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Procedure category CCHPR code ICD-9-CM code
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1 Operations on the nervous system 1 2 3 4 5 6 7 -
8 9
1.1 Incision and excision of CNS 1 -
1.1.1 Craniotomy and craniectomy - 0121 0122 0123 0124 0125
1.1.2 Incision of cerebral meninges - 0131
1.1.3 Other incision and excision of - 0101 0109 0132 0139 0141 0142
CNS 0151 0152 0153 0159
1.2 Insertion, replacement, or removal of 2 -
extracranial ventricular shunt
1.3 Laminectomy, excision intervertebral disc 3 -
1.3.1 Excision of intervertebral disc - 805 8050 8051 8059
1.3.2 Laminectomy - 0302 0309
1.4 Diagnostic spinal tap 4 -
1.5 Insertion of catheter or spinal stimulator 5 -
and injection into spinal canal
1.6 Decompression peripheral nerve 6 -
1.6.1 Release of carpal tunnel - 0443
1.6.2 Other lysis of adhesion and - 0444 0449
decompression of peripheral nerves
1.7 Other diagnostic nervous system procedures 7 -
1.8 Other non-OR or closed therapeutic 8 -
nervous system procedures
1.9 Other OR therapeutic nervous system 9 -
procedures
2 Operations on the endocrine system 10 11 12 -
2.1 Thyroidectomy, partial or complete 10 -
2.2 Diagnostic endocrine procedures 11 -
2.3 Other therapeutic endocrine procedures 12 -
3 Operations on the eye 13 14 15 16 -
17 18 19 20
21
3.1 Corneal transplant 13 -
3.2 Glaucoma procedures 14 -
3.3 Lens and cataract procedures 15 -
3.3.1 Insertion of prosthetic lens - 1370 1371 1372
3.3.2 Phacoemulsification and - 1341
aspiration of cataract
3.3.3 Other extracapsular extraction of - 1359
lens
3.3.4 Other lens and cataract - 1311 1319 132 133 1342 1343
procedures 1351 1361 1362 1363 1364 1365
1366 1369 138 139
3.4 Repair of retinal tear, detachment 16 -
3.5 Destruction of lesion of retina and choroid 17 -
3.6 Diagnostic procedures on eye 18 -
3.7 Other therapeutic procedures on eyelids, 19 -
conjunctiva, cornea
3.8 Other intraocular therapeutic procedures 20 -
3.9 Other extraocular muscle and orbit 21 -
therapeutic procedures
4 Operations on the ear 22 23 24 25 -
26
4.1 Tympanoplasty 22 -
4.2 Myringotomy 23 -
4.3 Mastoidectomy 24 -
4.4 Diagnostic procedures on ear 25 -
4.5 Other therapeutic ear procedures 26 -
5 Operations on the nose, mouth, and pharynx 27 28 29 30 -
31 32 33
5.1 Control of epistaxis 27 -
5.2 Plastic procedures on nose 28 -
5.3 Dental procedures 29 -
5.4 Tonsillectomy and/or adenoidectomy 30 -
5.4.1 Tonsillectomy without - 282
adenoidectomy
5.4.2 Tonsillectomy with - 283
adenoidectomy
5.4.3 Adenoidectomy without - 286
tonsillectomy
5.4.4 Control of hemorrhage after - 287
tonsillectomy or adenoidectomy
5.5 Diagnostic procedures on nose, mouth 31 -
and pharynx
5.5.1 Diagnostic procedures on - 2211 2212 2219
nasal sinuses
5.5.2 Other diagnostic procedures on - 2121 2122 2129 2411 2412 2419
nose, mouth and pharynx 2501 2502 2509 2611 2612 2619
2721 2722 2723 2724 2729 2811
2819 2911 2912 2919
5.6 Other non-OR therapeutic procedures on 32 -
nose, mouth and pharynx
5.6.1 Non-OR procedures on nasal - 2200 2201 2202 222 2264
sinuses
5.6.2 Other non-OR procedures on - 211 2130 2131 2132 2171 2191
nasal sinuses 240 2431 2432 2439 2551 2591
2592 2593 260 2691 2741 2751
2752 2791 2991 9621 9653 9721
9732
5.7 Other OR therapeutic procedures on 33 -
nose, mouth and pharynx
5.7.1 OR procedures on nasal sinuses - 2231 2239 2241 2242 2250 2251
2252 2253 2260 2261 2262 2263
2271 2279
5.7.2 Excision salivary gland - 2630 2631 2632
5.7.3 Repair cleft lip - 2754
5.7.4 Correction cleft palate - 2762
5.7.5 Incision and drainage of tonsils - 280
5.7.6 Other procedures on nose, mouth - 214 2161 2162 2169 2172 2199
and pharynx 229 242 251 252 253 254
2559 2594 2599 2621 2629 2641
2642 2649 2699 270 271 2731
2732 2742 2743 2749 2753 2755
2756 2757 2759 2761 2763 2769
2771 2772 2773 2779 2792 2799
284 285 2891 2892 2899 290
292 293 2931 2932 2933 2939
294 2951 2952 2953 2954 2959
2992 2999
6 Operations on the respiratory system 34 35 36 37 -
38 39 40 41
42
6.1 Tracheostomy, temporary and permanent 34 -
6.2 Tracheoscopy and laryngoscopy with 35 -
biopsy
6.3 Lobectomy or pneumonectomy 36 -
6.4 Diagnostic bronchoscopy and biopsy of 37 -
bronchus
6.4.1 Bronchoscopy without biopsy - 3322 3323
6.4.2 Endoscopic biopsy of bronchus - 3324
6.4.3 Needle biopsy of lung - 3326
6.4.4 Endoscopic biopsy of lung - 3327
6.5 Other diagnostic procedures on lung and 38 -
bronchus
6.6 Incision of pleura, thoracentesis, 39 -
chest drainage
6.6.1 Closed chest drainage - 3404
6.6.2 Open chest drainage - 3409
6.6.3 Thoracentesis - 3491
6.7 Other diagnostic procedures of respiratory 40 -
tract and mediastinum
6.8 Other non-OR therapeutic procedures 41 -
on respiratory system
6.9 Other OR therapeutic procedures 42 -
on respiratory system
7 Operations on the cardiovascular system 43 44 45 46 -
47 48 49 50
51 52 53 54
55 56 57 58
59 60 61 62
63
7.1 Heart valve procedures 43 -
7.2 Coronary artery bypass graft (CABG) 44 -
7.2.1 Bypass of one coronary artery - 3611
7.2.2 Bypass of two coronary arteries - 3612
7.2.3 Bypass of three coronary arteries - 3613
7.2.4 Bypass of four coronary arteries - 3614
7.2.5 Other bypass of coronary arteries - 3610 3615 3616 3617 3619 362
363
7.3 Percutaneous transluminal coronary 45 -
angioplasty (PTCA)
7.3.1 Single vessel PTCA - 3601 3602
7.3.2 Multiple vessel PTCA - 3605
7.4 Coronary thrombolysis 46 -
7.5 Diagnostic cardiac catheterization, 47 -
coronary arteriography
7.5.1 Coronary arteriography - 8852 8853 8854 8855 8856 8857
7.5.2 Cardiac catheterization - 3721 3722 3723
7.6 Insertion, revision, replacement, removal 48 -
of cardiac pacemaker or
cardioverter/defibrillator
7.6.1 Insertion, revision, replacement, - 3770 3771 3772 3773 3774 3775
or removal of pacemaker leads 3776 3777 3778 3779
7.6.2 Insertion, revision, replacement, - 3780 3781 3782 3783 3785 3786
or removal of pacemaker device 3787 3789
7.6.3 Insertion, revision, replacement, - 3794 3795 3796 3797 3798
or removal of
cardioverter/defibrillator
7.7 Other OR heart procedures 49 -
7.8 Extracorporeal circulation auxiliary 50 -
to open heart procedures
7.9 Endarterectomy, vessel of head and neck 51 -
7.10 Aortic resection, replacement or 52 -
anastomosis
7.11 Varicose vein stripping, lower limb 53 -
7.12 Other vascular catheterization, not heart 54 -
7.12.1 Arterial catheterization - 3891
7.12.2 Umbilical vein catheterization - 3892
7.12.3 Venous catheterization - 3893
7.13 Peripheral vascular bypass 55 -
7.14 Other vascular bypass and shunt, 56 -
not heart
7.15 Creation, revision and removal of 57 -
arteriovenous fistula or vessel-to-vessel
cannula for dialysis
7.16 Hemodialysis 58 -
7.17 Other OR procedures on vessels of 59 -
head and neck
7.18 Embolectomy and endarterectomy of 60 -
lower limbs
7.19 Other OR procedures on vessels 61 -
other than head and neck
7.19.1 Interrupt vena cava - 387
7.19.2 Other OR procedures on - 3800 3803 3804 3805 3806 3807
blood vessels 3809 3810 3813 3814 3815 3816
3830 3833 3835 3836 3837 3838
3839 3840 3843 3845 3846 3847
3848 3849 3850 3853 3855 3857
3860 3863 3865 3866 3867 3868
3869 3880 3883 3884 3885 3886
3887 3888 3889 3930 3931 3932
3941 3949 3951 3952 3953 3954
3955 3956 3957 3958 3959 397
398 3990 3991 3992 3994 3998
3999
7.20 Other diagnostic cardiovascular 62 -
procedures
7.21 Other non-OR therapeutic 63 -
cardiovascular procedures
8 Operations on the hemic and lymphatic system 64 65 66 67 -
8.1 Bone marrow transplant 64 -
8.2 Bone marrow biopsy 65 -
8.3 Procedures on spleen 66 -
8.4 Other therapeutic procedures, 67 -
hemic and lymphatic system
8.4.1 Biopsy of lymphatic structure - 4011
8.4.2 Simple excision of lymphatic - 4021 4022 4023 4024 4029
structure
8.4.3 Regional lymph node excision - 403
8.4.4 Radical excision lymph nodes - 4040 4041 4042 4050 4051 4052
4053 4054 4059
8.4.5 Other hemic and lymphatic - 400 4019 4061 4062 4063 4064
procedures 4069 409 4132 4133 4138 4139
4191 4192 4198
9 Operations on the digestive system 68 69 70 71 -
72 73 74 75
76 77 78 79
80 81 82 83
84 85 86 87
88 89 90 91
92 93 94 95
96 97 98 99
9.1 Therapeutic procedures on the esophagus 68 69 -
9.1.1 Injection or ligation of 68 -
esophageal varices
9.1.2 Esophageal dilatation 69 -
9.2 Upper gastrointestinal endoscopy, biopsy 70 -
9.2.1 Esophagoscopy - 4223 4224
9.2.2 Gastroscopy - 4413 4414
9.2.3 Esophagogastroduodenoscopy - 4513
(EGD) without biopsy
9.2.4 Esophagogastroduodenoscopy - 4516
(EGD) with biopsy
9.2.5 Endoscopic biopsy small intestine - 4514
9.3 Gastrostomy, temporary and permanent 71 -
9.4 Colostomy, temporary and permanent 72 -
9.5 Ileostomy and other enterostomy 73 -
9.6 Gastrectomy, partial and total 74 -
9.7 Small bowel resection 75 -
9.8 Colonoscopy and biopsy 76 -
9.8.1 Closed endoscopic biopsy of - 4525
large intestine
9.8.2 Other endoscopy of - 4523 4524
large intestine
9.9 Proctoscopy and anorectal biopsy 77 -
9.10 Colorectal resection 78 -
9.10.1 Right hemicolectomy - 4573
9.10.2 Left hemicolectomy - 4575
9.10.3 Sigmoidectomy - 4576
9.10.4 Resection of rectum - 4841 4849 485 4861 4862 4863
4864 4865 4866 4869
9.10.5 Other colorectal resections - 4571 4572 4574 4579 458
9.11 Local excision of large intestine lesion 79 -
(not endoscopic)
9.12 Appendectomy 80 -
9.13 Hemorrhoid procedures 81 -
9.14 Endoscopic retrograde cannulation 82 -
of pancreas (ERCP)
9.15 Biopsy of liver 83 -
9.16 Cholecystectomy and common duct 84 -
exploration
9.16.1 Open cholecystectomy - 5121 5122
9.16.2 Laparoscopic cholecystectomy - 5123 5124
9.16.3 Incision of bile duct - 5141 5142 5143 5149 5151 5159
9.17 Inguinal and femoral hernia repair 85 -
9.17.1 Unilateral repair inguinal hernia - 5300 5301 5302 5303 5304 5305
9.17.2 Bilateral repair inguinal hernia - 5310 5311 5312 5313 5314 5315
5316 5317
9.17.3 Femoral hernia repair - 5321 5329 5331 5339
9.18 Other hernia repair 86 -
9.18.1 Umbilical hernia repair - 5341 5349
9.18.2 Incisional hernia repair - 5351 5361
9.18.3 Other abdominal wall hernia - 5359 5369
repair
9.18.4 Other hernia repair - 537 5380 5381 5382 539
9.19 Laparoscopy 87 -
9.20 Abdominal paracentesis 88 -
9.21 Exploratory laparotomy 89 -
9.22 Excision, lysis peritoneal adhesions 90 -
9.23 Peritoneal dialysis 91 -
9.24 Other bowel diagnostic procedures 92 -
9.25 Other non-OR upper GI therapeutic 93 -
procedures
9.26 Other OR upper GI therapeutic 94 -
procedures
9.27 Other non-OR lower GI therapeutic 95 -
procedures
9.28 Other OR lower GI therapeutic 96 -
procedures
9.28.1 Closure of stoma of - 4652
large intestine
9.28.2 Local excision of rectal lesion - 4835
9.28.3 Incision of perirectal tissue - 4881
9.28.4 Incision of perianal abscess - 4901
9.28.5 Incision/excision of anal fistula - 4911 4912
9.28.6 Other lower GI procedures - 4500 4501 4502 4503 4531 4532
4533 4534 4549 4550 4551 4552
4590 4591 4592 4593 4594 4595
4601 4602 4603 4604 4640 4641
4642 4643 4650 4651 4660 4661
4662 4663 4664 4671 4672 4673
4674 4675 4676 4679 4680 4681
4682 4691 4692 4693 4694 4699
472 4791 4792 4799 480 481
4871 4872 4873 4874 4875 4876
4879 4882 4891 4892 4893 4899
4902 4904 493 4939 4951 4952
4959 496 4971 4972 4973 4974
4979 4991 4992 4993 4994 4995
4999
9.29 Other gastrointestinal diagnostic 97 -
procedures
9.30 Other non-OR gastrointestinal 98 -
therapeutic procedures
9.31 Other OR gastrointestinal 99 -
therapeutic procedures
9.31.1 Radical - 527
pancreaticoduodenectomy
9.31.2 Incision abdominal wall - 540
9.31.3 Excision or destruction - 544
of peritoneal tissue
9.31.4 Creation of cutaneoperitoneal - 5493
fistula
9.31.5 Other gastrointestinal therapeutic - 500 5021 5022 5029 503 504
procedures 5061 5069 5102 5103 5104 5131
5132 5133 5134 5135 5136 5137
5139 5161 5162 5163 5169 5171
5172 5179 5181 5182 5183 5189
5191 5192 5193 5194 5195 5199
5201 5209 522 5222 523 524
5251 5252 5253 5259 526 5292
5295 5296 5299 5412 5419 543
5461 5462 5463 5464 5471 5472
5473 5474 5475 5492 5494 5495
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(1) Expanded procedure categories can consist of groups of Clinical Classifications for Health Policy
Research (CCHPR) categories, individual CCHPR categories, or individual ICD-9-CM codes. For information
on constituent ICD-9-CM codes for CCHPR categories listed here, refer to Appendix B.
Source: AHCPR, Center for Organization and Delivery Studies,
Healthcare Cost and Utilization Project (HCUP-3).