Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
A B C D
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
ICD10 TM mean 2549 percentile 90-2549
procedure
PROCEDURES OF THE EAR, NOSE AND SINUSES
EXTERNAL EAR
Includes: external auditory canal
skin and cartilage of auricle and meatus
Diagnostic procedure
178-00-00 Otoscopy 300 500
178-04-00 Biopsy of external ear 1,000 2,100
178-04-01 Biopsy of lesion of pinna 1,000 2,000
178-04-02 Biopsy of external auditory canal lesion or tissue 1,000 3,300
178-04-98 Other diagnostic procedures on external ear
178-04-99 Unspecified diagnostic procedures on external ear
Non-operative procedures
178-11-00 Removal of packing of external auditory canal 500 1,000
178-11-01 Removal of cerumen from ear 500 1,000
178-11-02 Removal of intraluminal foreign body from ear 1,000 1,500
178-11-03
Removal of intraluminal foreign body from ear under
general anesthesia 1,500 2,000
178-11-04 Removal of keratosis obturan 1,500 2,000
178-12-00 Replacement of external auditory canal packing 500 1,000
178-17-00 Packing of external auditory canal 500 1,000
Incision
178-21-00 Piercing of ear lobe 1,000 1,500
Piercing of pinna
ICD-10-TM Procedural Coding System 1
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
30
A B C D
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
178-21-01 Incision of external auditory canal 1,000 1,500
178-21-02 Incision of pinna 1,000 1,500
178-21-99 Incision of external ear, part unspecified 1,000 1,500
Excludes : Incision of external auditory canal(178-21-01)
Incision of pinna(178-21-02)
178-22-00 Drainage of external auditory canal
Includes: Incision and drainage
178-22-01 Drainage of seroma or hematoma of pinna 1,500 4,500
Includes: Incision and drainage
178-22-08 Drainage of other lesions of pinna 1,000 1,500
178-22-99 Drainage of external ear, part unspecified 1,500 3,900
Excludes : Drainage of external auditory canal(178-22-00) Drainage of seroma or hematoma of
pinna(178-22-01)
Drainage of other lesions of pinna(178-22-08)
Excision or destruction
178-26-00 Debridement of external ear 3,000 6,000
178-26-01 Excision of preauricular remnant (appendage) 5,000 6,000
178-26-02 Excision of preauricular sinus 5,000 7,000
Radical excision of preauricular sinus or cyst
178-26-03 Excision of lesion of external ear 5,000 6,000
178-26-04 Excision of lesion of pinna 5,000 6,000
178-26-05 Excision of lesion of external auditory cana 5,000 6,000
178-26-06 Excision of exostosis of external auditory cana 6,000 7,500
178-26-10 Radical excision of external ear 12,000 15,000
ICD-10-TM Procedural Coding System 2
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
59
A B C D
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
178-26-11 Radical excision of lesion of pinna 10,000 12,000
178-26-12 Radical excision of lesion of external auditory cana 12,000 15,000
178-26-98 Other excision of external ear 7,500 10,000
178-26-99 Excision of external ear, part unspecified 7,500 10,000
178-28-00 Destruction of lesion of external ear 7,000 7,500
Cauterization
Coagulation
Cryosurgery of external ear
Curettage
Electrocoagulation
178-29-00 Amputation of auricle 9,200 15,400
Repair or reconstruction
178-39-00 Suture of laceration of external ear or pinna 7,000 17,000
178-39-01 Suture of laceration of external auditory cana 12,000 15,000
178-48-00 Surgical correction of prominent ear 12,000 15,000
Ear pining
Ear setback
178-48-01 Construction of auricle of ear 35,000 70,000
Prosthetic appliance for absent ear
Reconstruction of auricle
178-48-02 Reconstruction of external auditory cana 20,000 25,000
Canaloplasty of external auditory meatus
Construction [reconstruction] of external meatus of ear
osseous portion
skin-lined portion(with skin graft)
178-48-08 Other plastic repair of external ear 15,000 19,000
ICD-10-TM Procedural Coding System 3
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
90
A B C D
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
Otoplasty
Post auricular skin graft
Repair of lop ear
178-49-00 Reattachment of amputated ear 20,000 30,600
Other procedures and operations
178-80-00 Dressing wound of external ear 500 1,000
178-83-00 Irrigation of external auditory canal 500 1,000
178-99-99 Other operation on external ear
MIDDLE EAR
Diagnostic procedure
180-04-00 Exploration of middle ear, examination 15,000 20,000
180-04-01 Biopsy of middle ear 15,000 20,000
180-04-02 Open biopsy of middle ear 15,000 20,000
Biopsy after exploration of middle ear
180-04-98 Other diagnostic procedures on middle ear 15,000 20,000
180-04-99 Unspecified diagnostic procedures on middle ear
Incision
180-21-00 Incision of middle ear 15,000 20,000
Atticotomy
180-22-00 Aspiration of middle ear 1,500 2,000
180-22-01 Myringotomy with insertion of tube 1,500 2,000
Myringostomy 1,500 2,000
ICD-10-TM Procedural Coding System 4
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
121
A B C D
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
180-22-99 Other myringotomy 1,500 2,000
180-24-00 Lysis of adhesion of middle ear 15,000 20,000
180-24-01 Division of tympanum 15,000 20,000
Excision or destruction
180-26-00 Excision of lesion of middle ear 15,000 20,000
180-26-01 Excision of glomus tumor of middle ear 25,000 30,000
Excision of glomus tympanicum 25,000 30,000
Excision of glomus jugulare 30,000 35,000
180-26-99 Other excision of middle ear 20,000 25,000
Apicectomy of petrous pyramid
Tympanectomy
Repair or reconstruction
180-39-99 Other repair of middle ear 20,000 25,000
Other operations
180-40-00 Obliteration of tympanomastoid cavity 20,000 25,000
180-81-00 Injection of tympanum 1,000 1,500
180-99-00 Operations on Eustachian tube 3,000 3,500
Catheterization
Inflation
Injection(Teflon paste) of Eustachian tube
Insufflation(boric acid-salicylic acid)
Intubation
Politzerization
180-99-01 Tympanosympathectomy 15,000 25,000
180-99-99 Other operation on middle ear
ICD-10-TM Procedural Coding System 5
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
152
A B C D
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
TYMPANIC MEMBRANE
Insertion, removal and replacement of tympanoplasty
tube
181-10-00 Insertion of tympanostomy tube 1,000 1,500
181-11-00 Removal of tympanostomy tube 500 1,000
181-12-00 Replacement of tympanostomy tube 1,000 1,500
Repair or reconstruction
181-48-00 Tympanoplasty(type I) 15,000 20,000
Epitympanic, type I
Myringoplasty
181-48-01 Type II tympanoplasty 15,000 20,000
Closure of perforation with graft against incus or malleus
181-48-02 Type III tympanoplasty 15,000 20,000
Graft placed in contact with mobile and intact stapes
181-48-03 Type IV tympanoplasty 15,000 20,000
Mobile footplate left exposed with air pocket between
round window and graft
181-48-04 Type V tympanoplasty 20,000 25,000
Fenestra in horizontal semicircular canal covered by graft
181-47-00 Revision of tympanoplasty 20,000 25,000
ICD-10-TM Procedural Coding System 6
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
180
A B C D
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
AUDITORY OSSICLES
Incision
182-21-00 Stapes mobilization 20,000 25,000
Division, otosclerotic
Remobilization of stapes
Stapediolysis
Transcrural stapes mobilization
Excision or destruction
182-26-00 Ossiculectomy 25,000
182-26-01 Incudectomy 25,000
182-26-02 Stapedectomy with incus replacement 25,000
Excludes : Stapes mobilization only(182-21-00)
182-26-99 Other stapedectomy 20,000 25,000
182-47-00 Revision of stapedectomy with incus replacement 25,000 30,000
182-47-99 Other revision of stapedectomy 25,000 30,000
Repair or reconstruction
182-48-00 Ossiculoplasty 20,000 25,000
182-48-99 Reconstruction of ossicle chains, second stage 20,000 25,000
Other operations
182-99-99 Other operation on ossicular chain 20,000 25,000
MASTOID
Incision
183-21-00 Incision of mastoid 2,000 3,000
ICD-10-TM Procedural Coding System 7
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
211
A B C D
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
183-21-01 Incision of petrous pyramid air cells 15,000 20,000
Excision or destruction
183-26-00 Simple mastoidetomy 20,000 25,000
183-26-01 Modified radical mastoidectomy 20,000
183-26-02 Radical mastoidectomy 20,000 25,000
183-26-99 Other mastoidectomy 20,000 25,000
Atticoantrotomy
Mastoidectomy, NOS
183-47-00 Revision of mastoidectomy 20,000 25,000
Repair or reconstruction
183-40-00 Closure of mastoid fistula 20,000 25,000
183-48-00 Mastoid myoplasty 20,000 25,000
INNER EAR
Diagnostic procedure
184-04-00 Biopsy of inner ear 15,000 20,000
184-04-99 Other diagnostic procedures on inner ear 15,000 20,000
Incision
184-21-00 Incision of endolymphatic sac 25,000 30,000
184-21-99 Other incision of inner ear 25,000 30,000
184-22-00 Drainage of inner ear 25,000 30,000
184-22-01 Endolymphatic shunt 25,000 30,000
184-23-00 Perilymphatic tap 25,000 30,000
184-23-01 Decompression of labyrinth 25,000 30,000
184-23-02 Fenestration of inner ear (initial) 25,000 30,000
ICD-10-TM Procedural Coding System 8
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
242
A B C D
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
Fenestration of:
labyrinth
semicircular canals with graft(skin)(vein)
vestibule
Excludes : that with tympanoplasty type V(181-39-05)
184-23-03 Fistulization of labyrith or endolymphatic sac 25,000 30,000
Excision or destruction
184-26-00 Chemical labyrinthectomy, transtympanic route 10,000 15,000
184-26-01
Labyrinthectomy, trans (external auditory) canal
approach 25,000 30,000
184-26-02 Labyrinthectomy, transmastoid approach 25,000 30,000
184-26-09 Labyrinthectomy, not otherwise specifies 25,000 30,000
184-26-99 Other excision of inner ear 25,000 30,000
184-28-00
Obliteration of (membranous labyrinth of) semicircular
canal 25,000 30,000
184-28-99 Other destruction of inner ear 25,000 30,000
184-33-00 Opening of bony labyrinth 25,000 30,000
Repair or reconstruction
184-39-00 Repair of oval and round windows 25,000 30,000
Closure of fistula :
oval window
perilymph
round window
Other procedures and operations
184-44-00 Implantation of electromagnetic hearing device 30,000 35,000
184-44-01 Implantation of cochlear prosthetic device, single channe 30,000 35,000
ICD-10-TM Procedural Coding System 9
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
A B C D
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
184-44-02
Implantation of cochlear prosthetic device, multiple
channel 30,000 35,000
184-44-98 Other implantation of cochlear prosthetic device 30,000 35,000
184-44-99
Implantation of cochlear prosthetic device, not otherwise
specified 30,000 35,000
184-45-00 Removal of cochlear prothetic device 30,000 35,000
184-46-00
Replacement of cochlear prosthetic device, single
channel 30,000 35,000
184-46-01
Replacement of cochlear prosthetic device, multiple
channel 30,000 35,000
184-46-98 Other replacement of cochlear prosthetic device 30,000 35,000
184-46-99
Replacement of cochlear prosthetic device, not
otherwise specifies 30,000 35,000
184-47-00 Revision of fenestration of inner ear 30,000 35,000
184-81-00 Injection into inner ear
Destruction by injection(alcohol) :
Inner ear, semicircular canal, vestibule
184-92-50
Stereotactic radiosurgery of acoustic neuroma of the
inner ear
184-99-99 Other procedures and operations of inner ear
SPEECH, LANGUAGE, AUDITORY & VESTIBULAR SYSTEM
Diagnostic procedure, training and other proceduresSee chapter 15 for details of other procedures on
speech, language, auditory and
vestibular system
ICD-10-TM Procedural Coding System 10
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
293
A B C D
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
NOSE
Includes: skin and cartilage of nose
Diagnostic procedure
185-04-00 Biopsy of nose 1,500 2,000
Incision
185-21-00 Incision of nose 3,000 4,000
Chondrotomy
185-21-01 Incision of skin of nose 1,000 1,500
Excision or destruction
185-26-00 Excision of naso-alveolar cyst 7,000 10,000
185-26-01 Resection of nose 10,000 15,000
185-26-98 Local excision of other lesion of nose 7,000 10,000
185-26-99 Local excision of lesion of nose, not otherwise specified 7,000 10,000
185-28-00 Destruction of lesion of nose 10,000 12,500
185-28-08 Local destruction of other lesion of nose 10,000 12,500
185-27-99
Local destruction of lesion of nose, not otherwise
specified 10,000 12,500
185-29-00 Amputation of nose 12,000 32,600
Repair or reconstruction
185-39-00 Suture of laceration of nose 6,000 9,900
185-39-99 Other repair and plastic operation on nose 13,000 17,000
185-40-00 Closure of nasal fistula 10,000 19,800
Nasolabial
Nasopharyngeal fistulectomy
Oronasal
ICD-10-TM Procedural Coding System 11
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
323
A B C D
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
185-48-00 Total nasal reconstruction 30,000 37,600
Reconstruction of nose with:
arm flap
forehead flap
185-49-00 Reattachment of amputated nose 25,000 35,000
Other operations
185-80-00 Dressing wound on nose 500 1,000
185-99-99 Other operation on nose 7,000 10,000
NASAL CAVITY
Diagnostic procedure
186-00-00 Rhinoscopy 500 800
186-00-01 Rhinoscopy using endoscope 1,000 15,000
186-04-00 Biopsy of intranasal lesion 1,500 2,500
186-04-01 Biopsy of intranasal lesion using endoscope 2,000 3,500
186-04-99 Other diagnostic procedures on nose 2,000 3,500
Removal and replacement of nasal packing
186-11-00 Removal of nasal packing 1,000 1,500
186-11-01 Removal of intraluminal foreign body from nasal cavity 1,000 1,500
186-11-02
Removal of intraluminal foreign body from nasal cavity
under general anesthesia 2,500 3,000
186-12-00 Replacement of nasal packing 3,000 5,000
Incision
186-24-00 Lysis of adhesions of nose 3,000 4,500
Posterior nasal scrub
ICD-10-TM Procedural Coding System 12
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
353
A B C D
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
Control of epitaxis
186-25-00 Control of epistaxis by anterior nasal packing 3,000 4,000
186-25-01
Control of epistaxis by posterior (and anterior) nasal
packing 6,000 8,000
186-25-02 Control of epistaxis by cauterization (and packing) 3,000 5,000
186-25-03 Control of epistaxis by ligation of ethmoid arteries 15,000 20,000
186-25-04
Control of epistaxis by endoscopic ligation of the
sphenopalatine artery 15,000 20,000
186-25-05
Control of epistaxis by (transantral) ligation of the
maxillary artery 15,000 20,000
186-25-06
Control of epistaxis by ligation of the external carotid
artery 15,000 20,000
186-25-07
Control of epistaxis by excision of nasal mucosa and skin
grafting of septum and lateral nasal wall 15,000 20,000
186-25-08 Control of epitaxis by other means 15,000 20,000
186-25-99 Control of epitaxis, not otherwise specified 15,000 20,000
Excision or destruction
186-26-00 Nasal polypectomy 10,000 15,000
186-26-01 Nasal polypectomy using microscope 15,000 17,000
186-26-02 Nasal polypectomy using endoscope 15,000 17,000
186-26-03 Local excision of intranasal lesion 10,000 15,000
186-26-04 Local excision of intranasal lesion using microscope 15,000 17,000
186-26-05 Local excision of intranasal lesion using endoscope 15,000 17,000
186-28-00 Local destruction of intranasal lesion 15,000 17,000
186-28-01 Local destruction of intranasal lesion using endoscope 15,000 17,000
Other operations
186-83-00 Irrigation of nasal passages 500 1,000
186-99-99 Other operation on nasal cavity 5,000 15,000
ICD-10-TM Procedural Coding System 13
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
379
A B C D
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
NASAL TURBINATES
Excision or destruction
187-24-00 Fracture of the turbinates 1,500 2,500
187-26-00 Turbinectomy by diathermy or cryosurgery 3,000 5,000
187-26-01 Laser turbinectomy 4,500 6,000
187-26-99 Other turbinectomy 4,,000 5,000
Repair or reconstruction
187-48-00 Turbinoplasty 7,000 10,000
NASAL SEPTUM
Incision
188-21-00 Nasal septotomy 3,500 10,000
188-22-00 Drainage of septal abscess 3,100 5,200
Excision or destruction
188-26-00 Submucous resection of septum of nose 15,000 20,000
Repair or reconstruction
188-47-00 Revision rhinoplasty 20,000 35,200
Rhinoseptoplasty
Twisted nose rhinoplasty
188-48-00 Limited rhinoplasty 15,000 33,300
Plastic repair of nasolabial flaps
Tip rhinoplasty
ICD-10-TM Procedural Coding System 14
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
410
A B C D
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
188-48-01 Augmentation rhinoplasty 20,000 41,700
Augmentation rhinoplasty with:
graft
synthethic implant
188-48-08 Other rhinoplasty 20,000 25,000
188-48-19 Other septoplasty 15,000 20,000
Crushing of nasal septum
Repair of septal perforation
Excludes : septoplasty with synchonous submucous
resection of septum (188-26-00)
FRONTAL NASAL SINUSES
Incision
189-22-10 Frontal sinusotomy 15,000 20,000
189-22-11 Frontal sinusotomy using endoscope 15,000 20,000
189-22-12 Frontal sinusotomy, external approach 15,000 20,000
Excision or destruction
189-26-00 Excision of lesion of frontal sinus 15,000 22,500
189-26-01 Excision of lesion of frontal sinus using endoscope 15,000 22,500
189-26-02 Excision of lesion of frontal sinus, external approach 17,500 30,900
189-26-03 Frontal sinusectomy 20,000 36,300
189-28-00 Obliteration of frontal sinus(with fat) 25,000 45,100
Osteoplastic flap
Repair or reconstruction
189-31-00 Dilation of frontonasal duct 1,500 2,000
189-48-00 Reconstruction of frontonasal duct 15,000 20,000
ICD-10-TM Procedural Coding System 15
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
440
A B C D
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
ETHMOID NASAL SINUSES
Incision
190-22-10 Ethmoidotomy 17,500 20,000
190-22-11 Ethmoidotomy using endoscope 17,500 20,000
Excision or destruction
190-26-00 Ethmoidectomy 20,000 22,500
Anterior ethmoidectomy
Posterior ethmoidectomy
190-26-01 Transantral ethmoidectomy 20,000 22,500
190-26-02 External ethmoidectomy 20,000 22,500
190-26-03 Ethmoidectomy using endoscope 20,000 22,500
SPHENOID NASAL SINUSES
Incision
191-22-10 Sphenoidotomy 20,000 25,000
191-22-11 Sphenoidotomy using endoscope 20,000 25,000
Excision or destruction
191-26-00 Sphenoidectomy 27,500 30,000
191-26-01 Sphenoidectomy using endoscope 27,500 30,000
191-26-02 Transeptal sphenoidectomy 27,500 30,000
MAXILLARY NASAL SINUSES
ICD-10-TM Procedural Coding System 16
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
471
A B C D
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
Incision
192-22-10 Intranasal antrotomy 7,000 10,000
Inferior antrostomy
Middle antrostomy
192-22-11 Nasoantral window 7,000 10,000
192-22-12 Radical maxillary antrotomy 15,000 20,000
Removal of lining membrane of maxillary sinus using
Caldwell-Luc approach
Antrectomy or classical Caldwell-Luc operation
192-22-19 Other external maxillary antrotomy 15,000
Exploration of maxillary antrum with Caldwell-Luc
approach
Excision or destruction
192-26-00
Excision of lesion of maxillary sinus with Caldwell-Luc
approach 15,000
192-26-01 Excision of lesion of maxillary sinus using endoscope 15,000
192-26-08 Excision of lesion of maxillary sinus with other approach 15,000
PARANASAL SINUSESNote : During coding operations on paranasal sinuses, if
coders can find more information of exact sinus site(e.g.
frontal, maxillary etc.), the coder must change
anatomical axis code(193=paranasal sinuses,
unspecified) into more specific code as specific189 = frontal sinus; 190 = ethmoid sinus; 191 = spenoid
sinus; 192 = maxillary sinus
ICD-10-TM Procedural Coding System 17
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
494
A B C D
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
Diagnostic procedure
193-00-00 Transillumination of nasal sinus 500 1,000
193-00-01 Endoscopy of nasal sinuses (without biopsy) 1,800 2,500
193-04-00 Close (endoscopic)(needle) biopsy of nasal sinus 1,800 2,500
193-04-01 Open biopsy of nasal sinus 7,500 10,000
193-04-99 Other diagnostic procedures on nasal sinuses 7,500 10,000
Incision
193-21-00 Incision of multiple nasal sinues 12,500 16,000
193-22-00
Aspiration and lavage of nasal sinus through natural
ostium 1,500 2,500
193-22-01 Puncture of nasal sinus for aspiration or lavage 1,500 2,000
193-22-09
Aspiration and lavage of nasal sinus, not otherwise
specified 1,500 2,00
193-22-19 Sinusotomy, not othewise specified 7,000 10,000
Excision or destruction
193-26-00 Sinusectomy 20,000 25,000
193-26-99 Sinusectomy, not otherwise specified 20,000 25,000
Repair or reconstruction
193-39-99 Other repair of nasal sinus 15,000 20,000
Reconstruction of frontonasal duct
Repair of bone of accessory sinus
193-40-00 Closure of nasal sinus fistula 15,000 20,000
Repair of oro-antral fistula
Other operations
193-99-99 Other operation on nasal sinuses 15,000 20,000
ICD-10-TM Procedural Coding System 18
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
523
A B C D
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
NASOPHARYNX
Diagnostic procedure
194-00-00 Nasopharyngeal exam using mirror 100 500
194-00-01 Nasopharyngeal exam using flexible or rigid endoscope 1,000 1,500
194-04-00 Nasopharyngeal biopsy 2,000 2,500
194-04-01 Nasopharyngeal biopsy using endoscope 2,000 2,500
194-04-99 Other diagnostic procedures on nasopharynx 2,000 2,500
Incision
194-24-00 Lysis of nasopharygeal adhesion 7,000 10,000
Excision or destruction
194-26-00 Excision of benign non-vascular nasopharyngeal tumor 15,000 20,000
194-26-01 Excision of nasopharyngeal angiofibroma 30,000 35,000
194-26-04 Excision of malignant nasopharyngeal tumor 30,000 35,000
194-26-99 Other excision of lesion or tissue of nasopharynx 15,000 20,000
194-28-99 Other destruction of lesion or tissue of nasopharynx 15,000 20,000
Repair or reconstruction
194-10-00 Insertion of nasopharyngeal airway 1,000 1,500
194-31-00 Dilatation of nasopharynx 2,000 5,000
194-48-00 Correction of nasopharyngeal atresia 20,000 30,000
Other procedures and operations
194-92-10 Brachytherapy of the nasopharynx tumor
194-92-20 Teleradiotherapy of the nasopharynx tumor
194-99-99 Other procedures and operations on nasopharynx 15,000 25,000
ICD-10-TM Procedural Coding System 19
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
554
A B C D
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
PAROTID SALIVARY GLAND
Diagnostic procedure
195-04-00 Closed (needle) biopsy of parotid gland or duct 1,300 2,000
195-04-01 Open biopsy of parotid gland or duct 7,400 15,000
195-04-99 Other diagnostic procedures on parotid gland or ducts 12,500 15,000
Non-operative removal of calculus
195-11-00 Removal of calculus from parotid salivary duct 3,500 10,200
Incision
195-22-00 Drainage of abscess of parotid area 12,500 15,000
195-26-00 Superficial parotidectomy, partial parotidectomy 25,000 30,000
195-26-01 Total parotidectomy 30,000 35,000
195-26-98 Other excision of parotid gland lesion 25,000 30,000
195-26-99 Parotidectomy, not otherwise specified 25,000 30,000
Repair or reconstruction
195-31-00 Dilatation of parotid salivary duct 1,500 2,100
195-39-00 Repair of parotid salivary duct 17,500 21,500
195-39-01 Suture of laceration of parotid gland 17,500 20,000
195-39-99 Other repair on parotid gland or duct 15,000 20,000
Fistulization of parotid gland
195-40-00 Closure of parotid gland fistula 17,500 18,300
195-48-99 Other plastic operation on parotid gland or duct 15,000 20,000
Plastic repair of parotid gland
Transplantation of parotid gland
195-45-00 Open removal of calculus from parotid salivary duct 3,500 10,200
ICD-10-TM Procedural Coding System 20
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
585
A B C D
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
195-99-99 Other operation of parotid salivary gland or duct 7,500 10,200
SUBMANDIBULAR GLAND
Diagnostic procedure
196-04-00 Closed(needle) biopsy of submandibular gland or duct 1,500 2,000
196-04-01 Open biopsy of submandibular gland or duct 7,000 10,000
196-04-99
Other diagnostic procedures on submandibular gland or
ducts 7,000 10,000
Non-operative removal of calculus
196-11-00 Removal of calculus from submandibular duct 2,500 5,000
Incision
196-22-00 Drainage of abscess of submandibular gland 2,500 5,000
Excision or destruction
196-26-00 Partial excision of submandibular gland 12,500 15,000
196-26-01 Total excision of submandibular gland 15,000 20,000
196-26-08 Other excision of submandibular gland 12,500 15,000
196-26-99 Excision of submandibular gland, not otherwise specified 15,000 20,000
Repair or reconstruction
196-31-00 Dilatation of submandibular duct 1,500 2,000
196-39-00 Repair of submandibular duct 12,500 15,000
196-39-01 Suture of laceration of submandibular salivary gland 12,500 15,000
196-39-99 Other repair on submandibular gland or duct 7,500 10,000
Fistulization of submandibular gland
196-40-00 Closure of submandibular gland fistula 12,500 15,000
ICD-10-TM Procedural Coding System 21
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
615
A B C D
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
Other operations
196-45-00 Open removal of calculus from submandibular duct 7,500 10,000
196-48-99 Other plastic operation on submandibular gland or duct 12,500 15,000
196-99-99 Other operation of submandibular gland or duct 7,500 10,000
SALIVARY GLAND & DUCT Note : During coding operations on salivary gland, if
coders can find more information of exact salivary gland
location(e.g.parotid, submandibular gland etc.), the
coder must change anatomical axis code(198= salivary
gland & duct, unspecified) into more s195 = Parotid salivary gland; 196 = Submandibular
salivary gland;
197 = Sublingual & minor salivary
Diagnostic procedure
198-04-00 Closed(needle) biopsy of salivary gland 1,500 2,000
198-04-01 Open biopsy of salivary gland 7,000 10,000
198-04-99 Other diagnostic procedures on salivary gland or duct 7,000 10,000
Non-operative removal of calculus
198-11-00 Removal of calculus from salivary duct 2,500 5,000
Incision
198-21-00 Incision of salivary gland or duct 7,000 10,000
198-22-00 Drainage of abscess of salivary gland 6,000 10,000
198-22-01 Marsupialization of salivary gland or duct 6,000 10,000
Excision or destruction
ICD-10-TM Procedural Coding System 22
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
641
A B C D
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
198-26-00 Partial sialoadenectomy 12,500 15,000
198-26-01 Complete sialoadenectomy 12,500 20,000
198-26-08 Other excision of salivary gland lesion 12,500 20,000
198-26-99 Sialoadenectomy, not otherwise specified 12,500 20,000
Repair or reconstruction
198-31-00 Dilatation of salivary duct 1,500 2,000
198-39-00 Repair of salivary duct 12,500 20,000
198-39-01 Suture of laceration of salivary gland 12,500 20,000
198-39-99 Other repair on salivary gland or duct 12,500 15,000
Fistulization of salivary gland
198-40-00 Closure of salivary gland fistula 12,500 15,000
Other operations
198-44-00 Probing of salivary duct 500 1,000
198-45-00 Open removal of calculus from salivary duct 7,500 10,000
198-48-08 Other plastic operation on salivary gland or duct 7,500 10,000
Plastic repair of salivary gland
Transplantation of salivary gland
198-99-99 Other operation of salivary gland or duct 7,500 10,000
ICD-10-TM Procedural Coding System 23
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
E F G H
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
ICD-10-TM Procedural Coding System 24
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
30
E F G H
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
ICD-10-TM Procedural Coding System 25
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
59
E F G H
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
ICD-10-TM Procedural Coding System 26
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
90
E F G H
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
ICD-10-TM Procedural Coding System 27
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
121
E F G H
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
ICD-10-TM Procedural Coding System 28
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
152
E F G H
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
ICD-10-TM Procedural Coding System 29
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
180
E F G H
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
ICD-10-TM Procedural Coding System 30
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
211
E F G H
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
ICD-10-TM Procedural Coding System 31
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
242
E F G H
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
ICD-10-TM Procedural Coding System 32
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
E F G H
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
ICD-10-TM Procedural Coding System 33
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
293
E F G H
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
ICD-10-TM Procedural Coding System 34
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
323
E F G H
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
ICD-10-TM Procedural Coding System 35
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
353
E F G H
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
ICD-10-TM Procedural Coding System 36
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
379
E F G H
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
ICD-10-TM Procedural Coding System 37
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
410
E F G H
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
ICD-10-TM Procedural Coding System 38
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
440
E F G H
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
ICD-10-TM Procedural Coding System 39
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
471
E F G H
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
20,000
20,000
20,000
20,000
ICD-10-TM Procedural Coding System 40
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
494
E F G H
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
ICD-10-TM Procedural Coding System 41
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
523
E F G H
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
ICD-10-TM Procedural Coding System 42
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
554
E F G H
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
ICD-10-TM Procedural Coding System 43
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
585
E F G H
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
ICD-10-TM Procedural Coding System 44
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
615
E F G H
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
ICD-10-TM Procedural Coding System 45
Chapter 3 Procedures of the ear, nose and sinuses ICD-10-TM
641
E F G H
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
ICD-10-TM Procedural Coding System 46