ICD-9-CM Volume 3

ICD-9-CM Volume 3 is a system of procedural codes. It is a subset of ICD-9-CM (volumes 1 and 2 are used for diagnostic codes.)

The United States National Center for Health Statistics drafted ICD-10-PCS in 2000 as a potential replacement for ICD-9-CM Volume 3, but the World Health Organization (WHO) has neither set an implementation date for ICD-10-PCS nor set a phase-out date for ICD-9-CM. Hence, ICD-9-CM Volume 3 is still in effect.

Main sections

(00) Procedures and interventions, not elsewhere classified

() Procedures and interventions, not elsewhere classified

Procedures on blood vessels

Percutaneous angioplasty or atherectomy of precerebral (extracranial) vessel(s)

(01-05) Operations on the nervous system

() Incision and excision of skull, brain, and cerebral meninges

() Craniotomy and craniectomy
() Incision of brain and cerebral meninges

() Lobotomy and tractotomy

() Other excision or destruction of brain and meninges

() Hemispherectomy

() Other operations on skull, brain, and cerebral meninges

() Ventriculostomy

() Operations on spinal cord and spinal canal structures

() Exploration and decompression of spinal canal structures

() Other exploration and decompression of spinal canal

Laminectomy

() Division of intraspinal nerve root

Rhizotomy

() Chordotomy
() Diagnostic procedures on spinal cord and spinal canal structures

() Spinal tap

() Operations on cranial and peripheral nerves

() Incision, division, and excision of cranial and peripheral nerves

() Gasserian ganglionectomy
() Other cranial or peripheral ganglionectomy

() Injection into peripheral nerve

(Injection of anesthetic into peripheral nerve for analgesia

() Operations on sympathetic nerves or ganglia

() Sympathectomy

() Sphenopalatine ganglionectomy
() Other sympathectomy and ganglionectomy

(06-07) Operations on the endocrine system

() Operations on thyroid and parathyroid glands

() Incision of thyroid field
() Diagnostic procedures on thyroid and parathyroid glands
() Unilateral thyroid lobectomy
() Other partial thyroidectomy
() Complete thyroidectomy
() Substernal thyroidectomy
() Excision of lingual thyroid
() Excision of thyroglossal duct or tract
() Parathyroidectomy
() Other operations on thyroid (region) and parathyroid

() Operations on other endocrine glands

() Exploration of adrenal field
() Diagnostic procedures on adrenal glands, pituitary gland, pineal gland, and thymus
() Partial adrenalectomy
() Bilateral adrenalectomy
() Other operations on adrenal glands, nerves, and vessels
() Operations on pineal gland
() Hypophysectomy
() Other operations on hypophysis
() Thymectomy
() Other operations on thymus

(08-16) Operations on the eye

Operations on eyelids

Operations on lacrimal system

Operations on conjunctiva

Operations on cornea

Corneal transplant
Other reconstructive and refractive surgery on cornea

Operations on iris, ciliary body, sclera, and anterior chamber

Operations on lens

Cataract surgery
Phacoemulsification and aspiration of cataract

Operations on retina, choroid, vitreous, and posterior chamber

Removal of foreign body from posterior segment of eye
Diagnostic procedures on retina, choroid, vitreous, and posterior chamber
Destruction of lesion of retina and choroid
Repair of retinal tear
Repair of retinal detachment with scleral buckling and implant
Other repair of retinal detachment
Removal of surgically implanted material from posterior segment of eye
Operations on vitreous
Other operations on retina, choroid, and posterior chamber

Operations on extraocular muscles

Operations on orbit and eyeball

Enucleation of eyeball

(18-20) Operations on the ear

Operations on external ear

Otoplasty NOS

Other operations on external ear

Reconstructive operations on middle ear

Other operations on middle and inner ear

(21-29) Operations on the nose, mouth, and pharynx

() Operations on nose

() Control of epistaxis
() Incision of nose
() Diagnostic procedures on nose
() Local excision or destruction of lesion of nose
() Resection of nose
() Submucous resection of nasal septum
() Turbinectomy
() Reduction of nasal fracture
() Repair and plastic operations on the nose

() Suture of laceration of nose
() Closure of nasal fistula
() Total nasal reconstruction
() Revision rhinoplasty
() Augmentation rhinoplasty
() Limited rhinoplasty
() Other rhinoplasty
() Other septoplasty
() Other repair and plastic operations on nose

() Other operations on nose

() Operations on nasal sinuses

() Removal and restoration of teeth

() Other operations on teeth, gums, and alveoli

() Operations on tongue

Diagnostic procedures on tongue
Excision or destruction of lesion or tissue of tongue
Partial glossectomy
Complete glossectomy
Radical glossectomy
Repair of tongue and glossoplasty
Other operations on tongue

() Operations on salivary glands and ducts

() Other operations on mouth and face

Drainage of face and floor of mouth
Incision of palate
Diagnostic procedures on oral cavity
Excision of lesion or tissue of bony palate
Excision of other parts of mouth

Labial frenectomy
Wide excision of lesion of lip
Other excision of lesion or tissue of lip
Other excision of mouth

Plastic repair of mouth
Palatoplasty
Operations on uvula
Other operations on mouth and face

() Operations on tonsils and adenoids

() Operations on pharynx

(30-34) Operations on the respiratory system

Excision of larynx

Excision or destruction of lesion or tissue of larynx
Hemilaryngectomy
Other partial laryngectomy
Complete laryngectomy
Radical laryngectomy

Other operations on larynx and trachea

Injection of larynx
Temporary tracheostomy
Permanent tracheostomy
Other incision of larynx or trachea
Diagnostic procedures on larynx and trachea
Local excision or destruction of lesion or tissue of trachea
Repair of larynx
Repair and plastic operations on trachea
Other operations on larynx and trachea

Excision of lung and bronchus

Other operations on lung and bronchus

Incision of bronchus
Incision of lung
Diagnostic procedures on lung and bronchus

Bronchoscopy through artificial stoma
Fiber-optic bronchoscopy
Other bronchoscopy
Closed (endoscopic) biopsy of bronchus
Open biopsy of bronchus
Closed (percutaneous) (needle) biopsy of lung
Closed endoscopic biopsy of lung
Open biopsy of lung
Other diagnostic procedures on lung and bronchus

Surgical collapse of lung
Repair and plastic operation on lung and bronchus
Lung transplant
Combined heart-lung transplantation
Other operations on lung and bronchus

Operations on chest wall, pleura, mediastinum, and diaphragm

Incision of chest wall and pleura

Exploratory thoracotomy

Incision of mediastinum
Diagnostic procedures on chest wall, pleura, mediastinum, and diaphragm

Transpleural thoracoscopy
Mediastinoscopy
Biopsy of chest wall
Pleural biopsy
Closed (percutaneous) (needle) biopsy of mediastinum
Open mediastinal biopsy
Biopsy of diaphragm
Other diagnostic procedures on chest wall, pleura, and diaphragm
Other diagnostic procedures on mediastinum

Excision or destruction of lesion or tissue of mediastinum
Excision or destruction of lesion of chest wall
Pleurectomy
Scarification of pleura
Repair of chest wall

Repair of pectus deformity

Operations on diaphragm
Other operations on thorax

Thoracentesis
Injection into thoracic cavity

Chemical pleurodesis

(35-39) Operations on the cardiovascular system

Operations on valves and septa of heart

Closed heart valvotomy
Open heart valvuloplasty without replacement
Replacement of heart valve
Operations on structures adjacent to heart valves
Production of septal defect in heart
Repair of atrial and ventricular septa with prosthesis
Repair of atrial and ventricular septa with tissue graft
Other and unspecified repair of atrial and ventricular septa
Total repair of certain congenital cardiac anomalies
Other operations on valves and septa of heart

Creation of conduit between atrium and pulmonary artery

Fontan procedure

Operations on vessels of heart

Removal of coronary artery obstruction and insertion of stent(s)
Bypass anastomosis for heart revascularization
Heart revascularization by arterial implant
Other heart revascularization
Other operations on vessels of heart

Other operations on heart and pericardium

Maze procedure

Ventricular reduction surgery

Artificial heart

Incision, excision, and occlusion of vessels

Incision of vessel

Thrombectomy

Endarterectomy
Diagnostic procedures on blood vessels
Resection of vessel with anastomosis
Resection of vessel with replacement
Ligation and stripping of varicose veins
Other excision of vessel
Interruption of the vena cava
Other surgical occlusion of vessels
Puncture of vessel

Arterial catheterization
Umbilical vein catheterization
Venous catheterization, not elsewhere classified
Venous cutdown
Venous catheterization for renal dialysis
Other puncture of artery
Other puncture of vein

Other operations on vessels

Systemic to pulmonary artery shunt
Intra-abdominal venous shunt

transjugular intrahepatic portosystemic shunt (TIPS)

Other shunt or vascular bypass
Suture of vessel
Revision of vascular procedure
Other repair of vessels
Extracorporeal circulation and procedures auxiliary to heart surgery

Extracorporeal circulation auxiliary to open heart surgery

Cardiopulmonary bypass

Hypothermia (systemic) incidental to open heart surgery
Cardioplegia
Intraoperative cardiac pacemaker
Extracorporeal membrane oxygenation (ECMO)
Percutaneous cardiopulmonary bypass

Endovascular repair of vessel
Operations on carotid body and other vascular bodies
Other operations on vessels

Insertion of non-drug-eluting peripheral vessel stent(s)
Freeing of vessel
Injection of sclerosing agent into vein
Insertion of vessel-to-vessel cannula
Replacement of vessel-to-vessel cannula
Hemodialysis

Total body perfusion
Other perfusionge, not otherwise specified
Control of hemorrhage, not otherwise specified
Other operations on vessels

(40-41) Operations on the hemic and lymphatic system

() Operations on lymphatic system

() Incision of lymphatic structures
() Diagnostic procedures on lymphatic structures
() Simple excision of lymphatic structure

() Excision of deep cervical lymph node
() Excision of internal mammary lymph node
() Excision of axillary lymph node
() Excision of inguinal lymph node
() Simple excision of other lymphatic structure

Simple lymphadenectomy

() Regional lymph node excision
() Radical excision of cervical lymph nodes

() Radical neck dissection, not otherwise specified
() Radical neck dissection, unilateral
() Radical neck dissection, bilateral

() Radical excision of other lymph nodes
() Operations on thoracic duct
() Other operations on lymphatic structures

() Operations on bone marrow and spleen

() Bone marrow or hematopoietic stem cell transplant
() Puncture of spleen
() Splenotomy
() Diagnostic procedures on bone marrow and spleen
() Excision or destruction of lesion or tissue of spleen

() Marsupialization of splenic cyst
() Excision of lesion or tissue of spleen
() Partial splenectomy

() Total splenectomy
() Other operations on spleen and bone marrow

(42-54) Operations on the digestive system

Operations on esophagus

Excision of esophagus

Esophagectomy, not otherwise specified

Incision and excision of stomach

Gastrotomy
Gastrostomy

Percutaneous (endoscopic) gastrostomy (PEG)

Pyloromyotomy
Local excision or destruction of lesion or tissue of stomach
Partial gastrectomy with anastomosis to esophagus
Partial gastrectomy with anastomosis to duodenum
Partial gastrectomy with anastomosis to jejunum
Other partial gastrectomy
Total gastrectomy

Other operations on stomach

Vagotomy
Gastroenterostomy without gastrectomy

High gastric bypass
Percutaneous (endoscopic) gastrojejunostomy
Laparoscopic gastroenterostomy
Other gastroenterostomy

Incision, excision, and anastomosis of intestine

Diagnostic procedures on small intestine

Transabdominal endoscopy of small intestine
Endoscopy of small intestine through artificial stoma
Other endoscopy of small intestine

Esophagogastroduodenoscopy (EGD)

Closed (endoscopic) biopsy of small intestine
Open biopsy of small intestine
Esophagogastroduodenoscopy (EGD) with closed biopsy
Other diagnostic procedures on small intestine

Diagnostic procedures on large intestine

Colonoscopy

Partial excision of large intestine

Right hemicolectomy

Total intra-abdominal colectomy

Other operations on intestine

Myotomy of sigmoid colon
Myotomy of other parts of colon
Revision of anastomosis of small intestine

jejunoileal bypass

Revision of anastomosis of large intestine
Local perfusion of small intestine
Local perfusion of large intestine
Transplant of intestine
Other

Operations on appendix

Appendectomy

Operations on rectum, rectosigmoid and perirectal tissue

Diagnostic procedures on rectum, rectosigmoid and perirectal tissue

Transabdominal proctosigmoidoscopy
Proctosigmoidoscopy through artificial stoma
Rigid proctosigmoidoscopy
Closed (endoscopic) biopsy of rectum
Open biopsy of rectum
Biopsy of perirectal tissue
Other diagnostic procedures on rectum, rectosigmoid and perirectal tissue

Operations on anus

Incision or excision of perianal tissue
Incision or excision of anal fistula
Diagnostic procedures on anus and perianal tissue
Local excision or destruction of other lesion or tissue of anus
Procedures on hemorrhoids

Excision of hemorrhoids

Hemorrhoidectomy NOS

Division of anal sphincter

Operations on liver

Hepatotomy
Diagnostic procedures on liver
Local excision or destruction of liver tissue or lesion

Marsupialization of lesion of liver
Partial hepatectomy
Other destruction of lesion of liver

Lobectomy of liver
Total hepatectomy
Liver transplant
Repair of liver
Other operations on liver

Operations on gallbladder and biliary tract

Cholecystotomy and cholecystostomy
Diagnostic procedures on biliary tract

Endoscopic retrograde cholangiopancreatography (ERCP)

Cholecystectomy
Anastomosis of gallbladder or bile duct
Incision of bile duct for relief of obstruction
Other incision of bile duct
Local excision or destruction of lesion or tissue of biliary ducts and sphincter of Oddi
Repair of bile ducts
Other operations on biliary ducts and sphincter of Oddi
Other operations on biliary tract

Operations on pancreas

Pancreatotomy
Diagnostic procedures on pancreas
Local excision or destruction of pancreas and pancreatic duct
Marsupialization of pancreatic cyst
Internal drainage of pancreatic cyst
Partial pancreatectomy
Total pancreatectomy
Radical pancreaticoduodenectomy
Transplant of pancreas
Other operations on pancreas

Anastomosis of pancreas

Repair of hernia

herniorrhaphy

Other operations on abdominal region

Laparotomy
Other operations of abdominal region

Percutaneous abdominal drainage

Paracentesis

(55-59) Operations on the urinary system

() Operations on kidney

() Nephrotomy and nephrostomy

() Nephrostomy

() Pyelotomy and pyelostomy
() Diagnostic procedures on kidney
() Local excision or destruction of lesion or tissue of kidney
() Partial nephrectomy
() Complete nephrectomy
() Transplant of kidney
() Nephropexy
() Other repair of kidney
() Other operations on kidney

() Operations on ureter

() Transurethral removal of obstruction from ureter and renal pelvis
() Ureteral meatotomy
() Ureterotomy
() Diagnostic procedures on ureter

() Ureteroscopy

() Formation of other cutaneous ureterostomy

Ureterostomy NOS

() Other anastomosis or bypass of ureter

() Urinary diversion to intestine

Internal urinary diversion NOS

() Repair of ureter
() Other operations on ureter

() Operations on urinary bladder

() Transurethral clearance of bladder
() Cystotomy and cystostomy
() Vesicostomy
() Diagnostic procedures on bladder
() Transurethral excision or destruction of bladder tissue
() Other excision or destruction of bladder tissue
() Partial cystectomy
() Total cystectomy
() Other repair of urinary bladder
() Other operations on bladder

() Operations on urethra

() Suture of laceration of kidney
() Closure of nephrostomy and pyelostomy
() Closure of other fistula of kidney
() Reduction of torsion of renal pedicle
() Symphysiotomy for horseshoe kidney
() Anastomosis of kidney
() Correction of ureteropelvic junction
() Other

() Other operations on urinary tract

(60-64) Operations on the male genital organs

() Operations on prostate and seminal vesicles

() Incision of prostate
() Diagnostic procedures on prostate and seminal vesicles
() Transurethral prostatectomy

() Transurethral (ultrasound) guided laser induced prostatectomy (TULIP)
() Other transurethral prostatectomy

Transurethral resection of prostate (TURP)

() Suprapubic prostatectomy
() Retropubic prostatectomy
() Radical prostatectomy
() Other prostatectomy
() Operations on seminal vesicles
() Incision or excision of periprostatic tissue
() Other operations on prostate

() Operations on scrotum and tunica vaginalis

() Operations on testes

() Operations on spermatic cord, epididymis, and vas deferens

Vasectomy and ligation of vas deferens

Vasectomy

Repair of vas deferens and epididymis

Reconstruction of surgically divided vas deferens

() Operations on penis

() Circumcision
() Diagnostic procedures on the penis
() Local excision or destruction of lesion of penis
() Amputation of penis
() Repair and plastic operation on penis
() Operations for sex transformation, not elsewhere classified
() Other operations on male genital organs

Dorsal or lateral slit of prepuce
Incision of penis
Division of penile adhesions
Fitting of external prosthesis of penis

Penile prosthesis NOS

Insertion or replacement of non-inflatable penile prosthesis
Removal of internal prosthesis of penis
Insertion or replacement of inflatable penile prosthesis
Other operations on penis
Other

(65-71) Operations on the female genital organs

() Operations on ovary

() Oophorotomy
() Diagnostic procedures on ovaries
() Local excision or destruction of ovarian lesion or tissue
() Unilateral oophorectomy
() Unilateral salpingo-oophorectomy
() Bilateral oophorectomy
() Bilateral salpingo-oophorectomy
() Repair of ovary
() Lysis of adhesions of ovary and fallopian tube
() Other operations on ovary

() Operations on fallopian tubes

() Salpingotomy and salpingostomy
() Diagnostic procedures on fallopian tubes
() Bilateral endoscopic destruction or occlusion of fallopian tubes
() Other bilateral destruction or occlusion of fallopian tubes
() Total unilateral salpingectomy
() Total bilateral salpingectomy
() Other salpingectomy
() Repair of fallopian tube
() Insufflation of fallopian tube
() Other operations on fallopian tubes

() Operations on cervix

() Other incision and excision of uterus

Hysterotomy
Diagnostic procedures on uterus and supporting structures

Hysteroscopy

Excision or destruction of lesion or tissue of uterus
Subtotal abdominal hysterectomy
Total abdominal hysterectomy
Vaginal hysterectomy
Radical abdominal hysterectomy
Radical vaginal hysterectomy
Pelvic exenteration
Other and unspecified hysterectomy

() Other operations on uterus and supporting structures

Dilation and curettage of uterus
Excision or destruction of lesion or tissue of uterus and supporting structures
Repair of uterine supporting structures
Paracervical uterine denervation
Uterine repair
Aspiration curettage of uterus
Menstrual extraction or regulation
Insertion of intrauterine contraceptive device
Other operations on uterus, cervix, and supporting structures

() Operations on vagina and rectouterine pouch

Culdocentesis
Incision of vagina and rectouterine pouch

Diagnostic procedures on vagina and rectouterine pouch
Local excision or destruction of vagina and rectouterine pouch
Obliteration and total excision of vagina

Vaginectomy

Repair of cystocele and rectocele
Vaginal construction and reconstruction
Other repair of vagina
Obliteration of vaginal vault
Other operations on vagina and rectouterine pouch

() Operations on vulva and perineum

Incision of vulva and perineum
Diagnostic procedures on vulva
Operations on Bartholin's gland
Other local excision or destruction of vulva and perineum
Operations on clitoris
Radical vulvectomy
Other vulvectomy
Repair of vulva and perineum
Other operations on vulva
Other operations on female genital organs

(72-75) Obstetrical procedures

Forceps, vacuum, and breech delivery

Other procedures inducing or assisting delivery

Artificial rupture of membranes

Amniotomy

Other surgical induction of labor
Internal and combined version and extraction
Failed forceps
Medical induction of labor
Manually assisted delivery
Episiotomy
Operations on fetus to facilitate delivery
Other operations assisting delivery
External version
Replacement of prolapsed umbilical cord
Incision of cervix to assist delivery
Pubiotomy to assist delivery

Obstetrical symphysiotomy

Other

Cesarean section and removal of fetus

Other obstetric operations

Intra-amniotic injection for abortion
Diagnostic amniocentesis
Intrauterine transfusion
Other intrauterine operations on fetus and amnion

Amnioscopy

Fetal EKG (scalp)
Fetal blood sampling and biopsy

Chorionic villus sampling

Other fetal monitoring
Other diagnostic procedures on fetus and amnion
Correction of fetal defect
Amnioinfusion
Fetal pulse oximetry

Manual removal of retained placenta
Repair of current obstetric laceration of uterus
Repair of other current obstetric laceration
Manual exploration of uterine cavity, postpartum
Obstetric tamponade of uterus or vagina
Other obstetric operations

(76-84) Operations on the musculoskeletal system

() Operations on facial bones and joints

Augmentation genioplasty

Mentoplasty NOS

() Incision, excision, and division of other bones

() Other operations on bones, except facial bones

() Reduction of fracture and dislocation

() Incision and excision of joint structures

Arthroscopy
Excision or destruction of intervertebral disc

Excision of intervertebral disc

Diskectomy

() Repair and plastic operations on joint structures

Spinal fusion
Arthrodesis and arthroereisis of foot and ankle
Arthrodesis of other joint
Refusion of spine
Other repair of joint of lower extremity
Joint replacement of lower extremity

Total hip replacement
Partial hip replacement
Revision of hip replacement, not otherwise specified
Total knee replacement
Revision of knee replacement, not otherwise specified
Total ankle replacement
Replacement of joint of foot and toe
Revision of joint replacement of lower extremity, not elsewhere classified

Other procedures on spine
Arthroplasty and repair of hand, fingers and wrist
Arthroplasty and repair of shoulder and elbow

Total shoulder replacement
Partial shoulder replacement
Repair of recurrent dislocation of shoulder
Other repair of shoulder
Total elbow replacement
Other repair of elbow

Other operations on joint structures

() Operations on muscle, tendon, and fascia of hand

Incision of [[muscle, tendon, fascia, and bursa of hand
Division of muscle, tendon, and fascia of hand
Excision of lesion of muscle, tendon, and fascia of hand
Other excision of soft tissue of hand
Suture of muscle, tendon, and fascia of hand
Transplantation of muscle and tendon of hand
Reconstruction of thumb
Plastic operation on hand with graft or implant
Other plastic operations on hand
Other operations on muscle, tendon, and fascia of hand

() Operations on muscle, tendon, fascia, and bursa, except hand

Incision of muscle, tendon, fascia, and bursa

Division of muscle, tendon, and fascia

Diagnostic procedures on muscle, tendon, fascia, and bursa, including that of hand
Excision of lesion of muscle, tendon, fascia, and bursa
Other excision of muscle, tendon, and fascia
Bursectomy
Suture of muscle, tendon, and fascia
Reconstruction of muscle and tendon
Other plastic operations on muscle, tendon, and fascia
Other operations on muscle, tendon, fascia, and bursa

() Other procedures on musculoskeletal system

Amputation of upper limb
Amputation of lower limb

Lower limb amputation, not otherwise specified
Amputation of toe
Amputation through foot
Disarticulation of ankle
Amputation of ankle through malleoli of tibia and fibula
Other amputation below knee
Disarticulation of knee
Amputation above knee
Disarticulation of hip
Abdominopelvic amputation

Hemipelvectomy

Reattachment of extremity
Revision of amputation stump
Implantation or fitting of prosthetic limb device
Implantation of other musculoskeletal devices and substances

Insertion of interbody spinal fusion device
Insertion of recombinant bone morphogenetic protein
Implantation of internal limb lengthening device with kinetic distraction
Implantation of other internal limb lengthening device
Insertion of bone void filler
Insertion of (cement) spacer
Removal of (cement) spacer
Implantation of interspinous process decompression device
Insertion of other spinal devices

Replacement of spinal disc
Adjunct codes for external fixator devices
Other operations on musculoskeletal system

(85-86) Operations on the integumentary system

() Operations on the breast

() Mastotomy
() Diagnostic procedures on breast
() Excision or destruction of breast tissue

() Local excision of lesion of breast

Lumpectomy

() Reduction mammoplasty and subcutaneous mammectomy
() Mastectomy
() Augmentation mammoplasty
() Mastopexy
() Total reconstruction of breast
() Other repair and plastic operations on breast
() Other operations on the breast

() Operations on skin and subcutaneous tissue

() Incision of skin and subcutaneous tissue

(Aspiration of skin and subcutaneous tissue
(Injection or tattooing of skin lesion or defect
(Incision of pilonidal sinus or cyst
(Other incision with drainage of skin and subcutaneous tissue
(Incision with removal of foreign body or device from skin and subcutaneous tissue
(Insertion of totally implantable infusion pump
(Insertion of totally implantable vascular access device (VAD)
(Other incision of skin and subcutaneous tissue