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Official Description

Thoracoscopy, surgical; with thoracic sympathectomy

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

A thoracic sympathectomy is a surgical procedure performed through thoracoscopy, which is also known as video-assisted thoracoscopic surgery (VATS). This minimally invasive technique allows surgeons to access the thoracic cavity with reduced trauma compared to traditional open surgery. During the procedure, the patient is positioned in a semi-Fowler's position, which involves sitting up slightly with the arms positioned away from the body. A roll is placed behind the shoulder to facilitate access to the upper sympathetic chain, which is a network of nerves located in the thoracic region. To perform the surgery, one-lung ventilation is utilized, allowing the contralateral lung to collapse. This collapse is essential as it creates more space within the thoracic cavity, enabling the surgeon to visualize and operate on the sympathetic chain effectively. The procedure involves making one or two small incisions in the chest wall through which a thoracoscope is inserted. The thoracoscope is equipped with a camera and light source, providing a clear view of the sympathetic chain located beneath the parietal pleura, which is the outer membrane covering the lungs. The sympathetic chain runs vertically along the necks of the ribs in the upper vertebral region. The surgeon then uses hook cautery to divide the sympathetic chain, which may involve cutting and coagulating the nerve fibers. In some cases, a segment of the chain may be excised entirely. The goal of the procedure is to obliterate the ganglia by completely severing the sympathetic chain, which can alleviate conditions such as hyperhidrosis, thoracic outlet syndrome, reflex sympathetic dystrophy, and chronic pancreatic pain. After the sympathetic chain is transected, the pleura is carefully divided laterally to the chain, and any aberrant nerve bundles are identified and severed to prevent unintended nerve regeneration. The ends of the sympathetic nerve bundles are cauterized to further inhibit regrowth. The specific level at which the sympathetic chain is transected depends on the condition being treated; for instance, levels T2-T5 are targeted for hyperhidrosis, T1-T3 for thoracic outlet syndrome and reflex sympathetic dystrophy, and T4-T10 for chronic pancreatic pain. Once the procedure is completed, a chest tube is placed to facilitate drainage, and the subcutaneous tissue is closed. The lungs are then expanded, the chest tube is removed, and a subcuticular suture is applied to finalize the surgical site. If necessary, the procedure may be repeated on the opposite side to achieve bilateral results.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The thoracic sympathectomy procedure is indicated for several specific conditions that involve the sympathetic nervous system. These indications include:

  • Hyperhidrosis - A condition characterized by excessive sweating, often affecting the palms, feet, and underarms.
  • Thoracic Outlet Syndrome - A condition that occurs when blood vessels or nerves in the thoracic outlet are compressed, leading to pain and discomfort in the shoulders and arms.
  • Reflex Sympathetic Dystrophy - Also known as complex regional pain syndrome, this condition involves chronic pain that usually affects an arm or a leg, often following an injury.
  • Chronic Pancreatic Pain - Persistent pain associated with pancreatic disorders, which may be alleviated by severing the sympathetic nerves that innervate the pancreas.

2. Procedure

The thoracic sympathectomy procedure involves several critical steps to ensure successful outcomes. The procedure begins with the patient being placed in a semi-Fowler's position, which allows optimal access to the thoracic cavity. The arms are abducted, and a roll is positioned behind the shoulder to facilitate access to the upper sympathetic chain. Following this, one-lung ventilation is initiated, resulting in the collapse of the contralateral lung. This technique utilizes gravity to pull the lung downwards and away from the chest wall, creating a clearer surgical field. Next, one or two small incisions are made in the chest wall, through which a thoracoscope is inserted. The thoracoscope, equipped with a camera and light source, provides visualization of the sympathetic chain located beneath the parietal pleura. The surgeon carefully identifies the sympathetic chain, which runs vertically over the necks of the ribs in the upper vertebral region. Using hook cautery, the surgeon divides the sympathetic chain, effectively cutting and coagulating the nerve fibers. In some cases, a segment of the sympathetic chain may be excised entirely to achieve the desired therapeutic effect. Once the sympathetic chain is transected, the pleura is divided laterally to the chain, allowing the surgeon to locate and sever any aberrant nerve bundles that may interfere with the procedure's success. The sympathetic nerve bundles are then separated, and the ends are cauterized to prevent regrowth, which is crucial for ensuring long-term relief from the symptoms associated with the conditions being treated. The specific level of transection is determined by the condition being addressed; for hyperhidrosis, the sympathetic chain is divided at levels T2-T5, while for thoracic outlet syndrome and reflex sympathetic dystrophy, the transection occurs at levels T1-T3. For chronic pancreatic pain, the transection is performed at levels T4-T10. Upon completion of the transection, a chest tube is placed to facilitate drainage of any fluid or air that may accumulate in the thoracic cavity. The subcutaneous tissue is then closed, and the lungs are expanded to restore normal respiratory function. After ensuring that the surgical site is secure, the chest tube is removed, and a subcuticular suture is applied to finalize the closure. If necessary, the procedure may be repeated on the opposite side to achieve bilateral results, depending on the patient's specific needs.

3. Post-Procedure

After the thoracic sympathectomy, patients are typically monitored for any complications related to the procedure. Post-operative care may include pain management, monitoring for signs of infection, and ensuring proper lung expansion. Patients may experience some discomfort at the incision sites, which is usually managed with prescribed analgesics. The recovery period can vary depending on the individual and the extent of the procedure, but many patients can expect to resume normal activities within a few weeks. Follow-up appointments are essential to assess the effectiveness of the procedure and to monitor for any potential complications or recurrence of symptoms. It is important for patients to adhere to their post-operative care instructions and attend all scheduled follow-up visits to ensure optimal recovery and outcomes.

Short Descr THORACOSCOPY W/ TH NRV EXC
Medium Descr THORACOSCOPY W/THORACIC SYMPATHECTOMY
Long Descr Thoracoscopy, surgical; with thoracic sympathectomy
Status Code Active Code
Global Days 090 - Major Surgery
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 1 - 150% payment adjustment for bilateral procedures applies.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 2 - Payment restriction for assistants at surgery does not apply to this procedure...
Co-Surgeons (62) 1 - Co-surgeons could be paid, though supporting documentation is required...
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Inpatient Procedures, not paid under OPPS
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P8I - Endoscopy - other
MUE 1
CCS Clinical Classification 9 - Other OR therapeutic nervous system procedures
22 Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service.
50 Bilateral procedure: unless otherwise identified in the listings, bilateral procedures that are performed at the same session, should be identified by adding modifier 50 to the appropriate 5 digit code. note: this modifier should not be appended to designated "add-on" codes (see appendix d).
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
52 Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
78 Unplanned return to the operating/procedure room by the same physician or other qualified health care professional following initial procedure for a related procedure during the postoperative period: it may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). when this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (for repeat procedures, see modifier 76.)
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
82 Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s).
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
GC This service has been performed in part by a resident under the direction of a teaching physician
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
Date
Action
Notes
2011-01-01 Changed Short description changed.
1994-01-01 Added First appearance in code book in 1994.
Code
Description
C90.00 Multiple myeloma not having achieved remission
C90.01 Multiple myeloma in remission
C90.02 Multiple myeloma in relapse
D68.51 Activated protein C resistance
D68.52 Prothrombin gene mutation
D68.59 Other primary thrombophilia
D68.61 Antiphospholipid syndrome
D68.62 Lupus anticoagulant syndrome
G90.511 Complex regional pain syndrome I of right upper limb
G90.512 Complex regional pain syndrome I of left upper limb
G90.513 Complex regional pain syndrome I of upper limb, bilateral
G90.521 Complex regional pain syndrome I of right lower limb
G90.522 Complex regional pain syndrome I of left lower limb
G90.523 Complex regional pain syndrome I of lower limb, bilateral
G90.59 Complex regional pain syndrome I of other specified site
I20.0 Unstable angina
I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
I21.9 Acute myocardial infarction, unspecified
I22.2 Subsequent non-ST elevation (NSTEMI) myocardial infarction
I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale
I26.09 Other pulmonary embolism with acute cor pulmonale
I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale
I26.93 Single subsegmental thrombotic pulmonary embolism without acute cor pulmonale
I26.94 Multiple subsegmental thrombotic pulmonary emboli without acute cor pulmonale
I26.99 Other pulmonary embolism without acute cor pulmonale
I50.1 Left ventricular failure, unspecified
I50.20 Unspecified systolic (congestive) heart failure
I50.21 Acute systolic (congestive) heart failure
I50.22 Chronic systolic (congestive) heart failure
I50.23 Acute on chronic systolic (congestive) heart failure
I50.30 Unspecified diastolic (congestive) heart failure
I50.31 Acute diastolic (congestive) heart failure
I50.32 Chronic diastolic (congestive) heart failure
I50.33 Acute on chronic diastolic (congestive) heart failure
I50.40 Unspecified combined systolic (congestive) and diastolic (congestive) heart failure
I50.41 Acute combined systolic (congestive) and diastolic (congestive) heart failure
I50.42 Chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.43 Acute on chronic combined systolic (congestive) and diastolic (congestive) heart failure
I50.810 Right heart failure, unspecified
I50.811 Acute right heart failure
I50.812 Chronic right heart failure
I50.813 Acute on chronic right heart failure
I50.814 Right heart failure due to left heart failure
I50.82 Biventricular heart failure
I50.83 High output heart failure
I50.84 End stage heart failure
I50.89 Other heart failure
I50.9 Heart failure, unspecified
I63.30 Cerebral infarction due to thrombosis of unspecified cerebral artery
I63.311 Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312 Cerebral infarction due to thrombosis of left middle cerebral artery
I63.313 Cerebral infarction due to thrombosis of bilateral middle cerebral arteries
I63.319 Cerebral infarction due to thrombosis of unspecified middle cerebral artery
I63.321 Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322 Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.323 Cerebral infarction due to thrombosis of bilateral anterior cerebral arteries
I63.329 Cerebral infarction due to thrombosis of unspecified anterior cerebral artery
I63.331 Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332 Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.333 Cerebral infarction due to thrombosis of bilateral posterior cerebral arteries
I63.339 Cerebral infarction due to thrombosis of unspecified posterior cerebral artery
I63.341 Cerebral infarction due to thrombosis of right cerebellar artery
I63.342 Cerebral infarction due to thrombosis of left cerebellar artery
I63.343 Cerebral infarction due to thrombosis of bilateral cerebellar arteries
I63.349 Cerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39 Cerebral infarction due to thrombosis of other cerebral artery
I63.40 Cerebral infarction due to embolism of unspecified cerebral artery
I63.411 Cerebral infarction due to embolism of right middle cerebral artery
I63.412 Cerebral infarction due to embolism of left middle cerebral artery
I63.413 Cerebral infarction due to embolism of bilateral middle cerebral arteries
I63.419 Cerebral infarction due to embolism of unspecified middle cerebral artery
I63.421 Cerebral infarction due to embolism of right anterior cerebral artery
I63.422 Cerebral infarction due to embolism of left anterior cerebral artery
I63.423 Cerebral infarction due to embolism of bilateral anterior cerebral arteries
I63.429 Cerebral infarction due to embolism of unspecified anterior cerebral artery
I63.431 Cerebral infarction due to embolism of right posterior cerebral artery
I63.432 Cerebral infarction due to embolism of left posterior cerebral artery
I63.433 Cerebral infarction due to embolism of bilateral posterior cerebral arteries
I63.439 Cerebral infarction due to embolism of unspecified posterior cerebral artery
I63.441 Cerebral infarction due to embolism of right cerebellar artery
I63.442 Cerebral infarction due to embolism of left cerebellar artery
I63.443 Cerebral infarction due to embolism of bilateral cerebellar arteries
I63.449 Cerebral infarction due to embolism of unspecified cerebellar artery
I63.49 Cerebral infarction due to embolism of other cerebral artery
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I71.00 Dissection of unspecified site of aorta
I71.01 Dissection of thoracic aorta  []
I71.010 Dissection of ascending aorta
I71.011 Dissection of aortic arch
I71.012 Dissection of descending thoracic aorta
I71.019 Dissection of thoracic aorta, unspecified
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.1 Thoracic aortic aneurysm, ruptured  []
I71.10 Thoracic aortic aneurysm, ruptured, unspecified
I71.11 Aneurysm of the ascending aorta, ruptured
I71.12 Aneurysm of the aortic arch, ruptured
I71.13 Aneurysm of the descending thoracic aorta, ruptured
I71.2 Thoracic aortic aneurysm, without rupture  []
I71.20 Thoracic aortic aneurysm, without rupture, unspecified
I71.21 Aneurysm of the ascending aorta, without rupture
I71.22 Aneurysm of the aortic arch, without rupture
I71.23 Aneurysm of the descending thoracic aorta, without rupture
I71.3 Abdominal aortic aneurysm, ruptured  []
I71.30 Abdominal aortic aneurysm, ruptured, unspecified
I71.31 Pararenal abdominal aortic aneurysm, ruptured
I71.32 Juxtarenal abdominal aortic aneurysm, ruptured
I71.33 Infrarenal abdominal aortic aneurysm, ruptured
I71.4 Abdominal aortic aneurysm, without rupture  []
I71.40 Abdominal aortic aneurysm, without rupture, unspecified
I71.41 Pararenal abdominal aortic aneurysm, without rupture
I71.42 Juxtarenal abdominal aortic aneurysm, without rupture
I71.43 Infrarenal abdominal aortic aneurysm, without rupture
I71.5 Thoracoabdominal aortic aneurysm, ruptured  []
I71.50 Thoracoabdominal aortic aneurysm, ruptured, unspecified
I71.51 Supraceliac aneurysm of the thoracoabdominal aorta, ruptured
I71.52 Paravisceral aneurysm of the thoracoabdominal aorta, ruptured
I71.6 Thoracoabdominal aortic aneurysm, without rupture  []
I71.60 Thoracoabdominal aortic aneurysm, without rupture, unspecified
I71.61 Supraceliac aneurysm of the thoracoabdominal aorta, without rupture
I71.62 Paravisceral aneurysm of the thoracoabdominal aorta, without rupture
I71.8 Aortic aneurysm of unspecified site, ruptured
I71.9 Aortic aneurysm of unspecified site, without rupture
I72.0 Aneurysm of carotid artery
I72.1 Aneurysm of artery of upper extremity
I72.2 Aneurysm of renal artery
I72.3 Aneurysm of iliac artery
I72.4 Aneurysm of artery of lower extremity
I72.5 Aneurysm of other precerebral arteries
I72.6 Aneurysm of vertebral artery
I72.8 Aneurysm of other specified arteries
I72.9 Aneurysm of unspecified site
I73.00 Raynaud's syndrome without gangrene
I73.01 Raynaud's syndrome with gangrene
I82.0 Budd-Chiari syndrome
I82.1 Thrombophlebitis migrans
I82.210 Acute embolism and thrombosis of superior vena cava
I82.211 Chronic embolism and thrombosis of superior vena cava
I82.220 Acute embolism and thrombosis of inferior vena cava
I82.221 Chronic embolism and thrombosis of inferior vena cava
I82.290 Acute embolism and thrombosis of other thoracic veins
I82.291 Chronic embolism and thrombosis of other thoracic veins
I82.3 Embolism and thrombosis of renal vein
I82.401 Acute embolism and thrombosis of unspecified deep veins of right lower extremity
I82.402 Acute embolism and thrombosis of unspecified deep veins of left lower extremity
I82.403 Acute embolism and thrombosis of unspecified deep veins of lower extremity, bilateral
I82.409 Acute embolism and thrombosis of unspecified deep veins of unspecified lower extremity
I82.411 Acute embolism and thrombosis of right femoral vein
I82.412 Acute embolism and thrombosis of left femoral vein
I82.413 Acute embolism and thrombosis of femoral vein, bilateral
I82.419 Acute embolism and thrombosis of unspecified femoral vein
I82.421 Acute embolism and thrombosis of right iliac vein
I82.422 Acute embolism and thrombosis of left iliac vein
I82.423 Acute embolism and thrombosis of iliac vein, bilateral
I82.429 Acute embolism and thrombosis of unspecified iliac vein
I82.431 Acute embolism and thrombosis of right popliteal vein
I82.432 Acute embolism and thrombosis of left popliteal vein
I82.433 Acute embolism and thrombosis of popliteal vein, bilateral
I82.439 Acute embolism and thrombosis of unspecified popliteal vein
I82.441 Acute embolism and thrombosis of right tibial vein
I82.442 Acute embolism and thrombosis of left tibial vein
I82.443 Acute embolism and thrombosis of tibial vein, bilateral
I82.449 Acute embolism and thrombosis of unspecified tibial vein
I82.451 Acute embolism and thrombosis of right peroneal vein
I82.452 Acute embolism and thrombosis of left peroneal vein
I82.453 Acute embolism and thrombosis of peroneal vein, bilateral
I82.459 Acute embolism and thrombosis of unspecified peroneal vein
I82.461 Acute embolism and thrombosis of right calf muscular vein
I82.462 Acute embolism and thrombosis of left calf muscular vein
I82.463 Acute embolism and thrombosis of calf muscular vein, bilateral
I82.469 Acute embolism and thrombosis of unspecified calf muscular vein
I82.491 Acute embolism and thrombosis of other specified deep vein of right lower extremity
I82.492 Acute embolism and thrombosis of other specified deep vein of left lower extremity
I82.493 Acute embolism and thrombosis of other specified deep vein of lower extremity, bilateral
I82.499 Acute embolism and thrombosis of other specified deep vein of unspecified lower extremity
I82.4Y1 Acute embolism and thrombosis of unspecified deep veins of right proximal lower extremity
I82.4Y2 Acute embolism and thrombosis of unspecified deep veins of left proximal lower extremity
I82.4Y3 Acute embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral
I82.4Y9 Acute embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity
I82.4Z1 Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity
I82.4Z2 Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity
I82.4Z3 Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
I82.4Z9 Acute embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity
I82.501 Chronic embolism and thrombosis of unspecified deep veins of right lower extremity
I82.502 Chronic embolism and thrombosis of unspecified deep veins of left lower extremity
I82.503 Chronic embolism and thrombosis of unspecified deep veins of lower extremity, bilateral
I82.509 Chronic embolism and thrombosis of unspecified deep veins of unspecified lower extremity
I82.511 Chronic embolism and thrombosis of right femoral vein
I82.512 Chronic embolism and thrombosis of left femoral vein
I82.513 Chronic embolism and thrombosis of femoral vein, bilateral
I82.519 Chronic embolism and thrombosis of unspecified femoral vein
I82.521 Chronic embolism and thrombosis of right iliac vein
I82.522 Chronic embolism and thrombosis of left iliac vein
I82.523 Chronic embolism and thrombosis of iliac vein, bilateral
I82.529 Chronic embolism and thrombosis of unspecified iliac vein
I82.531 Chronic embolism and thrombosis of right popliteal vein
I82.532 Chronic embolism and thrombosis of left popliteal vein
I82.533 Chronic embolism and thrombosis of popliteal vein, bilateral
I82.539 Chronic embolism and thrombosis of unspecified popliteal vein
I82.541 Chronic embolism and thrombosis of right tibial vein
I82.542 Chronic embolism and thrombosis of left tibial vein
I82.543 Chronic embolism and thrombosis of tibial vein, bilateral
I82.549 Chronic embolism and thrombosis of unspecified tibial vein
I82.551 Chronic embolism and thrombosis of right peroneal vein
I82.552 Chronic embolism and thrombosis of left peroneal vein
I82.553 Chronic embolism and thrombosis of peroneal vein, bilateral
I82.559 Chronic embolism and thrombosis of unspecified peroneal vein
I82.561 Chronic embolism and thrombosis of right calf muscular vein
I82.562 Chronic embolism and thrombosis of left calf muscular vein
I82.563 Chronic embolism and thrombosis of calf muscular vein, bilateral
I82.569 Chronic embolism and thrombosis of unspecified calf muscular vein
I82.591 Chronic embolism and thrombosis of other specified deep vein of right lower extremity
I82.592 Chronic embolism and thrombosis of other specified deep vein of left lower extremity
I82.593 Chronic embolism and thrombosis of other specified deep vein of lower extremity, bilateral
I82.599 Chronic embolism and thrombosis of other specified deep vein of unspecified lower extremity
I82.5Y1 Chronic embolism and thrombosis of unspecified deep veins of right proximal lower extremity
I82.5Y2 Chronic embolism and thrombosis of unspecified deep veins of left proximal lower extremity
I82.5Y3 Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral
I82.5Y9 Chronic embolism and thrombosis of unspecified deep veins of unspecified proximal lower extremity
I82.5Z1 Chronic embolism and thrombosis of unspecified deep veins of right distal lower extremity
I82.5Z2 Chronic embolism and thrombosis of unspecified deep veins of left distal lower extremity
I82.5Z3 Chronic embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
I82.5Z9 Chronic embolism and thrombosis of unspecified deep veins of unspecified distal lower extremity
I82.601 Acute embolism and thrombosis of unspecified veins of right upper extremity
I82.602 Acute embolism and thrombosis of unspecified veins of left upper extremity
I82.603 Acute embolism and thrombosis of unspecified veins of upper extremity, bilateral
I82.609 Acute embolism and thrombosis of unspecified veins of unspecified upper extremity
I82.611 Acute embolism and thrombosis of superficial veins of right upper extremity
I82.612 Acute embolism and thrombosis of superficial veins of left upper extremity
I82.613 Acute embolism and thrombosis of superficial veins of upper extremity, bilateral
I82.619 Acute embolism and thrombosis of superficial veins of unspecified upper extremity
I82.621 Acute embolism and thrombosis of deep veins of right upper extremity
I82.622 Acute embolism and thrombosis of deep veins of left upper extremity
I82.623 Acute embolism and thrombosis of deep veins of upper extremity, bilateral
I82.629 Acute embolism and thrombosis of deep veins of unspecified upper extremity
I82.701 Chronic embolism and thrombosis of unspecified veins of right upper extremity
I82.702 Chronic embolism and thrombosis of unspecified veins of left upper extremity
I82.703 Chronic embolism and thrombosis of unspecified veins of upper extremity, bilateral
I82.709 Chronic embolism and thrombosis of unspecified veins of unspecified upper extremity
I82.711 Chronic embolism and thrombosis of superficial veins of right upper extremity
I82.712 Chronic embolism and thrombosis of superficial veins of left upper extremity
I82.713 Chronic embolism and thrombosis of superficial veins of upper extremity, bilateral
I82.719 Chronic embolism and thrombosis of superficial veins of unspecified upper extremity
I82.721 Chronic embolism and thrombosis of deep veins of right upper extremity
I82.722 Chronic embolism and thrombosis of deep veins of left upper extremity
I82.723 Chronic embolism and thrombosis of deep veins of upper extremity, bilateral
I82.729 Chronic embolism and thrombosis of deep veins of unspecified upper extremity
I82.811 Embolism and thrombosis of superficial veins of right lower extremity
I82.812 Embolism and thrombosis of superficial veins of left lower extremity
I82.813 Embolism and thrombosis of superficial veins of lower extremities, bilateral
I82.819 Embolism and thrombosis of superficial veins of unspecified lower extremity
I82.890 Acute embolism and thrombosis of other specified veins
I82.891 Chronic embolism and thrombosis of other specified veins
I82.90 Acute embolism and thrombosis of unspecified vein
I82.91 Chronic embolism and thrombosis of unspecified vein
I87.2 Venous insufficiency (chronic) (peripheral)
I87.8 Other specified disorders of veins
I87.9 Disorder of vein, unspecified
I99.8 Other disorder of circulatory system
I99.9 Unspecified disorder of circulatory system
L74.510 Primary focal hyperhidrosis, axilla
L74.511 Primary focal hyperhidrosis, face
L74.512 Primary focal hyperhidrosis, palms
L74.513 Primary focal hyperhidrosis, soles
L74.52 Secondary focal hyperhidrosis
M30.3 Mucocutaneous lymph node syndrome [Kawasaki]
M62.81 Muscle weakness (generalized)
O22.00 Varicose veins of lower extremity in pregnancy, unspecified trimester
O22.01 Varicose veins of lower extremity in pregnancy, first trimester
O22.02 Varicose veins of lower extremity in pregnancy, second trimester
O22.03 Varicose veins of lower extremity in pregnancy, third trimester
O22.10 Genital varices in pregnancy, unspecified trimester
O22.11 Genital varices in pregnancy, first trimester
O22.12 Genital varices in pregnancy, second trimester
O22.13 Genital varices in pregnancy, third trimester
O22.20 Superficial thrombophlebitis in pregnancy, unspecified trimester
O22.21 Superficial thrombophlebitis in pregnancy, first trimester
O22.22 Superficial thrombophlebitis in pregnancy, second trimester
O22.23 Superficial thrombophlebitis in pregnancy, third trimester
O22.30 Deep phlebothrombosis in pregnancy, unspecified trimester
O22.31 Deep phlebothrombosis in pregnancy, first trimester
O22.32 Deep phlebothrombosis in pregnancy, second trimester
O22.33 Deep phlebothrombosis in pregnancy, third trimester
O22.40 Hemorrhoids in pregnancy, unspecified trimester
O22.41 Hemorrhoids in pregnancy, first trimester
O22.42 Hemorrhoids in pregnancy, second trimester
O22.43 Hemorrhoids in pregnancy, third trimester
O22.50 Cerebral venous thrombosis in pregnancy, unspecified trimester
O22.51 Cerebral venous thrombosis in pregnancy, first trimester
O22.52 Cerebral venous thrombosis in pregnancy, second trimester
O22.53 Cerebral venous thrombosis in pregnancy, third trimester
O22.8X1 Other venous complications in pregnancy, first trimester
O22.8X2 Other venous complications in pregnancy, second trimester
O22.8X3 Other venous complications in pregnancy, third trimester
O22.8X9 Other venous complications in pregnancy, unspecified trimester
O22.90 Venous complication in pregnancy, unspecified, unspecified trimester
O22.91 Venous complication in pregnancy, unspecified, first trimester
O22.92 Venous complication in pregnancy, unspecified, second trimester
O22.93 Venous complication in pregnancy, unspecified, third trimester
O88.011 Air embolism in pregnancy, first trimester
O88.012 Air embolism in pregnancy, second trimester
O88.013 Air embolism in pregnancy, third trimester
O88.019 Air embolism in pregnancy, unspecified trimester
O88.111 Amniotic fluid embolism in pregnancy, first trimester
O88.112 Amniotic fluid embolism in pregnancy, second trimester
O88.113 Amniotic fluid embolism in pregnancy, third trimester
O88.119 Amniotic fluid embolism in pregnancy, unspecified trimester
O88.211 Thromboembolism in pregnancy, first trimester
O88.212 Thromboembolism in pregnancy, second trimester
O88.213 Thromboembolism in pregnancy, third trimester
O88.219 Thromboembolism in pregnancy, unspecified trimester
O88.311 Pyemic and septic embolism in pregnancy, first trimester
O88.312 Pyemic and septic embolism in pregnancy, second trimester
O88.313 Pyemic and septic embolism in pregnancy, third trimester
O88.319 Pyemic and septic embolism in pregnancy, unspecified trimester
O88.811 Other embolism in pregnancy, first trimester
O88.812 Other embolism in pregnancy, second trimester
O88.813 Other embolism in pregnancy, third trimester
O88.819 Other embolism in pregnancy, unspecified trimester
O99.411 Diseases of the circulatory system complicating pregnancy, first trimester
O99.412 Diseases of the circulatory system complicating pregnancy, second trimester
O99.413 Diseases of the circulatory system complicating pregnancy, third trimester
O99.419 Diseases of the circulatory system complicating pregnancy, unspecified trimester
R26.81 Unsteadiness on feet
R54 Age-related physical debility
Z00.00 Encounter for general adult medical examination without abnormal findings
Z00.01 Encounter for general adult medical examination with abnormal findings
Z00.110 Health examination for newborn under 8 days old
Z00.111 Health examination for newborn 8 to 28 days old
Z00.121 Encounter for routine child health examination with abnormal findings
Z00.129 Encounter for routine child health examination without abnormal findings
Z00.3 Encounter for examination for adolescent development state
Z00.8 Encounter for other general examination
Z01.10 Encounter for examination of ears and hearing without abnormal findings
Z01.110 Encounter for hearing examination following failed hearing screening
Z01.118 Encounter for examination of ears and hearing with other abnormal findings
Z01.30 Encounter for examination of blood pressure without abnormal findings
Z01.31 Encounter for examination of blood pressure with abnormal findings
Z01.411 Encounter for gynecological examination (general) (routine) with abnormal findings
Z01.419 Encounter for gynecological examination (general) (routine) without abnormal findings
Z01.42 Encounter for cervical smear to confirm findings of recent normal smear following initial abnormal smear
Z11.1 Encounter for screening for respiratory tuberculosis
Z11.3 Encounter for screening for infections with a predominantly sexual mode of transmission
Z11.4 Encounter for screening for human immunodeficiency virus [HIV]
Z11.51 Encounter for screening for human papillomavirus (HPV)
Z11.59 Encounter for screening for other viral diseases
Z11.8 Encounter for screening for other infectious and parasitic diseases
Z12.10 Encounter for screening for malignant neoplasm of intestinal tract, unspecified
Z12.11 Encounter for screening for malignant neoplasm of colon
Z12.12 Encounter for screening for malignant neoplasm of rectum
Z12.13 Encounter for screening for malignant neoplasm of small intestine
Z12.31 Encounter for screening mammogram for malignant neoplasm of breast
Z12.39 Encounter for other screening for malignant neoplasm of breast
Z12.4 Encounter for screening for malignant neoplasm of cervix
Z12.5 Encounter for screening for malignant neoplasm of prostate
Z13.1 Encounter for screening for diabetes mellitus
Z13.220 Encounter for screening for lipoid disorders
Z13.31 Encounter for screening for depression
Z13.32 Encounter for screening for maternal depression
Z13.39 Encounter for screening examination for other mental health and behavioral disorders
Z13.41 Encounter for autism screening
Z13.42 Encounter for screening for global developmental delays (milestones)
Z13.49 Encounter for screening for other developmental delays
Z13.6 Encounter for screening for cardiovascular disorders
Z13.820 Encounter for screening for osteoporosis
Z13.88 Encounter for screening for disorder due to exposure to contaminants
Z20.1 Contact with and (suspected) exposure to tuberculosis
Z20.2 Contact with and (suspected) exposure to infections with a predominantly sexual mode of transmission
Z20.5 Contact with and (suspected) exposure to viral hepatitis
Z20.6 Contact with and (suspected) exposure to human immunodeficiency virus [HIV]
Z23 Encounter for immunization
Z29.11 Encounter for prophylactic immunotherapy for respiratory syncytial virus (RSV)
Z29.81 Encounter for HIV pre-exposure prophylaxis
Z30.013 Encounter for initial prescription of injectable contraceptive
Z30.2 Encounter for sterilization
Z30.40 Encounter for surveillance of contraceptives, unspecified
Z30.42 Encounter for surveillance of injectable contraceptive
Z30.49 Encounter for surveillance of other contraceptives
Z30.8 Encounter for other contraceptive management
Z30.9 Encounter for contraceptive management, unspecified
Z31.5 Encounter for procreative genetic counseling
Z71.3 Dietary counseling and surveillance
Z71.7 Human immunodeficiency virus [HIV] counseling
Z71.83 Encounter for nonprocreative genetic counseling
Z72.51 High risk heterosexual behavior
Z72.52 High risk homosexual behavior
Z72.53 High risk bisexual behavior
Z73.9 Problem related to life management difficulty, unspecified
Z76.1 Encounter for health supervision and care of foundling
Z76.2 Encounter for health supervision and care of other healthy infant and child
Z76.81 Expectant parent(s) prebirth pediatrician visit
Z80.0 Family history of malignant neoplasm of digestive organs
Z80.3 Family history of malignant neoplasm of breast
Z80.41 Family history of malignant neoplasm of ovary
Z80.42 Family history of malignant neoplasm of prostate
Z82.62 Family history of osteoporosis
Z83.3 Family history of diabetes mellitus
Z83.42 Family history of familial hypercholesterolemia
Z83.710 Family history of adenomatous and serrated polyps
Z83.711 Family history of hyperplastic colon polyps
Z83.718 Other family history of colon polyps
Z83.719 Family history of colon polyps, unspecified
Z85.3 Personal history of malignant neoplasm of breast
Z85.43 Personal history of malignant neoplasm of ovary
Z86.32 Personal history of gestational diabetes
Z86.711 Personal history of pulmonary embolism
Z86.718 Personal history of other venous thrombosis and embolism
Z86.72 Personal history of thrombophlebitis
Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits
Z86.74 Personal history of sudden cardiac arrest
Z86.79 Personal history of other diseases of the circulatory system
Z91.81 History of falling
Z95.2 Presence of prosthetic heart valve
Z96.641 Presence of right artificial hip joint
Z96.642 Presence of left artificial hip joint
Z96.643 Presence of artificial hip joint, bilateral
Z96.649 Presence of unspecified artificial hip joint
Z96.651 Presence of right artificial knee joint
Z96.652 Presence of left artificial knee joint
Z96.653 Presence of artificial knee joint, bilateral
Z96.659 Presence of unspecified artificial knee joint
Code
Description
015L0ZZ Destruction of Thoracic Sympathetic Nerve, Open Approach
015L3ZZ Destruction of Thoracic Sympathetic Nerve, Percutaneous Approach
015L4ZZ Destruction of Thoracic Sympathetic Nerve, Percutaneous Endoscopic Approach
015M0ZZ Destruction of Abdominal Sympathetic Nerve, Open Approach
015M3ZZ Destruction of Abdominal Sympathetic Nerve, Percutaneous Approach
015M4ZZ Destruction of Abdominal Sympathetic Nerve, Percutaneous Endoscopic Approach
01BL0ZZ Excision of Thoracic Sympathetic Nerve, Open Approach
01BL3ZZ Excision of Thoracic Sympathetic Nerve, Percutaneous Approach
01BL4ZZ Excision of Thoracic Sympathetic Nerve, Percutaneous Endoscopic Approach
01BM0ZZ Excision of Abdominal Sympathetic Nerve, Open Approach
01BM3ZZ Excision of Abdominal Sympathetic Nerve, Percutaneous Approach
01BM4ZZ Excision of Abdominal Sympathetic Nerve, Percutaneous Endoscopic Approach
01DL0ZZ Extraction of Thoracic Sympathetic Nerve, Open Approach
01DL3ZZ Extraction of Thoracic Sympathetic Nerve, Percutaneous Approach
01DL4ZZ Extraction of Thoracic Sympathetic Nerve, Percutaneous Endoscopic Approach
01DM0ZZ Extraction of Abdominal Sympathetic Nerve, Open Approach
01DM3ZZ Extraction of Abdominal Sympathetic Nerve, Percutaneous Approach
01DM4ZZ Extraction of Abdominal Sympathetic Nerve, Percutaneous Endoscopic Approach
Code
Description
78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period: It may be necessary to indicate that another procedure was performed during the postoperative period of the initial procedure (unplanned procedure following initial procedure). When this procedure is related to the first, and requires the use of an operating/procedure room, it may be reported by adding modifier 78 to the related procedure. (For repeat procedures, see modifier 76.)
LT Left side (used to identify procedures performed on the left side of the body)
RT Right side (used to identify procedures performed on the right side of the body)
Code
Description
E0650 Pneumatic compressor, non-segmental home model
E0651 Pneumatic compressor, segmental home model without calibrated gradient pressure
E0652 Pneumatic compressor, segmental home model with calibrated gradient pressure
E0655 Non-segmental pneumatic appliance for use with pneumatic compressor, half arm
E0656 Segmental pneumatic appliance for use with pneumatic compressor, trunk
E0657 Segmental pneumatic appliance for use with pneumatic compressor, chest
E0660 Non-segmental pneumatic appliance for use with pneumatic compressor, full leg
E0665 Non-segmental pneumatic appliance for use with pneumatic compressor, full arm
E0666 Non-segmental pneumatic appliance for use with pneumatic compressor, half leg
E0667 Segmental pneumatic appliance for use with pneumatic compressor, full leg
E0668 Segmental pneumatic appliance for use with pneumatic compressor, full arm
E0669 Segmental pneumatic appliance for use with pneumatic compressor, half leg
E0670 Segmental pneumatic appliance for use with pneumatic compressor, integrated, 2 full legs and trunk
E0671 Segmental gradient pressure pneumatic appliance, full leg
E0672 Segmental gradient pressure pneumatic appliance, full arm
E0673 Segmental gradient pressure pneumatic appliance, half leg
E0675 Pneumatic compression device, high pressure, rapid inflation/deflation cycle, for arterial insufficiency (unilateral or bilateral system)
J1094 Injection, dexamethasone acetate, 1 mg
J1100 Injection, dexamethasone sodium phosphate, 1 mg
J1645 Injection, dalteparin sodium, per 2500 iu
J1650 Injection, enoxaparin sodium, 10 mg
J1652 Injection, fondaparinux sodium, 0.5 mg
J1655 Injection, tinzaparin sodium, 1000 iu
J7637 Dexamethasone, inhalation solution, compounded product, administered through dme, concentrated form, per milligram
J7638 Dexamethasone, inhalation solution, compounded product, administered through dme, unit dose form, per milligram
J8540 Dexamethasone, oral, 0.25 mg
J9000 Injection, doxorubicin hydrochloride, 10 mg
Q2050 Injection, doxorubicin hydrochloride, liposomal, not otherwise specified, 10 mg
Code
Description
705.21 Primary focal hyperhidrosis