Association Between Handover of Anesthesia Care and ... · 1AB86MS Closure of fistula, subarachnoid using apposition technique[e.g. suture] for fistula terminating in ear 1AB86MSW3

Online-Only Supplement Manuscript Title: Association between handover of anesthesia care and adverse postoperative outcomes among patients undergoing major surgery Authors: Philip M Jones, Richard A Cherry, Britney N Allen, Krista M Bray Jenkyn, Salimah Z Shariff, Suzanne Flier, Kelly N Vogt, Duminda N Wijeysundera Table of Contents

eFigure 1 - Number of complete anesthesia handovers Ontario-wide from 2004-2015 and percentage of the study cohort with anesthesia handovers Panel A (left) represents the number of billed complete anesthesia handovers in the entire Canadian province of Ontario from 1 January 2004 until 31 December 2015, for all surgeries (including for surgeries that were not part of the sample). Panel B (right) represents the percentage of the study cohort patients experiencing a complete anesthesia handover from 1 April 2009 until 31 March 2015 (based on a fiscal year ending 31 March and plotted on the year that the fiscal year ended).

eTable 1 – Included surgical procedures and their Canadian Classification of health Intervention (CCI) codes

eTable 2 - Major complications as defined by CCI codes, ICD-10 codes, and/or Ontario Health Insurance Plan physician billing codes

eTable 3 - Factors associated with complete anesthesia handover in a multivariable logistic regression model

eTable 4 - Sensitivity analyses using different analytical methods for main outcomes

eTable 5 - Sensitivity analyses for the primary outcome incorporating age and duration of surgery as polynomial variables

eTable 6 - Subgroup effect estimates and joint tests of interaction

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eFigure 1- Number of complete anesthesia handovers Ontario-wide from 2004-2015 and percentage of the study cohort with anesthesia handovers

SurgeryGroup

SurgerySub-Group Code Description

1AA52MESJ Drainage,meningesandduramaterofbrainopencraniotomy[craniectomy]flapapproachbyshuntterminatinginabdominalcavity(e.g.peritoneum)1AA52SE Drainage,meningesandduramaterofbrainburrholetechniquebysimpleaspiration1AA52SEAZ Drainage,meningesandduramaterofbrainburrholetechniquebyultrasonicdevice[CUSA]1AA52SESJ Drainage,meningesandduramaterofbrainburrholeapproachandshuntterminatinginabdominalcavity(e.g.peritoneum)1AA52SETS Drainage,meningesandduramaterofbrainburrholetechniquebyleavingdrainagetube[catheter]insitu1AA52SZ Drainage,meningesandduramaterofbrainopencraniotomy[craniectomy]flapapproachbysimpleaspiration1AA52SZAZ Drainage,meningesandduramaterofbrainopencraniotomy[craniectomy]flapapproachbyultrasonicdevice[CUSA]1AA52SZTS Drainage,meningesandduramaterofbrainopencraniotomy[craniectomy]flapapproachbyleavingdrainagetube[catheter]insitu1AA53SEPL Implantationofinternaldevice,meningesandduramaterofbrainofpressuremonitoringdeviceusingburrholetechnique1AA53SZPL Implantationofinternaldevice,meningesandduramaterofbrainofpressuremonitoringdeviceusingopencraniotomy[craniectomy]flapapproach1AA54MESJ Managementofinternaldevice,meningesandduramaterofbrain,shuntsystemterminatingintheabdominalcavity(e.g.peritoneum),openapproach1AA54MPSJ Managementofinternaldevice,meningesandduramaterofbrain,shuntsystemterminatinginothersite,openapproach1AA55SZSJ Removalofdevice,meningesandduramaterofbrainofshuntsystemusingopencraniotomyflapapproach1AA80SZ Repair,meningesandduramaterofbrainusingappositiontechnique[e.g.suture]1AA80SZW3 Repair,meningesandduramaterofbrainusingfibrin[glue]1AA80SZXXA Repair,meningesandduramaterofbrainusingautograft[e.g.pericranium,fascialata]1AA80SZXXJ Repair,meningesandduramaterofbrainusinghomograft[e.g.freezedrieddonordura]1AA80SZXXK Repair,meningesandduramaterofbrainusinghomograft[e.g.freezedrieddonordura]1AA80SZXXL Repair,meningesandduramaterofbrainusingxenograft[e.g.bovine]1AA80SZXXN Repair,meningesandduramaterofbrainusingsynthetictissuesubstitute[Silasticsheath]1AA87SZ Excisionpartial,meningesandduramaterofbrainusingappositiontechnique[e.g.suture]1AA87SZXXA Excisionpartial,meningesandduramaterofbrainusingautograft[e.g.pericranium,fascialata]1AA87SZXXJ Excisionpartial,meningesandduramaterofbrainusingallograft[e.g.freezedrieddonordura]1AA87SZXXK Excisionpartial,meningesandduramaterofbrainusinghomograft[e.g.freezedrieddonordura]1AA87SZXXL Excisionpartial,meningesandduramaterofbrainusingxenograft[e.g.bovine]1AA87SZXXN Excisionpartial,meningesandduramaterofbrainusingsynthetictissuesubstitute[Silasticsheath]1AB52DA Drainage,subarachnoidusingendoscopic[neuroendoscopic]approachdrainagealone(withoutcatheterinsitu)1AB52DATS Drainage,subarachnoidusingendoscopic[neuroendoscopic]approachleavingdrainagetube[catheter]insitu1AB52GISJ Drainage,subarachnoidusingendoscopic[neuroendoscopic]approachwithshuntterminatingincirculatorysystem[e.g.cystoatrial]1AB52GJSJ Drainage,subarachnoidusingendoscopic[neuroendoscopic]approachwithshuntterminatinginthoraciccavity[e.g.cystopleural]1AB52GNSJ Drainage,subarachnoidusingendoscopic[neuroendoscopic]approachwithshuntterminatinginabdominalcavity[e.g.cystoperitoneal]1AB52MESJ Drainage,subarachnoidusingcraniotomyorcraniectomy(flap)approachwithshuntterminatinginabdominalcavity[e.g.cystoperitoneal]1AB52MFSJ Drainage,subarachnoidusingcraniotomyorcraniectomy(flap)approachwithshuntterminatingincirculatorysystem[e.g.cystoatrial]1AB52MQSJ Drainage,subarachnoidusingcraniotomyorcraniectomy(flap)approachwithshuntterminatinginthoraciccavity[e.g.cystopleural]1AB52SE Drainage,subarachnoidburrholetechniquedrainagealone(withoutcatheterinsitu)1AB52SETS Drainage,subarachnoidburrholetechniqueleavingdrainagetube[catheter]insitu1AB52SZ Drainage,subarachnoidusingcraniotomyorcraniectomy(flap)approachdrainagealone[withoutcatheterinsitu]1AB54HATS Managementofinternaldevice,subarachnoid,ofdrainagetube[catheter]1AB54MESJ Managementofinternaldevice,subarachnoid,ofshuntsystemterminatinginabdominalcavity[e.g.cystoperitoneal]1AB54MFSJ Managementofinternaldevice,subarachnoid,ofshuntterminatingincirculatorysystem[e.g.cystoatrial]1AB54MQSJ Managementofinternaldevice,subarachnoid,ofshuntsystemterminatinginthoraciccavity[e.g.cystopleural]1AB55SETS Removalofdevice,subarachnoid,ofdrainagetube[catheter]usingburrholeaccess1AB55SZSJ Removalofdevice,subarachnoid,ofshuntcathetersystemusingopenapproach1AB86MB Closureoffistula,subarachnoidusingappositiontechnique[e.g.suture]forfistulaterminatingatskin1AB86MBW3 Closureoffistula,subarachnoidusingfibrin[glue]forfistulaterminatingatskin1AB86MBXXA Closureoffistula,subarachnoidusingautograft[e.g.fascialata,pericranium,fat,muscleorbone]forfistulaterminatingatskin1AB86MJ Closureoffistula,subarachnoidusingappositiontechnique[e.g.suture]forfistulaterminatinginheadandneck[e.g.subduralspace]1AB86MJW3 Closureoffistula,subarachnoidusingfibrin[glue]forfistulaterminatinginheadandneck[e.g.subduralspace]1AB86MJXXA Closureoffistula,subarachnoidusingautograft[e.g.fascialata,pericranium,fat,muscleorbone]forfistulaterminatinginheadandneck[e.g.subduralspace]1AB86ML Closureoffistula,subarachnoidusingappositiontechnique[e.g.suture]forfistulaterminatinginnasal[oral]cavity1AB86MLW3 Closureoffistula,subarachnoidusingfibrin[glue]forfistulaterminatinginnasal[oral]cavity1AB86MLXXA Closureoffistula,subarachnoidusingautograft[e.g.fascialata,pericranium,fat,muscleorbone]forfistulaterminatinginnasal[oral]cavity1AB86MS Closureoffistula,subarachnoidusingappositiontechnique[e.g.suture]forfistulaterminatinginear1AB86MSW3 Closureoffistula,subarachnoidusingfibrin[glue]forfistulaterminatinginear1AB86MSXXA Closureoffistula,subarachnoidusingautograft[e.g.fascialata,pericranium,fat,muscleorbone]forfistulaterminatinginear1AB87SEAG Excisionpartial,subarachnoidburrholeapproachwithlaser1AB87SEAZ Excisionpartial,subarachnoidburrholeapproachwithultrasonicaspirator[e.g.CUSA]1AB87SEGX Excisionpartial,subarachnoidburrholeapproachwithdeviceNEC1AB87SZAG Excisionpartial,subarachnoidopenapproachwithlaser1AB87SZAZ Excisionpartial,subarachnoidopenapproachwithultrasonicaspirator[e.g.CUSA]1AB87SZGX Excisionpartial,subarachnoidopenapproachwithdeviceNEC1AC50DANR Dilation,ventriclesofbrainusingendoscopic[ventriculoscopic)approachandstent1AC50SENR Dilation,ventriclesofbrainusingopenapproachwithburrholetechniqueandstent1AC50SZNR Dilation,ventriclesofbrainusingopenapproachwithcraniotomy[craniectomy]flaptechniqueandstent1AC52DA Drainage,ventriclesofbrainendoscopic[ventriculoscopic]approachdrainagewithoutshuntorcatheterleftinsitu1AC52GISJ Drainage,ventriclesofbrainusingendoscopic[ventriculoscopic]approachwithshuntterminatingincirculatorysystem[e.g.ventriculoatrial]1AC52GJSJ Drainage,ventriclesofbrainusingendoscopic[ventriculoscopic]approachwithshuntterminatinginthoraciccavity[e.g.ventriculopleural]1AC52GKSJ Drainage,ventriclesofbrainusingendoscopic[ventriculoscopic]approachwithshuntterminatinginothersite1AC52GNSJ Drainage,ventriclesofbrainusingendoscopic[ventriculoscopic]approachwithshuntterminatinginabdominalcavity[e.g.ventriculoperitonealorventriculobiliary]1AC52MBSJ Drainage,ventriclesofbrainburrholetechniquedrainagetoskin(ofhead)catheterorshunt(temporarily)leftinsitu1AC52MESJ Drainage,ventriclesofbraincraniotomyorcraniectomy[flap]approachshuntterminatinginabdominalcavity[e.g.ventriculoperitonealorventriculobiliary]1AC52MFSJ Drainage,ventriclesofbraincraniotomyorcraniectomy[flap]approachshuntterminatingincirculatorysystem[e.g.ventriculoatrial]1AC52MJSJ Drainage,ventriclesofbraincraniotomyorcraniectomy[flap]approachshuntterminatinginhead&neck[e.gcisternamagnaor"Torkildsen'sshunt"]1AC52MPSJ Drainage,ventriclesofbraincraniotomyorcraniectomy[flap]approachshuntterminatinginothersite1AC52MQSJ Drainage,ventriclesofbraincraniotomyorcraniectomy[flap]approachshuntterminatinginthoraciccavity[e.g.ventriculopleural]1AC52SE Drainage,ventriclesofbrainburrholetechniquedrainagewithoutshuntorcatheterleftinsitu1AC52SESJ Drainage,ventriclesofbrainburrholeapproach,shuntterminatinginabdominalcavity[e.g.ventriculoperitonealorventriculobiliary]1AC52SZ Drainage,ventriclesofbraincraniotomyorcraniectomy[flap]approachdrainagewithoutshuntorcatheterleftinsitu1AC53DAPL Implantation,ventriclesofbrainofpressuremeasuring/monitoringdeviceusingendoscopic[ventriculoscopic]approach1AC53SEFT Implantationofinternaldevice,ventriclesofbrainof[semipermeable]catheter[forchemicalpalliativeinfusion]usingburrholetechnique

1AC53SZFTImplantationofinternaldevice,ventriclesofbrainof[semipermeable]catheter[forchemicalpalliativeinfusion]usingopencraniotomy[orcraniectomy]flaptechnique

1AC53SZPL Implantation,ventriclesofbrainofpressuremeasuring/monitoringdeviceusingopencraniotomy/craniectomy[flap]techniqueforaccess1AC54MESJ Managementofinternaldevice,ventriclesofbrainopenapproach,shuntsystemterminatinginabdominalcavity[e.g.ventriculoperitoneal,gallbladder]1AC54MFSJ Managementofinternaldevice,ventriclesofbrainopenapproach,shuntsystemterminatingincirculatorysystem[e.g.ventriculoatrial]1AC54MJSJ Managementofinternaldevice,ventriclesofbrainopenapproach,shuntsystemterminatinginheadandneck[e.g.cisternamagna,Torkildsen'sshunt]1AC54MPSJ Managementofinternaldevice,ventriclesofbrainopenapproach,shuntsystemterminatinginothersite1AC54MQSJ Managementofinternaldevice,ventriclesofbrainopenapproach,shuntsystemterminatinginthoraciccavity[e.g.ventriculopleural]1AC55DAEB Removalofdevice,ventriclesofbrainendoscopicapproachofradioactivematerialusingburrholeaccess1AC55DANR Removalofdevice,ventriclesofbrainendoscopicapproachofstentusingburrholeaccess1AC55SEEB Removalofdevice,ventriclesofbrainopenapproachofradioactivematerialusingburrholeaccess1AC55SENR Removalofdevice,ventriclesofbrainopenapproachofstentusingburrholeaccess1AC55SZPL Removalofdevice,ventriclesofbrainopenapproachofpressuremeasuring/monitoringdeviceusingcraniotomyforaccess1AC55SZSJ Removalofdevice,ventriclesofbrainopenapproachofshuntcathetersystem1AC59DAAG Destruction,ventriclesofbrainendoscopicapproachusinglaser1AC59DAAW Destruction,ventriclesofbrainusingendoscopicapproachandradiofrequencyprobe

CCICodesforAnesthesiaHandoverStudy

Neuro Brain,brainstem,spinalcanal,pituitary

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eTable 1 – Included surgical procedures and their Canadian Classification of health Intervention (CCI) codes

1AC59DAGX Destruction,ventriclesofbrainusingendoscopicapproachanddeviceNEC1AC59LZAW Destruction,ventriclesofbrainusingopenapproachwithcraniotomy[craniectomy]flaptechniqueandradiofrequencyprobe1AC59LZGX Destruction,ventriclesofbrainusingopenapproachwithcraniotomy[craniectomy]flaptechniqueanddeviceNEC1AC59SZAG Destruction,ventriclesofbrainopenapproachwithcraniotomy[craniectomy]flaptechniqueusinglaser1AC59SZAW Destruction,ventriclesofbrainusingopenapproachwithcraniotomy[craniectomy]flaptechniqueandradiofrequencyprobe1AC59SZGX Destruction,ventriclesofbrainusingopenapproachwithcraniotomy[craniectomy]flaptechniqueanddeviceNEC1AC87DAAG Excisionpartial,ventriclesofbrainendoscopicapproachwithlaser1AC87DAAZ Excisionpartial,ventriclesofbrainendoscopicapproachwithultrasonicaspirator[e.g.CUSA]1AC87DAGX Excisionpartial,ventriclesofbrainendoscopicapproachwithdeviceNEC1AC87SZAG Excisionpartial,ventriclesofbrainopenapproachwithlaser1AC87SZAZ Excisionpartial,ventriclesofbrainopenapproachwithultrasonicaspirator[e.g.CUSA]1AC87SZGX Excisionpartial,ventriclesofbrainopenapproachwithdeviceNEC1AE53SEJA Implantation,thalamusandbasalganglia,ofelectrodes[e.g.recording,stimulating]usingburrholeapproach1AE53SZJA Implantationofinternaldevice,thalamusandbasalgangliaofelectrodes[e.g.recording,stimulating]usingopenapproach1AE59PNGX Destruction,thalamusandbasalgangliaroboticassistedtelemanipulationoftools[telesurgery]usingdeviceNEC1AE59SEX7 Destruction,thalamusandbasalgangliaburrholeapproachusingchemicalcauteryagent1AE87SZGX Excisionpartial,thalamusandbasalgangliausingopenapproachanddeviceNEC1AF52QS Drainage,pituitaryregionusingtransnasal[e.g.transsphenoidal,transethmoidal]approach1AF52QSTS Drainage,pituitaryregionusingtransnasal(e.g.transethmoidal,transsphenoidal)approachandleavingdrainagetube[catheter]insitu1AF52SZ Drainage,pituitaryregionusingtranscranial[e.g.transfrontal,pterionorcraniectomyNOS]approach1AF52SZTS Drainage,pituitaryregionusingtranscranial(e.g.transfrontal,pterionorcraniectomyNOS)approachandleavingdrainagetube[catheter]insitu1AF53SEQS Implantationofinternaldevice,pituitaryregionusingburrholeapproachandreservoir.(withtubing)system1AF54SEQS Managementofinternaldevice,pituitaryregionofreservoir(andtubing)systemusing.burrholeapproach1AF55SEQS Removalofdevice,pituitaryregionofreservoir(andtubing)systemusingburrholeapproach1AF59QSAD Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithcryoprobe1AF59QSAW Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithradiofrequencyprobe1AF59QSGX Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithdeviceNEC1AF59QSX7 Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithchemicalcauteryagent1AF59SZAD Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithcryoprobe1AF59SZAW Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithradiofrequencyprobe1AF59SZGX Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithdeviceNEC1AF59SZX7 Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithchemicalcauteryagent1AF87DAAG Excisionpartial,pituitaryregionendoscopicapproachwithlaser1AF87DAAZ Excisionpartial,pituitaryregionendoscopicapproachwithultrasonicaspirator[e.g.CUSA]1AF87DAGX Excisionpartial,pituitaryregionendoscopicapproachwithdeviceNEC1AF87LUAG Excisionpartial,pituitaryregioncombinedtransnasal&transcranialapproachwithlaser1AF87LUAZ Excisionpartial,pituitaryregioncombinedtransnasal&transcranialapproachwithultrasonicaspirator[e.g.CUSA]1AF87LUGX Excisionpartial,pituitaryregioncombinedtransnasal&transcranialapproachwithdeviceNEC1AF87PRAG Excisionpartial,pituitaryregionroboticassistedtelemanipulationoftools[telesurgery]withlaser1AF87PRAZ Excisionpartial,pituitaryregionroboticassistedtelemanipulationoftools[telesurgery]withultrasonicaspirator[e.g.CUSA]1AF87PRGX Excisionpartial,pituitaryregionroboticassistedtelemanipulationoftools[telesurgery]withdeviceNEC1AF87QSAG Excisionpartial,pituitaryregiontransnasal[e.g.transsphenoidal,transethmoidal]approachwithlaser1AF87QSAZ Excisionpartial,pituitaryregiontransnasal[e.g.transsphenoidal,transethmoidal]approachwithultrasonicaspirator[e.g.CUSA]1AF87QSGX Excisionpartial,pituitaryregiontransnasal[e.g.transsphenoidal,transethmoidal]approachwithdeviceNEC1AF87SZAG Excisionpartial,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniectomyNEC]approachwithlaser1AF87SZAZ Excisionpartial,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniectomyNEC]approachwithultrasonicaspirator[e.g.CUSA]1AF87SZGX Excisionpartial,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniectomyNEC]approachwithdeviceNEC1AG55SEEB Removalofdevice,pinealglandofradioactivematerialusingopenburrholeapproach1AG55SZEB Removalofdevice,pinealglandofradioactivematerialusingopencraniotomy[craniectomy]flapapproach1AG87PNAG Excisionpartial,pinealglandroboticassistedtelemanipulationoftools[telesurgery]withburrholeaccesswithlaser1AG87PNAZ Excisionpartial,pinealglandroboticassistedtelemanipulationoftools[telesurgery]withburrholeaccesswithultrasonicaspirator[e.g.CUSA]1AG87PNGX Excisionpartial,pinealglandroboticassistedtelemanipulationoftools[telesurgery]withburrholeaccesswithdeviceNEC1AG87PRAG Excisionpartial,pinealglandroboticassistedtelemanipulationoftools[telesurgery]craniotomy[craniectomy]flaptechniqueforaccesswithlaser

1AG87PRAZExcisionpartial,pinealglandroboticassistedtelemanipulationoftools[telesurgery]craniotomy[craniectomy]flaptechniqueforaccesswithultrasonicaspirator[e.g.CUSA]

1AG87PRGX Excisionpartial,pinealglandroboticassistedtelemanipulationoftools[telesurgery]craniotomy[craniectomy]flaptechniqueforaccesswithdeviceNEC1AG87SEAG Excisionpartial,pinealglandopenapproachburrholetechniqueforaccesswithlaser1AG87SEAZ Excisionpartial,pinealglandopenapproachburrholetechniqueforaccesswithultrasonicaspirator[e.g.CUSA]1AG87SEGX Excisionpartial,pinealglandopenapproachburrholetechniqueforaccesswithdeviceNEC1AG87SZAG Excisionpartial,pinealglandopenapproachcraniotomy[craniectomy]flaptechniqueforaccesswithlaser1AG87SZAZ Excisionpartial,pinealglandopenapproachcraniotomy[craniectomy]flaptechniqueforaccesswithultrasonicaspirator[e.g.CUSA]1AG87SZGX Excisionpartial,pinealglandopenapproachcraniotomy[craniectomy]flaptechniqueforaccesswithdeviceNEC1AJ53SEJA Implantationofinternaldevice,cerebellumofelectrodeusingopenapproachwithburrholetechnique1AJ55SEJA Removalofdevice,cerebellumofelectrodeusingopenapproachwithburrholetechnique1AJ87DAAG Excisionpartial,cerebellumendoscopicapproachwithlaser1AJ87DAAZ Excisionpartial,cerebellumendoscopicapproachwithultrasonicaspirator[e.g.CUSA]1AJ87DAGX Excisionpartial,cerebellumendoscopicapproachwithdeviceNEC1AJ87PNAG Excisionpartial,cerebellumroboticassistedtelemanipulationoftools[telesurgery]withlaser1AJ87PNAZ Excisionpartial,cerebellumroboticassistedtelemanipulationoftools[telesurgery]withultrasonicaspirator[e.g.CUSA]1AJ87PNGX Excisionpartial,cerebellumroboticassistedtelemanipulationoftools[telesurgery]withdeviceNEC1AJ87SEAG Excisionpartial,cerebellumburrholetechniquewithlaser1AJ87SEAZ Excisionpartial,cerebellumburrholetechniquewithultrasonicaspirator[e.g.CUSA]1AJ87SEGX Excisionpartial,cerebellumburrholetechniquewithdeviceNEC1AJ87SZAG Excisionpartial,cerebellumopenapproachwithlaser1AJ87SZAZ Excisionpartial,cerebellumopenapproachwithultrasonicaspirator[e.g.CUSA]1AJ87SZGX Excisionpartial,cerebellumopenapproachwithdeviceNEC

1AK87PNAGExcisionpartial,cerebellopontineangleroboticassistedtelemanipulationoftools[telesurgery]craniotomy[orcraniectomy]approach[e.g.suboccipital,midfossa,temporal]withlaser

1AK87PNAZExcisionpartial,cerebellopontineangleroboticassistedtelemanipulationoftools[telesurgery]craniotomy[orcraniectomy]approach[e.g.suboccipital,midfossa,temporal]withultrasonicaspirator[e.g.CUSA]

1AK87PNGXExcisionpartial,cerebellopontineangleroboticassistedtelemanipulationoftools[telesurgery]craniotomy[orcraniectomy]approach[e.g.suboccipital,midfossa,temporal]withdeviceNEC

1AK87PQAGExcisionpartial,cerebellopontineangleroboticassistedtelemanipulationoftools[telesurgery]translabyrinthineapproach[withorwithoutadditionalcraniotomyflap]withlaser

1AK87PQAZExcisionpartial,cerebellopontineangleroboticassistedtelemanipulationoftools[telesurgery]translabyrinthineapproach[withorwithoutadditionalcraniotomyflap]withultrasonicaspirator[e.g.CUSA]

1AK87PQGXExcisionpartial,cerebellopontineangleroboticassistedtelemanipulationoftools[telesurgery]translabyrinthineapproach[withorwithoutadditionalcraniotomyflap]withdeviceNEC

1AK87QQAG Excisionpartial,cerebellopontineangleopenapproachtranslabyrinthineapproach[withorwithoutadditionalcraniotomyflap]withlaser1AK87QQAZ Excisionpartial,cerebellopontineangleopenapproachtranslabyrinthineapproach[withorwithoutadditionalcraniotomyflap]withultrasonicaspirator[e.g.CUSA]1AK87QQGX Excisionpartial,cerebellopontineangleopenapproachtranslabyrinthineapproach[withorwithoutadditionalcraniotomyflap]withdeviceNEC1AK87SZAG Excisionpartial,cerebellopontineangleopenapproachcraniotomy[orcraniectomy]approach[e.g.suboccipital,midfossa,temporal]withlaser

1AK87SZAZExcisionpartial,cerebellopontineangleopenapproachcraniotomy[orcraniectomy]approach[e.g.suboccipital,midfossa,temporal]withultrasonicaspirator[e.g.CUSA]

1AK87SZGX Excisionpartial,cerebellopontineangleopenapproachcraniotomy[orcraniectomy]approach[e.g.suboccipital,midfossa,temporal]withdeviceNEC1AN52DA Drainage,brainendoscopicapproachdrainagealone[withoutcatheterinsitu]1AN52DATS Drainage,brainendoscopicapproachleavingdrainagetube[catheter]insitu1AN52PN Drainage,brainroboticassistedtelemanipulationoftools[telesurgery]drainagealone[withoutcatheterinsitu]1AN52PNTS Drainage,brainroboticassistedtelemanipulationoftools[telesurgery]leavingdrainagetube[catheter]insitu


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eTable 1 – Included surgical procedures and their Canadian Classification of health Intervention (CCI) codes (continued)

Philip Jones

Surgery Surgery Code DescriptionGroup Sub-Group

1AN52SE Drainage,brainburrholeapproachdrainagealone[withoutcatheterinsitu]1AN52SETS Drainage,brainburrholeapproachleavingdrainagetube[catheter]insitu1AN52SZ Drainage,brainopencraniotomyflaptechniquedrainagealone[withoutcatheterinsitu]1AN52SZTS Drainage,brainopencraniotomyflaptechniqueleavingdrainagetube[catheter]insitu1AN53SEEM Implantationofinternaldevice,brainburrholetechniqueforaccessofbrachytherapyapplicator1AN53SEFT Implantationofinternaldevice,brainburrholetechniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AN53SEJA Implantationofinternaldevice,brainburrholetechniqueforaccessofelectrodes[e.g.recording,stimulating]1AN53SEPL Implantationofinternaldevice,brainburrholetechniqueforaccessofpressuremeasuring/monitoringdevice1AN53SZEM Implantationofinternaldevice,braincraniotomy[orcraniectomy]flaptechniqueforaccessofbrachytherapyapplicator1AN53SZFT Implantationofinternaldevice,braincraniotomy[orcraniectomy]flaptechniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AN53SZJA Implantationofinternaldevice,braincraniotomy[orcraniectomy]flaptechniqueforaccessofelectrodes[e.g.recording,stimulating]1AN53SZPL Implantationofinternaldevice,braincraniotomy[orcraniectomy]flaptechniqueforaccessofpressuremeasuring/monitoringdevice1AN54SEJA Managementofinternaldevice,brainofelectrodes[e.g.recording,stimulating]usingburrholeapproach1AN54SEPL Managementofinternaldevice,brainofpressuremeasuring/monitoringdeviceusingburrholeapproach1AN54SZJA Managementofinternaldevice,brainofelectrodes[e.g.recording,stimulating]usingcraniotomy/craniectomyapproach1AN54SZPL Managementofinternaldevice,brainofpressuremeasuring/monitoringdeviceusingcraniotomy/craniectomyapproach1AN55SEEB Removalofdevice,brainburrholetechniqueforaccessofradioactivematerial1AN55SEFT Removalofdevice,brainburrholetechniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AN55SEJA Removalofdevice,brainburrholetechniqueforaccessofelectrodes[e.g.recording,stimulating]1AN55SEPL Removalofdevice,brainburrholetechniqueforaccessofpressuremeasuring/monitoringdevice1AN55SZEB Removalofdevice,braincraniotomyorcraniectomy[flap]techniqueforaccessofradioactivematerial1AN55SZFT Removalofdevice,braincraniotomyorcraniectomy[flap]techniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AN55SZJA Removalofdevice,braincraniotomyorcraniectomy[flap]techniqueforaccessofelectrodes[e.g.recording,stimulating]1AN55SZPL Removalofdevice,braincraniotomyorcraniectomy[flap]techniqueforaccessofpressuremeasuring/monitoringdevice1AN56SZ Removalofforeignbody,brainusingopenapproachwithcraniotomy[craniectomy]flaptechniqueforaccess1AN59SEAG Destruction,brainburrholetechniqueforaccesswithlaser1AN59SEAW Destruction,brainburrholetechniqueforaccesswithradiofrequencyprobe1AN59SEGX Destruction,brainburrholetechniqueforaccesswithdeviceNEC1AN59SEX7 Destruction,brainburrholetechniqueforaccesswithchemicalcautery[e.g.alcohol]1AN59SZAG Destruction,braincraniotomy[orcraniectomy]flaptechniqueforaccesswithlaser1AN59SZAW Destruction,braincraniotomy[orcraniectomy]flaptechniqueforaccesswithradiofrequencyprobe1AN59SZGX Destruction,braincraniotomy[orcraniectomy]flaptechniqueforaccesswithdeviceNEC1AN59SZX7 Destruction,braincraniotomy[orcraniectomy]flaptechniqueforaccesswithchemicalcautery[e.g.alcohol]1AN70LA IncisionNOS,brainusingopenapproach1AN73QP Reduction,brainusingcombinedtranscranialandtransnasalapproach1AN73SZ Reduction,brainusingopenapproachwithcraniotomy[craniectomy]flaptechniqueforaccess1AN87PNAG Excisionpartial,brainroboticassistedtelemanipulationoftools[telesurgery]withlaser1AN87PNAZ Excisionpartial,brainroboticassistedtelemanipulationoftools[telesurgery]withultrasonicaspirator[e.g.CUSA]1AN87PNGX Excisionpartial,brainroboticassistedtelemanipulationoftools[telesurgery]withdeviceNEC1AN87SEAG Excisionpartial,brainburrholetechniqueforaccesswithlaser1AN87SEAZ Excisionpartial,brainburrholetechniqueforaccesswithultrasonicaspirator[e.g.CUSA]1AN87SEGX Excisionpartial,brainburrholetechniqueforaccesswithdeviceNEC1AN87SZAG Excisionpartial,braincraniotomy[orcraniectomy]flaptechniqueforaccesswithlaser1AN87SZAZ Excisionpartial,braincraniotomy[orcraniectomy]flaptechniqueforaccesswithultrasonicaspirator[e.g.CUSA]1AN87SZGX Excisionpartial,braincraniotomy[orcraniectomy]flaptechniqueforaccesswithdeviceNEC1AP52MESJ Drainage,brainstemusingshuntsystemterminatinginabdominalcavity[e.g.syringoperitoneal]1AP52MFSJ Drainage,brainstemusingshuntsystemterminatingincirculatorysystem[e.g.syringoatrial]1AP52MJSJ Drainage,brainstemusingshuntsystemterminatinginheadandneck[e.g.syringosubarachnoid]1AP52MQSJ Drainage,brainstemusingshuntsystemterminatinginthoraciccavity[e.g.syringopleural]1AP53SEFT Implantationofinternaldevice,brainstemburrholetechniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AP53SEJA Implantationofinternaldevice,brainstemburrholetechniqueforaccessofelectrodes[e.g.recording,stimulating]1AP53SZFT Implantationofinternaldevice,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AP53SZJA Implantationofinternaldevice,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccessofelectrodes[e.g.recording,stimulating]1AP55SEEB Removalofdevice,brainstemburrholetechniqueforaccessofradioactivematerial1AP55SEFT Removalofdevice,brainstemburrholetechniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AP55SEJA Removalofdevice,brainstemburrholetechniqueforaccessofelectrodes[e.g.recording,stimulating]1AP55SESJ Removalofdevice,brainstem,burrholetechniqueforaccessofshuntcathetersystem1AP55SZEB Removalofdevice,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccessofradioactivematerial1AP55SZFT Removalofdevice,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccessof[semipermeable]catheter[e.g.forchemicalpalliativeinfusion]1AP55SZJA Removalofdevice,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccessofelectrodes[e.g.recording,stimulating]1AP55SZSJ Removalofdevice,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccessofshuntcathetersystem1AP59PNAW Destruction,brainstemroboticassistedtelemanipulationoftools[telesurgery]withradiofrequencyprobe1AP59PNGX Destruction,brainstemroboticassistedtelemanipulationoftools[telesurgery]withdeviceNEC1AP59PNX7 Destruction,brainstemroboticassistedtelemanipulationoftools[telesurgery]withchemicalcautery[e.g.alcohol]1AP59SEAG Destruction,brainstemburrholetechniqueforaccesswithlaser1AP59SEAW Destruction,brainstemburrholetechniqueforaccesswithradiofrequencyprobe1AP59SEGX Destruction,brainstemburrholetechniqueforaccesswithdeviceNEC1AP59SEX7 Destruction,brainstemburrholetechniqueforaccesswithchemicalcautery[e.g.alcohol]1AP59SZAG Destruction,brainstemcraniotomy[orcraniectomy].flaptechniqueforaccesswithlaser1AP59SZAW Destruction,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccesswithradiofrequencyprobe1AP59SZGX Destruction,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccesswithdeviceNEC1AP59SZX7 Destruction,brainstemcraniotomy[orcraniectomy]flaptechniqueforaccesswithchemicalcautery[e.g.alcohol]1AP72PN Release,brainstemusingroboticassistedtelemanipulationoftools[telesurgery]andcraniotomy[orcraniectomy]flaptechniqueforaccess1AP72PS Release,brainstemusingroboticassistedtelemanipulationoftools[telesurgery]andtransoralapproach1AP72QT Release,brainstemusingtransoralapproach1AP72SE Release,brainstemusingburrholeapproach1AP72SZ Release,brainstemusingcraniotomy[orcraniectomy]flaptechniqueforaccess1AP87LPAG Excisionpartial,brainstemopenapproachtranscervicalapproachforaccesswithlaser1AP87LPAZ Excisionpartial,brainstemopenapproachtranscervicalapproachforaccesswithultrasonicaspirator[e.g.CUSA]1AP87LPGX Excisionpartial,brainstemopenapproachtranscervicalapproachforaccesswithdeviceNEC1AP87PNAG Excisionpartial,brainstemroboticassistedtelemanipulationoftools[telesurgery]craniotomy[orcraniectomy]flaptechniqueforaccesswithlaser

1AP87PNAZExcisionpartial,brainstemroboticassistedtelemanipulationoftools[telesurgery]craniotomy[orcraniectomy]flaptechniqueforaccesswithultrasonicaspirator[e.g.CUSA]

1AP87PNGX Excisionpartial,brainstemroboticassistedtelemanipulationoftools[telesurgery]craniotomy[orcraniectomy]flaptechniqueforaccesswithdeviceNEC1AP87PPAG Excisionpartial,brainstemroboticassistedtelemanipulationoftools[telesurgery]transcervicalapproachforaccesswithlaser1AP87PPAZ Excisionpartial,brainstemroboticassistedtelemanipulationoftools[telesurgery]transcervicalapproachforaccesswithultrasonicaspirator[e.g.CUSA]1AP87PPGX Excisionpartial,brainstemroboticassistedtelemanipulationoftools[telesurgery]transcervicalapproachforaccesswithdeviceNEC1AP87SEAG Excisionpartial,brainstemburrholetechniqueforaccesswithlaser1AP87SEAZ Excisionpartial,brainstemburrholetechniqueforaccesswithultrasonicaspirator[e.g.CUSA]1AP87SEGX Excisionpartial,brainstemburrholetechniqueforaccesswithdeviceNEC1AP87SZAG Excisionpartial,brainstemopenapproachcraniotomy[orcraniectomy]flaptechniqueforaccesswithlaser1AP87SZAZ Excisionpartial,brainstemopenapproachcraniotomy[orcraniectomy]flaptechniqueforaccesswithultrasonicaspirator[e.g.CUSA]1AP87SZGX Excisionpartial,brainstemopenapproachcraniotomy[orcraniectomy]flaptechniqueforaccesswithdeviceNEC1AW59LA Destruction,spinalcordopenapproachusingmidlineincisiontechnique1AW59WK Destruction,spinalcordopenapproachusingdorsalrootentryzonelesion[creation]technique(*)1AW87LAAG Excisionpartial,spinalcordopenapproachwithappositiontechnique[e.g.suturing]withlaser1AW87LAAGA Excisionpartial,spinalcordopenapproachwithautograftforclosure[e.g.dura,fascialata]withlaser1AW87LAAGN Excisionpartial,spinalcordopenapproachwithsynthetictissueforclosurewithlaser1AW87LAAZ Excisionpartial,spinalcordopenapproachwithappositiontechnique[e.g.suturing]withultrasonicaspirationdevice


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1AW87LAAZA Excisionpartial,spinalcordopenapproachwithautograftforclosure[e.g.dura,fascialata]withultrasonicaspirationdevice1AW87LAAZN Excisionpartial,spinalcordopenapproachwithsynthetictissueforclosurewithultrasonicaspirationdevice1AW87LAGX Excisionpartial,spinalcordopenapproachwithappositiontechnique[e.g.suturing]withdeviceNEC1AW87LAGXA Excisionpartial,spinalcordopenapproachwithautograftforclosure[e.g.dura,fascialata]withdeviceNEC1AW87LAGXN Excisionpartial,spinalcordopenapproachwithsynthetictissueforclosurewithdeviceNEC1AX52LA Drainage,spinalcanalandmeningesopenapproachdrainagewithoutshuntorcatheterleftinsitu1AX52MBSJ Drainage,spinalcanalandmeningesopenapproachshuntorcatheterterminatingatskin[e.g.temporaryexternaldrainage]1AX52MBTS Drainage,spinalcanalandmeninges,openapproachcatheter(shunt)terminatingatskin[e.g.temporaryexternaldrainage]1AX52MESJ Drainage,spinalcanalandmeningesopenapproachshuntterminatinginabdominalcavity[e.g.lumboperitonealshunt]1AX52MQSJ Drainage,spinalcanalandmeningesopenapproachshuntterminatinginthoraciccavity[e.g.pleurothecalshunt]1AX53DADV Implantationofinternaldevice,spinalcanalandmeningesendoscopicapproachofneurostimulatordevice1AX53DAFT Implantationofinternaldevice,spinalcanalandmeningesendoscopicapproachofcatheter[includescreationofreservoir]1AX53DAPL Implantationofinternaldevice,spinalcanalandmeningesendoscopicapproachofpressuremeasuringdevice1AX53LADV Implantationofinternaldevice,spinalcanalandmeningesopenapproachofneurostimulatordevice1AX53LAFT Implantationofinternaldevice,spinalcanalandmeningesopenapproachofcatheter[includescreationofreservoir]1AX53LAPL Implantationofinternaldevice,spinalcanalandmeningesopenapproachofpressuremeasuringdevice1AX53LAQK Implantationofinternaldevice,spinalcanalandmeningesopenapproachofinfusionpump(withcatheter)1AX56DA Removalofforeignbody,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingappositiontechnique[e.g.suturing]forclosure1AX56DAW3 Removalofforeignbody,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingfibringluetechniqueforclosure1AX56DAXXA Removalofforeignbody,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingautograft[e.g.dura,fascialata]forclosure1AX56DAXXJ Removalofforeignbody,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusinghomograft[e.g.dura]forclosure1AX56DAXXK Removalofforeignbody,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusinghomograft[e.g.dura]forclosure1AX56DAXXN Removalofforeignbody,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingsynthetictissue[e.g.Silasticsheath]forclosure1AX56LA Removalofforeignbody,spinalcanalandmeningesopenapproachusingappositiontechnique[e.g.suturing]forclosure1AX56LAW3 Removalofforeignbody,spinalcanalandmeningesopenapproachusingfibringluetechniqueforclosure1AX56LAXXA Removalofforeignbody,spinalcanalandmeningesopenapproachusingautograft[e.g.dura,fascialata]forclosure1AX56LAXXJ Removalofforeignbody,spinalcanalandmeningesopenapproachusinghomograft[e.g.dura]forclosure1AX56LAXXK Removalofforeignbody,spinalcanalandmeningesopenapproachusinghomograft[e.g.dura]forclosure1AX56LAXXN Removalofforeignbody,spinalcanalandmeningesopenapproachusingsynthetictissue[e.g.Silasticsheath]forclosure1AX73LA Reduction,spinalcanalandmeningesusingappositiontechnique[e.g.suturing]forclosure1AX73LAW3 Reduction,spinalcanalandmeningesusingfibringluetechniqueforclosure1AX73LAXXA Reduction,spinalcanalandmeningesusingautograft[e.g.dura,fascialata]forclosure1AX73LAXXJ Reduction,spinalcanalandmeningesusinghomograft[e.g.dura]forclosure1AX73LAXXK Reduction,spinalcanalandmeningesusinghomograft[e.g.dura]forclosure1AX73LAXXN Reduction,spinalcanalandmeningesusingsynthetictissue[e.g.Silasticsheath]forclosure1AX80DA Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingappositiontechnique[e.g.suturing]forclosure1AX80DAW3 Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingfibringluetechniqueforclosure1AX80DAXXA Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingautograft[e.g.dura,fascialata]forclosure1AX80DAXXJ Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusinghomograft[e.g.dura]forclosure1AX80DAXXK Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusinghomograft[e.g.dura]forclosure1AX80DAXXL Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingxenograftforclosure1AX80DAXXN Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingsynthetictissue[e.g.silasticsheath]forclosure1AX80DAXXQ Repair,spinalcanalandmeningesendoscopic[thoracoscopic,laparoscopic]approachusingcombinedsourcesoftissueforclosure1AX80LA Repair,spinalcanalandmeningesopenapproachusingappositiontechnique[e.g.suturing]forclosure1AX80LAW3 Repair,spinalcanalandmeningesopenapproachusingfibringluetechniqueforclosure1AX80LAXXA Repair,spinalcanalandmeningesopenapproachusingautograft[e.g.dura,fascialata]forclosure1AX80LAXXJ Repair,spinalcanalandmeningesopenapproachusinghomograft[e.g.dura]forclosure1AX80LAXXK Repair,spinalcanalandmeningesopenapproachusinghomograft[e.g.dura]forclosure1AX80LAXXL Repair,spinalcanalandmeningesopenapproachusingxenograftforclosure1AX80LAXXN Repair,spinalcanalandmeningesopenapproachusingsynthetictissue[e.g.silasticsheath]forclosure1AX80LAXXQ Repair,spinalcanalandmeningesopenapproachusingcombinedsourcesoftissueforclosure

1AX86ME Closureoffistula,spinalcanalandmeningesdebridementandclosure[e.g.suture]forfistulaterminatinganywhereinabdominalcavity[e.g.digestiveorbiliarytract]

1AX86MEW3Closureoffistula,spinalcanalandmeningesdebridementandclosureusingfibrin[glue]forfistulaterminatinganywhereinabdominalcavity[e.g.digestiveorbiliarytract]

1AX86MEXXAClosureoffistula,spinalcanalandmeningesdebridementandclosureusingautograft[dura,fascialata]forfistulaterminatinganywhereinabdominalcavity[e.g.digestiveorbiliarytract]

1AX86MEXXNClosureoffistula,spinalcanalandmeningesdebridementandclosureusingsynthetictissue[silasticsheath]forfistulaterminatinganywhereinabdominalcavity[e.g.digestiveorbiliarytract]

1AX86MQ Closureoffistula,spinalcanalandmeningesdebridementandclosure[e.g.suture]forfistulaterminatinganywhereinthoraciccavity1AX86MQW3 Closureoffistula,spinalcanalandmeningesdebridementandclosureusingfibrin[glue]forfistulaterminatinganywhereinthoraciccavity1AX86MQXXA Closureoffistula,spinalcanalandmeningesdebridementandclosureusingautograft[dura,fascialata]forfistulaterminatinganywhereinthoraciccavity1AX86MQXXN Closureoffistula,spinalcanalandmeningesdebridementandclosureusingsynthetictissue[silasticsheath]forfistulaterminatinganywhereinthoraciccavity

1AX86VCClosureoffistula,spinalcanalandmeningesdebridementandclosure[e.g.suture]forfistulatravelingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1AX86VCW3Closureoffistula,spinalcanalandmeningesdebridementandclosureusingfibrin[glue]forfistulatravelingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1AX86VCXXAClosureoffistula,spinalcanalandmeningesdebridementandclosureusingautograft[dura,fascialata]forfistulatravelingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1AX86VCXXNClosureoffistula,spinalcanalandmeningesdebridementandclosureusingsynthetictissue[silasticsheath]forfistulatravelingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1AX87DAAGExcisionpartial,spinalcanalandmeningesendoscopicapproachwithappositiontechnique[e.g.suturing]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withlaser

1AX87DAAZExcisionpartial,spinalcanalandmeningesendoscopicapproachwithappositiontechnique[e.g.suturing]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withultrasonicaspirationdevice

1AX87DAGXExcisionpartial,spinalcanalandmeningesendoscopicapproachwithappositiontechnique[e.g.suturing]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withdeviceNEC

1AX87GBAGExcisionpartial,spinalcanalandmeningesendoscopicapproachwithappositiontechnique[e.g.suturing]usingintraduralincisiontechnique[e.g.formeningealmass]withlaser

1AX87GBAZExcisionpartial,spinalcanalandmeningesendoscopicapproachwithappositiontechnique[e.g.suturing]usingintraduralincisiontechnique[e.g.formeningealmass]withultrasonicaspirationdevice

1AX87GBGXExcisionpartial,spinalcanalandmeningesendoscopicapproachwithappositiontechnique[e.g.suturing]usingintraduralincisiontechnique[e.g.formeningealmass]withdeviceNEC

1AX87LAAGExcisionpartial,spinalcanalandmeningesopenapproachwithappositiontechnique[e.g.suturing]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withlaser

1AX87LAAGAExcisionpartial,spinalcanalandmeningesopenapproachwithautograftforclosure[e.g.dura,fascialata]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withlaser

1AX87LAAGKExcisionpartial,spinalcanalandmeningesopenapproachwithhomograft[e.g.deceaseddonorfascialata]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withlaser

1AX87LAAGNExcisionpartial,spinalcanalandmeningesusingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]openapproachwithsynthetictissueforclosurewithlaser

1AX87LAAGQExcisionpartial,spinalcanalandmeningesusingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]openapproachwithcombinedsourcesoftissueforclosurewithlaser

1AX87LAAZExcisionpartial,spinalcanalandmeningesopenapproachwithappositiontechnique[e.g.suturing]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withultrasonicaspirationdevice

1AX87LAAZAExcisionpartial,spinalcanalandmeningesopenapproachwithautograftforclosure[e.g.dura,fascialata]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withultrasonicaspirationdevice

1AX87LAAZKExcisionpartial,spinalcanalandmeningesopenapproachwithhomograft[e.g.deceaseddonorfascialata]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withultrasonicaspirationdevice


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1AX87LAAZNExcisionpartial,spinalcanalandmeningesusingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]openapproach.withsynthetictissueforclosurewithultrasonicaspirationdevice

1AX87LAAZQExcisionpartial,spinalcanalandmeningesusingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]openapproachwithcombinedsourcesoftissueforclosurewithultrasonicaspirationdevice

1AX87LAGXExcisionpartial,spinalcanalandmeningesopenapproachwithappositiontechnique[e.g.suturing]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withdeviceNEC

1AX87LAGXAExcisionpartial,spinalcanalandmeningesopenapproachwithautograftforclosure[e.g.dura,fascialata]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withdeviceNEC

1AX87LAGXKExcisionpartial,spinalcanalandmeningesopenapproachwithhomograft[e.g.deceaseddonorfascialata]usingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]withdeviceNEC

1AX87LAGXNExcisionpartial,spinalcanalandmeningesusingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]openapproachwithsynthetictissueforclosurewithdeviceNEC

1AX87LAGXQExcisionpartial,spinalcanalandmeningesusingextraduralincisiontechnique[e.g.forspaceoccupyinglesionofcanal]openapproach.withcombinedsourcesoftissueforclosurewithdeviceNEC

1AX87WKAGExcisionpartial,spinalcanalandmeningesopenapproachwithappositiontechnique[e.g.suturing]usingintraduralincisiontechnique[e.g.formeningealmass]withlaser

1AX87WKAGAExcisionpartial,spinalcanalandmeningesopenapproachwithautograftforclosure[e.g.dura,fascialata]usingintraduralincisiontechnique[e.g.formeningealmass]withlaser

1AX87WKAGKExcisionpartial,spinalcanalandmeningesopenapproachwithhomograft[e.g.deceaseddonorfascialata]usingintraduralincisiontechnique[e.g.formeningealmass]withlaser

1AX87WKAGN Excisionpartial,spinalcanalandmeningesusingintraduralincisiontechnique[e.g.formeningealmass]openapproachwithsynthetictissueforclosurewithlaser

1AX87WKAGQExcisionpartial,spinalcanalandmeningesusingintraduralincisiontechnique[e.g.formeningealmass]openapproachwithcombinedsourcesoftissueforclosurewithlaser

1AX87WKAZExcisionpartial,spinalcanalandmeningesopenapproachwithappositiontechnique[e.g.suturing]usingintraduralincisiontechnique[e.g.formeningealmass]withultrasonicaspirationdevice

1AX87WKAZAExcisionpartial,spinalcanalandmeningesopenapproachwithautograftforclosure[e.g.dura,fascialata]usingintraduralincisiontechnique[e.g.formeningealmass]withultrasonicaspirationdevice

1AX87WKAZKExcisionpartial,spinalcanalandmeningesopenapproachwithhomograft[e.g.deceaseddonorfascialata]usingintraduralincisiontechnique[e.g.formeningealmass]withultrasonicaspirationdevice

1AX87WKAZNExcisionpartial,spinalcanalandmeningesusingintraduralincisiontechnique[e.g.formeningealmass]openapproachwithsynthetictissueforclosurewithultrasonicaspirationdevice

1AX87WKAZQExcisionpartial,spinalcanalandmeningesusingintraduralincisiontechnique[e.g.formeningealmass]openapproachwithcombinedsourcesoftissueforclosurewithultrasonicaspirationdevice

1AX87WKGXExcisionpartial,spinalcanalandmeningesopenapproachwithappositiontechnique[e.g.suturing]usingintraduralincisiontechnique[e.g.formeningealmass]withdeviceNEC

1AX87WKGXAExcisionpartial,spinalcanalandmeningesopenapproachwithautograftforclosure[e.g.dura,fascialata]usingintraduralincisiontechnique[e.g.formeningealmass]withdeviceNEC

1AX87WKGXKExcisionpartial,spinalcanalandmeningesopenapproachwithhomograft[e.g.deceaseddonorfascialata]usingintraduralincisiontechnique[e.g.formeningealmass]withdeviceNEC

1AX87WKGXNExcisionpartial,spinalcanalandmeningesusingintraduralincisiontechnique[e.g.formeningealmass]openapproachwithsynthetictissueforclosurewithdeviceNEC

1AX87WKGXQExcisionpartial,spinalcanalandmeningesusingintraduralincisiontechnique[e.g.formeningealmass]openapproachwithcombinedsourcesoftissueforclosurewithdeviceNEC

1AZ94LA TherapeuticinterventionNEC,centralnervoussystemNECusingopenapproach1BA59LA Destruction,cranialnervesusingopenapproach.[e.g.orbitotomywithoutboneflap]1BA59QS Destruction,cranialnervesusingtransnasal.[e.g.transsphenoidal,transethmoidal]approach1BA59SZ Destruction,cranialnervesusingcraniotomy[craniectomy]flapapproachandtransection[oraversion]technique1BA59SZAW Destruction,cranialnervesusingcraniotomy[craniectomy]flapapproachandradiofrequencyprobe1BA59SZX7 Destruction,cranialnervesusingcraniotomy[craniectomy]flapapproachandchemicalcauteryagent[e.g.alcohol,glycerol]1BA72LA Release,cranialnervesusingopenapproach[e.g.orbitotomy]withoutboneflap1BA72QS Release,cranialnervesusingtransnasal[e.g.transsphenoidal,transethmoidal]approach1BA72SZ Release,cranialnervesusingopenapproachwithcraniectomy[craniotomy]flaptechniqueforaccess1BA80SZ Repair,cranialnervesusinganopen(craniotomy/craniectomy)approachandendtoendsuture[rejoining]technique1BA80SZW3 Repair,cranialnervesusinganopen(craniotomy/craniectomy)approachandfibringlue[rejoining]technique1BA87LA Excisionpartial,cranialnervesusingopen(craniotomy/craniectomy)approachandendtoendwholenerve[rejoining]technique1BA87LAXXA Excisionpartial,cranialnervesusingopen(craniotomy/craniectomy)approachandwholenerveautografttechnique(toreplacelostlength)1BA87LAXXE Excisionpartial,cranialnervesusingopen(craniotomy/craniectomy)approachandtransposition[intracranialtointracranial]nervetechnique

1BA87LAXXQExcisionpartial,cranialnervesusingopen(craniotomy/craniectomy)approachandtransposition[ICtoIC]nervewithadditionalnerveautograft(toreplacelostlength)

1BA87QS Excisionpartial,cranialnervesusingtransnasal.[e.g.transsphenoidal,transethmoidal]approach1BA87UHXXA Excisionpartial,cranialnervesusingopen(craniotomy/craniectomy)approachandinterfascicular[split]inlaynerveautografttechnique(toreplacelostlength)1BA87WF Excisionpartial,cranialnervesusingopen(craniotomy/craniectomy)approachandburialofnerveend1AF52QS Drainage,pituitaryregionusingtransnasal[e.g.transsphenoidal,transethmoidal]approach1AF52QSTS Drainage,pituitaryregionusingtransnasal(e.g.transethmoidal,transsphenoidal)approachandleavingdrainagetube[catheter]insitu1AF52SZ Drainage,pituitaryregionusingtranscranial[e.g.transfrontal,pterionorcraniectomyNOS]approach1AF52SZTS Drainage,pituitaryregionusingtranscranial(e.g.transfrontal,pterionorcraniectomyNOS)approachandleavingdrainagetube[catheter]insitu1AF59QSAD Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithcryoprobe1AF59QSAW Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithradiofrequencyprobe1AF59QSGX Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithdeviceNEC1AF59QSX7 Destruction,pituitaryregiontransnasal[e.g.transsphenoidalortransethmoidal]approachwithchemicalcauteryagent1AF59SZAD Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithcryoprobe1AF59SZAW Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithradiofrequencyprobe1AF59SZGX Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithdeviceNEC1AF59SZX7 Destruction,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniotomyNOS]approachwithchemicalcauteryagent1AF87DAAG Excisionpartial,pituitaryregionendoscopicapproachwithlaser1AF87DAAZ Excisionpartial,pituitaryregionendoscopicapproachwithultrasonicaspirator[e.g.CUSA]1AF87DAGX Excisionpartial,pituitaryregionendoscopicapproachwithdeviceNEC1AF87LUAG Excisionpartial,pituitaryregioncombinedtransnasal&transcranialapproachwithlaser1AF87LUAZ Excisionpartial,pituitaryregioncombinedtransnasal&transcranialapproachwithultrasonicaspirator[e.g.CUSA]1AF87LUGX Excisionpartial,pituitaryregioncombinedtransnasal&transcranialapproachwithdeviceNEC1AF87PRAG Excisionpartial,pituitaryregionroboticassistedtelemanipulationoftools[telesurgery]withlaser1AF87PRAZ Excisionpartial,pituitaryregionroboticassistedtelemanipulationoftools[telesurgery]withultrasonicaspirator[e.g.CUSA]1AF87PRGX Excisionpartial,pituitaryregionroboticassistedtelemanipulationoftools[telesurgery]withdeviceNEC1AF87QSAG Excisionpartial,pituitaryregiontransnasal[e.g.transsphenoidal,transethmoidal]approachwithlaser1AF87QSAZ Excisionpartial,pituitaryregiontransnasal[e.g.transsphenoidal,transethmoidal]approachwithultrasonicaspirator[e.g.CUSA]1AF87QSGX Excisionpartial,pituitaryregiontransnasal[e.g.transsphenoidal,transethmoidal]approachwithdeviceNEC1AF87SZAG Excisionpartial,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniectomyNEC]approachwithlaser1AF87SZAZ Excisionpartial,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniectomyNEC]approachwithultrasonicaspirator[e.g.CUSA]1AF87SZGX Excisionpartial,pituitaryregiontranscranial[e.g.transfrontal,pterionorcraniectomyNEC]approachwithdeviceNEC1SA55LLKD Removalofdevice,atlasandaxisopenanteriorapproachofwire,staple,button,cabling,hook1SA55LLNW Removalofdevice,atlasandaxisopenanteriorapproachofscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]1SA55PFKD Removalofdevice,atlasandaxisopenposteriorapproachofwire,staple,button,cabling,hook1SA55PFNW Removalofdevice,atlasandaxisopenposteriorapproachofscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]1SA72JA Release,atlasandaxisusingexternalapproach1SA74LLGX Fixation,atlasandaxisopenanteriorapproach[Includes:anterolateral,transoralandretropharyngealapproaches]usingdeviceNEC1SA74LLKD Fixation,atlasandaxisopenanteriorapproach[Includes:anterolateral,transoralandretropharyngealapproaches]usingwire,staple,button,cabling,hook

1SA74LLNWFixation,atlasandaxisopenanteriorapproach[Includes:anterolateral,transoralandretropharyngealapproaches]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA74LNGX Fixation,atlasandaxiscombinedopenanteriorwithposteriorapproachusingdeviceNEC


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1SA74LNKD Fixation,atlasandaxiscombinedopenanteriorwithposteriorapproachusingwire,staple,button,cabling,hook1SA74LNNW Fixation,atlasandaxiscombinedopenanteriorwithposteriorapproachusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]1SA74PFGX Fixation,atlasandaxisopenposteriorapproach[Includes:posterolateralapproach]usingdeviceNEC1SA74PFKD Fixation,atlasandaxisopenposteriorapproach[Includes:posterolateralapproach]usingwire,staple,button,cabling,hook1SA74PFNW Fixation,atlasandaxisopenposteriorapproach[Includes:posterolateralapproach]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]1SA75LLGXA Fusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withautograftusingdeviceNEC1SA75LLGXK Fusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withhomograft[e.g.frombonebank]usingdeviceNEC

1SA75LLGXNFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC

1SA75LLGXQ Fusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withcombinedsourcesoftissueusingdeviceNEC1SA75LLKDA Fusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withautograftusingwire,staple,button,cabling,hook

1SA75LLKDKFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling,hook

1SA75LLKDNFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling,hook

1SA75LLKDQFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withcombinedsourcesoftissueusingwire,staple,button,cabling,hook

1SA75LLNWAFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withautograftusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA75LLNWKFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withhomograft[e.g.frombonebank]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA75LLNWNFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA75LLNWQFusion,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withcombinedsourcesoftissueusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA75LNGXA Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithautograftusingdeviceNEC1SA75LNGXK Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithhomograft[e.g.frombonebank]usingdeviceNEC1SA75LNGXN Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SA75LNGXQ Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithcombinedsourcesoftissueusingdeviceNEC1SA75LNKDA Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithautograftusingwire,staple,button,cabling,hook1SA75LNKDK Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithhomograft[e.g.frombonebank]usingwire,staple,button,cabling,hook1SA75LNKDN Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling,hook1SA75LNKDQ Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithcombinedsourcesoftissueusingwire,staple,button,cabling,hook1SA75LNNWA Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithautograftusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA75LNNWKFusion,atlasandaxiscombinedanteriorandposteriorapproachwithhomograft[e.g.frombonebank]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA75LNNWNFusion,atlasandaxiscombinedanteriorandposteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA75LNNWQ Fusion,atlasandaxiscombinedanteriorandposteriorapproachwithcombinedsourcesoftissueusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]1SA75PFGXA Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withautograftusingdeviceNEC1SA75PFGXK Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingdeviceNEC1SA75PFGXN Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SA75PFGXQ Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingdeviceNEC1SA75PFKDA Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withautograftusingwire,staple,button,cabling,hook1SA75PFKDK Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling,hook1SA75PFKDN Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling,hook1SA75PFKDQ Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingwire,staple,button,cabling,hook1SA75PFNWA Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withautograftusingscrew,screwwithplateorpin[e.g.odontoidscrew]1SA75PFNWK Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingscrew,screwwithplateorpin[e.g.odontoidscrew]

1SA75PFNWNFusion,atlasandaxisposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplateorpin[e.g.odontoidscrew]

1SA75PFNWQ Fusion,atlasandaxisposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingscrew,screwwithplateorpin[e.g.odontoidscrew]1SA80LL Repair,atlasandaxisusinganteriorapproach1SA80PF Repair,atlasandaxisusingposteriorapproach1SA89LLGXA Excisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withautograftusingdeviceNEC1SA89LLGXK Excisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withhomograft[e.g.frombonebank]usingdeviceNEC

1SA89LLGXNExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC

1SA89LLGXQ Excisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withcombinedsourcesoftissueusingdeviceNEC1SA89LLKDA Excisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withautograftusingwire,staple,button,cabling,hook

1SA89LLKDKExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling,hook

1SA89LLKDNExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling,hook

1SA89LLKDQExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withcombinedsourcesoftissueusingwire,staple,button,cabling,hook

1SA89LLNWAExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withautograftusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89LLNWKExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withhomograft[e.g.frombonebank]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89LLNWNExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89LLNWQExcisiontotal,atlasandaxisanteriorapproach[anterolateral,retropharyngealandtransoralapproaches]withcombinedsourcesoftissueusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89LNGXA Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithautograftusingdeviceNEC1SA89LNGXK Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithhomograft[e.g.frombonebank]usingdeviceNEC1SA89LNGXN Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SA89LNGXQ Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithcombinedsourcesoftissueusingdeviceNEC1SA89LNKDA Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithautograftusingwire,staple,button,cabling,hook1SA89LNKDK Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithhomograft[e.g.frombonebank]usingwire,staple,button,cabling,hook

1SA89LNKDNExcisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling,hook

1SA89LNKDQ Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithcombinedsourcesoftissueusingwire,staple,button,cabling,hook1SA89LNNWA Excisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithautograftusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89LNNWKExcisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithhomograft[e.g.frombonebank]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89LNNWNExcisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89LNNWQExcisiontotal,atlasandaxiscombinedanteriorandposteriorapproachwithcombinedsourcesoftissueusingscrew,screwwithplate,stapleorpin[e.g.odontoidscrew]

1SA89PFGXA Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withautograftusingdeviceNEC1SA89PFGXK Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingdeviceNEC1SA89PFGXN Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SA89PFGXQ Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingdeviceNEC1SA89PFKDA Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withautograftusingwire,staple,button,cabling,hook1SA89PFKDK Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling,hook

1SA89PFKDNExcisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling,hook

1SA89PFKDQ Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingwire,staple,button,cabling,hook

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1SA89PFNWA Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withautograftusingscrew,screwwithplateorpin[e.g.odontoidscrew]

1SA89PFNWKExcisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingscrew,screwwithplateorpin[e.g.odontoidscrew]

1SA89PFNWNExcisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplateorpin[e.g.odontoidscrew]

1SA89PFNWQ Excisiontotal,atlasandaxisposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingscrew,screwwithplateorpin[e.g.odontoidscrew]1SC55DAGX Removalofdeviceorappliance,spinalvertebraeendoscopicapproach(toinstrumentation)ofdeviceNEC1SC55DAKD Removalofdeviceorappliance,spinalvertebraeendoscopicapproach(toinstrumentation)ofwire,staple,button,cabling,hook(alone)1SC55DANW Removalofdeviceorappliance,spinalvertebraeendoscopicapproach(toinstrumentation)ofscrew,screwandplate,screwandrod,plate1SC55LLGX Removalofdeviceorappliance,spinalvertebraeopenanteriorapproach(toinstrumentation)ofdeviceNEC1SC55LLKD Removalofdeviceorappliance,spinalvertebraeopenanteriorapproach(toinstrumentation)ofwire,staple,button,cabling,hook(alone)1SC55LLNW Removalofdeviceorappliance,spinalvertebraeopenanteriorapproach(toinstrumentation)ofscrew,screwandplate,screwandrod,plate1SC55LLTC Removalofdeviceorappliance,spinalvertebraeopenanteriorapproach(toinstrumentation)ofrod,rodandwire,rodandhook1SC55PFGX Removalofdeviceorappliance,spinalvertebraeopenposteriorapproach(toinstrumentation)ofdeviceNEC1SC55PFKD Removalofdeviceorappliance,spinalvertebraeopenposteriorapproach(toinstrumentation)ofwire,staple,button,cabling,hook(alone)1SC55PFNW Removalofdeviceorappliance,spinalvertebraeopenposteriorapproach(toinstrumentation)ofscrew,screwandplate,screwandrod,plate1SC55PFTC Removalofdeviceorappliance,spinalvertebraeopenposteriorapproach(toinstrumentation)ofrod,rodandwire,rodandhook1SC74LLGX Fixation,spinalvertebraeopenanteriorapproach[Includes:anterolateralortransoralapproach]usingdeviceNEC1SC74LLKD Fixation,spinalvertebraeopenanteriorapproach[Includes:anterolateralortransoralapproach]usingwire,staple,button,cabling(alone)1SC74LLMK Fixation,spinalvertebrae,openanterior(anterolateral)approachusingdynamicstabilizationsystem[e.g.Dynesys,DIAM,Xstop,Wallis,Coflex]1SC74LLNW Fixation,spinalvertebraeopenanteriorapproach[Includes:anterolateralortransoralapproach]usingscrew,screwwithplateorrod1SC74LLTC Fixation,spinalvertebraeopenanteriorapproach[Includes:anterolateralortransoralapproach]usingrodwithhookorwire1SC74PFGX Fixation,spinalvertebraeopenposteriorapproach[Includes:posterolateralapproach]usingdeviceNEC1SC74PFKD Fixation,spinalvertebraeopenposteriorapproach[Includes:posterolateralapproach]usingwire,staple,button,cabling(alone)1SC74PFMK Fixation,spinalvertebrae,openposterior(posterolateral)approachusingdynamicstabilizationsystem[e.g.Dynesys,DIAM,Xstop,Wallis,Coflex]1SC74PFNW Fixation,spinalvertebraeopenposteriorapproach[Includes:posterolateralapproach]usingscrew,screwwithplateorrod1SC74PFTC Fixation,spinalvertebraeopenposteriorapproach[Includes:posterolateralapproach]usingrodwithhookorwire1SC75ERGXA Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithautograftusingdeviceNEC1SC75ERGXK Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithhomograft[e.g.frombonebank]usingdeviceNEC1SC75ERGXL Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithxenograft(e.g.Surgibone,Keilbone)usingdeviceNEC1SC75ERGXN Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SC75ERGXQ Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithcombinedsourcesoftissueusingdeviceNEC1SC75ERKDA Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithautograftapproachusingwire,staple,button,cabling[alone]1SC75ERKDK Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithhomograft[e.g.frombonebank]usingwire,staple,button,cabling[alone]

1SC75ERKDLFusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithxenograft(e.g.Surgibone,Keilbone)usingwire,staple,button,cabling[alone]

1SC75ERKDNFusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling[alone]

1SC75ERKDQ Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithcombinedsourcesoftissueusingwire,staple,button,cabling[alone]

1SC75ERNWAFusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithautograftusingscrew,screwwithplate,stapleorrod[e.g.TSRH,Zielke,pediclescrew]

1SC75ERNWKFusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithhomograft[e.g.frombonebank]usingscrew,screwwithplate,stapleorrod[e.g.TSRH,Zielke,pediclescrew]

1SC75ERNWLFusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithxenograft(e.g.Surgibone,Keilbone)usingscrew,screwwithplate,stapleorrod[e.g.TSRH,Zielke,pediclescrew]

1SC75ERNWNFusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplate,stapleorrod[e.g.TSRH,Zielke,pediclescrew]

1SC75ERNWQFusion,spinalvertebrae,endoscopic[thoracoscopic,laparoscopic]anteriorapproachwithcombinedsourcesoftissueusingscrew,screwwithplate,stapleorrod[e.g.TSRH,Zielke,pediclescrew]

1SC75ERXXA Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithautograftusingnodeviceforfusion1SC75ERXXK Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithhomograft[e.g.frombonebank]usingnodeviceforfusion1SC75ERXXL Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithxenograft(e.g.Surgibone,Keilbone)usingnodeviceforfusion

1SC75ERXXNFusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithsynthetictissue[e.g.bonecement,paste,bioglass]usingnodeviceforfusion

1SC75ERXXQ Fusion,spinalvertebraeendoscopic[thoracoscopic,laparoscopic]anteriorapproachwithcombinedsourcesoftissueusingnodeviceforfusion1SC75LLGXA Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withautograftusingdeviceNEC1SC75LLGXK Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withhomograft[e.g.frombonebank]usingdeviceNEC1SC75LLGXL Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withxenograft(e.g.Surgibone,Keilbone)usingdeviceNEC1SC75LLGXN Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SC75LLGXQ Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withcombinedsourcesoftissueusingdeviceNEC1SC75LLKDA Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withautograftusingwire,staple,button,cabling(alone)

1SC75LLKDKFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling(alone)

1SC75LLKDLFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withxenograft(e.g.Surgibone,Keilbone)usingwire,staple,button,cabling[alone]

1SC75LLKDNFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling(alone)

1SC75LLKDQ Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withcombinedsourcesoftissueusingwire,staple,button,cabling(alone)1SC75LLNWA Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withautograftusingscrew,screwwithplate,stapleorrod

1SC75LLNWKFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withhomograft[e.g.frombonebank]usingscrew,screwwithplate,stapleorrod

1SC75LLNWLFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withxenograft(e.g.Surgibone,Keilbone)usingscrew,screwwithplate,stapleorrod

1SC75LLNWNFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplate,stapleorrod

1SC75LLNWQFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withcombinedsourcesoftissueusingscrew,screwwithplate,stapleorrod

1SC75LLXXA Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withautograftusingnodeviceforfusion1SC75LLXXK Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withhomograft[e.g.frombonebank]usingnodeviceforfusion1SC75LLXXL Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withxenograft(e.g.Surgibone,Keilbone)usingnodeviceforfusion

1SC75LLXXNFusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingnodeviceforfusion

1SC75LLXXQ Fusion,spinalvertebraeopenanteriorapproach[anterolateralandtransoralapproaches]withcombinedsourcesoftissueusingnodeviceforfusion1SC75LNGXA Fusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withautograftusingdeviceNEC1SC75LNGXK Fusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withhomograft[e.g.frombonebank]usingdeviceNEC

1SC75LNGXLFusion,spinalvertebraeopencombinedanteriorapproachandposteriorapproach[e.g.withhemiepiphysiodesis]withxenograft(e.g.Surgibone,Keilbone)usingdeviceNEC

1SC75LNGXNFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC

1SC75LNGXQ Fusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withcombinedsourcesoftissueusingdeviceNEC1SC75LNKDA Fusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withautograftusingwire,staple,button,cabling(alone)

1SC75LNKDKFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling(alone)

1SC75LNKDLFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withxenograft(e.g.Surgibone,Keilbone)usingwire,staple,button,cabling[alone]

1SC75LNKDNFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling(alone)

1SC75LNKDQFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withcombinedsourcesoftissueusingwire,staple,button,cabling(alone)

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1SC75LNNWAFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withautograftusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75LNNWKFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withhomograft[e.g.frombonebank]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75LNNWLFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withxenograft(e.g.Surgibone,Keilbone)usingscrew,screwwithplate,stapleorrod[e.g.TSRH,Zielke,pediclescrew]

1SC75LNNWNFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75LNNWQFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withcombinedsourcesoftissueusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75LNTCAFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withautograftusingrodwithhookorwire[e.g.Harringtonrod]

1SC75LNTCKFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withhomograft[e.g.frombonebank]usingrodwithhookorwire[e.g.Harringtonrod]

1SC75LNTCLFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withxenograft(e.g.Surgibone,Keilbone)usingrodwithhookorwire[e.g.Harringtonrod]

1SC75LNTCNFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingrodwithhookorwire[e.g.Harringtonrod]

1SC75LNTCQFusion,spinalvertebraeopencombinedanteriorandposteriorapproach[e.g.withhemi-epiphysiodesis]withcombinedsourcesoftissueusingrodwithhookorwire[e.g.Harringtonrod]

1SC75PFGXA Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withautograftusingdeviceNEC1SC75PFGXK Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingdeviceNEC1SC75PFGXL Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withxenograft(e.g.Surgibone,Keilbone)usingdeviceNEC1SC75PFGXN Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SC75PFGXQ Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingdeviceNEC1SC75PFKDA Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withautograftusingwire,staple,button,cabling(alone)1SC75PFKDK Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling(alone)1SC75PFKDL Fusion,spinalvertebrae,openposteriorapproach[posterolateralapproach]withxenograft(e.g.Surgibone,Keilbone)usingwire,staple,button,cabling[alone]

1SC75PFKDNFusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling(alone)

1SC75PFKDQ Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingwire,staple,button,cabling(alone)1SC75PFNWA Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withautograftusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75PFNWKFusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75PFNWLFusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withxenograft(e.g.Surgibone,Keilbone)usingscrew,screwwithplate,stapleorrod[e.g.TSRH,Zielke,pediclescrew]

1SC75PFNWNFusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75PFNWQFusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC75PFTCA Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withautograftusingrodwithhookorwire[e.g.Harringtonrod]1SC75PFTCK Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingrodwithhookorwire[e.g.Harringtonrod]

1SC75PFTCLFusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withxenograft(e.g.Surgibone,Keilbone)usingrodwithhookorwire[e.g.Harringtonrod]

1SC75PFTCNFusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingrodwithhookorwire[e.g.Harringtonrod]

1SC75PFTCQ Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingrodwithhookorwire[e.g.Harringtonrod]1SC75PFXXA Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withautograftusingnodeviceforfusion1SC75PFXXK Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingnodeviceforfusion1SC75PFXXL Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withxenograft(e.g.Surgibone,Keilbone)usingnodeviceforfusion1SC75PFXXN Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingnodeviceforfusion1SC75PFXXQ Fusion,spinalvertebraeopenposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingnodeviceforfusion1SC80LL Repair,spinalvertebraeusinganteriorapproach1SC80LN Repair,spinalvertebraeusingcombinedanteriorandposteriorapproach1SC80PF Repair,spinalvertebraeusingposteriorapproach1SC87LAXXQ Excisionpartial,spinalvertebraeusingcombinedsourcestissue[e.g.bonegraft,cement/paste]anterior[oranterolateral]approach1SC87LL Excisionpartial,spinalvertebraeusingexcisionaltechniquealoneAnterior[oranterolateral]approach1SC87LLXXA Excisionpartial,spinalvertebraeusingboneautograftAnterior[oranterolateral]approach1SC87LLXXN Excisionpartial,spinalvertebraeusingsynthetictissue[e.g.antibioticimpregnatedcement]Anterior[oranterolateral]approach1SC87PF Excisionpartial,spinalvertebraeusingexcisionaltechniquealonePosterior[orposterolateral]approach1SC87PFXXA Excisionpartial,spinalvertebraeusingboneautograftPosterior[orposterolateral]approach1SC87PFXXN Excisionpartial,spinalvertebraeusingsynthetictissue[e.g.antibioticimpregnatedcement]Posterior[orposterolateral]approach1SC87PFXXQ Excisionpartial,spinalvertebraeusingcombinedsourcesoftissue[e.g.bonegraft,cement/paste]posterior[orposterolateralapproach]1SC89LLGX Excisiontotal,spinalvertebrae,anteriorapproach[anterolateralandtransoralapproaches]withnotissueusingdeviceNEC1SC89LLGXA Excisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withautograftusingdeviceNEC1SC89LLGXK Excisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withhomograft[e.g.frombonebank]usingdeviceNEC1SC89LLGXN Excisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SC89LLGXQ Excisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withcombinedsourcesoftissueusingdeviceNEC1SC89LLKDA Excisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withautograftusingwire,staple,button,cabling(alone)

1SC89LLKDKExcisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling(alone)

1SC89LLKDNExcisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling(alone)

1SC89LLKDQ Excisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withcombinedsourcesoftissueusingwire,staple,button,cabling(alone)1SC89LLNWA Excisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withautograftusingscrew,screwwithplate,stapleorrod

1SC89LLNWKExcisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withhomograft[e.g.frombonebank]usingscrew,screwwithplate,stapleorrod

1SC89LLNWNExcisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplate,stapleorrod

1SC89LLNWQExcisiontotal,spinalvertebraeanteriorapproach[anterolateralandtransoralapproaches]withcombinedsourcesoftissueusingscrew,screwwithplate,stapleorrod

1SC89LNGX Excisiontotal,spinalvertebrae,combinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withnotissueusingdeviceNEC1SC89LNGXA Excisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withautograftusingdeviceNEC1SC89LNGXK Excisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withhomograft[e.g.frombonebank]usingdeviceNEC

1SC89LNGXNExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC

1SC89LNGXQ Excisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withcombinedsourcesoftissueusingdeviceNEC1SC89LNKDA Excisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withautograftusingwire,staple,button,cabling(alone)

1SC89LNKDKExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling(alone)

1SC89LNKDNExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling(alone)

1SC89LNKDQExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withcombinedsourcesoftissueusingwire,staple,button,cabling(alone)

1SC89LNNWAExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withautograftusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC89LNNWKExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withhomograft[e.g.frombonebank]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

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1SC89LNNWNExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC89LNNWQExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withcombinedsourcesoftissueusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC89LNTCAExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withautograftusingrodwithhookorwire[e.g.Harringtonrod]

1SC89LNTCKExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withhomograft[e.g.frombonebank]usingrodwithhookorwire[e.g.Harringtonrod]

1SC89LNTCNExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withsynthetictissue[e.g.bonecement,paste,bioglass]usingrodwithhookorwire[e.g.Harringtonrod]

1SC89LNTCQExcisiontotal,spinalvertebraecombinedanteriorandposteriorapproach[e.g.withhemiepiphysiodesis]withcombinedsourcesoftissueusingrodwithhookorwire[e.g.Harringtonrod]

1SC89PFGX Excisiontotal,spinalvertebrae,posteriorapproach[posterolateralapproach]withnotissueuisngdeviceNEC1SC89PFGXA Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withautograftusingdeviceNEC1SC89PFGXK Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingdeviceNEC1SC89PFGXN Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingdeviceNEC1SC89PFGXQ Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingdeviceNEC1SC89PFKDA Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withautograftusingwire,staple,button,cabling(alone)1SC89PFKDK Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingwire,staple,button,cabling(alone)

1SC89PFKDNExcisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingwire,staple,button,cabling(alone)

1SC89PFKDQ Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingwire,staple,button,cabling(alone)1SC89PFNWA Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withautograftusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC89PFNWKExcisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC89PFNWNExcisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC89PFNWQExcisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingscrew,screwwithplateorrod(e.g.TSRH,Zielke,pediclescrew)

1SC89PFTCA Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withautograftusingrodwithhookorwire[e.g.Harringtonrod]1SC89PFTCK Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withhomograft[e.g.frombonebank]usingrodwithhookorwire[e.g.Harringtonrod]

1SC89PFTCNExcisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withsynthetictissue[e.g.bonecement,paste,bioglass]usingrodwithhookorwire[e.g.Harringtonrod]

1SC89PFTCQ Excisiontotal,spinalvertebraeposteriorapproach[posterolateralapproach]withcombinedsourcesoftissueusingrodwithhookorwire[e.g.Harringtonrod]1SE53DAFE Implantationofinternaldevice,intervertebraldiscendoscopicapproach(e.g.thoracoscopic,laparoscopic)usingprostheticdisc[PDN]1SE53DASL Implantationofinternaldevice,intervertebraldiscusingspacerdevicealoneendoscopicapproach[e.g.thoracoscopic,laparoscopic]1SE53DASLA Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandboneautograftendoscopicapproach[e.g.thoracoscopic,laparoscopic]1SE53DASLK Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandbonehomograftendoscopicapproach[e.g.thoracoscopic,laparoscopic]

1SE53DASLNImplantationofinternaldevice,intervertebraldiscusingspacerdeviceandsynthetictissue[e.g.cement,paste]endoscopicapproach[e.g.thoracoscopic,laparoscopic]

1SE53DASLQ Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandbonegraftwithcementorpasteendoscopicapproach[e.g.thoracoscopic,laparoscopic]1SE53LLFE Implantationofinternaldevice,intervertebraldiscopenanteriorapproach[anterolateral,thoracic]usingprostheticdisc[PDN]1SE53LLSL Implantationofinternaldevice,intervertebraldiscusingspacerdevicealoneopenanteriorapproach[anterolateral,thoracic]1SE53LLSLA Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandboneautograftopenanteriorapproach[anterolateral,thoracic]1SE53LLSLK Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandbonehomograftopenanteriorapproach[anterolateral,thoracic]1SE53LLSLN Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandsynthetictissue[e.g.cement,paste]openanteriorapproach[anterolateral,thoracic]1SE53LLSLQ Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandbonegraftwithcementorpasteopenanteriorapproach[anterolateral,thoracic]1SE53PFFE Implantationofinternaldevice,intervertebraldiscopenposteriorapproach(posterolateral)andprostheticdisc[PDN]1SE53PFSL Implantationofinternaldevice,intervertebraldiscusingspacerdevicealoneopenposteriorapproach[posterolateral]1SE53PFSLA Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandboneautograftopenposteriorapproach[posterolateral]1SE53PFSLK Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandbonehomograftopenposteriorapproach[posterolateral]1SE53PFSLN Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandsynthetictissue[e.g.cement,paste]openposteriorapproach[posterolateral]1SE53PFSLQ Implantationofinternaldevice,intervertebraldiscusingspacerdeviceandbonegraftwithcementorpasteopenposteriorapproach[posterolateral]1SE87ER Excisionpartial,intervertebraldisc,usingendoscopic[thoracoscopic,laparoscopic]anteriorapproachand(micro)excisionaltechnique1SE87LL Excisionpartial,intervertebraldiscusingopenanteriorapproachand(micro)excisionaltechnique1SE87PF Excisionpartial,intervertebraldiscusingopenposteriorapproachand(micro)excisionaltechnique1SE89DA Excisiontotal,intervertebraldiscwithouttissueEndoscopicapproach1SE89LL Excisiontotal,intervertebraldiscwithouttissueOpenanterior[oranterolateral]approach1SE89LLXXA Excisiontotal,intervertebraldiscusingboneautograftOpenanterior[oranterolateral]approach1SE89LLXXK Excisiontotal,intervertebraldiscusingopenanteriorapproachandhomograft1SE89LLXXL Excisiontotal,intervertebraldiscusingbonexenograft(Bovine)Openanterior[oranterolateral]approach1SE89PF Excisiontotal,intervertebraldiscwithouttissueOpenposterior[orposterolateral]approach1SE89PFXXA Excisiontotal,intervertebraldiscusingboneautograftOpenposterior[orposterolateral]approach1SE89PFXXK Excisiontotal,intervertebraldiscusingopenposteriorapproachandhomograft1SE89PFXXL Excisiontotal,intervertebraldiscusingbonexenograft(Bovine)Openposterior[orposterolateral]approach1SF55LLNW Removalofdevice,sacrumandcoccyxofscrew,screwwithplate/rodusinganteriorapproach1SF55LLTC Removalofdevice,sacrumandcoccyxofrod,rodwithnuts/boltsusinganteriorapproach1SF55PFNW Removalofdevice,sacrumandcoccyxofscrew,screwwithplateusingposteriorapproach1SF73PF Reduction,sacrumandcoccyxusingposteriorapproach1SF74LLNW Fixation,sacrumandcoccyxusinganteriorapproachandscrew,screwwithplate/rod1SF74LLTC Fixation,sacrumandcoccyxusinganteriorapproachandrod,rodwithnuts/bolts1SF74PFNW Fixation,sacrumandcoccyxusingposteriorapproachandscrew,screwwithplate1SF75PFKD Fusion,sacrumandcoccyxusingposteriorapproachandwireorstaple1SF75PFKDA Fusion,sacrumandcoccyxusingposteriorapproachandwireorstaplewithboneautograft1SF75PFKDK Fusion,sacrumandcoccyxusingposteriorapproachandwireorstaplewithbonehomograft1SF80LL Repair,sacrumandcoccyxusinganteriorapproach1SF80PF Repair,sacrumandcoccyxusingposteriorapproach1SF87LN Excisionpartial,sacrumandcoccyxcombinedanteriorwithposteriorapproachWithouttissue1SF87LNXXA Excisionpartial,sacrumandcoccyxcombinedanteriorwithposteriorapproachUsingfull-thicknessgraft1SF87LNXXE Excisionpartial,sacrumandcoccyxcombinedanteriorwithposteriorapproachUsinglocalflap1SF87LNXXG Excisionpartial,sacrumandcoccyxcombinedanteriorwithposteriorapproachusingpedicledflap1SF87PF Excisionpartial,sacrumandcoccyxposteriorapproachWithouttissue1SF87PFXXA Excisionpartial,sacrumandcoccyxposteriorapproachUsingfullthicknessgraft1SF87PFXXE Excisionpartial,sacrumandcoccyxposteriorapproachUsinglocalflap1SF87PFXXG Excisionpartial,sacrumandcoccyxposteriorapproachusingpedicledflap1SF89PF Excisiontotal,sacrumandcoccyxusingposteriorapproach1SF91LA Excisionradical,sacrumandcoccyxusingopenapproach1SF91LAXXA Excisionradical,sacrumandcoccyxusingopenapproachandautograft1SF91LAXXF Excisionradical,sacrumandcoccyxusingopenapproachandfreeflap1SF91LAXXG Excisionradical,sacrumandcoccyxusingopenapproachandpedicledflap1SF91LAXXK Excisionradical,sacrumandcoccyxusingopenapproachandhomograft1SF91LAXXQ Excisionradical,sacrumandcoccyxusingopenapproachandcombinedsourcesoftissue1SG80LA Repair,musclesofthebackusingopenapproachandsimpleappostion[e.g.suturingor'vest-over-pants'closure]1SG80LAXXA Repair,musclesofthebackusingopenapproachandautograft[e.g.fasciaorskin](forclosureofsurgicaldefect)1SG80LAXXE Repair,musclesofthebackusingopenapproachandlocal[transposition]flap[e.g.rotationplasty,advancement]1SG80LAXXG Repair,musclesofthebackusingopenapproachandpedicledflap[e.g.gluteusmaximusflap]1SG80LAXXN Repair,musclesofthebackusingopenapproachandsynthetictissue[e.g.mesh,gortex]1SG80LAXXQ Repair,musclesofthebackusingopenapproachandcombinedsourcesoftissue[e.g.skingraftwithflap](forclosureofdefect)1SG87LAXXA Excisionpartial,musclesofthebackusingautograft[e.g.fasciaorskin](forclosureofsurgicaldefect)

Neuro Spine

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Philip Jones


1SG87LAXXE Excisionpartial,musclesofthebackusinglocaltranspositionflap[e.g.advancementmuscleorZ-plastyskinflap](forclosureofdefect)1SG87LAXXF Excisionpartial,musclesofthebackusingfreeflap[e.g.myocutaneousfreeflap](forclosureofdefect)1SG87LAXXQ Excisionpartial,musclesofthebackusingcombinedsourcesoftissue[e.g.skingraftwithflap](forclosureofdefect)1SH52LA Drainage,softtissueofthebackusingopen(incisional)approach1SH56LA Removalofforeignbody,softtissueofthebackusingopen(incisional)approach1SH59LA Destruction,softtissueofthebackusingopenapproach1SH87LAXXA Excisionpartial,softtissueofthebackusingopenapproachandautograft[e.g.skin](toclosesurgicaldefect)1SH87LAXXE Excisionpartial,softtissueofthebackusingopenapproachandlocal(transposition)flap[e.g.rotationplasty,Z-plasty,advancementflap](toclosesurgicaldefect)1SH87LAXXG Excisionpartial,softtissueofthebackusingopenapproachandpedicledflap[e.g.gluteusmaximusflap](toclosesurgicaldefect)1SH87LAXXQ Excisionpartial,softtissueofthebackusingopenapproachandcombinedsourcesoftissue[e.g.skingraftwithflap](toclosesurgicaldefect)1SI74PFKD Fixation,sacroiliacjointusingposteriorapproachandwireorstaple1SI74PFNW Fixation,sacroiliacjointusingposteriorapproachandplate,screwdevice1SI75PFKD Fusion,sacroiliacjointusingposteriorapproachandwireorstaple1SI75PFKDA Fusion,sacroiliacjointusingposteriorapproachandwireorstaplewithboneautograft1SI75PFKDK Fusion,sacroiliacjointusingposteriorapproachandwireorstaplewithbonehomograft1SI75PFNWA Fusion,sacroiliacjointusingposteriorapproachandscrewwithboneautograft1SI75PFNWK Fusion,sacroiliacjointusingposteriorapproachandscrewwithbonehomograft1HS80LAXXA Repair,tricuspidvalveopenapproachusingautograft[e.g.patchingofleafletwithpericardialtissue]1HS80LAFE Repair,tricuspidvalveopenapproachusingprostheticdevice[e.g.ringannuloplasty]1HS80LA Repair,tricuspidvalveopenapproachusingsuture[e.g.annularplication,semicircularannuloplasty]1HS90LACF Excisiontotalwithreconstruction,tricuspidvalveusingopenapproachwithmechanicalvalve[e.g.cagedball,tiltingdisc,St.Jude,StarrEdwards]1HS90LAXXK Excisiontotalwithreconstruction,tricuspidvalveusingopenapproachwithhomograft[deceaseddonorvalve]1HS90LAXXL Excisiontotalwithreconstruction,tricuspidvalveusingopenapproachwithxenograft[bovineorporcinevalve]1HS90LAXXQ Excisiontotalwithreconstruction,tricuspidvalveusingopenapproachwithcombinedsourcesoftissue[e.g.donorvalvewithbovinepericardium]1HT80LAXXA Repair,pulmonaryvalveopenapproachusingautograft[e.g.patchingleafletwithpericardialtissue]1HT80LABP Repair,pulmonaryvalve,openapproachusingdilationdevice[e.g.expandingdilator]1HT80LAFE Repair,pulmonaryvalveopenapproachusingprostheticdevice[e.g.ringannuloplasty]1HT80LA Repair,pulmonaryvalveopenapproachusingsuture[e.g.annularplication,semicircularannuloplasty]1HT89LA Excisiontotal,pulmonaryvalveusingopenapproach1HU80LAXXA Repair,mitralvalve,openapproachusingautograft[e.g.patchingleafletwithpericardialtissue]1HU80LAFE Repair,mitralvalve,openapproachusingprostheticdevice[e.g.ring,Futurebandannuloplasty]1HU80LA Repair,mitralvalve,openapproachusingsuture[e.g.annularplication,semicircularannuloplasty]1HU90DACF Excisiontotalwithreconstruction,mitralvalveusingendoscopic(thoracoscopic)approachwithmechanicalvalve[e.g.cagedball,tiltingdisc,.St.Jude,StarrEdwards]1HU90DAXXK Excisiontotalwithreconstruction,mitralvalveusingendoscopic(thoracoscopic)approachwithhomograft[deceaseddonorvalve]1HU90DAXXL Excisiontotalwithreconstruction,mitralvalveusingendoscopic(thoracoscopic)approachwithxenograft[bovineorporcinevalve]1HU90LACF Excisiontotalwithreconstruction,mitralvalveusingopenapproachwithmechanicalvalve[e.g.cagedball,tiltingdisc,St.Jude,StarrEdwards]1HU90LAXXK Excisiontotalwithreconstruction,mitralvalveusingopenapproachwithhomograft[deceaseddonorvalve]1HU90LAXXL Excisiontotalwithreconstruction,mitralvalveusingopenapproachwithxenograft[bovineorporcinevalve]1HU90LAXXQ Excisiontotalwithreconstruction,mitralvalveusingopenapproachwithcombinedsourcesoftissue[e.g.donorvalvewithbovinepericardium]

1HU90PNCFExcisiontotalwithreconstruction,mitralvalveusingroboticassisted(minimallyinvasive)approachwithtelemanipulationoftoolswithmechanicalvalve[e.g.cagedball,tiltingdisc,St.Jude,StarrEdwards]

1HU90PNXXKExcisiontotalwithreconstruction,mitralvalveusingroboticassisted(minimallyinvasive)approachwithtelemanipulationoftoolswithhomograft[deceaseddonorvalve]

1HU90PNXXLExcisiontotalwithreconstruction,mitralvalveusingroboticassisted(minimallyinvasive)approachwithtelemanipulationoftoolswithxenograft[bovineorporcinevalve]

1HU90PNXXQExcisiontotalwithreconstruction,mitralvalveusingroboticassisted(minimallyinvasive)approachwithtelemanipulationoftoolswithcombinedsourcesoftissue[e.g.donorvalvewithbovinepericardium]

1HV80LAXXA Repair,aorticvalveopenapproachusingautograft(e.g.patchingofleafletwithpericardialtissue)1HV80LAFE Repair,aorticvalveopenapproachusingprostheticdevice(e.g.ringannuloplasty)1HV80LA Repair,aorticvalveopenapproachusingsuture(e.g.annularplication,semicircularannuloplasty)

1HV90GPXXLExcisiontotalwithreconstruction,aorticvalve,replacementofvalvealonewithxenografttissuevalve[e.g.bovineorporcinetissue]usingpercutaneoustransluminalapproach

1HV90GRXXLExcisiontotalwithreconstruction,aorticvalvereplacementofvalvealonewithxenografttissuevalve[e.g.bovineorporcinetissue]usingpercutaneoustransluminaltransseptalapproach

1HV90LACF Excisiontotalwithreconstruction,aorticvalve,replacementofvalvealonewithmechanicalvalveusingopenapproach1HV90LACFA Excisiontotalwithreconstruction,aorticvalveusingmechanicalvalvewithautograft1HV90LACFL Excisiontotalwithreconstruction,aorticvalveusingmechanicalvalvewithxenograft1HV90LACFN Excisiontotalwithreconstruction,aorticvalveusingmechanicalvalvewithsyntheticgraft1HV90LAXXA Excisiontotalwithreconstruction,aorticvalveusingusingtissuereplacementonlywithautograft1HV90LAXXK Excisiontotalwithreconstruction,aorticvalve,replacementofvalvealonewithhomografttissuevalveusingopenapproach1HV90LAXXL Excisiontotalwithreconstruction,aorticvalve,replacementofvalvealonewithxenografttissuevalve[e.g.bovineorporcinetissue]usingopenapproach1HV90LAXXQ Excisiontotalwithreconstruction,aorticvalveusingtissuereplacementonlywithcombinedsourcesoftissue[e.g.donorvalvewithbovinepericardium]

1HV90STXXLExcisiontotalwithreconstruction,aorticvalve,replacementofvalvealonewithxenografttissuevalve[e.g.bovineorporcinetissue]usingopenapproachwithclosedhearttechnique[transventricular]

1HV90WJCFNExcisiontotalwithreconstruction,aorticvalve,replacementofvalve,aorticrootandascendingaorta[e.g.Bentall]usingopenapproachwithmechanicalvalveandsyntheticaorta

1HV90WJXXAExcisiontotalwithreconstruction,aorticvalve,replacementofvalve,aorticrootandascendingaorta[e.g.Bentall]usingopenapproachwithautografttissuevalveandautograftaorta

1HV90WJXXDExcisiontotalwithreconstruction,aorticvalve,replacementofvalve,aorticrootandascendingaorta[e.g.Bentall]usingopenapproachwithxenografttissuevalve[e.g.bovineorporcinetissue]andsyntheticaorta

1HV90WJXXKExcisiontotalwithreconstruction,aorticvalve,replacementofvalve,aorticrootandascendingaorta[e.g.Bentall]usingopenapproachwithhomografttissuevalveandhomograftaorta

1HV90WJXXLExcisiontotalwithreconstruction,aorticvalve,replacementofvalve,aorticrootandascendingaorta[e.g.Bentall]usingopenapproachwithxenografttissuevalve[e.g.bovineorporcinetissue]andxenograftaorta

1IJ76BQXXA Bypass,coronaryarteriesendoscopicapproachwithrobotictelemanipulationoftoolsusingautograft[e.g.saphenous]1IJ76DAXXA Bypass,coronaryarteriesendoscopicapproachusingautograft[e.g.saphenous]1IJ76DAXXG Bypass,coronaryarteriesendoscopicapproachusingpedicledflap[e.g.internalmammary,thoracic]1IJ76DAXXN Bypass,coronaryarteriesendoscopicapproachusingsynthetictissue(graft)1IJ76DAXXQ Bypass,coronaryarteriesendoscopicapproachusingcombinedsourcesoftissue(e.g.graft/pedicledflap)1IJ76LAXXA Bypass,coronaryarteriesopenapproach[sternotomy]usingautograft[e.g.saphenous]1IJ76LAXXG Bypass,coronaryarteriesopenapproach[sternotomy]usingpedicledflap[e.g.internalmammary,thoracic]1IJ76LAXXN Bypass,coronaryarteriesopenapproach[sternotomy]usingsynthetictissue(graft)1IJ76LAXXQ Bypass,coronaryarteriesopenapproach[sternotomy]usingcombinedsourcesoftissue(e.g.graft/pedicledflap)1IJ76WKXXA Bypass,coronaryarteriesminimal(beatingheartkeyhole)incisionaltechnique[e.g.MIDCAB]usingautograft[e.g.saphenous]1IJ76WKXXG Bypass,coronaryarteriesminimal(beatingheartkeyhole)incisionaltechnique[e.g.MIDCAB]usingpedicledflap[e.g.internalmammary,thoracic]1IJ76WKXXN Bypass,coronaryarteriesminimal(beatingheartkeyhole)incisionaltechnique[e.g.MIDCAB]usingsynthetictissue(graft)1IJ76WKXXQ Bypass,coronaryarteriesminimal(beatingheartkeyhole)incisionaltechnique[e.g.MIDCAB]usingcombinedsourcesoftissue[e.g.graft/pedicledflap]1IJ80LA Repair,coronaryarteriesusingopenapproachwithouttissue1IJ80LAXXA Repair,coronaryarteriesusingopenapproachwithautograft1IJ80LAXXK Repair,coronaryarteriesusingopenapproachwithhomograft1IJ80LAXXL Repair,coronaryarteriesusingopenapproachwithxenograft1IJ80LAXXN Repair,coronaryarteriesusingopenapproachwithsyntheticmaterial1IJ80LAXXQ Repair,coronaryarteriesusingopenapproachwithcombinedsourcesoftissue1HT90LACF Excisiontotalwithreconstruction,pulmonaryvalveusingopenapproachwithmechanicalvalve[e.g.cagedball,tiltingdisc,bileaflet,St.Jude,StarrEdwards]1HT90LAXXA Excisiontotalwithreconstruction,pulmonaryvalveusingopenapproachwithautograft1HT90LAXXK Excisiontotalwithreconstruction,pulmonaryvalveusingopenapproachwithhomograft[deceaseddonorvalve]1HT90LAXXL Excisiontotalwithreconstruction,pulmonaryvalveusingopenapproachwithxenograft[bovineorporcinevalve]1HT90LAXXQ Excisiontotalwithreconstruction,pulmonaryvalveusingopenapproachwithcombinedsourcesoftissue[e.g.donorvalvewithbovinepericardium]1HW78LA Repairbydecreasingsize,annulusNECusingopenapproach

Cardiac

Neuro Spine

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Philip Jones


1KA57GQAG Extraction,abdominalaortapercutaneoustransluminalapproachnotissueusedusinglaser1KA57GQAGA Extraction,abdominalaortapercutaneoustransluminalapproachusingautograftusinglaser1KA57GQAGK Extraction,abdominalaortapercutaneoustransluminalapproachusinghomograftusinglaser1KA57GQAGL Extraction,abdominalaortapercutaneoustransluminalapproachusingxenograftusinglaser1KA57GQAGN Extraction,abdominalaortapercutaneoustransluminalapproachusingsyntheticmaterialusinglaser1KA57GQFV Extraction,abdominalaortapercutaneoustransluminalapproachnotissueusedusingatherectomydevice(e.g.transluminalextractorcatheter,rotoablator)1KA57GQFVA Extraction,abdominalaortapercutaneoustransluminalapproachusingautograftusingatherectomydevice(e.g.transluminalextractorcatheter,rotoablator)1KA57GQFVK Extraction,abdominalaortapercutaneoustransluminalapproachusinghomograftusingatherectomydevice(e.g.transluminalextractorcatheter,rotoablator)1KA57GQFVL Extraction,abdominalaortapercutaneoustransluminalapproachusingxenograftusingatherectomydevice(e.g.transluminalextractorcatheter,rotoablator)

1KA57GQFVNExtraction,abdominalaortapercutaneoustransluminalapproachusingsyntheticmaterialusingatherectomydevice(e.g.transluminalextractorcatheter,rotoablator)

1KA57GQGX Extraction,abdominalaortapercutaneoustransluminalapproachnotissueusedusingdeviceNEC1KA57GQGXA Extraction,abdominalaortapercutaneoustransluminalapproachusingautograftusingdeviceNEC1KA57GQGXK Extraction,abdominalaortapercutaneoustransluminalapproachusinghomograftusingdeviceNEC1KA57GQGXL Extraction,abdominalaortapercutaneoustransluminalapproachusingxenograftusingdeviceNEC1KA57GQGXN Extraction,abdominalaortapercutaneoustransluminalapproachusingsyntheticmaterialusingdeviceNEC1KA57LAAG Extraction,abdominalaortaopenapproachnotissueusedusinglaser1KA57LAAGA Extraction,abdominalaortaopenapproachusingautograftusinglaser1KA57LAAGK Extraction,abdominalaortaopenapproachusinghomograftusinglaser1KA57LAAGL Extraction,abdominalaortaopenapproachusingxenograftusinglaser1KA57LAAGN Extraction,abdominalaortaopenapproachusingsyntheticmaterialusinglaser1KA57LAFV Extraction,abdominalaortaopenapproachnotissueusedusingatherectomydevice(e.g.rotoablator)1KA57LAFVA Extraction,abdominalaortaopenapproachusingautograftusingatherectomydevice(e.g.rotoablator)1KA57LAFVK Extraction,abdominalaortaopenapproachusinghomograftusingatherectomydevice(e.g.rotoablator)1KA57LAFVL Extraction,abdominalaortaopenapproachusingxenograftusingatherectomydevice(e.g.rotoablator)1KA57LAFVN Extraction,abdominalaortaopenapproachusingsyntheticmaterialusingatherectomydevice(e.g.rotoablator)1KA57LAGX Extraction,abdominalaortaopenapproachnotissueusedusingdeviceNEC1KA57LAGXA Extraction,abdominalaortaopenapproachusingautograftusingdeviceNEC1KA57LAGXK Extraction,abdominalaortaopenapproachusinghomograftusingdeviceNEC1KA57LAGXL Extraction,abdominalaortaopenapproachusingxenograftusingdeviceNEC1KA57LAGXN Extraction,abdominalaortaopenapproachusingsyntheticmaterialusingdeviceNEC1KA76MZXXA Bypass,abdominalaortausingautograft(e.g.saphenousvein)bypassterminatingatlowerlimbvessels(e.g.iliac,femoral,popliteal,tibial)1KA76MZXXK Bypass,abdominalaortausinghomograftbypassterminatingatlowerlimbvessels(e.g.iliac,femoral,popliteal,tibial)1KA76MZXXN Bypass,abdominalaortausingsyntheticmaterialbypassterminatingatlowerlimbvessels(e.g.iliac,femoral,popliteal,tibial)1KA76MZXXQ Bypass,abdominalaortausingcombinedsourcesoftissuebypassterminatingatlowerlimbvessels(e.g.iliac,femoral,popliteal,tibial)1KA76NBXXA Bypass,abdominalaortausingautograft(e.g.saphenousvein)bypassoriginatingandterminatingatabdominalaorta1KA76NBXXK Bypass,abdominalaortausinghomograftbypassoriginatingandterminatingatabdominalaorta1KA76NBXXN Bypass,abdominalaortausingsyntheticmaterialbypassoriginatingandterminatingatabdominalaorta1KA76NBXXQ Bypass,abdominalaortausingcombinedsourcesoftissuebypassoriginatingandterminatingatabdominalaorta1KA80LA Repair,abdominalaortausingopenapproachwithouttissue1KA80LAXXA Repair,abdominalaortausingopenapproachwithautograft[e.g.pericardialpatch,omentalpatch]1KA80LAXXK Repair,abdominalaortausingopenapproachwithhomograft[e.g.arterialhomograft]1KA80LAXXN Repair,abdominalaortausingopenapproachwithsyntheticmaterial[e.g.Teflonfelt,Dacron,Nylon,Orlon]1KA80LAXXQ Repair,abdominalaortausingopenapproachandcombinedsourcesoftissue(e.g.graftwithsyntheticmaterial)1KA87LA Excisionpartial,abdominalaortausingopenapproachwithouttissue[anastomosis]1KA87LAXXA Excisionpartial,abdominalaortausingopenapproachwithautograft[e.g.pericardialpatch]1KA87LAXXK Excisionpartial,abdominalaortausingopenapproachwithhomograft[e.g.arterialhomograft]1KA87LAXXN Excisionpartial,abdominalaortausingopenapproachwithsyntheticmaterial[e.g.Teflonfelt,Dacron,tubegraft]1GR87DA Excisionpartial,lobeoflungusingendoscopicapproach[VATS]1GR87NW Excisionpartial,lobeoflungusingintrapericardial[transpericardial]approach1GR87PN Excisionpartial,lobeoflungusingroboticassistedtelemanipulationoftools1GR87QB Excisionpartial,lobeoflungusingopenthoracicapproach1GR89DA Excisiontotal,lobeoflungusingendoscopicapproach[VATS]1GR89NW Excisiontotal,lobeoflungusingintrapericardial[transpericardial]approach1GR89QB Excisiontotal,lobeoflungusingopenthoracicapproach1GR91NW Excisionradical,lobeoflungwithsimpleclosureopenintrapericardial[transpericardial]approach1GR91NWXXA Excisionradical,lobeoflungusingautograft[pericardium]openintrapericardial[transpericardial]approach1GR91NWXXF Excisionradical,lobeoflungusingfreeflapopenintrapericardial[transpericardial]approach1GR91NWXXG Excisionradical,lobeoflungusingdistantpedicledflapopenintrapericardial[transpericardial]approach1GR91NWXXL Excisionradical,lobeoflungopenintrapericardial.[transpericardial]approachusingxenograft1GR91NWXXN Excisionradical,lobeoflungusingsyntheticmaterialopenintrapericardial[transpericardial]approach1GR91NWXXQ Excisionradical,lobeoflungusingcombinedsourcesoftissueopenintrapericardial[transpericardial]approach1GR91QB Excisionradical,lobeoflungwithsimpleclosureopenthoracicapproach1GR91QBXXA Excisionradical,lobeoflungusingautograft[pericardium]openthoracicapproach1GR91QBXXF Excisionradical,lobeoflungusingfreeflapopenthoracicapproach1GR91QBXXG Excisionradical,lobeoflungusingdistantpedicledflapopenthoracicapproach1GR91QBXXN Excisionradical,lobeoflungusingsyntheticmaterialopenthoracicapproach1GR91QBXXQ Excisionradical,lobeoflungusingcombinedsourcesoftissueopenthoracicapproach1GT78DA Repairbydecreasingsize,lungNECnospecialdevice(e.g.stapler)endoscopicapproach[VATS]1GT78DAAG Repairbydecreasingsize,lungNECusinglaserendoscopicapproach[VATS]1GT78FZ Repairbydecreasingsize,lungNECnospecialdevice(e.g.stapler)endoscopicapproach[VATS]withmultiplelobes1GT78FZAG Repairbydecreasingsize,lungNECusinglaserendoscopicapproach[VATS]withmultiplelobes1GT78LA Repairbydecreasingsize,lungNECnospecialdevice(e.g.stapler)openapproach1GT78LAAG Repairbydecreasingsize,lungNECusinglaseropenapproach1GT78VC Repairbydecreasingsize,lungNECnospecialdevice(e.g.stapler)openapproachwithmultiplelobes1GT78VCAG Repairbydecreasingsize,lungNECusinglaseropenapproachwithmultiplelobes1GT80LA Repair,lungNECusingopenapproach1GT80LAAN Repair,lungNECusingopenapproachandcoagulationdevice[e.g.argonbeam]1GT80LAKK Repair,lungNECusingopenapproachandspecialelectricalheatdevice[e.g.argonbeamcoagulator]1GT87DA Excisionpartial,lungNECusingendoscopicapproach[VATS]1GT87NW Excisionpartial,lungNECusingintrapericardial[transpericardial]approach1GT87QB Excisionpartial,lungNECusingopenthoracicapproach1GT89DA Excisiontotal,lungNECusingendoscopicapproach[VATS]1GT89NW Excisiontotal,lungNECusingintrapericardial[transpericardial]approach1GT89QB Excisiontotal,lungNECusingopenthoracicapproach1GT91NW Excisionradical,lungNECusingsimpleclosureopenintrapericardial[transpericardial]approach1GT91NWXXF Excisionradical,lungNECusingfreeflapopenintrapericardial[transpericardial]approach1GT91NWXXG Excisionradical,lungNECusingdistantpedicledflapopenintrapericardial[transpericardial]approach1GT91NWXXN Excisionradical,lungNECusingsyntheticmaterialopenintrapericardial[transpericardial]approach1GT91NWXXQ Excisionradical,lungNECusingcombinedsourcesoftissueopenintrapericardial[transpericardial]approach1GT91QB Excisionradical,lungNECwithsimpleclosureopenthoracicapproach1GT91QBXXF Excisionradical,lungNECusingfreeflapopenthoracicapproach1GT91QBXXG Excisionradical,lungNECusingdistantpedicledflapopenthoracicapproach1GT91QBXXN Excisionradical,lungNECusingsyntheticmaterialopenthoracicapproach1GT91QBXXQ Excisionradical,lungNECusingcombinedsourcesoftissueopenthoracicapproach1NF80DA Repair,stomachendoscopic[laparoscopic]approachusingappositiontechnique[e.g.sutures]1NF80DAXXE Repair,stomachendoscopic[laparoscopic]approachusinglocaltranspositionflap[e.g.omentumpatch]1NF80DAXXN Repair,stomachendoscopic[laparoscopic]approachusingsynthetictissue[e.g.mesh,sponge,gortex]1NF80LA Repair,stomachopenapproachusingappositiontechnique[e.g.sutures]

Thoracic

Gastric,intestinal,rectalsurgery

Vascular

Abdominal,pelvic,andurologic

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Philip Jones


Philip Jones


1NF80LAXXE Repair,stomachopenapproachusinglocaltranspositionflap[e.g.omentumpatch]1NF80LAXXN Repair,stomachopenapproachusingsynthetictissue[e.g.mesh,sponge,gortex]

1NF87DAExcisionpartial,stomachwithoutvagotomyusingendoscopic[laparoscopic]approachsimpleappositiontechniqueornoclosureneededfortissueregeneration[e.g.forpolypectomy]

1NF87DG Excisionpartial,stomachwithoutvagotomyendoscopic[laparoscopic]approachesophagogastricanastomosis1NF87DH Excisionpartial,stomachwithoutvagotomyendoscopic[laparoscopic]approachgastroduodenalanastomosis1NF87DJ Excisionpartial,stomachwithvagotomyendoscopic[laparoscopic]approachgastroduodenalanastomosis1NF87DL Excisionpartial,stomachwithvagotomyendoscopic[laparoscopic]approachgastrojejunal[orgastroenteralNEC]anastomosis1NF87DQ Excisionpartial,stomachwithoutvagotomyendoscopic[laparoscopic]approachgastrojejunal[orgastroenteralNEC]anastomosis1NF87GX Excisionpartial,stomachwithvagotomyendoscopic[laparoscopic]approachesophagogastricanastomosis1NF87LA Excisionpartial,stomachopenapproachandsimpleappositiontechniqueornoclosureneededfortissueregeneration[e.g.forpolypectomy]1NF87RG Excisionpartial,stomachwithoutvagotomyopenapproachgastroduodenalanastomosis1NF87RH Excisionpartial,stomachwithvagotomyopenapproachgastroduodenalanastomosis1NF87RJ Excisionpartial,stomachwithoutvagotomyopenapproachgastrojejunal[orgastroenteralNEC]anastomosis1NF87RK Excisionpartial,stomachwithvagotomyopenapproachgastrojejunal[orgastroenteralNEC]anastomosis1NF87RP Excisionpartial,stomachwithoutvagotomyopenapproachesophagogastricanastomosis1NF87SH Excisionpartial,stomachwithvagotomyopenapproachesophagogastricanastomosis1NF89DZ Excisiontotal,stomachendoscopic[laparoscopic]approachEsophagojejunal[oresophagoenteralNEC]anastomosis1NF89GW Excisiontotal,stomachendoscopic[laparoscopic]approachEsophagoduodenalanastomosis1NF89SG Excisiontotal,stomachopenapproachEsophagoduodenalanastomosis1NF89TH Excisiontotal,stomachopenapproachEsophagojejunal[oresophagoenteralNEC]anastomosis1NF90LAXXG Excisiontotalwithreconstruction,stomachusingopenapproachwithjejunum(toconstructpouch)1NF91RG Excisionradical,stomachopenapproachwithgastroduodenalanastomosis1NF91RJ Excisionradical,stomachopenapproachwithgastrojejunal[orgastroenteralNEC]anastomosis1NF91RP Excisionradical,stomachopenapproachwithesophagogastricanastomosis1NF91SG Excisionradical,stomachopenapproachwithesophagoduodenalanastomosis1NF92LAXXG Excisionradicalwithreconstruction,stomachusingopenapproachwithjejunum(toconstructpouch)1NK52DA Drainage,smallintestineendoscopic[laparoscopic]approachaspiration[suction]technique1NK52LA Drainage,smallintestineopenapproachaspiration[suction]technique1NK52UW Drainage,smallintestineopenapproachmanual[milking]technique[e.g.backtostomachforsuctiondrainage]1NK74LA Fixation,smallintestineusingsuturetechnique(intestinalloopssewntogethertoabdominalwall)1NK74VT Fixation,smallintestineusingtransmesentericplicationtechnique1NK74VTTS Fixation,smallintestineusingplicationtechniquewithintestinaltubeinsitu1NK76DN Bypass,smallintestineendoscopic[laparoscopic]approachEnterocolostomybypasstechnique1NK76DP Bypass,smallintestineendoscopic[laparoscopic]approachEnteroenterostomybypasstechnique1NK76DQ Bypass,smallintestineendoscopic[laparoscopic]approachGastroenterostomybypasstechnique1NK76DR Bypass,smallintestineendoscopic[laparoscopic]approachProximalvagotomywithgastroenterostomybypasstechnique1NK76DS Bypass,smallintestineendoscopic[laparoscopic]approachTruncalvagotomy(orvagotomyNOS)withgastroenterostomybypasstechnique1NK76RE Bypass,smallintestineopenapproachEnterocolostomybypasstechnique1NK76RF Bypass,smallintestineopenapproachEnteroenterostomybypasstechnique1NK76RJ Bypass,smallintestineopenapproachGastroenterostomybypasstechnique1NK76SK Bypass,smallintestineopenapproachProximalvagotomywithgastroenterostomybypasstechnique1NK76SL Bypass,smallintestineopenapproachTruncalvagotomy(orvagotomyNOS)withgastroenterostomybypasstechnique1NK77EM Bypasswithexteriorization,smallintestineendoscopic[laparoscopic]approachfeedingenterostomy(e.g.jejunostomy)1NK77EN Bypasswithexteriorization,smallintestineendoscopic[laparoscopic]approachendenterostomy(e.g.terminal,endorloopileostomy)1NK77RQ Bypasswithexteriorization,smallintestineopenapproachfeedingenterostomy(e.g.jejunostomy)1NK77RR Bypasswithexteriorization,smallintestineopenapproachendenterostomy(e.g.terminal,endorloopileostomy)1NK77RRXXG Bypasswithexteriorization,smallintestineopenapproachcontinentileostomyusingpedicledflap1NK80DA Repair,smallintestineendoscopic[laparoscopic]approachusingappositiontechnique[e.g.suturing,stapling]1NK80DAW2 Repair,smallintestineendoscopic[laparoscopic]approachusingcollagenpowder1NK80DAW3 Repair,smallintestineendoscopic[laparoscopic]approachusingfibringlue1NK80DAXXE Repair,smallintestineendoscopic[laparoscopic]approachusinglocaltranspositionflap[e.g.omentalpatch]1NK80LA Repair,smallintestineopenapproachusingappositiontechnique[e.g.suturing,stapling]1NK80LAW2 Repair,smallintestineopenapproachusingcollagenpowder1NK80LAW3 Repair,smallintestineopenapproachusingfibringlue1NK80LAXXE Repair,smallintestineopenapproachusinglocaltranspositionflap[e.g.omentalpatch]1NK82DN Reattachment,smallintestineendoscopic[laparoscopic]approachofenterocolostomy[diversionary]1NK82DP Reattachment,smallintestineendoscopic[laparoscopic]approachofenteroenterostomy[diversionary]1NK82EM Reattachment,smallintestineendoscopic[laparoscopic]approachoffeedingjejunostomy1NK82EN Reattachment,smallintestineendoscopic[laparoscopic]approachofileostomy1NK82RE Reattachment,smallintestineopenapproachofenterocolostomy[diversionary]1NK82RF Reattachment,smallintestineopenapproachofenteroenterostomy[diversionary]1NK82RQ Reattachment,smallintestineopenapproachoffeedingjejunostomy1NK82RR Reattachment,smallintestineopenapproachofileostomy1NK84RRXXG Constructionorreconstruction,smallintestineusingileum(toconstructileostomypouch)1NK87DA Excisionpartial,smallintestineendoscopic[laparoscopic]approachSimpleexcisionaltechnique1NK87DN Excisionpartial,smallintestineendoscopic[laparoscopic]approachEnterocolostomyanastomosistechnique1NK87DP Excisionpartial,smallintestineendoscopic[laparoscopic]approachEnteroenterostomyanastomosistechnique1NK87DX Excisionpartial,smallintestineendoscopic[laparoscopic]approachStomaformationwithdistalclosure1NK87DY Excisionpartial,smallintestineendoscopic[laparoscopic]approachStomaformationwithmucousfistula1NK87LA Excisionpartial,smallintestineopenapproachSimpleexcisionaltechnique1NK87RE Excisionpartial,smallintestineopenapproachEnterocolostomyanastomosistechnique1NK87RF Excisionpartial,smallintestineopenapproachEnteroenterostomyanastomosistechnique1NK87TF Excisionpartial,smallintestineopenapproachStomaformationwithdistalclosure1NK87TG Excisionpartial,smallintestineopenapproachStomaformationwithmucousfistula1NM52DA Drainage,largeintestineendoscopic[laparoscopic]approachusingaspiration[suction]technique1NM52LA Drainage,largeintestineopenapproachusingaspiration[suction]technique1NM52LATS Drainage,largeintestineopenapproachleavingdrainage/decompressiontubeinsitu1NM52UW Drainage,largeintestineopenapproachusingmanual[milking]technique[e.g.torectumforsuctiondrainage]1NM74LA Fixation,largeintestineusingsuturetechnique[intestinalloopssewntogethertoabdominalwall]1NM74VT Fixation,largeintestineusingtransmesentericplicationtechnique1NM74VTTS Fixation,largeintestineusingplicationtechniquewithintestinaltubeinsitu1NM76DF Bypass,largeintestineendoscopic[laparoscopic]approachusingdiversionarycolocolostomy1NM76DN Bypass,largeintestineendoscopic[laparoscopic]approachusingdiversionaryenterocolostomy1NM76RE Bypass,largeintestineopenapproachusingdiversionaryenterocolostomy1NM76RN Bypass,largeintestineopenapproachusingdiversionarycolocolostomy1NM77DY Bypasswithexteriorization,largeintestinestomaformationwithcreationofmucousfistula1NM77EP Bypasswithexteriorization,largeintestinecolostomyusingendoscopic[laparoscopic]approach1NM77RS Bypasswithexteriorization,largeintestinecolostomyusingopenapproach1NM77RSXXG Bypasswithexteriorization,largeintestinecontinentcecostomyusingpedicledflapusingopenapproach1NM80DA Repair,largeintestineendoscopic[laparoscopic]approachusingappositiontechnique[e.g.suturing,stapling]1NM80DAFH Repair,largeintestineendoscopic[laparoscopic]approachusingbiodegradablebindingring1NM80DAW2 Repair,largeintestineendoscopic[laparoscopic]approachusingcollagenpowder1NM80DAW3 Repair,largeintestineendoscopic[laparoscopic]approachusingfibringlue1NM80DAXXE Repair,largeintestineendoscopic[laparoscopic]approachusinglocaltranspositionflap[e.g.omentalpatch]1NM80LA Repair,largeintestineopenapproachusingappositiontechnique[e.g.suturing,stapling]1NM80LAFH Repair,largeintestineopenapproachusingbiodegradablebindingring1NM80LAW2 Repair,largeintestineopenapproachusingcollagenpowder1NM80LAW3 Repair,largeintestineopenapproachusingfibringlue

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Philip Jones


1NM80LAXXE Repair,largeintestineopenapproachusinglocaltranspositionflap[e.g.omentalpatch]1NM82DF Reattachment,largeintestineendoscopic[laparoscopic]approachofdiversionarycolocolostomy1NM82EP Reattachment,largeintestineendoscopic[laparoscopic]approachofcolostomy[mayinvolve:reanastomosisofcolonto(Hartmann)rectalstumpormucousfistula]1NM82RN Reattachment,largeintestineopenapproachofdiversionarycolocolostomy1NM82RS Reattachment,largeintestineopenapproachofcolostomy[mayinvolve:reanastomosisofcolonto(Hartmann)rectalstumpormucousfistula]1NM87DA Excisionpartial,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachsimpleexcisionaltechnique1NM87DE Excisionpartial,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachcolorectalanastomosistechnique1NM87DF Excisionpartial,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachcolocolostomyanastomosistechnique1NM87DN Excisionpartial,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachenterocolostomyanastomosistechnique1NM87DX Excisionpartial,largeintestinestomaformationanddistalclosure1NM87DY Excisionpartial,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachstomaformationwithcreationofmucousfistula1NM87LA Excisionpartial,largeintestineopenapproachSimpleexcisionaltechnique1NM87PN Excisionpartial,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachroboticassistedtelemanipulationoftools[telesurgery]1NM87RD Excisionpartial,largeintestineopenapproachColorectalanastomosistechnique1NM87RE Excisionpartial,largeintestineopenapproachEnterocolostomyanastomosistechnique1NM87RN Excisionpartial,largeintestineopenapproachColocolostomyanastomosistechnique1NM87TF Excisionpartial,largeintestineopenapproachStomaformationwithdistalclosure1NM87TG Excisionpartial,largeintestineopenapproachStomaformationwithcreationofmucousfistula

1NM89DFExcisiontotal,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachileorectal[endorectal,ileoproctostomy]anastomosistechnique

1NM89DX Excisiontotal,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachstomaformationwithdistalclosure1NM89RN Excisiontotal,largeintestineopenapproachusingIleorectal[endorectal,ileoproctostomy]anastomosistechnique1NM89TF Excisiontotal,largeintestineopenapproachStomaformationwithdistalclosure1NM91DE Excisionradical,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachcolorectalanastomosistechnique1NM91DF Excisionradical,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachcolocolostomyanastomosistechnique1NM91DN Excisionradical,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachenterocolostomyanastomosistechnique1NM91DX Excisionradical,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachstomaformationwithdistalclosure1NM91DY Excisionradical,largeintestineendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachstomaformationwithcreationofmucousfistula1NM91RD Excisionradical,largeintestineopenapproachColorectalanastomosistechnique1NM91RE Excisionradical,largeintestineopenapproachEnterocolostomyanastomosistechnique1NM91RN Excisionradical,largeintestineopenapproachColocolostomyanastomosistechnique1NM91TF Excisionradical,largeintestineopenapproachStomaformationwithdistalclosure1NM91TG Excisionradical,largeintestineopenapproachStomaformationwithcreationofmucousfistula1NP72DA Release,smallwithlargeintestineusingendoscopic[laparoscopic]approach1NP72DAAG Release,smallwithlargeintestineusingendoscopic[laparoscopic]approachandlaser1NP72LA Release,smallwithlargeintestineusingopenapproach1NP72LAAG Release,smallwithlargeintestineusingopenapproachandlaser1NP73DA Reduction,smallandlargeintestineusingendoscopic[laparoscopic]approach1NP73JH Reduction,smallwithlargeintestineusingmanualtechnique(forherniareductionalone)1NP73LA Reduction,smallwithlargeintestineusingopenapproach1NP86MBW3 Closureoffistula,smallandlargeintestineusingfibrin[glue]forfistulaterminatingatskin(orsubcutaneoustissue)1NP86MBXXA Closureoffistula,smallwithlargeintestineusingautograft[e.g.skin,fasciagraft]forfistulaterminatingatskin[orsubcutaneoustissue]1NP86MBXXE Closureoffistula,smallwithlargeintestineusinglocalflap[e.g.omental,mesentericpatch]forfistulaterminatingatskin[orsubcutaneoustissue]

1NP86MBXXFClosureoffistula,smallwithlargeintestineusingfreeflap[e.g.intestinalinterpositionalflaporfreemuscleflap]forfistulaterminatingatskin[orsubcutaneoustissue]

1NP86MBXXG Closureoffistula,smallwithlargeintestineusingpedicledflap[e.g.advancementmuscleflap]forfistulaterminatingatskin[orsubcutaneoustissue]1NP86MEW3 Closureoffistula,smallandlargeintestineusingfibrin[glue]fistulaterminatinginabdominalcavity[anyorganofdigestiveorbiliarytract]1NP86MEXXA Closureoffistula,smallwithlargeintestineusingautograft[e.g.skin,fasciagraft]forfistulaterminatinginabdominalcavity[anyorganofdigestiveorbiliarytract]

1NP86MEXXEClosureoffistula,smallwithlargeintestineusinglocalflap[e.g.omental,mesentericpatch]forfistulaterminatinginabdominalcavity[anyorganofdigestiveorbiliarytract]

1NP86MEXXFClosureoffistula,smallwithlargeintestineusingfreeflap[e.g.intestinalinterpositionalflaporfreemuscleflap]forfistulaterminatinginabdominalcavity[anyorganofdigestiveorbiliarytract]

1NP86MEXXGClosureoffistula,smallwithlargeintestineusingpedicledflap[e.g.advancementmuscleflap]forfistulaterminatinginabdominalcavity[anyorganofdigestiveorbiliarytract]

1NP86MHW3 Closureoffistula,smallandlargeintestineusingfibrin[glue]forfistulaterminatingingenitaltract1NP86MHXXA Closureoffistula,smallwithlargeintestineusingautograft[e.g.skin,fasciagraft]forfistulaterminatingingenitaltract1NP86MHXXE Closureoffistula,smallwithlargeintestineusinglocalflap[e.g.omental,mesentericpatch]forfistulaterminatingingenitaltract1NP86MHXXF Closureoffistula,smallwithlargeintestineusingfreeflap[e.g.intestinalinterpositionalflaporfreemuscleflap]forfistulaterminatingingenitaltract1NP86MHXXG Closureoffistula,smallwithlargeintestineusingpedicledflap[e.g.advancementmuscleflap]forfistulaterminatingingenitaltract1NP86MQW3 Closureoffistula,smallandlargeintestineusingfibrin[glue]forfistulaterminatinginthoraciccavity1NP86MQXXA Closureoffistula,smallwithlargeintestineusingautograft[e.g.skin,fasciagraft]forfistulaterminatinginthoraciccavity1NP86MQXXE Closureoffistula,smallwithlargeintestineusinglocalflap[e.g.omental,mesentericpatch]forfistulaterminatinginthoraciccavity1NP86MQXXF Closureoffistula,smallwithlargeintestineusingfreeflap[e.g.intestinalinterpositionalflaporfreemuscleflap]forfistulaterminatinginthoraciccavity1NP86MQXXG Closureoffistula,smallwithlargeintestineusingpedicledflap[e.g.advancementmuscleflap]forfistulaterminatinginthoraciccavity1NP86MRW3 Closureoffistula,smallandlargeintestineusingfibrin[glue]forfistulaterminatinginurinarytract1NP86MRXXA Closureoffistula,smallwithlargeintestineusingautograft[e.g.skin,fasciagraft]forfistulaterminatinginurinarytract1NP86MRXXE Closureoffistula,smallwithlargeintestineusinglocalflap[e.g.omental,mesentericpatch]forfistulaterminatinginurinarytract1NP86MRXXF Closureoffistula,smallwithlargeintestineusingfreeflap[e.g.intestinalinterpositionalflaporfreemuscleflap]forfistulaterminatinginurinarytract1NP86MRXXG Closureoffistula,smallwithlargeintestineusingpedicledflap[e.g.advancementmuscleflap]forfistulaterminatinginurinarytract1NP86MTW3 Closureoffistula,smallandlargeintestineusingfibrin[glue]forfistulatravellingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1NP86MTXXAClosureoffistula,smallwithlargeintestineusingautograft[e.g.skin,fasciagraft]forfistulatravellingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1NP86MTXXEClosureoffistula,smallwithlargeintestineusinglocalflap[e.g.omental,mesentericpatch]forfistulatravellingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1NP86MTXXFClosureoffistula,smallwithlargeintestineusingfreeflap[e.g.intestinalinterpositionalflaporfreemuscleflap]forfistulatravellingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1NP86MTXXGClosureoffistula,smallwithlargeintestineusingpedicledflap[e.g.advancementmuscleflap]forfistulatravellingthroughmultiplecavitiesandterminatinginanyorgan(s)oratskin

1NQ52LA Drainage,rectumopenapproachsimpledrainagetechnique1NQ52LATS Drainage,rectumopenapproachwithcatheterleftinsitu1NQ59LAAD Destruction,rectumopenapproachusingcryoprobe1NQ59LAGX Destruction,rectumopenapproachusingdeviceNEC1NQ59LAAG Destruction,rectumopenapproachusinglaser1NQ72LA Release,rectumusingopenabdominalapproach1NQ72PB Release,rectumusingopenperinealapproach1NQ74DW Fixation,rectumendoscopic[abdominal]approachusingcircularstaplingorsuturingtechnique1NQ74ED Fixation,rectumendoscopic[abdominal]approachusingsutureorslingfixation[e.g.tosacrum]1NQ74EJ Fixation,rectumendoscopic[abdominal]approachusingplication[imbrication]ofanorectalmuscle1NQ74PC Fixation,rectumperinealapproachusingcircularstaplingorsuturingtechnique1NQ74PD Fixation,rectumperinealapproach[includespull-through,DeLorme,transanal]usingsutureorslingfixation[e.g.tosacrum]1NQ74PE Fixation,rectumperinealapproach[includespull-through,DeLorme,transanal]usingplication[imbrication]ofanorectalmuscle1NQ74SS Fixation,rectumabdominalapproachusingcircularstaplingorsuturingtechnique1NQ74TV Fixation,rectumabdominalapproachusingsutureorslingfixation[e.g.tosacrum]1NQ74VT Fixation,rectumabdominalapproachusingplication[imbrication]ofanorectalmuscle1NQ80LA Repair,rectumusingopenabdominalapproach1NQ80PB Repair,rectumusingopenperinealapproach1NQ80PF Repair,rectumusingposterior[sagittal]approach1NQ84DAXXG Constructionorreconstruction,rectumusingendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachwithileum(to.constructpouch)1NQ84LAXXG Constructionorreconstruction,rectumusingopenapproachwithileum(toconstructpouch)

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1NQ86MBW3 Closureoffistula,rectumusingfibrin[glue]forfistulaterminatingatskinorsubcutaneoustissue[e.g.anorectal]1NQ86MBXXE Closureoffistula,rectumusinglocaltranspositionflap[e.g.mucosaladvancementflap]forfistulaterminatingatskinorsubcutaneoustissue[e.g.anorectal]1NQ86MBXXF Closureoffistula,rectumusingfree(myocutaneous)flapforfistulaterminatingatskinorsubcutaneoustissue[e.g.anorectal]1NQ86MBXXG Closureoffistula,rectumusingdistantpedicledflapforfistulaterminatingatskinorsubcutaneoustissue[e.g.anorectal]1NQ86MBXXL Closureoffistula,rectum,usingxenograft[e.g.Surgisisanalplug]forfistulaterminatingatskinorsubcutaneoustissue[e.g.anorectal]1NQ86MEW3 Closureoffistula,rectumusingfibrin[glue]forfistulaterminatinginabdominalcavity[e.g.anyorganofdigestiveorbiliarytract]

1NQ86MEXXEClosureoffistula,rectumusinglocaltranspositionflap[e.g.mucosaladvancementflap]forfistulaterminatinginabdominalcavity[e.g.anyorganofdigestiveorbiliarytract]

1NQ86MEXXF Closureoffistula,rectumusingfree(myocutaneous)flapforfistulaterminatinginabdominalcavity[e.g.anyorganofdigestiveorbiliarytract]1NQ86MEXXG Closureoffistula,rectumusingdistantpedicledflapforfistulaterminatinginabdominalcavity[e.g.anyorganofdigestiveorbiliarytract]1NQ86MEXXL Closureoffistula,rectum,usingxenograft[e.g.Surgisisanalplug]forfistulaterminatinginabdominalcavity[e.g.anyorganofdigestiveorbiliarytract]1NQ86MHW3 Closureoffistula,rectumusingfibrin[glue]forfistulaterminatingingenitaltract1NQ86MHXXE Closureoffistula,rectumusinglocaltranspositionflap[e.g.mucosaladvancementflap]forfistulaterminatingingenitaltract1NQ86MHXXF Closureoffistula,rectumusingfree(myocutaneous)flapforfistulaterminatingingenitaltract1NQ86MHXXG Closureoffistula,rectumusingdistantpedicledflapforfistulaterminatingingenitaltract1NQ86MHXXL Closureoffistula,rectum,usingxenograft[e.g.Surgisisanalplug]forfistulaterminatingingenitaltract1NQ86MRW3 Closureoffistula,rectumusingfibrin[glue]forfistulaterminatinginurinarytract1NQ86MRXXE Closureoffistula,rectumusinglocaltranspositionflap[e.g.mucosaladvancementflap]forfistulaterminatinginurinarytract1NQ86MRXXF Closureoffistula,rectumusingfree(myocutaneous)flapforfistulaterminatinginurinarytract1NQ86MRXXG Closureoffistula,rectumusingdistantpedicledflapforfistulaterminatinginurinarytract1NQ86MRXXL Closureoffistula,rectum,usingxenograft[e.g.Surgisisanalplug]forfistulaterminatinginurinarytract

1NQ87DAExcisionpartial,rectumendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachclosurebyappositiontechnique[e.g.suturing,stapling]ornoclosurerequired(fortissueregeneration)

1NQ87DE Excisionpartial,rectumendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachcolorectalanastomosistechnique1NQ87DF Excisionpartial,rectumendoscopic[laparoscopic]approachcolorectalanastomosistechnique1NQ87DX Excisionpartial,rectumendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachstomaformationwithdistalclosure

1NQ87LAExcisionpartial,rectumopenabdominal[e.g.anterior]approachclosurebyappositiontechnique[e.g.suturing,stapling]ornoclosurerequired(fortissueregeneration)

1NQ87PFExcisionpartial,rectumposterior[e.g.enteringthroughincisionbetweencoccyxandanalvergewithproctotomy]approachclosurebyappositiontechnique[e.g.suturing,stapling]ornoclosurerequired(fortissueregeneration)

1NQ87PN Excisionpartial,rectumendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachroboticassistedtelemanipulationoftools[telesurgery]1NQ87RD Excisionpartial,rectumopenabdominal[e.g.anterior]approachcolorectalanastomosistechnique1NQ87TF Excisionpartial,rectumopenabdominalapproach[e.g.anterior]stomaformationwithdistalclosure1NQ89AB Excisiontotal,rectum,stomaformationwithdistalclosure,combinedendoscopic[laparoscopic]abdominoperinealapproach1NQ89GV Excisiontotal,rectumcombinedendoscopic[abdominal]withperinealapproachcoloanalanastomosistechnique1NQ89KZ Excisiontotal,rectumabdominoperinealapproachcoloanalanastomosistechnique1NQ89KZXXG Excisiontotal,rectumabdominoperinealapproachpouchformation1NQ89LH Excisiontotal,rectumabdominoperinealapproachStomaformationwithdistalclosure1NQ89LHXXG Excisiontotal,rectumabdominoperinealapproachContinentileostomyformation1NQ89RS Excisiontotal,rectumabdominal[anterior]approachStomaformationwithdistalclosure1NQ89RSXXG Excisiontotal,rectumabdominal[anterior]approachContinentileostomyformation1NQ89SF Excisiontotal,rectumabdominal[anterior]approachcoloanalanastomosistechnique1NQ89SFXXG Excisiontotal,rectumabdominal[anterior]approachpouchformation1OA87DA Excisionpartial,liverusingendoscopic(laparoscopic)approach1OA87LA Excisionpartial,liverusingopenapproach1OA87LAAZ Excisionpartial,liverusingultrasonicaspiratordevice(fordissection)andopenapproach1RM52LA Drainage,uterusandsurroundingstructuresusingopenapproach1RM56LA Removalofforeignbody,uterusandsurroundingstructuresusingopenapproach1RM59LAGX Destruction,uterusandsurroundingstructuresopenapproachusingdeviceNEC[e.g.electrocautery,rollerballdiathermy]1RM59LAAG Destruction,uterusandsurroundingstructuresopenapproachusinglaser1RM72LAHB Release,uterusandsurroundingstructuresopenapproachUsingbipolardiathermy1RM72LAGX Release,uterusandsurroundingstructuresopenapproachusingdeviceNEC1RM72LAAG Release,uterusandsurroundingstructuresopenapproachUsinglaser1RM74LA Fixation,uterusandsurroundingstructuresusingopenapproach1RM74LAXXN Fixation,uterusandsurroundingstructuresusingopenapproachandsyntheticmaterial[mesh]1RM80LA Repair,uterusandsurroundingstructuresopenapproachWithouttissue1RM80LAXXA Repair,uterusandsurroundingstructuresopenapproachUsingfullthicknessgraft1RM80LAXXE Repair,uterusandsurroundingstructuresopenapproachUsinglocalflap1RM80LAXXF Repair,uterusandsurroundingstructuresopenapproachUsingfreedistantflap1RM80LAXXN Repair,uterusandsurroundingstructuresopenapproachUsingsynthetictissue(e.g.mesh)1RM80LAXXQ Repair,uterusandsurroundingstructuresopenapproachUsingcombinedsourcesoftissue1RM87LAGX Excisionpartial,uterusandsurroundingstructuresopenapproachusingdeviceNEC1RM87LAAK Excisionpartial,uterusandsurroundingstructuresopenapproachusingloopelectrode[LEEP]1RM89AA Excisiontotal,uterusandsurroundingstructuresusingcombinedlaparoscopicandvaginalapproach1RM89DA Excisiontotal,uterusandsurroundingstructuresusingendoscopic(laparoscopic)approach1RM89LA Excisiontotal,uterusandsurroundingstructuresusingopenapproach1RM91AA Excisionradical,uterusandsurroundingstructuresusingcombinedlaparoscopicandvaginalapproach1RM91DA Excisionradical,uterusandsurroundingstructuresusingendoscopic(laparoscopic)approach1RM91LA Excisionradical,uterusandsurroundingstructuresusingabdominalapproach(e.g.Wertheimoperation)1PC13LA Controlofbleeding,kidneyusingopenapproach1PC51LALV Occlusion,kidneyusingopenapproachwithligature1PC52LA Drainage,kidneyusingopenapproach1PC56LA Removalofforeignbody,kidneyusingopenapproach1PC59LAGX Destruction,kidneyopenapproachusingdeviceNEC1PC59LAAG Destruction,kidneyopenapproachusinglaser1PC59LAX7 Destruction,kidneyopenapproachusingchemocautery1PC59LAAW Destruction,kidneyopenapproachusingradiofrequency1PC71LA Division,kidneyusingopenapproach1PC74LA Fixation,kidneyusingopenapproach1PC80LA Repair,kidneyusingopenapproach1PC80LAXXE Repair,kidneyusingopenapproachwithlocalflap(e.g.fat)1PC80LAXXG Repair,kidneyusingopenapproachwithpedicleddistantflap(e.g.intestinal)1PC82LA Reattachment,kidneyusingopenapproach1PC83LA Transfer,kidneyusingopenapproach1PC85LAXXJ Transplant,kidneyusinglivingdonor(allogenicorsyngeneic)kidney1PC85LAXXK Transplant,kidneyusingdeceaseddonorkidney1PC86GFXXE Closureoffistula,kidneylocalflapclosurefistulaterminatingatskin1PC86MBXXE Closureoffistula,kidneylocalflapclosureFistulaterminatingatskinOpenapproach1PC86MBXXF Closureoffistula,kidneyfreeflapclosureFistulaterminatingatskinOpenapproach1PC86MEXXE Closureoffistula,kidneylocalflapclosureFistulaterminatingatdigestivetractOpenapproach1PC86MEXXF Closureoffistula,kidneyfreeflapclosureFistulaterminatingatdigestivetractOpenapproach1PC87DA Excisionpartial,kidneyendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approachusingappositiontechnique[e.g.suturing,stapling]1PC87LA Excisionpartial,kidneyopenapproachUsingappositiontechnique[e.g.suturing,stapling]1PC87LAXXE Excisionpartial,kidneyopenapproachUsinglocalflapclosure1PC87LAXXG Excisionpartial,kidneyopenapproachUsingpedicledflap1PC87NQ Excisionpartial,kidneyopenbenchsurgeryUsingappositiontechnique[e.g.suturing,stapling]1PC89DA Excisiontotal,kidneyusingendoscopic(laparoscopic,laparoscopic-assisted,hand-assisted)approach1PC89LB Excisiontotal,kidneyusingopenabdominalapproach1PC89PF Excisiontotal,kidneyusingopenlumbar[flank]approach

Uterus

Kidney

AbdominalandPelvic


LiverResection

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Philip Jones


1PC89QF Excisiontotal,kidneyusingopenthoracoabdominalapproach1PC91AB Excisionradical,kidney,usingcombinedopenwithendoscopicapproach1PC91DA Excisionradical,kidneyusingendoscopic[laparoscopic,laparoscopic-assisted,hand-assisted]approach1PC91LB Excisionradical,kidneyusingopenabdominalapproach1PC91PF Excisionradical,kidneyusingopenlumbar[flank]approach1PC91QF Excisionradical,kidneyusingopenthoracoabdominalapproach1PM13LAZ9 Controlofbleeding,bladderopenapproachusingagentNEC1PM13LAC2 Controlofbleeding,bladderopenapproachusingantihemorrhagicagent1PM13LAGX Controlofbleeding,bladderopenapproachusingdeviceNEC1PM13LAAG Controlofbleeding,bladderopenapproachusinglaserNEC1PM13LANP Controlofbleeding,bladderopenapproachusingpackingorcottonpledgets[temporary]1PM56LA Removalofforeignbody,bladderusingopenapproach1PM57LAGX Extraction,bladderusingopenapproach(transrenalpelvis)andotherdeviceNEC[e.g.forceps]1PM72LAAG Release,bladderusingopenapproachandlaser1PM72LAGX Release,bladderusingopenapproachanddeviceNEC1PM77LA Bypasswithexteriorization,bladderusingopenapproachforstomaformation1PM77LAXXA Bypasswithexteriorization,bladderusingopenapproachand(skin)autograftforstomaformation1PM77LAXXG Bypasswithexteriorization,bladderusingopenapproachandpedicleddistantflap[e.g.intestinal]forstomaformation1PM79LAXXE Repairbyincreasingsize,bladderusingopenapproachandlocalflap[e.g.ureteral]1PM79LAXXG Repairbyincreasingsize,bladderusingopenapproachandpedicleddistantflap[e.g.ileum,sigmoid,ureteral,orgastricsegment]1PM79LAXXL Repairbyincreasingsize,bladderusingopenapproachandxenograft(e.g.porcinecollagenmembrane,smallintestinalsubmucosa[SIS])1PM79LAXXP Repairbyincreasingsize,bladderusingopenapproachandculturedtissue[e.g.autologouscellsseededonacellularcollagenorpolymer-basedmatrix]1PM79LAXXQ Repairbyincreasingsize,bladderusingopenapproachandcombinedsourcesoftissue1PM80LA Repair,bladderusingopenapproachandsimpleapposition1PM82LA Reattachment,bladderusingopenapproach1PM84LA Reconstruction,bladderusingopenapproach1PM86MB Closureoffistula,bladderopenapproachsimpleexcisionandclosurefistulaterminatingatskin1PM86MBXXE Closureoffistula,bladderopenapproachlocalflapclosurefistulaterminatingatskin1PM86MBXXG Closureoffistula,bladderopenapproachpedicledflapclosurefistulaterminatingatskin1PM86MD Closureoffistula,bladderNECopenapproachsimpleexcisionandclosurefistulaterminatingingenitaltract1PM86MDXXE Closureoffistula,bladderNECopenapproachlocalflapclosurefistulaterminatingingenitaltract1PM86MDXXG Closureoffistula,bladderNECopenapproachpedicledflapclosurefistulaterminatingingenitaltract1PM86MH Closureoffistula,bladderopenapproachsimpleexcisionandclosurefistulaterminatingingenitaltract1PM86MHXXE Closureoffistula,bladderopenapproachlocalflapclosurefistulaterminatingingenitaltract1PM86MHXXG Closureoffistula,bladderopenapproachpedicledflapclosurefistulaterminatingingenitaltract1PM86MR Closureoffistula,bladderopenapproachsimpleexcisionandclosurefistulaterminatinginurinarytract(e.g.ureterovesical,vesicoureteral)1PM86MRXXE Closureoffistula,bladderopenapproachlocalflapclosurefistulaterminatinginurinarytract(e.g.ureterovesical,vesicoureteral)1PM86MRXXG Closureoffistula,bladderopenapproachpedicledflapclosurefistulaterminatinginurinarytract(e.g.ureterovesical,vesicoureteral)1PM86RA Closureoffistula,bladderNECopenvaginalapproachsimpleexcisionandclosurefistulaterminatingatvagina1PM86RAXXE Closureoffistula,bladderNECopenvaginalapproachlocalflapclosurefistulaterminatingatvagina1PM86RAXXG Closureoffistula,bladderNECopenvaginalapproachpedicledflapclosurefistulaterminatingatvagina1PM86RB Closureoffistula,bladderopenvaginalapproachsimpleexcisionandclosurefistulaterminatingingenitaltract1PM86RBXXE Closureoffistula,bladderopenvaginalapproachlocalflapclosurefistulaterminatingingenitaltract1PM86RBXXG Closureoffistula,bladderopenvaginalapproachpedicledflapclosurefistulaterminatingingenitaltract1PM87DA Excisionpartial,bladderusingendoscopic.(laparoscopic)approach1PM87LA Excisionpartial,bladderusingopenapproach1PM89DA Excisiontotal,bladderusingendoscopic.(laparoscopic)approach1PM89LA Excisiontotal,bladderwithsimpleapposition(e.g.suturingorstapling)whichdoesnotinvolvecreationofacutaneousstoma1PM90LAXXG Excisiontotalwithreconstruction,bladderusingopenapproachwithstomaformationandpedicleddistantflap

1PM90RDXXGExcisiontotalwithreconstruction,bladderwithcreationofacontinentrectalbladdertofunctionwithoutastoma[e.g.sigma-rectumpouchattachedtourethra]withpedicledflap

1PM91DA Excisionradical,bladderusingendoscopic.(laparoscopic)approach1PM91LA Excisionradical,bladderusingopenapproach1PM92DAXXG Excisionradicalwithreconstruction,bladderendoscopic(laparoscopic)approachwithcreationofcontinenturinaryreservoirandpermanentcutaneousstoma1PM92LAXXG Excisionradicalwithreconstruction,bladderwithcreationofcontinenturinaryreservoirandpermanentcutaneousstoma1PM92RDXXG Excisionradicalwithreconstruction,bladderwithcreationofacontinentneobladdertofunctionwithoutastoma[e.g.sigma-rectumpouch]

Bladder

Kidney

AbdominalandPelvic

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Abbreviations:CCI = Canadian Classification of Health Interventions;NEC = Not Elsewhere ClassifiedThis Table shows the surgical procedures that were eligible for inclusion in the study, classified by surgical type.

Philip Jones


Philip Jones


Complication ICD-10diagnosticcodes Description CCIprocedurecodes Description OHIPfeecodes Description Exclusions Description

AtrialfibrillationorflutterI4800 ParoxysmalatrialfibrillationI4801 PersistentatrialfibrillationI481 AtrialflutterI483 TypicalatrialflutterI484 AtypicalatrialflutterI4890 Atrialfibrillation,unspecifiedI4891 Atrialflutter,unspecified

N170 Acuterenalfailurewithtubularnecrosis

N171 Acuterenalfailurewithacutecorticalnecrosis

N172 Acuterenalfailurewithmedullarynecrosis

N178 Otheracuterenalfailure

N179 Acuterenalfailure,unspecified

G083 Continuousvenovenoushaemodialysis-initialandacute(forthefirst3services)

NotanyoffollowingOHIPcodesinlastyear

G085 Continuousvenovenoushaemofiltration-initialandacute(forthefirst3services)

G860 Hospitalhaemodialysis

G082 Continuousvenovenoushaemodiafiltration-initialandacute(forthefirst3services)

G861 Hospitalperitonealdialysis

G090 Venovenousslowcontinuousultrafiltration-initialandacute(forthefirst3services)

G862Hospitalself-carehaemodialysisorsatellitehaemodialysis

R849 Initialandacute(includesbothmedicalandsurgicalcomponents

G863Independenthealthfacilityhaemodialysis

G323 Acute,repeat-forthefirst3services G864 Homeperitonealdialysis.G093 Haemodiafiltration-Contin.Init&Acute(repeatx3) G865 Homehaemodialysis

G095 SlowContinuousUltraFiltration-Initial&Acute(repeat)G866

Intermittenthaemodialysis-atanauxiliarytreatmentcentre

T810 Haemorrhageandhaematomacomplicatingaprocedure,notelsewhereclassified

1LZ19HHU1A Transfusion,circulatorysystemNECusingautologoustransfusionofredcellconcentrates

R58 Haemorrhage,notelsewhereclassified

1LZ19HHU1J Transfusion,circulatorysystemNECusinghomologoustransfusionofredcellconcentrates

1LZ19HHU2A Transfusion,circulatorysystemNECusingautologoustransfusionofplasma(fresh,frozen,stored)

1LZ19HHU2J Transfusion,circulatorysystemNECusinghomologoustransfusionofplasma(fresh,frozen,stored)

1LZ19HHU4J Transfusion,circulatorysystemNECusinghomologoustransfusionofplatelets

1LZ19HHU5J Transfusion,circulatorysystemNECusinghomologoustransfusionofcryoprecipitate

1LZ19HHU9A Transfusion,circulatorysystemNECusingautologoustransfusionofwholeblood

1LZ19HHU9J Transfusion,circulatorysystemNECusinghomologoustransfusionofwholeblood

R092 RespiratoryarrestI460 Cardiacarrestwithsuccessful

resuscitationI461 Suddencardiacdeath,so

describedI469 Cardiacarrest,unspecified

R4020 PersistentvegetativestateR4029 Coma,unspecified

I801 Phlebitisandthrombophlebitisoffemoralvein

I802 Phlebitisandthrombophlebitisofotherdeepvesselsoflowerextremities

I803 Phlebitisandthrombophlebitisoflowerextremities,unspecified

I808 Phlebitisandthrombophlebitisofothersites

I809 Phlebitisandthrombophlebitisofunspecifiedsite

I210 Acutetransmuralmyocardialinfarctionofanteriorwall

I211 Acutetransmuralmyocardialinfarctionofinferiorwall

I212 Acutetransmuralmyocardialinfarctionofothersites

I213 Acutetransmuralmyocardialinfarctionofunspecifiedsite

I214 Acutesubendocardialmyocardialinfarction

I2140 Acutesubendocardialmyocardialinfarctionofanteriorwall

I2141 Acutesubendocardialmyocardialinfarctionofinferiorwall

I2142 Acutesubendocardialmyocardialinfarctionofothersites

I2149 Acutesubendocardialmyocardialinfarction,unspecifiedsite

I219 Acutemyocardialinfarction,unspecified

I220 Subsequentmyocardialinfarctionofanteriorwall

I221 Subsequentmyocardialinfarctionofinferiorwall

I228 Subsequentmyocardialinfarctionofothersites

I229 Subsequentmyocardialinfarctionofunspecifiedsite

I230 Haemopericardiumascurrentcomplicationfollowingacutemyocardialinfarction

I231 Atrialseptaldefectascurrentcomplicationfollowingacutemyocardialinfarction

Myocardialinfarction

Acuterenalfailure

Bleeding

Cardiacarrestorlife-threateningincident

Coma

Deepvenousthrombosis

New-onsethemodialysis

eTable 2 - Major complications as defined by CCI codes, ICD-10 codes, and/or Ontario Health Insurance Plan physician billing codes

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I232 Ventricularseptaldefectascurrentcomplicationfollowingacutemyocardialinfarction

I233 Ruptureofcardiacwallwithouthaemopericardiumascurrentcomplicationfollowingacutemyocardialinfarction

I234 Ruptureofchordaetendineaeascurrentcomplicationfollowingacutemyocardialinfarction

I235 Ruptureofpapillarymuscleascurrentcomplicationfollowingacutemyocardialinfarction

I236 Thrombosisofatrium,auricularappendage,andventricleascurrentcomplicationsfollowingacutemyocardialinfarction

I2380 Papillarymuscledysfunctionascurrentcomplicationfollowingacutemyocardialinfarction

I2381 Pericarditisascurrentcomplicationfollowingacutemyocardialinfarction

I2382 Postmyocardialinfarctionanginaascurrentcomplicationfollowingacutemyocardialinfarction

I2388 Othercurrentcomplicationsfollowingacutemyocardialinfarction

I2389 Currentcomplicationsfollowingacutemyocardialinfarction,unspecified

Ventilatorusefor48hoursormore G405 CRIT.CAREVENTIL.SUPPORT-INTENS.CARE-PHYS.INCHGE-1STDAY

G557 D/TPROC.COMPREHEN.INTENS.CRIT.VENT.SUP.PHYS.INCHGE-1STDAY

G406 CRIT.CAREVENT.SUPPORTINTENS.CAREPHYSINCHGE2NDTO30thDAY

G558 D/TPROC.COMP.INTENS.CRIT.VENT.PHYS.INCHGE2NDTO30THDAY

REQUIRE(G405ORG557)AND(G406ORG558)foroutcometobetrue

Pneumonia J120 AdenoviralpneumoniaJ121 Respiratorysyncytialvirus

pneumoniaJ122 Parainfluenzavirus

pneumoniaJ123 Humanmetapneumovirus

pneumoniaJ128 OtherviralpneumoniaJ129 Viralpneumonia,unspecifiedJ13 Pneumoniadueto

StreptococcuspneumoniaeJ14 Pneumoniadueto

HaemophilusinfluenzaeJ150 PneumoniaduetoKlebsiella

pneumoniaeJ151 Pneumoniadueto

PseudomonasJ152 Pneumoniadueto

StaphylococcusJ153 Pneumoniadueto

Streptococcus,groupBJ154 Pneumoniaduetoother

streptococciJ155 Pneumoniadueto

EscherichiacoliJ156 Pneumoniaduetoother

aerobicGram-negativebacteria

J157 PneumoniaduetoMycoplasmapneumoniae

J158 OtherbacterialpneumoniaJ159 Bacterialpneumonia,

unspecifiedJ160 ChlamydialpneumoniaJ168 Pneumoniaduetoother

specifiedinfectiousorganisms

J170 Pneumoniainbacterialdiseasesclassifiedelsewhere

J171 Pneumoniainviraldiseasesclassifiedelsewhere

J172 PneumoniainmycosesJ173 Pneumoniainparasitic

diseasesJ178 Pneumoniainotherdiseases

classifiedelsewhereJ180 Bronchopneumonia,

unspecifiedJ181 Lobarpneumonia,

unspecifiedJ182 Hypostaticpneumonia,

unspecifiedJ188 Otherpneumonia,organism

unspecifiedJ189 Pneumonia,unspecifiedJ690 Pneumonitisduetofoodand

vomitJ691 Pneumonitisduetooilsand

essencesJ698 Pneumonitisduetoother

solidsandliquidsI260 Pulmonaryembolismwith

mentionofacutecorpulmonale

I269 Pulmonaryembolismwithoutmentionofacutecorpulmonale

H341 Centralretinalarteryocclusion

I630 Cerebralinfarctionduetothrombosisofprecerebralarteries

I631 Cerebralinfarctionduetoembolismofprecerebralarteries

I632 Cerebralinfarctionduetounspecifiedocclusionorstenosisofprecerebralarteries

I633 Cerebralinfarctionduetothrombosisofcerebralarteries

I634 Cerebralinfarctionduetoembolismofcerebralarteries

I635 Cerebralinfarctionduetounspecifiedocclusionorstenosisofcerebralarteries

I636 Cerebralinfarctionduetocerebralvenousthrombosis,nonpyogenic

I638 OthercerebralinfarctionI639 Cerebralinfarction,

unspecifiedI64 Stroke,notspecifiedas

haemorrhageorinfarction

Pulmonaryembolism

Stroke

Myocardialinfarction

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eTable 2 - Major complications as defined by CCI codes, ICD-10 codes, and/or Ontario Health Insurance Plan physician billing codes (continued)

Philip Jones

Complication ICD-10 Description CCI procedure Description OHIP fee Description Exclusions Description diagnostic codes codes codes

I610 Intracerebralhaemorrhageinhemisphere,subcortical

I611 Intracerebralhaemorrhageinhemisphere,cortical

I612 Intracerebralhaemorrhageinhemisphere,unspecified

I613 Intracerebralhaemorrhageinbrainstem

I614 Intracerebralhaemorrhageincerebellum

I615 Intracerebralhaemorrhage,intraventricular

I616 Intracerebralhaemorrhage,multiplelocalized

I618 Otherintracerebralhaemorrhage

I619 Intracerebralhaemorrhage,unspecified

I600 Subarachnoidhaemorrhagefromcarotidsiphonandbifurcation

I601 Subarachnoidhaemorrhagefrommiddlecerebralartery

I602 Subarachnoidhaemorrhagefromanteriorcommunicatingartery

I603 Subarachnoidhaemorrhagefromposteriorcommunicatingartery

I604 Subarachnoidhaemorrhagefrombasilarartery

I605 Subarachnoidhaemorrhagefromvertebralartery

I606 Subarachnoidhaemorrhagefromotherintracranialarteries

I607 Subarachnoidhaemorrhagefromintracranialartery,unspecified

I608 Othersubarachnoidhaemorrhage

I609 Subarachnoidhaemorrhage,unspecified

G450 Vertebro-basilararterysyndrome

G451 Carotidarterysyndrome(hemispheric)

G452 Multipleandbilateralprecerebralarterysyndromes

G453 AmaurosisfugaxG454 TransientglobalamnesiaG458 Othertransientcerebral

ischaemicattacksandrelatedsyndromes

G459 Transientcerebralischaemicattack,unspecified

1SY80DA Repair,musclesofthechestandabdomenendoscopic[laparoscopic]approachwithouttissue[e.g.suturingorstapling]

S343 ABDOMEN-SUTURE-SECONDARYCLOSUREFOREVISCERATION

1SY80DAXXA Repair,musclesofthechestandabdomenendoscopic[laparoscopic]approachusingautograft[e.g.fascia,skin]

1SY80DAXXF Repair,musclesofthechestandabdomenendoscopic[laparoscopic]approachusingfreeflap[e.g.freemyocutaneousflap]

1SY80DAXXG Repair,musclesofthechestandabdomenendoscopic[laparoscopic]approachusingpedicledflap[e.g.abdominisrectusordeltopectoral]

1SY80DAXXL Repair,musclesofthechestandabdomen,endoscopic[laparoscopic]approachusingxenograft[e.g.Surgis,SIS(smallintestinesubmucosa)]

1SY80DAXXN Repair,musclesofthechestandabdomenendoscopic[laparoscopic]approachusingsynthetictissue[e.g.mesh,sponge]

1SY80GDXXN Repair,musclesofthechestandabdomenendoscopic[laparoscopic]approachwithspecialincisionaltechniqueusingsynthetictissue.[e.g.mesh,sponge]

1SY80LA Repair,musclesofthechestandabdomenopenapproachwithouttissue[e.g.suturingorstapling]

1SY80LAFF Repair,musclesofthechestandabdomenopenapproachandusingtemporaryabdominalclosuredevice[e.g.Bogotabag]

1SY80LATZ Repair,musclesofthechestandabdomenopenapproachusingzipper[temporary](forrepeataccesstoabdomen)

1SY80LAXXA Repair,musclesofthechestandabdomenopenapproachusingautograft[e.g.fascia,skin]

1SY80LAXXF Repair,musclesofthechestandabdomenopenapproachusingfreeflap[e.g.freemyocutaneousflap]

1SY80LAXXG Repair,musclesofthechestandabdomenopenapproachusingpedicledflap[e.g.abdominisrectusordeltopectoral]

1SY80LAXXL Repair,musclesofthechestandabdomen,openapproachusingxenograft[e.g.Surgisis,SIS(smallintestinesubmucosa)]

1SY80LAXXN Repair,musclesofthechestandabdomenopenapproachusingsynthetictissue[e.g.mesh,sponge]

1SY80LAXXQ Repair,musclesofthechestandabdomenopenapproachandcombinedsourcesoftissue(e.g.meshwithautograft)

1SY80PN Repair,musclesofthechestandabdomenroboticassistedtelemanipulationoftools[telesurgery]withouttissue[e.g.suturingorstapling]

1SY80PNXXN Repair,musclesofthechestandabdomenroboticassistedtelemanipulationoftools[telesurgery]usingsynthetictissue[e.g.mesh,sponge]

1SY80WJ Repair,musclesofthechestandabdomenopenapproachusingspecialexcisionaltechnique

A410 SepsisduetoStaphylococcusaureus

A411 Sepsisduetootherspecifiedstaphylococcus

A412 Sepsisduetounspecifiedstaphylococcus

A413 SepsisduetoHaemophilusinfluenzae

A414 Sepsisduetoanaerobes

Sepsis

Stroke

Majordisruptionofwound T813 Disruptionofoperationwound,notelsewhereclassified

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A4150 SepsisduetoEscherichiacoli[E.coli]

A4151 SepsisduetoPseudomonasA4152 SepsisduetoSerratiaA4158 SepsisduetootherGram-

negativeorganismsA4159 Gram-negativesepticaemia,

unspecifiedA4180 SepsisduetoEnterococcusA4188 OtherspecifiedsepsisA419 Sepsis,unspecified

Unplannedreturntotheoperatingroom InDAD,ifanyINUNPLfieldis=='Y'anytimeAFTERthemaininterventionservicedate,thenthisoutcomeistrue.

R570 CardiogenicshockR571 HypovolaemicshockR572 SepticshockR578 OthershockR579 Shock,unspecified

Sepsis

Shock

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Abbreviations:CCI = Canadian Classification of Health Interventions;ICD-10 = International Statistical Classification of Diseases-10;OHIP = Ontario Health Insurance Plan;NEC = Not Elsewhere Classified;DAD = Discharge Abstract Database This Table shows the definitions used for the major complication outcomes of the study. Major complications were defined by CCI intervention codes, ICD-10 diagnostic codes, and/or OHIP physician billing codes.For complications having eligible CCI, ICD-10, and OHIP codes, a complication was recorded if ANY of the codes existed.Dialysis codes in red were used to prevent in-hospital postoperative hemodialysis from counting as a complication if a patient had had pre-operative dialysis within the previous year (i.e., was on chronic dialysis).

Philip Jones


Philip Jones


eTable 3 - Factors Associated with complete anesthesia handover in a multivariable logistic regression model

Variable Adjusted Odds Ratio (95% CI)

Sex of patient Male 1.01 (0.95 to 1.08) Female 1 (reference)

Age of patient (for each year increase in age) 0.998 (0.995 to 1.000) Comorbidities

Hypertension 1.04 (0.97 to 1.13) Coronary artery disease 0.97 (0.89 to 1.05) Congestive heart failure 1.02 (0.90 to 1.15) Peripheral vascular disease 1.01 (0.80 to 1.26) Diabetes 0.98 (0.91 to 1.06) Previous stroke or transient ischemic attack 1.03 (0.87 to 1.23) Chronic liver disease 1.00 (0.88 to 1.14) Chronic kidney disease 1.06 (0.93 to 1.19) Chronic obstructive pulmonary disease 1.03 (0.95 to 1.12) Cancer 0.87 (0.79 to 0.95)

Decile of duration of surgery (mean; range of duration of surgery for each decile [minutes])

1 (72 min ; < 92 min ) 1 (reference) 2 (103 min ; 92 to 114 min) 1.66 (1.26 to 2.20) 3 (125 min ; 115 to 135 min) 2.50 (1.93 to 3.24) 4 (147 min ; 136 to 158 min) 3.32 (2.58 to 4.26) 5 (170 min ; 159 to 182 min) 4.29 (3.36 to 5.47) 6 (196 min ; 183 to 209 min) 5.27 (4.15 to 6.70) 7 (223 min ; 210 to 238 min) 5.98 (4.71 to 7.60) 8 (256 min ; 239 to 275 min) 7.49 (5.91 to 9.49) 9 (301 min ; 276 to 330 min) 9.68 (7.65 to 12.25) 10 (427 min ; > 330 min ) 28.29 (22.57 to 35.46)

Time since medical school graduation for primary anesthesiologist (per each additional year) 0.995 (0.992 to 0.998)

Region Metropolitan Toronto 1 (reference) Southwestern Ontario 0.41 (0.38 to 0.45) Eastern Ontario 0.72 (0.67 to 0.78)

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Variable Adjusted Odds Ratio (95% CI)

Northern Ontario 0.46 (0.40 to 0.52) Type of Hospital Academic 1.61 (1.49 to 1.73) Non-Academic 1 (reference) Elective vs Urgent/Emergent Surgery Elective 1 (reference) Urgent/Emergent 2.00 (1.87 to 2.15) Type of Surgery Neurosurgery

Brain, brain stem, spinal canal, pituitary 1.31 (1.19 to 1.45) Spine 0.88 (0.79 to 0.97)

Cardiac Surgery Coronary artery bypass grafting and/or valve surgery 0.27 (0.24 to 0.31)

Vascular Surgery Abdominal aortic surgery 0.96 (0.80 to 1.15)

Thoracic Surgery Lung resection 0.51 (0.41 to 0.63)

Abdominal, Pelvic, and Urologic Gastric, intestinal, rectal 1 (reference) Liver resection 1.01 (0.77 to 1.33) Bladder surgery 0.99 (0.81 to 1.21) Kidney surgery, including renal transplantation 0.76 (0.65 to 0.88) Uterus surgery 0.79 (0.70 to 0.90)

Odds ratios obtained from logistic regression using handover as the dependent variable and the rows in this table as the independent variables. Abbreviations: CI, confidence interval

eTable 3 - Factors Associated with complete anesthesia handover in a multivariable logistic regression model (continued) (

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Effect estimate

Number of patients included

in analysis Primary outcome

All-cause death within

30 days

Readmission within 30 days

Major complication

within 30 days

Main Analysis - Inverse probability of exposure-weighted, adjusted relative risk (95% CI) N = 256,424 1.23

(1.16 to 1.32) 1.45

(1.19 to 1.76) 1.18

(0.98 to 1.41) 1.25

(1.16 to 1.34)

(i) Multivariable logistic regression, odds ratio (95% CI)

N = 256,424

1.59 (1.49 to 1.71)

1.36 (1.18 to 1.58)

1.12 (1.003 to 1.242)

1.71 (1.59 to 1.84)

Adjusted relative risk (95% CI) post-logistic regressiona

1.25 (1.21 to 1.30)

1.31 (1.14 to 1.48)

1.11 (0.996 to 1.22)

1.31 (1.26 to 1.36)

(ii) Inverse probability of exposure-weighted regression adjustment (doubly-robust method), adjusted relative risk (95% CI)

N = 256,424 1.22 (1.15 to 1.29)

1.43 (1.19 to 1.71)

1.16 (0.97 to 1.39)

1.24 (1.17 to 1.32)

(iii) Inverse probability of exposure weighting, adjusted relative risk (95% CI), after dropping the variable in the model with the most missing data (years since medical school graduation for the primary anesthesiologist – 51,670 missing observations since no administrative data was available in fiscal year 2015)

N = 308,014

1.22 (1.15 to 1.29)

1.41 (1.19 to 1.66)

1.22 (1.04 to 1.42)

1.23 (1.15 to 1.31)

(iv) Incorporating calendar year as a covariate in addition to the a priori full model covariates, adjusted relative risk (95% CI)

N = 256,424 1.17 (1.09 to 1.26)

1.47 (1.17 to 1.84)

1.08 (0.90 to 1.30)

1.20 (1.11 to 1.30)

(v) Median imputation for missing data for duration of surgery (using the median duration within each surgical type stratum), adjusted relative risk (95% CI)

N = 261,396 1.24 (1.16 to 1.32)

1.44 (1.20 to 1.74)

1.17 (0.97 to 1.40)

1.25 (1.17 to 1.35)

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Effect estimate

Number of patients included

in analysis Primary outcome

All-cause death within

30 days


Major complication

within 30 days

N = 313,066 1.22 (1.15 to 1.28)

1.41 (1.18 to 1.64)

1.20 (1.02 to 1.37)

1.23 (1.16 to 1.31)

Abbreviations: CI = confidence interval See manuscript methods for details of statistical adjustments. Relative risks are for the handover group relative to the no handover group

a Adjusted relative risks obtained according to method described by Austin and the 95% confidence intervals obtained using bootstrapping with 2,000 resamples [Austin PC. Absolute risk reductions, relative risks, relative risk reductions, and numbers needed to treat can be obtained from a logistic regression model. J Clin Epidemiol 2010; 63: 2–6. doi: 10.1016/j.jclinepi.2008.11.004].


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(vi) Multiple imputation for missing data for both surgical duration and years since medical school graduation for the primary anesthesiologist (employing a multivariate normal regression, iterative Markov chain Monte Carlo method), adjusted relative risk (95% CI)


eTable 5 - Sensitivity analyses for the primary outcome incorporating age and duration of surgery as polynomial variables

Model Number of patients included in analysis

Primary outcome (Adjusted risk difference and 95% CI)

Main Analysis - Inverse probability of exposure-weighted N = 256,424 6.8% (4.5 to 9.1)P < 0.001

(i) Modelling age and age squared (duration of surgery modelled as an indicator variable for deciles of duration as in a priori model)

N = 256,424 6.8% (4.5 to 9.1)P < 0.001

(ii) Modelling duration of surgery as a continuous variable rather than as deciles of duration

N = 256,424 6.8% (4.8 to 8.8)P < 0.001

(iii) Modelling duration of surgery as a continuous variable rather than as deciles (including duration of surgery and duration of surgery squared)

N = 256,424 6.6% (4.4 to 8.8)P < 0.001

(iv) Modelling age, age squared, duration of surgery, and duration of surgery squared

N = 256,424 6.6% (4.4 to 8.8)P < 0.001

Abbreviations: CI = confidence interval eTable5 shows the effect of incorporating polynomial terms for age, duration of surgery, and both, into the analytical model, in addition to the full model covariates (see Methods for the covariates included in the statistical adjustments). The a priori model included duration as an indicator variable (representing deciles of surgical duration), but for all sensitivity analyses in this Table [except (i)], duration was removed as an indicator variable and was instead incorporated as a continuous variable (either untransformed or squared). Adjusted risk differences are for the complete handover group relative to the no handover group. A risk difference greater than zero implies worse outcomes being associated with the Complete Handover group.

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eTable 6 - Subgroup effect estimates and joint tests of interaction

Subgroup Primary outcome Adjusted Relative

Risk (95% CI)

All-cause death within 30 days

Adjusted Relative Risk (95% CI)



Major complication

within 30 days Adjusted Relative

Risk (95% CI)

Overall effect 1.23 (1.16 to 1.32) 1.45 (1.19 to 1.76) 1.18 (0.98 to 1.41) 1.25 (1.16 to 1.34)

Fiscal year of surgery

2010 n = 52,322 1.29 (1.07 to 1.56) 2.18 (1.27 to 3.73) 0.74 (0.43 to 1.29) 1.48 (1.21 to 1.81)

2011 n = 50,273 0.99 (0.83 to 1.18) 1.16 (0.72 to 1.89) 0.71 (0.47 to 1.06) 1.08 (0.89 to 1.32)

2012 n = 52,527 1.22 (1.05 to 1.43) 1.50 (0.95 to 2.35) 1.59 (0.99 to 2.55) 1.09 (0.93 to 1.27)

2013 n = 50,239 1.22 (1.07 to 1.38) 1.19 (0.88 to 1.61) 1.23 (0.83 to 1.83) 1.23 (1.07 to 1.41)

2014 n = 51,250 1.30 (1.13 to 1.50) 1.71 (1.13 to 2.59) 1.22 (0.86 to 1.74) 1.29 (1.08 to 1.53)

2015 n = 51,403 1.15 (1.03 to 1.28) 1.38 (1.03 to 1.85) 1.29 (0.99 to 1.69) 1.16 (1.02 to 1.31)

Test of interaction 0.07 0.18 0.03 0.04

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Subgroup Primary outcome Adjusted Relative

Risk (95% CI)

All-cause death within 30 days




Major complication

within 30 days Adjusted Relative

Risk (95% CI)

Elective vs urgent/emergent surgery

Elective n = 223,258 1.22 (1.12 to 1.33) 1.79 (1.16 to 2.75) 1.35 (1.09 to 1.67) 1.20 (1.09 to 1.33)

Urgent/emergent n = 84,756 1.13 (1.06 to 1.21) 1.24 (1.05 to 1.48) 1.05 (0.84 to 1.32) 1.15 (1.06 to 1.26)

Test of interaction 0.71 0.35 0.17 0.38

Type of Surgery

Neurosurgery n = 54,025 1.67 (1.48 to 1.88) 2.08 (1.46 to 2.97) 1.15 (0.85 to 1.55) 2.02 (1.75 to 2.33)

Cardiac Surgery n = 52,995 0.98 (0.92 to 1.05) 2.16 (1.31 to 3.55) 1.10 (0.66 to 1.82) 0.97 (0.90 to 1.04)

Vascular Surgery n = 6,562 1.19 (0.95 to 1.48) 1.87 (1.09 to 3.20) 0.79 (0.32 to 1.92) 1.22 (0.97 to 1.55)

Thoracic Surgery n = 13,778 1.68 (0.94 to 3.00) 0.16 (0.05 to 0.46) 0.79 (0.35 to 1.81) 2.49 (1.35 to 4.61)

Abdominal, Pelvic, and Urologic Surgery n = 180,654

1.39 (1.27 to 1.51) 1.25 (0.98 to 1.61) 1.32 (1.09 to 1.59) 1.46 (1.33 to 1.61)

Test of interaction <0.001 0.02 0.66 <0.001

Page 28


Philip Jones

eTable 6 - Subgroup effect estimates and joint tests of interaction (continued)

(This information is contained in graphical format in Figure 2.) Adjusted relative risks are for the complete handover group relative to

the no handover group. Results are for the composite primary outcome and each of its components for the subgroups of: fiscal year of

surgery (based on a fiscal year ending 31 March and displayed on the year that the fiscal year ended), whether the surgery was elective

or urgent/emergent, and the type of surgery performed. The individual cells show the adjusted relative risks and their 95% confidence

intervals (CI). The overall effect for each of the outcomes is also shown. Subgroup effects were tested for homogeneity via a joint test

of interaction between the exposure and subgroup of interest in a logistic regression model which was weighted by the inverse

probability of exposure, as determined by the propensity score. The propensity score was estimated using multivariable logistic

regression with receipt of a handover as the dependent variable and a vector of covariates decided upon a priori as the independent

variables (sex, age, comorbidities with a five year look-back window [hypertension, coronary artery disease, congestive heart failure,

peripheral vascular disease, diabetes, previous stroke or transient ischemic attack, chronic liver disease, cancer, chronic renal disease,

and chronic obstructive pulmonary disease], duration of the surgery [in deciles], years since medical school graduation for the primary

anesthesiologist, region of the province, type of hospital [academic or not], whether the surgery was elective or urgent/emergent, and

the type of surgery performed). Each subgroup was removed as a covariate from the propensity score model when that subgroup was

being tested. Because anesthesiologist data (used to determine the number of years since medical school graduation) was not available

for the fiscal year 2015, this covariate was not included in the subgroup analyses; the results did not change substantively when this

covariate was included for the fiscal years where the data was available. This subgroup analysis excludes 5,052 (1.6%) patients who

were missing data on surgery duration (Figure 1). Abbreviations: CI = confidence interval

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Philip Jones

eTable 6 - Subgroup effect estimates and joint tests of interaction (continued)

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