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14. OPERATIONS ON THE MUSCULOSKELETAL SYSTEM (76-84)
76 Operations on facial bones and joints
Excludes:
accessory sinuses (22.00-22.9)
nasal bones (21.00-21.99)
skull (01.01-02.99)
77 Incision, excision, and division of other bones
Excludes:
laminectomy for decompression (03.09)
operations on:
accessory sinuses (22.00-22.9)
ear ossicles (19.0-19.55)
facial bones (76.01-76.99)
joint structures (80.00-81.99)
mastoid (19.9-20.99)
nasal bones (21.00-21.99)
skull (01.01-02.99)
The following fourth-digit subclassification is for use with appropriate categories in section 77 to identify the site. Valid fourth-digit categories are in brackets under each code.
0 unspecified site
1 scapula, clavicle, and thorax [ribs and sternum]
2 humerus
3 radius and ulna
4 carpals and metacarpals
5 femur
6 patella
7 tibia and fibula
8 tarsals and metatarsals
9 other
Pelvic bones
Phalanges (of foot) (of hand)
Vertebrae
78 Other operations on bones, except facial bones
Excludes:
operations on:
accessory sinuses (22.00-22.9)
facial bones (76.01-76.99)
joint structures (80.00-81.99)
nasal bones (21.00-21.99)
skull (01.01-02.99)
The following fourth-digit subclassification is for use with categories in section 78 to identify the site. Valid fourth- digit categories are in [brackets] under each code.
0 unspecified site
1 scapula, clavicle, and thorax [ribs and sternum]
2 humerus
3 radius and ulna
4 carpals and metacarpals
5 femur
6 patella
7 tibia and fibula
8 tarsals and metatarsals
9 other
Pelvic bones
Phalanges (of foot) (of hand)
Vertebrae
79 Reduction of fracture and dislocation
Includes: application of cast or splint reduction with insertion of traction device (Kirschner wire) (Steinmann pin)
Code also any:
application of external fixator device (78.10-78.19)
type of fixator device, if known (84.71-84.73)
Excludes:
external fixation alone for immobilization of fracture (93.51-93.56, 93.59)
internal fixation without reduction of fracture (78.50-78.59)
operations on:
facial bones (76.70-76.79)
nasal bones (21.71-21.72)
orbit (76.78-76.79)
skull (02.02)
vertebrae (03.53)
removal of cast or splint (97.88)
replacement of cast or splint (97.11-97.14)
traction alone for reduction of fracture (93.41-93.46)
The following fourth-digit subclassification is for use with appropriate categories in section 79 to identify the site. Valid fourth-digit categories are in [brackets] under each code.
0 unspecified site
1 humerus
2 radius and ulna
Arm NOS
3 carpals and metacarpals
Hand NOS
4 phalanges of hand
5 femur
6 tibia and fibula
Leg NOS
7 tarsals and metatarsals
Foot NOS
8 phalanges of foot
9 other specified bone
80 Incision and excision of joint structures
Includes: operations on:
capsule of joint
cartilage
condyle
ligament
meniscus
synovial membrane
Excludes:
cartilage of:
ear (18.01-18.9)
nose (21.00-21.99)
temporomandibular joint (76.01-76.99)
The following fourth-digit subclassification is for use with appropriate categories in section 80 to identify the site:
0 unspecified site
1 shoulder
2 elbow
3 wrist
4 hand and finger
5 hip
6 knee
7 ankle
8 foot and toe
9 other specified sites
Spine
82 Operations on muscle, tendon, and fascia of hand
Includes: operations on:
aponeurosis
synovial membrane (tendon sheath)
tendon sheath
83 Operations on muscle, tendon, fascia, and bursa, except hand
Includes: operations on:
aponeurosis
synovial membrane of bursa and tendon sheaths
tendon sheaths
Excludes:
diaphragm (34.81-34.89)
hand (82.01-82.99)
muscles of eye (15.01-15.9)
 
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