Table 6 Top Procedure Codes by Subspecialty

1

Z296

Fiberoptic endoscopy of upper airway with flexible endoscope

82

G420

Ear syringing, curetting or debridement

54

2

Z299

Fiberoptic endoscopy of upper airway with rigid endoscope

2

Z907

Debridement under microscopy, debridement of mastoid cavities, and/or ears with significant external or middle ear pathology but not for removal of cerumen - unilateral

37

3

Z118

Aspiration of superficial lump for cytology

2

E336

Tympanoplasty-type one

1

4

Z915

Removal foreign body (simple)

1

E323

Myringoplasty

1

5

Z501

Mouth Incisional Biopsy

1

E301

Resection of pinna - with local flap

< 1

6

Z326

Change of tracheostomy tube

1

E300

Resection of pinna - with primary closure

< 1

7

Z515

Oesophagoscopy, with or without biopsy(ies)

1

Z908

Debridement under microscopy, debridement of mastoid cavities, and/or ears with significant external or middle ear pathology but not for removal of cerumen - unilateral; General Anesthetic

< 1

8

Z413

Scalene node fine needle aspiration

1

Z904

Local Excision of Polyp of external ear (office)

< 1

9

Z327

Flexible or rigid bronchoscopy, with or without bronchial biopsy or suction

< 1

Z866

Removal of Ear Foreign Body (complicated) under general anesthetic

< 1

10

Z116

Skin Incisional Biopsy

< 1

Z916

Intratympanic Injection

< 1

Rank

Code

Head Neck (9.0%)

%

Code

Endocrine (4.7%)

%

1

R915

Comprehensive dissection of neck lymph nodes, must include 3 or more levels - unilateral

43

S788

Total Thyroidectomy

33

2

Z502

Excision Mouth Lesion - less than 2 cm.

6

S789

Subtotal Thyroidectomy

25

3

Z355

Quadroscopy or panendoscopy

3

Z771

Aspiration biopsy, thyroid gland/nodule fine needle method

18

4

R048

Simple Excision of Face or Neck Lesion - single

3

S795

Exploration and/or removal, parathyroids or parathyroid tumour

6

5

R910

Limited neck dissection, must include 2 levels (unilateral) or central compartment

3

E880

Parathyroid Reimplantation

3

6

M106

Excision of Mediastinal Tumor

3

S793

Completion Thyroidectomy

3

7

S043

Total Parotidectomy with facial nerve preservation

2

S790

Hemi-thryoidectomy

2

8

S003

Excision Mouth Lesion - 2 - 4 cm.

2

S061

Thyroglossal Duct Remnant Excision

2

9

E540

Skin Malignant Lesion wide excision in any area and must include > 1 cm margins and layered closure - performed in hospital with frozen section

2

S792

Re-exploration of neck for hyperparathyroidism

< 1

10

Z119

Cryotherapy treatment of multiple pre-malig actinic keratosis

1

S787

Excisional Surgical Biopsy of the Thyroid Gland

< 1

Rank

Code

Rhinology (9.3%)

%

Code

General- (T&A M&T) (6.3%)

%

1

Z302

Turbinate Reduction

13

Z914

Myringotomy with insertion of ventilation tube

57

2

M083 E844

Intranasal ethmoidectomy incl maxillary antrostomy with endoscope

11

S063

Tonsillectomy

29

3

Z314

Chemical/electrocautery for epistaxis

10

Z912

Myringotomy

8

4

Z305

Nasal polypectomy - general anesthesia

10

S065

Adenoidectomy

7

5

M012

Septoplasty

8

6

M054

Intranasal maxillary antrostomy – unilateral – by endoscopic or endonasal approach.

6

7

Z315

Epistaxis - anterior packing

4

8

Z318

Trephine or endoscopic frontal sinusotomy

4

9

Z311

Removal of nasal foreign body (simple)

3

10

M060

Ethmoidectomy-intranasal-unilateral

2

Rank

Code

Facial Plastics (6.4%)

%

Code

Laryngology (1.1%)

%

1

R046

Rotations, Transpositions, Z-plasties of the face, neck, or scalp defect 2.1 cm to 5 cm

10

Z321

Direct Laryngoscopy-with or without biopsy

37

2

F136

Nasal Bones Closed Reduction

6

E600

Laryngoscopy using operative microscope

20

3

R045

Rotations, Transpositions, Z-plasties of the face, neck, or scalp defect less than 2 cm

5

Z323

Direct Laryngoscopy-with removal lesions

19

4

R011

Advancement flaps of the face, neck, scalp defect 2.1 cm to 5 cm

4

E643

Direct Laryngoscopy when using laser with microlaryngoscopy for benign disease

4

5

Z122

Excision of cyst, hemangioma, lipoma of face or neck

3

Z320

Insertion of voice prosthesis

4

6

R022

Scar revision of face or neck defect 2.6 cm–5 cm.

3

Z346

Transtracheal aspiration

2

7

R087

Split thickness graft - major - complex area

2

M090

Laryngoplasty

2

8

E551

Bone, fascial or dermal grafts - autogenous - separate incision

2

M080

Teflon augmentation larynx

2

9

G396

Injection of extensive keloids

2

G873

Botulinum toxin injection(s) for spasmodic dysphonia

1

10

R012

Advancement flaps of the face, neck, scalp defect 5.1 cm to 10 cm

2

M085

Arytenoidectomy or arytenoidopexy or lateralization procedure

1

Code

%

E622

79

R043

3