Minor procedures & surgery

Common outpatient procedures — biopsies, joint injections, sutures, colonoscopies. Frequently bundled in ways that cause double-billing.

• 10060Incision and drainage of abscess, simple
• 10061Incision and drainage of abscess, complicated
• 10080Incision and drainage of pilonidal cyst, simple
• 11042Debridement, subcutaneous tissue, first 20 sq cm
• 11043Debridement, muscle/fascia, first 20 sq cm
• 11044Debridement, bone, first 20 sq cm
• 11055Paring/cutting of benign hyperkeratotic lesion, single
• 11056Paring/cutting of benign hyperkeratotic lesion, 2–4 lesions
• 11102Tangential skin biopsy, single
• 11104Punch skin biopsy, single
• 11106Incisional skin biopsy, single
• 11200Removal of skin tags, up to 15
• 11201Removal of skin tags, each additional 10
• 11401Excision of benign skin lesion, trunk/arms/legs, 0.6–1.0 cm
• 11402Excision of benign skin lesion, trunk/arms/legs, 1.1–2.0 cm
• 11403Excision of benign skin lesion, trunk/arms/legs, 2.1–3.0 cm
• 11440Excision of benign skin lesion, face/ears, 0.5 cm or less
• 11442Excision of benign skin lesion, face/ears, 1.1–2.0 cm
• 11602Excision of malignant skin lesion, trunk/arms/legs, 1.1–2.0 cm
• 11606Excision of malignant skin lesion, trunk/arms/legs, >4.0 cm
• 11719Trimming of nondystrophic nails, any number
• 11720Debridement of nails, 1–5
• 11721Debridement of nails, 6+
• 11730Avulsion of nail plate, single
• 11750Excision of nail and nail matrix
• 12001Simple repair of wound (2.5 cm or less)
• 12002Simple repair of superficial wounds, 2.6–7.5 cm
• 12011Simple repair of face/scalp wounds, ≤2.5 cm
• 12031Intermediate repair of trunk wounds, ≤2.5 cm
• 12032Intermediate repair of trunk wounds, 2.6–7.5 cm
• 12051Intermediate repair of face wounds, ≤2.5 cm
• 13100Complex repair of trunk wounds, 1.1–2.5 cm
• 13132Complex repair of face/cheek, 2.6–7.5 cm
• 17000Destruction of premalignant lesion, first
• 17003Destruction of premalignant lesion, 2–14 additional
• 17110Destruction of benign lesion, up to 14
• 17111Destruction of benign lesion, 15+
• 17260Destruction of malignant lesion, trunk, 0.5 cm or less
• 20526Carpal tunnel injection
• 20550Injection of tendon sheath or ligament
• 20551Injection of tendon origin/insertion
• 20552Trigger point injection, 1–2 muscles
• 20553Trigger point injection, 3+ muscles
• 20600Arthrocentesis, small joint
• 20605Arthrocentesis, intermediate joint (wrist/elbow/ankle)
• 20610Joint injection, major joint (knee, hip, shoulder)
• 20611Arthrocentesis, major joint with ultrasound guidance
• 27130Total hip arthroplasty
• 27447Total knee arthroplasty
• 29826Shoulder arthroscopy with decompression
• 29827Shoulder arthroscopy with rotator cuff repair
• 29881Knee arthroscopy with meniscectomy
• 29888Knee arthroscopy with ACL reconstruction
• 31231Nasal endoscopy, diagnostic
• 31237Nasal/sinus endoscopy with biopsy or polypectomy
• 31575Laryngoscopy, flexible, diagnostic
• 33533Coronary artery bypass, single arterial graft
• 36556Central venous catheter placement, ≥5 years old
• 36558Tunneled central venous catheter, age ≥5
• 36561Port placement, age ≥5
• 36569PICC line placement, age ≥5
• 36620Arterial line placement
• 43235Upper endoscopy (EGD), diagnostic
• 43239Upper endoscopy with biopsy
• 43249Upper endoscopy with balloon dilation
• 43450Esophageal dilation, by unguided sound or bougie
• 45378Colonoscopy, diagnostic
• 45380Colonoscopy with biopsy
• 45381Colonoscopy with submucosal injection
• 45384Colonoscopy with hot biopsy polyp removal
• 45385Colonoscopy with snare polyp removal
• 45390Colonoscopy with endoscopic mucosal resection
• 47562Laparoscopic cholecystectomy
• 47563Laparoscopic cholecystectomy with cholangiography
• 49505Repair of inguinal hernia, age 5+
• 49585Repair of umbilical hernia, age 5+
• 49650Laparoscopic repair of inguinal hernia, initial
• 52000Cystoscopy, diagnostic
• 52234Cystoscopy with bladder tumor fulguration, small
• 55700Biopsy of prostate, needle, any approach
• 57452Colposcopy of cervix, diagnostic
• 57454Colposcopy with biopsy and endocervical curettage
• 58100Endometrial biopsy
• 58150Total abdominal hysterectomy
• 58300Insertion of intrauterine device (IUD)
• 58301Removal of intrauterine device (IUD)
• 58558Hysteroscopy with biopsy or polypectomy
• 58661Laparoscopic removal of fallopian tubes and/or ovaries
• 59025Fetal non-stress test
• 59400Routine OB care including antepartum, vaginal delivery, postpartum
• 59409Vaginal delivery only
• 59410Vaginal delivery with postpartum care
• 59510Routine OB care including antepartum, cesarean delivery, postpartum
• 59514Cesarean delivery only
• 59515Cesarean delivery with postpartum care
• 59812Treatment of incomplete abortion, any trimester, surgical
• 62321Cervical/thoracic epidural injection with imaging guidance
• 62322Lumbar epidural injection without imaging
• 62323Lumbar epidural injection with imaging guidance
• 63030Lumbar laminectomy/discectomy, single level
• 64483Lumbar transforaminal epidural injection, single level
• 64484Lumbar transforaminal epidural injection, each additional level
• 64490Cervical/thoracic facet joint injection, single level
• 64493Lumbar facet joint injection, single level
• 64494Lumbar facet joint injection, second level
• 64495Lumbar facet joint injection, third level
• 64633Radiofrequency ablation, facet joint, cervical/thoracic
• 64635Radiofrequency ablation, facet joint, lumbar/sacral
• 65855Trabeculoplasty by laser surgery
• 66821Discission of secondary membranous cataract (YAG laser)
• 66984Cataract surgery with IOL implant, single stage
• 67028Intravitreal injection of pharmacologic agent
• 67210Destruction of retinal lesion, photocoagulation
• 92920Percutaneous coronary intervention (PCI), single vessel
• 92928Percutaneous coronary intervention with stent, single vessel
• 92950Cardiopulmonary resuscitation (CPR)
• 93000EKG, complete (tracing + interpretation + report)
• 93005EKG, tracing only
• 93010EKG, interpretation and report only
• 94010Spirometry (pulmonary function test)
• 94060Spirometry with bronchodilator
• 94375Respiratory flow-volume loop
• 94640Inhalation treatment for airway obstruction (nebulizer)
• 94660Continuous positive airway pressure (CPAP) initiation
• 94760Pulse oximetry, single
• 94761Pulse oximetry, multiple
• 95004Allergy skin test, percutaneous, each test
• 95044Patch or application test, each
• 95115Allergen immunotherapy, single injection
• 95117Allergen immunotherapy, two or more injections
• 95810Polysomnography (sleep study), ages 6+, 4+ parameters
• 95811Polysomnography with CPAP titration
• 96360IV hydration, initial 31 min–1 hour
• 96361IV hydration, each additional hour
• 96365IV infusion of drug, initial 1 hour
• 96366IV infusion of drug, each additional hour
• 96367IV infusion, additional sequential drug, up to 1 hour
• 96372Therapeutic injection, subcutaneous or intramuscular
• 96374IV push injection of single drug, initial
• 96375IV push injection, each additional drug
• 96413Chemotherapy IV infusion, initial 1 hour
• 96415Chemotherapy IV infusion, each additional hour
• 97010Hot or cold packs (PT modality)
• 97012Mechanical traction (PT modality)
• 97014Electrical stimulation, unattended (PT modality)
• 97032Electrical stimulation, manual, each 15 minutes
• 97035Ultrasound therapy, each 15 minutes
• 97110Therapeutic exercises, each 15 minutes
• 97112Neuromuscular re-education, each 15 minutes
• 97116Gait training, each 15 minutes
• 97140Manual therapy techniques, each 15 minutes
• 97530Therapeutic activities, each 15 minutes
• 97535Self-care/home management training, each 15 minutes
• 98940Chiropractic manipulation, 1–2 spinal regions
• 98941Chiropractic manipulation, 3–4 spinal regions
• 98942Chiropractic manipulation, 5 spinal regions
• G0121Screening colonoscopy, average-risk patient
• G0277Hyperbaric oxygen therapy, each 30-minute interval