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Cardiovascular System
 

Department

 
Operation Type
UNITS
ANES
Average duration of stay
CARDIAC VALVE
Aortic Valve  
Valvuloplasty , with bypass 
40 
20
 3-7 Days
Replacement
43
20
 Mitral Valve
Valvuloplasty , with bypass 
45
15
Replacement
45
15
 Tricuspid Valve
 Valvuloplasty or valvectomy with bypass
40
20
Replacement
41
20
 Pulmonary Valve
Resection of infundibular stenosis , with or without commissurotomy 
42
20
 
MULTIPLE VALVE PROCEDURES 
 
 Single valve replacement with commissurotomy or valvuloplasty of another valve or annuloplasty
48
20
Double valve replacement 
50
20
Triple valve replacement 
60
20
 
 
 CORONARY ARTERY PROCEDURES
 
 
Coronary artery bypass autogenous ( e . g . sapnenous vein or internalmammary artery) . single artery  
42
25 
Two arteries 
45
25
Three arteries 
48 
25
 Four arteries
51 
25
Five or more arteries
54
25
Six or more coronary grafts
56
25
POST INFARCTION MYOCARDIAL PROCEDURES
Myocardial resection ( e . g ., ventricular aneurysmectomy )
46
20
SEPTAL DEFECT
Patch closure ( with or without anomalous pulmonary venous drainage )
37
20
Repair of complete atrio – ventricular canal with or without prosthetic valve
48
15
Ventricular septal defect , closure , direct
37
20
Closure , patch
38
20
With removal of pulmonary artery band ( with or without gusset )
44
15
Banding of pulmonary artery
24
15
Tetralogy of Fallot , total repair , intact outflow tract
44
15
SHUNTING PROCEDURES
Subclavian to pulmonary artery shunt (Blalock – Taussig type )
30
15
TRANSPOSITION OF THE GREAT VESSELS / TRUNCUS ARTERIOSUS
Repair , transposition of great vessels , aortic pulmonary artery reconstruction ( Jatene type )
70
25
AORTIC ANOMALIES
Coarctation , excision with direct anastomosis ( with or without associated PDA )
30 
15
THORACIC AORTIC ANEURYSM
Ascending arch graft without valve replacement ( with or without suspensor of valve )
45
20
With valve replacement
 50
20
MISCELLANEOUS
Prolonged extracorporeal circulation for cardio pulmonary insufficiency
50
20
ARTERIAL EMBOLECTOMY OR THROMBECTOMY , WITH OR WITHOUT CATHETER
Femoropopliteal , aortoiliac artery , by leg incision
12
7
INTERVASCULAR CANNULIZATION OR SHUNT
Insertion for hemodialysis other purpose vein to vein
3
5
Revision or closure
6
5
Arteriovenous anastomosis direct any site
13
5
REPAIR , LIGATION AND OTHER PROCEDURES
Ligation , major artery ( e . g ., posttraumatic , rupture , etc.) neck
8
10
Complete stripping of long or short saphenous veins ( unilateral )
7
3
Complete stripping of long and short saphenous veins with radical excision of ulcer and skin graft and / or interruption of communicating veins of lower leg excision of deep fascia ( unilateral )
17.5
bilateral
35
3

 

 
 
MEDIASTINUM AND DIAPHRAGM

Average duration of stay

 
ANES
UNITS
Operation Type
Department
  2-3 Days
 3
 12
Mediastinotomy with exploraton or drainage transthoracic
 ( Mediastinum )
 Incision 
 
3
 21.5
Sternal spli

 

Digestive System

Average duration of stay

 
ANES
UNITS
Operation Type
Department
 2-3 Days
7 
 18.5
Vagotomy and pyloro-plasty , with or without gastrostomy
Stomach /Excision
7 
 15.2
Gastrojejunostomy
 
6
 14.6
Enterolysis of acute bowel obstruction
Intestines ( Except Rectum ) Incision
6
  17.6 
Enterectomy ; resection of small intestine with anastomosis
6
 18.5
Colectomy partial with anastomosis
6
  17.5 
With end colostomy and closure of distal segment ( Hartmann type )procedure
7
 42.5
With rectal mucosectomy , ileoanal anastomosis , creation of ileal reservoir ( S or J ) , with or without loop ileostomy
6
 14.5
Ileostomy
ENTEROSTOMY-EXTERNAL FISTULIZATION OF INTESTINE
6
  11.5 
Colostomy or skin level cecostomy (independent procedure)
6
 13.5
Suture of intestine( enterorrhaphy ) , large or small for perforated ulcer , wound injury or rupture single
SUTURE
6
 10
Closure of enterostomy large or small intestine
6
 10
Appendectomy
(Appendix (Incision
6
11
For ruptured appendix with abscess or generaized peritonitis
7
28
Proctectomy complete combined abdominoperineal
Rectum / Excision
4
15
Excision of rectal pro cidentia with anastomosisperineal approach
4
17.5
Proctopexy for prolapse abdominal
REPAIR
4
 1.5
Fistulotomy subcutaneous
Anus / Incision
4
 0.8
Incision and drainage peri anal abscess superficial
4
 1.2 
Sphincterotomy anal division of anal sphincter (independent procedure)
4
4
Fissurectomy with or with out sphincterotomy
4
 5
Hemorrhoidectomy extern al complete
7
 16
Hepatotomy drainage of abscess/cyst one or more stage
Liver / Incision
7
13.5
Cholecystectomy
Biliary Tract / Excision
7
20
With open exploration of common duct
7
 30
With choledochoenter ostomy
7
  13 
Abdominal drainage for pancreatitis
Pancreas / Incision
7
35
Pancreatectomy proximal
Subtotal with pancreatico
Jejunostomy/pancreaticoduo
denostomy whipple
Pancreas / Excision
6 
10
Exploratory laparotomy
Exploratory celiotomy, Independent procedure
Abdomen , Peritoneum and Omentum / Incision
7
14
Excision of intra abdominal Or retroperitoneal tumor or cyst
Abdomen , Peritoneum and Omentum / Excision
7
 21
extensive
4
 8.5
(Repair inguinal hernia age 5 or older (unilateral
Repair – Hernioplasty Herniorraphy herniotomy
6 
 11.5
(Ventral (independent procedure
4
4
Epigastric simple properi toneal fat (independent procedure
4
  8 
Age 5 or older
7
6.2
Secondary suture of abdominal wall for evisceration or dehiscence
SUTURE

 

Urinary System

Average duration of stay

 
ANES
UNITS
Operation Type
Department
 
2-4 Days 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
7
13.5
Drainge of perirenal or Renal abscess (independent procedure)
Kidney
7
18
Nephrostomy nephrotomy with drainage
7
20
Nephrolithotomy removal of calculus
7
25
Secondary surgical operation for calculus
7
26
Large (staghorn) calculus filling renal pelvis and calyces
7
20
With removal of calculus Pyelolithotomy pelvio lithotomy
7
25
Nephrectomy including Partial ureterectomy any
Approach including rib resection
7
24
With total ureterectomy And bladder cuff Through same incision
7
18
Nephrostomy nephrotomy with drainage
7
20
Nephrolithotomy removal of calculus
7
25
Secondary surgical operation for calculus
7
26
Large staghorn calculus Filling renal pelvis and calyces
7
20
With removal of calculus Pyelolithotomy pelvio lithotomy
7
25
Nephrectomy including Partial ureterectomy and Approach including rib resection
7
24
With total ureterectomy And bladder cuff Through same incision
7
16
Excision or unroofing of cysts of kidney
4
5
Introduction of guide into renal pelvis and/or ureter
with dilation to establish nephrostomy tract percutaneous
Introduction
7
23.5
Pyeloplasty plastic operation on renal pelvis with
or without plastic opera tion on ureter nephropexy
nephrostomy or ureteral splinting
Repair
7
19.6
Ureterolithtomy upper one third of ureter
Ureter / Incision 
6
18.5
Middle one third of ureter
6
20
Lower one third of ureter
6
22.3
Ureteroneocystostomy Anastomosis of ureter to Bladder or other opera
Tions for correction of Vesicoureteral reflux unilateral
Repair
6
20
Ureterorrhaphy;suture of ureter (Independent procedure )
Suture
5
12
Cystostomy cystotomy with drainage 
 Bladder / Incision
5
12
Cystolithotomy cystotomy with removal of calculus without vesical neck resection 
3
15 
Cystotomy for simple excision
of vesical neck (independent procedure) 
 Bladder / Excision
50
Cystectomy, prostatectomy,urethrectomy and nodes male with ureteroileal conduit
Or sigmoid bladder Including bowel anastomosis
6
20 
Cystoplasty or cystoureth roplasty plastic operation on bladder and/or vesical
neck (anterior Y-plasty vesical fundus resectionetc) any procedure with or without wedge resection of posterior vesical neck 
 
Repair 
 
6
 14.5
Cystorrhaphy suture of bladder wound, injury or rupture simple
 3
4
Insertion and removal indwelling stent 
 
 Cystoscopy / urethroscopy / Cystourethroscopy
 
 
 
3
2
hospital 
 
 
With ureteral catheterization 
 
 
Cistourethroscopy with biopsy
3
3
with or without irrigation , instillation or ureteropyelography exclusive of radiologic service
 
 
With dilation of bladder
 
 
 
 
 
 
 
Transurethral
Surgery
 
 
 
 
 
 
3
3
For interstitial cystitis general or conduction (spinal etc) anesthesia
3
3
With calibration and/or Dilation of urethral stricture or stenosis with or without meatotomy or injection procedure for cystography male or female
3
2.8 
With steroid or other Injection into stricture
3
4
With urethral meatotomy unilateral or bilateral
3
10
Litholapaxy crushing or fragmentation of calculus by any means in bladder
and removal of fragments simple small (less than 2/5cm)
3
13.8 
Complicated or large (over 2/5cm)
5
With manipulation with Out removal of ureteral  Calculus (uretal catheterization is included)
 
12.5 
Rigid ureteroscopy/pyeloscopy including cystoscopy and ureteral dilation
3
16 
With stone removal
3
18
With lithotripsy (any size)
3
17.5 
Diagnostic ureteroscopy with brushing or with biopsy or with fulguration
10
Transurethral resection of vesical neck (independent procedure)
20
Transurethral resection of prostate including control of postoperative bleeding during the initial hospitalization complete (vasectomy meatotomy cystourethroscopy urethral calibration and/or dilation and internal urethrotomy are included)
3
10 
Urethroplasty first stage for fistula diverticulum or stricture (e.g.jahannsen type) 
 
Repair 
 
 
 22
Urethoplasty with tubula rization of posterior urethra and / or lower bladder for incontinence (e.g. terago leadbetter procedure)  
3
Urethromeatoplasty with mucosal advancement 
3
10.2 
Urethrorraphy suture of urethral injury female 
Suture 
3
 6
Closure of urethrostomy or urethrocutaneous fistula male (independent procedure) 

 

 
 
 

Average duration of stay

 
ANES
UNITS
Operation Type
Department
2-4 Days
 3
8.3
(Excision penile plaque (peyronie's disease
Penis / Excision
3
 3
Surgical excision other than clanp or dorsal slit except newborn
 3
1.4
Injection of corpora cavernosa with pharmacologic agent (s) (e. (g.papaverine phentolamine etc
Introduction
 3
Plastic operation on penis for straightening of chordee e.g.hypospadias) with or without mobilization of urethra)
Repair
 
12
One stage distal hypospa dias repair (with or with out chordee or circumcision)with simple meatal advancement(e.g.magpi v-flap)
 
14 
(With urethroplasty by local skin flaps (e.g.flip-flap prepucial flap
 
16
With urethroplasty by local skin flaps and mobilization of urethra
 
20.5 
With extensive dissection to correct chordee and urethroplasty with local skin flaps skin graft patch and/or island flap
 
23
One stage proximal penile or penoscrotal hypospa dias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and / or island flap
 
26.5 
One stage perineal hypospadias repair requiring extensive dissection to correct chordee and ure throplasty by use of skin graft tube and / or island flap
 
10.5
Repair of hypospadias complacation (i.e.fistula strecture diverticula) by closure incision or excision simple
 
16
Requiring mobilization of skin flaps and urethra plasty with flap or patch graft
 
20 
Requiring extensive dissect tion and urethroplasty with flat patch or tubed graft( includes urinary diversion)c
orpora cavernosa-saphe-nous
 3
 12.5
vein shunt (priapism operation) unilateral or bilatera
 3
 12.5
Corpora cavernosa-corpus spongiosum shuht (pria-psim operation)unilateral or bilateral
 3
3.1
(Incisional unilateral(independent procedure
(Testis ( Excision
 3
4
(Bilateral(independent procedure
 3
 6.3
Orchiectomy simple (including subcapsular)with or without testicular prosthesis scrotal or inguinal approach unilateral
 3
 8.1
bilateral
4
  9.5 
Orchiectomy radical for tumor inguinal approach
4
8.3
Exploration for undescended testis (inguinal or scrotal area) unilateral
 3
10
Reduction of torsion of testis by surgical means with or without fixation of contralateral testis
Repair
4
11
Orchiopexy any type with or without hernia repair unilateral
4
21
bilateral
 3
8
Excision of spermatocele with or without epididymectomy (with hernia repair see49515)
Epididymis / Excision
 3
8
Excision of hydrocele unilateral
TunicaVaginalis Incison
 
5
Scrotal exploration
Scrotum / Incision
 3
4.5
Vasectomy unilateral or bilateral (independent procedure) including postopera tive semen examinations
Vas Deferens Incision
 3
20
Vasovasostomy vasovasor rhaphy uhilateral
Repair
 3
30
bilateral
 3
8
Excision of varicocele or ligation of spermatic veins for varicocele(independent procedure)
Spermatic cord / Excision
4
9.5 
With hernia repair
 3
2
Biopsy prostate needle or punch single or multiple any approach
Prostate / Incision
 
3.4 
(Ultrasound guidance for Bx of prostate (including Bx of prostate
Diagnostic Ultrasound
7
26
Prostatectomy radical
Prostate / Excision
 
 
Suprapubic one or two stages including control of
6 
20
postoperative bleed ing during the initial hospitalization complete (vasectomy meato tomy urethral calibration and/or dilation internal urethrotomy are included)
6 
26
Retropubic radical
 6 
35
Male to female
Intersex Surgery

 

 Integumentary System

Average duration of stay

 
ANES
UNITS
Operation Type
Department
 2-3 Days
2.5
Exision of nail matrix , partial or complete ( e.g, ingrown of deformed nail) , for permanent removal
Nails
Reconstruction . nail bed simple
5
6.5 
Excision of pilonidal cyst or sinus Extensive
Miscellaneous
5
8
complicated
8
Excision and repair by free skin graft ( excisional preparation or creation of recipient site): When the defect requiring repair with a free skin graft is created by excision of essentially intact skin , scar or other lesion(  including subcutaneous tissues),identify this excisional procedure separately by using this procedure number and value at 50 percent of the listed value of the free skin graft be used for the repair in accordance with its type , size and location
Free skin Grafts
6.1
Split skin graft , trunk , scalp arms legs , hands , and feet   ( except multiple digits ) , to 100 sq . cm or each one percent of body area of infants and children
5
Intermediate " delay " of any flap. Primary " delay " small flap or sectioning of pedicle of tubed or direct flap, trunk
Skin Flaps ( skin and Deep Tissue)
5
Scalp, arms and legs
5
Forehead, cheeks, chin mouth, neck, axillae, genitalia, hands and feet
 7
Electrolysis epilation, each hour
Destruction
Mastotomy with exploration or drainage of abscess, deep
Breast  (Incision)
 3.5
Biopsy of breast incisional
5
Excision of cyst, fibro-adenoma or other benign tumor, aberrant breast tissue , duct lesion or nipple lesion , male or female , one or more lesions , unilateral
 7
Mastectomy for gyneconastia through circunareolar or other incision
Mastectomy, partial ( quadrectomy or more)
17 
With axillary lymphads nectomy
19 
Mastectomy, modified radical, including axillary lymph nodes but leaving pectoral muscles

 

Musculoskeletal system
 

Department

 
Operation Type
UNITS
ANES
Average duration of stay
Introduction or remaval
Major joint or bursa (e.g., shoulder, hip, knee joint, subacromial bursa )
0.6
3
2-4 Days
Humerus ( uper arm ) and Elbow / Excision
Excision of tumor, benign, deep, subfascial or intermuscular
 3
 3 
Pelvis and Hip Joint   ( Incision )
Incision and drainage of deep abscess or hematoma
3
Pelvis and Hip joint / Excision
Radical resection of tumor ( e.g., malignant neoplasm), soft tissue of pelvis and hip area
15 
6
Femur ( Tigh Region ) and Knee joint
Radical resection of tumor ( e.g., malignant neoplasm), soft tissue of knee or thigh area
14
4
Excision of synovial cyst of popliteal space ( e.g., Baker's cyst )
9
AMPUTATION
Leg, through tibia and fibula, any method
14.5 
Toe, metatarsophalangeal joint
  3.1   3

Department

 
Operation Type
UNITS
ANES
Average duration of stay
Vulva and Introitus ( Incision )
Incision and drainage, abscess of vulva, extensive
0.8 
 3
2-4 Days 
Incision and drainage of Bartholin's abscess, unilateral
0.8
  3
Marsupialization of Bartholin's cyst or abscess
4
 3
Vulva and Introitus (Excision (
Biopsy of vulva (independent procedure )
0.7
    3
Vulvectomy, partial, unilateral or bilateral (but less than 80% of vulvar area)
11
 
4
Hymenectomy, partial or complete excision of hymen
3.5
Hymenotomy
1.1 
3
Excision of Bartholin's tumor or cyst
 4.3 
3
REPAIR
Plastic repair of vulva
4.8
3
Vagina / Excision
Biopsy of vaginal mucosa (independent procedure)
  0.8 
3
Excision of vaginal septum
 5
3
Excision of vaginal cyst or tumor
3.8
3
Vagina/ repaire
Colpoperineorrhaphy, suture of injury of vagina and/or perineum ( non-obstetrical)
 6.5
4
Posteriror colporrhaphy, repair of rectocele (independent procedure)
8
   4
Combined anterior-posterior colporrhaphy
 12 
4
Sling operation for stress incontinence (e.g., fascia or synthetic )
14
 6
Pereyra procedure, including anterior colporrhaphy
12.5
6
Closure of rectovaginal fistula, vaginal approach
13
4
Abdominal approach
17.5 
6
With concomitant colostomy
  19.5 
6
Closure of urethrovaginal fistula
  14.5 
Closure of vesicovaginal fistula, vaginal approach
  14.5
Vagina /manipulation
Dilation of vagina under anesthesia
2
3
Corpus Uteri ( Excision )
Excision / of pelvic floor with repair of pelvic floor
15 
6
Dilation and curettage, diagnostic and/or therapeutic (non-obstetrical)
4
3
Myomectomy, single or multiple, excision of fibroid tumor of uterus, abdominal approach (independent procedure)
12 
6
Vaginal approach
9
Total hysterectomy(corpus and cervix), with or with out tubes, and /or ovaries, one or both
17
Cervical malignancy, with bilateral pelvic lymphade nectomy, including external iliac, hypogastric and obturator nodes ( Wertheim type operation)
35
Vaginal hysterectomy
18.5 
6
With plastic repair of vagina, anterior and/or posterior colporrhaphy
21 
INTRODUCTION
Removal of IUD
0.5 
3
REPAIR
Hysterorrhaphy, repair of ruptured uterus ( non-obstertrical )
 11
Oviduct ( Incision )
Transection of fallopian tube, unilateral or bilateral, abdominal or vaginal approach
10
  6
Salpingectomy, complete or partial, unilateral or bilateral (independent procedure)
10.4 
Salpingo-oophorectomy, complete or partial, bilateral or unilateral (independent procedure)
11.4 
6
Ovary ( Excision )
Ovarian cystectomy (unilateral or bilateral)
 10 
Oophorectomy, unilateral or bilateral, partial or total (independent procedure)
10
6
Resection of ovarian malignancy with bilateral salpingo-oophorectomy and omentectomy
 16 
6
With total abdominal hysterectomy, pelvic and limited para-aortic lymphadenectomy
18
6
ENDOSCOPY-LAPAROSCOPY
For visualization of pelvic viscera
 7.5
6
With fulguration of ovarian or peritoneal lesions
       8.5
   6
With lysis of adhesions
 8.5 
6
Hysteroscopy
    4   6

 

Maternity Care and Delivery
 Endocrin System
 
Respiratory system
 

Department

 
Operation Type
UNITS
ANES
Average duration of stay
Trachea and Bronchi ( Incision )
Tracheostomy ( independent procedure )
5.2 
6
2-4 Days 
 
Lungs and Pleura ( Incision )
 
 
Tube thoracostomy with water seal ( independent procedure )
1.5
6
Thoracotomy, major, with exploration and biopsy
 11.5
13
And cyst(s) removal, with or without pleural procedure
16
13 
Decortication ( pulmonary), independent procedure, total
20
15
Lungs and Pleura ( Excision )
 
Pneumonectomy, total
30
13 
Lobectomy, total or segmental
27
  13

 

 
Female Genital System
 
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