Provider Update: Change to PA Process for Orthopedic and Spinal Procedures

20930

Allograft, morselized, or placement of osteopromotive material, for spine surgery only

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20931

Allograft, structural, for spine surgery only

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20936

Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision

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20937

Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision)

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20938

Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision

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23130

Acromioplasty Or Acromionectomy, Partial, With Or Without Coracoacromial Ligament Release

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23333

Removal of foreign body, shoulder; deep (subfascial or intramuscular)

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23334

Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component

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23335

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)

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23410

Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute

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23412

Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic

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23415

Coracoacromial Ligament Release, With Or Without Acromioplasty

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23420

Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)

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23473

Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component

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23474

Revision of total shoulder arthroplasty, including allograft when performed; humeral and glenoid component

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23616

Open Treatment Of Proximal Humeral (Surgical Or Anatomical Neck) Fracture, Includes Internal Fixation, When Performed, Includes Repair Of Tuberosity(S), When Performed; With Proximal Humeral Prosthetic Replacement

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23800

Arthrodesis, glenohumeral joint;

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23802

Arthrodesis, glenohumeral joint; with autogenous graft (includes obtaining graft)

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24160

Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components

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24164

Removal of prosthesis, includes debridement and synovectomy when performed; radial head

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24360

Arthroplasty, elbow; with membrane (e.g., fascial)

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24361

Arthroplasty, elbow; with distal humeral prosthetic replacement

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24362

Arthroplasty, elbow; with implant and fascia lata ligament reconstruction

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24363

Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (e.g., total elbow)

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24365

Arthroplasty, radial head

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24366

Arthroplasty, radial head; with implant

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24370

Revision of total elbow arthroplasty, including allograft when performed; humeral or ulnar component

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24371

Revision of total elbow arthroplasty, including allograft when performed; humeral and ulnar component

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25332

Arthroplasty, wrist, with or without interposition, with or without external or internal fixation

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25441

Arthroplasty with prosthetic replacement; distal radius

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25442

Arthroplasty with prosthetic replacement; distal ulna

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25443

Arthroplasty with prosthetic replacement; scaphoid carpal (navicular)

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25444

Arthroplasty with prosthetic replacement; lunate

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25445

Arthroplasty with prosthetic replacement; trapezium

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25446

Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist)

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25800

ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT

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25805

ARTHRODESIS WRIST W/SLIDING GRAFT

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25810

ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT

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25820

ARTHRODESIS WRIST LIMITED W/O BONE GRAFT

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25825

ARTHRODESIS WRIST LIMITED W/AUTOGRAFT

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27033

Arthrotomy, hip, including exploration or removal of loose or foreign body

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27090

Removal of hip prothesis

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27091

Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer

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27120

Hip Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)

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27122

Hip Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)

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27280

Arthrodesis, sacroiliac joint (including obtaining graft)

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27299

Unlisted procedure, pelvis or hip joint [when specified as open procedure for femoroacetabular impingement syndrome, other than capsular plication]

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27405

Repair, primary, torn ligament and/or capsule, knee; collateral

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27407

Repair, primary, torn ligament and/or capsule, knee; cruciate

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27409

Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments

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27437

Arthroplasty, patella; without prosthesis

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27438

Arthroplasty, patella; with prosthesis

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27440

Arthroplasty, knee, tibial plateau;

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27441

Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy

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27442

Arthroplasty, femoral condyles or tibial plateau(s), knee;

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27443

Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy

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27445

Arthroplasty, knee, hinge prosthesis (eg, Walldius type)

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27446

Arthroplasty, knee, condyle and plateau; medial OR lateral compartment

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27486

Revision of total knee arthroplasty, with or without allograft; 1 component

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27487

Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component

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27488

Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee

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27704

Removal of ankle implant

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27870

Arthrodesis, ankle, open

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29826

Arthroscopy, Shoulder, Surgical; Decompression Of Subacromial Space With Partial Acromioplasty, With Coracoacromial Ligament (Ie, Arch) Release, When Performed (List Separately In Addition To Code For Primary Procedure)

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29827

Arthroscopy, shoulder, surgical; with rotator cuff repair

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29860

Arthroscopy, Hip, Diagnostic With Or Without Synovial Biopsy (Separate Procedure)

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29861

Arthroscopy, Hip, Surgical; With Removal Of Loose Body Or Foreign Body

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29862

Arthroscopy, Hip, Surgical; With Debridement/Shaving Of Articular Cartilage (Chondroplasty), Abrasion Arthroplasty, And/or Resection Of Labrum

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29863

Arthroscopy, Hip, Surgical; With Synovectomy

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29870

Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)

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29871

Arthroscopy, knee, surgical; for infection, lavage and drainage

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29873

Arthroscopy, knee, surgical; with lateral release

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29874

Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)

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29875

Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)

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29876

Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)

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29877

Arthroscopy, knee, surgical; debridement/ shaving or articular cartilage (chondroplasty)

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29879

Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture

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29880

Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/ shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

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29881

Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/ shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed

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29882

Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)

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29883

Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)

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29884

Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)

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29885

Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion)

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29886

Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion

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29887

Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation

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29888

Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction

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29889

ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ

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29899

Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis

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29914

Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)

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29915

Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)

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29916

Arthroscopy, hip, surgical; with labral repair [when repair of the labral tear is associated with FAIS]

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29999

Unlisted procedure, arthroscopy [when specified as arthroscopic knee lavage as a separate procedure]

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36260

Insertion of implantable intra-arterial infusion pump (eg, for chemotherapy of liver)

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36563

Insertion Of Tunneled Centrally Inserted Central Venous Access Device With Subcutaneous Pump

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36583

Replacement, Complete, Of A Tunneled Centrally Inserted Central Venous Access Device, With Subcutaneous Pump, Through Same Venous Access

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61215

Insertion of subcutaneous reservoir, pump or continuous infusion system for connection to ventricular catheter

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62365

Removal Of Subcutaneous Reservoir Or Pump, Previously Implanted For Intrathecal Or Epidural Infusion

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62367

Electronic Analysis Of Programmable, Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Of Reservoir Status, Alarm Status, Drug Prescription Status); Without Reprogramming Or Refill

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62368

Electronic Analysis Of Programmable, Implanted Pump For Intrathecal Or Epidural Drug Infusion (Includes Evaluation Of Reservoir Status, Alarm Status, Drug Prescription Status); With Reprogramming

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0163T

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), each additional interspace, lumbar

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0164T

Removal of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar (List separately in addition to code for primary procedure)

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0165T

Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, each additional interspace, lumbar

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0200T

Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles

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0201T

Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles

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0202T

Posterior vertebral joint(s) arthroplasty (eg, facet joint[s] replacement), including facetectomy, laminectomy, foraminotomy, and vertebral column fixation, injection of bone cement, when performed, including fluoroscopy, single level, lumbar spine

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0219T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; cervical

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0220T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; thoracic

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0221T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; lumbar

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0222T

Placement of a posterior intrafacet implant(s), unilateral or bilateral, including imaging and placement of bone graft(s) or synthetic device(s), single level; each additional vertebral segment

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0274T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), with or without the use of an endoscope, single or multiple levels, unilateral or bilateral; cervical or thoracic

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0275T

Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), with or without the use of an endoscope, single or multiple levels, unilateral or bilateral; lumbar

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C1767

Generator, neurostimulator (implantable), non-rechargeable

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C1772

Infusion pump, programmable (implantable)

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C1778

Lead, neurostimulator (implantable)

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C1787

Patient programmer, neurostimulator

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C1820

Generator, neurostimulator (implantable), with rechargeable battery and charging system

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C1883

Adaptor/extension, pacing lead or neurostimulator lead (implantable)

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C1891

Infusion pump, nonprogrammable, permanent (implantable)

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C1897

Lead, neurostimulator test kit (implantable)

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C2626

Infusion pump, nonprogrammable, temporary (implantable)

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C9757

Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and excision of herniated intervertebral disc, and repair of annular defect with implantation of bone anchored annular closure device, including annular defect measurement, alignment and sizing assessment, and image guidance; 1 interspace, lumbar

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E0783

Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)

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E0785

Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacement

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E0786

Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)

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G0289

Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee

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L8695

External recharging system for battery (external) for use with implantable neurostimulator, replacement only

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S2118

METL-ON-METL TOT HIP RESRFC ACETAB&FEM CMPNT

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S2348

Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, using radiofrequency energy, single or multiple levels, lumbar

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S2350

Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, single interspace

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S2351

Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; lumbar, each additional interspace (list separately in addition to code for primary procedure)

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27360

Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess

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0195T

Arthrodesis, pre-sacral interbody technique, disc space preparation, discectomy, without instrumentation, with image guidance, includes bone graft when performed; L5-S1 interspace

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0196T

Arthrodesis, pre-sacral interbody technique, disc space preparation, discectomy, without instrumentation, with image guidance, includes bone graft when performed; L4-L5 interspace

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