Miscellaneous Codes – Coding for Clinicians

Official Description	Common Description	Procedure Codes	Possible Additional Codes	Explanations	Work RVU	Total RVU
Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session	Placement of wound vac, If less than 50 sq cm	97605			97605 - 0.55	97605 - 0.17
Puncture Aspiration of Fluid Collection		10160			10160 - 1.25	10160 - 2.74
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less		11620			11620 - 1.64	11620 - 3.47
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm		11621			11621 - 2.08	11621 - 4.32
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm		11622			11622 - 2.41	11622 - 4.95
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm		11623			11623 - 3.11	11623 - 6.12
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm		11624			11624 - 3.62	11624 - 6.94
Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm		11626			11626 - 4.61	11626 - 8.50
HALO Placement		20661			20661 - 5.26	20661 - 14.55
Removal of Internal Electrical Bone Stimulator		76000			76000 - 0.17	76000 - 1.34
Evacuation of Postoperative Anterior Cervical Wound Hematoma		21501			21501 - 3.98	21501 - 9.21
Lumbosacral Laminectomies and Evacuation of Epidural Abscess		22015			22015 - 12.64	22015 - 27.14
Bracing for closed reduction of vertebral body fracture without traction		22310			22310 - 3.89	22310 - 8.13
Bracing for Closed Reduction and Stablization with Traction		22315			22315 - 10.11	22315 - 22.25
Cervical Traction		22315			22315 - 10.11	22315 - 22.25
ICP Pressure Monitor, Intracranial Pressure Monitor LICOX Monitor, or Camino Monitor at the bedside through a twist drill hole (Use this code only once if placed on the same side even if multiple monitors are placed.)		61107			61107 - 4.99	61107 - 9.27
Chiari Decompression		61343			61343 - 31.86	61343 - 64.40
Use of Neuronavigation in Spine: BrainLab; Stealth; Stryker, Mazor Robotics		61783			61783 - 3.75	61783 - 6.83
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); one simple cranial lesion	SRS	61796	+61797 - each additional cranial lesion, simple	global period is 90 days	61796 - 13.93 +61797 - 3.48	61796 - 29.87 +61797 - 6.54
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); one complex cranial lesion	SRS for Acoustic Neuroma	61798	+61799 - each additional cranial lesion, complex	All lesions 3.5 cm or greater are complex. Schwannomas, AVM, pituitary tumors, glomus tumors, pineal region tumors, and coavernous sinus/parasellar/petroclival tumors are complex. Any lesion that is adjacent (5 mm or less) to the optic nerve/optic chasm/optic tract, or within the brainstem, is complex; global period is 90 days	61798 - 19.85 +61799 - 4.81	61798 - 40.75 +61799 - 9.01
Elevation of Simple Depressed Skull Fracture		62000			62000 - 13.93	62000 - 28.02
Elevation of Complex Comminuted Depressed Skull Fracture		62005			62005 - 17.63	62005 - 36.92
Craniotomy for repair of dural/cerebrospinal fluid leak, including surgery for rhinorrhea/otorrhea	Repair of CSF Leak - Non-Skull Base Craniotomy	62100			62100 - 23.53	62100 - 46.32
Replacement of Skull Flap		62143			62143 - 14.15	62143 - 30.50
Third Ventriculostomy		62200			62200 - 19.29	62200 - 39.68
Replacement or revision of cerebrospinal fluid shunt, obstructed valve, or distal catether	Partial VP shunt revision	62230	+62252 - add if programmable valve was used and programmed at the time of placement of valve	VP Shunt Partial Revision, Change of Valve	62230 - 11.43 +62252 - 0.74	62230 - 24.60 +62252 - 2.46
3 level lumbar discogram		62290 72295-26 99144 99145 J0690 J2250			62290 - 3.00 72295-26 - 0.83 99144 - 0 99145 - 0 J0690 - 0 J2250 - 0	62290 - 4.91 72295-26 - 1.23 99144 - 0 99145 - 0 J0690 - 0 J2250 - 0
Discogram-Lumbar		62290 72295 76005 J0690 Q9962 99144 99145			62290 - 3.00 72295 - 0.83 76005 - 0 J0690 - 0 Q9962 - 0 99144 - 0 99145 - 0	62290 - 9.36 72295 - 2.76 76005 - 0 J0690 - 0 Q9962 - 0 99144 - 0 99145 - 0
Epidural Steriod Injection, Lumbar - Office		62311 72265 A4550 Q9962 J3301			62311 - 0 72265 - 0.83 A4550 - 0 Q9962 - 0 J3301 - 0	62311 - 0 72265 - 2.61 A4550 - 0 Q9962 - 0 J3301 - 0
Intrathecal Pump, Revision		62350			62350 - 6.05	62350 - 11.52
Replacement of his baclofen pump		62360			62360 - 4.33	62360 - 8.92
Placement of Baclofen Pump		62362			62362 - 5.60	62362 - 11.11
Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator); one spinal lesion		63620	+63621- each additional cranial lesion, complex	Stereotactic Radiosurgery for Spine Lesion, Single	63620 - 15.60 +63621 - 4.00	63620 - 32.88 +63621 - 7.52
Permanent Peripheral Nerve Stimulation		64575 64555 64590 95972 95973			64575 - 4.42 64555 - 2.32 64590 - 2.45 95972 - 0.80 95973 - 0	64575 - 9.22 64555 - 4.38 64590 - 4.63 95972 - 1.19 95973 - 0
Brace Fitting		97760			97760 - 0.45	97760 - 1.08
Lumbo softech back brace		97760 L0976			97760 - 0.45 L0976 - No RVU	97760 - 1.08 L0976 - No RVU
Removal of foreign body in muscle or tendon sheath; deep or complicated	Removal of bullet	20525			20525 - 3.54	20525 - 7.12
Incision and drainage, complex, postoperative wound infection	I&D of superficial postopertive wound infection	10180			10180 - 2.30	10180 - 5.12
Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device		27279	+61783		27279 - 9.03 +61783 - 3.75	27279 - 19.93 +61783 - 6.83
Decompression unspecified nerve	Radial Nerve Palsy	64722			64722 - 4.82	64722 - 10.43
Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g intramuscular); less than 5cm		24076			24076 - 7.41	24076 - 14.82
Excision, tumor, soft tissue of upper arm or elbow area, subfascial (e.g intramuscular); 5cm or greater		24073			24073 - 10.13	24073 - 20.26
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less	Lipoma	11420			11420 - 1.03	11420 - 2.06
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 cm to 1.0 cm	Lipoma	11421			11421 - 1.47	11421 - 2.94
Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater		21931			21931 - 6.88	21931 - 13.76
Excision, tumor, soft tissue of back or flank, subfascial (eg. intramuscular), less than 5 cm		21932			21932 - 9.82	21932 - 19.64
Excision, tumor, soft tissue of back or flank, subfascial (eg. intramuscular), 5 cm or greater		21933			21933 - 11.13	21933 - 22.26
Radical resection of tumor (eg. sarcoma), soft tissue of back or flank, less than 5 cm		21935			21935 - 15.72	21935 - 31.44
Radical resection of tumor (eg. sarcoma), soft tissue of back or flank, 5 cm or greater		21936			21936 - 22.55	21936 - 45.10
Excision of neurofibroma or neurolemmoma; major peripheral nerve	Resection of peripheral schwannoma but not neuroma	64790			64790 - 12.10	64790 - 24.20
Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)	Lumbar Drain Placement	62272	Do not use 62350 or 62365 as these codes are for lumbar catheters for long-term like pain pump.	Spinal Tap, Lumbar Drain Placement	62272 - 1.35	62272 - 2.43
Ligation or biopsy, temporal artery	Temporal artery biopsy; 10 days global period	37609			37609 - 3.05	37609 - 6.10
Biopsy, muscle, percutaneous needle		20206			20206 - 0.99	20206 - 1.98
Biopsy, bone, trocar, or needle, superficial (eg. ilium, sternum, spinous process, ribs)		20220			20220 - 1.27	20220 - 2.54
Biopsy, bone, trocar, or needle, deep (eg. vertebral body, femur)	Vertebral Body Biopsy	20225 61783			20225 - 1.87 61783 - 3.75	20225 - 3.13 61783 - 6.83
Biopsy, bone, open; superficial (eg. ilium, sternum, spinous process, ribs, trochanter, of femur)		20240			20240 - 2.61	20240 - 5.22
Biopsy, bone, open; deep (eg. humerus, ischium, femur)		20245			20245 - 6.00	20245 - 12.00
Biopsy, vertebral body, open; thoracic		20250			20250 - 5.19	20250 - 10.38
Biopsy, vertebral body, open; lumbar, cervical		20251			20251 - 5.72	20251 - 11.44
Application of Stereotactic head frame for stereotactic radiosurgery		61800			61800 - 2.25	61800 - 4.56
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single		10060			10060 - 1.22	10060 - 2.44
Incision and drainage of hematoma, seroma or fluid collection		10140			10140 - 1.58	10140 - 3.16
Treatment of superficial wound dehiscence; simple closure		12020			12020 - 2.67	12020 - 5.34
Treatment of superficial wound dehiscence; with packing		12021			12021 - 1.89	12021 - 3.78
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm		13120			13120 - 3.23	13120 - 6.46
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm		13121			13121 - 4.00	13121 - 8.00
Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)		13122			13122 - 1.44	13122 - 2.88
Removal of bone flap or prosthetic plate of skull		62142			62142 - 11.83	62142 - 23.66
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbs	Upper Extremity SSEP	95925			95925 - 0.54	95925 - 1.08
1-2 Nerve Conduction Studies		95907		EMG/NCV	95907 - 1.00	95907 - 2.00
3-4 Nerve Conduction Studies		95908		EMG/NCV	95908 - 1.25	95908 - 2.50
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbs	Upper and Lower Extremity SSEP (This would only be needed in cases of myelopathy or multilevel stenosis to use the lower extremity responses as a control)	95938			95938 - 0.86	95938 - 1.72
Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbs 137.76 NA	Lower Extremity SSEP Auth the same NCS codes as above and 95938 for multilevel lumbar stenosis cases to use the upper extremities as a control.	95926			95926 - 0.54	95926 - 1.08
Nerve conduction studies; 5-6 studies		95909		EMG/NCV	95909 - 1.50	95909 - 3.00
Nerve conduction studies; 7-8 studies		95910		EMG/NCV	95910 - 2.00	95910 - 4.00
Nerve conduction studies; 9-10 studies		95911		EMG/NCV	95911 - 2.50	95911 - 5.00
Nerve conduction studies; 11-12 studies		95912		EMG/NCV	95912 - 3.00	95912 - 6.00
Nerve conduction studies; 13 or more studies		95913		EMG/NCV	95913 - 3.56	95913 - 7.12
Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method		95937		EMG/NCV	95937 - 0.65	95937 - 1.3
Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code for primary procedure)		95885		EMG/NCV	95885 - 0.35	95885 - 0.70
Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure)		95886		EMG/NCV	95886 - 0.86	95886 - 1.72
Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure)		95887		EMG/NCV	95887 - 0.71	95887 - 1.42
Needle electromyography; 1 extremity with or without related paraspinal areas		95860		EMG/NCV	95860 - 0.96	95860 - 1.92
Needle electromyography; 2 extremities with or without related paraspinal areas		95861		EMG/NCV	95861 - 1.54	95861 - 3.08
Osteogenesis stimulator, electrical, non-invasive, spinal applications	Bone Graft Stimulator	E0748			E0748 - 0	E0748 - 0
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less		11400			11400 - 0.90	11400 - 1.8
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm		11401			11401 - 1.28	11401 - 2.56
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm		11402			11402 - 1.45	11402 - 2.9
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm		11403			11403 - 1.84	11403 - 3.68
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm		11404			11404 - 2.11	11404 - 4.22
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm		11406			11406 - 3.52	11406 - 7.04
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less		11420			11420 - 1.03	11420 - 2.06
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm		11421			11421 - 1.47	11421 - 2.94
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm		11422			11422 - 1.68	11422 - 3.36
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm		11423			11423 - 2.06	11423 - 4.12
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm		11424			11424 - 2.48	11424 - 4.96
Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm		11426			11426 - 4.09	11426 - 8.18
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less		11440			11440 - 1.05	11440 - 2.1
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm		11441			11441 - 1.53	11441 - 3.06
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm		11442			11442 - 1.77	11442 - 3.54
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm		11443			11443 - 2.34	11443 - 4.68
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm		11444			11444 - 3.19	11444 - 6.38
Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm		11446			11446 - 4.80	11446 - 9.6
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair		11450			11450 - 3.22	11450 - 6.44
Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair		11451			11451 - 4.43	11451 - 8.86
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair		11470			11470 - 3.74	11470 - 7.48
Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair		11471			11471 - 4.89	11471 - 9.78
Therapeutic exercises, 15 mins		97110			97110 - 0.45	97110 - 0.90
Manual therapy 1/> regions, 15 mins		97140			97140 - 0.43	97140 - 0.86
Neuromuscular reeducation, 15 mins		97112			97112 - 0.50	97112 - 1.00
Therapeutic activities, 15 mins		97530			97530 - 0.44	97530 - 0.88
Electric stimulation therapy		97014			97014 - 0.18	97014 - 0.36
Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care		G0283			G0283 - 0.18	G0283 - 0.36
PT Eval MOD complex 30 mins		97162			97162 - 1.54	97162 - 3.08
PT Re-eval est plan care		97164			97164 - 0.96	97164 - 1.92
Resect face/scalp tum 2 cm/>		21016		Global period is 90 days	21016 - 15.26	21016 - 30.52
Negative pressure wound therapy (eg, vacuum assisted drainage collection), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session	Placement of wound vac, If equal or greater than 50 sq cm	97606			97606 - 0.60	97606 - 1.2
Transection or avulsion of the greater occipital nerve, which may be the most accurate choice for a procedure involving cutting the C2 nerve root		64744			64744 - 5.72	64744 - 11.44
Transection or avulsion of other cranial nerve, extradural		64771			64771 - 8.15	64771 - 16.3
Transection or avulsion of other spinal nerve, extradural		64772			64772 - 7.84	64772 - 15.68