| Code |
Description |
| 120104 |
Injection(s) into Single Tendon at Origin/Insertion |
| 120106 |
Single or Multiple Trigger Point Injection(s), Three or More Muscle(s) |
| 120108 |
Image-Guided Joint Infiltration Major Joints |
| 120111 |
Forced Joint Mobilization -Under Anesthesia + Arthroscopic Arthrolysis-Knee |
| 120416 |
Bloodless Reduction and Immobilization of Fracture of 1 or More Tarsal Bones |
| 120421 |
Bloodless Reduction and Immobilization of Tibia and Fibula Fractures |
| 120423 |
Bloodless Reduction of Fibula Fracture with External Fixation |
| 120424 |
Cruel Treatment of Scapula Fracture with or without Internal Fixation |
| 120510 |
Tratamiento Cruento de Fractura de Escapula con o sin Fijación Interna |
| 120513 |
Crude Treatment of Proximal Humerus Fracture with Shoulder Dislocation with or without Internal Fixation |
| 120514 |
Cruel Treatment of Distal Humerus Fracture with Internal Fixation, Includes Exploration of the Radial and Ulnar Nerve |
| 120516 |
Cruel Treatment of Distal Radius Fracture with Arthroscopic Assistance |
| 120523 |
Cruel Treatment of Distal Femur Fracture with Joint Compromise with Plate and Screws |
| 120524 |
Cruel Treatment of Distal Femur Fracture without Joint Compromise with Plate and Screws |
| 120525 |
Cruel Treatment of Diaphysis Tibia or Fibula Fracture with or without Cerclage |
| 120526 |
Bloody Treatment of Tibia Plates or Tuberosities Fractures |
| 120527 |
Cruel Treatment of Non-Articular Proximal Tibia Fracture with Plate and/or Screws |
| 120528 |
Cruel Treatment of Proximal Tibia Joint Fracture with Plate and/or Screws |
| 120529 |
Cruel Treatment of Proximal Tibia Joint Fracture with Bone Graft Plate and Screws |
| 120531 |
Crude Treatment by Arthroscopy of Fracture Plates or Tibia Tuberosities with Internal Fixation |
| 120532 |
Cruelty Arthroscopy Treatment of Distal Tibia Fracture with Internal Fixation |
| 120539 |
Surgical Treatment of Metacarpal Fracture of each Finger without Displacement |
| 120540 |
Surgical Treatment Metacarpal Fracture of each Finger with Displacement |
| 120805 |
Tibia and Fibula Osteotomy with or without Fixation |
| 120809 |
Talar or Calcaneus Osteotomy with no Fixation |
| 120914 |
Carpal Lengthening or Shortening Osteoplasty – Metacarpal |
|
Arthroscopic Surgery, Shoulder – Arthroscopic Rotator Cuff Repair + Supraspinatus and Infraspinatus Tenoplasty |
| 121021 |
Arthroscopic Surgery, Shoulder – Arthroscopic Rotator Cuff Repair + Supraspinatus and Infraspinatus Tenoplasty + Subscapularis Repair |
| 121022 |
Arthroscopic Surgery, Shoulder – Arthroscopic Rotator Cuff Repair + Supraspinatus and Infraspinatus Tenoplasty + Subscapularis Repair Plus Tenotomy AND/OR Bicipital Tenodesis |
| 121023 |
Arthroscopic Surgery, Shoulder – Arthroscopic Rotator Cuff Repair + Supraspinatus and Infraspinatus Tenoplasty + Subscapularis Repair Plus Bicipital Tenotomy and/or Tenodesis and Superior Capsule Reconstruction or Augmentation with Graft |
| 121030 |
Arthroscopic Knee Surgery Anterior Cruciate Ligament Reconstruction |
| 121031 |
Arthroscopic Knee Surgery Posterior Cruciate Ligament Reconstruction |
| 121032 |
Arthroscopic Knee Surgery Multiligamentary Reconstruction |
| 121033 |
Arthroscopic Knee Surgery Meniscal Suture |
| 121034 |
Arthroscopic Meniscal Reattachment Surgery |
| 121035 |
Autologous Osteochondral Implant More Arthroscopic Surgery |
| 121036 |
Arthroscopic Surgery for Microperforations (Pridie) |
| 121038 |
Arthroscopic Knee Surgery with Meniscal Remodeling |
| 121105 |
Hip Arthroplasty with Total Prosthesis |
| 121107 |
Revision of Total Hip Arthroplasty; Both Components, with or without Autologous Graft or Allograft |
| 121108 |
Revision of Total Hip Arthroplasty; Acetabular Component Only, with or without Autologous Graft or Allograft |
| 121109 |
Hip Arthroplasty with Non-Conventional Prosthesis for Neoplasia |
| 121110 |
Review of Non-Conventional Prosthesis for Neoplasia |
| 121111 |
Revision of Total Hip Arthroplasty; Femoral Component Only, with or without Allograft |
| 121115 |
Shoulder Arthroplasty with Prosthesis |
| 121117 |
Primary Knee Arthroplasty, Posterior Stabilized |
| 121118 |
Revision Knee Arthroplasty |
| 121122 |
Wrist-Scaphoid Arthroplasty with Prosthetic Replacement |
| 121218 |
Ankle Arthrodesis |
| 121220 |
Midtarsal or Metatarsal Arthrodesis One Joint |
| 121222 |
Full Wrist Arthrodesis without Bone Graft |
| 121223 |
Wrist Arthrodesis with Sliding Graft |
| 121224 |
Wrist Arthrodesis with Autologous Graft |
| 121226 |
Interphalangeal Arthrodesis with Bone Graft |
| 121308 |
Lateral Elbow Ligament Repair |
| 121310 |
Capsulorrhaphy or Open Wrist Reconstruction, Any Method (Includes Synovectomy, Capsulotomy and Open Reduction) for Carpal Instability |
| 121315 |
Hip Capsulotomy |
| 121317 |
Ankle Ligament Repair |
| 121318 |
Metatarsophalangeal Joint Capsulotomy |
| 121411 |
Bloodless Reduction + Immobilization of the Foot Not Involving the Talotarsal |
| 121511 |
Cruentious Treatment of Scpulohumeral Dislocation with Bone Graft and Tenorrhaphy. Latarjet |
| 121518 |
Bloody Ankle Dislocation Treatment + Internal / External Fixation |
| 121523 |
Cruent Treatment of Metatarsophalangeal Dislocation with Internal Fixation |
| 121711 |
Suture Flexor Tendons Forearm and/or Wrist Primary / Secondary each Tendon |
| 121714 |
Thumb Opposition Restoration |
| 121716 |
Repair and Suture – Hand Extensor Tendon Tenorrhaphy without Graft. Each Tendon |
| 121717 |
Repair and Suture – Hand Extensor Tendon Tenorrhaphy with Graft. Each Tendon |
| 121718 |
Repair and Suture – Extensor Tendon Tenorrhaphy with Prosthetic Rod |
| 121719 |
Repair and Suture -Tenorrhaphy of Finger Extensor Tendon without Graft. Each Tendon |
| 121720 |
Repair and Suture -Tenorrhaphy of Finger Extensor Tendon with Graft. Each Tendon |
| 121721 |
Repair and Suture -Tenorrhaphy of Tendon of Arm or Elbow |
| 121722 |
Repair and Suture -Tenorrhaphy of Extensor Tendon of the Forearm and/or Wrist |
| 121726 |
Wrist Ganglion Excussion – Recurrent |
| 121727 |
Wrist Ganglion Excision by Arthroscopy |
| 121733 |
Tendon Transplant or Transfer, Palmar; without Free Tendon Graft, Each Tendon |
| 121734 |
Tendon Transplant or Transfer, Palmar; with Free Tendon Graft (Includes Obtaining the Graft), Each Tendon |
| 121735 |
Tendon Transfer to Restore Intrinsic Function; All Fingers (Except Thumb) |
| 121736 |
Tennoplasty with Lengthening or Shortening or Tendon Graft or Transfer Feet |
| 121737 |
Open/Partial Palmar Fasciotomy |
| 121738 |
Percutaneous Palmar Fasciotomy |
| 121739 |
Tx.Qx. of The Syndactyla with Skin Flaps |
| 121740 |
Tx.Qx. of The Syndactyla with Skin Flaps + Grafts |
| 121741 |
Tx.Qx. of La Sindáctila with Bone Compromise |
| 121742 |
Primary Open or Percutaneous Achilles Tenorrhaphy |
| 121743 |
Primary Open or Percutaneous Achilles Tenorrhaphy with Graft |
| 121745 |
Decompressive Fasciotomy, Forearm and/or Wrist, Flexor Muscle without Muscle Debridement |
| 121746 |
Decompressive Fasciotomy, Forearm and/or Wrist, Flexor Muscle with Muscle Debridement |
| 121747 |
Decompressive Fasciotomy Hand |
| 121748 |
Hip/Thigh Fasciotomy |
| 121749 |
Knee/Leg Fasciotomy |
| 121809 |
Amputation, Metatarsal with Toe |
| 121907 |
PClubfoot |
| 121908 |
Cavus Foot |
| 121909 |
Flatfoot |
| 121910 |
Varus Equine or Equine Foot |
| 121911 |
Hallus Valgus, Hallus Varus – Cheilectomy, Capsular Release |
| 121912 |
Hallus Valgus, Hallus Varus Simple Exostomy |
| 121913 |
Hallus Valgus, Hallus Varus Keller Type Procedure |
| 121914 |
Hallus Valgus, Hallus Varus with Tendon Transplant |
| 121915 |
Hallus Valgus,Hallus Varus with Metatarsal Osteotomy |
| 121916 |
Hallus Valgus,Hallus Varus Lapidus Type Procedure |
| 121917 |
Hallus Valgus,Hallus Varus Phalanx Osteotomy |
| 121918 |
Hallus Valgus,Hallus Varus Other Methods |
| 122007 |
Radical Resection of Tumor, Soft Tissue of Pelvis and Hip Region (E.g. Malignant Neoplasia); Less than 5.0cm |
| 122008 |
Radical Resection of Soft Tissue Tumor of 5cm or More – Mmii |
| 122009 |
Radical Resection of Soft Tissue Tumor of 5cm or More – Mmss |
| 122010 |
Radical Resection of Tumor, (Ex. Malignant Neoplasm), of Soft Tissues of the Pelvis and Hip, 5.0 Cm or More |
| 122107 |
Hand Finger Transfer to Another Position |
