IGHPM-HEALTH INSURANCE.pdf
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community,health ceij
From:
To:
Sent:
Subject:
"Dr D Varatharajan" <dvrajan2001 ©yahoo. com>
<IGHPM@yahoogroups.com>
Thursday, December 02, 2004 4:34 PM
Re: [IGHPM] Health insurance
These are financial accounts that could be
specifically created to finance the transport and
other needs of the women. The advantage (or
disadvantage) is that it sen os the person whose name
the account exists, i his is not an insurance but
serves as a pre-payment mechanism for many who find it
difficult to finance at the time of requirement. This
y V kind of pre-payment might work for pregnancy, delivery
and related conditions.
Varatharajan
Co?
Page 1 of2
community health cell
From:
To:
Cc:
Sent:
Subject:
"amukti" <amukti@yogya.wasantara.net. id>
<IGHPM@yahoogroups.com>
"Paul Rueckert” <paul.rueckert@gtz.de>
Thursday, December 02, 2004 10:37 PM
Re: [IGHPM] Health Insurance
Dear Friends.
I think India has the same problems with Indonesia. We think health
insurance/security is promising solution. Therefore, just a month ago we
passed the bill on social security in which health security is the priority.
For health security (health insurance we choosed the social health insurance
which is very different with commercial oriented such as in USA). The
benefit is not only limited to reproductive health but cover beyond that.
Any one of you are interested on the bill I will send it to you to share it.
Now we start the social health insurance from the poor in which the premium
is paid by the government.
Sincerely yours.
Ghufron Mukti
Former GTZ consultant
On the development ofPro-poor health fund
o
eAv
— Original Message —
From: "Dr. D. Varatharajan" <dvrajan2001 @yahoo.com>
To: <IGHPM@yahoogroups.com>
Sent: Thursday, December 02, 2004 10:16 AM
Subject: Re: [IGHPMJ Health Insurance
> Dear Dr. Deepti,
>
> Your email addresses an important issue. I would like
> to share my views on this topic. Forgive me if this
> email is not too well organised as I am typing as 1 am
> thinking
> I feel that the insurance should balance itself
> between too general and vague and to narrow focused.
> Both arc bad. 1 would think that the insurance should
> be a combined one for the pregnant women and to be
> bom child. It could start just around the the time of
> marriage and get linked to general insurance when the
> child is 5 year old. So, the period of the special
> cover would be about 6-10 years.
12/3/2004
Page 2 of 2
*1 *
1
> While the insurance could cover the general
> reproducive health issues, preganancy, delivery,
> inborn care, infant and child care including
> immunisation. It could be packaged and spread nicely
> so that the women or her family does not feel the
> pressure of paying heavily for the premium.
> On top of it, there could be a reinsurance or super
> insurance to cover any complications including the
> C-section, hypertension, heart failure, etc.
> The premium could be shared between the government and
> the women's family.
> In addition to this, there can be a medical savings
> account created simultaneously to meet the transport
> and other expenses during and after the
> pregnancy/delivery.
12/3/2004
Page 1 of 1
community health ce!!
From:
“Irfan Mufti" <irfan@sappk.org>
V-
C
H
12/3/2004
Page 1 of2
community health ceii
From:
To:
Sent:
Subject:
"Dr. D v^ratharaian" <dvraian2001@yahoo.com>
<IGHPM@yahoogroups.com>
Thursday, December 02, 2004 4:28 PM
Re: [IGHPMj FW: Health insurance or Health access which is important?
Dear Dr. Thomas,
Health insurance, as rightly mentioned by you, does
not answer the physical infrastrucural
inaccessibility. Nor does it solve the problem of
financial accessibility fully. At the same time,
financial inaccessibility is a major problem for a
vast manjority of middle and lower class men and
women. Women are particularly disadvantaged even if
they are employed
A well-desinged insurance tries to address this issue
of financial inaccessibility at least in areas where
physical accessibility is fairly good. Even when we
discuss about the lack of access to physical
facilities, we should not forget about this key issue
of financial accessibilitv
One could classify the population into five broad
categories. First, one section of people (urban poor
and even urban middle class) suffers from financial
inaccessibility despite living in a pa Ice where the
physical infrastructure is well-developed. Second
group (urban rich) has both physical and financial
accessibility but lacks resources at the time of care.
Third section (rural rich) suffers from physical
inaccessibility despite financial accessibility.
Fourth one (rural poor) lacks both physical and
financial accessibihrv Perhaps, you seem to be
mentioning about yet another group (those residing in
remote areas/that is deprived of even routine
facilities enjoyed by even the rural poor
Hence, when we discuss about health insurance, we
should also keep in mind what it holds for different
sections of people. Discussing about health insurance
(or any form of organised fianncing) does not mean
that the we are ignoring that section of people who
lack access to even basic amenities leave alone health
care.
v uiumui Mjui i.
12/3/2004
Page 2 of2
— thomas toms <toms tliomas@yahoo. com> wrote:
> Hi Dr. Deepthi
> Good to hear about the good works you are doing.
> Heaith insurance is propagated in these days as an
> alternative to promote good practices in health care
> among the rural poor. How so ever a mere health
> insurance would not help the poor to change their
> practice because access is the very important
> problem
> in the rural areas. Having an insurance fur a person
> living in vulnerable conditions may not help him m
> imporving his/her health situation. It is also
> important to note that social insurance should be
> social and do not adopt the corporate srateg^z. The
> policy premium should be poor frindly and should be
> affordable to ail
>
> Health insurance efforts also should combine with
> building on the capacities of the local
> practitioners
> who are treating majority of illness in the rural
> areas.
> We have recently launched a project called
> Tele-Clime
> which is a combination of many dimensions of health
> care, access,financial protection, education etc.
> Sincerely
> Toms K Thomas
> Projects Director
> Christian Hospital
> P.O Chhatarpur- M.P - 471001
> India
12/3/2004
-
J
Page 1 of 2
community health cell
From:
To:
Sent:
Subject:
"Rekha Sharma" <gtz-bhp@eth.net>
<IGHPM@yahoogroups.com>
Friday, December 03, 2004 4:36 PM
RE: [IGHPM] Am not receiving messages
Dear Mr. Devadasan,
Greetings!
Your mail delivery preference was ‘no e-mail’ and hence you did not receive messages in your mailbox.
I have rectified it from 'no e-mail’ to 'individual e-mail’. I am sure that you will receive messages from the
group, now, in your inbox.
Thank you for your cooperation,
Best regards,
Rekha Sharma
Secretary
Deutsche Gesellschaft fuer Technische Zusammenarbeit
(GTZ) GmbH
Indo-German Health Programme Maharashtra
New white Mouse
38 Suyojana Cooperative Housing Society
Samata Chowk, Lane no. 5,
Koregaon Park, Pune -.411001
ighp.maharashtra(g)gtzindia.com
gtz-bhp@eth.net
http://www.gtz.de
Add me to your address book...
tel: 020 - 26139762
fax: 020 - 26139763
Want a signature like this?
—Original Message—
From: Deva [mailto:deva@devadasan.com]
Sent: Friday, December 03, 2004 2:18 PM
To: IGHPM@yahoogroups.com
Subject: [IGHPM] Am not receiving messages
Dear Moderator
Though enlisted as a member of the group, I don’t seem to be
receiving the mails. In fact I was informed by a friend about the
activity in this group. Hence could you pls look into the matter.
Health insurance - a panacea for all evils?????
I think that one has to realise that health insurance is just a
financing tool. If the health services are poor, then no amount of
financing will help, UNLESS it is linked with negotiations for
better health care. I was recently in Cambodia, where the NGOs have
12/8/2004
Page 2 of 2
*
been successful in negotiating for better quality of care for the
poorest in the government health facilities, using the leverage of
demand side financing. And this has resulted in really improved
access to good quality health care in the past two years. The data
speaks for itself.
Shyam - health insurance is not equal to US led private health
insurance. That is just one example. On the other hand we have the
Canadian model, the european model, all of which are more
comprehensive and equitable. So don't discard HI based on the US
experience.
Deepti, could you pls share a report of the Delhi conference on HI.
Thanks
Deva
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12/8/2004
Page 1 of3
community health cell
From:
To:
Sent:
Subject:
"Chandra Pandav" <cpandav@iqplusin.org>
<iGHPM@yahoogroups.com>
Saturday, December 04, 2004 1:58 AM
Re: [IGHPM] Health Insurance
Dear Madam,
Thank you for your communication.
This is to inform you that Dr. Pandav is now in Ballabhgarh and he shall get
back to you soon on this issue.
Thanking you.
Yours sincerely,
Ms. N. Veena
Secretary to Dr. C.S. Pandav
V
—- Original Message —
From: "umakurup" <gtz-bhp@eth.net>
To: <IGHPM@yahoogroups.com>
Sent: Wednesday, December 01, 2004 3:57 AM
Subject: [TGHPM] Health Insurance
Dear Friends,
Health Insurance is being viewed as answer for all maladies!
States and even the central ministries of health and family welfare
are exploring whether Health Insurance can help address the problem
of'high rates and lack of improvement in maternal and infant
mortality’. While high perinatal mortality in infants is thought to
be the limiting factor for 1MR improvement, unsafe abortions and
complications during delivery have large contribution in high MMR in
India, especially in the marginalized groups. The hypothesis here
thus is: HI cover can improve financial access to care their by
increasing safe abortions, institutional deliveries leading to
reduction in mortality.’
Whether this holds true is yet to be explored! However, the
preconditions for it to be successful are 1. Availability of good quality basic and comprehensive
12/8/2004
Page 2 of 3
obstetric care and infant care within short distance and / or
efficient referral and transport arrangements.
2. Cashless mechanism for availing services in place.
For developing such an insurance product there are several choices
to be made o Whether to cover only complications during pregnancy or
delivery or to cover all women in reproductive age group with
general Hl that would cover maternity costs too?
o Should government pay the premium on behalf of the women or
to offer the policy to pregnant women individually?
o Whether to offer additional features like transport cost
support?
o Will she be protected if the woman with undiagnosed
rheumatic heart disease goes in to heart failure due to pregnancy?
o How to ensure that the women know about the scheme and avail
of the benefit?
And so on..
Insurance companies are wiling to develop such a product; the need
is to think this through and propose a strong management system for
implementing this on ground!
Friends, your comments on this idea are needed!!
Dr. Deepti Chirmulay
Deputy ream Leader
Indo-German Health Programme - Maharashtra (GTZ)
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12/8/2004
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Yahoo! Groups Links
Page 1 of 1
community health cell
From:
To:
Sent:
Subject:
"Rajeev Ahuja" <rajeev@icrier.res.in>
<IGHPM@yahoogroups.com>
Wednesday, December 08, 2004 1:36 PM
Re: [IGHPM] Health Insurance
Dear Friends,
I have been reading the exchange of ideas with great interest.
I have the following query:
For lhe success of micro insurance schemes, I wish to know the role played
by flexibility in premium collection (that is, collecting smaller premium
amount more frequently). OR, insurance contracts that arc of shorter
duration (say of 6 months or so, instead of the usual one year contract. )
Is there any evidence/experience on this?
t
Looking forward...
I
I
Rajeev
Rajeev Ahuja
Senior Fellow
Indian Council for Research on International Economic Relations (ICRIER)
Delhi 110003
Mobile: 9818472833
, Ata
*
12/8/2004
Page 1 of2
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Bagalk<M-5X7l0l
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Ph-«M)X354-2O3M
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Bagalkot -5X7I0I
Ph: 21233/20033/26633
BANGALORE
1. Ilosnut Hospital
x No.45. Magralli Road oil'. Richmond Road
Bang* I orc-2 5
2. Narayana Nethralaya
#12I/C. Chord jYoad,
1" R Block, Rajajinagar
Bangalore- 560010
3. NU Trust/ BKF
CA.6. 15* Main, 11 "'Cross.
Padmanabhanagar
Bangalore-560070
Ph-6392700 Ext 320.
4. Mallya Hospital
#2. Vittel Mallya Road
Bangalore- 560001.
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FA:’;
5. Vydehi Inst. Of Medical Sciences & Research Centre
EPIP, Nallura Balli, K.R Puram Hobli
Mahadevapura Post
Whitefield Road
Bangalore-560048.
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6. Chinmaya Mission Hospital,
CM! J Road, Indiranagar,
Bangalore - 38,
Phone: 5280461 /5284829
7. CSI Hospital,
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Bangalore-51
Phone:-286 1103/ 1104.
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Padnianabnagar,
Bangalore 70.
Plionc:-639 33661/639 0362
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Bommasandra Industrial Area
Anckal taluk
Bangalore -562158
10. M.S Ramaiah Hospital
M.S.R Nagar
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Bangalore- 560034
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O2.Adarsha Nursing I Ionic
Gopala Swainy Road
Near Gandhinagar Park
Bellary-583103
Ph-256016
03.Madhuri Nursing Home
434, Moka Road
Gandhinagar
Bellary-583103
Ph-55002
BELGAUM
01. Kasbekar Metgud Clinic
Shivajinagar
Belgaum-590016
Ph-476110
02. KLE General Hospital & Research Centre
Nehrunagar. Belgaum
BIDAR
Ol.Prayavi Hospital
Opp to Hirella panna lai Hospital
Bidar- 585401.
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02. Apex Hospilal
8-10-113, New Housing Colony
Gancshan Maiden
Bidar-585401
Ph -0848220501.
BMAPUR
01. Dr. Vilas Cf.Kulkami
Ramakrishnd Hospital
ChalulXauagar
SholapuARoad
BijapiX58^103
Pli-6835-251023
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02. Al-Amecn Medical College and Hospilal.
Bijapaur - 586 108.
CHAMRAJNAGAR
01. Holy Cross Mission Hospital
Kollegal Talluk
Kamgere.
CHIKMAGAEUR
01. Ashraya Hospital
P.B No 77, Naidu Street
Chikmagalur-577101
Ph- 08262-20478/30574'31171
02. Holy Cross Hospital
Jyothinagar
Chikmagalur-577102
Ph -08262-20077/20431 /20017
CIIITRADURGA
01. P.V.S.Medical, Surgical & Cardiac Hospital
J.C.R.Extn. 6th Cross
Chitradurga-5778501
Ph-08194-30210/30654
2
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bikslimi Bazaar
Chilradurga
Plh2l653/j'M3O
DAVANGERE
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01. City Central Hospital Private l.imilcd
No. 17, Akkamahadevi Road
PJ.isxtn
Davangcrc-577002
Ph-234021 / 253717
02. Ravi Nursing Home
No. 136, Mahaveer Road
Da vangere-577001
Ph-0819-277750
03. Ashwini Nursing Home
Akkamahadevi Road
Davangerc- Ph-^58722 / 258o/7
/
HUBLI & DHARWAD
01. Sukrutha Nursing Home
Station Road, Malamaddi
Dharwad-1
Ph-441233/447133
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02. Shakunthala Memorial Hospital & Research'Centre
50/51, Golden Town, Hosur
Hubli-580021
Ph-370634-6
03. Dr.K.H.Jituri Hospital
Hosur Cross
lIubli-580021 t
Ph-0836-372811
GADAG
01. Sanjeevini Hospital
K.C.Rani Road
Gadag536044 / 536344
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02. K.H.Patil Hospital & Research Institute
Hulkoli
Gadag
Ph-589018/589115
GULBARGA
01. Basaveshwar Teaching Hospital & Research Centre
M.R Marg
Gulbarga-585101
HASSAN
01. Janatha Hospital & Research Centre
R.C Road
Hassan-573201
Tel-0817-26886
02. Bharathi Nursing Home
Hassan
Ph -64745
03. Mangala Hospital
Sampigc Road
K.R.Puram
Ha.ssan-573201
Ph-263726 / 26.8474
04. Rajccv Nursing & Hospital
G.H.Road., K.R.l’uram
Hassan
Ph-08172-67550 / 51770 / 66226
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I kmavathy Hospital Road
Northern Extension
Hassan-5 73 201
06. C.S.I Rcillciii Memorial Hospital
Race Course Road
Hassan- 573201.
Ph -268288/267653/267657
Eax: 0817-269807/6
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HAVERI
01. Dr.G.V.Pandit Memorial Hospital
P.B.Road
IIaveri-581110
Ph-0836-32477 / 36677
02. Handral Hospital
Rajendra Nagar
Haveri-581110
Ph-08375-83358/
Mobile: 94481-03708
4
karwar
01. Gurukrupa Nursing Home
Kajubag
Karwar-581301
KOLAR
01. New Kolar Nursing Home
Behind Pallavi Talkies, Near KSRTC Bus Stand
II Main, Kuvempu Nagar
Kolar- 563101
Ph -23010
02. R.L Jalappa and Research Centre
Tamaka
Kolar- 563101
Ph -222637/224931
KUNDAPUR
01. Vinaya Hospital
Main Road
Kundapur-576201
Ph-08254-2036X / 22202
02. Adarsha Hospital
N.H 17. Kundapura- 576201
Ph -0X254-20580/206X0
03. Medical Director
Chinmayi Hospital
Church Road
Kundapur- 576201
Ph -0825-722243522263
04. Vijayashree Accident Orthocare & General Hospital
N. H -17, San gam
Kundiipura-576201
05. Managing Director
Rama Krishna Hospital
S.No. 120/1A-5B, D.No:251/09
BVS Road, Kundapur-576201
Udupi District.
Ph -08254-721263/721666
06. Managing Director
Dr. N R Acharya Memorial Hospital
Koteshwar- 576222
Ph -08254-761550/761270
KOPPAL
01. Dr.Rampuri's Hospital
Club Road,
Kpppal-583231
Ph-430345 /430252
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01. M.K.Bhandari Hospital
Gung Road, Opp.Goushala
Raichur-584101
Ph-0853-235711 / 235611
02. Navodaya Medical College Hospilal
Mantralayam Road
Raichur-584101
Ph-20902/233361
03. Rajiv Gandhi Super specially
Hyderabad Road
Raichur
Ph -958537-236088
SHIMOGA /
01. Usha Nursing Home
Ravindra Nagar
Savalinga Road
Shimoga- 577201
02. Nanjappa Hospital
Kuvempu Road
Shimoga-577201
Ph-21003/23967/23968
03. City Hospital
Rathnamm Madhav Rao Road
Durgi Gudi
Shimoga-577201
Ph-279137/220170 / 277288
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01. Sridcvi Hospital
1st cross, M.G.road
K.R.Exlcnsion
Tumkur-572101
Ph-273610 / 274963
02. Kasturba Nursing Home
S.S.Puaram Main Road
Tumkur-572102
Ph-274489/271629
03. Sri Siddhartha Medical College
Agalakotc
Tunikur- 2278867
UDUPI
01. Mitra Hospital
Udupi-576101
Ph-20828/21282/21828
02. City Hospital & Diagnostic Centre
Behind Alankar Theatre
K.M.Marg
Udupi
03. Administrator
Hi -Tech Medicare Hospital & Research Centre
N.H. 17
Udupi- 576103
Ph -533331.533332. 533333
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01. MudiCttl .SupciintcndeiK
Adichunchunagiri Inst, of Medical Sciences
Balagangadharanatha Nagar
Nagamangala Tahik
Mandya -571448
02. Krishiwraja Co-operative Hospital
I Cross Subhasnagar
Mandya- 571401
Ph-231111/231112
03. Suraksha Nursing Home
Ashok Nagar
Mandya- 571401
Ph -221894/2221786
04. Kaveri Nurs/ng Home
Mandya
/
05, New Pragathi Nursing Home
G.H Road, Ashok Nagar
Mandya- 571401
O6.Archana Hospital
K R Road
Ashok Nagar
Mandya-571401
Ph -9844116552
Mangalore
K1 ^4a^‘err^^U,,er.Medlea, Colk‘«e & hospital
I r. Muller Road, Kankaoady
Mangalore-575002
Ph-0824-436301-7 (7 Lines)
02. A.J.Hospital and Research Centre
Mangalore-1 klupi I lighway.
Kuntikana , Mangalore - 575 004
Phone : 0824 - 225533 / 34 / 35 / 36.
mekcara
01. JEDI Specialty llospii.ll
Daswal, Madekeri
Kodagu District- 571201
Ph- 222858/222758.
MYSORE
01. J. S. S Medical College
Ramanuja Road
Mysore.
Ja2!na Javareeo'v<k< Hospital
4 Mam, 7th Cross, Vinayakanagar
Mysore-570012
Ph-510485/515609/514869
... .
Mysore- 570010
Ph -445037/447745
04. Administrator
Basappa Memorial Hospital
22/B. Vinoba Road
Jayalakshmipuram
Mysore-570012
Ph-0821-2512401/2511671 251177]
05. Managing Director
Vikram Hospital & Heart Centre
"46, Vivckananda Road
Yedavagiri
Mysore-570020
Ph - 0821-2412121
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---------- ""OLiiCKirnow
Incision and excision of skull, brain and meninges
Cranial puncture
ioio.
-3o
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--
-
5010(d) Aspifflliofi (dia^fn)^)
5-010 (b)
5-010 (c)
5-010 (d)
5-010(V)
5-011
5-011(a)
5-011(b)
" 5-011(c)
5-011(d)
5-0il(e)
5-011(f)
5-oii(g)
5-011(h)
5-011 (I)
5-011(0
5-011(0
5-011(0
5-012
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Subdural lappau 13 13 (jxj 63)
Ventricular TapfNng 13 14 (|xj 63)
(Other available code cisternal puncture 1:206) +
Craniotomy____________ ____________________
.
Burr holes
Craniectomy
Decompression, cranial
Removal of unwanted matenal
Reopening of cranitomy
___
Trephination________________________________ ___________________________
Carniotomy and Evacuation of Haemotoma 31 1 (pg 50) 13 3 (pg 63)
1) Subdural 31 11 + 13.3.1
\______________________________ ________________
2) Extradural 31.1.2 + 13.3?2____________________ __________________________________
Camiotomy 13 32 (pg 64)
Twist Drill Craruostomy 13 12 (pg. 63)________________________________________________
Excludes : decompression of fracutre (S-020) *
Removal of plate (5-020) ‘_________________________________________________________
Strip craniectomy (5-020) ‘
__ ___________________________________________
Incision of brain Smeninges
Electrocoagulation
_____________________________________________________________
5-012 (a)
5-012 (b) Leucotomy_________________
;
_____
5-012 (c) Lobotomy
'5-012 (d) Tractotomy______________________________________________________________________
5-012 (e) BrainJStopsyjlS^QJpg 64)__________________________ __ ______________________ __ ____
5-012(0 ' Excludes : drvisoin of cortical adhesions (5-029)______________________________________ __
' Operation on thalamus and globus pallidus (deep brain stimulation with implant on each side
5-013
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-_____________________________________
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______ ___________________________________________________________________ ______
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54314 (a) PecorticatKxi__________________
________________________ .______
5^014 (b)j Lobectomy_______________________________________ _______________________________
5-014 (c) Marsupialization_________________________ ____________________________ _________
_________________
5-014 (d) Resection
'_____________
5-014 (e) Evacuation of brain abscess 31.3 Pg 50) + 13.5 (pg 63)
5-014 (Q [Excision of Lobe (Frontal, Temporal, Cerebellum etc) 31 4 (pg. 50) + 13 6 (Pg. 63)
5-014 (gy Excixion of Brain Tumours 31.5 (pg 50) + 13 7 (Pg 63)
’ 1) Subratentorial 'STS.i + 13 7 1____ ___________ -
5-013 (a)
5-013 (b)
5-013 (c)
5-013 (d)
' 5-013 (e)
'5-013(Q
'5-013(g)
5-014 (h)
5-014 (I)
5-014 (j)
5-015
5-02
5-020
5-020 (a)
5-020 (b)
5-020 (c)
5-020 (d)
5-020 (e)
5-020 (f)
5-020 (g)
5-021
5-021 (a)
5-021 (b)
5-021 (c)
5-021 (d)
5-021 (e)
5-021 (e)
5-021 (g)
5-021 (h)
5-022
5-022 (a)
5-022 (b)
5-023
5-023 (a)
5-023 (b)
5-023 (c)
5-023 (d)
5-023 (e)
5-023 (f)
5-023 (g)
5-024
5-024 (a)
2) Subtentorial 31.5.2+ 13.7.2_______________________________________________________
Cranieotomy 13.31 (pg 64)__________________________________________________________
Brain Mapping 13.41 (pg 64)
________________________________________
Abscess Tapping 13.15 (pg. 64)____________________________________________ ________
Excision of lesion of skull;
Other operations on skull, brain & meninges
Cranioplasty
Elevation of bone fraqgments__________________________
____________ ______
Linear craniectomy
___________________________________
Opening of cranial suture
_
Removal of bone or plate_____________________________________________________________
Repair with graft or plate_____________________________________________________________
Cranioplasty 31.2 (pg. 50) + 13 4 (pg 63)
Depressed Fracture 31.45 (pg 65)
Repair od cerebral meninges______________________________________________________
Graft of dura________________________________________________________________________
Ligation, meningeal artery________________________ ___________________________________
Ligation, venous sinus______________________________________________________________
Repair of encephaloccle or meningocele_____________________________________________
Meningomyelocele 31 7 (pg. 50) + 13.9 (pg. 63)
Meningomyelocele 13.24 (pg. 64)_________________
Meningo EnsephalocoeMS 23 (pg. 64)
Meningocoeie'Excision 13.35 (pg. 64)
Ventriculostomy____________________________________________________________________
Anastomosis ^ventricle to cistema magna
Ventriculocistemal drainage__________________________________________________________
Extracranial ventricular shunt_________________________________________________________
Anastomosis, ventriculo- atrial
____________________________
Anastomosis, ventriculo- pleural
Anastomosis, ventriculo-caval
Ventriculoatrial Shunt / Ventriculoperitoneal 31 8 (pg 50) + 13 10 (pg 63)
Pentonreal Shunt
Shunt procedures (VA/VP/TP/Shunt) 13 50 (Pg 65)
___________________________
Ventriculo-Atrial Shunt (Exclud. Cost of value) 13 37 (pg 64)____________________________
Revision of ventricular shunt__________________________
________
__________
Removal or replacement of valve or catheter
Page 1
outer Ofjwrations on fekmi, brain & meninges
5-029(a) ______________
____
Freeing of intracranial adhesions
5-029 (•) [Excludes: hypophysectomy (5-075) *
giarKl (ft 074) •
6 029 f) Opetalm*
Opetalkxw on pmii
pintwil flfand
315J)3
5-030
5-030 (a)
5-030 (b)
5-030 (c)
5-031
5-032
5-032 (a)
5-032 (b)
5-032 (c)
____
_,
Operations on spinal cord and spinal canal structures
Exploration of spinal canal
————.
Laminectomy
^2
- ----------------------------"
Laminotomy
Reopening of laminectomy site
Division of intraspinal nerve root
Chordotomy
Electrocoagulation
————-
"
--------------------------------------------------------
Percutaneous division of cord
Stereotaxis
____
~
5-032 (d) Tractotomy
~
5-032 (e) Steriotaxic Procedures 13.58Jro^65)_
'
'5-033 ________
Excision o'- destruction of spinal cord & meninges
5-033
_____ ,(a). [Surgery of Coird Tumours 31 6 (pg 50)
~'
5-033 (b) Spinal Tumours Others 31,55 (Pg. 65)
“
5-033 (c) Spinal Intra Medullary Tumours 31,54 (pg. 65)
———————
5-034 _________ Plastic operations on spinajcord & meninges
--------------5-03z-(a) Elevation of bone fragments
5-034 (b/ _ Repair of spina bifida_______ ‘
c
5-034 (c) Removal of granulation tissue
5-034 (d) Suture of meninges
———————
5-034 (e) Spina Bifida Surgery Major 13,56 (pg, 65)*
Spina
Bifi
da
Surge
ry
Minor
13
57jpq
65)
"
5-034 (f)
5-035
Freeing adhesions of spinal cord & nerve roots
‘
5-036
Spinal drinage
"
5-036 (a) Drainage by puncutre
———
-----------------------------5-036 (b) Drainage by shunt of spinal theca*
"—————— ------------5-036 (+) (other available code diagnostic spinal puncture 1 -206)
— '
5-037
Injection of destructive agent into spinal canal
- --------5-037 (+) (Other available code , injection of other dnjg~8^57Q)
*
’
5-039
Other operations on spinal cord & canal*stnjctures
—————15-039 (a) lnsertion~of neuropacemaker
Exgj?.'0!1
Cervical Intervertebral Discs 13 11 (pg 63) +31.9 (pq 50)
/r^ 64) ..............
.. ............. ............. ... •
5 03.9 (c) Postnrinr
Posterior Corviral
CerYtcaipisscciomy 13 07
277pg'
--------- 5^9 (e)' P-Pjy^lof Qot^alI Laminectomy 13 42 (pg 65)
Anterior Cervical Dissectomy 13,28 (pg 64)
J______ 5-039 (I)
Anterior Certical Spine Surgery with fusion 13 39 (pg 64)
~
1
__ 5-039 (g)
Anterior Lateral Docompression 13 40 (pg 64) '
5-039 (h) Spinal fusion Procedure 13,53~(pg, 65)
______ 5-039
(+‘) Excludes L excision of intervertebral disc (5-803)
t
'
“————
5-039 (+)'.. other operations on vertebral column (5-78, 5-78 and 5-810)
5-04
I
____
Operations
on cranial &~peripheral [ nerves
, i 'r‘-------------------------------------------5J340_______
Division & excision of nerve__
______ 5-040 (a)'_ Crushing
______ *5-040 (b) _ Ramisection ________ j_____________ ~
______ 5-040 Q
Excludes : glossopharyngeal nerve (5-299) *
______ 5-040 (*) [Excludes : opticociliaryneurectomy (5-113)*
5-040
_ Excludes : spinal nerve ropots (5-031) *
5-040 Q Excludes : superior laryngeal nerve (5-319) *
_____ 5-040 (‘) . Excludes : sympathetic ganglia (5-501) * ~
5-041
- --------------------
-— — — ■
----------------- '
----------------------7---------------------- ----
. Other destruction of nerve________
— ———
5-041 (a) Peripuale Neurectomy fTirgeminal) 13.31 (pq. 64)
~
5-041 (b) . Trigeminal Rhiotomy 13,33 (pg, 64)______
5-042
Suture of nerve
5-042 (a) Reanastomosis of divided nerve
5-042 (b) Brachial Plexus Exploration (Microsuturing 13.29 (pg~64)~
5-043
Freeing of adhesions & decompressions of nerve
5-043 (a) Release of nerve in carpal tunnel
5-043 (b) Median Nerve Dccomixession 13 30 (pg 64)
5-044
Nerve graft
5-045*
Transposition of nerve
———————--- ---------------------------5-046
Other neuroplasty
----------------------------------5-046 (a) Cross anastomosis, nerve
----------------------15-046 (b) New attachment of netve
~
' 5-046 (c) Repair of old injury
;---------------------5-046 (d) Carvial Nerve Anastomosis 13 34 (pg*64J ——
- ------------------------------_____ 15:047 ;__________Injection into nerve
’
7
S'047 H (Other available rode ; anesthesia for ope*ration~8^57lj~'
-----------5-049 _________ [Other operations on cranial & penpheral nerves
’
5-049 (a) iPenpheral Nerve Surgery - Major 13,36 (pg. 64)
'
5-049 (b) Penpheral Nerve Surgery - Minor 13,36 (pg~64)
-- ------------------------5-049 (c) R F, Lesion for Trigeminal Neuralgia 13.49 (pq 65)
5-049 (d) [Nerve Biopsy 13.38 (pg 64)
~---------------------------------------5-05
_________ [Operations on sympathetic nerves or ganglia
5105 (+)
Includes : parasympathetic nervous system
----------------------- ~~
__ Excludes : Synpathetc neryesjo-------5^0
C r’c
Excludes : synpathetic nerves to : adrenals (5-073)
’
___5-05 (*)
Excludes : synpathetic nerves to : eye (5-133)
~^5-05 (*)"
Excludes synpathetic nerves to tympanum (5^209)
~
___ !__
_1
Page 2
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5-051 (*)
P6"3^1 arippno (5-397)------- ------------------------- -
5-052
'^053
osas^siHM.
5-053 (a)
5-053 (b) _ Suture of nerve
____ 5-059
—---------- ------ ---------
------------------ ------
5^06
5-060
5-060 (a)
5-060 (b)
5-060 (c)
5-060 (d)
lE^SM
Drainage
~
Exploration
Reopening wound
thyroglossal tract
------------------------ -------------________
05)60
5-061 ~T~
5-062|
Tpnilateral thyroid lobectomy------------------------ ---------------5-061 (af J Hemithyroidectomy
------------------ ---------- - ---------------^Hemithyroidectnmy oo 21.1
~--------- -------------
J22?£r£art^rthy^dd^t^---------------------------------------
Bal
jExcision of adenoma~~1
- -------- ---------—
llsthmectomy .
------ ----—-----------5-062 (b) Isthmectomy 22 ?1 r
--- —
5-062 (c) rhyroidectomy^^ii^-------- ------ ----- --,5-063
Complete thyroidectomy
--- ---- - -----.. 5-064
gdteternaTth^id^t^
. , , Partial
------------- __ _
/kl
5-064(6)170^1
-------- ----------------------- ------~
—------1) Partial Thyroidectomy 22.21 9
-------- -------------------- —
2) Partial Thyroidectomy 22 21 3
------ ----------------------
—------- --- zzzz
lesaBM
-lll^^^oidectomy (Canc^) 22 277-------- ---------------------------
---------------- -5-065
5-066
5-067
swT^y
Excision of linguaTthy^l1
------------ --------
f^noLth^b^n^----PgdiaLparathyroidTT^T----------- ------- -------------------- ----Excision of adenoma ~1
"---------- - --------------(Excision of ectopic parathyroid
----- --------- —----------------------
-I—----5-07
f=pSl
S^£===------ISS3I
5-071
^BSsgss!--
Partial adrenalectomy
—
,5-071
(a)
EFFTTFr^-t^
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--------- ----- —
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---------'5-072
~
O-^'Tlg-raJ adrenafectoniv
------ ~-------
'5-073
[5-074
________^g^^sonpirTTglAnd-------------------------------------------|S^O75~ _________
.Hyp^h^t3m7~
------ -------------Hvnn nh»
-----------------5-075 (a) jS^^pTfotiotanT"
^075(b)______________________________________________________
- ---- -------- —
_ 5-075 (c) ^^SEvophYSeaT^ik---------------—
5-075 f)
[5-076
15-077
radiation - see
Thyniectomy
—t1——-----------------------5^0777^ §^^2^2419^-38)--------- ------ ----.5-077^(3)
[5-078^
5-079 -—
5-079 (+)
--------------
------------ I^XGtudes : panrr^L /h-F.^n t.. -
T7:
—------Panereas (5-520 to 5-529)----------- -
Pages
-----------
------
------- ----f
Siows'--
6-flS
_ 721
_____ _____
5-080 ________
!
Incision of lacrimal gland '________________
_ Refrova! bf foreign body
of tona! o’snd
§0§l
Dactyoadenectuniy
5-082
54)_83_
Other operations on lacrimal glands
Passage?___
Removal of calculus______________________
Incision
of
lacrimal
sac
&
passag
es________
ZZZ 5^84
_____
[5-084 (a) Drainage_____ . ■ -_____________________
5_-081(b). Splitting of lacrimal papillae
Excision of ladfimal wc or teaion
ZZ S^OBSTaj- Dacryocystectomy_____________________
5-085 (b) Destruction of sac
5-086
Repair of canaliculus & punctum
5-086 (a) Correction of everted punctum____________
5-086 (b) Plastic operation
5-086 (cf Repair of pundum"
'
5-086 (d)~ Suture of canaliculus________________
.
5-003 (a)
5-087
Dacryocystorhinostomy___________________
5-087 (a) D.C.R.______________ .___________________
5-087 (b) -■ Fistulizaticn into nose____________________
5-087 (c) Intubatoin____________________
5-087 (d) Nasolacrimal anastomosis
5-087 (e)~ DCR 29,8 (pg.70)____________
5-087 (e) Endoscopic DCR 33.8 (pg, 75)
5-088
Conjunctivorhinostomy________________
5-088 (a) Canthocystostomy_________________ __
5-088 (b) Conjuctivodacryocystorhinostomy__________
5-088 (c) Dacryocystostomy________________________
5-089
Other operations on lacrimal apparatus_____________________
5-089 (4-) (Other available code : catheterization of lacrimalo duct 8-141)
5-09
Operations on eyelids
_______________________________
5-090
Incsion of eyelid ________________________________________
5-090 (a) Blepharotomy____________________________________________
5-090 (b) Drainage of chalazion_______________________ _____________
5-090 (c) Chalazion Operation 4.11 (pg 22)_________________________
54)90 (c)' Dra]nagc of hordeolum__ ____
_
___
5.^9?
Excision or dost urct ion of eyelid________________
___ 5-091 (a) Excision of cilia base
__ 5-091 (b) Excision of Meibomian gland_________
5-091 (c) Tarsectomy____________ _ ___________ "
5-091. (d) Chalazion 29.3 (pg.70)____________________
5^92
Operations on canthus & tarsus___________ ___
5-092 (a) Epicanthusjepair___________________________
5-092 (b) Palpebral fissure repair
5-092 (c) Epicantuhus 29.10 (pg. 70)_________________
15^093
Correction of entropion or octropion___________
5-093 (a) Ectopion 29.6 (pg. 70)_______________________
5-093 (b) Entropion 29.31 (pg 71)
Correction of biepharoptosts______________
5-0<M
5-095"
Blepharorrha phy
~|5-095 (a) Major
. * G
V
Minor__________________ ZZZZZ
5-095 (a)
5-095 (a) Suture of eyelid______________________
5-095{b)
______
_ larsorrhappy_____________ >_____________ ______
5-Q95 (*) Excludes . canthorrhappy (5-092)______ _ _____
5^96" _________ Other repair of eyelids
5-096 (a) Repositioning of cilia base
_2'
5-096 (b)) Transplantation of hair follicles_______
5-099
Other operations on eyelids__
5:09974) (Other
,
r.. .................................
t
available_________
code ’ epilation
of eyelid fl-lfllj
5-099 (♦)
5-099 (4-)
5-10
5-100
5-101
5-101 (a)
5-102
5-103
5-103 Q
5-103 (a)
5-104
5-105
5-109
5-11
(Other available code : removal of foreign body 8-102)
Reconstruction of Eyefid Defects 28~19 (pg~46)
1) Minor 28.19.1 (pg, 46)
’
____________________
2) Major 28.9.2 (pg, 46)_______________
Operations on ocular muscles___________
Myotomy & tenotomy of ocular muscles
Excsion of ocular muscle or tendon with recession or advancement of same muscle
Squint Correction 29.12 (pg. 70)
Advancement or recession of ocular muscle
_____________
Transposition of ocular mucsle__________________
~
Excludes : transposition for correction of ptosis (5-094)
Ptosis 29,5 (pg. 70)_______________ ZZIZZZZZZZZZZ
Other shoretening of ocular muscle
Freeing of adhesion cX ocular muscle
Other operations on ocular muscle
_____ _ Operations on conjuctlva____________________
5-110
Removal of foreign body from conjuctiva by incision
5-110 (*) Foreign body removal^ 5 (pf. 22)
5-110 C)~ Excludes : magnet extraction (5-120)
5-110 C) Excludes : Other (8-101)
I 'nyo 4
-
7
[5P
.5-114
J53ii5~
5 111(a)
-
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|g-12
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J5321
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__
|5d2T~(b) ^gemischsection"
[5-12F
--------------- ----------------
------------------ ~~~Z
------ —----------_Z
i5d2277rTr^^^^y^ZIZZ
5-124
'5-125
.
Keratotomy
___________________ _____
'.5-1231
5-123
5-123~(b^
. I
----------------------------------Keratectomy .
Suture of cornea ~
c
----------------------------- ___
-------- ----------------------------
^ZZZZZZZZ
5-125
(b) IIf 1<
------ —r 4S
^Mr^k^masty~--- ------ZZZZZZZZZZZZZ
5-125 (c) IKeratoplagSjgjj (pg 7oj
--------------------------------------'5-126 -------- ZIjQtberreE^i
of cornea
ICoiiarstu^Llr
___
_
,
LPfosthesis
5-126 (b)
-------- -—-—
5-126 (c) Ina
Refractive kieratopfasty
kieratopL^K, -------------- 5-129
--- -------------’
«>Z vn I
5-129 (a) TT
*£Qon Arc Laser 29 7 (pg~7dj~
- ------------ [TATTo6r
NG
—-JLcornea--^-------“
5-13
[5-130
anterior chamber^
Lgyc by incision
5-130 (a)
5-131
5J32"
body, iris.'
^gfin9 procedure^
- ------- -------5-132 (b) Indencieisis
---- --------------------[5-132~(c)^
■ '-^ejerectomy
~
-—
ll'-^SlIjScleratomy1'
-----------------------5-132 (•)
------
5-133
5^133(3)'
;lectorny
__ J / Ciliarotomy
— j) Cyclotomy
— jLgoniopucture
------------------ ----------j..T- r
--------
5^i337c)
—I- * ^yeloanemgation ~
'
--4^^odimherrny~~~----------------
5-134
5-135
i
— jl Trabeculotomy . '
.5-133 (d)
5-133 (e) L?^y'^omy^j7mm7m—
.5-133 (f)
—
5-133 (q)
5-133 (+) Ggniotorny29j7^~7m------- -----
I
eye or orbit 8-572)----------1y sclera
-------
5-134 (a:
.5-134 (+)
.5-135 (a;
L!£!dosclerostomy~-----. 5-135 (b] J^yoscierotomy
5-135 (c)L frfdocYstectomy fp
•fii
5^135jdj
ir
L Optical iridectomy
5-135 (ej- |^£!erotom£ofinr------------------- ----- ------5-135 (0 _ .t ransfixion of iris
------- -----------------------——_5-136
_ fridopiasty ____ ____ ______ ________
5-136 (a)
5-136 (b)
5-137
JSclerplasty ~
~------ --------------------------S^TjajjR^
jzrzpairof sclera
------- ------------—— ....
5-137 (b]
-----------giSTfc)
with graft~~~--------------—--------------------15-139
[5-14
KgEai
Pages
V-
I-
------- —
—
I
'
11
r—r
Removal p( foreign txxly from lens t)y incision___________________
5-142 ............... ~ Linear extradion of lens
5d£L_.
5 142.W. Cuttle evevyrttjyn_________________________________________
5-143
Discussion of lens & capsuloiomy_________________________________________
Needling of capsule___________________
______________________ _______
5-144
lntrocnpsutnrjYx1rnctk>hancrw______ _ ____ _______________________________
Cryoextraction______ ■____________________ _________________________________
5-144 (b) Erystphake extraction_____________________________________________________
5±14J9L Forceps extraction
5 144(d) SiiGi.ion exlraodon
6 J 45 ________ CirftDCtocajisitlar cxlinllon of lens_______________________________________
I
5-143 (a)
II n
Jm
Includes : combined, or with iridectomy_____________________________________
Other cataract extraction
______________________
5 -140 (a) Phakoemulsification_________________________________________________ ____
_________ Insertion of prosthetic lens_________________________________________________
5-148
Removal of jrnplantcd lens
— ri49
_ Other operations on lens
5-149 (a) Capculectomy_____________________________________________
Operation on retina, chrold & vitreous___________________________________
6J6
5-150
Removal of foreign bdy prosterior eye by incision removal of encircling tube
5-150 (ay Removal of encircling tube________________________________________________
5-151
Magnetic remcval of foreign body from prosterior eye________________________
7 Scleral buckling with implant______________________________________________
5-152
5-152 (a) Buckling with vitreous implant_______________________________________
5-153
Other scleral buckling____________________________________________________
5-153 (a) Constriction of globe______________________________________________________
5-153 (b) Scleral resection_________________________________________________________
5-153 (c) Sclaral Bukting (Retinal Detachment Surgery) 29,18 (pg 70)_________________
5-154
Other operations for repair of retina________________________________________
5-155
Destruction of lesion of retina or choroid____________________________________
5-156
Other operations on retina or chroid_________________________
5-156 (+) (Other available codes : laser beam destruction - see chapter 3)_______________
5-156 (+) (Other available codes : laser beam production of adhesions - see chapter 3)
5-156 {+) (Other available codes : other photocoagulatiopn 8-622)______________________
5-156 ( ) Vitrectomy 29.28 (pg. 71)_____________
5-157
Operation on vitreous__________________ __________________________________
5-157 (a) Replacement of vitreous_____________________________________________
G-IG------------Operations on orbit & eyeball
_________________________________
• ”• 5-1'60
Orbitotomy_____ ________________________________________________________
5-160 (a) Decompression________
5-160 (b) Drainage________________ _ ________________________________________ ——
5-160 (c) Orbitotomy 29,4 (pg. 70)
_________________________________________
5-161
Removal of foriengn body from eye or orbit NEC_____________________________
5-161 (*) Excludes : removal of nonpenetrating foreign body (8-102)______________ _____
5-162
Evisceration of eyeball ___________
5-162 (a) Removal of ocular contents with implant into scleral shell
5-163
Removal of eyeball_________________________
5-163 H Includes : implant into Tenon's capsule___________
5-164
Excision or destruction of orbital contents
5-165'
Insertion of orbital implant
_____________________________________ IIZZZ
5-165 (a) Reinsertion of extruded implant
5-166
Removal of orbital implant_____________ _
_
5-167'
Repair of orbit
________________________
5-167 (a) Permanent lid closure __________
5-169
Other operation on orbit & eye____________________
5-169(+) (Other available codes . therapeutic injection into eye or orbit 8-572)___________
OPERATION ON THE EAR
5-18
Operation on external ear
■ - 5-r80*
Incision of exteranal ear__________________
5-180 (a) Drainage of furuncle
5-180 (b) Excision of Pinna for GrowthsTsquamousT'Basal) Injuries 222*(pg 357
5-145 (■♦■)
5-146
i
i’
____ /
Ij
|
1) Skin Only 22.2.1
________________________
2) Skin and Cartilage 22 2 2
5-180^(4) (Other available codps; puncture of furuncle 8-150)
5-181
Excision or destruction of lesion of external ear
____________ 5-181 (a) Curettage
__________ '[5-181 (b) Excision of preauncular fistula
_ 15-181 (c) Pinna Excision 32.13 (pg. 75)
'5-182 kI ______
2?^ Other excision of external ear
[5-182 (a) Amputation of ear
[si82'(by Aradical excision of ear
!| I
I
I
'!
III
i
03
-
5-162 (c) ^rti^mpytalion22,2Afe9^__________________________
I I
5-182 (d) Total Amputation 22 2 3 (pg_ 3J5)
5-183_________ Suture of external ear____________________
5-183 (a) Ear Lobe Repair_one side 22.1 (pg 35)
5-184
■’
. - - Surgical
correction
of prominent ear
5-184 (a) Cartilage graft
5-184 (b) Otoplasty______________ __________
5-184 (c) Otoplasty_______
32.14 .(p
_________
g 75)_____ _______
5-185
___Reconstruction of external auditory canal
5-185 (ap^
’
‘
■ ' atresia
' ”
Correction
of' metal
5-185 (b) Skin graft lining
5-186'
Other repair of external ear
5-186 (a) Reconstruction of auncle of ear
Page 6
_________ __________
,r~
5-189
->
Other operation on external ear~
5-166 (4
-3^'
-
‘
5.
removal (X wiuinen fi. 171} “
i* '*
■J if») *. I ' •
5d89^ gasto Surgery of Different Regions of the Ear 28 2d7pq~46)------. 1) Minor 28 20j (pg 47) ~
--------------- -----~ J-------- 5-19
. 2) Major 28.20.2 (pg?*?)
--------------- ---------. Recontructive operations on middle ear
—————
5-190_________
Staps mobilization
-- ----------------------------5-190 (a) Crurolomy of stapes
--------- 5-190(0) Division of otosclerotic material
5-19b(c) Remobilization
5-191
Stapedectomy
———————
5-191 (a) With fenestration of footplate
-- ----------------5-191 (b) with graft of vein or fat
5l121Ic)_ with
... . wire
■ prosthesis
5-191 (d) Staepedectomy 32.6 (pg.~75)
5-192
Revision of stapedectomy
5-193 ---------------- Other operations on ossicular chain
5-194 _________ Myringoplasty
Construction of tympanum
~.(b)
..
Repajr eardrum
5-194
5-194 (c)L Type 11 tympanoplasty
~
_
5-194 (d)) Myringoplasty 32.5 (pg. 75)
---------5-195
_ Other tympanoplasty
‘————
5-195(a)L Type II, graft against incus of malleus
5-195 (b)L Type III, myringostapedopexy
5-195 (c)_ type IV, leaving mobile foot piate
5-195 (c) _ Type V, graft covering semicircular canal
“
5-195 (d) Tympanoplasty 32.11 (pg. 75)
-------:------5-196
_ Revision of tympanoplasty
~
5-199
Ot?of repair of middle ear
5-20
_ Otbef operations on middled Inm7 ear
5-200
Myringotomy
- ------------------- —
5-200 (a) Myringotomy 32.7 (pg 75)
----------------------- 5-200 (a) _ Insertion of tympanotomy tube
~
5-200 (b) Paracentesis tympani
~
- -------------5-200 (b) Paracentesis 32.10 (pg J75)_
-- ?--------------5-200 (c) . Grommet Insertion 32.8 (pg. 75)~
.....
5-200 (c) Tympanotomy 32,9 (pg, 75)
---------------5-201
Removal of tympanostomy tube
~
5-201 (a) . Removal of grommet
-------5-202
Incision of mastoid & middle ear
5-202 (a) Atticotomy
|
'
5-202 (b) Drainage nf mastoid antrum
5-202 (c) Exploration, transtympanic
•----------5-202 (c) Hypotympanotomy
5-203
Mastoidectomy
-------------- '
—
5-203 (a) Attico-antrotomy
5-203 (b) Mastoid antrotomy
'
5-203 (c) Mastoidectomy 32.12 (pg. 75)
------------- -------5-203 (4) (Other available codes : skin granting 5-893)
5-203 (4-) (Other amiable codes : tympanoplasty 5-194 S^igS)
5-204
Other excision of middle ear
~
1---------- L
5-204 (a) Excusuib of cholesteatoma
--------------------- ~
________
5-204 (b)_ Excision of petrous apex cells ~
5-204 (c)
Removal of outer attic wall
--------------------------
5-205
Fenestration of inner ear
5-205 (a) With partial ossiculectomy
[With skin or vein graft
5-206
Revision of fenestration
5-207
Incision & destruction of inner ear
5-207 (a) Drainage
?
5-207 (b) Endolympatic shunt •.
5-207 (c)_ Excision, glomus
-------------jugulare tumor____
5-207 (d) Labyrinthotomy
■
5-209
5-207 (e) Sacculotomy
5-207 (f) Vestibulotomy
-—
- ---------------------- - ---------- -------------- -------
'
"— -----------------
- ----------- -----------
------------
“
:
"
_ Other operations on middle & innerear"
—-------------5-209 (a) _ Revision of mastoidectomy
~~
------------- -----------------' 5-209 (b)
_ Tympangsympathectorny ~~
' 5-209 (->-) .(gheravail^ie codes - insufflation of Eustach.an
5-209 (+) _ (Other available codes ; tympanic injection 8-573)
5-209 (+) - 7^^^a^^^^2gg_Ll‘!lr^sonic~destruction~^see~chapter~3r
.OPERATIONS ON NOSE, MOUTHANDPHA^Y—£!£L21
5-21
5-210
. Operations on nose
Control of epistaxis
5-210 (a) . By Cautery, Cryosurgery, Suture
5-210 (*)
5-210 (4-)
5-211
- ------- -------------------------------------
Excludes : ligation of attery (5-387)
(Other available codes : nasal packing 8-501)
Incision of nose
Drainage
Removal of foreign body
5-211 (a)
5-211 (b)
5-211 (c) Septotomy
5-211 (d) Turbinotomy
‘
------------------- -------------------
"
---------- ----------- -------------—
- ----------------- -----------
Page 7
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1
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-4
o< teaal fractures of nose 2fl 10 (pg 46)_____
____
|5-211 (’) txctu^l^.n^gLof.foreign..body byrhinosc^pylQ-io^-------I^£L1UL
^2.1?
aw
I
lesn Of (fesnucfwn o<| lesion of nose
_____
_______
5-212 (b) Snaring
‘
5-212 (*) Excludes : cauterization (5-911) *
5-212 (*) Excludes : electrocoagulation (5-920) *
5-212 C) Excludes : freezing (5-944) *_______
5-212 (»)_________________
Excludes : ionization (5-931)
Excludes : ostectomy of facial bone (5-772)
5-213 __ _______ Resection of nose
r-ww-x-v
............. ..
...........
5-213 (+) Other available code : rhinoplasty 5-217)
"———
5-214
. Sut>fn.u99Vs resection of nasal septum
"
“
—_ 5~2i4(aj - Submucous Resection 33 jjpg^Tp)...................
______ '
5 I
I
«
5-214 (b) _
Removal 32,4 (pg 74)
'
5-214 (c) _ Tympanotomy 32 9 (pg_75)_3Z
~
-- ---------------------------
15-215
I
- 1
■ w
t1
1
t
J
■
Hi
_ Turbinectomy______
5-215 (a) Electrocoagulation
”
“
'—
5-215 (b) Intra Nasal Diathermy 33,6 (pg. 75)
‘———
5-215 (c) Turbinectomy 33.7 (pg 75)
————————
5-215 (+) , (Qtber available code ; infraction of turbinate 6-210)
5-216
/_ Open reduction of fracture of nasal bone
1
5-216 (^)’ _ Facture Reduction 33,5 (pg. 75)
------------------5-216 (b) Reduction of facial fractures of nose 28.10 (pg. 46)
5-216 (*) Excludes : closed reduction of fracture (8-210)
5-216 (+) - (c>ther available code : correction of displacement, nasal (8-201)
5-217
Repair & plastic operations on nose
5-217{a) Closure, septal perforatoirT
■----------------5-217 (b) Graft or implant
—
-----------------------------—
5-217 (c) Reconstruction
------------------ ------------5-217 (d) Suture
________
5-217 (e) Rhinoplasty 33.4 (pg. 75)---------------------------------------- 5-217 (f) Septoplasty 33,1 (pg. 75)
---------------------------- 5-217(9) Septal Pen Repair 33 10 (pg 76) ’
“———
5-217 (h) Septo-rhinoplasty 33.3 (pg 75)
----------------------5-217 (*) Excludes : Suture or graft of skin of nose (5-890 to 5-897)
5-217 (+) (9inef available code : manipulation of displaced septum 8-201)
5-219
Other operations on nose______
~
—-----5-219 (a) Se
paration o
Separation
off adhesions'———
" ———
- ------------------------ --
■d6)
'I
2) Major 28.21.2 (pg. 47)
~
'
Operations on nasal sinuses
_ Puncture of nasal sinus’^
~——
5-220 (a)
_ with irrigation
5-221__________ Intranasal antrotomy
~
"
J_______ 5-221 (a) Antrum window operation
■’
~
______ 5-221 (b) Antrum Puncture 33,11 (pg. 76)
’
_____ 5-221 (c) . Lateral Rhinotomy 33 12 (pg_76j3
"
5-221 (d) Cranio-facial resection 33 13 (pg 76)
5-222
External maxillary antrotomy
5-222 (a) Canine fossa approach
5-222_(t) Includes : associated antrum window operation
5-22
"■“5T220
•I
!' i
’P
5-222 Q
J
I
lit
P!
Maxillectomy 33,14 (pg. 76)
. Frontal sinusotomy & sinusectomy_____
’
5-223 (a) Decompression
"
5-223 (b) Drainage of mucocele
5-223 (c) Excision of lesion
5-224
^^LOa^lsinuscrtomy
“—
5-224 (a) Combined sinuses
5-224_(y Ethmoidotomy
5-224 (c) Sphenoidotomy
“ '
5-225
Other nasal sinusotomy
5-225 (a)_____________
Ethmoidectomy
“
"
-—
5-225 (b) Sphenoidectomy
[5-225 (c) LWith
~ removal of turbinates
~
~!5-225 (d) Ethamoidectomy 33.15 (p(. 76)
X15-225 (e)L Caldwell Luc Surgery 33.16 (pg? 76)
5-226
_ Repair of nasal sinus
’
5-226 (a)i Plastic operation on sinus
5-226 (b)i Repair of oro-antral fistula
"
5-226 f) _ Excludes : elevation of fractured bone •
5-226 (•) Excludes : frontal sinus (5-767) *
“
5-226 Q - Excludes : maxillary sinus (5-763) *
“
5j22?.l
._ Other operations'onnasal slni^T"
~ 5^229 (•) _' Excludes : excision of neoplasm of antrum (5-77lTr
5-229 (‘) Angiofibroma Excision 33.17 (pg. 76)
5-229 (*) - Endoscopic Hypophysectomy 33,18 (pg. 76)
~ 5-229 (*) Endoscopic Optic Nerve 33,19 (pg 76)
5-229 (•) Decompression 33.20 (pg. 76)
‘
5-23
Rgyoval & restoration of teeth
5-230
Forceps extraction of tooth
5-231
[Surgical removal tooth
5-223
Page 8
*
Iw
•
---- o(buned rod ~
j
---------------- ---------
VVith «WA*rry ex denial Hap
5-232
~
----- Restoration^ tooth by filling
5-232 (a) With drilling of cavity
~
.
5?32(, i) (OflMw ttvailabkj code lvin|xxa<y divsuing («J 3ixn
5-233
------ Restoration^ tooth by mlay
‘
5g33ia)
(a) Gold inlay_
...-r 0?^ rlentaTrestoraim ~
5^23 ?(a)'
Crown Ceramic, Gold
5-234 (b) Fixed bridge
_
5-235"
. Reimplatation of tooth
_____ 5-236
Prosthetic dental implant
---------------------- ---------------- ------------_____
15-236 (a) Endosseous implant
- ------------------------------5-237
Apicetomy & root canal therapy
'
—-----------------------------------5-237 (a) Canal filling
---- JK31
5-237 (b)
^237 (c)
Nerve extirpation
Pulpedomy
------------------------------ -------------Other operations on gums & alveolus
~— ----------5-240
/_ Incision of gum or alveolar bone~
- -------------------------------------------5-240 (a)L Drainage of dental abscess----------------------- - ----- ------------------------5-240 (b)L Drainage of pulp canal
- ----- -----------------------5-241
_ Gingivopiasty
-------------------------------------------------5-241 (a)!_ with graft of bone or soft tissue
5-242
_ Other operations on gum
5-242 (a)_ Curettage of periodontium
———————----------------------5-242 (b)_ Excision of epulis or granuloma of nt im
----------------- -----------5-242 (c) Suture of gingiva
-------- -------------- ------------------------- _
_____ 5-243
_ Excision of dental lesion of law
- ----------------------------------------- - ----5-243 (a) _ DentaTcyst
'“
----------------------------------------------------5-423 (b) Odontome
- -----------—_____ _______ _______
5-244
Alveoloplasty
:_______
5-244 (a) _ Alveolectomy
------------------ ------------- ------------------------- 5-244 (b) , Reconstruction of alveolar ridge
- ----------------------------5-244 (c) . Vesti>jlopiasty
~------------------ ------- ----------------- ----------------5-245
Exposure of tooth
---------- ---------------------- ------------------------- ----------5-246
- Application of orthodontic appliance
-- ------------------------ --------5-246 (a) . Arch bars------------- ------------------------------------------------- - ----------------------_____
5-246 (b) Obturator
'----------------------- *_____ _____ _____________
- ---------------------------------------------------------5-246 (c) Orthodontic wiring
5^4
5-246 (d) Periodontal splint
5-246 (♦)
5-246 (+) (Q^her available codes : wiring of teeth 8-334)
5-247
. Other orthodintic operation
5-247 (a) Equilibration
5-247 (b) Repair of dental arch
5-249
^heFdentaToperahon
5-249 (+)
5-249 (+)
f
PP------------------ ------------
------------------------------------------------—___________ '
-------------------- —----------------- ---------------------------- -——------------ ------------
:•
■
i.
5-25
5-250
zz~
I
^Rgnumectomy"
---------------------- -------------------- ______
5-250 (b)
5-250 (c)L Tongue Tie Excision 34,3 (pg, 76)
--------- -------------------- ------5-250 (d)L.Ranual excision 34,1 (pg. 76j~
---------- ----------------------------------------------5-250 (d)L Cyst Excision 34,2 (pg 76)
-----------------------------------------------------15-250 (■)'_ Excludes : frenotomy of tongue (5-258) *
- ------------- --------- -------------5-251
5-252
_ Partial glossectomy
—-------------- -------------------------------5-251 (a) _ Glossectomy, unqualified-------------------------------- ------------------ —
5-251 (b) _ Wedge resection of tongue
--- --- ----- -------- —
_ Complete glossectomy
- ----------- ---------------------------- -----------5-252 (+) Glossectomy 37.5 (pg 77)------------------------------------------------------------5-252 (+)
--------
5-253
5-253 (3) .............
,M1
tongue and
jaw ------------------------------------------ -------------------- -- ---------—
^j|3M.^ro6dBodY Excision 37
77)^
=ZZ
ijTr—------—‘— ------IPW. / r )
'
5-253 (+)
. (Other available code • -
5-254
-----------
—
5-254 (a) Fascial sling
L
5-254 (b) Freeing of adhesions
~~
- ----------------- —------------ ------5-254 (c) Fusion to lip
■*
------------------------------ - —-___________________
5-254 (d) Graft, skin or mucosa
------------------- __
5-258
Frenotomy lingual
~______ ____ _________ ___________ _
5-259
Other operations on tongue
"
—---------------------5-259 (a) Incision and drainage
------------- --------------------- --------------_
—;—
- ——■ ■ —man
—______________ _________
5-26
_____ 5-260
■
-----------
’
- lDClsl°n of salivary gland or dud
1------ ----------- - 5-260 (a) Drainage of abscess
~
----- -------- ------------------ —
----------------- 5-260 -^fnta^^ntofductonfice
(b)
---------------- ----------------------------------------- —
-260 (c) Sialnadpnnomy
- ------------------- ------ - -----------__
5
5-260
-9fin/H
(dl' siBifotomy
—____________
5-261
5-261 (a)
pS^LiS^or^^d^d -------------------------------Excision of benign neoplasm
~
-- -------------------------- -
Page 9
*
::
z!-:,
■
i
---------------------------,2
_ ^2??. 5J62"jaj
i
Otjief excision of salr^ary gland_________ ________ _
Lobect«W*2-^—.-------------------------------------------------
fapaif Of salivary fllaf Kl O’Hit
—5-2G3 & Closure of fistula
,5-263 (b)~ Revision of scar of duct____________ _ —_--------------------------- --------(c)
-- ’ sialodochoplasty__ _’i________________________________
_____ 5-263.
_____________
_ ____ 5-263 (d) Transplantation of duct opening
Other opera!tons on salivary glands & ducts--------------------------- 5-269__________
(Other available codes : dilation of duct 8-223)
\ _ 5r269(+) (Otlwr Hvaildbta codes : removal of carculus 8-110)
J
i’ttl
5-269(4)
5 200 Q ) Sub Mand Duct Utlwtofny 34 4 (;>g_701__-----------------------------
i
Adendidectomy 34.5 (pg. 76)
Other operations on mouth & face
_
Drainage' of face or floor of mouth-------------- --------------------------5-270
5-270 (a) Drainage_of factal_abscess_______________
Drainage of Ludwig's angina
----------- —
Excludes': drainage of thyrcglossaHraSl^-060)—---------------__ 5-270 Q
——
5-271________ _ I ncision of palate
5-269 (+)
5-27
i r ■
_.:._yzo.(p£
5-271 (a)
|5-271 (bi
j W-
5-272
5-273
I
I
ft
I
?-■
Excision of palate—
Excision of other pads mouth-----------------------------------------------Excludes : excision of tongue (5-251 to 5-253)------- - _____
|5-273 Q
~ Plastic repair ofmouth________________
—----------------' 5-274 (a) Closure of fistula
' 5-274 (b) ~ Correction of buccal deformity
_____________
' 5-274 (c) Stomatoplasty________
' 5-274 (d) ~ With graft of skin or mucosa-------------------- ------ ------- --------------“
Excl
udes
:
closure
of
oro-antral
fistula
(5-226)J-------—
~ 5-274 f)
" Excludes : correction of microstoma or macrostoma (5-B9 )
~ 5-274 C)
~ 5-274 Q “ Excludes : repair of cleft lip (5-898) *--------------------------~ Palatoplasty _______________ __________ _______________ _
5-275
----------------- ------------------------------5-275 (a) Repair of cleft palate
------5-275 (b) R^ns^ruc^ ofjpalate^
S^Tyjo)'suturg________________—:-------------------------------------------- - —
5-275 (d) Withjjone or skin graft
r»
I
Drainage of abscess
_______ ______
Fenestration of palate--------------- ----------
11
ft i
---------- 1——
• iprima(y gone Grafting of Cleft Lip Deformity 28.16 (pg. 46)_--------------5-275 (g)
□-z,u ii.i Secondary Surgery for Cleft Lip.Defgrmity28.l7 (pg. 4_5)-----5-275 (h)
5-275 (i|_ Secondary Surgery for Cleft PaJate^BJQJPQ-^)----------------
..
5-276
5-279
Operations on uvula________________ __________ _________
Other operations on mouth & face---------------- ----------------------___________________ -—
j
B
available codes---------------- - ------------------ g 27g [iy {Other
Operations on tomsils & adenoids------------------ _____________________-
.....
5-2K __
1
5-280
II's!
!
I
i
_
Oral drainage of pharyngeal abscess
______ _--------------
; 222 (a)
' ) Parapharyngeal----------------------- ---------------------------- ---------------------------- 5-280
5-280 (b) Peritonsillar
.
-------------------------------------------- -------------- 5l28P_(c£ Retropharyngeal
‘ 5-280 (d)
Drainage ofPerrtonsiilar Abscess 21.13 (pg 34)
---------------------------______5-280 (e)
Drainage of Retropharyngeal Abscess 21.14 (pg. 34)--------------- -------------5-280 (f)
Tnnsillpctomy(without adenoidectomy--------- ------------------------------------ ------5-281
Tonsillectomy(with adenoidectomy--------------------------------------------------------5-282
Excision of tonsil tag--------------------------- - --------------------------------5-283
' Excision of lingual tonsil
____________ ——
5-284
Adenoidectomy(wfthout tonsillectomy)---- ---------------- 5-285
5-285 (a) ' Excision of adenoid tag __________ __________ _
Other operations on tonsils or adenoids--------------------- --------------------------5-289
5-289 (a) - ^^^i^^elwnt^h^ha^aftirt^^^A^
_____ 5-289 (<■)
Operations on pharynx___________ —------------ —
5-29
~ Pharyngotomy--------------- -----------------------------------------------------------------5-290
5-290 (a) Aspiratior. of diverticulum
a -- ---------------5-290 (b)- Removal of foreign body_______________ _______
Excludesdrainage of tretropharyngeal abscess (5-280)
—
5-290 Q ~ (OtteF^labte code . removal of foreign body without mcrs.onS^lipL
5-290 (+)
Excision of branchial cleft vestiges
______ _____ _________
5-291
“ Excision of Branchial Cyst 22.4 (pg. 35) + 33.2 (pg 51) --------------------i5-291 (a)
j“ Excision of Branchial Sinus 22.5 (pg. 35) + 33.3 (pg. 51)------------------5-291 (b)
~ Excludes : excision of thyroglossal tract (5-066)----------------------------------5-291 C)
~ Excision cr destructtion of lesion of pharynx----------------------------------------5-292
5-292 (a) Diverticulccotomy----------------- --------------- ------ ----------------------------------------Excision or closure of fistula (except branchial)------------ ----------------------5-292 (b)
5-292 (c) Pharyngectomy----------- ----------------------------------- —--------------- ---------------E'xcision'of^2YD9£?L?^^y^ ?2.6Jpg.-352---------------------------5-292 (d)
Excision or closure of fistula (except branchial)--------------- -------------------5-292 (*)
Plastic operation on pharynx--------------------------------------------------------------5-293'
_ ______________ _________________
5-293 (a) Correction cf atresia
5-293_(b) Reconstruct kxr--------------- --- ---------- ---------------- -- - -------------------------------Phan/ngectomy
&
Reconstruction
22 11 (pg - -)
5-293 (c) .
u
5'293(<l) IPnlnh^hrttytWH^htY 34 (I
76)
Page 10
...
I
r—
76)
■------------- 6ii»ef repair of pharynx
_____ 5-294 (a) Division of adhesions or wb
------5-__2?4_M Jll^gination ofdiverticuium
(Ojher avarSbie code'
r - imh*-’ -t-v*
“
H.77.J
'
----------- operation on respiratory systfm-------
5-30___
------------- Excision of larynx
__ - 5-300 H nnn . Y
2
of lewri nf larynx
as-mssy*.. --. -
5-300 (*)
—
> ) .. gxcludes : endoscope application of cai
_ __ 5-301 ------------- Hemilaryngectomy________ ~
-------- L5-302
Other partial laryngectomy
5-302 (a) Arytenoidectomy
~£
"
‘
—----5-302 (b) Cricothyroidectomy
“ ——————
5-302 (c) Epiglottidectomy
•
.. .
5-302 (d) U^ryng___
ectom_
y, IJogtaTrf^
-------------- 5^02 £e) Submucous excision of cord
Complete laryngectomy
~
7
Radial laryngectomy
5-304 (+) Includes : Tadical neck dissection
5-31
Other operation on larynx & trachea
5-310
Injection into larynx
"
5-310 (a) Injection of vocal cord
5-311
Temporary tracheostomy
? S■—-----------fmer9
en^y cricothyrokfotomy
--------------- --------------i,- _
-------- j
■ w»s«vwmy
5-311 (b) Tracheostomy, Unqulified
5j11 (b)^Thymectomy
Thymectomy '30,8
30 8 (pg. 73)'
73) ~
---------- 5g.11 (b) Trachostomy (Paed) 33,1 (pg. si) —
5-312
Permanent tracheostomy'r^
------------------------- ---------5-312 (a)
_ Partial pericardectomy 30.9 (pg. 73)
-------------------------5-313
_ Other Incision of larynx or trachea
~_ 5-313 (a) _ Di linage
"--------------- ------- -----------5-313 (b) Exploration
-----------------------------5-313 (c) _ Laryngotomy
------------5-313 (d) _ Thyrotomy
--------------------------- -5-314
- 1-Ol2al excision or-destruction of trachea
---------~5~-314 (a) . Bronchoscopic electrocoagulation
~
. 5-314 (b) . Resection with reanastcxnguR
-----5-314 (c) Microlaryngeal Surgery 36,4 (pg~~77ji
5-314 (d) Laryngofissure 36?5 (pg. 77)
------------------------- -----------5-314 (e) Stenosis Excision 36.6 (pg. 77)
----------------5-314 (*) iDirect Laryngoscopy 36 1 (pg 77)
- ------------------ --------------5-314 (*) jPhonosurgery 36.2 (pg. 77)
------------------------ ----------5-314 (*) Fibroptic
f
Laryngoscopy 36 3 (pg. 77)
[5-315
Repair r^'arynx-------------------- -----------------5-315 (a) Closure of fistula
--------- —--------________
5-315 (b) Cordopexy
"
—------- ----------------------------_
5<315(c) Insertion of Rate or Keel ------------------------- --------------- --------5-315 (a) Transposition of Cords
--------- ------ --------5-316
, .-^ePair & Rustic operation on trachea "
-------- ---------------g2316(a) Closure of tracheostomy
------------------- ------5-316
(b) -^Qgtructionofartificial larynx
J’‘‘*
--------------------------5-316 (c) _ Reconstruction of trachea
'
—■— ------------5-316 (d) Tracheoplasty
---------------------------------------------5-316 (e) Tracheorfhaphy
----------------- ----------------------5-316 (+) . Total Laryngectomy 37,9 (pg. 77)
-------------------- ----------- —
5-316 (*) . ^Iudes : dosure of tracheoesophageal fistula (5-427)--------------5019
Other operations on larynx & trachea
“
------ ---------------_5-3l9(a) Dilatation
•.
-- --------------------------------------5-319 (b) Division of adhesions or ueb~
'
---------------- -----5-319(c) Removal of plate <u. ~------------------------------------------------5-319 (+) ^rj^tebfel^_ln^^nT0T,-^tlFa78.57^r-------------5-319 (+)
5-319 (+)
5-303
5-304
'5-32
—
Excision of Iung & b7?nchus------------------- y__b^_(o_£uy)----Excision or destraction of lesion rtb^j
>nchus
5-320 (a)
’ _ Bronchoscopic destruction
~
5-320 (b) Local excision
:
--------5-321
_ Other excision of bronchus
5-321 (a) En bloc resection ----------^-321 (b)
Sleeve resection
“
5-322
_ Excision or desturctidn of les>on of lung
5-322 (a) Excision of tumor
5-322 (b) Removal of cyst ?
’
5-322 (c) ^datical Cyst 24.18 (pg.38)~~------5-322 (c) . Hydatid Cyst31.13 (pg 74) ~-----5-323
Segmental excision of lung
___ 5-323 (a) Apicectomy
—
___ 5-323 (b) Lingulectomy
___ 5-323 (c) Partial lobectomy
___ 5-323 (d) Wedge resection
-------------.__ 153323 (e) .Segmental resection 30.6 (pg 73~j~
5-320
Page 11
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f. ■'
i
• . I
•
■
;■
•
■
“J'2*”1’______
i
-i
_
Lobectomy of lung
___ .___________________________
___ Lobectomy 30 4 (pg 73) + 3.47 (pg. 58)____________________
zrirzzfW) Partial5-324 (a)
Pneumo nedomy 30 3 (|xj 72)
I
4/ (pg 58)
'______ 5-324 (b)
5-325
5.320
£33
'•
I =l
Lobectomy 24,16 (pg 38)
____ Complete pneumonectomy________________________________
______________________
5-325 (a)) Extended pneumonectomy
_____________________
5-325 (b) Pneumonecton^^
5-325 (c) Radical (mediastina) dissection____________________________
. . .
5-325 (d) Pneumonectomy 24 15 (pg 38)
Otlict excision uMung A b<O(»cliutt_
.
5-329 (*)' ExcludesYpulmonary decortication (5-344) *
___________
Other operations on lung & bronchus
0-
incision of bronchus
5-330^
____________
____ 5-330 (a) Exploration_______________
____ 5-330 (b) Removal of foreign body by incision
____ 5-330 (*) Bronchoscopy 24,2 (pg.37)
__ ____
___ 5-330 O Bronochoscopy 31,2 (pg. 73)
___~ 5-330 O Excludes ; removal of foreign body by broachoscopy (8-107) *
5-331 ______ Incision of lung___________________________________
J:Si
fi
II
Jrfl
__ ___
5-331. (a)
5-331 (b)
5-331 (c)
Drainage
_______________________
Removal of foreign body
__
__________
Removal of F.B. - Trachea of Oesophagus 3,42 (pg. 58) + 4,3 (pg. 59^
Surgical collapse cf lung______________________ __________________
5-332 (a) Destruction of phrenic nerve
_______________ _____
5-332 (b) Plombage
5-332 (c) Thoracoplasty____________________________ _________________ .
5-332 (d) Thoracoplasty 24,14 (pg. 38)---------------------- --------- ---------------------- - -----5-332 (d) Thoracoplasiy 30,1 (pg. 72) 3.44 (pg. 58)
5-332 (‘) " Excludes : therapeutic pneumothorax (8-731) ‘
Freeing of adhesions of lung &chest wall_____________ __________
5^33
___ __________________________
5-333 (a) Pneumonolysis
_________________________ 5-333 (b) ~ Thoracolysis__________________
RePair & Plastic operation on lung & bronchus
—
5-334
_
_
5-334 (a) Anastomosis to trachea
5-334 (b) ’ Closure of fistula______________________ ____ _____________________
5-331JC) Rcconsl ruction
|5-334 (d) ISuiure
Lung transplant
_
______________________
>5-335
Other operations on lung & bronchus_____________________________ :
5-339
5-339 C) Open Lung Biopsy 30.15 (pg. 73) + 3.41 (pg. 58)
_____ 5-332
Ii!
!
5-339 (a)
5-339 (b)
5-339 C)
5-339 (+)
I
III
5-34
? 8- r
1
Dilation of bronchus _____________________ ________________ —1
Ligatoin of bronchus
_
Excludes : ligation of vascular pedicle (5-387)_________________
(Other available code : aspiration of lung 8-156) *_______________ _
Operations on chest wall, pleura, mediastinum & diaphragm____
Incision of chest wall & pleura_______________________ 2------------------- ■.
5-340 (a) Exploration________________ ——
____ 5-340 (b) Hemostasia
1------------------------- --_ 5-340 (C) Rib resection ford rainage
_—
5-340 (d) Thoracotomy
______________________
" 5-340 (e) Aspiration of Pleural Cavity 24,5 (pg 37)
;---- ■
5-340 (f) Aspiration of Pehcardial Cavity 24,6 (pg. 37)
_ 5-340 (g) Thoractomy (Penetrating Wounds) 24,10 (pg.37)
____ 5-340 (h) Intercostal Drainage of Empyema 24,11 (pg.38)
5-340 (i) Rib Resection for Empyema 24,12 (pg.38)
____ 5-340 (j) Thorachostomy 3.36 (pg. 58)
5-340 (k) Exploratory Thorocotomy 3.37 (pg. 58) + 31.10 (pg. 74)
___
_ v
5-340
(I), Pleural Biopsy 3 40 (pg. 58) 4- 31.7 (pg 74)_______________________
5-340 (m) Rib Resection & Drainage 3143_(pg...58)„t_3HUg9;Z£)
■
.
...■■■
:
Incision of mediastinum_________________ __ ___________________
Drainage
------------ ------ --------------------- ----- ---------------- --- ------------------- _•
. ....
5-341_(b) Exploration
5-341 (c) Removal of foreign body
__
5-342
______ Excision or destruction of mediastinal lesion
___ _______
5^42_(a)_ MediastinaI Tumour 30.7 (pg. 73) + 3.49 (pg. 59)
Excission or destruction of chest wall lesion
5:343'
5-343 (a) Cost ectomy :or thoracic disease
_ _________________________
5-343 (b) Resection of chest wall
_
5-343 (*) Excludes .costectomy for disease of rib (5-783)
5-343 C) Excludes : excision of skin lesion of chest wall (5-884, 5-885)_______
5-343 C) Removal tumours of chest wall 30.10 (pg. 73)
Pleurectomy
__
__________ _ ________
5-344
_
___________________
5-344 (a) Excision of pleural lesion
__
5-344 (b) Pulmonary decortication________________
__________
5-344 (c) Decortication (Pleurectomy) 24.13 (pg.38)
Scarification of pleura ____ _ ___________
5-345
____________
5-345 (a) Obliteration of pleural cavity
5-345 (b) Poudrage_______________________________________ _ ___________
~ Repair of chest wall:-------------- -- --------------------- —
5-346
(?) Correction of pectus excayatum
Operationns on diaphragm
..
5-347
5-347.la). Drainage
5-347 (b) Excision of lesion ______________
5-341 '
5-341 (a)
' I
Page 12
I
-__________________
— •
_ :
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______________________________________________ '
1,
■
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5-340
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5-347 (‘}~ Excludes : repair of Uiaptwafltnatic iierrua (5-537 and 5-538) *•
’
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’
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._
5-349
Other operations on thorax
........ 5-349 f) Mediastinoscopy 24 4 Xpg 37)
__ 5-340 (*) iTfachcofctcxny 24 8 (pg* 37)
’
■■•■
■
‘
,
....
, •
_____5-349 {•) _ No^i^y 32?.Ipg_58J_t22_9 (pg. 35). ♦ 24 3 (pg 37) ♦ 21.37 (pg 34)V^(p<r’74j’
_____5^349 0
Excludes lysis of adhesions (5-333) •
Excludes !Ixxsc<x>h(0-155) *
_ OPERATIONS on the cardiovascular system
Operations on values & septum of heart
5-350
_ Closed heart vah/otomy
5-350 (a) Commissurotomy, transventricular
5-350 (b) Digital opening of valve
5-351
_ Open heart vah/otomy_________
5-351 (a) _ Division of chordae tendmac
5-351 (b) Division of papillary muscle
~ 5-351 (c) Infundibulectomy
5-351 (d) Open commissurotomy
_______________
' 5-351 (e) Removal of leaflets or cusps
' 5-35 V(f) Sculpturing of valve
5-351 (g) Open ASP VSD 3,14 (pg, 57)____________'
' 5-351 (h) Open Pulmonary Vakotomy 3,15 (pg, 57)
~ 5-351 (i) Open Aortic Valvotomy 3,16 (pg 57)____________ ’
' 5-351 (j) _ Blalock Taussing operation 3,18 (pg 57) _
5-352
Replacement of heart valve
5-352 (a) Graft or prosthesis
’~
5-352 (b) Partial or total
5-352 (c) Open Mitral Valvotomy 3.20 (pg. 58)
5-352 (d) Mitral Valve replacement 3.21 (pg. 58)
5-352 (e) Aortic Valve replacement 3.22 (pg. 58)
5-352 (f) double Valve replacement 3,23 (pg. 58)______
5-352 (g) Mitral Valvotom 3.19 (pg 57)________________
5-353
Heart valvuloplasty (without replacement)_________
5-353 (a) Annuloplasty
_________
5-353 (b) _ Bicuspidization
__________
5-353 (c) Mobilization or hinging_____________ ___
5-353 (d) Repair of cusp_________________________
5-354
Other repair of defects of heart valves_______
5-354 (a) Reacttachment of papillary muscle
5-354 (b) Repair of sinus of valsalva aneurysm
.
5-355
Production of septal defect in hearty
5-355 (a) Enlargement of foramen
5-356
Ottk..~ repair of valve or septum with prosthesis
5-356 (a) Outflow prothcsis
5-356 (b) Plastic patch implant
5-356 (c) Tube prosthesis for pulmonary artery____________
5-357
Other repair of valve or septum (without prosthesis)
5-357 (a) Auricular ligation__________ ________________
5-357 (b) Closure of septal fenestration
_____________
5-357 (c) Interatrial baffle (pericardial)______________
5-357 (d) Repair of endocardial defect___________________
5-357 (e) Repair with tissue graft_________________
5-358
Other operations on valves & septum of heart
5-358 (d) Patent Ductus Arteriosus 3.10 (pg.57)___________
5-358 (e) Total Correct of Tetralogy of Fallot 3.11 (pg. 57)
5-358 (f) RSUV Corrction 3.12 (pg. 57)__________________
5-358 (g) TAPVC Correction 3,13 (pg. 57)
5-358 (h) B.T, Shunt 3.26 (pg, 58)________________________
5-36
Operations on vessels of heart_________________
5-360
Removal of coronary artery obstruction____________
5-360 (a) Coronary endarterectomy__________________
5-360 (b) Coronary Ballon Angioplasty 3.7 (pg, 57)__________
5-360 (+) Includes : venous graft or patch repair____________
5-361
Bypass anastomosis for heart revascularization
5-361 (a) Aortocoronary anastomosis_________________
5-361 (b) direct revascularization_______________________
5-361 (c) Internal mammary to coronary anastomosis_______
5-362
Heart revascularization by arterial implant
5-362 (a) Implantation of aortic branches
5-362 (b) Implantation of internal mammary artery into heart muscle
5-362 (c) Indirect vascularization
5-362 (d) Coronary Bypass Surgery 3.5 (pg, 57)
5-362 (e) Coronary Bypass Surgery post Angioplasty 3.6 (pg 57)
5-363
Other heart revascularization
5-363 (a) Abrasion of epicardium
5-363 (b) Cardio-omentopexy
5-363 (c) Introduction of irritants
5-363 (d) Poudrage
5-369
Other operations on vessels of heart
5-369 (a) Ligation of coronary arteriovenous fistula
5-369 (b) Coarctation - Arota Rep. Of Blk Taussing Shunt 3,25 (pg.58)
5-369 (c)
5-37
!Other operations on heart & pericardium
5-35
Page 13
■’*
•
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____ . .
________
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I’eflt)flfe.li»wnt’*s>9_______________ _______ _---------------------------Pcfjcardio Centos 3 f29
(pg 58)
_________________
__
5-370 (») (Other available codes>: cardioscopy 1-691)
pher available codes
5-370 (+) f....................
_ diagnostic pericardial aspiration 1-842)
(Other available codes 2_pericardia£injection 8-575)
Pcrcardtqlqmy---------- -- ------------------------------------------5-371 (af Division of adhesions or web
___
_ (b) Evacuation of hematoma_______________________
5-371
5-371 (c) Pericardial window operation_____
_______
5-371Jd) Renioyal of forergnbody________________________
5-371
(c)' Pericardiostomy 3,27 (pg 58)________________
- :
5-372 _________ Percardiectomy
5-372 (a) Decortication__________________________________
5-372 (b)
(b)~ Excision of adhesions or scar___________________
5-372
5-372 (c) Excision of cyst
5-372 (d) Pericardiectomy 3 28 (pg 58) + 3.51 (pg 59) _
5-370 (-«-)
....
!
»-u
t ‘
*
ci
v,-V
• .1 V Hl.
.4
5-373 "
____ "
Excision of lesion of heart
___ ' "5-373 (a) Atrial appendectomy______________________
5-373 (b) Excisoin of akinetic area
______________ 5-373 (c) Excisoin of aneurysm_________________
5-373 (d) Myocardiectomy of infarct _________________
5-373 (e) Aneurysm Resection & Grafting 3.34 (pg. 58)
Other repair of hearyt 8< pericardium
5-374
5-374 (afI Ligation
Repair of ruptured aneurysm
Suture_____________________
Heart transplant
,5-375
Implant of heart assist system
5-376
5-376^a)_ Artificial heart___________
_______________
5-376 (b) Wra-aortic balloon pump
Includes
: removal, replacement or repair of system___________________
5-376 (+) I
-------------------------Implant of cardiac pacemaker___________________ ____________________ ___
5-377
________________
5-377 (a) Implant of epicardial electrodes________________________
_
5-377 (b) Implant of pulse generator (battery)
~~ 5-377 (c) By thoracotomy or mediastinotomy
__________________________
__5-377 (d) Permanent Pacemaker Implantation 3.30 (pg. 58)__________________ ____
___ S^TJe) Temporary Pacemaker Implantation 3.31 (pg. 58)___________ ______________
__ ' 5-377 (ff Tests of Pacemaker 3 32 (pg. 58)
___________________________
_
5-377 0 (Other available codes : cardiac pacing 8-650 to 8-658)
______ 5-377 Q (Other available codes : electrical conversion of cardiac rhythm 8_-640_tq 8^49).
5-377 Q~ ((5thef”available codes . intravenous cndocarial electrode 8-880)
Removal or replacement of implanted cardiac pacemaker
5-378
_______________________ 5-378 (•) Excludes : replacement of battery (8-881) *
Other operations on heart or pericardium______________________________
5-379.
______________________ l.
5-379 (a) Open chest cardiac massage_________________
5-379 (*) Excludes : replacement or removal of transvenous electrodes (8-882)
Incision, excision & occlusion of vessels_________________________
5-38
Optional anatomical subdivision, fifth digit:_________________ ;
5-38 (a)
1) intracranial_____________________________
________■
2) other head and neck
3) upper limb vessels
;_______ i
4) thoracic vessels__________________ __________________________________
5) abdominal arteries
1
6) abdominal veins
__
_
7) lower limb arteries
____
8) lower limb veins
...
j.._
9) Operations for Stenosis of Renal Arteries 4 14 (pg 60)_____________
10) Injectoin of Varicose Veins 4,15 (pg 60)
11) Trendelenburg Operations 4 16 (pg. 60)
12) Stepping of short / long Sephaneous Veins 4,17 (pg. 60)
Excludes : heart vessels (5-360 to 5-369) 2
1____________________
_____ 5-38n.
Incision of vessel
5-380
____ _________________________________
........ 5-380Taj Embolectomy
___________________________
5-380 (a) Embolectomy 3.33 (pg. 58)
5-380 (a) Arterial Embolectomy 4 3 (pg. 59)________________________________________
15-380 (a) Arterial Embotectomy 32.1 (pd- 50)_______________________________________
~~ 5-380 (b) Exploration_____________________________________________________________
5-380 (*) Excluces : catheterization of vessel (8-830 to 8-839)_______________________
5-380 Q Excludes ; puncture of vessel (8-840 to 8-849)_________________________
Endorterectomy_______________________
___________________________
5-381
_________________________________________
5-381 (a) Thromboendarterectomy
_________________________
5-381 (a) Thrombo-Endarterectomy 4,6 (pg. 59)
5-381 (a) Thromboendarterectomy 32.4 (pg 50)____________________________________
5-381 (+) Includes : removal of thrombus . ■
5-361 (+) Includes : temporary bypass during operation______ _______________________
5-381 (+) Includes : win patch closure______________ _ ____________________________
5-381 (+) Venous Thrombectomy 4.19 (pg. 60)____________________________________
‘ 5-381 (+) Venous Thrombectomy 32.16 (pg. 51)
___
Resection of vessel wrth reanastom’rsrs________________________
5-382
5-382 (a) Correction of coarctation cf aorta_________________________________________
______________________________
5-382 (b) Excision of aneurysm with roanastomosis
__________________________
5-382 (c) Surgery for Arterial Aneursysm 32 5 (pg 50)
5-374 (b)
5-374 (c)
I
...
■
■
_
■ 1 A>/ ’■
: t ;
.
.1
Page 14
iia •
h’t. i •>y'.1--'’''?'-
V-
1) Distal Abdominal Aorta 32.5 1
5
__ 5) Splenic Mery 52.6,5 ._____________
_ lLRenaLArtery 32.5.4
~T- vi
'
. ... ; , |.,lh
’
...ai {•;
1
........ ..... - '
/
_ 7) Main Arteries of the Limbs 32.5.7
_ 0) Distal Abdominal Aorta 4 7 1_______
------ 4 ....
_ 9) yppofjAbdominal Aorla 4 7 2
10) .§1^'10LAflw y 4 7 3
_ I1) Renal Artery 4.7.4
12) Carotid 4,7.5
13) Vertebral 4.7.6
_ 14) Main Arteries of the Limbs 4.7.7
5-382 (d)L Intrathoracic aneurysm 32 6 (pg 51)______
_ 1) Aneurysm not requiring Bypss Techniques 32 6 1
_ 2) Aneurysm requiring Bypss Techniques 32.6.2
5-383
_ Resection of vessel with replacement
~~
5-383 (a)_ Graft or synthetic bypass_________
5-383 (b)L Graft or synthetic implant
5-38y(c)_ Excision and Skin Graft of Venous Ulcer 32.15 (pg sT)~"
------
:’ L
.
5-384
I
t
_ Ligation & stripping of varicose veins
5-384 (a) _ Stripping of short or long Sephenous Vein 32.13 (pg, 51)
5-384 (b) _ Ligation of Ankle Perforators 32.14 (pg 51J
5-385
_ Othere excision of vessels
5-385 (a) _ Aneurysmectomy
”
5-385 (b) _ Excision of lesoin of vessel________
5-385 (c) _ Excisoin of vein for graft
————
5-385 (d) Patent Ductus Arteriosus 3.10 (pg. 57)
5-385 (e) Intra-Thoracic Aneurysm 4,8 (pg 59)
5-385 (f) Aneurysmnot requiring bypass technrqueTg (pg, 59)
5-385 (g) . Requiring bypass techniques 4.10 (pg. 60)
5-385 (h) DissectingAnheurysm4.il (pg 60)
5-385 (I) Intra-thoracic Aneurysm 5,2 8.1 (pg 60)
5-385 Q Excludes ; aneurysmectomy of heart (5-373)
'■ ~ ~
5-386
Plication of vena cava
s-saefaT Antlcmbolic filter
'
.......
5-386 (b) Ligation________ ~---------------- :—
li
5-387
Other surgical occclusion of vessels
“
~
5-387 (a) Banding or ligation
~
:' ■ i
5-387 (b) Divisoin
—------<.-."j ’d)
5-387 (c) Suture of aneurysmal sacculation
5-387 (d) Operations for Stenosis of Renal Arteries 4,12 (pg. 60)
5-387 (e) Congenital Arterio venous Fistula 4,13 (pg 60)
-------------Qf ^ nnw’
9 Excludes : adrenal artery (5-073)
!■-< -• ■■ > rvxt r? k:
5-387 Q . Excludes : coronary artery (5-369)
■ .
ESS?
c
...
5-387 f) . Excludes : gastric or duodenal vessel (ulcer) (5-443) ~
.
T—
5-387 Q Excludes : meningeal vessels (5-021)
5-387 f) Excludes : thyroid artery (5-069)
5-39
Other operations on vessels of heart
5-390
Systemic to pulmonary arterial shunt
5-390 (a) Anastomosis :_____
aorta - pulmonary artery
left to right shunt
pulmonary-innominate artery
subclavian-pulmonary artery
5-391
Intra-abdominal venous anastomosis
5-391 (a) Anastomosis :
I mesenteric-caval 25.28 (pg. 39)
------------- ------------- --------portacaval 25 26 (pg. 39)
- ---------------------------portal decompression 25.27 (pg. 39)
-------splnorenal 25.25 (pg. 39)
------------------------- - -------------- ------------_ Portal venous shunt
-------------- Warren Shunt 25.29 (pg. 39)
------------- ------ - ------------------------5-392
Other shunt or vascular bypass
5-393
Suture of vessel •
~ ~
~ ----------------------------- -----------5-394
Revision of vascular procedure
---------------- - —------------5-395
Other repair of vessel
-- -------------------------------5-396
. Extracorporeal cardioplumonary bypass____
——————
- ---------------5-397
. Periarterial syspathectomy----------------------5-397 (a) Sympathetectomy 4 20 (pg. 60)
------------ ----------------------------1) Lumbar 4.20.1
__________ _________ —
. 2) Cervical 4.20.2_____________
________—•---------5-397 (a) Sympathetectomy 32.17 (pg 51)
-------------------------1) Lumbar 32.17.1
-- ---------------------------------- —--------------2) Cervical 32.17.2
5-398
5-399
5-40
____ 5-400
____ 5-401
____ 5-401
|5-402~
------------------------------------- ------------------------- ---------------
Operations on carotid & other vascular bodies
-----------Other operations on vessels of heart
--------------------Operations on lymphatic system
----------------- ;--------- Incision of lymphatic structures
"—————— --------------------Simple excision of lymphatic structure
------------------- ------ —---------
|
Page 15
l
i-
I
.1-----
| ...
I
—
■
P1
0-4CH
" 5-404
I-
___ 5-405
__ 1-^
5-40y
Kadlal
___
Other radical excision ot tymph nodes
Operations on thoracic duct______________
Other operations on JynfM lalio slniotiHet,
Ccrvicoi Lytrififi Node 21 23 (pg. 24)
THTT’
5-409 (*) Auxiliary Lumph Node 21.24 (pg. ‘
34)
" ____________________________
.
__________________________________
5:409j*)_ Inguinal Lym
_ o-jQRn. Excision / BjopSyjrtJrfW Lumpti Nodes 21.25 (pg 34)_____________ ■________ ■_
Exicision Biopsy of Ulcers 21.27 (pg, 34)____________________________
'
______ 5-409 (•)
Excision Biopsy of Supervicial Lumps 21.28 (pg. 34)________________
•
_ ____ 5-409 Q
__________*
_____ 5-409 (‘J Incision of Biopsy of Growths / Ulcers 21.29 (pg 34)
^409 (7 ' tfik/Ul Heerile OK»fMiy 21 30 (fig 34)___________________________________;___
f
______ 5-409 (‘)
5-409 f)
5-400if)
J____ 5-409 (*)
5-409 (‘)"
ii
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1
Percutaneous Liver Biopsy 21.31 (pg_ 34)__________________________________
Percutaneous Kidney Biopsy 21.32 (pg 34)
Sph’nn Aafxrjrtion^jl ,33_(pg.j41
_________________________________________ _
__ _______________
Marrow Aspiration (Needle) 21.34 (pg 34)
Marrow Biopsy (Ope
n)-21
■SS’jpg.- _3J)_____ ___ ___________________________ 1
’
---
. sjipari... Muscle Oiopcy^lAG (pg 34)____ __________ ______________________________
5-409^*) Scalene Node Biopsy 2137 (pg 34)_________________________________ •
_________ Operation on spleen & bone marrow_________________ .___________________
5-410 _________ Bone marrow transplant_____________________________ •_____________________
5-411 _____ Puncture of spleen_______________ ____ ________________________ _
Splenotomy_____________________________________________________________
5-412
Splenectomy
5-413
5-413 (a) Splecnectomy 25 24 (pg. 39)____________________________________________
_________ 1) Fopr Trauma 25.24.1___________________________________________________
_________ 2) For Hyperplenism 25.24.2___________________________________ ■___________
>5-418 _________ Other operations on bone marrow______________________________________ _
5-419 1
Other operations on spleen
_______ ~~ OPERATION ON THE DIGESTIVE SYSTEM____________"
rr
i
5-42
_________ Operations on esophagus_______________________________________________
Esophagotomy___________________________________ ____________
________________________________________________________
■
5-420 (a) Drainage
5-420 (b) ^Pjoration_byjnqisran____________ ________ ___________________________
5-420 (C) Removal of foreign body by incision
5-420 (d) Rupture of esophageal web______________________________________________
Local excision or desturctionpf lesion of esophagus
5-422
5-423'
Excision of esophagus
5-423^ L wj| >1 ingvct orny________________________________________________________ _
5-423 (b) Atresia of Oesophagus and Tracheo Oesophageal Fistula 27.2 (pg 45)
______ _____
5-423 (b) Tracheo Oesophageal Fistula (Paed) 33.6 (pg. 51)
5-423 (b) Oesophago gastrectomy for lowet corringers procedure 30 17 (pg. 73)_____
5-423 (b) Ocsophago gatectomy for mid 1/3 lesions 30.11 (pg 73)
Oeso < o gatectomy
for mid 1/3 lesions 3.53 (pg. 59)
5-423 (bp~ ~
5-423 (b) Oesophagectomy for Carcinoma Easophagus 27,6 (pg. 45)___
Z 5-123.(b). Esophagogastrectomy_____________________________________
5-420
I
ftII
I
w
II!
5-423 (c)
5-423 (d)
5-423 (e)
I
5-424
5-424 (a)
5-424(b)
5-424 (c)
5^24 (c)
5-425
' 5-425 (a)
' 5-425 (b)
5-426
5-426 (a)
■
5-426 (b)
5^26 (c)
5-427
5-427 (a)
5-427 (b)
5-427 (c)
5-427 (d)
5-427 (e)
5-427 (+)
5-428
5-428 (a)
_____ 5-428 (b)
5-428 (b)
5-428 (c)
5-428 (d)
5-429
5-429 (a)
5-429 (b)
5-43
5-43 (a)
5-43 (a)
5-430
5-430 (a)
I
With end-to-end anstomosis_________________________________________
Coloninter position or repl. Of Oesophagus 3 56 (pg. 59)________________
Oesophago Gastrectomy - LWR Corringers proed, 3.57 (pg 59)_________
Anastomosis of esophagus (intrathoracic)_____________________________
Anastomosis with stomach or bowel
Interposition of jejunum or colon
’
Operations for Replacement of Oesophagus by colon 27 3 (pg 45)
Operations for Replacement of Oesophagus by colon (Paed) 33.7 (pg 51)
Antesternal anastomosis of esophagus
Prestemal graft or prosthesis_________________________________________
Production of subcutaneous tunnel with anastomosis___________________
Esophagomyotomy
Cardiomyotomy
Division of cardiac sphincter______________________________________
Esophagogastromyotomy
Other repair of esophagus
Cardioplasty
Closure of fistula or stoma
Production of subcutaneous tunnel without anastomosis________________
Achalasia Cardia 27,8 (pg. 45
1) Transthoracic 27.8.1______________________________________________
2) Abdominal 27.8.2________________________________________________
Atresia of Oesophagus and Tracheo Oesophageal Fistula 27,2 (pg. 45)
Excludes : repair of diaphragmatic hernia (5-537 and 5-538)
manipulation within esophagus
___
DHation_____________’______________________
Intubation_________________________________
___
Oesophageal intubation (Mausscau Bajbin Tube) 27 7 (pg_f*5)______ __
Removal of foreign body
______ _
Tamponade________________________________________________________
Other operations on esophagus_____________________ ________________
Injection of esophageal varices
Ligation of blood vessels
Incision 8. excision of stomach
Gastroscopy 25.1 (pg. 38)_________________________________
Gastric and Duodenal Biopsy (Endoscopic) 25.2 (pg. 38)_______________
Gastrotomy_______ _______
Gastrotorny 25 4 (f>g 38)
Page 16
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-------- ------------ ----------- , ftodtea o( OeegMtayue 3,42 (|)y 66)
5-430 (b) F
Removal o( foreign body - Traci>ea of Ocsoptiagus 4 3 (pg. 59)_________
5-431
Temporary gaslroslomy
g«»»f«aorny7
______ ,J'~■ _________________ __
I
i 14 ir .ti<, • • - /
z .< .■ •. ■ / ■
5-434
-
-
J•
I -
5?3~4('aT Excision of diverticulum
____ 5-434 (b)
=011
____ 5-434 (f)
Excision of ulcer
Wedge reeedjrxi of
Simple Closuio of perfcxafed poplto ulcer 25^5 (|xj 30)
Partial / subtotal gastrectomy for carcinoma 25 8 (pg 38)
___________
P?rt!?>.L«JWotal gajU^^for Ulc^JS^pgJS)______ ZZZZZZZ
5-434 (h) Operation for gastrofejunal ulcer 25 10 (pg 38)_______________________
5-435
Partial gastrectomy with nastomosis to esophagus_________
5-435 (a) Cardiectomy
5-435 (b) Proximal (subtotal) gastrectomy
5430
Partial gastrectomy with anostomooio to duodenum
5-436 (a) Antrectomy__________________________
5-436 (b) Pytorectomy __________________________
5-436/c) Pyleromyotomy 25 3 (pg 38)__________________________
5-437
Partial gastrectomy with anastomosis to jejunum
________________
5-437 (a) Gastriduodenectomy (partial)______________________
5-438
Other partial gastrectomy___________________
5-438 (a) Fundusectomy____ _________
5-438 (b) Gastrectomy, unqualified
5-438 (c) With gastrogastrostomy
_________________________________
5-438 (d) With jejunal interposition__________________________________ __
5-439
Total gastrectomy _____________________________________________
5-439 (a) Complete gastroduodenectomy
5-439 (b) Radical gastrectomy_________________________________________
5-439 (c) With esophagoduodenostomy
__________________
5-439 (d) With esophagojejunostomy
___________________ _ _____________________
iSES
5-439 (e) Total Gastrectomy for cancer 25.12 (pg. 38)_____________ ___________
5^4
Other operations on stomach
5-440
Vagotomy________________ ____ _____________________
5-440
(a)
______ vagotomy______________________________________________
5-440 (b) Transection of vagus_____________
______ 5-440 (c) Gastrojejunostomy and Vagotomy 25.10.1 (pg 38)
_____ 5-440 (d) Highly setectrve vagotomy 25,13 (pg, 38)
5-440 (e) Selective vagotomy and drainage 25.14 (pg. 38)
5-441
Pyloroplasty___________________
5-441 (a) Vagotomy pyleroplasty / gastro iejunostomy 25_6 (pg 38)
Gastroenterosotmy
(Mahout gastrectomy)
5-442
5-442 (of Bypass gastrojejunostomy
5-442 (b) Operation for Gastrojejunal Ulcer 25,11 (pg. 38)
________________
5-443
Suture of gastric or duodenal ulcer site
5^443 (a) Closure of perforated ulcer
_ ________________
5^43 (b) Ligation of bleeding vessel
5-444
Revision of gastric anastomosis
5-444 (a) Conversion of anastomosis
5-444 (b) Jejunal interposition
5-444 (c) Pantaloon operation
__ __________________
5-445 _________ Other repair of stomach_______________ _
5-445 (a) Closure of gastrostomy__________________
’
5-445
’ “ (b) Gastroplasty______ ______
5-445 (c) Invagination of diverticulum
5-445 (d) Other suture of stomach_______________________
5-445 (e) Repair of gastrocolic fistula
5-445 (*) _ Excludes : suture of ulcer (5-443)________
5-449
Other operations on stomach
5-449 (a) _ Reduction of gastric votvulus_______________ _______
5-449 (*) Excludes : cryosurgery of stomach (5-434)
5-449 (4-) Other available code.: gastnc cooling (8-613)
“
5-45
Incision, excision & anastomosis of intestine
5-450
Enterotomy______ ______________
~
~
5-450 (a) Drainage
5-450 (b) Exploration
5-450 (c) Removal of foreign body
“
5-450 (*) Excludes : duodenochotedochotomy (5-513 and 5^514)
~
5-450 (*) Excludes : exteriroized intestine (5-460)
_
5-450 (*) Excludes : proctotomy (5-480)
5-451
Excision or destruction of lesion of small intestine
____________ 5-451 (a) Excision of diverticulum
____________ 5-451 (b) Polyps__________
~
~
____________ 5-451_(c) Redundant mucosa, ileostomy
_____
l5-451~(dj~ Ulcer (duodenal)____________ ________
_____________ 5-451_(e) Duodenal Diverticulum 25 52 (pg. 40)
“———
_____________ 5-451_(f) Operation for intestinal obstruction 25,53 (pg 40)
“
5-451 (g) Operation for intestinal perforation 25.54 (pg 40)
_____________ 5-451 (h) Benign tumours of small intestine 25,55 (pg 40)
~
____________ 5-451 (I)
Excision of small intestine fistula 26 56 (pg 40)
_____ _______ 5-451_(j) Operations for Haemorrhage of the small intestines 26757 (pg~4dj~
_____ 15-451 (kf
Operations of the duplication of the intestines 25 58 (pg 40)
___ 5^3±(g)
Page 17
■
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___
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451 (i)
....... 5-f1_52
JO;xrrd
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rcMjm.'rrt iinviwiiwi
irrtcntdinal </u«iruGiKjfi
i’.x
obtot/uctKxi (Noblejifcation arid oilier operations lor the a
9<.^?29. o< !£lfO«iniesline
§152"® __________
£*9^.*)«
5 452 (b) hH^ii^, uii-fj9iin~j
5-452 (cj
~“
Polyps
Redundant mucosa, ileostomy
Excludes : segmental excision of intestine with lesion (5-455]_
Isolation of intestinal segment_____________ ’
5-453 (a) Resection fc.' interposition_________________ ~~
5^53_(b) Reversal of segment
5-454
OtlWf excision of small inlwitlnu
5~45T(aj~ Duodencctomy
____ 5-454 (b)
5-454 (c) Hcectomy
______ 5.454 (d) Jejunectomy
______ 5-454 (e)
With end-to-end anstomosis
______ 5-454 (f) _ With excision of lesion
______ 5 454 (gj Duodcnojoiunostomy 25.7 (pg 38)
~~
____
5-454 Q Excludes : enterocolectomy (5-455)________________________
______ 5-454 (*)
Excludes : gastroduodenectonry (5-436 and 5-439)
5-454 (*) Excludes : pancreatoduodenectomy (5-524 to 5-526)________
5-455
Excision of large intestine, partial__________________________
5-455 (a) Excision with end-to-end anastomosis______________________
5-455 f) Excludes : proctosigmoidectomy (5-483 to 5-485)__________
5-456
Total colectomy_____________________________________
5-456 (a) Excison of cecum, colon and sigmoid colon
5-456 (b) Right Hemi-Colectomy 25,66 (pg. 41)
5-456 (c) Left Hemi-Colectomy 25.67 (pg. 41)________________________
5-456 (d) Total Colectomy 25,68 (pg 41) __________________________
5-456 (e) Operations for Volvulus of Lare Bowel 25,69 (pg, 41)_________
5^57. _________ Anastomosis, small to small intestine______________
5-457 (a) Bypass shunt of: duodenum, ileum or jejunum_________
5-457 (b) Congential atresia & stenosis of small intestine 25,46 (pg '40)
5-457 (c) Muconium lieus 25,47 (pg, 40)________________________ _
5-457 (d) Mai-rotation and volvulus of the midgut 2548 (pg 40)
4-
5-452 (d)
5-452 f)
;
ii
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!•
I
5-457_(9.
Excisjon of Heckle
MecMtfs
40)___
Excision
’s dcverticulum 25 50 (pg 40)
r_r.:
—^i.—-r . --------'--------------
o l5.7.(OL ...
..
. r
(P9.4<’L._^_.____________________
... ..
-----------------------------
Anastomosis, small to large intestine______________________
5-458 (a) Colon exclusion___________________________
5-458 (b) Intestianal bypass
~
5-459 ______ Anjstornisis, large to large intestine
5-459 (a) Bypass shunt of: cecum, colon or sigmoid, colon and rectum
5-46
_________ Other operations on intestine
____________
____ 5 -460_ _________ Exteriorization of intestine__________
5-4
60 (a) t“P cotostoW.._________________
5-«0JaL
~
5-460 (b) Resection and formation of stoma
Colostomy__________________ ~
15-461
5-461 (a) Cecostomy_________________________
5-461 (b) Sigmoidostomy___________________ _______
5-461 (c) Caecostomy 25 63 (pg. 41)
5-461 (d) Colostomy 25 64 (pg 41 j
II
I
1) Loop colostomy transverse sigmoid 25 64 1
2) Terminal colostomy 25,64.2______
Closure of colostomy 25,65 (pg 41)___’LlesoStomy...............................
5-461 (e)
5-462
_________ 5-462 (a) Formation of transplantation of stoma site
________ 5-462 (b) Lieostomy 24 45 (pg. 40)
—..._____ 5-462 (c) Lieosigmoidostomy 25.60 (pg 41)
———
|5-462 (d) Lieotransverse Colostomy 25.61 jpg. 41)
5-463
Other ontorostomy
5-463 (a) Duodenostomy_______________
5-463 (b) Jejunostomy
5*!63jc) Jcjunostomy 24.44 (pg 40)
5-464
Repair of intestinal stoma
5-464 (a) Release of scar tissue
5-464 (b) __________
Revision, reconstruction
5-464 (*) I Excludes excision of redundant mucosa ^5-451)
| Closure of intestinal stoma
5-466
[Fixation of intestine .
_____ I.___ 5-46S (a)
To abdominal wall___________
5-466 (b) To liver_______
15-467
Other repair of intestine
5-467 (a) Closure of fistula or perforated ulcer
~
5-467 Q Excludes : closure o< perfroated duodenal ulcer (5-443)
5-467 Q Excludes : closure of vesical fistula (5-578)
____ >J68.
Intra-abdaminal manipulation cf intestine ~
5-468 (a) Malrotation
5-468 (b) Reduction of intussusception
5-468 (c) Torsion
__________
5-468 (d) Volvulus_______
*>•469
Other operations on intestine
5-469 (a) Revision of anastomosis
5-469 (b) Sigmoid myotomy
£
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Page 18
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5-47
aw
availaM? wles filiation
sigma (I) 2?6)
Oiilef available codes itiluballun uf sinalHritesllne (8 224)
^^8-
Operations on appendix
5-470
Appendectomy
5-470 (*) Includes : ap^xjrtdcctorny with drainage
5-470 (a)' Apendectomy 25.40 (pg. 40)
1) Acute 25.40.1
____
2) Chronic internal 25 40 2
5-471
' ' . ^1222*Jl?^e^dfajnage.(pg 40)
5-471 ja)
I
I
_
5-479
Other operations on appendix
______ 5-479 (a) _ Appendicostomy ________
5-479 (b) . Closure of fistula__________ ~————-———
5-48
Operations on rectum
5-480
Proctotomy___________
5-480 (a) Decompression^
5-480 (b) Exploration________________ ~ ~
5-480 (c) Proctova Ivotorny
~
'
5-480 (d) Removal of foreign body by incision
5-481
Proctostomy
___
~
5-482
Local excision or destruction of rectum
‘
5-482 (a) Cauterization
“
’
5-482 (b) Excision of rectal mucosa
5-483
Pull-through excision of rectum
5^83 (a) Pull through abdominal resection 25,82 (pg. 40)
5-484
Abdominoperineal excision of rectum
5-484 (a) Combined synchronous excision
5-484 (b) Abdominoperineal excision of rectum 25.80 (pg 40)
5-485
Other excision of rectum
5-485 (a) Protosigmoidectomy
5-485 (b) Sphincter saving operation_______ __________________
5-485 (c) With end-to-end anstomosis
5-485 (d) Anterior resection of rectum 25.81 (p. 40)
5-486
Repair or rectum
5-486 (a) _ Closure of fistula, internal
5-486 (b) _ Closure of proctostomy_________
"
5^86 (c) _ Fixation
~
5-486 (d) _ future
5-486 (e) _ With graft or wiring
~
—
5-486 (*) Excludes : repair of rectovaginal fislijia~(5^706)
5-487
Incision of excision of perirectal tissue
5-487 (a) _ Drainage of pelvirectal tissue____________ “
5-487 (b) Excision of external fistula
5-487 (c) _ Incision of rectovaginal septum
~
~
5-489
Other operations on rectum & perirectal tissue
5-489 (a) . Freeing of adhesions____________________ '
5-489 (+) Other available codes : dilation of rectum (8-225)
5-489 (+) Other available codes : irrigation (8-12)
5-489 (+) . Other available codes : manual reduction of prolapse (8-242)
5-489 (+) Other available codes : removal of foreign body by endoscopy (8-113)
5-489 (+) Other available codes : removal of impacted feces (8-127)
5-49
Operations on anus
5-490
Incision or excision of perianal tissue
—————
5^90 (a) Drainage of abscess
5-490 (b) Undercutting for denervation
5-491
Incision or excision of anal fistula
~
5-491 (a) Fistula in Ano
1) High fistulectomy 25.75.1
"
2) Low fistulectomy 25 75.2
—
~
5-492__________ Other local excision or destruction of anus
______5-492 (a) Cryptectomy
______ 5-492 (b) Fissurectomy
__________
______ 5-492 (c)
Papillectomy
5-492 (d) Removal of anal tags
/
5-493
Hemorrhoidectomy
5-493 (a) Cauterization_______
5-493 (b) Crushing
5-493 (c) Ligation
5-493 (d) Operations Hem******
25.74
5-493 (e) Lord's procedure 25.74 1 (pg 41)
5-493 (f) Ligation of excision 25.74 2 (pg 41 j~
5-493 (g)
5-493 (*) Excludes : injection (5-973)
5-493 (4-) Other available codes ringing (8-341 j
5-494
Division of anal sphincter
5-495
Other excision of anus
5-496
Repair of anus
5-496 (a) Cerclage
5-496 (b) Closure of fistula_________________
5-496 (c) Repair of imperforate anus
5^96 (d) Sphincteroplasty _________
■4
Page 19
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5-496 (e) Suture_____________ —---------------------------------------- --------
---------
Z; Moto)
-------------------- Z—I----- -
Z i)C<Mostuny25.76.1
----- --------- -------------------------------------------2) Cut back 25 76 2
5)PiillUH<»uvl'<’pwn’'on?57G.3
------------------------------------------------------------------- ---------5-496 '(h) Prolapse regturn.
2) Rect9pexy25 77_2_.__;------------------------------------- -----------------
5-400
3)
Uliar
on fliiuw-------- ------------- --------------------------- -------
5-499 (♦)
5-499 (♦) OUicr ay?.'!?.1.*?.codw^latwn ol anus (82225)—-------------------------5-499 (+) Other available codes : irrigation (8-127)—------- --------. j other available codes manual reduction of hemorrhoidsJ8-2_ 3)----5-499(t).
Operations on liver
...
------------------6-60
I lupotolorny
—---5-500 (a) Drainage
5-500 (b) Exploration-------------------- ------- ----------------------------------------------------------------------------------------------- —
5-500 (c) Removal of foreign body
(d) Operation for hydasid cyst of liver 25,36 (pg;_39)------------------ ----- —
— 5-500
5-500 (d) With packing____________ __ _ ________ ____________ _______
Local excision or destruction of liver_______ __ _______
5-501
5-501 (a) Marsupialization ---------------------------------------------- - ----------------5-501 (b) ' Partial hepatactomy__________________ —-----------------’ Lobectomy of liver___________ _______
5-502
5-502 (a)
---------------------------------- ------------------5-503_________ Total hepatectomy
5-504 ________ Liver transplant--------------- --------------------------------------------------5-505 _______ Repair of liver --------------------------- -------------------------------------— ---------------------- 15-505 (a) Hemostatic suture
. -------------- ----------------- ----------- --------5-505 (b) Hepatopexy______
_____ ______
Other operations of liver
5-509
' Other available codes : precutaneous aspiration of abscess (8-1581
5-509 (+)
Operations on gallbladder & billarYjract---------------------------Z . 5^10. _____ ' Chotecystotorn^__________ ____________________________
5-510 (a) [Drainage____________________________ _ _______________
15-510 (b) .Exploration______________ ___________ ——--------------------5-510 (c) Removal of foreign body or calculus from gallbladder_---------------5-510 (d)~ Cholecystotomy 25.37 jpg_3?)____________________
Chofecystotomy----------- --------------------------------------------------5-511
______________
5-511 (+) Includes : diainage and lithotomy
Cholecystotomy 25.33 (pg. 39)--- ------------- ----------- ----------------Anastomosis of gallbladder or bile duct_____ ______ _________
5-512
5-512 (+) Includes : anastomosis to '. intestine—- ----------- -----------5-512.(t) Includes . anastomosis to pancreas
5-512 (») Includes . anastomosis to : stomuch
' incision of bile ducts for relief j obstruction--------5-513
5-513 (a) ' Calculus stricture of tumor_______ _________ _
' other incision of bile ducts_____________ _ _______________
1^514
5-514 (a) For drainage, endoscopy or destruction of bile ducts
5-514 jb) Cholecystotomy and exploration of CBDj5 34 (pg_39)--------------
ZZ
.■
5-515
Repair of bile ducts
"
5-516 (a) Closure of_artificialopening-------------------------- - -------------------------------------------------------5-516 (b) Suture
5-516(0) Repair of CBD 25.35 (pg 39)--------------------- ------------------------------------------Removal of prosthetic appliance from bile duct
5-517
Operations on sphincter of oddi
5-518
Other operations on biliary tragi------------------------------------------------------------------ i'53i3(a)
15-519(a) I Repaifjjf gallbladder
!r.
rm /(b)
k\
5-519
Repair of gallbladder fistula
•15-519
5-519 (*)
C) .Excludes freeing of - --------------------------------------------------------------------------------J52eratt?'ison^ancreas_---------------------- -------ZZZZZ
5T52‘j"“
f
Pancreatotomy
" 5^520 (a)
—
'
5-520 (b) Exploration
______________
_
—— -- •
■
——• — ——
—
5-520 (c) Removal VI
of calculus
___.!___
Loc^i excision or destruction of pancreas
15-521
Marsupialization of panncreatic cyst------------- -------------------------------------- -------------------|5-522
Internal drainage of pancreatic cyst
_ —--- ----------------------------------------------------15323
... >524
Partial pancreatectomy
,5-524 (a) Fistulectomy
5-524 (+) Includes : associated ------------------------------------------------------------------------------------Total pancreatectomy
_
------- '^25
5-525 (->■) Includes : associated duodenectomy--------- -- ---- ----------------------------------------------------5-525 (a) Pancreato duodenectomy 25.30 (pg 39)------ . .---------------Radical pancreaticodupdenegton^
5'526'
|5'-5~26~^j With anastomosis to stomuch orjgiuni£m----------------------------------------------------------‘ By pass procedureTo? inoperable cancer of pancreas 2o2UP9 39)-----------------------------5-526 (c)
" Anastomosis of pancreatic duct------------- ---------------------------------------------------------- 15-527“
5-527 (a) ” Anastomosis to stomach, jejunum or ileum —-- ---------------------------------------------- —
5-516
z
Page 20
-------
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5-527 (b) Implant o< lube______ \
/
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-—IS’S____5*21
„ I5-?9
Transplant of pancreas
Other operations on pancreas
5^311?).. Dilation o( duct (p( W«suogj _
»
----- -- _A.
‘ ‘ ‘‘
j.:a
r— p
--mnmmrricrryv. o;->J
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xr_
5^-
‘ ‘
______
-r—• —
-----------
's’
(d)
ifohi (?'.
o( tube
lube
5-529 (b) Removal of
Repair o( duct
5-529 (c) ~
' ’*
____ 5-529 (dl lSuture
„ 5*29 0 ’ Gxdudeu freemg odliesionti (5-544)
6^3~,
r:.
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ci
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-.-••-r—TfuTV
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Repair of hernia
_
__________
t: . • • 1
Repair
of
inguinofemoral
hernia
5-530
5-530 (a) Hemiography 25.21.1 (Pg 39)
;■ *
5-530 (b) Femoral hernia 25.22 (pg. 39)
’ Repair of inguinofemoral herina with graft or prosthesis
5-531
_
5-531 (a) Hemioplasty 25.21.2 (pg. 39)
" Bilateral repair of inguinofemoral hrina_________ _ ____
5-532
____________ -----------mx3!
■: ■'
5-532 (a) ~ Heller's operation 30.13 (pg. 73)
~ Bilateral repair of inguinofemoral hrina with graft or prosthesis—■---------"T, '•.VC.
5-533
;
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’
r-'
7 ‘ ■
5-533 (a) ~ Fascial graft________________________________________ _____________
5-533 (b) _ Synthetic mesh fabric------------------------------------------------ --------------------------Repair of umbilical hernia
-------------------------------------------------- -—
5-534
‘c. ' '
__ _________________________
5-534 (a) Omphalocele
i >•’ ■
—
5-534 (b) Paraumbilical hernia
:•
5-534 (c) ~ Umbilical Hernia 25.19 (pg. 39)____________________________ _ —
Repair of other hernia of anterior abdominal----------------- --------------------- --. ■ ■
Il
''ib
’
5-535
~ Repair of other hernia of anterior abdominal wall with graft or prosthesis
;.;u
5-536
~ Epigastric hernia ______ _ ___________
5-536 (a)
5-536 (b)I Gastroschisis_______________________
V’lKl'.zC
5-536 (c)i_ Incisional hernia ____________ _
fcc-c
5-536 (d)) Ventral hernia__________________ __
—nHqofv
-------------------------------------—“
•-y 9p:|-?'.V’
5-536 (e)I Epigastric Hemia 25.18 (pg. 39)
[Ventral and Scar Hernia 25.20 (P9^39)
5-536 (f)
. ■ .
. •_ >
■•/’.•I 16
Repair of diaphragmatic hemia
5-537
—Io .riR. jb; CC-:.
5-537 (a) Adbominal approach
; '
e u'x,’ Yi-xxihtow ;9l’l (b;
5-537 (bj Para-esophageal hernia
\
..."
5-537 (c) Parahiatal hernia____________________
■
ymo^rnoknu-oii'
Abdominal
25.16.1
(pg
38
)
5-537 (d)
TT ' ■ ~ ‘Hil.r.-I'1'. -Jl
5-537 (d) Hiatus Hemia Repair 25.16 (pg. 38)
. ..
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5-537 (d)
5-537 (d)
5-537 (e)
5-537 (f)
5-537 (g)
5-537 (h)
5-538
_
__
_
5-538 (a) Parasternal hemia
5-538 (b) With thoraco-abdominal approach______________ ______________
5-538 (c) Transthoracic 25.16.2 (pg. 39)____________________ ____________
Other hernia repair____________________ ____ _ __________ _ ■ —
5-539
Rare Hernias (Spigalion, Obturtor, Lumbar, Sciatic) 25.23 (pg jll
5-539 (a)
5-539 (■) Excludes : freeing of intestianal adhesions (5-544)________ _
relief of stangulated hernia with exterirorization of bowel (5-460)
5-539 (•) Excludes
Excludes repair of enterocele in female (5-707)_________________________
5-539 (*) ______
Other oprations on abdominal region
5-54
Includes : inguinal region
_
_ _____________ —
5-54 (+)
Male pelvic cavity____________________ . ------ -------------------------------------------5-54 (a)
Excludes : female pelvic cavity (5-65, 5-65)
_
5-54 (*)
Excludes : retroperitoneal tissue (5-590)
-------------------------------------- -- ------5-54 (*)
Excludes : superficial tissues (5-880 to 5-908)________________ _________
5-54 C)
Incision obdominal paraietes
_
_______________________________
5-540
Extraperitoneal drainage
_
_ _______________________
5-540 (a)
5-540 (b) Extraperitoneal exploration ---------------------- ----------------------- - ---------------------—
_________________________ _____________
5-540 (C) Removal of foreign body
laparotomy .
____________ ______ ____________________ ____________
5-541
5-541 (a) Celiotomy------------------------------ --------- -----------------------------------------------------------5-541 (b) Drainage, peritoneal______ __________ ________________________________
_______________
5-541 (c) Reopening of recent laparotomy site
5-541 (d) ' Exploratory Laparotomy 25.17 (pg. 39)
5-541 (*) ' Ex^ltrdes : culdocentesis (5-700) *_________________ ______________ _
5-541 (*) ' Excludes : drainage of appendix abscess (5^71) *__________ ____________
5-541 (*) ' Excludes : reopening wound for hemorrhage (8-896) ‘___________________
~ Excision or destruction of abdominal wall & umbilicus
5-542
____
5-542 (*) Excludes : size reduction (5-901) ‘
5-542 (*) Excludes : skin of abdominal wall (5-883 to 5-885) * ___________________ _
Excision or desturction of peritoneum________________________
5-543
5-543 (a) Mesentery------------------------------------------------------------ -----------------------------------5-543 (b) Omentum_______________ _____________________ _____________________
5-543 (c) Mesenteric Cyst-Excision 25.42 (pg. 40)
Division of peritoneal adhesions___________________ ___________________
5-544
________________
5-544 (a) Adhesions surrounding intraperitoneal organs
______________________
5-544 f) Excludes : fallopian tube and ovary (5-657)
Page 21
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2)Transthoracic 25.16 2
:_________ ;-------- ;--------^-yHiatus hemia repair 30.12 (pg. 73)----------------------------------Hiatus hemia repair 3.54 (pg. 59)___________ _______________ _—--- -------- ----------- - —r I
Congenital Diaphragmatic hemia 25.15 (pg. 38) + 33.5 (pg. 51) —
:
to liiloar
Transthoracic repair or haitus hemia 27.4 (pg. 45) _
, YX^n
Abdominal repair of Hiatus hernia 27,5 (pg. 45)
' ■
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Heller's Operation 30.13 (pg. 73) +3.55 (pg. 59)------------------ ---------Repair of diaphragmatic hemia, thoracic approach
.miyr 5-
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5-545
__ 5-545 (a)
_____ 5^545
it
r»f,li^|o«; Milnay. iiioIbi ni»d »p|in|>qiii<)no0| (5-5p0j
Suture of abdonuanl wall & peritoneum
Closure of burst abdomen____________________ _______
Pela/ed closure________________ ;________________ ' '
—i
geuOfidaiy SUlure___
-
Other repair of abdomianl wall & peritoneum_______
5-546
_____ 5-546 (a) _________
Detorsion_of__________
omentum
__________________
____ (bl_E!*aliQnol*ntestine______________
51?16 (c)_ -Grafting. of omenturn
•Hit '•
" ------
5-546Jd)_ Plication of intestine
5-546 (e) Suture or mesentery and ligaments
5-549 (af
) Removal of foreign body in pcriloneal cavity ..........
_____ 5-5
- 49- (b) Repair of multiple injuries to abdominal organs______
__ 5-549 (•») (Other available code : aspiration of abdominal cavity 8-157)
^OPERATIONS ON THE URINARY TRACT
5-S5
____ 5-550
If
1
1
‘F
■i;2
I
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5-56
Operations of kidney
^Nephrotomy & nephrostomy
5-550 (a) Drainage
57550~(b)4'-"'
'
Exploration______________ _ _____________ _
~_________
5-550 (c) Removal of calculus or foreign body
5-550 (d) Nephrostomy 26,3 (pg. 42) + 7.21 (pg. 62)_________ '
5-551
Pyelotomy & pyelostomy
5-551 (a) ‘ Drainage
________________
5-551 (b) Exploration_____________________ ZZZ^IZZZZZZZZZZZZZZ
5-551 (c) Removal of calculus in renal pelvis___________
5-551 (d) Gil-Verner's Expended Pyelotlithotomy 7,7 (pg ~61)
5-551 (d) Pyelotlithotomy 26.6 (pg. 42)
5-551 (d) Pyelotlithotomy 7,19 (pg, 62)
_________________________
5-552
Local excision or desturction of kidney__________________ 2222
5-553
Partial nephrectomy_____________
______ 5-553 (a)
Calycectomy_____________
______ 5-553 (b) Heminephrectomy________ 22Z22Z2ZZ22ZI
5-553 (c) Wedge resection
_____ 5-553 (d)
Partial Nephrectomy 26.2 (pg. 42)
r"
2____________
______ 5-553 (d) Partial Nephrectomy 7,8 (pg, 61)
5-553 (d) Nephrolithomy 26.5 (pg. 42)______________________________
5-554
Total nephrectomy________________________ '
5-554 (a) Nephro-urelerectomy
5-554 (a) Bilateral Nephrouretectomy (Native) 5.3.7 (pg 61)
5-554 (a) Nephroureterectomy 26.11 (pg 42)
5-554 (b) Nephrectomy 26.1 (pg. 42)_________________________________
5-554 (b) Donor Nephrectomy 5.31 (pg 61)_____________________
5-554 (b) Nephrectomy Simple 7,20 (pg. 62)____________________ ~
5-554 (b) Simple Nephrectomy 7,10 (pg, 61)___________________ _
5-555
Transplant of kidney
5-556
Nephropexy______________________________
Fixation of movable kidney_______________ _
5-557
Other repair of kidney____________
____ 5-557 (a) Anastomosis : Kidney and pelvis to ureter or kidney
____ 5-557 (b) Correction of pelviureteral junction
5-557 (c) _ Nephroplasty and pyeloplasty _
5-557 (d) _ Reduction of torsion
5-557 (e) Suture
_________________________ ~~
5-559
Other operations of kidney______ ~~
5-559 (a) Decapsulation
' 5-559 (b) Implantation of artificial kidney
5-559 (c) Operations for Hydronephrosis 26.6 (pg. 42)
' 5-559 (d) Open Drainage of Perinephric Abscess 26,7 (pg 42)
5-559 (e) Convemostomy 26.8 (pg. 42)
5-559 (f) . Operations for Cyst of the Kidney 26.9~(pq. 4~2)
'5-559 (g) Nephrectomy Compl Tumour or Adhesions 7,9 (pg 61)
5-559 (■) . Excludes : freeing of perirenal adhesoins (5-590)
' 5-559 (+) . (Other available codes : aspiration of renal cyst of-pelvis 8-160) *
5-559 (4-) (Other available codes • radiographic puncture - see chapter'3)
Operations of ureter
5-560
. Transurethral clearance of ureter Srenal pelvis
5-560 (a) Removal of:____________
~
1) Blood clot
————————————
2) Calculus
Removal of:________
1) Foreign body
5-561
Ureteral meatotomy
5-561 (a) Modification of ■ 'reterovesical junction
15-562
Ureterotomy______________________
5-562 (a) Exploration
~ 5-562 (b) Implantation of elect rune stimulalor
' 5-562 (c) Removal of calculus
5-562 (d) Ureteral splinting
5-560 (c) Dormia Extraction of Calculus_______
5-560 (d) Cystoscopic basketing of Ureter________
5-563
Ureterectomy________
5-563 (a) Excision of lesion_________
5-563 (b) Resection with end-to-end anastomosis
'
5-560 (b)
1___
Page 22
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Cutaneous uictcrailcoUomy
~ lteal_bl^te£
5^6£(a)
/
J
ZffiL
S'
PCNL7.1 (pg 61)
---------------- ---- ---------------1) Unilateral 7.1.1 (pg 611-------------------------------------2) Bilateral
~ 27.1.2
) Bilateral
(pg 61}
7.1.2
.....(pg
.............
61)___----------------- ■
Other external urinary diversion
5-565
5-565 (a) Implantatoin ot ureteontostan------------4 (pg. A1
61)'
5-565 (b) U^ericReirnpLantS
'
*C 3 A
5-564 (c)
Urinary diversion to intestine______
impiantation of ureter into : ileum, colon, rectum-----Includes : associated coiostomy_
Other anastomosis or bypass of ureter--------- ---------5-567
Nephrocystanastomosis______ _ __________ _
5-567 (a)
Pyeloureterovesical anastomosis:---------------5-567 (c) Reimplantation of ureter into bladder
5-566
15-566 (a)
5-566 (+)
5-568
5-569
5-567 (d) Revision of anastomosis
anastomosis------------- ----Repair of ureter
------------- ----------------------------------------- _____
_
5-568 (a) Closure of fistula
---------- ------------ --------------- -----------5-568 (b) Freeing of internal adhesions
Grafting of omentum —
5-56Q(c)
_____________ _________________ —-------------5-568 (d) Suture____________
Other operations on ureter-------------------------------------------------------------
Ligatoin_______ ________ ________ _——------------------------Operations for Ureter for 26.12 (pg. 42)------------ -- -------------------- -
[5-569 (a)
5-569 (b)
' t) Double Ureters
_________ ——-------------------- ----------' 2) Ectopia of Single Ureter_______
—------ —--------------------' Operations for Versicouretaric Reflux 26.13 (pg. 43)------------------ _
5-569 (c)
5-569 (d) " ureterostomy 26.14 (pg. 43)-------------------------------------- -----------------" 1) Cutaneous 26.14.1 (pg 43)------------------ ---------------------------------” 1) Ureterc Colic anastomosis 26.14.2 (pg. 43)-------- ------ -------------5-569 (•)
5-569 Q
5-57
5-570
~ Excludes : denervation (5-0511--------—----------------Excludes : ureteral catheterization and dilation (5-59 J------------—
~ Operations on urinary bladder
~ Transurethral clearance from bladder-------------------------------------------
5-570 (a)
I
Aspiration of blood clot________________ _—_----------------------------
-- * -(b) Crushing and removal of calculus——
---------5-570
(Other available codes : bladder washout 8-133)---------------------- _
5-570 (+)
(Other available codes : other aspiration 8-161)
-------- -- —
5-570 (+)
(Other available codes : removal of foreign body 8-114)--------------5-570 (+)
Cystotomy------------- --------------- --------------------------------------- ------------’ 5-571
5-571 (a) prainage]syction}____ ______
’
" ) Exploration___________ .. -------------------------------- ---------------------- —
5-571
(b)
Implantation of electronic stimulator-----------------------------------------5-571 (c)
Removal of calculus, clot or foreign body—-------------------------------5-571 (d)
5-571 (e) sJBrapubic catheterization-------------------------------------------------------SSable cate : remwalorreplacement o( luteM36)Z
5-572
5-572 (+)
Transurehthral excision or destruction of bladder---------- ------------5-573
______
____ __________
5-573 (a) Bladder neck
Dioathermy fulguration
-- ---------------------- ------------------------5-573 (b)
_—------------------------- ------------- --------------- 5-573 (c) Electroresection
5-573 (d) Papilloma____________ -— -------------------- --------------------------------- ------ -------------------------------------------5-573 (e) ' Punch operation
5-573 (e) ' oSn Resection of the Bladder Neck 26^28 (pg. 43)----------------5-573 (f)
" y.v piasty of the Bladder Neck 26.29 (pg. 43) ------------ ----------5-573 (g)
~ Fxr.li Ides •instillation of cytotoxic drug (5-965) *
------‘ 5-573 (*)
~ (Other available code : radioactive implanD^see chapter 3)------' 5-573 (+)
_ Qther excision or destruction of bladder------------------ _
-----5-574
~ Diverticu'ectomy _______
5-574 (a)
-------------------------------------------- —
5-574 (b) Fxrision of urachal cyst
~ O^TEp^tion for resection or fulguration of tumor----------------5-574 (c)
Diverticulectomy 26.27 (pg_j3)
5-574 (d)
~ Partial cystectomy
____ ..
—----------5-575
[5-575 (a)i Lome of bladder----------------------------------------------------------------------
Trigonectomy-— ---------------------5-575 (c) Wedge resect'ioa------------------------------------------------------------------Partial cystectomy 7.23 (pg 62)--------- ------------------------5-575 (d)
Cystclithotomy Suprapubic 7.29 (pg_62)-------------- ----------------5-575 (e)
Cystolithotomy 26.20 (pg. 43)------------------------------------ ---------5-575 (I)
Complete cystectomy
---------------- ----------------------------------5-576
5-576 (a) ' Cystoprostatectomy____________________ _
[5-576 (b)~ Pelvic clearance, in male---------------------------------------- —------ ~ (c)• Radical cystectomy---------------------------------- --------------------------,5-576
5-576 (d) with removal of urethra
Total Cystectomy 26 26 (pg.j43)--- - ------------------------- - ----------5-576 (e)
5-576 (e) Total Cystectomy 7.13 (pg 61)
Reconstruction of urinary bladder------- - ---------------- ----------------5-577
-------- ---------5-577 (a) Augmentation of bladder
_
___
5-577 (b) Colocystoplasty
|W
5-577 (c) ' lleocystoplasty_____________________________________
5-577 (d) Replacement of bladder_________________________________
,5-575 (b)
!1
Page 23
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5-577 (e) Cawx) Cy^lnpl.mly 7 IB (|>g G2)
5-67G
Other repair of urinary bladder
.......... 5-578 (a) Closure of fistula
.......... ^78'(b), Cytocolic anastomosis
5-676 (g)
Cy§l0f>lnsly____*_______
5-578 (c)' Cysiopiasty 26,31 (pg.43) “
_____
____ 5-578 X(d)
_J_ Sphinteroplasty
.____ 5-578 fc).. Suture_____________________________
S-ST*
(fj Operations for injuries of the Bladder 26.23 (pg 43)
5-57
p (f)
5-578 (*) Excludes ; closure of vesicorectal fistula (5-486)J__
5-578 (•) Excludes closure of vesicovaginal fistula (5-706)
5..573(*) Excludes ^opcralKX).for shew incontinence (5-592 Io 5-597)
'
5j578n Excludes : repair of cystoceicjs-joj)
5^79 _________ .Other operations on urinary bladder
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~
5-579 (a) Freeing of internal adhesions........... ......
5-579 (b) EEndoscopic
____ _ _____________________
Removal of stone in Bladder 7.30 (pg 62)
5-579 (b) Lithikaoexy 26 22 (pg. 43)
5-579 Q
...................................
' ‘ l adhesions (5-544)
of externa
5-579 (+) (Other available codes . aspiration by puncture 8-161)
5-579 (+) (Other available codes : distension 8-226) _______________
5-579 (+) (Other available codes : removal of foreign body, endoscopic 8-114)
5-579 (+)~ (Other available codes : replacement of cystostomy tube 8-136)
5-58
Operations on urethra
5-580 ~~f------- External urethrotomy
___________
5-580 (a) Exploration______________
5-580 (b) Removal of calculus by incisoin
5-580 (c) Urethrostomy______
5-580 (d) Ureteroscopic removal 7,32 (pg, 62)
~
5-580 (e) Optical Urethrotomy 7.35 (pg, 62)_________
5-581
Urethral meatotomy
5-582
Excision or destruction of urethra _________________
5-582 (a) Excision of Congenital valve
5-582 (b) Excision of diverticulum______________
5-582 (c) Excision of fistula
5-582 (d) Excisoin
___________
of stricture
'
5-582 (e) Closure of Urethral Fistula 7,27 (pg. 62)
5-582(1) Operation
————
—
— 26 38 (pg 43)
s for—
inju
ry—
to Urethra
5-583
Repair of urethra_________________
_____ 5-583 (a)
Closure of urethrostomy____________
_____ 5-583 (b) End-to-end anastomosis___________________
_____ 5-583 (c) _________
Reconstruction
5-583 (d) I Suture
5-583 ‘(eIj~]C
"
_ Urethral Transplantation 7.22 (pg. 62)
5-583 (Q Urethral Reconstruction 26.41 (pg, 44)
_ 5-583 (g) iUrethroplasty 1st Stage 7,37 (pg. 62)___________________
__ ’ " 5-583 (h) iInternal Urethrotomy 26,40 (pg. 44)
'_____ 5-583 (l) "(Operation for Congenital Valves of Urethra 26.42 (pq~44j2
_____ 5-583 (‘)
[5-583 (*)
I
Ei
“
IExcludes . closure of urethrorectal fistula (5-4862*
1Excludes : closure of urethrovaginal fistula (5-706) *
,5-583 (■) [IExcludes : repair of epispadias or hypopadias (5-643) *________
5-583 (*) Excludes : repair of obstetric laceration (5-756p
5-583 (*) Excludes repair of urethrocele (5-704) •
5 58-1 _________ I feeing of sticture of urclhra
5-584 (a) Internal urethrotomy
5-585
Dilation of urethra.
•
__ 5-585 (a~) Calibratom of urethra__________
___ 5-585 (b) Dilation of stricure Urethra under G A 7.38 (pg, 62)
___ 5-585 (c)
Dilation of stricure Urethra W/O Anesth 7.39 (pg. 62)
5-585 (d) Urethral Dilation 26,39 (pg. 44)__________
~
5-589
:o
Other pperation^.pn urethra...... ..
... ............
.............
.p«'^Ptburbourethral gland___________________
__ 5j589 (b) [Incision
rethral tissue
Incisionand
andexciston
excisiono(
ofpenu
penurethral
tissue
— 5-589 (c)/ Perineal“Urethrostomy 7.37 (pgj>2)
5-59
Othe^operation on urinary tract
5-590
Dissection of retroperitoneal tissue
5-590 (a) Drainage
”
5-590 (b) Exploration
“ '
5-590jc)
Freeing of adhesions
'
5-590_(d) Perirenal tissue
5-590 (e) Periureteral tissue
5-591
Incision or perivesical tissue
~
——— ______
5-591 (a) Drainage_________
5-591 (b) Exploration___________ ~
5-591 _[c) Perineal tissue
'
’
5-591 (d) Retropubic tissue
~ ‘ 5-592
_ _______ P[ication of urothrovesical junction
5-592 (aj Kelly-Stoeckel plication or stitch
5-593________
______
Levator muscle operation
____ 5-593 (a) Ingleman-Sundberg operation
5-593 (b) Pubococcygeoplasty or sling
Suprapubic sling operation
5-594 (a) Fasialata sling
5-595 ________ ^Plf9.P-u-P!c urethral suspension____
5-595 (a) Marshall-Marchetti-Kranz operation
• swgr___________ _
I
j
Pape 24
i
5-605 (b)
{»» pi) • •.»?
suture of paraurethral tissue to tyrnpysw pubtt>
Periurethral suspension & compression
» ’
,
^606 jb) 6ufe|)eneio<i of UftHlwowsifiril jut wIkmi
~ 5^9’7
Other repair of urinary irKXXitincnce
5-597 (a) Urethiuvesicopexy________________ _
------------5-597 (b) Operations for I’noonrincnce o£ Urine 26 43 (|>g 44)
1) Male 26.43.1 (pg 44)'
______________
5-698
V’ »
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r!'Art.lk
~... . - .- .
■. ......................
r-
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2) Female 26.43 2 (p( 44)
Excludes : operation with colporrhapfiy (5-704) •
•-
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„
.
5-597 (•)
.
............. —';;
•
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,
■.'
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■■
»If'f•'••’<41**
Ureteral caltictcnzalKxi
_______
5-598 (bj Ureteric Catheterisation 26.17 (pg 43)___________
5-598 (a) Dilation, ureteral meatus
------- Eludes
: removal of calculus from kidney (5-560)_____________________
5-598
(‘)
5-598 (+) (Other available codes : retrograde pyelography - see chapter 3)
5-598 (+) (Other available codes : sampling of single kidney 1-554)
Other operations on urinary system
Excludes : removal of external urinary drain (8-119) *
Excludes : i"!. dacement of external urinary drain (8-136) •__________
Excludes : surgical operations to produce male sterilization (5-981) ‘
Operations on prostate & semianl vesicles
f •
Lacision of prostate____________________________________ —
5-600
S^OOTa? Drainage_____________ ___________________ _______________ -____
5-600 (b) Removal of calculus by incision_____________________________
Transurethral prostatectomy
_____________________
5-601
;_____________________ ___________________
5-601 (a) Cutting loop
__
5-601 (b) Punch resection____________
5-601 (c) Transurethral Resection of Prostate 26.36 (pg 43) + 7 24 (pg 62)_
5-599
5-599 (‘)
5-599 Q
5-599 (*)
5-€0
—: 4. ;I.;
Suprapubic prostatectomy___________________ ______________
5-602
ZZ
5-602 (a) Transvesical_______ __ ___________________ __________________ —
5-602 (b) Suprapubic Propstatectomy 26.34 (pg 43)______________________
5-603
Retropubic prostatectomy
rzz
Page 25
- ■
i
___________ _ __________________ _
5-603 (a) ' Transcapsular retropubic resection______________________________
5-603 (b) Retropubic Prostatectomy 26.35 (pg 43)
Radical prostatectomy
______________________________ __ __
5-604
5604 (a) ~ By any, approach
, ___________ _____________________ •______ !_____ ’------5604 jb) |Prostatovesiculectomy
5604 (c) TRUP & TUR Bladder Trips/ 7,25 1 (pg 62)
5604 (d) TURP Cystolitho Trips/ 7.25.1 (pg. 62)
...
5604 (‘) Excludes : cystopcostatectomy______________
Other prostatectomy
__
5-605
1 •
■
5605 (a) Perineal (transcapsular)________ >___________
5605 (b) Prostatectomy, unqualified__________________
5605 (c) Transcapsular prostatectomy________________
5605 (d) Open Prostectomy 7.26 (pg. 62)
“
Operations on seminal vesicles
5606
Spermatocyst
ectomy
__________________
5606 (a)
5606 Q Excludes : prostatovesiculectomy (5604) *
Incision or excision of periprostatic tissue
5-607
_______ ______________________
5607 (a) Drainage
Other operations on prostate________________
5-608
' 5608 (a) Conrol of hemorrhage by endoscopy_________
Operations on scrotum & tunica vaginalis
5-61
Incision of scrotum & tunica vagnalis
5-610
5-610(a) Drainage_________________________________
Excision of hydrocele(of tunica vaginalis)
5-611
5-611 (a) Repair of hydrocele___________________
Excisic-n or destruction of scrotal lesion______
5-612
_______________
5612(a) Fistulectomy of scrotum
5612 (b) Reduction of elephantiasis_________________
5612 (c) Resection of scrotum _____________________
5612 (d) Exploratory Scrototomy 7.36 (pg. 62)
5612 (e) Excision of Filarial Scrotum 26.62 (pg. 45)
Repair of scrotum & tunica vaginalis_________
5-613
_______________
5613 (a) Eversion or inversion
5613 (b) Reconstruction_______________________ __
_________________________
5613(c) Suture
Other oprations on scrotum & tunica vaginalis
5-619
5-619 (a) Removal of foreign body
Operations on testis
_______________
5-62
Incision of testis___________________________
5-620
5620 (a) Drainage____________ __________________
5620 (b) Removal of foreign body___________________
Excision or destruction of testis lesion_______
5-621
Unilateral orchiectomy_____________________
5622
Bilateral orchiectomy ____________________
15-623
5623 (a) Castration______________________________
5623 (b) Removal of ovotestis______________________
5623 (c) Removal of remaining testis_______________
~ Orchiopexy_______________________________
15624
5624 (a) Exploration for adbominal testis
5624 (b) Mobilizatoin and replacement in scrotum
5624 (c) Orchidopexy Unilateral 7.28.1 (pg. 62)______
1
1— 5624 (d) Orchidopexy Bilateral 7.28.2 (pg. 62)_______
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.^nc) ei-e-e-.
__
'
■
•
■
'
■1
-n
e
!
J__ i-624je)_ prctMdeaomy 26 52 (pg 44)_____________________
(f)) Orchidopexy 26,54 (pg 44)________________________
5-624 (f
_
Repaif gf (esljg.................................
9 025 (*) Excludes : leriiK-iiuti uf ioisimt (5-654) *
_________
~ 5^26
Insertion of testicular prosthesis____________________
• • It
\
Other operations on tests__________________________
Operation tor Torsion of Testis 26.58 (pg 44)
5-629 (■!•) (Other available codes : aspiration of hydrocele 8-163)
5-629 (-I-) (Other available codes ' injection of hydrocele 8-582)_________
Operations on spermatic corrij epididymis H vas deferens
LxclnkMi (X vniicocelo & liyditxtelu of n|x?rmalic cord______
5030
5-630 ja) Ligation of spermatic veins
________________________
5-630 (b) Repair of hydrocele of cord
^q30^).. Va r icocetcctomy
_______ ______________
5-630 (d) Operations for Hydrocele 26.56 (pg, 44)
IJ Ur.ilateral 26.56.1 (pg. 44)
___________ 2)_Bilaterat 26 56:_2]pg 44)
_
________ ________
5-630 (e) dpcratxxis tor Varicocele 26 GO (pg 45)
_____ 5-629
5-63
I
H
-11
)
___
5-631 (a)
5-634 (d)
5-633
5-633 f)
5-634
JI
5-634 (a)
5-634 (b)
5-634 (c)
5-634 Q
1) Unilateral
2) Bilateral________________________
.
Excision of cyst of epididymis
Spermatocelectomy___________ __________________________
Epididymectomy 26.53 (pg. 44)____________________________
Other epididymectomy_____________________________
Excludes : that with orchiectomy (5-622 and 5-623)
Repair of spermatic cord & spidtymis_______________________
Detorsoin of spermatic cord_______________________________
Suture of spermatic cord_____________________________ ■
Transplantation of cord__________________
Excludes : that with orchiopexy (5-624)^
5-635
Vasotomy
, ,,
____________________________ ______
Drainage and exploration__________________ ___ZZZZZZ
Removal of foreign body ________________________________
5-636
Vase-otomy_______
5-636 (a) For excision of lesoin
5-636 (b) Vasectomy should be free for family welfare 26.57 (pg 44) '
5-637______Repair
F_._______________
,
of vas deferens Sepididymis
7
J
’ • -- ;----------------1 ------------ ---______ 5^37_(a) Anhastomosis or reconstruction
5-637~(b) Epididymovasostomy______________________ ~ 5-637 (c) Removal of ligature or valve
5-635 (a)
5-6°5 (b)
1i1
Hr»
—— —
-L ;
i
5-637 (d)
i--
~
-/
Suture______ __
__________
■
'
' •
~~~~~~
5-639
i
p
ill
h
1
i
Other operations on spermatic cord, epiddymis & vas deferens
5-639 (+) (Other available code : aspiration of spermatocele 8-163)_____
5^4_______,
_____
Operations
on penis
_________________
___5^640 __________ Circumcision ,
____ 5-641
Local excision or destruction of penis
____ 5-642'
Amputations of penis________________
;5-643
Repair & plastic operations on penis
5-643 (a) Balanoplasty
___________________
5-643 (b) Reconstruction_____________________
5:643 M Release of chordee
5-643 (d) Repair of eprspadias
5-643 (e) Repair of hypospadias____________ _____________________ • - ■
5-643 (f) Suture_________________________________________________
5-643 (g) Operations for Hypospidias 26 48 (pg 44) _
1) Chordee Correction 26.48,1 (pg 44)_____________________
2) Second Sttageor One Stage Repair 26.48.2 (pg 44)___________
5-643 (h) Operations for Epispidias 26.49 (pg 44)______________________ _
5-643 (I) Epispadias / Extropty repair 7.17 (pg, 62)________________________
5-643 (j) Urethroplasty 1st Stage 7.34 (pg, 62)__
5-643 (k) Operations for Extrophy of the Bladder 26.32 (pg 43)______
5-644
Operations for sex transformation, not elsewhere classified_________
5-644 (a) Operationf with indeterminante sex _
5-649
Other operations on male genital organs
5-649 (af Division of adhesions_____________ __ __________________________
5-649 (b) Drainage________ ‘__________ __ ______________________ _________
5-649 (c) Irrigation, corpus cavemosum_______________________________ ~~
OPERATIONS ON FEMALE GENITAL ORGANS ______________
Excludes : surgical operatoins to produce female stenlization (5-980)
5-65
Operations on ovary_
5^50
--------------__ Oophorotomy
____ ______
'' Drainage'(abscess) (cyst)____ _'™ Z
z....L.Z
— 5.650(b)
Rupture of cyst
_____________ 5-650 (c)
Salpingo-oopfrorotomy________________
"5-650 (d) Salpingo-oophorotomy 20.13 (pg 32)
5-651
Local excision or destruction of ovary
__ 5-651 (a)
Ovarian cystectomy__________________
__ 5-651 (b)
Partial oophorectomy___________________________________________
__ 5-651 (c)
Wedge resection
5-651 (d) Pvaroam cyctectomy 20.14 (pg 32)
5-652
Unilateral oopherectomy
______ 5-652 (a) Oophorectomy,
________ _ unqualified
____________
~~
5:652 9b) Oophorectomy 20 15 (pg 32)
5-653
C
‘
Unilateral
salpngo-oophofectofny
I
Page 26
■
J
- I
T
-1
I
Wl
4 f’-i 7
W|Awtiy
5^54(7)
Caslralori, fctnalc_______________ '
.......
Removal of remaining ovary
_______ —
5-655
Bilateral salpingo-ooptKMectomy
5^655~(aj~ Removal of remaining ovary and tube
Ai‘
i
5-645 (b)
5-656
5- 656 (a)
6- 050 (b)
c
■>
t
I
I
Repair of ovary
Autolranefiirtrrt of ovary
Ooptioropexy
Oophoroplasty__________
Salpingo-oophoroptasty
~
Suturo ................
.........
..... ...........
’
........
Excludes : homtransplant of ovary (5-659) *
Excludes : salpingo - oophorostomy (5-666) *
5-657
& fallopian tube"
5-659
Other operations on ovary
- 5-659 (a) Ovarian homograft
..
5-659 (+) (Other available code : aspiration of ovary 6-164)
~
5-66
Operations on fallopian tube
—————
5-66 (*)
Excludes : tube with ovary, see 5-65~*~
5-660
f_____
Salpingotomy ______________
'
—————
5-660 (a)_ Drainage __________________
5-661
_ Total salpingectomy(unilateral)_________
5-661 (a) Salpingectomy 20.12 (pg. 32)
-----------------------5-662
Total bilateral salpingectomy
5-662 (a) Removal of remaining tube
~—
5-662 (*) Excludes : bilateral salpingo-oophorectomy (5-655) ‘
’
5-663
Bilateral endoscopic destruction or occlusion of fallopian tubes
5-663 (a) By culdoscopy
'
By
laparoscopy
—_________
—
5-663 (b)
5-663 (c) Cauterization
-------—
~
- ------------------5-663 (d) Crushing
5-663 (e) That of remaining tube
—
5-664
Other bilateral destruction or occlusion of fallopian tubes
“
5-664 (a) Partial removal
____
——
5-664 (b) Resection or transection
—
5-664 (c) That of remaining tube
5-665
Other salpingectomy
—
5-665 (a) Cornual resection
~
”
—---------------5-665 (b) Destruction of lesion
——————
5-665 (c) Excisoin of lesion
'
'■
- - •
5-665 (d) Fimbriectomy
'
------- —
5-666
. Repair of fallopian tube_______
~---5-666 (a) Anastomosis
~:-------- ^—7
5-666 (b) _ Implantation into uterus
---------------------5-666 (c) Reconstruction_________ __________
_________
5-666 (d) Salpingooophorostomy
- -------------------- —
5-666
(e)) with graft or prosthesis
'
------------------5-666 (*) Excludes : salpingo-oophoroplasty (5-656)
~
5-666 (*) Excludes : salpingo-oophororrhaphy (5-656)
_____ 5-667
Insufflation of failopian tubes
‘
--_____5-667 (a) i With air
"
- ---------------------------------------- —-----_____5-667 (b) 1 With Gas
----- ----------------------------------------- ’------------5-667 (c) With Saline
-- --------------- -----____ 5-667 (d) Hysto-Salpaingography 9.20 (pg 26)
~
- ----------------5-667 (e) With Dye
---------------------------------------5-667 (4-) _ (Other available codes : hysterosalpingography - see chapter 3)
~
_____ 5-669
Other operations on fallopian tubes
___________
5-669 (a) Unilateral ligation and division (not of remaining tube)
"
5-67
_ Operations on cervix______
—-----5-670
Dilation of cervical canal________
“
—
5-670 f) Excludes : dilation and curettage (5-690)
~
5-670 (‘) Excludes : termination of pregnancy (5-752)
-------------------------5-671
Conizaion of cervix_________
“
' --------------------------5-671 (a) _ Cold (knife) excision of cervix................
............. — ——— _
5-672 __
Other excision or destruction of lesion of cervix
---------------______ 5-672 (a) _ Cryoconization _____________
______ 5-672 (b) _ Electroconization-________
~———————--------------------——————
5-672 (c) [Excision of polyp
5-673
[Amputation of cervix
5-673 (a) Cervicectomy
———— ---------------------5-673 (b) Excisoin of cervical stump
------------------5-673 (c) Hysterotrachelectomy
" ~
--------- ------------------ 5-673 (d) With colporrhaphy
•----------------------
5-653 (c)
5-656 (d)
5-056 (c)
5-656 (*)
5-656 (*)
5-674
___ 5-675
5-679
Repair of internal cervical os
5-674 (a) Encirclement suture
5-674 (b) Supporting suture in pregnancy
——
5-674 (c) Wedge excision with suture
“
---------------------5-674 (d) Shirodkar, Me. Donalds stich 20.34 (pg 33)
- -----------------------Other reapir of cervix
--------------------------------------------------- ——
5-675 (a) Late repair of obstetric lacertion
———— ----------5-675 (b) Repair of nonobstetric laceratoin
-----------penod (5-755)5-675 (*) i;E NC^d<:S. :.,ropa'r 01 lacera'0^ dunn9 the
I Other oprations on cervix
-
Page 27
■',vv>'l-
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•
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4._____ [^679 (aj jRepair of^pcyt^cortal tear, penneal injury 20 31 (pg, 33)
■
5^
C4fl
___ (Other availablei code : radioactive implant • serj chapter 3)
Otti^f Indiion A oxciilon of uterus___ *"
■T-GBO
Hysterotomy
____________ ___________________________________
5-680 (a)
.
. „
.. s '- ■ '■ ■fcn—■■■■■
(Hystero) trachetotorny__________________________________________
(*) Excludes : embcycctomy (5-744)
... _____ 5-680
S-680(
^ Excludes :,up,ectp,u (5-681)
■
_______ ______
Excision or destruction of lession of uterus
........... 5-681 (a) Division of endometnal synechiae
•
........ 5-681 (b)^
Endom/rlfectomy
_ _ _ _____
5-681 (c) Myomectomy
_________________________________________________
5-681 (+) (Other available code : radioactive implant - see chapter 3)___________
— £682
Subtotal abdomianl hystrectomy
____
5-682 (a) Fundectomy_____________________________________________________________
5-682 (b) Supracervical
__________________________________ ________________
^82Ic)_ Supravaginal
Excludes hysterotmchelectorny (5-673) *
______
__________________
5-683
Total abdominal iTfstefectomy
___________________________________________
5-683 (a) Extended hysterectomy_____________________________________________________
5-683 (b) Hysterectomy, unqualified___________________________________________________
5-683, (c) Pannysterectomy______________________________
'____________
5-684
Vaginal bysterectomy______________________________________________________
5-684 (a) Colpohysterectomy
Radial abdominal hysterectomy_____________________________________________
5-685
5-685 (+) Includes : hysterocotpectomy________________________________________________
5-685 (+) Includes : modified radical hysterectomy_____________________________ ________
5-685 (+) Includes : removal of upper vagina and cellular tissues_________________________
5-686
Radial vaginal hysterectomy_________________________________________________
Pelvic evisceration_________________________________________________________
5-687
5-687 (a) En masse excision of ovaries, tubes, uterus, vagina, bladder and urethra________
5-687 (+) (Other available codes : radical lymph node dissection 5-404)__________________
5-687 (+) (Other available codes : regional lumph node dissection 5-402)_________________
5-687 (+) (Other available codes : removal of tubes or ovaries 5-652 to 5-662)_____________
5-687 (+) (Other available codes : repair of cystocele and rectocele 5-704)________________
5-687 (+) (Other available codes : repair to pelvic floor 5-693)____________________________
5-69
Other operations on uterus & supports____________________________________
5-690
Dilation & curettage (of uterus)_____________ _________________________________
5-690 (a) Removal of mote___________________________________________________________
5-690 (a) Removal of mole 20.29 (pg. 33)_____________________________________________
5-690 (b) Removal of missed abortion_________________________________________________
5-690 (c) Removal of retained products of conception following delivery or abortion_________
5-690 (d) Manual removal erf placenta 20.20 (pg. 32)_______________
5-690 (*) Excludes : termination of pregnancy (5-752) *___________ ;_____________________
Vaginal removal of intrauterine foreign body_________________________________
5-691
5-691 (a) Removal of intrautenne contraceptive device
5-692
Excision or destruction of uterine supports
__________________ ___
______ 5-692 (a)
Broad ligament_____ ;______________________________________________ .
Canal of Nuck________________________________________________________
______5-692 (b)
[5-692 (c) Cyst (parovarian)________________________________________________________
_____ 5-692 (d) Hematoma_______________________________________________ •___ /_______
5-692 (e) Hydrocele
_ 5-692 ••j Round ligament_______________________________________________________
5-692 (g) Broad ligment haemotoma drainage 20.16 (pg 32)____________________________
L5-693
Repair of uterine supports___________________________________________________
5-693 (a) Fixation_______________________________________________________________ ___
~ 5-693 (b) Plication__________________________ ;________________________________________
15-693 (c) Reattachment_____________________________________________________________
[5-693 (d) Shortening_______________________________________________________________
~ 5-693 (e) Ventrosuspension__________________________________________________________
~ 5-693 (f) Broad ligament
~ 5-693 (g)' Cardinal ligaments_____________________________________________________
5-693 (h) Endopelvic fascia__________________________________________________________
5-693 (i) Uterosacral ligament_______________________________________________________
5-694
Paracervical uterine denervation_____________________________________________
5-694 (a) Division of uterosacral ligament *'____________________________________________
Repair of uterus____________________________________________________________
5-695
5-695 (a) Hystero (trachelo) rrhaphy
5-695 (b) Repair of nonobstetric laceration
Other operations on uterus, cervix &supportmg structures
__________
5-699
Removal of encircling suture of cervix__________ ___________________________
_____ 5-699 (a)
Excludes : obstetric dilation or incision of cervix (5-739)________________________
__ 5-699 (*)
5-699 Q Excludes : obstetric insertion of bag or pack (5-758)
‘ 5-681
I
I
f
11
I
■
I
>
I
I
f
■
I
<
■
II
ll
li
__ 5-699 (+)
______5-699 (+)
~
5-699 (+)
(Other available codes
insertion of intrauterine contraceptive appliance ^1-653)
(Other available cedes wenstruaf regulation 8-165)
___________
paracervical nerve block 8-891)______________________________________
5-70'
Operations on vagina
5-700
Culdocentesis
__________________________________
5-700 (a) Aspiration of cul-de-sac
_____________________________
5-700 (•) Excludes : culdoscopy (5-916) *
£701----------Incision on vagina__________________________________________________
5-701 (a) Cplpotomy_________
5-76f(b) Culdotomy
5:™Uc)_ Pfainage,.Rcjv«abscess_________________________________ 1______ __________
c5-701
■’z'- ~(df
,-‘) [Exploration
I
ti
Page 28
ii
i
j.
-u .r.W'.ifvMt *• >
!_fe)_ iHymenntomy________
)
___________ _____ —
-JSU!) : VaQifiopefinegiofny
------------- ------- S?------------------------
'
tJ
Lw*!CKdsjonof destruction vivkjina
Cdpockxny, partial
V-------------------------------
5-702 (a)
5-702 (b) ExcWoncXcyBi
i
> s-i-i : r
“Mt Excision of polyp
___ 5-702 (e)
--5702(f)
--------------------- ----------------------~
----------- —
Excision of septum
..3
5-703
— 57O3'(<~
5.722 (>>)_ CxJfKKkjinin
Repair of cysiocete A rectocele
__ F-704 (a)
Bgpair of pouch of Douglas
— j^^^ijRepaifof^fethrocele’
5704
----------- -------------------
__ 5-704 (c) Repair of vaginai_vgjljanton
XX, postcfior)
5-705 -----Vaginal reconstruction
fCoipopoiesis
5-705 (b)
5-706
with graft (skin, colon)
i N
Other repair of vagina
5706 (a) Colpoperineorrhaphy
5-706 (b) .'Excision and closure of fistula
nr....
~----------------------- 5-706 (c) Fixation
~~----------------------------------5-706 (d) . Freeing of adhesions ~~
- ------------------------------5-706 (e) _ Hymenorrhaphy J
~
'
—-------------- ----------- .
5-706 (f) Suture
"
- --------------- ------------------------- 5-706 f)
' Ct>\ •? '
5-707
5-707 (a) Repair of enterocele
~
_________
5-707 (b) Suture to obliterate cul-de-sac------------------------------------- -------------------------5-709
Other operations on vagina
~~--------------- - --------------------------------------Removal of foreign body by incision-------- - -------------------- - --------------------5-709 (+)
5-709 (+)
5.71
:i
lEgGaSM
5-71
Includes^Bartholin-s gland
j.F'.3
1 (s?
_ 5-71 (*) - Excludes ; hymen (5-70£ to 5-709?*
5-710
_ Incision of vulva & perineum
5-710 (a) _ Drainage
~
5710(b) , Enlargement of introiti
tus
5710(c) . Exploration
5-710 (d) . gem^j^T^n bodTbTk^^
■: •
■
... ::
i,
< ■ i ■ >• i' X
-i
■o
7F
------------------------------------ -----------------------
- ----------------------------------------------- ----------------- ------------------------
5-719 (+)
_ Breech & InstrumnetafdeHve^
- ----------------gowforceps delivery (without episj^Uj---------------5-720 (a) _ Low for delivery 20,2 (pg. 32) ----------- U------------5-721
-IgRforee^deii^ry wth^fofofo^?
5-722
_ Mid forceps delivery
5-722 (a) - -pw mid cavity forceps (pg 32)
5-723
_ High forceps delivery
5-724
- Forceps rotation of fetal head
5-725
Breech extraction ~
-------5-725 (a) Version with breech extraction
5-726
Forcepsjppiication to aftercomfoT?
5-727
Breech delivery
---------- head
5-728
Vacuum traction on feel scalp
^729“
5-720
5-73
■
•
---------- -- ---------
5-719
5-72
■
• U;
. - BPP3^ of vulva & perineum
~
--------------------5^16(a[_ ClgsurTof penpal fistula------------------ —----------------------- -Q-/16 (b) Perineoplasty
5-716 (c) Perineorrhaphy
5-716 (*)
— ■—
.
—
_
----------- --------------- -------------------- ----------------------------- - ------------ ------------ -----
5-712 (b) - Excision of redundant mucosa
------------ —
5-712
Excludes : perineal cauterizatoin (5-91?)
5-713
. Operations on clitoris
------- ---------- z----------------------5-713 (a) . Amputation of clitoris
- ------------------------- —
5-714
. Radical vulvectomy
---------------[Other vulvectomy
- -------------- ----------- -------5-715
5-716
'
>
5710 (e) ^EglCof post-coital tear, perineal injury2Q3i (on 33T
5-711
Operations on Bartfojjggi^------- £l[Pa^R
5-711 (a) Drainage
—-- ------------------------------- ___
5-711 (b) Marsupialization
~
Rc
cludes
:
perineal
cauterization
(5-Qiop------------------- 5-711 (*)
5-712
~
.
------------------------------ ------------ ----------------- —
1 f+1 _ jncludon ; clrforts
- ------------------------------- ------------------ -----i; ''_________ ‘ ’•
- a-7
57JJ+1
-571H - lPcludes : labia~(minora, majora)---------------------------- -------------------- ------------------- -— 571 (+) _ Includes : Skene's gland
__________________ _______________ _____ _
5-715
(a)-- Bilateral (simple)
-----------5-715 (b) Partial (unilateral) "
—_
——
Page 29
z
•...
Other surgical induction al labor
•5-731
-5^
Insgto hy0f9§‘a!K?
6-732
_________________________
Of bWO!?
Ilileittal vetsMi R oxliaclkxi
_____
_______
____________
____
5-732 (a) Cephalic version__________________________________________________ _______
5-732 (b) Combined version________________________________________________________
5-732 (0) Internal podalio version end nxtrncllon 20 10 (f>g 32)
___ £__ 2_____________ '
________Z
_ ^Z33_la)_ Trail forceps_____________________________________________________________
S734 _________ Operations on fetus to facilitate delivery
5-734
5734 (a) Cleidotomy
6- 734 (b) Dtfliheye of iiytiro»x>piinlu9________________________________________ _______
I
5-738
________ Episiotomy______________________________________________________________
5-738
5
:738 (a) With repaii _ ____
______
_______ _____
5-730 (t>) Nonnni cioliwry or with EpskHtMny & P. repair 20j1(pg 32)
5-730
01 f*SI9F^-‘r^.Ltor!s_?s,-il’ '.Qfl delivery__________________
5-739 (a) Dilation or incision of cervix_________________________________ ____
5-739 (b) Pybjotomy____________ ______________________________________________
5-739 (g)' syntpliysiolrxny
'
5-739 (*) Excludcs : removal of encircling suture (5-699) *
! '
If
I
5-739 (+)
(Other available codes : external version 8-251)____________________________
y 39 (+)7 (Other available codes : medical induction of labor 9-250)____________________
5-739 (4)
5-739 (4)
5-739 (4)
5-74
5-740
5-740 (a)
5-740 (b)
i
5-741
5-471 (a)
i
5-471 (b)
5-742
5-742 (a)
5-743
i:
■
'!!
j5-743 (a)
5-743 (b)
_5-743 (c)
_____ 5743JdJ.
5-744__________
5-744 (a)
15-744 (b)
______ 5-744 (c)
5-744 (d)
5-744_(e)
i
(Other available codes : cXher manipulations 8-250 to 8-259)__________________
(Other available codes : oxytocic drugs 7-500 to 7-509)__________________ _
(Other available codes : replacement of cord 8-254)
9osafcnn fctlon & removal of fctits____________________________________
Classical cesarean section________________________________________________
Upper uterine segment, transperitoneal_____________________________________
Caesarean section 20.5 (pg. 32)___________________________________________
Cervical cesarean section____________________________;________________ '
Lower uterine segment, transperitoneal_____________________________________
Broad ligment haemotoma drainage 20.16 (pg. 32)__________________________
Extrapentoneal cesarean section___________________________________________
Supravesical, without opening peritoneal cavity______________________________
Removal of intraperitoneal embryo_________________________________________
Abdominal (ectopic) pregnancy___________________________________
Ovarian pregnancy_________________ _______________ ._____________________
Ruptured tubal pregnancy___________________________ ._______________ '
Laparotomy for Ectopic rupture 20_9 (pg 32)
_
Other removal of embryo__________________________________________________
By hysterotomy______________________________________________________ _
Embryectomy____________________________________________________________
Hysterectomy during pregnancy___________________________________________
Destructive Operation 20.28 (pg. 33)_______________________________
Caesarean Hysterectomy,20_6 (pg 32)_____ __________________
’ "
^Cl
Excludes : removal of utenne mole (5-690)
Excludes : termination of pregnancy (5-750 to 5-752)________________________
(Other available code : menstrual extraction 8-165)__________________________
5-748
Other cesarean section____________________________________ __ ____________
5-749
Cesarean section, not otherwise specified
5-75
Other obstetric operations
5-750
Amnidic injection for termination of pregnancy______________________________
5-750 (a) Injection of prostaglandin__________________________________________________
5-750 (b)' Injection of saline_________________________________________________________
5-750 (*) Excludes : for induction of labor (9-250) *___________________________________
5-751
Vaccum aspiration for termination of pregnancy_____________________________
Other termination of pregnancy____________________________________________
5-752
5-752 (•) Excludes : by hysterotomy (5-744) *
__________ _____________
5-752 (a) Abortion 20.35 (pg 33)___________________________________________________
5-753
Amniocentesis
._
5-573 (*) Excludes : amnioscopy (5-925)____________________________________________
5-754 _________ .Intrauterine transfusion_______ __________________________________________ _
5-574 (a) Exchange transfusion in utero_____________________ ________________________
|5-574(bj~ Intraperitoneal blood transfusion exchange
_______________
Other intrauterine operations on fetus
_
5-755
5-755 (a) Biopsy specimen and blood sampling
5-755 (b) Correction of fetal defects_________________________________________________
'~ 5-755 (c) Scalp electrodes________________________________ ________________________
5-756
Removal of retained placenta
5-756 (a) Manual removal of placenta and membranes
5-756 (bj Manual removal of plocenta 20 20 (pg 32)
____________________________
5-74/C)
5-744 (+)
5.757'
'5-758
_
5-757 (a)
5-757 (b)
5^57 (c)
Repair of obstetic laceration of uterus
Repair of reptured uterus______________________________________ ___________
Suture of tom cervix______________________________________________________
Rupture Uterus, closure and repair with tubal ligation 20 7 (pg 23)
Repair of other onstetric lacerations
BPjs'Pfrhaphy_............ ...............
" _ -____________
5-576 (a)
5-578 (bf Perineorrhaphy
5-578 (c) ~ Secondary repair of laceration_____________________________________________
5-578 (d) Complete perineal tear-repair 20.26 (pg. 33)________________________________
5-578 (e) Gaping abdominal wound-secondary suturing 20.25 (pg. 33)_________________
5-578 (f) ~ Exploration of perineal haematoma and resuturing of ep'istrotomy 20.17 (pg. 32)
5-578 (g) Exploration of abdominal haematoma (after laparotomy 4 LUCS) 20 18 (pg 32)
5-578 (h) Manual removal of placenta 20 20 (pg 32)
Page 30
1/
• e
fl
5
;=>
<
___________
6 67(1 (I) la,<|Mill<(o(()L.|M
dl.
---------------
_ Lxamifinn^u^ anavr.llK’M* 20 22 (txi 33)
/o !.y Burst-abdomen repair 20 23 (pg. 33[
1"" "
---------------- ---------5-578{Q <Gapipg abdominal wound-secondary suturing 20^57pg" 33)~ :
ZZ^578li Excludes : late repwjioUnin^
pe^ (5.706 and 5 716 .
---------.
w
of
r
o
utine
episiotom
y
(9-263)
•
'
“'r'' r "
'
5^759
----------------- Dther
Otherobstetric
obstetricOo|------perations
~
,
------ -...
__
5-759
(a)
Evacuation
of
her
-- '
~7’■-^7:W..'~‘rra’ornaofvi^.
~
~—
-------- w-Merton cavity prMUriarturn
........... .
.............
-17591c)
5.760 tr\ I S^rgicaFcorrection ofjnyertwl uterus
5-759 (d) Incision of cervix
"
5-759 (e) tranesection of cervix
~
—----------------- ----------5-759 (f) . Tamponade of uterus, obstetric
” *————— -------------- — -------------5-759 (g)
5-579 (h)
5-759 (*) Excludes : episiotomy (5-738) *
L--------------------------------------------5-759 (-f) ;{Other available cod^ . expression of placenta 8-510)-----------------------5-759 {+) (Other
codes"
rntivr available ^
zz : extemat version 8-251) -----------------------------------------5-759(4-)
‘
5/759 (4-)
5-759 (4-)
5-76
Reduction of facial fractures
------------------ ------------------------------ Ciosed reduction of zygomatic fracture
------------ Open reduction of zygomatic fracture
-- :-----------------------_ Closed rduction of waxillary & mandibular fractures
------- :--------_ Open reduction of waxillary & mandibular fracti ire-------------------------------_ Open reduction of alveolar fracture
---------------------------------------- —
_ Open reduction of orbital fracture
---------------------- ------------- - ---------5-765 (a)I with graft or implant
- ----------------------------------------------- 5-766 r——------ _ 9^ closed reduction of facial fracture
------------ ------------------------5^ggj+)_ (Other available codes • jaw tractiof78^73)------------------------------- ------------------5-766
(+) (Other availabtecodgsJjasaLbone 8-200) - --------------------------------- - ---------5
’7fifi M
5-766 (+) (Other available codes : wiring of teeth 8-334)
-------------------------------5-767 —— ----- Othe^openreductiSnof facial fracture
----------- ------------------- —-------------
5-760
5-761
5-762
5-763
5-764
5-765
5-77
5-78
52)37 (-i-) (Other available code : dental win^334j----------------------- -—----------------------_______ -9ther operations on facial bone & joints
------------------------ --------- —---------5-770 _____ _ Incision of facial bone
7--------- ------------------------------ - ---------------------------------- Drainage. 2
- --------------------- ------ --------------------------------«;.77n/K
.......
5-770 (b)t ExpiorafoH
5-770 (c) Removal of foreing body
"
‘
- ---------- r*———-------5-770 (d) Removal of sequestrum7~
-----------------------?
5-771
__ Excision or destruction of facial bonetesion"------------------------------------- ------------J__ 5-771 f))_ Excludes : excision of odontogenic lesion (5-243) * T------------------------ -----------5-772
~
°f fadal 60061 fcxceP{ mandible
With bone graft or pfosthesjc
5-773
_ [Excison & reconstruction of mandible
----------------- ---------—
5773(a)1 With bone graft or prosthesis
----------------------------------------- -----------—
5-774
__ Temporomandibular arthrplasty
----- ------ ----- ---------- 5-774 (a)L Condylotomy (intracapsular)
---------------------------------—----------------------------- 5-774 (b)[ Meniscectomy
-------------- ---------------------------- ______
5-774 (c) _ Removal of joint structures
~------------------ ----------------5-775
_ Other facial boen repair & osteoplasty
~---------------------------------- ----5-775 (a) Condylotomy
1------ ----------------- —---------------- --------------5-775 (b)_Genioplasty
-------------------------------------------------5-775 (b) _ gyndactyly Repair 28.23 (pg. 47)
---------- ----------------------------------- —
r»
:
-- --------------- ----------- -----------------------------------------------------5-775 (c) Ramisection of ja\
5-779
_ Other operations on facial bone & joirts----------- ~- -------------------------------- 5-779 (a) _ Reduction of facial fractures of Maxilla 28 11 (pg 46)
-------------------- -----------5-779 (b) - ?;e<iucll°n 'ractures o> Mandible and Maxite28~l5~^r^j-----------------------------, 1) Eye let splinting 28.12.1 (pg. 46)
“------------------ -----------.2) Cast netal splints~28 1~2.2 (pg. 46)-------------------------------- --------------------- —
^gumming splints28,12.3 (^46)'
/
■
i
•
I-
. r r.
■
i
•
■
-------------5-779 (*) f2^2!2des_^ac^2^nasal sinuses (5-220 tn 5-229^------------------------------------5-779 Q ~ Excludes : nasal bones (5-211 to 5-219) *
—--------------------------5-779 (+)
5-779 (+)
_____ 5-78 (0)
_
— P
• '
_ Operations on other bones
r
■
-
~- ------
7——------ ------ - -------- —•
«-» nj uvwer ii
15-78 (0) pApplicatio
n of Functional cast brace 30 7 (pg 47) ------- —
Annlicafinn of Qtzin T™—*:
1
.---------- -=r—
---------------
------ gkin Traction 30 3 (pg. 47T~,~-------------------------------------- ------------.......................... - -----------15-78
(0)
|^^l^pplication
of Skeletal Tractions^O^ ^n~47)------------------^4^^B^^.Strapp
&-§trappjngs for Fractures3a5~(P9^7]------. ....... ........
■
__ 5-78 (0)
& Intra
Aspiration1jjn
tra Articular Injections nn
30.r»6 (pg~
(pq ~47j
47j______ _____ ________ ___________________
.Application of POP, spices & jackets 30 7 (ryT^?)-----------~------------— j-78 (0) Close Reduction of Fr
__ 5-78 (0)
'——
5-78 (0)
- -5~78 (°)
— 5~78(°>
----- -
, 1CVJU
_ 5-78(0) .[-Arthroscopy
30.46 (pg 49?
—
W.-TV \HQ. 49)
~|5-78 (0)
“
---------------------- ----------------------
Diagnostic 30.46.1 (pg. 49)
--------------- ------ ----- - ---------------------------Operative 30.46 2 (pg 49)-------------------------------- - ----------------------
Page 31
l
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■
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.iua'JJt
SrZBBStyv i: ♦ av*”. itb'
.’«5.
rr» (vv r
----------------------------------------------
t .
■
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ii
"j .
.
S,
v.fpii iui*-
<-7B(Q)
I'-" Llllll'S3!) 'JUluu UUf
Hemoval of Nails, Wires and Screw 30 52 (pg 50)
Removal of Plates 30,53 (pg. 50)
~
------
:
Illusiontrfbone
~~—
______________________ __________________________________________________________ ’
»
5-780 (b)~ Drilling, exploration
Removal of foreign body
" "
Removal of sequestrum
——
Sequestrectomy and Sancenzatton 30,17 (pg, 48)
1) SuperficN 30.17.1
___ 5-780 (c)
5-780' (d)
5-780 (e)
„ ?)J5«PJ0jT2_____ ____
:
'
~
1
. ..------------
_ 3)AHIuoto,ny30.17.3.............................. —------------------- -- ------- --Division of txxx?
5-781 (a) Condylotomy
. . ...
. .. . ~
5-781 (b) Displacement
“7 ~
.., ."T"
5-781 (c) Osteotomy________
~" ... ....
■
5-781 (d) With muscle transfer ______ .
~
5-781 (*) Excludes: clavicofomy ofjetus (5-734)
~
5-781 n~ Excludes : pubiotomy to assist delivery (5-739)
'
;
5*782 _________ Ostectomy for hallux valgus ________
—
5-782 (a) Bunionectomy
~__________________________________5-782 (b) I Excision of bunionette (5th toe)
- ------------5-782 (c))_ Excision of metatarsal head or phalanx
:
'■------------5-782 (d)) Exostectomy of hallux
'
---------------------- -—
5-783
Excision of tone lesion
--- ---------------------5-783 (a)1 With bone graft or bone chips
-"
5-783 (■) - Excludes : removal of tone fragments of compound fracture (5-795) •
5-784
_ Partial ostectomy
?
“—■ ----------—
5-784 (a) Excision of tone for (homo) graft
5-784 (b) _ Wedge resection
----------------5-784 (c) _ With tone graft or metallic fixation
“
-- ---------------------------5-784 (d) Bone Grafilng 30 13 (pg 48)
5-785
_ Total ostectomy______________
5-785 (*) _ Excludes : excision of sesnmotd tone (5-833) *
5-786
_ Bone graft 30.13 (pg 48)
-------------------5-786 (a) _ Autogenous graft
---------------5-786 (b) _ Heterogenous transplant
~
5-786 (c) _ Homograft_________ "'"
"
“
■—
5-786 (d) . With metallic fixation____________
. ■
-.
5-787
Internal fixation of bone (without fracture reduction
“
5-787 (a) Insertion or reinsertion of fixation appliance
5-787 (‘) Excludes : spine (5-810) *
--- -----------5-788
Removal of internal fixation appliance
~
5-788 Q Excludes : removal of traction pin or wire (8-460) *
5-789
Other operations on bone
‘
-----------_ 5-789 (a) [Rusion
Rusion of bone~
bone
———
- -------------------------------—---------"
— ——
-—
_ 5-789 (b) ilengtening of bone
~
- --------------- - -------------
5-7^1
_ 57789(c) Reconstruction
"
- ------------------------------- ------------------5-789 (d) jshortening of bone
-------------------------------------------. Pordgtail£refer to index and to the following sections
-----------------------------------|amputation (5-840 to 5-849)
’
- ----------------—------------------- | Bone marrow (5-410)
------------------------___________ !Face (5-760 to 5-779)------------------------ ---------------- ---------- ---------------
___
-
Fracture (5-790 to 5-794)
-----------------—------------------------------------- ------I Jaw (5-762 to 5-764, 5-770 to 5-779)
------------------ —--------------------------------------- j Joint, tone ends (5-800 to 5-812)
-------------------------------------------------__ ________ I Nasal tone (5-212 to 5-219)"---------------------------------- ----------- -------------___
Nasal sinus (5-220 to 5-229)
---------- :-------------------------- - —-- -----------[Rib (5-340 to 5-343)------------------------------------------ ------ - ---------------------__________ I Skull (5-010 to 5-029)
------------------------ ---------------------Sesamoid bone (5-833)
~
- ----------------------- -------- —----------___ _ ____ Spine (5-030, 5-810)
- ----------------- ----------------------------------------------------ibumb (5^2‘gj___‘
--- --------------- ....—
5;79._
fracturt with Intornat fixation’ ~
??c!udes; facial bones_(5-760 to 5-767)---------------------------- ---------------- -----------------........... 15-79
5:?9.r;...
(•) "
__________ 5-79
(•)
Excludes : nasal bones (5-217)
---------------------------------------------
------- .pgSZi
--- —zzzzzzzzn
I^£aY2!^W^«lclose^uctionof fracture_82200'to8:205j----------------------ketetal_andother traction 8-400 to 8-430 8^470 toT-^TgV
I Closed reduction
re^""*:------of“fracture with internal figton------------------------- ~
iC^sed
(Other available code : nailing of b^e 8-362)
-■ 5.-797
^Hje^uction
QPgB.fg^H9!Lqn,.ofjracti
of fracture (without internal fixation)
5-792
Open reduction of fracture with internal fixation
Band,
Plate,
Screw,
Wire
’
5-792 (a) Band, Plate, Screw^Wire
~~---------------------- ---------|5-793
Closed reduction
r—
- -----sis
of‘ separated epiphy
------ - --------------5-793 (4) (Other available code : C~' '
cede _■ closed nailing o~f epiphysis 8-367)
....... ’5794
Open
reduction
separated epiphysis
--------K^ptcd of
epiphysis
~
-- 5-795
Toilet of open fracture site ”
--------- --- - 5-795 (a) _ Removal of tone fragments
|5^796~
J Open reduction of dislocation of joint
———_— --------I5-797
___ 5-790T
------ 5.'790 (•*•)
Page 32
!
.. -•!
1
-
W-
^1
b iwb--------
. tai
fiO 4(J____
_
9P«retk>ns on muscle, tendon & fascia of hand
te^i of muscle, tendon and fastc of hand
^20(3) Cirainaae
5 620 (0) QkplufdlltWf
5-820'(c)
5-820 (d)
.....
_____
...
.
____
Incision of palmar whitlow
Incision of tendon sheath
I cu».?]
5-820 (e) Irrigation
___ of
___________
tendon sheath
5-820(f)
________________
___ q_______
Removal
of rice bodies,,foreign
bodies
'■
1 (Other .availabterode^aspiStion of^bursa .8,-1671
J-
5-02 f
Division of muscle, tendon & fascia of hand
____
^S'!001*0
Ieodon o< niusclo
_
____ 5-821
_____ Retin
........... .
_______
(b) aculotomy (phalangeal)........................
5;§21_(c)_ transectoin of tendon or muscle_________
--- (*• '
_ 5-82i_________________
_ Excision of lesion erf muscle , tendon & fascia of hand
5r?22IaLExcision
Excisionof:
or;■___________ ____ ZTT’ZZZ’ZZ------------_________ 5^22^a}_
_________ 9a29!Hni fesroo of tendon' sheath, myositis ossificans
5-822 (b) ganglion excision 30 15 (pg 48) _ _____ "
~ '5:823
Other excision of muscle, tendon & fascia of hand
5-823 (a)
______
, , Bursectomy_______________________ ’
5-823 (b) Excision of Dupuytren's contracture
~
5-823 (c) Excision of tendon for graft
Suture of muscle, tendon S fescia of hand
_____' _ —- ———
.Z 5-824 (a) Myosulur^_'__________~
-_.j5-824(b) Repair of tendon_
. i
5:®
_______________ Transplantation of muscleJ. tendon ofhand
5-825
■I
I
I
______ 5-825 (a) Advancement of tendon
5-825 (b) Reattachment of tendon
' 5-825 (c) Recession of tendon
’ 5-826
Reconstruction of thumb
5-826 (a) Cocked hat procedure
5-826 (b) Digital transfer to act as thumb___________
5-826 (c) Pollicization, with neurovascular bundle
5-826 (d) Toe to thumb transfer_____________________________
5-826 (e) With bone graft, skin graft or island graft J__________
5-827
Plastic operation on hand with graft of implant
—
------ 5-827 (a)
________________________
Opponens
plasty
------ 5-827 ,(b) ffendon pulley reconstruction
------- 5-827 (c) >with graft.of fascia, muscle or tendon
■
5-828
Other plastic operations on hand
_ 5-828 (a) Pixation of tendon
• >• * 11A •
bts..-’
5-828
[b)
___ Lengtheningoftendon
________ __
-______ ~
5-828 (c) Plication of fascia__________________________________ _2__
ft5-828 (d) Pollicization of finger
5-828 (e) Shortening of tendon___________________________________
__
5-829
Other operations on muscle, tendon & fascia of hand
■ ■ • ■•.
~ “I,,<
Freeing
of
.adhesions
_
___
”
_____
L
__
v.
,x
;
r
' '
r'
5_-8_29(a)
Excludes . decompression d carpal tunnel (5-043) •
- .
"
/■' / ~-r
5-829 (+) (Other available code : stretching of fascia, muscle or tendon 8'-215and 8-216) ■ ■ '
5-83
Operations on other muscles, tendons, fascia & bursae
5-83 Q
Excludes : diaphragm (5-347)
r
5-83 (*)
eyelid (5-090 to 5-099)
5-83 (*)
muscjes of eye (5-100 to 5-109)
5-83 Q " muscles
r
•’ of’hand
■
(5-820 to 5-829)
I
5-830
Incision of muscle, tendon, fascia & bursa
5-830 (a) Drainage_______________________________
5-830 (b) Exploration___________________________
______
5-830 (c)~ Incision of tendon sheath________________
5-830 (d) Removal of calcareous deposit in bursa_______
5-830 (e) Removal of foreign body_______________________ __
5-830 (f) Removal of rice bodies in tendon sheath
~
5-831
Division of muscle, tendon & facia________________
5-831 (a) Tenotomy
5-831 (b) Transection___________________ __ _____
5-832
______ 5^321a)
J____ 5-832 (b)
[5-832 (c)
Excision of lesion of muscle , tendon fascia & bursa
Removal of Baker's cyst
Removal of heterotopic bone____________________
Removal of hydatid cyst_________________________
5-832
____(d)
Removal of myositis ossificans
5-832 (e) Removal of_synoyial cyst _
51833
Other excision of muscle, tendon & fascia
5-833 (a) Excision of aponeurosis
5-833“(b) Excisom of sesamoid bone
.. 5-832 (C) ic
Excision
^.u.1 u.
of tendon
renuvu sheath _____________________
_ 5~833 (*) [Excludes :excision of patella (5-785) *
5-834IJ______
I Excision of bursa _
!5-835
Suture of muscle, tendon & fescia_________________
. ■ ~
T J5:835.(a). Myosuture
5-835 (b) Repair of diastasis recti
Rotator cult repair
- . ....
[5^35f) Excludes ^ secondary suture of abdominal wail (5j-545)~
15-836
Reconstruction of muscle & tendon
15-836 (a) " Advancement
[5-836 (b) [Rcattachmcnt
■ h
Page 34
I
■
■
<
■
'
•> H
i •• c
.
i
i
.
t.lf.,..*. . •.
■■
5-797 (b)\ iFracture of limb bone with fracture of skull, thorax or pelvis
swik Eagmprjrwrax« p«iyls «ih
5-80
ir
I
....i
—
Incision & •KCtetoti of joint ttructure*____________
Excludes : temporomandibular joint (5-774) *
_
5-80 (*)
eo?'—
5-80 (+) (Other available codes : injection for radiography_1seechajXef_3)------- .--------(dTheTB^adable codes : injection of therapeutic substance into pint or ligament 8-584)—
5-80 (+)
(Other available codes : therapeutic aspiration 8-166)
;------------- - ------------- ----------5-80 (<■)
Arthrotomy________ _________ _ __________ •-------------------------------- ---------------5-000
5-800 (a) Drainage------------------------------- ------------------------ ------- ---------------------- —-------- ----------------------- —. —
5-800 (b) Exploration------------------- -- -------------------------- -------5-800 (c)' Removal of loose or foreign body_______________________
Division of joint capsule,ligament or cartilage
5-801
5-801 (a) Chondrctomy--------------------------------------- ----------------------- -------------------------5-801 (b) Desmotomy_______ _____________________________________ ___________ _—
_____
t f [Freeing of external adhesions_______ ,
_____ _----------------- _ __________ _------5-801 <c)
5-801_[*)_ Excludes ^carpal l.unnelI nerve decompression (5T)43) -------___________________
~ (*)' Excludes : putxotomy (symptiysiotomy) in delivery (5-739)__________________
5-80'1
Excision or destruction of lesion of joint_____________ ___________________ —----5-802
5-802 (a) Curettage or cartilage-------------------------- ---------------------------------- -----------------------____________ _—
5-802 (*) Excludes : ganglion (5-822)
Excison of intervertebral disc
------------------------------ -- -------------- - ------------------5-803
With
laminectomy
or
bone
graft
________________
—
5-803 (a)
Excision of semilunar cartilage of knee_____________________—
5-804
_______
_____ 5-804 (a) Maniscectomy_______________ ______________________________
__ 5-804 (') Excludes : exasion or removal of cruciate ligament or loose body (5-800, 5-802)----------
_____ Synovoctomy of joint_________ ___________ _____ ________________
________________ —
5-805 (a) Villusectomy
Other excision of joint structure__________________________________________ 5-809
—
5-809 (a) Arthrectomy
5-809 (b) Condylectomy ______________---------- ----------- ----------------------5-809 (c) Excision o( capsule or ligament------------------------- ----- --------------- ------------------------Repair & plastic operations on joint structures—
5-81 (+) Includes : repair and reconstruction of:----------------- - ---------------------------------------- -capsule, cartilage, joint cavity, synovial membrane -------------------------------------------graft for bone, cartilage, tendon
—
Internal or external fixation or prosthetic appliance_____________ ________ ;------Spinal fusion
——5-810
__________________________ ____________
5-810 (a) Arthrodesis of spine
_____________________________ — ----------- ——
5-810 (b) Spondylosyndesis
5-810 (*) Excludes : sacroiliac joints (5-812)i-----5-810 (c)
5-810 (d)
5-810 (e) Correction o( Oestotomy 30.36 (pg 49)
1) Minor 30.36.1_____________
2) Major 30.36.2
_______________________
Arthrodesis of foot & ankle_____________________
5-811
5-811 (a) Correction of hammer toe deformity_______________ ’
5-811 (b) Fusion of bone of foot__________________________ _
_____________
5-811 (c) Subtalar or triple arthrodesis
Arthrodesis of other joints
, .
5-812
5-812 (a) Excision of bone ends and compression
5-812 (b) Production of ankylosis______ _
Arthroplasty cf foot & toe
_
5-813
I
5-813 (a) Capsuloplasty___________________
__
5-813 (b) Chondroplasty
_____________________ ....
5-813 (c) Reconstruction
5-813 (d) Total ankle joint replacement 12.6.2 (pg 63)
Arthroplasty of knee
5-814
5-814 (a) Capsuloplasty____________________ ______________
5-814 (b) Chondroplasty ___________________
______________
5-814 (c) Reconstruction
5-814 (d) Total knee replacement 12.6 3 (pg. 63)________ ________
Total hip replacement 12.6.1_________________________
5-815
5-815 (a) Replacement of head of femur and acetabulum by prosthesis
Other arthroplasty of hip
5-816
________________________
5-816 (a) Acetabuloplasty
5-816 (b) Reconstruction___________________________
_
5-816 (c) Replacement of head of femur_______________
Arthroplasty of hand & finger____
5-817
5-817 (a) Capsuloplasty
5-817 (b) Chondroplasty_______________ __ _________________
5-817 (c) Reconstruction___________________________________
’ Arthroplasty of shoulder
________________
5-818
5-805
5-81
ft
-
!■
J
II
5-818 (a)
Capsuloplasty___________________
5-818 (a) Total shoulder replacement_________________________
5-818 (b) Chondroplasty___________________ :________________
_ ____________________________
5-818 (c) Reconstruction
Other repair of joint structure
____________________
5-819
5-819(a) Arthioplasty of other joints____________________
5-819 (b) Repair of capsule, not involving joint cavity
_______________________
5-819(c) Suture of ligament
5-819 (*) Excludes : temporomandibular joint (5-774) *____________
' 5-819 (d) ~ Total elbow joint replacement 12.6.5___________________
|5-819 je) Total wrist joint replacement 12.6.6__________________
Page 33
I.:
1
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!
I
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I
—...
IF ■ -
’’
....
-
,
~ .••xUo'Mj ’SJ
yin. !
■
I
5-836 (c) Recession
^836 jd)
5-836
(d) ’Transposition
——————_
5-836 (e) Tendon transfer 30~3b~(pg 48)
•
5-837
_ Other plastic operations on muscle, tendon & fascia
5-837 (a)L Fixation (suture for)
5:837 (bf
) Grafting
5-037 (c)l lonytlwnmg
, ) Plication
5-837 (e) Shortening _
5-837 ff) Tendon with transplant or graft 31 28 (pg 48)
15-837 (gj _ Tendon lengthening / tendon suture 31.29 fpg 48)___
5-839
_ Other operations on muscle, tendon, fascia & bursa5-839 (a) Freeing of adhesions
5-839 (4-) (Other available codes aspiration of bursa 0 167)
5-839 (4-) (Other available codes , injection into bursa or tendon 8-585)
5-839 (4-) (Other available codes : stretching of fascia 8-216)
5-839 (4-) _ (Other available codes : stretching of mucle or tendonEL215)~
5-84
. Amputation & disarticulation of limbs
5-84 (4-)
Includes : revision of current amputation for trauma
5-84 (*) . Excludes : revision of amputation stump (5-850) *
5-840
. Amputation & disarticulation of fingers
5-841
. Amputation & disarticulation of thumb
5-842
Amputation of forearm & hr.ad__________
5-842 (a) Disarticulation at wnst
_______________ ~
5-842 (b) Metacarpal amputation
5-842 (c) Amputation below elbow 30 43.2
———
5-842 (d) Amputation above elbow 30,43 4
— ——
5-842 (e) Amputation for
30.43.5
5-843
. Disarticulation at elbow & anputation through humerus
5-844
Disarticulation at shoulder & interthoracoscapular amputation
5-844 (a) Major 30,44 1
_______________
5-844 (b) Minor 30.44.2 __________________ --------------------------------------5-QA5
Amputation & disarticulation of toes
5-846
Amputation & disarticulation of foot
5-846 (a) Between tarsus and metatarsus
—
5-846 (b) Midtarsal amputation or disarticulation
5-846 (c) With heel flap ___________
5-847
Amputation of lower leg or ankle
7”
5-847 (a) Below knee amputation 30.43.3 (pg. 49)
5-847 (b) Site of election
t
I
1 !J
'! *■• •
5-847 (c) Supramalleolar amputation
5-847 (d) With patellar tendon weight bearing
5-848
Ampulationof thigh & disarticulation afknee
at
5-848 (a) Above-knee (supracondylar) amputation
5-848 (b) Patellar tendon weight bearing
OlVr
•
*■
X '
.^i
1 i-.
"
'■
7,': 7 ■ '•
1
5-849
Abdominopelvic amputation 7 disarticulation at hip___________
Hemicorporectomy ____________________________
Hemipelvectomy
Hindquarter amputation_______________
Hindquarter amputation of Hemipelvectomy 30.43.6 (pg, 40)
5-85
Other operations on musculoskeletal system______
5-850
Revision of amputation stump___________________________
5-850 (a) Secondary closure___________
5-850 (b) Trimming of stump___________
5-850 (‘) . Excludes : ^ rther amputation for current injury (5-840 to 5-849)
5-851
Reattachment of fingers & thumb________
5-852
Other reattachment of upper limb________
’
^853
Reattachment of toes & foot____________________
5-853 (*) Excludes : toe to thumb transfer (5-826) *
5-854
Other reattchment of lower limb__________________
5-855
Implantation of prosthetic limb appliance
~
5-855 (a) Bioelectric prothesis
5-855 (b) Cineplastic prosthesis______________________
5-855 (c) Replacement of prosthesis
5-859
Other operations on musculoskeletaT& multiple system
5-859 (a) Amputation, unqualified
5-859 (b) Separation of conjoined twins___________ ~~~
——_
5-859 (+) (Other available codes : injection 5-584 to 5-589)
5-859 (4-) (Other available codes : manipulation 8-210 to 8-219)
OPERATIONS ON THE BREAST_________ ~~
5-86
Excision of the breast
5-860
Local excision oflesion of breast
5-860
(a)
_________ Excision of lesion of duct
5-860 (b) Excisoin of mammary lesion
5-860 (c) Partial mastectomy
5-860 ff Excludes : excision of nipple (5-872) •
5-860 (d) Excision of lump 23 2 (pg 37)
5-860 (e) Segment results of breast 23.6 (pg, 37)
——
5-861
Complete mastectomy_________________
5-861 (a) Simple mastectomy
5-861 (b) Total excision, limited to breast
5-661 (c) Local mastectomy (simple) 23?3
—
~
5-862
Extended simple mastectomy
~
5-849 (a)
5-849 (b)
5-849 (c)
5-849 (d)
Page 35
!
i
■
• -w
!!_____4~V
(a}
- Modified radical mastectomy
5-862
5-862(b)
(b) With regional fymphadenectomy
I ...-____ Radiac,a| mastectomy
5-863
VVlIh excision of teyKXial luinph.rK?(Jes an^ pectoral muscles
f-
5-864
■---■■
-
• -
—
Extended radical mastectomy
jai Excision of breast and regional lumph nodes'and also : . ...................
_________ 1 j clavicular and supraclavicular lumph nodes________
•TF";?•'
•
2) intrathoracic lumph nodes
3) other extensions of growth beyond pectoral muscles
5.865____
Subcutaneous mastectomy with implantation of prosthesis
' 5-865 (a)
9!t:)feast tissue with preservation of nipple and skin
5-869 ’
Other excision of breast
___ x , Excision for gynecomastia
„ 61869 (bj Excision of supernumerary breast
5-869 (c)
_____ 5-_869 (d)
Mastectomy, unqualified
Subcutaneous mastectomy (without implant)
Other operations on breast
5^_L
__________Aspiration of breast_____________
5-870 (+) (Other available code : diagnostic aspiration 1 -859)
■
5-871 _________ Mastotomy___________________________
5-871 (a) Drainage________________________ '~~~~~'
5^871 (b) Exploration_________________________~
5-871 (c) Removal of foreign body__________________
---------
H5-872
_________ Breast nipple operation
5-872 (a) Excision of nipple_________________ ____________________
5-872 (b) Graft of plastic operation_____________ ZZZZZZZ2H22
5-872 (c) Transposition of nipple___________________________________
5-873
Augmentation mammoptasty
5-873 (a) Graft________________________________
5-873 (b) Implant: prosthesis, silicone___________
'
5-874
Reduction mammoplasty_________________________________
5-874 (■) Excludes mastectomy for gynecomastia (5-869)
5-875
Other repiar & plastic operation on breast
5-875 (a) Mastopexy_______
§r875(b) [Skin graft
" • •
4
5-875 (c) . §_91ure.__
’ 5-879
Other operations on breast____________________________ __
5-879 (a) Mamoplasty 28.22 (pg 47)
5-879 (b)' ________________
Pendulous Breast 28 23 (pg 47)
___________________
5-879 (c) lVI
Unerdeveloped
Breast 28.23.1I (pg. -*
47)
It.1 vu
mvao*
I )
e
——-
i<L :
'
.■
I
After ..........................
Mastectomy (Reconstruction 2843,1
(pg. 47)
OPERATIONS ON SKIN AND SUBCUTANEOUS TISSUE
Excludes : skin of anus (5-490 to 5-499)
Excludes : skin of breast (5-860 to 5-869)____
... Excl6des2_skinoLearJ5:180 to.5-18?)_____________
5-879 (d)
_ Excludes : skinofeyelid (5-090to5-099)
_________
Excludes : skin of female perineum (5-710 to 5-719)
Excludes . skin of nose (5-210 to 5-219)___________ 2ZZ
Excludes : skin of penis (5^40 to 5-649)
Excludes skin of scrotum (5-610 to 5-619)
Excludes skin of vulva (5-710 to 5-719)
5-88
___
Incision & excision of skin & subcutaneous tissue
15-880
Tattooing & excision of skin & subcutaneous tissue
5-880 (a) Injection of filling material____________
5-880 (b) Pigmentation of skin_______________
5-881
Incision of pilonidal sinus_____________~
5-881 (a) Drainage, sacrococcygeal sinus
5-881 (b) Exploration of sinus____________
Other incision of skin & subcutaneous tissue
.. .4______[5-882 (a) Drainage
5-8.82(b) Exploration
5-882 (c) Removal of foreign body
5-882 (d) Undercutting of hair follicle
Excludes drainage of face or floor of mouth (5-270) *
Surgical toiletof wound or infected tissue
5-8837a£ Removal of slough
5-88:
5
-883 C) Exc.udes site of open fracture (5-795) *
^5-884 _________ Local excision or destruction of skin & subetaneous tissue
5-884 (a) Excision of fistula_____________________ ___ _________
5-884 (b) Excision of lesion with Z-plasty_______
■________________
5-884 Q Excludes : adipectomy (5-901) *______
5-884 Q Excludes : cauterization (5-913) *
5-884 (•) Excludes : cryosurgery (5-949) ’
Exclud__________________________________
es ~ electrolysis (5-930 to 5-933) * ~
5-884 Q_______
5-884 (+) jOther available codes : dermabrasion 8-182)
5-884 (+) (Other
(~ '
...................................
available
codes ; laser beam - seem chapter 3)_______
15-885
Radical excision of skin lesion_____________________________
5-885 Q Excludes : excisoin of elephantiasis of scrotum (5-612) *
5-887
Exc'S'on ofpitonidalsinus 25 79 (pg 42)
5-887 (a) Exteriorization, marsupialization
i
t-.r
■ ■
•
'■
_
___ _
i___
_ J_ :
I5-888
Excision of skin for graft
Page 36
j
■■ -;r~Tr,'i.iT'jji$fe|x.- -...,
|-— 'T~'
gSSSSS10*^^^
5-890 (Q)
f7L?P_(.0)_ Secondai
- 5-890 (b)-|R^^
•n graft)
5-891 j
5^8927
sgjHeaESSsa®.partial thicknp^
__
5-893
5-894
'5-894 (a’
lEEEai
P^diciedflap
-----
|5-895(g~
.5-895 (•)
—
12231
I
i
d;
ee-a
;sue
Mh
---------LLl§YndactYly Repair 28.23
(| bone; iraft (5-775) •
. (pg 47)
sSEZll—
—feS
---- J___ jsTjoo
^subcutaneous^tissue
1------ ----------
—-— ia) Pace
[5-901
5-900 (c)
I
>e tissue of
—12Mdbominal waif
- 2) Arms *
~
_lllButtocks'
'<n Th^7------------ -.
k?02_n2Z2_'iu;I^
feHair transplant
I
*•■;— <7-'. .
___ __
's-ooaT-^--^-4
-lP£Tova| of superfici^^ri------————
—fellS.
^£93_H
__ _ 5-903 (+)
-fe^fefellod^~77f^r;
__Z|S^903~fa~wfe^^^^desTd^^a-
marks 8-184)
15-904
'5-908
15-909
----
.5-904 (b) fe^j^^ggLWthsuMcalrejjggT
5-908 (•]
5-908 (-+LkOther available cnr
5-909 (a) -2?SSratj^rz
_ Operation on calculi
Jgpg^af -f*£!sionofSebacepUS
5-909 (a)
-^isiSTsUB^r
[[ration 8-150;
!
^^^39^935)
---------—
Page 37
i
I
14
*4
r;.itaTTimTuAiitthiba >1
35)
Hdeiiinrilwmlb
43 (pj 36)
_____5-999 (a) iKekilds 21 44 (pj 35)
-------- 5:?0? (af superfoal Vans^ity.2T 45’jpg’35)
II
I Jaa
5-909 (b) Removal of foreign body, unqualified
5 t>0')(G) |Rrmovnlon ft Jijpifficl.-jl 21 21 (fXi IM)
--------- ^.®.lRe.n^alrtXB.O«p_2122JP8 34)
JDISRUPTOIN OF TISSUE
ill'j
6-91
Cautrization
(inn iual •diiian/dlion
5-911
Nasal cauterization
5-911 (*) Excltides lor epistaxis control (5-210)
jr> 917
I'efirio.il r.n<ilofi/niifH)
5 912 (a) I lartliolm*;. gland
5:912(b) Condyloma acuminata
5-912 (c) Pei
?rianal
5-912 (d) ’Vulva
.... 5:913_____
Sktri cauterization
- ---- -£79.1
_
|UMivu<imeiy
Elctrocautcry
'
5'92
...
Siurglcal diathermy
6 910
r
5-920-
5-921
5-922
5-929~
Excludes for eye conditions
Nasal electrocoagulation
5±20rL Excludes : for turbinectomy (5-915)_*
-------- pysloscogjc efctroco3gU|ai|on
~ ~
____ Elctrcougulation of skin
.............. ’'
5-922 (a) Warts
"
~
5i?22(br Nevi
'
' ---------------------------
' “ Other coagulation
5-I1ZZZZZZZ Other electrical destruction
- . I .
5-930 (+){hcludes
^_
. ____
: electrolysis
I- —
j?±30 (+)_
Includes_.k>ni2afipn_-‘7~”
I___ ^ludes
ionizatic
------- £lg30 (+)_ Includes : iontophoresis-.........
[5^930
’
15.930?
Elect rolysis^fe^iash-----------------'[5-931
__
Nasal
ionization
______ '
5-932.
_ Fulguration of lesion
"——
j..
..
------------------------Ionization or electrolysis, unqualified
5-94
Cryosurgery
5-949 ------_ Cryosurgery, not elsewhere classified
•—
5-949 Q _ Excludes : for eye conditions
"
5-95
Caustics & other chemicals
____ 15-950
_ Topical application of caustic
— ——
5-951
_ Endoscopic application of caustic _
~
15-952"
_ Injection of caustic into tissue
5-952 (-) _ Exg'ud65 ■' prostatic injection of causticJS-sai) *
J5-953'
15-953
- Endoscopic injection of caustic
— ————
|5-95T
5-95T~
Chemopeel
5-955 _
Bojhng watenniection
_
5-96
Cytotxic drug therapy
5-960
_ Subarachnoid jnjectiorwf_cytotoxic dru^
5-961-r
. A^enaljniection into head of cytotxic drug
_____ 5-962
_ Other arterial injection of cytotoix drug
5-963
. Pleural instillation of cytotoxic drug__
5-964
Peritoneal instillation of cytotoxic drug"
____ [5-965 ___
. Bladder instillationof cytotoxic drug
... 5-966 _
Suj^^ciaJapplica^io^u^cytotoix-d^
- “ 5-ji
—
1 5'9GS 5S§Fl
5-969 (b[
5-97________
' 5-970
5-971_________
”---------- 5-971_(al
____ 5-971 (b)
____ 5-97lJb)
" '
----------
therapy
By mouth
‘
Sclerosinginjection
Intravenous sclerosing injection
Sclerosis of veins of leg
- ------Pro^uctionoJ thrombosis
‘
Y?-r292?®.Xe,h_![’i®ct’on
Injection of Varicose Veins 232 11’fpg 51 j
Page 38
♦
Page 1 of 1
community health cell
From:
To:
Sent:
Attach:
Subject:
"Deva" <deva@devadasan.com>
"Abraham Joseph" <slrtckrg@md3.vsnl.net.in >; "Alka Narang" <alka.narang@undp.org>; "Anant
Bhan" <dranantbhan@yahoo.com>; "Arvind Kasturi" <arvindk@vsnl.com>; "Bart Criel"
<bcriel@itg.be>; "C Pandav" <cpandav@iqplusin.org>; "Centra for Population Dynamics"
<cfpd@vsnl.net>; "CHAD" <chad@cmcvellore.ac.in >; <commhealth@yahoogroups.com >;
"Community Health Cell" <chc@sochara.org >; "Deva" <deva@devadasan.com>; "Dr. D.
Varatharajan" <dvrajan@sctimst.ac.in >; "DR.RAKHAL" <subharakhal@cmcvellore.ac.in >;
"Marina" <marinarajan@eth.net>
Tuesday, December 07, 2004 10:03 PM
CHIN newsletter Dec 2004.doc
CHIN Newsletter 4
Dear Friends
The second issue of the Community health insurance newsletter. Looking forward to your feedback
Regards - Deva
Dr. N Devadasan MBBS, MPH
Doctoral Student
Dept of Public Health
Institute of Tropical Medicine
Antwerp, Belgium
AND
Achutha Menon Centre for Health Science Studies,
\V SCTIMST, Trivandrum, Kerala.
'Qy
4
12/8/2004
CHIN
Vol 1 Issue 2 Dec 2004
Dear Friends
First of all let me wish all of you a Merry
Christmas and a Meaningful 2005. Let us
continue to work towards reaching out to the
poor in our regions and make their life a
little easier than it was in 2004.
It has been more than three months since the
last newsletter and there have been some
who speculated whether CHIN was a sevenday wonder. Just to prove the sceptics wrong
and also to continue with the networking
here is the second issue of the newsletter.
First of all, an egroup has been formed to
share information, thoughts and opinions on
a daily basis. For those of you who have an
email id and are still not part of the egroup,
please click on
http :/Zhealth.groups.yahoo.com/group/IGHPM/
and then click on “Join This Group” button
on the top right comer of the webpage. For
those of you who do not have an email id, it
is time to enter the 21st century, or the world
may pass you by.
4
1
ARMS - New Delhi organised a “National
Conference on Health Insurance and
Financing” in October 2004. A brief report
of the conference is presented here (courtesy
an Ugandan colleague). Anybody else who
attended the conference please do feel free
to add more details. Deepti, this is a pointed
reminder.
The Community health insurance website is
up and for those of you who are interested,
please click on www.comhealthins.org This
is the work of Mr Manoharan of ACCORD.
I would like to take this opportunity to thank
him for all the effort he put in. It is still at an
elementary stage and hopefully I will have
more time now to develop it further. Would
really appreciate your feedback, suggestions
and comments to improve it. And if you or
your institution has any documents, this
could be an useful forum to share it with
everybody. Even annual reports that have
details of your health insurance would be
good enough.
And finally, apparently the IRDA (Insurance
Regulatory and Development Authority) has
recognised community health insurance as
an entity - it has developed a concept paper
on "microinsurance^ and hadThvited
comments from interested stakeholders. The
National Insurance Academy also conducted
a workshop on Microinsurance at Pune jn
November. Would appreciate a report by
anybody who had attended it.
I am also enclosing a write up about a
Community based health insurance from
Kerala - for your information. Hope that
you enjoy the details provided.
Looking forward to hearing from you. I
would appreciate if you could share more
information, doubts, ideas about health
insurance.
With regaids
Dr. N. Devadasan
Email = deva@devadasan.com
Report on the Conference on Health Insurance and Financing, New Delhi, 16=17 October
2004
1. Introduction
The conference on Health Insurance and Financing was organized by AIIMS. The conference was
held on 16 and 17 October 2004 at AIIMS. The conference was opened by the Union Minister of
Health and family Welfare Dr Anbumani Ramados and closed by the Director General of Health
Services, Dr S.P. Agarwal.
2. Objective of the conference
To create a linkage between various stakeholders in the health care industry and bring them together
all under one platform to jointly address the problems facing Indian people today and come out with
sustainable and variable remedies relevant for the Indian set up.
3. Program
The programme covered Health System Financing & Insurance, Health Insurance: Indian
experiences of health insurance, the international experiences of SHI and finally the regulatory
issues. A detailed programme is available for those who want it
4. Participants
The conference attracted 600 participants, who were both from local, international organizations
and foreign countries namely the World Bank National Office, The World Health Organization
Regional Office for South East Asia and Geneva. The International participants came from
Tanzania, Uganda, Iran and Nepal.
5. Key issues arising out of the conference
1. Social Health Insurance is not a panacea but is one of the ways of improving the health
system
2. It is very important to Lake the right steps initially and move slowly but in sure way in
development of SHI rather than falter.
3. Initial process of development of SHI has to be compulsory.
4. Initially, different schemes for example one for the formal sector and CHI have to be
encouraged.
5. Modalities for accreditation and regulation have to be worked out as one of the ways to
ensure proper provision of quality care.
6. The National Commission on Macroeconomics and Health of India is providing an enabling
framework for review of the current health service delivery and in particular financing of
health services. As such, this endeavor is a launching pad for discussions and design of
national ST IT scheme
Dr. Robert Basaza
Senior Health Planner, Ministry of Health,
Uganda.
Community Health Insurance Self Help Association for Development and
Empowerment (SHADE)
Dr. Marina Rajan MD
Dept, of Coxnxaunity Medicine,
MOSC Medical College,
Kolencherry, Kerala.
Tnarinarajam@eth.net
Introduction.
Five small self-help groups called Swasraya Credit Unions (SCUs) in Ernakulam district of
Kerala have been implementing a community health insurance programme since December
1993. Their programme has recently (January 2004) been coordinated by SHADE (Self ne p
association for development and empowerment). SHADE is a registered society under the
guardianship of the Community Medicine Department of the Malankara Orthodox Synan Church
(M.O.S.C.) Medical College Kolenchery.
Location
State - Kerala
District - Ernakulam
Blocks - Vadavucode, Muvattupuzha, Mulamthuruthy, and Piravom
Villages - Kunnackal, Kunnakurudy, Kandanad, Vettickal, Nechoor
The Community
The total population in the 4 blocks is about 5 lakhs. The community health project of the
Medical College covers only selected areas around their health centers with about 100, 000
population. 30-40% of the community are middle class, 30% labour class, 30% poor, 2-5% very
poor and 2-5% rich people. The average family size is four. The community health insurance
programme operates only in this project area. There are currently over 9000 members in the five
SCUs. Anybody willing to pay Rs 10 as registration and contribute any multiple of Rs 5 as a
weekly contribution to the group is eligible to join a SCU.
The Community health insurance programme
Only members of the SCUs and their families are eligible to join the health insurance
programme.
There are basically two parallel schemes.
□ The oldest scheme (started in 1993) was organized by the women themselves. They collected
an annual premium of Rs 33 per person per year and purchased a Mediclaim policy from the
National Insurance company (NIC). This was tailor made to suit the local women and
covered hospitalisation for a maximum of Rs 5000 per year. However, over the years, the
premium started increasing because of high claims ratio. In 1998, the SCUs switched over to
the Jan Arogya Policy, which was popular. Then in 2003, they switched over to the
Viswaragya policy. Now the premium is Rs 356 for an individual per year, Rs 530 for a
family of 5 and Rs 720 for a family of 7. For BPL families there is a subsidy of Rs 100 on the
premium. The BPL are identified by the ration card.
This premium is collected by the SCU representatives annually over a two month period and
handed over to the NIC. The benefit package covers hospitahsation in any hospital for an
annual limit of Rs 15000 per individual or Rs 30,000 per family. There is a waiting period of
one month for new members. At the time of hospitalisation, the patient has to pay the
hospital bills. S/he then submits the necessary documents to the local SCU who scrutinizes it
to ensure completeness. If the claim is complete, it is handed over to the NIC. They
reimburse the patient through the SCU. The SCU collects a 15% administrative charge on the
reimbursement, which is used to meet the administrative costs of the insurance scheme as
well as to subsidize the premi urns of the poorest.
There are about 200 people who are still enrolled in the original scheme because the upper
limits are higher.
□ The second scheme was started in 2003 for the people around the Medical College hospital.
Most of the members in this scheme are members of the SCUs living within a 10 km radius
of the hospital. This is also a Viswarogya policy, but here the MOSC Medical College further
subsidizes the premiums for the BPL families. They pay a token of Rs 10 per family and the
rest is paid by the hospital on their behalf. APL families arc requested to pay as much as
possible - this usually ranges from 25 100% of tire actual premium. The insured family
gets an insurance card, which they need to present at the Hospital for receiving benefits.
There is a special desk at the hospital for the insured patients.
The benefit package is the same as in the first scheme. Difference is that here there is only a
single provider - the MOSC Medical College. Patients get admitted at the hospital and do not
have to pay any money at the time of discharge (unless their bills exceed the upper limits).
Their claims arc processed by the hospital and sent to UIIC who in turn reimburses the
hospital directly.
Other than this, all the insured members have access to the free OPDs conducted in their
villages by the community medicine dept on a weekly / fortnightly basis.
1
9
SHADE helps now with the negotiation of the scheme with the insurance companies. Its workers
also help out in the collection of the premium, especially in the second scheme. It also helps in
the management and administration of the scheme. All accounts are audited annually.
Other than this, SHADE also provides a personal accident policy for which about 7000 members
have joined.
Performance of the Community health insurance programme
□ Scheme 1 - 850 families out of a potential of 2000 have joined the scheme in 2003 - 2004.
There were about 100 claims amounting to about Rs 250,000. The claims rate — 30 /1000
insured and the claims ratio is 55%.
□ Scheme 2 - 1226 BPL families and 257 APL families out of a potential of 7000 have jomed
the scheme in 2003 - 04. There were 261 claims m the same year amounting to about Rs
550,000. The claims rate = 66 / 1000 insured and the claims ratio is 65%.
Announcements
A new and subsidized life insurance policy has been developed for “Primitive Tribal groups" - a
special sub unit of tribals. So those of you who are working with PTGs, please check with your
local insurance company to find out more details.
The October 2004 issue of the IRDA journal is on health insurance. This document is available
both at www.coinhealthins.org and www.niicroiiisurance-india.org
For those of you who find it difficult to download documents on the net, or do not have access to
internet, please do write to me with your address and 1 shall send you the documents by post.
Editor - Dr. N Devcidasan,
C/o The Valley School,
Thatguni Post, Kanakapura Road
Bangalore 560062.
deva(u)devadasan. com
Pnor 4 afl
Community Health Cell
From:
To:
Sent:
Subject:
"Deva" <deva@devadasan.com>
<!GHPM@yahoogroups.com>
Monday, August 22, 2005 4:44 PM
[IGHPM] Gujarat going the Yeshasvini way?
Gujarat govt nod for farmers' health insurance programme
Our Regional Bureau / Ahmedabad / Business Standard / April 08, 2005
The largest private hospital group in Asia, Apollo Hospitals will start a health insurance programmes for
state farmers’ with the support of the state government.
The scheme is likely to go on steam in May, said Dr Alexander Kuruvilla, chief executive officer,
Apollo Hospitals.
Under the scheme all surgical procedure would be free for farmers.
Kuruvilla said that state government have already given the nod for the project.
“In fact, 1K Jadeja, minister for health and family welfare, has supported this unique project and assured
help and support from the heath ministry.”
“The uniqueness of the project is that a farmer will not have to come all the way to Ahmedabad to take
the treatment or surgery.
We are tying up with local hospitals in every district so that local farmers get treated in their place itself.
Talks are on with government for hinds and necessary help, he added.
Kuruvilla said that the first phase of the project is almost complete and the officials are now finalising
the rules and designing of the project.
Dr. N Devadasan MBBS, MPH
cP’
Research Fellow
Dept of Public Health
Institute of Tropical Medicine
Antwerp, Belgium
AND
Achutha Menon Centre for Health Science Studies,
SCTIMST, Trivandrum, Kerala.
SPONSORED LINKS
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Community Health Cell
From:
To:
Sent:
Subject:
’’Deva" <deva@devadasan com>
<IGHPM@yahoogroups.com>
Monday, August 22, 2005 1:56 PM
[IGHPM] Fraud on the people of ASSAM
Some information about the ASSAM health insurance. Sunil Kaul is an eminent health activist from Assam.
An obvious fraud on the people, as they are unlikely to suffer from cancer or alzheimers. They need cover for
malaria and ARI and dia£hX. Ona mora inatanoo of publto mwwy being oiphenerf eff te the private oeeter.
Would be interesting to see what the claims ratio is at the end of the scheme.
Regards - Deva
Date: Sun, 21 Aug 2005 00:06:05 +0530
From: "THE ANT" <scowl@satyam.nct.in>
Subject: Assam Insurance
Although r have asked everyone possible in the government departments in my
district and not found anyone with any official information about the
scheme - it is applicable from today, i beleive - i have just managed to get
some official details from the TCIC1 Lombard. I think they have made a
killing in the deal. Government - state and central - and those earning more
than 2 lakhs are excluded.
To be administered by the Revenue Circle Officer (the chap incharge of the
mondals or the patwaris), it has 2 parts. One is the Janta personal
accident. It covers anv death or permanent disability arising from an injury
in an accident incl rail/road, animalbite, drowning in water, natural
calamity, fire, lightening, falling from height, building collapse etc.
Obviously, intentional injuries are excluded and so are those where law is
breached with or without criminal intent (excludes militant injury probably)
My comments: People are paying for rail and road accidents in their tickets
anyway! Although floods are common, less than 10 people in a year die o
drowning as almost everyone knows how to swim - there is a rare chance of
people drowning in swift currents or if a boat capsizes in the Brahmaputra^
and this woudl save some money for the State government for what it used to
announce ex-gratia.There are hardly any hills in Assam to fall from and less
than 5% of all houses in rural Assam (90?4 people stay there) would have
bricks or concrete, so the chances of building collapse etc are also very
small for the rural areas.
The other part is for Critical Illness. This covers medical expenses
incurred in open heart surgery, Alzheimers, cancer, heart attack, end stage
renal failure, stroke, paralysis, heart valve replacement surgery, major
bums, coma - caused by an accident, Parkinson’s disease multiple sclerosis,
deafness caused by accident, loss of limbs - caused due to an illness and
major organ transplants.
P5
&
..
8/25/2005
rags X Ul z
<
My comments: With such a low-monetised economy here, the chances of people
managing to collect money enough to spend on such illnesses as are listed
here to claim reimbursement woudl be very low. It may help about 5-10% of
richer class rural patients who now go to Guwahali or to Bhellore , to
recover their money. For most others in whose name and numbers the premium
ic being paid, it would not make any diference. Last month, i wac cittmg
with a friend doctor in the PHC and he told me that teh CM has allowed
reimbursement for one month for all prescriptions upto Rs 75.00. Now he had
a huge queue of city people (admittedly some of these were also poor) who
had bills of exactly Rs 75.00 from a pharmacist for his countersignatures so
that they could claim the money from teh DC’s office. With such a
reimbursement procedure, I think a lot of the nursing homes also would
survive better with such a scheme coming in. T can also visualise teh Circle
Officer and the mondals upgrading their cars and motorcycles respectively.
SORRY for the cynicism!!
Dr. N Devadasan MBBS, MPH
Research Fellow
Dept of Public Health
Institute of Tropical Medicine
Antwerp, Belgium
AND
Achutha Menon Centre for Health Science Studies,
SCTIMST, Trivandrum, Kerala.
YAHOO! CROUPS LINKS
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8/25/2005
Page 1 of 1
Community Health Cell
From:
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"Community Health Cell" <chc@sochara.org>
<deva>; <neeta Rao>; <veloshnee@ccdcindia.org >
Tuesday, March 22, 2005 3:21 PM
Meeting on 28th March 2005 at CHC!
Dear Deva, Veloshnee and Neeta,
Greetings!
This is just a reminder about theHnformal meeting that we had planned on Monday, 28th March 2005 at
10 am at CHC. The meeting will be discussing health insurance. Neeta will share preliminary findings
from studies undertaken by her during the community health fellowship scheme. We would also like to
have an update from Deva about community health insurance in India. We hope Dr. C.M.Francis will
also join the discussion. Looking forward to seeing you.
With best wishes.
Yours sincerely.
Thehna Narayan
3/22/2005
y- v
Page 1 ofl
ComriWnity nvaiih Ceii
rrom:
To:
Cc:
Sent:
Attach:
Subject:
CHIN <cnetna@icenet.net>
<shrc@hathwav.com>: <skcv@skcv.com>; <sochara@b!r.vsnl.net.in>:
<sonaizaverh@vsnl.com>; <source@ich.ucl.ac.uk>: <ssrawat@vsnl.com>;
<sujata55@hotmaii.com>; <ta!c@ta!cuk.org>; <terinakeene@yahoo.com >;
<Timgrandage@vsnl.net>; <t-rriartjneau@dfid.gov.uk>
-ii air hr ig@iui aising-india.or g<. <t_staur i@unicef.org>; <ujumaniad1 ©sancnar net. in>.
<unaids@unaids.org >; <upadhyam@wno.org>; <vinayakan@pciindia.org>,
<webi nfo@rockfound. orq>
Saturday, July 03, 2004
CHIN NEWS Issue - 7.pdf
CHiN News
Sub: CIIIN News on the Rights of a Girl Child
Deal Ineiids,
Greetings from the Communication for Health India Network (CHIN) Secretariat, CHETNA!
We are pleased to share wth you the sevoth issue of CIHN News (e-newsletter) focusing on the “Rights ofa Girl
Child". CHIN News is developed twice a year on different health and development issues. The newsletter enjoys a
readership of more than 150 like-minded organizations and individuals across India and abroad who are concerned tor
the rights of the vulnerable groups.
Your valuable suggestion on this issue of newsletter would definitely help, us to enrich the newsletter. We would also
request you to send ariicies/information about any programmes/events, which you wouiu like to share tniougn cmiN
News.
f
Happy reading
With warm personal regards,
Chitra Iyer
CHIN Coordinator
ror Ciiiis Secretarial,
7/5/04
Sent: i
Subject:
Thursday. December 02, 2004 2:35 PM
Re: [IGHPM] Health Insurance
Dear Deepti and other friends
HI by itself can not improve matters, na dhalf steps can lead us into the US
type health care trap where everyone is shooping for or selling health care
and avoiding litigations.
The alternative vision is for Universal Health Insurance (UHI). However
things happen in small steps in a democracy. We have to keep vigil.
2-k-
Page 1 of 1
Community Health Cell
From:
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Sent:
"Community Health Cell" <chc@sochara.org>
<veloshnee@yahoo.com >
Wednesday, March 02, 2005 3:30 PM
Dear Velashnee,
Thanks for the background paper.
mZZtfnnnnh10 Ban9alore to study the Yeshaswini Scheme was delayed and hence we will have to push the
wZ wni9rArta nf h 'nSfhraKCeLby ab^Ut 2-3 Weeks My aPolog'ses, I should have informed you about this earlier
We will certainly use the background paper for the meeting.
Best regards,
Thelma
3/2/2005
Page 1 of 1
Community Health Cell
From:
To:
Sent:
"Community Health Cell" <chc@sochara.org>
<deva@devadasan.com>
Wednesday, March 02, 2005 3:30 PM
Dear Deva,
Greetings from Community Health Cell.
Trust this finds you and the family well.
ourcommunity heaJh fellows Dr. Neeta Rao, whom you may remember is studying health insurance
convenlenUime'5 PreSen y collectln9 data ln the field. I would be very gratefull if you could meet her at a mutually
a
|
°ovenderha hAalth eponomist known to us is also interested in this area. We were planning
a small mforma meeting in about 2 weeks and would be happy if you could join and share your expertise and 9
experience. Will work out details of date, theme and programme shortly in consolation with you.
Do let us know about your availability in Bangalore in the third/ fourth week of March 05.
3 SOCHARA/CHC is als organising a planning workshop on 26th, 27th and 28th April 2005 to discuss the
future development of CHC into an institute for Community Health, Public Health andHealth Policy We had
and wTarPW^iyofUaVery
V! ideas, about this P°ssibilitV about a year ago. Things seem to be shaping up
and we are still at a very initial phase. It would be wonderful if you could join the brainstorming.
Warm wishes to Roopa and children.
Thelma.
3/2/2005
Page 1 of 1
Main Identity
From:
To:
Sent:
Attach:
Subject:
"Veloshnee Govender" <veloshnee@yahoo.com:
<chc@sochara.org>
Monday, February 28, 2005 10:44 AM
Devadasan_lnsurance.pdf
Mail for Dr Thelma
Dear Thelma,
Just to follow up on whether our meeting on Insurance is still on for this Thursday at 10am.
If it is, I have attached a short background paper which can be reviewed in preparation for the meeting, it was prepared
by Dr Devadasan on community health insurance and is of course very relevant to the issue. It is also short and very
readable as an introductory/background paper.
if the meeting is still on, please let me know either by email (to this address) or by phone at my home (5131 3440).
best regards
Veloshnee
Do you Yahoo!?
Yahoo! Mail - Helps protect you from nasty viruses.
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Community Health Cell
From:
To:
Sent:
’’Community Health Cell” <chc@8ochara.org>
<deva@devadasan. com >
Wednesday, March 02, 2005 3:20 PM
Dear Deva,
Greetings from Community Health Cell.
Trust this finds you and the family well.
1. One of our community health fellows Dr, Neeta Rao, whom you may remember Ipfstudylnfl health Insurance
schemes. She is presently collecting data in the field. I would be very gratefull if youcould meet her at a mutually
convenient time.
2. Ms. Veloshnee Govender a health economist known to us is also interested in this area. We were planning
a small informal meeting in about 2 weeks and Could be happy if you could join ariyshare your expertise and
experience. Will work out details of date, themSand programme na*Pweek shortl^-—.
Do let us know aboutjkvailability in Bangalore in the third/ fourth week of March 05.
3. SOCHARA/CHC is els organising a planning workshop on 26th, 27th and 28th April)to discuss the future
institute for Community Health, Public Health and Health Poiidy. We had discussed
development of CHC into
with you very tentative ideas about this possibility about a year ago. Things seem to be sleeping and we are
still at a very initial phase. It would be wonderful if you could join the brainstorming.
Warm wishes to Roopa and children.
Thelma.
'SSppx 'Sv'$0{
k)
Page 1 of 1
Community Health Cell
From:
To:
Sent:
"Community Health Cell" <chc@sochara.org>
<veloshnee@yahoo.com >
Wednesday, March 02, 2005 3:04 PM
Dear Velashnee,
Thanks for the background paper.
Neeta’s visit to Bangalore to study the Yeshaswlnl Scheme was delayed and hence we will have to push the
meeting on health insurance by about 2-3 weeks. My apologises, I should have informed you about the earlier.
We will certainly use the background paper for the meeting.
.
Best regards,
Thelma
3/2/2005
xCip?' 'px
$0! (
Page 1 of 3
Coh vi - X A
chc@sochara.org ( New)
From:
To:
Sent:
Subject:
"Devadasan" <deva@devadasan.com>
<HINJ@yahoogroups.com>
Monday, August 07, 2006 3:36 PM
[HIN_I] Health insurance
Below is an article that explodes the myth of “Mediclaim” being a loss making portfolio. Obviously it is because the
industry is subsidizing the rich corporate sector. And the rest of us have to pay stiff premiums because of this
subsidy. What a shame.
The author also puts his finger on the main point ie in health insurance, we need to negotiate with the providers and put in checks and balances. Else they are going to exploit the situation. It is sad, that the hospitals and
doctors are more crooked than the average scamster.
Happy reading
Deva
Sunil Jain: Getting health premiums to fall
RATIONAL EXPECTATIONS
Sunil Jain / New Delhi August 07, 2006
While most have interpreted the Insurance Regulatory Development Authority’s (IRDA’s) proposal to
allow the free pricing of non-life insurance premiums from January 1 next year as a sign that health
insurance rates will rise, if the IRDA does its job right, it is likely health insurance premiums may
actually fall, at least for the individual segment. The reason for this lies in the complex web of cross
subsidies that are currently prevalent in the sector; so once policies are freed, they will be priced on the
basis of actual costs and risks.
What happens to all premiums after January 1 wilLhinge critically on fire insurance, which, today,
contributes 50-60 per cent of the profit of non-life insurance companies—right now this rate is
regulated/fixed at a level that is much higher than warranted by the risks of fire. Since insurance firms
today make a killing on fire insurance, the practice so far has been to supply group medical insurance to
companies at rates that are too low to make economic sense—if insurance firms refuse to give corporate
clients some sort of sops like this, they threaten to take their lucrative fire business elsewhere. On group
mediclaim policies, however, insurance firms typically end up paying claims of anywhere between 140
and j 80 per cent of the premiums collected. On individual policies, by contrast, payouts are typically
between 90 and 100 per cent of the premiums. So when the insurance companies put out numbers saying
their medical insurance payout is around 120 per cent of the annual premiums, this is largely on account
of subsidised group medical insurance.
Logically then, once insurance rates are freed, fire insurance premiums will be the first to fall to realistic
levels. Once this happens, insurance firms will no longer be under any obligation to sell below-cost
group medical insurance policies, and so there is no reason why rates for individual medical insurance
8/8/2006
2.
STAFF
1.
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Dr. Ravi Narayan_________________________
Dr. Thelma Narayan_______________________
Dr. V.Benjamin___________________________
Mr.C.James
Mr .H.R.Mahadeva Swamy__________________
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Dr. Rajan Patil_________ V_________________
Mr. S.D.Rajendran________________________
Mr.A.Prahlada
Mr. S.J.Chander______________
Mr, Anil Kumar S.B.__________
Ms. Noreen Hoskins________
Dr. C.M.Francis
Mrs. Kamalamma
Appointments orders of CHC________________
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Applications for the post of Research Associates /
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38. Annual /Six Months Report File_______________
39. Mrs. Maria Dorothy Stella____________________
40. Mr. Mathew Alex
\\Admin\users (d)\maria\File List.doc
2.1
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. should be used to cross-subsidise group policies. Indeed, once the practice of subsidising group medical
insurance goes, it should even be possible that specialised medical insurance firms will come up.
1 his, however, is just one part of the story. After all, if insurance firms end up paying out claims of
anywhere between 90 and 100 per cent of the premiums paid on even individual medical policies, it
doesn't automatically mean premiums will fall in the future. This is where the government/IRDA has to
take steps that have been pending for several decades.
Obviously, the only way medical insurance premiums can fall, apart from trying to get in younger
clients, who need less medical attention in the first 15-20 years of their lives, is to ensure that hospitals
charge lower rates for those covered by medical insurance. After all, this is an industry that shells out
around Rs 3,000 crore each year to hospitals, and yet it doesn’t have enough clout to get preferred rates
for its clients—in the US, by contrast, top hospitals offer huge discounts to top insurance firms to be
able to get their clients. Indeed, a study in Mumbai by a Third Party Administrator (TPAs are the people
who run medical insurance policies for insurance firms, examining hospital bills and making the
payouts) found that hospitals were actually marking up their bills by around 40 per cent for patients
covered by medical insurance! Indeed, when TPAs ask for discounts or suggest hospitals reduce the
number of tests (this is the way the marking up of bills takes place), hospitals typically threaten to
blacklist them. And when word gets around that a particular TPA is not able to provide cashless service
with top hospitals, its future gets a bit bleak.
One way to increase the bargaining power of TPAs or specialised health insurance firms is to establish
codes/protocols for various kinds of treatment—a patient for a by-pass has to come in two days before
the surgery and leave a week after; while the first MRI can be prescribed without a problem, the second
can be done only after a minimum number of days and after certain other tests are carried out; and so on.
This can be done only by a medical council, and until this is done, the hospitals will always have the
upper hand as there will be no benchmark to assess them against.
The other area that needs tackling is that of accreditation of hospitals, in exactly the same manner that
hojels^reaccredited-fwo^star, three-start-anH so onTThis is done by examining their success rates,
infection rates, and so on. Automatically, this will bring in some discipline on rates for various
procedures/rooms across the country. It is only after 14-15 years of discussions that the Quality Council
of India has now been appointed to develop such accreditation standards.
Co-payments of bills, reportedly on the anvil from next year, are another way to check hospital bills—if
patients have to pay a certain share of the hospital bill, they too will try to ensure they’re not being
prescribed irrelevant tests, and not opt for deluxe rooms, as is the practice today—after all, if I’m having
a gall bladder removed and am fully covered by medical insurance, chances are I’ll opt for the superdeluxe hotel (oops, hospital!) room even though I don’t really need it. All of this is going to be a long
haul, but ultimately it is the only way healthcare can grow while still being affordable.
suniljain@business-standard.com
Dr. N. Devadasan
Institute of Public Health
Bangalore - 560078
Tel: 080 2659 6446
8/8/2006
1.
SOCIETY -SOCHARA
1. Memorandum of Association / Rules & Regulations
2. Plan of Action___________________________
3. Annual Reports_______________
4. Annual Six Months Report File
5. General Body___________________________
6. Executive Committee_______________________
7. EC Minutes draft
8. Society Members
9. Inventory_____________________________
10 Govt. Rules and Regulations_____________
11. CHC 20th Year Review
12. Internal Review
13. Review Meeting (April 26, 27 & 28th)
12. CHC Annual Plan Matrix_________
13. Financial Policy / Management________________
14. CHC Publications
tty
\\Admin\users (d)\maria\File List.doc
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chc@sochara.org ( New)
From:
To:
Sent:
Subject:
"Devadasan" <deva@devadasan.com>
<HIN_l@yahoogroups.com>
Friday, August 11, 2006 12:52 PM
[HINJ]
Hello folks,
There has been considerable silence on this egroup after I changed the name. I hope that all of you are getting
these postings. Please do confirm.
One more article showing how the industry subsidises the corporate sector at the cost of others.
Deva
Posted on the Business Standard 11/08/06
Insurers pin rider to group health cover
Falaknaaz Syed / Mumbai August 11, 2006
General insurers are saying no to group health insurance covers to employees of companies, which do
not avail of property insurance from the same company.
Premium rates at which group health covers are provided take into account receipt of other profitable
business, so that risks underwritten are profitable on a client basis.
“If health insurance is taken from one company and fire and engineering cover from another, then
standalone health cover becomes unviable at discounted rates,” a public sector general insurance
company official said.
Several insurers have stopped selling standalone group health insurance policies to companies owing to
a high overall claims ratio of 180 per cent.
Kolkata-based National Insurance Company had a claims ratio of 136 per cent in 2004-05 in its
combined health insurance portfolio. It reduced the claims ratio to 128 per cent in 2005-06 by refusing
standalone group mediclaim.
Corporates pay Rs 800-Rs l;200 premium per employee in group covers against Rs 1,800-Rs 2,200 in
the case of individual health covers sold by insurers.
Group covers provide the insured maternity benefits, cover for the new-born from day one, cover for all
pre-existing illnesses and similar benefits to 4-5 dependent family members. But individual covers
provide limited insurance with at least 12 diseases excluded in the first year.
A senior official of National Insurance said, “We stopped accepting standalone mediclaim from
corporates. Software companies particularly would buy fire cover from a private insurance company and
health insurance from us. This led to severe losses in the health insurance portfolio. Now we give health
8/14/2006
Page 2 of 2
insurance to corporates which also give us other business.”
Deepak Mendiratta, managing director of Health and Insurance Integrated, said “Insurers are waking up.
Once detariffing happens, fire rates will fall. Then insurers will not be in a position to offer discounts on
group health insurance. Thus, group mediclaim rates will rise.”
Corporates which buy group cover are unwilling to pay premium arrived at by insurance companies
after taking into account the risks involved.
Of the total health insurance business in the industry, retail health insurance constitutes 60 per cent,
while group health insurance is 40 per cent.
Sandeep Dadia, director at Enam Insurance Consultants, said, “These are positive signs. The solution is
to make each portfolio profitable. The industry should move towards managed healthcare. Preferred
provider organisations should emerge where the insurer ties up with a chain of hospitals and gives
volume of business to them and in return they offer better rates.”
The total health insurance premium collected was Rs 1,354 crore in 2003-04 to Rs 1,732 crore in 200405 and estimated at over Rs 2,100 crore in 2005-06.Public sector insurance companies account for 82
per cent of the total health insurance market in the country.
Enam’s Dadia said, “Group health insurance is under-priced. Medical inflation (cost of healthcare) in
metros is 10-15 per cent per annum but the premium for group mediclaim has barely been revised in the
last many years.”
Dr. N. Devadasan
Institute of Public Health
Bangalore - 560078
Tel: 080 2659 6446
8/14/2006
Page 1 of 1
chc@sochara.org ( New)
From:
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Subject:
"Deepti Chirmulay" <dchirmulay@yahoo.co.in >
<HINJ@yahoogroups.com>
Saturday, August 12, 2006 11:43 PM
RE: [HINJ]
isn't one of the reasons why health insurance has adverse claim ratio - that those with existing health
problems (and who know how to fleece the companies) take the policy and then submit hefty claims?
somilnagpal <mail@somilnagpal.com> wrote:
Dear Deva ji,
Thanks for the posting. This cross-subsidizing of health products
using surpluses from fire insurance portfolios has been happening
for long. And this makes the reported claim ratios of health
insurance in general, and group health insurance in particular,
appear to be extremely high and unviable, but actually this is a
result of a deliberate and calculated hit taken on the health
portfolio, because this leads to extra profits coming in somewhere
else. Thus, group health insurance premium and claim statistics have
always been telling only half of the story.
Thankfully, its just a few months before the cushions in fire
insurance portfolio disappear, and we should see realistic pricing,
and the real claim ratios, emerge in health insurance. But then,
another concern is, will corporate sector be equally willing to pay
full group health insurance premia for their employees as an HR
measure, vis-a-vis the current scenario where they get this as a
subsidized sop, obtained after bargaining with their fire insurer...
they have to pay the fire premium anyway, so why not bargain and get
a freebie which is good for their employees... will this benevolence
continue when corporates have to pay the full cost of health
insurance? We would probably know by the time the next renewals of
group medical insurance policies fall due....
Thanks and regards,
Somil Nagpal
8/14/2006
Page 1 of 3
chc@sochara.org ( New)
From:
To:
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Subject:
C o>m
"Devadasan" <deva@devadasan.com>
<HIN_l@yahoogroups.com>
Tuesday, September 12, 2006 1:42 PM
[HIN_l] IRDA on health insurance
Dear Friends
Here is some news about IRDA's response to the working committee on Health insurance. Again the emphasis is
on profits. As a group that has been working with the poorest sections of society, I think that we should put a
counter point on behalf of the poor. A memorandum from us to the IRDA saying that health insurance should not
be seen as a business opportunity but as a mechanism for protecting the poor and the rich from medical
expenditure. Would like your thoughts on this.With kind regards
Deva
Home > Business > Economy
IRDA examining panel's suggestions on health insurance
I
Kolkata, Sept 10: Insurance Development and
I
Regulatory Authority (IRDA) recently examined the
Ju recommendations of a working group on health
MMiw insurance to bring the various stakeholders together to
discuss the challenges and opportunities for the
development of private health insurance in India.
Insurance Ombudsman (Maharashtra and Goa) B D Banerjee said
that the panel had noted that the present state of health insurance
in the country was not running on viable terms, adding that this
would have to change.
He said that there was a need to expand the market and the private
players would have to be fully involved in the strategy of
propagation and expansion.
Banerjee said that the working group which was constituted by the
IRDA, had also pointed out that there was a need for the
government to increase health expenditure as well as to include
the weaker sections in some form of a pool or funded scheme.
IRDA was also toying with the idea of introducing health
insurance where the emphasis would be on preventive care, he
said.
Banerjee said that focus on health insurance in India till date had
been on curative means.
He said that developed countries had been moving towards
9/13/2006
Page 2 of 3
managed healthcare where the emphasis was on preventive care.
Areas of concern in the health insurance sector were clarification
the legislation and regulation of health insurance, standardisation
of data and to create a positive business environment for health
insurance products and health insurance companies.
The limiting factors which were hindering the growth of health
insurance in India were paltry government funding for healthcare
plans, rising medical costs and the absence of a rationalised cost
structure.
Banerjee said that the experience of the patients with third party
administrators (TPA) had been not too good.
According to him, these shortcomings should be looked into by
the health insurance companies.
Bureau Report
Dr. N. Devadasan
Institute of Public Health
Bangalore - 560078
Tel: 080 2659 6446
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9/13/2006
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H - 2-^T-
chc@sochara.org ( New)
From:
To:
Sent:
Subject:
"Devadasan" <deva@devadasan.com>
<HIN_l@yahoogroups.com>
Tuesday, September 12, 2006 1:49 PM
[HIN_l] Some details about Max's OP plans
Heal thy neighbour
Nanditta Chibber / New Delhi September 12, 2006
HEALTHCARE: With family plans and neighbourhood plans, hospital chains are offering
special deals
I am not proud to say it, but I fall ill frequently - flu, viral infections and tummy upsets have
been my health woes for the past three years. And each time, I find myself running to a
different physician in a different locality. Friends suggest buying medical insurance, but my
immediate need is of day-to-day healthcare facilities.
And if I go by the outpatient plan that Max Healthcare is offering in Delhi and NCR, it does
suggest that minor illness could cost me a little less money - for some assured quality of care.
According to the Max Happy Family outpatient plan, for Rs 3,000 annually for a family of two,
one gets unlimited free consultations with a family physician at any Max facility and 10 free
consultations with non-Max family physicians in one's neighbourhood with whom Max has a
tie-up.
Plus two free consultations with Max specialists, free diagnostic tests worth Rs 500, one free
health check and a 5-per cent discount on medicines at Max pharmacies.
"The value of the services offered by family happy plans is far greater than just the Rs 3,000
for a family of two if one considers just physician visits costing Rs 150-500 per visit otherwise,"
argues Sanjay Rai, director, sales and marketing, Max Healthcare. The outpatient plans can
also be clubbed with various health insurance plans.
Though Max claims that its day-to-day outpatient health plan is among the first in India, most
other hospital chains offer various preventive health or neighbourhood packages for families
and corporates.
Indraprastha Apollo Hospitals, for example, offers neighbourhood health plans at an annual
subscription of Rs 500 for a family of four, which entitles one to 10-15 per cent discounts on
preventive health checks, investigations and diagnostic tests, bed charges and physiotherapy.
Fortis has tie-ups with housing societies for neighbourhood specific health plans that offer
discounted Fortis facilities, according to Jasbir Grewal, regional director, Fortis.
Preventive health check packages are being promoted all the more aggressively. This is
because people tend to neglect checkups, and signing them on is a good way to bind them
into a system that makes for early detection of problems. Most of these packages are in the
range of Rs 1,000-5,000.
’J-'
tik-
9/13/2006
Page 1 of 1
Lib
Co
H - 2_-A.
chc@sochara.org ( New)
From:
To:
Sent:
Subject:
"Dr. D. Varatharajan" <dvrajan2001 ©yahoo.com>
<HINJ@yahoogroups.com>
Wednesday, September 13, 2006 8:46 AM
Re: AW: [HINJ] IRDA on health insurance
Dear Friends^,
Provision of health insurance to the
poor/disadvantaged and regulation of private health
insurance to make insurance an viable option for those
who are willing and able to pay premium should be seen
as complements, not substitutes.
Streamlining the private health insurance and making
their size optimal would reduce the financial burden
of premium besides enlarging the size and scope of the
benefits. This will greatly enhance the chance for
many people who are willing to buy but are not able to
buy insurance.
Yet, the private health insurance should be seen just
as an option pot the sum total of health insurance.
Regarding the poor, the insurance should be
not-for-proftit and a major part of it should be
financed by the government, philanthropic resoruces
and/or donor funds.
No single form of financing or insurance would suit
India, which has a range of financing problems. Hence,
the entire debate should be all-inclusive, not
one-sided.
Regards,
Varatharajan
Tn)
9/13/2006
Com H - 2-/).
Community Health Cell
From:
Sent:
To:
Subject:
Dr. Somil Nagpal [mail@somilnagpal.com]
Monday, October 16, 2006 5:07 PM
HIN_l@yahoogroups.com
[HINJ] Re: Digest Number 153
Dear Deva ji,
Indeed, the group health insurance policies have been the real reason for the overall
claims ratio in the health insurance sector looking all that adverse.
The group health insurance policies have, in fact, been used as a freebie, packaged along
with fire policies as a negotiation tool, because tariff in fire policies could not have
been discounted so far.
As regulation changes next year, these insurers will be able to compete on their fire
insurance premium itself, and would have no need to link up any other insurance (which Is
freely priced even today, like health) to sell their fire policies. As that happens, the
premiums for group health covers sold to corporates at steeply discounted prices would
simultaneously rise, to reflect the real costs. Eventually, this would mean that the
claims incurred and the premiums charged would be more in sync, and the claims ratios of
health insurance portfolios would then reflect the more truthful and complete picture.
already have stand-alone health insurance companies in the country, and this also
..dicates that the health insurance market is seen as viable by those investing in such an
enterprise. In fact, the claims ratio for individual health insurance policies has been
quite comfortable for a long time.
Another important thing I must write about, is the recent judgement on pre-existing
conditions reported in the press this week. What is important to remember is that, in the
particular case where the court has allowed the claim, there was little proof that the
insured was aware of the disease condition existing before, and he had also been given s
clean chit by the doctor engaged by the insurance company for a pre-insurance checkup. I
presume that the second fact, of having been cleared by a company doctor, is what was
really important.
This, of course, does not yet mean that pre-existing conditions will be covered by
insurers. In a voluntary insurance scenario, coverage of pre-existing conditions could
actually be counter-productive, as the adverse selection of people who know they are
having a disease and would need medical care soon, would lead to high claims ratios, in
turn leading to high premiums, and would actually drive the healthy away from health
insurance policies. An option, probably, could be to cover pre-existing conditions with a
waiting period or at a differential premium structure, which are more compatible with a
voluntary health insurance environment as we have today.
Warm regards,
til Nagpal
Dr. Somil Nagpal,
MBBS, MHA, MBA, F.I.I.I.
mail@somilnagpal.com
I
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«
lAMA
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I Transforming Insurance Coverage Into
| Quality Health Care
See Related.
Voltage Drops From Potential to Delivered Quality
:i; John M. Eisenberg, MD; Elaine J. Power, MPP
:.z: Return to
tthof/Article
ti ormatoiS
Although the US health care system is often touted as one of the
best in the world, disparities exist in quality of care received by
different populations, in different regions, and across different
institutions and clinicians. Initiatives to provide access to health
insurance have been a major policy tool to ensure that Americans
receive high-quality health care. However, availability of insurance
coverage does not automatically lead to high-quality care. This
article explores points of vulnerability in the US health care system
at which the potential to achieve high-quality care can be lost: (1)
access to insurance coverage; (2) enrollment in available insurance
plans; (3) access to covered services, clinicians, and health care
institutions; (4) choice of plans, clinicians, and health care
institutions; (5) access to a consistent source of primary care; (6)
access to referral services; and (7) delivery of high-quality health
care services. Ensuring high-quality health care requires that each
of these "voltage drops" be recognized and addressed.
JAMA. 2000;284:2100-2107
View Full Text
Author/Article Information
Author Affiliations: Agency for Healthcare Research and Quality,
US Department of Health and Human Services, Rockville, Md (Dr
Eisenberg); and The National Forum for Healthcare Quality
Measurement and Reporting, Washington, DC (Ms Power).
Corresponding Author and Reprints: John M. Eisenberg. MD,
Agency for Healthcare Research and Quality, Department of Health
and Human Services, 2101 E Jefferson St, Rockville, MD 20852
(e-mail: ieisenbe@ahrq.qov).
I
Disclaimer: The views expressed herein are those of the authors
and do not necessarily represent the position of the Agency for
Healthcare Research and Quality, the US Department of Health
and Human Services, or the National Quality Forum.
Wptmatipn -
Previous Presentation: An earlier version of this article was
presented at the Commonwealth Fund's Ditchley Conference,
Oxford, England, May 22-23, 1999.
1/10/01 4:36 PM
1 of 2
Transforming Insurance Coverage Into Qual...Drops From Potential to Delivered Quality
file://ZF|/Info from the Intemet/JAMA-Tr...s From Potential to Delivered Quality.htm
Acknowledgment: We are grateful for the assistance of Ning
Tang, AB, in the preparation of this article and to Tom Selden, PhD,
and Carolyn Clancy, MD, for their comments on an earlier draft.
■B
© 2000 American Medical Association. All rights reserved.
A»l
2 of 2
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C
Unmet Health Needs of Uninsured Adults in the United States
file:///F|/Info from the Intemet/JAMA-Un...Uninsured Adults in the United States.htm
JAIUIA
«
•
OriginalContribution
mt
Unmet Health Needs of Uninsured Adults in
the United States
John Z. Ayanian, MD, MPP; Joel S. Weissman, PhD; Erie C.
Schneider, MD, MSc; Jack A. Ginsburg, MPE; Alan M. Zaslavsky,
PhD
Context In 1998, 33 million US adults aged 18 to 64 years lacked
health insurance. Determining the unmet health needs of this
population may aid efforts to improve access to care.
Authof/Afticle
toformat^^
Objective To compare nationally representative estimates of the
unmet health needs of uninsured and insured adults, particularly
among persons with major health risks.
Design and Setting Random household telephone survey
conducted in all 50 states and the District of Columbia through the
Behavioral Risk Factor Surveillance System.
Participants A total of 105,764 adults aged 18 to 64 years in 1997
and 117,364 in 1998, classified as long-term (£1 year) uninsured
(9.7%), short-term (<1 year) uninsured (4.3%), or insured (86.0%).
Main Outcome Measures Adjusted proportions of participants who
could not see a physician when needed due to cost in the past
year, had not had a routine checkup within 2 years, and had not
received clinically indicated preventive services, compared by
insurance status.
Results Long-term- and short-term-uninsured adults were more
likely than insured adults to report that they could not see a
physician when needed due to cost (26.8%, 21.7%, and 8.2%,
respectively), especially among those in poor health (69.1%,
51.9%, and 21.8%) or fair health (48.8%, 42.4%, and 15.7%)
(P< 001). Long-term-uninsured adults in general were much more
likely than short-term-uninsured and insured adults not to have had
a routine checkup in the last 2 years (42.8%, 22.3%, and 17.8%,
respectively) and among smokers, obese individuals, binge
drinkers, and people with hypertension, elevated cholesterol,
diabetes, or human immunodeficiency virus risk factors (P< 001).
Deficits in cancer screening, cardiovascular risk reduction, and
diabetes care were most pronounced among long-term-uninsured
adults.
ggSgjSg
YA -
Conclusions In our study, long-term-uninsured adults reported
much greater unmet health needs than insured adults. Providing
insurance to improve access to care for long-term-uninsured
adults, particularly those with major health risks, could have
substantial clinical benefits.
JAMA. 2000;284:2061-2069
1/10/01 4:35 PM
■1 of 2
■Unmet Health Needs ofUninsured Adults in the United States
filc:///F|/Info from the Intemet/JAMA-Un...Uninsured Adults in the United States.htm
View Full Text
Author/Article Information
Author Affiliations: Division of General Medicine and Primary
Care, Department of Medicine, Brigham and Women’s Hospital (Drs
Ayanian and Schneider), Department of Health Care Policy,
Harvard Medical School (Drs Ayanian, Weissman, and Zaslavsky),
Institute for Health Policy, Massachusetts General Hospital (Dr
Weissman), and Department of Health Policy and Management,
Harvard School of Public Health (Dr Schneider), Boston, Mass; and
the American College of Physicians-American Society of Internal
Medicine (Mr Ginsburg), Washington, DC.
Corresponding Author and Reprints: John Z. Ayanian, MD, MPP,
Department of Health Care Policy, Harvard Medical School, 180
Longwood Ave, Boston, MA 02115 (e-mail:
avanian@hcp.med.harvard.edu).
Funding/Support: This study was funded by the American College
of Physicians-American Society of Internal Medicine.
V
Acknowledgment: We are grateful to Robert E. Wolf, MS, for
statistical programming, Recai Yucel, PhD, for imputing missing
data, Whitney W. Addington, MD, and Robert B. Doherty for help in
initiating this study, and Melinda Schriverfor helpful comments on
an earlier draft of the manuscript.
© 2000 American Medical Association. All rights reserved.
|-W
i.
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Transforming Insurance Coverage Into Qual...Drops From Potential to Delivered Quality
to
1/10/01 4:35 PM
file:///F|/Info from the Intemet/JAMA-Tr...s From Potential to Delivered Quality.htm
dcircle] US health, system and Insurance
12/29/00 11:55 AM
Subject: [mfriendcircle] US health system and Insurance
Date: Thu, 28 Dec 2000 19:59:53 +0530
From: ’’Amar Jesani” <jesani@vsnl.com>
Reply-To: mfriendcircle@egroups.com
To: ”MFC-eGroup" <mfriendcircle@egroups.com >
Dear All,
Given below is the table of content of October 25 issue of JAMA.
There are a number of papers and discussion pieces (including presidential candidates positions on health care)
related to US health care and Insurance. I am sending it in case some you are interested in looking at them for the
preparation of next annual meet. The url of each article is given in the table of content itself, and JAMA website
allows free download (htm and pdf).
Amar
Amar Jesani
(Home) 310PrabhuDarshan, S. SainikNagar
Amboli, Andheri West, Mumbai 400058, India
Tel:(91)(22) 623 0227. Email: jesani@vsnl.com
-----Original Message-----From. JAMA TOC
To: iesani@vsnl.com
Sent: Wednesday, October 25, 2000 1:30 AM
Subject: JAMA Table of Contents - October 25, 2000
I
JAMA Table of Contents - October 25, 2000
Vol 284, No. 16, pp 2013-2142
http://jama. ama-assn. org/issues/v284n 16/toc. html
This Week in JAMA
Highlights of selected articles
http://jama.ama-assn.org/issues/v284nl6/ffull/itw00035.html
Original Contributions
Unmet Health Needs of Uninsured Adults in the United States
J. Z. Ayanian, J. S. Weissman, E. C. Schneider,
J. A. Ginsburg, A. M. Zaslavsky
http://j ama. ama-assn. org/issues/v284n 16/abs/joc00915.html
/ / //
\f
/
.
Comprehensive Follow-up Care and Life-Threatening Illnesses Among High-Risk
Infants: A Randomized Controlled Trial
R. S. Broyles, J. E. Tyson, E. T. Heyne,
R. J. Heyne, J. F. Hickman, M. Swint,
S. S. Adams, L. A. West, N. Pomeroy, P. J. Hicks,
C. Ahn
http://iama.ama-assn.org/issues/v284nl6/abs/joc00849.html
)
\
/
,
>0
Primary Care Safety-Net Delivery Sites in the United States: A Comparison of
Community Health Centers, Hospital Outpatient Departments, and Physicians’
Offices
C. B. Forrest, E.-M. Whelan
http://j ama. ama-assn. org/issues/v284n 16/abs/j oc00665. html
12/29/00 11:58 AM
dcirde] US health system and Insurance
State Scholarship, Loan Forgiveness, and Related Programs: The Unheralded Safety
Net
D. E. Pathman, D. H. Taylor, Jr, T. R. Konrad,
T. S. King, T. Harris, T. M. Henderson,
J. D. Bernstein, T. Tucker, K. D. Crook, C. Spaulding,
G. G. Koch
http://jama.ama-assn.org/issues/v284nl6/abs/joc01093.htm l
Access to Substance Abuse Treatment Services Under the Oregon Health Plan
D. D. Deck, B. H. McFarland, J. M. Titus, K. E. Laws,
R. M. Gabriel
http://jama.ama-assn.org/issues/v284nl 6/abs/ioc00825.html
Special Communication
Transforming Insurance Coverage Into Quality Health Care: Voltage Drops From
Potential to Delivered Quality
J. M. Eisenberg, E. J. Power
http://jama. ama-assn. org/issues/v284n 16/abs/j sc00065.html
Invited Commentaries
Ensuring Access to Health Care: The Bush Plan
G. W. Bush
http://jama.ama-assn.org/issues/v284nl6/rfull/jco00149.html
Ensuring Access to Health Care: The Gore Plan
A. Gore
http://j ama. ama-assn. org/issues/v284n 16/rfull/j coOO 14 8 .html
Commentaries
Strengthening the US Health Care Safety Net
N. Lurie
http://iama.ama-assn.org/issues/v284nl 6/rfull/jco00151 .html
Insuring the Uninsured: Time to End the Aura of Invisibility
K. Grumbach
http://jama.ama-assn.org/issues/v284nl6/rfull/jco00150.html
Letters
Inequalities in Racial Access to Health Care
N. J. Hoeldtke, K. C. Hoeldtke; K. Fiscella,
P. Franks, M. R. Gold, C. M. Clancy
http://jama. ama-assn. org/issues/v284n 16/ffiill/j It1025-1 .html
Do Increased 5-Year Survival Rates in Prostate Cancer Indicate Better Outcomes?
B. Donnelly; P. Kind; H. G. Welch, L. M. Schwartz,
S. Woloshin
http ://j ama. ama-assn. org/issues/v284n 16/ftull/j It 1025-2. html
Viral Load in Treatment With Antiretroviral Therapy and Interleukin 2
J.-P. Aboulker; R. T. Davey, Jr, W. B. Capra
12/29/00 11:59 AM
dcirclej US health system and Insurance
http://jama.ama-assn.org/issues/v284nl6/ffull/jltl025-3.html
Effects and Ethics of Sanctions on Childhood Immunization Rates
C. S. Minkovitz, B. Guyer; M. Maclure, B. Carleton,
S. Schneeweiss; L. C. Kerpelman, D. B. Connell;
M. M. Davis
http://jama.ama-assn.org/issues/v284nl6/fiull/jltl025-4.html
Research Letters
Low Rate of Seropositivity to Poliovirus Among Teenagers in Myanmar: A Potential
Pocket for Polio
K. Kojima, S. Urasawa, T. S. Aung, A. Khine,
H. M. Thu
http://jama.ama-assn.org/issues/v284nl6/fIull/iltl025-5.html
Measles-Mumps-Rubella Vaccine in the Italian Armed Forces
R. D'Amelio, R. Biselli, G. Fascia, S. Natalicchio
http://jama.ama-assn.org/issues/v284nl6/ffiill/jltl025-6.html
News and Analysis
Medical News & Perspectives
Children With Mental Problems Not Getting the Care They Need
J. Stephenson
http://jama.ama-assn.org/issues/v284nl6/fiull/jmnl025-l.html
Neonatal Screening Varies by State of Birth
M. Mitka
http ://j ama. ama-assn. org/issues/v284n 16/ffull/jmn1025-2. html
2000 Gairdner Foundation International Awards
M. F. Goldsmith
http ://i ama. ama-assn. org/issues/v284n 16/fiull/j mn1025-3. html
Quick Uptakes
Access to Trauma Care
R. Voelker
http://jama.ama-assn.org/issues/v284nl6/fiull/jqu00008-l.html
Virus Heading South
R. Voelker
http://jama. ama-assn. org/issues/v284n 16/fiull/jqu00008-2.html
Bipolar Brain Chemistry
R. Voelker
http://jama.ama-assn.org/issues/v284nl6/ffull/jqu00008-3.html
Antibiotics in the ED
R. Voelker
http://jama.ama-assn.org/issues/v284nl6/fiull/jqu00008-4.html
idcircle] US health system and Insurance
12/29/00 12:02 PM
>From the Centers for Disease Control and Prevention
Consequences of Delayed Diagnosis of Rocky Mountain Spotted Fever in
Cliildren-West Virginia, Michigan, Tennessee, and Oklahoma, May-July 2000
http://iama.ama-assn.org/issues/v284nl6/ffiill/jwrl025-l.html
Updated Recommendations From the Advisory Committee on Immunization Practices in
Response to Delays in Supply of Influenza Vaccine for the 2000-01 Season
http://jama.ama-assn.org/issues/v284nl6/ffull/jwrl025-2.html
The Cover
A Young Man in a Large Hat
M. T. Southgate
http://jama.ama-assn.org/issues/v284nl6/fTull/jcs00034-l.html
A Piece of My Mind
My Name Is Jack
F. B. Stapleton
http://jama.ama-assn.org/issues/v284nl 6/frull/jpo00202-l .html
Poetry and Medicine
Goldfish
K. C. Zimet
http://iama.ama-assn.org/issues/v284nl6/fIull/jpm00296-l.html
JAMA 100 Years Ago
Hospital Organization
http://jama.ama-assn.org/issues/v284nl6/ffull/jjy00035-l.html
Contempo Updates: Linking Evidence and Experience
Access to Health Care for the Rural Elderly
T. C. Rosenthal, C. Fox
http://jama. ama-assn, org/issues/v284n 16/rfull/j ctOOO 10. html
Books, Journals, New Media
America's Health Care Safety Net: Intact but Endangered (Lewin, Altman, eds)
Reviewed by A. S. Hart
http.7/jama.ama-assn.org/issues/v284nl6/fMl/jbkl025-l.html
Healthcare Architecture in an Era of Radical Transformation (Verderber, Fine)
Reviewed by G. R. Fisher
http://jama.ama-assn.org/issues/v284n 16/ffull/jbkl 025-2.html
Teaching Hospitals and the Urban Poor (Ginzberg)
Reviewed by B. S. Bloom
http://jama.ama-assn.org/issues/v2 84nl 6/ffull/jbkl 025-3 .html
One Hundred Days: My Unexpected Journey From Doctor to Patient (Biro)
12/29/00 12:03 PM
ndcirde] US health system and Insurance
♦
Reviewed by S. Troup
http://jama. ama-assn. org/issues/v284n 16/fIull/jbk1025-4, html
Books, Journals, New Media Received
http://jama.ama-assn.org/issues/v284nl 6/ffull/jbkl 025-5.html
JAMA Patient Page
Premature Infants
http://jama.ama-assn.org/issues/v284nl6/fpdf/ipgl025.pdf
Reader Service
Correction
Incorrect Wording
http://jama.ama-assn.org/issues/v284nl6/ffull/icx00026.html
Obituary Listing
http://i ama. ama-assn.org/issues/v284n 16/ffiill/job 1025. html
Continuing Medical Education: JAMA Reader's Choice
October 25, 2000
http://jama.ama-assn.org/issues/v284n 16/ffull/jme00031-1 .html
(c) Copyright 2000, American Medical Association, all rights reserved
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