, including target zone angioplasty, whenperformed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery)34846 - ; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])34847 - ; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renalartery[s])34848 - ; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renalartery[s])37217 - Transcatheter placement of an intravascular stent(s), intrathoracic common carotid artery orinnominate artery by retrograde treatment, via open ipsilateral cervical carotid artery exposure, includingangioplasty, when performed, and radiological supervision and interpretation37236 - Transcatheter placement of an intravascular stent(s) (except lower extremity, cervical carotid,extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, includingradiological supervision and interpretation and including all angioplasty within the same vessel, whenperformed; initial artery37237 - ; each additional artery (List separately in addition to code for primary procedure)37238 - ; initial vein37239 - ; each additional vein (List separately in addition to code for primary procedure)37241 - Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation,intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous,other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillaryhemangiomas, varices, varicoceles)37242 - ; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations,arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)37243 - ; for tumors, organ ischemia, or infarction37244 - ; for arterial or venous hemorrhage or lymphatic extravasationDeleted Codes 37204 - Transcatheter occlusion or embolization (eg, for tumor destruction, to achieve hemostasis, toocclude a vascular malformation), percutaneous, any method, non-central nervous system, non-head orneck (replaced with new codes 37241 – 37244)37205 - Transcatheter placement of an intravascular stent(s) (except coronary, carotid, vertebral, iliac,and lower extremity arteries), percutaneous; initial vessel (replaced with new codes 37236, 37238)37206 - ; each additional vessel (List separately in addition to code for primary procedure) (replaced with37237, 37239)37207 - Transcatheter placement of an intravascular stent(s) (except coronary, carotid, vertebral, iliacand lower extremity arteries), open; initial vessel (replaced with 37236, 37238)37208 - ; each additional vessel (List separately in addition to code for primary procedure) (replaced with37237, 37239)37210 - Uterine fibroid embolization (UFE, embolization of the uterine arteries to treat uterine fibroids,leiomyomata), percutaneous approach inclusive of vascular access, vessel selection, embolization, and allradiological supervision and interpretation, intraprocedural roadmapping, and imaging guidancenecessary to complete the procedure (replaced with 37243)AdvantEdge Healthcare Solutionsahsrcm.com 877 501 1611

Revised Codes 33222 - Revision or Relocation of skin pocket for pacemaker33223 - Revision of Relocation of skin pocket for cardioverter-defibrillator -Hemic and Lymphatic SystemsThere are no new, deleted or revised codesDigestive SystemNew Codes 43191 - Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing orwashing when performed (separate procedure)43192 - Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance43193 - Esophagoscopy, rigid, transoral; with biopsy, single or multiple43194 - Esophagoscopy, rigid, transoral; with removal of foreign body43195 - Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter)43196 - Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire43197 - Esophagoscopy, flexible, transnasal; diagnostic, includes collection of specimen(s) by brushing orwashing when performed (separate procedure)43198 - Esophagoscopy, flexible, transnasal; with biopsy, single or multiple43211 - Esophagoscopy, flexible, transoral; with endoscopic mucosal resection43212 - Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and postdilation and guide wire passage, when performed)43213 - Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde(includes fluoroscopic guidance, when performed)43214 - Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter orlarger) (includes fluoroscopic guidance, when performed)43229 - Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includespre- and post-dilation and guide wire passage, when performed)43233 - Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30mm diameter or larger) (includes fluoroscopic guidance, when performed)43253 - Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guidedtransmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducialmarker(s) (includes endoscopic ultrasound examination of43254 - Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection43266 - Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includespre- and post-dilation and guide wire passage, when performed)43270 - Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or otherlesion(s) (includes pre- and post-dilation and guide wire passage, when performed)43274 - Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stentinto biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed,including sphincterotomy, when performed, each stent43275 - Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) orstent(s) from biliary/pancreatic duct(s)43276 - Endoscopic 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 exchangeAdvantEdge Healthcare Solutionsahsrcm.com 877 501 1611

43277 - Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilationof biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed,each duct43278 - Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), orother lesion(s), including pre- and post-dilation and guide wire passage, when performed49405 - Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele,cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous49406 - Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele,cyst); peritoneal or retroperitoneal, percutaneous49407 - Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele,cyst); peritoneal or retroperitoneal, transvaginal or transrectalDeleted Codes 42802 - Biopsy; hypopharynx (replaced by 31510, 31535, 31536, 31576)43219 - Esophagoscopy, rigid or flexible; with insertion of plastic tube or stent (replaced with new code43212)43228 - Esophagoscopy, rigid or flexible; with ablation of tumor(s), polyp(s), or other lesion(s), notamenable to removal by hot biopsy forceps, bipolar cautery or snare technique (replaced with new code43229)43256 - Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenumand/or jejunum as appropriate; with transendoscopic stent placement (includes predilation) (replacedwith new code 43266)43258 - Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenumand/or jejunum as appropriate; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable toremoval by hot biopsy forceps, bipolar cautery or snare technique (replaced with new code 43270)43267 - Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion ofnasobiliary or nasopancreatic drainage tube (replaced with new code 43274)43268 - Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde insertion oftube or stent into bile or pancreatic duct (replaced with new code 43274)43269 - Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde removal offoreign body and/or change of tube or stent (replaced with new code 43275, 43276)43271 - Endoscopic retrograde cholangiopancreatography (ERCP); with endoscopic retrograde balloondilation of ampulla, biliary and/or pancreatic duct(s) (replaced with new code 43277)43272 - Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), orother lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique(replaced with new code 43278)43456 - Dilation of esophagus, by balloon or dilator, retrograde (replaced with new code 43213)43458 - Dilation of esophagus with balloon (30 mm diameter or larger) for achalasia (replaced with newcodes 43214, 43233)44901 - Incision and drainage of appendiceal abscess; percutaneous47011 - Hepatotomy; for percutaneous drainage of abscess or cyst, 1 or 2 stages48511 - External drainage, pseudocyst of pancreas; percutaneous49021 - Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess;percutaneous49041 - Drainage of subdiaphragmatic or subphrenic abscess; percutaneous49061 - Drainage of retroperitoneal abscess; percutaneousAdvantEdge Healthcare Solutionsahsrcm.com 877 501 1611

Revised Codes 43200 - Esophagoscopy, rigid or flexible transoral; diagnostic, with or without including collection ofspecimen(s) by brushing or washing, when performed (separate procedure)43201 - Esophagoscopy, rigid or flexible transoral; with directed submucosal injection(s), any s

2014 CPT Codes – Anesthesia & Surgery ANESTHESIA Category Code Range New Deleted Revised Total ANESTHESIA 01000 - 01999 0 0 0 0 SURGERY Category Code Range New Deleted Revised Total SURGERY 10021 - 69990 72 37 72 181 Integumentary System 10021 -19499 15 6 0 21 Musculoskeletal System 20000 - 29999 3 2 26 31 .

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