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American Board of Orthopaedic Surgery: Acceptable CPT Codes For Orthopaedic Sports Medicine Subspecialty Case List

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American Board of Orthopaedic Surgery

Acceptable CPT codes for Orthopaedic Sports Medicine


Subspecialty Case List

GENERAL
20520 Removal of foreign body in muscle or tendon sheath; simple
20525 Removal of foreign body in muscle or tendon sheath; deep or complicated
20920 Fascia lata graft; by stripper
20922 Fascia lata graft; by incision and area exposure, complex or sheet
20924 Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)

SHOULDER
23030 Incision and drainage, shoulder area; deep abscess or hematoma
23031 Incision and drainage, shoulder area; infected bursa
23035 Incision, bone cortex (eg, osteomyelitis or bone abscess), shoulder area
23040 Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body
23044 Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal
of foreign body
23101 Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of
torn cartilage
23105 Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy
23106 Arthrotomy; sternoclavicular joint, with synovectomy, with or without biopsy
23107 Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or
foreign body
23120 Claviculectomy; partial
23125 Claviculectomy; total
23130 Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release
23330 Removal of foreign body, shoulder; subcutaneous
23333 Removal of foreign body, shoulder; deep
23395 Muscle transfer, any type, shoulder or upper arm; single
23397 Muscle transfer, any type, shoulder or upper arm; multiple
23405 Tenotomy, shoulder area; single tendon
23406 Tenotomy, shoulder area; multiple tendons
23410 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute
23412 Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic
23415 Coracoacromial ligament release, with or without acromioplasty
23420 Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)
23430 Tenodesis of long tendon of biceps
23440 Resection or transplantation of long tendon of biceps
23450 Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson type operation
23455 Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)
23460 Capsulorrhaphy, anterior, any type; with bone block
23462 Capsulorrhaphy, anterior, any type; with coracoid process transfer
23465 Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block
23466 Capsulorrhaphy, glenohumeral joint, any type multi-directional instability
23480 Osteotomy, clavicle, with or without internal fixation
23485 Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion
(includes obtaining graft and/or necessary fixation)
23515 Open treatment of clavicular fracture, with or without internal or external fixation
23530 Open treatment of sternoclavicular dislocation, acute or chronic
23532 Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes
obtaining graft)
23550 Open treatment of acromioclavicular dislocation, acute or chronic;
23552 Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes
obtaining graft)
23615 Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without
internal or external fixation, with or without repair of tuberosity(s), when performed
23630 Open treatment of greater humeral tuberosity fracture, includes internal fixation, when
performed
23660 Open treatment of acute shoulder dislocation
23670 Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes
internal fixation, when performed
23680 Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, includes
internal fixation, when performed

HUMERUS (UPPER ARM) AND ELBOW


24006 Arthrotomy of the elbow, with capsular excision for capsular release (separate procedure)
24101 Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of
loose or foreign body
24102 Arthrotomy, elbow; with synovectomy
24105 Excision, olecranon bursa
24200 Removal of foreign body, upper arm or elbow area; subcutaneous
24201 Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)
24301 Muscle or tendon transfer, any type, upper arm or elbow, single (excluding 24320-24331)
24305 Tendon lengthening, upper arm or elbow, each tendon
24310 Tenotomy, open, elbow to shoulder, each tendon
24320 Tenoplasty, with muscle transfer, with or without free graft, elbow to shoulder, single (Seddon-
Brookes type procedure)
24332 Tenolysis, triceps
24340 Tenodesis of biceps tendon at elbow (separate procedure)
24341 Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary
(excludes rotator cuff)
24342 Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft
24343 Repair lateral collateral ligament, elbow, with local tissue
24344 Reconstruction lateral collateral ligament, elbow, with tendon graft (includes harvesting of graft)
24345 Repair medial collateral ligament, elbow, with local tissue
24346 Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)
24357 Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous
24358 Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement,
soft tissue and/or bone, open
24359 Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement,
soft tissue and/or bone open with repair or reattachment
24515 Open treatment of humeral shaft fracture with plate/screws, with or without cerclage
24516 Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without
cerclage and/or locking screws
24545 Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation,
when performed; without intercondylar extension
24546 Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation,
when performed; with intercondylar extension
24575 Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation,
when performed
24579 Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when
performed
24586 Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus
and proximal ulna and/or proximal radius)
24605 Treatment of closed elbow dislocation; requiring anesthesia
24615 Open treatment of acute or chronic elbow dislocation
24620 Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of
ulna with dislocation of radial head), with manipulation
24635 Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna
with dislocation of radial head), includes internal fixation, when performed
24665 Open treatment of radial head or neck fracture, includes internal fixation or radial head excision,
when performed
24666 Open treatment of radial head or neck fracture, includes internal fixation or radial head excision,
when performed; with radial head prosthetic replacement
24685 Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes
internal fixation, when performed

FOREARM AND WRIST


25020 Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without
debridement of nonviable muscle and/or nerve
25023 Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with
debridement of nonviable muscle and/or nerve
25024 Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without
debridement of nonviable muscle and/or nerve
25025 Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with
debridement of nonviable muscle and/or nerve
25028 Incision and drainage, forearm and/or wrist; deep abscess or hematoma
25031 Incision and drainage, forearm and/or wrist; bursa
25035 Incision, deep, bone cortex, forearm and/or wrist (eg, osteomyelitis or bone abscess)
25040 Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign
body
25260 Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle
25263 Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle
25265 Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, with free graft (includes
obtaining graft), each tendon or muscle
25270 Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle
25272 Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or
muscle
25274 Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes
obtaining graft), each tendon or muscle
25275 Repair, tendon sheath, extensor, forearm and/or wrist, with free graft (includes obtaining graft)
(eg, for extensor carpi ulnaris subluxation)
25320 Capsulorrhaphy or reconstruction, wrist, open (eg, capsulodesis, ligament repair, tendon transfer
or graft) (includes synovectomy, capsulotomy and open reduction) for carpal instability
25337 Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft
tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without
open reduction of distal radioulnar joint
25431 Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft
and necessary fixation), each bone
25440 Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy
(includes obtaining graft and necessary fixation)
25515 Open treatment of radial shaft fracture, incudes internal fixation, when performed
25525 Open treatment of radial shaft fracture, incudes internal fixation, when performed, and closed
treatment of distal radioulnar joint dislocation (Galeazzi fracture/dislocation), includes
percutaneous skeletal fixation, when performed
25526 Open treatment of radial shaft fracture, incudes internal fixation, when performed, and open
treatment of distal radioulnar joint dislocation (Galeazzi fracture/dislocation), incudes internal
fixation, when performed, includes repair of triangular fibrocartilage complex
25545 Open treatment of ulnar shaft fracture, incudes internal fixation, when performed
25574 Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of
radius OR ulna
25575 Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of
radius AND ulna
25606 Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation
25607 Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal
fixation
25608 Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal
fixation of 2 fragments
25609 Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal
fixation of 3 or more fragments
25628 Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when
performed
25645 Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone
25651 Percutaneous skeletal fixation of ulnar styloid fracture
25652 Open treatment of ulnar styloid fracture
25670 Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones
25671 Percutaneous skeletal fixation of distal radioulnar dislocation
25676 Open treatment of distal radioulnar dislocation, acute or chronic
25685 Open treatment of trans-scaphoperilunar type of fracture dislocation
25695 Open treatment of lunate dislocation

HAND OR FINGERS
26010 Drainage of finger abscess; simple
26011 Drainage of finger abscess; complicated (eg, felon)
26020 Drainage of tendon sheath, digit and/or palm, each
26025 Drainage of palmar bursa; single, bursa
26030 Drainage of palmar bursa; multiple bursa
26037 Decompressive fasciotomy, hand (excludes 26035)
26055 Tendon sheath incision (eg, for trigger finger)
26060 Tenotomy, percutaneous, single, each digit
26070 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal
joint
26075 Arthrotomy, with exploration, drainage, or removal of loose or foreign body;
metacarpophalangeal joint, each
26080 Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal
joint, each
26185 Sesamoidectomy, thumb or finger (separate procedure)
26320 Removal of implant from finger or hand
26356 Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land);
primary, without free graft, each tendon
26357 Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land);
secondary, without free graft, each tendon
26358 Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land);
secondary, with free graft (includes obtaining graft), each tendon
26370 Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each
tendon
26372 Repair or advancement of profundus tendon, with intact superficialis tendon; secondary with free
graft (includes obtaining graft), each tendon
26373 Repair or advancement of profundus tendon, with intact superficialis tendon; secondary without
free graft, each tendon
26426 Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local
tissue(s), including lateral band(s), each finger
26428 Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); with free graft
(includes obtaining graft), each finger
26433 Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)
26434 Repair of extensor tendon, distal insertion, primary or secondary; with free graft (includes
obtaining graft)
26437 Realignment of extensor tendon, hand, each tendon
26500 Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)
26502 Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining
graft)
26540 Repair of collateral ligament, metacarpophalangeal or interphalangeal joint
26541 Reconstruction, collateral ligament, metacarpophalangeal joint, single; with tendon or fascial
graft (includes obtaining graft)
26542 Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg,
adductor advancement)
26545 Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint
26548 Repair and reconstruction, finger, volar plate, interphalangeal joint
26608 Percutaneous skeletal fixation of metacarpal fracture, each bone
26615 Open treatment of metacarpal fracture, single, with or without internal or external fixation, each
bone
26650 Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture),
with manipulation
26665 Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes
internal fixation, when performed
26676 Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with
manipulation, each joint
26685 Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation,
when performed, each joint
26686 Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed
reduction
26706 Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation
26715 Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when
performed
26727 Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx,
finger or thumb, with manipulation, each
26735 Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb,
includes internal fixation, when performed, each
26746 Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint,
includes internal fixation, when performed, each
26756 Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each
26765 Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when
performed, each
26776 Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation
26785 Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed,
single

PELVIS AND HIP JOINT


26990 Incision and drainage, pelvis or hip joint area; deep abscess or hematoma
26991 Incision and drainage, pelvis or hip joint area; infected bursa
27086 Removal of foreign body, pelvis or hip; subcutaneous tissue
27087 Removal of foreign body, pelvis or hip; deep (subfascial or intramuscular)
27235 Percutaneous skeletal fixation of femoral fracture, proximal end, neck
27236 Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic
replacement
27244 Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with
plate/screw type implant, with or without cerclage
27245 Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with
intramedullary implant, with or without interlocking screws and/or cerclage
27248 Open treatment of greater trochanteric fracture, includes internal fixation, when performed
27253 Open treatment of hip dislocation, traumatic, without internal fixation
27254 Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture,
with or without internal or external fixation
27258 Open treatment of spontaneous hip dislocation (developmental, including congenital or
pathological), replacement of femoral head in acetabulum (including tenotomy, etc);
27259 Open treatment of spontaneous hip dislocation (developmental, including congenital or
pathological), replacement of femoral head in acetabulum (including tenotomy, etc); with
femoral shortening
FEMUR (THIGH REGION) AND KNEE JOINT
27301 Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region
27303 Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess)
27305 Fasciotomy, iliotibial (tenotomy), open
27306 Tenotomy, percutaneous, adductor or hamstring; single tendon (separate procedure)
27307 Tenotomy, percutaneous, adductor or hamstring; multiple tendons
27310 Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)
27330 Arthrotomy, knee; with synovial biopsy only
27331 Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies
27332 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral
27333 Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral
27334 Arthrotomy, with synovectomy, knee; anterior OR posterior
27335 Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area
27340 excision, prepatellar bursa
27345 Excision of synovial cyst of popliteal space (eg, Baker's cyst)
27347 Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee
27350 Patellectomy or hemipatellectomy
27355 Excision or curettage of bone cyst or benign tumor of femur;
27356 Excision or curettage of bone cyst or benign tumor of femur; with allograft
27357 Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining
graft)
27358 Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition
to code for primary procedure)
27360 Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia
and/or fibula (eg, osteomyelitis or bone abscess)
27372 Removal of foreign body, deep, thigh region or knee area
27380 Suture of infrapatellar tendon; primary
27381 Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft
27385 Suture of quadriceps or hamstring muscle rupture; primary
27386 Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or
tendon graft
27390 Tenotomy, open, hamstring, knee to hip; single tendon
27391 Tenotomy, open, hamstring, knee to hip; multiple tendons, one leg
27392 Tenotomy, open, hamstring, knee to hip; multiple tendons, bilateral
27393 Lengthening of hamstring tendon; single tendon
27394 Lengthening of hamstring tendon; multiple tendons, one leg
27395 Lengthening of hamstring tendon; multiple tendons, bilateral
27396 Transplant, hamstring tendon to patella; single tendon
27397 Transplant, hamstring tendon to patella; multiple tendons
27400 Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure)
27403 Arthrotomy with meniscus repair, knee
27405 Repair, primary, torn ligament and/or capsule, knee; collateral
27407 Repair, primary, torn ligament and/or capsule, knee; cruciate
27409 Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate ligaments
27412 Autologous chondrocyte implantation, knee
27415 Osteochondral allograft, knee, open
27416 Osteochondral autograft(s), knee, open (eg, mosaicplasty) (includes harvesting of autograft[s])
27418 Anterior tibial tubercleplasty (eg, Maquet type procedure)
27420 Reconstruction of dislocating patella; (eg, Hauser type procedure)
27422 Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or
release (eg, Campbell, Goldwaite type procedure)
27424 Reconstruction of dislocating patella; with patellectomy
27425 Lateral retinacular release, open
27427 Ligamentous reconstruction (augmentation), knee; extra-articular
27428 Ligamentous reconstruction (augmentation), knee; intra-articular (open)
27429 Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular
27430 Quadricepsplasty (eg, Bennett or Thompson type)
27435 Capsulotomy, posterior capsular release, knee
27448 Osteotomy, femur, shaft or supracondylar; without fixation
27450 Osteotomy, femur, shaft or supracondylar; with fixation
27455 Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu
varus (bowleg) or genu valgus (knock-knee)); before epiphyseal closure
27457 Osteotomy, proximal tibia, including fibular excision or osteotomy (includes correction of genu
varus (bowleg) or genu valgus (knock-knee)); after epiphyseal closure
27496 Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or
adductor);
27497 Decompression fasciotomy, thigh and/or knee, one compartment (flexor or extensor or
adductor); with debridement of nonviable muscle and/or nerve
27498 Decompression fasciotomy, thigh and/or knee, multiple compartments;
27499 Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of
27506 Open treatment of femoral shaft fracture, with or without external fixation, with insertion of
intramedullary implant, with or without cerclage and/or locking screws
27507 Open treatment of femoral shaft fracture with plate/screws, with or without cerclage
27509 Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or
supracondylar or transcondylar, with or without intercondylar extension, or distal femoral
epiphyseal separation
27511 Open treatment of femoral supracondylar or transcondylar fracture without intercondylar
extension, includes internal fixation, when performed
27513 Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension,
includes internal fixation, when performed
27514 Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal
fixation, when performed
27519 Open treatment of distal femoral epiphyseal separation, includes internal fixation, when
performed
27524 Open treatment of patellar fracture, with internal fixation and/or partial or complete
patellectomy and soft tissue repair
27535 Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation,
when performed
27536 Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation
27540 Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes
internal fixation, when performed
27556 Open treatment of knee dislocation, includes internal fixation, when performed; without primary
ligamentous repair or augmentation/reconstruction
27557 Open treatment of knee dislocation, includes internal fixation, when performed; with primary
ligamentous repair
27558 Open treatment of knee dislocation, includes internal fixation, when performed; with primary
ligamentous repair, with augmentation/reconstruction
27566 Open treatment of patellar dislocation, with or without partial or total patellectomy
27570 Manipulation of knee joint under general anesthesia (includes application of traction or other
fixation devices)

LEG (TIBIA AND FIBULA) AND ANKLE JOINT


27600 Decompression fasciotomy, leg; anterior and/or lateral compartments only
27601 Decompression fasciotomy, leg; posterior compartment(s) only
27602 Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)
27603 Incision and drainage, leg or ankle; deep abscess or hematoma
27604 Incision and drainage, leg or ankle; infected bursa
27605 Tenotomy, percutaneous, Achilles tendon (separate procedure); local anesthesia
27606 Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia
27607 Incision (eg, osteomyelitis or bone abscess), leg or ankle
27610 Arthrotomy, ankle, including exploration, drainage, or removal of foreign body
27612 Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening
27620 Arthrotomy, ankle, with joint exploration, with or without biopsy, with or without removal of
loose or foreign body
27625 Arthrotomy, with synovectomy, ankle;
27626 Arthrotomy, with synovectomy, ankle; including tenosynovectomy
27630 Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle
27650 Repair, primary, open or percutaneous, ruptured Achilles tendon;
27652 Repair, primary, open or percutaneous, ruptured Achilles tendon; with graft (includes obtaining
graft)
27654 Repair, secondary, Achilles tendon, with or without graft
27656 Repair, fascial defect of leg
27658 Repair, flexor tendon, leg; primary, without graft, each tendon
27659 Repair, flexor tendon, leg; secondary, with or without graft, each tendon
27664 Repair, extensor tendon, leg; primary, without graft, each tendon
27665 Repair, extensor tendon, leg; secondary, with or without graft, each tendon
27675 Repair, dislocating peroneal tendons; without fibular osteotomy
27676 Repair, dislocating peroneal tendons; with fibular osteotomy
27680 Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon
27681 Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate
incision[s])
27695 Repair, primary, disrupted ligament, ankle; collateral
27696 Repair, primary, disrupted ligament, ankle; both collateral ligaments
27698 Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)
27705 Osteotomy; tibia
27707 Osteotomy; fibula
27709 Osteotomy; tibia and fibula
27756 Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or
screws)
27758 Open treatment of tibial shaft fracture, (with or without fibular fracture) with plate/screws, with
or without cerclage
27759 Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant,
with or without interlocking screws and/or cerclage
27766 Open treatment of medial malleolus fracture, includes internal fixation, when performed
27769 Open treatment of posterior malleolus fracture, includes internal fixation, when performed
27784 Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed
27792 Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when
performed
27814 Open treatment of bimalleolar ankle fracture, (eg, lateral and medial malleoli, or lateral and
posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed
27822 Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial
and/or lateral malleolus; without fixation of posterior lip
27823 Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial
and/or lateral malleolus; with fixation of posterior lip
27826 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or
tibial plafond), with internal fixation, when performed; of fibula only
27827 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or
tibial plafond), with internal fixation, when performed; of tibia only
27828 Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or
tibial plafond), with internal fixation, when performed; of both tibia and fibula
27829 Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation,
when performed
27832 Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when
performed, or with excision of proximal fibula
27846 Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without
repair or internal fixation
27848 Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair
or internal or external fixation
27860 Manipulation of ankle under general anesthesia (includes application of traction or other fixation
apparatus)
27892 Decompression fasciotomy, leg; anterior and/or lateral compartments only, with debridement of
nonviable muscle and/or nerve
27893 Decompression fasciotomy, leg; posterior compartment(s) only, with debridement of nonviable
muscle and/or nerve
27894 Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s), with
debridement of nonviable muscle and/or nerve

FOOT AND TOES


28035 Release, tarsal tunnel (posterior tibial nerve decompression)
28060 Fasciectomy, plantar fascia; partial (separate procedure)
28062 Fasciectomy, plantar fascia; radical (separate procedure)
28080 Excision, interdigital (Morton) neuroma, single, each
28090 Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or
ganglion); foot
28092 Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or
ganglion); toe(s), each
28110 Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)
28116 Ostectomy, excision of tarsal coalition
28118 Ostectomy, calcaneus;
28119 Ostectomy, calcaneus; for spur, with or without plantar fascial release
28190 Removal of foreign body, foot; subcutaneous
28192 Removal of foreign body, foot; deep
28193 Removal of foreign body, foot; complicated
28288 Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head
28289 Hallux rigidus correction with cheilectomy, debridement and capsular release of the first
metatarsophalangeal joint; without implant
28315 Sesamoidectomy, first toe (separate procedure)
28406 Percutaneous skeletal fixation of calcaneal fracture, with manipulation
28415 Open treatment of calcaneal fracture, includes internal fixation, when performed;
28420 Open treatment of calcaneal fracture, with or without internal or external fixation; with primary
iliac or other autogenous bone graft (includes obtaining graft)
28436 Percutaneous skeletal fixation of talus fracture, with manipulation
28445 Open treatment of talus fracture, includes internal fixation, when performed
28456 Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with
manipulation, each
28465 Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation,
when performed, each
28476 Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each
28485 Open treatment of metatarsal fracture, includes internal fixation, when performed, each
28496 Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation
28505 Open treatment of fracture great toe, phalanx or phalanges, includes internal fixation, when
performed
28525 Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation,
when performed, each
28531 Open treatment of sesamoid fracture, with or without internal fixation
28546 Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation
28555 Open treatment of tarsal bone dislocation, with or without internal or external fixation
28576 Percutaneous skeletal fixation of talotarsal joint dislocation, with manipulation
28585 Open treatment of talotarsal joint dislocation, includes internal fixation, when performed
28606 Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation
28615 Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed
28636 Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation
28645 Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when
performed
28666 Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation
28675 Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed

ENDOSCOPY/ARTHROSCOPY
29805 Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)
29806 Arthroscopy, shoulder, surgical; capsulorrhaphy
29807 Arthroscopy, shoulder, surgical; repair of SLAP lesion
29819 Arthroscopy, shoulder, surgical; with removal of loose body or foreign body
29820 Arthroscopy, shoulder, surgical; synovectomy, partial
29821 Arthroscopy, shoulder, surgical; synovectomy, complete
29822 Arthroscopy, shoulder, surgical; debridement, limited
29823 Arthroscopy, shoulder, surgical; debridement, extensive
29824 Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford
procedure)
29825 Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without
manipulation
29826 Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty,
with coracoacromial (ie, arch) release, when performed
29827 Arthroscopy, shoulder, surgical; with rotator cuff repair
29828 Arthroscopy, shoulder, surgical; biceps tenodesis
29830 Arthroscopy, elbow, diagnostic, with or without synovial biopsy (separate procedure)
29834 Arthroscopy, elbow, surgical; with removal of loose body or foreign body
29835 Arthroscopy, elbow, surgical; synovectomy, partial
29836 Arthroscopy, elbow, surgical; synovectomy, complete
29837 Arthroscopy, elbow, surgical; debridement, limited
29838 Arthroscopy, elbow, surgical; debridement, extensive
29840 Arthroscopy, wrist, diagnostic, with or without synovial biopsy (separate procedure)
29843 Arthroscopy, wrist, surgical; for infection, lavage and drainage
29844 Arthroscopy, wrist, surgical; synovectomy, partial
29845 Arthroscopy, wrist, surgical; synovectomy, complete
29846 Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint
debridement
29847 Arthroscopy, wrist, surgical; internal fixation for fracture or instability
29848 Endoscopy, wrist, surgical, with release of transverse carpal ligament
29850 Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the
knee, with or without manipulation; without internal or external fixation (includes arthroscopy)
29851 Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the
knee, with or without manipulation; with internal or external fixation (includes arthroscopy)
29855 Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes
internal fixation, when performed (includes arthroscopy)
29856 Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes
internal fixation, when performed (includes arthroscopy)
29860 Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure)
29861 Arthroscopy, hip, surgical; with removal of loose body or foreign body
29862 Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty),
abrasion arthroplasty, and/or resection of labrum
29863 Arthroscopy, hip, surgical; with synovectomy
29866 Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of
autograft[s])
29867 Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)
29868 Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal
insertion), medial or lateral
29870 Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)
29871 Arthroscopy, knee, surgical; for infection, lavage and drainage
29873 Arthroscopy, knee, surgical; with lateral release
29874 Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis
dissecans fragmentation, chondral fragmentation)
29875 Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate
procedure)
29876 Arthroscopy, knee, surgical; synovectomy, major, two or more compartments (eg, medial or
lateral)
29877 Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)
29879 Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or
multiple drilling or microfracture
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
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
29882 Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)
29883 Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral)
29884 Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate
procedure)
29885 Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or
without internal fixation (including debridement of base of lesion)
29886 Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion
29887 Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal
fixation
29888 Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction
29889 Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction
29891 Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including
drilling of the defect
29892 Arthroscopically aided repair of large osteochondritis dissecans lesion, talar dome fracture, or
tibial plafond fracture, with or without internal fixation (includes arthroscopy)
29893 Endoscopic plantar fasciotomy
29894 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with removal of loose body or
foreign
29895 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial
29897 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited
29898 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive
29899 Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; with ankle arthrodesis
29904 Arthroscopy, subtalar joint, surgical; with removal of loose body or foreign body
29905 Arthroscopy, subtalar joint, surgical; with synovectomy
29906 Arthroscopy, subtalar joint, surgical; with debridement
29907 Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis
29914 Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion)
29915 Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatment of pincer lesion)
29916 Arthroscopy, hip, surgical; with labral repair
29999 Unlisted procedure, arthroscopy

NEUROPLASTY (EXPLORATION, NEUROLYSIS, OR NREVE DECOMPRESSION


64718 Neuroplasty and/or transposition; ulnar nerve at elbow
64719 Neuroplasty and/or transposition; ulnar nerve at wrist
64721 Neuroplasty and/or transposition; median nerve at carpal tunnel

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