Surgery

Document Title Document Type Document Size Effective Date
Ablative Treatment for Malignant Breast Tumor - (0540)  PDF 238kB 03/15/2024
Angioplasty (Extracranial, Intracranial) and Intracranial Aneurysm Repair - (0545)  PDF
Athletic Pubalgia Surgery - (0522)  PDF 203kB 07/15/2024
Balloon Sinus Ostial Dilation for Chronic Sinusitis and Eustachian Tube Dilation - (0480)  PDF 374kB 04/15/2024
Bariatric Surgery and Procedures - (0051)  PDF 1235kB 02/15/2025
Benign Prostatic Hyperplasia (BPH) Surgical Treatments - (0159)  PDF 308kB 02/15/2025
Blepharoplasty, Reconstructive Eyelid Surgery, and Brow Lift - (0045)  PDF 291kB 04/15/2024
Bone Graft Substitutes - (0118)  PDF 302kB 02/15/2025
Breast Implant Removal - (0048)  PDF 294kB 01/15/2025
Breast Reconstruction Following Mastectomy or Lumpectomy - (0178)  PDF 622kB 09/15/2024
Breast Reduction - (0152)  PDF 270kB 08/15/2024
Cardiac Resynchronization Therapy (CRT) and Advanced Cardiac Pacing Technologies - (0174)  PDF 589kB 09/01/2024
Cell-Based Therapy for Cardiac and Peripheral Arterial Disease - (0287)  PDF 313kB 05/15/2024
Cervical Fusion - (0527)  PDF
Cochlear and Auditory Brainstem Implants - (0190)  PDF 510kB 11/15/2024
Corneal Remodeling for Refractive Errors - (0141)  PDF 324kB 12/15/2024
Deep Brain, Motor Cortex and Responsive Cortical Stimulation - (0184)  PDF 605kB 12/15/2024
Diagnostic Nasal/Sinus Endoscopy, Functional Endoscopic Sinus Surgery (FESS) and Turbinectomy - (0554)  PDF 544kB 03/15/2025
Diaphragmatic/Phrenic Nerve Stimulation - (0391)  PDF 429kB 07/15/2024
Discography - (0393)  PDF
Endometrial Ablation - (0013)  PDF 256kB 02/15/2025
Fetal Surgery - (0175)  PDF 257kB 07/15/2024
Gender Dysphoria Treatment - (0266)  PDF 341kB 01/31/2025
Gender Dysphoria Treatment - State Guidelines  PDF 139kB 01/31/2025
Glaucoma Surgical Procedures - (0035)  PDF 426kB 10/15/2024
Gynecomastia Surgery - (0195)  PDF 222kB 08/15/2024
Headache, Occipital, and/or Trigeminal Neuralgia Treatment - (0063)  PDF 462kB 11/01/2024
High Intensity Focused Ultrasound (HIFU) - (0274)  PDF 259kB 12/15/2024
Hyperhidrosis: Surgical Treatments - (0037)  PDF 251kB 03/15/2025
Interspinous Process Spacer Devices - (0448)  PDF
Intraocular Lens Implant - (0125)  PDF 274kB 09/15/2024
Intraoperative Monitoring - (0509)  PDF 644kB 09/15/2024
Lymphedema and Lipedema Surgical Treatments - (0531)  PDF 603kB 11/15/2024
Male Sexual Dysfunction Treatment: Non-pharmacologic - (0403)  PDF 463kB 08/15/2024
Mammary Ductoscopy, Aspiration and Lavage - (0057)  PDF 315kB 01/15/2025
Manipulation Under Anesthesia - (0276)  PDF 289kB 10/15/2024
Metatarsophalangeal Joint Replacement - (0446)  PDF 281kB 09/15/2024
Orthognathic Surgery - (0209)  PDF 247kB 10/15/2024
Otoplasty and External Ear Reconstruction - (0335)  PDF 229kB 04/15/2024
Panniculectomy and Abdominoplasty - (0027)  PDF 230kB 03/15/2025
Pelvic Denervation Procedures - (0368)  PDF 229kB 06/15/2024
Percutaneous Revascularization of the Lower Extermities in Adults - (0537)  PDF
Percutaneous Vertebroplasty, Kyphoplasty and Sacroplasty - (0040)  PDF
Peripheral Nerve Destruction for Pain Conditions - (0525)  PDF 626kB 02/15/2025
Redundant Skin Surgery - (0470)  PDF 216kB 06/15/2024
Rhinoplasty, Vestibular Stenosis Repair and Septoplasty - (0119)  PDF 455kB 06/15/2024
Stem Cell Therapy for Orthopaedic Applications - (0552)  PDF 272kB 12/15/2024
Subtalar Joint Implantation (Subtalar Arthroereisis) - (0486)  PDF 231kB 10/15/2024
Surgical Treatment for Chest Wall Deformities - (0309)  PDF 254kB 04/15/2024
Surgical Treatments for Obstructive Sleep Apnea - (0158)  PDF 444kB 12/15/2024
Temporomandibular Joint (TMJ) Disorder Surgery - (0156)  PDF 281kB 12/15/2024
Tissue Engineered Skin Substitutes - (0068)  PDF 1670kB 03/15/2025
Total Ankle Arthroplasty/Replacement - (0285)  PDF 267kB 03/15/2025
Transcatheter Ablation for the Treatment of Supraventricular Tachycardia in Adults - (0529)  PDF 315kB 04/15/2024
Transcatheter Closure of Cardiovascular Defects - (0011)  PDF 452kB 02/15/2025
Transcatheter Heart Valve Procedures - (0501)  PDF 951kB 03/15/2025
Transcranial Magnetic Stimulation - (EN0383)  PDF 679kB 03/15/2025
Treatment of Cutaneous and/or Deep Tissue Hemangioma, Port Wine Stain and Other Vascular Lesions - (0313)  PDF 300kB 11/01/2024
Vagus Nerve Stimulation (VNS) - (0350)  PDF 465kB 02/15/2025
Varicose Vein Treatments - (0234)  PDF
Venous Angioplasty and/or Stent Placement in Adults - (0541)  PDF
Ventricular Assist Devices (VADs), Percutaneous Cardiac Support Systems and Total Artificial Heart - (0054)  PDF 602kB 01/15/2025
Wide-Area Transepithelial Tissue Sampling with Computer-Assisted 3D Analysis (WATS3D) - (0578)  PDF 278kB 11/15/2024