Deletions from List
of ASC-Approved Procedures
HCPCS code and short descriptor:
- 15756 Free muscle flap,
microvasc
- 15757 Free skin flap,
microvasc
- 15758 Free fascial flap,
microvasc
- 15842 Flap for face
nerve palsy
- 16030 Treatment of burns
- 16035 Incision of burn
scab, initi.
- 19260 Removal of chest
wall lesion
- 19364 Breast reconstruction
- 20660 Apply, remove
fixation device
- 20661 Application of
head brace
- 20662 Application of
pelvis brace
- 20663 Application of
thigh brace
- 20665 Removal of fixation
device
- 20661 Application of
head brace
- 20662 Application of
pelvis brace
- 20663 Application of
thigh brace
- 20665 Removal of fixation
device
- 20955 Fibula bone graft,
microvasc
- 20962 Other bone graft,
microvasc
- 20969 Bone/skin graft,
microvasc
- 20970 Bone/skin graft,
iliac crest
- 20972 Bone/skin graft,
metatarsal
- 20973 Bone/skin graft,
great toe
- 21041 Removal of jawbone
lesion
- 21343 Treatment of sinus
fracture
- 21360 Treat cheek bone
fracture
- 21385 Treat eye socket
fracture
- 21386 Treat eye socket
fracture
- 21387 Treat eye socket
fracture
- 21390 Treat eye socket
fracture
- 21395 Treat eye socket
fracture
- 21406 Treat eye socket
fracture
- 21407 Treat eye socket
fracture
- 21422 Treat mouth roof
fracture
- 21470 Treat lower jaw
fracture
- 21495 Treat hyoid bone
fracture
- 21510 Drainage of bone
lesion
- 21550 Biopsy of neck/chest
- 21620 Partial removal
of sternum
- 21810 Treatment of rib
fractures
- 21920 Biopsy soft tissue
of back
- 22100 Remove part of
neck
vertebra
- 22101 Remove part, thorax
vertebra
- 22102 Remove part, lumbar
vertebra
- 22103 Remove extra spine
segment
- 22325 Treat spine fracture
- 22326 Treat neck spine
fracture
- 22327 Treat thorax spine
fracture
- 22328 Treat each add
spine fx
- 23065 Biopsy shoulder
tissues
- 24065 Biopsy arm/elbow
soft tissue
- 24150 Extensive humerus
surgery
- 24151 Extensive humerus
surgery
- 24152 Extensive radius
surgery
- 24153 Extensive radius
surgery
- 25065 Biopsy forearm
soft tissues
- 25170 Extensive forearm
surgery
- 26035 Decompress fingers/hand
- 26037 Decompress fingers/hand
- 26551 Great toe-hand
transfer
- 26553 Single transfer,
toe-hand
- 26554 Double transfer,
toe-hand
- 26992 Drainage of bone
lesion
- 27030 Drainage of hip
joint
- 27303 Drainage of bone
lesion
- 27440 Revision of knee
joint
- 27507 Treatment of thigh
fracture
- 27511 Treatment of thigh
fracture
- 27513 Treatment of thigh
fracture
- 27524 Treat kneecap fracture
- 27535 Treat knee fracture
- 27613 Biopsy lower
leg soft tissue
- 27715 Revision of lower
leg
- 30124 Removal of nose
lesion
- 31584 Treat larynx fracture
- 31600 Incision of windpipe
- 31710 Insertion of airway
catheter
- 31715 Injection for bronchus
X-ray
- 31785 Remove windpipe
lesion
- 31800 Repair of windpipe
injury
- 32002 Treatment of collapsed
lung
- 32005 Treat lung lining
chemically
- 32020 Insertion of chest
tube
- 32002 Treatment of collapsed
lung
- 32005 Treat lung lining
chemically
- 32020 Insertion of
chest tube
- 34101 Removal of artery
clot
- 38700 Removal of lymph
nodes, neck
- 38790 Inject for lymphatic
X-ray
- 40805 Removal, foreign
body, mouth
- 40806 Incision of lip
fold
- 40820 Treatment of
mouth lesion
- 41000 Drainage of mouth
lesion
- 41105 Biopsy of tongue
- 41110 Excision of tongue
lesion
- 41115 Excision of tongue
fold
- 41805 Removal foreign
body, gum
- 41806 Removal foreign
body,
jawbone
- 42104 Excision lesion,
mouth roof
- 42106 Excision lesion,
mouth roof
- 42160 Treatment mouth
roof lesion
- 42225 Reconstruct cleft
palate
- 42281 Insertion, palate
prosthesis
- 42335 Removal of salivary
stone
- 44345 Revision of colostomy
- 44346 Revision of colostomy
- 49000 Exploration of
abdomen
- 49400 Air injection
into abdomen
- 49425 Insert abdomen-venous
drain
- 50020 Renal abscess,
open drain
- 50040 Drainage of kidney
- 50520 Close kidney-skin
fistula
- 50570 Kidney endoscopy
- 50572 Kidney endoscopy
- 50574 Kidney endoscopy
& biopsy
- 50576 Kidney endoscopy
&
treatment
- 50578 Renal endoscopy/radiotracer
- 50580 Kidney endoscopy
&
treatment
- 50684 Injection for
ureter X-ray
- 50690 Injection for
ureter X-ray
- 51005 Drainage of bladder
- 51600 Injection for
bladder X-ray
- 51605 Preparation for
bladder X-ray
- 51610 Injection for
bladder X-ray
- 51725 Simple cystometrogram
- 51865 Repair of bladder
wound
- 51900 Repair bladder/vagina
lesion
- 51920 Close bladder-uterus
fistula
- 54125 Removal of penis
- 55600 Incise sperm
duct pouch
- 55605 Incise sperm
duct pouch
- 55650 Remove sperm
duct pouch
- 56405 I&D of vulva/perineum
- 56605 Biopsy of vulva/perineum
- 57310 Repair urethrovaginal
lesion
- 57311 Repair urethrovaginal
lesion
- 57320 Repair bladder-vagina
lesion
- 57800 Dilation of cervical
canal
- 58551 Laparoscopy,
remove myoma
- 60220 Partial removal
of thyroid
- 60225 Partial removal
of thyroid
- 62256 Remove brain
cavity shunt
- 62351 Implant spinal
canal cath
- 62367 Analyze spine
infusion pump
- 62368 Analyze spine
infusion pump
- 69424 Remove ventilating
tube
- 69710 Implant/replace
hearing aid
Source: 68 Fed
Reg 15,267�15,312 (March 28, 2003).