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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 | 3 | 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 | 8 | 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) | 3 | 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 | 3 | 10 | Transurethral resection of vesical neck (independent procedure) | 5 | 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 | 4 | 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 | 8 | 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 | 3 | 2.5 | Exision of nail matrix , partial or complete ( e.g, ingrown of deformed nail) , for permanent removal | Nails | 3 | 3 | Reconstruction . nail bed simple | 5 | 6.5 | Excision of pilonidal cyst or sinus Extensive | Miscellaneous | 5 | 8 | complicated | 3 | 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 | 3 | 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 | 3 | 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) | 3 | 5 | Scalp, arms and legs | 3 | 5 | Forehead, cheeks, chin mouth, neck, axillae, genitalia, hands and feet | 3 | 7 | Electrolysis epilation, each hour | Destruction | 3 | 3 | Mastotomy with exploration or drainage of abscess, deep | Breast (Incision) | 3 | 3.5 | Biopsy of breast incisional | 3 | 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 | 3 | 7 | Mastectomy for gyneconastia through circunareolar or other incision | 3 | 6 | Mastectomy, partial ( quadrectomy or more) | 3 | 17 | With axillary lymphads nectomy | 5 | 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 | 4 | 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 | 5 | AMPUTATION | Leg, through tibia and fibula, any method | 14.5 | 3 | 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 | 3 | 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 | 4 | Closure of vesicovaginal fistula, vaginal approach | 14.5 | 4 | 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 | 6 | Total hysterectomy(corpus and cervix), with or with out tubes, and /or ovaries, one or both | 17 | 6 | Cervical malignancy, with bilateral pelvic lymphade nectomy, including external iliac, hypogastric and obturator nodes ( Wertheim type operation) | 35 | 8 | Vaginal hysterectomy | 18.5 | 6 | With plastic repair of vagina, anterior and/or posterior colporrhaphy | 21 | 6 | INTRODUCTION | Removal of IUD | 0.5 | 3 | REPAIR | Hysterorrhaphy, repair of ruptured uterus ( non-obstertrical ) | 11 | 6 | 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 | 6 | Salpingo-oophorectomy, complete or partial, bilateral or unilateral (independent procedure) | 11.4 | 6 | Ovary ( Excision ) | Ovarian cystectomy (unilateral or bilateral) | 10 | 6 | 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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