Section 0 Medical and Surgical Axis 3 Operation Row Term Dilation Includes Delete Percutaneous transluminal angioplasty, pyloromyotomy Includes Add Percutaneous transluminal angioplasty, internal urethrotomy Axis 4 Body Part Row Delete Term Delete Ascending Colon Includes Delete Hepatic flexure Row Term Cervical Vertebra Includes Add Dens Includes Add Odontoid process Includes Add Transverse foramen Includes Add Transverse process Includes Add Vertebral body Row Delete Term Delete Epidural Space Includes Delete Epidural space, intracranial Includes Delete Extradural space, intracranial Row Delete Term Delete Frontal Bone, Left Term Delete Frontal Bone, Right Includes Delete Zygomatic process of frontal bone Row Delete Term Delete Greater Omentum Includes Delete Gastrocolic ligament Includes Delete Gastrocolic omentum Includes Delete Gastrophrenic ligament Includes Delete Gastrosplenic ligament Row Delete Term Delete Greater Saphenous Vein, Left Term Delete Greater Saphenous Vein, Right Includes Delete External pudendal vein Includes Delete Great saphenous vein Includes Delete Superficial circumflex iliac vein Includes Delete Superficial epigastric vein Row Delete Term Delete Lesser Omentum Includes Delete Gastrohepatic omentum Includes Delete Hepatogastric ligament Row Delete Term Delete Lesser Saphenous Vein, Left Term Delete Lesser Saphenous Vein, Right Includes Delete Small saphenous vein Row Add Term Add Epidural Space, Intracranial Includes Add Extradural space, intracranial Row Add Term Add Frontal Bone Includes Add Zygomatic process of frontal bone Row Add Term Add Lower Artery Includes Add Umbilical artery Row Add Term Add Lower Spine Bursa and Ligament Includes Add Iliolumbar ligament Includes Add Interspinous ligament Includes Add Intertransverse ligament Includes Add Ligamentum flavum Includes Add Sacrococcygeal ligament Includes Add Sacroiliac ligament Includes Add Sacrospinous ligament Includes Add Sacrotuberous ligament Includes Add Supraspinous ligament Row Term Lumbar Vertebra Includes Add Transverse process Includes Add Vertebral body Row Delete Term Delete Maxilla, Left Term Delete Maxilla, Right Includes Delete Alveolar process of maxilla Row Delete Term Delete Metacarpocarpal Joint, Left Term Delete Metacarpocarpal Joint, Right Includes Delete Carpometacarpal (CMC) joint Row Delete Term Delete Metatarsal-Tarsal Joint, Left Term Delete Metatarsal-Tarsal Joint, Right Includes Delete Tarsometatarsal joint Row Delete Term Delete Nose Includes Delete Columella Includes Delete External naris Includes Delete Greater alar cartilage Includes Delete Internal naris Includes Delete Lateral nasal cartilage Includes Delete Lesser alar cartilage Includes Delete Nasal cavity Includes Delete Nostril Row Delete Term Delete Occipital Bone, Left Term Delete Occipital Bone, Right Includes Delete Foramen magnum Row Add Term Add Maxilla Includes Add Alveolar process of maxilla Row Add Term Add Nasal Mucosa and Soft Tissue Includes Add Columella Includes Add External naris Includes Add Greater alar cartilage Includes Add Internal naris Includes Add Lateral nasal cartilage Includes Add Lesser alar cartilage Includes Add Nasal cavity Includes Add Nostril Row Add Term Add Occipital Bone Includes Add Foramen magnum Row Add Term Add Omentum Includes Add Gastrocolic ligament Includes Add Gastrocolic omentum Includes Add Gastrohepatic omentum Includes Add Gastrophrenic ligament Includes Add Gastrosplenic ligament Includes Add Greater Omentum Includes Add Hepatogastric ligament Includes Add Lesser Omentum Row Term Pharynx Includes Add Lingual tonsil Row Delete Term Delete Sphenoid Bone, Left Term Delete Sphenoid Bone, Right Includes Delete Greater wing Includes Delete Lesser wing Includes Delete Optic foramen Includes Delete Pterygoid process Includes Delete Sella turcica Row Delete Term Delete Subarachnoid Space Includes Delete Subarachnoid space, intracranial Row Delete Term Delete Subcutaneous Tissue and Fascia, Anterior Neck Includes Delete Deep cervical fascia Includes Delete Pretracheal fascia Row Delete Term Delete Subcutaneous Tissue and Fascia, Posterior Neck Includes Delete Prevertebral fascia Row Delete Term Delete Subdural Space Includes Delete Subdural space, intracranial Row Add Term Add Rib(s) Bursa and Ligament Includes Add Costotransverse ligament Includes Add Costoxiphoid ligament Includes Add Sternocostal ligament Row Add Term Add Saphenous Vein, Left Term Add Saphenous Vein, Right Includes Add External pudendal vein Includes Add Great(er) saphenous vein Includes Add Lesser saphenous vein Includes Add Small saphenous vein Includes Add Superficial circumflex iliac vein Includes Add Superficial epigastric vein Row Add Term Add Sphenoid Bone Includes Add Greater wing Includes Add Lesser wing Includes Add Optic foramen Includes Add Pterygoid process Includes Add Sella turcica Row Add Term Add Sternum Bursa and Ligament Includes Add Costotransverse ligament Includes Add Costoxiphoid ligament Includes Add Sternocostal ligament Row Add Term Add Subcutaneous Tissue and Fascia, Left Neck Includes Add Deep cervical fascia Includes Add Pretracheal fascia Includes Add Prevertebral fascia Row Add Term Add Subcutaneous Tissue and Fascia, Right Neck Includes Add Deep cervical fascia Includes Add Pretracheal fascia Includes Add Prevertebral fascia Row Term Thoracic Vertebra Includes Add Transverse process Includes Add Vertebral body Row Delete Term Delete Thorax Bursa and Ligament, Left Term Delete Thorax Bursa and Ligament, Right Includes Delete Costotransverse ligament Includes Delete Costoxiphoid ligament Includes Delete Sternocostal ligament Row Term Tongue Includes Delete Lingual tonsil Row Term Transverse Colon Includes Add Hepatic flexure Row Delete Term Delete Trunk Bursa and Ligament, Left Term Delete Trunk Bursa and Ligament, Right Includes Delete Iliolumbar ligament Includes Delete Interspinous ligament Includes Delete Intertransverse ligament Includes Delete Ligamentum flavum Includes Delete Pubic ligament Includes Delete Sacrococcygeal ligament Includes Delete Sacroiliac ligament Includes Delete Sacrospinous ligament Includes Delete Sacrotuberous ligament Includes Delete Supraspinous ligament Row Add Term Add Upper Spine Bursa and Ligament Includes Add Interspinous ligament Includes Add Intertransverse ligament Includes Add Ligamentum flavum Includes Add Supraspinous ligament Axis 6 Device Row Delete Term Delete External Heart Assist System in Heart and Great Vessels Includes Delete Biventricular external heart assist system Includes Delete BVS 5000 Ventricular Assist Device Includes Delete Centrimag(R) Blood Pump Includes Delete TandemHeart(R) System Includes Delete Thoratec Paracorporeal Ventricular Assist Device Row Term Extraluminal Device Includes Delete TigerPaw(R) system for closure of left atrial appendage Includes Add AtriClip LAA Exclusion System Row Term Implantable Heart Assist System in Heart and Great Vessels Includes Add HeartMate 3(tm) LVAS Row Delete Term Delete Neurostimulator Lead in Central Nervous System Includes Delete Cortical strip neurostimulator lead Includes Delete DBS lead Includes Delete Deep brain neurostimulator lead Includes Delete RNS System lead Includes Delete Spinal cord neurostimulator lead Row Delete Term Delete Synthetic Substitute, Ceramic on Polyethylene for Replacement in Lower Joints Includes Delete Oxidized zirconium ceramic hip bearing surface Row Delete Term Delete Vascular Access Device in Subcutaneous Tissue and Fascia Includes Delete Tunneled central venous catheter Includes Delete Vectra(R) Vascular Access Graft Row Delete Term Delete Vascular Access Device, Reservoir in Subcutaneous Tissue and Fascia Includes Delete Implanted (venous)(access) port Includes Delete Injection reservoir, port Includes Delete Subcutaneous injection reservoir, port Row Add Term Add Neurostimulator Lead in Central Nervous System and Cranial Nerves Includes Add Cortical strip neurostimulator lead Includes Add DBS lead Includes Add Deep brain neurostimulator lead Includes Add RNS System lead Includes Add Spinal cord neurostimulator lead Row Add Term Add Radioactive Element, Cesium-131 Collagen Implant for Insertion in Central Nervous System and Cranial Nerves Includes Add Cesium-131 Collagen Implant Includes Add GammaTile(tm) Row Add Term Add Short-term External Heart Assist System in Heart and Great Vessels Includes Add Biventricular external heart assist system Includes Add BVS 5000 Ventricular Assist Device Includes Add Centrimag(R) Blood Pump Includes Add Impella(R) heart pump Includes Add TandemHeart(R) System Includes Add Thoratec Paracorporeal Ventricular Assist Device Row Add Term Add Synthetic Substitute, Oxidized Zirconium on Polyethylene for Replacement in Lower Joints Includes Add OXINIUM Row Add Term Add Vascular Access Device, Totally Implantable in Subcutaneous Tissue and Fascia Includes Add Implanted (venous)(access) port Includes Add Injection reservoir, port Includes Add Subcutaneous injection reservoir, port Row Add Term Add Vascular Access Device, Tunneled in Subcutaneous Tissue and Fascia Includes Add Tunneled central venous catheter Includes Add Vectra(R) Vascular Access Graft Section 1 Obstetrics Axis 3 Operation Row Term Change Explanation Delete All CHANGE procedures are coded using the approach EXTERNAL Row Term Drainage Explanation Delete The qualifier DIAGNOSTIC is used to identify drainage procedures that are biopsies Row Term Extraction Explanation Delete The qualifier DIAGNOSTIC is used to identify extraction procedures that are biopsies Section 3 Administration Axis 5 Approach Row Add Term Add Percutaneous Endoscopic Definition Add Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach and visualize the site of the procedure Section 5 Revise from Extracorporeal Assistance and Performance Section 5 Revise to Extracorporeal or Systemic Assistance and Performance Section 6 Revise from Extracorporeal Therapies Section 6 Revise to Extracorporeal or Systemic Therapies Section F Physical Rehabilitation and Diagnostic Audiology Axis 5 Type Qualifier Row Delete Term Delete Neurophysiologic Intraoperative Definition Delete Monitors neural status during surgery Row Term Prosthesis Definition Artificial substitutes for missing body parts that augment performance or function Includes Add Limb prosthesis, ocular prosthesis Section X New Technology Axis 3 Operation Row Delete Term Delete Insertion Definition Delete Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part Includes Delete Insertion of radioactive implant, insertion of central venous catheter Row Delete Term Delete Removal Definition Delete Taking out or off a device from a body part Explanation Delete If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL Includes Delete Drainage tube removal, cardiac pacemaker removal Row Delete Term Delete Revision Definition Delete Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device Explanation Delete Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin Includes Delete Adjustment of position of pacemaker lead, recementing of hip prosthesis Axis 5 Approach Row Delete Term Delete Via Natural or Artificial Opening Definition Delete Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure Row Delete Term Delete Via Natural or Artificial Opening Endoscopic Definition Delete Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure Axis 6 Device / Substance / Technology Row Add Term Add Bezlotoxumab Monoclonal Antibody Includes Add ZINPLAVA(tm) Row Add Term Add Concentrated Bone Marrow Aspirate Includes Add CBMA (Concentrated Bone Marrow Aspirate) Row Add Term Add Cytarabine and Daunorubicin Liposome Antineoplastic Includes Add VYXEOS(tm) Row Add Term Add Endothelial Damage Inhibitor Includes Add DuraGraft(R) Endothelial Damage Inhibitor Row Add Term Add Engineered Autologous Chimeric Antigen Receptor T-cell Immunotherapy Includes Add Axicabtagene Ciloeucel Row Add Term Add Interbody Fusion Device, Radiolucent Porous in New Technology Includes Add COALESCE(R) radiolucent interbody fusion device Includes Add COHERE(R) radiolucent interbody fusion device Row Add Term Add Other New Technology Therapeutic Substance Includes Add STELARA(R) Includes Add Ustekinumab Dev Aggrgtn Add Device Add Synthetic Substitute, Oxidized Zirconium on Polyethylene Operation Add Replacement BodySys Add Lower Joints Parent J Add Synthetic Substitute