2 code page views remaining today. Guest accounts are limited to 2 daily page views. Register free account to get more views.
Log in Register free account

Official Description

Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

Surgical thoracoscopy, commonly known as video-assisted thoracoscopic surgery (VATS), is a minimally invasive surgical procedure used to access the thoracic cavity. This technique allows surgeons to perform various interventions within the chest, particularly focusing on the lungs. A lung segmentectomy specifically refers to the surgical removal of a small portion of the lung, known as a lung segment. This procedure is typically indicated for patients with early-stage lung cancer that is localized to a small area of the lung, making it possible to preserve surrounding healthy lung tissue rather than removing an entire lobe. The approach involves making small incisions in the chest wall to insert a camera and surgical instruments, which enhances visualization and precision during the operation. The use of thoracoscopy minimizes trauma to the chest wall, reduces postoperative pain, and promotes quicker recovery compared to traditional open surgery. The procedure is performed under general anesthesia and requires careful planning and execution to ensure the complete removal of the affected lung segment while maintaining the integrity of the remaining lung structure.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure of lung segmentectomy via thoracoscopy is indicated for specific clinical scenarios, particularly when localized lung pathology is present. The following conditions may warrant this surgical intervention:

  • Early Stage Lung Cancer - The primary indication for a segmentectomy is the presence of early-stage lung cancer that is confined to a small portion of the lung, allowing for targeted removal without the need for lobectomy.
  • Localized Lung Lesions - Patients with benign or malignant lesions that are small and well-defined may also be candidates for this procedure, as it allows for the removal of the lesion while preserving lung function.
  • Metastatic Disease - In some cases, lung segmentectomy may be performed to remove metastatic tumors that have spread to the lung from other primary sites, provided that the lesions are isolated and resectable.

2. Procedure

The surgical procedure for lung segmentectomy via thoracoscopy involves several critical steps to ensure successful resection of the lung segment. The following outlines the procedural steps:

  • Step 1: Incision and Access - A 1 cm portal incision is made at the 7th or 8th intercostal space along the posterior axillary line to facilitate the insertion of a camera. A second, larger 4 cm access incision is created at the 5th or 6th intercostal space anteriorly, allowing for the introduction of surgical instruments.
  • Step 2: Induction of Pneumothorax - Once access to the pleural space is achieved, air is injected to induce an artificial pneumothorax. This maneuver enhances visualization of the lung and surrounding structures during the procedure.
  • Step 3: Exploration - The pleura and lung are carefully explored to assess for any evidence of metastatic disease and to determine the resectability of the lesion. This exploration is crucial for planning the surgical approach.
  • Step 4: Division of Pleura - The pleura is divided at the pleural-parenchymal reflection, allowing for better access to the lung segment of interest. Hilar structures are also explored to identify relevant vascular and bronchial anatomy.
  • Step 5: Identification and Ligation of Vessels - The segmental pulmonary vein associated with the lung segment is identified and staple ligated to prevent bleeding during the resection. This step is essential for ensuring hemostasis.
  • Step 6: Additional Dissection - Further pleural dissection is performed as necessary to expose the segmental arteries, which are then identified and divided to facilitate the removal of the lung segment.
  • Step 7: Bronchial Resection - The segmental bronchus is encircled, stapled, and divided, allowing for the complete removal of the targeted lung segment.
  • Step 8: Resection of Lung Parenchyma - The lung may be temporarily reinflated to enhance the identification of the segment to be removed. The lung parenchyma is then resected using a stapling device, ensuring a clean and precise cut.
  • Step 9: Removal of Resection - After the lung segment has been resected, an endobag is introduced to facilitate the safe removal of the segment from the thoracic cavity.
  • Step 10: Closure and Recovery - Following the removal of the lung segment, bleeding is controlled, instruments are withdrawn, the lung is reinflated, and a chest tube is placed to assist with drainage and facilitate recovery.

3. Post-Procedure

Post-procedure care following a lung segmentectomy via thoracoscopy involves monitoring for complications and ensuring proper recovery. Patients are typically observed for signs of bleeding, infection, or respiratory distress. The chest tube placed during the procedure is monitored and may be removed once adequate lung expansion is confirmed and fluid drainage is minimal. Pain management is an important aspect of post-operative care, and patients may be prescribed analgesics to manage discomfort. Rehabilitation and pulmonary function exercises may be recommended to aid in recovery and restore lung function. Follow-up appointments are essential to assess healing and to monitor for any recurrence of disease.

Short Descr THORACOSCOPY REMOVE SEGMENT
Medium Descr THORACOSCOPY W/SEGMENTECTOMY
Long Descr Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)
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) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
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) P1G - Major procedure - Other
MUE 2
CCS Clinical Classification 36 - Lobectomy or pneumonectomy

This is a primary code that can be used with these additional add-on codes.

32668 Addon Code MPFS Status: Active Code APC C Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure)
32674 Add-on Code MPFS Status: Active Code APC C Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure)
AS Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery
RT Right side (used to identify procedures performed on the right side of the body)
LT Left side (used to identify procedures performed on the left side of the body)
GC This service has been performed in part by a resident under the direction of a teaching physician
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).
62 Two surgeons: when 2 surgeons work together as primary surgeons performing distinct part(s) of a procedure, each surgeon should report his/her distinct operative work by adding modifier 62 to the procedure code and any associated add-on code(s) for that procedure as long as both surgeons continue to work together as primary surgeons. each surgeon should report the co-surgery once using the same procedure code. if additional procedure(s) (including add-on procedure(s) are performed during the same surgical session, separate code(s) may also be reported with modifier 62 added. note: if a co-surgeon acts as an assistant in the performance of additional procedure(s), other than those reported with the modifier 62, during the same surgical session, those services may be reported using separate procedure code(s) with modifier 80 or modifier 82 added, as appropriate.
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).
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.
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).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) 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).
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
76 Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service.
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.)
79 Unrelated procedure or service by the same physician or other qualified health care professional during the postoperative period: the individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. this circumstance may be reported by using modifier 79. (for repeat procedures on the same day, see modifier 76.)
80 Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s).
81 Minimum assistant surgeon: minimum surgical assistant services are identified by adding modifier 81 to the usual procedure number.
AQ Physician providing a service in an unlisted health professional shortage area (hpsa)
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
CR Catastrophe/disaster related
GV Attending physician not employed or paid under arrangement by the patient's hospice provider
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
Date
Action
Notes
2012-01-01 Added Added
Code
Description
A15.0 Tuberculosis of lung
B44.0 Invasive pulmonary aspergillosis
B44.1 Other pulmonary aspergillosis
C34.01 Malignant neoplasm of right main bronchus
C34.02 Malignant neoplasm of left main bronchus
C34.11 Malignant neoplasm of upper lobe, right bronchus or lung
C34.12 Malignant neoplasm of upper lobe, left bronchus or lung
C34.2 Malignant neoplasm of middle lobe, bronchus or lung
C34.31 Malignant neoplasm of lower lobe, right bronchus or lung
C34.32 Malignant neoplasm of lower lobe, left bronchus or lung
C34.81 Malignant neoplasm of overlapping sites of right bronchus and lung
C34.82 Malignant neoplasm of overlapping sites of left bronchus and lung
C46.51 Kaposi's sarcoma of right lung
C46.52 Kaposi's sarcoma of left lung
C78.01 Secondary malignant neoplasm of right lung
C78.02 Secondary malignant neoplasm of left lung
C7A.090 Malignant carcinoid tumor of the bronchus and lung
C90.00 Multiple myeloma not having achieved remission
C90.01 Multiple myeloma in remission
C90.02 Multiple myeloma in relapse
D02.21 Carcinoma in situ of right bronchus and lung
D02.22 Carcinoma in situ of left bronchus and lung
D14.31 Benign neoplasm of right bronchus and lung
D14.32 Benign neoplasm of left bronchus and lung
D38.1 Neoplasm of uncertain behavior of trachea, bronchus and lung
D3A.090 Benign carcinoid tumor of the bronchus and lung
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
D86.0 Sarcoidosis of lung
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
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
J85.0 Gangrene and necrosis of lung
J85.1 Abscess of lung with pneumonia
J85.2 Abscess of lung without pneumonia
J98.4 Other disorders of lung
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
Q33.2 Sequestration of lung
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
0BBC4ZZ Excision of Right Upper Lung Lobe, Percutaneous Endoscopic Approach
0BBD4ZZ Excision of Right Middle Lung Lobe, Percutaneous Endoscopic Approach
0BBF4ZZ Excision of Right Lower Lung Lobe, Percutaneous Endoscopic Approach
0BBG4ZZ Excision of Left Upper Lung Lobe, Percutaneous Endoscopic Approach
0BBJ4ZZ Excision of Left Lower Lung Lobe, Percutaneous Endoscopic Approach
0BBK4ZZ Excision of Right Lung, Percutaneous Endoscopic Approach
0BBL4ZZ Excision of Left Lung, Percutaneous Endoscopic Approach
0BBM4ZZ Excision of Bilateral Lungs, Percutaneous Endoscopic Approach
0BTH4ZZ Resection of Lung Lingula, Percutaneous Endoscopic Approach
Code
Description
58 Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: It may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. This circumstance may be reported by adding modifier 58 to the staged or related procedure. Note: For treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
59 Distinct Procedural Service: Under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-E/M services performed on the same day. Modifier 59 is used to identify procedures/services, other than E/M services, that are not normally reported together, but are appropriate under the circumstances. Documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. However, when another already established modifier is appropriate it should be used rather than modifier 59. Only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. Note: Modifier 59 should not be appended to an E/M service. To report a separate and distinct E/M service with a non-E/M service performed on the same date, see modifier 25.
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.)
79 Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period: The individual may need to indicate that the performance of a procedure or service during the postoperative period was unrelated to the original procedure. This circumstance may be reported by using modifier 79. (For repeat procedures on the same day, 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)
XE Separate encounter, a service that is distinct because it occurred during a separate encounter
XS Separate structure, a service that is distinct because it was performed on a separate organ/structure
XU Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service
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