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|---|---|---|---|---|---|---|---|---|---|---|---|
417220002 | 41722-00-02 | Closure of oro-antral fistula bilateral | Closure of oro-antral fistula, bilateral | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | Plastic closure of oro-antral fistula | null | null | null |
417220011 | 41722-00-11 | Sinus perforation repair unilateral | Sinus perforation repair, unilateral | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | Grafting of the maxillary sinus | null | null | Excludes closure of oro-antral fistula (see 41722-00-01 and 41722-00-02) |
417220012 | 41722-00-12 | Sinus perforation repair bilateral | Sinus perforation repair, bilateral | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | Grafting of the maxillary sinus | null | null | null |
458490000 | 45849-00-00 | Bone graft to maxillary sinus | Bone graft to maxillary sinus | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | null | Sinus Lift Procedure | null | null |
458490010 | 45849-00-10 | Sinus augmentation via lateral approach | Sinus augmentation via lateral approach | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | Sinus lift procedure | null | null | null |
458490020 | 45849-00-20 | Sinus augmentation via vertical approach | Sinus augmentation via vertical approach | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | Sinus lift procedure | null | null | null |
458490030 | 45849-00-30 | Sinus augmentation via crestal approach | Sinus augmentation via crestal approach | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | Sinus lift procedure | null | null | null |
417340000 | 41734-00-00 | Radical ethmoidectomy osteoplastic flap | Radical ethmoidectomy with osteoplastic flap | 5 | Procedures on nose, mouth and pharynx | 388 | Other repair procedures on nasal sinuses | Removes infected tissue and bone in the ethmoid sinuses that blocks natural drainage | null | null | null |
417160400 | 41716-04-00 | Other intranasal proc maxillary antrum | Other intranasal procedures maxillary antrum | 5 | Procedures on nose, mouth and pharynx | 389 | Other procedures on nasal sinuses | Specified intranasal procedures maxillary antrum | null | null | null |
417370000 | 41737-00-00 | Other intranasal proc on frontal sinus | Other intranasal procedures on frontal sinus | 5 | Procedures on nose, mouth and pharynx | 389 | Other procedures on nasal sinuses | Specified intranasal procedures on frontal sinus | null | null | null |
417370100 | 41737-01-00 | Other intranasal proc on ethmoidal sinus | Other intranasal procedures on ethmoidal sinus | 5 | Procedures on nose, mouth and pharynx | 389 | Other procedures on nasal sinuses | Specified intranasal procedures on ethmoidal sinus | null | null | null |
417490000 | 41749-00-00 | External procedure on ethmoidal sinus | External procedure on ethmoidal sinus | 5 | Procedures on nose, mouth and pharynx | 389 | Other procedures on nasal sinuses | Removes infected tissue and bone in the ethmoid sinuses that blocks natural drainage | null | null | null |
417520000 | 41752-00-00 | Other intranasal proc sphenoidal sinus | Other intranasal procedures on sphenoidal sinus | 5 | Procedures on nose, mouth and pharynx | 389 | Other procedures on nasal sinuses | Specified intranasal procedures on sphenoidal sinus | null | null | null |
302780100 | 30278-01-00 | Lysis of adhesions of tongue | Lysis of adhesions of tongue | 5 | Procedures on nose, mouth and pharynx | 390 | Incision procedures on tongue | Prevent the tongue from falling back into the baby's throat | null | null | null |
302780200 | 30278-02-00 | Lingual fraenotomy | Lingual fraenotomy | 5 | Procedures on nose, mouth and pharynx | 390 | Incision procedures on tongue | The removal of a band of tissue (the lingual frenulum) connecting the underside of the tongue with the floor of the mouth | null | Labial Frenotomy
(30281-00-00 [401]) | null |
901340000 | 90134-00-00 | Destruction of lesion of tongue | Destruction of lesion of tongue | 5 | Procedures on nose, mouth and pharynx | 391 | Destruction procedures on tongue | Destruction of lesion of tongue by knife or laser | null | null | null |
300751900 | 30075-19-00 | Biopsy of tongue | Biopsy of tongue | 5 | Procedures on nose, mouth and pharynx | 392 | Excision procedures on tongue | A procedure in which a sample of the tongue tissue is removed (with a needle or during surgery) for examination under a microscope. | null | null | null |
302720000 | 30272-00-00 | Partial excision of tongue | Partial excision of tongue | 5 | Procedures on nose, mouth and pharynx | 392 | Excision procedures on tongue | null | Partial Glossectomy | That for Size Reduction (45675-01-00 [1665])
That with Partial Pharyngectomy (41785-00-00 [420])
| null |
302780000 | 30278-00-00 | Lingual fraenectomy | Lingual fraenectomy | 5 | Procedures on nose, mouth and pharynx | 392 | Excision procedures on tongue | null | Repair | Labial Fraenectomy (30281-01-00 [404]) | null |
417790100 | 41779-01-00 | Total excision of tongue | Total excision of tongue | 5 | Procedures on nose, mouth and pharynx | 392 | Excision procedures on tongue | null | Total Glossectomy | That with Partial Pharyngectomy (41785-01-00 [420]) | null |
901350000 | 90135-00-00 | Excision of lesion of tongue | Excision of lesion of tongue | 5 | Procedures on nose, mouth and pharynx | 392 | Excision procedures on tongue | Excision of lesion of tongue by knife or laser | null | null | null |
901360010 | 90136-00-10 | Lingual frenuloplasty | Lingual frenuloplasty | 5 | Procedures on nose, mouth and pharynx | 393 | Repair procedures on tongue | Surgical removal of the frenulum. | null | null | null |
901360000 | 90136-00-00 | Other repair of tongue | Other repair of tongue | 5 | Procedures on nose, mouth and pharynx | 393 | Repair procedures on tongue | Specified repair of tongue | null | null | null |
901370000 | 90137-00-00 | Other proc on tongue | Other procedures on tongue | 5 | Procedures on nose, mouth and pharynx | 394 | Other procedures on tongue | Specified procedures on tongue | null | null | null |
302660210 | 30266-02-10 | Sialolithotomy proc/non srgcal | Sialolithotomy procedure / non surgical | 5 | Procedures on nose, mouth and pharynx | 395 | Incision procedures on salivary gland or duct | Non-surgical removal of a stone within a salivary gland or its duct | null | null | null |
302660000 | 30266-00-00 | Incision of salivary gland or duct | Incision of salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 395 | Incision procedures on salivary gland or duct | null | Meatotomy of Salivary Gland or Duct | That for Removal of Calculus (30266-02-00 [395]) | null |
302660100 | 30266-01-00 | Marsupialisation cyst salivary gland/dct | Marsupialisation of cyst of salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 395 | Incision procedures on salivary gland or duct | Cutting a slit into an abscess or cyst and suturing the edges of the slit to form a
continuous surface from the exterior surface to the interior surface of
the cyst or abscess | null | null | null |
302660200 | 30266-02-00 | R/O calculus salivary gland / duct | Removal of calculus from salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 395 | Incision procedures on salivary gland or duct | Surgical procedure by which a stone within a salivary gland or its duct is removed, either intraorally or extraorally | Removal of Calculus by:
• Incision
• Probing
-Sialolithotomy procedure, surgical | null | null |
302620100 | 30262-01-00 | Diathermy salivary gland or duct | Diathermy of salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 396 | Destruction procedures on salivary gland or duct | null | Destruction of Salivary Gland or Duct Lesion by Diathermy | null | |
300752200 | 30075-22-00 | Biopsy of salivary gland or duct | Biopsy of salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | A procedure in which a sample of salivary gland or duct tissue is removed (with a needle or during surgery) for examination under a microscope. | null | null | null |
300940900 | 30094-09-00 | Perc needle Bx salivary gland or duct | Percutaneous needle biopsy of salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | Procedure done to collect cells or a tissue sample for testing | null | null | null |
302470000 | 30247-00-00 | Total excision of parotid gland | Total excision of parotid gland | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | null | Total Parotidectomy | null | null |
302500000 | 30250-00-00 | Tot exc parotid gland preserve fac nrv | Total excision of parotid gland with preservation of facial nerve | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | null | Total Parotidectomy with Preservation of Facial Nerve | null | null |
302530000 | 30253-00-00 | Partial excision of parotid gland | Partial excision of parotid gland | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | null | Exposure of Facial Nerve
| null | null |
302550000 | 30255-00-00 | R/O submandibular ducts | Removal of submandibular ducts | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | null | Diversion of Submandibular Ducts
Relocation | null |
Performed for control of drooling
|
302560000 | 30256-00-00 | Excision of submandibular gland | Excision of submandibular gland | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | Procedure to remove one or both of the salivary glands under the jaw (mandible) | null | null | null |
302590000 | 30259-00-00 | Excision of sublingual gland | Excision of sublingual gland | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | The operation involves making a cut underneath the tongue on the inside of the lower teeth | null | null | null |
901380000 | 90138-00-00 | Excision of lesion of salivary gland | Excision of lesion of salivary gland | 5 | Procedures on nose, mouth and pharynx | 397 | Excision procedures on salivary gland or duct | Procedure to remove one or both of the salivary glands under the jaw (mandible) | null | null | null |
901390000 | 90139-00-00 | Other repr salivary gland/duct | Other repair of salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 398 | Repair procedures on salivary gland or duct | Specified repair of salivary gland or duct | null | null | null |
901390010 | 90139-00-10 | Sialodochoplasty | Sialodochoplasty | 5 | Procedures on nose, mouth and pharynx | 398 | Repair procedures on salivary gland or duct | Effective procedure in the treatment of salivary-duct strictures | null | null | null |
302620000 | 30262-00-00 | Dilation of salivary gland or duct | Dilation of salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 398 | Repair procedures on salivary gland or duct | null | Probing | That for Removal of Calculus (30266-02-00 [395]) | null |
302690000 | 30269-00-00 | Repair fistula of salivary gland or duct | Repair of fistula of salivary gland or duct (salivary fistulectomy) | 5 | Procedures on nose, mouth and pharynx | 398 | Repair procedures on salivary gland or duct | null | Salivary Fistulectomy | null | null |
419100000 | 41910-00-00 | Transposition duct major salivary gland | Transposition of duct of major salivary gland | 5 | Procedures on nose, mouth and pharynx | 398 | Repair procedures on salivary gland or duct | null | Parotid Gland
Sublingual
Submandibular
| null | null |
521480000 | 52148-00-00 | Microsurgical repair of parotid duct | Microsurgical repair of parotid duct | 5 | Procedures on nose, mouth and pharynx | 398 | Repair procedures on salivary gland or duct | Repair of a silastic stent with interrupted sutures using loupe or microscopic magnification | null | null | null |
183600201 | 18360-02-01 | Admin agent into salivary gland uni | Administration of agent into salivary gland, unilateral | 5 | Procedures on nose, mouth and pharynx | 399 | Other procedures on salivary gland or duct | null | Botulinum toxin | null | null |
183600202 | 18360-02-02 | Admin agent into salivary gland bil | Administration of agent into salivary gland, bilateral | 5 | Procedures on nose, mouth and pharynx | 399 | Other procedures on salivary gland or duct | null | Botulinum toxin | null | null |
901400000 | 90140-00-00 | Other proc on salivary gland/duct | Other procedures on salivary gland or duct | 5 | Procedures on nose, mouth and pharynx | 399 | Other procedures on salivary gland or duct | Specified procedures on salivary gland or duct | null | null | null |
901400010 | 90140-00-10 | Endoscopy of salivary gland | Endoscopy of salivary gland | 5 | Procedures on nose, mouth and pharynx | 399 | Other procedures on salivary gland or duct | Minimally invasive procedure to diagnose and treat salivary gland disorders
including stones, strictures, chronic inflammation and other problems
affecting the major salivary glands | null | null | null |
458450010 | 45845-00-10 | Intraoral OI dental implant first stg | Insertion of intraoral osseointegrated dental implant; first stage | 5 | Procedures on nose, mouth and pharynx | 400 | Application, insertion or removal procedures on mouth, palate or uvula | First stage of two stage endosseous biocompatible implant into bone of maxilla or mandible. | null | one stage endosseous biocompatible implant into bone of maxilla or mandible (see 45846-00-00) | null |
458460000 | 45846-00-00 | Insert one-stage endosseous implant | Insertion of one-stage endosseous implant; per implant | 5 | Procedures on nose, mouth and pharynx | 400 | Application, insertion or removal procedures on mouth, palate or uvula | One stage endosseous biocompatible implant into bone of maxilla or mandible. Implantation of titanium fixture | null | first stage of two stage endosseous biocompatible implant into bone of maxilla or mandible (see 45845-00-10) | null |
458470010 | 45847-00-10 | Intraoral OI dental implant second stg | Insertion of intraoral osseointegrated dental implant; second stage | 5 | Procedures on nose, mouth and pharynx | 400 | Application, insertion or removal procedures on mouth, palate or uvula | Second stage of two stage endosseous implant into bone of maxilla or mandible.
| Fixation of transcutaneous abutment | one stage endosseous biocompatible implant into bone of maxilla or mandible (see 45846-00-00) | null |
962150000 | 96215-00-00 | I&d lesn in orl cavity | Incision and drainage of lesion in oral cavity | 5 | Procedures on nose, mouth and pharynx | 401 | Incision procedures on mouth, palate or uvula | null | Abscess In oral Cavity
Cyst | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
962150010 | 96215-00-10 | I&d intraoral absc simple or single | Incision and drainage of intraoral abscess, simple or single | 5 | Procedures on nose, mouth and pharynx | 401 | Incision procedures on mouth, palate or uvula | Involves incision through mucosa, including periodontal origins | Drainage of: abscess, cyst | null | null |
962150020 | 96215-00-20 | I&d of intraoral absc & spaces complicated or multiple | Incision and drainage of intraoral abscess or spaces, complicated or multiple | 5 | Procedures on nose, mouth and pharynx | 401 | Incision procedures on mouth, palate or uvula | Incision is made intraorally and dissection is extended into adjacent fascial space to provide adequate drainage of abscess | Drainage of: abscess, cyst | null | null |
302810000 | 30281-00-00 | Labial fraenotomy | Labial fraenotomy | 5 | Procedures on nose, mouth and pharynx | 401 | Incision procedures on mouth, palate or uvula | null | Division of Labial Fraenulum | Lingual Frenotomy
(30278-02-00 [390]) | null |
418100000 | 41810-00-00 | Uvulotomy | Uvulotomy | 5 | Procedures on nose, mouth and pharynx | 401 | Incision procedures on mouth, palate or uvula | Surgical excision of the uvula | null | null | null |
300752300 | 30075-23-00 | Bx oral cavity | Biopsy of oral cavity | 5 | Procedures on nose, mouth and pharynx | 402 | Biopsy of oral cavity or soft palate | A procedure in which a sample of the oral cavity tissue is removed (with a needle or during surgery) for examination under a microscope. | Biopsy of:
• Bony Palate
• Lip
• Mouth | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664])
That of:
• Soft Palate (30075-24-00 [402])
• Uvula (30075-24-00 [402])
| null |
300752310 | 30075-23-10 | Brush bx transepi sam collecn | Brush biopsy - transepithelial sample collection | 5 | Procedures on nose, mouth and pharynx | 402 | Biopsy of oral cavity or soft palate | Brush biopsy uses a specially designed brush that obtains cells from all epithelial layers that are assessed by microscopic screening. | null | null | null |
300752400 | 30075-24-00 | Biopsy of soft palate | Biopsy of soft palate | 5 | Procedures on nose, mouth and pharynx | 402 | Biopsy of oral cavity or soft palate | A procedure in which a sample of soft palate tissue is removed (with a needle or during surgery) for examination under a microscope. | Biopsy of Uvula | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
457990000 | 45799-00-00 | Aspiration biopsy of jaw cyst | Aspiration biopsy of jaw cyst | 5 | Procedures on nose, mouth and pharynx | 402 | Biopsy of oral cavity or soft palate | Procedure used to drain fluid from a cyst | null | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
302830000 | 30283-00-00 | Excision of cyst of mouth | Excision of cyst of mouth | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | null | Excision of:
• Mucocele
• Ranula | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
302830010 | 30283-00-10 | Enucleation of mucocele - small= or < 2 cm | Enucleation of mucocele - small, 2cm or less than 2 cm | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | Surgical removal of a mass without cutting into or dissecting it | null | null | null |
302830020 | 30283-00-20 | Enucleationof mucocele - large > 2 cm | Enucleationof mucocele - large > 2 cm | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | Surgical removal of a mass without cutting into or dissecting it | null | null | null |
901410100 | 90141-01-00 | Excision of other lesion of mouth | Excision of other lesion of mouth | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | Excision of other lesion of mouth | null | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664])
Excision of Lesion of Upper Aerodigestive Tract
(31400-00-00 [421]) | null |
901410110 | 90141-01-10 | Exc ben/malig sft tiss lsn, cyst, scar ≤2cm, cut, subcut, muc | Excision of benign or malignant soft tissue lesion, cyst or scar up to 2 cm, cutaneous, subcutaneous or in mucous membrane | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | Medical procedure to remove growths that develop under the skin | null | null | null |
901410120 | 90141-01-20 | Exc ben/malig sft tiss lsn, cyst, scar >2cm, cut, subcut, muc | Excision of benign or malignant soft tissue lesion, cyst or scar greater than 2 cm, cutaneous, subcutaneous or in mucous membrane | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | Medical procedure to remove growths that develop under the skin | null | null | null |
901410130 | 90141-01-30 | Exc benign/malig sft tissue lesion, cyst, scar, complicated | Excision of benign or malignant soft tissue lesion, cyst or scar, complicated (involving muscle, bone or other deep tissue) | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | Medical procedure to remove growths that develop under the skin | null | null | null |
302750000 | 30275-00-00 | Radical excision of intraoral lesion | Radical excision of intraoral lesion | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | null | Resection of:
• Lymph Node(S)
• Mandible
| Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
458310000 | 45831-00-00 | Excision of papillary hyperplasia of palate | Excision of papillary hyperplasia of palate | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | Excision of a small, tightly packed papillary (wart-like protuberances) growths (of normal tissue cells) that develop in the area of the mouth where the dentures are worn constantly | null | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
901410000 | 90141-00-00 | Local excision or destruction of lesion of bony palate | Local excision or destruction of lesion of bony palate | 5 | Procedures on nose, mouth and pharynx | 403 | Excision or destruction of lesion of mouth or palate | null | Local Excision or Destruction of Tissue of Bony Palate | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664])
Removal of Papillary Hyperplasia (45831-00-00 [403]) | null |
302810100 | 30281-01-00 | Labial fraenectomy | Labial fraenectomy | 5 | Procedures on nose, mouth and pharynx | 404 | Other excision procedures on mouth, palate or uvula | Removes the band of tissue that connects the upper gums to the front teeth | null | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664])
Division of Labial Fraenulum (30281-00-00 [401])
| null |
417870000 | 41787-00-00 | Uvulectomy with partial palatectomy | Uvulectomy with partial palatectomy | 5 | Procedures on nose, mouth and pharynx | 404 | Other excision procedures on mouth, palate or uvula | Surgery to open the upper airways by taking out extra tissue in the throat | Laser Incision of Palate | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
417870100 | 41787-01-00 | Uvulectomy prt palatectomy tonsilectmy | Uvulectomy with partial palatectomy and tonsillectomy | 5 | Procedures on nose, mouth and pharynx | 404 | Other excision procedures on mouth, palate or uvula | Surgery to open the upper airways by taking out extra tissue in the throat with surgical operation to remove the tonsils | Laser Incision of Palate | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
418100100 | 41810-01-00 | Uvulectomy | Uvulectomy | 5 | Procedures on nose, mouth and pharynx | 404 | Other excision procedures on mouth, palate or uvula | null | Excision of Lesion of Uvula, Nos | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664])
Revision Uvulectomy
(41787-02-00 [407]) | null |
458250000 | 45825-00-00 | Excision palatal exostosis | Excision of palatal exostosis | 5 | Procedures on nose, mouth and pharynx | 404 | Other excision procedures on mouth, palate or uvula | null | That of torus Palatinus | Excision of Skin, Subcutaneous and Soft Tissue of Lip (See Block [1664]) | null |
417860000 | 41786-00-00 | Uvulopalatopharyngoplasty | Uvulopalatopharyngoplasty | 5 | Procedures on nose, mouth and pharynx | 405 | Uvulopalatopharyngoplasty | The procedure increases the oropharyngeal airspace by resecting tissue in the throat | null | null | null |
417860100 | 41786-01-00 | Uvulopalatopharyngoplasty tonsillectomy | Uvulopalatopharyngoplasty with tonsillectomy | 5 | Procedures on nose, mouth and pharynx | 405 | Uvulopalatopharyngoplasty | The procedure increases the oropharyngeal airspace by resecting tissue in the throat with tonsillectomy | null | null | null |
458370100 | 45837-01-00 | Open vestibuloplasty | Open vestibuloplasty | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | null | Excision of Muscle
Mucosal Graft
Skin Graft
| null | null |
458370110 | 45837-01-10 | Sec epithelialization vestibuloplasty | Secondary epithelialization vestibuloplasty | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | null | Excision of muscle, mucosal graft, skin graft | null | null |
458370120 | 45837-01-20 | Grafting vestibuloplasty | Grafting vestibuloplasty | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | Vestibuloplasty with grafting. | Excision of muscle, mucosal graft, skin graft | null | null |
300520200 | 30052-02-00 | Repair of wound of lip | Repair of wound of lip | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | Repair of a cut (laceration) on the lip, can be on the outside of the mouth, or it may include the skin inside the mouth | null | That with Mouth:
• Involving Soft Tissue (30035-00-00 [1635])
• Superficial (30032-00-00 [1635])
| null |
300520400 | 30052-04-00 | Closure of fistula of mouth | Closure of fistula of mouth | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | Closure of an epithelialized pathological unnatural communication between oral cavity and maxillary sinus | null | Closure of Fistula:
• Nasolabial (45714-01 [1680])
• oro-Antral (41722-00 [388])
• oronasal (45714-00 [1680])
| null |
456760000 | 45676-00-00 | Other repair of mouth | Other repair of mouth | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | Specified repair of mouth | null | null | null |
458370000 | 45837-00-00 | Submucosal vestibuloplasty | Submucosal vestibuloplasty | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | null | Excision of Muscle
Mucosal Graft
Skin Graft
| null | null |
901420100 | 90142-01-00 | Other repair of palate | Other repair of palate | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | Specified repair of palate | null | null | null |
901420200 | 90142-02-00 | Other repair of uvula | Other repair of uvula | 5 | Procedures on nose, mouth and pharynx | 406 | Other repair procedures on mouth, palate or uvula | Correction of a split uvula or tissue in the back of the throat | Cleft uvules correction | null | null |
417870200 | 41787-02-00 | Revision uvulectomy | Revision uvulectomy | 5 | Procedures on nose, mouth and pharynx | 407 | Revision procedures on mouth, palate or uvula | Surgical excision of the uvula | null | null | null |
901430000 | 90143-00-00 | Other procedures on mouth | Other procedures on mouth | 5 | Procedures on nose, mouth and pharynx | 408 | Other procedures on mouth, palate or uvula | Specified procedures on mouth | null | null | null |
901430100 | 90143-01-00 | Other procedures on palate | Other procedures on palate | 5 | Procedures on nose, mouth and pharynx | 408 | Other procedures on mouth, palate or uvula | Specified procedures on palate | null | null | null |
901430200 | 90143-02-00 | Other procedures on uvula | Other procedures on uvula | 5 | Procedures on nose, mouth and pharynx | 408 | Other procedures on mouth, palate or uvula | Specified procedures on uvula | null | null | null |
418070000 | 41807-00-00 | Incision & drain peritonsillar abscess | Incision and drainage of peritonsillar abscess | 5 | Procedures on nose, mouth and pharynx | 409 | Incision procedures on tonsils or adenoids | null | Aspiration of PeriTonsillar Abscess
| null | null |
417970000 | 41797-00-00 | Arrest haemorrhage following T & A | Arrest of haemorrhage following tonsillectomy and adenoidectomy | 5 | Procedures on nose, mouth and pharynx | 410 | Destruction procedures on tonsils or adenoids | Arrest of haemorrhage following tonsillectomy and adenoidectomy | null | null | null |
300752500 | 30075-25-00 | Biopsy of tonsils and adenoids | Biopsy of tonsils and adenoids | 5 | Procedures on nose, mouth and pharynx | 411 | Biopsy of tonsils or adenoids | A procedure in which a sample of tonsils and adenoids tissue is removed (with a needle or during surgery) for examination under a microscope. | null | null | null |
417890000 | 41789-00-00 | Tonsillectomy without adenoidectomy | Tonsillectomy without adenoidectomy | 5 | Procedures on nose, mouth and pharynx | 412 | tonsillectomy or adenoidectomy | null | Excision of Tonsil Tag | Removal of Lingual tonsil (41804-00-00 [412])
That With:
• Uvulectomy (41787-01-00 [404])
• Uvulopalatopharyngoplasty (41786-01-00 [405])
| null |
417890100 | 41789-01-00 | Tonsillectomy with adenoidectomy | Tonsillectomy with adenoidectomy | 5 | Procedures on nose, mouth and pharynx | 412 | tonsillectomy or adenoidectomy | Procedure to remove tonsils and adenoids | null | null | null |
418010000 | 41801-00-00 | Adenoidectomy without tonsillectomy | Adenoidectomy without tonsillectomy | 5 | Procedures on nose, mouth and pharynx | 412 | tonsillectomy or adenoidectomy | Procedure to remove adenoids | null | null | null |
418040000 | 41804-00-00 | R/O lingual tonsil | Removal of lingual tonsil | 5 | Procedures on nose, mouth and pharynx | 412 | tonsillectomy or adenoidectomy | Removal of the bulk of the lingual tonsil in order to enlarge the airway behind the tongue | null | null | null |
901440000 | 90144-00-00 | Excision lesion of tonsils or adenoids | Excision of lesion of tonsils or adenoids | 5 | Procedures on nose, mouth and pharynx | 413 | Other excision procedures on tonsils or adenoids | Procedure to remove tonsils is known as a tonsillectomy, and removal of the adenoids is called an adenoidectomy | null | null | null |
901450000 | 90145-00-00 | Other repair of tonsils and adenoids | Other repair of tonsils and adenoids | 5 | Procedures on nose, mouth and pharynx | 414 | Other repair procedures on tonsils or adenoids | Specified repair of tonsils and adenoids | null | null | null |
901460000 | 90146-00-00 | Other procedures on tonsils & adenoids | Other procedures on tonsils and adenoids | 5 | Procedures on nose, mouth and pharynx | 415 | Other procedures on tonsils or adenoids | Specified procedures on tonsils and adenoids | null | null | null |
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