Surgery

Document Title Document Type Document Size Effective Date
Ablative Treatment for Malignant Breast Tumor - (0540)  PDF 99kB 03/15/2021
Ambulatory Electrocardiographic Monitoring - (0547)  PDF 319kB 02/15/2021
Anesthesia Services for Interventional Pain Management Procedures in an Adult - (0551)  PDF 264kB 02/15/2021
Angioplasty (Extracranial, Intracranial) and Intracranial Aneurysm Repair - (0545)  PDF 301kB 10/15/2020
Athletic Pubalgia Surgery - (0522)  PDF 102kB 07/15/2020
Autologous Cell Therapy for Cardiac and Peripheral Arterial Disease - (0287)  PDF 219kB 04/15/2020
Balloon Sinus Ostial Dilation for Chronic Sinusitis and Eustachian Tube Dilation - (0480)  PDF 214kB 12/15/2020
Bariatric Surgery and Procedures - (0051)  PDF 813kB 12/15/2020
Benign Prostatic Hyperplasia (BPH) Treatments - (0159)  PDF 317kB 10/15/2020
Biventricular Pacing/Cardiac Resynchronization Therapy (CRT) - (0174)  PDF 361kB 12/15/2020
Blepharoplasty, Reconstructive Eyelid Surgery, and Brow Lift - (0045)  PDF 177kB 04/15/2020
Bone, Cartilage, and Ligament Graft Substitutes - (0118)  PDF 308kB 02/15/2021
Breast Implant Removal - (0048)  PDF 144kB 01/15/2021
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)  PDF 357kB 03/15/2020
Bronchial Thermoplasty - (0502)  PDF 223kB 07/15/2020
Cervical Fusion - (0527)  PDF 178kB 06/15/2020
Cochlear and Auditory Brainstem Implants - (0190)  PDF 343kB 11/15/2020
Corneal Remodeling for Refractive Errors - (0141)  PDF 390kB 10/15/2020
Deep Brain, Motor Cortex and Responsive Cortical Stimulation - (0184)  PDF 435kB 11/15/2020
Diaphragmatic/Phrenic Nerve Stimulation - (0391)  PDF 306kB 07/15/2020
Discography - (0393)  PDF 210kB 12/15/2020
Distraction Osteogenesis (DO) for Craniofacial Deformities - (0407)  PDF 135kB 09/15/2020
Drug-Eluting Devices for Use Following Endoscopic Sinus Surgery - (0481)  PDF 189kB 06/15/2020
Emerging Surgical Procedures for Glaucoma - (0035)  PDF 333kB 04/15/2020
Fetal Surgery - (0175)  PDF 268kB 07/15/2020
Gastric Pacing/Gastric Electrical Stimulation (GES) - (0103)  PDF 158kB 11/15/2020
Headache and Occipital Neuralgia Treatment - (0063)  PDF 203kB 07/15/2020
Interspinous Process Spacer Devices - (0448)  PDF 199kB 04/15/2020
Intervertebral Disc (IVD) Prostheses - (0104)  PDF 373kB 01/15/2021
Intraocular Lens Implant - (0125)  PDF 162kB 09/15/2020
Kidney Transplantation, Pancreas-Kidney Transplantation, and Pancreas Transplantation Alone - (0146)  PDF 172kB 10/15/2020
Liver and Liver-Kidney Transplantation - (0355)   PDF 209kB 01/15/2021
Lumbar Fusion for Spinal Instability and Degenerative Disc Conditions, including Sacroiliac Fusion - (0303)  PDF 452kB 01/15/2021
Male Sexual Dysfunction Treatment: Non-pharmacologic - (0403)  PDF 241kB 08/15/2020
Manipulation Under Anesthesia (MUA) - (0276)  PDF 136kB 10/15/2020
Metatarsophalangeal Joint Replacement - (0446)  PDF 153kB 09/15/2020
Minimally Invasive Anti-Reflux Procedures and Peroral Endoscopic Myotomy (POEM) Procedures - (0019)  PDF 496kB 08/15/2020
Minimally Invasive Spine Surgery Procedures and Trigger Point Injections - (0139)  PDF 400kB 08/15/2020
Miscellaneous Musculoskeletal Procedures - (0515)  PDF 266kB 03/15/2020
Orthognathic Surgery - (0209)  PDF 110kB 10/15/2020
Otoplasty and External Ear Reconstruction - (0335)  PDF 123kB 04/15/2020
Pancreatic Islet Cell Transplantation - (0107)  PDF 161kB 06/15/2020
Panniculectomy and Abdominoplasty - (0027)  PDF 99kB 03/15/2021
Pelvic Denervation Procedures - (0368)  PDF 118kB 06/15/2020
Percutaneous Vertebroplasty, Kyphoplasty and Sacroplasty - (0040)  PDF 248kB 06/15/2020
Peripheral Nerve Destruction for Pain Conditions - (0525)  PDF 434kB 03/15/2021
Preoperative Inpatient Admissions - (0402)  PDF 83kB 08/15/2020
Reduction Mammoplasty - (0152)  PDF 134kB 08/15/2020
Redundant Skin Surgery - (0470)  PDF 99kB 06/15/2020
Rhinoplasty, Vestibular Stenosis Repair and Septoplasty - (0119)  PDF 195kB 03/15/2021
Rosacea Procedures - (0482)   PDF 107kB 07/15/2020
Sacral Nerve and Tibial Nerve Stimulation for Urinary Voiding Dysfunction, Fecal Incontinence and Constipation - (0404)  PDF 375kB 10/15/2020
Stem Cell Therapy for Orthopaedic Applications - (0552)  PDF 189kB 03/15/2021
Subtalar Arthroereisis - (0486)  PDF 188kB 10/15/2020
Surgical Treatment for Chest Wall Deformities - (0309)  PDF 154kB 04/15/2020
Surgical Treatment for Hyperhidrosis - (0037)  PDF 127kB 01/15/2021
Surgical Treatment for Lymphedema and Lipedema - (0531)  PDF 332kB 09/15/2020
Surgical Treatment of Gynecomastia - (0195)  PDF 125kB 10/15/2020
Surgical Treatments for Obstructive Sleep Apnea - (0158)  PDF 334kB 02/01/2021
Temporomandibular Joint (TMJ) Disorder Surgery - (0156)  PDF 122kB 12/15/2020
Thermal Shrinkage - (0176)  PDF 106kB 07/15/2020
Tissue Engineered Skin Substitutes - (0068)  PDF 1179kB 11/15/2020
Transcatheter Ablation for the Treatment of Supraventricular Tachycardia in Adults - (0529)  PDF 195kB 04/15/2020
Transcatheter Closure of Cardiovascular Defects - (0011)  PDF 245kB 11/15/2020
Transcatheter Heart Valve Procedures - (0501)  PDF 556kB 12/15/2020
Transcranial Magnetic Stimulation - (0383)  PDF 457kB 03/15/2021
Treatment of Cutaneous and/or Deep Tissue Hemangioma, Port Wine Stain and Other Vascular Lesions - (0313)  PDF 190kB 05/15/2020
Treatment of Gender Dysphoria - (0266)  PDF 194kB 03/15/2021
Varicose Vein Treatments - (0234)  PDF 403kB 11/15/2020
Venous Angioplasty and/or Stent Placement in Adults - (0541)  PDF 274kB 11/15/2020
Ventricular Assist Devices (VADs), Percutaneous Cardiac Support Systems and Total Artificial Heart - (0054)  PDF 448kB 12/15/2020