ANNEX 7.

LIST OF PROCEDURES WITH LATERALITY

RVS CODE
15820 15822 15823 19160 19162 19180 19182 19200 19220 19240 19340 19342 19350 19357 19361 19364 19366 19367 19369 19370 19371 23515 23520 23530 23532 23540 23550 23552 23570 23585 23600 23615 23616 23620 23630 23650 23660 23665 23670 23675 23680 23700 23900 23920 24500 24515 24516 24530 24545 24546 24560 24575 24576 24579 24586 24587 24600

DESCRIPTION
Blepharoplasty, lower eyelid Blepharoplasty, upper eyelid; Blepharoplasty, upper eyelid; with excessive skin weighting down lid Mastectomy, partial; Mastectomy, partial; with axillary lymphadenectomy Mastectomy, simple, complete Mastectomy, subcutaneous Mastectomy, radical, icnluding pectoral muscles, axillary lymph nodes Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation) Mastectomy, modified radical, including axillary lymph nodes, w/ or w/o pectoralis minor muscle, but excluding pectoralis major muscle Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction Nipple/areola reconstruction Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion Breast reconstruction with latissimus dorsi flap, with or without prosthetic implant Breast reconstruction with free flap Breast reconstruction with other technique Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site; Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double pedicle, including closure of donor site Open periprosthetic capsulotomy, breast Periprosthetic capsulectomy, breast Open treatment of clavicular fracture, w/ or w/o internal or external fixation Closed treatment of sternoclavicular dislocation Open treatment of sternoclavicular disloction, acute or chronic; Open treatment of sternoclavicular disloction, w/ fascial graft (includes obtaining graft) Closed tratment of acromioclavicular dislocation Open treatment of acromioclavicular dislocation, acute or chronic; Open treatment of acromioclavicular dislocation, acute or chronic; w/ fascial graft (includes obtaining graft) Closed treatment of scapular fracture Open treatment of scapular fracture (body, glenoid or acromion) w/ or w/o internal fixation Closed treatment of proximal humeral (surgical or anatomical neck) fracture Open treatment of proximal humeral (surgical or anatomical neck) fracture, w/ or w/o internal or external fixation, w/ or w/o repair of tuberosity(-ies); Open treatment of proximal humeral (surgical or anatomical neck) fracture, w/ or w/o internal or external fixation, w/ or w/o repair of tuberosity(-ies); w/ proximal humeral prosthetic replacement Closed treatment of greater tuberosity fracture Open treatment of greater tuberosity fracture, w/ or w/o internal or external fixation Closed treatment of shoulder dislocation Open treatment of acute shoulder dislocation Closed treatment of shoulder dislocation,/ fracture of greater tuberosity Open treatment of shoulder dislocation, w/ fracture of greater tuberosity, w/ or w/o internal or external fixation Closed treatment of shoulder dislocation, w/ surgical or anatomical neck fracture Open treatment of shoulder dislocation, w/ surgical or anatomical neck fracture, w/ or w/o internal or external fixation Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded) Interthoracoscapular amputation (forequarter) Disarticulation of shoulder; Closed treatment of humeral shaft fracture Open treatment of humeral shaft fracture w/ plate/screws, w/ or w/o cerclage Open treatment of humeral shaft fracture, w/ insertion of intramedullary implant, w/ or w/o cerclage and/or locking screws Closed treatment of supracondylar or transcondylar humeral fracture, w/ or w/o intercondylar extension Open treatment of humeral supracondylar or transcondylar fracture, w/ or w/o internal or external fixation; w/o intercondylar extension Open treatment of humeral supracondylar or transcondylar fracture, w/ or w/o internal or external fixation; w/ intercondylar extension Closed treatment of humeral epicondylar fracture, medial or lateral; Open treatment of humeral epicondylar fracture, medial or lateral, w/ or w/o internal or external fixation Closed treatment of humeral condylar fracture, medial or lateral Open treatment of humeral condylar fracture, medial or lateral, w/ or w/o internal or external fixation Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); w/ implant arthroplasty Treatment of closed elbow dislocation

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
24615 24620 24635 24640 24650 24665 24666 24670 24685 24900 24920 24925 24930 24931 25500 25515 25520 25525 25526 25530 25545 25560 25574 25575 25600 25620 25622 25628 25630 25645 25650 25660 25670 25675 25676 25680 25685 25690 25695 25900 25905 25907 25909 25920 25922 25924 25927 25929 25931 26600 26607 26615 26641 26645 26665 26670 26685 Open treatment of acute or chronic elbow dislocation

DESCRIPTION

Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna w/ dislocation of radial head) Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna w/ dislocation of radial head), w/ or w/o internal or external fixation Closed treatment of radial head subluxation in child, "nursemaid elbow" Closed treatment of radial head or neck fracture Open treatment of radial head or neck fracture, w/ or w/o internal fixation or radial head excision; Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); w/ radial head prosthetic replacement Closed treatment of ulnar fracture, proximal end (olecranon process) Open treatment of ulnar fracture proximal end (olecranon process), w/ or w/o internal or external fixation Amputation, arm through humerus; w/ primary closure Amputation, arm through humerus; open, circular (guillotine) Amputation, arm through humerus; secondary closure or scar revision Amputation, arm through humerus; re-amputation Amputation, arm through humerus; w/ implant Closed treatment of radial shaft fracture Open treatment of radial shaft fracture, w/ or w/o internal or external fixation Closed treatment of radial shaft fracture, w/ dislocation of distal radio-ulnar joint (Galeazzi fracture/dislocation) Open treatment of radial shaft fracture, w/ internal and/or external fixation and closed treatment of dislocation of distal radio-ulnar joint (Galeazzi fracture/dislocation), w/ or w/o percutaneous skeletal fixation Open treatment of radial shaft fracture, w/ internal and/or external fixation and open treatment, w/ or w/o internal or external fixation of distal radio-ulnar joint (Galleazi fracture/dislocation), includes repair of triangular cartilage Closed treatment of ulnar shaft fracture Open treatment of ulnar shaft fracture, w/ or w/o internal or external fixation Closed treatment of radial and ulnar shaft fractures Open treatment of radial and ulnar shaft fractures, w/ internal or external fixation; of radius or ulna Open treatment of radial and ulnar shaft fractures, w/ internal or external fixation; of radius and ulna Closed treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, w/ or w/o fracture of ulnar styloid Open treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, w/ or w/o fracture of ulnar styloid, w/ or w/o internal or external fixation Closed treatment of carpal scaphoid (navicular) fracture Open treatment of carpal scaphoid (navicular) fracture, w/ or w/o internal or external fixation Closed treatment of carpal bone fracture (excluding carpal scaphoid (navicular)) Open treatment of carpal bone fracture (excluding carpal scaphoid (navicular)), each bone Closed treatment of ulnar styloid fracture Closed treatment of radiocarpal or intercarpal dislocation, one or more bones Open treatment of radiocarpal or intercarpal dislocation, one or more bones Closed treatment of distal radioulnar dislocation Open treatment of distal radioulnar dislocation, acute or chronic Closed treatment of trans-scaphoperilunar type of fracture dislocation Open treatment of trans-scaphoperilunar type of fracture dislocation Closed treatment of lunate dislocation Open treatment of lunate dislocation Amputation, forearm, through, radius and ulna; Amputation, forearm, through, open, circular (guillotine) Amputation, forearm, through, secondary closure or scar revision Amputation, forearm, through, re-amputation Disarticulation through wrist; Disarticulation through wrist; secondary closure or scar revision Disarticulation through wrist; re-amputation Transmetacarpal amputation; Transmetacarpal amputation; secondary closure or scar revision Transmetacarpal amputation; re-amputation Closed treatment of metacarpal fracture, single Closed treatment of metacarpal fracture, w/ internal or external fixation Open treatment of metacarpal fracture, single, w/ or w/o internal or external fixation, each bone Closed treatment of carpometacarpal dislocation, thumb Closed tratment of carpometacarpal fracture dislocation, thumb (Bennett fracture) Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), w/ or w/o internal or external fixation Closed treatment of carpometacarpal dislocation, other than thumb (Bennett fracture); single Open treatment of carpometacarpal dislocation, other than thumb (Bennett fracture); single, w/ or w/o Open treatment of carpometacarpal dislocation, other than thumb (Bennett fracture); single, internal or external fixation

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
26686 26700 26715 26720 26735 26740 26746 26750 26765 26770 26785 26910 26951 26952 27175 27176 27177 27178 27179 27181 27215 27217 27218 27220 27226 27227 27228 27230 27236 27238 27244 27245 27246 27248 27250 27253 27254 27258 27259 27265 27290 27295 27501 27502 27503 27506 27507 27510

DESCRIPTION
Open treatment of carpometacarpal dislocation, other than thumb (Bennett fracture); single, complex, multiple or delayed reduction Closed treatment of metacarpophalangeal dislocation, single Open treatment of metacarpophalangeal dislocation, single, w/ or w/o internal or external fixation Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, w/ or w/o internal or external fixation, each Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, w/ or w/o internal or external fixation, each Closed treatment of distal phalangeal fracture, finger or thumb Open treatment of distal phalangeal fracture, finger or thumb, w/ or w/o internal or external fixation, each Closed treatment of interphalangeal joint dislocation, single Open treatment of interphalangeal joint dislocation, w/ or w/o internal or external fixation, single Amputation, metacarpal, w/ finger or thumb (ray amputation), single, w/ or w/o interosseous transfer Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; w/ direct closure Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; w/ local advancement flaps (V-Y, hood) Treatment of slipped femoral epiphysis; by traction, w/o reduction Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ Open treatment of slipped femoral epiphysis; single of multiple pinning or bone graft (includes obtaining graft) Open treatment of slipped femoral epiphysis; closed manipulation w/ single or multiple pinning Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fracture(s) (e.g., pelvic fracture(s) w/c do not disrupt the pelvic ring), w/ internal fixation Open treatment of anterior ring fracture and/or dislocation w/ internal fixation (includes pubic symphysis and/or rami) Open treatment of posterior ring fracture and/or dislocation w/ internal fixation (includes ilium, sacroiliac joint and/or sacrum) Closed treatment of acetabulum (hip socket) fracture(s) Open treatment of posterior or anterior acetabular wall fracture, w/ internal fixation Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running transversely across the acetabulum, w/ internal fixation Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes T-fracture and both column fracture w/ complete articular detachment, or single column or transverse fracture w/ associated acetabular wall fracture, w/ inte Closed treatment of femoral fracture, proximal end, neck Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (direct fracture exposure) Closed treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture Open treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; w/ plate/screw type implant, w/ or w/o cerclage Open treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; w/ intramedullary implant, w/ or w/o interlocking screws and/or cerclage Closed treatment of greater trochanteric fracture Open treatment of greater trochanteric fracture, w/ or w/o internal or external fixation Closed treatment of hip dislocation, traumatic Open treatment of hip dislocation, traumatic, w/o internal fixation Open treatment of hip dislocation, traumatic w/ acetabular wall and femoral head fracture, w/ or w/o internal or external fixation Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc); w/ femoral shaft shortening Closed treatment of post hip arthroplasty dislocation Interpelviabdominal amputation (hindquarter amputation) Disarticulation of hip Closed treatment of supracondylar or transcondylar femoral fracture w/ or w/o intercondylar extension Closed treatment of femoral shaft fracture, w/ or w/o skin or skeletal traction Closed treatment of supracondylar or transcondylar femoral fracture w/ or w/o intercondylar extension, w/ or w/o skin or skeletal traction Open treatment of femoral shaft fracture, w/ or w/o external fixation, w/ insertion of intramedullary implant, w/ or w/o cerclage and/or locking screws Open treatment of femoral shaft fracture w/ plate/screws, w/ or w/o cerclage Closed treatment of femoral fracture, distal end, medial or lateral condyle

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
27511 27513 27514 27516 27519 27520 27524 27530 27535 27536 27538 27540 27550 27556 27557 27558 27560 27566 27590 27591 27592 27594 27596 27598 27750 27752 27758 27759 27760 27766 27780 27784 27786 27792 27808 27814 27816 27822 27823 27824 27826 27827 27828 27829 27830 27832 27840 27846 27848 27880 27881 27882 27884 27886

DESCRIPTION
Open treatment of femoral supracondylar or transcondylar fracture w/o intercondylar extension, w/ or w/o internal or external fixation Open treatment of femoral supracondylar or transcondylar fracture w/ intercondylar extension, w/ or w/o internal or external fixation Open treatment of femoral fracture, distal end, medial or lateral condyle, w/ or w/o internal or external fixation Closed treatment of distal femoral epiphyseal separation Open treatment of distal femoral epiphyseal separation, w/ or w/o internal or external fixation Closed treatment of patellar fracture Open treatment of patellar fracture, w/ internal fixation and/or partial or complete patellectomy and soft tissue repair Closed treatment of tibial fracture, proximal (plateau) Open treatment of tibial fracture, proximal (plateau); unicondylar, w/ or w/o internal or external fixation Open treatment of tibial fracture, proximal (plateau); bicondylar, w/ or w/o internal fixation Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, w/ or w/o internal or external fixation Closed treatment of knee dislocation Open treatment of knee dislocation, w/ or w/o internal or external fixation; w/o primary ligamentous repair or augmentation/reconstruction Open treatment of knee dislocation, w/ or w/o internal or external fixation; w/ primary ligamentous repair Open treatment of knee dislocation, w/ or w/o internal or external fixation; w/ primary ligamentous repair, w/ augmentation/reconstruction Closed treatment of patellar dislocation Open treatment of patellar dislocation, w/ or w/o partial or total patellectomy Amputation, thigh, through femur, any level; Amputation, thigh, through femur, any level; immediate fitting technique including first cast Amputation, thigh, through femur, any level; open, circular (guillotine) Amputation, thigh, through femur, any level; secondary closure or scar revision Amputation, thigh, through femur, any level; re-amputaion Disarticulation at knee Closed treatment of tibial shaft fracture (w/ or w/o fibular fracture) Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction Open treatment of tibial shaft fracture (w/ or w/o fibular fracture) w/ plate/screws, w/ or w/o cerclage Open treatment of tibial shaft fracture (w/ or w/o fibular fracture) by intramedullary implant, w/ or w/o interlocking screws and/or cerclage Closed treatment of medial malleolus fracture Open treatment of medial malleolus fracture, w/ or w/o internal or external fixation Closed treatment of proximal fibula or shaft fracture Open treatment of proximal fibula or shaft fracture, w/ or w/o internal or external fixation Closed treatment of distal fibular fracture (lateral malleolus) Open treatment of distal fibular fracture (lateral malleolus), w/ or w/o internal or external fixation w/o manipulation Closed treatment of bimalleolar ankle fracture, (including Potts) Open treatment of bimalleolar ankle fracture, w/ or w/o internal or external fixation Closed treatment of trimalleolar ankle fracture Open treatment of trimalleolar ankle fracture, w/ or w/o internal or external fixation, medial and/or lateral malleolus; w/o fixation of posterior lip Open treatment of trimalleolar ankle fracture, w/ or w/o internal or external fixation, medial and/or lateral malleolus; w/ fixation of posterior lip Closed treatment of fracture of weight bearing articular portion of distal tibia (e.g., pilon or tibial plafond) Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon or tibial plafond), w/ internal or external fixation; of fibula only Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon or tibial plafond), w/ internal or external fixation; of tibia only Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon or tibial plafond), w/ internal or external fixation; of both tibia and fibula Open treatment of distal tibiofibular joint (syndesmosis) disruption, w/ or w/o internal or external fixation Closed treatment of proximal tibiofibular joint dislocation Open treatment of proximal tibiofibular joint dislocation, w/ or w/o internal or external fixation, or w/ excision of proximal fibula Closed treatment of ankle dislocation Open treatment of ankle dislocation, w/ or w/o percutaneous skeletal fixation; w/o repair or internal fixation Open treatment of ankle dislocation, w/ or w/o percutaneous skeletal fixation; w/ repair or internal or external fixation Amputation, leg, through tibia and fibula; Amputation, leg, through tibia and fibula; w/ immediate fitting technique including application of first cast Amputation, leg, through tibia and fibula; open, circular (guillotine) Amputation, leg, through tibia and fibula; secondary closure or scar revision Amputation, leg, through tibia and fibula; re-amputation

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
27888 27889 28400 28415 28420 28430 28445 28450 28465 28470 28485 28490 28505 28510 28525 28530 28531 28540 28555 28570 28585 28600 28615 28630 28645 28660 28675 28800 28810 28820 28825 29058 29065 29075 29085 29305 29325 29345 29355 29358 29365 29405 29425 29435 29445 29450 49495 49496 49497 49500 49501 49502 49505 49507 49509 49520 49521 49522 49525 49540 49550 49553 49554 49555 49557

DESCRIPTION
Amputation, ankle, through malleoli of tibia and fibula (Syme, Pirogoff type procedures), w/ plastic closure and resection of nerves Ankle disarticulation Closed treatment of calcaneal fracture Open treatment of calcaneal fracture, w/ or w/o internal or external fixation; Open treatment of calcaneal fracture, w/ or w/o internal or external fixation; w/ primary iliac or other autogenous bone graft (includes obtaining graft) Closed treatment of talus fracture Open treatment of talus fracture, w/ or w/o internal or external fixation Treatment of tarsal bone fracture (except talus and calcaneus) Open treatment of tarsal bone fracture (except talus and calcaneus), w/ or w/o internal or external fixation Closed treatment of metatarsal fracture Open treatment of metatarsal fracture, w/ or w/o internal or external fixation Closed treatment of fracture great toe, phalanx or phalanges Open treatment of fracture great toe, phalanx or phalanges, w/ or w/o internal or external fixation Closed treatment of fracture, phalanx or phalanges, other than great toe Open treatment of fracture, phalanx or phalanges, other than great toe, w/ or w/o internal or external fixation Closed treatment of sesamoid fracture Open treatment of sesamoid fracture, w/ or w/o internal fixation Closed treatment of tarsal bone dislocation, other than talotarsal Open treatment of tarsal bone dislocation, w/ or w/o internal or external fixation Closed treatment of talotarsal joint dislocation Open treatment of talotarsal joint dislocation, w/ or w/o internal or external fixation Closed treatment of tarsometatarsal joint dislocation Open treatment of tarsometatarsal joint dislocation, w/ or w/o internal or external fixation Closed treatment of metatarsophalangeal joint dislocation Open treatment of metatarsophalangeal joint dislocation, w/ or w/o internal or external fixation Closed treatment of interphalangeal joint dislocation Open treatment of interphalangeal joint dislocation, w/ or w/o internal or external fixation Amputation, foot; midtarsal (Chopart type procedure) Amputation, metatarsal, w/ toe, single Amputation, toe; metatarsophalangeal joint Amputation, toe; interphalangeal joint Application of body cast, shoulder to hips; plaster Velpeau Application of body cast, shoulder to hips; shoulder to hand (long arm) Application of body cast, shoulder to hips; elbow to finger (short arm) Application of body cast, shoulder to hips; hand and lower forearm (gauntlet) Application of hip spica cast; one leg Application of hip spica cast; one and one-half spica or both legs Application of long leg cast (thigh to toes); Application of long leg cast (thigh to toes); walker or ambulatory type Application of long leg cast brace Application of cylinder cast (thigh to ankle) Application of short leg cast (below knee to toes); Application of short leg cast (below knee to toes); walking or ambulatory type Application of patellar tendon bearing (PTB) cast Application of rigid total contact leg cast Application of clubfoot cast w/ molding or manipulation, long or short leg Repair initial inguinal hernia, under age 6 months, w/ or w/o hydrocelectomy; reducible Repair initial inguinal hernia, under age 6 months, w/ or w/o hydrocelectomy; incarcerated Repair initial inguinal hernia, under age 6 months, w/ or w/o hydrocelectomy; strangulated Repair initial inguinal hernia, age 6 months to under 5 years, w/ or w/o hydrocelectomy; reducible Repair initial inguinal hernia, age 6 months to under 5 years, w/ or w/o hydrocelectomy; incarcerated Repair initial inguinal hernia, age 6 months to under 5 years, w/ or w/o hydrocelectomy; strangulated Repair initial inguinal hernia, age 5 years or over; reducible Repair initial inguinal hernia, age 5 years or over; incarcerated Repair initial inguinal hernia, age 5 years or over; strangulated Repair recurrent inguinal hernia, any age; reducible Repair recurrent inguinal hernia, any age; incarcerated Repair recurrent inguinal hernia, any age; strangulated Repair inguinal hernia, sliding, any age Repair lumbar hernia Repair initial femoral hernia, any age; reducible Repair initial femoral hernia, any age; incarcerated Repair initial femoral hernia, any age; strangulated Repair recurrent femoral hernia; reducible Repair recurrent femoral hernia; incarcerated

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
49558 49560 49561 49562 49565 49566 49567 49590 49650 49651 54520 54530 54535 54550 54560 54600 54620 54640 54650 54670 54680 54690 54692 61330 61332 61333 61334 65091 65093 65101 65103 65105 65110 65112 65114 65130 65135 65140 65150 65155 65175 65205 65210 65222 65235 65260 65265 65270 65273 65275 65280 65285 65286 65290 65450 65710 65730 65750 65755 65760 65765 65767 65770 65771 65772 65775 65780

DESCRIPTION
Repair recurrent femoral hernia; strangulated Repair initial incisional hernia; reducible Repair initial incisional hernia; incarcerated Repair initial incisional hernia; strangulated Repair recurrent incisional hernia; reducible Repair recurrent incisional hernia; incarcerated Repair recurrent incisional hernia; strangulated Repair spigelian hernia Laparoscopy, surgical; repair of initial inguinal hernia Laparoscopy, surgical; repair of recurrent inguinal hernia Orchiectomy, simple (including subcapsular), w/ or w/o testicular prosthesis, scrotal or inguinal approach Orchiectomy, radical, for tumor; inguinal approach Orchiectomy, radical, for tumor; w/ abdominal exploration Exploration for undescended testis (inguinal or scrotal area) Exploration for undescended testis w/ abdominal exploration Reduction of torsion of testis, surgical, w/ or w/o fixation of contralateral testis Fixation of contralateral testis Orchiopexy, inguinal approach, w/ or w/o hernia repair Orchiopexy, abdominal approach, for intra-abdominal testis (e.g., Fowler-Stephens) Suture or repair of testicular injury Transplantation of testis(es) to thigh (because of scrotal destruction) Laparoscopy, surgical; orchiectomy Laparoscopy, surgical; orchiopexy for intra-abdominal testis Decompression of orbit only, transcranial approach Exploration of orbit (transcranial approach); w/ biopsy Exploration of orbit (transcranial approach); w/ removal of lesion Exploration of orbit (transcranial approach); w/ removal of foreign body Evisceration of ocular contents; w/o implant Evisceration of ocular contents; w/ implant Enucleation of eye; w/o implant Enucleation of eye; w/ implant, muscles not attached to implant Enucleation of eye; w/ implant, muscles attached to implant Exenteration of orbit without skin graft, removal of orbital contents; only Exenteration of orbit without skin graft, removal of orbital contents; w/ therapeutic removal of bone Exenteration of orbit without skin graft, removal of orbital contents; w/ muscle or myocutaneous flap Insertion of ocular implant; after evisceration, in scleral shell Insertion of ocular implant; after enucleation, muscles not attached to implant Insertion of ocular implant; after enucleation, muscles attached to implant Reinsertion of ocular implant; with or without conjunctival graft Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant Removal of ocular implant Removal of foreign body, external eye; conjunctival, superficial Removal of foreign body, external eye; subconjunctival or scleral, with slit lamp Removal of foreign body, external eye; cornea, with slit lamp Removal of foreign body, intraocular; from anterior chamber or lens Removal of foreign body, intraocular; from posterior segment, magnetic extraction, anterior or posterior route Removal of foreign body, intraocular; from posterior segment, nonmagnetic extraction Repair of laceration; conjunctiva, w/ or w/o nonperforating laceration sclera, direct closure Repair of laceration; conjunctiva, by mobilization and rearrangement Repair of laceration; cornea, nonperforating, w/ or w/o removal foreign body Repair of laceration; cornea and/or sclera, perforating, not involving uveal tissue Repair of laceration; cornea and/or sclera, perforating, w/ reposition or resection of uveal tissue Repair of laceration; application of tissue glue, wounds of cornea and/or sclera Repair of wound, extraocular muscle, tendon and/ or Tenons capsule Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization Keratoplasty (corneal transplant); lamellar Keratoplasty (corneal transplant); penetrating (except in aphakia) Keratoplasty (corneal transplant); penetrating (in aphakia) Keratoplasty (corneal transplant); penetrating (in pseudophakia) Keratomileusis Keratophakia Epikeratoplasty Keratoprosthesis Radial keratotomy Corneal relaxing incision for correction of surgically induced astigmatism Corneal wedge resection for correction of surgically induced astigmatism Ocular surface reconstruction; amniotic membrane transplantation

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
65781 65782 65805 65810 65815 65820 65850 65855 65860 65865 65870 65875 65880 65900 65920 66150 66155 66160 66165 66170 66172 66180 66185 66220 66225 66500 66505 66600 66605 66625 66630 66680 66682 66700 66710 66720 66740 66761 66762 66770 66820 66821 66825 66830 66840 66850 66852 66920 66930 66940 66982 66983* 66984*

DESCRIPTION
Ocular surface reconstruction; limbal stem cell allograft (eg, cadaveric or living donor) Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) Paracentesis of anterior chamber of eye; w/ therapeutic release of aqueous Paracentesis of anterior chamber of eye; w/ removal of vitreous and/or discission of anterior hyaloid membrane, w/ or w/o air injection Paracentesis of anterior chamber of eye; w/ removal of blood, w/ or w/o irrigation and/or air injection Goniotomy Trabeculotomy ab externo Trabeculoplasty by laser surgery, one or more sessions (defined treatment series) Severing adhesions of anterior segment, laser technique Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); goniosynechiae Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); anterior synechiae, except goniosynechiae Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); posterior synechiae Severing adhesions of anterior segment of eye, incisional technique (w/ or w/o injection of air or liquid); corneovitreal adhesions Removal of epithelial material, anterior segment eye Removal of implanted material, anterior segment eye Fistulization of scalera for glaucoma; trephination w/ iridectomy Fistulization of scalera for glaucoma; thermocauterization w/ iridectomy Fistulization of scalera for glaucoma; sclerectomy w/ punch or scissors, w/ iridectomy Fistulization of scalera for glaucoma; iridencleisis or iridotasis Fistulization of scalera for glaucoma; trabeculectomy ab externo in absence of previous surgery Fistulization of scalera for glaucoma; trabeculectomy ab externo w/ scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) Aquenous shunt to extraocular reservoir (e.g., Molteno, Schocket, Denver-Krupin) Revision of aqueous shunt to extraocular reservoir Repair of scleral staphyloma; w/o graft Repair of scleral staphyloma; w/ graft Iridotomy by stab incision; except transfixion Iridotomy by stab incision; w/ transfixion as for iris bombe Iridectomy, w/ corneoscleral or corneal section; for removal of lesion Iridectomy, w/ corneoscleral or corneal section; w/ cyclectomy Iridectomy, w/ corneoscleral or corneal section; peripheral for glaucoma Iridectomy, w/ corneoscleral or corneal section; sector for glaucoma Repair of iris, ciliary body (as for iridodialysis) Suture of iris, ciliary body w/ retrieval of suture through small incision (e.g., McCannel suture) Ciliary body destruction; diathermy Ciliary body destruction; cyclophotocoagulation Ciliary body destruction; cryotherapy Ciliary body destruction; cyclodialysis Iridotomy/iridectomy by laser surgery (e.g., for glaucoma) ( one or more sessions) Iridoplasty by photocoagulation (one or more sessions) (e.g., for improvement of vision, for widening of anterior chamber angle) Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (e.g., YAG laser) (one or more stages) Repositioning of intraocular lens prosthesis, requiring an incision Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) w/ corneo-scleral section, w/ or w/o iridectomy (iridocapsulotomy, iridocapsulectomy) Removal of lens material; aspiration technique, one or more stages Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (e.g., phacoemulsification), w/ aspiration Removal of lens material; pars plana approach, with or without vitrectomy Removal of lens material; intracapsular Removal of lens material; intracapsular, for dislocated lens Removal of lens material; extracapsular Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), manual or mechanical technique (eg, irrigation and aspiration or phacoemulsification), complex, requiring devices or techniques not generally used in rout Intracapsular cataract extraction w/ insertion of intraocular lens prosthesis (one stage procedure) Extracapsular cataract removal w/ insertion of intraocular lens prosthesis (one stage procedure), (e.g., irrigation and aspiration)

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
66985 66986 66987* 66991 66992 66993 66994 66995 66996 66997 66998 66999 67005 67010 67015 67036 67038 67039 67040 67041 67042 67043 67044 67045 67046 67047 67048 67049 67050 67051 67052 67101 67105 67107 67108 67110 67112 67115 67120 67121 67208 67210 67218 67220 67221 67222 67227 67228 67250 67311 67312

DESCRIPTION
Insertion of intraocular lens prosthesis, not associated with cataract removal Exchange of intraocular lens Extracapsular cataract removal w/ insertion of intraocular lens prosthesis (one stage procedure), (e.g., phacoemulsification) Revision of failed filter; with or without explantation/exchange of shunt Revision of failed filter; with excision of bleb cyst Revision of failed filter; with choroidal tap Revision of failed filter; with posterior sclerotomy Revision of failed filter; with anterior chamber reformation Revision of filtering bleb, needling technique; without injection of anti-metabolite Revision of filtering bleb, needling technique; with injection of anti-metabolite Release of scleral flap suture by laser suture lysis (new code) Revision of overfiltering bleb (includes autologous blood injection, cryotherapy, mattress sutures, etc.) Removal of vitreous, anterior approach (open sky technique or limbal incision); partial removal Removal of vitreous, anterior approach (open sky technique or limbal incision); subtotal removal w/ mechanical vitrectomy Aspiration or release of vitreous, subretinal or choroidal fluid, pars plana approach (posterior sclerotomy) Vitrectomy, mechanical, pars plana approach; Vitrectomy, mechanical, pars plana approach; w/ epiretinal membrane stripping Vitrectomy, mechanical, pars plana approach; w/ focal endolaser photocoagulation Vitrectomy, mechanical, pars plana approach; w/ endolaser panretinal photocoagulation Vitrectomy, mechanical, pars plana approach; with internal limiting membrane (ILM) peeling Vitrectomy, mechanical, pars plana approach; with radial optic nerve neurotomy (RON) Vitrectomy, mechanical, pars plana approach; with sheathotomy for branch retinal vein occlusion Vitrectomy, mechanical, pars plana approach; with macular translocation (limited by retinotomy and/or scleral imbrication) Vitrectomy, mechanical, pars plana approach; with macular translocation (total) Vitrectomy, mechanical, pars plana approach; with removal of subretinal membranes Vitrectomy, mechanical, pars plana approach; with removal of choroidal neovascular membrane Vitrectomy, mechanical, pars plana approach; with endodrainage of subretinal hemorrhage (with or without tPA injection) Vitrectomy, mechanical, pars plana approach; with removal of dropped IOL Vitrectomy, mechanical, pars plana approach; with phacofragmentation for dropped lens material Vitrectomy, mechanical, pars plana approach; with internal tamponade with air, gas, silicone oil, perfluorocarbon liquid Vitrectomy, mechanical, pars plana approach; with insertion of scleral fixated intraocular lens, with or without anterior vitrectomy Repair of retinal detachment, one or more sessions; cryotherapy or diathermy, w/ or w/o drainage of subretinal fluid Repair of retinal detachment, one or more sessions; photocoagulation, w/ or w/o drainage of subretinal fluid Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection, imbrication or encircling procedure), w/ or w/o implant, w/ or w/o cryotherapy, photocoagulation, and drainage of subretinal fluid Repair of retinal detachment; w/ vitrectomy, any method, w/ or w/o air or gas tamponade, focal endolaser photocoagulation, cryotherapy, drainage of subretinal fluid, scleral buckling, and/or removal of lens by same technique Repair of retinal detachment; by injection of air or other gas (e.g., pneumatic retinopexy) Repair of retinal detachment; by scleral buckling or vitrectomy, on patient having previous ipsilateral retinal detachment repair(s) using scleral buckling or vitrectomy techniques Release of encircling material (posterior segment) Removal of implanted material, posterior segment; extraocular Removal of implanted material, posterior segment; intraocular Destruction of localized lesion of retina (e.g., maculopathy, choroidopathy, small tumors), one or more sessions; cryotherapy, diathermy Destruction of localized lesion of retina (e.g., maculopathy, choroidopathy, small tumors), one or more sessions; photocoagulation (laser or xenon arc) Destruction of localized lesion of retina (e.g., maculopathy, choroidopathy, small tumors), one or more sessions; radiation by implantation of source (includes removal of source) Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation (e.g., laser), one or more sessions Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous infusions Destruction of localized lesion of choroid (e.g., choroidal neovascularization); transpupillary thermotherapy Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy), one or more sessions; cryotherapy, diathermy Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy), one or more sessions; photocoagulation (laser or xenon arc) Scleral reinforcement Strabismus surgery, recession or resection procedure (patient not previously operated on); one horizontal muscle Strabismus surgery, recession or resection procedure (patient not previously operated on); two horizontal muscles

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
67314 67316 67318 67320 67331 67332 67334 67340 67343 67345 67400 67405 67412 67413 67414 67415 67420 67430 67440 67445 67550 67560 67580 67581 67582 67583 67584 67585 67586 67700 67710 67715 67800 67825 67830 67835 67840 67875 67880 67882 67900 67901 67902 67903 67904 67906 67908 67911 67912 67914 67915 67916

DESCRIPTION
Strabismus surgery, recession or resection procedure (patient not previously operated on); one vertical muscle (excluding superior oblique) Strabismus surgery, recession or resection procedure (patient not previously operated on); two or more vertical muscles (excluding superior oblique) Strabismus surgery, any procedure (patient not previously operated on), superior oblique muscle Transposition procedure (e.g., for paretic extraocular muscle), any extraocular muscle (specify) Strabismus surgery on patient w/ previous eye surgery or injury that did not involve the extraocular muscles Strabismus surgery on patient w/ scaring of extraocular muscles (e.g., prior ocular injury, strabismus or retinal detachment surgery) or restrictive myopathy (e.g., dysthyroid ophthalmopathy) Strabismus surgery by posterior fixation suture technique, w/ or w/o muscle recession Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) Release of extensive scar tissue w/o detaching extraocular muscle Chemodenervation of extraocular muscle Orbitotomy w/o bone flap (frontal or transconjunctival approach); for exploration, w/ or w/o biopsy Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ drainage only Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ removal of lesion Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ removal of foreign body Orbitotomy w/o bone flap (frontal or transconjunctival approach); w/ removal of bone for decompression Fine needle aspiration of orbital contents Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ removal of lesion Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ removal of foreign body Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ drainage Orbitotomy w/ bone flap or window, lateral approach (e.g., Kroenlein); w/ removal of bone for decompression Orbital implant (implant outside muscle cone); insertion Orbital implant (implant outside muscle cone); removal or revision Repair of anophthalmic socket; with insertion or removal of orbital implant within muscle cone Repair of anophthalmic socket; with exchange or orbital implant Repair of anophthalmic socket; with exchange of orbital implant and reattachment of muscles Repair of anophthalmic socket; with fornix reconstruction using sutures Repair of anophthalmic socket; with fornix reconstruction using buccal mucosal graft or amnion graft, including harvesting of graft Repair of anophthalmic socket; with revision of implant and fornix reconstruction using sutures Repair of anophthalmic socket; with revision of implant and fornix reconstruction using buccal mucosal graft, or amnion graft (including harvesting of graft) Blepharotomy, drainage of abscess, eyelid Severing of tarsorrhaphy Canthotomy Excision of chalazion Repair of trichiasis; by electroepilation, electrosurgery, cryotherapy or laser surgery Repair of trichiasis; incision of lid margin Repair of trichiasis; incision of lid margin, with free mucous membrane graft Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure Temporary closure of eyelids suture (e.g., frost suture) Construction of intermargin adhesions, median tarsorrhaphy, or canthorrhaphy; Construction of intermargin adhesions, median tarsorrhaphy, or canthorrhaphy; with transportation of tarsal plate Repair of brow ptosis (supraciliary, midforehead or coronal approach) Repair of blepharoptosis; frontalis muscle technique with suture or other material Repair of blepharoptosis; frontalis muscle technique with fascial sling (includes obtaining fascia) Repair of blepharoptosis; (tarso) levator resection or advancement, internal approach Repair of blepharoptosis; (tarso) levator resection or advancement, external approach Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) Repair of blepharoptosis; conjunctivo-tarso-Mullers muscle-levator resection (Fasanella-Servat type) Repair of lid retraction (eyelid recession); without spacer Correction of lagophthalmos, with implantation of upper eyelid load Repair of ectropion; suture Repair of ectropion; thermocauterization Blepharoplasty, excision tarsal wedge

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
67917 67921 67922 67923 67924 67930 67935 67950 67961 67966 67971 67973 67974 67975 68320 68325 68326 68328 68330 68335 68340 68360 68362 68371 68400 68420 68440 68500 68520 68530 68540 68550 68700 68705 68720 68745 68750 68760 68770 68811 68815 69310

DESCRIPTION
Blepharoplasty, extensive (e.g., Kuhnt-Szymanowski or tarsal strip operations) Repair of entropion; suture Repair of entropion; thermocauterization Blepharoplasty, excision tarsal wedge Blepharoplasty, extensive (e.g., Wheeler operation) Suture of recent wound, eyelid, involving lid margin, tarsus, and/ or palpebral conjunctiva direct closure; partial thickness Suture of recent wound, eyelid, involving lid margin, tarsus, and/ or palpebral conjunctiva direct closure; full thickness Canthoplasty (reconstruction of canthus) Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid, one stage or first stage Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, lower, one stage or first stage Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid, upper, one stage or first stage Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage Conjunctivoplasty; with conjunctival graft or extensive rearrangement Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) Conjunctivoplasty reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement Conjunctivoplasty reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) Repair of symblepharon; conjunctivoplasty, without graft Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) Repair of symblepharon; division of symblepharon, with or without insertion of conformer or contact lens Conjunctival flap; bridge or partial Conjunctival flap; total (such as Gunderson thin flap or purse string flap) Harvesting conjunctival allograft, living donor Incision, drainage of lacrimal gland Incision, drainage of lacrimal sac (dacryocystostomy) Snip incision of lacrimal punctum Excision of lacrimal gland (dacryoadenectomy), except for tumor Excision of lacrimal sac (dacryocystectomy) Removal of foreign body or dacryolith, lacrimal passages Excision of lacrimal gland tumor; frontal approach Excision of lacrimal gland tumor; involving osteotomy Plastic repair of canaliculi Correction of everted punctum, cautery Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent Closure of the lacrimal punctum; by thermocauterization, ligation, or laser surgery Closure of lacrimal fistula Probing of nasolacrimal duct; requiring general anesthesia Probing of nasolacrimal duct; with insertion of tube or stent Reconstruction of external auditory canal (meatoplasty) (e.g., for stenosis due to trauma, infection)

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ANNEX 7. LIST OF PROCEDURES WITH LATERALITY

RVS CODE
69320 69400 69405 69420 69421 69433 69436 69440 69450 69535 69620 69650 69660 69661 69662 69666 69667 69670 69676 69700 69720 69725 69740 69745 69801 69802 69805 69806 69820 69840 69905 69910 69915 69930 69950 69955 69960 69970

DESCRIPTION
Reconstruction external auditory canal for congenital atresia, single stage Eustachian tube inflation, transnasal; w/ catheterization Eustachian tube catheterization, transtympanic Myringotomy including aspiration and/or eustachian tube inflation Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia Tympanostomy (requiring insertion of ventilating tube), local or topical anesthesia Tympanostomy (requiring insertion of ventilating tube), w/ general anesthesia Middle ear exploration through postauricular or ear canal incision Tympanolysis, transcanal Resection temporal bone, external approach Myringoplasty (surgery confined to drumhead and donor area) Stapes mobilization Stapedectomy or stapedotomy w/ reestablishment of ossicular continuity, w/ or w/o use of foreign material; Stapedectomy or stapedotomy w/ reestablishment of ossicular continuity, w/ or w/o use of foreign material; w/ footplate drill out Revision of stapedectomy or stapedotomy Repair oval window fistula Repair round window fistula Mastoid obliteration Tympanic neurectomy Closure postauricular fistula, mastoid Decompression facial nerve, intratemporal; lateral to geniculate ganglion Decompression facial nerve, intratemporal; including medial to geniculate ganglion Suture facial nerve, intratemporal, w/ or w/o graft or decompression; lateral to geniculate ganglion Suture facial nerve, intratemporal, w/ or w/o graft or decompression; including medial to geniculate ganglion Labyrinthotomy, w/ or w/o cryosurgery including other nonexcisional destructive procedures or perfusion of vestbuloactive drugs (single or multiple perfusions); transcanal Labyrinthotomy, w/ or w/o cryosurgery including other nonexcisional destructive procedures or perfusion of vestbuloactive drugs (single or multiple perfusions); w/ mastoidectomy Endolymphatic sac operation; w/o shunt Endolymphatic sac operation; w/ shunt Fenestration semicircular canal Revision fenestration operation Labyrinthectomy; transcanal Labyrinthectomy; w/ mastoidectomy Vestibular nerve section, translabyrinthine approach Cochlear device implantation, w/ or w/o mastoidectomy Vestibular nerve section, transcranial approach Total facial nerve decompression and/or repair (may include graft) Decompression internal auditory canal Removal of tumor, temporal bone
*subject to policies contained in PC 17 s 2013

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