2008 ICD-9 OMFS

5. OPERATIONS ON THE NOSE, MOUTH, AND PHARYNX (21-29)

21 Operations on nose
Includes: operations on:
bone of nose
skin of nose

21.7 Reduction of nasal fracture

21.71 Closed reduction of nasal fracture
21.72 Open reduction of nasal fracture

21.8 Repair and plastic operations on the nose

21.81 Suture of laceration of nose
21.82 Closure of nasal fistula
Nasolabial fistulectomy
Nasopharyngeal fistulectomy
Oronasal fistulectomy
21.83 Total nasal reconstruction
Reconstruction of nose with:
arm flap
forehead flap
21.84 Revision rhinoplasty
Rhinoseptoplasty
Twisted nose rhinoplasty
21.85 Augmentation rhinoplasty
Augmentation rhinoplasty with:
graft
synthetic implant
21.86 Limited rhinoplasty
Plastic repair of nasolabial flaps
Tip rhinoplasty
21.87 Other rhinoplasty
Rhinoplasty NOS
21.88 Other septoplasty
Crushing of nasal septum
Repair of septal perforation
Excludes:
septoplasty associated with submucous resection of septum (21.5)
21.89 Other repair and plastic operations on nose
Reattachment of amputated nose

22.3 External maxillary antrotomy

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22.31 Radical maxillary antrotomy
Removal of lining membrane of maxillary sinus using Caldwell-Luc approach
22.39 Other external maxillary antrotomy
Exploration of maxillary antrum with Caldwell-Luc approach

22.7 Repair of nasal sinus

22.71 Closure of nasal sinus fistula
Repair of oro-antral fistula
22.79 Other repair of nasal sinus
Reconstruction of frontonasal duct
Repair of bone of accessory sinus

22.9 Other operations on nasal sinuses

Exteriorization of maxillary sinus
Fistulization of sinus
Excludes:
dilation of frontonasal duct (96.21)

23 Removal and restoration of teeth

23.0 Forceps extraction of tooth
23.01 Extraction of deciduous tooth
23.09 Extraction of other tooth
Extraction of tooth NOS

23.1 Surgical removal of tooth

23.11 Removal of residual root
23.19 Other surgical extraction of tooth
Odontectomy NOS
Removal of impacted tooth
Tooth extraction with elevation of mucoperiosteal flap

23.2 Restoration of tooth by filling

23.3 Restoration of tooth by inlay

23.4 Other dental restoration

23.41 Application of crown
23.42 Insertion of fixed bridge
23.43 Insertion of removable bridge
23.49 Other

23.5 Implantation of tooth

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23.6 Prosthetic dental implant
Endosseous dental implant

23.7 Apicoectomy and root canal therapy

23.70 Root canal, not otherwise specified
23.71 Root canal therapy with irrigation
23.72 Root canal therapy with apicoectomy
23.73 Apicoectomy

24 Other operations on teeth, gums, and alveoli

24.0 Incision of gum or alveolar bone
Apical alveolotomy

24.1 Diagnostic procedures on teeth, gums, and alveoli

24.11 Biopsy of gum
24.12 Biopsy of alveolus
24.19 Other diagnostic procedures on teeth, gums, and alveoli
Excludes:
dental:
examination (89.31)
x-ray:
full-mouth (87.11)
other (87.12)
microscopic examination of dental specimen (90.81-90.89)

24.2 Gingivoplasty
Gingivoplasty with bone or soft tissue graft

24.3 Other operations on gum

24.31 Excision of lesion or tissue of gum
Excludes:
biopsy of gum (24.11)
excision of odontogenic lesion (24.4)
24.32 Suture of laceration of gum
24.39 Other

24.4 Excision of dental lesion of jaw

Excision of odontogenic lesion

24.5 Alveoloplasty
Alveolectomy (interradicular) (intraseptal) (radical) (simple) (with graft or implant)
Excludes:
biopsy of alveolus (24.12)
en bloc resection of alveolar process and palate (27.32)

24.6 Exposure of tooth

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24.7 Application of orthodontic appliance
Application, insertion, or fitting of:
arch bars
orthodontic obturator
orthodontic wiring
periodontal splint
Excludes:
nonorthodontic dental wiring (93.55)

24.8 Other orthodontic operation

Closure of diastema (alveolar) (dental)
Occlusal adjustment
Removal of arch bars
Repair of dental arch
Excludes:
removal of nonorthodontic wiring (97.33)

24.9 Other dental operations

24.91 Extension or deepening of buccolabial or lingual sulcus
24.99 Other
Excludes:
dental:
debridement (96.54)
examination (89.31)
prophylaxis (96.54)
scaling and polishing (96.54)
wiring (93.55)
fitting of dental appliance [denture] (99.97)
microscopic examination of dental specimen (90.81-90.89)
removal of dental:
packing (97.34)
prosthesis (97.35)
wiring (97.33)
replacement of dental packing (97.22)

25 Operations on tongue
25.0 Diagnostic procedures on tongue
25.01 Closed [needle] biopsy of tongue
25.02 Open biopsy of tongue
Wedge biopsy
25.09 Other diagnostic procedures on tongue

25.1 Excision or destruction of lesion or tissue of tongue

Excludes:
biopsy of tongue (25.01-25.02)

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frenumectomy:
labial (27.41)
lingual (25.92)

25.2 Partial glossectomy

25.3 Complete glossectomy

Glossectomy NOS
Code also any neck dissection (40.40-40.42)

25.4 Radical glossectomy

Code also any:
neck dissection (40.40-40.42)
tracheostomy (31.1-31.29)

25.5 Repair of tongue and glossoplasty

25.51 Suture of laceration of tongue
25.59 Other repair and plastic operations on tongue
Fascial sling of tongue
Fusion of tongue (to lip)
Graft of mucosa or skin to tongue
Excludes:
lysis of adhesions of tongue (25.

25.9 Other operations on tongue

25.91 Lingual frenotomy
Excludes:
labial frenotomy (27.91)
25.92 Lingual frenectomy
Excludes:
labial frenectomy (27.41)
25.93 Lysis of adhesions of tongue
25.94 Other glossotomy
25.99 Other

26 Operations on salivary glands and ducts

Includes: operations on:
lesser salivary gland and duct
parotid gland and duct
sublingual gland and duct
submaxillary gland and duct
Code also any neck dissection (40.40-40.42)

26.0 Incision of salivary gland or duct

26.1 Diagnostic procedures on salivary glands and ducts
26.11 Closed [needle] biopsy of salivary gland or duct
26.12 Open biopsy of salivary gland or duct

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26.19 Other diagnostic procedures on salivary glands and ducts
Excludes:
x-ray of salivary gland (87.09)
26.2 Excision of lesion of salivary gland
26.21 Marsupialization of salivary gland cyst
26.29 Other excision of salivary gland lesion
Excludes:
biopsy of salivary gland (26.11-26.12)
salivary fistulectomy (26.42)

26.3 Sialoadenectomy
26.30 Sialoadenectomy, not otherwise specified
26.31 Partial sialoadenectomy
26.32 Complete sialoadenectomy
En bloc excision of salivary gland lesion
Radical sialoadenectomy

26.4 Repair of salivary gland or duct

26.41 Suture of laceration of salivary gland
26.42 Closure of salivary fistula
26.49 Other repair and plastic operations on salivary gland or duct
Fistulization of salivary gland
Plastic repair of salivary gland or duct NOS
Transplantation of salivary duct opening

26.9 Other operations on salivary gland or duct

26.91 Probing of salivary duct
26.99 Other

27 Other operations on mouth and face

Includes: operations on:
lips
palate
soft tissue of face and mouth, except tongue and gingiva
Excludes:
operations on:
gingiva (24.0-24.99)
tongue (25.01-25.99)

27.0 Drainage of face and floor of mouth

Drainage of:
facial region (abscess)
fascial compartment of face
Ludwig's angina
Excludes:
drainage of thyroglossal tract (06.09)

27.1 Incision of palate

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27.2 Diagnostic procedures on oral cavity
27.21 Biopsy of bony palate
27.22 Biopsy of uvula and soft palate
27.23 Biopsy of lip
27.24 Biopsy of mouth, unspecified structure
27.29 Other diagnostic procedures on oral cavity
Excludes:
soft tissue x-ray (87.09)

27.3 Excision of lesion or tissue of bony palate

27.31 Local excision or destruction of lesion or tissue of bony palate
Local excision or destruction of palate by:
cautery
chemotherapy
cryotherapy
Excludes:
biopsy of bony palate (27.21)
27.32 Wide excision or destruction of lesion or tissue of bony palate
En bloc resection of alveolar process and palate

27.4 Excision of other parts of mouth

27.41 Labial frenectomy
Excludes:
division of labial frenum (27.91)
27.42 Wide excision of lesion of lip
27.43 Other excision of lesion or tissue of lip
27.49 Other excision of mouth
Excludes:
biopsy of mouth NOS (27.24)
excision of lesion of:
palate (27.31-27.32)
tongue (25.1)
uvula (27.72)
fistulectomy of mouth (27.53)
frenectomy of:
lip (27.41)
tongue (25.92)

27.5 Plastic repair of mouth

Excludes:
palatoplasty (27.61-27.69)
27.51 Suture of laceration of lip
27.52 Suture of laceration of other part of mouth
27.53 Closure of fistula of mouth
Excludes:
fistulectomy:
nasolabial (21.82)
oro-antral (22.71)
oronasal (21.82)
27.54 Repair of cleft lip

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27.55 Full-thickness skin graft to lip and mouth
27.56 Other skin graft to lip and mouth
27.57 Attachment of pedicle or flap graft to lip and mouth
27.59 Other plastic repair of mouth

27.6 Palatoplasty
27.61 Suture of laceration of palate
27.62 Correction of cleft palate
Correction of cleft palate by push-back operation
Excludes:
revision of cleft palate repair (27.63)
27.63 Revision of cleft palate repair
Secondary:
attachment of pharyngeal flap
lengthening of palate
27.64 Insertion of palatal implant
27.69 Other plastic repair of palate
Code also any insertion of palatal implant (27.64)
Excludes:
fistulectomy of mouth (27.53)

27.7 Operations on uvula

27.71 Incision of uvula
27.72 Excision of uvula
Excludes:
biopsy of uvula (27.22)
27.73 Repair of uvula
Excludes:
that with synchronous cleft palate repair (27.62)
uranostaphylorrhaphy (27.62)
27.79 Other operations on uvula

27.9 Other operations on mouth and face

27.91 Labial frenotomy
Division of labial frenum
Excludes:
lingual frenotomy (25.91)
27.92 Incision of mouth, unspecified structure
Excludes:
incision of:
gum (24.0)
palate (27.1)
salivary gland or duct (26.0)
tongue (25.94)
uvula (27.71)
27.99 Other operations on oral cavity
Graft of buccal sulcus
Excludes:
removal of:
intraluminal foreign body (98.01)

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penetrating foreign body from mouth without incision (98.22)

14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)

76 Operations on facial bones and joints
Excludes:
accessory sinuses (22.00-22.9)
nasal bones (21.00-21.99)
skull (01.01-02.99)

76.0 Incision of facial bone without division

76.01 Sequestrectomy of facial bone
Removal of necrotic bone chip from facial bone
76.09 Other incision of facial bone
Reopening of osteotomy site of facial bone
Excludes:
osteotomy associated with orthognathic surgery (76.61-76.69)
removal of internal fixation device (76.97)

76.1 Diagnostic procedures on facial bones and joints

76.11 Biopsy of facial bone
76.19 Other diagnostic procedures on facial bones and joints
Excludes:
contrast arthrogram of temporomandibular joint (87.13)
other x-ray (87.11-87.12, 87.14-87.16)

76.2 Local excision or destruction of lesion of facial bone

Excludes:
biopsy of facial bone (76.11)
excision of odontogenic lesion (24.4)

76.3 Partial ostectomy of facial bone

76.31 Partial mandibulectomy
Hemimandibulectomy
Excludes:
that associated with temporomandibular arthroplasty (76.5)
76.39 Partial ostectomy of other facial bone
Hemimaxillectomy (with bone graft or prosthesis)

76.4 Excision and reconstruction of facial bones

76.41 Total mandibulectomy with synchronous reconstruction
76.42 Other total mandibulectomy
76.43 Other reconstruction of mandible
Excludes:
genioplasty (76.67-76.68)
that with synchronous total mandibulectomy (76.41)
76.44 Total ostectomy of other facial bone with synchronous reconstruction
76.45 Other total ostectomy of other facial bone

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76.46 Other reconstruction of other facial bone
Excludes:
that with synchronous total ostectomy (76.44)

76.5 Temporomandibular arthroplasty

76.6 Other facial bone repair and orthognathic surgery

Code also any synchronous:
bone graft (76.91)
synthetic implant (76.92)
Excludes:
reconstruction of facial bones (76.41-76.46)
76.61 Closed osteoplasty [osteotomy] of mandibular ramus
Gigli saw osteotomy
76.62 Open osteoplasty [osteotomy] of mandibular ramus
76.63 Osteoplasty [osteotomy] of body of mandible
76.64 Other orthognathic surgery on mandible
Mandibular osteoplasty NOS
Segmental or subapical osteotomy
76.65 Segmental osteoplasty [osteotomy] of maxilla
Maxillary osteoplasty NOS
76.66 Total osteoplasty [osteotomy] of maxilla
76.67 Reduction genioplasty
Reduction mentoplasty
76.68 Augmentation genioplasty
Mentoplasty:
NOS
with graft or implant
76.69 Other facial bone repair
Osteoplasty of facial bone NOS

76.7 Reduction of facial fracture

Includes: internal fixation
Code also any synchronous:
bone graft (76.91)
synthetic implant (76.92)
Excludes:
that of nasal bones (21.71-21.72)
76.70 Reduction of facial fracture, not otherwise specified
76.71 Closed reduction of malar and zygomatic fracture
76.72 Open reduction of malar and zygomatic fracture
76.73 Closed reduction of maxillary fracture
76.74 Open reduction of maxillary fracture
76.75 Closed reduction of mandibular fracture
76.76 Open reduction of mandibular fracture
76.77 Open reduction of alveolar fracture
Reduction of alveolar fracture with stabilization of teeth

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76.78 Other closed reduction of facial fracture
Closed reduction of orbital fracture
Excludes:
nasal bone (21.71)
76.79 Other open reduction of facial fracture
Open reduction of orbit rim or wall
Excludes:
nasal bone (21.72)

76.9 Other operations on facial bones and joints

76.91 Bone graft to facial bone
Autogenous graft to facial bone
Bone bank graft to facial bone
Heterogenous graft to facial bone
76.92 Insertion of synthetic implant in facial bone
Alloplastic implant to facial bone
76.93 Closed reduction of temporomandibular dislocation
76.94 Open reduction of temporomandibular dislocation
76.95 Other manipulation of temporomandibular joint
76.96 Injection of therapeutic substance into temporomandibular joint
76.97 Removal of internal fixation device from facial bone
Excludes:
removal of:
dental wiring (97.33)
external mandibular fixation device NEC (97.36)
76.99 Other

04 Operations on cranial and peripheral nerves

04.8 Injection into peripheral nerve
Excludes:
destruction of nerve (by injection of neurolytic agent) (04.2)
04.80 Peripheral nerve injection, not otherwise specified
04.81 Injection of anesthetic into peripheral nerve for analgesia
Excludes:
that for operative anesthesia -- omit code
04.89 Injection of other agent, except neurolytic
Excludes:
injection of neurolytic agent (04.2)

05 Operations on sympathetic nerves or ganglia

05.3 Injection into sympathetic nerve or ganglion

Excludes:
injection of ciliary sympathetic ganglion (12.79)
05.31 Injection of anesthetic into sympathetic nerve for analgesia
05.32 Injection of neurolytic agent into sympathetic nerve
05.39 Other injection into sympathetic nerve or ganglion

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