Catalogo CPT Peas Rm689-06 Sis-Siasis y CDT

CATLOGO DE SERVICIOS MDICOS Y ESTOMATOLG
Cdigo por N
N
Grupo
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

Seccin
1.1 Seccin Anestesiologa
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84


85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129


130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174


175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219


220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
270
271
272


273
274
275
276
277
278
279
280
281
282
283
262
263
264
265
266
267
268
366
354
357
359
355
352
361
363
364
365
353
358
356
351
360
367
362
384
385
372
297
296
298
374
375
377
376


1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
378
379
380
373
293
294
292
295
285
286
287
288
332
333
340
342
338
339
343
344
345
336
346
337
341
347
348
349
350
381
382
383
370
368
369
371
290
289
291
284
334
335
299
322
323

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
300
324
325
326
301
306
307
308
312
327
317
321
311
314
328
309
318
316
329
305
330
302
303
313
319
320
315
310
331
304
871
872
861
852
854
873
856
851
874
875
853
876
877
878
879

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
857
862
858
860
859
870
869
868
866
867
880
863
864
865
855
881
882
883
884
498
500
492
507
508
490
493
509
510
504
494
499
511
512
513
514
515
516
517
518
519
520
521
522
523
524

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
482
543
484
544
545
486
546
487
483
501
547
548
549
495
550
502
491
551
552
503
505
506
488
496
553
554
555

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
497
556
557
558
559
560
489
561
485
766
767
756
757
759
763
768
764
760
761
765
769
754
758
770
755
762
786
787
735
733
737
742
734
743
740
732
741
739
744
745
746
747
736
748
738

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
749
750
751
730
752
731
753
886
885
916
900
901
912
899
906
893
897
907
898
909
913
914
917
918
902
919
892
889
894
920
895
891
890
896
915
910
921
922
887
923
924
925
926
927
888

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
928
903
929
930
931
904
932
933
911
908
905
971
972
938
973
946
967
936
947
948
960
956
963
968
964
974
935
943
957
949
939
961
962
944
945
940
969
970
965
975
942
937
976
977
958

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
941
959
950
934
951
978
952
979
980
953
981
954
966
955
982
388
392
430
431
394
401
426
390
432
395
433
386
421
396
407
434
423
427
397
409
404
387
435
391
410
393
403
405
422
411

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
402
428
412
436
425
408
389
437
398
399
438
439
413
414
415
400
416
440
441
442
417
443
444
445
418
446
447
448
449
419
420
450
424
429
406
1040
983
984
1001
1002
1007
994
1023
1024
1039

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
995
1008
1025
1041
1042
1026
1018
1031
1027
1003
996
997
1043
1044
998
1045
1046
1047
1004
1019
1005
1020
1038
1037
1048
1049
1035
1050
988
1051
1009
1052
1010
1011
1032
989
1012
999
1017
1053
1054
1055
990
1036
1033

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1000
991
1006
992
993
1034
1021
1056
1014
986
1057
1058
1059
1060
1015
987
985
1061
1016
1062
1063
1028
1064
1065
1066
1067
1029
1030
1022
1013
1112
1074
1079
1080
1081
1070
1087
1104
1093
1096
1082
1088
1097
1098
1072

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1073
1113
1114
1077
1115
1108
1109
1110
1116
1084
1099
1103
1106
1100
1101
1086
1089
1085
1075
1117
1069
1068
1078
1095
1083
1105
1118
1107
1119
1076
1094
1120
1121
1122
1123
1124
1071
1090
1092
1111
1102
1091
835
792
790

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
817
807
808
809
832
798
814
788
828
833
812
800
799
801
810
818
827
819
820
802
793
794
803
816
813
804
834
829
830
815
824
826
836
805
797
837
838
839
795
840
841
842
821
789
796

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
843
825
806
844
822
845
846
847
848
849
850
791
831
811
823
1131
1128
1132
1163
1136
1160
1142
1164
1141
1140
1153
1161
1125
1126
1130
1165
1143
1144
1137
1154
1127
1162
1129
1158
1152
1166
1133
1138
1167
1168

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1169
1139
1155
1170
1171
1172
1145
1173
1146
1174
1147
1175
1176
1177
1178
1156
1179
1148
1180
1181
1134
1159
1149
1150
1151
1157
1135
1182
1236
1193
1188
1194
1199
1219
1200
1195
1234
1237
1191
1201
1202
1238
1213
1217
1228

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1214
1239
1212
1220
1189
1240
1196
1233
1183
1192
1215
1197
1231
1203
1241
1204
1242
1243
1205
1186
1218
1229
1230
1232
1206
1221
1187
1207
1208
1209
1244
1210
1184
1245
1246
1247
1211
1248
1249
1250
1251
1252
1253
1222
1254

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1190
1185
1255
1256
1257
1223
1235
1224
1225
1226
1227
1258
1216
1259
1198
467
455
464
458
468
465
460
459
456
457
454
453
451
466
461
469
463
470
471
462
472
452
473
474
475
476
771
772
773
774

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
775
776
777
778
779
780
781
782
783
784
785
1282
1283
1287
1291
1296
1292
1294
1302
1304
1280
1305
1281
1290
1297
1299
1303
1300
1301
1289
1298
1295
1306
1293
1284
1285
1286
1307
1308
1288
1362
1365
1364
1367
1368

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1363
1366
1369
1370
1361
1371
1372
1373
1374
1263
1271
1273
1267
1272
1268
1274
1266
1264
1261
1275
1260
1262
1269
1276
1277
1278
1270
1265
1279
1378
1387
1376
1388
1389
1377
1375
1390
1379
1391
1392
1393
1394
1395
1396
1383

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1385
1384
1386
1381
1382
1380
1309
1334
1312
1335
1311
1318
1336
1323
1337
1331
1325
1326
1332
1310
1314
1319
1324
1333
1338
1327
1329
1339
1320
1316
1330
1340
1341
1342
1343
1344
1345
1346
1347
1348
1349
1350
1351
1317
1321

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1328
1352
1353
1354
1355
1356
1315
1322
1357
1313
1358
1359
1360
1501
1504
1506
1505
1507
1514
1521
1519
1503
1554
1502
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
1520
1570
1571
1572
1513
1547

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1509
1534
1551
1535
1536
1537
1548
1549
1545
1550
1546
1510
1522
1523
1538
1524
1525
1539
1540
1508
1526
1527
1573
1528
1529
1516
1533
1517
1544
1574
1575
1576
1577
1578
1552
1553
1515
1541
1518
1579
1512
1530
1531
1542
1543

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1580
1581
1582
1583
1584
1585
1532
1586
1587
1588
1589
1590
1591
1592
1593
1511
1408
1419
1414
1420
1421
1440
1448
1437
1449
1450
1430
1425
1439
1436
1431
1422
1451
1411
1432
1433
1434
1452
1453
1435
1441
1454
1455
1426
1416

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1417
1418
1456
1443
1447
1444
1445
1446
1457
1458
1459
1460
1461
1462
1463
1442
1423
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1399
1477
1405
1402
1407
1478
1403
1404
1400
1406
1479
1480
1397
1398
1401

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1481
1482
1483
1409
1484
1427
1410
1485
1428
1486
1487
1429
1438
1488
1489
1490
1415
1491
1492
1493
1494
1424
1495
1496
1412
1497
1413
1498
1499
1500
1598
1597
1595
1596
1594
1599
1600
1628
1629
1601
1603
1606
1615
1602
1616

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1617
1607
1604
1618
1619
1620
1621
1622
1623
1624
1625
1626
1605
1608
1609
1610
1611
1612
1613
1614
1627
1640
1641
1639
1638
1630
1632
1634
1633
1631
1635
1636
1637
1967
1969
1972
1973
1968
1974
1970
1971
2107
2111
2105
2106

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2112
2108
2109
2110
2113
1982
1983
1984
1976
1985
1975
1986
1987
1977
1988
1978
1989
1990
1979
1980
1981
1991
1992
1993
1994
1831
1833
1834
1835
1827
1830
1828
1829
1832
1836
1837
1838
1996
1995
1997
2000
1998
2004
1999
2001

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2005
2006
2002
2007
2003
2008
2009
1871
1877
1875
1872
1878
1876
1882
1885
1884
1883
1879
1881
1886
1880
1874
1873
1854
1853
1855
1852
1859
1857
1864
1858
1865
1856
1866
1861
1860
1867
1868
1869
1863
1862
1870
1749
1750
1762

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1770
1771
1768
1769
1766
1772
1773
1774
1757
1775
1776
1747
1777
1748
1751
1778
1779
1780
1781
1754
1763
1782
1758
1759
1753
1783
1760
1761
1784
1767
1785
1756
1764
1765
1752
1786
1755
1745
1787
1746
1788
1796
1802
1791
1790

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1810
1809
1807
1808
1805
1806
1811
1812
1813
1814
1815
1816
1817
1818
1789
1819
1799
1800
1803
1793
1795
1794
1801
1804
1820
1821
1822
1792
1823
1797
1798
1824
1825
1826
1911
1912
1927
1913
1919
1909
1925
1920
1914
1931
1915

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1923
1932
1933
1934
1924
1926
1929
1930
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1922
1906
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1907
1910
1921
1908
1916
1959
1917
1960
1918
1928
1961

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1962
1963
1964
1965
1966
1742
1743
1744
1732
1733
1730
1734
1735
1731
1736
1737
1738
1739
1740
1741
2041
2053
2054
2034
2055
2050
2056
2047
2057
2052
2058
2044
2042
2059
2035
2060
2061
2062
2038
2036
2039
2037
2043
2063
2048

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2064
2065
2051
2046
2066
2045
2049
2067
2040
1714
1715
1697
1716
1703
1696
1707
1701
1702
1708
1717
1718
1719
1720
1709
1721
1705
1722
1698
1711
1723
1724
1725
1726
1713
1727
1712
1710
1704
1699
1706
1700
1728
1729
1887
1890

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1895
1889
1896
1888
1894
1897
1898
1899
1900
1901
1902
1891
1903
1904
1893
1892
1905
2071
2073
2072
2068
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2069
2094
2070
2095
2096
2097
2074
2075
2077
2078

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2079
2076
2098
2099
2100
2101
2102
2103
2104
2010
2013
2016
2014
2011
2017
2026
2023
2020
2024
2025
2027
2022
2019
2015
2028
2018
2029
2030
2031
2012
2021
2032
2033
1666
1650
1667
1654
1655
1668
1662
1643
1669
1670
1665
1671

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1642
1652
1663
1664
1648
1645
1646
1672
1673
1674
1675
1676
1677
1678
1679
1680
1681
1682
1683
1684
1685
1651
1659
1686
1658
1656
1687
1644
1649
1647
1653
1657
1660
1688
1689
1690
1691
1692
1693
1694
1695
1661
2135
2125
2116

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2120
2121
2126
2136
2122
2127
2137
2138
2114
2119
2133
2134
2131
2128
2139
2140
2141
2118
2142
2143
2144
2145
2123
2124
2129
2132
2130
2146
2147
2148
2149
2150
2151
2152
2153
2115
2117
2156
2173
2157
2160
2166
2158
2159
2165

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2161
2169
2170
2171
2168
2172
2167
2174
2162
2163
2164
2155
2175
2176
2177
2154
2196
2220
2203
2204
2221
2205
2206
2208
2211
2217
2218
2219
2201
2222
2200
2199
2212
2213
2214
2207
2209
2210
2215
2216
2202
2223
2224
2225
2226

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2227
2228
2229
2197
2230
2231
2232
2233
2234
2235
2236
2237
2238
2239
2198
2195
2182
2181
2186
2194
2180
2187
2189
2190
2184
2191
2192
2183
2185
2188
2193
2179
2178
2265
2255
2256
2259
2261
2262
2263
2257
2258
2266
2267
2260

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2268
2269
2270
2264
2271
2272
2254
2283
2284
2285
2286
2287
2291
2289
2290
2292
2293
2294
2288
2295
2296
2297
2244
2243
2246
2245
2247
2248
2249
2298
2299
2300
2250
2251
2252
2253
2301
2304
2303
2302
2241
2240
2242
2305
2306

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2273
2274
2276
2279
2277
2278
2280
2275
2281
2282
2407
2410
2408
2409
2413
2414
2406
2412
2411
2415
2416
2417
2391
2381
2400
2384
2382
2397
2399
2398
2392
2401
2393
2402
2389
2390
2386
2394
2388
2403
2387
2404
2405
2396
2395

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2385
2383
2380
2307
2309
2308
2311
2313
2315
2314
2312
2310
2317
2318
2320
2321
2333
2327
2325
2330
2332
2331
2323
2326
2328
2329
2316
2319
2322
2334
2324
2335
2336
2337
2338
2339
2340
2341
2342
2364
2371
2372
2363
2373
2374

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2375
2376
2377
2378
2365
2366
2367
2370
2379
2369
2368
2353
2357
2358
2359
2352
2354
2355
2356
2348
2349
2350
2351
2360
2361
2362
2344
2345
2346
2347
2451
2452
2450
2436
2438
2440
2439
2435
2434
2437
2441
2443
2445
2444
2446

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2442
2447
2448
2449
2429
2430
2432
2433
2431
2419
2420
2421
2422
2423
2424
2425
2426
2427
2428
2418
2455
2453
2454
2456
2457
2459
2460
2461
2462
2458
2463
2468
2465
2466
2464
2467
2469
2539
2537
2592
2538
2593
2594
2595
2596

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2540
2543
2544
2545
2541
2546
2547
2548
2597
2598
2599
2600
2601
2602
2557
2558
2559
2560
2566
2603
2604
2605
2606
2567
2576
2585
2577
2568
2582
2586
2607
2608
2572
2587
2578
2583
2575
2561
2574
2569
2573
2588
2609
2610
2611

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2612
2613
2614
2615
2616
2617
2618
2619
2620
2621
2581
2622
2623
2624
2625
2554
2579
2590
2584
2591
2580
2589
2542
2626
2627
2628
2629
2630
2549
2562
2631
2632
2633
2634
2635
2550
2563
2570
2564
2636
2637
2638
2639
2565
2555

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2556
2640
2571
2641
2551
2552
2553
2642
2479
2504
2505
2506
2483
2507
2482
2508
2509
2488
2510
2511
2485
2512
2486
2513
2489
2514
2493
2515
2516
2517
2501
2518
2500
2503
2502
2494
2495
2519
2490
2520
2491
2521
2522
2523
2499

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2496
2524
2525
2526
2527
2528
2480
2484
2487
2529
2530
2497
2531
2532
2498
2492
2481
2533
2534
2643
2655
2656
2644
2657
2645
2658
2659
2660
2661
2662
2663
2646
2664
2665
2666
2667
2668
2669
2670
2671
2672
2647
2673
2674
2650

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2648
2649
2675
2676
2677
2678
2679
2654
2651
2652
2680
2653
2681
2682
2683
2684
2685
2470
2471
2472
2473
2474
2475
2476
2477
2478
2786
2789
2787
2790
2791
2788
2792
2793
2773
2774
2775
2776
2777
2778
2772
2779
2782
2783
2784

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2780
2781
2785
2794
2797
2798
2795
2799
2800
2801
2796
2804
2802
2803
2805
2868
2870
2871
2869
2872
2864
2865
2866
2867
2857
2858
2859
2860
2861
2856
2862
2863
2806
2811
2812
2813
2810
2808
2809
2807
2814
2815
2816
2817
2818

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2819
2820
2821
2822
2839
2841
2842
2840
2843
2844
2845
2846
2852
2853
2847
2848
2849
2850
2851
2854
2855
2930
2931
2932
2933
2928
2934
2929
2823
2824
2825
2830
2832
2833
2834
2835
2836
2831
2837
2838
2828
2829
2826
2827
2882

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2883
2880
2884
2885
2879
2881
2886
2887
2888
2895
2896
2897
2898
2899
2900
2901
2894
2889
2892
2890
2893
2891
2877
2878
2873
2874
2875
2876
2687
2688
2689
2690
2691
2692
2693
2694
2695
2696
2697
2698
2686
2927
2708
2700
2701

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2702
2703
2699
2704
2705
2706
2707
2709
2710
2713
2714
2711
2715
2712
2725
2727
2726
2717
2719
2720
2716
2721
2722
2723
2718
2724
2756
2757
2758
2739
2738
2740
2741
2742
2743
2744
2745
2746
2747
2748
2749
2750
2751
2752
2753

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2754
2755
2729
2731
2728
2732
2733
2734
2730
2735
2736
2737
2771
2766
2767
2768
2769
2770
2926
2759
2760
2761
2762
2763
2764
2765
2910
2911
2912
2903
2906
2902
2907
2908
2904
2905
2909
2913
2916
2914
2915
2917
2918
2919
2920

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2922
2921
2923
2924
2925
2940
2950
2939
2943
2944
2951
2945
2949
2941
2952
2942
2946
2947
2948
2959
2960
2961
2962
2963
2964
2972
2981
2982
2977
2965
2966
2983
2967
2973
2978
2980
2968
2969
2970
2971
2974
2979
2984
2975
2976

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
2953
2955
2954
2958
2956
2957
2936
2937
2938
2935
3050
3051
3038
3052
3040
3053
3030
3031
3054
3032
3041
3033
3034
3055
3039
3035
3036
3056
3028
3057
3029
3037
3058
3042
3059
3060
3061
3062
3063
3064
3043
3065
3044
3066
3045

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.3 Seccin Radiologa (incluye M
3067
3046
3068
3047
3069
3048
3070
3071
3049
3072
3073
3074
3075
3076
3077
3078
3079
3080
3242
3243
3249
3250
3251
3252
3253
3254
3255
3246
3256
3244
3257
3258
3259
3245
3260
3247
3261
3248
3262
3263
3081
3082
3084
3089
3091


3097
3085
3098
3092
3086
3099
3087
3093
3100
3101
3094
3102
3103
3104
3105
3106
3096
3107
3108
3109
3110
3111
3112
3113
3083
3090
3095
3114
3115
3116
3117
3088
3118
3119
3120
3156
3157
3170
3159
3165
3171
3160
3161
3172
3166


3162
3173
3163
3174
3167
3164
3175
3158
3168
3176
3177
3178
3169
3179
3180
3181
3139
3140
3126
3133
3141
3142
3134
3127
3128
3143
3144
3145
3135
3129
3146
3132
3147
3136
3130
3131
3148
3149
3137
3150
3151
3152
3138
3153
3154


3155
2985
2990
2986
2991
2988
2992
2993
2989
2994
2995
2987
3274
3267
3275
3276
3277
3278
3279
3269
3280
3271
3272
3281
3282
3283
3273
3284
3264
3285
3268
3265
3266
3270
3286
3287
3288
3289
3290
3291
3292
3293
3294
3299
3300


3302
3298
3301
3296
3303
3297
3304
3305
3306
3295
3182
3183
3121
3122
3123
3124
3125
2996
3003
2997
3004
3005
3002
2998
3006
3007
3008
3009
3010
3011
3012
2999
3000
3013
3014
3015
3001
3016
3017
3018
3019
3020
3021
3022
3023


3024
3307
3314
3315
3316
3317
3308
3309
3318
3310
3311
3312
3319
3320
3321
3322
3323
3324
3325
3313
3326
3327
3328
3329
3223
3224
3225
3226
3227
3228
3229
3230
3231
3232
3233
3234
3235
3236
3237
3238
3239
3240
3241
3191
3192


3193
3194
3195
3196
3197
3198
3184
3185
3199
3200
3201
3202
3187
3203
3204
3186
3205
3206
3207
3208
3188
3189
3209
3190
3210
3211
3212
3213
3214
3215
3216
3217
3218
3219
3220
3221
3222
3336
3338
3335
3339
3340
3341
3342
3343


3337
3378
3379
3380
3330
3333
3331
3332
3334
3344
3357
3358
3354
3359
3360
3361
3362
3363
3364
3355
3365
3356
3366
3350
3351
3349
3347
3348
3345
3346
3367
3368
3369
3370
3371
3372
3373
3374
3375
3376
3377
3352
3353
3381
3382


3383
3384
3385
3386
3387
3388
3389
3390
3391
3392
3393
3394
3412
3395
3396
3397
3407
3408
3409
3410
3411
3398
3400
3402
3401
3403
3404
3405
3406
3399
3452
3457
3458
3459
3453
3460
3461
3462
3463
3464
3465
3466
3454
3455
3456


3467
3468
3506
3508
3507
3509
3510
3511
3512
3470
3481
3480
3482
3471
3472
3473
3474
3483
3475
3476
3477
3478
3484
3485
3413
3479
3486
3487
3488
3513
3517
3518
3514
3515
3516
3519
3520
3521
3522
3523
3524
3525
3526
3527
3528


3427
3428
3429
3430
3431
3432
3433
3434
3435
3436
3437
3438
3439
3440
3441
3442
3443
3444
3445
3446
3447
3448
3449
3450
3451
3543
3544
3545
3546
3542
3530
3531
3532
3533
3534
3535
3536
3537
3538
3539
3540
3541
3529
3489
3490


3497
3498
3499
3500
3491
3492
3493
3494
3501
3495
3502
3503
3504
3505
3496
3414
3415
3416
3417
3418
3419
3420
3421
3422
3423
3424
3425
3426
3547
3548
3549
3550
3551
3552
3553
3562
3555
3554
3557
3564
3563
3566
3565
3556
3558


1.4 Seccin Patologa y Laborator
3559
3560
3561
3589
3572
3591
3568
3573
3567
3574
3596
3594
3575
3576
3595
3577
3578
3579
3586
3580
3570
3571
3581
3569
3592
3582
3588
3587
3583
3597
3590
3584
3593
3585
3598
3599
3600
3601
3602
3603
3604
3605
3606
3607
3608


3609
3610
3611
3612
3613
3614
3615
3616
3617
3618
3619
3620
3621
3622
3623
3624
3625
3630
3626
3627
3628
3631
3629
3648
3838
3649
3650
3651
3875
3865
3652
3773
3774
3835
3653
3654
3655
3831
3643
3656
3836
3881
3657
3658
3872


3828
3659
3861
3797
3639
3640
3660
3661
3662
3867
3663
3779
3664
3775
3665
3666
3801
3817
3800
3873
3667
3641
3770
3830
3668
3669
3670
3840
3671
3789
3783
3818
3672
3673
3674
3675
3676
3677
3678
3679
3680
3856
3868
3780
3805


3823
3781
3681
3682
3683
3887
3684
3685
3686
3687
3688
3842
3880
3837
3689
3878
3690
3802
3691
3692
3853
3693
3694
3863
3792
3812
3695
3841
3874
3696
3776
3849
3634
3697
3698
3699
3644
3869
3700
3782
3701
3702
3866
3846
3819


3814
3888
3636
3632
3703
3825
3704
3859
3635
3843
3705
3824
3706
3847
3707
3708
3852
3709
3710
3829
3832
3870
3711
3712
3834
3647
3885
3713
3714
3833
3646
3876
3715
3795
3848
3716
3860
3717
3827
3864
3808
3809
3816
3806
3718


3719
3720
3721
3722
3637
3723
3724
3854
3793
3794
3638
3772
3725
3726
3786
3803
3850
3796
3727
3813
3784
3799
3798
3820
3728
3822
3729
3821
3730
3826
3785
3731
3851
3732
3733
3882
3879
3734
3735
3777
3862
3736
3737
3738
3839


3739
3889
3740
3741
3742
3743
3815
3807
3645
3744
3745
3883
3877
3746
3871
3857
3858
3747
3642
3748
3749
3810
3811
3886
3790
3750
3855
3751
3752
3753
3754
3778
3755
3771
3756
3791
3804
3788
3787
3757
3758
3633
3759
3760
3761


3762
3763
3884
3764
3765
3844
3845
3766
3967
3891
3892
3957
3962
3893
3960
3894
3895
3968
3896
3958
3966
3961
3977
3978
3969
3897
3898
3899
3900
3901
3972
3902
3903
3904
3905
3906
3907
3908
3909
3910
3911
3912
3965
3913
3914


3915
3916
3917
3973
3918
3919
3920
3921
3922
3971
3923
3924
3925
3926
3927
3928
3929
3930
3931
3932
3933
3934
3890
3935
3976
3970
3936
3937
3963
3938
3975
3939
3940
3941
3959
3942
3943
3964
3944
3945
3974
3946
3947
4129
3996


3997
3998
3999
4000
4001
4149
4002
4132
4003
4140
4004
4005
3988
4006
4007
4126
3985
4008
4150
4009
4010
4011
3991
4151
3989
4012
4013
4014
4015
4016
4017
4018
4019
4020
4021
3993
4022
4023
3995
3982
3983
4024
4025
4146
4026


4027
4147
4028
4029
4030
4031
4032
4152
3992
4033
4034
4035
4036
4037
4038
4039
4138
4040
4041
4042
4043
4128
4044
4045
4127
4046
4125
4047
4048
4143
4133
4049
4050
4051
4052
4053
4054
4134
4055
4139
4142
4056
4057
4058
4059


4148
4159
4060
4061
4062
4063
4064
4144
4065
3979
3980
4066
4067
4068
4069
4070
4071
4072
4131
4073
3994
4074
4075
3981
4076
4135
4154
4155
4077
4156
3986
4158
4141
3987
4157
4145
4078
4079
4080
4081
4082
4083
4084
4085
4136


4086
4087
4088
4089
4090
4091
4092
4093
4153
4130
4094
4095
4096
4160
4097
3984
4098
4137
4099
4100
4101
3990
4102
4115
4116
4117
4118
4103
4104
4105
4119
4120
4106
4121
4122
4123
4124
4107
4108
4109
4162
4163
4183
4182
4184


4161
4186
4164
4165
4187
4166
4167
4190
4188
4189
4185
4191
4168
4169
4170
4171
4172
4173
4174
4175
4176
4177
4178
4179
4180
4181
3948
3949
3950
3951
3952
3953
3954
3955
3956
4196
4197
4198
4193
4194
4199
4195
4200
4201
4202


4203
4204
4205
4206
4192
4207
4208
4209
4210
4292
4211
4212
4213
4285
4301
4214
4215
4216
4217
4218
4219
4220
4298
4297
4221
4222
4223
4224
4225
4289
4226
4227
4293
4228
4229
4230
4231
4232
4233
4234
4235
4288
4236
4286
4237


4287
4238
4239
4240
4241
4242
4243
4244
4245
4246
4247
4248
4249
4299
4250
4300
4251
4296
4252
4253
4254
4255
4256
4257
4290
4258
4259
4260
4261
4262
4263
4264
4265
4266
4267
4268
4294
4302
4295
4269
4270
4271
4272
4273
4274


4275
4276
4291
4277
4278
4279
4280
4281
4282
4283
4284
4303
4304
4305
4306
4307
4308
4311
4312
4313
4309
4314
4315
4316
4317
4318
4319
4320
4310
4321
4322
4323
4324
4325
4326
4338
4339
4340
4341
4342
4343
4344
4345
4346
4347


4348
4349
4353
4355
4356
4354
4357
4358
4359
4360
4361
4362
4363
4364
4365
4366
4367
4368
4327
4328
4369
4370
4371
4376
4377
4378
4379
4380
4381
4382
4383
4384
4385
4386
4387
4388
4389
4404
4390
4391
4392
4393
4394
4395
4396


1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4397
4398
4399
4400
4401
4402
4403
4405
4406
4408
4407
4428
4429
4430
4409
4410
4411
4412
4413
4414
4415
4416
4417
4418
4419
4420
4421
4422
4423
4424
4425
4426
4427
4431
4434
4435
4433
4437
4432
4436
4495
4498
4497
4496
4439

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4499
4438
4500
4494
4501
4440
4441
4442
4443
4444
4445
4446
4447
4448
4449
4450
4451
4452
4453
4454
4455
4456
4457
4458
4459
4460
4461
4462
4463
4464
4465
4466
4467
4468
4469
4470
4471
4472
4473
4474
4475
4476
4477
4478
4479

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4480
4481
4482
4483
4484
4485
4486
4487
4488
4489
4490
4491
4492
4493
4506
4514
4507
4515
4505
4511
4508
4516
4517
4503
4513
4504
4509
4510
4512
4518
4519
4520
4521
4522
4523
4524
4525
4526
4527
4528
4502
4529
4584
4530
4531

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4585
4532
4533
4534
4535
4572
4573
4574
4575
4576
4577
4578
4579
4580
4581
4582
4583
4540
4541
4542
4543
4544
4536
4545
4546
4547
4548
4549
4550
4537
4551
4552
4553
4554
4555
4556
4557
4558
4559
4560
4561
4538
4539
4562
4563

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4564
4565
4566
4567
4568
4569
4570
4571
4630
4629
4634
4635
4636
4637
4638
4639
4640
4631
4632
4633
4641
4642
4586
4587
4588
4589
4608
4610
4609
4592
4591
4594
4595
4596
4597
4598
4593
4599
4600
4601
4602
4603
4604
4605
4590

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4606
4607
4619
4620
4621
4622
4623
4624
4625
4626
4627
4628
4612
4613
4614
4615
4616
4617
4618
4611
4644
4645
4646
4647
4648
4649
4650
4651
4653
4652
4654
4674
4655
4656
4657
4658
4659
4660
4661
4662
4672
4673
4675
4663
4664

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4671
4665
4666
4667
4668
4669
4670
4679
4676
4678
4677
4680
4720
4721
4681
4682
4683
4684
4705
4706
4707
4708
4709
4686
4687
4688
4689
4724
4690
4691
4685
4692
4693
4719
4700
4701
4702
4703
4704
4725
4710
4711
4712
4713
4714

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4715
4716
4717
4718
4722
4723
4643
4726
4727
4728
4729
4730
4731
4732
4733
4734
4735
4736
4737
4738
4739
4740
4741
4742
4744
4745
4746
4747
4748
4749
4750
4751
4752
4753
4754
4792
4755
4756
4757
4758
4759
4760
4761
4762
4763

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
4764
4765
4766
4791
4767
4768
4769
4770
4771
4772
4773
4774
4775
4776
4777
4778
4779
4780
4781
4782
4790
4783
4784
4794
4796
4797
4813
4798
4799
4800
4801
4802
4803
4804
4805
4806
4807
4808
4809
4795
4810
4811
4812
4816
4817

1.5 Seccin Medicina

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.6 Seccin Evaluacin y Manejo
4818
4819
4820
4821
4822
4829
4839
4832
4833
4834
4835
4836
4830
4831
4823
4824
4825
4826
4827
4828
4837
4838
4840
4841
4848
4849
4850
4851
4842
4843
4844
4845
4846
4847
4852
4853
4854
4855
4856
4857
4858
4859
4860
4861
4862


4863
4864
4793
4785
4786
4787
4788
4789
2343
2535
2536
3469
3767
3768
3769
4110
4111
4112
4113
4114
4329
4330
4331
4332
4333
4334
4335
4336
4337
4350
4351
4352
4372
4694
4695
4696
4697
4698
4699
4743
4865
4866
4867
4868
4869

2 SERVICIOS DE SALUD COLECTIVA

1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
1.5 Seccin Medicina
2.1 Seccin de Servicios de Salud Colectiva
4870
4871
4872
4873
4874
4875
4876
4877
4878
4879
4880
4881
4882
4883
4884
4885
4886
4887
4888
4889
4890
4891
4892
4893
4894
4895
4896
4897
4898
4899
4900
4901
4902
4903
4904
4905
4906
4907
4908
4909
4910
4911
4912
4913
4914


2.2 Seccin Promocin de la salu
2.3 Seccin Alimentacin y Nutricin saludab
2.4 Seccin Enfermedades Zoonticas
4915
4916
4917
4918
4919
4920
4921
4922
4923
4924
4925
4926
4927
4928
4929
4930
4931
4814
4815
3025
3026
3027
4373
4374
4375
4932
4933
4934
4935
4936
4937
4938
4939
4940
4941
4942
4943
4944
4945
562
563
564
565
566
567


2.5 Seccin Enfermedades Metaxnicas y otr
2.6 Seccin Vigilancia en Salud Ambiental
2.7 Seccin Salud Bucal
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
568
569
570
571
572
573
574
575
576
577
578
579
477
478
479
480
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
609
610
611
612
613
614
615
616
481
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
1839
645
646
647
648
649
650
651

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
269
1840
652
653
654
1841
655
656
657
658
659
660
661
662
663
1842
664
1843
1844
1845
1846
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
1847
1848
681
682
683
684
685
686


1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
687
688
689
690
691
692
1849
693
694
695
696
697
1850
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
1851
713
714
715
716
717
718
719
720
721
722
723
724
725
726
727
728

1.2 Seccin Ciruga

1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
1.2 Seccin Ciruga
729
X
1.2 Seccin Ciruga
OS Y ESTOMATOLGICOS Y URV - MINSA - 2006 RM 689-2006/MINSA

Cdigo por Niveles
Sub Seccin
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.2
1.1.2
1.1.2
1.1.2
1.1.2
1.1.2
1.1.3
1.1.3
1.1.3
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cabeza
Subseccin Cuello
Subseccin Cuello
Subseccin Cuello
Subseccin Cuello
Subseccin Cuello
Subseccin Cuello
Subseccin Trax (Pared Torcica y Cintura Escapular)
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6

Subseccin Intratorcica
Subseccin Columna Vertebral y Mdula Espinal
Subseccin Abdomen Superior
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8

Subseccin Abdomen Inferior
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.9
1.1.9
1.1.9
1.1.9
1.1.9
1.1.9
1.1.9
1.1.9
1.1.9
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.10
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Perin
Subseccin Pelvis (Excepto Cadera)
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Muslo
Subseccin Rodilla y Area Popltea
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
1.1.11
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.12
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.13
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14

Subseccin Pierna (Inferior a la Rodilla, Incluye Tobillo y Pie)
Subseccin Hombro y Axila
Subseccin Brazo y Codo
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14
1.1.14
1.1.15
1.1.15
1.1.15
1.1.15
1.1.15
1.1.15
1.1.15
1.1.15
1.1.15
1.1.15
1.1.15
1.1.16
1.1.16
1.1.16
1.1.16
1.1.16
1.1.16
1.1.16
1.1.16
1.1.16
1.1.16
1.1.16
1.1.17
1.1.17
1.1.17
1.1.18
1.1.18
1.1.18
1.1.18
1.1.18
1.1.18
1.1.18
1.1.18
1.1.18
1.1.20
1.1.20
1.1.20

Subseccin Antebrazo, Mueca y Mano
Subseccin Procedimientos Radiolgicos
Subseccin Debridacin de Quemaduras
Subseccin Anestesia Obsttrica
Anestesia General
Anestesia General
Anestesia General
1.1.20
1.1.20
1.1.20
1.1.21
1.1.21
1.1.21
1.1.21
1.1.21
1.1.21
1.1.21
1.1.21
1.1.19
1.1.19
1.1.19
1.1.19
1.1.19
1.1.19
1.1.19
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
Anestesia General
Anestesia General
Anestesia General
Anestesia Regional
Anestesia Regional
Anestesia Regional
Anestesia Regional
Anestesia Regional
Anestesia Regional
Anestesia Regional
Anestesia Regional
Subseccin Otros Procedimientos
Subseccin Sistema Tegumentario
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1

1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

Subseccin Sistema Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3

Subseccin Sistema Respiratorio
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3

1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3

1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4

Subseccin Sistema Cardiovascular
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4

1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4

1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4

1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5

Subseccin Sistemas Linftico y Hemtico
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

Subseccin Mediastino y Diafragma
Subseccin Sistema Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7

1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.8
1.2.8
1.2.8

Subseccin Sistema Urinario
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8

1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8

1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9

Subseccin Sistema Genital Masculino
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9

1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10

Subseccin Sistema Genital Femenino
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10

1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.10
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11

Subseccin Maternidad
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.11
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.12
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
Subseccin Sistema Endocrino
Subseccin Sistema Nervioso
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13

1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13

1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13

1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13

1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.13
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14

Subseccin Ojos y Anexos Oculares
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14

1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14

1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14

1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14

1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.14

1.2.14
1.2.14
1.2.14
1.2.14
1.2.14
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15

Subseccin Sistema Auditivo
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.2.15
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1

Subseccin Radiologa Diagnstica (Diagnstico por Imgene
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1

1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1

1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1

1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1

1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1

1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1

1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2

Subseccin Ultrasonido Diagnstico
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.3
1.3.3

Subseccin Radiacin en Oncologa
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4

Subseccin Medicina Nuclear
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4

1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4

1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1

Subseccin Perfiles orientados a rganos o enfermedades
1.4.1
1.4.1
1.4.1
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3

Subseccin Dosaje de drogas de uso teraputico
Subseccin Pruebas de estimulacin y supresin
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5

Subseccin Examen de orina
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Bioqumica
Subseccin Hematologa y coagulacin
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.7
1.4.7

Subseccin Inmunologa
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
Subseccin Medicina Transfusional
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9

Subseccin Microbiologa
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
Subseccin Anatoma Patolgica
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.10
1.4.11
1.4.11
1.4.11
1.4.11
1.4.11
1.4.12
1.4.12
1.4.12
1.4.12
1.4.12
1.4.12
1.4.12
1.4.12
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1

Subseccin otros procedimientos
Subseccin Procedimientos de Medicina Reproductiva
Subseccin Inmunizacin por administracin de Inmunoglobuliinas, Vacunas/Toxoides
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1
1.5.1
1.5.2
1.5.3
1.5.3
1.5.3
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.5
1.5.5
1.5.5
1.5.5
1.5.5
1.5.5
1.5.5
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6

Subseccin Infusiones Teraputicas o Diagnsticas (excluye Quimioterapia)
Subseccin Inyecciones Diagnsticas, Profilcticas o Teraputicas
Subseccin Psiquiatra
Subseccin Dilisis
Subseccin Dilisis
Subseccin Dilisis
Subseccin Dilisis
Subseccin Dilisis
Subseccin Dilisis
Subseccin Dilisis
Subseccin Gastroenterologa
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.8
1.5.8
1.5.8
1.5.8
Subseccin Oftalmologa
Subseccin Servicios Especiales de Otorrinolaringologa
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8

1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9

Subseccin Cardiovascular
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.10
1.5.10
1.5.10
1.5.10
1.5.10
1.5.10
1.5.10
1.5.10
1.5.10
1.5.10
1.5.10
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
Estudios Diagnsticos vasculares no invasivos
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.11
1.5.12
1.5.12
1.5.12
1.5.12
1.5.12
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.14
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.14
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Pulmonar
Subseccin Inmunologa Clnica y Alergia
Subseccin Neurologa y Procedimientos Neuromusculares
Subseccin Evaluacin / Pruebas del Sistema Nervioso Central (p.ej. Neurocognitivas, Estado Mental,
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.13
1.5.9
1.5.14
1.5.14
1.5.14
1.5.14
1.5.14
1.5.14
1.5.15
1.5.15
1.5.15
1.5.15
1.5.15
1.5.15
1.5.15
1.5.15
1.5.15
1.5.15
1.5.15
1.5.16
1.5.16
1.5.16
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17

Subseccin Administracin de Quimioterapia
Subseccin Procedimientos Dermatolgicos Especiales
Subseccin Medicina Fsica y Rehabilitacin
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.17
1.5.18
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.5.19
1.6.1
1.6.1

Subseccin de Terapia de Nutricin Mdica
Subseccin Otros Servicios y Procedimientos
Subseccin Servicios de Consultorio u Otros Ambulatorios
1.6.1
1.6.2
1.6.2
1.6.2
1.6.2
1.6.3
1.6.5
1.6.5
1.6.5
1.6.5
1.6.5
1.6.5
1.6.4
1.6.4
1.6.2
1.6.2
1.6.2
1.6.2
1.6.2
1.6.2
1.6.5
1.6.5
1.6.6
1.6.6
1.6.7
1.6.7
1.6.7
1.6.7
1.6.6
1.6.6
1.6.6
1.6.6
1.6.6
1.6.6
1.6.8
1.6.8
1.6.8
1.6.8
1.6.8
1.6.8
1.6.8
1.6.8
1.6.8
1.6.8
1.6.9

Subseccin Servicios de Hospitalizacin
Subseccin Servicios de Emergencia
Subseccin Interconsultas (consulta especializada)
Subseccin Interconsultas (consulta especializada)
Subseccin de Cuidados Intensivos del Adulto
Subseccin de Cuidados Intensivos Pediatricos y Neonatales
Subseccin Servicios Domiciliarios
Subseccin Servicios de Transporte de Pacientes o heridos
1.6.9 Subseccin Servicios de Transporte de Pacientes o heridos

1.5.17 Subseccin Medicina Fsica y Rehabilitacin
1.2.10 Subseccin Sistema Genital Femenino
1.2.13 Subseccin Sistema Nervioso
1.2.13 Subseccin Sistema Nervioso
1.3.4 Subseccin Medicina Nuclear
1.4.5 Subseccin Bioqumica
1.4.7 Subseccin Inmunologa
1.4.10 Subseccin Anatoma Patolgica
1.5.13 Subseccin Neurologa y Procedimientos Neuromusculares
1.5.15 Subseccin Administracin de Quimioterapia
ios de Salud Colectiva General

2.2.1 Subseccin Abogaca y Polticas pblicas
2.2.2 Subseccin Comunicacin y Educacin para la salud
2.2.3 Subseccin Participacin Comunitaria y Empoderamiento Social
cin y Nutricin saludable
dades Zoonticas
dades Zoonticas
dades Zoonticas
dades Zoonticas
dades Zoonticas
dades Zoonticas
dades Zoonticas
dades Zoonticas
dades Zoonticas
dades Metaxnicas y otras enfermedades transmitidas por vectores
a en Salud Ambiental
1.6.1 Subseccin Servicios de Consultorio u Otros Ambulatorios
1.6.1 Subseccin Servicios de Consultorio u Otros Ambulatorios
1.3.1 Subseccin Radiologa Diagnstica (Diagnstico por Imgene
1.4.11 Subseccin otros procedimientos
2.7.1 Subseccin Profilaxis dental
2.7.2 Subseccin Tratamiento de topicacin de Fluor (Procedimiento en Consultorio)
2.7.3. Subseccin Otros Servicios de Prevencin
2.7.3. Subseccin Otros Servicios de Prevencin
2.7.4 Subseccin Mantenedor de espacios (Aparatos Pasivos)
2.7.4 Subseccin Mantenedor de espacios (Aparatos Pasivos)
1.2.2 Subseccin Sistema Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.7
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.1.19
1.2.7
1.2.2
1.2.2
1.2.2
1.2.7
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.7
1.2.2
1.2.7
1.2.7
1.2.7
1.2.7
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.7
1.2.7
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.7
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.7
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.7
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2

1.2.2
006/MINSA
Nivel
Nivel
Codigo
Compl
00100
00102
00103
00104
00120
00124
00126
00140
00142
00144
00145
00147
00148
00160
00162
00164
00170
00172
00174
00176
00190
00192
00210
00212
00214
00215
00216
00218
00220
00222
00300
00320
00322
00326
00350
00352
00400
00402
00404
M
M
M
A
M
M
M
A
A
A
A
A
B
A
AE
M
M
M
A
AE
AE
AE
AE
A
A
A
AE
AE
A
A
AE
A
M
A
A
M
A
A
AE
00406
00410
00450
00452
00454
00470
00472
00474
00500
00520
00522
00524
00528
00529
00530
00532
00534
00537
00539
00540
00541
00542
00546
00548
00550
00560
00562
00563
00566
00580
00600
00604
00620
00622
00630
00632
00634
00635
00640
00670
00700
00702
00730
00740
00750
AE
AE
A
AE
M
A
A
A
AE
AE
M
M
A
A
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
M
A
AE
A
A
A
M
M
00752
00754
00756
00770
00790
00792
00794
00796
00797
00800
00802
00810
00820
00830
00832
00834
00840
00842
00844
00846
00848
00860
00862
00864
00865
00866
00868
00870
00872
00873
00880
00882
00884
00902
00904
00906
00908
00910
00912
00914
00916
00918
00920
00922
00924
M
A
A
AE
A
AE
AE
AE
AE
A
A
M
M
M
M
A
A
M
A
A
A
A
AE
AE
A
AE
AE
A
A
A
AE
AE
A
A
A
M
M
A
A
A
A
M
A
M
M
00926
00928
00930
00932
00934
00936
00938
00940
00942
00944
00948
00950
00952
01112
01120
01130
01140
01150
01160
01170
01180
01190
01200
01202
01210
01212
01214
01215
01220
01230
01232
01234
01250
01260
01270
01272
01274
01320
01340
01360
01380
01382
01390
01392
01400
A
A
M
M
B
A
M
M
M
M
M
M
A
M
A
M
A
AE
AE
AE
AE
AE
A
M
A
A
A
A
A
A
M
M
A
M
A
A
A
M
M
M
M
M
M
M
M
01402
01404
01420
01430
01432
01440
01442
01444
01462
01464
01470
01472
01474
01480
01482
01484
01486
01490
01500
01502
01520
01522
01610
01620
01622
01630
01632
01634
01636
01638
01650
01652
01654
01656
01670
01680
01682
01710
01712
01714
01716
01730
01732
01740
01742
A
M
M
M
B
M
A
A
M
M
M
M
M
M
M
M
M
M
A
A
M
M
M
M
M
M
A
A
A
A
A
AE
AE
AE
M
B
M
M
M
M
M
M
M
M
M
01744
01756
01758
01760
01770
01772
01780
01782
01810
01820
01829
01830
01832
01840
01842
01844
01850
01852
01860
01905
01916
01920
01922
01924
01925
01926
01930
01931
01932
01933
01951
01952
01953
01958
01960
01961
01962
01963
01964
01967
01968
01969
01970
01971
01972
M
A
A
A
M
A
M
M
M
M
M
M
A
A
A
M
M
B
M
A
A
AE
A
A
AE
AE
AE
AE
AE
AE
A
A
A
M
B
M
A
M
M
M
M
M
A
A
A
Piel, Tejido Subcutneo y Estructuras Acc

Uas
Uas
Quiste pilonidal
Introduccin
Introduccin
Introduccin
Reparacin
Reparacin
Reparacin
Reparacin
01973
01974
01975
01980
01981
01982
01983
01984
01985
01986
01987
01990
01991
01992
01995
01996
01997
01998
10040
10060
10080
10120
10140
10160
11000
11010
11011
11012
11055
11100
11200
11300
11400
11650
11655
11740
11750
11770
11975
11976
11977
12001
12002
12005
12031
A
A
A
M
M
M
M
M
B
A
M
B
M
M
M
M
A
A
B
M
B
B
B
B
A
B
A
A
B
M
M
M
M
B
M
M
M
B
M
B
B
B
B
B
B
Reparacin
Reparacin
Reparacin
Rearreglo o Transferencia de Tejido Adya
Injertos Sueltos de Piel
Colgajos de Piel y/o Tejidos Profundos
Otros Colgajos e Injertos
Otros Procedimientos
Ulceras de Presin (Ulceras de decbito)
Quemaduras, Tratamiento Local
Destruccin
Destruccin
Destruccin
Ciruga Microgrfica de Moh
Mamas
Mamas
Mamas
12032
12035
13160
14000
15000
15050
15350
15400
15570
15600
15650
15732
15740
15756
15780
15819
15820
15822
15824
15831
15840
15850
15851
15852
15876
15877
15878
15879
15880
15920
15933
15990
16000
16010
16035
16040
17000
17250
17260
17304
17340
17360
19000
19020
19030
B
B
M
M
M
M
M
M
B
M
M
B
B
A
A
A
M
M
A
A
AE
A
B
A
A
B
B
B
B
A
A
A
B
A
M
A
M
M
M
A
M
M
B
B
B
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
19100
19101
19102
19103
19120
19140
19160
19162
19180
19182
19200
19220
19260
19272
19290
19316
19318
19324
19325
19328
19340
19350
19355
19357
19361
19364
19366
19370
19371
19380
20000
20005
20100
20200
20220
20500
20520
20600
20605
20610
20615
20650
20660
20661
20664
B
B
B
B
B
M
A
A
M
M
A
A
M
B
B
M
A
A
A
A
A
M
B
A
A
AE
A
A
A
A
B
M
M
M
M
B
M
B
B
B
M
B
A
M
M
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
20670
20680
20690
20692
20694
20802
20805
20808
20816
20824
20838
20900
20910
20926
20950
20955
20969
20974
20975
21010
21015
21025
21026
21030
21031
21034
21040
21044
21045
21050
21060
21070
21076
21110
21120
21125
21141
21150
21154
21155
21172
21175
21179
21188
21193
B
M
M
M
M
AE
AE
AE
AE
AE
AE
A
A
A
B
AE
AE
B
A
A
A
A
A
M
A
A
A
A
AE
A
A
A
B
M
A
A
A
AE
AE
AE
AE
AE
A
A
AE
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
21194
21195
21198
21206
21208
21210
21230
21240
21243
21244
21245
21247
21248
21255
21256
21270
21275
21300
21310
21315
21325
21336
21337
21338
21340
21343
21345
21346
21347
21355
21356
21360
21365
21385
21400
21406
21421
21422
21431
21432
21440
21445
21450
21452
21453
AE
AE
A
A
A
A
M
A
A
A
A
AE
AE
AE
AE
A
A
M
M
M
M
A
A
A
A
A
A
A
A
M
M
M
A
A
A
A
M
A
A
AE
M
A
M
M
M
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cuello (Partes Blandas) y Trax
Espalda y Flancos
Espalda y Flancos
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
21454
21461
21462
21465
21470
21480
21490
21493
21495
21501
21510
21555
21600
21610
21620
21627
21630
21700
21720
21740
21750
21800
21805
21810
21820
21825
21930
21935
22100
22210
22220
22305
22310
22318
22325
22505
22548
22590
22800
22808
22818
22830
22840
22841
22842
M
M
M
A
A
M
A
M
A
M
M
M
A
A
AE
A
AE
A
M
AE
A
B
A
M
B
A
M
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
22845
22848
22849
22850
22851
22852
22855
23000
23030
23035
23040
23044
23077
23120
23130
23140
23170
23174
23180
23190
23200
23220
23330
23332
23395
23400
23405
23410
23415
23420
23430
23440
23450
23465
23470
23480
23490
23500
23515
23520
23530
23540
23550
23570
23585
A
A
A
A
A
A
A
A
M
M
A
M
A
M
M
M
M
M
M
A
A
A
M
A
A
A
M
A
A
M
M
A
A
A
A
M
M
B
M
B
A
B
M
M
M
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Humero (Parte Superior del Brazo) y Codo
23600
23615
23620
23630
23650
23660
23665
23700
23800
23900
23920
23930
23935
24000
24006
24075
24077
24105
24110
24130
24134
24140
24149
24150
24155
24160
24200
24201
24301
24305
24310
24320
24330
24340
24342
24350
24360
24400
24420
24430
24470
24495
24498
24500
24515
M
M
M
M
B
M
M
M
A
A
A
M
A
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
A
A
A
A
A
A
A
M
A
A
M
M
A
M
M
M
M

Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
24538
24545
24586
24600
24615
24620
24635
24640
24650
24665
24670
24685
24800
24900
24935
25000
25020
25028
25035
25040
25075
25077
25085
25100
25105
25110
25111
25115
25118
25120
25145
25150
25170
25210
25215
25230
25248
25250
25260
25280
25290
25295
25300
25310
25315
M
M
M
B
M
M
M
B
M
M
M
A
M
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
M
M
M
M
A
M
A
M
M
M
M
M
M
M
M
A
A
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Antebrazo y Mueca
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
25320
25332
25335
25337
25350
25390
25440
25441
25449
25450
25490
25500
25515
25526
25574
25611
25620
25622
25628
25630
25645
25650
25660
25675
25676
25680
25685
25690
25695
25800
25900
25915
25920
25922
25927
26010
26020
26025
26034
26037
26040
26055
26070
26115
26117
M
M
M
A
M
A
A
A
M
A
M
M
M
M
M
M
M
M
M
M
M
M
B
M
M
M
A
M
A
M
M
M
M
M
M
B
M
M
M
M
M
M
M
M
A
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
26121
26130
26145
26160
26170
26185
26200
26230
26250
26320
26350
26370
26390
26392
26410
26415
26416
26432
26437
26440
26450
26471
26476
26477
26480
26485
26490
26497
26499
26500
26508
26510
26516
26520
26530
26540
26541
26548
26550
26551
26555
26556
26560
26565
26568
M
M
M
M
M
M
A
M
A
M
M
M
M
M
M
M
M
B
M
M
M
M
M
M
A
A
A
A
A
A
M
A
M
M
M
M
M
M
AE
AE
AE
AE
M
M
M
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
26580
26585
26587
26590
26591
26596
26597
26600
26608
26615
26641
26645
26665
26670
26676
26685
26700
26720
26727
26735
26740
26746
26750
26756
26765
26770
26820
26841
26910
26951
26990
26992
27000
27005
27006
27025
27030
27035
27036
27049
27060
27065
27070
27075
27080
M
M
M
A
M
M
M
B
M
M
B
B
M
B
M
M
B
B
M
M
B
M
M
M
M
B
M
M
A
B
M
M
M
M
M
M
A
A
M
A
M
M
A
A
A
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Fmur (Muslo) y Rodilla
27086
27090
27096
27097
27098
27120
27125
27130
27132
27134
27140
27146
27158
27161
27165
27170
27175
27177
27185
27187
27193
27200
27202
27215
27216
27217
27220
27226
27230
27235
27236
27246
27248
27250
27253
27265
27275
27280
27282
27284
27290
27295
27301
27305
27306
A
A
A
A
A
A
M
A
A
A
A
A
A
A
A
A
A
A
A
A
M
M
A
A
A
A
M
A
M
A
A
M
M
M
A
A
M
A
A
A
A
M
M
M
A

27310
27315
27320
27327
27329
27340
27350
27355
27360
27365
27372
27380
27385
27390
27393
27396
27400
27403
27405
27418
27420
27425
27427
27428
27430
27435
27437
27448
27455
27465
27466
27468
27470
27475
27486
27488
27495
27496
27497
27500
27501
27506
27507
27508
27509
M
A
A
M
A
M
M
M
M
M
M
M
M
A
A
A
A
M
A
M
M
M
M
A
M
M
A
A
M
A
A
A
A
A
A
A
M
M
M
M
M
M
M
M
M

Pierna (Tibia y Peron) y Tobillo
27511
27514
27519
27520
27524
27530
27535
27550
27556
27560
27566
27570
27580
27590
27598
27600
27603
27605
27607
27610
27615
27618
27620
27630
27635
27640
27645
27650
27656
27658
27675
27680
27685
27687
27690
27695
27700
27704
27705
27715
27720
27727
27730
27740
27745
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
M
M
A
M
A
A
M
A
A
A
M
M
M

Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
27750
27756
27758
27760
27766
27780
27784
27786
27792
27808
27814
27816
27822
27824
27826
27829
27830
27832
27840
27846
27860
27870
27871
27880
27888
27889
27892
27893
28001
28005
28008
28010
28020
28030
28035
28043
28046
28050
28060
28070
28086
28090
28100
28110
28114
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
M
M
A
M
M
M
M
M
M
M
M
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
28120
28126
28130
28140
28150
28153
28160
28171
28190
28200
28220
28230
28238
28240
28250
28260
28264
28270
28280
28285
28288
28289
28290
28300
28313
28315
28320
28340
28344
28345
28400
28406
28415
28450
28456
28465
28476
28490
28496
28505
28510
28525
28530
28531
28540
M
M
M
M
M
M
M
A
M
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
M
M
A
A
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Aplicacin de Frulas, Yesos y Vendajes
Endoscopa/Artroscopa
28546
28555
28570
28630
28645
28705
28715
28725
28730
28750
28755
28760
28800
28810
28820
29000
29010
29035
29049
29055
29058
29065
29075
29085
29105
29125
29130
29200
29305
29345
29405
29435
29440
29445
29450
29520
29700
29720
29730
29740
29750
29800
29804
29805
29806
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
B
B
B
B
M
M
M
M
M
M
M
B
M
M
M
M
M
M
M
A
A
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
29830
29834
29840
29843
29860
29861
29870
29871
29891
29900
29901
30000
30100
30110
30117
30120
30124
30130
30150
30160
30200
30220
30300
30310
30400
30430
30460
30520
30540
30560
30580
30600
30620
30630
30801
30901
30905
30915
30920
30930
31000
31020
31030
31040
31050
A
A
A
A
A
A
A
A
A
A
A
M
B
M
A
A
M
M
M
A
B
M
B
M
M
M
A
A
AE
M
M
M
A
A
M
M
A
A
A
M
B
A
A
A
A
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
31070
31200
31225
31230
31231
31237
31254
31290
31292
31300
31360
31365
31367
31368
31370
31390
31400
31420
31500
31502
31505
31515
31580
31582
31585
31588
31590
31595
31596
31600
31603
31605
31610
31611
31612
31613
31615
31622
31700
31708
31710
31715
31720
31730
31750
M
A
A
A
M
AE
AE
AE
AE
A
A
AE
A
AE
A
AE
A
A
M
M
B
M
A
A
A
AE
AE
M
A
A
A
A
AE
A
A
A
A
M
A
M
M
M
M
A
A
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
31766
31770
31785
31800
31820
31830
32000
32001
32005
32020
32035
32095
32100
32200
32215
32220
32225
32310
32320
32400
32405
32420
32440
32442
32480
32482
32484
32501
32540
32601
32650
32651
32652
32653
32656
32657
32658
32659
32660
32661
32663
32664
32665
32800
32810
AE
AE
AE
A
A
A
B
A
M
M
M
A
AE
AE
AE
AE
AE
AE
AE
M
A
M
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
32815
32820
32851
32852
32853
32854
32900
32905
32906
32960
32997
32998
32999
33010
33015
33020
33025
33030
33050
33120
33130
33200
33206
33210
33212
33214
33216
33218
33222
33233
33234
33236
33238
33240
33241
33243
33244
33245
33249
33250
33253
33261
33282
33300
33305
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
AE
AE
A
A
A
A
AE
AE
AE
AE
A
A
A
A
A
A
A
A
A
A
AE
AE
A
A
AE
A
AE
A
AE
AE
AE
A
AE
AE
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
33310
33320
33321
33330
33400
33404
33405
33414
33415
33416
33417
33420
33422
33425
33430
33460
33463
33465
33468
33470
33472
33475
33476
33478
33500
33502
33504
33510
33513
33517
33521
33530
33533
33536
33542
33545
33572
33600
33641
33642
33735
33736
33750
33786
33788
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
33860
33870
33875
33877
33910
33916
33924
33935
33945
33960
33967
33968
33970
33971
33975
33977
34001
34151
34401
34501
34502
34510
34520
34530
34800
34808
35001
35021
35081
35180
35182
35184
35188
35201
35211
35231
35241
35261
35271
35301
35331
35390
35400
35450
35470
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
AE
AE
AE
AE
A
AE
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
35480
35490
35501
35526
35531
35541
35546
35556
35582
35583
35585
35587
35601
35681
35682
35691
35700
35701
35800
35870
35875
35879
35901
36011
36012
36260
36261
36262
36400
36420
36430
36440
36450
36470
36481
36488
36489
36500
36510
36520
36530
36533
36600
36620
36660
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
AE
AE
M
B
B
M
A
M
A
A
M
M
M
A
M
A
B
M
M
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Bazo
Bazo
Bazo
Bazo
Bazo
Bazo
Bazo
Mdula Osea o Servicios de Transplante
Mdula Osea o Servicios de Transplante
Ganglios y Conductos Linfticos
36680
36800
36815
36821
36822
36825
36831
36832
36834
36835
36860
37140
37160
37200
37201
37565
37600
37607
37609
37615
37616
37620
37650
37660
37720
37760
37785
37788
37790
37791
38050
38100
38101
38115
38120
38130
38150
38220
38240
38300
38305
38380
38381
38500
38505
M
M
M
A
AE
A
A
A
AE
A
M
AE
AE
A
A
A
AE
A
M
M
A
AE
A
A
M
A
M
AE
AE
AE
M
A
A
AE
AE
AE
AE
A
AE
M
A
A
AE
B
B

Mediastino
Mediastino
Mediastino
Mediastino
Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Labios
Labios
Labios
Labios
Labios
Labios
Labios
Labios
Vestbulo de la Boca
Vestbulo de la Boca
Vestbulo de la Boca
Vestbulo de la Boca
38510
38550
38562
38570
38571
38572
38575
38577
38580
38582
38584
38586
38700
38720
38740
38746
38747
38760
38770
38780
38794
39000
39010
39200
39400
39501
39502
39503
39520
39545
39560
39570
39575
40490
40500
40510
40525
40530
40650
40700
40702
40800
40801
40806
40810
M
M
AE
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
M
AE
AE
B
A
AE
A
M
M
M
M
A
A
AE
AE
AE
AE
AE
AE
M
M
M
A
A
M
A
A
M
M
B
M
Vestbulo de la Boca
Vestbulo de la Boca
Vestbulo de la Boca
Vestbulo de la Boca
Vestbulo de la Boca
Lengua y Piso de la Boca
Estructuras Dentoalveolares
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
40819
40820
40830
40840
40845
41000
41006
41010
41015
41018
41100
41110
41115
41120
41130
41135
41140
41145
41150
41153
41155
41250
41500
41510
41520
41800
41801
41805
41806
41820
41821
41822
41828
41830
41870
41872
41874
42000
42100
42104
42120
42140
42145
42180
42200
B
M
B
B
A
M
M
M
M
M
M
M
M
A
A
A
A
AE
AE
AE
AE
A
M
M
A
M
M
M
M
A
A
M
M
M
M
M
M
M
M
M
A
A
A
M
A
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Glandulas y Conductos Salivales
Faringe, Adenoides y Amgdalas
Esfago
Esfago
Esfago
42205
42210
42226
42235
42260
42280
42281
42300
42325
42330
42400
42408
42409
42410
42420
42426
42440
42450
42500
42507
42600
42650
42665
42700
42800
42808
42809
42810
42820
42825
42830
42842
42860
42870
42890
42892
42894
42900
42950
42953
42955
42956
43020
43030
43045
M
A
M
A
A
M
M
M
M
M
M
M
M
A
A
AE
A
A
A
A
A
A
A
M
M
M
A
M
M
M
M
M
M
M
A
A
A
M
A
A
A
A
A
A
A
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Estmago
Estmago
Estmago
Estmago
43100
43101
43107
43108
43116
43117
43118
43124
43130
43200
43231
43234
43235
43259
43260
43275
43280
43285
43287
43300
43310
43313
43320
43324
43330
43331
43340
43350
43360
43361
43399
43400
43401
43405
43410
43415
43420
43450
43451
43460
43496
43500
43501
43520
43605
M
A
A
A
A
AE
AE
AE
A
M
M
M
M
M
A
AE
M
M
A
A
A
A
B
AE
A
AE
M
M
A
AE
AE
M
M
AE
A
A
A
A
AE
A
M
M
M
M
M
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Intestinos (Excepto Recto)
43620
43631
43635
43638
43640
43641
43644
43646
43648
43650
43651
43652
43653
43656
43750
43760
43800
43810
43820
43830
43831
43840
43841
43842
43846
43848
43849
43850
43860
43870
43880
43890
43892
43894
44005
44010
44011
44015
44020
44025
44050
44055
44120
44126
44130
A
A
AE
A
A
A
A
A
AE
AE
A
AE
A
AE
A
M
A
A
A
M
M
A
A
AE
AE
AE
A
AE
AE
M
A
A
AE
AE
AE
AE
AE
M
M
M
M
AE
AE
AE
AE

44131
44132
44133
44135
44139
44140
44150
44155
44160
44200
44201
44202
44204
44205
44210
44212
44215
44300
44310
44312
44314
44316
44320
44340
44345
44360
44376
44377
44380
44381
44385
44388
44500
44501
44602
44604
44615
44620
44640
44641
44650
44651
44660
44680
44700
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
M
M
A
AE
AE
A
M
AE
AE
AE
A
M
A
M
M
M
M
A
A
A
AE
AE
A
AE
A
M
A
AE

Divertculo de Meckel y Mesenterio
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
44705
44710
44715
44720
44725
44800
44820
44850
44900
44901
44950
44951
44952
44960
44962
44965
44970
44972
44974
44976
45000
45005
45020
45100
45108
45110
45113
45114
45119
45120
45123
45130
45160
45190
45300
45330
45341
45355
45356
45357
45358
45359
45500
45520
45540
AE
A
AE
AE
AE
A
A
A
B
B
B
M
B
A
A
A
AE
AE
AE
A
M
M
A
M
M
AE
A
AE
AE
AE
A
AE
AE
M
M
M
M
M
M
M
A
A
M
M
AE
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Hgado
Hgado
45541
45545
45550
45560
45561
45800
45820
45900
45915
46040
46045
46050
46070
46080
46083
46200
46210
46220
46221
46250
46255
46257
46258
46270
46288
46320
46500
46600
46700
46705
46715
46730
46735
46744
46745
46750
46753
46754
46900
46934
46937
46940
46945
47000
47010
AE
AE
A
A
M
A
A
B
B
B
B
B
B
A
M
M
M
B
B
M
M
M
M
M
A
B
M
M
A
M
M
AE
AE
A
AE
A
AE
A
B
M
A
M
M
M
A
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
47011
47015
47016
47100
47120
47122
47125
47130
47133
47135
47140
47300
47340
47345
47361
47362
47370
47400
47420
47460
47480
47490
47510
47511
47515
47525
47530
47550
47552
47562
47563
47564
47568
47569
47570
47600
47605
47610
47700
47701
47703
47715
47720
47760
47765
A
A
AE
A
AE
AE
AE
AE
AE
AE
AE
A
A
AE
AE
AE
AE
A
A
AE
AE
M
A
M
A
M
A
AE
A
A
A
A
AE
AE
AE
A
A
A
AE
AE
AE
AE
A
AE
AE
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Tracto Biliar
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Abdomen, Peritoneo y Epiplon
47800
47801
47810
47815
47820
47825
47830
47835
47836
48000
48005
48020
48100
48102
48120
48122
48140
48148
48150
48155
48160
48180
48500
48510
48511
48520
48540
48542
48543
48545
48547
48550
48554
48645
49000
49002
49005
49006
49010
49020
49021
49060
49061
49062
49080
AE
A
A
A
A
A
AE
AE
A
A
A
AE
A
A
AE
A
AE
AE
AE
AE
AE
AE
A
A
A
A
AE
AE
AE
A
A
A
AE
B
A
A
A
A
AE
A
A
A
A
A
B

Rin
Rin
Rin
49085
49180
49200
49215
49220
49250
49255
49320
49321
49322
49323
49325
49330
49335
49340
49345
49350
49420
49421
49423
49424
49495
49496
49498
49540
49565
49566
49570
49572
49580
49582
49590
49600
49605
49610
49650
49653
49670
49672
49674
49675
49900
50010
50020
50021
M
M
AE
AE
A
M
M
AE
AE
M
AE
AE
AE
AE
AE
AE
AE
A
A
A
M
M
M
M
M
M
A
B
M
B
M
M
M
A
A
AE
AE
AE
AE
AE
M
M
A
A
A
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
50040
50045
50060
50061
50080
50120
50125
50130
50200
50205
50220
50230
50240
50280
50300
50320
50365
50390
50392
50394
50395
50396
50400
50500
50520
50525
50540
50541
50542
50543
50544
50545
50546
50547
50550
50551
50590
50600
50605
50610
50660
50700
50715
50727
50740
A
A
A
AE
AE
A
A
A
A
A
A
AE
AE
A
AE
AE
AE
A
AE
M
AE
AE
AE
A
A
A
AE
AE
AE
AE
AE
AE
A
AE
A
M
AE
A
AE
A
AE
AE
AE
M
AE
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
50760
50780
50800
50810
50830
50840
50845
50860
50900
50920
50930
50940
50945
50946
50947
50951
51000
51010
51020
51050
51060
51080
51500
51550
51570
51575
51580
51585
51700
51705
51725
51736
51800
51840
51845
51860
51880
51900
51940
51960
51980
51990
51992
51993
51994
A
AE
A
AE
AE
AE
AE
A
A
A
AE
A
AE
AE
AE
M
M
M
M
M
A
M
A
A
A
AE
AE
AE
B
B
AE
AE
AE
M
M
M
A
A
AE
AE
M
AE
AE
AE
M
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
51995
51996
51997
52000
52260
52281
52282
52283
52310
52315
52334
52335
52510
52620
52700
52702
53000
53020
53040
53080
53200
53210
53230
53240
53260
53400
53440
53450
53502
53505
53520
53600
53670
54000
54050
54100
54110
54120
54125
54130
54150
54152
54164
54165
54300
AE
AE
A
M
M
M
A
M
M
A
A
A
A
A
M
A
M
B
M
M
M
A
A
M
M
A
A
A
M
M
A
M
B
M
B
B
A
A
A
AE
M
B
B
B
A
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Vaginal
Vaginal
Vaginal
Escroto
Escroto
Escroto
Escroto
Vasos Deferentes
Vasos Deferentes
Vasos Deferentes
Vasos Deferentes
Cordon Espermtico
Cordon Espermtico
Cordon Espermtico
Vescula Seminal
Vescula Seminal
54308
54380
54400
54420
54435
54440
54450
54500
54505
54510
54520
54525
54530
54550
54600
54640
54650
54660
54670
54680
54690
54692
54700
54800
54820
54830
54860
54861
54900
55000
55040
55060
55100
55120
55150
55175
55250
55251
55400
55450
55500
55530
55550
55600
55650
AE
AE
A
AE
M
A
B
M
M
M
B
B
M
A
M
A
A
B
M
A
AE
AE
B
M
M
M
M
M
AE
B
M
M
B
M
M
M
M
M
AE
M
M
M
A
A
A
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Vulva, Perineo e Introito
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
55700
55720
55801
55810
55821
55831
55840
55859
55866
55868
56405
56440
56501
56605
56620
56630
56700
56740
56800
56805
56810
56820
57000
57020
57022
57061
57100
57106
57110
57120
57130
57135
57210
57220
57230
57240
57250
57260
57268
57280
57284
57288
57289
57291
57300
M
M
A
AE
A
A
AE
AE
AE
A
B
M
B
M
A
AE
M
M
AE
AE
AE
M
A
M
A
M
M
AE
AE
A
A
A
AE
A
A
A
A
A
A
A
A
AE
A
A
AE
Vagina
Vagina
Vagina
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
57400
57410
57452
57500
57505
57510
57520
57530
57531
57540
57700
57720
58100
58120
58140
58145
58146
58150
58180
58200
58210
58240
58260
58262
58275
58285
58300
58301
58400
58520
58540
58545
58550
58552
58555
58558
58581
58583
58585
58600
58605
58611
58615
58660
58661
AE
M
M
M
M
B
M
M
AE
A
A
A
B
M
A
A
A
A
A
AE
AE
AE
A
A
AE
AE
B
B
A
A
AE
AE
AE
AE
AE
AE
AE
AE
A
M
M
M
A
A
AE
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Fertilizacin In Vitro
Servicios de Pre Parto
Otro
Otro
Otro
Otro
Otro
Otro
Otro
Otro
Parto Vaginal, Control Prenatal y Control
58671
58672
58673
58675
58700
58720
58740
58750
58751
58760
58770
58800
58805
58823
58825
58900
58920
58925
58940
58955
58956
58957
58958
58962
58964
58965
58970
58974
58975
58976
59000
59015
59020
59100
59120
59121
59150
59160
59200
59350
59351
59400
59401
59409
59410
A
A
A
AE
A
A
A
AE
AE
A
A
A
A
AE
AE
A
A
A
A
A
A
A
AE
A
A
A
AE
AE
AE
AE
B
AE
B
A
A
AE
AE
M
B
A
A
B
B
B
B

Cesrea
Cesrea
Cesrea
Cesrea
Cesrea
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Paratiroides, Timo, Suprarrenales y Cuerp
Craneo, Meninges y Cerebro
59414
59415
59416
59417
59510
59514
59515
59516
59525
59812
59813
59840
59841
59850
59852
59855
59866
59870
59871
59872
60000
60001
60100
60200
60210
60220
60240
60252
60254
60280
60500
60512
60520
60540
60600
60605
60650
61000
61020
61021
61050
61070
61105
61107
61108
M
B
M
B
M
M
M
M
AE
B
B
M
M
M
M
B
AE
A
M
M
M
M
B
A
A
A
A
A
A
M
A
A
A
A
A
AE
A
A
A
AE
AE
A
A
A
A

61120
61140
61150
61154
61210
61215
61250
61253
61254
61255
61256
61257
61258
61259
61304
61305
61312
61314
61320
61322
61323
61330
61340
61343
61440
61450
61490
61500
61510
61518
61531
61533
61538
61542
61543
61546
61548
61550
61558
61570
61571
61575
61576
61580
61584
A
A
A
A
A
A
A
A
AE
AE
AE
AE
AE
M
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE

61586
61590
61592
61595
61596
61597
61598
61600
61605
61607
61609
61611
61613
61615
61618
61624
61680
61700
61703
61705
61711
61720
61750
61760
61770
61790
61793
61794
61850
61860
61862
61870
61880
61885
61888
62000
62010
62100
62115
62140
62142
62145
62146
62180
62190
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
M
AE
AE
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
AE
A

Columna y Mdula Espinal
62192
62194
62200
62201
62220
62223
62230
62256
62270
62273
62287
62292
62350
62355
62360
62365
62367
63001
63012
63015
63020
63040
63045
63048
63055
63057
63064
63066
63075
63076
63081
63082
63085
63087
63090
63170
63172
63180
63185
63191
63194
63196
63198
63200
63250
A
A
AE
AE
A
A
A
A
M
A
AE
AE
A
A
A
A
AE
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A

Nervios Extracraneales, Nervios Perifri
63265
63300
63301
63302
63303
63610
63650
63655
63660
63685
63688
63700
63704
63707
63710
63740
63741
63744
63746
64400
64470
64479
64505
64520
64550
64553
64573
64575
64585
64590
64595
64600
64605
64612
64620
64623
64680
64702
64704
64712
64716
64722
64726
64727
64774
A
A
A
A
A
AE
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
M
A
A
A
A
A
A
A
A
A
A
A
AE
AE
AE
A
A
AE
AE
AE
AE
AE
A
A
A
A

Globo ocular - Remocin Ocular

Globo ocular - Procedimientos de Implante
Globo ocular - Remocin de Cuerpo Extra
64802
64831
64834
64837
64840
64856
64858
64861
64864
64866
64872
64885
64890
64895
64901
64902
64905
64910
64912
64914
64916
64918
64920
64922
64924
64926
65091
65093
65101
65103
65105
65110
65112
65114
65125
65130
65135
65140
65150
65155
65175
65205
65210
65220
65222
A
A
A
A
A
A
A
A
A
AE
A
AE
AE
AE
AE
AE
AE
AE
A
A
A
A
AE
A
AE
A
M
M
A
A
A
AE
AE
AE
A
A
A
A
A
A
A
B
B
B
B

Globo ocular - Reparacin de Laceracin
Segmento Anterio - Cornea - Excisin
Segmento Anterior - Remocin o Destrucc
Segmento Anterior - Queratoplasta
Segmento Anterior - Otros procedimientos
Segmento Anterior - Cmara anterior - Inc
Segmento Anterior - Cmara anterior - Ot
65235
65260
65265
65270
65272
65273
65275
65280
65285
65286
65290
65400
65410
65420
65426
65430
65435
65436
65450
65600
65710
65730
65750
65755
65760
65761
65765
65767
65770
65771
65772
65775
65800
65805
65810
65815
65820
65850
65855
65860
65865
65870
65875
65880
65900
M
M
M
B
B
B
A
A
AE
AE
A
A
B
M
M
B
M
M
M
M
AE
AE
AE
AE
AE
AE
AE
AE
B
AE
AE
AE
B
B
B
M
M
A
M
M
A
A
A
A
A

Segmento Anterior - Esclera Anterior - Exc
Segmento Anterior - Esclera Anterior - Re
Segmento Anterior - Iris, Cuerpo Ciliar - In
Segmento Anterior - Iris, Cuerpo Ciliar - In
Segmento Anterior - Iris, Cuerpo Ciliar - E
Segmento Anterior - Iris, Cuerpo Ciliar Segmento Anterior - Iris, Cuerpo Ciliar -
Segmento Anterior - Cristalino - Incisin

Segmento Anterior - Cristalino - Remocin
Segmento Anterior - Cristalino - Otros Pr
Segmento Anterior - Cristalino - Otros Pr
Segmento Posterior - Humor Vtreo
65920
65930
66020
66030
66130
66170
66172
66180
66185
66220
66225
66250
66500
66505
66600
66605
66625
66630
66635
66680
66682
66700
66710
66720
66740
66761
66762
66770
66820
66821
66825
66830
66831
66832
66833
66834
66835
66850
66852
66930
66985
66986
66997
66998
67013
A
A
A
A
A
A
A
AE
AE
A
AE
M
A
A
A
A
A
A
A
M
A
A
M
M
M
M
M
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
A
A
M
M
AE

Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides - P
Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Retina o Coroides Segmento Posterior - Esclera - Reparaci
Segmento Posterior - Esclera - Reparaci
Segmento Posterior - Esclera - Otros Pro
Anexos oculares - Msculos Extraoculares
Anexos oculares - Orbita - Exploracin, E
67014
67015
67025
67027
67028
67036
67041
67042
67043
67080
67081
67082
67083
67084
67120
67121
67145
67208
67218
67220
67221
67227
67250
67255
67290
67291
67292
67293
67311
67312
67314
67316
67318
67320
67331
67332
67334
67335
67340
67343
67345
67350
67400
67405
67412
AE
M
M
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
A
A
A
A
A
M
A
A
A

Anexos oculares - Orbita - Otros Procedim
Anexos oculares - Prpados - Incisin
Anexos oculares - Prpados - Excisin
Anexos oculares - Prpados - Tarsorrafia
Anexos oculares - Prpados - Reparacin (
67413
67414
67415
67420
67430
67440
67445
67450
67500
67505
67515
67550
67560
67570
67700
67710
67715
67800
67801
67805
67810
67825
67830
67835
67840
67850
67875
67880
67882
67900
67901
67902
67903
67904
67905
67906
67908
67909
67911
67914
67915
67916
67917
67921
67922
AE
AE
B
AE
AE
AE
AE
AE
M
M
M
A
A
AE
M
A
M
B
B
B
B
M
B
M
M
M
A
AE
M
AE
A
A
AE
AE
A
AE
AE
A
A
A
A
AE
AE
A
A

Anexos oculares - Prpados - Reconstruc
Conjuntiva - Incisin y Drenaje
Conjuntiva - Excisin y/o Destruccin
Conjuntiva - Conjuntivoplasta
Sistema Lacrimal - Incisin
Sistema Lacrimal - Excisin
Sistema Lacrimal - Reparacin
67923
67924
67930
67935
67938
67950
67961
67966
67971
67973
67974
67975
68020
68100
68110
68115
68130
68135
68200
68320
68325
68326
68328
68330
68335
68340
68400
68420
68440
68500
68505
68510
68520
68525
68530
68540
68550
68700
68705
68720
68745
68750
68760
68761
68770
AE
AE
A
A
M
A
AE
AE
AE
AE
AE
AE
M
B
M
M
M
M
B
AE
AE
AE
AE
AE
AE
AE
A
A
A
A
A
B
B
B
A
AE
AE
M
M
AE
AE
AE
A
A
A
Sistema Lacrimal - Sondeo y/o Procedimi

Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
68801
68810
68815
68840
68850
69000
69020
69090
69100
69110
69120
69140
69155
69200
69205
69210
69300
69310
69320
69400
69405
69420
69433
69450
69501
69502
69505
69530
69535
69540
69550
69610
69620
69631
69635
69641
69650
69660
69666
69667
69676
69710
69711
69720
69740
B
M
M
B
B
M
M
M
A
A
A
M
AE
B
M
B
M
M
A
A
A
M
M
AE
M
A
A
AE
AE
A
AE
A
M
M
A
A
A
A
A
A
AE
A
AE
AE
AE
Odo Interno
Odo Interno
Odo Interno
Odo Interno
Odo Interno
Odo Interno
Abordaje de la Fosa Media y Hueso Tempo
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
69801
69805
69905
69910
69915
69930
69950
69955
69960
69970
70010
70030
70100
70110
70120
70130
70134
70140
70150
70160
70170
70190
70200
70210
70220
70240
70250
70260
70300
70310
70320
70328
70330
70332
70336
70350
70355
70360
70370
70371
70373
70380
70390
70391
70450
AE
AE
AE
AE
AE
AE
AE
AE
M
AE
M
B
B
B
B
B
B
B
B
B
M
B
B
B
B
B
B
B
B
B
B
B
B
M
M
M
M
B
B
M
M
B
M
M
M
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
70470
70480
70482
70486
70488
70490
70492
70496
70540
70543
70544
70546
70547
70549
70551
70553
70557
70559
71010
71020
71021
71022
71023
71030
71034
71035
71036
71040
71060
71100
71101
71110
71111
71120
71130
71250
71270
71550
71552
71555
72010
72020
72040
72050
72052
A
M
A
M
A
M
A
A
M
A
A
A
A
A
M
A
M
A
B
B
B
B
M
B
M
B
A
M
M
B
B
B
B
B
B
M
A
M
A
A
B
B
B
B
B
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Extremidades Superiores
72069
72070
72072
72074
72080
72090
72100
72110
72114
72120
72125
72127
72128
72130
72131
72133
72141
72142
72146
72147
72148
72149
72156
72159
72170
72190
72192
72194
72195
72197
72198
72200
72202
72220
72221
73000
73010
73020
73030
73040
73050
73060
73070
73080
73085
B
B
B
B
B
B
B
B
B
B
M
A
M
A
M
A
M
A
M
A
M
A
M
A
B
B
M
A
M
A
A
B
B
B
M
B
B
B
B
M
B
B
B
B
B
Extremidades Inferiores
73090
73092
73100
73110
73115
73120
73130
73140
73200
73202
73206
73218
73220
73221
73223
73225
73500
73510
73520
73525
73530
73540
73542
73550
73560
73562
73564
73565
73580
73590
73592
73600
73610
73615
73620
73630
73650
73660
73700
73702
73706
73718
73720
73721
73723
B
B
B
B
B
B
B
B
M
A
A
M
A
M
A
A
B
B
B
M
A
A
M
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
M
A
A
M
A
M
A
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Tracto Gastrointestinal
Tracto Urinario
Tracto Urinario
73725
74000
74010
74020
74022
74150
74170
74175
74181
74183
74185
74190
74210
74220
74230
74235
74240
74241
74245
74246
74247
74249
74250
74251
74260
74270
74280
74283
74290
74291
74300
74301
74305
74320
74327
74328
74329
74330
74340
74350
74355
74360
74363
74400
74410
A
B
B
B
B
M
A
A
M
A
A
M
M
M
M
A
M
M
B
M
B
M
M
A
A
M
A
B
M
M
A
A
M
A
AE
B
B
B
M
AE
AE
M
AE
A
A
Tracto Urinario
Tracto Urinario
Tracto Urinario
Tracto Urinario
Tracto Urinario
Tracto Urinario
Tracto Urinario
Tracto Urinario
Tracto Urinario
Tracto Urinario
Ginecologa y Obstetricia
Corazn
Corazn
Corazn
Corazn
Corazn
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
74415
74420
74425
74430
74440
74450
74455
74475
74480
74485
74740
74742
75552
75553
75554
75555
75556
75600
75605
75625
75630
75635
75650
75658
75660
75662
75665
75671
75676
75680
75685
75705
75710
75716
75722
75724
75726
75731
75733
75736
75741
75743
75746
75756
75774
A
A
A
A
A
A
A
AE
M
AE
A
A
M
A
M
M
M
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
Aorta y Arterias
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Procedimientos Transcatter
75790
75801
75803
75805
75807
75809
75810
75820
75822
75825
75827
75831
75833
75834
75835
75860
75870
75871
75872
75885
75887
75889
75891
75893
75894
75896
75898
75900
75901
75902
75940
75945
75952
75953
75954
75960
75961
75962
75966
75978
75979
75980
75981
75998
76000
AE
M
A
A
A
AE
AE
A
A
A
AE
AE
AE
A
A
AE
AE
A
A
AE
AE
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
M
B
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
76001
76003
76005
76010
76012
76013
76020
76040
76061
76066
76070
76071
76075
76076
76078
76080
76082
76083
76086
76088
76090
76091
76092
76093
76094
76098
76350
76355
76360
76362
76370
76375
76380
76390
76393
76394
76400
76506
76511
76512
76513
76514
76516
76519
76529
B
A
A
M
AE
AE
B
B
B
B
M
M
M
M
M
M
M
M
M
M
B
B
B
M
M
B
M
M
A
AE
A
A
M
M
M
M
M
A
B
M
M
B
B
M
B
Cabeza y Cuello
Trax
Trax
Trax
Abdomen y Retroperitoneo
Canal Espinal
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
No Obsttrica
No Obsttrica
No Obsttrica
Genitales
Genitales
Extremidades
Extremidades
Procedimientos con Gua Ultrasonogrfica
76536
76604
76645
76646
76700
76705
76770
76775
76778
76800
76801
76802
76805
76810
76811
76812
76815
76816
76817
76818
76819
76825
76827
76830
76831
76856
76870
76872
76880
76885
76930
76932
76936
76937
76940
76941
76942
76945
76946
76948
76950
76977
76986
77300
77301
M
M
M
M
M
M
M
M
B
B
M
M
M
M
A
A
B
M
M
M
M
B
M
A
A
M
M
M
M
M
B
M
A
A
A
A
M
M
M
A
A
B
M
M
M
Provisin de tratamiento de radiacin
Manejo del Tratamiento por Radiacin

Braquiterapia Clnica
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
77302
77303
77310
77311
77315
77324
77325
77327
77330
77331
77332
77335
77418
77420
77422
77424
77427
77431
77432
77433
77470
77750
77761
77763
77781
77782
77783
77784
77785
77789
78000
78001
78002
78003
78006
78007
78008
78009
78010
78011
78018
78019
78070
78075
78076
M
M
AE
AE
AE
M
M
M
A
A
M
M
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
AE
AE
AE
AE
AE
A
B
B
B
B
B
B
B
B
B
B
M
M
M
M
M
Sistema Endocrino
Sistema Endocrino
Sistema Hematopoytico, Reticuloendotelia
Sistema Gastrointestinal
Sistema Musculoesqueltico
78077
78078
78185
78191
78195
78196
78197
78198
78199
78201
78202
78205
78206
78215
78220
78223
78230
78232
78258
78261
78262
78264
78267
78268
78272
78278
78279
78280
78281
78300
78315
78320
78321
78322
78350
78360
78361
78362
78363
78364
78365
78366
78367
78368
78369
M
M
M
M
M
M
M
M
M
M
M
M
M
M
B
M
M
M
M
M
M
M
B
B
M
B
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
Sistema Cardiovascular
Sistema Respiratorio
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Genitourinario
78455
78456
78458
78461
78465
78469
78478
78480
78481
78482
78483
78484
78485
78486
78487
78488
78489
78490
78491
78492
78493
78494
78495
78496
78497
78580
78584
78585
78587
78588
78606
78607
78608
78609
78610
78630
78631
78635
78645
78647
78648
78649
78660
78700
78701
B
M
M
B
A
B
B
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
B
B
A
M
M
A
A
A
A
A
M
A
B
M
M
M
M
M
Terapetica
Terapetica
Terapetica
Terapetica
Terapetica
Terapetica
Terapetica
78704
78707
78708
78710
78711
78712
78713
78714
78715
78730
78740
78741
78742
78761
78762
78801
78802
78803
78804
78806
78807
78808
78890
78891
78892
78893
78894
78895
79000
79001
79020
79030
79035
79100
79900
80051
80055
80057
80058
80061
80062
80063
80076
80090
80095
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
B
M
M
M
M
B
B
B
B
B
B
B
B
M
M
B
A
A
M
M
M
M
M
M
M
M
M
M
M
M
80096
80097
80098
80150
80152
80154
80156
80157
80158
80160
80162
80164
80166
80168
80170
80172
80174
80176
80178
80182
80184
80185
80186
80188
80190
80192
80194
80196
80197
80198
80200
80201
80202
80203
80400
80402
80406
80408
80410
80412
80414
80415
80416
80417
80418
M
B
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
80420
80422
80424
80426
80428
80430
80432
80434
80435
80436
80438
80439
80440
81000
81001
81002
81003
81005
81007
81015
81020
81025
81050
82000
82003
82009
82010
82013
82020
82024
82030
82040
82042
82043
82044
82055
82075
82085
82088
82101
82103
82105
82106
82108
82135
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
B
B
B
B
B
B
B
B
M
A
M
M
A
M
A
A
B
B
B
B
M
B
A
A
A
A
A
A
A
A
82140
82143
82145
82150
82157
82163
82164
82175
82180
82232
82239
82247
82248
82270
82307
82308
82310
82330
82340
82355
82360
82378
82379
82382
82383
82384
82387
82390
82415
82435
82436
82465
82480
82482
82486
82491
82495
82507
82520
82525
82528
82530
82533
82540
82550
A
M
M
M
A
A
A
A
M
M
B
M
M
B
A
A
M
M
M
A
A
A
A
A
A
A
A
A
A
M
M
M
A
A
A
A
A
A
M
A
A
A
A
M
M
82553
82565
82600
82607
82626
82627
82633
82634
82651
82652
82666
82668
82670
82671
82672
82677
82705
82710
82725
82726
82728
82735
82742
82746
82757
82760
82775
82784
82785
82787
82800
82803
82804
82810
82926
82938
82941
82943
82946
82947
82948
82950
82951
82955
82977
M
M
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
M
M
M
A
A
M
M
M
M
A
A
A
M
M
M
M
M
M
M
M
M
M
B
M
M
M
M
82985
83001
83002
83003
83008
83010
83013
83015
83020
83021
83026
83030
83033
83036
83045
83050
83070
83071
83088
83491
83497
83498
83499
83500
83505
83521
83525
83527
83528
83540
83550
83586
83605
83615
83625
83633
83634
83655
83690
83715
83718
83719
83721
83735
83785
M
A
A
A
A
A
M
A
A
A
B
M
M
M
M
M
M
M
A
A
A
A
A
A
A
A
A
A
A
M
M
A
M
M
M
M
M
A
M
M
M
M
M
M
M
83805
83825
83864
83873
83874
83887
83915
83925
83930
83935
83970
83986
84022
84030
84035
84060
84066
84075
84078
84080
84081
84100
84105
84106
84110
84119
84120
84126
84127
84132
84133
84134
84135
84140
84143
84144
84146
84150
84152
84155
84165
84181
84207
84210
84220
A
A
A
A
A
M
M
M
M
M
M
B
A
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
84228
84244
84252
84260
84275
84285
84295
84300
84305
84307
84392
84402
84403
84425
84432
84436
84439
84442
84443
84445
84446
84450
84460
84466
84478
84479
84480
84481
84482
84510
84512
84520
84525
84540
84545
84550
84560
84577
84578
84580
84583
84585
84586
84588
84590
A
A
A
A
A
A
M
M
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
M
B
M
M
A
A
A
A
84597
84600
84620
84630
84681
84702
84703
84830
85002
85007
85008
85013
85018
85027
85032
85041
85042
85044
85046
85048
85049
85060
85097
85102
85170
85175
85210
85220
85230
85240
85244
85245
85246
85247
85250
85260
85270
85280
85290
85292
85293
85302
85303
85335
85337
A
A
A
A
A
M
M
M
B
B
B
B
B
M
B
M
M
B
M
M
M
M
M
M
B
M
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
AE
A
85345
85347
85348
85362
85366
85370
85378
85379
85380
85384
85385
85390
85400
85441
85445
85460
85461
85475
85520
85525
85530
85536
85540
85547
85549
85555
85557
85576
85590
85597
85610
85611
85612
85613
85651
85652
85660
85670
85675
85705
85730
85732
85810
86000
86001
B
M
M
M
M
M
M
M
M
M
M
M
AE
M
M
M
M
M
A
A
A
M
M
M
M
M
M
A
M
A
M
M
A
A
B
M
M
M
M
M
M
M
M
M
M
86003
86005
86021
86022
86023
86038
86039
86060
86063
86140
86141
86146
86147
86148
86155
86156
86160
86161
86162
86171
86185
86215
86225
86226
86235
86243
86255
86256
86277
86280
86294
86300
86308
86309
86310
86316
86317
86318
86319
86320
86325
86327
86331
86332
86334
M
M
AE
AE
AE
A
A
M
M
M
M
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
M
A
A
M
M
A
A
A
A
A
A
A
A
M
A
A
86336
86337
86340
86341
86343
86344
86353
86359
86360
86361
86376
86378
86382
86384
86403
86406
86430
86431
86485
86490
86510
86580
86585
86586
86588
86590
86592
86593
86602
86603
86606
86609
86611
86612
86615
86617
86618
86622
86625
86628
86631
86632
86635
86638
86641
A
A
A
A
A
M
A
A
A
A
A
A
A
A
B
B
M
M
M
M
M
M
M
M
M
A
B
B
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
86644
86645
86648
86651
86652
86653
86654
86658
86663
86664
86665
86666
86668
86671
86674
86677
86682
86684
86687
86688
86689
86692
86694
86695
86696
86698
86701
86702
86703
86704
86705
86706
86707
86708
86709
86710
86713
86717
86720
86723
86727
86729
86732
86735
86738
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
Tipificacin tisular
86741
86744
86747
86750
86753
86756
86757
86759
86762
86765
86768
86771
86774
86777
86778
86781
86784
86787
86790
86793
86800
86803
86804
86805
86806
86807
86808
86809
86810
86811
86812
86813
86814
86816
86817
86821
86822
86830
86831
86832
86850
86860
86880
86885
86886
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
AE
AE
AE
AE
M
M
M
AE
AE
M
AE
AE
AE
AE
M
M
M
M
M
M
M
M
86890
86900
86901
86905
86906
86910
86911
86917
86920
86921
86922
86924
86927
86930
86931
86932
86945
86950
86970
86971
86975
86976
86977
86978
86984
86985
86986
86987
86988
86989
86990
86991
86992
86996
86997
87001
87003
87015
87040
87045
87046
87070
87073
87075
87076
M
B
B
A
M
A
A
M
M
M
M
M
M
A
A
A
AE
AE
A
A
M
M
M
A
M
M
M
M
M
M
M
M
M
M
B
AE
AE
M
M
M
M
M
M
M
M
87077
87081
87084
87086
87087
87088
87101
87102
87103
87106
87107
87109
87110
87115
87116
87118
87140
87143
87147
87149
87152
87158
87161
87163
87164
87166
87168
87169
87176
87177
87178
87179
87180
87181
87184
87185
87186
87187
87188
87190
87197
87205
87206
87207
87210
M
M
M
M
M
M
M
M
M
M
M
A
A
A
A
A
A
A
M
A
A
A
A
A
A
A
B
B
M
B
B
B
B
M
M
M
M
A
A
A
A
B
B
B
B
87220
87230
87250
87252
87253
87254
87255
87260
87265
87267
87269
87270
87271
87272
87273
87274
87275
87276
87277
87278
87279
87280
87281
87283
87285
87290
87301
87320
87324
87327
87328
87329
87332
87335
87336
87338
87340
87350
87351
87380
87385
87390
87391
87400
87420
M
A
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
Examen post-mortem
Examen post-mortem
Examen post-mortem
Examen post-mortem
Examen post-mortem
Examen post-mortem
Subseccin Citopatologa
Subseccin Estudios Citogenticos
87425
87430
87445
87449
87450
87451
87536
87539
87797
87798
87799
88000
88012
88020
88027
88028
88036
88104
88108
88130
88141
88142
88143
88147
88148
88164
88165
88166
88172
88180
88182
88183
88184
88185
88186
88230
88233
88235
88237
88239
88240
88241
88245
88261
88271
M
M
M
M
M
M
A
A
A
A
A
A
AE
A
A
AE
A
A
A
A
A
A
A
A
A
A
AE
A
A
AE
AE
M
A
M
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE

Subseccin Patologa quirrgica
munoglobuliinas, Vacunas/Toxoides
88280
88291
88300
88301
88312
88318
88319
88342
88346
88347
88348
88355
88365
88366
88368
88370
88372
88374
88376
88378
88380
88381
88382
89050
89051
89060
89125
89127
89250
89253
89255
89258
89260
89268
89280
89320
90375
90471
90474
90585
90675
90676
90701
90702
90707
AE
AE
A
A
A
AE
A
A
A
A
AE
A
A
A
A
A
A
A
A
A
A
A
A
M
M
M
B
M
AE
AE
AE
AE
AE
AE
AE
M
B
B
B
B
B
B
B
B
B
s (excluye Quimioterapia)
s o Teraputicas
s o Teraputicas
s o Teraputicas
Procedimientos de Psiquiatra Teraputico
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otros Procedimientos o servicios de Psiqui
90708
90711
90712
90717
90720
90744
90749
90780
90782
90783
90784
90804
90806
90808
90845
90846
90847
90849
90853
90857
90858
90859
90860
90861
90863
90864
90866
90868
90869
90872
90873
90874
90880
90935
90937
90945
90950
90951
90952
90997
91000
91001
91002
91010
91020
B
B
B
B
B
B
B
B
B
M
B
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
A
M
A
M
A
A
A
A
A
A
A
A
A
A
B
B
B
AE
AE
91030
91033
91052
91105
91122
91124
91126
91128
91132
91135
91136
91138
91140
91142
91144
91146
91148
91150
91152
91154
91156
91158
91160
91162
91164
91166
91168
91170
91172
91174
91178
91179
91180
91182
91184
91188
91190
91192
91194
91196
91198
91200
91202
91204
91206
M
AE
M
B
AE
A
AE
AE
AE
AE
AE
M
M
A
A
AE
A
AE
AE
M
AE
M
AE
AE
A
A
M
A
A
A
A
B
A
A
A
A
AE
A
M
AE
A
M
A
AE
A
Servicios Oftalmolgicos Especiales

Prtesis Ocular, Ojo Artificial
91208
91212
91214
91216
91218
91220
91222
91224
91226
91228
91230
91232
91234
91236
92015
92018
92020
92060
92065
92081
92100
92135
92225
92227
92235
92250
92260
92265
92275
92276
92278
92280
92282
92284
92286
92288
92290
92296
92298
92300
92330
92502
92504
92506
92510
A
M
A
A
AE
AE
AE
AE
AE
M
AE
A
AE
AE
B
M
B
B
B
M
B
M
B
B
A
M
M
M
M
B
B
B
M
M
M
M
B
AE
M
A
B
M
B
M
M
Pruebas de Funcin Vestibular, con observa

Pruebas de Funcin Vestibular, con regis
Pruebas de Funcin Audiolgica con Eval
92511
92512
92516
92520
92526
92531
92532
92533
92534
92541
92542
92543
92544
92545
92546
92547
92548
92551
92552
92553
92555
92556
92557
92559
92560
92562
92563
92564
92565
92567
92568
92569
92571
92572
92573
92575
92576
92577
92579
92582
92583
92584
92585
92587
92588
M
B
M
B
M
B
B
M
B
M
M
M
M
M
M
M
M
B
B
B
B
B
B
M
B
B
B
B
M
B
B
B
M
M
M
B
B
M
M
M
M
M
M
B
M

Servicios Teraputicos Cardiovascular
Cardiografa
Cardiografa
Cardiografa
Cardiografa
Ecocardiografa
Ecocardiografa
Ecocardiografa
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
92589
92590
92591
92592
92593
92594
92595
92596
92950
92960
92961
92970
92971
92973
92975
92977
92978
92980
92982
92986
92995
92997
93000
93015
93224
93278
93307
93312
93320
93501
93503
93505
93508
93510
93514
93524
93526
93527
93528
93529
93530
93531
93532
93533
93542
M
M
M
M
M
M
M
M
M
M
A
A
A
AE
AE
M
AE
AE
AE
AE
AE
AE
M
M
M
M
M
A
M
AE
A
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
Caterizacin Cardaca
Caterizacin Cardaca
Procedimientos Electrofisiolgicos Intraca
Otros Estudios Vasculares
Estudios arterial cerebrovascular
Estudios Arteriales de Extremidades (Inc
Estudios Arteriales de Extremidades (Inc
Estudios Venosos de Extremidades (Inclu
Estudios Venosos de Extremidades (Inclu
Estudios Viscerales y Vasculares Peneano
93561
93571
93600
93610
93613
93615
93618
93631
93640
93650
93660
93662
93724
93727
93731
93734
93740
93741
93760
93784
93875
93876
93880
93886
93922
93925
93965
93970
93975
93978
93980
94010
94060
94070
94150
94200
94240
94360
94370
94450
94620
94640
94656
94660
94662
AE
A
AE
AE
A
A
AE
A
A
AE
A
A
A
A
A
A
M
A
M
M
A
A
M
M
M
M
M
M
M
M
M
A
A
A
M
M
M
A
A
A
A
A
A
A
A
Examen para Alergia

Examen para Alergia
Examen para Alergia
Examen para Alergia
Examen para Alergia
Pruebas del sueo
Pruebas del sueo
Electroencefalografia de rutina (EEG)
Examen muscular y del rango de movimie
Electromiografa y Examen de Conduccin
vioso Central (p.ej. Neurocognitivas, Estado Mental,
Pruebas de funcin del sistema nervioso
Estudios de potenciales evocados
Exmenes EEG especiales
94664
94667
94680
94720
94725
94750
94760
95004
95044
95060
95065
95070
95806
95808
95812
95816
95829
95830
95831
95834
95851
95857
95858
95860
95861
95863
95864
95867
95868
95869
95872
95875
95900
95921
95925
95930
95933
95934
95937
95938
95950
95951
95953
95954
95955
M
M
A
A
A
M
B
M
M
A
A
A
A
A
M
M
AE
AE
B
B
M
M
M
M
M
M
M
M
M
M
A
A
M
AE
M
M
M
M
M
M
A
A
A
AE
A

Raquicentesis (Puncin Lumbar)
95956
95957
95958
95961
95970
95972
95992
96100
96105
96110
96111
96115
96117
96400
96405
96408
96410
96420
96422
96440
96441
96445
96450
96542
96905
96910
96920
97001
97003
97004
97005
97006
97007
97008
97009
97010
97011
97012
97014
97016
97018
97020
97022
97026
97028
A
A
AE
AE
M
M
AE
M
M
M
M
M
M
M
A
B
M
B
M
A
A
A
A
A
B
B
B
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
97032
97035
97036
97110
97112
97113
97116
97124
97125
97150
97504
97520
97530
97535
97537
97542
97545
97703
97750
97770
97780
97781
97782
97802
99130
99131
99141
99142
99184
99185
99186
99187
99188
99189
99190
99191
99192
99193
99194
99195
99196
99198
99199
99201
99203
A
A
A
M
M
M
M
M
M
A
A
M
A
A
A
M
M
M
M
A
A
A
M
A
B
B
B
B
A
B
M
A
B
M
M
M
A
A
A
B
M
M
B
B
A
Neonatales
Neonatales
Neonatales
Neonatales
99204
99207
99209
99211
99218
99221
99233
99234
99235
99236
99237
99238
99241
99243
99250
99251
99252
99253
99254
99255
99281
99282
99293
99294
99295
99296
99297
99298
99299
99300
99301
99302
99303
99304
99342
99343
99344
99345
99346
99347
99348
99349
99350
99351
99441
A
B
B
B
M
M
B
B
M
A
M
M
B
A
B
B
B
B
B
B
M
B
A
A
AE
AE
AE
AE
A
A
A
A
A
A
B
M
M
M
M
M
M
A
A
A
B
Cuerpo Uterino
Sistema Endocrino
99442
99443
99500
99501
99502
99503
99504
99511
58101
62274
62275
78079
82570
82575
82595
86006
86007
86008
86009
86010
88200
88201
88202
88205
88206
88207
88208
88209
88210
88292
88293
88294
88302
95879
95880
95881
95882
95883
95884
96407
C0001
C0011
C0021
C0031
C0041
M
AE
A
M
A
A
A
M
B
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
AE
AE
AE
A
M
M
M
M
M
M
M
amiento Social
amiento Social
amiento Social
amiento Social
amiento Social
amiento Social
amiento Social
amiento Social
C0051
C0061
C0071
C0081
C0091
C1001
C1011
C1021
C1031
C1041
C2001
C2011
C2021
C2031
C2041
C2051
C2061
C2071
C2081
C2091
C2101
C2111
C3001
C3011
C3021
C3031
C3041
C3051
C3061
C3071
C4001
C4021
C4031
C4051
C4071
C4081
C4091
C4101
C5011
C5021
C5031
C5041
C5051
C5061
C5071
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
rocedimiento en Consultorio)
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
C5081
C5091
C6001
C6011
C6021
C6031
C6041
C6051
C6061
C6071
C6081
C6091
C6101
C6102
C6103
C6104
C6105
D0120
D0160
D0220
D0240
D0270
D0415
D0425
D0460
D1110
D1120
D1201
D1203
D1204
D1205
D1210
D1215
D1220
D1225
D1310
D1351
D1511
D1526
D2110
D2120
D2130
D2140
D2150
D2160
B
M
M
M
M
A
B
B
B
B
B
B
B
B
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
D2330
D2331
D2332
D2335
D2336
D2337
D2380
D2381
D2382
D2385
D2386
D2387
D2390
D2391
D2392
D2395
D2510
D2542
D2610
D2642
D2650
D2662
D2705
D2925
D2930
D2931
D2951
D2955
D2971
D2972
D2985
D2986
D3110
D3120
D3220
D3221
D3230
D3240
D3310
D3311
D3320
D3321
D3330
D3331
D3333
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
M
M
M
M
M
M
B
M
B
B
M
M
M
M
M
M
M
M
M
M
M
M
B
B
M
M
A
A
M
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
D3346
D3347
D3348
D3351
D3352
D3353
D3430
D3460
D4220
D4240
D4249
D4263
D4264
D4266
D4267
D4268
D4270
D4271
D4341
D4355
D4910
D5110
D5111
D5211
D5212
D5710
D5810
D5811
D5850
D5875
D5931
D5932
D5937
D6080
D6100
D7110
D7112
D7114
D7116
D7118
D7124
D7126
D7128
D7130
D7132
M
M
A
M
M
M
A
A
A
A
M
A
A
A
A
M
A
A
A
A
M
M
M
M
M
M
M
M
M
A
A
A
M
M
A
AE
AE
A
A
A
AE
A
AE
A
A
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
D7134
D7138
D7140
D7144
D7146
D7148
D7152
D7154
D7156
D7158
D7160
D7164
D7166
D7168
D7170
D7172
D7174
D7176
D7178
D7180
D7182
D7184
D7186
D7188
D7190
D7192
D7196
D7198
D7200
D7202
D7204
D7206
D7208
D7210
D7212
D7214
D7216
D7218
D7220
D7222
D7224
D7226
D7228
D7230
D7232
A
AE
AE
AE
AE
A
A
A
AE
A
AE
M
AE
AE
A
A
A
M
M
A
A
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
M
AE
B
AE
AE
AE
A
A
AE
AE
AE
AE
AE
A
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
D7234
D7236
D7238
D7240
D7242
D7244
D7246
D7250
D7252
D7254
D7256
D7258
D7260
D7262
D7264
D7266
D7268
D7270
D7272
D7274
D7276
D7278
D7280
D7282
D7284
D7288
D7292
D7294
D7296
D7306
D8010
D8011
D8050
D8051
D8052
D8070
D8071
D8072
D8073
D8074
D8210
D8211
D8660
D8661
D8662
A
A
AE
AE
M
A
A
M
B
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
M
AE
A
A
AE
AE
A
A
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
Cabeza
D8663
AE
Descripcin Procedimiento
Unidad
Relativa de
Valor URV
Anestesia para procedimientos de las glndulas salivales, incl

Anestesia para procedimientos relacionados a la reparacin de f
Anestesia para procedimientos reconstructivos del prpado
Anestesia para terapia electroconvulsiva
Anestesia para procedimientos en el odo externo, medio e inte
Anestesia para Otoscopia
Anestesia para Timpanotoma
Anestesia para procedimientos en el ojo; no especificados de o
Anestesia para Ciruga del cristalino
Anestesia para Trasplante de crnea
Anestesia para Ciruga vitreoretinal
Anestesia para Iridectoma
Anestesia para Oftalmoscopa
Anestesia para procedimientos en la nariz y senos paranasales;
Anestesia para Ciruga radical de nariz y senos paranasales
Anestesia para biopsia de tejido blando de nariz y senos paran
Anestesia para procedimientos intra orales, incluyendo biopsia;
Anestesia para Correccin de paladar hendido
Anestesia para Excisin de tumor retro farngeo
Anestesia para Ciruga radical en regin intra oral
Anestesia para procedimientos en huesos faciales o de crneo;
Anestesia para Ciruga radical de huesos faciales o de crneo
Anestesia para procedimientos intra craneales; no especificado
Anestesia para punciones evacuadoras subdurales
Anestesia para procedimientos de Trepanacin craneana, incluy
Anestesia para Craneoplasta o Elevacin de fractura deprimida
Anestesia para procedimientos vasculares intracraneales
Anestesia para procedimientos intracraneales en posicin sent
Anestesia para procedimientos de Derivacin de lquido cefalo
Anestesia para Electrocoagulacin de nervio intracraneal
Anestesia para procedimientos en estructuras de cabeza, cuello
Anestesia para procedimientos en estructuras de cuello en ma
Anestesia para biopsia de tiroides con aguja
Anestesia para procedimientos de laringe y trquea en menore
Anestesia para procedimientos vasculares mayores en cuello, n
Anestesia para Ligadura simple de vaso de cuello
Anestesia para procedimientos en estructuras de extremidades,
Anestesia para procedimientos reconstructivos de mama
Anestesia para procedimientos de mamas radicales con/sin mod
9.61
9.67
7.00
6.50
5.67
5.37
5.44
7.50
8.00
10.41
10.41
10.41
1.50
10.13
12.12
11.50
11.58
16.95
12.69
13.23
21.49
30.60
13.15
8.00
16.62
12.53
13.23
13.23
14.54
10.41
13.23
12.69
6.35
12.61
15.00
8.50
12.53
12.53
25.73
Anestesia para procedimientos radicales o modificados en las

Anestesia para conversin elctrica de arritmias
Anestesia para procedimientos en la clavcula y escpula; no e
Anestesia para ciruga radical de clavcula y escpula
Anestesia para biopsia de clavcula
Anestesia para reseccin parcial de costilla; no especificados d
Anestesia para toracoplasta
Anestesia para procedimientos radicales en costillas
Anestesia para todos los procedimientos en el esfago
Anestesia para procedimientos de trax a cielo cerrado; no esp
Anestesia para biopsia con aguja de pleura
Anestesia para neumocentesis
Anestesia para mediastinoscopia y toracoscopia diagnstica si
Anestesia para mediastinoscopia y toracoscopia diagnstica ha
Anestesia para insercin transvenosa de marcapaso permanen
Anestesia para acceso a circulacin venosa central
Anestesia para insercin transvenosa o reemplazo de dispositivo
Anestesia para procedimientos electrofisiolgicos cardacos
Anestesia para reconstruccin traqueobronquial
Anestesia para toracotoma con manipulacin de pulmones, pleu
Anestesia intratorcica empleando ventilacin de un solo pulm
Anestesia para decorticacin
Anestesia para reseccin pulmonar con toracoplasta
Anestesia para procedimientos intratorcicos en la trquea y b
Anestesia para debridacin de esternn
Anestesia para procedimientos de corazn, pericardio, y grand
Anestesia para procedimientos de corazn, pericardio, y gran
Anestesia para procedimientos cardiovasculares en trax, con
Anestesia para bypass coronario directo, sin uso de bomba de
Anestesia para trasplante de corazn o trasplante de corazn/
Anestesia para procedimientos en columna y mdula espinal cer
Anestesia para procedimientos de columna y mdula cervical e
Anestesia para procedimientos en columna y mdula torcica; n
Anestesia para simpatectoma toracolumbar
Anestesia para procedimientos en regin lumbar; no especifica
Anestesia para simpatectoma lumbar
Anestesia para nuclelisis qumica
Anestesia para puncin lumbar diagnstica o teraputica
Anestesia para manipulacin de columna para procedimientos
Anestesia para procedimientos amplios en columna y mdula e
Anestesia para procedimientos en pared abdominal anterior alta
Anestesia para biopsia percutnea de hgado
Anestesia para procedimientos en la pared abdominal posterior
Anestesia para procedimientos endoscpicos gastrointestinales
Anestesia para correccin de hernia en el abdomen alto; no esp
16.64
11.00
10.47
10.89
12.23
10.41
11.50
11.50
11.98
12.05
5.20
5.01
10.60
12.61
12.12
5.62
5.64
5.76
13.15
13.15
13.15
13.15
13.15
21.28
13.07
21.49
21.49
21.49
21.49
21.49
13.15
13.15
13.15
13.15
13.07
13.07
13.07
7.22
10.48
25.73
9.00
5.64
8.93
10.40
7.09
Anestesia para reparacin de hernias lumbar y ventral (incision

Anestesia para reparacin de onfalocele
Anestesia para correccin transabdominal de hernia diafragmt
Anestesia para todos los procedimientos en vasos sanguneos
Anestesia para procedimientos intraperitoneales en abdomen al
Anestesia para hepatectoma parcial o manejo de hemorragia h
Anestesia para pancreatectoma parcial o total
Anestesia para trasplante de hgado (receptor)
Anestesia para procedimiento restrictivo gstrico por obesidad
Procedimientos en la pared abdominal anterior baja; no especif
Anestesia para paniculectoma
Anestesia para procedimientos endoscpicos intestinales bajos
Anestesia para procedimientos en pared abdominal posterior e i
Anestesia para correcciones de hernias en el abdomen inferior;
Anestesia para correccin de hernias ventrales e incisionales
Anestesia para reparacin de hernias en abdomen inferior no
Anestesia para procedimientos intraperitoneales en abdomen inf
Anestesia para amniocentesis
Anestesia para reseccin abdominoperineal
Anestesia para histerectoma radical
Anestesia para exenteracin plvica
Anestesia para procedimientos extra peritoneales en abdomen inf
Anestesia para procedimientos renales, incluyendo el tercio sup
Anestesia para cistectoma total
Anestesia para prostatectoma radical (suprapbica, retropbic
Anestesia para adrenalectoma
Anestesia para trasplante renal (donante o receptor)
Anestesia para cistolitotoma
Anestesia para Litotripsia con onda de choque extracorprea;
Anestesia para Litotripsia con onda de choque extracorpreo,
Procedimientos en vasos mayores del abdomen bajo; no especi
Anestesia para Ligadura de vena cava inferior
Anestesia para Insercin transvenosa de dispositivo en sombril
Anestesia para procedimiento anorrectal
Anestesia para procedimiento perineal radical
Anestesia para Vulvectoma
Anestesia para Prostatectoma perineal
Anestesia para procedimientos transuretrales, no especificados
Anestesia para Reseccin transuretral de tumores de vejiga
Anestesia para Reseccin transuretral de prstata
Anestesia para control de sangrado posterior a reseccin transu
Anestesia para procedimientos transuretrales con fragmentacin
Anestesia para procedimientos en genitales externos masculino
Anestesia para procedimientos en vesculas seminales
Anestesia para Criptorquidea
9.61
10.41
10.47
10.89
12.10
25.73
10.95
10.95
13.23
7.06
10.47
6.61
5.42
7.06
12.47
10.47
10.41
17.16
10.47
20.62
20.62
7.06
10.89
10.89
14.64
11.00
21.49
10.41
5.64
5.64
10.83
10.89
10.47
7.28
10.47
15.20
9.61
10.41
10.41
8.93
5.69
9.67
5.64
5.42
5.42
Anestesia para Orquiectoma radical inguinal

Anestesia para Orquiectoma radical abdominal
Anestesia para Orquiopexia
Anestesia para Amputacin completa del pene
Anestesia para Amputacin radical del pene con linfadenectoma
Anestesia para Amputacin radical del pene con linfadenectoma
Anestesia Insercin de prtesis de pene (abordaje perineal)
Anestesia para procedimientos vaginales; no especificados de
Anestesia para Colpotoma, Vaginectoma, Colporrafia y procedi
Anestesia para Histerectoma vaginal
Anestesia para Cerclaje cervical
Anestesia para Culdoscopa
Anestesia para Histeroscopa y/o Histerosalpingografa
Anestesia para aspiracin y/o biopsia de mdula sea
Anestesia para procedimientos en la pelvis sea
Anestesia para aplicacin o revisin de yeso corporal
Anestesia para Amputacin interplvico-abdominal (cuarto poste
Anestesia para procedimientos radicales por tumor de la pelvis
Anestesia para procedimientos a cielo cerrado que involucran a la
Anestesia para procedimientos a cielo abierto que involucran a la
Anestesia para Neurectoma extraplvica del obturador
Anestesia para Neurectoma intraplvica del obturador
Anestesia para todos los procedimientos cerrados que involucran
Anestesia para procedimientos artroscpicos en articulacin de
Anestesia para procedimientos abiertos que involucran la articu
Anestesia para Desarticulacin de la cadera
Anestesia para Artroplasta total de cadera
Anestesia para Revisin de artroplasta total de cadera
Anestesia para procedimientos cerrados que involucran a los 2/
Anestesia para procedimientos abiertos que involucran a los 2/
Anestesia para Amputacin a nivel de 2/3 superiores de fmur
Anestesia para Reseccin radical a nivel de 2/3 superiores de
Anestesia para todo procedimiento en nervios, msculos, tendon
Anestesia para todos los procedimientos que involucran las ven
Anestesia para procedimientos en arterias del muslo, incluyendo
Anestesia para ligadura de la arteria femoral
Anestesia para embolectoma de la arteria femoral
Anestesia para todo procedimiento en nervios, msculos, tendone
Anestesia para procedimientos cerrados en el tercio inferior de
Anestesia para procedimientos abiertos en el tercio inferior del
Anestesia para procedimientos cerrados en la articulacin de la
Anestesia para procedimientos artroscpicos diagnsticos en la
Anestesia para todos los procedimientos cerrados en los extremo
Anestesia para todos los procedimientos abiertos en los extremo
Anestesia para procedimientos artroscpicos quirrgicos o abier
5.64
5.64
5.42
9.61
9.24
10.41
9.61
9.61
14.00
9.61
9.61
9.61
10.47
5.42
5.64
5.39
10.41
10.83
10.83
10.83
10.83
10.83
10.41
9.61
10.41
10.41
10.53
10.47
10.41
10.41
9.61
9.61
10.41
9.61
10.41
10.41
10.41
5.42
5.42
9.61
5.42
5.42
9.61
9.61
9.61
Anestesia para Artroplasta total de rodilla

Anestesia para Desarticulacin a nivel de la rodilla
Anestesia para la aplicacin, remocin o correccin de yesos que
Procedimientos en venas de la rodilla y regin popltea; no esp
Anestesia para procedimientos en fstula arteriovenosa
Anestesia para procedimientos en arterias de la rodilla o regin
Anestesia para Tromboendarterectoma popltea, con o sin parc
Anestesia para Excisin popltea e injerto o correccin para oc
Anestesia para todos los procedimientos cerrados en la parte infe
Anestesia para procedimientos artroscpicos del tobillo y/o pie
Anestesia para procedimientos en partes blandas de parte inferio
Anestesia por Rotura de tendn de Aquiles
Anestesia para Reseccin de msculos gemelos
Anestesia para procedimientos abiertos en huesos de parte inferi
Anestesia para reseccin radical que compromete huesos de parte
Anestesia para Osteotoma u Osteoplasta de la tibia y/o peron
Anestesia para reemplazo total de tobillo
Anestesia para aplicacin, remocin o correccin de yeso en la p
Anestesia para procedimientos en arterias de la pierna, incluye
Anestesia para Embolectoma en arterias de pierna, directa o c
Anestesia para procedimientos en venas de la pierna; no espec
Anestesia para Trombectoma venosa, directa o con catter
Anestesia para procedimientos en nervios, msculos, tendones,
Anestesia para procedimientos cerrados en huesos y articulaci
Anestesia para procedimientos artroscpicos diagnsticos de la
Anestesia para procedimientos abiertos y artroscpicos quirrg
Anestesia para Reseccin radical a nivel de la regin del hombr
Anestesia para Desarticulacin del hombro
Anestesia para Amputacin intertracoescapular
Anestesia para reemplazo total del hombro
Anestesia para procedimientos en arterias del hombro y axila;
Anestesia para Aneurisma axilar - braquial
Anestesia para Injerto de derivacin a nivel de hombro y axila
Anestesia para Injerto de derivacin axilar - femoral
Anestesia para todos los procedimientos en venas del hombro y
Anestesia para aplicacin, remocin o correccin de yeso del
Anestesia para aplicacin, remocin o correccin de espiga d
Anestesia para procedimientos en partes blandas del brazo y c
Anestesia para Tenotoma de codo al hombro, a cielo abierto
Anestesia para Tenoplasta de codo al hombro
Anestesia para Tenodesis del tendn largo del bceps
Anestesia para procedimientos cerrados en el hmero y el cod
Anestesia para procedimientos artroscpicos diagnsticos del
Anestesia para procedimientos abiertos o artroscpicos quirrg
Anestesia para Osteotoma del hmero
10.53
9.61
5.00
9.61
5.29
9.61
10.47
10.41
9.61
7.00
7.00
7.00
9.55
9.55
9.55
9.55
9.61
5.00
10.41
10.41
9.61
9.61
5.39
5.00
9.55
9.61
10.41
10.35
10.41
10.53
10.47
10.95
10.83
10.83
9.55
5.29
5.39
5.39
9.55
9.55
9.55
5.39
9.55
9.55
9.55
Anestesia para correccin de falta de unin o unin defectuos

Anestesia para procedimientos radicales en codo
Anestesia para Excisin de quiste o tumor del hmero
Anestesia para reemplazo total del codo
Anestesia para procedimientos en arterias del brazo y codo; no
Anestesia para Embolectoma a nivel de brazo y codo
Anestesia para procedimientos en venas del brazo y codo; no e
Anestesia para Fleborrafa en venas del brazo y codo
Anestesia para todos los procedimientos en partes blandas de
Anestesia para todos los procedimientos cerrados en el radio,
Anestesia para procedimientos artroscpicos diagnsticos en
Anestesia para procedimientos abiertos o artroscpicos quirr
Anestesia para reemplazo total de mueca
Anestesia para procedimientos en arterias del antebrazo, mue
Anestesia para Embolectoma a nivel de arterias de antebraz
Anestesia para Derivacin vascular, o para revisin de derivacin,
Anestesia para procedimientos en venas del antebrazo, mueca
Anestesia para Fleborrafa a nivel de antebrazo, mueca y ma
Anestesia para aplicacin, remocin o correccin de yeso del
Anestesia para Mielografa, Discografa, Vertebroplasta
Anestesia para Arteriografa, Venografa diagnstica
Anestesia para cateterizacin cardaca incluyendo arteriografa
Anestesia para imgenes no invasivas o para radioterapia
Anestesia para procedimientos de Radiologa intervencionista te
Anestesia para procedimientos de Radiologa intervencionista t
Anestesia para procedimientos de Radiologa intervencionista en
Anestesia para excisin o debridacin de quemadura de 2do y
Anestesia para Versin ceflica externa
Anestesia para Parto vaginal
Anestesia para Cesrea
Anestesia para Histerectoma de urgencia posterior a parto
Anestesia para Histerectoma Cesrea sin previa analgesia/anes
Anestesia para procedimientos de Aborto
Analgesia/anestesia neuroaxial para Parto vaginal planificado
Anestesia para Cesrea posterior a anestesia/analgesia neuroax
Anestesia para cesrea/histerectoma posterior a anestesia/ana
Anestesia General Inhalatoria
Anestesia General Inhalatoria con intubacin
Anestesia General Inhalatoria sin intubacin
9.55
10.41
10.41
10.47
9.67
10.47
9.61
5.39
5.39
5.39
9.55
9.55
10.47
10.41
10.41
9.55
9.55
5.29
5.39
11.50
11.50
12.05
6.66
11.43
12.05
12.05
11.98
11.98
11.98
11.98
12.45
12.53
12.53
5.42
5.29
9.61
10.53
9.61
5.39
5.42
9.67
9.67
11.80
18.20
11.80
Anestesia General Endovenosa

Anestesia General Endovenosa con intubacin
Anestesia General Endovenosa sin intubacin
Anestesia Epidural
Anestesia Epidural simple sin catter
Anestesia Epidural continua con catter
Anestesia Raqudea
Bloqueos
Anestesia local
Anestesia combinada
Evaluacin preanestsica
Soporte fisiolgico para toma de rganos de pacientes con mue
Anestesia por bloqueo e inyeccin a nervio en posicin que no
Anestesia por bloqueo e inyeccin a nervio de tipo diagnstico
Administracin IV regional de agente anestsico local u otra m
Manejo diario de administracin epidural o subaracnoidea de f
Anestesia en el servicio de radiologa para procedimientos inva
Anestesia endovenosa para realizar procedimientos fuera de S
Ciruga del Acn
Incisin y drenaje de abscesos
Incisin y drenaje de Quiste pilonidal simple
Incisin y retiro de cuerpo extrao de tejido subcutneo
Incisin y drenaje de hematoma, seroma o colecciones de flud
Puncin y aspiracin de absceso, hematoma, bula o quiste
Debridamiento de piel infectada o eczemas extensos
Debridamiento de piel y tejido subcutneo, incluyendo remocin
Debridamiento de piel, tejido subcutneo, fascia muscular y m
Debridamiento de piel, tejido subcutneo, fascia muscular, ms
Descamado o corte de lesin(es) hiperqueratsica(s) benigna(s
Biopsia de piel, tejido subcutneo y/o mucosa (y para diagnst
Extirpacin de verrugas blandas, plipos fibrocutneos mltiple
Afeitado de lesin epidrmica o drmica
Excisin de lesin benigna, excepto de verrugas blandas
Plasta de cicatrices simples
Plasta de cicatrices complicadas
Evacuacin de hematoma subungueal
Excisin de ua y matriz ungueal, parcial o completa (ejm. ua
Excisin de quiste o seno pilonidal
Insercin de medicamentos o dispositivos de liberacin
Remocin de medicamentos o dispositivo de liberacin
Remocin y reinsercin de medicamentos o dispositivos de libe
Sutura simple de heridas superficiales; 2.5 cm o menos
Sutura simple de heridas superficiales, menor o igual a 10 cm
Sutura simple de heridas superficiales, mayor de 10 cm
Cierre en capas de heridas; 2.5 cm o menos
11.80
18.20
11.80
8.00
8.00
10.00
7.50
8.11
1.50
14.00
2.80
7.47
5.42
9.61
5.44
13.11
11.80
11.80
11.11
0.98
5.56
4.44
5.56
5.56
5.56
11.11
26.67
15.00
3.33
2.71
3.63
0.67
0.67
7.78
11.11
0.67
1.31
2.22
3.33
1.78
4.00
1.80
2.31
4.30
1.80
Cierre en capas de heridas, menor o igual a 10 cm

Cierre en capas de heridas, mayor de 10 cm
Cierre secundario de herida quirrgica o dehiscencia, amplia o
Injerto de piel pediculado
Preparacin quirrgica o creacin de sitio receptor
Injerto de piel libre
Aplicacin de aloinjerto de piel
Aplicacin de injerto heterlogo de piel
Formacin de pedculo, con o sin transferencia
Aplicacin de colgajo diferido
Transferencia de cualquier colgajo pediculado a cualquier zona
Aplicacin de colgajo muscular, miocutneo o fasciocutneo
Aplicacin de colgajo; pedculo insular o neurovascular
Aplicacin de colgajo libre, con anastomosis microvascular
Dermoabrasin; toda la cara
Cervicoplasta
Blefaroplasta
Blefaroplasta, prpado superior
Ritidectoma
Excisin, exceso de piel y tejido subcutneo
Injerto para parlisis de nervio facial
Retiro de puntos bajo anestesia (que no sea anestesia local)
Retiro de puntos
Cambio de apsitos y curaciones bajo anestesia (que no sea an
Lipectoma por aspiracin
Cambio de apsitos y curaciones
Curacin de heridas pequeas, menor de 5 cms
Curacin de heridas medianas, de 5 a 10 cms
Curacin de heridas grandes, ms de 10 cms
Excisin de lcera de decbito
Excisin de lcera de decbito, con ostectoma
Debridamiento de lcera de decbito sin excisin
Tratamiento local de quemadura de primer grado
Debridamiento y/o limpieza quirrgica de quemaduras bajo ane
Escarotoma
Escarectoma
Destruccin de lesiones benignas o premalignas, cualquier m
Cauterizacin qumica de tejido de granulacin
Destruccin de lesin maligna, cualquier mtodo
Quimiociruga (tcnica microquirrgica de Moh)
Crioterapia para Acn
Exfoliacin Qumica de Acn
Puncin aspirativa de Quiste de mama
Mastotoma con exploracin o drenaje de absceso, profundo
Canalizacin de conducto mamario y canalizacin, para Galacto
4.00
5.56
8.89
13.33
6.67
11.11
11.11
15.56
15.56
13.33
15.56
17.78
22.22
25.00
8.00
13.33
6.67
8.89
8.89
15.66
15.66
0.80
0.80
1.50
68.20
0.80
1.00
1.00
1.00
7.78
8.89
8.09
8.00
10.00
6.22
14.50
1.67
1.71
1.67
1.67
1.67
1.67
1.67
1.67
3.33
Biopsia de mama; aguja trcar (procedimiento separado)

Biopsia de mama a cielo abierto
Biopsia percutnea de mama con ayuda de imgenes
Biopsia percutnea de mama con ayuda de imgenes y uso de di
Biopsia excisional abierta de lesin benigna o maligna de mam
Mastectoma por Ginecomastia
Mastectoma, parcial
Mastectoma parcial con Linfadenectoma axilar
Mastectoma, simple, completa
Mastectoma subcutnea
Mastectoma, radical, incluyendo msculos pectorales, ganglios l
Mastectoma, radical incluyendo msculos pectorales, ganglios l
Excisin de tumor de la pared torcica, incluyendo costillas, s
Excisin de tumor de la pared torcica, incluyendo costillas, c
Introduccin preoperatoria de aguja de localizacin de lesin
Mastopexia
Mamoplasta de reduccin
Mamoplasta de aumento; sin implante de prtesis
Mamoplasta de aumento; con implante de prtesis
Remocin de implante mamario intacto
Insercin inmediata de prtesis de mama posterior a la Mastop
Reconstruccin de pezn/arola
Correccin de pezn invertido
Reconstruccin de mama con expansores tisulares
Reconstrucin de mama con colgajo miocutneo, con o sin impl
Reconstruccin de mama con colgajo libre
Reconstruccin de mama con otra tcnica
Capsulotoma periprtesis de mama
Capsulectoma periprtesis de mama
Revisin de reconstruccin de mama
Incisin de absceso superficial de tejido blando (excluye absces
Incisin de absceso profundo o complicado de tejido blando (ex
Exploracin de herida penetrante
Biopsia de msculo
Biopsia de hueso
Inyeccin en tracto o trayecto fistuloso (diagnstica o teraputi
Extirpacin de cuerpo extrao en msculo o vaina tendinosa
Artrocentesis en articulacin pequea, bolsa sinovial o ganglio
Artrocentesis en articulaciones medianas, bolsa sinovial o gang
Artrocentesis en articulacin grande o bolsa (hombro, cadera, ar
Aspiracin e inyeccin para tratamiento de quiste seo
Insercin de alambre o clavija con aplicacin de traccin esquel
Aplicacin de tenazas craneales, compases, o casco de estere
Aplicacin de halo, incluyendo remocin
Aplicacin de halo y colocacin de 6 o ms clavijas en crneo
2.27
5.56
4.44
5.11
5.56
13.33
16.67
18.89
18.89
18.89
40.94
46.32
37.79
39.13
7.91
58.43
100.27
66.09
82.44
20.00
20.00
20.00
13.33
80.84
112.02
127.44
100.27
15.56
15.56
13.33
13.33
13.33
13.33
3.33
1.67
5.56
1.78
1.49
1.25
1.08
1.15
4.77
8.00
2.72
4.12
Remocin de implante superficial

Remocin de implante profundo (p. ejm. alambre intraseo, clavija
Aplicacin de sistema de fijacin en un slo plano (clavijas o a
Aplicacin de sistema de fijacin en varios planos
Remocin, bajo anestesia, del sistema de fijacin externa
Reimplante de brazo
Reimplante de antebrazo
Reimplante de mano
Reimplante de dedo, excluyendo dedo pulgar
Reimplante de dedo pulgar
Reimplante de pie, amputacin completa
Injerto seo cualquier zona donante
Injerto cartilaginoso, fascia lata, tendn
Injertos de otros tejidos (paratendn, grasa, dermis)
Control de la presin de lquido intersticial en la deteccin d
Injerto seo con Anastomosis microvascular
Colgajo osteocutneo libre con Anastomosis microvascular
Estimulacin elctrica para la curacin sea
Tratamiento de Sndrome Compartimental
Artrotoma de articulacin tmporomandibular
Reseccin radical de tumor de tejido blando de cara o cuero ca
Excisin de huesos, mandbula (osteomielitis o absceso seo)
Excisin de huesos faciales
Excisin de tumor benigno o quiste de huesos faciales distinto
Excisin de abultamiento mandibular o palatino maxilar
Excisin de tumor maligno de huesos faciales distinto de la ma
Excisin de quiste benigno o de tumor de mandbula
Excisin de tumor maligno de mandbula
Reseccin radical de tumor maligno de mandbula
Condilectoma, articulacin tmporomandibular
Meniscectoma, parcial o completa, articulacin tmporomandib
Coronoidectoma
Impresin y preparacin a medida de prtesis
Aplicacin de dispositivo para fijacin interdentaria para anoma
Genioplasta
Aumento del cuerpo o ngulo del maxilar inferior
Reconstruccin mediofacial, osteotoma LeFort I
Reconstruccin mediofacial, osteotoma LeFort II
Reconstruccin mediofacial, osteotoma LeFort III
Reconstruccin mediofacial, osteotoma LeFort III ms LeFort I
Reconstruccin unilateral de borde orbitario supero-lateral y part
Reconstruccin bilateral de borde orbitario supero-lateral y parte
Reconstruccin de frente
Reconstruccin mediofacial diferente de LeFort I
Reconstruccin de ramas de la mandbula, horizontal, vertical, o
3.33
9.34
9.34
12.55
9.28
120.00
120.00
120.00
44.47
44.47
44.42
44.42
19.55
19.55
6.09
71.11
71.11
6.67
32.52
40.00
20.00
20.00
20.00
20.00
20.00
26.67
26.67
33.33
40.00
33.33
26.67
26.67
6.67
26.67
26.67
20.00
26.67
33.33
40.00
46.67
40.00
40.00
40.00
40.00
40.00
Reconstruccin de ramas de la mandbula, horizontal, vertical, o

Reconstruccin de ramas y/o cuerpo mandibular, divisin sagita
Osteotoma segmentaria de mandbula
Osteotoma segmentaria de maxilar (ejm. Wassmund o Schuch
Osteoplasta de huesos faciales
Injerto de hueso en reas nasal, maxilar superior o inferior, mal
Injerto de cartlago en cara, mentn, nariz, oreja
Artroplasta tmporomandibular
Artroplasta tmporomandibular y reemplazo con prtesis
Reconstruccin extraoral de maxilar inferior
Reconstruccin de maxilar con implante subperistico
Reconstruccin de la apfisis condilar de la mandbula con injer
Reconstruccin de maxilar superior o inferior con implante end
Reconstruccin del arco cigomtico y cavidad glenoidea con hu
Reconstruccin de rbita con osteotomas y con injertos seos
Aumento malar, prtesis
Revisin secundaria de reconstruccin rbitocraneofacial
Tratamiento cerrado de fractura de crneo sin operacin quirr
Tratamiento cerrado de fractura de huesos nasales, tabique na
Tratamiento cerrado de fractura de hueso nasal
Tratamiento abierto de fractura nasal; sin complicaciones
Tratamiento abierto de fractura de tabique nasal; con/sin compl
Tratamiento cerrado de fractura de tabique nasal
Tratamiento abierto de fractura nasoetmoidal
Tratamiento percutneo de fractura de complejo nasoetmoidal c
Tratamiento abierto de fractura de seno frontal
Tratamiento cerrado de fractura de complejo nasomaxilar (LeFort
Tratamiento abierto de fractura de complejo nasomaxilar (LeFort
Tratamiento abierto de fractura de complejo nasomaxilar (LeFort
Tratamiento percutneo de fractura de regin malar
Tratamiento abierto de fractura deprimida del arco cigomtico (
Tratamiento abierto de fractura malar deprimida, incluyendo el
Tratamiento abierto de fracturas con complicaciones de regi
Tratamiento abierto de fractura "por estallido" de piso orbitario
Tratamiento cerrado de fractura de rbita
Tratamiento abierto de fractura de rbita
Tratamiento cerrado de fractura maxilar (LeFort I)
Tratamiento abierto de fractura maxilar (LeFort I)
Tratamiento cerrado de disyuncin craneofacial (LeFort III)
Tratamiento abierto de disyuncin craneofacial (LeFort III)
Tratamiento cerrado de fractura del arco dentario de la mandbu
Tratamiento abierto de fractura del arco dentario de la mandbul
Tratamiento cerrado de fractura de mandibula con o sin manipu
Tratamiento percutneo de fractura de mandibula con fijacin e
Tratamiento cerrado de fractura de mandibula con fijacin inter
40.00
40.00
26.67
26.67
33.33
33.33
33.33
33.33
53.33
40.00
33.33
40.00
46.67
53.33
40.00
40.00
20.00
20.00
10.00
10.00
13.33
13.33
10.00
20.00
13.33
13.33
20.00
20.00
25.00
10.00
20.00
26.67
40.00
40.00
10.00
13.33
26.67
40.00
53.33
57.78
17.78
20.00
10.00
13.33
10.00
Tratamiento abierto de fractura mandibular con fijacin externa

Tratamiento abierto de fractura mandibular sin fijacin interdent
Tratamiento abierto de fractura mandibular con fijacin interden
Tratamiento abierto de fractura de la apfisis condilar del maxila
Tratamiento abierto de fractura mandibular complicada mediante m
Tratamiento cerrado de dislocacin tmporomandibular
Tratamiento abierto de luxacin de articulacin tmporomandib
Tratamiento cerrado de fractura del hueso hioides
Tratamiento abierto de fractura del hueso hioides
Incisin y drenaje de absceso profundo o hematoma de tejidos
Incisin profunda con apertura de hueso cortical (p. ejm. para
Excisin de tumor, tejido blando de cuello o trax; subcutneo
Excisin de costilla, parcial
Costotransversectoma
Ostectoma parcial del esternn
Debridamiento esternal
Reseccin radical del esternn
Divisin del escaleno anterior
Divisin del esternocleidomastoideo por tortcolis
Correccin reconstructiva de pecho excavado o de pecho hund
Cierre de esternotoma
Tratamiento cerrado de fractura de costilla, cada una
Tratamiento abierto de fractura de costilla sin fijacin, cada una
Tratamiento de fractura de costilla que requiera fijacin externa
Tratamiento cerrado de fractura del esternn
Tratamiento abierto de fractura del esternn con o sin fijacin e
Excisin de tumor de tejido blando de espalda o flanco
Reseccin radical de tumor de tejido blando de espalda o flanc
Excisin parcial de elemento vertebral posterior debido a lesin
Osteotoma de columna vertebral, abordaje posterior o posterol
Osteotoma de columna vertebral, incluyendo disquectoma, abo
Tratamiento cerrado de fracturas de procesos vertebrales
Tratamiento cerrado de fracturas y/o luxaciones de cuerpos ver
Tratamiento abierto y/o reduccin de fracturas o dislocaduras d
Tratamiento abierto y/o reduccin de fracturas o luxaciones ver
Manipulacin de columna vertebral con necesidad de anestesia
Artrodesis vertebral, tcnica anterior
Artrodesis vertebral posterior
Artrodesis posterior por deformacin de raquis
Artrodesis anterior por deformacin de raquis
Xifectoma, exposicin circunferencial de raquis y reseccin d
Exploracin de fusin espinal
Instrumentacin espinal posterior no segmentaria
Fijacin interna del raquis mediante alambrado de las apfisis
Instrumentacin espinal segmentaria posterior
13.33
20.00
33.33
33.33
40.00
6.67
30.00
10.00
20.00
8.00
10.00
10.00
10.00
10.00
13.33
13.33
26.67
20.00
13.33
26.67
20.00
2.22
13.33
13.33
3.33
8.89
7.78
15.56
18.89
18.89
32.22
32.22
32.22
32.22
32.22
32.22
45.13
32.22
32.22
32.22
32.22
32.22
45.56
45.56
45.56
Instrumentacin anterior
Fijacin plvica que no sea sacro
Reinsercin de dispositivo de fijacin raqudea
Remocin de instrumentacin no segmentaria posterior
Aplicacin de dispositivo biomecnico intervertebral a defecto e
Remocin de instrumentacin segmentaria posterior
Remocin de instrumentacin anterior
Extirpacin de depsitos calcreos subdeltoideos (o intratendi
Incisin y drenaje de absceso profundo, hematoma, o de bolsa s
Incisin de hueso cortical, en hombro
Artrotoma de articulacin glenohumeral, incluyendo exploracin
Artrotoma acromioclavicular, esternoclavicular incluyendo explo
Reseccin radical de tumor (Neoplasia maligna), tejido blando
Claviculectoma; parcial
Acromioplasta o acromionectoma, parcial, con o sin liberaci
Excisin o legrado de quiste seo o tumor benigno de clavcula
Secuestrectoma (p. ejm. para Osteomielitis o Absceso seo), c
Secuestrectoma (p. ejm. para Osteomielitis o Absceso seo), c
Excisin parcial (craterizacin, saucerizacin, o diafisectoma)
Osteotoma de escpula, parcial (p. ejm. ngulo medial superio
Reseccin radical de tumor; clavcula
Reseccin radical de tumor seo, hmero proximal
Extirpacin de cuerpo extrao de hombro, cualquier nivel
Extirpacin de cuerpo extrao de hombro con complicaciones
Transferencia de msculo de hombro o brazo
Escpulopexia
Tenotoma regin del hombro
Correccin de ruptura de manguito msculotendinoso
Liberacin de ligamento coracoacromial, con o sin acromioplast
Reconstruccin de avulsin completa del hombro (rotador), avu
Tenodesis de tendn largo del bceps
Reseccin o transplante del tendn largo del bceps
Capsulorrafa anterior
Capsulorrafa, articulacin glenohumeral, posterior, con o sin i
Artroplasta, articulacin glenohumeral; hemiartroplasta
Osteotoma de clavcula, con o sin fijacin interna
Tratamiento profilctico (uso de clavos, clavijas, placas o alamb
Tratamiento cerrado de fractura clavicular
Tratamiento abierto de fractura clavicular, luxacin esternoclavi
Tratamiento cerrado de dislocacin esternoclavicular
Tratamiento abierto de dislocacin esternoclavicular
Tratamiento cerrado de dislocacin acromioclavicular
Tratamiento abierto de dislocacin acromioclavicular
Tratamiento cerrado de fractura escapular
Tratamiento abierto de fractura escapular
45.56
45.56
45.56
45.56
45.56
45.56
45.56
4.44
4.44
7.78
4.44
4.44
10.00
6.67
6.67
6.67
10.00
10.00
10.00
13.33
13.33
13.33
8.89
7.78
13.33
6.67
6.67
11.11
10.00
10.00
8.89
10.00
10.00
10.00
10.00
8.89
8.89
1.11
6.67
2.22
8.89
2.22
8.89
2.22
11.11
Tratamiento cerrado de fractura de hmero proximal

Tratamiento abierto de fractura del hmero proximal
Tratamiento cerrado de fractura de la tuberosidad mayor del h
Tratamiento abierto de fractura de la tuberosidad mayor del hme
Tratamiento cerrado de dislocacin del hombro
Tratamiento abierto de luxacin aguda del hombro, con o sin frac
Tratamiento cerrado de dislocacin de hombro, con fractura hu
Manipulacin bajo anestesia, articulacin del hombro, incluyendo
Artrodesis de hombro
Amputacin intertracoescapular (cuarto delantero)
Desarticulacin de hombro
Incisin y drenaje de lesiones (abscesos o hematomas profund
Incisin profunda, con apertura de hueso cortical, hmero o co
Artrotoma de codo, incluyendo exploracin, drenaje o extirpac
Artrotoma de codo, con excisin para liberacin capsular (pro
Excisin de tumor en brazo o regin del codo; subcutneo
Reseccin radical de tumor (p. ej. neoplasia maligna), tejido b
Excisin, bolsa del olcranon
Excisin y legrado de quiste seo o tumor benigno, hmero
Excisin, cabeza del radio
Secuestrectoma de hmero distal, cabeza o cuello de radio, ap
Excisin parcial de hmero, cabeza o cuello de radio, apfisis
Reseccin radical de cpsula, tejido blando y hueso heterotpi
Reseccin radical de tumor, difisis o hmero distal
Reseccin de articulacin del codo (artrectoma)
Remocin de implante, codo/cabeza de radio
Extirpacin de cuerpo extrao en brazo o regin del codo
Remocin de cuerpo extrao subfacial o intramuscular en braz
Transferencia de msculo o tendn en brazo o regin del codo
Alargamiento de tendn en brazo o codo
Tenotoma abierta, desde el codo al hombro
Tenoplasta con transferencia de msculo, desde el codo al ho
Flexoplasta de codo
Tenodesis del tendn de bceps a nivel de codo
Reinsercin de tendn roto del bceps o trceps, distal
Fasciotoma lateral o medial (p. ej. "codo de tenista" o epicondili
Artroplasta de codo, cabeza de radio
Osteotoma de hmero
Osteoplasta de hmero (p. ej. acortamiento o alargamiento)
Correccin de falta de unin o unin defectuosa de hmero
Paro hemiepifisario (p. ej. cbito varo o valgo, hmero distal)
Fasciotoma de descompresin de antebrazo
Tratamiento cerrado de fractura de difisis del hmero
Tratamiento abierto de fractura humeral diafisaria
2.22
13.33
3.33
6.67
6.67
8.89
8.89
4.44
13.33
8.89
13.33
6.67
8.89
8.89
15.56
8.89
17.78
8.89
8.89
6.67
8.89
8.89
8.89
8.89
8.89
4.44
8.89
7.78
20.00
13.33
13.33
22.22
13.33
13.33
20.00
13.33
20.00
20.00
20.00
28.89
22.22
8.89
6.67
4.00
24.00
Fijacin esqueltica percutnea de fractura humeral

Tratamiento abierto de fractura humeral supracondilar o transcon
Tratamiento abierto de fractura periarticular y/o luxacin de cod
Tratamiento cerrado de luxacin de codo, mueca
Tratamiento abierto de luxacin aguda o crnica de codo
Tratamiento cerrado de la fractura de Monteggia a nivel del co
Tratamiento abierto de la fractura de Monteggia a nivel del cod
Tratamiento cerrado de subluxacin de cabeza del radio en ni
Tratamiento cerrado de fractura de cabeza o cuello de radio
Tratamiento abierto de fractura de cabeza o cuello del radio
Tratamiento cerrado de fractura de cbito, extremo proximal (a
Tratamiento abierto de fractura de cbito, extremo proximal (ap
Artrodesis, articulacin de codo
Amputacin a nivel de brazo a travs del hmero
Elongacin de mun, extremidad superior
Incisin de vaina tendinosa del extensor, mueca (p. ejm. enf
Fasciotoma descompresiva, antebrazo y/o mueca
Incisin y drenaje de absceso profundo o hematoma; antebraz
Incisin profunda, hueso cortical, antebrazo y/o mueca (p. ej
Artrotoma de articulacin radiocarpal o mediocarpal, con explo
Excisin, tumor, antebrazo y/o regin de la mueca; subcutne
Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido
Capsulotoma de mueca
Artrotoma de mueca con biopsia
Artrotoma de mueca con sinovectoma
Excisin, lesin de vaina tendinosa, antebrazo y/o mueca
Excisin de ganglin de mueca (dorsal o palmar)
Excisin radical de bolsa tendinosa, lquido sinovial de muec
Sinovectoma, vaina de tendn extensor en mueca
Excisin o legrado de quiste seo o tumor benigno de radio o c
Secuestrectoma de antebrazo y/o mueca (ejm. por Osteomieli
Excisin parcial de cbito o radio
Reseccin radical de tumor, radio o cbito
Carpectoma, un solo hueso
Carpectoma de todos los huesos de la fila proximal
Estiloidectoma radial
Exploracin con extirpacin de cuerpo extrao de antebrazo o
Remocin de prtesis de mueca
Correccin de tendn o msculo de antebrazo y/o mueca
Alargamiento o acortamiento de tendn flexor o extensor de a
Tenotoma abierta de tendn flexor o extensor de antebrazo y
Tenlisis de tendn flexor o extensor de antebrazo y/o mueca
Tenodesis a nivel de la mueca
Trasplante o transferencia de tendn de antebrazo y/o mueca
Deslizamiento del origen de los flexores de antebrazo y/o mu
13.33
13.33
24.00
4.00
15.56
4.00
11.11
2.22
4.44
15.56
4.44
13.33
10.00
20.00
15.56
4.44
4.44
7.78
10.00
13.33
4.44
26.67
8.89
8.89
22.22
8.89
8.89
8.89
8.89
15.56
16.67
8.89
33.33
13.33
26.67
8.89
20.00
14.44
6.67
13.33
4.44
8.89
20.00
20.00
18.89
Cpsulorrafia o reconstruccin de mueca

Artroplasta de mueca
Centralizacin de mueca sobre el cbito (p. ej. mano pndula r
Reconstruccin para estabilizacin de cbito o articulacin radi
Osteotoma de radio y/o cbito
Osteoplasta de radio y/o cbito
Correccin de falta de unin de hueso escafoide (navicular), con
Artroplasta de mueca con reemplazo prosttico
Revisin de artroplasta de mueca incluyendo remocin de im
Paro epifisario radio distal y/o cbito
Tratamiento cerrado de fractura de cbito y/o radio
Tratamiento abierto de fractura de cbito y/o radio
Tratamiento abierto de difisis radial con fijacin interna y/o ex
Tratamiento abierto de fracturas de las difisis del radio y cbit
Fijacin esqueltica percutnea de fractura distal de radio o sep
Tratamiento abierto de fractura distal de radio (p. ej. fractura d
Tratamiento cerrado de fractura de escafoide
Tratamiento abierto de fractura de escafoide carpeano (navicular
Tratamiento cerrado de fractura de hueso carpiano; excepto es
Tratamiento abierto de fractura de hueso carpeano
Tratamiento cerrado de fractura de la apfisis estiloides cubital
Tratamiento cerrado de dislocacin radiocarpal o intercarpal
Tratamiento cerrado de dislocacin radiocubital distal, con man
Tratamiento abierto de luxacin radiocubital distal
Tratamiento cerrado de dislocacin por fractura de tipo transe
Tratamiento abierto de dislocacin por fractura de tipo transes
Tratamiento cerrado de dislocacin del semilunar, con manipul
Tratamiento abierto de dislocacin del semilunar
Artrodesis de mueca
Amputacin de antebrazo a travs de radio y cbito
Procedimiento de Krukenberg
Desarticulacin a travs de la mueca
Cierre secundario o revisin de cicatriz de desarticulacin a t
Amputacin transmetacarpal
Drenaje de absceso de dedo
Drenaje de vaina tendinosa
Drenaje de bolsa sinovial
Incisin de hueso cortical de mano o dedo
Fasciotoma descompresiva de mano
Fasciotoma palmar
Incisin de vaina tendinosa (p. ejm. para dedo "en gatillo")
Artrotoma con exploracin, drenaje, extirpacin de cuerpo suel
Excisin, tumor o malformacin vascular, mano o dedo; subcut
Reseccin radical de tumor (p. ejm. neoplasia maligna), tejido
18.89
18.89
28.89
34.44
34.44
34.44
34.44
44.44
22.22
25.56
15.56
8.89
13.33
11.11
27.67
13.33
15.56
1.11
25.56
4.44
15.00
2.80
2.22
2.80
8.89
4.44
18.00
3.33
18.00
22.22
25.56
5.56
15.56
8.89
7.78
2.22
3.33
3.33
8.89
8.89
5.56
6.67
8.89
8.89
22.00
Fasciectoma de la palma
Sinovectoma de articulacin carpometacarpiana, metacarpofal
Sinovectoma radical de vaina tendinosa (tenosinovectoma) de
Excisin de lesin de vaina tendinosa o cpsula (p. ejm. quist
Excisin de tendn
Sesamoidectoma dedo pulgar u otro dedo
Excisin o legrado de quiste seo o tumor benigno del metacar
Excisin parcial de metacarpo o falanges
Reseccin radical, metacarpo; (p. ejm. tumor)
Extirpacin de implante del dedo o mano
Correccin o avance de tendn flexor de mano
Correccin o avance de tendn del msculo flexor profundo de
Excisin de tendn flexor, implantacin de varilla prosttica pa
Remocin de varilla prosttica e insercin de injerto de tendn
Correccin de tendn extensor de mano o dedo
Excisin de tendn extensor, implantacin de varilla prosttica
Remocin de varilla prosttica e insercin de injerto de tend
Tratamiento cerrado de insercin distal de tendn extensor, con
Realineacin de tendn extensor de mano
Tenlisis de tendn flexor o extensor de mano y/o dedo
Tenotoma abierta de tendn flexor o extensor de mano o dedo
Tenodesis de articulacin interfalngica
Alargamiento de tendn extensor o flexor de mano o dedo
Acortamiento de tendn extensor o flexor de mano o dedo
Transplante o transferencia de tendn, regin carpometacarpia
Transplante o transferencia de tendn palmar
Restauracin de la oposicin del pulgar ("Oponenplasta")
Transferencia de tendn para restablecer funcin intrnseca
Correccin de dedo "en garra"
Reconstruccin de polea del tendn, cada tendn
Liberacin de msculos tenares (p. ejm. contractura del pulgar)
Transferencia intrnseca cruzada
Cpsulodesis en articulacin metacarpofalngica
Capsulectoma o capsulotoma de articulacin metacarpofalng
Artroplasta de articulacin metacarpofalngica, interfalngica
Correccin de ligamento colateral de articulacin metacarpofal
Reconstruccin de ligamento colateral de articulacin metacarpo
Correccin y reconstruccin de dedo, placa palmar o articulaci
Pulgarizacin de un dedo
Transplante de dedo de pie en la mano con anastomosis micro
Trasplante, dedo transferido a otra posicin, sin anastomosis m
Traslado libre, articulacin de dedo del pie, con Anastomosis m
Correccin de Sindactilia (dedos en membrana), cada espacio in
Osteotoma metacarpiana, falange de dedo
Osteoplasta, alargamiento, metacarpo o falange
20.00
15.56
13.33
8.89
8.89
8.89
26.67
8.89
20.00
8.89
15.56
15.56
22.22
22.22
10.00
22.22
22.22
8.89
12.00
13.33
10.00
15.56
15.56
15.56
26.67
26.67
26.67
26.67
22.22
35.53
8.89
22.22
13.33
13.33
33.33
20.00
20.00
20.00
40.00
73.33
40.00
75.56
33.33
8.89
13.33
Corrreccin de mano hendida

Correccin de dgito bfido
Reconstruccin de dgito supernumerario, tejido blando y hues
Correccin de Macrodactilia
Correccin/liberacin de msculos intrnsecos de la mano, cad
Excisin de surcos anulares constrictivos, con varias Z-plastas
Liberacin de contractura cicatrizal, flexor o extensor de mano
Tratamiento cerrado de fractura metacarpiana
Fijacin esqueltica percutnea de fractura metacarpiana
Tratamiento abierto de fractura metacarpiana, falanges
Tratamiento cerrado de dislocacin carpometacarpiana, dedo p
Tratamiento cerrado de dislocacin por fractura carpometacarp
Tratamiento abierto de dislocacin por fractura carpometacarpian
Tratamiento cerrado de dislocacin por fractura carpometacarp
Fijacin esqueltica percutnea de luxacin carpometacarpiana,
Tratamiento abierto de luxacin carpometacarpiana, metacarp
Tratamiento cerrado de luxacin carpometacarpiana, tarsometar
Tratamiento de fractura cerrada de difisis de falange
Fijacin esqueltica percutnea de fractura inestable de falang
Tratamiento abierto de fractura de difisis de falange proximal o
Tratamiento cerrado de fractura articular, con compromiso de ar
Tratamiento abierto de fractura articular, con compromiso de ar
Tratamiento cerrado de fractura de falange distal de cualquier
Fijacin esqueltica percutnea de fractura de falange distal,
Tratamiento abierto de fractura de falange distal, dedo o pulgar,
Tratamiento cerrado de dislocacin de articulacin interfalngi
Fusin en oposicin de pulgar
Artrodesis de articulacin carpometacarpiana, metacarpofalngic
Amputacin a nivel de mano
Amputacin a nivel de dedos de mano
Incisin y drenaje, pelvis o articulacin de la cadera, absceso,
Incisin de hueso cortical de pelvis y/o articulacin de la cadera
Tenotoma de aductor de la cadera
Tenotoma de flexores de la cadera
Tenotoma de abductores y/o extensores de la cadera
Fasciotoma de cadera o muslo
Artrotoma de cadera, incluyendo exploracin o extirpacin de
Denervacin de articulacin de la cadera
Capsulectoma o capsulotoma de cadera
Reseccin radical de tumor, tejido blando de pelvis y regin de
Excisin de bolsa sinovial isquitica, trocantrica o calcificacin
Excisin de quiste seo o tumor benigno; superficial con o sin i
Excisin parcial de huesos de cadera o pelvis
Reseccin radical de tumor o infeccin; ala del lion, una rama de
Coccigectoma primaria
33.33
20.00
15.56
33.33
4.44
22.22
15.56
2.22
6.67
8.89
2.22
2.22
22.22
4.44
8.89
15.56
2.67
1.11
3.33
8.89
4.44
15.56
1.33
6.67
8.89
0.44
15.56
8.89
11.11
1.56
3.33
7.78
3.33
3.33
13.33
15.56
7.78
35.56
7.78
26.67
4.44
6.67
13.33
13.33
11.11
Extirpacin de cuerpo extrao en pelvis o cadera

Remocin de prtesis de cadera
Inyeccin de articulacin sacroilaca; artrografa y/o anestsico
Liberacin o reseccin de tendones de la corva
Transferencia de msculo a pelvis
Acetabuloplasta
Hemiartroplasta de cadera
Artroplasta, reemplazo protsico acetabular y femoral proximal,
Conversin de ciruga previa de cadera en reemplazo total de cad
Revisin de artroplasta total de cadera, con o sin injerto autlo
Osteotoma y transferencia de trocnter mayor
Osteotoma ilaca, acetabular o hueso innominado coxal
Osteotoma de pelvis, bilateral (p. ejm. malformacin congnita
Osteotoma, cuello femoral
Osteotoma intratrocantrica o subtrocantrica
Injerto seo, cabeza y cuello del fmur, rea intertrocantrica o
Tratamiento del deslizamiento de la epfisis femoral por tracci
Tratamiento abierto del deslizamiento de la epfisis femoral
Paro epifisario mediante epifisiodesis o engrapado, trocnter m
Tratamiento profilctico (clavos, clavijas, placas, o alambres) c
Tratamiento cerrado de luxacin de cadera, rodilla, tobillo
Tratamiento cerrado de fractura coccgea
Tratamiento abierto de fractura coccgea
Tratamiento abierto de fracturas de espinas ilacas o de cresta i
Fijacin esqueltica percutnea de fractura y/o luxacin de pelv
Tratamiento abierto de fractura y/o luxacin de pelvis
Tratamiento cerrado de fractura de acetbulo
Tratamiento abierto de fractura de acetbulo
Tratamiento cerrado de fractura de extremo femoral proximal,
Fijacin esqueltica percutnea de fractura de extremo proximal
Tratamiento abierto de fractura de extremo femoral proximal, e
Tratamiento cerrado de fractura del trocnter mayor, sin manip
Tratamiento abierto de fractura del trocnter mayor, con o sin fi
Tratamiento cerrado de dislocacin traumtica de la cadera
Tratamiento abierto de dislocadura traumtica de cadera
Tratamiento cerrado de dislocacin de la cadera post artroplas
Manipulacin, articulacin de la cadera, con anestesia general
Artrodesis sacroilaca
Artrodesis de snfisis del pubis
Artrodesis de cadera
Amputacin interpelviabdominal (amputacin de cuarto trasero)
Desarticulacin de la cadera
Incisin y drenaje en muslo o rodilla de absceso profundo, bol
Fasciotoma iliotibial
Tenotoma percutnea de aductor o tendones de la corva, uno
22.22
22.22
13.33
10.00
25.56
13.33
13.33
26.67
20.00
26.67
13.33
17.78
17.78
17.78
17.78
15.56
8.00
13.33
25.56
22.22
6.67
8.00
15.56
16.67
13.33
17.78
10.00
20.00
10.00
30.60
26.67
13.33
16.67
4.44
40.00
7.78
11.11
10.00
6.67
11.11
33.33
40.00
8.89
7.78
8.89
Artrotoma de rodilla con exploracin, drenaje, extirpacin de c

Neurectoma, msculo de la corva
Neurectoma, popltea (msculos gemelos)
Excisin de tumor de regin del muslo o la rodilla; subcutnea
Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido b
Excisin de bolsa sinovial prerrotuliana
Rotulectoma o Hemirotulectoma
Excisin o legrado de quiste seo o tumor benigno de fmur
Excisin parcial (craterizacin, saucerizacin, o diafisectoma)
Reseccin radical de tumor, hueso, fmur o rodilla
Extirpacin de cuerpo extrao, profundo, regin del muslo o de l
Sutura de tendn infrarrotuliano
Sutura de ruptura del msculo cudriceps o de unidad msculo
Tenotoma abierta de tendones de la corva, rodilla hasta cade
Alargamiento de tendn de la corva
Trasplante de tendn de la corva a la rtula
Traslado de tendn o msculo de la corva al fmur
Artrotoma de rodilla con reparacin de menisco
Correccin de cpsula y/o ligamentos de rodilla
Plasta de tuberosidad anterior de la tibia
Reconstruccin de luxacin de rtula
Liberacin del retinculo lateral
Reconstruccin extraarticular de ligamentos de rodilla
Reconstruccin intraarticular de ligamentos de rodilla
Cuadriceplasta
Capsulotoma de rodilla, liberacin de la cpsula posterior
Artroplasta de rodilla
Osteotoma de fmur
Osteotoma tibia proximal, incluyendo excisin u osteotoma de
Osteoplasta de fmur, acortamiento
Osteoplasta de fmur, alargamiento
Osteoplasta de fmur; combinado, alargamiento y acortamient
Correccin de falta de unin o unin defectuosa, fmur distal a
Paro epifisario de fmur distal, tibia y/o peron proximal
Revisin de artroplasta total de rodilla
Remocin de prtesis de rodilla
Tratamiento profilctico (clavos, clavijas, placas o alambre) con
Fasciotoma descompresiva de muslo y/o rodilla
Fasciotoma descompresiva de muslo y/o rodilla, con debridami
Tratamiento cerrado de fractura de difisis femoral
Tratamiento cerrado de fractura femoral supracondilar o transcon
Tratamiento abierto de fractura de difisis femoral
Tratamiento abierto de fractura de la difisis femoral con placa/t
Tratamiento cerrado de fractura femoral, extremo distal, cndilo
Fijacin esqueltica percutnea de fractura femoral distal
8.89
13.33
11.11
13.33
12.22
10.00
16.67
10.00
21.11
20.00
15.56
4.44
13.33
20.00
17.78
26.67
28.89
15.56
15.56
13.33
15.56
10.00
15.56
15.56
10.00
22.22
20.00
22.22
22.22
24.44
31.11
33.33
15.56
20.00
8.89
15.56
10.00
11.11
16.67
4.44
7.78
20.00
31.87
7.00
13.33
Tratamiento abierto de fractura femoral distal

Tratamiento abierto de fractura femoral, extremo distal, cndilo m
Tratamiento abierto de separacin epifisaria femoral distal
Tratamiento cerrado de fractura rotuliana, sin manipulacin
Tratamiento abierto de fractura rotuliana o luxacin de rodilla
Tratamiento cerrado de fractura tibial
Tratamiento abierto de fractura tibial
Tratamiento cerrado de dislocacin de rodilla
Tratamiento abierto de dislocadura de rodilla
Tratamiento cerrado de dislocadura rotuliana
Tratamiento abierto de dislocadura rotuliana
Manipulacin de articulacin de la rodilla bajo anestesia genera
Artrodesis, rodilla, cualquier tcnica
Amputacin a nivel de muslo
Desarticulacin a nivel de la rodilla
Fasciotoma descompresiva de pierna
Incisin y drenaje de absceso profundo, hematoma, bolsa sinovia
Tenotoma percutnea de tendn de Aquiles
Incisin (p.ejm. Osteomielitis o Absceso seo), pierna o tobillo
Artrotoma de tobillo, incluyendo exploracin, drenaje o extirpa
Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido b
Excisin de tumor de pierna o regin del tobillo; tejido subcut
Artrotoma de tobillo, diagnstica o teraputica
Excisin de lesin de vaina tendinosa o cpsula (p. ejm. quiste o
Excisin o legrado de quiste seo o tumor benigno; tibia o pero
Excisin parcial sea de tibia o peron
Reseccin radical de tumor, hueso; tibia, peron
Correccin de ruptura del tendn de Aquiles
Correccin de defecto fascial de la pierna
Correccin de tendn flexor o extensor de pierna
Correccin de dislocacin de tendones del peron
Tenlisis, tendn flexor o extensor, pierna y/o tobillo
Alargamiento o acortamiento de tendn de pierna o tobillo
Recesin de msculos gemelos (p. ejm. procedimiento de Stray
Transferencia o trasplante de tendn (con cambio de direccin
Correccin de ligamento lesionado de tobillo
Artroplasta de tobillo
Remocin de implante de tobillo
Osteotoma de tibia y/o peron
Osteoplasta de tibia y peron, alargamiento o acortamiento
Correccin de falta de unin o unin defectuosa
Correccin de pseudoartrosis congnita, tibia
Paro epifisario de tibia distal y/o peron distal
Para epifisiario de tibia y peron
Tratamiento profilctico (clavos, clavijas, placa, o alambre) con o
26.67
21.33
13.33
6.67
14.44
14.44
26.67
5.56
15.56
3.00
10.00
15.56
30.00
15.56
15.56
8.89
8.89
13.33
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
16.73
8.89
25.60
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
Tratamiento cerrado de fractura de diafisis tibial

Fijacin esqueltica percutnea de fractura de difisis tibial (co
Tratamiento abierto de fractura de la difisis tibial, (con o sin f
Tratamiento cerrado de fractura de maleolo medial
Tratamiento abierto de fractura de maleolo
Tratamiento cerrado de peron proximal o difisis de peron
Tratamiento abierto de fractura de peron proximal o difisis d
Tratamiento cerrado de fractura de peron distal
Tratamiento abierto de fractura del peron distal
Tratamiento cerrado de fractura bimaleolar del tobillo
Tratamiento abierto de fractura bimaleolar o trimaleolar del tobil
Tratamiento cerrado de fractura trimaleolar del tobillo
Tratamiento abierto de fractura trimaleolar del tobillo, con o sin
Tratamiento cerrado de fractura de la porcin articular de la tibi
Tratamiento abierto de fractura de la porcin de la superficie arti
Tratamiento abierto de rotura de la articulacin tibioperonea di
Tratamiento cerrado de dislocadura de articulacin tibioperone
Tratamiento abierto de luxacin de articulacin tibioperonea prox
Tratamiento cerrado de dislocadura de tobillo
Tratamiento abierto de dislocadura de tobillo, con o sin fijaci
Manipulacin de tobillo bajo anestesia general
Artrodesis, tobillo, cualquier mtodo
Artrodesis, articulacin tibioperonea, proximal o distal
Amputacin a nivel de tibia y peron
Amputacin a nivel de los maleolos de la tibia y peron
Desarticulacin de tobillo
Tratamiento quirrgico de la fascetis necrotizante
Incisin y drenaje de bolsa sinovial de pie, subfascial, vaina te
Incisin de hueso cortical de pie
Fasciotoma de pie y/o dedo del pie
Tenotoma percutnea de dedo del pie
Artrotoma de pie incluyendo exploracin, drenaje, extirpacin
Neurectoma, musculatura intrnseca del pie
Liberacin de tnel del tarso (descompresin del nervio tibial po
Excisin de tumor de pie; tejido subcutneo
Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido
Artrotoma, intertarsiana, tarsometatarsiana, metatarsofalngica
Fasciectoma, fascia plantar
Sinovectoma de articulacin intertarsiana, tarsometatarsiana o
Sinovectoma de vaina tendinosa de pie
Excisin de lesin, tendn, vaina tendinosa o cpsula
Excisin o legrado de quiste seo o tumor benigno, astrgalo o
Ostectoma, excisin parcial, cabeza del quinto metatarsiano (
Ostectoma, excisin total, cabezas metatarsianas, con falange
8.89
8.89
26.60
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
26.73
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
Excisin parcial sea en huesos tarsianos, metatarsianos y fal

Reseccin, parcial o completa, base de la falange, cada dedo d
Talectoma (Astragalectoma)
Metatarsectoma
Falangectoma, dedo del pie
Reseccin, cndilo(s), extremo distal de falange, cada dedo del
Hemifalangectoma o excisin de articulacin interfalngica de
Reseccin radical de tumor, hueso; tarsiano, metatarsianos y fa
Extirpacin de cuerpo extrao en pie, con o sin complicaciones
Correccin de tendn de pie
Tenlisis, de tendn flexor o extensor de pie
Tenotoma abierta de tendn flexor o extensor de pie
Reconstruccin (avance) de tendn tibial posterior con excisin
Tenotoma, alargamiento, o liberacin de msculo abductor del
Divisin de fascia plantar y msculo (p. ejm. denudacin de St
Capsulotoma en pie medio
Capsulotoma, mediotarsiana (p. ejm. procedimiento tipo Heym
Capsulotoma en articulacin metatarsofalngica o interfalngic
Sindactilizacin, dedo del pie (p. ejm. operacin de membrana o
Correccin, "dedo en martillo" (p. ejm. fusin interfalngica, fal
Ostectoma parcial, Exostectoma o Condilectoma
Correccin de Hallux Rigidus por Queilectoma, debridamiento y
Correccin, Hallux Valgus (Bunio), con o sin Sesamoidectoma;
Osteotoma de huesos tarsianos, metatarsianos y falanges
Reconstruccin, deformidad angular de dedo del pie, procedimi
Sesamoidectoma, primer dedo del pie (procedimiento separad
Correccin de huesos tarsianos, metatarsianos por falta de uni
Reconstruccin, dedo del pie, Macrodactilia; reseccin de tejid
Reconstruccin, dedos del pie; Polidactilia
Reconstruccin de dedos de pie; Sindactilia, con o sin injertos
Tratamiento cerrado de fractura del calcneo o astrgalo
Fijacin esqueltica percutnea de fractura de calcneo o astr
Tratamiento abierto de fractura de astrgalo y calcneo
Tratamiento cerrado de fractura de hueso tarsiano (excepto ast
Fijacin esqueltica percutnea de fractura de hueso tarsiano
Tratamiento abierto de fractura de hueso tarsiano (excepto ast
Fijacin esqueltica percutnea de fractura metatarsiana, con
Tratamiento cerrado de fractura de dedo gordo, falange o falan
Fijacin esqueltica percutnea de fractura del dedo gordo, fa
Tratamiento abierto de fractura del dedo gordo, falange o falang
Tratamiento cerrado de fractura de falange o falanges, que no
Tratamiento abierto de fractura de falange o falanges, que no
Tratamiento cerrado de fractura sesamoidea
Tratamiento abierto de fractura sesamoidea
Tratamiento cerrado de dislocacin de hueso tarsiano
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
2.22
Fijacin esqueltica percutnea de luxacin de huesos del pie

Tratamiento abierto de luxacin de huesos tarsianos, articulaci
Tratamiento cerrado de luxacin de huesos tarsianos, articulac
Tratamiento cerrado de luxacin metatarsofalngica o interfal
Tratamiento abierto de luxacin metatarsofalngica o interfaln
Artrodesis panastragalina
Artrodesis triple
Artrodesis subastragalina
Artrodesis mediotarsal o tarsometatarsiana
Artrodesis metatarsofalngica
Artrodesis interfalngica
Artrodesis y traslado del extensor largo del dedo gordo a cuello
Amputacin de pie
Amputacin, metatarsiana, con dedo, una sola
Amputacin de dedo
Aplicacin de yeso corporal con armazn tipo halo
Aplicacin de cors
Aplicacin de yeso corporal, hombro hasta caderas
Enyesado "en figura de ocho"
Enyesado "en espiga" de hombro
Enyesado tipo Velpeau
Aplicacin de yeso de hombro a mano (largo, del brazo)
Aplicacin de yeso corto de brazo o pierna
Aplicacin de yeso de mano a antebrazo bajo (guante)
Aplicacin de frula larga para el brazo o pierna
Aplicacin de frula corta para el brazo o pierna
Aplicacin de frula digital
Aplicacin de vendaje hemicuerpo superior (incluye trax, esp
Aplicacin de yeso "en espiga" de la cadera
Aplicacin de yeso largo para la pierna (muslo a tobillo o dedos
Aplicacin de enyesado corto para pierna
Aplicacin de yeso rotuliano con soporte para el tendn
Agregado de elemento para marcha a un yeso previamente apl
Aplicacin de yeso de contacto total rgido, en la pierna
Aplicacin de yeso para pie zambo, moldeado o manipulacin, la
Aplicacin de vendaje, hemicuerpo inferior (incluye cadera, rodil
Remocin de yeso
Correccin de espiga, yeso corporal o cors
Confeccin de una ventana en el enyesado
Confeccin de una cua en el enyesado
Confeccin de una cua en el enyesado para pie zambo
Artroscopa diagnstica de articulacin tmporomandibular con
Artroscopa quirrgica de articulacin temporomandibular con s
Artroscopa diagnstica de hombro con o sin biopsia
Artroscopa quirrgica de hombro con sinovectomia, lisis de a
5.56
6.67
8.89
2.22
8.89
15.56
15.56
15.56
10.00
5.56
2.22
3.33
13.33
13.33
13.33
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
13.33
15.56
17.78
17.78
Artroscopa diagnstica de codo con o sin biopsia

Artroscopa quirrgica de codo con sinovectomia o debridamien
Artroscopa diagnstica de mueca con o sin biopsia
Artroscopa quirrgica de mueca con lavado y drenaje, sinove
Artroscopa diagnstica de cadera con o sin biopsia
Artroscopa quirrgica de cadera con sinovectoma, condroplas
Artroscopa diagnstica de rodilla con o sin biopsia
Artroscopa quirrgica de rodilla con lavado y drenaje, sinove
Artroscopa quirrgica de tobillo con sinovectoma, condroplast
Artroscopa diagnstica de articulaciones metacarpofalangicas
Artroscopa quirrgica de articulaciones metacarpofalngicas
Drenaje de absceso o hematoma nasal
Biopsia, intranasal
Excisin de plipos nasales, simple
Excisin o destruccin, cualquier mtodo (incluyendo Lser), les
Excisin o Dermabrasin de piel de la nariz para Rinofima - Cir
Excisin de Quiste Dermoide, nariz; simple, piel, subcutnea
Excisin de comete nasal, parcial o completa, cualquier mtod
Rinectoma parcial
Rinectoma total
Inyeccin dentro del cornete nasal, teraputica
Insercin, prtesis de tabique nasal (botn)
Extirpacin de cuerpo extrao intranasal
Extirpacin de cuerpo extrao intranasal con necesidad de Ane
Rinoplasta Primaria; cartlagos laterales y alares, y/o elevaci
Rinoplasta Secundaria
Rinoplastia por deformacin nasal secundaria a labio y/o palad
Septoplasta o Reseccin Submucosa, incluyendo calificacin, c
Correccin de atresia de coana; intranasal
Lisis de sinequia intranasal
Correccin de fstula oromaxilar u oronasal
Reparacin de fstula oronasal
Dermatoplasta Septal u otra Dermatoplastia Intranasal
Reparacin de perforaciones nasales septales
Cauterizacin y/o ablacin, mucosa de cornete nasal, unilateral
Cauterizacin y / o taponamiento nasal anterior
Cauterizacin y / o taponamiento nasal posterior
Ligadura de arterias; etmoidal
Ligadura de arterias; arteria maxilar interna, transantral
Fractura teraputica de cornetes nasales
Lavado por canulacin; seno maxilar (puncin del antro u ostiu
Sinusotoma maxilar (antrotoma); intranasal
Sinusotoma maxilar radical (Caldwell-Luc) c/s extirpacin de p
Ciruga de la fosa pterigomaxilar, cualquier abordaje
Sinusotoma esfenoideal, con o sin biopsia
15.56
30.00
20.00
11.11
11.11
11.11
14.80
18.53
13.33
13.33
13.33
1.00
1.00
1.50
7.00
6.67
5.00
26.67
20.00
20.00
0.67
10.00
0.67
1.78
13.33
13.33
13.33
13.33
26.67
2.67
1.33
13.33
26.67
13.33
2.67
2.00
2.00
5.00
5.00
2.50
2.60
10.20
20.00
20.00
20.00
Sinusotoma frontal; externa, simple (con trepanacin)

Etmoidectoma; intranasal, anterior
Maxilectoma sin exenteracin orbitaria - Maxilectoma parcial
Maxilectoma con exenteracin orbitaria -Maxilectoma radical
Endoscopa nasal diagnstica
Endoscopa nasal teraputica, para debridamiento, control de e
Endoscopa nasal teraputica, con etmoidectoma, antrostoma
Endoscopa nasal/sinusoidal para correccin de escape de lqu
Endoscopa nasal/sinusoidal para descompresin de pared orbita
Laringotoma; con extirpacin de tumor o laringocele, Cordecto
Laringectoma total, sin diseccin radical del cuello
Laringectoma total, con diseccin radical del cuello
Laringectoma subtotal supragltica, sin diseccin radical del cu
Laringectoma subtotal supragltica, con diseccin radical del c
Laringectoma parcial (hemilaringectoma); horizontal
Faringolaringectoma, con diseccin radical del cuello; sin reco
Aritenoidectoma o Aritenoidopexia, abordaje externo
Epiglotidectoma
Intubacin, endotraqueal, procedimiento de urgencia
Cambio de tubo de traqueotoma previo al establecimiento de va
Laringoscopa indirecta, diagnstica o teraputica
Laringoscopa directa, diagnstica o teraputica
Laringoplasta para membrana larngea, en dos estados, con in
Laringoplasta
Tratamiento de fractura cerrada de laringe
Laringoplasta, sin otra especificacin (p. ejm. por quemaduras
Reinervacin larngea por pedculo neuromuscular
Seccin del nervio larngeo recurrente, teraputica (procedimien
Extirpacin de lesiones de cuerdas vocales con microciruga (n
Traqueostoma planeada
Traqueostoma de urgencia, transtraqueal
Traqueostoma de emergencia, por membrana cricotiroidea
Traqueostoma, procedimiento de fenestracin con colgajos cu
Construccin de fstula traqueoesofgica y subsiguiente inserci
Puncin traqueal percutnea con aspiracin y / o revisin
Revisin de Traqueostoma, sin rotacin de Flap
Traqueobroncoscopa a travs de una incisin de Traqueostom
Broncoscopa
Cateterizacin transgltica (procedimiento separado)
Instilacin de material de contraste para Laringografa o Bronco
Cateterizacin para Broncografa, con o sin instilacin de mater
Inyeccin transtraqueal para Broncografa
Aspiracin con broncoscopio
Introduccin transtraqueal (percutnea) de dilatador de alambr
Traqueoplasta
13.33
13.33
26.67
33.33
3.79
4.36
4.36
6.06
6.06
13.33
26.67
53.33
26.67
53.33
26.67
53.33
26.67
55.56
3.36
0.44
1.45
12.07
20.00
20.00
12.07
20.00
45.00
26.67
25.00
2.67
4.75
2.00
4.00
40.00
2.00
2.67
10.00
10.00
10.00
10.00
10.00
10.00
1.33
1.33
8.00
Reconstruccin de carina traqueal

Broncoplasta
Excisin de tumor traqueal o carcinoma cervical
Sutura de herida o lesin traqueal
Cierre quirrgico de Traqueostoma o fstula
Revisin de cicatriz de Traqueostoma (en sala de operaciones
Toracocentesis
Lavado total de pulmn (unilateral)
Pleurodesis
Toracostoma de tubo, con o sin sistema de sello bajo agua
Toracostoma, para drenaje de empiema
Toracotoma, limitada, para biopsia pulmonar o pleural
Toracotoma mayor
Neumonotoma con drenaje de quiste o absceso
Escarificacin pleural por Neumotrax a repeticin
Decorticacin pulmonar total
Decorticacin pulmonar parcial
Pleurectoma parietal
Decorticacin y Pleurectoma parietal
Biopsia, pleura; aguja percutnea
Biopsia, pulmn o mediastino, aguja percutnea
Neumocentesis
Neumonectoma total, incluye reconstruccin de la pared torci
Neumonectoma total con reseccin de segmento de trquea
Extirpacin de pulmn, que no sea Neumonectoma total
Bilobectoma pulmonar
Segmentectoma pulmonar
Reseccin y reparacin de porcin de bronquio cuando se rea
Enucleacin extrapleural de empiema (empiemectoma)
Toracoscopa diagnstica
Pleurodesis por toracoscopa, cualquier mtodo o toracoscopa
Decorticacin pulmonar parcial por toracoscopa
Decorticacin pulmonar total por toracoscopa
Extirpacin de cuerpo extrao intrapleural o depsito de fibrina
Pleurectoma parietal por toracoscopa
Reseccin de pulmn "en cua" por toracoscopa
Extirpacin de cogulo o cuerpo extrao del saco pericrdico p
Creacin de ventana pericrdica o reseccin parcial de saco pe
Pericardiectoma total por toracoscopa
Excisin de quiste, tumor o masa pericrdicos o mediastnicos
Lobectoma pulmonar total o segmentaria por toracoscopa
Simpatectoma torcica por toracoscopa
Esofagomiotoma tipo Heller por toracoscopa
Cura quirrgica de hernia pulmonar a travs de la pared torcic
Reconstruccin de pared torcica
8.00
8.00
8.00
0.67
8.00
5.33
1.33
4.00
0.67
1.50
3.00
4.00
5.33
5.33
5.33
34.03
22.93
34.03
34.03
1.50
3.00
0.80
51.04
51.04
50.89
50.89
50.89
51.04
25.78
10.00
13.33
16.67
32.00
6.67
8.00
14.67
13.33
13.33
21.85
8.00
9.33
5.33
40.00
6.67
8.00
Cierre de fstula bronquial

Reconstruccin mayor de pared torcica (postraumtica)
Trasplante de pulmn, uno solo; sin derivacin cardiopulmonar
Trasplante de pulmn, uno solo; con derivacin cardiopulmonar
Trasplante de pulmn, doble (bilateral secuencial o en bloque);
Trasplante de pulmn, doble (bilateral secuencial o en bloque)
Reseccin de costillas, extrapleural, todos los estados
Toracoplasta, tipo Schede o extrapleural (todos los estados)
Toracoplasta con cierre de fstula broncopleural
Neumotrax, teraputico, inyeccin intrapleural de aire
Lavado de pulmn total (unilateral)
Tratamiento de contusin cardaca- cerrado y abierto
Tratamiento de contusin pulmonar - cerrado y abierto
Pericardiocentesis
Pericardiostoma
Pericardiotoma para extirpacin de cogulo o cuerpo extrao
Creacin de ventana pericrdica o reseccin parcial para drena
Pericardiectoma parcial o completa
Excisin de quiste o tumor pericrdico
Excisin de tumor intracardaco, reseccin con derivacin card
Reseccin de tumor cardaco externo
Insercin de marcapaso permanente con electrodos epicrdico
Insercin o reemplazo de marcapaso permanente con electrod
Insercin o reemplazo de electrodo cardaco o catter marcapa
Insercin o reemplazo del generador de pulsos marcapasos (si
Actualizacin de tipo marcapasos implantable, conversin de
Insercin, o reubicacin de electrodos transvenosos permanent
Reparacin de electrodo(s) transvenoso(s) de marcapasos o car
Revisin o recolocacin de bolsa subcutnea para marcapasosRemocin de generador de pulsos marcapasos permanente
Remocin de electrodos de marcapasos venosos; sistema uni o
Remocin de marcapasos epicrdico y electrodos permanentes p
Remocin de electrodos transvenosos permanentes mediante
Insercin de cardioversor de pulsos-desfibrilador generador de
Remocin subcutnea de cardioversor de pulsos-desfibrilador
Remocin de electrodo(s) del cardioversor de pulsos-desfibril
Remocin de electrodo(s) del cardioversor de pulsos-desfibrila
Insercin de electrodos epicrdicos de cardioversor de pulsosInsercin o reposicionamiento de electrodo(s) de desfribrilador
Ablacin quirrgica de foco o va arritmognica supraventricula
Incisiones quirrgicas y reconstruccin de aurculas para tratami
Ablacin quirrgica de foco arritmognico ventricular con deri
Implantacin o retiro de registrador de eventos cardacos
Correccin de lesin cardaca
Correccin de lesin cardaca con derivacin cardiopulmonar
10.67
8.00
10.67
45.00
60.00
70.00
40.00
8.00
42.53
2.67
13.33
13.00
13.00
6.00
8.00
32.00
34.00
48.00
48.00
52.00
64.00
10.73
11.00
8.00
8.00
9.00
8.00
8.00
8.00
8.00
8.00
32.00
8.00
8.00
8.00
32.00
8.00
32.00
8.00
64.00
64.00
64.00
64.00
64.00
64.00
Cardiotoma, exploradora (incluye extirpacin de cuerpo extra

Reparacin de los grandes vasos intratorcicos sin derivacin
Reparacin de los grandes vasos intratorcicos con derivacin
Insercin de injerto, aorta o grandes vasos
Valvuloplasta, vlvula artica; abierta, con derivacin cardiop
Construccin de un conducto apical artico
Reemplazo, vlvula artica, con derivacin cardiopulmonar; con
Correccin de obstruccin de la va de flujo de salida de ventrc
Reseccin o incisin de tejido subvalvular por estenosis artica
Ventriculomiotoma/miectoma por estenosis subartica hipertr
Aortoplasta (placa) por estenosis supravalvular
Valvotoma, vlvula mitral; a corazn cerrado
Valvotoma mitral a corazn abierto, con derivacin cardiopulm
Valvuloplasta, vlvula mitral, con derivacin cardiopulmonar
Reemplazo, vlvula mitral, con derivacin cardiopulmonar
Valvectoma, vlvula tricspide, con derivacin cardiopulmonar
Valvuloplasta, vlvula tricspide; sin insercin de anillo
Reemplazo, vlvula tricspide, con derivacin cardiopulmonar
Reposicionamiento y pliegue de la vlvula tricspide por enfer
Valvotoma, vlvula pulmonar, a corazn cerrado; transventricul
Valvotoma, vlvula pulmonar, a corazn abierto; con oclusin d
Reemplazo, vlvula pulmonar
Reseccin ventricular derecha por estenosis infundibular, con
Aumento de la va de flujo de salida (placa), con o sin comisur
Correccin de fstula arteriovenosa coronaria o de fstula de a
Correccin de anormalidades de la arteria coronaria; mediante
Correccin de anormalidades de la arteria coronaria; mediante
Derivacin de arteria coronaria, vena solamente, de 1 a 3 injert
Derivacin de arteria coronaria, vena solamente, de 4 a ms inj
Derivacin de arteria coronaria empleando injertos venosos y ar
Derivacin de arteria coronaria empleando injertos venosos y ar
Reoperacin, procedimiento para derivacin de arteria coronari
Derivacin de arteria coronaria, usando injertos arteriales; un sol
Derivacin de arteria coronaria, usando injertos arteriales; 4 a
Reseccin miocrdica
Correccin de defecto del tabique ventricular post-infarto
Endarterectoma coronaria, abierta de arterias coronarias izqui
Cierre de vlvula auriculoventricular (mitral o tricspide) media
Correccin de defecto del tabique auricular, tipo secundum, con
Correccin de defecto del tabique interventricular
Septectoma o Septostoma Auricular; corazn cerrado (proced
Septectoma o Septostoma Auricular; corazn abierto con deri
Cortocircuito; shunt de arteria subclavia a arteria pulmonar (op
Correccin total, tronco arterioso (operacin de Rastelli)
Reimplantacin de arteria pulmonar anmala
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
Injerto de aorta ascendente, con derivacin cardiopulmonar

Injerto de cayado artico transverso, con derivacin cardiopul
Injerto de aorta torcica descendente, con o sin derivacin
Correccin con injerto de aneurisma artico tracoabdominal, c
Embolectoma de arteria pulmonar
Endarterectoma pulmonar, con o sin embolectoma, con deriva
Ligadura y desmontado de cortocircuito sistmico hacia la arte
Trasplante de corazn-pulmn con cardiectoma-neumectoma e
Trasplante cardaco, con o sin cardiectoma en el receptor
Circulacin extracorprea prolongada por insuficiencia cardiop
Insercin percutnea de baln intra-artico
Remocin de dispositivo de asistencia con globo intra-artico,
Insercin de dispositivo de asistencia con globo intra-artico a
Remocin de dispositivo de asistencia con globo intra-artico
Implante de dispositivo de asistencia ventricular
Remocin de dispositivo de asistencia ventricular
Embolectoma o Trombectoma, con/sin catter
Embolectoma o Trombectoma, con/sin catter arteria renal, ce
Trombectoma, directa o con catter
Valvuloplasta, vena femoral
Reconstruccin de vena cava, cualquier mtodo
Transposicin de vlvula venosa, cualquier vena donante
Injerto venoso cruzado al sistema venoso
Anastomosis venosa safenopopltea
Reparacin endovascular de aneurisma de aorta mediante prt
Colocacin de dispositivo de oclusin endovascular de arteria il
Cura quirrgica de aneurismas, falso aneurisma o excisin e ins
Cura quirrgica de aneurismas, falso aneurisma o excisin e ins
Cura quirrgica de aneurismas, falso aneurisma de aorta abdomi
Correccin, fstula arteriovenosa congnita; cabeza y cuello
Reparacin de fstula arteriovenosa congnita en trax y abdo
Reparacin de fstula arteriovenosa congnita en extremidades
Correccin, fstula arteriovenosa adquirida o traumtica
Sutura o anastomosis directa de vaso sanguneo perifrico
Sutura o anastomosis directa de vaso sanguneo intratorcico
Correccin de vaso sanguneo perifrco con injerto
Correccin de vaso sanguneo intratorcico o intraabdominal co
Correccin de vaso sanguneo perifrico con injerto que no se
Correccin de vaso sanguneo intratorcico o intraabdominal c
Tromboendarterectoma, con o sin injerto, de arterias perifrica
Tromboendarterectoma, con o sin injerto, de arteria aorta abd
Reoperacin, cartida, tromboendarterectoma, ms de un mes
Angioscopa (vasos no coronarios o injertos) durante una interv
Angioplasta con baln transluminal abierta
Angioplasta con baln transluminal percutnea
64.00
64.00
64.00
64.00
64.00
64.00
64.00
96.00
96.00
96.00
64.00
8.00
64.00
32.00
64.00
64.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
64.00
32.00
32.00
32.00
32.00
32.00
64.00
42.67
64.00
32.00
64.00
32.00
64.00
64.00
32.00
32.00
32.00
Aterectoma perifrica transluminal, abierta

Aterectoma perifrica transluminal, percutnea
By-pass perifrico
By-pass Aorto-subclavio o Aorto-carotdeo
By-pass Aorto-visceral (renal, mesentrico o similares)
By-pass Aorto - iliaco o bi-iliaco
By-pass Aorto-femoral o bifemoral
Otras derivaciones (fmoro-femoral, axilo-humeral, cartido-subcl
Derivacin venosa in-situ; aortofemoralpopltea (solamente la po
Derivacin venosa in-situ; femoral-popltea
Derivacin venosa in-situ; femoral-tibial anterior, tibial posterio
Derivacin venosa in-situ; popltea-tibial, peronea
Injerto de derivacin que no sea de vena, cualquier vaso
Injerto de derivacin combinado, vena y protsico
Injerto de derivacin autlogo combinado
Transposicin y/o reimplante de arteria a arteria
Exploracin vascular, reoperacin, correccin o retiro de injerto v
Exploracin arterial con o sin lisis de arteria (no seguida de cor
Exploracin vascular por hemorragia postoperatoria, trombosis
Correccin de fstula injerto-entrica
Trombectoma de injerto venoso o arterial, con o sin revisin del
Revisin, derivacin arterial de extremidad inferior, sin trombec
Excisin de injerto vascular infectado
Cateterismo selectivo, rama venosa de primer orden
Cateterismo selectivo, rama venosa de segundo orden
Insercin de bomba de infusin intra-arterial implantable (ejm.
Revisin de bomba de infusin intra-arterial implantada
Remocin de bomba de infusin intra-arterial implantada
Venipuntura, femoral, yugular o seno sagital
Venipuntura, venostoma
Transfusin de sangre o componentes sanguneos
Transfusin masiva de sangre en nios de 2 aos de edad o m
Exanguinotransfusin, sangre; recin nacido
Inyeccin de solucin esclerosante; una sola vena
Cateterizacin percutnea de vena porta mediante cualquier m
Colocacin percutnea de catter venoso central (subclavia, y
Colocacin percutnea de catter venoso central (subclavia, y
Cateterismo venoso para toma selectiva de muestras de sangre
Cateterismo de vena umbilical para diagnstico o tratamiento,
Afresis teraputica (intercambio de plasma y/o de clulas)
Procedimientos asociados a bombas de infusin; incluye la inse
Procedimientos asociados a dispositivo de acceso venoso implan
Puncin arterial, extraccin de sangre para diagnstico
Cateterismo o canulacin arterial (toma de muestra, monitorizac
Cateterismo de arteria umbilical, recin nacido
32.00
32.00
32.00
64.00
64.00
64.00
64.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
4.44
4.44
3.50
5.00
10.00
1.00
6.67
4.44
1.50
2.00
1.50
5.00
5.00
5.00
0.60
4.00
6.00
Colocacin de aguja para infusin intrasea

Insercin, revisin o cierre de cnula para hemodilisis (vena a
Revisin externa, o cierre de cnula arteriovenosa
Anastomosis arteriovenosa abierta directa, cualquier sitio (ejm
Insercin de cnulas para circulacin extracorprea prolongada
Creacin de fstula arteriovenosa que no sea por anastomosis a
Trombectoma, fstula arteriovenosa sin revisin, injerto autlog
Revisin de una fstula arteriovenosa (puede incluir trombectom
Correccin plstica de aneurisma arteriovenoso
Insercin de cortocircuito de Thomas
Extraccin externa de cogulo de cnula
Anastomosis porto-cava u otras porto-sistmicas
Anastomosis venosas intraabdominales
Biopsia transcatter
Teraputica tromboltica transcatter
Ligadura de vena yugular interna
Ligadura de arteria cartida
Ligadura o bandeo de angioacceso de fstula arteriovenosa
Ligadura o biopsia, arteria temporal
Ligadura de arteria de cuello o extremidad; vena
Ligadura de arteria de trax o abdomen; vena
Interrupcin, parcial o completa, de vena cava inferior por sutur
Ligadura de vena femoral
Ligadura de vena ilaca comn primitiva
Ligadura, divisin y denudacin completa de vena safena larga
Ligadura de vasos perforantes, subfacial, radical (tipo Linton),
Ligadura, divisin y excisin de venas varicosas recurrentes o
Revascularizacin peneana, arteria, con o sin injerto venoso
Procedimiento venoso oclusivo peneano
Revascularizacin arterial y venosa por aplastamiento, by pass
Drenaje, evacuacin de lesin qustica o absceso de bazo sin
Esplenectoma total
Esplenectoma parcial
Reparacin de rotura de bazo (Esplenorrafa) con o sin Esplene
Esplenectoma por va laparoscpica
Esplenectoma laparoscpicamente asistida por esplenomegali
Injerto autlogo de tejido esplnico
Aspiracin de mdula sea
Trasplante de mdula sea o de clulas germinales perifricas
Drenaje de absceso de ganglio linftico o de linfadenitis; simple
Drenaje de absceso de ganglio linftico o de linfadenitis; exten
Sutura y/o ligadura de conducto torcico por abordaje cervical
Sutura y/o ligadura de conducto torcico por abordaje torcico
Biopsia o excisin de ganglios linfticos; abierta, superficial
Biopsia o excisin de ganglios linfticos; con aguja, superficial
4.00
5.00
3.50
20.00
4.00
3.33
5.33
5.33
5.33
4.00
2.22
64.00
64.00
2.50
2.50
15.00
15.00
12.00
7.78
4.00
5.33
4.00
5.33
5.33
4.00
7.78
4.00
5.33
5.33
20.00
15.80
20.40
18.56
18.56
35.00
35.00
56.22
5.00
56.22
0.80
1.50
45.00
56.22
2.67
2.67
Biopsia o excisin de ganglios linfticos profundos

Excisin de higroma qustico, axilar o cervical
Linfadenectoma conservadora para clasificacin de la etapa del
Laparoscopa quirrgica; con muestreo de ganglios linfticos ret
Linfadenectoma plvica bilateral total por laparoscopa
Linfadenectoma plvica bilateral total y muestreo de ganglios p
Linfadenectoma conservadora para clasificacin de la etapa de
Linfadenectoma axilar; superficial por va axiloscpica
Linfadenectoma torcica, regional, incluyendo ganglios mediast
Linfadenectoma plvica, incluyendo ganglios ilacos externos,
Linfadenectoma retroperitoneal transabdominal, amplia, incluye
Linfadenectoma retroperitoneal amplia, incluyendo ganglios plv
Linfadenectoma suprahioidea
Linfadenectoma cervical (completa)
Linfadenectoma axilar
Linfadenectoma torcica, regional, incluyendo ganglios mediast
Linfadenectoma abdominal, regional, incluyendo ganglios celac
Linfadenectoma inguinofemoral, superficial, incluyendo gangli
Linfadenectoma plvica, incluyendo ganglios ilacos externos,
Linfadenectoma retroperitoneal transabdominal, amplia, incluye
Canulacin, conducto torcico
Mediastinotoma con exploracin, drenaje, extirpacin de cuerpo
Mediastinotoma con exploracin, drenaje, extirpacin de cuerpo
Excisin de quiste, tumor mediastnico
Mediastinoscopa, con o sin biopsia
Correccin de laceracin diafragmtica
Correccin de hernia hiatal paraesofgica sin procedimiento anti
Correccin de hernia diafragmtica neonatal, con o sin inserci
Correccin de hernia diafragmtica (hiatal esofgica) sin proced
Imbricacin de diafragma por eventracin
Reseccin y reparacin de diafragma con o sin colocacin de m
Correccin de laceracin diafragmtica por laparoscopa
Reseccin y reparacin de diafragma con o sin colocacin de m
Biopsia de labio
Bermellonectoma (afeitado labial), con avance de mucosa; plast
Excisin de labio, de espesor parcial
Excisin de labio, de espesor total, con reconstruccin con colg
Reseccin de labio, ms de un cuarto, sin reconstruccin
Correccin de labio
Correccin plstica de labio hendido o deformidad nasal; primaria
Correccin plstica primaria bilateral, de labio hendido o defor
Drenaje de absceso, quiste, hematoma, extirpacin de cuerpo e
Drenaje de absceso, quiste, hematoma, extirpacin de cuerpo e
Incisin del frenillo labial (Frenotoma)
Excisin de lesin de mucosa y submucosa de vestbulo de la
15.00
25.33
56.22
24.22
56.22
56.22
56.22
15.00
24.22
24.22
24.22
24.22
13.33
24.22
24.22
13.33
56.22
12.00
56.22
56.22
24.22
24.22
56.22
24.22
15.00
56.22
56.22
56.22
56.22
56.22
56.22
56.22
75.00
3.33
10.00
6.67
10.00
10.00
13.33
26.67
32.00
3.33
3.33
1.50
0.44
Excisin de frenillo, labial o bucal (Frenumectoma, Frenulecto

Destruccin de lesin o cicatriz del vestbulo de la boca media
Rafa de lesiones intraorales, piso de la boca y lengua
Vestibuloplasta [anterior, posterior (uni o bilateral), de todo el a
Vestibuloplasta compleja (incluyendo extensin del arco alveo
Incisin intraoral y drenaje de absceso, quiste o hematoma de l
Incisin intraoral y drenaje de absceso, quiste o hematoma de
Incisin de frenillo lingual (frenotoma)
Incisin extraoral para drenaje de absceso, quiste o hematoma
Incisin extraoral y drenaje de absceso, quiste o hematoma del
Biopsia de lengua, piso de la boca
Excisin de lesin de lengua
Excisin de frenillo lingual (frenectoma)
Glosectoma; menos de la mitad de la lengua
Hemiglosectoma
Glosectoma parcial, con diseccin radical unilateral del cuello
Glosectoma completa o total, con o sin traqueostoma, sin disec
Glosectoma completa o total, con o sin traqueostoma, con disec
Glosectoma compuesta con reseccin del piso de la boca y rese
Glosectoma compuesta con reseccin del piso de la boca, con
Glosectoma compuesta con reseccin del piso de la boca, resec
Correccin de laceracin de piso de la boca y de la lengua
Fijacin de la lengua, mecnica, que no sea con sutura (ejm. a
Sutura de la lengua al labio debido a micrognatia (procedimien
Frenoplasta (revisin quirrgica del frenillo, (ejm. con Z-plasta
Drenaje de absceso, quiste, hematoma de las estructuras dent
Biopsia y exmenes de tejidos orales duros
Extirpacin de cuerpo extrao de las estructuras dentoalveolare
Extirpacin de cuerpo extrao de las estructuras dentoalveolar
Gingivectoma, excisin de enca, cada cuadrante
Operculectoma, excisin de tejidos pericoronales
Excisin de tuberosidades, lesiones o tumor de estructuras den
Excisin de mucosa alveolar hiperplsica
Alveolectoma, incluyendo legrado de ostetis o secuestrectom
Injertos de mucosa periodontal
Gingivoplasta
Alveoloplasta
Drenaje de absceso de paladar, vula
Biopsia de paladar, vula
Excisin de lesin de vula
Reseccin de paladar o reseccin amplia de lesin
Uvulectoma, excisin de la vula
Palatofaringoplasta (ejm. vulopalatofaringoplastia, vulofaring
Correccin de laceracin de paladar
Palatoplastia para paladar hendido, paladar blando y/o duro so
0.67
1.50
1.50
20.00
26.67
3.33
2.00
1.50
2.00
2.50
2.00
2.00
2.00
13.33
20.00
26.67
33.33
40.00
40.00
46.67
53.33
6.67
6.67
6.67
0.89
3.33
3.33
3.33
6.67
0.67
6.67
10.00
1.50
10.00
6.67
6.67
6.67
3.33
2.00
2.00
10.00
1.33
13.33
1.50
20.00
Palatoplastia para paladar hendido, con cierre de arco alveolar

Palatoplastia con injerto seo en el arco alveolar (incluye la obt
Alargamiento de paladar y colgajo farngeo
Correccin del paladar anterior, incluyendo colgajo de vmer
Correccin de fstula nasolabial - Ciruga Plstica
Impresin de maxilar para prtesis palatina
Insercin de prtesis palatina retenida con clavijas
Drenaje de absceso de glndula salival
Fistulizacin de quiste salival sublingual
Sialitotoma submaxilar, sublingual, parotdea
Biopsia de glndula salival; aguja
Excisin de quiste salival sublingual (rnula)
Marsupializacin de quiste salival sublingual (rnula)
Excisin de tumor o de glndula partida; lbulo lateral
Excisin total de glndula partida
Excisin total de partida con diseccin radical unilateral del cu
Excisin de glndula submandibular (submaxilar)
Excisin de glndula sublingual
Correccin plstica de conducto salival, sialodocoplasta
Desviacin de conducto de la partida, bilateral, con o sin ex
Cierre de fstula salival
Dilatacin y/o cateterismo de conducto salival
Ligadura de conducto salival
Incisin y drenaje de absceso periamigdalino, retrofarngeo o p
Biopsia; orofaringe, hipofaringe, nasofaringe
Excisin o destruccin de lesin de faringe, cualquier mtodo
Extirpacin de cuerpo extrao de faringe
Excisin de quiste o vestigio de hendidura braquial
Amigdalectoma y adenoidectoma
Amigdalectoma, primaria o secundaria
Adenoidectoma
Reseccin radical de amgdalas, pilares amigdalianos y/o trgo
Excisin de formaciones poliposas amigdalianas
Excisin o destruccin de amgdala lingual, cualquier mtodo
Faringuectoma conservadora
Reseccin de la pared lateral de la faringe o del seno piriforme
Reseccin de la pared de la faringe que requiera cierre con co
Sutura de faringe
Faringoplasta
Correccin faringoesofgica
Faringostoma
Control de hemorragia orofarngea, primaria o secundaria
Esofagotoma, abordaje cervical, con extirpacin de cuerpo ext
Miotoma cricofarngea
Esofagotoma, abordaje torcico, con extirpacin de cuerpo ext
26.67
33.33
33.33
26.67
13.33
4.44
0.89
3.33
3.33
3.33
2.00
3.50
3.50
13.33
15.00
53.33
13.33
13.33
13.33
15.00
4.00
3.33
3.33
2.33
2.00
10.00
0.67
2.00
4.00
3.00
3.00
5.00
1.50
1.50
4.00
4.50
6.00
2.00
13.33
13.33
13.33
5.00
24.22
24.22
56.22
Excisin de lesin, esfago, con correccin primaria; abordaje c

Excisin de lesin, esfago, con correccin primaria; abordaje
Esofagectoma total o casi total, con faringogastrostoma o eso
Esofagectoma total o casi total, con interposicin del clon o r
Esofagectoma parcial, cervical, con injerto intestinal libre
Esofagectoma parcial, dos tercios distales, con o sin gastrect
Esofagectoma parcial con o sin gastrectoma proximal, con inte
Esofagectoma total o parcial, sin reconstruccin (cualquier ab
Diverticulectoma de hipofaringe o esfago, con o sin miotoma
Esofagofibroscopa diagnstica (cepillado y/o biopsia) con o s
Esofagoscopa, con Ultrasonografa endoscpica
Esofagogastroduodenofibroscopa diagnstica con biopsia y/o c
Endoscopa gastrointestinal alta, incluyendo esfago, estmago
Endoscopa gastrointestinal alta con ultrasonografa endoscpi
Colangiopancreatografa endoscpica retrgrada (CPRE); diagn
Esofagectoma total o casi total, con faringogastrostoma o es
Fundoplasta esofagogstrica (ej. procedimientos de Nissen, To
Esofagomiotoma por va laparoscpica sin procedimiento antire
Esofagomiotoma por va laparoscpica con procedimiento antir
Esofagoplasta, abordaje cervical
Esofagoplasta, abordaje torcico
Esofagoplasta para tratamiento de defectos congnitos (atresia
Esofagogastrostoma
Fundoplasta esofagogstrica (ej. procedimientos de Nissen, Bel
Esofagomiotoma (tipo HelIer); abordaje abdominal
Esofagomiotoma (tipo HelIer); abordaje torcico
Esofagoyeyunostoma
Esofagostoma, fistulizacin de esfago
Reconstruccin gastrointestinal con estmago, con o sin pilorop
Reconstruccin gastrointestinal con interposicin del clon o re
Ligadura, directa, vrices esofgicas
Ligadura de vrices esofgicas con fibroscopio con o sin vide
Transeccin de esfago con correccin, por vrices esofgicas
Ligadura o engrapado de la unin gastroesofgica por perforaci
Sutura de herida o lesin esofgica por abordaje cervical
Sutura de herida o lesin esofgica, por abordaje transtorcic
Cierre de esofagostoma o fstula
Dilatacin de esfago
Dilatacin de esfago con o sin videocmara
Taponamiento esofagogstrico con baln (tipo Sengstaken)
Transferencia de yeyuno libre con anastomosis microvascular
Gastrotoma; con exploracin o extirpacin de cuerpo extrao
Gastrotoma con correccin por sutura de lcera sangrante
Piloromiotoma, corte de msculo pilrico (procedimiento de F
Biopsia de estmago por laparotoma
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
24.22
4.44
8.00
6.67
7.00
8.50
18.00
75.00
25.00
13.33
13.33
13.33
13.33
13.33
36.70
75.00
36.70
36.70
83.60
36.70
75.00
120.22
32.67
36.67
56.22
56.22
56.22
45.00
25.00
5.33
6.50
18.89
24.22
13.33
20.00
10.00
10.00
Gastrectoma total
Gastrectoma parcial distal
Vagotoma realizada junto con gastrectoma distal parcial
Gastrectoma, parcial, proximal, abordajes torcico o abdomin
Vagotoma incluyendo piloroplasta, con o sin gastrostoma
Vagotoma incluyendo piloroplasta, con o sin gastrostoma; de c
Piloromiotoma, corte de msculo pilrico (procedimiento de Fr
Biopsia de estmago por laparoscopa
Gastrectoma, parcial, distal asistida o completa por va laparo
Gastrectoma total, asistida o completa por va laparoscpica
Vagotoma troncular por laparoscopa
Vagotoma selectiva o ultraselectiva por laparoscopa
Gastrostoma por laparoscopa
Vagotoma incluyendo piloroplasta, con o sin gastrostoma por
Colocacin percutnea de tubo de gastrostoma
Cambio o reposicionamiento de tubo de gastrostoma
Piloroplasta
Gastroduodenostoma
Gastroyeyunostoma con o sin vagotoma
Gastrostoma, abierta; sin construccin de tubo gstrico
Gastrostoma neonatal abierta para alimentacin
Gastrorrafia, sutura de lcera duodenal o gstrica perforada, he
Gastrorrafia y parche de epiplon (Graham) por lcera perforada
Procedimiento gstrico restrictivo por obesidad mrbida, sin der
Procedimiento gstrico restrictivo por obesidad mrbida, con de
Revisin de procedimiento gstrico restrictivo por obesidad m
Colocacin de baln intragstrico para reduccin de peso
Revisin de anastomosis gastroduodenal (gastroduodenostoma
Revisin de anastomosis gastroyeyunal (gastroyeyunostoma) c
Cierre quirrgico de gastrostoma
Cierre de fstula gastroclica
Gastroyeyunostoma con o sin vagotoma por va laparoscpica
Gastrorrafia, sutura de lcera perforada, herida, o lesin por v
Procedimiento gstrico restrictivo por obesidad mrbida; coloc
Enterolisis, liberacin de adherencias o bridas peritoneales o in
Duodenotoma
Diverticulizacin duodenal
Enterostomas
Enterotoma, intestino diferente a duodeno
Colotoma
Reduccin de vlvulo, intususcepcin, hernia interna, mediante
Correccin de malrotacin mediante lisis de bandas duodenales
Enterectoma, reseccin del intestino delgado
Enterectoma; reseccin de intestino delgado para atresia cong
Enteroenterostoma, anastomosis de intestino, con o sin enter
56.22
56.22
69.56
69.56
69.56
26.67
20.00
13.33
88.22
88.22
88.22
88.22
53.33
88.22
10.00
6.67
20.00
89.11
120.22
13.33
10.00
13.33
20.00
60.00
67.33
67.33
18.89
20.00
20.00
13.33
20.00
67.33
20.00
67.33
8.00
15.00
25.00
25.00
25.00
25.00
33.33
40.00
67.33
67.33
67.33
Ciruga de duplicacin intestinal

Enterectoma, con preparacin y mantenimiento de aloinjerto,
Enterectoma, con preparacin y mantenimiento de aloinjerto,
Transplante intestinal
Movilizacin (desmontado) de ngulo esplnico realizado en co
Colectoma parcial
Colectoma, total, abdominal, sin proctectoma
Colectoma, total, abdominal, con proctectoma
Colectoma con extirpacin del leonterminal e ileocolostoma
Enterolisis (liberacin de adherencias intestinales) por laparos
Yeyunostoma por laparoscopa
Reseccin instestinal con anastomosis por laparoscopa
Colectoma parcial con o sin anastomosis asistida o completa p
Colectoma con extirpacin del leon terminal e ileocolostoma
Colectoma, total, abdominal, sin proctectoma asistida o compl
Colectoma, total, abdominal, con proctectoma asistida o comp
Correccin de malrrotacin mediante lisis de bandas duodenales
Enterostoma o cecostoma, tubo (ejm. para descompresin o a
Ileostoma o yeyunostoma, sin tubo
Revisin de ileostoma simple
Revisin de ileostoma complicada
Ileostoma continente (procedimiento de Kock)
Colostoma o cecostoma con exteriorizacin a la piel
Revisin de colostoma simple (liberacin de cicatriz superficial
Revisin de colostoma con complicaciones (ejm. reconstrucci
Endoscopa del intestino delgado, enteroscopa ms all de la s
Endoscopa del intestino delgado, enteroscopa ms all de la
Enterofibroscopa incluye leon
Ileoscopa, a travs del estmago
Enterofibroscopa a travs de ostoma con o sin video cmara
Evaluacin endoscpica de bolsa del intestino delgado (abdomin
Colonoscopa a travs del estmago; diagnstica o teraputica
Introduccin de tubo gastrointestinal largo (ejm. Miller-Abbott)
Instalacin de sonda nasoyeyunal (Miller Abott)
Sutura de intestino delgado (enterorrafia) por lcera perforada, d
Sutura del intestino grueso (colorrafa) por lcera perforada, div
Correccin plstica de estrechez intestinal (enterotoma y enteror
Cierre de enterostoma, intestino grueso o delgado
Cierre de fstula intestinal cutnea
Cierre endoscpico de fstula intestino-cutnea, con o sin vide
Cierre de fstula enteroentrica o enteroclica
Cierre endoscpico de fstula enteroentrica o enteroclica
Cierre de fstula enterovesical
Plicatura intestinal
Exclusin de intestino delgado de la regin plvica mediante mall
67.33
67.33
67.33
120.22
67.33
67.33
67.33
67.33
67.33
10.00
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
36.90
36.90
8.00
12.60
15.00
15.00
15.00
18.89
18.89
4.00
4.00
56.22
56.22
24.22
56.22
24.22
13.33
56.22
13.33
56.22
18.89
56.22
Reparacin de atresia duodenal

Reparacin de atresia yeyunal
Parche de clon por enfermedad de Hirschprung
Colostoma o cecostoma con exteriorizacin a la piel, abordaj
Cierre de colostoma por va laparoscpica
Excisin de divertculo de Meckel (Diverticulectoma) o conduc
Excisin de lesin de mesenterio
Sutura de mesenterio
Drenaje abierto de abceso apendicular, sin apendicectoma
Drenaje percutneo de abceso apendicular
Apendicectoma; casos no complicados
Apendicectoma con drenaje
Drenaje de absceso apendicular sin apendicectoma
Apendicectoma con drenaje en caso complicado con plastrn
Apendicectoma con lavado de cavidad peritoneal con o sin dre
Drenaje de absceso apendicular por va laparoscpica
Apendicectoma por laparoscopa
Apendicectoma con drenaje en caso complicado con plastrn a
Apendicectoma con lavado de cavidad peritoneal con o sin dre
Apendicostoma
Drenaje transrrectal de absceso plvico
Incisin y drenaje de absceso submucoso de recto
Incisin y drenaje de absceso profundo supraelevador, pelvirrect
Biopsia de la pared anorrectal, abordaje anal (ejm. megacolon
Miomectoma anorrectal
Proctectoma: completa, combinada abdminoperineal, con col
Proctectoma parcial, con anastomosis
Proctectoma parcial, con anastomosis; abordajes abdominal y
Proctectoma total y anastomosis
Proctectoma, completa (por megacolon congnito), abordajes
Proctectoma parcial, sin anastomosis, abordaje perineal
Excisin de prolapso rectal, con anastomosis; abordaje perinea
Excisin de tumor rectal mediante proctotoma, abordajes trans
Destruccin de tumor rectal, cualquier mtodo (electrodesecacin
Proctosigmoidoscopa rgida: diagnstica, o teraputica
Sigmoidoscopa flexible: diagnstica o teraputica
Sigmoidoscopa con ultrasonografa endoscpica
Colonoscopa: rgida o flexible, transabdominal va colotoma
Fibrocolonoscopa derecha
Fibrocolonoscopa izquierda
Videocolonoscopa derecha
Videocolonoscopa izquierda
Proctoplasta
Inyeccin perirrectal de solucin esclerosante para prolapso
Proctopexia por prolapso; abordaje abdominal
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
7.50
9.00
10.00
12.00
8.00
15.00
19.40
24.22
30.67
30.67
30.67
18.90
15.00
15.00
15.00
15.00
43.00
56.22
56.22
56.22
56.22
56.22
45.00
35.80
35.80
18.00
8.89
8.89
15.56
8.89
15.56
8.89
20.00
13.33
15.56
8.89
24.22
Proctopexia por prolapso; abordaje perineal

Proctopexia por prolapso; abordaje laparoscpico
Proctopexia combinada con reseccin sigmoidea, abordaje abd
Correccin de rectocele; va abdominal
Correccin de rectocele; va vaginal
Cierre de fstula rectovesical
Cierre de fstula rectouretral
Reduccin de prolapso, bajo anestesia
Extirpacin de impactacin fecal o cuerpo extrao bajo anestes
Incisin y drenaje de absceso isquiorrectal y/o perirrectal
Incisin y drenaje de absceso intramural, intramuscular o subm
Incisin y drenaje, absceso perianal, superficial
Incisin septum anal (lactante)
Esfinterectoma anal, divisin de esfnter
Incisin de hemorroide trombosada, externa
Fisurectoma, con o sin esfinterectoma
Criptectoma
Papilectoma o excisin de plipo fibrocutneo en ano
Hemorroidectoma, mediante ligadura simple (ejm. banda de c
Hemorroidectoma completa
Hemorroidectoma simple
Hemorroidectoma con fisurectoma
Hemorroidectoma con fistulectoma, con o sin fisurectoma
Tratamiento quirrgico de fstula anal (fistulectoma/ fistulotom
Cierre de fstula anal con avance de colgajo rectal
Enucleacin o excisin de hemorroide externa trombtica
Inyeccin de solucin esclerosante, hemorroides
Anoscopa diagnstica, con o sin recoleccin de muestras
Anoplasta, operacin plstica para estrechez; adulto
Anoplasta en el lactante
Correccin de malformacin anorectal baja
Correccin de malformacin anorectal alta; abordaje perineal o
Correccin de malformacin anorectal alta; abordajes transab
Correccin de anomala cloacal mediante anorectovaginoplasta
Anorectoplasta sagital posterior por malformacin anorectal (
Esfinteroplasta anal, por incontinencia o prolapso
Injerto (operacin de Thiersch) por incontinencia rectal y/o prol
Remocin de alambre de Thiersch o sutura, canal anal
Destruccin de lesin(es) ano
Destruccin de hemorroides internas
Criociruga de tumor rectal
Curetaje o cauterizacin de fisura anal, incluyendo dilatacin del
Ligadura de hemorroides internas
Biopsia heptica, aguja percutnea
Hepatotoma; para drenaje a cielo abierto de absceso o quiste
24.22
24.22
24.22
56.22
24.22
24.22
24.22
8.89
4.44
12.00
13.50
12.00
8.89
24.22
15.56
22.00
24.22
6.67
8.89
19.00
13.33
15.56
15.56
24.22
24.22
8.89
6.67
1.50
15.56
8.89
15.56
24.22
24.22
24.22
24.22
24.22
24.22
15.56
4.44
12.00
15.56
9.00
5.67
7.50
56.22
Hepatotoma; para drenaje percutneo de absceso o quiste

Laparotoma, con aspiracin y/o inyeccin de quiste(s) o absce
Tratamiento quirrgico de quistes no parasitarios hepticos por
Biopsia heptica, en cua
Hepatectoma, reseccin de hgado; lobectoma parcial
Trisegmentectoma heptica
Lobectoma heptica izquierda total
Lobectoma heptica derecha total
Hepatectoma, con preparacin y mantenimiento de aloinjerto;
Alotrasplante de hgado; parcial o completo, de donante cadav
Hepatectoma, con preparacin y mantenimiento de aloinjerto;
Marsupializacin de quiste o absceso heptico
Tratamiento quirrgico de trauma heptico grados I-II
Tratamiento quirrgico de trauma heptico grados III-IV
Exploracin de lesin heptica, debridamiento amplio, coagula
Reexploracin de lesin heptica para remocin de empaque
Ablacin de uno o ms tumores hepticos por laparoscopa
Hepaticotoma o hepaticostoma con exploracin, drenaje exti
Coledocotoma o coledocostoma con exploracin, drenaje ext
Esfinterotoma o esfinteroplasta transduodenal, con o sin extr
Colecistotoma o colecistostoma con exploracin, drenaje o ext
Colecistostoma percutnea
Introduccin de catter o dilatador transheptico percutneo par
Colocacin percutnea de catter de drenaje biliar
Colocacin de drenaje biliar transparenquimal heptico (Praderi
Cambio de catter percutneo de drenaje biliar
Revisin y/o reinsercin de tubo transheptico
Endoscopia biliar, intraoperatoria (coledocoscopa)
Endoscopa biliar, percutnea va tubo en "T" u otra va; diagn
Colecistectoma por laparoscopa
Colecistectoma por laparoscopa con colangiografa
Colecistectoma con exploracin de vas biliares por laparoscop
Coledocotoma o coledocostoma con exploracin, drenaje o exti
Colecistotoma o colecistostoma con exploracin, drenaje o ext
Colecistoenterostoma por laparoscopa
Colecistectoma
Colecistectoma con colangiografa
Colecistectoma con exploracin de conducto biliar comn (col
Exploracin de atresia congnita de conductos biliares, sin corr
Portoenterostoma (ejm. procedimiento de Kasai)
Revisin quirrgica de la operacin de Kasai
Excisin de quiste del coldoco
Colecistoenterostoma; directa; derivacin
Anastomosis de conductos biliares extrahepticos y tracto gastr
Anastomosis de conductos biliares intrahepticos y tracto gastro
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
15.56
56.22
56.22
35.00
40.00
56.22
56.22
56.22
56.22
56.22
56.22
56.22
24.22
15.00
24.22
24.22
35.00
24.22
35.00
56.22
24.22
24.22
24.22
24.22
35.00
35.00
56.22
18.99
22.00
22.00
56.22
56.22
56.22
56.22
56.22
56.22
56.22
Reconstruccin plstica, de conductos biliares extrahepticos

Colocacin de dilatador del coldoco
Correccin quirrgica de fstula colecisto-coledociana (Sindrome
Correccin quirrgica de fstula colecisto-duodenal
Correccin quirrgica de fstula colecisto-colnica
Colocacin de drenaje bilio-entrico (drenaje de Volker)
Derivacin bilio-digestiva por va laparoscpica
Excisin de quiste del coldoco por va laparoscpica
Drenaje va biliar transparnquima heptico (Praderi)
Colocacin de drenes, peri pancreticos, por pancreatitis agud
Reseccin o debridamiento de pncreas y tejidos peripancreti
Extirpacin de clculos pancreticos
Biopsia de pncreas, abierta, cualquier mtodo
Biopsia de pncreas, aguja percutnea
Excisin de lesin de pncreas (ejm. quiste, adenoma)
Drenaje de absceso pancretico
Pancreatectoma, distal subtotal, con o sin esplenectoma
Excisin de la ampolla de Vater
Pancreatectoma, proximal subtotal con duodenectoma y gastr
Pancreatectoma total
Pancreatectoma, total o subtotal, con transplante autlogo de
Pancreatoyeyunostoma, anastomosis lado a lado (operacin de
Marsupializacin de quiste de pncreas
Drenaje externo, pseudoquiste de pncreas; a cielo abierto
Drenaje externo, pseudoquiste de pncreas; por puncin percu
Anastomosis interna de pseudoquiste de pncreas a tracto gastro
Anastomosis interna de pseudoquiste de pncreas a tracto gast
Anastomosis interna de pseudoquiste de pncreas a estmago;
Anastomosis interna de pseudoquiste de pncreas a duodeno/
Pancreatorrafia por trauma
Exclusin duodenal con gastroyeyunostoma por trauma pancre
Pancreatectoma, con preparacin y mantenimiento de aloinjert
Transplante de aloinjerto pancretico
Insercin de cnula o catter intraperitoneal para drenaje o di
Laparotoma exploradora, celiotoma exploradora con o sin biop
Reapertura de laparotoma reciente
Laparostoma
Cierre de laparostoma
Exploracin rea retroperitoneal con o sin biopsia(s)
Drenaje abierto de absceso (peritoneal, subdiafragmtico), linfo
Drenaje percutneo de absceso (peritoneal, subdiafragmtico), l
Drenaje abierto de absceso retroperitoneal
Drenaje percutneo de absceso retroperitoneal
Drenaje de linfocele extraperitoneal hacia la cavidad peritoneal,
Peritoneocentesis, paracentesis abdominal o lavado peritoneal:
56.22
40.00
40.00
40.00
40.00
40.00
56.22
56.22
40.00
56.22
56.22
56.22
56.22
24.00
56.22
56.22
56.22
56.22
58.89
58.89
58.89
65.00
56.22
56.22
56.22
58.89
58.89
58.89
58.89
58.89
58.89
8.89
58.89
8.89
8.89
8.89
8.89
8.89
20.00
15.00
15.00
24.22
15.00
15.00
3.00
Extirpacin de cuerpo extrao peritoneal de la cavidad peritone

Biopsia de masa abdominal o retroperitoneal, aguja percutnea
Excisin o destruccin de tumores, quistes o endometriomas in
Excisin de tumor presacro o sacrococcgeo
Celiotoma (laparotoma) para clasificacin del estado de la
Umbilectoma, onfalectoma, excisin de ombligo
Omentectoma, epiploectoma, reseccin de epipln
Laparoscopa diagnstica (abdomen, peritoneo y epipln) con o
Laparoscopa con biopsia y/o aspiracin de cavidad y/o quiste
Lisis de bridas y adherencias peritoneales e intestinales por v
Laparoscopa con drenaje de linfocele a cavidad peritoneal
Laparoscopa exploradora con o sin biopsia(s) para estadiaje d
Drenaje percutneo por condiciones intra o paraperitoneales as
Extirpacin de cuerpo extrao peritoneal de la cavidad peritone
Excisin o destruccin, mediante cualquier mtodo, de tumores
Excisin de tumor presacro o sacrococcgeo por va laparoscp
Omentectoma, epiploectoma, reseccin de epipln por va la
Insercin de cnula o catter intraperitoneal provisional para dre
Insercin o remocin de cnula o catter intraperitoneal perman
Cambio, bajo orientacin radiolgica, de catter de drenaje de
Inyeccin de material de contraste para valoracin de absceso
Hernioplasta con o sin hidrocelectoma; reducible
Hernioplasta inguinal incarcerada o estrangulada
Hernioplasta inguinal no complicada en forma bilateral
Cura quirrgica de hernia lumbar
Cura quirrgica de eventracin de pared abdominal reducible
Cura quirrgica de eventracin de pared abdominal incarcerad
Cura quirrgica de hernia epigstrica (ejm. grasa preperitoneal)
Cura quirrgica de hernia epigstrica incarcerada o estrangula
Cura quirrgica de hernia umbilical, reducible
Cura quirrgica de hernia umbilical incarcerada o estrangulada
Cura quirrgica de hernia de Spiegel
Correccin de onfalocele pequeo, con cierre primario
Correccin de onfalocele grande o gastrosquisis; con o sin prt
Correccin de onfalocele (operacin de Gross)
Hernioplasta inguinal por laparoscopa
Hernioplasta inguinal no complicada en forma bilateral por lap
Cura quirrgica de hernia lumbar por va laparoscpica
Cura quirrgica de hernia incisional o eventracin por va lapar
Cura quirrgica de hernia de Spiegel por va laparoscpica
Eventroplasta por va laparoscpica
Sutura secundaria de pared abdominal por evisceracin o dehi
Exploracin renal, que no requiera otros procedimientos espec
Drenaje de absceso perirenal o renal; a cielo abierto
Drenaje percutneo de absceso perirenal o renal
15.56
8.00
56.22
56.22
24.22
15.56
15.56
25.00
25.00
10.00
25.00
25.00
18.89
24.22
56.22
56.22
24.22
2.22
2.22
18.89
6.67
6.67
13.25
15.56
6.67
15.00
24.22
15.00
24.22
4.44
8.89
15.56
15.56
24.22
24.22
15.56
18.89
24.22
18.89
18.89
18.89
24.22
10.00
13.33
13.33
Nefrostoma nefrotoma con drenaje

Nefrotoma, con exploracin
Nefrolitotoma; extirpacin de clculo
Nefrolitotoma; extirpacin de clculo por va laparoscpica
Nefrostolitotoma percutnea o pielostolitotoma
Pielotoma; con exploracin
Pielotoma con drenaje; pielostoma
Pielotoma con extirpacin de clculo (pielolitotoma, pelvilitot
Biopsia renal: percutnea, con trcar o aguja
Biopsia renal mediante exposicin quirrgica del rin
Nefrectoma, incluyendo ureterectoma
Nefrectoma radical, con linfadenectoma regional y/o trombect
Nefrectoma parcial
Excisin o destruccin de quiste(s) de rin
Nefrectoma con preparacin y mantenimiento de aloinjerto en
Nefrectoma en donante vivo
Alotransplante renal, incluye nefrectoma en receptor
Aspiracin y/o inyeccin con aguja, de quiste o pelvis renal
Introduccin de catter en pelvis renal o urter por via percut
Procedimiento de inyeccin para pielografa a travs de tubo de
Introduccin de gua dentro de la pelvis renal y/o urter, con d
Estudios manomtricos a travs de tubo de Nefrostoma o Pielo
Pieloplasta
Nefrorrafia, sutura de herida o lesin de rin
Cierre de fstula nefrocutnea o pielocutnea
Cierre de fstula nefrovesical
Sinfisiotoma por "rin en herradura"
Ablacin de quiste renal por laparoscopa
Ablacin de masa lesin renal por laparoscopa
Nefrectoma parcial por laparoscopa
Pieloplasta por laparoscopa
Nefrectoma radical laparoscpica
Nefrectoma incluyendo ureterectoma
Nefrectoma en donante vivo por laparoscopa
Drenaje de absceso perirenal o renal por va laparoscpica
Endoscopa renal a travs de una nefrostoma o pielostoma es
Litotripsia, onda de choque extracorprea
Ureterotoma con exploracin o drenaje
Ureterotoma para insercin de catter dilatador ureteral implan
Ureterolitotoma cualquier tercio del urter
Ureterectoma total, urter ectpico, combinacin de abordajes
Ureteroplasta, operacin plstica en urter (ejm. por estrechez
Ureterolisis, con o sin reposicionamiento del urter debido a fib
Revisin de anastomosis urinaria-cutnea (cualquier tipo de ur
Ureteropielostoma, anastomosis de urter y pelvis renal
13.33
13.33
20.00
26.67
33.33
13.33
13.33
20.00
12.00
15.00
26.67
40.00
26.67
13.33
20.00
33.33
86.67
12.00
12.00
5.67
24.22
13.33
26.67
13.33
13.33
13.33
40.00
33.33
40.00
40.00
53.33
80.00
26.67
40.00
15.00
6.00
12.00
10.00
13.33
20.00
40.00
26.67
40.00
2.22
26.67
Ureteroureterostoma
Ureteroneocistostoma; anastomosis de un solo urter a la veji
Ureteroenterostoma, anastomosis directa del urter al intestin
Ureterosigmoidostoma, con creacin de vejiga sigmoidea y est
Desmontado de desviacin urinaria
Reemplazo de la totalidad o parte del urter con segmento del i
Apndico-vesicostoma cutnea
Ureterostoma, transplante de urter a la piel
Ureterorrafia, sutura de urter
Cierre de fstula ureterocutnea
Cierre de fstula ureterovisceral
Ligadura de urter
Ureterolitotoma por laparoscopa
Ureterolisis, con o sin reposicionamiento del urter debido a fib
Ureteroneocistostoma por laparoscopa
Endoscopa ureteral a travs de ureterostoma establecida, con o
Aspiracin vesical con aguja o trcar
Aspiracin vesical e insercin de catter suprapbico
Cistotoma o cistostoma
Cistolitotoma
Ureterolitotoma transvesical
Drenaje de absceso de espacio perivesical o prevesical
Excisin de quiste del uraco o de seno uracal, con o sin correcc
Cistectoma parcial simple
Cistectoma completa
Cistectoma completa con linfadenectoma plvica bilateral
Cistectoma completa, con ureterosigmoidostoma o transplant
Cistectoma completa con ureterosigmoidostoma o trasplantes u
Irrigacin de la vejiga, simple, lavaje y/o instilacin
Cambio de tubo de cistostoma
Cistometrograma (CMG) simple (ejm. manmetro espinal)
Uroflujometra (UFM) simple
Cistoplasta o cistouretroplasta, operacin plstica de la vejiga
Vesicouretropexia anterior o uretropexia (procedimientos de Ma
Suspensin del cuello vesical abdomino vaginal, con o sin cont
Cistorrafia, sutura de herida, lesin o ruptura de vejiga
Cierre de cistostoma
Cierre de fstula vesicovaginal, abordaje abdominal
Cierre de extrofia de vejiga
Enterocistoplasta, incluyendo anastomosis de intestino
Vesicostoma cutnea
Suspensin uretral por incontinencia de esfuerzo por laparosco
Operacin de bandeo por incontinencia de esfuerzo (ejm. fascia
Cistolitotoma por va laparoscpica
Drenaje de absceso de espacio perivesical o prevesical por va
26.67
26.67
26.67
53.33
26.67
40.00
53.33
13.33
10.00
17.78
26.67
10.00
26.67
33.33
40.00
7.50
3.93
3.33
4.44
8.89
13.33
4.44
10.00
13.33
26.67
33.33
53.33
60.00
2.00
4.44
26.67
26.67
13.33
8.89
21.87
8.89
13.33
26.67
33.33
53.33
6.67
13.33
20.00
6.67
8.89
Cistectoma, parcial; simple por va laparoscpica

Vesicouretropexia anterior o uretropexia (procedimiento Burch)
Cierre de cistostoma por va laparoscpica
Cistouretroscopa
Cistouretroscopa, con dilatacin de vejiga por cistitis intersticia
Cistouretroscopa, con calibracin y/o dilatacin de estrechez u
Cistouretroscopa, con insercin de catter dilatador uretral
Cistouretroscopa, con inyeccin de esteroides en la estrechez
Cistouretroscopa simple, con retiro de cuerpo extrao, clculo,
Cistouretroscopa por complicaciones, con retiro de cuerpo extra
Cistouretroscopa con insercin de alambre gua ureteral a trav
Cistouretroscopa, con ureteroscopa y/o pieloscopa
Dilatacin transuretral con baln de la uretra prosttica, cualq
Reseccin transuretral, que incluye reseccin de tejido residual
Drenaje transuretral de absceso prosttico
Reseccin transuretral, de Vejiga
Uretrotoma o uretrostoma, externa; uretra pndula
Meatotoma, corte de meato; excepto lactante
Drenaje de absceso periuretral profundo
Drenaje de extravasacin urinaria perineal
Biopsia de uretra
Uretrectoma total, incluyendo cistostoma; mujer
Excisin de divertculo de uretra (procedimiento separado); muj
Marsupializacin de divertculo uretral, hombre o mujer
Excisin o fulguracin; plipo(s) uretral(es), uretra distal
Uretroplasta
Operacin para correccin de incontinencia urinaria masculina
Uretromeatoplasta con avance de la mucosa
Uretrorrafia en mujeres
Uretrorrafia en hombres
Cierre de uretrostoma o de fstula uretrocutnea en hombres
Dilatacin de estrechez uretral
Cateterizacin de uretra
Corte de prepucio, dorsal o lateral; recin nacido
Destruccin de lesiones (condiloma, papiloma, molusco contagi
Biopsia de pene
Excisin de placas fibrosas del pene (enfermedad de Peyrone)
Amputacin de pene: parcial
Amputacin de pene: completa
Amputacin de pene, radical; con linfadenectoma inguinofemora
Circuncisin, usando clamp u otro dispositivo; recin nacido
Circuncisin en persona que no sea recin nacida
Frenulotoma de pene
Inyeccin de agentes farmacolgicos en los cuerpos cavernoso
Operacin plstica del pene para enderezamiento de encordamien
20.00
20.00
13.33
6.00
6.50
7.00
7.50
8.00
8.00
10.00
10.00
15.67
6.67
12.00
3.33
13.33
4.44
3.33
4.44
4.44
1.00
13.33
8.89
5.00
3.33
13.33
13.33
13.33
4.44
4.44
8.89
4.44
2.22
2.22
3.33
3.33
13.33
8.89
13.33
26.67
3.33
6.67
2.22
1.00
13.33
Uretroplasta para correccin de hipospadias

Operacin plstica del pene para epispadias distales al esfnter
Insercin de prtesis peneana
Cortocircuito de cuerpos cavernosos con vena safena (operaci
Fistulizacin de cuerpos cavernosos con glande del pene (ejm.
Operacin plstica del pene debido a lesin
Manipulacin de prepucio incluyendo lisis de adherencias prepu
Biopsia de testculos, con aguja
Biopsia de testculos, incisional
Excisin de lesin local de testculos
Orquiectoma simple (incluyendo subcapsular), con o sin prtesis
Orquiectoma bilateral
Orquiectoma radical, por tumor; abordaje inguinal
Exploracin de testculos no descendidos (regin inguinal o esc
Reduccin de torsin de testculos, quirrgica, con o sin fijacin
Orquidopexia, abordaje inguinal, con o sin correccin de hernia
Orquidopexia, abordaje abdominal, para testculos intraabdomi
Insercin de prtesis testicular
Sutura o correccin de lesin testicular
Transplante de testculo(s) al muslo (debido a destruccin escro
Orquiectoma por laparoscopa
Orquidopexia para testculo intraabdominal por laparoscopa
Incisin y drenaje del epiddimo, testculos y/o espacio escrot
Biopsia de epiddimo, aguja
Exploracin de epiddimo, con o sin biopsia
Excisin de lesin local de epiddimo
Epididimectoma; unilateral
Epididimectoma bilateral
Epididimovasostoma, anastomosis del epiddimo a vasos defere
Puncin aspirativa de hidrocele, tnica vaginal del testculo,
Excisin de hidrocele unilateral
Correccin de hidrocele, tnica vaginal del testculo (procedimi
Drenaje de absceso de la pared escrotal
Extirpacin de cuerpo extrao del escroto
Reseccin de escroto
Escrotoplasta
Vasectoma, unilateral o bilateral
Vasectoma por va laparoscpica
Vasovasostoma, vasovasorrafia
Ligadura (percutnea) de vasos deferentes, unilateral o bilatera
Excisin de hidrocele o lesin de cordn espermtico
Excisin de varicocele o ligadura de venas espermticas debido
Tratamiento de varicocele por laparoscopa
Vesiculotoma
Vesiculectoma, cualquier abordaje
20.00
20.00
13.33
20.00
3.33
6.67
1.50
2.22
4.44
4.44
5.00
8.00
8.89
8.89
4.44
8.89
8.89
4.44
4.44
8.89
13.33
13.33
4.44
2.22
4.44
4.44
6.67
8.89
13.33
2.22
4.44
4.44
2.22
2.22
6.67
6.67
4.44
8.00
13.33
3.33
4.44
4.44
6.67
6.67
10.00
Biopsia de prstata; con aguja o en sacabocado; una sola o var

Prostatotoma, drenaje externo de absceso prosttico
Prostatectoma, perineal, subtotal
Prostatectoma, perineal radical
Prostatectoma suprapbica subtotal, uno o dos estados
Prostatectoma retropbica, subtotal
Prostatectoma retropbica, radical, con o sin conservacin de
Colocacin transperineal de agujas o catteres en la prstata p
Prostatectoma retropbica radical por laparoscopa
Reseccin transuretral de prstata
Incisin y drenaje de absceso vulvar o perineal
Marsupializacin de quiste de glndula de Bartholino
Destruccin de lesin(es) de vulva; cualquier mtodo
Biopsia de vulva o perineo; una lesin
Vulvectoma simple
Vulvectoma radical
Himenectoma parcial, o revisin del anillo himeneal
Excisin de quiste o glndula de Bartholino
Correccin plstica del introito
Clitoroplasta por estado intersexual
Perineoplasta, correccin del perineo, no obsttrico
Colposcopa de la vulva
Colpotoma; con exploracin y/o drenaje de absceso plvico
Colpocentesis
Incisin y drenaje de hematoma vaginal
Destruccin de lesiones vaginales
Biopsia de mucosa vaginal
Vaginectoma, extirpacin parcial de la pared vaginal
Vaginectoma, extirpacin completa de la pared vaginal
Colpocleisis (tipo Le Fort)
Excisin de tabique vaginal
Excisin de quiste o tumor vaginal
Colpoperineorrafia, sutura de lesin de vagina y/o perineo (no o
Operacin plstica del esfnter uretral, abordaje vaginal (ejm. pl
Correccin plstica de uretrocele
Colporrafia anterior, correccin de cistocele con o sin correcci
Colporrafia posterior, correccin de rectocele con o sin perineor
Colporrafia anteroposterior combinada
Correccin de enterocele, abordaje vaginal
Colpopexia, abordaje abdominal
Correccin de defecto paravaginal
Operacin con tcnicas de cabestrillo para incontinencia de esfue
Operacin de Pereyra incluyendo colporrafa anterior
Construccin de una vagina artificial; sin injerto
Cierre de fstula rectovaginal; abordaje vaginal o transanal
2.22
2.22
13.33
26.67
13.33
13.33
33.33
4.44
26.67
13.33
1.11
4.93
3.33
2.67
26.67
32.00
2.22
1.67
2.22
2.22
2.22
2.22
6.72
0.86
1.26
1.26
1.33
13.33
26.67
12.67
1.33
13.33
12.67
13.33
13.33
26.00
13.33
23.33
13.33
10.00
13.33
13.33
13.33
43.00
26.67
Dilatacin de vagina bajo anestesia

Inspeccin plvica bajo anestesia
Colposcopa (vaginoscopa)
Biopsia, una sola o varias, excisin local de lesin, con o sin
Legrado endocervical
Cauterizacin del crvix; electro o trmica
Conizacin del crvix, con o sin fulguracin, con o sin dilatacin
Traquelectoma (cervicectoma), amputacin del cervix
Traquelectoma radical, con linfadenectoma plvica total bilate
Excisin de mun cervical, abordaje abdominal
Cerclaje de crvix uterino
Traquelorrafia, correccin plstica del crvix uterino, abordaje
Toma de muestra de endometrio con o sin toma de muestra endoc
Dilatacin y legrado, diagnsticos y/o teraputicos (no obsttric
Miomectoma, excisin de tumor fibroide del tero, uno solo o
Miomectoma por abordaje vaginal
Miomectoma histeroscpica
Histerectoma total o subtotal, con o sin extirpacin de trompa(s
Histerectoma abdominal supracervical
Histerectoma abdominal total, incluyendo vaginectoma parcial,
Histerectoma abdominal radical, con linfadenectoma plvica to
Exenteracin plvica por malignidad ginecolgica, con histerec
Histerectoma vaginal
Histerectoma vaginal con extirpacin de tubo(s) y/u ovario(s)
Histerectoma vaginal, con colpectoma total o parcial
Histerectoma vaginal, radical (operacin de Schauta)
Insercin de dispositivo intrauterino (DIU)
Remocin de dispositivo intrauterino (DIU)
Suspensin uterina, con o sin acortamiento de ligamentos redo
Histerorrafa, correccin de rotura de tero (no obsttrica)
Histeroplasta, correccin de anomala uterina (tipo Strassman)
Miomectoma por laparoscopa
Histerectoma vaginal asistida laparoscpicamente
Histerectoma vaginal con o sin remocin de trompa(s) y/ ovar
Histeroscopa diagnstica
Histeroscopa teraputica: liberacin de adherencias intrauteri
Histerectoma abdominal radical, con linfadenectoma plvica to
Histerectoma total o subtotal, con o sin extirpacin de trompa(s
Remocin de dispositivo intrauterino (DIU) ectpico por va lap
Ligadura o seccin de trompas de Falopio, abordaje abdominal o
Ligadura o seccin de trompas de Falopio, postparto
Ligadura o seccin de trompas de Falopio, durante la cesrea u
Oclusin de trompas de Falopio mediante dispositivo (ejm. banda
Lisis de adherencias (salpingolisis, ovariolisis) por laparoscopa
Ooforectoma y/o salpingectoma, completa o parcial por lapar
6.67
3.33
2.00
1.80
4.50
1.33
10.00
10.00
20.00
6.67
4.07
13.33
1.00
6.00
13.33
37.67
40.00
28.70
33.33
35.00
40.00
40.00
18.67
33.33
33.33
33.33
1.33
1.11
21.87
21.87
31.67
26.67
46.20
26.67
11.33
8.89
33.33
26.67
6.00
6.67
6.67
1.86
3.33
13.33
20.00
Oclusin de trompas de Falopio mediante dispositivo (ej. banda,

Fimbrioplasta por laparoscopa
Salpingostoma (salpingoneostoma) por laparoscopa
Anastomosis tubotubaria por laparoscopa
Salpingectoma, completa o parcial, unilateral o bilateral
Salpingo-ooforectoma, completa o parcial, unilateral o bilateral
Lisis de adherencias (salpingolisis, ovariolisis)
Anastomosis tubotubaria
Ciruga tubaria en caso de obstruccin tubaria
Fimbrioplasta
Salpingostoma (salpingoneostoma)
Drenaje de quistes o abscesos de ovario, unilateral o bilateral;
Drenaje de quistes o abscesos de ovario, unilateral o bilateral
Drenaje de absceso plvico, abordaje transvaginal o transrecta
Transposicin de ovario
Biopsia de ovario, unilateral o bilateral
Reseccin en cua o biseccin de ovario, unilateral o bilateral
Cistectoma ovrica, unilateral o bilateral
Ooforectoma, parcial o total, unilateral o bilateral
Tratamiento quirrgico de la endometriosis I - II
Tratamiento quirrgico de la endometriosis III - IV
Tratamiento quirrgico de la endometriosis I - II por va laparos
Tratamiento quirrgico de la endometriosis III - IV por via lapar
Cistectoma ovrica, unilateral o bilateral por va laparoscpica
Excisin de lesiones de ovario, visceras plvicas, o superficie
Puncin folicular para obtencin de vulo, cualquier mtodo
Transferencia de embrin, intrauterina
Inseminacin artificial
Transferencia intrafalopiana de gameto, zigoto o embrin, cual
Amniocentesis, cualquier mtodo
Toma de muestra de vellosidad corinica, cualquier mtodo
Test de estrs fetal por contraccin
Histerotoma, abdominal
Tratamiento quirrgico de embarazo ectpico; tubrico u ovric
Tratamiento laparoscpico de embarazo ectpico, con salpingu
Tratamiento laparoscpico de embarazo ectpico
Legrado postparto
Insercin de dilatador cervical (ejm. laminaria, prostaglandina)
Histerorrafa de tero roto
Cerclaje del cervix, durante el embarazo
Atencin obsttrica de rutina incluyendo atencin preparto, part
Control prenatal (consejera en salud, nutricin, higiene y planif
Atencin de parto vaginal solamente
Atencin de parto vaginal, incluyendo atencin postparto
6.67
31.67
4.44
46.67
6.67
13.33
21.87
20.00
20.00
15.00
13.33
8.89
8.00
15.00
32.22
2.22
13.00
13.00
22.00
11.11
13.33
26.67
40.00
10.00
75.00
50.00
15.56
53.33
400.00
40.00
2.22
6.67
2.67
5.04
6.93
10.13
6.93
6.00
1.11
16.67
16.67
16.67
0.67
10.00
11.00
Extraccin de placenta retenida (procedimiento separado)

Episiorrafia o correccin vaginal
Ligadura o seccin de trompas de Falopio post parto
Monitorizacin fetal durante el trabajo de parto
Atencin obsttrica de rutina incluyendo atencin preparto, par
Cesrea solamente
Cesrea, incluyendo atencin postparto
Cesrea ms ligadura de trompas
Cesrea ms Histerectoma subtotal o total
Legrado uterino
Aspiracin manual endouterina (AMEU)
Aborto inducido mediante dilatacin y curetaje, en caso de bito
Aborto inducido, mediante dilatacin y evacuacin, en caso de
Aborto inducido, mediante una o ms inyecciones intraamnitica
Aborto inducido, mediante una o ms inyecciones intraamniticas
Aborto inducido mediante supositorios vaginales (ejm. prostaglan
Reduccin de embarazo multifetal (REM)
Evacuacin uterina y curetaje por Mola Hidatiforme
Remocin de sutura por cerclaje bajo anestesia (que no sea ane
Induccin, dilatacin y evacuacin, puede ser por legrado, en ca
Incisin y drenaje de quiste tirogloso, infectado
Aspiracin y/o inyeccin, quiste tiroideo
Biopsia de tiroides, aguja percutnea
Istmectoma tiroidea (excisin de quiste o adenoma de tiroides,
Hemitiroidectoma (lobectoma tiroidea parcial, unilateral; con
Tiroidectoma subtotal (lobectoma tiroidea total, unilateral; con
Tiroidectoma, total o completa
Tiroidectoma, total o subtotal por malignidad; con diseccin co
Tiroidectoma con diseccin radical del cuello
Excisin de quiste o seno del conducto tirogloso
Paratiroidectoma o exploracin de paratiroides
Autotrasplante de paratiroides
Timectoma, parcial o total; abordaje transcervical
Adrenalectoma, parcial o completa, o exploracin de glndula a
Excisin de tumor del cuerpo carotdeo; sin excisin de arteria
Excisin de tumor de cuerpo carotdeo con excisin de arteria c
Adrenalectoma, parcial o completa, por laparoscopa
Puncin evacuadora subdural a travs de la fontanela o sutura, la
Puncin ventricular a travs de agujero de trpano previo, fonta
Puncin Ventricular para drenaje ventricular externo
Puncin cisternal o cervical lateral (C1-C2); con o sin inyeccin
Puncin de tubo de derivacin o reservorio para aspiracin o p
Perforacin con trpano helicoidal para puncin subdural o vent
Perforacin con trpano helicoidal para implantacin de catter
Perforacin con trpano helicoidal para evacuacin y/o drena
3.36
1.26
3.53
1.68
27.63
12.67
13.67
16.00
26.67
4.00
4.00
6.67
4.00
4.50
10.00
4.00
10.00
4.00
4.00
6.00
10.00
1.00
3.33
20.00
10.00
30.00
41.00
53.33
53.33
13.33
26.67
26.67
33.33
26.67
33.33
40.00
26.67
2.22
2.22
3.00
6.67
2.22
13.33
13.33
13.33
Agujeros de trpano para puncin ventricular, no seguido de otr

Agujero(s) de trpano o trefina; con biopsia de cerebro o de le
Trepanacin; con drenaje/ aspiracin/ evacuacin de absceso, q
Agujero(s) de trpano con evacuacin y/o drenaje de hematoma
Agujero(s) de trpano para implantacin de catter ventricular,
Insercin de reservorio subcutneo, bomba o sistema de infusi
Agujero(s) de trpano para exploracin, supratentorial o infraten
Agujero(s) de trpano o trefina, infratentorial, unilateral o bilater
Cateterismo cerebral intraventricular para medir la presin intr
Cateterismo cerebral parenquimal para medir la presin intrace
Cateterismo cerebral subdural para medir la presin intracereb
Cateterismo cerebral para medir la presin de perfusin y presi
Cateterismo para medir saturacin del bulbo yugular
Monitoreo de la oximetra cerebral
Craniectoma o craneotoma exploratoria supra o infratentorial
Craniectoma o craneotoma infratentorial (fosa posterior)
Craniectoma o craneotoma para evacuacin de hematoma suprat
Craniectoma o craneotoma para evacuacin de hematoma infrate
Craniectoma o craneotoma para drenaje de absceso intracranea
Craniectoma o craneotoma descompresiva con o sin duraplast
Craniectoma o craneotoma descompresiva con o sin duraplast
Descompresin de la rbita, abordaje transcraneal
Otra descompresin craneal, supratentorial, o fosa posterior
Craniectoma, suboccipital con laminectoma cervical para desco
Craneotoma para seccin de la tienda del cerebelo
Craniectoma para fines diversos
Craneotoma para lobotoma, incluyendo cingulotoma
Craniectoma, para excisin de lesin osea, osteomielitis
Craniectoma, trepanacin, craneotoma con colgajo seo; para
Craniectoma para excisin de tumor infratentorial, de fosa po
Implantacin subdural de tiras de electrodos a travs de uno o
Craneotoma con elevacin de colgajo seo; para implantacin
Craneotoma con elevacin de colgajo seo; para lobectoma tem
Craneotoma con elevacin de colgajo seo para hemiferectom
Craneotoma con elevacin de colgajo seo para hemiferectoma
Craneotoma para hipofisectoma o excisin de tumor hipofisari
Hipofisectoma o excisin de tumor hipofisario, abordaje transna
Craniectoma por craniosinostosis; una sola sutura craneal
Craniectoma amplia por craniosinostosis de varias suturas cra
Craniectoma o craneotoma para excisin de cuerpo extrao, o
Craniectoma o craneotoma con tratamiento de herida penetran
Abordaje transoral de base de crneo, tallo enceflico o mdula
Abordaje transoral de base del crneo, tallo enceflico o mdula
Abordaje craneofacial a la fosa anterior extra e intradural
Abordaje rbitocraneal a la fosa anterior, extradural
13.33
13.33
26.67
26.67
26.67
26.67
26.67
26.67
26.00
26.00
26.00
29.00
20.00
20.00
26.67
26.67
26.67
26.67
26.67
26.67
40.00
40.00
26.67
53.33
40.00
40.00
40.00
40.00
40.00
53.33
26.67
26.67
26.67
53.33
53.33
53.33
53.33
53.33
53.33
40.00
40.00
53.33
53.33
53.33
53.33
Abordaje bicoronal, transcigomtico y/u osteotoma de Le Fort I a

Abordaje infratemporal pre o postauricular a la fosa media
Abordaje cigomtico rbitocraneal a la fosa media
Abordaje transtemporal a la fosa posterior, foramen yugular o
Abordaje transcoclear a la fosa posterior, foramen yugular o l
Abordaje transcondleo (extremo lateral) a la fosa posterior, f
Abordaje transpetroso a la fosa posterior, clivus o foramen ma
Reseccin o excisin de lesin de la base de la fosa anterior, ex
Reseccin o excisin de lesin de la fosa infratemporal, espacio
Reseccin o excisin de lesin en regin paraselar, seno cavern
Transeccin o ligadura, arteria cartida en el seno cavernoso;
Transeccin o ligadura, arteria cartida a nivel del canal petros
Obliteracin de aneurisma carotdeo, malformacin arteriovenos
Reseccin o excisin de lesin de base de fosa posterior, fora
Correccin secundaria de la dura por escape de LCR, fosa anter
Oclusin transcatter o embolizacin percutnea
Ciruga de malformacin arteriovenosa intracraneal; supratentor
Ciruga para aneurisma intracraneal, abordaje intracraneal; circ
Ciruga de aneurisma intracraneal, abordaje cervical mediante apl
Oclusin de aneurisma, malformacin vascular o fstula cartidaAnastomosis, arterial, arterias extracraneal intracraneal (ejm. c
Produccin de lesin mediante mtodo estereotxico, un slo o
Biopsia, aspiracin o excisin por estereotaxia para lesiones in
Implantacin estereotxica de electrodos profundos dentro del
Localizacin estereotxica, incluyendo agujeros de trepanacin,
Produccin de lesin mediante mtodo estereotxico, percutnea,
Radiociruga estereotxica (haz de partculas, emisin de rayo
Planeamiento en tcnicas especiales (radiociruga, estereotaxi
Agujero(s) de trepanacin o con trpano helicoidal para implant
Craniectoma o craneotoma para implantacin de electrodos neu
Perforacin helicoidal, trepanacin craneotoma o craniectoma
Craniectoma para implantacin de electrodos neuroestimulador
Revisin o remocin de electrodos neuroestimuladores intracra
Incisin y colocacin subcutnea de generador de pulsos neuro
Revisin o remocin de generador de pulsos neuroestimulador
Elevacin de fractura de crneo deprimida simple, extradural
Elevacin de fractura de crneo deprimida con correccin de
Craneotoma para correccin de escape dural de LCR, incluyend
Reduccin de craneomegalia (ejm. hidrocefalia tratada); que no
Craneoplasta por defecto del crneo
Remocin o reemplazo de colgajo seo o de placa protsica de
Craneoplasta por defecto del crneo con ciruga cerebral repa
Craneoplasta con injerto autlogo (incluye la obtencin de inje
Ventriculocisternostoma (operacin de Torkildsen)
Creacin de derivacin subaracnoideo/subdural - auricular -yug
53.33
53.33
53.33
53.33
53.33
66.67
66.67
66.67
66.67
66.67
40.00
40.00
53.33
53.33
40.00
26.67
53.33
53.33
53.33
53.33
53.33
53.33
26.67
26.67
26.67
26.67
66.67
31.74
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
Creacin de derivacin subaracnoideo/subdural-peritoneal, -pleu

Reemplazo o irrigacin de catter
Ventriculocisternostoma, tercer ventrculo
Ventriculocisternostoma por estereotaxia, mtodo neuroendos
Creacin de derivacin; ventrculo-atrial, -yugular, -auricular
Creacin de derivacin ventrculo-peritoneal, -pleural, otras va
Reemplazo o revisin de derivacin de LCR
Remocin de sistema completo de derivacin de LCR
Puncin espinal, lumbar, diagnstica o teraputica
Inyeccin, epidural, de sangre o parche de fibrina
Aspiracin o descompresin, percutnea de ncleo pulposo, cua
Inyeccin para quimionucleolisis, incluyendo discografa, disco i
Implantacin, revisin o reposicionamiento de catter intratecal
Remocin de catter intratecal o epidural previamente implant
Implantacin o reemplazo de dispositivo para infusin intrateca
Remocin de reservorio o bomba subcutnea previamente implant
Anlisis electrnico de bomba programable implantada para la i
Laminectoma con exploracin y/o descompresin de mdula esp
Laminectoma por espondilolistesis, lumbar
Laminectoma con exploracin y/o descompresin de mdula esp
Laminotoma, con descompresin de races neurales
Laminotoma y reexploracion, con descompresin de races neu
Laminectoma, facetectoma y foraminotoma con descompresin
Laminectoma, facetectoma y foraminotoma, cada segmento vert
Abordaje transpedicular con descompresin de la mdula espina
Abordaje transpedicular de cada segmento adicional, torcico
Abordaje costovertebral con descompresin de mdula espinal o
Abordaje costovertebral para cada segmento adicional
Disquectoma, anterior, con descompresin de mdula espinal y/o
Disquectoma anterior, cervical o torcica, cada interespacio ad
Corpectoma vertebral parcial o completa, con descompresin de
Corpectoma vertebral adicional, cervical, torcico, lumbar, sac
Corpectoma torcica, con descompresin de mdula y/o de ra
Corpectoma torcica baja o lumbar, con descompresin medular
Corpectoma torcica baja, lumbar o sacra, con descompresin
Laminectoma con mielotoma (ejm. tipo Bischof o DREZ) a nivel
Laminectoma con drenaje de quiste o cavidad siringomilica i
Laminectoma y seccin de ligamentos dentados, con o sin injert
Laminectoma con rizotoma
Laminectoma con seccin de nervio accesorio espinal
Laminectoma con cordotoma, con seccin de un haz espinotal
Laminectoma con cordotoma, con seccin de ambos haces esp
Laminectoma con cordotoma con seccin de ambos haces espi
Laminectoma, con liberacin de mdula espinal amarrada, lum
Laminectoma para excisin u oclusin de malformacin arterio
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
1.67
13.33
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
Laminectoma para excisin o evacuacin de lesin intraespinal

Corpectoma vertebral cervical extradural
Corpectoma torcica extradural, mediante abordaje transtorci
Corpectoma torcica extradural, mediante abordaje toracolum
Corpectoma lumbar o sacra extradural, mediante abordaje trans
Estimulacin estereotxica de la mdula espinal, percutnea
Implantacin, revisin o remocin percutnea de electrodo neur
Laminectoma para implantacin de electrodo neuroestimulador;
Revisin o remocin de electrodos neuroestimuladores, arreglo(s
Incisin y colocacin subcutnea del generador o receptor de
Revisin o remocin del generador o receptor de pulsos neuro
Correccin de meningocele
Correccin de mielomeningocele
Correccin de escape de LCR dural, que no requiera laminect
Injerto dural, espinal
Creacin de derivacin, lumbar, subaracnoidea-peritoneal, -pleu
Creacin de derivacin lumbar, subaracnoidea-peritoneal, -pleu
Reemplazo, irrigacin o revisin de derivacin lumbosubaracno
Remocin de la totalidad del sistema de derivacin lumbosuba
Inyeccin de agente anestsico en nervio perifrico
Inyeccin, agente anestsico y/o esteroide, carilla articular parav
Inyeccin, agente anestsico y/o esteroide, epidural transfora
Inyeccin, agente anestsico en ganglio esfenopalatino, seno ca
Inyeccin, agente anestsico en plexo celaco o a nivel lumbar
Aplicacin de neuroestimulador de superficie (transcutneo)
Implantacin percutnea de electrodos neuroestimuladores
Incisin para implantacin de electrodos neuroestimuladores; n
Incisin para implantacin de electrodos neuroestimuladores en
Revisin o remocin de electrodos neuroestimuladores perifri
Incisin y colocacin subcutnea de generador o receptor de pu
Revisin o remocin de generador o receptor de pulsos neuroes
Destruccin con agente neuroltico, nervio trigmino; ramas supra
Destruccin con agente neuroltico, nervio trigmino; ramas de
Destruccin con agente neuroltico; msculos inervados por el n
Destruccin con agente neuroltico; nervio intercostal, de facet
Destruccin mediante agente neuroltico en niveles adicionales
Destruccin mediante agente neuroltico, plexo celaco, con o s
Neuroplasta; digital, una o ambas, el mismo dgito
Neuroplasta, en nervio de la mano/pie, o en nervio perfrico de
Neuroplasta de nervio citico, plexo braquial, plexo lumbar
Neuroplasta y/o transposicin; nervio craneal, nervio cubital,
Descompresin; nervios no especificados
Descompresin; nervio digital plantar
Neurolisis interna, que requiera el uso de microscopio quirrgic
Excisin de neuroma; nervio cutneo, identificable quirrgicam
26.67
40.00
53.33
53.33
53.33
53.33
40.00
40.00
40.00
40.00
40.00
26.67
26.67
6.67
26.67
40.00
26.67
40.00
40.00
3.33
3.33
3.33
3.33
3.33
3.33
3.33
10.00
7.78
7.78
7.78
7.78
13.33
13.33
13.33
13.33
6.67
13.33
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
Simpatectoma cervical
Sutura de nervio digital, mano o pie; por cada nervio suturado
Sutura de un nervio, mano o pie; nervio sensorial comn, tenar
Sutura de cada nervio adicional, mano o pie
Sutura de nervio tibial posterior
Sutura de nervio perifrico mayor, brazo o pierna, excepto citi
Sutura del nervio citico
Sutura de plexo braquial o plexo lumbar
Sutura del nervio facial; extracraneal o infratemporal
Anastomosis; facial-accesorio espinal, facial-hipogloso, facial-f
Sutura de nervio secundaria
Injerto de nervio, cabeza o cuello
Injerto de nervio, hebra nica, brazo, mano, pierna o pie
Injerto de nervio, varias hebras (cable), brazo, mano, pierna o p
Injerto de nervio, cada nervio adicional; hebra nica
Injerto de nervio, mltiples hebras
Transferencia de pedculo neural; primer o segundo estado
Craniectoma o craneotoma de fosa posterior para descompres
Laminectoma para excisin o evacuacin de lesin intraespinal
Laminectoma para excisin o evacuacin de lesin intramedula
Laminectoma para excisin u oclusin de malformacin arterio
Biopsia de nervio perifrico
Destruccin por radiofrecuencia, nervio trigmino; ramas supraorb
Destruccin por mtodo mecnico, nervio trigmino; ramas supraor
Destruccin por radiofrecuencia, nervio trigmino; ramas de seg
Destruccin por mtodo mecnico, nervio trigmino; ramas de s
Evisceracin de contenidos oculares; sin implante
Evisceracin de contenidos oculares;con implante
Enucleacin del ojo; sin implante
Enucleacin del ojo;con implante, msculos no unidos al implan
Enucleacin del ojo;con implante, msculos unidos al implante
Exenteracin de la rbita (no incluye injerto cutneo), extirpac
Exenteracin de la rbita (no incluye injerto cutneo), extirpac
Exenteracin de la rbita (no incluye injerto cutneo), extirpa
Modificacin de un implante ocular con colocacin o reemplazo
Insercin de implante ocular, secundario; despus de la eviscera
Insercin de implante ocular, secundario;despus de la enuclea
Insercin de implante ocular, secundario; despus de la enucle
Reinsercin de implante ocular, con o sin injerto conjuntival
Reinsercin de implante ocular, con o sin injerto conjuntival; c
Remocin de implante ocular
Extirpacin de cuerpo extrao, ojo externo, conjuntival superfici
Conjuntival internalizado (incluye concreciones), subconjuntival
Corneal, sin lmpara de hendidura
Corneal, con lmpara de hendidura
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
53.33
64.00
64.00
64.00
6.67
26.67
26.67
26.67
26.67
13.33
13.33
13.33
13.33
13.33
25.00
25.00
25.00
20.00
20.00
20.00
20.00
13.33
13.33
4.44
10.00
10.00
10.00
10.00
Extirpacin de cuerpo extrao, intraocular; de la cmara anterior

Del segmento posterior, extraccin magntica, ruta anterior o po
Del segmento posterior, extraccin no magntica
Correccin de laceracin; conjuntiva, con o sin laceracin no per
Correccin de laceracin; conjuntiva, mediante movilizacin y re
Correccin de laceracin; conjuntiva, mediante movilizacin y re
Crnea, no perforante, con o sin extirpacin de cuerpo extrao
Crnea y/o esclertica, perforante, sin involucrar tejido uveal
Crnea y/o esclertica, perforante, con reposicionamiento o res
Aplicacin de pegamento de tejido, heridas de crnea y/o escle
Correccin de herida, msculo extraocular, tendn y/o cpsula
Excisin de lesin, crnea (queratectoma, lamelar, parcial), ex
Biopsia de crnea
Excisin o transposicin de pterigion; sin injerto
Excisin o transposicin de pterigion; con injerto
Raspado de crnea, diagnstico, para frotis y/o cultivo
Extirpacin de epitelio de crnea; con o sin quimiocauterizacin
Extirpacin de epitelio de crnea; con aplicacin de agente que
Destruccin de lesin de crnea mediante crioterapia, fotocoag
Destruccin de lesin de crnea mediante varias punciones de la
Queratoplasta (trasplante de crnea); lamelar
Queratoplasta (trasplante de crnea); penetrante (excepto en
Queratoplasta (trasplante de crnea); penetrante( en afaquia)
Queratoplasta (trasplante de crnea); penetrante (en pseudoaf
Queratomileusis
Queratomileusis in situ (LASIK)
Queratofaquia
Epiqueratoplasta
Queratoprtesis
Queratotoma radial
Incisin relajante de la crnea para correcin de astigmatismo
Reseccin corneal en cua para correccin de astigmatismo pr
Paracentesis de cmara anterior del ojo (procedimiento separa
Paracentesis de cmara anterior del ojo (procedimiento separa
Paracentesis de cmara anterior del ojo (procedimiento separado
Paracentesis de cmara anterior del ojo (procedimiento separado
Goniotoma
Trabeculotoma ab externo
Trabeculoplasta mediante ciruga lser, una o ms sesiones (se
Seccin de adherencias del segmento anterior, tcnica de lse
Seccin de adherencias del segmento anterior del ojo, tcnica i
Sinequia anterior, excepto goniosinequias
Sinequia posterior
Adherencias corneovtreas
Extirpacin de crecimiento epitelial, cmara anterior del ojo
20.00
20.00
20.00
6.67
6.67
6.67
20.00
20.00
20.00
20.00
20.00
20.00
3.33
10.00
10.00
3.33
5.00
5.00
10.00
10.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
6.67
20.00
20.00
20.00
8.89
8.89
8.89
10.00
20.00
13.33
6.67
10.00
20.00
20.00
20.00
20.00
20.00
Remocin de material implantado, segmento anterior del ojo

Remocin de cogulo de sangre, segmento anterior del ojo
Inyeccin, cmara anterior (procedimiento separado); aire o lq
Inyeccin, cmara anterior (procedimiento separado); medicaci
Excisin de lesin, esclertica
Trabeculectoma ab externo en ausencia de ciruga previa
trabeculectomia ab externo con tejido cicatrizal originado por ci
Derivacin de humor acuoso a un reservorio extraocular (p. Ej
Revisin de derivacin del humor acuoso a un reservorio extrao
Correccin de estafiloma escleral; sin injerto
Correccin de estafiloma escleral, con injerto
Revisin o correcin de herida operatoria del segmento anterio
Iridotoma mediante incisin con instrumento cortante (procedim
Iridotoma mediante incisin con instrumento cortante (procedi
Iridectoma, con seccin crneoescleral o corneal; para remoci
Iridectoma, con ciliectoma
Iridectoma perifrica, por glaucoma (procedimiento separado)
Iridectoma de un sector, por glaucoma (procedimiento separad
Iridectoma ptica (procedimiento separado)
Correccin del iris, cuerpo ciliar (como para iridodilisis)
Sutura del iris, cuerpo ciliar (procedimiento separado) con rec
Destruccin del cuerpo ciliar; diatermia
Ciclofotocoagulacin
Crioterapia
Ciclodilisis
Iridotoma/ iridectoma mediante ciruga lser (p. Ej. para gla
Iridoplasta mediante fotocoagulacin (una o ms sesiones) (p.
Destruccin de quiste o de lesiones del iris o cuerpo ciliar (pro
Discisin (incisin) de catarata membranosa secundaria (opacida
Discisin (incisin) de catarata membranosa secundaria (opacida
Reposicionamiento de lente intraocular, que requiera incisin
Extirpacin de catarata membranosa secundaria (opacidad capsul
Extirpacin de catarata membranosa secundaria; con seccin cor
Extraccin extracapsular sin implante de lente intraocular
Extraccin extracapsular con implante de lente intraocular
Extraccin intracapsular sin implante de lente intraocular
Extraccin intracapsular con implante de lente intraocular
Extraccin del cristalino; tcnica de facofragmentacin (mecnic
Extraccin de cristalino via pars plana, con o sin vitrectoma
Extraccin intracapsular, por luxacin del cristalino
Insercin de lente intraocular (implante secundario), no asocia
Intercambio de lente intraocular
Puncin y aspiracin de humor acuoso (paracentesis)
Fijacin escleral de lente intraocular
Vitrectoma anterior manual
20.00
20.00
20.00
20.00
13.33
13.33
13.33
20.00
20.00
10.00
20.00
6.67
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
12.00
10.00
8.00
8.00
8.00
8.00
8.00
10.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
5.00
20.00
25.00
Vitreotoma anterior mecnica

Aspiracin de vtreo fluido subretinal o coroidal, va pars plana
Inyeccin de un sustituto vtreo via pars plana o limbal
Implantacin de sistema intravtreo de administracin de frmaco
Inyeccin intravtrea de agente farmacolgico (procedimiento s
Vitrectoma, mecnica, va pars plana
Vitrectoma, mecnica, va pars plana; con diseccin de membra
Vitrectoma, mecnica, va pars plana; con endofotocoagulaci
Vitrectoma, mecnica, va pars plana con endopanfotocoagula
Correccin de desprendimiento de retina, con crioterapia
Correccin de desprendimiento de retina; con sutura de explante
Correcin de desprendimiento de retina con vitrectoma pars pla
Correccin de desprendimiento de retina con vitrectomia pars pla
Correccin de desprendimiento de retina mediante inyeccin de a
Remocin de material implantado, segmento posterior; extraocu
Remocin de material implantado, segmento posterior, intraocu
Fotocoagulacin (lser o arco de xenn)
Destruccin de lesin localizada de la retina (p. Ej. tumores),
Destruccin con radiacin mediante implante de elemento radia
Destruccin de lesin localizada de coroides (p. ej. Neovascula
Destruccin de lesin localizada de coroides (p. ej. Neovascular
Destruccin de retinopata extensa o progresiva (p. Ej. Retinopa
Reforzamiento de esclertica (procedimiento separado); sin inje
Reforzamiento de esclertica (procedimiento separado); con inj
Translocacin macular
Neurotoma ptica radial
Pelamiento de membrana limitante interna
Remosin de parsitos o quistes intraoculares
Ciruga para estrabismo, procedimiento de recesin o reseccin
Ciruga para estrabismo, procedimiento de recesin o resecci
Ciruga para estrabismo, procedimiento de recesin o reseccin;
Ciruga para estrabismo, procedimiento de recesin o reseccin
Ciruga para estrabismo, cualquier procedimiento, msculo obl
Procedimiento de transposicin (p. Ej. para msculo extraocula
Ciruga para estrabismo en paciente con ciruga de ojo previa
Ciruga para estrabismo en paciente con cicatrizacin de mscu
Ciruga para estrabismo mediante tcnica de fijacin posterior
Colocacin de sutura(s) ajustable(s) durante la ciruga para e
Ciruga para estrabismo que involucre exploracin y/o correci
Liberacin de tejido cicatrizal extenso o sin desprendimiento
Quimiodenervacin de msculo extraocular
Biopsia de msculo extraocular
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntival
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntiv
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntival
25.00
8.00
8.00
25.00
5.00
25.00
25.00
25.00
25.00
25.00
25.00
25.00
25.00
25.00
25.00
25.00
10.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
10.00
10.00
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
4.44
4.44
5.00
5.00
5.00
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntiva

Orbitotoma sin colgajo seo (abordaje frontal o transconjuntiv
Aspiracin de contenidos orbitales con aguja fina
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (p
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (p.
Inyeccin retrobulbar; medicacin (procedimiento separado, no
Inyeccin retrobulbar; medicacin alcohol
Inyeccin de agente teraputico en la cpsula de Tenon
Implante orbitario (implante fuera del cono muscular); insercin
Implante orbitario (implante fuera del cono muscular); remocin
Descompresin del nervio ptico (p. Ej. Incisin o fenestracin d
Blefarotoma, drenaje de abceso, prpado
Seccin de tarsorrafia
Cantotoma (procedimiento separado)
Excisin de chalazin; uno solo
Excisin de chalazin; varios, el mismo prpado
Excisin de chalazin; varios, diferentes prpados
Biopsia de prpado
Epilacin que no sea con pinzas (p. Ej. Mediante electrociruga,
Incisin de borde del prpado
Incisin de borde del prpado, con injerto libre de membrana
Excisin de lesin del prpado (excepto chalazin) sin cierre o
Destruccin de lesin de borde del prpado (hasta de 1 cm)
Cierre provisorio de prpado mediante sutura (p.Ej. Sutura de
Excisin de chalazin; tarsorrafia mediana o cantorrafia
Excisin de chalazin; con transposicin de placa tarsiana
Correccin de ptosis de cejas (abordajes supraciliar, mediofront
Correccin de blefaroptosis no congnita; mtodo del msculo fr
Correccin de blefaroptosis congnita; mtodo del msculo fronta
Reseccin o avance de (tarso) elevador, abordaje interno
Reseccin o avance de (tarso) elevador, abordaje externo
Correccin de blefaroptosis congnita; mtodo del msculo front
Reseccin o avance de (tarso) elevador, mtodo del recto superio
Reseccin conjuntival-tarsiana-msculo elevador de Mller (p.
Reduccin de sobrecorreccin de ptosis
Correccin de retraccin de prpado
Correccin de ectropin; sutura
Correccin de ectropin; termocauterizacin
Blefaroplasta, excisin de cua tarsiana
Blefaroplasta amplia (p. Ej. Operacin de Kunt-Szymanowski o
Correccin de entropin; sutura
Correccin de entropin; termocauterizacin
13.33
13.33
4.44
13.33
13.33
13.33
13.33
13.33
1.11
1.11
1.11
10.00
10.00
13.33
13.33
13.33
10.00
4.44
4.44
4.44
2.22
4.00
2.22
5.56
5.56
5.56
10.00
13.33
13.33
26.67
20.00
20.00
20.00
20.00
20.00
20.00
20.00
13.33
20.00
20.00
20.00
20.00
20.00
20.00
20.00

Blefaroplasta amplia (p. Ej. Operacin de Wheeler)
Sutura de herida reciente, prpado, que involucre borde del prp
Sutura de herida reciente, prpado, que involucre borde del prp
Extirpacin de cuerpo extrao internalizado, prpado
Cantoplasta(reconstruccin de canto)
Excisin y correccin del prpado, involucrando borde del prpad
Excisin y correccin del prpado, involucrando borde del prpa
Reconstruccin de prpado, espesor total mediante transferenc
Reconstruccin de prpado, espesor total mediante transferenci
Reconstruccin de prpado, espesor total mediante transferenci
Reconstruccin de prpado, espesor total mediante transferenc
Incisin de conjuntiva, drenaje de quiste
Biopsia de conjuntiva
Excisin de lesin, conjuntiva, hasta 1 cm
Excisin de lesin, conjuntiva, ms de 1 cm
Excisin de lesin, conjuntiva; con esclertica adyacente
Destruccin de lesin, conjuntiva
Inyeccin subconjuntival
Conjuntivoplasta; con injerto conjuntival o rearreglo amplio
Conjuntivoplasta; con injerto de membrana mucosa bucal (inclu
Conjuntivoplasta; reconstruccin fondo de saco (Cul de Sac conj
Conjuntivoplasta; reconstruccin fondo de saco (Cul de Sac con
Correccin de simblfaron, conjuntivoplasta, sin injerto
Correccin de simblfaron, conjuntivoplasta, con injerto libre
Divisin de simblfaron, con o sin insercin de conformador o l
Incisin, drenaje de glndula lagrimal
Incisin, drenaje de saco lagrimal (dacriocistotoma o dacriocis
Incisin por corte con tijera del punto lagrimal (punctum lacrima
Excisin de glndula lagrimal (dacrioadenectoma) excepto por
Excisin de glndula lagrimal (dacrioadenectoma) excepto por
Biopsia de glndula lagrimal
Excisin de saco lagrimal (dacriocistectoma)
Biopsia de saco lagrimal
Extirpacin de cuerpo extrao o dacriolito, conductos lagrimale
Excisin de tumor de glndula lagrimal; abordaje frontal
Excisin de tumor de glndula lagrimal; abordaje frontal con o
Correccin plstica de canalculos
Correccin de punctum evertido, cauterio
Dacriocistorrinostoma (fistulizacin de saco lagrimal a la cavid
Conjuntivorrinostoma (fistulizacin de la conjuntiva a la cavidad
Conjuntivorrinostoma con insercin de tubo o catter dilatador
Cierre del punto lagrimal (punctum lacrimale); con termocauteriz
Cierre del punto lagrimal (punctum lacrimale); con tapn, cada
Cierre de fstula lagrimal (procedimiento separado)
20.00
20.00
10.00
10.00
10.00
10.00
24.44
24.44
26.67
26.67
26.67
26.67
4.44
4.44
6.67
6.67
6.67
6.67
1.11
13.33
13.33
20.00
20.00
20.00
20.00
20.00
10.00
10.00
10.00
13.33
13.33
2.22
2.22
2.22
3.00
13.33
13.33
6.67
6.67
26.67
20.00
26.67
20.00
20.00
20.00
Dilatacin de punto lagrimal (punctum lacrimale), con o sin irrig

Sondeo de conducto nasolagrimal, con o sin irrigacin;
Dilatacin de punto lagrimal (punctum lacrimale), con insercin
Sondeo de conductos lagrimales, con o sin irrigacin
Inyeccin de medio de contraste para dacriocistografa
Drenaje abceso o hematoma de odo externo
Drenaje de absceso de conducto auditivo externo
Perforacin de lbulos de las orejas
Biopsia de pabelln auricular o conducto auditivo externo
Excisin de odo externo; parcial, correccin simple
Amputacin completa de odo externo
Excisin de exostosis, conducto auditivo externo
Excisin radical de lesin en canal auditivo externo con disecci
Extirpacin de cuerpo extrao del conducto auditivo externo; si
Extirpacin de cuerpo extrao del conducto auditivo externo; c
Remocin de cerumen impactado (procedimiento separado), u
Otoplasta, orejas en protrusin (sobresalientes), con o sin re
Reconstruccin de conducto auditivo externo (meatoplasta) (p.
Reconstruccin de conducto auditivo externo debido a atresia c
Insuflacin de conducto de eustaquio, transnasal; con cateteriz
Cateterizacin de conducto de eustaquio, transtimpnica
Miringotoma incluyendo aspiracin y/o insuflacin de conducto
Timpanostoma (que requiera insercin de tubo de ventilacin),
Timpanolisis transconducto
Antrotoma transmastoidea (mastoidectoma "simple")
Mastoidectoma completa
Mastoidectoma radical modificada
Apicectoma petrosa incluyendo mastoidectoma radical
Reseccin del hueso temporal, abordaje externo
Excisin de plipo auditivo
Excisin de tumor glmico; transconducto
Correccin de la membrana timpnica, con o sin preparacin del
Miringoplasta (ciruga confinada a la membrana timpnica y re
Timpanoplasta sin mastoidectoma, inicial o revisin
Timpanoplasta con antrotoma o mastoidotoma
Timpanoplasta con mastoidectoma
Movilizacin del estribo
Estapedectoma o estapedotoma con reestablecimiento de conti
Correccin de fstula de la ventana oval
Correccin de fstula de la ventana rRedonda
Neurectoma timpnica
Implantacin o reemplazo de dispositivo de audicin de conduc
Remocin o correccin de dispositivo de audicin de conducci
Descompresin del nervio facial, intratemporal; lateral o incluy
Sutura del nervio facial, intratemporal; lateral o incluyendo par
1.11
4.44
5.00
4.44
4.44
1.00
1.00
0.67
1.00
20.00
18.60
8.00
21.22
2.67
2.67
1.00
10.00
10.00
15.00
3.33
6.67
6.67
6.67
13.33
10.00
26.67
26.67
26.67
26.67
5.00
8.00
8.00
6.00
6.00
9.00
9.00
9.00
9.00
9.00
9.00
26.67
26.67
22.24
24.28
28.86
Laberintotoma transconducto, con o sin criociruga o perfusi

Operacin del saco endolinftico; sin derivacin
Laberintectoma; transconducto
Laberintectoma con astoidectoma
Seccin del nervio vestibular, abordaje translaberntico
Implantacin de dispositivo coclear, con o sin mastoidectoma
Seccin del nervio vestibular, abordaje transcraneal
Descompresin total del nervio facial y/o correccin (puede inclui
Descompresin del conducto auditivo interno
Extirpacin de tumor, hueso temporal
Mielografa de fosa posterior
Examen radiolgico de ojo
Examen radiolgico parcial de mandbula
Examen radiolgico completo de mandbula
Examen radiolgico parcial de mastoides
Examen radiolgico completo de mastoides
Examen radiolgico completo de meatos auditivos internos
Examen radiolgico parcial de huesos faciales
Examen radiolgico completo de huesos faciales
Examen radiolgico completo de huesos nasales
Dacriocistografa de conducto nasolagrimal
Examen radiolgico de formenes pticos
Examen completo de rbitas
Examen radiolgico parcial de senos paranasales
Examen radiolgico completo de senos paranasales
Examen radiolgico de silla turca
Examen radiolgico parcial de crneo
Examen radiolgico completo de crneo
Examen radiolgico, dientes; vista nica
Examen parcial de dentadura, menos de la boca entera
Examen completo de dentadura
Examen radiolgico de articulacin tmporomandibular, boca abi
Examen radiolgico de articulacin tmporomandibular con boca
Artrografa de articulacin tmporomandibular
Resonancia magntica de articulacin tmporomandibular
Cefalograma ortodntico
Ortopantograma (radiografa panormica)
Examen radiolgico de tejido blando de cuello
Examen radiolgico de faringe o laringe, incluyendo tcnica de
Evaluacin dinmica compleja de la faringe y evaluacin fonitr
Laringografa contrastada
Examen radiolgico, glndula salival para detectar clculo
Sialografa
Arteriografa cerebral bilateral
Tomografa axial computarizada de cerebro; sin material de con
28.86
22.24
28.86
28.86
46.67
46.67
46.67
46.67
22.28
46.67
2.73
1.40
1.43
1.55
1.75
1.96
1.55
1.43
1.47
1.43
1.50
1.47
1.43
1.43
1.43
1.98
1.98
1.43
0.62
0.62
0.62
1.43
1.48
2.03
2.04
1.37
1.37
1.98
1.48
1.55
2.71
1.43
1.55
10.00
10.00
Tomografa axial computarizada de cerebro; con material de co

Tomografa computarizada de rbita, silla turca o fosa posterior
Tomografa computarizada de rbita, silla turca o fosa posterior
Tomografa computarizada de zona mxilofacial sin material de
Tomografa computarizada de zona mxilofacial con material de
Tomografa computarizada, tejido blando del cuello; sin materia
Tomografa computarizada, tejido blando del cuello; con materia
Angiografa por tomografa computarizada de cabeza y/o cuello
Resonancia magntica de rbita, cara y cuello, sin contraste
Resonancia magntica de rbita, cara y cuello, con contraste
Angiografa por resonancia magntica de cabeza sin contraste
Angiografa por resonancia magntica de cabeza con contraste
Angiografa por resonancia magntica de cuello sin contraste
Angiografa por resonancia magntica de cuello con contraste
Resonancia magntica de cerebro (incluyendo tallo cerebral) si
Resonancia magntica de cerebro (incluyendo tallo cerebral) c
Resonancia magntica de cerebro durante procedimiento intracr
Resonancia magntica de cerebro durante procedimiento intracr
Examen radiolgico de trax; vista nica, frontal
Examen radiolgico de trax, dos incidencias, frontal y lateral
Examen radiolgico de trax con procedimiento lordtico apical,
Examen radiolgico de trax con proyecciones oblcuas, con inci
Examen radiolgico de trax con fluoroscopa, con incidencias fr
Examen radiolgico de trax, completo, mnimo de cuatro incid
Examen radiolgico de trax con fluoroscopa, con un mnimo d
Examen radiolgico de trax, incidencias especiales (p. ej., dec
Biopsia con aguja de lesin intratorcica, incluyendo placas de
Bronquiografa unilateral
Bronquiografa bilateral
Examen radiolgico unilateral de costillas, dos incidencias
Examen radiolgico unilateral de costillas incluyendo el trax p
Examen radiolgico bilateral de costillas, tres incidencias
Examen radiolgico bilateral de costillas, incluyendo el trax p
Examen radiolgico de esternn, mnimo de dos incidencias
Examen radiolgico de articulacin o articulaciones esternoclav
Tomografa computarizada de trax; sin material de contraste
Tomografa computarizada de trax; con material de contraste
Resonancia magntica de trax sin contraste
Resonancia magntica de trax con contraste
Angiografa por Resonancia magntica en trax, con o sin uso
Examen radiolgico de columna vertebral completa, estudio de e
Examen radiolgico de columna vertebral, vista nica
Examen radiolgico de columna vertebral cervical; dos o tres in
Examen radiolgico de columna cervical; mnimo de cuatro inci
Examen radiolgico de columna cervical completo; incluyendo es
25.00
15.00
25.00
10.00
25.00
8.00
25.00
42.31
40.00
45.16
54.02
54.02
54.02
54.02
43.74
48.90
43.74
48.90
1.02
1.50
2.40
1.55
1.63
1.51
2.60
2.45
8.30
2.62
2.62
1.98
2.40
2.40
1.51
1.63
1.42
16.02
38.47
40.15
40.96
56.15
3.88
1.96
1.33
1.89
1.66
Examen radiolgico de columna vertebral toracolumbar, de pie (

Examen radiolgico de columna vertebral torcica, dos incidenc
Examen radiolgico de columna torcica, tres incidencias
Examen radiolgico de columna torcica, mnimo de cuatro inc
Examen radiolgico de columna toracolumbar, dos incidencias
Examen radiolgico para estudio de escoliosis, incluyendo estu
Examen radiolgico de columna lumbosacra; dos o tres inciden
Examen radiolgico de columna lumbosacra, mnimo de cuatro
Examen radiolgico de columna lumbosacra completo, incluyend
Examen radiolgico de columna vertebral lumbosacral, incidenc
Tomografa computarizada, columna vertebral cervical; sin mate
Tomografa computarizada, columna vertebral cervical; con mate
Tomografa computarizada, columna vertebral torcica; sin mate
Tomografa computarizada, columna vertebral torcica; con mat
Tomografa axial computarizada, columna vertebral lumbar; sin
Tomografa axial computarizada, columna vertebral lumbar; con
Resonancia magntica de canal espinal y contenido a nivel cervi
Resonancia magntica de canal espinal y contenido a nivel nerv
Resonancia magntica de canal espinal y contenido a nivel torc
Resonancia magntica de canal espinal y contenido a nivel tor
Resonancia magntica de canal espinal y contenido a nivel lumb
Resonancia magntica de canal espinal y contenido a nivel lumb
Ampliacin de estudio de Resonancia magntica
Angiografa por Resonancia magntica en canal espinal y cont
Examen radiolgico de pelvis; una o dos incidencias
Examen radiolgico de pelvis completo, mnimo de tres inciden
Tomografa computarizada de pelvis; sin material de contraste
Tomografa computarizada de pelvis; con material de contraste
Resonancia magntica de pelvis, sin contraste
Resonancia magntica de pelvis, con contraste
Angiografa por Resonancia magntica de pelvis, con o sin cont
Examen radiolgico, articulaciones sacroilacas; menos de tres
Examen radiolgico de articulaciones sacroilacas, tres o ms i
Examen radiolgico de sacro y cccix, mnimo dos incidencias
Mielografia columna toracica sin contraste
Examen radiolgico de clavcula, completo
Examen radiolgico de escpula, completo
Examen radiolgico de hombro; una vista
Examen radiolgico completo de hombro, mnimo de dos incide
artrografa de hombro
Examen radiolgico de articulaciones acromioclaviculares, bilat
Examen radiolgico de hmero, mnimo dos incidencias
Examen radiolgico de codo; dos incidencias
Examen radiolgico completo de codo, mnimo tres incidencias
artrografa de codo
1.94
1.53
1.74
1.89
1.81
1.55
1.45
1.74
1.51
3.69
10.00
25.00
10.00
25.00
10.00
38.37
40.64
55.69
40.64
41.36
30.55
41.36
32.33
47.92
1.34
1.96
6.50
31.95
40.64
50.91
50.89
1.33
2.89
1.46
15.00
1.00
1.47
1.93
1.60
2.32
1.98
1.45
1.26
1.49
1.49
Examen radiolgico de antebrazo, dos incidencias

Examen radiolgico de antebrazo, extremidad superior, lactant
Examen radiolgico de mueca; dos incidencias
Examen radiolgico completo de mueca, mnimo tres incidenc
artrografa de mueca
Examen radiolgico de mano; dos incidencias
Examen radiolgico de mano, mnimo tres incidencias
Examen radiolgico de dedos de manos, mnimo dos incidenci
Tomografa computarizada, extremidad superior; sin material de
Tomografa computarizada, extremidad superior; con material d
Angiografa por tomografa computarizada de extremidad superi
Resonancia magntica de extremidad superior, excepto articulac
Resonancia magntica de extremidad superior, excepto articula
Resonancia magntica de cualquier articulacin de miembro supe
Resonancia magntica de cualquier articulacin de miembro sup
Angiografa por resonancia magntica en extremidad superior, c
Examen radiolgico unilateral de cadera, una vista
Examen radiolgico unilateral completo de cadera, mnimo dos
Examen radiolgico bilateral de cadera, mnimo dos incidencia
Artrografa de cadera
Examen radiolgico de cadera durante un procedimiento quirr
Examen radiolgico de pelvis y caderas, lactante o nio, mnim
Artrografa de articulacin sacroilaca
Examen radiolgico de fmur, dos incidencias
Examen radiolgico de rodilla, una o dos incidencias
Examen radiolgico de rodilla, tres incidencias
Examen radiolgico completo de rodilla, cuatro o ms incidenci
Examen radiolgico de ambas rodillas, posicin de pie, nterop
Artrografa de rodilla
Examen radiolgico de tibia y peron, dos incidencias
Examen radiolgico de extremidad inferior, lactante, mnimo do
Examen radiolgico de tobillo, dos incidencias
Examen radiolgico completo de tobillo, mnimo tres incidencia
Artrografa de tobillo
Examen radiolgico de pie, dos incidencias
Examen radiolgico de pie completo, mnimo tres incidencias
Examen radiolgico de calcneo, mnimo dos incidencias
Examen radiolgico de dedos de los pies, mnimo dos incidenc
Tomografa computarizada de miembro inferior sin material de
Tomografa computarizada de miembro inferior con material de
Angiografa por Tomografa computarizada de extremidad inferio
Resonancia magntica de extremidad inferior, excepto articulaci
Resonancia magntica de extremidad inferior, excepto articulac
Resonancia magntica de articulacin de miembro inferior sin c
Resonancia magntica de articulacin de miembro inferior con
1.45
1.63
0.82
1.49
1.49
1.33
1.49
0.82
10.00
25.00
19.54
40.74
50.91
40.74
50.91
58.39
0.77
1.44
1.42
2.63
1.88
2.17
2.42
1.53
1.45
1.83
2.08
1.51
2.5
1.53
1.63
1.42
2.03
2.17
1.42
2.63
1.33
1.49
10.00
25.00
27.84
40.74
50.91
40.74
50.91
Angiografa por Resonancia magntica de miembro inferior, con

Examen radiolgico de abdomen, incidencia nteroposterior
Examen radiolgico de abdomen, incidencias nteroposterior, o
Examen radiolgico de abdomen completo incluyendo incidencia
Examen radiolgico completo para abdomen agudo
Tomografa computarizada de abdomen sin material de contras
Tomografa computarizada de abdomen con material de contra
Angiografa por tomografa computarizada de abdomen con con
Resonancia magntica de abdomen sin contraste
Resonancia magntica de abdomen con contraste
Angiografa por resonancia magntica de abdomen, con o sin c
peritoneograma
Examen radiolgico de faringe y/o esfago cervical
Examen radiolgico de esfago
evaluacin de la funcin de deglucin con cinerradiografa y/o
extraccin de cuerpo extrao esofgico mediante el uso de bal
Examen radiolgico de tracto gastrointestinal superior sin kub
Examen radiolgico de tracto gastrointestinal superior con kub
Examen radiolgico de tracto gastrointestinal e intestino delgad
Examen radiolgico de tracto gastrointestinal superior a doble
Examen radiolgico de intestino delgado, con mltiples placas
Examen radiolgico de intestino delgado, con mltiples placas s
Duodenografa hipotnica
Examen radiolgico de clon mediante enema de bario, con o
Examen radiolgico de colon con contraste de aire y bario espec
Enema teraputico de material de contraste o aire
Colecistografa oral
Colecistografa oral adicional
Colangiografa y/o pancreatografa intraquirrgica
Colangiografa y/o pancreatografa intraquirrgica adicional
Colangiografa y pancreatografa a travs de catter existente
Colangiografa percutnea transheptica
Extraccin postoperatoria de clculos biliares por va percutne
Asistencia a la cateterizacin endoscpica del sistema biliar
Asistencia a la cateterizacin endoscpica de conductos pancr
Asistencia a la cateterizacin endoscpica combinada de conduct
Asistencia a la introduccin de tubo gastrointestinal largo inclu
Colocacin percutnea de tubo de enteroclisis
Asistencia a la dilatacin intraluminal de constricciones y/o obs
Dilatacin percutnea transheptica de estenosis de conducto b
Urografa (pielografa) intravenosa, con o sin KUB, con o sin t
Urografa, infusin por goteo y/o en bolo
56.77
1.34
1.87
1.85
1.66
15.00
30.00
38.37
40.74
50.91
55.96
1.35
1.66
1.66
1.66
5.57
1.66
3.33
4.02
2.63
4.00
6.50
2.63
4.00
3.33
2.79
3.00
1.14
2.40
2.40
1.48
2.00
2.03
1.66
2.77
2.16
2.24
2.76
3.62
4.25
4.25
3.62
4.22
4.77
4.77
Urografa, infusin por goteo y/o en bolo con nefrotomografa

Urografa retrgrada, con o sin KUB
Urografa antergrada
Cistografa, mnimo tres incidencias
Vasografa, vesiculografa o epididimografa
Uretrocistografa retrgrada
Uretrocistografa con miccin
Introduccin percutnea de intracatter o catter en la pelvis r
Introduccin percutnea de catter ureteral o catter dilatador e
Dilatacin de nefrostoma, urteres o uretra
Histerosalpingografa
Asistencia a la cateterizacin transcervical de trompa de falopi
Resonancia magntica cardaca para evaluacin morfolgica, si
Resonancia magntica cardaca para evaluacin morfolgica, c
Resonancia magntica cardaca para evaluacin funcional, est
Resonancia magntica cardaca para evaluacin funcional, estu
Resonancia magntica cardaca para mapeo de la velocidad de
Aortografa torcica sin estudio seriado
Aortografa torcica con estudio seriado
Aortografa abdominal por estudio seriado
Aortografa abdominal ms iliofemoral bilateral de extremidades
Angiografa por Tomografa computarizada de aorta abdominal y
Angiografa cervicocerebral mediante catter, incluyendo origen
Angiografa braquial retrgrada
Angiografa de cartida externa, unilateral y selectiva
Angiografa de cartidas externas, bilateral y selectiva
Angiografa de cartida cerebral, unilateral
Angiografa de cartida cerebral, bilateral
Angiografa de cartida cervical, unilateral
Angiografa de cartida cervical, bilateral
Angiografa vertebral cervical y/o intracraneal
Angiografa espinal selectiva
Angiografa de extremidad, unilateral
Angiografa bilateral de extremidades
Angiografa renal unilateral selectiva
Angiografa renal bilateral selectiva
Angiografa visceral selectiva o supraselectiva
Angiografa adrenal unilateral, selectiva
Angiografa adrenal bilateral, selectiva
Angiografa plvica, selectiva o supraselectiva
Angiografa pulmonar unilateral, selectiva
Angiografa pulmonar bilateral, selectiva
Angiografa pulmonar mediante catter no selectivo
Angiografa mamaria interna
Angiografa selectiva, cada vaso adicional estudiado
4.77
4.89
4.77
3.63
4.15
2.63
2.69
6.00
3.40
8.00
4.19
1.62
43.25
48.65
47.96
29.09
38.76
5.37
5.37
5.37
4.65
10.29
10.67
4.17
4.17
4.17
4.17
4.17
4.17
4.17
4.17
3.95
3.95
5.33
4.17
4.17
4.17
4.17
4.17
4.17
4.17
4.17
4.17
3.95
3.95
Angiografa de derivacin arteriovenosa

Linfangiografa unilateral de extremidad
Linfangiografa bilateral de extremidad
Linfangiografa unilateral plvica/ abdominal
Linfangiografa bilateral plvica/ abdominal
Estudio de derivacin para investigar una derivacin no vascul
Esplenoportografa
Venografa unilateral de extremidad
Venografa bilateral de extremidad
Venografa seriada de la cava inferior
Venografa seriada de la cava superior
Venografa renal unilateral selectiva
Venografa renal bilateral selectiva
Venografa adrenal unilateral, selectiva, supervisin e interpret
Venografa adrenal bilateral, selectiva, supervisin e interpreta
Venografa por catter en seno venoso o yugular
Venografa de seno sagital superior
Venografa epidural, supervisin e interpretacin radiolgicas
Venografa orbital, supervisin e interpretacin radiolgicas
Portografa transheptica percutnea con evaluacin hemodin
Portografa transheptica percutnea sin evaluacin hemodin
Venografa heptica cuneiforme o libre con evaluacin hemodi
Venografa heptica cuneiforme o libre sin evaluacin hemodin
Oobtencin de muestra venosa por catter, con o sin angiograf
Embolizacin teraputica transcatter, por cualquier mtodo
Terapia transcatter por infusin, por cualquier mtodo
Angiografa a travs de catter ya colocado, para seguimiento
Intercambio de catter arterial previamente colocado durante ter
Remocin mecnica de material obstructivo perifrico a catter
Remocin mecnica de material obstructivo intraluminal a catt
Colocacin percutnea de filtro intravenoso (IVC)
Ultrasonido intravascular
Reparacin intravascular de aneurisma o diseccin de aorta abd
Colocacin de extensin proximal o distal de prtesis
Reparacin endovascular de lesin de arteria iliaca
Introduccin transcatter de catteres dilatadores intravascular
Rescate transcatter de cuerpo extrao intravascular por va p
Angioplasta transluminal de baln de arteria perifrica
Angioplasta transluminal de baln de arteria renal u otra arteria
Angioplasta venosa transluminal de baln
Drenaje biliar transheptico percutneo con control de contraste
Cambio de tubo percutneo o catter de drenaje con control de co
Orientacin radiolgica para el drenaje percutneo de un absce
Gua fluoroscpica para (re) colocacin o remocin se acceso
Fluoroscopa que no sea de trax, hasta una hora de tiempo m
4.17
2.43
2.73
2.77
2.77
2.87
2.87
2.71
2.71
2.71
2.86
2.86
2.76
3.97
5.18
2.86
2.86
3.97
3.29
6.40
6.40
2.72
2.72
2.72
3.01
2.89
3.17
2.71
3.55
3.55
3.99
2.72
20.88
20.88
20.88
20.88
20.88
20.88
20.88
20.88
18.40
18.40
18.40
2.72
3.00
Fluoroscopa, por ms de una hora

Gua fluoroscpica para la colocacin de aguja o catter
Fluoroscopa y localizacin de aguja o catter para inyeccin d
Examen radiolgico de nariz a recto para deteccin de cuerpo
Vertebroplasta percutnea bajo gua fluoroscpica
Vertebroplasta percutnea bajo gua tomogrfica
estudios de edad sea
Estudios de longitud de huesos (ortoroentgenograma, estudio d
Survey seo
Survey articular dos o ms articulaciones
Estudio de densidad mineral sea por tomografa para esquelet
Estudio de densidad mineral sea por tomografa para esquelet
Estudio de densidad sea por absorciometra de rayos x de dobl
Estudio de densidad sea por absorciometra de rayos x de dob
Absorciometra radiogrfica de uno o ms sitios
Examen radiolgico de absceso, fstula o estudio de tracto
Deteccin asistida por computadora para lesiones de mama en
Deteccin asistida por computadora para lesiones de mama en
Galactografa de un conducto
Galactografa de conductos mltiples
Mamografa unilateral
Mamografa bilateral
Mamografa bilateral de tamizaje
Resonancia magntica unilateral de mama
Resonancia magntica bilateral de mama
Examen radiolgico de muestra quirrgica
Estudio de sustraccin con contraste
Uso de gua tomogrfica computarizada para localizacin ester
Uso de gua tomogrfica computarizada para colocacin de agu
Uso de gua tomogrfica computarizada para monitoreo de abla
Uso de gua tomogrfica computarizada para colocacin de cam
Reconstruccin a partir de tomografa computarizada o resona
Tomografa computarizada limitada, para propsitos de seguim
Espectroscopa por resonancia magntica
Uso de gua por resonancia magntica para colocacin de aguj
Uso de gua por resonancia magntica para monitoreo de ablaci
Uso de resonancia magntica para evaluar suministro sangun
Ecoencefalografa con documentacin de la imagen
Ultrasonido oftlmico diagnstico con rastreo A
Ultrasonido oftlmico diagnstico con rastreo B de contacto
Ultrasonido oftlmico diagnstico de segmento anterior
Paquimetra unilateral o bilateral de crnea
Biometra oftlmica por ultrasonido modo A y clculo de poder d
Biometra oftlmica por ultrasonido modo A y clculo de poder d
Ubicacin ultrasnica oftlmica de cuerpos extraos
3.00
1.83
2.70
3.65
4.24
4.24
1.42
1.67
1.50
0.56
0.81
0.81
0.81
0.81
0.81
1.94
0.58
0.67
1.28
1.51
0.77
1.13
1.67
36.43
40.62
1.27
2.26
10.00
10.00
10.00
10.00
2.17
10.00
2.59
40.00
40.00
40.00
1.07
0.86
0.90
0.90
0.86
0.86
0.90
0.86
Ultrasonido de tejidos blandos de la cabeza y cuello rastreo B y

Ecografa de trax por rastreo B y/o en tiempo real
Ecografa de mamas por rastreo B y/o en tiempo real
Ecografa cavidad pericrdica
Ecografa abdominal completa por rastreo B y/o en tiempo real
Ecografa abdominal limitada por rastreo B y/o en tiempo real
Ecografa retroperitoneal completa por rastreo B y/o en tiempo
Ecografa retroperitoneal limitada por rastreo B y/o en tiempo re
Ecografa de rin transplantado por rastreo B y/o en tiempo re
Ecografa de canal espinal y contenido
Ultrasonido de tero grvido en 1er trimestre
Ultrasonido de tero grvido en 1er trimestre, embarazo mltipl
Ultrasonido de tero grvido, posterior al 1er trimestre
Ultrasonido de tero grvido, posterior al 1er trimestre, embara
Ultrasonido de tero grvido, evaluacin fetal detallada, produc
Ultrasonido de tero grvido, evaluacin fetal detallada, embar
Ultrasonido de tero grvido, examen limitado
Ultrasonido de tero grvido, examen de seguimiento
Ultrasonido de tero grvido, va transvaginal
Perfil biofsico fetal, con test no estresante
Perfil biofsico fetal, sin test no estresante
Ecocardiografa fetal
Ecocardiografa doppler
Ecografa transvaginal
Histerosonografa, con o sin flujo, doppler codificado con color
Ecografa plvica no obsttrica completa por rastreo B y/o en t
Ecografa, escroto y contenido
Ecografa transrectal
Ecografa no vascular de extremidades por rastreo B y/o en tie
Ecografa dinmica de caderas de lactante, en tiempo real
Orientacin ultrasnica para pericardiocentesis
Orientacin ultrasnica para biopsia endomiocrdica
Reparacin de pseudoaneurisma arterial o fstula arteriovenosa
Acceso vascular guiado por ultrasonido
Gua ultrasonogrfica para ejecucin y monitoreo de ablacin vi
Gua ultrasonogrfica para transfusin fetal intrauterina o cord
Gua ultrasonogrfica para colocacin de aguja
Gua ultrasonogrfica para muestreo de vellosidad corinica
Gua ultrasonogrfica para amniocentesis
Gua ultrasonogrfica para aspiracin de vulos
Gua ultrasonogrfica para colocacin de campos de radioterap
Medicin de densidad sea por ultrasonido en sitio perifrico
Gua ultrasonogrfica intraoperatoria
Estimacin de dosis de radiacin (plan mdico)
Elaboracin de plan de radioterapia con 2D (convencional)
1.07
1.00
1.00
1.00
0.75
0.60
0.90
0.97
0.86
0.86
0.84
0.84
0.84
1.01
0.84
1.01
0.76
0.76
1.00
1.67
1.01
1.60
2.20
0.93
1.89
0.87
1.13
1.13
0.87
1.48
1.23
2.60
4.29
3.85
3.34
3.33
5.00
2.98
3.67
4.27
4.26
2.33
2.93
1.00
1.00
Elaboracin de plan de radioterapia con 3D (tridimensional)

Elaboracin de plan de radioterapia con intensidad modulada
Teleterapia intermedia-2D (convencional) - tratamiento con sumi
Teleterapia intermedia-2D (convencional) con acelerador lineal
Teleterapia compleja 3D (tridimensional) con acelerador lineal
Planeamiento de braquiterapia baja tasa (mtodo Flesher), sin
Planeamiento de braquiterapia baja tasa (mtodo Manchester)
Planeamiento de braquiterapia alta tasa
Dosimetra especial (TBI )
Dosimetra especial (SEI)
Diseo y construccin de dispositivos teraputicos simple (cer
Diseo y construccin de dispositivos teraputicos simple ocula
Suministro de tratamiento con intensidad modulada
Suministro de tratamiento por radiacin de fotones con acelerad
Suministro de tratamiento por radiacin de electrones con acele
Suministro de tratamiento por radiacin de electrones con acele
Manejo del tratamiento por radiacin, cinco sesiones
Manejo de terapia de radiacin con un curso de terapia comple
Manejo de terapia de radiacin estereotctica de lesiones cereb
Manejo de terapia en radiociruga (con acelerador lineal)
Procedimiento de tratamiento especial
Infusin o instilacin de solucin de radioelemento
Aplicacin de fuente de radiacin intracavitaria simple (cervix),
Aplicacin de fuente de radiacin intracavitaria compleja (pulm
Braquiterapia de carga diferida de alta intensidad; 1 - 4 posici
Braquiterapia carga diferida de alta intensidad; 5 - 8 posiciones
Braquiterapia carga diferida de alta intensidad; 9 -12 posicione
Braquiterapia carga diferida de alta intensidad; ms de 12 pos
Braquiterapia de carga diferida manual
Aplicacin superficial de fuente de radiacin (braquiterapia ocul
Captacin tiroidea en determinacin nica con Iodo 131
Captacin tiroidea en determinaciones mltiples
Captacin tiroidea en determinaciones mltiples con Tecnesio
Captacin tiroidea posterior a estimulacin, supresin o descar
Imgenes de captacin por tiroides en determinacin nica - g
Prueba de estmulo con TSH - gammagrfica
Prueba de supresin con T3 gammagrfica
Prueba de estmulo con TSH captacin
Prueba de descarga con perclorato
Prueba de inhibicin con T3 captacin
Obtencin de imgenes de metstasis de carcinoma de tiroides e
Obtencin de imgenes de metstasis de carcinoma de tiroides en
Imgenes del paratiroides- gammagrafa de paratiroides con
Imgenes de adrenales, corteza y/o mdula- gammagrafa de g
Deteccin de feocromocitoma con metil-iodo- guanetidina -123
1.00
1.00
5.00
5.00
5.00
5.00
5.00
5.00
8.47
12.28
5.00
5.00
10.66
10.66
10.66
10.66
5.00
5.00
5.00
5.00
5.00
12.00
12.00
12.00
12.00
12.00
12.00
12.00
12.00
12.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
8.00
8.00
8.00
8.00
8.00
Otros estudios endocrinos con Tecnecio 99 m

Gammagrafa de tiroides planar y tomogrfica con TEC99M
Imgenes del bazo solamente
Estudio de supervivencia plaquetaria
Imgenes de linfticos y ganglios linfticos
Imgenes de mdula sea
Otros estudios del sistema reticulo endotelial con Tecnecio 99
Volumen plasmtico, por tcnica de determinacin de volumen
Determinacin del volumen de sangre entera, incluyendo la det
Obtencin de imgenes hepticas estticas
Obtencin de imgenes hepticas incluyendo flujo vascular
Obtencin de imgenes del hgado por SPECT
Obtencin de imgenes del hgado por SPECT incluyendo flujo
Obtencin de imgenes hepticas y de bazo estticas
Estudio de funcin heptica con agentes hepatobiliares
Imgenes del sistema de conductos hepatobiliares incluyendo la
Imgenes de glndulas salivales
Estudio funcional de glndulas salivales
Motilidad esofgica
Obtencin de imgenes de mucosa gstrica
Estudio de reflujo gastroesofgico
Estudio de vaciamiento gstrico
Captura de C-14 para anlisis de rea respiratoria
Anlisis de rea respiratoria mediante C-14
Fluidificacin de secreciones
Obtencin de imgenes de prdida gastrointestinal aguda de s
Deteccin del divertculo de Meckel
Otros estudios digestivos con Tecnecio 99 m
Imgenes de intestino (p. ej., mucosa gstrica ectpica, ubicac
Obtencin de imgenes de huesos y/o articulaciones limitadas
Obtencin de imgenes de huesos y/o articulaciones a partir de
Obtencin de imgenes de huesos y/o articulaciones a partir
Gammagrafa con nanocoloides-TEC99M
Gammagrafa con HIG (inmunoglobulinas-TEC99M)
Estudio de densidad sea de una o ms zonas por absorciometr
Gammagrafa de mdula sea
Otros estudios seos con tecnecio 99 m
Gammagrafa sea planar y tomogrfica
Gammagrafa sea trifsica
Gammagrafa sea Segmentaria-segmento
Gammagrafa steomuscular
Gammagrafa steoarticular-otros
Gammagrafa steoarticular-coxofemorales
Gammagrafa steoarticular-sacroiliacas
Gammagrafa steoarticular-hombros
8.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
8.00
8.00
8.00
8.00
8.00
6.00
8.00
8.00
8.00
8.00
8.00
8.00
8.00
6.00
6.00
0.30
6.00
6.00
6.00
6.00
8.00
8.00
8.00
8.00
8.00
8.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
Estudio de trombosis venosa-flebografa isotpica regional

Trombovenografa profunda
Obtencin de imgenes de trombosis venosa mediante venograma
Estudios mltiples de imgenes de perfusin cardaca
Estudios mltiples de imgenes de perfusin cardaca por SP
Obtencin de imgenes planares de infarto de miocardio por
Estudio de perfusin de miocardio con movimiento de pared
Estudio de perfusin de miocardio con fraccin de eyeccin
Estudio con pirifosfato planar
Estudio con pirifosfato planar y tomogrfico
Estudio con mibi-tec99m reposo-esfuerzo y tomografa (SPECT
Perfusin miocrdiaca con Mibi-tec99m reposo y tomografa (
Estudio con Talio - 201 en reposo planar y tomogrfico
Estudio con Talio - 201 en reposo y esfuerzo planar y tomogrfi
Estudio con Talio - 201 en reposo planar y postdipiridamol co
Otros estudios del sistema vascular con Tecnecio 99 m
Ventriculografa en reposo y con aplicacin farmacolgica
Ventriculografa isotpica en reposo y esfuerzo
Ventriculografa isotpica en reposo
Estudio de primer pasaje en reposo
Estudio de primer pasaje reposo y esfuerzo
Estudio de shunts y clculo del QP/QS
Gammagrafa miocrdica con pirofosfato
Gammagrafa de espacio vascular cardiaco y/o grandes vasos
Terapia con radionucleidos
Obtencin de imgenes de perfusin pulmonar con partculas
Obtencin de imgenes de perfusin pulmonar con partculas y
Obtencin de imgenes de perfusin pulmonar con partculas y ve
Obtencin de imgenes mltiples sobre ventilacin pulmonar c
Obtencin de imgenes de perfusin pulmonar con partculas y
Obtencin de imgenes de parnquima y flujo vascular de cere
Obtencin de imgenes completas de cerebro por SPECT
Radioangiografa con gammagrafa planar y tomogrfica
Radioangiografa con gammagrafa cerebral esttica planar
Tomografa nuclear de cerebro con DTPA/GHCA
Cisternografa isotpica
Cisternografa tomogrfica
Ventriculografa
Evaluacin de derivacin de lquido cefalorraqudeo
Obtencin de imgenes de lquido cefalorraqudeo por SPECT
Flujo sanguneo cerebral regional con HMPAO y SPECT
Flujo sanguneo cerebral con ECD y SPECT
Dacriocistografa radiofarmacutica
Obtencin de imagen esttica de rin
Obtencin de imagen de rin y su flujo vascular
8.00
8.00
8.00
8.00
8.00
8.00
8.00
8.00
10.00
10.00
20.00
20.00
20.00
20.00
20.00
20.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
15.00
8.00
8.00
8.00
8.00
8.00
8.00
20.00
20.00
20.00
20.00
34.32
34.32
24.56
29.58
20.00
20.00
20.00
3.57
3.56
2.36
Obtencin de imagen de estudio funcional de rin

Estudio de flujo vascular y funcional de rin sin intervencin
Estudio de flujo vascular y funcional de rin con intervencin
Obtencin de imgenes renales por SPECT
Gammagrafa renal con GHCA-TEC99M y tomografa
Radiorrenograma isotpico con MAG3-TEC99M
Radiorrenograma isotpico con DTPA-TEC99M
Test de Furosemida (Lasix) *Dos Radiorrenogramas
Estudio de flujo vascular renal
Estudio residual de vejiga urinaria
Estudio de reflujo vsico ureteral -mtodos directo
Estudio de reflujo vsico ureteral -mtodos indirecto
Otros estudios renales con Tecnecio 99 m
Obtencin de imgenes y flujo vascular de testculos- perfusin
Determinacin de filtracin de Glomerular (GFR) y Radiorreno
Ubicacin de tumor por radiofrmaco o distribucin de radiof
Evaluacinde Shunts
Ubicacin radiofarmacutica de proceso inflamatorio en todo el
Ubicacin radiofarmacutica de proceso inflamatorio por SPEC
Gammagrafa de perfusin regional
Suministro de radiofrmacos de diagnstico
Biopsia dirigida x fluoroscopa
Drenaje por TAC
Pictografia antergrada
Tomografia lineal (4)
Quimioterapia arterial selectiva
Terapia radiofarmacutica inicial para hipertiroidismo - terapia
Terapia radiofarmacutica subsecuente para hipertiroidismo, ca
Terapia radiofarmacutica, supresin de tiroides
Ablacin radiofarmacutica de la glndula para el carcinoma del
Terapia radiofarmacutica para metstasis de carcinoma del tiro
Terapia radiofarmacutica por inyeccin intravenosa, por cada
Suministro de substancias radiofarmacuticas teraputicas
Perfil de electrolitos: dixido de carbono, cloro, potasio y sodio
Perfil prenatal: hemograma de tercera generacin, grupo sang
Perfil preoperatorio: hemograma de tercera generacin, grupo
Batera de hepatitis:Antgeno de superficie de la hepatitis B (
Perfil lipdico: colesterol total, HDL, LDL, VLDL, triglicridos y l
Perfil cardaco: CPK, CPK-MB, DHL, TGO
Perfil de coagulacin: plaquetas, tiempo de coagulacin y sangr
Perfil heptico: TGO, TGP, GGTP, bilirrubina total y fraccionada
Perfil TORCH
Perfil de donante de sangre (grupo sanguneo, hematocrito, VIH
5.82
2.36
8.88
20.00
20.00
20.00
20.00
15.00
30.00
5.51
4.50
4.50
15.00
4.50
15.00
2.20
8.00
8.00
8.00
8.00
2.29
15.00
2.29
8.00
20.00
15.00
15.00
15.00
8.00
8.00
2.29
18.00
20.24
8.00
8.00
0.90
4.93
4.00
6.00
1.20
1.20
1.41
1.20
6.00
6.70
Perfil de Neonato (hematocrito, glucosa, grupo sanguneo y R

Examen de laboratorio completo del embarazo con HIV
Examen de laboratorio completo del embarazo sin HIV
Dosaje de amikacina
Dosaje de amitriptilina
Dosaje de benzodiacepinas
Dosaje de carbamacepina total
Dosaje de carbamacepina libre
Dosaje de ciclosporina
Dosaje de desipramina
Dosaje de digoxina
Dosaje de cido dipropilactico (cido valproico)
Dosaje de doxepina
Dosaje de etosuximida
Dosaje de gentamicina
Dosaje de oro
Dosaje de imiprimina
Dosaje de lidocana
Dosaje de litio
Dosaje de nortriptilina
Dosaje de fenobarbital
Dosaje de fenitona total
Dosaje de fenitona libre
Dosaje de primidona
Dosaje de procainamida
Dosaje de procainamida con metabolitos (p. ej., n-acetilprocai
Dosaje de quinidina
Dosaje de salicilato
Dosaje de tacrolimus
Dosaje de teofilina
Dosaje de tobramicina
Dosaje de topiramato
Dosaje de vancomicina
Dosaje de metotrexate
Perfil de estimulacin con ACTH para insuficiencia adrenal
Perfil de estimulacin con ACTH para deficiencia de 21 hidroxil
Perfil de estimulacin con ACTH para deficiencia de 3 beta-hi
Perfil de supresin de aldosterona (por ejemplo, con solucin sa
Perfil de estimulacin de calcitonina (por ejemplo, calcio, penta
Perfil de estimulacin de hormona liberadora corticotropa (CRH
Perfil de estimulacin de gonadotropina corinica, y respuesta
Perfil de estimulacin de gonadotropina corinica, y respuesta d
Perfil de estimulacin de vena renal con renina (por ejemplo con
Perfil de estimulacin de vena perifrica con renina (por ejempl
Perfil combinado de evaluacin de hipfisis anterior
2.00
4.93
2.33
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
Perfil de supresin de dexametasona en 48 horas

Perfil de tolerancia al glucagn para insulinoma
Perfil de tolerancia al glucagn para feocromocitoma
Perfil de liberacin de hormona liberadora de gonadotropinas
Perfil de estimulacin de hormona de crecimiento
Perfil de supresin de hormona de crecimiento
Perfil de supresin pptido C inducido por insulina
Perfil de tolerancia a la inulina, por insuficiencia de ACTH
Perfil de tolerancia a la inulina, por insuficiencia de hormona d
Perfil de metirapona
Perfil de estimulacin de TRH, por una hora
Perfil de estimulacin de TRH, por dos horas
Perfil de estimulacin de TRH, por hiperprolactinemia
Anlisis de orina por tira de anlisis o reactivo en tableta, con
Anlisis de orina automatizado, con microscopa
Anlisis de orina no automatizado, sin microscopa
Anlisis de orina automatizado, sin microscopa
Anlisis de orina cualitativo o semicuantitativo, excepto inmun
Anlisis de orina con tamizaje de bacteriuria, sin cultivo
Examen microscpico de sedimento urinario
Anlisis de orina, prueba de dos o tres vasos
Prueba de diagnstico del embarazo en orina
Medicin de volumen urinario segn lapso de tiempo determin
Acetaldehdo en sangre
Acetaminofeno
Acetona u otros cuerpos cetnicos en suero; cualitativa
Acetona u otros cuerpos cetnicos en suero; cuantitativa
Acetlcolinesterasa
ADA (Adenosinadeaminasa)
Hormona Adrenocorticotrpica (ACTH)
Adenosn-5"-monofosfato cclico (AMP cclico)
Albmina srica
Albmina urinaria, cuantitativa
Albmina urinaria, microalbmina, cuantitativa
Albmina urinaria, microalbmina semicuantitativa (p. ej., ensay
Alcohol (etanol); cualquier muestra salvo el aliento
Alcohol (etanol); en aliento
Aldolasa
Aldosterona
Alcaloides en orina, cuantitivos
Alfa-1-antitripsina; total
Alfa-fetoprotena; srica
Alfa-fetoprotena; en lquido amnitico
Aluminio
Acido delta-aminolevulnico (ALA)
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
0.50
0.34
0.34
0.34
0.33
0.38
0.25
0.34
0.19
0.27
0.57
0.57
0.29
0.29
0.29
0.29
0.29
0.29
0.29
0.29
0.29
0.29
1.17
1.17
1.17
1.17
1.17
1.17
1.17
1.17
1.17
1.17
Amonaco
Anlisis de lquido amnitico (espectrofotomtrico)
Anfetamina o metanfetamina
Amilasa
Androstenediona
Angiotensina II
Angiotensina I - enzima de conversin de la angiotensina I (AC
Arsnico
Acido ascrbico (vitamina C), en sangre
Beta-2-microglobulina
Acidos biliares; totales
Bilirrubina; total
Bilirrubina; directa
Sangre oculta en heces; 1-3 determinaciones simultneas
Calciferol (vitamina D)
Calcitonina
Calcio; total
Calcio ionizado
Calcio en orina
Clculo; anlisis cualitativo
Clculo; anlisis qumico cuantitativo
Antgeno carcinoembrionario (CEA)
Carnitina (total y libre), cuantitativo, cada muestra
Catecolaminas; totales, orina
Catecolaminas; sangre
Catecolaminas; fraccionadas
Catepsina-D
Ceruloplasmina
Cloranfenicol
Cloruro; en sangre
Cloruro; en orina
Colesterol srico; total
Colinesterasa; srica
Colinesterasa; en eritrocitos
Cromatografa, cualitativa; en columna (p. ej., lquido-gaseosa
Cromatografa, cuantitativa; en columna (p. ej., lquido-gaseosa
Cromo
Citrato
Cocana o metabolito
Cobre
Corticosterona
Cortisol; libre
Cortisol; total
Creatina
Creatina quinasa (CK), (CPK); total
1.17
1.42
2.60
0.44
0.44
0.44
1.60
2.12
1.47
1.47
1.47
0.42
0.39
0.39
0.39
0.39
0.44
0.45
0.45
0.45
0.45
1.67
1.67
1.67
1.67
1.67
1.67
1.67
0.45
0.45
0.45
0.41
2.09
2.00
2.24
2.24
1.57
1.52
1.09
1.14
0.57
0.57
0.47
0.32
0.55
Creatina quinasa (CK), (CPK); fraccin MB solamente

Creatinina; en sangre
Cianuro
Cianocobalamina (vitamina B-12)
Deshidroepiandrosterona (DHEA)
Dehidroepinandrosterona sulfato DHEA - SO4
Desoxicorticosterona, 11
Desoxicortisol, 11
Dihidrotestosterona (DHT)
Dihidroxivitamina D, 1,25
Epiandrosterona
Eritropoyetina
Estradiol
Estrgenos; fraccionados
Estrgenos; totales
Estriol
Grasas o lpidos fecales; cualitativos
Grasas o lpidos fecales; cuantitativos
cidos grasos no esterificados
cidos grasos de cadena muy larga
Ferritina
Fluoruro
Fluorazepn
Acido flico; srico
Fructosa en semen
Galactosa
Galactosa-1-fosfato uridil transferasa; cuantitativa
Gammaglobulina; IgA, IgD, IgG, IgM cada una
Gammaglobulina; IgE
Gammaglobulina; subclases de inmunoglobulinas, (IgG1, 2, 3, y
Gases en sangre, pH solamente
Gases en sangre, cualquier combinacin de ph, pCO2, PO2, CO
Reserva alcalina
Gases en sangre, saturacin de O2 solamente, por determinaci
cido gstrico, libre y total; cada muestra
Gastrina luego de la estimulacin con secretina
Gastrina
Glucagn
Prueba de tolerancia al glucagn
Glucosa, en sangre, cuantitativo
Glucosa, en sangre, tira reactiva
Glucosa, despus de una dosis de glucosa (incluye glucosa)
Glucosa, prueba de tolerancia (GTT), tres muestras (incluye gl
Glucosa-6-fosfato deshidrogenasa (G6PD); cuantitativa
Glutamil transferasa, gamma (GGT)
0.44
0.27
0.14
2.80
0.57
0.57
2.24
2.24
0.79
2.48
0.79
0.71
1.80
1.57
1.40
0.53
0.26
0.26
0.32
0.32
2.73
0.76
0.76
1.66
0.53
0.53
0.53
1.20
1.20
1.20
0.74
0.74
0.74
0.74
0.36
0.62
0.62
0.57
0.79
0.30
0.30
0.30
1.08
0.71
0.62
Protena glucosilada
Hormona folculo estimulante (FSH)
Hormona luteinizante (LH)
Hormona de crecimiento humana (somatotropina)
Guanosn-monofosfato (GMP), cclico
Haptoglobina; cuantitativa
Helicobacter Pylori, anlisis de la prueba del aliento
Metales pesados (arsnico, bario, berilio, bismuto, antimonio, m
Hemoglobina, fraccionamiento y anlisis cuantitativo; electrofores
Hemoglobina, fraccionamiento y anlisis cuantitativo; cromatograf
Hemoglobina; por el mtodo del sulfato de cobre, no automatiz
Hemoglobina; F(fetal), anlisis qumico
Hemoglobina; F(fetal), prueba cualitativa (APT), fecal
Hemoglobina; glucosilada
Metahemoglobina, cualitativa
Metahemoglobina, cuantitativa
Hemosiderina; cualitativa
Hemosiderina; cuantitativa
Histamina
Hidroxicorticosteroides, 17- (17-OHCS)
Acido hidroxiindolactico, 5-(HIAA)
Hidroxiprogesterona, 17-D
Hidroxiprogesterona, 20
Hidroxiprolina; libre
Hidroxiprolina; total
Inmunohistoqumica por marcador
Insulina; total
Insulina; libre
Factor intrnseco
Hierro
Capacidad de ligar el hierro
Cetosteroides, 17- (17-KS); totales
Lactato (cido lctico)
Lactato deshidrogenasa (LD), (LDH);
Lactato deshidrogenasa (LD), (LDH); isoenzimas, separacin y
Lactosa en orina; cualitativa
Lactosa en orina; cuantitativa
Plomo
Lipasa
Lipoprotenas en sangre; separacin y determinacin cuantitativ
Colesterol - HDL
Colesterol - VLDL
Colesterol - LDL
Magnesio
Manganeso
0.42
0.42
0.42
0.42
0.42
0.42
1.36
1.36
1.50
0.65
0.75
0.85
0.85
0.65
0.79
0.79
0.79
0.79
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.35
2.66
2.66
2.66
1.85
1.85
1.85
1.85
1.85
Meprobamato
Mercurio, cuantitativo
Mucopolisacridos, cido; cuantitativos
Mielina, protena bsica, lquido cefalorraqudeo
Mioglobina
Nicotina
Nucleotidasa, 5"
Opiceos (p. ej., morfina, meperidina)
Osmolalidad; sangre
Osmolalidad; orina
Paratohormona (hormona paratirodea)
PH de fluido corporal diferente de sangre
Fenotiazina
Fenilalanina (PKU), en sangre
Fenilcetonas, cualitativas
Fosfatasa cida; total
Fosfatasa cida prosttica
Fosfatasa alcalina
Fosfatasa alcalina; termoestable
Fosfatasa alcalina; isoenzimas
Fosfolpidos
Fsforo inorgnico (fosfato);
Fsforo inorgnico (fosfato); en orina
Porfobilingeno en orina; cualitativo
Porfobilingeno en orina; cuantitativo
Porfirinas en orina; cualitativas
Porfirinas en orina; determinacin cuantitativa y fraccionamient
Porfirinas fecales; cuantitativas
Porfirinas fecales; cualitativas
Potasio; srico
Potasio; en orina
Prealbmina
Pregnandiol
Pregnenolona
17-hidroxipregnenolona
Progesterona
Prolactina
Prostaglandina, cada una
Antgeno Prosttico especfico (PSA)
Protenas sricas; totales
Protenas; fraccionamiento y determinacin cuantitativa por elec
Protenas; Western blot, con interpretacin e informe, para sang
Piridoxal fosfato (vitamina B-6)
Piruvato
Piruvato quinasa (PK)
1.85
1.85
1.85
1.85
1.85
1.85
1.85
1.85
1.85
1.85
1.85
1.85
0.53
1.40
1.40
0.31
0.31
0.41
0.39
0.66
0.66
0.47
0.47
0.53
0.53
0.53
0.53
0.53
0.53
0.28
0.28
0.28
1.09
1.09
1.09
3.11
1.67
4.84
2.73
0.43
0.39
2.10
1.94
0.77
0.77
Quinina
Renina
Riboflavina (vitamina B-2)
Serotonina
Silico, cido
Slice
Sodio; srico
Sodio; orina
Somatomedina
Somatostatina
Sulfato; orina
Testosterona; libre
Testosterona; total
Tiamina (vitamina B-1)
Tiroglobulina
Tiroxina; total
Tiroxina; libre
Tiroxina, globulina transportadora (TBG)
Tiroides, hormona de estimulacin del (TSH)
Tiroides, inmunoglobulinas de estimulacin (TSI)
Tocoferol, alfa (vitamina E)
Aspartato aminotransferasa
Alano aminotransferasa
Transferrina
Triglicridos
Captacin de las hormonas tiroideas (T3 o T4), o proporcin d
Triyodotironina T3; total (TT-3)
Triyodotironina T3; libre
Triyodotironina T3; inversa
Tirosina
Troponina, cualitativa
Nitrgeno urico; cuantitativo
Nitrgeno urico; semicuantitativo (p. ej., prueba con tira reacti
Nitrgeno urico, en orina
Nitrgeno urico, clearance
Acido rico; en sangre
Acido rico; otra fuente
Urobilingeno en heces, cuantitativo
Urobilingeno en orina; cualitativo
Urobilingeno en orina; cuantitativo, muestra con recoleccin
Urobilingeno en orina; semicuantitativo
Vanililmandlico, cido (VMA), en orina
Pptido vasoactivo intestinal (VIP)
Vasopresina (hormona antidiurtica, ADH)
Vitamina A
1.01
0.53
2.42
1.70
0.77
2.32
0.28
0.28
0.28
0.28
0.35
0.71
0.57
2.22
0.53
2.35
2.35
2.35
2.35
2.35
2.60
2.10
2.10
2.10
0.75
0.75
2.35
2.35
2.35
2.35
1.12
0.32
0.32
0.20
0.32
0.27
0.27
0.45
0.45
0.45
0.45
0.53
0.71
0.66
2.66
Vitamina K
Voltiles (p. ej. anhdrido actico, tetracloruro de carbono, dicl
Xilosa, prueba de absorcin, en sangre y/o en orina
Zinc
Pptido C
Gonadotropina corinica (HCG); cuantitativa
Gonadotropina corinica (HCG); cualitativa
Ovulacin, pruebas de, por mtodos de comparacin visual de
Tiempo de coagulacin y sangra
Hemograma manual
Examen manual de extendido de sangre sin parmetros diferen
Hematocrito
Hemoglobina
Hemograma completo automatizado
Recuento manual de constantes corpusculares por separado
Recuento automatizado de eritrocitos
Test de ADDIS
Recuento manual de eritrocitos
Evaluacin de concentracin de hemoglobina en reticulocitos
Recuento automatizado de leucocitos
Recuento automatizado de plaquetas
Interpretacin e informe escrito de extendido de sangre perifri
Interpretacin del extendido de mdula sea solamente
Biopsia de mdula sea, con aguja o trocar
Retraccin de cogulo
Tiempo de lsis del cogulo, dilucin de sangre entera
Medicin de factor II de coagulacin
Medicin de factor V de coagulacin
Medicin de factor VII de coagulacin
Medicin de factor VIII de coagulacin, una fase
Medicin del antgeno asociado al factor VIII
Medicin del factor VIII de coagulacin, factor Von Willebrand, c
Medicin del factor VIII de coagulacin, antgeno del factor Von
Medicin del factor VIII de coagulacin, factor Von Willebrand, a
Medicin del factor IX de coagulacin
Medicin del factor X de coagulacin
Medicin del factor XI de coagulacin
Medicin del factor XII de coagulacin
Medicin del factor XIII de coagulacin
Dosaje de precalicreina
Dosaje del ciningeno de alto peso molecular
Inhibidores de la coagulacin o anticoagulantes; protena C, an
Inhibidores de la coagulacin o anticoagulantes; protena C, act
Prueba de inhibidores de factores
Trombomodulina
2.66
0.63
0.14
1.22
0.88
1.41
1.41
1.41
0.24
0.56
0.43
0.34
0.34
0.60
0.29
0.29
0.29
0.35
0.53
0.29
0.21
0.53
0.75
1.50
0.83
0.78
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.80
0.80
0.80
0.80
0.80
Tiempo de coagulacin por mtodo de Lee y White

Tiempo de coagulacin activado
Tiempo de coagulacin por otros mtodos
Medicin de Producto de degradacin de fibringeno (PDF) por
Medicin de productos de degradacin de fibrina o fibringeno
Medicin cuantitativa de productos de degradacin de fibrina o
Medicin de productos de degradacin, dmero D
Medicin cuantitativa de dmero D
Medicin de dmero D por mtodo ultrasensitivo
Medicin de actividad de fibringeno
Medicin de antgeno de fibringeno
Fibrinolisinas o deteccin de coagulopatas, interpretacin e in
Factores fibrinolticos y sus inhibidores
Identificacin directa de corpsculos de Heinz
Identificacin de corpsculos de Heinz posterior a induccin con
Evaluacin de hemoglobina fetal o eritrocitos fetales por lsis di
Evaluacin de hemoglobina fetal o eritrocitos fetales por tcnic
Medicin de hemolisina cida
Ensayo de heparina
Neutralizacin de heparina
Prueba de tolerancia heparina-protamina
Tincin de hierro en sangre perifrica
Medicin de fosfatasa alcalina leucocitaria
Medicin de fragilidad mecnica de eritrocitos
Prueba de muramidasa
Medicin de fragilidad osmtica de eritrocitos sin incubacin
Medicin de fragilidad osmtica de eritrocitos con incubacin
Prueba de agregacin plaquetaria in vitro (por agente)
Recuento de plaquetas
Prueba de neutralizacin de plaquetas
Tiempo de protrombina
Tiempo de protrombina, con sustitucin de fracciones de plasm
Tiempo de veneno de vbora Russell sin dilucin
Tiempo de veneno de vbora Russell con dilucin
Velocidad de sedimentacin etritrocitaria no automatizada
Velocidad de sedimentacin etritrocitaria automatizada
Formacin falciforme de eritrocitos por reduccin
Tiempo de trombina plasmtica
Dosaje de trombina
Inhibicin de tromboplastina tisular
Tiempo parcial de tromboplastina en plasma o sangre total
Tiempo parcial de tromboplastina, con sustitucin de fraccione
Medicin de viscosidad sangunea
Aglutinaciones en tubo (deteccin de aglutininas calientes)
Medicin cuantitativa o semicuantitativa de IgG especfica para
0.50
0.53
0.19
0.40
0.40
0.40
0.40
0.61
0.61
0.46
0.75
0.75
1.09
0.53
0.83
0.71
0.75
0.54
0.61
0.61
0.61
0.54
0.54
0.54
0.54
0.54
0.54
0.61
0.61
0.61
0.48
0.46
0.52
0.52
0.31
0.71
0.54
0.49
0.46
0.46
0.46
0.46
0.53
0.35
2.12
Medicin cuantitativa o semicuantitativa de IgE especfica para

Medicin cualitativa de IgE especfica para mltiples alergenos
Identificacin de anticuerpos antileucocitarios
Identificacin de anticuerpos antiplaquetarios
Identificacin de inmunoglobulinas asociadas a plaquetas
Anticuerpos anti-nucleares (AAN)
Titulacin de anticuerpos antinucleares
Titulacin de antiestreptolisina O
Tamizaje de antiestreptolisina O
Medicin de protena C-reactiva
Medicin de protena C-reactiva de alta sensibilidad
Determinacin de anticuerpos a la beta 2 glicoproteina I
Determinacin de anticuerpo a cardiolipina
Determinacin de anticuerpo anti-fosfatidilserina
Prueba de quimiotaxis segn mtodo especfico
Crioaglutinina; evaluacin
Determinacin de componente antignico de complemento
Determinacin de actividad funcional de componente de comp
Complemento total hemoltico (CH 50)
Pruebas de fijacin de complemento con antgeno
Contrainmunoelectroforesis
Determinacin de anticuerpos para desoxirribonucleasa
Determinacin de anticuerpos anti DNA nativo o de doble cade
Determinacin de anticuerpos anti DNA de cadena simple
Determinacin de anticuerpos contra antgeno nuclear extrable
Determinacin de receptores Fc
Anticuerpos fluorescentes contra agente no infeccioso
Determinacin de ttulo de anticuerpos fluorescentes contra ag
Determinacin de anticuerpos contra hormona de crecimiento
Prueba de inhibicin de la hemaglutinacin (HAI)
Inmunoensayo orientado a antgeno tumoral
Inmunoensayo cuantitativo para antgeno tumoral
Tamizaje de anticuerpos heterfilos
Titulacin de anticuerpos heterfilos
Titulacin de anticuerpos heterfilos despus de la absorcin c
Inmunoensayo cuantitativo para otros antgenos
Inmunoensayo cuantitativo para anticuerpo a agente infeccioso
Inmunoensayo cualitativo o semicuantitativo para anticuerpo a
Inmunofijacin
Inmunoelectroforesis en suero
Inmunoelectroforesis en otros lquidos, incluyendo concentraci
Inmunoelectroforesis cruzada
Inmunodifusin en gel
Anlisis de complejos inmunes
Electroforesis con inmunofijacin
1.13
1.13
1.13
1.13
1.13
1.36
1.13
0.30
0.30
0.39
1.26
2.56
1.76
1.76
1.76
1.76
1.45
1.61
1.21
1.21
1.21
1.99
1.99
1.21
1.81
1.81
1.81
1.81
1.81
1.81
2.67
2.41
1.81
1.81
1.81
1.81
1.81
1.81
1.81
1.56
1.56
0.82
1.56
1.56
1.56
Determinacin de inhibina A
Determinacin de anticuerpos contra la insulina
Determinacin de anticuerpos contra el factor intrnseco
Determinacin de anticuerpos contra clulas de los islotes de
Prueba de liberacin de histamina leucocitaria
Prueba de fagocitosis leucocitaria
Prueba de transformacin linfocitaria por mitgeno o por blast
Linfocitos T, recuento total
Linfocitos T, recuento absoluto de CD4 y CD8
Linfocitos T, recuento absoluto de CD4
Determinacin de anticuerpos microsomales (p. ej., contra tiroi
Prueba de factor de inhibicin de la migracin (MIF)
Prueba de neutralizacin viral
Prueba de tincin con nitroazul de tetrazolio (NTD)
Aglutinaciones para propsito de tamizaje
Titulacin de la aglutinacin de partculas
Factor reumatoideo cualitativo
Factor reumatoideo cuantitativo
Test cutneo para candida
Test cutneo para coccidioidomicosis
Test cutneo para histoplasmosis
Prueba intradrmica para tuberculosis
Prueba cutnea para tuberculosis con disco
Prueba cutnea para otros antgenos especificados
Estreptococo beta hemoltico (prueba rpida)
Deteccin de anticuerpos contra estreptoquinasa
Test cualitativo para sfilis (VDRL, RPR, ART)
Test cuantitativo para sfilis
Deteccin de ancituerpos para Actinomyces
Deteccin de ancituerpos para Adenovirus
Deteccin de anticuerpos para Aspergilus
Deteccin de anticuerpos para bacteria no especificada
Deteccin de anticuerpos para Bartonella
Deteccin de anticuerpos para Blastomyces
Deteccin de anticuerpos para Bordetella
Confirmacin de anticuerpos para Borrelia burgdorferi
Deteccin de anticuerpos para Borrelia burgdorferi
Deteccin de anticuerpos para Brucella
Deteccin de ancituerpos para Campylobacter
Deteccin de anticuerpos para Candida
Deteccin de ancituerpos para Clamidia
Deteccin de ancituerpos IgM para Clamidia
Deteccin de anticuerpos para Coccidioides
Deteccin de anticuerpos para Coxiella Brunetii
Deteccin de anticuerpos para Cryptococcus
2.67
0.99
0.99
0.99
0.99
0.99
0.99
1.28
2.01
2.01
2.01
2.01
2.01
2.01
2.01
2.01
0.26
0.75
0.75
0.75
0.75
0.56
0.56
0.56
0.56
0.59
0.20
0.25
1.76
0.91
0.71
0.71
1.76
0.71
0.71
0.71
0.71
0.36
0.71
0.77
0.85
0.85
0.85
0.85
0.85
Deteccin de anticuerpos para Citomegalovirus

Deteccin de anticuerpos IgM para Citomegalovirus
Deteccin de anticuerpos para Difteria
Deteccin de anticuerpos para encefalitis de California
Deteccin de anticuerpos para para encefalitis equina oriental
Deteccin de anticuerpos para encefalitis de Saint Louis
Deteccin de anticuerpos para encefalitis equina occidental
Deteccin de anticuerpos para Echovirus
Deteccin de anticuerpos para antgeno precoz del virus Epstei
Deteccin de anticuerpos para antgeno nuclear del virus Epste
Deteccin de anticuerpos para antgeno de cpside del virus Ep
Deteccin de anticuerpos para Ehrlichia
Deteccin de anticuerpos para Francisella Tularensis
Deteccin de anticuerpos para hongo no especificado
Deteccin de anticuerpos para Giardia Lamblia
Deteccin de anticuerpos para Helicobacter pylori
Deteccin de anticuerpos para helmintos no especificados en ot
Deteccin de anticuerpos para Hemophilus influenza
Deteccin de anticuerpos para HTLV-I
Deteccin de anticuerpos para HTLV-II
Examen confirmatorio para anticuerpo contra HTLV o HIV
Deteccin de anticuerpos para Hepatitis por agente delta
Deteccin de anticuerpos para Herpes simple
Deteccin de anticuerpos para virus Herpes simple tipo 1
Deteccin de anticuerpos para Histoplasma
Deteccin de anticuerpos para HIV-1 / HIV -2
Deteccin semicuantitativa de anticuerpos para HIV-2
Deteccin semicuantitativa simultnea de anticuerpos para HIV
Deteccin de anticuerpos totales para ncleo de virus de Hepati
Deteccin de anticuerpos IgM para ncleo de virus de Hepatitis
Deteccin de anticuerpos de superficie de virus de Hepatitis B
Deteccin de anticuerpos contra la Hepatitis B
Deteccin de anticuerpos totales para virus de Hepatitis A
Deteccin de anticuerpos IgM para virus de Hepatitis A
Deteccin de anticuerpos para virus Influenza
Deteccin de anticuerpos para Legionella
Deteccin de anticuerpos para Leishmania
Deteccin de anticuerpos para Leptospira
Deteccin de anticuerpos para Listeria monocytgenes
Deteccin de anticuerpos para la Coriomeningitis linfoctica
Deteccin de anticuerpos para Linfogranuloma venreo
Deteccin de anticuerpos para Mucormicosis
Deteccin de anticuerpos para Parotiditis
Determinacin de anticuerpos para Mycoplasma
2.35
1.40
1.05
1.05
1.05
1.05
1.05
0.91
0.91
1.47
1.47
2.35
2.35
0.91
0.91
0.91
0.91
0.91
1.18
3.40
1.20
2.22
2.35
1.05
2.35
0.71
1.20
1.15
0.70
0.86
1.71
1.50
1.88
1.71
1.57
0.91
0.91
0.91
0.98
0.98
0.98
0.98
0.98
0.98
2.73
Determinacin de anticuerpos para Neisseria meningitidis

Determinacin de anticuerpos para Nocardia
Determinacin de anticuerpos para Parvovirus
Determinacin de anticuerpos para Plasmodium
Determinacin de anticuerpos para protozoarios no clasificados
Determinacin de anticuerpos para Virus sincicial respiratorio
Determinacin de anticuerpos para Rickettsia
Determinacin de anticuerpos para Rotavirus
Determinacin de anticuerpos para Rubola
Determinacin de anticuerpos para Sarampin
Determinacin de anticuerpos para Salmonella
Determinacin de anticuerpos para Shigella
Determinacin de anticuerpos para Ttanos
Determinacin de anticuerpos para Toxoplasma
Determinacin de anticuerpos IgM para Toxoplasma
Prueba de confirmacin de anticuerpos para Treponema Pallid
Determinacin de anticuerpos para Trichinella
Determinacin de anticuerpos para virus varicela zoster
Determinacin de anticuerpos para virus no especificado en otr
Determinacin de anticuerpos para Yersinia
Determinacin de anticuerpos para Tiroglobulina
Determinacin de anticuerpos para Hepatitis C
Prueba de confirmacin para anticuerpos contra Hepatitis C
Prueba de linfocitotoxicidad por homologacin visual y titulaci
Prueba de linfocitotoxicidad por homologacin visual sin titulaci
Tamizaje estndar de suero para el porcentaje de anticuerpo re
Tamizaje rpido de suero para el porcentaje de anticuerpo react
Deteccin de anticuerpos para Rabia
Deteccin reaccin antgeno-anticuerpo para el diagnstico de
Dosaje de Procalcitonina
Tipificacin HLA A, B o C para antgeno nico
Tipificacin HLA A, B o C para antgenos mltiples
Dosaje de Interleuquinas
Tipificacin HLA DL/DQ para antgeno nico
Tipificacin HLA DL/DQ para antgenos nicos
Cultivo de linfocitos mixtos para tipificacin HLA
Cultivo de linfocitos cebados para tipificacin HLA
Examen inmunolgico de recin nacido de madre VIH positiva
Examen inmunolgico de recin nacido de madre RPR positiva
Prueba diagnstica del embarazo - Pregnosticn en orina
Deteccin de anticuerpos contra eritrocitos
Elucin de anticuerpos contra eritrocitos
Test de Coombs directo
Test de Coombs indirecto
Titulacin de test de Coombs indirecto
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
1.03
2.73
2.73
2.73
2.73
2.73
1.64
1.92
38.70
28.90
28.90
32.00
3.00
4.00
2.01
32.00
32.00
2.01
27.05
27.05
27.05
27.05
1.20
0.47
0.27
4.59
3.52
0.91
0.91
2.87
Obtencin, procesado y almacenamiento de sangre o compone

Tipificacin sangunea ABO
Tipificacin sangunea Rh
Tipificacin de antgenos eritrocitarios diferentes del sistema
Tipificacin completa fenotipo Rh
Tipificacin de sangre para prueba de paternidad para los si
Tipificacin de sangre para prueba de paternidad por sistemas
Clulas progenitoras
Prueba de compatibilidad para cada unidad; tcnica inmediata
Prueba de compatibilidad para cada unidad; tcnica de incubac
Prueba de compatibilidad para cada unidad; tcnica de antiglob
Banco de sangre: leucoferesis
Descongelamiento de plasma fresco congelado
Congelamiento y preparacin de sangre
Descongelamiento de sangre
Congelamiento y descongelamiento de sangre
Irradiacin de producto de la sangre
Transfusin de leucocitos
Incubacin de eritrocitos con agentes qumicos o drogas
Incubacin de eritrocitos con enzimas
Incubacin de eritrocitos con drogas
Dilucin de eritrocitos
Incubacin de eritrocitos con inhibidores
Pretratamiento de suero mediante absorcin diferencial de eritr
Atencin de postulantes a donacin
Separacin de productos de la sangre por unidad
Identificacin de anticuerpos irregulares: incluye 86860, 8687
Prueba de compatibilidad para cada unidad de sangre en tubo
Prueba de compatibilidad para cada unidad de sangre por tarjet
Preparacin y conservacin de plasma
Preparacin y conservacin de plaquetas
Preparacin y conservacin de crioprecipitado
Preparacin y conservacin de plaquetas con sistema de leuco
Atencin de donantes
Dosaje de subunidad beta
Inoculacin y observacin de animal pequeo
Inoculacin, observacin y diseccin de animal pequeo
Concentracin (de cualquier tipo) para agentes infecciosos
Hemocultivo
Coprocultivo
Mielocultivo
Cultivo aerobio de fuente que no sea orina, sangre o heces
Cultivo para anaerobios, cuantitativo, cualquier fuente excepto
Cultivo para anaerobios, cuantitativo, cualquier fuente excepto
Aislamiento de anaerobios por mtodos especiales para su identi
3.40
0.87
0.87
1.89
2.33
3.25
3.40
3.40
1.50
1.50
1.50
1.50
1.90
2.80
1.89
2.92
5.37
5.36
5.86
5.86
5.16
1.60
2.62
4.26
0.95
4.48
3.19
0.69
0.69
2.18
2.61
3.82
2.13
0.46
1.00
0.46
2.49
1.17
1.93
1.29
1.93
2.08
0.28
0.71
1.02
Cultivo para aerobios por mtodos especialies para su identifica

Cultivo de organismos presuntivamente patgenos, para props
Cultivo de organismos presuntivamente patgenos con estimac
Urocultivo con recuento de colonias
Urocultivo y antibiograma
Urocultivo con aislamiento e identificacin presuntiva de cepas
Cultivo para hongos a partir de piel, cabello o uas
Cultivo para hongos a partir de fuentes que no sean piel, cabel
Cultivo para hongos a partir de sangre
Identificacin definitiva de levaduras
Identificacin definitiva de esporas
Cultivo para micoplasma
Cultivo para clamidia
Baciloscopa: BK
Cultivo para micobacteria proveniente de cualquier fuente
Cultivo e identificacin definitiva de micobacteria
Cultivo y tipificacin por inmunofluorescencia
Cultivo y tipificacin mediante cromatografa gas lquido o croma
Cultivo y tipificacin por mtodo que no sea inmunofluorescenc
Cultivo y tipificacin mediante la prueba de cido nucleico
Cultivo y tipificacin mediante pulsos en gel
Cultivo y tipificacin por otros mtodos
Cutivo para anaerbicos
Cultivo de lquidos corporales (LCR, pleural, asctico, pericrdic
Toma de muestra y examen de campo oscuro de muestra de cua
Examen de campo oscuro de muestra de cualquier fuente
Examen macroscpico de artrpodo
Exmen macroscpico de parsito
Homogenizacin de tejido previo a cultivo
Examen parasitolgico de huevos y parsitos por concentraci
Test de Graham
Examen coprolgico funcional
Parasitolgico - sedimentacin en copa
Estudios de sensibilidad antibitica; mtodo de dilucin en agar
Estudios de sensibilidad antibitica; mtodo de disco
Deteccin de enzimas para examinar susceptibilidad bacterian
Estudios de sensibilidad antibitica; por microdilucin o diluci
Identificacin de concentracin letal mnima para antimicrobiano
Estudios de sensibilidad antibitica; por mtodo de dilucin ma
Estudios de sensibilidad antibitica para micobacterias, mtodo
Identificacin del ttulo bactericida en suero
Frotis, de fuente primaria e interpretacin, gram o giemsa para
Extendido de fuente primaria, tincin fluorescente o cido alcoh
Frotis con tincin especial para cuerpos de inclusin o parsito
Montaje hmedo para agentes infecciosos
0.84
1.31
0.84
0.72
0.72
0.88
0.89
1.14
1.06
0.97
0.67
0.83
0.83
1.00
1.18
1.14
1.15
0.87
1.02
1.14
1.06
1.21
1.93
1.93
1.00
0.88
0.74
0.17
0.63
0.36
0.25
0.25
0.35
1.31
1.31
1.38
1.25
0.80
1.56
1.77
1.84
0.45
0.27
0.23
0.99
Examen de piel, cabello o uas con KOH para examinar huevos

Ensayo de toxinas o antitoxinas mediante cultivo de tejidos
Aislamiento de virus por inoculacin en huevo embrionado o ani
Aislamiento de virus por inoculacin en cultivo tisular
Aislamiento de virus por inoculacin en cultivo tisular, estudios
Aislamiento de virus por amplificacin centrfuga
Aislamiento de virus por medio no inmunolgico
Deteccin de antgeno de adenovirus por inmunofluorescencia
Deteccin de antgeno de pertusis/parapertusis por inmunofluo
Deteccin de antgeno de enterovirus por inmunofluorescencia
Deteccin de antgeno de giardia por inmunofluorescencia
Deteccin de antgeno de Chlamydia trachomatis por inmunofl
Deteccin de antgeno de Citomegalovirus por inmunofluoresce
Deteccin de antgeno de Cryptosporidium por inmunofluoresce
Deteccin de antgeno de Herpes simple tipo 2 por inmunofluo
Deteccin de antgeno de Herpes simple tipo 1 por inmunofluo
Deteccin de antgeno de virus Influenza B por inmunofluoresc
Deteccin de antgeno de virus Influenza A por inmunofluoresc
Deteccin de antgeno de Legionella micdadei por inmunofluor
Deteccin de antgeno de Legionella pneuomophila por inmuno
Deteccin de antgeno de virus Parainfluenza por inmunofluore
Deteccin de antgeno de virus sincicial respiratorio por inmun
Deteccin de antgeno de Pneumocystis carini por inmunofluor
Deteccin de antgeno de rubola por inmunofluorescencia
Deteccin de antgeno de Treponema Pallidum por inmunofluor
Deteccin de antgeno de virus Varicela Zoster por inmunofluo
Deteccin de antgeno de adenovirus tipo 40/41 por ELISA
Deteccin de antgeno de Chlamydia trachomatis por ELISA
Deteccin de toxina de Clostridium difficile por ELISA y tcnica
Deteccin de antgeno de Criptococcus neoformans por ELISA y
Deteccin de antgeno de Criptosporidium por ELISA y tcnica
Deteccin de antgeno de Giardia por ELISA y tcnica de mlti
Deteccin de antgeno de Cytomegalovirus por ELISA y tcnica
Deteccin de antgeno de Escherichia coli 0157 por ELISA y tc
Deteccin de antgeno de Entamoeba histoltica por ELISA y t
Deteccin de antgeno de Helicobacter pyilori por ELISA y tcn
Deteccin de antgeno de superficie de virus de Hepatitis B por
Deteccin de antgeno de virus de Hepatitis B por ELISA y tcn
Hepatitis B: Ag Epsilon
Deteccin de antgeno de virus de agente delta por ELISA y tc
Deteccin de antgeno de Histoplasma capsulatum por ELISA y
Deteccin de antgeno de HIV-1 por ELISA y tcnica de mltipl
Deteccin de antgeno de HIV-2 por ELISA y tcnica de mltipl
Deteccin de antgeno de Influenza por ELISA y tcnica de ml
Deteccin de antgeno de Virus sincitial respiratorio por ELISA
0.22
1.22
1.04
0.93
1.11
0.95
1.20
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.31
1.31
1.31
1.31
1.31
1.31
1.31
1.31
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
Deteccin de antgeno de rotavirus por ELISA y tcnica de mlt

Deteccin de antgeno de Estreptococo por ELISA y tcnica de
Chagas ELISA
ELISA para antgeno infeccioso, cualitativo o semicuantitativo,
ELISA para antgeno infeccioso, cualitativo o semicuantitativo
ELISA, mtodo de pasos mltiples para mltiples organismos
Deteccin y cuantificacin de cido nucleico viral, HIV-1
Deteccin de agente infeccioso por medio de cidos nucleicos
Deteccin de agente infeccioso por medio de cidos nucleico
Deteccin de agente infeccioso por medio de cidos nucleicos
Necropsia (autopsia), examen macroscpico nicamente
Necropsia (autopsia), examen macroscpico nicamente; mortin
Necropsia (autopsia), examen macro y microscpico, sin sistem
Necropsia (autopsia), examen macroscpico y microscpico in
Necropsia, examen macroscpico y microscpico; mortinato, rec
Necropsia (autopsia) limitada, macro y/o microscpica; regional
Citopatologa, lquidos, lavados o cepillados, excepto cervicale
Citopatologa, tcnica de concentracin, extendidos e interpret
Identificacin de cromatina sexual; corpsculos de Barr
Papanicolaou
Citopatologa vaginal o cervical, lectura manual
Citopatologa vaginal o cervical, lectura y relectura manual
Citopatologa vaginal o cervical, lectura automatizada
Citopatologa vaginal o cervical, lectura automatizada con rele
Citopatologa vaginal o cervical bajo el sistema Bethesda, lect
Citopatologa vaginal o cervical bajo el sistema Bethesda, lectu
Citopatologa vaginal o cervical bajo el sistema Bethesda, lect
Citopatologa; evaluacin de material aspirado con aguja delgad
Citometra de flujo; cada marcador de superficie celular
Citometra de flujo; ciclo celular o anlisis de ADN
Citometra de flujo de mdula sea
Impronta o citologia intraoperatoria
Citoqumico de mdula sea
Citologia en base lquida
Cultivo de tejidos para trastornos no neoplsicos; linfocitos
Cultivo de tejidos para trastornos no neoplsicos; piel u otro tip
Cultivo de tejidos para trastornos no neoplsicos; lquido amni
Cultivo de tejidos para trastornos neoplsicos; mdula sea, c
Cultivo de tejidos para trastornos neoplsicos; tumor slido
Criopreservacin, congelamiento y almacenamiento de clulas,
Descongelamiento y expansin de clulas congeladas, cada al
Anlisis de cromosomas para deteccin de sndromes de frag
Anlisis de cromosomas; recuento de clulas, cariotipo, anlisi
Citogentica molecular; sonda de ADN cada una
1.32
1.32
1.32
1.32
1.32
1.32
1.50
1.50
1.50
1.50
1.50
1.32
1.32
1.32
1.32
1.32
1.32
2.80
3.38
2.12
1.00
0.81
0.99
1.87
1.34
2.39
1.41
2.41
2.19
10.77
10.77
1.32
1.57
2.48
1.62
97.97
97.97
97.97
97.97
97.97
73.33
86.72
118.94
118.94
118.94
Anlisis de cromosomas; cariotipos adicionales, cada estudio

Citogentica, y citogentica molecular, interpretacin e informe
Estudio macroscpico de pieza operatoria
Estudio macro y microscpico de pieza operatoria
Examen de anatoma patolgica con tinciones especiales
Histoqumica determinativa para identificar componentes qumico
Histoqumica determinativa o citoqumica para identificar com
Inmunocitoqumica (incluyendo inmunoperoxidasa en tejidos),
Estudio de inmunofluorescencia, cada anticuerpo; mtodo direc
Estudio de inmunofluorescencia, cada anticuerpo; mtodo indir
Microscopia electrnica
Anlisis de morfometra
Hibridizacin in situ de tejidos, interpretacin e informe
Estudio de biopsia quirrgica
Estudio de biopsia por congelacin
Estudio de Block Cell
Estudio de tejido oseo con tcnica de descalcificacin
Inmunohistoquimica (inmunoperoxidasa) por cada marcador
Citologia hormonal (colpocitograma)
Urocitograma
Patologa: pieza operatoria grande
Patologa: pieza operatoria mediana
Patologa: pieza operatoria pequea
Estudios citoqumico en lquidos corporales varios, excepto sangre
Estudio de clculo renal
Anlisis microscpico de cristales
Tincin de grasas, en heces, orina o esputo
Toma de muestra
Cultivo de oocitos/embriones menor de 4 das
Incubacin asistida de embrin, microtcnicas (cualquier mtod
Preparacin de embrin para transferencia (cualquier mtodo)
Criopreservacin; embrin, espermatozoides
Aislamiento de espermatozoides
Inseminacin de oocitos
Fertilizacin asistida de ovocito, microtcnica
Semen - Espermatograma
Administracin de inmunoglobulina heterloga para prevencin
Administracin de inmunizacin (incluye inyecciones percutne
Administracin de inmunizacin por va intranasal u oral; una
Administracin de vacuna antituberculosa
Administracin de vacuna antirrbica, intramuscular - vacuna cul
Administracin de vacuna antirrbica, subcutnea - vacuna CR
Administracin de DPT
Administracin de vacuna contra difteria y ttanos
Administracin de vacuna contra sarampin, paperas y rubola
118.94
118.94
2.05
6.02
4.19
2.29
4.25
4.25
2.98
2.98
1.16
1.58
3.14
4.90
0.90
1.10
5.19
1.08
1.65
1.65
4.00
3.00
2.00
1.32
1.00
0.79
0.79
0.11
85.00
85.00
85.00
82.78
82.78
82.78
82.78
0.80
0.31
0.31
0.31
0.31
0.38
0.28
0.28
0.28
0.28
Administracin de vacuna contra sarampin y rubola

Administracin de vacuna contra sarampin
Administracin de vacuna antipolio
Administracin de vacuna contra fiebre amarilla
Administracin de vacuna tetravalente
Administracin de vacuna contra la hepatitis B para poblacin p
Administracin de vacuna pentavalente
Infusin intravenosa para diagnstico o terapia, administrada p
Inyeccin profilctica, diagnstica o teraputica; subcutnea o
Inyeccin profilctica, diagnstica o teraputica; intraarterial
Inyeccin profilctica, diagnstica o teraputica, intravenosa
Psicoterapia individual, de soporte, psicodinmica o psicoeduc
Psicoterapia individual, de soporte, psicodinmica o psicoeduca
Psicoterapia individual, de soporte, psicodinmica o psicoeduca
Psicoanlisis
Psicoterapia de familia; sin la presencia del paciente
Psicoterapia de familia (psicoterapia conjunta); con la presenci
Psicoterapia de grupo multifamiliar
Psicoterapia de grupo (diferente grupo multifamiliar)
Psicoterapia interactiva de grupo
Evaluacin cognitivo conductual individual
Psicoterapia cognitivo conductual grupal
Psicoterapia cognitivo conductual
Terapia de relajacin
Psicoterapia grupal psicodinmica
Psicoterapia individual psicodinmica
Terapia de juego
Laborterapia
Terapia cognitiva conductual con nios o adolescentes
Taller de habilidades sociales
Taller de automedicacin
Tratamiento electroplexia
Hipnoterapia
Primera sesin de hemodilisis
Hemodilisis (2da. sesin)
Hemofiltracin
Hemodiafiltracin
Dilisis peritoneal intermitente
Dilisis peritoneal crnica ambulatoria
Hemoperfusin
Intubacin esofgica y obtencin de material
Colocacin de Sonda Nasogstrica
Colocacin Sonda Duodenal
Estudio de motilidad esofgica (manometra del esfago y/o de
Estudios (manomtricos) de la motilidad gstrica
0.28
0.28
0.31
0.31
0.28
0.31
0.31
0.40
0.40
0.45
0.45
0.75
1.20
1.40
5.80
3.00
5.00
1.12
1.47
0.72
1.20
1.11
1.11
1.78
1.28
1.32
5.00
1.44
1.29
1.39
1.39
6.51
5.60
37.20
10.20
8.50
9.50
4.23
4.50
8.50
0.85
0.50
0.60
6.56
13.13
Test de perfusin cida (prueba de Bernstein) para esofagitis

Monitoreo de pH esofgico
Test de secrecin gstrica con inyeccin de estimulante (histami
Lavado gstrico por sonda nasogstrica
Manometra anorectal
Polipectoma alta con fibroscopio c/s videocmara
Extraccin de cuerpo extrao de esfago con fibroscopio c/s v
Mucosectoma de esfago con fibroscopio c/s videocmara
Escleroterapia de vrices esofgicas con fibroscopio c/s video
Tratamiento de vrices gstricas con cianoacrilato, con fibrosc
Gastrostoma percutnea endoscpica
Videoesofagoscopa diagnstica (cepillado y/o biopsia)
Videoesofagogastroduodenoscopa diagnstica (endoscopa alta)
Polipectoma alta con videoendoscopio
Extraccin de cuerpo extrao de esfago con videoendoscopio
Mucosectoma gstrica con videoendoscopio
Ligadura de vrices esofgicas con videoendoscopio
Escleroterapia de vrices esofgicas con videoendoscopa
Hemostasia de vrices gstricas con cianoacrilato, con videoe
Hemostasia endoscpica alta con inyectoterapia c/s video
Hemostasia endoscpica alta con lser argn plasma
Hemostasia endoscpica alta con probeta caliente
Dilatacin esofgica con videoendoscopio
Gastrostoma percutnea endoscpica con videoendoscopio
Videoenteroscopa mas all de la 2da porcin duodenal sin inclu
Videoenterosocopa incluye leon
Videoenteroscopa a travs del ostoma
Cierre de fstula intestino - cutnea con videoendoscopa
Cierre de fstula enteroentrico o enteroclica con videoendosc
Cierre de fstula enterovesical con videoendoscopio
Sigmoidoscopa de fibra mas polipectoma, c/s videocmara
Ligadura endoscpica de hemorroides interna
Dilatacin endoscpica de ano-recto-anastomosis rectosigmoid
Extraccin de cuerpos extraos de recto, con anoscopio o proc
Colonofibroscopa mas polipectoma baja
Hemostasia endoscpica baja con Inyectoterapia, c/s video
Hemostasia endoscpica baja con lser argn plasma, c/s vide
Hemostasia endoscpica baja con probeta caliente, c/s video
Videosigmoidoscopa diagnstica (con biopsia)
Videosigmoidoscopa ms mucosectoma
Videosigmoidoscopa ms polipectoma
Videocolonoscopa izquierda diagnstica
Videocolonoscopa derecha diagnstica
Biopsia heptica percutnea dirigida por ecografa o TAC
Biopsia hepatica dirigida por laparoscopa
6.56
4.20
2.17
9.64
9.12
11.29
9.82
9.75
14.15
14.93
4.26
6.93
6.34
9.26
4.34
3.33
9.68
15.71
9.53
9.82
13.31
11.27
15.82
7.80
9.65
8.23
9.38
15.03
15.03
9.28
5.68
9.33
3.37
16.45
6.28
7.00
10.62
4.28
12.80
10.64
10.64
10.64
10.64
18.86
18.86
Biopsia peritoneal por laparoscopa

Paracentesis teraputica evacuatoria total
Biopsia de masa abdominal por laparoscopa
Pancreatocolangiografa retrgrada endoscpica (PCRE) diagn
Drenaje biliar interno por PCRE (instalacin de prtesis)
Drenaje biliar externo por PCRE (sonda Naso-biliar)
Dilatacin de va biliar por PCRE
Papiloesfinterotoma c/s extraccin de clculos, parsitos, cue
Litotricia mecnica del clculo de va biliar por PCRE
Biopsia endoscpica con pinza caliente
Diverticulotoma de esfago va endoscpica
Mucosectoma endoscpica de clon
Diseccin (reseccin) endoscpica de mucosa
Teraputica endoscpica de lesiones vasculares con lser arg
Refraccin y medicin de la visin
Examen y evaluacin oftalmolgicos bajo anestesia general
Gonioscopa
Examen sensorimotor con mediciones mltiples de la desviacin o
Ejercicios ortpticos c/sesin
Campimetra y/o perimetra, uni o bilateral
Tonometra seriada
Barrido para diagnstico oftlmico (p. ej. barrido con lser), unil
Oftalmoscopa indirecta con dibujo retinal (p. ej., por desprend
Oftalmoscopa directa e Indirecta
Angiofluoresceinografa ocular
Fotografa de fondo de ojo
Oftalmodinamometra
Oculoelectromiografa de aguja, uno o varios msculos extraoc
Electrorretinografa con interpretacin e informe
Test de colores
Test de estereopsis
Exoftalmometra
Biometra
Queratometra
Ecografa
Potenciales evocados
Estudio de nervio ptico/macula con lmpara de hendidura
Ciruga refractiva lser
Electro culograma
Angiofluoresceinoscopa ocular
Prescripcin, colocacin y suministro de prtesis ocular (ojo art
Examen de otorrinolaringologa bajo anestesia general
Microscopa binocular
Evaluacin del habla, lenguaje, voz, comunicacin, procesamient
Rehabilitacin aural luego de implante coclear
6.93
3.00
8.00
10.00
11.48
15.00
19.13
9.89
15.00
8.31
15.03
9.89
6.72
58.24
1.69
1.50
1.67
5.00
0.50
4.45
2.31
6.45
4.30
0.20
9.79
3.09
1.00
10.72
6.57
1.00
1.00
0.79
1.76
1.76
0.84
2.00
2.33
10.83
3.79
9.87
15.00
1.50
3.00
3.20
1.50
Nasofaringoscopa con endoscopio (procedimiento separado)

Estudios de funcin nasal (p. ej., rinomanometra)
Estudios de funcin de los nervios faciales (p. ej., electroneuro
Estudios de funcin de la laringe
Tratamiento de la disfuncin de la deglucin y/o funcin oral pa
Nistagmo espontneo, incluyendo la mirada
Nistagmo de posicin
Prueba vestibular calrica, cada irrigacin (la estimulacin bina
Nistagmo optocintico
Prueba de nistagmo espontneo, incluyendo el nistagmo de mirad
Prueba de nistagmo de posicin, mnimo de 4 posiciones, con r
Prueba vestibular calrica, cada irrigacin (la estimulacin bina
Prueba de nistagmo optocintico, bidireccional, estimulacin de l
Prueba de seguimiento oscilante, con registro
Prueba rotacional de eje vertical sinusoidal
Empleo de electrodos verticales
Posturografa dinmica computarizada
Prueba de evaluacin, tonos puros, transmitidos por aire solam
Audiometra de tonos puros (umbral); transmitidos por aire sol
Audiometra de tonos puros transmitidos por aire y hueso
Umbral de audiometra para el habla
Umbral de audiometra con reconocimiento del habla
Evaluacin completa del umbral de audiometra y reconocimient
Pruebas audiomtricas de grupos
Audiometra de Bekesy; evaluacin y diagnstico
Prueba de balance del volumen, biaural alternada o monoaural
Prueba de decaimiento del tono
Indice de sensibilidad a los incrementos breves (SISI)
Prueba de Stenger, tonos puros
Timpanometra (prueba de impedancia)
Prueba de reflejo acstico
Prueba de decaimiento del reflejo acstico
Prueba de habla filtrada
Prueba de palabras espondaicas alternadas
Prueba de Lombard
Prueba de nivel de agudeza neurosensorial
Prueba de identificacin de oraciones sintticas
Prueba de Stenger, habla
Audiometra de refuerzo visual (VRA)
Audiometra de condicionamiento por juego
Audiometra de cuadro seleccionado
Electrococleografa
Potenciales evocados auditivos para la audiometra de respues
Emisiones otoacsticas evocadas; limitadas (nivel de estmulo
Evaluacin completa o diagnstica (comparacin de emisiones oto
1.00
2.40
15.00
3.20
15.00
0.94
1.34
1.29
1.30
1.34
0.74
0.97
0.97
1.34
0.97
0.97
1.30
1.30
1.30
1.30
1.30
1.30
1.30
0.94
0.94
0.94
0.94
0.94
0.94
0.94
0.94
0.94
7.96
6.06
0.94
0.94
0.94
5.45
5.45
5.45
4.77
4.77
4.77
4.77
4.77
Pruebas de funcin de audicin centrales (especifique)

Examen y seleccin de audfono; monoaural
Examen y seleccin de audfono; biaural
Revisin de audfono; monoaural
Revisin de audfono; biaural
Evaluacin electroacstica para audfono; monoaural
Evaluacin electroacstica para audfono; biaural
Mediciones de atenuacin por proteccin de odos
Reanimacin cardiopulmonar (p. ej. en paro cardiaco)
Cardioversin electiva, conversin elctrica de la arritmia; exte
Cardioversin electiva, conversin elctrica de la arritmia; inter
Mtodo Cardioassist para mejorar la circulacin; interno
Mtodo Cardioassist para mejorar la circulacin; externo
Trombectoma coronaria transluminal percutnea
Tromblisis coronaria; por infusin intracoronaria, incluyendo la
Tromblisis coronara; por infusin intravenosa
Ultrasonido intravascular (vaso o injerto coronarios)
Colocacin transcatter de catteres dilatadores intracoronario
Angioplasta coronaria transluminal percutnea
Valvuloplasta percutnea de baln
Aterectoma coronaria transluminal percutnea, con o sin angio
Angioplasta con baln de arteria pulmonar transluminal percut
Electrocardiograma
Prueba de esfuerzo ("stress") cardiovascular mximo o submx
Control electrocardiogrfico durante 24 horas (Holter)
Electrocardiografa con seal promediada (SAECG) con o sin
Ecocardiografa transtorcica
Ecocardiografa transesofgica
Cateterismo cardaco derecho
Monitoreo intracavitario de arteria pulmonar o presin cua o c
Biopsia de endomiocardio
Colocacin de catter en arterias coronarias, conductos coronar
Cateterismo corazn izquierdo, retrgrado, desde la arteria braqu
Cateterismo de corazn izquierdo por puncin del ventrculo iz
Cateterismo combinado de corazn izquierdo, transeptal y retr
Cateterismo combinado de corazn derecho y retrgrado de co
Cateterismo combinado de corazn derecho y transeptal de coraz
Cateterismo combinado de corazn derecho con puncin del vent
Cateterismo combinado de corazn derecho y de corazn izquierd
Cateterismo de corazn derecho, para anomalas cardacas co
Cateterismo de corazn derecho y cateterismo retrgrado de c
Cateterismo de corazn derecho y cateterismo transeptal de cor
Cateterismo de corazn derecho y cateterismo transeptal de cor
Cateterismo venoso central
4.14
4.14
4.14
2.87
2.87
2.87
2.87
2.87
4.89
2.87
4.60
4.60
4.60
19.46
8.15
3.35
19.60
19.60
19.60
29.55
19.60
169.90
4.68
7.88
2.24
19.45
6.66
5.40
46.82
8.77
9.79
5.21
9.79
6.88
9.79
14.63
14.63
13.85
14.63
14.63
19.46
19.46
19.46
9.79
9.00
Estudios de dilucin de indicador (dilucin trmica o colorantes

Medicin de velocidad intravascular con doppler y/o medicin de
Registro electrofisiolgico de sistema de conduccin cardiaco
Pacing intraauricular, intraventricular
Mapeo intracardaco electrofisiolgico tridimensional
Registro esofgico de electrograma auricular con o sin electrog
Evaluacin electrofisiolgica completa con induccin de arritm
Pacing y mapeo cardiaco intraquirrgico para ubicar el sitio de
Evaluacin electrofisiolgica de electrodos de cardioversor-desf
Ablacin intracardiaca por catter
Evaluacin de la funcin cardiovascular por evaluacin de tabla
Electrocardiografa intracardaca durante intervencin diagnsti
Anlisis electrnico de sistema de marcapasos antitaquicardia
Anlisis electrnico de sistema registrador implantable de asa (
Anlisis electrnico de sistema de marcapasos de doble cmar
Anlisis electrnico de sistema de marcapasos de una sola c
Estudios de gradiente de temperatura
Anlisis electrnico del cardioversor/desfibrilador de pulsos;
Termograma
Control ambulatorio de la presin arterial, mediante un siste
Estudios fisiolgicos no invasivos de las arterias extracraneales
Colocacin de sonda esofgica para monitoreo de gasto cardia
Barrido dplex de arterias extracraneales
Estudio transcraneal doppler de las arterias intracraneales
Estudios fisiolgicos no invasivos de las arterias de las extremi
Barrido dplex de las arterias de las extremidades inferiores o d
Estudios fisiolgicos no invasivos de las venas de las extremid
Barrido dplex de las venas de las extremidades incluyendo re
Barrido dplex de la entrada arterial y salida venosa de los r
Barrido dplex de la aorta, vena cava inferior, vasculatura iliaca
Barrido dplex de entrada arterial y salida venosa de los vasos
Espirometra
Evaluacin de broncoespasmo: espirometra antes y despus de
Evaluacin de broncoespasmo post exposicin prolongada a antg
Capacidad vital total
Capacidad de respiracin mxima, ventilacin voluntaria mxi
Capacidad funcional residual o volumen residual, cualquier m
Determinacin de la resistencia al flujo areo, mtodos oscilant
Determinacin del volumen de cierre de las vas areas, prueba
Respuesta respiratoria a la hipoxia (curva de respuesta a la hip
Prueba de esfuerzo pulmonar
Tratamiento por inhalacin con o sin presin para tratamiento
Ayuda y manejo de la ventilacin, inicio de ventiladores de pres
Ventilacin con presin positiva continua en las vas areas
Ventilacin con presin negativa continua
4.54
39.38
19.23
3.22
6.04
19.23
1.82
1.80
24.29
8.93
2.50
3.00
4.72
4.63
4.63
1.64
4.63
4.04
5.40
4.00
4.13
16.00
2.86
2.86
2.86
2.86
2.86
2.86
3.50
2.82
2.50
2.74
2.74
2.51
2.51
2.99
2.74
2.74
3.24
3.24
3.24
1.50
4.20
4.20
5.46
Inhalaciones de aerosoles o vapores para la movilizacin del es

Manipulacin de la pared torcica, tal como acopado, percusin y
Consumo de oxgeno por anlisis de gas espirado
Capacidad de difusin del monxido de carbono, cualquier mt
Capacidad de difusin por membrana
Compliance pulmonar (ej. pletismografa, medicin de volumen
Oximetra no invasiva para determinar saturacin de oxgeno
Prueba cutnea de lectura inmediata - tipo puntura (por cada ap
Pruebas cutneas con parche (por extracto)
Prueba de sensibilidad (conjuntival, mucosa) (por hora)
Prueba directa de mucosa nasal de sensibilidad para alergias
Prueba de broncoprovocacin
Estudio de sueo, registro simultneo de ventilacin, esfuerzo
Polisomnografa; etapas del sueo
Electroencefalograma (EEG)
Electroencefalograma (EEG), incluyendo registro en estado de
Electrocorticograma durante la ciruga
Insercin mdica de electrodos esfenoidales para el registro el
Pruebas musculares, manuales
Pruebas musculares; evaluacin total del cuerpo
Mediciones de arco de movimiento
Prueba Tensilon (cloruro de edrofonio) para miastenia grave
Prueba Tensilon con registro electromiogrfico
Electromiografa de aguja, una extremidad
Electromiografa de aguja, dos extremidades
Electromiografa de aguja, tres extremidades
Electromiografa de aguja, cuatro extremidades
Electromiografa de aguja, msculos surtidos por los nervios cra
Electromiografa de aguja, msculos surtidos por los nervios cra
Electromiografa de aguja; msculos torcicos paraespinales
Electromiografa de aguja con electrodo de fibra nica, con dete
Ejercicio de extremidad isqumica con electromiografa de aguj
Estudio de conduccin, amplitud y latencia/velocidad nerviosos
Pruebas de funcin del sistema nervioso autnomo
Potenciales evocados somatosensoriales de latencia corta
Pruebas del sistema nervioso central mediante potenciales evoc
Reflejo orbicularis oculi (parpadeo), por prueba electrodiagnst
Reflejo H, estudio de amplitud y latencia; registro del msculo
Pruebas de unin neuromuscular (estimulacin repetitiva, est
Pruebas del sistema nervioso central mediante potenciales evo
Control para la identificacin y lateralizacin de foco cerebral
Control para la ubicacin de foco cerebral de convulsiones, por
Control para la ubicacin de foco cerebral de convulsiones, po
Activacin farmacolgica o fsica que requiera la presencia del
Electroencefalograma (EEG) durante la ciruga no intracraneal (e
0.85
3.24
2.00
3.24
2.96
1.20
0.50
2.50
2.74
2.74
3.27
4.00
7.22
7.24
0.85
0.96
0.95
0.95
0.82
0.85
2.16
3.36
5.00
5.86
8.31
10.76
4.63
5.30
1.19
1.36
0.93
7.27
11.00
6.00
4.11
4.11
4.11
4.11
4.11
4.12
10.00
12.00
12.00
10.76
0.54
Control para la ubicacin de foco cerebral de convulsiones, por

Anlisis digital del electroencefalograma (EEG) (p. ej., durante e
Prueba de activacin Wada para la funcin hemisfrica, incluyen
Mapeo cortical y subcortical funcional por estimulacin y/o regis
Raquicentesis simple: Extraccin de lquido cefaloraquideo para
Raquicentesis con manometria: extraccion de liquido cefaloraq
Septectoma o septostoma auricular por mtodo transvenoso d
Evaluacin psicolgica (incluye evaluacin psicodiagnstica de
Evaluacin de afasia (incluye evaluacin del habla y lenguaje ex
Pruebas de desarrollo limitadas (ej., Prueba de clasificacin eva
Pruebas de desarrollo prolongado (incluyendo la evaluacin del
Examen de estado neuroconductivo (evaluacin clnica del pensam
Batera de pruebas neuropsicolgicas (p. ej., Halstead-Reitan,
Administracin de quimioterapia subcutnea o intramuscular
Administracin de quimioterapia intralesional
Administracin de quimioterapia intravenosa en bolo
Administracin de quimioterapia intravenosa en infusin
Administracin de quimioterapia intra arterial en bolo
Administracin de quimioterapia intra arterial en infusin
Administracin de quimioterapia a la cavidad pleural
Administracin de quimioterapia a la cavidad pericrdica
Administracin de quimioterapia a la cavidad peritoneal
Administracin de quimioterapia al SNC: puncin raqudea (pun
Administracin de quimioterapIa al SNC: mediante reservorio
Fototerapia - actinoterapia (luz ultravioleta)
Fotoquimioterapia
Tratamiento laser para enfermedad inflamatoria de piel (Psorias
Evaluacin de fisioterapia
Evaluacin de terapia ocupacional
Sesin: Lserterapia
Sesin: Compresas fras
Sesin: Procedimiento terapetico (Kinesioterapia) + agentes f
Sesin: Hidroterapia: tanque de Whirlpool + procedimiento ter
Sesin: Terapia del complejo orofacial
Sesin: Terapia de lenguaje
Aplicacin de agentes trmicos o fros
Confeccin de frulas u ortticos simples en el proceso de aten
Aplicacin de traccin mecnica
Aplicacin de estimulacin elctrica (no manual)
Aplicacin de dispositivos vasoneumticos
Aplicacin de bao de parafina
Aplicacin de microondas
Aplicacin de bao de remolino
Aplicacin de rayos infrarrojos
Aplicacin de luz ultravioleta
10.62
1.57
2.01
3.50
4.79
5.00
6.00
1.34
1.32
1.69
1.35
4.21
0.85
1.00
1.00
1.00
4.00
2.00
5.00
6.00
7.00
2.00
3.00
2.00
1.00
0.86
1.50
2.50
1.80
1.50
0.60
1.00
2.50
1.00
1.00
0.90
0.60
0.90
0.90
0.90
0.90
0.90
0.90
2.00
2.00
Aplicacin de estimulacin elctrica (manual) minutos

Aplicacin de ultrasonido
Aplicacin de tanque Hubbard
Procedimiento teraputico para desarrollar fuerza y resistencia a
Procedimiento teraputico para reeducacin neuromuscular del m
Procedimiento de terapia acutica con ejercicios teraputicos
Procedimiento teraputico para entrenamiento de la marcha
Procedimiento teraputicos individuales
Tcnicas de terapia manual
Procedimientos teraputicos en grupo
Ajuste de dispositivos ortticos en extremidades superiores y/o
Entrenamiento protsico, extremidades superiores y/o inferiore
Actividades teraputicas, contacto directo (uno a uno) entre el
Terapia ocupacional: actividades terapeticas de autovalimient
Rehabilitacin Profesional: Capacitacin para la reintegracin a
Entrenamiento para el manejo y propulsin de silla de ruedas
Rehabilitacin cardio respiratoria: Rendimiento fsico, Toleranc
Revisin final para el uso de dispositivos ortticos/protsicos,
Prueba o medicin del rendimiento fsico (p. ej., musculosquel
Desarrollo de habilidades cognitivas para mejorar la atencin,
Sesin: Acupuntura
Sesin: Electroacupuntura
Fisioterapia odontoestomatolgica
Terapia de nutricin mdica, evaluacin inicial e intervencin
Electrofulguracin
Electrocauterizacin
Sedacin con o sin analgesia (sedacin consciente); intravenos
Sedacin con o sin analgesia (sedacin consciente); oral, rectal
Hipotermia
Terapia biolgica
Infiltraciones en partes blandas
Colocacin de sonda naso yeyunal para soporte nutricional ent
Medicin de la presin intra-abdominal
Control de la hipotermia mediante cobertores corporales
Control de la hipotermia mediante calentadores de fludos corp
Evaluacin por test funcionales e ndices predictores de riesgo
Infiltraciones intraarticulares mayores
Infiltraciones intrartticulares menores
Flebotoma teraputica
Dilatacin capsular
Biopsia de nervio sural
Riesgo Quirrgico
Consulta mdica no especializada (para neonatos, nios, adoles
Consulta mdica especializada (para neonatos, nios, adolescen
2.00
2.00
0.75
4.00
4.00
5.00
5.00
6.69
1.00
3.18
2.85
3.18
3.18
3.18
2.85
5.00
2.85
2.85
3.18
3.18
3.18
8.59
1.50
1.72
1.00
1.00
1.00
1.00
5.00
2.31
3.84
2.68
6.67
8.77
6.67
6.67
9.83
2.68
2.68
2.87
8.95
6.10
1.00
1.00
1.00
Consulta anestesiolgica (para neonatos, nios, adolescentes,

2.80
Atencin de Psicologa
0.97
Control de Nutricin
0.61
Consulta ambulatoria para paciente conocido (control), 5 minut
0.51
Monitoreo de soporte nutricional / da
2.00
Atencin en hospitalizacin general, da paciente
4.67
Atencin en tpico
0.42
Atencin en sala de observacin, menor de 12 horas (neonatos,
5.33
Atencin en sala de observacin de 12 horas a 24 horas (neonat
6.40
Atencin en sala de shock trauma - prioridad 1 (neonatos, nios
20.00
Atencin de emergencia con sala de observacin, menor de 12 h
6.59
Atencin de emergencia con sala de observacin de 12 horas a
7.60
Interconsulta en consultorio externo, hospitalizacin o emergen
1.00
Interconsulta en consultorio externo, hospitalizacin o emergen
2.80
Atencin inmediata del recin nacido (RN) normal
1.60
Atencin integral de salud del nio
1.00
Consejera nutricional de nios en riesgo
0.61
Control del RN de bajo peso al nacer
1.00
Control de puerperio
1.00
Examen odontoestomatolgico
0.80
Consulta de emergencia - prioridad 2 (neonatos, nios, adolesc
1.26
Atencin a Pacientes - prioridad 3 (neonatos, nios, adolescent
1.15
Atencin de hospitalizacin en unidad de cuidados intensivos de
33.33
Atencin de hospitalizacin en unidad de cuidados intermedios d
15.60
Atencin en hospitalizacin de unidad de cuidados intensivos pe
33.33
Atencin en hospitalizacin de unidad de cuidados intermedios
15.60
Atencin en hospitalizacin de unidad de cuidados intensivos n
33.33
Atencin en hospitalizacin de unidad de cuidados intermedios
18.20
Monitoreo de soporte ventilatorio invasivo / da
9.00
Monitoreo de soporte ventilatorio no invasivo / da
9.00
Monitoreo de gasto cardiaco invasivo / da
9.00
Monitoreo de gasto cardiaco contnuo por sonda esofgica mt
9.00
Monitoreo de perfusin tisular / da
8.00
Monitoreo del estado hipntico / da
8.00
Visita mdica domiciliaria bsica para evaluacin y manejo
1.43
Visita mdica domiciliaria especializada
2.36
Visita domiciliaria de enfermera
3.68
Visita nutricionista
1.50
Visita medicina fsica y rehabilitacin
2.00
Soporte avanzado del dolor en domicilio
3.68
Cuidados paliativos en domicilio
2.00
Soporte ventilatorio prolongado en domicilio
8.00
Soporte nutricional parenteral en domicilio
8.00
Soporte nutricional enteral en domicilio
8.00
Traslado de paciente o herido en condiciones en que no est en riesgo potencial su vida y salud
Transporte asistido de paciente o herido con asistencia mdica bsica y condiciones especiales para el traslado
Transporte asistido de paciente o herido en estado crtico o de alto riesgo que requieren asistencia mdica avanza
Inyeccin intracavernosa
7.94
Procedimiento: estudio urodinmico
6.76
Vibroestimulacin peneana
6.06
Videonistagmografa
8.89
Procedimiento: bloqueo toxina botulnica
8.00
Piln de yeso adulto
11.05
Histerometra
1.00
Aspiracin percutnea, quiste de mdula espinal o cavidad siri
13.33
Biopsia de mdula espinal, aguja percutnea
15.00
Gammagrafa de tiroides planar y tomogrfica con I-131
10.00
Creatinina (24 hrs.)
0.50
Depuracin de creatinina endogena
0.50
Crioglobulina
1.00
Brucella estudio serolgico completo
0.35
Brucella estudio con rosa de bengala
0.50
Brucella: aglutinaciones bloqueadores
0.75
Brucella: estudio en tubo
1.00
Brucella:fenmeno de zona
1.00
Citometra clulas progenitoras
1.32
Citometra linfocitos CD4, CD8
1.32
Citometra mieloma
1.32
Citometra-linfocitos T, B, NK
1.32
Citometra-linfoma
1.32
Citometra-proceso parcial/frusto
1.32
Citoqumica leucemia aguda
1.32
Citoqumica linfoma-ll C
1.32
Estudio citogentico
2.50
Cariotipo+banda GTG mdula sea
118.94
Cariotipo+banda GTG sangre perifrica
118.94
Cariotipo+banda GTG tumores slidos
118.94
Estudio histopatolgico de pieza operatoria con microscopia ele
5.00
Electrografia: evaluacion integral del sistema autnomo
4.00
Electrografia: monitorizacion con PEA
4.00
Electrografia: monitorizacion con PESS
4.00
Electrografia: monitorizacion con PEV
4.00
Electrografia: reflejo palpebral
4.00
Electrografia: vc metodo de colision
4.00
Quimioterapia EV o IM (bolo)
1.00
Organizacin de campaa de salud
Visita familiar integral
Visita comunitaria integral
Identificacin de poblacin en riesgo de enfermedades con elevado impacto sanitario
Vigilancia epidemiolgica
Vigilancia demogrfica
Vigilancia de los servicios de salud
Anlisis de la situacin de salud
Investigacin de brotes
Control epidemiolgico
Organizacin de reunin para abogaca y polticas pblicas
Organizacin de taller de sensibilizacin para abogaca y polticas pblicas
Organizacin de charla para abogaca y polticas pblicas
Organizacin de conferencia de prensa
Oraganizacin de encuentros con representantes de organizaciones y autoridades locales
Capacitacin extra e intramural a personal de salud
Elaboracin de informacin basal de promocin de la salud
Organizacin de reunin en comunicacin y educacin para la salud
Taller en comunicacin y educacin para la salud
Charla en comunicacin y educacin para la salud
Organizacin de exposicin educativa
Consejera familiar
Organizacin de campaa de difusin a travs de materiales impresos y magnticos (volantes, trpticos, afiches, gi
Organizacin de campaa de difusin a travs de medios auditivos locales (perifoneo)
Organizacin de campaa de difusin en medios masivos
Organizacin de talleres psicoeducativos grupales
Organizacin de teatros populares
Organizacin de reunin de participacin comunitaria y empoderamiento social
Organizacin de taller de participacin comunitaria y empoderamiento social
Organizacin de charla de participacin comunitaria y empoderamiento social
Organizacin de encuentros de participacin comunitaria y empoderamiento social
Constitucin de comits de agentes comunitarios de salud
Constitucin de comits de salud
Constitucin de comits multisectoriales de participacin comunitaria
Organizacin de campaas de movilizacin social (caminatas, pasacalles)
Control cuantitativo de sal yodada
Control cualitativo de sal yodada
Control cuantitativo de sal fluorada
Control cualitativo de sal fluorada
Organizacin y ejecucin de operativo de control de comercializacin de sal yodada
Encuesta de consumo de sal yodada
Organizacin y ejecucin de operativo de verificacin de comercializacin de sal fluorada
Encuesta de consumo de sal fluorada
Ejecucin de encuesta serolgica para diagnstico situacional de Hidatidosis
Organizacin y ejecucin de operativo de eliminacin de animales reservorios de zoonosis: murcilagos hematfag
Toma de muestra para vigilancia centinela de enfermedades zoonticas
Organizacin y ejecucin de campaa de vacunacin antirrbica a canes
Organizacin y ejecucin de operativo de eliminacin de animales reservorios de zoonosis: canes
Organizacin de operativo de captura de reservorios y vectores de enfermedades zoonticas (roedores)
Clasficacin de reservorios y vectores de enfermedades zoonticas (roedores)
Organizacin y ejecucin de campaa de tratamiento de vivienda para prevencin y control de brotes de peste: de
Organizacin de operativo de captura de especmenes de fauna ponzoosa
Organizacin de operativo de control ecolgico de vectores (eliminacin de nichos de reproduccin de vectores)
Control biolgico de vectores
Control gentico de vectores
Control qumico de vectores
Organizacin y ejecucin de campaa de vigilancia entomolgica de vectores
Organizacin y ejecucin de campaa de rociamiento residual con insecticidas contra vectores
Investigacin y control de brotes para enfermedades metaxnicas
Organizacin de campaa de nebulizacin espacial con insecticidas contra vectores
Organizacin y ejecucin de campaa de Identificacin e inspeccin de viviendas sujetas a intervencin de control
Organizacin de campaa de recojo y eliminacin de inservibles
Tratamiento focal
Vigilancia peridica de la calidad del agua
Vigilancia peridica de la calidad de los alimentos
Vigilancia peridica de excretas
Vigilancia peridica de residuos slidos
Consulta estomatolgica no especializada (para neonatos, nios
1.00
Consulta estomatolgica especializada (considera elaboracin d
0.93
Radiografa intraoral - radiografa periapical
0.44
Radiografa intraoral - radiografa oclusal
0.75
Radiografa de mordida (bite wings)
0.75
Estudio bacteriolgico para determinacin de agentes patolgic
0.83
Prueba de susceptibilidad de caries
0.35
Pruebas de vitalidad pulpar
0.40
Profilaxis dental en adultos
Profilaxis dental en nios
Aplicacin tpica de flor en nios, includo profilaxis dental
Aplicacin tpica de flor en nios, sin profilaxis dental
Aplicacin tpica de flor en adultos, incluido profilaxis dental
Aplicacin tpica de flor en adultos, sin profilaxis dental
Aplicacin de crema dental fluorada en nios
Aplicacin de fluoruro diamino de plata en nios
Enjuagatorios con solucin fluorada al 0.2%
Aplicacin de barnz fluorado
Consejera para prevencin y control de enfermedades dentales
Aplicacin de sellante - por diente
Cementacin de mantenedor de espacio fijo unilateral
Colocacin de mantenedor de espacio removible
Restauracin de una superficie, con amalgama de plata, en pie
3.07
Restauracin de dos superficies, con amalgama de plata, en p
3.07
Restauracin de tres superficies, con amalgama de plata, en p
3.33
Restauracin de una superficie, con amalgama de plata, en pie
3.07
Restauracin de dos superficies, con amalgama de plata, en p
3.07
Restauracin de tres superficies, con amalgama de plata, en p
3.33
Restauracin de una superficie, con resina, en piezas dentaria

Restauracin de dos superficies, con resina, en piezas dentar
Restauracin de tres superficies, con resina, en piezas dentar
Restauracin de cuatro superficies, o compromiso del ngulo in
Restauracin de piezas dentarias deciduas, anteriores, median
Restauracin de piezas dentarias permanentes, anteriores, me
Restauracin de una superficie, con resina, en piezas dentarias
Restauracin de dos superficies, con resina, en piezas dentari
Restauracin de tres o ms superficies, con resina, en piezas d
Restauracin de una superficie, con resina, en piezas dentaria
Restauracin de dos superficies, con resina, en piezas dentar
Restauracin de tres superficies, con resina, en piezas dentar
Restauracin de una superficie con ionmero de vidrio en piez
Restauracin compuesta con ionmero de vidrio en piezas denta
Restauracin de una superficie con ionmero de vidrio en piez
Restauracin compuesta con ionmero de vidrio en piezas dent
Restauraciones mediante incrustaciones Inlay - metlico
Restauraciones mediante incrustaciones Onlay - metlico
Restauraciones mediante incrustaciones de porcelana o cermico
Restauraciones mediante incrustaciones de porcelana o cermic
Restauraciones mediante composite basado en resina, Inlay. T
Restauraciones mediante composite basado en resina, Onlay. T
Restauracin simple de pieza dentaria con corona, para todos los
Restauracin de pieza dental para perno-mun
Restauracin de corona metlica prefabricada en dientes deci
Restauracin de corona metlica prefabricada en dientes perm
Colocacin de Pin de retencin
Remocin de perno-mun (no incluye Terapia endodntica)
Restauracin con Carilla de porcelana - por pieza dentaria
Restauracin con carilla de resina - por pieza dentaria
Tratamiento de Recroma (blanqueamiento) en pieza nica
Tratamiento de Recroma (blanqueamiento) en arcadas comple
Recubrimiento pulpar - directo
Recubrimiento pulpar - indirecto
Pulpotoma
Debridaje o apertura amplia pulpar, dientes primarios y perman
Pulpectoma Anterior Diente Deciduo
Pulpectoma Posterior Diente Deciduo
Endodoncia o Biopulpectoma pieza anterior (se excluye restaur
Necropulpectoma pieza anterior (se excluye restauracin final)
Biopulpectoma bicspide (premolar) (se excluye restauracin fi
Necropulpectoma bicspide (premolar) (se excluye restauracin
Biopulpectoma bicspide (molar) (se excluye restauracin final
Necropulpectoma bicspide (molar) (se excluye restauracin fi
Reparacin de defectos de perforacin
1.53
1.53
1.67
1.80
3.07
3.07
1.53
1.53
1.67
1.53
1.53
1.67
1.53
1.67
1.53
1.67
13.33
13.33
13.33
13.33
13.33
13.33
13.33
6.67
6.67
6.67
4.44
8.89
13.33
13.33
4.44
4.44
6.67
6.67
8.89
8.89
8.89
8.89
20.00
20.00
26.67
26.67
33.33
33.33
8.89
Retratamiento de Endodoncia - piezas anteriores

Retratamiento de Endodoncia - piezas bicspides (premolares)
Retratamiento de Endodoncia - piezas molares
Apexificacin
Obturacin y curacin dental simple
Obturacin y curacin dental compuesta
Obturacin retrgada - por pice radicular
Colocacin de Implante endseo - endodntico
Curetaje gingival - por cuadrante
Procedimiento de colgajo gingival - por cuadrante
Alargamiento de corona clnica
Injerto de hueso - primer sitio en cuadrante
Injerto de hueso - cada sitio adicional en cuadrante
Regeneracin tisular guiada - barrera o membrana reabsorbible,
Regeneracin tisular guiada - barrera no reabsorbible, por siti
Exploracin quirrgica, por diente
Injerto pediculado en cavidad oral
Injerto libre en cavidad oral
Raspaje periodontal y alisado radicular, por cuadrante
Debridaje periodontal, por cuadrante
Control post operatorio periodontal
Prtesis dental completa - por maxilar
Prtesis dental completa inmediata - por maxilar
Prtesis parcial removible con base metlica por maxilar
Prtesis parcial removible sin base metlica por maxilar
Rebasado de prtesis por maxilar
Prtesis dental completa provisional por maxilar
Prtesis parcial removible provisional por maxilar
Acondicionamiento de tejidos, por maxilar
Modificacin de la prtesis removible prequirrgica
Prtesis obturador temporal
Prtesis somtica
Placa de relajacin
Mantenimiento de tejidos peri- implantarios
Remocin del implante
Disyuncin quirrgica palatina unilateral
Disyuncin quirrgica palatina bilateral
Alveolectoma y alveoloplasta correctora por cuadrante
Apicectoma y curetaje apical en piezas anteriores
Apicectoma y curetaje apical en piezas posteriores
Distraccin osteognica mandibular
Distraccin osteognica alveolar
Distraccin osteognica de tercio medio facial
Biopsia por excisin de tejido blando de cavidad oral
Biopsia de tejido duro de cavidad oral
20.00
26.67
33.33
8.89
1.53
1.53
6.67
8.89
13.33
26.67
20.00
20.00
8.89
20.00
13.33
6.67
13.33
26.67
13.33
13.33
4.44
40.00
40.00
26.67
26.67
13.33
6.67
6.67
8.89
8.89
6.67
6.67
6.67
4.44
13.33
13.33
20.00
13.33
8.89
13.33
13.33
8.89
26.67
4.44
8.89
Bloqueo de nervio trigmino / inyeccin de agente anestsico en

Colocacin quirrgica de implante intraseo
Condilectoma ms Coronoidectoma unilateral
Correccin de asimetra facial de microsoma hemifacial con in
Correccin de asimetra facial de microsoma hemifacial sin inje
Tratamiento alveolitis granulomatosa o curetaje alveolar
Drenaje de hematoma en cavidad oral
Drenaje intraoral de absceso odontognico
Drenaje extraoral de abceso facial odontognico
Enucleacin de quiste intraoral (- de 4cm)
Enucleacin de quiste intraoral (+ de 4cm)
Excisin de mucocele o quistes de retencin
Extirpacin de Tumor odontognico benigno
Extirpacin de Tumor no odontognico benigno
Excisin de tumor de huesos faciales
Exodoncia a colgajo
Enucleacin de rnula
Extraccin dental simple
Extraccin dental simple y sutura
Extraccin quirrgica dental o extraccin impactada/exodoncia
Ferulizacin dentaria con resina por pieza
Mentoplasta sin injerto
Mentoplasta con injerto
Hemimandibulectoma
Hemiseccin radicular
Tratamiento de hemorragia post exodoncia
Injerto seo en combinacin con otros procedimientos
Injerto seo simple por paladar fisurado
Osteotoma tipo Le fort I
Osteotoma tipo Le fort II
Osteotoma tipo Le fort III
Mascarilla facial (modelo facial)
Menisectoma parcial o completa articulacin temporomandibul
Modelos de estudio para ciruga ortogntica
Neurectoma del dentario inferior
Neurectoma del infraorbitario
Neurectoma del mentoniano
Operculectoma o exposicin de pieza dentaria incluida tejido b
Operculectoma o exposicin de pieza dentaria incluida tejido
Osteotoma sub-apical segmento anterior
Osteotoma sub-apical total mandibular
Osteotoma sub-apical segmento posterior
Osteotoma vertical bilateral de ramas
Osteotoma sagital bilateral de ramas
Profundizacin de surco mandibular o maxilar
16.67
20.00
24.44
40.00
26.67
8.89
3.33
2.22
4.44
8.89
13.33
3.33
20.00
20.00
20.00
8.89
13.33
1.60
1.50
8.89
13.33
20.00
33.33
40.00
13.33
4.44
20.00
26.67
20.00
33.33
53.33
13.33
26.67
6.67
13.33
13.33
13.33
13.33
13.33
20.00
26.67
26.67
26.67
26.67
20.00
Profundizacin de surco mandibular o maxilar con injerto

Profundizacin de surco submucoso
Queiloplasta bilateral
Queiloplasta unilateral
Reduccin incruenta y estabilizacin de fractura maxilar mandib
Tratamiento de la luxacin de articulacin tmporomandibular.
Reimplante dentario fijado con resinas
Retiro de material de ferulizacin por arcada dentaria
Retiro de puntos sin/con anestesia local en cavidad oral
Sialolitotoma submandibular sublingual o remocin quirrgica
Sinusotoma radical (caldwell luc) o Antrotoma
Submaxilectoma parcial o total o Remocin quirrgica de sialol
Transplante dentario con fijacin con resinas
Tratamiento abierto de fractura por estallido de piso orbitario
Tratamiento abierto de fractura de complejo nasomaxilar (Lefort
Tratamiento abierto de fractura de la apfisis condilar de la man
Tratamiento abierto de fractura de la apfisis condilar de la man
Tratamiento abierto de fractura del arco cigomtico
Tratamiento abierto de fractura malar incluyendo el arco cigom
Tratamiento abierto de fractura mandibular o reduccin cruenta
Tratamiento abierto de fractura maxilar (Lefort I) o reduccin ab
Tratamiento abierto o reduccin abierta de fractura nasorbitoe
Tratamiento abierto de luxacin de articulacin tmporomandib
Tratamiento cerrado de fractura de complejo nasomaxilar (Lefort
Tratamiento de alveolitis seca dolorosa por sesin
Tratamiento quirrgico de la fascetis necrotizante cervicofacial
Aumento de reborde alveolar con hueso lioflizado
Aumento de reborde alveolar con injerto aloplstico
Transposicin dentaria y fijacin con resina
Aumento de reborde alveolar con injerto autlogo
Tratamiento de Ortodoncia para hbitos bucales en denticin
Tratamiento de Ortodoncia para mordidas cruzadas anterior y p
Tratamiento de Ortodoncia para hbitos bucales en denticin m
Tratamiento de Ortodoncia para mordidas cruzadas anterior y po
Tratamiento de Ortodoncia para apiamiento y problemas de es
Tratamiento de Ortodoncia para Maloclusin Clase I en dentic
Tratamiento de Ortodoncia para Maloclusin Clase II (Divisin
Tratamiento de Ortodoncia para maloclusin Clase III en denti
Tratamiento combinado ortncico quirrgico - Fase Ortodncica
Tratamiento combinado ortncico quirrgico - Fase Ortodncica
Tratamiento de Ortopedia para discrepancias sagitales en dent
Tratamiento de Ortopedia para maloclusiones en desarrollo en
Tratamiento combinado de ortodoncia y ortopedia para discrepa
Tratamiento combinado de ortodoncia y ortopedia para mordida
Tratamiento combinado de ortodoncia y ortopedia para mordida
26.67
13.33
33.33
20.00
20.00
5.56
13.33
6.67
1.11
8.89
20.00
20.00
13.33
20.00
26.67
33.33
26.67
20.00
20.00
20.00
20.00
26.67
26.67
13.33
3.33
13.33
20.00
20.00
13.33
20.00
13.33
13.33
13.33
13.33
13.33
13.33
17.78
17.78
13.33
13.33
13.33
13.33
13.33
13.33
13.33
Tratamiento combinado de ortodoncia y ortopedia para maloclu
13.33
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CODIFICACION CPT 2010

Orden
Codigo
Descripcion
Anesthesia for procedures on salivary glands, including
1
00100
biopsy
Anesthesia for procedures involving plastic repair of cleft lip
Codigo
100
00102
00103
00104
00120
00124
00126
00140
Anesthesia for procedures on eye; not otherwise specified
140
00142
Anesthesia for procedures on eye; lens surgery
142
10
00144
Anesthesia for procedures on eye; corneal transplant
144
11
00145
Anesthesia for procedures on eye; vitreoretinal surgery
145
12
13
00147
00148
147
148
14
00160
15
00162
16
00164
17
00170
18
00172
19
00174
20
00176
21
00190
22
00192
23
00210
Anesthesia for procedures on eye; iridectomy

Anesthesia for procedures on eye; ophthalmoscopy
Anesthesia for procedures on nose and accessory sinuses;
not otherwise specified
radical surgery
biopsy, soft tissue
Anesthesia for intraoral procedures, including biopsy; not
otherwise specified
Anesthesia for intraoral procedures, including biopsy; repair
of cleft palate
Anesthesia for intraoral procedures, including biopsy;
excision of retropharyngeal tumor
Anesthesia for intraoral procedures, including biopsy; radical
surgery
Anesthesia for procedures on facial bones or skull; not
otherwise specified
Anesthesia for procedures on facial bones or skull; radical
surgery (including prognathism)
Anesthesia for intracranial procedures; not otherwise
specified
24
00212
Anesthesia for intracranial procedures; subdural taps
212
25
00214
26
00215
Anesthesia for reconstructive procedures of eyelid (eg,

blepharoplasty, ptosis surgery)
Anesthesia for electroconvulsive therapy
Anesthesia for procedures on external, middle, and inner ear
including biopsy; not otherwise specified
including biopsy; otoscopy
including biopsy; tympanotomy
Anesthesia for intracranial procedures; burr holes, including

ventriculography
Anesthesia for intracranial procedures; cranioplasty or
elevation of depressed skull fracture, extradural (simple or
compound)
102
103
104
120
124
126
160
162
164
170
172
174
176
190
192
210
214
215
27
00216
28
00218
29
00220
30
00222
31
00300
32
00320
33
00322
34
00326
35
00350
36
00352
37
00400
Anesthesia for intracranial procedures; vascular procedures

Anesthesia for intracranial procedures; procedures in sitting
position
Anesthesia for intracranial procedures; cerebrospinal fluid
shunting procedures
Anesthesia for intracranial procedures; electrocoagulation of
intracranial nerve
Anesthesia for all procedures on the integumentary system,
muscles and nerves of head, neck, and posterior trunk, not
otherwise specified
Anesthesia for all procedures on esophagus, thyroid, larynx,
trachea and lymphatic system of neck; not otherwise
specified, age 1 year or older
Anesthesia for all procedures on esophagus, thyroid, larynx,
trachea and lymphatic system of neck; needle biopsy of
thyroid
Anesthesia for all procedures on the larynx and trachea in
children younger than 1 year of age
Anesthesia for procedures on major vessels of neck; not
otherwise specified
Anesthesia for procedures on major vessels of neck; simple
ligation
Anesthesia for procedures on the integumentary system on
the extremities, anterior trunk and perineum; not otherwise
specified
216
218
220
222
300
320
322
326
350
352
400
38
00402

the extremities, anterior trunk and perineum; reconstructive
procedures on breast (eg, reduction or augmentation
mammoplasty, muscle flaps)
39
00404

the extremities, anterior trunk and perineum; radical or
modified radical procedures on breast
404
40
00406

the extremities, anterior trunk and perineum; radical or
modified radical procedures on breast with internal
mammary node dissection
406
41
00410
42
00450
43
00452
44
00454
45
00470

the extremities, anterior trunk and perineum; electrical
conversion of arrhythmias
Anesthesia for procedures on clavicle and scapula; not
otherwise specified
Anesthesia for procedures on clavicle and scapula; radical
surgery
Anesthesia for procedures on clavicle and scapula; biopsy of
clavicle
Anesthesia for partial rib resection; not otherwise specified
402
410
450
452
454
470
46
00472
Anesthesia for partial rib resection; thoracoplasty (any type)
472
47
00474
Anesthesia for partial rib resection; radical procedures (eg,

pectus excavatum)
474
48
00500
49
00520
50
00522
51
Anesthesia for all procedures on esophagus

Anesthesia for closed chest procedures; (including
bronchoscopy) not otherwise specified
Anesthesia for closed chest procedures; needle biopsy of
pleura
500
00524
Anesthesia for closed chest procedures; pneumocentesis
524
52
00528
Anesthesia for closed chest procedures; mediastinoscopy

and diagnostic thoracoscopy not utilizing 1 lung ventilation
528
53
00529
Anesthesia for closed chest procedures; mediastinoscopy

and diagnostic thoracoscopy utilizing 1 lung ventilation
529
54
00530
Anesthesia for permanent transvenous pacemaker insertion
530
55
00532
532
56
00534
Anesthesia for access to central venous circulation

Anesthesia for transvenous insertion or replacement of
pacing cardioverter-defibrillator
57
00537
Anesthesia for cardiac electrophysiologic procedures

including radiofrequency ablation
537
58
00539
Anesthesia for tracheobronchial reconstruction
539
59
00540
Anesthesia for thoracotomy procedures involving lungs,

pleura, diaphragm, and mediastinum (including surgical
thoracoscopy); not otherwise specified
540
60
00541

thoracoscopy); utilizing 1 lung ventilation
541
61
00542

thoracoscopy); decortication
542
62
00546

thoracoscopy); pulmonary resection with thoracoplasty
546
63
00548

thoracoscopy); intrathoracic procedures on the trachea and
bronchi
548
64
00550
65
00560
Anesthesia for sternal debridement

Anesthesia for procedures on heart, pericardial sac, and
great vessels of chest; without pump oxygenator
520
522
534
550
560

great vessels of chest; with pump oxygenator, age 1 year or
older, for all non-coronary bypass procedures (eg, valve
procedures) or for re-operation for coronary bypass more
than 1 month after original operation
66
00562
67
00563
68
00566
69
00580
Anesthesia for heart transplant or heart/lung transplant
580
70
00600
Anesthesia for procedures on cervical spine and cord; not

otherwise specified
600
71
00604
Anesthesia for procedures on cervical spine and cord;

procedures with patient in the sitting position
604
72
00620
73
00622
74
00630
75
00632
76
00634
77
00635
78
00640
Anesthesia for manipulation of the spine or for closed

procedures on the cervical, thoracic or lumbar spine
640
79
00670
Anesthesia for extensive spine and spinal cord procedures

(eg, spinal instrumentation or vascular procedures)
670
80
00700
81
00702
82
00730
83
00740
Anesthesia for upper gastrointestinal endoscopic

procedures, endoscope introduced proximal to duodenum
740
84
00750
Anesthesia for hernia repairs in upper abdomen; not

otherwise specified
750
85
00752
Anesthesia for hernia repairs in upper abdomen; lumbar and

ventral (incisional) hernias and/or wound dehiscence
752

great vessels of chest; with pump oxygenator with
hypothermic circulatory arrest
Anesthesia for direct coronary artery bypass grafting; without
pump oxygenator
Anesthesia for procedures on thoracic spine and cord; not

otherwise specified
Anesthesia for procedures on thoracic spine and cord;
thoracolumbar sympathectomy
Anesthesia for procedures in lumbar region; not otherwise
specified
Anesthesia for procedures in lumbar region; lumbar
sympathectomy
Anesthesia for procedures in lumbar region;
chemonucleolysis
Anesthesia for procedures in lumbar region; diagnostic or
therapeutic lumbar puncture
Anesthesia for procedures on upper anterior abdominal wall;

Anesthesia for procedures on upper anterior abdominal wall;
percutaneous liver biopsy
Anesthesia for procedures on upper posterior abdominal
wall
562
563
566
620
622
630
632
634
635
700
702
730
86
00754
Anesthesia for hernia repairs in upper abdomen;

omphalocele
754
87
00756
Anesthesia for hernia repairs in upper abdomen;

transabdominal repair of diaphragmatic hernia
756
88
00770
Anesthesia for all procedures on major abdominal blood

vessels
770
89
00790
Anesthesia for intraperitoneal procedures in upper abdomen

including laparoscopy; not otherwise specified
790
90
00792

including laparoscopy; partial hepatectomy or management
of liver hemorrhage (excluding liver biopsy)
792
91
00794

including laparoscopy; pancreatectomy, partial or total (eg,
Whipple procedure)
794
92
00796

including laparoscopy; liver transplant (recipient)
796
93
00797

including laparoscopy; gastric restrictive procedure for
morbid obesity
797
94
00800
95
00802
96
00810
Anesthesia for lower intestinal endoscopic procedures,

endoscope introduced distal to duodenum
810
97
00820
Anesthesia for procedures on lower posterior abdominal wall
820
98
00830
99
00832
100
00834
Anesthesia for hernia repairs in the lower abdomen not

otherwise specified, younger than 1 year of age
834
101
00840
Anesthesia for intraperitoneal procedures in lower abdomen

including laparoscopy; not otherwise specified
840
102
00842

including laparoscopy; amniocentesis
842
103
00844

including laparoscopy; abdominoperineal resection
844
104
00846

including laparoscopy; radical hysterectomy
846
Anesthesia for procedures on lower anterior abdominal wall;

Anesthesia for procedures on lower anterior abdominal wall;
panniculectomy
Anesthesia for hernia repairs in lower abdomen; not

otherwise specified
Anesthesia for hernia repairs in lower abdomen; ventral and
incisional hernias
800
802
830
832
105
00848

including laparoscopy; pelvic exenteration
848
106
00860
Anesthesia for extraperitoneal procedures in lower

abdomen, including urinary tract; not otherwise specified
860
107
00862

abdomen, including urinary tract; renal procedures, including
upper one-third of ureter, or donor nephrectomy
862
108
00864

abdomen, including urinary tract; total cystectomy
864
109
00865

abdomen, including urinary tract; radical prostatectomy
(suprapubic, retropubic)
865
110
00866

abdomen, including urinary tract; adrenalectomy
866
111
00868

abdomen, including urinary tract; renal transplant (recipient)
868
112
00870

abdomen, including urinary tract; cystolithotomy
870
113
00872
114
00873
115
00880
116
00882
117
00884
118
119
120
121
00902
00904
00906
00908
122
00910
123
00912
124
00914
Anesthesia for transurethral procedures (including

urethrocystoscopy); transurethral resection of prostate
914
125
00916

urethrocystoscopy); post-transurethral resection bleeding
916
Anesthesia for lithotripsy, extracorporeal shock wave; with

water bath
Anesthesia for lithotripsy, extracorporeal shock wave;
without water bath
Anesthesia for procedures on major lower abdominal
vessels; not otherwise specified
vessels; inferior vena cava ligation
vessels; transvenous umbrella insertion
Anesthesia for; anorectal procedure
Anesthesia for; radical perineal procedure
Anesthesia for; vulvectomy
Anesthesia for; perineal prostatectomy
urethrocystoscopy); not otherwise specified
urethrocystoscopy); transurethral resection of bladder
tumor(s)
872
873
880
882
884
902
904
906
908
910
912
126
00918

urethrocystoscopy); with fragmentation, manipulation and/or
removal of ureteral calculus
918
127
00920
Anesthesia for procedures on male genitalia (including open

urethral procedures); not otherwise specified
920
128
00922

urethral procedures); seminal vesicles
922
129
00924

urethral procedures); undescended testis, unilateral or
bilateral
924
130
00926

urethral procedures); radical orchiectomy, inguinal
926
131
00928

urethral procedures); radical orchiectomy, abdominal
928
132
00930

urethral procedures); orchiopexy, unilateral or bilateral
930
133
00932

urethral procedures); complete amputation of penis
932
134
00934

urethral procedures); radical amputation of penis with
bilateral inguinal lymphadenectomy
934
135
00936

urethral procedures); radical amputation of penis with
bilateral inguinal and iliac lymphadenectomy
936
136
00938

urethral procedures); insertion of penile prosthesis (perineal
approach)
938
137
00940
Anesthesia for vaginal procedures (including biopsy of labia,

vagina, cervix or endometrium); not otherwise specified
940
138
00942

vagina, cervix or endometrium); colpotomy, vaginectomy,
colporrhaphy, and open urethral procedures
942
139
00944

vagina, cervix or endometrium); vaginal hysterectomy
944
140
00948

vagina, cervix or endometrium); cervical cerclage
948
141
00950

vagina, cervix or endometrium); culdoscopy
950
01120

vagina, cervix or endometrium); hysteroscopy and/or
hysterosalpingography
Anesthesia for bone marrow aspiration and/or biopsy,
anterior or posterior iliac crest
Anesthesia for procedures on bony pelvis
1120
145
01130
Anesthesia for body cast application or revision
1130
146
01140
Anesthesia for interpelviabdominal (hindquarter) amputation
1140
147
01150
148
01160
149
01170
150
151
01180
01190
Anesthesia for radical procedures for tumor of pelvis, except

hindquarter amputation
Anesthesia for closed procedures involving symphysis pubis
or sacroiliac joint
Anesthesia for open procedures involving symphysis pubis
or sacroiliac joint
Anesthesia for obturator neurectomy; extrapelvic
Anesthesia for obturator neurectomy; intrapelvic
152
01200
Anesthesia for all closed procedures involving hip joint
1200
153
01202
Anesthesia for arthroscopic procedures of hip joint
1202
154
01210
155
01212
156
01214
157
01215
158
01220
159
01230
160
01232
161
01234
162
01250
163
01260
Anesthesia for all procedures involving veins of upper leg,

including exploration
1260
164
01270
Anesthesia for procedures involving arteries of upper leg,

including bypass graft; not otherwise specified
1270
165
01272

including bypass graft; femoral artery ligation
1272
166
01274

including bypass graft; femoral artery embolectomy
1274
142
00952
143
01112
144
Anesthesia for open procedures involving hip joint; not

otherwise specified
Anesthesia for open procedures involving hip joint; hip
disarticulation
Anesthesia for open procedures involving hip joint; total hip
arthroplasty
Anesthesia for open procedures involving hip joint; revision
of total hip arthroplasty
Anesthesia for all closed procedures involving upper twothirds of femur
Anesthesia for open procedures involving upper two-thirds of
femur; not otherwise specified
femur; amputation
femur; radical resection
Anesthesia for all procedures on nerves, muscles, tendons,
fascia, and bursae of upper leg
952
1112
1150
1160
1170
1180
1190
1210
1212
1214
1215
1220
1230
1232
1234
1250

fascia, and bursae of knee and/or popliteal area
167
01320
168
01340
169
01360
170
01380
Anesthesia for all closed procedures on knee joint
1380
171
01382
Anesthesia for diagnostic arthroscopic procedures of knee

joint
1382
172
01390
Anesthesia for all closed procedures on upper ends of tibia,

fibula, and/or patella
1390
173
01392
Anesthesia for all open procedures on upper ends of tibia,

fibula, and/or patella
1392
174
01400
Anesthesia for open or surgical arthroscopic procedures on

knee joint; not otherwise specified
1400
175
01402

knee joint; total knee arthroplasty
1402
176
01404
177
01420
178
01430
179
01432
180
01440
181
01442
182
01444
183
01462
184
01464
Anesthesia for arthroscopic procedures of ankle and/or foot
1464
185
01470
Anesthesia for procedures on nerves, muscles, tendons,

and fascia of lower leg, ankle, and foot; not otherwise
specified
1470
186
01472

and fascia of lower leg, ankle, and foot; repair of ruptured
Achilles tendon, with or without graft
1472
187
01474

and fascia of lower leg, ankle, and foot; gastrocnemius
recession (eg, Strayer procedure)
1474
Anesthesia for all closed procedures on lower one-third of

femur
Anesthesia for all open procedures on lower one-third of
femur

knee joint; disarticulation at knee
Anesthesia for all cast applications, removal, or repair
involving knee joint
Anesthesia for procedures on veins of knee and popliteal
area; not otherwise specified
Anesthesia for procedures on veins of knee and popliteal
area; arteriovenous fistula
Anesthesia for procedures on arteries of knee and popliteal
area; not otherwise specified
area; popliteal thromboendarterectomy, with or without patch
graft
area; popliteal excision and graft or repair for occlusion or
aneurysm
Anesthesia for all closed procedures on lower leg, ankle,
and foot
1320
1340
1360
1404
1420
1430
1432
1440
1442
1444
1462
Anesthesia for open procedures on bones of lower leg,

ankle, and foot; not otherwise specified
ankle, and foot; radical resection (including below knee
amputation)
188
01480
189
01482
190
01484
191
01486
192
01490
Anesthesia for lower leg cast application, removal, or repair
1490
193
01500
Anesthesia for procedures on arteries of lower leg, including

bypass graft; not otherwise specified
1500
194
01502
Anesthesia for procedures on arteries of lower leg, including

bypass graft; embolectomy, direct or with catheter
1502
195
01520
196
01522
197
01610

fascia, and bursae of shoulder and axilla
1610
198
01620
Anesthesia for all closed procedures on humeral head and

neck, sternoclavicular joint, acromioclavicular joint, and
shoulder joint
1620
199
01622
Anesthesia for diagnostic arthroscopic procedures of

shoulder joint
1622
200
01630

humeral head and neck, sternoclavicular joint,
acromioclavicular joint, and shoulder joint; not otherwise
specified
1630
201
01632

acromioclavicular joint, and shoulder joint; radical resection
1632
01634

acromioclavicular joint, and shoulder joint; shoulder
disarticulation
1634
01636

acromioclavicular joint, and shoulder joint;
interthoracoscapular (forequarter) amputation
1636
204
01638

acromioclavicular joint, and shoulder joint; total shoulder
replacement
1638
205
01650
Anesthesia for procedures on arteries of shoulder and axilla;

1650
202
203

ankle, and foot; osteotomy or osteoplasty of tibia and/or
fibula
ankle, and foot; total ankle replacement
Anesthesia for procedures on veins of lower leg; not

otherwise specified
Anesthesia for procedures on veins of lower leg; venous
thrombectomy, direct or with catheter
1480
1482
1484
1486
1520
1522

axillary-brachial aneurysm
bypass graft
axillary-femoral bypass graft
206
01652
207
01654
208
01656
209
01670
210
01680
211
01682
212
01710
213
01712

fascia, and bursae of upper arm and elbow; tenotomy, elbow
to shoulder, open
1712
214
01714

fascia, and bursae of upper arm and elbow; tenoplasty,
elbow to shoulder
1714
215
01716

fascia, and bursae of upper arm and elbow; tenodesis,
rupture of long tendon of biceps
1716
216
01730
Anesthesia for all closed procedures on humerus and elbow
1730
217
01732
218
01740
219
01742
220
01744
Anesthesia for open or surgical arthroscopic procedures of

the elbow; repair of nonunion or malunion of humerus
1744
221
01756

the elbow; radical procedures
1756
222
01758

the elbow; excision of cyst or tumor of humerus
1758
223
01760
224
01770
225
01772
226
01780
227
01782
228
01810
Anesthesia for all procedures on veins of shoulder and axilla

Anesthesia for shoulder cast application, removal or repair;
Anesthesia for shoulder cast application, removal or repair;
shoulder spica
fascia, and bursae of upper arm and elbow; not otherwise
specified
Anesthesia for diagnostic arthroscopic procedures of elbow

joint
the elbow; not otherwise specified
the elbow; osteotomy of humerus

the elbow; total elbow replacement
Anesthesia for procedures on arteries of upper arm and
elbow; not otherwise specified
Anesthesia for procedures on arteries of upper arm and
elbow; embolectomy
Anesthesia for procedures on veins of upper arm and elbow;
Anesthesia for procedures on veins of upper arm and elbow;
phleborrhaphy
fascia, and bursae of forearm, wrist, and hand
1652
1654
1656
1670
1680
1682
1710
1732
1740
1742
1760
1770
1772
1780
1782
1810
Anesthesia for all closed procedures on radius, ulna, wrist,

or hand bones
Anesthesia for diagnostic arthroscopic procedures on the
wrist
229
01820
230
01829
231
01830
Anesthesia for open or surgical arthroscopic/endoscopic

procedures on distal radius, distal ulna, wrist, or hand joints;
1830
232
01832
Anesthesia for open or surgical arthroscopic/endoscopic

procedures on distal radius, distal ulna, wrist, or hand joints;
total wrist replacement
1832
233
01840
234
01842
235
01844
236
01850
237
01852
238
01860
239
01905
Anesthesia for myelography, discography, vertebroplasty
1905
240
01916
1916
241
01920
Anesthesia for diagnostic arteriography/venography

Anesthesia for cardiac catheterization including coronary
angiography and ventriculography (not to include SwanGanz catheter)
242
01922
Anesthesia for non-invasive imaging or radiation therapy
1922
243
01924
Anesthesia for therapeutic interventional radiological

procedures involving the arterial system; not otherwise
specified
1924
244
01925
Anesthesia for therapeutic interventional radiologic

procedures involving the arterial system; carotid or coronary
1925
245
01926

procedures involving the arterial system; intracranial,
intracardiac, or aortic
1926
01930
Anesthesia for therapeutic interventional radiological

procedures involving the venous/lymphatic system (not to
include access to the central circulation); not otherwise
specified
1930
01931

include access to the central circulation); intrahepatic or
portal circulation (eg, transvenous intrahepatic portosystemic
shunt[s] [TIPS])
1931
246
247
Anesthesia for procedures on arteries of forearm, wrist, and

hand; not otherwise specified
Anesthesia for procedures on arteries of forearm, wrist, and
hand; embolectomy
Anesthesia for vascular shunt, or shunt revision, any type
(eg, dialysis)
Anesthesia for procedures on veins of forearm, wrist, and
hand; not otherwise specified
Anesthesia for procedures on veins of forearm, wrist, and
hand; phleborrhaphy
Anesthesia for forearm, wrist, or hand cast application,
removal, or repair
1820
1829
1840
1842
1844
1850
1852
1860
1920
248
01932

include access to the central circulation); intrathoracic or
jugular
249
01933

include access to the central circulation); intracranial
1933
01951
Anesthesia for second and third degree burn excision or

debridement with or without skin grafting, any site, for total
body surface area (TBSA) treated during anesthesia and
surgery; less than four percent total body surface area
1951
01952

surgery; between four and nine percent of total body surface
area
1952
252
01953

surgery; each additional nine percent total body surface area
or part thereof (List separately in addition to code for primary
procedure)
1953
253
01958
Anesthesia for external cephalic version procedure
1958
254
255
01960
01961
Anesthesia for vaginal delivery only

Anesthesia for cesarean delivery only
1960
1961
256
01962
Anesthesia for urgent hysterectomy following delivery
1962
257
01963
258
01964
250
251
Anesthesia for cesarean hysterectomy without any labor

analgesia/anesthesia care
Anesthesia for abortion procedures
1932
1963
1964
259
01967
Neuraxial labor analgesia/anesthesia for planned vaginal

delivery (this includes any repeat subarachnoid needle
placement and drug injection and/or any necessary
replacement of an epidural catheter during labor)
260
01968
Anesthesia for cesarean delivery following neuraxial labor

analgesia/anesthesia (List separately in addition to code for
primary procedure performed)
1968
261
01969
Anesthesia for cesarean hysterectomy following neuraxial

labor analgesia/anesthesia (List separately in addition to
code for primary procedure performed)
1969
262
01990
Physiological support for harvesting of organ(s) from braindead patient
1990
263
01991
Anesthesia for diagnostic or therapeutic nerve blocks and

injections (when block or injection is performed by a different
provider); other than the prone position
1991
1967
Anesthesia for diagnostic or therapeutic nerve blocks and

injections (when block or injection is performed by a different
provider); prone position
264
01992
265
01995
266
01996
267
10040
268
10060
269
10080
270
10120
271
10140
272
10160
273
11000
274
11010
275
11011
Debridement including removal of foreign material

associated with open fracture(s) and/or dislocation(s); skin,
subcutaneous tissue, muscle fascia, and muscle
11011
276
11012

associated with open fracture(s) and/or dislocation(s); skin,
subcutaneous tissue, muscle fascia, muscle, and bone
11012
277
11042
278
11055
279
11100
280
11200
Removal of skin tags, multiple fibrocutaneous tags, any

area; up to and including 15 lesions
11200
281
11300
Shaving of epidermal or dermal lesion, single lesion, trunk,

arms or legs; lesion diameter 0.5 cm or less
11300
282
11400
Excision, benign lesion including margins, except skin tag

(unless listed elsewhere), trunk, arms or legs; excised
diameter 0.5 cm or less
11400
283
11740
Evacuation of subungual hematoma
11740
Regional intravenous administration of local anesthetic

agent or other medication (upper or lower extremity)
Daily hospital management of epidural or subarachnoid
continuous drug administration
Acne surgery (eg, marsupialization, opening or removal of
multiple milia, comedones, cysts, pustules)
Incision and drainage of abscess (eg, carbuncle, suppurative
hidradenitis, cutaneous or subcutaneous abscess, cyst,
furuncle, or paronychia); simple or single
Incision and drainage of pilonidal cyst; simple
Incision and removal of foreign body, subcutaneous tissues;
simple
Incision and drainage of hematoma, seroma or fluid
collection
Puncture aspiration of abscess, hematoma, bulla, or cyst
Debridement of extensive eczematous or infected skin; up to
10% of body surface
associated with open fracture(s) and/or dislocation(s); skin
and subcutaneous tissues
Debridement; skin, and subcutaneous tissue

Paring or cutting of benign hyperkeratotic lesion (eg, corn or
callus); single lesion
Biopsy of skin, subcutaneous tissue and/or mucous
membrane (including simple closure), unless otherwise
listed; single lesion
1992
1995
1996
10040
10060
10080
10120
10140
10160
11000
11010
11042
11055
11100
Excision of nail and nail matrix, partial or complete (eg,

ingrown or deformed nail), for permanent removal;
284
11750
285
286
287
11770
11975
11976
288
11977
289
12001
Simple repair of superficial wounds of scalp, neck, axillae,

external genitalia, trunk and/or extremities (including hands
and feet); 2.5 cm or less
12001
290
12002

and feet); 2.6 cm to 7.5 cm
12002
291
12005

12005
292
12031
Repair, intermediate, wounds of scalp, axillae, trunk and/or

extremities (excluding hands and feet); 2.5 cm or less
12031
293
12032

extremities (excluding hands and feet); 2.6 cm to 7.5 cm
12032
294
12035

12035
295
13160
296
14000
Excision of pilonidal cyst or sinus; simple

Insertion, implantable contraceptive capsules
Removal, implantable contraceptive capsules
Removal with reinsertion, implantable contraceptive
capsules
Secondary closure of surgical wound or dehiscence,

extensive or complicated
Adjacent tissue transfer or rearrangement, trunk; defect 10
sq cm or less
11750
11770
11975
11976
11977
13160
14000
297
15000
Surgical preparation or creation of recipient site by excision

of open wounds, burn eschar, or scar (including
subcutaneous tissues), or incisional release of scar
contracture; first 100 sq cm or 1% of body area of infants
and children
298
15050
Pinch graft, single or multiple, to cover small ulcer, tip of

digit, or other minimal open area (except on face), up to
defect size 2 cm diameter
15050
299
15350
Application of allograft, skin; 100 sq cm or less
15350
300
15400
Xenograft, skin (dermal), for temporary wound closure,

trunk, arms, legs; first 100 sq cm or less, or 1% of body area
of infants and children
15400
301
15570
302
15600
Formation of direct or tubed pedicle, with or without transfer;

trunk
Delay of flap or sectioning of flap (division and inset); at
trunk
15000
15570
15600
303
15650
304
15732
305
15740
306
15756
307
15780
308
309
310
311
15819
15820
15822
15824
312
15831
313
15840
314
15850
315
15851
316
15852
317
318
Transfer, intermediate, of any pedicle flap (eg, abdomen to

wrist, Walking tube), any location
Muscle, myocutaneous, or fasciocutaneous flap; head and
neck (eg, temporalis, masseter muscle, sternocleidomastoid,
levator scapulae)
Flap; island pedicle
Free muscle or myocutaneous flap with microvascular
anastomosis
Dermabrasion; total face (eg, for acne scarring, fine
wrinkling, rhytids, general keratosis)
15650
15732
15740
15756
15780
15819
15820
15822
15824
15876
15877
Cervicoplasty
Blepharoplasty, lower eyelid;
Blepharoplasty, upper eyelid;
Rhytidectomy; forehead
Excision, excessive skin and subcutaneous tissue (includes
lipectomy); abdomen (abdominoplasty)
Graft for facial nerve paralysis; free fascia graft (including
obtaining fascia)
Removal of sutures under anesthesia (other than local),
same surgeon
Removal of sutures under anesthesia (other than local),
other surgeon
Dressing change (for other than burns) under anesthesia
(other than local)
Suction assisted lipectomy; head and neck
Suction assisted lipectomy; trunk
319
15878
Suction assisted lipectomy; upper extremity
15878
320
15879
Suction assisted lipectomy; lower extremity
15879
321
15920
322
15933
323
16000
324
16010
325
16035
326
16040
Excision burn wound, without skin grafting, employing

alloplastic dressing (eg, synthetic mesh), any anatomic site;
up to 1% total body surface area
16040
327
17000
Destruction (eg, laser surgery, electrosurgery, cryosurgery,

chemosurgery, surgical curettement), premalignant lesions
(eg, actinic keratoses); first lesion
17000
328
17250
Chemical cauterization of granulation tissue (proud flesh,

sinus or fistula)
17250
Excision, coccygeal pressure ulcer, with coccygectomy; with

primary suture
Excision, sacral pressure ulcer, with primary suture; with
ostectomy
Initial treatment, first degree burn, when no more than local
treatment is required
Dressings and/or debridement, initial or subsequent; under
anesthesia, small
Escharotomy; initial incision
15831
15840
15850
15851
15852
15876
15877
15920
15933
16000
16010
16035
17260
Destruction, malignant lesion (eg, laser surgery,

electrosurgery, cryosurgery, chemosurgery, surgical
curettement), trunk, arms or legs; lesion diameter 0.5 cm or
less
17260
330
17304
Chemosurgery (Mohs micrographic technique), including

removal of all gross tumor, surgical excision of tissue
specimens, mapping, color coding of specimens,
microscopic examination of specimens by the surgeon, and
complete histopathologic preparation including the first
routine stain (eg, hematoxylin and eosin, toluidine blue); first
stage, fresh tissue technique, up to 5 specimens
17304
331
17340
Cryotherapy (CO2 slush, liquid N2) for acne
17340
332
17360
Chemical exfoliation for acne (eg, acne paste, acid)
17360
333
19000
Puncture aspiration of cyst of breast;
19000
334
19020
Mastotomy with exploration or drainage of abscess, deep
19020
335
19030
336
19100
337
19101
338
19102
339
19103
329
Injection procedure only for mammary ductogram or

galactogram
Biopsy of breast; percutaneous, needle core, not using
imaging guidance (separate procedure)
Biopsy of breast; open, incisional
Biopsy of breast; percutaneous, needle core, using imaging
guidance
Biopsy of breast; percutaneous, automated vacuum assisted
or rotating biopsy device, using imaging guidance
Excision of cyst, fibroadenoma, or other benign or malignant
tumor, aberrant breast tissue, duct lesion, nipple or areolar
lesion (except 19300), open, male or female, 1 or more
lesions
Mastectomy for gynecomastia
Mastectomy, partial (eg, lumpectomy, tylectomy,
quadrantectomy, segmentectomy);
quadrantectomy, segmentectomy); with axillary
lymphadenectomy
Mastectomy, simple, complete
Mastectomy, subcutaneous
Mastectomy, radical, including pectoral muscles, axillary
lymph nodes
19030
19100
19101
19102
19103
340
19120
19120
341
19140
342
19160
343
19162
344
345
19180
19182
346
19200
347
19220
Mastectomy, radical, including pectoral muscles, axillary and

internal mammary lymph nodes (Urban type operation)
19220
348
19260
Excision of chest wall tumor including ribs
19260
349
19272
Excision of chest wall tumor involving ribs, with plastic

reconstruction; with mediastinal lymphadenectomy
19272
350
19290
Preoperative placement of needle localization wire, breast;
19290
19140
19160
19162
19180
19182
19200
351
352
353
354
355
19316
19318
19324
19325
19328
Mastopexy
Reduction mammaplasty
Mammaplasty, augmentation; without prosthetic implant
Mammaplasty, augmentation; with prosthetic implant
Removal of intact mammary implant
Immediate insertion of breast prosthesis following
mastopexy, mastectomy or in reconstruction
Nipple/areola reconstruction
Correction of inverted nipples
Breast reconstruction, immediate or delayed, with tissue
expander, including subsequent expansion
Breast reconstruction with latissimus dorsi flap, without
prosthetic implant
Breast reconstruction with free flap
Breast reconstruction with other technique
Open periprosthetic capsulotomy, breast
Periprosthetic capsulectomy, breast
Revision of reconstructed breast
Incision of soft tissue abscess (eg, secondary to
osteomyelitis); superficial
Incision of soft tissue abscess (eg, secondary to
osteomyelitis); deep or complicated
19316
19318
19324
19325
19328
356
19340
357
358
19350
19355
359
19357
360
19361
361
362
363
364
365
19364
19366
19370
19371
19380
366
20000
367
20005
368
20100
Exploration of penetrating wound (separate procedure); neck
20100
369
20200
20200
370
20220
Biopsy, muscle; superficial

Biopsy, bone, trocar, or needle; superficial (eg, ilium,
sternum, spinous process, ribs)
371
20500
Injection of sinus tract; therapeutic (separate procedure)
20500
372
20520
Removal of foreign body in muscle or tendon sheath; simple
20520
373
20600
Arthrocentesis, aspiration and/or injection; small joint or

bursa (eg, fingers, toes)
20600
374
20605
Arthrocentesis, aspiration and/or injection; intermediate joint

or bursa (eg, temporomandibular, acromioclavicular, wrist,
elbow or ankle, olecranon bursa)
20605
375
20610
Arthrocentesis, aspiration and/or injection; major joint or

bursa (eg, shoulder, hip, knee joint, subacromial bursa)
20610
376
20615
Aspiration and injection for treatment of bone cyst
20615
377
20650
Insertion of wire or pin with application of skeletal traction,

including removal (separate procedure)
20650
378
20660
Application of cranial tongs, caliper, or stereotactic frame,

including removal (separate procedure)
20660
379
20661
Application of halo, including removal; cranial
20661
19340
19350
19355
19357
19361
19364
19366
19370
19371
19380
20000
20005
20220
380
20664
Application of halo, including removal, cranial, 6 or more

pins placed, for thin skull osteology (eg, pediatric patients,
hydrocephalus, osteogenesis imperfecta), requiring general
anesthesia
381
20670
Removal of implant; superficial (eg, buried wire, pin or rod)

(separate procedure)
20670
382
20680
Removal of implant; deep (eg, buried wire, pin, screw, metal

band, nail, rod or plate)
20680
383
20690
384
20692
385
20694
Removal, under anesthesia, of external fixation system
20694
386
20802
Replantation, arm (includes surgical neck of humerus

through elbow joint), complete amputation
20802
387
20805
Replantation, forearm (includes radius and ulna to radial

carpal joint), complete amputation
20805
388
20808
Replantation, hand (includes hand through

metacarpophalangeal joints), complete amputation
20808
389
20816
390
20824
391
20838
392
20900
393
20910
Replantation, digit, excluding thumb (includes

metacarpophalangeal joint to insertion of flexor sublimis
tendon), complete amputation
Replantation, thumb (includes carpometacarpal joint to MP
joint), complete amputation
Replantation, foot, complete amputation
Bone graft, any donor area; minor or small (eg, dowel or
button)
Cartilage graft; costochondral
394
20926
Tissue grafts, other (eg, paratenon, fat, dermis)
20926
395
20950
Monitoring of interstitial fluid pressure (includes insertion of

device, eg, wick catheter technique, needle manometer
technique) in detection of muscle compartment syndrome
20950
396
20955
Bone graft with microvascular anastomosis; fibula
20955
397
20969
Free osteocutaneous flap with microvascular anastomosis;

other than iliac crest, metatarsal, or great toe
20969
398
20974
399
20975
400
21010
Application of a uniplane (pins or wires in 1 plane),

unilateral, external fixation system
Application of a multiplane (pins or wires in more than 1
plane), unilateral, external fixation system (eg, Ilizarov,
Monticelli type)
Electrical stimulation to aid bone healing; noninvasive

(nonoperative)
Electrical stimulation to aid bone healing; invasive
(operative)
Arthrotomy, temporomandibular joint
20664
20690
20692
20816
20824
20838
20900
20910
20974
20975
21010
Radical resection of tumor (eg, malignant neoplasm), soft

tissue of face or scalp; less than 2 cm
401
21015
402
21025
403
21026
404
21030
405
406
21031
21034
407
21040
408
21044
Excision of bone (eg, for osteomyelitis or bone abscess);

mandible
Excision of bone (eg, for osteomyelitis or bone abscess);
facial bone(s)
Excision of benign tumor or cyst of maxilla or zygoma by
enucleation and curettage
Excision of torus mandibularis
Excision of malignant tumor of maxilla or zygoma
Excision of benign tumor or cyst of mandible, by enucleation
and/or curettage
Excision of malignant tumor of mandible;
409
21045
Excision of malignant tumor of mandible; radical resection
410
21050
411
21060
412
21070
413
21076
414
21110
Application of interdental fixation device for conditions other

than fracture or dislocation, includes removal
21110
415
21120
Genioplasty; augmentation (autograft, allograft, prosthetic

material)
21120
416
21125
Augmentation, mandibular body or angle; prosthetic material
21125
417
21141
Reconstruction midface, LeFort I; single piece, segment

movement in any direction (eg, for Long Face Syndrome),
without bone graft
21141
418
21150
Reconstruction midface, LeFort II; anterior intrusion (eg,

Treacher-Collins Syndrome)
21150
419
21154
Reconstruction midface, LeFort III (extracranial), any type,

requiring bone grafts (includes obtaining autografts); without
LeFort I
21154
420
21155
Reconstruction midface, LeFort III (extracranial), any type,

requiring bone grafts (includes obtaining autografts); with
LeFort I
21155
421
21172
Reconstruction superior-lateral orbital rim and lower

forehead, advancement or alteration, with or without grafts
(includes obtaining autografts)
21172
422
21175
Reconstruction, bifrontal, superior-lateral orbital rims and

lower forehead, advancement or alteration (eg,
plagiocephaly, trigonocephaly, brachycephaly), with or
without grafts (includes obtaining autografts)
21175
423
21179
Reconstruction, entire or majority of forehead and/or

supraorbital rims; with grafts (allograft or prosthetic material)
21179
Condylectomy, temporomandibular joint (separate

procedure)
Meniscectomy, partial or complete, temporomandibular joint
Coronoidectomy (separate procedure)
Impression and custom preparation; surgical obturator
prosthesis
21015
21025
21026
21030
21031
21034
21040
21044
21045
21050
21060
21070
21076
424
21188
Reconstruction midface, osteotomies (other than LeFort

type) and bone grafts (includes obtaining autografts)
21188
425
21193
Reconstruction of mandibular rami, horizontal, vertical, C, or

L osteotomy; without bone graft
21193
426
21194
Reconstruction of mandibular rami, horizontal, vertical, C, or

L osteotomy; with bone graft (includes obtaining graft)
21194
427
21195
428
21198
429
21206
430
21208
431
21210
432
21230
433
21240
434
21243
435
21244
436
21245
437
21247
438
21248
439
21255
440
21256
441
21270
Reconstruction of orbit with osteotomies (extracranial) and

with bone grafts (includes obtaining autografts) (eg, microophthalmia)
Malar augmentation, prosthetic material
442
21275
Secondary revision of orbitocraniofacial reconstruction
21275
443
21300
Closed treatment of skull fracture without operation
21300
444
21310
Closed treatment of nasal bone fracture without

manipulation
21310
445
21315
Closed treatment of nasal bone fracture; without stabilization
21315
446
21325
Open treatment of nasal fracture; uncomplicated
21325
447
21336
Open treatment of nasal septal fracture, with or without

stabilization
21336
Reconstruction of mandibular rami and/or body, sagittal split;

without internal rigid fixation
Osteotomy, mandible, segmental;
Osteotomy, maxilla, segmental (eg, Wassmund or
Schuchard)
Osteoplasty, facial bones; augmentation (autograft, allograft,
or prosthetic implant)
Graft, bone; nasal, maxillary or malar areas (includes
obtaining graft)
Graft; rib cartilage, autogenous, to face, chin, nose or ear
(includes obtaining graft)
Arthroplasty, temporomandibular joint, with or without
autograft (includes obtaining graft)
Arthroplasty, temporomandibular joint, with prosthetic joint
replacement
Reconstruction of mandible, extraoral, with transosteal bone
plate (eg, mandibular staple bone plate)
Reconstruction of mandible or maxilla, subperiosteal
implant; partial
Reconstruction of mandibular condyle with bone and
cartilage autografts (includes obtaining grafts) (eg, for
hemifacial microsomia)
Reconstruction of mandible or maxilla, endosteal implant
(eg, blade, cylinder); partial
Reconstruction of zygomatic arch and glenoid fossa with
bone and cartilage (includes obtaining autografts)
21195
21198
21206
21208
21210
21230
21240
21243
21244
21245
21247
21248
21255
21256
21270
Closed treatment of nasal septal fracture, with or without

stabilization
Open treatment of nasoethmoid fracture; without external
fixation
448
21337
449
21338
450
21340
Percutaneous treatment of nasoethmoid complex fracture,

with splint, wire or headcap fixation, including repair of
canthal ligaments and/or the nasolacrimal apparatus
21340
451
21343
Open treatment of depressed frontal sinus fracture
21343
452
21345
453
21346
454
21347
455
21355
456
21356
457
21360
458
21365
459
21385
460
21400
461
21406
462
21421
463
21422
464
21431
465
21432
466
21440
467
21445
468
21450
469
21452
Closed treatment of nasomaxillary complex fracture (LeFort

II type), with interdental wire fixation or fixation of denture or
splint
Open treatment of nasomaxillary complex fracture (LeFort II
type); with wiring and/or local fixation
type); requiring multiple open approaches
Percutaneous treatment of fracture of malar area, including
zygomatic arch and malar tripod, with manipulation
Open treatment of depressed zygomatic arch fracture (eg,
Gillies approach)
Open treatment of depressed malar fracture, including
zygomatic arch and malar tripod
Open treatment of complicated (eg, comminuted or involving
cranial nerve foramina) fracture(s) of malar area, including
zygomatic arch and malar tripod; with internal fixation and
multiple surgical approaches
Open treatment of orbital floor blowout fracture; transantral
approach (Caldwell-Luc type operation)
Closed treatment of fracture of orbit, except blowout; without
manipulation
Open treatment of fracture of orbit, except blowout; without
implant
Closed treatment of palatal or maxillary fracture (LeFort I
type), with interdental wire fixation or fixation of denture or
splint
Open treatment of palatal or maxillary fracture (LeFort I
type);
Closed treatment of craniofacial separation (LeFort III type)
using interdental wire fixation of denture or splint
Open treatment of craniofacial separation (LeFort III type);
with wiring and/or internal fixation
Closed treatment of mandibular or maxillary alveolar ridge
fracture (separate procedure)
Open treatment of mandibular or maxillary alveolar ridge
fracture (separate procedure)
Closed treatment of mandibular fracture; without
manipulation
Percutaneous treatment of mandibular fracture, with external
fixation
21337
21338
21345
21346
21347
21355
21356
21360
21365
21385
21400
21406
21421
21422
21431
21432
21440
21445
21450
21452
470
21453
Closed treatment of mandibular fracture with interdental

fixation
21453
471
21454
Open treatment of mandibular fracture with external fixation
21454
472
21461
473
21462
474
21465
475
21470
476
21480
477
21490
Closed treatment of temporomandibular dislocation; initial or

subsequent
Open treatment of temporomandibular dislocation
478
21493
Closed treatment of hyoid fracture; without manipulation
21493
479
21495
21495
480
21501
481
21510
482
21555
483
484
485
486
487
21600
21610
21620
21627
21630
Open treatment of hyoid fracture

Incision and drainage, deep abscess or hematoma, soft
tissues of neck or thorax;
Incision, deep, with opening of bone cortex (eg, for
osteomyelitis or bone abscess), thorax
Excision, tumor, soft tissue of neck or anterior thorax,
subcutaneous; less than 3 cm
Excision of rib, partial
Costotransversectomy (separate procedure)
Ostectomy of sternum, partial
Sternal debridement
Radical resection of sternum;
488
21700
Division of scalenus anticus; without resection of cervical rib
21700
489
21720
490
21740
491
21750
492
21800
Closed treatment of rib fracture, uncomplicated, each
21800
493
21805
Open treatment of rib fracture without fixation, each
21805
494
21810
495
21820
496
21825
497
21930
498
21935
Open treatment of mandibular fracture; without interdental

fixation
Open treatment of mandibular fracture; with interdental
fixation
Open treatment of mandibular condylar fracture
Open treatment of complicated mandibular fracture by
multiple surgical approaches including internal fixation,
interdental fixation, and/or wiring of dentures or splints
Division of sternocleidomastoid for torticollis, open operation;

without cast application
Reconstructive repair of pectus excavatum or carinatum;
open
Closure of median sternotomy separation with or without
debridement (separate procedure)
Treatment of rib fracture requiring external fixation (flail

chest)
Closed treatment of sternum fracture
Open treatment of sternum fracture with or without skeletal
fixation
Excision, tumor, soft tissue of back or flank, subcutaneous;
less than 3 cm
tissue of back or flank; less than 5 cm
21461
21462
21465
21470
21480
21490
21501
21510
21555
21600
21610
21620
21627
21630
21720
21740
21750
21810
21820
21825
21930
21935
499
22100
Partial excision of posterior vertebral component (eg,

spinous process, lamina or facet) for intrinsic bony lesion,
single vertebral segment; cervical
22100
500
22210
Osteotomy of spine, posterior or posterolateral approach, 1

vertebral segment; cervical
22210
501
22220
Osteotomy of spine, including discectomy, anterior

approach, single vertebral segment; cervical
22220
502
22305
Closed treatment of vertebral process fracture(s)
22305
503
22310
Closed treatment of vertebral body fracture(s), without

manipulation, requiring and including casting or bracing
22310
504
22318
Open treatment and/or reduction of odontoid fracture(s) and

or dislocation(s) (including os odontoideum), anterior
approach, including placement of internal fixation; without
grafting
22318
505
22325
Open treatment and/or reduction of vertebral fracture(s)

and/or dislocation(s), posterior approach, 1 fractured
vertebra or dislocated segment; lumbar
22325
506
22505
Manipulation of spine requiring anesthesia, any region
22505
507
22548
Arthrodesis, anterior transoral or extraoral technique, clivusC1-C2 (atlas-axis), with or without excision of odontoid
process
22548
508
22590
Arthrodesis, posterior technique, craniocervical (occiput-C2)
22590
509
22800
510
22808
511
22818
Kyphectomy, circumferential exposure of spine and

resection of vertebral segment(s) (including body and
posterior elements); single or 2 segments
22818
512
22830
Exploration of spinal fusion
22830
513
22840
Posterior non-segmental instrumentation (eg, Harrington rod

technique, pedicle fixation across 1 interspace, atlantoaxial
transarticular screw fixation, sublaminar wiring at C1, facet
screw fixation) (List separately in addition to code for primary
procedure)
22840
514
22841
Internal spinal fixation by wiring of spinous processes (List

separately in addition to code for primary procedure)
22841
515
22842
Posterior segmental instrumentation (eg, pedicle fixation,

dual rods with multiple hooks and sublaminar wires); 3 to 6
vertebral segments (List separately in addition to code for
primary procedure)
22842
516
22845
Anterior instrumentation; 2 to 3 vertebral segments (List

22845
Arthrodesis, posterior, for spinal deformity, with or without

cast; up to 6 vertebral segments
Arthrodesis, anterior, for spinal deformity, with or without
cast; 2 to 3 vertebral segments
22800
22808
517
22848
518
22849
519
22850
Pelvic fixation (attachment of caudal end of instrumentation

to pelvic bony structures) other than sacrum (List separately
in addition to code for primary procedure)
Reinsertion of spinal fixation device
Removal of posterior nonsegmental instrumentation (eg,
Harrington rod)
22848
22849
22850
520
22851
Application of intervertebral biomechanical device(s) (eg,

synthetic cage(s), threaded bone dowel(s),
methylmethacrylate) to vertebral defect or interspace (List
521
22852
Removal of posterior segmental instrumentation
22852
522
22855
Removal of anterior instrumentation
22855
523
23000
Removal of subdeltoid calcareous deposits, open
23000
524
23030
525
23035
526
23040
527
23044
Arthrotomy, acromioclavicular, sternoclavicular joint,

including exploration, drainage, or removal of foreign body
23044
528
23077

tissue of shoulder area; less than 5 cm
23077
529
23120
530
23130
531
23140
532
23170
533
23174
534
23180
Partial excision (craterization, saucerization, or

diaphysectomy) bone (eg, osteomyelitis), clavicle
23180
535
23190
Ostectomy of scapula, partial (eg, superior medial angle)
23190
536
537
538
23200
23220
23330
23200
23220
23330
539
23332
Radical resection of tumor; clavicle

Radical resection of tumor, proximal humerus
Removal of foreign body, shoulder; subcutaneous
Removal of foreign body, shoulder; complicated (eg, total
shoulder)
540
23395
Muscle transfer, any type, shoulder or upper arm; single
23395
541
23400
Scapulopexy (eg, Sprengels deformity or for paralysis)
23400
542
23405
Tenotomy, shoulder area; single tendon
23405
Incision and drainage, shoulder area; deep abscess or

hematoma
Incision, bone cortex (eg, osteomyelitis or bone abscess),
shoulder area
Arthrotomy, glenohumeral joint, including exploration,
drainage, or removal of foreign body
Claviculectomy; partial
Acromioplasty or acromionectomy, partial, with or without
coracoacromial ligament release
Excision or curettage of bone cyst or benign tumor of
clavicle or scapula;
Sequestrectomy (eg, for osteomyelitis or bone abscess),
clavicle
humeral head to surgical neck
22851
23030
23035
23040
23120
23130
23140
23170
23174
23332
Repair of ruptured musculotendinous cuff (eg, rotator cuff)

open; acute
Coracoacromial ligament release, with or without
acromioplasty
Reconstruction of complete shoulder (rotator) cuff avulsion,
chronic (includes acromioplasty)
Tenodesis of long tendon of biceps
Resection or transplantation of long tendon of biceps
Capsulorrhaphy, anterior; Putti-Platt procedure or Magnuson
type operation
Capsulorrhaphy, glenohumeral joint, posterior, with or
without bone block
543
23410
544
23415
545
23420
546
547
23430
23440
548
23450
549
23465
550
23470
Arthroplasty, glenohumeral joint; hemiarthroplasty
23470
551
23480
23480
552
23490
Osteotomy, clavicle, with or without internal fixation;

Prophylactic treatment (nailing, pinning, plating or wiring)
with or without methylmethacrylate; clavicle
553
23500
Closed treatment of clavicular fracture; without manipulation
23500
554
23515
555
23520
556
23530
557
23540
558
23550
559
23570
Closed treatment of scapular fracture; without manipulation
23570
560
23585
Open treatment of scapular fracture (body, glenoid or

acromion) includes internal fixation, when performed
23585
561
23600
Closed treatment of proximal humeral (surgical or

anatomical neck) fracture; without manipulation
23600
562
23615
Open treatment of proximal humeral (surgical or anatomical

neck) fracture, includes internal fixation, when performed,
includes repair of tuberosity(s), when performed;
23615
563
23620
564
23630
565
23650
566
23660
567
23665
Closed treatment of shoulder dislocation, with fracture of

greater humeral tuberosity, with manipulation
23665
568
23700
Manipulation under anesthesia, shoulder joint, including

application of fixation apparatus (dislocation excluded)
23700
Open treatment of clavicular fracture, includes internal

fixation, when performed
Closed treatment of sternoclavicular dislocation; without
manipulation
Open treatment of sternoclavicular dislocation, acute or
chronic;
Closed treatment of acromioclavicular dislocation; without
manipulation
Open treatment of acromioclavicular dislocation, acute or
chronic;
Closed treatment of greater humeral tuberosity fracture;

without manipulation
Open treatment of greater humeral tuberosity fracture,
includes internal fixation, when performed
Closed treatment of shoulder dislocation, with manipulation;
without anesthesia
Open treatment of acute shoulder dislocation
23410
23415
23420
23430
23440
23450
23465
23490
23515
23520
23530
23540
23550
23620
23630
23650
23660
569
570
571
23800
23900
23920
Arthrodesis, glenohumeral joint;

Interthoracoscapular amputation (forequarter)
Disarticulation of shoulder;
Incision and drainage, upper arm or elbow area; deep
abscess or hematoma
572
23930
573
23935
574
24000
575
24006
576
24075
577
24077
578
24105
579
24110
580
24130
581
24134
582
24140

diaphysectomy) bone (eg, osteomyelitis), humerus
24140
583
24149
Radical resection of capsule, soft tissue, and heterotopic

bone, elbow, with contracture release (separate procedure)
24149
584
24150
Radical resection of tumor, shaft or distal humerus
24150
585
586
24155
24160
24155
24160
587
24200
588
24201
589
24301
Resection of elbow joint (arthrectomy)

Implant removal; elbow joint
Removal of foreign body, upper arm or elbow area;
subcutaneous
Removal of foreign body, upper arm or elbow area; deep
(subfascial or intramuscular)
Muscle or tendon transfer, any type, upper arm or elbow,
single (excluding 24320-24331)
590
24305
Tendon lengthening, upper arm or elbow, each tendon
24305
591
24310
Tenotomy, open, elbow to shoulder, each tendon
24310
592
24320
Tenoplasty, with muscle transfer, with or without free graft,

elbow to shoulder, single (Seddon-Brookes type procedure)
24320
593
24330
Flexor-plasty, elbow (eg, Steindler type advancement);
24330
594
24340
Tenodesis of biceps tendon at elbow (separate procedure)
24340
595
24342
596
24350
Incision, deep, with opening of bone cortex (eg, for

osteomyelitis or bone abscess), humerus or elbow
Arthrotomy, elbow, including exploration, drainage, or
removal of foreign body
Arthrotomy of the elbow, with capsular excision for capsular
release (separate procedure)
Excision, tumor, soft tissue of upper arm or elbow area,
tissue of upper arm or elbow area; less than 5 cm
Excision, olecranon bursa
Excision or curettage of bone cyst or benign tumor,
humerus;
Excision, radial head
shaft or distal humerus
Reinsertion of ruptured biceps or triceps tendon, distal, with

or without tendon graft
Fasciotomy, lateral or medial (eg, tennis elbow or
epicondylitis);
23800
23900
23920
23930
23935
24000
24006
24075
24077
24105
24110
24130
24134
24200
24201
24301
24342
24350
597
24360
Arthroplasty, elbow; with membrane (eg, fascial)
24360
598
24400
24400
599
24420
600
24430
601
24470
602
24495
Osteotomy, humerus, with or without internal fixation

Osteoplasty, humerus (eg, shortening or lengthening)
(excluding 64876)
Repair of nonunion or malunion, humerus; without graft (eg,
compression technique)
Hemiepiphyseal arrest (eg, cubitus varus or valgus, distal
humerus)
Decompression fasciotomy, forearm, with brachial artery
exploration
603
24498
604
24500
605
24515
606
24538
607
24545
Open treatment of humeral supracondylar or transcondylar

fracture, includes internal fixation, when performed; without
intercondylar extension
24545
608
24586
Open treatment of periarticular fracture and/or dislocation of

the elbow (fracture distal humerus and proximal ulna and/or
proximal radius);
24586
609
24600
Treatment of closed elbow dislocation; without anesthesia
24600
610
24615
Open treatment of acute or chronic elbow dislocation
24615
611
24620
Closed treatment of Monteggia type of fracture dislocation at

elbow (fracture proximal end of ulna with dislocation of radial
head), with manipulation
24620
612
24635
Open treatment of Monteggia type of fracture dislocation at

head), includes internal fixation, when performed
24635
613
24640
614
24650
615
24665
Open treatment of radial head or neck fracture, includes

internal fixation or radial head excision, when performed;
24665
616
24670
Closed treatment of ulnar fracture, proximal end (eg,

olecranon or coronoid process[es]); without manipulation
24670
617
24685
618
24800
Prophylactic treatment (nailing, pinning, plating or wiring),

with or without methylmethacrylate, humeral shaft
Closed treatment of humeral shaft fracture; without
manipulation
Open treatment of humeral shaft fracture with plate/screws,
with or without cerclage
Percutaneous skeletal fixation of supracondylar or
transcondylar humeral fracture, with or without intercondylar
extension
Closed treatment of radial head subluxation in child,

nursemaid elbow, with manipulation
Closed treatment of radial head or neck fracture; without
manipulation
Open treatment of ulnar fracture, proximal end (eg,

olecranon or coronoid process[es]), includes internal fixation,
when performed
Arthrodesis, elbow joint; local
24420
24430
24470
24495
24498
24500
24515
24538
24640
24650
24685
24800
619
24900
Amputation, arm through humerus; with primary closure
24900
620
24935
24935
621
25000
622
25020
623
25028
624
25035
625
25040
626
25075
Stump elongation, upper extremity

Incision, extensor tendon sheath, wrist (eg, deQuervains
disease)
Decompression fasciotomy, forearm and/or wrist, flexor OR
extensor compartment; without debridement of nonviable
muscle and/or nerve
Incision and drainage, forearm and/or wrist; deep abscess or
hematoma
Incision, deep, bone cortex, forearm and/or wrist (eg,
osteomyelitis or bone abscess)
Arthrotomy, radiocarpal or midcarpal joint, with exploration,
drainage, or removal of foreign body
Excision, tumor, soft tissue of forearm and/or wrist area,
627
25077

tissue of forearm and/or wrist area; less than 3 cm
25077
628
629
630
25085
25100
25105
Capsulotomy, wrist (eg, contracture)

Arthrotomy, wrist joint; with biopsy
Arthrotomy, wrist joint; with synovectomy
25085
25100
25105
631
25110
Excision, lesion of tendon sheath, forearm and/or wrist
25110
632
25111
Excision of ganglion, wrist (dorsal or volar); primary
25111
633
25115
Radical excision of bursa, synovia of wrist, or forearm

tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other
granulomas, rheumatoid arthritis); flexors
25115
634
25118
635
25120
636
25145
637
25150
638
639
640
641
25170
25210
25215
25230
642
25248
643
25000
25020
25028
25035
25040
25075
Synovectomy, extensor tendon sheath, wrist, single

compartment;
Excision or curettage of bone cyst or benign tumor of radius
or ulna (excluding head or neck of radius and olecranon
process);
forearm and/or wrist
25120

diaphysectomy) of bone (eg, for osteomyelitis); ulna
25150
25118
25145
Radical resection of tumor, radius or ulna

Carpectomy; 1 bone
Carpectomy; all bones of proximal row
Radial styloidectomy (separate procedure)
Exploration with removal of deep foreign body, forearm or
wrist
25170
25210
25215
25230
25250
Removal of wrist prosthesis; (separate procedure)
25250
644
25260
Repair, tendon or muscle, flexor, forearm and/or wrist;

primary, single, each tendon or muscle
25260
645
25280
Lengthening or shortening of flexor or extensor tendon,

forearm and/or wrist, single, each tendon
25280
25248
Tenotomy, open, flexor or extensor tendon, forearm and/or

wrist, single, each tendon
Tenolysis, flexor or extensor tendon, forearm and/or wrist,
single, each tendon
Tenodesis at wrist; flexors of fingers
Tendon transplantation or transfer, flexor or extensor,
forearm and/or wrist, single; each tendon
646
25290
647
25295
648
25300
649
25310
650
25315
Flexor origin slide (eg, for cerebral palsy, Volkmann

contracture), forearm and/or wrist;
25315
651
25320
Capsulorrhaphy or reconstruction, wrist, open (eg,

capsulodesis, ligament repair, tendon transfer or graft)
(includes synovectomy, capsulotomy and open reduction) for
carpal instability
25320
652
25332
Arthroplasty, wrist, with or without interposition, with or

without external or internal fixation
25332
653
25335
Centralization of wrist on ulna (eg, radial club hand)
25335
654
25337
Reconstruction for stabilization of unstable distal ulna or

distal radioulnar joint, secondary by soft tissue stabilization
(eg, tendon transfer, tendon graft or weave, or tenodesis)
with or without open reduction of distal radioulnar joint
25337
655
656
25350
25390
657
25440
658
25441
659
25449
660
25450
661
25490
662
25500
663
25515
Osteotomy, radius; distal third

Osteoplasty, radius OR ulna; shortening
Repair of nonunion, scaphoid carpal (navicular) bone, with
or without radial styloidectomy (includes obtaining graft and
necessary fixation)
Arthroplasty with prosthetic replacement; distal radius
Revision of arthroplasty, including removal of implant, wrist
joint
Epiphyseal arrest by epiphysiodesis or stapling; distal radius
OR ulna
with or without methylmethacrylate; radius
Closed treatment of radial shaft fracture; without
manipulation
Open treatment of radial shaft fracture, includes internal
664
25526

fixation, when performed, and open treatment of distal
radioulnar joint dislocation (Galeazzi fracture/ dislocation),
includes internal fixation, when performed, includes repair of
triangular fibrocartilage complex
665
25574
Open treatment of radial AND ulnar shaft fractures, with

internal fixation, when performed; of radius OR ulna
25290
25295
25300
25310
25350
25390
25440
25441
25449
25450
25490
25500
25515
25526
25574
666
25611
Percutaneous skeletal fixation of distal radial fracture (eg,

Colles or Smith type) or epiphyseal separation, with or
without fracture of ulnar styloid, requiring manipulation, with
or without external fixation
667
25620
Open treatment of distal radial fracture (eg, Colles or Smith

type) or epiphyseal separation, with or without fracture of
ulnar styloid, with or without internal or external fixation
668
25622
669
25628
670
25630
671
25645
672
25650
673
25660
674
25675
675
25676
676
25680
677
25685
678
25690
Closed treatment of lunate dislocation, with manipulation
25690
679
25695
Open treatment of lunate dislocation
25695
680
25800
Arthrodesis, wrist; complete, without bone graft (includes

radiocarpal and/or intercarpal and/or carpometacarpal joints)
25800
681
682
683
25900
25915
25920
684
25922
685
686
Closed treatment of carpal scaphoid (navicular) fracture;

Open treatment of carpal scaphoid (navicular) fracture,
Closed treatment of carpal bone fracture (excluding carpal
scaphoid [navicular]); without manipulation, each bone
Open treatment of carpal bone fracture (other than carpal
scaphoid [navicular]); each bone
Closed treatment of ulnar styloid fracture
Closed treatment of radiocarpal or intercarpal dislocation, 1
or more bones, with manipulation
Closed treatment of distal radioulnar dislocation with
manipulation
Open treatment of distal radioulnar dislocation, acute or
chronic
Closed treatment of trans-scaphoperilunar type of fracture
dislocation, with manipulation
Open treatment of trans-scaphoperilunar type of fracture
dislocation
25611
25620
25622
25628
25630
25645
25650
25660
25675
25676
25680
25685
25900
25915
25920
25927
26010
Amputation, forearm, through radius and ulna;

Krukenberg procedure
Disarticulation through wrist;
Disarticulation through wrist; secondary closure or scar
revision
Transmetacarpal amputation;
Drainage of finger abscess; simple
687
26020
Drainage of tendon sheath, digit and/or palm, each
26020
688
26025
26025
689
26034
690
26037
691
26040
Drainage of palmar bursa; single, bursa

Incision, bone cortex, hand or finger (eg, osteomyelitis or
bone abscess)
Decompressive fasciotomy, hand (excludes 26035)
Fasciotomy, palmar (eg, Dupuytren's contracture);
percutaneous
692
26055
Tendon sheath incision (eg, for trigger finger)
26055
25922
25927
26010
26034
26037
26040
693
26070
Arthrotomy, with exploration, drainage, or removal of loose

or foreign body; carpometacarpal joint
26070
694
26115
Excision, tumor or vascular malformation, soft tissue of hand

or finger, subcutaneous; less than 15 cm
26115
695
26117

tissue of hand or finger; less than 3 cm
26117
696
26121
697
26130
698
26145
Synovectomy, tendon sheath, radical (tenosynovectomy),

flexor tendon, palm and/or finger, each tendon
26145
699
26160
Excision of lesion of tendon sheath or joint capsule (eg, cyst,

mucous cyst, or ganglion), hand or finger
26160
700
26170
Excision of tendon, palm, flexor or extensor, single, each

tendon
26170
701
26185
Sesamoidectomy, thumb or finger (separate procedure)
26185
702
26200

metacarpal;
26200
703
26230

diaphysectomy) bone (eg, osteomyelitis); metacarpal
26230
704
705
26250
26320
Radical resection of tumor, metacarpal

Removal of implant from finger or hand
26250
26320
706
26350
Repair or advancement, flexor tendon, not in zone 2 digital

flexor tendon sheath (eg, no man's land); primary or
secondary without free graft, each tendon
26350
707
26370
Repair or advancement of profundus tendon, with intact

superficialis tendon; primary, each tendon
26370
708
26390
Excision flexor tendon, with implantation of synthetic rod for

delayed tendon graft, hand or finger, each rod
26390
709
26392
Removal of synthetic rod and insertion of flexor tendon graft,

hand or finger (includes obtaining graft), each rod
26392
710
26410
Repair, extensor tendon, hand, primary or secondary;

without free graft, each tendon
26410
711
26415
Excision of extensor tendon, with implantation of synthetic

rod for delayed tendon graft, hand or finger, each rod
26415
712
26416
Removal of synthetic rod and insertion of extensor tendon

graft (includes obtaining graft), hand or finger, each rod
26416
713
26432
Closed treatment of distal extensor tendon insertion, with or

without percutaneous pinning (eg, mallet finger)
26432
714
26437
Realignment of extensor tendon, hand, each tendon
26437
Fasciectomy, palm only, with or without Z-plasty, other local

tissue rearrangement, or skin grafting (includes obtaining
graft)
Synovectomy, carpometacarpal joint
26121
26130
715
26440
Tenolysis, flexor tendon; palm OR finger, each tendon
26440
716
26450
Tenotomy, flexor, palm, open, each tendon
26450
717
26471
Tenodesis; of proximal interphalangeal joint, each joint
26471
718
26476
Lengthening of tendon, extensor, hand or finger, each

tendon
26476
719
26477
Shortening of tendon, extensor, hand or finger, each tendon
26477
720
26480
Transfer or transplant of tendon, carpometacarpal area or

dorsum of hand; without free graft, each tendon
26480
721
26485
722
26490
723
26497
724
26499
725
26500
726
26508
Release of thenar muscle(s) (eg, thumb contracture)
26508
727
26510
Cross intrinsic transfer, each tendon
26510
728
26516
Capsulodesis, metacarpophalangeal joint; single digit
26516
729
26520
Capsulectomy or capsulotomy; metacarpophalangeal joint,

each joint
26520
730
26530
Arthroplasty, metacarpophalangeal joint; each joint
26530
731
26540
732
26541
733
26548
734
26550
735
26551
736
26555
737
26556
738
26560
739
740
741
742
26565
26568
26580
26585
Repair of syndactyly (web finger) each web space; with skin

flaps
Osteotomy; metacarpal, each
Osteoplasty, lengthening, metacarpal or phalanx
Repair cleft hand
Repair bifid digit
743
26587
Reconstruction of polydactylous digit, soft tissue and bone
26587
744
26590
Repair macrodactylia, each digit
26590
Transfer or transplant of tendon, palmar; without free tendon

graft, each tendon
Opponensplasty; superficialis tendon transfer type, each
tendon
Transfer of tendon to restore intrinsic function; ring and small
finger
Correction claw finger, other methods
Reconstruction of tendon pulley, each tendon; with local
tissues (separate procedure)
Repair of collateral ligament, metacarpophalangeal or

interphalangeal joint
Reconstruction, collateral ligament, metacarpophalangeal
joint, single; with tendon or fascial graft (includes obtaining
graft)
Repair and reconstruction, finger, volar plate,
interphalangeal joint
Pollicization of a digit
Transfer, toe-to-hand with microvascular anastomosis; great
toe wrap-around with bone graft
Transfer, finger to another position without microvascular
anastomosis
Transfer, free toe joint, with microvascular anastomosis
26485
26490
26497
26499
26500
26540
26541
26548
26550
26551
26555
26556
26560
26565
26568
26580
26585
745
26591
Repair, intrinsic muscles of hand, each muscle
26591
746
26596
Excision of constricting ring of finger, with multiple Z-plasties
26596
747
26597
Release of scar contracture, flexor or extensor, with skin

grafts, rearrangement flaps, or Z-plasties, hand and/or finger
26597
748
26600
749
26608
750
26615
Open treatment of metacarpal fracture, single, includes

internal fixation, when performed, each bone
26615
751
26641
Closed treatment of carpometacarpal dislocation, thumb,

with manipulation
26641
752
26645
Closed treatment of carpometacarpal fracture dislocation,

thumb (Bennett fracture), with manipulation
26645
753
26665
Open treatment of carpometacarpal fracture dislocation,

thumb (Bennett fracture), includes internal fixation, when
performed
26665
754
26670
Closed treatment of carpometacarpal dislocation, other than

thumb, with manipulation, each joint; without anesthesia
26670
755
26676
Percutaneous skeletal fixation of carpometacarpal

dislocation, other than thumb, with manipulation, each joint
26676
756
26685
Open treatment of carpometacarpal dislocation, other than

thumb; includes internal fixation, when performed, each joint
26685
757
26700
Closed treatment of metacarpophalangeal dislocation,

single, with manipulation; without anesthesia
26700
758
26720
Closed treatment of phalangeal shaft fracture, proximal or

middle phalanx, finger or thumb; without manipulation, each
26720
759
26727
Percutaneous skeletal fixation of unstable phalangeal shaft

fracture, proximal or middle phalanx, finger or thumb, with
manipulation, each
26727
760
26735
Open treatment of phalangeal shaft fracture, proximal or

middle phalanx, finger or thumb, includes internal fixation,
when performed, each
26735
761
26740
Closed treatment of articular fracture, involving

metacarpophalangeal or interphalangeal joint; without
manipulation, each
26740
762
26746
Open treatment of articular fracture, involving

metacarpophalangeal or interphalangeal joint, includes
internal fixation, when performed, each
26746
763
26750
764
26756
Closed treatment of metacarpal fracture, single; without

manipulation, each bone
Percutaneous skeletal fixation of metacarpal fracture, each
bone
Closed treatment of distal phalangeal fracture, finger or

thumb; without manipulation, each
Percutaneous skeletal fixation of distal phalangeal fracture,
finger or thumb, each
26600
26608
26750
26756
Open treatment of distal phalangeal fracture, finger or

thumb, includes internal fixation, when performed, each
765
26765
766
26770
767
26820
768
26841
769
26910
770
26951
771
26990
772
26992
773
27000
774
27005
775
27006
776
27025
Closed treatment of interphalangeal joint dislocation, single,

with manipulation; without anesthesia
Fusion in opposition, thumb, with autogenous graft (includes
obtaining graft)
Arthrodesis, carpometacarpal joint, thumb, with or without
internal fixation;
Amputation, metacarpal, with finger or thumb (ray
amputation), single, with or without interosseous transfer
Amputation, finger or thumb, primary or secondary, any joint
or phalanx, single, including neurectomies; with direct
closure
Incision and drainage, pelvis or hip joint area; deep abscess
or hematoma
Incision, bone cortex, pelvis and/or hip joint (eg,
Tenotomy, adductor of hip, percutaneous (separate
procedure)
Tenotomy, hip flexor(s), open (separate procedure)
Tenotomy, abductors and/or extensor(s) of hip, open
Fasciotomy, hip or thigh, any type
777
27030
Arthrotomy, hip, with drainage (eg, infection)
27030
778
27035
Denervation, hip joint, intrapelvic or extrapelvic intra-articular

branches of sciatic, femoral, or obturator nerves
27035
779
27036
Capsulectomy or capsulotomy, hip, with or without excision

of heterotopic bone, with release of hip flexor muscles (ie,
gluteus medius, gluteus minimus, tensor fascia latae, rectus
femoris, sartorius, iliopsoas)
27036
780
27049

tissue of pelvis and hip area; less than 5 cm
27049
781
27060
782
27065
783
27070
784
27075
785
27080
Radical resection of tumor; wing of ilium, 1 pubic or ischial

ramus or symphysis pubis
Coccygectomy, primary
786
27086
Removal of foreign body, pelvis or hip; subcutaneous tissue
27086
787
27090
Removal of hip prosthesis; (separate procedure)
27090
Excision; ischial bursa

Excision of bone cyst or benign tumor; superficial (wing of
ilium, symphysis pubis, or greater trochanter of femur) with
or without autograft
Partial excision (craterization, saucerization) (eg,
osteomyelitis or bone abscess); superficial (eg, wing of ilium,
symphysis pubis, or greater trochanter of femur)
26765
26770
26820
26841
26910
26951
26990
26992
27000
27005
27006
27025
27060
27065
27070
27075
27080
Injection procedure for sacroiliac joint, arthrography and/or

anesthetic/steroid
Release or recession, hamstring, proximal
Transfer, adductor to ischium
Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup
type)
Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis,
bipolar arthroplasty)
Arthroplasty, acetabular and proximal femoral prosthetic
replacement (total hip arthroplasty), with or without autograft
or allograft
788
27096
789
790
27097
27098
791
27120
792
27125
793
27130
794
27132
795
27134
796
27140
797
27146
Revision of total hip arthroplasty; both components, with or

without autograft or allograft
Osteotomy and transfer of greater trochanter of femur
Osteotomy, iliac, acetabular or innominate bone;
798
27158
Osteotomy, pelvis, bilateral (eg, congenital malformation)
27158
799
27161
27161
800
27165
Osteotomy, femoral neck (separate procedure)

Osteotomy, intertrochanteric or subtrochanteric including
internal or external fixation and/or cast
801
27170
Bone graft, femoral head, neck, intertrochanteric or

subtrochanteric area (includes obtaining bone graft)
27170
802
27175
Treatment of slipped femoral epiphysis; by traction, without

reduction
27175
803
27177
Open treatment of slipped femoral epiphysis; single or

multiple pinning or bone graft (includes obtaining graft)
27177
804
27185
805
27187
806
27193
807
808
27200
27202
809
810
Conversion of previous hip surgery to total hip arthroplasty,

with or without autograft or allograft
Epiphyseal arrest by epiphysiodesis or stapling, greater

trochanter of femur
with or without methylmethacrylate, femoral neck and
proximal femur
Closed treatment of pelvic ring fracture, dislocation, diastasis
or subluxation; without manipulation
Closed treatment of coccygeal fracture
Open treatment of coccygeal fracture
27096
27097
27098
27120
27125
27130
27132
27134
27140
27146
27165
27185
27187
27193
27200
27202
27215
Open treatment of iliac spine(s), tuberosity avulsion, or iliac

wing fracture(s), unilateral, for pelvic bone fracture patterns
that do not disrupt the pelvic ring, includes internal fixation,
when performed
27215
27216
Percutaneous skeletal fixation of posterior pelvic bone

fracture and/or dislocation, for fracture patterns that disrupt
the pelvic ring, unilateral (includes ipsilateral ilium, sacroiliac
joint and/or sacrum)
27216
Open treatment of anterior pelvic bone fracture and/or

dislocation for fracture patterns that disrupt the pelvic ring,
unilateral, includes internal fixation, when performed
(includes pubic symphysis and/or ipsilateral superior/inferior
rami)
811
27217
812
27220
813
27226
814
27230
815
27235
816
27236
817
27246
818
27248
819
27250
820
27253
821
27265
822
27275
Manipulation, hip joint, requiring general anesthesia
27275
823
27280
Arthrodesis, sacroiliac joint (including obtaining graft)
27280
824
27282
Arthrodesis, symphysis pubis (including obtaining graft)
27282
825
27284
Arthrodesis, hip joint (including obtaining graft);
27284
826
27290
Interpelviabdominal amputation (hindquarter amputation)
27290
827
27295
27295
828
27301
829
27305
830
27306
831
27310
832
833
27315
27320
834
27327
Disarticulation of hip
Incision and drainage, deep abscess, bursa, or hematoma,
thigh or knee region
Fasciotomy, iliotibial (tenotomy), open
Tenotomy, percutaneous, adductor or hamstring; single
tendon (separate procedure)
Arthrotomy, knee, with exploration, drainage, or removal of
foreign body (eg, infection)
Neurectomy, hamstring muscle
Neurectomy, popliteal (gastrocnemius)
Excision, tumor, soft tissue of thigh or knee area,
835
27329

tissue of thigh or knee area; less than 5 cm
27329
836
837
27340
27350
Excision, prepatellar bursa

Patellectomy or hemipatellectomy
27340
27350
Closed treatment of acetabulum (hip socket) fracture(s);

Open treatment of posterior or anterior acetabular wall
fracture, with internal fixation
Closed treatment of femoral fracture, proximal end, neck;
Percutaneous skeletal fixation of femoral fracture, proximal
end, neck
Open treatment of femoral fracture, proximal end, neck,
internal fixation or prosthetic replacement
Closed treatment of greater trochanteric fracture, without
manipulation
Open treatment of greater trochanteric fracture, includes
internal fixation, when performed
Closed treatment of hip dislocation, traumatic; without
anesthesia
Open treatment of hip dislocation, traumatic, without internal
fixation
Closed treatment of post hip arthroplasty dislocation; without
anesthesia
27217
27220
27226
27230
27235
27236
27246
27248
27250
27253
27265
27301
27305
27306
27310
27315
27320
27327
838
27355
Excision or curettage of bone cyst or benign tumor of femur;
27355
839
27360
840
27365

diaphysectomy) bone, femur, proximal tibia and/or fibula (eg,
Radical resection of tumor, femur or knee
841
27372
Removal of foreign body, deep, thigh region or knee area
27372
842
27380
Suture of infrapatellar tendon; primary
27380
843
27385
Suture of quadriceps or hamstring muscle rupture; primary
27385
844
27390
Tenotomy, open, hamstring, knee to hip; single tendon
27390
845
27393
Lengthening of hamstring tendon; single tendon
27393
846
27396
Transplant or transfer (with muscle redirection or rerouting),

thigh (eg, extensor to flexor); single tendon
27396
847
27400
Transfer, tendon or muscle, hamstrings to femur (eg, Egger's

type procedure)
27400
848
27403
849
27405
850
27418
851
27420
852
27425
853
27427
854
27428
855
27430
Quadricepsplasty (eg, Bennett or Thompson type)
27430
856
857
27435
27437
Capsulotomy, posterior capsular release, knee

Arthroplasty, patella; without prosthesis
27435
27437
858
27448
Osteotomy, femur, shaft or supracondylar; without fixation
27448
859
27455
Osteotomy, proximal tibia, including fibular excision or

osteotomy (includes correction of genu varus [bowleg] or
genu valgus [knock-knee]); before epiphyseal closure
27455
860
861
27465
27466
862
27468
863
27470
Repair, nonunion or malunion, femur, distal to head and

neck; without graft (eg, compression technique)
27470
864
27475
Arrest, epiphyseal, any method (eg, epiphysiodesis); distal

femur
27475
27360
27365
Arthrotomy with meniscus repair, knee

Repair, primary, torn ligament and/or capsule, knee;
collateral
27403
Anterior tibial tubercleplasty (eg, Maquet type procedure)
27418
Reconstruction of dislocating patella; (eg, Hauser type

procedure)
Lateral retinacular release, open
Ligamentous reconstruction (augmentation), knee; extraarticular
Ligamentous reconstruction (augmentation), knee; intraarticular (open)
Osteoplasty, femur; shortening (excluding 64876)

Osteoplasty, femur; lengthening
Osteoplasty, femur; combined, lengthening and shortening
with femoral segment transfer
27405
27420
27425
27427
27428
27465
27466
27468
865
27486
Revision of total knee arthroplasty, with or without allograft; 1

component
27486
866
27488
Removal of prosthesis, including total knee prosthesis,

methylmethacrylate with or without insertion of spacer, knee
27488
867
27495
868
27496
869
27497
870
27500
871
27501
872
27506
873
27507
874
27508
Prophylactic treatment (nailing, pinning, plating, or wiring)

with or without methylmethacrylate, femur
Decompression fasciotomy, thigh and/or knee, 1
compartment (flexor or extensor or adductor);
Decompression fasciotomy, thigh and/or knee, 1
compartment (flexor or extensor or adductor); with
debridement of nonviable muscle and/or nerve
Closed treatment of femoral shaft fracture, without
manipulation
Closed treatment of supracondylar or transcondylar femoral
fracture with or without intercondylar extension, without
manipulation
Open treatment of femoral shaft fracture, with or without
external fixation, with insertion of intramedullary implant, with
or without cerclage and/or locking screws
Open treatment of femoral shaft fracture with plate/screws,
with or without cerclage
Closed treatment of femoral fracture, distal end, medial or
lateral condyle, without manipulation
27495
27496
27497
27500
27501
27506
27507
27508
875
27509
Percutaneous skeletal fixation of femoral fracture, distal end,

medial or lateral condyle, or supracondylar or transcondylar,
with or without intercondylar extension, or distal femoral
epiphyseal separation
876
27511
Open treatment of femoral supracondylar or transcondylar

fracture without intercondylar extension, includes internal
27511
877
27514
Open treatment of femoral fracture, distal end, medial or

lateral condyle, includes internal fixation, when performed
27514
878
27519
Open treatment of distal femoral epiphyseal separation,

27519
879
27520
Closed treatment of patellar fracture, without manipulation
27520
880
27524
Open treatment of patellar fracture, with internal fixation

and/or partial or complete patellectomy and soft tissue repair
27524
881
27530
882
27535
883
27550
Closed treatment of knee dislocation; without anesthesia
27550
884
27556
Open treatment of knee dislocation, includes internal

fixation, when performed; without primary ligamentous repair
or augmentation/reconstruction
27556
885
27560
Closed treatment of patellar dislocation; without anesthesia
27560
Closed treatment of tibial fracture, proximal (plateau);

Open treatment of tibial fracture, proximal (plateau);
unicondylar, includes internal fixation, when performed
27509
27530
27535
886
27566
Open treatment of patellar dislocation, with or without partial

or total patellectomy
27566
887
27570
Manipulation of knee joint under general anesthesia

(includes application of traction or other fixation devices)
27570
888
889
890
27580
27590
27598
891
27600
892
27603
893
27605
894
Arthrodesis, knee, any technique

Amputation, thigh, through femur, any level;
Disarticulation at knee
Decompression fasciotomy, leg; anterior and/or lateral
compartments only
Incision and drainage, leg or ankle; deep abscess or
hematoma
Tenotomy, percutaneous, Achilles tendon (separate
procedure); local anesthesia
27580
27590
27598
27607
Incision (eg, osteomyelitis or bone abscess), leg or ankle
27607
895
27610
Arthrotomy, ankle, including exploration, drainage, or

27610
896
27615

tissue of leg or ankle area; less than 5 cm
27615
897
27618
Excision, tumor, soft tissue of leg or ankle area,

27618
898
27620
Arthrotomy, ankle, with joint exploration, with or without

biopsy, with or without removal of loose or foreign body
27620
899
27630
900
27635
901
27640
902
27645
903
27650
904
27656
905
27658
906
27675
907
27680
908
27685
909
27687
Gastrocnemius recession (eg, Strayer procedure)
27687
910
27690
Transfer or transplant of single tendon (with muscle

redirection or rerouting); superficial (eg, anterior tibial
extensors into midfoot)
27690
911
27695
Repair, primary, disrupted ligament, ankle; collateral
27695
912
27700
Arthroplasty, ankle;
27700
Excision of lesion of tendon sheath or capsule (eg, cyst or

ganglion), leg and/or ankle
Excision or curettage of bone cyst or benign tumor, tibia or
fibula;
diaphysectomy), bone (eg, osteomyelitis); tibia
Radical resection of tumor; tibia
Repair, primary, open or percutaneous, ruptured Achilles
tendon;
Repair, fascial defect of leg
Repair, flexor tendon, leg; primary, without graft, each
tendon
Repair, dislocating peroneal tendons; without fibular
osteotomy
Tenolysis, flexor or extensor tendon, leg and/or ankle; single,
each tendon
Lengthening or shortening of tendon, leg or ankle; single
tendon (separate procedure)
27600
27603
27605
27630
27635
27640
27645
27650
27656
27658
27675
27680
27685
913
914
915
27704
27705
27715
27704
27705
27715
27727
Removal of ankle implant

Osteotomy; tibia
Osteoplasty, tibia and fibula, lengthening or shortening
Repair of nonunion or malunion, tibia; without graft, (eg,
compression technique)
Repair of congenital pseudarthrosis, tibia
916
27720
917
918
27730
Arrest, epiphyseal (epiphysiodesis), open; distal tibia
27730
919
27740
920
27745
921
27750
922
27756
Percutaneous skeletal fixation of tibial shaft fracture (with or

without fibular fracture) (eg, pins or screws)
27756
923
27758
Open treatment of tibial shaft fracture (with or without fibular

fracture), with plate/screws, with or without cerclage
27758
924
27760
925
27766
926
27780
927
27784
928
27786
929
27792
Open treatment of distal fibular fracture (lateral malleolus),

27792
930
27808
Closed treatment of bimalleolar ankle fracture (eg, lateral

and medial malleoli, or lateral and posterior malleoli or
medial and posterior malleoli); without manipulation
27808
931
27814
Open treatment of bimalleolar ankle fracture (eg, lateral and

medial malleoli, or lateral and posterior malleoli, or medial
and posterior malleoli), includes internal fixation, when
performed
27814
932
27816
933
27822
934
27824
Closed treatment of fracture of weight bearing articular

portion of distal tibia (eg, pilon or tibial plafond), with or
without anesthesia; without manipulation
27824
935
27826
Open treatment of fracture of weight bearing articular

surface/portion of distal tibia (eg, pilon or tibial plafond), with
internal fixation, when performed; of fibula only
27826
Arrest, epiphyseal (epiphysiodesis), any method, combined,

proximal and distal tibia and fibula;
with or without methylmethacrylate, tibia
Closed treatment of tibial shaft fracture (with or without
fibular fracture); without manipulation
Closed treatment of medial malleolus fracture; without

manipulation
Open treatment of medial malleolus fracture, includes
Closed treatment of proximal fibula or shaft fracture; without
manipulation
Open treatment of proximal fibula or shaft fracture, includes
Closed treatment of distal fibular fracture (lateral malleolus);
Closed treatment of trimalleolar ankle fracture; without

manipulation
Open treatment of trimalleolar ankle fracture, includes
internal fixation, when performed, medial and/or lateral
malleolus; without fixation of posterior lip
27720
27727
27740
27745
27750
27760
27766
27780
27784
27786
27816
27822
Open treatment of distal tibiofibular joint (syndesmosis)

disruption, includes internal fixation, when performed
936
27829
937
27830
938
27832
939
27840
Closed treatment of ankle dislocation; without anesthesia
27840
940
27846
Open treatment of ankle dislocation, with or without

percutaneous skeletal fixation; without repair or internal
fixation
27846
941
27860
Manipulation of ankle under general anesthesia (includes

application of traction or other fixation apparatus)
27860
942
943
944
27870
27871
27880
945
27888
946
27889
947
27892
948
27893
949
28001
950
28005
951
952
28008
28010
953
28020
Arthrotomy, including exploration, drainage, or removal of

loose or foreign body; intertarsal or tarsometatarsal joint
28020
954
28030
Neurectomy, intrinsic musculature of foot
28030
955
28035
Release, tarsal tunnel (posterior tibial nerve decompression)
28035
956
28043
Excision, tumor, soft tissue of foot or toe, subcutaneous; less

than 15 cm
28043
957
28046

tissue of foot or toe; less than 3 cm
28046
958
28050
Arthrotomy with biopsy; intertarsal or tarsometatarsal joint
28050
959
28060
Fasciectomy, plantar fascia; partial (separate procedure)
28060
960
28070
Synovectomy; intertarsal or tarsometatarsal joint, each
28070
961
28086
Synovectomy, tendon sheath, foot; flexor
28086
Closed treatment of proximal tibiofibular joint dislocation;

without anesthesia
Open treatment of proximal tibiofibular joint dislocation,
includes internal fixation, when performed, or with excision
of proximal fibula
Arthrodesis, ankle, open

Arthrodesis, tibiofibular joint, proximal or distal
Amputation, leg, through tibia and fibula;
Amputation, ankle, through malleoli of tibia and fibula (eg,
Syme, Pirogoff type procedures), with plastic closure and
resection of nerves
Ankle disarticulation
Decompression fasciotomy, leg; anterior and/or lateral
compartments only, with debridement of nonviable muscle
and/or nerve
Decompression fasciotomy, leg; posterior compartment(s)
only, with debridement of nonviable muscle and/or nerve
Incision and drainage, bursa, foot
Incision, bone cortex (eg, osteomyelitis or bone abscess),
foot
Fasciotomy, foot and/or toe
Tenotomy, percutaneous, toe; single tendon
27829
27830
27832
27870
27871
27880
27888
27889
27892
27893
28001
28005
28008
28010
Excision of lesion, tendon, tendon sheath, or capsule

(including synovectomy) (eg, cyst or ganglion); foot
962
28090
963
28100
964
28110
965
28114
Ostectomy, complete excision; all metatarsal heads, with

partial proximal phalangectomy, excluding first metatarsal
(eg, Clayton type procedure)
28114
966
28120
Partial excision (craterization, saucerization,

sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis
or bossing); talus or calcaneus
28120
967
28126
Resection, partial or complete, phalangeal base, each toe
28126
968
969
970
28130
28140
28150
Talectomy (astragalectomy)
Metatarsectomy
Phalangectomy, toe, each toe
28130
28140
28150
971
28153
Resection, condyle(s), distal end of phalanx, each toe
28153
972
28160
Hemiphalangectomy or interphalangeal joint excision, toe,

proximal end of phalanx, each
28160
973
28171
Radical resection of tumor; tarsal (except talus or calcaneus)
28171
974
28190
28190
975
28200
976
28220
977
28230
978
28238
Removal of foreign body, foot; subcutaneous

Repair, tendon, flexor, foot; primary or secondary, without
free graft, each tendon
Tenolysis, flexor, foot; single tendon
Tenotomy, open, tendon flexor; foot, single or multiple
tendon(s) (separate procedure)
Reconstruction (advancement), posterior tibial tendon with
excision of accessory tarsal navicular bone (eg, Kidner type
procedure)
979
28240
Tenotomy, lengthening, or release, abductor hallucis muscle
28240
980
28250
981
28260
982
28264
Capsulotomy, midtarsal (eg, Heyman type procedure)
28264
983
28270
Capsulotomy; metatarsophalangeal joint, with or without

tenorrhaphy, each joint (separate procedure)
28270
984
28280
985
28285
986
28288
Excision or curettage of bone cyst or benign tumor, talus or

calcaneus;
Ostectomy, partial excision, fifth metatarsal head
(bunionette) (separate procedure)
Division of plantar fascia and muscle (eg, Steindler stripping)

Capsulotomy, midfoot; medial release only (separate
procedure)
Syndactylization, toes (eg, webbing or Kelikian type

procedure)
Correction, hammertoe (eg, interphalangeal fusion, partial or
total phalangectomy)
Ostectomy, partial, exostectomy or condylectomy, metatarsal
head, each metatarsal head
28090
28100
28110
28200
28220
28230
28238
28250
28260
28280
28285
28288
Hallux rigidus correction with cheilectomy, debridement and

capsular release of the first metatarsophalangeal joint
987
28289
988
28290
989
28300
990
28313
Reconstruction, angular deformity of toe, soft tissue

procedures only (eg, overlapping second toe, fifth toe, curly
toes)
28313
991
28315
Sesamoidectomy, first toe (separate procedure)
28315
992
28320
Repair, nonunion or malunion; tarsal bones
28320
993
28340
Reconstruction, toe, macrodactyly; soft tissue resection
28340
994
28344
28344
995
28345
Reconstruction, toe(s); polydactyly

Reconstruction, toe(s); syndactyly, with or without skin
graft(s), each web
996
28400
Closed treatment of calcaneal fracture; without manipulation
28400
997
28406
998
28415
999
28450
1000
28456
Percutaneous skeletal fixation of tarsal bone fracture (except

talus and calcaneus), with manipulation, each
28456
1001
28465
Open treatment of tarsal bone fracture (except talus and

calcaneus), includes internal fixation, when performed, each
28465
1002
28476
1003
28490
1004
28496
1005
28505
1006
28510
1007
28525
1008
28530
1009
28531
Correction, hallux valgus (bunion), with or without

sesamoidectomy; simple exostectomy (eg, Silver type
procedure)
Osteotomy; calcaneus (eg, Dwyer or Chambers type
procedure), with or without internal fixation
Percutaneous skeletal fixation of calcaneal fracture, with

manipulation
Open treatment of calcaneal fracture, includes internal
fixation, when performed;
Treatment of tarsal bone fracture (except talus and
calcaneus); without manipulation, each
Percutaneous skeletal fixation of metatarsal fracture, with

manipulation, each
Closed treatment of fracture great toe, phalanx or
phalanges; without manipulation
Percutaneous skeletal fixation of fracture great toe, phalanx
or phalanges, with manipulation
Open treatment of fracture, great toe, phalanx or phalanges,
Closed treatment of fracture, phalanx or phalanges, other
than great toe; without manipulation, each
Open treatment of fracture, phalanx or phalanges, other
than great toe, includes internal fixation, when performed,
each
Closed treatment of sesamoid fracture
Open treatment of sesamoid fracture, with or without internal
fixation
28289
28290
28300
28345
28406
28415
28450
28476
28490
28496
28505
28510
28525
28530
28531
1010
28540
1011
28546
1012
28555
1013
28570
1014
28630
1015
28645
1016
1017
1018
28705
28715
28725
1019
28730
1020
Closed treatment of tarsal bone dislocation, other than

talotarsal; without anesthesia
Percutaneous skeletal fixation of tarsal bone dislocation,
other than talotarsal, with manipulation
Open treatment of tarsal bone dislocation, includes internal
Closed treatment of talotarsal joint dislocation; without
anesthesia
Closed treatment of metatarsophalangeal joint dislocation;
without anesthesia
Open treatment of metatarsophalangeal joint dislocation,
28540
28546
28555
28570
28630
28645
Arthrodesis; pantalar
Arthrodesis; triple
Arthrodesis; subtalar
Arthrodesis, midtarsal or tarsometatarsal, multiple or
transverse;
28705
28715
28725
28750
Arthrodesis, great toe; metatarsophalangeal joint
28750
1021
28755
Arthrodesis, great toe; interphalangeal joint
28755
1022
28760
Arthrodesis, with extensor hallucis longus transfer to first

metatarsal neck, great toe, interphalangeal joint (eg, Jones
type procedure)
28760
1023
28800
Amputation, foot; midtarsal (eg, Chopart type procedure)
28800
1024
28810
Amputation, metatarsal, with toe, single
28810
1025
28820
Amputation, toe; metatarsophalangeal joint
28820
1026
29000
1027
29010
Application of halo type body cast (see 20661-20663 for

insertion)
Application of Risser jacket, localizer, body; only
1028
29035
Application of body cast, shoulder to hips;
29035
1029
1030
1031
1032
1033
1034
1035
29049
29055
29058
29065
29075
29085
29105
Application, cast; figure-of-eight

Application, cast; shoulder spica
Application, cast; plaster Velpeau
Application, cast; shoulder to hand (long arm)
Application, cast; elbow to finger (short arm)
Application, cast; hand and lower forearm (gauntlet)
Application of long arm splint (shoulder to hand)
29049
29055
29058
29065
29075
29085
29105
1036
29125
Application of short arm splint (forearm to hand); static
29125
1037
1038
1039
29130
29200
29305
Application of finger splint; static

Strapping; thorax
Application of hip spica cast; 1 leg
29130
29200
29305
1040
29345
Application of long leg cast (thigh to toes);
29345
1041
29405
Application of short leg cast (below knee to toes);
29405
1042
29435
Application of patellar tendon bearing (PTB) cast
29435
28730
29000
29010
1043
29440
Adding walker to previously applied cast
29440
1044
29445
29445
1045
29450
1046
1047
1048
1049
1050
1051
29520
29700
29720
29730
29740
29750
Application of rigid total contact leg cast

Application of clubfoot cast with molding or manipulation,
long or short leg
Strapping; hip
Removal or bivalving; gauntlet, boot or body cast
Repair of spica, body cast or jacket
Windowing of cast
Wedging of cast (except clubfoot casts)
Wedging of clubfoot cast
1052
29800
1053
29804
1054
29805
1055
29806
1056
29830
1057
29834
1058
29840
1059
29843
1060
29860
1061
29861
1062
29870
1063
29871
1064
29891
1065
29900
1066
29901
1067
30000
Drainage abscess or hematoma, nasal, internal approach
30000
1068
1069
30100
30110
30100
30110
1070
30117
Biopsy, intranasal
Excision, nasal polyp(s), simple
Excision or destruction (eg, laser), intranasal lesion; internal
approach
1071
30120
Excision or surgical planing of skin of nose for rhinophyma
30120
1072
30124
Excision dermoid cyst, nose; simple, skin, subcutaneous
30124
1073
30130
Excision inferior turbinate, partial or complete, any method
30130
Arthroscopy, temporomandibular joint, diagnostic, with or

without synovial biopsy (separate procedure)
Arthroscopy, temporomandibular joint, surgical
Arthroscopy, shoulder, diagnostic, with or without synovial
biopsy (separate procedure)
Arthroscopy, shoulder, surgical; capsulorrhaphy
Arthroscopy, elbow, diagnostic, with or without synovial
Arthroscopy, elbow, surgical; with removal of loose body or
foreign body
Arthroscopy, wrist, diagnostic, with or without synovial biopsy
Arthroscopy, wrist, surgical; for infection, lavage and
drainage
Arthroscopy, hip, diagnostic with or without synovial biopsy
Arthroscopy, hip, surgical; with removal of loose body or
foreign body
Arthroscopy, knee, diagnostic, with or without synovial
Arthroscopy, knee, surgical; for infection, lavage and
drainage
Arthroscopy, ankle, surgical, excision of osteochondral
defect of talus and/or tibia, including drilling of the defect
Arthroscopy, metacarpophalangeal joint, diagnostic, includes
synovial biopsy
Arthroscopy, metacarpophalangeal joint, surgical; with
debridement
29450
29520
29700
29720
29730
29740
29750
29800
29804
29805
29806
29830
29834
29840
29843
29860
29861
29870
29871
29891
29900
29901
30117
1074
1075
1076
1077
30150
30160
30200
30220
Rhinectomy; partial
Rhinectomy; total
Injection into turbinate(s), therapeutic
Insertion, nasal septal prosthesis (button)
30150
30160
30200
30220
1078
30300
Removal foreign body, intranasal; office type procedure
30300
1079
30310
1080
30400
1081
30430
1082
30460
1083
30520
1084
1085
1086
30540
30560
30560
1087
30580
1088
30600
1089
30620
1090
30630
1091
30801
Ablation, soft tissue of inferior turbinates, unilateral or

bilateral, any method (eg, electrocautery, radiofrequency
ablation, or tissue volume reduction); superficial
30801
1092
30901
Control nasal hemorrhage, anterior, simple (limited cautery

and/or packing) any method
30901
1093
30905
Control nasal hemorrhage, posterior, with posterior nasal

packs and/or cautery, any method; initial
30905
1094
30915
Ligation arteries; ethmoidal
30915
1095
30920
Ligation arteries; internal maxillary artery, transantral
30920
1096
30920
Ligation arteries; internal maxillary artery, transantral
30920
1097
30930
30930
1098
31000
1099
31020
1100
31030
1101
1102
31040
31050
Fracture nasal inferior turbinate(s), therapeutic

Lavage by cannulation; maxillary sinus (antrum puncture or
natural ostium)
Sinusotomy, maxillary (antrotomy); intranasal
Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc)
without removal of antrochoanal polyps
Pterygomaxillary fossa surgery, any approach
Sinusotomy, sphenoid, with or without biopsy;
1103
31070
Sinusotomy frontal; external, simple (trephine operation)
31070
1104
1105
31200
31225
Ethmoidectomy; intranasal, anterior

Maxillectomy; without orbital exenteration
31200
31225
Removal foreign body, intranasal; requiring general

anesthesia
Rhinoplasty, primary; lateral and alar cartilages and/or
elevation of nasal tip
Rhinoplasty, secondary; minor revision (small amount of
nasal tip work)
Rhinoplasty for nasal deformity secondary to congenital cleft
lip and/or palate, including columellar lengthening; tip only
Septoplasty or submucous resection, with or without
cartilage scoring, contouring or replacement with graft
Repair choanal atresia; intranasal
Lysis intranasal synechia
Lysis intranasal synechia
Repair fistula; oromaxillary (combine with 31030 if antrotomy
is included)
Repair fistula; oronasal
Septal or other intranasal dermatoplasty (does not include
obtaining graft)
Repair nasal septal perforations
30310
30400
30430
30460
30520
30540
30560
30560
30580
30600
30620
30630
31000
31020
31030
31040
31050
1106
31230
Maxillectomy; with orbital exenteration (en bloc)

Nasal endoscopy, diagnostic, unilateral or bilateral (separate
procedure)
Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or
debridement (separate procedure)
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial
(anterior)
Nasal/sinus endoscopy, surgical, with repair of cerebrospinal
fluid leak; ethmoid region
Nasal/sinus endoscopy, surgical; with medial or inferior
orbital wall decompression
Laryngotomy (thyrotomy, laryngofissure); with removal of
tumor or laryngocele, cordectomy
Laryngectomy; total, without radical neck dissection
Laryngectomy; total, with radical neck dissection
Laryngectomy; subtotal supraglottic, without radical neck
dissection
Laryngectomy; subtotal supraglottic, with radical neck
dissection
Partial laryngectomy (hemilaryngectomy); horizontal
Pharyngolaryngectomy, with radical neck dissection; without
reconstruction
Arytenoidectomy or arytenoidopexy, external approach
Epiglottidectomy
Intubation, endotracheal, emergency procedure
Tracheotomy tube change prior to establishment of fistula
tract
31230
1107
31231
1108
31237
1109
31254
1110
31290
1111
31292
1112
31300
1113
1114
31360
31365
1115
31367
1116
31368
1117
31370
1118
31390
1119
1120
1121
31400
31420
31500
1122
31502
1123
31505
Laryngoscopy, indirect; diagnostic (separate procedure)
31505
1124
31515
1125
31580
1126
31582
1127
31585
Treatment of closed laryngeal fracture; without manipulation
31585
1128
31588
Laryngoplasty, not otherwise specified (eg, for burns,

reconstruction after partial laryngectomy)
31588
1129
31588
Laryngoplasty, not otherwise specified (eg, for burns,

reconstruction after partial laryngectomy)
31588
1130
31590
1131
31595
1132
Laryngoscopy direct, with or without tracheoscopy; for

aspiration
Laryngoplasty; for laryngeal web, 2 stage, with keel insertion
and removal
Laryngoplasty; for laryngeal stenosis, with graft or core mold,
including tracheotomy
31231
31237
31254
31290
31292
31300
31360
31365
31367
31368
31370
31390
31400
31420
31500
31502
31515
31580
31582
31590
31600
Laryngeal reinnervation by neuromuscular pedicle

Section recurrent laryngeal nerve, therapeutic (separate
procedure), unilateral
Tracheostomy, planned (separate procedure);
1133
31603
Tracheostomy, emergency procedure; transtracheal
31603
1134
31605
Tracheostomy, emergency procedure; cricothyroid

membrane
31605
1135
31610
Tracheostomy, fenestration procedure with skin flaps
31610
31595
31600
1136
31611
1137
31612
1138
31613
1139
31615
1140
31622
1141
31700
1142
31708
1143
31710
1144
Construction of tracheoesophageal fistula and subsequent

insertion of an alaryngeal speech prosthesis (eg, voice
button, Blom-Singer prosthesis)
Tracheal puncture, percutaneous with transtracheal
aspiration and/or injection
Tracheostoma revision; simple, without flap rotation
Tracheobronchoscopy through established tracheostomy
incision
31612
Bronchoscopy, rigid or flexible, including fluoroscopic

guidance, when performed; diagnostic, with cell washing,
when performed (separate procedure)
31622
31611
31613
31615
31700
31715
Catheterization, transglottic (separate procedure)

Instillation of contrast material for laryngography or
bronchography, without catheterization
Catheterization for bronchography, with or without instillation
of contrast material
Transtracheal injection for bronchography
1145
31720
Catheter aspiration (separate procedure); nasotracheal
31720
1146
31730
Transtracheal (percutaneous) introduction of needle wire

dilator/stent or indwelling tube for oxygen therapy
31730
1147
1148
1149
1150
1151
31750
31766
31770
31785
31800
1152
31820
1153
31830
1154
32000
1155
32001
1156
32005
1157
32020
Tube thoracostomy with or without water seal (eg, for

abscess, hemothorax, empyema) (separate procedure)
32020
1158
32035
Thoracostomy; with rib resection for empyema
32035
1159
32095
Thoracotomy, limited, for biopsy of lung or pleura
32095
1160
32100
Thoracotomy, major; with exploration and biopsy
32100
1161
32200
Pneumonostomy; with open drainage of abscess or cyst
32200
1162
32215
Pleural scarification for repeat pneumothorax
32215
1163
32220
Decortication, pulmonary (separate procedure); total
32220
1164
32225
Decortication, pulmonary (separate procedure); partial
32225
1165
1166
1167
32310
32320
32400
Pleurectomy, parietal (separate procedure)

Decortication and parietal pleurectomy
Biopsy, pleura; percutaneous needle
32310
32320
32400
Tracheoplasty; cervical
Carinal reconstruction
Bronchoplasty; graft repair
Excision of tracheal tumor or carcinoma; cervical
Suture of tracheal wound or injury; cervical
Surgical closure tracheostomy or fistula; without plastic
repair
Revision of tracheostomy scar
Thoracentesis, puncture of pleural cavity for aspiration, initial
or subsequent
Total lung lavage (unilateral)
Chemical pleurodesis (eg, for recurrent or persistent
pneumothorax)
31708
31710
31715
31750
31766
31770
31785
31800
31820
31830
32000
32001
32005
1168
1169
1170
32405
32420
32440
Biopsy, lung or mediastinum, percutaneous needle

Pneumocentesis, puncture of lung for aspiration
Removal of lung, total pneumonectomy;
Removal of lung, total pneumonectomy; with resection of
segment of trachea followed by broncho-tracheal
anastomosis (sleeve pneumonectomy)
Removal of lung, other than total pneumonectomy; single
lobe (lobectomy)
Removal of lung, other than total pneumonectomy; 2 lobes
(bilobectomy)
Removal of lung, other than total pneumonectomy; single
segment (segmentectomy)
1171
32442
1172
32480
1173
32482
1174
32484
1175
32501
1176
32540
1177
32601
1178
32650
1179
32651
1180
32652
1181
32653
1182
32656
1183
32657
1184
32658
1185
32659
Thoracoscopy, surgical; with creation of pericardial window

or partial resection of pericardial sac for drainage
32659
1186
32660
Thoracoscopy, surgical; with total pericardiectomy
32660
1187
32661
Thoracoscopy, surgical; with excision of pericardial cyst,

tumor, or mass
32661
1188
32663
Thoracoscopy, surgical; with lobectomy, total or segmental
32663
1189
32664
Thoracoscopy, surgical; with thoracic sympathectomy
32664
1190
32665
Thoracoscopy, surgical; with esophagomyotomy (Heller type)
32665
1191
32800
Repair lung hernia through chest wall
32800
1192
32810
1193
1194
32815
32820
Closure of chest wall following open flap drainage for

empyema (Clagett type procedure)
Open closure of major bronchial fistula
Major reconstruction, chest wall (posttraumatic)
1195
32851
Lung transplant, single; without cardiopulmonary bypass
Resection and repair of portion of bronchus (bronchoplasty)

when performed at time of lobectomy or segmentectomy
(List separately in addition to code for primary procedure)
32405
32420
32440
32442
32480
32482
32484
32501
Extrapleural enucleation of empyema (empyemectomy)

Thoracoscopy, diagnostic (separate procedure); lungs and
pleural space, without biopsy
Thoracoscopy, surgical; with pleurodesis (eg, mechanical or
chemical)
32540
Thoracoscopy, surgical; with partial pulmonary decortication
32651
Thoracoscopy, surgical; with total pulmonary decortication,

including intrapleural pneumonolysis
Thoracoscopy, surgical; with removal of intrapleural foreign
body or fibrin deposit
Thoracoscopy, surgical; with parietal pleurectomy
Thoracoscopy, surgical; with wedge resection of lung, single
or multiple
Thoracoscopy, surgical; with removal of clot or foreign body
from pericardial sac
32601
32650
32652
32653
32656
32657
32658
32810
32815
32820
32851
1196
32852
1197
32853
1198
32854
1199
32900
Resection of ribs, extrapleural, all stages
32900
1200
32905
Thoracoplasty, Schede type or extrapleural (all stages);
32905
1201
32906
1202
1203
32960
32997
1204
32998
1205
1206
1207
32999
33010
33015
1208
33020
1209
33025
1210
33030
1211
33050
1212
33120
1213
33130
1214
33200
1215
33206
1216
33210
1217
33212
1218
33214
1219
33216
1220
33218
1221
33222
Lung transplant, single; with cardiopulmonary bypass

Lung transplant, double (bilateral sequential or en bloc);
without cardiopulmonary bypass
Lung transplant, double (bilateral sequential or en bloc); with
cardiopulmonary bypass
Thoracoplasty, Schede type or extrapleural (all stages); with

closure of bronchopleural fistula
Pneumothorax, therapeutic, intrapleural injection of air
Total lung lavage (unilateral)
Ablation therapy for reduction or eradication of 1 or more
pulmonary tumor(s) including pleura or chest wall when
involved by tumor extension, percutaneous, radiofrequency,
unilateral
Unlisted procedure, lungs and pleura
Pericardiocentesis; initial
Tube pericardiostomy
Pericardiotomy for removal of clot or foreign body (primary
procedure)
Creation of pericardial window or partial resection for
drainage
Pericardiectomy, subtotal or complete; without
Excision of pericardial cyst or tumor
Excision of intracardiac tumor, resection with
Resection of external cardiac tumor
Insertion of permanent pacemaker with epicardial
electrode(s); by thoracotomy
Insertion or replacement of permanent pacemaker with
transvenous electrode(s); atrial
Insertion or replacement of temporary transvenous single
chamber cardiac electrode or pacemaker catheter (separate
procedure)
Insertion or replacement of pacemaker pulse generator only;
single chamber, atrial or ventricular
Upgrade of implanted pacemaker system, conversion of
single chamber system to dual chamber system (includes
removal of previously placed pulse generator, testing of
existing lead, insertion of new lead, insertion of new pulse
generator)
Insertion of a single transvenous electrode, permanent
pacemaker or cardioverter-defibrillator
Repair of single transvenous electrode for a single chamber,
permanent pacemaker or single chamber pacing
cardioverter-defibrillator
Revision or relocation of skin pocket for pacemaker
32852
32853
32854
32906
32960
32997
32998
32999
33010
33015
33020
33025
33030
33050
33120
33130
33200
33206
33210
33212
33214
33216
33218
33222
1222
33233
Removal of permanent pacemaker pulse generator
33233
1223
33234
Removal of transvenous pacemaker electrode(s); single lead

system, atrial or ventricular
33234
1224
33236
Removal of permanent epicardial pacemaker and electrodes

by thoracotomy; single lead system, atrial or ventricular
33236
1225
33238
1226
33240
1227
33241
Subcutaneous removal of single or dual chamber pacing

cardioverter-defibrillator pulse generator
33241
1228
33243
Removal of single or dual chamber pacing cardioverterdefibrillator electrode(s); by thoracotomy
33243
1229
33244
Removal of single or dual chamber pacing cardioverterdefibrillator electrode(s); by transvenous extraction
33244
1230
33245
Insertion of epicardial single or dual chamber pacing

cardioverter-defibrillator electrodes by thoracotomy;
33245
1231
33249
Insertion or repositioning of electrode lead(s) for single or

dual chamber pacing cardioverter-defibrillator and insertion
of pulse generator
33249
1232
33250
Operative ablation of supraventricular arrhythmogenic focus

or pathway (eg, Wolff-Parkinson-White, atrioventricular node
re-entry), tract(s) and/or focus (foci); without
33250
1233
33253
Operative incisions and reconstruction of atria for treatment

of atrial fibrillation or atrial flutter (eg, maze procedure)
33253
1234
33261
Operative ablation of ventricular arrhythmogenic focus with

33261
1235
33282
Implantation of patient-activated cardiac event recorder
33282
1236
33300
Repair of cardiac wound; without bypass
33300
1237
33305
Repair of cardiac wound; with cardiopulmonary bypass
33305
1238
33310
1239
33320
1240
33321
1241
33330
1242
33400
Removal of permanent transvenous electrode(s) by

thoracotomy
Insertion of single or dual chamber pacing cardioverterdefibrillator pulse generator
Cardiotomy, exploratory (includes removal of foreign body,

atrial or ventricular thrombus); without bypass
Suture repair of aorta or great vessels; without shunt or
Suture repair of aorta or great vessels; with shunt bypass
Insertion of graft, aorta or great vessels; without shunt, or
Valvuloplasty, aortic valve; open, with cardiopulmonary
bypass
33238
33240
33310
33320
33321
33330
33400
1243
33404
Construction of apical-aortic conduit
33404
1244
33405
Replacement, aortic valve, with cardiopulmonary bypass;

with prosthetic valve other than homograft or stentless valve
33405
1245
33414
Repair of left ventricular outflow tract obstruction by patch

enlargement of the outflow tract
33414
1246
33415
Resection or incision of subvalvular tissue for discrete

subvalvular aortic stenosis
33415
1247
33416
Ventriculomyotomy (-myectomy) for idiopathic hypertrophic

subaortic stenosis (eg, asymmetric septal hypertrophy)
33416
1248
1249
33417
33420
1250
33422
1251
Aortoplasty (gusset) for supravalvular stenosis

Valvotomy, mitral valve; closed heart
Valvotomy, mitral valve; open heart, with cardiopulmonary
bypass
33417
33420
33425
Valvuloplasty, mitral valve, with cardiopulmonary bypass;
33425
1252
33430
Replacement, mitral valve, with cardiopulmonary bypass
33430
1253
33460
Valvectomy, tricuspid valve, with cardiopulmonary bypass
33460
1254
33463
Valvuloplasty, tricuspid valve; without ring insertion
33463
1255
33465
Replacement, tricuspid valve, with cardiopulmonary bypass
33465
1256
33468
Tricuspid valve repositioning and plication for Ebstein

anomaly
33468
1257
33470
Valvotomy, pulmonary valve, closed heart; transventricular
33470
1258
33472
1259
33475
1260
33476
1261
33478
1262
33500
1263
33502
1264
33504
Repair of anomalous coronary artery from pulmonary artery

origin; by graft, with cardiopulmonary bypass
33504
1265
33510
Coronary artery bypass, vein only; single coronary venous

graft
33510
1266
33513
Coronary artery bypass, vein only; 4 coronary venous grafts
33513
1267
33517
Coronary artery bypass, using venous graft(s) and arterial

graft(s); single vein graft (List separately in addition to code
for primary procedure)
33517
Valvotomy, pulmonary valve, open heart; with inflow

occlusion
Replacement, pulmonary valve
Right ventricular resection for infundibular stenosis, with or
without commissurotomy
Outflow tract augmentation (gusset), with or without
commissurotomy or infundibular resection
Repair of coronary arteriovenous or arteriocardiac chamber
fistula; with cardiopulmonary bypass
origin; by ligation
33422
33472
33475
33476
33478
33500
33502
1268
33521

graft(s); 4 venous grafts (List separately in addition to code
33521
1269
33530
Reoperation, coronary artery bypass procedure or valve

procedure, more than 1 month after original operation (List
33530
1270
33533
1271
33536
1272
33542
Myocardial resection (eg, ventricular aneurysmectomy)
33542
1273
33545
Repair of postinfarction ventricular septal defect, with or

without myocardial resection
33545
1274
33572
Coronary endarterectomy, open, any method, of left anterior

descending, circumflex, or right coronary artery performed in
conjunction with coronary artery bypass graft procedure,
each vessel (List separately in addition to primary
procedure)
33572
1275
33600
1276
33641
1277
33735
1278
33736
1279
33750
1280
33786
Total repair, truncus arteriosus (Rastelli type operation)
33786
1281
33788
33788
1282
33860
1283
1284
33870
33875
1285
33877
1286
33910
1287
33916
Reimplantation of an anomalous pulmonary artery

Ascending aorta graft, with cardiopulmonary bypass, with or
without valve suspension;
Transverse arch graft, with cardiopulmonary bypass
Descending thoracic aorta graft, with or without bypass
Repair of thoracoabdominal aortic aneurysm with graft, with
or without cardiopulmonary bypass
Pulmonary artery embolectomy; with cardiopulmonary
bypass
Pulmonary endarterectomy, with or without embolectomy,
with cardiopulmonary bypass
Coronary artery bypass, using arterial graft(s); single arterial

graft
Coronary artery bypass, using arterial graft(s); 4 or more
coronary arterial grafts
Closure of atrioventricular valve (mitral or tricuspid) by suture

or patch
Repair atrial septal defect, secundum, with cardiopulmonary
bypass, with or without patch
Atrial septectomy or septostomy; closed heart (BlalockHanlon type operation)
Atrial septectomy or septostomy; open heart with
Shunt; subclavian to pulmonary artery (Blalock-Taussig type
operation)
33533
33536
33600
33641
33735
33736
33750
33860
33870
33875
33877
33910
33916
1288
33924
Ligation and takedown of a systemic-to-pulmonary artery

shunt, performed in conjunction with a congenital heart
procedure (List separately in addition to code for primary
procedure)
1289
33935
Heart-lung transplant with recipient cardiectomypneumonectomy
33935
1290
33945
Heart transplant, with or without recipient cardiectomy
33945
33924
1291
33960
Prolonged extracorporeal circulation for cardiopulmonary

insufficiency; initial 24 hours
33960
1292
33967
Insertion of intra-aortic balloon assist device, percutaneous
33967
1293
33968
Removal of intra-aortic balloon assist device, percutaneous
33968
1294
33970
Insertion of intra-aortic balloon assist device through the

femoral artery, open approach
33970
1295
33971
Removal of intra-aortic balloon assist device including repair

of femoral artery, with or without graft
33971
1296
33975
1297
33977
1298
34001
1299
34151
1300
34401
1301
1302
1303
1304
1305
34501
34502
34510
34520
34530
1306
34800
Endovascular repair of infrarenal abdominal aortic aneurysm

or dissection; using aorto-aortic tube prosthesis
34800
1307
34808
Endovascular placement of iliac artery occlusion device (List

34808
35001
Direct repair of aneurysm, pseudoaneurysm, or excision

(partial or total) and graft insertion, with or without patch
graft; for aneurysm and associated occlusive disease,
carotid, subclavian artery, by neck incision
35001
35021

graft; for aneurysm, pseudoaneurysm, and associated
occlusive disease, innominate, subclavian artery, by thoracic
incision
35021
1310
35081

occlusive disease, abdominal aorta
35081
1311
35180
Repair, congenital arteriovenous fistula; head and neck
35180
1312
35182
Repair, congenital arteriovenous fistula; thorax and

abdomen
35182
1308
1309
Insertion of ventricular assist device; extracorporeal, single

ventricle
Removal of ventricular assist device; extracorporeal, single
ventricle
Embolectomy or thrombectomy, with or without catheter;
carotid, subclavian or innominate artery, by neck incision
renal, celiac, mesentery, aortoiliac artery, by abdominal
incision
Thrombectomy, direct or with catheter; vena cava, iliac vein,
by abdominal incision
Valvuloplasty, femoral vein
Reconstruction of vena cava, any method
Venous valve transposition, any vein donor
Cross-over vein graft to venous system
Saphenopopliteal vein anastomosis
33975
33977
34001
34151
34401
34501
34502
34510
34520
34530
1313
35184
Repair, congenital arteriovenous fistula; extremities
1314
35188
1315
35201
Repair, acquired or traumatic arteriovenous fistula; head and

neck
Repair blood vessel, direct; neck
1316
35211
Repair blood vessel, direct; intrathoracic, with bypass
35211
1317
35231
35231
1318
35241
Repair blood vessel with vein graft; neck

Repair blood vessel with vein graft; intrathoracic, with
bypass
1319
35261
Repair blood vessel with graft other than vein; neck
35261
1320
35271
Repair blood vessel with graft other than vein; intrathoracic,

with bypass
35271
1321
35301
Thromboendarterectomy, including patch graft, if performed;

carotid, vertebral, subclavian, by neck incision
35301
1322
35331

abdominal aorta
35331
1323
35390
Reoperation, carotid, thromboendarterectomy, more than 1

month after original operation (List separately in addition to
code for primary procedure)
35390
1324
35400
1325
35450
1326
35470
1327
35480
1328
35490
1329
35501
1330
35526
Angioscopy (non-coronary vessels or grafts) during

therapeutic intervention (List separately in addition to code
Transluminal balloon angioplasty, open; renal or other
visceral artery
Transluminal balloon angioplasty, percutaneous;
tibioperoneal trunk or branches, each vessel
Transluminal peripheral atherectomy, open; renal or other
visceral artery
Transluminal peripheral atherectomy, percutaneous; renal or
other visceral artery
Bypass graft, with vein; common carotid-ipsilateral internal
carotid
Bypass graft, with vein; aortosubclavian or carotid
1331
35531
Bypass graft, with vein; aortoceliac or aortomesenteric
35531
1332
1333
1334
35541
35546
35556
35541
35546
35556
1335
35582
1336
35583
1337
35585
1338
35587
1339
35601
Bypass graft, with vein; aortoiliac or bi-iliac

Bypass graft, with vein; aortofemoral or bifemoral
Bypass graft, with vein; femoral-popliteal
In-situ vein bypass; aortofemoral-popliteal (only femoralpopliteal portion in-situ)
In-situ vein bypass; femoral-popliteal
In-situ vein bypass; femoral-anterior tibial, posterior tibial, or
peroneal artery
In-situ vein bypass; popliteal-tibial, peroneal
Bypass graft, with other than vein; common carotidipsilateral internal carotid
1340
35681
Bypass graft; composite, prosthetic and vein (List separately

35184
35188
35201
35241
35400
35450
35470
35480
35490
35501
35526
35582
35583
35585
35587
35601
35681
1341
35682
1342
35691
Bypass graft; autogenous composite, 2 segments of veins

from 2 locations (List separately in addition to code for
primary procedure)
Transposition and/or reimplantation; vertebral to carotid
artery
Reoperation, femoral-popliteal or femoral (popliteal)-anterior
tibial, posterior tibial, peroneal artery or other distal vessels,
more than 1 month after original operation (List separately in
addition to code for primary procedure)
35682
35691
1343
35700
1344
35701
1345
35800
1346
35870
1347
35875
1348
35879
Revision, lower extremity arterial bypass, without

thrombectomy, open; with vein patch angioplasty
35879
1349
35901
Excision of infected graft; neck
35901
1350
36011
Selective catheter placement, venous system; first order

branch (eg, renal vein, jugular vein)
36011
1351
36012
1352
36260
1353
36261
Selective catheter placement, venous system; second order,

or more selective, branch (eg, left adrenal vein, petrosal
sinus)
Insertion of implantable intra-arterial infusion pump (eg, for
chemotherapy of liver)
Revision of implanted intra-arterial infusion pump
1354
36262
Removal of implanted intra-arterial infusion pump
1355
36400
1356
1357
1358
1359
1360
1361
36420
36430
36440
36450
36460
36470
Venipuncture, under age 3 years, necessitating physician's

skill, not to be used for routine venipuncture; femoral or
jugular vein
Venipuncture, cutdown; under age 1 year
Transfusion, blood or blood components
Push transfusion, blood, 2 years or under
Exchange transfusion, blood; newborn
Transfusion, intrauterine, fetal
Injection of sclerosing solution; single vein
1362
36481
Percutaneous portal vein catheterization by any method
36481
36488
Placement of central venous catheter (subclavian, jugular, or

other vein) (eg, for central venous pressure,
hyperalimentation, hemodialysis, or chemotherapy);
percutaneous, age 2 years or under
36488
1364
36489

percutaneous, over age 2
36489
1365
36500
Venous catheterization for selective organ blood sampling
36500
1363
Exploration (not followed by surgical repair), with or without

lysis of artery; carotid artery
Exploration for postoperative hemorrhage, thrombosis or
infection; neck
Repair of graft-enteric fistula
Thrombectomy of arterial or venous graft (other than
hemodialysis graft or fistula);
35700
35701
35800
35870
35875
36012
36260
36261
36262
36400
36420
36430
36440
36450
36460
36470
1366
36510
1367
36520
Catheterization of umbilical vein for diagnosis or therapy,

newborn
Therapeutic apheresis; plasma and/or cell exchange
1368
36530
Insertion of implantable intravenous infusion pump
36530
1369
36533
Insertion of implantable venous access device, with or

without subcutaneous reservoir
36533
1370
36600
Arterial puncture, withdrawal of blood for diagnosis
36600
1371
36620
1372
36660
1373
36680
1374
36800
1375
36815
1376
36821
1377
36822
1378
36825
Creation of arteriovenous fistula by other than direct

arteriovenous anastomosis (separate procedure);
autogenous graft
36825
1379
36831
Thrombectomy, open, arteriovenous fistula without revision,

autogenous or nonautogenous dialysis graft (separate
procedure)
36831
1380
36832
1381
36834
1382
36835
1383
36860
1384
1385
1386
37140
37160
37200
1387
37201
1388
1389
37565
37600
External cannula declotting (separate procedure); without

balloon catheter
Venous anastomosis, open; portocaval
Venous anastomosis, open; caval-mesenteric
Transcatheter biopsy
Transcatheter therapy, infusion for thrombolysis other than
coronary
Ligation, internal jugular vein
Ligation; external carotid artery
1390
37607
Ligation or banding of angioaccess arteriovenous fistula
37607
1391
37609
Ligation or biopsy, temporal artery
37609
1392
37615
Ligation, major artery (eg, post-traumatic, rupture); neck
37615
Arterial catheterization or cannulation for sampling,

monitoring or transfusion (separate procedure);
percutaneous
Catheterization, umbilical artery, newborn, for diagnosis or
therapy
Placement of needle for intraosseous infusion
Insertion of cannula for hemodialysis, other purpose
(separate procedure); vein to vein
(separate procedure); arteriovenous, external revision, or
closure
Arteriovenous anastomosis, open; direct, any site (eg,
Cimino type) (separate procedure)
Insertion of cannula(s) for prolonged extracorporeal
circulation for cardiopulmonary insufficiency (ECMO)
Revision, open, arteriovenous fistula; without thrombectomy,

procedure)
Plastic repair of arteriovenous aneurysm (separate
procedure)
Insertion of Thomas shunt (separate procedure)
36510
36520
36620
36660
36680
36800
36815
36821
36822
36832
36834
36835
36860
37140
37160
37200
37201
37565
37600
1393
37616
Ligation, major artery (eg, post-traumatic, rupture); chest
1394
37620
1395
1396
37650
37660
1397
37720
1398
37760
Ligation of perforator veins, subfascial, radical (Linton type),

including skin graft, when performed, open,1 leg
37760
1399
37785
Ligation, division, and/or excision of varicose vein cluster(s),

1 leg
37785
1400
37788
Penile revascularization, artery, with or without vein graft
37788
1401
1402
1403
37790
38100
38101
37790
38100
38101
1404
38115
1405
1406
38120
38220
1407
38240
Penile venous occlusive procedure

Splenectomy; total (separate procedure)
Splenectomy; partial (separate procedure)
Repair of ruptured spleen (splenorrhaphy) with or without
partial splenectomy
Laparoscopy, surgical, splenectomy
Bone marrow; aspiration only
Bone marrow or blood-derived peripheral stem cell
transplantation; allogenic
1408
38300
Drainage of lymph node abscess or lymphadenitis; simple
38300
1409
38305
Drainage of lymph node abscess or lymphadenitis; extensive
38305
1410
38380
Suture and/or ligation of thoracic duct; cervical approach
38380
1411
38381
Suture and/or ligation of thoracic duct; thoracic approach
38381
1412
38500
Biopsy or excision of lymph node(s); open, superficial
38500
1413
38505
Biopsy or excision of lymph node(s); by needle, superficial

(eg, cervical, inguinal, axillary)
38505
1414
38510
1415
38550
1416
38562
1417
38570
1418
38571
1419
38572
1420
1421
38700
38720
Interruption, partial or complete, of inferior vena cava by

suture, ligation, plication, clip, extravascular, intravascular
(umbrella device)
Ligation of femoral vein
Ligation of common iliac vein
Ligation and division and complete stripping of long or short
saphenous veins
Biopsy or excision of lymph node(s); open, deep cervical

node(s)
Excision of cystic hygroma, axillary or cervical; without deep
neurovascular dissection
Limited lymphadenectomy for staging (separate procedure);
pelvic and para-aortic
Laparoscopy, surgical; with retroperitoneal lymph node
sampling (biopsy), single or multiple
Laparoscopy, surgical; with bilateral total pelvic
lymphadenectomy
lymphadenectomy and peri-aortic lymph node sampling
(biopsy), single or multiple
Suprahyoid lymphadenectomy
Cervical lymphadenectomy (complete)
37616
37620
37650
37660
37720
38115
38120
38220
38240
38510
38550
38562
38570
38571
38572
38700
38720
1422
38740
1423
38746
Axillary lymphadenectomy; superficial

Thoracic lymphadenectomy, regional, including mediastinal
and peritracheal nodes (List separately in addition to code
38740
38746
1424
38747
Abdominal lymphadenectomy, regional, including celiac,

gastric, portal, peripancreatic, with or without para-aortic and
vena caval nodes (List separately in addition to code for
primary procedure)
1425
38760
Inguinofemoral lymphadenectomy, superficial, including

Cloquets node (separate procedure)
38760
1426
38770
Pelvic lymphadenectomy, including external iliac,

hypogastric, and obturator nodes (separate procedure)
38770
1427
38780
1428
38794
1429
39000
1430
39010
1431
1432
1433
39200
39400
39501
1434
39502
1435
39503
1436
39520
1437
39545
1438
39560
1439
40490
Repair, diaphragmatic hernia (esophageal hiatal);

transthoracic
Imbrication of diaphragm for eventration, transthoracic or
transabdominal, paralytic or nonparalytic
Resection, diaphragm; with simple repair (eg, primary
suture)
Biopsy of lip
1440
40500
Vermilionectomy (lip shave), with mucosal advancement
40500
1441
40510
Excision of lip; transverse wedge excision with primary

closure
40510
1442
40525
Excision of lip; full thickness, reconstruction with local flap

(eg, Estlander or fan)
40525
1443
40530
1444
40650
1445
40700
1446
40702
Retroperitoneal transabdominal lymphadenectomy,

extensive, including pelvic, aortic, and renal nodes (separate
procedure)
Cannulation, thoracic duct
Mediastinotomy with exploration, drainage, removal of
foreign body, or biopsy; cervical approach
Mediastinotomy with exploration, drainage, removal of
foreign body, or biopsy; transthoracic approach, including
either transthoracic or median sternotomy
Excision of mediastinal cyst
Mediastinoscopy, with or without biopsy
Repair, laceration of diaphragm, any approach
Repair, paraesophageal hiatus hernia, transabdominal, with
or without fundoplasty, vagotomy, and/or pyloroplasty, except
neonatal
Repair, neonatal diaphragmatic hernia, with or without chest
tube insertion and with or without creation of ventral hernia
Resection of lip, more than one-fourth, without

reconstruction
Repair lip, full thickness; vermilion only
Plastic repair of cleft lip/nasal deformity; primary, partial or
complete, unilateral
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1
of 2 stages
38747
38780
38794
39000
39010
39200
39400
39501
39502
39503
39520
39545
39560
40490
40530
40650
40700
40702
Drainage of abscess, cyst, hematoma, vestibule of mouth;

simple
Drainage of abscess, cyst, hematoma, vestibule of mouth;
complicated
Incision of labial frenum (frenotomy)
Excision of lesion of mucosa and submucosa, vestibule of
mouth; without repair
Excision of frenum, labial or buccal (frenumectomy,
frenulectomy, frenectomy)
1447
40800
1448
40801
1449
40806
1450
40810
1451
40819
1452
40820
Destruction of lesion or scar of vestibule of mouth by

physical methods (eg, laser, thermal, cryo, chemical)
40820
1453
40830
Closure of laceration, vestibule of mouth; 2.5 cm or less
40830
1454
40840
40840
1455
40845
1456
41000
1457
41006
1458
41010
1459
41015
1460
41018
1461
1462
1463
1464
1465
41100
41110
41115
41120
41130
Vestibuloplasty; anterior
Vestibuloplasty; complex (including ridge extension, muscle
repositioning)
Intraoral incision and drainage of abscess, cyst, or
hematoma of tongue or floor of mouth; lingual
hematoma of tongue or floor of mouth; sublingual, deep,
supramylohyoid
Incision of lingual frenum (frenotomy)
Extraoral incision and drainage of abscess, cyst, or
hematoma of floor of mouth; sublingual
hematoma of floor of mouth; masticator space
Biopsy of tongue; anterior two-thirds
Excision of lesion of tongue without closure
Excision of lingual frenum (frenectomy)
Glossectomy; less than one-half tongue
Glossectomy; hemiglossectomy
1466
41135
Glossectomy; partial, with unilateral radical neck dissection
41135
1467
41140
1468
41145
1469
41150
1470
41153
1471
41155
1472
41250
1473
41500
1474
41510
Glossectomy; complete or total, with or without

tracheostomy, without radical neck dissection
Glossectomy; complete or total, with or without
tracheostomy, with unilateral radical neck dissection
Glossectomy; composite procedure with resection floor of
mouth and mandibular resection, without radical neck
dissection
mouth, with suprahyoid neck dissection
mouth, mandibular resection, and radical neck dissection
(Commando type)
Repair of laceration 2.5 cm or less; floor of mouth and/or
anterior two-thirds of tongue
Fixation of tongue, mechanical, other than suture (eg, Kwire)
Suture of tongue to lip for micrognathia (Douglas type
procedure)
40800
40801
40806
40810
40819
40845
41000
41006
41010
41015
41018
41100
41110
41115
41120
41130
41140
41145
41150
41153
41155
41250
41500
41510
1475
41520
Frenoplasty (surgical revision of frenum, eg, with Z-plasty)
1476
41800
1477
41805
1478
41806
1479
1480
41820
41821
Drainage of abscess, cyst, hematoma from dentoalveolar

structures
Removal of embedded foreign body from dentoalveolar
structures; soft tissues
Removal of embedded foreign body from dentoalveolar
structures; bone
Gingivectomy, excision gingiva, each quadrant
Operculectomy, excision pericoronal tissues
1481
41822
Excision of fibrous tuberosities, dentoalveolar structures
1482
41828
1483
41830
1484
1485
1486
1487
1488
1489
1490
1491
41870
41872
41874
42000
42100
42104
42120
42140
1492
42145
1493
42180
Repair, laceration of palate; up to 2 cm
42180
1494
42200
Palatoplasty for cleft palate, soft and/or hard palate only
42200
1495
42205
Palatoplasty for cleft palate, with closure of alveolar ridge;

soft tissue only
42205
1496
42210
Palatoplasty for cleft palate, with closure of alveolar ridge;

with bone graft to alveolar ridge (includes obtaining graft)
42210
1497
42226
Lengthening of palate, and pharyngeal flap
42226
1498
42235
Repair of anterior palate, including vomer flap
42235
1499
1500
1501
1502
1503
42260
42280
42281
42300
42325
42260
42280
42281
42300
42325
1504
42330
1505
1506
1507
42400
42408
42409
1508
42410
1509
42420
Repair of nasolabial fistula

Maxillary impression for palatal prosthesis
Insertion of pin-retained palatal prosthesis
Drainage of abscess; parotid, simple
Fistulization of sublingual salivary cyst (ranula);
Sialolithotomy; submandibular (submaxillary), sublingual or
parotid, uncomplicated, intraoral
Biopsy of salivary gland; needle
Excision of sublingual salivary cyst (ranula)
Marsupialization of sublingual salivary cyst (ranula)
Excision of parotid tumor or parotid gland; lateral lobe,
without nerve dissection
Excision of parotid tumor or parotid gland; total, with
dissection and preservation of facial nerve
Excision of hyperplastic alveolar mucosa, each quadrant

(specify)
Alveolectomy, including curettage of osteitis or
sequestrectomy
Periodontal mucosal grafting
Gingivoplasty, each quadrant (specify)
Alveoloplasty, each quadrant (specify)
Drainage of abscess of palate, uvula
Biopsy of palate, uvula
Excision, lesion of palate, uvula; without closure
Resection of palate or extensive resection of lesion
Uvulectomy, excision of uvula
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty,
uvulopharyngoplasty)
41520
41800
41805
41806
41820
41821
41822
41828
41830
41870
41872
41874
42000
42100
42104
42120
42140
42145
42330
42400
42408
42409
42410
42420
Excision of parotid tumor or parotid gland; total, with

unilateral radical neck dissection
Excision of submandibular (submaxillary) gland
Excision of sublingual gland
Plastic repair of salivary duct, sialodochoplasty; primary or
simple
1510
42426
1511
1512
42440
42450
1513
42500
1514
42507
Parotid duct diversion, bilateral (Wilke type procedure);
42507
1515
1516
1517
1518
1519
42600
42650
42665
42700
42800
Closure salivary fistula

Dilation salivary duct
Ligation salivary duct, intraoral
Incision and drainage abscess; peritonsillar
Biopsy; oropharynx
42600
42650
42665
42700
42800
1520
42808
Excision or destruction of lesion of pharynx, any method
42808
1521
42809
42809
1522
42810
Removal of foreign body from pharynx

Excision branchial cleft cyst or vestige, confined to skin and
subcutaneous tissues
1523
42820
Tonsillectomy and adenoidectomy; under age 12
42820
1524
42825
Tonsillectomy, primary or secondary; under age 12
42825
1525
42830
42830
1526
42842
1527
42860
1528
42870
1529
42890
1530
42892
Adenoidectomy, primary; under age 12

Radical resection of tonsil, tonsillar pillars, and/or retromolar
trigone; without closure
Excision of tonsil tags
Excision or destruction lingual tonsil, any method (separate
procedure)
Limited pharyngectomy
Resection of lateral pharyngeal wall or pyriform sinus, direct
closure by advancement of lateral and posterior pharyngeal
walls
1531
42894
1532
42900
1533
42950
1534
42953
Resection of pharyngeal wall requiring closure with

myocutaneous or fasciocutaneous flap or free muscle, skin,
or fascial flap with microvascular anastamosis
Suture pharynx for wound or injury
Pharyngoplasty (plastic or reconstructive operation on
pharynx)
Pharyngoesophageal repair
1535
42955
Pharyngostomy (fistulization of pharynx, external for feeding)
1536
43020
1537
43030
1538
43045
1539
43100
1540
43101
Esophagotomy, cervical approach, with removal of foreign

body
Cricopharyngeal myotomy
Esophagotomy, thoracic approach, with removal of foreign
body
Excision of lesion, esophagus, with primary repair; cervical
approach
Excision of lesion, esophagus, with primary repair; thoracic
or abdominal approach
42426
42440
42450
42500
42810
42842
42860
42870
42890
42892
42894
42900
42950
42953
42955
43020
43030
43045
43100
43101
1541
43107
Total or near total esophagectomy, without thoracotomy; with

pharyngogastrostomy or cervical esophagogastrostomy, with
or without pyloroplasty (transhiatal)
43107
1542
43108
Total or near total esophagectomy, without thoracotomy; with

colon interposition or small intestine reconstruction, including
intestine mobilization, preparation and anastomosis(es)
43108
1543
43116
Partial esophagectomy, cervical, with free intestinal graft,

including microvascular anastomosis, obtaining the graft and
intestinal reconstruction
43116
43117
Partial esophagectomy, distal two-thirds, with thoracotomy

and separate abdominal incision, with or without proximal
gastrectomy; with thoracic esophagogastrostomy, with or
without pyloroplasty (Ivor Lewis)
43117
1545
43118

and separate abdominal incision, with or without proximal
gastrectomy; with colon interposition or small intestine
reconstruction, including intestine mobilization, preparation,
and anastomosis(es)
43118
1546
43124
1547
43130
1548
43200
1549
43231
1550
43234
1544
Total or partial esophagectomy, without reconstruction (any

approach), with cervical esophagostomy
Diverticulectomy of hypopharynx or esophagus, with or
without myotomy; cervical approach
Esophagoscopy, rigid or flexible; diagnostic, with or without
collection of specimen(s) by brushing or washing (separate
procedure)
Esophagoscopy, rigid or flexible; with endoscopic ultrasound
examination
Upper gastrointestinal endoscopy, simple primary
examination (eg, with small diameter flexible endoscope)
43124
43130
43200
43231
43234
43235
Upper gastrointestinal endoscopy including esophagus,

stomach, and either the duodenum and/or jejunum as
appropriate; diagnostic, with or without collection of
specimen(s) by brushing or washing (separate procedure)
43235
1552
43259

appropriate; with endoscopic ultrasound examination,
including the esophagus, stomach, and either the duodenum
and/or jejunum as appropriate
43259
1553
43260
Endoscopic retrograde cholangiopancreatography (ERCP);

diagnostic, with or without collection of specimen(s) by
brushing or washing (separate procedure)
43260
1554
43280
Laparoscopy, surgical, esophagogastric fundoplasty (eg,

Nissen, Toupet procedures)
43280
1555
43300
Esophagoplasty (plastic repair or reconstruction), cervical

approach; without repair of tracheoesophageal fistula
43300
1551
1556
43310
Esophagoplasty (plastic repair or reconstruction), thoracic

approach; without repair of tracheoesophageal fistula
43310
1557
43313
Esophagoplasty for congenital defect, (plastic repair or

reconstruction), thoracic approach; without repair of
congenital tracheoesophageal fistula
43313
1558
43320
1559
43324
1560
1561
43330
43331
1562
43340
1563
43350
Esophagogastrostomy (cardioplasty), with or without

vagotomy and pyloroplasty, transabdominal or transthoracic
approach
Esophagogastric fundoplasty (eg, Nissen, Belsey IV, Hill
procedures)
Esophagomyotomy (Heller type); abdominal approach
Esophagomyotomy (Heller type); thoracic approach
Esophagojejunostomy (without total gastrectomy);
abdominal approach
Esophagostomy, fistulization of esophagus, external;
abdominal approach
43320
43324
43330
43331
43340
43350
43360
Gastrointestinal reconstruction for previous esophagectomy,

for obstructing esophageal lesion or fistula, or for previous
esophageal exclusion; with stomach, with or without
pyloroplasty
43360
1565
43361
Gastrointestinal reconstruction for previous esophagectomy,

for obstructing esophageal lesion or fistula, or for previous
esophageal exclusion; with colon interposition or small
intestine reconstruction, including intestine mobilization,
preparation, and anastomosis(es)
43361
1566
43400
Ligation, direct, esophageal varices
43400
1567
43401
Transection of esophagus with repair, for esophageal varices
43401
1568
43405
1569
43410
1570
43415
1571
43420
1572
43450
1573
43451
Dilation of esophagus, by unguided sound or bougie, single

or multiple passes; subsequent session
43451
1574
43460
Esophagogastric tamponade, with balloon (Sengstaken

type)
43460
1575
43496
Free jejunum transfer with microvascular anastomosis
43496
1576
43500
Gastrotomy; with exploration or foreign body removal
43500
1577
43501
Gastrotomy; with suture repair of bleeding ulcer
43501
1578
43520
1579
1580
43605
43620
1564
Ligation or stapling at gastroesophageal junction for preexisting esophageal perforation

Suture of esophageal wound or injury; cervical approach
Suture of esophageal wound or injury; transthoracic or
transabdominal approach
Closure of esophagostomy or fistula; cervical approach
Dilation of esophagus, by unguided sound or bougie, single
or multiple passes
Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt

type operation)
Biopsy of stomach; by laparotomy
Gastrectomy, total; with esophagoenterostomy
43405
43410
43415
43420
43450
43520
43605
43620
1581
43631
Gastrectomy, partial, distal; with gastroduodenostomy
43631
1582
43635
Vagotomy when performed with partial distal gastrectomy

(List separately in addition to code[s] for primary procedure)
43635
1583
43638
Gastrectomy, partial, proximal, thoracic or abdominal

approach including esophagogastrostomy, with vagotomy;
43638
1584
43640
1585
43641
1586
43644
1587
43648
1588
43651
Laparoscopy, surgical; transection of vagus nerves, truncal
43651
1589
43652
Laparoscopy, surgical; transection of vagus nerves, selective

or highly selective
43652
1590
43653
Laparoscopy, surgical; gastrostomy, without construction of

gastric tube (eg, Stamm procedure) (separate procedure)
43653
1591
43750
1592
43760
1593
1594
1595
43800
43810
43820
1596
43830
1597
43831
1598
43840
1599
43842
Gastric restrictive procedure, without gastric bypass, for

morbid obesity; vertical-banded gastroplasty
43842
1600
43846
Gastric restrictive procedure, with gastric bypass for morbid

obesity; with short limb (150 cm or less) Roux-en-Y
gastroenterostomy
43846
1601
43848
Revision, open, of gastric restrictive procedure for morbid

obesity, other than adjustable gastric restrictive device
43848
1602
43850
Revision of gastroduodenal anastomosis

(gastroduodenostomy) with reconstruction; without vagotomy
43850
1603
43860
Revision of gastrojejunal anastomosis (gastrojejunostomy)

with reconstruction, with or without partial gastrectomy or
intestine resection; without vagotomy
43860
1604
1605
43870
43880
Closure of gastrostomy, surgical

Closure of gastrocolic fistula
43870
43880
Vagotomy including pyloroplasty, with or without

gastrostomy; truncal or selective
Vagotomy including pyloroplasty, with or without
gastrostomy; parietal cell (highly selective)
Laparoscopy, surgical, gastric restrictive procedure; with
gastric bypass and Roux-en-Y gastroenterostomy (roux limb
150 cm or less)
Laparoscopy, surgical; revision or removal of gastric
neurostimulator electrodes, antrum
Percutaneous placement of gastrostomy tube

Change of gastrostomy tube, percutaneous, without imaging
or endoscopic guidance
Pyloroplasty
Gastroduodenostomy
Gastrojejunostomy; without vagotomy
Gastrostomy, open; without construction of gastric tube (eg,
Stamm procedure) (separate procedure)
Gastrostomy, open; neonatal, for feeding
Gastrorrhaphy, suture of perforated duodenal or gastric
ulcer, wound, or injury
43640
43641
43644
43648
43750
43760
43800
43810
43820
43830
43831
43840
Enterolysis (freeing of intestinal adhesion) (separate

procedure)
Duodenotomy, for exploration, biopsy(s), or foreign body
removal
Tube or needle catheter jejunostomy for enteral
alimentation, intraoperative, any method (List separately in
addition to primary procedure)
1606
44005
1607
44010
1608
44015
1609
44020
Enterotomy, small intestine, other than duodenum; for

exploration, biopsy(s), or foreign body removal
44020
1610
44025
Colotomy, for exploration, biopsy(s), or foreign body removal
44025
1611
44050
Reduction of volvulus, intussusception, internal hernia, by

laparotomy
44050
1612
44055
Correction of malrotation by lysis of duodenal bands and/or

reduction of midgut volvulus (eg, Ladd procedure)
44055
1613
44120
1614
44126
1615
44130
1616
44131
1617
44132
1618
44133
1619
44135
1620
44139
1621
44140
1622
44150
1623
44155
1624
44160
1625
44200
1626
44201
1627
44202
1628
44204
1629
44205
1630
44210
Enterectomy, resection of small intestine; single resection

and anastomosis
Enterectomy, resection of small intestine for congenital
atresia, single resection and anastomosis of proximal
segment of intestine; without tapering
Enteroenterostomy, anastomosis of intestine, with or without
cutaneous enterostomy (separate procedure)
Enteroenterostomy, anastomosis of intestine; intestinal
bypass for morbid obesity
Donor enterectomy (including cold preservation), open; from
cadaver donor
Donor enterectomy (including cold preservation), open;
partial, from living donor
Intestinal allotransplantation; from cadaver donor
Mobilization (take-down) of splenic flexure performed in
conjunction with partial colectomy (List separately in addition
to primary procedure)
Colectomy, partial; with anastomosis
Colectomy, total, abdominal, without proctectomy; with
ileostomy or ileoproctostomy
Colectomy, total, abdominal, with proctectomy; with
ileostomy
Colectomy, partial, with removal of terminal ileum with
ileocolostomy
Laparoscopy, surgical; enterolysis (freeing of intestinal
adhesion) (separate procedure)
Laparoscopy, surgical; jejunostomy (eg, for decompression
or feeding)
Laparoscopy, surgical; enterectomy, resection of small
intestine, single resection and anastomosis
Laparoscopy, surgical; colectomy, partial, with anastomosis
Laparoscopy, surgical; colectomy, partial, with removal of
terminal ileum with ileocolostomy
Laparoscopy, surgical; colectomy, total, abdominal, without
proctectomy, with ileostomy or ileoproctostomy
44005
44010
44015
44120
44126
44130
44131
44132
44133
44135
44139
44140
44150
44155
44160
44200
44201
44202
44204
44205
44210
1631
44212
Laparoscopy, surgical; colectomy, total, abdominal, with

proctectomy, with ileostomy
44212
1632
44300
Placement, enterostomy or cecostomy, tube open (eg, for

feeding or decompression) (separate procedure)
44300
1633
44310
1634
44312
1635
44314
1636
Ileostomy or jejunostomy, non-tube

Revision of ileostomy; simple (release of superficial scar)
Revision of ileostomy; complicated (reconstruction in-depth)
44310
44316
Continent ileostomy (Kock procedure) (separate procedure)
44316
1637
44320
44320
1638
44340
1639
44345
Colostomy or skin level cecostomy;

Revision of colostomy; simple (release of superficial scar)
Revision of colostomy; complicated (reconstruction in-depth)
44312
44314
44340
44345
44360
Small intestinal endoscopy, enteroscopy beyond second

portion of duodenum, not including ileum; diagnostic, with or
without collection of specimen(s) by brushing or washing
44360
1641
44376

portion of duodenum, including ileum; diagnostic, with or
without collection of specimen(s) by brushing or washing
44376
1642
44377

portion of duodenum, including ileum; with biopsy, single or
multiple
44377
1643
44380
Ileoscopy, through stoma; diagnostic, with or without

procedure)
44380
1644
44385
Endoscopic evaluation of small intestinal (abdominal or

pelvic) pouch; diagnostic, with or without collection of
44385
1645
44388
1646
44500
1647
44602
1648
44604
1649
44615
1650
1651
1652
44620
44640
44650
1653
44660
1640
Colonoscopy through stoma; diagnostic, with or without

procedure)
Introduction of long gastrointestinal tube (eg, Miller-Abbott)
Suture of small intestine (enterorrhaphy) for perforated ulcer,
diverticulum, wound, injury or rupture; single perforation
Suture of large intestine (colorrhaphy) for perforated ulcer,
diverticulum, wound, injury or rupture (single or multiple
perforations); without colostomy
Intestinal stricturoplasty (enterotomy and enterorrhaphy) with
or without dilation, for intestinal obstruction
Closure of enterostomy, large or small intestine;
Closure of intestinal cutaneous fistula
Closure of enteroenteric or enterocolic fistula
Closure of enterovesical fistula; without intestinal or bladder
resection
44388
44500
44602
44604
44615
44620
44640
44650
44660
1654
44680
Intestinal plication (separate procedure)
44680
1655
44700
Exclusion of small intestine from pelvis by mesh or other

prosthesis, or native tissue (eg, bladder or omentum)
44700
1656
44715
Backbench standard preparation of cadaver or living donor

intestine allograft prior to transplantation, including
mobilization and fashioning of the superior mesenteric artery
and vein
44715
1657
44720
1658
44800
1659
44820
Excision of lesion of mesentery (separate procedure)
44820
1660
1661
44850
44900
Suture of mesentery (separate procedure)

Incision and drainage of appendiceal abscess; open
44850
44900
1662
44901
Incision and drainage of appendiceal abscess; percutaneous
44901
1663
44950
44950
1664
44960
1665
1666
1667
44970
45000
45005
1668
45020
1669
45100
1670
45108
1671
45110
1672
45113
1673
45114
Appendectomy;
Appendectomy; for ruptured appendix with abscess or
generalized peritonitis
Laparoscopy, surgical, appendectomy
Transrectal drainage of pelvic abscess
Incision and drainage of submucosal abscess, rectum
Incision and drainage of deep supralevator, pelvirectal, or
retrorectal abscess
Biopsy of anorectal wall, anal approach (eg, congenital
megacolon)
Anorectal myomectomy
Proctectomy; complete, combined abdominoperineal, with
colostomy
Proctectomy, partial, with rectal mucosectomy, ileoanal
anastomosis, creation of ileal reservoir (S or J), with or
without loop ileostomy
Proctectomy, partial, with anastomosis; abdominal and
transsacral approach
Backbench reconstruction of cadaver or living donor

intestine allograft prior to transplantation; venous
anastomosis, each
Excision of Meckel's diverticulum (diverticulectomy) or
omphalomesenteric duct
44720
44800
44960
44970
45000
45005
45020
45100
45108
45110
45113
45114
45119
Proctectomy, combined abdominoperineal pull-through

procedure (eg, colo-anal anastomosis), with creation of
colonic reservoir (eg, J-pouch), with diverting enterostomy
when performed
45119
1675
45120
Proctectomy, complete (for congenital megacolon),

abdominal and perineal approach; with pull-through
procedure and anastomosis (eg, Swenson, Duhamel, or
Soave type operation)
45120
1676
45123
1677
45130
1678
45160
1674
Proctectomy, partial, without anastomosis, perineal

approach
Excision of rectal procidentia, with anastomosis; perineal
approach
Excision of rectal tumor by proctotomy, transsacral or
transcoccygeal approach
45123
45130
45160
1679
45190
Destruction of rectal tumor (eg, electrodesiccation,

electrosurgery, laser ablation, laser resection, cryosurgery)
transanal approach
45190
1680
45300
Proctosigmoidoscopy, rigid; diagnostic, with or without

procedure)
45300
1681
45330
Sigmoidoscopy, flexible; diagnostic, with or without collection

of specimen(s) by brushing or washing (separate procedure)
45330
1682
45341
1683
45355
1684
45500
Sigmoidoscopy, flexible; with endoscopic ultrasound

examination
Colonoscopy, rigid or flexible, transabdominal via colotomy,
single or multiple
Proctoplasty; for stenosis
1685
45520
Perirectal injection of sclerosing solution for prolapse
45520
1686
45540
Proctopexy (eg, for prolapse); abdominal approach
45540
1687
45541
45541
1688
45550
1689
1690
1691
45560
45800
45820
1692
45900
1693
45915
1694
46040
1695
46045
1696
1697
46050
46070
1698
46080
1699
46083
Proctopexy (eg, for prolapse); perineal approach

Proctopexy (eg, for prolapse); with sigmoid resection,
abdominal approach
Repair of rectocele (separate procedure)
Closure of rectovesical fistula;
Closure of rectourethral fistula;
Reduction of procidentia (separate procedure) under
anesthesia
Removal of fecal impaction or foreign body (separate
procedure) under anesthesia
Incision and drainage of ischiorectal and/or perirectal
abscess (separate procedure)
Incision and drainage of intramural, intramuscular, or
submucosal abscess, transanal, under anesthesia
Incision and drainage, perianal abscess, superficial
Incision, anal septum (infant)
Sphincterotomy, anal, division of sphincter (separate
procedure)
Incision of thrombosed hemorrhoid, external
1700
46200
Fissurectomy, including sphincterotomy, when performed
46200
1701
1702
46210
46220
Cryptectomy; single
Excision of single external papilla or tag, anus
46210
46220
1703
46221
Hemorrhoidectomy, internal, by rubber band ligation(s)
46221
1704
46250
Hemorrhoidectomy, external, 2 or more columns/groups
46250
1705
46255
1706
46257
1707
46258
Hemorrhoidectomy, internal and external, single

column/group;
column/group; with fissurectomy
column/group; with fistulectomy, including fissurectomy,
when performed
45341
45355
45500
45550
45560
45800
45820
45900
45915
46040
46045
46050
46070
46080
46083
46255
46257
46258
Surgical treatment of anal fistula (fistulectomy/fistulotomy);

subcutaneous
Closure of anal fistula with rectal advancement flap
Excision of thrombosed hemorrhoid, external
Injection of sclerosing solution, hemorrhoids
1708
46270
1709
1710
1711
46288
46320
46500
1712
46600
1713
1714
46700
46705
1715
46715
1716
46730
1717
46735
1718
46744
Repair of cloacal anomaly by anorectovaginoplasty and

urethroplasty, sacroperineal approach
46744
1719
46750
Sphincteroplasty, anal, for incontinence or prolapse; adult
46750
1720
46753
Graft (Thiersch operation) for rectal incontinence and/or

prolapse
46753
1721
46754
Removal of Thiersch wire or suture, anal canal
46754
1722
46900
Destruction of lesion(s), anus (eg, condyloma, papilloma,

molluscum contagiosum, herpetic vesicle), simple; chemical
46900
1723
46934
Destruction of hemorrhoids, any method; internal
46934
1724
46937
Cryosurgery of rectal tumor; benign
46937
1725
46940
Curettage or cautery of anal fissure, including dilation of anal

sphincter (separate procedure); initial
46940
1726
46945
1727
47000
1728
47010
1729
47011
1730
47015
1731
1732
1733
47100
47120
47122
Hemorrhoidectomy, internal, by ligation other than rubber

band; single hemorrhoid column/group
Biopsy of liver, needle; percutaneous
Hepatotomy; for open drainage of abscess or cyst, 1 or 2
stages
Hepatotomy; for percutaneous drainage of abscess or cyst,
1 or 2 stages
Laparotomy, with aspiration and/or injection of hepatic
parasitic (eg, amoebic or echinococcal) cyst(s) or
abscess(es)
Biopsy of liver, wedge
Hepatectomy, resection of liver; partial lobectomy
Hepatectomy, resection of liver; trisegmentectomy
1734
47125
Hepatectomy, resection of liver; total left lobectomy
47125
1735
47130
Hepatectomy, resection of liver; total right lobectomy
47130
1736
47133
Donor hepatectomy (including cold preservation), from

cadaver donor
47133
Anoscopy; diagnostic, with or without collection of

Anoplasty, plastic operation for stricture; adult
Anoplasty, plastic operation for stricture; infant
Repair of low imperforate anus; with anoperineal fistula (cutback procedure)
Repair of high imperforate anus without fistula; perineal or
sacroperineal approach
Repair of high imperforate anus without fistula; combined
transabdominal and sacroperineal approaches
46270
46288
46320
46500
46600
46700
46705
46715
46730
46735
46945
47000
47010
47011
47015
47100
47120
47122
1737
47135
Liver allotransplantation; orthotopic, partial or whole, from

cadaver or living donor, any age
47135
1738
47140
Donor hepatectomy (including cold preservation), from living

donor; left lateral segment only (segments II and III)
47140
1739
47300
1740
47361
1741
47362
1742
47370
1743
47400
Marsupialization of cyst or abscess of liver

Management of liver hemorrhage; exploration of hepatic
wound, extensive debridement, coagulation and/or suture,
with or without packing of liver
Management of liver hemorrhage; re-exploration of hepatic
wound for removal of packing
Laparoscopy, surgical, ablation of 1 or more liver tumor(s);
radiofrequency
Hepaticotomy or hepaticostomy with exploration, drainage,
or removal of calculus
47300
47361
47362
47370
47400
1744
47420
Choledochotomy or choledochostomy with exploration,

drainage, or removal of calculus, with or without
cholecystotomy; without transduodenal sphincterotomy or
sphincteroplasty
1745
47460
Transduodenal sphincterotomy or sphincteroplasty, with or

without transduodenal extraction of calculus (separate
procedure)
47460
1746
47480
Cholecystotomy or cholecystostomy with exploration,

drainage, or removal of calculus (separate procedure)
47480
1747
47490
1748
47510
1749
47511
1750
1751
47525
47530
1752
47550
Biliary endoscopy, intraoperative (choledochoscopy) (List

47550
1753
47552
Biliary endoscopy, percutaneous via T-tube or other tract;

brushing and/or washing (separate procedure)
47552
1754
47562
1755
47563
1756
47564
1757
1758
1759
1760
47570
47600
47605
47610
1761
47700
1762
1763
47701
47715
Percutaneous cholecystostomy
Introduction of percutaneous transhepatic catheter for biliary
drainage
Introduction of percutaneous transhepatic stent for internal
and external biliary drainage
Change of percutaneous biliary drainage catheter
Revision and/or reinsertion of transhepatic tube
Laparoscopy, surgical; cholecystectomy

Laparoscopy, surgical; cholecystectomy with
cholangiography
Laparoscopy, surgical; cholecystectomy with exploration of
common duct
Laparoscopy, surgical; cholecystoenterostomy
Cholecystectomy;
Cholecystectomy; with cholangiography
Cholecystectomy with exploration of common duct;
Exploration for congenital atresia of bile ducts, without
repair, with or without liver biopsy, with or without
cholangiography
Portoenterostomy (eg, Kasai procedure)
Excision of choledochal cyst
47420
47490
47510
47511
47525
47530
47562
47563
47564
47570
47600
47605
47610
47700
47701
47715
1764
47720
Cholecystoenterostomy; direct
Anastomosis, of extrahepatic biliary ducts and
gastrointestinal tract
47720
1765
47760
1766
47765
Anastomosis, of intrahepatic ducts and gastrointestinal tract
47765
1767
47800
1768
47801
Reconstruction, plastic, of extrahepatic biliary ducts with

end-to-end anastomosis
Placement of choledochal stent
1769
48000
Placement of drains, peripancreatic, for acute pancreatitis;
1770
48005
1771
48020
1772
48100
Biopsy of pancreas, open (eg, fine needle aspiration, needle

core biopsy, wedge biopsy)
48100
1773
48102
Biopsy of pancreas, percutaneous needle
48102
1774
48120
Excision of lesion of pancreas (eg, cyst, adenoma)
48120
1775
48140
1776
48148
1777
48150
1778
48155
1779
48160
1780
48180
1781
1782
48500
48510
Pancreaticojejunostomy, side-to-side anastomosis (Puestowtype operation)

Marsupialization of pancreatic cyst
External drainage, pseudocyst of pancreas; open
1783
48511
External drainage, pseudocyst of pancreas; percutaneous
1784
48520
1785
48540
1786
48545
1787
48547
1788
48550
1789
48554
1790
49000
1791
49002
1792
49010
1793
49020
Resection or debridement of pancreas and peripancreatic

tissue for acute necrotizing pancreatitis
Removal of pancreatic calculus
Pancreatectomy, distal subtotal, with or without splenectomy;

without pancreaticojejunostomy
Excision of ampulla of Vater
Pancreatectomy, proximal subtotal with total duodenectomy,
partial gastrectomy, choledochoenterostomy and
gastrojejunostomy (Whipple-type procedure); with
pancreatojejunostomy
Pancreatectomy, total
Pancreatectomy, total or subtotal, with autologous
transplantation of pancreas or pancreatic islet cells
Internal anastomosis of pancreatic cyst to gastrointestinal

tract; direct
Internal anastomosis of pancreatic cyst to gastrointestinal
tract; Roux-en-Y
Pancreatorrhaphy for injury
Duodenal exclusion with gastrojejunostomy for pancreatic
injury
Donor pancreatectomy (including cold preservation), with or
without duodenal segment for transplantation
Transplantation of pancreatic allograft
Exploratory laparotomy, exploratory celiotomy with or without
biopsy(s) (separate procedure)
Reopening of recent laparotomy
Exploration, retroperitoneal area with or without biopsy(s)
Drainage of peritoneal abscess or localized peritonitis,
exclusive of appendiceal abscess; open
47760
47800
47801
48000
48005
48020
48140
48148
48150
48155
48160
48180
48500
48510
48511
48520
48540
48545
48547
48550
48554
49000
49002
49010
49020
1794
49021
1795
1796
49060
49061
1797
49062
1798
49080
1799
49085
1800
49180
1801
49200
1802
49215
Drainage of peritoneal abscess or localized peritonitis,

exclusive of appendiceal abscess; percutaneous
Drainage of retroperitoneal abscess; open
Drainage of retroperitoneal abscess; percutaneous
Drainage of extraperitoneal lymphocele to peritoneal cavity,
open
Peritoneocentesis, abdominal paracentesis, or peritoneal
lavage (diagnostic or therapeutic); initial
Removal of peritoneal foreign body from peritoneal cavity
Biopsy, abdominal or retroperitoneal mass, percutaneous
needle
Excision or destruction, open, intra-abdominal or
retroperitoneal tumors or cysts or endometriomas;
Excision of presacral or sacrococcygeal tumor
Staging laparotomy for Hodgkins disease or lymphoma
(includes splenectomy, needle or open biopsies of both liver
lobes, possibly also removal of abdominal nodes, abdominal
node and/or bone marrow biopsies, ovarian repositioning)
49021
49060
49061
49062
49080
49085
49180
49200
49215
1803
49220
1804
49250
1805
49255
1806
49320
1807
49321
1808
49322
1809
49323
1810
49325
1811
49420
1812
49421
1813
49423
Exchange of previously placed abscess or cyst drainage

catheter under radiological guidance (separate procedure)
49423
1814
49424
Contrast injection for assessment of abscess or cyst via

previously placed drainage catheter or tube (separate
procedure)
49424
49495
Repair, initial inguinal hernia, full term infant under age 6

months, or preterm infant over 50 weeks postconception age
and under age 6 months at the time of surgery, with or
without hydrocelectomy; reducible
49495
1815
Umbilectomy, omphalectomy, excision of umbilicus (separate

procedure)
Omentectomy, epiploectomy, resection of omentum
Laparoscopy, abdomen, peritoneum, and omentum,
brushing or washing (separate procedure)
Laparoscopy, surgical; with biopsy (single or multiple)
Laparoscopy, surgical; with aspiration of cavity or cyst (eg,
ovarian cyst) (single or multiple)
Laparoscopy, surgical; with drainage of lymphocele to
peritoneal cavity
Laparoscopy, surgical; with revision of previously placed
intraperitoneal cannula or catheter, with removal of
intraluminal obstructive material if performed
Insertion of intraperitoneal cannula or catheter for drainage
or dialysis; temporary
Insertion of intraperitoneal cannula or catheter for drainage
or dialysis; permanent
49220
49250
49255
49320
49321
49322
49323
49325
49420
49421
1816
49496
Repair, initial inguinal hernia, full term infant younger than

age 6 months, or preterm infant older than 50 weeks
postconception age and younger than age 6 months at the
time of surgery, with or without hydrocelectomy; incarcerated
or strangulated
1817
49540
Repair lumbar hernia
49540
1818
49565
Repair recurrent incisional or ventral hernia; reducible
49565
1819
49566
1820
49570
1821
49572
1822
49580
1823
49582
1824
1825
49590
49600
1826
49605
1827
49610
Repair of omphalocele (Gross type operation); first stage
49610
1828
49650
Laparoscopy, surgical; repair initial inguinal hernia
49650
1829
49653
Laparoscopy, surgical, repair, ventral, umbilical, spigelian or

epigastric hernia (includes mesh insertion, when performed);
incarcerated or strangulated
49653
1830
49900
1831
50010
1832
1833
1834
1835
1836
50020
50021
50040
50045
50060
1837
50080
1838
1839
50120
50125
1840
50130
1841
1842
50200
50205
1843
50220
Repair recurrent incisional or ventral hernia; incarcerated or

strangulated
Repair epigastric hernia (eg, preperitoneal fat); reducible
Repair epigastric hernia (eg, preperitoneal fat); incarcerated
or strangulated
Repair umbilical hernia, under age 5 years; reducible
Repair umbilical hernia, younger than age 5 years;
Repair spigelian hernia
Repair of small omphalocele, with primary closure
Repair of large omphalocele or gastroschisis; with or without
prosthesis
Suture, secondary, of abdominal wall for evisceration or

dehiscence
Renal exploration, not necessitating other specific
procedures
Drainage of perirenal or renal abscess; open
Drainage of perirenal or renal abscess; percutaneous
Nephrostomy, nephrotomy with drainage
Nephrotomy, with exploration
Nephrolithotomy; removal of calculus
Percutaneous nephrostolithotomy or pyelostolithotomy, with
or without dilation, endoscopy, lithotripsy, stenting, or basket
extraction; up to 2 cm
Pyelotomy; with exploration
Pyelotomy; with drainage, pyelostomy
Pyelotomy; with removal of calculus (pyelolithotomy,
pelviolithotomy, including coagulum pyelolithotomy)
Renal biopsy; percutaneous, by trocar or needle
Renal biopsy; by surgical exposure of kidney
Nephrectomy, including partial ureterectomy, any open
approach including rib resection;
49496
49566
49570
49572
49580
49582
49590
49600
49605
49900
50010
50020
50021
50040
50045
50060
50080
50120
50125
50130
50200
50205
50220
1844
50230
1845
1846
50240
50280
1847
50300
1848
50320
1849
50365
1850
50390
1851
50392

approach including rib resection; radical, with regional
lymphadenectomy and/or vena caval thrombectomy
Nephrectomy, partial
Excision or unroofing of cyst(s) of kidney
Donor nephrectomy (including cold preservation); from
cadaver donor, unilateral or bilateral
Donor nephrectomy (including cold preservation); open, from
living donor
Renal allotransplantation, implantation of graft; with recipient
nephrectomy
Aspiration and/or injection of renal cyst or pelvis by needle,
percutaneous
Introduction of intracatheter or catheter into renal pelvis for
drainage and/or injection, percutaneous
50230
50240
50280
50300
50320
50365
50390
50392
1852
50394
Injection procedure for pyelography (as nephrostogram,

pyelostogram, antegrade pyeloureterograms) through
nephrostomy or pyelostomy tube, or indwelling ureteral
catheter
1853
50395
Introduction of guide into renal pelvis and/or ureter with

dilation to establish nephrostomy tract, percutaneous
50395
1854
50396
Manometric studies through nephrostomy or pyelostomy

tube, or indwelling ureteral catheter
50396
50394
1855
50400
1856
1857
50500
50520
1858
50525
1859
50540
1860
50541
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal

pelvis, with or without plastic operation on ureter,
nephropexy, nephrostomy, pyelostomy, or ureteral splinting;
simple
Nephrorrhaphy, suture of kidney wound or injury
Closure of nephrocutaneous or pyelocutaneous fistula
Closure of nephrovisceral fistula (eg, renocolic), including
visceral repair; abdominal approach
Symphysiotomy for horseshoe kidney with or without
pyeloplasty and/or other plastic procedure, unilateral or
bilateral (1 operation)
Laparoscopy, surgical; ablation of renal cysts
1861
50542
Laparoscopy, surgical; ablation of renal mass lesion(s)
50542
1862
1863
50543
50544
Laparoscopy, surgical; partial nephrectomy

Laparoscopy, surgical; pyeloplasty
50543
50544
1864
50545
Laparoscopy, surgical; radical nephrectomy (includes

removal of Gerota's fascia and surrounding fatty tissue,
removal of regional lymph nodes, and adrenalectomy)
50545
1865
50546
1866
50547
1867
50551
1868
50590
Laparoscopy, surgical; nephrectomy, including partial

ureterectomy
Laparoscopy, surgical; donor nephrectomy (including cold
preservation), from living donor
Renal endoscopy through established nephrostomy or
pyelostomy, with or without irrigation, instillation, or
ureteropyelography, exclusive of radiologic service;
Lithotripsy, extracorporeal shock wave
50400
50500
50520
50525
50540
50541
50546
50547
50551
50590
1869
50600
Ureterotomy with exploration or drainage (separate

procedure)
50600
1870
50605
Ureterotomy for insertion of indwelling stent, all types
50605
1871
50610
50610
1872
50660
Ureterolithotomy; upper one-third of ureter

Ureterectomy, total, ectopic ureter, combination abdominal,
vaginal and/or perineal approach
1873
50700
Ureteroplasty, plastic operation on ureter (eg, stricture)
50700
1874
50715
1875
50727
1876
50740
Ureteropyelostomy, anastomosis of ureter and renal pelvis
50740
1877
50760
50760
1878
50780
Ureteroureterostomy
Ureteroneocystostomy; anastomosis of single ureter to
bladder
1879
50800
Ureteroenterostomy, direct anastomosis of ureter to intestine
50800
1880
50810
Ureterosigmoidostomy, with creation of sigmoid bladder and

establishment of abdominal or perineal colostomy, including
intestine anastomosis
50810
1881
50830
Urinary undiversion (eg, taking down of ureteroileal conduit,

ureterosigmoidostomy or ureteroenterostomy with
ureteroureterostomy or ureteroneocystostomy)
50830
1882
50840
1883
1884
50845
50860
Replacement of all or part of ureter by intestine segment,

including intestine anastomosis
Cutaneous appendico-vesicostomy
Ureterostomy, transplantation of ureter to skin
1885
50900
Ureterorrhaphy, suture of ureter (separate procedure)
50900
1886
50920
Closure of ureterocutaneous fistula
50920
1887
50930
Closure of ureterovisceral fistula (including visceral repair)
50930
1888
1889
50940
50945
50940
50945
1890
50947
1891
50951
1892
51000
Deligation of ureter
Laparoscopy, surgical; ureterolithotomy
Laparoscopy, surgical; ureteroneocystostomy with
cystoscopy and ureteral stent placement
Ureteral endoscopy through established ureterostomy, with
or without irrigation, instillation, or ureteropyelography,
exclusive of radiologic service;
Aspiration of bladder by needle
1893
51010
Aspiration of bladder; with insertion of suprapubic catheter
51010
1894
51020
1895
51050
1896
1897
51060
51080
Ureterolysis, with or without repositioning of ureter for

retroperitoneal fibrosis
Revision of urinary-cutaneous anastomosis (any type
urostomy);
Cystotomy or cystostomy; with fulguration and/or insertion of

radioactive material
Cystolithotomy, cystotomy with removal of calculus, without
vesical neck resection
Transvesical ureterolithotomy
Drainage of perivesical or prevesical space abscess
50660
50715
50727
50780
50840
50845
50860
50947
50951
51000
51020
51050
51060
51080
1898
51500
1899
1900
51550
51570
1901
51575
1902
51580
Excision of urachal cyst or sinus, with or without umbilical

hernia repair
Cystectomy, partial; simple
Cystectomy, complete; (separate procedure)
Cystectomy, complete; with bilateral pelvic
lymphadenectomy, including external iliac, hypogastric, and
obturator nodes
Cystectomy, complete, with ureterosigmoidostomy or
ureterocutaneous transplantations;
51500
51550
51570
51575
51580
1903
51585
1904
1905
51700
51705
Cystectomy, complete, with ureterosigmoidostomy or

ureterocutaneous transplantations; with bilateral pelvic
obturator nodes
Bladder irrigation, simple, lavage and/or instillation
Change of cystostomy tube; simple
1906
51725
Simple cystometrogram (CMG) (eg, spinal manometer)
51725
1907
51736
Simple uroflowmetry (UFR) (eg, stop-watch flow rate,

mechanical uroflowmeter)
51736
1908
51800
Cystoplasty or cystourethroplasty, plastic operation on

bladder and/or vesical neck (anterior Y-plasty, vesical fundus
resection), any procedure, with or without wedge resection of
posterior vesical neck
51800
1909
51840
Anterior vesicourethropexy, or urethropexy (eg, MarshallMarchetti-Krantz, Burch); simple
51840
1910
51845
Abdomino-vaginal vesical neck suspension, with or without

endoscopic control (eg, Stamey, Raz, modified Pereyra)
51845
1911
51860
1912
1913
1914
1915
1916
51880
51900
51940
51960
51980
1917
51990
1918
51992
Laparoscopy, surgical; sling operation for stress

incontinence (eg, fascia or synthetic)
51992
1919
52000
Cystourethroscopy (separate procedure)
52000
1920
52260
Cystourethroscopy, with dilation of bladder for interstitial

cystitis; general or conduction (spinal) anesthesia
52260
1921
52281
Cystourethroscopy, with calibration and/or dilation of urethral

stricture or stenosis, with or without meatotomy, with or
without injection procedure for cystography, male or female
52281
1922
52282
Cystourethroscopy, with insertion of permanent urethral stent
52282
1923
52283
Cystourethroscopy, with steroid injection into stricture
52283
Cystorrhaphy, suture of bladder wound, injury or rupture;

simple
Closure of cystostomy (separate procedure)
Closure of vesicovaginal fistula, abdominal approach
Closure, exstrophy of bladder
Enterocystoplasty, including intestinal anastomosis
Cutaneous vesicostomy
Laparoscopy, surgical; urethral suspension for stress
incontinence
51585
51700
51705
51860
51880
51900
51940
51960
51980
51990
1924
52310
Cystourethroscopy, with removal of foreign body, calculus, or

ureteral stent from urethra or bladder (separate procedure);
simple
52310
1925
52315
Cystourethroscopy, with removal of foreign body, calculus, or

ureteral stent from urethra or bladder (separate procedure);
complicated
52315
1926
52334
Cystourethroscopy with insertion of ureteral guide wire

through kidney to establish a percutaneous nephrostomy,
retrograde
52334
1927
52335
1928
52510
1929
52620
1930
52700
1931
53000
1932
53020
1933
53040
1934
53080
1935
1936
53200
53210
1937
53230
1938
53240
Marsupialization of urethral diverticulum, male or female
53240
1939
53260
53260
1940
53400
1941
53440
Excision or fulguration; urethral polyp(s), distal urethra

Urethroplasty; first stage, for fistula, diverticulum, or stricture
(eg, Johannsen type)
Sling operation for correction of male urinary incontinence
(eg, fascia or synthetic)
1942
53445
1943
1944
1945
53450
53502
53505
1946
53520
1947
53600
1948
53670
1949
54000
1950
54050
Destruction of lesion(s), penis (eg, condyloma, papilloma,

molluscum contagiosum, herpetic vesicle), simple; chemical
54050
1951
54100
Biopsy of penis; (separate procedure)
54100
1952
54110
Excision of penile plaque (Peyronie disease);
54110
Cystourethroscopy, with ureteroscopy and/or pyeloscopy

(includes dilation of the ureter and/or pyeloureteral junction
by any method);
Transurethral balloon dilation of the prostatic urethra
Transurethral resection; of residual obstructive tissue after
90 days postoperative
Transurethral drainage of prostatic abscess
Urethrotomy or urethrostomy, external (separate procedure);
pendulous urethra
Meatotomy, cutting of meatus (separate procedure); except
infant
Drainage of deep periurethral abscess
Drainage of perineal urinary extravasation; uncomplicated
Biopsy of urethra
Urethrectomy, total, including cystostomy; female
Excision of urethral diverticulum (separate procedure);
female
Insertion of inflatable urethral/bladder neck sphincter,

including placement of pump, reservoir, and cuff
Urethromeatoplasty, with mucosal advancement
Urethrorrhaphy, suture of urethral wound or injury, female
Urethrorrhaphy, suture of urethral wound or injury; penile
Closure of urethrostomy or urethrocutaneous fistula, male
Dilation of urethral stricture by passage of sound or urethral
dilator, male; initial
Catheterization, urethra; simple
Slitting of prepuce, dorsal or lateral (separate procedure);
newborn
52335
52510
52620
52700
53000
53020
53040
53080
53200
53210
53230
53400
53440
53445
53450
53502
53505
53520
53600
53670
54000
1953
1954
54120
54125
Amputation of penis; partial

Amputation of penis; complete
Amputation of penis, radical; with bilateral inguinofemoral
lymphadenectomy
Circumcision, using clamp or other device with regional
dorsal penile or ring block
54120
54125
1955
54130
1956
54150
1957
54152
Circumcision, using clamp or other device; except newborn
54152
1958
54164
Frenulotomy of penis
54164
1959
54300
Plastic operation of penis for straightening of chordee (eg,

hypospadias), with or without mobilization of urethra
54300
1960
54308
Urethroplasty for second stage hypospadias repair (including

urinary diversion); less than 3 cm
54308
1961
54380
1962
54400
1963
54420
1964
54435
1965
54440
1966
54450
1967
Plastic operation on penis for epispadias distal to external

sphincter;
Insertion of penile prosthesis; non-inflatable (semi-rigid)
Corpora cavernosa-saphenous vein shunt (priapism
operation), unilateral or bilateral
Corpora cavernosa-glans penis fistulization (eg, biopsy
needle, Winter procedure, rongeur, or punch) for priapism
54130
54150
54380
54400
54420
54435
54440
54500
Plastic operation of penis for injury

Foreskin manipulation including lysis of preputial adhesions
and stretching
Biopsy of testis, needle (separate procedure)
1968
54505
Biopsy of testis, incisional (separate procedure)
54505
1969
54510
54510
1970
54520
1971
54530
Excision of local lesion of testis

Orchiectomy, simple (including subcapsular), with or without
testicular prosthesis, scrotal or inguinal approach
Orchiectomy, radical, for tumor; inguinal approach
1972
54550
Exploration for undescended testis (inguinal or scrotal area)
54550
1973
54600
Reduction of torsion of testis, surgical, with or without

fixation of contralateral testis
54600
1974
54640
Orchiopexy, inguinal approach, with or without hernia repair
54640
1975
54650
Orchiopexy, abdominal approach, for intra-abdominal testis

(eg, Fowler-Stephens)
54650
1976
54660
Insertion of testicular prosthesis (separate procedure)
54660
1977
54670
54670
1978
54680
1979
54690
Suture or repair of testicular injury

Transplantation of testis(es) to thigh (because of scrotal
destruction)
Laparoscopy, surgical; orchiectomy
1980
54692
Laparoscopy, surgical; orchiopexy for intra-abdominal testis
54692
1981
54700
1982
1983
54800
54820
Incision and drainage of epididymis, testis and/or scrotal

space (eg, abscess or hematoma)
Biopsy of epididymis, needle
Exploration of epididymis, with or without biopsy
54450
54500
54520
54530
54680
54690
54700
54800
54820
1984
1985
1986
54830
54860
54861
1987
54900
1988
55000
1989
1990
1991
1992
1993
1994
55040
55060
55100
55120
55150
55175
1995
55250
1996
55400
1997
55450
1998
55500
1999
55530
2000
55550
2001
2002
55600
55650
2003
55700
2004
55720
2005
55801
2006
55810
2007
55821
2008
55831
2009
55840
2010
55859
2011
55866
2012
56405
Excision of local lesion of epididymis

Epididymectomy; unilateral
Epididymectomy; bilateral
Epididymovasostomy, anastomosis of epididymis to vas
deferens; unilateral
Puncture aspiration of hydrocele, tunica vaginalis, with or
without injection of medication
Excision of hydrocele; unilateral
Repair of tunica vaginalis hydrocele (Bottle type)
Drainage of scrotal wall abscess
Removal of foreign body in scrotum
Resection of scrotum
Scrotoplasty; simple
Vasectomy, unilateral or bilateral (separate procedure),
including postoperative semen examination(s)
Vasovasostomy, vasovasorrhaphy
Ligation (percutaneous) of vas deferens, unilateral or
bilateral (separate procedure)
Excision of hydrocele of spermatic cord, unilateral (separate
procedure)
Excision of varicocele or ligation of spermatic veins for
varicocele; (separate procedure)
Laparoscopy, surgical, with ligation of spermatic veins for
varicocele
Vesiculotomy;
Vesiculectomy, any approach
Biopsy, prostate; needle or punch, single or multiple, any
approach
Prostatotomy, external drainage of prostatic abscess, any
approach; simple
Prostatectomy, perineal, subtotal (including control of
postoperative bleeding, vasectomy, meatotomy, urethral
calibration and/or dilation, and internal urethrotomy)
Prostatectomy, perineal radical;
Prostatectomy (including control of postoperative bleeding,
vasectomy, meatotomy, urethral calibration and/or dilation,
and internal urethrotomy); suprapubic, subtotal, 1 or 2
stages
Prostatectomy (including control of postoperative bleeding,
vasectomy, meatotomy, urethral calibration and/or dilation,
and internal urethrotomy); retropubic, subtotal
Prostatectomy, retropubic radical, with or without nerve
sparing;
Transperineal placement of needles or catheters into
prostate for interstitial radioelement application, with or
without cystoscopy
Laparoscopy, surgical prostatectomy, retropubic radical,
including nerve sparing
Incision and drainage of vulva or perineal abscess
54830
54860
54861
54900
55000
55040
55060
55100
55120
55150
55175
55250
55400
55450
55500
55530
55550
55600
55650
55700
55720
55801
55810
55821
55831
55840
55859
55866
56405
2013
56440
Marsupialization of Bartholin's gland cyst
56440
2014
56501
Destruction of lesion(s), vulva; simple (eg, laser surgery,

electrosurgery, cryosurgery, chemosurgery)
56501
2015
56605
Biopsy of vulva or perineum (separate procedure); 1 lesion
56605
2016
2017
2018
2019
2020
2021
56620
56630
56700
56740
56800
56805
56620
56630
56700
56740
56800
56805
2022
56810
2023
2024
2025
56820
57000
57020
2026
57022
2027
57061
Vulvectomy simple; partial

Vulvectomy, radical, partial;
Partial hymenectomy or revision of hymenal ring
Excision of Bartholin's gland or cyst
Plastic repair of introitus
Clitoroplasty for intersex state
Perineoplasty, repair of perineum, nonobstetrical (separate
procedure)
Colposcopy of the vulva;
Colpotomy; with exploration
Colpocentesis (separate procedure)
Incision and drainage of vaginal hematoma;
obstetrical/postpartum
Destruction of vaginal lesion(s); simple (eg, laser surgery,
2028
57100
Biopsy of vaginal mucosa; simple (separate procedure)
57100
2029
57106
Vaginectomy, partial removal of vaginal wall;
57106
2030
57110
Vaginectomy, complete removal of vaginal wall;
57110
2031
2032
2033
57120
57130
57135
57120
57130
57135
2034
57210
2035
57220
2036
57230
2037
57240
2038
57250
2039
57260
Colpocleisis (Le Fort type)

Excision of vaginal septum
Excision of vaginal cyst or tumor
Colpoperineorrhaphy, suture of injury of vagina and/or
perineum (nonobstetrical)
Plastic operation on urethral sphincter, vaginal approach (eg,
Kelly urethral plication)
Plastic repair of urethrocele
Anterior colporrhaphy, repair of cystocele with or without
repair of urethrocele
Posterior colporrhaphy, repair of rectocele with or without
perineorrhaphy
Combined anteroposterior colporrhaphy;
2040
57268
Repair of enterocele, vaginal approach (separate procedure)
57268
2041
57280
Colpopexy, abdominal approach
57280
2042
57284
Paravaginal defect repair (including repair of cystocele, if

performed); open abdominal approach
57284
2043
57288
2044
2045
57289
57291
Sling operation for stress incontinence (eg, fascia or

synthetic)
Pereyra procedure, including anterior colporrhaphy
Construction of artificial vagina; without graft
2046
57300
Closure of rectovaginal fistula; vaginal or transanal approach
57300
2047
57400
Dilation of vagina under anesthesia (other than local)
57400
56810
56820
57000
57020
57022
57061
57210
57220
57230
57240
57250
57260
57288
57289
57291
2048
2049
57410
57450
Pelvic examination under anesthesia (other than local)

Culdoscopy, diagnostic;
57410
57450
2050
57452
Colposcopy of the cervix including upper/adjacent vagina;
57452
2051
57500
Biopsy of cervix, single or multiple, or local excision of

lesion, with or without fulguration (separate procedure)
57500
2052
57505
2053
57510
2054
57520
2055
57530
Endocervical curettage (not done as part of a dilation and

curettage)
Cautery of cervix; electro or thermal
Conization of cervix, with or without fulguration, with or
without dilation and curettage, with or without repair; cold
knife or laser
Trachelectomy (cervicectomy), amputation of cervix
Radical trachelectomy, with bilateral total pelvic
lymphadenectomy and para-aortic lymph node sampling
biopsy, with or without removal of tube(s), with or without
removal of ovary(s)
Excision of cervical stump, abdominal approach;
Cerclage of uterine cervix, nonobstetrical
Trachelorrhaphy, plastic repair of uterine cervix, vaginal
approach
Endometrial sampling (biopsy) with or without endocervical
sampling (biopsy), without cervical dilation, any method
Dilation and curettage, diagnostic and/or therapeutic
(nonobstetrical)
57505
57510
57520
57530
2056
57531
2057
2058
57540
57700
2059
57720
2060
58100
2061
58120
2062
58140
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4

intramural myoma(s) with total weight of 250 grams or less
and/or removal of surface myomas; abdominal approach
58140
2063
58145
Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4

intramural myoma(s) with total weight of 250 g or less and/or
removal of surface myomas; vaginal approach
58145
2064
58146
Myomectomy, excision of fibroid tumor(s) of uterus, 5 or

more intramural myomas and/or intramural myomas with
total weight greater than 250 grams, abdominal approach
58146
2065
58150
Total abdominal hysterectomy (corpus and cervix), with or

without removal of tube(s), with or without removal of
ovary(s);
58150
2066
58180
Supracervical abdominal hysterectomy (subtotal

hysterectomy), with or without removal of tube(s), with or
without removal of ovary(s)
58180
58200
Total abdominal hysterectomy, including partial vaginectomy,

with para-aortic and pelvic lymph node sampling, with or
ovary(s)
58200
2067
57531
57540
57700
57720
58100
58120
58210
Radical abdominal hysterectomy, with bilateral total pelvic

lymphadenectomy and para-aortic lymph node sampling
(biopsy), with or without removal of tube(s), with or without
removal of ovary(s)
58210
2069
58240
Pelvic exenteration for gynecologic malignancy, with total

abdominal hysterectomy or cervicectomy, with or without
removal of tube(s), with or without removal of ovary(s), with
removal of bladder and ureteral transplantations, and/or
abdominoperineal resection of rectum and colon and
colostomy, or any combination thereof
58240
2070
58260
2071
58262
2072
2073
2074
2075
58275
58285
58300
58301
2076
58400
2077
2068
Vaginal hysterectomy, for uterus 250 grams or less;

Vaginal hysterectomy, for uterus 250 g or less; with removal
of tube(s), and/or ovary(s)
Vaginal hysterectomy, with total or partial vaginectomy;
Vaginal hysterectomy, radical (Schauta type operation)
Insertion of intrauterine device (IUD)
Removal of intrauterine device (IUD)
Uterine suspension, with or without shortening of round
ligaments, with or without shortening of sacrouterine
ligaments; (separate procedure)
58260
58520
Hysterorrhaphy, repair of ruptured uterus (nonobstetrical)
58520
2078
58540
Hysteroplasty, repair of uterine anomaly (Strassman type)
58540
2079
58545
2080
58550
2081
58552
Laparoscopy, surgical, with vaginal hysterectomy, for uterus

250 g or less; with removal of tube(s) and/or ovary(s)
58552
2082
58555
Hysteroscopy, diagnostic (separate procedure)
58555
2083
58558
Hysteroscopy, surgical; with sampling (biopsy) of

endometrium and/or polypectomy, with or without D & C
58558
2084
58600
Ligation or transection of fallopian tube(s), abdominal or

vaginal approach, unilateral or bilateral
58600
2085
58605
Ligation or transection of fallopian tube(s), abdominal or

vaginal approach, postpartum, unilateral or bilateral, during
same hospitalization (separate procedure)
58605
2086
58611
Ligation or transection of fallopian tube(s) when done at the

time of cesarean delivery or intra-abdominal surgery (not a
separate procedure) (List separately in addition to code for
primary procedure)
58611
2087
58615
Occlusion of fallopian tube(s) by device (eg, band, clip,

Falope ring) vaginal or suprapubic approach
58615
2088
58660
Laparoscopy, surgical; with lysis of adhesions (salpingolysis,

ovariolysis) (separate procedure)
58660
Laparoscopy, surgical, myomectomy, excision; 1 to 4

intramural myomas with total weight of 250 grams or less
and/or removal of surface myomas
Laparoscopy surgical, with vaginal hysterectomy, for uterus
250 grams or less;
58262
58275
58285
58300
58301
58400
58545
58550
2089
58661
Laparoscopy, surgical; with removal of adnexal structures

(partial or total oophorectomy and/or salpingectomy)
58661
2090
58671
Laparoscopy, surgical; with occlusion of oviducts by device

(eg, band, clip, or Falope ring)
58671
2091
58672
2092
58673
2093
58700
2094
58720
2095
2096
2097
2098
58740
58750
58760
58770
2099
58800
2100
58805
2101
58823
2102
58672
58825
Laparoscopy, surgical; with fimbrioplasty

Laparoscopy, surgical; with salpingostomy
(salpingoneostomy)
Salpingectomy, complete or partial, unilateral or bilateral
Salpingo-oophorectomy, complete or partial, unilateral or
bilateral (separate procedure)
Lysis of adhesions (salpingolysis, ovariolysis)
Tubotubal anastomosis
Fimbrioplasty
Salpingostomy (salpingoneostomy)
Drainage of ovarian cyst(s), unilateral or bilateral, (separate
procedure); vaginal approach
Drainage of ovarian cyst(s), unilateral or bilateral, (separate
procedure); abdominal approach
Drainage of pelvic abscess, transvaginal or transrectal
approach, percutaneous (eg, ovarian, pericolic)
Transposition, ovary(s)
2103
58900
Biopsy of ovary, unilateral or bilateral (separate procedure)
58900
2104
58920
Wedge resection or bisection of ovary, unilateral or bilateral
58920
2105
2106
58925
58940
58925
58940
2107
58956
Ovarian cystectomy, unilateral or bilateral

Oophorectomy, partial or total, unilateral or bilateral;
Bilateral salpingo-oophorectomy with total omentectomy,
total abdominal hysterectomy for malignancy
2108
58957
Resection (tumor debulking) of recurrent ovarian, tubal,

primary peritoneal, uterine malignancy (intra-abdominal,
retroperitoneal tumors), with omentectomy, if performed;
58957
2109
58958
Resection (tumor debulking) of recurrent ovarian, tubal,

primary peritoneal, uterine malignancy (intra-abdominal,
retroperitoneal tumors), with omentectomy, if performed; with
pelvic lymphadenectomy and limited para-aortic
lymphadenectomy
58958
2110
58970
Follicle puncture for oocyte retrieval, any method
58970
2111
58974
58974
2112
58976
2113
2114
2115
2116
59000
59012
59015
59020
Embryo transfer, intrauterine

Gamete, zygote, or embryo intrafallopian transfer, any
method
Amniocentesis; diagnostic
Cordocentesis (intrauterine), any method
Chorionic villus sampling, any method
Fetal contraction stress test
2117
59100
Hysterotomy, abdominal (eg, for hydatidiform mole, abortion)
59100
58673
58700
58720
58740
58750
58760
58770
58800
58805
58823
58825
58956
58976
59000
59012
59015
59020
2118
59120
Surgical treatment of ectopic pregnancy; tubal or ovarian,

requiring salpingectomy and/or oophorectomy, abdominal or
vaginal approach
59120
2119
59121
Surgical treatment of ectopic pregnancy; tubal or ovarian,

without salpingectomy and/or oophorectomy
59121
2120
59150
2121
59151
2122
59160
2123
59200
2124
59350
2125
59351
2126
59400
2127
59409
2128
59410
2129
59414
2130
59510
2131
2132
59514
59515
2133
59525
2134
59812
2135
2136
59840
59841
2137
59850
Laparoscopic treatment of ectopic pregnancy; without

salpingectomy and/or oophorectomy
Laparoscopic treatment of ectopic pregnancy; with
salpingectomy and/or oophorectomy
Curettage, postpartum
Insertion of cervical dilator (eg, laminaria, prostaglandin)
Hysterorrhaphy of ruptured uterus
Hysterorrhaphy of ruptured uterus; following dilation and
curettage, including both procedures
Routine obstetric care including antepartum care, vaginal
delivery (with or without episiotomy, and/or forceps) and
postpartum care
Vaginal delivery only (with or without episiotomy and/or
forceps);
Vaginal delivery only (with or without episiotomy and/or
forceps); including postpartum care
Delivery of placenta (separate procedure)
Routine obstetric care including antepartum care, cesarean
delivery, and postpartum care
Cesarean delivery only;
Cesarean delivery only; including postpartum care
Subtotal or total hysterectomy after cesarean delivery (List
Treatment of incomplete abortion, any trimester, completed
surgically
Induced abortion, by dilation and curettage
Induced abortion, by dilation and evacuation
Induced abortion, by 1 or more intra-amniotic injections
(amniocentesis-injections), including hospital admission and
visits, deliver of fetus and secundines;
59150
59151
59160
59200
59350
59351
59400
59409
59410
59414
59510
59514
59515
59525
59812
59840
59841
59850
59852
Induced abortion, by one or more intra-amniotic injections

visits, delivery of fetus and secundines; with hysterotomy
(failed intra-amniotic injection)
59852
2139
59855
Induced abortion, by 1 or more vaginal suppositories (eg,

prostaglandin) with or without cervical dilation (eg,
laminaria), including hospital admission and visits, delivery of
fetus and secundines;
59855
2140
2141
59866
59870
2142
59871
2138
Multifetal pregnancy reduction(s) (MPR)

Uterine evacuation and curettage for hydatidiform mole
Removal of cerclage suture under anesthesia (other than
local)
59866
59870
59871
2143
59899
Unlisted procedure, maternity care and delivery
59899
2144
2145
2146
60000
60001
60100
60000
60001
60100
2147
60200
2148
60210
2149
60220
2150
60240
2151
60252
2152
60254
2153
2154
60280
60500
2155
60512
2156
60520
2157
60540
2158
60600
Incision and drainage of thyroglossal duct cyst, infected

Aspiration and/or injection, thyroid cyst
Biopsy thyroid, percutaneous core needle
Excision of cyst or adenoma of thyroid, or transection of
isthmus
Partial thyroid lobectomy, unilateral; with or without
isthmusectomy
Total thyroid lobectomy, unilateral; with or without
isthmusectomy
Thyroidectomy, total or complete
Thyroidectomy, total or subtotal for malignancy; with limited
neck dissection
Thyroidectomy, total or subtotal for malignancy; with radical
neck dissection
Excision of thyroglossal duct cyst or sinus;
Parathyroidectomy or exploration of parathyroid(s);
Parathyroid autotransplantation (List separately in addition to
Thymectomy, partial or total; transcervical approach
Adrenalectomy, partial or complete, or exploration of adrenal
gland with or without biopsy, transabdominal, lumbar or
dorsal (separate procedure);
Excision of carotid body tumor; without excision of carotid
artery
2159
60605
Excision of carotid body tumor; with excision of carotid artery
60605
2160
60650
2161
61000
2162
61020
2163
61050
2164
61070
2165
61105
2166
61107
Twist drill hole(s) for subdural, intracerebral, or ventricular

puncture; for implanting ventricular catheter, pressure
recording device, or other intracerebral monitoring device
61107
2167
61108
Twist drill hole(s) for subdural, intracerebral, or ventricular

puncture; for evacuation and/or drainage of subdural
hematoma
61108
2168
61120
Burr hole(s) for ventricular puncture (including injection of

gas, contrast media, dye, or radioactive material)
61120
Laparoscopy, surgical, with adrenalectomy, partial or

complete, or exploration of adrenal gland with or without
biopsy, transabdominal, lumbar or dorsal
Subdural tap through fontanelle, or suture, infant, unilateral
or bilateral; initial
Ventricular puncture through previous burr hole, fontanelle,
suture, or implanted ventricular catheter/reservoir; without
injection
Cisternal or lateral cervical (C1-C2) puncture; without
injection (separate procedure)
Puncture of shunt tubing or reservoir for aspiration or
injection procedure
Twist drill hole for subdural or ventricular puncture;
60200
60210
60220
60240
60252
60254
60280
60500
60512
60520
60540
60600
60650
61000
61020
61050
61070
61105
Burr hole(s) or trephine; with biopsy of brain or intracranial

lesion
Burr hole(s) or trephine; with drainage of brain abscess or
cyst
Burr hole(s) with evacuation and/or drainage of hematoma,
extradural or subdural
2169
61140
2170
61150
2171
61154
2172
61210
Burr hole(s); for implanting ventricular catheter, reservoir,

EEG electrode(s), pressure recording device, or other
cerebral monitoring device (separate procedure)
61210
2173
61215
Insertion of subcutaneous reservoir, pump or continuous

infusion system for connection to ventricular catheter
61215
2174
61250
Burr hole(s) or trephine, supratentorial, exploratory, not

followed by other surgery
61250
2175
61253
Burr hole(s) or trephine, infratentorial, unilateral or bilateral
61253
2176
61304
Craniectomy or craniotomy, exploratory; supratentorial
61304
2177
61305
2178
61312
2179
61314
2180
61320
Craniectomy or craniotomy, exploratory; infratentorial

(posterior fossa)
Craniectomy or craniotomy for evacuation of hematoma,
supratentorial; extradural or subdural
infratentorial; extradural or subdural
Craniectomy or craniotomy, drainage of intracranial abscess;
supratentorial
61140
61150
61154
61305
61312
61314
61320
61322
Craniectomy or craniotomy, decompressive, with or without

duraplasty, for treatment of intracranial hypertension, without
evacuation of associated intraparenchymal hematoma;
without lobectomy
61322
2182
61323
Craniectomy or craniotomy, decompressive, with or without

duraplasty, for treatment of intracranial hypertension, without
evacuation of associated intraparenchymal hematoma; with
lobectomy
61323
2183
61330
Decompression of orbit only, transcranial approach
61330
2184
61340
2185
61343
2186
61440
2187
61450
2188
61490
2189
61500
2190
61510
2181
Subtemporal cranial decompression (pseudotumor cerebri,

slit ventricle syndrome)
Craniectomy, suboccipital with cervical laminectomy for
decompression of medulla and spinal cord, with or without
dural graft (eg, Arnold-Chiari malformation)
Craniotomy for section of tentorium cerebelli (separate
procedure)
Craniectomy, subtemporal, for section, compression, or
decompression of sensory root of gasserian ganglion
Craniotomy for lobotomy, including cingulotomy
Craniectomy; with excision of tumor or other bone lesion of
skull
Craniectomy, trephination, bone flap craniotomy; for excision
of brain tumor, supratentorial, except meningioma
61340
61343
61440
61450
61490
61500
61510
2191
61518
Craniectomy for excision of brain tumor, infratentorial or

posterior fossa; except meningioma, cerebellopontine angle
tumor, or midline tumor at base of skull
61518
2192
61531
Subdural implantation of strip electrodes through 1 or more

burr or trephine hole(s) for long term seizure monitoring
61531
2193
61533
Craniotomy with elevation of bone flap; for subdural

implantation of an electrode array, for long term seizure
monitoring
61533
2194
61538
Craniotomy with elevation of bone flap; for lobectomy,

temporal lobe, with electrocorticography during surgery
61538
2195
61542
2196
61543
2197
61546
2198
61548
2199
61550
2200
61558
2201
61570
2202
61571
2203
61575
Transoral approach to skull base, brain stem or upper spinal

cord for biopsy, decompression or excision of lesion;
61575
2204
61576
Transoral approach to skull base, brain stem or upper spinal

cord for biopsy, decompression or excision of lesion;
requiring splitting of tongue and/or mandible (including
tracheostomy)
61576
2205
61580
Craniofacial approach to anterior cranial fossa; extradural,

including lateral rhinotomy, ethmoidectomy, sphenoidectomy,
without maxillectomy or orbital exenteration
61580
2206
61584
Orbitocranial approach to anterior cranial fossa, extradural,

including supraorbital ridge osteotomy and elevation of
frontal and/or temporal lobe(s); without orbital exenteration
61584
2207
61586
Bicoronal, transzygomatic and/or LeFort I osteotomy

approach to anterior cranial fossa with or without internal
fixation, without bone graft
61586
Craniotomy with elevation of bone flap; for total

hemispherectomy
Craniotomy with elevation of bone flap; for partial or subtotal
(functional) hemispherectomy
Craniotomy for hypophysectomy or excision of pituitary
tumor, intracranial approach
Hypophysectomy or excision of pituitary tumor, transnasal or
transseptal approach, nonstereotactic
Craniectomy for craniosynostosis; single cranial suture
Extensive craniectomy for multiple cranial suture
craniosynostosis (eg, cloverleaf skull); not requiring bone
grafts
Craniectomy or craniotomy; with excision of foreign body
from brain
Craniectomy or craniotomy; with treatment of penetrating
wound of brain
61542
61543
61546
61548
61550
61558
61570
61571
61590
Infratemporal pre-auricular approach to middle cranial fossa

(parapharyngeal space, infratemporal and midline skull
base, nasopharynx), with or without disarticulation of the
mandible, including parotidectomy, craniotomy,
decompression and/or mobilization of the facial nerve and/or
petrous carotid artery
61590
61592
Orbitocranial zygomatic approach to middle cranial fossa

(cavernous sinus and carotid artery, clivus, basilar artery or
petrous apex) including osteotomy of zygoma, craniotomy,
extra- or intradural elevation of temporal lobe
61592
61595
Transtemporal approach to posterior cranial fossa, jugular

foramen or midline skull base, including mastoidectomy,
decompression of sigmoid sinus and/or facial nerve, with or
without mobilization
61595
61596
Transcochlear approach to posterior cranial fossa, jugular

foramen or midline skull base, including labyrinthectomy,
decompression, with or without mobilization of facial nerve
and/or petrous carotid artery
61596
2212
61597
Transcondylar (far lateral) approach to posterior cranial

fossa, jugular foramen or midline skull base, including
occipital condylectomy, mastoidectomy, resection of C1-C3
vertebral body(s), decompression of vertebral artery, with or
without mobilization
61597
2213
61598
Transpetrosal approach to posterior cranial fossa, clivus or

foramen magnum, including ligation of superior petrosal
sinus and/or sigmoid sinus
61598
2214
61600
Resection or excision of neoplastic, vascular or infectious

lesion of base of anterior cranial fossa; extradural
61600
2215
61605

lesion of infratemporal fossa, parapharyngeal space, petrous
apex; extradural
61605
2216
61607

lesion of parasellar area, cavernous sinus, clivus or midline
skull base; extradural
61607
2217
61609
Transection or ligation, carotid artery in cavernous sinus;

without repair (List separately in addition to code for primary
procedure)
61609
2218
61611
Transection or ligation, carotid artery in petrous canal;

without repair (List separately in addition to code for primary
procedure)
61611
2219
61613
Obliteration of carotid aneurysm, arteriovenous

malformation, or carotid-cavernous fistula by dissection
within cavernous sinus
61613
2220
61615

lesion of base of posterior cranial fossa, jugular foramen,
foramen magnum, or C1-C3 vertebral bodies; extradural
61615
2208
2209
2210
2211
61618
Secondary repair of dura for cerebrospinal fluid leak,

anterior, middle or posterior cranial fossa following surgery
of the skull base; by free tissue graft (eg, pericranium,
fascia, tensor fascia lata, adipose tissue, homologous or
synthetic grafts)
61618
2222
61624
Transcatheter permanent occlusion or embolization (eg, for

tumor destruction, to achieve hemostasis, to occlude a
vascular malformation), percutaneous, any method; central
nervous system (intracranial, spinal cord)
61624
2223
61680
2224
61700
2225
61703
2226
61705
2227
61711
2228
61720
Creation of lesion by stereotactic method, including burr

hole(s) and localizing and recording techniques, single or
multiple stages; globus pallidus or thalamus
61720
2229
61750
Stereotactic biopsy, aspiration, or excision, including burr

hole(s), for intracranial lesion;
61750
2230
61760
Stereotactic implantation of depth electrodes into the

cerebrum for long term seizure monitoring
61760
2231
61770
Stereotactic localization, including burr hole(s), with insertion

of catheter(s) or probe(s) for placement of radiation source
61770
2232
61790
Creation of lesion by stereotactic method, percutaneous, by

neurolytic agent (eg, alcohol, thermal, electrical,
radiofrequency); gasserian ganglion
61790
2233
61793
2234
61850
2235
61860
2221
Surgery of intracranial arteriovenous malformation;

supratentorial, simple
Surgery of simple intracranial aneurysm, intracranial
approach; carotid circulation
Surgery of intracranial aneurysm, cervical approach by
application of occluding clamp to cervical carotid artery
(Selverstone-Crutchfield type)
Surgery of aneurysm, vascular malformation or carotidcavernous fistula; by intracranial and cervical occlusion of
carotid artery
Anastomosis, arterial, extracranial-intracranial (eg, middle
cerebral/cortical) arteries
Stereotactic radiosurgery (particle beam, gamma ray or

linear accelerator), one or more sessions
Twist drill or burr hole(s) for implantation of neurostimulator
electrodes, cortical
Craniectomy or craniotomy for implantation of
neurostimulator electrodes, cerebral, cortical
2236
61862
Twist drill, burr hole, craniotomy, or craniectomy for

stereotactic implantation of one neurostimulator array in
subcortical site (eg, thalamus, globus pallidus, subthalamic
nucleus, periventricular, periaqueductal gray)
2237
61870
Craniectomy for implantation of neurostimulator electrodes,

cerebellar; cortical
61680
61700
61703
61705
61711
61793
61850
61860
61862
61870
Revision or removal of intracranial neurostimulator

electrodes
Insertion or replacement of cranial neurostimulator pulse
generator or receiver, direct or inductive coupling; with
connection to a single electrode array
Revision or removal of cranial neurostimulator pulse
generator or receiver
2238
61880
2239
61885
2240
61888
2241
62000
2242
62010
2243
62100
2244
62115
Reduction of craniomegalic skull (eg, treated

hydrocephalus); not requiring bone grafts or cranioplasty
62115
2245
62140
Cranioplasty for skull defect; up to 5 cm diameter
62140
2246
62142
Removal of bone flap or prosthetic plate of skull
62142
2247
62145
Cranioplasty for skull defect with reparative brain surgery
62145
2248
62146
2249
62180
2250
62190
2251
62192
2252
62194
Replacement or irrigation, subarachnoid/subdural catheter
62194
2253
62200
62200
2254
62201
2255
62220
2256
62223
Ventriculocisternostomy, third ventricle;

Ventriculocisternostomy, third ventricle; stereotactic,
neuroendoscopic method
Creation of shunt; ventriculo-atrial, -jugular, -auricular
Creation of shunt; ventriculo-peritoneal, -pleural, other
terminus
2257
62230
2258
62256
2259
2260
62270
62273
Elevation of depressed skull fracture; simple, extradural

Elevation of depressed skull fracture; with repair of dura
and/or debridement of brain
Craniotomy for repair of dural/cerebrospinal fluid leak,
including surgery for rhinorrhea/otorrhea
Cranioplasty with autograft (includes obtaining bone grafts);

up to 5 cm diameter
Ventriculocisternostomy (Torkildsen type operation)
Creation of shunt; subarachnoid/subdural-atrial, -jugular,
-auricular
Creation of shunt; subarachnoid/subdural-peritoneal,
-pleural, other terminus
Replacement or revision of cerebrospinal fluid shunt,

obstructed valve, or distal catheter in shunt system
Removal of complete cerebrospinal fluid shunt system;
without replacement
Spinal puncture, lumbar, diagnostic
Injection, epidural, of blood or clot patch
2261
62287
Decompression procedure, percutaneous, of nucleus

pulposus of intervertebral disc, any method, single or
multiple levels, lumbar (eg, manual or automated
percutaneous discectomy, percutaneous laser discectomy)
2262
62292
Injection procedure for chemonucleolysis, including

diskography, intervertebral disc, single or multiple levels,
lumbar
61880
61885
61888
62000
62010
62100
62146
62180
62190
62192
62201
62220
62223
62230
62256
62270
62273
62287
62292
Implantation, revision or repositioning of tunneled intrathecal

or epidural catheter, for long-term medication administration
via an external pump or implantable reservoir/infusion pump;
without laminectomy
2263
62350
2264
62355
2265
62360
2266
62365
Removal of subcutaneous reservoir or pump, previously

implanted for intrathecal or epidural infusion
62365
62367
Electronic analysis of programmable, implanted pump for

intrathecal or epidural drug infusion (includes evaluation of
reservoir status, alarm status, drug prescription status);
without reprogramming
62367
63001
Laminectomy with exploration and/or decompression of

spinal cord and/or cauda equina, without facetectomy,
foraminotomy or discectomy, (eg, spinal stenosis), one or
two vertebral segments; cervical
63001
63012
Laminectomy with removal of abnormal facets and/or pars

inter-articularis with decompression of cauda equina and
nerve roots for spondylolisthesis, lumbar (Gill type
procedure)
63012
63015

foraminotomy or discectomy, (eg, spinal stenosis), more
than 2 vertebral segments; cervical
63015
63020
Laminotomy (hemilaminectomy), with decompression of

nerve root(s), including partial facetectomy, foraminotomy
and/or excision of herniated intervertebral disc, including
open and endoscopically-assisted approaches; 1 interspace,
cervical
63020
63040

and/or excision of herniated intervertebral disk,
reexploration, single interspace; cervical
63040
63045
Laminectomy, facetectomy and foraminotomy (unilateral or

bilateral with decompression of spinal cord, cauda equina
and/or nerve root(s), (eg, spinal or lateral recess stenosis)),
single vertebral segment; cervical
63045
63048

single vertebral segment; each additional segment, cervical,
thoracic, or lumbar (List separately in addition to code for
primary procedure)
63048
2267
2268
2269
2270
2271
2272
2273
2274
Removal of previously implanted intrathecal or epidural

catheter
Implantation or replacement of device for intrathecal or
epidural drug infusion; subcutaneous reservoir
62350
62355
62360
63055
Transpedicular approach with decompression of spinal cord,

equina and/or nerve root(s) (eg, herniated intervertebral
disk), single segment; thoracic
63055
2276
63057

disc), single segment; each additional segment, thoracic or
lumbar (List separately in addition to code for primary
procedure)
63057
2277
63064
Costovertebral approach with decompression of spinal cord

or nerve root(s), (eg, herniated intervertebral disk), thoracic;
single segment
63064
2278
63066
Costovertebral approach with decompression of spinal cord

or nerve root(s), (eg, herniated intervertebral disc), thoracic;
each additional segment (List separately in addition to code
63066
2279
63075
Discectomy, anterior, with decompression of spinal cord

and/or nerve root(s), including osteophytectomy; cervical,
single interspace
63075
2280
63076

and/or nerve root(s), including osteophytectomy; cervical,
each additional interspace (List separately in addition to
63076
2281
63081
Vertebral corpectomy (vertebral body resection), partial or

complete, anterior approach with decompression of spinal
cord and/or nerve root(s); cervical, single segment
63081
2282
63082

complete, anterior approach with decompression of spinal
cord and/or nerve root(s); cervical, each additional segment
63082
2283
63085

complete, transthoracic approach with decompression of
spinal cord and/or nerve root(s); thoracic, single segment
63085
63087

complete, combined thoracolumbar approach with
decompression of spinal cord, cauda equina or nerve
root(s), lower thoracic or lumbar; single segment
63087
2285
63090

complete, transperitoneal or retroperitoneal approach with
root(s), lower thoracic, lumbar, or sacral; single segment
63090
2286
63170
Laminectomy with myelotomy (eg, Bischof or DREZ type),

cervical, thoracic, or thoracolumbar
63170
2275
2284
Laminectomy with drainage of intramedullary cyst/syrinx; to

subarachnoid space
Laminectomy and section of dentate ligaments, with or
without dural graft, cervical; 1 or 2 segments
Laminectomy with rhizotomy; 1 or 2 segments
Laminectomy with section of spinal accessory nerve
Laminectomy with cordotomy, with section of 1
spinothalamic tract, 1 stage; cervical
Laminectomy with cordotomy, with section of both
spinothalamic tracts, 1 stage; cervical
2287
63172
2288
63180
2289
2290
63185
63191
2291
63194
2292
63196
2293
63198
Laminectomy with cordotomy with section of both

spinothalamic tracts, 2 stages within 14 days; cervical
63198
2294
63200
Laminectomy, with release of tethered spinal cord, lumbar
63200
2295
63250
2296
63265
2297
63300
2298
63301

complete, for excision of intraspinal lesion, single segment;
extradural, thoracic by transthoracic approach
63301
2299
63302

extradural, thoracic by thoracolumbar approach
63302
2300
63303

extradural, lumbar or sacral by transperitoneal or
retroperitoneal approach
63303
2301
63610
Stereotactic stimulation of spinal cord, percutaneous,

separate procedure not followed by other surgery
63610
2302
63650
2303
63655
2304
63660
Revision or removal of spinal neurostimulator electrode

percutaneous array(s) or plate/paddle(s)
63660
2305
63685
Insertion or replacement of spinal neurostimulator pulse

generator or receiver, direct or inductive coupling
63685
2306
63688
Revision or removal of implanted spinal neurostimulator

pulse generator or receiver
63688
2307
63700
Repair of meningocele; less than 5 cm diameter
63700
2308
63704
Repair of myelomeningocele; less than 5 cm diameter
63704
Laminectomy for excision or occlusion of arteriovenous

malformation of spinal cord; cervical
Laminectomy for excision or evacuation of intraspinal lesion
other than neoplasm, extradural; cervical
extradural, cervical
Percutaneous implantation of neurostimulator electrode

array, epidural
Laminectomy for implantation of neurostimulator electrodes,
plate/paddle, epidural
63172
63180
63185
63191
63194
63196
63250
63265
63300
63650
63655
Repair of dural/cerebrospinal fluid leak, not requiring

laminectomy
Dural graft, spinal
2309
63707
2310
63710
2311
63740
Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural,

or other; including laminectomy
63740
2312
63741
Creation of shunt, lumbar, subarachnoid-peritoneal, -pleural,

or other; percutaneous, not requiring laminectomy
63741
2313
63744
2314
63746
2315
64400
2316
64470
Injection, anesthetic agent and/or steroid, paravertebral facet

joint or facet joint nerve; cervical or thoracic, single level
64470
2317
64479
Injection, anesthetic agent and/or steroid, transforaminal

epidural; cervical or thoracic, single level
64479
2318
64505
2319
64520
2320
64550
2321
64553
2322
64573
2323
64575
2324
64585
2325
64590
2326
64595
2327
64600
Destruction by neurolytic agent, trigeminal nerve;

supraorbital, infraorbital, mental, or inferior alveolar branch
64600
2328
64605
Destruction by neurolytic agent, trigeminal nerve; second

and third division branches at foramen ovale
64605
2329
64612
Chemodenervation of muscle(s); muscle(s) innervated by

facial nerve (eg, for blepharospasm, hemifacial spasm)
64612
2330
64620
Destruction by neurolytic agent, intercostal nerve
64620
2331
64623
Destruction by neurolytic agent, paravertebral facet joint

nerve; lumbar or sacral, each additional level (List separately
64623
2332
64680
Destruction by neurolytic agent, with or without radiologic

monitoring; celiac plexus
64680
Replacement, irrigation or revision of lumbosubarachnoid

shunt
Removal of entire lumbosubarachnoid shunt system without
replacement
Injection, anesthetic agent; trigeminal nerve, any division or
branch
63707
63710
63744
63746
64400
Injection, anesthetic agent; sphenopalatine ganglion

Injection, anesthetic agent; lumbar or thoracic (paravertebral
sympathetic)
Application of surface (transcutaneous) neurostimulator
Percutaneous implantation of neurostimulator electrodes;
cranial nerve
Incision for implantation of neurostimulator electrodes;
cranial nerve
peripheral nerve (excludes sacral nerve)
64505
Revision or removal of peripheral neurostimulator electrodes
64585
Insertion or replacement of peripheral or gastric

neurostimulator pulse generator or receiver, direct or
inductive coupling
Revision or removal of peripheral or gastric neurostimulator
pulse generator or receiver
64520
64550
64553
64573
64575
64590
64595
2333
2334
64702
64704
Neuroplasty; digital, 1 or both, same digit

Neuroplasty; nerve of hand or foot
Neuroplasty, major peripheral nerve, arm or leg; sciatic
nerve
64702
64704
2335
64712
2336
64716
Neuroplasty and/or transposition; cranial nerve (specify)
64716
2337
2338
64722
64726
64722
64726
2339
64727
Decompression; unspecified nerve(s) (specify)

Decompression; plantar digital nerve
Internal neurolysis, requiring use of operating microscope
(List separately in addition to code for neuroplasty)
(Neuroplasty includes external neurolysis)
2340
64774
Excision of neuroma; cutaneous nerve, surgically identifiable
64774
2341
2342
64802
64831
Sympathectomy, cervical
Suture of digital nerve, hand or foot; 1 nerve
64802
64831
2343
64834
Suture of 1 nerve; hand or foot, common sensory nerve
64834
2344
64837
Suture of each additional nerve, hand or foot (List separately

64837
2345
64840
2346
64856
2347
2348
2349
2350
64858
64861
64864
64866
2351
64872
2352
64885
2353
64890
2354
64895
2355
64901
Nerve graft, each additional nerve; single strand (List

64901
2356
64902
Nerve graft, each additional nerve; multiple strands (cable)

64902
2357
64905
Nerve pedicle transfer; first stage
64905
2358
64910
Nerve repair; with synthetic conduit or vein allograft (eg,

nerve tube), each nerve
64910
2359
2360
2361
65091
65093
65101
2362
65103
2363
65105
Suture of posterior tibial nerve

Suture of major peripheral nerve, arm or leg, except sciatic;
including transposition
Suture of sciatic nerve
Suture of; brachial plexus
Suture of facial nerve; extracranial
Anastomosis; facial-spinal accessory
Suture of nerve; requiring secondary or delayed suture (List
separately in addition to code for primary neurorrhaphy)
Nerve graft (includes obtaining graft), head or neck; up to 4
cm in length
Nerve graft (includes obtaining graft), single strand, hand or
foot; up to 4 cm length
Nerve graft (includes obtaining graft), multiple strands
(cable), hand or foot; up to 4 cm length
Evisceration of ocular contents; without implant

Evisceration of ocular contents; with implant
Enucleation of eye; without implant
Enucleation of eye; with implant, muscles not attached to
implant
Enucleation of eye; with implant, muscles attached to
implant
64712
64727
64840
64856
64858
64861
64864
64866
64872
64885
64890
64895
65091
65093
65101
65103
65105
2364
65110
Exenteration of orbit (does not include skin graft), removal of

orbital contents; only
65110
2365
65112

orbital contents; with therapeutic removal of bone
65112
2366
65114

orbital contents; with muscle or myocutaneous flap
65114
2367
65125
Modification of ocular implant with placement or replacement

of pegs (eg, drilling receptacle for prosthesis appendage)
65125
2368
65130
2369
65135
2370
65140
2371
65150
2372
65155
2373
65175
2374
65205
2375
65210
2376
65220
2377
65222
2378
65235
2379
65260
2380
65265
2381
65270
2382
65272
2383
65273
2384
65275
2385
65280
2386
65285
2387
65286
Insertion of ocular implant secondary; after evisceration, in

scleral shell
Insertion of ocular implant secondary; after enucleation,
muscles not attached to implant
Insertion of ocular implant secondary; after enucleation,
muscles attached to implant
Reinsertion of ocular implant; with or without conjunctival
graft
Reinsertion of ocular implant; with use of foreign material for
reinforcement and/or attachment of muscles to implant
65130
65135
65140
65150
65155
Removal of ocular implant

Removal of foreign body, external eye; conjunctival
superficial
Removal of foreign body, external eye; conjunctival
embedded (includes concretions), subconjunctival, or scleral
nonperforating
Removal of foreign body, external eye; corneal, without slit
lamp
65175
Removal of foreign body, external eye; corneal, with slit lamp
65222
Removal of foreign body, intraocular; from anterior chamber

of eye or lens
Removal of foreign body, intraocular; from posterior
segment, magnetic extraction, anterior or posterior route
Removal of foreign body, intraocular; from posterior
segment, nonmagnetic extraction
Repair of laceration; conjunctiva, with or without
nonperforating laceration sclera, direct closure
Repair of laceration; conjunctiva, by mobilization and
rearrangement, without hospitalization
Repair of laceration; conjunctiva, by mobilization and
rearrangement, with hospitalization
Repair of laceration; cornea, nonperforating, with or without
removal foreign body
Repair of laceration; cornea and/or sclera, perforating, not
involving uveal tissue
Repair of laceration; cornea and/or sclera, perforating, with
reposition or resection of uveal tissue
Repair of laceration; application of tissue glue, wounds of
cornea and/or sclera
65205
65210
65220
65235
65260
65265
65270
65272
65273
65275
65280
65285
65286
2388
65290
2389
65400
2390
2391
2392
65410
65420
65426
Repair of wound, extraocular muscle, tendon and/or Tenon's

capsule
Excision of lesion, cornea (keratectomy, lamellar, partial),
except pterygium
Biopsy of cornea
Excision or transposition of pterygium; without graft
Excision or transposition of pterygium; with graft
2393
65430
Scraping of cornea, diagnostic, for smear and/or culture
2394
65435
2395
65436
2396
65450
2397
65600
2398
65710
2399
65730
2400
65750
2401
65755
2402
2403
2404
2405
2406
65760
65765
65767
65770
65771
2407
65772
2408
65775
2409
65800
Paracentesis of anterior chamber of eye (separate

procedure); with diagnostic aspiration of aqueous
65800
2410
65805

procedure); with therapeutic release of aqueous
65805
2411
65810

procedure); with removal of vitreous and/or discission of
anterior hyaloid membrane, with or without air injection
65810
2412
65815
2413
2414
65820
65850
2415
65855
2416
65860
Removal of corneal epithelium; with or without

chemocauterization (abrasion, curettage)
Removal of corneal epithelium; with application of chelating
agent (eg, EDTA)
Destruction of lesion of cornea by cryotherapy,
photocoagulation or thermocauterization
Multiple punctures of anterior cornea (eg, for corneal
erosion, tattoo)
Keratoplasty (corneal transplant); anterior lamellar
Keratoplasty (corneal transplant); penetrating (except in
aphakia or pseudophakia)
Keratoplasty (corneal transplant); penetrating (in aphakia)
Keratoplasty (corneal transplant); penetrating (in
pseudophakia)
Keratomileusis
Keratophakia
Epikeratoplasty
Keratoprosthesis
Radial keratotomy
Corneal relaxing incision for correction of surgically induced
astigmatism
Corneal wedge resection for correction of surgically induced
astigmatism

procedure); with removal of blood, with or without irrigation
and/or air injection
Goniotomy
Trabeculotomy ab externo
Trabeculoplasty by laser surgery, 1 or more sessions
(defined treatment series)
Severing adhesions of anterior segment, laser technique
65290
65400
65410
65420
65426
65430
65435
65436
65450
65600
65710
65730
65750
65755
65760
65765
65767
65770
65771
65772
65775
65815
65820
65850
65855
65860
2417
65865
Severing adhesions of anterior segment of eye, incisional

technique (with or without injection of air or liquid) (separate
procedure); goniosynechiae
65865
2418
65870

procedure); anterior synechiae, except goniosynechiae
65870
2419
65875

procedure); posterior synechiae
65875
2420
65880

procedure); corneovitreal adhesions
65880
2421
65900
Removal of epithelial downgrowth, anterior chamber of eye
65900
2422
65920
Removal of implanted material, anterior segment of eye
65920
2423
65930
Removal of blood clot, anterior segment of eye
65930
2424
66020
2425
66030
2426
66130
2427
66170
2428
66172
2429
66180
2430
2431
2432
66185
66220
66225
2433
66250
2434
66500
2435
66505
2436
66600
2437
66605
2438
66625
2439
66630
2440
66635
Injection, anterior chamber of eye (separate procedure); air

or liquid
Injection, anterior chamber of eye (separate procedure);
medication
Excision of lesion, sclera
Fistulization of sclera for glaucoma; trabeculectomy ab
externo in absence of previous surgery
Fistulization of sclera for glaucoma; trabeculectomy ab
externo with scarring from previous ocular surgery or trauma
(includes injection of antifibrotic agents)
Aqueous shunt to extraocular reservoir (eg, Molteno,
Schocket, Denver-Krupin)
Revision of aqueous shunt to extraocular reservoir
Repair of scleral staphyloma; without graft
Repair of scleral staphyloma; with graft
Revision or repair of operative wound of anterior segment,
any type, early or late, major or minor procedure
Iridotomy by stab incision (separate procedure); except
transfixion
Iridotomy by stab incision (separate procedure); with
transfixion as for iris bombe
Iridectomy, with corneoscleral or corneal section; for removal
of lesion
Iridectomy, with corneoscleral or corneal section; with
cyclectomy
Iridectomy, with corneoscleral or corneal section; peripheral
for glaucoma (separate procedure)
Iridectomy, with corneoscleral or corneal section; sector for
glaucoma (separate procedure)
Iridectomy, with corneoscleral or corneal section; optical
66020
66030
66130
66170
66172
66180
66185
66220
66225
66250
66500
66505
66600
66605
66625
66630
66635
2441
66680
Repair of iris, ciliary body (as for iridodialysis)
66680
2442
66682
Suture of iris, ciliary body (separate procedure) with retrieval

of suture through small incision (eg, McCannel suture)
66682
2443
66700
Ciliary body destruction; diathermy
66700
2444
66710
Ciliary body destruction; cyclophotocoagulation, transscleral
66710
2445
2446
66720
66740
66720
66740
2447
66761
2448
66762
2449
66770
2450
66820
Ciliary body destruction; cryotherapy

Ciliary body destruction; cyclodialysis
Iridotomy/iridectomy by laser surgery (eg, for glaucoma) (1
or more sessions)
Iridoplasty by photocoagulation (1 or more sessions) (eg, for
improvement of vision, for widening of anterior chamber
angle)
Destruction of cyst or lesion iris or ciliary body (nonexcisional
procedure)
Discission of secondary membranous cataract (opacified
posterior lens capsule and/or anterior hyaloid); stab incision
technique (Ziegler or Wheeler knife)
2451
66821
2452
66825
Discission of secondary membranous cataract (opacified

posterior lens capsule and/or anterior hyaloid); laser surgery
(eg, YAG laser) (1 or more stages)
Repositioning of intraocular lens prosthesis, requiring an
incision (separate procedure)
Removal of secondary membranous cataract (opacified
posterior lens capsule and/or anterior hyaloid) with corneoscleral section, with or without iridectomy (iridocapsulotomy,
iridocapsulectomy)
66761
66762
66770
66820
66821
66825
2453
66830
2454
66850
2455
66852
2456
66930
Removal of lens material; intracapsular, for dislocated lens
66930
2457
66985
Insertion of intraocular lens prosthesis (secondary implant),

not associated with concurrent cataract removal
66985
2458
66986
2459
67015
2460
67025
2461
67027
2462
67028
2463
67036
Removal of lens material; phacofragmentation technique

(mechanical or ultrasonic) (eg, phacoemulsification), with
aspiration
Removal of lens material; pars plana approach, with or
without vitrectomy
Exchange of intraocular lens

Aspiration or release of vitreous, subretinal or choroidal fluid,
pars plana approach (posterior sclerotomy)
Injection of vitreous substitute, pars plana or limbal
approach, (fluid-gas exchange), with or without aspiration
Implantation of intravitreal drug delivery system (eg,
ganciclovir implant), includes concomitant removal of
vitreous
Intravitreal injection of a pharmacologic agent (separate
procedure)
Vitrectomy, mechanical, pars plana approach;
66830
66850
66852
66986
67015
67025
67027
67028
67036
67041
Vitrectomy, mechanical, pars plana approach; with removal

of preretinal cellular membrane (eg, macular pucker)
67041
67042

of internal limiting membrane of retina (eg, for repair of
macular hole, diabetic macular edema), includes, if
performed, intraocular tamponade (ie, air, gas or silicone oil)
67042
2466
67043

of subretinal membrane (eg, choroidal neovascularization),
includes, if performed, intraocular tamponade (ie, air, gas or
silicone oil) and laser photocoagulation
67043
2467
67120
2468
67121
2469
67145
2470
67208
Destruction of localized lesion of retina (eg, macular edema,

tumors), 1 or more sessions; cryotherapy, diathermy
67208
2471
67218

tumors), one or more sessions; radiation by implantation of
source (includes removal of source)
67218
2472
67220
Destruction of localized lesion of choroid (eg, choroidal

neovascularization); photocoagulation (eg, laser), 1 or more
sessions
67220
2473
67221

neovascularization); photodynamic therapy (includes
intravenous infusion)
67221
2474
67227
2475
2476
67250
67255
2477
67311
2478
67312
2479
67314
2480
67316
Strabismus surgery, recession or resection procedure; 2 or

more vertical muscles (excluding superior oblique)
67316
2481
67318
Strabismus surgery, any procedure, superior oblique muscle
67318
2464
2465
Removal of implanted material, posterior segment;

extraocular
Removal of implanted material, posterior segment;
intraocular
Prophylaxis of retinal detachment (eg, retinal break, lattice
degeneration) without drainage, one or more sessions;
photocoagulation (laser or xenon arc)
Destruction of extensive or progressive retinopathy (eg,

diabetic retinopathy), 1 or more sessions, cryotherapy,
diathermy
Scleral reinforcement (separate procedure); without graft
Scleral reinforcement (separate procedure); with graft
Strabismus surgery, recession or resection procedure; 1
horizontal muscle
horizontal muscles
vertical muscle (excluding superior oblique)
67120
67121
67145
67227
67250
67255
67311
67312
67314
2482
67320
Transposition procedure (eg, for paretic extraocular muscle),

any extraocular muscle (specify) (List separately in addition
to code for primary procedure)
67320
2483
67331
Strabismus surgery on patient with previous eye surgery or

injury that did not involve the extraocular muscles (List
67331
2484
67332
Strabismus surgery on patient with scarring of extraocular

muscles (eg, prior ocular injury, strabismus or retinal
detachment surgery) or restrictive myopathy (eg, dysthyroid
ophthalmopathy) (List separately in addition to code for
primary procedure)
67332
2485
67334
Strabismus surgery by posterior fixation suture technique,

with or without muscle recession (List separately in addition
67334
2486
67335
Placement of adjustable suture(s) during strabismus surgery,

including postoperative adjustment(s) of suture(s) (List
separately in addition to code for specific strabismus
surgery)
67335
2487
67340
2488
67343
2489
2490
67345
67350
2491
67400
2492
67405
2493
67412
2494
67413
2495
67414
Orbitotomy without bone flap (frontal or transconjunctival

approach); with removal of bone for decompression
67414
2496
67415
Fine needle aspiration of orbital contents
67415
2497
67420
Orbitotomy with bone flap or window, lateral approach (eg,

Kroenlein); with removal of lesion
67420
2498
67430

Kroenlein); with removal of foreign body
67430
2499
67440

Kroenlein); with drainage
67440
2500
67445

Kroenlein); with removal of bone for decompression
67445
Strabismus surgery involving exploration and/or repair of

detached extraocular muscle(s) (List separately in addition
Release of extensive scar tissue without detaching
extraocular muscle (separate procedure)
Chemodenervation of extraocular muscle
Biopsy of extraocular muscle
approach); for exploration, with or without biopsy
approach); with drainage only
approach); with removal of lesion
approach); with removal of foreign body
67340
67343
67345
67350
67400
67405
67412
67413

Kroenlein); for exploration, with or without biopsy
2501
67450
2502
67500
2503
67505
2504
67515
2505
67550
2506
67560
2507
67570
2508
2509
2510
2511
2512
2513
2514
67700
67710
67715
67800
67801
67805
67810
2515
67825
Correction of trichiasis; epilation by other than forceps (eg,

by electrosurgery, cryotherapy, laser surgery)
67825
2516
67830
Correction of trichiasis; incision of lid margin
67830
2517
67835
2518
67840
2519
67850
Destruction of lesion of lid margin (up to 1 cm)
67850
2520
67875
Temporary closure of eyelids by suture (eg, Frost suture)
67875
2521
67880
2522
67882
2523
67900
2524
67901
Repair of blepharoptosis; frontalis muscle technique with

suture or other material (eg, banked fascia)
67901
2525
67902
Repair of blepharoptosis; frontalis muscle technique with

autologous fascial sling (includes obtaining fascia)
67902
2526
67903
2527
67904
2528
67906
Retrobulbar injection; medication (separate procedure, does

not include supply of medication)
Retrobulbar injection; alcohol
Injection of medication or other substance into Tenon's
capsule
Orbital implant (implant outside muscle cone); insertion
Orbital implant (implant outside muscle cone); removal or
revision
Optic nerve decompression (eg, incision or fenestration of
optic nerve sheath)
Blepharotomy, drainage of abscess, eyelid
Severing of tarsorrhaphy
Canthotomy (separate procedure)
Excision of chalazion; single
Excision of chalazion; multiple, same lid
Excision of chalazion; multiple, different lids
Biopsy of eyelid
Correction of trichiasis; incision of lid margin, with free

mucous membrane graft
Excision of lesion of eyelid (except chalazion) without
closure or with simple direct closure
Construction of intermarginal adhesions, median

tarsorrhaphy, or canthorrhaphy;
Construction of intermarginal adhesions, median
tarsorrhaphy, or canthorrhaphy; with transposition of tarsal
plate
Repair of brow ptosis (supraciliary, mid-forehead or coronal
approach)
Repair of blepharoptosis; (tarso) levator resection or

advancement, internal approach
Repair of blepharoptosis; (tarso) levator resection or
advancement, external approach
Repair of blepharoptosis; superior rectus technique with
fascial sling (includes obtaining fascia)
67450
67500
67505
67515
67550
67560
67570
67700
67710
67715
67800
67801
67805
67810
67835
67840
67880
67882
67900
67903
67904
67906
2529
67908
Repair of blepharoptosis; conjunctivo-tarso-Muller's musclelevator resection (eg, Fasanella-Servat type)
67908
2530
2531
2532
2533
2534
67909
67911
67914
67915
67916
Reduction of overcorrection of ptosis

Correction of lid retraction
Repair of ectropion; suture
Repair of ectropion; thermocauterization
Repair of ectropion; excision tarsal wedge
67909
67911
67914
67915
67916
2535
67917
Repair of ectropion; extensive (eg, tarsal strip operations)
67917
2536
2537
2538
67921
67922
67923
Repair of entropion; suture

Repair of entropion; thermocauterization
Repair of entropion; excision tarsal wedge
67921
67922
67923
2539
67924
Repair of entropion; extensive (eg, tarsal strip or

capsulopalpebral fascia repairs operation)
67924
2540
67930
Suture of recent wound, eyelid, involving lid margin, tarsus,

and/or palpebral conjunctiva direct closure; partial thickness
67930
2541
67935
Suture of recent wound, eyelid, involving lid margin, tarsus,

and/or palpebral conjunctiva direct closure; full thickness
67935
2542
2543
67938
67950
Removal of embedded foreign body, eyelid

Canthoplasty (reconstruction of canthus)
67938
67950
67961
Excision and repair of eyelid, involving lid margin, tarsus,

conjunctiva, canthus, or full thickness, may include
preparation for skin graft or pedicle flap with adjacent tissue
transfer or rearrangement; up to one-fourth of lid margin
67961
2545
67966
Excision and repair of eyelid, involving lid margin, tarsus,

conjunctiva, canthus, or full thickness, may include
preparation for skin graft or pedicle flap with adjacent tissue
transfer or rearrangement; over one-fourth of lid margin
67966
2546
67971
Reconstruction of eyelid, full thickness by transfer of

tarsoconjunctival flap from opposing eyelid; up to two-thirds
of eyelid, 1 stage or first stage
67971
2547
67973

tarsoconjunctival flap from opposing eyelid; total eyelid,
lower, 1 stage or first stage
67973
2548
67974

tarsoconjunctival flap from opposing eyelid; total eyelid,
upper, 1 stage or first stage
67974
2549
67975

tarsoconjunctival flap from opposing eyelid; second stage
67975
2550
2551
68020
68100
Incision of conjunctiva, drainage of cyst

Biopsy of conjunctiva
68020
68100
2544
2552
68110
Excision of lesion, conjunctiva; up to 1 cm
68110
2553
2554
2555
2556
68115
68130
68135
68200
68115
68130
68135
68200
2557
68320
2558
68325
2559
68326
2560
68328
2561
68330
2562
68335
2563
68340
2564
68400
2565
68420
2566
68440
2567
68500
2568
68505
2569
2570
2571
68510
68520
68525
Excision of lesion, conjunctiva; over 1 cm

Excision of lesion, conjunctiva; with adjacent sclera
Destruction of lesion, conjunctiva
Subconjunctival injection
Conjunctivoplasty; with conjunctival graft or extensive
rearrangement
Conjunctivoplasty; with buccal mucous membrane graft
Conjunctivoplasty, reconstruction cul-de-sac; with
conjunctival graft or extensive rearrangement
Conjunctivoplasty, reconstruction cul-de-sac; with buccal
mucous membrane graft (includes obtaining graft)
Repair of symblepharon; conjunctivoplasty, without graft
Repair of symblepharon; with free graft conjunctiva or buccal
mucous membrane (includes obtaining graft)
Repair of symblepharon; division of symblepharon, with or
without insertion of conformer or contact lens
Incision, drainage of lacrimal gland
Incision, drainage of lacrimal sac (dacryocystotomy or
dacryocystostomy)
Snip incision of lacrimal punctum
Excision of lacrimal gland (dacryoadenectomy), except for
tumor; total
Excision of lacrimal gland (dacryoadenectomy), except for
tumor; partial
Biopsy of lacrimal gland
Excision of lacrimal sac (dacryocystectomy)
Biopsy of lacrimal sac
2572
68530
Removal of foreign body or dacryolith, lacrimal passages
68530
2573
68540
Excision of lacrimal gland tumor; frontal approach
68540
2574
68550
Excision of lacrimal gland tumor; involving osteotomy
68550
2575
2576
68700
68705
68700
68705
2577
68720
2578
68745
2579
68750
2580
68760
2581
2582
2583
2584
68761
68770
68801
68810
2585
68815
2586
68840
Plastic repair of canaliculi

Correction of everted punctum, cautery
Dacryocystorhinostomy (fistulization of lacrimal sac to nasal
cavity)
Conjunctivorhinostomy (fistulization of conjunctiva to nasal
cavity); without tube
Conjunctivorhinostomy (fistulization of conjunctiva to nasal
cavity); with insertion of tube or stent
Closure of the lacrimal punctum; by thermocauterization,
ligation, or laser surgery
Closure of the lacrimal punctum; by plug, each
Closure of lacrimal fistula (separate procedure)
Dilation of lacrimal punctum, with or without irrigation
Probing of nasolacrimal duct, with or without irrigation;
Probing of nasolacrimal duct, with or without irrigation; with
insertion of tube or stent
Probing of lacrimal canaliculi, with or without irrigation
68320
68325
68326
68328
68330
68335
68340
68400
68420
68440
68500
68505
68510
68520
68525
68720
68745
68750
68760
68761
68770
68801
68810
68815
68840
2587
68850
Injection of contrast medium for dacryocystography
68850
2588
70010
Myelography, posterior fossa, radiological supervision and

interpretation
70010
2589
70030
Radiologic examination, eye, for detection of foreign body
70030
2590
70100
Radiologic examination, mandible; partial, less than 4 views
70100
2591
70110
Radiologic examination, mandible; complete, minimum of 4

views
70110
2592
70120
Radiologic examination, mastoids; less than 3 views per side
70120
2593
70130
Radiologic examination, mastoids; complete, minimum of 3

views per side
70130
2594
70134
Radiologic examination, internal auditory meati, complete
70134
2595
70140
Radiologic examination, facial bones; less than 3 views
70140
2596
70150
2597
70160
2598
70170
2599
70190
2600
70200
2601
70210
2602
70220
2603
2604
70240
70250
Radiologic examination, facial bones; complete, minimum of

3 views
Radiologic examination, nasal bones, complete, minimum of
3 views
Dacryocystography, nasolacrimal duct, radiological
supervision and interpretation
Radiologic examination; optic foramina
Radiologic examination; orbits, complete, minimum of 4
views
Radiologic examination, sinuses, paranasal, less than 3
views
Radiologic examination, sinuses, paranasal, complete,
minimum of 3 views
Radiologic examination, sella turcica
Radiologic examination, skull; less than 4 views
2605
70260
Radiologic examination, skull; complete, minimum of 4 views
70260
2606
70300
70300
2607
70310
Radiologic examination, teeth; single view

Radiologic examination, teeth; partial examination, less than
full mouth
2608
70320
Radiologic examination, teeth; complete, full mouth
70320
2609
70328
2610
70330
2611
70332
2612
70336
2613
2614
2615
70350
70355
70360
2616
70370
Radiologic examination, temporomandibular joint, open and

closed mouth; unilateral
Radiologic examination, temporomandibular joint, open and
closed mouth; bilateral
Temporomandibular joint arthrography, radiological
Magnetic resonance (eg, proton) imaging,
temporomandibular joint(s)
Cephalogram, orthodontic
Orthopantogram
Radiologic examination; neck, soft tissue
Radiologic examination; pharynx or larynx, including
fluoroscopy and/or magnification technique
70150
70160
70170
70190
70200
70210
70220
70240
70250
70310
70328
70330
70332
70336
70350
70355
70360
70370
Complex dynamic pharyngeal and speech evaluation by cine

or video recording
Laryngography, contrast, radiological supervision and
interpretation
Radiologic examination, salivary gland for calculus
Sialography, radiological supervision and interpretation
Sialography; complete procedure
Computed tomography, head or brain; without contrast
material
Computed tomography, head or brain; without contrast
material, followed by contrast material(s) and further
sections
2617
70371
2618
70373
2619
2620
2621
70380
70390
70391
2622
70450
2623
70470
2624
70480
Computed tomography, orbit, sella, or posterior fossa or

outer, middle, or inner ear; without contrast material
70480
2625
70482

outer, middle, or inner ear; without contrast material,
followed by contrast material(s) and further sections
70482
2626
70486
2627
70488
2628
70490
2629
70492
Computed tomography, soft tissue neck; without contrast

material followed by contrast material(s) and further sections
70492
2630
70496
Computed tomographic angiography, head, with contrast

material(s), including noncontrast images, if performed, and
image postprocessing
70496
2631
70540
Magnetic resonance (eg, proton) imaging, orbit, face, and/or

neck; without contrast material(s)
70540
2632
70543

neck; without contrast material(s), followed by contrast
material(s) and further sequences
70543
2633
70544
2634
70546
2635
70547
2636
70549
2637
70551
Computed tomography, maxillofacial area; without contrast

material
Computed tomography, maxillofacial area; without contrast
sections
Computed tomography, soft tissue neck; without contrast
material
Magnetic resonance angiography, head; without contrast

material(s)
Magnetic resonance angiography, head; without contrast
material(s), followed by contrast material(s) and further
sequences
Magnetic resonance angiography, neck; without contrast
material(s)
Magnetic resonance angiography, neck; without contrast
material(s), followed by contrast material(s) and further
sequences
Magnetic resonance (eg, proton) imaging, brain (including
brain stem); without contrast material
70371
70373
70380
70390
70391
70450
70470
70486
70488
70490
70544
70546
70547
70549
70551
70553

brain stem); without contrast material, followed by contrast
70553
70557

brain stem and skull base), during open intracranial
procedure (eg, to assess for residual tumor or residual
vascular malformation); without contrast material
70557
2640
70559

vascular malformation); without contrast material(s), followed
by contrast material(s) and further sequences
70559
2641
71010
Radiologic examination, chest; single view, frontal
71010
2642
71020
Radiologic examination, chest, 2 views, frontal and lateral;
71020
2643
71021
2644
71022
2645
71023
2646
71030
2647
71034
2648
71035
2649
71036
2650
71040
2651
71060
2652
71100
2653
71101
2654
71110
2655
71111
2656
71120
Radiologic examination; sternum, minimum of 2 views
71120
2657
71130
Radiologic examination; sternoclavicular joint or joints,

minimum of 3 views
71130
2658
71250
Computed tomography, thorax; without contrast material
71250
2638
2639
Radiologic examination, chest, two views, frontal and lateral;

with apical lordotic procedure
with oblique projections
with fluoroscopy
Radiologic examination, chest, complete, minimum of 4
views;
Radiologic examination, chest, complete, minimum of four
views; with fluoroscopy
Radiologic examination, chest, special views (eg, lateral
decubitus, Bucky studies)
Needle biopsy of intrathoracic lesion, including follow-up
films, fluoroscopic localization only, radiological supervision
and interpretation
Bronchography, unilateral, radiological supervision and
interpretation
Bronchography, bilateral, radiological supervision and
interpretation
Radiologic examination, ribs, unilateral; 2 views
Radiologic examination, ribs, unilateral; including
posteroanterior chest, minimum of 3 views
Radiologic examination, ribs, bilateral; 3 views
Radiologic examination, ribs, bilateral; including
posteroanterior chest, minimum of 4 views
71021
71022
71023
71030
71034
71035
71036
71040
71060
71100
71101
71110
71111
2659
71270
Computed tomography, thorax; without contrast material,

71270
2660
71550
Magnetic resonance (eg, proton) imaging, chest (eg, for

evaluation of hilar and mediastinal lymphadenopathy);
without contrast material(s)
71550
2661
71552

evaluation of hilar and mediastinal lymphadenopathy);
without contrast material(s), followed by contrast material(s)
and further sequences
71552
2662
71555
2663
72010
2664
72020
Radiologic examination, spine, single view, specify level
72020
2665
72040
Radiologic examination, spine, cervical; 2 or 3 views
72040
2666
72050
Radiologic examination, spine, cervical; minimum of 4 views
72050
2667
72052
Radiologic examination, spine, cervical; complete, including

oblique and flexion and/or extension studies
72052
2668
72069
Radiologic examination, spine, thoracolumbar, standing

(scoliosis)
72069
2669
72070
Radiologic examination, spine; thoracic, 2 views
72070
2670
72072
Radiologic examination, spine; thoracic, 3 views
72072
2671
72074
Radiologic examination, spine; thoracic, minimum of 4 views
72074
2672
72080
Radiologic examination, spine; thoracolumbar, 2 views
72080
2673
72090
Radiologic examination, spine; scoliosis study, including

supine and erect studies
72090
2674
72100
Radiologic examination, spine, lumbosacral; 2 or 3 views
72100
2675
72110
2676
72114
2677
72120
2678
72125
2679
72127
2680
72128
Magnetic resonance angiography, chest (excluding

myocardium), with or without contrast material(s)
Radiologic examination, spine, entire, survey study,
anteroposterior and lateral
Radiologic examination, spine, lumbosacral; minimum of 4

views
Radiologic examination, spine, lumbosacral; complete,
including bending views
Radiologic examination, spine, lumbosacral, bending views
only, minimum of 4 views
Computed tomography, cervical spine; without contrast
material
Computed tomography, cervical spine; without contrast
sections
Computed tomography, thoracic spine; without contrast
material
71555
72010
72110
72114
72120
72125
72127
72128
Computed tomography, thoracic spine; without contrast

sections
Computed tomography, lumbar spine; without contrast
material
Computed tomography, lumbar spine; without contrast
sections
2681
72130
2682
72131
2683
72133
2684
72141
Magnetic resonance (eg, proton) imaging, spinal canal and

contents, cervical; without contrast material
72141
2685
72142

contents, cervical; with contrast material(s)
72142
2686
72146

contents, thoracic; without contrast material
72146
2687
72147

contents, thoracic; with contrast material(s)
72147
2688
72148

contents, lumbar; without contrast material
72148
2689
72149

contents, lumbar; with contrast material(s)
72149
2690
72156

contents, without contrast material, followed by contrast
material(s) and further sequences; cervical
72156
2691
72159
2692
72170
2693
72190
2694
72192
Computed tomography, pelvis; without contrast material
72192
2695
72194
Computed tomography, pelvis; without contrast material,

72194
2696
72195
Magnetic resonance (eg, proton) imaging, pelvis; without

contrast material(s)
72195
2697
72197
Magnetic resonance (eg, proton) imaging, pelvis; without

contrast material(s), followed by contrast material(s) and
further sequences
72197
2698
72198
Magnetic resonance angiography, pelvis, with or without

72198
2699
72200
Radiologic examination, sacroiliac joints; less than 3 views
72200
2700
72202
Radiologic examination, sacroiliac joints; 3 or more views
72202
Magnetic resonance angiography, spinal canal and contents,

with or without contrast material(s)
Radiologic examination, pelvis; 1 or 2 views
Radiologic examination, pelvis; complete, minimum of 3
views
72130
72131
72133
72159
72170
72190
Radiologic examination, sacrum and coccyx, minimum of 2

views
Radiologic examination; clavicle, complete
Radiologic examination; scapula, complete
Radiologic examination, shoulder; 1 view
Radiologic examination, shoulder; complete, minimum of 2
views
Radiologic examination, shoulder, arthrography, radiological
Radiologic examination; acromioclavicular joints, bilateral,
with or without weighted distraction
2701
72220
72220
2702
2703
2704
73000
73010
73020
2705
73030
2706
73040
2707
73050
2708
73060
Radiologic examination; humerus, minimum of 2 views
73060
2709
73070
73070
2710
73080
2711
73085
2712
73090
2713
73092
2714
73100
Radiologic examination, elbow; 2 views

Radiologic examination, elbow; complete, minimum of 3
views
Radiologic examination, elbow, arthrography, radiological
Radiologic examination; forearm, 2 views
Radiologic examination; upper extremity, infant, minimum of
2 views
Radiologic examination, wrist; 2 views
2715
73110
Radiologic examination, wrist; complete, minimum of 3 views
73110
2716
73115
2717
73000
73010
73020
73030
73040
73050
73080
73085
73090
73092
73100
73120
Radiologic examination, wrist, arthrography, radiological

Radiologic examination, hand; 2 views
73120
2718
73130
Radiologic examination, hand; minimum of 3 views
73130
2719
73140
Radiologic examination, finger(s), minimum of 2 views
73140
2720
73200
2721
73202
2722
73206
Computed tomographic angiography, upper extremity, with

contrast material(s), including noncontrast images, if
performed, and image postprocessing
73206
2723
73218
Magnetic resonance (eg, proton) imaging, upper extremity,

other than joint; without contrast material(s)
73218
2724
73220

other than joint; without contrast material(s), followed by
contrast material(s) and further sequences
73220
2725
73221
Magnetic resonance (eg, proton) imaging, any joint of upper

extremity; without contrast material(s)
73221
2726
73223

extremity; without contrast material(s), followed by contrast
73223
Computed tomography, upper extremity; without contrast

material
Computed tomography, upper extremity; without contrast
sections
73115
73200
73202
Magnetic resonance angiography, upper extremity, with or

Radiologic examination, hip, unilateral; 1 view
Radiologic examination, hip, unilateral; complete, minimum
of 2 views
2727
73225
2728
73500
2729
73510
2730
73520
Radiologic examination, hips, bilateral, minimum of 2 views

of each hip, including anteroposterior view of pelvis
73520
2731
73525
Radiologic examination, hip, arthrography, radiological

73525
2732
73530
Radiologic examination, hip, during operative procedure
73530
2733
73540
2734
73542
2735
2736
2737
73550
73560
73562
Radiologic examination, pelvis and hips, infant or child,

minimum of 2 views
Radiological examination, sacroiliac joint arthrography,
radiological supervision and interpretation
Radiologic examination, femur, 2 views
Radiologic examination, knee; 1 or 2 views
Radiologic examination, knee; 3 views
2738
73564
Radiologic examination, knee; complete, 4 or more views
2739
73565
2740
73580
2741
73590
2742
73592
2743
73600
2744
73610
2745
73615
2746
73620
Radiologic examination, knee; both knees, standing,

anteroposterior
Radiologic examination, knee, arthrography, radiological
Radiologic examination; tibia and fibula, 2 views
Radiologic examination; lower extremity, infant, minimum of
2 views
Radiologic examination, ankle; 2 views
Radiologic examination, ankle; complete, minimum of 3
views
Radiologic examination, ankle, arthrography, radiological
Radiologic examination, foot; 2 views
2747
73630
Radiologic examination, foot; complete, minimum of 3 views
73630
2748
73650
Radiologic examination; calcaneus, minimum of 2 views
73650
2749
73660
Radiologic examination; toe(s), minimum of 2 views
73660
2750
73700
2751
73702
2752
73706
Computed tomographic angiography, lower extremity, with

73706
2753
73718
Magnetic resonance (eg, proton) imaging, lower extremity

other than joint; without contrast material(s)
73718
Computed tomography, lower extremity; without contrast

material
Computed tomography, lower extremity; without contrast
sections
73225
73500
73510
73540
73542
73550
73560
73562
73564
73565
73580
73590
73592
73600
73610
73615
73620
73700
73702
2754
73720

other than joint; without contrast material(s), followed by
contrast material(s) and further sequences
73720
2755
73721
Magnetic resonance (eg, proton) imaging, any joint of lower

extremity; without contrast material
73721
2756
73723

extremity; without contrast material(s), followed by contrast
73723
2757
73725
2758
74000
2759
74010
2760
74020
2761
74022
2762
74150
Computed tomography, abdomen; without contrast material
74150
2763
74170
Computed tomography, abdomen; without contrast material,

74170
2764
74175
2765
74181
2766
74183
Magnetic resonance (eg, proton) imaging, abdomen; without

contrast material(s), followed by with contrast material(s) and
further sequences
74183
2767
74185
Magnetic resonance angiography, abdomen, with or without

74185
2768
74190
Peritoneogram (eg, after injection of air or contrast),

74190
2769
74210
Radiologic examination; pharynx and/or cervical esophagus
74210
2770
74220
Radiologic examination; esophagus
74220
2771
74230
Swallowing function, with cineradiography/videoradiography
74230
2772
74235
Removal of foreign body(s), esophageal, with use of balloon

catheter, radiological supervision and interpretation
74235
2773
74240
Radiologic examination, gastrointestinal tract, upper; with or

without delayed films, without KUB
74240
Magnetic resonance angiography, lower extremity, with or

Radiologic examination, abdomen; single anteroposterior
view
Radiologic examination, abdomen; anteroposterior and
additional oblique and cone views
Radiologic examination, abdomen; complete, including
decubitus and/or erect views
Radiologic examination, abdomen; complete acute abdomen
series, including supine, erect, and/or decubitus views,
single view chest
Computed tomographic angiography, abdomen, with

Magnetic resonance (eg, proton) imaging, abdomen; without
73725
74000
74010
74020
74022
74175
74181
2774
74241
Radiologic examination, gastrointestinal tract, upper; with or

without delayed films, with KUB
74241
2775
74245
Radiologic examination, gastrointestinal tract, upper; with

small intestine, includes multiple serial films
74245
74246
Radiological examination, gastrointestinal tract, upper, air

contrast, with specific high density barium, effervescent
agent, with or without glucagon; with or without delayed
films, without KUB
74246
74247

agent, with or without glucagon; with or without delayed
films, with KUB
74247
2778
74249

agent, with or without glucagon; with small intestine followthrough
74249
2779
74250
Radiologic examination, small intestine, includes multiple

serial films;
74250
2780
74251
Radiologic examination, small intestine, includes multiple

serial films; via enteroclysis tube
74251
2781
74260
Duodenography, hypotonic
74260
2782
74270
Radiologic examination, colon; contrast (eg, barium) enema,

with or without KUB
74270
2783
74280
2784
74283
2785
74290
2786
74291
2787
74300
2788
74301
Cholangiography and/or pancreatography; additional set

intraoperative, radiological supervision and interpretation
74301
2789
74305
Cholangiography and/or pancreatography; through existing

catheter, radiological supervision and interpretation
74305
2790
74320
Cholangiography, percutaneous, transhepatic, radiological

74320
2791
74327
Postoperative biliary duct calculus removal, percutaneous

via T-tube tract, basket, or snare (eg, Burhenne technique),
74327
2776
2777
Radiologic examination, colon; air contrast with specific high

density barium, with or without glucagon
Therapeutic enema, contrast or air, for reduction of
intussusception or other intraluminal obstruction (eg,
meconium ileus)
Cholecystography, oral contrast;
Cholecystography, oral contrast; additional or repeat
examination or multiple day examination
Cholangiography and/or pancreatography; intraoperative,
74280
74283
74290
74291
74300
Endoscopic catheterization of the biliary ductal system,

Endoscopic catheterization of the pancreatic ductal system,
Combined endoscopic catheterization of the biliary and
pancreatic ductal systems, radiological supervision and
interpretation
2792
74328
2793
74329
2794
74330
2795
74340
2796
74350
2797
74355
2798
74360
Intraluminal dilation of strictures and/or obstructions (eg,

esophagus), radiological supervision and interpretation
74360
2799
74363
Percutaneous transhepatic dilation of biliary duct stricture

with or without placement of stent, radiological supervision
and interpretation
74363
2800
74400
Urography (pyelography), intravenous, with or without KUB,

with or without tomography
74400
2801
74410
Urography, infusion, drip technique and/or bolus technique;
74410
2802
74415
Urography, infusion, drip technique and/or bolus technique;

with nephrotomography
74415
2803
74420
Urography, retrograde, with or without KUB
74420
2804
74425
Urography, antegrade (pyelostogram, nephrostogram,

loopogram), radiological supervision and interpretation
74425
2805
74430
2806
74440
2807
74450
2808
74455
2809
74475
2810
74480
2811
74485
2812
74740
2813
74742
Introduction of long gastrointestinal tube (eg, Miller-Abbott),

including multiple fluoroscopies and films, radiological
Percutaneous placement of gastrostomy tube, radiological
Percutaneous placement of enteroclysis tube, radiological
Cystography, minimum of 3 views, radiological supervision

and interpretation
Vasography, vesiculography, or epididymography,
Urethrocystography, retrograde, radiological supervision and
interpretation
Urethrocystography, voiding, radiological supervision and
interpretation
drainage and/or injection, percutaneous, radiological
Introduction of ureteral catheter or stent into ureter through
renal pelvis for drainage and/or injection, percutaneous,
Dilation of nephrostomy, ureters, or urethra, radiological
Hysterosalpingography, radiological supervision and
interpretation
Transcervical catheterization of fallopian tube, radiological
74328
74329
74330
74340
74350
74355
74430
74440
74450
74455
74475
74480
74485
74740
74742
2814
75552
2815
75553
2816
75554
2817
75555
2818
75556
2819
75600
2820
75605
2821
75625
2822
75630
2823
75635
2824
75650
2825
75658
2826
75660
2827
75662
2828
75665
2829
75671
2830
75676
2831
75680
2832
75685
2833
75705
2834
75710
2835
75716
2836
75722
Cardiac magnetic resonance imaging for morphology;

without contrast material
Cardiac magnetic resonance imaging for morphology; with
contrast material
Cardiac magnetic resonance imaging for function, with or
without morphology; complete study
Cardiac magnetic resonance imaging for function, with or
without morphology; limited study
Cardiac magnetic resonance imaging for velocity flow
mapping
Aortography, thoracic, without serialography, radiological
Aortography, thoracic, by serialography, radiological
Aortography, abdominal, by serialography, radiological
Aortography, abdominal plus bilateral iliofemoral lower
extremity, catheter, by serialography, radiological supervision
and interpretation
Computed tomographic angiography, abdominal aorta and
bilateral iliofemoral lower extremity runoff, with contrast
Angiography, cervicocerebral, catheter, including vessel
origin, radiological supervision and interpretation
Angiography, brachial, retrograde, radiological supervision
and interpretation
Angiography, external carotid, unilateral, selective,
Angiography, external carotid, bilateral, selective,
Angiography, carotid, cerebral, unilateral, radiological
Angiography, carotid, cerebral, bilateral, radiological
Angiography, carotid, cervical, unilateral, radiological
Angiography, carotid, cervical, bilateral, radiological
Angiography, vertebral, cervical, and/or intracranial,
Angiography, spinal, selective, radiological supervision and
interpretation
Angiography, extremity, unilateral, radiological supervision
and interpretation
Angiography, extremity, bilateral, radiological supervision
and interpretation
Angiography, renal, unilateral, selective (including flush
aortogram), radiological supervision and interpretation
75552
75553
75554
75555
75556
75600
75605
75625
75630
75635
75650
75658
75660
75662
75665
75671
75676
75680
75685
75705
75710
75716
75722
Angiography, renal, bilateral, selective (including flush

aortogram), radiological supervision and interpretation
2837
75724
2838
75726
2839
75731
2840
75733
2841
75736
2842
75741
2843
75743
2844
75746
Angiography, pulmonary, by nonselective catheter or venous

injection, radiological supervision and interpretation
75746
2845
75755
Angiography, coronary, bilateral selective injection, including

left ventricular and supravalvular angiogram and pressure
recording; complete procedure
75755
2846
75756
Angiography, internal mammary, radiological supervision and

interpretation
75756
2847
75774
Angiography, selective, each additional vessel studied after

basic examination, radiological supervision and
interpretation (List separately in addition to code for primary
procedure)
75774
2848
75790
Angiography, arteriovenous shunt (eg, dialysis patient),

75790
2849
75801
2850
75803
2851
75805
2852
75807
2853
75809
2854
75810
2855
75820
2856
75822
2857
75825
Angiography, visceral, selective or supraselective (with or

without flush aortogram), radiological supervision and
interpretation
Angiography, adrenal, unilateral, selective, radiological
Angiography, adrenal, bilateral, selective, radiological
Angiography, pelvic, selective or supraselective, radiological
Angiography, pulmonary, unilateral, selective, radiological
Angiography, pulmonary, bilateral, selective, radiological
Lymphangiography, extremity only, unilateral, radiological

Lymphangiography, extremity only, bilateral, radiological
Lymphangiography, pelvic/abdominal, unilateral, radiological
Lymphangiography, pelvic/abdominal, bilateral, radiological
Shuntogram for investigation of previously placed indwelling
nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal
shunt, indwelling infusion pump), radiological supervision
and interpretation
Splenoportography, radiological supervision and
interpretation
Venography, extremity, unilateral, radiological supervision
and interpretation
Venography, extremity, bilateral, radiological supervision and
interpretation
Venography, caval, inferior, with serialography, radiological
75724
75726
75731
75733
75736
75741
75743
75801
75803
75805
75807
75809
75810
75820
75822
75825
Venography, caval, superior, with serialography, radiological

Venography, renal, unilateral, selective, radiological
Venography, renal, bilateral, selective, radiological
2858
75827
2859
75831
2860
75833
2861
75834
2862
75860
2863
75870
2864
75871
2865
75872
2866
75885
2867
75887
2868
75889
2869
75891
2870
75893
2871
75894
2872
75896
2873
75898
Angiography through existing catheter for follow-up study for

transcatheter therapy, embolization or infusion
75898
2874
75900
Exchange of a previously placed intravascular catheter

during thrombolytic therapy with contrast monitoring,
75900
2875
75901
Mechanical removal of pericatheter obstructive material (eg,

fibrin sheath) from central venous device via separate
venous access, radiologic supervision and interpretation
75901
2876
75902
Mechanical removal of intraluminal (intracatheter)

obstructive material from central venous device through
device lumen, radiologic supervision and interpretation
75902
2877
75940
Percutaneous placement of IVC filter, radiological

75940
Venography, renal, bilateral, selective; complete procedure

Venography, venous sinus (eg, petrosal and inferior sagittal)
or jugular, catheter, radiological supervision and
interpretation
Venography, superior sagittal sinus, radiological supervision
and interpretation
Venography, superior sagittal sinus; complete procedure,
including direct puncture
Venography, epidural, radiological supervision and
interpretation
Percutaneous transhepatic portography with hemodynamic
evaluation, radiological supervision and interpretation
Percutaneous transhepatic portography without
hemodynamic evaluation, radiological supervision and
interpretation
Hepatic venography, wedged or free, with hemodynamic
Hepatic venography, wedged or free, without hemodynamic
Venous sampling through catheter, with or without
angiography (eg, for parathyroid hormone, renin),
Transcatheter therapy, embolization, any method,
Transcatheter therapy, infusion, any method (eg,
thrombolysis other than coronary), radiological supervision
and interpretation
75827
75831
75833
75834
75860
75870
75871
75872
75885
75887
75889
75891
75893
75894
75896
2878
75945
Intravascular ultrasound (non-coronary vessel), radiological

supervision and interpretation; initial vessel
75945
2879
75952

or dissection, radiological supervision and interpretation
75952
2880
75953
Placement of proximal or distal extension prosthesis for

endovascular repair of infrarenal aortic or iliac artery
aneurysm, pseudoaneurysm, or dissection, radiological
75953
2881
75954
Endovascular repair of iliac artery aneurysm,

pseudoaneurysm, arteriovenous malformation, or trauma,
75954
2882
75960
Transcatheter introduction of intravascular stent(s) (except

coronary, carotid, and vertebral vessel), percutaneous and/or
open, radiological supervision and interpretation, each
vessel
75960
2883
75961
Transcatheter retrieval, percutaneous, of intravascular

foreign body (eg, fractured venous or arterial catheter),
75961
2884
75962
2885
75966
2886
75978
Transluminal balloon angioplasty, venous (eg, subclavian

stenosis), radiological supervision and interpretation
75978
2887
75979
Percutaneous transluminal angioplasty, venous (eg,

subclavian stenosis); complete procedure
75979
2888
75980
2889
75981
Transluminal balloon angioplasty, peripheral artery,

Transluminal balloon angioplasty, renal or other visceral
artery, radiological supervision and interpretation
Percutaneous transhepatic biliary drainage with contrast

monitoring, radiological supervision and interpretation
Percutaneous transhepatic biliary drainage with contrast
monitoring; complete procedure
75962
75966
75980
75981
2890
75998
Fluoroscopic guidance for central venous access device

placement, replacement (catheter only or complete), or
removal (includes fluoroscopic guidance for vascular access
and catheter manipulation, any necessary contrast injections
through access site or catheter with related venography
radiologic supervision and interpretation, and radiographic
documentation of final catheter position) (List separately in
2891
76000
Fluoroscopy (separate procedure), up to one hour physician

time, other than 71023 or 71034 (eg, cardiac fluoroscopy)
76000
2892
76001
Fluoroscopy, physician time more than one hour, assisting a

non-radiologic physician (eg, nephrostolithotomy, ERCP,
bronchoscopy, transbronchial biopsy)
76001
75998
76003
Fluoroscopic guidance for needle placement (eg, biopsy,

aspiration, injection, localization device)
76003
2894
76005
Fluoroscopic guidance and localization of needle or catheter

tip for spine or paraspinous diagnostic or therapeutic
injection procedures (epidural, transforaminal epidural,
subarachnoid, paravertebral facet joint, paravertebral facet
joint nerve or sacroiliac joint), including neurolytic agent
destruction
76005
2895
76010
Radiologic examination from nose to rectum for foreign

body, single view, child
76010
2896
76012
Radiological supervision and interpretation, percutaneous

vertebroplasty or vertebral augmentation including cavity
creation, per vertebral body; under fluoroscopic guidance
76012
2897
76013

vertebroplasty or vertebral augmentation including cavity
creation, per vertebral body; under CT guidance
76013
2898
76020
Bone age studies
76020
2899
76040
Bone length studies (orthoroentgenogram, scanogram)
76040
2900
76061
Radiologic examination, osseous survey; limited (eg, for

metastases)
76061
2901
76066
Joint survey, single view, two or more joints (specify)
76066
2902
76070
Computed tomography, bone mineral density study, one or

more sites; axial skeleton (eg, hips, pelvis, spine)
76070
2903
76071
Computed tomography, bone mineral density study, one or

more sites; appendicular skeleton (peripheral) (eg, radius,
wrist, heel)
76071
2904
76075
Dual energy x-ray absorptiometry (DXA), bone density study,

one or more sites; axial skeleton (eg, hips, pelvis, spine)
76075
2905
76076
2906
76078
2907
76080
Radiologic examination, abscess, fistula or sinus tract study,

76080
76082
Computer aided detection (computer algorithm analysis of

digital image data for lesion detection) with further physician
review for interpretation, with or without digitization of film
radiographic images; diagnostic mammography (List
76082
2893
2908

one or more sites; appendicular skeleton (peripheral) (eg,
radius, wrist, heel)
Radiographic absorptiometry (eg, photodensitometry,
radiogrammetry), one or more sites
76076
76078
Computer aided detection (computer algorithm analysis of

radiographic images; screening mammography (List
2909
76083
2910
76086
2911
76088
2912
2913
76090
76091
2914
76092
2915
76093
2916
76094
2917
2918
76098
76350
Mammary ductogram or galactogram, single duct,

Mammary ductogram or galactogram, multiple ducts,
Mammography; unilateral
Mammography; bilateral
Screening mammography, bilateral (two view film study of
each breast)
Magnetic resonance imaging, breast, without and/or with
contrast material(s); unilateral
contrast material(s); bilateral
Radiological examination, surgical specimen
Subtraction in conjunction with contrast studies
2919
76355
Computed tomography guidance for stereotactic localization
76355
2920
76360
Computed tomography guidance for needle placement (eg,

biopsy, aspiration, injection, localization device), radiological
76360
2921
76362
2922
76370
2923
76375
Coronal, sagittal, multiplanar, oblique, 3-dimensional and/or

holographic reconstruction of computed tomography,
magnetic resonance imaging, or other tomographic modality
76375
2924
76380
Computed tomography, limited or localized follow-up study
76380
2925
76390
76390
2926
76393
Magnetic resonance spectroscopy

Magnetic resonance guidance for needle placement (eg, for
biopsy, needle aspiration, injection, or placement of
localization device) radiological supervision and
interpretation
2927
76394
2928
76400
2929
76506
Computed tomography guidance for, and monitoring of,

visceral tissue ablation
Computed tomography guidance for placement of radiation
therapy fields
Magnetic resonance guidance for, and monitoring of,

visceral tissue ablation
Magnetic resonance (eg, proton) imaging, bone marrow
blood supply
Echoencephalography, real time with image documentation
(gray scale) (for determination of ventricular size, delineation
of cerebral contents, and detection of fluid masses or other
intracranial abnormalities), including A-mode
encephalography as secondary component where indicated
76083
76086
76088
76090
76091
76092
76093
76094
76098
76350
76362
76370
76393
76394
76400
76506
2930
76511
2931
76512
2932
76513
2933
76514
2934
76516
Ophthalmic biometry by ultrasound echography, A-scan;
76516
2935
76519
Ophthalmic biometry by ultrasound echography, A-scan; with

intraocular lens power calculation
76519
2936
76529
Ophthalmic ultrasonic foreign body localization
76529
2937
76536
Ultrasound, soft tissues of head and neck (eg, thyroid,

parathyroid, parotid), real time with image documentation
76536
2938
76604
2939
76645
2940
76700
2941
76705
Ultrasound, abdominal, real time with image documentation;

limited (eg, single organ, quadrant, follow-up)
76705
2942
76770
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real

time with image documentation; complete
76770
2943
76775
Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real

time with image documentation; limited
76775
2944
76778
Ultrasound, transplanted kidney, B-scan and/or real time with

image documentation, with or without duplex Doppler study
76778
2945
76800
2946
76801
2947
2948
Ophthalmic ultrasound, diagnostic; quantitative A-scan only

Ophthalmic ultrasound, diagnostic; B-scan (with or without
superimposed non-quantitative A-scan)
Ophthalmic ultrasound, diagnostic; anterior segment
ultrasound, immersion (water bath) B-scan or high resolution
biomicroscopy
Ophthalmic ultrasound, diagnostic; corneal pachymetry,
unilateral or bilateral (determination of corneal thickness)
Ultrasound, chest (includes mediastinum), real time with

image documentation
Ultrasound, breast(s) (unilateral or bilateral), real time with
image documentation
Ultrasound, abdominal, real time with image documentation;
complete
Ultrasound, spinal canal and contents

Ultrasound, pregnant uterus, real time with image
documentation, fetal and maternal evaluation, first trimester
(< 14 weeks 0 days), transabdominal approach; single or
first gestation
76511
76512
76513
76514
76604
76645
76700
76800
76801
76802

documentation, fetal and maternal evaluation, first trimester
(< 14 weeks 0 days), transabdominal approach; each
additional gestation (List separately in addition to code for
primary procedure)
76802
76805

documentation, fetal and maternal evaluation, after first
trimester (> or = 14 weeks 0 days), transabdominal
approach; single or first gestation
76805
76810

documentation, fetal and maternal evaluation, after first
trimester (> or = 14 weeks 0 days), transabdominal
approach; each additional gestation (List separately in
76810
76811

documentation, fetal and maternal evaluation plus detailed
fetal anatomic examination, transabdominal approach;
single or first gestation
76811
76812

documentation, fetal and maternal evaluation plus detailed
fetal anatomic examination, transabdominal approach; each
additional gestation (List separately in addition to code for
primary procedure)
76812
76815

documentation, limited (eg, fetal heart beat, placental
location, fetal position and/or qualitative amniotic fluid
volume), 1 or more fetuses
76815
2953
76816

documentation, follow-up (eg, re-evaluation of fetal size by
measuring standard growth parameters and amniotic fluid
volume, re-evaluation of organ system(s) suspected or
confirmed to be abnormal on a previous scan),
transabdominal approach, per fetus
76816
2954
76817
2955
2956
76818
76819
2957
76825
2958
76827
2959
76830
2960
76831
2961
76856
2962
2963
76870
76872
2964
76880
2965
76885
Ultrasound, infant hips, real time with imaging

documentation; dynamic (requiring physician manipulation)
76885
2966
76930
Ultrasonic guidance for pericardiocentesis, imaging

76930
2949
2950
2951
2952

documentation, transvaginal
Fetal biophysical profile; with non-stress testing
Fetal biophysical profile; without non-stress testing
Echocardiography, fetal, cardiovascular system, real time
with image documentation (2D), with or without M-mode
recording;
Doppler echocardiography, fetal, pulsed wave and/or
continuous wave with spectral display; complete
Ultrasound, transvaginal
Saline infusion sonohysterography (SIS), including color flow
Doppler, when performed
Ultrasound, pelvic (nonobstetric), real time with image
documentation; complete
Ultrasound, scrotum and contents
Ultrasound, transrectal;
Ultrasound, extremity, nonvascular, real time with image
documentation
76817
76818
76819
76825
76827
76830
76831
76856
76870
76872
76880
76932
Ultrasonic guidance for endomyocardial biopsy, imaging

76932
76936
Ultrasound guided compression repair of arterial

pseudoaneurysm or arteriovenous fistulae (includes
diagnostic ultrasound evaluation, compression of lesion and
imaging)
76936
2969
76937
Ultrasound guidance for vascular access requiring

ultrasound evaluation of potential access sites,
documentation of selected vessel patency, concurrent
realtime ultrasound visualization of vascular needle entry,
with permanent recording and reporting (List separately in
76937
2970
76940
Ultrasound guidance for, and monitoring of, parenchymal

tissue ablation
76940
2971
76941
Ultrasonic guidance for intrauterine fetal transfusion or

cordocentesis, imaging supervision and interpretation
76941
2972
76942
Ultrasonic guidance for needle placement (eg, biopsy,

aspiration, injection, localization device), imaging supervision
and interpretation
76942
2973
76945
Ultrasonic guidance for chorionic villus sampling, imaging

76945
2974
76946
2975
76948
2976
76950
2977
76977
2978
76986
2967
2968
Ultrasonic guidance for amniocentesis, imaging supervision

and interpretation
Ultrasonic guidance for aspiration of ova, imaging
Ultrasonic guidance for placement of radiation therapy fields
Ultrasound bone density measurement and interpretation,
peripheral site(s), any method
Ultrasonic guidance, intraoperative
76946
76948
76950
76977
76986
2979
77300
Basic radiation dosimetry calculation, central axis depth

dose calculation, TDF, NSD, gap calculation, off axis factor,
tissue inhomogeneity factors, calculation of non-ionizing
radiation surface and depth dose, as required during course
of treatment, only when prescribed by the treating physician
2980
77301
Intensity modulated radiotherapy plan, including dosevolume histograms for target and critical structure partial
tolerance specifications
77301
2981
77310
Teletherapy, isodose plan (whether hand or computer

calculated); intermediate (3 or more treatment ports directed
to a single area of interest)
77310
77300
77315

calculated); complex (mantle or inverted Y, tangential ports,
the use of wedges, compensators, complex blocking,
rotational beam, or special beam considerations)
77315
2983
77327
Brachytherapy isodose plan; intermediate (multiplane

dosage calculations, application involving 5 to 10
sources/ribbons, remote afterloading brachytherapy, 9 to 12
sources)
77327
2984
77331
Special dosimetry (eg, TLD, microdosimetry) (specify), only

when prescribed by the treating physician
77331
2985
77332
Treatment devices, design and construction; simple (simple

block, simple bolus)
77332
2986
77418
Intensity modulated treatment delivery, single or multiple

fields/arcs, via narrow spatially and temporally modulated
beams, binary, dynamic MLC, per treatment session
77418
2987
77422
2988
77427
2989
77431
Radiation therapy management with complete course of

therapy consisting of 1 or 2 fractions only
77431
2990
77432
Stereotactic radiation treatment management of cranial

lesion(s) (complete course of treatment consisting of 1
session)
77432
2991
77470
2992
77750
2993
2994
77761
77763
2995
77781
2996
77782
2997
77783
2998
77784
2999
77785
3000
3001
3002
77789
78000
78001
3003
78003
3004
78006
2982
High energy neutron radiation treatment delivery; single

treatment area using a single port or parallel-opposed ports
with no blocks or simple blocking
Radiation treatment management, 5 treatments
Special treatment procedure (eg, total body irradiation,

hemibody radiation, per oral, endocavitary or intraoperative
cone irradiation)
Infusion or instillation of radioelement solution (includes 3month follow-up care)
Intracavitary radiation source application; simple
Intracavitary radiation source application; complex
Remote afterloading high intensity brachytherapy; 1-4
source positions or catheters
Remote afterloading high intensity brachytherapy; over 12
Remote afterloading high dose rate radionuclide
brachytherapy; 1 channel
Surface application of radiation source
Thyroid uptake; single determination
Thyroid uptake; multiple determinations
Thyroid uptake; stimulation, suppression or discharge (not
including initial uptake studies)
Thyroid imaging, with uptake; single determination
77422
77427
77470
77750
77761
77763
77781
77782
77783
77784
77785
77789
78000
78001
78003
78006
3005
78007
Thyroid imaging, with uptake; multiple determinations
78007
3006
3007
78010
78011
Thyroid imaging; only

Thyroid imaging; with vascular flow
78010
78011
3008
78018
Thyroid carcinoma metastases imaging; whole body
78018
3009
3010
3011
3012
3013
78070
78075
78185
78191
78195
Parathyroid imaging
Adrenal imaging, cortex and/or medulla
Spleen imaging only, with or without vascular flow
Platelet survival study
Lymphatics and lymph nodes imaging
78070
78075
78185
78191
78195
3014
78199
Unlisted hematopoietic, reticuloendothelial and lymphatic

procedure, diagnostic nuclear medicine
78199
3015
3016
3017
3018
3019
78201
78202
78205
78206
78215
3020
78220
3021
78223
Hepatobiliary ductal system imaging, including gallbladder,

with or without pharmacologic intervention, with or without
quantitative measurement of gallbladder function
78223
3022
3023
3024
3025
3026
3027
78230
78232
78258
78261
78262
78264
Salivary gland imaging;

Salivary gland function study
Esophageal motility
Gastric mucosa imaging
Gastroesophageal reflux study
Gastric emptying study
78230
78232
78258
78261
78262
78264
3028
78267
Urea breath test, C-14 (isotopic); acquisition for analysis
78267
3029
78268
78268
3030
78272
3031
78278
Urea breath test, C-14 (isotopic); analysis

Vitamin B-12 absorption studies combined, with and without
intrinsic factor
Acute gastrointestinal blood loss imaging
3032
78280
Gastrointestinal blood loss study (eg, stool counting)
78280
3033
3034
3035
78300
78315
78320
78300
78315
78320
3036
78350
Bone and/or joint imaging; limited area

Bone and/or joint imaging; 3 phase study
Bone and/or joint imaging; tomographic (SPECT)
Bone density (bone mineral content) study, 1 or more sites;
single photon absorptiometry
3037
78455
Venous thrombosis study (eg, radioactive fibrinogen)
78455
3038
3039
78456
78458
78456
78458
3040
78461
Acute venous thrombosis imaging, peptide

Venous thrombosis imaging, venogram; bilateral
Myocardial perfusion imaging; multiple studies (planar), at
rest and/or stress (exercise and/or pharmacologic), and
redistribution and/or rest injection, with or without
quantification
Liver imaging; static only

Liver imaging; with vascular flow
Liver imaging (SPECT);
Liver imaging (SPECT); with vascular flow
Liver and spleen imaging; static only
Liver function study with hepatobiliary agents, with serial
images
78201
78202
78205
78206
78215
78220
78272
78278
78350
78461
3041
78465
Myocardial perfusion imaging; tomographic (SPECT),

multiple studies (including attenuation correction when
performed), at rest and/or stress (exercise and/or
pharmacologic) and redistribution and/or rest injection, with
or without quantification
3042
78469
Myocardial imaging, infarct avid, planar; tomographic

SPECT with or without quantification
78469
3043
78478
Myocardial perfusion study with wall motion, qualitative or

quantitative study (List separately in addition to code for
primary procedure)
78478
3044
78480
Myocardial perfusion study with ejection fraction (List

78480
78481
Cardiac blood pool imaging (planar), first pass technique;

single study, at rest or with stress (exercise and/or
pharmacologic), wall motion study plus ejection fraction, with
78481
3046
78483
Cardiac blood pool imaging, (planar) first pass technique;

multiple studies, at rest and with stress (exercise and/or
pharmacologic), wall motion study plus ejection fraction, with
78483
3047
78484
Cardiac blood pool imaging, first pass technique, at rest;

quantitative wall motion study plus ejection fraction plus
ventricular volume determination
78484
3048
78485

quantitative wall motion study, with exercise and/or
pharmacologic intervention
78485
3049
78487

ventricular volume determination, with exercise and/or
78487
3050
78491
Myocardial imaging, positron emission tomography (PET),

perfusion; single study at rest or stress
78491
3051
78492

perfusion; multiple studies at rest and/or stress
78492
3052
78494
Cardiac blood pool imaging, gated equilibrium, SPECT, at

rest, wall motion study plus ejection fraction, with or without
quantitative processing
78494
3053
78496
Cardiac blood pool imaging, gated equilibrium, single study,

at rest, with right ventricular ejection fraction by first pass
technique (List separately in addition to code for primary
procedure)
78496
3054
78580
Pulmonary perfusion imaging, particulate
78580
3045
78465
3055
78584
Pulmonary perfusion imaging, particulate, with ventilation;

single breath
78584
3056
78585
Pulmonary perfusion imaging, particulate, with ventilation;

rebreathing and washout, with or without single breath
78585
3057
78587
Pulmonary ventilation imaging, aerosol; multiple projections

(eg, anterior, posterior, lateral views)
78587
3058
78588
Pulmonary perfusion imaging, particulate, with ventilation

imaging, aerosol, 1 or multiple projections
78588
3059
78606
Brain imaging, minimum 4 static views; with vascular flow
78606
3060
78607
78607
3061
78608
3062
78609
3063
78610
3064
78630
Brain imaging, tomographic (SPECT)

Brain imaging, positron emission tomography (PET);
metabolic evaluation
Brain imaging, positron emission tomography (PET);
perfusion evaluation
Brain imaging, vascular flow only
Cerebrospinal fluid flow, imaging (not including introduction
of material); cisternography
3065
78635

of material); ventriculography
78635
3066
78645

of material); shunt evaluation
78645
3067
78647

of material); tomographic (SPECT)
78647
3068
3069
3070
78660
78700
78701
Radiopharmaceutical dacryocystography
Kidney imaging morphology;
Kidney imaging morphology; with vascular flow
78660
78700
78701
3071
78704
Kidney imaging; with function study (ie, imaging renogram)
78704
3072
78707
Kidney imaging morphology; with vascular flow and function,

single study without pharmacological intervention
78707
3073
78708

single study, with pharmacological intervention (eg,
angiotensin converting enzyme inhibitor and/or diuretic)
78708
3074
3075
78710
78715
Kidney imaging morphology; tomographic (SPECT)

Kidney vascular flow only
78710
78715
3076
78730
Urinary bladder residual study (List separately in addition to

78730
3077
78740
3078
78761
3079
78801
Ureteral reflux study (radiopharmaceutical voiding

cystogram)
Testicular imaging with vascular flow
Radiopharmaceutical localization of tumor or distribution of
radiopharmaceutical agent(s); multiple areas
78608
78609
78610
78630
78740
78761
78801

radiopharmaceutical agent(s); whole body, single day
imaging
radiopharmaceutical agent(s); tomographic (SPECT)
radiopharmaceutical agent(s); whole body, requiring 2 or
more days imaging
Radiopharmaceutical localization of inflammatory process;
whole body
tomographic (SPECT)
3080
78802
3081
78803
3082
78804
3083
78806
3084
78807
3085
78808
Injection procedure for radiopharmaceutical localization by

non-imaging probe study, intravenous (eg, parathyroid
adenoma)
78808
78890
Generation of automated data: interactive process involving

nuclear physician and/or allied health professional
personnel; simple manipulations and interpretation, not to
exceed 30 minutes
78890
3087
78891
Generation of automated data: interactive process involving

nuclear physician and/or allied health professional
personnel; complex manipulations and interpretation,
exceeding 30 minutes
78891
3088
79000
3089
79001
3090
79020
Radiopharmaceutical therapy, thyroid suppression (euthyroid

cardiac disease), including evaluation of patient
79020
3091
79030
Radiopharmaceutical ablation of gland for thyroid carcinoma
79030
3092
79035
Radiopharmaceutical therapy for metastases of thyroid

carcinoma
79035
3093
79100
Radiopharmaceutical therapy, polycythemia vera, chronic

leukemia, each treatment by intravenous injection
79100
3094
79900
Provision of therapeutic radiopharmaceutical(s)
79900
3095
80048
Basic metabolic panel (Calcium, total). This panel must

include the following: Calcium, total (82310), Carbon dioxide
(82374), Chloride (82435), Creatinine (82565), Glucose
(82947), Potassium (84132), Sodium (84295), Urea Nitrogen
(BUN) (84520)
80048
3096
80051
Electrolyte panel. This panel must include the following:

Carbon dioxide (82374), Chloride (82435), Potassium
(84132), Sodium (84295)
80051
3086
Radiopharmaceutical therapy, hyperthyroidism; initial,

including evaluation of patient
Radiopharmaceutical therapy, hyperthyroidism; subsequent,
each therapy
78802
78803
78804
78806
78807
79000
79001
3097
80055
Obstetric panel. This panel must include the following: Blood

count, complete (CBC), automated and automated
differential WBC count (85025 or 85027 and 85004) OR
Blood count, complete (CBC), automated (85027) and
appropriate manual differential WBC count (85007 or
85009), Hepatitis B surface antigen (HBsAg) (87340),
Antibody, rubella (86762), Syphilis test, non-treponemal
antibody; qualitative (eg, VDRL, RPR, ART) (86592),
Antibody screen, RBC, each serum technique (86850),
Blood typing, ABO (86900) AND Blood typing, Rh (D)
(86901)
3098
80057
Male infertility and/or gynecomastia profile
80057
80058
Hepatic function panel This panel must include the following:

Albumin (82040) Bilirubin, total (82247) Bilirubin, direct
(82248) Bilirubin, total AND direct (82251) Phosphatase,
alkaline (84075) Transferase, alanine amino (ALT) (SGPT)
(84460) Transferase, aspartate amino (AST) (SGOT)
(84450)
80058
3100
80061
Lipid panel. This panel must include the following:

Cholesterol, serum, total (82465), Lipoprotein, direct
measurement, high density cholesterol (HDL cholesterol)
(83718), Triglycerides (84478)
80061
3101
80062
Cardiac evaluation (including coronary risk) panel
80062
3102
80063
Cardiac injury panel;
80063
80076
Hepatic function panel. This panel must include the

following: Albumin (82040), Bilirubin, total (82247), Bilirubin,
direct (82248), Phosphatase, alkaline (84075), Protein, total
(84155), Transferase, alanine amino (ALT) (SGPT) (84460),
Transferase, aspartate amino (AST) (SGOT) (84450)
80076
3104
80090
TORCH antibody panel This panel must include the following

tests: Antibody, cytomegalovirus (CMV) (86644) Antibody,
herpes simplex, non-specific type test (86694) Antibody,
rubella (86762) Antibody, toxoplasma (86777)
80090
3105
3106
3107
3108
3109
3110
3111
3112
3113
3114
3115
3116
3117
3118
3119
3120
80150
80152
80154
80156
80157
80158
80160
80162
80164
80166
80168
80170
80172
80174
80176
80178
Amikacin
Amitriptyline
Benzodiazepines
Carbamazepine; total
Carbamazepine; free
Cyclosporine
Desipramine
Digoxin
Dipropylacetic acid (valproic acid)
Doxepin
Ethosuximide
Gentamicin
Gold
Imipramine
Lidocaine
Lithium
80150
80152
80154
80156
80157
80158
80160
80162
80164
80166
80168
80170
80172
80174
80176
80178
3099
3103
80055
3121
3122
3123
3124
3125
3126
80182
80184
80185
80186
80188
80190
Nortriptyline
Phenobarbital
Phenytoin; total
Phenytoin; free
Primidone
Procainamide;
80182
80184
80185
80186
80188
80190
3127
80192
Procainamide; with metabolites (eg, n-acetyl procainamide)
80192
3128
3129
3130
3131
3132
3133
3134
80194
80196
80197
80198
80200
80201
80202
Quinidine
Salicylate
Tacrolimus
Theophylline
Tobramycin
Topiramate
Vancomycin
80194
80196
80197
80198
80200
80201
80202
3135
80400
ACTH stimulation panel; for adrenal insufficiency. This panel

must include the following: Cortisol (82533 x 2)
80400
3136
80402
ACTH stimulation panel; for 21 hydroxylase deficiency. This

panel must include the following: Cortisol (82533 x 2), 17
hydroxyprogesterone (83498 x 2)
80402
3137
80406
ACTH stimulation panel; for 3 beta-hydroxydehydrogenase

deficiency. This panel must include the following: Cortisol
(82533 x 2), 17 hydroxypregnenolone (84143 x 2)
80406
3138
80408
Aldosterone suppression evaluation panel (eg, saline

infusion). This panel must include the following: Aldosterone
(82088 x 2), Renin (84244 x 2)
80408
3139
80410
Calcitonin stimulation panel (eg, calcium, pentagastrin). This

panel must include the following: Calcitonin (82308 x 3)
80410
3140
80412
Corticotropic releasing hormone (CRH) stimulation panel.

This panel must include the following: Cortisol (82533 x 6),
Adrenocorticotropic hormone (ACTH)(82024 x 6)
80412
3141
80414
Chorionic gonadotropin stimulation panel; testosterone

response. This panel must include the following:
Testosterone (84403 x 2 on 3 pooled blood samples)
80414
3142
80415
Chorionic gonadotropin stimulation panel; estradiol

response. This panel must include the following: Estradiol
(82670 x 2 on 3 pooled blood samples)
80415
3143
80416
Renal vein renin stimulation panel (eg, captopril). This panel

must include the following: Renin (84244 x 6)
80416
3144
80417
Peripheral vein renin stimulation panel (eg, captopril). This

panel must include the following: Renin (84244 x 2)
80417
80418
Combined rapid anterior pituitary evaluation panel. This

panel must include the following: Adrenocorticotropic
hormone (ACTH) (82024 x 4), Luteinizing hormone (LH)
(83002 x 4), Follicle stimulating hormone (FSH) (83001 x 4),
Prolactin (84146 x 4), Human growth hormone (HGH)
(83003 x 4), Cortisol (82533 x 4), Thyroid stimulating
hormone (TSH) (84443 x 4)
80418
3146
80420
Dexamethasone suppression panel, 48 hour. This panel

must include the following: Free cortisol, urine (82530 x 2),
Cortisol (82533 x 2), Volume measurement for timed
collection (81050 x 2)
80420
3147
80422
Glucagon tolerance panel; for insulinoma. This panel must

include the following: Glucose (82947 x 3), Insulin (83525 x
3)
80422
3148
80424
Glucagon tolerance panel; for pheochromocytoma. This

panel must include the following: Catecholamines,
fractionated (82384 x 2)
80424
3149
80426
Gonadotropin releasing hormone stimulation panel. This

panel must include the following: Follicle stimulating
hormone (FSH) (83001 x 4), Luteinizing hormone (LH)
(83002 x 4)
80426
3150
80428
Growth hormone stimulation panel (eg, arginine infusion, ldopa administration). This panel must include the following:
Human growth hormone (HGH) (83003 x 4)
80428
3151
80430
Growth hormone suppression panel (glucose

administration). This panel must include the following:
Glucose (82947 x 3), Human growth hormone (HGH) (83003
x 4)
80430
3152
80432
Insulin-induced C-peptide suppression panel. This panel

must include the following: Insulin (83525), C-peptide (84681
x 5), Glucose (82947 x 5)
80432
3153
80434
Insulin tolerance panel; for ACTH insufficiency. This panel

must include the following: Cortisol (82533 x 5), Glucose
(82947 x 5)
80434
3154
80435
Insulin tolerance panel; for growth hormone deficiency. This

panel must include the following: Glucose (82947 x 5),
Human growth hormone (HGH) (83003 x 5)
80435
3155
80436
Metyrapone panel. This panel must include the following:

Cortisol (82533 x 2), 11 deoxycortisol (82634 x 2)
80436
3156
80438
Thyrotropin releasing hormone (TRH) stimulation panel; 1

hour. This panel must include the following: Thyroid
stimulating hormone (TSH) (84443 x 3)
80438
3157
80439
Thyrotropin releasing horm1 (TRH) stimulation panel; 2 hour.

This panel must include the following: Thyroid stimulating
hormone (TSH) (84443 x 4)
80439
3158
80440
Thyrotropin releasing hormone (TRH) stimulation panel; for

hyperprolactinemia. This panel must include the following:
Prolactin (84146 x 3)
80440
3145
81000
Urinalysis, by dip stick or tablet reagent for bilirubin, glucose,

hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific
gravity, urobilinogen, any number of these constituents; nonautomated, with microscopy
81000
81001

gravity, urobilinogen, any number of these constituents;
automated, with microscopy
81001
81002

gravity, urobilinogen, any number of these constituents; nonautomated, without microscopy
81002
3162
81003

gravity, urobilinogen, any number of these constituents;
automated, without microscopy
81003
3163
81005
Urinalysis; qualitative or semiquantitative, except

immunoassays
81005
3164
81007
Urinalysis; bacteriuria screen, except by culture or dipstick
81007
3165
3166
81015
81020
Urinalysis; microscopic only

Urinalysis; 2 or 3 glass test
81015
81020
3167
81025
Urine pregnancy test, by visual color comparison methods
81025
3168
81050
Volume measurement for timed collection, each
81050
3169
3170
3171
3172
3173
3174
3175
3176
82000
82003
82009
82010
82013
82024
82030
82040
Acetaldehyde, blood
Acetaminophen
Acetone or other ketone bodies, serum; qualitative
Acetone or other ketone bodies, serum; quantitative
Acetylcholinesterase
Adrenocorticotropic hormone (ACTH)
Adenosine, 5-monophosphate, cyclic (cyclic AMP)
Albumin; serum, plasma or whole blood
82000
82003
82009
82010
82013
82024
82030
82040
3177
82042
Albumin; urine or other source, quantitative, each specimen
82042
3178
82043
82043
3179
82044
3180
3181
3182
3183
3184
3185
3186
3187
3188
3189
82055
82075
82085
82088
82101
82103
82105
82106
82108
82135
Albumin; urine, microalbumin, quantitative

Albumin; urine, microalbumin, semiquantitative (eg, reagent
strip assay)
Alcohol (ethanol); any specimen except breath
Alcohol (ethanol); breath
Aldolase
Aldosterone
Alkaloids, urine, quantitative
Alpha-1-antitrypsin; total
Alpha-fetoprotein (AFP); serum
Alpha-fetoprotein (AFP); amniotic fluid
Aluminum
Aminolevulinic acid, delta (ALA)
3159
3160
3161
82044
82055
82075
82085
82088
82101
82103
82105
82106
82108
82135
3190
3191
3192
3193
3194
3195
3196
3197
3198
3199
3200
3201
3202
82140
82143
82145
82150
82157
82163
82164
82175
82180
82232
82239
82247
82248
Ammonia
Amniotic fluid scan (spectrophotometric)
Amphetamine or methamphetamine
Amylase
Androstenedione
Angiotensin II
Angiotensin I - converting enzyme (ACE)
Arsenic
Ascorbic acid (Vitamin C), blood
Beta-2 microglobulin
Bile acids; total
Bilirubin; total
Bilirubin; direct
82140
82143
82145
82150
82157
82163
82164
82175
82180
82232
82239
82247
82248
3203
82270
Blood, occult, by peroxidase activity (eg, guaiac), qualitative;

feces, consecutive collected specimens with single
determination, for colorectal neoplasm screening (ie, patient
was provided three cards or single triple card for consecutive
collection)
82270
3204
3205
3206
3207
3208
3209
3210
3211
3212
3213
3214
3215
3216
3217
3218
3219
3220
3221
3222
3223
82307
82308
82310
82330
82340
82355
82360
82378
82379
82382
82383
82384
82387
82390
82415
82435
82436
82465
82480
82482
3224
82486
3225
82491
3226
3227
3228
3229
3230
3231
3232
3233
3234
82495
82507
82520
82525
82528
82530
82533
82540
82550
Calciferol (Vitamin D)
Calcitonin
Calcium; total
Calcium; ionized
Calcium; urine quantitative, timed specimen
Calculus; qualitative analysis
Calculus; quantitative analysis, chemical
Carcinoembryonic antigen (CEA)
Carnitine (total and free), quantitative, each specimen
Catecholamines; total urine
Catecholamines; blood
Catecholamines; fractionated
Cathepsin-D
Ceruloplasmin
Chloramphenicol
Chloride; blood
Chloride; urine
Cholesterol, serum or whole blood, total
Cholinesterase; serum
Cholinesterase; RBC
Chromatography, qualitative; column (eg, gas liquid or
HPLC), analyte not elsewhere specified
Chromatography, quantitative, column (eg, gas liquid or
HPLC); single analyte not elsewhere specified, single
stationary and mobile phase
Chromium
Citrate
Cocaine or metabolite
Copper
Corticosterone
Cortisol; free
Cortisol; total
Creatine
Creatine kinase (CK), (CPK); total
82307
82308
82310
82330
82340
82355
82360
82378
82379
82382
82383
82384
82387
82390
82415
82435
82436
82465
82480
82482
82486
82491
82495
82507
82520
82525
82528
82530
82533
82540
82550
3235
3236
3237
3238
3239
3240
3241
3242
3243
82553
82565
82600
82607
82626
82627
82633
82634
82651
Creatine kinase (CK), (CPK); MB fraction only

Creatinine; blood
Cyanide
Cyanocobalamin (Vitamin B-12);
Dehydroepiandrosterone (DHEA)
Dehydroepiandrosterone-sulfate (DHEA-S)
Desoxycorticosterone, 11Deoxycortisol, 11Dihydrotestosterone (DHT)
82553
82565
82600
82607
82626
82627
82633
82634
82651
3244
82652
Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed
82652
3245
3246
3247
3248
3249
3250
3251
3252
3253
3254
3255
3256
82666
82668
82670
82671
82672
82677
82679
82705
82710
82725
82726
82728
Epiandrosterone
Erythropoietin
Estradiol
Estrogens; fractionated
Estrogens; total
Estriol
Estrone
Fat or lipids, feces; qualitative
Fat or lipids, feces; quantitative
Fatty acids, nonesterified
Very long chain fatty acids
Ferritin
82666
82668
82670
82671
82672
82677
82679
82705
82710
82725
82726
82728
3257
82731
Fetal fibronectin, cervicovaginal secretions, semi-quantitative
82731
3258
3259
3260
3261
3262
3263
82735
82742
82746
82757
82760
82775
Fluoride
Flurazepam
Folic acid; serum
Fructose, semen
Galactose
Galactose-1-phosphate uridyl transferase; quantitative
82735
82742
82746
82757
82760
82775
3264
82784
Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
82784
3265
82785
82785
3266
82787
3267
82800
Gammaglobulin (immunoglobulin); IgE

Gammaglobulin (immunoglobulin); immunoglobulin
subclasses (eg, IgG1, 2, 3, or 4), each
Gases, blood, pH only
3268
82803
3269
82804
3270
82810
3271
3272
3273
3274
3275
3276
3277
3278
3279
Gases, blood, any combination of pH, pCO2, pO2, CO2,

HCO3 (including calculated O2 saturation);
82787
82800
82803
82804
82926
82938
82941
82943
82945
82946
82947
82948
Gases, blood; pO2 by electrode

Gases, blood, O2 saturation only, by direct measurement,
except pulse oximetry
Gastric acid, free and total, each specimen
Gastrin after secretin stimulation
Gastrin
Glucagon
Glucose, body fluid, other than blood
Glucagon tolerance test
Glucose; quantitative, blood (except reagent strip)
Glucose; blood, reagent strip
82950
Glucose; post glucose dose (includes glucose)
82950
82810
82926
82938
82941
82943
82945
82946
82947
82948
3280
82951
Glucose; tolerance test (GTT), 3 specimens (includes

glucose)
82951
3281
82955
Glucose-6-phosphate dehydrogenase (G6PD); quantitative
82955
3282
3283
3284
3285
82977
82985
83001
83002
Glutamyltransferase, gamma (GGT)

Glycated protein
Gonadotropin; follicle stimulating hormone (FSH)
Gonadotropin; luteinizing hormone (LH)
82977
82985
83001
83002
3286
83003
Growth hormone, human (HGH) (somatotropin)
83003
3287
3288
83008
83010
Guanosine monophosphate (GMP), cyclic

Haptoglobin; quantitative
83008
83010
3289
83013
Helicobacter pylori; breath test analysis for urease activity,

non-radioactive isotope (eg, C-13)
83013
3290
83015
3291
83020
3292
83021
3293
83026
Hemoglobin; by copper sulfate method, non-automated
83026
3294
3295
3296
3297
3298
3299
3300
3301
3302
3303
3304
3305
3306
3307
3308
83030
83033
83036
83045
83050
83070
83071
83088
83090
83491
83497
83498
83499
83500
83505
83030
83033
83036
83045
83050
83070
83071
83088
83090
83491
83497
83498
83499
83500
83505
3309
83520
3310
3311
3312
3313
3314
3315
3316
3317
83525
83527
83528
83540
83550
83586
83605
83615
3318
83625
3319
3320
83633
83634
Hemoglobin; F (fetal), chemical

Hemoglobin; F (fetal), qualitative
Hemoglobin; glycosylated (A1C)
Hemoglobin; methemoglobin, qualitative
Hemoglobin; methemoglobin, quantitative
Hemosiderin; qualitative
Hemosiderin; quantitative
Histamine
Homocystine
Hydroxycorticosteroids, 17- (17-OHCS)
Hydroxyindolacetic acid, 5-(HIAA)
Hydroxyprogesterone, 17-d
Hydroxyprogesterone, 20Hydroxyproline; free
Hydroxyproline; total
Immunoassay for analyte other than infectious agent
antibody or infectious agent antigen; quantitative, not
otherwise specified
Insulin; total
Insulin; free
Intrinsic factor
Iron
Iron binding capacity
Ketosteroids, 17- (17-KS); total
Lactate (lactic acid)
Lactate dehydrogenase (LD), (LDH);
Lactate dehydrogenase (LD), (LDH); isoenzymes, separation
and quantitation
Lactose, urine; qualitative
Lactose, urine; quantitative
Heavy metal (eg, arsenic, barium, beryllium, bismuth,

antimony, mercury); screen
Hemoglobin fractionation and quantitation; electrophoresis
(eg, A2, S, C, and/or F)
Hemoglobin fractionation and quantitation; chromatography
(eg, A2, S, C, and/or F)
83015
83020
83021
83520
83525
83527
83528
83540
83550
83586
83605
83615
83625
83633
83634
3321
83655
Lead
83655
3322
83662
Fetal lung maturity assessment; foam stability test
83662
3323
83690
83690
3324
83715
3325
83718
3326
3327
3328
3329
3330
3331
3332
3333
3334
3335
3336
83719
83721
83735
83785
83805
83825
83864
83873
83874
83887
83915
Lipase
Lipoprotein, blood; electrophoretic separation and
quantitation
Lipoprotein, direct measurement; high density cholesterol
(HDL cholesterol)
Lipoprotein, direct measurement; VLDL cholesterol
Lipoprotein, direct measurement; LDL cholesterol
Magnesium
Manganese
Meprobamate
Mercury, quantitative
Mucopolysaccharides, acid; quantitative
Myelin basic protein, cerebrospinal fluid
Myoglobin
Nicotine
Nucleotidase 5'-
3337
83925
Opiate(s), drug and metabolites, each procedure
83925
3338
3339
3340
3341
3342
3343
3344
3345
3346
3347
83930
83935
83970
83986
84022
84030
84035
84060
84066
84075
Osmolality; blood
Osmolality; urine
Parathormone (parathyroid hormone)
pH; body fluid, not otherwise specified
Phenothiazine
Phenylalanine (PKU), blood
Phenylketones, qualitative
Phosphatase, acid; total
Phosphatase, acid; prostatic
Phosphatase, alkaline;
83930
83935
83970
83986
84022
84030
84035
84060
84066
84075
3348
84078
Phosphatase, alkaline; heat stable (total not included)
84078
3349
3350
3351
3352
3353
3354
3355
3356
3357
3358
3359
3360
3361
3362
3363
3364
3365
3366
3367
84080
84081
84100
84105
84106
84110
84119
84120
84126
84127
84132
84133
84134
84135
84140
84143
84144
84146
84150
Phosphatase, alkaline; isoenzymes

Phosphatidylglycerol
Phosphorus inorganic (phosphate);
Phosphorus inorganic (phosphate); urine
Porphobilinogen, urine; qualitative
Porphobilinogen, urine; quantitative
Porphyrins, urine; qualitative
Porphyrins, urine; quantitation and fractionation
Porphyrins, feces; quantitative
Porphyrins, feces; qualitative
Potassium; serum, plasma or whole blood
Potassium; urine
Prealbumin
Pregnanediol
Pregnenolone
17-hydroxypregnenolone
Progesterone
Prolactin
Prostaglandin, each
84080
84081
84100
84105
84106
84110
84119
84120
84126
84127
84132
84133
84134
84135
84140
84143
84144
84146
84150
83715
83718
83719
83721
83735
83785
83805
83825
83864
83873
83874
83887
83915
Prostate specific antigen (PSA); complexed (direct

measurement)
Protein, total, except by refractometry; serum, plasma or
whole blood
Protein, total, except by refractometry; other source (eg,
synovial fluid, cerebrospinal fluid)
3368
84152
84152
3369
84155
3370
84157
3371
84165
Protein; electrophoretic fractionation and quantitation, serum
84165
3372
84180
84180
3373
84181
3374
3375
3376
3377
3378
3379
3380
3381
3382
3383
3384
3385
3386
3387
3388
3389
3390
3391
3392
3393
3394
3395
3396
3397
3398
3399
3400
3401
84207
84210
84220
84228
84244
84252
84260
84275
84285
84295
84300
84305
84307
84392
84402
84403
84425
84432
84436
84439
84442
84443
84445
84446
84450
84460
84466
84478
3402
84479
3403
3404
3405
3406
3407
3408
84480
84481
84482
84510
84512
84520
Protein, urine; quantitative, 24-hour specimen

Protein; Western Blot, with interpretation and report, blood
or other body fluid
Pyridoxal phosphate (Vitamin B-6)
Pyruvate
Pyruvate kinase
Quinine
Renin
Riboflavin (Vitamin B-2)
Serotonin
Sialic acid
Silica
Sodium; serum, plasma or whole blood
Sodium; urine
Somatomedin
Somatostatin
Sulfate, urine
Testosterone; free
Testosterone; total
Thiamine (Vitamin B-1)
Thyroglobulin
Thyroxine; total
Thyroxine; free
Thyroxine binding globulin (TBG)
Thyroid stimulating hormone (TSH)
Thyroid stimulating immune globulins (TSI)
Tocopherol alpha (Vitamin E)
Transferase; aspartate amino (AST) (SGOT)
Transferase; alanine amino (ALT) (SGPT)
Transferrin
Triglycerides
Thyroid hormone (T3 or T4) uptake or thyroid hormone
binding ratio (THBR)
Triiodothyronine T3; total (TT-3)
Triiodothyronine T3; free
Triiodothyronine T3; reverse
Tyrosine
Troponin, qualitative
Urea nitrogen; quantitative
3409
84525
Urea nitrogen; semiquantitative (eg, reagent strip test)
84525
3410
3411
3412
3413
84540
84545
84550
84560
Urea nitrogen, urine

Urea nitrogen, clearance
Uric acid; blood
Uric acid; other source
84540
84545
84550
84560
84155
84157
84181
84207
84210
84220
84228
84244
84252
84260
84275
84285
84295
84300
84305
84307
84392
84402
84403
84425
84432
84436
84439
84442
84443
84445
84446
84450
84460
84466
84478
84479
84480
84481
84482
84510
84512
84520
3414
3415
3416
3417
3418
3419
3420
3421
3422
84577
84578
84580
84583
84585
84586
84588
84590
84597
Urobilinogen, feces, quantitative

Urobilinogen, urine; qualitative
Urobilinogen, urine; quantitative, timed specimen
Urobilinogen, urine; semiquantitative
Vanillylmandelic acid (VMA), urine
Vasoactive intestinal peptide (VIP)
Vasopressin (antidiuretic hormone, ADH)
Vitamin A
Vitamin K
Volatiles (eg, acetic anhydride, carbon tetrachloride,
dichloroethane, dichloromethane, diethylether, isopropyl
alcohol, methanol)
Xylose absorption test, blood and/or urine
Zinc
C-peptide
Gonadotropin, chorionic (hCG); quantitative
Gonadotropin, chorionic (hCG); qualitative
Ovulation tests, by visual color comparison methods for
human luteinizing hormone
Bleeding time
Blood count; blood smear, microscopic examination with
manual differential WBC count
Blood count; blood smear, microscopic examination without
manual differential WBC count
Blood count; spun microhematocrit
Blood count; hemoglobin (Hgb)
84577
84578
84580
84583
84585
84586
84588
84590
84597
3423
84600
3424
3425
3426
3427
3428
84620
84630
84681
84702
84703
3429
84830
3430
85002
3431
85007
3432
85008
3433
3434
85013
85018
3435
85027
Blood count; complete (CBC), automated (Hgb, Hct, RBC,

WBC and platelet count)
85027
3436
85032
Blood count; manual cell count (erythrocyte, leukocyte, or

platelet) each
85032
3437
85041
Blood count; red blood cell (RBC), automated
85041
3438
3439
85044
85045
Blood count; reticulocyte, manual

Blood count; reticulocyte, automated
85044
85045
3440
85046
Blood count; reticulocytes, automated, including 1 or more

cellular parameters (eg, reticulocyte hemoglobin content
[CHr], immature reticulocyte fraction [IRF], reticulocyte
volume [MRV], RNA content), direct measurement
85046
3441
3442
85048
85049
3443
85060
3444
3445
3446
3447
3448
84600
84620
84630
84681
84702
84703
84830
85002
85007
85008
85013
85018
85048
85049
85097
85102
85170
85175
85210
Blood count; leukocyte (WBC), automated

Blood count; platelet, automated
Blood smear, peripheral, interpretation by physician with
written report
Bone marrow, smear interpretation
Bone marrow biopsy, needle or trocar
Clot retraction
Clot lysis time, whole blood dilution
Clotting; factor II, prothrombin, specific
3449
85220
Clotting; factor V (AcG or proaccelerin), labile factor
85220
3450
3451
85230
85240
Clotting; factor VII (proconvertin, stable factor)

Clotting; factor VIII (AHG), 1 stage
85230
85240
85060
85097
85102
85170
85175
85210
3452
85244
Clotting; factor VIII related antigen
85244
3453
85245
Clotting; factor VIII, VW factor, ristocetin cofactor
85245
3454
85246
85246
3455
85247
3456
3457
3458
3459
3460
85250
85260
85270
85280
85290
Clotting; factor VIII, VW factor antigen

Clotting; factor VIII, von Willebrand factor, multimetric
analysis
Clotting; factor IX (PTC or Christmas)
Clotting; factor X (Stuart-Prower)
Clotting; factor XI (PTA)
Clotting; factor XII (Hageman)
Clotting; factor XIII (fibrin stabilizing)
3461
85292
Clotting; prekallikrein assay (Fletcher factor assay)
85292
3462
85293
Clotting; high molecular weight kininogen assay (Fitzgerald

factor assay)
85293
3463
85302
Clotting inhibitors or anticoagulants; protein C, antigen
85302
3464
85303
Clotting inhibitors or anticoagulants; protein C, activity
85303
3465
3466
3467
3468
3469
85335
85337
85345
85347
85348
85335
85337
85345
85347
85348
3470
85362
3471
85366
3472
85370
3473
85378
Factor inhibitor test

Thrombomodulin
Coagulation time; Lee and White
Coagulation time; activated
Coagulation time; other methods
Fibrin(ogen) degradation (split) products (FDP)(FSP);
agglutination slide, semiquantitative
paracoagulation
quantitative
Fibrin degradation products, D-dimer; qualitative or
semiquantitative
3474
85379
Fibrin degradation products, D-dimer; quantitative
85379
3475
85380
3476
3477
85384
85385
3478
85390
3479
3480
3481
85400
85441
85445
3482
85460
3483
85461
3484
3485
3486
3487
85475
85520
85525
85530
Fibrin degradation products, D-dimer; ultrasensitive (eg, for

evaluation for venous thromboembolism), qualitative or
semiquantitative
Fibrinogen; activity
Fibrinogen; antigen
Fibrinolysins or coagulopathy screen, interpretation and
report
Fibrinolytic factors and inhibitors; plasmin
Heinz bodies; direct
Heinz bodies; induced, acetyl phenylhydrazine
Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage;
differential lysis (Kleihauer-Betke)
Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage;
rosette
Hemolysin, acid
Heparin assay
Heparin neutralization
Heparin-protamine tolerance test
85247
85250
85260
85270
85280
85290
85362
85366
85370
85378
85380
85384
85385
85390
85400
85441
85445
85460
85461
85475
85520
85525
85530
3488
3489
3490
3491
3492
3493
3494
3495
3496
3497
85536
85540
85547
85549
85555
85557
85576
85590
85597
85610
Iron stain, peripheral blood

Leukocyte alkaline phosphatase with count
Mechanical fragility, RBC
Muramidase
Osmotic fragility, RBC; unincubated
Osmotic fragility, RBC; incubated
Platelet, aggregation (in vitro), each agent
Platelet; manual count
Platelet neutralization
Prothrombin time;
85536
85540
85547
85549
85555
85557
85576
85590
85597
85610
3498
85611
Prothrombin time; substitution, plasma fractions, each
85611
3499
85612
Russell viper venom time (includes venom); undiluted
85612
3500
85613
Russell viper venom time (includes venom); diluted
85613
3501
3502
3503
3504
3505
3506
85651
85652
85660
85670
85675
85705
Sedimentation rate, erythrocyte; non-automated

Sedimentation rate, erythrocyte; automated
Sickling of RBC, reduction
Thrombin time; plasma
Thrombin time; titer
Thromboplastin inhibition, tissue
85651
85652
85660
85670
85675
85705
3507
85730
Thromboplastin time, partial (PTT); plasma or whole blood
85730
3508
85732
3509
85810
3510
86000
3511
86001
3512
86003
3513
86005
3514
86021
Antibody identification; leukocyte antibodies
86021
3515
86022
Antibody identification; platelet antibodies
86022
3516
86023
3517
3518
3519
3520
3521
3522
3523
3524
3525
3526
86038
86039
86060
86063
86140
86141
86146
86147
86148
86155
Thromboplastin time, partial (PTT); substitution, plasma

fractions, each
Viscosity
Agglutinins, febrile (eg, Brucella, Francisella, Murine typhus,
Q fever, Rocky Mountain spotted fever, scrub typhus), each
antigen
Allergen specific IgG quantitative or semiquantitative, each
allergen
Allergen specific IgE; quantitative or semiquantitative, each
allergen
Allergen specific IgE; qualitative, multiallergen screen
(dipstick, paddle or disk)
Antibody identification; platelet associated immunoglobulin

assay
Antinuclear antibodies (ANA);
Antinuclear antibodies (ANA); titer
Antistreptolysin 0; titer
Antistreptolysin 0; screen
C-reactive protein;
C-reactive protein; high sensitivity (hsCRP)
Beta 2 Glycoprotein I antibody, each
Cardiolipin (phospholipid) antibody, each Ig class
Anti-phosphatidylserine (phospholipid) antibody
Chemotaxis assay, specify method
85732
85810
86000
86001
86003
86005
86023
86038
86039
86060
86063
86140
86141
86146
86147
86148
86155
3527
3528
3529
3530
3531
3532
3533
86156
86160
86161
86162
86171
86185
86215
Cold agglutinin; screen

Complement; antigen, each component
Complement; functional activity, each component
Complement; total hemolytic (CH50)
Complement fixation tests, each antigen
Counterimmunoelectrophoresis, each antigen
Deoxyribonuclease, antibody
Deoxyribonucleic acid (DNA) antibody; native or double
stranded
86156
86160
86161
86162
86171
86185
86215
3534
86225
3535
86226
Deoxyribonucleic acid (DNA) antibody; single stranded
86226
3536
86235
Extractable nuclear antigen, antibody to, any method (eg,

nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody
86235
3537
86243
3538
86255
3539
86256
3540
3541
86277
86280
3542
86294
3543
86300
3544
3545
86308
86309
3546
86310
3547
86314
3548
86316
3549
86317
3550
86318
3551
3552
86319
86320
3553
86325
3554
86327
3555
86331
3556
3557
3558
3559
3560
3561
3562
86332
86334
86336
86337
86340
86341
86343
Fc receptor
Fluorescent noninfectious agent antibody; screen, each
antibody
Fluorescent noninfectious agent antibody; titer, each
antibody
Growth hormone, human (HGH), antibody
Hemagglutination inhibition test (HAI)
Immunoassay for tumor antigen, qualitative or
semiquantitative (eg, bladder tumor antigen)
Immunoassay for tumor antigen, quantitative; CA 15-3
(27.29)
Heterophile antibodies; screening
Heterophile antibodies; titer
Heterophile antibodies; titers after absorption with beef cells
and guinea pig kidney
HIV (HTLV-III) antibody detection; confirmatory test (eg,
Western blot)
Immunoassay for tumor antigen, other antigen, quantitative
(eg, CA 50, 72-4, 549), each
Immunoassay for infectious agent antibody, quantitative, not
otherwise specified
Immunoassay for infectious agent antibody, qualitative or
semiquantitative, single step method (eg, reagent strip)
Immunoassay technique for drugs
Immunoelectrophoresis; serum
Immunoelectrophoresis; other fluids (eg, urine, cerebrospinal
fluid) with concentration
Immunoelectrophoresis; crossed (2-dimensional assay)
Immunodiffusion; gel diffusion, qualitative (Ouchterlony),
each antigen or antibody
Immune complex assay
Immunofixation electrophoresis; serum
Inhibin A
Insulin antibodies
Intrinsic factor antibodies
Islet cell antibody
Leukocyte histamine release test (LHR)
86225
86243
86255
86256
86277
86280
86294
86300
86308
86309
86310
86314
86316
86317
86318
86319
86320
86325
86327
86331
86332
86334
86336
86337
86340
86341
86343
3563
86344
86344
86359
Leukocyte phagocytosis
Lymphocyte transformation, mitogen (phytomitogen) or
antigen induced blastogenesis
T cells; total count
3564
86353
3565
3566
86360
T cells; absolute CD4 and CD8 count, including ratio
86360
3567
86361
T cells; absolute CD4 count
86361
3568
86376
Microsomal antibodies (eg, thyroid or liver-kidney), each
86376
3569
3570
3571
3572
3573
3574
3575
3576
3577
3578
3579
3580
3581
3582
3583
86378
86382
86384
86403
86406
86430
86431
86485
86490
86510
86580
86585
86586
86588
86590
86378
86382
86384
86403
86406
86430
86431
86485
86490
86510
86580
86585
86586
86588
86590
3584
86592
Migration inhibitory factor test (MIF)

Neutralization test, viral
Nitroblue tetrazolium dye test (NTD)
Particle agglutination; screen, each antibody
Particle agglutination; titer, each antibody
Rheumatoid factor; qualitative
Rheumatoid factor; quantitative
Skin test; candida
Skin test; coccidioidomycosis
Skin test; histoplasmosis
Skin test; tuberculosis, intradermal
Skin test; tuberculosis, tine test
Unlisted antigen, each
Streptococcus, screen, direct
Streptokinase, antibody
Syphilis test, non-treponemal antibody; qualitative (eg,
VDRL, RPR, ART)
3585
86593
Syphilis test, non-treponemal antibody; quantitative
86593
3586
3587
3588
3589
3590
3591
3592
86602
86603
86606
86609
86611
86612
86615
Antibody; actinomyces
Antibody; adenovirus
Antibody; Aspergillus
Antibody; bacterium, not elsewhere specified
Antibody; Bartonella
Antibody; Blastomyces
Antibody; Bordetella
86602
86603
86606
86609
86611
86612
86615
3593
86617
Antibody; Borrelia burgdorferi (Lyme disease) confirmatory

test (eg, Western Blot or immunoblot)
86617
3594
3595
3596
3597
3598
3599
3600
3601
3602
3603
3604
3605
3606
3607
3608
86618
86622
86625
86628
86631
86632
86635
86638
86641
86644
86645
86648
86651
86652
86653
Antibody; Borrelia burgdorferi (Lyme disease)

Antibody; Brucella
Antibody; Campylobacter
Antibody; Candida
Antibody; Chlamydia
Antibody; Chlamydia, IgM
Antibody; Coccidioides
Antibody; Coxiella burnetii (Q fever)
Antibody; Cryptococcus
Antibody; cytomegalovirus (CMV)
Antibody; cytomegalovirus (CMV), IgM
Antibody; Diphtheria
Antibody; encephalitis, California (La Crosse)
Antibody; encephalitis, Eastern equine
Antibody; encephalitis, St. Louis
86618
86622
86625
86628
86631
86632
86635
86638
86641
86644
86645
86648
86651
86652
86653
86353
86359
86592
3609
86654
Antibody; encephalitis, Western equine
86654
3610
86658
Antibody; enterovirus (eg, coxsackie, echo, polio)
86658
3611
86662
Treponema pallidum test, other, specify (eg, TPIA, TPA,

TPMB, TPCF, RPCF)
86662
3612
86663
Antibody; Epstein-Barr (EB) virus, early antigen (EA)
86663
3613
86664
Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)
86664
3614
86665
Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)
86665
3615
3616
3617
3618
3619
3620
3621
3622
3623
86666
86668
86671
86674
86677
86682
86684
86687
86688
86666
86668
86671
86674
86677
86682
86684
86687
86688
3624
86689
3625
3626
3627
3628
3629
3630
3631
3632
3633
86692
86694
86695
86696
86698
86701
86702
86703
86704
Antibody; Ehrlichia
Antibody; Francisella tularensis
Antibody; fungus, not elsewhere specified
Antibody; Giardia lamblia
Antibody; Helicobacter pylori
Antibody; helminth, not elsewhere specified
Antibody; Haemophilus influenza
Antibody; HTLV-I
Antibody; HTLV-II
Antibody; HTLV or HIV antibody, confirmatory test (eg,
Western Blot)
Antibody; hepatitis, delta agent
Antibody; herpes simplex, non-specific type test
Antibody; herpes simplex, type 1
Antibody; herpes simplex, type 2
Antibody; histoplasma
Antibody; HIV-1
Antibody; HIV-2
Antibody; HIV-1 and HIV-2, single assay
Hepatitis B core antibody (HBcAb); total
3634
86705
Hepatitis B core antibody (HBcAb); IgM antibody
86705
3635
3636
3637
3638
3639
3640
3641
3642
3643
3644
3645
3646
3647
3648
3649
3650
3651
3652
3653
3654
86706
86707
86708
86709
86710
86713
86717
86720
86723
86727
86729
86732
86735
86738
86741
86744
86747
86750
86753
86756
Hepatitis B surface antibody (HBsAb)

Hepatitis Be antibody (HBeAb)
Hepatitis A antibody (HAAb); total
Hepatitis A antibody (HAAb); IgM antibody
Antibody; influenza virus
Antibody; Legionella
Antibody; Leishmania
Antibody; Leptospira
Antibody; Listeria monocytogenes
Antibody; lymphocytic choriomeningitis
Antibody; lymphogranuloma venereum
Antibody; mucormycosis
Antibody; mumps
Antibody; mycoplasma
Antibody; Neisseria meningitidis
Antibody; Nocardia
Antibody; parvovirus
Antibody; Plasmodium (malaria)
Antibody; protozoa, not elsewhere specified
Antibody; respiratory syncytial virus
86706
86707
86708
86709
86710
86713
86717
86720
86723
86727
86729
86732
86735
86738
86741
86744
86747
86750
86753
86756
86689
86692
86694
86695
86696
86698
86701
86702
86703
86704
3655
3656
3657
3658
3659
3660
3661
3662
3663
86757
86759
86762
86765
86768
86771
86774
86777
86778
86757
86759
86762
86765
86768
86771
86774
86777
86778
86784
86787
86790
86793
86800
86803
Antibody; Rickettsia
Antibody; rotavirus
Antibody; rubella
Antibody; rubeola
Antibody; Salmonella
Antibody; Shigella
Antibody; tetanus
Antibody; Toxoplasma
Antibody; Toxoplasma, IgM
Antibody; Treponema pallidum, confirmatory test (eg, FTAabs)
Antibody; Trichinella
Antibody; varicella-zoster
Antibody; virus, not elsewhere specified
Antibody; Yersinia
Thyroglobulin antibody
Hepatitis C antibody;
3664
86781
3665
3666
3667
3668
3669
3670
3671
86804
Hepatitis C antibody; confirmatory test (eg, immunoblot)
86804
3672
86805
Lymphocytotoxicity assay, visual crossmatch; with titration
86805
3673
86806
3674
86807
3675
86808
3676
86812
HLA typing; A, B, or C (eg, A10, B7, B27), single antigen
86812
3677
3678
3679
3680
3681
86813
86816
86817
86821
86822
HLA typing; A, B, or C, multiple antigens

HLA typing; DR/DQ, single antigen
HLA typing; DR/DQ, multiple antigens
HLA typing; lymphocyte culture, mixed (MLC)
HLA typing; lymphocyte culture, primed (PLC)
86813
86816
86817
86821
86822
3682
86850
Antibody screen, RBC, each serum technique
86850
3683
86860
86860
3684
86880
3685
86885
3686
86886
3687
86890
3688
3689
86900
86901
Antibody elution (RBC), each elution

Antihuman globulin test (Coombs test); direct, each
antiserum
Antihuman globulin test (Coombs test); indirect, qualitative,
each reagent red cell
Antihuman globulin test (Coombs test); indirect, each
antibody titer
Autologous blood or component, collection processing and
storage; predeposited
Blood typing; ABO
Blood typing; Rh (D)
3690
86905
Blood typing; RBC antigens, other than ABO or Rh (D), each
86905
3691
86906
Blood typing; Rh phenotyping, complete
86906
3692
86910
Blood typing, for paternity testing, per individual; ABO, Rh

and MN
86910
Lymphocytotoxicity assay, visual crossmatch; without

titration
Serum screening for cytotoxic percent reactive antibody
(PRA); standard method
Serum screening for cytotoxic percent reactive antibody
(PRA); quick method
86781
86784
86787
86790
86793
86800
86803
86806
86807
86808
86880
86885
86886
86890
86900
86901
3693
86911
Blood typing, for paternity testing, per individual; each

additional antigen system
86911
3694
86920
Compatibility test each unit; immediate spin technique
86920
3695
86921
Compatibility test each unit; incubation technique
86921
3696
86922
Compatibility test each unit; antiglobulin technique
86922
3697
86927
Fresh frozen plasma, thawing, each unit
86927
3698
86930
Frozen blood, each unit; freezing (includes preparation)
86930
3699
86931
86931
3700
86932
3701
3702
86945
86950
Frozen blood, each unit; thawing

Frozen blood, each unit; freezing (includes preparation) and
thawing
Irradiation of blood product, each unit
Leukocyte transfusion
3703
86970
Pretreatment of RBCs for use in RBC antibody detection,

identification, and/or compatibility testing; incubation with
chemical agents or drugs, each
86970
3704
86971

enzymes, each
86971
3705
86975
Pretreatment of serum for use in RBC antibody

identification; incubation with drugs, each
86975
3706
86976

identification; by dilution
86976
3707
86977

identification; incubation with inhibitors, each
86977
3708
86978

identification; by differential red cell absorption using patient
RBCs or RBCs of known phenotype, each absorption
86978
3709
86985
Splitting of blood or blood products, each unit
86985
3710
87001
Animal inoculation, small animal; with observation
87001
3711
87003
Animal inoculation, small animal; with observation and

dissection
87003
3712
87015
Concentration (any type), for infectious agents
87015
3713
87040
Culture, bacterial; blood, aerobic, with isolation and

presumptive identification of isolates (includes anaerobic
culture, if appropriate)
87040
3714
87045
Culture, bacterial; stool, aerobic, with isolation and

preliminary examination (eg, KIA, LIA), Salmonella and
Shigella species
87045
86932
86945
86950
3715
87046
Culture, bacterial; stool, aerobic, additional pathogens,

isolation and presumptive identification of isolates, each
plate
87046
3716
87070
Culture, bacterial; any other source except urine, blood or

stool, aerobic, with isolation and presumptive identification of
isolates
87070
3717
87072
Culture or direct bacterial identification method, each

organism, by commercial kit, any source except urine
87072
3718
87073
Culture, bacterial; quantitative, anaerobic with isolation and

presumptive identification of isolates, any source except
urine, blood or stool
87073
3719
87075
Culture, bacterial; any source, except blood, anaerobic with

isolation and presumptive identification of isolates
87075
3720
87076
Culture, bacterial; anaerobic isolate, additional methods

required for definitive identification, each isolate
87076
3721
87077
Culture, bacterial; aerobic isolate, additional methods

required for definitive identification, each isolate
87077
3722
87081
Culture, presumptive, pathogenic organisms, screening only;
87081
3723
87084
Culture, presumptive, pathogenic organisms, screening only;

with colony estimation from density chart
87084
3724
87086
Culture, bacterial; quantitative colony count, urine
87086
3725
87087
87087
3726
87088
Culture, bacterial, urine; commercial kit

Culture, bacterial; with isolation and presumptive
identification of each isolate, urine
3727
87101
Culture, fungi (mold or yeast) isolation, with presumptive

identification of isolates; skin, hair, or nail
87101
3728
87102

identification of isolates; other source (except blood)
87102
3729
87103

identification of isolates; blood
87103
3730
87106
Culture, fungi, definitive identification, each organism; yeast
87106
3731
87107
Culture, fungi, definitive identification, each organism; mold
87107
3732
3733
87109
87110
Culture, mycoplasma, any source

Culture, chlamydia, any source
87109
87110
3734
87116
Culture, tubercle or other acid-fast bacilli (eg, TB, AFB,

mycobacteria) any source, with isolation and presumptive
identification of isolates
87116
3735
87118
Culture, mycobacterial, definitive identification, each isolate
87118
3736
87140
Culture, typing; immunofluorescent method, each antiserum
87140
87088
Culture, typing; gas liquid chromatography (GLC) or high

pressure liquid chromatography (HPLC) method
Culture, typing; immunologic method, other than
immunofluorescence (eg, agglutination grouping), per
antiserum
3737
87143
3738
87147
3739
87149
Culture, typing; identification by nucleic acid (DNA or RNA)

probe, direct probe technique, per culture or isolate, each
organism probed
87149
3740
87152
Culture, typing; identification by pulse field gel typing
87152
3741
87158
Culture, typing; other methods
87158
3742
87163
Culture, any source, additional identification methods

required (use in addition to primary culture code)
87163
3743
87164
3744
87166
3745
3746
3747
87168
87169
87176
3748
87177
3749
87178
3750
87179
3751
87181
Susceptibility studies, antimicrobial agent; agar dilution

method, per agent (eg, antibiotic gradient strip)
87181
3752
87184
Susceptibility studies, antimicrobial agent; disk method, per

plate (12 or fewer agents)
87184
3753
87185
Susceptibility studies, antimicrobial agent; enzyme detection

(eg, beta lactamase), per enzyme
87185
3754
87186
Susceptibility studies, antimicrobial agent; microdilution or

agar dilution (minimum inhibitory concentration [MIC] or
breakpoint), each multi-antimicrobial, per plate
87186
3755
87187
Susceptibility studies, antimicrobial agent; microdilution or

agar dilution, minimum lethal concentration (MLC), each
plate (List separately in addition to code for primary
procedure)
87187
3756
87188
Susceptibility studies, antimicrobial agent; macrobroth

dilution method, each agent
87188
3757
87190
Susceptibility studies, antimicrobial agent; mycobacteria,

proportion method, each agent
87190
3758
87197
3759
87205
Dark field examination, any source (eg, penile, vaginal, oral,

skin); includes specimen collection
Dark field examination, any source (eg, penile, vaginal, oral,
skin); without collection
Macroscopic examination; arthropod
Macroscopic examination; parasite
Homogenization, tissue, for culture
Ova and parasites, direct smears, concentration and
identification
Microbial identification, nucleic acid probes, each probe
used
Microbial identification, nucleic acid probes, each probe
used; with amplification, eg, polymerase chain reaction
(PCR)
Serum bactericidal titer (Schlicter test)

Smear, primary source with interpretation; Gram or Giemsa
stain for bacteria, fungi, or cell types
87143
87147
87164
87166
87168
87169
87176
87177
87178
87179
87197
87205
3760
87206
Smear, primary source with interpretation; fluorescent and/or

acid fast stain for bacteria, fungi, parasites, viruses or cell
types
87206
3761
87207
Smear, primary source with interpretation; special stain for

inclusion bodies or parasites (eg, malaria, coccidia,
microsporidia, trypanosomes, herpes viruses)
87207
3762
87210
Smear, primary source with interpretation; wet mount for

infectious agents (eg, saline, India ink, KOH preps)
87210
3763
87220
Tissue examination by KOH slide of samples from skin, hair,

or nails for fungi or ectoparasite ova or mites (eg, scabies)
87220
3764
87230
Toxin or antitoxin assay, tissue culture (eg, Clostridium

difficile toxin)
87230
3765
87250
Virus isolation; inoculation of embryonated eggs, or small

animal, includes observation and dissection
87250
3766
87252
Virus isolation; tissue culture inoculation, observation, and

presumptive identification by cytopathic effect
87252
3767
87253
Virus isolation; tissue culture, additional studies or definitive

identification (eg, hemabsorption, neutralization,
immunofluorescence stain), each isolate
87253
3768
87254
Virus isolation; centrifuge enhanced (shell vial) technique,

includes identification with immunofluorescence stain, each
virus
87254
3769
87255
Virus isolation; including identification by non-immunologic

method, other than by cytopathic effect (eg, virus specific
enzymatic activity)
87255
3770
87260
Infectious agent antigen detection by immunofluorescent

technique; adenovirus
87260
3771
87265

technique; Bordetella pertussis/parapertussis
87265
3772
87267

technique; Enterovirus, direct fluorescent antibody (DFA)
87267
3773
87269
3774
87270
3775
87271
3776
87272
3777
87273
3778
87274

technique; giardia
technique; Chlamydia trachomatis
technique; Cytomegalovirus, direct fluorescent antibody
(DFA)
technique; cryptosporidium
technique; Herpes simplex virus type 2
technique; Herpes simplex virus type 1
87269
87270
87271
87272
87273
87274

technique; influenza B virus
technique; influenza A virus
technique; Legionella micdadei
technique; Legionella pneumophila
technique; Parainfluenza virus, each type
technique; respiratory syncytial virus
technique; Pneumocystis carinii
technique; Rubeola
technique; Treponema pallidum
technique; Varicella zoster virus
3779
87275
87275
3780
87276
3781
87277
3782
87278
3783
87279
3784
87280
3785
87281
3786
87283
3787
87285
3788
87290
3789
87301
Infectious agent antigen detection by enzyme immunoassay

technique, qualitative or semiquantitative, multiple step
method; adenovirus enteric types 40/41
87301
3790
87320

technique, qualitative or semiquantitative, multiple-step
method; Chlamydia trachomatis
87320
3791
87324

method; Clostridium difficile toxin(s)
87324
3792
87327

method; Cryptococcus neoformans
87327
3793
87328

method; cryptosporidium
87328
3794
87329

method; giardia
87329
3795
87332

method; cytomegalovirus
87332
3796
87335

method; Escherichia coli 0157
87335
87276
87277
87278
87279
87280
87281
87283
87285
87290
3797
87336

method; Entamoeba histolytica dispar group
87336
3798
87338

method; Helicobacter pylori, stool
87338
3799
87340

method; hepatitis B surface antigen (HBsAg)
87340
3800
87350

method; hepatitis Be antigen (HBeAg)
87350
3801
87380

method; hepatitis, delta agent
87380
3802
87385

method; Histoplasma capsulatum
87385
3803
87390

method; HIV-1
87390
3804
87391

method; HIV-2
87391
3805
87400

method; Influenza, A or B, each
87400
3806
87420

method; respiratory syncytial virus
87420
3807
87425

method; rotavirus
87425
3808
87430

method; Streptococcus, group A
87430
3809
87449

technique qualitative or semiquantitative; multiple step
method, not otherwise specified, each organism
87449
3810
87450

technique qualitative or semiquantitative; single step
method, not otherwise specified, each organism
87450
3811
87451

technique qualitative or semiquantitative; multiple step
method, polyvalent for multiple organisms, each polyvalent
antiserum
3812
87535
Infectious agent detection by nucleic acid (DNA or RNA);

HIV-1, amplified probe technique
3813
87536
3814
87539
3815
87797
Infectious agent detection by nucleic acid (DNA or RNA), not

otherwise specified; direct probe technique, each organism
87797
3816
87798

otherwise specified; amplified probe technique, each
organism
87798
3817
87799

otherwise specified; quantification, each organism
87799
3818
88000
Necropsy (autopsy), gross examination only; without CNS
88000
3819
88012
Necropsy (autopsy), gross examination only; infant with

brain
88012
3820
88020
Necropsy (autopsy), gross and microscopic; without CNS
88020
3821
88027
Necropsy (autopsy), gross and microscopic; with brain and

spinal cord
88027
3822
88028
Necropsy (autopsy), gross and microscopic; infant with brain
88028
3823
88036
3824
88104
3825
88108
Cytopathology, concentration technique, smears and

interpretation (eg, Saccomanno technique)
88108
3826
88130
Sex chromatin identification; Barr bodies
88130
3827
88141
Cytopathology, cervical or vaginal (any reporting system),

requiring interpretation by physician (List separately in
addition to code for technical service)
88141
3828
88142

collected in preservative fluid, automated thin layer
preparation; manual screening under physician supervision
88142
3829
88143

preparation; with manual screening and rescreening under
physician supervision
88143
3830
88147
Cytopathology smears, cervical or vaginal; screening by

automated system under physician supervision
88147

HIV-1, quantification
HIV-2, quantification
Necropsy (autopsy), limited, gross and/or microscopic;

regional
Cytopathology, fluids, washings or brushings, except cervical
or vaginal; smears with interpretation
87451
87535
87536
87539
88036
88104
Cytopathology smears, cervical or vaginal; screening by

automated system with manual rescreening under physician
supervision
Cytopathology, slides, cervical or vaginal (the Bethesda
System); manual screening under physician supervision
System); with manual screening and rescreening under
3831
88148
3832
88164
3833
88165
3834
88166

System); with manual screening and computer-assisted
rescreening under physician supervision
88166
3835
88172
Cytopathology, evaluation of fine needle aspirate; immediate

cytohistologic study to determine adequacy of specimen(s)
88172
3836
88180
3837
88182
3838
88184
Flow cytometry, cell surface, cytoplasmic, or nuclear marker,

technical component only; first marker
88184
3839
88185
Flow cytometry, cell surface, cytoplasmic, or nuclear marker,

technical component only; each additional marker (List
separately in addition to code for first marker)
88185
3840
88230
Tissue culture for non-neoplastic disorders; lymphocyte
88230
3841
88233
3842
88235
3843
88237
3844
88239
Tissue culture for neoplastic disorders; solid tumor
88239
3845
88240
Cryopreservation, freezing and storage of cells, each cell

line
88240
3846
88241
Thawing and expansion of frozen cells, each aliquot
88241
3847
88245
Chromosome analysis for breakage syndromes; baseline

Sister Chromatid Exchange (SCE), 20-25 cells
88245
3848
88261
Chromosome analysis; count 5 cells, 1 karyotype, with

banding
88261
3849
88271
Molecular cytogenetics; DNA probe, each (eg, FISH)
88271
3850
88280
Chromosome analysis; additional karyotypes, each study
88280
3851
88291
Cytogenetics and molecular cytogenetics, interpretation and

report
88291
3852
88300
Level I - Surgical pathology, gross examination only
88300
Flow cytometry; each cell surface marker, cytoplasmic or

nuclear marker
Flow cytometry; cell cycle or DNA analysis
Tissue culture for non-neoplastic disorders; skin or other

solid tissue biopsy
Tissue culture for non-neoplastic disorders; amniotic fluid or
chorionic villus cells
Tissue culture for neoplastic disorders; bone marrow, blood
cells
88148
88164
88165
88180
88182
88233
88235
88237
Special stains; Group I for microorganisms (eg, Gridley, acid

fast, methenamine silver), including interpretation and report,
each
3853
88312
3854
88318
3855
88319
3856
88342
3857
88346
Immunofluorescent study, each antibody; direct method
88346
3858
88347
Immunofluorescent study, each antibody; indirect method
88347
3859
3860
3861
88348
88355
88365
88348
88355
88365
3862
88368
Electron microscopy; diagnostic

Morphometric analysis; skeletal muscle
In situ hybridization (eg, FISH), each probe
Morphometric analysis, in situ hybridization, (quantitative or
semi-quantitative) each probe; manual
3863
88372
Protein analysis of tissue by Western Blot, with interpretation

and report; immunological probe for band identification, each
88372
3864
88380
Microdissection (ie, sample preparation of microscopically

identified target); laser capture
88380
3865
88381
Microdissection (ie, sample preparation of microscopically

identified target); manual
88381
3866
89050
Cell count, miscellaneous body fluids (eg, cerebrospinal

fluid, joint fluid), except blood;
89050
3867
89051
Cell count, miscellaneous body fluids (eg, cerebrospinal

fluid, joint fluid), except blood; with differential count
89051
3868
89055
Leukocyte assessment, fecal, qualitative or semiqualitative
89055
3869
89060
3870
3871
89125
89250
Crystal identification by light microscopy with or without

polarizing lens analysis, tissue or any body fluid (except
urine)
Fat stain, feces, urine, or respiratory secretions
Culture of oocyte(s)/embryo(s), less than 4 days;
3872
89253
Assisted embryo hatching, microtechniques (any method)
89253
3873
89255
Preparation of embryo for transfer (any method)
89255
3874
89258
Cryopreservation; embryo(s)
89258
3875
89260
Sperm isolation; simple prep (eg, sperm wash and swim-up)

for insemination or diagnosis with semen analysis
89260
3876
89268
3877
89280
3878
89320
Determinative histochemistry to identify chemical

components (eg, copper, zinc)
Determinative histochemistry or cytochemistry to identify
enzyme constituents, each
Immunohistochemistry (including tissue immunoperoxidase),
each antibody
88312
88318
88319
88342
88368
89060
89125
89250
Insemination of oocytes
Assisted oocyte fertilization, microtechnique; less than or
equal to 10 oocytes
89268
Semen analysis; volume, count, motility, and differential
89320
89280
Rabies immune globulin (RIg), human, for intramuscular

and/or subcutaneous use
Immunization administration (includes percutaneous,
intradermal, subcutaneous, or intramuscular injections); 1
vaccine (single or combination vaccine/toxoid)
3879
90375
3880
90471
3881
90474
3882
90585
3883
3884
90675
90676
3885
90701
3886
90702
3887
90707
3888
90708
3889
90711
3890
90712
Poliovirus vaccine, (any type[s]) (OPV), live, for oral use
90712
3891
90717
Yellow fever vaccine, live, for subcutaneous use
90717
3892
90720
3893
90744
3894
90749
3895
90780
3896
90782
3897
90783
3898
90784
3899
90804
Individual psychotherapy, insight oriented, behavior

modifying and/or supportive, in an office or outpatient facility,
approximately 20 to 30 minutes face-to-face with the patient;
90804
3900
90806

90806
Immunization administration by intranasal or oral route; each

additional vaccine (single or combination vaccine/toxoid)
Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis,
live, for percutaneous use
Rabies vaccine, for intramuscular use
Rabies vaccine, for intradermal use
Diphtheria, tetanus toxoids, and whole cell pertussis vaccine
(DTP), for intramuscular use
Diphtheria and tetanus toxoids (DT) adsorbed when
administered to individuals younger than 7 years, for
intramuscular use
Measles, mumps and rubella virus vaccine (MMR), live, for
subcutaneous use
Measles and rubella virus vaccine, live, for subcutaneous
use
Immunization, active; diphtheria, tetanus toxoids, and
pertussis (DTP) and injectable poliomyelitis vaccine
Diphtheria, tetanus toxoids, and whole cell pertussis vaccine

and Hemophilus influenza B vaccine (DTP-Hib), for
intramuscular use
Hepatitis B vaccine, pediatric/adolescent dosage (3 dose
schedule), for intramuscular use
Unlisted vaccine/toxoid
Intravenous infusion for therapy/diagnosis, administered by
physician or under direct supervision of physician; up to one
hour
Therapeutic, prophylactic or diagnostic injection (specify
material injected); subcutaneous or intramuscular
material injected); intra-arterial
material injected); intravenous
90375
90471
90474
90585
90675
90676
90701
90702
90707
90708
90711
90720
90744
90749
90780
90782
90783
90784
3901
90808
3902
3903
90845
90846
3904
90847
3905

90808
90845
90846
90849
Psychoanalysis
Family psychotherapy (without the patient present)
Family psychotherapy (conjoint psychotherapy) (with patient
present)
Multiple-family group psychotherapy
3906
90853
Group psychotherapy (other than of a multiple-family group)
90853
3907
3908
3909
3910
90857
90872
90880
90935
Interactive group psychotherapy

(No description)
Hypnotherapy
Hemodialysis procedure with single physician evaluation
90857
90872
90880
90935
3911
90937
Hemodialysis procedure requiring repeated evaluation(s)

with or without substantial revision of dialysis prescription
90937
3912
90945
Dialysis procedure other than hemodialysis (eg, peritoneal

dialysis, hemofiltration, or other continuous renal
replacement therapies), with single physician evaluation
90945
90951
End-stage renal disease (ESRD) related services monthly,

for patients younger than 2 years of age to include
monitoring for the adequacy of nutrition, assessment of
growth and development, and counseling of parents; with 4
or more face-to-face physician visits per month
90951
3914
90952

growth and development, and counseling of parents; with 23 face-to-face physician visits per month
90952
3915
90997
Hemoperfusion (eg, with activated charcoal or resin)
90997
3916
91000
3917
91010
3918
91020
Esophageal intubation and collection of washings for

cytology, including preparation of specimens (separate
procedure)
Esophageal motility (manometric study of the esophagus
and/or gastroesophageal junction) study;
Gastric motility (manometric) studies
3919
91030
Esophagus, acid perfusion (Bernstein) test for esophagitis
91030
3920
91033
Esophagus, acid reflux test, with intraluminal pH electrode

for detection of gastroesophageal reflux; prolonged
recording
91033
3921
91052
3922
91105
3923
91122
3913
Gastric analysis test with injection of stimulant of gastric

secretion (eg, histamine, insulin, pentagastrin, calcium and
secretin)
Gastric intubation, and aspiration or lavage for treatment
(eg, for ingested poisons)
Anorectal manometry
90847
90849
91000
91010
91020
91052
91105
91122
3924
3925
91132
92015
3926
92018
3927
92020
3928
92060
Sensorimotor examination with multiple measurements of

ocular deviation (eg, restrictive or paretic muscle with
diplopia) with interpretation and report (separate procedure)
92060
3929
92065
Orthoptic and/or pleoptic training, with continuing medical

direction and evaluation
92065
92081
Visual field examination, unilateral or bilateral, with

interpretation and report; limited examination (eg, tangent
screen, Autoplot, arc perimeter, or single stimulus level
automated test, such as Octopus 3 or 7 equivalent)
92081
3931
92100
Serial tonometry (separate procedure) with multiple

measurements of intraocular pressure over an extended
time period with interpretation and report, same day (eg,
diurnal curve or medical treatment of acute elevation of
intraocular pressure)
92100
3932
92135
Scanning computerized ophthalmic diagnostic imaging,

posterior segment, (eg, scanning laser) with interpretation
and report, unilateral
92135
3933
92225
3934
92235
3935
3936
92250
92260
3937
92265
3938
92275
3939
92280
3940
3930
Electrogastrography, diagnostic, transcutaneous;

Determination of refractive state
Ophthalmological examination and evaluation, under general
anesthesia, with or without manipulation of globe for passive
range of motion or other manipulation to facilitate diagnostic
examination; complete
Gonioscopy (separate procedure)
Ophthalmoscopy, extended, with retinal drawing (eg, for

retinal detachment, melanoma), with interpretation and
report; initial
Fluorescein angiography (includes multiframe imaging) with
interpretation and report
Fundus photography with interpretation and report
Ophthalmodynamometry
Needle oculoelectromyography, 1 or more extraocular
muscles, 1 or both eyes, with interpretation and report
91132
92015
92018
92020
92225
92235
92250
92260
92265
Electroretinography with interpretation and report

Visually evoked potential (response) study, with medical
diagnostic evaluation
92275
92284
Dark adaptation examination with interpretation and report
92284
3941
92286
Special anterior segment photography with interpretation

and report; with specular endothelial microscopy and cell
count
92286
3942
92330
Prescription, fitting, and supply of ocular prosthesis (artificial

eye), with medical supervision of adaptation
92330
3943
92502
Otolaryngologic examination under general anesthesia
92502
3944
92504
Binocular microscopy (separate diagnostic procedure)
92504
3945
92506
Evaluation of speech, language, voice, communication,

and/or auditory processing
92506
92280
3946
92510
Aural rehabilitation following cochlear implant (includes

evaluation of aural rehabilitation status and hearing,
therapeutic services) with or without speech processor
programming
3947
92511
Nasopharyngoscopy with endoscope (separate procedure)
92511
3948
92512
Nasal function studies (eg, rhinomanometry)
92512
3949
92516
Facial nerve function studies (eg, electroneuronography)
92516
3950
92520
3951
92526
3952
3953
92531
92532
3954
92533
3955
92534
3956
92541
3957
92542
3958
92543
3959
92544
3960
3961
92545
92546
3962
92547
3963
3964
3965
3966
3967
3968
92548
92551
92552
92553
92555
92556
3969
92557
3970
3971
92559
92560
Optokinetic nystagmus test, bidirectional, foveal or

peripheral stimulation, with recording
Oscillating tracking test, with recording
Sinusoidal vertical axis rotational testing
Use of vertical electrodes (List separately in addition to code
Computerized dynamic posturography
Screening test, pure tone, air only
Pure tone audiometry (threshold); air only
Pure tone audiometry (threshold); air and bone
Speech audiometry threshold;
Speech audiometry threshold; with speech recognition
Comprehensive audiometry threshold evaluation and speech
recognition (92553 and 92556 combined)
Audiometric testing of groups
Bekesy audiometry; screening
3972
92562
Loudness balance test, alternate binaural or monaural
92562
3973
3974
3975
3976
3977
3978
3979
3980
3981
92563
92564
92565
92567
92568
92569
92571
92572
92573
Tone decay test

Short increment sensitivity index (SISI)
Stenger test, pure tone
Tympanometry (impedance testing)
Acoustic reflex testing; threshold
Acoustic reflex testing; decay
Filtered speech test
Staggered spondaic word test
Lombard test
92563
92564
92565
92567
92568
92569
92571
92572
92573
Laryngeal function studies (ie, aerodynamic testing and

acoustic testing)
Treatment of swallowing dysfunction and/or oral function for
feeding
Spontaneous nystagmus, including gaze
Positional nystagmus test
Caloric vestibular test, each irrigation (binaural, bithermal
stimulation constitutes 4 tests)
Optokinetic nystagmus test
Spontaneous nystagmus test, including gaze and fixation
nystagmus, with recording
Positional nystagmus test, minimum of 4 positions, with
recording
Caloric vestibular test, each irrigation (binaural, bithermal
stimulation constitutes 4 tests), with recording
92510
92520
92526
92531
92532
92533
92534
92541
92542
92543
92544
92545
92546
92547
92548
92551
92552
92553
92555
92556
92557
92559
92560
3982
3983
3984
3985
3986
3987
3988
92575
92576
92577
92579
92582
92583
92584
Sensorineural acuity level test

Synthetic sentence identification test
Stenger test, speech
Visual reinforcement audiometry (VRA)
Conditioning play audiometry
Select picture audiometry
Electrocochleography
92575
92576
92577
92579
92582
92583
92584
3989
92585
Auditory evoked potentials for evoked response audiometry

and/or testing of the central nervous system; comprehensive
92585
3990
92587
Evoked otoacoustic emissions; limited (single stimulus level,

either transient or distortion products)
92587
3991
92588
Evoked otoacoustic emissions; comprehensive or diagnostic

evaluation (comparison of transient and/or distortion product
otoacoustic emissions at multiple levels and frequencies)
92588
3992
3993
3994
3995
3996
3997
3998
3999
92589
92590
92591
92592
92593
92594
92595
92596
Central auditory function test(s) (specify)

Hearing aid examination and selection; monaural
Hearing aid examination and selection; binaural
Hearing aid check; monaural
Hearing aid check; binaural
Electroacoustic evaluation for hearing aid; monaural
Electroacoustic evaluation for hearing aid; binaural
Ear protector attenuation measurements
92589
92590
92591
92592
92593
92594
92595
92596
4000
92950
Cardiopulmonary resuscitation (eg, in cardiac arrest)
92950
4001
92960
4002
92961
4003
4004
92970
92971
4005
92973
4006
92975
4007
92977
4008
92978
4009
92980
4010
92982
4011
92986
4012
92995
Cardioversion, elective, electrical conversion of arrhythmia;

external
Cardioversion, elective, electrical conversion of arrhythmia;
internal (separate procedure)
Cardioassist-method of circulatory assist; internal
Cardioassist-method of circulatory assist; external
Percutaneous transluminal coronary thrombectomy (List
Thrombolysis, coronary; by intracoronary infusion, including
selective coronary angiography
Thrombolysis, coronary; by intravenous infusion
Intravascular ultrasound (coronary vessel or graft) during
diagnostic evaluation and/or therapeutic intervention
including imaging supervision, interpretation and report;
initial vessel (List separately in addition to code for primary
procedure)
Transcatheter placement of an intracoronary stent(s),
percutaneous, with or without other therapeutic intervention,
any method; single vessel
Percutaneous transluminal coronary balloon angioplasty;
single vessel
Percutaneous balloon valvuloplasty; aortic valve
Percutaneous transluminal coronary atherectomy, by
mechanical or other method, with or without balloon
angioplasty; single vessel
92960
92961
92970
92971
92973
92975
92977
92978
92980
92982
92986
92995
4013
92997
4014
93000
Percutaneous transluminal pulmonary artery balloon

angioplasty; single vessel
Electrocardiogram, routine ECG with at least 12 leads; with
92997
93000
4015
93015
Cardiovascular stress test using maximal or submaximal

treadmill or bicycle exercise, continuous electrocardiographic
monitoring, and/or pharmacological stress; with physician
supervision, with interpretation and report
4016
93040
Rhythm ECG, 1-3 leads; with interpretation and report
93040
4017
93224
Wearable electrocardiographic rhythm derived monitoring for

24 hours by continuous original waveform recording and
storage, with visual superimposition scanning; includes
recording, scanning analysis with report, physician review
and interpretation
93224
4018
93278
Signal-averaged electrocardiography (SAECG), with or

without ECG
93278
93307
Echocardiography, transthoracic, real-time with image

documentation (2D), includes M-mode recording, when
performed, complete, without spectral or color Doppler
echocardiography
93307
4020
93312
Echocardiography, transesophageal, real time with image

documentation (2D) (with or without M-mode recording);
including probe placement, image acquisition, interpretation
and report
93312
4021
93320
Doppler echocardiography, pulsed wave and/or continuous

wave with spectral display (List separately in addition to
codes for echocardiographic imaging); complete
93320
4022
93501
4023
93503
4024
93505
4025
93508
4026
93510
4027
93514
4028
93524
4029
93526
4030
93527
4019
Right heart catheterization

Insertion and placement of flow directed catheter (eg, SwanGanz) for monitoring purposes
Endomyocardial biopsy
Catheter placement in coronary artery(s), arterial coronary
conduit(s), and/or venous coronary bypass graft(s) for
coronary angiography without concomitant left heart
catheterization
Left heart catheterization, retrograde, from the brachial
artery, axillary artery or femoral artery; percutaneous
Left heart catheterization by left ventricular puncture
Combined transseptal and retrograde left heart
catheterization
Combined right heart catheterization and retrograde left
heart catheterization
Combined right heart catheterization and transseptal left
heart catheterization through intact septum (with or without
retrograde left heart catheterization)
93015
93501
93503
93505
93508
93510
93514
93524
93526
93527
4031
93528
Combined right heart catheterization with left ventricular

puncture (with or without retrograde left heart
catheterization)
93528
4032
93529
Combined right heart catheterization and left heart

catheterization through existing septal opening (with or
without retrograde left heart catheterization)
93529
4033
93530
Right heart catheterization, for congenital cardiac anomalies
93530
4034
93531
Combined right heart catheterization and retrograde left

heart catheterization, for congenital cardiac anomalies
93531
93532

heart catheterization through intact septum with or without
retrograde left heart catheterization, for congenital cardiac
anomalies
93532
4036
93533

heart catheterization through existing septal opening, with or
without retrograde left heart catheterization, for congenital
cardiac anomalies
93533
4037
93542
Injection procedure during cardiac catheterization; for

selective right ventricular or right atrial angiography
93542
4038
93561
Indicator dilution studies such as dye or thermal dilution,

including arterial and/or venous catheterization; with cardiac
output measurement (separate procedure)
93561
4039
93571
Intravascular Doppler velocity and/or pressure derived

coronary flow reserve measurement (coronary vessel or
graft) during coronary angiography including
pharmacologically induced stress; initial vessel (List
93571
4040
4041
93600
93610
Bundle of His recording

Intra-atrial pacing
93600
93610
4042
93613
Intracardiac electrophysiologic 3-dimensional mapping (List

93613
4043
93615
4044
93618
4045
93631
4035
4046
93640
Esophageal recording of atrial electrogram with or without

ventricular electrogram(s);
Induction of arrhythmia by electrical pacing
Intra-operative epicardial and endocardial pacing and
mapping to localize the site of tachycardia or zone of slow
conduction for surgical correction
Electrophysiologic evaluation of single or dual chamber
pacing cardioverter-defibrillator leads including defibrillation
threshold evaluation (induction of arrhythmia, evaluation of
sensing and pacing for arrhythmia termination) at time of
initial implantation or replacement;
93615
93618
93631
93640
93650
Intracardiac catheter ablation of atrioventricular node

function, atrioventricular conduction for creation of complete
heart block, with or without temporary pacemaker placement
93650
4048
93660
Evaluation of cardiovascular function with tilt table

evaluation, with continuous ECG monitoring and intermittent
blood pressure monitoring, with or without pharmacological
intervention
93660
4049
93662
Intracardiac echocardiography during therapeutic/diagnostic

intervention, including imaging supervision and interpretation
93662
93724
Electronic analysis of antitachycardia pacemaker system

(includes electrocardiographic recording, programming of
device, induction and termination of tachycardia via
implanted pacemaker, and interpretation of recordings)
93724
93727
Electronic analysis of implantable loop recorder (ILR) system

(includes retrieval of recorded and stored ECG data,
physician review and interpretation of retrieved ECG data
and reprogramming)
93727
93731
Electronic analysis of dual-chamber pacemaker system

(includes evaluation of programmable parameters at rest
and during activity where applicable, using
electrocardiographic recording and interpretation of
recordings at rest and during exercise, analysis of event
markers and device response); without reprogramming
93731
4053
93734
Electronic analysis of single chamber pacemaker system

markers and device response); without reprogramming
93734
4054
93740
Temperature gradient studies
93740
4055
93741
Electronic analysis of pacing cardioverter-defibrillator

(includes interrogation, evaluation of pulse generator status,
evaluation of programmable parameters at rest and during
activity where applicable, using electrocardiographic
recording and interpretation of recordings at rest and during
exercise, analysis of event markers and device response);
single chamber or wearable cardioverter-defibrillator system,
without reprogramming
93741
4056
93760
Thermogram; cephalic
93760
93784
Ambulatory blood pressure monitoring, utilizing a system

such as magnetic tape and/or computer disk, for 24 hours or
longer; including recording, scanning analysis, interpretation
and report
93784
4047
4050
4051
4052
4057
4058
93875
Non-invasive physiologic studies of extracranial arteries,

complete bilateral study (eg, periorbital flow direction with
arterial compression, ocular pneumoplethysmography,
Doppler ultrasound spectral analysis)
4059
93880
Duplex scan of extracranial arteries; complete bilateral study
93880
4060
93886
Transcranial Doppler study of the intracranial arteries;

complete study
93886
4061
93922
Non-invasive physiologic studies of upper or lower extremity

arteries, single level, bilateral (eg, ankle/brachial indices,
Doppler waveform analysis, volume plethysmography,
transcutaneous oxygen tension measurement)
93922
4062
93925
Duplex scan of lower extremity arteries or arterial bypass

grafts; complete bilateral study
93925
4063
93965
Non-invasive physiologic studies of extremity veins,

complete bilateral study (eg, Doppler waveform analysis with
responses to compression and other maneuvers,
phleborheography, impedance plethysmography)
93965
4064
93970
Duplex scan of extremity veins including responses to

compression and other maneuvers; complete bilateral study
93970
4065
93975
4066
93978
4067
93980
4068
94010
4069
94060
4070
94070
Bronchospasm provocation evaluation, multiple spirometric

determinations as in 94010, with administered agents (eg,
antigen(s), cold air, methacholine)
94070
4071
94150
Vital capacity, total (separate procedure)
94150
4072
94200
Maximum breathing capacity, maximal voluntary ventilation
94200
4073
94240
Functional residual capacity or residual volume: helium

method, nitrogen open circuit method, or other method
94240
4074
94360
Determination of resistance to airflow, oscillatory or

plethysmographic methods
94360
4075
94370
Determination of airway closing volume, single breath tests
94370
4076
94450
Breathing response to hypoxia (hypoxia response curve)
94450
Duplex scan of arterial inflow and venous outflow of

abdominal, pelvic, scrotal contents and/or retroperitoneal
organs; complete study
Duplex scan of aorta, inferior vena cava, iliac vasculature, or
bypass grafts; complete study
Duplex scan of arterial inflow and venous outflow of penile
vessels; complete study
Spirometry, including graphic record, total and timed vital
capacity, expiratory flow rate measurement(s), with or
without maximal voluntary ventilation
Bronchodilation responsiveness, spirometry as in 94010,
pre- and post-bronchodilator administration
93875
93975
93978
93980
94010
94060
94620
Pulmonary stress testing; simple (eg, 6-minute walk test,

prolonged exercise test for bronchospasm with pre- and
post-spirometry and oximetry)
94620
4078
94640
Pressurized or nonpressurized inhalation treatment for acute

airway obstruction or for sputum induction for diagnostic
purposes (eg, with an aerosol generator, nebulizer, metered
dose inhaler or intermittent positive pressure breathing
(IPPB) device)
94640
4079
94656
4080
94660
4081
94662
4082
94664
4083
94667
4084
94680
4085
94720
4086
94725
4087
94750
4088
94760
4077
Ventilation assist and management, initiation of pressure or

volume preset ventilators for assisted or controlled
breathing; first day
Continuous positive airway pressure ventilation (CPAP),
initiation and management
Continuous negative pressure ventilation (CNP), initiation
and management
Demonstration and/or evaluation of patient utilization of an
aerosol generator, nebulizer, metered dose inhaler or IPPB
device
Manipulation chest wall, such as cupping, percussing, and
vibration to facilitate lung function; initial demonstration
and/or evaluation
Oxygen uptake, expired gas analysis; rest and exercise,
direct, simple
Carbon monoxide diffusing capacity (eg, single breath,
steady state)
Membrane diffusion capacity
Pulmonary compliance study (eg, plethysmography, volume
and pressure measurements)
Noninvasive ear or pulse oximetry for oxygen saturation;
single determination
94656
94660
94662
94664
94667
94680
94720
94725
94750
94760
4089
95004
Percutaneous tests (scratch, puncture, prick) with allergenic

extracts, immediate type reaction, including test
interpretation and report by a physician, specify number of
tests
4090
95044
Patch or application test(s) (specify number of tests)
95044
4091
4092
95060
95065
Ophthalmic mucous membrane tests

Direct nasal mucous membrane test
95060
95065
4093
95070
Inhalation bronchial challenge testing (not including

necessary pulmonary function tests); with histamine,
methacholine, or similar compounds
95070
4094
95806
Sleep study, unattended, simultaneous recording of, heart

rate, oxygen saturation, respiratory airflow, and respiratory
effort (eg, thoracoabdominal movement)
95806
4095
95808
Polysomnography; sleep staging with 1-3 additional

parameters of sleep, attended by a technologist
95808
4096
95812
Electroencephalogram (EEG) extended monitoring; 41-60

minutes
95812
95004
Electroencephalogram (EEG); including recording awake

and drowsy
Electrocorticogram at surgery (separate procedure)
Insertion by physician of sphenoidal electrodes for
electroencephalographic (EEG) recording
4097
95816
4098
95829
4099
95830
4100
95831
Muscle testing, manual (separate procedure) with report;

extremity (excluding hand) or trunk
95831
4101
95834

total evaluation of body, including hands
95834
4102
95851
4103
95857
4104
95858
4105
95860
4106
95861
4107
95863
4108
95864
4109
95867
4110
95868
4111
95869
4112
95872
Needle electromyography using single fiber electrode, with

quantitative measurement of jitter, blocking and/or fiber
density, any/all sites of each muscle studied
95872
4113
95875
Ischemic limb exercise test with serial specimen(s)

acquisition for muscle(s) metabolite(s)
95875
4114
95900
Nerve conduction, amplitude and latency/velocity study,

each nerve; motor, without F-wave study
95900
4115
95904

each nerve; sensory
95904
4116
95921
Testing of autonomic nervous system function; cardiovagal

innervation (parasympathetic function), including 2 or more
of the following: heart rate response to deep breathing with
recorded R-R interval, Valsalva ratio, and 30:15 ratio
95921
4117
95925
Short-latency somatosensory evoked potential study,

stimulation of any/all peripheral nerves or skin sites,
recording from the central nervous system; in upper limbs
95925
Range of motion measurements and report (separate

procedure); each extremity (excluding hand) or each trunk
section (spine)
Tensilon test for myasthenia gravis
Tensilon test for myasthenia gravis; with electromyographic
recording
Needle electromyography; 1 extremity with or without related
paraspinal areas
Needle electromyography; 2 extremities with or without
related paraspinal areas
Needle electromyography; cranial nerve supplied muscle(s),
unilateral
Needle electromyography; cranial nerve supplied muscles,
bilateral
Needle electromyography; thoracic paraspinal muscles
(excluding T1 or T12)
95816
95829
95830
95851
95857
95858
95860
95861
95863
95864
95867
95868
95869
4118
95930
Visual evoked potential (VEP) testing central nervous

system, checkerboard or flash
95930
4119
95933
Orbicularis oculi (blink) reflex, by electrodiagnostic testing
95933
4120
95934
H-reflex, amplitude and latency study; record

gastrocnemius/soleus muscle
95934
4121
95937
Neuromuscular junction testing (repetitive stimulation, paired

stimuli), each nerve, any 1 method
95937
4122
95950
Monitoring for identification and lateralization of cerebral

seizure focus, electroencephalographic (eg, 8 channel EEG)
recording and interpretation, each 24 hours
95950
95951
Monitoring for localization of cerebral seizure focus by cable

or radio, 16 or more channel telemetry, combined
electroencephalographic (EEG) and video recording and
interpretation (eg, for presurgical localization), each 24 hours
95951
4124
95953
Monitoring for localization of cerebral seizure focus by

computerized portable 16 or more channel EEG,
electroencephalographic (EEG) recording and interpretation,
each 24 hours
95953
4125
95954
4126
95955
4123
4127
95956
4128
95957
4129
95958
4130
4131
Pharmacological or physical activation requiring physician

attendance during EEG recording of activation phase (eg,
thiopental activation test)
Electroencephalogram (EEG) during nonintracranial surgery
(eg, carotid surgery)
Monitoring for localization of cerebral seizure focus by cable
or radio, 16 or more channel telemetry,
electroencephalographic (EEG) recording and interpretation,
each 24 hours
Digital analysis of electroencephalogram (EEG) (eg, for
epileptic spike analysis)
Wada activation test for hemispheric function, including
electroencephalographic (EEG) monitoring
95954
95955
95956
95957
95958
95961
Functional cortical and subcortical mapping by stimulation

and/or recording of electrodes on brain surface, or of depth
electrodes, to provoke seizures or identify vital brain
structures; initial hour of physician attendance
95961
95970
Electronic analysis of implanted neurostimulator pulse

generator system (eg, rate, pulse amplitude and duration,
configuration of wave form, battery status, electrode
selectability, output modulation, cycling, impedance and
patient compliance measurements); simple or complex
brain, spinal cord, or peripheral (ie, cranial nerve, peripheral
nerve, autonomic nerve, neuromuscular) neurostimulator
pulse generator/transmitter, without reprogramming
95970
4132
95972

patient compliance measurements); complex spinal cord, or
peripheral (except cranial nerve) neurostimulator pulse
generator/transmitter, with intraoperative or subsequent
programming, first hour
4133
95992
Canalith repositioning procedure(s) (eg, Epley maneuver,

Semont maneuver), per day
95992
96100
Psychological testing (includes psychodiagnostic

assessment of personality, psychopathology, emotionality,
intellectual abilities, eg, WAIS-R, Rorschach, MMPI) with
interpretation and report, per hour
96100
4135
96105
Assessment of aphasia (includes assessment of expressive

and receptive speech and language function, language
comprehension, speech production ability, reading, spelling,
writing, eg, by Boston Diagnostic Aphasia Examination) with
96105
4136
96110
Developmental testing; limited (eg, Developmental

Screening Test II, Early Language Milestone Screen), with
96110
96111
Developmental testing; extended (includes assessment of

motor, language, social, adaptive and/or cognitive
functioning by standardized developmental instruments) with
96111
4138
96115
Neurobehavioral status exam (clinical assessment of

thinking, reasoning and judgment, eg, acquired knowledge,
attention, memory, visual spatial abilities, language
functions, planning) with interpretation and report, per hour
96115
4139
96117
Neuropsychological testing battery (eg, Halstead-Reitan,

Luria, WAIS-R) with interpretation and report, per hour
96117
4140
96400
4141
96405
4142
96408
Chemotherapy administration, intravenous; push technique
96408
4143
96410
Chemotherapy administration; infusion technique, up to one

hour
96410
4144
96420
Chemotherapy administration, intra-arterial; push technique
96420
4145
96422
Chemotherapy administration, intra-arterial; infusion

technique, up to 1 hour
96422
4134
4137
Chemotherapy administration, subcutaneous or

intramuscular, with or without local anesthesia
Chemotherapy administration; intralesional, up to and
including 7 lesions
95972
96400
96405
4146
96440
Chemotherapy administration into pleural cavity, requiring

and including thoracentesis
96440
4147
96445
Chemotherapy administration into peritoneal cavity, requiring

and including peritoneocentesis
96445
4148
96450
Chemotherapy administration, into CNS (eg, intrathecal),

requiring and including spinal puncture
96450
4149
96542
Chemotherapy injection, subarachnoid or intraventricular via

subcutaneous reservoir, single or multiple agents
96542
4150
96910
Photochemotherapy; tar and ultraviolet B (Goeckerman

treatment) or petrolatum and ultraviolet B
96910
4151
96920
Laser treatment for inflammatory skin disease (psoriasis);

total area less than 250 sq cm
96920
4152
4153
4154
4155
4156
97001
97003
97004
97005
97006
4157
97010
4158
97012
4159
97014
4160
97016
4161
Physical therapy evaluation

Occupational therapy evaluation
Occupational therapy re-evaluation
Athletic training evaluation
Athletic training re-evaluation
Application of a modality to 1 or more areas; hot or cold
packs
Application of a modality to one or more areas; traction,
mechanical
Application of a modality to one or more areas; electrical
stimulation (unattended)
Application of a modality to one or more areas;
vasopneumatic devices
97001
97003
97004
97005
97006
97018
Application of a modality to one or more areas; paraffin bath
97018
4162
97020
Application of a modality to one or more areas; microwave
97020
4163
97022
Application of a modality to one or more areas; whirlpool
97022
4164
97026
Application of a modality to one or more areas; infrared
97026
4165
97028
Application of a modality to one or more areas; ultraviolet
97028
4166
97032
4167
97035
4168
97036
4169
97110
4170
97112
Application of a modality to 1 or more areas; electrical

stimulation (manual), each 15 minutes
Application of a modality to one or more areas; ultrasound,
each 15 minutes
Application of a modality to one or more areas; Hubbard
tank, each 15 minutes
Therapeutic procedure, 1 or more areas, each 15 minutes;
therapeutic exercises to develop strength and endurance,
range of motion and flexibility
Therapeutic procedure, one or more areas, each 15
minutes; neuromuscular reeducation of movement, balance,
coordination, kinesthetic sense, posture, and/or
proprioception for sitting and/or standing activities
97010
97012
97014
97016
97032
97035
97036
97110
97112
4171
97113

minutes; aquatic therapy with therapeutic exercises
97113
4172
97116

minutes; gait training (includes stair climbing)
97116
4173
97124

minutes; massage, including effleurage, petrissage and/or
tapotement (stroking, compression, percussion)
97124
4174
97150
Therapeutic procedure(s), group (2 or more individuals)
97150
4175
97504
Orthotic(s) fitting and training, upper extremity(ies), lower

extremity(ies), and/or trunk, each 15 minutes
97504
4176
97520
Prosthetic training, upper and/or lower extremities, each 15

minutes
97520
4177
97530
Therapeutic activities, direct (one-on-one) patient contact by

the provider (use of dynamic activities to improve functional
performance), each 15 minutes
97530
97535
Self-care/home management training (eg, activities of daily

living (ADL) and compensatory training, meal preparation,
safety procedures, and instructions in use of assistive
technology devices/adaptive equipment) direct one-on-one
contact by provider, each 15 minutes
97535
4179
97537
Community/work reintegration training (eg, shopping,

transportation, money management, avocational activities
and/or work environment/modification analysis, work task
analysis, use of assistive technology device/adaptive
equipment), direct one-on-one contact by provider, each 15
minutes
97537
4180
97542
4181
97545
4182
97703
4183
97750
4178
4184
97770
4185
97780
4186
97781
4187
97799
Wheelchair management (eg, assessment, fitting, training),

each 15 minutes
Work hardening/conditioning; initial 2 hours
Checkout for orthotic/prosthetic use, established patient,
each 15 minutes
Physical performance test or measurement (eg,
musculoskeletal, functional capacity), with written report,
each 15 minutes
Development of cognitive skills to improve attention,
memory, problem solving, includes compensatory training
and/or sensory integrative activities, direct (one-on-one)
patient contact by the provider, each 15 minutes
Acupuncture, one or more needles; without electrical
stimulation
Acupuncture, one or more needles; with electrical
stimulation
Unlisted physical medicine/rehabilitation service or
procedure
97542
97545
97703
97750
97770
97780
97781
97799
4188
97802
4189
99141
4190
99142
4191
4192
99185
99186
4193
99190
4194
99191
4195
99192
4196
4197
99195
99199
4198
4199
Medical nutrition therapy; initial assessment and

intervention, individual, face-to-face with the patient, each 15
minutes
Sedation with or without analgesia (conscious sedation);
intravenous, intramuscular or inhalation
Sedation with or without analgesia (conscious sedation);
oral, rectal and/or intranasal
Hypothermia; regional
Hypothermia; total body
Assembly and operation of pump with oxygenator or heat
exchanger (with or without ECG and/or pressure monitoring);
each hour
45 minutes
30 minutes
Phlebotomy, therapeutic (separate procedure)
Unlisted special service, procedure or report
97802
99141
99142
99185
99186
99190
99191
99192
99195
99199
99201
Office or other outpatient visit for the evaluation and

management of a new patient, which requires these three
key components: 1) A problem focused history; 2) A problem
focused examination; and 3) Straightforward medical
decision making. Counseling and/or coordination of care
with other providers or agencies are provided consistent with
the nature of the problem(s) and the patient's and/or family's
needs. Usually, the presenting problem(s) are self limited or
minor. Physicians typically spend 10 minutes face-to-face
with the patient and/or family.
99201
99203

key components: 1) A detailed history; 2) A detailed
examination; and 3) Medical decision making of low
complexity. Counseling and/or coordination of care with
other providers or agencies are provided consistent with the
nature of the problem(s) and the patient's and/or family's
needs. Usually, the presenting problem(s) are of moderate
severity. Physicians typically spend 30 minutes face-to-face
99203
4200
4201
4202
4203
99204

key components: 1) A comprehensive history; 2) A
comprehensive examination; and 3) Medical decision
making of moderate complexity. Counseling and/or
coordination of care with other providers or agencies are
provided consistent with the nature of the problem(s) and the
patient's and/or family's needs. Usually, the presenting
problem(s) are of moderate to high severity. Physicians
typically spend 45 minutes face-to-face with the patient
and/or family.
99204
99211

management of an established patient, that may not require
the presence of a physician. Usually, the presenting
problem(s) are minimal. Typically, 5 minutes are spent
performing or supervising these services.
99211
99213

management of an established patient, which requires at
least two of these three key components: 1) An expanded
problem focused history; 2) An expanded problem focused
examination; 3) Medical decision making of low complexity.
Counseling and/or coordination of care with other providers
or agencies are provided consistent with the nature of the
problem(s) and the patient's and/or family's needs. Usually,
the presenting problem(s) are of low to moderate severity.
Physicians typically spend 15 minutes face-to-face with the
patient and/or family.
99213
99218
Initial observation care, per day, for the evaluation and

management of a patient which requires these three key
components: 1) A detailed or comprehensive history; 2) A
detailed or comprehensive examination; and 3) Medical
decision making that is straightforward or of low complexity.
the problem(s) requiring admission to "observation status"
are of low severity.
99218
4204
4205
4206
4207
99221
Initial hospital care, per day, for the evaluation and

management of a patient which requires these three key
the problem(s) requiring admission are of low severity.
Physicians typically spend 30 minutes at the bedside and on
the patient's hospital floor or unit.
99221
99231
Subsequent hospital care, per day, for the evaluation and

management of a patient, which requires at least two of
these three key components: 1) A problem focused interval
history; 2) A problem focused examination; 3) Medical
the patient is stable, recovering or improving. Physicians
typically spend 15 minutes at the bedside and on the
patient's hospital floor or unit.
99231
99233

these three key components: 1) A detailed interval history; 2)
A detailed examination; 3) Medical decision making of high
needs. Usually, the patient is unstable or has developed a
significant complication or a significant new problem.
99233
99234
Observation or inpatient hospital care, for the evaluation and

management of a patient including admission and discharge
on the same date which requires these three key
problem(s) and the patient's and/or family's needs. Usually
the presenting problem(s) requiring admission are of low
severity.
99234
99235

components: 1) A comprehensive history; 2) A
patient's and/or family's needs. Usually the presenting
problem(s) requiring admission are of moderate severity.
99235
4209
99236

making of high complexity. Counseling and/or coordination
of care with other providers or agencies are provided
consistent with the nature of the problem(s) and the patient's
and/or family's needs. Usually the presenting problem(s)
requiring admission are of high severity.
99236
4210
99238
Hospital discharge day management; 30 minutes or less
99238
99241
Office consultation for a new or established patient, which

requires these three key components: 1) A problem focused
history; 2) A problem focused examination; and 3)
Straightforward medical decision making. Counseling and/or
problem(s) are self limited or minor. Physicians typically
spend 15 minutes face-to-face with the patient and/or family.
99241
99243

requires these three key components: 1) A detailed history;
2) A detailed examination; and 3) Medical decision making of
low complexity. Counseling and/or coordination of care with
99243
4208
4211
4212
4213
4214
4215
4216
99251
Inpatient consultation for a new or established patient, which

requires these three key components: 1) A problem focused
history; 2) A problem focused examination; and 3)
spend 20 minutes at the bedside and on the patient's
hospital floor or unit.
99251
99252

requires these three key components: 1) An expanded
examination; and 3) Straightforward medical decision
making. Counseling and/or coordination of care with other
providers or agencies are provided consistent with the
needs. Usually, the presenting problem(s) are of low severity.
99252
99253

requires these three key components: 1) A detailed history;
2) A detailed examination; and 3) Medical decision making of
low complexity. Counseling and/or coordination of care with
severity. Physicians typically spend 55 minutes at the
bedside and on the patient's hospital floor or unit.
99253
99254

requires three key components: 1) A comprehensive history;
2) A comprehensive examination; and 3) Medical decision
99254
99255

requires these three key components: 1) A comprehensive
history; 2) A comprehensive examination; and 3) Medical
decision making of high complexity. Counseling and/or
99255
99281
Emergency department visit for the evaluation and

management of a patient, which requires these three key
components: 1) A problem focused history; 2) A problem
needs. Usually, the presenting problem(s) are self limited or
minor.
99281
99282

components: 1) An expanded problem focused history; 2) An
expanded problem focused examination; and 3) Medical
decision making of low complexity. Counseling and/or
problem(s) are of low to moderate severity.
99282
4220
99285

components within the constraints imposed by the urgency
of the patient's clinical condition and/or mental status: 1) A
comprehensive history; 2) A comprehensive examination;
and 3) Medical decision making of high complexity.
the presenting problem(s) are of high severity and pose an
immediate significant threat to life or physiologic function.
99285
4221
99291
Critical care, evaluation and management of the critically ill

or critically injured patient; first 30-74 minutes
99291
4222
99293
Initial inpatient pediatric critical care, per day, for the

evaluation and management of a critically ill infant or young
child, 29 days through 24 months of age
99293
4217
4218
4219
4223
99294
Subsequent inpatient pediatric critical care, per day, for the

99294
4224
99295
Initial inpatient neonatal critical care, per day, for the

evaluation and management of a critically ill neonate, 28
days of age or less
99295
4225
99296
Subsequent inpatient neonatal critical care, per day, for the

days of age or less
99296
99297
Subsequent neonatal intensive care, per day, for the

evaluation and management of a critically ill though stable
neonate or infant Critically ill though stable neonates require
cardiac and/or respiratory support (including ventilator and
nasal CPAP when indicated), continuous or frequent vital
sign monitoring, laboratory and blood gas interpretations,
follow-up physician re-evaluations throughout a 24 hour
period, and constant observation by the health care team
under direct physician supervision. Neonates at this level of
care would be expected to require less frequent changes in
respiratory, cardiovascular and fluid and electrolyte therapy
as those included under code 99296. This code
encompasses intensive care provided on dates subsequent
to the admission date.
99297
99298
Subsequent intensive care, per day, for the evaluation and

management of the recovering very low birth weight infant
(present body weight less than 1500 grams). Infants with
present body weight less than 1500 grams who are not
critically ill but continue to require intensive cardiac and
respiratory monitoring, continuous and/or frequent vital sign
monitoring, heat maintenance, enteral and/or parenteral
nutritional adjustments, laboratory and oxygen monitoring
and constant observation by the health care team under
direct physician supervision.
99298
99299

management of the recovering low birth weight infant
(present body weight of 1500-2500 grams). Infants with
present body weight of 1500-2500 grams who are not
critically ill but continue to require intensive cardiac and
respiratory monitoring, continuous and/or frequent vital sign
monitoring, heat maintenance, enteral and/or parenteral
nutritional adjustments, laboratory and oxygen monitoring,
and constant observation by the health care team under
direct physician supervision.
99299
4226
4227
4228
4229
4230
4231
4232
99300

management of the recovering infant (present body weight
of 2501-5000 g). Infants with present body weight of 25015000 grams who are not critically ill but continue to require
intensive cardiac and respiratory monitoring, continuous
and/or frequent vital sign monitoring, heat maintenance,
enteral and/or parenteral nutritional adjustments, laboratory
and oxygen monitoring, and constant observation by the
health care team under direct physician supervision.
99300
99301
Evaluation and management of a new or established patient

involving an annual nursing facility assessment which
requires these three key components: 1) A detailed interval
the patient is stable, recovering or improving. The review
and affirmation of the medical plan of care is required.
the patient's facility floor or unit.
99301
99302

involving a nursing facility assessment which requires these
three key components: 1) A detailed interval history; 2) A
making of moderate to high complexity. Counseling and/or
patient's and/or family's needs. Usually, the patient has
developed a significant complication or a significant new
problem and has had a major permanent change in status.
The creation of a new medical plan of care is required.
99302
99303

involving a nursing facility assessment at the time of initial
admission or readmission to the facility, which requires these
three key components: 1) A comprehensive history; 2) A
patient's and/or family's needs. The creation of a medical
plan of care is required. Physicians typically spend 50
minutes at the bedside and on the patient's facility floor or
unit.
99303
4233
4234
4235
4236
99304
Initial nursing facility care, per day, for the evaluation and
management of a patient, which requires these 3 key
the problem(s) requiring admission are of low severity.
99304
99342
Home visit for the evaluation and management of a new

patient, which requires these three key components: 1) An
expanded problem focused history; 2) An expanded problem
focused examination; and 3) Medical decision making of low
99342
99343

patient, which requires these three key components: 1) A
detailed history; 2) A detailed examination; and 3) Medical
decision making of moderate complexity. Counseling and/or
and/or family.
99343
99344

and 3) Medical decision making of moderate complexity.
the presenting problem(s) are of high severity. Physicians
and/or family.
99344
4237
4238
4239
4240
99345

the patient is unstable or has developed a significant new
problem requiring immediate physician attention. Physicians
and/or family.
99345
99347
Home visit for the evaluation and management of an

established patient, which requires at least two of these
three key components: 1) A problem focused interval history;
2) A problem focused examination; 3) Straightforward
medical decision making. Counseling and/or coordination of
care with other providers or agencies are provided
and/or family's needs. Usually, the presenting problem(s) are
self-limited or minor. Physicians typically spend 15 minutes
face-to-face with the patient and/or family.
99347
99348

three key components: 1) An expanded problem focused
interval history; 2) An expanded problem focused
the presenting problem(s) are of low to moderate severity.
99348
99349

three key components: 1) A detailed interval history; 2) A
detailed examination; 3) Medical decision making of
moderate complexity. Counseling and/or coordination of care
needs. Usually, the presenting problem(s) are moderate to
high severity. Physicians typically spend 40 minutes face-toface with the patient and/or family.
99349
99350

three key components: 1) A comprehensive interval history;
2) A comprehensive examination; 3) Medical decision
problem(s) are of moderate to high severity. The patient may
be unstable or may have developed a significant new
problem requiring immediate physician attention. Physicians
and/or family.
99350
99351

three key components: a problem focused interval history; a
problem focused examination; medical decision making that
is straightforward or of low complexity. Counseling and/or
patient's and/or family's needs. Usually, the patient is stable,
recovering or improving.
99351
99384
Initial comprehensive preventive medicine evaluation and

management of an individual including an age and gender
appropriate history, examination, counseling/anticipatory
guidance/risk factor reduction interventions, and the ordering
of laboratory/diagnostic procedures, new patient; adolescent
(age 12 through 17 years)
99384
4244
99394
Periodic comprehensive preventive medicine reevaluation

and management of an individual including an age and
gender appropriate history, examination,
counseling/anticipatory guidance/risk factor reduction
interventions, and the ordering of laboratory/diagnostic
procedures, established patient; adolescent (age 12 through
17 years)
99394
4245
99402
Preventive medicine counseling and/or risk factor reduction

intervention(s) provided to an individual (separate
procedure); approximately 30 minutes
99402
4246
99411

intervention(s) provided to individuals in a group setting
(separate procedure); approximately 30 minutes
99411
99441
Telephone evaluation and management service provided by

a physician to an established patient, parent, or guardian not
originating from a related E/M service provided within the
previous 7 days nor leading to an E/M service or procedure
within the next 24 hours or soonest available appointment;
5-10 minutes of medical discussion
99441
4241
4242
4243
4247
99442

99442
4249
99443

99443
4250
99500
Home visit for prenatal monitoring and assessment to

include fetal heart rate, non-stress test, uterine monitoring,
and gestational diabetes monitoring
99500
4251
99501
Home visit for postnatal assessment and follow-up care
99501
4252
99502
Home visit for newborn care and assessment
99502
4253
99503
Home visit for respiratory therapy care (eg, bronchodilator,

oxygen therapy, respiratory assessment, apnea evaluation)
99503
4254
99504
Home visit for mechanical ventilation care
99504
4255
99511
4256
72196
4257
56321
4258
44955
Appendectomy; when done for indicated purpose at time of

other major procedure (not as separate procedure) (List
44955
4259
4260
4261
56315
77776
82172
Laparoscopy, surgical; appendectomy

Interstitial radiation source application; simple
Apolipoprotein, each
56315
77776
82172
4262
62268
Percutaneous aspiration, spinal cord cyst or syrinx
62268
4263
31645

guidance, when performed; with therapeutic aspiration of
tracheobronchial tree, initial (eg, drainage of lung abscess)
31645
4264
31645

31645
4248
Home visit for fecal impaction management and enema

administration
Magnetic resonance (eg, proton) imaging, pelvis; with
Laparoscopy, surgical; with adrenalectomy, partial or
complete, or exploration of adrenal gland with or without
biopsy, transabdominal, lumbar or dorsal
99511
72196
56321
4265
31645

31645
4266
31645

31645
4267
31645

31645
4268
4269
62269
64795
4270
56301
4271
56340
4272
56342
4273
56324
4274
42960
4275
61321
4276
78120
4277
78122
4278
72285
4279
56345
4280
78652
4281
55520
4282
56303
4283
4284
4285
56344
94375
96900
4286
56349
4287
78591
4288
56346
Biopsy of spinal cord, percutaneous needle

Biopsy of nerve
Laparoscopy, surgical; with fulguration of oviducts (with or
without transection)
62269
64795
Laparoscopy, surgical; cholecystectomy (any method)
56340
Laparoscopy, surgical; cholecystectomy with exploration of

common duct
Laparoscopy, surgical; cholecystoenterostomy
Control oropharyngeal hemorrhage, primary or secondary
(eg, post-tonsillectomy); simple
Craniectomy or craniotomy, drainage of intracranial abscess;
infratentorial
Red cell volume determination (separate procedure); single
sampling
Whole blood volume determination, including separate
measurement of plasma volume and red cell volume
(radiopharmaceutical volume-dilution technique)
Diskography, cervical or thoracic, radiological supervision
and interpretation
Laparoscopy, surgical; splenectomy
of material); tomographic (ECT)
Excision of lesion of spermatic cord (separate procedure)
Laparoscopy, surgical; with fulguration or excision of lesions
of the ovary, pelvic viscera, or peritoneal surface by any
method
Laparoscopy, surgical; with fimbrioplasty
Respiratory flow volume loop
Actinotherapy (ultraviolet light)
Laparoscopy, surgical; esophagogastric fundoplasty (eg,
Nissen, Belsey IV, Hill, Toupet procedures)
Pulmonary ventilation imaging, gaseous, single breath,
single projection
Laparoscopy, surgical; gastrostomy, temporary (tube or
rubber or plastic) (separate procedure)
56301
56342
56324
42960
61321
78120
78122
72285
56345
78652
55520
56303
56344
94375
96900
56349
78591
56346
85031
Blood count; hemogram, manual, complete CBC (RBC,

WBC, Hgb, Hct, differential and indices)
85031
4290
80059
Hepatitis panel This panel must include the following:

Hepatitis B surface antigen (HBsAg) (87340) Hepatitis B
surface antibody (HBsAb) (86706) Hepatitis B core antibody
(HBcAb), IgG and IgM (86704) Hepatitis A antibody (HAAb),
IgG and IgM (86708) Hepatitis C antibody (86803)
80059
4291
56316
Laparoscopy, surgical; repair of initial inguinal hernia
56316
4292
56308
Laparoscopy, surgical; with vaginal hysterectomy with or

ovary(s) (laparoscopic assisted vaginal hysterectomy)
56308
4293
56350
Hysteroscopy, diagnostic (separate procedure)
56350
4294
56351
Hysteroscopy, surgical; with sampling (biopsy) of

endometrium and/or polypectomy, with or without D & C
56351
4295
78290
4296
78102
4297
56300
4298
56314
4299
56312
4300
56310
4301
72255
4302
72270
Myelography, 2 or more regions (eg, lumbar/thoracic,

cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical),
72270
4303
85095
Bone marrow; aspiration only
85095
4304
56354
Hysteroscopy, surgical; with removal of leiomyomata
56354
4305
56309
4306
56318
4307
94650
4308
87211
4309
4310
74710
80089
4289
Intestine imaging (eg, ectopic gastric mucosa, Meckel's

localization, volvulus)
Bone marrow imaging; limited area
Laparoscopy (peritoneoscopy), diagnostic; (separate
procedure)
Laparoscopy, surgical; with drainage of lymphocele to
peritoneal cavity
lymphadenectomy
Laparoscopy, surgical; enterolysis (freeing of intestinal
Myelography, thoracic, radiological supervision and
interpretation
Laparoscopy, surgical; with removal of leiomyomata (single

or multiple)
Laparoscopy, surgical; orchiectomy
Intermittent positive pressure breathing (IPPB) treatment, air
or oxygen, with or without nebulized medication; initial
demonstration and/or evaluation
Smear, primary source, with interpretation; wet and dry
mount, for ova and parasites
Pelvimetry, with or without placental localization
Muscle panel
78290
78102
56300
56314
56312
56310
72255
56309
56318
94650
87211
74710
80089
4311
80047
Basic metabolic panel (Calcium, ionized). This panel must

include the following: Calcium, ionized (82330), Carbon
dioxide (82374), Chloride (82435), Creatinine (82565),
Glucose (82947), Potassium (84132), Sodium (84295), Urea
Nitrogen (BUN) (84520)
4312
78760
Testicular imaging;
78760
4313
50405
Pyeloplasty (Foley Y-pyeloplasty), plastic operation on renal

pelvis, with or without plastic operation on ureter,
nephropexy, nephrostomy, pyelostomy, or ureteral splinting;
complicated (congenital kidney abnormality, secondary
pyeloplasty, solitary kidney, calycoplasty)
50405
4314
4315
84156
86923
Protein, total, except by refractometry; urine

Compatibility test each unit; electronic
84156
86923
4316
78020
Thyroid carcinoma metastases uptake (List separately in

78020
4317
4318
4319
84153
78655
85014
4320
56348
4321
56307
4322
56343
4323
81099
4324
97140
4325
56320
4326
47350
Prostate specific antigen (PSA); total

Radiopharmaceutical identification of eye tumor
Blood count; hematocrit (Hct)
Laparoscopy, surgical; intestinal resection, with anastomosis
(intra or extracorporeal)
Laparoscopy, surgical; with salpingostomy
(salpingoneostomy)
Unlisted urinalysis procedure
Manual therapy techniques (eg, mobilization/ manipulation,
manual lymphatic drainage, manual traction), 1 or more
regions, each 15 minutes
Laparoscopy, surgical; with ligation of spermatic veins for
varicocele
Management of liver hemorrhage; simple suture of liver
wound or injury
80047
84153
78655
85014
56348
56307
56343
81099
97140
56320
47350
4327
37250
Intravascular ultrasound (non-coronary vessel) during

diagnostic evaluation and/or therapeutic intervention; initial
vessel (List separately in addition to code for primary
procedure)
4328
56323
Laparoscopy, surgical; transection of vagus nerves, selective

or highly selective
56323
4329
56322
Laparoscopy, surgical; transection of vagus nerves, truncal
56322
4330
78110
4331
56347
4332
00211
Anesthesia for intracranial procedures; craniotomy or

craniectomy for evacuation of hematoma
211
4333
00420
Anesthesia for procedures on posterior integumentary

system of chest, including subcutaneous tissue
420
Plasma volume, radiopharmaceutical volume-dilution

technique (separate procedure); single sampling
or feeding)
37250
78110
56347
4334
00544
4335
00561
4336
00567
4337
00625
4338
00626
4339
00806

thoracoscopy); pleurectomy
great vessels of chest; with pump oxygenator, younger than
one year of age
Anesthesia for direct coronary artery bypass grafting; with
pump oxygenator
Anesthesia for procedures on the thoracic spine and cord,
via an anterior transthoracic approach; not utilizing 1 lung
ventilation
Anesthesia for procedures on the thoracic spine and cord,
via an anterior transthoracic approach; utilizing 1 lung
ventilation
Anesthesia for laparoscopic procedures
544
561
567
625
626
806
4340
00836
Anesthesia for hernia repairs in the lower abdomen not

otherwise specified, infants younger than 37 weeks
gestational age at birth and younger than 50 weeks
gestational age at time of surgery
4341
00850

including laparoscopy; cesarean section
850
4342
00851

including laparoscopy; tubal ligation/transection
851
4343
00855

including laparoscopy; cesarean hysterectomy
855
4344
00857
Neuraxial analgesia/anesthesia for labor ending in a

cesarean delivery (includes any repeat subarachnoid needle
857
4345
00869

abdomen, including urinary tract; vasectomy,
unilateral/bilateral
869
4346
00900
Anesthesia for procedures on perineal integumentary

system (including biopsy of male genital system); not
otherwise specified
900
4347
00921

urethral procedures); vasectomy, unilateral or bilateral
921
4348
00946

vagina, cervix or endometrium); vaginal delivery
946
00955
Neuraxial analgesia/anesthesia for labor ending in a vaginal

delivery (includes any repeat subarachnoid needle
955
4349
836
4350
01000
Anesthesia for procedures on anterior integumentary system

of pelvis (anterior to iliac crest), except external genitalia
1000
4351
01110
Anesthesia for procedures on posterior integumentary

system of pelvis (posterior to iliac crest), except perineum
1110
4352
01173
4353
01240
4354
01300
4355
01460
4356
01600
4357
01700
4358
01784
4359
01800
4360
01900
Anesthesia for injection procedure for hysterosalpingography
1900
4361
01902
1902
4362
01904
Anesthesia for burr hole(s) for ventriculography

Anesthesia for injection procedure for
pneumoencephalography
4363
01906
Anesthesia for injection procedure for myelography; lumbar
1906
4364
01908
Anesthesia for injection procedure for myelography; cervical
1908
4365
01910
Anesthesia for injection procedure for myelography;

posterior fossa
1910
4366
01912
Anesthesia for injection procedure for diskography; lumbar
1912
4367
01914
Anesthesia for injection procedure for diskography; cervical
1914
4368
01918
4369
01921
4370
01935
Anesthesia for percutaneous image guided procedures on

the spine and spinal cord; diagnostic
1935
4371
01936
Anesthesia for percutaneous image guided procedures on

the spine and spinal cord; therapeutic
1936
4372
01965
Anesthesia for incomplete or missed abortion procedures
1965
4373
4374
01966
01999
1966
1999
4375
10000
4376
10021
Anesthesia for induced abortion procedures

Unlisted anesthesia procedure(s)
Incision and drainage of infected or noninfected sebaceous
cyst; one lesion
Fine needle aspiration; without imaging guidance
Anesthesia for open repair of fracture disruption of pelvis or

column fracture involving acetabulum
Anesthesia for all procedures on integumentary system of
upper leg
knee and/or popliteal area
lower leg, ankle, and foot
shoulder and axilla
upper arm and elbow
Anesthesia for repair of arterio-venous (A-V) fistula,
congenital or acquired
forearm, wrist, and hand
Anesthesia for arteriograms, needle; retrograde, brachial or

femoral
Anesthesia for angioplasty
1173
1240
1300
1460
1600
1700
1784
1800
1904
1918
1921
10000
10021
4377
10022
Fine needle aspiration; with imaging guidance
10022
4378
10061
Incision and drainage of abscess (eg, carbuncle, suppurative

hidradenitis, cutaneous or subcutaneous abscess, cyst,
furuncle, or paronychia); complicated or multiple
10061
4379
10081
4380
10100
4381
10121
4382
10141
4383
10180
4384
11001
Debridement of extensive eczematous or infected skin; each

additional 10% of the body surface, or part thereof (List
11001
4385
11004
Debridement of skin, subcutaneous tissue, muscle and

fascia for necrotizing soft tissue infection; external genitalia
and perineum
11004
4386
11005

fascia for necrotizing soft tissue infection; abdominal wall,
with or without fascial closure
11005
4387
11006

fascia for necrotizing soft tissue infection; external genitalia,
perineum and abdominal wall, with or without fascial closure
11006
4388
11008
Removal of prosthetic material or mesh, abdominal wall for

infection (eg, for chronic or recurrent mesh infection or
necrotizing soft tissue infection) (List separately in addition
11008
4389
4390
11040
11041
Debridement; skin, partial thickness

Debridement; skin, full thickness
11040
11041
4391
11043
Debridement; skin, subcutaneous tissue, and muscle
11043
4392
11044
Debridement; skin, subcutaneous tissue, muscle, and bone
11044
4393
11050
Paring or curettement of benign hyperkeratotic skin lesion

with or without chemical cauterization (such as verrucae or
clavi) not extending through the stratum corneum (eg, callus
or wart) with or without local anesthesia; single lesion
11050
4394
11056
4395
11057
4396
11060
Incision and drainage of pilonidal cyst; complicated

Incision and drainage of onychia or paronychia, single or
simple
Incision and removal of foreign body, subcutaneous tissues;
complicated
Incision and drainage of hematoma, complicated
Incision and drainage, complex, postoperative wound
infection

callus); 2 to 4 lesions
callus); more than 4 lesions
Shaving of epidermal or superficial dermal lesion; single
lesion
10081
10100
10121
10141
10180
11056
11057
11060
4397
11101
Biopsy of skin, subcutaneous tissue and/or mucous

membrane (including simple closure), unless otherwise
listed; each separate/additional lesion (List separately in
4398
11201
Removal of skin tags, multiple fibrocutaneous tags, any

area; each additional 10 lesions, or part thereof (List
11201
4399
11301

arms or legs; lesion diameter 0.6 to 1.0 cm
11301
4400
11302

arms or legs; lesion diameter 1.1 to 2.0 cm
11302
4401
11303

arms or legs; lesion diameter over 2.0 cm
11303
4402
11305
Shaving of epidermal or dermal lesion, single lesion, scalp,

neck, hands, feet, genitalia; lesion diameter 0.5 cm or less
11305
4403
11306

neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm
11306
4404
11307

neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm
11307
4405
11308

neck, hands, feet, genitalia; lesion diameter over 2.0 cm
11308
4406
11310
Shaving of epidermal or dermal lesion, single lesion, face,

ears, eyelids, nose, lips, mucous membrane; lesion diameter
0.5 cm or less
11310
4407
11311

0.6 to 1.0 cm
11311
4408
11312

1.1 to 2.0 cm
11312
4409
11313

over 2.0 cm
11313
4410
11401

diameter 0.6 to 1.0 cm
11401
4411
11402

11402
11101
4412
11403

11403
4413
11404

11404
4414
11406

diameter over 4.0 cm
11406
4415
11420

(unless listed elsewhere), scalp, neck, hands, feet, genitalia;
excised diameter 0.5 cm or less
11420
4416
11421

excised diameter 0.6 to 1.0 cm
11421
4417
11422

11422
4418
11423

11423
4419
11424

11424
4420
11426

excised diameter over 4.0 cm
11426
4421
11440
Excision, other benign lesion including margins, except skin

tag (unless listed elsewhere), face, ears, eyelids, nose, lips,
mucous membrane; excised diameter 0.5 cm or less
11440
4422
11441

mucous membrane; excised diameter 0.6 to 1.0 cm
11441
4423
11442

11442
4424
11443

11443
4425
11444

11444
4426
11446

mucous membrane; excised diameter over 4.0 cm
11446
4427
11450
4428
11451
4429
11462
4430
11463
4431
11470
4432
11471
Excision of skin and subcutaneous tissue for hidradenitis,

perianal, perineal, or umbilical; with complex repair
11471
4433
11600
Excision, malignant lesion including margins, trunk, arms, or

legs; excised diameter 0.5 cm or less
11600
4434
11601

legs; excised diameter 0.6 to 1.0 cm
11601
4435
11602

11602
4436
11603

11603
4437
11604

11604
4438
11606

legs; excised diameter over 4.0 cm
11606
4439
11620
Excision, malignant lesion including margins, scalp, neck,

hands, feet, genitalia; excised diameter 0.5 cm or less
11620
4440
11621

hands, feet, genitalia; excised diameter 0.6 to 1.0 cm
11621
4441
11622

11622
4442
11623

11623

axillary; with simple or intermediate repair
axillary; with complex repair
inguinal; with simple or intermediate repair
inguinal; with complex repair
perianal, perineal, or umbilical; with simple or intermediate
repair
11450
11451
11462
11463
11470
4443
11624

11624
4444
11626

hands, feet, genitalia; excised diameter over 4.0 cm
11626
4445
11640
Excision, malignant lesion including margins, face, ears,

eyelids, nose, lips; excised diameter 0.5 cm or less
11640
4446
11641

eyelids, nose, lips; excised diameter 0.6 to 1.0 cm
11641
4447
11642

11642
4448
11643

11643
4449
11644

11644
4450
11646

eyelids, nose, lips; excised diameter over 4.0 cm
11646
4451
11700
Debridement of nails, manual; five or less
11700
4452
11710
Debridement of nails, electric grinder; five or less
11710
4453
11719
Trimming of nondystrophic nails, any number
11719
4454
11720
Debridement of nail(s) by any method(s); 1 to 5
11720
4455
11721
Debridement of nail(s) by any method(s); 6 or more
11721
4456
11730
11730
4457
11731
4458
11732
Avulsion of nail plate, partial or complete, simple; single

Avulsion of nail plate, partial or complete, simple; second
nail plate
Avulsion of nail plate, partial or complete, simple; each
additional nail plate (List separately in addition to code for
primary procedure)
4459
11752
Excision of nail and nail matrix, partial or complete (eg,

ingrown or deformed nail), for permanent removal; with
amputation of tuft of distal phalanx
11752
4460
11755
Biopsy of nail unit (eg, plate, bed, matrix, hyponychium,

proximal and lateral nail folds) (separate procedure)
11755
4461
4462
11760
11762
Repair of nail bed

Reconstruction of nail bed with graft
11760
11762
4463
11765
Wedge excision of skin of nail fold (eg, for ingrown toenail)
11765
4464
4465
4466
4467
11771
11772
11900
11901
Excision of pilonidal cyst or sinus; extensive

Excision of pilonidal cyst or sinus; complicated
Injection, intralesional; up to and including 7 lesions
Injection, intralesional; more than 7 lesions
11771
11772
11900
11901
11731
11732
4468
11920
Tattooing, intradermal introduction of insoluble opaque

pigments to correct color defects of skin, including
micropigmentation; 6.0 sq cm or less
11920
4469
11921

micropigmentation; 6.1 to 20.0 sq cm
11921
4470
11922

micropigmentation; each additional 200 sq cm, or part
thereof (List separately in addition to code for primary
procedure)
11922
4471
11950
4472
11951
4473
11952
4474
11954
4475
11960
4476
11970
Replacement of tissue expander with permanent prosthesis
11970
4477
11971
Removal of tissue expander(s) without insertion of

prosthesis
11971
4478
11980
Subcutaneous hormone pellet implantation (implantation of

estradiol and/or testosterone pellets beneath the skin)
11980
4479
11981
Insertion, non-biodegradable drug delivery implant
11981
4480
11982
Removal, non-biodegradable drug delivery implant
11982
4481
11983
Removal with reinsertion, non-biodegradable drug delivery

implant
11983
4482
12004

12004
4483
12006

12006
4484
12007

and feet); over 30.0 cm
12007
4485
12011
Simple repair of superficial wounds of face, ears, eyelids,

nose, lips and/or mucous membranes; 2.5 cm or less
12011
4486
12013

nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
12013
Subcutaneous injection of filling material (eg, collagen); 1 cc

or less
Subcutaneous injection of filling material (eg, collagen); 1.1
to 5.0 cc
Subcutaneous injection of filling material (eg, collagen); 5.1
to 10.0 cc
Subcutaneous injection of filling material (eg, collagen); over
10.0 cc
Insertion of tissue expander(s) for other than breast,
including subsequent expansion
11950
11951
11952
11954
11960
4487
12014

12014
4488
12015

12015
4489
12016

12016
4490
12017

12017
4491
12018

nose, lips and/or mucous membranes; over 30.0 cm
12018
4492
12020
Treatment of superficial wound dehiscence; simple closure
12020
4493
12021
Treatment of superficial wound dehiscence; with packing
12021
4494
12034

12034
4495
12036

12036
4496
12037

extremities (excluding hands and feet); over 30.0 cm
12037
4497
12041
4498
12042
4499
12044
4500
12045
4501
12046
4502
12047
4503
12051
Repair, intermediate, wounds of face, ears, eyelids, nose,

lips and/or mucous membranes; 25 cm or less
12051
4504
12052

lips and/or mucous membranes; 2.6 cm to 5.0 cm
12052
4505
12053

12053
4506
12054

12054
Repair, intermediate, wounds of neck, hands, feet and/or

external genitalia; 2.5 cm or less
external genitalia; 2.6 cm to 7.5 cm
external genitalia; over 30.0 cm
12041
12042
12044
12045
12046
12047
4507
12055

12055
4508
12056

12056
4509
12057

lips and/or mucous membranes; over 30.0 cm
12057
4510
4511
13100
13101
Repair, complex, trunk; 1.1 cm to 2.5 cm

Repair, complex, trunk; 2.6 cm to 7.5 cm
13100
13101
4512
13102
Repair, complex, trunk; each additional 5 cm or less (List

13102
4513
13120
Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm
13120
4514
13121
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm
13121
4515
13122
Repair, complex, scalp, arms, and/or legs; each additional 5

cm or less (List separately in addition to code for primary
procedure)
13122
4516
13131
Repair, complex, forehead, cheeks, chin, mouth, neck,

axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm
13131
4517
13132

axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm
13132
4518
13133

axillae, genitalia, hands and/or feet; each additional 5 cm or
less (List separately in addition to code for primary
procedure)
13133
4519
13150
4520
13151
4521
13152
4522
13153
Repair, complex, eyelids, nose, ears and/or lips; each

additional 5 cm or less (List separately in addition to code for
primary procedure)
13153
4523
13300
Repair, unusual, complicated, over 7.5 cm, any area
13300
4524
14001
Adjacent tissue transfer or rearrangement, trunk; defect 10.1

sq cm to 30.0 sq cm
14001
4525
14020
Adjacent tissue transfer or rearrangement, scalp, arms

and/or legs; defect 10 sq cm or less
14020
4526
14021
Adjacent tissue transfer or rearrangement, scalp, arms

and/or legs; defect 10.1 sq cm to 30.0 sq cm
14021
Repair, complex, eyelids, nose, ears and/or lips; 1.0 cm or

less
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to
2.5 cm
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to
7.5 cm
13150
13151
13152
4527
14040
Adjacent tissue transfer or rearrangement, forehead,

cheeks, chin, mouth, neck, axillae, genitalia, hands and/or
feet; defect 10 sq cm or less
14040
4528
14041
Adjacent tissue transfer or rearrangement, forehead,

cheeks, chin, mouth, neck, axillae, genitalia, hands and/or
feet; defect 10.1 sq cm to 30.0 sq cm
14041
4529
14060
Adjacent tissue transfer or rearrangement, eyelids, nose,

ears and/or lips; defect 10 sq cm or less
14060
4530
14061
Adjacent tissue transfer or rearrangement, eyelids, nose,

ears and/or lips; defect 10.1 sq cm to 30.0 sq cm
14061
4531
14300
Adjacent tissue transfer or rearrangement, more than 30 sq

cm, unusual or complicated, any area
14300
4532
14301
Adjacent tissue transfer or rearrangement, any area; defect

30.1 sq cm to 60.0 sq cm
14301
4533
14302
Adjacent tissue transfer or rearrangement, any area; each

additional 30.0 sq cm, or part thereof (List separately in
14302
4534
14350
Filleted finger or toe flap, including preparation of recipient

site
14350
15001

contracture; each additional 100 sq cm or each additional
1% of body area of infants and children (List separately in
15001
15002

contracture, trunk, arms, legs; first 100 sq cm or 1% of body
area of infants and children
15002
15003

contracture, trunk, arms, legs; each additional 100 sq cm, or
part thereof, or each additional 1% of body area of infants
and children (List separately in addition to code for primary
procedure)
15003
4535
4536
4537
15004

contracture, face, scalp, eyelids, mouth, neck, ears, orbits,
genitalia, hands, feet and/or multiple digits; first 100 sq cm or
1% of body area of infants and children
15004
4539
15005

contracture, face, scalp, eyelids, mouth, neck, ears, orbits,
genitalia, hands, feet and/or multiple digits; each additional
100 sq cm, or part thereof, or each additional 1% of body
area of infants and children (List separately in addition to
15005
4540
15040
Harvest of skin for tissue cultured skin autograft, 100 sq cm

or less
15040
4541
15100
Split-thickness autograft, trunk, arms, legs; first 100 sq cm or

less, or 1% of body area of infants and children (except
15050)
15100
4542
15101
Split-thickness autograft, trunk, arms, legs; each additional

100 sq cm, or each additional 1% of body area of infants
and children, or part thereof (List separately in addition to
15101
4543
15110
Epidermal autograft, trunk, arms, legs; first 100 sq cm or

less, or 1% of body area of infants and children
15110
4544
15111
Epidermal autograft, trunk, arms, legs; each additional 100

sq cm, or each additional 1% of body area of infants and
children, or part thereof (List separately in addition to code
15111
4545
15115
Epidermal autograft, face, scalp, eyelids, mouth, neck, ears,

orbits, genitalia, hands, feet, and/or multiple digits; first 100
sq cm or less, or 1% of body area of infants and children
15115
15116
Epidermal autograft, face, scalp, eyelids, mouth, neck, ears,

orbits, genitalia, hands, feet, and/or multiple digits; each
additional 100 sq cm, or each additional 1% of body area of
infants and children, or part thereof (List separately in
15116
4538
4546
15120
Split-thickness autograft, face, scalp, eyelids, mouth, neck,

ears, orbits, genitalia, hands, feet, and/or multiple digits; first
100 sq cm or less, or 1% of body area of infants and
children (except 15050)
15120
4548
15121
Split-thickness autograft, face, scalp, eyelids, mouth, neck,

ears, orbits, genitalia, hands, feet, and/or multiple digits;
each additional 100 sq cm, or each additional 1% of body
area of infants and children, or part thereof (List separately
15121
4549
15130
Dermal autograft, trunk, arms, legs; first 100 sq cm or less,

or 1% of body area of infants and children
15130
4550
15131
Dermal autograft, trunk, arms, legs; each additional 100 sq

cm, or each additional 1% of body area of infants and
children, or part thereof (List separately in addition to code
15131
4551
15135
Dermal autograft, face, scalp, eyelids, mouth, neck, ears,

orbits, genitalia, hands, feet, and/or multiple digits; first 100
sq cm or less, or 1% of body area of infants and children
15135
4552
15136
Dermal autograft, face, scalp, eyelids, mouth, neck, ears,

orbits, genitalia, hands, feet, and/or multiple digits; each
15136
4553
15150
Tissue cultured epidermal autograft, trunk, arms, legs; first

25 sq cm or less
15150
4554
15151
Tissue cultured epidermal autograft, trunk, arms, legs;

additional 1 sq cm to 75 sq cm (List separately in addition to
15151
4555
15152
Tissue cultured epidermal autograft, trunk, arms, legs; each

15152
4556
15155
Tissue cultured epidermal autograft, face, scalp, eyelids,

mouth, neck, ears, orbits, genitalia, hands, feet, and/or
multiple digits; first 25 sq cm or less
15155
4547
15156

multiple digits; additional 1 sq cm to 75 sq cm (List
15156
4558
15157

multiple digits; each additional 100 sq cm, or each additional
1% of body area of infants and children, or part thereof (List
15157
4559
15170
Acellular dermal replacement, trunk, arms, legs; first 100 sq

cm or less, or 1% of body area of infants and children
15170
15171
Acellular dermal replacement, trunk, arms, legs; each

15171
15175
Acellular dermal replacement, face, scalp, eyelids, mouth,

neck, ears, orbits, genitalia, hands, feet, and/or multiple
digits; first 100 sq cm or less, or 1% of body area of infants
and children
15175
4562
15176
Acellular dermal replacement, face, scalp, eyelids, mouth,

neck, ears, orbits, genitalia, hands, feet, and/or multiple
digits; each additional 100 sq cm, or each additional 1% of
body area of infants and children, or part thereof (List
15176
4563
15200
Full thickness graft, free, including direct closure of donor

site, trunk; 20 sq cm or less
15200
4564
15201

site, trunk; each additional 20 sq cm, or part thereof (List
15201
4565
15220

site, scalp, arms, and/or legs; 20 sq cm or less
15220
4566
15221

site, scalp, arms, and/or legs; each additional 20 sq cm, or
part thereof (List separately in addition to code for primary
procedure)
15221
4567
15240

site, forehead, cheeks, chin, mouth, neck, axillae, genitalia,
hands, and/or feet; 20 sq cm or less
15240
4557
4560
4561
4568
15241

site, forehead, cheeks, chin, mouth, neck, axillae, genitalia,
hands, and/or feet; each additional 20 sq cm, or part thereof
4569
15260

site, nose, ears, eyelids, and/or lips; 20 sq cm or less
15260
4570
15261

site, nose, ears, eyelids, and/or lips; each additional 20 sq
cm, or part thereof (List separately in addition to code for
primary procedure)
15261
4571
15300
Allograft skin for temporary wound closure, trunk, arms, legs;

first 100 sq cm or less, or 1% of body area of infants and
children
15300
15301
Allograft skin for temporary wound closure, trunk, arms, legs;

15301
15320
Allograft skin for temporary wound closure, face, scalp,

eyelids, mouth, neck, ears, orbits, genitalia, hands, feet,
and/or multiple digits; first 100 sq cm or less, or 1% of body
15320
4574
15321
Allograft skin for temporary wound closure, face, scalp,

and/or multiple digits; each additional 100 sq cm, or each
additional 1% of body area of infants and children, or part
procedure)
15321
4575
15330
Acellular dermal allograft, trunk, arms, legs; first 100 sq cm

or less, or 1% of body area of infants and children
15330
15331
Acellular dermal allograft, trunk, arms, legs; each additional

100 sq cm, or each additional 1% of body area of infants
and children, or part thereof (List separately in addition to
15331
15335
Acellular dermal allograft, face, scalp, eyelids, mouth, neck,

ears, orbits, genitalia, hands, feet, and/or multiple digits; first
100 sq cm or less, or 1% of body area of infants and
children
15335
4572
4573
4576
4577
15241
4578
15336
Acellular dermal allograft, face, scalp, eyelids, mouth, neck,

ears, orbits, genitalia, hands, feet, and/or multiple digits;
4579
15340
Tissue cultured allogeneic skin substitute; first 25 sq cm or

less
15340
4580
15341
Tissue cultured allogeneic skin substitute; each additional 25

sq cm, or part thereof (List separately in addition to code for
primary procedure)
15341
4581
15342
Application of bilaminate skin substitute/neodermis; 25 sq

cm
15342
4582
15343
Application of bilaminate skin substitute/neodermis; each

additional 25 sq cm (List separately in addition to code for
primary procedure)
15343
4583
15351
Application of allograft, skin; each additional 100 sq cm (List

15351
4584
15360
Tissue cultured allogeneic dermal substitute, trunk, arms,

legs; first 100 sq cm or less, or 1% of body area of infants
and children
15360
15361
Tissue cultured allogeneic dermal substitute, trunk, arms,

legs; each additional 100 sq cm, or each additional 1% of
body area of infants and children, or part thereof (List
15361
15365
Tissue cultured allogeneic dermal substitute, face, scalp,

and/or multiple digits; first 100 sq cm or less, or 1% of body
15365
15366
Tissue cultured allogeneic dermal substitute, face, scalp,

and/or multiple digits; each additional 100 sq cm, or each
procedure)
15366
4588
15401
Xenograft, skin (dermal), for temporary wound closure,

trunk, arms, legs; each additional 100 sq cm, or each
procedure)
15401
4589
15410
Free transplantation of skin flap by microsurgical technique,

including microvascular anastomosis; 100 sq cm or less
15410
4585
4586
4587
15336
15420
Xenograft skin (dermal), for temporary wound closure, face,

scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands,
feet, and/or multiple digits; first 100 sq cm or less, or 1% of
body area of infants and children
15420
4591
15421
Xenograft skin (dermal), for temporary wound closure, face,

scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands,
feet, and/or multiple digits; each additional 100 sq cm, or
each additional 1% of body area of infants and children, or
procedure)
15421
4592
15430
Acellular xenograft implant; first 100 sq cm or less, or 1% of

body area of infants and children
15430
4593
15431
Acellular xenograft implant; each additional 100 sq cm, or

each additional 1% of body area of infants and children, or
procedure)
15431
4594
15500
Formation of tube pedicle without transfer, or major "delay"

of large flap without transfer; on trunk
15500
4595
15540
Primary attachment of open or tubed pedicle flap to recipient

site requiring minimal preparation; to trunk
15540
4596
15572

scalp, arms, or legs
15572
4597
15574

forehead, cheeks, chin, mouth, neck, axillae, genitalia,
hands or feet
15574
4598
15576

eyelids, nose, ears, lips, or intraoral
15576
4599
15580
Cross finger flap, including free graft to donor site
15580
4600
15610

scalp, arms, or legs
15610
4601
15620
4602
15625
4603
15630

eyelids, nose, ears, or lips
15630
4604
15700
Excision of lesion and/or excisional preparation of recipient

site and attachment of direct or tubed pedicle flap; trunk
15700
4590

forehead, cheeks, chin, neck, axillae, genitalia, hands, or
feet
Delay of flap or sectioning of flap (division and inset); section
pedicle of cross finger flap
15620
15625
4605
15731
Forehead flap with preservation of vascular pedicle (eg, axial

pattern flap, paramedian forehead flap)
15731
4606
15734
Muscle, myocutaneous, or fasciocutaneous flap; trunk
15734
4607
15736
4608
15738
4609
4610
4611
4612
4613
15745
15750
15755
15757
15758
4614
15760
Graft; composite (eg, full thickness of external ear or nasal

ala), including primary closure, donor area
15760
4615
15770
Graft; derma-fat-fascia
15770
4616
15775
Punch graft for hair transplant; 1 to 15 punch grafts
15775
4617
15776
Punch graft for hair transplant; more than 15 punch grafts
15776
4618
4619
15781
15782
Dermabrasion; segmental, face

Dermabrasion; regional, other than face
15781
15782
4620
15783
Dermabrasion; superficial, any site (eg, tattoo removal)
15783
4621
15786
Abrasion; single lesion (eg, keratosis, scar)
15786
4622
15787
Abrasion; each additional 4 lesions or less (List separately in

15787
4623
4624
4625
4626
4627
4628
4629
15788
15789
15790
15792
15793
15810
15811
4630
15821
4631
15823
4632
15825
4633
4634
15826
15828
4635
15829
4636
15830

lipectomy); abdomen, infraumbilical panniculectomy
15830
4637
15832

lipectomy); thigh
15832
Muscle, myocutaneous, or fasciocutaneous flap; upper

extremity
Muscle, myocutaneous, or fasciocutaneous flap; lower
extremity
Graft; myocutaneous flap
Flap; neurovascular pedicle
Free flap (microvascular transfer)
Free skin flap with microvascular anastomosis
Free fascial flap with microvascular anastomosis
Chemical peel, facial; epidermal

Chemical peel, facial; dermal
Chemical peel (chemexfoliation); total face
Chemical peel, nonfacial; epidermal
Chemical peel, nonfacial; dermal
Salabrasion; 20 sq cm or less
Salabrasion; over 20 sq cm
Blepharoplasty, lower eyelid; with extensive herniated fat
pad
Blepharoplasty, upper eyelid; with excessive skin weighting
down lid
Rhytidectomy; neck with platysmal tightening (platysmal flap,
P-flap)
Rhytidectomy; glabellar frown lines
Rhytidectomy; cheek, chin, and neck
Rhytidectomy; superficial musculoaponeurotic system
(SMAS) flap
15736
15738
15745
15750
15755
15757
15758
15788
15789
15790
15792
15793
15810
15811
15821
15823
15825
15826
15828
15829

lipectomy); leg
lipectomy); hip
lipectomy); buttock
lipectomy); arm
lipectomy); forearm or hand
lipectomy); submental fat pad
lipectomy); other area
Graft for facial nerve paralysis; free muscle graft (including
obtaining graft)
Graft for facial nerve paralysis; free muscle flap by
microsurgical technique
4638
15833
4639
15834
4640
15835
4641
15836
4642
15837
4643
15838
4644
15839
4645
15841
4646
15842
4647
15845
Graft for facial nerve paralysis; regional muscle transfer
15845
4648
15847

lipectomy), abdomen (eg, abdominoplasty) (includes
umbilical transposition and fascial plication) (List separately
15847
4649
15860
Intravenous injection of agent (eg, fluorescein) to test

vascular flow in flap or graft
15860
4650
15875
Suction assisted lipectomy, any site(s)
15875
4651
15922
4652
15931
Excision, coccygeal pressure ulcer, with coccygectomy; with

flap closure
Excision, sacral pressure ulcer, with primary suture;
4653
15934
Excision, sacral pressure ulcer, with skin flap closure;
4654
15935
4655
15936
4656
15937
Excision, sacral pressure ulcer, in preparation for muscle or

myocutaneous flap or skin graft closure; with ostectomy
15937
4657
15940
Excision, ischial pressure ulcer, with primary suture;
15940
4658
15941
Excision, ischial pressure ulcer, with primary suture; with

ostectomy (ischiectomy)
15941
4659
15944
Excision, ischial pressure ulcer, with skin flap closure;
15944
4660
15945
4661
15946
Excision, sacral pressure ulcer, with skin flap closure; with

ostectomy
Excision, sacral pressure ulcer, in preparation for muscle or
myocutaneous flap or skin graft closure;
Excision, ischial pressure ulcer, with skin flap closure; with

ostectomy
Excision, ischial pressure ulcer, with ostectomy, in
preparation for muscle or myocutaneous flap or skin graft
closure
15833
15834
15835
15836
15837
15838
15839
15841
15842
15922
15931
15934
15935
15936
15945
15946
4662
15950
Excision, trochanteric pressure ulcer, with primary suture;
15950
4663
15951
Excision, trochanteric pressure ulcer, with primary suture;

with ostectomy
15951
4664
15952
Excision, trochanteric pressure ulcer, with skin flap closure;
15952
4665
15953
4666
15954
4667
15956
4668
15958
4669
15960
Excision, heel pressure ulcer, with primary suture
15960
4670
15999
Unlisted procedure, excision pressure ulcer
15999
4671
16015
Dressings and/or debridement, initial or subsequent; under

anesthesia, medium or large, or with major debridement
16015
4672
16020
Dressings and/or debridement of partial-thickness burns,

initial or subsequent; small (less than 5% total body surface
area)
16020
4673
16025

initial or subsequent; medium (eg, whole face or whole
extremity, or 5% to 10% total body surface area)
16025
4674
16030

initial or subsequent; large (eg, more than 1 extremity, or
greater than 10% total body surface area)
16030
4675
16036
Escharotomy; each additional incision (List separately in

16036
17001
Destruction by any method, including laser, with or without

surgical curettement, all benign facial lesions or
premalignant lesions in any location, or benign lesions other
than cutaneous vascular proliferative lesions, including local
anesthesia; second and third lesions, each
17001
4677
17003

(eg, actinic keratoses); second through 14 lesions, each (List
separately in addition to code for first lesion)
17003
4678
17004

(eg, actinic keratoses), 15 or more lesions
17004
4676
Excision, trochanteric pressure ulcer, with skin flap closure;

with ostectomy
Excision, trochanteric pressure ulcer, with bipedicle flap
closure
Excision, trochanteric pressure ulcer, in preparation for
muscle or myocutaneous flap or skin graft closure;
Excision, trochanteric pressure ulcer, in preparation for
muscle or myocutaneous flap or skin graft closure; with
ostectomy
15953
15954
15956
15958
17010
Destruction by any method, including laser, with or without

surgical curettement, all benign facial lesions or
premalignant lesions in any location, or benign lesions other
than cutaneous vascular proliferative lesions, including local
anesthesia; complicated lesion(s)
17010
4680
17100
Destruction by any method, including laser, of benign skin

lesions other than cutaneous vascular proliferative lesions
on any area other than the face, including local anesthesia;
one lesion
17100
4681
17106
Destruction of cutaneous vascular proliferative lesions (eg,

laser technique); less than 10 sq cm
17106
4682
17107

laser technique); 10.0 to 50.0 sq cm
17107
4683
17108

laser technique); over 50.0 sq cm
17108
17110

chemosurgery, surgical curettement), of benign lesions other
than skin tags or cutaneous vascular proliferative lesions; up
to 14 lesions
17110
4685
17111

chemosurgery, surgical curettement), of benign lesions other
than skin tags or cutaneous vascular proliferative lesions; 15
or more lesions
17111
4686
17200
Electrosurgical destruction of multiple fibrocutaneous tags;

up to 15 lesions
17200
17261

curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0
cm
17261
17262

cm
17262
17263

cm
17263
17264

cm
17264
17266

curettement), trunk, arms or legs; lesion diameter over 4.0
cm
17266
4679
4684
4687
4688
4689
4690
4691
4692
4693
4694
4695
4696
4697
4698
4699
4700
4701
4702
4703
17270

curettement), scalp, neck, hands, feet, genitalia; lesion
diameter 0.5 cm or less
17270
17271

17271
17272

17272
17273

17273
17274

17274
17276

diameter over 4.0 cm
17276
17280

curettement), face, ears, eyelids, nose, lips, mucous
membrane; lesion diameter 0.5 cm or less
17280
17281

membrane; lesion diameter 0.6 to 1.0 cm
17281
17282

17282
17283

17283
17284

17284
17286

membrane; lesion diameter over 4.0 cm
17286
4704
4705
4706
4707
4708
4709
17303
Chemosurgery (Mohs' micrographic technique), first stage,

fixed tissue technique including removal of all gross tumor
and application of fixative
17303
17305

routine stain (eg, hematoxylin and eosin, toluidine blue);
second stage, fixed or fresh tissue, up to 5 specimens
17305
17306

third stage, fixed or fresh tissue, up to 5 specimens
17306
17307

additional stage(s), up to 5 specimens, each stage
17307
17310

each additional specimen, after the first 5 specimens, fixed
or fresh tissue, any stage (List separately in addition to code
17310
17311
Mohs micrographic technique, including removal of all gross

tumor, surgical excision of tissue specimens, mapping, color
coding of specimens, microscopic examination of specimens
by the surgeon, and histopathologic preparation including
routine stain(s) (eg, hematoxylin and eosin, toluidine blue),
head, neck, hands, feet, genitalia, or any location with
surgery directly involving muscle, cartilage, bone, tendon,
major nerves, or vessels; first stage, up to 5 tissue blocks
17311
17312

head, neck, hands, feet, genitalia, or any location with
surgery directly involving muscle, cartilage, bone, tendon,
major nerves, or vessels; each additional stage after the first
stage, up to 5 tissue blocks (List separately in addition to
17312
17313

of the trunk, arms, or legs; first stage, up to 5 tissue blocks
17313
17314

of the trunk, arms, or legs; each additional stage after the
first stage, up to 5 tissue blocks (List separately in addition
17314
4713
17315

each additional block after the first 5 tissue blocks, any stage
17315
4714
17380
4715
17999
4716
19001
4717
19105
4718
19110
4719
19112
4710
4711
4712
Electrolysis epilation, each 30 minutes

Unlisted procedure, skin, mucous membrane and
subcutaneous tissue
Puncture aspiration of cyst of breast; each additional cyst
Ablation, cryosurgical, of fibroadenoma, including ultrasound
guidance, each fibroadenoma
Nipple exploration, with or without excision of a solitary
lactiferous duct or a papilloma lactiferous duct
Excision of lactiferous duct fistula
17380
17999
19001
19105
19110
19112
19125
Excision of breast lesion identified by preoperative

placement of radiological marker, open; single lesion
19125
4721
19126
Excision of breast lesion identified by preoperative

placement of radiological marker, open; each additional
lesion separately identified by a preoperative radiological
marker (List separately in addition to code for primary
procedure)
19126
4722
19240
Mastectomy, modified radical, including axillary lymph

nodes, with or without pectoralis minor muscle, but excluding
pectoralis major muscle
19240
4723
19271
Excision of chest wall tumor involving ribs, with plastic

reconstruction; without mediastinal lymphadenectomy
19271
4724
19291
Preoperative placement of needle localization wire, breast;

each additional lesion (List separately in addition to code for
primary procedure)
19291
4725
19295
Image guided placement, metallic localization clip,

percutaneous, during breast biopsy/aspiration (List
19295
19296
Placement of radiotherapy afterloading expandable catheter

(single or multichannel) into the breast for interstitial
radioelement application following partial mastectomy,
includes imaging guidance; on date separate from partial
mastectomy
19296
19297
Placement of radiotherapy afterloading expandable catheter

(single or multichannel) into the breast for interstitial
radioelement application following partial mastectomy,
includes imaging guidance; concurrent with partial
mastectomy (List separately in addition to code for primary
procedure)
19297
4728
19298
Placement of radiotherapy afterloading brachytherapy

catheters (multiple tube and button type) into the breast for
interstitial radioelement application following (at the time of
or subsequent to) partial mastectomy, includes imaging
guidance
19298
4729
4730
19300
19300
4731
19301
4732
19302
4733
4734
19303
19304
4735
19305
4736
19306
4720
4726
4727

quadrantectomy, segmentectomy);
quadrantectomy, segmentectomy); with axillary
lymphadenectomy
Mastectomy, simple, complete
Mastectomy, subcutaneous
Mastectomy, radical, including pectoral muscles, axillary
lymph nodes
Mastectomy, radical, including pectoral muscles, axillary and
internal mammary lymph nodes (Urban type operation)
19300
19300
19301
19302
19303
19304
19305
19306
Mastectomy, modified radical, including axillary lymph

nodes, with or without pectoralis minor muscle, but excluding
pectoralis major muscle
Removal of mammary implant material
Delayed insertion of breast prosthesis following mastopexy,
mastectomy or in reconstruction
Breast reconstruction with muscle or myocutaneous flap
4737
19307
4738
19330
4739
19342
4740
19360
4741
19362
Breast reconstruction with transverse rectus abdominis flap

(TRAM), including closure of donor site, single or double
pedicle, with or without microvascular anastomosis
19362
4742
19367
Breast reconstruction with transverse rectus abdominis

myocutaneous flap (TRAM), single pedicle, including closure
of donor site;
19367
4743
19368

myocutaneous flap (TRAM), single pedicle, including closure
of donor site; with microvascular anastomosis
(supercharging)
19368
4744
19369
4745
4746
19396
19499
4747
20101
4748
20102
4749
20103
4750
20150
4751
4752
20205
20206
4753
20225
4754
20240
Biopsy, bone, open; superficial (eg, ilium, sternum, spinous

process, ribs, trochanter of femur)
20240
4755
20245
Biopsy, bone, open; deep (eg, humerus, ischium, femur)
20245
4756
4757
4758
20250
20251
20501
20250
20251
20501
4759
20525
4760
20526
4761
20550
4762
20551
4763
20552
Biopsy, vertebral body, open; thoracic

Biopsy, vertebral body, open; lumbar or cervical
Injection of sinus tract; diagnostic (sinogram)
Removal of foreign body in muscle or tendon sheath; deep
or complicated
Injection, therapeutic (eg, local anesthetic, corticosteroid),
carpal tunnel
Injection(s); single tendon sheath, or ligament, aponeurosis
(eg, plantar "fascia")
Injection(s); single tendon origin/insertion
Injection(s); single or multiple trigger point(s), 1 or 2
muscle(s)

myocutaneous flap (TRAM), double pedicle, including
closure of donor site
Preparation of moulage for custom breast implant
Unlisted procedure, breast
Exploration of penetrating wound (separate procedure);
chest
abdomen/flank/back
extremity
Excision of epiphyseal bar, with or without autogenous soft
tissue graft obtained through same fascial incision
Biopsy, muscle; deep
Biopsy, muscle, percutaneous needle
Biopsy, bone, trocar, or needle; deep (eg, vertebral body,
femur)
19307
19330
19342
19360
19369
19396
19499
20101
20102
20103
20150
20205
20206
20225
20525
20526
20550
20551
20552
4764
20553
Injection(s); single or multiple trigger point(s), 3 or more

muscle(s)
20553
4765
20555
Placement of needles or catheters into muscle and/or soft

tissue for subsequent interstitial radioelement application (at
the time of or subsequent to the procedure)
20555
4766
20612
Aspiration and/or injection of ganglion cyst(s) any location
20612
4767
4768
20662
20663
Application of halo, including removal; pelvic

Application of halo, including removal; femoral
20662
20663
4769
20665
Removal of tongs or halo applied by another physician
20665
4770
20693
Adjustment or revision of external fixation system requiring

anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or
bar[s])
20693
20696
Application of multiplane (pins or wires in more than 1

plane), unilateral, external fixation with stereotactic
computer-assisted adjustment (eg, spatial frame), including
imaging; initial and subsequent alignment(s), assessment(s),
and computation(s) of adjustment schedule(s)
20696
4772
20697
Application of multiplane (pins or wires in more than 1

plane), unilateral, external fixation with stereotactic
computer-assisted adjustment (eg, spatial frame), including
imaging; exchange (ie, removal and replacement) of strut,
each
20697
4773
20804
Replantation, arm (includes surgical neck of humerus

through elbow joint); incomplete amputation (devascularized
extremity with soft tissue pedicle)
20804
4774
20806
Replantation, forearm (includes radius and ulna to radial

carpal joint); incomplete amputation (devascularized
20806
4775
20812
Replantation, hand (includes hand through

metacarpophalangeal joints); incomplete amputation
(devascularized extremity with soft tissue pedicle)
20812
4776
20820
Replantation, digit, excluding thumb (includes

metacarpophalangeal joint to insertions of flexor sublimis
tendon); incomplete amputation (devascularized extremity
with soft tissue pedicle)
20820
4777
20822
Replantation, digit, excluding thumb (includes distal tip to

sublimis tendon insertion), complete amputation
20822
4778
20823
Replantation, digit, excluding thumb (includes distal tip to

sublimis tendon insertion); incomplete amputation
(devascularized extremity with soft tissue pedicle)
20823
4771
Replantation, thumb (includes carpometacarpal joint to MP

joint); incomplete amputation (devascularized extremity with
soft tissue pedicle)
4779
20826
4780
20827
4781
20828
4782
20832
4783
20834
4784
20840
4785
4786
4787
20902
20912
20920
4788
20922
4789
20924
4790
20930
Allograft for spine surgery only; morselized (List separately

20930
4791
20931
Allograft for spine surgery only; structural (List separately in

20931
4792
20936
Autograft for spine surgery only (includes harvesting the

graft); local (eg, ribs, spinous process, or laminar fragments)
obtained from same incision (List separately in addition to
20936
4793
20937

graft); morselized (through separate skin or fascial incision)
20937
4794
20938

graft); structural, bicortical or tricortical (through separate
skin or fascial incision) (List separately in addition to code for
primary procedure)
20938
4795
20956
Bone graft with microvascular anastomosis; iliac crest
20956
4796
20957
Bone graft with microvascular anastomosis; metatarsal
20957
4797
20960
20960
4798
20962
4799
20970
4800
20971
Bone graft with microvascular anastomosis; rib

Bone graft with microvascular anastomosis; other than
fibula, iliac crest, or metatarsal
iliac crest
rib
Replantation, thumb (includes distal tip to MP joint),

complete amputation
Replantation, thumb (includes distal tip to MP joint);
incomplete amputation (devascularized extremity with soft
tissue pedicle)
Replantation, leg; complete amputation
Replantation, leg; incomplete amputation (devascularized
Replantation, foot; incomplete amputation (devascularized
Bone graft, any donor area; major or large
Cartilage graft; nasal septum
Fascia lata graft; by stripper
Fascia lata graft; by incision and area exposure, complex or
sheet
Tendon graft, from a distance (eg, palmaris, toe extensor,
plantaris)
20826
20827
20828
20832
20834
20840
20902
20912
20920
20922
20924
20962
20970
20971

metatarsal
great toe with web space
Electrical stimulation to aid bone healing; percutaneous
insertion of electrodes
4801
20972
4802
20973
4803
20976
4804
20979
Low intensity ultrasound stimulation to aid bone healing,

noninvasive (nonoperative)
20979
4805
20982
Ablation, bone tumor(s) (eg, osteoid osteoma, metastasis)

radiofrequency, percutaneous, including computed
tomographic guidance
20982
4806
20985
Computer-assisted surgical navigational procedure for

musculoskeletal procedures, image-less (List separately in
20985
20986

musculoskeletal procedures; with image guidance based on
intraoperatively obtained images (eg, fluoroscopy,
ultrasound) (List separately in addition to code for primary
procedure)
20986
4808
20987

musculoskeletal procedures; with image guidance based on
preoperative images (List separately in addition to code for
primary procedure)
20987
4809
20999
Unlisted procedure, musculoskeletal system, general
20999
4810
21011
21011
4811
21011
4812
21012
Arthrotomy, temporomandibular joint; bilateral

Excision, tumor, soft tissue of face or scalp, subcutaneous;
less than 2 cm
Excision, tumor, soft tissue of face or scalp, subcutaneous; 2
cm or greater
4813
21013
Excision, tumor, soft tissue of face and scalp, subfascial (eg,

subgaleal, intramuscular); less than 2 cm
21013
4814
21014
Excision, tumor, soft tissue of face and scalp, subfascial (eg,

subgaleal, intramuscular); 2 cm or greater
21014
4815
21016

tissue of face or scalp; 2 cm or greater
21016
4816
21029
4817
21032
Removal by contouring of benign tumor of facial bone (eg,

fibrous dysplasia)
Excision of maxillary torus palatinus
4818
21041
Excision of benign cyst or tumor of mandible; complex
21041
4819
21046
Excision of benign tumor or cyst of mandible; requiring intraoral osteotomy (eg, locally aggressive or destructive
lesion(s))
21046
4807
20972
20973
20976
21011
21012
21029
21032
4820
21047
Excision of benign tumor or cyst of mandible; requiring extraoral osteotomy and partial mandibulectomy (eg, locally
aggressive or destructive lesion(s))
21047
4821
21048
Excision of benign tumor or cyst of maxilla; requiring intraoral osteotomy (eg, locally aggressive or destructive
lesion(s))
21048
4822
21049
Excision of benign tumor or cyst of maxilla; requiring extraoral osteotomy and partial maxillectomy (eg, locally
aggressive or destructive lesion(s))
21049
4823
21071
Coronoidectomy (separate procedure); bilateral
21071
4824
21073
Manipulation of temporomandibular joint(s) (TMJ),

therapeutic, requiring an anesthesia service (ie, general or
monitored anesthesia care)
21073
4825
21077
4826
21079
4827
21080
4828
21081
4829
21082
4830
Impression and custom preparation; orbital prosthesis

Impression and custom preparation; interim obturator
prosthesis
Impression and custom preparation; definitive obturator
prosthesis
Impression and custom preparation; mandibular resection
prosthesis
Impression and custom preparation; palatal augmentation
prosthesis
21077
21083
Impression and custom preparation; palatal lift prosthesis
21083
4831
21084
Impression and custom preparation; speech aid prosthesis
21084
4832
21085
Impression and custom preparation; oral surgical splint
21085
4833
4834
4835
4836
21086
21087
21088
21089
Impression and custom preparation; auricular prosthesis

Impression and custom preparation; nasal prosthesis
Impression and custom preparation; facial prosthesis
Unlisted maxillofacial prosthetic procedure
21086
21087
21088
21089
4837
21100
Application of halo type appliance for maxillofacial fixation,

includes removal (separate procedure)
21100
4838
21116
Injection procedure for temporomandibular joint arthrography
21116
4839
21121
21121
4840
21122
4841
21123
Genioplasty; sliding osteotomy, single piece

Genioplasty; sliding osteotomies, 2 or more osteotomies (eg,
wedge excision or bone wedge reversal for asymmetrical
chin)
Genioplasty; sliding, augmentation with interpositional bone
grafts (includes obtaining autografts)
4842
21127
Augmentation, mandibular body or angle; with bone graft,

onlay or interpositional (includes obtaining autograft)
21127
4843
21137
Reduction forehead; contouring only
21137
4844
21138
Reduction forehead; contouring and application of prosthetic

material or bone graft (includes obtaining autograft)
21138
21079
21080
21081
21082
21122
21123
4845
21139
Reduction forehead; contouring and setback of anterior

frontal sinus wall
21139
4846
21142
Reconstruction midface, LeFort I; 2 pieces, segment

movement in any direction, without bone graft
21142
4847
21143
Reconstruction midface, LeFort I; 3 or more pieces, segment

movement in any direction, without bone graft
21143
4848
21144
Reconstruction midface, LeFort I; intrusion, single piece (eg,

for long Face Syndrome)
21144
4849
21145
Reconstruction midface, LeFort I; single piece, segment

movement in any direction, requiring bone grafts (includes
obtaining autografts)
21145
4850
21146
Reconstruction midface, LeFort I; 2 pieces, segment

obtaining autografts) (eg, ungrafted unilateral alveolar cleft)
21146
4851
21147
Reconstruction midface, LeFort I; 3 or more pieces, segment

obtaining autografts) (eg, ungrafted bilateral alveolar cleft or
multiple osteotomies)
21147
4852
21151
Reconstruction midface, LeFort II; any direction, requiring

bone grafts (includes obtaining autografts)
21151
4853
21159
Reconstruction midface, LeFort III (extra and intracranial)

with forehead advancement (eg, mono bloc), requiring bone
grafts (includes obtaining autografts); without LeFort I
21159
4854
21160
Reconstruction midface, LeFort III (extra and intracranial)

with forehead advancement (eg, mono bloc), requiring bone
grafts (includes obtaining autografts); with LeFort I
21160
4855
21180
Reconstruction, entire or majority of forehead and/or

supraorbital rims; with autograft (includes obtaining grafts)
21180
4856
21181
Reconstruction by contouring of benign tumor of cranial

bones (eg, fibrous dysplasia), extracranial
21181
21182
Reconstruction of orbital walls, rims, forehead, nasoethmoid

complex following intra- and extracranial excision of benign
tumor of cranial bone (eg, fibrous dysplasia), with multiple
autografts (includes obtaining grafts); total area of bone
grafting less than 40 sq cm
21182
4857
21183

grafting greater than 40 sq cm but less than 80 sq cm
21183
4859
21184

grafting greater than 80 sq cm
21184
4860
21196
4861
21199
4862
21200
4863
21204
4864
4865
21209
21215
4866
21235
4867
4858
Reconstruction of mandibular rami and/or body, sagittal split;

with internal rigid fixation
Osteotomy, mandible, segmental; with genioglossus
advancement
Osteotomy (eg, for prognathism, micrognathism,
apertognathism or for reconstruction); mandible, total or
horizontal
Osteotomy (eg, for prognathism, micrognathism,
apertognathism or for reconstruction); maxilla, total
21196
21199
21200
21204
Osteoplasty, facial bones; reduction

Graft, bone; mandible (includes obtaining graft)
Graft; ear cartilage, autogenous, to nose or ear (includes
obtaining graft)
21209
21215
21242
Arthroplasty, temporomandibular joint, with allograft
21242
4868
21246
Reconstruction of mandible or maxilla, subperiosteal

implant; complete
21246
4869
21249
Reconstruction of mandible or maxilla, endosteal implant

(eg, blade, cylinder); complete
21249
4870
21250
4871
21260
4872
21261
4873
21263
4874
21267
4875
21268
Orbital repositioning, periorbital osteotomies, unilateral, with

bone grafts; combined intra- and extracranial approach
21268
4876
4877
21280
21282
Medial canthopexy (separate procedure)

Lateral canthopexy
21280
21282
4878
21295
Reduction of masseter muscle and bone (eg, for treatment

of benign masseteric hypertrophy); extraoral approach
21295
Osteoplasty of maxilla and/or other facial bones for midface

hypoplasia or retrusion (LeFort type operation); without bone
graft
Periorbital osteotomies for orbital hypertelorism, with bone
grafts; extracranial approach
grafts; combined intra- and extracranial approach
grafts; with forehead advancement
Orbital repositioning, periorbital osteotomies, unilateral, with
bone grafts; extracranial approach
21235
21250
21260
21261
21263
21267
4879
21296
Reduction of masseter muscle and bone (eg, for treatment

of benign masseteric hypertrophy); intraoral approach
21296
4880
21299
Unlisted craniofacial and maxillofacial procedure
21299
4881
21320
Closed treatment of nasal bone fracture; with stabilization
21320
4882
21330
4883
21335
4884
21339
4885
21344
4886
21348

type); with bone grafting (includes obtaining graft)
21348
4887
21366

cranial nerve foramina) fracture(s) of malar area, including
zygomatic arch and malar tripod; with bone grafting (includes
obtaining graft)
21366
4888
21386
4889
21387
4890
21390
Open treatment of orbital floor blowout fracture; periorbital

approach, with alloplastic or other implant
21390
4891
21395

approach with bone graft (includes obtaining graft)
21395
4892
21401
4893
21407
4894
21408
4895
21423
4896
21433

complicated (eg, comminuted or involving cranial nerve
foramina), multiple surgical approaches
21433
21435

complicated, utilizing internal and/or external fixation
techniques (eg, head cap, halo device, and/or intermaxillary
fixation)
21435
4897
Open treatment of nasal fracture; complicated, with internal

and/or external skeletal fixation
Open treatment of nasal fracture; with concomitant open
treatment of fractured septum
Open treatment of nasoethmoid fracture; with external
fixation
posterior wall) frontal sinus fracture, via coronal or multiple
approaches

approach
Open treatment of orbital floor blowout fracture; combined
approach
Closed treatment of fracture of orbit, except blowout; with

manipulation
Open treatment of fracture of orbit, except blowout; with
implant
Open treatment of fracture of orbit, except blowout; with
bone grafting (includes obtaining graft)
Open treatment of palatal or maxillary fracture (LeFort I
type); complicated (comminuted or involving cranial nerve
foramina), multiple approaches
21330
21335
21339
21344
21386
21387
21401
21407
21408
21423
4898
21436

complicated, multiple surgical approaches, internal fixation,
with bone grafting (includes obtaining graft)
21436
4899
21451
Closed treatment of mandibular fracture; with manipulation
21451
4900
21455
4901
21485
4902
21494
Closed treatment of hyoid fracture; with manipulation
21494
4903
4904
21497
21499
Interdental wiring, for condition other than fracture

Unlisted musculoskeletal procedure, head
21497
21499
4905
21502
Incision and drainage, deep abscess or hematoma, soft

tissues of neck or thorax; with partial rib ostectomy
21502
4906
21550
4907
21552
4908
21554
4909
21556
4910
21557

tissue of neck or anterior thorax; less than 5 cm
21557
4911
21558

tissue of neck or anterior thorax; 5 cm or greater
21558
4912
21615
Excision first and/or cervical rib;
21615
4913
21616
Excision first and/or cervical rib; with sympathectomy
21616
4914
21632
4915
4916
21633
21685
Radical resection of sternum; with mediastinal

lymphadenectomy
Radical resection of sternum; for osteomyelitis
Hyoid myotomy and suspension
4917
21705
Division of scalenus anticus; with resection of cervical rib
4918
21725
4919
21742
4920
21743
4921
21899

minimally invasive approach (Nuss procedure), with
thoracoscopy
Unlisted procedure, neck or thorax
4922
21920
Biopsy, soft tissue of back or flank; superficial
21920
4923
21925
Biopsy, soft tissue of back or flank; deep
21925
Closed manipulative treatment by interdental fixation of

closed or open mandibular fracture
Closed treatment of temporomandibular dislocation;
complicated (eg, recurrent requiring intermaxillary fixation or
splinting), initial or subsequent
Biopsy, soft tissue of neck or thorax

subcutaneous; 3 cm or greater
subfascial (eg, intramuscular); 5 cm or greater
subfascial (eg, intramuscular); less than 5 cm
Division of sternocleidomastoid for torticollis, open operation;

with cast application
minimally invasive approach (Nuss procedure), without
thoracoscopy
21455
21485
21550
21552
21554
21556
21632
21633
21685
21705
21725
21742
21743
21899
Excision, tumor, soft tissue of back or flank, subcutaneous; 3

cm or greater
Excision, tumor, soft tissue of back or flank, subfascial (eg,
intramuscular); less than 5 cm
4924
21931
21931
4925
21932
4926
21933
Excision, tumor, soft tissue of back or flank, subfascial (eg,

intramuscular); 5 cm or greater
21933
4927
21936

tissue of back or flank; 5 cm or greater
21936
4928
22010
Incision and drainage, open, of deep abscess (subfascial),

posterior spine; cervical, thoracic, or cervicothoracic
22010
4929
22010

posterior spine; cervical, thoracic, or cervicothoracic
22010
4930
22015

posterior spine; lumbar, sacral, or lumbosacral
22015
4931
22101

single vertebral segment; thoracic
22101
4932
22102

single vertebral segment; lumbar
22102
4933
22103

single vertebral segment; each additional segment (List
22103
4934
22105
Partial resection of vertebral component for tumor (eg,

partial facetectomy, without primary grafting); cervical
22105
4935
22106

partial facetectomy, without primary grafting); thoracic
22106
4936
22107

partial facetectomy, without primary grafting); lumbar
22107
4937
22110
Partial excision of vertebral body, for intrinsic bony lesion,

without decompression of spinal cord or nerve root(s), single
vertebral segment; cervical
22110
4938
22112

vertebral segment; thoracic
22112
4939
22114

vertebral segment; lumbar
22114
21932
4940
22116

vertebral segment; each additional vertebral segment (List
4941
22140
Reconstruction of spine with bone graft (autograft, allograft)

and/or methylmethacrylate following resection of single
vertebral body; cervical
22140
4942
22141

vertebral body; thoracic
22141
4943
22142

vertebral body; lumbar
22142
4944
22145
Reconstruction of spine following vertebral body resection,

each additional vertebral body
22145
4945
22148
Harvesting of bone autograft for vertebral reconstruction

following vertebral corpectomy
22148
4946
22150
Reconstruction of spine with prefabricated prosthetic

replacement following resection of one or more vertebral
bodies; cervical
22150
4947
22151

bodies; thoracic
22151
4948
22152

bodies; lumbar
22152
4949
22206

columns, 1 vertebral segment (eg, pedicle/vertebral body
subtraction); thoracic
22206
4950
22207

subtraction); lumbar
22207
4951
22208

subtraction); each additional vertebral segment (List
22208
4952
22212
4953
22214
4954
22216

vertebral segment; each additional vertebral segment (List
separately in addition to primary procedure)
22216
4955
22222

approach, single vertebral segment; thoracic
22222

vertebral segment; thoracic
vertebral segment; lumbar
22116
22212
22214
22224

approach, single vertebral segment; lumbar
22224
4957
22226

approach, single vertebral segment; each additional
vertebral segment (List separately in addition to code for
primary procedure)
22226
4958
22230
Osteotomy of spine, any approach, each additional segment
22230
22315
Closed treatment of vertebral fracture(s) and/or

dislocation(s) requiring casting or bracing, with and including
casting and/or bracing, with or without anesthesia, by
manipulation or traction
22315
4960
22319
Open treatment and/or reduction of odontoid fracture(s) and

or dislocation(s) (including os odontoideum), anterior
approach, including placement of internal fixation; with
grafting
22319
4961
22326

vertebra or dislocated segment; cervical
22326
4962
22327

vertebra or dislocated segment; thoracic
22327
4963
22328

vertebra or dislocated segment; each additional fractured
vertebra or dislocated segment (List separately in addition to
22328
4964
22520
4965
22521
4956
4959
4966
4967
4968
Percutaneous vertebroplasty, 1 vertebral body, unilateral or

bilateral injection; thoracic
Percutaneous vertebroplasty, 1 vertebral body, unilateral or
bilateral injection; lumbar
22520
22521
22522
Percutaneous vertebroplasty, one vertebral body, unilateral

or bilateral injection; each additional thoracic or lumbar
vertebral body (List separately in addition to code for primary
procedure)
22522
22523
Percutaneous vertebral augmentation, including cavity

creation (fracture reduction and bone biopsy included when
performed) using mechanical device, 1 vertebral body,
unilateral or bilateral cannulation (eg, kyphoplasty); thoracic
22523
22524

unilateral or bilateral cannulation (eg, kyphoplasty); lumbar
22524
4969
22525

unilateral or bilateral cannulation (eg, kyphoplasty); each
additional thoracic or lumbar vertebral body (List separately
4970
22526
Percutaneous intradiscal electrothermal annuloplasty,

unilateral or bilateral including fluoroscopic guidance; single
level
22526
4971
22527
Percutaneous intradiscal electrothermal annuloplasty,

unilateral or bilateral including fluoroscopic guidance; 1 or
more additional levels (List separately in addition to code for
primary procedure)
22527
4972
22532
Arthrodesis, lateral extracavitary technique, including

minimal discectomy to prepare interspace (other than for
decompression); thoracic
22532
4973
22533

decompression); lumbar
22533
4974
22534

decompression); thoracic or lumbar, each additional
vertebral segment (List separately in addition to code for
primary procedure)
22534
4975
22554
Arthrodesis, anterior interbody technique, including minimal

discectomy to prepare interspace (other than for
decompression); cervical below C2
22554
4976
22556

decompression); thoracic
22556
4977
22558

decompression); lumbar
22558
4978
22585

decompression); each additional interspace (List separately
22585
4979
22595
4980
22600
4981
22610
Arthrodesis, posterior or posterolateral technique, single

level; thoracic (with or without lateral transverse technique)
22610
4982
22612

level; lumbar (with or without lateral transverse technique)
22612
4983
22614

level; each additional vertebral segment (List separately in
22614
Arthrodesis, posterior technique, atlas-axis (C1-C2)

level; cervical below C2 segment
22525
22595
22600
4984
22625
Arthrodesis, lateral transverse process technique, with local

bone or bone allograft and/or internal wire fixation, lumbar
22625
4985
22630
Arthrodesis, posterior interbody technique, including

laminectomy and/or discectomy to prepare interspace (other
than for decompression), single interspace; lumbar
22630
4986
22632
Arthrodesis, posterior interbody technique, including

laminectomy and/or discectomy to prepare interspace (other
than for decompression), single interspace; each additional
interspace (List separately in addition to code for primary
procedure)
22632
4987
22650
4988
22802
4989
22804
4990
22810
4991
22812
4992
22819
Kyphectomy, circumferential exposure of spine and

resection of vertebral segment(s) (including body and
posterior elements); 3 or more segments
22819
4993
22820
Harvesting of bone autograft through separate incision (eg,

ilium, fibula) for spinal arthrodesis
22820
22843

dual rods with multiple hooks and sublaminar wires); 7 to 12
vertebral segments (List separately in addition to code for
primary procedure)
22843
4995
22844

dual rods with multiple hooks and sublaminar wires); 13 or
more vertebral segments (List separately in addition to code
22844
4996
22846
Anterior instrumentation; 4 to 7 vertebral segments (List

22846
4997
22847
Anterior instrumentation; 8 or more vertebral segments (List

22847
22856
Total disc arthroplasty (artificial disc), anterior approach,

including discectomy with end plate preparation (includes
osteophytectomy for nerve root or spinal cord
decompression and microdissection), single interspace,
cervical
22856
4994
4998
Arthrodesis, posterior, posterolateral or lateral transverse

process technique, each additional interspace
cast; 13 or more vertebral segments
cast; 8 or more vertebral segments
22650
22802
22804
22810
22812
4999
22857
Total disc arthroplasty (artificial disc), anterior approach,

including discectomy to prepare interspace (other than for
decompression), single interspace, lumbar
22857
5000
22861
Revision including replacement of total disc arthroplasty

(artificial disc), anterior approach, single interspace; cervical
22861
5001
22862
Revision including replacement of total disc arthroplasty

(artificial disc), anterior approach, single interspace; lumbar
22862
5002
22864
5003
22865
5004
22899
5005
22900
5006
22901
5007
22902
5008
22903
5009
22904

tissue of abdominal wall; less than 5 cm
22904
5010
22905

tissue of abdominal wall; 5 cm or greater
22905
5011
22999
Unlisted procedure, abdomen, musculoskeletal system
22999
5012
23020
Capsular contracture release (eg, Sever type procedure)
23020
5013
23031
Incision and drainage, shoulder area; infected bursa
23031
5014
23065
Biopsy, soft tissue of shoulder area; superficial
23065
5015
23066
Biopsy, soft tissue of shoulder area; deep
23066
5016
23071
5017
23073
5018
23075
5019
23076
5020
23078

tissue of shoulder area; 5 cm or greater
23078
5021
23100
Arthrotomy, glenohumeral joint, including biopsy
23100
Removal of total disc arthroplasty (artificial disc), anterior

approach, single interspace; cervical
Removal of total disc arthroplasty (artificial disc), anterior
approach, single interspace; lumbar
Unlisted procedure, spine
Excision, tumor, soft tissue of abdominal wall, subfascial (eg,
Excision, tumor, soft tissue of abdominal wall, subfascial (eg,
Excision, tumor, soft tissue of abdominal wall, subcutaneous;
less than 3 cm
Excision, tumor, soft tissue of abdominal wall, subcutaneous;
3 cm or greater
Excision, tumor, soft tissue of shoulder area, subcutaneous;

3 cm or greater
Excision, tumor, soft tissue of shoulder area, subfascial (eg,
Excision, tumor, soft tissue of shoulder area, subcutaneous;
less than 3 cm
Excision, tumor, soft tissue of shoulder area, subfascial (eg,
22864
22865
22899
22900
22901
22902
22903
23071
23073
23075
23076
Arthrotomy, acromioclavicular joint or sternoclavicular joint,

including biopsy and/or excision of torn cartilage
5022
23101
5023
23105
5024
23106
5025
23107
Arthrotomy, glenohumeral joint, with joint exploration, with or

without removal of loose or foreign body
23107
5026
23125
Claviculectomy; total
23125
5027
23145

clavicle or scapula; with autograft (includes obtaining graft)
23145
5028
23146
5029
23150
5030
23155
5031
23156
5032
23172
5033
23182

diaphysectomy) bone (eg, osteomyelitis), scapula
23182
5034
23184

diaphysectomy) bone (eg, osteomyelitis), proximal humerus
23184
5035
5036
23195
23210
5037
23221
5038
23222
5039
23331
5040
23350
5041
23397
5042
23406
5043
23412
5044
23455
5045
23460
Capsulorrhaphy, anterior, any type; with bone block
23460
5046
23462
Capsulorrhaphy, anterior, any type; with coracoid process

transfer
23462
Arthrotomy; glenohumeral joint, with synovectomy, with or

without biopsy
Arthrotomy; sternoclavicular joint, with synovectomy, with or
without biopsy

clavicle or scapula; with allograft
proximal humerus;
proximal humerus; with autograft (includes obtaining graft)
proximal humerus; with allograft
scapula
23101
23105
23106
23146
23150
23155
23156
23172
Resection, humeral head

Radical resection of tumor; scapula
Radical resection of bone tumor, proximal humerus; with
Radical resection of bone tumor, proximal humerus; with
prosthetic replacement
Removal of foreign body, shoulder; deep (eg, Neer
hemiarthroplasty removal)
Injection procedure for shoulder arthrography or enhanced
CT/MRI shoulder arthrography
23195
23210
Muscle transfer, any type, shoulder or upper arm; multiple
23397
Tenotomy, shoulder area; multiple tendons through same

incision
Repair of ruptured musculotendinous cuff (eg, rotator cuff)
open; chronic
Capsulorrhaphy, anterior; with labral repair (eg, Bankart
procedure)
23221
23222
23331
23350
23406
23412
23455
5047
23466
Capsulorrhaphy, glenohumeral joint, any type multidirectional instability
23466
5048
23472
Arthroplasty, glenohumeral joint; total shoulder (glenoid and

proximal humeral replacement (eg, total shoulder))
23472
5049
23485
5050
23491
5051
23505
5052
23510
5053
23525
5054
23532
Open treatment of sternoclavicular dislocation, acute or

chronic; with fascial graft (includes obtaining graft)
23532
5055
23545
Closed treatment of acromioclavicular dislocation; with

manipulation
23545
5056
23552
Open treatment of acromioclavicular dislocation, acute or

chronic; with fascial graft (includes obtaining graft)
23552
5057
23575
5058
23580
5059
23605
5060
23610
Treatment of open humeral (surgical or anatomical neck)

fracture, with uncomplicated soft tissue closure
23610
5061
23616
Open treatment of proximal humeral (surgical or anatomical

neck) fracture, includes internal fixation, when performed,
includes repair of tuberosity(s), when performed; with
proximal humeral prosthetic replacement
23616
5062
23625
5063
23655
5064
23658
5065
23670
5066
23675
Osteotomy, clavicle, with or without internal fixation; with

bone graft for nonunion or malunion (includes obtaining graft
and/or necessary fixation)
with or without methylmethacrylate; proximal humerus
Closed treatment of clavicular fracture; with manipulation
Treatment of open clavicular fracture, with uncomplicated
soft tissue closure
Closed treatment of sternoclavicular dislocation; with
manipulation
Closed treatment of scapular fracture; with manipulation,

with or without skeletal traction (with or without shoulder joint
involvement)
Treatment of open scapular fracture, with uncomplicated soft
tissue closure
Closed treatment of proximal humeral (surgical or
anatomical neck) fracture; with manipulation, with or without
skeletal traction
Closed treatment of greater humeral tuberosity fracture; with

manipulation
Closed treatment of shoulder dislocation, with manipulation;
requiring anesthesia
Treatment of open shoulder dislocation, with uncomplicated
soft tissue closure
Open treatment of shoulder dislocation, with fracture of
greater humeral tuberosity, includes internal fixation, when
performed
Closed treatment of shoulder dislocation, with surgical or
anatomical neck fracture, with manipulation
23485
23491
23505
23510
23525
23575
23580
23605
23625
23655
23658
23670
23675
5067
23680
5068
23802
5069
23921
5070
5071
23929
23931
Open treatment of shoulder dislocation, with surgical or

anatomical neck fracture, includes internal fixation, when
performed
Arthrodesis, glenohumeral joint; with autogenous graft
Disarticulation of shoulder; secondary closure or scar
revision
Unlisted procedure, shoulder
Incision and drainage, upper arm or elbow area; bursa
5072
24065
Biopsy, soft tissue of upper arm or elbow area; superficial
5073
24066
5074
24071
5075
24073

24073
5076
24076

24076
5077
24079

tissue of upper arm or elbow area; 5 cm or greater
24079
5078
24100
Arthrotomy, elbow; with synovial biopsy only
24100
5079
24101
Arthrotomy, elbow; with joint exploration, with or without

24101
5080
24102
5081
24115
5082
24116
5083
24120
5084
24125
5085
24126
5086
24136
5087
24138
5088
24145
5089
24147

diaphysectomy) bone (eg, osteomyelitis), olecranon process
24147
5090
24151
Radical resection for tumor, shaft or distal humerus; with

24151
Biopsy, soft tissue of upper arm or elbow area; deep

(subfascial or intramuscular)
Arthrotomy, elbow; with synovectomy

humerus; with autograft (includes obtaining graft)
humerus; with allograft
Excision or curettage of bone cyst or benign tumor of head
or neck of radius or olecranon process;
or neck of radius or olecranon process; with autograft
or neck of radius or olecranon process; with allograft
radial head or neck
olecranon process
diaphysectomy) bone (eg, osteomyelitis), radial head or
neck
23680
23802
23921
23929
23931
24065
24066
24071
24102
24115
24116
24120
24125
24126
24136
24138
24145
5091
24152
Radical resection of tumor, radial head or neck
5092
24153
5093
5094
5095
24164
24220
24300
5096
24331
5097
24332
5098
24341
Repair, tendon or muscle, upper arm or elbow, each tendon

or muscle, primary or secondary (excludes rotator cuff)
24341
5099
24343
Repair lateral collateral ligament, elbow, with local tissue
24343
5100
24344
Reconstruction lateral collateral ligament, elbow, with tendon

graft (includes harvesting of graft)
24344
5101
24345
Repair medial collateral ligament, elbow, with local tissue
24345
5102
24346
Reconstruction medial collateral ligament, elbow, with

tendon graft (includes harvesting of graft)
24346
5103
24351

epicondylitis); with extensor origin detachment
24351
5104
24352
5105
24354
5106
24356
5107
24357
Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis

elbow, golfer's elbow); percutaneous
24357
5108
24358

elbow, golfer's elbow); debridement, soft tissue and/or bone,
open
24358
5109
24359

elbow, golfer's elbow); debridement, soft tissue and/or bone,
open with tendon repair or reattachment
24359
5110
24361
5111
24362
5112
24363
5113
5114
24365
24366
5115
24410
Multiple osteotomies with realignment on intramedullary rod,

humeral shaft (Sofield type procedure)
24410
5116
24435
Repair of nonunion or malunion, humerus; with iliac or other

24435
Radical resection for tumor, radial head or neck; with

Implant removal; radial head
Injection procedure for elbow arthrography
Manipulation, elbow, under anesthesia
Flexor-plasty, elbow (eg, Steindler type advancement); with
extensor advancement
Tenolysis, triceps

epicondylitis); with annular ligament resection
epicondylitis); with stripping
epicondylitis); with partial ostectomy
Arthroplasty, elbow; with distal humeral prosthetic

replacement
Arthroplasty, elbow; with implant and fascia lata ligament
reconstruction
Arthroplasty, elbow; with distal humerus and proximal ulnar
prosthetic replacement (eg, total elbow)
Arthroplasty, radial head;
Arthroplasty, radial head; with implant
24152
24153
24164
24220
24300
24331
24332
24352
24354
24356
24361
24362
24363
24365
24366
Closed treatment of humeral shaft fracture; with

manipulation, with or without skeletal traction
5117
24505
5118
24506
5119
24510
5120
24516
5121
24530
Closed treatment of supracondylar or transcondylar humeral

fracture, with or without intercondylar extension; without
manipulation
24530
5122
24531
Treatment of closed humeral supracondylar or transcondylar

fracture, without manipulation; with traction (pin or skin)
24531
5123
24535
Closed treatment of supracondylar or transcondylar humeral

fracture, with or without intercondylar extension; with
manipulation, with or without skin or skeletal traction
24535
5124
24536
Treatment of closed humeral supracondylar or transcondylar

fracture, with manipulation; with traction (pin or skin)
24536
5125
24540
Treatment of open humeral supracondylar or transcondylar

fracture, with uncomplicated soft tissue closure;
24540
5126
24546
5127
24560
5128
24565
5129
24566
5130
24570
Treatment of open humeral epicondylar fracture, medial or

lateral, with uncomplicated soft tissue closure
24570
5131
24575
Open treatment of humeral epicondylar fracture, medial or

lateral, includes internal fixation, when performed
24575
5132
24576
5133
24577
5134
24578
Treatment of open humeral condylar fracture, medial or

lateral, with uncomplicated soft tissue closure
24578
5135
24579
Open treatment of humeral condylar fracture, medial or

lateral, includes internal fixation, when performed
24579
Treatment of closed humeral shaft fracture; percutaneous

insertion of pin or rod
Treatment of open humeral shaft fracture, with
uncomplicated soft tissue closure
Treatment of humeral shaft fracture, with insertion of
intramedullary implant, with or without cerclage and/or
locking screws
Open treatment of humeral supracondylar or transcondylar

fracture, includes internal fixation, when performed; with
intercondylar extension
Closed treatment of humeral epicondylar fracture, medial or
lateral; without manipulation
Closed treatment of humeral epicondylar fracture, medial or
lateral; with manipulation
Percutaneous skeletal fixation of humeral epicondylar
fracture, medial or lateral, with manipulation
Closed treatment of humeral condylar fracture, medial or

lateral; without manipulation
Closed treatment of humeral condylar fracture, medial or
lateral; with manipulation
24505
24506
24510
24516
24546
24560
24565
24566
24576
24577
5136
24580
Treatment of closed comminuted elbow fracture (fracture

distal humerus and/or proximal ulna and/or proximal radius),
treatment with traction, (pin or skin); without manipulation
24580
5137
24581
Treatment of closed comminuted elbow fracture (fracture

treatment with traction, (pin or skin); with manipulation
24581
5138
24582
Percutaneous skeletal fixation of humeral condylar fracture,

medial or lateral, with manipulation
24582
5139
24583
Treatment of open comminuted elbow fracture (fracture

with uncomplicated soft tissue closure
24583
5140
24585
Open treatment of closed or open comminuted elbow

fracture (fracture distal humerus and/or proximal
ulna/radius), with or without internal or external skeletal
fixation;
24585
5141
24587
Open treatment of periarticular fracture and/or dislocation of

the elbow (fracture distal humerus and proximal ulna and/or
proximal radius); with implant arthroplasty
24587
5142
24588
Open treatment of closed or open comminuted elbow

fracture (fracture distal humerus and/or proximal
ulna/radius), with or without internal or external skeletal
fixation; with implants and fascia lata ligament reconstruction
24588
5143
24605
Treatment of closed elbow dislocation; requiring anesthesia
24605
5144
24610
Treatment of open elbow dislocation, with uncomplicated

soft tissue closure
24610
5145
24625
Treatment of open Monteggia type of fracture dislocation at

head), with uncomplicated soft tissue closure
24625
5146
24655
5147
24660
5148
24666
Open treatment of radial head or neck fracture, includes

internal fixation or radial head excision, when performed;
with radial head prosthetic replacement
24666
5149
24675
Closed treatment of ulnar fracture, proximal end (eg,

olecranon or coronoid process[es]); with manipulation
24675
5150
24680
Treatment of open ulnar fracture, proximal end (olecranon

process), with uncomplicated soft tissue closure
24680
5151
24802
Arthrodesis, elbow joint; with autogenous graft (includes

obtaining graft)
24802
5152
24920
Amputation, arm through humerus; open, circular (guillotine)
24920
Closed treatment of radial head or neck fracture; with

manipulation
Treatment of open radial head or neck fracture, with
24655
24660
5153
24925
5154
5155
5156
5157
24930
24931
24940
24999
Amputation, arm through humerus; secondary closure or

scar revision
Amputation, arm through humerus; re-amputation
Amputation, arm through humerus; with implant
Cineplasty, upper extremity, complete procedure
Unlisted procedure, humerus or elbow
5158
25001
Incision, flexor tendon sheath, wrist (eg, flexor carpi radialis)
5159
25005
5160
25023
5161
25024
5162
25025
5163
25031
Decompression fasciotomy, forearm and/or wrist, flexor AND

extensor compartment; with debridement of nonviable
muscle and/or nerve
Incision and drainage, forearm and/or wrist; bursa
5164
25065
Biopsy, soft tissue of forearm and/or wrist; superficial
5165
25066
5166
25071
5167
25073

25073
5168
25076

25076
5169
25078

tissue of forearm and/or wrist area; 3 cm or greater
25078
5170
25101
Arthrotomy, wrist joint; with joint exploration, with or without

25101
5171
25107
5172
25109
5173
25112
Excision of ganglion, wrist (dorsal or volar); recurrent
25112
5174
25116
Radical excision of bursa, synovia of wrist, or forearm

tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other
granulomas, rheumatoid arthritis); extensors, with or without
transposition of dorsal retinaculum
25116
5175
25119
Synovectomy, extensor tendon sheath, wrist, single

compartment; with resection of distal ulna
25119
Tendon sheath incision; at wrist for other stenosing

tenosynovitis
Decompression fasciotomy, forearm and/or wrist, flexor OR
extensor compartment; with debridement of nonviable
muscle and/or nerve
Decompression fasciotomy, forearm and/or wrist, flexor AND
extensor compartment; without debridement of nonviable
muscle and/or nerve
Biopsy, soft tissue of forearm and/or wrist; deep (subfascial

or intramuscular)
Arthrotomy, distal radioulnar joint including repair of

triangular cartilage, complex
Excision of tendon, forearm and/or wrist, flexor or extensor,
each
24925
24930
24931
24940
24999
25001
25005
25023
25024
25025
25031
25065
25066
25071
25107
25109

process); with autograft (includes obtaining graft)
5176
25125
5177
25126
5178
25130
5179
25135
Excision or curettage of bone cyst or benign tumor of carpal

bones; with autograft (includes obtaining graft)
25135
5180
25136

bones; with allograft
25136
5181
25151

diaphysectomy) of bone (eg, for osteomyelitis); radius
25151
5182
25240
5183
25246
5184
25251
5185
25259
5186
25263
5187
25265
5188
25270
5189
25272
5190
25274
5191
25275
Repair, tendon sheath, extensor, forearm and/or wrist, with

free graft (includes obtaining graft) (eg, for extensor carpi
ulnaris subluxation)
25275
5192
25301
Tenodesis at wrist; extensors of fingers
25301
5193
25312
Tendon transplantation or transfer, flexor or extensor,

forearm and/or wrist, single; with tendon graft(s) (includes
obtaining graft), each tendon
25312
5194
25316
Flexor origin slide (eg, for cerebral palsy, Volkmann

contracture), forearm and/or wrist; with tendon(s) transfer
25316
5195
5196
5197
5198
5199
25317
25330
25355
25360
25365
Flexor origin slide for Volkmann contracture

Arthroplasty, wrist;
Osteotomy, radius; middle or proximal third
Osteotomy; ulna
Osteotomy; radius AND ulna
25317
25330
25355
25360
25365

process); with allograft
bones;
Excision distal ulna partial or complete (eg, Darrach type or

matched resection)
Injection procedure for wrist arthrography
Removal of wrist prosthesis; complicated, including total
wrist
Manipulation, wrist, under anesthesia
secondary, single, each tendon or muscle
secondary, with free graft (includes obtaining graft), each
tendon or muscle
Repair, tendon or muscle, extensor, forearm and/or wrist;
primary, single, each tendon or muscle
secondary, single, each tendon or muscle
secondary, with free graft (includes obtaining graft), each
tendon or muscle
25125
25126
25130
25240
25246
25251
25259
25263
25265
25270
25272
25274
5200
25370
Multiple osteotomies, with realignment on intramedullary rod

(Sofield type procedure); radius OR ulna
25370
5201
25375
Multiple osteotomies, with realignment on intramedullary rod

(Sofield type procedure); radius AND ulna
25375
5202
25391
Osteoplasty, radius OR ulna; lengthening with autograft
25391
5203
25392
Osteoplasty, radius AND ulna; shortening (excluding 64876)
25392
5204
25393
Osteoplasty, radius AND ulna; lengthening with autograft
25393
5205
25394
Osteoplasty, carpal bone, shortening
25394
5206
25400
Repair of nonunion or malunion, radius OR ulna; without

graft (eg, compression technique)
25400
5207
25405
Repair of nonunion or malunion, radius OR ulna; with

25405
5208
25415
Repair of nonunion or malunion, radius AND ulna; without

graft (eg, compression technique)
25415
5209
25420
5210
25425
Repair of nonunion or malunion, radius AND ulna; with

Repair of defect with autograft; radius OR ulna
5211
25426
Repair of defect with autograft; radius AND ulna
5212
25430
5213
25431
5214
25442
5215
25443
5216
5217
25444
25445
5218
25446
5219
25447
5220
25455
5221
25491
5222
25492
5223
25505
5224
25510
5225
25520
Insertion of vascular pedicle into carpal bone (eg, Hori

procedure)
Repair of nonunion of carpal bone (excluding carpal
scaphoid (navicular)) (includes obtaining graft and necessary
fixation), each bone
Arthroplasty with prosthetic replacement; distal ulna
Arthroplasty with prosthetic replacement; scaphoid carpal
(navicular)
Arthroplasty with prosthetic replacement; lunate
Arthroplasty with prosthetic replacement; trapezium
Arthroplasty with prosthetic replacement; distal radius and
partial or entire carpus (total wrist)
Arthroplasty, interposition, intercarpal or carpometacarpal
joints
Epiphyseal arrest by epiphysiodesis or stapling; distal radius
AND ulna
with or without methylmethacrylate; ulna
with or without methylmethacrylate; radius AND ulna
Closed treatment of radial shaft fracture; with manipulation
Treatment of open radial shaft fracture, with uncomplicated
soft tissue closure
Closed treatment of radial shaft fracture and closed
treatment of dislocation of distal radioulnar joint (Galeazzi
fracture/dislocation)
25420
25425
25426
25430
25431
25442
25443
25444
25445
25446
25447
25455
25491
25492
25505
25510
25520
5226
25525

fixation, when performed, and closed treatment of distal
radioulnar joint dislocation (Galeazzi fracture/ dislocation),
includes percutaneous skeletal fixation, when performed
5227
25530
Closed treatment of ulnar shaft fracture; without

manipulation
25530
5228
25535
Closed treatment of ulnar shaft fracture; with manipulation
25535
5229
25540
5230
25545
5231
25560
5232
25565
5233
25570
Treatment of open radial and ulnar shaft fractures, with

25570
5234
25575
Open treatment of radial AND ulnar shaft fractures, with

internal fixation, when performed; of radius AND ulna
25575
5235
25600
Closed treatment of distal radial fracture (eg, Colles or Smith

type) or epiphyseal separation, includes closed treatment of
fracture of ulnar styloid, when performed; without
manipulation
25600
5236
25605
Closed treatment of distal radial fracture (eg, Colles or Smith

type) or epiphyseal separation, includes closed treatment of
fracture of ulnar styloid, when performed; with manipulation
25605
5237
25606
5238
25607
5239
25608
Open treatment of distal radial intra-articular fracture or

epiphyseal separation; with internal fixation of 2 fragments
25608
5240
25609
Open treatment of distal radial intra-articular fracture or

epiphyseal separation; with internal fixation of 3 or more
fragments
25609
5241
25610
Treatment of closed, complex, distal radial fracture (eg,

Colles or Smith type) or epiphyseal separation, with or
without fracture of ulnar styloid, requiring manipulation;
without external skeletal fixation or percutaneous pinning
25610
5242
25615
Treatment of open distal radial fracture (eg, Colles or Smith

type) or epiphyseal separation, with or without fracture of
ulnar styloid, with uncomplicated soft tissue closure
25615
5243
25624
Closed treatment of carpal scaphoid (navicular) fracture;

with manipulation
25624
Treatment of open ulnar shaft fracture, with uncomplicated

soft tissue closure
Open treatment of ulnar shaft fracture, includes internal
Closed treatment of radial and ulnar shaft fractures; without
manipulation
Closed treatment of radial and ulnar shaft fractures; with
manipulation
Percutaneous skeletal fixation of distal radial fracture or

epiphyseal separation
Open treatment of distal radial extra-articular fracture or
epiphyseal separation, with internal fixation
25525
25540
25545
25560
25565
25606
25607
5244
25626
Treatment of open carpal scaphoid (navicular) fracture, with

25626
5245
25635
Closed treatment of carpal bone fracture (excluding carpal

scaphoid [navicular]); with manipulation, each bone
25635
5246
25640
Treatment of open carpal bone fracture (excluding carpal

scaphoid [navicular]); with uncomplicated soft tissue closure,
each bone
25640
5247
25651
Percutaneous skeletal fixation of ulnar styloid fracture
25651
5248
25652
Open treatment of ulnar styloid fracture
25652
5249
25665
Treatment of open radiocarpal or intercarpal dislocation, one

or more bones, with uncomplicated soft tissue closure
25665
5250
25670
Open treatment of radiocarpal or intercarpal dislocation, 1 or

more bones
25670
5251
25671
Percutaneous skeletal fixation of distal radioulnar dislocation
25671
5252
25805
25805
5253
25810
5254
25820
Arthrodesis, wrist; with sliding graft

Arthrodesis, wrist; with iliac or other autograft (includes
obtaining graft)
Arthrodesis, wrist; limited, without bone graft (eg, intercarpal
or radiocarpal)
5255
25825
Arthrodesis, wrist; with autograft (includes obtaining graft)
25825
5256
25830
5257
25905
5258
25907
5259
25909
Amputation, forearm, through radius and ulna; re-amputation
25909
5260
25924
25924
5261
25929
5262
5263
25931
25999
Disarticulation through wrist; re-amputation

Transmetacarpal amputation; secondary closure or scar
revision
Transmetacarpal amputation; re-amputation
Unlisted procedure, forearm or wrist
5264
26011
Drainage of finger abscess; complicated (eg, felon)
26011
5265
26030
26030
5266
26035
5267
26045
5268
26060
Drainage of palmar bursa; multiple bursa

Decompression fingers and/or hand, injection injury (eg,
grease gun)
Fasciotomy, palmar (eg, Dupuytren's contracture); open,
partial
Tenotomy, percutaneous, single, each digit
5269
26075
Arthrodesis, distal radioulnar joint with segmental resection

of ulna, with or without bone graft (eg, Sauve-Kapandji
procedure)
Amputation, forearm, through radius and ulna; open, circular
(guillotine)
Amputation, forearm, through radius and ulna; secondary
closure or scar revision

or foreign body; metacarpophalangeal joint, each
25810
25820
25830
25905
25907
25929
25931
25999
26035
26045
26060
26075
5270
26080

or foreign body; interphalangeal joint, each
26080
5271
26100
Arthrotomy with biopsy; carpometacarpal joint, each
26100
5272
26105
Arthrotomy with biopsy; metacarpophalangeal joint, each
26105
5273
26110
26110
5274
26111
5275
26113
Arthrotomy with biopsy; interphalangeal joint, each

Excision, tumor or vascular malformation, soft tissue of hand
or finger, subcutaneous; 1.5 cm or greater
Excision, tumor, soft tissue, or vascular malformation, of
hand or finger, subfascial (eg, intramuscular); 1.5 cm or
greater
5276
26116
5277
26118
5278
26120
5279
26122
Fasciectomy, palmar, simple, for Dupuytren's contracture; up

to one-half palmar fascia, with single digit involvement, with
or without Z-plasty or other local tissue rearrangement
26122
5280
26123
Fasciectomy, partial palmar with release of single digit

including proximal interphalangeal joint, with or without Zplasty, other local tissue rearrangement, or skin grafting
(includes obtaining graft);
26123
5281
26124
Fasciectomy, palmar, complicated, requiring skin grafting

(includes obtaining graft); with single digit involvement
26124
5282
26125
Fasciectomy, partial palmar with release of single digit

including proximal interphalangeal joint, with or without Zplasty, other local tissue rearrangement, or skin grafting
(includes obtaining graft); each additional digit (List
26125
5283
26126
Fasciectomy, palmar, complicated, requiring skin grafting

(includes obtaining graft); each additional digit
26126
5284
26135
Synovectomy, metacarpophalangeal joint including intrinsic

release and extensor hood reconstruction, each digit
26135
5285
26140
Synovectomy, proximal interphalangeal joint, including

extensor reconstruction, each interphalangeal joint
26140
5286
26180
Excision of tendon, finger, flexor or extensor, each tendon
26180
5287
26205

metacarpal; with autograft (includes obtaining graft)
26205
5288
26210

proximal, middle, or distal phalanx of finger;
26210
Excision, tumor, soft tissue, or vascular malformation, of

hand or finger, subfascial (eg, intramuscular); less than 15
cm
tissue of hand or finger; 3 cm or greater
Fasciectomy, palmar, simple, for Dupuytren's contracture;
partial excision
26111
26113
26116
26118
26120
5289
26215

proximal, middle, or distal phalanx of finger; with autograft
26215
5290
26235

diaphysectomy) bone (eg, osteomyelitis); proximal or middle
phalanx of finger
26235
5291
26236
5292
26255
5293
26260
5294
26261
Radical resection, proximal or middle phalanx of finger (eg,

tumor); with autograft (includes obtaining graft)
26261
5295
26262
Radical resection of tumor, distal phalanx of finger
26262
5296
26340
Manipulation, finger joint, under anesthesia, each joint
26340
5297
26352
Repair or advancement, flexor tendon, not in zone 2 digital

flexor tendon sheath (eg, no man's land); secondary with
free graft (includes obtaining graft), each tendon
26352
5298
26356
Repair or advancement, flexor tendon, in zone 2 digital

flexor tendon sheath (eg, no man's land); primary, without
26356
5299
26357

flexor tendon sheath (eg, no man's land); secondary, without
26357
5300
26358

flexor tendon sheath (eg, no man's land); secondary, with
26358
5301
26372

superficialis tendon; secondary with free graft (includes
26372
5302
26373

superficialis tendon; secondary without free graft, each
tendon
26373
5303
26412
Repair, extensor tendon, hand, primary or secondary; with

26412
5304
26418
Repair, extensor tendon, finger, primary or secondary;

without free graft, each tendon
26418
5305
26420
Repair, extensor tendon, finger, primary or secondary; with

free graft (includes obtaining graft) each tendon
26420
5306
26426
Repair of extensor tendon, central slip, secondary (eg,

boutonniere deformity); using local tissue(s), including lateral
band(s), each finger
26426

diaphysectomy) bone (eg, osteomyelitis); distal phalanx of
finger
Radical resection, metacarpal (eg, tumor); with autograft
Radical resection of tumor, proximal or middle phalanx of
finger
26236
26255
26260
5307
26428
Repair of extensor tendon, central slip, secondary (eg,

boutonniere deformity); with free graft (includes obtaining
graft), each finger
26428
5308
26433
Repair of extensor tendon, distal insertion, primary or

secondary; without graft (eg, mallet finger)
26433
5309
26434
Repair of extensor tendon, distal insertion, primary or

secondary; with free graft (includes obtaining graft)
26434
5310
5311
26442
26445
5312
26449
5313
5314
5315
26442
26445
26455
26460
26474
Tenolysis, flexor tendon; palm AND finger, each tendon

Tenolysis, extensor tendon, hand OR finger, each tendon
Tenolysis, complex, extensor tendon, finger, including
forearm, each tendon
Tenotomy, flexor, finger, open, each tendon
Tenotomy, extensor, hand or finger, open, each tendon
Tenodesis; of distal joint, each joint
5316
26478
Lengthening of tendon, flexor, hand or finger, each tendon
26478
5317
26479
Shortening of tendon, flexor, hand or finger, each tendon
26479
5318
26483
Transfer or transplant of tendon, carpometacarpal area or

dorsum of hand; with free tendon graft (includes obtaining
graft), each tendon
26483
5319
26489
Transfer or transplant of tendon, palmar; with free tendon

graft (includes obtaining graft), each tendon
26489
5320
26492
5321
5322
26494
26496
Opponensplasty; tendon transfer with graft (includes

Opponensplasty; hypothenar muscle transfer
Opponensplasty; other methods
5323
26498
Transfer of tendon to restore intrinsic function; all 4 fingers
26498
5324
26502
Reconstruction of tendon pulley, each tendon; with tendon or

fascial graft (includes obtaining graft) (separate procedure)
26502
5325
26504
5326
26517
Reconstruction of tendon pulley, each tendon; with tendon

prosthesis (separate procedure)
Capsulodesis, metacarpophalangeal joint; 2 digits
5327
26518
Capsulodesis, metacarpophalangeal joint; 3 or 4 digits
5328
26525
5329
26527
5330
26531
5331
26535
Arthroplasty, interphalangeal joint; each joint
26535
5332
26536
Arthroplasty, interphalangeal joint; with prosthetic implant,

each joint
26536
5333
26542
Reconstruction, collateral ligament, metacarpophalangeal

joint, single; with local tissue (eg, adductor advancement)
26542
Capsulectomy or capsulotomy; interphalangeal joint, each

joint
Arthroplasty, carpometacarpal joint
Arthroplasty, metacarpophalangeal joint; with prosthetic
implant, each joint
26449
26455
26460
26474
26492
26494
26496
26504
26517
26518
26525
26527
26531
5334
26545
Reconstruction, collateral ligament, interphalangeal joint,

single, including graft, each joint
26545
5335
26546
Repair non-union, metacarpal or phalanx (includes obtaining

bone graft with or without external or internal fixation)
26546
5336
26552
5337
26553
5338
26554
5339
26558
5340
26561
5341
26562
Repair of syndactyly (web finger) each web space; complex

(eg, involving bone, nails)
26562
5342
26567
Osteotomy; phalanx of finger, each
26567
5343
26570
Bone graft, (includes obtaining graft); metacarpal
26570
5344
26593
Release, intrinsic muscles of hand, each muscle
26593
5345
26605
5346
26607
5347
26610
Treatment of open metacarpal fracture, single, with

uncomplicated soft tissue closure, each bone
26610
5348
26650
Percutaneous skeletal fixation of carpometacarpal fracture

dislocation, thumb (Bennett fracture), with manipulation
26650
5349
26655
Treatment of open carpometacarpal fracture dislocation,

thumb (Bennett fracture), with uncomplicated soft tissue
closure
26655
5350
26660
Treatment of open carpometacarpal fracture dislocation,

thumb (Bennett fracture), with uncomplicated soft tissue
closure; with skeletal fixation
26660
5351
26675
Closed treatment of carpometacarpal dislocation, other than

thumb, with manipulation, each joint; requiring anesthesia
26675
5352
26680
Treatment of open carpometacarpal dislocation, other than

Bennett fracture, single, with uncomplicated soft tissue
closure
26680
5353
26686
Open treatment of carpometacarpal dislocation, other than

thumb; complex, multiple, or delayed reduction
26686
5354
26705
Closed treatment of metacarpophalangeal dislocation,

single, with manipulation; requiring anesthesia
26705
5355
26706
Percutaneous skeletal fixation of metacarpophalangeal

dislocation, single, with manipulation
26706
Reconstruction thumb with toe

Transfer, toe-to-hand with microvascular anastomosis; other
than great toe, single
Transfer, toe-to-hand with microvascular anastomosis; other
than great toe, double
Toe to finger transfer; each delay
Repair of syndactyly (web finger) each web space; with skin
flaps and grafts
Closed treatment of metacarpal fracture, single; with

manipulation, each bone
Closed treatment of metacarpal fracture, with manipulation,
with external fixation, each bone
26552
26553
26554
26558
26561
26605
26607
Treatment of open metacarpophalangeal dislocation, single,

Open treatment of metacarpophalangeal dislocation, single,
5356
26710
26710
5357
26715
5358
26725
Closed treatment of phalangeal shaft fracture, proximal or

middle phalanx, finger or thumb; with manipulation, with or
without skin or skeletal traction, each
26725
5359
26730
Treatment of open phalangeal shaft fracture, proximal or

middle phalanx, finger or thumb, with uncomplicated soft
tissue closure, each
26730
5360
26742
Closed treatment of articular fracture, involving

metacarpophalangeal or interphalangeal joint; with
manipulation, each
26742
5361
26744
Treatment of open articular fracture, involving

metacarpophalangeal or proximal interphalangeal joint, with
uncomplicated soft tissue closure, each
26744
5362
26755
Closed treatment of distal phalangeal fracture, finger or

thumb; with manipulation, each
26755
5363
26760
Treatment of open distal phalangeal fracture, finger or

thumb, with uncomplicated soft tissue closure, each
26760
5364
26775
Closed treatment of interphalangeal joint dislocation, single,

with manipulation; requiring anesthesia
26775
5365
26776
Percutaneous skeletal fixation of interphalangeal joint

dislocation, single, with manipulation
26776
5366
26780
Treatment of open interphalangeal joint dislocation, single,

26780
5367
26785
Open treatment of interphalangeal joint dislocation, includes

internal fixation, when performed, single
26785
5368
26842
Arthrodesis, carpometacarpal joint, thumb, with or without

internal fixation; with autograft (includes obtaining graft)
26842
5369
26843
Arthrodesis, carpometacarpal joint, digit, other than thumb,

each;
26843
5370
26844
Arthrodesis, carpometacarpal joint, digit, other than thumb,

each; with autograft (includes obtaining graft)
26844
5371
26850
Arthrodesis, metacarpophalangeal joint, with or without

internal fixation;
26850
5372
26852
Arthrodesis, metacarpophalangeal joint, with or without

internal fixation; with autograft (includes obtaining graft)
26852
5373
26860
Arthrodesis, interphalangeal joint, with or without internal

fixation;
26860
5374
26861

fixation; each additional interphalangeal joint (List separately
26861
26715
26862

fixation; with autograft (includes obtaining graft)
26862
5376
26863

fixation; with autograft (includes obtaining graft), each
additional joint (List separately in addition to code for primary
procedure)
26863
5377
26952
Amputation, finger or thumb, primary or secondary, any joint

or phalanx, single, including neurectomies; with local
advancement flaps (V-Y, hood)
26952
5378
26989
Unlisted procedure, hands or fingers
26989
5379
26991
Incision and drainage, pelvis or hip joint area; infected bursa
26991
5380
27001
Tenotomy, adductor of hip, open
27001
5381
27002
Tenotomy, adductor of hip, subcutaneous, open; bilateral
27002
5382
27003
5383
27004
5384
27010
5385
27026
5375
Tenotomy, adductor, subcutaneous, open, with obturator

neurectomy
Tenotomy, adductor, subcutaneous, open, with obturator
neurectomy; bilateral
Gluteal-iliotibial fasciotomy (Ober type procedure)
Ober-Yount fasciotomy, combined with spica cast, pins in
tibia, wedging the cast, etc; bilateral
27003
27004
27010
27026
5386
27027
Decompression fasciotomy(ies), pelvic (buttock)

compartment(s) (eg, gluteus medius-minimus, gluteus
maximus, iliopsoas, and/or tensor fascia lata muscle),
unilateral
5387
27033
Arthrotomy, hip, including exploration or removal of loose or

foreign body
27033
5388
27040
Biopsy, soft tissue of pelvis and hip area; superficial
27040
5389
27041
5390
27043
5391
27045
5392
27047
5393
27048
5394
5395
5396
27050
27052
27054
Biopsy, soft tissue of pelvis and hip area; deep, subfascial or

intramuscular
Excision, tumor, soft tissue of pelvis and hip area,
Excision, tumor, soft tissue of pelvis and hip area, subfascial
(eg, intramuscular); 5 cm or greater
Excision, tumor, soft tissue of pelvis and hip area,
Excision, tumor, soft tissue of pelvis and hip area, subfascial
(eg, intramuscular); less than 5 cm
Arthrotomy, with biopsy; sacroiliac joint
Arthrotomy, with biopsy; hip joint
Arthrotomy with synovectomy, hip joint
27027
27041
27043
27045
27047
27048
27050
27052
27054
5397
27057
Decompression fasciotomy(ies), pelvic (buttock)

compartment(s) (eg, gluteus medius-minimus, gluteus
maximus, iliopsoas, and/or tensor fascia lata muscle) with
debridement of nonviable muscle, unilateral
5398
27059

tissue of pelvis and hip area; 5 cm or greater
27059
5399
27062
Excision; trochanteric bursa or calcification
27062
27057
Excision of bone cyst or benign tumor; deep, with or without

autograft
Excision of bone cyst or benign tumor; with autograft
requiring separate incision
Partial excision (craterization, saucerization) (eg,
osteomyelitis or bone abscess); deep (subfascial or
intramuscular)
5400
27066
5401
27067
5402
27071
5403
27076
5404
27077
5405
27078
5406
27079
5407
27087
5408
27091
5409
27093
Injection procedure for hip arthrography; without anesthesia
27093
5410
27095
Injection procedure for hip arthrography; with anesthesia
27095
5411
27100
5412
27105
5413
5414
27110
27111
5415
27122
5416
27126
5417
27137
5418
27138
5419
27147
5420
27151
5421
27156
5422
27157
5423
27176
5424
27178
5425
27179
Radical resection of tumor; ilium, including acetabulum, both

pubic rami, or ischium and acetabulum
Radical resection of tumor; innominate bone, total
Radical resection of tumor; ischial tuberosity and greater
trochanter of femur
Radical resection of tumor or infection; ischial tuberosity and
greater trochanter of femur, with skin flaps
Removal of foreign body, pelvis or hip; deep (subfascial or
intramuscular)
Removal of hip prosthesis; complicated, including total hip
prosthesis, methylmethacrylate with or without insertion of
spacer
Transfer external oblique muscle to greater trochanter

including fascial or tendon extension (graft)
Transfer paraspinal muscle to hip (includes fascial or tendon
extension graft)
Transfer iliopsoas; to greater trochanter of femur
Transfer iliopsoas; to femoral neck
Acetabuloplasty; resection, femoral head (eg, Girdlestone
procedure)
Partial hip replacement (hemiarthroplasty); cup
Revision of total hip arthroplasty; acetabular component
only, with or without autograft or allograft
Revision of total hip arthroplasty; femoral component only,
with or without allograft
Osteotomy, iliac, acetabular or innominate bone; with open
reduction of hip
Osteotomy, iliac, acetabular or innominate bone; with
femoral osteotomy
Osteotomy, iliac, acetabular or innominate bone; with
femoral osteotomy and with open reduction of hip
Acetabular augmentation (Wilson procedure)
Treatment of slipped femoral epiphysis; by single or multiple
pinning, in situ
Open treatment of slipped femoral epiphysis; closed
manipulation with single or multiple pinning
Open treatment of slipped femoral epiphysis; osteoplasty of
femoral neck (Heyman type procedure)
27066
27067
27071
27076
27077
27078
27079
27087
27091
27100
27105
27110
27111
27122
27126
27137
27138
27147
27151
27156
27157
27176
27178
27179
5426
27181
5427
27190
Open treatment of slipped femoral epiphysis; osteotomy and

internal fixation
Treatment of closed sacral fracture
5428
27192
Open treatment of closed or open sacral fracture
5429
27194
5430
27195
5431
27196
Treatment of sacroiliac and/or symphysis pubis dislocation,

with anesthesia and with manipulation
27196
5432
27201
Treatment of open coccygeal fracture
27201
5433
27210
Treatment of closed iliac, pubic or ischial fracture
27210
5434
27214
Open treatment of closed or open iliac, pubic or ischial

fracture, with or without internal skeletal fixation
27214
5435
27218
Open treatment of posterior pelvic bone fracture and/or

dislocation, for fracture patterns that disrupt the pelvic ring,
unilateral, includes internal fixation, when performed
(includes ipsilateral ilium, sacroiliac joint and/or sacrum)
27218
5436
27222
5437
27224
5438
27225
Open treatment of closed or open acetabulum (hip socket)

fracture(s), with or without internal or external skeletal
fixation; complicated, intrapelvic approach
27225
5439
27227
Open treatment of acetabular fracture(s) involving anterior or

posterior (one) column, or a fracture running transversely
across the acetabulum, with internal fixation
27227
5440
27228
Open treatment of acetabular fracture(s) involving anterior

and posterior (two) columns, includes T-fracture and both
column fracture with complete articular detachment, or
single column or transverse fracture with associated
acetabular wall fracture, with internal fixation
27228
5441
27232
Closed treatment of femoral fracture, proximal end, neck;

with manipulation, with or without skeletal traction
27232
5442
27234
Treatment of open femoral fracture, proximal end, neck, with

uncomplicated soft tissue closure, with manipulation
(including skeletal traction)
27234
5443
27238
Closed treatment of intertrochanteric, peritrochanteric, or

subtrochanteric femoral fracture; without manipulation
27238
Closed treatment of pelvic ring fracture, dislocation, diastasis

or subluxation; with manipulation, requiring more than local
anesthesia
Treatment of sacroiliac and/or symphysis pubis dislocation,
Closed treatment of acetabulum (hip socket) fracture(s); with

manipulation, with or without skeletal traction
Open treatment of closed or open acetabulum (hip socket)
fracture(s), with or without internal or external skeletal
fixation; simple
27181
27190
27192
27194
27195
27222
27224
5444
27240
Closed treatment of intertrochanteric, peritrochanteric, or

subtrochanteric femoral fracture; with manipulation, with or
without skin or skeletal traction
27240
5445
27242
Treatment of open intertrochanteric, peritrochanteric, or

subtrochanteric femoral fracture, with uncomplicated soft
tissue closure (including traction)
27242
5446
27244
Treatment of intertrochanteric, peritrochanteric, or

subtrochanteric femoral fracture; with plate/screw type
implant, with or without cerclage
27244
5447
27245
Treatment of intertrochanteric, peritrochanteric, or

subtrochanteric femoral fracture; with intramedullary implant,
with or without interlocking screws and/or cerclage
27245
5448
27252
5449
27254
5450
27255
Open treatment of closed or open hip dislocation, traumatic,

with acetabular lip fixation, with or without internal or external
skeletal fixation; complicated or late
27255
5451
27256
Treatment of spontaneous hip dislocation (developmental,

including congenital or pathological), by abduction, splint or
traction; without anesthesia, without manipulation
27256
5452
27257
Treatment of spontaneous hip dislocation (developmental,

including congenital or pathological), by abduction, splint or
traction; with manipulation, requiring anesthesia
27257
27258
Open treatment of spontaneous hip dislocation

(developmental, including congenital or pathological),
replacement of femoral head in acetabulum (including
tenotomy, etc);
27258
5454
27259
Open treatment of spontaneous hip dislocation

(developmental, including congenital or pathological),
replacement of femoral head in acetabulum (including
tenotomy, etc); with femoral shaft shortening
27259
5455
27266
Closed treatment of post hip arthroplasty dislocation;

requiring regional or general anesthesia
27266
5456
27267
5457
27268
5458
27269
5459
27286
5460
27299
5453
Closed treatment of hip dislocation, traumatic; requiring

anesthesia
Open treatment of hip dislocation, traumatic, with acetabular
wall and femoral head fracture, with or without internal or
external fixation
Closed treatment of femoral fracture, proximal end, head;

Closed treatment of femoral fracture, proximal end, head;
with manipulation
Open treatment of femoral fracture, proximal end, head,
Arthrodesis, hip joint (including obtaining graft); with
subtrochanteric osteotomy
Unlisted procedure, pelvis or hip joint
27252
27254
27267
27268
27269
27286
27299
5461
27303
5462
27307
5463
27323
5464
27324
5465
5466
27325
27326
5467
27328
5468
27330
5469
27331
5470
27332
5471
27333
5472
27334
5473
27335
5474
27337
5475
27339
5476
27345
5477
27347
5478
27356
5479
27357
5480
27358
5481
27364
5482
27370
5483
27381
5484
27386
5485
27391
5486
27392
5487
27394
Incision, deep, with opening of bone cortex, femur or knee

(eg, osteomyelitis or bone abscess)
Tenotomy, percutaneous, adductor or hamstring; multiple
tendons
Biopsy, soft tissue of thigh or knee area; superficial
Biopsy, soft tissue of thigh or knee area; deep (subfascial or
intramuscular)
Neurectomy, hamstring muscle
Neurectomy, popliteal (gastrocnemius)
Excision, tumor, soft tissue of thigh or knee area, subfascial
Arthrotomy, knee; with synovial biopsy only
Arthrotomy, knee; including joint exploration, biopsy, or
removal of loose or foreign bodies
Arthrotomy, with excision of semilunar cartilage
(meniscectomy) knee; medial OR lateral
Arthrotomy, with excision of semilunar cartilage
(meniscectomy) knee; medial AND lateral
Arthrotomy, with synovectomy, knee; anterior OR posterior
Arthrotomy, with synovectomy, knee; anterior AND posterior
including popliteal area
Excision, tumor, soft tissue of thigh or knee area,
Excision, tumor, soft tissue of thigh or knee area, subfascial
Excision of synovial cyst of popliteal space (eg, Baker's cyst)
Excision of lesion of meniscus or capsule (eg, cyst,
ganglion), knee
with allograft
with autograft (includes obtaining graft)
with internal fixation (List in addition to code for primary
procedure)
tissue of thigh or knee area; 5 cm or greater
Injection procedure for knee arthrography
Suture of infrapatellar tendon; secondary reconstruction,
including fascial or tendon graft
Suture of quadriceps or hamstring muscle rupture;
secondary reconstruction, including fascial or tendon graft
Tenotomy, open, hamstring, knee to hip; multiple tendons, 1
leg
Tenotomy, open, hamstring, knee to hip; multiple tendons,
bilateral
Lengthening of hamstring tendon; multiple tendons, 1 leg
27303
27307
27323
27324
27325
27326
27328
27330
27331
27332
27333
27334
27335
27337
27339
27345
27347
27356
27357
27358
27364
27370
27381
27386
27391
27392
27394
5488
27395
Lengthening of hamstring tendon; multiple tendons, bilateral
27395
5489
27397
Transplant or transfer (with muscle redirection or rerouting),

thigh (eg, extensor to flexor); multiple tendons
27397
5490
27407
Repair, primary, torn ligament and/or capsule, knee; cruciate
27407
5491
27409
5492
5493
27412
27415
5494
27416
5495
27422
Reconstruction of dislocating patella; with extensor

realignment and/or muscle advancement or release (eg,
Campbell, Goldwaite type procedure)
27422
5496
27424
Reconstruction of dislocating patella; with patellectomy
27424
5497
27429
5498
5499
27438
27440
5500
27441
5501
27442
Arthroplasty, femoral condyles or tibial plateau(s), knee;
27442
5502
27443
Arthroplasty, femoral condyles or tibial plateau(s), knee; with

debridement and partial synovectomy
27443
5503
27445
Arthroplasty, knee, hinge prosthesis (eg, Walldius type)
27445
5504
27446
5505
27447
5506
27450
5507
27454
Osteotomy, multiple, with realignment on intramedullary rod,

femoral shaft (eg, Sofield type procedure)
27454
5508
27457
Osteotomy, proximal tibia, including fibular excision or

osteotomy (includes correction of genu varus [bowleg] or
genu valgus [knock-knee]); after epiphyseal closure
27457
5509
27472
5510
27477
5511
27479
Repair, primary, torn ligament and/or capsule, knee;

collateral and cruciate ligaments
Autologous chondrocyte implantation, knee
Osteochondral allograft, knee, open
Osteochondral autograft(s), knee, open (eg, mosaicplasty)
(includes harvesting of autograft[s])
Ligamentous reconstruction (augmentation), knee; intraarticular (open) and extra-articular

Arthroplasty, patella; with prosthesis
Arthroplasty, knee, tibial plateau;
Arthroplasty, knee, tibial plateau; with debridement and
partial synovectomy
Arthroplasty, knee, condyle and plateau; medial OR lateral

compartment
Arthroplasty, knee, condyle and plateau; medial AND lateral
compartments with or without patella resurfacing (total knee
arthroplasty)
Osteotomy, femur, shaft or supracondylar; with fixation
Repair, nonunion or malunion, femur, distal to head and

neck; with iliac or other autogenous bone graft (includes
obtaining graft)
Arrest, epiphyseal, any method (eg, epiphysiodesis); tibia
and fibula, proximal
Arrest, epiphyseal, any method (eg, epiphysiodesis);
combined distal femur, proximal tibia and fibula
27409
27412
27415
27416
27429
27438
27440
27441
27446
27447
27450
27472
27477
27479
Arrest, hemiepiphyseal, distal femur or proximal tibia or

fibula (eg, genu varus or valgus)
Revision of total knee arthroplasty, with or without allograft;
femoral and entire tibial component
Decompression fasciotomy, thigh and/or knee, multiple
compartments;
Decompression fasciotomy, thigh and/or knee, multiple
compartments; with debridement of nonviable muscle and/or
nerve
5512
27485
5513
27487
5514
27498
5515
27499
5516
27502
Closed treatment of femoral shaft fracture, with

27502
5517
27503
Closed treatment of supracondylar or transcondylar femoral

fracture with or without intercondylar extension, with
27503
5518
27504
Treatment of open femoral shaft fracture (including

supracondylar), with uncomplicated soft tissue closure
27504
5519
27510
Closed treatment of femoral fracture, distal end, medial or

lateral condyle, with manipulation
27510
5520
27512
Treatment of open femoral fracture, distal end, medial or

lateral condyle, with uncomplicated soft tissue closure
27512
5521
27513
5522
27516
5523
27517
5524
27518
5525
27522
5526
27532
5527
27534
Treatment of open tibial fracture, proximal (plateau), with

27534
5528
27536
Open treatment of tibial fracture, proximal (plateau);

bicondylar, with or without internal fixation
27536
5529
27537
Open treatment of closed or open tibial fracture, proximal

(plateau), with or without internal or external skeletal fixation;
with autogenous graft (includes obtaining graft)
27537
5530
27538
Closed treatment of intercondylar spine(s) and/or tuberosity

fracture(s) of knee, with or without manipulation
27538
5531
27540
Open treatment of intercondylar spine(s) and/or tuberosity

fracture(s) of the knee, includes internal fixation, when
performed
27540
Open treatment of femoral supracondylar or transcondylar

fracture with intercondylar extension, includes internal
Closed treatment of distal femoral epiphyseal separation;
Closed treatment of distal femoral epiphyseal separation;
with manipulation, with or without skin or skeletal traction
Treatment of open distal femoral epiphyseal separation, with
Treatment of open patellar fracture, with uncomplicated soft
tissue closure
Closed treatment of tibial fracture, proximal (plateau); with or
without manipulation, with skeletal traction
27485
27487
27498
27499
27513
27516
27517
27518
27522
27532
5532
27552
Closed treatment of knee dislocation; requiring anesthesia
27552
5533
27554
Treatment of open knee dislocation, with uncomplicated soft

tissue closure
27554
5534
27557

fixation, when performed; with primary ligamentous repair
27557
5535
27558

fixation, when performed; with primary ligamentous repair,
with augmentation/reconstruction
27558
5536
27562
Closed treatment of patellar dislocation; requiring anesthesia
27562
5537
27564
5538
27591
5539
27592
5540
27594
5541
27596
Amputation, thigh, through femur, any level; re-amputation
27596
5542
27599
27599
5543
27601
5544
27602
Unlisted procedure, femur or knee

Decompression fasciotomy, leg; posterior compartment(s)
only
Decompression fasciotomy, leg; anterior and/or lateral, and
posterior compartment(s)
5545
27604
Incision and drainage, leg or ankle; infected bursa
27604
5546
27606
5547
27612
5548
27613
Biopsy, soft tissue of leg or ankle area; superficial
27613
5549
27614
Biopsy, soft tissue of leg or ankle area; deep (subfascial or

intramuscular)
27614
5550
27616

tissue of leg or ankle area; 5 cm or greater
27616
5551
27619
Excision, tumor, soft tissue of leg or ankle area, subfascial

27619
5552
27625
5553
27626
5554
27632

tissue of leg or ankle area; 3 cm or greater
27632
5555
27634
Excision, tumor, soft tissue of leg or ankle area, subfascial

27634
Treatment of open patellar dislocation, with uncomplicated

soft tissue closure
Amputation, thigh, through femur, any level; immediate fitting
technique including first cast
Amputation, thigh, through femur, any level; open, circular
(guillotine)
Amputation, thigh, through femur, any level; secondary
closure or scar revision
Tenotomy, percutaneous, Achilles tendon (separate

procedure); general anesthesia
Arthrotomy, posterior capsular release, ankle, with or without
Achilles tendon lengthening
Arthrotomy, with synovectomy, ankle;

Arthrotomy, with synovectomy, ankle; including
tenosynovectomy
27564
27591
27592
27594
27601
27602
27606
27612
27625
27626
5556
27637

fibula; with autograft (includes obtaining graft)
27637
5557
27638

fibula; with allograft
27638
5558
27641

diaphysectomy), bone (eg, osteomyelitis); fibula
27641
5559
5560
5561
27646
27647
27648
Radical resection of tumor; fibula

Radical resection of tumor; talus or calcaneus
Injection procedure for ankle arthrography
27646
27647
27648
5562
27652
Repair, primary, open or percutaneous, ruptured Achilles

tendon; with graft (includes obtaining graft)
27652
5563
27654
Repair, secondary, Achilles tendon, with or without graft
27654
5564
27659
5565
27664
5566
27665
5567
27676
Repair, dislocating peroneal tendons; with fibular osteotomy
27676
5568
27681
Tenolysis, flexor or extensor tendon, leg and/or ankle;

multiple tendons (through separate incision(s))
27681
5569
27686
Lengthening or shortening of tendon, leg or ankle; multiple

tendons (through same incision), each
27686
5570
27691

redirection or rerouting); deep (eg, anterior tibial or posterior
tibial through interosseous space, flexor digitorum longus,
flexor hallucis longus, or peroneal tendon to midfoot or
hindfoot)
27691
5571
27692

redirection or rerouting); each additional tendon (List
27692
5572
27696
Repair, primary, disrupted ligament, ankle; both collateral

ligaments
27696
5573
27698
Repair, secondary, disrupted ligament, ankle, collateral (eg,

Watson-Jones procedure)
27698
5574
5575
5576
5577
27702
27703
27707
27709
5578
27712
5579
5580
Repair, flexor tendon, leg; secondary, with or without graft,

each tendon
Repair, extensor tendon, leg; primary, without graft, each
tendon
Repair, extensor tendon, leg; secondary, with or without
graft, each tendon
27659
27664
27665
Arthroplasty, ankle; with implant (total ankle)

Arthroplasty, ankle; revision, total ankle
Osteotomy; fibula
Osteotomy; tibia and fibula
Osteotomy; multiple, with realignment on intramedullary rod
(eg, Sofield type procedure)
27702
27703
27707
27709
27722
Repair of nonunion or malunion, tibia; with sliding graft
27722
27724
Repair of nonunion or malunion, tibia; with iliac or other

27724
27712
Repair of nonunion or malunion, tibia; by synostosis, with

fibula, any method
Repair of fibula nonunion and/or malunion with internal
fixation
5581
27725
5582
27726
5583
27732
Arrest, epiphyseal (epiphysiodesis), open; distal fibula
27732
5584
27734
Arrest, epiphyseal (epiphysiodesis), open; distal tibia and

fibula
27734
5585
27742
Arrest, epiphyseal (epiphysiodesis), any method, combined,

proximal and distal tibia and fibula; and distal femur
27742
5586
27752
5587
27754
5588
27759
5589
27762
5590
27764
5591
27767
5592
27768
5593
27769
5594
27781
5595
27782
5596
27788
5597
27790
5598
27800
5599
27802
5600
27804
5601
27806
Open treatment of closed or open tibia and fibula fractures,

shafts, with or without internal or external skeletal fixation
27806
5602
27810
Closed treatment of bimalleolar ankle fracture (eg, lateral

and medial malleoli, or lateral and posterior malleoli or
medial and posterior malleoli); with manipulation
27810
Closed treatment of tibial shaft fracture (with or without

fibular fracture); with manipulation, with or without skeletal
traction
Treatment of open tibial shaft fracture, with uncomplicated
soft tissue closure
Treatment of tibial shaft fracture (with or without fibular
fracture) by intramedullary implant, with or without
interlocking screws and/or cerclage
Closed treatment of medial malleolus fracture; with
Treatment of open distal tibial fracture (medial malleolus),
Closed treatment of posterior malleolus fracture; without
manipulation
Closed treatment of posterior malleolus fracture; with
manipulation
Open treatment of posterior malleolus fracture, includes
Closed treatment of proximal fibula or shaft fracture; with
manipulation
Treatment of open proximal fibula or shaft fracture, with
Closed treatment of distal fibular fracture (lateral malleolus);
with manipulation
Treatment of open distal fibular fracture (lateral malleolus),
Treatment of closed tibia and fibula fractures, shafts; without
manipulation
Treatment of closed tibia and fibula fractures, shafts; with
manipulation
Treatment of open tibia and fibula fractures, shafts, with
uncomplicated soft tissue closure (eg, "pins above and
below")
27725
27726
27752
27754
27759
27762
27764
27767
27768
27769
27781
27782
27788
27790
27800
27802
27804
5603
27812
Treatment of open bimalleolar ankle fracture, with

27812
5604
27818
Closed treatment of trimalleolar ankle fracture; with

manipulation
27818
5605
27820
Treatment of open trimalleolar ankle fracture, with

27820
5606
27823
Open treatment of trimalleolar ankle fracture, includes

internal fixation, when performed, medial and/or lateral
malleolus; with fixation of posterior lip
27823
5607
27825
Closed treatment of fracture of weight bearing articular

portion of distal tibia (eg, pilon or tibial plafond), with or
without anesthesia; with skeletal traction and/or requiring
manipulation
27825
5608
27827

internal fixation, when performed; of tibia only
27827
5609
27828

internal fixation, when performed; of both tibia and fibula
27828
5610
27831
Closed treatment of proximal tibiofibular joint dislocation;

27831
5611
27842
Closed treatment of ankle dislocation; requiring anesthesia,

with or without percutaneous skeletal fixation
27842
5612
27844
5613
27848
5614
27881
5615
27882
5616
27884
5617
27886
5618
27894
5619
27899
5620
28002
5621
28003
5622
28011
Treatment of open ankle dislocation, with uncomplicated soft

tissue closure
Open treatment of ankle dislocation, with or without
percutaneous skeletal fixation; with repair or internal or
external fixation
Amputation, leg, through tibia and fibula; with immediate
fitting technique including application of first cast
Amputation, leg, through tibia and fibula; open, circular
(guillotine)
Amputation, leg, through tibia and fibula; secondary closure
or scar revision
Amputation, leg, through tibia and fibula; re-amputation
Decompression fasciotomy, leg; anterior and/or lateral, and
posterior compartment(s), with debridement of nonviable
muscle and/or nerve
Unlisted procedure, leg or ankle
Incision and drainage below fascia, with or without tendon
sheath involvement, foot; single bursal space
Incision and drainage below fascia, with or without tendon
sheath involvement, foot; multiple areas
Tenotomy, percutaneous, toe; multiple tendons
27844
27848
27881
27882
27884
27886
27894
27899
28002
28003
28011

loose or foreign body; metatarsophalangeal joint
5623
28022
5624
28024
5625
28039
5626
28041
5627
28045
5628
28047
5629
5630
5631
28052
28054
28055

loose or foreign body; interphalangeal joint
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5
cm or greater
Excision, tumor, soft tissue of foot or toe, subfascial (eg,
intramuscular); 1.5 cm or greater
Excision, tumor, soft tissue of foot or toe, subfascial (eg,
tissue of foot or toe; 3 cm or greater
Arthrotomy with biopsy; metatarsophalangeal joint
Arthrotomy with biopsy; interphalangeal joint
Neurectomy, intrinsic musculature of foot
5632
28062
Fasciectomy, plantar fascia; radical (separate procedure)
28062
5633
5634
5635
28072
28080
28088
Synovectomy; metatarsophalangeal joint, each

Excision, interdigital (Morton) neuroma, single, each
Synovectomy, tendon sheath, foot; extensor
28072
28080
28088
5636
28092
Excision of lesion, tendon, tendon sheath, or capsule

(including synovectomy) (eg, cyst or ganglion); toe(s), each
28092
5637
28102
5638
28103
5639
28104
5640
28106
5641
28107
Excision or curettage of bone cyst or benign tumor, tarsal or

metatarsal, except talus or calcaneus; with allograft
28107
5642
28108

phalanges of foot
28108
5643
28111
Ostectomy, complete excision; first metatarsal head
28111
5644
28112
Ostectomy, complete excision; other metatarsal head

(second, third or fourth)
28112
5645
28113
Ostectomy, complete excision; fifth metatarsal head
28113
5646
5647
28116
28118
28116
28118
5648
28119
Ostectomy, excision of tarsal coalition

Ostectomy, calcaneus;
Ostectomy, calcaneus; for spur, with or without plantar
fascial release
5649
28122

calcaneus; with iliac or other autograft (includes obtaining
graft)
calcaneus; with allograft
metatarsal, except talus or calcaneus;
metatarsal, except talus or calcaneus; with iliac or other

or bossing); tarsal or metatarsal bone, except talus or
calcaneus
28022
28024
28039
28041
28045
28047
28052
28054
28055
28102
28103
28104
28106
28119
28122
5650
28124
5651
5652
5653
5654
28173
28175
28192
28193
5655
28202
5656
28208
5657
28210
5658
5659
5660
28222
28225
28226
5661
28232
5662
28234

or bossing); phalanx of toe
Radical resection of tumor; metatarsal
Radical resection of tumor; phalanx of toe
Removal of foreign body, foot; deep
Removal of foreign body, foot; complicated
Repair, tendon, flexor, foot; secondary with free graft, each
tendon (includes obtaining graft)
Repair, tendon, extensor, foot; primary or secondary, each
tendon
Repair, tendon, extensor, foot; secondary with free graft,
each tendon (includes obtaining graft)
Tenolysis, flexor, foot; multiple tendons
Tenolysis, extensor, foot; single tendon
Tenolysis, extensor, foot; multiple tendons
Tenotomy, open, tendon flexor; toe, single tendon (separate
procedure)
Tenotomy, open, extensor, foot or toe, each tendon
5663
28236
Transfer of tendon, anterior tibial into tarsal bone
28236
5664
28261
Capsulotomy, midfoot; with tendon lengthening
28261
5665
28262
Capsulotomy, midfoot; extensive, including posterior

talotibial capsulotomy and tendon(s) lengthening (eg,
resistant clubfoot deformity)
28262
5666
28272
5667
28286
5668
28292

sesamoidectomy; Keller, McBride, or Mayo type procedure
28292
5669
28293

sesamoidectomy; resection of joint with implant
28293
5670
28294

sesamoidectomy; with tendon transplants (eg, Joplin type
procedure)
28294
5671
28296

sesamoidectomy; with metatarsal osteotomy (eg, Mitchell,
Chevron, or concentric type procedures)
28296
5672
28297
5673
28298
5674
28299
5675
28302

sesamoidectomy; Lapidus-type procedure
sesamoidectomy; by phalanx osteotomy
sesamoidectomy; by double osteotomy
Osteotomy; talus
5676
28304
Osteotomy, tarsal bones, other than calcaneus or talus;
Capsulotomy; interphalangeal joint, each joint (separate

procedure)
Correction, cock-up fifth toe, with plastic skin closure (eg,
Ruiz-Mora type procedure)
28124
28173
28175
28192
28193
28202
28208
28210
28222
28225
28226
28232
28234
28272
28286
28297
28298
28299
28302
28304
Osteotomy, tarsal bones, other than calcaneus or talus; with

autograft (includes obtaining graft) (eg, Fowler type)
5677
28305
5678
28306
5679
28307
5680
28308
Osteotomy, with or without lengthening, shortening or

angular correction, metatarsal; other than first metatarsal,
each
28308
5681
28309

angular correction, metatarsal; multiple (eg, Swanson type
cavus foot procedure)
28309
5682
28310
Osteotomy, shortening, angular or rotational correction;

proximal phalanx, first toe (separate procedure)
28310
5683
28312
5684
28322
5685
28341
Reconstruction, toe, macrodactyly; requiring bone resection
28341
5686
28360
Reconstruction, cleft foot
28360
5687
28405
Closed treatment of calcaneal fracture; with manipulation
28405
5688
28410
5689
28420
5690
28430
Closed treatment of talus fracture; without manipulation
28430
5691
28435
Closed treatment of talus fracture; with manipulation
28435
5692
28436
5693
28440
5694
28445
5695
28446
5696
28455
5697
28460
5698
28470
5699
28475

angular correction, metatarsal; first metatarsal
angular correction, metatarsal; first metatarsal with autograft
(other than first toe)
Osteotomy, shortening, angular or rotational correction; other

phalanges, any toe
Repair, nonunion or malunion; metatarsal, with or without
bone graft (includes obtaining graft)
Treatment of open calcaneal fracture, with uncomplicated

soft tissue closure
Open treatment of calcaneal fracture, includes internal
fixation, when performed; with primary iliac or other
autogenous bone graft (includes obtaining graft)
Percutaneous skeletal fixation of talus fracture, with

manipulation
Treatment of open talus fracture, with uncomplicated soft
tissue closure
Open treatment of talus fracture, includes internal fixation,
when performed
Open osteochondral autograft, talus (includes obtaining
graft[s])
Treatment of tarsal bone fracture (except talus and
calcaneus); with manipulation, each
Treatment of open tarsal bone fracture (except talus and
calcaneus), with uncomplicated soft tissue closure, each
Closed treatment of metatarsal fracture; without
manipulation, each
Closed treatment of metatarsal fracture; with manipulation,
each
28305
28306
28307
28312
28322
28410
28420
28436
28440
28445
28446
28455
28460
28470
28475
Treatment of open metatarsal fracture, with uncomplicated

soft tissue closure, each
Open treatment of metatarsal fracture, includes internal
fixation, when performed, each
Closed treatment of fracture great toe, phalanx or
phalanges; with manipulation
5700
28480
5701
28485
5702
28495
5703
28500
Treatment of open fracture great toe, phalanx or phalanges,

28500
5704
28515
Closed treatment of fracture, phalanx or phalanges, other

than great toe; with manipulation, each
28515
5705
28520
Treatment of open fracture, phalanx or phalanges, other

than great toe, with uncomplicated soft tissue closure, each
28520
5706
28545
5707
28550
5708
28575
5709
28576
5710
28580
5711
28585
5712
28600
5713
28605
5714
28606
5715
28610
Treatment of open tarsometatarsal joint dislocation, with

28610
5716
28615
Open treatment of tarsometatarsal joint dislocation, includes

28615
5717
28635
5718
28636
5719
28640
5720
28660
5721
28665
5722
28666
Closed treatment of tarsal bone dislocation, other than

talotarsal; requiring anesthesia
Treatment of open tarsal bone dislocation, with
Closed treatment of talotarsal joint dislocation; requiring
anesthesia
Percutaneous skeletal fixation of talotarsal joint dislocation,
with manipulation
Treatment of open talotarsal joint dislocation, with
Open treatment of talotarsal joint dislocation, includes
Closed treatment of tarsometatarsal joint dislocation; without
anesthesia
Closed treatment of tarsometatarsal joint dislocation;
Percutaneous skeletal fixation of tarsometatarsal joint
Closed treatment of metatarsophalangeal joint dislocation;

Percutaneous skeletal fixation of metatarsophalangeal joint
Treatment of open metatarsophalangeal joint dislocation,
Closed treatment of interphalangeal joint dislocation; without
anesthesia
Closed treatment of interphalangeal joint dislocation;
Percutaneous skeletal fixation of interphalangeal joint
28480
28485
28495
28545
28550
28575
28576
28580
28585
28600
28605
28606
28635
28636
28640
28660
28665
28666
5723
28670
Treatment of open interphalangeal joint dislocation, with

28670
5724
28675
Open treatment of interphalangeal joint dislocation, includes

28675
5725
28735
Arthrodesis, midtarsal or tarsometatarsal, multiple or

transverse; with osteotomy (eg, flatfoot correction)
28735
5726
28737
Arthrodesis, with tendon lengthening and advancement,

midtarsal, tarsal navicular-cuneiform (eg, Miller type
procedure)
28737
5727
28740
Arthrodesis, midtarsal or tarsometatarsal, single joint
28740
5728
5729
28805
28825
Amputation, foot; transmetatarsal

Amputation, toe; interphalangeal joint
28805
28825
5730
28890
Extracorporeal shock wave, high energy, performed by a

physician, requiring anesthesia other than local, including
ultrasound guidance, involving the plantar fascia
28890
5731
28899
Unlisted procedure, foot or toes
28899
5732
29015
Application of Risser jacket, localizer, body; including head
29015
5733
29020
Application of turnbuckle jacket, body; only
29020
5734
29025
Application of turnbuckle jacket, body; including head
29025
5735
29040
Application of body cast, shoulder to hips; including head,

Minerva type
29040
5736
29044
Application of body cast, shoulder to hips; including 1 thigh
29044
5737
29046
5738
29086
Application of body cast, shoulder to hips; including both

thighs
Application, cast; finger (eg, contracture)
5739
29126
Application of short arm splint (forearm to hand); dynamic
29126
5740
5741
5742
5743
5744
29131
29220
29240
29260
29280
29131
29220
29240
29260
29280
5745
29325
5746
29355
5747
5748
29358
29365
5749
29425
Application of finger splint; dynamic

Strapping; low back
Strapping; shoulder (eg, Velpeau)
Strapping; elbow or wrist
Strapping; hand or finger
Application of hip spica cast; 1 and one-half spica or both
legs
Application of long leg cast (thigh to toes); walker or
ambulatory type
Application of long leg cast brace
Application of cylinder cast (thigh to ankle)
Application of short leg cast (below knee to toes); walking or
ambulatory type
5750
29505
Application of long leg splint (thigh to ankle or toes)
29505
5751
5752
5753
29515
29530
29540
Application of short leg splint (calf to foot)

Strapping; knee
Strapping; ankle and/or foot
29515
29530
29540
29046
29086
29325
29355
29358
29365
29425
5754
5755
29550
29580
29550
29580
29590
Strapping; toes
Strapping; Unna boot
Application of multi-layer venous wound compression
system, below knee
Denis-Browne splint strapping
5756
29581
5757
5758
29705
Removal or bivalving; full arm or full leg cast
29705
5759
29710
5760
5761
5762
29715
29751
29799
Removal or bivalving; shoulder or hip spica, Minerva, or

Risser jacket, etc.
Removal or bivalving; turnbuckle jacket
Wedging of clubfoot cast; bilateral
Unlisted procedure, casting or strapping
5763
29807
Arthroscopy, shoulder, surgical; repair of SLAP lesion
5764
29815
5765
29819
5766
5767
5768
5769
29820
29821
29822
29823
5770
29824
5771
29825
5772
29826
5773
29827
Arthroscopy, shoulder, surgical; with rotator cuff repair
29827
5774
5775
5776
5777
5778
5779
5780
29828
29835
29836
29837
29838
29844
29845
Arthroscopy, shoulder, surgical; biceps tenodesis

Arthroscopy, elbow, surgical; synovectomy, partial
Arthroscopy, elbow, surgical; synovectomy, complete
Arthroscopy, elbow, surgical; debridement, limited
Arthroscopy, elbow, surgical; debridement, extensive
Arthroscopy, wrist, surgical; synovectomy, partial
Arthroscopy, wrist, surgical; synovectomy, complete
29828
29835
29836
29837
29838
29844
29845
5781
29846
Arthroscopy, wrist, surgical; excision and/or repair of

triangular fibrocartilage and/or joint debridement
29846
5782
29847
5783
29848
5784
29850
Arthroscopy, shoulder, diagnostic, with or without synovial

Arthroscopy, shoulder, surgical; with removal of loose body
or foreign body
Arthroscopy, shoulder, surgical; synovectomy, partial
Arthroscopy, shoulder, surgical; synovectomy, complete
Arthroscopy, shoulder, surgical; debridement, limited
Arthroscopy, shoulder, surgical; debridement, extensive
Arthroscopy, shoulder, surgical; distal claviculectomy
including distal articular surface (Mumford procedure)
Arthroscopy, shoulder, surgical; with lysis and resection of
adhesions, with or without manipulation
Arthroscopy, shoulder, surgical; decompression of
subacromial space with partial acromioplasty, with or without
coracoacromial release
Arthroscopy, wrist, surgical; internal fixation for fracture or

instability
Endoscopy, wrist, surgical, with release of transverse carpal
ligament
Arthroscopically aided treatment of intercondylar spine(s)
and/or tuberosity fracture(s) of the knee, with or without
manipulation; without internal or external fixation (includes
arthroscopy)
29581
29590
29710
29715
29751
29799
29807
29815
29819
29820
29821
29822
29823
29824
29825
29826
29847
29848
29850
5785
29851
Arthroscopically aided treatment of intercondylar spine(s)

and/or tuberosity fracture(s) of the knee, with or without
manipulation; with internal or external fixation (includes
arthroscopy)
5786
29855
Arthroscopically aided treatment of tibial fracture, proximal

(plateau); unicondylar, includes internal fixation, when
performed (includes arthroscopy)
29855
5787
29856
Arthroscopically aided treatment of tibial fracture, proximal

(plateau); bicondylar, includes internal fixation, when
performed (includes arthroscopy)
29856
5788
29862
5789
29863
5790
29866
Arthroscopy, knee, surgical; osteochondral autograft(s) (eg,

mosaicplasty) (includes harvesting of the autograft[s])
29866
5791
29867
Arthroscopy, knee, surgical; osteochondral allograft (eg,

mosaicplasty)
29867
5792
29868
Arthroscopy, knee, surgical; meniscal transplantation

(includes arthrotomy for meniscal insertion), medial or lateral
29868
5793
29872
5794
29873
5795
29874
Arthroscopy, knee, surgical; for removal of loose body or

foreign body (eg, osteochondritis dissecans fragmentation,
chondral fragmentation)
29874
5796
29875
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica

or shelf resection) (separate procedure)
29875
5797
29876
5798
29877
5799
29879
5800
29880
5801
29881
5802
29882
5803
29883
5804
29884
Arthroscopy, hip, surgical; with debridement/shaving of

articular cartilage (chondroplasty), abrasion arthroplasty,
and/or resection of labrum
Arthroscopy, hip, surgical; with synovectomy
Arthroscopy, knee, surgical; for infection, lavage and

drainage with suction irrigation
Arthroscopy, knee, surgical; with lateral release
Arthroscopy, knee, surgical; synovectomy, major, 2 or more

compartments (eg, medial or lateral)
Arthroscopy, knee, surgical; debridement/shaving of articular
cartilage (chondroplasty)
Arthroscopy, knee, surgical; abrasion arthroplasty (includes
chondroplasty where necessary) or multiple drilling or
microfracture
Arthroscopy, knee, surgical; with meniscectomy (medial AND
lateral, including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscectomy (medial OR
lateral, including any meniscal shaving)
Arthroscopy, knee, surgical; with meniscus repair (medial
OR lateral)
Arthroscopy, knee, surgical; with meniscus repair (medial
AND lateral)
Arthroscopy, knee, surgical; with lysis of adhesions, with or
without manipulation (separate procedure)
29851
29862
29863
29872
29873
29876
29877
29879
29880
29881
29882
29883
29884
5805
29885
Arthroscopy, knee, surgical; drilling for osteochondritis

dissecans with bone grafting, with or without internal fixation
(including debridement of base of lesion)
29885
5806
29886
Arthroscopy, knee, surgical; drilling for intact osteochondritis

dissecans lesion
29886
5807
29887
Arthroscopy, knee, surgical; drilling for intact osteochondritis

dissecans lesion with internal fixation
29887
5808
29888
5809
29889
5810
29890
Arthroscopically aided anterior cruciate ligament

repair/augmentation or reconstruction
Arthroscopically aided posterior cruciate ligament
repair/augmentation or reconstruction
Arthroscopy, ankle, diagnostic, with or without synovial
Arthroscopically aided repair of large osteochondritis
dissecans lesion, talar dome fracture, or tibial plafond
fracture, with or without internal fixation (includes
arthroscopy)
Endoscopic plantar fasciotomy
29888
29889
29890
5811
29892
5812
29893
5813
29894
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical;

with removal of loose body or foreign body
29894
5814
29895

synovectomy, partial
29895
5815
29896
Arthroscopy, ankle, surgical, synovectomy, complete
29896
5816
29897
5817
29898
5818
29899
5819
29902
5820
29904
5821
29905
Arthroscopy, subtalar joint, surgical; with synovectomy
29905
5822
29906
Arthroscopy, subtalar joint, surgical; with debridement
29906
5823
29907
Arthroscopy, subtalar joint, surgical; with subtalar arthrodesis
29907
5824
5825
5826
5827
5828
5829
5830
5831
5832
29909
29999
30020
30020
30020
30020
30020
30111
30111
Unlisted procedure, arthroscopy

Unlisted procedure, arthroscopy
Drainage abscess or hematoma, nasal septum
Excision, nasal polyp(s), simple; bilateral
29909
29999
30020
30020
30020
30020
30020
30111
30111

debridement, limited
debridement, extensive
with ankle arthrodesis
Arthroscopy, metacarpophalangeal joint, surgical; with
reduction of displaced ulnar collateral ligament (eg, Stenar
lesion)
Arthroscopy, subtalar joint, surgical; with removal of loose
body or foreign body
29892
29893
29897
29898
29899
29902
29904
5833
5834
5835
5836
5837
5838
5839
5840
5841
5842
5843
5844
5845
30111
30111
30111
30115
30115
30115
30115
30115
30116
30116
30116
30116
30116
30125
30210
30210
30210
30210
30210

Excision, nasal polyp(s), extensive
Excision, nasal polyp(s), extensive; bilateral
Excision or destruction (eg, laser), intranasal lesion; external
approach (lateral rhinotomy)
Excision dermoid cyst, nose; complex, under bone or
cartilage
cartilage
cartilage
cartilage
cartilage
Submucous resection inferior turbinate, partial or complete,
any method
any method
any method
any method
any method
Displacement therapy (Proetz type)
5846
30118
5847
30118
5848
30118
5849
30118
5850
30118
5851
30125
5852
30125
5853
30125
5854
30125
5855
30125
5856
30140
5857
30140
5858
30140
5859
30140
5860
30140
5861
5862
5863
5864
5865
30111
30111
30111
30115
30115
30115
30115
30115
30116
30116
30116
30116
30116
5866
30320
Removal foreign body, intranasal; by lateral rhinotomy
30320
5867
30320
30320
30118
30118
30118
30118
30118
30125
30125
30125
30125
30140
30140
30140
30140
30140
30210
30210
30210
30210
30210
5868
30320
30320
5869
30320
30320
5870
30320
30320
5871
30410
Rhinoplasty, primary; complete, external parts including bony

pyramid, lateral and alar cartilages, and/or elevation of nasal
tip
30410
5872
30410

tip
30410
5873
30410

tip
30410
5874
30410

tip
30410
5875
30410

tip
30410
5876
30420
Rhinoplasty, primary; including major septal repair
30420
5877
30420
30420
5878
30420
30420
5879
30420
30420
5880
30420
30420
5881
30435
5882
30435
5883
30435
5884
30435
5885
30435
5886
30450
5887
30450
5888
30450
5889
30450
5890
30450
Rhinoplasty, secondary; intermediate revision (bony work

with osteotomies)
with osteotomies)
with osteotomies)
with osteotomies)
with osteotomies)
Rhinoplasty, secondary; major revision (nasal tip work and
osteotomies)
osteotomies)
osteotomies)
osteotomies)
osteotomies)
30435
30435
30435
30435
30435
30450
30450
30450
30450
30450
5891
30462

lip and/or palate, including columellar lengthening; tip,
septum, osteotomies
30462
5892
30462

septum, osteotomies
30462
5893
30462

septum, osteotomies
30462
5894
30462

septum, osteotomies
30462
5895
30462

septum, osteotomies
30462
5896
30465
Repair of nasal vestibular stenosis (eg, spreader grafting,

lateral nasal wall reconstruction)
30465
5897
30465

30465
5898
30465

30465
5899
30465

30465
5900
30465

30465
5901
5902
5903
5904
5905
30545
30545
30545
30545
30545
5906
30800
5907
30800
5908
30800
5909
30800
5910
30800
5911
30802
Repair choanal atresia; transpalatine

Cauterization turbinates, unilateral or bilateral (separate
procedure); superficial
ablation, or tissue volume reduction); intramural (ie,
submucosal)
30545
30545
30545
30545
30545
30800
30800
30800
30800
30800
30802
30802

submucosal)
30802
30802

submucosal)
30802
30802

submucosal)
30802
5915
30802

submucosal)
30802
5916
30805
5917
30805
5918
30805
5919
30805
5920
30805
5921
30902
5922
30902
5923
30902
5924
30902
5925
30902
5926
30903
Control nasal hemorrhage, anterior, complex (extensive

cautery and/or packing) any method
30903
5927
30903

30903
5928
30903

30903
5929
30903

30903
5912
5913
5914

procedure); intramural
Contral nasal hemorrhage, anterior, simple (cauterization);
bilateral
bilateral
bilateral
bilateral
bilateral
30805
30805
30805
30805
30805
30902
30902
30902
30902
30902
5930
30903

30903
5931
30904
Control nasal hemorrhage, anterior, complex, (cauterization

with local anesthesia and packing), bilateral
30904
5932
30904

30904
5933
30904

30904
5934
30904

30904
5935
30904

30904
5936
30906

packs and/or cautery, any method; subsequent
30906
5937
30906

30906
5938
30906

30906
5939
30906

30906
5940
30906

30906
5941
5942
5943
5944
5945
5946
5947
5948
5949
5950
5951
5952
5953
5954
5955
5956
5957
5958
5959
5960
30999
30999
30999
30999
30999
31001
31001
31001
31001
31001
31002
31002
31002
31002
31002
31021
31021
31021
31021
31021
Unlisted procedure, nose

Lavage by cannulation; maxillary sinuses, bilateral
Lavage by cannulation; sphenoid sinus
Sinusotomy, maxillary (antrotomy); intranasal, bilateral
30999
30999
30999
30999
30999
31001
31001
31001
31001
31001
31002
31002
31002
31002
31002
31021
31021
31021
31021
31021
5961
31031
5962
31031
5963
31031
5964
31031
5965
31031
5966
31032
5967
31032
5968
31032
5969
31032
5970
31032
5971
31033
5972
31033
5973
31033
5974
31033
5975
31033
5976
31051
5977
31051
5978
31051
5979
31051
5980
31051
5981
5982
5983
5984
5985
31071
31071
31071
31071
31071
5986
31075
5987
31075
5988
31075
5989
31075
Sinusotomy, maxillary (antrotomy); radical, bilateral

(Caldwell-Luc) without removal of antrochoanal polyps
with removal of antrochoanal polyps
(Caldwell-Luc) with removal antrochoanal polyps
Sinusotomy, sphenoid, with or without biopsy; with mucosal
stripping or removal of polyp(s)
Sinusotomy frontal; intranasal
Sinusotomy frontal; transorbital, unilateral (for mucocele or
osteoma, Lynch type)
31031
31031
31031
31031
31031
31032
31032
31032
31032
31032
31033
31033
31033
31033
31033
31051
31051
31051
31051
31051
31071
31071
31071
31071
31071
31075
31075
31075
31075
5990
31075
5991
31080
5992
31080
5993
31080
5994
31080
5995
31080
5996
31081
5997
31081
5998
31081
5999
31081
6000
31081
6001
31084
6002
31084
6003
31084
6004
31084
6005
31084
6006
31085
6007
31085
6008
31085
6009
31085
6010
31085
6011
31086
6012
31086
6013
31086
6014
31086
6015
31086

Sinusotomy frontal; obliterative without osteoplastic flap,
brow incision (includes ablation)
Sinusotomy frontal; obliterative, without osteoplastic flap,
coronal incision (includes ablation)
Sinusotomy frontal; obliterative, with osteoplastic flap, brow
incision
incision
incision
incision
incision
Sinusotomy frontal; obliterative, with osteoplastic flap,
coronal incision
coronal incision
coronal incision
coronal incision
coronal incision
Sinusotomy frontal; nonobliterative, with osteoplastic flap,
brow incision
brow incision
brow incision
brow incision
brow incision
31075
31080
31080
31080
31080
31080
31081
31081
31081
31081
31081
31084
31084
31084
31084
31084
31085
31085
31085
31085
31085
31086
31086
31086
31086
31086

coronal incision
coronal incision
coronal incision
coronal incision
coronal incision
Sinusotomy, unilateral, 3 or more paranasal sinuses (frontal,
maxillary, ethmoid, sphenoid)
Ethmoidectomy; intranasal, total
Ethmoidectomy; extranasal, total
6016
31087
31087
6017
31087
6018
31087
6019
31087
6020
31087
6021
31090
6022
31090
6023
31090
6024
31090
6025
31090
6026
6027
6028
6029
6030
6031
6032
6033
6034
6035
31201
31201
31201
31201
31201
31205
31205
31205
31205
31205
6036
31233
Nasal/sinus endoscopy, diagnostic with maxillary

sinusoscopy (via inferior meatus or canine fossa puncture)
31233
6037
31233

31233
6038
31233

31233
6039
31233

31233
6040
31233

31233
6041
31235
Nasal/sinus endoscopy, diagnostic with sphenoid

sinusoscopy (via puncture of sphenoidal face or cannulation
of ostium)
31235
6042
31235

of ostium)
31235
31087
31087
31087
31087
31090
31090
31090
31090
31090
31201
31201
31201
31201
31201
31205
31205
31205
31205
31205
6043
31235

of ostium)
31235
6044
31235

of ostium)
31235
6045
31235
6046
31238
6047
31238
6048
31238
6049
31238
6050
31238
6051
31239
6052
31239
6053
31239
6054
31239
6055
31239
6056
31240
6057
31240
6058
31240
6059
31240
6060
31240
6061
31245
6062
31245
Nasal/sinus endoscopy, surgical, with osteomeatal complex

(OMC) resection and/or anterior ethmoidectomy, with or
without removal of polyp(s)
31245
6063
31245

31245
6064
31245

31245

of ostium)
Nasal/sinus endoscopy, surgical; with control of nasal
hemorrhage
hemorrhage
hemorrhage
hemorrhage
hemorrhage
Nasal/sinus endoscopy, surgical; with
dacryocystorhinostomy
Nasal/sinus endoscopy, surgical; with concha bullosa
resection
resection
resection
resection
resection
31235
31238
31238
31238
31238
31238
31239
31239
31239
31239
31239
31240
31240
31240
31240
31240
31245
6065
31245

31245
6066
31246

without removal of polyp(s); with antrostomy
31246
6067
31246

31246
6068
31246

31246
6069
31246

31246
6070
31246

31246
31247

without removal of polyp(s); with antrostomy and removal of
antral mucosal disease
31247
31247

31247
31247

31247
31247

31247
6075
31247

31247
6076
31248

without removal of polyp(s); with frontal sinus exploration
31248
6077
31248

31248
6071
6072
6073
6074
6078
31248

31248
6079
31248

31248
6080
31248

31248
31249

and antrostomy
31249
31249

and antrostomy
31249
31249

and antrostomy
31249
31249

and antrostomy
31249
6085
31249

and antrostomy
31249
6086
31250
Nasal endoscopy, diagnostic, with or without biopsy

(includes examination of the medial meatus, infundibulum
and sinus ostia) (separate procedure)
31250
6087
31250

31250
6088
31250

31250
6089
31250

31250
6090
31250

31250
31251

without removal of polyp(s); with frontal sinus exploration,
antrostomy, and removal of antral mucosal disease
31251
6081
6082
6083
6084
6091
31251

31251
31251

31251
31251

31251
6095
31251

31251
6096
6097
6098
6099
6100
31252
31252
31252
31252
31252
6101
31255
6102
31255
6103
31255
6104
31255
6105
31255
6106
6092
6093
6094
Nasal endoscopy, surgical; with nasal polypectomy

Nasal/sinus endoscopy, surgical; with ethmoidectomy, total
(anterior and posterior)
31252
31252
31252
31252
31252
31256
Nasal/sinus endoscopy, surgical, with maxillary antrostomy;
31256
6107
31256
31256
6108
31256
31256
6109
31256
31256
6110
31256
31256
6111
31258
Nasal endoscopy, surgical; with removal of foreign body(s)
31258
6112
31258
31258
6113
31258
31258
6114
31258
31258
31255
31255
31255
31255
31255
6115
31258
6116
31260
6117
31260
6118
31260
6119
31260
6120
31260
6121
31261
Nasal/sinus endoscopy, surgical, with anterior and posterior

ethmoidectomy (APE), with or without removal of polyp(s)
31261
6122
31261

31261
6123
31261

31261
6124
31261

31261
6125
31261

31261
6126
31262

ethmoidectomy (APE), with or without removal of polyp(s);
with antrostomy
31262
6127
31262

with antrostomy
31262
6128
31262

with antrostomy
31262
6129
31262

with antrostomy
31262
6130
31262
6131
31263
6132
31263
6133
31263
6134
31263
6135
31263
Maxillary sinus endoscopy, diagnostic, with or without biopsy


with antrostomy
Maxillary sinus endoscopy, surgical; with removal of foreign
body(s)
body(s)
body(s)
body(s)
body(s)
31258
31260
31260
31260
31260
31260
31262
31263
31263
31263
31263
31263
6136
31264

with antrostomy and removal of antral mucosal disease
31264
6137
31264

31264
6138
31264

31264
6139
31264

31264
6140
31264

31264
6141
31265
Maxillary sinus endoscopy, surgical; with removal of cyst
31265
6142
31265
31265
6143
31265
31265
6144
31265
31265
6145
31265
31265
6146
31266

with frontal sinus exploration
31266
6147
31266

31266
6148
31266

31266
6149
31266

31266
6150
31266
6151
31267
6152
31267
6153
31267
6154
31267

with removal of tissue from maxillary sinus
31266
31267
31267
31267
31267

Maxillary sinus endoscopy, surgical; with removal of fungus
ball
ball
ball
ball
ball
6155
31267
6156
31268
6157
31268
6158
31268
6159
31268
6160
31268
6161
31269

with frontal sinus exploration and antrostomy
31269
6162
31269

31269
6163
31269

31269
6164
31269

31269
6165
31269

31269
6166
31270
6167
31270
6168
31270
6169
31270
6170
31270
6171
6172
Sphenoid endoscopy, diagnostic, with or without biopsy

31267
31268
31268
31268
31268
31268
31270
31270
31270
31270
31270
31271

with frontal sinus exploration, antrostomy, and removal of
31271
31271

31271
6173
6174
31271

31271
31271

31271

Sphenoid endoscopy, surgical
Nasal/sinus endoscopy, surgical with frontal sinus
exploration, with or without removal of tissue from frontal
sinus
6175
31271
6176
6177
6178
6179
6180
31275
31275
31275
31275
31275
6181
31276
6182
31276

sinus
31276
6183
31276

sinus
31276
6184
31276

sinus
31276
6185
31276
6186
31277
6187
31277
6188
31277
6189
31277
6190
31277
6191
31280
6192
31280

ethmoidectomy and sphenoidotomy (APS), with or without
removal of polyp(s)
31280
6193
31280

removal of polyp(s)
31280

sinus
Sphenoid endoscopy, surgical; with removal of mucous
membrane
membrane
membrane
membrane
membrane
removal of polyp(s)
31271
31275
31275
31275
31275
31275
31276
31276
31277
31277
31277
31277
31277
31280
6194
31280

removal of polyp(s)
31280
6195
31280

removal of polyp(s)
31280
6196
31281

removal of polyp(s); with antrostomy
31281
6197
31281

31281
6198
31281

31281
6199
31281

31281
6200
31281

31281
31282

removal of polyp(s); with antrostomy and removal of antral
mucosal disease
31282
31282

mucosal disease
31282
31282

mucosal disease
31282
31282

mucosal disease
31282
6205
31282

mucosal disease
31282
6206
31283

removal of polyp(s); with frontal sinus exploration
31283
6207
31283

31283
6208
31283

31283
6201
6202
6203
6204
6209
31283

31283
6210
31283

31283
31284

removal of polyp(s); with frontal sinus exploration and
antrostomy
31284
31284

antrostomy
31284
31284

antrostomy
31284
31284

antrostomy
31284
6215
31284

antrostomy
31284
6216
31285
Sinus endoscopy, two or more sinuses, unilateral
31285
6217
31285
31285
6218
31285
31285
6219
31285
31285
6220
31285
31285
31286

removal of polyp(s); with frontal sinus exploration,
antrostomy and removal of antral mucosal disease
31286
31286

31286
31286

31286
6211
6212
6213
6214
6221
6222
6223
31286

31286
6225
31286

31286
6226
31287
Nasal/sinus endoscopy, surgical, with sphenoidotomy;
31287
6227
31287
31287
6228
31287
31287
6229
31287
31287
6230
31287
31287
6231
31288
Nasal/sinus endoscopy, surgical, with sphenoidotomy; with

removal of tissue from the sphenoid sinus
31288
6232
31288

31288
6233
31288

31288
6234
31288

31288
6235
31288

31288
6236
31291
6237
31291
6238
31291
6239
31291
6240
31291
6241
31293
Nasal/sinus endoscopy, surgical; with medial orbital wall and

inferior orbital wall decompression
31293
6242
31293

31293
6224

fluid leak; sphenoid region
31291
31291
31291
31291
31291
6243
31293

31293
6244
31293

31293
6245
31293

31293
6246
31294
6247
31294
6248
31294
6249
31294
6250
31294
6251
6252
6253
6254
6255
6256
6257
6258
6259
6260
6261
6262
6263
6264
6265
6266
6267
6268
6269
6270
31299
31299
31299
31299
31299
31320
31320
31320
31320
31320
31375
31375
31375
31375
31375
31380
31380
31380
31380
31380
6271
31382
6272
31382
6273
31382
6274
31382
6275
31382
6276
31395
6277
31395
Nasal/sinus endoscopy, surgical; with optic nerve

decompression
decompression
decompression
decompression
decompression
Unlisted procedure, accessory sinuses
Laryngotomy (thyrotomy, laryngofissure); diagnostic
Partial laryngectomy (hemilaryngectomy); laterovertical
Partial laryngectomy (hemilaryngectomy); anterovertical
Partial laryngectomy (hemilaryngectomy); antero-laterovertical
Pharyngolaryngectomy, with radical neck dissection; with
reconstruction
reconstruction
31294
31294
31294
31294
31294
31299
31299
31299
31299
31299
31320
31320
31320
31320
31320
31375
31375
31375
31375
31375
31380
31380
31380
31380
31380
31382
31382
31382
31382
31382
31395
31395
6278
31395
6279
31395
6280
31395
6281
6282
6283
6284
6285
31510
31510
31510
31510
31510

reconstruction
reconstruction
reconstruction
Laryngoscopy, indirect; with biopsy
6286
31511
Laryngoscopy, indirect; with removal of foreign body
31511
6287
31511
31511
6288
31511
31511
6289
31511
31511
6290
31511
31511
6291
6292
6293
6294
6295
31512
31512
31512
31512
31512
Laryngoscopy, indirect; with removal of lesion

31512
31512
31512
31512
31512
6296
31513
Laryngoscopy, indirect; with vocal cord injection
31513
6297
31513
31513
6298
31513
31513
6299
31513
31513
6300
31513
31513
6301
31520
6302
31520
6303
31520
6304
31520
6305
31520
6306
31525
6307
31525
6308
31525
Laryngoscopy direct, with or without tracheoscopy;

diagnostic, newborn
diagnostic, newborn
diagnostic, newborn
diagnostic, newborn
diagnostic, newborn
diagnostic, except newborn
31395
31395
31395
31510
31510
31510
31510
31510
31520
31520
31520
31520
31520
31525
31525
31525

diagnostic, with operating microscope or telescope
Laryngoscopy direct, with or without tracheoscopy; with
insertion of obturator
dilation, initial
dilation, initial
dilation, initial
dilation, initial
dilation, initial
dilation, subsequent
6309
31525
31525
6310
31525
6311
31526
6312
31526
6313
31526
6314
31526
6315
31526
6316
31527
6317
31527
6318
31527
6319
31527
6320
31527
6321
31528
6322
31528
6323
31528
6324
31528
6325
31528
6326
31529
6327
31529
6328
31529
6329
31529
6330
31529
6331
31530
Laryngoscopy, direct, operative, with foreign body removal;
31530
6332
31530
31530
6333
31530
31530
6334
31530
31530
31525
31526
31526
31526
31526
31526
31527
31527
31527
31527
31527
31528
31528
31528
31528
31528
31529
31529
31529
31529
31529
6335
31530
6336
31531
6337
31531
6338
31531
6339
31531
6340
31531
6341
6342
6343
6344
6345
31535
31535
31535
31535
31535
6346
31536
6347
31536
6348
31536
6349
31536
6350
31536
6351
31540
Laryngoscopy, direct, operative, with excision of tumor

and/or stripping of vocal cords or epiglottis;
31540
6352
31540

31540
6353
31540

31540
6354
31540

31540
6355
31540

31540
6356
31541

and/or stripping of vocal cords or epiglottis; with operating
microscope or telescope
31541
6357
31541

31541
6358
31541

31541

with operating microscope or telescope
Laryngoscopy, direct, operative, with biopsy;
Laryngoscopy, direct, operative, with biopsy; with operating
31530
31531
31531
31531
31531
31531
31535
31535
31535
31535
31535
31536
31536
31536
31536
31536
6359
31541

31541
6360
31541

31541
6361
31545
Laryngoscopy, direct, operative, with operating microscope

or telescope, with submucosal removal of non-neoplastic
lesion(s) of vocal cord; reconstruction with local tissue flap(s)
31545
6362
31545

31545
6363
31545

31545
6364
31545

31545
6365
31545

31545
31546

lesion(s) of vocal cord; reconstruction with graft(s) (includes
obtaining autograft)
31546
31546

31546
31546

31546
31546

31546
6370
31546

31546
6371
6372
31560
31560
Laryngoscopy, direct, operative, with arytenoidectomy;

31560
31560
6366
6367
6368
6369
6373
6374
6375
31560
31560
31560

Laryngoscopy, direct, operative, with arytenoidectomy; with
operating microscope or telescope
Laryngoscopy, direct, with injection into vocal cord(s),
therapeutic;
therapeutic;
therapeutic;
therapeutic;
therapeutic;
6376
31561
6377
31561
6378
31561
6379
31561
6380
31561
6381
31570
6382
31570
6383
31570
6384
31570
6385
31570
6386
31571

therapeutic; with operating microscope or telescope
31571
6387
31571

31571
6388
31571

31571
6389
31571

31571
6390
31571

31571
6391
6392
6393
6394
6395
6396
6397
6398
6399
6400
31575
31575
31575
31575
31575
31576
31576
31576
31576
31576
6401
31577
6402
31577
Laryngoscopy, flexible fiberoptic; diagnostic

Laryngoscopy, flexible fiberoptic; with biopsy
Laryngoscopy, flexible fiberoptic; with removal of foreign
body
body
31560
31560
31560
31561
31561
31561
31561
31561
31570
31570
31570
31570
31570
31575
31575
31575
31575
31575
31576
31576
31576
31576
31576
31577
31577

body
body
body
6403
31577
31577
6404
31577
6405
31577
6406
31578
Laryngoscopy, flexible fiberoptic; with removal of lesion
31578
6407
31578
31578
6408
31578
31578
6409
31578
31578
6410
31578
31578
6411
31579
Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy
31579
6412
31579
31579
6413
31579
31579
6414
31579
31579
6415
31579
31579
6416
6417
6418
6419
6420
31584
31584
31584
31584
31584
31584
31584
31584
31584
31584
6421
31586
6422
31586
6423
31586
6424
31586
6425
31586
6426
6427
6428
6429
6430
6431
6432
6433
6434
6435
31587
31587
31587
31587
31587
31599
31599
31599
31599
31599
6436
31601
Laryngoplasty; with open reduction of fracture

Treatment of closed laryngeal fracture; with closed
manipulative reduction
Laryngoplasty, cricoid split
Unlisted procedure, larynx
Tracheostomy, planned (separate procedure); younger than
2 years
31577
31577
31586
31586
31586
31586
31586
31587
31587
31587
31587
31587
31599
31599
31599
31599
31599
31601

2 years
2 years
2 years
2 years
6437
31601
31601
6438
31601
6439
31601
6440
31601
6441
31614
Tracheostoma revision; complex, with flap rotation
31614
6442
31614
31614
6443
31614
31614
6444
31614
31614
6445
31614
31614
6446
31620
Endobronchial ultrasound (EBUS) during bronchoscopic

diagnostic or therapeutic intervention(s) (List separately in
addition to code for primary procedure(s))
31620
6447
31620

31620
6448
31620

31620
6449
31620

31620
6450
31620

31620
6451
31623

guidance, when performed; with brushing or protected
brushings
31623
6452
31623

brushings
31623
6453
31623

brushings
31623
6454
31623

brushings
31623
6455
31623

brushings
31623
31601
31601
31601
6456
31624

guidance, when performed; with bronchial alveolar lavage
31624
6457
31624

31624
6458
31624

31624
6459
31624

31624
6460
31624

31624
6461
31625

guidance, when performed; with bronchial or endobronchial
biopsy(s), single or multiple sites
31625
6462
31625

31625
6463
31625

31625
6464
31625

31625
6465
31625

31625
6466
31626

guidance, when performed; with placement of fiducial
markers, single or multiple
31626
6467
31626

31626
6468
31626

31626
6469
31626

31626
6470
31626

31626
31627

guidance, when performed; with computer-assisted, imageguided navigation (List separately in addition to code for
primary procedure[s])
31627
6471
31627

31627
31627

31627
31627

31627
6475
31627

31627
6476
31628

guidance, when performed; with transbronchial lung
biopsy(s), single lobe
31628
6477
31628

31628
6478
31628

31628
6479
31628

31628
6480
31628

31628
31629

guidance, when performed; with transbronchial needle
aspiration biopsy(s), trachea, main stem and/or lobar
bronchus(i)
31629
31629

bronchus(i)
31629
31629

bronchus(i)
31629
31629

bronchus(i)
31629
6472
6473
6474
6481
6482
6483
6484
6485
31629

bronchus(i)
6486
31630

guidance, when performed; with tracheal/bronchial dilation
or closed reduction of fracture
31630
6487
31630

31630
6488
31630

31630
6489
31630

31630
6490
31630

31630
6491
31631

guidance, when performed; with placement of tracheal
stent(s) (includes tracheal/bronchial dilation as required)
31631
6492
31631

31631
6493
31631

31631
6494
31631

31631
6495
31631

31631
31632

biopsy(s), each additional lobe (List separately in addition to
31632
31632

31632
6496
6497
31629
31632

31632
31632

31632
31632

31632
31633

aspiration biopsy(s), each additional lobe (List separately in
31633
31633

31633
31633

31633
31633

31633
6505
31633

31633
6506
31635

guidance, when performed; with removal of foreign body
31635
6507
31635

31635
6508
31635

31635
6509
31635

31635
6498
6499
6500
6501
6502
6503
6504
6510
6511
6512
6513
6514
6515
6516
6517
6518
6519
6520
6521
31635

31635
31636

guidance, when performed; with placement of bronchial
stent(s) (includes tracheal/bronchial dilation as required),
initial bronchus
31636
31636

initial bronchus
31636
31636

initial bronchus
31636
31636

initial bronchus
31636
31636

initial bronchus
31636
31637

guidance, when performed; each additional major bronchus
stented (List separately in addition to code for primary
procedure)
31637
31637

procedure)
31637
31637

procedure)
31637
31637

procedure)
31637
31637

procedure)
31637
31638

guidance, when performed; with revision of tracheal or
bronchial stent inserted at previous session (includes
tracheal/bronchial dilation as required)
31638
31638

31638
31638

31638
31638

31638
6525
31638

31638
6526
31640

guidance, when performed; with excision of tumor
31640
6527
31640

31640
6528
31640

31640
6529
31640

31640
6530
31640

31640
31641

guidance, when performed; with destruction of tumor or relief
of stenosis by any method other than excision (eg, laser
therapy, cryotherapy)
31641
31641

31641
31641

31641
31641

31641
6522
6523
6524
6531
6532
6533
6534
6535
31641

6536
31643

guidance, when performed; with placement of catheter(s) for
intracavitary radioelement application
31643
6537
31643

31643
6538
31643

31643
6539
31643

31643
6540
31643

31643
6541
31646

tracheobronchial tree, subsequent
31646
6542
31646

31646
6543
31646

31646
6544
31646

31646
6545
31646

31646
6546
31656

guidance, when performed; with injection of contrast material
for segmental bronchography (fiberscope only)
31656
6547
31656

31656
6548
31656

31656
6549
31656

31656
31641
6550
31656

31656
6551
31659
Bronchoscopy; with other bronchoscopic procedures
31659
6552
31659
31659
6553
31659
31659
6554
31659
31659
6555
31659
31659
6556
6557
6558
6559
6560
31717
31717
31717
31717
31717
31717
31717
31717
31717
31717
6561
31719
Catheterization with bronchial brush biopsy

Transtracheal (percutaneous) introduction of indwelling tube
for therapy (eg, tickle tube, catheter for oxygen
administration)
6562
31719

administration)
31719
6563
31719

administration)
31719
6564
31719

administration)
31719
6565
31719
6566
31725
6567
31725
6568
31725
6569
31725
6570
31725
6571
31755
Tracheoplasty; tracheopharyngeal fistulization, each stage
31755
6572
31755
31755
6573
31755
31755
6574
31755
31755

administration)
Catheter aspiration (separate procedure); tracheobronchial
with fiberscope, bedside
31719
31719
31725
31725
31725
31725
31725
6575
31755
31755
6576
6577
6578
6579
6580
6581
6582
6583
6584
6585
6586
6587
6588
6589
6590
31760
31760
31760
31760
31760
31775
31775
31775
31775
31775
31780
31780
31780
31780
31780
Tracheoplasty; intrathoracic
Bronchoplasty; excision stenosis and anastomosis
Excision tracheal stenosis and anastomosis; cervical
31760
31760
31760
31760
31760
31775
31775
31775
31775
31775
31780
31780
31780
31780
31780
6591
31781
Excision tracheal stenosis and anastomosis; cervicothoracic
31781
6592
31781
31781
6593
31781
31781
6594
31781
31781
6595
31781
31781
6596
6597
6598
6599
6600
6601
6602
6603
6604
6605
31786
31786
31786
31786
31786
31805
31805
31805
31805
31805
Excision of tracheal tumor or carcinoma; thoracic

Suture of tracheal wound or injury; intrathoracic
31786
31786
31786
31786
31786
31805
31805
31805
31805
31805
6606
31825
Surgical closure tracheostomy or fistula; with plastic repair
31825
6607
31825
31825
6608
31825
31825
6609
31825
31825
6610
31825
31825
6611
6612
6613
6614
6615
31899
31899
31899
31899
31899
Unlisted procedure, trachea, bronchi

31899
31899
31899
31899
31899
6616
32002
Thoracentesis with insertion of tube with or without water

seal (eg, for pneumothorax) (separate procedure)
32002
6617
32002

32002
6618
32002

32002
6619
32002

32002
6620
32002

32002
6621
32019
Insertion of indwelling tunneled pleural catheter with cuff
32019
6622
32019
32019
6623
32019
32019
6624
32019
32019
6625
32019
32019
6626
6627
6628
6629
6630
32036
32036
32036
32036
32036
32036
32036
32036
32036
32036
6631
32110
6632
32110
6633
32110
6634
32110
6635
32110
Thoracostomy; with open flap drainage for empyema

Thoracotomy, major; with control of traumatic hemorrhage
and/or repair of lung tear
6636
32120
Thoracotomy, major; for postoperative complications
32120
6637
32120
32120
6638
32120
32120
6639
32120
32120
6640
32120
32120
6641
32124
Thoracotomy, major; with open intrapleural pneumonolysis
32124
32110
32110
32110
32110
32110
6642
32124
32124
6643
32124
32124
6644
32124
32124
6645
32124
32124
6646
32140
6647
32140
6648
32140
6649
32140
6650
32140
6651
32141
6652
32141
6653
32141
6654
32141
6655
32141
6656
32150
6657
32150
6658
32150
6659
32150
6660
32150
6661
32151
6662
32151
6663
32151
6664
32151
6665
32151
6666
6667
6668
6669
6670
32160
32160
32160
32160
32160
Thoracotomy, major; with cyst(s) removal, with or without a

pleural procedure
pleural procedure
pleural procedure
pleural procedure
pleural procedure
Thoracotomy, major; with excision-plication of bullae, with or
without any pleural procedure
Thoracotomy, major; with removal of intrapleural foreign
Thoracotomy, major; with removal of intrapulmonary foreign
body
body
body
body
body
Thoracotomy, major; with cardiac massage
32140
32140
32140
32140
32140
32141
32141
32141
32141
32141
32150
32150
32150
32150
32150
32151
32151
32151
32151
32151
32160
32160
32160
32160
32160
Pneumonostomy; with percutaneous drainage of abscess or

cyst
cyst
cyst
cyst
cyst
Pleurectomy; partial
Biopsy, pleura; open
or subsequent
or subsequent
or subsequent
or subsequent
or subsequent
6671
32201
32201
6672
32201
6673
32201
6674
32201
6675
32201
6676
6677
6678
6679
6680
6681
6682
6683
6684
6685
32315
32315
32315
32315
32315
32402
32402
32402
32402
32402
6686
32421
6687
32421
6688
32421
6689
32421
6690
32421
6691
32422
Thoracentesis with insertion of tube, includes water seal (eg,

for pneumothorax), when performed (separate procedure)
32422
6692
32422

32422
6693
32422

32422
6694
32422

32422
6695
32422

32422
6696
32445
Removal of lung, total pneumonectomy; extrapleural
32445
6697
32445
32445
6698
32445
32445
6699
32445
32445
32201
32201
32201
32201
32315
32315
32315
32315
32315
32402
32402
32402
32402
32402
32421
32421
32421
32421
32421
6700
32445
32445
6701
6702
6703
6704
6705
32450
32450
32450
32450
32450
32450
32450
32450
32450
32450
6706
32485
6707
32485
6708
32485
6709
32485
6710
32485
Pneumonectomy, extrapleural; with empyemectomy

Removal of lung, other than total pneumonectomy; with
bronchoplasty
bronchoplasty
bronchoplasty
bronchoplasty
bronchoplasty
6711
32486

circumferential resection of segment of bronchus followed by
broncho-bronchial anastomosis (sleeve lobectomy)
32486
6712
32486

32486
6713
32486

32486
6714
32486

32486
6715
32486

32486
6716
32488
Removal of lung, other than total pneumonectomy; all

remaining lung following previous removal of a portion of
lung (completion pneumonectomy)
32488
6717
32488

32488
6718
32488

32488
6719
32488

32488
32485
32485
32485
32485
32485
6720
32488
6721
32490
6722
32490
6723
32490
6724
32490
6725
32490

Lobectomy, total or segmental; with concomitant
decortication
decortication
decortication
decortication
decortication
32488
32490
32490
32490
32490
32490
32491
Removal of lung, other than total pneumonectomy; excisionplication of emphysematous lung(s) (bullous or non-bullous)
for lung volume reduction, sternal split or transthoracic
approach, with or without any pleural procedure
32491
32491
32491
32491
32491
32491
32491
6730
32491
32491
6731
32500
6732
32500
6733
32500
6734
32500
6735
32500
6726
6727
6728
6729
Removal of lung, other than total pneumonectomy; wedge

resection, single or multiple
32500
32500
32500
32500
32500
32503
Resection of apical lung tumor (eg, Pancoast tumor),

including chest wall resection, rib(s) resection(s),
neurovascular dissection, when performed; without chest
wall reconstruction(s)
32503
32503

32503
32503

32503
32503

32503
32503

32503
32504

neurovascular dissection, when performed; with chest wall
reconstruction
32504
32504

reconstruction
32504
32504

reconstruction
32504
32504

reconstruction
32504
6745
32504

reconstruction
32504
6746
32520
Resection of lung; with resection of chest wall
32520
6736
6737
6738
6739
6740
6741
6742
6743
6744
6747
32520
32520
6748
32520
32520
6749
32520
32520
6750
32520
32520
6751
32522
6752
32522
6753
32522
6754
32522
6755
32522
6756
32525
6757
32525
6758
32525
6759
32525
6760
32525
6761
32545
6762
32545
6763
32545
6764
32545
6765
32545
6766
32550
32550
6767
32550
32550
6768
32550
32550
6769
32550
32550
6770
32550
32550
6771
32551
Tube thoracostomy, includes water seal (eg, for abscess,

hemothorax, empyema), when performed (separate
procedure)
32551
Resection of lung; with reconstruction of chest wall, without

prosthesis
prosthesis
prosthesis
prosthesis
prosthesis
Resection of lung; with major reconstruction of chest wall,
with prosthesis
with prosthesis
with prosthesis
with prosthesis
with prosthesis
Extrapleural enucleation of empyema (empyemectomy); with
lobectomy
lobectomy
lobectomy
lobectomy
lobectomy
32522
32522
32522
32522
32522
32525
32525
32525
32525
32525
32545
32545
32545
32545
32545
6772
32551

procedure)
32551
6773
32551

procedure)
32551
6774
32551

procedure)
32551
6775
32551
6776
6777
6778
6779
6780
32552
32552
32552
32552
32552
6781
32553
Placement of interstitial device(s) for radiation therapy

guidance (eg, fiducial markers, dosimeter), percutaneous,
intra-thoracic, single or multiple
32553
6782
32553

32553
6783
32553

32553
6784
32553

32553
6785
32553

32553
6786
32560
Instillation, via chest tube/catheter, agent for pleurodesis (eg,

talc for recurrent or persistent pneumothorax)
32560
6787
32560

32560
6788
32560

32560
6789
32560

32560
6790
32560

32560

procedure)
Removal of indwelling tunneled pleural catheter with cuff
32551
32552
32552
32552
32552
32552
6791
32561
Instillation(s), via chest tube/catheter, agent for fibrinolysis

(eg, fibrinolytic agent for break up of multiloculated effusion);
initial day
32561
6792
32561

initial day
32561
6793
32561

initial day
32561
6794
32561

initial day
32561
6795
32561

initial day
32561
6796
32562

subsequent day
32562
6797
32562

subsequent day
32562
6798
32562

subsequent day
32562
6799
32562

subsequent day
32562
6800
32562
6801
32602
6802
32602
6803
32602
6804
32602
6805
32602
6806
32603
6807
32603
6808
32603
6809
32603
6810
32603
6811
32604

subsequent day
pleural space, with biopsy
Thoracoscopy, diagnostic (separate procedure); pericardial
sac, without biopsy
sac, without biopsy
sac, without biopsy
sac, without biopsy
sac, without biopsy
sac, with biopsy
32562
32602
32602
32602
32602
32602
32603
32603
32603
32603
32603
32604
6812
32604
6813
32604
6814
32604
6815
32604
6816
32605
6817
32605
6818
32605
6819
32605
6820
32605
6821
32606
6822
32606
6823
32606
6824
32606
6825
32606
6826
32654
6827
32654
6828
32654
6829
32654
6830
32654
6831
32655
6832
32655
6833
32655
6834
32655
6835
32655
6836
32662
6837
32662

sac, with biopsy
sac, with biopsy
sac, with biopsy
sac, with biopsy
Thoracoscopy, diagnostic (separate procedure); mediastinal
space, without biopsy
space, with biopsy
space, with biopsy
space, with biopsy
space, with biopsy
space, with biopsy
Thoracoscopy, surgical; with control of traumatic
hemorrhage
hemorrhage
hemorrhage
hemorrhage
hemorrhage
Thoracoscopy, surgical; with excision-plication of bullae,
including any pleural procedure
Thoracoscopy, surgical; with excision of mediastinal cyst,
tumor, or mass
tumor, or mass
32604
32604
32604
32604
32605
32605
32605
32605
32605
32606
32606
32606
32606
32606
32654
32654
32654
32654
32654
32655
32655
32655
32655
32655
32662
32662
6838
32662
6839
32662
6840
32662
6841
6842
6843
6844
6845
32700
32700
32700
32700
32700
6846
32850
6847
32850
6848
32850
6849
32850
6850
32850
6851
6852
6853
6854
6855
6856

tumor, or mass
tumor, or mass
tumor, or mass
Thoracoscopy, exploratory (separate procedure);
Donor pneumonectomy(ies) (including cold preservation),
from cadaver donor
from cadaver donor
from cadaver donor
from cadaver donor
from cadaver donor
32662
32662
32662
32700
32700
32700
32700
32700
32850
32850
32850
32850
32850
32855
Backbench standard preparation of cadaver donor lung

allograft prior to transplantation, including dissection of
allograft from surrounding soft tissues to prepare pulmonary
venous/atrial cuff, pulmonary artery, and bronchus; unilateral
32855
32855

32855
32855

32855
32855

32855
32855

32855
32856

venous/atrial cuff, pulmonary artery, and bronchus; bilateral
32856
32856

32856
32856

32856
32856

32856
6860
32856

32856
6861
32940
6862
32940
6863
32940
6864
32940
6865
32940
6866
33011
6867
33031
6868
33035
6869
33100
6870
33140
6871
33141
Transmyocardial laser revascularization, by thoracotomy;

performed at the time of other open cardiac procedure(s)
33141
6872
33201
Insertion of permanent pacemaker with epicardial

electrode(s); by xiphoid approach
33201
6873
33202
Insertion of epicardial electrode(s); open incision (eg,

thoracotomy, median sternotomy, subxiphoid approach)
33202
6874
33203
Insertion of epicardial electrode(s); endoscopic approach

(eg, thoracoscopy, pericardioscopy)
33203
6875
33207

transvenous electrode(s); ventricular
33207
6857
6858
6859
Pneumonolysis, extraperiosteal, including filling or packing

procedures
procedures
procedures
procedures
procedures
Pericardiocentesis; subsequent
Pericardiectomy, subtotal or complete; with cardiopulmonary
bypass
Complete ventricular decortication, with cardiopulmonary
bypass
Pericardiectomy (separate procedure)
Transmyocardial laser revascularization, by thoracotomy;
32940
32940
32940
32940
32940
33011
33031
33035
33100
33140
6876
33208

transvenous electrode(s); atrial and ventricular
33208
6877
33211
Insertion or replacement of temporary transvenous dual

chamber pacing electrodes (separate procedure)
33211
6878
33213
Insertion or replacement of pacemaker pulse generator only;

dual chamber
33213
6879
33215
Repositioning of previously implanted transvenous

pacemaker or pacing cardioverter-defibrillator (right atrial or
right ventricular) electrode
33215
6880
33217
Insertion of 2 transvenous electrodes, permanent

pacemaker or cardioverter-defibrillator
33217
6881
33219
Repair of pacemaker electrode(s) only; single chamber,

atrial or ventricular; with replacement of pulse generator
33219
6882
33220
Repair of 2 transvenous electrodes for a dual chamber

permanent pacemaker or dual chamber pacing cardioverterdefibrillator
33220
6883
33223
Revision of skin pocket for cardioverter-defibrillator
33223
33224
Insertion of pacing electrode, cardiac venous system, for left

ventricular pacing, with attachment to previously placed
pacemaker or pacing cardioverter-defibrillator pulse
generator (including revision of pocket, removal, insertion,
and/or replacement of generator)
33224
6885
33225
Insertion of pacing electrode, cardiac venous system, for left

ventricular pacing, at time of insertion of pacing cardioverterdefibrillator or pacemaker pulse generator (including
upgrade to dual chamber system) (List separately in addition
33225
6886
33226
Repositioning of previously implanted cardiac venous

system (left ventricular) electrode (including removal,
insertion and/or replacement of generator)
33226
6887
33232
6888
33235
6889
33237
6890
33242
6891
33246
6892
33247
6893
33248
6884
Removal of permanent pacemaker

Removal of transvenous pacemaker electrode(s); dual lead
system
Removal of permanent epicardial pacemaker and electrodes
by thoracotomy; dual lead system
Repair of implantable cardioverter-defibrillator pulse
generator and/or leads
Insertion of epicardial implantable single or dual chamber
pacing cardioverter-defibrillator electrodes by thoracotomy;
with insertion of pulse generator
Insertion or replacement of implantable cardioverterdefibrillator lead(s), by other than thoracotomy;
Revision or removal of automatic implantable cardioverterdefibrillator pads and electrodes
33232
33235
33237
33242
33246
33247
33248
6894
33251
Operative ablation of supraventricular arrhythmogenic focus

or pathway (eg, Wolff-Parkinson-White, atrioventricular node
re-entry), tract(s) and/or focus (foci); with cardiopulmonary
bypass
6895
33254
Operative tissue ablation and reconstruction of atria, limited

(eg, modified maze procedure)
33254
6896
33255
Operative tissue ablation and reconstruction of atria,

extensive (eg, maze procedure); without cardiopulmonary
bypass
33255
6897
33256

extensive (eg, maze procedure); with cardiopulmonary
bypass
33256
33257

performed at the time of other cardiac procedure(s), limited
(eg, modified maze procedure) (List separately in addition to
33257
33258

performed at the time of other cardiac procedure(s),
extensive (eg, maze procedure), without cardiopulmonary
bypass (List separately in addition to code for primary
procedure)
33258
6900
33259

performed at the time of other cardiac procedure(s),
extensive (eg, maze procedure), with cardiopulmonary
bypass (List separately in addition to code for primary
procedure)
33259
6901
33260
Operative ablation of arrhythmogenic focus or pathway;

33260
6902
33265
Endoscopy, surgical; operative tissue ablation and

reconstruction of atria, limited (eg, modified maze
procedure), without cardiopulmonary bypass
33265
6903
33266
6904
33284
6905
33315
Cardiotomy, exploratory (includes removal of foreign body,

atrial or ventricular thrombus); with cardiopulmonary bypass
33315
6906
33322
Suture repair of aorta or great vessels; with cardiopulmonary

bypass
33322
6907
33332
Insertion of graft, aorta or great vessels; with shunt bypass
33332
6908
33335
6909
33350
6898
6899
Endoscopy, surgical; operative tissue ablation and

reconstruction of atria, extensive (eg, maze procedure),
Removal of an implantable, patient-activated cardiac event
recorder
Insertion of graft, aorta or great vessels; with

Great vessel repair with other major procedure
33251
33266
33284
33335
33350
6910
33401
Valvuloplasty, aortic valve; open, with inflow occlusion
6911
33403
6912
33406
6913
33407
6914
33408
6915
33410
6916
33411
6917
33412
6918
33413
6919
33426
6920
33427
6921
33450
Valvotomy, tricuspid valve (commissurotomy); closed
33450
6922
33452
Valvotomy, tricuspid valve, with cardiopulmonary bypass
33452
6923
33464
33464
6924
33471
6925
33474
6926
33480
Valvuloplasty, tricuspid valve; with ring insertion

Valvotomy, pulmonary valve, closed heart; via pulmonary
artery
Valvotomy, pulmonary valve, open heart; with
Replacement and/or repair, double valve procedure, by
methods 33400-33465
6927
33496
Repair of non-structural prosthetic valve dysfunction with

cardiopulmonary bypass (separate procedure)
33496
6928
33501
Repair of coronary arteriovenous or arteriocardiac chamber

fistula; without cardiopulmonary bypass
33501
6929
33503

origin; by graft, without cardiopulmonary bypass
33503
6930
33505

origin; with construction of intrapulmonary artery tunnel
(Takeuchi procedure)
33505
6931
33506

origin; by translocation from pulmonary artery to aorta
33506
6932
33507
Repair of anomalous (eg, intramural) aortic origin of

coronary artery by unroofing or translocation
33507
Valvuloplasty, aortic valve; using transventricular dilation,

with cardiopulmonary bypass
with allograft valve (freehand)
Valvotomy, aortic valve (commissurotomy); with
Valvotomy, aortic valve (commissurotomy); with inflow
occlusion
with stentless tissue valve
Replacement, aortic valve; with aortic annulus enlargement,
noncoronary cusp
Replacement, aortic valve; with transventricular aortic
annulus enlargement (Konno procedure)
Replacement, aortic valve; by translocation of autologous
pulmonary valve with allograft replacement of pulmonary
valve (Ross procedure)
with prosthetic ring
radical reconstruction, with or without ring
33401
33403
33406
33407
33408
33410
33411
33412
33413
33426
33427
33471
33474
33480
6933
33508
Endoscopy, surgical, including video-assisted harvest of

vein(s) for coronary artery bypass procedure (List separately
33508
6934
33511
33511
6935
33512
33512
6936
33514
33514
6937
33516
Coronary artery bypass, vein only; 6 or more coronary

venous grafts
33516
6938
33518

33518
6939
33519

33519
6940
33520
Coronary artery bypass, nonautogenous graft (eg, synthetic

or cadaver); single graft
33520
6941
33522

33522
6942
33523

graft(s); 6 or more venous grafts (List separately in addition
33523
6943
33525
Coronary artery bypass, nonautogenous graft (eg, synthetic

or cadaver); two coronary grafts
33525
6944
33534
6945
33535
6946
33548
6947
33560
6948
33570
6949
33575
6950
33602
6951
33606
Coronary artery bypass, using arterial graft(s); 2 coronary

arterial grafts
Coronary artery bypass, using arterial graft(s); 3 coronary
arterial grafts
Surgical ventricular restoration procedure, includes
prosthetic patch, when performed (eg, ventricular
remodeling, SVR, SAVER, Dor procedures)
Myocardial operation combined with coronary bypass
procedure
Coronary angioplasty (endarterectomy with or without gas,
arterial implantation or anastomosis), with bypass
Coronary angioplasty (endarterectomy with or without gas,
arterial implantation or anastomosis), with bypass; combined
with vascularization
Closure of semilunar valve (aortic or pulmonary) by suture or
patch
Anastomosis of pulmonary artery to aorta (Damus-KayeStansel procedure)
33534
33535
33548
33560
33570
33575
33602
33606
Repair of complex cardiac anomaly other than pulmonary

atresia with ventricular septal defect by construction or
replacement of conduit from right or left ventricle to
pulmonary artery
6952
33608
6953
33610
6954
33611
6955
33612
Repair of double outlet right ventricle with intraventricular

tunnel repair; with repair of right ventricular outflow tract
obstruction
33612
6956
33615
Repair of complex cardiac anomalies (eg, tricuspid atresia)

by closure of atrial septal defect and anastomosis of atria or
vena cava to pulmonary artery (simple Fontan procedure)
33615
6957
33617
Repair of complex cardiac anomalies (eg, single ventricle) by

modified Fontan procedure
33617
6958
33619
Repair of single ventricle with aortic outflow obstruction and

aortic arch hypoplasia (hypoplastic left heart syndrome) (eg,
Norwood procedure)
33619
6959
33640
Repair atrial septal defect, secundum; direct closure without

33640
6960
33643
Repair atrial septal defect, secundum; patch closure, with or

without anomalous pulmonary venous drainage
33643
6961
33645
6962
33647
6963
33649
Repair of tricuspid atresia (eg, Fontan, Gago procedures)
33649
6964
33660
Repair of incomplete or partial atrioventricular canal (ostium

primum atrial septal defect), with or without atrioventricular
valve repair
33660
6965
33665
Repair of intermediate or transitional atrioventricular canal,

with or without atrioventricular valve repair
33665
6966
33670
6967
33675
6968
33676
Closure of multiple ventricular septal defects; with pulmonary

valvotomy or infundibular resection (acyanotic)
33676
6969
33677
Closure of multiple ventricular septal defects; with removal of

pulmonary artery band, with or without gusset
33677
6970
33681
Closure of single ventricular septal defect, with or without

patch;
33681
Repair of complex cardiac anomalies (eg, single ventricle

with subaortic obstruction) by surgical enlargement of
ventricular septal defect
Repair of double outlet right ventricle with intraventricular
tunnel repair;
Direct or patch closure, sinus venosus, with or without

anomalous pulmonary venous drainage
Repair of atrial septal defect and ventricular septal defect,
with direct or patch closure
Repair of complete atrioventricular canal, with or without

prosthetic valve
Closure of multiple ventricular septal defects;
33608
33610
33611
33645
33647
33670
33675
6971
33682
Closure ventricular septal defect; patch

patch; with pulmonary valvotomy or infundibular resection
(acyanotic)
6972
33684
6973
33688
6974
33690
6975
33692
6976
33694
6977
33696
6978
33697
Complete repair tetralogy of Fallot with pulmonary atresia

including construction of conduit from right ventricle to
pulmonary artery and closure of ventricular septal defect
33697
6979
33698
Complete repair tetralogy of Fallot with pulmonary atresia

including construction of conduit from right ventricle to
pulmonary artery and closure of ventricular septal defect;
with closure of previous shunt
33698
6980
33702
Repair sinus of Valsalva fistula, with cardiopulmonary

bypass;
33702
6981
33710
Repair sinus of Valsalva fistula, with cardiopulmonary

bypass; with repair of ventricular septal defect
33710
6982
33720
6983
33722
6984
33724
6985
33726
6986
33730
6987
33732
6988
33737
6989
33738
6990
33739
6991
33755
6992
33762
6993
33764
6994
33766

patch; with removal of pulmonary artery band, with or without
gusset
Banding of pulmonary artery
Complete repair tetralogy of Fallot without pulmonary
atresia;
atresia; with transannular patch
atresia; with closure of previous shunt
Repair sinus of Valsalva aneurysm, with cardiopulmonary

bypass
Closure of aortico-left ventricular tunnel
Repair of isolated partial anomalous pulmonary venous
return (eg, Scimitar Syndrome)
Repair of pulmonary venous stenosis
Complete repair of anomalous venous return (supracardiac,
intracardiac, or infracardiac types)
Repair of cor triatriatum or supravalvular mitral ring by
resection of left atrial membrane
Atrial septectomy or septostomy; open heart, with inflow
occlusion
Atrial septectomy or septostomy; transvenous method,
balloon, Rashkind type (includes cardiac catheterization)
Atrial septectomy or septostomy; blade method (Sang-Park
septostomy) (includes cardiac catheterization)
Shunt; ascending aorta to pulmonary artery (Waterston type
operation)
Shunt; descending aorta to pulmonary artery (Potts-Smith
type operation)
Shunt; central, with prosthetic graft
Shunt; superior vena cava to pulmonary artery for flow to 1
lung (classical Glenn procedure)
33682
33684
33688
33690
33692
33694
33696
33720
33722
33724
33726
33730
33732
33737
33738
33739
33755
33762
33764
33766
6995
33767
Shunt; superior vena cava to pulmonary artery for flow to

both lungs (bidirectional Glenn procedure)
33767
6996
33768
Anastomosis, cavopulmonary, second superior vena cava

(List separately in addition to primary procedure)
33768
6997
33770
Repair of transposition of the great arteries with ventricular

septal defect and subpulmonary stenosis; without surgical
enlargement of ventricular septal defect
33770
6998
33771
Repair of transposition of the great arteries with ventricular

septal defect and subpulmonary stenosis; with surgical
enlargement of ventricular septal defect
33771
6999
33774
Repair of transposition of the great arteries, atrial baffle

procedure (eg, Mustard or Senning type) with
cardiopulmonary bypass;
33774
7000
33775

cardiopulmonary bypass; with removal of pulmonary band
33775
33776

cardiopulmonary bypass; with closure of ventricular septal
defect
33776
7002
33777

cardiopulmonary bypass; with repair of subpulmonic
obstruction
33777
7003
33778
Repair of transposition of the great arteries, aortic pulmonary

artery reconstruction (eg, Jatene type);
33778
7004
33779

artery reconstruction (eg, Jatene type); with removal of
pulmonary band
33779
7005
33780

artery reconstruction (eg, Jatene type); with closure of
ventricular septal defect
33780
7006
33781

artery reconstruction (eg, Jatene type); with repair of
subpulmonic obstruction
33781
7007
33782
Aortic root translocation with ventricular septal defect and

pulmonary stenosis repair (ie, Nikaidoh procedure); without
coronary ostium reimplantation
33782
7008
33783
Aortic root translocation with ventricular septal defect and

pulmonary stenosis repair (ie, Nikaidoh procedure); with
reimplantation of 1 or both coronary ostia
33783
7009
33800
Aortic suspension (aortopexy) for tracheal decompression

(eg, for tracheomalacia) (separate procedure)
33800
7010
33802
7011
33803
7001
Division of aberrant vessel (vascular ring);

Division of aberrant vessel (vascular ring); with
reanastomosis
33802
33803
7012
33810
Creation of aortopulmonary window; without bypass

Obliteration of aortopulmonary septal defect; without
Obliteration of aortopulmonary septal defect; with
33810
7013
33813
7014
33814
7015
33820
Repair of patent ductus arteriosus; by ligation
33820
7016
33822
7017
33824
7018
33830
7019
33840
Excision of coarctation of aorta, with or without associated

patent ductus arteriosus; with direct anastomosis
33840
7020
33845

patent ductus arteriosus; with graft
33845
7021
33851

patent ductus arteriosus; repair using either left subclavian
artery or prosthetic material as gusset for enlargement
33851
7022
33852
Repair of hypoplastic or interrupted aortic arch using

autogenous or prosthetic material; without cardiopulmonary
bypass
33852
7023
33853
Repair of hypoplastic or interrupted aortic arch using

autogenous or prosthetic material; with cardiopulmonary
bypass
33853
7024
33855
Excision of coarctation of aorla, with or without assocated

patent ductus arteriosus; repair of hypoplastic left heart
syndrome (eg, Norwood type)
33855
7025
33861

without valve suspension; with coronary reconstruction
33861
7026
33863

without valve suspension; with aortic root replacement using
composite prosthesis and coronary reconstruction
33863
7027
33864
Ascending aorta graft, with cardiopulmonary bypass with

valve suspension, with coronary reconstruction and valve
sparing aortic annulus remodeling (eg, David Procedure,
Yacoub Procedure)
33864
7028
33865

without coronary implant, with or without valve suspension;
with valve replacement
33865
Repair of patent ductus arteriosus; by division, younger than

18 years
Repair of patent ductus arteriosus; by division, 18 years and
older
Patent ductus arteriosus; ligation or division when performed
with another procedure
33813
33814
33822
33824
33830
33880
Endovascular repair of descending thoracic aorta (eg,

aneurysm, pseudoaneurysm, dissection, penetrating ulcer,
intramural hematoma, or traumatic disruption); involving
coverage of left subclavian artery origin, initial
endoprosthesis plus descending thoracic aortic extension(s),
if required, to level of celiac artery origin
33880
33881

intramural hematoma, or traumatic disruption); not involving
if required, to level of celiac artery origin
33881
33883
Placement of proximal extension prosthesis for

endovascular repair of descending thoracic aorta (eg,
intramural hematoma, or traumatic disruption); initial
extension
33883
7032
33884

intramural hematoma, or traumatic disruption); each
additional proximal extension (List separately in addition to
33884
7033
33886
Placement of distal extension prosthesi(s) delayed after

endovascular repair of descending thoracic aorta
33886
7034
33889
Open subclavian to carotid artery transposition performed in

conjunction with endovascular repair of descending thoracic
aorta, by neck incision, unilateral
33889
7035
33891
Bypass graft, with other than vein, transcervical

retropharyngeal carotid-carotid, performed in conjunction
with endovascular repair of descending thoracic aorta, by
neck incision
33891
7036
33915
7037
33917
7038
33918
7039
33919
7029
7030
7031
Pulmonary artery embolectomy; without cardiopulmonary

bypass
Repair of pulmonary artery stenosis by reconstruction with
patch or graft
Repair of pulmonary atresia with ventricular septal defect, by
unifocalization of pulmonary arteries; without
unifocalization of pulmonary arteries; with cardiopulmonary
bypass
33915
33917
33918
33919
7040
33920

construction or replacement of conduit from right or left
ventricle to pulmonary artery
33920
7041
33922
Transection of pulmonary artery with cardiopulmonary

bypass
33922
7042
33925
Repair of pulmonary artery arborization anomalies by

unifocalization; without cardiopulmonary bypass
33925
7043
33926
Repair of pulmonary artery arborization anomalies by

unifocalization; with cardiopulmonary bypass
33926
7044
33930
Donor cardiectomy-pneumonectomy (including cold

preservation)
33930
7045
33933
Backbench standard preparation of cadaver donor

heart/lung allograft prior to transplantation, including
dissection of allograft from surrounding soft tissues to
prepare aorta, superior vena cava, inferior vena cava, and
trachea for implantation
33933
7046
33940
Donor cardiectomy (including cold preservation)
33940
7047
33944
Backbench standard preparation of cadaver donor heart

allograft from surrounding soft tissues to prepare aorta,
superior vena cava, inferior vena cava, pulmonary artery,
and left atrium for implantation
33944
7048
33961
Prolonged extracorporeal circulation for cardiopulmonary

insufficiency; each additional 24 hours (List separately in
33961
7049
33972
7050
33973
7051
33974
7052
33976
7053
33978
7054
33979
7055
33980
7056
33981
Replacement of extracorporeal ventricular assist device,

single or biventricular, pump(s), single or each pump
33981
7057
33982
Replacement of ventricular assist device pump(s);

implantable intracorporeal, single ventricle, without
33982
7058
33983
Replacement of ventricular assist device pump(s);

implantable intracorporeal, single ventricle, with
33983
Intra-aortic balloon couterpulsation; monitoring only

Insertion of intra-aortic balloon assist device through the
ascending aorta
Removal of intra-aortic balloon assist device from the
ascending aorta, including repair of the ascending aorta,
with or without graft
Insertion of ventricular assist device; extracorporeal,
biventricular
Removal of ventricular assist device; extracorporeal,
biventricular
Insertion of ventricular assist device, implantable
intracorporeal, single ventricle
Removal of ventricular assist device, implantable
intracorporeal, single ventricle
33972
33973
33974
33976
33978
33979
33980
7059
33999
Unlisted procedure, cardiac surgery

innominate, subclavian artery, by thoracic incision
axillary, brachial, innominate, subclavian artery, by arm
incision
radial or ulnar artery, by arm incision
7060
34051
7061
34101
7062
34111
7063
34201
7064
34203
7065
34421
7066
34451
7067
34471
7068
34490
7069
34802
7070
34803

or dissection; using modular bifurcated prosthesis (2 docking
limbs)
34803
7071
34804

or dissection; using unibody bifurcated prosthesis
34804
7072
34805

or dissection; using aorto-uniiliac or aorto-unifemoral
prosthesis
34805
7073
34806
Transcatheter placement of wireless physiologic sensor in

aneurysmal sac during endovascular repair, including
radiological supervision and interpretation, instrument
calibration, and collection of pressure data (List separately in
34806
7074
34812
Open femoral artery exposure for delivery of endovascular

prosthesis, by groin incision, unilateral
34812
7075
34813
Placement of femoral-femoral prosthetic graft during

endovascular aortic aneurysm repair (List separately in
34813
7076
34820
Open iliac artery exposure for delivery of endovascular

prosthesis or iliac occlusion during endovascular therapy, by
abdominal or retroperitoneal incision, unilateral
34820

femoropopliteal, aortoiliac artery, by leg incision
popliteal-tibio-peroneal artery, by leg incision
Thrombectomy, direct or with catheter; vena cava, iliac,
femoropopliteal vein, by leg incision
Thrombectomy, direct or with catheter; vena cava, iliac,
femoropopliteal vein, by abdominal and leg incision
Thrombectomy, direct or with catheter; subclavian vein, by
neck incision
Thrombectomy, direct or with catheter; axillary and
subclavian vein, by arm incision
or dissection; using modular bifurcated prosthesis (1 docking
limb)
33999
34051
34101
34111
34201
34203
34421
34451
34471
34490
34802
34825

endovascular repair of infrarenal abdominal aortic or iliac
aneurysm, false aneurysm, or dissection; initial vessel
34825
7078
34826

endovascular repair of infrarenal abdominal aortic or iliac
aneurysm, false aneurysm, or dissection; each additional
procedure)
34826
7079
34830
Open repair of infrarenal aortic aneurysm or dissection, plus

repair of associated arterial trauma, following unsuccessful
endovascular repair; tube prosthesis
34830
7080
34831

endovascular repair; aorto-bi-iliac prosthesis
34831
7081
34832

endovascular repair; aorto-bifemoral prosthesis
34832
7082
34833
Open iliac artery exposure with creation of conduit for

delivery of aortic or iliac endovascular prosthesis, by
abdominal or retroperitoneal incision, unilateral
34833
7083
34834
Open brachial artery exposure to assist in the deployment of

aortic or iliac endovascular prosthesis by arm incision,
unilateral
34834
7084
34900
Endovascular graft placement for repair of iliac artery (eg,

aneurysm, pseudoaneurysm, arteriovenous malformation,
trauma)
34900
35002

graft; for ruptured aneurysm, carotid, subclavian artery, by
neck incision
35002
35005

occlusive disease, vertebral artery
35005
35011

graft; for aneurysm and associated occlusive disease,
axillary-brachial artery, by arm incision
35011
35013

graft; for ruptured aneurysm, axillary-brachial artery, by arm
incision
35013
35022

graft; for ruptured aneurysm, innominate, subclavian artery,
by thoracic incision
35022
7077
7085
7086
7087
7088
7089
7090
35045

occlusive disease, radial or ulnar artery
7091
35082

graft; for ruptured aneurysm, abdominal aorta
35082
35091

occlusive disease, abdominal aorta involving visceral
vessels (mesenteric, celiac, renal)
35091
35092

graft; for ruptured aneurysm, abdominal aorta involving
visceral vessels (mesenteric, celiac, renal)
35092
35102

occlusive disease, abdominal aorta involving iliac vessels
(common, hypogastric, external)
35102
35103

graft; for ruptured aneurysm, abdominal aorta involving iliac
vessels (common, hypogastric, external)
35103
7096
35111

occlusive disease, splenic artery
35111
7097
35112

graft; for ruptured aneurysm, splenic artery
35112
35121

occlusive disease, hepatic, celiac, renal, or mesenteric
artery
35121
35122

graft; for ruptured aneurysm, hepatic, celiac, renal, or
mesenteric artery
35122
35131

occlusive disease, iliac artery (common, hypogastric,
external)
35131
7092
7093
7094
7095
7098
7099
7100
35045
35132

graft; for ruptured aneurysm, iliac artery (common,
hypogastric, external)
35132
35141

occlusive disease, common femoral artery (profunda
femoris, superficial femoral)
35141
35142

graft; for ruptured aneurysm, common femoral artery
(profunda femoris, superficial femoral)
35142
7104
35151

occlusive disease, popliteal artery
35151
7105
35152

graft; for ruptured aneurysm, popliteal artery
35152
7106
35161

occlusive disease, other arteries
35161
7107
35162

graft; for ruptured aneurysm, other arteries
35162
7108
35189
7109
35190
7110
35206
Repair blood vessel, direct; upper extremity
35206
7111
35207
Repair blood vessel, direct; hand, finger
35207
7112
35216
Repair blood vessel, direct; intrathoracic, without bypass
35216
7113
7114
35221
35226
Repair blood vessel, direct; intra-abdominal

Repair blood vessel, direct; lower extremity
35221
35226
7115
35236
Repair blood vessel with vein graft; upper extremity
35236
7116
35246
Repair blood vessel with vein graft; intrathoracic, without

bypass
35246
7117
35251
Repair blood vessel with vein graft; intra-abdominal
35251
7118
35256
Repair blood vessel with vein graft; lower extremity
35256
7119
35266
7120
35276
7101
7102
7103
Repair, acquired or traumatic arteriovenous fistula; thorax

and abdomen
Repair, acquired or traumatic arteriovenous fistula;
extremities
Repair blood vessel with graft other than vein; upper

extremity
Repair blood vessel with graft other than vein; intrathoracic,
without bypass
35189
35190
35266
35276
Repair blood vessel with graft other than vein; intraabdominal

Repair blood vessel with graft other than vein; lower
extremity
superficial femoral artery
popliteal artery
tibioperoneal trunk artery
tibial or peroneal artery, initial vessel
7121
35281
7122
35286
7123
35302
7124
35303
7125
35304
7126
35305
7127
35306
7128
35311
7129
35321
7130
35341
7131
35351
7132
35355
7133
35361
7134
35363
7135
35371
7136
35372
7137
35381
7138
7139
35452
35454

subclavian, innominate, by thoracic incision
axillary-brachial
mesenteric, celiac, or renal
iliac
iliofemoral
combined aortoiliac
combined aortoiliofemoral
common femoral
deep (profunda) femoral
Thromboendarterectomy, with or without patch graft; femoral
and/or popliteal, and/or tibioperoneal
Transluminal balloon angioplasty, open; aortic
Transluminal balloon angioplasty, open; iliac
7140
35456
Transluminal balloon angioplasty, open; femoral-popliteal
7141
35458
7142
35459
7143
35460
7144
35471
7145
35472
Transluminal balloon angioplasty, percutaneous; aortic
35472
7146
35473
Transluminal balloon angioplasty, percutaneous; iliac
35473
7147
35474
Transluminal balloon angioplasty, percutaneous; femoralpopliteal
35474

each additional tibial or peroneal artery (List separately in
Transluminal balloon angioplasty, open; brachiocephalic

trunk or branches, each vessel
Transluminal balloon angioplasty, open; tibioperoneal trunk
and branches
Transluminal balloon angioplasty, open; venous
Transluminal balloon angioplasty, percutaneous; renal or
visceral artery
35281
35286
35302
35303
35304
35305
35306
35311
35321
35341
35351
35355
35361
35363
35371
35372
35381
35452
35454
35456
35458
35459
35460
35471
7148
35475
Transluminal balloon angioplasty, percutaneous;

brachiocephalic trunk or branches, each vessel
35475
7149
35476
Transluminal balloon angioplasty, percutaneous; venous
35476
7150
7151
35481
35482
Transluminal peripheral atherectomy, open; aortic

Transluminal peripheral atherectomy, open; iliac
35481
35482
7152
35483
Transluminal peripheral atherectomy, open; femoral-popliteal
35483
7153
35484
7154
35485
7155
35491
Transluminal peripheral atherectomy, percutaneous; aortic
35491
7156
35492
35492
7157
35493
7158
35494
7159
35495
Transluminal peripheral atherectomy, percutaneous; iliac

Transluminal peripheral atherectomy, percutaneous;
femoral-popliteal
brachiocephalic trunk or branches, each vessel
tibioperoneal trunk and branches
7160
35500
7161
35506
7162
7163
35507
35508
Bypass graft, with vein; carotid-subclavian or subclaviancarotid

Bypass graft, with vein; subclavian-carotid
Bypass graft, with vein; carotid-vertebral
7164
35509
Bypass graft, with vein; carotid-contralateral carotid
35509
7165
7166
7167
7168
7169
7170
7171
7172
7173
7174
7175
7176
7177
7178
7179
7180
7181
7182
7183
7184
7185
7186
35510
35511
35512
35515
35516
35518
35521
35522
35523
35525
35533
35535
35536
35537
35538
35539
35540
35548
35549
35551
35558
35560
Bypass graft, with vein; carotid-brachial

Bypass graft, with vein; subclavian-subclavian
Bypass graft, with vein; subclavian-brachial
Bypass graft, with vein; subclavian-vertebral
Bypass graft, with vein; subclavian-axillary
Bypass graft, with vein; axillary-axillary
Bypass graft, with vein; axillary-femoral
Bypass graft, with vein; axillary-brachial
Bypass graft, with vein; brachial-ulnar or -radial
Bypass graft, with vein; brachial-brachial
Bypass graft, with vein; axillary-femoral-femoral
Bypass graft, with vein; hepatorenal
Bypass graft, with vein; splenorenal
Bypass graft, with vein; aortoiliac
Bypass graft, with vein; aortobi-iliac
Bypass graft, with vein; aortofemoral
Bypass graft, with vein; aortobifemoral
Bypass graft, with vein; aortoiliofemoral, unilateral
Bypass graft, with vein; aortoiliofemoral, bilateral
Bypass graft, with vein; aortofemoral-popliteal
Bypass graft, with vein; femoral-femoral
Bypass graft, with vein; aortorenal
35510
35511
35512
35515
35516
35518
35521
35522
35523
35525
35533
35535
35536
35537
35538
35539
35540
35548
35549
35551
35558
35560
Transluminal peripheral atherectomy, open; brachiocephalic

trunk or branches, each vessel
Transluminal peripheral atherectomy, open; tibioperoneal
trunk and branches
Harvest of upper extremity vein, 1 segment, for lower

extremity or coronary artery bypass procedure (List
35484
35485
35493
35494
35495
35500
35506
35507
35508
7187
7188
35563
35565
Bypass graft, with vein; ilioiliac

Bypass graft, with vein; iliofemoral
35563
35565
7189
35566
Bypass graft, with vein; femoral-anterior tibial, posterior

tibial, peroneal artery or other distal vessels
35566
7190
35570
7191
35571
Bypass graft, with vein; tibial-tibial, peroneal-tibial, or

tibial/peroneal trunk-tibial
Bypass graft, with vein; popliteal-tibial, -peroneal artery or
other distal vessels
35570
35571
7192
35572
Harvest of femoropopliteal vein, 1 segment, for vascular

reconstruction procedure (eg, aortic, vena caval, coronary,
peripheral artery) (List separately in addition to code for
primary procedure)
7193
35600
Harvest of upper extremity artery, 1 segment, for coronary

artery bypass procedure (List separately in addition to code
35600
7194
7195
7196
7197
35606
35612
35616
35621
Bypass graft, with other than vein; carotid-subclavian

Bypass graft, with other than vein; subclavian-subclavian
Bypass graft, with other than vein; subclavian-axillary
Bypass graft, with other than vein; axillary-femoral
35606
35612
35616
35621
7198
35623
Bypass graft, with other than vein; axillary-popliteal or -tibial
35623
7199
35626
Bypass graft, with other than vein; aortosubclavian or carotid
35626
7200
35631
7201
7202
7203
35632
35633
35634
7204
35636
7205
7206
35637
35638
Bypass graft, with other than vein; aortoceliac,

aortomesenteric, aortorenal
Bypass graft, with other than vein; ilio-celiac
Bypass graft, with other than vein; ilio-mesenteric
Bypass graft, with other than vein; iliorenal
Bypass graft, with other than vein; splenorenal (splenic to
renal arterial anastomosis)
Bypass graft, with other than vein; aortoiliac
Bypass graft, with other than vein; aortobi-iliac
7207
35641
Bypass graft, with other than vein; aortoiliac or bi-iliac
35641
7208
7209
7210
7211
7212
35642
35645
35646
35647
35650
Bypass graft, with other than vein; carotid-vertebral

Bypass graft, with other than vein; subclavian-vertebral
Bypass graft, with other than vein; aortobifemoral
Bypass graft, with other than vein; aortofemoral
Bypass graft, with other than vein; axillary-axillary
35642
35645
35646
35647
35650
7213
35651
Bypass graft, with other than vein; aortofemoral-popliteal
35651
7214
35654
Bypass graft, with other than vein; axillary-femoral-femoral
35654
7215
7216
7217
7218
35656
35661
35663
35665
35656
35661
35663
35665
7219
35666
Bypass graft, with other than vein; femoral-popliteal

Bypass graft, with other than vein; femoral-femoral
Bypass graft, with other than vein; ilioiliac
Bypass graft, with other than vein; iliofemoral
Bypass graft, with other than vein; femoral-anterior tibial,
posterior tibial, or peroneal artery
35572
35631
35632
35633
35634
35636
35637
35638
35666
7220
35671
Bypass graft, with other than vein; popliteal-tibial or

-peroneal artery
35671
7221
35683
Bypass graft; autogenous composite, 3 or more segments of

vein from 2 or more locations (List separately in addition to
35683
7222
35685
Placement of vein patch or cuff at distal anastomosis of

bypass graft, synthetic conduit (List separately in addition to
35685
7223
35686
Creation of distal arteriovenous fistula during lower extremity

bypass surgery (non-hemodialysis) (List separately in
35686
7224
35693
7225
35694
7226
35695
7227
35697
7228
35721
7229
35741
7230
35761
7231
35820
7232
35840
7233
35860
7234
35876
7235
35881
Revision, lower extremity arterial bypass, without

thrombectomy, open; with segmental vein interposition
35881
7236
35883
Revision, femoral anastomosis of synthetic arterial bypass

graft in groin, open; with nonautogenous patch graft (eg,
Dacron, ePTFE, bovine pericardium)
35883
7237
35884
Revision, femoral anastomosis of synthetic arterial bypass

graft in groin, open; with autogenous vein patch graft
35884
7238
7239
7240
7241
7242
35900
35903
35905
35907
35910
Excision of infected graft;

Excision of infected graft; extremity
Excision of infected graft; thorax
Excision of infected graft; abdomen
Excision of infected graft; with revascularization
35900
35903
35905
35907
35910
Transposition and/or reimplantation; vertebral to subclavian

artery
Transposition and/or reimplantation; subclavian to carotid
artery
Transposition and/or reimplantation; carotid to subclavian
artery
Reimplantation, visceral artery to infrarenal aortic prosthesis,
each artery (List separately in addition to code for primary
procedure)
lysis of artery; femoral artery
lysis of artery; popliteal artery
lysis of artery; other vessels
infection; chest
infection; abdomen
infection; extremity
Thrombectomy of arterial or venous graft (other than
hemodialysis graft or fistula); with revision of arterial or
venous graft
35693
35694
35695
35697
35721
35741
35761
35820
35840
35860
35876
7243
36000
Introduction of needle or intracatheter, vein
36000
7244
36001
Introduction of needle or intracatheter, vein; bilateral
36001
7245
36002
Injection procedures (eg, thrombin) for percutaneous

treatment of extremity pseudoaneurysm
36002
7246
36005
7247
36010
Injection procedure for extremity venography (including

introduction of needle or intracatheter)
Introduction of catheter, superior or inferior vena cava
7248
36013
Introduction of catheter, right heart or main pulmonary artery
36013
7249
36014
Selective catheter placement, left or right pulmonary artery
36014
7250
36015
7251
36100
7252
36101
7253
36120
7254
36140
7255
36145
Introduction of needle or intracatheter; arteriovenous shunt

created for dialysis (cannula, fistula, or graft)
36145
36147
Introduction of needle and/or catheter, arteriovenous shunt

created for dialysis (graft/fistula); initial access with complete
radiological evaluation of dialysis access, including
fluoroscopy, image documentation and report (includes
access of shunt, injection[s] of contrast, and all necessary
imaging from the arterial anastomosis and adjacent artery
through entire venous outflow including the inferior or
superior vena cava)
36147
7257
36148
Introduction of needle and/or catheter, arteriovenous shunt

created for dialysis (graft/fistula); additional access for
therapeutic intervention (List separately in addition to code
36148
7258
36160
Introduction of needle or intracatheter, aortic, translumbar
36160
7259
36200
36200
7260
36215
Introduction of catheter, aorta

Selective catheter placement, arterial system; each first
order thoracic or brachiocephalic branch, within a vascular
family
7261
36216
Selective catheter placement, arterial system; initial second

order thoracic or brachiocephalic branch, within a vascular
family
36216
7262
36217
Selective catheter placement, arterial system; initial third

order or more selective thoracic or brachiocephalic branch,
within a vascular family
36217
7256
Selective catheter placement, segmental or subsegmental

pulmonary artery
Introduction of needle or intracatheter, carotid or vertebral
artery
Introduction of needle or intracatheter, carotid or vertebral
artery; bilateral
Introduction of needle or intracatheter; retrograde brachial
artery
Introduction of needle or intracatheter; extremity artery
36005
36010
36015
36100
36101
36120
36140
36215
7263
36218
Selective catheter placement, arterial system; additional

second order, third order, and beyond, thoracic or
brachiocephalic branch, within a vascular family (List in
addition to code for initial second or third order vessel as
appropriate)
7264
36230
Selective catheter placement, coronary artery, single or

multiple
36230
7265
36245
Selective catheter placement, arterial system; each first

order abdominal, pelvic, or lower extremity artery branch,
36245
7266
36246
Selective catheter placement, arterial system; initial second

order abdominal, pelvic, or lower extremity artery branch,
36246
7267
36247
Selective catheter placement, arterial system; initial third

order or more selective abdominal, pelvic, or lower extremity
artery branch, within a vascular family
36247
7268
36248
Selective catheter placement, arterial system; additional

second order, third order, and beyond, abdominal, pelvic, or
lower extremity artery branch, within a vascular family (List in
addition to code for initial second or third order vessel as
appropriate)
36248
7269
36299
7270
36405
7271
36406
Venipuncture, younger than age 3 years, necessitating

physician's skill, not to be used for routine venipuncture;
other vein
36406
7272
36410
Venipuncture, age 3 years or older, necessitating physician's

skill (separate procedure), for diagnostic or therapeutic
purposes (not to be used for routine venipuncture)
36410
7273
36415
7274
36416
7275
7276
36425
36455
7277
36468
Single or multiple injections of sclerosing solutions, spider

veins (telangiectasia); limb or trunk
36468
7278
36469
Single or multiple injections of sclerosing solutions, spider

veins (telangiectasia); face
36469
7279
36471
Injection of sclerosing solution; multiple veins, same leg
36471
7280
36475
Endovenous ablation therapy of incompetent vein, extremity,

inclusive of all imaging guidance and monitoring,
percutaneous, radiofrequency; first vein treated
36475
Unlisted procedure, vascular injection

Venipuncture, younger than age 3 years, necessitating
physician's skill, not to be used for routine venipuncture;
scalp vein
Collection of venous blood by venipuncture

Collection of capillary blood specimen (eg, finger, heel, ear
stick)
Venipuncture, cutdown; age 1 or over
Exchange transfusion, blood; other than newborn
36218
36299
36405
36415
36416
36425
36455
7281
36476

percutaneous, radiofrequency; second and subsequent
veins treated in a single extremity, each through separate
access sites (List separately in addition to code for primary
procedure)
7282
36478

percutaneous, laser; first vein treated
36478
36479

percutaneous, laser; second and subsequent veins treated
in a single extremity, each through separate access sites
36479
36490

cutdown, age 2 years or under
36490
7285
36491

cutdown, over age 2
36491
7286
36493
7287
36495
7288
36511
Therapeutic apheresis; for white blood cells
36511
7289
7290
7291
36512
36513
36514
36512
36513
36514
7292
36515
7293
36516
7294
36521
7295
7296
36522
36531
Therapeutic apheresis; for red blood cells

Therapeutic apheresis; for platelets
Therapeutic apheresis; for plasma pheresis
Therapeutic apheresis; with extracorporeal
immunoadsorption and plasma reinfusion
Therapeutic apheresis; with extracorporeal selective
adsorption or selective filtration and plasma reinfusion
Therapeutic apheresis; with extracorporeal affinity column
adsorption and plasma reinfusion
Photopheresis, extracorporeal
Revision of implantable intravenous infusion pump
7297
36532
Removal of implantable intravenous infusion pump
36532
7298
36534
7299
36535
7300
36536
7283
7284
Repositioning of previously placed central venous catheter

under fluoroscopic guidance
Insertion of implantable intravenous infusion pump or
venous access port
Revision of implantable venous access device and/or

subcutaneous reservoir
Removal of implantable venous access device and/or
subcutaneous reservoir
venous access
36476
36493
36495
36515
36516
36521
36522
36531
36534
36535
36536

device lumen
Collection of blood specimen from a completely implantable
venous access device
Declotting by thrombolytic agent of implanted vascular
access device or catheter
Insertion of non-tunneled centrally inserted central venous
catheter; under 5 years of age
Insertion of non-tunneled centrally inserted central venous
catheter; age 5 years or older
Insertion of tunneled centrally inserted central venous
catheter, without subcutaneous port or pump; under 5 years
of age
7301
36537
36537
7302
36540
7303
36550
7304
36555
7305
36556
7306
36557
7307
36558

catheter, without subcutaneous port or pump; age 5 years or
older
36558
7308
36560

access device, with subcutaneous port; under 5 years of age
36560
7309
36561

access device, with subcutaneous port; age 5 years or older
36561
7310
36563

access device with subcutaneous pump
36563
7311
36565

access device, requiring 2 catheters via 2 separate venous
access sites; without subcutaneous port or pump (eg, Tesio
type catheter)
36565
7312
36566

access device, requiring 2 catheters via 2 separate venous
access sites; with subcutaneous port(s)
36566
7313
36568
Insertion of peripherally inserted central venous catheter

(PICC), without subcutaneous port or pump; under 5 years
of age
36568
7314
36569
Insertion of peripherally inserted central venous catheter

(PICC), without subcutaneous port or pump; age 5 years or
older
36569
7315
36570
Insertion of peripherally inserted central venous access

device, with subcutaneous port; under 5 years of age
36570
7316
36571
Insertion of peripherally inserted central venous access

device, with subcutaneous port; age 5 years or older
36571
7317
36575
Repair of tunneled or non-tunneled central venous access

catheter, without subcutaneous port or pump, central or
peripheral insertion site
36575
7318
36576
Repair of central venous access device, with subcutaneous

port or pump, central or peripheral insertion site
36576
36540
36550
36555
36556
36557
7319
36578
Replacement, catheter only, of central venous access

device, with subcutaneous port or pump, central or
peripheral insertion site
36578
7320
36580
Replacement, complete, of a non-tunneled centrally inserted

central venous catheter, without subcutaneous port or pump,
through same venous access
36580
7321
36581
Replacement, complete, of a tunneled centrally inserted

central venous catheter, without subcutaneous port or pump,
36581
7322
36582

central venous access device, with subcutaneous port,
36582
7323
36583

central venous access device, with subcutaneous pump,
36583
7324
36584
Replacement, complete, of a peripherally inserted central

venous catheter (PICC), without subcutaneous port or pump,
36584
7325
36585
7326
36589
7327
36590
7328
36591
7329
36592
7330
36593
7331
36595
7332
36596
7333
36597
7334
36598
Contrast injection(s) for radiologic evaluation of existing

central venous access device, including fluoroscopy, image
documentation and report
36598
7335
36625
Arterial catheterization or cannulation for sampling,

monitoring or transfusion (separate procedure); cutdown
36625
7336
36640
Arterial catheterization for prolonged infusion therapy

(chemotherapy), cutdown
36640
Replacement, complete, of a peripherally inserted central

venous access device, with subcutaneous port, through
same venous access
Removal of tunneled central venous catheter, without
subcutaneous port or pump
Removal of tunneled central venous access device, with
subcutaneous port or pump, central or peripheral insertion
Collection of blood specimen from a completely implantable
venous access device
Collection of blood specimen using established central or
peripheral catheter, venous, not otherwise specified
Declotting by thrombolytic agent of implanted vascular
access device or catheter
venous access
device lumen
Repositioning of previously placed central venous catheter
under fluoroscopic guidance
36585
36589
36590
36591
36592
36593
36595
36596
36597
7337
36810
7338
36818
7339
36819
7340
36820

(separate procedure); arteriovenous, external (Scribner type)
Arteriovenous anastomosis, open; by upper arm cephalic
vein transposition
Arteriovenous anastomosis, open; by upper arm basilic vein
transposition
Arteriovenous anastomosis, open; by forearm vein
transposition
36810
36818
36819
36820
36823
Insertion of arterial and venous cannula(s) for isolated

extracorporeal circulation including regional chemotherapy
perfusion to an extremity, with or without hyperthermia, with
removal of cannula(s) and repair of arteriotomy and
venotomy sites
36823
7342
36830
Creation of arteriovenous fistula by other than direct

arteriovenous anastomosis (separate procedure);
nonautogenous graft (eg, biological collagen, thermoplastic
graft)
36830
7343
36833
Revision, open, arteriovenous fistula; with thrombectomy,

procedure)
36833
7344
36838
Distal revascularization and interval ligation (DRIL), upper

extremity hemodialysis access (steal syndrome)
36838
7345
7346
36840
36845
7347
36861
7348
36870
7349
7350
37145
37180
7351
37181
Venous anastomosis, open; splenorenal, distal (selective

decompression of esophagogastric varices, any technique)
37181
37182
Insertion of transvenous intrahepatic portosystemic shunt(s)

(TIPS) (includes venous access, hepatic and portal vein
catheterization, portography with hemodynamic evaluation,
intrahepatic tract formation/dilatation, stent placement and
all associated imaging guidance and documentation)
37182
37183
Revision of transvenous intrahepatic portosystemic shunt(s)

(TIPS) (includes venous access, hepatic and portal vein
catheterization, portography with hemodynamic evaluation,
intrahepatic tract recanulization/dilatation, stent placement
and all associated imaging guidance and documentation)
37183
37184
Primary percutaneous transluminal mechanical

thrombectomy, noncoronary, arterial or arterial bypass graft,
including fluoroscopic guidance and intraprocedural
pharmacological thrombolytic injection(s); initial vessel
37184
7341
7352
7353
7354
Insertion mandril
Anastomosis mandril
External cannula declotting (separate procedure); with
balloon catheter
Thrombectomy, percutaneous, arteriovenous fistula,
autogenous or nonautogenous graft (includes mechanical
thrombus extraction and intra-graft thrombolysis)
Venous anastomosis, open; renoportal
Venous anastomosis, open; splenorenal, proximal
36840
36845
36861
36870
37145
37180
37185
Primary percutaneous transluminal mechanical

thrombectomy, noncoronary, arterial or arterial bypass graft,
including fluoroscopic guidance and intraprocedural
pharmacological thrombolytic injection(s); second and all
subsequent vessel(s) within the same vascular family (List
separately in addition to code for primary mechanical
thrombectomy procedure)
37185
7356
37186
Secondary percutaneous transluminal thrombectomy (eg,

nonprimary mechanical, snare basket, suction technique),
noncoronary, arterial or arterial bypass graft, including
fluoroscopic guidance and intraprocedural pharmacological
thrombolytic injections, provided in conjunction with another
percutaneous intervention other than primary mechanical
thrombectomy (List separately in addition to code for primary
procedure)
37186
7357
37187
Percutaneous transluminal mechanical thrombectomy,

vein(s), including intraprocedural pharmacological
thrombolytic injections and fluoroscopic guidance
37187
7358
37188
Percutaneous transluminal mechanical thrombectomy,

vein(s), including intraprocedural pharmacological
thrombolytic injections and fluoroscopic guidance, repeat
treatment on subsequent day during course of thrombolytic
therapy
37188
7359
7360
37190
37195
Plastic repair of arteriovenous aneurysm

Thrombolysis, cerebral, by intravenous infusion
37190
37195
7361
37202
Transcatheter therapy, infusion other than for thrombolysis,

any type (eg, spasmolytic, vasoconstrictive)
37202
7362
37203
Transcatheter retrieval, percutaneous, of intravascular

foreign body (eg, fractured venous or arterial catheter)
37203
7363
37204
Transcatheter occlusion or embolization (eg, for tumor

destruction, to achieve hemostasis, to occlude a vascular
malformation), percutaneous, any method, non-central
nervous system, non-head or neck
37204
7364
37205
Transcatheter placement of an intravascular stent(s), (except

coronary, carotid, and vertebral vessel), percutaneous; initial
vessel
37205
7365
37206
Transcatheter placement of an intravascular stent(s), (except

coronary, carotid, and vertebral vessel), percutaneous; each
additional vessel (List separately in addition to code for
primary procedure)
37206
7366
37207
Transcatheter placement of an intravascular stent(s), (noncoronary vessel), open; initial vessel
37207
7367
37208
Transcatheter placement of an intravascular stent(s), (noncoronary vessel), open; each additional vessel (List
37208
7368
37209
Exchange of a previously placed intravascular catheter

during thrombolytic therapy
37209
7355
7369
37210
Uterine fibroid embolization (UFE, embolization of the

uterine arteries to treat uterine fibroids, leiomyomata),
percutaneous approach inclusive of vascular access, vessel
selection, embolization, and all radiological supervision and
interpretation, intraprocedural roadmapping, and imaging
guidance necessary to complete the procedure
7370
37215
Transcatheter placement of intravascular stent(s), cervical

carotid artery, percutaneous; with distal embolic protection
37215
7371
37216
Transcatheter placement of intravascular stent(s), cervical

carotid artery, percutaneous; without distal embolic
protection
37216
7372
37251
Intravascular ultrasound (non-coronary vessel) during

diagnostic evaluation and/or therapeutic intervention; each
additional vessel (List separately in addition to code for
primary procedure)
37251
7373
37500
7374
7375
37501
37605
7376
37606
7377
37617
Ligation, major artery (eg, post-traumatic, rupture); abdomen
37617
7378
37618
Ligation, major artery (eg, post-traumatic, rupture); extremity
37618
7379
37651
7380
37700
7381
37701
7382
37718
7383
37721
7384
37722
7385
37730
7386
37731
7387
7388
Vascular endoscopy, surgical, with ligation of perforator

veins, subfascial (SEPS)
Unlisted vascular endoscopy procedure
Ligation; internal or common carotid artery
Ligation; internal or common carotid artery, with gradual
occlusion, as with Selverstone or Crutchfield clamp
Interruption, partial or complete, of femoral vein, by ligature,

intravascular device; bilateral
Ligation and division of long saphenous vein at
saphenofemoral junction, or distal interruptions
Ligation and division of long saphenous vein at
saphenofemoral junction, or distal interruptions; bilateral
Ligation, division, and stripping, short saphenous vein
saphenous veins; bilateral
Ligation, division, and stripping, long (greater) saphenous
veins from saphenofemoral junction to knee or below
Ligation and division and complete stripping of long and
short saphenous veins
Ligation and division and complete stripping of long and
short saphenous veins; bilateral
37210
37500
37501
37605
37606
37651
37700
37701
37718
37721
37722
37730
37731
37735

saphenous veins with radical excision of ulcer and skin graft
and/or interruption of communicating veins of lower leg, with
excision of deep fascia
37735
37737

saphenous veins with radical excision of ulcer and skin graft
and/or interruption of communicating veins of lower leg, with
excision of deep fascia; bilateral
37737
Ligation of perforator vein(s), subfascial, open, including

ultrasound guidance, when performed, 1 leg
7389
37761
7390
37765
7391
37766
7392
37780
7393
37781
7394
37787
7395
37799
7396
38102
7397
7398
38129
38200
7399
38204
Management of recipient hematopoietic progenitor cell donor

search and cell acquisition
38204
7400
38205
Blood-derived hematopoietic progenitor cell harvesting for

transplantation, per collection; allogenic
38205
7401
38206
Blood-derived hematopoietic progenitor cell harvesting for

transplantation, per collection; autologous
38206
7402
38207
Transplant preparation of hematopoietic progenitor cells;

cryopreservation and storage
38207
7403
38208

thawing of previously frozen harvest, without washing
38208
7404
38209

thawing of previously frozen harvest, with washing
38209
7405
38210

specific cell depletion within harvest, T-cell depletion
38210
7406
38211

tumor cell depletion
38211
7407
38212
Transplant preparation of hematopoietic progenitor cells; red

blood cell removal
38212
7408
38213
7409
38214
7410
38215
Transplant preparation of hematopoietic progenitor cells; cell

concentration in plasma, mononuclear, or buffy coat layer
38215
7411
7412
38221
38230
Bone marrow; biopsy, needle or trocar

Bone marrow harvesting for transplantation
38221
38230
Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab

incisions
Stab phlebectomy of varicose veins, one extremity; more
than 20 incisions
Ligation and division of short saphenous vein at
saphenopopliteal junction (separate procedure)
Ligation and division of short saphenous vein at
saphenopopliteal junction (separate procedure); bilateral
Ligation, division, and/or excision of secondary varicose
veins (clusters) of leg; bilateral
Unlisted procedure, vascular surgery
Splenectomy; total, en bloc for extensive disease, in
conjunction with other procedure (List in addition to code for
primary procedure)
Unlisted laparoscopy procedure, spleen
Injection procedure for splenoportography

platelet depletion
plasma (volume) depletion
37761
37765
37766
37780
37781
37787
37799
38102
38129
38200
38213
38214
Blood-derived peripheral stem cell harvesting for

transplantation, per collection
transplantation; autologous
7413
38231
7414
38241
7415
38242

transplantation; allogeneic donor lymphocyte infusions
38242
7416
38308
Lymphangiotomy or other operations on lymphatic channels
38308
7417
38382
Suture and/or ligation of thoracic duct; abdominal approach
38382
7418
38520
Biopsy or excision of lymph node(s); open, deep cervical

node(s) with excision scalene fat pad
38520
7419
38525
7420
38530
7421
38542
7422
38555
7423
38564
7424
7425
7426
38589
38701
38721
7427
38724
7428
38745
7429
38761
7430
38765
Inguinofemoral lymphadenectomy, superficial, in continuity

with pelvic lymphadenectomy, including external iliac,
hypogastric, and obturator nodes (separate procedure)
38765
7431
38766
Inguinofemoral lymphadenectomy, superficial, in continuity

with pelvic lymphadenectomy, including external iliac,
hypogastric and obturator nodes (separate procedure);
bilateral
38766
7432
38771
7433
7434
38790
38791
Pelvic lymphadenectomy, including external iliac,

hypogastric, and obturator nodes (separate procedure);
bilateral
Injection procedure; lymphangiography
Injection procedure for lymphangiography; bilateral
7435
38792
Injection procedure; for identification of sentinel node
38792
7436
38999
38999
7437
39020
7438
7439
39220
39499
Unlisted procedure, hemic or lymphatic system

Mediastinotomy with exploration, drainage, or removal of
foreign body; sternal split
Excision of mediastinal tumor
Unlisted procedure, mediastinum
Biopsy or excision of lymph node(s); open, deep axillary

node(s)
Biopsy or excision of lymph node(s); open, internal
mammary node(s)
Dissection, deep jugular node(s)
Excision of cystic hygroma, axillary or cervical; with deep
neurovascular dissection
Limited lymphadenectomy for staging (separate procedure);
retroperitoneal (aortic and/or splenic)
Unlisted laparoscopy procedure, lymphatic system
Suprahyoid lymphadenectomy; bilateral
Cervical lymphadenectomy (complete); bilateral
Cervical lymphadenectomy (modified radical neck
dissection)
Axillary lymphadenectomy; complete
Inguinofemoral lymphadenectomy, superficial, including
Cloquet's node (separate procedure); bilateral
38231
38241
38525
38530
38542
38555
38564
38589
38701
38721
38724
38745
38761
38771
38790
38791
39020
39220
39499
Repair, diaphragmatic hernia (esophageal hiatal); combined,

thoracoabdominal
Repair, diaphragmatic hernia (esophageal hiatal); combined,
thoracoabdominal, with dilation of stricture (with or without
gastroplasty)
Repair, diaphragmatic hernia (other than neonatal),
traumatic; acute
Repair, diaphragmatic hernia (other than neonatal),
traumatic; chronic
7440
39530
7441
39531
7442
39540
7443
39541
7444
39547
7445
39561
7446
39599
Resection, diaphragm; with complex repair (eg, prosthetic

material, local muscle flap)
Unlisted procedure, diaphragm
7447
40520
Excision of lip; V-excision with primary direct linear closure
40520
7448
40527
Excision of lip; full thickness, reconstruction with cross lip

flap (Abbe-Estlander)
40527
7449
40652
Repair lip, full thickness; up to half vertical height
40652
7450
40654
7451
40701
7452
40720
7453
40740
7454
40761
7455
40799
7456
40804
7457
40805
7458
40808
7459
40812
7460
40814
7461
40816

mouth; complex, with excision of underlying muscle
40816
7462
40818
Excision of mucosa of vestibule of mouth as donor graft
40818
7463
40831
7464
7465
7466
7467
40842
40843
40844
40899
Imbrication of diaphragm for eventration; nonparalytic
Repair lip, full thickness; over one-half vertical height, or

complex
Plastic repair of cleft lip/nasal deformity; primary bilateral, 1
stage procedure
Plastic repair of cleft lip/nasal deformity; secondary, by
recreation of defect and reclosure
Plastic repair of cleft lip; secondary, bilateral (per major
stage)
Plastic repair of cleft lip/nasal deformity; with cross lip
pedicle flap (Abbe-Estlander type), including sectioning and
inserting of pedicle
Unlisted procedure, lips
Removal of embedded foreign body, vestibule of mouth;
simple
Removal of embedded foreign body, vestibule of mouth;
complicated
Biopsy, vestibule of mouth
mouth; with simple repair
mouth; with complex repair
Closure of laceration, vestibule of mouth; over 2.5 cm or

complex
Vestibuloplasty; posterior, unilateral
Vestibuloplasty; posterior, bilateral
Vestibuloplasty; entire arch
Unlisted procedure, vestibule of mouth
39530
39531
39540
39541
39547
39561
39599
40654
40701
40720
40740
40761
40799
40804
40805
40808
40812
40814
40831
40842
40843
40844
40899
7468
41005

hematoma of tongue or floor of mouth; sublingual, superficial
41005
7469
41007

hematoma of tongue or floor of mouth; submental space
41007
7470
41008

hematoma of tongue or floor of mouth; submandibular space
41008
7471
41009

hematoma of tongue or floor of mouth; masticator space
41009
7472
41016
7473
41017

hematoma of floor of mouth; submental
hematoma of floor of mouth; submandibular
41016
41017
7474
41019
7475
7476
41105
41108
Placement of needles, catheters, or other device(s) into the

head and/or neck region (percutaneous, transoral, or
transnasal) for subsequent interstitial radioelement
application
Biopsy of tongue; posterior one-third
Biopsy of floor of mouth
7477
41112
Excision of lesion of tongue with closure; anterior two-thirds
41112
7478
41113
Excision of lesion of tongue with closure; posterior one-third
41113
7479
41114
7480
41116
7481
41251
7482
41252
7483
41512
7484
41530
7485
41599
Submucosal ablation of the tongue base, radiofrequency, 1

or more sites, per session
Unlisted procedure, tongue, floor of mouth
7486
41823
Excision of osseous tuberosities, dentoalveolar structures
41823
7487
41825
Excision of lesion or tumor (except listed above),

dentoalveolar structures; without repair
41825
7488
41826

dentoalveolar structures; with simple repair
41826
7489
41827

dentoalveolar structures; with complex repair
41827
7490
41850
Destruction of lesion (except excision), dentoalveolar

structures
41850
7491
41899
Unlisted procedure, dentoalveolar structures
41899
Excision of lesion of tongue with closure; with local tongue

flap
Excision, lesion of floor of mouth
Repair of laceration 2.5 cm or less; posterior one-third of
tongue
Repair of laceration of tongue, floor of mouth, over 2.6 cm or
complex
Tongue base suspension, permanent suture technique
41019
41105
41108
41114
41116
41251
41252
41512
41530
41599
7492
42106
Excision, lesion of palate, uvula; with simple primary closure
42106
7493
42107
Excision, lesion of palate, uvula; with local flap closure
42107
7494
42150
42150
7495
42160
Removal of exostosis, bony palate

Destruction of lesion, palate or uvula (thermal, cryo or
chemical)
7496
42182
Repair, laceration of palate; over 2 cm or complex
42182
7497
42215
42215
7498
42220
Palatoplasty for cleft palate; major revision

Palatoplasty for cleft palate; secondary lengthening
procedure
7499
42225
Palatoplasty for cleft palate; attachment pharyngeal flap
42225
7500
7501
7502
42227
42299
42305
Lengthening of palate, with island flap

Unlisted procedure, palate, uvula
Drainage of abscess; parotid, complicated
42227
42299
42305
7503
42310
Drainage of abscess; submaxillary or sublingual, intraoral
42310
7504
42320
42320
7505
42326
7506
42335
7507
7508
42340
42405
Drainage of abscess; submaxillary, external

Fistulization of sublingual salivary cyst (ranula); with
prosthesis
Sialolithotomy; submandibular (submaxillary), complicated,
intraoral
Sialolithotomy; parotid, extraoral or complicated intraoral
Biopsy of salivary gland; incisional
7509
42415
Excision of parotid tumor or parotid gland; lateral lobe, with

dissection and preservation of facial nerve
42415
7510
42425
Excision of parotid tumor or parotid gland; total, en bloc

removal with sacrifice of facial nerve
42425
7511
42505
Plastic repair of salivary duct, sialodochoplasty; secondary

or complicated
42505
7512
42508
Parotid duct diversion, bilateral (Wilke type procedure); with

excision of 1 submandibular gland
42508
7513
42509

excision of both submandibular glands
42509
7514
42510

ligation of both submandibular (Wharton's) ducts
42510
7515
42550
7516
42660
7517
42699
7518
42720
7519
42725
7520
42802
42160
42220
42326
42335
42340
42405
Injection procedure for sialography

Dilation and catheterization of salivary duct, with or without
injection
42550
Unlisted procedure, salivary glands or ducts
42699
Incision and drainage abscess; retropharyngeal or

parapharyngeal, intraoral approach
Incision and drainage abscess; retropharyngeal or
parapharyngeal, external approach
Biopsy; hypopharynx
42660
42720
42725
42802
7521
42804
Biopsy; nasopharynx, visible lesion, simple
42804
7522
42806
Biopsy; nasopharynx, survey for unknown primary lesion
42806
7523
42815
Excision branchial cleft cyst, vestige, or fistula, extending

beneath subcutaneous tissues and/or into pharynx
42815
7524
7525
7526
7527
7528
42821
42826
42831
42835
42836
Tonsillectomy and adenoidectomy; age 12 or over

Tonsillectomy, primary or secondary; age 12 or over
Adenoidectomy, primary; age 12 or over
Adenoidectomy, secondary; under age 12
Adenoidectomy, secondary; age 12 or over
42821
42826
42831
42835
42836
7529
42844

trigone; closure with local flap (eg, tongue, buccal)
42844
7530
42845
7531
42880
7532
42961

(eg, post-tonsillectomy); complicated, requiring
hospitalization
42961
7533
42962

(eg, post-tonsillectomy); with secondary surgical intervention
42962
7534
42970
Control of nasopharyngeal hemorrhage, primary or

secondary (eg, postadenoidectomy); simple, with posterior
nasal packs, with or without anterior packs and/or cautery
42970
7535
42971

secondary (eg, postadenoidectomy); complicated, requiring
hospitalization
42971
7536
42972

secondary (eg, postadenoidectomy); with secondary surgical
intervention
42972
7537
42999
Unlisted procedure, pharynx, adenoids, or tonsils
42999
7538
43000
7539
43040
7540
43105
7541
43106
7542
43110
Esophagectomy (at upper two-thirds level) and gastric

anastomosis with vagotomy; with or without pyloroplasty
43110
7543
43111
Esophagectomy (at upper two-thirds level) and gastric

anastomosis with vagotomy; with or without pyloroplasty;
with second stage pyloroplasty
43111

trigone; closure with other flap
Excision nasopharyngeal lesion (eg, fibroma)
Esophagotomy, cervical approach; without removal of

foreign body
Esophagotomy, thoracic approach; without removal of
foreign body
Wide excision of malignant lesion of cervical esophagus,
with or without laryngectomy
Wide excision of malignant lesion of cervical esophagus,
with or without laryngectomy; with radical neck dissection
(Wookey type procedure)
42845
42880
43000
43040
43105
43106
7544
43112
Total or near total esophagectomy, with thoracotomy; with

pharyngogastrostomy or cervical esophagogastrostomy, with
or without pyloroplasty
43112
7545
43113
Total or near total esophagectomy, with thoracotomy; with

colon interposition or small intestine reconstruction, including
intestine mobilization, preparation, and anastomosis(es)
43113
7546
43115
7547
43119
7548
43120
Esophagogastrectomy (lower third) and vagotomy, combined

thoracicoabdominal, with or without pyloroplasty
43120
7549
43121

only, with or without proximal gastrectomy, with thoracic
esophagogastrostomy, with or without pyloroplasty
43121
7550
43122
Partial esophagectomy, thoracoabdominal or abdominal

approach, with or without proximal gastrectomy; with
esophagogastrostomy, with or without pyloroplasty
43122
7551
43123
Partial esophagectomy, thoracoabdominal or abdominal

approach, with or without proximal gastrectomy; with colon
interposition or small intestine reconstruction, including
intestine mobilization, preparation, and anastomosis(es)
43123
7552
43135
7553
43136
7554
43201
7555
43202
7556
43204
7557
43205
7558
43215
7559
43216
7560
43217
7561
43219
7562
43220
7563
43226
Esophagectomy (at upper two-thirds level) with segment

replacement, one or two stages
Total esophagectomy with gastropharyngostomy, without
thoracotomy
Diverticulectomy of hypopharynx or esophagus, with or

without myotomy; thoracic approach
Diverticulopexy of hypopharynx, with or without myotomy
Esophagoscopy, rigid or flexible; with directed submucosal
injection(s), any substance
Esophagoscopy, rigid or flexible; with biopsy, single or
multiple
Esophagoscopy, rigid or flexible; with injection sclerosis of
esophageal varices
Esophagoscopy, rigid or flexible; with band ligation of
esophageal varices
Esophagoscopy, rigid or flexible; with removal of foreign
body
Esophagoscopy, rigid or flexible; with removal of tumor(s),
polyp(s), or other lesion(s) by hot biopsy forceps or bipolar
cautery
Esophagoscopy, rigid or flexible; with removal of tumor(s),
polyp(s), or other lesion(s) by snare technique
Esophagoscopy, rigid or flexible; with insertion of plastic tube
or stent
Esophagoscopy, rigid or flexible; with balloon dilation (less
than 30 mm diameter)
Esophagoscopy, rigid or flexible; with insertion of guide wire
followed by dilation over guide wire
43115
43119
43135
43136
43201
43202
43204
43205
43215
43216
43217
43219
43220
43226
7564
43227
Esophagoscopy, rigid or flexible; with control of bleeding (eg,

injection, bipolar cautery, unipolar cautery, laser, heater
probe, stapler, plasma coagulator)
43227
7565
43228
Esophagoscopy, rigid or flexible; with ablation of tumor(s),

polyp(s), or other lesion(s), not amenable to removal by hot
biopsy forceps, bipolar cautery or snare technique
43228
7566
43232
Esophagoscopy, rigid or flexible; with transendoscopic

ultrasound-guided intramural or transmural fine needle
aspiration/biopsy(s)
43232
43236

appropriate; with directed submucosal injection(s), any
substance
43236
43237

appropriate; with endoscopic ultrasound examination limited
to the esophagus
43237
7569
43238

appropriate; with transendoscopic ultrasound-guided
intramural or transmural fine needle aspiration/biopsy(s),
esophagus (includes endoscopic ultrasound examination
limited to the esophagus)
43238
7570
43239

appropriate; with biopsy, single or multiple
43239
7571
43240

appropriate; with transmural drainage of pseudocyst
43240
43241

appropriate; with transendoscopic intraluminal tube or
catheter placement
43241
43242

appropriate; with transendoscopic ultrasound-guided
intramural or transmural fine needle aspiration/biopsy(s)
(includes endoscopic ultrasound examination of the
esophagus, stomach, and either the duodenum and/or
jejunum as appropriate)
43242
43243

appropriate; with injection sclerosis of esophageal and/or
gastric varices
43243
43244

appropriate; with band ligation of esophageal and/or gastric
varices
43244
7567
7568
7572
7573
7574
7575
43245

appropriate; with dilation of gastric outlet for obstruction (eg,
balloon, guide wire, bougie)
43245
7577
43246

appropriate; with directed placement of percutaneous
gastrostomy tube
43246
7578
43247

appropriate; with removal of foreign body
43247
43248

appropriate; with insertion of guide wire followed by dilation
of esophagus over guide wire
43248
43249

appropriate; with balloon dilation of esophagus (less than 30
mm diameter)
43249
43250

appropriate; with removal of tumor(s), polyp(s), or other
lesion(s) by hot biopsy forceps or bipolar cautery
43250
7582
43251

appropriate; with removal of tumor(s), polyp(s), or other
lesion(s) by snare technique
43251
7583
43255

appropriate; with control of bleeding, any method
43255
43256

appropriate; with transendoscopic stent placement (includes
predilation)
43256
43257

appropriate; with delivery of thermal energy to the muscle of
lower esophageal sphincter and/or gastric cardia, for
treatment of gastroesophageal reflux disease
43257
7586
43258

appropriate; with ablation of tumor(s), polyp(s), or other
lesion(s) not amenable to removal by hot biopsy forceps,
bipolar cautery or snare technique
43258
7587
43261

with biopsy, single or multiple
43261
7576
7579
7580
7581
7584
7585

with sphincterotomy/papillotomy
with pressure measurement of sphincter of Oddi (pancreatic
duct or common bile duct)
7588
43262
7589
43263
7590
43264

with endoscopic retrograde removal of calculus/calculi from
biliary and/or pancreatic ducts
43264
7591
43265

with endoscopic retrograde destruction, lithotripsy of
calculus/calculi, any method
43265
7592
43267

with endoscopic retrograde insertion of nasobiliary or
nasopancreatic drainage tube
43267
7593
43268

with endoscopic retrograde insertion of tube or stent into bile
or pancreatic duct
43268
7594
43269

with endoscopic retrograde removal of foreign body and/or
change of tube or stent
43269
7595
43271

with endoscopic retrograde balloon dilation of ampulla,
biliary and/or pancreatic duct(s)
43271
7596
43272

with ablation of tumor(s), polyp(s), or other lesion(s) not
amenable to removal by hot biopsy forceps, bipolar cautery
or snare technique
43272
7597
43273
Endoscopic cannulation of papilla with direct visualization of

common bile duct(s) and/or pancreatic duct(s) (List
separately in addition to code(s) for primary procedure)
43273
7598
43279
7599
43281
7600
43282
7601
43289
7602
43305
Esophagoplasty (plastic repair or reconstruction), cervical

approach; with repair of tracheoesophageal fistula
43305
7603
43312
Esophagoplasty (plastic repair or reconstruction), thoracic

approach; with repair of tracheoesophageal fistula
43312
7604
43314
7605
43321
Laparoscopy, surgical, esophagomyotomy (Heller type), with

fundoplasty, when performed
Laparoscopy, surgical, repair of paraesophageal hernia,
includes fundoplasty, when performed; without implantation
of mesh
Laparoscopy, surgical, repair of paraesophageal hernia,
includes fundoplasty, when performed; with implantation of
mesh
Unlisted laparoscopy procedure, esophagus
Esophagoplasty for congenital defect (plastic repair or

reconstruction), thoracic approach; with repair of congenital
tracheoesophageal fistula
Esophagogastrostomy (cardioplasty), with or without
vagotomy and pyloroplasty; thoracic approach
43262
43263
43279
43281
43282
43289
43314
43321
7606
43325
Esophagogastric fundoplasty; with fundic patch (Thal-Nissen

procedure)
43325
7607
43326
Esophagogastric fundoplasty; with gastroplasty (eg, Collis)
43326
7608
43341
7609
43351
7610
43352
7611
43425
7612
43453
7613
43455
7614
43456
7615
43458
7616
43499
7617
43502
7618
43510
7619
43600
7620
7621
7622
43610
43611
43621
7623
43622
7624
43625
7625
43630
7626
43632
Hemigastrectomy or distal subtotal gastrectomy including

pyloroplasty, gastroduodenostomy or gastrojejunostomy;
without vagotomy
Gastrectomy, partial, distal; with gastrojejunostomy
7627
43633
Gastrectomy, partial, distal; with Roux-en-Y reconstruction
43633
7628
43634
Gastrectomy, partial, distal; with formation of intestinal pouch
43634
7629
43639
Gastrectomy, partial, proximal, thoracic or abdominal

approach including esophagogastrostomy, with vagotomy;
with pyloroplasty or pyloromyotomy
43639
7630
43645
7631
43647
7632
43659
Esophagojejunostomy (without total gastrectomy); thoracic

approach
Esophagostomy, fistulization of esophagus, external;
thoracic approach
Esophagostomy, fistulization of esophagus, external; cervical
approach
Closure of esophagostomy or fistula; transthoracic or
Dilation of esophagus, over guide wire
Dilation of esophagus, by balloon or dilator; under
fluoroscopic guidance
Dilation of esophagus, by balloon or dilator, retrograde
Dilation of esophagus with balloon (30 mm diameter or
larger) for achalasia
Unlisted procedure, esophagus
Gastrotomy; with suture repair of pre-existing
esophagogastric laceration (eg, Mallory-Weiss)
Gastrotomy; with esophageal dilation and insertion of
permanent intraluminal tube (eg, Celestin or MousseauxBarbin)
Biopsy of stomach; by capsule, tube, peroral (1 or more
specimens)
Excision, local; ulcer or benign tumor of stomach
Excision, local; malignant tumor of stomach
Gastrectomy, total; with Roux-en-Y reconstruction
Gastrectomy, total; with formation of intestinal pouch, any
type
Gastrectomy, total; with repair by intestinal transplant
Laparoscopy, surgical, gastric restrictive procedure; with

gastric bypass and small intestine reconstruction to limit
absorption
Laparoscopy, surgical; implantation or replacement of gastric
neurostimulator electrodes, antrum
Unlisted laparoscopy procedure, stomach
43341
43351
43352
43425
43453
43455
43456
43458
43499
43502
43510
43600
43610
43611
43621
43622
43625
43630
43632
43645
43647
43659
7633
43752
Naso- or oro-gastric tube placement, requiring physician's

skill and fluoroscopic guidance (includes fluoroscopy, image
documentation and report)
43752
7634
43761
Repositioning of a naso- or oro-gastric feeding tube, through

the duodenum for enteric nutrition
43761
7635
43770
Laparoscopy, surgical, gastric restrictive procedure;

placement of adjustable gastric restrictive device (eg, gastric
band and subcutaneous port components)
43770
7636
43771
Laparoscopy, surgical, gastric restrictive procedure; revision

of adjustable gastric restrictive device component only
43771
7637
43772
Laparoscopy, surgical, gastric restrictive procedure; removal

of adjustable gastric restrictive device component only
43772
7638
43773

and replacement of adjustable gastric restrictive device
component only
43773
7639
43774

of adjustable gastric restrictive device and subcutaneous
port components
43774
7640
43775
Laparoscopy, surgical, gastric restrictive procedure;

longitudinal gastrectomy (ie, sleeve gastrectomy)
43775
7641
43825
7642
43832
7643
43843
Gastric restrictive procedure, without gastric bypass, for

morbid obesity; other than vertical-banded gastroplasty
43843
7644
43844
Gastric bypass, other than with Roux-en-Y

gastroenterostomy, for morbid obesity
43844
7645
43845
Gastric restrictive procedure with partial gastrectomy,

pylorus-preserving duodenoileostomy and ileoileostomy (50
to 100 cm common channel) to limit absorption
(biliopancreatic diversion with duodenal switch)
43845
7646
43847
Gastric restrictive procedure, with gastric bypass for morbid

obesity; with small intestine reconstruction to limit absorption
43847
7647
43855
Revision of gastroduodenal anastomosis

(gastroduodenostomy) with reconstruction; with vagotomy
43855
7648
43865
Revision of gastrojejunal anastomosis (gastrojejunostomy)

with reconstruction, with or without partial gastrectomy or
intestine resection; with vagotomy
43865
7649
43881
7650
43882
Gastrojejunostomy; with vagotomy, any type

Gastrostomy, open; with construction of gastric tube (eg,
Janeway procedure)
Implantation or replacement of gastric neurostimulator

electrodes, antrum, open
Revision or removal of gastric neurostimulator electrodes,
antrum, open
43825
43832
43881
43882
7651
43885
Anterior gastropexy for hiatal hernia (separate procedure)
7652
43886
7653
43887
7654
43888
7655
43999
7656
44021
7657
44040
7658
44100
7659
44110
7660
44111
Excision of 1 or more lesions of small or large intestine not

requiring anastomosis, exteriorization, or fistulization;
multiple enterotomies
44111
7661
44121
Enterectomy, resection of small intestine; each additional

resection and anastomosis (List separately in addition to
44121
7662
44125
Enterectomy, resection of small intestine; with enterostomy
44125
7663
44127

segment of intestine; with tapering
44127
7664
44128

segment of intestine; each additional resection and
anastomosis (List separately in addition to code for primary
procedure)
44128
7665
44136
Intestinal allotransplantation; from living donor
44136
7666
44137
Removal of transplanted intestinal allograft, complete
44137
7667
44141
Colectomy, partial; with skin level cecostomy or colostomy
44141
7668
44143
7669
44144
7670
44145
7671
44146
7672
44147
7673
44151
Gastric restrictive procedure, open; revision of subcutaneous

port component only
Gastric restrictive procedure, open; removal of
subcutaneous port component only
Gastric restrictive procedure, open; removal and
replacement of subcutaneous port component only
Unlisted procedure, stomach
Enterotomy, small intestine, other than duodenum; for
decompression (eg, Baker tube)
Exteriorization of intestine (Mikulicz resection with crushing
of spur)
Biopsy of intestine by capsule, tube, peroral (1 or more
specimens)
Excision of 1 or more lesions of small or large intestine not
requiring anastomosis, exteriorization, or fistulization; single
enterotomy
Colectomy, partial; with end colostomy and closure of distal

segment (Hartmann type procedure)
Colectomy, partial; with resection, with colostomy or
ileostomy and creation of mucofistula
Colectomy, partial; with coloproctostomy (low pelvic
anastomosis)
Colectomy, partial; with coloproctostomy (low pelvic
anastomosis), with colostomy
Colectomy, partial; abdominal and transanal approach
Colectomy, total, abdominal, without proctectomy; with
continent ileostomy
43885
43886
43887
43888
43999
44021
44040
44100
44110
44143
44144
44145
44146
44147
44151
Colectomy, total, abdominal, without proctectomy; with rectal

mucosectomy, ileoanal anastomosis, with or without loop
ileostomy
7674
44152
7675
44153
7676
44156
7677
44157
7678
44158
7679
44180
7680
44186
7681
44187
Laparoscopy, surgical; ileostomy or jejunostomy, non-tube
44187
7682
44188
Laparoscopy, surgical, colostomy or skin level cecostomy
44188
7683
44203
Laparoscopy, surgical; each additional small intestine

resection and anastomosis (List separately in addition to
44203
7684
44206
Laparoscopy, surgical; colectomy, partial, with end colostomy

and closure of distal segment (Hartmann type procedure)
44206
7685
44207
Laparoscopy, surgical; colectomy, partial, with anastomosis,

with coloproctostomy (low pelvic anastomosis)
44207
7686
44208
Laparoscopy, surgical; colectomy, partial, with anastomosis,

with coloproctostomy (low pelvic anastomosis) with
colostomy
44208
7687
44209
Unlisted laparoscopy procedure, intestine (except rectum)
44209
7688
44211
Laparoscopy, surgical; colectomy, total, abdominal, with

proctectomy, with ileoanal anastomosis, creation of ileal
reservoir (S or J), with loop ileostomy, includes rectal
mucosectomy, when performed
44211
7689
44213
Laparoscopy, surgical, mobilization (take-down) of splenic

flexure performed in conjunction with partial colectomy (List
separately in addition to primary procedure)
44213
7690
44227
Laparoscopy, surgical, closure of enterostomy, large or small

intestine, with resection and anastomosis
44227
7691
44238
Unlisted laparoscopy procedure, intestine (except rectum)
44238
7692
44239
Unlisted laparoscopy procedure, rectum
44239
Colectomy, total, abdominal, without proctectomy; with rectal

mucosectomy, ileoanal anastomosis, creation of ileal
reservoir (S or J), with or without loop ileostomy
Colectomy, total, abdominal, with proctectomy; with
continent ileostomy
Colectomy, total, abdominal, with proctectomy; with ileoanal
anastomosis, includes loop ileostomy, and rectal
mucosectomy, when performed
Colectomy, total, abdominal, with proctectomy; with ileoanal
anastomosis, creation of ileal reservoir (S or J), includes
loop ileostomy, and rectal mucosectomy, when performed
Laparoscopy, surgical, enterolysis (freeing of intestinal
or feeding)
44152
44153
44156
44157
44158
44180
44186
7693
44305
Enterostomy or cecostomy, tube (eg, for decompression or

feeding); in conjunction with other procedures
44305
7694
44322
Colostomy or skin level cecostomy; with multiple biopsies

(eg, for congenital megacolon) (separate procedure)
44322
7695
44346
7696
44361
7697
44363

portion of duodenum, not including ileum; with removal of
foreign body
44363
7698
44364

tumor(s), polyp(s), or other lesion(s) by snare technique
44364
44365

tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or
bipolar cautery
44365
44366

portion of duodenum, not including ileum; with control of
bleeding (eg, injection, bipolar cautery, unipolar cautery,
laser, heater probe, stapler, plasma coagulator)
44366
7701
44369

portion of duodenum, not including ileum; with ablation of
tumor(s), polyp(s), or other lesion(s) not amenable to
removal by hot biopsy forceps, bipolar cautery or snare
technique
44369
7702
44370

portion of duodenum, not including ileum; with
transendoscopic stent placement (includes predilation)
44370
7703
44372

portion of duodenum, not including ileum; with placement of
percutaneous jejunostomy tube
44372
44373

portion of duodenum, not including ileum; with conversion of
percutaneous gastrostomy tube to percutaneous
jejunostomy tube
44373
7705
44378

portion of duodenum, including ileum; with control of
bleeding (eg, injection, bipolar cautery, unipolar cautery,
laser, heater probe, stapler, plasma coagulator)
44378
7706
44379

portion of duodenum, including ileum; with transendoscopic
stent placement (includes predilation)
44379
7699
7700
7704
Revision of colostomy; with repair of paracolostomy hernia

portion of duodenum, not including ileum; with biopsy, single
or multiple
44346
44361
7707
44382
Ileoscopy, through stoma; with biopsy, single or multiple
7708
44383
7709
44386
7710
44389
Colonoscopy through stoma; with biopsy, single or multiple
44389
7711
44390
Colonoscopy through stoma; with removal of foreign body
44390
7712
44391
Colonoscopy through stoma; with control of bleeding (eg,

44391
7713
44392
Colonoscopy through stoma; with removal of tumor(s),

polyp(s), or other lesion(s) by hot biopsy forceps or bipolar
cautery
44392
7714
44393
Colonoscopy through stoma; with ablation of tumor(s),

polyp(s), or other lesion(s) not amenable to removal by hot
biopsy forceps, bipolar cautery or snare technique
44393
7715
44394
Colonoscopy through stoma; with removal of tumor(s),

polyp(s), or other lesion(s) by snare technique
44394
7716
44397
7717
44600
7718
44603
Suture of small intestine (enterorrhaphy) for perforated ulcer,

diverticulum, wound, injury or rupture; multiple perforations
44603
7719
44605
Suture of large intestine (colorrhaphy) for perforated ulcer,

diverticulum, wound, injury or rupture (single or multiple
perforations); with colostomy
44605
7720
44610
7721
44625
7722
44626
7723
44661
7724
44701
7725
44721
7726
44799
7727
44899
Ileoscopy, through stoma; with transendoscopic stent

placement (includes predilation)
Endoscopic evaluation of small intestinal (abdominal or
pelvic) pouch; with biopsy, single or multiple
Colonoscopy through stoma; with transendoscopic stent

Suture of intestine (enterorrhaphy), large or small, for
perforated ulcer, diverticulum, wound, injury or rupture;
single
Suture of intestine (enterorrhaphy), large or small, for

perforated ulcer, diverticulum, wound, injury or rupture;
multiple
Closure of enterostomy, large or small intestine; with
resection and anastomosis other than colorectal
Closure of enterostomy, large or small intestine; with
resection and colorectal anastomosis (eg, closure of
Hartmann type procedure)
Closure of enterovesical fistula; with intestine and/or bladder
resection
Intraoperative colonic lavage (List separately in addition to
Backbench reconstruction of cadaver or living donor
intestine allograft prior to transplantation; arterial
anastomosis, each
Unlisted procedure, intestine
Unlisted procedure, Meckel's diverticulum and the
mesentery
44382
44383
44386
44397
44600
44610
44625
44626
44661
44701
44721
44799
44899
7728
44979
7729
45111
7730
45112
7731
45116
7732
45121
Unlisted laparoscopy procedure, appendix

Proctectomy; partial resection of rectum, transabdominal
approach
Proctectomy, combined abdominoperineal, pull-through
procedure (eg, colo-anal anastomosis)
Proctectomy, partial, with anastomosis; transsacral approach
only (Kraske type)
Proctectomy, complete (for congenital megacolon),
abdominal and perineal approach; with subtotal or total
colectomy, with multiple biopsies
Pelvic exenteration for colorectal malignancy, with
proctectomy (with or without colostomy), with removal of
bladder and ureteral transplantations, and/or hysterectomy,
or cervicectomy, with or without removal of tube(s), with or
without removal of ovary(s), or any combination thereof
44979
45111
45112
45116
45121
7733
45126
7734
45135
7735
7736
7737
45136
45150
45170
7738
45171
7739
45172
7740
45180
7741
45302
7742
45303
7743
45305
Proctosigmoidoscopy, rigid; with biopsy, single or multiple
45305
7744
45307
Proctosigmoidoscopy, rigid; with removal of foreign body
45307
7745
45308
Proctosigmoidoscopy, rigid; with removal of single tumor,

polyp, or other lesion by hot biopsy forceps or bipolar
cautery
45308
7746
45309
Proctosigmoidoscopy, rigid; with removal of single tumor,

polyp, or other lesion by snare technique
45309
7747
45310
7748
45315
7749
45317
Excision of rectal procidentia, with anastomosis; abdominal

and perineal approach
Excision of ileoanal reservoir with ileostomy
Division of stricture of rectum
Excision of rectal tumor, transanal approach
Excision of rectal tumor, transanal approach; not including
muscularis propria (ie, partial thickness)
Excision of rectal tumor, transanal approach; including
muscularis propria (ie, full thickness)
Excision and/or electrodesiccation of malignant tumor of
rectum, transanal approach
Proctosigmoidoscopy, rigid; diagnostic; with collection of
specimen by brushing or washing
Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guide
wire, bougie)
Proctosigmoidoscopy, rigid; with removal of polyp or

papilloma
Proctosigmoidoscopy, rigid; with removal of multiple tumors,
polyps, or other lesions by hot biopsy forceps, bipolar
cautery or snare technique
Proctosigmoidoscopy, rigid; with control of bleeding (eg,
45126
45135
45136
45150
45170
45171
45172
45180
45302
45303
45310
45315
45317
7750
45320
Proctosigmoidoscopy, rigid; with ablation of tumor(s),

polyp(s), or other lesion(s) not amenable to removal by hot
biopsy forceps, bipolar cautery or snare technique (eg, laser)
45320
7751
45321
Proctosigmoidoscopy, rigid; with decompression of volvulus
45321
7752
45327
7753
45331
Proctosigmoidoscopy, rigid; with transendoscopic stent

Sigmoidoscopy, flexible; with biopsy, single or multiple
7754
45332
Sigmoidoscopy, flexible; with removal of foreign body
45332
7755
45333
Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s),

or other lesion(s) by hot biopsy forceps or bipolar cautery
45333
7756
45334
Sigmoidoscopy, flexible; with control of bleeding (eg,

45334
7757
45335
7758
45336
7759
45337
7760
45338
7761
45339
7762
45340
7763
45342
7764
45345
Sigmoidoscopy, flexible; with directed submucosal

injection(s), any substance
Sigmoidoscopy, flexible; with ablation of tumor or mucosal
lesion (eg, electrocoagulation, photocoagulation, hot
biopsy/fulguration)
Sigmoidoscopy, flexible; with decompression of volvulus, any
method
Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s),
or other lesion(s) by snare technique
Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s),
or other lesion(s) not amenable to removal by hot biopsy
forceps, bipolar cautery or snare technique
Sigmoidoscopy, flexible; with dilation by balloon, 1 or more
strictures
Sigmoidoscopy, flexible; with transendoscopic ultrasound
guided intramural or transmural fine needle
aspiration/biopsy(s)
Sigmoidoscopy, flexible; with transendoscopic stent
Colonoscopy, flexible, proximal to splenic flexure; diagnostic,
with or without collection of specimen(s) by brushing or
washing, with or without colon decompression (separate
procedure)
45327
45331
45335
45336
45337
45338
45339
45340
45342
45345
7765
45378
7766
45379
7767
45380
7768
45381
Colonoscopy, flexible, proximal to splenic flexure; with

directed submucosal injection(s), any substance
45381
7769
45382

control of bleeding (eg, injection, bipolar cautery, unipolar
cautery, laser, heater probe, stapler, plasma coagulator)
45382

biopsy, single or multiple
45378
45379
45380
7770
45383

ablation of tumor(s), polyp(s), or other lesion(s) not
amenable to removal by hot biopsy forceps, bipolar cautery
or snare technique
7771
45384

removal of tumor(s), polyp(s), or other lesion(s) by hot
biopsy forceps or bipolar cautery
7772
45385
7773
45386
7774
45387
7775
45391
7776
45392
7777
45395
7778
45397
7779
45400
7780
45402
7781
7782
45499
45505
7783
45521
7784
45562
7785
45563
7786
7787
45805
45825
7788
45905
7789
45910
7790
45990
7791
7792
7793
7794
45999
46000
46020
46030
7795
46060

removal of tumor(s), polyp(s), or other lesion(s) by snare
technique
dilation by balloon, 1 or more strictures
transendoscopic stent placement (includes predilation)
endoscopic ultrasound examination
transendoscopic ultrasound guided intramural or transmural
fine needle aspiration/biopsy(s)
Laparoscopy, surgical; proctectomy, complete, combined
abdominoperineal, with colostomy
Laparoscopy, surgical; proctectomy, combined
abdominoperineal pull-through procedure (eg, colo-anal
anastomosis), with creation of colonic reservoir (eg, Jpouch), with diverting enterostomy, when performed
45383
45384
45385
45386
45387
45391
45392
45395
45397
Laparoscopy, surgical; proctopexy (for prolapse)

Laparoscopy, surgical; proctopexy (for prolapse), with
sigmoid resection
Unlisted laparoscopy procedure, rectum
Proctoplasty; for prolapse of mucous membrane
Perirectal injection of sclerosing solution for prolapse;
hospital
45400
Exploration, repair, and presacral drainage for rectal injury;
45562
Exploration, repair, and presacral drainage for rectal injury;

with colostomy
Closure of rectovesical fistula; with colostomy
Closure of rectourethral fistula; with colostomy
Dilation of anal sphincter (separate procedure) under
anesthesia other than local
Dilation of rectal stricture (separate procedure) under
anesthesia other than local
Anorectal exam, surgical, requiring anesthesia (general,
spinal, or epidural), diagnostic
Unlisted procedure, rectum
Fistulotomy, subcutaneous
Placement of seton
Removal of anal seton, other marker
Incision and drainage of ischiorectal or intramural abscess,
with fistulectomy or fistulotomy, submuscular, with or without
placement of seton
45402
45499
45505
45521
45563
45805
45825
45905
45910
45990
45999
46000
46020
46030
46060
7796
46211
Cryptectomy; multiple (separate procedure)
46211
7797
46230
Excision of multiple external papillae or tags, anus
46230
7798
46260
7799
46261
7800
46262
7801
46275
7802
46280
7803
46285
7804
46505

second stage
Chemodenervation of internal anal sphincter
7805
46602
Anoscopy; for collection of specimen by brushing or washing
46602
7806
46604
Anoscopy; with dilation (eg, balloon, guide wire, bougie)
46604
7807
7808
46606
46608
46606
46608
7809
46610
7810
46611
7811
46612
Anoscopy; with biopsy, single or multiple

Anoscopy; with removal of foreign body
Anoscopy; with removal of single tumor, polyp, or other
lesion by hot biopsy forceps or bipolar cautery
Anoscopy; with removal of single tumor, polyp, or other
lesion by snare technique
Anoscopy; with removal of multiple tumors, polyps, or other
lesions by hot biopsy forceps, bipolar cautery or snare
technique
7812
46614
7813
46615
7814
46706
7815
46707
7816
46710
7817
46712
7818
46716
7819
46740
Hemorrhoidectomy, internal and external, 2 or more

columns/groups;
columns/groups; with fissurectomy
columns/groups; with fistulectomy, including fissurectomy,
when performed
intersphincteric
transsphincteric, suprasphincteric, extrasphincteric or
multiple, including placement of seton, when performed
Anoscopy; with control of bleeding (eg, injection, bipolar

cautery, unipolar cautery, laser, heater probe, stapler,
plasma coagulator)
Anoscopy; with ablation of tumor(s), polyp(s), or other
lesion(s) not amenable to removal by hot biopsy forceps,
bipolar cautery or snare technique
Repair of anal fistula with fibrin glue
Repair of anorectal fistula with plug (eg, porcine small
intestine submucosa [SIS])
Repair of ileoanal pouch fistula/sinus (eg, perineal or
vaginal), pouch advancement; transperineal approach
Repair of ileoanal pouch fistula/sinus (eg, perineal or
vaginal), pouch advancement; combined transperineal and
Repair of low imperforate anus; with transposition of
anoperineal or anovestibular fistula
Repair of high imperforate anus with rectourethral or
rectovaginal fistula; perineal or sacroperineal approach
46260
46261
46262
46275
46280
46285
46505
46610
46611
46612
46614
46615
46706
46707
46710
46712
46716
46740
7820
46742
Repair of high imperforate anus with rectourethral or

rectovaginal fistula; combined transabdominal and
sacroperineal approaches
46742
7821
46746

urethroplasty, combined abdominal and sacroperineal
approach;
46746
7822
46748

urethroplasty, combined abdominal and sacroperineal
approach; with vaginal lengthening by intestinal graft or
pedicle flaps
46748
7823
46751
Sphincteroplasty, anal, for incontinence or prolapse; child
46751
7824
46760
Sphincteroplasty, anal, for incontinence, adult; muscle

transplant
46760
7825
46761
Sphincteroplasty, anal, for incontinence, adult; levator

muscle imbrication (Park posterior anal repair)
46761
7826
46762
7827
46910
7828
46916

molluscum contagiosum, herpetic vesicle), simple;
cryosurgery
46916
7829
46917

molluscum contagiosum, herpetic vesicle), simple; laser
surgery
46917
7830
46922

molluscum contagiosum, herpetic vesicle), simple; surgical
excision
46922
7831
46924

molluscum contagiosum, herpetic vesicle), extensive (eg,
laser surgery, electrosurgery, cryosurgery, chemosurgery)
46924
7832
46930
Destruction of internal hemorrhoid(s) by thermal energy (eg,

infrared coagulation, cautery, radiofrequency)
46930
7833
46935
Destruction of hemorrhoids, any method; external
46935
7834
46936
7835
46938
7836
46942
7837
46946
7838
46947
7839
46999
Sphincteroplasty, anal, for incontinence, adult; implantation

artificial sphincter
electrodesiccation
Destruction of hemorrhoids, any method; internal and

external
Cryosurgery of rectal tumor; malignant
Curettage or cautery of anal fissure, including dilation of anal
sphincter (separate procedure); subsequent
Hemorrhoidectomy, internal, by ligation other than rubber
band; 2 or more hemorrhoid columns/groups
Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids)
by stapling
Unlisted procedure, anus
46762
46910
46936
46938
46942
46946
46947
46999
7840
47001
Biopsy of liver, needle; when done for indicated purpose at

time of other major procedure (List separately in addition to
47001
7841
47134
Donor hepatectomy, with preparation and maintenance of

allograft; partial, from living donor
47134
7842
47136
Liver allotransplantation; heterotopic, partial or whole, from

cadaver or living donor, any age
47136
7843
47141

donor; total left lobectomy (segments II, III and IV)
47141
7844
47142

donor; total right lobectomy (segments V, VI, VII and VIII)
47142
47143
Backbench standard preparation of cadaver donor whole

liver graft prior to allotransplantation, including
cholecystectomy, if necessary, and dissection and removal
of surrounding soft tissues to prepare the vena cava, portal
vein, hepatic artery, and common bile duct for implantation;
without trisegment or lobe split
47143
47144

with trisegment split of whole liver graft into 2 partial liver
grafts (ie, left lateral segment [segments II and III] and right
trisegment (segments I and IV through VIII))
47144
7847
47145

with lobe split of whole liver graft into 2 partial liver grafts (ie,
left lobe [segments II, III, and IV] and right lobe [segments I
and V through VIII])
47145
7848
47146
Backbench reconstruction of cadaver or living donor liver

graft prior to allotransplantation; venous anastomosis, each
47146
7849
47147
Backbench reconstruction of cadaver or living donor liver

graft prior to allotransplantation; arterial anastomosis, each
47147
7850
47355
Hepatorrhaphy, suture of liver wound or injury; with common

duct or gallbladder drainage
47355
7851
47360
Management of liver hemorrhage; complex suture of liver

wound or injury, with or without hepatic artery ligation
47360
7845
7846
7852
47371
7853
47379
Laparoscopy, surgical, ablation of 1 or more liver tumor(s);

cryosurgical
Unlisted laparoscopic procedure, liver
7854
47380
Ablation, open, of 1 or more liver tumor(s); radiofrequency
47380
7855
47381
Ablation, open, of one or more liver tumor(s); cryosurgical
47381
7856
47382
7857
47399
7858
47425
7859
47440
7860
47500
7861
47505
7862
47553
7863
47554
7864
47555

with dilation of biliary duct stricture(s) without stent
47555
7865
47556

with dilation of biliary duct stricture(s) with stent
47556
7866
47560
7867
47561
7868
47579
7869
47612
7870
47620
7871
47630
7872
47710
7873
47711
7874
47712
7875
7876
7877
7878
47716
47719
47721
47740
Ablation, 1 or more liver tumor(s), percutaneous,

radiofrequency
Unlisted procedure, liver
Choledochotomy or choledochostomy with exploration,
drainage, or removal of calculus, with or without
cholecystotomy; with transduodenal sphincterotomy or
sphincteroplasty
Duodenocholedochotomy, transduodenal
choledocholithotomy
Injection procedure for percutaneous transhepatic
cholangiography
Injection procedure for cholangiography through an existing
catheter (eg, percutaneous transhepatic or T-tube)
with biopsy, single or multiple
with removal of calculus/calculi
Laparoscopy, surgical; with guided transhepatic

cholangiography, without biopsy
Laparoscopy, surgical; with guided transhepatic
cholangiography with biopsy
Unlisted laparoscopy procedure, biliary tract
Cholecystectomy with exploration of common duct; with
choledochoenterostomy
Cholecystectomy with exploration of common duct; with
transduodenal sphincterotomy or sphincteroplasty, with or
without cholangiography
Biliary duct stone extraction, percutaneous via T-tube tract,
basket, or snare (eg, Burhenne technique)
Excision of bile duct tumor, with repair
Excision of bile duct tumor, with or without primary repair of
bile duct; extrahepatic
Excision of bile duct tumor, with or without primary repair of
bile duct; intrahepatic
Anastomosis, choledochal cyst, without excision
Anastomosis, choledochal cyst, without excision
Cholecystoenterostomy; with gastroenterostomy
Cholecystoenterostomy; Roux-en-Y
47371
47379
47382
47399
47425
47440
47500
47505
47553
47554
47560
47561
47579
47612
47620
47630
47710
47711
47712
47716
47719
47721
47740
7879
47741
7880
47780
7881
47785
7882
47802
7883
47900
7884
47999
7885
48001
7886
48105
7887
48145
7888
48146
7889
48151
Cholecystoenterostomy; Roux-en-Y with gastroenterostomy

Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and
Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and
U-tube hepaticoenterostomy
Suture of extrahepatic biliary duct for pre-existing injury
Unlisted procedure, biliary tract
Placement of drains, peripancreatic, for acute pancreatitis;
with cholecystostomy, gastrostomy, and jejunostomy
Resection or debridement of pancreas and peripancreatic
tissue for acute necrotizing pancreatitis
Pancreatectomy, distal subtotal, with or without splenectomy;
with pancreaticojejunostomy
Pancreatectomy, distal, near-total with preservation of
duodenum (Child-type procedure)
Pancreatectomy, near-total, with preservation of duodenum
(Child type procedure)
47741
47780
47785
47802
47900
47999
48001
48105
48145
48146
48151
48152
Pancreatectomy, proximal subtotal with total duodenectomy,

partial gastrectomy, choledochoenterostomy and
gastrojejunostomy (Whipple-type procedure); without
pancreatojejunostomy
48152
48153
Pancreatectomy, proximal subtotal with near-total

duodenectomy, choledochoenterostomy and
duodenojejunostomy (pylorus-sparing, Whipple-type
procedure); with pancreatojejunostomy
48153
7892
48154
Pancreatectomy, proximal subtotal with near-total

duodenectomy, choledochoenterostomy and
duodenojejunostomy (pylorus-sparing, Whipple-type
procedure); without pancreatojejunostomy
48154
7893
48400
Injection procedure for intraoperative pancreatography (List

48400
7894
48548
Pancreaticojejunostomy, side-to-side anastomosis (Puestowtype operation)
48548
7895
48551
Backbench standard preparation of cadaver donor pancreas

allograft from surrounding soft tissues, splenectomy,
duodenotomy, ligation of bile duct, ligation of mesenteric
vessels, and Y-graft arterial anastomoses from iliac artery to
superior mesenteric artery and to splenic artery
48551
7896
48552
Backbench reconstruction of cadaver donor pancreas

allograft prior to transplantation, venous anastomosis, each
48552
7897
7898
48556
48999
Removal of transplanted pancreatic allograft

Unlisted procedure, pancreas
48556
48999
7890
7891
7899
49040
7900
49041
7901
49081
7902
49201
Excision or destruction, open, intra-abdominal or

retroperitoneal tumors or cysts or endometriomas; extensive
49201
49203
Excision or destruction, open, intra-abdominal tumors, cysts

or endometriomas, 1 or more peritoneal, mesenteric, or
retroperitoneal primary or secondary tumors; largest tumor 5
cm diameter or less
49203
49204

retroperitoneal primary or secondary tumors; largest tumor
5.1-10.0 cm diameter
49204
7905
49205

retroperitoneal primary or secondary tumors; largest tumor
greater than 10.0 cm diameter
49205
7906
7907
49300
49301
7908
49302
7909
49303
7910
49310
7911
49311
7912
49315
7913
49324
7914
49326
7915
49329
7916
49400
7917
49401

cholangiography
Laparoscopy, surgical; appendectomy
Laparoscopy, surgical; with insertion of intraperitoneal
cannula or catheter, permanent
Laparoscopy, surgical; with omentopexy (omental tacking
procedure) (List separately in addition to code for primary
procedure)
Unlisted laparoscopy procedure, abdomen, peritoneum and
omentum
Injection of air or contrast into peritoneal cavity (separate
procedure)
Pneumoperitoneum (separate procedure); subsequent
7918
49402
Removal of peritoneal foreign body from peritoneal cavity
49402
49411

intra-abdominal, intra-pelvic (except prostate), and/or
retroperitoneum, single or multiple
49411
7903
7904
7919
Drainage of subdiaphragmatic or subphrenic abscess; open

Drainage of subdiaphragmatic or subphrenic abscess;
percutaneous
Peritoneocentesis, abdominal paracentesis, or peritoneal
lavage (diagnostic or therapeutic); subsequent
49040
49041
49081
Peritoneoscopy; without biopsy

Peritoneoscopy; with biopsy
Peritoneoscopy with guided transhepatic cholangiography;
without biopsy
Peritoneoscopy with guided transhepatic cholangiography;
with biopsy
49300
49301
Laparoscopy, surgical; cholecystectomy (any method)
49310
49302
49303
49311
49315
49324
49326
49329
49400
49401
7920
49419
Insertion of intraperitoneal cannula or catheter, with

subcutaneous reservoir, permanent (ie, totally implantable)
49419
7921
49422
Removal of permanent intraperitoneal cannula or catheter
49422
7922
7923
49425
49426
Insertion of peritoneal-venous shunt

Revision of peritoneal-venous shunt
49425
49426
7924
49427
Injection procedure (eg, contrast media) for evaluation of

previously placed peritoneal-venous shunt
49427
7925
7926
49428
49429
Ligation of peritoneal-venous shunt

Removal of peritoneal-venous shunt
49428
49429
7927
49435
Insertion of subcutaneous extension to intraperitoneal

cannula or catheter with remote chest exit site (List
49435
7928
49436
Delayed creation of exit site from embedded subcutaneous

segment of intraperitoneal cannula or catheter
49436
7929
49440
Insertion of gastrostomy tube, percutaneous, under

fluoroscopic guidance including contrast injection(s), image
documentation and report
49440
7930
49441
Insertion of duodenostomy or jejunostomy tube,

percutaneous, under fluoroscopic guidance including
contrast injection(s), image documentation and report
49441
7931
49442
Insertion of cecostomy or other colonic tube, percutaneous,

under fluoroscopic guidance including contrast injection(s),
image documentation and report
49442
7932
49446
Conversion of gastrostomy tube to gastro-jejunostomy tube,

49446
7933
49450
Replacement of gastrostomy or cecostomy (or other colonic)

tube, percutaneous, under fluoroscopic guidance including
49450
7934
49451
Replacement of duodenostomy or jejunostomy tube,

49451
7935
49452
Replacement of gastro-jejunostomy tube, percutaneous,

under fluoroscopic guidance including contrast injection(s),
image documentation and report
49452
49460
Mechanical removal of obstructive material from

gastrostomy, duodenostomy, jejunostomy,
gastrojejunostomy, or cecostomy (or other colonic) tube, any
method, under fluoroscopic guidance including contrast
injection(s), if performed, image documentation and report
49460
7936
49465
Contrast injection(s) for radiological evaluation of existing

gastrostomy, duodenostomy, jejunostomy, gastrojejunostomy, or cecostomy (or other colonic) tube, from a
percutaneous approach including image documentation and
report
49465
49491
Repair, initial inguinal hernia, preterm infant (less than 37

weeks gestation at birth), performed from birth up to 50
weeks postconception age, with or without hydrocelectomy;
reducible
49491
7939
49492
Repair, initial inguinal hernia, preterm infant (younger than

37 weeks gestation at birth), performed from birth up to 50
weeks postconception age, with or without hydrocelectomy;
49492
7940
49500
Repair initial inguinal hernia, age 6 months to under 5 years,

with or without hydrocelectomy; reducible
49500
7941
49501
Repair initial inguinal hernia, age 6 months to younger than

5 years, with or without hydrocelectomy; incarcerated or
strangulated
49501
7942
49505
Repair initial inguinal hernia, age 5 years or over; reducible
49505
7943
49507
7944
49510
7945
49515
7946
49520
Repair recurrent inguinal hernia, any age; reducible
49520
7947
49521
Repair recurrent inguinal hernia, any age; incarcerated or

strangulated
49521
7948
49525
Repair inguinal hernia, sliding, any age
49525
7949
49530
Repair inguinal hernia, any age; incarcerated
49530
7950
49535
Repair inguinal hernia, any age; strangulated
49535
7951
49550
Repair initial femoral hernia, any age; reducible
49550
7952
49552
49552
7953
49553
7954
49555
Repair femoral hernia, Henry approach

Repair initial femoral hernia, any age; incarcerated or
strangulated
Repair recurrent femoral hernia; reducible
7955
49557
Repair recurrent femoral hernia; incarcerated or strangulated
49557
7956
49560
Repair initial incisional or ventral hernia; reducible
49560
7957
49561
Repair initial incisional or ventral hernia; incarcerated or

strangulated
49561
7937
7938
Repair initial inguinal hernia, age 5 years or older;

Repair inguinal hernia, age 5 years or over; with
orchiectomy, with or without implantation of prosthesis
Repair inguinal hernia, age 5 years or over; with excision of
hydrocele or spermatocele
49507
49510
49515
49553
49555
Implantation of mesh or other prosthesis for open incisional

or ventral hernia repair or mesh for closure of debridement
for necrotizing soft tissue infection (List separately in
addition to code for the incisional or ventral hernia repair)
7958
49568
7959
49575
7960
49581
Repair epigastric hernia, properitoneal fat (separate

procedure); complex
Repair umbilical hernia; age 5 or over
7961
49585
Repair umbilical hernia, age 5 years or over; reducible
49585
7962
49587
Repair umbilical hernia, age 5 years or older; incarcerated or

strangulated
49587
7963
49606
Repair of large omphalocele or gastroschisis; with removal

of prosthesis, final reduction and closure, in operating room
49606
7964
49611
Repair of omphalocele (Gross type operation); second stage
49611
7965
49651
Laparoscopy, surgical; repair recurrent inguinal hernia
49651
7966
49652
7967
49654
7968
49655
7969
49656
7970
49657
7971
49659
7972
49904
Omental flap, extra-abdominal (eg, for reconstruction of

sternal and chest wall defects)
49904
7973
49905
Omental flap, intra-abdominal (List separately in addition to

49905
7974
49906
Free omental flap with microvascular anastomosis
49906
7975
49999
Unlisted procedure, abdomen, peritoneum and omentum
49999
7976
50065
Nephrolithotomy; secondary surgical operation for calculus
50065
7977
50070
7978
50075
Laparoscopy, surgical, repair, ventral, umbilical, spigelian or

epigastric hernia (includes mesh insertion, when performed);
reducible
Laparoscopy, surgical, repair, incisional hernia (includes
mesh insertion, when performed); reducible
Laparoscopy, surgical, repair, incisional hernia (includes
mesh insertion, when performed); incarcerated or
strangulated
Laparoscopy, surgical, repair, recurrent incisional hernia
(includes mesh insertion, when performed); reducible
Laparoscopy, surgical, repair, recurrent incisional hernia
(includes mesh insertion, when performed); incarcerated or
strangulated
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy,
herniotomy
Nephrolithotomy; complicated by congenital kidney

abnormality
Nephrolithotomy; removal of large staghorn calculus filling
renal pelvis and calyces (including anatrophic
pyelolithotomy)
49568
49575
49581
49652
49654
49655
49656
49657
49659
50070
50075
Percutaneous nephrostolithotomy or pyelostolithotomy, with

or without dilation, endoscopy, lithotripsy, stenting, or basket
extraction; over 2 cm
Transection or repositioning of aberrant renal vessels
Pyelotomy; complicated (eg, secondary operation,
congenital kidney abnormality)
approach including rib resection; complicated because of
previous surgery on same kidney
Nephrectomy with total ureterectomy and bladder cuff;
through same incision
Nephrectomy with total ureterectomy and bladder cuff;
through separate incision
7979
50081
7980
50100
7981
50135
7982
50225
7983
50234
7984
50236
7985
50250
Ablation, open, 1 or more renal mass lesion(s), cryosurgical,

including intraoperative ultrasound, if performed
50250
7986
50290
Excision of perinephric cyst
50290
50323
Backbench standard preparation of cadaver donor renal

allograft prior to transplantation, including dissection and
removal of perinephric fat, diaphragmatic and retroperitoneal
attachments, excision of adrenal gland, and preparation of
ureter(s), renal vein(s), and renal artery(s), ligating branches,
as necessary
50323
7988
50325
Backbench standard preparation of living donor renal

allograft (open or laparoscopic) prior to transplantation,
including dissection and removal of perinephric fat and
preparation of ureter(s), renal vein(s), and renal artery(s),
ligating branches, as necessary
50325
7989
50327
Backbench reconstruction of cadaver or living donor renal

allograft prior to transplantation; venous anastomosis, each
50327
7990
50328

allograft prior to transplantation; arterial anastomosis, each
50328
7991
50329

allograft prior to transplantation; ureteral anastomosis, each
50329
7992
7993
50340
50341
7994
50360
7995
50366
7996
7997
50370
50380
7998
50382
7987
Recipient nephrectomy (separate procedure)

Recipient nephrectomy (separate procedure); bilateral
Renal allotransplantation, implantation of graft; without
recipient nephrectomy
Renal homotransplantation, implantation of graft; with
bilateral recipient nephrectomy
Removal of transplanted renal allograft
Renal autotransplantation, reimplantation of kidney
Removal (via snare/capture) and replacement of internally
dwelling ureteral stent via percutaneous approach, including
50081
50100
50135
50225
50234
50236
50340
50341
50360
50366
50370
50380
50382
50384
Removal (via snare/capture) of internally dwelling ureteral

stent via percutaneous approach, including radiological
50384
8000
50385
Removal (via snare/capture) and replacement of internally

dwelling ureteral stent via transurethral approach, without
use of cystoscopy, including radiological supervision and
interpretation
50385
8001
50386
Removal (via snare/capture) of internally dwelling ureteral

stent via transurethral approach, without use of cystoscopy,
including radiological supervision and interpretation
50386
8002
50387
Removal and replacement of externally accessible

transnephric ureteral stent (eg, external/internal stent)
requiring fluoroscopic guidance, including radiological
50387
8003
50389
Removal of nephrostomy tube, requiring fluoroscopic

guidance (eg, with concurrent indwelling ureteral stent)
50389
8004
50391
Instillation(s) of therapeutic agent into renal pelvis and/or

ureter through established nephrostomy, pyelostomy or
ureterostomy tube (eg, anticarcinogenic or antifungal agent)
50391
8005
50393

renal pelvis for drainage and/or injection, percutaneous
50393
8006
50398
8007
50526
8008
7999
Change of nephrostomy or pyelostomy tube

Closure of nephrovisceral fistula (eg, renocolic), including
visceral repair; thoracic approach
50398
50548
Laparoscopy, surgical; nephrectomy with total ureterectomy
50548
8009
50549
50549
8010
50553
Unlisted laparoscopy procedure, renal

ureteropyelography, exclusive of radiologic service; with
ureteral catheterization, with or without dilation of ureter
8011
8012
8013
8014
50526
50553
50555

biopsy
50555
50557

fulguration and/or incision, with or without biopsy
50557
50559

insertion of radioactive substance with or without biopsy
and/or fulguration
50559
50561

removal of foreign body or calculus
50561
8015
50562

resection of tumor
8016
50570
Renal endoscopy through nephrotomy or pyelotomy, with or

without irrigation, instillation, or ureteropyelography,
50570
8017
50572

exclusive of radiologic service; with ureteral catheterization,
with or without dilation of ureter
50572
8018
50574

exclusive of radiologic service; with biopsy
50574
50575

exclusive of radiologic service; with endopyelotomy (includes
cystoscopy, ureteroscopy, dilation of ureter and ureteral
pelvic junction, incision of ureteral pelvic junction and
insertion of endopyelotomy stent)
50575
50576

exclusive of radiologic service; with fulguration and/or
incision, with or without biopsy
50576
50578

exclusive of radiologic service; with insertion of radioactive
substance, with or without biopsy and/or fulguration
50578
8022
50580

exclusive of radiologic service; with removal of foreign body
or calculus
50580
8023
50592
8024
50593
8025
8026
50620
50630
Ablation, 1 or more renal tumor(s), percutaneous, unilateral,

radiofrequency
Ablation, renal tumor(s), unilateral, percutaneous,
cryotherapy
Ureterolithotomy; middle one-third of ureter
Ureterolithotomy; lower one-third of ureter
8027
50650
Ureterectomy, with bladder cuff (separate procedure)
50650
8028
50684
Injection procedure for ureterography or ureteropyelography

through ureterostomy or indwelling ureteral catheter
50684
8029
50686
8030
50688
8031
50690
Injection procedure for visualization of ileal conduit and/or

ureteropyelography, exclusive of radiologic service
50690
8032
50716
Ureterolysis, with or without repositioning of ureter for

retroperitoneal fibrosis; bilateral
50716
8019
8020
8021
Manometric studies through ureterostomy or indwelling

ureteral catheter
Change of ureterostomy tube or externally accessible
ureteral stent via ileal conduit
50562
50592
50593
50620
50630
50686
50688
8033
50722
8034
50725
8035
50728
Revision of urinary-cutaneous anastomosis (any type

urostomy); with repair of fascial defect and hernia
50728
8036
50750
Ureterocalycostomy, anastomosis of ureter to renal calyx
50750
8037
50770
8038
50781
8039
50782
8040
50783
8041
50785
8042
50786
8043
50801
8044
50815
Ureterocolon conduit, including intestine anastomosis
50815
8045
50816
Uretercolon conduit, including bowel anastomosis; bilateral
50816
8046
50820
8047
50821
8048
50825
8049
50841
8050
50861
8051
50948
8052
50949
8053
50953
8054
50955

exclusive of radiologic service; with biopsy
50955
50957

exclusive of radiologic service; with fulguration and/or
incision, with or without biopsy
50957
8055
Ureterolysis for ovarian vein syndrome

Ureterolysis for retrocaval ureter, with reanastomosis of
upper urinary tract or vena cava
Transureteroureterostomy, anastomosis of ureter to

contralateral ureter
Ureteroneocystostomy, anastomosis of ureter to bladder, or
other operations for correction of vesicoureteral reflux;
bilateral
Ureteroneocystostomy; anastomosis of duplicated ureter to
bladder
Ureteroneocystostomy; with extensive ureteral tailoring
Ureteroneocystostomy; with vesico-psoas hitch or bladder
flap
Ureteroneocystostomy, with bladder flap; bilateral
Ureteroenterostomy, direct anastomosis of ureter to
intestine; bilateral
Ureteroileal conduit (ileal bladder), including intestine

anastomosis (Bricker operation)
Ureteroileal conduit (ileal bladder), including bowel
anastomosis, (Bricker operation); bilateral
Continent diversion, including intestine anastomosis using
any segment of small and/or large intestine (Kock pouch or
Camey enterocystoplasty)
Replacement of all or part of ureter by bowel segment,
including bowel anastomosis; bilateral
Ureterostomy, transplantation of ureter to skin, bilateral
Laparoscopy, surgical; ureteroneocystostomy without
cystoscopy and ureteral stent placement
Unlisted laparoscopy procedure, ureter
exclusive of radiologic service; with ureteral catheterization,
with or without dilation of ureter
50722
50725
50770
50781
50782
50783
50785
50786
50801
50820
50821
50825
50841
50861
50948
50949
50953
50959

exclusive of radiologic service; with insertion of radioactive
substance, with or without biopsy and/or fulguration (not
including provision of material)
50959
8057
50961

exclusive of radiologic service; with removal of foreign body
or calculus
50961
8058
50970
Ureteral endoscopy through ureterotomy, with or without

irrigation, instillation, or ureteropyelography, exclusive of
radiologic service;
50970
8059
50972

radiologic service; with ureteral catheterization, with or
without dilation of ureter
50972
8060
50974

radiologic service; with biopsy
50974
50976

radiologic service; with fulguration and/or incision, with or
without biopsy
50976
8062
50978

radiologic service; with insertion of radioactive substance,
with or without biopsy and/or fulguration (not including
provision of material)
50978
8063
50980

radiologic service; with removal of foreign body or calculus
50980
8064
51005
8065
51030
8066
51040
8067
51045
8068
51065
Cystotomy, with calculus basket extraction and/or ultrasonic

or electrohydraulic fragmentation of ureteral calculus
51065
8069
8070
51100
51101
Aspiration of bladder; by needle

Aspiration of bladder; by trocar or intracatheter
51100
51101
8071
51102
Aspiration of bladder; with insertion of suprapubic catheter
51102
8072
51520
8073
51525
8074
51530
Cystotomy; for simple excision of vesical neck (separate

procedure)
Cystotomy; for excision of bladder diverticulum, single or
multiple (separate procedure)
Cystotomy; for excision of bladder tumor
8075
51535
Cystotomy for excision, incision, or repair of ureterocele
8056
8061
Aspiration of bladder; by trocar or intracatheter

Cystotomy or cystostomy; with cryosurgical destruction of
intravesical lesion
Cystostomy, cystotomy with drainage
Cystotomy, with insertion of ureteral catheter or stent
51005
51030
51040
51045
51520
51525
51530
51535
8076
51536
Cystotomy for excision, incision, or repair of ureterocele;

bilateral
51536
8077
51555
Cystectomy, partial; complicated (eg, postradiation, previous

surgery, difficult location)
51555
8078
51565
8079
51590
Cystectomy, partial, with reimplantation of ureter(s) into

bladder (ureteroneocystostomy)
Cystectomy, complete, with ureteroileal conduit or sigmoid
bladder, including intestine anastomosis;
51565
51590
8080
51595
Cystectomy, complete, with ureteroileal conduit or sigmoid

bladder, including intestine anastomosis; with bilateral pelvic
obturator nodes
8081
51596
Cystectomy, complete, with continent diversion, any open

technique, using any segment of small and/or large intestine
to construct neobladder
51596
8082
51597
Pelvic exenteration, complete, for vesical, prostatic or

urethral malignancy, with removal of bladder and ureteral
transplantations, with or without hysterectomy and/or
abdominoperineal resection of rectum and colon and
colostomy, or any combination thereof
51597
8083
51600
8084
51605
8085
51610
8086
51701
8087
51702
8088
51703
8089
51710
8090
51715
8091
51720
8092
51726
8093
51727
Complex cystometrogram (ie, calibrated electronic

equipment); with urethral pressure profile studies (ie,
urethral closure pressure profile), any technique
51727
8094
51728

equipment); with voiding pressure studies (ie, bladder
voiding pressure), any technique
51728
Injection procedure for cystography or voiding

urethrocystography
Injection procedure and placement of chain for contrast
and/or chain urethrocystography
Injection procedure for retrograde urethrocystography
Insertion of non-indwelling bladder catheter (eg, straight
catheterization for residual urine)
Insertion of temporary indwelling bladder catheter; simple
(eg, Foley)
Insertion of temporary indwelling bladder catheter;
complicated (eg, altered anatomy, fractured
catheter/balloon)
Change of cystostomy tube; complicated
Endoscopic injection of implant material into the submucosal
tissues of the urethra and/or bladder neck
Bladder instillation of anticarcinogenic agent (including
retention time)
equipment);
51595
51600
51605
51610
51701
51702
51703
51710
51715
51720
51726
8095
51729

equipment); with voiding pressure studies (ie, bladder
voiding pressure) and urethral pressure profile studies (ie,
urethral closure pressure profile), any technique
8096
51739
Sound recording of external stream (eg, Lyons type, Keitzer

type)
51739
8097
51741
Complex uroflowmetry (eg, calibrated electronic equipment)
51741
8098
51772
8099
51784
8100
51785
8101
51792
8102
51795
8103
51797
8104
51798
8105
51820
8106
51841
8107
51865
8108
8109
8110
51920
51925
51999
8111
52001
8112
52005
8113
52007
8114
52010
8115
52204
8116
52214
Urethral pressure profile studies (UPP) (urethral closure

pressure profile), any technique
Electromyography studies (EMG) of anal or urethral
sphincter, other than needle, any technique
Needle electromyography studies (EMG) of anal or urethral
sphincter, any technique
Stimulus evoked response (eg, measurement of
bulbocavernosus reflex latency time)
Voiding pressure studies (VP); bladder voiding pressure, any
technique
equipment); Voiding pressure studies, intra-abdominal (ie,
rectal, gastric, intraperitoneal) (List separately in addition to
Measurement of post-voiding residual urine and/or bladder
capacity by ultrasound, non-imaging
Cystourethroplasty with unilateral or bilateral
ureteroneocystostomy
Anterior vesicourethropexy, or urethropexy (eg, MarshallMarchetti-Krantz, Burch); complicated (eg, secondary repair)
Cystorrhaphy, suture of bladder wound, injury or rupture;
complicated
Closure of vesicouterine fistula;
Closure of vesicouterine fistula; with hysterectomy
Unlisted laparoscopy procedure, bladder
Cystourethroscopy with irrigation and evacuation of multiple
obstructing clots
Cystourethroscopy, with ureteral catheterization, with or
Cystourethroscopy, with ureteral catheterization, with or
exclusive of radiologic service; with brush biopsy of ureter
and/or renal pelvis
Cystourethroscopy, with ejaculatory duct catheterization, with
or without irrigation, instillation, or duct radiography,
exclusive of radiologic service
Cystourethroscopy, with biopsy(s)
Cystourethroscopy, with fulguration (including cryosurgery or
laser surgery) of trigone, bladder neck, prostatic fossa,
urethra, or periurethral glands
51729
51772
51784
51785
51792
51795
51797
51798
51820
51841
51865
51920
51925
51999
52001
52005
52007
52010
52204
52214
8117
52224

laser surgery) or treatment of MINOR (less than 0.5 cm)
lesion(s) with or without biopsy
52224
8118
52234

laser surgery) and/or resection of; SMALL bladder tumor(s)
(0.5 up to 2.0 cm)
52234
8119
52235

laser surgery) and/or resection of; MEDIUM bladder tumor(s)
(2.0 to 5.0 cm)
52235
8120
52240

laser surgery) and/or resection of; LARGE bladder tumor(s)
52240
8121
52250
8122
52265
8123
8124
52270
52275
Cystourethroscopy with insertion of radioactive substance,

with or without biopsy or fulguration
Cystourethroscopy, with dilation of bladder for interstitial
cystitis; local anesthesia
Cystourethroscopy, with internal urethrotomy; female
Cystourethroscopy, with internal urethrotomy; male
8125
52276
Cystourethroscopy with direct vision internal urethrotomy
52276
8126
52277
Cystourethroscopy, with resection of external sphincter

(sphincterotomy)
52277
8127
52285
Cystourethroscopy for treatment of the female urethral

syndrome with any or all of the following: urethral
meatotomy, urethral dilation, internal urethrotomy, lysis of
urethrovaginal septal fibrosis, lateral incisions of the bladder
neck, and fulguration of polyp(s) of urethra, bladder neck,
and/or trigone
52285
8128
52290
8129
52300
8130
52301
8131
52305
8132
52317
8133
52318
8134
52320
8135
52325
8136
52327
Cystourethroscopy; with ureteral meatotomy, unilateral or

bilateral
Cystourethroscopy; with resection or fulguration of orthotopic
ureterocele(s), unilateral or bilateral
Cystourethroscopy; with resection or fulguration of ectopic
ureterocele(s), unilateral or bilateral
Cystourethroscopy; with incision or resection of orifice of
bladder diverticulum, single or multiple
Litholapaxy: crushing or fragmentation of calculus by any
means in bladder and removal of fragments; simple or small
(less than 2.5 cm)
Litholapaxy: crushing or fragmentation of calculus by any
means in bladder and removal of fragments; complicated or
large (over 2.5 cm)
Cystourethroscopy (including ureteral catheterization); with
removal of ureteral calculus
fragmentation of ureteral calculus (eg, ultrasonic or electrohydraulic technique)
subureteric injection of implant material
52250
52265
52270
52275
52290
52300
52301
52305
52317
52318
52320
52325
52327
8137
52330

manipulation, without removal of ureteral calculus
52330
8138
52332
Cystourethroscopy, with insertion of indwelling ureteral stent

(eg, Gibbons or double-J type)
52332
52336

by any method); with removal or manipulation of calculus
(ureteral catheterization is included)
52336
8140
52337

by any method); with lithotripsy (ureteral catheterization is
included)
52337
8141
52338

by any method); with biopsy and/or fulguration of lesion
52338
8142
52339

by any method); with resection of tumor
52339
8143
52340
Cystourethroscopy with incision, fulguration, or resection of

congenital posterior urethral valves, or congenital obstructive
hypertrophic mucosal folds
52340
8144
52341
Cystourethroscopy; with treatment of ureteral stricture (eg,

balloon dilation, laser, electrocautery, and incision)
52341
8145
52342
Cystourethroscopy; with treatment of ureteropelvic junction

stricture (eg, balloon dilation, laser, electrocautery, and
incision)
52342
8146
52343
Cystourethroscopy; with treatment of intra-renal stricture (eg,

balloon dilation, laser, electrocautery, and incision)
52343
8147
52344
Cystourethroscopy with ureteroscopy; with treatment of

ureteral stricture (eg, balloon dilation, laser, electrocautery,
and incision)
52344
8148
52345
Cystourethroscopy with ureteroscopy; with treatment of

ureteropelvic junction stricture (eg, balloon dilation, laser,
electrocautery, and incision)
52345
8149
52346
8150
52347
8151
52351
8152
52352
8153
52353
8139
Cystourethroscopy with ureteroscopy; with treatment of intrarenal stricture (eg, balloon dilation, laser, electrocautery, and
incision)
Cystourethroscopy with transurethral resection or incision of
ejaculatory ducts
Cystourethroscopy, with ureteroscopy and/or pyeloscopy;
diagnostic
with removal or manipulation of calculus (ureteral
catheterization is included)
with lithotripsy (ureteral catheterization is included)
52346
52347
52351
52352
52353
8154
52354

with biopsy and/or fulguration of ureteral or renal pelvic
lesion
52354
8155
52355

with resection of ureteral or renal pelvic tumor
52355
8156
52400
8157
52402
8158
52450
8159
52500
8160
52601
8161
52606
8162
52612
8163
52614
Cystourethroscopy with incision, fulguration, or resection of

congenital posterior urethral valves, or congenital obstructive
hypertrophic mucosal folds
Cystourethroscopy with transurethral resection or incision of
ejaculatory ducts
Transurethral incision of prostate
Transurethral resection of bladder neck (separate
procedure)
Transurethral electrosurgical resection of prostate, including
control of postoperative bleeding, complete (vasectomy,
meatotomy, cystourethroscopy, urethral calibration and/or
dilation, and internal urethrotomy are included)
Transurethral fulguration for postoperative bleeding
occurring after the usual follow-up time
Transurethral resection of prostate; first stage of two-stage
resection (partial resection)
Transurethral resection of prostate; second stage of twostage resection (resection completed)
52400
52402
52450
52500
52601
52606
52612
52614
8164
52630
Transurethral resection; residual or regrowth of obstructive

prostate tissue including control of postoperative bleeding,
complete (vasectomy, meatotomy, cystourethroscopy,
urethral calibration and/or dilation, and internal urethrotomy
are included)
8165
52640
Transurethral resection; of postoperative bladder neck

contracture
52640
52647
Laser coagulation of prostate, including control of

postoperative bleeding, complete (vasectomy, meatotomy,
cystourethroscopy, urethral calibration and/or dilation,
internal urethrotomy and transurethral resection of prostate
are included if performed)
52647
52648
Laser vaporization of prostate, including control of

postoperative bleeding, complete (vasectomy, meatotomy,
cystourethroscopy, urethral calibration and/or dilation,
internal urethrotomy and transurethral resection of prostate
are included if performed)
52648
8168
52649
Laser enucleation of the prostate with morcellation, including

control of postoperative bleeding, complete (vasectomy,
meatotomy, cystourethroscopy, urethral calibration and/or
dilation, internal urethrotomy and transurethral resection of
prostate are included if performed)
52649
8169
52650
8170
53010
8166
8167
Transurethral cryosurgical removal of prostate

(postoperative irrigations and aspiration of sloughing tissue
included)
Urethrotomy or urethrostomy, external (separate procedure);
perineal urethra, external
52630
52650
53010
8171
53025
Meatotomy, cutting of meatus (separate procedure); infant
53025
8172
53060
Drainage of Skene's gland abscess or cyst
53060
8173
53085
Drainage of perineal urinary extravasation; complicated
53085
8174
8175
53215
53220
Urethrectomy, total, including cystostomy; male

Excision or fulguration of carcinoma of urethra
53215
53220
8176
53235
Excision of urethral diverticulum (separate procedure); male
53235
8177
53250
Excision of bulbourethral gland (Cowper's gland)
53250
8178
8179
8180
53265
53270
53275
53265
53270
53275
8181
53405
8182
53410
Excision or fulguration; urethral caruncle

Excision or fulguration; Skene's glands
Excision or fulguration; urethral prolapse
Urethroplasty; second stage (formation of urethra), including
urinary diversion
Urethroplasty, 1-stage reconstruction of male anterior
urethra
8183
53415
8184
53420
8185
53425
8186
53430
8187
53431
8188
53442
8189
53443
8190
53444
8191
53446
8192
53447
Urethroplasty, transpubic or perineal, 1-stage, for

reconstruction or repair of prostatic or membranous urethra
Urethroplasty, 2-stage reconstruction or repair of prostatic or
membranous urethra; first stage
Urethroplasty, two-stage reconstruction or repair of prostatic
or membranous urethra; second stage
Urethroplasty, reconstruction of female urethra
Urethroplasty with tubularization of posterior urethra and/or
lower bladder for incontinence (eg, Tenago, Leadbetter
procedure)
Removal or revision of sling for male urinary incontinence
(eg, fascia or synthetic)
Urethroplasty with tubularization of posterior urethra and/ or
lower bladder for incontinence (eg, Tenago, Leadbetter
procedure)
Insertion of tandem cuff (dual cuff)
Removal of inflatable urethral/bladder neck sphincter,
including pump, reservoir, and cuff
Removal and replacement of inflatable urethral/bladder neck
sphincter including pump, reservoir, and cuff at the same
operative session
53405
53410
53415
53420
53425
53430
53431
53442
53443
53444
53446
53447
8193
53448
Removal and replacement of inflatable urethral/bladder neck

sphincter including pump, reservoir, and cuff through an
infected field at the same operative session including
irrigation and debridement of infected tissue
8194
53449
Repair of inflatable urethral/bladder neck sphincter, including

pump, reservoir, and cuff
53449
8195
53460
Urethromeatoplasty, with partial excision of distal urethral

segment (Richardson type procedure)
53460
53448
8196
53500
Urethrolysis, transvaginal, secondary, open, including

cystourethroscopy (eg, postsurgical obstruction, scarring)
53500
8197
53510
Urethrorrhaphy, suture of urethral wound or injury; perineal
53510
8198
53515
8199
53601
8200
53605
8201
53620
8202
53621
8203
53640
8204
53660
8205
53661
8206
53665
8207
53675
8208
53800
8209
53850
8210
53852
8211
53853
8212
53855
8213
53899
8214
54001
8215
54015
8216
54055
8217
54056

cryosurgery
54056
8218
54057

molluscum contagiosum, herpetic vesicle), simple; laser
surgery
54057
8219
54060

molluscum contagiosum, herpetic vesicle), simple; surgical
excision
54060
Urethrorrhaphy, suture of urethral wound or injury;

prostatomembranous
Dilation of urethral stricture by passage of sound or urethral
dilator, male; subsequent
Dilation of urethral stricture or vesical neck by passage of
sound or urethral dilator, male, general or conduction
(spinal) anesthesia
Dilation of urethral stricture by passage of filiform and
follower, male; initial
Dilation of urethral stricture by passage of filiform and
follower, male; subsequent
Passage of filiform and follower for acute vesical retention,
male
Dilation of female urethra including suppository and/or
instillation; initial
instillation; subsequent
Dilation of female urethra, general or conduction (spinal)
anesthesia
Catheterization, urethra; complicated (may include difficult
removal of balloon catheter)
Two or three glass test including examination of urine
specimen(s), any method
Transurethral destruction of prostate tissue; by microwave
thermotherapy
Transurethral destruction of prostate tissue; by
radiofrequency thermotherapy
Transurethral destruction of prostate tissue; by waterinduced thermotherapy
Insertion of a temporary prostatic urethral stent, including
urethral measurement
Unlisted procedure, urinary system
Slitting of prepuce, dorsal or lateral (separate procedure);
except newborn
Incision and drainage of penis, deep
electrodesiccation
53515
53601
53605
53620
53621
53640
53660
53661
53665
53675
53800
53850
53852
53853
53855
53899
54001
54015
54055

molluscum contagiosum, herpetic vesicle), extensive (eg,
laser surgery, electrosurgery, cryosurgery, chemosurgery)
8220
54065
8221
54105
8222
54111
8223
54112
8224
54115
8225
54135
8226
54160
Circumcision, surgical excision other than clamp, device, or

dorsal slit; neonate (28 days of age or less)
54160
8227
54161
Circumcision, surgical excision other than clamp, device, or

dorsal slit; older than 28 days of age
54161
8228
54162
Lysis or excision of penile post-circumcision adhesions
54162
8229
54163
Repair incomplete circumcision
54163
8230
54200
Injection procedure for Peyronie disease;
54200
8231
54205
Injection procedure for Peyronie disease; with surgical

exposure of plaque
54205
8232
54220
Irrigation of corpora cavernosa for priapism
54220
8233
54230
Injection procedure for corpora cavernosography
54230
8234
54231
Dynamic cavernosometry, including intracavernosal injection

of vasoactive drugs (eg, papaverine, phentolamine)
54231
8235
54235
8236
8237
54240
54250
8238
54304
Plastic operation on penis for correction of chordee or for

first stage hypospadias repair with or without transplantation
of prepuce and/or skin flaps
54304
8239
54312

urinary diversion); greater than 3 cm
54312
8240
54316

urinary diversion) with free skin graft obtained from site other
than genitalia
54316
8241
54318
Urethroplasty for third stage hypospadias repair to release

penis from scrotum (eg, third stage Cecil repair)
54318
8242
54322
1-stage distal hypospadias repair (with or without chordee or

circumcision); with simple meatal advancement (eg, Magpi,
V-flap)
54322
Biopsy of penis; deep structures

Excision of penile plaque (Peyronie disease); with graft to 5
cm in length
Excision of penile plaque (Peyronie disease); with graft
greater than 5 cm in length
Removal foreign body from deep penile tissue (eg, plastic
implant)
Amputation of penis, radical; in continuity with bilateral pelvic
lymphadenectomy, including external iliac, hypogastric and
obturator nodes
Injection of corpora cavernosa with pharmacologic agent(s)

(eg, papaverine, phentolamine)
Penile plethysmography
Nocturnal penile tumescence and/or rigidity test
54065
54105
54111
54112
54115
54135
54235
54240
54250
8243
54324
One stage distal hypospadias repair (with or without chordee

or circumcision); with urethroplasty by local skin flaps (eg,
flip-flap, prepucial flap)
54324
8244
54326

or circumcision); with urethroplasty by local skin flaps and
mobilization of urethra
54326
8245
54328

or circumcision); with extensive dissection to correct chordee
and urethroplasty with local skin flaps, skin graft patch,
and/or island flap
54328
8246
54332
1-stage proximal penile or penoscrotal hypospadias repair

requiring extensive dissection to correct chordee and
urethroplasty by use of skin graft tube and/or island flap
54332
8247
54336
1-stage perineal hypospadias repair requiring extensive

dissection to correct chordee and urethroplasty by use of
skin graft tube and/or island flap
54336
8248
54340
Repair of hypospadias complications (ie, fistula, stricture,

diverticula); by closure, incision, or excision, simple
54340
8249
54344

diverticula); requiring mobilization of skin flaps and
urethroplasty with flap or patch graft
54344
8250
54348

diverticula); requiring extensive dissection and urethroplasty
with flap, patch or tubed graft (includes urinary diversion)
54348
8251
54352
Repair of hypospadias cripple requiring extensive dissection

and excision of previously constructed structures including
re-release of chordee and reconstruction of urethra and
penis by use of local skin as grafts and island flaps and skin
brought in as flaps or grafts
54352
8252
54360
Plastic operation on penis to correct angulation
54360
8253
54385
8254
54390
8255
54401
8256
54402
8257
54405
Insertion of multi-component, inflatable penile prosthesis,

including placement of pump, cylinders, and reservoir
54405
8258
54406
Removal of all components of a multi-component, inflatable

penile prosthesis without replacement of prosthesis
54406

sphincter; with incontinence
sphincter; with exstrophy of bladder
Insertion of penile prosthesis; inflatable (self-contained)
Removal or replacement of non-inflatable (semi-rigid) or
inflatable (self-contained) penile prosthesis
54385
54390
54401
54402
Removal, repair, or replacement of inflatable (multicomponent) penile prosthesis, including pump and/or
reservoir and/or cylinders
Repair of component(s) of a multi-component, inflatable
penile prosthesis
Surgical correction of hydraulic abnormality of inflatable
(multi-component) prosthesis including pump and/or
reservoir and/or cylinders
8259
54407
8260
54408
8261
54409
8262
54410
Removal and replacement of all component(s) of a multicomponent, inflatable penile prosthesis at the same
operative session
54410
8263
54411
Removal and replacement of all components of a multicomponent inflatable penile prosthesis through an infected
field at the same operative session, including irrigation and
debridement of infected tissue
54411
8264
54415
Removal of non-inflatable (semi-rigid) or inflatable (selfcontained) penile prosthesis, without replacement of

prosthesis
54415
8265
54416
Removal and replacement of non-inflatable (semi-rigid) or

inflatable (self-contained) penile prosthesis at the same
operative session
54416
8266
54417
Removal and replacement of non-inflatable (semi-rigid) or

inflatable (self-contained) penile prosthesis through an
infected field at the same operative session, including
irrigation and debridement of infected tissue
54417
8267
54430
Corpora cavernosa-corpus spongiosum shunt (priapism

operation), unilateral or bilateral
54430
8268
54506
Biopsy of testis, incisional (separate procedure), bilateral
54506
8269
54512
Excision of extraparenchymal lesion of testis
54512
8270
54521
Orchiectomy, simple (including subcapsular), with or without

testicular prostheses, scrotal or inguinal approach; bilateral
54521
8271
54522
Orchiectomy, partial
54522
8272
54535
Orchiectomy, radical, for tumor; with abdominal exploration
54535
8273
54555
8274
54560
8275
54565
8276
54620
Fixation of contralateral testis (separate procedure)
54620
8277
54641
Orchiopexy, any type, with or without hernia repair; bilateral
54641
8278
54645
8279
54661
8280
54699
Exploration for undescended testis (inguinal or scrotal area);

bilateral
Exploration for undescended testis with abdominal
exploration
Exploration for undescended testis with abdominal
exploration; bilateral
Orchiopexy, any type, with or without hernia repair; second

stage (Torek type)
Insertion of testicular prosthesis (separate procedure);
bilateral
Unlisted laparoscopy procedure, testis
54407
54408
54409
54555
54560
54565
54645
54661
54699
8281
54840
Excision of spermatocele, with or without epididymectomy
54840
8282
54865
54865
8283
54901
8284
8285
8286
55041
55110
55180
8287
55200
8288
55300
8289
55401
8290
55535
Exploration of epididymis, with or without biopsy

Epididymovasostomy, anastomosis of epididymis to vas
deferens; bilateral
Excision of hydrocele; bilateral
Scrotal exploration
Scrotoplasty; complicated
Vasotomy, cannulization with or without incision of vas,
unilateral or bilateral (separate procedure)
Vasotomy for vasograms, seminal vesiculograms, or
epididymograms, unilateral or bilateral
Vasovasostomy, vasovasorrhapy; bilateral
varicocele; abdominal approach
8291
55540

varicocele; with hernia repair
55540
8292
55559
Unlisted laparoscopy procedure, spermatic cord
55559
8293
8294
8295
8296
8297
55601
55605
55651
55680
55705
55601
55605
55651
55680
55705
8298
55706
8299
55725
8300
55740
8301
55812
8302
55815
Vesiculotomy; bilateral
Vesiculotomy; complicated
Vesiculectomy, any approach; bilateral
Excision of Mullerian duct cyst
Biopsy, prostate; incisional, any approach
Biopsies, prostate, needle, transperineal, stereotactic
template guided saturation sampling, including imaging
guidance
Prostatotomy, external drainage of prostatic abscess, any
approach; complicated
Prostatolithotomy, removal or prostatic calculus (separate
procedure)
Prostatectomy, perineal radical; with lymph node biopsy(s)
(limited pelvic lymphadenectomy)
Prostatectomy, perineal radical; with bilateral pelvic
obturator nodes
8303
55842

sparing; with lymph node biopsy(s) (limited pelvic
lymphadenectomy)
55842
8304
55845

sparing; with bilateral pelvic lymphadenectomy, including
external iliac, hypogastric, and obturator nodes
55845
8305
55860
8306
55862
8307
55865
Exposure of prostate, any approach, for insertion of

radioactive substance;
radioactive substance; with lymph node biopsy(s) (limited
pelvic lymphadenectomy)
radioactive substance; with bilateral pelvic
obturator nodes
54901
55041
55110
55180
55200
55300
55401
55535
55706
55725
55740
55812
55815
55860
55862
55865
8308
55870
Electroejaculation
Cryosurgical ablation of the prostate (includes ultrasonic
guidance and monitoring)
Transperineal placement of needles or catheters into
prostate for interstitial radioelement application, with or
without cystoscopy
8309
55873
8310
55875
8311
55876

prostate, single or multiple
55876
8312
55899
Unlisted procedure, male genital system
55899
8313
55920
Placement of needles or catheters into pelvic organs and/or

genitalia (except prostate) for subsequent interstitial
radioelement application
55920
8314
8315
55970
55980
Intersex surgery; male to female

Intersex surgery; female to male
55970
55980
8316
56000
Incision and drainage of perineal abscess (nonobstetrical)
56000
8317
56100
56100
8318
56200
Biopsy of perineum (separate procedure)

Perineoplasty, repair of perineum, nonobstetrical (separate
procedure)
8319
56302
8320
56304
8321
56305
Laparoscopy, surgical; with lysis of adhesions (salpingolysis,

ovariolysis) (separate procedure)
8322
56306
Laparoscopy, surgical; with aspiration (single or multiple)
8323
56311
8324
56313
8325
56317
8326
56341
8327
56352
8328
56353
8329
56355
8330
56356
8331
56360
8332
56361
8333
56362

Laparoscopy, surgical; with retroperitoneal lymph node

sampling (biopsy), single or multiple
lymphadenectomy and peri-aortic lymph node sampling
(biopsy), single or multiple
Laparoscopy, surgical; repair of recurrent inguinal hernia
cholangiography
Hysteroscopy, surgical; with lysis of intrauterine adhesions
(any method)
Hysteroscopy, surgical; with division or resection of
intrauterine septum (any method)
Hysteroscopy, surgical; with removal of impacted foreign
body
Hysteroscopy, surgical; with endometrial ablation (any
method)
instillation; initial
instillation; subsequent
Laparoscopy with guided transhepatic cholangiography;
without biopsy
55870
55873
55875
56200
56302
56304
56305
56306
56311
56313
56317
56341
56352
56353
56355
56356
56360
56361
56362
8334
56363
8335
8336
8337
8338
8339
56399
56400
56420
56441
56442
8340
56515
8341
56600
8342
56606
8343
56625
8344
56631
8345
56632
8346
56633
8347
56634
8348
56635
8349
56636
8350
56637
8351
56640
8352
56641
8353
8354
8355
8356
8357
56680
56710
56720
56821
57010
8358
57023
8359
57065
8360
57105
8361
57107
8362
57108
8363
57109
8364
57111
Laparoscopy with guided transhepatic cholangiography; with

biopsy
Unlisted procedure, laparoscopy, hysteroscopy
Incision and drainage of vulva
Incision and drainage of Bartholin's gland abscess
Lysis of labial adhesions
Hymenotomy, simple incision
Destruction of lesion(s), vulva; extensive (eg, laser surgery,
Biopsy of vulva (separate procedure)
Biopsy of vulva or perineum (separate procedure); each
separate additional lesion (List separately in addition to code
Vulvectomy simple; complete
Vulvectomy, radical, partial; with unilateral inguinofemoral
lymphadenectomy
Vulvectomy, radical, partial; with bilateral inguinofemoral
lymphadenectomy
Vulvectomy, radical, complete;
Vulvectomy, radical, complete; with unilateral inguinofemoral
lymphadenectomy
Vulvectomy, radical; with inguinofemoral lymphadenectomy
Vulvectomy, radical; with inguinofemoral lymphadenectomy,
bilateral
Vulvectomy, radical, complete; with bilateral inguinofemoral
lymphadenectomy
Vulvectomy, radical, complete, with inguinofemoral, iliac, and
pelvic lymphadenectomy
Vulvectomy, radical, with inguinofemoral, iliac, and pelvic
lymphadenectomy; bilateral
Clitoridectomy; simple
Plastic revision of hymen
Hymenotomy, simple incision
Colposcopy of the vulva; with biopsy(s)
Colpotomy; with drainage of pelvic abscess
Incision and drainage of vaginal hematoma; non-obstetrical
(eg, post-trauma, spontaneous bleeding)
Destruction of vaginal lesion(s); extensive (eg, laser surgery,
Biopsy of vaginal mucosa; extensive, requiring suture
(including cysts)
Vaginectomy, partial removal of vaginal wall; with removal of
paravaginal tissue (radical vaginectomy)
Colpectomy, obliteration of vagina; partial
Vaginectomy, partial removal of vaginal wall; with removal of
paravaginal tissue (radical vaginectomy) with bilateral total
pelvic lymphadenectomy and para-aortic lymph node
sampling (biopsy)
Vaginectomy, complete removal of vaginal wall; with removal
of paravaginal tissue (radical vaginectomy)
56363
56399
56400
56420
56441
56442
56515
56600
56606
56625
56631
56632
56633
56634
56635
56636
56637
56640
56641
56680
56710
56720
56821
57010
57023
57065
57105
57107
57108
57109
57111
8365
57112
Vaginectomy, complete removal of vaginal wall; with removal

of paravaginal tissue (radical vaginectomy) with bilateral total
pelvic lymphadenectomy and para-aortic lymph node
sampling (biopsy)
8366
57150
Irrigation of vagina and/or application of medicament for

treatment of bacterial, parasitic, or fungoid disease
8367
57155
8368
57160
8369
57170
Diaphragm or cervical cap fitting with instructions
57170
8370
57180
Introduction of any hemostatic agent or pack for

spontaneous or traumatic nonobstetrical vaginal hemorrhage
57180
8371
57200
Colporrhaphy, suture of injury of vagina (nonobstetrical)
57200
8372
57265
Combined anteroposterior colporrhaphy; with enterocele

repair
57265
8373
57267
Insertion of mesh or other prosthesis for repair of pelvic floor

defect, each site (anterior, posterior compartment), vaginal
approach (List separately in addition to code for primary
procedure)
57267
8374
57270
8375
57282
8376
57283
8377
57285
8378
57287
8379
57292
8380
57295
8381
57296
8382
57305
8383
57307
8384
57308
8385
57310
8386
57311
8387
57320
Insertion of uterine tandems and/or vaginal ovoids for clinical

brachytherapy
Fitting and insertion of pessary or other intravaginal support
device
Repair of enterocele, abdominal approach (separate

procedure)
Colpopexy, vaginal; extra-peritoneal approach
(sacrospinous, iliococcygeus)
Colpopexy, vaginal; intra-peritoneal approach (uterosacral,
levator myorrhaphy)
performed); vaginal approach
Removal or revision of sling for stress incontinence (eg,
fascia or synthetic)
Construction of artificial vagina; with graft
Revision (including removal) of prosthetic vaginal graft;
vaginal approach
Revision (including removal) of prosthetic vaginal graft; open
abdominal approach
Closure of rectovaginal fistula; abdominal approach
Closure of rectovaginal fistula; abdominal approach, with
concomitant colostomy
Closure of rectovaginal fistula; transperineal approach, with
perineal body reconstruction, with or without levator plication
Closure of urethrovaginal fistula;
Closure of urethrovaginal fistula; with bulbocavernosus
transplant
Closure of vesicovaginal fistula; vaginal approach
57112
57150
57155
57160
57270
57282
57283
57285
57287
57292
57295
57296
57305
57307
57308
57310
57311
57320
Closure of vesicovaginal fistula; transvesical and vaginal

approach
Vaginoplasty for intersex state
8388
57330
8389
57335
8390
57415
Removal of impacted vaginal foreign body (separate

procedure) under anesthesia (other than local)
57415
8391
57420
Colposcopy of the entire vagina, with cervix if present;
57420
8392
57421
Colposcopy of the entire vagina, with cervix if present; with

biopsy(s) of vagina/cervix
57421
8393
57423

performed), laparoscopic approach
57423
8394
57425
8395
57426
8396
57454
8397
57455
8398
57456
8399
57460

with loop electrode biopsy(s) of the cervix
57460
8400
57461

with loop electrode conization of the cervix
57461
8401
57511
Cautery of cervix; cryocautery, initial or repeat
57511
8402
57513
57513
8403
57522
8404
57545
8405
57550
8406
57555
8407
57556
8408
57558
Cautery of cervix; laser ablation

Conization of cervix, with or without fulguration, with or
without dilation and curettage, with or without repair; loop
electrode excision
Excision of cervical stump, abdominal approach; with pelvic
floor repair
Excision of cervical stump, vaginal approach;
Excision of cervical stump, vaginal approach; with anterior
and/or posterior repair
Excision of cervical stump, vaginal approach; with repair of
enterocele
Dilation and curettage of cervical stump
8409
57800
Dilation of cervical canal, instrumental (separate procedure)
57800
8410
57820
Dilation and curettage of cervical stump
57820
8411
58101
Endometrial washings (eg, for cytology sampling)
58101
8412
58110
Endometrial sampling (biopsy) performed in conjunction with

colposcopy (List separately in addition to code for primary
procedure)
58110
Laparoscopy, surgical, colpopexy (suspension of vaginal

apex)
Revision (including removal) of prosthetic vaginal graft,
laparoscopic approach
with biopsy(s) of the cervix and endocervical curettage
with biopsy(s) of the cervix
with endocervical curettage
57330
57335
57425
57426
57454
57455
57456
57522
57545
57550
57555
57556
57558
8413
58152
Total abdominal hysterectomy (corpus and cervix), with or

ovary(s); with colpo-urethrocystopexy (eg, MarshallMarchetti-Krantz, Burch)
8414
58263
Vaginal hysterectomy, for uterus 250 g or less; with removal

of tube(s), and/or ovary(s), with repair of enterocele
8415
58265
8416
58267
8417
58270
8418
58280
8419
58290
Vaginal hysterectomy, for uterus greater than 250 grams;
58290
8420
58291
Vaginal hysterectomy, for uterus greater than 250 g; with

removal of tube(s) and/or ovary(s)
58291
8421
58292

removal of tube(s) and/or ovary(s), with repair of enterocele
58292
8422
58293
8423
58294
8424
58310

colpo-urethrocystopexy (Marshall-Marchetti-Krantz type,
Pereyra type) with or without endoscopic control
repair of enterocele
Artificial insemination;
8425
58311
Artificial insemination; with sperm washing and capacitation
58311
8426
8427
8428
8429
58320
58321
58322
58323
58320
58321
58322
58323
8430
58340
Insufflation of uterus and tubes with air and CO2

Artificial insemination; intra-cervical
Artificial insemination; intra-uterine
Sperm washing for artificial insemination
Catheterization and introduction of saline or contrast
material for saline infusion sonohysterography (SIS) or
hysterosalpingography
8431
58345
Transcervical introduction of fallopian tube catheter for

diagnosis and/or re-establishing patency (any method), with
or without hysterosalpingography
58345
8432
58346
Insertion of Heyman capsules for clinical brachytherapy
58346
8433
58350
58350
8434
58353
8435
58356
8436
58410
Chromotubation of oviduct, including materials

Endometrial ablation, thermal, without hysteroscopic
guidance
Endometrial cryoablation with ultrasonic guidance, including
endometrial curettage, when performed
Uterine suspension, with or without shortening of round
ligaments, with or without shortening of sacrouterine
ligaments; with presacral sympathectomy
Vaginal hysterectomy; with plastic repair of vagina, anterior

and/or posterior colporrhaphy
Vaginal hysterectomy, for uterus 250 g or less; with colpourethrocystopexy (Marshall-Marchetti-Krantz type, Pereyra
type) with or without endoscopic control
Vaginal hysterectomy, for uterus 250 g or less; with repair of
enterocele
Vaginal hysterectomy, with total or partial vaginectomy; with
repair of enterocele
58152
58263
58265
58267
58270
58280
58293
58294
58310
58340
58353
58356
58410
8437
58541
Laparoscopy, surgical, supracervical hysterectomy, for

uterus 250 g or less;
58541
8438
58542

uterus 250 g or less; with removal of tube(s) and/or ovary(s)
58542
8439
58543
8440
58544
8441
58546
Laparoscopy, surgical, myomectomy, excision; 5 or more

intramural myomas and/or intramural myomas with total
weight greater than 250 g
58546
8442
58548
Laparoscopy, surgical, with radical hysterectomy, with

bilateral total pelvic lymphadenectomy and para-aortic lymph
node sampling (biopsy), with removal of tube(s) and
ovary(s), if performed
58548
8443
58551
8444
58553
8445
58554
8446
58559
8447
58560
8448
58561
8449
58562
8450
58563
8451
58565
8452
58570
8453
58571
Laparoscopy, surgical, with total hysterectomy, for uterus

250 g or less; with removal of tube(s) and/or ovary(s)
58571
8454
58572

greater than 250 g;
58572
8455
58573

greater than 250 g; with removal of tube(s) and/or ovary(s)
58573
8456
8457
58578
58579
8458
58662

uterus greater than 250 g;
uterus greater than 250 g; with removal of tube(s) and/or
ovary(s)
Laparoscopy, surgical; with removal of leiomyomata (single

or multiple)
greater than 250 grams;
greater than 250 g; with removal of tube(s) and/or ovary(s)
Hysteroscopy, surgical; with lysis of intrauterine adhesions
(any method)
Hysteroscopy, surgical; with division or resection of
intrauterine septum (any method)
Hysteroscopy, surgical; with removal of leiomyomata
Hysteroscopy, surgical; with removal of impacted foreign
body
Hysteroscopy, surgical; with endometrial ablation (eg,
endometrial resection, electrosurgical ablation,
thermoablation)
Hysteroscopy, surgical; with bilateral fallopian tube
cannulation to induce occlusion by placement of permanent
implants
250 g or less;
Unlisted laparoscopy procedure, uterus

Unlisted hysteroscopy procedure, uterus
method
58543
58544
58551
58553
58554
58559
58560
58561
58562
58563
58565
58570
58578
58579
58662
8459
58670
8460
8461
8462
8463
58679
58752
58820
58822

Unlisted laparoscopy procedure, oviduct, ovary
Tubouterine implantation
Drainage of ovarian abscess; vaginal approach, open
Drainage of ovarian abscess; abdominal approach
58670
58679
58752
58820
58822
8464
58943
Oophorectomy, partial or total, unilateral or bilateral; for

ovarian, tubal or primary peritoneal malignancy, with paraaortic and pelvic lymph node biopsies, peritoneal washings,
peritoneal biopsies, diaphragmatic assessments, with or
without salpingectomy(s), with or without omentectomy
8465
58950
Resection (initial) of ovarian, tubal or primary peritoneal

malignancy with bilateral salpingo-oophorectomy and
omentectomy;
58950
58951

omentectomy; with total abdominal hysterectomy, pelvic and
limited para-aortic lymphadenectomy
58951
8467
58952

omentectomy; with radical dissection for debulking (ie,
radical excision or destruction, intra-abdominal or
retroperitoneal tumors)
58952
8468
58953
Bilateral salpingo-oophorectomy with omentectomy, total

abdominal hysterectomy and radical dissection for
debulking;
58953
58954
Bilateral salpingo-oophorectomy with omentectomy, total

abdominal hysterectomy and radical dissection for
debulking; with pelvic lymphadenectomy and limited paraaortic lymphadenectomy
58954
8470
58960
Laparotomy, for staging or restaging of ovarian, tubal or

primary peritoneal malignancy (second look), with or without
omentectomy, peritoneal washing, biopsy of abdominal and
pelvic peritoneum, diaphragmatic assessment with pelvic
and limited para-aortic lymphadenectomy
58960
8471
8472
58972
58980
8473
58982
8474
58983
8475
58984
8476
8477
58985
58986

method
Laparoscopy, surgical; with lysis of adhesions
8478
58987
Laparoscopy, surgical; with aspiration (single or multiple)
8466
8469
Culture and fertilization of oocyte(s)

Laparoscopy, diagnostic (separate procedure)
58943
58972
58980
58982
58983
58984
58985
58986
58987
8479
58988

58988
8480
58990
Hysteroscopy; diagnostic
58990
8481
58992
Hysteroscopy; with lysis of intrauterine adhesions or

resection of intrauterine septum (any method)
58992
8482
58994
8483
58995
Hysteroscopy; with removal of submuccous leiomyomata

(any method)
Hysteroscopy, therapeutic
8484
58996
Hysteroscopy; with endometrial ablation (any method)
58996
8485
58999
Unlisted procedure, female genital system (nonobstetrical)
58999
8486
59001
8487
8488
8489
8490
59010
59025
59030
59031
8491
59050
8492
59051
8493
59070
8494
59072
Fetal umbilical cord occlusion, including ultrasound guidance
59072
8495
59074
Fetal fluid drainage (eg, vesicocentesis, thoracocentesis,

paracentesis), including ultrasound guidance
59074
8496
59076
Fetal shunt placement, including ultrasound guidance
59076
8497
59101
8498
59125
8499
59130
8500
59135
Surgical treatment of ectopic pregnancy; interstitial, uterine

pregnancy requiring total hysterectomy
59135
8501
59136
Surgical treatment of ectopic pregnancy; interstitial, uterine

pregnancy with partial resection of uterus
59136
8502
59140
8503
59300
8504
59305
Amniocentesis; therapeutic amniotic fluid reduction (includes

ultrasound guidance)
Amnioscopy
Fetal non-stress test
Fetal scalp blood sampling
Fetal scalp blood sampling; repeat
Fetal monitoring during labor by consulting physician (ie,
non-attending physician) with written report; supervision and
interpretation
Fetal monitoring during labor by consulting physician (ie,
non-attending physician) with written report; interpretation
only
Transabdominal amnioinfusion, including ultrasound
guidance
Hysterotomy, abdominal, for removal of hydatidiform mole;

with tubal ligation
Surgical treatment of ectopic pregnancy; ovarian, requiring
oophorectomy and/or salpingectomy
Surgical treatment of ectopic pregnancy; abdominal
pregnancy
Surgical treatment of ectopic pregnancy; cervical, with

evacuation
Episiotomy or vaginal repair, by other than attending
physician
Episiotomy or vaginal repair only, by other than attending
physician; extensive
58994
58995
59001
59010
59025
59030
59031
59050
59051
59070
59101
59125
59130
59140
59300
59305
8505
59320
Cerclage of cervix, during pregnancy; vaginal
59320
8506
59325
Cerclage of cervix, during pregnancy; abdominal
59325
8507
8508
8509
8510
8511
59412
59420
59425
59426
59430
59412
59420
59425
59426
59430
8512
59500
8513
59520
8514
59540
External cephalic version, with or without tocolysis

Antepartum care only (separate procedure)
Antepartum care only; 4-6 visits
Antepartum care only; 7 or more visits
Postpartum care only (separate procedure)
Cesarean section, low cervical, including in-hospital
postpartum care; (separate procedure)
Cesarean section, classic, including in-hospital postpartum
care; (separate procedure)
Cesarean section, extraperitoneal, including in-hospital
postpartum care; (separate procedure)
8515
59610
8516
59612
8517
59614
8518
59618
Routine obstetric care including antepartum care, cesarean

delivery, and postpartum care, following attempted vaginal
delivery after previous cesarean delivery
59618
8519
59620
Cesarean delivery only, following attempted vaginal delivery

after previous cesarean delivery;
59620
8520
59622
Cesarean delivery only, following attempted vaginal delivery

after previous cesarean delivery; including postpartum care
59622
8521
59800
Treatment of spontaneous abortion, first trimester;

completed medically
59800
8522
59801
Treatment of spontaneous abortion, first trimester;

completed surgically (separate procedure)
59801
8523
59820
8524
59821
8525
59830
Treatment of septic abortion, completed surgically
59830
59851
Induced abortion, by one or more intra-amniotic injections

visits, delivery of fetus and secundines; with dilation and
curettage and/or evacuation
59851
59856
Induced abortion, by one or more vaginal suppositories (eg,

fetus and secundines; with dilation and curettage and/or
evacuation
59856
8526
8527
Routine obstetric care including antepartum care, vaginal

delivery (with or without episiotomy, and/or forceps) and
postpartum care, after previous cesarean delivery
Vaginal delivery only, after previous cesarean delivery (with
or without episiotomy and/or forceps);
Vaginal delivery only, after previous cesarean delivery (with
or without episiotomy and/or forceps); including postpartum
care
Treatment of missed abortion, completed surgically; first

trimester
Treatment of missed abortion, completed surgically; second
trimester
59500
59520
59540
59610
59612
59614
59820
59821
8528
59857
Induced abortion, by one or more vaginal suppositories (eg,

fetus and secundines; with hysterotomy (failed medical
evacuation)
8529
59897
Unlisted fetal invasive procedure, including ultrasound

guidance, when performed
59897
8530
59898
Unlisted laparoscopy procedure, maternity care and delivery
59898
8531
60212
8532
60225
8533
60245
8534
60246
8535
60260
8536
60261
8537
60270
8538
60271
8539
Partial thyroid lobectomy, unilateral; with contralateral

subtotal lobectomy, including isthmusectomy
Total thyroid lobectomy, unilateral; with contralateral subtotal
lobectomy, including isthmusectomy
Thyroidectomy, subtotal or partial
Thyroidectomy, subtotal or partial; with removal of substernal
thyroid gland, cervical approach
Thyroidectomy, removal of all remaining thyroid tissue
following previous removal of a portion of thyroid
59857
60212
60225
60245
60246
60260
Thyroidectomy, secondary; bilateral

Thyroidectomy, including substernal thyroid; sternal split or
transthoracic approach
Thyroidectomy, including substernal thyroid; cervical
approach
60261
60281
Excision of thyroglossal duct cyst or sinus; recurrent
60281
8540
60300
60300
8541
60502
8542
60505
Aspiration and/or injection, thyroid cyst

Parathyroidectomy or exploration of parathyroid(s); reexploration
Parathyroidectomy or exploration of parathyroid(s); with
mediastinal exploration, sternal split or transthoracic
approach
8543
60521
Thymectomy, partial or total; sternal split or transthoracic

approach, without radical mediastinal dissection (separate
procedure)
60521
8544
60522
Thymectomy, partial or total; sternal split or transthoracic

approach, with radical mediastinal dissection (separate
procedure)
60522
8545
60545

dorsal (separate procedure); with excision of adjacent
retroperitoneal tumor
60545
8546
60550

dorsal, bilateral; one stage
60550
8547
60659
Unlisted laparoscopy procedure, endocrine system
60659
8548
60699
60699
8549
61001
Unlisted procedure, endocrine system

Subdural tap through fontanelle, or suture, infant, unilateral
or bilateral; subsequent taps
60270
60271
60502
60505
61001
8550
61026
8551
61055
8552
61106
8553
61130
8554
61151
8555
61155
8556
61156
8557
61251
8558
61313
8559
61315
8560
Ventricular puncture through previous burr hole, fontanelle,

suture, or implanted ventricular catheter/reservoir; with
injection of medication or other substance for diagnosis or
treatment
Cisternal or lateral cervical (C1-C2) puncture; with injection
of medication or other substance for diagnosis or treatment
(eg, C1-C2)
Twist drill hole for subdural or ventricular puncture; followed
by other surgery
Burr hole(s) for ventricular puncture (including injection of
gas, contrast media, dye, or radioactive material); followed
by other surgery
Burr hole(s) or trephine; with subsequent tapping (aspiration)
of intracranial abscess or cyst
61026
61055
61106
61130
61151
Burr hole(s) with evacuation and/or drainage of hematoma,

extradural or subdural; bilateral
Burr hole(s); with aspiration of hematoma or cyst,
intracerebral
Burr hole(s) or trephine, supratentorial, exploratory, not
followed by other surgery; bilateral
supratentorial; intracerebral
infratentorial; intracerebellar
61251
61316
Incision and subcutaneous placement of cranial bone graft

61316
8561
61331
Decompression of orbit only, transcranial approach; bilateral
61331
8562
61332
Exploration of orbit (transcranial approach); with biopsy
61332
8563
61333
8564
61334
8565
61341
8566
61345
8567
61458
8568
61460
8569
61470
8570
61480
8571
61491
Craniotomy for lobotomy, including cingulotomy; bilateral
61491
8572
61501
61501
8573
61512
8574
61514
Craniectomy; for osteomyelitis

of meningioma, supratentorial
of brain abscess, supratentorial
Exploration of orbit (transcranial approach); with removal of

lesion
Exploration of orbit (transcranial approach); with removal of
foreign body
Other cranial decompression (eg, subtemporal),
supratentorial; bilateral
Other cranial decompression, posterior fossa
Craniectomy, suboccipital; for exploration or decompression
of cranial nerves
Craniectomy, suboccipital; for section of 1 or more cranial
nerves
Craniectomy, suboccipital; for medullary tractotomy
Craniectomy, suboccipital; for mesencephalic tractotomy or
pedunculotomy
61155
61156
61313
61315
61333
61334
61341
61345
61458
61460
61470
61480
61512
61514
8575
61516

or fenestration of cyst, supratentorial
61516
8576
61517
Implantation of brain intracavitary chemotherapy agent (List

61517
8577
61519

posterior fossa; meningioma
61519
8578
61520

posterior fossa; cerebellopontine angle tumor
61520
8579
61521

posterior fossa; midline tumor at base of skull
61521
8580
61522
8581
61524
8582
61526
Craniectomy, bone flap craniotomy, transtemporal (mastoid)

for excision of cerebellopontine angle tumor;
61526
8583
61530
Craniectomy, bone flap craniotomy, transtemporal (mastoid)

for excision of cerebellopontine angle tumor; combined with
middle/posterior fossa craniotomy/craniectomy
61530
8584
61534
Craniotomy with elevation of bone flap; for excision of

epileptogenic focus without electrocorticography during
surgery
61534
8585
61535
Craniotomy with elevation of bone flap; for removal of

epidural or subdural electrode array, without excision of
cerebral tissue (separate procedure)
61535
8586
61536

cerebral epileptogenic focus, with electrocorticography
during surgery (includes removal of electrode array)
61536
8587
61537
Craniotomy with elevation of bone flap; for lobectomy,

temporal lobe, without electrocorticography during surgery
61537
8588
61539
Craniotomy with elevation of bone flap; for lobectomy, other

than temporal lobe, partial or total, with electrocorticography
during surgery
61539
8589
61540
8590
61541
8591
61544
8592
61545
8593
61552
Craniectomy, infratentorial or posterior fossa; for excision of

brain abscess
Craniectomy, infratentorial or posterior fossa; for excision or
fenestration of cyst
Craniotomy with elevation of bone flap; for lobectomy, other

than temporal lobe, partial or total, without
electrocorticography during surgery
Craniotomy with elevation of bone flap; for transection of
corpus callosum
Craniotomy with elevation of bone flap; for excision or
coagulation of choroid plexus
craniopharyngioma
Craniectomy for craniosynostosis; multiple cranial sutures
61522
61524
61540
61541
61544
61545
61552
8594
61553
Craniectomy for craniostenosis; each stage of multiple

stages
61553
8595
61555
Reconstruction of skull by multiple bone flaps
61555
8596
61556
Craniotomy for craniosynostosis; frontal or parietal bone flap
61556
8597
61557
Craniotomy for craniosynostosis; bifrontal bone flap
61557
8598
61559
Extensive craniectomy for multiple cranial suture

craniosynostosis (eg, cloverleaf skull); recontouring with
multiple osteotomies and bone autografts (eg, barrel-stave
procedure) (includes obtaining grafts)
61559
8599
61561
Reconstruction of skull by orbital advancement, including

suturotomy or craniotomy
61561
8600
61563
Excision, intra and extracranial, benign tumor of cranial bone

(eg, fibrous dysplasia); without optic nerve decompression
61563
8601
61564
Excision, intra and extracranial, benign tumor of cranial bone

(eg, fibrous dysplasia); with optic nerve decompression
61564
8602
61566
Craniotomy with elevation of bone flap; for selective

amygdalohippocampectomy
61566
8603
61567
Craniotomy with elevation of bone flap; for multiple subpial

transections, with electrocorticography during surgery
61567
8604
61581

including lateral rhinotomy, orbital exenteration,
ethmoidectomy, sphenoidectomy and/or maxillectomy
61581
8605
61582

including unilateral or bifrontal craniotomy, elevation of
frontal lobe(s), osteotomy of base of anterior cranial fossa
61582
8606
61583
Craniofacial approach to anterior cranial fossa; intradural,

including unilateral or bifrontal craniotomy, elevation or
resection of frontal lobe, osteotomy of base of anterior
cranial fossa
61583
8607
61585
Orbitocranial approach to anterior cranial fossa, extradural,

including supraorbital ridge osteotomy and elevation of
frontal and/or temporal lobe(s); with orbital exenteration
61585
8608
61591
Infratemporal post-auricular approach to middle cranial

fossa (internal auditory meatus, petrous apex, tentorium,
cavernous sinus, parasellar area, infratemporal fossa)
including mastoidectomy, resection of sigmoid sinus, with or
without decompression and/or mobilization of contents of
auditory canal or petrous carotid artery
61591
8609
61601

lesion of base of anterior cranial fossa; intradural, including
dural repair, with or without graft
61601
61606

lesion of infratemporal fossa, parapharyngeal space, petrous
apex; intradural, including dural repair, with or without graft
61606
8611
61608

lesion of parasellar area, cavernous sinus, clivus or midline
skull base; intradural, including dural repair, with or without
graft
61608
8612
61610
Transection or ligation, carotid artery in cavernous sinus;

with repair by anastomosis or graft (List separately in
61610
8613
61612
Transection or ligation, carotid artery in petrous canal; with

repair by anastomosis or graft (List separately in addition to
61612
61616

lesion of base of posterior cranial fossa, jugular foramen,
foramen magnum, or C1-C3 vertebral bodies; intradural,
including dural repair, with or without graft
61616
61619
Secondary repair of dura for cerebrospinal fluid leak,

anterior, middle or posterior cranial fossa following surgery
of the skull base; by local or regionalized vascularized
pedicle flap or myocutaneous flap (including galea,
temporalis, frontalis or occipitalis muscle)
61619
61623
Endovascular temporary balloon arterial occlusion, head or

neck (extracranial/intracranial) including selective
catheterization of vessel to be occluded, positioning and
inflation of occlusion balloon, concomitant neurological
monitoring, and radiologic supervision and interpretation of
all angiography required for balloon occlusion and to exclude
vascular injury post occlusion
61623
8617
61626
Transcatheter permanent occlusion or embolization (eg, for

tumor destruction, to achieve hemostasis, to occlude a
vascular malformation), percutaneous, any method; noncentral nervous system, head or neck (extracranial,
brachiocephalic branch)
61626
8618
61630
8619
61635
8620
61640
8621
61641
8610
8614
8615
8616
Balloon angioplasty, intracranial (eg, atherosclerotic

stenosis), percutaneous
Transcatheter placement of intravascular stent(s),
intracranial (eg, atherosclerotic stenosis), including balloon
angioplasty, if performed
Balloon dilatation of intracranial vasospasm, percutaneous;
initial vessel
each additional vessel in same vascular family (List
61630
61635
61640
61641

each additional vessel in different vascular family (List
8622
61642
8623
61682
8624
61684
8625
61686
8626
61690
8627
61692
8628
61697
8629
61698
8630
61702
8631
61708
8632
61710
8633
61712
Microdissection, intracranial or spinal procedure (List

61712
8634
61735
Creation of lesion by stereotactic method, including burr

hole(s) and localizing and recording techniques, single or
multiple stages; subcortical structure(s) other than globus
pallidus or thalamus
61735
8635
61751
Stereotactic biopsy, aspiration, or excision, including burr

hole(s), for intracranial lesion; with computed tomography
and/or magnetic resonance guidance
61751
8636
61780
Stereotactic localization, any method, including burr hole(s);

for introduction of subcortical electrodes
61780
8637
61791
Creation of lesion by stereotactic method, percutaneous, by

neurolytic agent (eg, alcohol, thermal, electrical,
radiofrequency); trigeminal medullary tract
61791
8638
61795
Stereotactic computer assisted volumetric (navigational)

procedure, intracranial, extracranial, or spinal (List
61795
8639
61796
Stereotactic radiosurgery (particle beam, gamma ray, or

linear accelerator); 1 simple cranial lesion
61796

supratentorial, complex
infratentorial, simple
infratentorial, complex
Surgery of intracranial arteriovenous malformation; dural,
simple
Surgery of intracranial arteriovenous malformation; dural,
complex
Surgery of complex intracranial aneurysm, intracranial
approach; carotid circulation
Surgery of complex intracranial aneurysm, intracranial
approach; vertebrobasilar circulation
Surgery of simple intracranial aneurysm, intracranial
approach; vertebrobasilar circulation
Surgery of aneurysm, vascular malformation or carotidcavernous fistula; by intracranial electrothrombosis
Surgery of aneurysm, vascular malformation or carotidcavernous fistula; by intra-arterial embolization, injection
procedure, or balloon catheter
61642
61682
61684
61686
61690
61692
61697
61698
61702
61708
61710
8640
61797

linear accelerator); each additional cranial lesion, simple
61797
8641
61798

linear accelerator); 1 complex cranial lesion
61798
8642
61799

linear accelerator); each additional cranial lesion, complex
61799
8643
61800
8644
61855
Application of stereotactic headframe for stereotactic

radiosurgery (List separately in addition to code for primary
procedure)
Twist drill or burr hole(s) for implantation of neurostimulator
electrodes; subcortical
61800
61855
61863
Twist drill, burr hole, craniotomy, or craniectomy with

stereotactic implantation of neurostimulator electrode array
in subcortial site (eg, thalmus, globus pallidus, subthalamic
nucleus, periventricular, periaqueductal gray), without use of
intraoperative micrelectrode recording; first array
61863
8646
61864

in subcortical site (eg, thalamus, globus pallidus,
subthalamic nucleus, periventricular, periaqueductal gray),
without use of intraoperative microelectrode recording; each
additional array (List separately in addition to primary
procedure)
61864
8647
61865
Craniectomy or craniotomy for implantation of

neurostimulator electrodes, cerebral; subcortical
61865
61867

with use of intraoperative microelectrode recording; first
array
61867
8649
61868

with use of intraoperative microelectrode recording; each
additional array (List separately in addition to primary
procedure)
61868
8650
61875
Craniectomy for implantation of neurostimulator electrodes,

cerebellar; subcortical
61875
8651
61886
Insertion or replacement of cranial neurostimulator pulse

generator or receiver, direct or inductive coupling; with
connection to 2 or more electrode arrays
61886
8645
8648
Elevation of depressed skull fracture; compound or

comminuted, extradural
hydrocephalus); with simple cranioplasty
8652
62005
62005
8653
62116
8654
62117

hydrocephalus); requiring craniotomy and reconstruction
with or without bone graft (includes obtaining grafts)
62117
8655
62120
Repair of encephalocele, skull vault, including cranioplasty
62120
8656
62121
Craniotomy for repair of encephalocele, skull base
62121
8657
62141
Cranioplasty for skull defect; larger than 5 cm diameter
62141
8658
62143
62143
8659
62147
8660
62148
Replacement of bone flap or prosthetic plate of skull

Cranioplasty with autograft (includes obtaining bone grafts);
larger than 5 cm diameter
Incision and retrieval of subcutaneous cranial bone graft for
cranioplasty (List separately in addition to code for primary
procedure)
62116
62147
62148
62160
Neuroendoscopy, intracranial, for placement or replacement

of ventricular catheter and attachment to shunt system or
external drainage (List separately in addition to code for
primary procedure)
62160
8662
62161
Neuroendoscopy, intracranial; with dissection of adhesions,

fenestration of septum pellucidum or intraventricular cysts
(including placement, replacement, or removal of ventricular
catheter)
62161
8663
62162
Neuroendoscopy, intracranial; with fenestration or excision of

colloid cyst, including placement of external ventricular
catheter for drainage
62162
8664
62163
Neuroendoscopy, intracranial; with retrieval of foreign body
62163
8665
62164
8666
62165
8667
62225
Neuroendoscopy, intracranial; with excision of brain tumor,

including placement of external ventricular catheter for
drainage
Neuroendoscopy, intracranial; with excision of pituitary
tumor, transnasal or trans-sphenoidal approach
Replacement or irrigation, ventricular catheter
8668
62252
Reprogramming of programmable cerebrospinal shunt
62252
8669
62258
Removal of complete cerebrospinal fluid shunt system; with

replacement by similar or other shunt at same operation
62258
62263
Percutaneous lysis of epidural adhesions using solution

injection (eg, hypertonic saline, enzyme) or mechanical
means (eg, catheter) including radiologic localization
(includes contrast when administered), multiple adhesiolysis
sessions; 2 or more days
62263
8661
8670
62164
62165
62225
Percutaneous lysis of epidural adhesions using solution

injection (eg, hypertonic saline, enzyme) or mechanical
means (eg, catheter) including radiologic localization
(includes contrast when administered), multiple adhesiolysis
sessions; 1 day
8671
62264
8672
62267
8673
62272
8674
62274
8675
62275
Injection of diagnostic or therapeutic anesthetic or

antispasmodic substance (including narcotics); epidural,
cervical or thoracic, single
62275
8676
62276

antispasmodic substance (including narcotics);
subarachnoid or subdural, differential
62276
8677
62277

subarachnoid or subdural, continuous
62277
8678
62278

lumbar or caudal, single
62278
8679
62279

lumbar or caudal, continuous
62279
8680
62280
Injection/infusion of neurolytic substance (eg, alcohol,

phenol, iced saline solutions), with or without other
therapeutic substance; subarachnoid
62280
8681
62281

therapeutic substance; epidural, cervical or thoracic
62281
8682
62282

therapeutic substance; epidural, lumbar, sacral (caudal)
62282
8683
62284
Injection procedure for myelography and/or computed

tomography, spinal (other than C1-C2 and posterior fossa)
62284
8684
62288
Injection of substance other than anesthetic, antispasmodic,

contrast, or neurolytic solutions; subarachnoid (separate
procedure)
62288
8685
62289
Injection of substance other than anesthetic, antispasmodic,

contrast, or neurolytic solutions; lumbar or caudal epidural
62289
8686
62290
Injection procedure for diskography, each level; lumbar
62290
Percutaneous aspiration within the nucleus pulposus,

intervertebral disc, or paravertebral tissue for diagnostic
purposes
Spinal puncture, therapeutic, for drainage of cerebrospinal
fluid (by needle or catheter)
subarachnoid or subdural, single
62264
62267
62272
62274
8687
62291
8688
62294
8689
62298
Injection procedure for discography, each level; cervical or

thoracic
Injection procedure, arterial, for occlusion of arteriovenous
malformation, spinal
Injection of substance other than anesthetic, contrast, or
neurolytic solutions, epidural, cervical or thoracic (separate
procedure)
62291
62294
62298
62310
Injection, single (not via indwelling catheter), not including

neurolytic substances, with or without contrast (for either
localization or epidurography), of diagnostic or therapeutic
substance(s) (including anesthetic, antispasmodic, opioid,
steroid, other solution), epidural or subarachnoid; cervical or
thoracic
62310
62311
Injection, single (not via indwelling catheter), not including

neurolytic substances, with or without contrast (for either
localization or epidurography), of diagnostic or therapeutic
substance(s) (including anesthetic, antispasmodic, opioid,
steroid, other solution), epidural or subarachnoid; lumbar,
sacral (caudal)
62311
62318
Injection, including catheter placement, continuous infusion

or intermittent bolus, not including neurolytic substances,
with or without contrast (for either localization or
epidurography), of diagnostic or therapeutic substance(s)
(including anesthetic, antispasmodic, opioid, steroid, other
solution), epidural or subarachnoid; cervical or thoracic
62318
62319
Injection, including catheter placement, continuous infusion

or intermittent bolus, not including neurolytic substances,
with or without contrast (for either localization or
epidurography), of diagnostic or therapeutic substance(s)
(including anesthetic, antispasmodic, opioid, steroid, other
solution), epidural or subarachnoid; lumbar, sacral (caudal)
62319
8694
62351
Implantation, revision or repositioning of tunneled intrathecal

or epidural catheter, for long-term medication administration
via an external pump or implantable reservoir/infusion pump;
with laminectomy
62351
8695
62361

epidural drug infusion; non-programmable pump
62361
8696
62362

epidural drug infusion; programmable pump, including
preparation of pump, with or without programming
62362
62368
Electronic analysis of programmable, implanted pump for

intrathecal or epidural drug infusion (includes evaluation of
reservoir status, alarm status, drug prescription status); with
reprogramming
62368
8690
8691
8692
8693
8697
63003

two vertebral segments; thoracic
63003
8699
63005

two vertebral segments; lumbar, except for spondylolisthesis
63005
8700
63010
Laminectomy for exploration/decompression of spinal cord

and/or cauda equina, one or two segments; lumbar for
spondylolisthesis (Gill type operation)
63010
63011

two vertebral segments; sacral
63011
63016

than 2 vertebral segments; thoracic
63016
63017

than 2 vertebral segments; lumbar
63017
63021
Laminotomy (hemilaminectomy), for decompression of nerve

root(s), including partial facetectomy, foraminotomy and/or
excision of herniated intervertebral disc; one interspace,
cervical, bilateral
63021
63030

open and endoscopically-assisted approaches; 1 interspace,
lumbar
63030
63031
Laminotomy (hemilaminectomy), for decompression of nerve

root(s), including partial facetectomy, foraminotomy and/or
excision of herniated intervertebral disk; one interspace,
lumbar, bilateral
63031
63035

open and endoscopically-assisted approaches; each
additional interspace, cervical or lumbar (List separately in
63035
63042

and/or excision of herniated intervertebral disc,
reexploration, single interspace; lumbar
63042
8698
8701
8702
8703
8704
8705
8706
8707
8708
63043

reexploration, single interspace; each additional cervical
procedure)
63043
63044

reexploration, single interspace; each additional lumbar
procedure)
63044
63046

single vertebral segment; thoracic
63046
8712
63047

single vertebral segment; lumbar
63047
8713
63050
Laminoplasty, cervical, with decompression of the spinal

cord, 2 or more vertebral segments;
63050
63051
Laminoplasty, cervical, with decompression of the spinal

cord, two or more vertebral segments; with reconstruction of
the posterior bony elements (including the application of
bridging bone graft and non-segmental fixation devices (eg,
wire, suture, mini-plates), when performed)
63051
8715
63056

disc), single segment; lumbar (including transfacet, or lateral
extraforaminal approach) (eg, far lateral herniated
intervertebral disc)
63056
8716
63077

and/or nerve root(s), including osteophytectomy; thoracic,
single interspace
63077
63078

and/or nerve root(s), including osteophytectomy; thoracic,
each additional interspace (List separately in addition to
63078
63086

complete, transthoracic approach with decompression of
spinal cord and/or nerve root(s); thoracic, each additional
segment (List separately in addition to code for primary
procedure)
63086
8709
8710
8711
8714
8717
8718
63088

complete, combined thoracolumbar approach with
root(s), lower thoracic or lumbar; each additional segment
63088
63091

complete, transperitoneal or retroperitoneal approach with
root(s), lower thoracic, lumbar, or sacral; each additional
segment (List separately in addition to code for primary
procedure)
63091
63101

complete, lateral extracavitary approach with decompression
of spinal cord and/or nerve root(s) (eg, for tumor or
retropulsed bone fragments); thoracic, single segment
63101
63102

retropulsed bone fragments); lumbar, single segment
63102
8723
63103

retropulsed bone fragments); thoracic or lumbar, each
additional segment (List separately in addition to code for
primary procedure)
63103
8724
63173
8725
63182
8726
63190
Laminectomy with drainage of intramedullary cyst/syrinx; to

peritoneal or pleural space
Laminectomy and section of dentate ligaments, with or
without dural graft, cervical; more than 2 segments
Laminectomy with rhizotomy; more than 2 segments
8727
63192
Laminectomy for section of spinal accessory nerve; bilateral
8728
63195
8729
63197
8730
63199
8731
63251
8732
63252
8733
63266
8734
63267
8719
8720
8721
8722
Laminectomy with cordotomy, with section of 1

spinothalamic tract, 1 stage; thoracic
Laminectomy with cordotomy, with section of both
spinothalamic tracts, 1 stage; thoracic
Laminectomy with cordotomy with section of both
spinothalamic tracts, 2 stages within 14 days; thoracic
malformation of spinal cord; thoracic
malformation of spinal cord; thoracolumbar
other than neoplasm, extradural; thoracic
other than neoplasm, extradural; lumbar
63173
63182
63190
63192
63195
63197
63199
63251
63252
63266
63267

other than neoplasm, extradural; sacral
Laminectomy for excision of intraspinal lesion other than
neoplasm, intradural; cervical
neoplasm, intradural; thoracic
neoplasm, intradural; lumbar
neoplasm, intradural; sacral
Laminectomy for biopsy/excision of intraspinal neoplasm;
extradural, cervical
extradural, thoracic
extradural, lumbar
extradural, sacral
intradural, extramedullary, cervical
intradural, extramedullary, thoracic
intradural, extramedullary, lumbar
intradural, sacral
intradural, intramedullary, cervical
intradural, intramedullary, thoracic
intradural, intramedullary, thoracolumbar
8735
63268
8736
63270
8737
63271
8738
63272
8739
63273
8740
63275
8741
63276
8742
63277
8743
63278
8744
63280
8745
63281
8746
63282
8747
63283
8748
63285
8749
63286
8750
63287
8751
63290

combined extradural-intradural lesion, any level
63290
8752
63295
Osteoplastic reconstruction of dorsal spinal elements,

following primary intraspinal procedure (List separately in
63295
8753
63304

intradural, cervical
63304
8754
63305

intradural, thoracic by transthoracic approach
63305
8755
63306

intradural, thoracic by thoracolumbar approach
63306
63307

intradural, lumbar or sacral by transperitoneal or
retroperitoneal approach
63307
8756
63268
63270
63271
63272
63273
63275
63276
63277
63278
63280
63281
63282
63283
63285
63286
63287

each additional segment (List separately in addition to codes
for single segment)
8757
63308
8758
63600
8759
63615
8760
63620
8761
63621
8762
63652
8763
63656
8764
63657
8765
63661
Removal of spinal neurostimulator electrode percutaneous

array(s), including fluoroscopy, when performed
63661
8766
63662
Removal of spinal neurostimulator electrode plate/paddle(s)

placed via laminotomy or laminectomy, including
fluoroscopy, when performed
63662
8767
63663
Revision including replacement, when performed, of spinal

neurostimulator electrode percutaneous array(s), including
fluoroscopy, when performed
63663
63664
Revision including replacement, when performed, of spinal

neurostimulator electrode plate/paddle(s) placed via
laminotomy or laminectomy, including fluoroscopy, when
performed
63664
8769
63690

generator system (may include rate, pulse amplitude and
duration, configuration of wave form, battery status,
electrode selectability, output modulation, cycling,
impedance and patient compliance measurements); without
reprogramming of pulse generator
63690
8770
63702
Repair of meningocele; larger than 5 cm diameter
63702
8771
63706
Repair of myelomeningocele; larger than 5 cm diameter
63706
8772
63709
8773
63750
8768
Creation of lesion of spinal cord by stereotactic method,

percutaneous, any modality (including stimulation and/or
recording)
Stereotactic biopsy, aspiration, or excision of lesion, spinal
cord
linear accelerator); 1 spinal lesion
linear accelerator); each additional spinal lesion (List
intradural (spinal cord)
Laminectomy for implantation of neurostimulator electrodes;
endodural
Laminectomy for implantation of neurostimulator electrodes;
subdural
Repair of dural/cerebrospinal fluid leak or

pseudomeningocele, with laminectomy
Insertion, subarachnoid catheter with reservoir and/or pump
for intermittent or continuous infusion of drug, including
laminectomy
63308
63600
63615
63620
63621
63652
63656
63657
63709
63750
8774
63780
8775
8776
8777
8778
8779
8780
8781
64402
64405
64408
64410
64412
64413
64415
8782
64416
8783
8784
8785
64417
64418
64420
8786
64421
8787
64425
8788
Insertion or replacement, subarachnoid or epidural catheter,

with reservoir and/or pump for drug infusion, without
laminectomy
Injection, anesthetic agent; facial nerve
Injection, anesthetic agent; greater occipital nerve
Injection, anesthetic agent; vagus nerve
Injection, anesthetic agent; phrenic nerve
Injection, anesthetic agent; spinal accessory nerve
Injection, anesthetic agent; cervical plexus
Injection, anesthetic agent; brachial plexus, single
Injection, anesthetic agent; brachial plexus, continuous
infusion by catheter (including catheter placement)
63780
64402
64405
64408
64410
64412
64413
64415
64416
64417
64418
64420
64430
Injection, anesthetic agent; axillary nerve

Injection, anesthetic agent; suprascapular nerve
Injection, anesthetic agent; intercostal nerve, single
Injection, anesthetic agent; intercostal nerves, multiple,
regional block
Injection, anesthetic agent; ilioinguinal, iliohypogastric
nerves
Injection, anesthetic agent; pudendal nerve
8789
64435
Injection, anesthetic agent; paracervical (uterine) nerve
64435
8790
64440
8791
64441
8792
64442
8793
64443
Injection, anesthetic agent; paravertebral facet joint nerve,

lumbar, each additional level (List separately in addition to
64443
8794
64445
Injection, anesthetic agent; sciatic nerve, single
64445
8795
64446
Injection, anesthetic agent; sciatic nerve, continuous infusion

by catheter (including catheter placement)
64446
8796
64447
Injection, anesthetic agent; femoral nerve, single
64447
8797
64448
Injection, anesthetic agent; femoral nerve, continuous

infusion by catheter (including catheter placement)
64448
8798
64449
Injection, anesthetic agent; lumbar plexus, posterior

approach, continuous infusion by catheter (including
catheter placement)
64449
8799
64450
Injection, anesthetic agent; other peripheral nerve or branch
64450
8800
64455
Injection(s), anesthetic agent and/or steroid, plantar common

digital nerve(s) (eg, Morton's neuroma)
64455
64472

joint or facet joint nerve; cervical or thoracic, each additional
level (List separately in addition to code for primary
procedure)
64472
8801
Injection, anesthetic agent; paravertebral nerve (thoracic,

lumbar, sacral, coccygeal), single vertebral level
Injection, anesthetic agent; paravertebral nerves, multiple
levels (eg, regional block)
Injection, anesthetic agent; paravertebral facet joint nerve,
lumbar, single level
64421
64425
64430
64440
64441
64442
64475

joint or facet joint nerve; lumbar or sacral, single level
64475
8803
64476

joint or facet joint nerve; lumbar or sacral, each additional
level (List separately in addition to code for primary
procedure)
64476
8804
64480

epidural; cervical or thoracic, each additional level (List
64480
8805
64483

epidural; lumbar or sacral, single level
64483
8806
64484

epidural; lumbar or sacral, each additional level (List
64484
64490
Injection(s), diagnostic or therapeutic agent, paravertebral

facet (zygapophyseal) joint (or nerves innervating that joint)
with image guidance (fluoroscopy or CT), cervical or
thoracic; single level
64490
64491

thoracic; second level (List separately in addition to code for
primary procedure)
64491
64492

thoracic; third and any additional level(s) (List separately in
64492
64493

with image guidance (fluoroscopy or CT), lumbar or sacral;
single level
64493
64494

second level (List separately in addition to code for primary
procedure)
64494
8812
64495

third and any additional level(s) (List separately in addition to
64495
8813
64508
8814
64510
8802
8807
8808
8809
8810
8811
Injection, anesthetic agent; carotid sinus (separate

procedure)
Injection, anesthetic agent; stellate ganglion (cervical
sympathetic)
64508
64510
8815
64517
Injection, anesthetic agent; superior hypogastric plexus
8816
64530
8817
64555
8818
64560
8819
64561
8820
64565
8821
64577
8822
64580
8823
64581

sacral nerve (transforaminal placement)
64581
8824
64610
Destruction by neurolytic agent, trigeminal nerve; second

and third division branches at foramen ovale under
radiologic monitoring
64610
8825
64613
Chemodenervation of muscle(s); neck muscle(s) (eg, for

spasmodic torticollis, spasmodic dysphonia)
64613
8826
64614
Chemodenervation of muscle(s); extremity(s) and/or trunk

muscle(s) (eg, for dystonia, cerebral palsy, multiple
sclerosis)
64614
8827
64622

nerve; lumbar or sacral, single level
64622
8828
64626

nerve; cervical or thoracic, single level
64626
8829
64627

nerve; cervical or thoracic, each additional level (List
64627
8830
64630
8831
64632
8832
64640
8833
Injection, anesthetic agent; celiac plexus, with or without

radiologic monitoring
peripheral nerve (excludes sacral nerve)
autonomic nerve
sacral nerve (transforaminal placement)
neuromuscular
autonomic nerve
neuromuscular
64517
64530
64555
64560
64561
64565
64577
64580
Destruction by neurolytic agent; pudendal nerve

Destruction by neurolytic agent; plantar common digital
nerve
Destruction by neurolytic agent; other peripheral nerve or
branch
64630
64650
Chemodenervation of eccrine glands; both axillae
64650
8834
64653
Chemodenervation of eccrine glands; other area(s) (eg,

scalp, face, neck), per day
64653
8835
64681
8836
64708
Destruction by neurolytic agent, with or without radiologic

monitoring; superior hypogastric plexus
Neuroplasty, major peripheral nerve, arm or leg; other than
specified
64632
64640
64681
64708
Neuroplasty, major peripheral nerve, arm or leg; brachial

plexus
Neuroplasty, major peripheral nerve, arm or leg; lumbar
plexus
8837
64713
8838
64714
8839
64718
Neuroplasty and/or transposition; ulnar nerve at elbow
64718
8840
64719
Neuroplasty and/or transposition; ulnar nerve at wrist
64719
8841
64721
8842
8843
8844
64732
64734
64736
8845
64738
8846
64740
8847
64742
8848
8849
64744
64746
8850
64752
Neuroplasty and/or transposition; median nerve at carpal

tunnel
Transection or avulsion of; supraorbital nerve
Transection or avulsion of; infraorbital nerve
Transection or avulsion of; mental nerve
Transection or avulsion of; inferior alveolar nerve by
osteotomy
Transection or avulsion of; lingual nerve
Transection or avulsion of; facial nerve, differential or
complete
Transection or avulsion of; greater occipital nerve
Transection or avulsion of; phrenic nerve
Transection or avulsion of; vagus nerve (vagotomy),
transthoracic
Transection or avulsion of; vagus nerves limited to proximal
stomach (selective proximal vagotomy, proximal gastric
vagotomy, parietal cell vagotomy, supra- or highly selective
vagotomy)
64713
64714
64721
64732
64734
64736
64738
64740
64742
64744
64746
64752
8851
64755
8852
64760
8853
8854
64761
64762
8855
64763
8856
64764
8857
64766
8858
64768
8859
64771
Transection or avulsion of other cranial nerve, extradural
64771
8860
64772
Transection or avulsion of other spinal nerve, extradural
64772
8861
64776
Excision of neuroma; digital nerve, 1 or both, same digit
64776
8862
64778
Excision of neuroma; digital nerve, each additional digit (List

64778
8863
64782
Excision of neuroma; hand or foot, except digital nerve
64782
8864
64783
Excision of neuroma; hand or foot, each additional nerve,

except same digit (List separately in addition to code for
primary procedure)
64783
Transection or avulsion of; vagus nerve (vagotomy),

abdominal
Transection or avulsion of; pudendal nerve
Transection or avulsion of; pudendal nerve, bilateral
Transection or avulsion of obturator nerve, extrapelvic, with
or without adductor tenotomy
Transection or avulsion of obturator nerve, extrapelvic, with
or without adductor tenotomy; bilateral
Transection or avulsion of obturator nerve, intrapelvic, with
or without adductor tenotomy
Transection or avulsion of obturator nerve, intrapelvic, with
or without adductor tenotomy; bilateral
64755
64760
64761
64762
64763
64764
64766
64768
8865
64784
Excision of neuroma; major peripheral nerve, except sciatic
64784
8866
64786
Excision of neuroma; sciatic nerve
64786
8867
64787
Implantation of nerve end into bone or muscle (List

separately in addition to neuroma excision)
64787
8868
64788
8869
64790
8870
64792
8871
8872
64803
64804
8873
64806
8874
8875
8876
8877
8878
8879
8880
8881
64809
64811
64818
64819
64820
64821
64822
64823
8882
64830
8883
64832
8884
8885
64835
64836
8886
64857
8887
64859
Suture of each additional major peripheral nerve (List

64859
8888
64862
Suture of; lumbar plexus
64862
8889
64865
Suture of facial nerve; infratemporal, with or without grafting
64865
8890
8891
64868
64870
64868
64870
8892
64874
Anastomosis; facial-hypoglossal
Anastomosis; facial-phrenic
Suture of nerve; requiring extensive mobilization, or
transposition of nerve (List separately in addition to code for
nerve suture)
8893
64876
8894
64886
8895
64891
Excision of neurofibroma or neurolemmoma; cutaneous

nerve
Excision of neurofibroma or neurolemmoma; major
peripheral nerve
Excision of neurofibroma or neurolemmoma; extensive
(including malignant type)
Sympathectomy, cervical; bilateral
Sympathectomy, cervicothoracic
Sympathectomy, cervicothoracic; bilateral or two stage
unilateral
Sympathectomy, thoracolumbar
Sympathectomy, thoracolumbar; bilateral
Sympathectomy, lumbar
Sympathectomy, lumbar; bilateral
Sympathectomy; digital arteries, each digit
Sympathectomy; radial artery
Sympathectomy; ulnar artery
Sympathectomy; superficial palmar arch
Microdissection and/or microrepair of nerve (List separately
in addition to code for nerve repair)
Suture of digital nerve, hand or foot; each additional digital
nerve (List separately in addition to code for primary
procedure)
Suture of one nerve; median motor thenar
Suture of one nerve; ulnar motor
Suture of major peripheral nerve, arm or leg, except sciatic;
without transposition
Suture of nerve; requiring shortening of bone of extremity

(List separately in addition to code for nerve suture)
Nerve graft (includes obtaining graft), head or neck; more
than 4 cm length
Nerve graft (includes obtaining graft), single strand, hand or
foot; more than 4 cm length
64788
64790
64792
64803
64804
64806
64809
64811
64818
64819
64820
64821
64822
64823
64830
64832
64835
64836
64857
64874
64876
64886
64891
8896
64892
Nerve graft (includes obtaining graft), single strand, arm or

leg; up to 4 cm length
64892
8897
64893
Nerve graft (includes obtaining graft), single strand, arm or

leg; more than 4 cm length
64893
8898
64896
8899
64897
8900
64898
8901
64907
8902
64911
8903
64999
8904
65230
8905
65230
8906
65240
8907
65240
8908
8909
8910
8911
65300
65300
65756
65756
8912
65757
8913
65757
8914
65780
8915
65780
8916
65781
8917
65781
8918
65782
8919
65782
8920
8921
65825
65825
8922
66150
8923
66150

(cable), hand or foot; more than 4 cm length
(cable), arm or leg; up to 4 cm length
(cable), arm or leg; more than 4 cm length
Nerve pedicle transfer; second stage
Nerve repair; with autogenous vein graft (includes harvest of
vein graft), each nerve
Unlisted procedure, nervous system
Removal of foreign body, intraocular; from anterior chamber,
magnetic extraction
Removal of foreign body, intraocular; from anterior chamber,
magnetic extraction
Removal of foreign body, intraocular; from lens (without
extraction lens),magnetic extraction
Removal of foreign body, intraocular; from lens (without
extraction lens),magnetic extraction
Delimiting keratotomy
Delimiting keratotomy
Keratoplasty (corneal transplant); endothelial
Keratoplasty (corneal transplant); endothelial
Backbench preparation of corneal endothelial allograft prior
to transplantation (List separately in addition to code for
primary procedure)
Backbench preparation of corneal endothelial allograft prior
to transplantation (List separately in addition to code for
primary procedure)
Ocular surface reconstruction; amniotic membrane
transplantation
Ocular surface reconstruction; amniotic membrane
transplantation
Ocular surface reconstruction; limbal stem cell allograft (eg,
cadaveric or living donor)
Ocular surface reconstruction; limbal stem cell allograft (eg,
cadaveric or living donor)
Ocular surface reconstruction; limbal conjunctival autograft
Ocular surface reconstruction; limbal conjunctival autograft
Goniotomy; with goniopuncture
Goniotomy; with goniopuncture
Fistulization of sclera for glaucoma; trephination with
iridectomy
Fistulization of sclera for glaucoma; trephination with
iridectomy
64896
64897
64898
64907
64911
64999
65230
65230
65240
65240
65300
65300
65756
65756
65757
65757
65780
65780
65781
65781
65782
65782
65825
65825
66150
66150
Fistulization of sclera for glaucoma; thermocauterization with

iridectomy
Fistulization of sclera for glaucoma; thermocauterization with
iridectomy
Fistulization of sclera for glaucoma; sclerectomy with punch
or scissors, with iridectomy
Fistulization of sclera for glaucoma; sclerectomy with punch
or scissors, with iridectomy
8924
66155
8925
66155
8926
66160
8927
66160
8928
66165
Fistulization of sclera for glaucoma; iridencleisis or iridotasis
66165
8929
66165
Fistulization of sclera for glaucoma; iridencleisis or iridotasis
66165
8930
8931
66701
66701
Cyclodiathermy; subsequent
Cyclodiathermy; subsequent
66701
66701
8932
66711
Ciliary body destruction; cyclophotocoagulation, endoscopic
66711
8933
66711
Ciliary body destruction; cyclophotocoagulation, endoscopic
66711
8934
8935
8936
8937
66721
66721
66741
66741
66721
66721
66741
66741
8938
66800
8939
66800
8940
66802
8941
66802
8942
66840
8943
66840
8944
8945
8946
8947
66915
66915
66920
66920
8948
66940
8949
66940
Cyclocryotherapy; subsequent
Cyclocryotherapy; subsequent
Cyclodialysis; subsequent
Cyclodialysis; subsequent
Discission of lens capsule; incisional technique (needling of
lens), initial
Discission of lens capsule; incisional technique (needling of
lens), initial
Discission of lens capsule; laser surgery (one or more
stages)
Discission of lens capsule; laser surgery (one or more
stages)
Removal of lens material; aspiration technique, 1 or more
stages
Removal of lens material; aspiration technique, 1 or more
stages
Expression of lens, linear, one or more stages
Expression of lens, linear, one or more stages
Removal of lens material; intracapsular
Removal of lens material; intracapsular
Removal of lens material; extracapsular (other than 66840,
66850, 66852)
Removal of lens material; extracapsular (other than 66840,
66850, 66852)
8950
66982
Extracapsular cataract removal with insertion of intraocular

lens prosthesis (1 stage procedure), manual or mechanical
technique (eg, irrigation and aspiration or
phacoemulsification), complex, requiring devices or
techniques not generally used in routine cataract surgery
(eg, iris expansion device, suture support for intraocular
lens, or primary posterior capsulorrhexis) or performed on
patients in the amblyogenic developmental stage
66155
66155
66160
66160
66800
66800
66802
66802
66840
66840
66915
66915
66920
66920
66940
66940
66982
8951
66982
8952
66983
8953
66983

phacoemulsification), complex, requiring devices or
techniques not generally used in routine cataract surgery
(eg, iris expansion device, suture support for intraocular
lens, or primary posterior capsulorrhexis) or performed on
patients in the amblyogenic developmental stage
Intracapsular cataract extraction with insertion of intraocular
lens prosthesis (1 stage procedure)
Intracapsular cataract extraction with insertion of intraocular
lens prosthesis (1 stage procedure)
66982
66983
66983
66984

phacoemulsification)
66984
8955
66984

phacoemulsification)
66984
8956
66990
Use of ophthalmic endoscope (List separately in addition to

66990
8957
66990
Use of ophthalmic endoscope (List separately in addition to

66990
8958
8959
66999
66999
8960
67005
8961
67005
8962
67010
8963
67010
8964
67030
8965
67030
8966
67031
8967
67031
8968
67038
8954
Unlisted procedure, anterior segment of eye

Unlisted procedure, anterior segment of eye
Removal of vitreous, anterior approach (open sky technique
or limbal incision); partial removal
or limbal incision); partial removal
or limbal incision); subtotal removal with mechanical
vitrectomy
or limbal incision); subtotal removal with mechanical
vitrectomy
Discission of vitreous strands (without removal), pars plana
approach
Discission of vitreous strands (without removal), pars plana
approach
Severing of vitreous strands, vitreous face adhesions,
sheets, membranes or opacities, laser surgery (1 or more
stages)
Severing of vitreous strands, vitreous face adhesions,
sheets, membranes or opacities, laser surgery (1 or more
stages)
Vitrectomy, mechanical, pars plana approach; with epiretinal
membrane stripping
66999
66999
67005
67005
67010
67010
67030
67030
67031
67031
67038
Vitrectomy, mechanical, pars plana approach; with epiretinal

membrane stripping
Vitrectomy, mechanical, pars plana approach; with focal
endolaser photocoagulation
Vitrectomy, mechanical, pars plana approach; with focal
endolaser photocoagulation
Vitrectomy, mechanical, pars plana approach; with endolaser
panretinal photocoagulation
Vitrectomy, mechanical, pars plana approach; with endolaser
panretinal photocoagulation
Repair of retinal detachment, 1 or more sessions;
cryotherapy or diathermy, with or without drainage of
subretinal fluid
8969
67038
8970
67039
8971
67039
8972
67040
8973
67040
8974
67101
8975
67101
Repair of retinal detachment, 1 or more sessions;

cryotherapy or diathermy, with or without drainage of
subretinal fluid
67101
8976
67105
Repair of retinal detachment, one or more sessions;

photocoagulation, with or without drainage of subretinal fluid
67105
8977
67105
Repair of retinal detachment, one or more sessions;

photocoagulation, with or without drainage of subretinal fluid
67105
67107
Repair of retinal detachment; scleral buckling (such as

lamellar scleral dissection, imbrication or encircling
procedure), with or without implant, with or without
cryotherapy, photocoagulation, and drainage of subretinal
fluid
67107
67107
Repair of retinal detachment; scleral buckling (such as

lamellar scleral dissection, imbrication or encircling
procedure), with or without implant, with or without
cryotherapy, photocoagulation, and drainage of subretinal
fluid
67107
67108
Repair of retinal detachment; with vitrectomy, any method,

with or without air or gas tamponade, focal endolaser
photocoagulation, cryotherapy, drainage of subretinal fluid,
scleral buckling, and/or removal of lens by same technique
67108
8981
67108
Repair of retinal detachment; with vitrectomy, any method,

with or without air or gas tamponade, focal endolaser
photocoagulation, cryotherapy, drainage of subretinal fluid,
scleral buckling, and/or removal of lens by same technique
67108
8982
67109
8983
67109
8984
67110
Repair of retinal detachment; by injection of air or other gas

(eg, pneumatic retinopexy)
67110
8985
67110
Repair of retinal detachment; by injection of air or other gas

(eg, pneumatic retinopexy)
67110
8978
8979
8980
Repair of retinal detachment, one or more sessions; by

technique other than 67101-67108 and 67110
Repair of retinal detachment, one or more sessions; by
technique other than 67101-67108 and 67110
67038
67039
67039
67040
67040
67101
67109
67109
67112
Repair of retinal detachment; by scleral buckling or

vitrectomy, on patient having previous ipsilateral retinal
detachment repair(s) using scleral buckling or vitrectomy
techniques
67112
67112
Repair of retinal detachment; by scleral buckling or

vitrectomy, on patient having previous ipsilateral retinal
detachment repair(s) using scleral buckling or vitrectomy
techniques
67112
67113
Repair of complex retinal detachment (eg, proliferative

vitreoretinopathy, stage C-1 or greater, diabetic traction
retinal detachment, retinopathy of prematurity, retinal tear of
greater than 90 degrees), with vitrectomy and membrane
peeling, may include air, gas, or silicone oil tamponade,
cryotherapy, endolaser photocoagulation, drainage of
subretinal fluid, scleral buckling, and/or removal of lens
67113
8989
67113
Repair of complex retinal detachment (eg, proliferative

vitreoretinopathy, stage C-1 or greater, diabetic traction
retinal detachment, retinopathy of prematurity, retinal tear of
greater than 90 degrees), with vitrectomy and membrane
peeling, may include air, gas, or silicone oil tamponade,
cryotherapy, endolaser photocoagulation, drainage of
subretinal fluid, scleral buckling, and/or removal of lens
67113
8990
8991
67115
67115
8992
67141
8993
67141

degeneration) without drainage, 1 or more sessions;
cryotherapy, diathermy
67141
8994
67210

tumors), one or more sessions; photocoagulation
67210
8995
67210

tumors), one or more sessions; photocoagulation
67210
67225

neovascularization); photodynamic therapy, second eye, at
single session (List separately in addition to code for primary
eye treatment)
67225
8997
67225

neovascularization); photodynamic therapy, second eye, at
single session (List separately in addition to code for primary
eye treatment)
67225
8998
67228
Treatment of extensive or progressive retinopathy, 1 or more

sessions; (eg, diabetic retinopathy), photocoagulation
67228
8986
8987
8988
8996
Release of encircling material (posterior segment)

Release of encircling material (posterior segment)
degeneration) without drainage, 1 or more sessions;
cryotherapy, diathermy
67115
67115
67141
67228
Treatment of extensive or progressive retinopathy, 1 or more

sessions; (eg, diabetic retinopathy), photocoagulation
67228
67229
Treatment of extensive or progressive retinopathy, one or

more sessions; preterm infant (less than 37 weeks gestation
at birth), performed from birth up to 1 year of age (eg,
retinopathy of prematurity), photocoagulation or cryotherapy
67229
9001
67229
Treatment of extensive or progressive retinopathy, one or

more sessions; preterm infant (less than 37 weeks gestation
at birth), performed from birth up to 1 year of age (eg,
retinopathy of prematurity), photocoagulation or cryotherapy
67229
9002
9003
67299
67299
Unlisted procedure, posterior segment

Unlisted procedure, posterior segment
67299
67299
67313
Strabismus surgery on patient not previously operated on,

any procedure, any muscle (may include minor
displacement, eg, for A or V pattern); three or more muscles,
one or both eyes
67313
9005
67313
Strabismus surgery on patient not previously operated on,

any procedure, any muscle (may include minor
displacement, eg, for A or V pattern); three or more muscles,
one or both eyes
67313
9006
9007
9008
9009
9010
9011
67346
67346
67399
67399
67599
67599
9012
67808
9013
67808
9014
9015
8999
9000
9004
67346
67346
67399
67399
67599
67599
67820
67820

Unlisted procedure, ocular muscle
Unlisted procedure, ocular muscle
Unlisted procedure, orbit
Unlisted procedure, orbit
Excision of chalazion; under general anesthesia and/or
requiring hospitalization, single or multiple
Excision of chalazion; under general anesthesia and/or
requiring hospitalization, single or multiple
Correction of trichiasis; epilation, by forceps only
Correction of trichiasis; epilation, by forceps only
9016
67907
Repair of blepharoptosis; superior rectus tendon transplant
67907
9017
67907
Repair of blepharoptosis; superior rectus tendon transplant
67907
9018
67912
Correction of lagophthalmos, with implantation of upper

eyelid lid load (eg, gold weight)
67912
9019
67912
Correction of lagophthalmos, with implantation of upper

eyelid lid load (eg, gold weight)
67912
9020
9021
67999
67999
Unlisted procedure, eyelids

Unlisted procedure, eyelids
67999
67999
9022
68040
Expression of conjunctival follicles (eg, for trachoma)
68040
9023
68040
Expression of conjunctival follicles (eg, for trachoma)
68040
67808
67808
67820
67820
9024
68360
Conjunctival flap; bridge or partial (separate procedure)
68360
9025
68360
Conjunctival flap; bridge or partial (separate procedure)
68360
9026
68362
9027
68362
9028
9029
9030
9031
68371
68371
68399
68399
9032
68800
9033
68800
9034
68811
9035
68811
9036
68816
9037
68816
9038
68820
9039
68820
9040
9041
68899
68899
9042
69990
9043
70011
9044
70015
9045
70016
Cisternography, positive contrast; complete procedure
70016
9046
70171
Dacryocystography, nasolacrimal duct; complete procedure
70171
9047
70333
Temporomandibular joint arthrography; complete procedure
70333
9048
70374
70374
9049
70460
Laryngography, contrast; complete procedure

Computed tomography, head or brain; with contrast
material(s)
9050
70481
9051
70487
9052
70491
Conjunctival flap; total (such as Gunderson thin flap or purse

string flap)
Conjunctival flap; total (such as Gunderson thin flap or purse
string flap)
Harvesting conjunctival allograft, living donor
Harvesting conjunctival allograft, living donor
Unlisted procedure, conjunctiva
Unlisted procedure, conjunctiva
Dilation of lacrimal punctum, with or without irrigation,
unilateral or bilateral
Dilation of lacrimal punctum, with or without irrigation,
requiring general anesthesia
requiring general anesthesia
transluminal balloon catheter dilation
transluminal balloon catheter dilation
Probing of nasolacrimal duct, with or without irrigation,
Probing of nasolacrimal duct, with or without irrigation,
Unlisted procedure, lacrimal system
Unlisted procedure, lacrimal system
Microsurgical techniques, requiring use of operating
microscope (List separately in addition to code for primary
procedure)
Myelography, posterior fossa; complete procedure
Cisternography, positive contrast, radiological supervision
and interpretation

outer, middle, or inner ear; with contrast material(s)
Computed tomography, maxillofacial area; with contrast
material(s)
Computed tomography, soft tissue neck; with contrast
material(s)
68362
68362
68371
68371
68399
68399
68800
68800
68811
68811
68816
68816
68820
68820
68899
68899
69990
70011
70015
70460
70481
70487
70491
Computed tomographic angiography, neck, with contrast

Magnetic resonance angiography, head and/or neck, with or
9053
70498
9054
70541
9055
70542
9056
70545
9057
70548
9058
70552

brain stem); with contrast material(s)
70552
9059
70554
Magnetic resonance imaging, brain, functional MRI;

including test selection and administration of repetitive body
part movement and/or visual stimulation, not requiring
physician or psychologist administration
70554
9060
70555
Magnetic resonance imaging, brain, functional MRI; requiring

physician or psychologist administration of entire
neurofunctional testing
70555
9061
70558

vascular malformation); with contrast material(s)
70558
9062
71015
9063
71037
9064
71038
9065
9066
71041
71061
9067
71090
9068

neck; with contrast material(s)
Magnetic resonance angiography, head; with contrast
material(s)
Magnetic resonance angiography, neck; with contrast
material(s)
70498
70541
70542
70545
70548
Radiologic examination, chest; stereo, frontal

Needle biopsy of intrathoracic lesion, including follow-up
films; complete procedure
Fluoroscopic localization for transbronchial biopsy or
brushing
Bronchography, unilateral; complete procedure
Bronchography, bilateral; complete procedure
Insertion pacemaker, fluoroscopy and radiography,
71015
71260
Computed tomography, thorax; with contrast material(s)
71260
9069
71275
Computed tomographic angiography, chest (noncoronary),

with contrast material(s), including noncontrast images, if
71275
9070
71551

evaluation of hilar and mediastinal lymphadenopathy); with
71551
9071
72126
Computed tomography, cervical spine; with contrast material
72126
9072
72129
Computed tomography, thoracic spine; with contrast material
72129
71037
71038
71041
71061
71090
9073
72132
9074
72143
9075
72144
9076
72157

material(s) and further sequences; thoracic
72157
9077
72158

material(s) and further sequences; lumbar
72158
9078
72180
9079
72191
9080
72193
9081
72240
9082
9083
72241
72256
9084
72265
9085
72266
Myelography, cervical, radiological supervision and

interpretation
Myelography, cervical; complete procedure
Myelography, thoracic; complete procedure
Myelography, lumbosacral, radiological supervision and
interpretation
Myelography, lumbosacral; complete procedure
9086
72271
Myelography, entire spinal canal; complete procedure
72271
9087
9088
72275
72286
Epidurography, radiological supervision and interpretation

Diskography, cervical; complete procedure
72275
72286
72291

vertebroplasty, vertebral augmentation, or sacral
augmentation (sacroplasty), including cavity creation, per
vertebral body or sacrum; under fluoroscopic guidance
72291
9090
72292

vertebroplasty, vertebral augmentation, or sacral
augmentation (sacroplasty), including cavity creation, per
vertebral body or sacrum; under CT guidance
72292
9091
72295
9092
72296
9093
73041
9094
73086
9095
73116
9096
73201
9089
Computed tomography, lumbar spine; with contrast material

contents; thoracic
contents; lumbar
72132
72143
72144
Radiologic examination, pelvis; stereo

Computed tomographic angiography, pelvis, with contrast
72180
Computed tomography, pelvis; with contrast material(s)
72193
Diskography, lumbar, radiological supervision and

interpretation
Diskography, lumbar; complete procedure
Radiologic examination, shoulder, arthrography; complete
procedure
Radiologic examination, elbow, arthrography; complete
procedure
Radiologic examination, wrist, arthrography; complete
procedure
Computed tomography, upper extremity; with contrast
material(s)
72191
72240
72241
72256
72265
72266
72295
72296
73041
73086
73116
73201
9097
73219

other than joint; with contrast material(s)
73219
9098
73222

extremity; with contrast material(s)
73222
9099
73526
9100
73581
9101
73616
9102
73701
9103
73719

other than joint; with contrast material(s)
73719
9104
73722

extremity; with contrast material(s)
73722
9105
74160
Computed tomography, abdomen; with contrast material(s)
74160
9106
74182
Magnetic resonance (eg, proton) imaging, abdomen; with

74182
9107
74261
Computed tomographic (CT) colonography, diagnostic,

including image postprocessing; without contrast material
74261
9108
74262
Computed tomographic (CT) colonography, diagnostic,

including image postprocessing; with contrast material(s)
including non-contrast images, if performed
74262
9109
74263
9110
74321
9111
74351
9112
74356
9113
74361
Intraluminal dilation of strictures and/or obstructions (eg,

esophagus or biliary tree); complete procedure
74361
9114
74405
Urography (pyelography), intravenous, with or without KUB,

with or without tomography; with special hypertensive
contrast concentration and/or clearance studies
74405
9115
74426
Urography, antegrade, (pyelostogram, nephrostogram,

loopogram); complete procedure
74426
9116
74431
Cystography, minimum of three views; complete procedure
74431
9117
74441
Vasography, vesiculography, or epididymography; complete

procedure
74441
Radiologic examination, hip, arthrography; complete

procedure
Radiologic examination, knee, arthrography; complete
procedure
Radiologic examination, ankle, arthrography; complete
procedure
Computed tomography, lower extremity; with contrast
material(s)
Computed tomographic (CT) colonography, screening,

including image postprocessing
Cholangiography, percutaneous, transhepatic; complete
procedure
Percutaneous placement of gastrostomy tube; complete
procedure
Percutaneous placement of enteroclysis tube; complete
procedure
73526
73581
73616
73701
74263
74321
74351
74356
Corpora cavernosography, radiological supervision and

interpretation
Corpora cavernosography; complete procedure
Urethrocystography, retrograde; complete procedure
Urethrocystography, voiding; complete procedure
Radiologic examination, renal cyst study, translumbar,
contrast visualization, radiological supervision and
interpretation
Radiologic examination, renal cyst study, translumbar,
contrast visualization; complete procedure
9118
74445
9119
9120
9121
74446
74451
74456
9122
74470
9123
74471
9124
74476

drainage and/or injection, percutaneous, with fluoroscopic
monitoring and radiography; complete procedure
74476
9125
74481

renal pelvis for drainage and/or injection, percutaneous, with
fluoroscopic monitoring and radiography; complete
procedure
74481
9126
74486
Dilation of nephrostomy or ureters with fluoroscopic

monitoring and radiography; complete procedure
74486
9127
74720
Radiologic examination, abdomen, for fetal age, fetal

position and/or placental localization; single view
74720
9128
74741
9129
74775
9130
75500
9131
75501
9132
75505
9133
75506
9134
75507
9135
75509
9136
75519
9137
75520
9138
75523
9139
75524
9140
75527
Cardiac radiography, selective cardiac catheterization, right

and left side, radiological supervision and interpretation
75527
9141
75528

and left side; complete procedure
75528
Hysterosalpingography; complete procedure

Perineogram (eg, vaginogram, for sex determination or
extent of anomalies)
Angiocardiography by cineradiography, radiological
Angiocardiography by cineradiography; complete procedure
(including catheterization)
Angiocardiography by serialography, single plane,
Angiocardiography by serialography, single plane; complete
procedure (including catheterization)
Angiocardiography by serialography, multi-plane, radiological
Angiocardiogrphy by serialography, multi-plane; complete
procedure (including catheterization)
side, radiological supervision and interpretation
side; complete procedure
Cardiac radiography, selective cardiac catheterization, left
side, radiological supervision and interpretation
Cardiac radiography, selective cardiac catheterization, left
side; complete procedure
74445
74446
74451
74456
74470
74471
74741
74775
75500
75501
75505
75506
75507
75509
75519
75520
75523
75524
Cardiac magnetic resonance imaging for morphology and

function without contrast material;
function without contrast material; with flow/velocity
quantification
9142
75557
9143
75558
9144
75559

function without contrast material; with stress imaging
75559
9145
75560

function without contrast material; with flow/velocity
quantification and stress
75560
9146
75561

function without contrast material(s), followed by contrast
material(s) and further sequences;
75561
9147
75562

material(s) and further sequences; with flow/velocity
quantification
75562
9148
75563

material(s) and further sequences; with stress imaging
75563
9149
75564

material(s) and further sequences; with flow/velocity
quantification and stress
75564
9150
75565
Cardiac magnetic resonance imaging for velocity flow

mapping (List separately in addition to code for primary
procedure)
75565
9151
75571
Computed tomography, heart, without contrast material, with

quantitative evaluation of coronary calcium
75571
75572
Computed tomography, heart, with contrast material, for

evaluation of cardiac structure and morphology (including 3D
image postprocessing, assessment of cardiac function, and
evaluation of venous structures, if performed)
75572
75573
Computed tomography, heart, with contrast material, for

evaluation of cardiac structure and morphology in the setting
of congenital heart disease (including 3D image
postprocessing, assessment of LV cardiac function, RV
structure and function and evaluation of venous structures, if
performed)
75573
9154
75574
Computed tomographic angiography, heart, coronary

arteries and bypass grafts (when present), with contrast
material, including 3D image postprocessing (including
evaluation of cardiac structure and morphology, assessment
of cardiac function, and evaluation of venous structures, if
performed)
75574
9155
75601
Aortography, thoracic, without serialography; complete

procedure
75601
9152
9153
75557
75558
9156
75606
Aotography, thoracic, by serialography; complete procedure
9157
75620
9158
75626
9159
75631
9160
75651
9161
75659
9162
75661
9163
75663
9164
75667
9165
75672
9166
75677
9167
75681
9168
75686
Angiography, vertebral; direct puncture, complete procedure
75686
9169
75687
75687
9170
75690
9171
75692
9172
75695
9173
75697
9174
75706
9175
75711
9176
75717
9177
75723
9178
75725
9179
75727
9180
75732
9181
75734
9182
75737
9183
75742
Angiography, vertebral; catheter, complete procedure

Angiography, vertebral, cervical, unilateral; supervision and
interpretation only
Angiography, vertebral, cervical, unilateral; catheter,
complete procedure
Angiography, vertebral, cervical, bilateral; supervision and
interpretation only
Angiography, vertebral, cervical, bilateral; catheter, complete
procedure
Angiography, spinal, selective; complete procedure
Angiography, extremity, unilateral; without serialography,
complete procedure
Angiography, extremity, bilateral; without serialography,
complete procedure
Angiography, renal, unilateral, selective (including flush
aortogram); complete procedure
Angiography, renal, bilateral, selective (including flush
aortogram); complete procedure
Angiography, visceral; selective (with or without flush
aortogram), complete procedure
Angiography, adrenal, unilateral, selective; complete
procedure
Angiography, adrenal, bilateral, selective; complete
procedure
Angiography, pelvic; selective, complete procedure
Angiography, pulmonary, unilateral, selective; complete
procedure
Aortography, abdominal, translumbar, without serialography;

supervision and interpretation only
Aotography, abdominal, translumbar, by serialography;
complete procedure
Aotography, abdominal plus bilateral iliofemoral lower
extremity, catheter, by serialography; complete procedure
Angiography, cervicocerebral, catheter, including vessel
origin; complete procedure
Angiography, brachial, retrograde; complete procedure
Angiography, external carotid, cerebral, unilateral, selective;
complete procedure
Angiography, external carotid, cerebral, bilateral, selective;
complete procedure
Angiography, carotid, cerebral, unilateral; direct puncture,
complete procedure
Angiography, carotid, cerebral, bilateral; direct puncture,
complete procedure
Angiography, carotid, cervical, unilateral; direct puncture,
complete procedure
Angiography, carotid, cervical, bilateral; direct puncture,
complete procedure
75606
75620
75626
75631
75651
75659
75661
75663
75667
75672
75677
75681
75690
75692
75695
75697
75706
75711
75717
75723
75725
75727
75732
75734
75737
75742
Angiography, pulmonary, bilateral, selective; complete

procedure
Angiography, pulmonary; catheter, nonselective, complete
procedure
Angiography, coronary, root injection, radiological
9184
75744
9185
75747
9186
75750
9187
75751
Angiography, coronary, root injection; complete procedure
75751
9188
75752
Angiography, coronary, unilateral selective injection,

including left ventricular and supravalvular angiogram and
pressure recording, radiological supervision and
interpretation
75752
9189
75753
Angiography, coronary, unilateral selective injection,

including left ventricular and supravalvular angiogram and
pressure recording; complete procedure
75753
9190
75754
Angiography, coronary, bilateral selective injection, including

left ventricular and supravalvular angiogram and pressure
recording, radiological supervision and interpretation
75754
9191
75757
9192
75762
9193
75764
9194
75766
9195
75767
9196
75775
Angiography, internal mammary; complete procedure

Angiography, coronary bypass, unilateral selective injection,
Angiography, coronary bypass, unilateral selective injection;
complete procedure
Angiography, coronary bypass, multiple selective injection,
Angiography, coronary bypass, multiple selective injection;
complete procedure
Angiography, selective, each additional vessel studied after
basic examination; complete procedure
Angiography, arteriovenous shunt (eg, dialysis patient
fistula/graft), complete evaluation of dialysis access,
including fluoroscopy, image documentation and report
(includes injections of contrast and all necessary imaging
from the arterial anastomosis and adjacent artery through
entire venous outflow including the inferior or superior vena
cava), radiological supervision and interpretation
75744
75747
75750
75757
75762
75764
75766
75767
75775
9197
75791
75791
9198
75802
9199
75804
9200
75806
9201
75808
9202
75811
Lymphangiography, extremity only, unilateral; complete

procedure
Lymphangiography, extremity only bilateral; complete
procedure
Lymphangiography, pelvic/abdominal, unilateral; complete
procedure
Lymphangiography, pelvic/abdominal, bilateral; complete
procedure
Splenoportography; complete procedure
9203
75821
Venography, extremity, unilateral; complete procedure
75821
9204
75823
Venography, extremity, bilateral; complete procedure
75823
75802
75804
75806
75808
75811
Venography, caval, inferior, with serialography; complete

procedure
Venography, caval, superior, with serialography; complete
procedure
9205
75826
9206
75828
9207
75832
9208
75840
9209
75841
9210
75842
9211
75843
9212
75845
9213
75861
Venography, sinus or jugular, catheter; complete procedure
75861
9214
75873
75873
9215
75880
9216
75881
9217
75886
9218
75888
9219
75890
9220
75892
Venography, epidural; complete procedure

Venography, orbital, radiological supervision and
interpretation
Venography, orbital; complete procedure
Percutaneous transhepatic portography with hemodynamic
evaluation; complete procedure
Percutaneous transhepatic portography without
hemodynamic evaluation; complete procedure
Hepatic venography wedged or free, with hemodynamic
Hepatic venography, wedged or free, without hemodynamic
9221
75895
Transcatheter therapy, embolization (eg, particulate or

liquid), including angiography; complete procedure
75895
9222
75897
Transcatheter therapy, infusion (eg, thrombolysis other than

coronary), including angiography; complete procedure
75897
9223
75941
Percutaneous placement of IVC filter; complete procedure
75941
9224
75946
Intravascular ultrasound (non-coronary vessel), radiological

supervision and interpretation; each additional non-coronary
procedure)
75946
9225
75950
Transcatheter intravascular occlusion (eg, balloon),

temporary, including angiography; supervision and
interpretation only
75950
Venography, renal, unilateral, selective; complete procedure

Venography, adrenal, unilateral, selective, radiological
Venography, adrenal, unilateral, selective; complete
procedure
Venography, adrenal, bilateral, selective, radiological
Venography, adrenal, bilateral, selective; complete
procedure
Venography, azygos; selective or nonselective, supervision
and interpretation only
75826
75828
75832
75840
75841
75842
75843
75845
75880
75881
75886
75888
75890
75892
75956

intramural hematoma, or traumatic disruption); involving
if required, to level of celiac artery origin, radiological
75956
75957

intramural hematoma, or traumatic disruption); not involving
if required, to level of celiac artery origin, radiological
75957
75958

intramural hematoma, or traumatic disruption), radiological
75958
9229
75959
Placement of distal extension prosthesis(s) (delayed) after

endovascular repair of descending thoracic aorta, as
needed, to level of celiac origin, radiological supervision and
interpretation
75959
9230
75963
Percutaneous transluminal angioplasty, any method,

peripheral artery; complete procedure
75963
9231
75964
Transluminal balloon angioplasty, each additional peripheral

artery, radiological supervision and interpretation (List
75964
9232
75965
Percutaneous transluminal angioplasty, any method, each

additional peripheral artery; complete procedure
75965
9233
75967
Percutaneous transluminal angioplasty, any method, renal or

other visceral artery; complete procedure
75967
9234
75968
Transluminal balloon angioplasty, each additional visceral

artery, radiological supervision and interpretation (List
75968
9235
75969
Percutaneous transluminal angioplasty, any method, each

additional visceral artery; complete procedure
75969
9236
75970
9237
75971
9226
9227
9228
Transcatheter biopsy, radiological supervision and

interpretation
Transcatheter biopsy; complete procedure
75970
75971
75982
Percutaneous placement of drainage catheter for combined

internal and external biliary drainage or of a drainage stent
for internal biliary drainage in patients with an inoperable
mechanical biliary obstruction, radiological supervision and
interpretation
75982
9239
75983
Percutaneous placement of drainage catheter for combined

internal and external biliary drainage or of a drainage stent
for internal biliary drainage in patients with an inoperable
mechanical biliary obstruction; complete procedure
75983
9240
75984
Change of percutaneous tube or drainage catheter with

contrast monitoring (eg, genitourinary system, abscess),
75984
9241
75985
Change of percutaneous drainage catheter with contrast

monitoring (ie, biliary tract, urinary tract); complete
procedure
75985
75989
Radiological guidance (ie, fluoroscopy, ultrasound, or

computed tomography), for percutaneous drainage (eg,
abscess, specimen collection), with placement of catheter,
75989
9243
75990
Radiological guidance for percutaneous drainage of

abscess, or specimen collection (ie, fluoroscopy, ultrasound
or computed tomography), with or without placement of
indwelling catheter; complete procedure
75990
9244
75992
Transluminal atherectomy, peripheral artery, radiological

75992
9245
75993
Transluminal atherectomy, each additional peripheral artery,

radiological supervision and interpretation (List separately in
75993
9246
75994
9247
75995
9248
75996
Transluminal atherectomy, each additional visceral artery,

radiological supervision and interpretation (List separately in
75996
9249
76006
Manual application of stress performed by physician for joint

radiography, including contralateral joint if indicated
76006
9250
76062
9251
76065
9252
76077
9253
76081
9238
9242
Transluminal atherectomy, renal, radiological supervision

and interpretation
Transluminal atherectomy, visceral, radiological supervision
and interpretation
Radiologic examination, osseous survey; complete (axial

and appendicular skeleton)
Radiologic examination, osseous survey, infant
one or more sites; vertebral fracture assessment
Radiologic examination, fistula or sinus tract study; complete
procedure
75994
75995
76062
76065
76077
76081
Digitization of film radiographic images with computer

analysis for lesion detection and further physician review for
interpretation, mammography (List separately in addition to
9254
76085
9255
76087
9256
76089
9257
76095
Stereotactic localization guidance for breast biopsy or

needle placement (eg, for wire localization or for injection),
each lesion, radiological supervision and interpretation
76095
9258
76096
Mammographic guidance for needle placement, breast (eg,

for wire localization or for injection), each lesion, radiological
76096
9259
76097
Localization of breast nodule or calcification before

operation, with marker and confirmation of its position with
appropriate imaging (eg, radiologic or ultrasound); each
additional localization
76097
9260
76100
Radiologic examination, single plane body section (eg,

tomography), other than with urography
76100
9261
76101
Radiologic examination, complex motion (ie, hypercycloidal)

body section (eg, mastoid polytomography), other than with
urography; unilateral
76101
9262
76102
Radiologic examination, complex motion (ie, hypercycloidal)

body section (eg, mastoid polytomography), other than with
urography; bilateral
76102
9263
76120
9264
76125
9265
76140
9266
76150
9267
76361
9268
76365
9269
76366
9270
76376
Mammary ductogram or galactogram, single duct; complete

procedure
Mammary ductogram or galactogram, multiple ducts;
complete procedure
Cineradiography/videoradiography, except where specifically

included
Cineradiography/videoradiography to complement routine
examination (List separately in addition to code for primary
procedure)
Consultation on x-ray examination made elsewhere, written
report
Xeroradiography
Computerized tomography guidance for needle biopsy;
complete procedure
Computerized tomography guidance for cyst aspiration,
Computerized tomography guidance for cyst aspiration;
complete procedure
3D rendering with interpretation and reporting of computed
tomography, magnetic resonance imaging, ultrasound, or
other tomographic modality; not requiring image
postprocessing on an independent workstation
76085
76087
76089
76120
76125
76140
76150
76361
76365
76366
76376
9271
76377
3D rendering with interpretation and reporting of computed

tomography, magnetic resonance imaging, ultrasound, or
other tomographic modality; requiring image postprocessing
on an independent workstation
9272
76490
Ultrasound guidance for, and monitoring of, tissue ablation
9273
76496
9274
76497
9275
76498
9276
76499
9277
76510
9278
76620
9279
76627
9280
76629
9281
76632
9282
76776
Unlisted fluoroscopic procedure (eg, diagnostic,

interventional)
Unlisted computed tomography procedure (eg, diagnostic,
interventional)
Unlisted magnetic resonance procedure (eg, diagnostic,
interventional)
Unlisted diagnostic radiographic procedure
Ophthalmic ultrasound, diagnostic; B-scan and quantitative
A-scan performed during the same patient encounter
Echocardiography, M-mode; complete
Echocardiography, real-time with image documentation (2D);
complete
Echocardiography, M-mode and real time with image
documentation (2D)
Doppler echocardiography
Ultrasound, transplanted kidney, real time and duplex
Doppler with image documentation
76377
76490
76496
76497
76498
76499
76510
76620
76627
76629
76632
76776
76813

documentation, first trimester fetal nuchal translucency
measurement, transabdominal or transvaginal approach;
single or first gestation
76813
9284
76814

documentation, first trimester fetal nuchal translucency
measurement, transabdominal or transvaginal approach;
each additional gestation (List separately in addition to code
76814
9285
9286
76820
76821
9287
76826
9288
76828
Doppler echocardiography, fetal, pulsed wave and/or

continuous wave with spectral display; follow-up or repeat
study
76828
9289
76857
Ultrasound, pelvic (nonobstetric), real time with image

documentation; limited or follow-up (eg, for follicles)
76857
9290
76873
Ultrasound, transrectal; prostate volume study for

brachytherapy treatment planning (separate procedure)
76873
9291
76886
Ultrasound, infant hips, real time with imaging

documentation; limited, static (not requiring physician
manipulation)
76886
9283
Doppler velocimetry, fetal; umbilical artery

Doppler velocimetry, fetal; middle cerebral artery
Echocardiography, fetal, cardiovascular system, real time
with image documentation (2D), with or without M-mode
recording; follow-up or repeat study
76820
76821
76826
Echography, peripheral vascular system (eg, B-scan,

Doppler or real-time scan)
Echography, head and trunk, vascular system (eg, duplex
Doppler)
Ultrasonic guidance for pericardiocentesis; complete
procedure
Ultrasonic guidance for endomyocardial biopsy; complete
procedure
9292
76925
9293
76926
9294
76931
9295
76933
9296
76934
Ultrasonic guidance for thoracentesis or abdominal

paracentesis, radiological supervision and interpretation
76934
9297
76935
Ultrasonic guidance for thoracentesis; complete procedure
76935
9298
76938
Ultrasonic guidance for cyst (any location) or renal pelvis

aspiration, radiological supervision and interpretation
76938
9299
76939
Ultrasonic guidance for cyst (any location), or renal pelvis

aspiration; complete procedure
76939
9300
76943
Ultrasonic guidance for needle biopsy; complete procedure
76943
9301
76947
Ultrasonic guidance for amniocentesis; complete procedure
76947
9302
76949
Ultrasonic guidance for aspiration of ova; complete

procedure
76949
9303
76960
Ultrasonic guidance for placement of radiation therapy fields,

except for B-scan echography
76960
9304
76965
Ultrasonic guidance for interstitial radioelement application
76965
9305
76970
76970
9306
76975
Ultrasound study follow-up (specify)

Gastrointestinal endoscopic ultrasound, supervision and
interpretation
9307
76991
Intraluminal ultrasound study (eg, transrectal, transvaginal)
76991
9308
76998
76998
9309
76999
Ultrasonic guidance, intraoperative

Unlisted ultrasound procedure (eg, diagnostic,
interventional)
9310
77001
Fluoroscopic guidance for central venous access device

placement, replacement (catheter only or complete), or
removal (includes fluoroscopic guidance for vascular access
and catheter manipulation, any necessary contrast injections
through access site or catheter with related venography
radiologic supervision and interpretation, and radiographic
documentation of final catheter position) (List separately in
9311
77002
Fluoroscopic guidance for needle placement (eg, biopsy,

aspiration, injection, localization device)
76925
76926
76931
76933
76975
76999
77001
77002
9312
77003
Fluoroscopic guidance and localization of needle or catheter

tip for spine or paraspinous diagnostic or therapeutic
injection procedures (epidural, transforaminal epidural,
subarachnoid, or sacroiliac joint), including neurolytic agent
destruction
9313
77011
Computed tomography guidance for stereotactic localization
77011
9314
77012
Computed tomography guidance for needle placement (eg,

biopsy, aspiration, injection, localization device), radiological
77012
9315
77013
9316
77014
Computed tomography guidance for, and monitoring of,

parenchymal tissue ablation
Computed tomography guidance for placement of radiation
therapy fields
77003
77013
77014
9317
77021
Magnetic resonance guidance for needle placement (eg, for

biopsy, needle aspiration, injection, or placement of
localization device) radiological supervision and
interpretation
9318
77022
Magnetic resonance guidance for, and monitoring of,

parenchymal tissue ablation
77022
9319
77031
Stereotactic localization guidance for breast biopsy or

needle placement (eg, for wire localization or for injection),
each lesion, radiological supervision and interpretation
77031
9320
77032
Mammographic guidance for needle placement, breast (eg,

for wire localization or for injection), each lesion, radiological
77032
77051
Computer-aided detection (computer algorithm analysis of

radiographic images; diagnostic mammography (List
77051
9322
77052
Computer-aided detection (computer algorithm analysis of

radiographic images; screening mammography (List
77052
9323
77053
9324
77054
9325
9326
77055
77056
9327
77057
9321
Mammary ductogram or galactogram, single duct,

Mammary ductogram or galactogram, multiple ducts,
Mammography; unilateral
Mammography; bilateral
Screening mammography, bilateral (2-view film study of
each breast)
77021
77053
77054
77055
77056
77057

contrast material(s); unilateral
contrast material(s); bilateral
9328
77058
9329
77059
9330
77071
Manual application of stress performed by physician for joint

radiography, including contralateral joint if indicated
77071
9331
77072
Bone age studies
77072
9332
77073
Bone length studies (orthoroentgenogram, scanogram)
77073
9333
77074
9334
77075
9335
77076
Radiologic examination, osseous survey; limited (eg, for

metastases)
Radiologic examination, osseous survey; complete (axial
and appendicular skeleton)
Radiologic examination, osseous survey, infant
9336
77077
Joint survey, single view, 2 or more joints (specify)
77077
9337
77078
Computed tomography, bone mineral density study, 1 or

more sites; axial skeleton (eg, hips, pelvis, spine)
77078
9338
77079
Computed tomography, bone mineral density study, 1 or

more sites; appendicular skeleton (peripheral) (eg, radius,
wrist, heel)
77079
9339
77080
Dual-energy X-ray absorptiometry (DXA), bone density

study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)
77080
9340
77081

study, 1 or more sites; appendicular skeleton (peripheral)
(eg, radius, wrist, heel)
77081
9341
77082

study, 1 or more sites; vertebral fracture assessment
77082
9342
77083
9343
77084
9344
77261
Therapeutic radiology treatment planning; simple
77261
9345
77262
Therapeutic radiology treatment planning; intermediate
77262
9346
77263
Therapeutic radiology treatment planning; complex
77263
9347
77280
Therapeutic radiology simulation-aided field setting; simple
77280
9348
77285
Therapeutic radiology simulation-aided field setting;

intermediate
77285
9349
77290
Therapeutic radiology simulation-aided field setting; complex
77290
9350
77295
Therapeutic radiology simulation-aided field setting; 3dimensional
77295
Radiographic absorptiometry (eg, photodensitometry,

radiogrammetry), 1 or more sites
Magnetic resonance (eg, proton) imaging, bone marrow
blood supply
77058
77059
77074
77075
77076
77083
77084
9351
77299
Unlisted procedure, therapeutic radiology clinical treatment

planning
77299
9352
77305

calculated); simple (1 or 2 parallel opposed unmodified ports
directed to a single area of interest)
77305
9353
77321
Special teletherapy port plan, particles, hemibody, total body
77321
9354
77326
Brachytherapy isodose plan; simple (calculation made from

single plane, 1 to 4 sources/ribbon application, remote
afterloading brachytherapy, 1 to 8 sources)
77326
9355
77328
Brachytherapy isodose plan; complex (multiplane isodose

plan, volume implant calculations, over 10 sources/ribbons
used, special spatial reconstruction, remote afterloading
brachytherapy, over 12 sources)
77328
9356
77333
Treatment devices, design and construction; intermediate

(multiple blocks, stents, bite blocks, special bolus)
77333
9357
77334
Treatment devices, design and construction; complex

(irregular blocks, special shields, compensators, wedges,
molds or casts)
77334
9358
77336
Continuing medical physics consultation, including

assessment of treatment parameters, quality assurance of
dose delivery, and review of patient treatment
documentation in support of the radiation oncologist,
reported per week of therapy
77336
9359
77338
9360
77370
9361
77371
Radiation treatment delivery, stereotactic radiosurgery

(SRS), complete course of treatment of cranial lesion(s)
consisting of 1 session; multi-source Cobalt 60 based
77371
9362
77372
Radiation treatment delivery, stereotactic radiosurgery

(SRS), complete course of treatment of cranial lesion(s)
consisting of 1 session; linear accelerator based
77372
9363
77373
Stereotactic body radiation therapy, treatment delivery, per

fraction to 1 or more lesions, including image guidance,
entire course not to exceed 5 fractions
77373
9364
77380
Proton beam delivery to a single treatment area, single port,

custom block, with or without compensation, with treatment
set-up and verification images
77380
9365
77381
Proton beam treatment to one or two treatment areas, two or

more ports, two or more custom blocks, and two or more
compensators, with treatment set-up and verification images
77381
Multi-leaf collimator (MLC) device(s) for intensity modulated

radiation therapy (IMRT), design and construction per IMRT
plan
Special medical radiation physics consultation
77338
77370
9366
77399
Unlisted procedure, medical radiation physics, dosimetry

and treatment devices, and special services
77399
9367
77400
Daily megavoltage treatment management; simple
77400
9368
77401
Radiation treatment delivery, superficial and/or ortho voltage
77401
9369
77402
Radiation treatment delivery, single treatment area, single

port or parallel opposed ports, simple blocks or no blocks; up
to 5 MeV
77402
9370
77403

port or parallel opposed ports, simple blocks or no blocks; 610 MeV
77403
9371
77404

port or parallel opposed ports, simple blocks or no blocks;
11-19 MeV
77404
9372
77405
Daily megavoltage treatment management; intermediate
77405
9373
77406

port or parallel opposed ports, simple blocks or no blocks; 20
MeV or greater
77406
9374
77407
Radiation treatment delivery, 2 separate treatment areas, 3

or more ports on a single treatment area, use of multiple
blocks; up to 5 MeV
77407
9375
77408
Radiation treatment delivery, two separate treatment areas,

three or more ports on a single treatment area, use of
multiple blocks; 6-10 MeV
77408
9376
77409

multiple blocks; 11-19 MeV
77409
9377
77410
Daily megavoltage treatment management; complex
77410
9378
77411

multiple blocks; 20 MeV or greater
77411
9379
77412
Radiation treatment delivery, 3 or more separate treatment

areas, custom blocking, tangential ports, wedges, rotational
beam, compensators, electron beam; up to 5 MeV
77412
9380
77413
Radiation treatment delivery, three or more separate

treatment areas, custom blocking, tangential ports, wedges,
rotational beam, compensators, electron beam; 6-10 MeV
77413
9381
77414

rotational beam, compensators, electron beam; 11-19 MeV
77414
9382
77415
Therapeutic radiology treatment port film interpretation and

verification, per treatment course
rotational beam, compensators, electron beam; 20 MeV or
greater
Therapeutic radiology port film(s)
Weekly radiation therapy management; conformal
77415
9383
77416
77416
9384
9385
77417
77419
9386
77421
Stereoscopic X-ray guidance for localization of target volume

for the delivery of radiation therapy
77421
9387
77423
High energy neutron radiation treatment delivery; 1 or more

isocenter(s) with coplanar or non-coplanar geometry with
blocking and/or wedge, and/or compensator(s)
77423
9388
77435
Stereotactic body radiation therapy, treatment management,

per treatment course, to 1 or more lesions, including image
guidance, entire course not to exceed 5 fractions
77435
9389
77465
9390
77499
9391
77417
77419
Daily kilovoltage treatment management

Unlisted procedure, therapeutic radiology treatment
management
77465
77520
Proton treatment delivery; simple, without compensation
77520
9392
77522
Proton treatment delivery; simple, with compensation
77522
9393
9394
77523
77525
Proton treatment delivery; intermediate

Proton treatment delivery; complex
77523
77525
9395
77600
Hyperthermia, externally generated; superficial (ie, heating

to a depth of 4 cm or less)
77600
9396
77605
Hyperthermia, externally generated; deep (ie, heating to

depths greater than 4 cm)
77605
9397
77610
9398
77615
9399
77620
Hyperthermia generated by interstitial probe(s); 5 or fewer

interstitial applicators
Hyperthermia generated by interstitial probe(s); more than 5
interstitial applicators
Hyperthermia generated by intracavitary probe(s)
9400
77762
Intracavitary radiation source application; intermediate
77762
9401
77777
Interstitial radiation source application; intermediate
77777
9402
77778
77778
9403
77786
9404
77787
9405
9406
77790
77799
Interstitial radiation source application; complex

brachytherapy; 2-12 channels
brachytherapy; over 12 channels
Supervision, handling, loading of radiation source
Unlisted procedure, clinical brachytherapy
9407
78015
Thyroid carcinoma metastases imaging; limited area (eg,

neck and chest only)
77499
77610
77615
77620
77786
77787
77790
77799
78015
9408
78016
Thyroid carcinoma metastases imaging; with additional

studies (eg, urinary recovery)
78016
9409
78017
Thyroid carcinoma metastases imaging; multiple areas
78017
9410
78099
Unlisted endocrine procedure, diagnostic nuclear medicine
78099
9411
9412
78103
78104
78103
78104
9413
78111
9414
78121
9415
78130
Bone marrow imaging; multiple areas

Bone marrow imaging; whole body
Plasma volume, radiopharmaceutical volume-dilution
technique (separate procedure); multiple samplings
Red cell volume determination (separate procedure);
multiple samplings
Red cell survival study;
9416
78135
Red cell survival study; differential organ/tissue kinetics (eg,

splenic and/or hepatic sequestration)
78135
9417
78140
Labeled red cell sequestration, differential organ/tissue (eg,

splenic and/or hepatic)
78140
9418
78160
Plasma radioiron disappearance (turnover) rate
78160
9419
9420
9421
9422
78162
78170
78172
78186
78162
78170
78172
78186
9423
78190
Radioiron oral absorption

Radioiron red cell utilization
Chelatable iron for estimation of total body iron
Spleen imaging only; with vascular flow
Kinetics, study of platelet survival, with or without differential
organ/tissue localization
9424
78192
White blood cell localization; limited area scanning
78192
9425
78193
White blood cell localization; whole body
78193
9426
78216
Liver and spleen imaging; with vascular flow
78216
9427
78225
Liver-lung imaging (eg, subphrenic abscess)
78225
9428
78231
78231
9429
78270
9430
78271
9431
9432
78276
78282
9433
78291
9434
78299
9435
9436
9437
78305
78306
78310
Salivary gland imaging; with serial images

Vitamin B-12 absorption study (eg, Schilling test); without
intrinsic factor
Vitamin B-12 absorption study (eg, Schilling test); with
intrinsic factor
Gastrointestinal aspirate blood loss localization
Gastrointestinal protein loss
Peritoneal-venous shunt patency test (eg, for LeVeen,
Denver shunt)
Unlisted gastrointestinal procedure, diagnostic nuclear
medicine
Bone and/or joint imaging; multiple areas
Bone and/or joint imaging; whole body
vascular flow only
9438
78351
Bone density (bone mineral content) study, 1 or more sites;

dual photon absorptiometry, 1 or more sites
78351
9439
78380
Joint imaging; limited area
78380
78111
78121
78130
78190
78270
78271
78276
78282
78291
78299
78305
78306
78310
78399
Unlisted musculoskeletal procedure, diagnostic nuclear

medicine
78399
9441
78414
Determination of central c-v hemodynamics (non-imaging)

(eg, ejection fraction with probe technique) with or without
pharmacologic intervention or exercise, single or multiple
determinations
78414
9442
78415
9443
9444
78425
78428
Cardiac blood pool imaging, functional imaging (eg, phase

and amplitude analysis)
Cardiac regurgitant index
Cardiac shunt detection
9445
78435
Cardiac flow imaging (ie, angiocardiography)
78435
9446
78445
Non-cardiac vascular flow imaging (ie, angiography,

venography)
78445
78451
Myocardial perfusion imaging, tomographic (SPECT)

(including attenuation correction, qualitative or quantitative
wall motion, ejection fraction by first pass or gated
technique, additional quantification, when performed); single
study, at rest or stress (exercise or pharmacologic)
78451
78452
Myocardial perfusion imaging, tomographic (SPECT)

(including attenuation correction, qualitative or quantitative
wall motion, ejection fraction by first pass or gated
technique, additional quantification, when performed);
multiple studies, at rest and/or stress (exercise or
pharmacologic) and/or redistribution and/or rest reinjection
78452
78453
Myocardial perfusion imaging, planar (including qualitative or

quantitative wall motion, ejection fraction by first pass or
gated technique, additional quantification, when performed);
single study, at rest or stress (exercise or pharmacologic)
78453
9450
78454
Myocardial perfusion imaging, planar (including qualitative or

quantitative wall motion, ejection fraction by first pass or
gated technique, additional quantification, when performed);
multiple studies, at rest and/or stress (exercise or
pharmacologic) and/or redistribution and/or rest reinjection
78454
9451
78457
9452
78459
9453
78460
9440
9447
9448
9449
Venous thrombosis imaging, venogram; unilateral

Myocardial perfusion imaging; (planar) single study, at rest
or stress (exercise and/or pharmacologic), with or without
quantification
9454
78464
Myocardial perfusion imaging; tomographic (SPECT), single

study (including attenuation correction when performed), at
rest or stress (exercise and/or pharmacologic), with or
without quantification
9455
78466
Myocardial imaging, infarct avid, planar; qualitative or

quantitative
78415
78425
78428
78457
78459
78460
78464
78466
9456
78467
9457
78468
9458
78470
9459
78471
Cardiac blood pool imaging, gated equilibrium, at rest, wall

motion study plus ejection fraction
78471
78472
Cardiac blood pool imaging, gated equilibrium; planar, single

study at rest or stress (exercise and/or pharmacologic), wall
motion study plus ejection fraction, with or without additional
quantitative processing
78472
9461
78473
Cardiac blood pool imaging, gated equilibrium; multiple

studies, wall motion study plus ejection fraction, at rest and
stress (exercise and/or pharmacologic), with or without
additional quantification
78473
9462
78474
Cardiac blood pool imaging, gated equilibrium, at rest;

ventricular volume determination
78474
9463
78475
9464
78479
9465
78499
9466
78581
Cardiac blood pool imaging, gated equilibrium, at rest;

quantitative wall motion study, with exercise and/or
Cardiac blood pool imaging, gated equilibrium, at rest; serial
studies, any combination
Unlisted cardiovascular procedure, diagnostic nuclear
medicine
Pulmonary perfusion imaging; gaseous
9467
78586
Pulmonary ventilation imaging, aerosol; single projection
78586
9468
78593
Pulmonary ventilation imaging, gaseous, with rebreathing

and washout with or without single breath; single projection
78593
9469
78594
Pulmonary ventilation imaging, gaseous, with rebreathing

and washout with or without single breath; multiple
projections (eg, anterior, posterior, lateral views)
78594
9470
78596
Pulmonary quantitative differential function

(ventilation/perfusion) study
78596
9471
78599
Unlisted respiratory procedure, diagnostic nuclear medicine
78599
9472
78600
Brain imaging, less than 4 static views;
78600
9473
78601
Brain imaging, less than 4 static views; with vascular flow
78601
9474
78605
Brain imaging, minimum 4 static views;
78605
9475
78615
Cerebral vascular flow
78615
9476
78650
Cerebrospinal fluid leakage detection and localization
78650
9477
78699
Unlisted nervous system procedure, diagnostic nuclear

medicine
78699
9460
Myocardial imaging, infarct avid, at rest; quantitative

Myocardial imaging, infarct avid, planar; with ejection fraction
by first pass technique
Cardiac output
78467
78468
78470
78475
78479
78499
78581
9478
78709

multiple studies, with and without pharmacological
intervention (eg, angiotensin converting enzyme inhibitor
and/or diuretic)
9479
78725
Kidney function study, non-imaging radioisotopic study
78725
9480
78726
Kidney function study including pharmacologic intervention
78726
9481
78727
78727
9482
78799
9483
78800
9484
78805
9485
78810
9486
78811
9487
78812
Kidney transplant evaluation

Unlisted genitourinary procedure, diagnostic nuclear
medicine
radiopharmaceutical agent(s); limited area
limited area
Tumor imaging, positron emission tomography (PET),
Positron emission tomography (PET) imaging; limited area
(eg, chest, head/neck)
Positron emission tomography (PET) imaging; skull base to
mid-thigh
9488
78813
Positron emission tomography (PET) imaging; whole body
78813
78814
Positron emission tomography (PET) with concurrently

acquired computed tomography (CT) for attenuation
correction and anatomical localization imaging; limited area
(eg, chest, head/neck)
78814
9490
78815

correction and anatomical localization imaging; skull base to
mid-thigh
78815
9491
78816

correction and anatomical localization imaging; whole body
78816
9492
78990
9493
78999
9494
9489
78709
78799
78800
78805
78810
78811
78812
78990
79005
Provision of diagnostic radiopharmaceutical(s)

Unlisted miscellaneous procedure, diagnostic nuclear
medicine
Radiopharmaceutical therapy, by oral administration
9495
79101
Radiopharmaceutical therapy, by intravenous administration
79101
9496
79200
Radiopharmaceutical therapy, by intracavitary administration
79200
9497
79300
9498
79400
9499
79403
9500
79420
Radiopharmaceutical therapy, by interstitial radioactive

colloid administration
Radiopharmaceutical therapy, nonthyroid, nonhematologic
by intravenous injection
Radiopharmaceutical therapy, radiolabeled monoclonal
antibody by intravenous infusion
Intravascular radiopharmaceutical therapy, particulate
78999
79005
79300
79400
79403
79420
9501
79440
9502
79445
9503
79999
Radiopharmaceutical therapy, by intra-articular

administration
Radiopharmaceutical therapy, by intra-arterial particulate
administration
Radiopharmaceutical therapy, unlisted procedure
9504
80002
Automated multichannel test; 1 or 2 clinical chemistry test(s)
80002
9505
80031
Therapeutic quantitative drug monitoring in body fluids

and/or excreta (if drug not specified by individual code
number) (specify drug)
80031
9506
80040
Serum radioimmunoassay for circulating antibiotic levels
80040
9507
80042
Serum antimicrobial level, bioassay method
80042
80049
Basic metabolic panel This panel must include the following:

Carbon dioxide (82374) Chloride (82435) Creatinine (82565)
Glucose (82947) Potassium (84132) Sodium (84295) Urea
Nitrogen (BUN) (84520)
80049
9509
80050
General health panel. This panel must include the following:

Comprehensive metabolic panel (80053). Blood count,
complete (CBC), automated and automated differential WBC
count (85025 or 85027 and 85004), OR Blood count,
complete (CBC), automated (85027) and appropriate
manual differential WBC count (85007 or 85009), Thyroid
stimulating hormone (TSH) (84443)
80050
9510
80052
Pre-marital profile
80052
80053
Comprehensive metabolic panel. This panel must include

the following: Albumin (82040), Bilirubin, total (82247),
Calcium, total (82310), Carbon dioxide (bicarbonate)
(82374), Chloride (82435), Creatinine (82565), Glucose
(82947), Phosphatase, alkaline (84075), Potassium (84132),
Protein, total (84155), Sodium (84295), Transferase, alanine
amino (ALT) (SGPT) (84460), Transferase, aspartate amino
(AST) (SGOT) (84450), Urea Nitrogen (BUN) (84520)
80053
9512
80054
Comprehensive metabolic panel This panel must include the

following: Albumin (82040) Bilirubin, total (82247) Calcium
(82310) Carbon dioxide (bicarbonate) (82374) Chloride
(82435) Creatinine (82565) Glucose (82947) Phosphatase,
alkaline (84075) Potassium (84132) Protein, total (84155)
Sodium (84295) Transferase, aspartate amino (AST)
(SGOT) (84450) Urea Nitrogen (BUN) (84520)
80054
9513
9514
80056
80060
Amenorrhea profile
Hypertension panel
80056
80060
9515
80064
Cardiac injury panel; with creatine phosphokinase (CPK)

and/or lactic dehydrogenase (LDH) isoenzyme determination
80064
9516
9517
9518
80065
80066
80067
Metabolic panel
Malabsorption panel
Pulmonary (lung function) panel
80065
80066
80067
9508
9511
79440
79445
79999
9519
80068
Lung maturity profile
80068
9520
80069
Renal function panel. This panel must include the following:

Albumin (82040), Calcium, total (82310), Carbon dioxide
(bicarbonate) (82374), Chloride (82435), Creatinine (82565),
Glucose (82947), Phosphorus inorganic (phosphate)
(84100), Potassium (84132), Sodium (84295), Urea nitrogen
(BUN) (84520)
80069
9521
80070
Thyroid panel;
80070
9522
80071
Thyroid panel; with thyrotropin releasing hormone (TRH)
80071
9523
80072
Arthritis panel This panel must include the following: Uric

acid, blood, chemical (84550) Sedimentation rate,
erythrocyte, non-automated (85651) Fluorescent antibody,
screen, each antibody (86255) Rheumatoid factor,
qualitative (86430)
80072
9524
80073
Renal panel
80073
9525
80074
Acute hepatitis panel. This panel must include the following:

Hepatitis A antibody (HAAb), IgM antibody (86709), Hepatitis
B core antibody (HbcAb), IgM antibody (86705), Hepatitis B
surface antigen (HbsAg) (87340), Hepatitis C antibody
(86803)
80074
9526
9527
9528
9529
9530
9531
80075
80080
80082
80084
80085
80086
9532
80088
9533
80091
Thyroid panel This panel must include the following tests:

Thyroxine, total (84436) Thyroid hormone (T3 or T4) uptake
or thyroid hormone binding ratio (THBR) (84479)
80091
9534
80092
Thyroid panel This panel must include the following tests:

Thyroxine, total (84436) Thyroid hormone (T3 or T4) uptake
or thyroid hormone binding ratio (THBR) (84479) with thyroid
stimulating hormone (TSH) (84443)
80092
9535
80099
9536
80100
9537
80101
9538
9539
9540
9541
9542
80102
80103
80173
80195
80299
9543
80500
Parathyroid panel
Prostatic panel
Pancreatic panel
Pituitary panel
Microcytic anemia panel
Macrocytic anemia panel
Transition panel (for management of patient with proven
metastatic disease)
Unlisted panel
Drug screen, qualitative; multiple drug classes
chromatographic method, each procedure
Drug screen, qualitative; single drug class method (eg,
immunoassay, enzyme assay), each drug class
Drug confirmation, each procedure
Tissue preparation for drug analysis
Haloperidol
Sirolimus
Quantitation of drug, not elsewhere specified
Clinical pathology consultation; limited, without review of
patient's history and medical records
80075
80080
80082
80084
80085
80086
80088
80099
80100
80101
80102
80103
80173
80195
80299
80500
9544
80502
Clinical pathology consultation; comprehensive, for a

complex diagnostic problem, with review of patient's history
and medical records
80502
9545
81004
Urinalysis; components, single, not otherwise listed, specify
81004
9546
81010
Urinalysis; concentration and dilution test
81010
9547
81030
9548
9549
9550
9551
9552
9553
9554
9555
82005
82011
82012
82015
82016
82017
82035
82045
Quantitative sediment analysis and quantitative protein

(Addis count)
Acetoacetic acid
Acetylsalicylic acid; quantitative
Acetylsalicylic acid; qualitative
Acidity, titratable, urine
Acylcarnitines; qualitative, each specimen
Acylcarnitines; quantitative, each specimen
Adenosine; 5'-triphosphate, blood
Albumin; ischemia modified
9556
82060
Alcohol (ethanol), blood; by gas-liquid chromatography
82060
9557
9558
9559
9560
9561
9562
9563
9564
9565
9566
82072
82076
82086
82087
82089
82091
82095
82096
82100
82104
82072
82076
82086
82087
82089
82091
82095
82096
82100
82104
9567
82107
9568
9569
9570
9571
9572
82112
82120
82126
82127
82128
Alcohol (ethanol) gelation

Alcohol; isopropyl
Aldolase, blood; colorimetric
Aldosterone; double isotope technique
Aldosterone; RIA, urine
Aldosterone; saline infusion test
Alkaloids, tissue; screening
Alkaloids, tissue; quantitative
Alkaloids, urine; screening
Alpha-1-antitrypsin; phenotype
Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total
AFP (including ratio)
Amikacin
Amines, vaginal fluid, qualitative
Amino acid nitrogen, alpha
Amino acids; single, qualitative, each specimen
Amino acids; multiple, qualitative, each specimen
9573
82130
Amino acids, urine or plasma, chromatographic fractionation
82130
9574
9575
82131
82134
82131
82134
9576
82136
9577
9578
82137
82138
9579
82139
9580
9581
9582
9583
9584
9585
9586
82141
82142
82154
82156
82159
82160
82165
Amino acids; single, quantitative, each specimen

Aminohippurate, para (PAH)
Amino acids, 2 to 5 amino acids, quantitative, each
specimen
Aminophylline
Amitriptyline
Amino acids, 6 or more amino acids, quantitative, each
specimen
Ammonia; urine
Ammonium chloride loading test
Androstanediol glucuronide
Amylase, urine (diastase)
Androsterone;
Androsterone
Aniline
81030
82005
82011
82012
82015
82016
82017
82035
82045
82107
82112
82120
82126
82127
82128
82136
82137
82138
82139
82141
82142
82154
82156
82159
82160
82165
9587
9588
9589
9590
9591
9592
9593
9594
9595
9596
9597
9598
9599
9600
9601
9602
9603
9604
82168
82170
82173
82190
82205
82210
82225
82231
82235
82240
82245
82250
82251
82252
82260
82261
82265
82268
9605
82271
9606
82272
9607
82273
9608
82274
9609
9610
9611
9612
9613
9614
9615
9616
9617
9618
9619
9620
9621
9622
9623
9624
9625
9626
9627
9628
9629
9630
9631
9632
82280
82286
82290
82300
82305
82306
82315
82331
82335
82365
82370
82372
82373
82374
82375
82376
82380
82397
82400
82405
82418
82437
82438
82441
Antihistamines
Antimony, urine
Arginine tolerance test
Atomic absorption spectroscopy, each analyte
Barbiturates, not elsewhere specified
Barbiturates; quantitative and identification
Barium
Beta-2 microglobulin, RIA; urine
Bicarbonate excretion, urine
Bile acids; cholylglycine
Bile pigments, urine
Bilirubin; total OR direct
Bilirubin; total AND direct
Bilirubin; feces, qualitative
Bilirubin; urine, quantitative
Biotinidase, each specimen
Bilirubin; amniotic fluid, quantitative
Bismuth
other sources
Blood, occult, by peroxidase activity (eg, guaiac), qualitative,
feces, 1-3 simultaneous determinations, performed for other
than colorectal neoplasm screening
other sources
Blood, occult, by fecal hemoglobin determination by
immunoassay, qualitative, feces, 1-3 simultaneous
determinations
Boric acid; blood
Bradykinin
Bromides; blood
Cadmium
Caffeine
Vitamin D; 25 hydroxy, includes fraction(s), if performed
Calcium, blood; fluorometric
Calcium; after calcium infusion test
Calcium, urine; qualitative (Sulkowitch)
Calculus; infrared spectroscopy
Calculus; x-ray diffraction
Carbamazepine, serum
Carbohydrate deficient transferrin
Carbon dioxide (bicarbonate)
Carboxyhemoglobin; quantitative
Carboxyhemoglobin; qualitative
Carotene
Chemiluminescent assay
Chloral hydrate; blood
Chloral hydrate; urine
Chlorazepate dipotassium
Chlorides; sweat (without iontophoresis)
Chloride; other source
Chlorinated hydrocarbons, screen
82168
82170
82173
82190
82205
82210
82225
82231
82235
82240
82245
82250
82251
82252
82260
82261
82265
82268
82271
82272
82273
82274
82280
82286
82290
82300
82305
82306
82315
82331
82335
82365
82370
82372
82373
82374
82375
82376
82380
82397
82400
82405
82418
82437
82438
82441
9633
9634
9635
9636
82443
82470
82484
82485
Chlorothiazide-hydrochlorothiazide
Cholesterol, serum; total and esters
Cholinesterase; serum and RBC
Chondroitin B sulfate, quantitative
Chromatography, qualitative; paper, 1-dimensional, analyte
not elsewhere specified
Chromatography, qualitative; paper, 2-dimensional, analyte
not elsewhere specified
Chromatography, qualitative; thin layer, analyte not
elsewhere specified
Chromatography, quantitative, column (eg, gas liquid or
HPLC); multiple analytes, single stationary and mobile
phase
Clonazepam
Collagen cross links, any method
Copper; urine
Cortisol; fluorometric, plasma
Cortisol; CPB, plasma
Cortisol; RIA, urine
Cortisol; after adrenocorticotropic hormone (ACTH)
administration
82443
82470
82484
82485
9637
82487
9638
82488
9639
82489
9640
82492
9641
9642
9643
9644
9645
9646
82512
82523
82526
82529
82531
82534
9647
82536
9648
82537
Cortisol; 48 hours after continuous ACTH infusion
82537
9649
82538
Cortisol; after metyrapone tartrate administration
82538
9650
82539
Cortisol; dexamethasone suppression test, plasma and/or

urine
82539
9651
82541
Column chromatography/mass spectrometry (eg, GC/MS, or

HPLC/MS), analyte not elsewhere specified; qualitative,
single stationary and mobile phase
82541
9652
82542

HPLC/MS), analyte not elsewhere specified; quantitative,
single stationary and mobile phase
82542
82543

HPLC/MS), analyte not elsewhere specified; stable isotope
dilution, single analyte, quantitative, single stationary and
mobile phase
82543
9654
82544

HPLC/MS), analyte not elsewhere specified; stable isotope
dilution, multiple analytes, quantitative, single stationary and
mobile phase
82544
9655
9656
9657
9658
9659
9660
9661
9662
82545
82546
82552
82554
82555
82570
82575
82585
Creatine; urine
Creatine and creatinine
Creatine kinase (CK), (CPK); isoenzymes
Creatine kinase (CK), (CPK); isoforms
Creatine phosphokinase (CPK), blood; colorimetric
Creatinine; other source
Creatinine; clearance
Cryofibrinogen
82545
82546
82552
82554
82555
82570
82575
82585
9653
82487
82488
82489
82492
82512
82523
82526
82529
82531
82534
82536
9663
82595
Cryoglobulin, qualitative or semi-quantitative (eg, cryocrit)
82595
9664
9665
82601
82606
82601
82606
9666
82608
9667
9668
9669
9670
9671
9672
9673
9674
9675
9676
9677
9678
9679
9680
82610
82615
82620
82624
82628
82635
82636
82638
82639
82640
82643
82646
82649
82654
9681
82656
9682
82657
Cyanide; tissue
Cyanocobalamin (Vitamin B-12); bioassay
Cyanocobalamin (Vitamin B-12); unsaturated binding
capacity
Cystatin C
Cystine and homocystine, urine, qualitative
Cystine and homocystine, urine; quantitative
Cystine aminopeptidase
Desipramine
Diacetic acid
Diazepam
Dibucaine number
Dicumarol
Digitoxin (digitalis); blood, RIA
Digoxin, RIA
Dihydrocodeinone
Dihydromorphinone
Dimethadione
Elastase, pancreatic (EL-1), fecal, qualitative or semiquantitative
Enzyme activity in blood cells, cultured cells, or tissue, not
elsewhere specified; nonradioactive substrate, each
specimen
9683
82658
Enzyme activity in blood cells, cultured cells, or tissue, not

elsewhere specified; radioactive substrate, each specimen
82658
9684
9685
9686
9687
9688
9689
9690
9691
9692
9693
9694
9695
9696
9697
9698
9699
9700
9701
9702
9703
9704
9705
9706
9707
9708
82660
82662
82664
82678
82690
82691
82692
82693
82694
82696
82715
82720
82727
82730
82740
82741
82745
82747
82750
82755
82759
82763
82765
82776
82780
Drug screen (amphetamines, barbiturates, alkaloids)

Immunoassay technique for drugs
Electrophoretic technique, not elsewhere specified
Estrone; chemical
Ethchlorvynol
Ethchlorvynol; urine
Ethosuximide
Ethylene glycol
Etiocholanolone
Etiocholanolone
Fat differential, feces, quantitative
Fatty acids, blood; esterified
Ferric chloride, urine
Fibrinogen, quantitative
Fluoride; urine
Flucytosine (5-fluorocytosine)
Folic acid (folate), blood; bioassay
Folic acid; RBC
Formiminoglutamic acid (FIGLU), urine
Free radical assay technique for drugs (FRAT)
Galactokinase, RBC
Galactose; tolerance test
Galactose; urine
Galactose-1-phosphate uridyl transferase; screen
Gallium
82660
82662
82664
82678
82690
82691
82692
82693
82694
82696
82715
82720
82727
82730
82740
82741
82745
82747
82750
82755
82759
82763
82765
82776
82780
82608
82610
82615
82620
82624
82628
82635
82636
82638
82639
82640
82643
82646
82649
82654
82656
82657
9709
82786
Gammaglobulin, salt precipitation method
82786
9710
82790
Gases, blood, oxygen saturation; by calculation from pO2
82790
9711
82792
Gases, blood, oxygen saturation quantification
82792
9712
82793
Gases, blood, oxygen saturation; by spectrophotometry
82793
9713
82801
Gases, blood; pCO2
82801
9714
82805
Gases, blood, any combination of pH, pCO2, pO2, CO2,

HCO3 (including calculated O2 saturation); with O2
saturation, by direct measurement, except pulse oximetry
82805
9715
9716
82812
82817
9717
82820
9718
9719
9720
9721
9722
9723
82927
82928
82929
82942
82944
82949
9724
82952
9725
9726
9727
9728
82953
82954
82960
82961
9729
82962
9730
9731
9732
9733
9734
9735
9736
82963
82965
82975
82978
82979
82980
82995
9737
83000
9738
83004
Growth hormone, human (HGH) (somatotropin); after

glucose tolerance test
83004
9739
83009
Helicobacter pylori, blood test analysis for urease activity,

non-radioactive isotope (eg, C-13)
83009
9740
9741
9742
83011
83012
83014
9743
83018
9744
83019
Gases, blood; pO2 by manometry

Gases, blood; pH, pCO2 by tonometry
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin
saturation with oxygen)
Gastric acid, free and total; each additional specimen
Gastric acid, free or total, each specimen
Gastric acid, free or total; each additional specimen
Globulin, serum
Glucosamine
Glucose; fermentation
Glucose; tolerance test, each additional beyond 3
specimens
Glucose; tolbutamide tolerance test
Glucose, urine
Glucose-6-phosphate dehydrogenase (G6PD); screen
Glucose tolerance test, intravenous
Glucose, blood by glucose monitoring device(s) cleared by
the FDA specifically for home use
Glucosidase, beta
Glutamate dehydrogenase
Glutamine (glutamic acid amide)
Glutathione
Glutathione reductase, RBC
Glutethimide
Gold, blood
Gonadotropin, pituitary, follicle stimulating hormone (FSH);
bioassay
Haptoglobin; quantitative, electrophoresis

Haptoglobin; phenotypes
Helicobacter pylori; drug administration
Heavy metal (eg, arsenic, barium, beryllium, bismuth,
antimony, mercury); quantitative, each
Helicobacter pylori, breath test (including drug and breath
sample collection kit)
82812
82817
82820
82927
82928
82929
82942
82944
82949
82952
82953
82954
82960
82961
82962
82963
82965
82975
82978
82979
82980
82995
83000
83011
83012
83014
83018
83019
9745
83037
Hemoglobin; glycosylated (A1C) by device cleared by FDA

for home use
83037
9746
83040
Hemoglobin; methemoglobin, electrophoretic separation
83040
9747
9748
9749
9750
9751
9752
9753
9754
9755
9756
9757
83051
83052
83055
83060
83065
83068
83069
83080
83086
83093
83150
83051
83052
83055
83060
83065
83068
83069
83080
83086
83093
83150
9758
83485
9759
83492
9760
83493
Hemoglobin; plasma
Hemoglobin; sickle, turbidimetric
Hemoglobin; sulfhemoglobin, qualitative
Hemoglobin; sulfhemoglobin, quantitative
Hemoglobin; thermolabile
Hemoglobin; unstable, screen
Hemoglobin; urine
b-Hexosaminidase, each assay
Histidine; blood, qualitative
Homogentisic acid; blood, qualitative
Homovanillic acid (HVA)
Hydroxybutyric dehydrogenase, alpha (HBD), blood; kinetic
ultraviolet method
Hydroxycorticosteroids, 17- (17-OHCS); gas liquid
chromatography (GLC)
Hydroxycorticosteroids, 17- (17-OHCS); blood, Porter-Silber
type
9761
83494
Hydroxycorticosteroids, 17- (17-OHCS); blood, fluorometric
83494
9762
83510
83510
9763
83516
Hydroxyproline, urine; free and total

antibody or infectious agent antigen; qualitative or
semiquantitative, multiple step method
9764
83518
9765
83519
9766
9767
9768
9769
9770
9771
9772
9773
9774
9775
9776
9777
83523
83524
83526
83530
83545
83555
83570
83571
83576
83578
83582
83583

antibody or infectious agent antigen; quantitative, by
radioimmunoassay (eg, RIA)
Imipramine
Indican, urine
Insulin tolerance test
Inulin clearance
Iron, serum; automated
Iron binding capacity, serum; automated
Isocitric dehydrogenase (IDH)
Isocitric dehydrogenase (DH), blood; colorimetric
Isonicotinic acid hydrazide (INH)
Kanamycin
Ketogenic steroids, fractionation
Ketogenic steroids, urine; 11-desoxy: 11-oxy ratio
9778
83587
Ketosteroids, 17- (17-KS), blood; fractionation, alpha/beta
83587
9779
83588
Ketosteroids, 17- (17-KS), blood; RIA
83588
9780
83590
Ketosteroids, 17- (17-KS), urine; fractionation, alpha/beta
83590
9781
83593
Ketosteroids, 17- (17-KS); fractionation
83593

antibody or infectious agent antigen; qualitative or
semiquantitative, single step method (eg, reagent strip)
83485
83492
83493
83516
83518
83519
83523
83524
83526
83530
83545
83555
83570
83571
83576
83578
83582
83583
9782
83597
Ketosteroids, 17- (17-KS), urine; 11-desoxy: 11-oxy ratio
83597
9783
9784
9785
83599
83600
83610
83599
83600
83610
9786
83620
9787
83624
9788
83626
9789
9790
9791
9792
83628
83629
83630
83631
9793
83632
9794
9795
9796
83645
83650
83660
9797
83661
Ketosteroids, 17-OH, RIA

Kynurenic acid
Lactic dehydrogenase (LDH), RIA
Lactic dehydrogenase (LDH), blood; colorimetric or
fluorometric
Lactic dehydrogenase (LDH), blood; heat or urea inhibition
(total not included)
Lactic dehydrogenase (LDH), blood; isoenzymes, chemical
separation
Lactic dehydrogenase, liver (LLDH)
Lactic dehydrogenase (LDH), urine
Lactoferrin, fecal; qualitative
Lactoferrin, fecal; quantitative
Lactogen, human placental (HPL) human chorionic
somatomammotropin
Lead, screening; blood
Lead, screening; urine
Lead, quantitative; urine
Fetal lung maturity assessment; lecithin sphingomyelin (L/S)
ratio
9798
83663
Fetal lung maturity assessment; fluorescence polarization
83663
9799
83664
Fetal lung maturity assessment; lamellar body density
83664
9800
9801
9802
9803
9804
9805
83670
83675
83681
83685
83695
83698
83670
83675
83681
83685
83695
83698
9806
83700
Leucine aminopeptidase (LAP)

Leucine aminopeptidase (LAP), blood; colorimetric
Leucine tolerance test
Lidocaine
Lipoprotein (a)
Lipoprotein-associated phospholipase A2 (Lp-PLA2)
Lipoprotein, blood; electrophoretic separation and
quantitation
9807
83701
Lipoprotein, blood; high resolution fractionation and

quantitation of lipoproteins including lipoprotein subclasses
when performed (eg, electrophoresis, ultracentrifugation)
83701
9808
83704
Lipoprotein, blood; quantitation of lipoprotein particle

numbers and lipoprotein particle subclasses (eg, by nuclear
magnetic resonance spectroscopy)
83704
9809
83716
Lipoprotein, blood; high resolution fractionation and

quantitation of lipoproteins including lipoprotein subclasses
when performed (eg, electrophoresis, nuclear magnetic
resonance, ultracentrifugation)
83716
9810
83717
Lipoprotein, blood; ultracentrifugation and quantitation
83717
9811
83720
Lipoprotein cholesterol fractionation calculation by formula
83720
9812
9813
83725
83727
Lithium, blood, quantitative

Luteinizing releasing factor (LRH)
83725
83727
83620
83624
83626
83628
83629
83630
83631
83632
83645
83650
83660
83661
83700
9814
9815
9816
9817
83728
83730
83740
83775
Lysergic acid diethylamide (LSD), RIA

Macroglobulins (Sia test)
Magnesium, blood; fluorometric
Malate dehydrogenase
Mass spectrometry and tandem mass spectrometry (MS,
MS/MS), analyte not elsewhere specified; qualitative, each
specimen
9818
83788
9819
83789
9820
9821
9822
9823
9824
9825
9826
9827
9828
9829
9830
9831
9832
9833
9834
9835
9836
9837
9838
9839
83790
83795
83799
83830
83835
83840
83842
83845
83857
83858
83859
83860
83865
83866
83872
83875
83876
83880
83883
83885
9840
83890
9841
83891
9842
83892
9843
83893
9844
83894
Molecular diagnostics; separation by gel electrophoresis (eg,

agarose, polyacrylamide), each nucleic acid preparation
83894
9845
83895
Nitrogen, total; urine, 24-hour specimen
83895
9846
83896
Molecular diagnostics; nucleic acid probe, each
83896
9847
83897
Molecular diagnostics; nucleic acid transfer (eg, Southern,

Northern), each nucleic acid preparation
83897
9848
83898
9849
83900
Mass spectrometry and tandem mass spectrometry (MS,

MS/MS), analyte not elsewhere specified; quantitative, each
specimen
Mannitol clearance
Melanin, urine, qualitative
Meperidine, quantitative
Mercury, quantitative; urine
Metanephrines
Methadone
Methapyrilene
Methaqualone
Methemalbumin
Methsuximide
Methyprylon
Morphine; screening
Mucopolysaccharides, acid, urine; quantitative
Mucopolysaccharides, acid; screen
Mucin, synovial fluid (Ropes test)
Myoglobin, urine
Myeloperoxidase (MPO)
Natriuretic peptide
Nephelometry, each analyte not elsewhere specified
Nickel
Molecular diagnostics; molecular isolation or extraction,
each nucleic acid type (ie, DNA or RNA)
Molecular diagnostics; isolation or extraction of highly
purified nucleic acid, each nucleic acid type (ie, DNA or
RNA)
Molecular diagnostics; enzymatic digestion, each enzyme
treatment
Molecular diagnostics; dot/slot blot production, each nucleic
acid preparation
Molecular diagnostics; amplification, target, each nucleic

acid sequence
Molecular diagnostics; amplification, target, multiplex, first 2
nucleic acid sequences
83728
83730
83740
83775
83788
83789
83790
83795
83799
83830
83835
83840
83842
83845
83857
83858
83859
83860
83865
83866
83872
83875
83876
83880
83883
83885
83890
83891
83892
83893
83898
83900
9850
83901
Molecular diagnostics; amplification, target, multiplex, each

additional nucleic acid sequence beyond 2 (List separately in
83901
9851
83902
Molecular diagnostics; reverse transcription
83902
9852
83903
Molecular diagnostics; mutation scanning, by physical

properties (eg, single strand conformational polymorphisms
[SSCP], heteroduplex, denaturing gradient gel
electrophoresis [DGGE], RNA'ase A), single segment, each
83903
9853
83904
Molecular diagnostics; mutation identification by sequencing,

single segment, each segment
83904
9854
83905
Molecular diagnostics; mutation identification by allele

specific transcription, single segment, each segment
83905
9855
83906
Molecular diagnostics; mutation identification by allele

specific translation, single segment, each segment
83906
9856
83907
9857
83908
9858
83909
Molecular diagnostics; separation and identification by high

resolution technique (eg, capillary electrophoresis), each
nucleic acid preparation
83909
9859
9860
9861
83910
83912
83913
Nonprotein nitrogen (NPN), blood

Molecular diagnostics; interpretation and report
Molecular diagnostics; RNA stabilization
83910
83912
83913
9862
83914
Mutation identification by enzymatic ligation or primer

extension, single segment, each segment (eg,
oligonucleotide ligation assay [OLA], single base chain
extension [SBCE], or allele-specific primer extension
[ASPE])
83914
9863
9864
9865
9866
9867
9868
9869
9870
9871
9872
9873
9874
9875
9876
9877
9878
83916
83917
83918
83919
83920
83921
83937
83938
83945
83946
83947
83948
83949
83950
83951
83965
Oligoclonal immune (oligoclonal bands)

Organic acids; screen, qualitative
Organic acids; total, quantitative, each specimen
Organic acids; qualitative, each specimen
Ornithine carbamyl transferase (OCT)
Organic acid, single, quantitative
Osteocalcin (bone g1a protein)
Ouabain
Oxalate
Oxazepam
Oxybutyric acid, beta
Oxycodinone
Oxytocinase, RIA
Oncoprotein; HER-2/neu
Oncoprotein; des-gamma-carboxy-prothrombin (DCP)
Paraldehyde, blood, quantitative
83916
83917
83918
83919
83920
83921
83937
83938
83945
83946
83947
83948
83949
83950
83951
83965
Molecular diagnostics; lysis of cells prior to nucleic acid

extraction (eg, stool specimens, paraffin embedded tissue),
each specimen
Molecular diagnostics; amplification, signal, each nucleic
acid sequence
83907
83908
9879
9880
9881
9882
9883
9884
9885
9886
9887
9888
9889
9890
9891
9892
9893
9894
9895
9896
9897
9898
9899
9900
9901
9902
9903
9904
9905
9906
9907
9908
9909
9910
9911
9912
9913
9914
83971
83973
83975
83987
83992
83993
83995
84005
84021
84031
84033
84037
84038
84039
84045
84061
84065
84082
84083
84085
84087
84090
84118
84121
84128
84136
84138
84139
84141
84142
84145
84147
84149
84154
84160
84163
Penicillin, urine
Pentose, urine, qualitative
Pepsinogen, blood
pH; exhaled breath condensate
Phencyclidine (PCP)
Calprotectin, fecal
Phenol, blood or urine
Phenolsulfonphthalein (PSP) test, urine
Phenothiazine, urine; qualitative, chemical
Phenylalanine (PKU), blood; fluorometric
Phenylbutazone
Phenylketones; urine, qualitative
Phenylpropanolamine
Phenylpyruvic acid; blood
Phenytoin
Phosphatase, acid; forensic examination
Phosphatase, acid; prostatic fraction
Phosphates, tubular reabsorption of (TRP)
Phosphoglucomutase, isoenzymes
Phosphogluconate, 6-, dehydrogenase, RBC
Phosphohexose isomerase
Phospholipids, blood
Porphyrins, copro-, urine; quantitative
Porphyrins; uro-, copro- and porphobilinogen, urine
Porphyrins, plasma
Pregnanediol; other method (specify)
Pregnanetriol
Pregnanetriol; other method (specify)
Primidone
Procainamide
Procalcitonin (PCT)
Propoxyphene
Propranolol
Prostate specific antigen (PSA); free
Protein, total, by refractometry, any source
Pregnancy-associated plasma protein-A (PAPP-A)
83971
83973
83975
83987
83992
83993
83995
84005
84021
84031
84033
84037
84038
84039
84045
84061
84065
84082
84083
84085
84087
84090
84118
84121
84128
84136
84138
84139
84141
84142
84145
84147
84149
84154
84160
84163
9915
84166
Protein; electrophoretic fractionation and quantitation, other

fluids with concentration (eg, urine, CSF)
84166
9916
84170
9917
84175
9918
84176
9919
84182
9920
84185
Protein; Western Blot, with interpretation and report, blood

or other body fluid, immunological probe for band
identification, each
Protein, urine; Bence-Jones
9921
84190
Protein, urine; electrophoretic fractionation and quantitation
84190
9922
84195
84195
9923
84200
Protein, spinal fluid; semi-quantitative (Pandy)

Protein, spinal fluid; electrophoretic fractionation and
quantitation
Protein, total, and albumin/globulin ratio

electrophoresis, other sources requiring concentration (eg,
CSF urine)
84170
Protein, special studies (eg, monoclonal protein analysis)
84176
84175
84182
84185
84200
9924
84201
Protirelin, thyrotropin releasing hormone (TRH) test
84201
9925
9926
9927
9928
9929
9930
9931
9932
9933
9934
84202
84203
84205
84206
84208
84230
84231
84232
84233
84234
84202
84203
84205
84206
84208
84230
84231
84232
84233
84234
9935
84235
9936
9937
9938
9939
9940
9941
9942
9943
9944
9945
9946
84236
84238
84246
84255
84270
84302
84310
84311
84315
84318
84324
Protoporphyrin, RBC; quantitative

Protoporphyrin, RBC; screen
Protriptylene
Proinsulin
Pyrophosphate vs urate, crystals (polarization)
Quinidine, blood
Radioimmunoassay (RIA) not elsewhere specified
Releasing factor
Receptor assay; estrogen
Receptor assay; progesterone
Receptor assay; endocrine, other than estrogen or
progesterone (specify hormone)
Receptor assay; progesterone and estrogen
Receptor assay; non-endocrine (specify receptor)
Renin; furosemide test
Selenium
Sex hormone binding globulin (SHBG)
Sodium; other source
Sorbitol dehydrogenase, serum
Spectrophotometry, analyte not elsewhere specified
Specific gravity (except urine)
Stercobilin, qualitative, feces
Strychnine
9947
84375
Sugars, chromatographic, TLC or paper chromatography
84375
9948
84376
9949
84377
9950
84378
9951
84379
9952
9953
9954
9955
9956
9957
9958
9959
84395
84405
84406
84407
84408
84409
84420
84430
9960
84431
9961
9962
9963
9964
9965
9966
84434
84435
84437
84444
84447
84449
9967
84455
Sugars (mono-, di-, and oligosaccharides); single qualitative,

each specimen
Sugars (mono-, di-, and oligosaccharides); multiple
qualitative, each specimen
Sugars (mono-, di-, and oligosaccharides); single
quantitative, each specimen
Sugars (mono-, di-, and oligosaccharides); multiple
quantitative, each specimen
Sulfonamide, blood, chemical
Testosterone, urine, RIA
Testosterone, binding protein
Tetracaine
Tetrahydrocannabinol THC (marijuana)
Tetrahydrocortisone or tetrahydrocortisol
Theophylline, blood or saliva
Thiocyanate
Thromboxane metabolite(s), including thromboxane if
performed, urine
Thioridazine
Thyroxine, (T-4), CPB or resin uptake
Thyroxine; requiring elution (eg, neonatal)
Thyrotropin releasing factor (TRF)
Toxicology, screen; general
Transcortin (cortisol binding globulin)
Transaminase, glutamic oxaloacetic (SGOT), blood;
colorimetric or fluorometric
84235
84236
84238
84246
84255
84270
84302
84310
84311
84315
84318
84324
84376
84377
84378
84379
84395
84405
84406
84407
84408
84409
84420
84430
84431
84434
84435
84437
84444
84447
84449
84455
9968
84465
9969
9970
9971
9972
9973
9974
9975
84472
84474
84476
84483
84484
84485
84488
Transaminase, glutamic pyruvic (SGPT), blood; colorimetric

or fluorometric
Trichloroethanol
Trichloroacetic acid
Trifluoperazine
Trimethadione
Troponin, quantitative
Trypsin; duodenal fluid
Trypsin; feces, qualitative
9976
84490
Trypsin; feces, quantitative, 24-hour collection
84490
9977
9978
9979
9980
9981
9982
84555
84565
84584
84589
84591
84595
uricase, ultraviolet method

Urobilin, urine; qualitative
Uropepsin, urine
Viscosity
Vitamin, not otherwise specified
Vitamin A, blood; including carotene
84555
84565
84584
84589
84591
84595
9983
84605
Volume, blood, dye method (Evans blue)
84605
9984
84610
9985
9986
9987
9988
84613
84615
84635
84695
Volume, blood dye, method (Evans blue); including total

plasma and total blood cell volume
Warfarin
Xanthurenic acid
Zinc, quantitative; urine
Gentamicin
9989
84704
Gonadotropin, chorionic (hCG); free beta chain
84704
9990
9991
9992
9993
84800
84810
84999
85000
Thyroid stimulating hormone (TSH), neonatal

Tobramycin
Unlisted chemistry procedure
Bleeding time; Duke
84800
84810
84999
85000
9994
85004
Blood count; automated differential WBC count
85004
9995
85005
Blood count; basophil count, direct
85005
9996
85009
Blood count; manual differential WBC count, buffy coat
85009
9997
85012
Blood count; eosinophil count, direct
85012
9998
85021
Blood count; hemogram, automated (RBC, WBC, Hgb, Hct

and indices only)
85021
9999
85022
10000
85023
10001
85024
Blood count; hemogram and platelet count, automated, and

automated partial differential WBC count (CBC)
85024
10002
85025
Blood count; complete (CBC), automated (Hgb, Hct, RBC,

WBC and platelet count) and automated differential WBC
count
85025
Blood count; hemogram, automated, and manual differential

WBC count (CBC)
Blood count; hemogram and platelet count, automated, and
manual differential WBC count (CBC)
84465
84472
84474
84476
84483
84484
84485
84488
84610
84613
84615
84635
84695
85022
85023
10003
85029
10004
85055
10005
85100
10006
85101
10007
85103
10008
85109
10009
10010
10011
Additional automated hemogram indices (eg, red cell

distribution width (RDW), mean platelet volume (MPV), red
blood cell histogram, platelet histogram, white blood cell
histogram); one to three indices
85029
85055
85130
85171
85242
Reticulated platelet assay

Bone marrow smear and/or cell block; aspiration, staining
and interpretation
Bone marrow smear and/or cell block; aspiration and
staining only
Bone marrow smear and/or cell block; staining and
interpretation
Bone marrow smear and/or cell block; staining and
preparation only
Chromogenic substrate assay
Clot retraction; quantitative
Clotting; factor VIII (AHG), two stage
10012
85291
Clotting; factor XIII (fibrin stabilizing), screen solubility
85291
10013
85300
Clotting inhibitors or anticoagulants; antithrombin III, activity
85300
10014
85301
Clotting inhibitors or anticoagulants; antithrombin III, antigen

assay
85301
10015
85305
Clotting inhibitors or anticoagulants; protein S, total
85305
10016
85306
Clotting inhibitors or anticoagulants; protein S, free
85306
10017
85307
Activated Protein C (APC) resistance assay
85307
10018
85310
Clotting inhibitors or anticoagulants; antithromboplastin
85310
10019
85320
Clotting inhibitors or anticoagulants; antiprothromboplastin
85320
10020
85330
Clotting inhibitors or anticoagulants; antifactor VIII
85330
10021
85340
10022
85360
Clotting inhibitors or anticoagulants; cross recalcification

time (mixtures)
Euglobulin lysis
10023
85363
Fibrin degradation (split) products (FDP) (FSP); ethanol gel
85363
10024
85365
Fibrin degradation (split) products (FDP) (FSP);

immunoelectrophoresis
85365
10025
85367
Fibrin degradation (split) products (FDP) (FSP); precipitation
85367
10026
85368
10027
85369
10028
10029
10030
10031
10032
85371
85372
85376
85392
85395
Fibrin degradation (split) products (FDP) (FSP); protamine

paracoagulation (PPP)
Fibrin degradation (split) products (FDP) (FSP);
staphylococcal clumping
Fibrinogen, semiquantitative; latex
Fibrinogen, semiquantitative; turbidimetric
Fibrinogen; thrombin with plasma dilution
Fibrinolysins; with EACA control
Fibrinolysins; semiquantitative
85100
85101
85103
85109
85130
85171
85242
85340
85360
85368
85369
85371
85372
85376
85392
85395
10033
85396
Coagulation/fibrinolysis assay, whole blood (eg, viscoelastic

clot assessment), including use of any pharmacologic
additive(s), as indicated, including interpretation and written
report, per day
10034
85397
Coagulation and fibrinolysis, functional activity, not otherwise

specified (eg, ADAMTS-13), each analyte
85397
10035
85398
Fibrinolysis, quantitative
85398
10036
85410
Fibrinolytic factors and inhibitors; alpha-2 antiplasmin
85410
10037
85415
Fibrinolytic factors and inhibitors; plasminogen activator
85415
10038
85420
10039
85421
10040
10041
10042
10043
10044
10045
10046
10047
10048
10049
10050
10051
10052
10053
10054
10055
10056
10057
10058
85426
85535
85538
85544
85548
85556
85560
85575
85577
85580
85585
85595
85615
85618
85630
85632
85635
85650
85665
10059
85667
10060
85700
10061
85710
10062
10063
85720
85820
Thromboplastin generation test; definitive, with platelet

substitute
Thromboplastin inhibition; all factors
Viscosity; serum or plasma
10064
85999
Unlisted hematology and coagulation procedure
10065
86002
10066
86004
Agglutinins; febrile panel (typhoid O & H, paratyphoid A & B,

brucella and Proteus OX-19)
Agglutinins; warm
10067
86006
Antibody, non-RBC, qualitative; first antigen, slide or tube
86006
10068
10069
86007
86011
Antibody, non-RBC, qualitative; each additional antigen

Antibody, detection, leukocyte antibody
86007
86011
Fibrinolytic factors and inhibitors; plasminogen, except

antigenic assay
Fibrinolytic factors and inhibitors; plasminogen, antigenic
assay
Fibrinolytic mechanisms; von Willebrand factor assay
Iron stain (RBC or bone marrow smears)
Leder stain (esterase) blood or bone marrow
Lupus erythematosus (LE) cell prep
Morphology of red blood cells, only
Osmotic fragility, RBC; incubated, qualitative
Peroxidase stain, WBC
Platelet; in vitro aggregation, each agent
Platelet: retention (in vitro), glass bead
Platelet; count (Rees-Ecker)
Platelet; estimation on smear, only
Platelet; automated count
Prothrombin utilization (consumption)
Prothrombin-Proconvertin, P&P (Owren)
Red blood cell size (Price-Jones)
Red blood cell peroxide hemolysis
Reptilase test
Sedimentation rate (ESR); Wintrobe type
Streptokinase titer (plasminogen activator)
T-cell depletion (any method) of bone marrow for
transplantation
Thromboplastin generation test; screening (Hicks-Pitney)
85396
85420
85421
85426
85535
85538
85544
85548
85556
85560
85575
85577
85580
85585
85595
85615
85618
85630
85632
85635
85650
85665
85667
85700
85710
85720
85820
85999
86002
86004
10070
86012
Antibody absorption, cold auto absorption; per serum
86012
10071
86013
Antibody absorption, cold auto absorption; differential
86013
10072
10073
86014
86016
Antibody, platelet antibodies (agglutinins)

Antibody screen, RBC, each serum
86014
86016
10074
86017
Antibodies, RBC, saline; with ABO+Rh(D) typing (for holding

blood instead of complete crossmatch)
86017
10075
86018
Antibodies, RBC, saline; enzyme technique including

antihuman globulin
86018
10076
86019
Antibody (RBC) elution, any method, each elution
86019
10077
86024
RBC antibodies (each panel)
86024
10078
86026
Antibody identification; RBC antibodies (8-10 cell panel),

with enzyme technique including antihuman globulin
86026
10079
86031
10080
86032
10081
86033
10082
86034
10083
86035
10084
86064
Antihuman globulin test; drug sensitization, identification (eg,

penicillin)
B cells, total count
10085
86066
Antitrypsin, alpha-1; Pi (protease inhibitor) typing
86066
10086
86067
86067
10087
86068
Antitrypsin, alpha-1; other method (specify)

Blood compatibility test; crossmatch by immediate spin and
antihuman globulin technique, each unit
10088
86069
10089
86070
10090
86072
10091
86073
10092
86074
10093
86075
Blood crossmatch, minor only (plasma, Rh immune

globulin), includes recipient and donor typing and antibody
screening, first unit
86075
10094
86077
Blood bank physician services; difficult cross match and/or

evaluation of irregular antibody(s), interpretation and written
report
86077
Antihuman globulin test; direct (Coombs) (Broad, IgG and

non-IgG), each
Antihuman globulin test; indirect, qualitative (broad, gamma
or nongamma), each
Antihuman globulin test; indirect, titer (broad, gamma or
nongamma), each
Antihuman globulin test; enzyme technique, qualitative
Blood crossmatch, complete standard technique, includes

typing and antibody screening of recipient and donor; each
additional unit
Blood compatibility test; crossmatch by immediate spin
technique only
Blood crossmatch, enzyme technique
Blood crossmatch, screening for compatible unit saline
and/or high protein
Blood crossmatch, antiglobulin technique
86031
86032
86033
86034
86035
86064
86068
86069
86070
86072
86073
86074
10095
86078
Blood bank physician services; investigation of transfusion

reaction including suspicion of transmissible disease,
interpretation and written report
86078
10096
86079
10097
10098
86080
86082
Blood bank physician services; authorization for deviation

from standard blood banking procedures (eg, use of
outdated blood, transfusion of Rh incompatible units), with
written report
Blood typing; ABO only
Blood typing; ABO and Rho(D)
10099
86083
Blood typing; ABO, Rh(D) and RBC antibody screening
86083
10100
86084
Blood typing; antigen screening for compatible blood unit

using reagent serum, per unit screened
86084
10101
86085
Blood typing; antigen screening for compatible unit using

patient's serum, per unit screened
86085
10102
10103
86090
86095
Blood typing; MN
RBC antigens, other than ABO, and/or Rho(D)
86090
86095
10104
86096
Blood typing, RBC antigens other than ABO or Rho(D);

direct, slide or tube, including Rh subtypes, each antigen
86096
10105
10106
86100
86105
10107
86115
10108
86079
86080
86082
Rho(D) only
Rh genotyping, complete
Rh genotyping, complete; anti-Rh immunoglobulin testing
(RhoGAM type)
86100
86105
86120
Blood typing, special (Kelly, Duffy)
86120
10109
86128
Collection, processing and storage of predeposited

autologous whole blood or components
86128
10110
86130
10111
10112
10113
10114
10115
10116
10117
10118
86149
86151
86157
86158
86159
86163
86200
86244
10119
86265
Frozen blood, preparation for freezing, each unit including

processing and collection
86265
10120
86266

processing and collection; with thawing
86266
10121
86267

processing and collection; with freezing and thawing
86267
10122
86281
Hemolysins, acid (for paroxysmal hemoglobinuria) (Ham

test)
86281
Collection and processing for transfusion of intraoperatively

salvaged blood
Carcinoembryonic antigen (CEA); gel diffusion
Carcinoembryonic antigen (CEA); RIA or EIA
Cold agglutinin; titer
Complement; C'1 esterase
Cyclic citrullinated peptide (CCP), antibody
Feto-protein, alpha-1, RIA or EIA
86115
86130
86149
86151
86157
86158
86159
86163
86200
86244
10123
86282
Hemolysins and agglutinins, auto, screen, each
10124
86283
10125
10126
86287
86289
Hemolysins and agglutinins, auto, screen, each; incubated

with glucose (eg, ATP)
Hepatitis B surface antigen (HBsAg)
Hepatitis B core antibody (HBcAb); IgG and IgM
10127
86290
Hepatitis B core antibody (HBcAb); IgM antibody
86290
10128
10129
10130
10131
10132
10133
86291
86293
86295
86296
86297
86299
Hepatitis B surface antibody (HBsAb)

Hepatitis Be antigen
Hepatitis Be antibody (HBeAb)
Hepatitis A antibody (HAAb); IgG and IgM
(No description)
Hepatitis A antibody (HAAb); IgM antibody
86291
86293
86295
86296
86297
86299
10134
86301
Immunoassay for tumor antigen, quantitative; CA 19-9
86301
10135
86302
Hepatitis C antibody
86302
10136
86303
Hepatitis C antibody; confirmatory test (eg, immunoblot)
86303
10137
86304
Immunoassay for tumor antigen, quantitative; CA 125
86304
10138
10139
10140
86305
86306
86311
Human epididymis protein 4 (HE4)

Hepatitis, delta agent
HIV, agent
86305
86306
86311
10141
86312
HIV (HTLV-III) antibody detection; immunoassay
86312
10142
86313
Immunoassay for infectious agency antigen, qualitative or

semiquantitative; multiple step method
86313
10143
86315
Immunoassay for infectious agency antigen, qualitative or

semiquantitative; single step method (eg, reagent strip)
86315
10144
10145
86329
86333
10146
86335
10147
10148
10149
86338
86342
86349
10150
86352
Cellular function assay involving stimulation (eg, mitogen or

antigen) and detection of biomarker (eg, ATP)
86352
10151
86355
B cells, total count
86355
10152
86356
Mononuclear cell antigen, quantitative (eg, flow cytometry),

not otherwise specified, each antigen
86356
10153
10154
10155
86357
86358
86367
Natural killer (NK) cells, total count

Lymphocytes; B-cell evaluation
Stem cells (ie, CD34), total count
86357
86358
86367
10156
86377
Microsomal antibody (thyroid); other method (specify)
86377
10157
86379
Natural killer (NK) cells, total count
86379
Immunodiffusion; not elsewhere specified

Immune complex assay; Raji cell
Immunofixation electrophoresis; other fluids with
concentration (eg, urine, CSF)
Insulin factor antibodies, RIA
Irradiation of blood products, each
Leukocyte transfusion (leukapheresis)
86282
86283
86287
86289
86329
86333
86335
86338
86342
86349
10158
86385
Paternity testing, ABO+Rh factors+MN (per individual)
86385
10159
86404
Pooling of platelets or other blood products
86404
10160
86405
Precipitin test for blood (species identification)
86405
10161
86410
Pretreatment of RBC's for use in RBC antibody detection,

chemical agents or drugs, each
86410
10162
86411

enzymes, each
86411
10163
86412

identification, and/or compatibility testing; by density gradient
separation
86412
10164
86417

identification; incubation with drugs, each
86417
10165
86418

identification; by dilution
86418
10166
86419

identification; incubation with inhibitors, each
86419
10167
86420

identification; by differential red cell absorption using patient
RBC's or RBC's of known phenotype, each absorption
86420
10168
86421
Radioallergosorbent test, in vitro testing for allergen-specific

IgE; up to 5 tests
86421
10169
86455
Skin test; anergy testing, one or more antigens
86455
10170
86480
Tuberculosis test, cell mediated immunity measurement of

gamma interferon antigen response
86480
10171
10172
10173
10174
10175
10176
10177
10178
86486
86540
86587
86594
86595
86600
86619
86630
Skin test; unlisted antigen, each

Skin test; mumps
Stem cells (ie, CD34), total count
Thyroid autoantibodies
Tissue culture
Toxoplasmosis, dye test
Antibody; Borrelia (relapsing fever)
Transfer factor test (TFT)
86486
86540
86587
86594
86595
86600
86619
86630
10179
86650
Treponema antibodies, fluorescent, absorbed (FTA-abs)
86650
10180
10181
10182
10183
10184
10185
86681
86683
86685
86780
86788
86789
Adrenal cortex antibodies, RIA

Antibody; hemoglobin, fecal
Anti-AChR (acetylcholine receptor) antibody titer
Antibody; Treponema pallidum
Antibody; West Nile virus, IgM
Antibody; West Nile virus
86681
86683
86685
86780
86788
86789
10186
86825
Human leukocyte antigen (HLA) crossmatch, noncytotoxic

(eg, using flow cytometry); first serum sample or dilution
Human leukocyte antigen (HLA) crossmatch, noncytotoxic
(eg, using flow cytometry); each additional serum sample or
sample dilution (List separately in addition to primary
procedure)
Unlisted immunology procedure
Antibody identification, RBC antibodies, each panel for each
serum technique
86825
10187
86826
10188
86849
10189
86870
10190
86891
Autologous blood or component, collection processing and

storage; intra- or postoperative salvage
86891
10191
86903
Blood typing; antigen screening for compatible blood unit

using reagent serum, per unit screened
86903
10192
86904
Blood typing; antigen screening for compatible unit using

patient serum, per unit screened
86904
10193
86915
Bone marrow or peripheral stem cell harvest, modification or

treatment to eliminate cell type(s) (eg, T-cells, metastatic
carcinoma)
86915
10194
86940
Hemolysins and agglutinins; auto, screen, each
86940
10195
86941
Hemolysins and agglutinins; incubated
86941
10196
86960
Volume reduction of blood or blood product (eg, red blood

cells or platelets), each unit
86960
10197
86965
Pooling of platelets or other blood products
86965
10198
86972

identification, and/or compatibility testing; by density gradient
separation
86972
10199
10200
86999
87060
10201
87071
10202
87082
Culture, presumptive, pathogenic organisms, screening only,

by commercial kit (specify type); for single organisms
87082
10203
87085
Culture, presumptive, pathogenic organisms, screening only,

by commercial kit (specify type); with colony count
87085
10204
87117
Culture, tubercle or other acid-fast bacilli (eg, TB, AFB,

mycobacteria); concentration plus isolation
87117
10205
87145
10206
87150
Unlisted transfusion medicine procedure

Culture, bacterial, definitive; throat or nose
Culture, bacterial; quantitative, aerobic with isolation and
presumptive identification of isolates, any source except
urine, blood or stool
Culture, typing; phage method

Culture, typing; identification by nucleic acid (DNA or RNA)
probe, amplified probe technique, per culture or isolate,
each organism probed
86826
86849
86870
86999
87060
87071
87145
87150
10207
87151
Culture, typing; serologic method, speciation
87151
10208
87153
Culture, typing; identification by nucleic acid sequencing

method, each isolate (eg, sequencing of the 16S rRNA
gene)
87153
10209
87155
Culture, typing; precipitin method, grouping, per antiserum
87155
10210
87172
Pinworm exam (eg, cellophane tape prep)
87172
10211
87174
87174
10212
87175
Endotoxin, bacterial (pyrogens); chemical

Endotoxin, bacterial (pyrogens); biological assay (eg,
Limulus lysate)
10213
87192
Sensitivity studies, antibiotic; fungi, each drug
87192
10214
10215
87198
87199
87198
87199
10216
87208
Cytomegalovirus, direct fluorescent antibody (DFA)

Enterovirus, direct fluorescent antibody (DFA)
Smear, primary source, with interpretation; direct or
concentrated, dry, for ova and parasites
10217
87209
Smear, primary source with interpretation; complex special

stain (eg, trichrome, iron hemotoxylin) for ova and parasites
87209
10218
87299

technique; not otherwise specified, each organism
87299
10219
87300

technique, polyvalent for multiple organisms, each
polyvalent antiserum
87300
10220
87305

method; Aspergillus
87305
10221
87337

method; Entamoeba histolytica group
87337
10222
87339

method; Helicobacter pylori
87339
10223
87341

method; hepatitis B surface antigen (HBsAg) neutralization
87341
10224
87427

method; Shiga-like toxin
87427
10225
87470

Bartonella henselae and Bartonella quintana, direct probe
technique
87470
10226
87471

Bartonella henselae and Bartonella quintana, amplified
probe technique
87471
87175
87208
10227
87472

Bartonella henselae and Bartonella quintana, quantification
87472
10228
87475

Borrelia burgdorferi, direct probe technique
87475
10229
87476

Borrelia burgdorferi, amplified probe technique
87476
10230
87477

Borrelia burgdorferi, quantification
87477
10231
87480

Candida species, direct probe technique
87480
10232
87481

Candida species, amplified probe technique
87481
10233
87482

Candida species, quantification
87482
10234
87485

Chlamydia pneumoniae, direct probe technique
87485
10235
87486

Chlamydia pneumoniae, amplified probe technique
87486
10236
87487

Chlamydia pneumoniae, quantification
87487
10237
87490

Chlamydia trachomatis, direct probe technique
87490
10238
87491

Chlamydia trachomatis, amplified probe technique
87491
10239
87492

Chlamydia trachomatis, quantification
87492
10240
87493

Clostridium difficile, toxin gene(s), amplified probe technique
87493
10241
87495

cytomegalovirus, direct probe technique
87495
10242
87496

cytomegalovirus, amplified probe technique
87496
10243
87497

cytomegalovirus, quantification
87497
10244
87498

enterovirus, amplified probe technique
87498
10245
87500

vancomycin resistance (eg, enterococcus species van A, van
B), amplified probe technique
87500
10246
87510

Gardnerella vaginalis, direct probe technique
87510
10247
87511

Gardnerella vaginalis, amplified probe technique
87511
10248
87512

Gardnerella vaginalis, quantification
87512
10249
87515

hepatitis B virus, direct probe technique
87515
10250
87516

hepatitis B virus, amplified probe technique
87516
10251
87517
10252
87520
10253
87521
10254
87522
10255
87525
10256
87526

hepatitis G, amplified probe technique
87526
10257
87527

hepatitis G, quantification
87527
10258
87528

Herpes simplex virus, direct probe technique
87528
10259
87529

Herpes simplex virus, amplified probe technique
87529
10260
87530

Herpes simplex virus, quantification
87530
10261
87531

Herpes virus-6, direct probe technique
87531
10262
87532

Herpes virus-6, amplified probe technique
87532
10263
87533
10264
87534
10265
87537
10266
87538

hepatitis B virus, quantification
hepatitis C, direct probe technique
hepatitis C, amplified probe technique
hepatitis C, quantification
hepatitis G, direct probe technique

Herpes virus-6, quantification
HIV-1, direct probe technique
HIV-2, direct probe technique
HIV-2, amplified probe technique
87517
87520
87521
87522
87525
87533
87534
87537
87538
10267
87540

Legionella pneumophila, direct probe technique
87540
10268
87541

Legionella pneumophila, amplified probe technique
87541
10269
87542

Legionella pneumophila, quantification
87542
10270
87550

Mycobacteria species, direct probe technique
87550
10271
87551

Mycobacteria species, amplified probe technique
87551
10272
87552

Mycobacteria species, quantification
87552
10273
87555

Mycobacteria tuberculosis, direct probe technique
87555
10274
87556

Mycobacteria tuberculosis, amplified probe technique
87556
10275
87557

Mycobacteria tuberculosis, quantification
87557
10276
87560

Mycobacteria avium-intracellulare, direct probe technique
87560
10277
87561

Mycobacteria avium-intracellulare, amplified probe technique
87561
10278
87562

Mycobacteria avium-intracellulare, quantification
87562
10279
87580

Mycoplasma pneumoniae, direct probe technique
87580
10280
87581

Mycoplasma pneumoniae, amplified probe technique
87581
10281
87582

Mycoplasma pneumoniae, quantification
87582
10282
87590

Neisseria gonorrhoeae, direct probe technique
87590
10283
87591

Neisseria gonorrhoeae, amplified probe technique
87591
10284
87592

Neisseria gonorrhoeae, quantification
87592
10285
87620

papillomavirus, human, direct probe technique
87620
10286
87621

papillomavirus, human, amplified probe technique
87621
10287
87622

papillomavirus, human, quantification
87622
10288
87640

Staphylococcus aureus, amplified probe technique
87640
10289
87641

Staphylococcus aureus, methicillin resistant, amplified probe
technique
87641
10290
87650

Streptococcus, group A, direct probe technique
87650
10291
87651

Streptococcus, group A, amplified probe technique
87651
10292
87652

Streptococcus, group A, quantification
87652
10293
87653

Streptococcus, group B, amplified probe technique
87653
10294
87660

Trichomonas vaginalis, direct probe technique
87660
10295
87800
Infectious agent detection by nucleic acid (DNA or RNA),

multiple organisms; direct probe(s) technique
87800
10296
87801
Infectious agent detection by nucleic acid (DNA or RNA),

multiple organisms; amplified probe(s) technique
87801
10297
87802
Infectious agent antigen detection by immunoassay with

direct optical observation; Streptococcus, group B
87802
10298
87803

direct optical observation; Clostridium difficile toxin A
87803
10299
87804

direct optical observation; Influenza
87804
10300
87807

direct optical observation; respiratory syncytial virus
87807
10301
87808

direct optical observation; Trichomonas vaginalis
87808
10302
87809

direct optical observation; adenovirus
87809
10303
87810

direct optical observation; Chlamydia trachomatis
87810
10304
87850
Infectious agent detection by immunoassay with direct

optical observation; Neisseria gonorrhoeae
87850
10305
87880

optical observation; Streptococcus, group A
87880
10306
87899

optical observation; not otherwise specified
87899
10307
87900
Infectious agent drug susceptibility phenotype prediction

using regularly updated genotypic bioinformatics
87900
10308
87901
Infectious agent genotype analysis by nucleic acid (DNA or

RNA); HIV-1, reverse transcriptase and protease
87901
10309
87902
Infectious agent genotype analysis by nucleic acid (DNA or

RNA); Hepatitis C virus
87902
10310
87903
Infectious agent phenotype analysis by nucleic acid (DNA or

RNA) with drug resistance tissue culture analysis, HIV 1; first
through 10 drugs tested
87903
10311
87904
Infectious agent phenotype analysis by nucleic acid (DNA or

RNA) with drug resistance tissue culture analysis, HIV 1;
each additional drug tested (List separately in addition to
87904
10312
87905
10313
87999
Infectious agent enzymatic activity other than virus (eg,

sialidase activity in vaginal fluid)
Unlisted microbiology procedure
10314
88005
Necropsy (autopsy), gross examination only; with brain
10315
88007
10316
88014
10317
88016
10318
88025
10319
88029
10320
88037
10321
10322
10323
88040
88045
88099
10324
88106

or vaginal; simple filter method with interpretation
88106
10325
88107

or vaginal; smears and simple filter preparation with
interpretation
88107
10326
88112
10327
88125
Necropsy (autopsy), gross examination only; with brain and

spinal cord
Necropsy (autopsy), gross examination only; stillborn or
newborn with brain
Necropsy (autopsy), gross examination only; macerated
stillborn
Necropsy (autopsy), gross and microscopic; with brain
Necropsy (autopsy), gross and microscopic; stillborn or
newborn with brain
Necropsy (autopsy), limited, gross and/or microscopic; single
organ
Necropsy (autopsy); forensic examination
Necropsy (autopsy); coroner's call
Unlisted necropsy (autopsy) procedure
Cytopathology, selective cellular enhancement technique

with interpretation (eg, liquid based slide preparation
method), except cervical or vaginal
Cytopathology, forensic (eg, sperm)
87905
87999
88005
88007
88014
88016
88025
88029
88037
88040
88045
88099
88112
88125
88140
Sex chromatin identification; peripheral blood smear,

polymorphonuclear drumsticks
88140
88144

preparation; with manual screening and computer-assisted
rescreening under physician supervision
88144
10330
88145

preparation; with manual screening and computer-assisted
rescreening using cell selection and review under physician
supervision
88145
10331
88150
10332
88151
10333
88152
10334
88153
10335
88154
Cytopathology, slides, cervical or vaginal; with manual

screening and computer-assisted rescreening using cell
selection and review under physician supervision
88154
10336
88155
Cytopathology, slides, cervical or vaginal, definitive hormonal

evaluation (eg, maturation index, karyopyknotic index,
estrogenic index) (List separately in addition to code[s] for
other technical and interpretation services)
88155
10337
88156
Cytopathology, smears, cervical or vaginal, (the Bethesda

System (TBS)), up to three smears; screening by technician
under physician supervision
88156
10338
88157

System [TBS]), up to three smears; requiring interpretation
by physicians
88157
10339
88158

System (TBS)), up to three smears; with manual
cytotechnologist screening and automated rescreening
88158
10340
88160
10341
88161
10342
88162
Cytopathology, smears, any other source; extended study

involving over 5 slides and/or multiple stains
88162
88167

System); with manual screening and computer-assisted
rescreening using cell selection and review under physician
supervision
88167
10328
10329
10343
Cytopathology, slides, cervical or vaginal; manual screening

Cytopathology, smears, cervical or vaginal, up to three
smears; requiring interpretation by physician
screening and computer-assisted rescreening under
screening and rescreening under physician supervision
Cytopathology, smears, any other source; screening and

interpretation
Cytopathology, smears, any other source; preparation,
screening and interpretation
88150
88151
88152
88153
88160
88161
10344
88170
10345
88171
10346
88173
Fine needle aspiration; superficial tissue (eg, thyroid, breast,

prostate)
Fine needle aspiration with or without preparation of smears;
deep tissue under radiologic guidance
Cytopathology, evaluation of fine needle aspirate;
88170
88171
88173
88174

preparation; screening by automated system, under
88174
10348
88175

preparation; with screening by automated system and
manual rescreening or review, under physician supervision
88175
10349
88187
Flow cytometry, interpretation; 2 to 8 markers
88187
10350
88188
Flow cytometry, interpretation; 9 to 15 markers
88188
10351
88189
Flow cytometry, interpretation; 16 or more markers
88189
10352
88199
Unlisted cytopathology procedure
88199
10353
88248
Chromosome analysis for breakage syndromes; baseline

breakage, score 50-100 cells, count 20 cells, 2 karyotypes
(eg, for ataxia telangiectasia, Fanconi anemia, fragile X)
88248
10354
88249
Chromosome analysis for breakage syndromes; score 100

cells, clastogen stress (eg, diepoxybutane, mitomycin C,
ionizing radiation, UV radiation)
88249
10355
88250
10356
88260
10357
88262
10358
88263
10359
88264
10360
88267
Chromosome analysis, amniotic fluid or chorionic villus,

count 15 cells, 1 karyotype, with banding
88267
10361
88269
Chromosome analysis, in situ for amniotic fluid cells, count

cells from 6-12 colonies, 1 karyotype, with banding
88269
10362
88272
Molecular cytogenetics; chromosomal in situ hybridization,

analyze 3-5 cells (eg, for derivatives and markers)
88272
10363
88273
Molecular cytogenetics; chromosomal in situ hybridization,

analyze 10-30 cells (eg, for microdeletions)
88273
10347
Chromosome analysis for fragile X associated with fragile Xlinked mental retardation, score 100 cells, count 20 cells, 2
karyotypes, with banding
Chromosome analysis; count 5 cells, screening, with
banding
Chromosome analysis; count 15-20 cells, 2 karyotypes, with
banding
Chromosome analysis; count 45 cells for mosaicism, 2
karyotypes, with banding
Chromosome analysis; analyze 20-25 cells
88250
88260
88262
88263
88264
Molecular cytogenetics; interphase in situ hybridization,

analyze 25-99 cells
Molecular cytogenetics; interphase in situ hybridization,
analyze 100-300 cells
Chromosome analysis; additional specialized banding
technique (eg, NOR, C-banding)
10364
88274
10365
88275
10366
88283
10367
88285
Chromosome analysis; additional cells counted, each study
88285
10368
88289
Chromosome analysis; additional high resolution study
88289
10369
88299
Unlisted cytogenetic study
88299
88302
Level II - Surgical pathology, gross and microscopic

examination. Appendix, Incidental. Fallopian Tube,
Sterilization. Fingers/Toes, Amputation, Traumatic. Foreskin,
Newborn. Hernia Sac, Any Location. Hydrocele Sac. Nerve.
Skin, Plastic Repair. Sympathetic Ganglion. Testis,
Castration. Vaginal Mucosa, Incidental. Vas Deferens,
Sterilization
88302
88304
Level III - Surgical pathology, gross and microscopic

examination. Abortion, Induced. Abscess. Aneurysm Arterial/Ventricular. Anus, Tag. Appendix, Other than
Incidental. Artery, Atheromatous Plaque. Bartholin's Gland
Cyst. Bone Fragment(s), Other than Pathologic Fracture.
Bursa/Synovial Cyst. Carpal Tunnel Tissue. Cartilage,
Shavings. Cholesteatoma. Colon, Colostomy Stoma.
Conjunctiva - Biopsy/Pterygium. Cornea. Diverticulum Esophagus/Small Intestine. Dupuytren's Contracture Tissue.
Femoral Head, Other than Fracture. Fissure/Fistula.
Foreskin, Other than Newborn. Gallbladder. Ganglion Cyst.
Hematoma. Hemorrhoids. Hydatid of Morgagni.
Intervertebral Disc. Joint, Loose Body. Meniscus. Mucocele,
Salivary. Neuroma - Morton's/Traumatic. Pilonidal
Cyst/Sinus. Polyps, Inflammatory - Nasal/Sinusoidal. Skin Cyst/Tag/Debridement. Soft Tissue, Debridement. Soft
Tissue, Lipoma. Spermatocele. Tendon/Tendon Sheath.
Testicular Appendage. Thrombus or Embolus. Tonsil and/or
Adenoids. Varicocele. Vas Deferens, Other than Sterilization.
Vein, Varicosity
88304
10370
10371
88274
88275
88283
10372
88305
Level IV - Surgical pathology, gross and microscopic

examination. Abortion - Spontaneous/Missed. Artery, Biopsy.
Bone Marrow, Biopsy. Bone Exostosis. Brain/Meninges,
Other than for Tumor Resection. Breast, Biopsy, Not
Requiring Microscopic Evaluation of Surgical Margins.
Breast, Reduction Mammoplasty. Bronchus, Biopsy. Cell
Block, Any Source. Cervix, Biopsy. Colon, Biopsy.
Duodenum, Biopsy. Endocervix, Curettings/Biopsy.
Endometrium, Curettings/Biopsy. Esophagus, Biopsy.
Extremity, Amputation, Traumatic. Fallopian Tube, Biopsy.
Fallopian Tube, Ectopic Pregnancy. Femoral Head, Fracture.
Fingers/Toes, Amputation, Non-traumatic. Gingiva/Oral
Mucosa, Biopsy. Heart Valve. Joint, Resection. Kidney,
Biopsy. Larynx, Biopsy. Leiomyoma(s), Uterine Myomectomy
- without Uterus. Lip, Biopsy/Wedge Resection. Lung,
Transbronchial Biopsy. Lymph Node, Biopsy. Muscle, Biopsy.
Nasal Mucosa, Biopsy. Nasopharynx/Oropharynx, Biopsy.
Nerve, Biopsy. Odontogenic/Dental Cyst. Omentum, Biopsy.
Ovary with or without Tube, Non-neoplastic. Ovary,
Biopsy/Wedge Resection. Parathyroid Gland. Peritoneum,
Biopsy. Pituitary Tumor. Placenta, Other than Third
Trimester. Pleura/Pericardium - Biopsy/Tissue. Polyp,
Cervical/Endometrial. Polyp, Colorectal. Polyp,
Stomach/Small Intestine. Prostate, Needle Biopsy. Prostate,
TUR. Salivary Gland, Biopsy. Sinus, Paranasal Biopsy. Skin,
Other than Cyst/Tag/Debridement/Plastic Repair. Small
Intestine, Biopsy. Soft Tissue, Other than
Tumor/Mass/Lipoma/Debridement. Spleen. Stomach,
Biopsy. Synovium. Testis, Other than
Tumor/Biopsy/Castration. Thyroglossal Duct/Brachial Cleft
Cyst. Tongue, Biopsy. Tonsil, Biopsy. Trachea, Biopsy.
Ureter, Biopsy. Urethra, Biopsy. Urinary Bladder, Biopsy.
Uterus, with or without Tubes and Ovaries, for Prolapse.
Vagina, Biopsy. Vulva/Labia, Biopsy.
88305
88307
Level V - Surgical pathology, gross and microscopic

examination. Adrenal, Resection. Bone - Biopsy/Curettings.
Bone Fragment(s), Pathologic Fracture. Brain, Biopsy.
Brain/Meninges, Tumor Resection. Breast, Excision of
Lesion, Requiring Microscopic Evaluation of Surgical
Margins. Breast, Mastectomy - Partial/Simple. Cervix,
Conization. Colon, Segmental Resection, Other than for
Tumor. Extremity, Amputation, Non-traumatic. Eye,
Enucleation. Kidney, Partial/Total Nephrectomy. Larynx,
Partial/Total Resection. Liver, Biopsy - Needle/Wedge. Liver,
Partial Resection. Lung, Wedge Biopsy. Lymph Nodes,
Regional Resection. Mediastinum, Mass. Myocardium,
Biopsy. Odontogenic Tumor. Ovary with or without Tube,
Neoplastic. Pancreas, Biopsy. Placenta, Third Trimester.
Prostate, Except Radical Resection. Salivary Gland. Sentinel
lymph node. Small Intestine, Resection, Other than for
Tumor. Soft Tissue Mass (except Lipoma) - Biopsy/Simple
Excision. Stomach - Subtotal/Total Resection, Other than for
Tumor. Testis, Biopsy. Thymus, Tumor. Thyroid, Total/Lobe.
Ureter, Resection. Urinary Bladder, TUR. Uterus, with or
without Tubes and Ovaries, Other than Neoplastic/Prolapse.
88307
10374
88309
Level VI - Surgical pathology, gross and microscopic

examination. Bone Resection. Breast, Mastectomy - with
Regional Lymph Nodes. Colon, Segmental Resection for
Tumor. Colon, Total Resection. Esophagus, Partial/Total
Resection. Extremity, Disarticulation. Fetus, with Dissection.
Larynx, Partial/Total Resection - with Regional Lymph
Nodes. Lung - Total/Lobe/Segment Resection. Pancreas,
Total/Subtotal Resection. Prostate, Radical Resection. Small
Intestine, Resection for Tumor. Soft Tissue Tumor, Extensive
Resection. Stomach - Subtotal/Total Resection for Tumor.
Testis, Tumor. Tongue/Tonsil - Resection for Tumor. Urinary
Bladder, Partial/Total Resection. Uterus, with or without
Tubes and Ovaries, Neoplastic. Vulva, Total/Subtotal
Resection.
88309
10375
88311
Decalcification procedure (List separately in addition to code

for surgical pathology examination)
88311
10376
88313
Special stains; Group II, all other (eg, iron, trichrome),

except immunocytochemistry and immunoperoxidase stains,
including interpretation and report, each
88313
10377
88314
Special stains; histochemical staining with frozen section(s),

including interpretation and report (List separately in addition
88314
10373
Interpretation and report by treating physician of previously

diagnosed histologic slide (without consultation)
10378
88317
10379
88321
10380
88323
10381
88325
10382
88329
10383
88331
10384
88332
10385
88333
Pathology consultation during surgery; cytologic examination

(eg, touch prep, squash prep), initial site
88333
10386
88334
Pathology consultation during surgery; cytologic examination

(eg, touch prep, squash prep), each additional site
88334
10387
10388
88349
88356
Electron microscopy; scanning

Morphometric analysis; nerve
88349
88356
10389
88358
Morphometric analysis; tumor (eg, DNA ploidy)
88358
10390
88360
Morphometric analysis, tumor immunohistochemistry (eg,

Her-2/neu, estrogen receptor/progesterone receptor),
quantitative or semiquantitative, each antibody; manual
88360
10391
88361
Morphometric analysis, tumor immunohistochemistry (eg,

Her-2/neu, estrogen receptor/progesterone receptor),
quantitative or semiquantitative, each antibody; using
computer-assisted technology
88361
10392
88362
10393
88367
10394
88371
10395
88384
10396
88385
10397
88386
10398
88387
Consultation and report on referred slides prepared

elsewhere
Consultation and report on referred material requiring
preparation of slides
Consultation, comprehensive, with review of records and
specimens, with report on referred material
Pathology consultation during surgery;
Pathology consultation during surgery; first tissue block, with
frozen section(s), single specimen
Pathology consultation during surgery; each additional tissue
block with frozen section(s)
Nerve teasing preparations

Morphometric analysis, in situ hybridization, (quantitative or
semi-quantitative) each probe; using computer-assisted
technology
Protein analysis of tissue by Western Blot, with interpretation
and report;
Array-based evaluation of multiple molecular probes; 11
through 50 probes
through 250 probes
through 500 probes
Macroscopic examination, dissection, and preparation of
tissue for non-microscopic analytical studies (eg, nucleic
acid-based molecular studies); each tissue preparation (eg,
a single lymph node)
88317
88321
88323
88325
88329
88331
88332
88362
88367
88371
88384
88385
88386
88387
Macroscopic examination, dissection, and preparation of

tissue for non-microscopic analytical studies (eg, nucleic
acid-based molecular studies); in conjunction with a touch
imprint, intraoperative consultation, or frozen section, each
tissue preparation (eg, a single lymph node) (List separately
10399
88388
10400
10401
10402
10403
88399
88400
88720
88738
10404
88740
10405
88741
10406
89049
10407
89100
10408
89105
10409
89130
10410
89132
10411
89135
Gastric intubation, aspiration, and fractional collections (eg,

gastric secretory study); 1 hour
89135
10412
89136

gastric secretory study); two hours
89136
10413
89140

gastric secretory study); two hours including gastric
stimulation (eg, histalog, pentagastrin)
89140
10414
89141
10415
10416
10417
89160
89190
89205
10418
89220
10419
10420
10421
10422
89225
89230
89235
89240
Unlisted surgical pathology procedure

Bilirubin, total, transcutaneous
Bilirubin, total, transcutaneous
Hemoglobin (Hgb), quantitative, transcutaneous
Hemoglobin, quantitative, transcutaneous, per day;
carboxyhemoglobin
Hemoglobin, quantitative, transcutaneous, per day;
methemoglobin
Caffeine halothane contracture test (CHCT) for malignant
hyperthermia susceptibility, including interpretation and
report
Duodenal intubation and aspiration; single specimen (eg,
simple bile study or afferent loop culture) plus appropriate
test procedure
Duodenal intubation and aspiration; collection of multiple
fractional specimens with pancreatic or gallbladder
stimulation, single or double lumen tube
Gastric intubation and aspiration, diagnostic, each
specimen, for chemical analyses or cytopathology;
Gastric intubation and aspiration, diagnostic, each
specimen, for chemical analyses or cytopathology; after
stimulation

gastric secretory study); three hours, including gastric
stimulation
Meat fibers, feces
Nasal smear for eosinophils
Occult blood, any source except feces
Sputum, obtaining specimen, aerosol induced technique
Starch granules, feces
Sweat collection by iontophoresis
Water load test
Unlisted miscellaneous pathology test
88388
88399
88400
88720
88738
88740
88741
89049
89100
89105
89130
89132
89141
89160
89190
89205
89220
89225
89230
89235
89240
10423
89251
Culture of oocyte(s)/embryo(s), less than 4 days; with coculture of oocyte(s)/embryos
89251
10424
89252
Assisted oocyte fertilization, microtechnique (any method)
89252
10425
89254
89254
10426
89256
10427
89257
10428
89259
Oocyte identification from follicular fluid

Preparation of cryopreserved embryos for transfer (includes
thaw)
Sperm identification from aspiration (other than seminal
fluid)
Cryopreservation; sperm
10429
89261
Sperm isolation; complex prep (eg, Percoll gradient, albumin

gradient) for insemination or diagnosis with semen analysis
89261
10430
89264
Sperm identification from testis tissue, fresh or

cryopreserved
89264
10431
89272
Extended culture of oocyte(s)/embryo(s), 4-7 days
89272
10432
89281
10433
89290
10434
89291
10435
89300
10436
89310
10437
89321
10438
89322
Semen analysis; volume, count, motility, and differential

using strict morphologic criteria (eg, Kruger)
89322
10439
89325
Sperm antibodies
89325
10440
89329
Sperm evaluation; hamster penetration test
89329
10441
89330
Sperm evaluation; cervical mucus penetration test, with or

without spinnbarkeit test
89330
10442
89331
Sperm evaluation, for retrograde ejaculation, urine (sperm

concentration, motility, and morphology, as indicated)
89331
10443
10444
10445
89335
89342
89343
Cryopreservation, reproductive tissue, testicular

Storage, (per year); embryo(s)
Storage, (per year); sperm/semen
89335
89342
89343
10446
89344
Storage, (per year); reproductive tissue, testicular/ovarian
89344
10447
89346
89346
10448
89350
10449
89352
Storage, (per year); oocyte(s)

Sputum, obtaining specimen, aerosol induced technique
Thawing of cryopreserved; embryo(s)
Assisted oocyte fertilization, microtechnique; greater than 10

oocytes
Biopsy, oocyte polar body or embryo blastomere,
microtechnique (for pre-implantation genetic diagnosis); less
than or equal to 5 embryos
Biopsy, oocyte polar body or embryo blastomere,
microtechnique (for pre-implantation genetic diagnosis);
greater than 5 embryos
Semen analysis; presence and/or motility of sperm including
Huhner test (post coital)
Semen analysis; motility and count (not including Huhner
test)
Semen analysis; sperm presence and motility of sperm, if
performed
89256
89257
89259
89281
89290
89291
89300
89310
89321
89350
89352
10450
89353
Thawing of cryopreserved; sperm/semen, each aliquot
89353
10451
89354
10452
89355
Thawing of cryopreserved; reproductive tissue,

testicular/ovarian
Starch granules, feces
10453
89356
Thawing of cryopreserved; oocytes, each aliquot
89356
10454
10455
89360
89365
Sweat collection by iontophoresis

Water load test
89360
89365
10456
89398
Unlisted reproductive medicine laboratory procedure
89398
10457
89399
89399
10458
90000
10459
90100
10460
90200
Unlisted miscellaneous pathology test

Office and other outpatient medical service, new patient;
brief service
Home medical service, new patient; brief service
Initial hospital care; brief history and examination, initiation
of diagnostic and treatment programs, and preparation of
hospital records
89354
89355
90000
90100
90200
10461
90225
History and examination of the normal newborn infant,

initiation of diagnostic and treatment programs and
preparation of hospital records (This code should also be
used for birthing room deliveries)
10462
90240
Subsequent hospital care, each day; brief services
90240
10463
90281
90281
10464
90282
10465
90283
10466
90284
10467
90287
Immune globulin (Ig), human, for intramuscular use

Subsequent hospital care, each day; normal newborn
services services
Immune globulin (IgIV), human, for intravenous use
Immune globulin (SCIg), human, for use in subcutaneous
infusions, 100 mg, each
Botulinum antitoxin, equine, any route
10468
90288
Botulism immune globulin, human, for intravenous use
90288
10469
90291
10470
10471
90292
90296
Cytomegalovirus immune globulin (CMV-IgIV), human, for

intravenous use
Hospital discharge day management
Diphtheria antitoxin, equine, any route
Initial care, skilled nursing facility, intermediate care facility,
or long-term care facility medical services; brief history and
physical examination, initiation of diagnostic and treatment
programs, and preparation of medical records
90225
90282
90283
90284
90287
90291
90292
90296
10472
90300
10473
90371
10474
90376
10475
90378
Respiratory syncytial virus, monoclonal antibody,

recombinant, for intramuscular use, 50 mg, each
90378
10476
90379
Respiratory syncytial virus immune globulin (RSV-IgIV),

human, for intravenous use
90379
Hepatitis B immune globulin (HBIg), human, for

intramuscular use
Rabies immune globulin, heat-treated (RIg-HT), human, for
intramuscular and/or subcutaneous use
90300
90371
90376
Rho(D) immune globulin (RhIg), human, full-dose, for

intramuscular use
Rho(D) immune globulin (RhIg), human, mini-dose, for
intramuscular use
Rho(D) immune globulin (RhIgIV), human, for intravenous
use
Tetanus immune globulin (TIg), human, for intramuscular
use
10477
90384
10478
90385
10479
90386
10480
90389
10481
90393
10482
90396
10483
90399
10484
90400
Rest home (eg, boarding home), domiciliary, or custodial

care facility medical service, new patient; brief service
90400
90465
Immunization administration younger than 8 years of age

(includes percutaneous, intradermal, subcutaneous, or
intramuscular injections) when the physician counsels the
patient/family; first injection (single or combination
vaccine/toxoid), per day
90465
90466
Immunization administration younger than 8 years of age

(includes percutaneous, intradermal, subcutaneous, or
intramuscular injections) when the physician counsels the
patient/family; each additional injection (single or
combination vaccine/toxoid), per day (List separately in
90466
90467
Immunization administration under age 8 years (includes

intranasal or oral routes of administration) when the
physician counsels the patient/family; first administration
(single or combination vaccine/toxoid), per day
90467
10488
90468
Immunization administration younger than age 8 years

(includes intranasal or oral routes of administration) when
the physician counsels the patient/family; each additional
administration (single or combination vaccine/toxoid), per
day (List separately in addition to code for primary
procedure)
90468
10489
90470
H1N1 immunization administration (intramuscular,

intranasal), including counseling when performed
90470
10490
90472
Immunization administration (includes percutaneous,

intradermal, subcutaneous, or intramuscular injections);
each additional vaccine (single or combination
vaccine/toxoid) (List separately in addition to code for
primary procedure)
90472
10491
90473
10492
10493
90476
90477
Immunization administration by intranasal or oral route; 1

vaccine (single or combination vaccine/toxoid)
Adenovirus vaccine, type 4, live, for oral use
Adenovirus vaccine, type 7, live, for oral use
10494
90500
Emergency department service, new patient; minimal service
90500
10495
90581
Anthrax vaccine, for subcutaneous use
90581
10485
10486
10487
Vaccinia immune globulin, human, for intramuscular use

Varicella-zoster immune globulin, human, for intramuscular
use
Unlisted immune globulin
90384
90385
90386
90389
90393
90396
90399
90473
90476
90477
10496
90586
10497
90590
10498
10499
90592
90600
Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer,

live, for intravesical use
Physician direction of emergency medical systems (EMS)
emergency care, advanced life support
Cholera vaccine, live, for oral use
Initial consultation; limited
10500
90632
Hepatitis A vaccine, adult dosage, for intramuscular use
10501
90633
10502
90634
10503
90636
10504
90640
10505
90645
10506
90646
10507
90647
10508
90648
10509
90649
10510
90650
10511
90650
10512
90655
10513
90656
Influenza virus vaccine, split virus, preservative free, when

administered to individuals 3 years and older, for
intramuscular use
90656
10514
90657
Influenza virus vaccine, split virus, when administered to

children 6-35 months of age, for intramuscular use
90657
10515
90658
Influenza virus vaccine, split virus, when administered to

individuals 3 years of age and older, for intramuscular use
90658
10516
90659
Influenza virus vaccine, whole virus, for intramuscular or jet

injection use
90659
10517
90660
Influenza virus vaccine, live, for intranasal use
90660
10518
90661
Influenza virus vaccine, derived from cell cultures, subunit,

preservative and antibiotic free, for intramuscular use
90661
10519
90662
Influenza virus vaccine, split virus, preservative free,

enhanced immunogenicity via increased antigen content, for
intramuscular use
90662
10520
90663
Influenza virus vaccine, pandemic formulation, H1N1
90663
Hepatitis A vaccine, pediatric/adolescent dosage-2 dose

schedule, for intramuscular use
Hepatitis A vaccine, pediatric/adolescent dosage-3 dose
schedule, for intramuscular use
Hepatitis A and hepatitis B vaccine (HepA-HepB), adult
dosage, for intramuscular use
Follow-up consultation; brief
Hemophilus influenza b vaccine (Hib), HbOC conjugate (4
dose schedule), for intramuscular use
Hemophilus influenza b vaccine (Hib), PRP-D conjugate, for
booster use only, intramuscular use
Hemophilus influenza b vaccine (Hib), PRP-OMP conjugate
(3 dose schedule), for intramuscular use
Hemophilus influenza b vaccine (Hib), PRP-T conjugate (4
dose schedule), for intramuscular use
Human Papilloma virus (HPV) vaccine, types 6, 11, 16, 18
(quadrivalent), 3 dose schedule, for intramuscular use
Confirmatory consultation; limited
Human Papilloma virus (HPV) vaccine, types 16 and 18,
bivalent, 3 dose schedule, for intramuscular use
Influenza virus vaccine, split virus, preservative free, when
administered to children 6-35 months of age, for
intramuscular use
90586
90590
90592
90600
90632
90633
90634
90636
90640
90645
90646
90647
90648
90649
90650
90650
90655
10521
90665
10522
90669
10523
90670
10524
90680
10525
90681
10526
90690
10527
90691
10528
90692
10529
90693
Lyme disease vaccine, adult dosage, for intramuscular use

Pneumococcal conjugate vaccine, 7 valent, for intramuscular
use
Pneumococcal conjugate vaccine, 13 valent, for
intramuscular use
Rotavirus vaccine, pentavalent, 3 dose schedule, live, for
oral use
Rotavirus vaccine, human, attenuated, 2 dose schedule,
live, for oral use
Typhoid vaccine, live, oral
Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for
intramuscular use
Typhoid vaccine, heat- and phenol-inactivated (H-P), for
subcutaneous or intradermal use
Typhoid vaccine, acetone-killed, dried (AKD), for
subcutaneous use (USmilitary)
Diphtheria, tetanus toxoids, acellular pertussis vaccine and
poliovirus vaccine, inactivated (DTaP-IPV), when
administered to children 4 through 6 years of age, for
intramuscular use
90665
90669
90670
90680
90681
90690
90691
90692
90693
10530
90696
10531
90698
10532
90699
10533
90700
10534
90703
Diphtheria, tetanus toxoids, acellular pertussis vaccine,

haemophilus influenza Type B, and poliovirus vaccine,
inactivated (DTaP - Hib - IPV), for intramuscular use
Unlisted medical service, general
Diphtheria, tetanus toxoids, and acellular pertussis vaccine
(DTaP), when administered to individuals younger than 7
years, for intramuscular use
Tetanus toxoid adsorbed, for intramuscular use
10535
90704
Mumps virus vaccine, live, for subcutaneous use
90704
10536
90705
Measles virus vaccine, live, for subcutaneous use
90705
10537
90706
Rubella virus vaccine, live, for subcutaneous use
90706
10538
90709
10539
90710
10540
90713
10541
90714
10542
90715
Tetanus, diphtheria toxoids and acellular pertussis vaccine

(Tdap), when administered to individuals 7 years or older, for
intramuscular use
90715
10543
90716
Varicella virus vaccine, live, for subcutaneous use
90716
10544
90718
10545
90719
Rubella and mumps virus vaccine, live, for subcutaneous

use
Measles, mumps, rubella, and varicella vaccine (MMRV),
live, for subcutaneous use
Poliovirus vaccine, inactivated (IPV), for subcutaneous or
intramuscular use
Tetanus and diphtheria toxoids (Td) adsorbed, preservative
free, when administered to individuals 7 years or older, for
intramuscular use
Tetanus and diphtheria toxoids (Td) adsorbed when

administered to individuals 7 years or older, for
intramuscular use
Diphtheria toxoid, for intramuscular use
90696
90698
90699
90700
90703
90709
90710
90713
90714
90718
90719
Diphtheria, tetanus toxoids, and acellular pertussis vaccine

and Hemophilus influenza B vaccine (DtaP-Hib), for
intramuscular use
10546
90721
10547
90723
10548
10549
10550
10551
10552
10553
10554
90724
90725
90726
90727
90728
90730
90731
10555
90732
10556
90733
10557
90734
10558
90735
Japanese encephalitis virus vaccine, for subcutaneous use
90735
10559
90736
Zoster (shingles) vaccine, live, for subcutaneous injection
90736
10560
90737
90737
10561
90738
Immunization, active; Hemophilus influenza B

Japanese encephalitis virus vaccine, inactivated, for
intramuscular use
10562
90740
Hepatitis B vaccine, dialysis or immunosuppressed patient

dosage (3 dose schedule), for intramuscular use
90740
10563
90741
Immunization, passive; immune serum globulin, human

(ISG)
90741
10564
90742
Immunization, passive; specific hyperimmune serum globulin

(eg, hepatitis B, measles, pertussis, rabies, Rho(D), tetanus,
vaccinia, varicella-zoster)
90742
10565
90743
10566
90745
10567
90746
Hepatitis B vaccine, adult dosage, for intramuscular use
90746
10568
90747
Hepatitis B vaccine, dialysis or immunosuppressed patient

dosage (4 dose schedule), for intramuscular use
90747
10569
90748
10570
90750
Diphtheria, tetanus toxoids, acellular pertussis vaccine,

Hepatitis B, and poliovirus vaccine, inactivated (DtaPHepBIPV), for intramuscular use
Immunization, active; influenza virus vaccine
Cholera vaccine for injectable use
Immunization, active; rabies vaccine
Plague vaccine, for intramuscular use
Immunization, active; BCG vaccine
Immunization, active; hepatitis A vaccine
Immunization, active; hepatitis B vaccine
Pneumococcal polysaccharide vaccine, 23-valent, adult or
immunosuppressed patient dosage, when administered to
individuals 2 years or older, for subcutaneous or
intramuscular use
Meningococcal polysaccharide vaccine (any group(s)), for
subcutaneous use
Meningococcal conjugate vaccine, serogroups A, C, Y and
W-135 (tetravalent), for intramuscular use
Hepatitis B vaccine, adolescent (2 dose schedule), for

intramuscular use
Hepatitis B vaccine, adolescent/high risk infant dosage, for
intramuscular use
Hepatitis B and Hemophilus influenza b vaccine (HepBHib),

for intramuscular use
Initial history and examination related to the healthy
individual, including anticipatory guidance; adult (age 18 or
over)
90721
90723
90724
90725
90726
90727
90728
90730
90731
90732
90733
90734
90738
90743
90745
90748
90750
10571
90755
Infant care to one year of age, with a maximum of 12 office

visits during regular office hours, including tuberculin skin
testing and immunization of DTP and oral polio
90755
10572
90757
Newborn care, in other than hospital setting, including

physical examination of baby and conference(s) with
parent(s)
90757
10573
90760
Interval history and examination related to the healthy

individual, including anticipatory guidance, periodic type of
examination; adult (18 years or over)
90760
10574
90760
Intravenous infusion, hydration; initial, 31 minutes to 1 hour
90760
10575
90761
Intravenous infusion, hydration; each additional hour (List

90761
10576
90765
Intravenous infusion, for therapy, prophylaxis, or diagnosis

(specify substance or drug); initial, up to 1 hour
90765
10577
90766

(specify substance or drug); each additional hour (List
90766
10578
90767

(specify substance or drug); additional sequential infusion,
up to 1 hour (List separately in addition to code for primary
procedure)
90767
10579
90768

(specify substance or drug); concurrent infusion (List
90768
10580
90769
Subcutaneous infusion for therapy or prophylaxis (specify

substance or drug); initial, up to one hour, including pump
set-up and establishment of subcutaneous infusion site(s)
90769
10581
90770

substance or drug); each additional hour (List separately in
90770
10582
90771

substance or drug); additional pump set-up with
establishment of new subcutaneous infusion site(s) (List
90771
10583
90772

substance or drug); subcutaneous or intramuscular
90772
10584
90773
10585
90774

substance or drug); intra-arterial
Administration and medical interpretation of developmental
tests
90773
90774
90774

substance or drug); intravenous push, single or initial
substance/drug
90774
90775

substance or drug); each additional sequential intravenous
push of a new substance/drug (List separately in addition to
90775
10588
90776

push of the same substance/drug provided in a facility (List
90776
10589
90778
Circadian respiratory pattern recording (pediatric

pneumogram), 12 to 24 hour continuous recording, infant
90778
10590
90779
Unlisted therapeutic, prophylactic or diagnostic intravenous

or intra-arterial injection or infusion
90779
10591
90781
Intravenous infusion for therapy/diagnosis, administered by

physician or under direct supervision of physician; each
additional hour, up to eight (8) hours (List separately in
90781
10592
90788
Intramuscular injection of antibiotic (specify)
90788
10593
90798
Intravenous therapy for severe or intractable allergic disease

in physician's office or institution (eg, theophyllines,
corticosteroids, antihistamines)
90798
10594
90799
Unlisted therapeutic, prophylactic or diagnostic injection
90799
10595
90801
90801
10596
90802
Psychiatric diagnostic interview examination

Interactive psychiatric diagnostic interview examination using
play equipment, physical devices, language interpreter, or
other mechanisms of communication
10586
10587
10597
10598
10599
90802
90805

with medical evaluation and management services
90805
90807

90807
90809

90809
10600
10601
10602
10603
10604
10605
10606
10607
10608
90810
Individual psychotherapy, interactive, using play equipment,

physical devices, language interpreter, or other mechanisms
of non-verbal communication, in an office or outpatient
facility, approximately 20 to 30 minutes face-to-face with the
patient;
90810
90811

patient; with medical evaluation and management services
90811
90812

patient;
90812
90813

90813
90814

patient;
90814
90815

90815
90816

modifying and/or supportive, in an inpatient hospital, partial
hospital or residential care setting, approximately 20 to 30
minutes face-to-face with the patient;
90816
90817

minutes face-to-face with the patient; with medical
evaluation and management services
90817
90818

90818
10609
90819

10610
90820
Interactive medical psychiatric diagnostic interview

examination
90820
90821

90821
90822

90822
90823

of non-verbal communication, in an inpatient hospital, partial
90823
10614
90824

90824
10615
90825
Psychiatric evaluation of hospital records, other psychiatric

reports, psychometric and/or projective tests, and other
accumulated data for medical diagnostic purposes
90825
90826

90826
90827

90827
10611
10612
10613
10616
10617
90819
90828

90828
90829

90829
10620
90830

assessment of personality, psychopathology, emotionality,
intellectual abilities, eg, WAIS-R, Rorschach, MMPI) with
90830
10621
90831
Telephone consultation with or about patient for psychiatric

therapeutic or diagnostic purposes
90831
10622
90835
Narcosynthesis for psychiatric diagnostic and therapeutic

purposes (eg, sodium amobarbital [Amytal] interview)
90835
90841
Individual medical psychotherapy by a physician, with

continuing medical diagnostic evaluation, and drug
management when indicated, including insight oriented,
behavior modifying or supportive psychotherapy (face-toface with the patient); time unspecified
90841
90842

behavior modifying or supportive psychotherapy (face-toface with the patient); approximately 75 to 80 minutes
90842
90843

90843
10626
90844

90844
10627
10628
90848
90855
(No description)
Interactive individual medical psychotherapy
90848
90855
10618
10619
10623
10624
10625
10629
90862
Pharmacologic management, including prescription, use,

and review of medication with no more than minimal medical
psychotherapy
90862
10630
90865
Narcosynthesis for psychiatric diagnostic and therapeutic

purposes (eg, sodium amobarbital (Amytal) interview)
90865
10631
90870
Electroconvulsive therapy (includes necessary monitoring)
90870
10632
90871
Electroconvulsive therapy (includes necessary monitoring);

multiple seizures, per day
90871
90875
Individual psychophysiological therapy incorporating

biofeedback training by any modality (face-to-face with the
patient), with psychotherapy (eg, insight oriented, behavior
modifying or supportive psychotherapy); approximately 2030 minutes
90875
10634
90876
Individual psychophysiological therapy incorporating

biofeedback training by any modality (face-to-face with the
patient), with psychotherapy (eg, insight oriented, behavior
modifying or supportive psychotherapy); approximately 4550 minutes
90876
10635
90882
Environmental intervention for medical management

purposes on a psychiatric patient's behalf with agencies,
employers, or institutions
90882
10636
90885
Psychiatric evaluation of hospital records, other psychiatric

reports, psychometric and/or projective tests, and other
accumulated data for medical diagnostic purposes
90885
90887
Interpretation or explanation of results of psychiatric, other

medical examinations and procedures, or other accumulated
data to family or other responsible persons, or advising them
how to assist patient
90887
10633
10637
Preparation of report of patient's psychiatric status, history,

treatment, or progress (other than for legal or consultative
purposes) for other physicians, agencies, or insurance
carriers
Unlisted psychiatric service or procedure
10638
90889
90889
10639
90899
10640
90900
Biofeedback training; by electromyogram application (eg, in

tension headache, muscle spasm)
90900
10641
90901
Biofeedback training by any modality
90901
10642
90902
Biofeedback training; in conduction disorder (eg, arrhythmia)
90902
10643
90911
Biofeedback training, perineal muscles, anorectal or urethral

sphincter, including EMG and/or manometry
90911
10644
90915
Biofeedback training; other
90915
90899
90918
End stage renal disease (ESRD) related services per full

month; for patients under two years of age to include
growth and development, and counseling of parents
90918
90919
End-stage renal disease (ESRD) related services per full

month; for patients between two and eleven years of age to
include monitoring for the adequacy of nutrition, assessment
of growth and development, and counseling of parents
90919
10647
90920

month; for patients between twelve and nineteen years of
age to include monitoring for the adequacy of nutrition,
assessment of growth and development, and counseling of
parents
90920
10648
90921

month; for patients twenty years of age and older
90921
10649
90922
End stage renal disease (ESRD) related services (less than

full month), per day; for patients under two years of age
90922
10650
90923
End-stage renal disease (ESRD) related services (less than

full month), per day; for patients between two and eleven
years of age
90923
10651
90924

full month), per day; for patients between twelve and
nineteen years of age
90924
10652
90925

full month), per day; for patients twenty years of age and
older
90925
10653
90939
Hemodialysis access flow study to determine blood flow in

grafts and arteriovenous fistulae by an indicator dilution
method, hook-up; transcutaneous measurement and
disconnection
90939
10654
90940
Hemodialysis access flow study to determine blood flow in

grafts and arteriovenous fistulae by an indicator method
90940
90947
Dialysis procedure other than hemodialysis (eg, peritoneal

dialysis, hemofiltration, or other continuous renal
replacement therapies) requiring repeated physician
evaluations, with or without substantial revision of dialysis
prescription
90947
90953

growth and development, and counseling of parents; with 1
face-to-face physician visit per month
90953
10645
10646
10655
10656
90954

for patients 2-11 years of age to include monitoring for the
adequacy of nutrition, assessment of growth and
development, and counseling of parents; with 4 or more
face-to-face physician visits per month
90954
90955

development, and counseling of parents; with 2-3 face-toface physician visits per month
90955
90956

development, and counseling of parents; with 1 face-to-face
physician visit per month
90956
90957

development, and counseling of parents; with 4 or more
face-to-face physician visits per month
90957
90958

development, and counseling of parents; with 2-3 face-toface physician visits per month
90958
10662
90959

development, and counseling of parents; with 1 face-to-face
90959
10663
90960

for patients 20 years of age and older; with 4 or more faceto-face physician visits per month
90960
10664
90961

for patients 20 years of age and older; with 2-3 face-to-face
physician visits per month
90961
10665
90962

for patients 20 years of age and older; with 1 face-to-face
90962
10657
10658
10659
10660
10661
90963
End-stage renal disease (ESRD) related services for home

dialysis per full month, for patients younger than 2 years of
age to include monitoring for the adequacy of nutrition,
assessment of growth and development, and counseling of
parents
90963
90964

dialysis per full month, for patients 2-11 years of age to
90964
10668
90965

dialysis per full month, for patients 12-19 years of age to
90965
10669
90966

dialysis per full month, for patients 20 years of age and older
90966
10670
90967
End-stage renal disease (ESRD) related services for dialysis

less than a full month of service, per day; for patients
younger than 2 years of age
90967
10671
90968

less than a full month of service, per day; for patients 2-11
years of age
90968
10672
90969

less than a full month of service, per day; for patients 12-19
years of age
90969
10673
90970

less than a full month of service, per day; for patients 20
years of age and older
90970
10674
90988
10675
90989
10676
90990
10677
90993
10678
90995
10679
90998
10680
90999
10666
10667
Supervision of hemodialysis in hospital or other facility

(excluding home dialysis), on monthly basis
Dialysis training, patient, including helper where applicable,
any mode, completed course
Hemodialysis training and/or counseling
Dialysis training, patient, including helper where applicable,
any mode, course not completed, per training session
End stage renal disease (ESRD) related services, per full
month
End stage renal disease (ESRD) related services (less than
full month), per day
Unlisted dialysis procedure, inpatient or outpatient
90988
90989
90990
90993
90995
90998
90999

and/or gastroesophageal junction) study; with mecholyl or
similar stimulant
10681
91011
10682
91012
10683
91022
10684
91032
10685
91034
10686
91035
Esophagus, gastroesophageal reflux test; with mucosal

attached telemetry pH electrode placement, recording,
analysis and interpretation
91035
10687
91037
Esophageal function test, gastroesophageal reflux test with

nasal catheter intraluminal impedance electrode(s)
placement, recording, analysis and interpretation;
91037
10688
91038
Esophageal function test, gastroesophageal reflux test with

nasal catheter intraluminal impedance electrode(s)
placement, recording, analysis and interpretation; prolonged
(greater than 1 hour, up to 24 hours)
91038
10689
91040
10690
91055
10691
91060
10692
91065
Breath hydrogen test (eg, for detection of lactase

deficiency), fructose intolerance, bacterial overgrowth, or
oro-cecal gastrointestinal transit)
91065
10693
91100
Intestinal bleeding tube, passage, positioning and monitoring
91100
10694
91110
Gastrointestinal tract imaging, intraluminal (eg, capsule

endoscopy), esophagus through ileum, with physician
91110
10695
91111
10696
91120
10697
91123
10698
91133
10699
91299
10700
92002
10701
92004

and/or gastroesophageal junction) study; with acid perfusion
studies
Duodenal motility (manometric) study
Esophagus, acid reflux test, with intraluminal pH electrode
for detection of gastroesophageal reflux;
Esophagus, gastroesophageal reflux test; with nasal
catheter pH electrode(s) placement, recording, analysis and
interpretation
Esophageal balloon distension provocation study

Gastric intubation, washings, and preparing slides for
cytology (separate procedure)
Gastric saline load test
Gastrointestinal tract imaging, intraluminal (eg, capsule

endoscopy), esophagus with physician interpretation and
report
Rectal sensation, tone, and compliance test (ie, response to
graded balloon distention)
Pulsed irrigation of fecal impaction
Electrogastrography, diagnostic, transcutaneous; with
provocative testing
Unlisted diagnostic gastroenterology procedure
Ophthalmological services: medical examination and
evaluation with initiation of diagnostic and treatment
program; intermediate, new patient
evaluation with initiation of diagnostic and treatment
program; comprehensive, new patient, 1 or more visits
91011
91012
91022
91032
91034
91040
91055
91060
91111
91120
91123
91133
91299
92002
92004
92012

evaluation, with initiation or continuation of diagnostic and
treatment program; intermediate, established patient
92012
92014

evaluation, with initiation or continuation of diagnostic and
treatment program; comprehensive, established patient, 1 or
more visits
92014
10704
92019
Ophthalmological examination and evaluation, under general

anesthesia, with or without manipulation of globe for passive
range of motion or other manipulation to facilitate diagnostic
examination; limited
92019
10705
92025
10706
92070
10702
10703
Computerized corneal topography, unilateral or bilateral, with

Fitting of contact lens for treatment of disease, including
supply of lens
92025
92070
92082

interpretation and report; intermediate examination (eg, at
least 2 isopters on Goldmann perimeter, or semiquantitative,
automated suprathreshold screening program, Humphrey
suprathreshold automatic diagnostic test, Octopus program
33)
92082
10708
92083

interpretation and report; extended examination (eg,
Goldmann visual fields with at least 3 isopters plotted and
static determination within the central 30, or quantitative,
automated threshold perimetry, Octopus program G-1, 32 or
42, Humphrey visual field analyzer full threshold programs
30-2, 24-2, or 30/60-2)
92083
10709
92120
Tonography with interpretation and report, recording

indentation tonometer method or perilimbal suction method
92120
10710
92130
10711
92136
10712
92140
10713
92226
10714
92230
10715
92240
10716
92270
10717
92283
10707
10718
92285
Tonography with water provocation

Ophthalmic biometry by partial coherence interferometry
with intraocular lens power calculation
Provocative tests for glaucoma, with interpretation and
report, without tonography
Ophthalmoscopy, extended, with retinal drawing (eg, for
retinal detachment, melanoma), with interpretation and
report; subsequent
Fluorescein angioscopy with interpretation and report
Indocyanine-green angiography (includes multiframe
imaging) with interpretation and report
Electro-oculography with interpretation and report
Color vision examination, extended, eg, anomaloscope or
equivalent
External ocular photography with interpretation and report
for documentation of medical progress (eg, close-up
photography, slit lamp photography, goniophotography,
stereo-photography)
92130
92136
92140
92226
92230
92240
92270
92283
92285
10719
92287
Special anterior segment photography with interpretation

and report; with fluorescein angiography
92287
10720
92310
Prescription of optical and physical characteristics of and

fitting of contact lens, with medical supervision of adaptation;
corneal lens, both eyes, except for aphakia
92310
10721
92311

corneal lens for aphakia, 1 eye
92311
10722
92312

corneal lens for aphakia, both eyes
92312
10723
92313

corneoscleral lens
92313
92314
Prescription of optical and physical characteristics of contact

lens, with medical supervision of adaptation and direction of
fitting by independent technician; corneal lens, both eyes
except for aphakia
92314
92315

fitting by independent technician; corneal lens for aphakia, 1
eye
92315
10726
92316

fitting by independent technician; corneal lens for aphakia,
both eyes
92316
10727
92317

fitting by independent technician; corneoscleral lens
92317
10728
92325
10729
92326
10730
92335
10731
92340
Fitting of spectacles, except for aphakia; monofocal
92340
10732
92341
92341
10733
92342
Fitting of spectacles, except for aphakia; bifocal

Fitting of spectacles, except for aphakia; multifocal, other
than bifocal
10734
92352
Fitting of spectacle prosthesis for aphakia; monofocal
92352
10735
92353
Fitting of spectacle prosthesis for aphakia; multifocal
92353
10736
92354
10737
92355
10724
10725
Modification of contact lens (separate procedure), with

medical supervision of adaptation
Replacement of contact lens
Prescription of ocular prosthesis (artificial eye) and direction
of fitting and supply by independent technician, with medical
supervision of adaptation
Fitting of spectacle mounted low vision aid; single element

system
Fitting of spectacle mounted low vision aid; telescopic or
other compound lens system
92325
92326
92335
92342
92354
92355
10738
92358
Prosthesis service for aphakia, temporary (disposable or

loan, including materials)
92358
10739
92370
Repair and refitting spectacles; except for aphakia
92370
10740
92371
10741
92390
10742
92391
Supply of contact lenses, except prosthesis for aphakia
92391
10743
92392
Supply of low vision aids (A low vision aid is any lens or

device used to aid or improve visual function in a person
whose vision cannot be normalized by conventional
spectacle correction. Includes reading additions up to 4D.)
92392
10744
10745
92393
92395
Supply of ocular prosthesis (artificial eye)

Supply of permanent prosthesis for aphakia; spectacles
92393
92395
10746
92396
Supply of permanent prosthesis for aphakia; contact lenses
92396
10747
92499
Unlisted ophthalmological service or procedure
92499
10748
92507
Treatment of speech, language, voice, communication,

and/or auditory processing disorder; individual
92507
10749
92508
Treatment of speech, language, voice, communication,

and/or auditory processing disorder; group, 2 or more
individuals
92508
10750
92525
Evaluation of swallowing and oral function for feeding
92525
10751
92540
Basic vestibular evaluation, includes spontaneous

nystagmus test with eccentric gaze fixation nystagmus, with
recording, positional nystagmus test, minimum of4 positions,
with recording, optokinetic nystagmus test, bidirectional
foveal and peripheral stimulation, with recording, and
oscillating tracking test, with recording
92540
10752
10753
10754
92550
92561
92566
10755
92570
10756
10757
10758
10759
92574
92578
92580
92581
10760
92586
Auditory evoked potentials for evoked response audiometry

and/or testing of the central nervous system; limited
92586
10761
92597
Evaluation for use and/or fitting of voice prosthetic device to

supplement oral speech
92597
Repair and refitting spectacles; spectacle prosthesis for

aphakia
Supply of spectacles, except prosthesis for aphakia and low
vision aids
Tympanometry and reflex threshold measurements

Bekesy audiometry; diagnostic
Impedance testing
Acoustic immittance testing, includes tympanometry
(impedance testing), acoustic reflex threshold testing, and
acoustic reflex decay testing
Swinging story test
Delayed auditory feedback test
Electrodermal audiometry
Evoked response (EEG) audiometry
92371
92390
92550
92561
92566
92570
92574
92578
92580
92581
Modification of voice prosthetic or augmentative/alternative

communication device to supplement oral speech
10762
92598
10763
92599
10764
92601
10765
92602
10766
92603
10767
92604
10768
92605
Evaluation for prescription of non-speech-generating

augmentative and alternative communication device
92605
10769
92606
Therapeutic service(s) for the use of non-speech-generating

device, including programming and modification
92606
10770
92607
Evaluation for prescription for speech-generating

augmentative and alternative communication device, faceto-face with the patient; first hour
92607
10771
92608
Evaluation for prescription for speech-generating

augmentative and alternative communication device, faceto-face with the patient; each additional 30 minutes (List
92608
10772
92609
Therapeutic services for the use of speech-generating

device, including programming and modification
92609
10773
92610
10774
92611
10775
92612
10776
92613
10777
92614
10778
92615
10779
92616
Flexible fiberoptic endoscopic evaluation of swallowing and

laryngeal sensory testing by cine or video recording;
92616
10780
92617
Flexible fiberoptic endoscopic evaluation of swallowing and

laryngeal sensory testing by cine or video recording;
physician interpretation and report only
92617
10781
92620
10782
92621
Unlisted otorhinolaryngological service or procedure

Diagnostic analysis of cochlear implant, patient under 7
years of age; with programming
Diagnostic analysis of cochlear implant, patient younger than
7 years of age; subsequent reprogramming
Diagnostic analysis of cochlear implant, age 7 years or
older; with programming
Diagnostic analysis of cochlear implant, age 7 years or
older; subsequent reprogramming
Evaluation of oral and pharyngeal swallowing function

Motion fluoroscopic evaluation of swallowing function by cine
or video recording
Flexible fiberoptic endoscopic evaluation of swallowing by
cine or video recording;
Flexible fiberoptic endoscopic evaluation of swallowing by
cine or video recording; physician interpretation and report
only
Flexible fiberoptic endoscopic evaluation, laryngeal sensory
testing by cine or video recording;
Flexible fiberoptic endoscopic evaluation, laryngeal sensory
testing by cine or video recording; physician interpretation
and report only
Evaluation of central auditory function, with report; initial 60

minutes
Evaluation of central auditory function, with report; each
additional 15 minutes
92598
92599
92601
92602
92603
92604
92610
92611
92612
92613
92614
92615
92620
92621
10783
92625
Assessment of tinnitus (includes pitch, loudness matching,

and masking)
92625
10784
92626
Evaluation of auditory rehabilitation status; first hour
92626
10785
92627
10786
10787
92630
92633
10788
92640
10789
10790
92700
92953
10791
92974
Transcatheter placement of radiation delivery device for

subsequent coronary intravascular brachytherapy (List
92974
92979
Intravascular ultrasound (coronary vessel or graft) during

diagnostic evaluation and/or therapeutic intervention
including imaging supervision, interpretation and report;
each additional vessel (List separately in addition to code for
primary procedure)
92979
10793
92981
Transcatheter placement of an intracoronary stent(s),

percutaneous, with or without other therapeutic intervention,
any method; each additional vessel (List separately in
92981
10794
92984
10795
92987
Percutaneous transluminal coronary balloon angioplasty;

each additional vessel (List separately in addition to code for
primary procedure)
Percutaneous balloon valvuloplasty; mitral valve
10796
92990
Percutaneous balloon valvuloplasty; pulmonary valve
10797
92992
10798
92993
10792
Evaluation of auditory rehabilitation status; each additional

15 minutes (List separately in addition to code for primary
procedure)
Auditory rehabilitation; pre-lingual hearing loss
Auditory rehabilitation; postlingual hearing loss
Diagnostic analysis with programming of auditory brainstem
implant, per hour
Unlisted otorhinolaryngological service or procedure
Temporary transcutaneous pacing
Atrial septectomy or septostomy; transvenous method,

balloon (eg, Rashkind type) (includes cardiac
catheterization)
Atrial septectomy or septostomy; blade method (Park
septostomy) (includes cardiac catheterization)
92627
92630
92633
92640
92700
92953
92984
92987
92990
92992
92993
10799
92996
Percutaneous transluminal coronary atherectomy, by

mechanical or other method, with or without balloon
angioplasty; each additional vessel (List separately in
10800
92998
Percutaneous transluminal pulmonary artery balloon

angioplasty; each additional vessel (List separately in
92998
10801
93005
Electrocardiogram, routine ECG with at least 12 leads;

tracing only, without interpretation and report
93005
10802
93010
Electrocardiogram, routine ECG with at least 12 leads;

interpretation and report only
93010
92996
10803
10804
10805
10806
93012
Telephonic transmission of post-symptom electrocardiogram

rhythm strip(s), 24-hour attended monitoring, per 30 day
period of time; tracing only
93012
93014
Telephonic transmission of post-symptom electrocardiogram

rhythm strip(s), 24-hour attended monitoring, per 30 day
period of time; physician review with interpretation and
report only
93014
93016

monitoring, and/or pharmacological stress; physician
supervision only, without interpretation and report
93016
93017

monitoring, and/or pharmacological stress; tracing only,
without interpretation and report
93017

monitoring, and/or pharmacological stress; interpretation and
report only
Ergonovine provocation test
Microvolt T-wave alternans for assessment of ventricular
arrhythmias
Rhythm ECG, one to three leads; tracing only without
Rhythm ECG, one to three leads; interpretation and report
only
Rhythm ECG, one to three leads; esophageal lead (includes
placement and interpretation)
10807
93018
10808
93024
10809
93025
10810
93041
10811
93042
10812
93045
10813
93201
Phonocardiogram with or without ECG lead; with supervision

during recording with interpretation and report (when
equipment is supplied by the physician)
93201
10814
93220
Vectorcardiogram (VCG), with or without ECG; with

93220
93225

storage, with visual superimposition scanning; recording
(includes connection, recording, and disconnection)
93225
93226

storage, with visual superimposition scanning; scanning
analysis with report
93226
93227

storage, with visual superimposition scanning; physician
review and interpretation
93227
10815
10816
10817
93018
93024
93025
93041
93042
93045
10818
10819
10820
10821
10822
10823
93228
Wearable mobile cardiovascular telemetry with

electrocardiographic recording, concurrent computerized real
time data analysis and greater than 24 hours of accessible
ECG data storage (retrievable with query) with ECG
triggered and patient selected events transmitted to a
remote attended surveillance center for up to 30 days;
physician review and interpretation with report
93228
93229
Wearable mobile cardiovascular telemetry with

electrocardiographic recording, concurrent computerized real
time data analysis and greater than 24 hours of accessible
ECG data storage (retrievable with query) with ECG
triggered and patient selected events transmitted to a
remote attended surveillance center for up to 30 days;
technical support for connection and patient instructions for
use, attended surveillance, analysis and physician
prescribed transmission of daily and emergent data reports
93229
93230

storage without superimposition scanning utilizing a device
capable of producing a full miniaturized printout; includes
recording, microprocessor-based analysis with report,
physician review and interpretation
93230
93231

capable of producing a full miniaturized printout; recording
(includes connection, recording, and disconnection)
93231
93232

capable of producing a full miniaturized printout;
microprocessor-based analysis with report
93232
93233

capable of producing a full miniaturized printout; physician
review and interpretation
93233
93235

24 hours by continuous computerized monitoring and noncontinuous recording, and real-time data analysis utilizing a
device capable of producing intermittent full-sized waveform
tracings, possibly patient activated; includes monitoring and
real-time data analysis with report, physician review and
interpretation
93235
93236

tracings, possibly patient activated; monitoring and real-time
data analysis with report
93236
10826
93237

tracings, possibly patient activated; physician review and
interpretation
93237
10827
93255
10828
93258
10824
10825
Apexcardiography
Electrocardiographic monitoring for up to 12 hours of
continuous analog recording, with physician review,
interpretation, and report, with or without full disclosure
printout; with superimposition scanning
93255
93258
10829
93268
Wearable patient activated electrocardiographic rhythm

derived event recording with presymptom memory loop, 24hour attended monitoring, per 30 day period of time;
includes transmission, physician review and interpretation
10830
93269
Patient demand single event ECG recording; post-symptom

recording and transmission
93269
93270

recording (includes connection, recording, and
disconnection)
93270
93271

monitoring, receipt of transmissions, and analysis
93271
93272

physician review and interpretation
93272
10831
10832
10833
93268
93279
Programming device evaluation (in person) with iterative

adjustment of the implantable device to test the function of
the device and select optimal permanent programmed
values with physician analysis, review and report; single lead
pacemaker system
93279
10835
93280

values with physician analysis, review and report; dual lead
pacemaker system
93280
10836
93280
Cardiac fluoroscopy
93280
93281

values with physician analysis, review and report; multiple
lead pacemaker system
93281
93282

values with physician analysis, review and report; single lead
implantable cardioverter-defibrillator system
93282
93283

values with physician analysis, review and report; dual lead
implantable cardioverter-defibrillator system
93283
93284

values with physician analysis, review and report; multiple
lead implantable cardioverter-defibrillator system
93284
93285

values with physician analysis, review and report;
implantable loop recorder system
93285
93286
Peri-procedural device evaluation (in person) and

programming of device system parameters before or after a
surgery, procedure, or test with physician analysis, review
and report; single, dual, or multiple lead pacemaker system
93286
93287
Peri-procedural device evaluation (in person) and

programming of device system parameters before or after a
surgery, procedure, or test with physician analysis, review
and report; single, dual, or multiple lead implantable
cardioverter-defibrillator system
93287
10834
10837
10838
10839
10840
10841
10842
10843
93288
Interrogation device evaluation (in person) with physician

analysis, review and report, includes connection, recording
and disconnection per patient encounter; single, dual, or
multiple lead pacemaker system
93288
93289

and disconnection per patient encounter; single, dual, or
multiple lead implantable cardioverter-defibrillator system,
including analysis of heart rhythm derived data elements
93289
93290

and disconnection per patient encounter; implantable
cardiovascular monitor system, including analysis of 1 or
more recorded physiologic cardiovascular data elements
from all internal and external sensors
93290
93291

and disconnection per patient encounter; implantable loop
recorder system, including heart rhythm derived data
analysis
93291
93292

and disconnection per patient encounter; wearable
defibrillator system
93292
10849
93293
Transtelephonic rhythm strip pacemaker evaluation(s)

single, dual, or multiple lead pacemaker system, includes
recording with and without magnet application with physician
analysis, review and report(s), up to 90 days
93293
10850
93294
Interrogation device evaluation(s) (remote), up to 90 days;

single, dual, or multiple lead pacemaker system with interim
physician analysis, review(s) and report(s)
93294
93295

single, dual, or multiple lead implantable cardioverterdefibrillator system with interim physician analysis, review(s)
and report(s)
93295
93296

single, dual, or multiple lead pacemaker system or
implantable cardioverter-defibrillator system, remote data
acquisition(s), receipt of transmissions and technician
review, technical support and distribution of results
93296
93297
Interrogation device evaluation(s), (remote) up to 30 days;

implantable cardiovascular monitor system, including
analysis of 1 or more recorded physiologic cardiovascular
data elements from all internal and external sensors,
physician analysis, review(s) and report(s)
93297
10844
10845
10846
10847
10848
10851
10852
10853
93298

implantable loop recorder system, including analysis of
recorded heart rhythm data, physician analysis, review(s)
and report(s)
93298
10855
93299

implantable cardiovascular monitor system or implantable
loop recorder system, remote data acquisition(s), receipt of
transmissions and technician review, technical support and
distribution of results
93299
10856
93300
10857
93303
10858
93304
10859
93305
10854
Echocardiography, M-Mode; complete

Transthoracic echocardiography for congenital cardiac
anomalies; complete
Transthoracic echocardiography for congenital cardiac
anomalies; follow-up or limited study
Echocardiography, M-mode; limited (eg, follow-up or limited
study)
93300
93303
93304
93305
10860
93306

performed, complete, with spectral Doppler
echocardiography, and with color flow Doppler
echocardiography
10861
93308

performed, follow-up or limited study
10862
93309
10863
93313
10864
93314

image acquisition, interpretation and report only
93314
10865
93315
Transesophageal echocardiography for congenital cardiac

anomalies; including probe placement, image acquisition,
93315
10866
93316

anomalies; placement of transesophageal probe only
93316
10867
93317

anomalies; image acquisition, interpretation and report only
93317
93318
Echocardiography, transesophageal (TEE) for monitoring

purposes, including probe placement, real time 2dimensional image acquisition and interpretation leading to
ongoing (continuous) assessment of (dynamically changing)
cardiac pumping function and to therapeutic measures on an
immediate time basis
93318
10868
Echocardiography, M-mode and real time with image

documentation (2D)
placement of transesophageal probe only
93306
93308
93309
93313
10869
93321
Doppler echocardiography, pulsed wave and/or continuous

wave with spectral display (List separately in addition to
codes for echocardiographic imaging); follow-up or limited
study (List separately in addition to codes for
echocardiographic imaging)
10870
93325
Doppler echocardiography color flow velocity mapping (List

separately in addition to codes for echocardiography)
93325
93350

performed, during rest and cardiovascular stress test using
treadmill, bicycle exercise and/or pharmacologically induced
stress, with interpretation and report;
93350
10872
93351

performed, during rest and cardiovascular stress test using
treadmill, bicycle exercise and/or pharmacologically induced
stress, with interpretation and report; including performance
of continuous electrocardiographic monitoring, with
93351
10873
93352
Use of echocardiographic contrast agent during stress

echocardiography (List separately in addition to code for
primary procedure)
93352
10874
93511
Left heart catheterization, retrograde, from the brachial

artery, axillary artery or femoral artery; by cutdown
93511
10875
93536
Percutaneous insertion of intra-aortic balloon catheter
93536
10876
93539

selective opacification of arterial conduits (eg, internal
mammary), whether native or used for bypass
93539
10877
93540

selective opacification of aortocoronary venous bypass
grafts, 1 or more coronary arteries
93540
10878
93541

pulmonary angiography
93541
10879
93543

selective left ventricular or left atrial angiography
93543
10880
93544
10881
93545
10882
93546
10871

aortography
selective coronary angiography (injection of radiopaque
material may be by hand)
Combined left heart catheterization and left ventricular
angiography
93321
93544
93545
93546
10883
93547
Combined left heart catheterization, selective coronary

angiography, one or more coronary arteries, and selective
left ventricular angiography (this code number is to be used
when procedure 93510 is combined with procedures 93543
and 93545)
10884
93548

angiography, one or more coronary arteries, selective left
ventriculography, with aortic root aortography
93548
10885
93549
Combined right and left heart catheterization, selective

coronary angiography, one or more coronary arteries, and
selective left ventricular angiography; (this code number is to
be used when procedure 93547 is combined with right heart
catheterization)
93549
10886
93550
with selective visualization of bypass graft (this code number

is to be used when procedure 93549 is combined with
procedure 93551)
93550
10887
93551
Selective opacification of aortocoronary bypass grafts, one

or more coronary arteries (injection of radiopaque material
may be made by hand)
93551
10888
93552

angiography, one or more coronary arteries, selective left
ventricular cineangiography and visualization of bypass
grafts; (this code number is to be used when procedure
93551 is combined with procedure 93547)
93552
10889
93553
with aortic root aortography (this code number is to be used

when procedure 93548 is combined with procedure 93551)
93553
10890
93555
Imaging supervision, interpretation and report for injection

procedure(s) during cardiac catheterization; ventricular
and/or atrial angiography
93555
10891
93556
Imaging supervision, interpretation and report for injection

procedure(s) during cardiac catheterization; pulmonary
angiography, aortography, and/or selective coronary
angiography including venous bypass grafts and arterial
conduits (whether native or used in bypass)
93556
10892
93562
Indicator dilution studies such as dye or thermal dilution,

including arterial and/or venous catheterization; subsequent
measurement of cardiac output
93562
93572
Intravascular Doppler velocity and/or pressure derived

coronary flow reserve measurement (coronary vessel or
graft) during coronary angiography including
pharmacologically induced stress; each additional vessel
93572
10893
93547
10894
93580
10895
93581
10896
10897
10898
10899
10900
93602
93603
93605
93607
93608
10901
93609
10902
10903
93612
93614
10904
93616
Percutaneous transcatheter closure of congenital interatrial

communication (ie, Fontan fenestration, atrial septal defect)
with implant
Percutaneous transcatheter closure of a congenital
ventricular septal defect with implant
Intra-atrial recording
Right ventricular recording
Right ventricular recording; with mapping
Left ventricular recording
Left ventricular recording; with mapping
Intraventricular and/or intra-atrial mapping of tachycardia
site(s) with catheter manipulation to record from multiple
sites to identify origin of tachycardia (List separately in
Intraventricular pacing
Bundle of His pacing
Esophageal recording of atrial electrogram with or without
ventricular electrogram(s); with pacing
93580
93581
93602
93603
93605
93607
93608
93609
93612
93614
93616
93619
Comprehensive electrophysiologic evaluation with right atrial

pacing and recording, right ventricular pacing and recording,
His bundle recording, including insertion and repositioning of
multiple electrode catheters, without induction or attempted
induction of arrhythmia
93619
93620
Comprehensive electrophysiologic evaluation including

insertion and repositioning of multiple electrode catheters
with induction or attempted induction of arrhythmia; with right
atrial pacing and recording, right ventricular pacing and
recording, His bundle recording
93620
93621

with induction or attempted induction of arrhythmia; with left
atrial pacing and recording from coronary sinus or left atrium
93621
10908
93622

with induction or attempted induction of arrhythmia; with left
ventricular pacing and recording (List separately in addition
93622
10909
93623
Programmed stimulation and pacing after intravenous drug

infusion (List separately in addition to code for primary
procedure)
93623
10910
93624
Electrophysiologic follow-up study with pacing and recording

to test effectiveness of therapy, including induction or
attempted induction of arrhythmia
93624
10905
10906
10907
93630
Left ventricular endocardial resection, with or without

cryoablation, with intra-operative mapping
93630
93641

pacing cardioverter-defibrillator leads including defibrillation
threshold evaluation (induction of arrhythmia, evaluation of
sensing and pacing for arrhythmia termination) at time of
initial implantation or replacement; with testing of single or
dual chamber pacing cardioverter-defibrillator pulse
generator
93641
93642

pacing cardioverter-defibrillator (includes defibrillation
threshold evaluation, induction of arrhythmia, evaluation of
sensing and pacing for arrhythmia termination, and
programming or reprogramming of sensing or therapeutic
parameters)
93642
10914
93651
Intracardiac catheter ablation of arrhythmogenic focus; for

treatment of supraventricular tachycardia by ablation of fast
or slow atrioventricular pathways, accessory atrioventricular
connections or other atrial foci, singly or in combination
93651
10915
93652
Intracardiac catheter ablation of arrhythmogenic focus; for

treatment of ventricular tachycardia
93652
10916
93668
Peripheral arterial disease (PAD) rehabilitation, per session
93668
10917
93701
Bioimpedance-derived physiologic cardiovascular analysis
93701
10918
93720
Plethysmography, total body; with interpretation and report
93720
10919
93721
Plethysmography, total body; tracing only, without

93721
10920
93722
Plethysmography, total body; interpretation and report only
93722
93732
Electronic analysis of dual-chamber pacemaker system

markers and device response); with reprogramming
93732
93733
Electronic analysis of dual chamber internal pacemaker

system (may include rate, pulse amplitude and duration,
configuration of wave form, and/or testing of sensory
function of pacemaker), telephonic analysis
93733
10911
10912
10913
10921
10922
93735
Electronic analysis of single chamber pacemaker system

markers and device response); with reprogramming
93735
10924
93736
Electronic analysis of single chamber internal pacemaker

system (may include rate, pulse amplitude and duration,
configuration of wave form, and/or testing of sensory
function of pacemaker), telephonic analysis
93736
10925
93737
Electronic analysis of single or dual chamber pacing

cardioverter-defibrillator only (interrogation, evaluation of
pulse generator status); without reprogramming
93737
10926
93738
Electronic analysis of cardioverter/defibrillator only

(interrogation, evaluation of pulse generator status); with
reprogramming
93738
93742

single chamber or wearable cardioverter-defibrillator system,
with reprogramming
93742
93743

dual chamber, without reprogramming
93743
93744

dual chamber, with reprogramming
93744
10923
10927
10928
10929
93745
Initial set-up and programming by a physician of wearable

cardioverter-defibrillator includes initial programming of
system, establishing baseline electronic ECG, transmission
of data to data repository, patient instruction in wearing
system and patient reporting of problems or events
93745
10931
93750
Interrogation of ventricular assist device (VAD), in person,

with physician analysis of device parameters (eg, drivelines,
alarms, power surges), review of device function (eg, flow
and volume status, septum status, recovery), with
programming, if performed, and report
93750
10932
10933
93762
93770
Thermogram; peripheral
Determination of venous pressure
93762
93770
10934
93786

longer; recording only
93786
10935
93788

longer; scanning analysis with report
93788
10936
93790

longer; physician review with interpretation and report
93790
10937
93797
Physician services for outpatient cardiac rehabilitation;

without continuous ECG monitoring (per session)
93797
10938
93798
Physician services for outpatient cardiac rehabilitation; with

continuous ECG monitoring (per session)
93798
10939
93799
Unlisted cardiovascular service or procedure
93799
93850
Non-invasive studies of cerebral arteries other than carotid

(eg, periorbital flow direction with arterial compression,
periorbital photoplethysmography with arterial compression,
ocular plethysmography with brachial blood pressure, ocular
and ear pulse wave timing, vertebral arteries flow direction
measurement)
93850
10941
93870
Non-invasive studies of carotid arteries, imaging (eg, flow

imaging by ultrasonic arteriography, high resolution B-scan
with or without pulsed Doppler flow evaluation, Doppler flow
or duplex scan with spectrum analysis)
93870
10942
93882
10943
93888
10930
10940
Duplex scan of extracranial arteries; unilateral or limited

study
Transcranial Doppler study of the intracranial arteries; limited
study
93882
93888
10944
93890
Non-invasive studies of upper extremity arteries (eg,

segmental blood pressure measurements, continuous wave
Doppler analog wave form analysis, evocative pressure
response to exercise or reactive hyperemia,
photoplethysmographic or pulse volume digit wave form
analysis, flow velocity signals)
10945
93890

vasoreactivity study
93890
10946
93892

emboli detection without intravenous microbubble injection
93892
10947
93893

emboli detection with intravenous microbubble injection
93893
93920
Non-invasive physiologic studies of extremity arteries,

bilateral, with or without exercise (eg, segmental blood
pressure measurements, continuous wave Doppler analog
wave form analysis, evocative pressure response to exercise
or reactive hyperemia, photoplethysmographic or pulse
volume digit wave form analysis, flow velocity signals); upper
extremity arteries
93920
10949
93923
Non-invasive physiologic studies of upper or lower extremity

arteries, multiple levels or with provocative functional
maneuvers, complete bilateral study (eg, segmental blood
pressure measurements, segmental Doppler waveform
analysis, segmental volume plethysmography, segmental
transcutaneous oxygen tension measurements,
measurements with postural provocative tests,
measurements with reactive hyperemia)
93923
10950
93924
Non-invasive physiologic studies of lower extremity arteries,

at rest and following treadmill stress testing, complete
bilateral study
93924
10951
93926
Duplex scan of lower extremity arteries or arterial bypass

grafts; unilateral or limited study
93926
10952
93930
Duplex scan of upper extremity arteries or arterial bypass

grafts; complete bilateral study
93930
10953
93931
Duplex scan of upper extremity arteries or arterial bypass

grafts; unilateral or limited study
93931
93950
Non-invasive studies of extremity veins (eg, Doppler studies

with evaluation of venous flow patterns and responses to
compression and other maneuvers, phleborheography,
impedance plethysmography)
93950
10948
10954
93890
10955
93971
Duplex scan of extremity veins including responses to

compression and other maneuvers; unilateral or limited
study
93971
10956
93976
Duplex scan of arterial inflow and venous outflow of

abdominal, pelvic, scrotal contents and/or retroperitoneal
organs; limited study
93976
10957
93979
Duplex scan of aorta, inferior vena cava, iliac vasculature, or

bypass grafts; unilateral or limited study
93979
10958
93981
Duplex scan of arterial inflow and venous outflow of penile

vessels; follow-up or limited study
93981
10959
93982
Noninvasive physiologic study of implanted wireless

pressure sensor in aneurysmal sac following endovascular
repair, complete study including recording, analysis of
pressure and waveform tracings, interpretation and report
93982
10960
93990
Duplex scan of hemodialysis access (including arterial

inflow, body of access and venous outflow)
93990
10961
94002

breathing; hospital inpatient/observation, initial day
94002
10962
94003

breathing; hospital inpatient/observation, each subsequent
day
94003
10963
94004

breathing; nursing facility, per day
94004
10964
94005
Home ventilator management care plan oversight of a

patient (patient not present) in home, domiciliary or rest
home (eg, assisted living) requiring review of status, review
of laboratories and other studies and revision of orders and
respiratory care plan (as appropriate), within a calendar
month, 30 minutes or more
94005
10965
94011
10966
94012
10967
94013
Measurement of spirometric forced expiratory flows in an

infant or child through 2 years of age
Measurement of spirometric forced expiratory flows, before
and after bronchodilator, in an infant or child through 2 years
of age
Measurement of lung volumes (ie, functional residual
capacity [FRC], forced vital capacity [FVC], and expiratory
reserve volume [ERV]) in an infant or child through2 years of
age
94011
94012
94013
94014
Patient-initiated spirometric recording per 30-day period of

time; includes reinforced education, transmission of
spirometric tracing, data capture, analysis of transmitted
data, periodic recalibration and physician review and
interpretation
94014
10969
94015

time; recording (includes hook-up, reinforced education, data
transmission, data capture, trend analysis, and periodic
recalibration)
94015
10970
94016

time; physician review and interpretation only
94016
10971
94160
Vital capacity screening tests: total capacity, with timed

forced expiratory volume (state duration), and peak flow rate
94160
10972
94250
10973
94260
10974
94350
10975
94400
10976
94452
10977
94453
10978
94610
10979
94621
10980
94642
Aerosol inhalation of pentamidine for pneumocystis carinii

pneumonia treatment or prophylaxis
94642
10981
94644
Continuous inhalation treatment with aerosol medication for

acute airway obstruction; first hour
94644
10982
94645
Continuous inhalation treatment with aerosol medication for

acute airway obstruction; each additional hour (List
94645
10983
94657

breathing; subsequent days
94657
10984
94665
Aerosol or vapor inhalations for sputum mobilization,

bronchodilation, or sputum induction for diagnostic
purposes; subsequent
94665
10985
94668
Manipulation chest wall, such as cupping, percussing, and

vibration to facilitate lung function; subsequent
94668
10968
Expired gas collection, quantitative, single procedure

Thoracic gas volume
Determination of maldistribution of inspired gas: multiple
breath nitrogen washout curve including alveolar nitrogen or
helium equilibration time
Breathing response to CO2 (CO2 response curve)
High altitude simulation test (HAST), with physician
interpretation and report;
High altitude simulation test (HAST), with physician
interpretation and report; with supplemental oxygen titration
Intrapulmonary surfactant administration by a physician
through endotracheal tube
Pulmonary stress testing; complex (including measurements
of CO2 production, O2 uptake, and electrocardiographic
recordings)
94250
94260
94350
94400
94452
94453
94610
94621
Oxygen uptake, expired gas analysis; including CO2 output,

percentage oxygen extracted
10986
94681
10987
94690
10988
94700
10989
94715
10990
94761
Noninvasive ear or pulse oximetry for oxygen saturation;

multiple determinations (eg, during exercise)
94761
10991
94762
Noninvasive ear or pulse oximetry for oxygen saturation; by

continuous overnight monitoring (separate procedure)
94762
10992
94770
Carbon dioxide, expired gas determination by infrared

analyzer
94770
10993
94772
Circadian respiratory pattern recording (pediatric

pneumogram), 12 to 24 hour continuous recording, infant
94772
94774
Pediatric home apnea monitoring event recording including

respiratory rate, pattern and heart rate per 30-day period of
time; includes monitor attachment, download of data,
physician review, interpretation, and preparation of a report
94774
94775

time; monitor attachment only (includes hook-up, initiation of
recording and disconnection)
94775
94776

time; monitoring, download of information, receipt of
transmission(s) and analyses by computer only
94776
10997
94777

time; physician review, interpretation and preparation of
report only
94777
10998
94799
10999
95000
11000
95005
Percutaneous tests (scratch, puncture, prick) with antibiotics,

biologicals, stinging insects, local anesthetics; 1-5 tests
95005
95010
Percutaneous tests (scratch, puncture, prick) sequential and

incremental, with drugs, biologicals or venoms, immediate
type reaction, including test interpretation and report by a
physician, specify number of tests
95010
10994
10995
10996
11001
Oxygen uptake, expired gas analysis; rest, indirect (separate

procedure)
Analysis of arterial blood gas (oxygen saturation, pO2,
pCO2, CO2, pH); rest only
Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin
saturation with oxygen)
Unlisted pulmonary service or procedure

Percutaneous tests (scratch, puncture, prick) with allergenic
extracts; up to 30 tests
94681
94690
94700
94715
94799
95000
11002
95011
11003
95012
11004
95014
Percutaneous tests (scratch, puncture, prick) with antibiotics,

biologicals, stinging insects, local anesthetics; more than 15
tests
Nitric oxide expired gas determination
Intracutaneous (intradermal) tests, with antibiotics,
biologicals, stinging insects, local anesthetics, immediate
reaction 15-20 minutes; 1-5 tests
95012
95015
95011
95014
11005
95015
Intracutaneous (intradermal) tests, sequential and

incremental, with drugs, biologicals, or venoms, immediate
type reaction, including test interpretation and report by a
physician, specify number of tests
11006
95016
Intracutaneous (intradermal) tests, with antibiotics,

biologicals, stinging insects, local anesthetics, immediate
reaction 15-20 minutes; 6-10 tests
95016
11007
95020
Intracutaneous (intradermal) tests with allergenic extracts,

immediate reaction--15 to 20 minutes; up to 10 tests
95020
11008
95024

immediate type reaction, including test interpretation and
report by a physician, specify number of tests
95024
11009
95027
Intracutaneous (intradermal) tests, sequential and

incremental, with allergenic extracts for airborne allergens,
immediate type reaction, including test interpretation and
report by a physician, specify number of tests
95027
11010
95028

delayed type reaction, including reading, specify number of
tests
95028
11011
95030

delayed reaction--24 to 72 hours, including reading; 2 tests
95030
11012
95040
Patch or application tests; up to 10 tests
95040
11013
95050
Photo patch tests; up to 10 tests
95050
11014
95052
Photo patch test(s) (specify number of tests)
95052
11015
95056
95056
11016
95071
Photo tests
Inhalation bronchial challenge testing (not including
necessary pulmonary function tests); with antigens or gases,
specify
11017
95075
11018
95078
Ingestion challenge test (sequential and incremental

ingestion of test items, eg, food, drug or other substance
such as metabisulfite)
Provocative testing (eg, Rinkel test)
11019
95080
Passive transfer tests; up to 10 tests
95071
95075
95078
95080
11020
95105
Medical conference services (eg, use of mechanical and

electric devices, climatotherapy, breathing exercises and/or
postural drainage)
95105
11021
95115
Professional services for allergen immunotherapy not

including provision of allergenic extracts; single injection
95115
11022
95117
Professional services for allergen immunotherapy not

including provision of allergenic extracts; 2 or more injections
95117
11023
95120
Professional services for allergen immunotherapy in

prescribing physicians office or institution, including provision
of allergenic extract; single injection
95120
11024
95125

of allergenic extract; 2 or more injections
95125
11025
95130

of allergenic extract; single stinging insect venom
95130
11026
95131

of allergenic extract; 2 stinging insect venoms
95131
11027
95132

95132
11028
95133

95133
11029
95134

95134
11030
95135
Professional services for the supervision and provision of

antigens for allergen immunotherapy (specify number of
vials); single antigen, single dose vials
95135
11031
95140
Professional services for the supervision and provision of

vials); multiple antigens, single dose vials
95140
11032
95144
Professional services for the supervision of preparation and

provision of antigens for allergen immunotherapy, single
dose vial(s) (specify number of vials)
95144
11033
95145

provision of antigens for allergen immunotherapy (specify
number of doses); single stinging insect venom
95145
11034
95146

number of doses); 2 single stinging insect venoms
95146
11035
95147

95147
11036
95148

95148
11037
95149

95149
11038
95150
Professional service for the supervision and provision of

treatments or total volume); single or multiple antigens, one
multiple dose vial
95150
11039
95165

provision of antigens for allergen immunotherapy; single or
multiple antigens (specify number of doses)
95165
11040
95170

provision of antigens for allergen immunotherapy; whole
body extract of biting insect or other arthropod (specify
number of doses)
95170
11041
95180
Rapid desensitization procedure, each hour (eg, insulin,

penicillin, equine serum)
95180
11042
95199
Unlisted allergy/clinical immunologic service or procedure
95199
11043
95250
Ambulatory continuous glucose monitoring of interstitial

tissue fluid via a subcutaneous sensor for a minimum of 72
hours; sensor placement, hook-up, calibration of monitor,
patient training, removal of sensor, and printout of recording
95250
11044
95251
Ambulatory continuous glucose monitoring of interstitial

tissue fluid via a subcutaneous sensor for a minimum of 72
hours; interpretation and report
95251
11045
95803
Actigraphy testing, recording, analysis, interpretation, and

report (minimum of 72 hours to 14 consecutive days of
recording)
95803
11046
95805
Multiple sleep latency or maintenance of wakefulness

testing, recording, analysis and interpretation of
physiological measurements of sleep during multiple trials to
assess sleepiness
11047
95807
Sleep study, simultaneous recording of ventilation,

respiratory effort, ECG or heart rate, and oxygen saturation,
attended by a technologist
95807
11048
95810
Polysomnography; sleep staging with 4 or more additional

parameters of sleep, attended by a technologist
95810
11049
95811
Polysomnography; sleep staging with 4 or more additional

parameters of sleep, with initiation of continuous positive
airway pressure therapy or bilevel ventilation, attended by a
technologist
95811
11050
95813
11051
95817
11052
95819
11053
95821
11054
95822
11055
95823
11056
95824
11057
95826
11058
95827
Electroencephalogram (EEG); all night recording
95827
11059
95828
Polysomnography (recording, analysis and interpretation of

the multiple simultaneous physiological measurements of
sleep)
95828
11060
95832

hand, with or without comparison with normal side
95832
11061
95833

total evaluation of body, excluding hands
95833
11062
95842
Muscle testing, electrical: reaction of degeneration,

chronaxie, galvanic/tetanus ratio, one or more extremities,
one or more methods
95842
11063
95852
11064
11065
95865
95866
Electroencephalogram (EEG) extended monitoring; greater

than 1 hour
Electroencephalogram (EEG) including recording awake and
drowsy, with hyperventilation and/or photic stimulation;
portable, to an alternate facility
Electroencephalogram (EEG); including recording awake
and asleep
Electroencephalogram (EEG) including recording awake and
asleep, with hyperventilation and/or photic stimulation;
portable, to an alternate facility
Electroencephalogram (EEG); recording in coma or sleep
only
Electroencephalogram (EEG); physical or pharmacological
activation only
Electroencephalogram (EEG); cerebral death evaluation
only
Electroencephalogram (EEG); intracerebral (depth) EEG
only
Range of motion measurements and report (separate

procedure); hand, with or without comparison with normal
side
Needle electromyography; larynx
Needle electromyography; hemidiaphragm
95805
95813
95817
95819
95821
95822
95823
95824
95826
95852
95865
95866
11066
95870
Needle electromyography; limited study of muscles in 1

extremity or non-limb (axial) muscles (unilateral or bilateral),
other than thoracic paraspinal, cranial nerve supplied
muscles, or sphincters
11067
95873
Electrical stimulation for guidance in conjunction with

chemodenervation (List separately in addition to code for
primary procedure)
95873
11068
95874
Needle electromyography for guidance in conjunction with

chemodenervation (List separately in addition to code for
primary procedure)
95874
95880
Assessment of aphasia (includes assessment of expressive

and receptive speech and language function, language
comprehension, speech production ability, reading, spelling,
writing, eg, by Boston Diagnostic Aphasia Examination) with
95880
95881
Developmental testing (includes assessment of motor,

language, social, adaptive and/or cognitive functioning by
standardized developmental instruments, eg, Bayley scales
of Infant Development) with interpretation and report, per
hour
95881
11071
95882

attention, memory, visual spatial abilities, language
functions, planning) with interpretation and report, per hour
95882
11072
95883
Neuropsychological testing battery (eg, Halstead-Reitan,

LURIA, WAIS-R) with report, per hour
95883
11073
95903

each nerve; motor, with F-wave study
95903
11074
95905
Motor and/or sensory nerve conduction, using preconfigured

electrode array(s), amplitude and latency/velocity study,
each limb, includes F-wave study when performed, with
95905
11075
95920
Intraoperative neurophysiology testing, per hour (List

95920
95922
Testing of autonomic nervous system function; vasomotor

adrenergic innervation (sympathetic adrenergic function),
including beat-to-beat blood pressure and R-R interval
changes during Valsalva maneuver and at least 5 minutes of
passive tilt
95922
95923
Testing of autonomic nervous system function; sudomotor,

including 1 or more of the following: quantitative sudomotor
axon reflex test (QSART), silastic sweat imprint,
thermoregulatory sweat test, and changes in sympathetic
skin potential
95923
11069
11070
11076
11077
95870
95926

recording from the central nervous system; in lower limbs
95926
11079
95927

recording from the central nervous system; in the trunk or
head
95927
11080
95928
11081
95929
11082
95935
"H" or "F" reflex study, by electrodiagnostic testing
95935
11083
95936
H-reflex, amplitude and latency study; record muscle other

than gastrocnemius/soleus muscle
95936
11084
95952
Monitoring for localization of cerebral seizure focus, by

attached electrodes or radiotelemetry; each additional 24
hours, with or without video recording
95952
11085
95962
Functional cortical and subcortical mapping by stimulation

and/or recording of electrodes on brain surface, or of depth
electrodes, to provoke seizures or identify vital brain
structures; each additional hour of physician attendance (List
95962
11086
95965
Magnetoencephalography (MEG), recording and analysis;

for spontaneous brain magnetic activity (eg, epileptic
cerebral cortex localization)
95965
11087
95966

for evoked magnetic fields, single modality (eg, sensory,
motor, language, or visual cortex localization)
95966
95967

for evoked magnetic fields, each additional modality (eg,
sensory, motor, language, or visual cortex localization) (List
95967
95971

patient compliance measurements); simple spinal cord, or
peripheral (ie, peripheral nerve, autonomic nerve,
neuromuscular) neurostimulator pulse generator/transmitter,
with intraoperative or subsequent programming
95971
11078
11088
11089
Central motor evoked potential study (transcranial motor

stimulation); upper limbs
Central motor evoked potential study (transcranial motor
stimulation); lower limbs
95928
95929
11090
11091
11092
11093
95973

patient compliance measurements); complex spinal cord, or
peripheral (except cranial nerve) neurostimulator pulse
generator/transmitter, with intraoperative or subsequent
programming, each additional 30 minutes after first hour
95973
95974

patient compliance measurements); complex cranial nerve
neurostimulator pulse generator/transmitter, with
intraoperative or subsequent programming, with or without
nerve interface testing, first hour
95974
95975

patient compliance measurements); complex cranial nerve
neurostimulator pulse generator/transmitter, with
intraoperative or subsequent programming, each additional
30 minutes after first hour (List separately in addition to code
95975
95978

battery status, electrode selectability and polarity, impedance
and patient compliance measurements), complex deep brain
neurostimulator pulse generator/transmitter, with initial or
subsequent programming; first hour
95978
95979

battery status, electrode selectability and polarity, impedance
and patient compliance measurements), complex deep brain
neurostimulator pulse generator/transmitter, with initial or
subsequent programming; each additional 30 minutes after
first hour (List separately in addition to code for primary
procedure)
95979
95980

patient measurements) gastric neurostimulator pulse
generator/transmitter; intraoperative, with programming
95980
95981

generator/transmitter; subsequent, without reprogramming
95981
11097
95982

generator/transmitter; subsequent, with reprogramming
95982
11098
95990
Refilling and maintenance of implantable pump or reservoir

for drug delivery, spinal (intrathecal, epidural) or brain
(intraventricular);
95990
11099
95991

for drug delivery, spinal (intrathecal, epidural) or brain
(intraventricular); administered by physician
95991
11100
95999
Unlisted neurological or neuromuscular diagnostic procedure
95999
11101
96000
11102
96001
11103
96002
11094
11095
11096
Comprehensive computer-based motion analysis by videotaping and 3D kinematics;

Comprehensive computer-based motion analysis by videotaping and 3-D kinematics; with dynamic plantar pressure
measurements during walking
Dynamic surface electromyography, during walking or other
functional activities, 1-12 muscles
96000
96001
96002
96003
Dynamic fine wire electromyography, during walking or other

functional activities, 1 muscle
96003
96004
Physician review and interpretation of comprehensive

computer based motion analysis, dynamic plantar pressure
measurements, dynamic surface electromyography during
walking or other functional activities, and dynamic fine wire
electromyography, with written report
96004
11106
96020
Neurofunctional testing selection and administration during

noninvasive imaging functional brain mapping, with test
administered entirely by a physician or psychologist, with
review of test results and report
96020
11107
96040
Medical genetics and genetic counseling services, each 30

minutes face-to-face with patient/family
96040
96101

assessment of emotionality, intellectual abilities, personality
and psychopathology, eg, MMPI, Rorschach, WAIS), per
hour of the psychologist's or physician's time, both face-toface time administering tests to the patient and time
interpreting these test results and preparing the report
96101
96102

and psychopathology, eg, MMPI and WAIS), with qualified
health care professional interpretation and report,
administered by technician, per hour of technician time,
face-to-face
96102
96103

and psychopathology, eg, MMPI), administered by a
computer, with qualified health care professional
96103
96116

attention, language, memory, planning and problem solving,
and visual spatial abilities), per hour of the psychologist's or
physician's time, both face-to-face time with the patient and
time interpreting test results and preparing the report
96116
96118
Neuropsychological testing (eg, Halstead-Reitan

Neuropsychological Battery, Wechsler Memory Scales and
Wisconsin Card Sorting Test), per hour of the psychologist's
or physician's time, both face-to-face time administering
tests to the patient and time interpreting these test results
and preparing the report
96118
11104
11105
11108
11109
11110
11111
11112
11113
96119
Neuropsychological testing (eg, Halstead-Reitan

Neuropsychological Battery, Wechsler Memory Scales and
Wisconsin Card Sorting Test), with qualified health care
professional interpretation and report, administered by
technician, per hour of technician time, face-to-face
11114
96120
Neuropsychological testing (eg, Wisconsin Card Sorting

Test), administered by a computer, with qualified health care
professional interpretation and report
96120
96125
Standardized cognitive performance testing (eg, Ross

Information Processing Assessment) per hour of a qualified
health care professional's time, both face-to-face time
administering tests to the patient and time interpreting these
test results and preparing the report
96125
96150
Health and behavior assessment (eg, health-focused clinical

interview, behavioral observations, psychophysiological
monitoring, health-oriented questionnaires), each 15 minutes
face-to-face with the patient; initial assessment
96150
11117
96151
Health and behavior assessment (eg, health-focused clinical

interview, behavioral observations, psychophysiological
monitoring, health-oriented questionnaires), each 15 minutes
face-to-face with the patient; re-assessment
96151
11118
96152
11119
96153
11120
96154
Health and behavior intervention, each 15 minutes, face-toface; family (with the patient present)
96154
11121
96155
Health and behavior intervention, each 15 minutes, face-toface; family (without the patient present)
96155
11122
96360
Intravenous infusion, hydration; initial, 31 minutes to 1 hour
96360
11123
96361
Intravenous infusion, hydration; each additional hour (List

96361
11124
96365

(specify substance or drug); initial, up to 1 hour
96365
11125
96366

(specify substance or drug); each additional hour (List
96366
11115
11116
Health and behavior intervention, each 15 minutes, face-toface; individual

Health and behavior intervention, each 15 minutes, face-toface; group (2 or more patients)
96119
96152
96153
11126
96367

(specify substance or drug); additional sequential infusion,
up to 1 hour (List separately in addition to code for primary
procedure)
11127
96368

(specify substance or drug); concurrent infusion (List
96368
11128
96369

substance or drug); initial, up to 1 hour, including pump setup and establishment of subcutaneous infusion site(s)
96369
11129
96370

substance or drug); each additional hour (List separately in
96370
11130
96371

substance or drug); additional pump set-up with
establishment of new subcutaneous infusion site(s) (List
96371
11131
96372
Therapeutic, prophylactic, or diagnostic injection (specify

substance or drug); subcutaneous or intramuscular
96372
11132
96373
11133
96374

substance or drug); intra-arterial
substance or drug); intravenous push, single or initial
substance/drug
96367
96373
96374
96375

push of a new substance/drug (List separately in addition to
96375
11135
96376

push of the same substance/drug provided in a facility (List
96376
11136
96379
11137
96401
11138
96402
11139
96406
11140
96409
11134
Unlisted therapeutic, prophylactic, or diagnostic intravenous

or intra-arterial injection or infusion
intramuscular; non-hormonal anti-neoplastic
intramuscular; hormonal anti-neoplastic
Chemotherapy administration; intralesional, more than 7
lesions
Chemotherapy administration; intravenous, push technique,
single or initial substance/drug
96379
96401
96402
96406
96409
11141
96411
Chemotherapy administration; intravenous, push technique,

each additional substance/drug (List separately in addition to
96411
11142
96412
Chemotherapy administration, intravenous; infusion

technique, one to 8 hours, each additional hour (List
96412
11143
96413
Chemotherapy administration, intravenous infusion

technique; up to 1 hour, single or initial substance/drug
96413
11144
96414
Chemotherapy administration, intravenous; infusion

technique, initiation of prolonged infusion (more than 8
hours), requiring the use of a portable or implantable pump
96414
11145
96415

technique; each additional hour (List separately in addition to
96415
96416

technique; initiation of prolonged chemotherapy infusion
(more than 8 hours), requiring use of a portable or
implantable pump
96416
11147
96417

technique; each additional sequential infusion (different
substance/drug), up to 1 hour (List separately in addition to
96417
11148
96423

technique, each additional hour (List separately in addition to
96423
11149
96425

technique, initiation of prolonged infusion (more than 8
hours), requiring the use of a portable or implantable pump
96425
11150
96500
Chemotherapy injection, intravenous, single premixed agent,

administered by qualified assistant under supervision or
physician or by physician; by push technique
96500
11151
11152
96520
96521
Refilling and maintenance of portable pump

Refilling and maintenance of portable pump
96520
96521
11153
96522

for drug delivery, systemic (eg, intravenous, intra-arterial)
96522
11154
96523
11155
96524
11156
96530

for drug delivery, systemic (eg, intravenous, intra-arterial)
96530
11157
96535
Chemotherapy injection, complex, requiring thoracentesis

and/or paracentesis, administered by physician, intracavitary
96535
11146
Irrigation of implanted venous access device for drug

delivery systems
Chemotherapy injection, complex, administered by
physician, arterial infusion technique
96523
96524
11158
96540
Chemotherapy injection, intrathecal via reservoir, single or

multiple agents, administered by physician
96540
11159
11160
96545
96549
Provision of chemotherapy agent

Unlisted chemotherapy procedure
96545
96549
96567
Photodynamic therapy by external application of light to

destroy premalignant and/or malignant lesions of the skin
and adjacent mucosa (eg, lip) by activation of photosensitive
drug(s), each phototherapy exposure session
96567
96570
Photodynamic therapy by endoscopic application of light to

ablate abnormal tissue via activation of photosensitive
drug(s); first 30 minutes (List separately in addition to code
for endoscopy or bronchoscopy procedures of lung and
gastrointestinal tract)
96570
96571
Photodynamic therapy by endoscopic application of light to

ablate abnormal tissue via activation of photosensitive
drug(s); each additional 15 minutes (List separately in
addition to code for endoscopy or bronchoscopy procedures
of lung and gastrointestinal tract)
96571
96902
Microscopic examination of hairs plucked or clipped by the

examiner (excluding hair collected by the patient) to
determine telogen and anagen counts, or structural hair
shaft abnormality
96902
11165
96904
Whole body integumentary photography, for monitoring of

high risk patients with dysplastic nevus syndrome or a
history of dysplastic nevi, or patients with a personal or
familial history of melanoma
96904
11166
96912
Photochemotherapy; psoralens and ultraviolet A (PUVA)
96912
11167
96913
Photochemotherapy (Goeckerman and/or PUVA) for severe

photoresponsive dermatoses requiring at least 4-8 hours of
care under direct supervision of the physician (includes
application of medication and dressings)
96913
11168
96921

250 sq cm to 500 sq cm
96921
11169
96922

over 500 sq cm
96922
11170
96999
Unlisted special dermatological service or procedure
96999
11171
97002
97002
11172
97024
11173
97033
11174
97034
11175
97039
Physical therapy re-evaluation

Application of a modality to one or more areas; diathermy
(eg, microwave)
Application of a modality to one or more areas;
iontophoresis, each 15 minutes
Application of a modality to one or more areas; contrast
baths, each 15 minutes
Unlisted modality (specify type and time if constant
attendance)
11161
11162
11163
11164
97024
97033
97034
97039
11176
97114
Physical medicine treatment to one area, initial 30 minutes,

each visit; functional activities
97114
11177
97118

each visit; electrical stimulation (manual)
97118
11178
97120
11179
97122
11180
97126
11181
97128
11182
97139
11183
97145
11184
97220
11185
97240
11186
97250
11187
97260
11188
97265
Joint mobilization, one or more areas (peripheral or spinal)
97265
11189
97500
Orthotics training (dynamic bracing, splinting), upper and/or

lower extremities; initial 30 minutes, each visit
97500
11190
97521
Prosthetic training; initial 30 minutes, each visit
97521
11191
97531
Kinetic activities to increase coordination, strength and/or

range of motion, one area (any two extremities or trunk);
each additional 15 minutes
97531
97532
Development of cognitive skills to improve attention,

memory, problem solving, (includes compensatory training),
direct (one-on-one) patient contact by the provider, each 15
minutes
97532
11193
97533
Sensory integrative techniques to enhance sensory

processing and promote adaptive responses to
environmental demands, direct (one-on-one) patient contact
by the provider, each 15 minutes
97533
11194
97540
Training in activities of daily living (self care skills and/or

daily life management skills); initial 30 minutes, each visit
97540
11195
97541
Training in activities of daily living (self care skills and/or

daily life management skills); each additional 15 minutes
97541
11192

each visit; iontophoresis
minutes; traction, manual
each visit; contrast baths
each visit; ultrasound
Unlisted therapeutic procedure (specify)
Physical medicine treatment to one area, each additional 15
minutes
Hubbard tank; initial 30 minutes, each visit
Pool therapy or Hubbard tank with therapeutic exercises;
initial 30 minutes, each visit
Myofascial release/soft tissue mobilization, one or more
regions
Manipulation (cervical, thoracic, lumbosacral, sacroiliac,
hand, wrist) (separate procedure), performed by physician;
one area
97120
97122
97126
97128
97139
97145
97220
97240
97250
97260
97546
Work hardening/conditioning; each additional hour (List

97546
97597
Removal of devitalized tissue from wound(s), selective

debridement, without anesthesia (eg, high pressure waterjet
with/without suction, sharp selective debridement with
scissors, scalpel and forceps), with or without topical
application(s), wound assessment, and instruction(s) for
ongoing care, may include use of a whirlpool, per session;
total wound(s) surface area less than or equal to 20 square
centimeters
97597
97598
Removal of devitalized tissue from wound(s), selective

debridement, without anesthesia (eg, high pressure waterjet
with/without suction, sharp selective debridement with
scissors, scalpel and forceps), with or without topical
ongoing care, may include use of a whirlpool, per session;
total wound(s) surface area greater than 20 square
centimeters
97598
97601
Removal of devitalized tissue from wound(s); selective

debridement, without anesthesia (eg, high pressure waterjet,
sharp selective debridement with scissors, scalpel and
tweezers), including topical application(s), wound
assessment, and instruction(s) for ongoing care, per session
97601
97602
Removal of devitalized tissue from wound(s), non-selective

debridement, without anesthesia (eg, wet-to-moist
dressings, enzymatic, abrasion), including topical
ongoing care, per session
97602
97605
Negative pressure wound therapy (eg, vacuum assisted

drainage collection), including topical application(s), wound
assessment, and instruction(s) for ongoing care, per
session; total wound(s) surface area less than or equal to 50
square centimeters
97605
97606
Negative pressure wound therapy (eg, vacuum assisted

drainage collection), including topical application(s), wound
assessment, and instruction(s) for ongoing care, per
session; total wound(s) surface area greater than 50 square
centimeters
97606
11203
97700
Office visit, including one of the following tests or

measurements, with report: a. Orthotic "check-out" b.
Prosthetic "check-out" c. Activities of daily living "check-out";
initial 30 minutes, each visit
97700
11204
97720
Extremity testing for strength, dexterity, or stamina; initial 30

minutes, each visit
97720
11196
11197
11198
11199
11200
11201
11202
97752
Muscle testing with torque curves during isometric and

isokinetic exercise, mechanized or computerized evaluations
with printout
97752
11206
97755
Assistive technology assessment (eg, to restore, augment or

compensate for existing function, optimize functional tasks
and/or maximize environmental accessibility), direct one-onone contact by provider, with written report, each 15 minutes
97755
11207
97760
Orthotic(s) management and training (including assessment

and fitting when not otherwise reported), upper extremity(s),
lower extremity(s) and/or trunk, each 15 minutes
97760
11208
97761
11209
97762
11210
97803
11211
97804
11212
97810
11205
Prosthetic training, upper and/or lower extremity(s), each 15

minutes
Checkout for orthotic/prosthetic use, established patient,
each 15 minutes
Medical nutrition therapy; re-assessment and intervention,
individual, face-to-face with the patient, each 15 minutes
Medical nutrition therapy; group (2 or more individual(s)),
each 30 minutes
Acupuncture, 1 or more needles; without electrical
stimulation, initial 15 minutes of personal one-on-one
contact with the patient
97761
97762
97803
97804
97810
11213
97811
Acupuncture, 1 or more needles; without electrical

stimulation, each additional 15 minutes of personal one-onone contact with the patient, with re-insertion of needle(s)
11214
97813
Acupuncture, 1 or more needles; with electrical stimulation,

initial 15 minutes of personal one-on-one contact with the
patient
97813
11215
97814
Acupuncture, 1 or more needles; with electrical stimulation,

each additional 15 minutes of personal one-on-one contact
with the patient, with re-insertion of needle(s) (List
97814
11216
98900
Medical conference by physician regarding medical

management with patient, and/or relative or guardian;
approximately 30 minutes
98900
98910
Medical conference by physician with interdisciplinary team

of health professionals or representatives of community
agencies to coordinate activities of patient care (patient not
present); approximately 30 minutes
98910
11217
97811
Telephone call by a physician to patient or for consultation or

medical management or for coordinating medical
management with other health care professionals (eg,
nurses, therapists, social workers, nutritionists, physicians,
pharmacists); simple or brief (eg, to report on tests and/or
laboratory results, to clarify or alter previous instructions, to
integrate new information from other health professionals
into the medical treatment plan, or to adjust therapy)
11218
98920
11219
98925
11220
98926
11221
98927
11222
98928
11223
98929
11224
98940
11225
98941
11226
98942
Chiropractic manipulative treatment (CMT); spinal, 5 regions
98942
11227
98943
Chiropractic manipulative treatment (CMT); extraspinal, 1 or

more regions
98943
98960
Education and training for patient self-management by a

qualified, nonphysician health care professional using a
standardized curriculum, face-to-face with the patient (could
include caregiver/family) each 30 minutes; individual patient
98960
98961

include caregiver/family) each 30 minutes; 2-4 patients
98961
98962

include caregiver/family) each 30 minutes; 5-8 patients
98962
98966
Telephone assessment and management service provided

by a qualified nonphysician health care professional to an
established patient, parent, or guardian not originating from
a related assessment and management service provided
within the previous 7 days nor leading to an assessment and
management service or procedure within the next 24 hours
or soonest available appointment; 5-10 minutes of medical
discussion
98966
11228
11229
11230
11231
Osteopathic manipulative treatment (OMT); 1 to 2 body

regions involved
regions involved
regions involved
regions involved
regions involved
Chiropractic manipulative treatment (CMT); spinal, 1 to 2
regions
Chiropractic manipulative treatment (CMT); spinal, 3 to 4
regions
98920
98925
98926
98927
98928
98929
98940
98941
98967

within the previous seven days nor leading to an
assessment and management service or procedure within
the next 24 hours or soonest available appointment; 11-20
minutes of medical discussion
98967
98968

within the previous seven days nor leading to an
assessment and management service or procedure within
the next 24 hours or soonest available appointment; 21-30
minutes of medical discussion
98968
11234
98969
On-line assessment and management service provided by a

qualified nonphysician health care professional to an
established patient, guardian, or health care provider not
originating from a related assessment and management
service provided within the previous 7 days, using the
Internet or similar electronic communications network
98969
11235
99000
11236
99001
11232
11233
Handling and/or conveyance of specimen for transfer from

the physician's office to a laboratory
Handling and/or conveyance of specimen for transfer from
the patient in other than a physician's office to a laboratory
(distance may be indicated)
99000
99001
99002
Handling, conveyance, and/or any other service in

connection with the implementation of an order involving
devices (eg, designing, fitting, packaging, handling, delivery
or mailing) when devices such as orthotics, protectives,
prosthetics are fabricated by an outside laboratory or shop
but which items have been designed, and are to be fitted
and adjusted by the attending physician
99002
11238
99024
Postoperative follow-up visit, normally included in the

surgical package, to indicate that an evaluation and
management service was performed during a postoperative
period for a reason(s) related to the original procedure
99024
11239
99025
Initial (new patient) visit when starred (*) surgical procedure

constitutes major service at that visit
99025
11240
99026
Hospital mandated on call service; in-hospital, each hour
99026
11241
99027
Hospital mandated on call service; out-of-hospital, each hour
99027
11237
Services provided in the office at times other than regularly

scheduled office hours, or days when the office is normally
closed (eg, holidays, Saturday or Sunday), in addition to
basic service
11242
99050
11243
99051
11244
99052
11245
99053
Service(s) provided between 10:00 PM and 8:00 AM at 24hour facility, in addition to basic service
99053
11246
99054
Services requested on Sundays and holidays in addition to

basic service
99054
11247
99056
Services typically provided in the office, provided out of the

office at request of patient, in addition to basic service
99056
11248
99058
Service(s) provided on an emergency basis in the office,

which disrupts other scheduled office services, in addition to
basic service
99058
11249
99060
Service(s) provided on an emergency basis, out of the office,

which disrupts other scheduled office services, in addition to
basic service
99060
99062
Emergency care facility services: when the non-hospitalbased physician is in the hospital, but is involved in patient
care elsewhere and is called to the emergency facility to
provide emergency services
99062
11251
99070
Supplies and materials (except spectacles), provided by the

physician over and above those usually included with the
office visit or other services rendered (list drugs, trays,
supplies, or materials provided)
99070
11252
99071
11253
99075
11254
99078
Physician educational services rendered to patients in a

group setting (eg, prenatal, obesity, or diabetic instructions)
99078
11255
99080
Special reports such as insurance forms, more than the

information conveyed in the usual medical communications
or standard reporting form
99080
11256
99082
Unusual travel (eg, transportation and escort of patient)
99082
11257
99090
Analysis of clinical data stored in computers (eg, ECGs,

blood pressures, hematologic data)
99090
11250
Service(s) provided in the office during regularly scheduled

evening, weekend, or holiday office hours, in addition to
basic service
Services requested between 10:00 PM and 8:00 AM in
addition to basic service
Educational supplies, such as books, tapes, and pamphlets,

provided by the physician for the patient's education at cost
to physician
Medical testimony
99050
99051
99052
99071
99075
11258
99091
Collection and interpretation of physiologic data (eg, ECG,

blood pressure, glucose monitoring) digitally stored and/or
transmitted by the patient and/or caregiver to the physician
or other qualified health care professional, requiring a
minimum of 30 minutes of time
11259
99100
Anesthesia for patient of extreme age, younger than 1 year

and older than 70 (List separately in addition to code for
primary anesthesia procedure)
99100
11260
99116
Anesthesia complicated by utilization of total body

hypothermia (List separately in addition to code for primary
anesthesia procedure)
99116
11261
99135
Anesthesia complicated by utilization of controlled

hypotension (List separately in addition to code for primary
anesthesia procedure)
99135
11262
99140
Anesthesia complicated by emergency conditions (specify)

(List separately in addition to code for primary anesthesia
procedure)
99140
99143
Moderate sedation services (other than those services

described by codes 00100-01999) provided by the same
physician performing the diagnostic or therapeutic service
that the sedation supports, requiring the presence of an
independent trained observer to assist in the monitoring of
the patient's level of consciousness and physiological status;
under 5 years of age, first 30 minutes intraservice time
99143
99144

age 5 years or older, first 30 minutes intraservice time
99144
99145

each additional 15 minutes intraservice time (List separately
in addition to code for primary service)
99145
99148

described by codes 00100-01999), provided by a physician
other than the health care professional performing the
diagnostic or therapeutic service that the sedation supports;
younger than 5 years of age, first 30 minutes intraservice
time
99148
11263
11264
11265
11266
99091
99149

age 5 years or older, first 30 minutes intraservice time
99149
11268
99150

each additional 15 minutes intraservice time (List separately
in addition to code for primary service)
99150
11269
99170
Anogenital examination with colposcopic magnification in

childhood for suspected trauma
99170
11270
99172
Visual function screening, automated or semi-automated

bilateral quantitative determination of visual acuity, ocular
alignment, color vision by pseudoisochromatic plates, and
field of vision (may include all or some screening of the
determination[s] for contrast sensitivity, vision under glare)
99172
11271
99173
Screening test of visual acuity, quantitative, bilateral
99173
11272
99174
11273
99175
11274
99178
11275
11276
99180
99182
11277
99183
11267
11278
99202
Ocular photoscreening with interpretation and report,

bilateral
Ipecac or similar administration for individual emesis and
continued observation until stomach adequately emptied of
poison
Administration and medical interpretation of developmental
tests
Hyperbaric oxygen therapy; initial
Hyperbaric oxygen therapy; subsequent
Physician attendance and supervision of hyperbaric oxygen
therapy, per session
key components: 1) An expanded problem focused history;
2) An expanded problem focused examination; and 3)
problem(s) are of low to moderate severity. Physicians
and/or family.
99174
99175
99178
99180
99182
99183
99202
11279
11280
11281
11282
99205

of moderate to high severity. Physicians typically spend 60
minutes face-to-face with the patient and/or family.
99205
99212

least two of these three key components: 1) A problem
focused history; 2) A problem focused examination; 3)
spend 10 minutes face-to-face with the patient and/or family.
99212
99214

least two of these three key components: 1) A detailed
history; 2) A detailed examination; 3) Medical decision
and/or family.
99214
99215

least two of these three key components: 1) A
comprehensive history; 2) A comprehensive examination; 3)
Medical decision making of high complexity. Counseling
and/or coordination of care with other providers or agencies
are provided consistent with the nature of the problem(s)
and the patient's and/or family's needs. Usually, the
presenting problem(s) are of moderate to high severity.
99215
11283
11284
11285
11286
99217
Observation care discharge day management (This code is

to be utilized by the physician to report all services provided
to a patient on discharge from "observation status" if the
discharge is on other than the initial date of "observation
status." To report services to a patient designated as
"observation status" or "inpatient status" and discharged on
the same date, use the codes for Observation or Inpatient
Care Services [including Admission and Discharge Services,
99234-99236 as appropriate.])
99217
99219

patient's and/or family's needs. Usually, the problem(s)
requiring admission to "observation status" are of moderate
severity.
99219
99220

and/or family's needs. Usually, the problem(s) requiring
admission to "observation status" are of high severity.
99220
99222

requiring admission are of moderate severity. Physicians
99222
99223

admission are of high severity. Physicians typically spend 70
minutes at the bedside and on the patient's hospital floor or
unit.
99223
11288
99232

these three key components: 1) An expanded problem
focused interval history; 2) An expanded problem focused
examination; 3) Medical decision making of moderate
needs. Usually, the patient is responding inadequately to
therapy or has developed a minor complication. Physicians
99232
11289
99239
Hospital discharge day management; more than 30 minutes
99239
99242

requires these three key components: 1) An expanded
nature of the problem(s) and the patient(s) and/or family's
99242
99244

and/or family.
99244
11287
11290
11291
11292
11293
11294
11295
99245

and/or family.
99245
99261
Follow-up inpatient consultation for an established patient,

which requires at least two of these three key components:
1) A problem focused interval history; 2) A problem focused
examination; 3) Medical decision making that is
straightforward or of low complexity. Counseling and/or
provided consistent with nature of the problem(s) and the
recovering or improving. Physicians typically spend 10
unit.
99261
99262
Follow-up inpatient consultation for an established patient

1) An expanded problem focused interval history; 2) An
expanded problem focused examination; 3) Medical decision
patient's and/or family's needs. Usually, the patient is
responding inadequately to therapy or has developed a
minor complication. Physicians typically spend 20 minutes at
the bedside and on the patient's hospital floor or unit.
99262
99263
Follow-up inpatient consultation for an established patient

1) A detailed interval history; 2) A detailed examination; 3)
Medical decision making of high complexity. Counseling
and the patient's and/or family's needs. Usually, the patient
is unstable or has developed a significant complication or a
significant new problem. Physicians typically spend 30
unit.
99263
11296
11297
11298
11299
11300
99271
Confirmatory consultation for a new or established patient,

which requires these three key components: 1) A problem
focused history; 2) A problem focused examination; and 3)
problem(s) are self limited or minor.
99271
99272

which requires these three key components: 1) An expanded
99272
99273

which requires these three key components: 1) A detailed
history; 2) A detailed examination; and 3) Medical decision
making of low complexity. Counseling and/or coordination of
care with other providers or agencies are provided
of moderate severity.
99273
99274

which requires these three key components: 1) A
the presenting problem(s) are of moderate to high severity.
99274
99275

which requires these three key components: 1) A
the presenting problem(s) are of moderate to high severity.
99275
99283

components: 1) An expanded problem focused history; 2) An
expanded problem focused examination; and 3) Medical
problem(s) are of moderate severity.
99283
11302
99284

components: 1) A detailed history; 2) A detailed examination;
the presenting problem(s) are of high severity, and require
urgent evaluation by the physician but do not pose an
immediate significant threat to life or physiologic function.
99284
11303
99288
Physician direction of emergency medical systems (EMS)

emergency care, advanced life support
99288
99289
Critical care services delivered by a physician, face-to-face,

during an interfacility transport of critically ill or critically
injured pediatric patient, 24 months of age or less; first 30-74
minutes of hands on care during transport
99289
11305
99290

injured pediatric patient, 24 months of age or less; each
additional 30 minutes (List separately in addition to code for
primary service)
99290
11306
99292
Critical care, evaluation and management of the critically ill

or critically injured patient; each additional 30 minutes (List
separately in addition to code for primary service)
99292
11301
11304
11307
11308
11309
11310
99305
requiring admission are of moderate severity. Physicians
patient's facility floor or unit.
99305
99306
admission are of high severity. Physicians typically spend 45
unit.
99306
99307
Subsequent nursing facility care, per day, for the evaluation

and management of a patient, which requires at least two of
these three key components: 1) A problem focused interval
history; 2) A problem focused examination; 3)
recovering, or improving. Physicians typically spend 10
unit.
99307
99308

these three key components: 1) An expanded problem
focused interval history; 2) An expanded problem focused
the patient is responding inadequately to therapy or has
developed a minor complication. Physicians typically spend
15 minutes at the bedside and on the patient's facility floor or
unit.
99308
11311
11312
11313
99309

these three key components: 1) A detailed interval history; 2)
A detailed examination; 3) Medical decision making of
needs. Usually, the patient has developed a significant
complication or a significant new problem. Physicians
99309
99310

these three key components: 1) A comprehensive interval
history; 2) A comprehensive examination; 3) Medical
patient's and/or family's needs. The patient may be unstable
or may have developed a significant new problem requiring
immediate physician attention. Physicians typically spend 35
unit.
99310
99311

and management of a new or established patient, which
requires at least two of these three key components: 1) A
problem focused interval history; 2) A problem focused
examination; 3) Medical decision making that is
straightforward or of low complexity.Counseling and/or
recovering or improving. Physicians typically spend 15
unit.
99311
99312

requires at least two of these three key components: 1) An
expanded problem focused interval history; 2) An expanded
problem focused examination; 3) Medical decision making of
therapy or has developed a minor complication. Physicians
99312
11315
99313

requires at least two of these three key components: 1) A
detailed interval history; 2) A detailed examination; 3)
Medical decision making of moderate to high complexity.
the patient has developed a significant complication or a
significant new problem. Physicians typically spend 35
unit.
99313
11316
99315
11317
99316
11314
11318
99318
Nursing facility discharge day management; 30 minutes or

less
Nursing facility discharge day management; more than 30
minutes
Evaluation and management of a patient involving an annual
nursing facility assessment, which requires these three key
components: 1) A detailed interval history; 2) A
making that is of low to moderate complexity. Counseling
and the patient's and/or family's needs. Usually, the patient
is stable, recovering, or improving. Physicians typically
spend 30 minutes at the bedside and on the patient's facility
floor or unit.
99315
99316
99318
11319
11320
11321
11322
99321
Domiciliary or rest home visit for the evaluation and

management of a new patient which requires these three
focused examination; and 3) Medical decision making that is
straightforward or of low complexity. Counseling and/or
problem(s) are of low severity.
99321
99322

Medical decision making of moderate complexity.
the presenting problem(s) are of moderate severity.
99322
99323

examination; and 3) Medical decision making of high
needs. Usually, the presenting problem(s) are of high
complexity.
99323
99324

Physicians typically spend 20 minutes with the patient and/or
family or caregiver.
99324
11323
11324
11325
11326
99325

Medical decision making of low complexity. Counseling
presenting problem(s) are of moderate severity. Physicians
typically spend 30 minutes with the patient and/or family or
caregiver.
99325
99326

examination; and 3) Medical decision making of moderate
needs. Usually, the presenting problem(s) are of moderate to
high severity. Physicians typically spend 45 minutes with the
patient and/or family or caregiver.
99326
99327

problem(s) are of high severity. Physicians typically spend
60 minutes with the patient and/or family or caregiver.
99327
99328

and/or family's needs. Usually, the patient is unstable or has
developed a significant new problem requiring immediate
physician attention. Physicians typically spend 75 minutes
with the patient and/or family or caregiver.
99328
11327
11328
11329
11330
99331

focused interval history; 2) A problem focused examination;
3) Medical decision making that is straightforward or of low
needs. Usually, the patient is stable, recovering or improving.
99331
99332

problem focused interval history; 2) An expanded problem
focused examination; 3) Medical decision making of
therapy or has developed a minor complication.
99332
99333

interval history; 2) A detailed examination; 3) Medical
patient's and/or family's needs. Usually, the patient is
unstable or has developed a significant complication or a
significant new problem.
99333
99334

focused interval history; 2) A problem focused examination;
3) Straightforward medical decision making. Counseling
presenting problem(s) are self-limited or minor. Physicians
caregiver.
99334
11331
11332
11333
99335

problem focused interval history; 2) An expanded problem
focused examination; 3) Medical decision making of low
needs. Usually, the presenting problem(s) are of low to
moderate severity. Physicians typically spend 25 minutes
99335
99336

interval history; 2) A detailed examination; 3) Medical
caregiver.
99336
99337

least two of these three key components: 1) A
comprehensive interval history; 2) A comprehensive
examination; 3) Medical decision making of moderate to high
needs. Usually, the presenting problem(s) are of moderate to
high severity. The patient may be unstable or may have
developed a significant new problem requiring immediate
physician attention. Physicians typically spend 60 minutes
99337
11334
11335
11336
99339
Individual physician supervision of a patient (patient not

present) in home, domiciliary or rest home (eg, assisted
living facility) requiring complex and multidisciplinary care
modalities involving regular physician development and/or
revision of care plans, review of subsequent reports of
patient status, review of related laboratory and other studies,
communication (including telephone calls) for purposes of
assessment or care decisions with health care
professional(s), family member(s), surrogate decision
maker(s) (eg, legal guardian) and/or key caregiver(s)
involved in patient's care, integration of new information into
the medical treatment plan and/or adjustment of medical
therapy, within a calendar month; 15-29 minutes
99339
99340
Individual physician supervision of a patient (patient not

present) in home, domiciliary or rest home (eg, assisted
living facility) requiring complex and multidisciplinary care
therapy, within a calendar month; 30 minutes or more
99340
99341

problem focused history; 2) A problem focused examination;
and 3) Straightforward medical decision making. Counseling
presenting problem(s) are of low severity. Physicians
and/or family.
99341
99352

three key components: an expanded problem focused
interval history; an expanded problem focused examination;
medical decision making of moderate complexity.
the patient is responding inadequately to therapy or has
developed a minor complication.
99352
99353

three key components: a detailed interval history; a detailed
examination; medical decision making of high complexity.
the patient is unstable or has developed a significant
complication or a significant new problem.
99353
99354
Prolonged physician service in the office or other outpatient

setting requiring direct (face-to-face) patient contact beyond
the usual service; first hour (List separately in addition to
code for office or other outpatient Evaluation and
Management service)
99354
99355
Prolonged physician service in the office or other outpatient

setting requiring direct (face-to-face) patient contact beyond
the usual service; each additional 30 minutes (List
separately in addition to code for prolonged physician
service)
99355
99356
Prolonged physician service in the inpatient setting, requiring

unit/floor time beyond the usual service; first hour (List
separately in addition to code for inpatient Evaluation and
Management service)
99356
11342
99357
Prolonged physician service in the inpatient setting, requiring

unit/floor time beyond the usual service; each additional 30
minutes (List separately in addition to code for prolonged
physician service)
99357
11343
99358
Prolonged evaluation and management service before

and/or after direct (face-to-face) patient care; first hour
99358
99359
Prolonged evaluation and management service before

and/or after direct (face-to-face) patient care; each additional
30 minutes (List separately in addition to code for prolonged
physician service)
99359
11337
11338
11339
11340
11341
11344
99360
Physician standby service, requiring prolonged physician

attendance, each 30 minutes (eg, operative standby,
standby for frozen section, for cesarean/high risk delivery, for
monitoring EEG)
99360
99361
Medical conference by a physician with interdisciplinary

team of health professionals or representatives of
community agencies to coordinate activities of patient care
(patient not present); approximately 30 minutes
99361
99362
Medical conference by a physician with interdisciplinary

team of health professionals or representatives of
community agencies to coordinate activities of patient care
(patient not present); approximately 60 minutes
99362
99363
Anticoagulant management for an outpatient taking warfarin,

physician review and interpretation of International
Normalized Ratio (INR) testing, patient instructions, dosage
adjustment (as needed), and ordering of additional tests;
initial 90 days of therapy (must include a minimum of 8 INR
measurements)
99363
99364
Anticoagulant management for an outpatient taking warfarin,

physician review and interpretation of International
Normalized Ratio (INR) testing, patient instructions, dosage
adjustment (as needed), and ordering of additional tests;
each subsequent 90 days of therapy (must include a
minimum of 3 INR measurements)
99364
11350
99366
Medical team conference with interdisciplinary team of

health care professionals, face-to-face with patient and/or
family, 30 minutes or more, participation by nonphysician
qualified health care professional
99366
11351
99367

health care professionals, patient and/or family not present,
30 minutes or more; participation by physician
99367
99368

health care professionals, patient and/or family not present,
30 minutes or more; participation by nonphysician qualified
health care professional
99368
99371

pharmacists); simple or brief (eg, to report on tests and/or
laboratory results, to clarify or alter previous instructions, to
integrate new information from other health professionals
into the medical treatment plan, or to adjust therapy)
99371
11345
11346
11347
11348
11349
11352
11353
11354
11355
11356
99372

pharmacists); intermediate (eg, to provide advice to an
established patient on a new problem, to initiate therapy that
can be handled by telephone, to discuss test results in
detail, to coordinate medical management of a new problem
in an established patient, to discuss and evaluate new
information and details, or to initiate new plan of care)
99372
99373

pharmacists); complex or lengthy (eg, lengthy counseling
session with anxious or distraught patient, detailed or
prolonged discussion with family members regarding
seriously ill patient, lengthy communication necessary to
coordinate complex services of several different health
professionals working on different aspects of the total patient
care plan)
99373
99374
Physician supervision of a patient under care of home health

agency (patient not present) in home, domiciliary or
equivalent environment (eg, Alzheimer's facility) requiring
complex and multidisciplinary care modalities involving
regular physician development and/or revision of care plans,
review of subsequent reports of patient status, review of
related laboratory and other studies, communication
(including telephone calls) for purposes of assessment or
care decisions with health care professional(s), family
member(s), surrogate decision maker(s) (eg, legal guardian)
and/or key caregiver(s) involved in patient's care, integration
of new information into the medical treatment plan and/or
adjustment of medical therapy, within a calendar month; 1529 minutes
99374
11357
11358
11359
99375
Physician supervision of a patient under care of home health

agency (patient not present) in home, domiciliary or
equivalent environment (eg, Alzheimer's facility) requiring
complex and multidisciplinary care modalities involving
regular physician development and/or revision of care plans,
review of subsequent reports of patient status, review of
related laboratory and other studies, communication
(including telephone calls) for purposes of assessment or
care decisions with health care professional(s), family
member(s), surrogate decision maker(s) (eg, legal guardian)
and/or key caregiver(s) involved in patient's care, integration
of new information into the medical treatment plan and/or
adjustment of medical therapy, within a calendar month; 30
minutes or more
99375
99376
Physician supervision of patients under care of home health

agencies, hospice or nursing facility patients (patient not
present) requiring complex or multidisciplinary care
communication (including telephone calls) with other health
care professionals involved in patient's care, integration of
new information into the medical treatment plan and/or
adjustment of medical therapy, within a 30-day period;
greater than 60 minutes
99376
99377
Physician supervision of a hospice patient (patient not

present) requiring complex and multidisciplinary care
99377
11360
11361
11362
99378
Physician supervision of a hospice patient (patient not

99378
99379
Physician supervision of a nursing facility patient (patient not

99379
99380
Physician supervision of a nursing facility patient (patient not

assessment or care decisions with other health care
maker(s) (eg, legal guardian) and/or key care giver(s)
99380
11363
11364
11365
11366
11367
11368
11369
99381

of laboratory/diagnostic procedures, new patient; infant (age
younger than 1 year)
99381
99382

of laboratory/diagnostic procedures, new patient; early
childhood (age 1 through 4 years)
99382
99383

of laboratory/diagnostic procedures, new patient; late
childhood (age 5 through 11 years)
99383
99385

of laboratory/diagnostic procedures, new patient; 18-39
years
99385
99386

of laboratory/diagnostic procedures, new patient; 40-64
years
99386
99387

of laboratory/diagnostic procedures, new patient; 65 years
and older
99387
99391

procedures, established patient; infant (age younger than 1
year)
99391
99392

procedures, established patient; early childhood (age 1
through 4 years)
99392
99393

procedures, established patient; late childhood (age 5
through 11 years)
99393
99395

procedures, established patient; 18-39 years
99395
99396

procedures, established patient; 40-64 years
99396
11374
99397

procedures, established patient; 65 years and older
99397
11375
99401

99401
11376
99403

99403
11377
99404

99404
11378
99406
Smoking and tobacco use cessation counseling visit;

intermediate, greater than 3 minutes up to 10 minutes
99406
11379
99407
Smoking and tobacco use cessation counseling visit;

intensive, greater than 10 minutes
99407
11370
11371
11372
11373
11380
99408
Alcohol and/or substance (other than tobacco) abuse

structured screening (eg, AUDIT, DAST), and brief
intervention (SBI) services; 15 to 30 minutes
99408
11381
99409
Alcohol and/or substance (other than tobacco) abuse

structured screening (eg, AUDIT, DAST), and brief
intervention (SBI) services; greater than 30 minutes
99409
11382
99412

intervention(s) provided to individuals in a group setting
(separate procedure); approximately 60 minutes
99412
11383
99420
Administration and interpretation of health risk assessment

instrument (eg, health hazard appraisal)
99420
11384
99429
Unlisted preventive medicine service
99429
11385
99431

initiation of diagnostic and treatment programs and
preparation of hospital records. (This code should also be
used for birthing room deliveries.)
99431
11386
99432
Normal newborn care in other than hospital or birthing room

setting, including physical examination of baby and
conference(s) with parent(s)
99432
11387
99433
Subsequent hospital care, for the evaluation and

management of a normal newborn, per day
99433
11388
99435

including the preparation of medical records. (This code
should only be used for newborns assessed and discharged
from the hospital or birthing room on the same date.)
99435
11389
99436
Attendance at delivery (when requested by delivering

physician) and initial stabilization of newborn
99436
11390
99438
Infant care to one year of age, with a maximum of 12 office

visits during regular office hours, including tuberculin skin
testing and administration of DTP and oral polio vaccine
99438
11391
99440
Newborn resuscitation: provision of positive pressure

ventilation and/or chest compressions in the presence of
acute inadequate ventilation and/or cardiac output
99440
99444
Online evaluation and management service provided by a

physician to an established patient, guardian, or health care
provider not originating from a related E/M service provided
within the previous 7 days, using the Internet or similar
electronic communications network
99444
11392
99450
Basic life and/or disability examination that includes: 1)

Measurement of height, weight and blood pressure; 2)
Completion of a medical history following a life insurance pro
forma; 3) Collection of blood sample and/or urinalysis
complying with "chain of custody" protocols; and Completion
of necessary documentation/certificates.
99450
99455
Work related or medical disability examination by the

treating physician that includes: 1) Completion of a medical
history commensurate with the patient's condition; 2)
Performance of an examination commensurate with the
patient's condition; 3) Formulation of a diagnosis,
assessment of capabilities and stability, and calculation of
impairment; 4) Development of future medical treatment
plan; and 5) Completion of necessary
documentation/certificates and report.
99455
11395
99456
Work related or medical disability examination by other than

the treating physician that includes: 1) Completion of a
medical history commensurate with the patient's condition;
2) Performance of an examination commensurate with the
patient's condition; 3) Formulation of a diagnosis,
assessment of capabilities and stability, and calculation of
impairment; 4) Development of future medical treatment
plan; and 5) Completion of necessary
documentation/certificates and report.
99456
11396
99460
Initial hospital or birthing center care, per day, for evaluation

and management of normal newborn infant
99460
11397
99461
11398
99462
11399
99463
Initial hospital or birthing center care, per day, for evaluation

and management of normal newborn infant admitted and
discharged on the same date
99463
11400
99464
Attendance at delivery (when requested by the delivering

physician) and initial stabilization of newborn
99464
99465
Delivery/birthing room resuscitation, provision of positive

pressure ventilation and/or chest compressions in the
presence of acute inadequate ventilation and/or cardiac
output
99465
99466

injured pediatric patient, 24 months of age or younger; first
30-74 minutes of hands-on care during transport
99466
11393
11394
11401
11402
Initial care, per day, for evaluation and management of

normal newborn infant seen in other than hospital or birthing
center
Subsequent hospital care, per day, for evaluation and
management of normal newborn
99461
99462
11403
99467

injured pediatric patient, 24 months of age or younger; each
additional 30 minutes (List separately in addition to code for
primary service)
11404
99468
Initial inpatient neonatal critical care, per day, for the

days of age or younger
99468
11405
99469
Subsequent inpatient neonatal critical care, per day, for the

days of age or younger
99469
11406
99471

99471
11407
99472

99472
11408
99475

child, 2 through 5 years of age
99475
11409
99476

child, 2 through 5 years of age
99476
11410
99477

management of the neonate, 28 days of age or younger,
who requires intensive observation, frequent interventions,
and other intensive care services
99477
11411
99478

management of the recovering very low birth weight infant
(present body weight less than 1500 grams)
99478
11412
99479

management of the recovering low birth weight infant
(present body weight of 1500-2500 grams)
99479
11413
99480
11414
99499
11415
99505
11416
99506
11417
99507
11418
99508

management of the recovering infant (present body weight
of 2501-5000 grams)
Unlisted evaluation and management service
Home visit for stoma care and maintenance including
colostomy and cystostomy
Home visit for intramuscular injections
Home visit for care and maintenance of catheter(s) (eg,
urinary, drainage, and enteral)
Home visit for polysomnography and sleep studies
99467
99480
99499
99505
99506
99507
99508
Home visit for assistance with activities of daily living and

personal care
Home visit for individual, family, or marriage counseling
Home visit for hemodialysis
Unlisted home visit service or procedure
Home infusion for pain management (intravenous or
subcutaneous), per visit
Home infusion for pain management (epidural or
intrathecal), per visit
Home infusion for tocolytic therapy, per visit
11419
99509
11420
11421
11422
99510
99512
99539
11423
99551
11424
99552
11425
99553
11426
99554
Home infusion for hematopoietic hormones (eg,

erythropoietin, G-CSF, GM-CSF) or platelets, per visit
99554
11427
99555
Home infusion for chemotherapy, per visit
99555
11428
99556
Home infusion for antibiotics/antifungals/antivirals, per visit
99556
11429
99557
11430
11431
11432
11433
11434
99558
99559
99560
99561
99562
Home infusion of continuous anticoagulant therapy (eg,

heparin), per visit
Home infusion of immunotherapy, per visit
Home infusion of peritoneal dialysis, per visit
Home infusion of enteral nutrition, per visit
Home infusion of hydration therapy, per visit
Home infusion of total parenteral nutrition, per visit
11435
99563
Home administration of aerosolized pentamidine, per visit
11436
99564
11437
99565
11438
99566
11439
99567
11440
99568
11441
99569
11442
99600
11443
99601
11444
99602
Home infusion/specialty drug administration, per visit (up to

2 hours); each additional hour (List separately in addition to
99602
99605
Medication therapy management service(s) provided by a

pharmacist, individual, face-to-face with patient, with
assessment and intervention if provided; initial 15 minutes,
new patient
99605
99606

assessment and intervention if provided; initial 15 minutes,
established patient
99606
11445
11446
Home infusion for anti-hemophilic agents (eg, Factor VIII),

per visit
Home infusion of alpha-1-proteinase inhibitor (eg, Prolastin),
per visit
Home infusion for uninterrupted, long-term intravenous
treatment (eg, epoprostenol), per visit
Home infusion of sympathomimetic agents (eg,
dobutamine), per visit
Home infusion of miscellaneous drugs, per visit
Home infusion, each additional therapy given on same day
(List separately in addition to code for primary visit), per visit
Unlisted home visit service or procedure
Home infusion/specialty drug administration, per visit (up to
2 hours)
99509
99510
99512
99539
99551
99552
99553
99557
99558
99559
99560
99561
99562
99563
99564
99565
99566
99567
99568
99569
99600
99601
11447
99607

assessment and intervention if provided; each additional 15
minutes (List separately in addition to code for primary
service)
99607
11447
7192
4255
34
2372
1849
730
cpt 2010 + CPT 2006 + SIS

CPT 2010
cpt 206 y sis
PEAS
RM 689
rm 689 + sis
cpt 2006+ sis NO ESTAN EN CPT 2010
11447
7192
4255
34
2372
1849
730
Codigo
Anestesia para procedimientos en las glndulas salivales,
incluyendo biopsia
Anestesia para procedimientos que involucran la reparacin
plstica de labio leporino
Anestesia para procedimientos reconstructivos del prpado
(por ejemplo, la blefaroplastia, ptosis ciruga)
Anestesia para terapia electroconvulsiva
Anestesia para procedimientos en odo externo, medio e
interno, incluyendo biopsia; no especificado
interno, incluyendo biopsia; otoscopia
interno, incluyendo biopsia; timpanotoma
Anestesia para procedimientos en los ojos; no especificado
Anestesia para procedimientos en los ojos, ciruga del
cristalino
Anestesia para procedimientos en el ojo; trasplante de
crnea
Anestesia para procedimientos en los ojos, la ciruga vtreoretiniana
Anestesia para procedimientos en el ojo; iridectoma
Anestesia para procedimientos en el ojo; oftalmoscopia
Anestesia para procedimientos en los senos nasales y
accesorio, no especificado
Anestesia para procedimientos en la nariz y los senos
nasales accesorios, la ciruga radical
Anestesia para procedimientos en la nariz y los senos
nasales accesorios, biopsia de tejidos blandos
Anestesia para procedimientos intraorales, incluyendo
biopsia; no especificado
biopsia, reparacin de paladar hendido
biopsia, extirpacin del tumor retrofarngeo
biopsia, ciruga radical
Anestesia para procedimientos en los huesos faciales o
craneales; no especificado
Anestesia para procedimientos en los huesos de la cara o el
crneo, ciruga radical (incluyendo prognatismo)
Anestesia para procedimientos intracraneales, no
especificado
Anestesia para procedimientos intracraneales, grifos
subdurales
Anestesia para procedimientos intracraneales;
trepanaciones, incluyendo la ventriculografa
Anestesia para procedimientos intracraneales; craneoplastia
o elevacin de la fractura de crneo deprimida, extradural
(simple o compuesto)
CPT 2006 Y PEAS
100
RM N 689-2006-MINSA
102
RM N 689-2006-MINSA
103
RM N 689-2006-MINSA
104
RM N 689-2006-MINSA
120
RM N 689-2006-MINSA
124
RM N 689-2006-MINSA
126
RM N 689-2006-MINSA
140
RM N 689-2006-MINSA
142
RM N 689-2006-MINSA
144
RM N 689-2006-MINSA
145
RM N 689-2006-MINSA
147
148
RM N 689-2006-MINSA
RM N 689-2006-MINSA
160
RM N 689-2006-MINSA
162
RM N 689-2006-MINSA
164
RM N 689-2006-MINSA
170
RM N 689-2006-MINSA
172
RM N 689-2006-MINSA
174
RM N 689-2006-MINSA
176
RM N 689-2006-MINSA
190
RM N 689-2006-MINSA
192
RM N 689-2006-MINSA
210
RM N 689-2006-MINSA
212
RM N 689-2006-MINSA
214
RM N 689-2006-MINSA
215
RM N 689-2006-MINSA
Anestesia para procedimientos intracraneales,

procedimientos vasculares
procedimientos en posicin sentado
Anestesia para procedimientos intracraneales,
procedimientos de derivacin de lquido cefalorraqudeo
electrocoagulacin del nervio intracraneal
Anestesia para todos los procedimientos en el sistema
tegumentario, los msculos y los nervios de la cabeza, el
cuello y el tronco posterior, no especificados en otra
216
RM N 689-2006-MINSA
218
RM N 689-2006-MINSA
220
RM N 689-2006-MINSA
222
RM N 689-2006-MINSA
300
RM N 689-2006-MINSA
320
RM N 689-2006-MINSA
322
RM N 689-2006-MINSA
326
RM N 689-2006-MINSA
350
RM N 689-2006-MINSA
352
RM N 689-2006-MINSA
400
RM N 689-2006-MINSA
Anestesia para procedimientos en el sistema tegumentario

en las extremidades, el tronco anterior y el perineo, los
procedimientos reconstructivos en el pecho (por ejemplo,
reduccin o mamoplastia de aumento, colgajos musculares)
402
RM N 689-2006-MINSA

en las extremidades, el tronco anterior y el perineo;
procedimientos radicales radicales o modificados en el
pecho
404
RM N 689-2006-MINSA

en las extremidades, el tronco anterior y el perineo;
procedimientos radicales radicales o modificados en el
pecho con diseccin de ganglios mamarios internos
406
RM N 689-2006-MINSA
410
RM N 689-2006-MINSA
450
RM N 689-2006-MINSA
452
RM N 689-2006-MINSA
454
RM N 689-2006-MINSA
470
RM N 689-2006-MINSA
Anestesia para todos los procedimientos en el sistema de

esfago, tiroides, laringe, trquea y linfticos del cuello, no
especificado de otra manera, la edad de 1 ao o ms
Anestesia para todos los procedimientos en el sistema de
esfago, tiroides, laringe, trquea y linfticos del cuello;
aguja de biopsia de la tiroides
Anestesia para todos los procedimientos en la laringe y la
trquea en nios menores de 1 ao de edad
Anestesia para procedimientos en los grandes vasos del
cuello, no especificado
Anestesia para procedimientos en los grandes vasos del
cuello; ligadura simple
en las extremidades, el tronco anterior y el perineo, no
especificado

en las extremidades, el tronco anterior y el perineo, la
conversin elctrico de las arritmias
Anestesia para procedimientos en la clavcula y la escpula,
sin otra especificacin
Anestesia para procedimientos en la clavcula y la escpula,
la ciruga radical
Anestesia para procedimientos en la clavcula y la escpula;
biopsia de clavcula
Anestesia para la reseccin de la costilla parcial, sin otra
especificacin
Anestesia para la reseccin de la costilla parcial;

toracoplastia (de cualquier tipo)
472
RM N 689-2006-MINSA
Anestesia para la reseccin de la costilla parcial;

procedimientos radicales (por ejemplo, pectus excavatum)
474
RM N 689-2006-MINSA
500
RM N 689-2006-MINSA
520
RM N 689-2006-MINSA
522
RM N 689-2006-MINSA
524
RM N 689-2006-MINSA
528
RM N 689-2006-MINSA
529
RM N 689-2006-MINSA
530
RM N 689-2006-MINSA
532
RM N 689-2006-MINSA
534
RM N 689-2006-MINSA
537
RM N 689-2006-MINSA
539
RM N 689-2006-MINSA
540
RM N 689-2006-MINSA
Anestesia para procedimientos de toracotoma que

involucran los pulmones, la pleura, el diafragma y
mediastino (incluyendo toracoscopia quirrgica), utilizando
una ventilacin pulmonar
541
RM N 689-2006-MINSA

mediastino (incluyendo toracoscopia quirrgica);
decorticacin
542
RM N 689-2006-MINSA

mediastino (incluyendo toracoscopia quirrgica); reseccin
pulmonar con toracoplastia
546
RM N 689-2006-MINSA

mediastino (incluyendo toracoscopia quirrgica), los
procedimientos intratorcicos en la trquea y los bronquios
548
RM N 689-2006-MINSA
550
RM N 689-2006-MINSA
560
RM N 689-2006-MINSA
Anestesia para todos los procedimientos en el esfago

Anestesia para procedimientos de trax cerrado,
(incluyendo broncoscopia) no especificados en otra
Anestesia para procedimientos de trax cerrado; aguja de
biopsia de pleura
Anestesia para procedimientos de trax cerrado;
pneumocentesis
mediastinoscopia y toracoscopia diagnstica no utilizar una
ventilacin pulmonar
mediastinoscopia y toracoscopia diagnstica que utiliza una
ventilacin pulmonar
Anestesia para la insercin permanente marcapasos
transvenoso
Anestesia para el acceso a la circulacin venosa central
Anestesia para la insercin transvenosa o reemplazo de
estimulacin cardioversor-desfibrilador
Anestesia para procedimientos cardacos electrofisiolgicos,
incluyendo la ablacin por radiofrecuencia
Anestesia para la reconstruccin traqueobronquial
mediastino (incluyendo toracoscopia quirrgica), no
especificado
Anestesia para el desbridamiento esternal

Anestesia para procedimientos de corazn, pericardio y los
grandes vasos del pecho, sin oxigenador de bomba

grandes vasos del pecho, con oxigenador de la bomba, la
edad de 1 ao o ms, para todos los procedimientos de
bypass no coronarios (por ejemplo, los procedimientos de
vlvula) o para volver a la operacin de bypass coronario
ms de 1 mes despus de la operacin original,
grandes vasos del pecho, con oxigenador de bomba con
paro circulatorio hipotrmico
Anestesia para bypass de arteria coronaria directa, sin
oxigenador de bomba
Anestesia para trasplante de corazn o corazn / pulmn
trasplante
Anestesia para procedimientos en la columna vertebral y de
la mdula cervical, no especificado
Anestesia para procedimientos en la columna cervical y la
mdula, los procedimientos con el paciente en posicin
sentada
Anestesia para procedimientos en la columna dorsal y la
mdula, no especificado
mdula; simpatectoma toracolumbar
Anestesia para procedimientos en regin lumbar, no
especificado
Anestesia para procedimientos en regin lumbar;
simpatectoma lumbar
Anestesia para procedimientos en regin lumbar;
quimionucleolisis
Anestesia para procedimientos en regin lumbar, puncin
lumbar diagnstica o teraputica
La anestesia para la manipulacin de la columna vertebral o
para procedimientos cerrados en la columna cervical,
torcica o lumbar
Anestesia para la columna vertebral extenso y
procedimientos mdula espinal (por ejemplo, la
instrumentacin, la columna vertebral o procedimientos
vasculares)
Anestesia para procedimientos en pared anterior del
abdomen superior, no especificado
Anestesia para procedimientos en pared anterior del
abdomen superior, la biopsia heptica percutnea
Anestesia para procedimientos en pared posterior del
abdomen superior
Anestesia para procedimientos endoscpicos
gastrointestinales superiores, endoscopio introducido
duodeno proximal para
Anestesia para reparaciones de hernia en el abdomen
superior, no especificado
superior, lumbar y ventral (incisional) hernias y / o
dehiscencia de la herida
562
RM N 689-2006-MINSA
563
RM N 689-2006-MINSA
566
RM N 689-2006-MINSA
580
RM N 689-2006-MINSA
600
RM N 689-2006-MINSA
604
RM N 689-2006-MINSA
620
RM N 689-2006-MINSA
622
RM N 689-2006-MINSA
630
RM N 689-2006-MINSA
632
RM N 689-2006-MINSA
634
RM N 689-2006-MINSA
635
RM N 689-2006-MINSA
640
RM N 689-2006-MINSA
670
RM N 689-2006-MINSA
700
RM N 689-2006-MINSA
702
RM N 689-2006-MINSA
730
RM N 689-2006-MINSA
740
RM N 689-2006-MINSA
750
RM N 689-2006-MINSA
752
RM N 689-2006-MINSA

superior; onfalocele
superior, reparacin transabdominal de la hernia
diafragmtica
Anestesia para todos los procedimientos en los principales
vasos sanguneos abdominales
Anestesia para procedimientos intraperitoneales en
abdomen superior, incluyendo la laparoscopia, sin otra
especificacin
754
RM N 689-2006-MINSA
756
RM N 689-2006-MINSA
770
RM N 689-2006-MINSA
790
RM N 689-2006-MINSA

abdomen superior, incluyendo laparoscopia; hepatectoma
parcial o manejo de la hemorragia del hgado (con exclusin
de la biopsia heptica)
792
RM N 689-2006-MINSA

abdomen superior, incluyendo laparoscopia;
pancreatectoma parcial o total (por ejemplo, el
procedimiento de Whipple)
794
RM N 689-2006-MINSA

abdomen superior, incluyendo laparoscopia; trasplante de
hgado (receptor)
796
RM N 689-2006-MINSA

abdomen superior, incluyendo la laparoscopia,
procedimiento gstrico restrictivo para la obesidad mrbida
797
RM N 689-2006-MINSA
800
RM N 689-2006-MINSA
802
RM N 689-2006-MINSA
810
RM N 689-2006-MINSA
820
RM N 689-2006-MINSA
830
RM N 689-2006-MINSA
832
RM N 689-2006-MINSA
834
RM N 689-2006-MINSA
Anestesia para procedimientos intraperitoneales en el

abdomen inferior, incluyendo la laparoscopia, sin otra
especificacin
840
RM N 689-2006-MINSA

abdomen inferior, incluyendo laparoscopia; amniocentesis
842
RM N 689-2006-MINSA

abdomen inferior, incluyendo laparoscopia; reseccin
abdominoperineal
844
RM N 689-2006-MINSA

abdomen inferior, incluyendo laparoscopia; histerectoma
radical
846
RM N 689-2006-MINSA
Anestesia para procedimientos en la pared inferior

abdominal anterior, no especificado
Anestesia para procedimientos en la pared inferior
abdominal anterior; paniculectoma
Anestesia para procedimientos endoscpicos intestinales
bajos, endoscopio introducido distal al duodeno
Anestesia para procedimientos en pared posterior del
abdomen inferior
Anestesia para la reparacin de hernias en el abdomen
inferior; no especificado
Anestesia para la reparacin de hernias en el bajo
abdomen; hernias ventrales e incisionales
inferior no se especifique lo contrario, menores de 1 ao de
edad

abdomen inferior, incluyendo laparoscopia; exenteracin
plvica
848
RM N 689-2006-MINSA
Anestesia para procedimientos extraperitoneales en la parte

baja del abdomen, incluyendo tracto urinario; no
especificado
860
RM N 689-2006-MINSA
Anestesia para procedimientos extraperitoneal en el

abdomen inferior, incluyendo las vas urinarias, los
procedimientos renales, incluyendo el tercio superior del
urter o la nefrectoma de donante
862
RM N 689-2006-MINSA

baja del abdomen, incluyendo tracto urinario; cistectoma
total
864
RM N 689-2006-MINSA

baja del abdomen, incluyendo el tracto urinario,
prostatectoma radical (suprapbica, retropbica)
865
RM N 689-2006-MINSA

baja del abdomen, incluyendo tracto urinario;
adrenalectoma
866
RM N 689-2006-MINSA

baja del abdomen, incluyendo tracto urinario; trasplante
renal (receptor)
868
RM N 689-2006-MINSA

baja del abdomen, incluyendo tracto urinario; cistolitotoma
870
RM N 689-2006-MINSA
872
RM N 689-2006-MINSA
873
RM N 689-2006-MINSA
880
RM N 689-2006-MINSA
882
RM N 689-2006-MINSA
884
RM N 689-2006-MINSA
902
904
906
908
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
910
RM N 689-2006-MINSA
912
RM N 689-2006-MINSA
Anestesia para procedimientos transuretrales (incluyendo

uretrocistoscopia), reseccin transuretral de prstata
914
RM N 689-2006-MINSA

uretrocistoscopia); post-reseccin transuretral sangrado
916
RM N 689-2006-MINSA
Anestesia para la litotricia ondas de choque extracorpreas,

con bao de agua
Anestesia para la litotricia ondas de choque extracorpreas,
sin bao de agua
Anestesia para procedimientos en los principales vasos
abdominales inferiores, no especificado
abdominales inferiores, la ligadura de la vena cava inferior
abdominales inferiores, paraguas insercin transvenosa
Anestesia para, procedimiento anorrectal
Anestesia para, procedimiento perineal radical
Anestesia para; vulvectoma
Anestesia para, prostatectoma perineal
uretrocistoscopia); no especificados en otra
uretrocistoscopia), reseccin transuretral de tumor vesical
(s)

uretrocistoscopia), con fragmentacin, manipulacin y / o
extraccin de un clculo ureteral
918
RM N 689-2006-MINSA
Anestesia para procedimientos en los rganos genitales

masculinos (incluyendo procedimientos abiertos de la
uretra), no especificado
920
RM N 689-2006-MINSA

uretra), las vesculas seminales
922
RM N 689-2006-MINSA

uretra), testculos no descendidos, unilateral o bilateral
924
RM N 689-2006-MINSA

uretra), la orquiectoma radical, inguinal
926
RM N 689-2006-MINSA

uretra), la orquiectoma radical, abdominal
928
RM N 689-2006-MINSA

uretra); orquidopexia, unilateral o bilateral
930
RM N 689-2006-MINSA

uretra), amputacin completa del pene
932
RM N 689-2006-MINSA

uretra); amputacin radical del pene con linfadenectoma
inguinal bilateral
934
RM N 689-2006-MINSA

uretra); amputacin radical del pene con linfadenectoma
inguinal bilateral e ilaca
936
RM N 689-2006-MINSA

uretra), la insercin de (abordaje perineal) prtesis de pene
938
RM N 689-2006-MINSA
Anestesia para procedimientos vaginales (incluyendo

biopsia de los labios, la vagina, el cuello uterino o
endometrio), no especificados en otra
940
RM N 689-2006-MINSA

endometrio); colpotoma, vaginectoma, colporrafia y abrir
procedimientos uretrales
942
RM N 689-2006-MINSA

endometrio), histerectoma vaginal
944
RM N 689-2006-MINSA

endometrio); cerclaje cervical
948
RM N 689-2006-MINSA

endometrio); culdoscopa
950
RM N 689-2006-MINSA

endometrio), histeroscopia y / o histerosalpingografa
Anestesia para la aspiracin de mdula sea y / o biopsia
de cresta ilaca anterior o posterior
Anestesia para procedimientos en la pelvis sea
Anestesia para la aplicacin cuerpo de fundicin o revisin
952
RM N 689-2006-MINSA
1112
RM N 689-2006-MINSA
1120
RM N 689-2006-MINSA
1130
RM N 689-2006-MINSA
1140
RM N 689-2006-MINSA
1150
RM N 689-2006-MINSA
1160
RM N 689-2006-MINSA
1170
RM N 689-2006-MINSA
1180
1190
RM N 689-2006-MINSA
RM N 689-2006-MINSA
1200
RM N 689-2006-MINSA
1202
RM N 689-2006-MINSA
1210
RM N 689-2006-MINSA
1212
RM N 689-2006-MINSA
1214
RM N 689-2006-MINSA
1215
RM N 689-2006-MINSA
1220
RM N 689-2006-MINSA
1230
RM N 689-2006-MINSA
1232
RM N 689-2006-MINSA
1234
RM N 689-2006-MINSA
1250
RM N 689-2006-MINSA
Anestesia para todos los procedimientos relacionados con

las venas de la pierna superior, incluyendo la exploracin
1260
RM N 689-2006-MINSA
Anestesia para procedimientos en los que las arterias de la

pierna superior, incluyendo injerto de derivacin; no
especificado
1270
RM N 689-2006-MINSA

pierna superior, incluyendo injerto de derivacin; ligadura de
la arteria femoral
1272
RM N 689-2006-MINSA

pierna superior, incluyendo injerto de derivacin;
embolectoma arteria femoral
1274
RM N 689-2006-MINSA
Anestesia para interpelviabdominal (cuartos traseros)

amputacin
Anestesia para procedimientos radicales para tumores de la
pelvis, excepto amputacin del cuarto trasero
Anestesia para procedimientos cerrados que involucran
snfisis del pubis o la articulacin sacroilaca
Anestesia para procedimientos abiertos que involucran
snfisis del pubis o la articulacin sacroilaca
Anestesia para neurectoma obturador; extraplvico
Anestesia para neurectoma obturador; intraplvica
Anestesia para todos los procedimientos cerrados que
involucran la articulacin coxofemoral
Anestesia para procedimientos artroscpicos de articulacin
de la cadera
articulacin de la cadera, no especificado
articulacin de la cadera; desarticulacin de cadera
articulacin de la cadera; artroplastia total de cadera
articulacin de la cadera, la revisin de la artroplastia total
de cadera
Anestesia para todos los procedimientos cerrados que
involucran dos tercios superiores del fmur
Anestesia para procedimientos abiertos que involucran dos
tercios superiores del fmur; no especificado
tercios superiores del fmur; amputacin
tercios superiores del fmur; reseccin radical
Anestesia para todos los procedimientos en los nervios,
msculos, tendones, fascias, y las bolsas de muslo

msculos, tendones, fascias y bursas de la rodilla y / o el
rea popltea
Anestesia para todos los procedimientos cerrados en tercio
inferior del fmur
Anestesia para todos los procedimientos abiertos en tercio
inferior del fmur
Anestesia para todos los procedimientos cerrados en la
articulacin de la rodilla
Anestesia para procedimientos de diagnstico artroscpico
de la articulacin de la rodilla
1320
RM N 689-2006-MINSA
1340
RM N 689-2006-MINSA
1360
RM N 689-2006-MINSA
1380
RM N 689-2006-MINSA
1382
RM N 689-2006-MINSA
La anestesia para todos los procedimientos cerrados en los

extremos superiores de la tibia, el peron y / o la rtula
1390
RM N 689-2006-MINSA
La anestesia para todos los procedimientos abiertos en los

extremos superiores de la tibia, el peron y / o la rtula
1392
RM N 689-2006-MINSA
Anestesia para procedimientos abiertos o artroscpicos

quirrgica en la rodilla, no especificado
1400
RM N 689-2006-MINSA

quirrgica en la rodilla conjunta; artroplastia total de rodilla
1402
RM N 689-2006-MINSA
1404
RM N 689-2006-MINSA
1420
RM N 689-2006-MINSA
1430
RM N 689-2006-MINSA
1432
RM N 689-2006-MINSA
1440
RM N 689-2006-MINSA
1442
RM N 689-2006-MINSA
1444
RM N 689-2006-MINSA
1462
RM N 689-2006-MINSA
1464
RM N 689-2006-MINSA
1470
RM N 689-2006-MINSA
Anestesia para procedimientos en los nervios, msculos,

tendones y fascias de la pierna, el tobillo y el pie, reparacin
de rotura del tendn de Aquiles, con o sin injerto
1472
RM N 689-2006-MINSA

tendones y fascias de la pierna, tobillo y pie, recesin
gastrocnemio (por ejemplo, el procedimiento de Strayer)
1474
RM N 689-2006-MINSA

quirrgica en la rodilla, desarticulacin de rodilla
Anestesia para todas las aplicaciones de fundicin,
remocin o reparacin implica articulacin de la rodilla
Anestesia para procedimientos en venas de la rodilla y la
zona popltea, no especificado
Anestesia para procedimientos en venas de la rodilla y la
zona popltea; fstula arteriovenosa
Anestesia para procedimientos en arterias de la rodilla y la
zona popltea, no especificado
Anestesia para procedimientos en arterias del rea de la
rodilla y popltea, popltea tromboendarterectoma, con o sin
injerto de parche
Anestesia para procedimientos en arterias de la rodilla y la
zona popltea, popltea y la extirpacin del injerto o la
reparacin de oclusin o aneurisma
pierna, el tobillo y el pie
Anestesia para procedimientos artroscpicos de tobillo y / o
pie
tendones y fascias de la pierna, el tobillo y el pie, no
especificado
Anestesia para procedimientos abiertos en los huesos de la

pierna, tobillo y pie, sin otra especificacin
pierna, tobillo y pie, reseccin radical (incluyendo la
amputacin por debajo de la rodilla)
1480
RM N 689-2006-MINSA
1482
RM N 689-2006-MINSA
1484
RM N 689-2006-MINSA
1486
RM N 689-2006-MINSA
1490
RM N 689-2006-MINSA
1500
RM N 689-2006-MINSA
1502
RM N 689-2006-MINSA
1520
RM N 689-2006-MINSA
1522
RM N 689-2006-MINSA

msculos, tendones, fascias, y las bolsas de hombro y axila
1610
RM N 689-2006-MINSA

cabeza y el cuello del hmero, articulacin esternoclavicular
conjunta, acromioclavicular y la articulacin del hombro
1620
RM N 689-2006-MINSA

de la articulacin del hombro
1622
RM N 689-2006-MINSA

quirrgicas en la cabeza humeral y el cuello, articulacin
esternoclavicular conjunta, acromioclavicular y la
articulacin del hombro, no especificado
1630
RM N 689-2006-MINSA

articulacin del hombro; reseccin radical
1632
RM N 689-2006-MINSA

articulacin del hombro; desarticulacin de hombro
1634
RM N 689-2006-MINSA

articulacin del hombro; interthoracoscapular (cuarto
delantero) Amputacin
1636
RM N 689-2006-MINSA

articulacin del hombro, reemplazo total de hombro
1638
RM N 689-2006-MINSA
Anestesia para procedimientos en arterias del hombro y la

axila, no especificado
1650
RM N 689-2006-MINSA

pierna, tobillo y pie, osteotoma o osteoplastia de tibia y / o
peron
pierna, el tobillo y el pie, reemplazo total de tobillo
Anestesia para la aplicacin de yeso en la pierna inferior,
remocin, reparacin o
Anestesia para procedimientos en arterias de la pierna,
incluyendo injerto de derivacin; no especificado
Anestesia para procedimientos en arterias de la pierna,
incluyendo injerto de derivacin; embolectoma, directa o
con catter
Anestesia para procedimientos en venas de la pierna, no
especificado
Anestesia para procedimientos en venas de la pierna;
trombectoma venosa, directa o con catter

axila; axilar-braquial aneurisma
axila, anular injerto
axila, axilar, femoral del injerto de bypass
Anestesia para todos los procedimientos en venas del
hombro y la axila
Anestesia para la fundicin hombro aplicacin, remocin o
reparacin; no especificado
Anestesia para la fundicin hombro aplicacin, remocin o
reparacin; hombro spica
tendones, fascias, y las bolsas de brazo y el codo, no
especificado
1652
RM N 689-2006-MINSA
1654
RM N 689-2006-MINSA
1656
RM N 689-2006-MINSA
1670
RM N 689-2006-MINSA
1680
RM N 689-2006-MINSA
1682
RM N 689-2006-MINSA
1710
RM N 689-2006-MINSA

tendones, fascias, y las bolsas de brazo y codo; tenotoma,
codo con codo, abierto
1712
RM N 689-2006-MINSA

tendones, fascias, y las bolsas de brazo y codo; tenoplasty,
codo a codo
1714
RM N 689-2006-MINSA
1716
RM N 689-2006-MINSA
1730
RM N 689-2006-MINSA
1732
RM N 689-2006-MINSA
1740
RM N 689-2006-MINSA
1742
RM N 689-2006-MINSA
1744
RM N 689-2006-MINSA
1756
RM N 689-2006-MINSA
1758
RM N 689-2006-MINSA
1760
RM N 689-2006-MINSA
1770
RM N 689-2006-MINSA
1772
RM N 689-2006-MINSA
1780
RM N 689-2006-MINSA
1782
RM N 689-2006-MINSA
1810
RM N 689-2006-MINSA

tendones, fascias, y las bolsas de brazo y codo; tenodesis,
ruptura del tendn largo del bceps
Anestesia para todos los procedimientos cerrados en el
hmero y el codo
de la articulacin del codo
quirrgico del codo, no especificado
quirrgico del codo; osteotoma del hmero
quirrgico del codo, reparacin de falta de unin o mala
unin del hmero
quirrgico del codo; procedimientos radicales
quirrgico del codo; excisin de quiste o tumor del hmero
quirrgico del codo, la sustitucin total de codo
Anestesia para procedimientos en arterias del antebrazo y el
codo, no especificado
Anestesia para procedimientos en arterias del antebrazo y el
codo; embolectoma
Anestesia para procedimientos en venas del antebrazo y el
codo, no especificado
Anestesia para procedimientos en venas del antebrazo y el
codo; phleborrhaphy
msculos, tendones, fascias, y las bolsas de antebrazo,
mueca y mano

radio, cbito, mueca o huesos de la mano
en la mueca
1820
RM N 689-2006-MINSA
1829
RM N 689-2006-MINSA
Anestesia para procedimientos artroscpicos / endoscpico

o quirrgico abierto en distal del radio, cbito distal, la
mueca o articulaciones de la mano, no especificado
1830
RM N 689-2006-MINSA
Anestesia para procedimientos artroscpicos / endoscpico

o quirrgico abierto en distal del radio, cbito distal, la
mueca o articulaciones de la mano, reemplazo total de
mueca
1832
RM N 689-2006-MINSA
1840
RM N 689-2006-MINSA
1842
RM N 689-2006-MINSA
1844
RM N 689-2006-MINSA
1850
RM N 689-2006-MINSA
1852
RM N 689-2006-MINSA
1860
RM N 689-2006-MINSA
Anestesia para la mielografa, discografa, la vertebroplastia
1905
RM N 689-2006-MINSA
Anestesia para la arteriografa diagnstica / venografa
1916
RM N 689-2006-MINSA
Anestesia para cateterizacin cardaca, incluyendo la

coronariografa y ventriculografa (no incluir Swan-Ganz)
1920
RM N 689-2006-MINSA
1922
RM N 689-2006-MINSA
1924
RM N 689-2006-MINSA
Anestesia para procedimientos radiolgicos teraputicos

intervencionistas que afectan el sistema arterial; cartida o
coronaria
1925
RM N 689-2006-MINSA

intervencionistas que afectan el sistema arterial;
intracraneal, intracardaca, o artica
1926
RM N 689-2006-MINSA
Anestesia para procedimientos teraputicos

intervencionistas radiolgicas relacionadas con el sistema
venoso / linftico (que no incluye el acceso a la circulacin
central), no especificado
1930
RM N 689-2006-MINSA

intervencionistas que afectan el sistema venoso / linftico
(que no incluye el acceso a la circulacin central), la
circulacin intraheptica o portal (por ejemplo, la derivacin
portosistmica intraheptica transvenoso [s] [TIPS])
1931
RM N 689-2006-MINSA
Anestesia para procedimientos en arterias del antebrazo, la

mueca y la mano, no especificado
Anestesia para procedimientos en arterias del antebrazo,
mueca y mano, embolectoma
Anestesia para derivacin vascular o revisin de la
derivacin, cualquier tipo (por ejemplo, dilisis)
Anestesia para procedimientos en venas del antebrazo, la
mueca y la mano, no especificado
Anestesia para procedimientos en venas del antebrazo,
mueca y mano, phleborrhaphy
Anestesia para el antebrazo, la mueca o la aplicacin del
yeso mano, remocin, reparacin o
Anestesia para la imagen no invasiva o la terapia de

radiacin
intervencionistas que afectan el sistema arterial; no
especificado

(que no incluye el acceso a la circulacin central);
intratorcica o yugular
1932
RM N 689-2006-MINSA

(que no incluye el acceso a la circulacin central);
intracraneal
1933
RM N 689-2006-MINSA
Anestesia para la escisin grado quemaduras de segundo y

tercer o desbridamiento con o sin injerto de piel, cualquier
sitio, por la superficie corporal total (SCT) tratados durante
la anestesia y la ciruga, menos del cuatro por ciento total de
la superficie corporal
1951
RM N 689-2006-MINSA
Anestesia para la escisin grado quemaduras de segundo y

tercer o desbridamiento con o sin injerto de piel, cualquier
sitio, por la superficie corporal total (SCT) tratados durante
la anestesia y la ciruga, entre cuatro y nueve por ciento de
la superficie corporal total
1952
RM N 689-2006-MINSA
Anestesia para grado segundo y tercero quemar la escisin

o el desbridamiento con o sin injerto de piel, cualquier sitio,
por rea de superficie corporal total (SCT) tratados durante
la anestesia y la ciruga; cada adicional total de nueve por
ciento de rea de superficie corporal o parte de la misma
(lista por separado, adems cdigo para el procedimiento
primario)
1953
RM N 689-2006-MINSA
1958
RM N 689-2006-MINSA
1960
1961
RM N 689-2006-MINSA
RM N 689-2006-MINSA
1962
RM N 689-2006-MINSA
1963
RM N 689-2006-MINSA
1964
RM N 689-2006-MINSA
Trabajo neuroaxial analgesia / anestesia para el parto

vaginal planificado (esto incluye cualquier subaracnoidea
repeticin colocacin de la aguja y la inyeccin de drogas y /
o la sustitucin necesaria de un catter epidural durante el
parto)
1967
RM N 689-2006-MINSA
La anestesia para el parto por cesrea despus (lista por

separado adems del cdigo para el procedimiento primario
realizado) laboral neuroaxial analgesia / anestesia
1968
RM N 689-2006-MINSA
Anestesia para cesrea histerectoma siguientes (lista por

separado adems del cdigo para el procedimiento primario
realizado) laboral neuroaxial analgesia / anestesia
1969
RM N 689-2006-MINSA
Apoyo fisiolgico para la cosecha de rgano (s) de

pacientes con muerte cerebral
1990
RM N 689-2006-MINSA
Anestesia para bloqueos nerviosos diagnsticos o

teraputicos e inyecciones (cuando el bloque o la inyeccin
se realiza por un proveedor diferente); distintas de la
posicin de decbito prono
1991
RM N 689-2006-MINSA
La anestesia para el procedimiento de versin ceflica

externa
La anestesia para el parto vaginal slo
Anestesia para cesrea slo
Anestesia para la entrega urgente despus de una
histerectoma
Anestesia para histerectoma por cesrea sin trabajo
analgesia / anestesia cuidado
La anestesia para los procedimientos de aborto
Anestesia para bloqueos nerviosos diagnsticos o

teraputicos e inyecciones (cuando el bloque o la inyeccin
se realiza por un proveedor diferente); posicin prona
1992
RM N 689-2006-MINSA
1995
RM N 689-2006-MINSA
1996
RM N 689-2006-MINSA
10040
RM N 689-2006-MINSA
10060
RM N 689-2006-MINSA/TARIFARIO SIS 2003
10080
10120
10140
10160
11000
11010
11011
11012
11042
PEAS Decreto Supremo N 016-2009-SA
11055
11100
La eliminacin de marcas en la piel, mltiples etiquetas

fibrocutaneous, cualquier zona; hasta e incluyendo 15
lesiones
11200
Afeitado de lesin epidrmica o drmica, una sola lesin,

tronco, brazos o piernas; dimetro de la lesin de 0,5 cm o
menos
11300
11400
11740
Administracin regional intravenosa de anestsico local u

otro medicamento (extremidad superior o inferior)
Gestin hospitalaria diaria de epidural o subaracnoidea
administracin continua del frmaco
Ciruga del acn (por ejemplo, la marsupializacin, apertura
o retirada de milia mltiples, comedones, quistes, pstulas)
Incisin y drenaje de absceso (por ejemplo, ntrax,
hidradenitis supurativa, absceso cutneo o subcutneo,
quiste, fornculo, o paroniquia), sencillo o single
Incisin y drenaje de quiste pilonidal, simple
La incisin y extraccin de cuerpos extraos, tejidos
subcutneos, simple
Incisin y drenaje de hematoma, seroma o acumulacin de
lquido
Puncin aspiracin del absceso, hematoma, bulla, o quiste
El desbridamiento del eczematosa extensa o piel infectada,
hasta el 10% de la superficie corporal
Desbridamiento incluyendo la eliminacin de material
extrao asociado con fractura abierta (s) y / o dislocacin
(s), piel y tejidos subcutneos
(s), piel, tejido subcutneo, fascia muscular, y el msculo
(s), piel, tejido subcutneo, fascia muscular, msculo y
hueso
El desbridamiento, la piel y del tejido subcutneo
Pelar o cortar de lesin benigna hiperqueratsicas (por
ejemplo, el maz o el callo), lesin nica
La biopsia de piel, tejido subcutneo y / o mucosa
(incluyendo cierre simple), a menos que se enumeran; sola
lesin
Escisin, lesin benigna incluidos los mrgenes, excepto

etiqueta piel (a menos que figuren en otra parte), el tronco,
los brazos o las piernas; extirpados 0,5 cm de dimetro o
menos
La evacuacin del hematoma subungueal
Escisin de ua y ua matriz, parcial o completa (por

ejemplo, encarnadas o deformada ua), para la eliminacin
permanente;
Excisin de quiste pilonidal o seno, simple
Insercin, cpsulas anticonceptivos implantables
Remocin, cpsulas anticonceptivos implantables
La eliminacin de reinsercin, anticonceptivos implantables
cpsulas
11750
11770
11975
11976
RM N 689-2006-MINSA
11977
Reparacin simple de heridas superficiales del cuero

cabelludo, cuello, axilas, genitales externos, tronco y / o
extremidades (incluyendo manos y pies), 2,5 cm o menos
12001

extremidades (incluyendo manos y pies), 2,6 cm a 7,5 cm
12002

extremidades (incluyendo manos y pies), 12,6 cm hasta
20,0 cm
12005
Reparacin, intermedio, las heridas del cuero cabelludo, las

axilas, el tronco y / o extremidades (excluyendo manos y
pies); 2,5 cm o menos
12031

pies); 2,6 cm a 7,5 cm
12032
12035
13160
14000
Preparacin quirrgica o creacin de sitio receptor mediante

la escisin de heridas abiertas, quemaduras escara, o de la
cicatriz (incluidos los tejidos subcutneos), la liberacin o
incisional de la contractura de la cicatriz; primero 100 cm
cuadrados o 1% de la superficie del cuerpo de los bebs y
nios
15000
Pellizcar injerto, simple o mltiple, para cubrir la lcera

pequea punta de dgitos, o de otra rea abierta mnima
(excepto en la cara), hasta defecto de tamao 2 cm de
dimetro
15050
Aplicacin de aloinjerto, piel; 100 cm cuadrados o menos
15350
Xenoinjerto, la piel (drmica), para el cierre temporal de la

herida, tronco, brazos, piernas; primero 100 cm cuadrados o
menos, o 1% de la superficie del cuerpo de los bebs y
nios
15400
15570
RM N 689-2006-MINSA
15600
RM N 689-2006-MINSA

pies); 12,6 cm a 20,0 cm
Cierre secundario de la herida quirrgica o dehiscencia,
amplia o complicada
Transferencia de tejido adyacente o reorganizacin, el
tronco; defecto 10 cm cuadrados o menos
Formacin de pedculo directo o en tubo, con o sin

transferencia; tronco
Retraso de la aleta o la seccin del colgajo (divisin e
insercin), en el tronco
Transfer, intermedio, de cualquier colgajo pediculado (por

ejemplo, el abdomen hasta la mueca, el tubo de Ruta),
cualquier posicin
15650
RM N 689-2006-MINSA
15732
RM N 689-2006-MINSA
15740
RM N 689-2006-MINSA
15756
RM N 689-2006-MINSA
15780
15819
15820
15822
15824

15831
RM N 689-2006-MINSA
15840
RM N 689-2006-MINSA
15850
15851
RM N 689-2006-MINSA
15852
15876
15877

RM N 689-2006-MINSA
15878
RM N 689-2006-MINSA
15879
RM N 689-2006-MINSA
15920
15933
16000
RM N 689-2006-MINSA
16010
16035
16040
RM N 689-2006-MINSA
Destruccin (por ejemplo, ciruga lser, electrociruga, la

criociruga, quimiociruga, curetaje quirrgico), las lesiones
premalignas (por ejemplo, queratosis actnica), primera
lesin
17000
Qumica cauterizacin de tejido de granulacin (carnosidad

seno o fstula)
17250
Colgajo del msculo, miocutneo o fasciocutneo, la cabeza

y el cuello (por ejemplo, temporal, masetero,
esternocleidomastoideo, elevador de la escpula)
Flap; isla pedculo
Msculo gratis o colgajo con anastomosis microvascular
La dermoabrasin; nominal total (por ejemplo, para las
cicatrices del acn, arrugas finas, arrugas, queratosis en
general)
Cervicoplastia
La blefaroplastia, los prpados inferiores;
Blefaroplastia del prpado superior;
Ritidectoma, frente
Excisin, exceso de piel y tejido subcutneo (incluye
lipectoma), abdomen (abdominoplastia)
Injerto de la parlisis del nervio facial, injerto de fascia libre
(incluyendo la obtencin de fascia)
Retiro de puntos bajo anestesia (que no sea local), mismo
cirujano
Retiro de puntos bajo anestesia (que no sea local), otro
cirujano
Cambio de vendaje (para que no se quema) bajo anestesia
(que no sea local)
Lipectoma de succin asistida, la cabeza y el cuello
Lipectoma de succin asistida; tronco
La lipectoma por asistencia de succin, extremidad superior
La lipectoma por asistencia de succin; las extremidades
inferiores
Escisin, lcera por presin coccgea, con coccigectoma,
con sutura primaria
Escisin, lcera por presin sacra, con sutura primaria con
ostectoma
El tratamiento inicial, quemadura de primer grado, cuando
no hay ms que un tratamiento local es necesario
Los apsitos y / o desbridamiento, inicial o posterior; bajo
anestesia, pequea
Escarotoma e incisin inicial
Escisin quemar la herida, sin injerto de piel, el empleo de
vendaje aloplstico (por ejemplo, malla de polister),
cualquier sitio anatmico; hasta 1% de rea de superficie
corporal total
Destruccin, lesin maligna (por ejemplo, ciruga lser,

electrociruga, la criociruga, quimiociruga, curetaje
quirrgico), tronco, brazos o piernas; lesin de 0,5 cm de
dimetro o menos
17260
Quimiociruga (tcnica de Mohs), incluyendo la eliminacin

de todo el tumor, la escisin quirrgica de muestras de
tejido, la cartografa, la codificacin de color de las
muestras, el examen microscpico de las muestras por
parte del cirujano, y preparacin completa histopatolgico
de rutina incluyendo la primera mancha (por ejemplo,
hematoxilina y eosina , azul de toluidina); primera etapa, la
tcnica de tejido fresco, hasta 5 muestras
17304
17340
17360
19000
19020
RM N 689-2006-MINSA
19030
RM N 689-2006-MINSA
19100
19101
RM N 689-2006-MINSA
19102
RM N 689-2006-MINSA
19103
RM N 689-2006-MINSA
19120
19140
19160
19162
19180
19182

RM N 689-2006-MINSA
19200
19220
19260
19272
19290
RM N 689-2006-MINSA
Crioterapia (slush CO2, N2 lquido) para el acn

Exfoliacin Qumica para el acn (por ejemplo, pasta de
acn, el cido)
Puncin de aspiracin de quiste de mama;
Mastoctomia con exploracin o drenaje de absceso,
profundo
Inyeccin nico procedimiento para ductograma mamaria o
galactograma
La biopsia de mama; percutnea, con aguja, no usar gua
por imgenes (procedimiento separado)
Biopsia de mama, abierta, de incisin
La biopsia de mama; percutnea, con aguja, con gua por
imgenes
La biopsia de mama; percutnea, vaco automatizado
asistido o dispositivo giratorio biopsia, usando gua por
imgenes
Excisin de quiste, fibroadenoma o un tumor benigno o
maligno otro, el tejido mamario aberrante, lesin del
conducto, pezn o areola lesin (excepto 19300), abierto,
hombre o mujer, 1 o ms lesiones
La mastectoma para ginecomastia
Mastectoma parcial (por ejemplo, la tumorectoma,
tilectoma, cuadrantectoma, segmentectoma);
tilectoma, cuadrantectoma, segmentectoma), con
linfadenectoma axilar
Mastectoma simple, completo
Mastectoma radical, incluyendo msculos pectorales,
ganglios linfticos axilares
axilares y ganglios linfticos mamarios internos (operacin
de tipo urbano)
Escisin de tumor de la pared torcica incluyendo costillas
Escisin de tumor de la pared torcica, con la participacin
de las costillas reconstruccin plstica, con linfadenectoma
mediastnica
Colocacin preoperatoria de localizacin aguja alambre, de
mama;
Mastopexia
La mamoplastia de reduccin
Mamoplastia, aumento; sin implante de prtesis
Mamoplastia, aumento, con implante de prtesis
La eliminacin del implante mamario intacto
La insercin inmediata de seno mastopexia prtesis
siguiente, mastectoma o reconstruccin
Pezn / areola reconstruccin
Correccin de pezones invertidos
La reconstruccin del seno, inmediato o diferido, con
expansor de tejido, incluyendo la expansin posterior
Reconstruccin mamaria con colgajo de dorsal ancho, sin
implante de prtesis
Reconstruccin mamaria con colgajo libre
Reconstruccin mamaria con otra tcnica
Abierto periprotsica capsulotoma, mama
Periprotsica capsulectoma, mama
Revisin de la mama reconstruida
Incisin de absceso de partes blandas (por ejemplo,
secundario a osteomielitis); superficial
Incisin de absceso de partes blandas (por ejemplo,
secundario a osteomielitis), profunda o complicada
Exploracin de la herida penetrante (procedimiento
separado); cuello
Biopsia muscular; superficial
Biopsia, hueso, trocar o aguja; superficial (por ejemplo, el
ilion, el esternn, apfisis espinosa, costillas)
La inyeccin de tracto sinusal, (procedimiento separado)
teraputico
Extraccin de cuerpo extrao en la vaina de los msculos o
tendones, sencillo
19316
19318
19324
19325
19328

RM N 689-2006-MINSA
19340
RM N 689-2006-MINSA
19350
19355

19357
19361
19364
19366
19370
19371
19380

RM N 689-2006-MINSA
20000
RM N 689-2006-MINSA
20005
RM N 689-2006-MINSA
20100
20200
20220
20500
RM N 689-2006-MINSA
20520
Artrocentesis, la aspiracin y / o inyeccin; conjunto

pequeo o bursa (por ejemplo, los dedos, dedos de los pies)
20600
Artrocentesis, aspiracin y / o inyeccin; intermedio conjunta

o bursa (por ejemplo, temporomandibular, acromioclavicular,
de mueca, el codo o el tobillo, olcranon bursa)
20605
RM N 689-2006-MINSA
20610
RM N 689-2006-MINSA
20615
20650
RM N 689-2006-MINSA
20660
RM N 689-2006-MINSA
20661
RM N 689-2006-MINSA
Artrocentesis, la aspiracin y / o inyeccin; programas

comunes o bursa (por ejemplo, hombro, cadera, rodilla,
bursa subacromial)
La aspiracin y la inyeccin para el tratamiento de quiste
seo
La insercin de cable o clavija con aplicacin de traccin
esqueltica, incluyendo la eliminacin (procedimiento
separado)
La aplicacin de tenazas craneales, pinza, o el marco
estereotctico, incluidas la expulsin (procedimiento
separado)
Aplicacin de halo, incluyendo la eliminacin; craneal
Aplicacin de halo, incluyendo la eliminacin, craneal, 6 o

ms pasadores colocados, para osteologa crneo delgado
(por ejemplo, pacientes peditricos, hidrocefalia,
osteognesis imperfecta), que requiere anestesia general
20664
RM N 689-2006-MINSA
La eliminacin del implante; superficial (por ejemplo, el

cable enterrado, el perno o varilla) (procedimiento separado)
20670
20680
20690
20692
Eliminacin, bajo anestesia, de sistema de fijacin externa
20694
Reimplantacin, brazo (incluye cuello quirrgico del hmero

a travs de la articulacin del codo), amputacin completa
20802
Reimplantacin, antebrazo (cbito y radio incluye a carpo

radial), amputacin completa
20805
Reimplantacin, mano (incluye mano a travs de las

articulaciones metacarpofalngicas), amputacin completa
20808
20816
20824
20838
RM N 689-2006-MINSA
20900
20910
20926
Monitorizacin de la presin del lquido intersticial (incluya la

insercin de dispositivo, por ejemplo, la mecha tcnica de
catter, la tcnica de manmetro de aguja) en la deteccin
del sndrome de compartimento muscular
20950
Injerto seo con anastomosis microvascular; peron
20955
RM N 689-2006-MINSA
Colgajo libre osteocutneo con anastomosis microvascular;

excepto cresta ilaca, metatarsiano, o dedo gordo del pie
20969
RM N 689-2006-MINSA
20974
RM N 689-2006-MINSA
20975
RM N 689-2006-MINSA
21010
La eliminacin del implante, en el fondo (por ejemplo, el

cable enterrado, perno, tornillo, banda metlica, clavo,
varilla o placa)
Aplicacin de un uniplane (clavos o alambres en 1 plano),
sistema unilateral, la fijacin externa
Aplicacin de un multiplano (clavos o alambres en ms de 1
plano), sistema unilateral, la fijacin externa (por ejemplo,
Ilizarov, Monticelli tipo)
Reimplantacin, dgito pulgar, excluyendo (incluye

articulacin metacarpofalngica de la insercin del tendn
flexor sublimis), amputacin completa
Reimplantacin, pulgar (articulacin carpometacarpiana
incluye a MP conjunta), amputacin completa
Reimplantacin, la amputacin del pie, completo
Injerto seo, cualquier zona donante; menor o pequea (por
ejemplo, la espiga o el botn)
El cartlago del injerto; costocondral
Los injertos de tejidos, otros (por ejemplo, paratendn,
grasa, dermis)
La estimulacin elctrica para ayudar a la cicatrizacin

sea; no invasivo (no quirrgico)
La estimulacin elctrica para ayudar a la cicatrizacin
sea; invasiva (operativo)
Artrotoma, la articulacin temporomandibular
La reseccin radical del tumor (neoplasia por ejemplo,

maligno), el tejido blando de la cara o el cuero cabelludo,
menos de 2 cm
Escisin de hueso (por ejemplo, para la osteomielitis o
absceso seo); mandbula
Escisin de hueso (por ejemplo, para la osteomielitis o
absceso seo), hueso facial (s)
Escisin de tumor benigno o un quiste maxilar o de hueso
malar mediante enucleacin y curetaje
Escisin de torus mandibular
Escisin de tumor maligno del maxilar o hueso malar
Escisin de tumor benigno o un quiste mandibular, mediante
enucleacin y / o legrado
Escisin de tumor maligno de la mandbula;
Escisin de tumor maligno de la mandbula; reseccin
radical
Condilectoma, (procedimiento separado) de la articulacin
temporomandibular
Meniscectoma parcial o completa, (procedimiento
separado) de la articulacin temporomandibular
Coronoidectoma (procedimiento separado)
Impresin personalizada y preparacin; obturador prtesis
quirrgica
21015
21025
21026
RM N 689-2006-MINSA
21030
RM N 689-2006-MINSA
21031
21034

21040
RM N 689-2006-MINSA
21044
RM N 689-2006-MINSA
21045
21050
21060
21070
RM N 689-2006-MINSA
21076
RM N 689-2006-MINSA
Aplicacin del dispositivo de fijacin interdental para otras

condiciones de fractura o dislocacin, incluye la eliminacin
21110
RM N 689-2006-MINSA
Genioplastia; aumento (autoinjerto, aloinjerto, material

protsico)
21120
RM N 689-2006-MINSA
Aumento cuerpo mandibular o ngulo, material protsico
21125
RM N 689-2006-MINSA
La reconstruccin del tercio medio facial, Lefort I, de una

sola pieza, el movimiento del segmento en cualquier
direccin (por ejemplo, para el sndrome de cara larga), sin
injerto seo
21141
RM N 689-2006-MINSA
La reconstruccin del tercio medio facial, LeFort II; intrusin

anterior (por ejemplo, el sndrome de Treacher-Collins)
21150
RM N 689-2006-MINSA
La reconstruccin del tercio medio facial, Lefort III

(extracraneal), cualquier tipo, que requieren injertos seos
(incluye la obtencin de autoinjertos); sin LeFort I
21154
RM N 689-2006-MINSA
La reconstruccin del tercio medio facial, Lefort III

(extracraneal), cualquier tipo, que requieren injertos seos
(incluye la obtencin de autoinjertos), con LeFort I
21155
RM N 689-2006-MINSA
Reconstruccin superior-lateral del reborde orbitario inferior

y la frente, el avance o modificacin, con o sin injertos
(incluye la obtencin de autoinjertos)
21172
RM N 689-2006-MINSA
Reconstruccin, bifrontal, superior-lateral rebordes orbitarios

y la frente baja, la promocin o la modificacin (por ejemplo,
plagiocefalia, trigonocefalia, braquicefalia), con o sin injertos
(incluye la obtencin de autoinjertos)
21175
RM N 689-2006-MINSA
Reconstruccin, toda o la mayora de la frente y / o

supraorbital llantas; con injertos de material de aloinjerto (o
prtesis)
21179
RM N 689-2006-MINSA
La reconstruccin del tercio medio facial, osteotomas (que

no sea de tipo LeFort) y los injertos seos (incluye la
obtencin de autoinjertos)
Reconstruccin de la mandbula ramas, horizontal, vertical,
C, L o osteotoma, sin injerto seo
Reconstruccin de la mandbula ramas, horizontal, vertical,
C, L o osteotoma, con injerto seo (incluye obtencin del
injerto)
Reconstruccin de la mandbula ramas y / o cuerpo, split
sagital; sin fijacin interna rgida
Osteotoma, mandbula, segmentaria;
Osteotoma, maxilar superior, segmentaria (por ejemplo,
Wassmund o Schuchard)
Osteoplastia, huesos faciales, aumento (autoinjerto,
aloinjerto o implante protsico)
reas nasal, maxilar o malar (incluye obtencin del injerto),
injerto seo,
Injerto; cartlago costal, autgena, a la cara, la barbilla, la
nariz o la oreja (incluye la obtencin del injerto)
Artroplastia de la articulacin temporomandibular, con o sin
autoinjerto (incluye la obtencin del injerto)
Artroplastia de articulacin temporomandibular, con el
reemplazo de la articulacin protsica
Reconstruccin de la mandbula, extraoral, con placa de
hueso transostales (por ejemplo, la placa de hueso
mandibular grapa)
Reconstruccin de la mandbula o el maxilar, implante
subperistico; parcial
La reconstruccin del cndilo mandibular con hueso y
cartlago (autoinjertos incluye la obtencin de injertos) (por
ejemplo, para microsoma hemifacial)
Reconstruccin de la mandbula o el maxilar, los implantes
endosteal (por ejemplo, hoja, cilindro), parcial
21188
RM N 689-2006-MINSA
21193
RM N 689-2006-MINSA
21194
RM N 689-2006-MINSA
21195
RM N 689-2006-MINSA
21198
RM N 689-2006-MINSA
21206
RM N 689-2006-MINSA
21208
RM N 689-2006-MINSA
21210
RM N 689-2006-MINSA
21230
RM N 689-2006-MINSA
21240
RM N 689-2006-MINSA
21243
RM N 689-2006-MINSA
21244
RM N 689-2006-MINSA
21245
RM N 689-2006-MINSA
21247
RM N 689-2006-MINSA
21248
RM N 689-2006-MINSA
21255
RM N 689-2006-MINSA
21256
RM N 689-2006-MINSA
21270
RM N 689-2006-MINSA
21275
RM N 689-2006-MINSA
21300
RM N 689-2006-MINSA
21310
21315
RM N 689-2006-MINSA
Tratamiento abierto de fractura nasal, sin complicaciones
21325
Abrir el tratamiento de la fractura del tabique nasal, con o

sin estabilizacin
21336
RM N 689-2006-MINSA
Reconstruccin del arco cigomtico y la fosa glenoidea con

hueso y cartlago (incluye la obtencin de autoinjertos)
Reconstruccin de rbita con osteotomas (extracraneal) y
con injertos seos (incluye la obtencin de autoinjertos) (por
ejemplo, micro-oftalmia)
Aumento Malar, material protsico
Revisin secundaria de la reconstruccin orbitocraniofacial
Cerrado el tratamiento de la fractura de crneo sin
operacin
Tratamiento cerrado de fracturas del hueso nasal sin
manipulacin
Tratamiento cerrado de fracturas del hueso nasal, sin
estabilizacin
Cerrado el tratamiento de la fractura del tabique nasal, con

o sin estabilizacin
Abra el tratamiento de la fractura nasoethmoid, sin fijacin
externa
El tratamiento percutneo de fractura compleja
nasoethmoid, con frula, alambre o casquete de fijacin,
incluyendo la reparacin de ligamentos canto externo y / o el
aparato nasolagrimal
Tratamiento abierto de fractura con hundimiento del seno
frontal
Tratamiento cerrado de fracturas nasomaxilar complejo
(Lefort tipo II), con fijacin de cable interdental o fijacin de
dentadura o frula
Tratamiento abierto de fractura nasomaxilar complejo (Lefort
tipo II), con cableado y / o fijacin local de
tipo II); requieren enfoques abiertos mltiples
Tratamiento percutneo de fractura de zona malar,
incluyendo arco cigomtico y trpode malar, con la
manipulacin
Tratamiento abierto de fractura con hundimiento del arco
cigomtico (por ejemplo, el enfoque de Gillies)
Tratamiento abierto de fractura malar deprimida, incluyendo
arco cigomtico y trpode malar
Tratamiento abierto de complicado (por ejemplo, triturada o
formenes que implica los nervios craneales) fractura (s) de
rea malar, incluyendo arco cigomtico y trpode malar; con
fijacin interna y mltiples enfoques quirrgicos
Tratamiento abierto de fractura orbital reventn suelo;
enfoque transantral (Caldwell-Luc tipo de operacin)
Cerrado el tratamiento de la fractura de rbita, excepto
reventn; sin manipulacin
Abrir el tratamiento de la fractura de la rbita, excepto
reventn; sin implante
Tratamiento cerrado de fractura palatal o maxilar (Lefort tipo
I), con fijacin de cable interdental o fijacin de dentadura o
frula
Tratamiento abierto de fractura palatal o maxilar (Lefort tipo
I);
Tratamiento cerrado de separacin craneofacial (tipo Lefort
III) mediante la fijacin de alambre interdental de la
dentadura o frula
Abrir el tratamiento de separacin craneofacial (LeFort tipo
III); con el cableado y / o fijacin interna
Tratamiento cerrado de fracturas de reborde alveolar
mandibular o maxilar (procedimiento separado)
Tratamiento abierto de fractura mandibular o maxilar cresta
alveolar (procedimiento separado)
Cerrado el tratamiento de la fractura mandibular, sin
manipulacin
Tratamiento percutneo de fractura mandibular, con fijacin
externa
21337
RM N 689-2006-MINSA
21338
21340
RM N 689-2006-MINSA
21343
21345
21346
21347
RM N 689-2006-MINSA
21355
RM N 689-2006-MINSA
21356
RM N 689-2006-MINSA
21360
21365
RM N 689-2006-MINSA
21385
21400
21406
RM N 689-2006-MINSA
21421
RM N 689-2006-MINSA
21422
21431
21432
21440
21445
21450
RM N 689-2006-MINSA
21452
RM N 689-2006-MINSA
Cerrado el tratamiento de la fractura mandibular con fijacin

interdental
Abra el tratamiento de la fractura mandibular con fijacin
externa
Abra el tratamiento de la fractura mandibular, sin fijacin
interdental
Abra el tratamiento de la fractura mandibular, con fijacin
interdental
Tratamiento abierto de fractura de cndilo mandibular
Abrir el tratamiento de fracturas mandibulares complicada
por varios enfoques quirrgicos, incluyendo la fijacin
interna, la fijacin interdental, y / o el cableado de las
prtesis o frulas
Tratamiento cerrado de dislocacin temporomandibular,
inicial o subsiguiente
Tratamiento abierto de dislocacin temporomandibular
Tratamiento cerrado de fracturas del hioides; sin
manipulacin
Tratamiento abierto de fractura del hioides
Incisin y drenaje, absceso profundo o hematoma, tejidos
blandos del cuello o del trax;
Incisin, profunda, con apertura de hueso cortical (por
ejemplo, para la osteomielitis o absceso seo), trax
La escisin, el tejido tumoral y suave de cuello o trax
anterior, subcutnea, menos de 3 cm
Escisin de costilla, parcial
Costotransversectomy (procedimiento separado)
Ostectoma del esternn, parcial
Desbridamiento esternal
La reseccin radical del esternn;
Divisin del escaleno anticus; sin reseccin de costilla
cervical
Divisin del esternocleidomastoideo por tortcolis, operacin
abierta, sin la aplicacin del yeso
Reconstructiva reparacin del pectus excavatum o
carinatum, abierto
Cierre de la separacin esternotoma media con o sin
desbridamiento (procedimiento separado)
Tratamiento cerrado de fractura de costilla, sin
complicaciones, cada
Abra el tratamiento de la fractura de costilla sin fijacin,
cada
El tratamiento de la fractura de costilla que requiere la
fijacin externa (trax batiente)
Tratamiento cerrado de fracturas del esternn
Abrir el tratamiento de la fractura de esternn con o sin
fijacin esqueltica
La escisin, el tejido tumoral y suave de costado o de
espalda, subcutnea, menos de 3 cm
La reseccin radical de tumor (neoplasia por ejemplo,
maligno), el tejido blando de costado o de espalda; menos
de 5 cm
21453
RM N 689-2006-MINSA
21454
21461
RM N 689-2006-MINSA
21462
RM N 689-2006-MINSA
21465
RM N 689-2006-MINSA
21470
RM N 689-2006-MINSA
21480
RM N 689-2006-MINSA
21490
21493
RM N 689-2006-MINSA
21495
21501
RM N 689-2006-MINSA
21510
RM N 689-2006-MINSA
21555
21600
21610
21620
21627
21630

RM N 689-2006-MINSA
21700
21720
21740
21750
RM N 689-2006-MINSA
21800
21805
21810
RM N 689-2006-MINSA
21820
21825
21930
21935
Escisin parcial del componente posterior vertebral (por

ejemplo, la apfisis espinosa, lmina o faceta) para lesin
sea intrnseca, un solo segmento vertebral; cervical
22100
22210
22220
22305
RM N 689-2006-MINSA
22310
22318
RM N 689-2006-MINSA
22325
22505
Artrodesis, tcnica transoral anterior o extraoral, clivus-C1C2 (atlas-axis), con o sin extirpacin de apfisis odontoides
22548
Artrodesis, tcnica posterior, craneocervical (occipucio-C2)
22590
22800
RM N 689-2006-MINSA
22808
RM N 689-2006-MINSA
22818
RM N 689-2006-MINSA
22830
RM N 689-2006-MINSA
Posterior no segmentario instrumentacin (por ejemplo,

Harrington tcnica de varilla, a travs de fijacin pedicular 1
interespacio, la fijacin atlantoaxial tornillo transarticular,
cableado sublaminar en C1, fijacin faceta tornillo) (Lista por
separado adems de cdigo para el procedimiento primario)
22840
La fijacin interna espinal por el cableado de las apfisis

espinosas (lista por separado adems de cdigo para el
procedimiento primario)
22841
RM N 689-2006-MINSA
Instrumentacin segmentaria posterior (por ejemplo, fijacin,

peduncular, barras dobles con mltiples ganchos y alambres
sublaminares), 3 a 6 segmentos vertebrales (una lista por
separado adems del cdigo para el procedimiento
primario)
22842
Anterior instrumentacin; 2 a 3 segmentos vertebrales (una

lista por separado adems del cdigo para el procedimiento
primario)
22845
RM N 689-2006-MINSA
Osteotoma de columna vertebral, abordaje posterior o

posterolateral, un segmento vertebral; cervical
La osteotoma de la columna vertebral, incluyendo
discectoma, abordaje anterior, segmento vertebral simple;
cervical
Tratamiento cerrado de fractura vertebral proceso (s)
Cerrado el tratamiento de la fractura del cuerpo vertebral (s),
sin manipulacin, lo que requiere y que incluyen fundicin o
apuntalamiento
Abrir el tratamiento y / o la reduccin de la fractura de
odontoides (s) y o dislocacin (s) (incluyendo os
odontoideo), abordaje anterior, incluyendo la colocacin de
la fijacin interna; sin injerto
Abrir el tratamiento y / o la reduccin de la fractura vertebral
(s) y / o dislocacin (s), abordaje posterior, una vrtebra
fracturada o dislocada segmento; lumbar
La manipulacin de la columna vertebral que requiere
anestesia, cualquier regin
Artrodesis, posterior, para la deformidad espinal, con o sin

molde; hasta 6 segmentos vertebrales
Artrodesis, anterior, para la deformidad espinal, con o sin
molde; 2 a 3 segmentos vertebrales
Kyphectomy, exposicin circunferencial de la columna
vertebral y la reseccin del segmento vertebral (s)
(incluyendo el cuerpo y los elementos posteriores); sola o
segmentos 2
Fijacin plvica (unin del extremo caudal de la

instrumentacin para plvicos estructuras seas) que no
sea sacro (Lista por separado adems de cdigo para el
Reinsercin del dispositivo de fijacin espinal
La eliminacin de la instrumentacin no segmentario
posterior (por ejemplo, la barra de Harrington)
22848
RM N 689-2006-MINSA
22849
RM N 689-2006-MINSA
22850
Aplicacin del dispositivo biomecnico intervertebral (s) (por

ejemplo, sinttico jaula (s), clavija sea roscada (s),
metacrilato de metilo) a un defecto vertebral o espacio
intermedio (Lista por separado adems de cdigo para el
22851
RM N 689-2006-MINSA
La eliminacin de la instrumentacin segmentaria posterior
22852
La eliminacin de instrumentacin por va anterior
22855
RM N 689-2006-MINSA
La eliminacin de subdeltoidea depsitos calcreos, abierto
23000
23030
23035
RM N 689-2006-MINSA
23040
23044
23077
23120
23130
23140
23170
23174
23180
23190
23200
23220
23330

RM N 689-2006-MINSA
23332
RM N 689-2006-MINSA
23395
23400
RM N 689-2006-MINSA
23405
La incisin y drenaje, el rea del hombro; absceso profundo

o hematoma
Incisin, hueso cortical (por ejemplo, osteomielitis o absceso
seo), hombro rea
Artrotoma, articulacin glenohumeral, incluyendo
exploracin, drenaje o extirpacin de cuerpo extrao
Artrotoma, articulacin acromioclavicular, esternoclavicular,
incluyendo exploracin, drenaje o extirpacin de cuerpo
extrao
maligno), el tejido blando de la zona de los hombros; menos
de 5 cm
Acromioplasta o acromionectomy, parcial, con o sin
liberacin del ligamento coracoacromial
Escisin o legrado de quiste seo o tumor benigno de la
clavcula o escpula;
Secuestrectoma (por ejemplo, para la osteomielitis o
absceso seo), clavcula
absceso seo), la cabeza humeral en el cuello quirrgico
Escisin parcial (craterization, aplanamiento o
diaphysectomy) sea (por ejemplo, osteomielitis), clavcula
Ostectoma de la escpula, parcial (por ejemplo, ngulo,
medio superior)
La reseccin radical del tumor; clavcula
La reseccin radical del tumor, hmero proximal
Extraccin de cuerpo extrao hombro; subcutneo
Extraccin de cuerpo extrao hombro; complicado (por
ejemplo, hombro, total)
Transferencia de msculo, cualquier tipo de brazo, hombro
o parte superior, solo
Scapulopexy (por ejemplo, la deformidad Sprengels o
parlisis)
Tenotoma, zona de los hombros; solo tendn
La reparacin del manguito de ruptura musculotendinosa

(por ejemplo, manguito de los rotadores) abierto; agudo
Liberacin de ligamento coracoacromial, con o sin
acromioplastia
Reconstruccin completa del hombro (rotador) avulsin del
manguito, crnico (incluye acromioplastia)
Tenodesis del tendn largo del bceps
La reseccin o el trasplante de tendn largo del bceps
Capsulorrafia, anterior; Putti-Platt procedimiento u operacin
Magnuson tipo
Capsulorrafia, la articulacin glenohumeral, posterior, con o
sin bloque de hueso
23410
23415
23420
RM N 689-2006-MINSA
23430
23440

23450
23465
Artroplastia de articulacin glenohumeral; hemiartroplastia
23470
Osteotoma, clavcula, con o sin fijacin interna;

El tratamiento profilctico (clavos, clavos, placas o
cableado) con o sin metilmetacrilato, clavcula
23480
23490
RM N 689-2006-MINSA
Tratamiento cerrado de fractura clavicular, sin manipulacin
23500
RM N 689-2006-MINSA
23515
23520
RM N 689-2006-MINSA
23530
RM N 689-2006-MINSA
23540
RM N 689-2006-MINSA
23550
RM N 689-2006-MINSA
Tratamiento cerrado de fractura escapular, sin manipulacin
23570
RM N 689-2006-MINSA
Tratamiento abierto de fractura escapular (cuerpo, glenoideo

o acromion) incluye la fijacin interna, cuando se realiza
23585
Tratamiento cerrado de hmero proximal (cuello quirrgico o

anatmico) fractura; sin manipulacin
23600
RM N 689-2006-MINSA
Tratamiento abierto de hmero proximal (cuello quirrgico o

anatmica) fractura, incluye la fijacin interna, cuando se
realiza, incluye la reparacin de tuberosidad (s), cuando se
realiza;
23615
23620
RM N 689-2006-MINSA
23630
RM N 689-2006-MINSA
23650
RM N 689-2006-MINSA
23660
23665
RM N 689-2006-MINSA
23700
RM N 689-2006-MINSA
Tratamiento abierto de fractura clavicular, incluye la fijacin

interna, cuando se realiza
Tratamiento cerrado de dislocacin esternoclavicular, sin
manipulacin
Abra el tratamiento de la luxacin esternoclavicular, aguda o
crnica;
Tratamiento de la luxacin acromioclavicular cerrada, sin
manipulacin
Abra el tratamiento de la luxacin acromioclavicular, aguda
o crnica;
Cerrado el tratamiento de la fractura de la tuberosidad

mayor del hmero; sin manipulacin
Tratamiento abierto de fractura de la tuberosidad mayor del
hmero, incluye la fijacin interna, cuando se realiza
Cerrado el tratamiento de la luxacin de hombro, con la
manipulacin, sin anestesia
Abrir el tratamiento de la luxacin de hombro aguda
Cerrado el tratamiento de la luxacin de hombro, con
fractura de la tuberosidad humeral mayor, con la
manipulacin
Manipulacin bajo anestesia, articulacin del hombro,
incluyendo la aplicacin de aparatos de fijacin (dislocacin
no incluidos)
Artrodesis, articulacin glenohumeral;

Amputacin Interthoracoscapular (cuarto delantero)
Desarticulacin del hombro;
La incisin y drenaje, brazo o regin del codo; absceso
profundo o hematoma
Incisin, profunda, con apertura de hueso cortical (por
ejemplo, para la osteomielitis o absceso seo), hmero o el
codo
Artrotoma, codo, incluyendo exploracin, drenaje o
extirpacin de cuerpo extrao
Artrotoma del codo, con escisin capsular para la liberacin
capsular (procedimiento separado)
La escisin, el tejido tumoral y suave del brazo superior o
zona del codo, subcutnea, menos de 3 cm
maligno), el tejido blando de la parte superior del brazo o la
zona del codo; menos de 5 cm
Escisin, bursa del olcranon
Escisin o legrado de quiste seo o tumor benigno, el
hmero;
absceso seo), el eje o el hmero distal
23800
23900
23920

23930
RM N 689-2006-MINSA
23935
RM N 689-2006-MINSA
24000
24006
RM N 689-2006-MINSA
24075
24077
24105
24110
24130
24134

diaphysectomy) sea (por ejemplo, osteomielitis), hmero
24140
La reseccin radical de cpsula, tejido blando y hueso

heterotpico, el codo, con liberacin contractura
(procedimiento separado)
24149
La reseccin radical del tumor del hmero, de eje o distal
24150
La reseccin de la articulacin del codo (artrectoma)

La retirada del implante, la articulacin del codo
Extraccin de cuerpo extrao brazo superior o el rea del
codo; subcutneo
Extraccin de cuerpo extrao brazo superior o el rea del
codo; profundo (subfascial o intramuscular)
Msculo o tendn de transferencia, tipo alguno, el brazo o el
codo, solo (salvo 24.320-24.331)
Alargamiento del tendn, parte superior del brazo o el codo,
cada tendn
Tenotoma, abierto, codo con codo, cada tendn
Tenoplasty, con transferencia muscular, con o sin injerto
libre, codo con codo, solteros (Seddon-Brookes
procedimiento tipo)
Flexor-plastia, el codo (por ejemplo, el avance Steindler
tipo);
Tenodesis del tendn del bceps en el codo (procedimiento
separado)
Reinsercin de los bceps o trceps rotura del tendn, distal,
con o sin injerto de tendn
Fasciotoma, lateral o medial (por ejemplo, el codo de
tenista o epicondilitis);
24155
24160

RM N 689-2006-MINSA
24200
24201
24301
24305
24310
24320
24330
24340
24342
24350
Artroplastia de codo, con membrana (por ejemplo, fascial)
24360
Osteotoma, hmero, con o sin fijacin interna

Osteoplastia, hmero (por ejemplo, acortar o alargar)
(excluyendo 64876)
Reparacin de falta de unin o mala unin, el hmero, sin
injerto (por ejemplo, la tcnica de compresin)
Hemiepiphyseal detencin (por ejemplo, cbito varo o valgo,
hmero distal)
Fasciotoma de descompresin, el antebrazo, con la
exploracin de la arteria braquial
24400
24420
24430
RM N 689-2006-MINSA
24470
24495
24498
RM N 689-2006-MINSA
24500
RM N 689-2006-MINSA
24515
24538
Tratamiento abierto de supracondlea humeral o fractura

transcondilar, incluye la fijacin interna, cuando se realiza,
sin extensin intercondlea
24545
Tratamiento abierto de fractura periarticular y / o luxacin del

codo (fractura de hmero distal y cbito proximal y / o radio
proximal);
24586
El tratamiento de la luxacin de codo cerrada, sin anestesia
24600
Abrir el tratamiento de la luxacin del codo agudo o crnico
24615
Tratamiento cerrado de tipo de Monteggia fractura-luxacin

en el codo (fractura de extremo proximal del cbito con
luxacin de la cabeza radial), con la manipulacin
24620
RM N 689-2006-MINSA
Tratamiento abierto de tipo de Monteggia fractura-luxacin

en el codo (fractura proximal del extremo del cbito con
luxacin de la cabeza radial), incluye la fijacin interna,
cuando se realiza
24635
24640
RM N 689-2006-MINSA
24650
RM N 689-2006-MINSA
24665
24670
RM N 689-2006-MINSA
24685
24800

cableado), con o sin metilmetacrilato, difisis humeral
Tratamiento cerrado de fractura de la difisis humeral, sin
manipulacin
Tratamiento abierta de fractura difisis humeral con placa /
tornillos, con o sin cerclaje
Fijacin percutnea esqueltico de fractura humeral
supracondlea o transcondilar, con o sin extensin
intercondilar
Tratamiento cerrado de subluxacin de la cabeza radial en

el nio, el codo de niera, con la manipulacin
Cerrado el tratamiento de la fractura de la cabeza radial o
cuello; sin manipulacin
Tratamiento abierto de la cabeza radial o fractura de cuello,
incluye la fijacin interna o extirpacin de la cabeza radial,
cuando se realiza;
Tratamiento cerrado de fractura cubital, el extremo proximal
(por ejemplo, olcranon o proceso coronoides [es]); sin
manipulacin
Tratamiento abierto de fractura cubital, el extremo proximal
(por ejemplo, olcranon o proceso coronoides [es]), incluye
la fijacin interna, cuando se realiza
Artrodesis, articulacin del codo, locales
Amputacin, brazo a travs del hmero, con cierre primario
24900
Alargamiento Stump, miembro superior

Incisin, vaina del tendn extensor, mueca (por ejemplo,
enfermedad deQuervains)
Fasciotoma descompresin, antebrazo y / o mueca, flexor
o el compartimento extensor, y sin desbridamiento de
msculo viable y / o nervio
La incisin y drenaje, antebrazo y / o mueca; absceso
profundo o hematoma
Incisin profunda, hueso cortical, antebrazo y / o mueca
(por ejemplo, osteomielitis o absceso seo)
Artrotoma, articulacin radiocarpiana o mediocarpiana, con
exploracin, drenaje o extirpacin de cuerpo extrao
La escisin, el tejido tumoral y suave del antebrazo y / o
rea de la mueca, subcutnea, menos de 3 cm
maligno), el tejido blando de antebrazo y / o rea de la
mueca, menos de 3 cm
Capsulotoma, la mueca (por ejemplo, contractura)
Artrotoma, articulacin de la mueca, con biopsia
Artrotoma, articulacin de la mueca, con sinovectoma
24935
RM N 689-2006-MINSA
25000
25020
25028
RM N 689-2006-MINSA
25035
RM N 689-2006-MINSA
25040
25075
25077
25085
25100
25105

RM N 689-2006-MINSA
Excisin, lesin de vaina tendinosa, antebrazo y / o mueca
25110
RM N 689-2006-MINSA
Extirpacin de ganglio, mueca (dorsal o palmar), principal
25111
Escisin radical de la bursa, lquido sinovial de la mueca o

el antebrazo vainas tendinosas (por ejemplo, tenosinovitis,
hongos, tuberculosis, o granulomas otros, artritis
reumatoide), flexores
25115
25118
25120
25145
RM N 689-2006-MINSA
25150
25170
25210
25215
25230

25248
25250
RM N 689-2006-MINSA
25260
25280
La sinovectoma, la vaina del tendn extensor, mueca, solo

compartimiento;
radio o el cbito (sin cabeza o cuello del radio y el
olcranon);
absceso seo), antebrazo y / o mueca
diaphysectomy) de hueso (por ejemplo, para la
osteomielitis); cbito
La reseccin radical del tumor, el radio o el cbito
Carpectomy, 1 hueso
Carpectomy, todos los huesos de la fila proximal
Styloidectomy Radial (procedimiento separado)
Exploracin con extirpacin de cuerpo extrao profundo
antebrazo o la mueca
La eliminacin de la mueca de la prtesis; (procedimiento
separado)
Reparacin, tendn o msculo, flexor, antebrazo y / o
mueca; primaria, solo, cada tendn o msculo
Alargamiento o acortamiento del msculo flexor o tendn
extensor, antebrazo y / o de la mueca, solo, cada tendn
Tenotoma, abierto, flexor o extensor tendn mueca,

antebrazo y / o, solo, cada tendn
Tenlisis, flexor o extensor tendn, antebrazo y / o mueca,
solo, cada tendn
Tenodesis en la mueca, flexores de los dedos
Trasplante de tendn o transferencia, flexor o extensor,
antebrazo y / o mueca, solo, cada tendn
Flexor diapositiva origen (por ejemplo, para la parlisis
cerebral, la contractura de Volkmann), antebrazo y / o
mueca;
25290
25295
25300
25310
25315
25320
25332
25335
25337
RM N 689-2006-MINSA
25350
25390

25440
25441
RM N 689-2006-MINSA
25449
25450
25490
RM N 689-2006-MINSA
25500
RM N 689-2006-MINSA
25515
Tratamiento abierto de fractura de la difisis radial, incluye

la fijacin interna, realizada cuando, y el tratamiento abierto
de luxacin radiocubital distal articular (fracturas de Galeazzi
/ luxacin), incluye la fijacin interna, cuando se realiza,
incluye la reparacin del complejo fibrocartlago triangular
25526
Abrir el tratamiento de las fracturas diafisarias de radio y

cbito, con fijacin interna, cuando se realiza, de radio o
cbito
25574
Capsulorrafia o reconstruccin, la mueca abierta (por

ejemplo, capsulodesis, reparacin de ligamento, tendn de
transferencia o injerto) (incluye sinovectoma, capsulotoma
y reduccin abierta) para la inestabilidad del carpo
Artroplastia de mueca, con o sin interposicin, con o sin
fijacin interna o externa
Centralizacin de mueca sobre el cbito (por ejemplo, la
mano del club radial)
Reconstruccin para la estabilizacin de cbito distal
inestable o articulacin radiocubital distal, secundaria por la
estabilizacin del tejido blando (por ejemplo, transferencia
de tendn, injerto de tendn o ligamento, o tenodesis) con o
sin reduccin abierta de articulacin radiocubital distal
Osteotoma, radio, tercio distal
Osteoplastia, el radio o el cbito; acortamiento
Reparacin de seudoartrosis, escafoides carpiano
(navicular) del hueso, con o sin styloidectomy radial (incluye
la obtencin de fijacin del injerto y necesario)
La artroplastia con reemplazo protsico; distal del radio
Revisin de artroplastia, incluyendo la remocin de los
implantes, articulacin de la mueca
Acortamiento seo por epifisiodesis o grapado; distal del
radio o el cbito
cableado) con o sin metilmetacrilato, radio
Tratamiento cerrado de fractura de la difisis radial, sin
manipulacin
Fijacin percutnea esqueltico de fractura de radio distal

(por ejemplo, tipo Colles o Smith) o separacin epifisaria,
con o sin fractura de estiloides cubital, que requieren la
manipulacin, con o sin fijacin externa
25611
Tratamiento abierto de fractura de radio distal (por ejemplo,

tipo Colles o Smith) o separacin epifisaria, con o sin
fractura de estiloides cubital, con o sin fijacin interna o
externa
25620
25622
RM N 689-2006-MINSA
25628
RM N 689-2006-MINSA
25630
RM N 689-2006-MINSA
25645
25650
RM N 689-2006-MINSA
25660
RM N 689-2006-MINSA
25675
RM N 689-2006-MINSA
25676
25680
RM N 689-2006-MINSA
25685
RM N 689-2006-MINSA
25690
RM N 689-2006-MINSA
25695
RM N 689-2006-MINSA
25800
25900
25915
25920

RM N 689-2006-MINSA
25922
25927
26010

RM N 689-2006-MINSA
26020
26025
26034
26037
26040
26055
Tratamiento cerrado de escafoides carpiano (navicular)

fractura; sin manipulacin
Tratamiento abierto de escafoides carpiano (navicular)
fractura, incluye la fijacin interna, cuando se realiza
Tratamiento cerrado de fracturas de los huesos del carpo
(excepto escafoides carpiano [navicular]), sin manipulacin,
cada hueso
Tratamiento abierto de fractura de huesos del carpo
(excepto escafoides carpiano [navicular]); cada hueso
Tratamiento cerrado de fractura de estiloides cubital
Tratamiento cerrado de luxacin radiocarpiana o
intercarpiana, 1 o ms huesos, con la manipulacin
Tratamiento cerrado de luxacin radiocubital distal con
manipulacin
Abrir el tratamiento de la luxacin radiocubital distal, aguda
o crnica
Tratamiento cerrado de trans-scaphoperilunar tipo de
luxacin fractura, con la manipulacin
Tratamiento abierto de trans-scaphoperilunar tipo de
fractura-luxacin
Tratamiento cerrado de luxacin del semilunar, con
manipulacin
Abrir el tratamiento de la luxacin del semilunar
Artrodesis, mueca, completa, sin injerto seo (incluye
articulaciones radiocarpiana y / o intercarpiana y / o
carpometacarpiana)
Amputacin, antebrazo, a travs de radio y cbito;
Krukenberg procedimiento
Desarticulacin a travs de la mueca;
Desarticulacin a travs de la mueca, cierre secundario o
revisin de cicatrices
Transmetacarpal amputacin;
El drenaje de absceso dedo, simple
El drenaje de la cubierta del tendn, dgitos y / o palma de la
mano, cada
El drenaje de palmar bolsa; sola bolsa
Incisin, la corteza sea, la mano o el dedo (por ejemplo,
osteomielitis o absceso seo)
Fasciotoma descompresiva, mano (excluye 26035)
Fasciotoma, palmar (por ejemplo, la contractura de
Dupuytren); percutnea
Incisin vaina del tendn (por ejemplo, para el dedo en
gatillo)
Artrotoma con exploracin, drenaje o extirpacin de cuerpo

suelto o extranjera; articulacin carpometacarpiana
26070
Escisin, tumor o malformacin vascular, tejido blando de

mano o un dedo, subcutnea; menos de 15 cm
26115

maligno), el tejido blando de mano o dedo, menos de 3 cm
26117
26121
26130
26145
26160
RM N 689-2006-MINSA
26170
RM N 689-2006-MINSA
26185
26200
26230
26250
26320

26350
26370
26390
RM N 689-2006-MINSA
26392
RM N 689-2006-MINSA
26410
26415
RM N 689-2006-MINSA
26416
RM N 689-2006-MINSA
26432
RM N 689-2006-MINSA
26437
Fasciectoma, palma solamente, con o sin Z-plastia, el

reordenamiento de otro tejido local, o injerto de piel (incluye
la obtencin de injerto)
La sinovectoma, articulacin carpometacarpiana
La sinovectoma, la vaina del tendn, radical
(tenosinovectoma), tendn flexor, palma y / o dedo, cada
tendn
Escisin de lesin de la vaina del tendn o cpsula articular
(por ejemplo, quiste, quiste mucoso, o ganglin), mano o
dedos
Escisin de tendn, palma, flexor o extensor, nico, cada
tendn
Sesamoidectoma, el pulgar o el dedo (procedimiento
separado)
Escisin o legrado de quiste seo o tumor benigno del
metacarpiano;
diaphysectomy) sea (por ejemplo, osteomielitis);
metacarpiano
La reseccin radical del tumor metacarpiano,
La eliminacin del implante del dedo o de la mano
La reparacin o el avance, tendn flexor, no en la zona 2
vaina del tendn flexor digital (por ejemplo, tierra de nadie),
primaria o secundaria sin injerto libre, cada tendn
La reparacin o el avance de tendn profundo, superficial
con tendn intactos; primaria, cada tendn
La escisin del tendn flexor, con la implantacin de la
varilla sinttica para retrasada del injerto de tendn, mano o
dedo, cada barra
La eliminacin de varilla sinttica y la insercin de injerto de
tendn flexor, la mano o el dedo (incluye la obtencin de
injerto), cada varilla
Reparacin, tendn extensor, mano, primaria o secundaria;
sin injerto libre, cada tendn
Escisin de tendn extensor, con la implantacin de la
varilla sinttica para retrasada del injerto de tendn, mano o
dedo, cada barra
La eliminacin de varilla sinttica y la insercin de injerto de
tendn extensor (incluye la obtencin de injerto), la mano o
el dedo, cada varilla
Tratamiento cerrado de insercin distal del tendn extensor,
con o sin colocacin de clavos percutneos (por ejemplo,
dedo en martillo)
Realineacin del tendn extensor, mano, cada tendn
Tenlisis, tendn flexor, palma de la mano o un dedo, cada

tendn
Tenotoma, flexor, palma abierta, cada tendn
Tenodesis, de la articulacin interfalngica proximal, cada
articulacin
El alargamiento del tendn, extensor, mano o dedo, cada
tendn
Acortamiento del tendn, extensor, mano o dedo, cada
tendn
Transferencia o trasplante de rea de tendones,
carpometacarpiana o dorso de la mano, sin injerto libre,
cada tendn
Transferencia o trasplante de tendn palmar; sin injerto de
tendn libre, cada tendn
Opponensplasty; tendn superficial de tipo de transferencia,
cada tendn
La transferencia de tendn para restaurar la funcin
intrnseca; anillo y el dedo pequeo
Correccin dedo garra, otros mtodos
Reconstruccin de polea del tendn, cada tendn, con
tejidos locales (procedimiento separado)
La liberacin de msculo tenar (s) (por ejemplo, la
contractura del pulgar)
Cruzar transferencia intrnseca, cada tendn
Capsulodesis, articulacin metacarpofalngica, de un solo
dgito
Capsulectoma o capsulotoma; articulacin
metacarpofalngica, cada articulacin
Artroplastia de articulacin metacarpofalngica, cada
conjunto
La reparacin del ligamento colateral, metacarpofalngica o
articulacin interfalngica
Reconstruccin del ligamento colateral, articulacin
metacarpofalngica, nico, con injerto de tendn o fascia
(incluye la obtencin del injerto)
Reparacin y reconstruccin, dedo, placa volar, la
articulacin interfalngica
Pulgarizacin de un dgito
Transfer, mano a mano con anastomosis microvascular;
dedo gordo del wrap-around con injerto seo
Transfer, dedo a otro puesto sin anastomosis microvascular
Transferencia articulacin del dedo libre, con anastomosis
microvascular
Reparacin de la sindactilia (dedos web) cada espacio web,
con colgajos de piel
Osteotoma; metacarpiano, cada
Osteoplastia, alargamiento, metacarpiano o falange
Reparar mano fisurada
Reparacin bfidas dgitos
Reconstruccin del tejido polydactylous dgitos, blando y el
hueso
Reparacin macrodactylia, cada dgito
26440
26450
26471
26476
26477
26480
RM N 689-2006-MINSA
26485
RM N 689-2006-MINSA
26490
26497
RM N 689-2006-MINSA
26499
26500
RM N 689-2006-MINSA
26508
26510
RM N 689-2006-MINSA
26516
26520
26530
26540
26541
26548
26550
26551
RM N 689-2006-MINSA
26555
RM N 689-2006-MINSA
26556
RM N 689-2006-MINSA
26560
26565
26568
26580
26585

26587
26590
Reparacin, msculos intrnsecos de la mano, cada

msculo
La escisin de la constriccin de anillo de dedo, con
mltiples Z-plastias
La liberacin de la contractura cicatrizal, flexor o extensor,
con injertos de piel, colgajos de transposicin o Z-plastias,
mano y / o dedos
Cerrado el tratamiento de la fractura de metacarpiano, solo,
sin manipulacin, cada hueso
Fijacin percutnea esqueltico de fractura metacarpiana,
cada hueso
26591
26596
26597
26600
RM N 689-2006-MINSA
26608
26615
26641
RM N 689-2006-MINSA
26645
RM N 689-2006-MINSA
Tratamiento abierto de fractura-luxacin carpometacarpiana,

pulgar (fractura de Bennett), incluye la fijacin interna,
cuando se realiza
26665
RM N 689-2006-MINSA
Tratamiento cerrado de luxacin carpometacarpiana, que no

sea el pulgar, con manipulacin, cada articulacin, sin
anestesia
26670
RM N 689-2006-MINSA
Fijacin percutnea de luxacin carpometacarpiana del

esqueleto, excepto el pulgar, con manipulacin, cada
articulacin
26676
26685
26700
26720
RM N 689-2006-MINSA
Percutnea esqueltico fijacin de la fractura inestable eje

de falange, falange proximal o medio, el dedo o el pulgar,
con la manipulacin, cada
26727
Tratamiento abierto de fractura de la difisis de falange,

falange proximal o medio, el dedo o el pulgar, incluye la
fijacin interna, cuando se realiza, cada
26735
RM N 689-2006-MINSA
Cerrado el tratamiento de la fractura articular, con la

participacin metacarpofalngica o articulacin
interfalngica, sin manipulacin, cada
26740
RM N 689-2006-MINSA
Tratamiento abierto de fractura articular, con la participacin

articulacin metacarpofalngica o interfalngica, incluye la
26746
26750
RM N 689-2006-MINSA
26756
RM N 689-2006-MINSA
Abrir el tratamiento de la fractura de metacarpiano, soltera,

incluye la fijacin interna, cuando se realiza, cada hueso
Cerrado el tratamiento de la luxacin carpometacarpiana,
pulgar, con manipulacin
Tratamiento cerrado de fractura-luxacin
carpometacarpiana, pulgar (fractura de Bennett), con la
manipulacin
Abra el tratamiento de la luxacin carpometacarpiana, que

no sea el pulgar, incluye la fijacin interna, cuando se
realiza, cada articulacin
Tratamiento cerrado de luxacin metacarpofalngica, solo,
con la manipulacin, sin anestesia
Tratamiento cerrado de fractura de la difisis de falange, la
falange proximal o media, dedo o pulgar, sin manipulacin,
cada
Tratamiento cerrado de fractura de falange distal dedo o

pulgar, sin manipulacin, cada
Fijacin percutnea esqueltico distal de la fractura de
falange dedo o pulgar, cada
Tratamiento abierto de fractura de falange distal dedo o

pulgar, incluye la fijacin interna, cuando se realiza, cada
26765
RM N 689-2006-MINSA
26770
RM N 689-2006-MINSA
26820
26841
26910
26951
26990
RM N 689-2006-MINSA
26992
27000
27005
27006
27025
Artrotoma, la cadera, con drenaje (por ejemplo, infeccin)
27030
La denervacin, articulacin de la cadera, o intraplvica

extraplvico intraarticulares ramas del nervio citico,
femoral, obturador o
27035
Capsulectoma o capsulotoma, la cadera, con o sin

reseccin de hueso heterotpico, con la liberacin de los
msculos flexores de la cadera (es decir, glteo medio,
glteo menor, tensor de la fascia lata, recto femoral,
sartorio, psoas ilaco)
27036
27049
27060
27065
27070
27075
27080
27086
27090
RM N 689-2006-MINSA
Tratamiento cerrado de dislocacin de la articulacin

interfalngica, solo, con la manipulacin, sin anestesia
Fusin en la oposicin, con el pulgar, con injerto autlogo
Artrodesis, articulacin carpometacarpiana, pulgar, con o sin
fijacin interna;
Amputacin metacarpiana, con el dedo o pulgar
(amputacin ray), solo, con o sin transferencia interseo
Amputacin, dedo o pulgar, primaria o secundaria, cualquier
articulacin o falange, soltero, incluyendo neurectomas, con
cierre directo
Incisin y drenaje, pelvis o cadera rea; absceso profundo o
hematoma
Incisin, la corteza sea, la pelvis y / o articulacin de la
cadera (por ejemplo, osteomielitis o absceso seo)
Tenotoma, aductor de la cadera, percutnea (procedimiento
separado)
Tenotoma, hip flexor (s), open (procedimiento separado)
Tenotoma, abductores y / o extensores (s) de cadera y
abierta (procedimiento separado)
Fasciotoma, la cadera o el muslo, cualquier tipo

maligno), el tejido blando de la pelvis y la zona de la cadera;
menos de 5 cm
Escisin; Bursa isquitica
Escisin de quiste seo o tumor benigno; superficial (ala del
ilion, la snfisis pbica, o el trocnter mayor del fmur) con o
sin autoinjerto
Escisin parcial (craterization, aplanamiento) (por ejemplo,
osteomielitis o absceso seo), superficial (por ejemplo, el
ala del ilion, pubis snfisis, o el trocnter mayor del fmur)
La reseccin radical del tumor; ala del ilion, 1 rama pbica o
isquitica o snfisis del pubis
Coccigectoma, primaria
Extraccin de cuerpo extrao pelvis o cadera, tejido
subcutneo
Extraccin de prtesis de cadera, (procedimiento separado)
Inyeccin procedimiento para la articulacin sacroilaca,

artrografa y / o anestsico / esteroide
Liberacin o recesin, tendn de la corva, proximal
Transfer, aductor a isquion
Acetabuloplastia, (por ejemplo, Whitman, Colonna,
Haygroves o copa)
Hemiartroplastia, cadera, parcial (tallo por ejemplo, prtesis
femoral, la artroplastia bipolar)
Artroplastia de sustitucin femoral proximal y acetabular
protsico (artroplastia total de cadera), con o sin autoinjerto
o aloinjerto
27096
RM N 689-2006-MINSA
27097
27098

RM N 689-2006-MINSA
27120
27125
27130
27132
RM N 689-2006-MINSA
27134
27140
27146
27158
27161
27165
27170
27175
27177
27185
27187
RM N 689-2006-MINSA
27193
27200
27202

Tratamiento abierto de espina ilaca (s), avulsin

tuberosidad ilaca o fractura del ala (s), unilateral, por los
patrones de fracturas de huesos plvicos que no perturben
el anillo plvico, incluye la fijacin interna, cuando se realiza
27215
Fijacin percutnea de las fracturas del esqueleto posterior

del hueso plvico y / o de perturbacin para los patrones de
fractura que rompen el anillo plvico, unilateral (incluye
ilaco ipsilateral, articulacin sacroilaca y / o sacro)
27216
La conversin de la ciruga de cadera anterior a la

artroplastia total de cadera, con o sin autoinjerto o aloinjerto
Revisin de la artroplastia total de cadera; ambos
componentes, con o sin autoinjerto o aloinjerto
Osteotoma y transferencia de trocnter mayor del fmur
Osteotoma, ilaca, acetabular o hueso innominado;
Osteotoma, pelvis, bilateral (por ejemplo, malformacin
congnita)
Osteotoma del cuello, femoral (procedimiento separado)
Osteotoma, o intertrocantrica subtrocantrea incluyendo
fijacin interna o externa y / o yeso
Injerto de hueso, cabeza femoral, cuello, zona
intertrocantrica o subtrocantrea (incluye la obtencin de
injerto seo)
Tratamiento del deslizamiento de la epfisis femoral; por
traccin, sin reduccin
Tratamiento abierto de deslizamiento de la epfisis femoral;
pinning o injerto seo simple o mltiple (incluye la obtencin
del injerto)
Acortamiento seo por epifisiodesis o engrapado, trocnter
mayor del fmur
cableado) con o sin metilmetacrilato, cuello femoral y fmur
proximal
Tratamiento cerrado de fracturas del anillo plvico, luxacin,
distasis o subluxacin, sin manipulacin
Tratamiento cerrado de fracturas de cccix
Tratamiento abierto de fractura de hueso de la pelvis

anterior y / o perturbacin para los patrones de fractura que
rompen el anillo plvico, unilateral, incluye la fijacin interna,
cuando se realiza (incluye snfisis pbica y / o ramas
ipsilateral superior / inferior)
Cerrado el tratamiento de acetbulo (cadera) fractura (s); sin
manipulacin
Tratamiento abierto de fractura de la pared posterior o
anterior del acetbulo, con fijacin interna
Tratamiento cerrado de fracturas del fmur, extremo
proximal, el cuello, sin manipulacin
Percutnea esqueltico fijacin de la fractura femoral, el
extremo proximal, el cuello
Tratamiento abierto de fractura de fmur, el extremo
proximal, el cuello, la fijacin interna o la sustitucin
protsica
Cerrado el tratamiento de la fractura del trocnter mayor, sin
manipulacin
Tratamiento abierto de fractura del trocnter mayor, incluye
Cerrado el tratamiento de la luxacin de cadera, traumtica,
sin anestesia
Abrir el tratamiento de la luxacin de cadera, traumtica, sin
fijacin interna
Cerrado el tratamiento de la luxacin posterior artroplastia
de cadera, sin anestesia
Manipulacin, articulacin de la cadera, lo que requiere
anestesia general
Artrodesis, articulacin sacroilaca (incluyendo la obtencin
del injerto)
Artrodesis, la snfisis del pubis (incluyendo la obtencin del
injerto)
Artrodesis, articulacin de la cadera (incluyendo la
obtencin del injerto);
Amputacin Interpelviabdominal (amputacin cuartos
traseros)
Desarticulacin de cadera
Incisin y drenaje, absceso profundo, bolsa o hematoma, el
muslo o la rodilla regin
Fasciotoma, iliotibial (tenotoma), abierto
Tenotoma percutnea, aductor o tendn de la corva; tendn
nico (procedimiento separado)
Artrotoma, la rodilla, la exploracin, drenaje o extirpacin de
cuerpo extrao (por ejemplo, infeccin)
Neurectoma, el msculo bceps femoral
Neurectoma, popltea (gastrocnemio)
La escisin, el tejido tumoral y suave del muslo o rea de la
rodilla, subcutnea, menos de 3 cm
maligno), el tejido blando del muslo o de la rodilla; menos de
5 cm
Excisin, bolsa prerrotuliana
Patelectoma o hemipatellectomy
27217
27220
RM N 689-2006-MINSA
27226
27230
RM N 689-2006-MINSA
27235
27236
27246
RM N 689-2006-MINSA
27248
RM N 689-2006-MINSA
27250
RM N 689-2006-MINSA
27253
RM N 689-2006-MINSA
27265
RM N 689-2006-MINSA
27275
27280
27282
27284
27290
27295
27301
RM N 689-2006-MINSA
27305
27306
27310
27315
27320

27327
27329
27340
27350


fmur;
Escisin parcial (craterization, aplanamiento, o
diaphysectomy) hueso, fmur, tibia proximal y / o el peron
(por ejemplo, osteomielitis o absceso seo)
La reseccin radical del tumor, fmur y rodilla
Extraccin de cuerpo extrao, profundo regin del muslo, o
rea de la rodilla
Sutura de tendones infrapatelar; primario
Sutura de cuadriceps o ruptura de los msculos
isquiotibiales, primarios
Tenotoma, abierto, muslo, rodilla hasta la cadera, tendn
nico
El alargamiento del tendn de los msculos isquiotibiales,
tendn nico
Trasplante o transferencia (con redireccin muscular o
cambios de ruta), muslo (por ejemplo, el extensor a flexor);
tendn nico
27355
27360
27365
27372
27380
27385
27390
27393
27396
27400
Artrotoma con la reparacin del menisco, rodilla

Reparacin, ligamento primario, roto y / o cpsula, rodilla;
colateral
Tubercleplasty tibial anterior (por ejemplo, el procedimiento
de Maquet tipo)
Reconstruccin de la dislocacin de la rtula, (por ejemplo,
procedimiento tipo Hauser)
Liberacin del retinculo lateral, abierto
Reconstruccin ligamentosa (aumento), la rodilla, extraarticular
Reconstruccin ligamentosa (aumento), la rodilla, intraarticular (abierto)
27403
27405
27418
27420
27425
27427
27428
Cuadricepsplastia (por ejemplo, tipo, Bennett o Thompson)
27430
Capsulotoma, la liberacin capsular posterior, la rodilla

Artroplastia patelar, sin prtesis
27435
27437

Osteotoma, fmur, eje o supracondlea; sin fijacin
27448
Osteotoma, tibia proximal, incluyendo la escisin del peron

o la osteotoma (incluye correccin de genu varo [bowleg] o
genu valgo [maneto]); antes del cierre epifisario
27455
27465
27466

27468
27470
RM N 689-2006-MINSA
27475
Transfer, tendones o msculos, tendones de la corva hasta

fmur (por ejemplo, el procedimiento de Egger tipo)
Osteoplastia, fmur; acortamiento (excluyendo 64876)

Osteoplastia, fmur, alargamiento
Osteoplastia, fmur, combinados, alargamiento y
acortamiento de transferencia segmento femoral
Reparacin, falta de unin o unin defectuosa, fmur, distal
a la cabeza y el cuello; sin injerto (por ejemplo, tcnica de
compresin)
El arresto, la epfisis, cualquier mtodo (por ejemplo,
epifisiodesis); fmur distal
Revisin de la artroplastia total de rodilla, con o sin injerto, 1

componente
La eliminacin de prtesis, incluyendo prtesis total de
rodilla, metacrilato de metilo con o sin insercin de
espaciador, la rodilla
cableado) con o sin metilmetacrilato, fmur
Fasciotoma descompresin, muslo y / o rodilla, un
compartimiento (flexor o extensor o aductor);
Fasciotoma descompresin, muslo y / o rodilla, un
compartimiento (flexor o extensor o aductor), con
desbridamiento de msculo viable y / o nervio
Tratamiento cerrado de fractura de la difisis femoral, sin
manipulacin
Tratamiento cerrado de fractura supracondlea o
transcondilar femoral con o sin extensin intercondlea, sin
manipulacin
27486
27488
RM N 689-2006-MINSA
27495
RM N 689-2006-MINSA
27496
RM N 689-2006-MINSA
27497
27500
RM N 689-2006-MINSA
27501
RM N 689-2006-MINSA
27506
RM N 689-2006-MINSA
27507
27508
Fijacin percutnea esqueltico de fractura de fmur, el

extremo distal, cndilo medial o lateral, o supracondlea o
transcondilar, con o sin extensin intercondilar, o separacin
epifisaria femoral distal
27509
Tratamiento abierto de supracondlea del fmur o fractura

intercondilar transcondilar sin extensin, incluye la fijacin
27511
RM N 689-2006-MINSA
27514
27519
27520
RM N 689-2006-MINSA
27524
27530
RM N 689-2006-MINSA
27535
RM N 689-2006-MINSA
27550
RM N 689-2006-MINSA
27556
RM N 689-2006-MINSA
27560
RM N 689-2006-MINSA
Tratamiento abierto de fractura de la difisis femoral, con o

sin fijacin externa, con la insercin del implante
intramedular, con o sin tornillos de cerclaje y / o el bloqueo
Tratamiento abierto de fractura de la difisis femoral con
placa / tornillos, con o sin cerclaje
Tratamiento cerrado de fracturas del fmur, extremo distal,
cndilo medial o lateral, sin manipulacin
Tratamiento abierto de fractura femoral, extremo distal,

cndilo medial o lateral, incluye la fijacin interna, cuando se
realiza
Tratamiento abierto de las epfisis femoral distal separacin,
incluye la fijacin interna, cuando se realiza
Cerrado el tratamiento de la fractura rotuliana, sin
manipulacin
Abrir el tratamiento de la fractura rotuliana, con fijacin
interna y / o patelectoma parcial o completa y reparacin de
tejidos blandos
Tratamiento cerrado de fractura tibial proximal (meseta), sin
manipulacin
Tratamiento abierto de fractura tibial proximal (meseta);
unicondilar, incluye la fijacin interna, cuando se realiza
Cerrado el tratamiento de la luxacin de rodilla, sin
anestesia
Tratamiento abierto de luxacin de rodilla, incluye la fijacin
interna, cuando se realiza, sin reparacin primaria
ligamentosa o aumento / reconstruccin
Tratamiento cerrado de dislocacin rotuliana; sin anestesia
Abrir el tratamiento de la luxacin rotuliana, con o sin

patelectoma parcial o total
Manipulacin de la articulacin de la rodilla bajo anestesia
general (incluye la aplicacin de traccin o de otros
dispositivos de fijacin)
Amputacin, muslo, a travs del fmur, cualquier nivel;
Desarticulacin de rodilla
Fasciotoma descompresin, pierna, anterior y / o
compartimentos laterales slo
La incisin y drenaje, la pierna o el tobillo; absceso profundo
o hematoma
Tenotoma percutnea, tendn de Aquiles (procedimiento
separado); anestesia local
Incisin (por ejemplo, osteomielitis o absceso seo), pierna
o tobillo
Artrotoma, tobillo, incluyendo exploracin, drenaje o
maligno), el tejido blando de la pierna o el rea del tobillo;
menos de 5 cm
La escisin, el tejido tumoral, suave en las piernas o rea
del tobillo, subcutnea, menos de 3 cm
Artrotoma, el tobillo, con la exploracin de las
articulaciones, con o sin biopsia, con o sin extirpacin de
cuerpo suelto o extranjeras
Escisin de lesin de la vaina del tendn o cpsula (por
ejemplo, quiste o ganglio), pierna y / o tobillo
Escisin o legrado de quiste seo o tumor benigno, la tibia o
el peron;
diaphysectomy), sea (por ejemplo, osteomielitis); tibia
La reseccin radical del tumor; tibia
Reparacin, primaria abierta o percutnea, ruptura del
tendn de Aquiles;
Reparacin, defecto fascial de la pierna
Reparacin, tendn flexor, pierna, primarios, sin injerto,
cada tendn
Reparar, dislocando los tendones peroneos, sin osteotoma
del peron
Tenlisis, flexor o tendn extensor, la pierna y / o en el
tobillo; nico, cada tendn
Alargamiento o acortamiento del tendn, la pierna o el
tobillo, tendn nico (procedimiento separado)
Gastrocnemius recesin (por ejemplo, el procedimiento de
Strayer)
Transferencia o trasplante de tendn individual (con
redireccin muscular o cambios de ruta); superficiales (por
ejemplo, los extensores de la tibial anterior en parte media
del pie)
Reparacin, ligamento primario, interrumpida, el tobillo;
colateral
Artroplastia del tobillo;
27566
RM N 689-2006-MINSA
27570
27580
27590
27598

27600
27603
27605
27607
RM N 689-2006-MINSA
27610
27615
27618
27620
RM N 689-2006-MINSA
27630
27635
27640
27645
27650
27656
27658
27675
RM N 689-2006-MINSA
27680
27685
27687
27690
27695
27700
La eliminacin del implante tobillo

Osteotoma, tibia
Osteoplastia, la tibia y el peron, alargando o acortando
Reparacin de falta de unin o mala unin, tibia, sin injerto
(por ejemplo, la tcnica de compresin)
Reparacin de la pseudoartrosis congnita, la tibia
27704
27705
27715

27720
RM N 689-2006-MINSA
27727
El arresto, la epfisis (epifisiodesis), abierto; distal de la tibia
27730
27740
RM N 689-2006-MINSA
27745
RM N 689-2006-MINSA
27750
RM N 689-2006-MINSA
27756
27758
27760
RM N 689-2006-MINSA
27766
RM N 689-2006-MINSA
27780
RM N 689-2006-MINSA
27784
27786
RM N 689-2006-MINSA
Abrir el tratamiento de la fractura distal del peron (malolo

lateral), incluye la fijacin interna, cuando se realiza
27792
Tratamiento cerrado de fractura de tobillo bimaleolar (por

ejemplo, malolos lateral y medial, o malolos lateral y
posterior o malolos medial y posterior); sin manipulacin
27808
RM N 689-2006-MINSA
Tratamiento abierto de fractura de tobillo bimaleolar (por

posterior, o malolos medial y posterior), incluye la fijacin
27814
27816
RM N 689-2006-MINSA
27822
RM N 689-2006-MINSA
Tratamiento cerrado de fractura de la porcin articular carga

de peso de la tibia distal (por ejemplo, Pilon o piln tibial),
con o sin anestesia; sin manipulacin
27824
RM N 689-2006-MINSA
Tratamiento abierto de fractura de la superficie articular del

cojinete de peso / porcin distal de la tibia (por ejemplo,
piln o piln tibial), con fijacin interna, cuando se realiza,
de peron slo
27826
RM N 689-2006-MINSA
El arresto, la epfisis (epifisiodesis), cualquier mtodo,

combinado, proximal y distal de la tibia y el peron;
cableado) con o sin metilmetacrilato, tibia
Tratamiento cerrado de fractura de la difisis tibial (con o sin
fractura del peron); sin manipulacin
Fijacin percutnea esqueltico de fractura de la difisis
tibial (con o sin fractura del peron) (por ejemplo, pasadores
o tornillos)
Tratamiento abierto de fractura de la difisis tibial (con o sin
fractura del peron), con placa / tornillos, con o sin cerclaje
Tratamiento cerrado de fractura de malolo medial; sin
manipulacin
Tratamiento abierto de fractura de malolo medial, incluye la
fijacin interna, cuando se realiza
Tratamiento cerrado de peron proximal o fractura de la
difisis, sin manipulacin
Tratamiento abierto de peron proximal o fractura de la
difisis, incluye la fijacin interna, cuando se realiza
Tratamiento cerrado de la fractura distal del peron (malolo
lateral), sin manipulacin
Tratamiento cerrado de fracturas de tobillo trimaleolares; sin

manipulacin
Tratamiento abierto de fractura de tobillo trimaleolares,
incluye la fijacin interna, cuando se realiza, malolo medial
y / o lateral; sin fijacin de labio posterior
Tratamiento abierto de articulacin tibioperonea distal

(sindesmosis) interrupcin, incluye la fijacin interna,
cuando se realiza
Cerrado el tratamiento de la luxacin de articulacin
tibioperonea proximal; sin anestesia
Tratamiento abierto de dislocacin articulacin tibioperonea
proximal, incluye la fijacin interna, realizada cuando, o con
la escisin de peron proximal
Cerrado el tratamiento de la luxacin de tobillo, y sin
anestesia
27829
27830
RM N 689-2006-MINSA
27832
27840
RM N 689-2006-MINSA
Tratamiento abierto de luxacin del tobillo, con o sin fijacin

esqueltica percutnea; sin fijacin interna o reparacin
27846
RM N 689-2006-MINSA
La manipulacin del tobillo bajo anestesia general (incluye la

aplicacin de traccin o aparato de fijacin de otro tipo)
27860
27870
27871
27880

27888
27889
27892
27893
RM N 689-2006-MINSA
28001
RM N 689-2006-MINSA
28005
28008
28010

28020
28030
28035
28043
28046
28050
RM N 689-2006-MINSA
28060
28070
28086
Artrodesis, tobillo, abierto

Artrodesis, articulacin tibioperonea proximal o distal
Amputacin, pierna, a travs de la tibia y el peron;
Amputacin, tobillo, a travs de malolos de la tibia y el
peron (por ejemplo, Syme, procedimientos Pirogoff tipo),
con cierre de plstico y la reseccin de los nervios
Desarticulacin del tobillo
Fasciotoma descompresin, la pierna; anterior y / o
compartimentos laterales solamente, con desbridamiento de
Fasciotoma descompresin, pierna, compartimento
posterior (s) nicamente, con desbridamiento de msculo
viable y / o nervio
La incisin y drenaje, bolsa, pie
Incisin, hueso cortical (por ejemplo, osteomielitis o absceso
seo), pie
Fasciotoma, pie y / o dedo del pie
Tenotoma percutnea, dedo del pie, solo tendn
Artrotoma, incluyendo exploracin, drenaje o extirpacin de
cuerpo suelto o extranjera; intertarsianas conjunta o tarso
metatarsianas
Release, tnel tarsal (descompresin del nervio tibial
posterior)
Escisin, tejido tumoral, suave de pie o del dedo,
subcutnea; menos de 15 cm
maligno), tejidos blandos del pie o del pie, menos de 3 cm
Artrotoma con biopsia; intertarsianas conjunta o tarso
metatarsianas
Fasciectoma, fascia plantar, parcial (procedimiento
separado)
La sinovectoma, articulacin intertarsianas o tarso
metatarsianas, cada
La sinovectoma, la vaina del tendn del pie,; flexor
Escisin de lesin, tendn, vaina tendinosa o cpsula

(incluyendo sinovectoma) (por ejemplo, un quiste o
ganglio); pie
Escisin o legrado de quiste seo o tumor benigno, o
astrgalo del calcneo;
Ostectoma, la escisin parcial, la cabeza del quinto
metatarsiano (bunionette) (procedimiento separado)
Ostectoma, la extirpacin completa, todas las cabezas de
los metatarsianos, con phalangectomy proximal parcial,
excluyendo primer metatarsiano (por ejemplo, el
procedimiento de Clayton tipo)
Escisin parcial (craterization, aplanamiento,
secuestrectoma o diaphysectomy) sea (por ejemplo,
osteomielitis o abombamiento); astrgalo o calcneo
Reseccin, parcial o total, la base de la falange, cada dedo
del pie
Talectoma (astragalectomy)
Metatarsectomy
Phalangectomy, dedo del pie, cada dedo del pie
Reseccin, cndilo (s), el extremo distal de la falange, cada
dedo
Hemiphalangectomy o escisin de la articulacin
interfalngica del pie, extremo proximal de la falange, cada
La reseccin radical del tumor; tarsiano (excepto astrgalo o
calcneo)
Extraccin de cuerpo extrao pie; subcutneo
Reparacin, tendn flexor, los pies; primaria o secundaria,
Tenlisis, flexor, pie, solo tendn
Tenotoma, flexor abierta, tendn, tendn del pie, simple o
mltiple (s) (procedimiento separado)
Reconstruccin (avance), el tendn tibial posterior con
excisin de hueso escafoides tarsiano accesorio (por
ejemplo, procedimiento Kidner tipo)
Tenotoma, alargamiento, o liberacin, msculo abductor del
dedo gordo
Divisin de la fascia plantar y los msculos (por ejemplo,
Steindler pelado) (procedimiento separado)
Capsulotoma, parte media del pie; liberacin medial
solamente (procedimiento separado)
Capsulotoma, mediotarsiana (por ejemplo, procedimiento
Heyman tipo)
Capsulotoma; articulacin metatarsofalngica, con o sin
tenorrhaphy, cada uno (procedimiento separado) conjunta
Syndactylization, dedos de los pies (por ejemplo, cintas o
procedimiento de tipo Kelikian)
Correccin, dedo en martillo (fusin por ejemplo,
interfalngica, phalangectomy parcial o total)
Ostectoma, exostectoma parcial o condilectoma, cabeza
del metatarsiano, cada cabeza metatarsal
28090
RM N 689-2006-MINSA
28100
28110
28114
28120
28126
RM N 689-2006-MINSA
28130
28140
28150

28153
RM N 689-2006-MINSA
28160
28171
28190
28200
28220
28230
28238
28240
28250
RM N 689-2006-MINSA
28260
28264
RM N 689-2006-MINSA
28270
RM N 689-2006-MINSA
28280
28285
28288
Hallux rigidus correccin con la liberacin queilectoma,

limpieza e capsular de la primera articulacin
metatarsofalngica
28289
28290
28300
Reconstruccin, deformidad angular de dedo del pie, los

procedimientos de tejido blando solamente (por ejemplo, la
superposicin segundo dedo, quinto dedo del pie, los dedos
del pie rizado)
28313
Sesamoidectoma, primer dedo del pie (procedimiento

separado)
28315
Reparacin, falta de unin o mala unin, huesos del tarso
28320
28340
28344
28345
28400
RM N 689-2006-MINSA
28406
28415
28450
RM N 689-2006-MINSA
28456
RM N 689-2006-MINSA
28465
RM N 689-2006-MINSA
28476
28490
RM N 689-2006-MINSA
28496
RM N 689-2006-MINSA
28505
RM N 689-2006-MINSA
28510
RM N 689-2006-MINSA
28525
RM N 689-2006-MINSA
28530
RM N 689-2006-MINSA
28531
Correccin, hallux valgus (juanete), con o sin

sesamoidectoma; exostectoma simple (por ejemplo, tipo de
procedimiento Plata)
Osteotoma; calcneo (por ejemplo, Dwyer o procedimiento
Cmaras tipo), con o sin fijacin interna
Reconstruccin, dedo del pie, macrodactilia; reseccin de

tejidos blandos
Reconstruccin, dedo del pie (s), polidactilia
Reconstruccin, dedo (s); sindactilia, con o sin injerto de piel
(s), cada web
Tratamiento cerrado de fracturas del calcneo; sin
manipulacin
Fijacin percutnea esqueltico de fractura del calcneo,
con la manipulacin
Tratamiento abierto de fractura de calcneo, incluye la
fijacin interna, cuando se realiza;
El tratamiento de la fractura de hueso tarsiano (excepto
astrgalo y calcneo), sin manipulacin, cada
Fijacin esqueltica percutnea de fractura de hueso
tarsiano (excepto astrgalo y calcneo), con manipulacin,
cada
Tratamiento abierto de fractura de hueso tarsiano (excepto
astrgalo y calcneo), incluye la fijacin interna, cuando se
realiza, cada
Fijacin percutnea esqueltico de fractura del metatarso,
con la manipulacin, cada
Cerrado el tratamiento de la fractura de falange del dedo
gordo, o falanges, sin manipulacin
Fijacin percutnea de las fracturas del esqueleto falange
del dedo gordo, o falanges, con manipulacin
Tratamiento abierto de fractura, dedo gordo del pie falange
o falanges, incluye la fijacin interna, cuando se realiza
Tratamiento cerrado de fractura, falange o falanges, excepto
dedo gordo del pie, sin manipulacin, cada
Tratamiento abierto de fractura, falange o falanges, con
excepcin del dedo gordo, incluye la fijacin interna, cuando
se realiza, cada
Tratamiento cerrado de fractura del hueso sesamoideo
Abrir el tratamiento de la fractura del hueso sesamoideo,
con o sin fijacin interna
Tratamiento cerrado de dislocacin del hueso del tarso, que

no sea talotarsal; sin anestesia
Fijacin percutnea de dislocacin esqueleto hueso del
tarso, que no sea talotarsal, con la manipulacin
Abrir el tratamiento de la luxacin del hueso tarsal, incluye la
Tratamiento cerrado de dislocacin articular talotarsal; sin
anestesia
metatarso-falngica, sin anestesia
28540
RM N 689-2006-MINSA
28546
28555
28570
RM N 689-2006-MINSA
28630
RM N 689-2006-MINSA
28645
RM N 689-2006-MINSA
28705
28715
28725

28730
28750
28755
28760
RM N 689-2006-MINSA
28800
28810
RM N 689-2006-MINSA
28820
29000
RM N 689-2006-MINSA
29010
Aplicacin de yeso en el cuerpo, los hombros a las caderas;
29035
Solicitud, fundido; figura en forma de ocho

Solicitud, fundido; hombro spica
Solicitud, fundido; yeso Velpeau
Solicitud, fundido; hombro con la mano (brazo largo)
Solicitud, fundido; codo a los dedos (brazo corto)
Solicitud, fundido; mano y antebrazo inferior (guante)
Aplicacin de la frula largo brazo (hombro a mano)
Aplicacin de la frula de brazo corto (antebrazo a la mano);
esttico
Aplicacin de dedo entablillado; esttico
Strapping; trax
Aplicacin de hip spica cast, 1 pierna
29049
29055
29058
29065
29075
29085
29105

RM N 689-2006-MINSA
29125
29130
29200
29305

Aplicacin de yeso en la pierna larga (muslo hasta los pies);
29345
29405
RM N 689-2006-MINSA
29435
Tratamiento abierto de luxacin de la articulacin metatarsofalngica, incluye la fijacin interna, cuando se realiza
Artrodesis; pantalar
Artrodesis; triples
Artrodesis; subastragalina
Artrodesis, mediotarsiana o tarso metatarsianas, mltiple o
transversal;
Artrodesis, dedo gordo del pie, articulacin
metatarsofalngica
Artrodesis, dedo gordo del pie, articulacin interfalngica
Artrodesis, con traslado del extensor largo del dedo gordo a
cuello del primer metatarsiano, dedo gordo, articulacin
interfalngica (por ejemplo, procedimiento de tipo Jones)
Amputacin del pie; mediotarsiana (por ejemplo, el
procedimiento de tipo Chopart)
Amputacin, metatarsiana, con los pies, solo
Amputacin, dedo del pie, articulacin metatarsofalngica
Aplicacin del reparto aureola tipo de cuerpo (ver 2066120663 de insercin)
Aplicacin de Risser chaqueta, localizador, cuerpo, slo
Aplicacin de yeso corto (por debajo de la rodilla hasta los

dedos del pie);
Aplicacin de rodamiento tendn rotuliano (PTB) Ver
Adicin de un andador para reparto aplicado anteriormente
29440
RM N 689-2006-MINSA
Aplicacin de fundicin rgido total de pierna de contacto

Aplicacin de yeso con molduras pie zambo o manipulacin,
pata larga o corta
Strapping, cadera
La eliminacin o bivalving; elenco guante, bota o cuerpo
Reparacin de espiga, yeso corporal o chaqueta
Ventanas del reparto
Calce del reparto (excepto modelos pie zambo)
Calce del reparto pie zambo
Artroscopia, de la articulacin temporomandibular, de
diagnstico, con o sin biopsia sinovial (procedimiento
separado)
Artroscopia, articulacin temporomandibular, ciruga
La artroscopia, hombro, diagnstico, con o sin biopsia
sinovial (procedimiento separado)
La artroscopia, hombro, ciruga; capsulorrafia
Artroscopia, codo, diagnstico, con o sin biopsia sinovial
Artroscopia, codo, quirrgico, con extirpacin de cuerpo
suelto o cuerpo extrao
Artroscopia, mueca, diagnstico, con o sin biopsia sinovial
Artroscopia, mueca, quirrgicos, por infeccin, lavado y
drenaje
Artroscopia de cadera, diagnstico con o sin biopsia sinovial
Artroscopia de cadera, ciruga, con extirpacin de cuerpo
La artroscopia, rodilla, diagnstico, con o sin biopsia sinovial
La artroscopia, rodilla, quirrgica, la infeccin, lavado y
drenaje
Artroscopia, el tobillo, la extirpacin quirrgica de defectos
osteocondrales del astrgalo y / o tibia, incluida la
perforacin del defecto
Artroscopia, articulacin metacarpofalngica, diagnstico,
incluye biopsia sinovial
Artroscopia, articulacin metacarpofalngica, quirrgico, con
desbridamiento
29445
RM N 689-2006-MINSA
29450
29520
29700
29720
29730
29740
29750
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
29800
29804
29805
RM N 689-2006-MINSA
29806
RM N 689-2006-MINSA
29830
RM N 689-2006-MINSA
29834
RM N 689-2006-MINSA
29840
RM N 689-2006-MINSA
29843
RM N 689-2006-MINSA
29860
RM N 689-2006-MINSA
29861
RM N 689-2006-MINSA
29870
RM N 689-2006-MINSA
29871
RM N 689-2006-MINSA
29891
RM N 689-2006-MINSA
29900
RM N 689-2006-MINSA
29901
RM N 689-2006-MINSA
Drenaje de absceso o hematoma, nasal, enfoque interno
30000
Biopsia, intranasal
Escisin, plipo nasal (s), simple
Extirpacin o destruccin (por ejemplo, lser), intranasal
lesin, enfoque interno
La escisin quirrgica o cepillado de la piel de la nariz para
rinofima
La escisin del quiste dermoide, nariz, piel, simple,
subcutnea
30100
30110

30117
30120
30124
Escisin cornete inferior, parcial o total, cualquier mtodo
30130
Rhinectomy; parcial
Rhinectomy, total
La inyeccin en los cornetes (s), teraputico
Insercin, prtesis nasal septal (botn)
Extraccin de cuerpo extrao, intranasal, procedimiento en
el consultorio tipo
Extraccin cuerpo extrao, intranasal, que requiere
anestesia general
La rinoplastia primaria; lateral y cartlagos alares y / o
elevacin de la punta nasal
La rinoplastia secundaria; revisin menor (pequea cantidad
de trabajo punta nasal)
Rinoplastia por deformidad nasal secundaria a labio leporino
congnito y / o paladar hendido, incluyendo alargamiento
columelar; nico consejo
Septoplastia o reseccin submucosa, con o sin cartlago de
puntuacin, el contorno o el reemplazo con injerto
Reparacin de atresia de coanas; intranasal
Lisis de sinequias intranasal
Lisis de sinequias intranasal
Reparacin de fstula; oromaxillary (combinar con 31030
antrotoma si est incluido)
Reparacin de fstula; oronasal
Septal u otros dermatoplasty intranasal (no incluye la
obtencin del injerto)
Reparar perforaciones del tabique nasal
Ablacin, el tejido blando de los cornetes inferiores,
unilateral o bilateral, cualquier mtodo (por ejemplo, la
ablacin electrocauterio, radiofrecuencia, o la reduccin del
volumen del tejido); superficial
30150
30160
30200
30220

RM N 689-2006-MINSA
30300
30310
30400
30430
30460
30520
30540
30560
30560

30580
30600
30620
RM N 689-2006-MINSA
30630
30801
30901
30905
30915
RM N 689-2006-MINSA
30920
RM N 689-2006-MINSA
30920
RM N 689-2006-MINSA
30930
31000
31020
31030
31040
31050

Sinusotoma frontal; externos, simple (trpano operacin)
31070
Etmoidectoma, intranasal, anterior

Maxilectoma; sin exenteracin orbital
31200
31225

Control de hemorragia nasal, anterior, simple (cauterizacin

limitado y / o embalaje) cualquier otro mtodo
Control de hemorragia nasal, posterior, con posteriores
paquetes nasales y / o la cauterizacin, cualquier mtodo;
inicial
Ligadura de las arterias etmoidales;
Ligadura de las arterias, la arteria maxilar interna,
transantral
Ligadura de las arterias, la arteria maxilar interna,
transantral
Fractura nasal del cornete inferior (s), teraputicos
Lavado por canulacin; seno maxilar (antro o puncin
ostium natural)
Sinusotoma, maxilar (antrotoma); intranasal
Sinusotoma, maxilar (antrotoma) radical (Caldwell-Luc) sin
extirpacin de los plipos antrocoanal
Ciruga de la fosa pterigomaxilar, cualquier enfoque
Sinusotoma, esfenoides, con o sin biopsia;
Maxilectoma, con exenteracin orbital (en bloque)

La endoscopia nasal, diagnstico, unilateral o bilateral
Nasal / sinusal endoscpica, ciruga, con biopsia,
polipectoma o desbridamiento (procedimiento separado)
Nasal / sinusal endoscpica, ciruga, con etmoidectoma,
parcial (anterior)
Nasal / sinusal endoscpica, ciruga, con la reparacin de
fugas de lquido cefalorraqudeo, regin etmoidal
Nasal / sinusal endoscpica, ciruga, con la descompresin
de la pared medial o inferior orbital
Laryngotomy (thyrotomy, laringofisura); con extirpacin de
tumor o laryngocele, cordectoma
Laringectoma, total, sin diseccin radical del cuello
Laringectoma, total, con diseccin radical del cuello
Laringectoma; subtotal supragltica, sin diseccin radical
del cuello
Laringectoma; supragltica subtotal, con diseccin radical
del cuello
Pharyngolaryngectomy, con diseccin radical del cuello; sin
reconstruccin
Aritenoidectoma o enfoque arytenoidopexy, externo
Epiglottidectomy
Intubacin endotraqueal, procedimiento de emergencia
La traqueotoma cambio de tubo antes del establecimiento
de trayecto fistuloso
Laringoscopia, indirectos; diagnstica (procedimiento
separado)
Laringoscopia directa, con o sin traqueoscopa, por
aspiracin
Laringoplastia, pues web de laringe, de 2 etapas, con la
insercin de la quilla y la eliminacin
Laringoplastia; para la estenosis larngea, con injerto molde
o ncleo, incluyendo traqueotoma
El tratamiento de la fractura de laringe cerrada; sin
manipulacin
Laringoplastia no se especifica otra cosa (por ejemplo, para
las quemaduras, reconstruccin despus de laringectoma
parcial)
Laringoplastia no se especifica otra cosa (por ejemplo, para
las quemaduras, reconstruccin despus de laringectoma
parcial)
Reinervacin larngea por neuromuscular pedculo
Seccin del nervio larngeo recurrente, (procedimiento
separado) teraputico, unilateral
Traqueostoma, previsto (procedimiento separado);
Traqueostoma, procedimiento de emergencia; transtraqueal
Traqueostoma, procedimiento de emergencia; membrana
cricotiroidea
Traqueostoma, procedimiento de fenestracin con colgajos
de piel
31230
31231
31237
RM N 689-2006-MINSA
31254
RM N 689-2006-MINSA
31290
RM N 689-2006-MINSA
31292
RM N 689-2006-MINSA
31300
31360
31365

31367
31368
31370
31390
31400
31420
31500

31502
RM N 689-2006-MINSA
31505
31515
31580
31582
RM N 689-2006-MINSA
31585
RM N 689-2006-MINSA
31588
RM N 689-2006-MINSA
31588
RM N 689-2006-MINSA
31590
31595
31600
31603
RM N 689-2006-MINSA
31605
31610
RM N 689-2006-MINSA
Construccin de fstula traqueoesofgica y la insercin

posterior de un discurso alaryngeal prtesis (por ejemplo, el
botn de voz Blom-Singer prtesis)
Puncin traqueal percutnea con aspiracin transtraqueal
y / o inyeccin
Revisin traqueostoma, simple, sin rotacin de colgajo
Tracheobronchoscopy incisin a travs de la traqueostoma
establecido
31611
RM N 689-2006-MINSA
31612
31613
31615
RM N 689-2006-MINSA
Broncoscopia, rgido o flexible, incluyendo gua

fluoroscpica, cuando se realiza, de diagnstico, con lavado
de las clulas, cuando se realiza (procedimiento separado)
31622
Cateterismo, transglottic (procedimiento separado)

La instilacin de contraste para laryngography o
broncografa, sin cateterismo
Cateterizacin para broncografa, con o sin instilacin de
material de contraste
Inyeccin transtraqueal para broncografa
Catter de aspiracin (procedimiento separado);
nasotraqueal
Transtraqueal (percutnea) la introduccin de la aguja
dilatador de alambre / tubo del stent o permanente para la
terapia de oxgeno
Traqueoplastia; cervical
Carinal reconstruccin
Broncoplastia; injerto reparacin
Escisin de tumor traqueal o carcinoma; cervical
Sutura de herida o lesin traqueal; cervical
El cierre quirrgico de traqueostoma o fstula, sin
reparacin de plstico
Revisin de cicatriz de traqueotoma
Toracocentesis, puncin de la cavidad pleural por
aspiracin, inicial o subsiguiente
Lavado pulmonar total (unilateral)
La pleurodesis qumica (por ejemplo, para el neumotrax
recurrente o persistente)
Tubo de toracostoma con o sin sello de agua (por ejemplo,
para el absceso, hemotrax, empiema) (procedimiento
separado)
Torcico, con reseccin de costilla por empiema
Toracotoma, limitada, para realizar una biopsia de pulmn o
pleura
Toracotoma, mayor, con la exploracin y la biopsia
31700
RM N 689-2006-MINSA
31708
RM N 689-2006-MINSA
31710
RM N 689-2006-MINSA
31715
RM N 689-2006-MINSA
31720
RM N 689-2006-MINSA
31730
RM N 689-2006-MINSA
31750
31766
31770
31785
31800

31820
31830
32000
32001
RM N 689-2006-MINSA
32005
32020
RM N 689-2006-MINSA
32035
32095
32100
RM N 689-2006-MINSA
Pneumonostomy, con drenaje abierto de absceso o quiste
32200
Escarificacin pleural para neumotrax de repeticin
32215
RM N 689-2006-MINSA
Descortezamiento, pulmonar (procedimiento separado), total
32220
32225
32310
32320
32400

Descortezamiento, pulmonar (procedimiento separado);

parcial
Pleurectoma, parietal (procedimiento separado)
Decorticacin y pleurectoma parietal
Biopsia, pleura; percutnea con aguja

Pneumocentesis, perforacin de pulmn por aspiracin
La eliminacin del pulmn, neumonectoma total;
La eliminacin del pulmn, neumonectoma total, con
reseccin del segmento de trquea seguido por broncotraqueal anastomosis (neumonectoma manga)
La eliminacin del pulmn, que no sea neumonectoma
total; solo lbulo (lobectoma)
total; 2 lbulos (bilobectoma)
total; solo segmento (segmentectoma)
32405
32420
32440

32442
32480
RM N 689-2006-MINSA
32482
32484
32501
RM N 689-2006-MINSA
32540
32601
32650
32651
RM N 689-2006-MINSA
32652
RM N 689-2006-MINSA
32653
RM N 689-2006-MINSA
32656
RM N 689-2006-MINSA
32657
RM N 689-2006-MINSA
32658
RM N 689-2006-MINSA
32659
RM N 689-2006-MINSA
32660
RM N 689-2006-MINSA
32661
RM N 689-2006-MINSA
32663
RM N 689-2006-MINSA
La toracoscopia, quirrgico, con la simpatectoma torcica
32664
RM N 689-2006-MINSA
La toracoscopia, quirrgico, con esofagomiotoma (tipo

Heller)
32665
RM N 689-2006-MINSA
Reparacin de hernia pulmonar a travs de la pared torcica
32800
32810
32815
32820

RM N 689-2006-MINSA
32851
RM N 689-2006-MINSA
Reseccin y reparacin de la porcin de bronquio

(broncoplastia) cuando se realiza en tiempo de lobectoma o
segmentectoma (Lista por separado adems de cdigo
para el procedimiento primario)
Enucleacin extrapleural de empiema (empyemectomy)
La toracoscopia, diagnstico (procedimiento separado), los
pulmones y el espacio pleural, sin biopsia
La toracoscopia, quirrgico, con pleurodesis (por ejemplo,
mecnico o qumico)
La toracoscopia, quirrgico, con decorticacin pulmonar
parcial
La toracoscopia, quirrgico, con decorticacin pulmonar
total, incluyendo pneumonolysis intrapleural
La toracoscopia, quirrgico, con remocin de cuerpo extrao
intrapleural o depsito de fibrina
La toracoscopia, quirrgico, con pleurectoma parietal
La toracoscopia, quirrgico, con reseccin en cua del
pulmn, nica o mltiple
La toracoscopia, quirrgico, con remocin de cuerpo extrao
del cogulo o saco pericrdico
La toracoscopia, quirrgico, con la creacin de ventana
pericrdica o reseccin parcial de saco pericrdico para
drenaje
La toracoscopia, quirrgico, con pericardiectoma total de
La toracoscopia, quirrgico, con la extirpacin de un quiste
pericrdico, un tumor o masa
La toracoscopia, quirrgico, con lobectoma, total o
segmentaria
Cierre de la pared torcica despus de drenaje abierta a

colgajo para empiema (procedimiento Clagett tipo)
Abra el cierre de la fstula bronquial principal
Reconstruccin Major, pared torcica (postraumtico)
El trasplante de pulmn, nica; sin circulacin extracorprea
El trasplante de pulmn, nica, con circulacin

extracorprea
Trasplante de pulmn, doble (bilateral secuencial o en
bloque); sin circulacin extracorprea
Trasplante de pulmn, doble (bilateral secuencial o en
bloque), con circulacin extracorprea
32852
RM N 689-2006-MINSA
32853
RM N 689-2006-MINSA
32854
RM N 689-2006-MINSA
La reseccin de las costillas, extrapleural, todas las etapas
32900
Toracoplastia, tipo Schede o extrapleural (todas las etapas);
32905
32906
RM N 689-2006-MINSA
32960
32997

RM N 689-2006-MINSA
32998
RM N 689-2006-MINSA
32999
33010
33015
RM N 689-2006-MINSA
33020
33025
33030
33050
33120
33130
33200
33206
RM N 689-2006-MINSA
33210
33212
RM N 689-2006-MINSA
33214
RM N 689-2006-MINSA
33216
RM N 689-2006-MINSA
33218
RM N 689-2006-MINSA
33222
RM N 689-2006-MINSA
Toracoplastia, tipo Schede o extrapleural (todas las etapas),

con cierre de fstula broncopleural
Neumotrax, inyeccin teraputica, intrapleural de aire
Lavado pulmonar total (unilateral)
Ablacin terapia para la reduccin o la erradicacin de 1 o
ms tumor pulmonar (s) incluyendo pleura o la pared
torcica cuando est implicado por la extensin del tumor,
percutnea, radiofrecuencia, unilateral
Procedimiento Cotizadas, los pulmones y la pleura
La pericardiocentesis; inicial
Tube pericardiostoma
Pericardiotoma para la eliminacin de cogulos o cuerpo
extrao (procedimiento principal)
Creacin de ventana pericrdica o reseccin parcial para
drenaje
Pericardiectoma, subtotal o total, sin circulacin
extracorprea
Escisin de tumor intracardiaco, reseccin con derivacin
cardiopulmonar
La reseccin del tumor cardaco externo
Insercin de marcapasos permanente con electrodo
epicrdico (s); por toracotoma
Insercin o sustitucin de marcapasos permanente con
electrodo transvenoso (s); auricular
Insercin o sustitucin del catter transvenoso temporal de
una cmara cardaca o electrodo de marcapasos
Insercin o sustitucin de generador de impulsos de
marcapasos slo; sola cmara, auricular o ventricular
Mejora del sistema de marcapasos implantado, la
conversin del sistema de cmara nica al sistema de doble
cmara (incluye la eliminacin del generador de impulsos
colocado previamente, el ensayo de plomo existente, la
insercin de plomo nuevo, la insercin del nuevo generador
de impulsos)
La insercin de un solo electrodo transvenoso, marcapasos
o desfibrilador permanentesLa reparacin de electrodo transvenoso nico para una sola
cmara, marcapasos permanente o estimulacin unicameral
cardioversor-desfibrilador
Revisin o reubicacin de bolsillo piel de marcapasos
La eliminacin del generador de impulsos de marcapasos

permanente
La eliminacin del electrodo de marcapasos intravenoso (s);
sistema de un solo conductor, auricular o ventricular
Remocin de marcapasos epicrdico y electrodos
permanentes por toracotoma, sistema de un solo
conductor, auricular o ventricular
La eliminacin del electrodo transvenoso permanente (s) por
toracotoma
Insercin de cmara nica o doble estimulacin
cardioversor-desfibrilador generador de impulsos
Eliminacin subcutnea de cmara nica o doble
estimulacin cardioversor-desfibrilador generador de
impulsos
33233
RM N 689-2006-MINSA
33234
RM N 689-2006-MINSA
33236
RM N 689-2006-MINSA
33238
RM N 689-2006-MINSA
33240
RM N 689-2006-MINSA
33241
RM N 689-2006-MINSA
La eliminacin de la estimulacin de cmara nica o doble

cardioversor-desfibrilador electrodo (s); por toracotoma
33243
RM N 689-2006-MINSA
La eliminacin de la estimulacin de cmara nica o doble

cardioversor-desfibrilador electrodo (s); por extraccin
transvenoso
33244
RM N 689-2006-MINSA
Insercin de cmara nica o doble epicrdico de

estimulacin desfibrilador cardioversor electrodos por
toracotoma;
33245
RM N 689-2006-MINSA
La insercin o cambio de posicin de cable de electrodo (s)

para la estimulacin de cmara nica o doble cardioversordesfibrilador y la insercin del generador de impulsos
33249
RM N 689-2006-MINSA
Ablacin Operativo de foco arritmognico supraventricular o

va (por ejemplo, sndrome de Wolff-Parkinson-White, el
nodo atrioventricular reentrada), tracto (s) y / o enfoque
(focos); sin circulacin extracorprea
33250
Incisiones operatorias y la reconstruccin de las aurculas

para el tratamiento de la fibrilacin auricular o flter auricular
(por ejemplo, el procedimiento de laberinto)
33253
RM N 689-2006-MINSA
33261
RM N 689-2006-MINSA
33282
RM N 689-2006-MINSA
33300
33305
33310
33320
33321
33330
33400
La ablacin del foco operativo arritmognica del ventrculo

con circulacin extracorprea
Implantacin de activado por el paciente grabadora evento
cardiaco
Reparacin de herida cardaca; sin bypass
Reparacin de herida cardaca, con circulacin
extracorprea
Cardiotoma, exploratorio (incluye remocin de cuerpo
extrao, trombo auricular o ventricular); sin bypass
Sutura de reparacin de la aorta o grandes vasos; sin
derivacin o bypass cardiopulmonar
Suture reparacin de la aorta o grandes vasos, con
derivacin shunt
La insercin de injerto, aorta o grandes vasos; sin derivacin
o bypass cardiopulmonar
Valvuloplastia, la vlvula artica, abierto, con circulacin
extracorprea
La construccin del conducto apical-artica

Reemplazo de la vlvula artica, con circulacin
extracorprea, con vlvula protsica que no sea homoinjerto
de vlvula o sin stent
33404
33405
33414
33415
33416
33417
33420

33422
Valvuloplastia, vlvula mitral, con circulacin extracorprea;
33425
Reemplazo de vlvula mitral, con derivacin cardiopulmonar
33430
Valvectoma, vlvula tricspide, con derivacin

cardiopulmonar
33460
Valvuloplastia, la vlvula tricspide; sin insercin del anillo
33463
33465
33468
33470
33472
33475
33476
RM N 689-2006-MINSA
33478
33500
33502
33504
33510
33513
33517
RM N 689-2006-MINSA
La reparacin de la obstruccin del tracto de salida del

ventrculo izquierdo por la ampliacin parche del tracto de
salida
Reseccin o incisin de tejido subvalvular por estenosis
artica subvalvular discreta
Ventriculomyotomy (-miectoma) para la estenosis
subartica hipertrfica idioptica (por ejemplo, hipertrofia
septal asimtrica)
Aortoplastia (refuerzo) para la estenosis supravalvular
Vlvula valvulotoma, mitral, corazn cerrado
Valvulotoma, la vlvula mitral; corazn abierto con
circulacin extracorprea
Reemplazo, vlvula tricspide, con derivacin

cardiopulmonar
Reposicionamiento de la vlvula tricspide y la plicatura de
la anomala de Ebstein
Valvulotoma, la vlvula pulmonar, cerr corazn;
transventricular
Valvulotoma, la vlvula pulmonar del corazn, abierto, con
oclusin de entrada
Reemplazo de la vlvula pulmonar
Reseccin ventricular derecha por estenosis infundibular,
con o sin comisurotoma
Flujo de salida de aumento tracto (refuerzo), con o sin
reseccin infundibular o comisurotoma
Reparacin de fstula arteriovenosa coronaria cmara o
arteriocardiac, con circulacin extracorprea
La reparacin de la arteria coronaria anmala de origen de
la arteria pulmonar, por la ligadura
la arteria pulmonar, por injerto con bypass cardiopulmonar
Derivacin de la arteria coronaria, vena solamente, solo
injerto venoso coronario
Derivacin de la arteria coronaria, vena solamente; 4
injertos venosos coronarios
Derivacin de la arteria coronaria, utilizando injerto venoso
(s) e injerto arterial (s), injerto de vena nico (lista por
primario)

(s) e injerto arterial (s), 4 injertos venosos (lista por separado
adems del cdigo para el procedimiento primario)
33521
RM N 689-2006-MINSA
Reoperacin, la arteria coronaria procedimiento de bypass o

procedimiento de la vlvula, ms de 1 mes despus de la
operacin original (Lista por separado adems de cdigo
33530
RM N 689-2006-MINSA
33533
RM N 689-2006-MINSA
33536
RM N 689-2006-MINSA
33542
33545
33572
33600
33641
33735
33736
33750
33786
33788
33860
RM N 689-2006-MINSA
33870
33875
RM N 689-2006-MINSA
RM N 689-2006-MINSA
33877
RM N 689-2006-MINSA
33910
RM N 689-2006-MINSA
33916
RM N 689-2006-MINSA
Ligacin y desmontaje de una derivacin arterial sistmicopulmonar, realiza en combinacin con un procedimiento
cardaca congnita (Lista por separado adems de cdigo
33924
Trasplante de corazn y pulmn con destinatario

cardiectoma-neumonectoma
33935
RM N 689-2006-MINSA
Trasplante de corazn, con o sin destinatario cardiectoma
33945
RM N 689-2006-MINSA
Derivacin de la arteria coronaria, utilizando injerto arterial

(s), injerto arterial nico
Bypass de la arteria coronaria, utilizando un injerto arterial
(s); 4 o ms injertos arteriales coronarias
Reseccin de miocardio (por ejemplo, aneurismectoma
ventricular)
Reparacin del defecto septal ventricular postinfarto, con o
sin reseccin de miocardio
Endarterectoma coronaria, abierta, cualquier mtodo, de
izquierda descendente anterior, circunfleja, o arteria
coronaria derecha en relacin con el procedimiento de
injerto de bypass de arteria coronaria, cada barco (Lista por
separado adems de procedimiento primario)
Cierre de la vlvula atrioventricular (mitral o tricspide)
mediante sutura o parche
Reparacin de defectos del tabique auricular, secundum,
con derivacin cardiopulmonar, con o sin parche
Septectoma auricular o septostoma; corazn cerrado
(Blalock-Hanlon tipo de operacin)
Septectoma auricular o septostoma, a corazn abierto con
Shunt; subclavia a la arteria pulmonar (Blalock-Taussig tipo
de operacin)
Reparacin total, tronco arterioso (operacin de Rastelli
tipo)
Reimplantacin de una arteria pulmonar anmala
Ascendente injerto aorta, con derivacin cardiopulmonar,
con o sin suspensin de la vlvula;
Injerto arco transversal, con circulacin extracorprea
Descendente injerto aorta torcica, con o sin bypass
La reparacin de aneurisma artico toracoabdominal con
injerto, con o sin circulacin extracorprea
Embolectoma arteria pulmonar, con circulacin
extracorprea
Endarterectoma pulmonar, con o sin embolectoma, con
derivacin cardiopulmonar
Circulacin extracorprea prolongada por insuficiencia

cardiopulmonar; primeras 24 horas
La insercin de baln intra-artico dispositivo de asistencia
percutnea
La eliminacin de baln intra-artico dispositivo de
asistencia percutnea
a travs de la arteria femoral, abra enfoque
asistencia incluyendo la reparacin de la arteria femoral, con
o sin injerto
La insercin del dispositivo de asistencia ventricular;
ventrculo extracorprea, solo
La eliminacin del dispositivo de asistencia ventricular;
ventrculo extracorprea, solo
33960
RM N 689-2006-MINSA
33967
RM N 689-2006-MINSA
33968
RM N 689-2006-MINSA
33970
RM N 689-2006-MINSA
33971
RM N 689-2006-MINSA
33975
RM N 689-2006-MINSA
33977
34001
34151
34401
34501
34502
34510
34520
34530

RM N 689-2006-MINSA
La reparacin endovascular de aneurisma artico abdominal

infrarrenal o diseccin, usando aorto-artico tubo prtesis
34800
RM N 689-2006-MINSA
Colocacin endovascular de la oclusin de la arteria ilaca

dispositivo (lista por separado adems del cdigo para el
34808
RM N 689-2006-MINSA
Reparacin directa del aneurisma, pseudoaneurisma, o

escisin (parcial o total) y de insercin de injerto, con o sin
injerto de parche; para el aneurisma y enfermedad oclusiva
asociada, cartida, arteria subclavia, por incisin en el cuello
35001

injerto de parche; para aneurisma, pseudoaneurisma, y la
enfermedad asociada oclusiva, innominada, la arteria
subclavia, por incisin torcica
35021

injerto de parche; para aneurisma, pseudoaneurisma, y
enfermedad oclusiva asociada, aorta abdominal
35081
35180
35182
Embolectoma o trombectoma con o sin catter; cartida,

subclavia o arteria innominada, por incisin en el cuello
Embolectoma o trombectoma con o sin catter; renal,
celaca, mesenterio, arteria aortoilaca, por incisin
abdominal
Trombectoma, directa o con catter, vena cava, la vena
ilaca, por incisin abdominal
Valvuloplastia, la vena femoral
La reconstruccin de la vena cava, cualquier mtodo
Venosa transposicin vlvula, cualquier donante vena
Cross-over de injerto de vena a sistema venoso
Reparacin, fstula arteriovenosa congnita, la cabeza y el

cuello
Reparacin, fstula arteriovenosa congnita; trax y
abdomen
Reparacin, fstula arteriovenosa congnita; extremidades
35184
35188
RM N 689-2006-MINSA
35201
35211
35231
35241
35261
RM N 689-2006-MINSA
35271
RM N 689-2006-MINSA
35301
35331
35390
RM N 689-2006-MINSA
35400
RM N 689-2006-MINSA
35450
35470
35480
35490
35501
RM N 689-2006-MINSA
35526
Bypass del injerto, con vena; aortoceliac o aortomesenteric
35531
Bypass del injerto, con vena; aortoilaca o bi-iliaca

Bypass del injerto, con vena; aortofemoral o bifemoral
Bypass del injerto, con vena; femoral-popltea
In-situ de bypass de vena; aortofemoral-popltea (slo
femoral-popltea parte in-situ)
In-situ de bypass de vena; femoral-popltea
In-situ de bypass de vena, arteria femoral-tibial anterior,
tibial posterior, peroneo o
In-situ de bypass de vena; poplteo-tibial, peroneo
Bypass del injerto, con distinta vena; cartida comn
ipsilateral cartida internaDe injerto de derivacin; (Lista por separado adems de
cdigo para el procedimiento primario) compuesto, protsico
y la vena
35541
35546
35556

35582
RM N 689-2006-MINSA
35583
RM N 689-2006-MINSA
35585
RM N 689-2006-MINSA
35587
RM N 689-2006-MINSA
35601
RM N 689-2006-MINSA
35681
RM N 689-2006-MINSA
Reparacin, adquiridos o fstula arteriovenosa traumtica, la

cabeza y el cuello
Reparacin de barco sangre, directo, cuello
Reparacin de barco sangre, directo; intratorcica, con
bypass
Reparar vaso sanguneo con injerto venoso; cuello
Reparar vaso sanguneo con injerto venoso; intratorcica,
con bypass
Reparacin de vaso sanguneo con injerto que no sea vena;
cuello
intratorcica, con bypass
Tromboendarterectoma, incluyendo injerto de parche, si se
realiza, cartida, vertebral, subclavia, por incisin en el
cuello
realiza, aorta abdominal
Reintervencin, cartida, tromboendarterectoma, ms de 1
mes despus de la operacin original (Lista por separado
Angioscopa (no coronarios o injertos de vasos) durante la
intervencin teraputica (Haga una lista por separado
La angioplastia transluminal con baln, abierta; arteria renal
o visceral otro
Angioplastia transluminal con baln, percutnea, tronco
tibioperoneo o ramas, cada buque
Arteria renal o visceral otro; aterectoma perifrica
transluminal, abierto
Aterectoma perifrica transluminal percutnea; arteria renal
o visceral otro
Bypass del injerto, con vena; cartida comn ipsilateral
cartida internaBypass del injerto, con vena; aortosubclavian o cartida
Bypass injerto; compuesto autgena, 2 segmentos de venas

de 2 posiciones (Enumere por separado adems del cdigo
Transposicin y / o reimplantacin; vertebral de la arteria
cartida
35682
RM N 689-2006-MINSA
35691
35700
35701
RM N 689-2006-MINSA
35800
RM N 689-2006-MINSA
35870
RM N 689-2006-MINSA
35875
RM N 689-2006-MINSA
Revisin, derivacin arterial extremidad inferior, sin

trombectoma, abierta, con angioplastia con parche de vena
35879
RM N 689-2006-MINSA
Escisin de injerto infectado; cuello
35901
RM N 689-2006-MINSA
La colocacin del catter selectivo, sistema venoso; rama

de primer orden (por ejemplo, la vena renal vena, yugular)
36011
RM N 689-2006-MINSA
36012
RM N 689-2006-MINSA
36260
RM N 689-2006-MINSA
36261
RM N 689-2006-MINSA
36262
RM N 689-2006-MINSA
36400
RM N 689-2006-MINSA
36420
36430
36440
36450
36460
36470
RM N 689-2006-MINSA
RM N 689-2006-MINSA
36481
La colocacin de catter venoso central (subclavia, yugular

o vena otros) (por ejemplo, para la presin venosa central,
hiperalimentacin, hemodilisis o quimioterapia);
percutnea, la edad de 2 aos o menos
36488
RM N 689-2006-MINSA
La colocacin de catter venoso central (subclavia, yugular

o vena otros) (por ejemplo, para la presin venosa central,
hiperalimentacin, hemodilisis o quimioterapia);
percutnea, a lo largo de los 2 aos
36489
Cateterismo venoso selectivo para el muestreo sanguneo

de rganos
36500
Reintervencin, femoral, popltea o femoral (popltea)-tibial

anterior, arteria tibial posterior, peroneo o de otros vasos
distales, ms de 1 mes despus de la operacin original
(lista por separado adems del cdigo para el procedimiento
primario)
Exploracin (no seguido de la reparacin quirrgica), con o
sin lisis de la arteria, arteria cartida
Exploracin por hemorragia postoperatoria, trombosis o
infeccin; cuello
Reparacin de fstula entrica injerto
Trombectoma de injerto arterial o venosa (que no sea
injerto hemodilisis o fstula);
La colocacin del catter selectivo, sistema venoso, de

segundo orden, o ms selectivo, derivado (por ejemplo, la
vena suprarrenal izquierda, del seno petroso)
La insercin de bomba implantable de infusin intra-arterial
(por ejemplo, para la quimioterapia de hgado)
Revisin de bomba implantada infusin intra-arterial
La eliminacin de bomba implantada infusin intra-arterial
Venopuncin, menores de 3 aos, lo que exige habilidad del
mdico, que no debe utilizarse para la venopuncin de
rutina; vena femoral o yugular
Puncin venosa, diseccin, bajo 1 ao de edad
Empuje transfusin, sangre, 2 aos o menos
La exanguinotransfusin, sangre, recin nacido
Transfusin intrauterina fetal
La inyeccin de una solucin esclerosante; sola vena
Percutnea cateterizacin de la vena portal por cualquier
mtodo
La cateterizacin de la vena umbilical para el diagnstico o

la terapia, el recin nacido
Afresis teraputica; plasma y / o intercambio celular
36510
36520
La insercin de bomba implantable de infusin intravenosa
36530
RM N 689-2006-MINSA
La insercin del dispositivo implantable de acceso venoso,

con o sin depsito subcutneo
36533
RM N 689-2006-MINSA
La puncin arterial, extraccin de sangre para diagnstico
36600
36620
36660
36680
RM N 689-2006-MINSA
36800
RM N 689-2006-MINSA
36815
RM N 689-2006-MINSA
36821
36822
RM N 689-2006-MINSA
Creacin de fstula arteriovenosa que no sea por

anastomosis arteriovenosa directa (procedimiento
separado); injerto autgeno
36825
Trombectoma, fstula abierta, arteriovenosa sin revisin, la

dilisis autgeno o injertos no autgenos (procedimiento
separado)
36831
36832
RM N 689-2006-MINSA
36834
36835
RM N 689-2006-MINSA
36860
RM N 689-2006-MINSA
37140
37160
37200

RM N 689-2006-MINSA
37201
RM N 689-2006-MINSA
37565
37600
RM N 689-2006-MINSA
La ligadura o bandas de fstula arteriovenosa angioaccess
37607
RM N 689-2006-MINSA

La ligadura, arteria principal (por ejemplo, post-traumtico,
la ruptura), cuello
37609
RM N 689-2006-MINSA
37615
RM N 689-2006-MINSA
Cateterismo arterial o la canalizacin para el muestreo,

monitoreo o transfusin (procedimiento separado);
percutnea
Cateterismo, arteria umbilical, el recin nacido, para el
diagnstico o tratamiento
La colocacin de la aguja para infusin intrasea
La insercin de cnula para hemodilisis, otro fin
(procedimiento separado); vena a vena
(procedimiento separado), la revisin arteriovenosa, externo
o de cierre
Anastomosis arteriovenosas, abierto, directo, cualquier sitio
(por ejemplo, tipo Cimino) (procedimiento separado)
La insercin de la cnula (s) para la circulacin
extracorprea para la insuficiencia prolongada
cardiopulmonar (ECMO) (procedimiento separado)
Revisin, fstula abierta, arteriovenosa, sin trombectoma de

injerto autgeno o dilisis no autgenos (procedimiento
separado)
Reparacin plstica de aneurisma arteriovenoso
La insercin de derivacin Thomas (procedimiento
separado)
Cnula externa declotting (procedimiento separado); sin
catter de baln
La anastomosis venosa, abierto; portocava
La anastomosis venosa, abierto; cava-mesentrico
Biopsia percutnea
Terapia percutnea, la infusin de tromblisis coronaria que
no sea
La ligadura, la vena yugular interna
La ligadura, arteria cartida externa

ruptura); pecho
La interrupcin parcial o total de la vena cava inferior por
sutura, ligadura, plicatura, un clip extravascular,
intravascular (dispositivo de sombrilla)
La ligadura de la vena femoral
La ligadura de la vena ilaca comn
Ligadura y divisin y la separacin completa de las venas
safenas largas o cortas
La ligadura de las venas perforantes, (tipo Linton)
subfascial, radical, incluyendo injerto de piel, cuando se
realiza, abierto, una pierna
Ligadura, divisin y / o escisin de la vena varicosa grupo
(s), 1 pierna
Revascularizacin del pene, la arteria, con o sin injerto de
vena
Venoso del pene procedimiento oclusivo
La esplenectoma, total (procedimiento separado)
La esplenectoma; parcial (procedimiento separado)
Reparacin de rotura del bazo (esplenorrafia) con o sin
esplenectoma parcial
La laparoscopa, esplenectoma quirrgica,
La mdula sea, nica aspiracin
De mdula sea o sangre derivada de clulas madre
perifricas; alognico
Drenaje de abscesos de ganglios linfticos o linfadenitis,
simple
Drenaje de abscesos de ganglios linfticos o linfadenitis;
amplia
37616
RM N 689-2006-MINSA
37620
37650
37660
RM N 689-2006-MINSA
RM N 689-2006-MINSA
37720
37760
RM N 689-2006-MINSA
37785
37788
RM N 689-2006-MINSA
37790
38100
38101
RM N 689-2006-MINSA
38115
38120
38220

RM N 689-2006-MINSA
38240
RM N 689-2006-MINSA
38300
38305
Sutura y / o ligadura de conducto torcico; enfoque cervical
38380
Sutura y / o ligadura de conducto torcico; enfoque torcica
38381
RM N 689-2006-MINSA
Una biopsia o escisin de los ganglios linfticos (s); abierto,

superficial
38500
La biopsia o la extirpacin de los ganglios linfticos (s); por

aguja, superficial (por ejemplo, cervical, axilar inguinal,)
38505
RM N 689-2006-MINSA
38510
RM N 689-2006-MINSA
38550
38562
38570
RM N 689-2006-MINSA
38571
RM N 689-2006-MINSA
38572
RM N 689-2006-MINSA
38700
38720

La biopsia o la extirpacin de los ganglios linfticos (s); nodo

abierto, cervical profunda (s)
Escisin de higroma qustico, axilar o cervical; sin diseccin
neurovascular profunda
Linfadenectoma limitada para la estadificacin
(procedimiento separado); plvica y paraartica
La laparoscopia, ciruga, con el muestreo de ganglios
linfticos retroperitoneales (biopsia), nico o mltiple
La laparoscopia, ciruga, con linfadenectoma plvica
bilateral total de
La laparoscopia, ciruga, con linfadenectoma plvica total
bilateral y peri-articos muestreo de ganglios linfticos
(biopsia), nico o mltiple
Linfadenectoma cervical (completo)
Linfadenectoma axilar; superficial

Linfadenectoma torcica, regional, incluyendo los ganglios
mediastnicos y peritraqueal (lista por separado adems del
cdigo para el procedimiento primario)
38740
38746
38747
38760
38770
38780
38794
RM N 689-2006-MINSA
39000
RM N 689-2006-MINSA
39010
RM N 689-2006-MINSA
39200
39400
39501

39502
39503
39520
39545
39560
RM N 689-2006-MINSA
40490
Vermilionectomy (labio afeitar), con el avance de la mucosa
40500
La escisin de los labios; escisin en cua transversal con

cierre primario
40510
RM N 689-2006-MINSA
La escisin de los labios, de espesor total, la reconstruccin

con colgajo local (por ejemplo, Estlander o ventilador)
40525
RM N 689-2006-MINSA
40530
40650
RM N 689-2006-MINSA
40700
40702
Linfadenectoma abdominal, regional, incluyendo celaca,

gstrico, portal, peripancretica, con o sin paraartica y
nodos de la vena cava (Lista por separado adems de
Linfadenectoma inguinofemoral, superficial, incluyendo
Cloquets nodo (procedimiento separado)
Linfadenectoma plvica, incluyendo ilaca externa,
hipogstrica, y los ganglios obturadores (procedimiento
separado)
Linfadenectoma retroperitoneal transabdominal, amplia,
incluyendo ganglios plvicos, artica y renal (procedimiento
separado)
La canulacin, el conducto torcico
Mediastinotoma con la exploracin, drenaje, remocin de
cuerpo extrao o biopsia, abordaje cervical
Mediastinotoma con la exploracin, drenaje, remocin de
cuerpo extrao o biopsia, abordaje transtorcico, incluyendo
cualquier esternotoma transtorcica o mediana
Excisin de quiste mediastnico
La mediastinoscopia, con o sin biopsia
Reparacin, laceracin del diafragma, cualquier enfoque
Reparacin, hernia de hiato paraesofgica transabdominal,
con o sin fundoplasty, vagotoma y / o piloroplastia, excepto
neonatal
Reparacin, hernia diafragmtica neonatal, con o sin
insercin de tubo de pecho y con o sin creacin de hernia
ventral
Reparacin, hernia diafragmtica (hiatal esofgica);
transtorcica
Imbricacin de diafragma para la eventracin, transtorcica
o transabdominal, no paraltica o paraltica
Reseccin, diafragma, con una reparacin simple (por
ejemplo, la sutura primaria)
La biopsia de labio
La reseccin de labio, ms de una cuarta parte, sin

reconstruccin
Reparacin de labio, de espesor total, bermelln slo
Reparacin plstica de labio leporino / deformidad nasal;
primaria, total o parcial, unilateral
primario bilateral, 1 de 2 etapas
El drenaje de absceso, quiste, hematoma, vestbulo de la

boca; sencillo
El drenaje de absceso, quiste, hematoma, vestbulo de la
boca; complicado
Incisin del frenillo labial (frenotomy)
Escisin de lesin de la mucosa y submucosa, vestbulo de
la boca; sin reparacin
Escisin de frenillo, labial o bucal (frenumectomy,
frenulectoma, frenectoma)
Destruccin de lesin o cicatriz del vestbulo de la boca
mediante mtodos fsicos (por ejemplo, lser, trmicas, crio,
qumicos)
Cierre de la laceracin, el vestbulo de la boca, 2,5 cm o
menos
Vestibuloplastia; anterior
Vestibuloplastia; compleja (incluyendo extensin cresta,
msculo reposicionamiento)
Incisin intraoral y drenaje de absceso, quiste o hematoma
de lengua o piso de la boca; lingual
de lengua o piso de la boca; sublingual, supramylohyoid
profundo,
Incisin del frenillo lingual (frenotomy)
Incisin extraoral y drenaje de absceso, quiste o hematoma
del piso de la boca; sublingual
del piso de la boca, el espacio masticador
La biopsia de la lengua, dos tercios anteriores
Escisin de lesin de la lengua sin cierre
Escisin de frenillo lingual (frenectoma)
Glosectoma; menos de una media lengua
Glosectoma; hemiglosectoma
Glosectoma; parcial, con diseccin radical de cuello
unilateral
Glosectoma, completa o total, con o sin traqueostoma, sin
diseccin radical del cuello
Glosectoma; completa o total, con o sin traqueostoma, con
diseccin radical de cuello unilateral
Glosectoma; procedimiento compuesta con reseccin del
piso de la boca y reseccin mandibular, sin diseccin radical
del cuello
piso de la boca, con diseccin de cuello suprahioidea
piso de la boca, reseccin mandibular, y diseccin radical
del cuello (tipo Comando)
Reparacin de laceracin 2,5 cm o menos; suelo de la boca
y / o dos tercios anteriores de la lengua
La fijacin de la lengua, mecnico, con excepcin de sutura
(por ejemplo, alambre de K)
Sutura de la lengua al labio para micrognatia (Procedimiento
de Douglas tipo)
40800
40801
RM N 689-2006-MINSA
40806
40810
40819
RM N 689-2006-MINSA
40820
40830
40840
40845
RM N 689-2006-MINSA
41000
RM N 689-2006-MINSA
41006
RM N 689-2006-MINSA
41010
RM N 689-2006-MINSA
41015
41018
RM N 689-2006-MINSA
41100
41110
41115
41120
41130

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
41135
41140
RM N 689-2006-MINSA
41145
RM N 689-2006-MINSA
41150
41153
41155
41250
RM N 689-2006-MINSA
41500
RM N 689-2006-MINSA
41510
RM N 689-2006-MINSA
Frenoplasty (revisin quirrgica del frenillo, por ejemplo, con

Z-plastia)
El drenaje de absceso, quiste, hematoma de las estructuras
dentoalveolares
Extraccin de cuerpo extrao incrustado de estructuras
dentoalveolares; tejidos blandos
Extraccin de cuerpo extrao incrustado en las estructuras
dentoalveolares; hueso
Gingivectoma, enca escisin, cada cuadrante
Operculectoma, escisin pericoronarios tejidos
Escisin de tuberosidades fibrosas, las estructuras
dentoalveolares
Escisin de hiperplasia mucosa alveolar, cada cuadrante
(especificar)
Alveolectoma, incluyendo legrado de ostetis o
secuestrectoma
Mucosa periodontal injerto
Gingivoplastia, cada cuadrante (especificar)
Alveoloplastia, cada cuadrante (especificar)
El drenaje de absceso del paladar, vula
Biopsia del paladar, vula
Excisin, lesiones del paladar, vula, sin cierre
La reseccin del paladar o reseccin amplia de la lesin
Uvulectoma, la extirpacin de la vula
Palatofaringoplastia (por ejemplo, uvulopalatofaringoplastia,
uvulopharyngoplasty)
Reparacin, laceracin del paladar, puede tener hasta 2 cm
Palatoplastia para el paladar hendido, suave y / o paladar
duro slo
Palatoplastia para el paladar hendido, con cierre de la cresta
alveolar, tejido blando solamente
Palatoplastia para el paladar hendido, con cierre de la cresta
alveolar, con injerto de hueso alveolar a cresta (incluye la
La reparacin del paladar anterior, incluyendo colgajo de
vmer
La reparacin de la fstula nasolabial
Maxilar impresin para prtesis palatal
La insercin del pasador retenida prtesis palatal
El drenaje de absceso; partida, simple
Fistulizacin de quiste salival sublingual (rnula);
Sialolithotomy; submandibular (submaxilar), sublingual o
partida, sin complicaciones, intraoral
La biopsia de glndula salival; aguja
La marsupializacin de quiste salival sublingual (rnula)
La escisin de la glndula partida o tumor parotdeo; lbulo
lateral, sin diseccin de los nervios
Escisin de tumor de la partida o la glndula partida, total,
con diseccin y preservacin del nervio facial
41520
RM N 689-2006-MINSA
41800
41805
RM N 689-2006-MINSA
41806
RM N 689-2006-MINSA
41820
41821

41822
41828
41830
41870
41872
41874
42000
42100
42104
42120
42140
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
42145
42180
42200
42205
RM N 689-2006-MINSA
42210
RM N 689-2006-MINSA
42226
42235
RM N 689-2006-MINSA
42260
42280
42281
42300
42325

RM N 689-2006-MINSA
RM N 689-2006-MINSA
42330
42400
42408
42409

42410
42420
RM N 689-2006-MINSA

con diseccin radical de cuello unilateral
Escisin de submandibular (submaxilar) glndula
La escisin de la glndula sublingual
Reparacin plstica del conducto salival, sialodochoplasty,
primarios o simples
Desviacin del conducto parotdeo, bilateral (procedimiento
Wilke tipo);
La dilatacin del conducto salival
La ligadura del conducto salival, intraoral
Incisin y drenaje de absceso, periamigdalino
Biopsia; orofaringe
Escisin o destruccin de lesin de faringe, cualquier
mtodo
Extraccin de cuerpo extrao en la faringe
Extirpacin quiste de la hendidura branquial o vestigio,
confinada a los tejidos cutneos y subcutneos
La amigdalectoma y adenoidectoma y menores de 12 aos
Amigdalectoma, primaria o secundaria, menores de 12
aos
La adenoidectoma, primaria, menores de 12 aos
La reseccin radical de amgdalas, pilares amigdalinos, y / o
trgono retromolar, sin cierre
Extirpacin de las amgdalas etiquetas
Extirpacin o destruccin amgdala lingual, cualquier
mtodo (procedimiento separado)
Faringectoma Limited
La reseccin de la pared lateral farngea o seno piriforme, el
cierre directo por el avance de las paredes farngeas
laterales y posteriores
La reseccin de la pared farngea que requieren cierre con
colgajo de msculo o fasciocutneo o libre, la piel o colgajo
fascial con anastomosis microvascular
Sutura faringe por herida o lesin
Faringoplastia (operacin plstica o reconstructiva en la
faringe)
Reparacin faringoesofgica
Faringostoma (fistulizacin de la faringe, para la
alimentacin externa)
Esophagotomy, abordaje cervical, con extirpacin de cuerpo
extrao
Miotoma del cricofarngeo
Esophagotomy, abordaje torcico, con extirpacin de cuerpo
extrao
Escisin de lesin, esfago, con la reparacin primaria,
abordaje cervical
Escisin de lesin, esfago, con la reparacin primaria,
abordaje torcico o abdominal
42426
42440
42450

42500
42507
RM N 689-2006-MINSA
42600
42650
42665
42700
42800

42808
42809
42810
42820
42825
RM N 689-2006-MINSA
42830
42842
RM N 689-2006-MINSA
42860
42870
RM N 689-2006-MINSA
42890
42892
42894
RM N 689-2006-MINSA
42900
RM N 689-2006-MINSA
42950
RM N 689-2006-MINSA
42953
42955
43020
43030
43045
43100
RM N 689-2006-MINSA
43101
RM N 689-2006-MINSA
Esofagectoma total o casi total, sin toracotoma; con

pharyngogastrostomy o esophagogastrostomy cervical, con
o sin piloroplastia (transhiatal)
43107
Esofagectoma total o casi total, sin toracotoma; con

interposicin de colon o reconstruccin intestino delgado,
incluyendo la movilizacin de intestino, preparacin y
anastomosis (es)
43108
Esofagectoma parcial, cervical, con injerto intestinal libre,

incluyendo anastomosis microvascular, la obtencin del
injerto y reconstruccin intestinal
43116
Esofagectoma parcial, dos tercios distales, con la

toracotoma y la incisin abdominal separada, con o sin
gastrectoma proximal; con esophagogastrostomy torcica,
con o sin piloroplastia (Ivor Lewis)
43117
RM N 689-2006-MINSA
Esofagectoma parcial, dos tercios distales, con toracotoma

e incisin abdominal por separado, con o sin gastrectoma
proximal, con interposicin de colon o intestino delgado
reconstruccin, incluida la movilizacin de intestino,
preparacin y anastomosis (es)
43118
RM N 689-2006-MINSA
43124
RM N 689-2006-MINSA
43130
43200
RM N 689-2006-MINSA
Esofagoscopia, rgido o flexible, con ecografa endoscpica
43231
RM N 689-2006-MINSA
La endoscopia digestiva alta, simple examen primario (por

ejemplo, con endoscopio flexible de dimetro pequeo)
43234
Endoscopia gastrointestinal superior incluyendo el esfago,

el estmago, y ya sea el duodeno y / o yeyuno, segn
corresponda; diagnstico, con o sin recogida de la muestra
(s) por cepillado o lavado (procedimiento separado)
43235
RM N 689-2006-MINSA

corresponda; con ecografa endoscpica, incluyendo el
esfago, el estmago, y ya sea el duodeno y / o yeyuno,
segn proceda
43259
La colangiopancreatografa retrgrada endoscpica (CPRE);

diagnstico, con o sin recoleccin de la muestra (s) por el
cepillado o lavado (procedimiento separado)
43260
43280
RM N 689-2006-MINSA
43300
Esofagectoma total o parcial, sin reconstruccin (cualquier

mtodo), con cervical esofagostoma
Diverticulectoma de hipofaringe o esfago, con o sin
miotoma; enfoque cervical
Esofagoscopia, rgido o flexible; diagnstico, con o sin
recoleccin de espcimen (s) por cepillado o lavado
La laparoscopia, ciruga, esofagogstrica fundoplasty (por

ejemplo, Nissen, Toupet procedimientos)
Esophagoplasty (reparacin o reconstruccin plstica),
abordaje cervical; sin reparacin de la fstula
traqueoesofgica

abordaje torcico; sin reparacin de la fstula
traqueoesofgica
43310
Esophagoplasty por defecto congnito, (reparacin o

reconstruccin plstica), abordaje torcico; sin reparacin
de la fstula traqueoesofgica congnita
43313
RM N 689-2006-MINSA
Esophagogastrostomy (cardioplastia), con o sin vagotoma y

piloroplastia, va transabdominal o transtorcica
43320
43324
43330
43331

RM N 689-2006-MINSA
43340
43350
Reconstruccin gastrointestinal para la esofagectoma

anterior, para obstruir lesin esofgica o fstula, o para la
exclusin de esfago anterior; con estmago, con o sin
piloroplastia
43360
RM N 689-2006-MINSA
Reconstruccin gastrointestinal por esofagectoma previa,

por obstruir la lesin esofgica o fstula, o por exclusin
esofgica anterior, con interposicin de colon o intestino
delgado reconstruccin, incluida la movilizacin de intestino,
preparacin y anastomosis (es)
43361
43400
43401
43405
43410
43415
RM N 689-2006-MINSA
43420
43450
La dilatacin de esfago, de sonido o sin gua bougie, pases

simples o mltiples; siguiente perodo de sesiones
43451
RM N 689-2006-MINSA
Taponamiento esofagogstrica, con globo (tipo Sengstaken)
43460
43496
RM N 689-2006-MINSA
43500
43501
43520
43605
43620

Esofagogstrica fundoplasty (por ejemplo, Nissen, Belsey

IV, Hill procedimientos)
Esofagomiotoma (Heller tipo); abordaje abdominal
Esofagomiotoma (Heller tipo); abordaje torcico
Esofagoyeyunostoma (sin Gastrectoma total); abordaje
abdominal
Esofagostoma, fistulizacin de esfago, externa; abordaje
abdominal
Ligadura de varices, directos, de esfago

Reseccin del esfago con la reparacin, por varices
esofgicas
Ligadura o engrapado en unin gastroesofgica para preexistente perforacin esofgica
Sutura de herida o lesin esofgica; abordaje cervical
Sutura de herida o lesin esofgica; aproximacin
transtorcica o transabdominal
Cierre de esofagostoma o fstula; abordaje cervical
La dilatacin de esfago, de sonido o sin gua bougie, pases
de uno o varios
Transferencia de yeyuno libre con anastomosis

microvascular
Gastrotoma, con la exploracin o extraccin de cuerpos
extraos
Gastrotoma; con la reparacin de sutura de la hemorragia
por lcera
Piloromiotoma, el corte del msculo pilrico (FredetRamstedt tipo de operacin)
La biopsia de estmago; por laparotoma
Gastrectoma, total, con esophagoenterostomy
Gastrectoma parcial, distal, con gastroduodenostoma

Vagotoma cuando se realiza con gastrectoma parcial distal
(lista por separado adems del cdigo [s] para el
43631
43635
43638
43640
43641
43644
RM N 689-2006-MINSA
43648
RM N 689-2006-MINSA
43651
RM N 689-2006-MINSA
43652
RM N 689-2006-MINSA
43653
RM N 689-2006-MINSA
43750
43760
RM N 689-2006-MINSA
43800
43810
43820

43830
43831
43840
Procedimiento gstrico restrictivo sin bypass gstrico para la

obesidad mrbida, la gastroplastia vertical con banda
43842
Procedimiento gstrico restrictivo, con la derivacin gstrica

para la obesidad mrbida, con rama corta (150 cm o menos)
Roux-en-Y gastroenterostoma
43846
RM N 689-2006-MINSA
Revisin, abierto, de procedimiento gstrico restrictivo para

obesidad mrbida, que no sea restrictivo gstrico ajustable
dispositivo (procedimiento separado)
43848
RM N 689-2006-MINSA
Revisin de anastomosis gastroduodenal

(gastroduodenostoma) con la reconstruccin; sin vagotoma
43850
Revisin de anastomosis gastroyeyunal

(gastroyeyunostoma) con la reconstruccin, con o sin
gastrectoma parcial o reseccin intestinal, sin vagotoma
43860
RM N 689-2006-MINSA
El cierre de la gastrostoma, quirrgicos

Cierre de fstula gastroclico
43870
43880

Gastrectoma, el enfoque parcial, proximal, torcica o

abdominal incluyendo esophagogastrostomy, con
vagotoma;
Vagotoma incluyendo piloroplastia, con o sin gastrostoma;
troncal o selectiva
Vagotoma incluyendo piloroplastia, con o sin gastrostoma;
clula parietal (altamente selectiva)
La laparoscopa, procedimiento quirrgico, gstrico
restrictivo, con el bypass gstrico Roux-en-y-Y
gastroenterostoma (rama de Roux de 150 cm o menos)
La laparoscopia, ciruga, revisin o eliminacin de los
electrodos neuroestimulador antro gstrico,
La laparoscopia, ciruga, transeccin del nervio vago,
troncular
selectiva o altamente selectivo
La laparoscopia, ciruga, gastrostoma, sin construccin de
tubo gstrico (por ejemplo, el procedimiento de Stamm)
Percutnea colocacin de sonda de gastrostoma
Cambio del tubo de gastrostoma percutnea, sin imgenes
o gua endoscpica
Piloroplastia
Gastroduodenostoma
Gastroyeyunostoma; sin vagotoma
Gastrostoma, abierto, sin construccin de tubo gstrico (por
ejemplo, el procedimiento de Stamm) (procedimiento
separado)
Gastrostoma, abierta; neonatal, para alimentar
Gastrorrhaphy, sutura de la lcera duodenal o gstrica
perforada, herida o lesin
Enterlisis (liberacin de adherencia intestinal)

Duodenotoma, para la exploracin, la biopsia (s), o
extraccin de cuerpos extraos
Tubo de yeyunostoma o catter de aguja para alimentacin
enteral, intraoperatoria, cualquier mtodo (Lista por
separado adems de procedimiento primario)
Enterotoma, intestino delgado, que no sea el duodeno; para
la exploracin, la biopsia (s), o extraccin de cuerpos
extraos
Colotoma, para la exploracin, la biopsia (s), o extraccin
de cuerpos extraos
Reduccin de vlvulo, invaginacin intestinal, hernia interna,
por laparotoma
Correccin de malrotacin por lisis de las bandas
duodenales y / o reduccin de intestino medio volvulus (por
ejemplo, procedimiento de Ladd)
Enterectoma, la reseccin del intestino delgado, reseccin y
anastomosis nico
Enterectoma, la reseccin del intestino delgado para atresia
congnita, la reseccin y anastomosis de un solo segmento
proximal del intestino; sin conicidad
Enteroenterostoma, anastomosis de intestino, con o sin
enterostoma cutnea (procedimiento separado)
Enteroenterostoma, anastomosis de intestino; bypass
intestinal para la obesidad mrbida
Enterectoma Donante (incluida la conservacin en fro),
abierta, de donante cadver
Enterectoma Donante (incluida la conservacin en fro),
abierta, parcial, a partir de donante vivo
Alotrasplante intestinal; de donante cadver
Movilizacin (desmontaje) de la flexura esplnica realiza en
conjuncin con colectoma parcial (Lista por separado
adems de procedimiento primario)
Colectoma parcial, con anastomosis
Colectoma, total, abdominal, sin proctectoma, con
ileostoma o ileoproctostomy
Colectoma, total, abdominal, con proctectoma, con
ileostoma
Colectoma parcial, con la eliminacin de leon terminal con
ileocolostoma
La laparoscopia, ciruga; enterolisis (liberacin de
adherencia intestinal) (procedimiento separado)
La laparoscopia, ciruga, yeyunostoma (por ejemplo, para la
descompresin o alimentacin)
La laparoscopia, ciruga; enterectoma, la reseccin del
intestino delgado, solo reseccin y anastomosis
La laparoscopia, ciruga, colectoma parcial con
anastomosis
La laparoscopia, ciruga, colectoma parcial, con la
eliminacin de leon terminal con ileocolostoma
La laparoscopia, ciruga, colectoma, total, abdominal, sin
proctectoma, con ileostoma o ileoproctostomy
44005
44010
44015
44020
44025
44050
44055
44120
44126
RM N 689-2006-MINSA
44130
44131
44132
RM N 689-2006-MINSA
44133
RM N 689-2006-MINSA
44135
RM N 689-2006-MINSA
44139
44140
44150
44155
44160
RM N 689-2006-MINSA
44200
RM N 689-2006-MINSA
44201
RM N 689-2006-MINSA
44202
RM N 689-2006-MINSA
44204
RM N 689-2006-MINSA
44205
RM N 689-2006-MINSA
44210
RM N 689-2006-MINSA
La laparoscopia, ciruga, colectoma, total, abdominal, con

proctectoma, con ileostoma
Colocacin, enterostoma o cecostoma, tubo abierto (por
ejemplo, para la alimentacin o la descompresin)
Revisin de la ileostoma; simple (liberacin de la cicatriz
superficial) (procedimiento separado)
Revisin de la ileostoma; complicada (reconstruccin en
profundidad) (procedimiento separado)
Continente ileostoma (Kock procedimiento) (procedimiento
separado)
Colostoma o cecostoma nivel de la piel;
Revisin de colostoma; simple (liberacin de la cicatriz
superficial) (procedimiento separado)
Revisin de colostoma; complicada (reconstruccin en
profundidad) (procedimiento separado)
44212
RM N 689-2006-MINSA
44300
RM N 689-2006-MINSA
44310
RM N 689-2006-MINSA
44312
RM N 689-2006-MINSA
44314
RM N 689-2006-MINSA
44316
RM N 689-2006-MINSA
44320
44340
44345
RM N 689-2006-MINSA
Small intestinal endoscpica, la enteroscopia ms all de la

segunda porcin del duodeno, leon no incluidos;
diagnstico, con o sin recogida de la muestra (s) por
44360
RM N 689-2006-MINSA

segunda porcin del duodeno, incluyendo leon; diagnstico,
con o sin recogida de la muestra (s) por cepillado o lavado
44376
RM N 689-2006-MINSA

segunda porcin del duodeno, incluyendo leon, con biopsia,
nica o mltiple
44377
RM N 689-2006-MINSA
Ileoscopia, a travs del estoma; diagnstico, con o sin

recogida de la muestra (s) por cepillado o lavado
44380
RM N 689-2006-MINSA
La evaluacin endoscpica de intestino delgado (abdominal

o plvica) bolsa; diagnstico, con o sin recoleccin de la
muestra (s) por el cepillado o lavado (procedimiento
separado)
44385
RM N 689-2006-MINSA
44388
RM N 689-2006-MINSA
44500
RM N 689-2006-MINSA
44602
44604
44615
44620
44640
44650

44660
Colonoscopia a travs del estoma; diagnstico, con o sin

recoleccin de la muestra (s) por el cepillado o lavado
Introduccin del tubo gastrointestinal largo (por ejemplo,
Miller-Abbott) (procedimiento separado)
Sutura de intestino delgado (enterorrhaphy) por lcera
perforada, divertculo, herida, lesin o ruptura; sola
perforacin
La sutura de intestino grueso (colorrhaphy) para lcera
perforada, divertculo, herida, lesin o rotura (perforaciones
simples o mltiples); sin colostoma
Estricturoplastia intestinal (enterotoma y enterorrhaphy) con
o sin dilatacin, por obstruccin intestinal
Cierre de enterostoma, intestino grueso o delgado;
Cierre de fstula cutnea intestinal
Cierre de fstula enteroentrica o enteroclicas
Cierre de fstula enterovesical; sin reseccin intestinal o de
la vejiga
Plicatura intestinal (procedimiento separado)

Exclusin de intestino delgado de la pelvis por el tejido de la
prtesis, o nativos de malla o de otro tipo (por ejemplo, la
vejiga o el epipln)
44680
44700
RM N 689-2006-MINSA
44715
RM N 689-2006-MINSA
44720
RM N 689-2006-MINSA
44800
Escisin de lesin de mesenterio (procedimiento separado)
44820
RM N 689-2006-MINSA
Sutura de mesenterio (procedimiento separado)

Incisin y drenaje de absceso apendicular, abierto
44850
44900
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Incisin y drenaje de absceso apendicular; percutnea
44901
RM N 689-2006-MINSA
Apendicectoma;
Apendicectoma, por la ruptura del apndice con absceso o
peritonitis generalizada
Laparoscopia, apendicectoma quirrgico,
Drenaje de absceso plvico transrectal
Incisin y drenaje de absceso submucoso recto,
Incisin y drenaje de supraelevador profundo, pelvirectal o
absceso retrorectal
La biopsia de la pared anorrectal, el enfoque anal (por
ejemplo, megacolon congnito)
Proctectoma; abdominoperineal completo, combinado con
colostoma
Proctectoma, parcial, con mucosectoma rectal,
anastomosis ileoanal, creacin de reservorio ileal (S o J),
con o sin la ileostoma
Proctectoma, parcial con anastomosis; abordaje abdominal
y transsacral
44950
44960
44970
45000
45005
RM N 689-2006-MINSA
RM N 689-2006-MINSA
45020
RM N 689-2006-MINSA
45100
45108
RM N 689-2006-MINSA
45110
45113
RM N 689-2006-MINSA
45114
Proctectoma, combinada abdominoperineal pull-through

procedimiento (por ejemplo, colo-anal anastomosis), con la
creacin del embalse de colon (por ejemplo, J-pouch), con
desvo de enterostoma cuando se realiza
45119
RM N 689-2006-MINSA
Proctectoma, completa (por megacolon congnito),

abordaje abdominal y perineal, con pull-through
procedimiento y anastomosis (por ejemplo, Swenson,
Duhamel, u operacin tipo Soave)
45120
Proctectoma, parcial, sin anastomosis, abordaje perineal
45123
RM N 689-2006-MINSA
45130
45160
Preparacin sin cartera estndar de vida del aloinjerto de

cadver o donante intestino antes del trasplante, incluyendo
la movilizacin y la forja de la arteria mesentrica superior y
vena
Reconstruccin sin cartera de donante vivo o cadver
aloinjerto intestino antes del trasplante; anastomosis
venosa, cada
Escisin del divertculo de Meckel (diverticulectoma) o
conducto onfalomesentrico
Escisin de procidencia rectal, con anastomosis; abordaje

perineal
Escisin de tumor rectal por proctotomy, el enfoque
transsacral o trascoccgea
Destruccin del tumor rectal (por ejemplo,

electrodesecacin, electrociruga, ablacin lser, reseccin
con lser, criociruga) abordaje transanal
45190
RM N 689-2006-MINSA
Proctosigmoidoscopia, rgido; diagnstico, con o sin

recogida de la muestra (s) por cepillado o lavado
45300
La sigmoidoscopia flexible, diagnstico, con o sin

recoleccin de la muestra (s) por el cepillado o lavado
45330
RM N 689-2006-MINSA
La sigmoidoscopia flexible, con ecografa endoscpica
45341
RM N 689-2006-MINSA
45355
RM N 689-2006-MINSA
45500
45520
RM N 689-2006-MINSA
45540
45541
RM N 689-2006-MINSA
45550
45560
45800
45820

45900
RM N 689-2006-MINSA
45915
46040
RM N 689-2006-MINSA
46045
RM N 689-2006-MINSA
46050
46070

RM N 689-2006-MINSA
46080
46083
46200
46210
46220

46221
Hemorroidectoma, exteriores, 2 o ms columnas / groups
46250
RM N 689-2006-MINSA
Hemorroidectoma, interna y externa, sola columna / grupo;
46255
RM N 689-2006-MINSA
46257
RM N 689-2006-MINSA
46258
RM N 689-2006-MINSA
La colonoscopia, rgido o flexible, transabdominal a travs

de colotoma, simple o mltiple
Proctoplasty; para la estenosis
Perirrectal inyeccin de solucin esclerosante para prolapso
Proctopexy (por ejemplo, para el prolapso); abordaje
abdominal
Proctopexy (por ejemplo, para el prolapso); va perineal
Proctopexy (por ejemplo, para el prolapso), con reseccin
sigmoidea, abordaje abdominal
La reparacin de rectocele (procedimiento separado)
Cierre de fstula rectovesical;
Cierre de fstula rectouretral;
Reduccin de la procidencia (procedimiento separado) bajo
anestesia
La eliminacin de la impactacin fecal o cuerpo extrao
(procedimiento separado) bajo anestesia
Incisin y drenaje de absceso isquiorrectal y / o perirrectal
Incisin y drenaje de absceso intramural, intramuscular o
submucoso, transanal, bajo anestesia
Incisin, septum anal (infantil)
La esfinterotoma, la divisin anal, de esfnter
Incisin de trombosis hemorroidal, externo
Fisurectoma, incluyendo la esfinterotoma, cuando se
realiza
Cryptectomy; solo
Escisin de papila solo externo o etiqueta, el ano
Hemorroidectoma, interno, por ligadura con banda de goma
(s)
Hemorroidectoma, interna y externa, sola columna / grupo,

con fisurectoma
Hemorroidectoma, interna y externa, sola columna / grupo;
con fistulectoma, incluyendo fisurectoma, cuando se
realiza
El tratamiento quirrgico de la fstula anal (fistulectoma /

fistulotoma), subcutnea
Cierre de fstula anal con colgajo de avance rectal
Escisin de trombosis hemorroidal, externo
La inyeccin de solucin esclerosante, hemorroides
46270
46288
46320
46500
RM N 689-2006-MINSA
RM N 689-2006-MINSA
46600
46700
46705

RM N 689-2006-MINSA
46715
RM N 689-2006-MINSA
46730
RM N 689-2006-MINSA
46735
RM N 689-2006-MINSA
46744
46750
46753
46754
46900
Destruccin de las hemorroides, cualquier mtodo; interno
46934
La criociruga de tumor rectal; benigna
46937
Curetaje o cauterizacin de fisura anal, incluyendo dilatacin

del esfnter anal (procedimiento separado); inicial
46940
RM N 689-2006-MINSA
46945
RM N 689-2006-MINSA
47000
47010
47011
RM N 689-2006-MINSA
47015
47100
47120
47122

RM N 689-2006-MINSA
47125
RM N 689-2006-MINSA
47130
RM N 689-2006-MINSA
47133
RM N 689-2006-MINSA
Anoscopia; diagnstico, con o sin recoleccin de la muestra

(s) por el cepillado o lavado (procedimiento separado)
Anoplastia, operacin en la estenosis de plstico, adulto
Anoplastia, operacin en la estenosis de plstico; infantil
Reparacin de ano imperforado bajo, con fstula anoperineal
(cut-back procedimiento)
Reparacin de ano imperforado alto sin fstula, va perineal
o sacroperineal
Reparacin de ano imperforado alto sin fstula; enfoques
combinados transabdominal y sacroperineal
Reparacin de anomala cloacal por anorectovaginoplasty y
uretroplastia, enfoque sacroperineal
Esfinteroplastia, anales para la incontinencia o prolapso;
adulto
Injerto (operacin Thiersch) para la incontinencia rectal y / o
prolapso
La eliminacin de Thiersch alambre o hilo de sutura, canal
anal
Destruccin de lesin (s), ano (por ejemplo, condiloma,
papiloma, el molusco contagioso, vescula herptica) simple;
qumico
Hemorroidectoma, interno, por otra ligadura de banda

elstica, columna hemorroides individual / grupo
La biopsia de hgado, aguja; percutnea
Hepatotomy; para el drenaje abierto de absceso o quiste, 1
o 2 etapas
Hepatotomy; para el drenaje percutneo de absceso o
quiste, 1 o 2 etapas
Laparotoma, con aspiracin y / o inyeccin de heptica
parasitaria (por ejemplo, amebiana o equinoccica) quiste
(s) o absceso (es)
La biopsia de hgado, cua
Hepatectoma, reseccin del hgado; lobectoma parcial
Hepatectoma, reseccin del hgado; trisegmentectomy
Hepatectoma, reseccin del hgado; lobectoma izquierda
totales
Hepatectoma, reseccin del hgado; lobectoma total
derecha
Hepatectoma del donante (incluida la conservacin en fro),
de donante cadver
Alotrasplantes hgado; donante ortotpico, parcial o total, de

cadver o de vivir, cualquier edad
a partir de donante vivo; segmento lateral izquierdo
solamente (segmentos II y III)
La marsupializacin de quiste o absceso de hgado
Tratamiento de la hemorragia del hgado; exploracin de la
herida heptica, desbridamiento extenso, la coagulacin y /
o sutura, con o sin embalaje de hgado
Manejo de la hemorragia del hgado; re-exploracin de la
herida heptica para la eliminacin del embalaje
La laparoscopia, ablacin quirrgica, de tumor de hgado 1 o
ms (s); radiofrecuencia
Hepaticotomy o hepaticostomy con la exploracin, drenaje o
extirpacin de clculo
47135
RM N 689-2006-MINSA
47140
RM N 689-2006-MINSA
47300
47361
47362
47370
RM N 689-2006-MINSA
47400
Coledocotoma o choledochostomy con la exploracin,

drenaje o extraccin de clculos, con o sin cholecystotomy;
sin esfinterotoma transduodenal o esfinteroplastia
47420
Esfinterotoma transduodenal o esfinteroplastia, con o sin

extraccin transduodenal de clculo (procedimiento
separado)
47460
Cholecystotomy o colecistostoma con la exploracin,

drenaje o extirpacin de clculo (procedimiento separado)
47480
47490
RM N 689-2006-MINSA
47510
RM N 689-2006-MINSA
47511
RM N 689-2006-MINSA
47525
47530
RM N 689-2006-MINSA
RM N 689-2006-MINSA
47550
RM N 689-2006-MINSA
Endoscopia biliar, tracto percutneo a travs del tubo en T o

de otro tipo; diagnstico, con o sin recogida de la muestra
(s) por cepillado y / o lavado (procedimiento separado)
47552
RM N 689-2006-MINSA
La laparoscopia, ciruga, colecistectoma
47562
RM N 689-2006-MINSA
La laparoscopia, ciruga, colecistectoma con colangiografa
47563
RM N 689-2006-MINSA
47564
RM N 689-2006-MINSA
47570
47600
47605
47610
RM N 689-2006-MINSA
RM N 689-2006-MINSA
47700
RM N 689-2006-MINSA
47701
47715
RM N 689-2006-MINSA
Percutnea colecistostoma
Introduccin del catter transheptica percutnea para el
drenaje biliar
Introduccin de stent transheptica percutnea para el
drenaje biliar interno y externo
Cambio del catter de drenaje percutneo biliar
Revisin y / o reinsercin del tubo transheptica
Biliar endoscpica, intraoperatorias (coledocoscopia) (Lista
por separado adems del cdigo para el procedimiento
primario)
La laparoscopia, ciruga, colecistectoma con exploracin

del conducto comn
La laparoscopia, ciruga; cholecystoenterostomy
La colecistectoma;
Colecistectoma, con colangiografa
La colecistectoma con exploracin del conducto comn;
Exploracin de atresia congnita de los conductos biliares,
sin reparacin, con o sin biopsia de hgado, con o sin
colangiografa
Portoenterostoma (por ejemplo, procedimiento de Kasai)
Excisin de quiste de coldoco
Cholecystoenterostomy; directa
Anastomosis de los conductos biliares extrahepticos y
tracto gastrointestinal
Anastomosis de los conductos intrahepticos y tracto
gastrointestinal
Reconstruccin, de plstico, de los conductos biliares
extrahepticos con anastomosis de extremo a extremo
La colocacin de stent coldoco
La colocacin de drenajes, peripancretica, para la
pancreatitis aguda;
Reseccin o desbridamiento de pncreas y el tejido peripancretica en la pancreatitis aguda necrotizante
La eliminacin del clculo de pncreas
La biopsia de pncreas, abierto (por ejemplo, aspiracin,
con aguja fina, biopsia con aguja gruesa, biopsia en cua)
La biopsia de pncreas, percutnea con aguja
Escisin de lesin de pncreas (por ejemplo, quiste,
adenoma)
Pancreatectoma distal subtotal, con o sin esplenectoma,
sin pancreaticoyeyunostoma
La escisin de la ampolla de Vater
La pancreatectoma proximal subtotal con duodenectomy
total, gastrectoma parcial, choledochoenterostomy y
gastroyeyunostoma (Whipple tipo de procedimiento), con
pancreatoyeyunostoma
Pancreatectoma, total
Pancreatectoma, total o subtotal, con el trasplante autlogo
de clulas de los islotes del pncreas o pancretico
Pancreaticoyeyunostoma, de lado a lado anastomosis
(Puestow-tipo de operacin)
La marsupializacin de quiste pancretico
Drenaje externo, pseudoquiste de pncreas, abierto
Drenaje externo, pseudoquiste de pncreas; percutnea
Anastomosis interna del quiste pancretico en el tracto
gastrointestinal; directa
Anastomosis interna del quiste pancretico en el tracto
gastrointestinal; Roux-en-Y
Pancreatorrhaphy por lesiones
Exclusin duodenal con gastroyeyunostoma de dao
pancretico
Pancreatectoma Donante (incluida la conservacin en fro),
con o sin segmento duodenal para el trasplante
El trasplante de aloinjerto de pncreas
La laparotoma exploradora, exploratorio laparotoma con o
sin biopsia (s) (procedimiento separado)
Exploracin, rea retroperitoneal con o sin biopsia (s)
Drenaje de absceso peritoneal o peritonitis localizada,
exclusivo de absceso apendicular, abierto
47720
47760
47765
47800
47801
48000
48005
48020
48100
48102
48120
48140
48148
48150
48155
48160
RM N 689-2006-MINSA
48180
48500
48510

48511
RM N 689-2006-MINSA
48520
48540
RM N 689-2006-MINSA
48545
48547
48550
RM N 689-2006-MINSA
48554
RM N 689-2006-MINSA
49000
49002
RM N 689-2006-MINSA
49010
RM N 689-2006-MINSA
49020
Drenaje de absceso peritoneal o peritonitis localizada,

exclusivo de absceso apendicular; percutnea
Drenaje de absceso retroperitoneal, abierto
Drenaje de absceso retroperitoneal; percutnea
El drenaje de linfocele extraperitoneal a la cavidad
peritoneal, abra
Lavado Peritoneocentesis, paracentesis abdominal, o
peritoneal (diagnstico o teraputico); inicial
Extraccin de cuerpo extrao peritoneal de la cavidad
peritoneal
Biopsia, masa abdominal o retroperitoneal, aguja
percutnea
Extirpacin o destruccin, los tumores abiertos, intraabdominal o retroperitoneal o quistes o endometriomas;
Escisin de tumor presacro o sacrococcgea
49021
49060
49061
RM N 689-2006-MINSA
RM N 689-2006-MINSA
49062
49080
RM N 689-2006-MINSA
49085
49180
49200
49215
49220
49250
49255
49320
RM N 689-2006-MINSA
49321
RM N 689-2006-MINSA
49322
RM N 689-2006-MINSA
49323
RM N 689-2006-MINSA
49325
RM N 689-2006-MINSA
49420
RM N 689-2006-MINSA
49421
RM N 689-2006-MINSA
49423
RM N 689-2006-MINSA
Contraste de inyeccin para la evaluacin de absceso o

quiste a travs de catter de drenaje previamente colocado
o tubo (procedimiento separado)
49424
RM N 689-2006-MINSA
Reparacin, hernia inguinal inicial, recin nacido a trmino

completo menores de 6 meses, o ms de 50 bebs
prematuros edad postconception semanas y menores de 6
meses en el momento de la ciruga, con o sin
hidrocelectoma reducibles;
49495
Laparotoma de clasificacin para la enfermedad de

Hodgkin o linfoma (incluye biopsias esplenectoma, una
aguja o de ambos lbulos hepticos, posiblemente, tambin
la eliminacin de nodos linfticos abdominales, abdominal
y / o biopsias de mdula sea, de ovario reposicionamiento)
Umbilectomy, omphalectomy, la escisin del ombligo
Omentectoma, epiploectomy, la reseccin del epipln
La laparoscopia, el abdomen, el peritoneo y epipln,
diagnstico, con o sin recoleccin de espcimen (s) por
La laparoscopia, ciruga, con biopsia (simple o mltiple)
La laparoscopia, ciruga, con la aspiracin de la cavidad o
quiste (por ejemplo, un quiste de ovario) (uno o varios)
La laparoscopia, ciruga, con drenaje de linfocele a la
cavidad peritoneal
La laparoscopia, ciruga, con la revisin de la cnula
colocada previamente intraperitoneal o catter, con la
eliminacin de material de obstruccin intraluminal si se
realiza
La insercin de la cnula o catter intraperitoneal para
drenaje o dilisis; temporal
La insercin de la cnula o catter intraperitoneal para
drenaje o dilisis; permanente
Intercambio de absceso previamente colocados o catter de
drenaje del quiste bajo gua radiolgica (procedimiento
separado)
Reparacin, hernia inguinal inicial, recin nacido a trmino

completo menores de 6 meses de edad o infantes
prematuros mayores de 50 aos de edad postconception
semanas y menores de 6 meses de edad en el momento de
la ciruga, con o sin hidrocelectoma, encarcelada o
estrangulada
49496
Reparacin de la hernia lumbar

Reparacin de la hernia incisional recurrente o ventral;
reducible
Reparacin de la hernia incisional recurrente o ventral;
encarcelada o estrangulada
Reparacin de la hernia epigstrica (por ejemplo, grasa
preperitoneal); reducible (procedimiento separado)
Reparacin de la hernia epigstrica (por ejemplo, grasa
preperitoneal), encarcelado o estrangulada
Reparacin de hernia umbilical, menores de 5 aos;
reducible
Reparacin de hernia umbilical, menores de 5 aos de
edad; encarcelada o estrangulada
Reparacin de la hernia de Spiegel
Reparacin de onfalocele pequeo, con cierre primario
Reparacin de onfalocele grande o gastrosquisis, con o sin
prtesis
Reparacin de onfalocele (operacin tipo Bruto), primera
etapa
49540
49565
49566
RM N 689-2006-MINSA
49570
49572
49580
49582
49590
49600

49605
RM N 689-2006-MINSA
49610
RM N 689-2006-MINSA
La laparoscopia, ciruga, reparacin de hernia inguinal inicial
49650
RM N 689-2006-MINSA
La laparoscopia, la reparacin quirrgica, ventral, umbilical,

hernia de Spiegel o epigstrico (incluye malla de insercin,
cuando se realiza); encarcelada o estrangulada
49653
RM N 689-2006-MINSA
49900
50010
RM N 689-2006-MINSA
50020
50021
50040
50045
50060

50080
50120
50125

RM N 689-2006-MINSA
50130
RM N 689-2006-MINSA
50200
50205

50220
Sutura, secundaria, de pared abdominal por evisceracin o

dehiscencia
Exploracin renal, que no requiere otros procedimientos
especficos
El drenaje de absceso perirrenal o renal; abrir
El drenaje de absceso perirrenal o renal; percutnea
Nefrostoma, nefrotoma con drenaje
Nefrotoma, con la exploracin
Nefrolitotoma, la eliminacin del clculo
Percutnea o nefrostolitotoma pyelostolithotomy, con o sin
dilatacin, endoscopia, litotricia, la colocacin de stents o
extraccin canasta, puede tener hasta 2 cm
Pielotoma, con la exploracin
Pielotoma; con drenaje, pielostoma
Pielotoma, con extraccin de clculos (pielolitotoma,
pelviolithotomy, incluyendo cogulos pielolitotoma)
La biopsia renal; percutnea, por trocar o aguja
La biopsia renal, por la exposicin quirrgica del rin
Nefrectoma, incluyendo ureterectoma parcial, cualquier
enfoque abierto, incluyendo reseccin de la costilla;

enfoque abierto, incluyendo reseccin de la costilla; radical,
con linfadenectoma regional y / o trombectoma de vena
cava
Nefrectoma parcial
La escisin o la decorticacin de quiste (s) de rin
Nefrectoma del donante (incluida la conservacin en fro), a
partir de donante cadver, unilateral o bilateral
Nefrectoma del donante (incluida la conservacin en fro),
abierto, de donante vivo
Alotrasplante renal, la implantacin de injerto, con
destinatario nefrectoma
Aspiracin y / o inyeccin de quiste renal o la pelvis por
aguja, percutnea
Introduccin de intracatheter o catter en la pelvis renal para
el drenaje y / o de inyeccin, percutnea
Inyeccin procedimiento para pielografa (como
nefrostograma, pyeloureterograms pyelostogram,
antergrada) a travs de nefrostoma o sonda pielostoma o
sonda permanente ureteral
Introduccin de gua en la pelvis renal y / o urter con
dilatacin del tracto de nefrostoma para establecer,
percutnea
Estudios manomtricos a travs de nefrostoma o sonda
pielostoma o sonda permanente ureteral
La pieloplastia (Foley Y-pieloplastia), el funcionamiento de
plstico en la pelvis renal, con o sin operacin plstica en
urter, nefropexia, nefrostoma, pielostoma o frula ureteral,
simple
Nephrorrhaphy, sutura de herida o lesin renal
Cierre de fstula nephrocutaneous o pyelocutaneous
Cierre de fstula nephrovisceral (por ejemplo, renoclica),
incluyendo la reparacin visceral; abordaje abdominal
Sinfisiotoma de rin en herradura con o sin pieloplastia y /
o procedimiento de otro plstico, unilateral o bilateral (1
operacin)
La laparoscopia, ciruga, ablacin de quistes renales
La laparoscopia, ciruga, ablacin de la lesin tumoral renal
(s)
La laparoscopia, ciruga, nefrectoma parcial
La laparoscopia, ciruga, pieloplastia
La laparoscopia, ciruga, nefrectoma radical (incluye la
eliminacin de la fascia de Gerota y el tejido adiposo
circundante, extirpacin de los ganglios linfticos regionales,
y adrenalectoma)
La laparoscopia, ciruga, nefrectoma, incluyendo
ureterectoma parcial
La laparoscopia, ciruga, nefrectoma de donante (incluida
su conservacin en fro), a partir de donante vivo
Renal endoscopia a travs de nefrostoma o pielostoma
establecido, con o sin riego, la instilacin, o
ureteropielografa, exclusivo de servicio radiolgico;
La litotricia ondas de choque extracorpreas
50230
50240
50280

50300
RM N 689-2006-MINSA
50320
RM N 689-2006-MINSA
50365
RM N 689-2006-MINSA
50390
50392
RM N 689-2006-MINSA
50394
RM N 689-2006-MINSA
50395
RM N 689-2006-MINSA
50396
RM N 689-2006-MINSA
50400
50500
50520

50525
50540
50541
RM N 689-2006-MINSA
50542
RM N 689-2006-MINSA
50543
50544
RM N 689-2006-MINSA
RM N 689-2006-MINSA
50545
RM N 689-2006-MINSA
50546
RM N 689-2006-MINSA
50547
RM N 689-2006-MINSA
50551
50590
Ureterotoma con la exploracin o drenaje (procedimiento

separado)
Ureterotoma para la insercin del stent permanente, todos
los tipos
Ureterolitotoma; tercio superior del urter
Ureterectoma, urter total, ectpico, combinacin
abdominal, vaginal y / o perineal enfoque
Ureteroplasty, operacin plstica en el urter (por ejemplo,
estenosis)
Ureterolisis, con o sin reposicionamiento del urter durante
la fibrosis retroperitoneal
Revisin de anastomosis urinaria cutnea (cualquier tipo de
urostoma);
50600
50605
RM N 689-2006-MINSA
50610
50660
50700
50715
50727
Ureteropielostoma, anastomosis del urter y la pelvis renal
50740
Ureteroureterostoma
Ureteroneocistostoma; anastomosis del urter a la vejiga
nico
Ureteroenterostomy, anastomosis directa del urter al
intestino
Ureterosigmoidostoma, con la creacin de la vejiga
sigmoide y el establecimiento de colostoma abdominal o
perineal, incluyendo anastomosis intestinal
50760
50780
50800
50810
50830
50840
50845
50860

RM N 689-2006-MINSA
Ureterorrhaphy, sutura del urter (procedimiento separado)
50900
Cierre de fstula ureterocutneas

Cierre de fstula ureterovisceral (incluyendo la reparacin
visceral)
Deligation de urter
La laparoscopia, ciruga; ureterolitotoma
La laparoscopia, ciruga; ureteroneocistostoma con
cistoscopia y colocacin de stent ureteral
Ureteral endoscopia a travs de ureterostoma establecido,
con o sin riego, la instilacin, o ureteropielografa, exclusivo
de servicio radiolgico;
La aspiracin de la vejiga por aguja
La aspiracin de la vejiga; con insercin de catter
suprapbico
Cistostoma o cistostoma; con fulguracin y / o insercin de
materiales radiactivos
Cistolitotoma, cistostoma con extraccin de clculos, sin
reseccin del cuello vesical
Transvesical ureterolitotoma
El drenaje de absceso espacio perivesical o prevesical
50920
50930
50940
50945

RM N 689-2006-MINSA
50947
RM N 689-2006-MINSA
50951
51000
51010
RM N 689-2006-MINSA
51020
51050
51060
51080
RM N 689-2006-MINSA
La reconversin urinaria (por ejemplo, la retirada del

conducto ureteroileal ureterosigmoidostoma o
ureteroenterostomy con ureteroureterostoma o
ureteroneocistostoma)
El reemplazo de todo o parte del urter por segmentos de
intestino, incluyendo anastomosis del intestino
Cutnea appendico-vesicostoma
Ureterostoma, el trasplante de piel a urter
Excisin de quiste de uraco o sinusal, con o sin reparacin

de hernia umbilical
La cistectoma parcial, simple
Cistectoma, completo, (procedimiento separado)
Cistectoma, completo, con linfadenectoma plvica bilateral,
incluyendo ilaca externa, hipogstrica, y los ganglios
obturadores
Cistectoma, completo, con ureterosigmoidostoma o
trasplantes ureterocutneas;
51500
51550
51570

51575
51580
51585
51700
51705

RM N 689-2006-MINSA
51725
51736
51800
51840
51845
51860
51880
51900
51940
51960
51980

51990
RM N 689-2006-MINSA
Operacin de cabestrillo para la incontinencia de esfuerzo

(por ejemplo, la fascia o sintticos); laparoscopia, ciruga
51992
RM N 689-2006-MINSA
Cistouretroscopia (procedimiento separado)
52000
Cistouretroscopia, con dilatacin de la vejiga para la cistitis

intersticial, general o de conduccin (espinal) anestesia
52260
RM N 689-2006-MINSA
Cistouretroscopia, con la calibracin y / o dilatacin de la

estenosis uretral o estenosis, con o sin meatotoma, con o
sin procedimiento de inyeccin para cistografa, macho o
hembra
52281
RM N 689-2006-MINSA
Cistouretroscopia, con insercin de stent uretral permanente
52282
RM N 689-2006-MINSA
Cistouretroscopia, con la inyeccin de esteroides en la

estenosis
52283
RM N 689-2006-MINSA
Cistectoma, completo, con ureterosigmoidostoma o

trasplantes ureterocutneas, con linfadenectoma plvica
bilateral, incluyendo ilaca externa, hipogstrica, y los
ganglios obturadores
Irrigacin de la vejiga, simple, lavado y / o instilacin
Cambio del tubo de cistostoma, simple
Cistometrograma Simple (CMG) (manmetro por ejemplo, la
columna vertebral)
Flujometra simple (UFR) (por ejemplo, cronmetro caudal,
uroflujmetro mecnica)
Cistoplastia o cystourethroplasty, el funcionamiento de
plstico en la vejiga y / o del cuello vesical (Y-plastia
anterior, reseccin vesical fondo), cualquier procedimiento,
con o sin reseccin en cua del cuello vesical posterior
Anterior vesicouretropexia o uretropexia (por ejemplo,
Marshall-Marchetti-Krantz, Burch); sencillo
Abdomino-vaginal suspensin del cuello vesical, con o sin
control endoscpico (por ejemplo, Stamey, Raz, modificado
Pereyra)
Cystorrhaphy, sutura de herida vejiga, lesin o ruptura,
simple
Cierre de cistostoma (procedimiento separado)
Cierre de fstula vesico-vaginal, va abdominal
Cierre, extrofia de la vejiga
Enterocistoplastia, incluyendo anastomosis intestinal
Vesicostoma cutnea
La laparoscopia, ciruga, suspensin uretral para la
incontinencia de esfuerzo
Cistouretroscopia, con remocin de cuerpo extrao, clculo,

o stent ureteral desde la uretra o la vejiga (procedimiento
separado); sencillo
52310
RM N 689-2006-MINSA
Cistouretroscopia, con remocin de cuerpo extrao, clculo,

o stent ureteral desde la uretra o la vejiga (procedimiento
separado); complicado
52315
RM N 689-2006-MINSA
Cistouretroscopia con la insercin de alambre gua ureteral

a travs de los riones para establecer una nefrostoma
percutnea, retrgrada
52334
RM N 689-2006-MINSA
52335
RM N 689-2006-MINSA
52510
RM N 689-2006-MINSA
52620
RM N 689-2006-MINSA
52700
53000
53020
53040
53080
RM N 689-2006-MINSA
53200
53210

53230
53240
53260
53400
53440
53445
53450
53502
53505

53520
53600
53670
54000
RM N 689-2006-MINSA
54050
54100
54110
Cistouretroscopia, con ureteroscopia y / o pieloscopia

(incluye dilatacin del urter y / o unin pieloureteral por
cualquier mtodo);
Dilatacin con globo transuretral de la uretra prosttica
La reseccin transuretral, de tejido obstructivo residual
despus de 90 das postoperatorios
Drenaje transuretral de la prstata absceso
Uretrotoma o uretrostoma, externo (procedimiento
separado); uretra pndula
Meatotoma, corte de meato (procedimiento separado), con
exclusin infantil
El drenaje de absceso periuretral profundo
El drenaje de la extravasacin urinaria perineal;
(procedimiento separado) sin complicaciones
La biopsia de uretra
Uretrectoma, total, incluyendo cistostoma; femenino
La escisin de divertculo uretral (procedimiento separado);
femenino
La marsupializacin del divertculo uretral, hombres o
mujeres
Escisin o fulguracin; plipo uretral (s), uretra distal
Uretroplastia, primera etapa, para la fstula, divertculo, o
estenosis (por ejemplo, Johannsen tipo)
Sling operacin para la correccin de la incontinencia
urinaria masculina (por ejemplo, la fascia o sinttico)
La insercin del esfnter uretral cuello inflable / vejiga,
incluyendo la colocacin de la bomba, depsito, y el
brazalete
Urethromeatoplasty, con el avance de la mucosa
Urethrorrhaphy, sutura de herida o lesin uretral, hembra
Urethrorrhaphy, sutura de herida o lesin uretral; pene
Cierre de fstula o uretrostoma uretrocutnea, macho
La dilatacin de estenosis de la uretra por el paso del
dilatador sonido o uretral, hombres, inicial
Cateterismo, la uretra, simple
Corte en tiras de prepucio, dorsal o lateral (procedimiento
separado); recin nacido
Destruccin de lesin (s), pene (por ejemplo, condiloma,
papiloma, el molusco contagioso, vescula herptica),
simple, qumico
Biopsia de pene, (procedimiento separado)
La escisin de la placa del pene (enfermedad de Peyronie);
Amputacin del pene; parcial

Amputacin del pene; completa
Amputacin del pene, radical, con linfadenectoma bilateral
inguinofemoral
La circuncisin, abrazadera utilizando u otro dispositivo con
peneana dorsal regional o bloqueo en anillo
La circuncisin, utilizando la abrazadera u otro dispositivo, a
excepcin del recin nacido
Frenulotomy de pene
Operacin plstica del pene para enderezar de
encordamiento (por ejemplo, hipospadias), con o sin la
movilizacin de uretra
54120
54125

54130
54150
54152
54164
RM N 689-2006-MINSA
54300
54308
RM N 689-2006-MINSA
54380
RM N 689-2006-MINSA
54400
RM N 689-2006-MINSA
54420
54435
RM N 689-2006-MINSA
54440
RM N 689-2006-MINSA
54450
54500
La biopsia de testculo, incisional (procedimiento separado)
54505
Escisin de lesin local de testculo

La orquiectoma, simple (incluyendo subcapsular), con o sin
enfoque prtesis testicular, escrotal o inguinal
La orquiectoma radical, por tumor, va inguinal
La exploracin de los testculos no descendidos (zona
inguinal o escrotal)
Reduccin de torsin de testculo, ciruga, con o sin fijacin
de testculo contralateral
Orquiopexia, el enfoque inguinal, con o sin reparacin de la
hernia
Orquiopexia, va abdominal, para testculos intraabdominales (por ejemplo, Fowler-Stephens)
54510
54520
54530
54550
54600
54640
RM N 689-2006-MINSA
54650
RM N 689-2006-MINSA
La insercin de prtesis testicular (procedimiento separado)
54660
RM N 689-2006-MINSA
Sutura o reparacin de la lesin testicular

El trasplante de testculos (es) en el muslo (debido a la
destruccin del escroto)
La laparoscopia, ciruga, orquiectoma
La laparoscopia, ciruga; orquidopexia para testculos intraabdominales
La incisin y drenaje del epiddimo, testculo y / o espacio
escrotal (por ejemplo, absceso o hematoma)
Biopsia del epiddimo, la aguja
Exploracin del epiddimo, con o sin biopsia
54670
54680
RM N 689-2006-MINSA
54690
RM N 689-2006-MINSA
54692
RM N 689-2006-MINSA
54700
54800
54820

Uretroplastia para la segunda etapa de reparacin de

hipospadias (incluida la derivacin urinaria); menos de 3 cm
Operacin plstica sobre el pene para epispadias distal del
esfnter externo;
La insercin de prtesis de pene, no inflable (semi-rgido)
Corpora cavernosa-shunt safeno vena (operacin
priapismo), unilateral o bilateral
Los cuerpos cavernosos del pene glande-fistulizacin (por
ejemplo, la biopsia con aguja, el procedimiento de Invierno,
gubia, o punzn) para el priapismo
Operacin plstica del pene por lesiones
Prepucio manipulacin incluyendo la lisis de adherencias
prepuciales y estiramiento
Biopsia de testculo, la aguja (procedimiento separado)
Escisin de lesin local del epiddimo

Epididimectoma; bilateral
Epididymovasostomy, anastomosis del epiddimo hasta los
conductos deferentes; unilateral
Puncin aspiracin de hidrocele, tnica vaginal, con o sin
inyeccin de medicacin
Excisin de hidrocele, unilateral
Reparacin de hidrocele tnica vaginal (tipo botella)
El drenaje de absceso escrotal pared
Extraccin de cuerpo extrao en el escroto
La reseccin del escroto
Escrotoplastia, simple
La vasectoma, unilateral o bilateral (procedimiento
separado), incluido el examen de semen postoperatorio (s)
Vasovasostoma, vasovasorrhaphy
Ligadura (percutnea) del conducto deferente, unilateral o
bilateral (procedimiento separado)
Excisin de hidrocele del cordn espermtico
(procedimiento separado) unilateral
Escisin de varicocele o ligadura de las venas espermticas
de varicocele, (procedimiento separado)
La laparoscopia, ciruga, con la ligadura de las venas
espermticas de varicocele
Vesiculotomy;
Vesiculectomy, cualquier enfoque
Biopsia de prstata; aguja o punzn, nicas o mltiples,
cualquier enfoque
Prostatotomy, drenaje externo de absceso prosttico,
cualquier enfoque, simple
Prostatectoma, (uretrotoma incluyendo el control de la
hemorragia postoperatoria, la vasectoma, meatotoma,
calibracin uretral y / o dilatacin e interna) perineal,
subtotal
Prostatectoma, perineal radical;
Prostatectoma (incluido el control de la hemorragia
postoperatoria, la vasectoma, meatotoma, calibracin
uretral y / o dilatacin y uretrotoma interna); suprapbica,
subtotal, 1 o 2 etapas
Prostatectoma (incluido el control de la hemorragia
postoperatoria, la vasectoma, meatotoma, calibracin
uretral y / o dilatacin y uretrotoma interna); retropbica,
subtotal
Prostatectoma, retropbica radical, con o sin preservacin
nerviosa;
Transperineal colocacin de agujas o catteres en la
prstata para aplicacin radioelemento intersticial, con o sin
cistoscopia
La laparoscopa, la prostatectoma quirrgica, retropbica
radical preservadora, incluyendo los nervios
Incisin y drenaje de absceso perineal o vulva
54830
54860
54861

54900
55000
55040
55060
55100
55120
55150
55175

55250
55400
55450
55500
RM N 689-2006-MINSA
55530
55550
RM N 689-2006-MINSA
55600
55650

55700
55720
55801
55810
55821
55831
55840
55859
55866
RM N 689-2006-MINSA
56405
La marsupializacin del quiste de la glndula de Bartholin
56440
56501
56605
56620
56630
56700
56740
56800
56805

RM N 689-2006-MINSA
56810
RM N 689-2006-MINSA
56820
57000
57020
RM N 689-2006-MINSA
57022
RM N 689-2006-MINSA
57061
57100
57106
Vaginectoma, la eliminacin completa de la pared vaginal;
57110
Colpocleisis (Le Fort tipo)

Extirpacin del tabique vaginal
Colpoperineorrhaphy, sutura de heridas de la vagina y / o el
perineo (nonobstetrical)
Operacin plstica sobre esfnter uretral, vaginal enfoque
(por ejemplo, la plicatura de Kelly uretral)
Reparacin plstica de uretrocele
Colporrafia anterior, reparacin de cistocele con o sin
reparacin de uretrocele
Colporrafia posterior, reparacin de rectocele con o sin
perineorrafia
Colporrafia Combinado antero-posterior;
La reparacin de enterocele, va vaginal (procedimiento
separado)
Enfoque colpopexia, abdominal
57120
57130
57135

RM N 689-2006-MINSA
57210
57220
RM N 689-2006-MINSA
57230
57240
57250
57260
57268
57280
RM N 689-2006-MINSA
57284
57288
RM N 689-2006-MINSA
57289
57291
RM N 689-2006-MINSA
Cierre de fstula rectovaginal, va vaginal o transanal
57300
La dilatacin de la vagina bajo anestesia (que no sea local)
57400
Destruccin de lesin (s), vulva; simple (por ejemplo, ciruga

lser, electrociruga, criociruga, quimiociruga)
La biopsia de vulva o perin (procedimiento separado), 1
lesin
Vulvectoma simple, parcial
Vulvectoma radical, parcial;
Hymenectomy parcial o revisin del anillo del himen
La escisin de la glndula de Bartholin o quiste
Reparacin plstica del introito
Clitoroplastia para el estado intersexual
Perineoplastia, la reparacin del perin, nonobstetrical
Colposcopa de la vulva;
Colpotoma, con la exploracin
Colpocentesis (procedimiento separado)
Incisin y drenaje de hematoma vaginal; obsttrico /
postparto
Destruccin de lesin vaginal (s); simple (por ejemplo,
ciruga lser, electrociruga, criociruga, quimiociruga)
La biopsia de la mucosa vaginal, (procedimiento separado)
simple
Vaginectoma, la eliminacin parcial de la pared vaginal;
Reparacin de defectos paravaginal (incluyendo la

reparacin de cistocele, si se realiza); va abdominal abierta
Operacin Sling para incontinencia urinaria de esfuerzo (por
ejemplo, la fascia o sinttico)
Procedimiento Pereyra, incluyendo colporrafia anterior
Construccin de la vagina artificial, sin injerto
El examen plvico bajo anestesia (que no sea local)

Culdoscopa, diagnstico;
Colposcopa del cuello del tero incluyendo maysculas /
adyacente vagina;
La biopsia de cuello uterino, la escisin simple o mltiple, o
local de la lesin, con o sin fulguracin (procedimiento
separado)
Legrado endocervical (no se realiza como parte de una
dilatacin y curetaje)
Cauterizacin del cuello uterino; electro o trmica
Conizacin de cuello uterino, con o sin fulguracin, con o sin
la dilatacin y curetaje, con o sin reparacin; cuchillo fro o
lser
Cervicectoma (cervicectoma), la amputacin del cuello
uterino (procedimiento separado)
57410
57450

57452
57500
57505
57510
57520
57530
57531
57540
57700

57720
58100
58120
La miomectoma, reseccin de tumor fibroide (s) del tero, 1

a 4 mioma intramural (s) con un peso total de 250 gramos o
menos y / o la eliminacin de los miomas superficie;
abordaje abdominal
58140

a 4 mioma intramural (s) con un peso total de 250 gramos o
menos y / o extraccin de miomas superficie; va vaginal
58145

o ms miomas intramurales y / o miomas intramurales con
mayor peso total de 250 gramos, el enfoque abdominal
58146
RM N 689-2006-MINSA
Histerectoma abdominal total (corpus y el cuello uterino),

con o sin eliminacin de tubo (s), con o sin extirpacin de
ovario (s);
58150
Histerectoma supracervical abdominal (histerectoma

subtotal), con o sin eliminacin de tubo (s), con o sin
extirpacin de ovario (s)
58180
Histerectoma abdominal total, incluyendo vaginectoma

parcial, con para-artico y el muestreo de los ganglios
linfticos plvicos, con o sin eliminacin de tubo (s), con o
sin extirpacin de ovario (s)
58200
Traquelectoma radical, con linfadenectoma plvica total

bilateral y para-artica ganglios linfticos toma de biopsias,
con o sin extirpacin de tubo (s), con o sin extirpacin de
ovario (s)
Escisin de mun cervical, abordaje abdominal;
Cerclaje de cuello uterino, nonobstetrical
Trachelorrhaphy, reparacin plstica de cuello uterino,
vaginal enfoque
Muestreo endometrial (biopsia) con o sin toma de muestra
endocervical (biopsia), sin dilatacin cervical, cualquier
mtodo (procedimiento separado)
Dilatacin y legrado, diagnsticos y / o teraputicos
(nonobstetrical)
Histerectoma abdominal radical, con linfadenectoma

plvica total bilateral y para-artica muestreo de ganglios
linfticos (biopsia), con o sin extirpacin de tubo (s), con o
sin extirpacin de ovario (s)
58210
Exenteracin plvica por cncer ginecolgico, con

histerectoma total abdominal o cervicectoma, con o sin
extirpacin de tubo (s), con o sin extirpacin de ovario (s),
con extirpacin de la vejiga y el urter trasplantes y / o
reseccin abdominoperineal de recto y colon y colostoma, o
cualquier combinacin de los mismos
58240
Histerectoma vaginal, tero por 250 gramos o menos;

Histerectoma vaginal, para el tero 250 g o menos; con
eliminacin de tubo (s), y / o de ovario (s)
Histerectoma vaginal, con vaginectoma total o parcial;
Histerectoma vaginal radical (operacin Schauta tipo)
La insercin del dispositivo intrauterino (DIU)
Extraccin de dispositivo intrauterino (DIU)
Suspensin uterina, con o sin acortamiento de los
ligamentos redondos, con o sin acortamiento de los
ligamentos sacrouterino; (procedimiento separado)
58260
58262
58275
58285
58300
58301

58400
Histerorrafia, reparacin de ruptura del tero (nonobstetrical)
58520
RM N 689-2006-MINSA
58540
58545
RM N 689-2006-MINSA
58550
RM N 689-2006-MINSA
58552
RM N 689-2006-MINSA
58555
RM N 689-2006-MINSA
La histeroscopia, quirrgico, con toma de muestras (biopsia)

de endometrio y / o polipectoma, con o sin D & C
58558
RM N 689-2006-MINSA
La ligacin o la transeccin de la trompa de Falopio (s), va

abdominal o vaginal, unilateral o bilateral
58600
La ligadura o seccin transversal de las trompas de Falopio

(s), va abdominal o vaginal, post-parto, unilateral o bilateral,
durante la misma hospitalizacin (procedimiento separado)
58605
RM N 689-2006-MINSA
La ligacin o la transeccin de la trompa de Falopio (s)

cuando se hace en el momento del parto por cesrea o
ciruga intra-abdominal (no un procedimiento separado)
(Lista por separado adems de cdigo para el
58611
RM N 689-2006-MINSA
58615
58660
RM N 689-2006-MINSA
Hysteroplasty, la reparacin de la anomala uterina (tipo

Strassman)
La laparoscopia, ciruga, miomectoma, reseccin; 1 a 4
miomas intramurales con un peso total de 250 gramos o
menos y / o extraccin de miomas superficie
La laparoscopia quirrgica, con la histerectoma vaginal,
tero por 250 gramos o menos;
La laparoscopia, ciruga, con la histerectoma vaginal, para
el tero 250 g o menos; con eliminacin de tubo (s) y / o de
ovario (s)
Histeroscopia, diagnstico (procedimiento separado)
Enfoque de oclusin de las trompas de Falopio (s) por el

dispositivo (por ejemplo, banda, clip, anillo Falope) vaginal o
suprapbico
La laparoscopia, ciruga, con la lisis de adherencias
(salpingolysis, ovariolysis) (procedimiento separado)
La laparoscopia, ciruga, con la eliminacin de las

estructuras anexiales (ooforectoma parcial o total y / o
salpingectoma)
58661
RM N 689-2006-MINSA
58671
RM N 689-2006-MINSA
58672
RM N 689-2006-MINSA
58673
RM N 689-2006-MINSA
58700
58720
58740
58750
58760
58770

58800
58805
RM N 689-2006-MINSA
58823
RM N 689-2006-MINSA
58825
RM N 689-2006-MINSA
58900
58920
58925
58940

58956
Reseccin (citorreduccin tumoral) de cncer de ovario

recurrente, trompas, primario maligno peritoneal, tero
(intra-abdominales, tumores retroperitoneales), con
omentectoma, si se realiza;
58957
RM N 689-2006-MINSA
Reseccin (citorreduccin tumoral) de cncer de ovario

recurrente, trompas, primario maligno peritoneal, tero
(intra-abdominales, tumores retroperitoneales), con
omentectoma, si se realiza, con linfadenectoma plvica y la
linfadenectoma para-artica limitada
58958
RM N 689-2006-MINSA
58970
58974
RM N 689-2006-MINSA
58976
RM N 689-2006-MINSA
59000
59012
59015
59020

RM N 689-2006-MINSA
59100
La laparoscopia, ciruga, con la oclusin de los oviductos

por el dispositivo (por ejemplo, banda, un clip o un anillo de
Falopio)
La laparoscopia, ciruga, con fimbrioplastia
La laparoscopia, ciruga, con salpingostoma
(salpingoneostoma)
Salpingectoma, total o parcial, unilateral o bilateral
Salpingo-ooforectoma bilateral, total o parcial, unilateral o
bilateral (procedimiento separado)
La lisis de adherencias (salpingolysis, ovariolysis)
Tubotubal anastomosis
Fimbrioplastia
Drenaje de quiste de ovario (s), unilateral o bilateral,
(procedimiento separado); va vaginal
Drenaje de quiste de ovario (s), unilateral o bilateral,
(procedimiento separado); abordaje abdominal
El drenaje de absceso plvico, abordaje transvaginal o
transrectal, (por ejemplo, ovario,, periclico) percutnea
Transposicin, ovario (s)
La biopsia de ovario, unilateral o bilateral (procedimiento
separado)
Remocin en cua o biseccin de ovario, unilateral o
bilateral
La ooforectoma, total o parcial, unilateral o bilateral;
Salpingo-ooforectoma con omentectoma total,
histerectoma abdominal total de malignidad
Folculo puncin durante la recuperacin de oocitos,

cualquier mtodo
La transferencia de embriones, intrauterino
Gametos, cigotos o embriones de transferencia
intratubrica, cualquier mtodo
La amniocentesis, diagnstico
Cordocentesis (intrauterino), cualquier mtodo
Muestreo de vellosidades corinicas, cualquier mtodo
Contraccin Fetal prueba de esfuerzo
Histerotoma abdominal (por ejemplo, por mola hidatiforme,
aborto)
El tratamiento quirrgico del embarazo ectpico; trompas o

los ovarios, lo que requiere salpingectoma y / u
ooforectoma, va abdominal o vaginal
59120
El tratamiento quirrgico del embarazo ectpico; trompas o

los ovarios, sin salpingectoma y / u ooforectoma
59121
RM N 689-2006-MINSA
59150
59151
59160
59200
59350
59351
RM N 689-2006-MINSA
59400
59409
59410
RM N 689-2006-MINSA
59414
59510
59514
59515

RM N 689-2006-MINSA
59525
59812
RM N 689-2006-MINSA
59840
59841
RM N 689-2006-MINSA
RM N 689-2006-MINSA
59850
RM N 689-2006-MINSA
El aborto inducido, por uno o ms intra-amnitico

(amniocentesis inyecciones Las inyecciones), incluyendo la
hospitalizacin y las visitas, la entrega del feto y secundinas,
con histerotoma (no intra-amnitica inyeccin)
59852
RM N 689-2006-MINSA
El aborto provocado, por una o ms supositorios vaginales

(por ejemplo, la prostaglandina) con o sin dilatacin cervical
(por ejemplo, laminaria), incluyendo la hospitalizacin y las
visitas, la entrega del feto y secundinas;
59855
RM N 689-2006-MINSA
59866
59870
RM N 689-2006-MINSA
RM N 689-2006-MINSA
59871
RM N 689-2006-MINSA
Tratamiento laparoscpico del embarazo ectpico; sin

salpingectoma y / u ooforectoma
Tratamiento laparoscpico del embarazo ectpico, con
salpingectoma y / u ooforectoma
Curetaje, posparto
La insercin del dilatador cervical (por ejemplo, laminaria, la
prostaglandina) (procedimiento separado)
Histerorrafia de ruptura del tero
Histerorrafia de ruptura del tero, dilatacin y curetaje
siguiente, incluyendo tanto los procedimientos
Atencin obsttrica de rutina incluida la atencin anterior al
parto, el parto vaginal (con o sin episiotoma y / o frceps) y
la atencin posparto
El parto vaginal solamente (con o sin episiotoma y / o
frceps);
El parto vaginal solamente (con o sin episiotoma y / o
frceps), incluyendo la atencin posparto
La entrega de la placenta (procedimiento separado)
parto, parto por cesrea y la atencin posparto
Cesrea solamente;
Cesrea solamente, incluyendo la atencin posparto
Histerectoma subtotal o total despus de una cesrea
(Anote separadamente adems del cdigo para el
Tratamiento del aborto incompleto, cualquier trimestre,
terminado quirrgicamente
El aborto inducido, por la dilatacin y curetaje
El aborto inducido, por dilatacin y evacuacin
El aborto inducido, por una o ms inyecciones intraamnitico (amniocentesis-inyecciones), incluyendo
hospitalizacin y visitas, entrega de fetos y secundinas;
Reduccin del embarazo multifetal (s) (MPR)

Evacuacin uterina y legrado por mola hidatiforme
La eliminacin de la sutura de cerclaje bajo anestesia (que
no sea local)
Procedimiento Cotizadas, atencin de maternidad y parto
59899

Aspiracin y / o inyeccin, quiste tiroideo
Biopsia de tiroides, percutnea con aguja
Excisin de quiste o adenoma de tiroides o transeccin del
istmo
60000
60001
60100

60200
Lobectoma tiroidea parcial, unilateral, con o sin istmectoma
60210
Lobectoma tiroidea total, unilateral, con o sin istmectoma
60220

Tiroidectoma, total o subtotal por neoplasia maligna, con
diseccin del cuello limitado
Tiroidectoma, total o subtotal por neoplasia maligna, con
diseccin radical del cuello
Excisin de quiste del conducto tirogloso o sinusitis;
Paratiroidectoma o exploracin de paratiroides (s);
Paratiroidea autotrasplante (Haga una lista por separado
La timectoma, parcial o total; enfoque transcervical
Adrenalectoma, parcial o total, o la exploracin de la
glndula adrenal con o sin biopsia, transabdominal, lumbar
o dorsal (procedimiento separado);
Escisin de tumor de cuerpo carotdeo, sin excisin de la
arteria cartida
Escisin de tumor de cuerpo carotdeo, con la escisin de la
arteria cartida
La laparoscopia, ciruga, con adrenalectoma parcial o total,
o la exploracin de la glndula suprarrenal con o sin biopsia,
transabdominal, lumbar o dorsal
Grifo subdural a travs de la fontanela, o sutura, lactante,
unilateral o bilateral; inicial
Ventricular mediante puncin previa trepanacin, fontanela,
sutura, o catter implantado ventricular / depsito; sin
inyeccin
Cisternal o lateral cervical (C1-C2) puncin, sin inyeccin
La perforacin de la tubera de derivacin o reservorio para
el procedimiento de aspiracin o inyeccin
Gire taladro para puncin subdural o ventricular;
Giro taladro (s) para la puncin subdural, intracerebral, o
ventricular; para implantar catter ventricular, el dispositivo
de registro de la presin, u otro dispositivo de vigilancia
intracerebral
60240
60252
60254
60280
60500

60512
RM N 689-2006-MINSA
60520
60540
60600
60605
60650
RM N 689-2006-MINSA
61000
61020
61050
61070
RM N 689-2006-MINSA
61105
RM N 689-2006-MINSA
61107
RM N 689-2006-MINSA
Giro taladro (s) para la puncin subdural, intracerebral, o

ventricular, para la evacuacin y / o drenaje de hematoma
subdural
61108
RM N 689-2006-MINSA
Burr agujero (s) para la puncin ventricular (incluyendo la

inyeccin de gas, medios de contraste, un tinte o material
radiactivo)
61120
Burr agujero (s) o trpano; con biopsia de cerebro o lesin

intracraneal
Agujero de trpano (s) o trpano, con drenaje de absceso o
quiste cerebral
Agujero de trpano (s) con la evacuacin y / o drenaje de
hematoma, epidural o subdural
61140
61150
61154
Burr agujero (s); para la implantacin de catter ventricular,

el depsito, el electrodo de EEG (s), dispositivo de registro
de la presin, u otro dispositivo de monitorizacin cerebral
61210
La insercin subcutnea de depsito, la bomba o el sistema

de infusin continua para la conexin al catter ventricular
61215
61250
61253
61304
61305
61312
61314
61320
La craniectoma o craneotoma descompresiva, con o sin

duraplastia, para el tratamiento de la hipertensin
intracraneal, sin evacuacin del hematoma asociado
intraparenquimatosa, sin lobectoma
61322
RM N 689-2006-MINSA
La craniectoma o craneotoma descompresiva, con o sin

duraplastia, para el tratamiento de la hipertensin
intracraneal, sin evacuacin del hematoma asociado
intraparenquimatosa, con lobectoma
61323
RM N 689-2006-MINSA
La descompresin de la rbita de slo enfoque transcraneal
61330
RM N 689-2006-MINSA
61340
RM N 689-2006-MINSA
61343
61440
61450
61490
61500
61510
Agujero de trpano (s) o trpano, supratentoriales,

exploratorio, no seguida de otra ciruga
Agujero de trpano (s) o trpano, infratentorial, unilateral o
bilateral
La craniectoma o craneotoma, exploratorio, supratentorial
La craniectoma o craneotoma, exploratorio; infratentoriales
(fosa posterior)
La craniectoma o craneotoma para la evacuacin del
hematoma, supratentorial, extradural o subdural
hematoma, infratentorial, extradural o subdural
La craniectoma o craneotoma, drenaje de absceso
intracraneal; supratentorial
Descompresin craneal subtemporal (pseudotumor cerebral,

sndrome de hendidura ventrculo)
La craniectoma, suboccipital con laminectoma cervical
para la descompresin de la mdula espinal y la mdula,
con o sin injerto dural (por ejemplo, Arnold-Chiari)
Craneotoma para la seccin de tienda del cerebelo
La craniectoma, subtemporal, por seccin, compresin o
descompresin de la raz sensorial del ganglio de Gasser
La craniectoma; con escisin de la lesin sea tumor u otra
de crneo
La craniectoma, trepanacin, hueso flap craneotoma, por
la escisin de un tumor cerebral, supratentorial, excepto
meningioma
La craniectoma para la extirpacin de un tumor cerebral,

infratentorial o fosa posterior, excepto meningioma, tumores
del ngulo pontocerebeloso, o tumor de la lnea media en la
base del crneo
61518
Implantacin de electrodos subdurales tira a travs de una o

ms rebaba o trpano orificio (s) para el seguimiento a largo
plazo incautacin
61531
RM N 689-2006-MINSA
Craneotoma con elevacin de colgajo seo, para la

implantacin subdural de un conjunto de electrodos, una
vigilancia a largo plazo incautacin
61533
RM N 689-2006-MINSA
61538
61542
61543
61546
61548
61550
61558
61570
61571
61575
Va transoral a la base del crneo, el tronco cerebral o de la

mdula espinal superior para la biopsia, la descompresin o
la escisin de la lesin; divisin que requiere de la lengua y /
o de la mandbula (incluyendo traqueotoma)
61576
RM N 689-2006-MINSA
Enfoque craneofacial a la fosa craneal anterior, extradural,

incluyendo rinotoma lateral, etmoidectoma,
sphenoidectomy, sin maxilectoma o exenteracin orbital
61580
RM N 689-2006-MINSA
Enfoque Orbitocranial a la fosa craneal anterior, extradural,

incluyendo osteotoma cresta supraorbital y la elevacin del
lbulo frontal y / o temporal (s); sin exenteracin orbital
61584
RM N 689-2006-MINSA
Bicoronal, transzygomatic y / o LeFort I osteotoma enfoque

a la fosa craneal anterior con o sin fijacin interna, sin injerto
de hueso
61586
RM N 689-2006-MINSA
Craneotoma con elevacin de colgajo seo; para la

lobectoma, lbulo temporal, con la electrocorticografa
durante la ciruga
Craneotoma con elevacin de colgajo seo, por
hemisferectoma total de
Craneotoma con elevacin de colgajo seo, por parcial o
subtotal (funcional) hemisferectoma
Craneotoma para hipofisectoma o extirpacin de tumor
hipofisario, abordaje intracraneal
Hipofisectoma o extirpacin de tumor hipofisario, abordaje
transnasal o transeptal, nonstereotactic
La craniectoma para la craneosinostosis; sutura craneal
nica
Craniectoma amplia para la craneosinostosis mltiples
suturas craneales (por ejemplo, el crneo en trbol), que no
requieren injertos seos
La craniectoma o craneotoma, con la escisin de cuerpo
extrao del cerebro
La craniectoma o craneotoma, con tratamiento de herida
penetrante de cerebro
Enfoque transoral a la base del crneo, tronco del encfalo
o de la mdula espinal superior para biopsia,
descompresin o excisin de la lesin;
Infratemporal preauricular enfoque a la fosa craneal media

(espacio parafarngeo, base de crneo infratemporal y la
lnea media, la nasofaringe), con o sin desarticulacin de la
mandbula, incluyendo parotidectoma, craneotoma, la
descompresin y / o movilizacin del nervio facial y / o de la
arteria cartida petrosa
61590
RM N 689-2006-MINSA
Enfoque Orbitocranial cigomtico a la fosa craneal media

(seno cavernoso y la arteria cartida, clivus, la arteria basilar
o vrtice del peasco), incluyendo osteotoma del malar,
craneotoma, la elevacin extra o intradural del lbulo
temporal
61592
RM N 689-2006-MINSA
Enfoque transtemporal de la fosa posterior del crneo,

foramen yugular o la base del crneo lnea media,
incluyendo mastoidectoma, descompresin del seno
sigmoideo y / o del nervio facial, con o sin movilizacin
61595
RM N 689-2006-MINSA
Enfoque Transcochlear a la fosa posterior del crneo,

foramen yugular o la base del crneo lnea media,
incluyendo laberintectoma, descompresin, con o sin la
movilizacin del nervio facial y / o de la arteria cartida
petrosa
61596
RM N 689-2006-MINSA
Transcondilar (ms lateral) enfoque a posterior fosa craneal,

foramen yugular o de la base del crneo lnea media,
incluyendo condilectoma occipital, mastoidectoma,
reseccin de C1-C3 cuerpo vertebral (s), la descompresin
de la arteria vertebral, con o sin movilizacin
61597
RM N 689-2006-MINSA
Enfoque Transpetrosal a posterior magnum fosa craneal,

clivus o foramen, incluyendo la ligadura del seno petroso
superior, y / o el seno sigmoideo
61598
RM N 689-2006-MINSA
La reseccin o extirpacin de la lesin neoplsica, vascular

o infecciosa de la base de la fosa craneal anterior,
extradural
61600
RM N 689-2006-MINSA

o infecciosa de la fosa infratemporal, espacio parafarngeo,
ptreo pice; extradural
61605
RM N 689-2006-MINSA
La reseccin o extirpacin de la lesin neoplsica,

infecciosa o vascular del rea paraselar, seno cavernoso,
clivus o la base del crneo lnea media; extradural
61607
RM N 689-2006-MINSA
Transeccin o ligadura, arteria cartida en seno cavernoso;

sin reparacin (Lista por separado adems de cdigo para
el procedimiento primario)
61609
La transeccin o ligadura, arteria cartida en el canal ptreo;

sin reparacin (Lista por separado adems del cdigo para
61611
RM N 689-2006-MINSA
La obliteracin del aneurisma de cartida, malformacin

arteriovenosa o fstula cartido-cavernosa mediante
diseccin dentro del seno cavernoso
61613
RM N 689-2006-MINSA

o infecciosa de la base de la fosa craneal posterior, foramen
yugular, foramen magnum, o alquilo C1-C3 cuerpos
vertebrales; extradural
61615
RM N 689-2006-MINSA
Reparacin secundaria de la duracin de fuga de lquido

cefalorraqudeo, fosa craneal anterior, media o posterior
despus de la ciruga de base de crneo; por injerto libre de
tejido (por ejemplo, pericrneo, fascia, tensor de la fascia
lata, tejido adiposo, homloga o injertos sintticos)
61618
RM N 689-2006-MINSA
Transcatter permanente oclusin o embolizacin (por

ejemplo, para la destruccin de tumores, para lograr la
hemostasia, para ocluir una malformacin vascular),
percutnea, cualquier mtodo, sistema nervioso central
(mdula intracraneal, espinal)
61624
61680
61700
61703
61705
61711
Creacin de lesin por mtodo estereotctica, incluyendo

orificio de trepanacin (s) y las tcnicas de localizacin y de
grabacin, solo o en mltiples etapas; globo plido o tlamo
61720
La biopsia estereotxica, aspiracin o escisin, incluyendo

trpano (s), por lesin intracraneal;
61750
Implantacin estereotctica de electrodos profundos en el

cerebro durante el seguimiento a largo plazo incautacin
61760
RM N 689-2006-MINSA
Localizacin estereotctica, incluyendo rebabas agujero (s),

con la insercin del catter (s) o de la sonda (s) para la
colocacin de la fuente de radiacin
61770
RM N 689-2006-MINSA
Creacin de lesin por mtodo estereotctica, percutnea,

por neuroltico agente (por ejemplo, alcohol, trmica,
elctrica, por radiofrecuencia); ganglio de Gasser
61790
RM N 689-2006-MINSA
61793
RM N 689-2006-MINSA
61850
61860
Broca espiral, trepanacin, craneotoma, craniectoma o

para la implantacin estereotctica de la matriz de un
neuroestimulador en el sitio subcortical (por ejemplo, el
tlamo, globo plido, ncleo subtalmico, periventricular,
sustancia gris periacueductal)
61862
RM N 689-2006-MINSA
La craniectoma para la implantacin de electrodos

neuroestimulador, cerebelosa; corticales
61870
RM N 689-2006-MINSA
La ciruga de malformacin arteriovenosa intracraneal;

supratentorial, simple
Ciruga de aneurisma intracraneal enfoque sencillo,
intracraneal, la circulacin carotdea
Ciruga de aneurisma intracraneal, abordaje cervical
mediante la aplicacin de la oclusin de la abrazadera de la
arteria cartida cervical (Selverstone-Crutchfield tipo)
Ciruga de aneurisma, malformacin vascular o fstula
cartido-cavernosa; por oclusin intracraneal y cervical de la
arteria cartida
Anastomosis arteriales, extracraneal-intracraneal (por
ejemplo, las arterias cerebrales medias / cortical)
La radiociruga estereotctica (haz de partculas, rayos

gamma o acelerador lineal), una o ms sesiones
Giro de perforacin o agujero de trpano (s) para la
implantacin de electrodos corticales neuroestimulador,
La craniectoma o craneotoma para la implantacin de
electrodos neuroestimulador cerebral cortical,
Revisin o remocin de electrodos intracraneales

neuroestimulador
Insercin o sustitucin de neuroestimulador generador de
pulso craneal o receptor, acoplamiento directo o inductivo;
con conexin a una matriz de electrodo nico
Revisin o remocin de generador de pulsos
neuroestimulador craneal o receptor
Elevacin de fractura de crneo deprimida, simple,
extradural
Elevacin de fractura deprimida; con la reparacin de la
duramadre y / o desbridamiento de cerebro
Craneotoma para la reparacin de fugas de fluido dural /
cefalorraqudeo, incluyendo ciruga para rinorrea / otorrea
Reduccin del crneo craniomegalic (por ejemplo,
hidrocefalia tratada), no requieren injertos de hueso o
craneoplastia
61880
RM N 689-2006-MINSA
61885
RM N 689-2006-MINSA
61888
RM N 689-2006-MINSA
62000
62010
62100
62115
Craneoplastia por defecto crneo hasta 5 cm de dimetro
62140
RM N 689-2006-MINSA
La eliminacin del colgajo seo o placa protsica de crneo
62142
RM N 689-2006-MINSA
62145
RM N 689-2006-MINSA
62146
RM N 689-2006-MINSA
62180
62190
62192
62194
RM N 689-2006-MINSA
62200
62201
RM N 689-2006-MINSA
62220
62223
62230
62256
RM N 689-2006-MINSA
62270
62273

RM N 689-2006-MINSA
Descompresin procedimiento, percutnea, de ncleo

pulposo de disco intervertebral, cualquier mtodo, los
niveles individuales o mltiples, lumbar (por ejemplo,
manual o automatizado discectoma percutnea,
angioplastia lser discectoma)
62287
RM N 689-2006-MINSA
Inyeccin procedimiento para la quimionucleolisis,

incluyendo discografa, disco intervertebral, los niveles
individuales o mltiples, lumbar
62292
RM N 689-2006-MINSA
Craneoplastia por defecto del crneo con ciruga cerebral

reparadora
Craneoplastia con autoinjerto (incluye la obtencin de
injertos seos), hasta 5 cm de dimetro
Ventriculocisternostomy (operacin Torkildsen tipo)
Creacin de derivacin; subaracnoidea / subdural-auricular,yugular,-auricular
Creacin de derivacin; subaracnoideo / subduralperitoneal,-pleural, otro terminal
El reemplazo o el riego, subaracnoideo / subdural del
catter
Ventriculocisternostomy, tercer ventrculo;
Ventriculocisternostomy, tercer ventrculo; mtodo
estereotctica, neuroendoscpica
Creacin de derivacin; ventrculo-atrial,-yugular-auricular
Creacin de derivacin, derivacin ventrculo-peritoneal,pleural, otro terminal
Reemplazo o revisin de derivacin de lquido
cefalorraqudeo, vlvula obstruida, o distal del catter en el
sistema de derivacin
La eliminacin del sistema de derivacin completa del
lquido cefalorraqudeo; sin reemplazo
Puncin espinal lumbar, diagnstico
Inyeccin epidural, parche de sangre o cogulos
Implantacin, revisin o reposicionamiento de catter

intratecal o epidural tunelizado, para la administracin de
medicamentos a largo plazo a travs de una bomba externa
o una bomba implantable depsito / infusin; sin
laminectoma
62350
62355
RM N 689-2006-MINSA
62360
La eliminacin del depsito o bomba subcutnea,

previamente implantado para infusin intratecal o epidural
62365
RM N 689-2006-MINSA
Anlisis electrnico de bomba programable, implantado para

infusin intratecal o epidural de drogas (incluye la
evaluacin de la condicin de depsito, estado de alarma,
estado de recetas mdicas), sin necesidad de reprogramar
62367
RM N 689-2006-MINSA
Laminectoma con exploracin y / o descompresin de la

mdula espinal y / o cola de caballo, sin facetectoma,
foraminotoma o discectoma, (por ejemplo, estenosis
espinal), uno o dos segmentos vertebrales, cervical
63001
Laminectoma con remocin de facetas anormales y / o pars

inter-articularis con la descompresin de la cola de caballo y
las races nerviosas de la espondilolistesis, lumbar
(procedimiento de tipo Gill)
63012
RM N 689-2006-MINSA

espinal), ms de 2 segmentos vertebrales, cervical
63015
RM N 689-2006-MINSA
Laminotoma (hemilaminectoma), con la descompresin de

la raz del nervio (s), incluyendo facetectoma parcial,
foraminotoma y / o escisin de hernia de disco
intervertebral, incluyendo los enfoques abiertos y
endoscpicamente asistida; 1 interespacio, cervical
63020

intervertebral, reexploracin, interespacio nico; cervical
63040
RM N 689-2006-MINSA
Laminectoma, facetectoma y foraminotoma (unilateral o

bilateral con descompresin de la mdula espinal, la cola de
caballo y / o raz nerviosa (s), (por ejemplo, estenosis
espinal o rebaje lateral)), solo segmento vertebral; cervical
63045

espinal o rebaje lateral)), solo segmento vertebral; cada
segmento adicional, cervical, torcica o lumbar (Haga una
primario)
63048
RM N 689-2006-MINSA
La eliminacin del catter implantado previamente intratecal

o epidural
Implantacin o sustitucin de dispositivo para intratecal o
epidural de infusin de drogas; subcutnea reservorio
Enfoque transpedicular con descompresin de la mdula

espinal, cola de caballo y / o races nerviosas (s) (por
ejemplo, hernia de disco intervertebral), solo segmento;
torcica
63055
Transpedicular enfoque con la descompresin de la mdula

espinal, la cola de caballo y / o la raz del nervio (s) (por
ejemplo, hernia de disco intervertebral), solo segmento,
cada segmento adicional, torcica o lumbar (Lista por
63057
RM N 689-2006-MINSA
Enfoque costovertebral con la descompresin de la mdula

espinal o de la raz del nervio (s), (por ejemplo, hernia de
disco intervertebral), torcica; solo segmento
63064
Enfoque costovertebral con la descompresin de la mdula

espinal o de la raz del nervio (s), (por ejemplo, hernia de
disco intervertebral), torcica; cada segmento adicional
63066
RM N 689-2006-MINSA
La discectoma, anterior, con la descompresin de la mdula

espinal y / o de la raz del nervio (s), incluyendo
osteophytectomy; interespacio cervical, solo
63075
RM N 689-2006-MINSA

osteophytectomy; cervical, cada espacio intermedio
adicional (Lista por separado adems de cdigo para el
63076
RM N 689-2006-MINSA
Corporectoma vertebral (reseccin del cuerpo vertebral),

parcial o completa, abordaje anterior con la descompresin
de la mdula espinal y / o de la raz del nervio (s); segmento
cervical, solo
63081

parcial o completa, abordaje anterior con la descompresin
de la mdula espinal y / o de la raz del nervio (s); cervical,
cada segmento adicional (Lista por separado adems de
63082
RM N 689-2006-MINSA
Corpectoma vertebral (reseccin del cuerpo vertebral),

parcial o completa, abordaje transtorcico con la
descompresin de la mdula espinal y / o raz nerviosa (s);
segmento torcico, solo
63085

parcial o completa, enfoque combinado toracolumbar con la
descompresin de la mdula espinal, cola de caballo o de la
raz del nervio (s), torcica inferior o lumbar; solo segmento
63087
Corpectoma vertebral (reseccin del cuerpo vertebral), el

enfoque parcial o completa, transperitoneal o retroperitoneal
con la descompresin de la mdula espinal, cola de caballo
o de la raz del nervio (s), lumbar torcica, o sacro; solo
segmento
63090
Laminectoma con mielotoma (por ejemplo, Bischof o

escribe DREZ), cervical, torcica o toracolumbar
63170
Laminectoma con drenaje del quiste intramedular / siringe,

el espacio subaracnoideo a
Laminectoma y seccin de los ligamentos dentados, con o
sin injerto dural, cervical, 1 o 2 segmentos
Laminectoma con rizotoma, 1 o 2 segmentos
Laminectoma con seccin del nervio accesorio espinal
Laminectoma con cordotoma, con una seccin de 1 tracto
espinotalmico, 1 etapa, cervical
Laminectoma con cordotoma, con seccin de ambos
tractos espinotalmico, 1 etapa, cervical
Laminectoma con cordotoma con seccin de ambos
tractos espinotalmico, 2 etapas dentro de los 14 das;
cervical
Laminectoma, con liberacin de mdula espinal anclada,
lumbar
Laminectoma para excisin u oclusin de malformacin
arteriovenosa de la mdula espinal, cervical
Laminectoma para excisin o evacuacin de lesin
intramedular que no sea neoplasia, extradural; cervical
parcial o completa, para excisin de lesin intramedular,
solo segmento; extradural, cervical
63172
63180
RM N 689-2006-MINSA
63185
63191

RM N 689-2006-MINSA
63194
63196
RM N 689-2006-MINSA
63198
RM N 689-2006-MINSA
63200
RM N 689-2006-MINSA
63250
63265
63300
RM N 689-2006-MINSA

solo segmento; extradural, torcica por va transtorcica
63301
RM N 689-2006-MINSA

solo segmento; extradural, torcica por va toracolumbar
63302
RM N 689-2006-MINSA

solo segmento; extradural, lumbar o sacra por va
transperitoneal o retroperitoneal
63303
RM N 689-2006-MINSA
63610
RM N 689-2006-MINSA
63650
63655
Revisin o eliminacin de neuroestimulador espinal

percutnea disposicin del electrodo (s) o placa / paleta (s)
63660

pulso espinal o receptor, acoplamiento directo o inductivo
63685
RM N 689-2006-MINSA
Revisin o remocin de generador espinal implantado pulso

neuroestimulador o receptor
63688
RM N 689-2006-MINSA
Reparacin de meningocele, menos de 5 cm de dimetro
63700
Reparacin de mielomeningocele, menos de 5 cm de

dimetro
63704
RM N 689-2006-MINSA
Estereotctica estimulacin de la mdula espinal,

percutnea, procedimiento separado no seguido de otra
ciruga
Implantacin percutnea de la matriz de electrodo
neuroestimulador, epidural
Laminectoma para implantacin de electrodos
neuroestimulador, plata / pdel, epidurales
Reparacin de fuga de lquido dural / cefalorraqudeo, que

no requieren laminectoma
Creacin de derivacin, lumbar, subaracnoideo-peritoneal,pleural, o de otro tipo, incluyendo laminectoma
Creacin de derivacin, lumbar, subaracnoideo-peritoneal,
pleural, o de otro tipo; percutnea, que no requieren
laminectoma
Reemplazo, irrigacin o revisin de derivacin
lumbosubarachnoid
La eliminacin del sistema de derivacin
lumbosubarachnoid sin reemplazo
Inyeccin, agente anestsico; nervio trigmino, cualquier
divisin o rama
Inyeccin, agente anestsico y / o esteroide, carilla articular
paravertebral o carilla articular nerviosa, cervical o torcica,
de un solo nivel
Inyeccin, agente anestsico y / o esteroide, transforaminal
epidural, cervical o torcica, de un solo nivel
Inyeccin, agente anestsico; ganglio esfenopalatino
Inyeccin, agente anestsico, lumbar o torcica (simptico
paravertebral)
Aplicacin de superficie (transcutneo) neuroestimulador
Percutnea implantacin de electrodos neuroestimulador;
nervio craneal
La incisin para el implante de electrodos neuroestimulador;
nervio craneal
nervio perifrico (excluye nervio sacro)
Revisin o remocin de electrodos de neuroestimulador
perifrico
pulso perifrico o gstrico o receptor, acoplamiento directo o
inductivo
Revisin o remocin de generador de pulsos
neuroestimulador perifrico o gstrica o receptor
Destruccin por agente neuroltico, nervio trigmino; rama
supraorbitaria, infraorbitaria alveolar, mental o inferior
Destruccin por agente neuroltico, nervio trigmino; ramas
segunda y tercera divisin en foramen oval
Quimiodenervacin del msculo (s); msculo (s) inervada
por el nervio facial (por ejemplo, para el blefaroespasmo,
espasmo hemifacial)
Destruccin por agente neuroltico, nervio intercostal
Destruccin por agente neuroltico, el nervio de la
articulacin facetaria paravertebral, lumbar o sacra, cada
nivel adicional (lista por separado adems del cdigo para el
Destruccin por agente neuroltico, con o sin monitorizacin
radiolgica; plexo celaco
63707
RM N 689-2006-MINSA
63710
63740
63741
63744
RM N 689-2006-MINSA
63746
RM N 689-2006-MINSA
64400
64470
RM N 689-2006-MINSA
64479
RM N 689-2006-MINSA
64505
64520
RM N 689-2006-MINSA
64550
64553
RM N 689-2006-MINSA
64573
RM N 689-2006-MINSA
64575
RM N 689-2006-MINSA
64585
RM N 689-2006-MINSA
64590
RM N 689-2006-MINSA
64595
RM N 689-2006-MINSA
64600
64605
RM N 689-2006-MINSA
64612
RM N 689-2006-MINSA
64620
RM N 689-2006-MINSA
64623
RM N 689-2006-MINSA
64680
RM N 689-2006-MINSA
Neuroplastia; digital, 1 o ambos, mismo dgito

Neuroplastia; nervio de la mano o del pie
Neuroplastia, nervio perifrico mayor, brazo o pierna; nervio
citico
64702
64704
RM N 689-2006-MINSA
RM N 689-2006-MINSA
64712
RM N 689-2006-MINSA
Neuroplastia y / o transposicin; nervio craneal (especificar)
64716
RM N 689-2006-MINSA
Descompresin; nervio no especificado (s) (especificar)

Neurolisis interna, que requiere el uso de microscopio
quirrgico (lista por separado adems del cdigo para
neuroplastia) (Neuroplastia incluye neurolisis externa)
Excisin de neuroma; nervio cutneo, quirrgicamente
identificable
Simpatectoma, cervical
Sutura de nervio digital de mano o el pie, un nervio
Sutura de un nervio, la mano o el pie, el nervio sensorial
comn
Sutura de cada nervio adicional mano o el pie (lista por
primario)
Sutura de los principales nervios perifricos brazo o la
pierna, excepto citico, incluyendo la transposicin
Sutura de nervio citico
Sutura de; plexo braquial
Sutura de nervio facial; extracraneal
Anastomosis; facial-espinal accesorio
Sutura de nervios, que requiere sutura secundaria o tarda
(Haga una lista por separado adems del cdigo para
neurorrafia primaria)
Injerto de nervio (incluye la obtencin del injerto), la cabeza
o el cuello, puede tener hasta 4 cm de longitud
Injerto de nervio (incluye la obtencin del injerto), hebra
nica mano o el pie, hasta 4 cm de longitud
Injerto de nervio (incluye la obtencin del injerto), varios
hilos (cable), la mano o el pie, hasta 4 cm de longitud
Injerto de nervio, cada nervio adicional, solo hilo (Haga una
primario)
64722
64726

RM N 689-2006-MINSA
64727
RM N 689-2006-MINSA
64774
64802
64831

64834
RM N 689-2006-MINSA
64837
RM N 689-2006-MINSA
64840
RM N 689-2006-MINSA
64856
RM N 689-2006-MINSA
64858
64861
64864
64866
RM N 689-2006-MINSA
64872
RM N 689-2006-MINSA
64885
64890
RM N 689-2006-MINSA
64895
RM N 689-2006-MINSA
64901
RM N 689-2006-MINSA
64902
RM N 689-2006-MINSA
64905
RM N 689-2006-MINSA
64910
RM N 689-2006-MINSA
65091
65093
65101

RM N 689-2006-MINSA
65103
RM N 689-2006-MINSA
65105
RM N 689-2006-MINSA
Injerto de nervio, cada nervio adicional; varios hilos (cable)

(Listado por separado adems del cdigo para el
Nervio pedculo transferencia; etapa primera
Reparacin de los nervios, con aloinjerto sinttico conducto
o vena (por ejemplo, el tubo de los nervios), cada nervio
La evisceracin de los contenidos oculares; sin implante
La evisceracin ocular de los contenidos, con implante
Enucleacin del ojo; con implante, no msculos sujetados al
implante
Enucleacin del ojo; con implante, los msculos conectados
a implantar
Exenteracin de la rbita (no incluye el injerto de piel), la

eliminacin del contenido de la rbita, y slo
eliminacin del contenido de la rbita, con la eliminacin
teraputica de hueso
65110
65112
RM N 689-2006-MINSA

eliminacin del contenido de la rbita, con los msculos o
colgajo
65114
RM N 689-2006-MINSA
Modificacin de implante ocular con la colocacin o

sustitucin de clavijas (por ejemplo, la perforacin de
receptculo para apndice prtesis) (procedimiento
separado)
65125
RM N 689-2006-MINSA
65130
RM N 689-2006-MINSA
65135
RM N 689-2006-MINSA
65140
RM N 689-2006-MINSA
65150
RM N 689-2006-MINSA
65155
RM N 689-2006-MINSA
65175
65205
65210
RM N 689-2006-MINSA
65220
RM N 689-2006-MINSA
65222
RM N 689-2006-MINSA
65235
65260
65265
RM N 689-2006-MINSA
65270
65272
RM N 689-2006-MINSA
65273
RM N 689-2006-MINSA
65275
65280
RM N 689-2006-MINSA
65285
RM N 689-2006-MINSA
65286
RM N 689-2006-MINSA
La insercin del implante ocular secundaria; evisceracin

despus, en concha escleral
La insercin del implante ocular secundaria; enucleacin
despus, los msculos no unidos a implantar
La insercin del implante ocular secundaria; enucleacin
despus, los msculos conectados a implantar
Reinsercin de implante ocular; con el uso de material
extrao para el refuerzo y / o adherencia de los msculos
para implantar
La eliminacin del implante ocular
Extraccin de cuerpo extrao, ojo externo; conjuntival
superficial
Extraccin de cuerpo extrao, ojo externo; conjuntival
integrado (incluye concreciones), subconjuntival, o escleral
nonperforating
Extraccin de cuerpo extrao, ojo externo; corneal, sin
lmpara de hendidura
Extraccin de cuerpo extrao, ojo externo; corneal, con
lmpara de hendidura
Extraccin de cuerpo extrao intraocular,; desde la cmara
anterior del ojo o lente
Extraccin de cuerpo extrao intraocular,; del segmento
posterior, extraccin magntico, va anterior o posterior
Extraccin de cuerpo extrao intraocular,; del segmento
posterior, la extraccin no magntica
Reparacin de laceracin, conjuntiva, con o sin laceracin
nonperforating esclertica, cierre directo
Reparacin de laceracin, conjuntiva, por la movilizacin y
reorganizacin, sin hospitalizacin
Reparacin de laceracin, conjuntiva, por la movilizacin y
reorganizacin, con hospitalizacin
Reparacin de laceracin de la crnea, crnea,
nonperforating, con o sin extirpacin del cuerpo extrao
Reparacin de laceracin, crnea y / o esclera, perforacin,
no involucra el tejido uveal
Reparacin de laceracin, crnea y / o esclera, perforacin,
con la posicin o la reseccin de tejido uveal
Reparacin de laceracin; aplicacin de pegamento tisular,
heridas de la crnea y / o esclertica
La reparacin de la herida, msculo extraocular, tendn y / o

cpsula de Tenon
Escisin de lesin, la crnea (queratectoma, laminar,
parcial), a excepcin de pterigin
La biopsia de crnea
Excisin o transposicin de pterigin, sin injerto
Excisin o transposicin de pterigin, con injerto
Raspado de crnea, de diagnstico, para baciloscopia y / o
cultivo
La eliminacin del epitelio corneal, con o sin
chemocauterization (abrasin, legrado)
La eliminacin del epitelio de la crnea, con la aplicacin de
agente quelante (por ejemplo, EDTA)
Destruccin de lesin de la crnea por crioterapia,
fotocoagulacin o thermocauterization
Punciones mltiples de la crnea anterior (por ejemplo, para
la erosin corneal, tatuaje)
Queratoplastia (trasplante de crnea); lamelar anterior
Queratoplastia (trasplante de crnea); penetrante (excepto
en afaquia o pseudofaquia)
Queratoplastia (trasplante de crnea); penetrante (en
afaquia)
Queratoplastia (trasplante de crnea); penetrante (en
pseudofaquia)
Queratomileusis
Queratofaquia
Epikeratoplasty
Queratoprtesis
La queratotoma radial
Incisin corneal relajante para la correccin del
astigmatismo inducido quirrgicamente
Reseccin en cua corneal para la correccin del
astigmatismo inducido quirrgicamente
65290
65400
65410
65420
65426

RM N 689-2006-MINSA
65430
65435
65436
RM N 689-2006-MINSA
65450
65600
RM N 689-2006-MINSA
65710
RM N 689-2006-MINSA
65730
RM N 689-2006-MINSA
65750
RM N 689-2006-MINSA
65755
RM N 689-2006-MINSA
65760
65765
65767
65770
65771
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
65772
RM N 689-2006-MINSA
65775
RM N 689-2006-MINSA
La paracentesis de la cmara anterior del ojo (procedimiento

separado), con la aspiracin de diagnstico acuoso
65800

separado), con liberacin teraputico del humor acuoso
65805
RM N 689-2006-MINSA

separado); con la eliminacin del vtreo y / o discission de
membrana hialoides anterior, con o sin inyeccin de aire
65810
RM N 689-2006-MINSA
65815
RM N 689-2006-MINSA
65820
65850

65855
65860

separado); con la extraccin de sangre, con o sin irrigacin y
/ o inyeccin de aire
Goniotoma
Trabeculoplastia con lser ciruga, 1 o ms sesiones (serie
definida tratamiento)
Ruptura de las adherencias del segmento anterior, la tcnica
lser (procedimiento separado)
Adherencias seccionamiento del segmento anterior del ojo,

tcnica de incisin (con o sin inyeccin de aire o de lquido)
(procedimiento separado); goniosynechiae
65865
La ruptura de las adherencias del segmento anterior del ojo,

(procedimiento separado); sinequias anteriores, excepto
goniosynechiae
65870
RM N 689-2006-MINSA

(procedimiento separado); sinequia posterior
65875
RM N 689-2006-MINSA

(procedimiento separado); adherencias corneovitreal
65880
RM N 689-2006-MINSA
La eliminacin de descenso epitelial, cmara anterior del ojo
65900
RM N 689-2006-MINSA
65920
RM N 689-2006-MINSA
65930
RM N 689-2006-MINSA
66020
RM N 689-2006-MINSA
66030
RM N 689-2006-MINSA
66130
66170
RM N 689-2006-MINSA
66172
RM N 689-2006-MINSA
66180
66185
66220
66225
RM N 689-2006-MINSA
RM N 689-2006-MINSA
66250
RM N 689-2006-MINSA
66500
66505
RM N 689-2006-MINSA
66600
66605
RM N 689-2006-MINSA
66625
RM N 689-2006-MINSA
66630
RM N 689-2006-MINSA
66635
RM N 689-2006-MINSA
La eliminacin del material implantado, segmento anterior

del ojo
La eliminacin del cogulo de sangre, segmento anterior del
ojo
Inyeccin, cmara anterior del ojo (procedimiento
separado), el aire o lquido
Inyeccin, cmara anterior del ojo (procedimiento
separado); medicamentos
Escisin de lesin, la esclertica
Fistulizacin de la esclertica para el glaucoma,
trabeculectoma ab externo en ausencia de ciruga previa
Fistulizacin de la esclertica para el glaucoma,
trabeculectoma ab externo con cicatrices de ciruga ocular
previa o trauma (incluye la inyeccin de agentes
antifibrticos)
Derivacin acuosa al depsito extraocular (por ejemplo,
Molteno, Schocket, Denver-Krupin)
Revisin de derivacin acuosa al depsito extraocular
Reparacin de estafiloma escleral, sin injerto
Reparacin de estafiloma escleral, con injerto
Revisin o reparacin de herida operatoria del segmento
anterior, de cualquier tipo, procedimiento temprana o tarda,
mayor o menor
Iridotoma por incisin (procedimiento separado); excepto
transfixin
Iridotoma por incisin (procedimiento separado), con
transfixin como para el abombamiento del iris
Iridectoma, con seccin corneoescleral o crnea; para la
eliminacin de la lesin
Iridectoma, con seccin corneoescleral o corneal, con
cyclectomy
Iridectoma, con seccin corneoescleral o crnea; perifrico
para el glaucoma (procedimiento separado)
Iridectoma, con seccin corneoescleral o corneal, sector
para el glaucoma (procedimiento separado)
Iridectoma, con seccin corneoescleral o crnea; ptico
Reparacin de iris, el cuerpo ciliar (como para iridodilisis)

Sutura de iris, el cuerpo ciliar (procedimiento separado) con
la recuperacin de la sutura a travs de incisin pequea
(por ejemplo, la sutura McCannel)
Destruccin del cuerpo ciliar; ciclofotocoagulacin,
transescleral
Destruccin del cuerpo ciliar, la crioterapia
Destruccin del cuerpo ciliar; ciclodilisis
Iridotoma / iridectoma por ciruga lser (por ejemplo, para
el glaucoma) (1 o ms sesiones)
Iridoplastia por fotocoagulacin (1 o ms sesiones) (por
ejemplo, para la mejora de la visin, para la ampliacin del
ngulo de la cmara anterior)
Destruccin de quiste de iris o el cuerpo ciliar o lesin
(procedimiento nonexcisional)
Discission de catarata secundaria membranosa (cpsula
posterior del cristalino opaco y / o hialoides anterior); tcnica
pualada incisin (cuchillo de Ziegler o Wheeler)
Discission de catarata secundaria membranosa (cpsula
posterior del cristalino opaco y / o hialoides anterior); ciruga
lser (por ejemplo, lser YAG) (1 o ms etapas)
Cambio de posicin de la lente intraocular prtesis, lo que
requiere una incisin (procedimiento separado)
La eliminacin de la catarata secundaria membranosa
(opacificado cpsula posterior del cristalino y / o hialoides
anterior) con corneo-escleral seccin, con o sin iridectoma
(iridocapsulotomy, iridocapsulectomy)
La eliminacin del material de la lente; tcnica
facofragmentacin (mecnica o ultrasnica) (por ejemplo,
facoemulsificacin), con aspiracin
La eliminacin del material de la lente; enfoque pars plana,
con o sin vitrectoma
La eliminacin del material de la lente; intracapsular, para la
lente dislocado
La insercin de lente intraocular prtesis (implante
secundario), no se asocia con la extraccin de cataratas
concurrente
Cambio de lente intraocular
La aspiracin o la liberacin de fluido vtreo, subretiniano o
coroidea, pars plana enfoque (esclerotoma posterior)
La inyeccin de sustituto vtreo, pars plana o enfoque limbal,
(lquido-gas de cambio), con o sin aspiracin (procedimiento
separado)
Implantacin de sistema intravtrea de administracin de
frmacos (por ejemplo, implante, ganciclovir), incluye la
remocin concomitante de vtreo
La inyeccin intravtrea de un agente farmacolgico
Vitrectoma, mecnico, pars plana enfoque;
66680
66682
RM N 689-2006-MINSA
66700
66710
RM N 689-2006-MINSA
66720
66740
RM N 689-2006-MINSA
RM N 689-2006-MINSA
66761
66762
RM N 689-2006-MINSA
66770
66820
RM N 689-2006-MINSA
66821
RM N 689-2006-MINSA
66825
RM N 689-2006-MINSA
66830
66850
66852
RM N 689-2006-MINSA
66930
RM N 689-2006-MINSA
66985
66986
67015
67025
RM N 689-2006-MINSA
67027
RM N 689-2006-MINSA
67028
67036
Vitrectoma, mecnico, pars plana enfoque, con la

eliminacin de la membrana celular premacular (por
ejemplo, pucker macular)
67041
RM N 689-2006-MINSA
Vitrectoma, mecnico, pars plana enfoque; con eliminacin

de la membrana limitante interna de la retina (por ejemplo,
para la reparacin de agujero macular, edema macular
diabtico), incluye, si se realiza, taponamiento intraocular
(es decir, aire, gas o aceite de silicona)
67042
RM N 689-2006-MINSA
Vitrectoma, mecnico, pars plana enfoque; con eliminacin

de la membrana subretinal (por ejemplo, la
neovascularizacin coroidea), incluye, si se realiza, la
fotocoagulacin taponamiento intraocular (es decir, aire, gas
o aceite de silicona) y el lser
67043
RM N 689-2006-MINSA
67120
RM N 689-2006-MINSA
67121
RM N 689-2006-MINSA
67145
RM N 689-2006-MINSA
Destruccin de lesin localizada de retina (por ejemplo,

edema macular, tumores), una o ms sesiones de
crioterapia, diatermia;
67208

edema macular, tumores), una o ms sesiones; radiacin
mediante implantacin de fuente (incluye la eliminacin de
la fuente)
67218
RM N 689-2006-MINSA
Destruccin de lesin localizada de la coroides (por ejemplo,

la neovascularizacin coroidea); fotocoagulacin (por
ejemplo, lser), 1 o ms sesiones
67220
Destruccin de lesin localizada de la coroides

(neovascularizacin por ejemplo, la coroides); terapia
fotodinmica (incluye infusin intravenosa)
67221
RM N 689-2006-MINSA
67227
67250
67255
RM N 689-2006-MINSA
RM N 689-2006-MINSA
67311
67312
RM N 689-2006-MINSA
67314
RM N 689-2006-MINSA
67316
RM N 689-2006-MINSA
67318
RM N 689-2006-MINSA
La eliminacin del material implantado, el segmento

posterior; extraocular
La eliminacin del material implantado, el segmento
posterior; intraocular
Profilaxis del desprendimiento de retina (por ejemplo, rotura
de retina, degeneracin reticular) sin drenaje, una o ms
sesiones; lser (lser o de arco de xenn)
Destruccin de la retinopata extensa o progresivo (por

ejemplo, retinopata, diabtica), sesiones de 1 o ms, la
crioterapia, diatermia
Refuerzo escleral (procedimiento separado); sin injerto
Refuerzo escleral (procedimiento separado), con injerto
Procedimiento de ciruga de estrabismo, la recesin o
reseccin; 1 msculo horizontal
reseccin; 2 msculos horizontales
reseccin; 1 msculo vertical (excepto oblicuo superior)
reseccin; 2 o ms msculos verticales (excepto oblicuo
superior)
Ciruga de estrabismo, cualquier procedimiento, el msculo
oblicuo superior
Incorporacin al procedimiento (por ejemplo, para el

msculo extraocular paretic), cualquier msculo extraocular
(especificar) (Lista por separado adems del cdigo para el
67320
RM N 689-2006-MINSA
Estrabismo ciruga en pacientes con ciruga previa del ojo o

lesiones que no afectan los msculos extraoculares
(Enumere por separado adems del cdigo para el
67331
RM N 689-2006-MINSA
Estrabismo ciruga en paciente con cicatrizacin de los

msculos extraoculares (por ejemplo, lesin ocular antes,
estrabismo o ciruga de desprendimiento de retina) o
miopata restrictiva (por ejemplo, oftalmopata distiroidea)
67332
RM N 689-2006-MINSA
Estrabismo ciruga mediante la tcnica de sutura de fijacin

posterior, con o sin recesin msculo (lista por separado
adems de cdigo para el procedimiento primario)
67334
RM N 689-2006-MINSA
La colocacin de la sutura ajustable (s) durante la ciruga de

estrabismo, incluyendo el ajuste postoperatorio (s) de la
sutura (s) (Lista por separado adems de cdigo para la
ciruga de estrabismo especfico)
67335
RM N 689-2006-MINSA
67340
RM N 689-2006-MINSA
67343
RM N 689-2006-MINSA
67345
67350

67400
RM N 689-2006-MINSA
67405
RM N 689-2006-MINSA
67412
RM N 689-2006-MINSA
67413
RM N 689-2006-MINSA
67414
RM N 689-2006-MINSA
67415
Orbitotomas con colgajo seo o ventana, abordaje lateral

(por ejemplo, Kroenlein); con la eliminacin de la lesin
67420
RM N 689-2006-MINSA

(por ejemplo, Kroenlein), con remocin de cuerpo extrao
67430
RM N 689-2006-MINSA
67440
RM N 689-2006-MINSA
67445
RM N 689-2006-MINSA
Estrabismo ciruga en exploracin y / o reparacin de los

msculos extraoculares chalet (s) (Lista por separado
La liberacin de tejido cicatricial extensa sin separar los
msculos extraoculares (procedimiento separado)
La quimiodenervacin de los msculos extraoculares
La biopsia de msculo extraocular
Orbitotomas sin colgajo seo (abordaje frontal o
transconjuntival), para la exploracin, con o sin biopsia
transconjuntival), con drenaje slo
transconjuntival), con extirpacin de la lesin
transconjuntival), con remocin de cuerpo extrao
transconjuntival), con la extraccin de hueso para la
descompresin
Aspiracin con aguja fina de contenido orbitario

(por ejemplo, Kroenlein), con drenaje
(por ejemplo, Kroenlein); con la extraccin de hueso para la
descompresin

(por ejemplo, Kroenlein); para la exploracin, con o sin
biopsia
Retrobulbar inyeccin, medicamentos (procedimiento
separado, sin incluir el suministro de la medicacin)
Inyeccin retrobulbar; alcohol
La inyeccin de medicamento u otra sustancia en la cpsula
de Tenon
Implante orbital (implante fuera del cono muscular);
insercin
Implante orbital (implante fuera del cono muscular), la
eliminacin o revisin
Descompresin del nervio ptico (por ejemplo, la incisin o
fenestracin de la vaina del nervio ptico)
Blepharotomy, drenaje de abscesos, prpado
La ruptura de tarsorrafia
Escisin de chalazin; solo
Escisin de chalazin, tapa mltiple, mismo
Escisin de chalazin; tapas mltiples, diferentes
Biopsia del prpado
67450
RM N 689-2006-MINSA
67500
67505
RM N 689-2006-MINSA
67515
RM N 689-2006-MINSA
67550
67560
RM N 689-2006-MINSA
67570
67700
67710
67715
67800
67801
67805
67810

RM N 689-2006-MINSA
RM N 689-2006-MINSA
Correccin de triquiasis; depilacin por otro de frceps (por

ejemplo, por la electrociruga, crioterapia, ciruga lser)
67825
RM N 689-2006-MINSA
La correccin de triquiasis e incisin del margen de la tapa
67830
RM N 689-2006-MINSA
67835
RM N 689-2006-MINSA
67840
67850
RM N 689-2006-MINSA
67875
67880
67882
RM N 689-2006-MINSA
67900
RM N 689-2006-MINSA
67901
67902
RM N 689-2006-MINSA
67903
RM N 689-2006-MINSA
67904
RM N 689-2006-MINSA
67906
RM N 689-2006-MINSA
La correccin de triquiasis e incisin de borde del prpado,

con injerto libre de mucosa
Escisin de lesin de prpado (excepto chalazin) sin cierre
o con cierre directo sencillo
Destruccin de lesin de margen de la tapa (de hasta 1 cm)
Cierre temporal de los prpados por sutura (por ejemplo,
Frost sutura)
Construccin de adherencias intermarginal, tarsorrafia
mediana o canthorrhaphy;
Construccin de adherencias intermarginal, tarsorrafia
mediana o canthorrhaphy, con la transposicin de la placa
tarsal
La reparacin de ptosis de la ceja (supraciliar, a mitad de la
frente o abordaje coronal)
La reparacin de ptosis palpebral, tcnica msculo frontal
con sutura u otro material (por ejemplo, la fascia peraltada)
La reparacin de ptosis palpebral, tcnica msculo frontal
con cabestrillo fascial autlogo (incluye la obtencin de
fascia)
La reparacin de ptosis palpebral, (tarso) reseccin del
elevador o la promocin, enfoque interno
La reparacin de ptosis palpebral, (tarso) reseccin del
elevador o la promocin, el enfoque externo
La reparacin de ptosis palpebral, tcnica recto superior con
cabestrillo fascial (incluye la obtencin de fascia)
La reparacin de ptosis palpebral, msculo elevador del ano

conjunctivo-tarso-Muller reseccin (por ejemplo, FasanellaServat tipo)
Reduccin de la hipercorreccin de la ptosis
Correccin de la retraccin del prpado
Reparacin de ectropin; sutura
Reparacin de ectropin; thermocauterization
Reparacin de ectropin; escisin en cua del tarso
Reparacin de ectropin; extensas (por ejemplo, las
operaciones de tira tarsal)
Reparacin de entropin; sutura
Reparacin de entropin; thermocauterization
Reparacin de entropin; escisin en cua del tarso
67908
RM N 689-2006-MINSA
67909
67911
67914
67915
67916
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
67917
RM N 689-2006-MINSA
67921
67922
67923
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Reparacin de entropin; extensa (por ejemplo, tira, tarsal o

el funcionamiento capsulopalpebral fascia reparaciones)
67924
RM N 689-2006-MINSA
Sutura de herida reciente, prpado, involucrando borde del

prpado, tarso y / o conjuntiva palpebral cierre directo de
grosor parcial
67930
67935
RM N 689-2006-MINSA
67938
67950

RM N 689-2006-MINSA
La escisin y reparacin de prpado, involucrando margen

del prpado, tarso, conjuntiva, canto, o de espesor total,
pueden incluir la preparacin para injerto de piel o colgajo
de pedculo con la transferencia de tejido adyacente o
reordenacin; hasta un cuarto de margen de la tapa
67961
RM N 689-2006-MINSA
La escisin y reparacin de prpado, involucrando margen

del prpado, tarso, conjuntiva, canto, o de espesor total,
pueden incluir la preparacin para injerto de piel o colgajo
de pedculo con la transferencia de tejido adyacente o
reordenacin; ms de un cuarto de margen de la tapa
67966
RM N 689-2006-MINSA
Reconstruccin de prpado, espesor total mediante

transferencia de colgajo tarsoconjunctival de oponerse a los
prpados, hasta dos tercios de los prpados, una etapa o
primer ciclo
67971

prpados, prpado total, inferior, etapa 1 etapa o primer
67973
RM N 689-2006-MINSA

prpados, prpado total, superior, etapa 1 o primer ciclo
67974
RM N 689-2006-MINSA
67975
RM N 689-2006-MINSA
68020
68100

Sutura de herida reciente, prpado, involucrando borde del

prpado, tarso y / o conjuntiva palpebral cierre directo de
grosor completo
Extraccin de cuerpo extrao incrustado prpado,
Cantoplastia (reconstruccin de canto)

transferencia de colgajo tarsoconjunctival de oponerse
prpado; segunda etapa
Incisin de la conjuntiva, el drenaje de quiste
La biopsia de la conjuntiva
Escisin de lesin, la conjuntiva, puede tener hasta 1 cm
68110
Excisin de lesin, la conjuntiva, ms de 1 cm

Escisin de lesin, conjuntiva, esclera adyacente con
Conjunctivoplasty, con injerto conjuntival o reorganizacin
extensa
Conjunctivoplasty, con injerto de mucosa bucal (incluye la
Conjunctivoplasty, reconstruccin cul-de-sac, con injerto
conjuntival o reorganizacin extensa
Conjunctivoplasty, reconstruccin cul-de-sac, con injerto de
mucosa bucal (incluye la obtencin del injerto)
Reparacin de simblfaron; conjunctivoplasty, sin injerto
Reparacin de simblfaron, con injerto libre de conjuntiva o
la mucosa bucal (incluye la obtencin del injerto)
Reparacin de simblfaron; divisin de simblfaron, con o
sin insercin de confrmero o lente de contacto
Incisin, drenaje de la glndula lagrimal
Incisin, drenaje de saco lagrimal (dacryocystotomy o
dacryocystostomy)
Snip incisin de punto lagrimal
La escisin de la glndula lagrimal (dacryoadenectomy),
excepto para el tumor, total
La escisin de la glndula lagrimal (dacryoadenectomy),
excepto para el tumor; parcial
La biopsia de la glndula lagrimal
Escisin de saco lagrimal (dacryocystectomy)
Biopsia del saco lagrimal
Extraccin de cuerpo extrao o de las vas lagrimales,
dacryolith
68115
68130
68135
68200
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
68320
68325
RM N 689-2006-MINSA
68326
RM N 689-2006-MINSA
68328
RM N 689-2006-MINSA
68330
RM N 689-2006-MINSA
68335
RM N 689-2006-MINSA
68340
RM N 689-2006-MINSA
68400
68420
RM N 689-2006-MINSA
68440
RM N 689-2006-MINSA
68500
68505
RM N 689-2006-MINSA
68510
68520
68525

RM N 689-2006-MINSA
RM N 689-2006-MINSA
68530
Escisin de tumor de la glndula lagrimal; enfoque frontal
68540
68550
RM N 689-2006-MINSA
68700
68705

RM N 689-2006-MINSA
68720
68745
68750
RM N 689-2006-MINSA
68760
RM N 689-2006-MINSA
68761
68770
68801
68810
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
68815
RM N 689-2006-MINSA
68840
RM N 689-2006-MINSA
Escisin de tumor de la glndula lagrimal, la osteotoma

implica
Reparacin plstica de canalculos
Correccin de punctum evertido, cauterizacin
Dacriocistorrinostoma (fistulizacin de saco lagrimal a la
cavidad nasal)
Conjunctivorhinostomy (fistulizacin de conjuntiva a la
cavidad nasal); sin tubo
Conjunctivorhinostomy (fistulizacin de la conjuntiva a la
cavidad nasal), con la insercin del tubo o stent
Cierre del punto lagrimal; por ciruga thermocauterization,
ligadura, o lser
Cierre del punto lagrimal; por enchufe, cada
La dilatacin del punto lagrimal, con o sin irrigacin
Sondeo de conducto nasolagrimal, con o sin riego;
Sondeo de conducto nasolagrimal, con o sin riego, con la
insercin del tubo o stent
Sondeo de canalculos lagrimales, con o sin irrigacin
La inyeccin de medio de contraste para dacriocistografa

La mielografa, la fosa posterior, radiolgicos supervisin e
interpretacin
Examen radiolgico, ojo, para la deteccin de cuerpos
extraos
Examen radiolgico, mandbula, parciales, a menos de 4
puntos de vista
Examen radiolgico, la mandbula, completa, mnimo de 4
puntos de vista
Examen radiolgico, mastoides, menos de 3 visitas por
parte
Examen radiolgico, mastoides, completos, mnimo de 3
visitas por parte
Examen radiolgico, auditivo interno meatos, completo
Examen radiolgico, huesos de la cara, menos de 3 puntos
de vista
Exmenes radiolgicos, los huesos faciales, completos,
mnimo de 3 visitas
Radiolgica examen, los huesos nasales, completo, mnimo
de 3 visitas
Dacriocistografa, conducto nasolagrimal, vigilancia
radiolgica y la interpretacin
Examen radiolgico; foramen ptico
Examen radiolgico; rbitas completas, mnimo de 4 puntos
de vista
Examen radiolgico, senos paranasales, y menos de 3
puntos de vista
Examen radiolgico, los senos nasales, senos paranasales,
completo, mnimo de 3 visitas
Radiolgica examen, silla turca
Examen radiolgico, crneo, menos de 4 puntos de vista
Examen radiolgico, crneo completo, mnimo de 4 puntos
de vista
Examen radiolgico, los dientes; sola vista
Exmenes radiolgicos, los dientes, el examen parcial,
menos de la boca llena
Exmenes radiolgicos, los dientes, la boca completa, llena
Examen radiolgico, la boca de la articulacin
temporomandibular, abierto y cerrado, unilateral
Examen radiolgico, la boca de la articulacin
temporomandibular, abierto y cerrado, bilateral
Artrografa de la articulacin temporomandibular, la
supervisin y la interpretacin radiolgica
La resonancia magntica (por ejemplo, el protn) de
imgenes, de la articulacin temporomandibular (s)
Cefalograma, ortodoncia
Ortopantomografa
Examen radiolgico, el cuello, el tejido blando
Examen radiolgico, faringe o laringe, incluyendo la
fluoroscopia y / o tcnica de magnificacin
68850
RM N 689-2006-MINSA
70010
RM N 689-2006-MINSA
70030
RM N 689-2006-MINSA
70100
70110
RM N 689-2006-MINSA
70120
70130
RM N 689-2006-MINSA
70134
70140
70150
RM N 689-2006-MINSA
70160
70170
70190
70200
70210
RM N 689-2006-MINSA
70220
70240
70250

70260
RM N 689-2006-MINSA
70300
70310
RM N 689-2006-MINSA
70320
70328
70330
RM N 689-2006-MINSA
70332
70336
RM N 689-2006-MINSA
70350
70355
70360
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
70370
RM N 689-2006-MINSA
Complejo evaluacin dinmica farngea y voz por cine o la

grabacin de vdeo
Laryngography, contraste radiolgico supervisin e
interpretacin
Examen radiolgico, glndula salival para el clculo
Sialografa, vigilancia radiolgica y la interpretacin
Sialografa; procedimiento completo
La tomografa computarizada, la cabeza o el cerebro, sin
La tomografa computarizada, la cabeza o el cerebro; sin
material de contraste, seguido por el material de contraste
(s) y otras secciones
70371
RM N 689-2006-MINSA
70373
70380
70390
70391
RM N 689-2006-MINSA
RM N 689-2006-MINSA
70450
70470
RM N 689-2006-MINSA
La tomografa computarizada, rbita, silla turca o fosa

posterior o del odo externo, medio o interno, sin material de
contraste
70480

posterior o del odo externo, medio o interno, sin material de
contraste, seguida de material de contraste (s) y otras
secciones
70482
RM N 689-2006-MINSA
70486
70488
RM N 689-2006-MINSA
70490
70492
RM N 689-2006-MINSA
Angio-TC, la cabeza, con material de contraste (s),

incluyendo imgenes sin contraste, si se realiza, y postprocesamiento de imagen
70496
RM N 689-2006-MINSA
La resonancia magntica (por ejemplo, protones) de

imgenes, la rbita, la cara y / o el cuello, sin material de
contraste (s)
70540

imgenes, la rbita, la cara y / o el cuello, sin material de
contraste (s), seguido de material de contraste (s) y
secuencias adicionales
70543
RM N 689-2006-MINSA
70544
RM N 689-2006-MINSA
70546
RM N 689-2006-MINSA
70547
RM N 689-2006-MINSA
70549
RM N 689-2006-MINSA
70551
RM N 689-2006-MINSA
La tomografa computarizada, rea maxilofacial, sin material

de contraste
La tomografa computarizada, rea maxilofacial; sin material
de contraste, seguido por el material de contraste (s) y otras
secciones
La tomografa computarizada, cuello tejido blando, sin
La tomografa computarizada, cuello tejido blando; sin
material de contraste seguido por el material de contraste
Angiografa por resonancia magntica, cabeza, sin material

de contraste (s)
Angiografa por resonancia magntica, cabeza; sin material
de contraste (s), seguido de material de contraste (s) y
Angiografa por resonancia magntica, el cuello, sin material
de contraste (s)
Angiografa por resonancia magntica, el cuello; sin material
de contraste (s), seguido de material de contraste (s) y
imgenes, el cerebro (incluyendo el tronco cerebral); sin

imgenes, el cerebro (incluyendo el tronco cerebral); sin
(s) y secuencias adicionales
70553
RM N 689-2006-MINSA

imgenes, el cerebro (incluyendo el tronco cerebral y la
base del crneo), durante el procedimiento intracraneal
abierta (por ejemplo, para evaluar de tumor residual o
malformacin vascular residual); sin material de contraste
70557
RM N 689-2006-MINSA

malformacin vascular residual); sin material de contraste
(s), seguido de material de contraste (s ) y secuencias
adicionales
70559
RM N 689-2006-MINSA
Examen radiolgico, el pecho, sola vista, frontal

Examen radiolgico, el pecho, dos puntos de vista, frontal y
lateral;
lateral, con procedimiento lordtica apical
lateral, con proyecciones oblicuas
lateral, con fluoroscopia
Examen radiolgico, el pecho, completo, mnimo de 4
puntos de vista;
Examen radiolgico, el pecho, completo, mnimo de cuatro
puntos de vista, con fluoroscopia
Examen radiolgico, el pecho, las vistas especiales (por
ejemplo, decbito lateral, estudios de Bucky)
Biopsia por puncin de la lesin intratorcica, incluido el
seguimiento de las pelculas, localizacin fluoroscpica solo,
supervisin e interpretacin radiolgica
Broncografa, unilateral, radiolgicos supervisin e
interpretacin
Broncografa, bilateral, vigilancia radiolgica y la
interpretacin
Examen radiolgico, costillas, unilateral, 2 opiniones
Examen radiolgico, costillas, unilaterales, incluyendo trax
posteroanterior, mnimo de 3 visitas
Examen radiolgico, costillas, bilateral, 3 opiniones
Examen radiolgico, costillas, bilaterales, incluyendo trax
posteroanterior, mnimo de 4 puntos de vista
71010
71020
71021
RM N 689-2006-MINSA
71022
RM N 689-2006-MINSA
71023
RM N 689-2006-MINSA
71030
RM N 689-2006-MINSA
71034
RM N 689-2006-MINSA
71035
RM N 689-2006-MINSA
71036
RM N 689-2006-MINSA
71040
71060
RM N 689-2006-MINSA
71100
71101
RM N 689-2006-MINSA
71110
RM N 689-2006-MINSA
71111
RM N 689-2006-MINSA
Examen radiolgico; esternn, mnimo de 2 puntos de vista
71120
71130
RM N 689-2006-MINSA
71250
Examen radiolgico; articulacin esternoclavicular o

articulaciones, mnimo de 3 visitas
La tomografa computarizada, trax, sin material de
contraste
La tomografa computarizada, trax; sin material de

contraste, seguido por el material de contraste (s) y otras
secciones
71270
RM N 689-2006-MINSA

imgenes, el pecho (por ejemplo, para la evaluacin de
adenopatas hiliares y mediastinales); sin material de
contraste (s)
71550

linfadenopata hiliar y mediastinal); sin material de contraste
(s), seguido de material de contraste (s) y secuencias
adicionales
71552
RM N 689-2006-MINSA
71555
RM N 689-2006-MINSA
72010
72020
72040
72050
Examen radiolgico, la columna vertebral cervical; completa,

incluyendo estudios oblicua y flexin y / o extensin
72052
Examen radiolgico, columna, pie toracolumbar (escoliosis)
72069
RM N 689-2006-MINSA
Examen radiolgico, columna vertebral, trax, 2 opiniones
72070
Examen radiolgico, columna vertebral, trax, 3 opiniones
72072
RM N 689-2006-MINSA
72074
72080
72090
RM N 689-2006-MINSA
72100
72110
72114
RM N 689-2006-MINSA
72120
RM N 689-2006-MINSA
72125
72127
RM N 689-2006-MINSA
72128
RM N 689-2006-MINSA
Angiografa por resonancia magntica, el pecho (excepto

miocardio), con o sin material de contraste (s)
Examen radiolgico, la columna vertebral completa, estudio
de encuesta, anteroposterior y lateral
Examen radiolgico, columna vertebral, vista nica y
especificar el nivel de
Examen radiolgico, la columna vertebral cervical, 2 o 3
puntos de vista
Examen radiolgico, la columna vertebral cervical, con un
mnimo de 4 puntos de vista
Examen radiolgico, columna vertebral, trax, mnimo de 4

puntos de vista
Examen radiolgico, la columna vertebral; toracolumbar, 2
opiniones
Examen radiolgico, la columna vertebral, escoliosis
estudio, incluyendo estudios en posicin supina y erecta
Examen radiolgico, la columna vertebral lumbosacra, 2 o 3
puntos de vista
Examen radiolgico, la columna vertebral lumbosacra, con
un mnimo de 4 puntos de vista
Examen radiolgico, la columna vertebral lumbosacra;
completa, incluyendo vistas de flexin
Examen radiolgico, la columna vertebral, las vistas
lumbosacra, flexin solamente, mnimo de 4 puntos de vista
La tomografa computarizada, la columna cervical; sin
La tomografa computarizada, la columna cervical; sin
La tomografa computarizada, la columna vertebral torcica,
sin material de contraste
La tomografa computarizada, columna torcica; sin material

de contraste, seguido por el material de contraste (s) y otras
secciones
La tomografa computarizada, la columna vertebral lumbar,
La tomografa computarizada, la columna vertebral lumbar;
sin material de contraste, seguido por el material de
contraste (s) y otras secciones
72130
RM N 689-2006-MINSA
72131
RM N 689-2006-MINSA
72133
RM N 689-2006-MINSA

imgenes, canal espinal y contenido, cervical, sin material
de contraste
72141

imgenes, canal espinal y contenido, cervical, con material
de contraste (s)
72142
RM N 689-2006-MINSA

imgenes, canal espinal y contenido, torcica, sin material
de contraste
72146
RM N 689-2006-MINSA

imgenes, canal espinal y contenido, torcica, con material
de contraste (s)
72147
RM N 689-2006-MINSA

imgenes, canal espinal y contenido, lumbar, sin material de
contraste
72148
RM N 689-2006-MINSA

imgenes, canal espinal y contenido, lumbar, con medio de
contraste (s)
72149
RM N 689-2006-MINSA

imgenes, canal espinal y contenido, sin material de
contraste, seguido por el material de contraste (s) y las
secuencias adicionales, cervical
72156
RM N 689-2006-MINSA
72159
RM N 689-2006-MINSA
72170
72190
72192
72194
RM N 689-2006-MINSA
72195
RM N 689-2006-MINSA
72197
RM N 689-2006-MINSA
72198
RM N 689-2006-MINSA
72200
72202
RM N 689-2006-MINSA
Angiografa por resonancia magntica, canal espinal y

contenido, con o sin material de contraste (s)
Examen radiolgico, pelvis, 1 2 puntos de vista
Examen radiolgico, pelvis, completo, mnimo de 3 visitas
La tomografa computarizada, la pelvis, sin material de
contraste
La tomografa computarizada, la pelvis; sin material de
secciones
imgenes, la pelvis, sin material de contraste (s)
imgenes, la pelvis; sin material de contraste (s), seguido de
material de contraste (s) y secuencias adicionales
Angiografa por resonancia magntica, la pelvis, con o sin
material de contraste (s)
Examen radiolgico, las articulaciones sacroilacas, menos
de 3 puntos de vista
Examen radiolgico, las articulaciones sacroilacas, 3 o ms
vistas
Examen radiolgico, el sacro y el cccix, mnimo de 2

puntos de vista
Examen radiolgico; clavcula, completo
Radiolgica examen; escpula, completo
Examen radiolgico, hombro, vista 1
Examen radiolgico, hombro, completo, mnimo de 2 puntos
de vista
Examen radiolgico, el hombro, artrografa, radiolgicos
supervisin e interpretacin
Examen radiolgico, articulaciones acromioclavicular,
bilaterales, con o sin distraccin ponderada
72220
RM N 689-2006-MINSA
73000
73010
73020

RM N 689-2006-MINSA
73030
73040
73050
RM N 689-2006-MINSA
Examen radiolgico; hmero, mnimo de 2 puntos de vista
73060
Examen radiolgico, el codo, 2 opiniones
73070
Examen radiolgico, el codo, completo, mnimo de 3 visitas
73080
RM N 689-2006-MINSA
73085
73090
73092
RM N 689-2006-MINSA
73100
73110
RM N 689-2006-MINSA
73115
73120
73130
RM N 689-2006-MINSA
73140
73200
73202
RM N 689-2006-MINSA
Angio-TC, extremidad superior, con material de contraste

(s), incluyendo imgenes sin contraste, si se realiza, y postprocesamiento de imagen
73206
RM N 689-2006-MINSA

imgenes, extremidad superior, con excepcin de las
articulaciones; sin material de contraste (s)
73218
RM N 689-2006-MINSA

imgenes, la extremidad superior, que no sea conjunta; sin
material de contraste (s), seguido de material de contraste
(s) y secuencias adicionales
73220

imgenes, cualquier articulacin de la extremidad superior,
sin material de contraste (s)
73221
RM N 689-2006-MINSA

imgenes, cualquier articulacin de la extremidad superior;
sin material de contraste (s), seguido de material de
contraste (s) y secuencias adicionales
73223
RM N 689-2006-MINSA
Examen radiolgico, el codo, artrografa, radiolgicos

Examen radiolgico, antebrazo, 2 opiniones
Examen radiolgico, extremidad superior, infantil, mnimo de
2 puntos de vista
Examen radiolgico, la mueca, 2 opiniones
Examen radiolgico, la mueca, completo, mnimo de 3
visitas
Examen radiolgico, la mueca, artrografa, radiolgicos
Examen radiolgico, mano, 2 opiniones
Examen radiolgico, la mano, con un mnimo de 3 puntos
de vista
Examen radiolgico, dedo (s), mnimo de 2 puntos de vista
La tomografa computarizada, extremidad superior, sin
La tomografa computarizada, las extremidades superiores;
sin material de contraste, seguido por el material de
contraste (s) y otras secciones
Angiografa por resonancia magntica, extremidad superior,

con o sin material de contraste (s)
Examen radiolgico, la cadera unilateral; una vista
Examen radiolgico, cadera, unilateral, completo, mnimo de
2 puntos de vista
Examen radiolgico, las caderas, bilaterales, mnimo de 2
puntos de vista de cada cadera, incluyendo proyeccin
anteroposterior de pelvis
Examen radiolgico, cadera, artrografa, la supervisin y la
interpretacin radiolgica
Examen radiolgico, cadera, durante el procedimiento
quirrgico
Examen radiolgico, la pelvis y las caderas, un infante o
nio, mnimo de 2 puntos de vista
El examen radiolgico, la artrografa articulacin sacroilaca,
la supervisin y la interpretacin radiolgica
Examen radiolgico, fmur, 2 visitas
Examen radiolgico, la rodilla, 1 2 puntos de vista
Examen radiolgico, la rodilla, 3 opiniones
73225
RM N 689-2006-MINSA
73500
RM N 689-2006-MINSA
73510
RM N 689-2006-MINSA
73520
73525
73530
RM N 689-2006-MINSA
73540
RM N 689-2006-MINSA
73542
73550
73560
73562

RM N 689-2006-MINSA
73564
RM N 689-2006-MINSA
73565
RM N 689-2006-MINSA
73580
73590
73592
RM N 689-2006-MINSA
73600
73610
RM N 689-2006-MINSA
73615
73620
73630
73650
RM N 689-2006-MINSA
73660
RM N 689-2006-MINSA
73700
73702
RM N 689-2006-MINSA
Angio-TC, de las extremidades inferiores, con material de

contraste (s), incluyendo imgenes sin contraste, si se
realiza, y post-procesamiento de imagen
73706
RM N 689-2006-MINSA

imgenes, de las extremidades inferiores que no sea
comn, sin material de contraste (s)
73718
RM N 689-2006-MINSA
Examen radiolgico, la rodilla, completos, 4 o ms vistas

Examen radiolgico, la rodilla, las dos rodillas, de pie,
anteroposterior
Examen radiolgico, la rodilla, artrografa, radiolgicos
Radiolgica examen; tibia y el peron, 2 visitas
Examen radiolgico; las extremidades inferiores, infantil,
mnimo de 2 puntos de vista
Examen radiolgico, el tobillo, 2 opiniones
Examen radiolgico, el tobillo, completo, mnimo de 3 visitas
Examen radiolgico, el tobillo, artrografa, radiolgicos
Examen radiolgico, pie, 2 opiniones
Examen radiolgico, el pie; mnimo completo, de 3
opiniones
Examen radiolgico; calcneo, mnimo de 2 puntos de vista
Examen radiolgico, dedo del pie (s), mnimo de 2 puntos
de vista
La tomografa computarizada, la extremidad inferior; sin
La tomografa computarizada, la extremidad inferior; sin

conjunta; sin material de contraste (s), seguido de material
de contraste (s) y secuencias adicionales
73720

imgenes, cualquier articulacin de la extremidad inferior;
73721
RM N 689-2006-MINSA

imgenes, cualquier articulacin de la extremidad inferior;
sin material de contraste (s), seguido de material de
contraste (s) y secuencias adicionales
73723
RM N 689-2006-MINSA
73725
RM N 689-2006-MINSA
74000
74010
RM N 689-2006-MINSA
74020
74022
RM N 689-2006-MINSA
74150
74170
RM N 689-2006-MINSA
74175
RM N 689-2006-MINSA
74181

imgenes, abdomen, sin material de contraste (s), seguido
de con material de contraste (s) y secuencias adicionales
74183
RM N 689-2006-MINSA
Angiografa por resonancia magntica, el abdomen, con o

sin material de contraste (s)
74185
RM N 689-2006-MINSA
Peritoneogram (por ejemplo, despus de la inyeccin de

aire o contraste), radiolgicos supervisin y la interpretacin
74190
Examen radiolgico, faringe y / o esfago cervical
74210
RM N 689-2006-MINSA
Examen radiolgico; esfago

Trastornos de la deglucin, con cinerradiografa /
videoradiography
Extraccin de cuerpo extrao (s), de esfago, con el uso de
catter de baln, la supervisin y la interpretacin
radiolgica
74220
74230
RM N 689-2006-MINSA
74235
RM N 689-2006-MINSA
74240
RM N 689-2006-MINSA
Angiografa por resonancia magntica, las extremidades

inferiores, con o sin material de contraste (s)
Examen radiolgico, abdomen, proyeccin anteroposterior
nico
Examen radiolgico, abdomen, oblicuas y cono
anteroposterior y adicionales
Examen radiolgico, abdomen, completa, incluyendo
decbito y / o puntos de vista erectos
Examen radiolgico, el abdomen, la serie completa de
abdomen agudo, incluyendo erguido en posicin supina, y /
o puntos de vista de decbito, pecho sola vista
La tomografa computarizada, abdomen, sin material de
contraste
La tomografa computarizada, abdomen, sin material de
secciones
Angiografa por tomografa computarizada, abdomen, con
material de contraste (s), incluyendo imgenes sin
contraste, si se realiza, y el posprocesamiento imagen
imgenes, abdomen, sin material de contraste (s)
Examen radiolgico, el tracto gastrointestinal, la parte

superior, con o sin pelculas tardas, sin radiografa RUV
(rion, ureter, vejiga)
Examen radiolgico, el tracto gastrointestinal, la parte

superior, con o sin pelculas tardas, con radiografa RUV
(rion, ureter, vejiga)
74241
RM N 689-2006-MINSA
Radiologic examen, el tracto gastrointestinal, superior; con

intestino delgado, incluye mltiples pelculas de serie
74245
RM N 689-2006-MINSA
El examen radiolgico, tracto gastrointestinal, superior,

contraste de aire, con especfica de bario de alta densidad,
agente efervescente, con o sin glucagn; pelculas con o sin
retraso, sin radiografa RUV (rion, ureter, vejiga)
74246

contraste de aire, con bario especfico de alta densidad,
agente efervescente, con o sin glucagn, con o sin pelculas
tardas, con radiografa RUV (rion, ureter, vejiga)
74247
RM N 689-2006-MINSA

contraste de aire, con especfica de bario de alta densidad,
agente efervescente, con o sin glucagn; intestino delgado
con seguimiento a travs
74249
Examen radiolgico, el intestino delgado, incluye varias

pelculas de serie;
74250
Radiologic examen, el intestino delgado, incluye mltiples

pelculas de serie, a travs del tubo enteroclisis
74251
RM N 689-2006-MINSA
Duodenography, hipotnica
74260
RM N 689-2006-MINSA
Examen radiolgico, colon; contraste (por ejemplo, bario)

enema, con o sin radiografa RUV (rion, ureter, vejiga)
74270
RM N 689-2006-MINSA
74280
74283
RM N 689-2006-MINSA
74290
74291
RM N 689-2006-MINSA
74300
Colangiografa y / o pancreatografa; conjunto adicional

intraoperatoria, la supervisin y la interpretacin radiolgica
primario)
74301
Colangiografa y / o pancreatografa, a travs de catter

existente, la supervisin y la interpretacin radiolgica
74305
La colangiografa percutnea, transheptica, supervisin e

74320
Eliminacin biliar postoperatoria clculo de conductos, a

travs de las vas percutnea con tubo en T, cesta, o trampa
(por ejemplo, la tcnica Burhenne), la supervisin y la
74327
RM N 689-2006-MINSA
Examen radiolgico, el colon, el contraste de aire con bario

especfico de alta densidad, con o sin glucagn
Enema teraputico, el contraste o aire, para la reduccin de
la invaginacin intestinal u obstruccin intraluminal otro (por
ejemplo, leo meconial)
Colecistografa, contraste oral;
Colecistografa, contraste oral; examen adicional o
repeticin o el examen de varios das
Colangiografa y / o pancreatografa; intraoperatoria, la
Cateterizacin endoscpica del sistema de conductos

biliares, la supervisin y la interpretacin radiolgica
Cateterizacin endoscpica del sistema ductal pancretico,
Cateterizacin endoscpica combinada de los sistemas de
conductos biliares y pancreticos, supervisin e
74328
RM N 689-2006-MINSA
74329
RM N 689-2006-MINSA
74330
RM N 689-2006-MINSA
74340
RM N 689-2006-MINSA
74350
RM N 689-2006-MINSA
74355
RM N 689-2006-MINSA
74360
RM N 689-2006-MINSA
Dilatacin percutnea transheptica de la estenosis del

conducto biliar con o sin colocacin de stent, la supervisin
y la interpretacin radiolgica
74363
RM N 689-2006-MINSA
Urografa (pielografa), por va intravenosa, con o sin

radiografa RUV (rion, ureter, vejiga), con o sin tomografa
74400
Urografa, infusin, goteo tcnica y / o tcnica de bolo;
74410
74415
RM N 689-2006-MINSA
74420
74425
74430
74440
RM N 689-2006-MINSA
74450
74455
RM N 689-2006-MINSA
74475
RM N 689-2006-MINSA
74480
RM N 689-2006-MINSA
74485
74740
74742
RM N 689-2006-MINSA
Introduccin del tubo gastrointestinal largo (por ejemplo,

Miller-Abbott), incluyendo fluoroscopies mltiples y pelculas,
Percutnea colocacin de sonda de gastrostoma,
radiolgicos supervisin e interpretacin
Colocacin de tubo percutneo enteroclisis, radiolgicos
Dilatacin intraluminal de la estenosis y / u obstrucciones
(por ejemplo, el esfago), la supervisin y la interpretacin
radiolgica
Urografa, infusin, goteo tcnica y / o tcnica de bolo; con

nefrotomografa
Urografa, retrgrada, con o sin radiografa RUV (rion,
ureter, vejiga)
Urografa, antergrada (pyelostogram, loopogram
nefrostograma,), la supervisin y la interpretacin
radiolgica
La cistografa, mnimo de 3 puntos de vista, supervisin e
Vasografa, vesiculografia o epididymography, vigilancia
Uretrocistografa, retrgrado, vigilancia radiolgica y la
interpretacin
Uretrocistografa, la miccin, la supervisin y la
el drenaje y / o de inyeccin, percutnea, la supervisin y la
Introduccin de catter ureteral o stent en urter a travs de
la pelvis renal para el drenaje y / o de inyeccin, percutnea,
La dilatacin de nefrostoma, los urteres o la uretra, la
La histerosalpingografa, la supervisin y la interpretacin
radiolgica
Cateterizacin transcervical de trompa de Falopio,
radiolgicos supervisin y la interpretacin
La resonancia magntica cardiaca de morfologa, sin

La resonancia magntica cardiaca de morfologa, con
La resonancia magntica cardiaca para la funcin, con o sin
morfologa, estudio completo
La resonancia magntica cardiaca para la funcin, con o sin
morfologa, estudio limitado
La resonancia magntica cardiaca para el mapeo de la
velocidad del flujo
Aortografa, torcica, sin serialography, supervisin e
Aortografa, torcica, por serialography, radiolgicos
Aortografa abdominal, por serialography, radiolgicos
Aortografa abdominal bilateral ms iliofemoral extremidades
inferiores, catter, por serialography, vigilancia radiolgica y
la interpretacin
Angiografa por tomografa computarizada, aorta abdominal
y bilaterales iliofemoral escurrimiento de las extremidades
inferiores, con material de contraste (s), incluyendo
imgenes sin contraste, si se realiza, y postprocesado
imagen
Angiografa, cervicocerebral catter, incluyendo origen
buque, la supervisin y la interpretacin radiolgica
Angiografa, braquial, supervisin retrgrado, radiolgicas e
interpretacin
Angiografa, cartida externa, unilateral, supervisin
selectiva, radiolgicas e interpretacin
Angiografa, cartida externa, bilateral, selectiva, vigilancia
Angiografa, cartida, cerebral, supervisin unilateral,
radiolgicas e interpretacin
Angiografa, cartida, cerebral, la supervisin bilateral,
Angiografa, cartida, cervical, supervisin unilateral,
Angiografa, cartida, cervical, bilateral, la supervisin y la
Angiografa, vertebral, cervicales y / o intracraneales, la
Angiografa, espinal, selectivo, la supervisin y la
Angiografa, extremidad, unilateral, radiolgicos supervisin
e interpretacin
Angiografa, extremidades, bilateral, vigilancia radiolgica y
la interpretacin
Angiografa, renal unilateral, selectiva (incluyendo
aortograma ras), la supervisin y la interpretacin
radiolgica
75552
75553
RM N 689-2006-MINSA
75554
RM N 689-2006-MINSA
75555
RM N 689-2006-MINSA
75556
RM N 689-2006-MINSA
75600
75605
RM N 689-2006-MINSA
75625
75630
RM N 689-2006-MINSA
75635
RM N 689-2006-MINSA
75650
75658
75660
RM N 689-2006-MINSA
75662
RM N 689-2006-MINSA
75665
RM N 689-2006-MINSA
75671
RM N 689-2006-MINSA
75676
RM N 689-2006-MINSA
75680
RM N 689-2006-MINSA
75685
RM N 689-2006-MINSA
75705
75710
75716
RM N 689-2006-MINSA
75722
RM N 689-2006-MINSA
Angiografa, renal bilateral, selectiva (incluyendo aortograma

flush), radiolgicos supervisin e interpretacin
75724
RM N 689-2006-MINSA
75726
75731
RM N 689-2006-MINSA
75733
RM N 689-2006-MINSA
75736
RM N 689-2006-MINSA
75741
RM N 689-2006-MINSA
75743
RM N 689-2006-MINSA
75746
RM N 689-2006-MINSA
La angiografa, inyeccin coronaria bilateral selectiva,

incluyendo angiografa ventricular izquierda y supravalvular
y registro de la presin; procedimiento completo
75755
Angiografa, supervisin interna mamaria, radiolgicas e

interpretacin
75756
RM N 689-2006-MINSA
Angiografa, selectiva, cada vaso adicional estudiado

despus de un examen bsico, vigilancia radiolgica y la
interpretacin (lista por separado adems del cdigo para el
75774
RM N 689-2006-MINSA
75790
RM N 689-2006-MINSA
75801
75803
RM N 689-2006-MINSA
75805
RM N 689-2006-MINSA
75807
RM N 689-2006-MINSA
Shuntogram para la investigacin de derivacin permanente

colocado previamente no vascular (por ejemplo, derivacin
LeVeen, derivacin ventrculo-peritoneal, bomba de infusin
de mora), la supervisin y la interpretacin radiolgica
75809
RM N 689-2006-MINSA
Splenoportography, vigilancia radiolgica y la interpretacin
75810
75820
75822
RM N 689-2006-MINSA
75825
Angiografa, visceral, selectiva o supraselectiva (con o sin

aortograma ras), la supervisin y la interpretacin
radiolgica
Angiografa, suprarrenal, unilateral, supervisin selectiva,
Angiografa, suprarrenal, bilateral, supervisin selectiva,
Angiografa, plvico, selectiva o supraselectiva, radiolgicos
La angiografa pulmonar, unilateral, selectiva, radiolgicos
La angiografa pulmonar, bilateral, selectivo, radiolgicos
La angiografa pulmonar, por no selectivo catter o
inyeccin venosa, la supervisin y la interpretacin
radiolgica
Angiografa, derivacin arteriovenosa (por ejemplo,

pacientes de dilisis), la supervisin y la interpretacin
radiolgica
Linfangiografa, slo extremidad, unilateral, radiolgicos
Linfangiografa, slo extremidad, bilateral, vigilancia
Linfangiografa, plvica / abdominal, unilateral, radiolgicos
Linfangiografa, vigilancia radiolgica plvica / abdominal,
bilateral, y la interpretacin
Venografa, extremidad, unilateral, radiolgicos supervisin

e interpretacin
Venografa, extremidades, bilateral, la supervisin y la
Venografa, cava, inferior, con serialography, supervisin e
Venografa, cava, superior, con serialography, supervisin e

Venografa, renal, unilateral, supervisin selectiva,
Venografa, renal, bilateral, supervisin selectiva,
Venografa, renal, bilateral, selectiva; procedimiento
completo
Venografa, seno venoso (sagital por ejemplo, petroso e
inferior) o un catter yugular, supervisin e interpretacin
radiolgica
Venografa, superior del seno sagital, supervisin e
Venografa, seno sagital superior; procedimiento completo,
incluida la puncin directa
Venografa, epidural, la supervisin y la interpretacin
radiolgica
75827
75831
75833
RM N 689-2006-MINSA
75834
RM N 689-2006-MINSA
75860
RM N 689-2006-MINSA
75870
RM N 689-2006-MINSA
75871
RM N 689-2006-MINSA
75872
RM N 689-2006-MINSA
Transheptica percutnea portografa con la evaluacin

hemodinmica, supervisin e interpretacin radiolgica
75885
Transheptica percutnea portografa sin evaluacin

75887
RM N 689-2006-MINSA
Venografa heptica, cua o libre, con evaluacin

75889
RM N 689-2006-MINSA
Venografa heptica, cua o libre, sin evaluacin

75891
RM N 689-2006-MINSA
75893
RM N 689-2006-MINSA
75894
RM N 689-2006-MINSA
75896
RM N 689-2006-MINSA
La angiografa por catter existente para estudio de

seguimiento de la terapia transcatter, embolizacin o
infusin
75898
RM N 689-2006-MINSA
Intercambio de un catter colocado previamente

intravascular durante la terapia tromboltica con
monitorizacin contrario, la supervisin y la interpretacin
radiolgica
75900
RM N 689-2006-MINSA
La eliminacin mecnica de material pericatter obstructiva

(por ejemplo, la vaina de fibrina) desde el dispositivo venoso
central a travs de un acceso venoso separado, vigilancia
75901
RM N 689-2006-MINSA
La eliminacin mecnica de material intraluminal obstructiva

(intracatheter) desde el dispositivo venoso central a travs
del lumen del dispositivo, la supervisin y la interpretacin
radiolgica
75902
RM N 689-2006-MINSA
Percutnea colocacin de filtro de vena cava inferior, la

75940
RM N 689-2006-MINSA
Muestra venosa a travs del catter, con o sin angiografa

(por ejemplo, para la hormona paratiroidea, la renina),
radiolgicos supervisin y la interpretacin
Terapia transcatter, embolizacin, cualquier mtodo, la
Terapia percutnea, la infusin, cualquier mtodo (por
ejemplo, la trombolisis no sea coronaria), la supervisin y la
Ultrasonido intravascular (vaso no coronario), la supervisin

y la interpretacin radiolgica; recipiente inicial
75945
RM N 689-2006-MINSA

infrarrenal o diseccin, la supervisin y la interpretacin
radiolgica
75952
RM N 689-2006-MINSA
Colocacin de la extensin proximal o distal prtesis para la

reparacin endovascular de aneurisma artico infrarrenal o
arteria ilaca, pseudoaneurisma, diseccin o, vigilancia
75953
RM N 689-2006-MINSA
La reparacin endovascular de aneurisma de la arteria

ilaca, pseudoaneurisma, malformacin arteriovenosa o
trauma, la supervisin y la interpretacin radiolgica
75954
RM N 689-2006-MINSA
Transcatter introduccin del stent intravascular (s) (excepto

vaso coronario, cartida y vertebral), percutnea y / o
abierta, la supervisin y la interpretacin radiolgica, cada
buque
75960
RM N 689-2006-MINSA
Recuperacin transcatter, percutnea, de cuerpo extrao

intravascular (por ejemplo venoso, fracturado o catter
arterial), la supervisin y la interpretacin radiolgica
75961
RM N 689-2006-MINSA
75962
RM N 689-2006-MINSA
75966
RM N 689-2006-MINSA
75978
RM N 689-2006-MINSA
75979
RM N 689-2006-MINSA
75980
RM N 689-2006-MINSA
75981
RM N 689-2006-MINSA
Gua fluoroscpica para la colocacin del dispositivo de

acceso venoso central, la sustitucin (catter slo o
completa), o el retiro (incluye gua fluoroscpica para el
acceso vascular y la manipulacin del catter, las
inyecciones de contraste necesarios a travs del sitio de
acceso o catter relacionados con la venografa vigilancia
radiolgica y la interpretacin, y la documentacin
radiogrfica de la posicin del catter final) (Enumere por
primario)
75998
RM N 689-2006-MINSA
Fluoroscopia (procedimiento separado), hasta una hora el

tiempo del mdico, que no sea 71023 o 71034 (fluoroscopia
por ejemplo, cardaca)
76000
RM N 689-2006-MINSA
Fluoroscopia, tiempo mdico ms de una hora, ayudando a

un mdico fuera de la radiologa (por ejemplo,
nefrostolitotoma, CPRE, broncoscopia, biopsia
transbronquial)
76001
RM N 689-2006-MINSA
Transluminal con baln de angioplastia, la arteria perifrica,

Angioplastia transluminal con baln, la arteria renal o
visceral otro, la supervisin y la interpretacin radiolgica
Baln de angioplastia transluminal, venosa (por ejemplo,
estenosis subclavia), la supervisin y la interpretacin
radiolgica
La angioplastia transluminal percutnea, venosa (por
ejemplo, estenosis de la subclavia); procedimiento completo
Drenaje percutneo transheptica biliar con el monitoreo
contrario, la supervisin y la interpretacin radiolgica
Drenaje percutneo transheptica biliar con control de
contraste; procedimiento completo
Gua fluoroscpica para la colocacin de la aguja (por

ejemplo, biopsia, aspiracin, inyeccin, dispositivo de
localizacin)
76003
RM N 689-2006-MINSA
Gua fluoroscpica y localizacin de la aguja o punta del

catter para la columna vertebral o paravertebrales
procedimientos de inyeccin de diagnstico o teraputicos
(epidural, transforaminal epidural, subaracnoidea, la
articulacin facetaria paravertebral, nervio paravertebral
faceta articular o articulacin sacroilaca), incluyendo la
destruccin agente neuroltico
76005
RM N 689-2006-MINSA
Examen radiolgico desde la nariz hasta el recto de cuerpo

extrao, visin nica e hijo
76010
RM N 689-2006-MINSA
Radiolgica supervisin e interpretacin, la vertebroplastia

percutnea o aumento vertebral incluyendo la creacin
cavidad, por cuerpo vertebral; bajo gua fluoroscpica
76012
RM N 689-2006-MINSA

percutnea o aumento vertebral incluyendo la creacin
cavidad, por cuerpo vertebral, bajo la orientacin CT
76013
RM N 689-2006-MINSA
76020
76040
76061
RM N 689-2006-MINSA
76066
RM N 689-2006-MINSA
76070
RM N 689-2006-MINSA
La tomografa computarizada, la densidad mineral sea

estudio, uno o ms sitios; esqueleto apendicular (perifrico)
(por ejemplo, radio, mueca, taln)
76071
RM N 689-2006-MINSA
Energa dual de rayos X (DXA), el estudio de densidad

sea, uno o ms sitios; esqueleto axial (por ejemplo, las
caderas, la pelvis, la columna vertebral)
76075
76076
RM N 689-2006-MINSA
76078
RM N 689-2006-MINSA
Examen radiolgico, absceso, fstula o el estudio del tracto

sinusal, la supervisin y la interpretacin radiolgica
76080
Asistido por ordenador de deteccin (anlisis por ordenador

algoritmo de datos de imgenes digitales para la deteccin
de la lesin) con examen mdico adicional para la
interpretacin, con o sin la digitalizacin de imgenes de
pelcula radiogrfica; mamografa de diagnstico (Lista por
76082
RM N 689-2006-MINSA
Estudios de la edad sea

Estudios seos de longitud (orthoroentgenogram,
escanograma)
Examen radiolgico, estudio seo; limitada (por ejemplo, por
metstasis)
Encuesta conjunta, vista individual, dos o ms articulaciones
(especificar)
estudio, uno o ms sitios; esqueleto axial (por ejemplo, la
cadera, la pelvis, la columna vertebral)

sea, uno o ms sitios; esqueleto apendicular (perifrica)
(por ejemplo, el radio, la mueca, el taln)
Absorciometra radiogrfica (por ejemplo, fotodensitometra,
radiogrammetry), uno o ms sitios
Con ayuda de ordenador de deteccin (anlisis por

ordenador algoritmo de datos de imagen digitales para la
deteccin de la lesin) con examen mdico adicional para la
interpretacin, con o sin la digitalizacin de imgenes de
pelcula radiogrfica; mamografa de deteccin (Lista por
Ductograma mamaria o galactograma, de un solo conducto,
Ductograma mamaria o galactograma, conductos mltiples,
vigilancia radiolgica y la interpretacin
La mamografa, unilateral
La mamografa; bilateral
Mamografa, bilateral (dos estudios pelcula vista de cada
mama)
La resonancia magntica, de mama, sin y / o con material
de contraste (s); unilateral
de contraste (s); bilateral
El examen radiolgico, pieza quirrgica
Resta, en relacin con los estudios de contraste
La tomografa computarizada orientacin para la
localizacin estereotctica
La tomografa computarizada gua para la colocacin de la
aguja (por ejemplo, biopsia, aspiracin, inyeccin,
dispositivo de localizacin), la supervisin y la interpretacin
radiolgica
La tomografa computarizada de orientacin para, y el
seguimiento de, la ablacin del tejido visceral
La tomografa computarizada gua para la colocacin de los
campos de radioterapia
Coronal, sagital, multiplanar, la reconstruccin oblicua, 3dimensional y / o hologrfica de la tomografa
computarizada, resonancia magntica, tomografa o de otra
modalidad
La tomografa computarizada, limitado o localizado estudio
de seguimiento
Espectroscopia por resonancia magntica
Orientacin por resonancia magntica para la colocacin de
la aguja (por ejemplo, para realizar una biopsia, aspiracin,
inyeccin o colocacin de dispositivo de localizacin) y la
interpretacin radiolgica supervisin
Orientacin de resonancia magntica para, y el seguimiento
de, la ablacin del tejido visceral
imgenes, la mdula sea suministro de sangre
Echoencephalography, en tiempo real con documentacin
de imagen (escala de grises) (para la determinacin del
tamao ventricular, la delineacin de los contenidos
cerebrales, y la deteccin de masas de fluido u otras
anomalas intracraneales), incluyendo el modo Aencefalografa como componente secundario que se indique
76083
RM N 689-2006-MINSA
76086
RM N 689-2006-MINSA
76088
RM N 689-2006-MINSA
76090
76091

76092
RM N 689-2006-MINSA
76093
76094
RM N 689-2006-MINSA
76098
76350
RM N 689-2006-MINSA
RM N 689-2006-MINSA
76355
RM N 689-2006-MINSA
76360
RM N 689-2006-MINSA
76362
RM N 689-2006-MINSA
76370
RM N 689-2006-MINSA
76375
RM N 689-2006-MINSA
76380
RM N 689-2006-MINSA
76390
RM N 689-2006-MINSA
76393
RM N 689-2006-MINSA
76394
RM N 689-2006-MINSA
76400
RM N 689-2006-MINSA
76506
Ultrasonido oftlmico, diagnstico, cuantitativo A-escanear

slo
Ultrasonido oftlmico, diagnstico, B-scan (con o sin
superponerse no cuantitativa A-scan)
Ultrasonido oftlmico, diagnstico, ultrasonido segmento
anterior, la inmersin (bao de agua) B-scan o
biomicroscopa alta resolucin
Ultrasonido oftlmico, diagnstico; corneal paquimetra,
(determinacin del espesor corneal) unilateral o bilateral
Ophthalmic biometra por ecografa de ultrasonido, una
tomografa;
Ophthalmic biometra por ecografa de ultrasonido, una
tomografa; clculo con potencia de la lente intraocular
76511
RM N 689-2006-MINSA
76512
76513
RM N 689-2006-MINSA
76514
RM N 689-2006-MINSA
76516
RM N 689-2006-MINSA
76519
RM N 689-2006-MINSA
76529
RM N 689-2006-MINSA
76536
76604
76645
76700
76705
RM N 689-2006-MINSA
Ultrasonido retroperitoneal (por ejemplo, renal, aorta,

nodos), en tiempo real con documentacin de la imagen;
completa
76770
Ultrasonido retroperitoneal (por ejemplo, renal, aorta,

nodos), en tiempo real con documentacin de la imagen;
limitado
76775
Ultrasonido del rin trasplantado, B-scan y / o tiempo real

con documentacin de imgenes, con o sin Doppler dplex
76778
RM N 689-2006-MINSA
76800
76801
RM N 689-2006-MINSA
Ultrasonido tero embarazado, en tiempo real con

documentacin de imgenes, la evaluacin fetal y materna,
primer trimestre (<14 semanas 0 das), va transabdominal;
cada gestacin adicional (Lista por separado adems de
76802
RM N 689-2006-MINSA
Ultrasonido tero grvido, tiempo real con documentacin

de imgenes, la evaluacin fetal y materna, despus del
primer trimestre (> o = 14 semanas 0 das), abordaje
transabdominal; gestacin nica o primera
76805
Oftlmico por ultrasonidos localizacin de cuerpo extrao

Ultrasonido, los tejidos blandos de la cabeza y el cuello (por
ejemplo, tiroides, paratiroides, glndula partida), en tiempo
real con documentacin de imgenes
Ultrasonido de trax (mediastino incluye), en tiempo real con
documentacin de imgenes
Ultrasonido del seno (s) (unilateral o bilateral), en tiempo
real con documentacin de imgenes
Ultrasonido abdominal tiempo real con documentacin de la
imagen; completa
Ultrasonido abdominal tiempo real con documentacin de la
imagen; limitada (por ejemplo, rganos, soltero, cuadrante,
seguimiento)
Ultrasonido, canal espinal y contenido

de imgenes, la evaluacin fetal y materna, primer trimestre
(<14 semanas 0 das), abordaje transabdominal, simple o
primera gestacin

documentacin de imgenes, la evaluacin fetal y materna,
despus del primer trimestre (> o = 14 semanas 0 das), va
transabdominal; cada gestacin adicional (Lista por
76810
RM N 689-2006-MINSA

de imgenes, la evaluacin fetal y materna ms detallado
examen anatmico del feto, va transabdominal; gestacin
nica o primera
76811
RM N 689-2006-MINSA

documentacin de imgenes, la evaluacin fetal y materna
ms detallada fetal examen anatmico enfoque,
transabdominal; cada gestacin adicional (Lista por
76812
RM N 689-2006-MINSA

documentacin de imagen, limitado (por ejemplo, latido del
corazn fetal, localizacin de la placenta, la posicin fetal y /
o el volumen de lquido amnitico cualitativa), 1 o ms fetos
76815
RM N 689-2006-MINSA

de imgenes, el seguimiento (por ejemplo, la re-evaluacin
del tamao fetal, mediante la medicin de los parmetros
normales de crecimiento y el volumen de lquido amnitico,
re-evaluacin de los sistemas de rganos (s) sospecha o
confirmacin de que es anormal en un anterior scan),
abordaje transabdominal, por feto
76816
RM N 689-2006-MINSA
76817
RM N 689-2006-MINSA
76818
76819

RM N 689-2006-MINSA
76825
76827
RM N 689-2006-MINSA
76830
76831
76856
76870
76872

76880
76885
76930
RM N 689-2006-MINSA

de imgenes, transvaginal
Perfil biofsico fetal, con pruebas sin estrs
Perfil biofsico fetal, sin pruebas sin estrs
La ecocardiografa, en fetal, cardiovascular, en tiempo real
con documentacin de imagen (2D), con o sin grabacin en
modo M;
La ecocardiografa Doppler, onda fetal, pulsado y / o de
onda continua con visualizacin espectral; completar
Ultrasonido transvaginal
Sonohisterografa infusin salina (SIS), incluyendo el flujo
Doppler color, cuando se realiza
Ultrasonido plvico (no obsttrica), en tiempo real con
documentacin de la imagen; completa
Ultrasonido transrectal;
Ultrasonido extremidad, el tiempo no vascular, real con
documentacin de imgenes
Ultrasonido caderas infantiles, en tiempo real con
documentacin de imgenes, dinmica (que requiere la
manipulacin mdico)
Orientacin ultrasnica para la pericardiocentesis,
supervisin e interpretacin de imgenes
Orientacin por ultrasonidos para la biopsia endomiocrdica,

supervisin e interpretacin de imgenes
76932
RM N 689-2006-MINSA
Ultrasonido reparacin compresin guiada por

pseudoaneurisma arterial o fstula arteriovenosa (incluye la
evaluacin de diagnstico por ultrasonidos, la compresin
de la lesin y de imagen)
76936
RM N 689-2006-MINSA
Ultrasonido orientacin para el acceso vascular que requiere

una evaluacin ecogrfica de los puntos de acceso
potenciales, la documentacin de la permeabilidad del vaso
seleccionado, la visualizacin simultnea de ultrasonido en
tiempo real de entrada de la aguja vascular, con grabacin
permanente y presentacin de informes (lista por separado
76937
RM N 689-2006-MINSA
76940
RM N 689-2006-MINSA
76941
RM N 689-2006-MINSA
76942
RM N 689-2006-MINSA
76945
RM N 689-2006-MINSA
76946
RM N 689-2006-MINSA
76948
RM N 689-2006-MINSA
76950
RM N 689-2006-MINSA
76977
RM N 689-2006-MINSA
76986
RM N 689-2006-MINSA
Clculo bsico dosimetra de la radiacin, la profundidad eje

central clculo de dosis, TDF, NSD, clculo de la diferencia,
el factor fuera de eje, los factores de falta de homogeneidad
del tejido, el clculo de la superficie de la radiacin no
ionizante y la dosis de profundidad, segn sea necesario
durante el curso del tratamiento, slo cuando los receta el
tratamiento mdico
77300
RM N 689-2006-MINSA
Intensidad plan de radioterapia modulada, incluyendo

histogramas dosis-volumen de destino y crticos
especificaciones estructura parcial de tolerancia
77301
RM N 689-2006-MINSA
Teleterapia, isodosis plan (ya sea a mano o computadora

calculado), intermedio (3 o ms puertos de tratamiento
dirigido a una sola rea de inters)
77310
RM N 689-2006-MINSA
Ultrasonido orientacin para, y el seguimiento de, la

ablacin del tejido del parnquima
Orientacin por ultrasonidos para la transfusin fetal
intrauterina o cordocentesis, la supervisin y la
interpretacin de imgenes
Orientacin por ultrasonidos para la colocacin de la aguja
(por ejemplo, biopsia, aspiracin, inyeccin, dispositivo de
localizacin), la supervisin y la interpretacin de imgenes
Orientacin por ultrasonidos para el muestreo de
vellosidades corinicas, supervisin e interpretacin de
imgenes
Orientacin por ultrasonidos para la amniocentesis, la
supervisin y la interpretacin de imgenes
Orientacin por ultrasonidos para la aspiracin de los
vulos, supervisin e interpretacin de imgenes
Orientacin por ultrasonidos para la colocacin de los
Ultrasonido densidad sea medicin e interpretacin, sitio
perifrico (s), cualquier mtodo
Orientacin por ultrasonidos, intraoperatorio
Teleterapia, isodosis plan (si la mano o el ordenador

calculado); complejo (Y manto o invertida, puertos
tangenciales, el uso de cuas, compensadores, bloqueo de
complejos, viga de rotacin, o las consideraciones
especiales de haz)
77315
RM N 689-2006-MINSA
Plan de isodosis braquiterapia; intermedio (clculos

multiplano de dosificacin, aplicacin que implica 5 a 10
fuentes / cintas, fuentes de braquiterapia de carga diferida
remota, 9 a 12)
77327
RM N 689-2006-MINSA
77331
RM N 689-2006-MINSA
77332
RM N 689-2006-MINSA
77418
RM N 689-2006-MINSA
77422
RM N 689-2006-MINSA
77427
RM N 689-2006-MINSA
La gestin de la terapia de radiacin con el curso completo

de la terapia que consiste en 1 o 2 slo fracciones
77431
RM N 689-2006-MINSA
La radiacin estereotctica tratamiento de manejo de la

lesin craneal (s) (curso completo de tratamiento que
consiste en 1 sesin)
77432
RM N 689-2006-MINSA
77470
RM N 689-2006-MINSA
77750
77761
77763

RM N 689-2006-MINSA
77781
77782
RM N 689-2006-MINSA
77783
RM N 689-2006-MINSA
77784
RM N 689-2006-MINSA
77785
RM N 689-2006-MINSA
77789
78000
78001

RM N 689-2006-MINSA
78003
RM N 689-2006-MINSA
78006
Dosimetra especial (por ejemplo, TLD, microdosimetra)

(especificar), slo cuando son recetados por el mdico
tratante
Dispositivos de tratamiento, el diseo y la construccin,
bloques simples (simple, bolus simples)
Intensidad modulada administracin del tratamiento, los
campos individuales o mltiples / arcos, a travs de
estrechas vigas espacial y temporalmente modulada,
binario, dinmica MLC, por sesin de tratamiento
Neutrones de alta energa de radiacin tratamiento parto;
rea de tratamiento nico con un solo puerto o puertos
paralelos opuestos sin bloques o bloqueo de simples
Radiacin gestin del tratamiento, 5 tratamientos
Procedimiento de tratamiento especial (por ejemplo, la

irradiacin corporal total, la radiacin hemicuerpo, por va
oral, endocavitaria o irradiacin intraoperatoria cono)
La infusin o instilacin de solucin radioelemento (incluye 3
meses de atencin de seguimiento)
Radiacin intracavitaria aplicacin de origen, simple
Radiacin intracavitaria aplicacin de origen, complejo
Carga diferida remota de intensidad alta de braquiterapia; 14 posiciones de la fuente o catteres
Braquiterapia de carga diferida remota de intensidad alta, de
ms de 12 posiciones de la fuente o catteres
De carga diferida remota alta tasa de dosis de braquiterapia
radionucleido; canal 1
Superficie de aplicacin de fuente de radiacin
Captacin tiroidea, determinacin individual
Captacin tiroidea; mltiples determinaciones
La captacin de la tiroides, la estimulacin, supresin o
descarga (sin incluir estudios de absorcin iniciales)
Imagen de la tiroides, con la captacin, determinacin
individual
Imagen de la tiroides, con captacin; mltiples

determinaciones
Imagen de la tiroides, y slo
Formacin de imgenes de tiroides; con flujo vascular
78007
RM N 689-2006-MINSA
78010
78011
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Carcinoma de tiroides metstasis imgenes; todo el cuerpo
78018
RM N 689-2006-MINSA
Paratiroidea imgenes
Imgenes adrenal, corteza y / o mdula
Bazo de imagen slo, con o sin flujo vascular
Estudio de supervivencia de las plaquetas
Los linfticos y los ganglios linfticos de imgenes
78070
78075
78185
78191
78195

RM N 689-2006-MINSA
Procedimiento Cotizadas hematopoytico, reticuloendotelial

y linftica, la medicina nuclear diagnstica
78199
RM N 689-2006-MINSA
78201
78202
78205
78206
78215

RM N 689-2006-MINSA
RM N 689-2006-MINSA
78220
78223
78230
78232
78258
78261
78262
78264

RM N 689-2006-MINSA
Test del aliento, C-14 (istopo); adquisicin para el anlisis
78267
RM N 689-2006-MINSA
Test del aliento, C-14 (istopo), anlisis

Vitamina B-12 combina estudios de absorcin, con y sin
factor intrnseco
Aguda prdida de sangre gastrointestinal imgenes
Sangre gastrointestinal estudio prdida (por ejemplo, el
conteo de heces)
sea y / o articular imgenes; rea limitada
Hueso y / o imagen comn; estudio de fase 3
Hueso y / o imagen comn; tomogrfico (SPECT)
La densidad sea (contenido mineral del hueso) estudio, 1 o
ms sitios; absorciometra de fotn nico
Venosa estudio trombosis (por ejemplo, fibringeno
radiactivo)
Trombosis venosa aguda de imgenes, pptido
Trombosis venosa imgenes, venograma; bilateral
La imagen de perfusin miocrdica, mltiples estudios
(plana), en reposo y / o el estrs (ejercicio y / o
farmacolgico), y la inyeccin de redistribucin y / o de
descanso, con o sin cuantificacin
78268
RM N 689-2006-MINSA
78272
RM N 689-2006-MINSA
78278
78280
RM N 689-2006-MINSA
78300
78315
78320

RM N 689-2006-MINSA
RM N 689-2006-MINSA
78350
78455
RM N 689-2006-MINSA
78456
78458
RM N 689-2006-MINSA
RM N 689-2006-MINSA
78461
RM N 689-2006-MINSA
Imgenes del hgado; esttico slo

Formacin de imgenes del hgado; con flujo vascular
Hgado de imgenes (SPECT);
Hgado de imgenes (SPECT); con flujo vascular
Imgenes del hgado y el bazo; esttico slo
Estudio de la funcin del hgado con agentes hepatobiliares,
con imgenes seriadas
Formacin de imgenes hepatobiliares sistema ductal,
incluyendo la vescula biliar, con o sin la intervencin
farmacolgica, con o sin la medicin cuantitativa de la
funcin de la vescula biliar
Imagen de las glndulas salivales;
Glndula salival estudio de la funcin
Motilidad esofgica
La mucosa gstrica imgenes
Estudio gastroesofgico reflujo
Estudio vaciado gstrico
La imagen de perfusin miocrdica; tomogrficas (SPECT),

mltiples estudios (incluyendo la correccin de atenuacin si
se realiz), en reposo y / o el estrs (ejercicio y / o
farmacolgico) y la redistribucin y / o descanso de la
inyeccin, con o sin cuantificacin
78465
RM N 689-2006-MINSA
Infarto de imgenes, infarto vido, plana; tomogrfico

SPECT con o sin cuantificacin
78469
RM N 689-2006-MINSA
Estudio de perfusin miocrdica con movimiento de la

pared, el estudio cualitativo o cuantitativo (lista por separado
78478
RM N 689-2006-MINSA
Estudio de perfusin miocrdica con fraccin de eyeccin

(Enumere por separado adems del cdigo para el
78480
RM N 689-2006-MINSA
Sangre cardaca piscina de imagen (plano), la tcnica de

primer paso; solo estudio, en reposo o con el estrs (el
ejercicio y / o farmacolgico), movimiento de la pared del
estudio adems de la fraccin de eyeccin, con o sin
cuantificacin
78481
RM N 689-2006-MINSA
Sangre cardaca piscina de imagen, (plana), tcnica de

primer paso, mltiples estudios, en reposo y con esfuerzo
(ejercicio y / o farmacolgica), el estudio de movimiento de
la pared, ms la fraccin de eyeccin, con o sin
cuantificacin
78483
RM N 689-2006-MINSA
Sangre cardaca piscina de imgenes, tcnica de primer

paso, en reposo, estudio cuantitativo movimiento de la
pared, ms la fraccin de eyeccin ventricular ms
determinacin del volumen
78484
RM N 689-2006-MINSA
Sangre cardaca imagen de la acumulacin, la tcnica de

primer paso, en reposo, estudio cuantitativo movimiento de
la pared, con el ejercicio y / o intervencin farmacolgica
78485
RM N 689-2006-MINSA
Sangre cardaca imagen de la acumulacin, la tcnica de

primer paso, en reposo, estudio cuantitativo movimiento de
la pared, ms la fraccin de eyeccin ms determinacin del
volumen ventricular, con el ejercicio y / o intervencin
farmacolgica
78487
RM N 689-2006-MINSA
Formacin de imgenes del miocardio, tomografa por

emisin de positrones (PET), la perfusin; solo estudio en
reposo o estrs
78491
RM N 689-2006-MINSA
Formacin de imgenes del miocardio, tomografa por

emisin de positrones (PET), la perfusin; mltiples estudios
en reposo y / o el estrs
78492
RM N 689-2006-MINSA
Sangre cardaca imagen de la acumulacin, el equilibrio

cerrada, SPECT, en reposo, la pared del estudio motion plus
fraccin de eyeccin, con o sin procesamiento cuantitativo
78494
RM N 689-2006-MINSA
Cardiac imagen de la acumulacin de sangre, el equilibrio

cerrada, nico estudio, en reposo, con una fraccin de
eyeccin del ventrculo derecho mediante la tcnica de
primer paso (Lista por separado adems de cdigo para el
78496
RM N 689-2006-MINSA
La imagen de perfusin pulmonar, partculas
78580
RM N 689-2006-MINSA
La imagen de perfusin pulmonar, partculas, con

ventilacin, respiracin nica
La imagen de perfusin pulmonar, partculas, con
ventilacin; reinhalacin y lavado, con o sin respiracin
nica
78584
RM N 689-2006-MINSA
78585
RM N 689-2006-MINSA
Formacin de imgenes de ventilacin pulmonar, aerosol;

proyecciones mltiples (por ejemplo, anterior, posterior,
lateral vistas)
78587
RM N 689-2006-MINSA
La imagen de perfusin pulmonar, partculas, con ventilacin

imgenes, aerosol, 1 o mltiples proyecciones
78588
78606
RM N 689-2006-MINSA
78607
RM N 689-2006-MINSA
78608
RM N 689-2006-MINSA
78609
RM N 689-2006-MINSA
78610
RM N 689-2006-MINSA
78630
RM N 689-2006-MINSA
El flujo de fluido cerebroespinal, formacin de imgenes (no

incluyendo la introduccin de material); ventriculografa
78635
RM N 689-2006-MINSA
El flujo de fluido cerebroespinal, las imgenes (no incluida la

introduccin de material); evaluacin derivacin
78645
RM N 689-2006-MINSA
78647
RM N 689-2006-MINSA
78660
78700
78701

78704
RM N 689-2006-MINSA
78707
RM N 689-2006-MINSA
78708
RM N 689-2006-MINSA
78710
78715
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Estudio vejiga urinaria residual (Haga una lista por separado

78730
Estudio reflujo ureteral (cistografa miccional radiofrmaco)
78740
RM N 689-2006-MINSA
Imgenes con el flujo vascular testicular

Radiofrmaco localizacin de tumor o la distribucin de
agente radiofarmacutico (s); mltiples reas
78761
RM N 689-2006-MINSA
78801
RM N 689-2006-MINSA
Las imgenes cerebrales, un mnimo de 4 puntos de vista

esttico, con flujo vascular
Tcnicas de imagen cerebral, tomografa (SPECT)
Tcnicas de imagen cerebral, tomografa por emisin de
positrones (PET), la evaluacin metablica
Tcnicas de imagen cerebral, tomografa por emisin de
positrones (PET), la evaluacin de perfusin
Las imgenes del cerebro, el flujo vascular slo
incluyendo la introduccin de material); cisternografa

incluyendo la introduccin de material); tomogrfica
(SPECT)
Radiofrmaco dacriocistografa
Rin morfologa de imgenes;
Rin morfologa de imgenes; con flujo vascular
Imgenes del rin, con estudio de la funcin (es decir,
renograma imagen)
Rin morfologa de imgenes, con el flujo vascular y la
funcin, solo estudio sin intervencin farmacolgica
Rin morfologa de imgenes; con el flujo vascular y
funcin, solo estudio, con intervencin farmacolgica (por
ejemplo, conversin de la angiotensina inhibidor de la
enzima y / o diurtico)
Rin morfologa de imgenes; tomogrfico (SPECT)
Renal vascular flujo nico

agente radiofarmacutico (s); todo el cuerpo, la imagen solo
da
agente radiofarmacutico (s); tomogrfica (SPECT)
agente radiofarmacutico (s); todo el cuerpo, que requiere 2
o ms das de imgenes
Radiofrmaco localizacin del proceso inflamatorio, el
cuerpo entero
Radiofrmaco localizacin del proceso inflamatorio;
tomogrfico (SPECT)
78802
RM N 689-2006-MINSA
78803
RM N 689-2006-MINSA
78804
RM N 689-2006-MINSA
78806
RM N 689-2006-MINSA
78807
RM N 689-2006-MINSA
Inyeccin procedimiento para la localizacin radiofrmaco

por no estudio de imgenes de la sonda, por va intravenosa
(por ejemplo, adenoma de paratiroides)
78808
RM N 689-2006-MINSA
Generacin del fichero automatizado de datos: proceso

interactivo que involucra mdico nuclear y / o aliados
personal sanitario profesional; manipulaciones simples e
interpretacin, para no exceder los 30 minutos
78890
RM N 689-2006-MINSA
Generacin del fichero automatizado de datos: proceso

interactivo que involucra mdico nuclear y / o aliados
personal sanitario profesional; manipulaciones complejas e
interpretacin, superior a 30 minutos
78891
RM N 689-2006-MINSA
79000
RM N 689-2006-MINSA
79001
RM N 689-2006-MINSA
79020
RM N 689-2006-MINSA
79030
RM N 689-2006-MINSA
79035
RM N 689-2006-MINSA
Terapia radiofarmacutica, policitemia vera, leucemia

crnica, cada tratamiento por inyeccin intravenosa
79100
RM N 689-2006-MINSA
Suministro de radiofrmacos teraputicos (s)
79900
RM N 689-2006-MINSA
Panel metablico bsico (Calcio, total). Este panel debe

incluir lo siguiente: Calcio, total (82.310), el dixido de
carbono (82374), cloruro (82.435), creatinina (82.565),
glucosa (82.947), potasio (84 132), sodio (84.295), nitrgeno
de urea (BUN) (84520)
80048
Electrolito panel. Este panel debe incluir los siguientes:

dixido de carbono (82374), cloruro (82.435), potasio (84
132), sodio (84295)
80051
Terapia radiofrmacos, el hipertiroidismo, la evaluacin

inicial, incluyendo la de los pacientes
Terapia radiofarmacutica, hipertiroidismo; subsiguiente,
cada terapia
Terapia radiofrmacos, la supresin de la tiroides (eutiroideo
enfermedad cardaca), incluyendo la evaluacin del paciente
Radiofrmaco la ablacin de la glndula para el carcinoma
tiroideo
Radiofrmaco terapia para metstasis de carcinoma de
tiroides
Obstetricia panel. Este panel debe incluir lo siguiente:

hemograma, completo (CBC), automtico y automtico
diferencial WBC (85025 o 85027 y 85004) o Hemograma,
completo (CBC), automtico (85.027) y el correspondiente
manual del diferencial WBC (85.007 o 85009), la hepatitis B
antgeno de superficie (HBsAg) (87.340), Anticuerpo, la
rubola (86.762), la prueba de sfilis, no treponmica
anticuerpos; cualitativa (por ejemplo, VDRL, RPR, ART)
(86.592), deteccin de anticuerpos, glbulos rojos, cada
suero tcnica (86.850), determinacin del grupo sanguneo,
ABO (86.900) y la tipificacin de sangre, Rh (D) (86901)
80055
La infertilidad masculina y / o el perfil de la ginecomastia
80057
Panel de funcin heptica Este panel debe incluir lo

siguiente: Albmina (82040) Bilirrubina, total (82.247)
Bilirrubina, la bilirrubina directa (82.248), total y directa
(82251) fosfatasa alcalina (84075) transferasa, alanina
amino (ALT) (SGPT) (84460) transferasa, aspartato amino
(AST) (SGOT) (84450)
80058
RM N 689-2006-MINSA
Lipid panel. Este panel debe incluir lo siguiente: colesterol

total en suero, (82465), lipoprotena, la medicin directa, el
colesterol de alta densidad (colesterol HDL) (83.718),
triglicridos (84478)
80061
Evaluacin cardaca (incluyendo el riesgo coronario) panel
80062
Panel de lesin cardiaca;
80063
Panel de funcin heptica. Este panel debe incluir lo

siguiente: Albmina (82.040), bilirrubina, total (82.247),
bilirrubina, directo (82.248), fosfatasa alcalina (84.075),
Protena, total (84.155), transferasa, alanina amino (ALT)
(SGPT) (84460), aspartato transferasa, amino (AST)
(SGOT) (84450)
80076
Panel de anticuerpos ANTORCHA Este panel debe incluir

las siguientes pruebas: anticuerpos, citomegalovirus (CMV)
(86.644) Anticuerpo, herpes simple, no especfica de prueba
tipo (86.694) Anticuerpo, rubola (86762) Anticuerpo,
toxoplasma (86777)
80090
Amikacina
La amitriptilina
Las benzodiazepinas
Carbamazepina, total
Carbamazepina, libre
La ciclosporina
La desipramina
Digoxina
Dipropylacetic cido (cido valproico)
Doxepina
Ethosuximide
Gentamicina
Oro
Imipramina
Lidocana
Litio
80150
80152
80154
80156
80157
80158
80160
80162
80164
80166
80168
80170
80172
80174
80176
80178

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Nortriptilina
Fenobarbital
La fenitona, total
La fenitona, libre
Primidone
La procainamida;
Procainamida; con metabolitos (por ejemplo, n-acetil
procainamida)
Quinidina
Salicilato
Tacrolimus
La teofilina
Tobramicina
Topiramato
Vancomicina
Panel de estimulacin con ACTH, por insuficiencia
suprarrenal. Este panel debe incluir lo siguiente: Cortisol
(82533 x 2)
80182
80184
80185
80186
80188
80190
RM N 689-2006-MINSA
RM N 689-2006-MINSA
80192
RM N 689-2006-MINSA
80194
80196
80197
80198
80200
80201
80202

RM N 689-2006-MINSA
RM N 689-2006-MINSA
80400
RM N 689-2006-MINSA
Panel de estimulacin con ACTH, por hidroxilasa 21. Este

panel debe incluir lo siguiente: Cortisol (82533 x 2), 17
hidroxiprogesterona (83.498 x 2)
80402
RM N 689-2006-MINSA
Panel de estimulacin con ACTH, por 3 betahydroxydehydrogenase deficiencia. Este panel debe incluir
lo siguiente: Cortisol (82533 x 2), 17 hidroxipregnenolona
(84.143 x 2)
80406
RM N 689-2006-MINSA
Supresin de la aldosterona evaluacin panel (infusin por

ejemplo, solucin salina). Este panel debe incluir lo
siguiente: La aldosterona (82088 x 2), renina (84244 x 2)
80408
RM N 689-2006-MINSA
La calcitonina panel de estimulacin (por ejemplo, calcio,

pentagastrina). Este panel debe incluir lo siguiente:
Calcitonina (82308 x 3)
80410
RM N 689-2006-MINSA
Corticotrpica hormona liberadora (CRH) Panel de

estimulacin. Este panel debe incluir lo siguiente: Cortisol
(82533 x 6), la hormona adrenocorticotropa (ACTH) (82.024
x 6)
80412
RM N 689-2006-MINSA
La gonadotropina corinica panel de estimulacin;

respuesta de la testosterona. Este panel debe incluir lo
siguiente: Testosterona (84403 x 2 sobre 3 muestras de
sangre combinadas)
80414
RM N 689-2006-MINSA
La gonadotropina corinica panel de estimulacin, la

respuesta estradiol. Este panel debe incluir lo siguiente:
Estradiol (82670 x 2 sobre 3 muestras de sangre
combinadas)
80415
RM N 689-2006-MINSA
Renina renal vena estimulacin panel (por ejemplo,

captopril). Este panel debe incluir lo siguiente: La renina
(84244 x 6)
80416
RM N 689-2006-MINSA
Renina perifrica venosa estimulacin panel (por ejemplo,

captopril). Este panel debe incluir lo siguiente: La renina
(84244 x 2)
80417
RM N 689-2006-MINSA
Combinado rpida panel anterior evaluacin pituitaria. Este

panel debe incluir lo siguiente: la hormona
adrenocorticotropa (ACTH) (82.024 x 4), hormona
luteinizante (LH) (83.002 x 4), hormona folculo estimulante
(FSH) (83.001 x 4), prolactina (84.146 x 4), el crecimiento
humano hormona (HGH) (83.003 x 4), cortisol (82.533 x 4),
la hormona estimulante de la tiroides (TSH) (84.443 x 4)
80418
RM N 689-2006-MINSA
Dexametasona panel de supresin, de 48 horas. Este panel

debe incluir lo siguiente: cortisol libre, orina (82530 x 2),
Cortisol (82533 x 2), la medicin de volumen para la
recogida programada (81050 x 2)
80420
RM N 689-2006-MINSA
El glucagn panel de tolerancia, porque insulinoma. Este

panel debe incluir lo siguiente: Glucosa (82947 x 3), insulina
(83525 x 3)
80422
RM N 689-2006-MINSA
El glucagn panel de tolerancia, por feocromocitoma. Este

panel debe incluir lo siguiente: catecolaminas, fraccionada
(82384 x 2)
80424
RM N 689-2006-MINSA
Hormona liberadora de gonadotropina panel de

estimulacin. Este panel debe incluir lo siguiente: la
hormona folculo estimulante (FSH) (83.001 x 4), hormona
luteinizante (LH) (83.002 x 4)
80426
RM N 689-2006-MINSA
La hormona del crecimiento estimulacin panel (por

ejemplo, arginina infusin, L-dopa administracin). Este
panel debe incluir lo siguiente: La hormona del crecimiento
humano (HGH) (83.003 x 4)
80428
RM N 689-2006-MINSA
La hormona del crecimiento supresin panel (administracin

de glucosa). Este panel debe incluir lo siguiente: Glucosa
(82947 x 3), la hormona de crecimiento humano (HGH)
(83.003 x 4)
80430
RM N 689-2006-MINSA
La insulina inducida por pptido C supresin panel. Este

panel debe incluir lo siguiente: Insulina (83525), pptido C
(84.681 x 5), glucosa (82 947 x 5)
80432
RM N 689-2006-MINSA
La insulina panel de tolerancia, por insuficiencia de ACTH.

Este panel debe incluir lo siguiente: Cortisol (82533 x 5),
glucosa (82947 x 5)
80434
RM N 689-2006-MINSA
La insulina panel de tolerancia, porque la deficiencia de

hormona de crecimiento. Este panel debe incluir lo
siguiente: Glucosa (82947 x 5), la hormona de crecimiento
humano (HGH) (83.003 x 5)
80435
RM N 689-2006-MINSA
Metirapona panel. Este panel debe incluir lo siguiente:

Cortisol (82533 x 2), 11 desoxicortisol (82.634 x 2)
80436
RM N 689-2006-MINSA
Hormona liberadora de tirotropina (TRH) panel de

estimulacin; 1 hora. Este panel debe incluir lo siguiente: la
hormona estimulante de la tiroides (TSH) (84.443 x 3)
80438
RM N 689-2006-MINSA
Liberadora de tirotropina horm1 (TRH) Panel de

estimulacin; 2 hora. Este panel debe incluir lo siguiente: la
hormona estimulante de la tiroides (TSH) (84.443 x 4)
80439
RM N 689-2006-MINSA
Hormona liberadora de tirotropina (TRH) panel de

estimulacin; para la hiperprolactinemia. Este panel debe
incluir lo siguiente: La prolactina (84146 x 3)
80440
RM N 689-2006-MINSA
Anlisis de orina, por dip stick reactivo o tableta para la

bilirrubina, glucosa, hemoglobina, cetonas, leucocitos,
nitrito, pH, protena, gravedad especfica, urobilingeno,
cualquier nmero de estos constituyentes; no automatizado,
con microscopa
81000
RM N 689-2006-MINSA

cualquier nmero de estos constituyentes; automatizado,
con microscopa
81001
RM N 689-2006-MINSA

cualquier nmero de estos constituyentes; no automatizado,
sin microscopa
81002
RM N 689-2006-MINSA

cualquier nmero de estos constituyentes; automatizado, sin
microscopa
81003
RM N 689-2006-MINSA
81005
81007
RM N 689-2006-MINSA
81015
81020
RM N 689-2006-MINSA
RM N 689-2006-MINSA
81025
Volumen de medida para la recogida programada, cada uno
81050
RM N 689-2006-MINSA
El acetaldehdo, la sangre
El acetaminofeno
Acetona u otros cuerpos cetnicos, suero; cualitativos
Acetona u otros cuerpos cetnicos, suero; cuantitativos
La acetilcolinesterasa
Hormona adrenocorticotropa (ACTH)
La adenosina, 5-monofosfato, cclico (AMP cclico)
Albmina, suero, plasma o sangre entera
Albmina; orina o de otra fuente, cuantitativa, cada
espcimen
La albmina, orina, microalbuminuria, cuantitativa
Albmina; orina, microalbmina, semicuantitativos (por
ejemplo, ensayo de tira reactiva)
El alcohol (etanol); cualquier espcimen excepto aliento
El alcohol (etanol); aliento
Aldolasa
La aldosterona
Alcaloides, orina cuantitativos
Alfa-1-antitripsina, total
Alfa-fetoprotena (AFP), suero
Alfa-fetoprotena (AFP), lquido amnitico
Aluminio
cido aminolevulnico, delta (ALA)
82000
82003
82009
82010
82013
82024
82030
82040
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
82042
82043
82044
RM N 689-2006-MINSA
82055
82075
82085
82088
82101
82103
82105
82106
82108
82135
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Anlisis de orina; cualitativo o semicuantitativo, excepto

inmunoensayos
El anlisis de orina, pantalla bacteriuria, excepto por la
cultura o la varilla
Anlisis de orina; microscpico slo
El anlisis de orina, 2 o 3 de ensayo de vidrio
La orina prueba de embarazo, por mtodos visuales de
color comparacin
Amonaco
Anlisis del lquido amnitico (espectrofotomtrico)
La anfetamina o metanfetamina
Amilasa
Androstenediona
La angiotensina II
La angiotensina I - enzima de conversin (ACE)
Arsnico
cido ascrbico (vitamina C), la sangre
Los cidos biliares totales;
La bilirrubina, total
La bilirrubina; directa
82140
82143
82145
82150
82157
82163
82164
82175
82180
82232
82239
82247
82248

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
La sangre, lo oculto, por la actividad peroxidasa (por

ejemplo, guayacn), cualitativos; heces, muestras
consecutivas con la determinacin individual, para la
deteccin de neoplasia colorrectal (es decir, la paciente
recibi tres tarjetas o la tarjeta de triple nico de coleccin
consecutivos)
82270
82307
82308
82310
82330
82340
82355
82360
82378
82379
82382
82383
82384
82387
82390
82415
82435
82436
82465
82480
82482
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
82486
RM N 689-2006-MINSA
82491
RM N 689-2006-MINSA
82495
82507
82520
82525
82528
82530
82533
82540
82550
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
La calcitonina
El calcio, total
Calcio; ionizado
Calcio; cuantitativa orina, la muestra de temporizado
Clculo, anlisis cualitativo
Clculo, anlisis cuantitativo, qumico
Carnitina (total y libre), cuantitativa, cada muestra
Catecolaminas en orina; totales
Las catecolaminas, la sangre
Las catecolaminas fraccionadas;
La catepsina-D
La ceruloplasmina
El cloranfenicol
Chloride, la sangre
Chloride, orina
Colesterol, sangre o suero entero, total
Colinesterasa srica
Colinesterasa RBC
Cromatografa, cualitativo, columna (por ejemplo, gas o
lquido HPLC), el analito no expresados
Cromatografa, columna cuantitativa, (por ejemplo, lquido o
gas HPLC); solo analito no expresados, de una fase
estacionaria y mvil
Cromo
Citrato
La cocana o metabolito
Cobre
Corticosterona
El cortisol, libre
El cortisol, total
La creatina
La creatina quinasa (CK), (CPK), total
La creatina quinasa (CK), (CPK), fraccin MB slo

La creatinina, la sangre
Cianuro
La cianocobalamina (Vitamina B-12);
Dehidroepiandrosterona (DHEA)
La dehidroepiandrosterona sulfato (DHEA-S)
Desoxicorticosterona, 11 Desoxicortisol, 11 Dihidrotestosterona (DHT)
82553
82565
82600
82607
82626
82627
82633
82634
82651

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Vitamina D; 1, 25 dihidroxi, incluye fraccin (s), si se realiza
82652
RM N 689-2006-MINSA
Epiandrosterona
Eritropoyetina
Estradiol
Los estrgenos, total
Estriol
La estrona
Grasas o lpidos, las heces; cualitativos
Grasas o lpidos, las heces; cuantitativos
Los cidos grasos no esterificados,
Muy cidos grasos de cadena larga
Ferritina
La fibronectina fetal, secreciones cervicovaginales, semicuantitativo
Fluoruro
Flurazepam
El cido flico, suero
Fructosa, semen
Galactosa
La galactosa-1-fosfato transferasa uridil; cuantitativa
Gammaglobulina (inmunoglobulina); IgA, IgD, IgG, IgM,
cada
Gammaglobulina (inmunoglobulina); IgE
Gammaglobulina (inmunoglobulina); subclases de
inmunoglobulina (por ejemplo, IgG1, 2, 3, o 4), cada uno
Gases, sangre, pH slo
82666
82668
82670
82671
82672
82677
82679
82705
82710
82725
82726
82728
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
82731
82735
82742
82746
82757
82760
82775
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
82784
82785
82787
RM N 689-2006-MINSA
82800
82803
Gases, sangre; pO2 por electrodo

Los gases, la sangre, la saturacin de O2 slo, por medicin
directa, salvo la oximetra de pulso
El cido gstrico, libre y total, cada muestra
La gastrina tras la estimulacin con secretina
La gastrina
El glucagn
La glucosa, el cuerpo de lquido, que no sea sangre
El glucagn prueba de tolerancia
Glucosa; sangre cuantitativa, (excepto tira de reactivo)
La glucosa, la sangre, la tira reactiva
82804
82810
RM N 689-2006-MINSA
82926
82938
82941
82943
82945
82946
82947
82948
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Glucosa; despus de la dosis de glucosa (incluye glucosa)
82950
RM N 689-2006-MINSA
Gases, sangre, cualquier combinacin de pH, pCO2, pO2,

CO2, HCO3 (incluyendo calcula la saturacin de O2);
Glucosa, Prueba de tolerancia (GTT), 3 muestras (incluye

glucosa)
82951
La glucosa-6-fosfato deshidrogenasa (G6PD); cuantitativa
82955
Gamma glutamiltransferasa (GGT)

Protena glicosilada
Gonadotropina, la hormona folculo estimulante (FSH)
Gonadotropina, la hormona luteinizante (LH)
La hormona del crecimiento, humano (HGH)
(somatotropina)
Guanosina monofosfato (GMP), cclico
Helicobacter pylori; aliento anlisis de la prueba para la
actividad de la ureasa, no istopo radiactivo (por ejemplo, C13)
Metales pesados (por ejemplo, arsnico, bario, berilio,
bismuto, antimonio, mercurio); pantalla
La hemoglobina fraccionamiento y cuantificacin;
electroforesis (por ejemplo, A2, S, C, y / o F)
La hemoglobina fraccionamiento y cuantificacin;
cromatografa (por ejemplo, A2, S, C, y / o F)
La hemoglobina, por el mtodo de sulfato de cobre, no
automatizado
La hemoglobina, F (fetal), qumicos
La hemoglobina, F (fetal), cualitativos
La hemoglobina, glicosilada (A1C)
La hemoglobina, metahemoglobina, cualitativo
Hemoglobina; metahemoglobina, cuantitativo
La histamina
Homocistina
Hidroxicorticosteroides, 17 - (17-OHCS)
cido hidroxiindolactico, 5 - (HIAA)
Hidroxiprogesterona, 17-d
Hidroxiprogesterona, 20 Hidroxiprolina, libre
Hidroxiprolina, total
Inmunoensayo para otro analito de anticuerpo o antgeno
agente infeccioso agente infeccioso; cuantitativa, no
especificado
La insulina, total
La insulina, libre
El factor intrnseco
Hierro
Capacidad de fijacin de hierro
Cetosteroides, 17 - (17-KS), total
La lactato deshidrogenasa (LD), (LDH);
Lactato deshidrogenasa (LD), (LDH); isoenzimas,
separacin y cuantificacin
Lactosa, orina; cualitativa
Orina lactosa,; cuantitativa
82977
82985
83001
83002

83003
83008
83010
RM N 689-2006-MINSA
83013
RM N 689-2006-MINSA
83015
83020
83021
83026
RM N 689-2006-MINSA
83030
83033
83036
83045
83050
83070
83071
83088
83090
83491
83497
83498
83499
83500
83505

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
83520
83525
83527
83528
83540
83550
83586
83605
83615

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
83625
83633
83634
RM N 689-2006-MINSA
Conducir
Pulmn fetal evaluacin de la madurez, prueba de
estabilidad de espuma
Lipasa
Lipoprotena, la sangre, la separacin electrofortica y la
cuantificacin
Lipoprotena, la medicin directa; colesterol de alta densidad
(colesterol HDL)
Lipoprotena, la medicin directa; colesterol VLDL
Lipoprotena, la medicin directa; colesterol LDL
Magnesio
Manganeso
Meprobamato
Los mucopolisacridos, cido; cuantitativa
Protena bsica de mielina, lquido cefalorraqudeo
La mioglobina
Nicotina
5'-nucleotidasa
83655
RM N 689-2006-MINSA
83662
83690
83715
83718
83719
83721
83735
83785
83805
83825
83864
83873
83874
83887
83915

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Opiceos (s), frmaco y metabolitos, cada procedimiento
83925
La osmolalidad, la sangre
La osmolalidad, orina
Parathormona (hormona paratiroidea)
pH; cuerpo fluido, no especificado de otra
Fenotiazina
La fenilalanina (PKU), sangre
Fenilcetonas, cualitativo
Fosfatasa, cido, total
Fosfatasa, cido; prosttica
Fosfatasa alcalina;
83930
83935
83970
83986
84022
84030
84035
84060
84066
84075

RM N 689-2006-MINSA
RM N 689-2006-MINSA
Fosfatasa alcalina, trmicamente estable (total no incluido)
84078
RM N 689-2006-MINSA
Fosfatasa alcalina, isoenzimas;

Fosfatidilglicerol
El fsforo inorgnico (fosfato);
El fsforo inorgnico (fosfato), orina
Porfobilingeno, orina; cualitativa
Porfobilingeno, orina; cuantitativa
Las porfirinas, orina, cualitativo
Las porfirinas, orina, cuantificacin y fraccionamiento
Porfirinas, heces; cuantitativos
Porfirinas, heces; cualitativos
Potasio, suero, plasma o sangre entera
El potasio, orina
La prealbmina
Pregnanediol
Pregnenolone
Progesterona
La prolactina
La prostaglandina, cada
84080
84081
84100
84105
84106
84110
84119
84120
84126
84127
84132
84133
84134
84135
84140
84143
84144
84146
84150

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Antgeno Prosttico Especfico (PSA); complejado (medicin

directa)
Protena, total, excepto por refractometra, suero, plasma o
sangre entera
Protena, total, excepto por refractometra, otra fuente (por
ejemplo, lquido sinovial, lquido cefalorraqudeo)
Protena; fraccionamiento electrofortico y cuantificacin,
suero
Protenas, orina, cuantitativo, de 24 horas muestra
Protenas, Western Blot, con interpretacin e informe,
sangre u otro fluido corporal
El fosfato de piridoxal (vitamina B-6)
Piruvato
El piruvato quinasa
Quinina
La renina
La riboflavina (vitamina B-2)
La serotonina
El cido silico
Slice
Sodio; suero, plasma o sangre entera
Sodio; orina
Somatomedin
La somatostatina
Sulfato, orina
La testosterona, libre
Testosterona, total
La tiamina (vitamina B-1)
Tiroglobulina
La tiroxina, total
La tiroxina, libre
Globulina fijadora de tiroxina (TBG)
Hormona estimulante del tiroides (TSH)
Estimulante de la tiroides inmunoglobulinas (TSI)
Alfa tocoferol (vitamina E)
Transferasa, aspartato amino (AST) (SGOT)
Transferasa; alanina amino (ALT) (SGPT)
Transferrina
Triglicridos
La hormona tiroidea (T3 o T4) la captacin tiroidea o
relacin de unin a hormonas (THBR)
Triyodotironina T3, total (TT-3)
Triyodotironina T3, libre
Tirosina
La troponina, cualitativo
Nitrgeno de urea; cuantitativa
Nitrgeno de urea; semicuantitativo (por ejemplo, la prueba
de tira reactiva)
Nitrgeno de urea, orina
Nitrgeno de urea, aclaramiento
El cido rico, la sangre
cido rico; otra fuente
84152
RM N 689-2006-MINSA
84155
84157
84165
84180
84181
RM N 689-2006-MINSA
84207
84210
84220
84228
84244
84252
84260
84275
84285
84295
84300
84305
84307
84392
84402
84403
84425
84432
84436
84439
84442
84443
84445
84446
84450
84460
84466
84478
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
84479
RM N 689-2006-MINSA
84480
84481
84482
84510
84512
84520

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
84525
RM N 689-2006-MINSA
84540
84545
84550
84560

RM N 689-2006-MINSA
Urobilingeno, heces, cuantitativo

Urobilingeno, orina, cualitativo
Urobilingeno, orina, muestra cuantitativa, oportuna
Urobilingeno, orina; semicuantitativa
Vanililmandlico cido (VMA), orina
El pptido intestinal vasoactivo (VIP)
La vasopresina (hormona antidiurtica, ADH)
Vitamina A
La vitamina K
Los voltiles (por ejemplo, anhdrido actico, tetracloruro de
carbono, dicloroetano, diclorometano, ter dietlico, alcohol
isoproplico, metanol)
Xilosa prueba, la sangre y / u orina
Zinc
El pptido C
Gonadotropina, corinica humana (hCG); cuantitativa
Gonadotropina, corinica humana (hCG); cualitativo
Pruebas de ovulacin, por mtodos visuales de color de
comparacin para la hormona luteinizante humana
Tiempo de sangrado
El hemograma, frotis de sangre, el examen microscpico
con manual diferencial WBC
El hemograma, frotis de sangre, examen microscpico sin
manual diferencial WBC
El hemograma, microhematocrito hilado
El hemograma, hemoglobina (Hb)
El hemograma, completo (CBC), automtico (Hb,
hematocrito, glbulos rojos, glbulos blancos y plaquetas)
El hemograma, recuento celular manual (eritrocitos,
leucocitos o plaquetas) cada
El hemograma, recuento de glbulos rojos (RBC) y
automatizada
El hemograma, reticulocitos, manual
El hemograma, reticulocitos y automatizada
El hemograma, reticulocitos, automatizado, incluyendo uno
o ms parmetros celulares (por ejemplo, contenido de
hemoglobina de reticulocitos [CHR], la fraccin de
reticulocitos inmaduros [IRF], el volumen de reticulocitos
[MRV], el contenido de RNA), la medicin directa
El hemograma, leucocitos (WBC) y automatizada
El hemograma, plaquetas y automatizada
Muestra de sangre perifrica, la interpretacin por el mdico
con el informe escrito
La mdula sea, la interpretacin de frotis
Biopsia de mdula sea, la aguja o trocar
Clot retraccin
Tiempo de lisis del cogulo, la dilucin de sangre entera
La coagulacin, el factor II, la protrombina, especfica
La coagulacin, el factor V (AcG o proacelerina), factor de
lbil
Coagulacin, factor VII (proconvertina, factor estable)
Coagulacin, el factor VIII (AHG), 1 etapa
84577
84578
84580
84583
84585
84586
84588
84590
84597

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
84600
RM N 689-2006-MINSA
84620
84630
84681
84702
84703

RM N 689-2006-MINSA
RM N 689-2006-MINSA
84830
RM N 689-2006-MINSA
85002
85007
RM N 689-2006-MINSA
85008
RM N 689-2006-MINSA
85013
85018

85027
RM N 689-2006-MINSA
85032
85041
RM N 689-2006-MINSA
85044
85045

85046
RM N 689-2006-MINSA
85048
85049

85060
85097
85102
85170
85175
85210

RM N 689-2006-MINSA
RM N 689-2006-MINSA
85220
RM N 689-2006-MINSA
85230
85240
RM N 689-2006-MINSA
RM N 689-2006-MINSA
La coagulacin, el factor VIII relacionados con el antgeno
85244
Coagulacin, el factor VIII, factor de VW, cofactor ristocetina
85245
RM N 689-2006-MINSA
La coagulacin, el factor VIII, factor de antgeno VW

La coagulacin, el factor VIII, factor de von Willebrand, el
anlisis multimtrico
Coagulacin, el factor IX (PTC o Navidad)
Coagulacin, el factor X (Stuart-Prower)
Coagulacin, el factor XI (PTA)
Coagulacin, el factor XII (Hageman)
Coagulacin; factor XIII (estabilizador de fibrina)
La coagulacin; precalicrena ensayo (ensayo Fletcher
factor)
Coagulacin, de alto peso molecular quiningeno ensayo
(ensayo de Fitzgerald factor)
Inhibidores de la coagulacin o anticoagulantes, protena C,
antgeno
Inhibidores de la coagulacin o anticoagulantes, la protena
C, la actividad
Factor inhibidor de la prueba
La trombomodulina
Tiempo de coagulacin, Lee y White
Tiempo de coagulacin activado;
Tiempo de coagulacin; otros mtodos
Fibrina (fibringeno) degradacin (split) productos (FDP)
(FSP), de aglutinacin en placa, semicuantitativos
(FSP); paracoagulation
(FSP); cuantitativos
Productos de degradacin de fibrina, dmero D, cualitativa o
semicuantitativa
85246
RM N 689-2006-MINSA
85247
RM N 689-2006-MINSA
85250
85260
85270
85280
85290
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
85292
RM N 689-2006-MINSA
85293
RM N 689-2006-MINSA
85302
RM N 689-2006-MINSA
85303
85335
85337
85345
85347
85348
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
85362
85366
RM N 689-2006-MINSA
85370
RM N 689-2006-MINSA
85378
RM N 689-2006-MINSA
Productos de degradacin de fibrina, dmero D; cuantitativos
85379
RM N 689-2006-MINSA
85380
RM N 689-2006-MINSA
85384
85385

RM N 689-2006-MINSA
85390
RM N 689-2006-MINSA
85400
85441
85445
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
85460
RM N 689-2006-MINSA
85461
RM N 689-2006-MINSA
85475
85520
85525
85530
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Productos de degradacin de la fibrina, dmero D;

ultrasensibles (por ejemplo, para la evaluacin de
tromboembolismo venoso), cualitativo o semicuantitativo
Fibringeno; actividad
Fibringeno; antgeno
Fibrinolysins o pantalla coagulopata, interpretacin e
informe
Factores fibrinolticos e inhibidores de la plasmina;
Cuerpos de Heinz, directa
Cuerpos de Heinz, inducido, fenilhidrazina acetilo
La hemoglobina o eritrocitos, fetal, de hemorragia fetomaterna; lisis diferencial (Kleihauer-Betke)
La hemoglobina o eritrocitos, fetal, de hemorragia fetomaterna; roseta
Hemolisina, cido
Ensayo de heparina
La heparina-protamina prueba de tolerancia
Iron mancha de sangre, perifrico

Fosfatasa alcalina leucocitaria con el recuento
Fragilidad mecnica, RBC
Muramidasa
Fragilidad osmtica, RBC; incubados
Fragilidad osmtica, RBC; incubaron
La agregacin plaquetaria, (in vitro), cada agente
Plaquetas, recuento manual
Neutralizacin de plaquetas
El tiempo de protrombina;
El tiempo de protrombina; sustitucin, fracciones de plasma,
cada uno
Veneno de vbora de Russell tiempo (incluye veneno); sin
diluir
85536
85540
85547
85549
85555
85557
85576
85590
85597
85610
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
85611
RM N 689-2006-MINSA
85612
RM N 689-2006-MINSA
Veneno de vbora de Russell tiempo (incluye veneno); diluy
85613
RM N 689-2006-MINSA
La tasa de sedimentacin, eritrocitos, no automatizado

La tasa de sedimentacin, eritrocitos; automatizado
Deformacin de RBC, la reduccin de
Tiempo de trombina; plasma
El tiempo de trombina; ttulo
Inhibicin de tromboplastina, tejido
Tiempo de tromboplastina parcial (PTT); plasma o sangre
entera
Tiempo de tromboplastina parcial (PTT), sustitucin,
fracciones de plasma, cada uno
Viscosidad
85651
85652
85660
85670
85675
85705

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
85730
85732
RM N 689-2006-MINSA
85810
RM N 689-2006-MINSA
86000
86001
RM N 689-2006-MINSA
86003
RM N 689-2006-MINSA
86005
RM N 689-2006-MINSA
La identificacin de anticuerpos, anticuerpos de leucocitos
86021
RM N 689-2006-MINSA
La identificacin de anticuerpos, anticuerpos de plaquetas
86022
RM N 689-2006-MINSA
86023
RM N 689-2006-MINSA
86038
86039
86060
86063
86140
86141
86146
86147
86148
86155

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Aglutininas, febril (por ejemplo, Brucella, Francisella, el tifus

murino, la fiebre Q, la fiebre maculosa de las Montaas
Rocosas, tifus de los matorrales), cada antgeno
Especfica con alergenos cuantitativo o semicuantitativo
IgG, cada alergeno
Alrgeno especfico IgE; cuantitativa o semicuantitativa,
cada alergeno
Del alergeno especfico IgE, pantalla cualitativa,
multiallergen (varilla, paddle o disco)
La identificacin de anticuerpos; plaquetas ensayo asociado

inmunoglobulina
Los anticuerpos antinucleares (ANA);
Los anticuerpos antinucleares (ANA); ttulos
Antiestreptolisina 0; ttulo
Antiestreptolisina 0; pantalla
Protena C reactiva;
Protena C reactiva; alta sensibilidad (hsCRP)
Beta 2 glicoprotena I de anticuerpos, cada uno
Cardiolipina (fosfolpido) de anticuerpos, cada clase de Ig
Anti-fosfatidilserina (fosfolpido) anticuerpo
Ensayo de quimiotaxis, especificar el mtodo
Aglutinina fra; pantalla

Complemento; antgeno, cada componente
Complemento; actividad funcional, cada componente
Complemento, total hemoltica (CH50)
Complementar las pruebas de fijacin, cada antgeno
Contrainmunoelectroforesis, cada antgeno
Desoxirribonucleasa, anticuerpo
El cido desoxirribonucleico (ADN) de anticuerpos; nativo o
de doble cadena
El cido desoxirribonucleico (ADN) de anticuerpo;
monocatenario
Antgeno nuclear extrable, anticuerpo a, cualquier mtodo
(por ejemplo, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01),
cada anticuerpo
Receptor Fc
Anticuerpos fluorescentes agente infeccioso; pantalla, cada
anticuerpo
Anticuerpos fluorescentes agente infeccioso; ttulo, cada
anticuerpo
La hormona del crecimiento, humano (HGH), anticuerpo
Inmunoensayo para el antgeno de tumor, cualitativo o
semicuantitativo (por ejemplo, antgeno de tumor de vejiga)
Inmunoensayo para el antgeno del tumor, cuantitativo, CA
15-3 (27.29)
Anticuerpos heterfilos; deteccin
Anticuerpos heterfilos; ttulos
Anticuerpos heterfilos, los ttulos despus de la absorcin
con clulas de carne y rin de cobaya
VIH (HTLV-III) de deteccin de anticuerpos; prueba de
confirmacin (por ejemplo, Western blot)
Inmunoensayo para el antgeno de tumor, otro antgeno,
cuantitativa (por ejemplo, CA 50, 72-4, 549), cada uno
Inmunoensayo para anticuerpos agente infeccioso,
cuantitativo, no especificado
Inmunoensayo para anticuerpos agente infeccioso,
cualitativo o semicuantitativo, el mtodo de un solo paso
(por ejemplo, tira de reactivo)
Inmunoensayo tcnica para medicamentos
Inmunoelectroforesis, suero
Inmunoelectroforesis; otros fluidos (por ejemplo, orina,
lquido cefalorraqudeo) con concentracin
Inmunoelectroforesis; cruzada (2-dimensional ensayo)
Inmunodifusin; difusin en gel, cualitativos (Ouchterlony),
antgeno o anticuerpo cada
Ensayo de complejo inmune
Electroforesis de inmunofijacin; suero
Inhibina A
Anticuerpos de insulina
Anticuerpos del factor intrnseco
Anticuerpo clulas de los islotes
Prueba de leucocitos liberacin de histamina (LHR)
86156
86160
86161
86162
86171
86185
86215

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86225
86226
86235
86243
RM N 689-2006-MINSA
86255
RM N 689-2006-MINSA
86256
RM N 689-2006-MINSA
86277
86280
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86294
RM N 689-2006-MINSA
86300
RM N 689-2006-MINSA
86308
86309
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86310
RM N 689-2006-MINSA
86314
86316
86317
RM N 689-2006-MINSA
86318
RM N 689-2006-MINSA
86319
86320

86325
86327
RM N 689-2006-MINSA
86331
RM N 689-2006-MINSA
86332
86334
86336
86337
86340
86341
86343

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Fagocitosis de leucocitos
La transformacin de linfocitos, por mitgenos
(phytomitogen) o blastognesis antgeno inducida
Las clulas T, recuento total
Las clulas T CD4, CD8 y el recuento absoluto, como
proporcin
Las clulas T, CD4 recuento absoluto de
Anticuerpos microsomales (por ejemplo, hgado, rin o
tiroides-), cada uno
Migracin prueba del factor inhibitorio (FOMIN)
Nitroazul tetrazolio tinte de prueba (NTD)
Aglutinacin de partculas, pantalla, cada anticuerpo
Aglutinacin de partculas; ttulo, cada anticuerpo
El factor reumatoide; cualitativa
Factor reumatoide; cuantitativa
Prueba cutnea, cndida
Prueba cutnea, coccidiomicosis
Prueba cutnea, histoplasmosis
Examen de la piel, tuberculosis, intradrmica
Examen de la piel, tuberculosis, prueba de pas
Antgeno Cotizadas, cada
Streptococcus, pantalla, directa
Estreptoquinasa, anticuerpo
Prueba de sfilis, no treponmica anticuerpos; cualitativa
(por ejemplo, VDRL, RPR, ART)
86344
RM N 689-2006-MINSA
86353
RM N 689-2006-MINSA
86359
86360
86361
RM N 689-2006-MINSA
86376
RM N 689-2006-MINSA
86378
86382
86384
86403
86406
86430
86431
86485
86490
86510
86580
86585
86586
86588
86590
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86592
Prueba de sfilis, no treponmica anticuerpos; cuantitativa
86593
RM N 689-2006-MINSA
Anticuerpo; actinomyces
Anticuerpo; adenovirus
Anticuerpo; Aspergillus
Anticuerpo; bacteria, no expresados
Anticuerpo; Bartonella
Anticuerpo; Blastomyces
Anticuerpo; Bordetella
Anticuerpo; Borrelia burgdorferi (enfermedad de Lyme)
prueba de confirmacin (por ejemplo, Western blot o
inmunotransferencia)
Anticuerpo; Borrelia burgdorferi (enfermedad de Lyme)
Anticuerpo; Brucella
Anticuerpo; Campylobacter
Anticuerpo; Candida
Anticuerpo; Chlamydia
Anticuerpo; Chlamydia, IgM
Anticuerpo; Coccidioides
Anticuerpo; Coxiella burnetii (fiebre Q)
Anticuerpo; Cryptococcus
Anticuerpo; citomegalovirus (CMV)
Anticuerpo; citomegalovirus (CMV), IgM
Anticuerpo; Difteria
Anticuerpo; encefalitis, California (La Crosse)
Anticuerpo; encefalitis equina oriental
Anticuerpo; encefalitis, St. Louis
86602
86603
86606
86609
86611
86612
86615
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86617
RM N 689-2006-MINSA
86618
86622
86625
86628
86631
86632
86635
86638
86641
86644
86645
86648
86651
86652
86653
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Anticuerpo; encefalitis, equina del Oeste

Anticuerpo; enterovirus (por ejemplo, virus de Coxsackie,
ECHO, la poliomielitis)
Treponema pallidum prueba, otros, especificar (por ejemplo,
TPIA, TPA, TPMB, TPCF, RPCF)
Anticuerpo; Epstein-Barr (EB) del virus, el antgeno
temprano (EA)
Anticuerpo; Epstein-Barr (EB) virus, el antgeno nuclear
(EBNA)
Anticuerpo; Epstein-Barr (EB) del virus, la cpside viral
(VCA)
Anticuerpo; Ehrlichia
Anticuerpo; Francisella tularensis
Anticuerpo; hongo, no expresados
Anticuerpo; Giardia lamblia
Anticuerpo; Helicobacter pylori
Anticuerpo; helmintos, no expresados
Anticuerpo; Haemophilus influenza
Anticuerpo; HTLV-I
Anticuerpo; HTLV-II
Anticuerpo; anticuerpo HTLV o el VIH, prueba de
confirmacin (por ejemplo, Western Blot)
Anticuerpo; hepatitis, agente delta
Anticuerpo; herpes simple, no especfico tipo de prueba
Anticuerpo; herpes simplex, tipo 1
Anticuerpo; herpes simplex, tipo 2
Anticuerpo; histoplasma
Anticuerpo; VIH-1
Anticuerpo; VIH-2
Anticuerpo; VIH-1 y VIH-2, solo ensayo
La hepatitis B core de anticuerpos (anti-HBc), total
La hepatitis B core de anticuerpos (anti-HBc), anticuerpos
IgM
Hepatitis B anticuerpo de superficie (anti-HBs)
Hepatitis Be anticuerpo (HBeAb)
Hepatitis A anticuerpo (haab), total
Hepatitis A anticuerpo (haab); anticuerpo IgM
Anticuerpo; virus de la influenza
Anticuerpo; Legionella
Anticuerpo; Leishmania
Anticuerpo; Leptospira
Anticuerpo; Listeria monocytogenes
Anticuerpo; coriomeningitis linfoctica
Anticuerpo; linfogranuloma venreo
Anticuerpo; mucormicosis
Anticuerpo; paperas
Anticuerpo; micoplasma
Anticuerpo; Neisseria meningitidis
Anticuerpo; Nocardia
Anticuerpo; parvovirus
Anticuerpo; Plasmodium (malaria)
Anticuerpo; protozoos, no expresados
Anticuerpo; virus sincitial respiratorio
86654
RM N 689-2006-MINSA
86658
86662
86663
RM N 689-2006-MINSA
86664
86665
86666
86668
86671
86674
86677
86682
86684
86687
86688
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86689
86692
86694
86695
86696
86698
86701
86702
86703
86704
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86705
86706
86707
86708
86709
86710
86713
86717
86720
86723
86727
86729
86732
86735
86738
86741
86744
86747
86750
86753
86756

RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Anticuerpo; Rickettsia
Anticuerpo; rotavirus
Anticuerpo; rubola
Anticuerpo; rubeola
Anticuerpo; Salmonella
Anticuerpo; Shigella
Anticuerpo; ttanos
Anticuerpo; Toxoplasma
Anticuerpo; IgM Toxoplasma,
Anticuerpo; Treponema pallidum, prueba de confirmacin
(por ejemplo, FTA-abs)
Anticuerpo; Trichinella
Anticuerpo; varicela-zoster
Anticuerpos, virus, no expresados
Anticuerpo; Yersinia
La tiroglobulina anticuerpos
Anticuerpo de la hepatitis C;
La hepatitis C anticuerpos; prueba de confirmacin (por
ejemplo, inmunoblot)
Ensayo linfocitotoxicidad, visual prueba cruzada, con
titulacin
Ensayo de linfocitotoxicidad, visual prueba cruzada; sin
titulacin
Suero de deteccin de anticuerpos citotxicos reactiva por
ciento (PRA), mtodo estndar
Suero de deteccin de anticuerpos citotxicos reactiva por
ciento (PRA), mtodo rpido
Tipificacin HLA; A, B, o C (por ejemplo, A10, B7, B27), solo
antgeno
Tipificacin HLA, A, B, o C, mltiples antgenos
Tipificacin HLA, DR / DQ, solo antgeno
Tipificacin HLA, DR / DQ, mltiples antgenos
Tipificacin HLA; cultivo de linfocitos, mixtos (MLC)
Tipificacin HLA; cultivo de linfocitos, cebada (PLC)
Deteccin de anticuerpos, glbulos rojos, cada tcnica de
suero
Anticuerpo de elucin (RBC), cada elucin
Antihumano prueba globulina (prueba de Coombs); directa,
cada antisuero
Antihumano prueba globulina (prueba de Coombs);
cualitativo indirecta, cada clula reactiva rojo
Antihumano prueba globulina (prueba de Coombs),
indirecta, cada ttulo de anticuerpos
La sangre autloga o componente, el procesamiento de
recogida y almacenamiento; predepositada
Determinacin del grupo sanguneo; ABO
Determinacin del grupo sanguneo, Rh (D)
Determinacin del grupo sanguneo; antgenos eritrocitarios,
distinta de ABO o Rh (D), cada uno
86757
86759
86762
86765
86768
86771
86774
86777
86778
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86781
86784
86787
86790
86793
86800
86803
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86804
RM N 689-2006-MINSA
86805
RM N 689-2006-MINSA
86806
RM N 689-2006-MINSA
86807
RM N 689-2006-MINSA
86808
RM N 689-2006-MINSA
86812
RM N 689-2006-MINSA
86813
86816
86817
86821
86822
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86850
RM N 689-2006-MINSA
86860
RM N 689-2006-MINSA
86880
86885
86886
86890
86900
86901

RM N 689-2006-MINSA
86905
RM N 689-2006-MINSA
Determinacin del grupo sanguneo, Rh fenotipo, completo
86906
Determinacin del grupo sanguneo, para la prueba de

paternidad, por individuo; ABO, Rh y MN
86910
RM N 689-2006-MINSA
El tipo de sangre, para las pruebas de paternidad, por

individuo; cada sistema antgeno adicional
Prueba de compatibilidad cada unidad; tcnica de la vuelta
inmediata
Prueba de compatibilidad cada unidad; tcnica de
incubacin
Prueba de compatibilidad cada unidad; tcnica de
antiglobulina
El plasma fresco congelado, descongelar, cada unidad
Sangre congelada, cada unidad; congelacin (incluye
preparacin)
Sangre congelada, cada unidad; descongelacin
Sangre congelada, cada unidad; congelacin (incluye
preparacin) y descongelacin
La irradiacin del producto de la sangre, cada unidad
Pretratamiento de los glbulos rojos para su uso en la
deteccin de anticuerpos RBC, la identificacin, y / o
pruebas de compatibilidad; incubacin con agentes
qumicos o frmacos, cada uno
86911
RM N 689-2006-MINSA
86920
86921
86922
86927
RM N 689-2006-MINSA
86930
RM N 689-2006-MINSA
86931
RM N 689-2006-MINSA
86932
RM N 689-2006-MINSA
86945
86950
RM N 689-2006-MINSA
RM N 689-2006-MINSA
86970
RM N 689-2006-MINSA

pruebas de compatibilidad; incubacin con enzimas, cada
86971
RM N 689-2006-MINSA
El pretratamiento de suero para su uso en la identificacin

de anticuerpos RBC; incubacin con frmacos, cada uno
86975
RM N 689-2006-MINSA

de anticuerpos RBC; por dilucin
86976
RM N 689-2006-MINSA

de anticuerpos RBC; incubacin con inhibidores, cada
86977
RM N 689-2006-MINSA

de anticuerpos RBC; por absorcin diferencial de clulas
rojas usando glbulos rojos de pacientes o los glbulos
rojos de fenotipo conocido, cada uno de absorcin
86978
RM N 689-2006-MINSA
Fraccionamiento de sangre o productos de sangre, cada

unidad
86985
RM N 689-2006-MINSA
La inoculacin animal, animal pequeo, con la observacin
87001
RM N 689-2006-MINSA
La inoculacin animal, animal pequeo, con la observacin

y diseccin
87003
RM N 689-2006-MINSA
Concentracin (cualquier tipo) para los agentes infecciosos
87015
RM N 689-2006-MINSA
Cultura, bacterias, sangre, aerobic, con aislamiento e

identificacin presuntiva de aislamientos (incluye cultivos
anaerobios, en su caso)
87040
Cultura, bacterias, heces, aerobic, con el aislamiento y el

examen preliminar (por ejemplo, KIA, LIA), Salmonella y
Shigella
87045
Cultura, bacterias, heces, aerobic, patgenos adicionales,

aislamiento e identificacin presuntiva de aislamientos, cada
placa
87046
RM N 689-2006-MINSA
Cultura, bacteriana; cualquier otra fuente excepto orina,

sangre o heces, aerbica, con aislamiento e identificacin
presuntiva de aislamientos
87070
Cultura o mtodo directo identificacin de bacterias, cada

organismo, por el kit comercial, cualquier fuente excepto
orina
87072
Cultura, bacteriana; cuantitativa, anaerbico con aislamiento

e identificacin presuntiva de aislamientos, cualquier fuente
excepto orina, sangre o heces
87073
RM N 689-2006-MINSA
Cultura, bacteriana; cualquier fuente, excepto sangre,

anaerbico con el aislamiento e identificacin presuntiva de
aislamientos
87075
RM N 689-2006-MINSA
Cultura, bacteriana; aislar anaerobios, los mtodos

adicionales que se requieren para la identificacin definitiva,
cada aislamiento
87076
RM N 689-2006-MINSA
Cultura, bacteriana; aerobio aislado, mtodos adicionales

necesarios para la identificacin definitiva, cada aislamiento
87077
RM N 689-2006-MINSA
Cultura, organismos patgenos, presuntos, el cribado

solamente;
87081
RM N 689-2006-MINSA
Cultura, organismos patgenos, presuntos, el cribado solo,

con la estimacin de la densidad de colonias de tabla
87084
RM N 689-2006-MINSA
Cultura, bacterias, recuento de colonias cuantitativo, orina
87086
RM N 689-2006-MINSA
Cultura, orina bacteriana,; kit comercial

Cultura, bacteriana, con aislamiento e identificacin
presuntiva de cada aislamiento, la orina
Cultura, hongos (mohos o levaduras) con aislamiento,
identificacin presuntiva de aislamientos, la piel, el cabello o
las uas
87087
87088
RM N 689-2006-MINSA
87101
RM N 689-2006-MINSA
87102
RM N 689-2006-MINSA
87103
RM N 689-2006-MINSA
87106
87107
RM N 689-2006-MINSA
87109
87110
RM N 689-2006-MINSA
RM N 689-2006-MINSA
87116
87118
RM N 689-2006-MINSA
87140
RM N 689-2006-MINSA

identificacin presuntiva de aislamientos, otra fuente
(excepto la sangre)
identificacin presuntiva de aislamientos de sangre;
Cultura, los hongos, la identificacin definitiva, organismo
cada uno; levadura
Cultura, los hongos, la identificacin definitiva, organismo
cada molde;
Cultura, micoplasma, cualquier fuente
Cultura, la clamidia, la fuente
Cultura, tubrculo u otros bacilos cido alcohol resistentes
(por ejemplo, la tuberculosis, AFB, micobacterias) de
cualquier fuente, con el aislamiento e identificacin
presuntiva de aislamientos
Cultura, la identificacin de micobacterias, definitiva, cada
aislamiento
Cultura, mecanografa, mtodo de inmunofluorescencia,
cada antisuero
Cultura, tipificacin; cromatografa gas lquido (GLC) o

cromatografa lquida de alta presin (HPLC)
Cultura, mecanografa, mtodo inmunolgico, aparte de
inmunofluorescencia (por ejemplo, la agrupacin
aglutinacin), por antisuero
87143
RM N 689-2006-MINSA
87147
RM N 689-2006-MINSA
87149
RM N 689-2006-MINSA
87152
RM N 689-2006-MINSA
87158
RM N 689-2006-MINSA
87163
87164
RM N 689-2006-MINSA
87166
RM N 689-2006-MINSA
87168
87169
87176
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
87177
87178
RM N 689-2006-MINSA
87179
RM N 689-2006-MINSA
Estudios de susceptibilidad a los antimicrobianos, agentes,

mtodo de dilucin en agar, por agente (por ejemplo, tiras
de gradiente antibitico)
87181
RM N 689-2006-MINSA

mtodo de disco, por placa (12 o menos agentes)
87184
RM N 689-2006-MINSA
Estudios de susceptibilidad, agente antimicrobiano;

deteccin de la enzima (por ejemplo, beta lactamasa), por
enzima
87185
RM N 689-2006-MINSA

microdilucin o dilucin de agar (concentracin mnima
inhibitoria [MIC] o punto de ruptura), cada multiantimicrobiana, por placa
87186
RM N 689-2006-MINSA

microdilucin o dilucin en agar, la concentracin letal
mnima (MLC), cada placa (Lista por separado adems de
87187
RM N 689-2006-MINSA

mtodo macrobroth dilucin, cada agente
87188
RM N 689-2006-MINSA

micobacterias, el mtodo de proporcin, cada agente
87190
RM N 689-2006-MINSA
87197
RM N 689-2006-MINSA
87205
Cultura, tipificacin; identificacin por el cido nucleico (ADN

o ARN) de la sonda, tcnica de sonda directa, por cultivo o
aislar, cada organismo sondaron
Cultura, mecanografa, identificacin del pulso, escribiendo
en gel de campo
Cultura, mecanografa, otros mtodos
Cultura, de cualquier fuente, otros mtodos de identificacin
requerida (adems de utilizar cdigo cultivo primario)
Examen de campo oscuro, la fuente (por ejemplo, del pene,
la vagina, la piel oral), incluye la toma de muestras
Examen de campo oscuro, la fuente (por ejemplo, del pene,
la vagina, la piel oral); sin recoleccin
El examen macroscpico; artrpodo
El examen macroscpico; parsito
Homogeneizacin, tejido, para el cultivo
Los vulos y los parsitos, los frotis directos, concentracin
e identificacin
La identificacin microbiana, sondas de cido nucleico, cada
sonda utilizada
La identificacin microbiana, sondas de cido nucleico, cada
sonda utilizada; con la amplificacin, por ejemplo, reaccin
en cadena de polimerasa (PCR)
Ttulo bactericida del suero (prueba Schlicter)

Smear, la principal fuente de interpretacin; Gram o Giemsa
para las bacterias, hongos, o tipos de clulas
Smear, la principal fuente de interpretacin; fluorescente y /

o cido rpido mancha por bacterias, hongos, parsitos,
virus o tipos de clulas
87206
RM N 689-2006-MINSA
Smear, la principal fuente de interpretacin; tincin especial

para cuerpos de inclusin o parsitos (por ejemplo, la
malaria, coccidios, microsporidios, tripanosomas, herpes
virus)
87207
Smear, la principal fuente de interpretacin, en fresco para

los agentes infecciosos (por ejemplo, solucin salina, tinta
china, KOH preps)
87210
RM N 689-2006-MINSA
87220
87230
RM N 689-2006-MINSA
87250
RM N 689-2006-MINSA
El aislamiento del virus; tejido inoculacin cultura, la

observacin e identificacin presuntiva por efecto citoptico
87252
RM N 689-2006-MINSA
El aislamiento del virus, el cultivo de tejidos, los estudios

adicionales o identificacin definitiva (por ejemplo,
hemabsorption, neutralizacin, inmunofluorescencia tincin),
cada aislamiento
87253
RM N 689-2006-MINSA
El aislamiento del virus; centrfuga mejorada (shell vial)

tcnica, incluye la identificacin con inmunofluorescencia
mancha, cada virus
87254
RM N 689-2006-MINSA
El aislamiento del virus; incluyendo la identificacin por el

mtodo no inmunolgica, excepto por el efecto citoptico
(por ejemplo, virus de la actividad enzimtica especfica)
87255
RM N 689-2006-MINSA
87260
RM N 689-2006-MINSA
87265
RM N 689-2006-MINSA
87267
RM N 689-2006-MINSA
87269
RM N 689-2006-MINSA
87270
RM N 689-2006-MINSA
87271
RM N 689-2006-MINSA
87272
87273
RM N 689-2006-MINSA
87274
Tejido examen por diapositiva KOH de muestras de piel, el

cabello o las uas de los hongos o los vulos ectoparsito o
caros (por ejemplo, sarna)
Ensayo de toxina o antitoxina, cultivo de tejidos (por
ejemplo, la toxina de Clostridium difficile)
El aislamiento del virus, la inoculacin de huevos
embrionados, o animales pequeos, incluye la observacin
y diseccin
Agente infeccioso deteccin de antgenos mediante la

tcnica de inmunofluorescencia; adenovirus
tcnica de inmunofluorescencia; Bordetella pertussis /
parapertussis
Agente infeccioso deteccin de antgenos por tcnica de
inmunofluorescencia; enterovirus, anticuerpos fluorescentes
directos (DFA)
tcnica de inmunofluorescencia; giardia
tcnica de inmunofluorescencia; Chlamydia trachomatis
inmunofluorescencia, citomegalovirus, anticuerpos
fluorescentes directos (DFA)
inmunofluorescencia; cryptosporidium
inmunofluorescencia, Herpes simplex virus tipo 2
inmunofluorescencia, virus del herpes simple tipo 1

tcnica de inmunofluorescencia; virus de la gripe B
tcnica de inmunofluorescencia; influenza A virus
tcnica de inmunofluorescencia; Legionella micdadei
tcnica de inmunofluorescencia; Legionella pneumophila
inmunofluorescencia, virus parainfluenza, cada tipo
inmunofluorescencia, el virus sincitial respiratorio
tcnica de inmunofluorescencia; Pneumocystis carinii
tcnica de inmunofluorescencia; Rubeola
inmunofluorescencia; Treponema pallidum
tcnica de inmunofluorescencia; Varicela zoster virus
87275
RM N 689-2006-MINSA
87276
87277
RM N 689-2006-MINSA
87278
RM N 689-2006-MINSA
87279
RM N 689-2006-MINSA
87280
RM N 689-2006-MINSA
87281
RM N 689-2006-MINSA
87283
RM N 689-2006-MINSA
87285
87290
RM N 689-2006-MINSA

tcnica de inmunoensayo enzimtico cualitativo o
semicuantitativo, el mtodo de varios pasos, los tipos de
adenovirus entricos 40/41
87301
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; Chlamydia
trachomatis
87320
RM N 689-2006-MINSA

tcnica de inmunoensayo enzimtico, cualitativo o
semicuantitativo, de mltiples pasos mtodo; toxina de
Clostridium difficile (s)
87324
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; Cryptococcus
neoformans
87327
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo;
cryptosporidium
87328
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; giardia
87329
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo;
citomegalovirus
87332
RM N 689-2006-MINSA

semicuantitativo, el mtodo de mltiples pasos; Escherichia
coli 0157
87335
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; Entamoeba
histolytica dispar grupo
87336
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; Helicobacter
pylori, las heces
87338
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; antgeno de la
hepatitis B de superficie (HBsAg)
87340
Deteccin de antgeno agente infeccioso mediante la

semicuantitativo, de mltiples pasos mtodo, hepatitis Be
antgeno (HBeAg)
87350

semicuantitativo, de mltiples pasos mtodo, la hepatitis, el
agente delta
87380
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; Histoplasma
capsulatum
87385
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo, el VIH-1
87390
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo, el VIH-2
87391
RM N 689-2006-MINSA

semicuantitativo, el mtodo de mltiples pasos; influenza, A
o B, cada uno
87400
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; virus sincitial
respiratorio
87420
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo; rotavirus
87425
RM N 689-2006-MINSA

semicuantitativo, de mltiples pasos mtodo, Streptococcus,
grupo A
87430
RM N 689-2006-MINSA
Agente infeccioso deteccin de antgeno por enzima

cualitativa o semicuantitativa tcnica de inmunoensayo;
mtodo de mltiples etapas, no se especifique lo contrario,
cada organismo
87449
RM N 689-2006-MINSA
Agente infeccioso deteccin cualitativa de antgeno por

enzima inmunoensayo o tcnica semicuantitativa; mtodo
solo paso, no se especifique lo contrario, cada organismo
87450
RM N 689-2006-MINSA
Agente infeccioso deteccin cualitativa de antgeno por

enzima inmunoensayo o tcnica semicuantitativa; mtodo
de paso mltiple, polivalente para mltiples organismos,
cada antisuero polivalente
87451
RM N 689-2006-MINSA
Deteccin del agente infeccioso por el cido nucleico (ADN

o ARN), el VIH-1, la tcnica de amplificacin de la sonda
87535
87536
RM N 689-2006-MINSA
87539
RM N 689-2006-MINSA
87797
RM N 689-2006-MINSA

o ARN), no especificado; tcnica de amplificacin de la
sonda, cada organismo
87798
RM N 689-2006-MINSA

o ARN), no especificado; cuantificacin, cada organismo
87799
RM N 689-2006-MINSA
88000
RM N 689-2006-MINSA
88012
RM N 689-2006-MINSA
88020
RM N 689-2006-MINSA
88027
RM N 689-2006-MINSA
88028
RM N 689-2006-MINSA
88036
RM N 689-2006-MINSA
88104
RM N 689-2006-MINSA
88108
RM N 689-2006-MINSA
88130
RM N 689-2006-MINSA
88141
Citopatologa, cervical o vaginal (cualquier sistema de

presentacin de informes), recogidos en un conservante
lquido, la preparacin automatizada de capa fina; cribado
manual bajo supervisin mdica
88142
RM N 689-2006-MINSA

lquido, la preparacin automatizada de capa delgada, con
seleccin manual y reseleccin bajo supervisin mdica
88143
RM N 689-2006-MINSA
Frotis citopatologa, cervical o vaginal; deteccin por el

sistema automatizado bajo supervisin mdica
88147
RM N 689-2006-MINSA

o ARN), el VIH-1, la cuantificacin
o ARN), el VIH-2, la cuantificacin
o ARN), no especificado; tcnica de sonda directa, cada
organismo
La necropsia (autopsia), examen general solamente; sin

CNS
La necropsia (autopsia), examen general solamente; infante
con el cerebro
La necropsia (autopsia), macroscpica y microscpica, sin
CNS
La necropsia (autopsia), macroscpica y microscpica, con
el cerebro y la mdula espinal
el cerebro infantil
La necropsia (autopsia), limitado, bruto y / o microscpicas,
regional
Citopatologa, fluidos, lavados o cepillados, excepto cervical
o vaginal; frotis con interpretacin
Citopatologa, tcnica de concentracin, las manchas y la
interpretacin (por ejemplo, la tcnica de Saccomanno)
Cromatina sexual identificacin; cuerpos de Barr
presentacin de informes), la interpretacin que requiere el
mdico (lista por separado adems del cdigo para el
servicio tcnico)
Frotis citopatologa, cervical o vaginal; deteccin por el

sistema automatizado con nuevos controles manual bajo
supervisin mdica
Citopatologa, diapositivas, cervical o vaginal (el Sistema
Bethesda); cribado manual bajo supervisin mdica
Bethesda), con seleccin manual y reseleccin bajo
supervisin mdica
88148
RM N 689-2006-MINSA
88164
RM N 689-2006-MINSA
88165
RM N 689-2006-MINSA
88166
RM N 689-2006-MINSA
88172
88180
RM N 689-2006-MINSA
88182
RM N 689-2006-MINSA
88184
RM N 689-2006-MINSA
La citometra de flujo, la superficie celular, citoplasma, o

marcador nuclear, componente tcnico; cada marcador
primer marcador)
88185
RM N 689-2006-MINSA
88230
RM N 689-2006-MINSA
88233
RM N 689-2006-MINSA
88235
RM N 689-2006-MINSA
88237
RM N 689-2006-MINSA
88239
RM N 689-2006-MINSA
88240
RM N 689-2006-MINSA
88241
RM N 689-2006-MINSA
88245
RM N 689-2006-MINSA
88261
RM N 689-2006-MINSA
88271
RM N 689-2006-MINSA
88280
RM N 689-2006-MINSA
88291
RM N 689-2006-MINSA
88300

Bethesda); supervisin de un mdico con la seleccin
manual y asistida por computadora bajo nuevos controles
Citopatologa, la evaluacin de aspiracin con aguja fina;
citohistolgica estudio inmediato para determinar la
adecuacin de la muestra (s)
Citometra de flujo; cada marcador de superficie celular,
marcador citoplsmica o nuclear
La citometra de flujo, la superficie celular, marcador
citoplasmtica o nuclear, componente tcnico; primero
marcador
El cultivo de tejidos para los trastornos no neoplsicos, la

piel u otro tejido slido biopsia
Cultivo de tejidos para trastornos no neoplsicos, clulas de
lquido amnitico o de vellosidades corinicas
El cultivo de tejidos para trastornos neoplsicos; mdula
sea, clulas de la sangre
Crioconservacin, congelacin y almacenamiento de
clulas, cada lnea celular
Descongelacin y expansin de las clulas congeladas,
cada alcuota
Cromosoma anlisis de los sndromes de rotura; base
intercambio de cromtidas hermanas (SCE), 20-25 clulas
El anlisis cromosmico; contar 5 celdas, un cariotipo con
bandeo
Citogentica molecular, el ADN de la sonda, cada uno (por
ejemplo, FISH)
El anlisis cromosmico; cariotipos adicionales, cada
estudio
Citogentica y citogentica molecular, interpretacin e
informe
Nivel I - Patologa quirrgica, el examen macroscpico slo
Las tinciones especiales; Grupo I para los microorganismos

(por ejemplo, Gridley, cido rpido, metenamina de plata),
incluyendo la interpretacin e informe, cada uno
88312
RM N 689-2006-MINSA
88318
88319
RM N 689-2006-MINSA
88342
RM N 689-2006-MINSA
88346
RM N 689-2006-MINSA
88347
RM N 689-2006-MINSA
88348
88355
88365
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
88368
RM N 689-2006-MINSA
88372
RM N 689-2006-MINSA
88380
RM N 689-2006-MINSA
88381
RM N 689-2006-MINSA
89050
Conteo de clulas, fluidos corporales diversos (por ejemplo,

lquido cefalorraqudeo, lquido articular), con excepcin de
la sangre, con recuento diferencial
89051
RM N 689-2006-MINSA
Evaluacin de leucocitos, fecal, cualitativa o semicualitativo
89055
89060
RM N 689-2006-MINSA
89125
89250
RM N 689-2006-MINSA
RM N 689-2006-MINSA
89253
RM N 689-2006-MINSA
89255
RM N 689-2006-MINSA
89258
RM N 689-2006-MINSA
89260
RM N 689-2006-MINSA
89268
RM N 689-2006-MINSA
89280
RM N 689-2006-MINSA
89320
Histoqumica determinante para identificar los componentes

qumicos (por ejemplo, cobre, zinc)
Histoqumica determinantes o citoqumica para identificar
los componentes de enzimas, cada
Inmunohistoqumica (incluyendo inmunoperoxidasa tejido),
cada anticuerpo
Estudio de inmunofluorescencia, cada anticuerpo; mtodo
directo
Estudio de inmunofluorescencia, cada anticuerpo; mtodo
indirecto
Microscopa electrnica; diagnstico
Morfomtrico anlisis; msculo esqueltico
La hibridacin in situ (por ejemplo, FISH), cada sonda
El anlisis morfomtrico, hibridacin in situ, (cuantitativo o
semicuantitativo) cada sonda, manual de
Anlisis de protenas del tejido por Western Blot, con
interpretacin e informe; sonda inmunolgica para la
identificacin de la banda, cada
Microdiseccin (es decir, la preparacin de muestras de
objetivo microscpicamente identificados); captura con lser
Microdiseccin (es decir, la preparacin de muestras de
objetivo microscpicamente identificados); instrucciones
Nmero de clulas, fluidos corporales diversos (por ejemplo,
lquido cefalorraqudeo, lquido articular), con excepcin de
la sangre;
Crystal identificacin por microscopa de luz con o sin

anlisis de polarizacin lente, tejido o cualquier fluido del
cuerpo (excepto orina)
Grasa fecal, manchas, orina o secreciones respiratorias
Cultura del ovocito (s) / embrin (s), a menos de 4 das;
Eclosin de embriones Asistida, microtcnicas (cualquier
mtodo)
Preparacin de embriones para la transferencia (cualquier
mtodo)
La crioconservacin; embrin (s)
Aislamiento de esperma; preparacin simple (por ejemplo,
lavado de esperma y nadar-) para la inseminacin o el
diagnstico con anlisis de semen
Inseminacin de los ovocitos
Fertilizacin de ovocitos asistida, microtcnica, menos de o
igual a 10 ovocitos
Anlisis de semen, el volumen, el recuento, la motilidad y
diferencial
Inmunoglobulina antirrbica (RIG), humanos, por va

intramuscular y / o subcutnea
Administracin Inmunizacin (incluye percutnea,
intradrmica, subcutnea, intramuscular o inyecciones); 1
vacuna (sola o combinacin de vacuna / toxoide)
90375
RM N 689-2006-MINSA
90471
90474
RM N 689-2006-MINSA
90585
RM N 689-2006-MINSA
90675
90676
RM N 689-2006-MINSA
RM N 689-2006-MINSA
90701
RM N 689-2006-MINSA
90702
RM N 689-2006-MINSA
90707
RM N 689-2006-MINSA
90708
RM N 689-2006-MINSA
90711
RM N 689-2006-MINSA
90712
RM N 689-2006-MINSA
Vacuna contra la fiebre amarilla, en vivo, por va subcutnea
90717
RM N 689-2006-MINSA
Difteria, ttanos y tos ferina de clula entera y Haemophilus

influenza B vacuna (DTP-Hib), para uso intramuscular
90720
RM N 689-2006-MINSA
90744
RM N 689-2006-MINSA
90749
RM N 689-2006-MINSA
90780
90782
90783
90784
La psicoterapia individual, la visin orientada a modificar el

comportamiento y / o de apoyo, en un consultorio o
ambulatorio, aproximadamente 20 a 30 minutos cara a cara
con el paciente;
90804
RM N 689-2006-MINSA

con el paciente;
90806
RM N 689-2006-MINSA
Administracin de la inmunizacin por va intranasal u oral;

cada vacuna adicional (solo o combinacin de vacuna /
toxoide) (Lista por separado adems de cdigo para el
Bacillus Calmette-Gurin (BCG) para la tuberculosis, en
directo, para uso percutneo
Vacuna contra la rabia, para uso intramuscular
Vacuna contra la rabia, para uso intradrmico
Difteria, ttanos y vacuna de pertussis de clulas (DTP),
para uso intramuscular
Toxoides de difteria y ttanos (DT) adsorbido cuando se
administra a individuos menores de 7 aos, para uso
intramuscular
El sarampin, las paperas y la rubola virus (MMR), en vivo,
por va subcutnea
El sarampin y la rubola virus, en vivo, por va subcutnea
Inmunizacin activa contra la difteria, ttanos y tos ferina
(DTP) y vacuna antipoliomieltica inyectable
Vacuna Poliovirus, (cualquier tipo [s]) (OPV), en directo,
para uso oral
Vacuna contra hepatitis B, peditrico / adolescente dosis (3

esquema de dosis), para uso intramuscular
Vacuna Cotizadas / toxoide
La infusin intravenosa para el tratamiento / diagnstico,
administrado por el mdico o bajo la supervisin directa del
mdico, hasta una hora
Inyeccin teraputica, profilctica o diagnstica (especifique
inyectado material); subcutnea o intramuscular
inyectado material); intra-arterial
inyectado material); intravenosa

con el paciente;
Psicoanlisis
Psicoterapia familiar (sin la presencia del paciente)
Psicoterapia Familiar (psicoterapia conjunta) (con presencia
del paciente)
Multifamiliares grupo de psicoterapia
La psicoterapia de grupo (con excepcin de un grupo de
varias familias)
Psicoterapia de grupo interactivo
(Sin descripcin)
Hipnoterapia
Hemodilisis procedimiento de evaluacin solo mdico
Procedimiento de hemodilisis requiere una evaluacin
repetida (s) con o sin una revisin sustancial de la
prescripcin de dilisis
90808
RM N 689-2006-MINSA
90845
90846
RM N 689-2006-MINSA
RM N 689-2006-MINSA
90847
RM N 689-2006-MINSA
90849
RM N 689-2006-MINSA
90853
RM N 689-2006-MINSA
90857
90872
90880
90935
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
90937
Dilisis distinta de hemodilisis (por ejemplo, la dilisis

peritoneal, la hemofiltracin, u otras terapias de reemplazo
renal continua), con evaluacin mdico nico procedimiento
90945
Etapa final de enfermedad renal (ESRD) servicios

relacionados mensuales, para los pacientes menores de 2
aos de edad para incluir la supervisin de la adecuacin de
la nutricin, la evaluacin del crecimiento y desarrollo, y el
asesoramiento de los padres, con 4 o ms cara-a-cara
mdico visitas al mes
90951

asesoramiento de los padres, con 2-3 cara a cara mdico
visitas al mes
90952
Hemoperfusin (por ejemplo, con carbn activado o resina)
90997
RM N 689-2006-MINSA
91000
91010
91020
RM N 689-2006-MINSA
91030
91033
91052
91105
91122
Intubacin esofgica y coleccin de lavados para citologa,

incluyendo la preparacin de las muestras (procedimiento
separado)
Motilidad del esfago (manometra del esfago y / o unin
gastroesofgica) estudio;
Motilidad gstrica (manomtrica) estudios
Esfago, perfusin cida (Bernstein) prueba para la
esofagitis
Esfago, prueba de reflujo cido, con electrodo de pH
intraluminal para la deteccin de reflujo gastroesofgico,
grabacin prolongado
Prueba de anlisis gstrico con inyeccin de estimulante de
la secrecin gstrica (por ejemplo, histamina, insulina,
pentagastrina, calcio y secretina)
Intubacin gstrica y aspiracin o lavado para el tratamiento
(por ejemplo, los venenos ingeridos)
La manometra anorrectal
Electrogastrografa, diagnstico, transcutnea;

Determinacin del estado refractivo
Examen oftalmolgico y evaluacin, bajo anestesia general,
con o sin manipulacin de globo para el rango de
movimiento pasivo u otra manipulacin para facilitar el
examen de diagnstico; completa
La gonioscopia (procedimiento separado)
Sensitivomotora examen con mltiples mediciones de la
desviacin ocular (por ejemplo, el msculo restrictivo o
paretic con diplopa) con interpretacin e informe
91132
92015
RM N 689-2006-MINSA
92018
RM N 689-2006-MINSA
92020
92060
RM N 689-2006-MINSA
Ortptica formacin y / o pleoptic, con direccin mdica

continua y evaluacin
92065
Examen del campo visual, unilateral o bilateral, con

interpretacin e informe, examen limitado (por ejemplo,
pantalla tangente, Autoplot, el permetro del arco, o una sola
prueba automatizada nivel de estmulo, como el pulpo 3 o
equivalente 7)
92081
Tonometra de serie (procedimiento separado) con mltiples

mediciones de la presin intraocular en un perodo de
tiempo prolongado con interpretacin e informe, el mismo
da (por ejemplo, curva, diurno o tratamiento mdico de la
elevacin aguda de la presin intraocular)
92100
Escaneo de imgenes computarizado de diagnstico

oftlmico, el segmento posterior (por ejemplo, el escaneo
lser) con interpretacin e informe, unilateral
92135
RM N 689-2006-MINSA
92225
RM N 689-2006-MINSA
92235
92250
92260

92265
92275
92280
RM N 689-2006-MINSA
92284
RM N 689-2006-MINSA
92286
RM N 689-2006-MINSA
92330
RM N 689-2006-MINSA
92502
RM N 689-2006-MINSA
92504
92506
RM N 689-2006-MINSA
La oftalmoscopia, extendida, con el dibujo de la retina (por

ejemplo, para el desprendimiento de retina, melanoma), con
interpretacin e informe; inicial
La angiografa con fluorescena (incluye multitrama de
imagen) con interpretacin e informe
Fundus fotografa con interpretacin e informe
Ophthalmodynamometry
Aguja oculoelectromyography, 1 o ms msculos
extraoculares, uno o ambos ojos, con interpretacin e
informe
Potencial evocado visual (respuesta) de estudio, con la
evaluacin de diagnstico mdico
Examen adaptacin a la oscuridad con interpretacin e
informe
Fotografa Especial del segmento anterior con interpretacin
e informe, con microscopa especular endotelial y el
recuento de clulas
Prescripcin, adaptacin y suministro de (ojo artificial)
prtesis oculares, con la supervisin mdica de adaptacin
Examen otorrinolaringolgico bajo anestesia general
Microscopio binocular (procedimiento de diagnstico por
separado)
Evaluacin del habla, el lenguaje, la voz, la comunicacin y /
o procesamiento auditivo
Aural rehabilitacin despus del implante coclear (incluye la

evaluacin de la condicin de rehabilitacin auditiva y
audicin, servicios teraputicos) con o sin programacin
procesador del habla
92510
RM N 689-2006-MINSA
Nasofaringoscopia con endoscopio (procedimiento

separado)
92511
Estudios nasales de funcin (por ejemplo, rinomanometra)
92512
RM N 689-2006-MINSA
92516
RM N 689-2006-MINSA
92520
RM N 689-2006-MINSA
92526
RM N 689-2006-MINSA
92531
92532
RM N 689-2006-MINSA
RM N 689-2006-MINSA
92533
RM N 689-2006-MINSA
92534
RM N 689-2006-MINSA
92541
RM N 689-2006-MINSA
92542
RM N 689-2006-MINSA
92543
RM N 689-2006-MINSA
92544
RM N 689-2006-MINSA
92545
92546
RM N 689-2006-MINSA
RM N 689-2006-MINSA
92547
RM N 689-2006-MINSA
92548
92551
92552
92553
92555
92556
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
92557
92559
92560
RM N 689-2006-MINSA
RM N 689-2006-MINSA
92562
RM N 689-2006-MINSA
92563
92564
92565
92567
92568
92569
92571
92572
92573
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
Faciales estudios de la funcin nerviosa (por ejemplo,

electroneuronography)
Estudios de laringe (pruebas de funcin, es decir, las
pruebas de aerodinmica y acstica)
Tratamiento de la disfuncin tragar y / o la funcin oral para
alimentar
Prueba de nistagmo posicional
Prueba vestibular calrica, cada irrigacin (binaural,
estimulacin bitrmica constituye cuatro pruebas)
Prueba de nistagmo optocintica
Prueba de nistagmo espontneo, incluyendo la mirada y
nistagmo de fijacin, con la grabacin de
Prueba de nistagmo posicional, mnimo de 4 posiciones, con
la grabacin de
Prueba calrica vestibular, cada riego (binaural,
estimulacin bitrmica constituye cuatro pruebas), con
grabacin
Prueba optocintica nistagmo, la estimulacin bidireccional,
foveal o perifrica, con la grabacin
Oscilante prueba de rastreo, con la grabacin de
Pruebas sinusoidal eje de giro vertical
El uso de electrodos verticales (lista por separado adems
de cdigo para el procedimiento primario)
Pruebas de seleccin, tono puro aire, slo
Audiometra de tonos puros (umbral), el aire slo
Audiometra de tonos puros (umbral), el aire y el hueso
Discurso umbral audiometra;
Discurso umbral audiometra, con reconocimiento de voz
Evaluacin completa umbral audiometra y reconocimiento
de voz (92.553 y 92.556 combinada)
Prueba audiomtrica de grupos
Audiometra Bekesy; cribado
Prueba de sonoridad equilibrio, alternativo binaural o
monoaural
Tono de prueba de cada
Incremento Corto ndice de sensibilidad (SISI)
Stenger test, tono puro
La timpanometra (prueba de impedancia)
Las pruebas acsticas reflejo; umbral
Prueba de reflejo acstico; caries
Habla filtrada prueba
Prueba escalonada palabra spondaic
Lombard prueba
Agudeza neurosensorial prueba de nivel

Frase sinttica prueba de identificacin
Stenger test, discurso
Aire audiometra de juego
Seleccione audiometra imagen
Electrococleografa
Potenciales evocados auditivos para la audiometra de
respuesta evocada y / o pruebas del sistema nervioso
central; completa
Otoemisiones acsticas evocadas; limitadas (nivel nico
estmulo, ya sea transitoria o productos de distorsin)
Otoemisiones acsticas evocadas, evaluacin o diagnstico
integral (comparacin de emisiones de productos
transitorios y / o distorsin otoacsticas en mltiples niveles
y frecuencias)
Auditivo central pruebas de funcin (s) (especificar)
Audiencia examen ayuda y seleccin; monoaural
Audiencia examen ayuda y seleccin; binaural
Audiencia cheque de la ayuda; monoaural
Audiencia cheque de la ayuda; binaural
Evaluacin electroacstico para audfonos; monoaural
Evaluacin electroacstico para audfonos; binaural
Protector del odo mediciones de atenuacin
La reanimacin cardiopulmonar (por ejemplo, en el paro
cardaco)
Cardioversin electiva conversin, elctrico de la arritmia;
externo
Cardioversin electiva conversin, elctrico de la arritmia;
interna (procedimiento separado)
Cardioassist-mtodo de asistencia circulatoria; interno
Cardioassist-mtodo de asistencia circulatoria; externo
Trombectoma coronaria transluminal percutnea (Anote
separadamente adems del cdigo para el procedimiento
primario)
La tromblisis, coronaria, por infusin intracoronaria,
incluyendo angiografa coronaria selectiva
La tromblisis, coronaria, por infusin intravenosa
El ultrasonido intravascular (vaso coronario o injerto)
durante la evaluacin de diagnstico y / o intervencin
teraputica incluyendo imgenes de supervisin,
interpretacin e informe; recipiente inicial (Lista por
Transcatter colocacin de un stent intracoronario (s),
percutnea, con o sin otra intervencin teraputica,
cualquier mtodo; solo vaso
Coronaria transluminal percutnea con baln de
angioplastia; solo buque
La valvuloplastia percutnea con baln, la vlvula artica
Aterectoma coronaria transluminal percutnea, por el
mtodo mecnico o de otro tipo, con o sin la angioplastia
con baln; solo vaso
92575
92576
92577
92579
92582
92583
92584
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
92585
92587
RM N 689-2006-MINSA
92588
RM N 689-2006-MINSA
92589
92590
92591
92592
92593
92594
92595
92596
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
92950
92960
92961
RM N 689-2006-MINSA
92970
92971
RM N 689-2006-MINSA
RM N 689-2006-MINSA
92973
RM N 689-2006-MINSA
92975
RM N 689-2006-MINSA
92977
RM N 689-2006-MINSA
92978
RM N 689-2006-MINSA
92980
92982
92986
92995
RM N 689-2006-MINSA
Transluminal percutnea con baln de angioplastia de

arteria pulmonar; solo buque
Electrocardiograma, ECG de rutina con un mnimo de 12
derivaciones, con interpretacin e informe
92997
RM N 689-2006-MINSA
93000
Prueba de esfuerzo cardiovascular con cinta rodante o

submxima o ejercicio en bicicleta, monitoreo
electrocardiogrfico continuo, y / o el estrs farmacolgico,
con supervisin mdica, con interpretacin e informe
93015
Ritmo de ECG, los cables de 1-3, con interpretacin e

informe
93040
Wearable ritmo electrocardiogrfico derivados de la

supervisin durante 24 horas por registro continuo de forma
de onda original y de almacenamiento, con el escaneo
superposicin visual; incluye grabacin, el escaneo de
anlisis con el informe, el examen mdico y la interpretacin
93224
Relacin seal promediada electrocardiografa (ECGAR),

con o sin ECG
93278
RM N 689-2006-MINSA
Ecocardiografa transtorcica, en tiempo real con

documentacin de imgenes (2D), incluye M-modo de
grabacin, cuando se realiza, completa, sin espectral o
ecocardiograma Doppler color
93307
Ecocardiografa transesofgica tiempo real con

documentacin de imagen (2D) (con o sin M-modo de
grabacin); incluyendo la colocacin de la sonda, la
interpretacin de adquisicin de imagen, y el informe
93312
93320
93501
93503
93505
RM N 689-2006-MINSA
93508
RM N 689-2006-MINSA
93510
RM N 689-2006-MINSA
93514
RM N 689-2006-MINSA
93524
RM N 689-2006-MINSA
93526
93527
RM N 689-2006-MINSA
La ecocardiografa Doppler, Doppler pulsado y / o de onda

continua con visualizacin espectral (Lista separado,
adems de los cdigos para formacin de imgenes
ecocardiogrficas); completa
Insercin y colocacin de catter dirigido por flujo (por
ejemplo, Swan-Ganz) con fines de seguimiento
La biopsia endomiocrdica
Colocacin de catter en la arteria coronaria (s), conducto
arterial coronaria (s), y / o injerto de derivacin coronaria
venosa (s) para la angiografa coronaria sin cateterizacin
concomitante del corazn izquierdo
Cateterismo izquierdo del corazn, retrgrado, de la arteria
braquial, arteria axilar o arteria femoral; percutnea
Izquierda cateterismo por puncin ventricular izquierda
Combinado cateterismo transeptal izquierda retrgrada y
corazn
Combinado cateterismo del corazn derecho y
cateterizacin retrgrada del corazn izquierdo
Cateterismo combinado de corazn derecho y cateterizacin
transeptal corazn izquierdo a travs del tabique intacto
(con o sin cateterizacin retrgrada del corazn izquierdo)
Cateterizacin cardiaca derecha combinado con la puncin

del ventrculo izquierdo (con o sin cateterizacin retrgrada
del corazn izquierdo)
93528
RM N 689-2006-MINSA
Combinado cateterizacin del corazn derecho y

cateterizacin del corazn izquierdo a travs del orificio del
tabique existente (con o sin cateterizacin retrgrada del
corazn izquierdo)
93529
RM N 689-2006-MINSA
93530
RM N 689-2006-MINSA
93531
RM N 689-2006-MINSA
Combinado cateterizacin del corazn derecho y el

cateterismo transeptal corazn izquierdo a travs del
tabique intacto con o sin cateterizacin retrgrada del
corazn izquierdo, para anomalas cardacas congnitas
93532
RM N 689-2006-MINSA
Combinado cateterizacin del corazn derecho y el

cateterismo transeptal corazn izquierdo a travs del orificio
del tabique existente, con o sin cateterizacin retrgrada del
corazn izquierdo, para anomalas cardacas congnitas
93533
RM N 689-2006-MINSA
Inyeccin de procedimiento durante el cateterismo cardaco,

porque selectivo ventricular derecho o la aurcula derecha
angiografa
93542
Estudios de dilucin de indicador, tales como dilucin de

colorante o trmico, incluyendo arterial y / o cateterizacin
venosa; con la medicin del gasto cardaco (procedimiento
separado)
93561
RM N 689-2006-MINSA
Intravascular Doppler de velocidad y / o presin derivada del

flujo coronario medicin reserva (vaso coronario o injerto)
durante la angiografa coronaria incluyendo estrs inducida
farmacolgicamente; recipiente inicial (Lista por separado
93571
RM N 689-2006-MINSA
93600
93610
RM N 689-2006-MINSA
RM N 689-2006-MINSA
93613
RM N 689-2006-MINSA
93615
RM N 689-2006-MINSA
93618
RM N 689-2006-MINSA
93631
RM N 689-2006-MINSA
93640
RM N 689-2006-MINSA
Cateterismo cardaco derecho, para anomalas cardacas

congnitas
Combinado cateterismo del corazn derecho y
cateterizacin retrgrada del corazn izquierdo, para
anomalas cardacas congnitas
Haz de His grabacin

Intra-estimulacin auricular
Electrofisiolgico intracardaco 3-dimensional cartografa
(Haga una lista por separado adems del cdigo para el
Grabacin de esfago de electrograma auricular con o sin
electrograma ventricular (s);
La induccin de arritmia por estimulacin elctrica
Intra-operatoria estimulacin epicrdica y endocrdica y
mapeo para localizar el sitio de la taquicardia o zona de
conduccin lenta para la correccin quirrgica
Evaluacin electrofisiolgica de la estimulacin de cmara
nica o doble cardioversor-desfibrilador lleva incluida la
evaluacin del umbral de desfibrilacin (induccin de
arritmia, la evaluacin de la deteccin y la estimulacin para
la terminacin de la arritmia) en el momento de la
implantacin inicial o el reemplazo;
Intracardaco ablacin con catter de la funcin del nodo

auriculoventricular, la conduccin auriculoventricular para la
creacin de un bloqueo cardaco completo, con o sin
colocacin de marcapasos temporal
93650
RM N 689-2006-MINSA
Evaluacin de la funcin cardiovascular con la evaluacin

de la mesa basculante, con monitorizacin continua de ECG
y monitorizacin intermitente de la presin arterial, con o sin
intervencin farmacolgica
93660
RM N 689-2006-MINSA
La ecocardiografa intracardiaca durante teraputica /

diagnstico intervencin, incluyendo la supervisin y la
interpretacin de imgenes (lista por separado adems del
93662
RM N 689-2006-MINSA
Anlisis electrnico del sistema de marcapasos

antitaquicardia (incluye registro electrocardiogrfico, la
programacin del dispositivo, la induccin y la terminacin
de la taquicardia por marcapaso implantado, y la
interpretacin de las grabaciones)
93724
RM N 689-2006-MINSA
Anlisis electrnico del registrador implantable bucle (ILR)

sistema (incluye la recuperacin de grabar y almacenar
datos del ECG, examen mdico y la interpretacin de los
datos recuperados ECG y reprogramacin)
93727
RM N 689-2006-MINSA
Anlisis electrnico del sistema de marcapasos de doble

cmara (incluye la evaluacin de los parmetros
programables en reposo y durante la actividad en su caso,
mediante registro electrocardiogrfico y la interpretacin de
las grabaciones en reposo y durante el ejercicio, el anlisis
de marcadores de eventos y la respuesta de dispositivo), sin
necesidad de reprogramar
93731
RM N 689-2006-MINSA
Anlisis electrnico del sistema nico marcapasos de

de marcadores de eventos y la respuesta de dispositivo), sin
necesidad de reprogramar
93734
RM N 689-2006-MINSA
La gradiente de temperatura estudios
93740
RM N 689-2006-MINSA
Anlisis de la estimulacin electrnica cardioversordesfibrilador (incluye el interrogatorio, la evaluacin de la

condicin de generador de impulsos, la evaluacin de los
parmetros programables en reposo y durante la actividad
en su caso, mediante registro electrocardiogrfico y la
interpretacin de las grabaciones en reposo y durante el
ejercicio, el anlisis de marcadores de eventos y la
respuesta del dispositivo) , una cmara o un sistema porttil
cardioversor-desfibrilador, sin necesidad de reprogramar
93741
RM N 689-2006-MINSA
El termograma; ceflica
93760
RM N 689-2006-MINSA
Monitoreo ambulatorio de la presin arterial, utilizando un

sistema tal como una cinta magntica y / o disco de
ordenador, durante 24 horas o ms; incluyendo grabacin,
el escaneo anlisis, la interpretacin y el informe
93784
No invasiva de los estudios fisiolgicos de las arterias

extracraneales, estudio bilateral completa (por ejemplo,
direccin del flujo periorbital con pneumoplethysmography
ocular arterial compresin, anlisis espectral Doppler de
ultrasonido)
93875
RM N 689-2006-MINSA
93880
RM N 689-2006-MINSA
93886
RM N 689-2006-MINSA
No invasiva de los estudios fisiolgicos de las arterias de las

extremidades superiores o inferiores, el nivel individual,
bilateral (por ejemplo, ndices tobillo / brazo, anlisis de
forma de onda Doppler, pletismografa volumen, medicin
transcutnea de oxgeno tensin)
93922
RM N 689-2006-MINSA
Escaneo dplex de las arterias de las extremidades

inferiores o injertos de derivacin arterial, estudio bilateral
completa
93925
RM N 689-2006-MINSA
No invasivos estudios fisiolgicos de las venas de las

extremidades, estudio bilateral completa (por ejemplo,
anlisis de forma de onda Doppler con las respuestas a las
maniobras de compresin y de otro tipo, phleborheography,
pletismografa de impedancia)
93965
RM N 689-2006-MINSA
Escaneo dplex de las venas de las extremidades incluidas

las respuestas a las maniobras de compresin y de otro
tipo; estudio bilateral completa
93970
RM N 689-2006-MINSA
93975
RM N 689-2006-MINSA
93978
93980
RM N 689-2006-MINSA
94010
94060
RM N 689-2006-MINSA
94070
RM N 689-2006-MINSA
94150
RM N 689-2006-MINSA
94200
RM N 689-2006-MINSA
94240
RM N 689-2006-MINSA
94360
RM N 689-2006-MINSA
94370
RM N 689-2006-MINSA
94450
RM N 689-2006-MINSA
Escaneo dplex de las arterias extracraneales, estudio

bilateral completa
Transcraneal Doppler de las arterias intracraneales; estudio
completo
Escaneo dplex de flujo arterial y venoso de salida

abdominales, plvicos, contenido escrotal y / u rganos
retroperitoneales; estudio completo
Escaneo dplex de aorta, vena cava inferior, ilaca
vasculatura, o injertos; estudio completo
Escaneo dplex de flujo arterial y el flujo venoso de los
vasos del pene; estudio completo
La espirometra, incluyendo registro grfico, total y oportuna
capacidad vital, medicin de caudal espiratorio (s), con o sin
la ventilacin voluntaria mxima
Respuesta broncodilatacin, la espirometra como en
94010, pre-y post-broncodilatador administracin
Broncoespasmo evaluacin provocacin, mltiples
determinaciones espiromtricas como en 94010, con
agentes administrados (por ejemplo, antgeno (s), el aire
fro, metacolina)
La capacidad vital, total (procedimiento separado)
La capacidad respiratoria mxima, la ventilacin voluntaria
mxima
La capacidad residual funcional o volumen residual: mtodo
helio, nitrgeno mtodo circuito abierto, u otro mtodo
Determinacin de la resistencia al flujo de aire, los mtodos
oscilatorios o pletismogrfica
Determinacin del volumen de cierre las vas respiratorias,
las pruebas de aliento individuales
Respirar respuesta a (curva de respuesta a la hipoxia)
hipoxia
Prueba de esfuerzo pulmonar; simple (por ejemplo, 6prueba de la marcha, prueba de esfuerzo prolongado de
broncoespasmo con pre-y post-espirometra y oximetra)
94620
Tratamiento para inhalacin presurizada o no presurizado

para obstruccin aguda o para la induccin de esputo para
fines de diagnstico (por ejemplo, con un generador de
aerosol, nebulizador, inhalador de dosis dosificada o
intermitente dispositivo de respiracin de presin positiva
(IPPB))
94640
94656
94660
RM N 689-2006-MINSA
94662
RM N 689-2006-MINSA
94664
94667
RM N 689-2006-MINSA
94680
RM N 689-2006-MINSA
94720
RM N 689-2006-MINSA
94725
RM N 689-2006-MINSA
94750
RM N 689-2006-MINSA
94760
RM N 689-2006-MINSA
95004
95044
95060
95065

Inhalacin pruebas de provocacin bronquial (no incluyendo

necesarias pruebas de funcin pulmonar); con histamina,
metacolina, u otros compuestos similares
95070
Estudio del sueo, la grabacin desatendida, simultnea de,

ritmo cardaco, saturacin de oxgeno, el flujo de aire
respiratorio, y el esfuerzo respiratorio (por ejemplo,
movimiento, toracoabdominal)
95806
RM N 689-2006-MINSA
95808
RM N 689-2006-MINSA
95812
Ventilacin auxiliar y de gestin, el inicio de ventiladores de

presin o volumen predeterminado para la respiracin
asistida o controlada; primer da
Presin positiva continua en las vas respiratorias de
ventilacin (CPAP), la iniciacin y la gestin
Continua ventilacin con presin negativa (CNP), la
iniciacin y la gestin
Demostracin y / o evaluacin de la utilizacin paciente de
un generador de aerosoles, nebulizadores, inhaladores
dosificadores dispositivo o IPPB
La manipulacin de la pared torcica, como ventosas,
percutiendo y vibracin para facilitar la funcin pulmonar;
demostracin inicial y / o evaluacin
El consumo de oxgeno, anlisis de gas espirado, el
descanso y el ejercicio, directo, sencillo
Carbon capacidad de difusin del monxido (por ejemplo,
solo aliento estado, fijo)
Membrana capacidad de difusin
Estudio de la adaptabilidad pulmonar (por ejemplo,
mediciones de la pletismografa, volumen y presin)
Odo no invasiva o la oximetra de pulso de saturacin de
oxgeno, la determinacin individual
Pruebas percutneas (cero, pinchazo, pinchazo) con
extractos alergnicos, reaccin de tipo inmediato,
incluyendo la interpretacin de pruebas y el informe de un
mdico, especifique el nmero de pruebas
Patch o aplicacin de prueba (s) (especificar nmero de
pruebas)
Pruebas oftlmicas membrana mucosa
Direct prueba nasal mucosa
La polisomnografa, puesta en escena del sueo con 1-3

parmetros adicionales de sueo, al que asistieron un
tcnico
Electroencefalograma (EEG) el seguimiento extendido; 4160 minutos
Electroencefalograma (EEG), incluyendo la grabacin

despierto y sueo
Electrocorticogram a la ciruga (procedimiento separado)
Insercin por el mdico de electrodos esfenoidales para
electroencefalogrfica (EEG) de grabacin
La prueba muscular, manual (procedimiento separado) con
el informe, las extremidades (excluyendo la mano) o en el
maletero
95816
RM N 689-2006-MINSA
95829
RM N 689-2006-MINSA
95830
RM N 689-2006-MINSA
95831
RM N 689-2006-MINSA
95834
RM N 689-2006-MINSA
95851
RM N 689-2006-MINSA
95857
RM N 689-2006-MINSA
95858
RM N 689-2006-MINSA
95860
RM N 689-2006-MINSA
95861
RM N 689-2006-MINSA
95863
RM N 689-2006-MINSA
95864
RM N 689-2006-MINSA
95867
RM N 689-2006-MINSA
95868
RM N 689-2006-MINSA
95869
RM N 689-2006-MINSA
Electromiografa de agujas con electrodo de fibra nica, con

la medicin cuantitativa de la fluctuacin de fase, el bloqueo
y / o densidad de las fibras, cualquiera / todos los sitios de
cada msculo estudiado
95872
Extremidad isqumica prueba de esfuerzo con el espcimen

de serie (s) de adquisicin de msculo (s) metabolito (s)
95875
RM N 689-2006-MINSA
Conduccin nerviosa, la amplitud y latencia / velocidad de

estudio, cada nervio, motor, sin el estudio de la onda F
95900
RM N 689-2006-MINSA

estudio, cada nervio; sensorial
95904
Prueba de la funcin del sistema nervioso autnomo;

inervacin cardiovagal (funcin parasimptica), incluyendo 2
o ms de los siguientes: la frecuencia cardiaca en la
respiracin profunda con grabado intervalo RR, la relacin
de Valsalva, y la relacin de 30:15
95921
RM N 689-2006-MINSA
De corta latencia evocados somatosensoriales estudio

potencial, la estimulacin de cualquier / todos los nervios
perifricos o de los sitios de piel, la grabacin desde el
sistema nervioso central; en los miembros superiores
95925

el informe, la evaluacin total del cuerpo, incluyendo las
manos
Rango de las mediciones de movimiento y el informe
(procedimiento separado), cada extremidad (sin manos) o
de cada seccin del tronco (columna vertebral)
Tensilon prueba para la miastenia gravis
Tensilon pruebas para la miastenia gravis, con registro
electromiogrfico
Electromiografa de aguja, 1 extremo con o sin reas
relacionadas paraespinales
Electromiografa de aguja, 2 extremidades con o sin reas
Electromiografa de aguja, 3 extremidades con o sin reas
Electromiografa con aguja; 4 extremidades con o sin reas
Aguja electromiografa; muscular nervio craneal
suministrado (s), unilateral
Aguja electromiografa, msculos craneales suministrados,
bilateral
Aguja electromiografa, msculos paravertebrales torcicos
(excluyendo T1 o T12)
Potencial evocado visual (PEV) probar el sistema nervioso

central de tablero de ajedrez, o el flash
Orbicularis oculi (parpadeo) refleja, por medio de pruebas
de electrodiagnstico
H-reflex, amplitud y latencia de estudio; gastrocnemio de
grabacin / msculo sleo
95930
95933
RM N 689-2006-MINSA
95934
RM N 689-2006-MINSA
Neuromuscular pruebas de unin (estimulacin repetitiva,

estmulos pareados), cada nervio, cualquier mtodo 1
95937
RM N 689-2006-MINSA
Monitoreo para la identificacin y lateralizacin del foco del

ataque cerebral, electroencefalograma (por ejemplo, 8
canales EEG) de grabacin e interpretacin, cada 24 horas
95950
RM N 689-2006-MINSA
Monitoreo para la localizacin del foco convulsivo por, cable

o radio telemetra canal 16 o ms, combinado
electroencefalogrfica (EEG) y grabacin de vdeo y la
interpretacin (por ejemplo, para la localizacin
prequirrgica), cada 24 horas
95951
RM N 689-2006-MINSA
La vigilancia de la localizacin del foco del ataque cerebral

por computarizado porttil 16 o ms canales de EEG,
registro electroencefalogrfico (EEG) y la interpretacin,
cada 24 horas
95953
RM N 689-2006-MINSA
95954
RM N 689-2006-MINSA
95955
RM N 689-2006-MINSA
95956
RM N 689-2006-MINSA
95957
RM N 689-2006-MINSA
95958
RM N 689-2006-MINSA
Mapeo funcional cortical y subcortical por la estimulacin y /

o grabacin de electrodos en la superficie del cerebro, o de
electrodos de profundidad, para provocar convulsiones o
identificar estructuras vitales del cerebro; hora inicial de
asistencia mdico
95961
RM N 689-2006-MINSA
Anlisis electrnico del sistema implantado

neuroestimulador generador de impulsos (por ejemplo, tasa,
la amplitud del pulso y la duracin, la configuracin de forma
de onda, estado de la batera, selectability electrodo, la
modulacin de salida, el ciclismo, la impedancia y las
mediciones de cumplimiento del paciente); cerebro simple o
compleja, la mdula espinal, o perifrico (nervios, es decir,
craneal, el nervio perifrico nervioso autnomo,
neuromuscular) neuroestimulador generador de pulsos /
transmisor, sin necesidad de reprogramar
95970
RM N 689-2006-MINSA
Activacin farmacolgica o fsica que requieren asistencia

mdica durante la grabacin de EEG fase de activacin (por
ejemplo, test de activacin de tiopental)
Electroencefalograma (EEG) durante la ciruga
nonintracranial (por ejemplo, la ciruga de la cartida)
Monitoreo para la localizacin de foco del ataque cerebral
por, cable o radio telemetra canal 16 o ms, el registro
electroencefalogrfico (EEG) y la interpretacin, cada 24
horas
El anlisis digital de electroencefalograma (EEG) (por
ejemplo, para el anlisis de pico epilptico)
Wada test de activacin de la funcin hemisfrica,
incluyendo electroencefalogrfica (EEG) el seguimiento

neuroestimulador generador de pulsos (por ejemplo, la
frecuencia, la amplitud del pulso y la duracin, la
configuracin de la forma de onda, estado de la batera,
selectability electrodo, la modulacin de la produccin, el
ciclismo, la impedancia y mediciones de cumplimiento del
paciente); mdula espinal compleja o perifricos (excepto
craneal nervio) neuroestimulador generador de pulsos /
transmisor, con intraoperatoria o la programacin posterior,
la primera hora
95972
RM N 689-2006-MINSA
Procedimiento de reposicionamiento canalicular (s) (por

ejemplo, la maniobra de Epley, Semont maniobra), por da
95992
RM N 689-2006-MINSA
Pruebas psicolgicas (incluye la evaluacin de

psicodiagnstico de la personalidad, la psicopatologa, la
emotividad, la capacidad intelectual, por ejemplo, WAIS-R,
Rorschach, MMPI), con interpretacin e informe, por hora
96100
RM N 689-2006-MINSA
Evaluacin de la afasia (incluye la evaluacin del lenguaje

expresivo y receptivo y la funcin del lenguaje, la
comprensin del lenguaje, la capacidad de produccin del
habla, la lectura, la ortografa, la escritura, por ejemplo,
Boston Diagnostic Examination afasia) con interpretacin e
informe, por hora
96105
RM N 689-2006-MINSA
Desarrollo de las pruebas; limitada (por ejemplo, la prueba

de deteccin del Desarrollo II, Pantalla Early Milestone
Language), con interpretacin e informe
96110
RM N 689-2006-MINSA
Desarrollo de las pruebas; ampliada (incluye la evaluacin

de motor, lenguaje, social, adaptacin y / o el
funcionamiento cognitivo de los instrumentos
estandarizados de desarrollo) con interpretacin e informe
96111
RM N 689-2006-MINSA
Examen del estado neuroconductual (evaluacin clnica de

pensamiento, el razonamiento y el juicio, por ejemplo, el
conocimiento adquirido, la atencin, la memoria, las
habilidades espaciales visuales, funciones del lenguaje, la
planificacin) con interpretacin e informe, por hora
96115
RM N 689-2006-MINSA
96117
RM N 689-2006-MINSA
96400
RM N 689-2006-MINSA
96405
RM N 689-2006-MINSA
96408
RM N 689-2006-MINSA
96410
RM N 689-2006-MINSA
96420
RM N 689-2006-MINSA
96422
RM N 689-2006-MINSA
Batera de pruebas neuropsicolgicas (por ejemplo,

Halstead-Reitan, Luria, WAIS-R) con interpretacin e
informe, por hora
La administracin de quimioterapia, subcutnea o
intramuscular, con o sin anestesia local
La administracin de quimioterapia; intralesional, hasta e
incluyendo 7 lesiones
La quimioterapia administracin, por va intravenosa;
empujn tcnica
La quimioterapia administracin, tcnica de infusin, hasta
una hora
La administracin de quimioterapia, intra-arterial; tcnica de
empuje
infusin, hasta 1 hora
La administracin de quimioterapia en la cavidad pleural, lo

que requiere y que incluye toracocentesis
96440
RM N 689-2006-MINSA
La administracin de quimioterapia en la cavidad peritoneal,

lo que requiere y que incluye peritoneocentesis
96445
RM N 689-2006-MINSA
96450
RM N 689-2006-MINSA
96542
RM N 689-2006-MINSA
96910
RM N 689-2006-MINSA
96920
RM N 689-2006-MINSA
97001
97003
97004
97005
97006
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
RM N 689-2006-MINSA
97010
97012
RM N 689-2006-MINSA
97014
RM N 689-2006-MINSA
97016
RM N 689-2006-MINSA
97018
RM N 689-2006-MINSA
97020
RM N 689-2006-MINSA
97022
RM N 689-2006-MINSA
Aplicacin de una modalidad a una o ms reas; infrarrojos
97026
RM N 689-2006-MINSA
Aplicacin de una modalidad a una o ms reas; ultravioleta
97028
RM N 689-2006-MINSA
97032
RM N 689-2006-MINSA
97035
RM N 689-2006-MINSA
97036
RM N 689-2006-MINSA
97110
97112
RM N 689-2006-MINSA
Administracin de quimioterapia, en SNC (por ejemplo,

intratecal), requiriendo e incluyendo puncin espinal
La quimioterapia de inyeccin, subaracnoidea o
intraventricular va subcutnea depsito, agentes nicos o
mltiples
Fotoquimioterapia, alquitrn y ultravioleta B (tratamiento
Goeckerman) o B vaselina y ultravioleta
El tratamiento con lser para la enfermedad inflamatoria de
la piel (psoriasis); superficie total de menos de 250 cm
cuadrados
Evaluacin de terapia fsica
La terapia ocupacional reevaluacin
Evaluacin de la formacin atltica
El entrenamiento atltico reevaluacin
La aplicacin de una modalidad a una o ms reas,
compresas calientes o fras
Aplicacin de una modalidad a una o ms reas; traccin,
mecnico
Aplicacin de una modalidad a una o ms reas;
estimulacin elctrica (desatendida)
dispositivos vasopneumatic
Aplicacin de una modalidad a una o ms reas; bao de
parafina
microondas
hidromasaje
Aplicacin de una modalidad a 1 o ms reas; estimulacin

elctrica (manual), cada 15 minutos
ultrasonido, 15 minutos cada uno
Aplicacin de una modalidad a una o ms reas; Hubbard
tanque, cada 15 minutos
Procedimiento teraputico, una o ms reas, cada 15
minutos, ejercicios teraputicos para desarrollar fuerza y
resistencia, rango de movimiento y flexibilidad
Procedimiento teraputico, una o ms reas, cada una de
15 minutos, reeducacin neuromuscular del movimiento, el
equilibrio, la coordinacin, el sentido kinestsico, la postura
y / o propiocepcin para sentarse y / o actividades de pie

15 minutos, la terapia acutica con ejercicios teraputicos
97113
RM N 689-2006-MINSA

15 minutos, ejercicios de movilidad (incluye subir escaleras)
97116
RM N 689-2006-MINSA

15 minutos; masajes, incluyendo effleurage, petrissage y / o
percusiones (caricias, compresin, percusin)
97124
RM N 689-2006-MINSA
97150
RM N 689-2006-MINSA
97504
RM N 689-2006-MINSA
97520
RM N 689-2006-MINSA
Las actividades teraputicas, directo (uno a uno) contacto

con el paciente por el proveedor (el uso de actividades
dinmicas para mejorar el rendimiento funcional), cada 15
minutos
97530
RM N 689-2006-MINSA
Self-care/home gestin de la formacin (por ejemplo,

actividades de la vida diaria (AVD) y la formacin
compensatoria, preparacin de comidas, procedimientos de
seguridad y las instrucciones de uso de los dispositivos de
tecnologa de asistencia / equipo adaptativo) directo de unoa-uno en contacto por proveedor, cada 15 minutos
97535
RM N 689-2006-MINSA
Comunidad / trabajo reintegracin formacin (por ejemplo,

compras, transporte, manejo de dinero, actividades
avocational y / o ambiente de trabajo / modificacin, anlisis
de tarea de trabajo, el dispositivo de uso de la tecnologa de
asistencia / equipo de adaptacin), un directo-a-un contacto
por el proveedor, cada 15 minutos
97537
RM N 689-2006-MINSA
97542
RM N 689-2006-MINSA
97545
RM N 689-2006-MINSA
97703
RM N 689-2006-MINSA
97750
RM N 689-2006-MINSA
Desarrollo de habilidades cognitivas para mejorar la

atencin, la memoria, la resolucin de problemas, incluye la
formacin compensatoria y / o actividades de integracin
sensorial, directo (uno a uno) contacto con el paciente por el
proveedor, cada 15 minutos
97770
RM N 689-2006-MINSA
La acupuntura, una o ms agujas; sin estimulacin elctrica
97780
97781
RM N 689-2006-MINSA
97799
Procedimiento teraputico (s), grupo (2 o ms personas)

Ortesis (s) adecuado y la formacin, la extremidad superior
(IES), las extremidades inferiores (es) y / o el tronco, cada
15 minutos
Formacin protsica, superior y / o inferior extremidades,
cada 15 minutos
Sillas de gestin (por ejemplo, evaluacin, ajuste,

capacitacin), cada 15 minutos
Rehabilitacin Laboral / acondicionado; primeras 2 horas
Checkout para ortesis / prtesis uso, paciente establecido,
cada 15 minutos
Prueba de rendimiento fsico o de la medicin (por ejemplo,
la capacidad musculoesqueltica, funcional), con informe
escrito, cada 15 minutos
La acupuntura, una o ms agujas con la estimulacin

elctrica;
Cotizadas Medicina Fsica / Rehabilitacin servicio o
procedimiento
Terapia de nutricin mdica, evaluacin inicial y la

intervencin, individual, cara a cara con el paciente, cada 15
minutos
Sedacin con o sin analgesia (sedacin consciente);
intravenosa, intramuscular o por inhalacin
Sedacin con o sin analgesia (sedacin consciente); oral,
rectal y / o intranasal
La hipotermia; regional
La hipotermia; corporal total
Montaje y funcionamiento de la bomba con oxigenador o
intercambiador de calor (con o sin ECG y / o monitorizacin
de la presin); cada hora
97802
RM N 689-2006-MINSA
99141
99142
RM N 689-2006-MINSA
99185
99186
RM N 689-2006-MINSA
RM N 689-2006-MINSA
99190
RM N 689-2006-MINSA
99191
RM N 689-2006-MINSA
99192
RM N 689-2006-MINSA
99195
99199

RM N 689-2006-MINSA
Oficina o visita ambulatoria otro para la evaluacin y gestin

de un nuevo paciente, que requiere estos tres componentes
fundamentales: 1) una historia centrada problema, 2) Un
examen problema enfocado, y 3) la decisin Sencillo
mdicas. Asesoramiento y / o coordinacin de cuidado con
otros proveedores u organismos provistos de acuerdo con la
naturaleza del problema (s) y las necesidades del paciente y
/ o su familia. Por lo general, el problema que se presenta
(s) son autolimitados o menor. Los mdicos suelen pasar 10
minutos cara a cara con el paciente y / o familia.
99201
RM N 689-2006-MINSA

fundamentales: 1) Una historia detallada, 2) Un examen
detallado, y 3) toma de decisiones mdicas de baja
complejidad. Asesoramiento y / o coordinacin de cuidado
con otros proveedores u organismos provistos de acuerdo
con la naturaleza del problema (s) y las necesidades del
paciente y / o su familia. Por lo general, el problema que se
presenta (s) son de gravedad moderada. Los mdicos
suelen pasar 30 minutos cara a cara con el paciente y / o
familia.
99203
RM N 689-2006-MINSA

de la presin); 45 minutos
de la presin); 30 minutos
Flebotoma, (procedimiento separado) teraputico
Servicio especial fuera de lista, procedimiento o reporte

fundamentales: 1) una historia completa, 2) Un examen
exhaustivo, y 3) toma de decisiones mdicas de complejidad
moderada. Asesoramiento y / o coordinacin de cuidado con
(s) son de moderada a alta severidad. Los mdicos suelen
pasar 45 minutos cara a cara con el paciente y / o familia.
99204
RM N 689-2006-MINSA
Oficina o visita ambulatoria otro para la evaluacin y manejo

de un paciente establecido, que no podr exigir la presencia
de un mdico. Por lo general, el problema que se presenta
(s) son mnimas. Por lo general, a 5 minutos se gastan
ejecucin o supervisin de estos servicios.
99211
RM N 689-2006-MINSA

de un paciente establecido, que requiere al menos dos de
estos tres componentes clave: 1) Una historia expandida
enfocado problema, 2) Un problema expandida enfocado
examen, 3) toma de decisiones mdicas de baja
complejidad . Asesoramiento y / o coordinacin de cuidado
presenta (s) son de baja a moderada gravedad. Los
mdicos suelen pasar 15 minutos cara a cara con el
paciente y / o familia.
99213
Cuidado de la observacin inicial, por da, para la

evaluacin y manejo de un paciente que requiere estos tres
componentes fundamentales: 1) Una historia detallada o
global; 2) Un examen detallado o exhaustivo, y 3) la toma de
decisiones mdicas que es directa o de bajo complejidad.
Asesoramiento y / o coordinacin de cuidado con otros
proveedores u organismos provistos de acuerdo con la
/ o su familia. Por lo general, el problema (s) que requiere
ingreso en "estado de observacin" son de gravedad bajo.
99218
RM N 689-2006-MINSA
Atencin hospitalaria inicial, por da, para la evaluacin y

manejo de un paciente que requiere estos tres
global; 2) Un examen detallado o exhaustivo, y 3) la toma de
decisiones mdicas que es directa o de bajo complejidad.
ingreso son de gravedad bajo. Los mdicos suelen pasar 30
minutos en la cabecera y en la planta de hospitalizacin del
paciente o la unidad.
99221
RM N 689-2006-MINSA
Atencin hospitalaria posterior, por da, para la evaluacin y

manejo de un paciente, que requiere por lo menos dos de
estos tres componentes clave: 1) Un problema enfocado
historia intervalo, 2) examen Un problema enfocado, y 3) la
toma de decisiones mdicas que es sencillo o de baja
paciente y / o su familia. Por lo general, el paciente est
estable, recuperar o mejorar. Los mdicos suelen pasar 15
99231

estos tres componentes clave: 1) Una historia detallada
intervalo, 2) Un examen detallado, 3) toma de decisiones
mdicas de alta complejidad. Asesoramiento y / o
coordinacin de cuidado con otros proveedores u
organismos provistos de acuerdo con la naturaleza del
problema (s) y las necesidades del paciente y / o su familia.
Normalmente, el paciente es inestable o se ha desarrollado
una complicacin significativa o un nuevo problema
significativo. Los mdicos suelen pasar 35 minutos a la
cabecera del paciente y en planta de hospitalizacin del
99233
RM N 689-2006-MINSA
Observacin atencin o internacin hospitalaria, para la

evaluacin y gestin de un paciente, incluyendo la admisin
y el alta en la misma fecha que obliga a estos tres
global; 2) Un examen detallado o exhaustivo, y 3) la
decisin mdica haciendo que es directa o de baja
presenta (s) que requiere la admisin son de gravedad bajo.
99234
RM N 689-2006-MINSA

componentes fundamentales: 1) una historia completa, 2)
Un examen exhaustivo, y 3) toma de decisiones mdicas de
complejidad moderada . Asesoramiento y / o coordinacin
de cuidado con otros proveedores u organismos provistos
de acuerdo con la naturaleza del problema (s) y las
necesidades del paciente y / o su familia. Por lo general, el
problema que se presenta (s) que requiere la admisin son
de gravedad moderada.
99235
RM N 689-2006-MINSA

alta complejidad . Asesoramiento y / o coordinacin de
cuidado con otros proveedores u organismos provistos de
acuerdo con la naturaleza del problema (s) y las
problema que se presenta (s) que requiere la admisin son
de severidad alta.
99236
RM N 689-2006-MINSA
El alta hospitalaria gestin diaria, 30 minutos o menos
99238
RM N 689-2006-MINSA
Oficina de consulta para un paciente nuevo o establecido,

que requiere estos tres componentes fundamentales: 1) una
historia centrada problema, 2) Un examen problema
enfocado, y 3) la decisin Sencillo mdicas. Asesoramiento
y / o coordinacin de cuidado con otros proveedores u
Por lo general, el problema que se presenta (s) son
autolimitados o menor. Los mdicos suelen pasar 15
99241
RM N 689-2006-MINSA
Oficina de consulta de un paciente nuevo o establecido, que

requiere estos tres componentes fundamentales: 1) Una
historia detallada, 2) Un examen detallado, y 3) toma de
decisiones mdicas de baja complejidad. Asesoramiento y /
o coordinacin de cuidado con otros proveedores u
Por lo general, el problema que se presenta (s) son de
gravedad moderada. Los mdicos suelen pasar 40 minutos
cara a cara con el paciente y / o familia.
99243
RM N 689-2006-MINSA
Hospitalizacin consulta para un paciente nuevo o

establecido, que requiere estos tres componentes
(s) son autolimitados o menor. Los mdicos suelen pasar 20
99251
RM N 689-2006-MINSA

fundamentales: 1) Una historia expandida enfocado
problema, 2) Un examen problema expandida enfocado, y
3) la decisin Sencillo mdicas. Asesoramiento y / o
gravedad bajo. Los mdicos suelen pasar 40 minutos en la
cabecera y en planta de hospitalizacin del paciente o la
unidad.
99252
RM N 689-2006-MINSA
Consulta para pacientes hospitalizados para un paciente

nuevo o establecido, que requiere estos tres componentes
suelen pasar 55 minutos al lado de la cama y en la planta
de hospitalizacin del paciente o la unidad.
99253
RM N 689-2006-MINSA

establecido, que requiere tres componentes clave: 1) una
historia completa, 2) Un examen exhaustivo, y 3) toma de
decisiones mdicas de complejidad moderada.
pasar 80 minutos a la cabecera del paciente y en planta de
hospitalizacin del paciente o la unidad.
99254
RM N 689-2006-MINSA
Consulta para pacientes hospitalizados para un paciente

nuevo o establecido, que requiere estos tres componentes
exhaustivo, y 3) toma de decisiones mdicas de alta
presenta (s) son de moderada a alta severidad. Los mdicos
suelen gastar 110 minutos en la cabecera y en planta de
99255
RM N 689-2006-MINSA
Servicio de urgencias visita para la evaluacin y manejo de

un paciente, que requiere estos tres componentes
(s) son autolimitados o menor.
99281
RM N 689-2006-MINSA

3) toma de decisiones mdicas de baja complejidad.
(s) son de baja a moderada gravedad.
99282
RM N 689-2006-MINSA
Servicio de urgencias visitar para la evaluacin y manejo de

un paciente, que requiere estos tres componentes clave
dentro de las limitaciones impuestas por la urgencia de la
situacin clnica del paciente y / o el estado mental: 1) Una
historia comprensiva, 2) Un examen exhaustivo, y 3
decisin) Mdico de decisiones de alta complejidad.
(s) son de alta gravedad y plantean una amenaza inmediata
para la vida o importante funcin fisiolgica.
99285
Cuidado crtico, evaluacin y gestin de los enfermos graves

o heridos de gravedad del paciente; primero 30-74 minutos
99291
Hospitalizacin inicial peditrica de cuidados intensivos, por

da, para la evaluacin y manejo de un nio gravemente
enfermo o un nio pequeo, 29 das y 24 meses de edad
99293
RM N 689-2006-MINSA
Hospitalizacin peditrica de cuidados intensivos

posteriores, por da, para la evaluacin y manejo de un nio
gravemente enfermo o un nio pequeo, 29 das y 24
meses de edad
99294
RM N 689-2006-MINSA
Hospitalizacin inicial neonatal de cuidados intensivos, por

da, para la evaluacin y gestin de un neonato en estado
crtico, 28 das de edad o menos
99295
RM N 689-2006-MINSA
Hospitalizacin posterior neonatal de cuidados intensivos,

por da, para la evaluacin y gestin de un neonato en
estado crtico, 28 das de edad o menos
99296
RM N 689-2006-MINSA
Despus de cuidados intensivos neonatales, por da, para la

evaluacin y gestin de un neonato en estado crtico
aunque estable o en el nio crticamente enfermo aunque
neonatos estables requieren de apoyo cardaco y / o
respiratorio (incluyendo ventilador y CPAP nasal cuando
est indicado), monitoreo signos vitales continua o frecuente
, de laboratorio y de sangre interpretaciones de gas,
seguimiento mdico re-evaluaciones a lo largo de un
perodo de 24 horas, y la observacin constante por parte
del equipo de atencin de salud bajo supervisin mdica
directa. Los recin nacidos en este nivel de cuidado se
esperara que requieren cambios menos frecuentes en la
terapia respiratoria, cardiovascular y de lquidos y
electrolitos como los incluidos en el cdigo 99296. Este
cdigo abarca la atencin intensiva proporcionada en fechas
posteriores a la fecha de admisin.
99297
RM N 689-2006-MINSA
Cuidados intensivos posteriores, por da, para la evaluacin

y gestin del recin nacido de la recuperacin de muy bajo
peso (peso corporal actual inferior a 1500 gramos). Los
bebs con menos peso corporal actual de 1500 gramos que
no estn en estado crtico, pero sigue requiriendo un
seguimiento intensivo cardaco y respiratorio, control signos
vitales continuas y / o frecuentes, mantenimiento de calor,
enteral y / o parenteral ajustes nutricionales, de laboratorio y
monitoreo constante de oxgeno y observacin por el equipo
de atencin de salud bajo supervisin mdica directa.
99298
RM N 689-2006-MINSA

y gestin de la recuperacin de nios con bajo peso al nacer
(peso corporal actual de 1500-2500 gramos). Los bebs con
peso corporal actual de 1500-2500 gramos que no estn en
estado crtico, pero sigue requiriendo un seguimiento
intensivo cardaco y respiratorio, monitoreo continuo de
signos vitales y / o frecuentes, mantenimiento de calor,
enteral y / o parenteral ajustes nutricionales, de laboratorio y
monitoreo de oxgeno, y la observacin constante por parte
del equipo de atencin de salud bajo supervisin mdica
directa.
99299
RM N 689-2006-MINSA

y manejo del recin nacido recuperacin (peso corporal
actual de 2501-5000 g). Los bebs con peso corporal actual
de 2501-5000 gramos que no estn en estado crtico, pero
sigue requiriendo un seguimiento intensivo cardaco y
respiratorio, monitoreo continuo de signos vitales y / o
frecuentes, mantenimiento de calor, enteral y / o parenteral
ajustes nutricionales, de laboratorio y monitoreo de oxgeno,
y la observacin constante por parte del equipo de atencin
de salud bajo supervisin mdica directa.
99300
RM N 689-2006-MINSA
Evaluacin y manejo de un paciente nuevo o establecido

mediante una evaluacin anual de enfermera que requiere
estos tres componentes fundamentales: 1) Una historia
detallada intervalo, 2) Un examen exhaustivo, y 3) la toma
de decisiones mdicas que es directa o de baja
paciente y / o su familia. Por lo general, el paciente est
estable, recuperar o mejorar. El examen y la afirmacin del
plan de atencin mdica es necesaria. Los mdicos suelen
pasar 30 minutos en la cabecera y en el piso de la planta
del paciente o de la unidad.
99301
RM N 689-2006-MINSA

que implica una valoracin de enfermera que requiere estos
tres componentes fundamentales: 1) Una historia detallada
intervalo, 2) Un examen exhaustivo, y 3) toma de decisiones
mdicas de moderada a alta complejidad. Asesoramiento y /
Por lo general, el paciente desarroll una complicacin
importante o un nuevo problema importante y ha tenido un
gran cambio en el estatus permanente. La creacin de un
nuevo plan de atencin mdica es necesaria. Los mdicos
suelen pasar 40 minutos en la cama y en el suelo las
instalaciones del paciente o de la unidad.
99302
RM N 689-2006-MINSA

que implica una valoracin de enfermera en el momento de
su admisin inicial o reingreso a la instalacin, que requiere
estos tres componentes fundamentales: 1) una historia
completa, 2) Un examen exhaustivo, y 3) la decisin mdica
haciendo de moderada a alta complejidad. Asesoramiento
y / o coordinacin de cuidado con otros proveedores u
La creacin de un plan mdico de atencin se requiere. Los
mdicos suelen pasar 50 minutos en la cama y en el suelo
las instalaciones del paciente o de la unidad.
99303
RM N 689-2006-MINSA
Inicial atencin en un centro de enfermera, por da, para la

evaluacin y manejo de un paciente, que requiere estos tres
componentes clave: 1) Una historia detallada o global; 2) Un
examen detallado o exhaustivo, y 3) la toma de decisiones
mdicas que es directa o de baja complejidad.
ingreso son de gravedad bajo. Los mdicos suelen pasar 25
minutos en la cama y en el suelo las instalaciones del
paciente o de la unidad.
99304
RM N 689-2006-MINSA
Visita domiciliaria para la evaluacin y gestin de un nuevo

paciente, que requiere estos tres componentes
3) toma de decisiones mdicas de baja complejidad.
(s) son de gravedad moderada. Los mdicos suelen pasar
30 minutos cara a cara con el paciente y / o familia.
99342
RM N 689-2006-MINSA

detallado, y 3) toma de decisiones mdicas de complejidad
99343
RM N 689-2006-MINSA

(s) son de severidad alta. Los mdicos suelen pasar 60
99344
RM N 689-2006-MINSA

paciente y / o su familia. Por lo general, el paciente se
encuentra inestable o se ha desarrollado un nuevo
problema importante que requiere atencin mdica
inmediata. Los mdicos suelen pasar 75 minutos cara a
cara con el paciente y / o familia.
99345
RM N 689-2006-MINSA
Visita domiciliaria para la evaluacin y manejo de un

paciente establecido, que requiere al menos dos de estos
tres componentes clave: 1) Un problema enfocado historia
intervalo, 2) Un examen problema enfocado, 3) toma de
decisiones mdicas Sencillo de decisiones. Asesoramiento y
/ o coordinacin de cuidado con otros proveedores u
autolimitadas o menor. Los mdicos suelen pasar 15
99347
RM N 689-2006-MINSA

tres componentes clave: 1) Un problema expandida
enfocado historia intervalo, 2) Un problema expandida
enfocado examen, 3) toma de decisiones mdicas de baja
presenta (s) son de baja a moderada gravedad. Los
mdicos suelen pasar 25 minutos cara a cara con el
paciente y / o familia.
99348
RM N 689-2006-MINSA

tres componentes clave: 1) Una historia detallada intervalo,
2) Un examen detallado, 3) la toma de decisiones mdicas
de complejidad moderada. Asesoramiento y / o coordinacin
problema que se presenta (s) son de moderada a alta
severidad. Los mdicos suelen pasar 40 minutos cara a
99349
RM N 689-2006-MINSA

tres componentes clave: 1) Una historia intervalo amplio, 2)
Un examen exhaustivo, 3) toma de decisiones mdicas de
moderada a alta complejidad. Asesoramiento y / o
moderada a alta severidad. El paciente puede ser inestable
o puede haber desarrollado un nuevo problema importante
que requiere atencin mdica inmediata. Los mdicos
familia.
99350
RM N 689-2006-MINSA

tres componentes clave: un problema centrado historia
intervalo, un examen centrado problema, toma de
decisiones mdicas que es directa o de baja complejidad.
/ o su familia. Por lo general, el paciente est estable,
recuperar o mejorar.
99351
RM N 689-2006-MINSA
Evaluacin inicial exhaustivo medicina preventiva y la

gestin de una persona, incluyendo la edad y el gnero
adecuada historia, examen, consejera / orientacin factor
de intervenciones anticipatorias / reduccin de riesgos, y la
ordenacin de los procedimientos de laboratorio /
diagnstico, el nuevo paciente, los adolescentes (edad 12 a
17 aos)
99384
Reevaluacin peridica completa medicina preventiva y la

diagnstico, establecida paciente; adolescentes (edad 12 a
17 aos)
99394
Asesoramiento Medicina preventiva y / o la intervencin de

factores de riesgo de reduccin (s) otorga a un individuo
(procedimiento separado), aproximadamente 30 minutos
99402

factores de riesgo de reduccin (s) proporcionado a los
individuos en un grupo (procedimiento separado),
aproximadamente 30 minutos
99411
Telfono de evaluacin y servicios de gestin prestados por

un mdico para un paciente establecido, padre o tutor que
no sea originario de un E relacionada / servicio M siempre
dentro de los 7 das previos, ni conduce a un servicio de E /
M o procedimiento dentro de las prximas 24 horas o lo
antes posible disponible nombramiento, 5-10 minutos de
discusin mdica
99441
RM N 689-2006-MINSA

antes posible disponible nombramiento; 11-20 minutos de
discusin mdica
99442
RM N 689-2006-MINSA

antes posible disponible nombramiento; 21-30 minutos de
discusin mdica
99443
RM N 689-2006-MINSA
Visita domiciliaria para el control prenatal y la evaluacin

para incluir la frecuencia cardaca fetal, prueba sin estrs,
monitoreo uterino y control de la diabetes gestacional
99500
99501
RM N 689-2006-MINSA
99502
RM N 689-2006-MINSA
99503
RM N 689-2006-MINSA
99504
RM N 689-2006-MINSA
99511
RM N 689-2006-MINSA
Visita domiciliaria para la evaluacin postnatal y el cuidado

de seguimiento
Visita domiciliaria para el cuidado del recin nacido y la
evaluacin
Visita domiciliaria para el cuidado de terapia respiratoria (por
ejemplo, broncodilatadores, oxigenoterapia, evaluacin
respiratoria, apnea evaluacin)
Visita domiciliaria para el cuidado de la ventilacin mecnica
Visita domiciliaria para la impactacin fecal gestin y
administracin de enema
imgenes, la pelvis, con material de contraste (s)
La laparoscopia, ciruga, con adrenalectoma parcial o total,
o la exploracin de la glndula suprarrenal con o sin biopsia,
transabdominal, lumbar o dorsal
Apendicectoma; cuando se hace para su finalidad indicada
en el momento de procedimiento importante otro (no como
procedimiento separado) (Lista por separado adems de
La laparoscopia, ciruga, apendicectoma
Radiacin intersticial aplicacin de origen, simple
Apolipoprotena, cada
Aspiracin percutnea, quiste de la mdula espinal o siringe
fluoroscpica, cuando se realiza, con la aspiracin
teraputica del rbol traqueobronquial, inicial (por ejemplo,
el drenaje de absceso pulmonar)

La biopsia de la mdula espinal, con aguja percutnea
La biopsia de nervio
La laparoscopia, ciruga, con fulguracin de oviductos (con o
sin reseccin)
La laparoscopia, ciruga, colecistectoma (cualquier mtodo)
La laparoscopia, ciruga, colecistectoma con exploracin
del conducto comn
La laparoscopia, ciruga; cholecystoenterostomy
Controlar la hemorragia orofarngea, primaria o secundaria
(por ejemplo, despus de la amigdalectoma); sencillo
La craniectoma o craneotoma, drenaje de absceso
intracraneal; infratentorial
Glbulos rojos determinacin del volumen (procedimiento
separado); muestreo simple
La sangre entera determinacin del volumen, incluyendo la
medicin independiente del volumen de plasma y el
volumen de glbulos rojos (radiofrmaco volumen de
dilucin tcnica)
La discografa, cervical o torcica, radiolgicos supervisin e
interpretacin
La laparoscopia, ciruga, esplenectoma
El flujo de fluido cerebroespinal, las imgenes (no incluida la
introduccin de material); tomogrfico (ECT)
Escisin de lesin de cordn espermtico (procedimiento
separado)
La laparoscopia, ciruga; con fulguracin o escisin de
lesiones del ovario, vsceras plvicas, o superficie peritoneal
por cualquier mtodo
La laparoscopia, ciruga, con fimbrioplastia
Flujo respiratorio circuito de volumen
Actinoterapia (luz ultravioleta)
La laparoscopia, ciruga; fundoplasty esfago-gstrica (por
ejemplo, Nissen, Belsey IV, Colina, procedimientos Toupet)
Imgenes ventilacin pulmonar, respiracin gaseoso, nico,
proyeccin nica
La laparoscopia, ciruga, gastrostoma, temporal (o tubo de
goma o plstico) (procedimiento separado)
El hemograma, hemograma, manual, completo CBC

(glbulos rojos, glbulos blancos, hemoglobina, hematocrito,
diferencial e ndices)
Panel de Hepatitis Este panel debe incluir lo siguiente: La
hepatitis B antgeno de superficie (HBsAg) (87.340)
Anticuerpo contra la hepatitis B de superficie (anti-HBs)
(86706) Hepatitis B anticuerpo core (anti-HBc), IgG e IgM
(86704) Hepatitis A anticuerpo (haab), IgG e IgM (86708)
Hepatitis C anticuerpos (86803)
La laparoscopia, ciruga, reparacin de hernia inguinal inicial
La laparoscopia, ciruga, histerectoma vaginal con con o sin
extirpacin de tubo (s), con o sin extirpacin de ovario (s)
(histerectoma vaginal asistida por laparoscopia)
Histeroscopia, diagnstico (procedimiento separado)
La histeroscopia, quirrgico, con toma de muestras (biopsia)
de endometrio y / o polipectoma, con o sin D & C
Imgenes intestino (por ejemplo, la mucosa gstrica
ectpica, localizacin de Meckel, vlvulo)
Bone imgenes mdula; rea limitada
La laparoscopia (laparoscopia), diagnstico, (procedimiento
separado)
La laparoscopia, ciruga, con drenaje de linfocele a la
cavidad peritoneal
La laparoscopia, ciruga, con linfadenectoma plvica
bilateral total de
La laparoscopia, ciruga; enterolisis (liberacin de
La mielografa, torcica, supervisin e interpretacin
radiolgica
La mielografa, 2 o ms regiones (por ejemplo, lumbar /
dorsal, cervical / torcica, lumbar / cervical, lumbar / dorsal /
cervical), la supervisin y la interpretacin radiolgica
La mdula sea, nica aspiracin
Histeroscopia, quirrgico, con la eliminacin de leiomyomata
La laparoscopia, ciruga, con la extirpacin de leiomiomas
(simple o mltiple)
La laparoscopia, ciruga, orquiectoma
Respiracin con presin positiva intermitente (IPPB) el
tratamiento, el aire o el oxgeno, con o sin medicacin
nebulizada; demostracin inicial y / o evaluacin
Smear, fuente primaria, con la interpretacin, en fresco y
seco, para los vulos y los parsitos
Pelvimetra, con o sin localizacin placentaria
Msculo del panel
Panel metablico bsico (Calcio ionizado). Este panel debe

incluir lo siguiente: El calcio ionizado (82.330), el dixido de
carbono (82374), cloruro (82.435), creatinina (82.565),
glucosa (82.947), potasio (84 132), sodio (84.295), nitrgeno
de urea (BUN) (84520)
Testicular imgenes;
La pieloplastia (Foley Y-pieloplastia), el funcionamiento de
plstico en la pelvis renal, con o sin operacin plstica en
urter, nefropexia, nefrostoma, pielostoma o frula ureteral;
complicada (calycoplasty congnita renal anormal,
pieloplastia secundaria, nico rin)
Protena, total, excepto por refractometra, orina
Prueba de compatibilidad cada unidad; electrnico
Carcinoma de tiroides metstasis captacin (Lista por
Antgeno prosttico especfico (PSA), total
Radiofrmaco identificacin de tumor ocular
El hemograma, hematocrito (Hct)
La laparoscopia, ciruga, reseccin intestinal con
anastomosis (intra o extracorprea)
salpingectoma)
La laparoscopia, ciruga, con salpingostoma
(salpingoneostoma)
Procedimiento de anlisis de orina Cotizadas
Tcnicas de terapia manual (por ejemplo, la movilizacin /
manipulacin, drenaje linftico manual, traccin manual),
una o ms regiones, cada 15 minutos
La laparoscopia, ciruga, con la ligadura de las venas
espermticas de varicocele
Tratamiento de la hemorragia del hgado; sutura simple de
la herida o lesin heptica
El ultrasonido intravascular (no coronaria vaso) durante la
evaluacin de diagnstico y / o intervencin teraputica;
recipiente inicial (Lista por separado adems de cdigo para
selectiva o altamente selectivo
troncular
El volumen plasmtico, radiofrmaco volumen de dilucin
tcnica (procedimiento separado); muestreo simple
Anestesia para procedimientos intracraneales; craneotoma
o craniectoma para la evacuacin del hematoma
posterior del trax, incluido el tejido subcutneo

mediastino (incluyendo toracoscopia quirrgica);
pleurectoma
grandes vasos del pecho, con oxigenador de bomba,
menores de un ao de edad
Anestesia para la derivacin directa de revascularizacin
miocrdica, con oxigenador de bomba
mdula, a travs de un abordaje transtorcico anterior; no
utilizar una ventilacin pulmonar
mdula, a travs de un abordaje transtorcico anterior, la
utilizacin de una ventilacin pulmonar
Anestesia para procedimientos laparoscpicos
inferior no se especifique lo contrario, los lactantes menores
de 37 semanas de edad gestacional al nacer y menores de
50 semanas de edad gestacional al momento de la ciruga
abdomen inferior durante la laparoscopa, la cesrea
abdomen inferior, incluyendo la laparoscopia, la ligadura de
trompas / transeccin
abdomen inferior, incluyendo laparoscopia; histerectoma
cesrea
Neuroaxial analgesia / anestesia para la mano de obra que
termina en un parto por cesrea (incluye cualquier
subaracnoidea repeticin colocacin de la aguja y la
inyeccin de drogas y / o la sustitucin necesaria de un
catter epidural durante el parto)
baja del abdomen, incluyendo tracto urinario; vasectoma,
unilateral / bilateral
perineal (incluyendo biopsia del sistema genital masculino);
no se especifique lo contrario
uretra), la vasectoma, unilateral o bilateral
endometrio); parto vaginal
Neuroaxial analgesia / anestesia para la mano de obra que
termina en un parto vaginal (incluye cualquier
subaracnoidea repeticin colocacin de la aguja y la
inyeccin de drogas y / o la sustitucin necesaria de un
catter epidural durante el parto)

anterior de la pelvis (anterior a la cresta ilaca), con
excepcin de los genitales externos
posterior de la pelvis (posterior a la cresta ilaca), excepto
perineo
Anestesia para ciruga abierta de interrupcin fractura de
pelvis o columna fractura involucra acetbulo
tegumentario del muslo
tegumentario de rodilla y / o rea popltea
tegumentario de la pierna, el tobillo y el pie
tegumentario del hombro y la axila
tegumentario parte superior del brazo y el codo
Anestesia para la reparacin de arterio-venosa (AV) fstula,
congnita o adquirida
tegumentario de antebrazo, mueca y mano
La anestesia para el procedimiento de inyeccin para la
histerosalpingografa
Anestesia para la trepanacin (s) para la ventriculografa
La anestesia para el procedimiento de inyeccin para
neumoencefalografa
mielografa; lumbar
mielografa; cervical
mielografa; fosa posterior
discografa, lumbar
discografa, cervical
Anestesia para arteriografas, aguja, retrgrado, braquial o
femoral
Anestesia para la angioplastia
Anestesia para procedimientos percutneos guiados por
imagen de la columna vertebral y la mdula espinal;
diagnstico
Anestesia para procedimientos percutneos guiados por
imagen de la columna vertebral y la mdula espinal;
teraputico
La anestesia para los procedimientos de aborto incompleto
o perdidas
La anestesia para los procedimientos de aborto inducido
Procedimiento de anestesia Cotizadas (s)
La incisin y drenaje del quiste sebceo infectado o no
infectado, una lesin
Aspiracin con aguja fina, sin gua por imgenes
Aspiracin con aguja fina, con gua por imgenes

Incisin y drenaje de absceso (por ejemplo, ntrax,
hidradenitis supurativa, absceso cutneo o subcutneo,
quiste, fornculo, o paroniquia); complicadas o mltiples
Incisin y drenaje de quiste pilonidal, complicado
Incisin y drenaje de oniquia o paroniquia, nica o simple
La incisin y extraccin de cuerpos extraos, tejidos
subcutneos, complicado
Incisin y drenaje de hematoma, complicado
La incisin y drenaje, infeccin complejo, herida
postoperatoria
Desbridamiento de eczematosa extensa o piel infectada,
cada adicional 10% de la superficie del cuerpo, o parte del
mismo (Lista por separado adems de cdigo para el
El desbridamiento de la piel, tejido subcutneo, msculo y
fascia de infeccin necrosante de tejidos blandos; genitales
externos y el perin
fascia de infeccin necrosante de tejidos blandos; pared
abdominal, con o sin cierre fascial
fascia de infeccin necrotizante de tejidos blandos, rganos
genitales externos, el perin y la pared abdominal, con o sin
cierre fascial
La eliminacin de material protsico o malla, la pared
abdominal para la infeccin (por ejemplo, por infeccin de la
malla crnica o recurrente o infeccin necrotizante de tejidos
blandos) (Lista por separado adems de cdigo para el
El desbridamiento, la piel, el grosor parcial
El desbridamiento, la piel, el grosor completo
El desbridamiento, la piel, el tejido subcutneo y msculo
Desbridamiento, piel, tejido subcutneo, msculo y hueso
Pelado o curetaje de lesin benigna piel hiperquerattica
con o sin cauterizacin qumica (tal como verrugas o clavi)
no se extiende a travs del estrato crneo (por ejemplo,
callos o verrugas) con o sin anestesia local; sola lesin
ejemplo, el maz o el callo), 2 a 4 lesiones
ejemplo, el maz o el callo), ms de 4 lesiones
Afeitado de lesin epidrmica o drmica superficial; sola
lesin
La biopsia de piel, tejido subcutneo y / o mucosa

(incluyendo cierre simple), a menos que indique otra cosa,
cada lesin separada / adicional (lista por separado adems
del cdigo para el procedimiento primario)
Eliminacin de etiquetas de piel, mltiples etiquetas
fibrocutaneous, cualquier rea, cada 10 lesiones
adicionales, o parte de la misma (lista por separado adems
tronco, brazos o piernas; dimetro de la lesin 0,6 a 1,0 cm
tronco, brazos o piernas; dimetro de la lesin 1,1 a 2,0 cm
tronco, brazos o piernas; dimetro de la lesin a travs de
2,0 cm
Afeitado de lesin epidrmica o drmica, lesin nica, cuero
cabelludo, cuello, manos, pies, genitales, lesiones cm de
dimetro 0,5 o menos
cabelludo, cuello, manos, pies, genitales; dimetro de la
lesin 0,6 a 1,0 cm
lesin 1,1 a 2,0 cm
lesin a travs de 2,0 cm
cara, orejas, prpados, nariz, labios, mucosa; dimetro de la
lesin de 0,5 cm o menos
lesin 0,6 a 1,0 cm
lesin 1,1 a 2,0 cm
lesin a travs de 2,0 cm
los brazos o las piernas; extirpado dimetro 0,6 a 1,0 cm

los brazos o las piernas; dimetro extirpada 2,1 a 3,0 cm
los brazos o las piernas, dimetro 4,0 cm extirpados a
travs de
etiqueta piel (a menos que figuren en otra parte), cuero
cabelludo, cuello, manos, pies, genitales extirpados; 0,5 cm
de dimetro o menos
cabelludo, cuello, manos, pies, genitales; extirpados cm de
dimetro 0,6 a 1,0
dimetro 1,1 a 2,0
dimetro 2,1 a 3,0
dimetro 3,1 a 4,0
cabelludo, cuello, manos, pies, genitales extirpados,
dimetro 4,0 cm por encima
Escisin, lesin benigna otro incluidos los mrgenes, con
excepcin de etiqueta de la piel (a menos que figuren en
otra parte), la cara, las orejas, los prpados, la nariz, los
labios, membrana mucosa; extirpados 0,5 cm de dimetro o
menos
otra parte), cara, orejas, prpados, nariz, labios, mucosas,
dimetro extirpada 0,6 a 1,0 cm

dimetro 4,0 cm extirpados a travs de
Escisin de piel y tejido subcutneo para hidradenitis, axilar;
con reparacin simple o intermedia
Escisin de piel y tejido subcutneo para hidradenitis, axilar,
con la reparacin del complejo
Escisin de piel y tejido subcutneo para hidradenitis,
inguinal; con reparacin simple o intermedia
inguinal, con la reparacin del complejo
perianal, perineal o umbilical, con reparacin simple o
intermedia
perianal, perineal o umbilical, con la reparacin del complejo
Excisin, lesiones malignas, incluyendo mrgenes, el
tronco, los brazos o las piernas; extirpados 0,5 cm de
dimetro o menos
tronco, los brazos o las piernas; dimetro extirpada 0,6 a 1,0
cm
cm
cm
cm
tronco, los brazos o las piernas, dimetro 4,0 cm extirpados
a travs de
Excisin, lesiones malignas, incluyendo mrgenes, cuero
cabelludo, cuello, manos, pies, genitales extirpados; 0,5 cm
de dimetro o menos
dimetro 0,6 a 1,0 cm

dimetro 4,0 cm por encima
Excisin, lesiones malignas, incluyendo mrgenes, cara,
orejas, prpados, nariz, labios cortados, 0,5 cm de dimetro
o menos
orejas, prpados, nariz, labios, dimetro extirpada 0,6 a 1,0
cm
cm
cm
cm
orejas, prpados, nariz, labios, dimetro 4,0 cm extirpados a
travs de
Desbridamiento de las uas, manual, cinco o menos
Desbridamiento de las uas, molinillo elctrico, cinco o
menos
Recorte las uas nondystrophic, cualquier nmero
El desbridamiento del clavo (s) por cualquier mtodo (s); 1 a
5
El desbridamiento del clavo (s) por cualquier mtodo (s); 6 o
ms
Avulsin de la ua, parcial o completa, simple, solo
Avulsin de la ua, parcial o completa, simple, segundo
plato ungueal
Avulsin de la ua, parcial o completa, simple, cada placa
de la ua adicional (lista por separado adems del cdigo
Escisin de ua y ua matriz, parcial o completa (por
ejemplo, las uas encarnadas o deformada), para la
eliminacin permanente, con la amputacin de la falange
distal del mechn
La biopsia de unidad ungueal (por ejemplo, placa, cama,
matriz hiponiquio, pliegue ungueal proximal y lateral)
La reparacin del lecho ungueal
La reconstruccin del lecho de la ua con injerto
Wedge extirpacin de la piel del pliegue ungueal (por
ejemplo, para la ua encarnada)
Excisin de quiste pilonidal o seno; amplia
Excisin de quiste pilonidal o seno, complicado
Inyeccin, intralesional; hasta e incluyendo 7 lesiones
Inyeccin, intralesional; ms de 7 lesiones
Introduccin Tatuaje, intradrmica de pigmentos opacos

insolubles para corregir defectos de color de piel, incluyendo
micropigmentacin, 6,0 cm cuadrados o menos
Introduccin Tatuaje, intradrmica de pigmentos opacos
insolubles para corregir defectos de color de piel, incluyendo
micropigmentacin; 6,1 a 20,0 cm cuadrados
Cada uno de los mismos adicional de 200 cm cuadrados, o
parte (lista por separado adems del cdigo para el
procedimiento primario); Tatuaje, introduccin intradrmica
de pigmentos opacos insolubles para corregir defectos de
color de piel, incluyendo micropigmentacin
La inyeccin subcutnea de material de relleno (por
ejemplo, colgeno); 1 cc o menos
ejemplo, colgeno); 1,1 a 5,0 cc
ejemplo, colgeno); 5,1 a 10,0 cc
ejemplo, colgeno); ms de 10,0 cc
La insercin de expansor de tejido (s) para que no sea de
mama, incluyendo la posterior expansin
Reemplazo de expansor de tejido con la prtesis
permanente
La remocin de tejido expansor (s) sin la insercin de
prtesis
Hormona pellet subcutneo implantacin (implantacin de
grnulos de estradiol y / o testosterona por debajo de la piel)
Insercin, no biodegradable droga implante de suministro
La eliminacin, no biodegradable droga implante de
suministro
La eliminacin de reinsercin, no biodegradable implante la
administracin de frmacos
extremidades (incluyendo manos y pies), 7,6 cm a 12,5 cm
extremidades (incluyendo manos y pies), 20,1 cm hasta
30,0 cm
extremidades (incluyendo manos y pies), ms de 30,0 cm
Reparacin simple de heridas superficiales de la cara, las
orejas, los prpados, la nariz, los labios y / o membranas
mucosas; 2,5 cm o menos
mucosas; 2,6 cm a 5,0 cm
Reparacin simple de heridas superficiales de la cara,

orejas, prpados, nariz, labios y / o membranas mucosas;
5,1 cm a 7,5 cm
Reparacin simple de heridas superficiales de la cara,
orejas, prpados, nariz, labios y / o membranas mucosas;
20,1 cm a 30,0 cm
mucosas, ms de 30,0 cm
Tratamiento de la dehiscencia de la herida superficial; cierre
simple
Tratamiento de la dehiscencia de la herida superficial, con
embalaje
pies); 7,6 cm a 12,5 cm
Reparacin, intermedio heridas del cuero cabelludo, axilas,
tronco y / o extremidades (excluyendo manos y pies), 20,1
cm hasta 30,0 cm
Reparacin, intermedio, las heridas del cuero cabelludo,
axilas, tronco y / o extremidades (excluyendo manos y pies),
ms de 30,0 cm
Reparacin, intermedio, heridas del cuello, las manos, los
pies y / o genitales externos; 2,5 cm o menos
pies y / o genitales externos; 2,6 cm a 7,5 cm
pies y / o genitales externos, ms de 30,0 cm
Reparacin, intermedio, las heridas de la cara, orejas,
prpados, nariz, labios y / o membranas mucosas; 25 cm o
menos
prpados, nariz, labios y / o membranas mucosas; 2,6 cm a
5,0 cm
7,5 cm
12,5 cm

prpados, nariz, labios y / o membranas mucosas; 12,6 cm
a 20,0 cm
prpados, nariz, labios y / o membranas mucosas; 20,1 cm
a 30,0 cm
prpados, nariz, labios y / o membranas mucosas; ms de
30,0 cm
Reparacin, tronco complejo; 1,1 cm a 2,5 cm
Reparacin, tronco complejo; 2,6 cm a 7,5 cm
Reparacin, tronco complejo, y cada uno otros 5 cm o
menos (lista por separado adems del cdigo para el
Reparacin, cuero cabelludo complejo, con los brazos y / o
piernas; 1,1 cm a 2,5 cm
Reparacin, cuero cabelludo complejo, con los brazos y / o
piernas; 2,6 cm a 7,5 cm
Reparacin y complejo, el cuero cabelludo, los brazos y / o
piernas; cada grupo adicional de 5 cm o menos (Enumere
primario)
Reparacin barbilla, complejo, la frente, las mejillas, la boca,
el cuello, las axilas, los genitales, las manos y / o pies, 1,1
cm a 2,5 cm
el cuello, las axilas, los genitales, las manos y / o pies, 2,6
cm a 7,5 cm
el cuello, las axilas, los genitales, las manos y / o pies; cada
uno otros 5 cm o menos (listado por separado adems del
Reparacin y complejos, los prpados, la nariz, las orejas y /
o de los labios; 1,0 cm o menos
Reparacin y complejo, los prpados, la nariz, los odos y /
o los labios; 1,1 cm a 2,5 cm
o los labios; 2,6 cm a 7,5 cm
o los labios; cada grupo adicional de 5 cm o menos (lista por
primario)
Reparacin, inusual y complicada, ms de 7,5 cm, un rea
Transferencia de tejido adyacente o reorganizacin, el
tronco; defectos 10,1 cm a 30,0 cm cuadrado cuadrados
Transferencia de tejido adyacente o reorganizacin, el cuero
cabelludo, los brazos y / o piernas, defectos de 10 cm
cuadrados o menos
Transferencia de tejido adyacente o reorganizacin, cuero
cabelludo, brazos y / o piernas; defectos 10,1 cm a 30,0 cm
cuadrado cuadrados
Transferencia de tejido adyacente o reorganizacin, la

frente, las mejillas, la barbilla, la boca, el cuello, las axilas,
los genitales, las manos y / o pies; defecto 10 cm cuadrados
o menos
Transferencia de tejido adyacente o reorganizacin, la
frente, las mejillas, la barbilla, la boca, el cuello, las axilas,
los genitales, las manos y / o pies, 10,1 cm defectos
cuadrados a 30,0 cm cuadrados
Transferencia de tejido adyacente o reorganizacin, los
prpados, la nariz, las orejas y / o los labios; defecto 10 cm
cuadrados o menos
Transferencia de tejido adyacente o reorganizacin, los
prpados, la nariz, las orejas y / o los labios; defectos 10,1
cm a 30,0 cm cuadrado cuadrados
Transferencia de tejido adyacente o reorganizacin, ms de
30 cm cuadrados, inusuales o complicado, cualquier rea
Transferencia de tejido adyacente o reorganizacin,
cualquier rea; defectos 30,1 cm a 60,0 cm cuadrado
cuadrados
Transferencia de tejido adyacente o reorganizacin, en
cualquier rea, cada grupo adicional de 30,0 cm cuadrados,
o parte del mismo (lista por separado adems del cdigo
Fileteado dedo o dedo del pie colgajo, incluida la
preparacin de la zona receptora
escisin de heridas abiertas, quemaduras escara o cicatriz
(incluidos los tejidos subcutneos) o incisional liberacin de
contractura cicatrizal; cada grupo adicional de 100 cm
cuadrados o cada 1% de la superficie corporal de lactantes
y nios (Lista separado, adems de cdigo para el
contractura de la cicatriz, el tronco, los brazos, las piernas,
primeros 100 cm cuadrados o 1% de la superficie corporal
de los nios y nios
contractura de la cicatriz, el tronco, los brazos, las piernas,
cada grupo adicional de 100 cm cuadrados, o parte del
mismo, o adicionales cada 1% de la superficie corporal de
lactantes y nios (Anote separadamente adems del cdigo

contractura de la cicatriz, la cara, el cuero cabelludo, los
prpados, la boca, el cuello, las orejas, las rbitas, los
genitales, las manos, los pies y / o varios dgitos; primeros
100 cm cuadrados o 1% de la superficie corporal de los
bebs y nios
contractura de la cicatriz, la cara, el cuero cabelludo, los
genitales, las manos, los pies y / o varios dgitos, cada grupo
adicional de 100 cm cuadrados, o parte de ellas, o cada 1%
de la superficie corporal de los bebs y nios (Enumere por
primario)
Cosecha de la piel para autoinjerto de piel tejido cultivado,
100 cm cuadrados o menos
De grosor dividido autoinjerto, el tronco, los brazos, las
piernas, primeros 100 cm cuadrados o menos, o 1% de la
superficie corporal de lactantes y nios (excepto 15050)
De grosor dividido autoinjerto, el tronco, los brazos, las
piernas, cada grupo adicional de 100 cm cuadrados, o cada
1% de la superficie corporal de los bebs y los nios, o
parte de l (Lista separadamente adems del cdigo para el
Autoinjerto epidrmico, el tronco, los brazos, las piernas,
primeros 100 cm cuadrados o menos, o 1% de la superficie
corporal de los bebs y nios
Autoinjerto epidrmico, el tronco, los brazos, las piernas,
cada grupo adicional de 100 cm cuadrados, o cada 1% de la
superficie corporal de los bebs y los nios, o parte de ellas
primario)
Autoinjerto epidrmico, la cara, el cuero cabelludo, los
100 cm cuadrados o menos, o 1% de la superficie corporal
de los bebs y nios
Autoinjerto epidrmico, la cara, el cuero cabelludo, los
adicional de 100 cm cuadrados, o cada 1% de la superficie
corporal de los bebs y los nios, o parte de la misma (lista
primario)
De grosor dividido autoinjerto, la cara, el cuero cabelludo,

los prpados, la boca, el cuello, las orejas, las rbitas, los
de lactantes y nios (excepto 15050)
De grosor dividido autoinjerto, la cara, el cuero cabelludo,
los prpados, la boca, el cuello, las orejas, las rbitas, los
genitales, las manos, los pies y / o nmeros de varias cifras,
superficie corporal de los bebs y los nios, o parte de la
misma (lista por separado adems del cdigo para el
Autoinjerto cutneo, el tronco, los brazos, las piernas,
Autoinjerto cutneo, el tronco, los brazos, las piernas, cada
grupo adicional de 100 cm cuadrados, o cada 1% de la
superficie corporal de los bebs y los nios, o parte de ellas
primario)
Autoinjerto cutneo, la cara, el cuero cabelludo, los
de los bebs y nios
Autoinjerto cutneo, la cara, el cuero cabelludo, los
corporal de los bebs y los nios, o parte de la misma (lista
primario)
Tejido epidrmico autoinjerto culto, el tronco, los brazos, las
piernas; primeros 25 cm cuadrados o menos
Tejido cultivado autoinjerto epidrmico, el tronco, los brazos,
las piernas, adicional de 1 cm cuadrado y 75 centmetros
cuadrados (lista por separado adems del cdigo para el
Cada uno de los mismos adicional de 100 cm cuadrados, o
cada 1% de la superficie corporal de los bebs y los nios, o
parte (lista por separado adems del cdigo para el
procedimiento primario); autoinjerto epidrmico tejido
cultivado, tronco, brazos, piernas
Tejido cultivado autoinjerto epidrmico, la cara, el cuero
cabelludo, los prpados, la boca, el cuello, las orejas, las
rbitas, los genitales, las manos, los pies y / o varios dgitos;
primeros 25 cm cuadrados o menos

rbitas, los genitales, las manos, los pies y / o varios dgitos;
adicional de 1 cm cuadrado y 75 centmetros cuadrados
primario)
rbitas, los genitales, las manos, los pies y / o dgitos
mltiples, cada grupo adicional de 100 cm cuadrados, o
cada 1% de la superficie corporal de los bebs y los nios, o
parte de la misma (lista por separado adems del cdigo
Sustitucin drmica acelular, el tronco, los brazos, las
piernas, primeros 100 cm cuadrados o menos, o 1% de la
superficie corporal de los bebs y nios
Sustitucin drmica acelular, el tronco, los brazos, las
piernas, cada grupo adicional de 100 cm cuadrados, o cada
1% de la superficie corporal de los bebs y los nios, o
parte del mismo (Lista por separado adems del cdigo
Reemplazo drmico acelular, la cara, el cuero cabelludo, los
de los bebs y nios
Reemplazo drmico acelular, la cara, el cuero cabelludo, los
Injerto de espesor total, libre, incluyendo el cierre directo de
la zona donante, tronco, 20 cm cuadrados o menos
la zona donante, tronco, cada grupo adicional de 20 cm
cuadrados, o parte del mismo (lista por separado adems
la zona donante, el cuero cabelludo, los brazos y / o piernas;
20 cm cuadrados o menos
la zona donante, el cuero cabelludo, los brazos y / o piernas;
cada grupo adicional de 20 cm cuadrados, o parte del
mismo (lista por separado adems del cdigo para el
la zona donante, la frente, las mejillas, la barbilla, la boca, el
cuello, las axilas, los genitales, las manos y / o pies, 20 cm
cuadrados o menos

la zona donante, la frente, las mejillas, la barbilla, la boca, el
cuello, las axilas, los genitales, las manos y / o pies; cada
grupo adicional de 20 cm cuadrados, o parte del mismo
primario)
la zona donante, la nariz, las orejas, los prpados y / o
labios; 20 cm cuadrados o menos
la zona donante, la nariz, las orejas, los prpados y / o
labios; cada grupo adicional de 20 cm cuadrados, o parte de
ellas (lista por separado adems del cdigo para el
Aloinjerto de piel para el cierre temporal de la herida, el
tronco, los brazos, las piernas, primeros 100 cm cuadrados
o menos, o 1% de la superficie corporal de los bebs y
nios
Aloinjerto de piel para el cierre temporal de la herida, el
tronco, los brazos, las piernas, cada grupo adicional de 100
cm cuadrados, o cada 1% de la superficie corporal de los
bebs y los nios, o parte de ellas (Haga una lista por
primario)
Aloinjerto de piel para el cierre temporal de la herida, la
cara, el cuero cabelludo, los prpados, la boca, el cuello, las
orejas, las rbitas, los genitales, las manos, los pies y / o
varios dgitos; primeros 100 cm cuadrados o menos, o 1%
de la superficie corporal de los bebs y nios
Aloinjerto de piel para el cierre temporal de la herida, la
cara, el cuero cabelludo, los prpados, la boca, el cuello, las
orejas, las rbitas, los genitales, las manos, los pies y / o
nmeros de varias cifras, cada grupo adicional de 100 cm
cuadrados, o cada 1% de la superficie corporal de los nios
y nios, o parte de ellas (lista por separado adems del
Injerto drmico acelular, el tronco, los brazos, las piernas,
Injerto drmico acelular, el tronco, los brazos, las piernas,
superficie corporal de los bebs y los nios, o parte del
mismo (Lista por separado adems del cdigo para el
Injerto drmico acelular, la cara, el cuero cabelludo, los
de los bebs y nios
Injerto drmico acelular, la cara, el cuero cabelludo, los

Cultivos de tejido sustituto de piel alognicos; primeros 25
cm cuadrados o menos
Cultivos de tejido sustituto de piel alognicos; cada grupo
adicional de 25 cm cuadrados, o parte del mismo (lista por
primario)
Aplicacin de sustituto bilaminado piel / neodermis; 25 cm
cuadrados
Aplicacin de sustituto bilaminado piel / neodermis; cada
grupo adicional de 25 cm cuadrados (Enumere por
primario)
Aplicacin de aloinjerto, piel, cada grupo adicional de 100
cm cuadrados (Enumere por separado adems del cdigo
Cultivos de tejido alognico sustituto drmico, el tronco, los
brazos, las piernas, primeros 100 cm cuadrados o menos, o
un 1% de la superficie corporal de los bebs y nios
Cultivos de tejido alognico sustituto drmico, el tronco, los
brazos, las piernas, cada grupo adicional de 100 cm
cuadrados, o cada 1% de la superficie corporal de los bebs
y los nios, o parte de ellas (lista por separado adems del
Cultivos de tejido alognico sustitutos drmicos, la cara, el
cuero cabelludo, los prpados, la boca, el cuello, las orejas,
las rbitas, los genitales, las manos, los pies y / o dgitos
mltiples; primeros 100 cm cuadrados o menos, o un 1% de
la superficie corporal de los bebs y nios
Cultivos de tejido alognico sustitutos drmicos, la cara, el
cuero cabelludo, los prpados, la boca, el cuello, las orejas,
las rbitas, los genitales, las manos, los pies y / o dgitos
mltiples, cada grupo adicional de 100 cm cuadrados, o
cada 1% de la superficie corporal de los bebs y nios , o
parte del mismo (lista por separado adems del cdigo para
Xenoinjerto, la piel (dermis), para el cierre temporal de la
herida, el tronco, los brazos, las piernas, cada grupo
corporal de los bebs y los nios, o parte del mismo (lista
primario )
Trasplante de colgajo de piel libre por la tcnica
microquirrgica, incluyendo anastomosis microvascular; 100
cm cuadrados o menos
Xenoinjerto piel (cutnea), para el cierre temporal de la

herida, la cara, el cuero cabelludo, los prpados, la boca, el
cuello, las orejas, las rbitas, los genitales, las manos, los
pies y / o varios dgitos; primeros 100 cm cuadrados o
menos, o 1% de la superficie corporal de lactantes y nios
Xenoinjerto piel (cutnea), para el cierre temporal de la
herida, la cara, el cuero cabelludo, los prpados, la boca, el
cuello, las orejas, las rbitas, los genitales, las manos, los
pies y / o nmeros de varias cifras, cada grupo adicional de
100 cm cuadrados, o cada 1% adicional del cuerpo rea de
los lactantes y los nios, o parte de ellas (Haga una lista por
primario)
Xenoinjerto implante acelular; primero 100 cm cuadrados o
menos, o 1% de la superficie del cuerpo de los bebs y
nios
Implante xenoinjerto acelular; cada grupo adicional de 100
cm cuadrados, o cada 1% de la superficie corporal de los
bebs y los nios, o parte de ellas (lista por separado
La formacin del tubo pedculo sin transferencia, o mayor
"retraso" de la solapa grande sin transferencia, en el tronco
Apego primario de abrir o entubado pedculo al sitio receptor
que requiere una preparacin mnima, en el tronco
transferencia, el cuero cabelludo, los brazos o las piernas
transferencia, la frente, las mejillas, la barbilla, la boca, el
cuello, las axilas, los genitales, las manos o los pies
transferencia, los prpados, la nariz, las orejas, los labios o
intraorales
Cruza los dedos colgajo con injerto libre de zona donante
insercin), en el cuero cabelludo, los brazos o las piernas
insercin), en la frente, las mejillas, la barbilla, el cuello, las
axilas, los genitales, las manos o los pies
insercin), la seccin del pedculo del colgajo dedo cruz
insercin), en los prpados, la nariz, las orejas o los labios
Escisin de lesin y / o preparacin de escisin de la zona
del receptor y la fijacin de pedculo directo o en tubo
solapa, tronco
Colgajo frontal con la preservacin del pedculo vascular

(por ejemplo, colgajo axial patrn, solapa paramediana
frente)
Colgajo del msculo, miocutneo o fasciocutneo, tronco
Msculo, miocutneo o colgajo fasciocutneo, extremidad
superior
Msculo, miocutneo o colgajo fasciocutneo; las
extremidades inferiores
Injerto; miocutneos colgajo
Flap; pedculo neurovascular
Colgajo libre (transferencia microvascular)
Colgajo libre con anastomosis microvascular
Colgajo libre fascial con anastomosis microvascular
Injerto; compuesto (por ejemplo, espesor, llena de odo
externo o el ala nasal), incluyendo el cierre primario, rea
donante
Injerto; derma-fat-fascia
Ponche de injerto para el trasplante de cabello, desde 1
hasta 15 injertos del sacador
Ponche de injerto para el trasplante de cabello, ms de 15
injertos del sacador
La dermoabrasin; cara segmentaria,
La dermoabrasin; regional, con excepcin de la cara
Dermoabrasin, superficial, cualquier sitio (por ejemplo, la
eliminacin de tatuajes)
Abrasin; lesin nica (por ejemplo, queratosis, la cicatriz)
Abrasin; cada grupo adicional de 4 lesiones o menos
El peeling qumico, facial; epidrmico
El peeling qumico, facial, drmico
El peeling qumico (chemexfoliation); nominal total
El peeling qumico, nonfacial; epidrmico
El peeling qumico, nonfacial; drmica
Salabrasion; 20 cm cuadrados o menos
Salabrasion; ms de 20 cm cuadrados
Blefaroplastia del prpado inferior, con una amplia
almohadilla grasa herniada
Blefaroplastia del prpado superior, con una ponderacin
excesiva de la piel hacia abajo la tapa
Rejuvenecimiento facial, cuello con platisma apriete (colgajo
de platisma, P-flap)
Rejuvenecimiento facial, arrugas del entrecejo ceo
Ritidectoma; mejilla, el mentn y el cuello
Ritidectoma; sistema msculo aponeurtico superficial
(SMAS) solapa
lipectoma); abdomen, paniculectoma infraumbilical
lipectoma); muslo

lipectoma); pierna
lipectoma); cadera
lipectoma); nalga
lipectoma), brazo
lipectoma), antebrazo o la mano
lipectoma); almohadilla de grasa submentoniana
lipectoma); otra rea
Injerto de la parlisis del nervio facial, injerto muscular libre
(incluyendo la obtencin del injerto)
Injerto de la parlisis del nervio facial; colgajo de msculo
libre por la tcnica microquirrgica
Injerto de la parlisis del nervio facial, la transferencia
muscular regional
lipectoma), abdomen (por ejemplo, la abdominoplastia)
(incluye transposicin umbilical y plicatura fascial) (Lista por
primario)
La inyeccin intravenosa de agente (por ejemplo,
fluorescena) para probar el flujo vascular en colgajo o
injerto
La lipectoma por asistencia de succin, cualquier sitio (s)
Escisin, lcera por presin coccgea, con coccigectoma,
con cierre de solapa
Escisin, lcera por presin sacra, con sutura primaria;
Escisin, lcera por presin sacra, con cierre de solapa de
piel;
Escisin, lcera por presin sacra, con cierre de solapa de
piel, con ostectoma
Escisin, lcera por presin sacra, en preparacin para el
msculo colgajo o injerto de piel cierre;
Escisin, lcera por presin sacra, en preparacin para el
msculo colgajo o injerto de piel cierre, con ostectoma
Escisin, lcera por presin isquitica, con sutura primaria;
Escisin, lcera por presin isquitica, con sutura primaria
con ostectoma (ischiectomy)
Escisin, lcera por presin isquitica, con cierre de solapa
de piel;
Escisin, lcera por presin isquitica, con cierre de solapa
de piel, con ostectoma
Escisin, lcera por presin isquitica, con ostectoma, en
preparacin de colgajo de msculo o miocutneo o cierre
injerto de piel
Escisin, lcera por presin trocantrea, con sutura

primaria;
Escisin, lcera por presin trocantrea, con sutura primaria
con ostectoma
Escisin, lcera trocantrea presin, con cierre de solapa de
piel;
Escisin, lcera trocantrea presin, con cierre de solapa de
piel, con ostectoma
Escisin, lcera trocantrea presin, con cierre de solapa
bipediculado
Escisin, lcera trocantrea presin, como preparacin para
el msculo colgajo o injerto de piel cierre;
Escisin, lcera trocantrea presin, como preparacin para
el msculo colgajo o injerto de piel cierre, con ostectoma
La escisin, el taln de lceras por presin, con sutura
primaria
Procedimiento Cotizadas, lcera escisin presin
Aderezos y / o desbridamiento, inicial o subsiguiente, bajo
anestesia, mediano o grande, o con desbridamiento
principal
Los apsitos y / o desbridamiento de quemaduras de
espesor parcial, inicial o posterior; pequeas (menos de 5%
de rea de superficie corporal total)
espesor parcial, iniciales o posteriores; medio (por ejemplo,
cara, total o extremidad entera, o 5% a 10% de rea total de
superficie corporal)
espesor parcial, iniciales o posteriores; grande (por ejemplo,
ms de 1 extremidad, o 10% mayor que la superficie
corporal total)
Escarotoma, cada incisin adicional (Anote separadamente
Destruccin por cualquier mtodo, incluyendo lser, con o
sin curetaje quirrgico, todas las lesiones faciales benignos
o lesiones premalignas en cualquier lugar, o lesiones
benignas que no sean lesiones vasculares cutneas
proliferativas, incluyendo la anestesia local; lesiones
segundo y tercero, cada uno
criociruga, quimiociruga, curetaje quirrgico), las lesiones
premalignas (por ejemplo, queratosis actnica), en segundo
lugar a travs de 14 lesiones, cada una (lista por separado,
adems de codificar primera lesin)
Destruccin (por ejemplo, ciruga lser, electrociruga,
criociruga, quimiociruga, curetaje quirrgico), lesiones
premalignas (por ejemplo, queratosis actnica), 15 o ms
lesiones
Destruccin por cualquier mtodo, incluyendo lser, con o

sin curetaje quirrgico, todas las lesiones faciales benignos
o lesiones premalignas en cualquier lugar, o lesiones
benignas que no sean lesiones vasculares cutneas
proliferativas, incluyendo la anestesia local; lesin
complicada (s)
Destruccin por cualquier mtodo, incluyendo lser, de las
lesiones benignas de la piel distintos de lesiones vasculares
cutneas proliferativas en cualquier otra rea de la cara,
incluyendo la anestesia local; una lesin
La destruccin de las lesiones vasculares cutneas
proliferativas (por ejemplo, la tcnica de lser) y menos de
10 cm cuadrados
La destruccin de las lesiones proliferativas vasculares
cutneas (por ejemplo, la tcnica lser); 10,0 a 50,0 cm
cuadrados
La destruccin de las lesiones proliferativas vasculares
cutneas (por ejemplo, la tcnica de lser), ms de 50,0
centmetros cuadrados
criociruga, quimiociruga, curetaje quirrgico), de lesiones
benignas que no sean marcas en la piel o lesiones cutneas
proliferativas vasculares, puede tener hasta 14 lesiones
criociruga, quimiociruga, curetaje quirrgico), de lesiones
benignas que no sean marcas en la piel o lesiones cutneas
proliferativas vasculares; 15 o ms lesiones
Electroquirrgica destruccin de varias etiquetas
fibrocutaneous, puede tener hasta 15 lesiones
Destruccin de lesin maligna (por ejemplo, ciruga lser,
quirrgico), tronco, brazos o piernas; dimetro de la lesin
0,6 a 1,0 cm
1,1 a 2,0 cm
2,1 a 3,0 cm
3,1 a 4,0 cm
quirrgico), tronco, brazos o piernas; dimetro de la lesin a
travs de 4,0 cm

quirrgico), cuero cabelludo, cuello, manos, pies, genitales,
lesiones cm de dimetro 0,5 o menos
quirrgico), cuero cabelludo, cuello, manos, pies, genitales;
dimetro de la lesin 0,6 a 1,0 cm
dimetro de la lesin a travs de 4,0 cm
quirrgico), la cara, las orejas, los prpados, la nariz, los
labios, la mucosa; 0,5 cm de dimetro lesin o menos
labios, la mucosa; dimetro de la lesin 0,6 a 1,0 cm
labios, la mucosa; dimetro de la lesin a travs de 4,0 cm
Quimiociruga (tcnica microgrfica de Mohs), primera

etapa, la tcnica de tejido fijado incluyendo la remocin de
todo el tumor y la aplicacin del fijador
hematoxilina y eosina , azul de toluidina); segunda etapa, el
tejido fijo o fresco, hasta 5 muestras
hematoxilina y eosina , azul de toluidina); tercera etapa, el
tejido fijo o fresco, hasta 5 muestras
hematoxilina y eosina , azul de toluidina); etapa adicional
(s), hasta 5 muestras, cada etapa
hematoxilina y eosina , azul de toluidina); cada muestra
adicional, despus de las primeras 5 muestras, tejido fijo o
fresco, cualquier etapa (Lista por separado adems de
Microgrfica de Mohs tcnica, incluyendo la remocin de
todo el tumor, la extirpacin quirrgica de las muestras de
parte del cirujano, y la preparacin histopatolgica
incluyendo rutina mancha (s) (por ejemplo, hematoxilina y
eosina, azul de toluidina ), la cabeza, el cuello, las manos,
los pies, los genitales o cualquier lugar con la participacin
directa de la ciruga del msculo, cartlago, hueso,
tendones, nervios o vasos grandes, primera etapa, hasta 5
bloques de tejido

eosina, azul de toluidina ), la cabeza, el cuello, las manos,
los pies, los genitales o cualquier lugar con la participacin
directa de la ciruga del msculo, cartlago, hueso,
tendones, nervios o vasos principales, cada etapa adicional
despus de la primera etapa, hasta 5 bloques de tejido (lista
por separado en Adems de cdigo para el procedimiento
primario)
eosina, azul de toluidina ), del tronco, los brazos o las
piernas; una primera etapa, hasta 5 bloques de tejido
eosina, azul de toluidina ), del tronco, los brazos o las
piernas, cada etapa adicional despus de la primera etapa,
hasta 5 bloques de tejido (lista por separado adems del
eosina, azul de toluidina ), cada bloque adicional despus
de los bloques de tejido primero 5, cualquier etapa (lista por
Depilacin electrlisis, cada 30 minutos
Procedimiento no listados, la piel, las membranas mucosas
y el tejido subcutneo
Puncin de aspiracin de quiste de mama, cada quiste
adicional (Anote separadamente adems del cdigo para el
Ablacin, criociruga, de fibroadenoma, incluyendo la gua
del ultrasonido, cada fibroadenoma
Nipple exploracin, con o sin excisin de un solitario
conducto lactfero o un conducto lactfero papiloma
Escisin de la fstula del conducto lactfero
Escisin de lesin de mama identificados por la colocacin

preoperatoria de marcador radiolgico, abierto, lesin nica
Escisin de lesin de la mama identificados por la
colocacin preoperatoria de marcador radiolgico, abierta;
cada lesin adicional por separado, identificada por un
marcador radiolgico preoperatorio (Lista por separado
Mastectoma radical modificada, incluyendo los ganglios
linfticos axilares, con o sin msculo pectoral menor, pero
con exclusin de msculo pectoral mayor
Escisin de tumor de la pared torcica, con la participacin
de las costillas reconstruccin plstica; sin linfadenectoma
mediastnica
Colocacin preoperatoria de aguja alambre localizacin,
mama, cada lesin adicional (Anote separadamente
Colocacin guiada por imgenes, clip metlico localizacin,
percutnea, durante la biopsia de mama / aspiracin (Lista
por separado adems de cdigo para el procedimiento
primario)
La colocacin del catter de carga diferida radioterapia
expandible (nico o multicanal) en el seno de aplicacin
radioelemento intersticial despus de la mastectoma
parcial, incluye gua por imgenes, en fecha separada de la
mastectoma parcial
Colocacin de la radioterapia de carga diferida catter
expansible (solo o multicanal) en la mama para la aplicacin
radioelemento intersticial despus de la mastectoma
parcial, incluye gua por imgenes; concurrente con
mastectoma parcial (Lista por separado adems de cdigo
La colocacin de los catteres de braquiterapia de carga
diferida radioterapia (en tubos mltiples y de tipo botn) en
la mama para siguiente intersticial aplicacin radioelemento
(en el momento de o despus de) mastectoma parcial,
incluye imgenes orientacin
tilectoma, cuadrantectoma, segmentectoma);
tilectoma, cuadrantectoma, segmentectoma), con
linfadenectoma axilar
Mastectoma simple, completo
ganglios linfticos axilares
axilares y ganglios linfticos mamarios internos (operacin
de tipo urbano)
Mastectoma radical modificada, incluyendo los ganglios

linfticos axilares, con o sin msculo pectoral menor, pero
con exclusin de msculo pectoral mayor
La eliminacin del material de implante mamario
Retraso en la insercin de prtesis de seno mastopexia
siguiente, mastectoma o reconstruccin
Reconstruccin mamaria con colgajo muscular o
Reconstruccin mamaria con colgajo recto abdominal
transverso (TRAM), incluyendo el cierre de zona donante,
simple o doble pedculo, con o sin anastomosis
microvascular
transverso miocutneo (TRAM), de un solo pedculo cierre,
incluyendo por zona donante;
Reconstruccin mamaria con colgajo del msculo recto
abdominal transverso miocutneo (TRAM), de un solo
pedculo, incluyendo el cierre de la zona donante, con
anastomosis microvascular (sobrealimentacin)
transverso miocutneo (TRAM), haga doble pedculo,
incluyendo el cierre de la zona donante
Preparacin de moulage para implante mamario de ratn
Procedimiento Cotizadas, de mama
separado); pecho
separado); abdomen / costado / espalda
separado); extremidad
Escisin de barra epifisaria, con o sin injerto autgeno del
tejido blando obtenido a travs de la incisin fascial mismo
Biopsia muscular, profundo
Biopsia muscular percutnea con aguja
Biopsia, hueso, trocar o aguja; profundidad (por ejemplo, el
cuerpo vertebral fmur,)
Biopsia, hueso, abierto, superficial (por ejemplo, el ilion, el
esternn, apfisis espinosa, costillas, trocnter del fmur)
Biopsia, hueso, abierto, profundo (por ejemplo, el hmero, el
isquion, fmur)
Biopsia, cuerpo vertebral, abierto, torcica
Biopsia, cuerpo vertebral, abierto, lumbar o cervical
La inyeccin de tracto sinusal; diagnstico (sinograma)
Extraccin de cuerpo extrao en el msculo o vaina
tendinosa, profunda o complicada
Inyeccin, teraputico (por ejemplo, un anestsico local, un
corticosteroide), tnel carpiano
Inyeccin (s); vaina del tendn nico, o ligamento,
aponeurosis (por ejemplo, plantar "fascia")
Inyeccin (s), y el origen del tendn solo / insercin
Inyeccin (s); punto de disparo simple o mltiple (s), 1 o 2
msculo (s)
Inyeccin (s); punto de disparo simple o mltiple (s), 3 o

ms msculo (s)
La colocacin de agujas o catteres en el tejido muscular y /
o suave para la aplicacin posterior radioelemento
intersticial (en el momento de o despus del procedimiento)
Aspiracin y / o inyeccin de ganglin (s) cualquier lugar
Aplicacin de halo, incluyendo la eliminacin; plvico
Aplicacin de halo, incluyendo la eliminacin; femoral
La eliminacin de pinzas o de halo aplicada por otro mdico
Ajuste o revisin del sistema de fijacin externa que
requiere anestesia (por ejemplo, el nuevo PIN del [s] o
alambre [s] y / o nuevo ciclo [s] o en el bar [s])
Aplicacin de multiplano (clavos o alambres en ms de 1
plano), la fijacin unilateral, externo con estereotxica
asistida por ordenador de ajuste (por ejemplo, marco
espacial), incluyendo formacin de imgenes; alineacin
inicial y posterior (s), evaluacin (s), y la computacin ( s) de
ajuste horario (s)
Aplicacin de multiplano (clavos o alambres en ms de 1
plano), la fijacin unilateral, externo con estereotxica
asistida por ordenador de ajuste (por ejemplo, marco
espacial), incluyendo formacin de imgenes; intercambio
(es decir, supresin o sustitucin) de puntal, cada
Reimplantacin, brazo (incluye cuello quirrgico del hmero
a travs de la articulacin del codo); amputacin incompleta
(extremidad desvascularizado con pedculo de tejido blando)
Reimplantacin, antebrazo (cbito y radio incluye a carpo
radial); amputacin incompleta (extremidad
desvascularizado con pedculo de tejido blando)
Reimplantacin, mano (incluye mano a travs de las
articulaciones metacarpofalngicas); amputacin incompleta
Reimplantacin, dgito pulgar, excluyendo (incluye
articulacin metacarpofalngica a las inserciones de los
tendones flexores sublimis); amputacin incompleta
Reimplantacin, dgito pulgar, excluyendo (incluye punta
distal de la insercin del tendn sublimis), amputacin
completa
Reimplantacin, dgito pulgar, excluyendo (incluye punta
distal de la insercin del tendn sublimis); amputacin
incompleta (extremidad desvascularizado con pedculo de
tejido blando)
Reimplantacin, pulgar (articulacin carpometacarpiana

incluye a MP conjunta); amputacin incompleta (extremidad
Reimplantacin, con el pulgar (incluye punta distal al
conjunto MP), amputacin completa
Reimplantacin, con el pulgar (incluye punta distal MP
conjunta); amputacin incompleta (extremidad
Reimplantacin, pierna, amputacin completa
Reimplantacin, pierna, amputacin incompleta (extremidad
desvascularizado con los tejidos blandos pedculo)
Reimplantacin, pie, amputacin incompleta (extremidad
desvascularizado con los tejidos blandos pedculo)
Injerto seo, cualquier zona donante; mayor o grande
El cartlago del injerto; tabique nasal
La fascia lata injerto; por el expulsor
La fascia lata injerto; por, la incisin y la exposicin compleja
rea u hoja
Injerto del tendn, a distancia (por ejemplo, palmar, dedo del
pie extensor plantar)
Aloinjerto para la ciruga de columna nica; morselizado
Aloinjerto para la ciruga de columna nica; estructural (Lista
primario)
El autoinjerto para ciruga de la columna solamente (incluye
cosechar el injerto); local (por ejemplo, las costillas, apfisis
espinosa, o fragmentos laminares) obtenido de la misma
incisin (Lista por separado adems de cdigo para el
cosechar el injerto); morselizado (a travs de la piel por
separado o incisin fascial) (Lista por separado adems de
cosechar el injerto); estructural, bicortical o tricortical (a
travs de la piel por separado o incisin fascial) (Lista por
Injerto seo con anastomosis microvascular; cresta ilaca
Injerto seo con anastomosis microvascular; metatarsiano
Injerto seo con anastomosis microvascular; costilla
Injerto seo con anastomosis microvascular; excepto
peron, cresta ilaca, o metatarsiano
cresta ilaca
costilla

metatarsiano
dedo gordo con el espacio web
La estimulacin elctrica para ayudar a la curacin del
hueso, insercin percutnea de electrodos
Estimulacin de baja intensidad de ultrasonido para ayudar
a la curacin del hueso, no invasivo (no quirrgico)
Ablacin, tumor seo (s) (por ejemplo, osteoma osteoide,
metstasis) de radiofrecuencia, percutnea, incluyendo
computarizada gua tomogrfica
Asistida por ordenador de navegacin procedimiento
quirrgico para procedimientos musculoesquelticos,
imagen-less (Enumere por separado adems del cdigo
quirrgico para procedimientos musculoesquelticos, con
gua de imagen a partir de imgenes obtenidas durante la
ciruga (por ejemplo, fluoroscopia, ultrasonido) (Lista por
quirrgico para procedimientos musculoesquelticos, con
gua de imgenes basado en imgenes preoperatorias (lista
primario)
Procedimiento Cotizadas, sistema musculoesqueltico,
general
Artrotoma, la articulacin temporomandibular; bilateral
Escisin, tejido tumoral, de suave, cara o cuero cabelludo
subcutnea; menos de 2 cm
Escisin, tejido tumoral, suave de la cara o el cuero
cabelludo, subcutnea; 2 cm o mayor
Escisin, tejido tumoral, suave de la cara y del cuero
cabelludo, subfascial (por ejemplo, subgaleal,
intramuscular); menos de 2 cm
Escisin, tejido tumoral, de suave, la cara y el cuero
cabelludo subfascial (por ejemplo, subgaleal, intramuscular);
2 cm o ms
maligno), el tejido blando de la cara o el cuero cabelludo, 2
cm o mayor
Remocin por el contorno de un tumor benigno de hueso
facial (por ejemplo, la displasia fibrosa)
Escisin de torus palatino del maxilar
Excisin de quiste o tumor benigno de la mandbula;
complejo
Escisin de tumor benigno o quiste del maxilar inferior;
requiriendo intra-oral osteotoma (por ejemplo, lesin
localmente agresiva o destructiva (s))
Escisin de tumor benigno o un quiste de la mandbula;

mandibulectoma requieren extra-oral osteotoma y parcial
(por ejemplo, lesin localmente agresivo o destructivo (s))
Escisin de tumor benigno o quiste del maxilar; requiriendo
intra-oral osteotoma (por ejemplo, lesin localmente
agresiva o destructiva (s))
Escisin de tumor benigno o un quiste del maxilar;
maxilectoma requieren extra-oral osteotoma y parcial (por
ejemplo, lesin localmente agresivo o destructivo (s))
Coronoidectoma (procedimiento separado); bilateral
La manipulacin de la articulacin temporomandibular (s)
(ATM), teraputica, lo que requiere un servicio de anestesia
(es decir, general o cuidado anestsico monitorizado)
Impresin y preparacin personalizada; orbital prtesis
provisional
definitiva
Impresin personalizada y preparacin; reseccin
mandibular prtesis
Impresin personalizada y preparacin; aumento prtesis
palatal
Impresin personalizada y preparacin, ascensor prtesis
palatal
Impresin y preparacin personalizada; discurso ayuda
prtesis
Impresin personalizada y preparacin; frula quirrgica oral
Impresin y preparacin personalizada; prtesis auricular
Impresin y preparacin personalizada; prtesis nasal
Impresin y preparacin personalizada; prtesis facial
Cotizadas maxilofacial prtesis procedimiento
Aplicacin del aparato tipo halo para fijacin maxilofacial,
incluye la eliminacin (procedimiento separado)
Inyeccin procedimiento de artrografa de la articulacin
temporomandibular
Genioplastia; deslizante osteotoma, de una sola pieza
Genioplastia; osteotomas deslizantes, 2 o ms osteotomas
(por ejemplo, la escisin o la reversin de cua cua sea
de mentn asimtrica)
Genioplastia; deslizante, el aumento con injertos seos de
interposicin (incluye la obtencin de autoinjertos)
Aumento cuerpo mandibular o ngulo, con injerto seo,
onlay o interposicional (incluye la obtencin de autoinjerto)
Reduccin de la frente, contorno slo
Reduccin de la frente, el contorno y la aplicacin de
prtesis de material de injerto o hueso (incluye la obtencin
de autoinjerto)
Reduccin de la frente, contorno y retroceso de la pared

anterior del seno frontal
La reconstruccin del tercio medio facial, Lefort I, 2 piezas,
movimientos segmento en cualquier direccin, sin injerto
seo
La reconstruccin del tercio medio facial, Lefort I; 3 o ms
piezas, el movimiento del segmento en cualquier direccin,
sin injerto seo
La reconstruccin del tercio medio facial, Lefort I; intrusin,
pieza nica (por ejemplo, para el sndrome de cara larga)
Reconstruccin media de la cara, LeFort I; sola pieza,
movimiento del segmento en cualquier direccin, que
requieren injertos de hueso (incluye la obtencin de
autoinjertos)
Reconstruccin media de la cara, LeFort I; 2 piezas, el
movimiento del segmento en cualquier direccin, que
autoinjertos) (por ejemplo, no injertada alveolar unilateral
hendidura)
Reconstruccin media de la cara, LeFort I; 3 o ms piezas,
el movimiento del segmento en cualquier direccin, que
autoinjertos) (por ejemplo, no injertadas osteotomas
alveolares hendido bilateral o mltiple)
La reconstruccin del tercio medio facial, LeFort II; cualquier
direccin, que requieren injertos seos (incluye la obtencin
de autoinjertos)
La reconstruccin del tercio medio facial, Lefort III (extra e
intracraneal) con avance frente (por ejemplo, mono bloque),
que requieren injertos seos (incluye la obtencin de
autoinjertos); sin LeFort I
La reconstruccin del tercio medio facial, Lefort III (extra e
intracraneal) con avance frente (por ejemplo, mono bloque),
que requieren injertos seos (incluye la obtencin de
autoinjertos), con LeFort I
Reconstruccin, toda o la mayora de la frente y / o
supraorbital llantas, con autoinjerto (incluye la obtencin de
injertos)
Reconstruccin por el contorno de un tumor benigno de
huesos craneales (por ejemplo, la displasia fibrosa),
extracraneal
Reconstruccin de paredes orbitarias, llantas, frente,
nasoethmoid complejo escisin siguiente intra y
extracraneal de tumor benigno de hueso craneal (por
ejemplo, la displasia fibrosa), con autoinjertos mltiples
(incluye la obtencin de injertos); superficie total de injertos
seos de menos de 40 cm cuadrados

(incluye la obtencin de injertos); superficie total de injerto
seo mayor de 40 cm cuadrados, pero menos de 80 cm
cuadrados
(incluye la obtencin de injertos); superficie total de injerto
seo mayor de 80 cm cuadrados
Reconstruccin de la mandbula ramas y / o el cuerpo,
sagital, con fijacin interna rgida
Osteotoma, mandbula, segmentaria, con avance
geniogloso
Osteotoma (por ejemplo, para prognatismo, micrognatia,
apertognathism o para la reconstruccin); mandbula, total o
horizontal
Osteotoma (por ejemplo, para prognatismo, micrognatia,
apertognathism o para la reconstruccin), maxilar superior,
el total de
Osteoplastia, los huesos faciales, la reduccin
Injerto seo,; mandbula (incluye la obtencin del injerto)
Injerto; cartlago de la oreja, autgena, la nariz o la oreja
Artroplastia de articulacin temporomandibular, con
aloinjerto
Reconstruccin de la mandbula o el maxilar, implante
subperistico; completa
Reconstruccin de la mandbula o el maxilar, los implantes
endosteal (por ejemplo, hoja, cilindro); completa
Osteoplastia de maxilar superior y / o de otros huesos
faciales para hipoplasia o retrusin del tercio medio facial
(operacin LeFort tipo); sin injerto seo
Osteotomas periorbitaria para hipertelorismo orbital, con
injertos seos; enfoque extracraneal
injertos seos; enfoque combinado intra y extracraneal
injertos seos, con avance frente
Orbital osteotomas reposicionamiento, periorbital,
unilaterales, con injertos seos; enfoque extracraneal
Orbital osteotomas reposicionamiento, periorbital,
unilaterales, con injertos seos; enfoque combinado intra y
extracraneal
Medial cantopexia (procedimiento separado)
Cantopexia Lateral
Reduccin del msculo masetero y sea (por ejemplo, para
el tratamiento de la hipertrofia benigna maseterina);
abordaje extraoral
Reduccin del msculo masetero y sea (por ejemplo, para

el tratamiento de la hipertrofia benigna maseterina);
abordaje intraoral
Procedimiento Cotizadas craneofacial y maxilofacial
Tratamiento cerrado de fracturas del hueso nasal, con la
estabilizacin
Tratamiento abierta de fractura nasal; complicada, con
fijacin esqueltica interna y / o externa
Tratamiento abierto de fractura nasal, con el tratamiento
concomitante abierta de fractura de tabique
Abra el tratamiento de la fractura nasoethmoid, con fijacin
externa
Tratamiento abierto de complicado (por ejemplo, la pared
posterior, triturada o participacin) fractura del seno frontal,
a travs de enfoques coronal o mltiples
tipo II), con injerto seo (incluye obtencin del injerto)
Tratamiento abierto de complicado (por ejemplo, triturada o
formenes que implica los nervios craneales) fractura (s) de
rea malar, incluyendo arco cigomtico y trpode malar; con
el injerto seo (incluye la obtencin de injerto)
enfoque periorbital
enfoque combinado
enfoque periorbitaria, con implantes aloplsticos o de otro
tipo
enfoque periorbital con injerto seo (incluye obtencin del
injerto)
Cerrado el tratamiento de la fractura de la rbita, excepto
reventn; con la manipulacin
Abrir el tratamiento de la fractura de la rbita, excepto
reventn; con implante
Tratamiento abierto de fractura de rbita, excepto reventn,
con injerto seo (incluye obtencin del injerto)
Tratamiento abierto de fractura palatal o maxilar (Lefort tipo
I); complicadas (triturado o en relacin con agujeros par
craneal), mltiples enfoques
Tratamiento abierto de separacin craneofacial (tipo Lefort
III); complicadas (por ejemplo, triturado o en relacin con
agujeros par craneal), mltiples abordajes quirrgicos
III); complicada, utilizando tcnicas de fijacin interna y / o
externa (por ejemplo, tapa de la cabeza, el dispositivo de
halo, y / o la fijacin intermaxilar)

III), enfoques quirrgicos complejos, mltiples, fijacin
interna, con injerto seo (incluye obtencin del injerto)
Cerrado el tratamiento de la fractura mandibular, con la
manipulacin
Cerrado el tratamiento de manipulacin por la fijacin de la
fractura mandibular interdental cerrado o abierto
Tratamiento cerrado de dislocacin temporomandibular;
complicadas (por ejemplo, requiere la fijacin intermaxilar
recurrente o frulas), inicial o subsiguiente
Cerrado el tratamiento de la fractura del hioides, con
manipulacin
Cableado interdental, por motivos que no sean fractura
Cotizadas procedimiento musculoesqueltico cabeza,
Incisin y drenaje, absceso profundo o hematoma, tejidos
blandos del cuello o en el trax, con ostectoma costilla
parcial
Biopsia, tejido blando del cuello o trax
Escisin, tejido tumoral, suave de cuello o trax anterior,
subcutnea; 3 cm o mayor
subfascial (por ejemplo, intramuscular); 5 cm o mayor
subfascial (por ejemplo, intramuscular); menos de 5 cm
maligno), el tejido blando de cuello o trax anterior; menos
de 5 cm
maligno), tejidos blandos del cuello o trax anterior; 5 cm o
mayor
Escisin primera y / o la costilla cervical;
Escisin primera y / o cervical costilla; con la simpatectoma
La reseccin radical del esternn, con linfadenectoma
mediastnica
La reseccin radical del esternn, por osteomielitis
Miotoma del hioides y suspensin
Divisin del escaleno anticus, con reseccin de costilla
cervical
Divisin del esternocleidomastoideo por tortcolis, operacin
abierta, con la aplicacin del yeso
carinatum; abordaje mnimamente invasivo (procedimiento
de Nuss), sin toracoscopia
carinatum; abordaje mnimamente invasivo (procedimiento
de Nuss), con toracoscopia
Procedimiento Cotizadas, el cuello o el trax
Biopsia de tejidos blandos de la espalda o el flanco;
superficial
Biopsia de tejidos blandos de la espalda o el flanco, en el
fondo
La escisin, el tejido tumoral y suave de costado o de

espalda, subcutnea, 3 cm o mayor
Escisin, tejido tumoral, suave de costado o de espalda,
La escisin, el tejido tumoral y suave de la espalda o el
flanco, subfascial (por ejemplo, intramuscular); 5 cm o
mayor
maligno), el tejido blando de costado o de espalda; 5 cm o
mayor
La incisin y drenaje, abierto, de un absceso profundo
(subfascial), la columna vertebral posterior, cervical, torcica
o cervicotorcica
(subfascial), la columna vertebral posterior, cervical, torcica
o cervicotorcica
(subfascial), la columna vertebral posterior, lumbar, sacra o
lumbosacra
sea intrnseca, un solo segmento vertebral; torcica
sea intrnseca, un solo segmento vertebral; lumbar
Reseccin parcial del componente vertebral posterior (por
ejemplo, apfisis espinosa, lmina o faceta) para lesin
sea intrnseca, solo segmento vertebral; cada segmento
Reseccin parcial del componente vertebral para el tumor
(por ejemplo, facetectoma, parcial, sin injerto primario);
cervical
torcica
lumbar
Reseccin parcial del cuerpo vertebral, por lesin sea
intrnseca, sin descompresin de la raz de la mdula
espinal o el nervio (s), segmento vertebral nico; cervical
espinal o el nervio (s), segmento vertebral nico; torcica
espinal o el nervio (s), segmento vertebral nico; lumbar

intrnseca, sin descompresin de la mdula espinal o de la
raz del nervio (s), segmento vertebral nico, cada segmento
vertebral adicional (Lista por separado adems de cdigo
Reconstruccin de la espina dorsal con injerto seo
(autoinjerto, aloinjerto) y / o reseccin de metilo siguiente de
cuerpo vertebral nico; cervical
(autoinjerto, aloinjerto) y / o metacrilato de metilo despus
de la reseccin del cuerpo vertebral nico; torcica
(autoinjerto, aloinjerto) y / o reseccin de metilo siguiente de
cuerpo vertebral nico; lumbar
Reconstruccin de la columna vertebral despus de la
reseccin del cuerpo vertebral, cada cuerpo vertebral
adicional
La recoleccin de autoinjerto seo para la reconstruccin
vertebral despus de corporectoma vertebral
Reconstruccin de la columna vertebral con reseccin
prefabricado sustitucin protsica despus de una o ms
cuerpos vertebrales, cervical
Reconstruccin de la columna vertebral con prefabricados
despus de la reseccin de prtesis de reemplazo de uno o
ms cuerpos vertebrales; torcica
Reconstruccin de la columna vertebral con prefabricados
despus de la reseccin de prtesis de reemplazo de uno o
ms cuerpos vertebrales; lumbar
posterolateral, 3 columnas, un segmento vertebral (por
ejemplo, peduncular / cuerpo vertebral resta); torcica
posterolateral, 3 columnas, un segmento vertebral (por
ejemplo, peduncular / cuerpo vertebral resta); lumbar
Osteotoma de la columna vertebral, abordaje posterior o
posterolateral, 3 columnas, 1 segmento vertebral (por
ejemplo, pedculo / cuerpo vertebral sustraccin); cada
segmento vertebral adicional (Lista por separado adems de
posterolateral, un segmento vertebral; torcica
posterolateral, un segmento vertebral; lumbar
Osteotoma de la columna vertebral, abordaje posterior o
posterolateral, 1 segmento vertebral; cada segmento
vertebral adicional (Lista por separado adems de
torcica

lumbar
Osteotoma de la columna vertebral, incluyendo
discectoma, abordaje anterior, solo segmento vertebral;
cada segmento vertebral adicional (lista por separado
La osteotoma de la columna vertebral, cualquier enfoque,
cada segmento adicional
Tratamiento cerrado de fractura vertebral (s) y / o
dislocacin (s) que requiere a enyesar, con y que incluyen
fundicin y / o fijacin, con o sin anestesia, por manipulacin
o traccin
Abrir el tratamiento y / o la reduccin de la fractura de
odontoides (s) y o dislocacin (s) (incluyendo os
odontoideo), abordaje anterior, incluyendo la colocacin de
la fijacin interna; con injerto
fracturada o dislocada segmento; cervical
fracturada o dislocada segmento; torcica
fracturada o dislocada segmento, cada vrtebra fracturada o
segmento adicional dislocado (lista por separado adems
La vertebroplastia percutnea, un cuerpo vertebral, la
inyeccin unilateral o bilateral; torcica
La vertebroplastia percutnea, cuerpo vertebral 1, la
inyeccin unilateral o bilateral; lumbar
La vertebroplastia percutnea, un cuerpo vertebral, la
inyeccin unilateral o bilateral, cada cuerpo vertebral
adicional torcica o lumbar (Haga una lista por separado
Refuerzo vertebral percutneo, incluyendo la creacin
cavidad (reduccin de la fractura y el hueso cuando se
realiza una biopsia incluido) con dispositivo mecnico, un
cuerpo vertebral, la canalizacin unilateral o bilateral (por
ejemplo, la cifoplastia); torcica
Refuerzo vertebral percutneo, incluyendo la creacin
cavidad (reduccin de la fractura y el hueso cuando se
realiza una biopsia incluido) con dispositivo mecnico, un
cuerpo vertebral, la canalizacin unilateral o bilateral (por
ejemplo, la cifoplastia); lumbar
Refuerzo vertebral percutneo, incluyendo la creacin de la

cavidad (reduccin de la fractura y la biopsia de hueso
incluido cuando se realiza) mediante dispositivo mecnico, 1
cuerpo vertebral, unilateral o bilateral canulacin (por
ejemplo, la cifoplastia); cada cuerpo vertebral adicional
torcica o lumbar (Lista por separado adems de cdigo
para procedimiento primario)
Percutnea intradiscal electrotrmica anuloplastia, unilateral
o bilateral, incluyendo orientacin fluoroscpica; solo nivel
Percutnea intradiscal electrotrmica anuloplastia, unilateral
o bilateral, incluyendo la orientacin fluoroscpica; 1 o ms
niveles adicionales (lista por separado adems del cdigo
Artrodesis, tcnica lateral extracavitary, incluyendo
discectoma mnimo para preparar intermedio (que no sean
para la descompresin); torcica
para la descompresin); lumbar
discectoma mnimo para preparar espacio intermedio (que
no sean para la descompresin); torcica o lumbar, cada
segmento vertebral adicional (Lista por separado adems de
Artrodesis, anterior intersomtica tcnica, incluyendo
para la descompresin); cervical por debajo de C2
para la descompresin); torcica
para la descompresin); lumbar
Artrodesis, tcnica anterior intersomtica, incluyendo
discectoma mnimo para preparar espacio intermedio (que
no sean para la descompresin); cada espacio intermedio
Artrodesis, tcnica posterior, atlas-axis (C1-C2)
Artrodesis, tcnica posterior o posterolateral, un solo nivel;
cervical debajo del segmento C2
Artrodesis, tcnica posterior o posterolateral, un solo nivel;
torcica (con o sin tcnica transversal lateral)
Artrodesis, tcnica posterior o posterolateral, solo nivel;
lumbar (con o sin tcnica transversal lateral)
Artrodesis, tcnica posterior o posterolateral, un solo nivel,
cada segmento vertebral adicional (Anote separadamente
Artrodesis, tcnica lateral proceso transversal, con hueso

local o aloinjerto de hueso y / o fijacin de alambre interno,
lumbar
Artrodesis, tcnica intersomtica posterior, incluida la
laminectoma y / o discectoma para preparar intermedio
(que no sean para la descompresin), espacio simple;
lumbar
Artrodesis, tcnica intercorporal posterior, incluyendo
laminectoma y / o discectoma para preparar espacio
intermedio (que no sean para la descompresin), espacio
intermedio nico; cada espacio intermedio adicional (Lista
primario)
Artrodesis, tcnica posterior, transversal proceso
posterolateral o lateral, cada espacio adicional
Artrodesis, posterior, por deformidad de la columna, con o
sin reparto; 7 a 12 segmentos vertebrales
Artrodesis, posterior, por deformidad de la columna, con o
sin reparto; 13 o ms segmentos vertebrales
molde; 4 a 7 segmentos vertebrales
molde; 8 o ms segmentos vertebrales
Kyphectomy, exposicin circunferencial de la columna
vertebral y la reseccin del segmento vertebral (s)
(incluyendo el cuerpo y los elementos posteriores); 3 o ms
segmentos
La recoleccin de autoinjerto seo a travs de incisin
separada (por ejemplo, ilion, el peron) para artrodesis
espinal
sublaminares), 7 a 12 segmentos vertebrales (una lista por
primario)
sublaminares); 13 o ms segmentos vertebrales (una lista
primario)
Anterior instrumentacin, de 4 a 7 segmentos vertebrales
(una lista por separado adems del cdigo para el
Anterior instrumentacin, 8 o ms segmentos vertebrales
(una lista por separado adems del cdigo para el
Artroplastia total de disco (disco artificial), abordaje anterior,
incluyendo discectoma con la preparacin de la placa final
(incluye osteophytectomy de raz nerviosa o la
descompresin de la mdula espinal y microdiseccin),
espacio simple, cervical
Artroplastia total de disco (disco artificial), abordaje anterior,

incluyendo discectoma para preparar intermedio (que no
sean para la descompresin), espacio simple, lumbar
Revisin incluyendo el reemplazo de la artroplastia total de
disco (disco artificial), abordaje anterior, espacio simple;
cervical
Revisin incluyendo el reemplazo de la artroplastia total de
disco (disco artificial), abordaje anterior, espacio simple;
lumbar
La eliminacin de la artroplastia total de disco (disco
artificial), abordaje anterior, espacio simple; cervical
La eliminacin de la artroplastia total de disco (disco
artificial), abordaje anterior, espacio simple; lumbar
Procedimiento Cotizadas columna vertebral,
Escisin, tejido tumoral, suave de la pared abdominal,
La escisin, el tejido tumoral y suave de la pared abdominal,
subcutnea, menos de 3 cm
maligno), el tejido blando de la pared abdominal; menos de
5 cm
maligno), el tejido blando de la pared abdominal; 5 cm o
mayor
Procedimiento Cotizadas, abdomen, sistema msculoesqueltico
Liberacin contractura capsular (por ejemplo, Sever
procedimiento tipo)
La incisin y drenaje, el rea del hombro; bursa infectada
Biopsia, tejido blando de rea de los hombros; superficial
Biopsia, tejido blando de zona de los hombros, en el fondo
Escisin, tejido tumoral, suave de rea del hombro,
La escisin, el tejido tumoral y suave de rea del hombro,
subcutnea, menos de 3 cm
maligno), el tejido blando de la zona de los hombros: cm 5 o
ms
Artrotoma, articulacin glenohumeral, incluyendo la biopsia
Artrotoma, articulacin acromioclavicular o

esternoclavicular, incluyendo la biopsia y / o escisin de
cartlago desgarrado
Artrotoma; articulacin glenohumeral, con sinovectoma,
con o sin biopsia
Artrotoma; articulacin esternoclavicular, con sinovectoma,
con o sin biopsia
Artrotoma, articulacin glenohumeral, con la exploracin de
las articulaciones, con o sin extirpacin de cuerpo suelto o
extranjeras
Claviculectoma, total
clavcula o escpula, con autoinjerto (incluye la obtencin
del injerto)
clavcula o escpula, con aloinjerto
hmero proximal;
hmero proximal, con autoinjerto (incluye la obtencin del
injerto)
hmero proximal, con aloinjerto
absceso seo), escpula
diaphysectomy) sea (por ejemplo, osteomielitis), escpula
diaphysectomy) sea (por ejemplo, osteomielitis), hmero
proximal
Reseccin, cabeza humeral
La reseccin radical del tumor; escpula
La reseccin radical del tumor seo, hmero proximal, con
La reseccin radical del tumor seo, hmero proximal, con
sustitucin protsica
Extraccin de cuerpo extrao hombro, en el fondo (por
ejemplo, la eliminacin hemiartroplastia Neer)
Inyeccin procedimiento de artrografa de hombro o la TC /
RM artrografa de hombro
Transferencia de msculo, cualquier tipo de brazo, hombro
o parte superior; mltiple
Tenotoma, zona de los hombros, tendones mltiples a
travs de la misma incisin
La reparacin del manguito de ruptura musculotendinosa
(manguito por ejemplo, los rotadores) abierto; crnica
Capsulorrafia, anterior, con la reparacin del labrum (por
ejemplo, el procedimiento de Bankart)
Capsulorrafia, anterior, cualquier tipo; con bloque de hueso
Capsulorrafia, anterior, de cualquier tipo, con la
transferencia de apfisis coracoides
Capsulorrafia, articulacin glenohumeral, cualquier tipo

multi-direccional inestabilidad
Artroplastia de la articulacin glenohumeral, total hombro
(glenoide y la sustitucin del hmero proximal (por ejemplo,
el total de hombro))
Osteotoma, clavcula, con o sin fijacin interna; con injerto
de hueso para falta de unin o unin defectuosa (incluye
obtencin de injerto y / o de fijacin necesario)
cableado) con o sin metilmetacrilato; hmero proximal
Cerrado el tratamiento de la fractura clavicular, con
manipulacin
El tratamiento de la fractura clavicular abierta, con cierre de
tejido blando sin complicaciones
Cerrado el tratamiento de la luxacin esternoclavicular, con
manipulacin
Abrir el tratamiento de la luxacin esternoclavicular, aguda o
crnica, con injerto fascial (incluye la obtencin del injerto)
Cerrado el tratamiento de la luxacin acromioclavicular, con
manipulacin
Tratamiento de la luxacin acromioclavicular abierta, aguda
o crnica, con injerto fascial (incluye la obtencin del injerto)
Cerrado el tratamiento de la fractura escapular; con la
manipulacin, con o sin traccin esqueltica (con o sin
afectacin articular del hombro)
El tratamiento de la fractura escapular abierta, con cierre de
Tratamiento cerrado de hmero proximal (cuello quirrgico o
anatmico) fractura, con la manipulacin, con o sin traccin
esqueltica
El tratamiento de la humeral abierto (cuello quirrgico o
anatmico) fractura, con cierre sin complicaciones del tejido
blando
Tratamiento abierto de hmero proximal (cuello quirrgico o
anatmica) fractura, incluye la fijacin interna, cuando se
realiza, incluye la reparacin de tuberosidad (s), cuando se
realiza, con humeral proximal sustitucin protsica
Cerrado el tratamiento de la fractura de la tuberosidad
mayor del hmero; con la manipulacin
Cerrado el tratamiento de la luxacin de hombro, con la
manipulacin, que requiere anestesia
El tratamiento de la luxacin de hombro abierto, con cierre
sin complicaciones del tejido blando
Abrir el tratamiento de la luxacin de hombro, con fractura
de la tuberosidad mayor del hmero, incluye la fijacin
Cerrado el tratamiento de la luxacin de hombro, con
fractura del cuello quirrgico o anatmico, con la
manipulacin
Abrir el tratamiento de la luxacin de hombro, con fractura

del cuello quirrgico o anatmico, incluye la fijacin interna,
cuando se realiza
Artrodesis, articulacin glenohumeral, con injerto autlogo
Desarticulacin del hombro, cierre secundario o revisin de
cicatrices
Procedimiento Cotizadas hombro,
La incisin y drenaje, brazo o regin del codo; bursa
Biopsia, tejido blando de brazo o regin del codo; superficial
Biopsia, tejido blando de brazo o regin del codo; profunda
(subfascial o intramuscular)
Escisin, tejido tumoral, suave de brazo superior o el rea
del codo, subcutnea; 3 cm o mayor
del codo, subfascial (por ejemplo, intramuscular); 5 cm o
mayor
del codo, subfascial (por ejemplo, intramuscular); menos de
5 cm
maligno), el tejido blando de la parte superior del brazo o
regin del codo; 5 cm o mayor
Artrotoma, el codo, con biopsia sinovial slo
Artrotoma, el codo, con la exploracin de las articulaciones,
con o sin biopsia, con o sin extirpacin de cuerpo suelto o
extranjeras
Artrotoma, el codo, con sinovectoma
Escisin o legrado de quiste seo o tumor benigno, hmero,
con autoinjerto (incluye la obtencin del injerto)
Escisin o legrado de quiste seo o tumor benigno, hmero,
con aloinjerto
cabeza o el cuello del radio o el proceso del olcranon;
cabeza o el cuello del radio o el proceso del olcranon, con
cabeza o el cuello del radio o el proceso del olcranon, con
aloinjerto
absceso seo), cabeza del radio o del cuello
absceso seo), olcranon
diaphysectomy) sea (por ejemplo, osteomielitis), la cabeza
o el cuello radial
diaphysectomy) sea (por ejemplo, osteomielitis), olcranon
La reseccin radical del tumor para hmero, eje o distal, con
La reseccin radical del tumor de la cabeza, cuello o radial

La reseccin radical del tumor de la cabeza, cuello o radial,
La retirada del implante, la cabeza radial
Inyeccin procedimiento de artrografa codo
La manipulacin, el codo, bajo anestesia
Flexor-plastia, el codo (por ejemplo, el avance Steindler
tipo), con avance del extensor
Tenlisis, trceps
Reparacin, tendn o msculo, parte superior del brazo o el
codo, tendn o cada msculo, primaria o secundaria (se
excluye el manguito de los rotadores)
La reparacin del ligamento colateral lateral, el codo, con los
tejidos locales
Reconstruccin del ligamento colateral lateral, codo, con
injerto de tendn (incluye la recoleccin de injerto)
Reparacin del ligamento colateral medial, el codo, con los
tejidos locales
Reconstruccin del ligamento colateral medial, el codo, con
injerto de tendn (incluye la recoleccin de injerto)
Fasciotoma, lateral o medial (codo por ejemplo, el tenis o
epicondilitis), con desprendimiento de origen del extensor
Fasciotoma, lateral o medial (codo por ejemplo, el tenis o
epicondilitis), con reseccin del ligamento anular
tenista o epicondilitis), con el pelado
tenista o epicondilitis), con ostectoma parcial
Tenotoma, codo, lateral o medial (por ejemplo, epicondilitis,
codo de tenista, codo de golfista); percutnea
codo de tenista, codo de golfista); desbridamiento, el tejido
blando y / o hueso, abierto
codo de tenista, codo de golfista); desbridamiento, de tejido
blando y / o hueso, abierto con la reparacin del tendn o
reinsercin
Artroplastia de codo, con humeral distal reemplazo protsico
Artroplastia de codo, con el implante y la reconstruccin del
ligamento fascia lata
Artroplastia de codo con el hmero distal y cbito proximal
reemplazo protsico (codo por ejemplo, total)
Artroplastia de cabeza radial;
Artroplastia de cabeza radial, con implante
Osteotomas mltiples con reajuste de la varilla
intramedular, difisis humeral (procedimiento Sofield tipo)
Reparacin de falta de unin o mala unin, el hmero, con
ilaca o autoinjerto otro (incluye obtencin del injerto)
Cerrado el tratamiento de la fractura de la difisis humeral;

con la manipulacin, con o sin traccin esqueltica
El tratamiento de la fractura cerrada difisis humeral;
insercin percutnea de pasador o varilla
El tratamiento de las fracturas abiertas, difisis humeral, con
el cierre del tejido blando sin complicaciones
El tratamiento de la fractura de la difisis humeral, con la
insercin del implante intramedular, con o sin tornillos de
cerclaje y / o el bloqueo
Tratamiento cerrado de fractura supracondlea humeral o
transcondilar, con o sin extensin intercondlea; sin
manipulacin
Tratamiento de supracondlea humeral o fractura cerrada
transcondilar, sin manipulacin, con traccin (pin o piel)
Tratamiento cerrado de fractura supracondlea humeral o
transcondilar, con o sin extensin intercondlea, con
manipulacin, con o sin piel o traccin esqueltica
Tratamiento de supracondlea humeral o fractura cerrada
transcondilar, con la manipulacin, con traccin (pin o piel)
Tratamiento de supracondlea humeral abierto o fractura
transcondilar, con el cierre del tejido blando sin
complicaciones;
Tratamiento abierto de supracondlea humeral o fractura
transcondilar, incluye la fijacin interna, cuando se realiza,
con extensin intercondlea
Tratamiento cerrado de fracturas del epicndilo humeral
medial o lateral, sin manipulacin
Tratamiento cerrado de fracturas del epicndilo humeral
medial o lateral, con la manipulacin
Fijacin percutnea de las fracturas del esqueleto del
epicndilo humeral medial o lateral, con la manipulacin
El tratamiento de la fractura abierta del epicndilo humeral
medial o lateral, con cierre sin complicaciones del tejido
blando
Tratamiento abierto de fractura humeral epicondylar, medial
o lateral, incluye la fijacin interna, cuando se realiza
Tratamiento cerrado de fracturas del cndilo humeral,
medial o lateral, sin manipulacin
Tratamiento cerrado de fracturas del cndilo humeral,
medial o lateral, con la manipulacin
El tratamiento de las fracturas abiertas, cndilo humeral,
medial o lateral, con cierre de tejido blando sin
complicaciones
Tratamiento abierto de fractura del cndilo humeral, medial
o lateral, incluye la fijacin interna, cuando se realiza
El tratamiento de la fractura cerrada codo triturada (hmero

fractura distal y / o proximal del cbito y / o radio proximal),
el tratamiento con traccin, (pin o de la piel); sin
manipulacin
El tratamiento de la fractura cerrada codo triturada (fractura
de hmero distal y / o proximal del cbito y / o radio
proximal), el tratamiento con traccin, (pin o de la piel); con
la manipulacin
Fijacin percutnea de las fracturas del cndilo del
esqueleto hmero, medial o lateral, con la manipulacin
El tratamiento de las fracturas abiertas, codo triturada
(hmero fractura distal y / o proximal del cbito y / o radio
proximal), con el cierre del tejido blando sin complicaciones
Abrir el tratamiento de la fractura de codo cerrada o abierta
conminuta (fractura del hmero distal y proximal / o cbito /
radio), con o sin fijacin esqueltica interna o externa;
Tratamiento abierto de fractura periarticular y / o luxacin del
codo (fractura de hmero distal y cbito proximal y / o radio
proximal), con artroplastia con implante
Abrir el tratamiento de la fractura de codo cerrada o abierta
conminuta (fractura del hmero distal y proximal / o cbito /
radio), con o sin fijacin esqueltica interna o externa, con
los implantes y la reconstruccin del ligamento fascia lata
El tratamiento de la luxacin de codo cerrada, que requiere
anestesia
El tratamiento de la luxacin del codo abierta, con cierre de
los tejidos blandos sin complicaciones
El tratamiento de tipo abierto de Monteggia fractura-luxacin
en el codo (fractura de extremo proximal del cbito con
luxacin de la cabeza radial), con cierre de los tejidos
blandos sin complicaciones
Tratamiento cerrado de fractura de cabeza radial o cuello,
con la manipulacin
Tratamiento de la cabeza radial abierta o fractura de cuello,
con cierre sin complicaciones del tejido blando
Tratamiento abierto de la cabeza radial o fractura de cuello,
incluye la fijacin interna o extirpacin de la cabeza radial,
cuando se realiza, con la cabeza radial reemplazo protsico
Tratamiento cerrado de fractura cubital, el extremo proximal
(por ejemplo, olcranon o proceso coronoides [es]), con
manipulacin
El tratamiento de la fractura cubital abierto, el extremo
proximal (olcranon), con cierre de tejido blando sin
complicaciones
Artrodesis, articulacin del codo, con injerto autlogo
Amputacin, brazo con el hmero; abierto, circular
(guillotina)
Amputacin, brazo con el hmero; cierre secundario o

revisin de cicatriz
Amputacin, brazo con el hmero; re-amputacin
Amputacin, brazo a travs del hmero, con implante
Cineplasty, extremidad superior, procedimiento completo
Procedimiento Cotizadas, hmero o el codo
Incisin, la vaina del tendn flexor, la mueca (por ejemplo,
flexor radial del carpo)
Incisin vaina del tendn, en la mueca para la tenosinovitis
estenosante otro
Fasciotoma descompresin, antebrazo y / o mueca, flexor
o el compartimento extensor, con desbridamiento de
Fasciotoma descompresin, antebrazo y / o mueca,
flexores y extensores de compartimiento, sin desbridamiento
de msculo viable y / o nervio
Fasciotoma descompresin, antebrazo y / o mueca,
flexores y extensores de compartimiento, con
desbridamiento de msculo viable y / o nervio
La incisin y drenaje, antebrazo y / o mueca; bursa
Biopsia, tejido blando de antebrazo y / o mueca; superficial
Biopsia, tejido blando de antebrazo y / o mueca; profundo
Escisin, tejido tumoral, suave de antebrazo y / o rea de la
mueca, subcutnea; 3 cm o mayor
mueca, subfascial (por ejemplo, intramuscular); 3 cm o
mayor
mueca, subfascial (por ejemplo, intramuscular); menos de
3 cm
maligno), el tejido blando de antebrazo y / o zona de la
mueca; 3 cm o mayor
Artrotoma, articulacin de la mueca, con la exploracin de
las articulaciones, con o sin biopsia, con o sin extirpacin de
cuerpo suelto o extranjeras
Artrotoma, articulacin radio-cubital distal incluyendo la
reparacin del cartlago triangular, complejo
Escisin de tendn, antebrazo y / o de la mueca, flexores o
extensores, cada uno
Extirpacin de ganglio, mueca (dorsal o palmar); recurrente
Escisin radical de la bursa, lquido sinovial de la mueca o
el antebrazo vainas tendinosas (por ejemplo, tenosinovitis,
hongos, tuberculosis, o granulomas otros, artritis
reumatoide), extensores, con o sin adaptacin del retinculo
dorsal
La sinovectoma, la vaina del tendn extensor, mueca, solo
compartimiento, con reseccin del cbito distal

olcranon), con autoinjerto (incluye la obtencin del injerto)
olcranon), con aloinjerto
Escisin o legrado de quiste seo o tumor benigno de
huesos del carpo;
Escisin o legrado de quiste seo o tumor benigno de los
huesos del carpo, con autoinjerto (incluye la obtencin del
injerto)
Escisin o legrado de quiste seo o tumor benigno de los
huesos del carpo, con aloinjerto
diaphysectomy) de hueso (por ejemplo, para la
osteomielitis), radio
Escisin cbito distal parcial o completa (por ejemplo,
Darrach tipo o reseccin coincide)
Inyeccin procedimiento de artrografa de mueca
La eliminacin de prtesis de mueca; complicado, incluso
total de la mueca
La manipulacin, mueca, bajo anestesia
mueca; secundaria, solo, cada tendn o msculo
mueca; secundaria, con injerto libre (incluye obtencin del
injerto), cada tendn o msculo
Reparacin, tendn o msculo, extensor, antebrazo y / o
mueca; primaria, solo, cada tendn o msculo
mueca; secundaria, solo, cada tendn o msculo
mueca; secundaria, con injerto libre (incluye obtencin del
injerto), cada tendn o msculo
Reparacin, vaina del tendn, extensor, antebrazo y / o
mueca, con injerto libre (incluye obtencin del injerto) (por
ejemplo, para extensor cubital del carpo subluxacin)
Tenodesis en la mueca, extensores de los dedos
Trasplante de tendn o de transferencia, flexor o extensor,
antebrazo y / o de la mueca, solo, con injerto de tendn (s)
(incluye la obtencin de injerto), cada tendn
Flexor diapositiva origen (por ejemplo, para la parlisis
cerebral, la contractura de Volkmann), antebrazo y / o
mueca, con tendn (s) de transferencia
Flexor diapositiva origen de la contractura de Volkmann
Artroplastia de mueca;
Osteotoma, radio, media o proximal tercera
Osteotoma; cbito
Osteotoma, radio y cbito
Osteotomas mltiples, con la realineacin en varilla

intramedular (procedimiento Sofield tipo); radio o el cbito
Osteotomas mltiples, con la realineacin en varilla
intramedular (procedimiento Sofield tipo), el radio y el cbito
Osteoplastia, el radio o el cbito, alargamiento con
autoinjerto
Osteoplastia, el radio y el cbito, acortamiento (excluyendo
64876)
Osteoplastia, el radio y el cbito, alargamiento con
autoinjerto
Osteoplastia, los huesos del carpo, acortando
Reparacin de falta de unin o mala unin, el radio o el
cbito; sin injerto (por ejemplo, la tcnica de compresin)
Reparacin de falta de unin o mala unin, el radio o el
cbito, con autoinjerto (incluye la obtencin del injerto)
Reparacin de falta de unin o mala unin, el radio y el
cbito, sin injerto (por ejemplo, la tcnica de compresin)
Reparacin de falta de unin o mala unin, el radio y el
cbito, con autoinjerto (incluye la obtencin del injerto)
La reparacin del defecto con autoinjerto, radio o cbito
La reparacin del defecto con autoinjerto, el radio y el cbito
La insercin del pedculo vascular en el hueso del carpo
(por ejemplo, Hori procedimiento)
Reparacin de pseudoartrosis de los huesos del carpo
(excepto escafoides carpiano (navicular)) (incluye la
obtencin de fijacin del injerto y necesario), cada hueso
La artroplastia con reemplazo protsico; distal del cbito
La artroplastia con reemplazo protsico; escafoides
carpiano (navicular)
La artroplastia con reemplazo protsico; semilunar
La artroplastia con reemplazo protsico; trapecio
La artroplastia con reemplazo protsico; distal del radio y el
carpo parcial o total (total de mueca)
Artroplastia de interposicin, las articulaciones
carpometacarpiana o intercarpianas
Acortamiento seo por epifisiodesis o grapado; distal del
radio y el cbito
cableado) con o sin metilmetacrilato; cbito
cableado) con o sin metilmetacrilato, radio y cbito
Tratamiento cerrado de fractura de la difisis radial, con la
manipulacin
El tratamiento de las fracturas abiertas eje radial, con el
cierre del tejido blando sin complicaciones
Tratamiento cerrado de fractura de la difisis radial y
tratamiento cerrada de la luxacin de la articulacin radiocubital distal (fractura de Galeazzi / dislocacin)

la fijacin interna, cuando se realiza, y el tratamiento
cerrada de la luxacin radiocubital distal articular (fracturas
de Galeazzi / luxacin), incluye la fijacin percutnea
esqueltico, cuando se realiza
Tratamiento cerrado de fracturas diafisarias de cbito, sin
manipulacin
Tratamiento cerrado de fracturas diafisarias de cbito, con
manipulacin
El tratamiento de las fracturas abiertas eje cubital, con el
Tratamiento abierto de fractura cubital eje, incluye la fijacin
Tratamiento cerrado de fracturas diafisarias de radio y
cbito, sin manipulacin
Tratamiento cerrado de fracturas diafisarias de radio y
cbito, con manipulacin
El tratamiento de las fracturas abiertas diafisarias de radio y
cbito, con cierre sin complicaciones del tejido blando
Abrir el tratamiento de las fracturas diafisarias de radio y
cbito, con fijacin interna, cuando se realiza, de radio y el
cbito
Tratamiento cerrado de la fractura distal del radio (por
ejemplo, tipo Colles o Smith) o separacin epifisaria, incluye
el tratamiento cerrado de fractura de estiloides cubital,
cuando se realiza, sin manipulacin
Tratamiento cerrado de la fractura distal del radio (por
ejemplo, tipo Colles o Smith) o separacin epifisaria, incluye
el tratamiento cerrado de fractura de estiloides cubital,
cuando se realiza, con la manipulacin
Fijacin percutnea esqueltico de fractura de radio distal o
separacin epifisaria
Abra el tratamiento de radio distal extra-articular fractura o
separacin epifisaria, con fijacin interna
Tratamiento abierto de distal radial intra-articular o fractura
epifisaria separacin, con la fijacin interna de 2 fragmentos
Tratamiento abierto de distal radial intra-articular fractura o
separacin epifisaria; con la fijacin interna de 3 o ms
fragmentos
Tratamiento de cerrado, fractura compleja, distal radial (por
ejemplo, tipo Colles o Smith) o separacin epifisaria, con o
sin fractura de estiloides cubital, que requieren la
manipulacin; sin fijacin externa esqueltico o pinning
percutnea
El tratamiento de la fractura de radio distal abierto (por
ejemplo, tipo Colles o Smith) o separacin epifisaria, con o
sin fractura de estiloides cubital, con el cierre del tejido
blando sin complicaciones
Tratamiento cerrado de escafoides carpiano (navicular)
fractura, con la manipulacin
Tratamiento del escafoides carpiano abierto (navicular)

fractura, con el cierre de los tejidos blandos sin
complicaciones
Tratamiento cerrado de fracturas de los huesos del carpo
(excepto escafoides carpiano [navicular]), con manipulacin,
cada hueso
El tratamiento de la fractura abierta de hueso del carpo
(excepto escafoides carpiano [navicular]), con cierre sin
complicaciones del tejido blando, cada hueso
Fijacin percutnea esqueltico de fractura cubital estiloides
Abrir el tratamiento de la fractura de estiloides cubital
Tratamiento de la dislocacin abierta radiocarpiana o
intercarpiana, uno o ms huesos, con cierre de tejido blando
sin complicaciones
Abrir el tratamiento de la luxacin radiocarpiana o
intercarpiana, 1 o ms huesos
Fijacin percutnea del esqueleto de la luxacin radiocubital
distal
Artrodesis, mueca, con el desplazamiento del injerto
Artrodesis, mueca, con ilaca o autoinjerto otro (incluye
Artrodesis, mueca, limitado, sin injerto seo (por ejemplo,
intercarpiana o radiocarpiana)
Artrodesis, mueca, con autoinjerto (incluye la obtencin del
injerto)
Artrodesis, articulacin radio-cubital distal con reseccin
segmentaria de cbito, con o sin injerto seo (por ejemplo,
Sauve-Kapandji procedimiento)
Amputacin, antebrazo, a travs de radio y cbito, abierto,
circular (guillotina)
Amputacin, antebrazo, a travs de radio y el cbito, el
cierre secundario o revisin de cicatriz
Amputacin, antebrazo, a travs de radio y cbito, volver a
la amputacin
Desarticulacin a travs de la mueca; re-amputacin
Transmetacarpal amputacin; cierre secundario o revisin
de cicatriz
Amputacin Transmetacarpal; re-amputacin
Procedimiento Cotizadas, el antebrazo o la mueca
El drenaje de absceso dedo, complicado (por ejemplo,
criminal,)
El drenaje de palmar bolsa; mltiple bolsa
Descompresin dedos y / o manos, lesiones por inyeccin
(por ejemplo, bomba de engrase)
Fasciotoma, palmar (por ejemplo, la contractura de
Dupuytren), abierta, parcial
Tenotoma percutnea, nico, cada dgito
suelto o extranjera; articulacin metacarpofalngica, cada

suelto o extranjera; articulacin interfalngica, cada
Artrotoma con biopsia; articulacin carpometacarpiana,
cada
Artrotoma con biopsia; articulacin metacarpofalngica,
cada
Artrotoma con biopsia; articulacin interfalngica, cada
Escisin, tumor o malformacin vascular, tejido blando de
mano o un dedo, subcutnea; 1,5 cm o mayor
Escisin, tejido tumoral, suave, o malformacin vascular, de
la mano o el dedo, subfascial (por ejemplo, intramuscular);
1,5 cm o mayor
Escisin, tejido tumoral, suave, o malformacin vascular, de
la mano o el dedo, subfascial (por ejemplo, intramuscular);
menos de 15 cm
maligno), el tejido blando de mano o dedo; cm 3 o mayor
Fasciectoma, palmar y sencillas, por contractura de
Dupuytren, la escisin parcial
Fasciectoma, palmar y sencillas, por contractura de
Dupuytren, hasta fascia palmar de la mitad, con la
participacin de un solo dgito, con o sin Z-plastia de
reorganizacin o de otro tejido local
Fasciectoma, palmar parcial con liberacin de un solo dgito
incluyendo articulacin interfalngica proximal, con o sin Zplastia, el reordenamiento de otro tejido local, o injerto de
piel (incluye la obtencin de injertos);
Fasciectoma, palmar, complicadas de la piel, lo que
requiere injerto (incluye la obtencin del injerto), con la
participacin de un solo dgito
Fasciectoma, palmar parcial con liberacin de un solo dgito
incluida articulacin interfalngica proximal, con o sin Zplastia, otra reorganizacin del tejido local, o injerto de piel
(incluye la obtencin del injerto), cada dgito adicional (lista
primario)
Fasciectoma, palmar, complicadas de la piel, lo que
requiere injerto (incluye la obtencin del injerto), cada dgito
adicional
La sinovectoma, articulacin metacarpofalngica
incluyendo la liberacin y la reconstruccin intrnseco
capucha extensor, cada dgito
La sinovectoma, articulacin interfalngica proximal,
incluyendo la reconstruccin extensor, cada articulacin
interfalngica
Escisin de tendn, dedo, flexor o extensor, cada tendn
metacarpo, con autoinjerto (incluye la obtencin del injerto)
falange proximal, media y distal del dedo;

falange proximal, media y distal del dedo, con autoinjerto
diaphysectomy) sea (por ejemplo, osteomielitis); falange
proximal del dedo medio o
diaphysectomy) sea (por ejemplo, osteomielitis); falange
distal del dedo
La reseccin radical, metacarpiano (tumor ejemplo), con
La reseccin radical del tumor de la falange proximal del
dedo medio o
La reseccin radical, falange proximal o medio de dedo (por
ejemplo, tumor); con autoinjerto (incluye la obtencin de
injerto)
La reseccin radical del tumor de la falange distal del dedo
La manipulacin, finger joint, bajo anestesia, cada
articulacin
La reparacin o el avance, tendn flexor, no en la zona 2
vaina del tendn flexor digital (por ejemplo, tierra de nadie);
secundaria con injerto libre (incluye obtencin del injerto),
cada tendn
La reparacin o el avance, tendn flexor, en la zona 2 vaina
del tendn flexor digital (por ejemplo, tierra de nadie);
primaria, sin injerto libre, cada tendn
secundaria, sin injerto libre, cada tendn
secundaria, con injerto libre (incluye obtencin del injerto),
cada tendn
La reparacin o el avance de tendn profundo, superficial,
con los tendones intactos; secundaria con injerto libre
(incluye obtencin del injerto), cada tendn
La reparacin o el avance de tendn profundo, superficial,
con los tendones intactos; secundarias sin injerto libre, cada
tendn
Reparacin, tendn extensor, mano, primaria o secundaria;
con injerto libre (incluye la obtencin de injerto), cada
tendn
Reparacin, tendn extensor, dedo, primaria o secundaria;
Reparacin, tendn extensor, dedo, primaria o secundaria,
con injerto libre (incluye obtencin del injerto), cada tendn
Reparacin de tendn extensor, deslizamiento central,
secundaria (por ejemplo, boutonniere deformidad);
utilizando tejido local (s), incluyendo la banda lateral (s),
cada dedo
La reparacin del tendn extensor, deslizamiento central,

secundario (por ejemplo, la flor en el ojal deformidad), con
injerto libre (incluye obtencin del injerto), cada dedo
Reparacin de tendn extensor, insercin distal, primaria o
secundaria; sin injerto (por ejemplo, dedo en martillo)
La reparacin del tendn extensor, insercin distal, primaria
o secundaria, con injerto libre (incluye obtencin del injerto)
Tenlisis, tendn flexor, palma y dedos, cada tendn
Tenlisis, tendn extensor, mano o dedo, cada tendn
Tenlisis, tendn complejo, extensor, dedo, incluyendo
antebrazo, cada tendn
Tenotoma, flexor, dedo, abierto, cada tendn
Tenotoma, extensor, mano o dedo, abierto, cada tendn
Tenodesis, de la articulacin distal, cada articulacin
El alargamiento del tendn, flexor, mano o dedo, cada
tendn
Acortamiento del tendn, flexor, mano o dedo, cada tendn
Transferencia o trasplante de rea de tendones,
carpometacarpiana o dorso de la mano, con injerto de
tendn libre (incluye obtencin del injerto), cada tendn
Transferencia o trasplante de tendn, palmar, con injerto de
tendn libre (incluye obtencin del injerto), cada tendn
Opponensplasty, la transferencia de tendn con injerto
(incluye la obtencin del injerto), cada tendn
Opponensplasty, la transferencia de msculo hipotenar
Opponensplasty; otros mtodos
La transferencia de tendn para restaurar la funcin
intrnseca, los 4 dedos
injerto de tendn o fascia (incluye la obtencin del injerto)
(procedimiento separado) tendn prtesis
Capsulodesis, articulacin metacarpofalngica, 2 dgitos
Capsulodesis, articulacin metacarpofalngica, 3 o 4 dgitos
Capsulectoma o capsulotoma; articulacin interfalngica,
cada articulacin
Artroplastia de articulacin carpometacarpiana
Artroplastia de articulacin metacarpofalngica, con
implante de prtesis, cada articulacin
Artroplastia de articulacin interfalngica, cada articulacin
Artroplastia de articulacin interfalngica, con implante de
prtesis, cada articulacin
metacarpofalngica, nico, con el tejido local (por ejemplo,
el avance aductor)

interfalngica, solo con injerto, cada articulacin
Reparar falta de unin o falange metacarpiana (incluye
obtencin de injerto seo con o sin fijacin externa o
interna)
Reconstruccin del pulgar con la punta
excepto dedo gordo del pie, de un solo
excepto dedo gordo del pie, doble
Toe con la transferencia de dedo, cada retraso
con colgajos de piel e injertos
complejo (por ejemplo, la participacin de los huesos, las
uas)
Osteotoma; falange del dedo, cada
Injerto de hueso, (incluye la obtencin del injerto);
metacarpiano
Lanzamiento, los msculos intrnsecos de la mano, cada
msculo
Cerrado el tratamiento de la fractura de metacarpiano, solo,
con la manipulacin, cada hueso
Cerrado el tratamiento de la fractura metacarpiana, con
manipulacin, con fijacin externa, cada hueso
El tratamiento de la fractura abierta metacarpiano, solo, con
cierre sin complicaciones del tejido blando, cada hueso
Fijacin percutnea esqueltico de fractura-luxacin
carpometacarpiana, pulgar (fractura de Bennett), con la
manipulacin
El tratamiento de la luxacin abierta fractura
carpometacarpiana, pulgar (fractura de Bennett), con cierre
de los tejidos blandos sin complicaciones
El tratamiento de la luxacin abierta fractura
carpometacarpiana, pulgar (fractura de Bennett), con cierre
de los tejidos blandos sin complicaciones, con fijacin
esqueltica
Tratamiento cerrado de luxacin carpometacarpiana, que no
sea el pulgar, con manipulacin, cada articulacin, que
requiere anestesia
El tratamiento de la luxacin carpometacarpiana abierto,
aparte de la fractura de Bennett, solo, con cierre sin
complicaciones del tejido blando
Abrir el tratamiento de la luxacin carpometacarpiana, que
no sea el pulgar, la reduccin compleja, mltiple o retardada
Cerrado el tratamiento de la luxacin metacarpofalngica,
solo, con la manipulacin, que requiere anestesia
Fijacin percutnea de luxacin metacarpofalngica
esqueltico, solo, con la manipulacin
El tratamiento de la luxacin metacarpofalngica abierto,

nico, con cierre sin complicaciones del tejido blando
Abrir el tratamiento de la luxacin metacarpofalngica,
nico, incluye la fijacin interna, cuando se realiza
Cerrado el tratamiento de la fractura de la difisis de
falange, falange proximal o medio, el dedo o pulgar; con la
manipulacin, con o sin piel o traccin esqueltica, cada
El tratamiento de las fracturas abiertas, eje de falange,
falange proximal o medio, el dedo o el pulgar, con el cierre
del tejido blando sin complicaciones, cada
Cerrado el tratamiento de la fractura articular, con la
participacin metacarpofalngica o articulacin
interfalngica, con manipulacin, cada
El tratamiento de la fractura articular abierta, que implica la
articulacin interfalngica proximal o metacarpofalngica,
con el cierre del tejido blando sin complicaciones, cada
Cerrado el tratamiento de la fractura distal falange dedo o
pulgar, con manipulacin, cada
El tratamiento de la fractura de la falange distal abierto dedo
o el pulgar, con el cierre del tejido blando sin
complicaciones, cada
interfalngica, solo, con la manipulacin, que requiere
anestesia
Fijacin percutnea del esqueleto de la luxacin de la
articulacin interfalngica, solo, con la manipulacin
El tratamiento de la luxacin de la articulacin interfalngica
abierta, solo, con el cierre de los tejidos blandos sin
complicaciones
Tratamiento abierto de luxacin de la articulacin
interfalngica, incluye la fijacin interna, cuando se realiza,
de un solo
Artrodesis, articulacin carpometacarpiana, pulgar, con o sin
fijacin interna, con autoinjerto (incluye la obtencin del
injerto)
Artrodesis, articulacin carpometacarpiana, dgitos, excepto
el pulgar, cada uno;
Artrodesis, articulacin carpometacarpiana, dgitos, excepto
el pulgar, cada uno, con autoinjerto (incluye la obtencin del
injerto)
Artrodesis, articulacin metacarpofalngica, con o sin
fijacin interna;
Artrodesis, articulacin metacarpofalngica, con o sin
fijacin interna, con autoinjerto (incluye la obtencin del
injerto)
Artrodesis, articulacin interfalngica, con o sin fijacin
interna;
interna; cada articulacin interfalngica adicional (lista por
primario)

interna, con autoinjerto (incluye la obtencin del injerto)
interna; con autoinjerto (incluye la obtencin de injerto),
cada articulacin adicional (Lista por separado adems de
Amputacin, dedo o pulgar, primaria o secundaria, cualquier
articulacin o falange, soltero, incluyendo neurectomas, con
colgajos de avance locales (VY, campana)
Procedimiento Cotizadas, las manos o los dedos
Incisin y drenaje, pelvis o cadera rea; bursa infectada
Tenotoma, aductor de la cadera y abierta
Tenotoma, aductor de la cadera, subcutnea, abierta,
bilateral
Tenotoma, aductor, subcutnea, abierto, con obturador
neurectoma
Tenotoma, aductor, subcutnea, abierto, con obturador
neurectoma; bilateral
Glteo-fasciotoma iliotibial (Procedimiento de Ober tipo)
Ober-Yount fasciotoma, combinado con yeso en espiga,
espigas en tibia, acuando el reparto, etc; bilateral
Descompresin fasciotoma (s), pelvis (nalga)
compartimiento (s) (por ejemplo, glteo medio-minimus,
glteo mayor, psoas ilaco, y / o msculo tensor de la fascia
lata), unilateral
Artrotoma, la cadera, incluyendo exploracin o extraccin
de cuerpo suelto o extranjeras
La biopsia, el tejido blando de la pelvis y la cadera;
superficial
La biopsia, el tejido blando de la pelvis y la cadera, en el
fondo, subfascial o intramuscular
La escisin, el tejido tumoral y suave de la pelvis y la
cadera, subcutnea; cm 3 o mayor
Escisin, tejido tumoral, suave de la pelvis y la cadera,
La escisin, el tejido tumoral y suave de la pelvis y la
cadera, subcutnea, menos de 3 cm
Escisin, tejido tumoral, suave de la pelvis y la cadera,
Artrotoma, con biopsia; articulacin sacroilaca
Artrotoma, con biopsia; articulacin de la cadera
Artrotoma con sinovectoma, articulacin de la cadera
Descompresin fasciotoma (s), pelvis (nalga)
compartimiento (s) (por ejemplo, glteo medio-minimus,
glteo mayor, psoas ilaco, y / o msculo tensor de la fascia
lata) con desbridamiento de msculo viable, unilateral
maligno), el tejido blando de la pelvis y la cadera; 5 cm o
mayor
Escisin; Bursa trocantrea o calcificacin
Excisin de quiste seo o tumor benigno, en el fondo, con o

sin autoinjerto
Excisin de quiste seo o tumor benigno, con autoinjerto
requiere incisin separada
Escisin parcial (craterization, aplanamiento) (por ejemplo,
osteomielitis o absceso seo), profundidad (subfascial o
intramuscular)
La reseccin radical del tumor; ilion, incluyendo el
acetbulo, ambas ramas pbicas o isquion y el acetbulo
La reseccin radical del tumor, hueso innominado, total
La reseccin radical del tumor; tuberosidad isquitica y el
trocnter mayor del fmur
La reseccin radical de tumor o infeccin; tuberosidad
isquitica y el trocnter mayor del fmur, con colgajos de
piel
Extraccin de cuerpo extrao pelvis o cadera, profundo
La eliminacin de prtesis de cadera; complicada,
incluyendo prtesis total de cadera, metacrilato de metilo
con o sin insercin de espaciador
Inyeccin procedimiento de artrografa de cadera, sin
anestesia
Inyeccin procedimiento de artrografa de cadera, con
anestesia
Traslado msculo oblicuo externo para trocnter mayor
extensin incluyendo la fascia o tendn (injerto)
Traslado msculo paravertebral de la cadera (incluye injerto
fascial extensin o tendn)
Iliopsoas transferencia, para el trocnter mayor del fmur
Iliopsoas transferencia; al cuello femoral
Acetabuloplastia; reseccin, la cabeza femoral (por ejemplo,
el procedimiento de Girdlestone)
Reemplazo parcial de cadera (artroplastia), taza
Revisin de la artroplastia total de cadera; componente
acetabular solamente, con o sin autoinjerto o aloinjerto
Revisin de la artroplastia total de cadera; componente
femoral solo, con o sin aloinjerto
Osteotoma, ilaca, acetabular o hueso innominado, con una
reduccin abierta de la cadera
Osteotoma, ilaca, acetabular o hueso innominado, con
osteotoma femoral
Osteotoma, ilaca, acetabular o hueso innominado, con
osteotoma femoral y con reduccin abierta de la cadera
Aumento acetabular (Procedimiento de Wilson)
Tratamiento del deslizamiento de la epfisis femoral, por una
o varias de clavos, in situ
manipulacin cerrada con una o varias pinning
osteoplastia de cuello femoral (procedimiento Heyman tipo)

osteotoma y fijacin interna
El tratamiento de la fractura sacral cerrada
Tratamiento abierto de fractura de sacro abierto o cerrado
Cerrado el tratamiento de la fractura del anillo plvico,
luxacin, distasis o subluxacin, con la manipulacin, lo
que requiere ms que anestesia local
El tratamiento de la articulacin sacroilaca y / o luxacin de
la snfisis del pubis, sin manipulacin
El tratamiento de la articulacin sacroilaca y / o luxacin de
la snfisis del pubis, con anestesia y con la manipulacin
El tratamiento de la fractura abierta coccgea
El tratamiento de la ilaca cerrado, fractura pbico o
isquitica
Abrir el tratamiento de la ilaca cerrado o abierto, pbico o
fractura isquitica, con o sin fijacin esqueltica interna
Tratamiento abierto de fractura posterior del hueso plvico y
/ o de perturbacin para los patrones de fractura que
rompen el anillo plvico, unilateral, incluye la fijacin interna,
cuando se realiza (incluye ilaco ipsilateral, articulacin
sacroilaca y / o sacro)
Cerrado el tratamiento de acetbulo (cadera) fractura (s);
con la manipulacin, con o sin traccin esqueltica
Tratamiento abierto de acetbulo cerrado o abierto (cadera)
fractura (s), con o sin fijacin esqueltica interna o externa,
simple
Tratamiento abierto de acetbulo cerrado o abierto (cadera)
fractura (s), con o sin fijacin esqueltica interna o externa;
enfoque complicado, intraplvica
Abrir el tratamiento de una fractura acetabular (s) que
implica anterior o posterior (uno) columna, o una fractura
que discurren transversalmente a travs del acetbulo, con
fijacin interna
Tratamiento abierta de fractura acetabular (s) que implica
anterior y posterior (dos) columnas, incluye T-fractura y
ambas fracturas de la columna con desprendimiento
articular completa, o sola columna o fractura transversal con
fractura asociada acetabular de pared, con una fijacin
interna
Cerrado el tratamiento de fractura de fmur, el extremo
proximal, el cuello; con la manipulacin, con o sin traccin
esqueltica
El tratamiento de las fracturas abiertas, femoral, el extremo
proximal, el cuello, con el cierre del tejido blando sin
complicaciones, con la manipulacin (incluyendo traccin
esqueltica)
Tratamiento cerrado de peritrocantereo intertrocantrica, o
fractura femoral subtrocantrea; sin manipulacin
Tratamiento cerrado de peritrocantereo intertrocantrica, o

fractura femoral subtrocantrea, con manipulacin, con o sin
piel o traccin esqueltica
Tratamiento de intertrocantrica abierto, peritrocantereo o
fractura femoral subtrocantrea, con cierre sencillo tejido
blando (como traccin)
Tratamiento de peritrocantereo intertrocantrica, o fractura
femoral subtrocantrea; con placa / implante de tipo de
tornillo, con o sin cerclaje
Tratamiento de fracturas intertrocantricas, peritrocantereo
femoral, o subtrocantrea; con implante intramedular, con o
sin tornillos de bloqueo y / o de cerclaje
Cerrado el tratamiento de la luxacin de cadera, traumtica,
que requiere anestesia
Tratamiento abierto de dislocacin de cadera, traumtica,
con la pared acetabular y fractura de la cabeza femoral, con
o sin fijacin interna o externa
Abrir el tratamiento de la dislocacin de la cadera cerrada o
abierta, traumtico, con fijacin labio acetabular, con o sin
fijacin esqueltica interna o externa; complicada o tarda
El tratamiento de la luxacin de cadera espontnea
(desarrollo, incluyendo congnitas o patolgicas), al rapto,
frula o traccin, sin anestesia, sin manipulacin
El tratamiento de la luxacin de cadera espontnea
(desarrollo, incluyendo congnitas o patolgicas), al rapto,
frula o traccin, la manipulacin, la anestesia que requiere
Abrir el tratamiento de la luxacin de cadera espontnea
(desarrollo, incluyendo congnitas o patolgicas), el
reemplazo de la cabeza femoral en el acetbulo (incluyendo
tenotoma, etc);
Abrir el tratamiento de la luxacin de cadera espontnea
(desarrollo, incluyendo congnitas o patolgicas), el
reemplazo de la cabeza femoral en el acetbulo (incluyendo
tenotoma, etc), con acortamiento del eje femoral
Cerrado el tratamiento de la luxacin posterior artroplastia
de cadera, que requiere anestesia regional o general
proximal, cabeza, sin manipulacin
proximal, cabeza, con la manipulacin
Tratamiento abierto de fractura femoral, extremo proximal,
cabeza, incluye la fijacin interna, cuando se realiza
Artrodesis, articulacin de la cadera (incluyendo la
obtencin del injerto), con osteotoma subtrocantrea
Conjunto Cotizadas procedimiento, la pelvis o cadera
Incisin, profunda, con apertura de hueso cortical, fmur y

rodilla (por ejemplo, osteomielitis o absceso seo)
Tenotoma percutnea, aductor o tendn de la corva,
tendones mltiples
La biopsia, el tejido blando de la zona del muslo o la rodilla;
superficial
Biopsia de tejidos blandos del muslo o rea de la rodilla,
profundo (subfascial o intramuscular)
Neurectoma, el msculo bceps femoral
Neurectoma, popltea (gastrocnemio)
Escisin, tejido tumoral, suave del muslo o de la rodilla,
Artrotoma, la rodilla, con biopsia sinovial slo
Artroscopa, rodilla, incluyendo la exploracin conjunta,
biopsia o extirpacin de cuerpos libres o extranjeras
Artrotoma, con escisin de cartlago semilunar
(meniscectoma) rodilla medial o lateral
Artrotoma, con escisin de cartlago semilunar
(meniscectoma) rodilla medial y lateral
Artrotoma con sinovectoma, rodilla, anterior o posterior
Artrotoma con sinovectoma, rodilla, anterior y posterior,
incluyendo la zona popltea
Excisin de quiste sinovial de espacio poplteo (por ejemplo,
un quiste de Baker)
Escisin de lesin de menisco o cpsula (por ejemplo,
quiste, ganglio), rodilla
Escisin o legrado de quiste seo o tumor benigno de fmur,
con aloinjerto
con fijacin interna (Lista adems del cdigo para el
maligno), tejidos blandos del muslo o rea de la rodilla; 5 cm
o mayor
Inyeccin procedimiento de artrografa de rodilla
Sutura de tendones infrapatelar; reconstruccin secundaria
con injerto fascial o tendn
Sutura de cuadriceps o ruptura de los msculos
isquiotibiales; reconstruccin secundaria con injerto fascial o
tendn
Tenotoma, abierto, muslo, rodilla hasta la cadera, tendones
mltiples, una pierna
Tenotoma, abierto, muslo, rodilla hasta la cadera, tendones
mltiples, bilaterales
tendones mltiples, una pierna

tendones mltiples, bilaterales
Trasplante o transferencia (con redireccin muscular o
cambios de ruta), muslo (por ejemplo, el extensor a flexor);
tendones mltiples
Reparacin, ligamento primario, roto y / o cpsula, rodilla,
cruzado
Reparacin, ligamento primario, roto y / o cpsula, rodilla,
las garantas y los ligamentos cruzados
Implantacin de condrocitos autlogos, rodilla
Aloinjerto osteocondral, rodilla, abierto
Autoinjerto osteocondral (s), rodilla, abierto (por ejemplo,
mosaicoplastia) (incluye la recoleccin de autoinjerto [s])
Reconstruccin de la dislocacin de la rtula, con extensor
realineamiento y / o avance del msculo o de liberacin (por
ejemplo, Campbell, procedimiento Goldwaite tipo)
Reconstruccin de la dislocacin de la rtula, con
patelectoma
Reconstruccin ligamentosa (aumento), la rodilla, intraarticular (abierto) y extra-articulares
Artroplastia patelar, con prtesis
Artroplastia de rodilla meseta, tibial;
Artroplastia de rodilla meseta, tibial, con desbridamiento y
sinovectoma parcial
Artroplastia, cndilos femorales o meseta tibial (s), rodilla;
Artroplastia, cndilos femorales o meseta tibial (s), rodilla,
con desbridamiento y sinovectoma parcial
Artroplastia de rodilla, prtesis de articulacin (por ejemplo,
tipo Walldius)
Artroplastia de rodilla, cndilo y meseta; compartimiento
medial o lateral
Artroplastia de rodilla, cndilo y meseta; compartimentos
medial y lateral, con o sin rtula (resurfacing artroplastia
total de rodilla)
Osteotoma, fmur, eje o supracondlea, con fijacin
Osteotoma, mltiple, con la realineacin en varilla
intramedular, difisis femoral (por ejemplo, procedimiento
Sofield tipo)
Osteotoma, tibia proximal, incluyendo la escisin del peron
o la osteotoma (incluye correccin de genu varo [bowleg] o
genu valgo [maneto]); despus del cierre de las epfisis
Reparacin, falta de unin o mala unin, el fmur, distal a la
cabeza y el cuello, con ilaca o injerto seo autgeno otro
(incluye obtencin del injerto)
epifisiodesis), la tibia y el peron proximal
epifisiodesis); fmur distal combinada, proximal de tibia y
peron
Detencin, hemiepiphyseal fmur, distal o proximal de la

tibia o el peron (por ejemplo, genu varo o valgo)
Revisin de la artroplastia total de rodilla, con o sin injerto;
componente tibial y femoral todo
Fasciotoma descompresin, muslo y / o rodilla, varios
compartimentos;
Fasciotoma descompresin, muslo y / o rodilla, mltiples
compartimentos, con desbridamiento de msculo viable y / o
nervio
Cerrado el tratamiento de la fractura de la difisis femoral,
con la manipulacin, con o sin piel o traccin esqueltica
Tratamiento cerrado de fractura supracondlea o
transcondilar femoral con o sin extensin intercondlea, con
El tratamiento de las fracturas abiertas, difisis femoral
(incluyendo supracondlea), con el cierre del tejido blando
sin complicaciones
Tratamiento cerrado de fracturas del fmur, extremo distal,
cndilo medial o lateral, con la manipulacin
El tratamiento de las fracturas abiertas, femoral, extremo
distal, cndilo medial o lateral, con cierre de tejido blando
sin complicaciones
Tratamiento abierto de fractura supracondlea del fmur o
transcondilar con extensin intercondlea, incluye la fijacin
Cerrado el tratamiento de la epfisis femoral distal
separacin; sin manipulacin
Cerrado el tratamiento de la epfisis femoral distal
separacin; con la manipulacin, con o sin piel o traccin
esqueltica
El tratamiento de la epfisis distal abierto separacin
femoral, con cierre de tejido blando sin complicaciones
El tratamiento de la fractura rotuliana abierta, con cierre de
Tratamiento cerrado de fractura tibial, proximal (meseta);
con o sin manipulacin, con traccin esqueltica
El tratamiento de las fracturas abiertas, tibial, proximal
(meseta), con el cierre del tejido blando sin complicaciones
Tratamiento abierta de fractura tibial, proximal (meseta);
bicondilar, con o sin fijacin interna
Tratamiento abierta de fractura tibial cerrado o abierto,
proximal (meseta), con o sin fijacin esqueltica interna o
externa; con injerto autgeno (incluye la obtencin de
injerto)
Tratamiento cerrado de la columna vertebral intercondilar (s)
y / o fractura de la tuberosidad (s) de la rodilla, con o sin
manipulacin
Tratamiento abierto de intercondilar columna (s) y / o
fractura de la tuberosidad (s) de la rodilla, incluye la fijacin
Cerrado el tratamiento de la luxacin de rodilla, que requiere

anestesia
El tratamiento de la luxacin de rodilla abierta, con cierre de
interna, cuando se realiza, con la reparacin ligamentosa
primaria
interna, cuando se realiza, con la reparacin ligamentosa
primaria, con el aumento / reconstruccin
Cerrado el tratamiento de la luxacin patelar, que requiere
anestesia
El tratamiento de la luxacin rotuliana abierta, con cierre de
Amputacin, muslo, a travs del fmur, cualquier nivel,
incluida la adaptacin tcnica inmediata primer molde
abierto, circular (guillotina)
Amputacin, muslo, a travs del fmur, cualquier nivel;
cierre secundario o revisin de cicatriz
volver a la amputacin
Procedimiento Cotizadas, fmur y rodilla
Fasciotoma descompresin, pierna, compartimento
posterior (s) slo
Fasciotoma descompresin, la pierna; anterior y / o lateral,
y el compartimento posterior (s)
La incisin y drenaje, la pierna o el tobillo; bursa infectada
Tenotoma percutnea, tendn de Aquiles (procedimiento
separado); anestesia general
Artrotoma, la liberacin capsular posterior, tobillo, con o sin
tendn de Aquiles alargamiento
Biopsia de tejidos blandos de la pierna o el rea del tobillo;
superficial
Biopsia de tejidos blandos de la pierna o el rea del tobillo;
profundo (subfascial o intramuscular)
maligno), tejidos blandos de la pierna o el rea del tobillo:
cm 5 o ms
Escisin, tejido tumoral, suave de la pierna o el rea del
tobillo, subfascial (por ejemplo, intramuscular); menos de 5
cm
Artrotoma con sinovectoma, tobillo;
Artrotoma con sinovectoma, tobillo, incluyendo
tenosinovectoma
maligno), tejidos blandos de la pierna o el rea del tobillo:
cm 3 o mayor
Escisin, tejido tumoral, suave de la pierna o el rea del
tobillo, subfascial (por ejemplo, intramuscular); 5 cm o
mayor

el peron, con autoinjerto (incluye la obtencin del injerto)
el peron, con aloinjerto
diaphysectomy), sea (por ejemplo, osteomielitis); peron
La reseccin radical del tumor; peron
La reseccin radical del tumor; astrgalo o calcneo
Inyeccin procedimiento de artrografa tobillo
Reparacin, primaria abierta o percutnea, ruptura del
tendn de Aquiles, con injerto (incluye la obtencin del
injerto)
Reparacin, secundaria, tendn de Aquiles, con o sin injerto
Reparacin, tendn flexor, la pierna; secundaria, con o sin
injerto, cada tendn
Reparacin, tendn extensor pierna,; primaria, sin injerto,
cada tendn
Reparacin, tendn extensor pierna,; secundaria, con o sin
injerto, cada tendn
Reparar, dislocando los tendones peroneos, con osteotoma
del peron
Tenlisis, flexor o extensor tendn, pierna y / o tobillo;
tendones mltiples (a travs de la incisin separada (s))
Alargamiento o acortamiento del tendn, la pierna o tobillo;
tendones mltiples (a travs de la misma incisin), cada uno
Transferencia o trasplante de tendn individual (con
redireccin muscular o cambios de ruta), profundidad (por
ejemplo, el tibial anterior tibial posterior o por el espacio
interseo, flexor largo de los dedos, flexor largo del dedo
gordo, o tendn peroneo a mediopi o retropi)
Transferencia o trasplante de tendn nica (con la
redireccin de msculo o reencaminamiento); cada tendn
Reparacin, primaria, ligamento interrumpido, el tobillo,
ambos ligamentos colaterales
Reparacin, ligamento secundaria, interrumpido, el tobillo, la
garanta (por ejemplo, Watson-Jones procedimiento)
Artroplastia del tobillo, con implante (tobillo total)
Artroplastia del tobillo, la revisin, total de tobillo
Osteotoma; peron
Osteotoma; tibia y el peron
Osteotoma, mltiple, con la realineacin en varilla
intramedular (por ejemplo, procedimiento Sofield tipo)
Reparacin de falta de unin o mala unin, tibia, con el
desplazamiento del injerto
Reparacin de falta de unin o mala unin, tibia, con ilaca o
autoinjerto otro (incluye obtencin del injerto)
Reparacin de falta de unin o mala unin, tibia; por

sinostosis, con el peron, cualquier mtodo
Reparacin de peron falta de unin y / o consolidacin
viciosa con fijacin interna
El arresto, la epfisis (epifisiodesis), abierto; peron distal
El arresto, la epfisis (epifisiodesis), abierto; distal de la tibia
y el peron
Detencin, epifisaria (epifisiodesis), cualquier mtodo,
combinado, proximal y distal de la tibia y el peron, y fmur
distal
Cerrado el tratamiento de la fractura de la difisis tibial (con
o sin fractura del peron); con la manipulacin, con o sin
traccin esqueltica
El tratamiento de las fracturas abiertas, difisis tibial, con el
El tratamiento de la fractura de la difisis tibial (con o sin
fractura del peron) por implante intramedular, con o sin
tornillos de bloqueo y / o de cerclaje
Tratamiento cerrado de fractura de malolo medial, con
El tratamiento de la fractura distal abierta de tibia (malolo
interno), con el cierre de los tejidos blandos sin
complicaciones
Tratamiento cerrado de fractura de malolo posterior; sin
manipulacin
Tratamiento cerrado de fractura de malolo posterior, con la
manipulacin
Tratamiento abierto de fractura de malolo posterior, incluye
Tratamiento cerrado de peron proximal o fractura de la
difisis, con manipulacin
Tratamiento de peron proximal abierto o fractura de la
difisis, con cierre de tejido blando sin complicaciones
Tratamiento cerrado de la fractura distal del peron (malolo
lateral), con manipulacin
El tratamiento de la fractura distal del peron abierta
(malolo lateral), con cierre de los tejidos blandos sin
complicaciones
El tratamiento de las fracturas cerradas de tibia y peron,
ejes, sin manipulacin
El tratamiento de las fracturas cerradas de tibia y peron,
ejes, con manipulacin
El tratamiento de las fracturas abiertas de tibia y peron,
ejes, con cierre sin complicaciones de partes blandas (por
ejemplo, "alfileres arriba y abajo")
Tratamiento abierto de abierto o cerrado, tibia y peron
fracturas, ejes, con o sin fijacin esqueltica interna o
externa
Tratamiento cerrado de fractura de tobillo bimaleolar (por
posterior o malolos medial y posterior); con la manipulacin
El tratamiento de las fracturas abiertas, tobillo bimaleolar,

con el cierre del tejido blando sin complicaciones
Tratamiento cerrado de fracturas de tobillo trimaleolares,
con manipulacin
El tratamiento de las fracturas abiertas, tobillo trimaleolares,
con el cierre del tejido blando sin complicaciones
Tratamiento abierto de fractura de tobillo trimaleolares,
incluye la fijacin interna, cuando se realiza, malolo medial
y / o lateral, con la fijacin de labio posterior
Tratamiento cerrado de fractura de la porcin articular carga
de peso de la tibia distal (por ejemplo, Pilon o piln tibial),
con o sin anestesia, con traccin esqueltica y / o
manipulacin que requieren
de la tibia slo
tanto de la tibia y el peron
Cerrado el tratamiento de la luxacin de articulacin
tibioperonea proximal, que requiere anestesia
Cerrado el tratamiento de la luxacin del tobillo; requiera
anestesia, con o sin fijacin percutnea esqueltico
Tratamiento de la luxacin del tobillo abierto, con cierre de
Tratamiento abierto de luxacin del tobillo, con o sin fijacin
esqueltica percutnea; con fijacin de reparacin o interno
o externo
Amputacin, pierna, a travs de la tibia y el peron, con
tcnica de montaje que incluye la aplicacin inmediata de la
primera colada
Amputacin, pierna, a travs de la tibia y el peron, abierto,
circular (guillotina)
Amputacin, pierna, a travs de la tibia y el peron, cierre
secundario o revisin de cicatriz
Amputacin, pierna, a travs de la tibia y el peron; reamputacin
Fasciotoma descompresin, la pierna; anterior y / o lateral,
y posterior compartimento (s), con el desbridamiento de
Procedimiento Cotizadas, la pierna o el tobillo
La incisin y drenaje por debajo de la fascia, con o sin la
participacin de la vaina del tendn, el pie, el espacio nico
bursal
La incisin y drenaje por debajo de la fascia, con o sin la
participacin de la vaina del tendn, pie, mltiples reas
Tenotoma percutnea, dedo del pie, tendones mltiples

cuerpo suelto o extranjera; articulacin metatarsofalngica
cuerpo suelto o extranjera; articulacin interfalngica
La escisin, el tejido tumoral y suave del pie o del pie,
subcutnea, 1,5 cm o mayor
Escisin, tejido tumoral, suave de pie o del dedo, subfascial
(por ejemplo, intramuscular); 1,5 cm o mayor
Escisin, tejido tumoral, suave de pie o del dedo, subfascial
(por ejemplo, intramuscular); menos de 15 cm
maligno), tejidos blandos del pie o del pie; cm 3 o mayor
Artrotoma con biopsia; articulacin metatarsofalngica
Artrotoma con biopsia; articulacin interfalngica
Fasciectoma, fascia plantar; radical (procedimiento
separado)
La sinovectoma, articulacin metatarsofalngica, cada
Escisin, interdigital (Morton) neuroma, nico, cada
La sinovectoma, la vaina del tendn del pie,; extensor
Escisin de lesin, tendn, vaina del tendn, o cpsula
(incluyendo sinovectoma) (por ejemplo, quiste o ganglio);
dedo (s), cada uno
Escisin o legrado de quiste seo o tumor benigno,
astrgalo o calcneo, con ilaca o autoinjerto otro (incluye
Escisin o legrado de quiste seo o tumor benigno,
astrgalo o calcneo, con aloinjerto
Escisin o legrado de quiste seo o tumor benigno, o tarso
metatarsianas, excepto astrgalo o calcneo;
metatarsianas, excepto astrgalo o calcneo, con ilaca o
autoinjerto otro (incluye obtencin del injerto)
metatarsianas, excepto astrgalo o calcneo, con aloinjerto
Escisin o legrado de quiste seo o tumor benigno, falanges
del pie
Ostectoma, la extirpacin completa, la cabeza del primer
metatarsiano
Ostectoma, la extirpacin completa, otra cabeza del
metatarsiano (segundo, tercero o cuarto)
Ostectoma, la extirpacin completa, la cabeza del quinto
metatarsiano
Ostectoma, la escisin de la coalicin tarsal
Ostectoma, calcneo;
Ostectoma, calcneo, para estimular, con o sin liberacin
fascial plantar
osteomielitis o abombamiento); hueso tarsal o metatarsal,
excepto astrgalo o calcneo

osteomielitis o abombamiento); falange del dedo del pie
La reseccin radical del tumor; metatarsiano
La reseccin radical del tumor; falange del dedo del pie
Extraccin de cuerpo extrao, el pie, en el fondo
Extraccin de cuerpo extrao, pie, complicado
Reparacin, tendn flexor, pie; secundaria con injerto libre,
cada tendn (incluye la obtencin del injerto)
Reparacin, tendn extensor, los pies; primaria o
secundaria, cada tendn
Reparacin, tendn extensor, pie; secundaria con injerto
libre, cada tendn (incluye la obtencin del injerto)
Tenlisis, flexor, pie, tendones mltiples
Tenlisis, extensor, pie, solo tendn
Tenlisis, extensores, pie, tendones mltiples
Tenotoma, flexor abierta, tendn; dedo del pie, solo tendn
Tenotoma, abierto, pie extensor, o del pie, cada tendn
La transferencia de tendn, tibial anterior en el hueso tarsal
Capsulotoma, parte media del pie, con alargamiento del
tendn
Capsulotoma, parte media del pie, extenso, incluyendo
capsulotoma posterior talotibial y tendn (s) alargamiento
(por ejemplo, resistente deformidad pie zambo)
Capsulotoma; articulacin interfalngica, cada articulacin
Correccin, cock-hasta quinto dedo, con cierre de piel de
plstico (por ejemplo, Ruiz-Mora procedimiento tipo)
sesamoidectoma; Keller, McBride o procedimiento Mayo
tipo
sesamoidectoma, reseccin de la articulacin con implante
sesamoidectoma; con los trasplantes de tendones (por
ejemplo, procedimiento de Joplin tipo)
sesamoidectoma; con osteotoma del metatarso (por
ejemplo, Mitchell, Chevron, o procedimientos de tipo
concntricos)
sesamoidectoma; Lapidus tipo de procedimiento
sesamoidectoma; por osteotoma falange
sesamoidectoma; por osteotoma doble
Osteotoma; astrgalo
Osteotoma, huesos del tarso, que no sean calcneo o
astrgalo;
Osteotoma, huesos del tarso, que no sean calcneo o

astrgalo, con autoinjerto (incluye la obtencin del injerto)
(por ejemplo, tipo Fowler)
Osteotoma, con o sin alargamiento, acortamiento o
correccin angular, metatarsiano; primer metatarsiano
correccin angular, metatarsiano; primer metatarsiano con
autoinjerto (excepto primer dedo del pie)
correccin angular, metatarsiano; distinto del primer
metatarsiano, cada
correccin angular, metatarsiano; mltiple (por ejemplo, tipo
de procedimiento Swanson pie cavo)
Osteotoma, manteca, correccin angular o rotacional;
falange proximal del primer dedo (procedimiento separado)
Osteotoma, manteca, correccin angular o rotacional;
falanges otros, cualquier dedo del pie
Reparacin, falta de unin o mala unin; metatarsiano, con
o sin injerto seo (incluye obtencin del injerto)
Reconstruccin, dedo del pie, macrodactilia, requiriendo
reseccin sea
Reconstruccin, el pie hendido
Cerrado el tratamiento de la fractura de calcneo, con
manipulacin
El tratamiento de la fractura de calcneo abierta, con el
Tratamiento abierto de fractura de calcneo, incluye la
fijacin interna, cuando se realiza, con ilaca primario o
injerto seo autgeno otro (incluye obtencin del injerto)
Cerrado el tratamiento de la fractura de talo, sin
manipulacin
Cerrado el tratamiento de la fractura de astrgalo, con
manipulacin
Fijacin percutnea esqueltico de fractura astrgalo, con la
manipulacin
El tratamiento de la fractura de astrgalo abierta, con el
Tratamiento abierto de fractura de astrgalo, incluye la
Abra autoinjerto osteocondral, astrgalo (incluye la
obtencin del injerto [s])
El tratamiento de la fractura de hueso tarsiano (excepto
astrgalo y calcneo), con manipulacin, cada
El tratamiento de las fracturas abiertas, hueso del tarso
(excepto astrgalo y el calcneo), con el cierre del tejido
blando sin complicaciones, cada
Tratamiento cerrado de fracturas de metatarso, sin
manipulacin, cada
Cerrado el tratamiento de la fractura de metatarso, con
manipulacin, cada
El tratamiento de la fractura del metatarso abierta, con

cierre de tejido blando sin complicaciones, cada
Tratamiento abierto de fractura de metatarsiano, incluye la
Cerrado el tratamiento de la fractura de falange del dedo
gordo, o falanges, con manipulacin
El tratamiento de las fracturas abiertas, gran dedo del pie,
falange o falanges, con el cierre de los tejidos blandos sin
complicaciones
Tratamiento cerrado de fractura, falange o falanges, excepto
dedo gordo del pie, con la manipulacin, cada
El tratamiento de la fractura abierta falange o falanges,
excepto dedo gordo del pie, con el cierre de los tejidos
blandos sin complicaciones, cada uno
Cerrado el tratamiento de la luxacin del hueso del tarso,
que no sea talotarsal, que requiere anestesia
El tratamiento de la luxacin abierta hueso tarsal, con cierre
sin complicaciones del tejido blando
Tratamiento cerrado de dislocacin articular talotarsal, que
requiere anestesia
Fijacin percutnea de luxacin de la articulacin del
esqueleto talotarsal, con la manipulacin
El tratamiento de la luxacin de la articulacin talotarsal
abierta, con cierre de los tejidos blandos sin complicaciones
Tratamiento abierto de dislocacin articular talotarsal,
incluye la fijacin interna, cuando se realiza
Tratamiento cerrado de dislocacin de la articulacin tarso
metatarsianas; sin anestesia
Tratamiento cerrado de dislocacin de la articulacin tarso
metatarsianas; requiere anestesia
Fijacin percutnea esqueltico de luxacin de la
articulacin tarso metatarsianas, con la manipulacin
El tratamiento de la luxacin de la articulacin tarso
metatarsianas abierta, con cierre de los tejidos blandos sin
complicaciones
Tratamiento abierto de luxacin de la articulacin tarso
metatarsianas, incluye la fijacin interna, cuando se realiza
metatarsofalngica, que requiere anestesia
articulacin metatarsofalngica, con la manipulacin
El tratamiento de la luxacin abierta articulacin
metatarsofalngica, con cierre sin complicaciones del tejido
blando
Tratamiento cerrado de luxacin de la articulacin
interfalngica, sin anestesia
Tratamiento cerrado de luxacin de la articulacin
interfalngica, que requiere anestesia
articulacin interfalngica, con manipulacin
El tratamiento de la luxacin de la articulacin interfalngica

abierta, con cierre de los tejidos blandos sin complicaciones
Tratamiento abierto de luxacin de la articulacin
interfalngica, incluye la fijacin interna, cuando se realiza
Artrodesis, mediotarsiana o tarso metatarsianas, mltiple o
transversal, con osteotoma (por ejemplo, la correccin de
pie plano)
Artrodesis, con alargamiento del tendn y el progreso,
mediotarsiana, tarsal navicular-cuneiforme (por ejemplo, el
procedimiento de Miller tipo)
Artrodesis, mediotarsiana o tarso metatarsianas, sola
articulacin
Amputacin del pie; transmetatarsiana
Amputacin, dedo del pie, articulacin interfalngica
Extracorprea por ondas de choque de alta energa,
realizado por un mdico, que requiere anestesia que no sea
local, incluyendo la gua del ultrasonido, con la participacin
de la fascia plantar
Procedimiento Cotizadas, pie o dedos del pie
Aplicacin de Risser chaqueta, localizador, cuerpo,
incluyendo la cabeza
Aplicacin de tensor chaqueta, el cuerpo; slo
Aplicacin del tensor chaqueta, cuerpo, incluyendo la
cabeza
Aplicacin de yeso en el cuerpo, los hombros a las caderas,
incluyendo la cabeza, el tipo de Minerva
de los cuales 1 muslo
incluyendo ambos muslos
Solicitud, fundido; dedo (por ejemplo, contractura)
Aplicacin de la frula de brazo corto (antebrazo a la mano);
dinmica
Aplicacin de dedo entablillado; dinmico
Strapping, espalda baja
Strapping, hombro (por ejemplo, Velpeau)
Flejado; codo o la mueca
Strapping, mano o dedos
Aplicacin de hip spica cast; 1 y spica la mitad o las dos
piernas
Aplicacin de yeso en la pierna larga (muslo hasta los pies);
andador o tipo ambulatorio
Aplicacin del cors largo yeso en la pierna
Aplicacin del reparto cilindro (muslo hasta el tobillo)
Aplicacin de yeso corto (por debajo de la rodilla hasta los
dedos del pie), el tipo caminando o ambulatorio
Aplicacin de frula larga pierna (muslo hasta el tobillo o los
dedos del pie)
Aplicacin de la frula de pierna corto (pantorrilla a pie)
Strapping, rodilla
Flejado; tobillo y / o pie
Strapping, dedos
Strapping, bota de Unna
Aplicacin del sistema de multi-capa de compresin venosa
herida, por debajo de la rodilla
Denis-Browne frula flejes
La eliminacin o bivalving, lleno brazo o la pierna enyesada
completo
La eliminacin o bivalving, hombro o cadera espica,
Minerva, o una chaqueta Risser, etc
La eliminacin o bivalving; chaqueta tensor
Calce del reparto pie zambo; bilateral
Procedimiento Cotizadas, de fundicin o flejes
La artroscopia, hombro, ciruga, la reparacin de la lesin
SLAP
La artroscopia, hombro, diagnstico, con o sin biopsia
sinovial (procedimiento separado)
La artroscopia, hombro, ciruga, con extirpacin de cuerpo
La artroscopia, hombro, ciruga, sinovectoma parcial
La artroscopia, hombro, ciruga, sinovectoma, completo
La artroscopia, hombro, ciruga, desbridamiento, limitado
La artroscopia, hombro, ciruga, desbridamiento extenso
La artroscopia, hombro, ciruga; claviculectoma distal
incluyendo la superficie articular distal (Mumford
procedimiento)
Artroscopia, hombro, quirrgica; con la lisis de adherencias
y la reseccin, con o sin manipulacin
La artroscopia, hombro, ciruga, la descompresin del
espacio subacromial con acromioplastia parcial, con o sin
liberacin coracoacromial
La artroscopia, hombro, ciruga, con la reparacin del
manguito de los rotadores
La artroscopia, hombro, ciruga, bceps tenodesis
Artroscopia, codo, quirrgico, sinovectoma parcial
Artroscopia, codo, quirrgico, sinovectoma, completo
Artroscopia, codo, quirrgico, desbridamiento, limitado
Artroscopia, codo, quirrgico, desbridamiento extenso
Artroscopia, mueca, quirrgicos; sinovectoma parcial
Artroscopia, mueca, quirrgico, sinovectoma, completo
Artroscopia, mueca, quirrgico, escisin y / o reparacin de
fibrocartlago triangular y / o desbridamiento articular
Artroscopia, mueca, quirrgico, fijacin interna para la
fractura o inestabilidad
Endoscopia, mueca, quirrgico, con la liberacin del
ligamento transverso del carpo
Tratamiento artroscpicamente la ayuda de intercondilar
columna (s) y / o fractura de la tuberosidad (s) de la rodilla,
con o sin manipulacin; sin fijacin interna o externa (incluye
artroscopia)
Tratamiento artroscpicamente la ayuda de intercondilar

columna (s) y / o fractura de la tuberosidad (s) de la rodilla,
con o sin manipulacin; con fijacin interna o externa
(incluye artroscopia)
Tratamiento mediante artroscopia ayuda de fractura tibial
proximal (meseta); unicondilar, incluye la fijacin interna,
cuando se realiza (incluye artroscopia)
Tratamiento mediante artroscopia ayuda de fractura tibial
proximal (meseta); bicondilar, incluye la fijacin interna,
cuando se realiza (incluye artroscopia)
Artroscopia de cadera, quirrgico, con desbridamiento /
afeitado del cartlago articular (condroplastia), artroplastia de
abrasin y / o reseccin del labrum
Artroscopia de cadera, ciruga, con sinovectoma
La artroscopia, rodilla, quirrgica; autoinjerto osteocondral
(s) (por ejemplo, mosaicoplastia) (incluye la recoleccin de
la autoinjerto [s])
La artroscopia, rodilla, quirrgica; aloinjerto osteocondral
(por ejemplo, mosaicoplastia)
La artroscopia, rodilla, quirrgica, el trasplante meniscal
(incluye artrotoma para meniscal insercin), medial o lateral
La artroscopia, rodilla, quirrgica, la infeccin, lavado y
drenaje con irrigacin succin
La artroscopia, rodilla, quirrgica, con liberacin lateral
La artroscopia, rodilla, quirrgica, para la extraccin de
cuerpo suelto o cuerpo extrao (por ejemplo, osteocondritis
disecante fragmentacin, fragmentacin condral)
La artroscopia, rodilla, quirrgica, sinovectoma, limitada
(por ejemplo, la plica o reseccin estante) (procedimiento
separado)
La artroscopia, rodilla, quirrgica, sinovectoma, grandes, 2
o ms compartimentos (por ejemplo, medial o lateral)
La artroscopia, rodilla, quirrgica, desbridamiento / afeitado
del cartlago articular (condroplastia)
La artroscopia, rodilla, quirrgica, artroplastia de abrasin
(incluye condroplastia cuando sea necesario) o mltiples
perforaciones o microfracturas
La artroscopia, rodilla, quirrgica, con meniscectoma
(medial y lateral, incluyendo cualquier afeitado meniscal)
La artroscopia, rodilla, quirrgica, con meniscectoma
(medial o lateral, incluyendo cualquier afeitado meniscal)
La artroscopia, rodilla, quirrgica, con la reparacin del
menisco (medial o lateral)
La artroscopia, rodilla, quirrgica, con la reparacin del
menisco (medial y lateral)
La artroscopia, rodilla, quirrgica, con la lisis de
adherencias, con o sin manipulacin (procedimiento
separado)
Artroscopia, rodilla, quirrgica; perforacin para la

osteocondritis disecante con injerto de hueso, con o sin
fijacin interna (incluyendo el desbridamiento de la base de
la lesin)
La artroscopia, rodilla, quirrgica, extraccin de
osteocondritis disecante intacta lesin
La artroscopia, rodilla, quirrgica, extraccin de
osteocondritis disecante intacta lesin con fijacin interna
Artroscopia ayudado reparacin del ligamento cruzado
anterior / aumento o reconstruccin
Artroscopia ayuda posterior reparacin del ligamento
cruzado / aumento o reconstruccin
Artroscopia, tobillo, diagnstico, con o sin biopsia sinovial
Reparacin artroscpica con la ayuda de la osteocondritis
disecante gran lesin, fractura del domo talar, o fractura de
piln tibial, con o sin fijacin interna (incluye artroscopia)
Fasciotoma plantar endoscpica
Artroscopia, el tobillo (articulaciones tibiotalar y fibulotalar),
quirrgico, con extirpacin de cuerpo suelto o cuerpo
extrao
Artroscopia, tobillo (tibiotalar y las articulaciones fibulotalar),
quirrgico, sinovectoma parcial
Artroscopia, el tobillo, la sinovectoma quirrgica, completo
quirrgico, desbridamiento, limitado
quirrgico, desbridamiento extenso
Artroscopia, el tobillo (articulaciones tibiotalar y fibulotalar),
quirrgico, con artrodesis de tobillo
Artroscopia, articulacin metacarpofalngica, quirrgico, con
la reduccin de desplazados ligamento colateral cubital (por
ejemplo, lesin Stenar)
Artroscopia, articulacin subastragalina, quirrgico, con
extirpacin de cuerpo suelto o cuerpo extrao
sinovectoma
desbridamiento
artrodesis subastragalina
Procedimiento Cotizadas, la artroscopia
Procedimiento Cotizadas, la artroscopia
Drenaje de absceso o hematoma, el tabique nasal
Escisin, plipo nasal (s), simple, bilateral

Escisin, plipo nasal (s), amplia
Escisin, plipo nasal (s), extensa, bilateral
lesin; enfoque externo (rinotoma lateral)
La escisin del quiste dermoide, nariz, complejo, con hueso
o cartlago
o cartlago
o cartlago
o cartlago
o cartlago
Reseccin submucosa del cornete inferior, parcial o total,
cualquier mtodo
cualquier mtodo
cualquier mtodo
cualquier mtodo
cualquier mtodo
Desplazamiento terapia (tipo Proetz)
Extraccin de cuerpo extrao, intranasal, por rinotoma
lateral
lateral

lateral
lateral
lateral
La rinoplastia primaria, complete las partes externas,
incluyendo pirmide sea, lateral y cartlagos alares, y / o
La rinoplastia primaria, incluyendo la reparacin septal
principal
principal
principal
principal
principal
La rinoplastia secundaria; revisin intermedia (trabajo seo
con osteotomas)
con osteotomas)
con osteotomas)
con osteotomas)
con osteotomas)
La rinoplastia secundaria, la revisin principal (trabajo punta
nasal y osteotomas)
nasal y osteotomas)
nasal y osteotomas)
nasal y osteotomas)
nasal y osteotomas)

columelar; punta, tabique, osteotomas
La reparacin de la estenosis vestibular nasal (por ejemplo,
esparcidor de injerto, reconstruccin de la pared lateral
nasal)
nasal)
nasal)
nasal)
nasal)
Reparacin de atresia de coanas; transpalatino
Cauterizacin cornetes, unilateral o bilateral (procedimiento
separado); superficiales
volumen del tejido); intramural (es decir, la submucosa)

separado); intramuros
Contral hemorragia nasal, anterior, simple (cauterizacin),
bilateral
bilateral
bilateral
bilateral
bilateral
Control de hemorragia nasal, anterior, complejo
(cauterizacin amplia y / o embalaje) cualquier otro mtodo

Control de hemorragia nasal, anterior, complejo,
(cauterizacin con anestesia local y embalaje), bilateral
subsiguiente
subsiguiente
subsiguiente
subsiguiente
subsiguiente
Procedimiento Cotizadas, la nariz
Lavado por canulacin; senos maxilares, bilateral
Lavado por canulacin; seno esfenoidal
Sinusotoma, maxilar (antrotoma), intranasal, bilateral
Sinusotoma, maxilar (antrotoma); radical, bilateral

(Caldwell-Luc) sin extirpacin de los plipos antrocoanal
Sinusotoma, maxilar (antrotoma) radical (Caldwell-Luc) con
(Caldwell-Luc) con plipos eliminacin antrocoanal
Sinusotoma, esfenoides, con o sin biopsia, extraccin con
la mucosa o la extraccin de plipo (s)
Sinusotoma frontal; intranasal
Sinusotoma frontal, (Lynch tipo de mucocele o osteoma,)
transorbital, unilateral

Frontal sinusotoma; obliterante sin solapa osteoplstica,
incisin frente (incluye ablacin)
Sinusotoma frontal; obliterativa, sin solapa osteoplstica,
incisin coronal (incluye ablacin)
Sinusotoma frontal; obliterante, con solapa osteoplstica,
incisin frente
incisin frente
incisin frente
incisin frente
incisin frente
incisin coronal
incisin coronal
incisin coronal
incisin coronal
incisin coronal
Sinusotoma frontal; nonobliterative, con solapa
osteoplstica, incisin frente

osteoplstica, incisin coronal
Sinusotoma, unilateral, 3 o ms senos paranasales (frontal,
maxilar, etmoidal, esfenoidal)
Etmoidectoma, total intranasal,
Etmoidectoma, total extranasal,
Nasal / sinusal endoscopia diagnstica con sinusoscopy
maxilar (a travs del meato inferior o puncin fosa canina)
esfenoides (a travs de la perforacin de la cara esfenoidal
o canulacin de ostium)

Nasal / sinusal endoscpica, ciruga, con control de la
hemorragia nasal
hemorragia nasal
hemorragia nasal
hemorragia nasal
hemorragia nasal
Nasal / sinusal endoscpica, ciruga, con
dacriocistorrinostoma
Nasal / sinusal endoscpica, ciruga, con reseccin concha
bullosa
bullosa
bullosa
bullosa
bullosa
Nasal / sinusal endoscopia, ciruga, con osteomeatal
complejo (MAC) reseccin y / o etmoidectoma anterior, con
o sin extraccin de plipo (s)

o sin extraccin de plipo (s); con antrostoma
o sin extraccin de plipo (s); con antrostoma y la
eliminacin de la enfermedad de la mucosa antral
o sin extraccin de plipo (s); con frontal exploracin sinusal

o sin extraccin de plipo (s); con la exploracin del seno
frontal y antrostoma
La endoscopia nasal, diagnstico, con o sin biopsia (incluye
el examen del meato medio, infundbulo y ostia del seno)
o sin extraccin de plipo (s); con frontal exploracin
sinusal, antrostoma, y la eliminacin de la enfermedad de la
mucosa antral

mucosa antral
mucosa antral
mucosa antral
mucosa antral
La endoscopia nasal, ciruga, con polipectoma nasal
total (anterior y posterior)
Nasal / sinusal endoscpica, ciruga, con antrostoma
maxilar;
maxilar;
maxilar;
maxilar;
maxilar;
La endoscopia nasal, quirrgico, con remocin de cuerpo
extrao (s)
extrao (s)
extrao (s)
extrao (s)

extrao (s)
Seno maxilar endoscopia diagnstica, con o sin biopsia
Nasal / sinusal endoscpica, ciruga, con etmoidectoma
anterior y posterior (APE), con o sin extirpacin de plipo (s)
anterior y posterior (APE), con o sin extirpacin de un plipo
(s), con antrostoma
(s), con antrostoma
(s), con antrostoma
(s), con antrostoma
(s), con antrostoma
Seno maxilar endoscopia quirrgica, con extirpacin de
cuerpo extrao (s)
cuerpo extrao (s)
cuerpo extrao (s)
cuerpo extrao (s)
cuerpo extrao (s)
Nasal / sinusal endoscopia, ciruga, con etmoidectoma

anterior y posterior (APE), con o sin extraccin de plipo (s);
con antrostoma y la eliminacin de la enfermedad de la
mucosa antral
mucosa antral
mucosa antral
mucosa antral
mucosa antral
Seno maxilar endoscopia, ciruga, con la extirpacin de un
quiste
quiste
quiste
quiste
quiste
(s), con la exploracin del seno frontal
maxilar, con extraccin de tejido del seno maxilar

Seno maxilar endoscopia quirrgica, con la eliminacin de
hongos pelota
hongos pelota
hongos pelota
hongos pelota
hongos pelota
(s), con la exploracin del seno frontal y antrostoma
Esfenoides endoscopia diagnstica, con o sin biopsia
con frontal exploracin sinusal, antrostoma, y la eliminacin
de la enfermedad de la mucosa antral

Esfenoides endoscopia, ciruga
Nasal / sinusal endoscpica, ciruga con la exploracin del
seno frontal, con o sin extraccin de tejido del seno frontal
Esfenoides endoscopia, ciruga, con la extirpacin de la
membrana mucosa
membrana mucosa
membrana mucosa
membrana mucosa
membrana mucosa
anterior y posterior y sphenoidotomy (APS), con o sin
extirpacin de plipo (s)

extraccin de plipo (s); con antrostoma
extraccin de plipo (s); con antrostoma y la eliminacin de
la enfermedad de la mucosa antral
extraccin de plipo (s); con frontal exploracin sinusal

extirpacin de un plipo (s), con la exploracin del seno
Sinus endoscopia, dos o ms senos paranasales, unilateral
extraccin de plipo (s); con frontal exploracin sinusal,
antrostoma y la eliminacin de la enfermedad de la mucosa
antral
antral
antral

antral
antral
Nasal / sinusal endoscpica, ciruga, con sphenoidotomy;
Nasal / sinusal endoscpica, ciruga, con sphenoidotomy,
con extraccin de tejido del seno esfenoidal
fugas de lquido cefalorraqudeo, regin esfenoidal
Nasal / sinusal endoscpica, ciruga, con la pared medial
orbitaria y descompresin orbitaria inferior de la pared

del nervio ptico
del nervio ptico
del nervio ptico
del nervio ptico
del nervio ptico
Procedimiento Cotizadas, senos accesorios
Laryngotomy (thyrotomy, laringofisura); diagnstico
Laringectoma parcial (hemilaringectoma); laterovertical
Laringectoma parcial (hemilaringectoma); anterovertical
Laringectoma parcial (hemilaringectoma); antero-laterovertical
Pharyngolaryngectomy, con diseccin radical del cuello, con
la reconstruccin
la reconstruccin

la reconstruccin
la reconstruccin
la reconstruccin
Laringoscopia, indirectos, con biopsia
Laringoscopia, indirecto, con remocin de cuerpo extrao
Laringoscopia, indirectos, con la eliminacin de la lesin
Laringoscopia, indirecto, con inyeccin de cuerdas vocales
Laringoscopia directa, con o sin traqueoscopa; diagnstico,
el recin nacido
el recin nacido
el recin nacido
el recin nacido
el recin nacido
Laringoscopia directa, con o sin traqueoscopa, diagnstico,
excepto recin nacido

con el microscopio o el telescopio operando
Laringoscopia directa, con o sin traqueoscopa; con la
insercin del obturador
Laringoscopia directa, con o sin traqueoscopa, con
dilatacin inicial
dilatacin inicial
dilatacin inicial
dilatacin inicial
dilatacin inicial
dilatacin posterior
dilatacin posterior
dilatacin posterior
dilatacin posterior
dilatacin posterior
Laringoscopia, operativa directa, con extraccin de cuerpos
extraos;
extraos;
extraos;
extraos;

extraos;
Laringoscopia, directa, operativa, con extraccin de cuerpos
extraos, con microscopio o telescopio
Laringoscopia, directa, operativa, con biopsia;
Laringoscopia, directa, operativa, con biopsia, con
microscopio o telescopio
Laringoscopia, directa, operativa, con la escisin del tumor y
/ o extraccin de las cuerdas vocales o de la epiglotis;
/ o extraccin de las cuerdas vocales o de la epiglotis, con
microscopio quirrgico o telescopio

Laringoscopia, directa, operativa, con microscopio de
operacin o de un telescopio, con eliminacin submucosa
de lesin no neoplsica (s) de las cuerdas vocales, la
reconstruccin con colgajo de tejido local (s)
Laringoscopia, directa, operativa, con microscopio quirrgico
o telescopio, con eliminacin submucosa de lesin no
neoplsica (s) de las cuerdas vocales, la reconstruccin con
injerto (s) (incluye la obtencin de autoinjerto)
Laringoscopia, operativa directa, con aritenoidectoma;

Laringoscopia, directa, operativa, con aritenoidectoma, con
Laringoscopia, directa, con la inyeccin en las cuerdas
vocales (s), teraputica;
vocales (s), teraputico; con microscopio quirrgico o
telescopio
telescopio
telescopio
telescopio
telescopio
Laringoscopia, flexible de fibra ptica; diagnstico
Laringoscopia, flexible de fibra ptica, con biopsia
Laringoscopia, flexible de fibra ptica, con la remocin de
cuerpo extrao
cuerpo extrao

cuerpo extrao
cuerpo extrao
cuerpo extrao
Laringoscopia, flexible de fibra ptica, con la eliminacin de
la lesin
la lesin
la lesin
la lesin
la lesin
Laringoscopia, fibra ptica flexible o rgido, con la
estroboscopia
estroboscopia
estroboscopia
estroboscopia
estroboscopia
Laringoplastia, con reduccin abierta de la fractura
El tratamiento de la fractura de laringe cerrada; con
reduccin cerrada cerrada
Laringoplastia, split cricoides
Procedimiento Cotizadas, de la laringe
Traqueostoma, planificadas (procedimiento separado);
menor de 2 aos

menor de 2 aos
menor de 2 aos
menor de 2 aos
menor de 2 aos
Revisin traqueostoma, complejo, con rotacin de colgajo
Ultrasonido endobronquial (EBUS) durante la intervencin
broncoscpica diagnstico o teraputico (s) (Lista
primario (s))
primario (s))
primario (s))
primario (s))
primario (s))
Broncoscopia, rgida o flexible, incluye gua fluoroscpica,
cuando se realiza, con el cepillado o cepillado protegido

cuando se realiza, con lavado alveolar bronquial
fluoroscpica, cuando se realiza, con bronquial o biopsia
endobronquial (s), uno o varios sitios
fluoroscpica, cuando se realiza, con la colocacin de los
marcadores de referencia, nica o mltiple
cuando se realiza, con ayuda de computadora, navegacin
guiada por imagen (lista por separado adems del cdigo
para el procedimiento primario [s])

cuando se realiza, con biopsia transbronquial pulmonar (s),
solo lbulo
solo lbulo
solo lbulo
solo lbulo
solo lbulo
cuando se realiza, con puncin aspiracin con aguja
transbronquial (s), la trquea, el tallo principal y / o el
bronquio lobar (i)
bronquio lobar (i)
bronquio lobar (i)
bronquio lobar (i)

bronquio lobar (i)
Reduccin con trquea / bronquial dilatacin o cerrada de la
fractura; broncoscopia, rgido o flexible, incluyendo gua
fluoroscpica, cuando se realiza
fluoroscpica, cuando se realiza, con la colocacin de stent
traqueal (s) (incluye trquea / bronquial dilatacin segn sea
necesario)
necesario)
necesario)
necesario)
necesario)
fluoroscpica, cuando se realiza, con biopsia transbronquial
de pulmn (s), cada lbulo adicional (Lista por separado

fluoroscpica, cuando se realiza, con transbronquial biopsia
por aspiracin con aguja (s), cada lbulo adicional (Lista por
fluoroscpica, cuando se realiza, con la retirada de cuerpo
extrao
extrao
extrao
extrao

extrao
bronquial (s) (incluye trquea / bronquial dilatacin segn
sea necesario), el bronquio iniciales
cuando se realiza, cada bronquio principales stents
adicionales (Haga una lista por separado adems del cdigo
fluoroscpica, cuando se realiza, con la revisin de stent
traqueal o bronquial insertado en la sesin anterior (incluye
trquea / bronquial dilatacin en caso necesario)

fluoroscpica, cuando se realiza, con la escisin de tumor
fluoroscpica, cuando se realiza, con la destruccin de
tumor o el alivio de la estenosis por cualquier otro mtodo
de escisin (por ejemplo, terapia con lser, crioterapia)

fluoroscpica, cuando se realiza, con la colocacin del
catter (s) para la aplicacin intracavitaria radioelemento
teraputica del rbol traqueobronquial, subsiguiente
fluoroscpica, cuando se realiza, con la inyeccin de
material de contraste para broncografa segmentaria
(fibroscopio solamente)

Broncoscopia, con otros procedimientos de broncoscopia
Cateterismo con biopsia bronquial cepillo
Transtraqueal (percutnea) la introduccin de mora en tubo
para la terapia (por ejemplo, el tubo de cosquilleo, un catter
para la administracin de oxgeno)
traqueobronquial con fibroscopio, junto a la cama
Traqueoplastia; fistulizacin tracheopharyngeal, cada etapa

Traqueoplastia; intratorcica
Broncoplastia; escisin estenosis y anastomosis
Escisin traqueal estenosis y anastomosis; cervical
Escisin traqueal estenosis y anastomosis; cervicotorcica
Escisin de tumor traqueal o carcinoma; torcica
Sutura de herida o lesin traqueal; intratorcica
El cierre quirrgico de traqueostoma o fstula, con la
Procedimiento Cotizadas, la trquea, los bronquios
Toracocentesis con insercin de tubo, con o sin sello de

agua (por ejemplo, para el neumotrax) (procedimiento
separado)
separado)
separado)
separado)
separado)
La insercin de catter permanente tunelizado pleural con
manguito
manguito
manguito
manguito
manguito
Torcico, con drenaje abierta a colgajo para empiema
Toracotoma, mayor, con control de la hemorragia
traumtica y / o reparacin de desgarro pulmonar
Toracotoma, mayor, porque las complicaciones
postoperatorias
postoperatorias
postoperatorias
postoperatorias
postoperatorias
Toracotoma, mayor, con pneumonolysis intrapleural abierto

Toracotoma, mayor, con quiste (s) la eliminacin, con o sin
un procedimiento pleural
Toracotoma, mayor, con la escisin-cacin de bullas, con o
sin procedimiento pleural
Toracotoma, mayor, con la eliminacin del cuerpo extrao
Toracotoma, mayor, con remocin de cuerpo extrao
intrapulmonar
intrapulmonar
intrapulmonar
intrapulmonar
intrapulmonar
Toracotoma, mayor, con masaje cardaco
Pneumonostomy, con drenaje percutneo de absceso o

quiste
quiste
quiste
quiste
quiste
Pleurectoma; parcial
Biopsia, pleura, abierto
Toracocentesis con la insercin del tubo, incluye agua de
sellado (por ejemplo, para neumotrax), cuando se realiza
extrapleural
extrapleural
extrapleural
extrapleural

extrapleural
Neumonectoma, extrapleural, con empyemectomy
total, con broncoplastia
total, con reseccin circunferencial del segmento de los
bronquios seguido por broncoconstriccin bronquial
anastomosis (lobectoma en manguito)
total; todo pulmn restante despus de la extraccin anterior
de una porcin de pulmn (neumonectoma terminacin)

Lobectoma, total o segmentaria, con decorticacin
concomitante
concomitante
concomitante
concomitante
concomitante
total; escisin-cacin de pulmn enfisematoso (s) (bulloso o
no bulloso-) para la reduccin del volumen pulmonar,
divisin o esternal transtorcica, con o sin cualquier
procedimiento pleural
total, reseccin en cua, nicas o mltiples
La reseccin de tumor pulmonar apical (por ejemplo, tumor

de Pancoast), incluyendo la reseccin de la pared torcica,
costillas (s) reseccin (s), diseccin neurovascular, cuando
se realiza, sin reconstruccin de la pared torcica (s)
se realiza, con la pared torcica reconstruccin
La reseccin del pulmn, con reseccin de la pared torcica

La reseccin del pulmn, con la reconstruccin de la pared
torcica, sin prtesis
La reseccin del pulmn, con una importante reconstruccin
de la pared torcica, con prtesis
Enucleacin extrapleural de empiema (empyemectomy), con
lobectoma
lobectoma
lobectoma
lobectoma
lobectoma
manguito
manguito
manguito
manguito
manguito
Toracostoma Tube, incluye agua de sellado (por ejemplo,
para el absceso, hemotrax, empiema), cuando se realiza

La eliminacin de sonda pleural tunelizado con manguito
La colocacin del dispositivo intersticial (s) para la
orientacin terapia de radiacin (por ejemplo, marcadores
de referencia, dosmetro), percutnea, intratorcica, simple
o mltiple
o mltiple
o mltiple
o mltiple
o mltiple
La instilacin, a travs de sonda pleural / catter, agente
para la pleurodesis (por ejemplo, talco para el neumotrax
La instilacin (s), a travs de sonda pleural / catter, agente

de la fibrinolisis (agente por ejemplo, fibrinolticos para
romper de derrame multiloculated), da inicial
romper de derrame multiloculated) das posteriores
pulmones y el espacio pleural, con biopsia
La toracoscopia, diagnstico (procedimiento separado);
saco pericrdico, sin biopsia
saco pericrdico, con biopsia

La toracoscopia, diagnstico (procedimiento separado), el
espacio mediastinal, sin biopsia
espacio mediastinal, con biopsia
La toracoscopia, quirrgico, con control de la hemorragia
traumtica
traumtica
traumtica
traumtica
traumtica
La toracoscopia, quirrgico, con la escisin-cacin de bullas,
incluyendo cualquier procedimiento pleural
La toracoscopia, quirrgico, con la extirpacin de quistes
mediastnicos, tumor o masa

La toracoscopia, exploratorio (procedimiento separado);
Donante neumonectoma (s) (incluyendo conservacin en
fro), de donante cadver
Backbench preparacin estndar de aloinjerto de cadver
pulmn donante antes del trasplante, incluyendo la
diseccin de aloinjertos de tejidos blandos circundantes
para preparar venosa pulmonar / manguito auricular, arteria
pulmonar, y bronquios; unilateral
pulmonar, y bronquios; bilateral

Pneumonolysis, extraperiosteal, incluyendo el llenado o
envasado procedimientos
La pericardiocentesis; posterior
Pericardiectoma, subtotal o total, con circulacin
extracorprea
Decorticacin ventricular completo, con circulacin
extracorprea
Pericardiectoma (procedimiento separado)
Revascularizacin transmiocrdica con lser, por
toracotoma, (procedimiento separado)
Revascularizacin transmiocrdica con lser, por
toracotoma; realiza en el momento de otro procedimiento
cardaco abierto (s) (Lista por separado adems de cdigo
La insercin de marcapasos permanente con electrodo
epicrdico (s) por el enfoque xifoides
La insercin de electrodo epicrdico (s); incisin abierta (por
ejemplo, de toracotoma, esternotoma media, enfoque
subxifoidea)
La insercin de electrodo epicrdico (s); enfoque
endoscpico (por ejemplo, toracoscopia, pericardioscopia)
electrodo transvenoso (s); ventricular

electrodo transvenoso (s); atrial y ventricular
Insercin o reemplazo de transvenosa temporal electrodos
de estimulacin bicamerales (procedimiento separado)
Insercin o sustitucin de generador de impulsos de
marcapasos slo; cmara dual
Reposicionamiento de marcapasos implantado previamente
transvenoso o estimulacin cardioversor-desfibrilador
(ventricular auricular derecha o izquierda) electrodo
La insercin de dos electrodos intravenosos, marcapasos o
desfibrilador permanentesReparacin de electrodo de marcapasos (s) solamente; sola
cmara, auricular o ventricular, con la sustitucin de
generador de impulsos
Reparacin de 2 electrodos intravenosos para un
marcapasos bicameral permanente o la estimulacin
bicameral cardioversor-desfibrilador
Revisin del bolsillo de piel para cardioversor-desfibrilador
La insercin del electrodo de estimulacin, el sistema
venoso cardaco, para la estimulacin ventricular izquierda,
con fijacin al marcapasos colocado previamente o
estimulacin cardioversor-desfibrilador generador de
impulsos (incluyendo revisin de bolsillo, eliminacin,
insercin y / o sustitucin del generador)
La insercin del electrodo de estimulacin, sistema venoso
cardaco, para la estimulacin ventricular izquierda, en el
momento de la insercin de la estimulacin desfibrilador o
marcapasos generador de pulsos (incluida la modernizacin
de sistema de doble cmara) (Lista separadamente adems
Reposicionamiento de sistema venoso cardaco implantado
previamente (ventricular izquierda) electrodo (incluyendo la
eliminacin, insercin y / o sustitucin del generador)
La eliminacin de marcapasos permanente
La eliminacin del electrodo de marcapasos transvenoso
(s), sistema de cable dual
Remocin de marcapasos epicrdico y electrodos
permanentes por toracotoma, sistema de cable dual
Reparacin de desfibrilador automtico implantable
generador de impulsos y / o conduce
La insercin del implante epicrdico cmara nica o doble
ritmo desfibrilador cardioversor electrodos por toracotoma,
con la insercin de generador de impulsos
Insercin o sustitucin de desfibrilador automtico
implantable plomo (s), por que no sea toracotoma;
Revisin o remocin de desfibrilador cardioversor
automtico implantable-pads y electrodos
Ablacin Operativo de foco arritmognico supraventricular o

va (por ejemplo, sndrome de Wolff-Parkinson-White, el
nodo atrioventricular reentrada), tracto (s) y / o enfoque
(focos), con circulacin extracorprea
La ablacin del tejido operativo y la reconstruccin de las
aurculas, limitada (por ejemplo, el procedimiento modificado
laberinto)
aurculas, extenso (por ejemplo, el procedimiento de
laberinto), sin bypass cardiopulmonar
aurculas, extenso (por ejemplo, el procedimiento de
laberinto), con circulacin extracorprea
Ablacin de tejido operativo y la reconstruccin de las
aurculas, realizado en el momento de otro procedimiento
cardiaco (s), limitada (por ejemplo, procedimiento
modificado laberinto) (Lista por separado adems de cdigo
cardiaco (s), amplio (por ejemplo, procedimiento de
laberinto), sin circulacin extracorprea (lista por separado
cardiaco (s), amplio (por ejemplo, procedimiento de
laberinto), con circulacin extracorprea (lista por separado
Ablacin Operativo de foco arritmognico o va; sin
La endoscopia, ciruga, ablacin de tejido operativa y la
reconstruccin de las aurculas, limitada (por ejemplo, el
procedimiento modificado laberinto), sin bypass
cardiopulmonar
La endoscopia, ciruga, ablacin de tejido operativa y la
reconstruccin de las aurculas, extenso (por ejemplo, el
procedimiento de laberinto), sin bypass cardiopulmonar
La remocin de un implantable, activado por el paciente
registrador de eventos cardacos
Cardiotoma, exploratorio (incluye remocin de cuerpo
extrao, trombo auricular o ventricular), con circulacin
extracorprea
Sutura de reparacin de la aorta o grandes vasos, con
La insercin de injerto, aorta o grandes vasos, con
derivacin shunt
La insercin de injerto, aorta o grandes vasos, con
Gran reparacin de buques con otro gran procedimiento
Valvuloplastia artica vlvula; abierto, con oclusin de

entrada
Valvuloplastia, vlvula artica, con dilatacin
transventricular, con circulacin extracorprea
extracorprea, con vlvula de aloinjerto (a mano alzada)
Valvulotoma, la vlvula artica (comisurotoma), con
Valvulotoma, la vlvula artica (comisurotoma), con la
oclusin de entrada
extracorprea, con vlvula de tejido sin stent
Reemplazo de la vlvula artica, con la ampliacin del anillo
artico, cspide no coronaria
Reemplazo de la vlvula artica, con la ampliacin
transventricular anillo artico (Konno procedimiento)
Reemplazo de la vlvula artica, por la translocacin de
vlvula pulmonar autloga con injerto de reemplazo de la
vlvula pulmonar (procedimiento de Ross)
Valvuloplastia, vlvula mitral, con derivacin cardiopulmonar,
con anillo protsico
Valvuloplastia, vlvula mitral, con circulacin extracorprea,
la reconstruccin radical, con o sin anillo
Valvulotoma, la vlvula tricspide (comisurotoma); cerrado
Valvulotoma, vlvula tricspide, con derivacin
cardiopulmonar
Valvuloplastia, vlvula tricspide, con insercin del anillo
Valvulotoma, la vlvula pulmonar, el corazn cerrado, a
travs de la arteria pulmonar
Valvulotoma, la vlvula pulmonar del corazn, abierto, con
Reemplazo y / o reparacin, procedimiento de doble vlvula,
por mtodos 33400-33465
Reparacin de no estructurales disfuncin de prtesis
valvular con circulacin extracorprea (procedimiento
separado)
Reparacin de fstula arteriovenosa coronaria o cmara
arteriocardiac; sin circulacin extracorprea
la arteria pulmonar, por injerto, sin circulacin extracorprea
la arteria pulmonar, con la construccin del tnel
intrapulmonar arterias (Takeuchi procedimiento)
la arteria pulmonar, por la translocacin de la arteria
pulmonar a la aorta
La reparacin de anomalas (por ejemplo, intramural) artica
origen de la arteria coronaria por destechamiento o
translocacin
La endoscopia, ciruga, incluyendo video-asistida cosecha

de vena (s) para el procedimiento de revascularizacin
coronaria (Haga una lista por separado adems del cdigo
Derivacin de la arteria coronaria, vena solamente; 6 o ms
Derivacin de la arteria coronaria, el injerto no autgenos
(por ejemplo, sintticas o cadver); injerto nico
(s) e injerto arterial (s), 6 o ms injertos venosos (lista por
primario)
Derivacin de la arteria coronaria, el injerto no autgenos
(por ejemplo, sintticas o cadver), dos injertos coronarios
(s), 2 injertos arteriales coronarias
(s), 3 injertos arteriales coronarias
Procedimiento quirrgico restauracin ventricular, incluye
parche protsico, cuando se realiza (por ejemplo, el
remodelado ventricular, SVR, SAVER, los procedimientos de
Dor)
Operacin de miocardio combinado con procedimiento de
bypass coronario
La angioplastia coronaria (endarterectoma con o sin gas,
implantacin arterial o anastomosis), con bypass
La angioplastia coronaria (endarterectoma con o sin gas,
implantacin arterial o anastomosis), con bypass;
combinado con vascularizacin
Cierre de la vlvula semilunar (artica o pulmonar) por
sutura o parche
La anastomosis de la arteria pulmonar a la aorta (DamusKaye-Stansel procedimiento)
La reparacin de anomalas cardacas complejas que no

sea atresia pulmonar con comunicacin interventricular por
la construccin o reemplazo de conducto de ventrculo
derecho o izquierdo a la arteria pulmonar
La reparacin de las anomalas cardacas complejas (por
ejemplo, ventrculo nico con obstruccin subartica) por la
ampliacin quirrgica del defecto ventricular septal
La reparacin de ventrculo derecho de doble salida con la
reparacin del tnel intraventricular;
La reparacin de ventrculo derecho de doble salida con la
reparacin del tnel intraventricular, con la reparacin de la
obstruccin del tracto de salida del ventrculo derecho
ejemplo, atresia tricspide) por el cierre de la comunicacin
interauricular y la anastomosis de las aurculas o la vena
cava a la arteria pulmonar (procedimiento Fontan simple)
ejemplo, ventrculo nico) modificado por procedimiento
Fontan
La reparacin de ventrculo nico con obstruccin del flujo
artico y aorta hipoplasia del arco (sndrome del corazn
izquierdo hipoplsico) (por ejemplo, Norwood procedimiento)
Reparacin de defectos del tabique auricular, secundum;
cierre directo sin circulacin extracorprea
Reparacin de defectos del tabique auricular, secundum;
cierre con parche, con o sin drenaje venoso pulmonar
anmalo
El cierre directo o parche, seno venoso, con o sin drenaje
venoso pulmonar anmalo
La reparacin del defecto septal auricular y defecto septal
ventricular, con cierre directo o parche
La reparacin de la atresia tricspide (por ejemplo, Fontan,
los procedimientos Gago)
La reparacin del canal atrioventricular incompleto o parcial
(ostium primum defecto septal atrial), con o sin reparacin
de la vlvula atrioventricular
Reparacin del canal atrioventricular intermedio o de
transicin, con o sin reparacin de la vlvula atrioventricular
Reparacin de canal auriculoventricular completo, con o sin
vlvula protsica
El cierre de los defectos septales ventriculares mltiples;
El cierre de los defectos septales ventriculares mltiples,
con valvulotoma pulmonar o reseccin infundibular
(acianticos)
El cierre de defectos del tabique ventricular mltiples; con
eliminacin de banda de la arteria pulmonar, con o sin fuelle
El cierre de la comunicacin interventricular sola, con o sin
parche;
Del cierre del defecto septal ventricular, parche

El cierre de la comunicacin interventricular sola, con o sin
parche, con valvulotoma pulmonar o reseccin infundibular
(acianticos)
El cierre de defecto septal ventricular sola, con o sin parche;
con eliminacin de banda de la arteria pulmonar, con o sin
fuelle
Banda de la arteria pulmonar
Completar tetraloga de Fallot reparacin sin atresia
pulmonar;
Tetraloga de Fallot Reparacin completa sin atresia
pulmonar con parche transanular
Completar tetraloga de Fallot reparacin sin atresia
pulmonar, con el cierre de la derivacin anterior
Completar tetraloga de Fallot reparacin con atresia
pulmonar, incluyendo la construccin de un conducto de
ventrculo derecho a la arteria pulmonar y cierre del defecto
septal ventricular
Completar tetraloga de Fallot reparacin con atresia
pulmonar, incluyendo la construccin de un conducto de
ventrculo derecho a la arteria pulmonar y cierre del defecto
septal ventricular, con cierre de derivacin anterior
Reparacin de fstula del seno de Valsalva, con circulacin
extracorprea;
Reparar seno de Valsalva fstula, con derivacin
cardiopulmonar, con la reparacin del defecto septal
ventricular
Reparacin de aneurisma del seno de Valsalva, con
Clausura del tnel del ventrculo artico izquierdo
Reparacin de aislados parcial retorno venoso pulmonar
anmalo (por ejemplo, el Sndrome de Cimitarra)
La reparacin de la estenosis venosa pulmonar
La reparacin completa del retorno venoso anmalo
(supracardaco, intracardaca, o tipos infracardaco)
Reparacin de cor triatriatum o anillo mitral supravalvular
por la reseccin de la membrana de la aurcula izquierda
Septectoma auricular o septostoma, a corazn abierto, con
oclusin de entrada
Septectoma auricular o septostoma; mtodo intravenoso,
globo, tipo Rashkind (incluye cateterismo cardaco)
Septectoma auricular o septostoma; mtodo cuchilla
(Sang-Park septostoma) (incluye cateterismo cardaco)
Shunt; aorta ascendente a la arteria pulmonar (operacin
tipo Waterston)
Shunt; aorta descendente a la arteria pulmonar (Potts-Smith
tipo de operacin)
Shunt; central, con injerto protsico
Shunt, vena cava superior a la arteria pulmonar para el flujo
a un pulmn (clsico procedimiento de Glenn)
Shunt, vena cava superior a la arteria pulmonar para el flujo

a ambos pulmones (Glenn bidireccional)
Anastomosis cavopulmonar, segunda vena cava superior
(Haga una lista por separado adems de procedimiento
primario)
Reparacin de transposicin de las grandes arterias con
comunicacin interventricular y estenosis subpulmonar; sin
ampliacin quirrgica del defecto ventricular septal
Reparacin de transposicin de las grandes arterias con
comunicacin interventricular y estenosis subpulmonar, con
la ampliacin quirrgica del defecto ventricular septal
Reparacin de la transposicin de las grandes arterias,
procedimiento deflector auricular (por ejemplo, Mustard o
Senning tipo) con circulacin extracorprea;
Senning tipo) con circulacin extracorprea, con la
eliminacin de la banda pulmonar
Senning tipo) con circulacin extracorprea, con el cierre de
la comunicacin interventricular
Senning tipo) con circulacin extracorprea, con la
reparacin de la obstruccin subpulmonar
Reparacin de la transposicin de las grandes arterias, la
reconstruccin de aorta arteria pulmonar (por ejemplo, el
tipo de Jatene);
tipo de Jatene), con la eliminacin de la banda pulmonar
tipo de Jatene), con cierre de defecto septal ventricular
tipo de Jatene), con la reparacin de la obstruccin
subpulmonar
Translocacin artica de la raz con defecto septal
ventricular y estenosis pulmonar reparacin (es decir,
Nikaidoh procedimiento), sin reimplante ostium coronario
Translocacin de la raz artica con defecto septal
ventricular y estenosis pulmonar reparacin (es decir,
Nikaidoh procedimiento), con reimplante de 1 o ambos
orificios coronarios
Artica suspensin (aortopexy) para descompresin
traqueal (por ejemplo, para la traqueomalacia)
Divisin de vaso aberrante (anillo vascular);
Divisin de vaso aberrante (anillo vascular), con
reanastomosis
Creacin de la ventana aortopulmonar, sin bypass

La obliteracin del defecto del tabique aortopulmonar; sin
La obliteracin del defecto del tabique aortopulmonar, con
Reparacin de conducto arterioso persistente; por ligadura
Reparacin de conducto arterioso persistente; por divisin,
menores de 18 aos
Reparacin de conducto arterioso persistente; por divisin,
de 18 aos y mayores
La persistencia del conducto arterioso, la ligadura o divisin
cuando se realiza con otro procedimiento
La escisin de la coartacin de aorta, acompaadas o no de
conducto arterioso persistente, con anastomosis directa
conducto arterioso persistente, con injerto
conducto arterioso persistente, reparacin utilizando la
arteria subclavia izquierda o material protsico como
refuerzo para la ampliacin
La reparacin del arco artico hipoplsico o interrumpido
con material autlogo o protsico; sin circulacin
extracorprea
La reparacin del arco artico hipoplsico o interrumpido
con material autlogo o protsico, con circulacin
extracorprea
La escisin de la coartacin de aorla, con o sin patente
assocated conducto arterioso, reparacin de sndrome del
corazn izquierdo hipoplsico (por ejemplo, el tipo de
Norwood)
con o sin vlvula de suspensin; con reconstruccin
coronaria
con o sin vlvula de suspensin; con sustitucin de raz
artica usando la reconstruccin y prtesis compuesta
coronaria
Ascendente injerto de aorta, con circulacin extracorprea,
con suspensin de la vlvula, con la reconstruccin de la
vlvula coronaria y ahorra remodelacin anillo artico (por
ejemplo, David Procedimiento, Procedimiento Yacoub)
con o sin implante coronaria, con o sin vlvula de
suspensin; con reemplazo de la vlvula
La reparacin endovascular de la aorta torcica

descendente (por ejemplo, aneurisma, pseudoaneurisma,
diseccin, lcera penetrante, hematoma intramural, o
interrupcin traumtica); implica la cobertura de origen
arteria subclavia izquierda, extensin inicial torcica
endoprtesis ms de aorta descendente (s), si se requiere,
a nivel de origen de la arteria celaca
interrupcin traumtica); no implique la cobertura de origen
endoprtesis ms de aorta descendente (s), si es necesario,
a nivel de origen de la arteria celaca
La colocacin de prtesis de extensin proximal para la
reparacin endovascular de la aorta torcica descendente
(por ejemplo, aneurisma, pseudoaneurisma, diseccin,
lcera penetrante, hematoma intramural, o la interrupcin
traumtica); extensin inicial
La colocacin de la extensin proximal prtesis para la
lcera penetrante, hematoma intramural, o interrupcin
traumtica); cada extensin adicional proximal (Lista por
Colocacin de la extensin distal prosthesi (s) retras
despus de la reparacin endovascular de la aorta torcica
descendente
Abrir subclavia a la transposicin arteria cartida realizado
en conjuncin con la reparacin endovascular de la aorta
torcica descendente, por incisin en el cuello, unilateral
De injerto de derivacin, con otro de vena, transcervical
retrofarngeo cartida-cartida, realiza en combinacin con
la reparacin endovascular de la aorta torcica
descendente, por incisin en el cuello
Embolectoma arteria pulmonar; sin circulacin
extracorprea
La reparacin de la estenosis de la arteria pulmonar
mediante reconstruccin con parche o injerto
La reparacin de la atresia pulmonar con comunicacin
interventricular, por unifocalization de las arterias
pulmonares; sin circulacin extracorprea
interventricular, por unifocalization de las arterias
pulmonares, con circulacin extracorprea

interventricular, por construccin o reemplazo de conducto
de ventrculo derecho o izquierdo a la arteria pulmonar
La transeccin de la arteria pulmonar con circulacin
extracorprea
La reparacin de anomalas de las arterias pulmonares
arborizacin de unifocalization; sin circulacin extracorprea
La reparacin de anomalas de las arterias pulmonares
arborizacin de unifocalization, con circulacin
extracorprea
Donante cardiectoma-neumonectoma (incluida su
conservacin en fro)
Backbench preparacin estndar de donante cadver
corazn / pulmn aloinjerto antes del trasplante, incluyendo
la diseccin de aloinjertos de tejidos blandos circundantes
para preparar aorta, la vena cava superior, vena cava
inferior, y en la trquea para la implantacin
Cardiectoma Donante (incluida la conservacin en fro)
corazn del donante antes del trasplante, incluyendo la
para preparar aorta, la vena cava superior, vena cava
inferior, la arteria pulmonar y la aurcula izquierda para la
implantacin
Circulacin extracorprea prolongada por insuficiencia
cardiopulmonar, cada 24 horas adicionales (Haga una lista
primario)
Intra-artica baln couterpulsation, la vigilancia slo
a travs de la aorta ascendente
asistencia de la aorta ascendente, incluyendo la reparacin
de la aorta ascendente, con o sin injerto
La insercin del dispositivo de asistencia ventricular;
extracorprea, biventricular
La eliminacin del dispositivo de asistencia ventricular;
extracorprea, biventricular
La insercin del dispositivo de asistencia ventricular
implantable ventrculo intracorprea, solo
La eliminacin del dispositivo de asistencia ventricular
implantable ventrculo intracorprea, solo
Sustitucin del dispositivo de asistencia ventricular
extracorprea, solo o biventricular, bomba (s), soltero o cada
bomba
Sustitucin del dispositivo de asistencia ventricular bomba
(s); implantable ventrculo intracorprea, solo, sin circulacin
extracorprea
Sustitucin del dispositivo de asistencia ventricular bomba
(s); implantable ventrculo intracorprea, solo, con
Procedimiento Cotizadas, ciruga cardiaca

Embolectoma o trombectoma con o sin catter;
innominada, la arteria subclavia, por incisin torcica
Embolectoma o trombectoma con o sin catter; braquial
axilar,, innominada, la arteria subclavia, por incisin brazo
Embolectoma o trombectoma con o sin catter; arteria
radial o ulnar, por incisin brazo
Embolectoma o trombectoma con o sin catter;
femoropoplteo, arteria aortoilaca, por incisin de la pierna
Embolectoma o trombectoma con o sin catter; arteria
popltea-tibio-peroneo, por incisin de la pierna
Trombectoma, directa o con catter, vena cava, ilaca,
femoropopltea vena, por incisin de la pierna
Trombectoma, directa o con catter, vena cava, ilaca,
femoropopltea vena, mediante una incisin abdominal y la
pierna
Trombectoma, directa o con catter, vena subclavia, por
incisin en el cuello
Trombectoma, directa o con catter, vena axilar y subclavia,
por incisin brazo
infrarrenal o diseccin, usando modular prtesis bifurcada (1
miembro adaptable)
infrarrenal o diseccin, usando modulares prtesis bifurcada
(2 miembros de acoplamiento)
infrarrenal o diseccin, usando unibody prtesis bifurcada
infrarrenal o diseccin, usando aorto-uniiliac o prtesis
aorto-unifemoral
Transcatter colocacin del sensor fisiolgico inalmbrico en
el saco aneurismtico durante la reparacin endovascular,
incluyendo supervisin e interpretacin radiolgica,
calibracin de instrumentos, y la recogida de los datos de
presin (Anote separadamente adems del cdigo para el
Abre exposicin de la arteria femoral para la entrega de
prtesis endovascular, mediante una incisin en la ingle,
unilateral
La colocacin de femoral-injerto protsico femoral durante la
reparacin endovascular del aneurisma artico (Lista por
Abrir la arteria ilaca exposicin para la entrega de la
oclusin endovascular prtesis o ilaca durante la terapia
endovascular, mediante una incisin abdominal o
retroperitoneal, unilateral
Colocacin de la extensin proximal o distal prtesis para la

reparacin endovascular de la aorta abdominal infrarrenal o
aneurisma ilaco, falso aneurisma o diseccin; recipiente
inicial
La colocacin de la extensin proximal o distal prtesis para
la reparacin endovascular de la aorta abdominal infrarrenal
o aneurisma ilaco, falso aneurisma o diseccin; cada buque
adicional (lista por separado adems de cdigo para el
Reparacin abierta de aneurisma artico infrarrenal o
diseccin, adems de la reparacin del trauma arterial
asociada, despus de la reparacin endovascular xito; tubo
prtesis
asociada, despus de la reparacin endovascular
infructuosas las prtesis aorto-bi-iliaca
asociada, despus de la reparacin endovascular
infructuosas las prtesis aorto-bifemoral
Abrir la arteria ilaca exposicin con la creacin de conducto
para la entrega de la aorta o ilaca prtesis endovascular,
mediante una incisin abdominal o retroperitoneal, unilateral
Una exposicin abierta la arteria braquial para ayudar en el
despliegue de la aorta o ilaca prtesis endovascular por
incisin brazo, unilateral
La colocacin endovascular de injerto para la reparacin de
la arteria ilaca (por ejemplo, aneurisma, pseudoaneurisma,
malformacin arteriovenosa, trauma)
Reparacin directa de aneurisma, seudoaneurisma o
escisin (parcial o total) e insercin de injerto, con o sin
injerto de parche, por ruptura de aneurisma de cartida, la
arteria subclavia, por incisin en el cuello
enfermedad oclusiva asociada, arteria vertebral
injerto de parche; por aneurisma y enfermedad oclusiva
asociada, axilar, la arteria braquial, brazo de incisin
injerto de parche, por ruptura de aneurisma, axilar, la arteria
braquial, brazo de incisin
injerto de parche, por ruptura de aneurisma, innominada, la
arteria subclavia, por incisin torcica

enfermedad asociada oclusiva, la arteria radial o ulnar
injerto de parche, por ruptura de aneurisma, aorta
abdominal
injerto de parche; para el aneurisma, seudoaneurisma y
enfermedad oclusiva asociada, aorta abdominal mediante
buques viscerales (mesentrica, celiaca, renal)
abdominal mediante buques viscerales (mesentrica,
celiaca, renal)
enfermedad oclusiva asociada, aorta abdominal que implica
vasos ilacos (comn, hipogstrico, externa)
abdominal involucra vasos iliacos (comn, hipogstrico,
externo)
enfermedad oclusiva asociada, arteria esplnica
injerto de parche, por ruptura de aneurisma, la arteria
esplnica
enfermedad asociada oclusiva, heptica, celaca, renal, o la
arteria mesentrica
injerto de parche, por ruptura de aneurisma, heptica,
celaco, renal o de la arteria mesentrica
enfermedad asociada oclusiva, la arteria ilaca (comn,
hipogstrico, externa)

injerto de parche, por ruptura de aneurisma, la arteria ilaca
(comn, hipogstrico, externo)
enfermedad oclusiva asociada, arteria femoral comn
(femoral profunda, femoral superficial)
femoral comn (femoral profunda, superficial femoral)
enfermedad oclusiva asociada, arteria popltea
popltea
enfermedad asociada oclusiva, otras arterias
injerto de parche, por ruptura de aneurisma, otras arterias
Reparacin, adquiridos o fstula arteriovenosa traumtica,
trax y abdomen
Reparacin, adquiridos o fstula arteriovenosa traumtica;
extremidades
Reparacin de barco sangre, directo; las extremidades
superiores
Reparacin de barco sangre, directo; mano, dedo
Reparacin de barco sangre, directo; intratorcica, sin
bypass
Reparacin de barco sangre, directo; intra-abdominal
Reparacin de barco sangre, directo; extremidad inferior
Reparar vaso sanguneo con injerto venoso; extremidad
superior
Reparar vaso sanguneo con injerto venoso; intratorcica,
sin bypass
Reparar vaso sanguneo con injerto venoso; intra-abdominal
Reparacin de vaso sanguneo con injerto venoso;
extremidad inferior
extremidad superior
intratorcica, sin bypass

intra-abdominal
las extremidades inferiores
realiza, la arteria femoral superficial
realiza, la arteria popltea
realiza, arteria tronco tibioperoneo
realiza, arteria tibial o peronea, buque inicial
realiza, cada arteria tibial o peronea adicional (Lista por
realiza, subclavia, innominada, por incisin torcica
realiza, axilar-braquial
realiza, mesentrica, celiaca, o renal
realiza; ilaca
realiza; iliofemoral
realiza; aortoilaco combinado
realiza, combinado aortoiliofemoral
realiza, femoral comn
realiza, en el fondo (profunda) femoral
Tromboendarterectoma, con o sin injerto de parche; femoral
y / o popltea, y / o tibioperoneo
Angioplastia transluminal con baln, abierta; artica
Baln de angioplastia transluminal, abierta; ilaca
Angioplastia transluminal con baln, abierta; femoralpopltea
Angioplastia transluminal con baln, abierta; braquioceflico
tronco o ramas, cada buque
Angioplastia transluminal con baln, abierta; tibioperoneo
tronco y las ramas
Baln de angioplastia transluminal, abierta; venosa
Angioplastia con baln transluminal percutnea; arteria renal
o visceral
La angioplastia transluminal con baln, angioplastia; artica
La angioplastia transluminal con baln, angioplastia; ilaca
La angioplastia transluminal con baln, angioplastia;
femoral-popltea
Angioplastia transluminal con baln, percutnea, tronco

braquioceflico o ramas, cada buque
La angioplastia transluminal con baln, angioplastia; venosa
Aterectoma transluminal perifrica, abierta; artica
Aterectoma transluminal perifrica, abierta; ilaca
Aterectoma perifrica transluminal, abierta; femoral-popltea
Aterectoma perifrica transluminal, abierta; braquioceflico
tronco o ramas, cada buque
Aterectoma perifrica transluminal, abierta; tibioperoneo
tronco y las ramas
Aterectoma perifrica transluminal percutnea; artica
Aterectoma perifrica transluminal percutnea; ilaca
Aterectoma perifrica transluminal percutnea; femoralpopltea
Aterectoma perifrica transluminal percutnea; tronco
braquioceflico o ramas, cada buque
Aterectoma perifrica transluminal percutnea; tibioperoneo
tronco y las ramas
Cosecha de vena de la extremidad superior, 1 segmento,
para las extremidades inferiores o procedimiento de
revascularizacin coronaria (lista por separado adems del
Bypass del injerto, con vena; cartida-subclavia o subclavia
cartidaBypass del injerto, con vena; subclavia cartida
Bypass del injerto, con vena; cartida-vertebral
Bypass del injerto, con vena; cartida-cartida contralateral
Bypass del injerto, con vena; cartida-brazo
Bypass del injerto, con vena; subclavia-subclavio
Bypass del injerto, con vena; subclavia-brazo
Bypass del injerto, con vena; subclavia-vertebral
Bypass del injerto, con vena; subclavia axilar
Bypass del injerto, con vena; axilar axilar
Bypass del injerto, con vena; axilar-femoral
Bypass del injerto, con vena; axilar-braquial
Bypass del injerto, con vena; braquial-cubital o radial
Bypass del injerto, con vena; braquial-brazo
Bypass del injerto, con vena; axilar-femoral-femoral
Bypass del injerto, con vena; hepatorrenal
Bypass del injerto, con vena; esplenorrenal
Bypass del injerto, con vena; aortoilaco
Bypass del injerto, con vena; aortobi ilacaBypass del injerto, con vena; aortofemoral
Bypass del injerto, con vena; aortobifemoral
Bypass del injerto, con vena; aortoiliofemoral, unilateral
Bypass del injerto, con vena; aortoiliofemoral, bilateral
Bypass del injerto, con vena; aortofemoral-poplteo
Bypass del injerto, con vena; femoral-femoral
Bypass del injerto, con vena; aortorrenal
Bypass del injerto, con vena; ilioiliac

Bypass del injerto, con vena; iliofemoral
Bypass del injerto, con vena; femoral-tibial anterior, posterior
la arteria tibial, peroneo o de otra ndole vasos distales
Bypass del injerto, con vena; tibial-tibial, peroneo-tibial o
tibial / peroneo tronco-tibial
Bypass del injerto, con vena, arteria popltea, tibial, peroneou otros vasos distales
Cosecha de vena femoropoplteo, 1 segmento, para el
procedimiento de reconstruccin vascular (por ejemplo, la
aorta, la vena cava, la arteria coronaria, perifrica) (Lista por
Cosecha de la arteria extremidad superior, 1 segmento, por
procedimiento de revascularizacin coronaria (Anote
primario)
Bypass del injerto, con distinta vena; cartida-subclavia
Bypass del injerto, con distinta vena; subclavia-subclavio
Bypass del injerto, con distinta vena; subclavia axilar
Bypass del injerto, con distinta vena; axilar-femoral
Bypass del injerto, con distinta vena; axilar-poplteo-tibial o
Bypass del injerto, con distinta vena; aortosubclavian o
cartida
Bypass del injerto, con distinta vena; aortoceliac,
aortomesenteric, aortorrenal
Bypass del injerto, con distinta vena; ilio-celaca
Bypass del injerto, con distinta vena; ilio-mesentrico
Bypass del injerto, con distinta vena; iliorenal
Bypass del injerto, con distinta vena; esplenorrenal
(esplnica a la anastomosis arterial renal)
Bypass del injerto, con distinta vena; aortoilaco
Bypass del injerto, con distinta vena; aortobi-ilaco
Bypass del injerto, con distinta vena; aortoilaca o bi-iliaca
Bypass del injerto, con distinta vena; cartida-vertebral
Bypass del injerto, con distinta vena; subclavia-vertebral
Bypass del injerto, con distinta vena; aortobifemoral
Bypass del injerto, con distinta vena; aortofemoral
Bypass del injerto, con distinta vena; axilar axilar
Bypass del injerto, con distinta vena; aortofemoral-poplteo
Bypass del injerto, con distinta vena; axilar-femoral-femoral
Bypass del injerto, con distinta vena; femoral-popltea
Bypass del injerto, con distinta vena; femoral-femoral
Bypass del injerto, con distinta vena; ilioiliac
Bypass del injerto, con distinta vena; iliofemoral
Bypass del injerto, con distinta vena, arteria femoral-tibial
anterior, tibial posterior, peroneo o
Bypass del injerto, con distinta vena; poplteo-tibial-peroneo

o arteria
Bypass injerto; compuesto autgeno, 3 o ms segmentos de
vena de 2 o ms localizaciones (lista por separado adems
La colocacin del parche venoso o manguito en la
anastomosis distal del injerto de derivacin, para conducto
Creacin de fstula arteriovenosa distal inferior durante la
ciruga de bypass extremo (no hemodilisis) (Lista por
primario)
Transposicin y / o reimplantacin; vertebral a la arteria
subclavia
Transposicin y / o reimplantacin; subclavia a la arteria
cartida
Transposicin y / o reimplantacin; cartida a subclavia
Reimplantacin, arteria visceral a prtesis artica infrarrenal,
cada arteria (Lista por separado adems de cdigo para el
sin lisis de la arteria, arteria femoral
sin lisis de la arteria, arteria popltea
sin lisis de la arteria; otros buques
infeccin; pecho
infeccin; abdomen
infeccin; extremidad
Trombectoma de injerto arterial o venosa (que no sea
injerto hemodilisis o fstula), con la revisin de injerto
arterial o venoso
Revisin, derivacin arterial extremidad inferior, sin
trombectoma, abierta, con interposicin de vena
segmentaria
Revisin, anastomosis femoral del injerto de derivacin
arterial sinttico en la ingle, abierto, con injerto de parche no
autgenos (por ejemplo, Dacron, PTFE, pericardio bovino)
Revisin, anastomosis femoral del injerto de derivacin
arterial sinttico en la ingle, abierto, con injerto autgeno
parche de vena
Escisin de injerto infectado;
Escisin de injerto infectado; extremidad
Escisin de injerto infectado; trax
Escisin de injerto infectado; abdomen
Escisin de injerto infectado, con la revascularizacin
Introduccin de aguja o intracatheter, vena

La introduccin de una aguja o un intracatheter vena;
bilateral
Los procedimientos de inyeccin (por ejemplo, la trombina)
para el tratamiento percutneo de seudoaneurisma
extremidad
Inyeccin procedimiento para venografa extremidad
(incluida la introduccin de la aguja o intracatheter)
Introduccin del catter, superior o inferior vena cava
Introduccin de catter, corazn derecho o arteria pulmonar
principal
La colocacin del catter selectivo, la arteria pulmonar
izquierda o hacia la derecha
La colocacin del catter selectivo, arteria pulmonar
segmentaria o subsegmentarios
Introduccin de aguja o intracatheter, la arteria cartida o
vertebral
Introduccin de aguja o intracatheter, la arteria cartida o
vertebral; bilateral
Introduccin de aguja o intracatheter; arteria braquial
retrgrado
Introduccin de aguja o intracatheter; arteria extremidad
Introduccin de aguja o intracatheter; derivacin
arteriovenosa para dilisis creado (cnula, fstula o injerto)
Introduccin de la aguja y / o catter, shunt arteriovenoso
creado para la dilisis (injerto / fstula), el acceso inicial
completa con la evaluacin radiolgica del acceso de
dilisis, incluyendo documentacin de imgenes de
fluoroscopia, y el informe (incluye acceso de derivacin, la
inyeccin [s] de contraste y todas las imgenes necesarias a
partir de la anastomosis arterial y la arteria adyacente a
travs de todo el flujo de salida venoso incluyendo la inferior
o la vena cava superior)
Introduccin de la aguja y / o catter, derivacin
arteriovenosa creada por la dilisis (injerto / fstula); acceso
adicional para la intervencin teraputica (Lista por
Introduccin de aguja o intracatheter, artica, translumbar
Introduccin de catter, la aorta
La colocacin del catter selectivo, sistema arterial; cada
rama de primer orden torcico o braquioceflico, dentro de
una familia vascular
La colocacin del catter selectivo, sistema arterial, rama
inicial de segundo orden torcico o braquioceflico, dentro
de una familia vascular
La colocacin del catter selectivo, sistema arterial, y el auto
inicial tercer o rama torcica o braquioceflico ms
selectiva, dentro de una familia vascular

adicional segunda, tercera orden, y ms all, rama torcica
o braquioceflico, dentro de una familia vascular (Lista
adems del cdigo para el recipiente inicial segundo o tercer
orden segn el caso)
La colocacin del catter selectivo, la arteria coronaria,
simple o mltiple
La colocacin del catter selectivo, sistema arterial; cada
rama de primer orden abdominal, arteria extremidad plvica
o inferior, dentro de una familia vascular
inicial segunda abdominal, plvica o inferior rama
extremidad arteria, dentro de una familia vascular
inicial tercio o ms selectivo abdominal, plvica o inferior
rama extremidad arteria, dentro de una familia vascular
adicional segunda, tercera orden, y ms all, abdominal,
plvica o inferior rama extremidad arteria, dentro de una
familia vascular (Lista adems del cdigo para el recipiente
inicial segundo o tercer orden segn el caso)
Procedimiento Cotizadas, la inyeccin vascular
Venopuncin, aos ms jvenes que los 3 aos, lo que
exige habilidad del mdico, no deben ser utilizados para la
venopuncin de rutina; vena del cuero cabelludo
Venopuncin, aos ms jvenes que los 3 aos, lo que
exige habilidad del mdico, no deben ser utilizados para la
venopuncin de rutina, otra vena
Venopuncin, 3 aos de edad o ms, que requiere habilidad
del mdico (procedimiento separado), con fines de
diagnstico o teraputicos (no ser usado para la
venopuncin de rutina)
Recogida de sangre venosa mediante puncin venosa
Recoleccin de muestras de sangre capilar (por ejemplo, el
dedo, taln, palo odo)
Puncin venosa, diseccin, edad 1 o ms
La exanguinotransfusin, sangre, excepto recin nacido
Inyecciones nicas o mltiples de soluciones esclerosantes,
las araas vasculares (telangiectasias), las extremidades o
el tronco
Inyecciones nicas o mltiples de soluciones esclerosantes,
las araas vasculares (telangiectasias); cara
La inyeccin de una solucin esclerosante; venas mltiples,
misma pierna
La terapia de ablacin endovenosa de la vena
incompetente, extremidad, incluidos todos los gua por
imgenes y monitoreo, percutnea, radiofrecuencia, primera
vena tratada
Terapia de ablacin endovenosa de la vena incompetente,

extremidad, incluidos todos los gua por imgenes y
seguimiento, percutnea, radiofrecuencia; segunda y
subsiguientes venas tratadas en una sola extremidad, cada
uno a travs de los puntos de acceso separados (Lista por
La terapia de ablacin endovenosa de la vena
incompetente, extremidad, incluidos todos los gua por
imgenes y monitoreo, percutnea, lser, primera vena
tratada
Terapia de ablacin endovenosa de la vena incompetente,
extremidad, incluidos todos los gua por imgenes y
seguimiento, percutnea, lser; venas segunda y
subsiguientes tratados en una sola extremidad, cada uno a
travs de los puntos de acceso separados (Lista por
La colocacin de catter venoso central (subclavia, vena
yugular, u otros) (por ejemplo, para la presin venosa
central, hiperalimentacin, hemodilisis o quimioterapia),
diseccin, la edad de 2 aos o menos
La colocacin de catter venoso central (subclavia, vena
yugular, u otros) (por ejemplo, para la presin venosa
central, hiperalimentacin, hemodilisis o quimioterapia),
diseccin, a lo largo de los 2 aos
Cambiar la posicin del catter venoso central colocado
previamente bajo control fluoroscpico
La insercin de bomba implantable de infusin intravenosa
o puerto de acceso venoso
Afresis teraputica, porque las clulas blancas de la
sangre
Afresis teraputica; para las clulas rojas de la sangre
Afresis teraputica, porque las plaquetas
Afresis teraputica, por afresis de plasma
Afresis teraputica; con inmunoadsorcin extracorprea y
reinfusin de plasma
Afresis teraputica; con filtracin extracorporal adsorcin
selectiva o selectiva y reinfusin de plasma
Afresis teraputica; extracorprea con afinidad columna de
adsorcin y la reinfusin plasma
Fotofresis, extracorprea
Revisin de bomba implantable de infusin intravenosa
La eliminacin de la bomba implantable de infusin
intravenosa
Revisin del dispositivo implantable de acceso venoso y / o
reservorio subcutneo
La eliminacin del dispositivo implantable de acceso venoso
y / o depsito subcutneo
(por ejemplo, vaina de fibrina) desde el dispositivo venoso
central a travs de un acceso venoso independiente

del lumen del dispositivo
Coleccin de muestras de sangre de un dispositivo de
acceso venoso totalmente implantable
Declotting por agente tromboltico de dispositivo implantado
acceso vascular o catter
La insercin del catter no tunelizado central insertado
venoso central; menores de 5 aos de edad
La insercin del catter no tunelizado central insertado
venoso central; edad de 5 aos o ms
La insercin del catter central tunelizado insertado venoso
central, sin puerto, subcutnea o bomba; menores de 5
aos de edad
La insercin del catter central tunelizado insertado venoso
central, sin puerto subcutneo o de la bomba, con una edad
de 5 aos o mayores
La insercin de un tnel central insertado dispositivo de
acceso venoso central, con puerto subcutneo; menores de
5 aos de edad
acceso venoso central, con puerto subcutneo, la edad de 5
aos o ms
acceso venoso central con bomba subcutnea
acceso venoso central, lo que requiere dos catteres a
travs de 2 sitios diferentes de acceso venoso, sin puerto
subcutneo o de la bomba (por ejemplo, un catter Tesio
tipo)
acceso venoso central, requiriendo 2 catteres a travs de 2
sitios separados de acceso venoso; subcutnea con puerto
(s)
La insercin del catter venoso central de insercin
perifrica (PICC), sin puerto subcutneo o de la bomba;
menores de 5 aos de edad
La insercin del catter venoso central de insercin
perifrica (PICC), sin puerto subcutneo o de la bomba, con
una edad de 5 aos o mayores
La insercin de insercin perifrica dispositivo de acceso
venoso central, con puerto subcutneo; menores de 5 aos
de edad
La insercin de insercin perifrica dispositivo de acceso
venoso central, con puerto subcutneo, la edad de 5 aos o
ms
La reparacin de un tnel o no tunelizado-catter de acceso
venoso central, sin puerto subcutneo o de la bomba, sitio
de insercin central o perifrico
La reparacin del dispositivo de acceso venoso central, con
puerto subcutneo o de la bomba, sitio de insercin central
o perifrico
Reemplazo, catter nico de dispositivo de acceso venoso

central, con puerto subcutneo o de la bomba, sitio de
insercin central o perifrico
Reemplazo, completo, de un no tunelizado catter venoso
central insertado centralmente, sin subcutnea puerto o de
la bomba, a travs de un acceso venoso mismo
Sustitucin, completa, de un catter central insertado tnel
venoso central, sin subcutnea puerto o de la bomba, a
travs del acceso venoso mismo
Sustitucin, completa, de un tnel central insertado
dispositivo de acceso venoso central, con puerto
subcutneo, a travs de un acceso venoso mismo
Sustitucin, completa, de un tnel central insertado
dispositivo de acceso venoso central, con bomba
subcutnea, mediante el acceso venoso mismo
Reemplazo, completo, de un catter venoso central de
insercin perifrica (PICC), sin subcutnea puerto o de la
bomba, a travs de un acceso venoso mismo
Sustitucin, completa, de un dispositivo de insercin
perifrica de acceso venoso central, con puerto subcutneo,
a travs de un acceso venoso mismo
La eliminacin del catter venoso central tunelizado, sin
puerto subcutneo o de la bomba
La eliminacin del tnel dispositivo de acceso venoso
central, con puerto subcutneo o de la bomba, la insercin
central o perifrico
Coleccin de muestras de sangre de un dispositivo de
acceso venoso totalmente implantable
Recoleccin de muestras de sangre usando establecido
catter central o perifrico, venoso, no especificado
Declotting por agente tromboltico de dispositivo implantado
acceso vascular o catter
(por ejemplo, vaina de fibrina) desde el dispositivo venoso
central a travs de un acceso venoso independiente
del lumen del dispositivo
Cambiar la posicin del catter venoso central colocado
previamente bajo control fluoroscpico
De inyeccin de contraste (s) para la evaluacin radiolgica
de dispositivo existente de acceso venoso central,
incluyendo documentacin de imagen de fluoroscopia, y el
informe
Cateterismo arterial o la canalizacin para el muestreo,
monitoreo o transfusin (procedimiento separado); cutdown
Cateterismo arterial para la terapia de infusin prolongada
(quimioterapia), diseccin

(procedimiento separado); arteriovenosa, externo (tipo
Scribner)
Anastomosis arteriovenosas, abierto, de transposicin de la
vena ceflica del brazo superior
Anastomosis arteriovenosas, abierto, de transposicin de la
vena baslica superior del brazo
Anastomosis arteriovenosas, abierto, por transposicin vena
del antebrazo
La insercin de la cnula arterial y venosa (s) para la
circulacin extracorprea incluyendo la perfusin aislada
quimioterapia regional de una extremidad, con o sin
hipertermia, con la eliminacin de la cnula (s) y reparacin
de arteriotoma y sitios venotoma
Creacin de fstula arteriovenosa que no sea por
anastomosis arteriovenosa directa (procedimiento
separado); injertos no autgenos (por ejemplo, el colgeno
biolgico injerto, termoplstico)
Revisin, fstula abierta, arteriovenosa, con trombectoma
de injerto autgeno o dilisis no autgenos (procedimiento
separado)
Revascularizacin distal y ligadura intervalo (DRIL), acceso
a la hemodilisis extremidad superior (sndrome de robo)
Insercin mandril
Anastomosis mandril
Cnula externa declotting (procedimiento separado), con
catter baln
Trombectoma, percutnea, fstula arteriovenosa, injerto
autgeno o no autgenos (incluye la extraccin mecnica de
trombos y la tromblisis intra-injerto)
La anastomosis venosa, abierto; renoportal
La anastomosis venosa, abierto; esplenorrenal, proximal
La anastomosis venosa, abierto; esplenorrenal, distal
(descompresin selectiva de varices esofagogstricas,
cualquier tcnica)
La insercin de derivacin portosistmica intraheptica
transvenoso (s) (TIPS) (incluye el acceso venoso, heptica y
cateterizacin de la vena portal, con portografa, evaluacin
hemodinmica intraheptica tracto formacin / dilatacin,
colocacin del stent y toda la orientacin de imagen
asociada y documentacin)
Revisin de derivacin portosistmica intraheptica
transvenoso (s) (TIPS) (incluye el acceso venoso, heptica y
cateterizacin de la vena portal, portografa con la
evaluacin hemodinmica, tracto intraheptico
recanulization / dilatacin, colocacin del stent y toda la
orientacin de imagen asociada y documentacin)
Transluminal percutnea primaria trombectoma mecnica,
injerto coronario, bypass arterial o arterial, incluyendo gua
fluoroscpica y intraprocedimiento farmacolgico
tromboltico inyeccin (s); recipiente inicial
Transluminal percutnea primaria trombectoma mecnica,

injerto coronario, bypass arterial o arterial, incluyendo gua
fluoroscpica y intraprocedimiento farmacolgico inyeccin
tromboltico (s); segunda y todo recipiente subsiguiente (s)
dentro de la misma familia vascular (Lista por separado
adems de cdigo para trombectoma mecnica primaria
procedimiento)
Secundario transluminal percutnea trombectoma (por
ejemplo, no primario mecnico, cesta trampa, la tcnica de
aspiracin), injerto coronario, bypass arterial o arterial,
incluyendo gua fluoroscpica y intraprocedimiento
farmacolgico tromboltico inyecciones, siempre en conjunto
con otra intervencin percutnea distinto trombectoma
mecnica primaria (Lista por separado en Adems de
Trombectoma mecnica percutnea transluminal, vena (s),
incluyendo inyecciones intraprocedimiento farmacolgico
tromboltico y gua fluoroscpica
Trombectoma mecnica percutnea transluminal, vena (s),
incluyendo inyecciones intraprocedimiento farmacolgico
tromboltico y gua fluoroscpica, repetir el tratamiento en
das posteriores durante el curso de la terapia tromboltica
Reparacin de aneurisma arteriovenoso plstico
Trombolisis, cerebral, por infusin intravenosa
Terapia percutnea, la infusin que no sean para la
trombolisis, cualquier tipo (por ejemplo, espasmoltico,
vasoconstrictora)
Recuperacin transcatter, percutnea, de cuerpo extrao
intravascular (por ejemplo venoso, fracturado o catter
arterial)
Transcatter oclusin o embolizacin (por ejemplo, para la
destruccin del tumor, para lograr la hemostasia, para ocluir
una malformacin vascular), percutnea, cualquier mtodo,
no del sistema nervioso central, no la cabeza o el cuello
Transcatter colocacin de un stent intravascular (s),
(excepto vaso coronario, cartida y vertebral), percutnea;
recipiente inicial
Transcatter colocacin de un stent intravascular (s),
(excepto vaso coronario, cartida y vertebral), percutnea;
cada buque adicional (Lista por separado adems de cdigo
Transcatter colocacin de un stent intravascular (s), (no
vaso coronario), abierta; recipiente inicial
Transcatter colocacin de un stent intravascular (s), (no
vaso coronario), abierta; cada buque adicional (Lista por
Intercambio de un catter colocado previamente
intravascular durante la terapia tromboltica
La embolizacin de fibromas uterinos (UFE, la embolizacin

de las arterias uterinas para el tratamiento de fibromas
uterinos, leiomiomas), inclusive enfoque percutneo del
acceso vascular, la seleccin del buque, embolizacin, y
toda la supervisin radiolgica y la interpretacin, hojas de
ruta intraprocedimiento y orientacin de imagen necesaria
para completar el procedimiento
Transcatter colocacin de stent intravascular (s), la arteria
cartida cervical, percutnea, con proteccin emblica distal
Transcatter colocacin de stent intravascular (s), la arteria
cartida cervical, percutnea; sin proteccin emblica distal
El ultrasonido intravascular (no coronaria vaso) durante la
evaluacin de diagnstico y / o intervencin teraputica;
cada buque adicional (Lista por separado adems de cdigo
Vascular endoscopia quirrgica, con ligadura de las venas
perforantes, subfascial (SEPS)
Procedimiento Cotizadas vascular endoscpica
Ligadura; arteria cartida interna o comunes
Ligadura; arteria cartida interna o comn, con oclusin
gradual, como con Selverstone o abrazadera Crutchfield
ruptura); abdomen
ruptura); extremidad
La interrupcin parcial o total de la vena femoral, por
ligadura, dispositivo intravascular; bilateral
Ligadura y divisin de vena safena en unin safeno-femoral
o distal interrupciones
Ligadura y divisin de vena safena en unin safeno-femoral
o distal interrupciones bilaterales;
Ligadura, divisin y vena stripping, safena corta
Ligadura y divisin y completar extraccin de las venas
safenas largas o cortas; bilateral
Ligadura, divisin y strippers, largas (ms) safenas de unin
safeno-femoral hasta la rodilla o por debajo de
Ligadura y divisin y la separacin completa de las venas
safenas largas y cortas
safenas largas y cortas; bilateral
safenas largas o cortas con la escisin radical del injerto
lcera y la piel y / o la interrupcin de la comunicacin de las
venas de la pierna, con la escisin de la fascia profunda
Ligadura y divisin y completa separacin de las venas
safenas largas o cortas con la escisin radical del injerto
lcera y la piel y / o la interrupcin de la comunicacin de las
venas de la pierna, con la escisin de la fascia profunda,
bilateral
La ligadura de la vena perforante (s), subfascial, abierto,

incluyendo la gua del ultrasonido, cuando se realiza, una
pierna
Pualada flebectoma de las venas varicosas de las
extremidades, 1, 10-20 incisiones
Pualada flebectoma de las venas varicosas, una
extremidad, ms de 20 incisiones
Ligadura y divisin de vena safena corta en la salida
safenopopltea (procedimiento separado)
Ligadura y divisin de vena safena corta en la salida
safenopopltea (procedimiento separado); bilateral
Ligadura, divisin y / o excisin de venas varicosas
secundarias (clusters) de la pierna, bilateral
Procedimiento Cotizadas, ciruga vascular
La esplenectoma; total, en bloque para la enfermedad
extensa, en conjuncin con otro procedimiento (Lista
Procedimiento de laparoscopa no listada, bazo
Inyeccin procedimiento para splenoportography
Gestin de la bsqueda de donantes y receptores de clulas
progenitoras hematopoyticas y clulas adquisicin
Derivada de sangre progenitoras hematopoyticas
recoleccin de clulas para el trasplante, por recogida;
alognico
Derivadas de sangre del progenitor hematopoytico
recoleccin de clulas para el trasplante, por recogida;
autlogo
Trasplante de preparacin de clulas progenitoras
hematopoyticas; crioconservacin y almacenamiento
Transplante preparacin de clulas progenitoras
hematopoyticas; descongelacin de cosecha previamente
congelado, sin lavar
Transplante preparacin de clulas progenitoras
hematopoyticas; descongelacin de cosecha previamente
congelados, con lavado
hematopoyticas; deplecin de clulas especfico dentro de
la cosecha, deplecin de clulas T
hematopoyticas, el agotamiento de clulas tumorales
hematopoyticas, la eliminacin de clulas rojas de la
sangre
hematopoyticas, el agotamiento de plaquetas
hematopoyticas; plasma (volumen) agotamiento
hematopoyticas; concentracin de clulas en el plasma,
mononuclear, o capa de la capa leucocitaria
Mdula sea; biopsia, la aguja o trocar
Recoleccin de mdula sea para el trasplante
Derivados de la sangre perifrica recoleccin de clulas

madre para el trasplante, por coleccin
De mdula sea o de sangre derivada de clulas madre
perifricas; autlogo
De mdula sea o de la sangre derivada de trasplante de
clulas madre perifricas; alognicos infusiones de linfocitos
del donante
Lymphangiotomy u otras operaciones en los canales
linfticos
Sutura y / o ligadura de conducto torcico; enfoque
abdominal
Biopsia o extirpacin de los ganglios linfticos (s), nodo
abierto, profundo cervical (s) con la escisin escalenos
almohadilla de grasa
La biopsia o la extirpacin de los ganglios linfticos (s); nodo
abierto, axilar profunda (s)
Una biopsia o escisin de los ganglios linfticos (s); nodo
abierto, mamaria interna (s)
Diseccin, nodo profundo yugular (s)
Escisin de higroma qustico, axilar o cervical, con diseccin
profunda neurovascular
Linfadenectoma limitada para la estadificacin
(procedimiento separado); retroperitoneal (artica y / o
esplnica)
Procedimiento Cotizadas laparoscopia, sistema linftico
Suprahioidea linfadenectoma; bilateral
Linfadenectoma cervical (completa); bilateral
Linfadenectoma cervical (diseccin cervical radical
modificada)
Linfadenectoma axilar; completa
Linfadenectoma inguinofemoral, superficial, incluyendo el
nodo de Cloquet (procedimiento separado); bilateral
Linfadenectoma inguinofemoral, superficial, en continuidad
con linfadenectoma plvica, incluyendo ilaca externa,
separado)
Linfadenectoma inguinofemoral, superficial, en continuidad
con linfadenectoma plvica, incluyendo ilaca externa, los
ganglios hipogstricos y el obturador (procedimiento
separado); bilateral
Linfadenectoma plvica, incluyendo ilaca externa,
separado); bilateral
Procedimiento de inyeccin; linfangiografa
Inyeccin procedimiento para linfangiografa; bilateral
Procedimiento de inyeccin; para la identificacin del
ganglio centinela
Sistema Cotizadas procedimiento, hmico y linftico
Mediastinotoma con la exploracin, drenaje o extirpacin de
cuerpo extrao; divisin esternal
Escisin de tumor mediastinal
Procedimiento Cotizadas, el mediastino
Reparacin, hernia diafragmtica (hiatal esofgica),

combinado, toracoabdominal
Reparacin, hernia diafragmtica (hiatal esofgica),
combinado, toracoabdominal, con dilatacin de estenosis
(con o sin gastroplastia)
Reparacin, hernia diafragmtica (excepto neonatal),
traumtica; agudo
Reparacin, hernia diafragmtica (excepto neonatal),
traumtica; crnica
Imbricacin de diafragma para la eventracin, no paraltica
Reseccin, diafragma, con la reparacin del complejo (por
ejemplo, material protsico, colgajo local)
Procedimiento Cotizadas diafragma,
La escisin de los labios; V-escisin con cierre primario
lineal directa
La escisin de los labios, de espesor total, la reconstruccin
con colgajo labial cruz (Abbe-Estlander)
Reparacin de labio, de espesor total, hasta la mitad de la
altura vertical
Reparacin de labio, de espesor total; ms de la mitad de la
altura vertical, o complejo
primario bilateral, un procedimiento en dos etapas
Reparacin plstica de labio leporino / deformidad nasal,
secundario, por defecto y recreacin de reenganche
Reparacin plstica de labio leporino, secundaria, bilateral
(por etapa importante)
Reparacin plstica de labio leporino / deformidad nasal con
colgajo de pedculo cruz labio (Abbe-Estlander tipo),
incluyendo seccionamiento y la insercin de pedculo
Procedimiento Cotizadas, de los labios
Extraccin de cuerpo extrao incrustado, el vestbulo de la
boca; sencillo
Extraccin de cuerpo extrao incrustado, el vestbulo de la
boca; complicada
Biopsia, el vestbulo de la boca
la boca, y con simple reparacin
la boca, con la reparacin del complejo
la boca, complejo, con la escisin del msculo subyacente
La escisin de la mucosa del vestbulo de la boca como
injerto donante
Cierre de la laceracin, el vestbulo de la boca, de ms de
2,5 cm o complejos
Vestibuloplastia; posterior, unilateral
Vestibuloplastia; posterior, bilateral
Vestibuloplastia; arco completo
Procedimiento Cotizadas, el vestbulo de la boca

de lengua o piso de la boca; sublingual, superficial
de lengua o piso de la boca, el espacio submental
de lengua o piso de la boca, el espacio submandibular
de lengua o piso de la boca, el espacio masticador
del piso de la boca; submental
del piso de la boca; submandibular
Colocacin de las agujas, catteres, u otro dispositivo (s) en
la cabeza y / o cuello regin (percutnea, transoral o
transnasal) para la posterior aplicacin radioelemento
intersticial
La biopsia de la lengua; tercio posterior
Biopsia del suelo de la boca
Escisin de lesin de la lengua con el cierre; dos tercios
anteriores
Escisin de lesin de la lengua con cierre; tercio posterior
Escisin de lesin de la lengua con cierre, con solapa
lengua local
Excisin, lesiones del piso de la boca
Reparacin de laceracin 2,5 cm o menos; tercio posterior
de la lengua
Reparacin de laceracin de la lengua, piso de boca, ms
de 2,6 cm o complejos
Suspensin de la lengua base, tcnica de sutura
permanente
Ablacin submucoso de la base de la lengua,
radiofrecuencia, 1 o ms sitios, por sesin
Procedimiento Cotizadas, lengua, piso de la boca
Escisin de tuberosidades seas, estructuras
dentoalveolares
Escisin de lesin o tumor (con excepcin de la lista
anterior), las estructuras dentoalveolares, sin reparar
anterior), las estructuras dentoalveolares, con reparacin
simple
anterior), las estructuras dentoalveolares, con la reparacin
del complejo
Destruccin de lesin (excepto escisin), las estructuras
dentoalveolares
Procedimiento Cotizadas, las estructuras dentoalveolares
Excisin, lesiones del paladar, vula, con cierre primario

sencillo
Excisin, lesiones del paladar, vula, con cierre de colgajo
local
Extraccin de exostosis, paladar seo
Destruccin de lesin, el paladar o la vula (trmica, crio o
qumica)
Reparacin, laceracin del paladar; ms de 2 cm o
complejos
Palatoplastia para paladar hendido, la revisin principal
Palatoplastia para paladar hendido; procedimiento
secundario alargamiento
Palatoplastia para paladar hendido; colgajo farngeo adjunto
Prolongacin de la boca, con solapa isla
Procedimiento Cotizadas, el paladar, la vula
El drenaje de absceso; partida, complicado
El drenaje de absceso, submaxilar o sublingual, intraoral
El drenaje de absceso; submaxilar, externo
Fistulizacin de quiste salival sublingual (rnula), con
prtesis
Sialolithotomy; submandibular (submaxilar), complicado,
intraoral
Sialolithotomy; partida, extraoral o intraoral complicado
La biopsia de glndula salival; incisional
Escisin de tumor de la partida o glndula partida; lbulo
lateral, con diseccin y preservacin del nervio facial
en extraccin en bloque con el sacrificio del nervio facial
Reparacin plstica del conducto salival, sialodochoplasty,
secundaria o complicado
Wilke tipo), con la escisin de una glndula submandibular
Wilke tipo), con la escisin de ambas glndulas
submandibulares
Wilke tipo), con ligadura de ambos submandibulares
(Wharton) Los conductos de
Inyeccin procedimiento para sialografa
Dilatacin y la cateterizacin del conducto salival, con o sin
inyeccin
Procedimiento Cotizadas, glndulas salivales o conductos
Incisin y drenaje de absceso; retrofarngeo o parafarngeo,
va intraoral
Incisin y drenaje de absceso; retrofarngeo o parafarngeo,
enfoque externo
Biopsia; hipofaringe
Biopsia; nasofaringe, lesin visible, simple

Biopsia, nasofaringe, encuesta por lesin primaria
desconocida
Escisin branquial quiste de la hendidura, vestigio, o fstula,
que se extiende por debajo de los tejidos subcutneos y / o
en la faringe
La amigdalectoma y adenoidectoma y 12 aos o ms
Amigdalectoma, primaria o secundaria, 12 aos o ms
La adenoidectoma, primaria, 12 aos o ms
La adenoidectoma, secundaria, menores de 12 aos
La adenoidectoma, secundaria, 12 aos o ms
trgono retromolar, cierre con colgajo local (por ejemplo, la
lengua, bucal)
trgono retromolar, cierre con solapa otro
Escisin nasofarngeo lesin (por ejemplo, fibroma)
(por ejemplo, despus de la amigdalectoma);
hospitalizacin complicado, que requiere
(por ejemplo, despus de la amigdalectoma); con
intervencin quirrgica secundaria
Control de la hemorragia nasofarngea, primaria o
secundaria (por ejemplo, postadenoidectomy); simple, con
posteriores refuerzos nasales, con o sin taponamientos
anteriores y / o cauterizacin
secundaria (por ejemplo, postadenoidectomy);
hospitalizacin complicado, que requiere
secundaria (por ejemplo, postadenoidectomy); con
intervencin quirrgica secundaria
Procedimiento Cotizadas, faringe, adenoides, amgdalas o
Esophagotomy, abordaje cervical; sin extraccin de cuerpo
extrao
Esophagotomy, abordaje torcico, sin extraccin de cuerpo
extrao
Amplia extirpacin de la lesin maligna del esfago cervical,
con o sin laringectoma
Excisin de lesin maligna del esfago cervical, con o sin
laringectoma, con diseccin radical del cuello
(Procedimiento de Wookey tipo)
La esofagectoma (en los dos tercios superiores de nivel) y
anastomosis gstrica con vagotoma, con o sin piloroplastia
La esofagectoma (en los dos tercios superiores de nivel) y
anastomosis gstrica con vagotoma, con o sin piloroplastia,
con piloroplastia segunda etapa
Esofagectoma total o casi total, con toracotoma; con

pharyngogastrostomy o esophagogastrostomy cervical, con
o sin piloroplastia
Esofagectoma total o casi total, con toracotoma, con
interposicin de colon o intestino delgado reconstruccin,
incluida la movilizacin de intestino, preparacin y
anastomosis (es)
La esofagectoma (en los dos tercios superiores de nivel)
con el reemplazo de segmento, una o dos etapas
Esofagectoma total con gastropharyngostomy, sin
toracotoma
Esofagogastrectoma (tercio inferior) y la vagotoma,
combinado toracoabdominal, con o sin piloroplastia
Esofagectoma parcial, dos tercios distales, con toracotoma
solamente, con o sin gastrectoma proximal, con
esophagogastrostomy torcica, con o sin piloroplastia
Esofagectoma parcial, abordaje toracoabdominal o
abdominal, con o sin gastrectoma proximal, con
esophagogastrostomy, con o sin piloroplastia
Esofagectoma parcial, abordaje toracoabdominal o
abdominal, con o sin gastrectoma proximal, con
interposicin de colon o intestino delgado reconstruccin,
incluida la movilizacin de intestino, preparacin y
anastomosis (es)
Diverticulectoma de hipofaringe o esfago, con o sin
miotoma; enfoque torcica
Diverticulopexia de hipofaringe, con o sin miotoma
Esofagoscopia, rgido o flexible; con inyeccin submucosa
dirigida (s), cualquier sustancia
Esofagoscopia, rgido o flexible; con biopsia, nica o
mltiple
Esofagoscopia, rgido o flexible; con esclerosis inyeccin de
varices esofgicas
Esofagoscopia, rgido o flexible, con la ligadura con banda
de varices esofgicas
Esofagoscopia, rgido o flexible, con remocin del cuerpo
extrao
Esofagoscopia, rgido o flexible, con la eliminacin del tumor
(s), plipo (s), u otra lesin (s) por pinzas de biopsia caliente
o cauterio bipolar
Esofagoscopia, rgido o flexible, con la eliminacin del tumor
(s), plipo (s), u otra lesin (s) por la tcnica de trampa
Esofagoscopia, rgido o flexible, con la insercin de tubo de
plstico o stent
Esofagoscopia, rgido o flexible, con la dilatacin con baln
(menos de 30 mm de dimetro)
Esofagoscopia, rgido o flexible, con la insercin de alambre
gua seguida de dilatacin sobre el alambre de gua
Esofagoscopia, rgido o flexible, con control de la

hemorragia (por ejemplo, inyeccin, cauterio bipolar,
cauterizacin unipolar, lser, sonda de calor, grapadora,
plasma coagulador)
Esofagoscopia, rgido o flexible, con la ablacin de tumor
(s), plipo (s), u otra lesin (s), no es susceptible de
extirpacin por pinzas de biopsia caliente, cauterio bipolar o
tcnica de trampa
Esofagoscopia, rgido o flexible, con transendoscpicas
guiada por ultrasonido intramural o transmural aspiracin
con aguja fina / biopsia (s)
corresponda; con inyeccin submucosa dirigida (s),
cualquier sustancia
corresponda; con ecografa endoscpica limitada al esfago
La endoscopia gastrointestinal incluyendo esfago,
estmago, y ya sea el duodeno y / o yeyuno, segn
proceda, con transendoscpicas guiada por ultrasonido
intramural o transmural aspiracin con aguja fina / biopsia
(s), esfago (incluye ecografa endoscpica limitado al
esfago)
corresponda; con biopsia, nica o mltiple
corresponda; con drenaje transmural de pseudoquistes
corresponda; con tubo transendoscpicas intraluminal o la
colocacin del catter
proceda, con transendoscpicas guiada por ultrasonido
intramural o transmural aspiracin con aguja fina / biopsia
(s) (incluye ecografa endoscpica del esfago, estmago,
duodeno y, o bien la y / o el yeyuno, segn proceda)
corresponda; con esclerosis inyeccin de varices esofgicas
y / o gstrica
proceda, con la ligadura con banda de varices esofgicas y /
o gstricas

corresponda; con la dilatacin de la salida gstrica para la
obstruccin (por ejemplo, baln, alambre de gua, bougie)
corresponda; con la colocacin dirigida de tubo de
gastrostoma percutnea
corresponda; con remocin del cuerpo extrao
corresponda; con insercin de alambre gua seguida por la
dilatacin de esfago sobre el alambre de gua
corresponda; dilatacin con baln de esfago (menos de 30
mm de dimetro)
corresponda; con extirpacin del tumor (s), plipo (s), u otra
lesin (s) por pinzas de biopsia caliente o cauterio bipolar
corresponda; con extirpacin del tumor (s), plipo (s), u otra
lesin (s) por la tcnica de trampa
corresponda; con control del sangrado, cualquier mtodo
corresponda; con colocacin de stent transendoscpicas
(incluye predilatacin)
corresponda; con la entrega de energa trmica para el
msculo del esfnter esofgico inferior y / o cardias gstrico,
para el tratamiento de la enfermedad de reflujo
gastroesofgico
corresponda; con ablacin de tumor (s), plipo (s), u otra
lesin (s) no es susceptible de extirpacin por pinzas de
biopsia caliente, cauterio bipolar o lazo tcnica
La colangiopancreatografa retrgrada endoscpica (CPRE),
con biopsia, nica o mltiple
La colangiopancreatografa retrgrada endoscpica (CPRE)

con esfinterotoma / papilotoma
con medicin de la presin del esfnter de Oddi (conducto
pancretico o del conducto biliar comn)
con eliminacin retrgrada endoscpica de clculo / clculos
de los conductos biliar y / o pancretico
con destruccin endoscpica retrgrada, la litotricia de
clculos / clculos, cualquier mtodo
con insercin retrgrada endoscpica de tubo de drenaje
nasobiliar o nasopancreatic
con insercin retrgrada endoscpica de tubo o stent en la
bilis o conducto pancretico
con eliminacin retrgrada endoscpica de cuerpos
extraos y / o cambio de tubo o stent
con dilatacin endoscpica retrgrada con baln de
ampolla, biliar y / o pancretico (s)
con la ablacin del tumor (s), plipo (s), u otra lesin (s) no
es susceptible de extirpacin por pinzas de biopsia caliente,
cauterio bipolar o tcnica de trampa
Canulacin endoscpica de la papila con visualizacin
directa del conducto biliar comn (s) y / o del conducto
pancretico (s) (Listado por separado adems del cdigo (s)
Laparoscopia, esofagomiotoma quirrgica, (tipo Heller), con
fundoplasty, cuando se realiza
La laparoscopia, la reparacin quirrgica de la hernia
paraesofgica, incluye fundoplasty, cuando se realiza, sin
implante de malla
La laparoscopia, la reparacin quirrgica de la hernia
paraesofgica, incluye fundoplasty, cuando se realiza, con la
implantacin de la malla
Procedimiento Cotizadas laparoscopia, el esfago
abordaje cervical, con la reparacin de la fstula
traqueoesofgica
abordaje torcico, con la reparacin de la fstula
traqueoesofgica
Esophagoplasty por defecto congnito (de plstico
reparacin o reconstruccin), abordaje torcico, con la
reparacin de la fstula traqueoesofgica congnita
Esophagogastrostomy (cardioplastia), con o sin vagotoma y
piloroplastia, abordaje torcico
Esofagogstrica fundoplasty; fndica con parche (ThalNissen procedimiento)

Esofagogstrica fundoplasty, con la gastroplastia (por
ejemplo, Collis)
Esofagoyeyunostoma (sin Gastrectoma total); abordaje
torcico
torcico
cervical
Cierre de esofagostoma o fstula; enfoque transtorcica o
transabdominal
La dilatacin de esfago, sobre el alambre gua
La dilatacin de esfago, en globo o dilatador, bajo gua
fluoroscpica
La dilatacin de esfago, por baln o dilatador, retrgrada
La dilatacin de esfago con baln (30 mm de dimetro o
ms grande) para la acalasia
Procedimiento Cotizadas, el esfago
Gastrotoma, con la reparacin de sutura pre-existente
laceracin esofagogstrica (por ejemplo, Mallory-Weiss)
Gastrotoma, con dilatacin esofgica y la insercin del tubo
intraluminal permanente (por ejemplo, Celestin o
Mousseaux Barbin-)
La biopsia de estmago; por cpsula, tubo, por va oral (1 o
ms muestras)
Tumor benigno o lcera de estmago; Escisin, local
Escisin, local, tumor maligno del estmago
Gastrectoma, total, con Roux-en-Y la reconstruccin
Gastrectoma, total, con la formacin de la bolsa intestinal,
cualquier tipo
Gastrectoma, total, con la reparacin de trasplante
intestinal
Hemigastrectomy o gastrectoma subtotal distal incluyendo
piloroplastia, gastroduodenostoma o gastroyeyunostoma,
sin vagotoma
Gastrectoma parcial, distal, con gastroyeyunostoma
Gastrectoma parcial, distal, con Roux-en-Y la
reconstruccin
Gastrectoma, parcial, distal; con la formacin de la bolsa
intestinal
Gastrectoma, el enfoque parcial, proximal, torcica o
abdominal incluyendo esophagogastrostomy, con
vagotoma, piloroplastia o con piloromiotoma
restrictivo, con el bypass gstrico y la reconstruccin
intestino delgado para limitar la absorcin
La laparoscopia, ciruga, implantacin o sustitucin de
neuroestimulador electrodos antro gstrico,
Procedimiento Cotizadas laparoscopia, estmago
Naso-oro-gstrico o tubo de colocacin, que requiere

habilidad del mdico y gua fluoroscpica (incluye
fluoroscopia, imagen documentacin e informe)
Reposicionamiento de una sonda naso-o tubo de
alimentacin orogstrica, a travs del duodeno para la
nutricin entrica
La laparoscopa, procedimiento quirrgico, restrictivo
gstrico, la colocacin de un dispositivo ajustable de
restriccin gstrica (por ejemplo, la banda gstrica y
componentes subcutneos portuarias)
restrictivo, la revisin de dispositivo gstrico ajustable
componente restrictivo slo
gstrico, la eliminacin de dispositivo gstrico ajustable
componente restrictivo slo
gstrico, la eliminacin y sustitucin de componentes
gstrica ajustable dispositivo restrictivo slo
gstrico, la eliminacin de un dispositivo ajustable de
restriccin gstrica y subcutnea puerto componentes
gstrico, gastrectoma longitudinal (es decir, gastrectoma de
manga)
Gastroyeyunostoma, con vagotoma, cualquier tipo
Gastrostoma, abierto, con la construccin de tubo gstrico
(por ejemplo, procedimiento de Janeway)
Procedimiento gstrico restrictivo sin bypass gstrico para la
obesidad mrbida, excepto la gastroplastia vertical con
banda
El bypass gstrico, que no sea con Roux-en-Y
gastroenterostoma, para la obesidad mrbida
Procedimiento gstrico restrictivo con gastrectoma parcial,
conservadora del ploro duodenoileostomy y ileoileostomy
(50 a 100 cm por canal comn) para limitar la absorcin
(derivacin biliopancretica con cruce duodenal)
Procedimiento gstrico restrictivo, con la derivacin gstrica
para la obesidad mrbida, con la reconstruccin de intestino
delgado para limitar la absorcin
Revisin de anastomosis gastroduodenal
(gastroduodenostoma) con reconstruccin con vagotoma
Revisin de anastomosis gastroyeyunal
(gastroyeyunostoma) con la reconstruccin, con o sin
gastrectoma parcial o reseccin intestinal, con vagotoma
Implantacin o sustitucin de los electrodos de
neuroestimulador gstrico, antro, abiertas
Revisin o remocin de electrodos neuroestimulador
gstrico, antro, abierto
Gastropexia anterior de hernia hiatal (procedimiento

separado)
Procedimiento gstrico restrictivo, abierto, la revisin de
componente nico puerto subcutneo
Procedimiento gstrico restrictivo, abierto y la eliminacin de
componente nico puerto subcutneo
Procedimiento restrictivo gstrico, abierto, la eliminacin y la
sustitucin de componente nico puerto subcutneo
Procedimiento Cotizadas estmago,
Enterotoma, intestino delgado, que no sea el duodeno; para
la descompresin (por ejemplo, tubo de Baker)
La exteriorizacin del intestino (reseccin Mikulicz con
aplastamiento del espoln)
La biopsia de intestino por cpsula, tubo, por va oral (1 o
ms muestras)
Escisin de 1 o ms lesiones de intestino delgado o grueso
que no requieren anastomosis, exteriorizacin, o
fistulizacin; enterotoma sola
Escisin de 1 o ms lesiones de intestino delgado o grueso
que no requieren anastomosis, exteriorizacin, o
fistulizacin; enterotomas mltiples
Enterectoma, la reseccin del intestino delgado; cada
reseccin adicional y anastomosis (Lista por separado
Enterectoma, la reseccin del intestino delgado, con
enterostoma
Enterectoma, la reseccin del intestino delgado para atresia
congnita, la reseccin y anastomosis de un solo segmento
proximal del intestino, con la reduccin gradual
Enterectoma, la reseccin del intestino delgado para la
atresia congnita, la reseccin y anastomosis de un solo
segmento proximal del intestino; cada reseccin adicional y
anastomosis (Lista por separado adems de cdigo para el
Alotrasplante intestinal, desde donante vivo
La eliminacin del injerto intestinal trasplantado, completar
Colectoma parcial, con piel cecostoma nivel o colostoma
Colectoma parcial, con colostoma terminal y cierre del
segmento distal (procedimiento de Hartmann tipo)
Colectoma parcial, con reseccin con colostoma o
ileostoma y creacin de mucofistula
Colectoma parcial, con coloproctostomy (anastomosis
pelvis menor)
Colectoma parcial, con coloproctostomy (anastomosis
plvica baja), con colostoma
Colectoma parcial; abordaje abdominal y transanal
ileostoma continente

mucosectoma rectal, anastomosis ileoanal, con o sin
ileostoma en asa
Colectoma, total, abdominal, sin proctectoma; con
mucosectoma rectal, anastomosis ileoanal, creacin de
reservorio ileal (S o J), con o sin la ileostoma
ileostoma continente
anastomosis ileoanal, incluye la ileostoma en asa, y
mucosectoma rectal, cuando se realiza
anastomosis ileoanal, la creacin de depsito ileal (S o J),
incluye la ileostoma en asa, y mucosectoma rectal, cuando
se realiza
Laparoscopia, enterolisis quirrgica, (liberacin de
La laparoscopia, ciruga, ileostoma o yeyunostoma, sin
tubo
Laparoscopia, colostoma quirrgica o cecostoma nivel de
la piel
La laparoscopia, ciruga; cada reseccin adicional intestino
delgado y anastomosis (Lista por separado adems de
La laparoscopia, ciruga, colectoma parcial con colostoma
terminal y cierre del segmento distal (procedimiento de
Hartmann tipo)
anastomosis, con coloproctostomy (anastomosis pelvis
menor)
anastomosis, con coloproctostomy (anastomosis plvica
baja) con colostoma
Procedimiento de laparoscopa no listada, intestino (excepto
recto)
La laparoscopia, ciruga, colectoma, total, abdominal, con
proctectoma, con anastomosis ileoanal, la creacin de
reservorio ileal (S o J), con ileostoma en asa, incluye
mucosectoma rectal, cuando se realiza
La laparoscopia, la movilizacin quirrgica, (desmontaje) de
la flexura esplnica realiza en conjuncin con colectoma
parcial (Lista por separado adems de procedimiento
primario)
La laparoscopia, el cierre quirrgico, de enterostoma,
intestino delgado o grueso, con reseccin y anastomosis
Procedimiento de laparoscopa no listada, intestino (excepto
recto)
Procedimiento Cotizadas laparoscopia, el recto
Enterostoma o cecostoma, tubo (por ejemplo, para la

descompresin o de alimentacin), en conjunto con otros
procedimientos
Colostoma o piel cecostoma nivel, con biopsias mltiples
(por ejemplo, para megacolon congnito) (procedimiento
separado)
Revisin de colostoma, con la reparacin de la hernia
paracolostmica (procedimiento separado)
segunda porcin del duodeno, sin incluir el leon, con
biopsia, nica o mltiple
remocin de cuerpo extrao
segunda porcin del duodeno, leon no incluidos; con
extirpacin del tumor (s), plipo (s), u otra lesin (s) por la
tcnica de trampa
extirpacin del tumor (s), plipo (s), u otra lesin (s) por
pinzas de biopsia caliente o cauterio bipolar
segunda porcin del duodeno, sin incluir el leon, con control
de la hemorragia (por ejemplo, inyeccin, cauterio bipolar,
unipolar cauterizacin, lser, sonda de calor, grapadora,
plasma coagulador)
ablacin de tumor (s), plipo (s), u otra lesin (s) no es
susceptible de extirpacin por pinzas de biopsia caliente,
colocacin de stent transendoscpicas (incluye
predilatacin)
colocacin de tubo de yeyunostoma percutnea
segunda porcin del duodeno, sin incluir el leon, con la
conversin de tubo de gastrostoma percutnea con tubo de
yeyunostoma percutnea
segunda porcin del duodeno, incluyendo leon, con control
de la hemorragia (por ejemplo, inyeccin, cauterio bipolar,
plasma coagulador)
segunda porcin del duodeno, incluyendo leon, con
predilatacin)
Ileoscopia, a travs del estoma, con biopsia, nica o mltiple

Ileoscopia, a travs del estoma, con colocacin de stent
transendoscpicas (incluye predilatacin)
La evaluacin endoscpica de bolsa pequea (abdominal o
plvica) intestinal, con biopsia, nica o mltiple
Colonoscopia a travs del estoma, con biopsia, nica o
mltiple
Colonoscopia a travs del estoma, con remocin de cuerpo
extrao
Colonoscopia a travs del estoma, con control de la
hemorragia (por ejemplo, inyeccin, cauterio bipolar,
plasma coagulador)
Colonoscopia a travs del estoma, con extirpacin de tumor
(s), plipo (s), u otra lesin (s) de pinzas de biopsia caliente
o cauterio bipolar
La colonoscopia a travs del estoma; con ablacin de tumor
(s), plipo (s), u otra lesin (s) no es susceptible de
extirpacin por pinzas de biopsia caliente, cauterio bipolar o
tcnica de trampa
La colonoscopia a travs del estoma; con extirpacin del
tumor (s), plipo (s), u otra lesin (s) por la tcnica de
trampa
Colonoscopia a travs del estoma, con colocacin de stent
Sutura de intestino (enterorrhaphy), grande o pequea, para
la lcera perforada, divertculo, herida, lesin o ruptura, solo
Sutura de intestino delgado (enterorrhaphy) por lcera
perforada, divertculo, herida, lesin o ruptura, mltiples
perforaciones
La sutura de intestino grueso (colorrhaphy) para lcera
perforada, divertculo, herida, lesin o rotura (perforaciones
simples o mltiples); con colostoma
Sutura de intestino (enterorrhaphy), grande o pequea, para
la lcera perforada, divertculo, herida, lesin o ruptura;
mltiple
Cierre de enterostoma, intestino delgado o grueso, con
reseccin y anastomosis colorrectal que no sea
Cierre de enterostoma, intestino delgado o grueso, con
reseccin y anastomosis colorrectal (por ejemplo, el cierre
del procedimiento tipo Hartmann)
Cierre de fstula enterovesical, con intestino y / o vejiga
reseccin
Lavado colnico intraoperatorio (Anote separadamente
Reconstruccin de los diputados sin cartera o aloinjerto de
cadver viviente intestino donante antes del trasplante;
anastomosis arterial, cada
Procedimiento Cotizadas, el intestino
Procedimiento Cotizadas, divertculo de Meckel y el
mesenterio
Procedimiento de laparoscopa no listada, apndice

Proctectoma, reseccin parcial del recto, abordaje
transabdominal
Proctectoma, combinada abdominoperineal, pull-through
procedimiento (por ejemplo, colo-anal anastomosis)
Proctectoma, parcial con anastomosis; transsacral enfoque
nico (tipo Kraske)
Proctectoma, completa (por megacolon congnito),
abordaje abdominal y perineal, con la colectoma subtotal o
total, con mltiples biopsias
Exenteracin plvica de malignidad colorrectal, con
proctectoma (con o sin colostoma), con la eliminacin de la
vejiga y trasplantes ureterales y / o la histerectoma, o
cervicectoma, con o sin eliminacin de tubo (s), con o sin
extirpacin de ovario (s) , o cualquier combinacin de los
mismos
Escisin de procidencia rectal, con anastomosis; abordaje
abdominal y perineal
Escisin de reservorio ileoanal con ileostoma
Divisin de la estenosis del recto
Escisin de tumor rectal, abordaje transanal
Escisin de tumor rectal enfoque transanal, sin incluir
muscularis propia (es decir, el grosor parcial)
Escisin de tumor rectal, abordaje transanal, incluyendo
muscularis propia (es decir, el espesor completo)
La escisin y / o electrodesecacin de tumor maligno del
recto, abordaje transanal
Proctosigmoidoscopia, rgido, diagnstico, con la recogida
de muestras mediante cepillado o lavado
Proctosigmoidoscopia, rgido, con dilatacin (por ejemplo,
un globo, el alambre gua, bougie)
Proctosigmoidoscopia, rgido, con biopsia, nica o mltiple
Proctosigmoidoscopia, rgido, con remocin del cuerpo
extrao
Proctosigmoidoscopia, rgido, con extirpacin de tumor
nico, plipo, u otra lesin en caliente pinza de biopsia o
cauterio bipolar
Proctosigmoidoscopia, rgido, con extirpacin de tumor
nico, plipo, u otra lesin mediante la tcnica de trampa
Proctosigmoidoscopia, rgido, con extirpacin de un plipo o
papiloma
Proctosigmoidoscopia, rgido, con la eliminacin de
mltiples tumores, plipos u otras lesiones por frceps de
biopsia caliente, cauterio bipolar o tcnica de trampa
Proctosigmoidoscopia, rgido, con control de la hemorragia
(por ejemplo, inyeccin, cauterio bipolar, unipolar
cauterizacin, lser, sonda de calor, grapadora, plasma
coagulador)
Proctosigmoidoscopia, rgido, con la ablacin del tumor (s),

plipo (s), u otra lesin (s) no es susceptible de extirpacin
por pinzas de biopsia caliente, cauterio bipolar o tcnica de
trampa (por ejemplo, lser)
Proctosigmoidoscopia, rgido, con la descompresin del
vlvulo
Proctosigmoidoscopia, rgido, con colocacin de stent
La sigmoidoscopia flexible, con biopsia, nica o mltiple
La sigmoidoscopia flexible, con remocin de cuerpo extrao
La sigmoidoscopia flexible, con extirpacin de tumor (s),
plipo (s), u otra lesin (s) de pinzas de biopsia caliente o
cauterio bipolar
La sigmoidoscopia flexible, con control de la hemorragia
(por ejemplo, inyeccin, cauterio bipolar, unipolar
cauterizacin, lser, sonda de calor, grapadora, plasma
coagulador)
Sigmoidoscopia, flexible; con inyeccin submucosa dirigida
(s), cualquier sustancia
La sigmoidoscopia flexible, con la ablacin del tumor o
lesin mucosa (por ejemplo, la electrocoagulacin,
fotocoagulacin, biopsia caliente / fulguracin)
La sigmoidoscopia flexible, con la descompresin del
vlvulo, cualquier mtodo
Sigmoidoscopia, flexible, con la eliminacin del tumor (s),
plipo (s), u otra lesin (s) por la tcnica de trampa
Sigmoidoscopia, flexible; con ablacin de tumor (s), plipo
(s), u otra lesin (s) no es susceptible de extirpacin por
pinzas de biopsia caliente, cauterio bipolar o tcnica de
trampa
Sigmoidoscopia, flexible; con dilatacin por baln, 1 o ms
estenosis
La sigmoidoscopia flexible, con ultrasonido
transendoscpicas guiada aspiracin con aguja fina
intramural o transmural / biopsia (s)
La sigmoidoscopia flexible, con colocacin de stent
La colonoscopia, flexible, proximal a la flexura esplnica;
diagnstico, con o sin recoleccin de espcimen (s) por
cepillado o lavado, con o sin descompresin del colon
Colonoscopia, flexin flexible, prxima a esplnico, con
remocin de cuerpo extrao
biopsia, nica o mltiple
La colonoscopia, flexin flexible, proximal a esplnica; con
inyeccin submucosa dirigida (s), cualquier sustancia
control de sangrado (por ejemplo, inyeccin, cauterio
bipolar, unipolar cauterizacin, lser, sonda de calor,
grapadora, plasma coagulador)

ablacin de tumor (s), plipo (s), u otra lesin (s) no es
susceptible de extirpacin por pinzas de biopsia caliente,
extirpacin del tumor (s), plipo (s), u otra lesin (s) por
pinzas de biopsia caliente o cauterio bipolar
extirpacin del tumor (s), plipo (s), u otra lesin (s) por la
tcnica de trampa
la dilatacin por baln, 1 o ms estenosis
predilatacin)
Colonoscopia, flexin flexible, prxima a esplnico; examen
con ultrasonido endoscpico
ultrasonido guiada transendoscpicas aspiracin con aguja
fina intramural o transmural / biopsia (s)
La laparoscopia, ciruga; proctectoma, abdominoperineal
completo, combinado con colostoma
La laparoscopia, ciruga; proctectoma, combinada
abdominoperineal pull-through procedimiento (por ejemplo,
colo-anal anastomosis), con la creacin del embalse de
colon (por ejemplo, J-pouch), con desvo de enterostoma,
cuando se realiza
La laparoscopia, ciruga; proctopexy (por prolapso)
La laparoscopia, ciruga; proctopexy (por prolapso), con
reseccin sigmoidea
Procedimiento Cotizadas laparoscopia, el recto
Proctoplasty; para el prolapso de la mucosa
Perirrectal inyeccin de solucin esclerosante para
prolapso; hospitalaria
Exploracin, reparacin y drenaje presacro por lesin rectal;
Exploracin, reparacin y drenaje presacro por lesin rectal
con colostoma
Cierre de fstula rectovesical, con colostoma
Cierre de fstula rectouretral, con colostoma
La dilatacin del esfnter anal (procedimiento separado) bajo
anestesia local, que no sea
La dilatacin de estenosis rectal (procedimiento separado)
bajo anestesia local, que no sea
Examen anorrectal, la anestesia quirrgica, que requiere
(general, espinal o epidural), diagnstico
Procedimiento Cotizadas, el recto
Fistulotoma, subcutnea
La colocacin de sedal
La eliminacin del anal sedal, otro marcador
Incisin y drenaje de absceso isquiorrectal o intramural, con
fistulectoma o fistulotoma, submuscular, con o sin
colocacin de sedal
Cryptectomy, (procedimiento separado) mltiple

La escisin de papilas mltiple externo o etiquetas, el ano
Hemorroidectoma, interna y externa, 2 o ms columnas /
grupos;
grupos; con fisurectoma
grupos; con fistulectoma, incluyendo fisurectoma, cuando
se realiza
fistulotoma); interesfinteriana
fistulotoma); transesfinteriano, supraesfinteriana,
extraesfinteriana o mltiples, incluyendo la colocacin de
sedal, cuando se realiza
fistulotoma), segunda etapa
La quimiodenervacin del esfnter anal interno
Anoscopia, para la recogida de muestras mediante cepillado
o lavado
Anoscopia, con dilatacin (por ejemplo, un globo, gua de
alambre, bougie)
Anoscopia, con biopsia, nica o mltiple
Anoscopia, con remocin de cuerpo extrao
Anoscopia, con extirpacin de tumor nico, plipo, u otra
lesin en caliente pinza de biopsia o cauterio bipolar
Anoscopia, con extirpacin de tumor nico, plipo, u otra
lesin mediante la tcnica de trampa
Anoscopia, con la eliminacin de mltiples tumores, plipos
u otras lesiones por frceps de biopsia caliente, cauterio
bipolar o tcnica de trampa
Anoscopia, con control de la hemorragia (por ejemplo,
inyeccin, cauterio bipolar, unipolar cauterizacin, lser,
sonda de calor, grapadora, plasma coagulador)
Anoscopia; con ablacin de tumor (s), plipo (s), u otra
lesin (s) no es susceptible de extirpacin por pinzas de
biopsia caliente, cauterio bipolar o tcnica de trampa
Reparacin de fstula anal con cola de fibrina
Reparacin de fstula anorrectal con enchufe (por ejemplo,
el intestino delgado porcino submucosa [SIS])
Reparacin de bolsa ileoanal fstula / seno (por ejemplo,
perineal o vaginal), el avance bolsa; abordaje transperineal
Reparacin de bolsa ileoanal fstula / seno (por ejemplo,
perineal o vaginal), el avance bolsa; enfoque combinado
transperineal y transabdominal
Reparacin de ano imperforado bajo, con la transposicin
de la fstula o anoperineal anovestibular
Reparacin de ano imperforado alto con fstula rectovaginal
o rectouretral; va perineal o sacroperineal
Reparacin de ano imperforado alto con fstula rectovaginal

o rectouretral; enfoques combinados transabdominal y
sacroperineal
uretroplastia, combinado abordaje abdominal y
sacroperineal;
uretroplastia, abordaje combinado abdominal y
sacroperineal, con alargamiento vaginal por injerto intestinal
o colgajos pediculados
Esfinteroplastia, anales para la incontinencia o prolapso;
nio
Esfinteroplastia, anales para la incontinencia, adulto,
trasplante muscular
Esfinteroplastia, anales para la incontinencia, adulto;
imbricacin del msculo elevador (Park reparacin anal
posterior)
Esfinteroplastia, anales para la incontinencia, adulto,
implante de esfnter artificial
papiloma, el molusco contagioso, vescula herptica) simple;
electrodesecacin
simple, criociruga
simple, ciruga lser
papiloma, molusco contagioso, vescula herptica), simple;
escisin quirrgica
papiloma, molusco contagioso, vescula herptica), extensa
(por ejemplo, ciruga lser, electrociruga, criociruga,
quimiociruga)
Destruccin de las hemorroides internas (s) por la energa
trmica (por ejemplo, coagulacin infrarroja, la
cauterizacin, la radiofrecuencia)
La destruccin de las hemorroides, el mtodo empleado;
externo
Destruccin de las hemorroides, cualquier mtodo; interna y
externa
La criociruga de tumor rectal; maligno
Curetaje o cauterizacin de fisura anal, incluyendo dilatacin
del esfnter anal (procedimiento separado); posterior
Hemorroidectoma, interno, por otra ligadura de banda
elstica, 2 o ms columnas de las hemorroides / grupos
Hemorroidopexia (por ejemplo, para el prolapso de las
hemorroides internas) mediante grapado
Procedimiento Cotizadas, el ano
La biopsia de hgado, aguja, cuando se hace por finalidad

indicada en el momento del procedimiento principal Otros
(enumerar por separado adems del cdigo para el
Hepatectoma del donante, con preparacin y
mantenimiento de aloinjerto; parcial, de donante vivo
Alotrasplante heptico; heterotpico, parcial o totalmente, a
partir de donante cadver o vivo, de cualquier edad
a partir de donante vivo; lobectoma total izquierda
(segmentos II, III y IV)
a partir de donante vivo; lobectoma total derecha
(segmentos V, VI, VII y VIII)
Backbench preparacin estndar de injerto de cadver de
hgado de donante conjunto antes de alotrasplantes,
incluyendo la colecistectoma, si es necesario, y la diseccin
y la extraccin de los tejidos blandos circundantes para
preparar la vena cava, la vena porta, la arteria heptica y el
conducto biliar comn para la implantacin; sin trisegment o
lbulo dividido
conducto biliar comn para la implantacin; con divisin de
trisegment injerto de hgado entero en dos injertos hepticos
parciales (es decir, el segmento lateral izquierdo [los
segmentos II y III] y trisegment derecha (segmentos I y IV a
VIII))
conducto biliar comn para la implantacin; con divisin de
lbulo injerto de hgado entero en 2 injertos de hgado
parcial (es decir, el lbulo izquierdo [segmentos II, III, y IV] y
[lbulo derecho segmentos I y V a VIII])
Reconstruccin del cadver sin cartera o el injerto de
donante vivo de hgado antes de alotrasplante; anastomosis
venosa, cada
Reconstruccin del cadver sin cartera o el injerto de
donante vivo de hgado antes de alotrasplante, anastomosis
arterial, cada
Hepatorrhaphy, sutura de herida o lesin heptica, con
conducto comn o drenaje vescula biliar
Tratamiento de la hemorragia del hgado; sutura complejo
de herida o lesin heptica, con o sin ligadura de la arteria
heptica
La laparoscopia, ablacin quirrgica, de tumor de hgado 1 o

ms (s); crioquirrgica
Cotizadas procedimiento laparoscpico hgado,
Ablacin, abierto, de tumor de hgado 1 o ms (s);
radiofrecuencia
Ablacin, abierto, de tumor heptico uno o ms (s);
crioquirrgica
Ablacin, 1 o ms tumor heptico (s), percutnea,
radiofrecuencia
Procedimiento Cotizadas, el hgado
Coledocotoma o choledochostomy con la exploracin,
drenaje o extraccin de clculos, con o sin cholecystotomy,
con esfinterotoma transduodenal o esfinteroplastia
Duodenocholedochotomy, transduodenal
choledocholithotomy
Inyeccin procedimiento para la colangiografa percutnea
transheptica
Inyeccin procedimiento para la colangiografa a travs de
un catter existente (por ejemplo, transheptica percutnea
o tubo T-)
Biliar endoscpica percutnea a travs de T-tubo o tracto
otro, con biopsia, nica o mltiple
otro, con eliminacin del sarro / clculos
otro, con dilatacin de estenosis biliar conducto (s) sin stent
Endoscopia biliar, percutnea a travs de tubo en T o en el
tracto otro; con la dilatacin de estenosis del conducto biliar
(s) con stent
La laparoscopia, ciruga, con colangiografa transheptica
guiada, sin biopsia
La laparoscopia, ciruga, con colangiografa transheptica
guiada con biopsia
Procedimiento de laparoscopa no listada, vas biliares
La colecistectoma con exploracin del conducto comn,
con choledochoenterostomy
La colecistectoma con exploracin del conducto comn,
con esfinterotoma transduodenal o esfinteroplastia, con o
sin colangiografa
Extraccin de piedra conducto biliar, percutnea a travs de
T-tubo digestivo, canasta o caja (por ejemplo, la tcnica
Burhenne)
Escisin de tumor del conducto biliar, con la reparacin
Escisin de tumor del conducto biliar, con o sin la reparacin
primaria del conducto biliar; extraheptica
Escisin de tumor del conducto biliar, con o sin la reparacin
primaria del conducto biliar; intraheptica
Anastomosis, quiste de coldoco, sin excisin
Anastomosis, quiste de coldoco, sin excisin
Cholecystoenterostomy; con gastroenterostoma
Cholecystoenterostomy; Roux-en-Y
Cholecystoenterostomy; Roux-en-Y con gastroenterostoma

Anastomosis, Roux-en-Y, de vas biliares extrahepticas y
en el tracto gastrointestinal
Anastomosis, Roux-en-Y, de conductos biliares
intrahepticos y tracto gastrointestinal
Tubo en U hepaticoenterostomy
Sutura de conducto biliar extraheptico por lesin
preexistente (procedimiento separado)
Procedimiento Cotizadas, el tracto biliar
La colocacin de drenajes, peripancretica, para la
pancreatitis aguda, con colecistostoma, gastrostoma,
yeyunostoma y
Reseccin o desbridamiento de pncreas y el tejido peripancretica en la pancreatitis aguda necrotizante
Pancreatectoma distal subtotal, con o sin esplenectoma,
con pancreaticoyeyunostoma
Pancreatectoma distal, casi total con preservacin de
duodeno (Child-tipo de procedimiento)
Pancreatectoma, casi total, con preservacin de duodeno
(procedimiento de tipo infantil)
La pancreatectoma proximal subtotal con duodenectomy
total, gastrectoma parcial, choledochoenterostomy y
gastroyeyunostoma (Whipple tipo de procedimiento);
pancreatoyeyunostoma sin
Pancreatectoma, subtotal proximal con casi total
duodenectomy, choledochoenterostomy y
duodenoyeyunostoma (con preservacin del ploro, Whipple
tipo de procedimiento), con pancreatoyeyunostoma
Pancreatectoma, subtotal proximal con casi total
duodenectomy, choledochoenterostomy y
duodenoyeyunostoma (con preservacin del ploro, Whipple
tipo de procedimiento), sin pancreatoyeyunostoma
Inyeccin procedimiento intraoperatorio pancreatografa
Pancreaticoyeyunostoma, de lado a lado anastomosis
(Puestow-tipo de operacin)
pncreas del donante antes del trasplante, incluyendo la
diseccin de aloinjertos de tejidos blandos circundantes,
esplenectoma, duodenotoma, la ligadura del conducto
biliar, la ligadura de los vasos mesentricos, y Y-injerto
anastomosis arterial de la arteria ilaca a la arteria
mesentrica superior y a arteria esplnica
Reconstruccin backbench de aloinjerto de cadver
pncreas del donante antes del trasplante, la anastomosis
venosa, cada uno
La eliminacin del aloinjerto de pncreas trasplantado
Procedimiento Cotizadas, pncreas
El drenaje de absceso subfrnico o debajo del diafragma;

abrir
El drenaje de absceso subfrnico o debajo del diafragma;
percutnea
Lavado Peritoneocentesis, paracentesis abdominal, o
peritoneal (diagnstico o teraputico); subsiguiente
Extirpacin o destruccin, tumores abiertos, intra-abdominal
o retroperitoneal o quistes o endometriomas amplios;
Extirpacin o destruccin, abiertas, intra-abdominal tumores,
quistes o endometriomas, 1 o ms peritoneal, mesentrico,
o tumores retroperitoneales primarios o secundarios; tumor
ms grande 5 cm de dimetro o menos
o tumores retroperitoneales primarios o secundarios; tumor
ms grande 5.1-10.0 cm de dimetro
o tumores retroperitoneales primarios o secundarios; ms
grande que el dimetro mayor del tumor 10,0 cm
Peritoneoscopia; sin biopsia
Peritoneoscopia, con biopsia
Peritoneoscopia con colangiografa transheptica guiada;
sin biopsia
Peritoneoscopia con colangiografa transheptica guiada,
con biopsia
La laparoscopia, ciruga, colecistectoma (cualquier mtodo)
La laparoscopia, ciruga, apendicectoma
La laparoscopia, ciruga, con la insercin de una cnula o
catter intraperitoneal, permanente
La laparoscopia, ciruga, con omentopexia (omental viradas
procedimiento) (Lista por separado adems del cdigo para
Cotizadas laparoscopia procedimiento, el abdomen, el
peritoneo y epipln
La inyeccin de aire o de contraste en la cavidad peritoneal
El neumoperitoneo (procedimiento separado); posterior
Extraccin de cuerpo extrao peritoneal de la cavidad
peritoneal
de referencia, dosmetro), percutnea, intra-abdominal,
intra-plvica (con excepcin de la prstata), y / o
retroperitoneo, simple o mltiple
La insercin de la cnula o catter intraperitoneal,

subcutnea con depsito, permanente (es decir, totalmente
implantable)
La eliminacin de la cnula o catter permanente
intraperitoneal
La insercin del peritoneo-venosa derivacin
Revisin de derivacin peritoneo-venoso
Inyeccin de procedimiento (por ejemplo, medios de
contraste) para la evaluacin de colocado previamente
peritoneal-venosa shunt
La ligadura de peritoneo-venosa derivacin
La eliminacin del peritoneo-venosa derivacin
La insercin de la extensin a la cnula subcutnea o
intraperitoneal del catter con el sitio remoto salida pecho
(lista por separado adems de cdigo para el procedimiento
primario)
Tarda creacin de sitio de salida de embebido segmento
intraperitoneal subcutnea de cnula o catter
La insercin del tubo de gastrostoma, percutnea, bajo gua
fluoroscpica que incluye la inyeccin de contraste (s),
documentacin de imagen y informe
La insercin de duodenostoma o tubo de yeyunostoma,
percutnea, bajo gua fluoroscpica que incluye la inyeccin
de contraste (s), documentacin de imagen y informe
La insercin de cecostoma u otro tubo de colon,
Conversin de tubo de gastrostoma para gastroyeyunostoma, percutnea, bajo gua fluoroscpica que
incluye la inyeccin de contraste (s), documentacin de
imagen y informe
Sustitucin de gastrostoma o cecostoma (u otro colnica)
tubo, percutnea, bajo gua fluoroscpica que incluye la
inyeccin de contraste (s), documentacin de imagen y
informe
Sustitucin de duodenostoma o tubo de yeyunostoma,
Sustitucin de gastro-yeyunostoma, percutnea, bajo gua
fluoroscpica que incluye la inyeccin de contraste (s),
documentacin de imagen y informe
La eliminacin mecnica de material obstructiva de
gastrostoma, duodenostoma, yeyunostoma,
gastroyeyunostoma, o cecostoma (o de otro tipo de colon),
tubo, cualquier mtodo, bajo gua fluoroscpica que incluye
la inyeccin de contraste (s), si se realiza, documentacin
de imagen y informe
De inyeccin de contraste (s) para la evaluacin radiolgica

de gastrostoma existente, duodenostoma, yeyunostoma,
gastro-yeyunostoma, o cecostoma (u otro de colon), tubo,
desde un abordaje percutneo incluyendo documentacin
de imagen y informe
Reparacin, hernia inguinal inicial, recin nacido prematuro
(menos de 37 semanas de gestacin al nacer), realiza
desde el nacimiento hasta los 50 aos de edad
postconception semanas, con o sin hidrocelectoma;
reducible
Reparacin, hernia inguinal inicial, recin nacido prematuro
(menos de 37 semanas de gestacin al nacer), realiza
desde el nacimiento hasta los 50 aos de edad
postconception semanas, con o sin hidrocelectoma;
Reparacin de la hernia inguinal inicial, la edad de 6 meses
a menores de 5 aos, con o sin hidrocelectoma; reducible
Reparacin de la hernia inguinal inicial, la edad de 6 meses
a menores de 5 aos, con o sin hidrocelectoma;
Reparacin de la hernia inguinal inicial, 5 aos de edad o
ms; reducible
Reparacin de la hernia inguinal inicial, 5 aos de edad o
ms; encarcelada o estrangulada
Reparacin de la hernia inguinal, la edad de 5 aos o ms,
con la orquiectoma, con o sin implante de prtesis
Reparacin de la hernia inguinal, la edad de 5 aos o ms,
con la escisin de hidrocele o espermatocele
Reparacin de la hernia inguinal recurrente, de cualquier
edad, reducible
Reparacin de la hernia inguinal recurrente, de cualquier
edad, encarcelada o estrangulada
Reparacin de la hernia inguinal, corredizo, de cualquier
edad
Reparacin de la hernia inguinal, de cualquier edad,
encarcelado
Reparacin de la hernia inguinal, de cualquier edad,
estrangulada
Reparacin de la hernia femoral inicial, de cualquier edad,
reducible
Reparacin de la hernia femoral, Henry enfoque
Reparacin de la hernia femoral inicial, de cualquier edad,
Reparacin de la hernia femoral recurrente; reducible
Reparacin de la hernia femoral recurrente; encarcelada o
estrangulada
Reparacin de la hernia incisional o ventral inicial; reducible
Reparacin de la hernia incisional o ventral inicial;
El implante de malla o de otra prtesis para la reparacin

abierta de la hernia incisional o ventral o malla para el cierre
de desbridamiento por infeccin necrotizante de tejidos
blandos (Lista por separado adems de cdigo para la
reparacin de la hernia incisional o ventral)
Reparacin de la Hernia epigstrica grasa, properitoneal
(procedimiento separado); complejo
Reparacin de hernia umbilical; 5 aos de edad o ms
Reparacin de hernia umbilical, a la edad de 5 aos o ms;
reducibles
Reparacin de hernia umbilical, la edad de 5 aos o ms;
Reparacin de onfalocele grande o gastrosquisis, con la
eliminacin de la reduccin de prtesis, final y de cierre, en
el quirfano
Reparacin de onfalocele (operacin tipo Bruto), segunda
etapa
La laparoscopia, ciruga, reparacin inguinal hernia
recurrente
La laparoscopia, la reparacin quirrgica, ventral, umbilical,
hernia de Spiegel o epigstrico (incluye malla de insercin,
cuando se realiza); reducible
La laparoscopia, ciruga, reparacin de hernia incisional
(incluye malla de insercin, cuando se realiza); reducible
(incluye malla de insercin, cuando se realiza); encarcelada
o estrangulada
recurrente (incluye malla de insercin, cuando se realiza);
reducible
recurrente (incluye malla de insercin, cuando se realiza);
Procedimiento de laparoscopa no listada, hernioplastia,
herniorrafia, herniotoma
Colgajo de epipln, extra-abdominal (por ejemplo, para la
reconstruccin de defectos de la pared torcica y esternn)
Colgajo de epipln, intra-abdominal (Anote separadamente
Colgajo libre omental con anastomosis microvascular
Cotizadas procedimiento, el abdomen, el peritoneo y epipln
Nefrolitotoma; segunda operacin quirrgica para el clculo
Nefrolitotoma, complicado por anomala congnita del rin
Nefrolitotoma y la eliminacin de gran clculo coraliforme
relleno pelvis renal y los clices (incluyendo anatrophic
pielolitotoma)
Percutnea o nefrostolitotoma pyelostolithotomy, con o sin

dilatacin, endoscopia, litotricia, la colocacin de stents o
extraccin canasta; ms de 2 cm
La transeccin o reposicionamiento de aberrantes vasos
renales (procedimiento separado)
Pielotoma; complicado (por ejemplo, funcionamiento,
secundaria, congnita anormalidad del rin)
enfoque abierto, incluyendo reseccin de la costilla;
complicada debido a ciruga previa en el rin mismo
Nefrectoma con ureterectoma total y el manguito de la
vejiga, a travs de la misma incisin
Nefrectoma con ureterectoma total y el manguito de la
vejiga, a travs de incisin separada
Ablacin, abierto, 1 o ms masa lesin renal (s),
crioquirrgica, incluyendo ecografa intraoperatoria, si se
realiza
Excisin de quiste perirrenal
Backbench preparacin estndar de cadver donante del
aloinjerto renal antes del trasplante, incluyendo la diseccin
y la eliminacin de la grasa perirrenal, archivos adjuntos
diafragmticas y retroperitoneal, la extirpacin de la
glndula suprarrenal, y la preparacin de urter (s), vena
renal (s), y la arteria renal (s) , ligacin de ramas, segn sea
necesario
Backbench preparacin estndar de donante vivo de rin
de aloinjerto (abierta o laparoscpica) antes del trasplante,
incluyendo la diseccin y la eliminacin de la grasa
perirrenal y preparacin de urter (s), vena renal (s), y la
arteria renal (s), ramas de ligadura, segn sea necesario
Reconstruccin sin cartera del cadver o aloinjerto renal de
donante vivo antes del trasplante; anastomosis venosa,
cada
donante vivo antes del trasplante; anastomosis arterial, cada
donante vivo antes del trasplante; anastomosis ureteral,
cada
Receptor nefrectoma (procedimiento separado)
Receptor nefrectoma (procedimiento separado); bilateral
Alotrasplante renal, la implantacin de injerto; sin
destinatario nefrectoma
Homotrasplante renal, la implantacin de injerto, con
nefrectoma bilateral destinatario
La eliminacin del injerto renal trasplantado
Autotrasplante renal, reimplantacin de rin
Remocin (a travs de lazo / captura) y el reemplazo de
stent ureteral vivienda internamente por va percutnea,
incluyendo supervisin e interpretacin radiolgica
Remocin (a travs de lazo / captura) de stent ureteral

vivienda internamente por va percutnea, incluyendo
supervisin e interpretacin radiolgica
Remocin (a travs de lazo / captura) y el reemplazo de
stent ureteral vivienda internamente a travs de abordaje
transuretral, sin el uso de la cistoscopia incluyen radiolgica
supervisin y la interpretacin
Remocin (a travs de lazo / captura) de stent ureteral
vivienda internamente a travs de abordaje transuretral, sin
el uso de la cistoscopia incluyen radiolgica supervisin y la
interpretacin
Remocin y reemplazo de acceso externo stent ureteral
transnephric (por ejemplo, externo / interno stent) que
requiere control fluoroscpico, incluyendo supervisin e
La eliminacin del tubo de nefrostoma, que requiere control
fluoroscpico (por ejemplo, con la concurrente stent ureteral
permanente)
La instilacin (s) de agente teraputico en la pelvis renal y /
o urter a travs del tubo de nefrostoma establecido,
pielostoma o ureterostoma (por ejemplo, agente,
anticancergeno o antifngicos)
la pelvis renal para el drenaje y / o de inyeccin, percutnea
Cambio del tubo de nefrostoma o pielostoma
Cierre de fstula nephrovisceral (por ejemplo, renoclica),
incluyendo la reparacin visceral; abordaje torcico
La laparoscopia, ciruga, nefrectoma con ureterectoma
total de
Procedimiento de laparoscopa no listada, renal
ureteropielografa, exclusivo de servicio radiolgico; con el
cateterismo ureteral, con o sin la dilatacin de urter
ureteropielografa, exclusivo de servicio radiolgico; con
biopsia
fulguracin y / o incisin, con o sin biopsia
ureteropielografa, exclusivo de servicio radiolgico; con la
insercin de una sustancia radioactiva con o sin biopsia y / o
fulguracin
remocin del cuerpo extrao o clculo

reseccin del tumor
Renal endoscopia a travs de nefrotoma o pielotoma, con
o sin riego, la instilacin, o ureteropielografa, exclusivo de
servicio radiolgico;
servicio radiolgico; con el cateterismo ureteral, con o sin la
dilatacin de urter
servicio radiolgico; con biopsia
servicio radiolgico; con endopielotoma (incluye
cistoscopia, ureteroscopia, la dilatacin del urter y de la
unin ureteral plvica, incisin de unin plvica ureteral y la
insercin de la endopielotoma stent)
servicio radiolgico; con fulguracin y / o incisin, con o sin
biopsia
servicio radiolgico; con la insercin de una sustancia
radioactiva, con o sin biopsia y / o fulguracin
servicio radiolgico; con remocin del cuerpo extrao o
clculo
Ablacin, 1 o ms tumor renal (s), percutnea,
radiofrecuencia unilateral,
Ablacin, tumor renal (s), unilateral, percutnea, crioterapia
Ureterolitotoma; tercio medio del urter
Ureterolitotoma, tercio inferior del urter
Ureterectoma, con manguito de la vejiga (procedimiento
separado)
Inyeccin procedimiento para ureterography o
ureteropielografa ureterostoma a travs de un catter
permanente o ureteral
Estudios manomtricos travs ureterostoma o catter
ureteral permanente
Cambio de tubo o stent ureteral ureterostoma accesible
desde el exterior a travs del conducto ileal
Inyeccin procedimiento para la visualizacin del conducto
ileal y / o ureteropielografa, exclusivo de servicio radiolgico
Ureterolisis, con o sin reposicionamiento del urter durante
la fibrosis retroperitoneal; bilateral
Ureterolisis para el sndrome de la vena ovrica

Ureterolisis para retrocavo urter, con reanastomosis del
tracto urinario superior o la vena cava
Revisin de anastomosis urinaria cutnea (cualquier tipo de
urostoma), con la reparacin del defecto fascial, hernia
Ureterocalycostomy, anastomosis del urter a cliz renal
Transureteroureterostomy, anastomosis del urter a urter
contralateral
Ureteroneocistostoma, anastomosis del urter a la vejiga, u
otras operaciones para la correccin del reflujo
vesicoureteral, bilateral
Ureteroneocistostoma; anastomosis del urter a la vejiga
duplicado
Ureteroneocistostoma, con adaptacin ureteral extensa
Ureteroneocistostoma, con vesico-psoas enganche o
colgajo vesical
Ureteroneocistostoma, con colgajo vesical; bilateral
Ureteroenterostomy, anastomosis directa del urter al
intestino; bilateral
Ureterocolon conducto, incluyendo anastomosis intestinal
Uretercolon conducto, incluyendo la anastomosis del
intestino; bilateral
Ureteroileal conducto (vejiga ileal), incluyendo anastomosis
intestinal (operacin de Bricker)
Ureteroileal conducto (vejiga ileal), incluyendo anastomosis
intestinal, (operacin de Bricker); bilateral
Derivacin continente, incluyendo anastomosis intestinal
usando cualquier segmento del intestino delgado y / o
grueso (bolsa de Kock o enterocistoplastia Camey)
El reemplazo de todo o parte del urter por segmento
intestinal, incluyendo anastomosis intestinal; bilateral
Ureterostoma, el trasplante de urter a la piel, bilateral
La laparoscopia, ciruga, sin ureteroneocistostoma
cistoscopia y colocacin de stent ureteral
Procedimiento de laparoscopa no listada, urter
de servicio radiolgico; con el cateterismo ureteral, con o sin
la dilatacin de urter
de servicio radiolgico; con biopsia
de servicio radiolgico; con fulguracin y / o incisin, con o
sin biopsia

de servicio radiolgico; con la insercin de una sustancia
radioactiva, con o sin biopsia y / o fulguracin (no
incluyendo el suministro de material)
de servicio radiolgico; con remocin del cuerpo extrao o
clculo
Ureteral endoscopia a travs de ureterotoma, con o sin
riego, la instilacin, o ureteropielografa, exclusivo de
servicio radiolgico; con el cateterismo ureteral, con o sin la
dilatacin de urter
servicio radiolgico; con biopsia
servicio radiolgico; con fulguracin y / o incisin, con o sin
biopsia
servicio radiolgico; con la insercin de una sustancia
radioactiva, con o sin biopsia y / o fulguracin (no
incluyendo el suministro de material)
servicio radiolgico; con remocin del cuerpo extrao o
clculo
La aspiracin de la vejiga; por trocar o intracatheter
Cistostoma o cistostoma; crioquirrgica con destruccin de
lesin intravesical
Cistostoma, cistostoma con drenaje
Cistostoma, con la insercin de catter ureteral o stent
Cistostoma, con la extraccin de la cesta de clculo y / o
fragmentacin ultrasnica, electrohidrulica de clculo
ureteral
La aspiracin de la vejiga; por aguja
La aspiracin de la vejiga; por trocar o intracatheter
La aspiracin de la vejiga; con insercin de catter
suprapbico
Cistostoma, porque la escisin simple del cuello vesical
Cistostoma, por la escisin de divertculo vesical, nicas o
mltiples (procedimiento separado)
Cistostoma, porque la escisin del tumor de vejiga
Cistostoma para la escisin, incisin, o la reparacin de
ureterocele
Cistostoma para la escisin, incisin, o la reparacin de

ureterocele, bilateral
La cistectoma parcial, complicado (por ejemplo, despus de
la radioterapia, ciruga previa, ubicacin difcil)
La cistectoma parcial, con reimplante del urter (s) en la
vejiga (ureteroneocistostoma)
Cistectoma, completa, con conducto ureteroileal o vejiga
sigmoidea, incluyendo anastomosis del intestino;
Cistectoma, completa, con conducto ureteroileal o vejiga
sigmoidea, incluyendo anastomosis intestinal, con
linfadenectoma plvica bilateral, incluyendo ilaca externa,
hipogstrica, y los ganglios obturadores
Cistectoma, completa, con la derivacin continente,
cualquier tcnica abierta, usando cualquier segmento del
intestino delgado y / o grueso para construir neovejiga
Exenteracin plvica, completa, para malignidad vesical,
prosttica o uretral, con la eliminacin de la vejiga y
trasplantes ureterales, con o sin histerectoma y / o
reseccin abdominoperineal del recto y el colon y
colostoma, o cualquier combinacin de los mismos
Inyeccin procedimiento para cistografa miccional o
uretrocistografa
Inyeccin procedimiento y la colocacin de cadena para el
contraste y / o cadena uretrocistografa
Inyeccin procedimiento para uretrocistografa retrgrado
La insercin del catter vesical no permanente (por ejemplo,
el cateterismo derecho para la orina residual)
La insercin del catter vesical permanente temporal, simple
(por ejemplo, Foley)
La insercin del catter vesical permanente temporal,
complicado (por ejemplo, anatoma, modificadas catter
fracturado / globo)
Cambio del tubo de cistostoma, complicado
La inyeccin endoscpica de material de implante en los
tejidos de la submucosa de la uretra y / o cuello de la vejiga
Vejiga instilacin del agente anticancergeno (incluido el
tiempo de retencin)
Complejo cistometrograma (es decir, calibrado de equipos
electrnicos);
Cistometrograma Complex (es decir, calibrado de equipos
electrnicos), con estudios de presin uretral perfil (es decir,
el perfil de presin de cierre uretral), cualquier tcnica
electrnicos), con estudios de presin de vaciado (es decir,
la presin de la vejiga la miccin), cualquier tcnica

electrnicos), con estudios de presin de vaciado (es decir,
la presin de la vejiga miccin) y los estudios de perfil de
presin uretral (es decir, el perfil de presin de cierre
uretral), cualquier tcnica
Grabacin de sonido de la corriente externo (por ejemplo,
Lyons, tipo Keitzer)
Flujometra complejo (por ejemplo, equipo calibrado
electrnico)
Estudios de presin uretral perfil (UPP) (perfil de la uretra
presin de cierre), cualquier tcnica
Electromiografa estudios (EMG) del esfnter anal o uretral,
con excepcin de aguja, cualquier tcnica
Aguja electromiografa estudios (EMG) del esfnter anal o
uretral, cualquier tcnica
Estmulo de respuesta evocada (por ejemplo, medicin del
tiempo de latencia del reflejo bulbocavernoso)
Anulacin de los estudios de presin (VP), presin vesical
miccional, cualquier tcnica
Cistometrograma complejo (es decir, calibrado equipo
electrnico); estudios de Vaciado de presin, intraabdominal (es decir, rectal, gstrica, intraperitoneal) (Lista
primario)
Medicin de la post-miccin de orina residual y / o
capacidad de la vejiga por ultrasonido, sin imgenes
Cystourethroplasty con ureteroneocistostoma unilateral o
bilateral
Anterior vesicouretropexia o uretropexia (por ejemplo,
Marshall-Marchetti-Krantz, Burch); complicado (por ejemplo,
reparacin, secundaria)
Cystorrhaphy, sutura de herida vesical, lesiones o roturas,
complicado
Cierre de fstula vesicouterina;
Cierre de fstula vesicouterina, con histerectoma
Procedimiento Cotizadas laparoscopia, la vejiga
Cistouretroscopia con riego y evacuacin de los cogulos
que obstruyen mltiples
Cistouretroscopia, con el cateterismo ureteral, con o sin
irrigacin, instilacin o ureteropielografa, exclusivo de
Cistouretroscopia, con el cateterismo ureteral, con o sin
irrigacin, instilacin o ureteropielografa, exclusivo de
servicio radiolgico, con biopsia por cepillado de urter y / o
pelvis renal
Cistouretroscopia, con la cateterizacin del conducto
eyaculador, con o sin irrigacin, instilacin o radiografa del
conducto, con exclusin de servicio radiolgico
Cistouretroscopia, con biopsia (s)
Cistouretroscopia, con fulguracin (incluyendo criociruga o
ciruga lser) del trgono, cuello vesical, prosttica fosa, la
uretra o de las glndulas periuretrales

ciruga lser) o el tratamiento de menores (inferiores a 0,5
cm) lesin (s) con o sin biopsia
ciruga lser) y / o reseccin; tumor vesical SMALL (s) (0,5
hasta 2,0 cm)
ciruga lser) y / o reseccin de; tumor de vejiga MEDIO (s)
(2,0 a 5,0 cm)
ciruga lser) y / o reseccin de; tumor vesical de gran
tamao (s)
Cistouretroscopia con la insercin de una sustancia
radioactiva, con o sin biopsia o fulguracin
Cistouretroscopia, con dilatacin de la vejiga para la cistitis
intersticial; anestesia local
Cistouretroscopia, con uretrotoma interna; femenino
Cistouretroscopia, con uretrotoma interna, varn
Cistouretroscopia con uretrotoma interna con visin directa
Cistouretroscopia, con reseccin del esfnter externo
(esfinterotoma)
Cistouretroscopia para el tratamiento del sndrome uretral
femenino con cualquiera o todos de los siguientes:
meatotoma uretral, dilatacin de la uretra, la uretrotoma
interna, la lisis de la fibrosis septal uretrovaginal, incisiones
laterales del cuello de la vejiga, y la fulguracin de plipo (s)
de la uretra, el cuello de la vejiga , y / o trgono
Cistouretroscopia, con meatotoma ureteral unilateral o
bilateral
Cistouretroscopia, con reseccin o fulguracin de
ureterocele ortotpico (s), unilateral o bilateral
Cistouretroscopia, con reseccin o fulguracin de
ureterocele ectpico (s), unilateral o bilateral
Cistouretroscopia, con incisin o reseccin del orificio del
divertculo de vejiga, de una o varias
Litolapaxia: trituracin o fragmentacin de clculo por
cualquier medio en la vejiga y la eliminacin de fragmentos;
simples o muy pequeas (menos de 2,5 cm)
Litolapaxia: trituracin o fragmentacin del clculo de
ninguna manera en la vejiga y la eliminacin de fragmentos,
complicados o grandes (ms de 2,5 cm)
Cistouretroscopia (incluyendo el cateterismo ureteral), con
extraccin de clculos ureterales
Cistouretroscopia (incluyendo el cateterismo ureteral), con la
fragmentacin de clculos ureterales (por ejemplo,
ultrasonidos o electrohidrulico tcnica)
Cistouretroscopia (incluyendo cateterismo ureteral); con
inyeccin subureteral de material de implante
Cistouretroscopia (incluyendo el cateterismo ureteral), con la

manipulacin, sin extraccin de un clculo ureteral
Cistouretroscopia, con insercin de stent ureteral
permanente (por ejemplo, Gibbons o doble tipo J)
cualquier mtodo), con la eliminacin o manipulacin de
clculo (cateterismo ureteral est incluido)
cualquier mtodo), con litotricia (cateterismo ureteral se
incluye)
cualquier mtodo), con biopsia y / o fulguracin de lesin
cualquier mtodo), con reseccin del tumor
Cistouretroscopia con incisin, fulguracin, o reseccin de
vlvulas uretrales posteriores congnitas o congnita
hipertrfica obstructiva pliegues mucosos
Cistouretroscopia, con el tratamiento de la estenosis ureteral
(por ejemplo, la dilatacin con baln, lser, electrocauterio, y
la incisin)
Cistouretroscopia, con el tratamiento de la estenosis de la
unin pieloureteral (por ejemplo, la dilatacin con baln,
lser, electrocauterio, y la incisin)
Cistouretroscopia, con el tratamiento de la estenosis intrarenal (por ejemplo, la dilatacin con baln, lser,
electrocauterio, y la incisin)
Cistouretroscopia con ureteroscopia, con el tratamiento de
la estenosis ureteral (por ejemplo, la dilatacin con baln,
la estenosis de la unin pieloureteral (por ejemplo, la
dilatacin con baln, lser, electrocauterio, y la incisin)
la estenosis intra-renal (por ejemplo, la dilatacin con baln,
Cistouretroscopia con reseccin transuretral o incisin de
los conductos eyaculadores
Cistouretroscopia, con ureteroscopia y / o pieloscopia;
diagnstico
Cistouretroscopia, con ureteroscopia y / o pieloscopia, con
la eliminacin o manipulacin de clculo (cateterismo
ureteral est incluido)
litotricia (cateterismo ureteral se incluye)

biopsia y / o fulguracin de lesin ureteral o renal plvico
reseccin del tumor plvico ureteral o renal
Cistouretroscopia con incisin, fulguracin, o reseccin de
vlvulas uretrales posteriores congnitas o congnita
hipertrfica obstructiva pliegues mucosos
Cistouretroscopia con reseccin transuretral o incisin de
los conductos eyaculadores
La incisin transuretral de la prstata
La reseccin transuretral de cuello vesical (procedimiento
separado)
La reseccin transuretral de la prstata electroquirrgica,
incluyendo el control de la hemorragia postoperatoria,
completo (vasectoma, meatotoma, cistoscopia, la
calibracin uretral y / o dilatacin y uretrotoma interna estn
incluidos)
Fulguracin transuretral por sangrado postoperatorio que
ocurre despus de la habitual de seguimiento
La reseccin transuretral de la prstata; primera etapa de la
reseccin en dos etapas (reseccin parcial)
La reseccin transuretral de la prstata; segunda etapa de
dos etapas reseccin (extirpacin completa)
La reseccin transuretral; residual o recrecimiento de tejido
de la prstata obstructiva incluyendo el control de sangrado
postoperatorio, completa (vasectoma, meatotoma,
cistoscopia, la calibracin uretral y / o la dilatacin y la
uretrotoma interna estn incluidos)
La reseccin transuretral, la contractura cervical
postoperatoria
Coagulacin con lser de prstata, incluyendo el control de
la hemorragia postoperatoria, completo (vasectoma,
meatotoma, cistoscopia, la calibracin uretral y / o
dilatacin, uretrotoma interna y la reseccin transuretral de
la prstata se incluyen si se realiza)
Vaporizacin con lser de prstata, incluyendo el control de
la hemorragia postoperatoria, completo (vasectoma,
meatotoma, cistoscopia, la calibracin uretral y / o
dilatacin, uretrotoma interna y la reseccin transuretral de
la prstata se incluyen si se realiza)
Enucleacin con lser de la prstata con morcelacin,
incluyendo el control de la hemorragia postoperatoria,
completo (vasectoma, meatotoma, cistoscopia, la
calibracin uretral y / o dilatacin, uretrotoma interna y la
reseccin transuretral de la prstata se incluyen si se
realiza)
Eliminacin crioquirrgica transuretral de la prstata (riegos
postoperatorias y la aspiracin de desprendimiento de tejido
incluido)
Uretrotoma o uretrostoma, externo (procedimiento
separado); uretra perineal externa
Meatotoma, corte de meato (procedimiento separado);

infantil
El drenaje de absceso glndula de Skene o quiste
El drenaje de la extravasacin urinaria perineal; complicada
Uretrectoma, total, incluyendo cistostoma, varn
Escisin o fulguracin de carcinoma de la uretra
La escisin de divertculo uretral (procedimiento separado),
macho
Extirpacin de las glndulas bulbouretrales (glndulas de
Cowper)
Escisin o fulguracin; carncula uretral
Escisin o fulguracin; glndulas de Skene
Escisin o fulguracin, prolapso uretral
Uretroplastia; segunda etapa (formacin de la uretra),
incluyendo la derivacin urinaria
Uretroplastia, 1-fase de reconstruccin de uretra anterior
masculina
Uretroplastia, transpbico o perineal, 1-fase, para la
reconstruccin o reparacin de la uretra prosttica y
membranosa
Uretroplastia, 2-etapa de reconstruccin o reparacin de la
uretra prosttica y membranosa, primera etapa
Uretroplastia, dos etapas de reconstruccin o reparacin de
la uretra prosttica y membranosa, segunda etapa
Uretroplastia, la reconstruccin de uretra femenina
Uretroplastia con tubularizacin de uretra posterior y de la
vejiga / o inferior para la incontinencia (por ejemplo, Tenago,
procedimiento Leadbetter)
La eliminacin o revisin de cabestrillo para la incontinencia
urinaria masculina (por ejemplo, la fascia o sinttico)
Uretroplastia con tubularizacin de uretra posterior y de la
vejiga / o inferior para la incontinencia (por ejemplo, Tenago,
procedimiento Leadbetter)
La insercin del manguito tndem (doble puo)
La eliminacin de la uretra inflable / esfnter cuello de la
vejiga, incluyendo la bomba, depsito, y el brazalete
Extraccin y sustitucin de la uretra inflable / esfnter del
cuello vesical incluyendo bomba, depsito, y el brazalete en
la misma sesin operatoria
Extraccin y sustitucin de la uretra inflable / esfnter del
cuello vesical incluyendo bomba, depsito, y el brazalete a
travs de un campo infectado en la misma sesin operatoria
incluyendo irrigacin y el desbridamiento de tejido infectado
La reparacin del esfnter uretral cuello inflable / vejiga,
incluyendo la bomba, depsito, y el brazalete
Urethromeatoplasty, con la escisin parcial del segmento
uretral distal (Tipo de procedimiento Richardson)
Uretrolisis, transvaginal, abierto secundaria, incluida la

cistoscopia (por ejemplo, obstruccin postoperatoria,
cicatrizacin)
Urethrorrhaphy, sutura de herida o lesin uretral, perineal
Urethrorrhaphy, sutura de herida o lesin uretral;
prostatomembranous
dilatador sonido o uretral, hombres, posterior
La dilatacin de estenosis de la uretra o del cuello vesical
por el paso del dilatador sonido o uretral, hombres, general
o de la conduccin (espinal) anestesia
filiforme y seguidor, masculino, inicial
filiforme y seguidor, masculino; posterior
La aprobacin de filiforme y seguidor de retencin aguda
vesical masculina,
La dilatacin de la uretra femenina que supositorio y / o
instilacin; inicial
instilacin; posterior
La dilatacin de la uretra femenina, general o de la
conduccin (espinal) anestesia
Cateterismo, la uretra; complicada (puede incluir la
extirpacin difcil de catter baln)
Dos o tres de ensayo de vidrio, incluido el examen de la
muestra de orina (s), cualquier mtodo
Destruccin transuretral de tejido de la prstata, por
termoterapia con microondas
Destruccin transuretral de tejido de la prstata, la
termoterapia por radiofrecuencia
Destruccin transuretral de tejido de la prstata, por
termoterapia inducida por agua
La insercin de un stent uretral prosttico temporal,
incluyendo la medicin uretral
Procedimiento Cotizadas, sistema urinario
Corte en tiras de prepucio, dorsal o lateral (procedimiento
separado), a excepcin del recin nacido
La incisin y drenaje del pene, en el fondo
simple, electrodesecacin
simple, criociruga
simple, ciruga lser
papiloma, molusco contagioso, vescula herptica), simple;
escisin quirrgica

papiloma, molusco contagioso, vescula herptica), extensa
(por ejemplo, ciruga lser, electrociruga, criociruga,
quimiociruga)
Biopsia de pene, las estructuras profundas
Escisin de la placa del pene (enfermedad de Peyronie);
con injerto a 5 cm de longitud
Escisin de la placa del pene (enfermedad de Peyronie);
con injerto mayor que 5 cm de longitud
Extraccin cuerpo extrao del tejido del pene profunda
(implante por ejemplo, plstico)
Amputacin del pene, radical, en continuidad con
linfadenectoma plvica bilateral, incluyendo ilaca externa,
hipogstrica y los ganglios obturadores
La circuncisin, la excisin quirrgica que no sea
abrazadera, dispositivo o hendidura dorsal; neonato (28 das
de edad o menos)
La circuncisin, la excisin quirrgica que no sea
abrazadera, dispositivo o hendidura dorsal; ms de 28 das
de edad
Lisis o escisin de la circuncisin del pene adherencias
postReparar circuncisin incompleta
Inyeccin procedimiento para la enfermedad de Peyronie;
Inyeccin procedimiento para la enfermedad de Peyronie;
con la exposicin quirrgica de la placa
La irrigacin de los cuerpos cavernosos para el priapismo
Inyeccin procedimiento para corpora cavernosografa
Cavernosometra dinmica, incluyendo la inyeccin
intracavernosa de frmacos vasoactivos (por ejemplo,
papaverina, fentolamina)
La inyeccin de los cuerpos cavernosos con agente
farmacolgico (s) (por ejemplo, papaverina, fentolamina)
Pletismografa peneana
Tumescencia nocturna del pene y / o prueba de rigidez
Operacin plstica sobre el pene para correccin de
encordamiento o para la primera etapa de reparacin de
hipospadias con o sin trasplante de prepucio y / o colgajos
de piel
hipospadias (incluida la derivacin urinaria), mayor de 3 cm
hipospadias (incluida la derivacin urinaria) con injerto libre
de piel obtenido de otro sitio de genitales
Uretroplastia para la tercera etapa de reparacin de
hipospadias pene a liberar a partir de escroto (por ejemplo,
la tercera etapa de reparacin Cecil)
1-etapa hipospadias reparacin distal (con o sin
encordamiento o circuncisin); con el avance del meato
simple (por ejemplo, MAGPI, V-flap)
Una etapa de reparacin de hipospadias distal (con o sin

curvatura peneana o circuncisin), con uretroplastia
mediante colgajos cutneos locales (por ejemplo, flip-flap,
flap prepucial)
Una etapa hipospadias reparacin distal (con o sin
encordamiento o circuncisin); con uretroplastia por colgajos
cutneos locales y la movilizacin de uretra
Una etapa hipospadias reparacin distal (con o sin
encordamiento o circuncisin); con diseccin extensa para
corregir encordamiento y uretroplastia con colgajos
cutneos locales, parche injerto de piel, y / o colgajo en isla
Hipospadias pene o penoescrotal 1-etapa proximales de
reparacin, para la diseccin extensa para corregir
encordamiento y uretroplastia por el uso de tubo de injerto
de piel y / o colgajo en isla
1-etapa hipospadias reparacin perineal que requiere una
diseccin extensa para corregir encordamiento y
uretroplastia por el uso de tubo de injerto de piel y / o
colgajo en isla
Reparacin de hipospadias complicaciones (es decir,
fstulas, estenosis, divertculos); por el cierre, incisin o
escisin, simple
fstulas, estenosis, divertculos), que requiere la movilizacin
de colgajos de piel y uretroplastia con colgajo o injerto de
parche
fstulas, estenosis, divertculos), que requiere una diseccin
extensa y uretroplastia con injerto de colgajo, parche o en
tubo (incluye la derivacin urinaria)
Reparacin de hipospadias invlido que requiere una
extensa diseccin y extirpacin de estructuras ya
construidas, incluyendo re-lanzamiento de encordamiento y
la reconstruccin de la uretra y el pene mediante el uso del
local de la piel como los injertos y colgajos cutneos isla y
trajo como colgajos o injertos
Operacin plstica sobre el pene para corregir la angulacin
esfnter externo, con la incontinencia
esfnter externo, con extrofia de la vejiga
La insercin de prtesis de pene; inflable (independiente)
La eliminacin o sustitucin de la no-inflable (semi-rgido) o
inflable (independiente) prtesis de pene
La insercin de componentes mltiples, la colocacin de
prtesis de pene inflable, incluyendo de bomba, cilindros, y
el depsito
La eliminacin de todos los componentes de un multicomponente, prtesis de pene inflable sin reemplazo de una
prtesis
Remocin, reparacin o reemplazo de inflable (multicomponente) prtesis de pene, incluyendo la bomba y / o

depsito y / o cilindros
Reparacin de componente (s) de una multi-componente,
prtesis de pene inflable
La correccin quirrgica de anomalas hidrulico de inflable
(multi-componente) prtesis incluyendo la bomba y / o
depsito y / o cilindros
Retirada y sustitucin de todos los componente (s) de una
multi-componente, de pene prtesis inflable en la misma
sesin operatoria
Extraccin y sustitucin de todos los componentes de un
pene inflable multi-componente de prtesis a travs de un
campo infectado en la misma sesin operatoria, incluyendo
la irrigacin y el desbridamiento de tejido infectado
La eliminacin de la no-inflable (semi-rgido) o inflable
(independiente) prtesis de pene, sin reemplazo de prtesis
Extraccin y sustitucin de la no-inflable (semi-rgido) o
inflable (independiente) de prtesis de pene en la misma
sesin operatoria
Extraccin y sustitucin de la no-inflable (semi-rgido) o
inflable (independiente) prtesis de pene a travs de un
campo infectado en la misma sesin operatoria, incluyendo
la irrigacin y el desbridamiento de tejido infectado
Corpora cavernosa-corpus derivacin esponjoso (operacin
priapismo), unilateral o bilateral
Biopsia de testculo, (procedimiento separado) incisional,
bilateral
Escisin de lesin extraparenquimatosa de testculo
La orquiectoma, enfoque sencillo (incluyendo subcapsular),
con o sin prtesis testicular, escrotal o inguinal; bilateral
La orquiectoma parcial
La orquiectoma radical, por tumor, con la exploracin
abdominal
La exploracin de los testculos no descendidos (zona
inguinal o escrotal); bilateral
Exploracin ausencia de descenso testicular con
exploracin abdominal
Exploracin ausencia de descenso testicular con
exploracin abdominal; bilateral
La fijacin del testculo contralateral (procedimiento
separado)
Orquiopexia, cualquier tipo, con o sin reparacin de la
hernia; bilateral
Orquiopexia, cualquier tipo, con o sin reparacin de la
hernia; segunda etapa (tipo Torek)
Insercin de (procedimiento separado) prtesis testicular;
bilateral
Procedimiento de laparoscopa no listada, testculo
Escisin de espermatocele, con o sin epididimectoma

Exploracin del epiddimo, con o sin biopsia
Epididymovasostomy, anastomosis del epiddimo hasta los
conductos deferentes; bilateral
Excisin de hidrocele; bilateral
Exploracin escrotal
Escrotoplastia; complicado
Vasotomy, cannulization con o sin incisin del conducto
deferente, unilateral o bilateral (procedimiento separado)
Vasotomy para vasograms, vesiculograms seminales, o
epididymograms, unilateral o bilateral
Vasovasostoma, vasovasorrhapy; bilateral
de varicocele; abordaje abdominal
de varicocele, con la reparacin de la hernia
Procedimiento de laparoscopa no listada, cordn
espermtico
Vesiculotomy; bilateral
Vesiculotomy; complicado
Vesiculectomy, cualquier enfoque; bilateral
Extirpacin de quiste del conducto Mlleriana
Biopsia de prstata; incisional, cualquier enfoque
Las biopsias de prstata, aguja, transperineal, plantilla
estereotctica guiada saturacin de muestreo, incluyendo
gua por imgenes
Prostatotomy, drenaje externo de absceso prosttico,
cualquier enfoque; complicada
Prostatolithotomy, remocin o el clculo de prstata
Prostatectoma, perineal radical, con biopsia del ganglio
linftico (s) (limitado linfadenectoma plvica)
Prostatectoma, perineal radical, con linfadenectoma
plvica bilateral, incluyendo ilaca externa, hipogstrica y los
ganglios obturadores
nerviosa, con biopsia del ganglio linftico (s) (limitado
linfadenectoma plvica)
nerviosa, con linfadenectoma plvica bilateral, incluyendo
ilaca externa, hipogstrica, y los ganglios obturadores
Exposicin de prstata, cualquier enfoque, para la insercin
de sustancia radiactiva;
Exposicin de prstata, cualquier enfoque, para la insercin
de sustancia radiactiva; con biopsia del ganglio linftico (s)
(limitado linfadenectoma plvica)
La exposicin de prstata, cualquier enfoque, para la
insercin de una sustancia radioactiva, con linfadenectoma
plvica bilateral, incluyendo ilaca externa, los ganglios
hipogstricos y el obturador
Electroeyaculacin
Crioterapia prosttica de la prstata (incluye orientacin por
ultrasonidos y control)
Transperineal colocacin de agujas o catteres en la
prstata para aplicacin radioelemento intersticial, con o sin
cistoscopia
de referencia, dosmetro), percutnea, de prstata, de una o
varias
Procedimiento Cotizadas, sistema genital masculino
La colocacin de agujas o catteres en los rganos plvicos
y / o los rganos genitales (con excepcin de la prstata)
para la posterior aplicacin radioelemento intersticial
Ciruga Intersex, macho a hembra
Ciruga intersexual, mujer a hombre
Incisin y drenaje de absceso perineal (nonobstetrical)
Biopsia del perineo (procedimiento separado)
Perineoplastia, la reparacin del perin, nonobstetrical
Falopio)
La laparoscopia, ciruga, con la lisis de adherencias
(salpingolysis, ovariolysis) (procedimiento separado)
La laparoscopia, ciruga, con la aspiracin (simple o
mltiple)
La laparoscopia, ciruga, con el muestreo de ganglios
linfticos retroperitoneales (biopsia), nico o mltiple
La laparoscopia, ciruga, con linfadenectoma plvica total
bilateral y peri-articos muestreo de ganglios linfticos
(biopsia), nico o mltiple
La laparoscopia, ciruga, reparacin de hernia inguinal
recurrente
Histeroscopia, quirrgico, con la lisis de las adherencias
intrauterinas (cualquier mtodo)
Histeroscopia, quirrgico, con la escisin o reseccin del
tabique intrauterino (cualquier mtodo)
Histeroscopia, quirrgico, con remocin de cuerpo extrao
impactado
Histeroscopia, quirrgico, con la ablacin endometrial
(cualquier mtodo)
instilacin; inicial
instilacin; posterior
La laparoscopia con colangiografa transheptica guiada; sin
biopsia
La laparoscopia con colangiografa transheptica guiada,

con biopsia
Procedimiento Cotizadas, laparoscopia, histeroscopia
Incisin y drenaje de vulva
Incisin y drenaje de absceso glndula de Bartholin
La lisis de adherencias labiales
Incisin Hymenotomy, simple
Destruccin de lesin (s), vulva; extensiva (por ejemplo,
La biopsia de la vulva (procedimiento separado)
La biopsia de vulva o perin (procedimiento separado), cada
lesin adicional separada (Lista por separado adems del
Vulvectoma simple, completa
Vulvectoma radical, parcial, con linfadenectoma unilateral
inguinofemoral
Vulvectoma radical, parcial, con linfadenectoma bilateral
inguinofemoral
Vulvectoma radical, completo;
Vulvectoma radical, completa, con linfadenectoma
unilateral inguinofemoral
Vulvectoma radical, con linfadenectoma inguinofemoral
Vulvectoma radical, con linfadenectoma inguinofemoral,
bilateral
Vulvectoma radical, completa, con linfadenectoma bilateral
inguinofemoral
Vulvectoma, la linfadenectoma radical, completo, con
inguinofemoral iliaca, plvica y
Vulvectoma radical, con inguinofemoral ilaca, y
linfadenectoma plvica, bilateral
Clitoridectoma, simple
Revisin de plstico de himen
Incisin Hymenotomy, simple
Colposcopa de la vulva, con biopsia (s)
Colpotoma, con drenaje de absceso plvico
Incisin y drenaje de hematoma vaginal; no obsttrico (por
ejemplo, post-trauma, sangrado espontneo)
Destruccin de lesin vaginal (s); extensiva (por ejemplo,
La biopsia de la mucosa vaginal; sutura complejo, requiere
(incluyendo quistes)
Vaginectoma, la eliminacin parcial de la pared vaginal, con
eliminacin del tejido paravaginal (vaginectoma radical)
Colpectomy, obliteracin de la vagina; parcial
Vaginectoma, la eliminacin parcial de la pared vaginal, con
eliminacin del tejido paravaginal (vaginectoma radical) con
linfadenectoma plvica total bilateral y para-artica
muestras de ganglios linfticos (biopsia)
Vaginectoma, la extirpacin completa de la pared vaginal,
con eliminacin del tejido paravaginal (vaginectoma radical)
Vaginectoma, la extirpacin completa de la pared vaginal,

con eliminacin del tejido paravaginal (vaginectoma radical)
con linfadenectoma plvica total bilateral y para-artica
muestras de ganglios linfticos (biopsia)
La irrigacin de la vagina y / o la aplicacin de un
medicamento para el tratamiento de enfermedades
bacterianas, parasitarias, o fungoid
La insercin de los tndems uterinas y / o ovoides vaginales
para braquiterapia clnica
Montaje y colocacin de dispositivo de soporte o de otro
pesario intravaginal
Diafragma o capuchn cervical montaje con instrucciones
La introduccin de cualquier agente hemosttico o paquete
para espontneo o traumtico hemorragia vaginal
nonobstetrical (procedimiento separado)
Colporrafa, sutura de la lesin de la vagina (nonobstetrical)
Colporrafia Combinado antero-posterior, con la reparacin
de enterocele
La insercin de malla o de otro tipo de prtesis para la
reparacin de defectos del suelo plvico, cada sitio
(compartimiento anterior, posterior), la va vaginal (Lista por
La reparacin de enterocele enfoque, dolor abdominal
Enfoque extra-peritoneal (sacroespinoso, ilacococcgeo);
colpopexia, vaginal
Enfoque intra-peritoneal (myorrhaphy uterosacros,
elevador); colpopexia, vaginal
reparacin de cistocele, si se realiza); va vaginal
La eliminacin o revisin de cabestrillo para la incontinencia
de esfuerzo (por ejemplo, la fascia o sinttico)
Construccin de vagina artificial; con injerto
Revisin (incluyendo la eliminacin) de la prtesis vaginal
injerto; vaginal enfoque
Revisin (incluyendo la eliminacin) de injerto protsico
vaginal, va abdominal abierta
Cierre de fstula rectovaginal; abordaje abdominal
Cierre de fstula rectovaginal; abordaje abdominal, con
colostoma concomitante
Cierre de fstula rectovaginal; abordaje transperineal, con la
reconstruccin del cuerpo perineal, con o sin plicatura del
elevador
Cierre de fstula uretrovaginal;
Cierre de fstula uretrovaginal, con trasplante de
bulbocavernoso
Cierre de fstula vesico-vaginal, va vaginal
Cierre de fstula vesico-vaginal; enfoque transvesical y

vaginal
Vaginoplastia para el estado intersexual
La eliminacin del cuerpo afectada vaginal extranjera
(procedimiento separado) bajo anestesia (que no sea local)
Colposcopia de toda la vagina, el cuello uterino con si est
presente;
Colposcopia de toda la vagina, el cuello uterino con si est
presente; con biopsia (s) de la vagina / crvix
reparacin de cistocele, si se realiza), el abordaje
laparoscpico
Laparoscopia, colpopexia quirrgica, (suspensin del pice
vaginal)
Revisin (incluyendo la eliminacin) de injerto protsico
vaginal, por va laparoscpica
Colposcopia del cuello uterino incluyendo superior /
adyacente vagina; con biopsia (s) del cuello uterino y el
legrado endocervical
adyacente vagina; con biopsia (s) del cuello del tero
Colposcopa del cuello del tero incluyendo maysculas /
adyacente vagina, con legrado endocervical
adyacente vagina; con electrodo de lazo biopsia (s) del
cuello del tero
adyacente vagina; con conizacin bucle electrodo del cuello
uterino
Cauterizacin del cuello uterino; bistur fro, inicial o de
repeticin
Cauterizacin del cuello uterino; ablacin lser
Conizacin de cuello uterino, con o sin fulguracin, con o sin
la dilatacin y curetaje, con o sin reparacin; excisin
electrodo
Escisin de mun cervical, abordaje abdominal, con
reparacin del piso plvico
Escisin de mun cervical, va vaginal;
Escisin de mun cervical, va vaginal; con la reparacin
anterior y / o posterior
Escisin de mun cervical, va vaginal, con reparacin de
enterocele
Dilatacin y curetaje del mun cervical
La dilatacin cervical de canal, instrumental (procedimiento
separado)
Dilatacin y curetaje del mun cervical
Lavados de endometrio (por ejemplo, para el muestreo
citolgico)
Muestreo endometrial (biopsia) realiza conjuntamente con
colposcopia (Haga una lista por separado adems del
Histerectoma abdominal total (cuerpo y crvix), con o sin

extirpacin de tubo (s), con o sin extirpacin de ovario (s),
con colpo-uretrocistopexia (por ejemplo, Marshall-MarchettiKrantz, Burch)
Histerectoma vaginal, para el tero 250 g o menos; con
eliminacin de tubo (s), y / o de ovario (s), con la reparacin
de enterocele
Histerectoma vaginal; con reparacin plstica de vagina,
anterior y / o posterior colporrafia
Histerectoma vaginal, tero por 250 go menos, con colpouretrocistopexia (Marshall-Marchetti-Krantz, tipo Pereyra),
con o sin control endoscpico
Histerectoma vaginal, tero por 250 go menos, con la
reparacin de enterocele
Histerectoma vaginal, con vaginectoma total o parcial, con
la reparacin de enterocele
Histerectoma vaginal, tero para ms de 250 gramos;
Histerectoma vaginal, por tero superior a 250 g, con
eliminacin de tubo (s) y / o de ovario (s)
Histerectoma vaginal, por tero superior a 250 g, con
eliminacin de tubo (s) y / o de ovario (s), con la reparacin
de enterocele
Histerectoma vaginal, tero por ms de 250 g, con colpouretrocistopexia (Marshall-Marchetti-Krantz, tipo Pereyra),
con o sin control endoscpico
Histerectoma vaginal, tero por ms de 250 g, con
reparacin de enterocele
Inseminacin artificial;
Inseminacin artificial, con lavado de semen y capacitacin
La insuflacin del tero y los tubos de aire y CO2
Inseminacin artificial; intra-cervical
Inseminacin artificial; intra-uterino
Lavado de semen para la inseminacin artificial
Cateterizacin y la introduccin de solucin salina o de
material de contraste para sonohisterografa infusin salina
(SIS) o histerosalpingografa
Introduccin transcervical del catter de tubo de Falopio
para el diagnstico y / o el restablecimiento de la
permeabilidad (cualquier mtodo), con o sin
histerosalpingografa
La insercin de cpsulas de Heyman clnico para
braquiterapia
Cromotubacin del oviducto, incluyendo materiales
La ablacin endometrial, trmica, sin la gua histeroscpica
Crioablacin endometrial con gua ultrasnica, incluyendo
legrado endometrial, cuando se realiza
Suspensin uterina, con o sin acortamiento de los
ligamentos redondos, con o sin acortamiento de los
ligamentos sacrouterino; con la simpatectoma presacra
La laparoscopa, la histerectoma quirrgica, supracervical,

por 250 g tero o menos;
La laparoscopia, histerectoma quirrgica, supracervical,
para el tero 250 g o menos; con eliminacin de tubo (s) y /
o de ovario (s)
La laparoscopa, la histerectoma quirrgica, supracervical,
por tero superior a 250 g;
La laparoscopia, histerectoma quirrgica, supracervical,
para tero superior a 250 g, con eliminacin de tubo (s) y / o
de ovario (s)
La laparoscopia, ciruga, miomectoma, reseccin, 5 o ms
miomas intramurales y / o miomas intramurales con un peso
total superior a 250 g
La laparoscopia, ciruga, con histerectoma radical, con
linfadenectoma plvica total bilateral y para-artica
muestreo de ganglios linfticos (biopsia), con la eliminacin
de tubo (s) y ovario (s), si se realiza
La laparoscopia, ciruga, con la extirpacin de leiomiomas
(simple o mltiple)
La laparoscopia, ciruga, con la histerectoma vaginal, tero
para ms de 250 gramos;
La laparoscopia, ciruga, con la histerectoma vaginal, para
el tero superior a 250 g, con eliminacin de tubo (s) y / o de
ovario (s)
Histeroscopia, quirrgico, con la lisis de las adherencias
intrauterinas (cualquier mtodo)
Histeroscopia, quirrgico, con la escisin o reseccin del
tabique intrauterino (cualquier mtodo)
Histeroscopia, quirrgico, con la eliminacin de leiomyomata
Histeroscopia, quirrgico, con remocin de cuerpo extrao
impactado
Histeroscopia, quirrgico, con la ablacin endometrial (por
ejemplo, la reseccin endometrial, ablacin
electroquirrgica, termoablacin)
Histeroscopia, quirrgico, con la canalizacin bilateral
trompa de Falopio para inducir la oclusin de la colocacin
de implantes permanentes
La laparoscopia, ciruga, con la histerectoma total, 250 g de
tero o menos;
La laparoscopia, ciruga, histerectoma total, para el tero
250 g o menos; con eliminacin de tubo (s) y / o de ovario
(s)
La laparoscopia, ciruga, con la histerectoma total, de tero
superior a 250 g;
La laparoscopia, ciruga, histerectoma total, de tero
superior a 250 g, con eliminacin de tubo (s) y / o de ovario
(s)
Procedimiento Cotizadas laparoscopia, el tero
Procedimiento Cotizadas histeroscopia, el tero
por cualquier mtodo

sin reseccin)
Procedimiento Cotizadas laparoscopia, oviducto, ovario
Implantacin Tubouterine
El drenaje de absceso ovrico; va vaginal, abierto
El drenaje de absceso ovrico; abordaje abdominal
La ooforectoma, total o parcial, unilateral o bilateral, pues
de ovario, cncer peritoneal primario o de trompas, con
biopsias de ganglios para-articos y plvicos linfticos, el
lavado peritoneal, biopsias peritoneales, evaluaciones
diafragmticos, con o sin salpingectoma (s), con o sin
omentectoma
Reseccin (inicial) de cncer de ovario, cncer peritoneal
primario o de trompas con salpingo-ooforectoma y
omentectoma;
omentectoma, con histerectoma total abdominal, plvica y
limitado linfadenectoma para-artica
omentectoma, con diseccin radical de reduccin de
volumen (es decir, la extirpacin radical o la destruccin, los
tumores intra-abdominales o retroperitoneales)
Salpingo-ooforectoma con omentectoma, histerectoma
abdominal total y diseccin radical de citorreduccin;
Salpingo-ooforectoma con omentectoma, histerectoma
abdominal total y diseccin radical de citorreduccin, con
linfadenectoma plvica y la linfadenectoma para-artica
limitada
La laparotoma, por escenificando o la reclasificacin de
ovario, cncer peritoneal primario o de trompas (second
look), con o sin omentectoma, lavado peritoneal, biopsia de
peritoneo abdominal y plvica, la evaluacin del diafragma
plvico y con limitado linfadenectoma para-artica
Cultura y fecundacin de los ovocitos (s)
La laparoscopia, diagnstico (procedimiento separado)
sin reseccin)
Falopio)
por cualquier mtodo
La laparoscopia, ciruga, con la lisis de las adherencias
La laparoscopia, ciruga, con la aspiracin (simple o
mltiple)

salpingectoma)
La histeroscopia; diagnstico
La histeroscopia, con lisis de las adherencias intrauterinas o
la reseccin del tabique intrauterino (cualquier mtodo)
La histeroscopia, con la eliminacin de leiomyomata
submuccous (cualquier mtodo)
Histeroscopia, teraputicos
La histeroscopia; con ablacin endometrial (cualquier
mtodo)
Procedimiento Cotizadas, el sistema genital femenino
(nonobstetrical)
La amniocentesis, la reduccin teraputica del lquido
amnitico (incluye gua de ultrasonido)
Amnioscopia
Fetal prueba sin estrs
Cuero cabelludo fetal tomar muestras de sangre
Cuero cabelludo fetal tomar muestras de sangre, repetir
El monitoreo fetal durante el parto por el mdico consultor
(es decir, no-mdico que lo atiende), con informe escrito,
El monitoreo fetal durante el parto por el mdico consultor
(es decir, no-mdico que lo atiende), con informe escrito, la
interpretacin slo
Amnioinfusin transabdominal, incluida la gua del
ultrasonido
Umbilical fetal oclusin del cordn, incluyendo la gua del
ultrasonido
Drenaje de lquido fetal (por ejemplo, vesicocentesis,
toracocentesis, paracentesis), incluida la gua del
ultrasonido
Colocacin de una derivacin del feto, incluyendo la gua del
ultrasonido
Histerotoma abdominal, para extirpacin de la mola
hidatiforme, con la ligadura de trompas
El tratamiento quirrgico del embarazo ectpico, ovrico, lo
que requiere ooforectoma y / o salpingectoma
El tratamiento quirrgico del embarazo ectpico, embarazo
abdominal
intersticial, uterino que requieren histerectoma total
intersticial, uterina con reseccin parcial del tero
El tratamiento quirrgico del embarazo ectpico, cervical,
con la evacuacin
Reparacin de la episiotoma o vaginal, por que no sea
mdico tratante
Reparacin de la episiotoma o vaginal solo, por que no sea
mdico tratante; amplia
Cerclaje de cuello de tero, durante el embarazo, vaginal

Cerclaje de cuello de tero, durante el embarazo; abdominal
Versin ceflica externa, con o sin toclisis
Anteparto nico cuidado (procedimiento separado)
Anteparto nico cuidado; 4-6 visitas
Anteparto nico cuidado; 7 o ms consultas
Atencin posparto solamente (procedimiento separado)
Cesrea, bajo cervical, incluso en la atencin hospitalaria
despus del parto, (procedimiento separado)
Cesrea, clsico, incluso en la atencin hospitalaria
despus del parto, (procedimiento separado)
La cesrea, extraperitoneal, incluso en la atencin
hospitalaria despus del parto, (procedimiento separado)
parto, el parto vaginal (con o sin episiotoma y / o frceps) y
la atencin post-parto, despus del parto por cesrea
anterior
El parto vaginal solamente, despus de un parto por
cesrea anterior (con o sin episiotoma y / o frceps);
El parto vaginal solamente, despus de un parto por
cesrea anterior (con o sin episiotoma y / o frceps),
incluyendo la atencin posparto
parto, parto por cesrea y la atencin post-parto, tras el
intento de parto vaginal despus de una cesrea anterior
El parto por cesrea solamente, como consecuencia del
parto vaginal despus intentaron un parto por cesrea
anterior;
Cesrea solamente, despus intentaron un parto vaginal
despus de una cesrea anterior, incluyendo la atencin
posparto
El tratamiento del aborto espontneo trimestre, en primer
lugar, finalizado mdicamente
El tratamiento del aborto espontneo trimestre, en primer
lugar, completado quirrgicamente (procedimiento
separado)
El tratamiento del aborto diferido, completado
quirrgicamente; primer trimestre
El tratamiento del aborto diferido, completado
quirrgicamente, en el segundo trimestre
El tratamiento del aborto sptico, completado
quirrgicamente
El aborto inducido, por una o ms inyecciones intraamnitico (amniocentesis-inyecciones), incluyendo ingreso
en el hospital y las visitas, la entrega del feto y secundinas;
con dilatacin y curetaje y / o evacuacin
El aborto inducido, por uno o ms supositorios vaginales
(por ejemplo, la prostaglandina) con o sin la dilatacin
cervical (por ejemplo, laminaria), incluyendo ingreso en el
hospital y las visitas, la entrega del feto y secundinas; con
dilatacin y curetaje y / o evacuacin
El aborto inducido, por uno o ms supositorios vaginales

(por ejemplo, la prostaglandina) con o sin la dilatacin
cervical (por ejemplo, laminaria), incluyendo ingreso en el
hospital y las visitas, la entrega del feto y secundinas; con
histerotoma (evacuacin no mdico)
Cotizadas procedimiento fetal invasiva, incluyendo la gua
del ultrasonido, cuando se realiza
Procedimiento Cotizadas laparoscopia, atencin de
maternidad y parto
Lobectoma tiroidea parcial, unilateral, con lobectoma
subtotal contralateral, incluyendo istmectoma
Lobectoma tiroidea total, unilateral, con lobectoma subtotal
contralateral, incluyendo istmectoma
La tiroidectoma, subtotal o parcial
La tiroidectoma, subtotal o parcial, con la remocin de la
glndula tiroides retroesternal, abordaje cervical
La tiroidectoma, la eliminacin de todo el tejido tiroideo
remanente despus de la extraccin anterior de una porcin
de la tiroides
La tiroidectoma, secundaria; bilateral
La tiroidectoma, incluyendo subesternal tiroides; divisin
esternal o aproximacin transtorcica
La tiroidectoma, incluyendo la tiroides retroesternal;
abordaje cervical
Excisin de quiste del conducto tirogloso o sinusal,
recurrente
Aspiracin y / o inyeccin, quiste tiroideo
Paratiroidectoma o exploracin de paratiroides (s), reexploracin
Paratiroidectoma o exploracin de paratiroides (s), con la
exploracin mediastnica, split esternal o enfoque
transtorcica
Planteamiento por esternal o transtorcica, sin diseccin
mediastnica radical (procedimiento separado); timectoma,
parcial o total
Planteamiento por esternal o transtorcica, con diseccin
mediastnica radical (procedimiento separado); timectoma,
parcial o total
o dorsal (procedimiento separado), con extirpacin de tumor
retroperitoneal adyacente
o dorsal, bilateral, una etapa
Procedimiento Cotizadas laparoscopia, sistema endocrino
Procedimiento Cotizadas, el sistema endocrino
Grifo subdural a travs de la fontanela, o sutura, lactante,
unilateral o bilateral; lneas siguientes
Ventricular mediante puncin previa trepanacin, fontanela,

sutura, o catter implantado ventricular / embalse, con
inyeccin de medicamento u otra sustancia para el
diagnstico o tratamiento
Cisternal o lateral cervical (C1-C2) de puncin; con
inyeccin de medicamento u otra sustancia para el
diagnstico o tratamiento (por ejemplo, C1-C2)
Gire agujero de perforacin para puncin subdural o
ventricular, seguida de otra ciruga
Burr agujero (s) para la puncin ventricular (incluyendo la
inyeccin de gas, medios de contraste, un tinte o material
radiactivo); seguido por otra ciruga
Agujero de trpano (s) o trpano, con tapping subsiguiente
(aspiracin) de absceso o quiste intracraneal
Agujero de trpano (s) con la evacuacin y / o drenaje de
hematoma, epidural o subdural; bilateral
Agujero de trpano (s), con la aspiracin del hematoma o un
quiste, intracerebral
Agujero de trpano (s) o trpano, supratentoriales,
exploratorio, no seguida de otra ciruga, bilateral
hematoma, supratentorial; intracerebral
hematoma, infratentorial; intercerebral
Incisin y colocacin subcutnea de injerto de hueso
craneal (Haga una lista por separado adems del cdigo
La descompresin de la rbita de slo enfoque transcraneal,
bilateral
Exploracin de la rbita (enfoque transcraneal), con biopsia
Exploracin de la rbita (enfoque transcraneal), con
extirpacin de la lesin
Exploracin de la rbita (enfoque transcraneal), con
Descompresin craneal Otros (por ejemplo, subtemporal),
supratentorial, bilateral
Otra descompresin craneal, fosa posterior
La craniectoma, suboccipital, para la exploracin o la
descompresin de los nervios craneales
La craniectoma, suboccipital, por parte de una o ms
nervios craneales
La craniectoma, suboccipital, pues medular tractotoma
La craniectoma, suboccipital, porque tractotoma
mesenceflico o pedunculotomy
Craneotoma para lobotoma, incluyendo cingulotoma;
bilateral
La craniectoma, por osteomielitis
la escisin de meningioma supratentorial
la escisin de un absceso cerebral supratentorial

escisin o fenestracin del quiste, supratentorial
El implante de cerebro intracavitaria agente de
quimioterapia (Lista por separado adems de cdigo para el
infratentorial o fosa posterior; meningioma
infratentorial o fosa posterior; Tumor del ngulo
pontocerebeloso
infratentorial o fosa posterior; tumor lnea media en la base
del crneo
La craniectoma, infratentorial o fosa posterior, por la
escisin de un absceso cerebral
La craniectoma, infratentorial o fosa posterior, por escisin
o fenestracin del quiste
La craniectoma, hueso flap craneotoma, transtemporal
(mastoides) para la reseccin de tumor del ngulo
pontocerebeloso;
La craniectoma, hueso flap craneotoma, transtemporal
(mastoides) para la reseccin de tumor del ngulo
pontocerebeloso, combinado con craneotoma medio /
posterior / craniectoma
escisin del foco epileptgeno sin electrocorticografa
durante la ciruga
Craneotoma con elevacin de colgajo seo, para la
eliminacin de la matriz de electrodo epidural o subdural, sin
extirpacin de tejido cerebral (procedimiento separado)
escisin del foco epileptgeno cerebral, con
electrocorticografa durante la ciruga (incluye la eliminacin
del conjunto de electrodos)
lobectoma, lbulo temporal, sin electrocorticografa durante
la ciruga
Craneotoma con elevacin de colgajo seo, por lobectoma,
aparte de lbulo temporal, parcial o total, con
electrocorticografa durante la ciruga
lobectoma, aparte de lbulo temporal, parcial o total, sin
electrocorticografa durante la ciruga
Craneotoma con elevacin de colgajo seo, por transeccin
del cuerpo calloso
escisin o la coagulacin de plexo coroideo
escisin del craneofaringioma
La craniectoma para la craneosinostosis, mltiples suturas
craneales
La craniectoma para craneoestenosis; cada etapa de

etapas mltiples
Reconstruccin del crneo mediante colgajos seos
mltiples
Craneotoma para la craneosinostosis; colgajo seo frontal o
parietal
Craneotoma para la craneosinostosis; colgajo seo bifrontal
Craniectoma amplia para la craneosinostosis mltiples
suturas craneales (por ejemplo, el crneo en trbol);
remodelado con mltiples osteotomas y autoinjertos seos
(por ejemplo, el barril bastn procedimiento) (incluye la
obtencin de injertos)
Reconstruccin del crneo por el avance orbital, incluyendo
suturotomy o craneotoma
Escisin, intra y extracraneales, tumor benigno de hueso
craneal (displasia por ejemplo, fibroso); sin descompresin
del nervio ptico
Escisin, intra y extracraneales, tumor benigno de hueso
craneal (displasia por ejemplo, fibroso), con la
descompresin del nervio ptico
Craneotoma con elevacin de colgajo seo, por
amygdalohippocampectomy selectivo
Craneotoma con elevacin de colgajo seo; para mltiples
transections subpiales, con electrocorticografa durante la
ciruga
incluyendo rinotoma lateral, exenteracin orbital,
etmoidectoma, sphenoidectomy y / o maxilectoma
incluyendo craneotoma unilateral o bifrontal, la elevacin
del lbulo frontal (s), osteotoma de la base de la fosa
craneal anterior
Enfoque craneofacial a la fosa craneal anterior; intradural,
incluyendo craneotoma unilateral o bifrontal, la elevacin o
la reseccin del lbulo frontal, la osteotoma de la base de la
fosa craneal anterior
Enfoque Orbitocranial a la fosa craneal anterior, extradural,
incluyendo osteotoma cresta supraorbital y la elevacin del
lbulo frontal y / o temporal (s), con exenteracin orbital
Infratemporal post-auricular enfoque a la fosa craneal media
(meato auditivo interno, punta del peasco, tentorium, seno
cavernoso, zona paraselar, fosa infratemporal) incluyendo
mastoidectoma, reseccin del seno sigmoideo, con o sin
descompresin y / o movilizacin de los contenidos del
canal auditivo o arteria cartida petrosa
o infecciosa de la base de la fosa craneal anterior;
intradural, incluyendo la reparacin dural, con o sin injerto

o infecciosa de la fosa infratemporal, espacio parafarngeo,
ptreo pice; intradural, incluyendo la reparacin dural, con
o sin injerto
o infecciosa de rea paraselar, seno cavernoso, clivus o
base del crneo lnea media; intradural, incluyendo la
reparacin dural, con o sin injerto
Transeccin o ligadura, arteria cartida en seno cavernoso;
con la reparacin por anastomosis o injerto (Lista por
Transeccin o ligadura, arteria cartida en el canal ptreo;
con la reparacin por anastomosis o injerto (Lista por
o infecciosa de la base de la fosa craneal posterior, foramen
yugular, foramen magnum, o alquilo C1-C3 cuerpos
vertebrales; intradural, incluyendo la reparacin dural, con o
sin injerto
Reparacin secundaria de la duracin de fuga de lquido
cefalorraqudeo, fosa craneal anterior, media o posterior
despus de la ciruga de base de crneo; por colgajo
vascularizado local o regionalizado pedculo o colgajo
(incluyendo galea, temporal, occipital o msculo frontal)
Endovascular temporal con baln de oclusin arterial,
cabeza o cuello (extracraneal / intracraneal), incluyendo la
cateterizacin selectiva de vaso a ocluir, el posicionamiento
y el inflado de globo de oclusin, la administracin
concomitante monitorizacin neurolgica, y supervisin
radiolgico e interpretacin de toda la angiografa requerido
para la oclusin con baln y para excluir vascular lesin
oclusin posterior
Oclusin o embolizacin transcatter permanente (por
ejemplo, para la destruccin de tumores, para lograr la
hemostasia, para ocluir una malformacin vascular),
percutnea, cualquier mtodo, no del sistema nervioso
central la cabeza o el cuello (rama extracraneal,
braquioceflico)
La angioplastia con baln, intracraneal (por ejemplo,
estenosis, aterosclertica), percutnea
Transcatter colocacin de stent intravascular (s),
intracraneal (por ejemplo, estenosis, aterosclertica),
incluyendo angioplastia de baln, si se realiza
Baln de dilatacin del vasoespasmo intracraneal,
percutnea, recipiente inicial
Baln de dilatacin de vasoespasmo intracraneal,
percutnea; cada buque adicional en la familia vascular
mismo (Lista por separado adems de cdigo para el
Baln de dilatacin de vasoespasmo intracraneal,

percutnea; cada buque adicional en la familia vascular
diferente (Lista por separado adems de cdigo para el
supratentorial, complejo
infratentorial, simple
infratentorial, complejo
dural, simple
dural, complejo
Ciruga de aneurisma intracraneal complejo enfoque,
intracraneal, la circulacin carotdea
Ciruga de aneurisma intracraneal complejo enfoque,
intracraneal, la circulacin vertebrobasilar
Ciruga de aneurisma intracraneal enfoque sencillo,
intracraneal, la circulacin vertebrobasilar
cartido-cavernosa; por electrotrombosis intracraneal
cartido-cavernosa; por intra-arterial embolizacin,
procedimiento de inyeccin o catter con baln
Microdiseccin, procedimiento intracraneal o espinal (Haga
una lista por separado adems del cdigo para el
Creacin de lesin por mtodo estereotctica, incluyendo
orificio de trepanacin (s) y las tcnicas de localizacin y
registrar, etapas nicas o mltiples; estructura subcortical (s)
distintos de globo plido o tlamo
La biopsia estereotxica, aspiracin o escisin, incluyendo
orificio de trepanacin (s), por lesin intracraneal; con la
tomografa computarizada y / o resonancia magntica
orientacin
Localizacin estereotctica, cualquier mtodo, incluyendo
orificio de trepanacin (s); para la introduccin de electrodos
subcorticales
Creacin de lesin por mtodo estereotctica, percutnea,
por neuroltico agente (por ejemplo, alcohol, trmica,
elctrica, por radiofrecuencia); tracto medular del trigmino
Ordenador estereotctica asistido volumtrico (navegacin)
procedimiento, intracraneal, extracraneal, o espinal (Lista
primario)
gamma, o acelerador lineal); una lesin craneal sencillo

gamma, o acelerador lineal), cada lesin craneal adicional,
simple (lista por separado adems del cdigo para el
gamma, o acelerador lineal); una lesin craneal complejo
gamma, o acelerador lineal), cada lesin craneal adicional,
compleja (lista por separado adems del cdigo para el
Aplicacin del castillete estereotctica para radiociruga
estereotctica (lista por separado adems del cdigo para el
Giro de perforacin o agujero de trpano (s) para la
implantacin de electrodos neuroestimulador; subcortical
Giro de perforacin, orificio de trepanacin, craneotoma, o
craniectoma con la implantacin estereotxica de matriz
neuroestimulador electrodo en subcortial sitio (por ejemplo,
Thalmus, globus pallidus, el ncleo subtalmico,
periventricular, sustancia gris periacueductal), sin utilizacin
de grabacin micrelectrode intraoperatorio; array primero
neuroestimulador electrodo en el sitio subcortical (por
ejemplo, tlamo, globus pallidus, el ncleo subtalmico,
periventricular, sustancia gris periacueductal), sin el uso de
microelectrodos de registro intraoperatorio; cada conjunto
adicional (Lista por separado adems de procedimiento
primario)
La craniectoma o craneotoma para la implantacin de
electrodos neuroestimulador cerebral; subcorticales
Fresa espiral, trepanacin, craneotoma, craniectoma o con
la implantacin estereotctica de la matriz de electrodo
neuroestimulador en el sitio subcortical (por ejemplo, el
tlamo, globo plido, ncleo subtalmico, periventricular,
sustancia gris periacueductal), con el uso de la grabacin de
microelectrodo intraoperatoria, primera matriz
neuroestimulador electrodo en el sitio subcortical (por
ejemplo, tlamo, globus pallidus, el ncleo subtalmico,
periventricular, sustancia gris periacueductal), con el uso de
microelectrodos de registro intraoperatorio; cada conjunto
adicional (Lista por separado adems de procedimiento
primario)
La craniectoma para la implantacin de electrodos
neuroestimulador, cerebelosa; subcorticales
pulso craneal o receptor, acoplamiento directo o inductivo;
con conexin a 2 o ms conjuntos de electrodos
Elevacin de fractura de crneo deprimida, compuesto o

triturada, extradural
Reduccin del crneo craniomegalic (por ejemplo,
hidrocefalia tratada), con sencillo craneoplastia
Reduccin del crneo craniomegalic (por ejemplo, trata la
hidrocefalia); craneotoma requieren reconstruccin y con o
sin injerto de hueso (incluye la obtencin de injertos)
Reparacin de encefalocele, bveda del crneo, incluyendo
craneoplastia
Craneotoma para la reparacin de encefalocele, la base del
crneo
Craneoplastia por defecto crneo mayor de 5 cm de
dimetro
Sustitucin de colgajo seo o placa protsica de crneo
Craneoplastia con autoinjerto (incluye la obtencin de
injertos seos), de ms de 5 cm de dimetro
Incisin y recuperacin de injerto subcutneo hueso craneal
para craneoplastia (Haga una lista por separado adems del
Neuroendoscopa, intracraneal, para la colocacin o
sustitucin de catter ventricular y la adhesin a un sistema
de derivacin o drenaje externo (Lista por separado adems
Neuroendoscopa, intracraneal, con diseccin de las
adherencias, fenestracin de septum pellucidum o quistes
intraventriculares (incluyendo la colocacin, sustitucin o
retirada del catter ventricular)
Neuroendoscopa, intracraneal, con fenestracin o la
extirpacin de quiste coloide, incluyendo la colocacin de
catter ventricular externo para el drenaje
Neuroendoscopa, intracraneal, con la recuperacin de
cuerpos extraos
Neuroendoscopa, intracraneal, con extirpacin de tumor
cerebral, incluyendo la colocacin de catter ventricular
externo para el drenaje
Neuroendoscopa, intracraneal, con extirpacin de tumor
hipofisario, abordaje transnasal o trans-esfenoidal
Sustitucin o riego, el catter ventricular
Reprogramacin de derivacin programable cefalorraqudeo
La eliminacin del sistema de derivacin completa del
lquido cefalorraqudeo; con sustitucin por derivacin
similar u otra en la misma operacin
Percutnea lisis de adherencias epidurales utilizan la
inyeccin de solucin (por ejemplo, solucin salina
hipertnica enzima,) o por medios mecnicos (por ejemplo,
catter) incluyendo la localizacin radiolgica (incluye
contraste cuando se administra), mltiples sesiones
adhesiolisis; 2 das o ms
Percutnea lisis de adherencias epidurales utilizan la

inyeccin de solucin (por ejemplo, solucin salina
hipertnica enzima,) o por medios mecnicos (por ejemplo,
catter) incluyendo la localizacin radiolgica (incluye
contraste cuando se administra), mltiples sesiones
adhesiolisis; 1 da
Aspiracin percutnea dentro del ncleo pulposo, disco
intervertebral, o tejido paravertebral para fines de
diagnstico
Puncin espinal, teraputico, para el drenaje de lquido
cefalorraqudeo (por aguja o catter)
La inyeccin de sustancia anestsica o antiespasmdico
diagnstico o teraputico (incluyendo narcticos);
subaracnoidea o subdural nico,
La inyeccin de anestsico diagnstico o teraputico o
sustancia antiespasmdico (incluyendo narcticos);
epidural, cervical o torcica, de un solo
subaracnoidea o subdural diferencial,
subaracnoidea o subdural, continua
diagnstico o teraputico (incluyendo narcticos), epidural,
caudal o lumbar, de un solo
La inyeccin de anestsico diagnstico o teraputico o
sustancia antiespasmdico (incluyendo narcticos),
epidural, caudal o lumbar, continua
Inyeccin / infusin de sustancias neuroltico (por ejemplo,
alcohol, fenol, soluciones de solucin salina helada), con o
sin otra sustancia teraputica; subaracnoidea
sin otra sustancia teraputica; epidural, cervical o torcica
sin otra sustancia teraputica; epidural, lumbar, sacra
(caudal)
Inyeccin procedimiento para mielografa y / o tomografa
computarizada, espinal (que no sea C1-C2 y fosa posterior)
La inyeccin de sustancia distinta del anestsico,
antiespasmdico, contraste o soluciones neurolticos;
subaracnoidea (procedimiento separado)
La inyeccin de sustancia distinta del anestsico,
antiespasmdico, contraste o soluciones neurolticos,
(procedimiento separado) epidural lumbar o caudal
Inyeccin procedimiento de la discografa, cada nivel;
lumbar
Inyeccin procedimiento para discografa, cada nivel;

cervical o torcica
Procedimiento de inyeccin, arterial, para la oclusin de la
malformacin arteriovenosa, espinal
La inyeccin de sustancia distinta del anestsico, el
contraste o soluciones neurolticos, epidural, (procedimiento
separado) cervical o torcica
Inyeccin, solo (no a travs de un catter permanente), sin
incluir sustancias neurolticos, con o sin contraste (ya sea
para la localizacin o epidurografa), de sustancia de
diagnstico o teraputico (s) (incluyendo anestsicos,
antiespasmdicos, opioides, solucin de esteroides, otros),
epidural o subaracnoidea, cervical o torcica
Inyeccin, solo (no a travs de un catter permanente), sin
incluir sustancias neurolticos, con o sin contraste (ya sea
para la localizacin o epidurografa), de sustancia de
diagnstico o teraputico (s) (incluyendo anestsicos,
antiespasmdicos, opioides, solucin de esteroides, otros),
epidural o subaracnoidea, lumbar, sacra (caudal)
Inyeccin, incluyendo la colocacin del catter, infusin
continua o bolo intermitentes, sin incluir sustancias
neurolticos, con o sin contraste (ya sea para la localizacin
o epidurografa), de sustancia de diagnstico o teraputico
(s) (incluyendo anestsicos, antiespasmdicos, opioides,
solucin de esteroides, otros) , epidural o subaracnoidea,
cervical o torcica
Inyeccin, incluyendo la colocacin del catter, infusin
continua o bolo intermitentes, sin incluir sustancias
neurolticos, con o sin contraste (ya sea para la localizacin
o epidurografa), de sustancia de diagnstico o teraputico
(s) (incluyendo anestsicos, antiespasmdicos, opioides,
solucin de esteroides, otros) , epidural o subaracnoidea,
lumbar, sacra (caudal)
Implantacin, revisin o reposicionamiento de catter
intratecal o epidural tunelizado, para la administracin de
medicamentos a largo plazo a travs de una bomba externa
o reservorio implantable / bomba de infusin, con
laminectoma
Implantacin o sustitucin del dispositivo de infusin de
frmacos por va intratecal o epidural; no programable
bomba
Implantacin o sustitucin de dispositivo de infusin de
frmaco por va intratecal o epidural; bomba programable,
incluyendo la preparacin de la bomba, con o sin
programacin
Anlisis electrnico de bomba programable, implantado para
infusin intratecal o epidural de drogas (incluye la
evaluacin de la condicin de depsito, estado de alarma,
estado de recetas mdicas), con la reprogramacin

espinal), uno o dos segmentos vertebrales; torcica
mdula espinal y / o la cola de caballo, sin facetectoma,
una foraminotoma o discectoma, (por ejemplo, estenosis
espinal), uno o dos segmentos vertebrales lumbares;,
excepto para la espondilolistesis
Laminectoma para exploracin / descompresin de la
mdula espinal y / o la cola de caballo, uno o dos
segmentos; lumbar para la espondilolistesis (operacin de
Gill tipo)
espinal), uno o dos segmentos vertebrales; sacro
espinal), ms de 2 segmentos vertebrales; torcica
espinal), ms de 2 segmentos vertebrales; lumbar
Laminotoma (hemilaminectoma), para la descompresin de
intervertebral, uno intermedio, cervical, bilateral
endoscpicamente asistida; 1 interespacio, lumbar
Laminotoma (hemilaminectoma), para la descompresin de
intervertebral, uno intermedio, bilateral lumbar,
endoscpicamente asistida; cada espacio intermedio
adicional, cervical o lumbar (Lista por separado adems de
intervertebral, reexploracin, interespacio nico; lumbar

intervertebral, reexploracin, interespacio nico; cada
espacio intermedio adicional cervical (Lista por separado
intervertebral, reexploracin, interespacio nico; cada
espacio intermedio adicional lumbar (Lista por separado
espinal o rebaje lateral)), solo segmento vertebral; torcica
espinal o rebaje lateral)), solo segmento vertebral; lumbar
Laminoplastia, cervical, con la descompresin de la mdula
espinal, 2 o ms segmentos vertebrales;
Laminoplastia, cervical, con la descompresin de la mdula
espinal, dos o ms segmentos vertebrales; con la
reconstruccin de los elementos posteriores seos
(incluyendo la aplicacin de injerto de hueso puente y no
segmentario dispositivos de fijacin (por ejemplo, alambre,
sutura, mini-placas), si se realiz)
Enfoque transpedicular con descompresin de la mdula
espinal, cola de caballo y / o races nerviosas (s) (por
ejemplo, hernia de disco intervertebral), solo segmento;
lumbar (incluyendo transfacet o enfoque extraforaminal
lateral) (por ejemplo, lejos lateral del disco intervertebral
herniado)
osteophytectomy; interespacio torcica, solo
osteophytectomy; torcica, cada espacio intermedio
parcial o completa, transtorcica con la descompresin de la
mdula espinal y / o de la raz del nervio (s); torcica, cada
segmento adicional (Lista por separado adems de cdigo

parcial o completa, enfoque combinado toracolumbar con la
descompresin de la mdula espinal, cola de caballo o de la
raz del nervio (s), torcica inferior o lumbar; cada segmento
adicional (lista por separado adems del cdigo para el
Corpectoma vertebral (reseccin del cuerpo vertebral), el
enfoque parcial o completa, transperitoneal o retroperitoneal
con la descompresin de la mdula espinal, cola de caballo
o de la raz del nervio (s), lumbar torcica, o sacro; cada
segmento adicional (lista por separado adems del cdigo
para procedimiento primario)
parcial o completa, abordaje lateral extracavitary con la
descompresin de la mdula espinal y / o raz nerviosa (s)
(por ejemplo, los fragmentos seos tumorales o
retropulsed); segmento torcico, solo
retropulsed); segmento lumbar, de un solo
retropulsed), torcica o lumbar, cada segmento adicional
(lista por separado en Adems de cdigo para el
Laminectoma con drenaje del quiste intramedular / siringe;
al espacio peritoneal o pleural
Laminectoma y seccin de los ligamentos dentados, con o
sin injerto dural, cervical, ms de 2 segmentos
Laminectoma con rizotoma, ms de 2 segmentos
Laminectoma para la seccin del nervio accesorio espinal;
bilateral
Laminectoma con cordotoma, con una seccin de 1 tracto
espinotalmico, 1 etapa, torcica
Laminectoma con cordotoma, con seccin de ambos
tractos espinotalmico, 1 etapa, torcicos
Laminectoma con cordotoma con seccin de ambos
tractos espinotalmico, 2 etapas dentro de los 14 das;
torcica
arteriovenosa de la mdula espinal, torcica
arteriovenosa de la mdula espinal; toracolumbar
intramedular que no sea neoplasia, extradural; torcica
intramedular que no sea neoplasia, extradural; lumbar

intramedular que no sea neoplasia, extradural; sacro
Laminectoma para excisin de lesin intramedular que no
sea neoplasia, intradural; cervical
sea neoplasia, intradural; torcica
sea neoplasia, intradural; lumbar
sea neoplasia, intradural; sacro
Laminectoma para biopsia / extirpacin del tumor
intramedular; extradural, cervical
intramedular; extradural, torcicos
intramedular; extradural, lumbar
intramedular; extradural sacro
intramedular, intradural extramedular, cervical
intramedular, intradural extramedular, torcicos
intramedular, intradural extramedular, lumbar
intramedular, intradural, sacra
intramedular, intradural intramedular, cervical
intramedular, intradural intramedular, torcicos
intramedular, intradural intramedular, toracolumbar
intramedular, combinada epidural-intradural lesin, cualquier
nivel
Reconstruccin osteoplstica de dorsales espinales
elementos, siguiendo el procedimiento principal intraespinal
parcial o completo, para la escisin de lesin intraespinal,
solo segmento; intradural, cervical
solo segmento; intradural, torcica por va transtorcica
solo segmento; intradural, torcica por va toracolumbar
solo segmento; intradural, lumbar o sacra por va

parcial o completo, para la escisin de lesin intraespinal,
solo segmento, cada segmento adicional (Lista separado,
adems de los cdigos de segmento individual)
Creacin de lesin de la mdula espinal por el mtodo
estereotctica, percutnea, cualquier modalidad (incluyendo
la estimulacin y / o grabacin)
La biopsia estereotxica, aspiracin, o la escisin de cable
de lesin, espinal
gamma, o acelerador lineal); una lesin espinal
gamma, o acelerador lineal), cada lesin espinal adicional
primario)
intradural (mdula espinal)
neuroestimulador; endodural
neuroestimulador; subdural
La eliminacin de electrodo matriz neuroestimulador espinal
percutnea (s), incluyendo la fluoroscopia, cuando se realiza
La eliminacin del neuroestimulador espinal electrodo de
placa / Padel (s) coloc a travs de laminectoma o
laminectoma, incluyendo la fluoroscopia, cuando se realiza
Revisin incluida la sustitucin, cuando se realiza, de
electrodo matriz neuroestimulador espinal percutnea (s),
incluyendo la fluoroscopia, cuando se realiza
Revisin incluyendo reemplazo, cuando se realiza, de la
placa de electrodo neuroestimulador espinal / Padel (s)
coloc a travs de laminectoma o laminectoma, incluyendo
la fluoroscopia, cuando se realiza
neuroestimulador generador de pulsos (puede incluir, pulso
de amplitud y duracin, la configuracin de la forma de
onda, estado de la batera, selectability electrodo, la
modulacin de la produccin, el ciclismo, la impedancia y
mediciones de cumplimiento del paciente); sin
reprogramacin del generador de impulsos
Reparacin de meningocele, mayor de 5 cm de dimetro
Reparacin de mielomeningocele; mayor de 5 cm de
dimetro
Reparacin de fugas de lquido dural / cefalorraqudeo o
pseudomeningocele, con laminectoma
Insercin, el catter subaracnoideo con depsito y / o
bomba para la infusin intermitente o continua de frmaco,
incluyendo laminectoma
La insercin o sustitucin, subaracnoidea o catter epidural,

con el depsito y / o bomba de infusin de medicamentos,
sin laminectoma
Inyeccin, agente anestsico; nervio facial
Inyeccin, agente anestsico, mayor nervio occipital
Inyeccin, agente anestsico; nervio vago
Inyeccin, agente anestsico; nervio frnico
Inyeccin, agente anestsico; nervio accesorio espinal
Inyeccin, agente anestsico; plexo cervical
Inyeccin, agente anestsico; plexo braquial, solo
Inyeccin, agente anestsico; plexo braquial, infusin
continua por catter (incluyendo la colocacin del catter)
Inyeccin, agente anestsico; nervio axilar
Inyeccin, agente anestsico; nervio supraescapular
Inyeccin, agente anestsico; nervio intercostal, solo
Inyeccin, agente anestsico; intercostales nervios, bloque
mltiple, regional
Inyeccin, agente anestsico, los nervios ilioinguinal,
iliohipogstrico
Inyeccin, agente anestsico; nervio pudendo
Inyeccin, agente anestsico; paracervical (uterino) nervio
Inyeccin, agente anestsico; nervio paravertebral (torcica,
lumbar, sacro, cccix), el nivel vertebral nico
Inyeccin, agente anestsico; nervios paravertebrales,
varios niveles (por ejemplo, bloqueo regional)
Inyeccin, agente anestsico; faceta nervio paravertebral
conjunta, nivel lumbar, de un solo
Inyeccin, agente anestsico; faceta paravertebral nervio
conjunta, lumbar, cada nivel adicional (Lista por separado
Inyeccin, agente anestsico; nervio citico, solo
Inyeccin, agente anestsico; nervio citico, la infusin
Inyeccin, agente anestsico; nervio femoral, de un solo
Inyeccin, agente anestsico; nervio femoral, la infusin
Inyeccin, agente anestsico; plexo lumbar, el enfoque
posterior, la infusin continua por catter (incluyendo la
colocacin del catter)
Inyeccin, agente anestsico; nervio perifrico o de la rama
Inyeccin (s), agente anestsico y / o esteroides, plantar
nervio digital comn (s) (por ejemplo, neuroma de Morton)
paravertebral o carilla articular nerviosa, cervical o torcica,
cada nivel adicional (lista por separado adems del cdigo

paravertebral o carilla articular nerviosa, lumbar o sacra, de
un solo nivel
paravertebral o carilla articular nerviosa, lumbar o sacra,
cada nivel adicional (lista por separado adems del cdigo
epidural, cervical o torcica, cada nivel adicional (Anote
primario)
epidural, lumbar o sacra, de un solo nivel
epidural, lumbar o sacra, cada nivel adicional (Anote
primario)
Inyeccin (s), agente de diagnstico o teraputico, faceta
paravertebral (zigoapofisarias) conjunta (o los nervios que
inervan esa articulacin) con gua por imagen (fluoroscopia
o TC), cervical o torcica; solo nivel
o TC), cervical o torcica; segundo nivel (lista por separado
o TC), cervical o torcica, en tercer lugar ya cualquier nivel
adicional (s) (Lista por separado, adems de cdigo para el
o TC), lumbar o sacra, de un solo nivel
o TC), lumbar o sacra, segundo nivel (lista por separado
o TC), lumbar o sacra, en tercer lugar ya cualquier nivel
adicional (s) (Lista por separado, adems de cdigo para el
Inyeccin, agente anestsico, del seno carotdeo
Inyeccin, agente anestsico del ganglio estrellado (cervical
simptico)
Inyeccin, agente anestsico; plexo hipogstrico superior

Inyeccin, agente anestsico; plexo celiaco, con o sin
control radiolgico
Implantacin percutnea de electrodos neuroestimulador;
nervio perifrico (excluye nervio sacro)
nervioso autnomo
nervio sacro (colocacin transforaminal)
neuromuscular
nervioso autnomo
Incisin para el implante de los electrodos del
neuroestimulador; neuromuscular
nervio sacro (colocacin transforaminal)
Destruccin por agente neuroltico, nervio trigmino; ramas
segunda y tercera divisin en foramen oval bajo control
radiolgico
La quimiodenervacin del msculo (s), msculo del cuello
(s) (por ejemplo, para la tortcolis espasmdica Disfona
espasmdica)
Quimiodenervacin del msculo (s); extremidad (s) y / o los
msculos del tronco (s) (por ejemplo, para la distona,
parlisis cerebral, esclerosis mltiple)
articulacin facetaria paravertebral, lumbar o sacra, de un
solo nivel
articulacin facetaria paravertebral, cervical o torcica, de
un solo nivel
articulacin facetaria paravertebral, cervical o torcica, cada
nivel adicional (lista por separado adems del cdigo para el
Destruccin por agente neuroltico; nervio pudendo
Destruccin por agente neuroltico; nervio plantar digital
comn
Destruccin por agente neuroltico; nervio perifrico o otra
rama
La quimiodenervacin de las glndulas ecrinas, ambas
axilas
La quimiodenervacin de las glndulas ecrinas, otra rea (s)
(por ejemplo, el cuero cabelludo, la cara, el cuello), por da
Destruccin por agente neuroltico, con o sin monitorizacin
radiolgica; plexo hipogstrico superior
Neuroplastia, nervio perifrico mayor, brazo o pierna, que no
sea especificado
Neuroplastia, nervio perifrico mayor, brazo o pierna; plexo

braquial
Neuroplastia, nervio perifrico mayor, brazo o pierna; plexo
lumbar
Neuroplastia y / o transposicin; nervio cubital en el codo
Neuroplastia y / o transposicin; nervio cubital en la mueca
Neuroplastia y / o transposicin; nervio mediano a nivel del
tnel carpiano
La transeccin o avulsin; nervio supraorbital
La transeccin o avulsin; nervio infraorbitario
La transeccin o avulsin; nervio mentoniano
La transeccin o avulsin; nervio alveolar inferior mediante
osteotoma
La transeccin o avulsin; nervio lingual
La transeccin o avulsin; nervio facial, diferencial o
completa
La transeccin o avulsin; nervio occipital mayor
La transeccin o avulsin; nervio frnico
La transeccin o avulsin; nervio vago (vagotoma),
transtorcico
La transeccin o avulsin, nervios vagos limitados al
estmago proximal (vagotoma selectiva proximal,
vagotoma gstrica proximal, vagotoma de clulas
parietales, supra-o vagotoma altamente selectiva)
La transeccin o avulsin; nervio vago (vagotoma),
abdominal
La transeccin o avulsin; nervio pudendo
La transeccin o avulsin; nervio pudendo, bilateral
La transeccin o avulsin del nervio obturador, extraplvico,
con o sin tenotoma del aductor
La transeccin o avulsin del nervio obturador, extraplvico,
con o sin tenotoma del aductor; bilateral
La transeccin o avulsin del nervio obturador, intraplvica,
con o sin tenotoma del aductor
La transeccin o avulsin del nervio obturador, intraplvica,
con o sin tenotoma del aductor; bilateral
La transeccin o avulsin del nervio craneal otro, extradural
La transeccin o avulsin del nervio espinal otro, extradural
Excisin de neuroma; nervio digital, 1 o ambos, mismos
dgitos
Excisin de neuroma; nervio digital, cada dgito adicional
primario)
Excisin de neuroma, la mano o el pie, excepto nervio digital
Excisin de neuroma, la mano o el pie, cada nervio
adicional, excepto (lista por separado adems del cdigo
para el procedimiento primario) mismo dgito
Excisin de neuroma; nervio perifrico mayor, excepto

citico
Excisin de neuroma; nervio citico
Implantacin de extremo del nervio en el hueso o msculo
(Lista separado, adems de la escisin neuroma)
Escisin de neurofibroma o Neurolemmoma; nervio cutneo
Escisin de neurofibroma o Neurolemmoma; nervio
perifrico principal
Escisin de neurofibroma o Neurolemmoma; extensiva
(incluyendo el tipo maligno)
Simpatectoma, cervical, bilateral
Simpatectoma, cervicotorcica
Simpatectoma, cervicotorcica; etapa unilateral bilateral o
dos
Simpatectoma, toracolumbar
Simpatectoma, toracolumbar; bilateral
Simpatectoma, lumbar
Simpatectoma, lumbar, bilateral
Simpatectoma; arterias digitales, cada dgito
Simpatectoma; arteria radial
Simpatectoma; cubital arteria
Simpatectoma; arco palmar superficial
Microdiseccin y / o microrepair de nervio (lista por
separado adems de cdigo para la reparacin del nervio)
Sutura de nervio digital de mano o el pie, cada nervio digital
adicional (Anote separadamente adems del cdigo para el
Sutura de un nervio, mediana tenar motor
Sutura de un nervio, motor cubital
Sutura de los principales nervios perifricos brazo o la
pierna, excepto citico; sin transposicin
Sutura de cada nervio perifrico adicional importante (Haga
una lista por separado adems del cdigo para el
Sutura de; plexo lumbar
Sutura de nervio facial; infratemporal, con o sin injerto
Anastomosis; hipogloso-facial
Anastomosis; facial-frnico
Sutura de nervios, que requiere una amplia movilizacin o
transposicin del nervio (lista por separado adems del
cdigo para la sutura del nervio)
Sutura de nervios; acortamiento de los huesos requieren de
una extremidad (lista por separado adems del cdigo para
la sutura del nervio)
Injerto de nervio (incluye la obtencin del injerto), la cabeza
o el cuello, ms de 4 cm de longitud
Injerto de nervio (incluye la obtencin del injerto), hebra
nica mano o el pie, ms de 4 cm de longitud
Injerto de nervio (incluye la obtencin del injerto), captulo

nico brazo, o una pierna; hasta 4 cm de longitud
Injerto de nervio (incluye la obtencin del injerto), captulo
nico brazo o la pierna, ms de 4 cm de longitud
hilos (cable), mano o pie, ms de 4 cm de longitud
hilos (cable), brazo o pierna, hasta 4 cm de longitud
hilos (cable), brazo o pierna, ms de 4 cm de longitud
Nerve pedculo transferencia; segunda etapa
Reparacin de los nervios, con injerto de vena autloga
(incluye la cosecha de injerto de la vena), cada nervio
Procedimiento Cotizadas sistema nervioso
Extraccin de cuerpo extrao intraocular,, desde la cmara
anterior, la extraccin magntica
Extraccin de cuerpo extrao intraocular,, desde la cmara
anterior, la extraccin magntica
Extraccin de cuerpo extrao intraocular,; desde el objetivo
(sin objetivo) extraccin, la extraccin magntica
Extraccin de cuerpo extrao intraocular,; desde el objetivo
(sin objetivo) extraccin, la extraccin magntica
Delimitar queratotoma
Delimitar queratotoma
Queratoplastia (trasplante de crnea); endotelial
Queratoplastia (trasplante de crnea); endotelial
Backbench preparacin de aloinjerto endotelial corneal
anterior al trasplante (Lista por separado adems de cdigo
Backbench preparacin de aloinjerto endotelial corneal
anterior al trasplante (Lista por separado adems de cdigo
Ocular reconstruccin de la superficie, el trasplante de
membrana amnitica
Ocular reconstruccin de la superficie, el trasplante de
membrana amnitica
Ocular reconstruccin de la superficie; aloinjerto lmbica (por
ejemplo, el donante cadavrico o vivo)
Ocular reconstruccin de la superficie; aloinjerto lmbica (por
ejemplo, el donante cadavrico o vivo)
Ocular reconstruccin de la superficie; autoinjerto
conjuntival limbal (incluye la obtencin del injerto)
Ocular reconstruccin de la superficie; autoinjerto
conjuntival limbal (incluye la obtencin del injerto)
Goniotoma; con goniopuncture
Goniotoma; con goniopuncture
Fistulizacin de la esclertica por glaucoma; trepanacin
con iridectoma
Fistulizacin de la esclertica por glaucoma; trepanacin
con iridectoma
Fistulizacin de la esclertica por glaucoma;

thermocauterization con iridectoma
Fistulizacin de la esclertica por glaucoma;
thermocauterization con iridectoma
Fistulizacin de la esclertica por glaucoma; esclerectoma
con punzn o tijera, con iridectoma
Fistulizacin de la esclertica por glaucoma; esclerectoma
con punzn o tijera, con iridectoma
Fistulizacin de la esclertica por glaucoma; iridencleisis o
iridotasis
Fistulizacin de la esclertica por glaucoma; iridencleisis o
iridotasis
Cyclodiathermy; posterior
Cyclodiathermy; posterior
endoscpica
endoscpica
Ciclocrioterapia; posterior
Ciclocrioterapia; posterior
Ciclodilisis; posterior
Ciclodilisis; posterior
Discission de cpsula del cristalino, tcnica incisional
(puncin de la lente), inicial
Discission de cpsula del cristalino, tcnica incisional
(puncin de la lente), inicial
Discission de cpsula de la lente; ciruga lser (una o ms
etapas)
Discission de cpsula de la lente; ciruga lser (una o ms
etapas)
La eliminacin del material de la lente; tcnica de
aspiracin, 1 o ms etapas
La eliminacin del material de la lente; tcnica de
aspiracin, 1 o ms etapas
Expresin de lente, lineal, una o ms etapas
Expresin de lente, lineal, una o ms etapas
La eliminacin del material de la lente; intracapsular
La eliminacin del material de la lente; intracapsular
La eliminacin del material de la lente; extracapsular
(excepto 66840, 66850, 66852)
La eliminacin del material de la lente; extracapsular
(excepto 66840, 66850, 66852)
Extraccin extracapsular de catarata con colocacin de
lente intraocular prtesis (1 procedimiento de la etapa), la
tcnica manual o mecnica (por ejemplo, la irrigacin y la
aspiracin o la facoemulsificacin), sin dispositivos
complejos, que requieren o tcnicas generalmente utilizado
en la ciruga de catarata de rutina (por ejemplo, el
dispositivo de expansin iris, sutura apoyo a la lente
intraocular, o primarias capsulorrexis posterior) o se realiza
en pacientes en la etapa de desarrollo ambliognicos

aspiracin o la facoemulsificacin), sin dispositivos
complejos, que requieren o tcnicas generalmente utilizado
en la ciruga de catarata de rutina (por ejemplo, el
dispositivo de expansin iris, sutura apoyo a la lente
intraocular, o primarias capsulorrexis posterior) o se realiza
en pacientes en la etapa de desarrollo ambliognicos
Extraccin intracapsular de catarata con colocacin de lente
intraocular prtesis (1 procedimiento de la etapa)
Extraccin intracapsular de catarata con colocacin de lente
intraocular prtesis (1 procedimiento de la etapa)
aspiracin o facoemulsificacin)
aspiracin o facoemulsificacin)
El uso del endoscopio oftlmico (Haga una lista por
primario)
El uso del endoscopio oftlmico (Haga una lista por
primario)
Procedimiento Cotizadas segmento anterior del ojo
Procedimiento Cotizadas segmento anterior del ojo
La eliminacin del vtreo enfoque, anterior (tcnica de cielo
abierto o incisin del limbo); eliminacin parcial
abierto o incisin del limbo); eliminacin parcial
abierto o incisin limbal), la eliminacin mecnica subtotal
con vitrectoma
abierto o incisin limbal), la eliminacin mecnica subtotal
con vitrectoma
Discission vtreas de filamentos (sin extraccin), pars plana
enfoque
Discission vtreas de filamentos (sin extraccin), pars plana
enfoque
La ruptura de los filamentos vitreos, adherencias vtreas
cara, lminas, membranas u opacidades, ciruga lser (1 o
ms etapas)
La ruptura de los filamentos vitreos, adherencias vtreas
cara, lminas, membranas u opacidades, ciruga lser (1 o
ms etapas)
Vitrectoma, mecnico, pars plana enfoque, con membrana
epirretiniana pelar
Vitrectoma, mecnico, pars plana enfoque, con membrana

epirretiniana pelar
Vitrectoma, mecnico, pars plana enfoque, con
fotocoagulacin focal endolser
Vitrectoma, mecnico, pars plana enfoque, con
fotocoagulacin focal endolser
Vitrectoma, mecnico, pars plana enfoque, con endolser
panretinal fotocoagulacin
Vitrectoma, mecnico, pars plana enfoque, con endolser
panretinal fotocoagulacin
Reparacin de desprendimiento de retina, 1 o ms
sesiones; crioterapia o diatermia, con o sin drenaje de
lquido subretiniano
Reparacin de desprendimiento de retina, 1 o ms
sesiones; crioterapia o diatermia, con o sin drenaje de
lquido subretiniano
Reparar de desprendimiento de retina, una o ms sesiones;
fotocoagulacin, con o sin drenaje de lquido subretiniano
Reparar de desprendimiento de retina, una o ms sesiones;
fotocoagulacin, con o sin drenaje de lquido subretiniano
Reparacin del desprendimiento de retina; escleral (tales
como la diseccin lamelar escleral imbricacin, o
procedimiento que rodea), con o sin implante, con o sin la
crioterapia, fotocoagulacin, y el drenaje de lquido
subretiniano
Reparacin del desprendimiento de retina; escleral (tales
como la diseccin lamelar escleral imbricacin, o
procedimiento que rodea), con o sin implante, con o sin la
crioterapia, fotocoagulacin, y el drenaje de lquido
subretiniano
Reparacin del desprendimiento de retina; con vitrectoma,
cualquier mtodo, con o sin taponamiento de aire o gas, la
fotocoagulacin focal endolser, crioterapia, drenaje de
lquido subretiniano, escleral, y / o la eliminacin de la lente
por la misma tcnica
Reparacin del desprendimiento de retina; con vitrectoma,
cualquier mtodo, con o sin taponamiento de aire o gas, la
fotocoagulacin focal endolser, crioterapia, drenaje de
lquido subretiniano, escleral, y / o la eliminacin de la lente
por la misma tcnica
Reparacin del desprendimiento de retina, una o ms
sesiones; por otra tcnica que 67101-67108 y 67110
Reparacin del desprendimiento de retina, una o ms
sesiones; por otra tcnica que 67101-67108 y 67110
La reparacin del desprendimiento de retina, mediante la
inyeccin de aire u otro gas (por ejemplo, retinopexia
neumtica)
La reparacin del desprendimiento de retina, mediante la
inyeccin de aire u otro gas (por ejemplo, retinopexia
neumtica)
Reparar de desprendimiento de retina; por pandeo escleral

o vitrectoma, en paciente que tiene reparacin anterior
ipsilateral desprendimiento de retina (s) usando tcnicas de
ciruga escleral o vitrectoma
Reparar de desprendimiento de retina; por pandeo escleral
o vitrectoma, en paciente que tiene reparacin anterior
ipsilateral desprendimiento de retina (s) usando tcnicas de
ciruga escleral o vitrectoma
Reparacin de desprendimiento de retina complejo (por
ejemplo, vitreorretinopata proliferativa, etapa C-1 o mayor,
desprendimiento de traccin retinal diabtica, retinopata del
prematuro, desgarro de retina de ms de 90 grados), con
vitrectoma y la membrana peeling, puede incluir aire, gas, o
silicona taponamiento aceite, crioterapia, fotocoagulacin
endolser, el drenaje de lquido subretiniano, cerclaje
escleral, y / o remocin de lente
Reparacin de desprendimiento de retina complejo (por
ejemplo, vitreorretinopata proliferativa, etapa C-1 o mayor,
desprendimiento de traccin retinal diabtica, retinopata del
prematuro, desgarro de retina de ms de 90 grados), con
vitrectoma y la membrana peeling, puede incluir aire, gas, o
silicona taponamiento aceite, crioterapia, fotocoagulacin
endolser, el drenaje de lquido subretiniano, cerclaje
escleral, y / o remocin de lente
Publicacin de material que rodea (segmento posterior)
Publicacin de material que rodea (segmento posterior)
de retina, degeneracin reticular) sin drenaje, sesiones de 1
o ms, la crioterapia, la diatermia
de retina, degeneracin reticular) sin drenaje, sesiones de 1
o ms, la crioterapia, la diatermia
edema macular, tumores), una o ms sesiones;
fotocoagulacin
edema macular, tumores), una o ms sesiones;
fotocoagulacin
fotodinmica, segundo ojo, en nica sesin (Lista por
separado adems de cdigo para el tratamiento primario de
los ojos)
fotodinmica, segundo ojo, en nica sesin (Lista por
separado adems de cdigo para el tratamiento primario de
los ojos)
Tratamiento de la retinopata extensa o progresiva, 1 o ms
sesiones; (retinopata por ejemplo, la diabetes), la
fotocoagulacin
Tratamiento de la retinopata extensa o progresiva, 1 o ms

sesiones; (retinopata por ejemplo, la diabetes), la
fotocoagulacin
El tratamiento de la retinopata extensa o progresiva, una o
ms sesiones; neonato prematuro (menos de 37 semanas
de gestacin al nacer), realizado desde el nacimiento hasta
1 ao de edad (por ejemplo, la retinopata del prematuro),
fotocoagulacin o crioterapia
El tratamiento de la retinopata extensa o progresiva, una o
ms sesiones; neonato prematuro (menos de 37 semanas
de gestacin al nacer), realizado desde el nacimiento hasta
1 ao de edad (por ejemplo, la retinopata del prematuro),
fotocoagulacin o crioterapia
Procedimiento Cotizadas, el segmento posterior
Procedimiento Cotizadas, el segmento posterior
Ciruga de estrabismo en pacientes no operados
previamente, cualquier procedimiento, cualquier msculo
(puede incluir el desplazamiento menor de edad, por
ejemplo, para un patrn o V), tres o ms msculos, uno o
ambos ojos
Ciruga de estrabismo en pacientes no operados
previamente, cualquier procedimiento, cualquier msculo
(puede incluir el desplazamiento menor de edad, por
ejemplo, para un patrn o V), tres o ms msculos, uno o
ambos ojos
Procedimiento Cotizadas, msculo ocular
Procedimiento Cotizadas, msculo ocular
Procedimiento Cotizadas, la rbita
Procedimiento Cotizadas, la rbita
Escisin de chalazin, bajo anestesia general y / o que
requieren hospitalizacin, nicas o mltiples
Escisin de chalazin, bajo anestesia general y / o que
requieren hospitalizacin, nicas o mltiples
La correccin de triquiasis, depilacin, por frceps slo
La correccin de triquiasis, depilacin, por frceps slo
La reparacin de ptosis palpebral; trasplante de tendn del
msculo recto superior,
La reparacin de ptosis palpebral; trasplante de tendn del
msculo recto superior,
Correccin de lagoftalmos, con la implantacin de la carga
superior de la tapa del prpado (por ejemplo, el peso del
oro)
Correccin de lagoftalmos, con la implantacin de la carga
superior de la tapa del prpado (por ejemplo, el peso del
oro)
Procedimiento Cotizadas, los prpados
Procedimiento Cotizadas, los prpados
Expresin de los folculos conjuntivales (por ejemplo, para el
tracoma)
Expresin de los folculos conjuntivales (por ejemplo, para el
tracoma)
Conjuntival solapa, puente o parcial (procedimiento

separado)
Conjuntival solapa, puente o parcial (procedimiento
separado)
Colgajo conjuntival, total (como flap o colgajo Gunderson
delgado cordn de bolsa)
Colgajo conjuntival, total (como flap o colgajo Gunderson
delgado cordn de bolsa)
La recoleccin del injerto conjuntival, donante vivo
La recoleccin del injerto conjuntival, donante vivo
Procedimiento Cotizadas, la conjuntiva
Procedimiento Cotizadas, la conjuntiva
La dilatacin del punto lagrimal, con o sin riego, unilateral o
bilateral
La dilatacin del punto lagrimal, con o sin riego, unilateral o
bilateral
Sondeo de conducto nasolagrimal, con o sin riego, que
requiere anestesia general
Sondeo de conducto nasolagrimal, con o sin riego, que
requiere anestesia general
Sondeo de conducto nasolagrimal, con o sin riego, con
dilatacin transluminal con baln catter
Sondeo de conducto nasolagrimal, con o sin riego, con
dilatacin transluminal con baln catter
Sondeo de conducto nasolagrimal, con o sin riego, unilateral
o bilateral
Sondeo de conducto nasolagrimal, con o sin riego, unilateral
o bilateral
Procedimiento Cotizadas, sistema lacrimal
Procedimiento Cotizadas, sistema lacrimal
Las tcnicas microquirrgicas, el uso que requiere de
microscopio quirrgico (lista por separado adems del
La mielografa, la fosa posterior; procedimiento completo
Cisternografa, contraste positivo, radiolgicos supervisin e
interpretacin
Cisternografa, contraste positivo; procedimiento completo
Dacriocistografa, conducto nasolagrimal; procedimiento
completo
Artrografa de la articulacin temporomandibular;
procedimiento completo
Laryngography, contraste, procedimiento completo
La tomografa computarizada, la cabeza o el cerebro, con
posterior o del odo externo, medio o interno, con material
de contraste (s)
La tomografa computarizada, rea maxilofacial, con
La tomografa computarizada, cuello tejido blando, con
Angiografa por tomografa computarizada, el cuello, con

Angiografa por resonancia magntica de cabeza y / o
cuello, con o sin material de contraste (s)
imgenes, la rbita, la cara y / o el cuello, con material de
contraste (s)
Angiografa por resonancia magntica, cabeza, con material
de contraste (s)
Angiografa por resonancia magntica, el cuello, con
imgenes, el cerebro (incluyendo el tronco cerebral); con
La resonancia magntica, el cerebro, la IRM funcional;
incluyendo la seleccin de prueba y administracin de
movimiento repetitivo parte del cuerpo y / o la estimulacin
visual, no requiere administracin mdico o psiclogo
La resonancia magntica, el cerebro, la resonancia
magntica funcional, la administracin requiere mdico o
psiclogo de pruebas neuro todo
malformacin vascular residual); con material de contraste
(s)
Examen radiolgico, el pecho, equipo de msica, frontal
Biopsia por puncin de la lesin intratorcica, incluido el
seguimiento de las pelculas; procedimiento completo
Localizacin fluoroscpica para biopsia transbronquial o
cepillado
Broncografa, unilateral, completo procedimiento
Broncografa, bilateral; procedimiento completo
Insercin de marcapasos, fluoroscopia y radiografa,
radiolgicos supervisin e interpretacin
La tomografa computarizada, el trax, con material de
contraste (s)
Angio-TC, el pecho (no coronaria), con material de contraste
(s), incluyendo imgenes sin contraste, si se realiza, y postprocesamiento de imagen
linfadenopata hiliar y mediastinal), con material de contraste
(s)
La tomografa computarizada, la columna cervical, con
La tomografa computarizada, la columna vertebral torcica,
con material de contraste
La tomografa computarizada, la columna lumbar, con medio

de contraste
imgenes, canal espinal y contenido; torcica
imgenes, canal espinal y contenido; lumbar
secuencias adicionales, torcica
secuencias adicionales, lumbar
Examen radiolgico, pelvis; estreo
Angiografa por tomografa computarizada, la pelvis, con
La tomografa computarizada, la pelvis, con material de
contraste (s)
La mielografa cervical, supervisin e interpretacin
radiolgica
La mielografa, cervical; procedimiento completo
La mielografa, torcicos; procedimiento completo
La mielografa, lumbosacra, radiolgicos supervisin e
interpretacin
La mielografa, lumbosacra; procedimiento completo
La mielografa, canal espinal entera; procedimiento
completo
Epidurografa, vigilancia radiolgica y la interpretacin
La discografa, cervical; procedimiento completo
percutnea, aumento vertebral, o el aumento del sacro
(sacroplasty), incluyendo la creacin de la cavidad, por
cuerpo vertebral o el sacro, bajo gua fluoroscpica
percutnea, aumento vertebral, o el aumento del sacro
(sacroplasty), incluyendo la creacin de la cavidad, por
cuerpo vertebral o el sacro, bajo la orientacin CT
La discografa, lumbar, radiolgicos supervisin e
interpretacin
La discografa, lumbar, procedimiento completo
Examen radiolgico, el hombro, artrografa, procedimiento
completo
Examen radiolgico, el codo, artrografa, procedimiento
completo
Examen radiolgico, la mueca, artrografa, procedimiento
completo
La tomografa computarizada, extremidad superior, con

imgenes, extremidad superior, que no sea conjunta, con
imgenes, cualquier articulacin de la extremidad superior,
con material de contraste (s)
Examen radiolgico, cadera, artrografa, procedimiento
completo
Examen radiolgico, la rodilla, artrografa, procedimiento
completo
Examen radiolgico, el tobillo, artrografa, procedimiento
completo
La tomografa computarizada, las extremidades inferiores,
con material de contraste (s)
conjunta, con material de contraste (s)
imgenes, cualquier articulacin de las extremidades
inferiores, con material de contraste (s)
La tomografa computarizada, el abdomen, con material de
contraste (s)
imgenes, el abdomen, con material de contraste (s)
Tomografa computarizada (CT) colonografa, de
diagnstico, incluyendo post-procesamiento de imgenes;
Tomografa computarizada (CT) colonografa, de
diagnstico, incluyendo post-procesamiento de imagen, con
material de contraste (s) incluidas las imgenes sin
contraste, si se realiza
Tomografa computarizada (CT) colonografa, cribado,
incluyendo post-procesamiento de imagen
La colangiografa percutnea, transheptica; procedimiento
completo
Percutnea colocacin de sonda de gastrostoma;
Colocacin de tubo percutneo enteroclisis; procedimiento
completo
Dilatacin intraluminal de la estenosis y / o obstrucciones
(por ejemplo, el esfago o el rbol biliar); procedimiento
completo
Urografa (pielografa), por va intravenosa, con o sin
radiografa RUV (rion, ureter, vejiga), con o sin tomografa;
con especial concentracin contraste hipertensiva y / o
estudios de remocin
Urografa, antergrado (pyelostogram, nefrostograma,
loopogram); procedimiento completo
La cistografa, mnimo de tres puntos de vista;
Vasografa, vesiculografia o epididymography;
Corpora cavernosografa, supervisin e interpretacin

radiolgica
Corpora cavernosografa; procedimiento completo
Uretrocistografa, retrgrado; procedimiento completo
Uretrocistografa, miccin; completa procedimiento
Examen radiolgico, estudio de quiste renal, visualizacin
translumbar, el contraste, la supervisin y la interpretacin
radiolgica
Radiolgica examen, estudio quiste renal, visualizacin
translumbar, contraste, procedimiento completo
el drenaje y / o de inyeccin, percutnea, con control
fluoroscpico y radiografa; procedimiento completo
la pelvis renal para el drenaje y / o de inyeccin, percutnea,
con control fluoroscpico y radiografa; procedimiento
completo
La dilatacin de nefrostoma o urteres con control
fluoroscpico y la radiografa, procedimiento completo
Radiologic examen, abdomen, para la edad fetal, posicin
fetal y / o localizacin de la placenta; nica vista
La histerosalpingografa; procedimiento completo
Perineogram (por ejemplo, vaginogram, para la
determinacin del sexo o la magnitud de las anomalas)
Angiocardiografa por cinerradiografa, vigilancia radiolgica
y la interpretacin
Angiocardiografa por cinerradiografa; procedimiento
completo (incluyendo cateterismo)
Angiocardiografa por serialography, un plano, la supervisin
Angiocardiografa por serialography, solo plano;
procedimiento completo (incluyendo cateterismo)
Angiocardiografa por serialography, multi-plano, supervisin
e interpretacin radiolgica
Angiocardiogrphy por serialography, multi-plano;
procedimiento completo (incluyendo cateterismo)
Radiografa cardiaca, cateterismo cardaco selectivo, lado
derecho, la supervisin y la interpretacin radiolgica
derecho; procedimiento completo
Radiografa cardiaca, cateterismo cardaco selectivo, a la
izquierda, la supervisin y la interpretacin radiolgica
izquierdo; procedimiento completo
derecho e izquierdo, la supervisin y la interpretacin
radiolgica
Radiografa cardiaca, cateterismo cardaco selectivo, a la
derecha ya la izquierda; procedimiento completo
La resonancia magntica cardiaca de morfologa y funcin

sin material de contraste;
sin material de contraste, con la cuantificacin de flujo /
velocidad
sin material de contraste, con imgenes de estrs
sin material de contraste, con la cuantificacin de flujo /
velocidad y el estrs
La resonancia magntica cardiaca para la morfologa y la
funcin sin material de contraste (s), seguido de material de
contraste (s) y secuencias adicionales;
contraste (s) y las secuencias adicionales, con la
cuantificacin de flujo / velocidad
contraste (s) y las secuencias adicionales, con imgenes de
estrs
contraste (s) y las secuencias adicionales, con la
cuantificacin de flujo / velocidad y el estrs
La resonancia magntica cardiaca para el mapeo de la
velocidad de flujo (Haga una lista por separado adems del
La tomografa computarizada, el corazn, sin material de
contraste, con una evaluacin cuantitativa de calcio
coronario
La tomografa computarizada, el corazn, con material de
contraste, para la evaluacin de la estructura y la morfologa
cardiaca (incluyendo post-procesamiento de imgenes 3D,
la evaluacin de la funcin cardiaca y la evaluacin de las
estructuras venosas, si se realiza)
La tomografa computarizada, el corazn, con material de
contraste, para la evaluacin de la estructura y la morfologa
cardiaca en el contexto de una enfermedad cardiaca
congnita (incluyendo post-procesamiento de imgenes 3D,
la evaluacin de la funcin cardaca LV, RV estructura y la
funcin y la evaluacin de las estructuras venosas, si se
realiza)
Angio-TC, el corazn, las arterias coronarias y los injertos
de derivacin (cuando est presente), con material de
contraste, incluyendo post-procesamiento de imagen en 3D
(incluyendo la evaluacin de la estructura cardiaca y la
morfologa, la evaluacin de la funcin cardiaca y la
evaluacin de las estructuras venosas, si se realiza)
Aortografa, torcica, sin serialography; procedimiento
completo
Aotography, torcica, por serialography; procedimiento

completo
Aortografa abdominal, translumbar, sin serialography, la
supervisin y la nica interpretacin
Aotography, abdominal, translumbar, por serialography;
Aotography, abdominal bilateral ms iliofemoral
extremidades inferiores, catter, por serialography;
Angiografa, cervicocerebral catter, incluyendo origen
buque; procedimiento completo
Angiografa, braquial, retrgrado; procedimiento completo
Angiografa, cartida externa, cerebral, unilateral, selectiva,
completa el procedimiento
Angiografa, cartida externa, cerebral, bilateral, selectiva,
completa el procedimiento
Angiografa, cartida, cerebral, unilateral; puncin directa,
Angiografa, cartida, cerebral bilateral; puncin directa,
Angiografa, cartida, cervical unilateral; puncin directa,
Angiografa, cartida, cervical, bilateral; puncin directa,
Angiografa, vertebral; puncin directa, procedimiento
completo
Angiografa, vertebral; catter, procedimiento completo
Angiografa, vertebral, cervicales, unilateral, supervisin y
nica interpretacin
Angiografa, vertebral, cervicales, unilateral; catter,
Angiografa, vertebral, cervical, bilateral, la supervisin y la
nica interpretacin
Angiografa, vertebral, cervical, bilateral; catter,
Angiografa, espinal selectiva; procedimiento completo
Angiografa, extremidad, unilateral, sin serialography,
Angiografa, extremidades, bilateral, sin serialography,
Angiografa, renal unilateral, selectiva (incluyendo
aortograma ras); procedimiento completo
Angiografa, renal bilateral, selectiva (incluyendo aortograma
ras); procedimiento completo
Angiografa, visceral; selectiva (con o sin aortograma ras),
Angiografa, suprarrenal, unilateral, selectiva, completa el
procedimiento
Angiografa, suprarrenal, bilateral, selectiva, completa el
procedimiento
Angiografa, plvico, procedimiento selectivo, completo
La angiografa pulmonar, unilateral, selectiva, completa el
procedimiento
La angiografa pulmonar, bilateral, selectiva, completa el

procedimiento
Angiografa, pulmonar; catter, procedimiento selectivo,
completa
Angiografa, coronaria, la raz de la inyeccin, la supervisin
Angiografa, coronaria, la raz de la inyeccin; procedimiento
completo
La angiografa, inyeccin coronaria, unilateral selectiva,
y registro de la presin, la supervisin y la interpretacin
radiolgica
La angiografa, inyeccin coronaria, unilateral selectiva,
y registro de la presin; procedimiento completo
La angiografa, inyeccin coronaria bilateral selectiva,
y registro de la presin, la supervisin y la interpretacin
radiolgica
Angiografa, mamaria interna, completa el procedimiento
Angiografa, bypass coronario, la inyeccin unilateral
selectiva, vigilancia radiolgica y la interpretacin
Angiografa, bypass coronario, la inyeccin selectiva
unilateral; procedimiento completo
mltiple, supervisin e interpretacin radiolgica
mltiple; procedimiento completo
Angiografa, selectiva, cada vaso adicional estudiado
despus del examen bsico; procedimiento completo
Angiografa, derivacin arteriovenosa (por ejemplo, injerto
de dilisis paciente fstula /), la evaluacin completa de
acceso de dilisis, incluyendo documentacin de imgenes
de fluoroscopia, y el informe (incluye inyecciones de
contraste de imagen y todo lo necesario de la anastomosis
arterial y la arteria adyacente a travs de la salida venosa
entera, incluyendo el inferior o la vena cava superior), la
Linfangiografa, slo extremidad, unilateral; procedimiento
completo
Linfangiografa, extremidad slo bilateral; procedimiento
completo
Linfangiografa, plvica / abdominal, unilateral, completo
procedimiento
Linfangiografa, plvica / abdominal, bilateral; procedimiento
completo
Splenoportography; procedimiento completo
Venografa, extremidad, unilateral; procedimiento completo
Venografa, extremidades, bilateral; procedimiento completo
Venografa, cava, inferior, con serialography; procedimiento

completo
Venografa, cava, superior, con serialography; procedimiento
completo
Venografa, renal, unilateral, selectiva; procedimiento
completo
Venografa, adrenal, unilateral, selectiva, radiolgicos
Venografa, adrenal, unilateral, selectiva, completa el
procedimiento
Venografa, adrenal, bilateral, selectivo, radiolgicos
Venografa, adrenal, bilateral, selectiva, completa el
procedimiento
Venografa, cigos, selectiva o no selectiva, supervisin y
nica interpretacin
Venografa, seno o yugular, catter, procedimiento completo
Venografa, epidural; procedimiento completo
Venografa, orbital, la supervisin y la interpretacin
radiolgica
La venografa orbitaria; procedimiento completo
Transheptica percutnea portografa con la evaluacin
hemodinmica; procedimiento completo
Transheptica percutnea portografa sin evaluacin
Venografa heptica encajado o libre, con evaluacin
Venografa heptica, cua o libre, sin evaluacin
Terapia transcatter, embolizacin (por ejemplo, partculas o
lquidos), incluyendo la angiografa; procedimiento completo
Terapia percutnea, la infusin (por ejemplo, la trombolisis
coronaria distinta), incluyendo la angiografa; procedimiento
completo
Percutnea colocacin de filtro de IVC; procedimiento
completo
Ultrasonido intravascular (vaso no coronario), la supervisin
y la interpretacin radiolgica, cada adicional vaso no
coronario (lista por separado adems del cdigo para el
Percutneo intravascular oclusin (por ejemplo, un globo),
temporales, incluyendo la angiografa, la supervisin y la
nica interpretacin

interrupcin traumtica); implica la cobertura de origen
endoprtesis ms de aorta descendente (s), si se requiere,
a nivel de origen de la arteria celaca, la supervisin y la
interrupcin traumtica); no implique la cobertura de origen
endoprtesis ms de aorta descendente (s), si es necesario,
a nivel de origen de la arteria celaca, la supervisin y la
La colocacin de prtesis de extensin proximal para la
lcera penetrante, hematoma intramural, o la interrupcin
traumtica), la supervisin y la interpretacin radiolgica
Colocacin de prtesis de extensin distal (s) (con retraso)
despus de la reparacin endovascular de la aorta torcica
descendente, segn sea necesario, a nivel de origen
celaca, la supervisin y la interpretacin radiolgica
La angioplastia transluminal percutnea, cualquier mtodo,
la arteria perifrica; procedimiento completo
La angioplastia transluminal con baln, cada arteria
perifrica adicional, la supervisin y la interpretacin
radiolgica (Lista por separado adems de cdigo para el
cada arteria perifrica adicional; procedimiento completo
la arteria renal o visceral otro; procedimiento completo
La angioplastia transluminal con baln, cada arteria visceral
adicional, la supervisin y la interpretacin radiolgica (Lista
primario)
cada arteria visceral adicional; procedimiento completo
Transcatter biopsia, la supervisin y la interpretacin
radiolgica
Transcatter biopsia, procedimiento completo
Colocacin percutnea de un catter de drenaje para el

drenaje biliar combinado interno y externo o de un stent de
drenaje para el drenaje biliar interno en pacientes con una
obstruccin mecnica inoperable biliar, la supervisin y la
Colocacin percutnea de un catter de drenaje para el
drenaje biliar combinado interno y externo o de un stent de
drenaje para el drenaje interno biliar en pacientes con una
obstruccin biliar inoperable mecnica; procedimiento
completo
Cambio de tubo percutneo o catter de drenaje con control
de contraste (por ejemplo, sistema, genitourinario, absceso),
Cambiar de catter de drenaje percutneo con control de
contraste (es decir, el tracto biliar, el tracto urinario);
Radiolgica orientacin (es decir, la fluoroscopia, ultrasonido
o tomografa computarizada), para el drenaje percutneo
(por ejemplo, el absceso, la recogida de muestras), con
colocacin de catter, vigilancia radiolgica y la
interpretacin
Radiolgica orientacin para el drenaje percutneo de un
absceso o de recogida de la muestra (es decir, fluoroscopia,
ultrasonido o tomografa computarizada), con o sin
colocacin de un catter permanente; procedimiento
completo
Aterectoma Transluminal, arteriopata perifrica, la
Aterectoma transluminal, cada arteria perifrica adicional, la
supervisin y la interpretacin radiolgica (Lista por
Aterectoma Transluminal, renal, la supervisin y la
Aterectoma Transluminal, visceral, vigilancia radiolgica y la
interpretacin
Aterectoma transluminal, cada arteria visceral adicional, la
supervisin y la interpretacin radiolgica (Lista por
Aplicacin manual de estrs realizado por el mdico para la
radiografa comn, incluida articulacin contralateral si est
indicado
Examen radiolgico, estudio seo; completa (axial y el
esqueleto apendicular)
Examen radiolgico, estudio seo, infantil
sea, uno o ms sitios, evaluacin de fractura vertebral
Examen radiolgico, fstula o tracto sinusal estudio;
Digitalizacin de imgenes de pelculas radiogrficas con el

anlisis informtico para la deteccin de la lesin y el
examen mdico adicional para la interpretacin, la
mamografa (lista por separado adems del cdigo para el
Ductograma mamaria o galactograma, de un solo conducto;
Ductograma mamaria o galactograma, conductos mltiples;
Estereotctica gua de localizacin de la biopsia de mama o
colocacin de la aguja (por ejemplo, para la localizacin de
cables o para inyeccin), cada lesin, vigilancia radiolgica y
la interpretacin
Gua mamogrfica para colocacin de la aguja, mama (por
ejemplo, para la localizacin de cables o para inyeccin),
cada lesin, vigilancia radiolgica y la interpretacin
La localizacin del ndulo de mama o calcificacin antes de
la operacin, con el marcador y la confirmacin de su
posicin con la imagen apropiada (por ejemplo, radiolgicas
o ecografa), cada localizacin adicional
Examen radiolgico, seccin solo cuerpo plano (por
ejemplo, la tomografa), excepto con la urografa
Examen radiolgico, movimiento complejo (es decir,
hypercycloidal) seccin del cuerpo (por ejemplo, mastoides
politomografa), excepto con la urografa, unilateral
Examen radiolgico, movimiento complejo (es decir,
hypercycloidal) seccin del cuerpo (por ejemplo, mastoides
politomografa), excepto con la urografa, bilateral
Cinerradiografa / videoradiography, excepto en los casos
especficamente incluido
Cinerradiografa / videoradiography para complementar el
examen de rutina (lista por separado adems del cdigo
Consulta sobre el examen de rayos X realizado en otra
parte, el informe escrito
Xeroradiography
Orientacin axial computarizada para biopsia de aguja;
Orientacin axial computarizada para la aspiracin del
quiste, supervisin e interpretacin radiolgica
Orientacin axial computarizada para la aspiracin del
quiste; procedimiento completo
Representacin 3D con la interpretacin y la comunicacin
de la tomografa computarizada, resonancia magntica,
ultrasonido o tomografa otra modalidad, que no requieren
postprocesado de imgenes en una estacin de trabajo
independiente
Representacin 3D con la interpretacin y la comunicacin

de la tomografa computarizada, resonancia magntica,
ultrasonido o tomografa otra modalidad, que requieren
postprocesado de imgenes en una estacin de trabajo
independiente
Ultrasonido orientacin para, y el seguimiento de, la
ablacin de tejido
Procedimiento Cotizadas fluoroscpica (por ejemplo,
diagnstico, intervencin)
Cotizadas computarizada procedimiento de tomografa (por
ejemplo, diagnstico, intervencin)
Procedimiento Cotizadas resonancia magntica (por
ejemplo, diagnstico, intervencin)
Cotizadas procedimiento radiolgico de diagnstico
Ultrasonido oftlmico, diagnstico, B-scan y A-scan
cuantitativo realizado durante el encuentro con el paciente
mismo
Ecocardiografa en modo M; completa
Ecocardiografa y en tiempo real con documentacin de
imgenes (2D); completa
Ecocardiografa en modo M y en tiempo real con
documentacin de imgenes (2D)
La ecocardiografa Doppler
Ultrasonido del rin trasplantado, en tiempo real y Doppler
dplex con documentacin de imgenes
de imgenes, en el primer trimestre fetal medicin de la
translucencia nucal, va transabdominal o transvaginal;
gestacin nica o primera
de imgenes, en el primer trimestre fetal medicin de la
translucencia nucal, transabdominal o transvaginal, cada
gestacin adicional (lista por separado adems del cdigo
Velocimetra Doppler fetal; arteria umbilical
Velocimetra Doppler fetal, la arteria cerebral media
Ecocardiografa fetal sistema, cardiovascular, en tiempo real
con documentacin de imgenes (2D), con o sin grabacin
en modo M, el seguimiento o repetir el estudio
La ecocardiografa Doppler, onda fetal, pulsado y / o de
onda continua con visualizacin espectral, el seguimiento o
repetir el estudio
Ultrasonido plvico (no obsttrica), en tiempo real con
documentacin de imgenes, limitado o de seguimiento (por
ejemplo, por folculos)
Ultrasonido transrectal, estudio del volumen prosttico para
la planificacin del tratamiento de braquiterapia
Ultrasonido caderas infantiles, en tiempo real con
documentacin de imgenes, limitado y esttico (no
requiere manipulacin mdico)
La ecografa, sistema vascular perifrico (por ejemplo, Bscan, Doppler o anlisis en tiempo real)
La ecografa, la cabeza y el tronco, el sistema vascular (por
ejemplo, duplex Doppler)
Orientacin ultrasnica para la pericardiocentesis,
Orientacin por ultrasonidos para la biopsia endomiocrdica,
Orientacin por ultrasonidos para la toracocentesis o
paracentesis abdominal, la supervisin y la interpretacin
radiolgica
Orientacin por ultrasonidos para la toracocentesis;
Orientacin por ultrasonidos para quiste (cualquier lugar) o
aspiracin pelvis renal, la supervisin y la interpretacin
radiolgica
Orientacin por ultrasonidos para quiste (cualquier lugar), o
la aspiracin pelvis renal; procedimiento completo
Orientacin por ultrasonidos para la biopsia con aguja,
Orientacin por ultrasonidos para la amniocentesis,
Orientacin por ultrasonidos para la aspiracin de los
vulos; procedimiento completo
Orientacin por ultrasonidos para la colocacin de los
campos de radioterapia, a excepcin de B-scan ecografa
Orientacin ultrasonoro de uso radioelemento intersticial
Estudio de ultrasonido de seguimiento (especificar)
Gastrointestinal ultrasonido endoscpico supervisin e
interpretacin
Ecografa intraluminal (por ejemplo, transrectal,
transvaginal)
Orientacin por ultrasonidos, intraoperatorio
Procedimiento de ultrasonido Cotizadas (por ejemplo,
diagnstico, intervencin)
Gua fluoroscpica para la colocacin del dispositivo de
acceso venoso central, la sustitucin (catter slo o
completa), o el retiro (incluye gua fluoroscpica para el
acceso vascular y la manipulacin del catter, las
inyecciones de contraste necesarios a travs del sitio de
acceso o catter relacionados con la venografa vigilancia
radiolgica y la interpretacin, y la documentacin
radiogrfica de la posicin del catter final) (Enumere por
primario)
Gua fluoroscpica para la colocacin de la aguja (por
ejemplo, biopsia, aspiracin, inyeccin, dispositivo de
localizacin)
Gua fluoroscpica y localizacin de la aguja o punta del

catter para la columna vertebral o paravertebrales
procedimientos de inyeccin de diagnstico o teraputicos
(epidural, transforaminal epidural, subaracnoidea, o la
articulacin sacroilaca), incluyendo la destruccin agente
neuroltico
La tomografa computarizada orientacin para la
localizacin estereotctica
La tomografa computarizada gua para la colocacin de la
aguja (por ejemplo, biopsia, aspiracin, inyeccin,
dispositivo de localizacin), la supervisin y la interpretacin
radiolgica
La tomografa computarizada de orientacin para, y el
seguimiento de la ablacin del tejido parenquimatoso
La tomografa computarizada gua para la colocacin de los
Orientacin por resonancia magntica para la colocacin de
la aguja (por ejemplo, para realizar una biopsia, aspiracin,
inyeccin o colocacin de dispositivo de localizacin) y la
interpretacin radiolgica supervisin
Orientacin por resonancia magntica para, y el
seguimiento de la ablacin del tejido parenquimatoso
Estereotctica gua de localizacin de la biopsia de mama o
colocacin de la aguja (por ejemplo, para la localizacin de
cables o para inyeccin), cada lesin, vigilancia radiolgica y
la interpretacin
Gua mamogrfica para colocacin de la aguja, mama (por
ejemplo, para la localizacin de cables o para inyeccin),
cada lesin, vigilancia radiolgica y la interpretacin
Deteccin asistida por ordenador (ordenador algoritmo de
anlisis de datos de imgenes digitales para la deteccin de
la lesin) con examen mdico adicional para la
interpretacin, con o sin la digitalizacin de imgenes
radiogrficas de pelcula; mamografa de diagnstico (Lista
primario)
Deteccin asistida por ordenador (ordenador algoritmo de
anlisis de datos de imgenes digitales para la deteccin de
la lesin) con examen mdico adicional para la
interpretacin, con o sin la digitalizacin de imgenes
radiogrficas de pelcula; mamografa de deteccin (Lista
primario)
Ductograma mamaria o galactograma, de un solo conducto,
Ductograma mamaria o galactograma, conductos mltiples,
vigilancia radiolgica y la interpretacin
La mamografa, unilateral
La mamografa; bilateral
Mamografa, bilateral (dos con vistas al estudio de cine de
cada seno)

de contraste (s); unilateral
de contraste (s); bilateral
Aplicacin manual de estrs realizado por el mdico para la
radiografa comn, incluida articulacin contralateral si est
indicado
Estudios de la edad sea
Estudios seos de longitud (orthoroentgenogram,
escanograma)
Examen radiolgico, estudio seo; limitada (por ejemplo, por
metstasis)
Examen radiolgico, estudio seo; completa (axial y el
esqueleto apendicular)
Examen radiolgico, estudio seo, infantil
Encuesta conjunta, vista individual, 2 o ms articulaciones
(especificar)
estudio, 1 o ms sitios; esqueleto axial (por ejemplo, la
cadera, la pelvis, la columna vertebral)
La tomografa computarizada, la densidad mineral sea de
estudio, 1 o ms sitios; esqueleto apendicular (perifrica)
(por ejemplo, el radio, la mueca, el taln)
De doble energa absorciometra de rayos X (DXA), el
estudio de la densidad sea, los sitios 1 o ms; esqueleto
axial (por ejemplo, las caderas, la pelvis, la columna
vertebral)
estudio de densidad sea, uno o ms sitios; esqueleto
apendicular (perifrica) (por ejemplo, el radio, la mueca, el
taln)
estudio de densidad sea, uno o ms sitios, evaluacin de
fractura vertebral
Absorciometra radiogrfica (por ejemplo, fotodensitometra,
radiogrammetry), 1 o ms sitios
imgenes, la mdula sea suministro de sangre
Radiologa teraputica planificacin del tratamiento, simple
Radiologa teraputica planificacin del tratamiento, de nivel
intermedio
Radiologa teraputica planificacin del tratamiento;
complejo
Radiologa teraputica simulacin asistida por campo de
ajuste, simple
ajuste, de nivel intermedio
configuracin, complejo
ajuste; 3-dimensional
Procedimiento Cotizadas, radiologa teraputica

planificacin del tratamiento clnico
Teleterapia, plan de isodosis (ya sea a mano o computadora
calculado), simple (paralelo 1 o 2 puertos opuestos sin
modificar dirigidos a una sola rea de inters)
Teleterapia plan especial del puerto, partculas, medio
cuerpo, de cuerpo entero
Plan de isodosis braquiterapia; simple (clculo realizado a
partir de un solo plano, fuentes de 1 a 4 / aplicacin de
cinta, fuentes de braquiterapia de carga diferida remota, de
1 a 8)
Plan de isodosis braquiterapia; complejo (plan de isodosis
multiplano, los clculos de volumen del implante, ms de 10
fuentes / cintas utilizadas, reconstruccin espacial especial,
braquiterapia de carga diferida a distancia, de ms de 12
fuentes)
Dispositivos de tratamiento, diseo y construccin, de nivel
intermedio (varios bloques, stents, bloques de mordida,
bolos especiales)
Dispositivos de tratamiento, el diseo y la construccin;
complejo (bloques irregulares, escudos especiales,
compensadores, cuas, moldes o yesos)
Continuando consulta fsica mdica, incluida la evaluacin
de los parmetros de tratamiento, control de calidad de
suministro de la dosis, y la revisin de la documentacin de
tratamiento del paciente en apoyo al onclogo de radiacin,
inform la semana de la terapia
Colimador de hojas mltiples (MLC) dispositivo (s) para la
terapia de radiacin de intensidad modulada (IMRT), el
diseo y la construccin por plan de IMRT
Especial radiacin mdica consulta fsica
Entrega radioterapia, radiociruga estereotctica (SRS), el
curso completo del tratamiento de la lesin craneal (s) que
consiste en un perodo de sesiones; multi-fuente de cobalto
60 en base
Entrega radioterapia, radiociruga estereotctica (SRS), el
curso completo del tratamiento de la lesin craneal (s) que
consiste en un perodo de sesiones; acelerador lineal
basado
Corporal estereotctica radioterapia, la administracin del
tratamiento, por fraccin de 1 o ms lesiones, incluyendo la
imagen de orientacin, no curso entero superior a 5
fracciones
Protn entrega haz a un rea de tratamiento nico, nico
puerto, bloque personalizado, con o sin compensacin, con
tratamiento de configuracin y verificacin de imgenes
Protn tratamiento viga a una o dos reas de tratamiento,
dos o ms puertos, dos o ms bloques personalizados y
compensadores de dos o ms, con el tratamiento de puesta
en marcha y verificacin de imgenes
Procedimiento Cotizadas, radiofsica mdica, la dosimetra y

el tratamiento de los dispositivos y servicios especiales
La gestin diaria tratamiento megavoltaje, simple
Radiacin administracin del tratamiento, superficial y / o la
tensin orto
Radiacin administracin del tratamiento, rea de
tratamiento nico, nico puerto o puertos paralelos
opuestos, simples bloques o bloques no, puede tener hasta
5 MeV
opuestos, simples bloques o bloques no; 6-10 MeV
opuestos, simples bloques o bloques no; 11-19 MeV
La gestin diaria tratamiento megavoltaje, de nivel
intermedio
Entrega Radioterapia, rea de tratamiento nico, nico
puerto o puertos paralelos opuestos, simples bloques o
bloques no, 20 MeV o ms
Administracin de la radiacin de tratamiento, 2 zonas de
tratamiento separados, 3 o ms puertos en un rea de
tratamiento individual, el uso de mltiples bloques, de hasta
5 MeV
Radiacin administracin del tratamiento, dos reas de
tratamiento separados, tres o ms puertos en un rea de
tratamiento nico, el uso de mltiples bloques; MeV 6-10
tratamiento nico, el uso de mltiples bloques; MeV 11-19
La gestin diaria tratamiento megavoltaje, complejo
tratamiento nico, el uso de mltiples bloques; MeV 20 o
mayor
Radiacin administracin del tratamiento, 3 o ms reas de
tratamiento separados, bloqueo de puertos personalizados,
tangenciales, cuas, haz rotacional, compensadores, haz de
electrones, puede tener hasta 5 MeV
Radiacin administracin del tratamiento, tres o ms reas
de tratamiento separados, bloqueo personalizados, puertos
tangenciales, cuas, haz rotacional, compensadores, haz de
electrones, 6-10 MeV
de tratamiento separados, bloqueo de puertos
personalizados, tangenciales, cuas, haz rotacional,
compensadores, haz de electrones, 11-19 MeV
El tratamiento teraputico de radiologa puerto pelcula

interpretacin y verificacin, curso de tratamiento por
de tratamiento separados, bloqueo de puertos
personalizados, tangenciales, cuas, haz rotacional,
compensadores, haz de electrones; MeV 20 o ms
Radiologa teraputica puerto pelcula (s)
Radiacin Weekly manejo de la terapia; conformal
Estereoscpica de rayos X orientacin para la localizacin
de volumen de destino para la entrega de terapia de
radiacin
Neutrones de alta energa de la radiacin de suministro de
tratamiento; 1 o ms isocentro (s) con geometra coplanar o
no coplanares con el bloqueo y / o de cua, y / o
compensador (s)
Corporal estereotctica radioterapia, la gestin del
tratamiento, por curso de tratamiento, a 1 o ms lesiones,
incluyendo la imagen de orientacin, no curso entero
superior a 5 fracciones
La gestin diaria tratamiento kilovoltaje
Procedimiento Cotizadas, radiologa teraputica gestin del
tratamiento
Protn suministro de tratamiento simple, sin compensacin
Protn suministro de tratamiento simple, con una
compensacin
Protn suministro de tratamiento intermedio
Entrega de protones tratamiento; complejo
La hipertermia, generada externamente; superficial (es
decir, el calentamiento a una profundidad de 4 cm o menos)
La hipertermia, generado en el exterior, en el fondo (es
decir, el calentamiento hasta profundidades de ms de 4
cm)
La hipertermia generada por la sonda intersticial (s); 5 o
menos aplicadores intersticiales
La hipertermia generada por la sonda intersticial (s), ms de
5 aplicadores intersticiales
La hipertermia generada por la sonda intracavitaria (s)
Radiacin intracavitaria aplicacin de origen, de nivel
intermedio
Radiacin intersticial aplicacin de origen, de nivel
intermedio
Radiacin intersticial aplicacin de origen, complejo
Tasa de carga diferida remota de alta dosis de
radionucleidos braquiterapia; 2-12 canales
Tasa de carga diferida remota de alta dosis de
radionucleidos de braquiterapia; ms de 12 canales
Supervisin, manipulacin, carga de fuente de radiacin
Procedimiento Cotizadas, clnicos braquiterapia
Carcinoma de tiroides metstasis formacin de imgenes;
rea limitada (por ejemplo, el cuello y el pecho solamente)
Carcinoma de tiroides metstasis de imgenes, con

estudios adicionales (por ejemplo, la recuperacin urinaria)
Carcinoma de tiroides metstasis imgenes; mltiples reas
Procedimiento endocrino Cotizadas, la medicina nuclear
diagnstica
Bone imgenes mdula; mltiples reas
Bone imgenes mdula, el cuerpo entero
El volumen plasmtico, radiofrmaco volumen de dilucin
tcnica (procedimiento separado); muestreos mltiples
Glbulos rojos determinacin del volumen (procedimiento
separado); muestreos mltiples
Red celular estudio de supervivencia;
Glbulos rojos estudio de supervivencia; diferenciales de
rganos / tejidos cintica (por ejemplo, esplnica y / o
heptica secuestro)
Etiquetada secuestro de glbulos rojos, diferencial de
rganos / tejidos (por ejemplo, del bazo y / o heptica)
Plasma radioiron desaparicin (volumen de negocios) Tasa
Radioiron absorcin oral
Radioiron rojo el uso de celdas
Hierro quelable para la estimacin de hierro corporal total
Bazo de imagen slo; con flujo vascular
Kinetics, estudio de supervivencia de las plaquetas, con o
sin diferencial de localizacin de rganos / tejidos
Glbulos blancos localizacin celular, escaneo rea limitada
Glbulos blancos localizacin celular, todo el cuerpo
Formacin de imgenes del hgado y bazo; con flujo
vascular
Hgado y pulmn de imgenes (por ejemplo, absceso,
subfrnico)
Imagen de la glndula salival, con imgenes en serie
La vitamina B-12 la absorcin de estudio (por ejemplo,
Schilling prueba); sin factor intrnseco
La vitamina B-12 absorcin de estudio (por ejemplo, prueba
de Schilling); con el factor intrnseco
Gastrointestinales sangre aspirado localizacin prdida
Prdida proteica gastrointestinal
Peritoneal-venosa derivacin prueba la permeabilidad (por
ejemplo, para LeVeen, Denver shunt)
Cotizadas procedimiento gastrointestinal, de diagnstico de
medicina nuclear
sea y / o articular imgenes; mltiples reas
Hueso y / o articulacin de imgenes, el cuerpo entero
flujo vascular slo
La densidad sea (contenido mineral del hueso) estudio, 1 o
ms sitios; absorciometra de fotn dual, 1 o ms sitios
Conjunto de imgenes; rea limitada
Cotizadas procedimiento msculo-esqueltico, de

diagnstico de medicina nuclear
Determinacin de centrales hemodinmica CV (no
formacin de imgenes) (por ejemplo, fraccin de eyeccin
con la tcnica de sonda) con o sin intervencin
farmacolgica o ejercicio, las determinaciones nicas o
mltiples
Sangre cardaca imagen de la acumulacin, la imagen
funcional (por ejemplo, la fase y la amplitud de anlisis)
ndice de regurgitacin cardiaca
Deteccin de derivacin cardiaca
Cardiac flujo de formacin de imgenes (es decir,
angiocardiografa)
No cardiaco imgenes flujo vascular (es decir, la
angiografa, la venografa)
La imagen de perfusin miocrdica, tomogrfica (SPECT)
(incluyendo la correccin de atenuacin, motilidad cualitativa
o cuantitativa, fraccin de eyeccin por primera pasada o la
tcnica cerrada, la cuantificacin adicional, si se realiz);
solo estudio, en reposo o de esfuerzo (ejercicio o
farmacolgica)
La imagen de perfusin miocrdica, tomogrfica (SPECT)
(incluyendo la correccin de atenuacin, motilidad cualitativa
o cuantitativa, fraccin de eyeccin por primera pasada o la
tcnica cerrada, la cuantificacin adicional, si se realiz),
mltiples estudios, en reposo y / o el estrs (ejercicio o
farmacolgico) y / o reinyeccin redistribucin y / o
descanso
La imagen de perfusin miocrdica, planar (incluyendo la
motilidad cualitativa o cuantitativa, fraccin de eyeccin por
primera pasada o la tcnica cerrada, la cuantificacin
adicional, si se realiz); solo estudio, en reposo o de
esfuerzo (ejercicio o farmacolgica)
La imagen de perfusin miocrdica, planar (incluyendo la
motilidad cualitativa o cuantitativa, fraccin de eyeccin por
primera pasada o la tcnica cerrada, la cuantificacin
adicional, si se realiz), mltiples estudios, en reposo y / o el
estrs (ejercicio o farmacolgico) y / o la redistribucin y / o
resto reinyeccin
Venosa imgenes trombosis, venograma; unilateral
Formacin de imgenes del miocardio, la tomografa por
emisin de positrones (PET), la evaluacin metablica
La imagen de perfusin miocrdica, (plano) solo estudio, en
reposo o de esfuerzo (ejercicio y / o farmacolgico), con o
sin cuantificacin
La imagen de perfusin miocrdica; tomogrfico (SPECT),
nico estudio (incluida la correccin de atenuacin si se
realiz), en reposo o de esfuerzo (ejercicio y / o
farmacolgico), con o sin cuantificacin
Infarto de imgenes, infarto vido, plana; cualitativa o
cuantitativa
Infarto de imgenes, infarto vido, en reposo; cuantitativa

Infarto de imgenes, infarto vido, plana, con fraccin de
eyeccin mediante la tcnica de primer paso
El gasto cardaco
cerrada, en reposo, el estudio de movimiento de la pared,
ms la fraccin de eyeccin
cerrada, estudio planar, solo en reposo o de esfuerzo
(ejercicio y / o farmacolgica), el estudio de movimiento de
la pared, ms la fraccin de eyeccin, con o sin
procesamiento cuantitativo adicional
Piscina de sangre cardaca imagen, equilibrio cerrada;
mltiples estudios, el estudio de pared Motion Plus fraccin
de eyeccin en reposo y de esfuerzo (ejercicio y / o
farmacolgico), con o sin cuantificacin adicional
Sangre cardaca piscina de imagen, equilibrio cerrada, en
reposo, estudio cuantitativo movimiento de la pared, ms la
fraccin de eyeccin ventricular ms determinacin del
volumen
cerrada, en reposo, estudio cuantitativo movimiento de la
pared, con el ejercicio y / o intervencin farmacolgica
Sangre cardaca piscina de imagen, equilibrio cerrada, en
reposo, estudios seriados, cualquier combinacin
Cotizadas procedimiento cardiovascular, de diagnstico de
medicina nuclear
La imagen de perfusin pulmonar; gaseoso
Imagen de la ventilacin pulmonar, aerosol, proyeccin
nica
Imgenes ventilacin pulmonar, gaseosa, con reinhalacin y
el lavado con o sin respiracin nica, sola proyeccin
Formacin de imgenes de ventilacin pulmonar, gaseoso,
con respiracin del aire exhalado y lavado con o sin
respiracin nica; proyecciones mltiples (por ejemplo,
anterior, posterior, lateral vistas)
La funcin pulmonar diferencial cuantitativa (ventilacin /
perfusin) Estudio
Procedimiento respiratorio Cotizadas, la medicina nuclear
diagnstica
Las imgenes cerebrales, menos de 4 puntos de vista
estticos;
Imgenes del cerebro, menos de 4 puntos de vista
estticos, con flujo vascular
Las imgenes cerebrales, un mnimo de 4 puntos de vista
estticos;
Flujo vascular cerebral
El lquido cefalorraqudeo de deteccin de fugas y la
localizacin
Procedimiento Cotizadas sistema nervioso, la medicina
nuclear diagnstica
Rin morfologa de imgenes; con el flujo vascular y

funcin, mltiples estudios, con y sin la intervencin
farmacolgica (por ejemplo, conversin de la angiotensina
inhibidor de la enzima y / o diurtico)
Estudio de la funcin renal, la no obtencin de imgenes
estudio radioisotpico
Estudio de la funcin renal incluyendo la intervencin
farmacolgica
Evaluacin para el trasplante de rin
Cotizadas procedimiento genitourinario, de diagnstico de
medicina nuclear
agente radiofarmacutico (s); rea limitada
Radiofrmaco localizacin del proceso inflamatorio; rea
limitada
Tumor de imgenes, tomografa de emisin de positrones
(PET), la evaluacin metablica
La tomografa por emisin de positrones (PET); rea
limitada (por ejemplo, el pecho, de cabeza / cuello)
La tomografa por emisin de positrones (TEP), base del
crneo hasta la mitad del muslo
La tomografa por emisin de positrones (PET); cuerpo
entero
Tomografa por emisin de positrones (PET) con el mismo
tiempo que adquiri la tomografa computarizada (TC) para
la correccin de atenuacin y de imagen localizacin
anatmica; rea limitada (por ejemplo, el pecho, la cabeza /
cuello)
La tomografa por emisin de positrones (PET) con
concurrentemente adquirido la tomografa computarizada
(TC) para la correccin de atenuacin y de imagen
localizacin anatmica; base del crneo hasta la mitad del
muslo
Tomografa por emisin de positrones (PET) con el mismo
tiempo que adquiri la tomografa computarizada (TC) para
la correccin de atenuacin y de imagen localizacin
anatmica, el cuerpo entero
Suministro de radiofrmacos de diagnstico (s)
Cotizadas procedimiento diverso, de diagnstico de
medicina nuclear
Terapia radiofarmacutica, por administracin oral
Terapia radiofarmacutica, por administracin intravenosa
Terapia radiofrmacos, mediante la administracin
intracavitaria
Terapia radiofarmacutica, por administracin intersticial
radiactivo coloide
Terapia radiofrmaco, no tiroideas, no hematolgica por
inyeccin intravenosa
Terapia radiofarmacutica, anticuerpo monoclonal
radiomarcado por infusin intravenosa
Terapia radiofarmacutica intravascular, partculas
Terapia radiofarmacutica, por administracin intra-articular

Terapia radiofarmacutica, por administracin intra-arterial
de partculas
Terapia radiofrmacos, el procedimiento no listado
Prueba multicanal automatizado, 1 o 2 pruebas de qumica
clnica (s)
La monitorizacin teraputica de drogas cuantitativo en los
fluidos corporales y / o excretas (si la droga no especificada
por el nmero de cdigo individual) (especificar drogas)
Radioinmunoensayo los valores para la circulacin de los
niveles de antibiticos
Los niveles sricos antimicrobiana, el mtodo de bioensayo
Panel metablico bsico Este panel debe incluir los
siguientes: dixido de carbono (82374) Cloruro (82435)
Creatinina (82565) Glucosa (82947) Potasio (84132) Sodio
(84295) Nitrgeno ureico (BUN) (84520)
Panel de salud general. Este panel debe incluir lo siguiente:
panel metablico integral (80.053). El hemograma, completo
(CBC), automtico y automtico diferencial WBC (85025 o
85027 y 85004), o hemograma, completo (CBC), automtico
(85.027) y el correspondiente manual del diferencial WBC
(85007 o 85009), la hormona estimulante de la tiroides
(TSH) (84.443)
Pre-matrimonial perfil
Panel metablico integral. Este panel debe incluir lo
siguiente: Albmina (82.040), bilirrubina, total (82.247),
Calcio, total (82.310), el dixido de carbono (bicarbonato)
(82.374), cloruro (82.435), creatinina (82.565), glucosa
(82947) fosfatasa alcalina (84075), potasio (84132),
Protena, total (84.155), sodio (84.295), transferasa, alanina
amino (ALT) (SGPT) (84.460), aspartato transferasa, amino
(AST) (SGOT) (84,450 ), Nitrgeno ureico (BUN) (84520)
Panel metablico integral Este panel debe incluir lo
siguiente: Albmina (82040) Bilirrubina, total (82.247) Calcio
(82310) Dixido de carbono (bicarbonato) (82.374) Cloruro
(82435) Creatinina (82565) Glucosa (82947) fosfatasa
alcalina (84075) Potasio (84132) Protena, total (84.155)
Sodio (84295) transferasa, aspartato amino (AST) (SGOT)
(84.450) Nitrgeno ureico (BUN) (84520)
Amenorrea perfil
Hipertensin panel de
Panel de lesin cardaca, con la creatina fosfoquinasa
(CPK) y / o lactato deshidrogenasa (LDH) la determinacin
de isoenzimas
Panel metablico
Malabsorcin panel de
Pulmonar (funcin pulmonar) panel
Pulmn perfil de vencimientos

Panel de la funcin renal. Este panel debe incluir lo
siguiente: Albmina (82.040), Calcio, total (82.310), el
dixido de carbono (bicarbonato) (82.374), cloruro (82.435),
creatinina (82.565), glucosa (82.947), fsforo inorgnico
(fosfato) (84.100 ), potasio (84 132), sodio (84.295),
nitrgeno de urea (BUN) (84520)
Tiroides panel;
Tiroides panel; con la hormona liberadora de tirotropina
(TRH)
Panel de Artritis Este panel debe incluir lo siguiente: cido
rico, sangre, qumicos (84.550) Tasa de sedimentacin,
eritrocitos, no automatizado (85651) anticuerpo
fluorescente, la pantalla, cada anticuerpo (86255) Factor
Reumatoide, cualitativos (86430)
Panel Renal
Panel de hepatitis aguda. Este panel debe incluir lo
siguiente: Hepatitis A anticuerpo (haab), anticuerpos IgM
(86.709), Hepatitis B anticuerpo core (anti-HBc), anticuerpos
IgM (86.705), antgeno de superficie de la hepatitis B
(HBsAg) (87.340), anticuerpos contra la hepatitis C (86.803 )
Paratiroidea panel de
Panel de Prstata
Panel de pncreas
Panel de la hipfisis
Panel de anemia microctica
Panel de anemia macroctica
Panel de Transicin (para la gestin de pacientes con
enfermedad metastsica demostrada)
Panel de tiroides Este panel debe incluir las siguientes
pruebas: tiroxina, total (84.436) hormona tiroidea (T3 o T4) o
la relacin de absorcin de la hormona tiroidea vinculante
(THBR) (84479)
Panel de tiroides Este panel debe incluir las siguientes
pruebas: tiroxina, total (84.436) hormona tiroidea (T3 o T4) o
la captacin tiroidea relacin de unin a hormonas (THBR)
(84.479) con la hormona estimulante de la tiroides (TSH)
(84443)
Panel Cotizadas
Exmen de drogas, cualitativos; mltiples frmacos mtodo
de cromatografa de clases, cada procedimiento
Exmen de drogas, cualitativo, mtodo nico tipo de
frmaco (por ejemplo, inmunoensayo, ensayo de enzima),
cada clase de frmaco
Confirmacin de Drogas, cada procedimiento
Preparacin de tejidos para el anlisis de drogas
Haloperidol
Sirolimus
La cuantificacin de la droga, no expresados
Consulta Patologa clnica; limitado, sin una revisin de la
historia del paciente y la historia clnica
Consulta Patologa clnica; integral, por un problema

diagnstico complejo, con una revisin de la historia del
paciente y los registros mdicos
El anlisis de orina, los componentes, solo, no listados,
especifique
Un anlisis de orina, la concentracin y la prueba de dilucin
Anlisis de sedimentos cuantitativa y cuantitativa de
protenas (Addis count)
El cido acetoactico
cido acetilsaliclico; cuantitativa
cido acetilsaliclico; cualitativa
Acidez titulable orina,
Acilcarnitinas; cualitativos, cada espcimen
Acilcarnitinas; cuantitativa, cada espcimen
Adenosina; 5'-trifosfato, sangre
Albmina; isquemia modificada
El alcohol (etanol), la sangre; por cromatografa gas-lquido
El alcohol (etanol) gelificacin
Alcohol; isoproplico
Aldolasa, la sangre; colorimtrico
La aldosterona, la tcnica isotpica doble
La aldosterona, RIA, orina
La aldosterona, prueba de infusin de solucin salina
Alcaloides, tejido; cribado
Alcaloides, tejido; cuantitativa
Alcaloides, orina; cribado
Alfa-1-antitripsina, fenotipo
Alfa-fetoprotena (AFP), AFP-L3 fraccin isoforma y total
AFP (incluyendo ratio)
Amikacina
Aminas, fluido vaginal, cualitativo
Nitrgeno de los aminocidos, alfa
Los aminocidos; individuales, cualitativa, cada muestra
Aminocidos; mltiple, cualitativa, cada espcimen
Los aminocidos, orina o plasma, fraccionamiento
cromatogrfico
Aminocidos; nico, cuantitativo, cada espcimen
Aminohipurato, prrafo (PAH)
Los aminocidos, de 2 a 5 aminocidos, cuantitativos, cada
espcimen
Aminofilina
La amitriptilina
Los aminocidos, 6 o ms aminocidos, cuantitativos, cada
espcimen
El amonaco, orina
Cloruro de amonio carga de prueba
Androstanodiol glucurnido
Amilasa, orina (diastasa)
Androsterone;
Androsterone
Anilina
Los antihistamnicos
Antimonio, orina
Prueba de tolerancia a la arginina
Espectroscopia de absorcin atmica, cada analito
Los barbitricos, no expresados
Los barbitricos; cuantitativa y la identificacin
Bario
Beta-2 microglobulina, RIA, orina
Excrecin de bicarbonato, orina
Los cidos biliares; cholylglycine
Pigmentos biliares, orina
La bilirrubina, total o directa
La bilirrubina, total y directa
La bilirrubina, heces, cualitativo
La bilirrubina, orina, cuantitativa
Biotinidasa, cada espcimen
La bilirrubina, lquido amnitico, cuantitativa
Bismuto
ejemplo, guayacn), cualitativo, otras fuentes
ejemplo, guayacn), cualitativos, las heces, 1-3
determinaciones simultneas, realizadas por otro que el
cribado neoplasia colorrectal
ejemplo, guayacn), cualitativo, otras fuentes
La sangre, lo oculto, por determinacin de la hemoglobina
fecal mediante inmunoensayo cualitativo, heces, 1-3
determinaciones simultneas
El cido brico, la sangre
La bradiquinina
Bromuros, sangre
Cadmio
Cafena
Vitamina D; 25 hidroxi, incluye fraccin (s), si se realiza
Calcio, sangre; fluoromtrico
El calcio, calcio despus de la prueba de infusin
Calcio, orina; cualitativa (Sulkowitch)
Clculo; espectroscopia infrarroja
Clculo; difraccin de rayos X
Carbamazepina, suero
Transferrina deficiente en carbohidratos
El dixido de carbono (bicarbonato)
La carboxihemoglobina; cuantitativa
La carboxihemoglobina; cualitativa
Caroteno
Quimioluminiscente ensayo
El hidrato de cloral, la sangre
El hidrato de cloral, orina
Clorazepato dipotsico
Cloruros; sudorparas (sin iontoforesis)
Cloruro; otra fuente
Hidrocarburos clorados, pantalla
Clorotiazida-hydrochlorothiazide
Colesterol, suero, total y steres
Colinesterasa srica y RBC
Condroitn sulfato B, cuantitativo
Cromatografa, cualitativo, papel, 1-dimensional, el analito
no expresados
Cromatografa, cualitativo, papel, 2-dimensional, el analito
no expresados
Cromatografa, cualitativo, en capa fina, no expresados
analito
Cromatografa, columna cuantitativa, (por ejemplo, lquido o
gas HPLC); mltiples analitos, de una fase estacionaria y
mvil
El clonazepam
El colgeno cross links, cualquier mtodo
Cobre, orina
Cortisol; fluoromtrico, plasma
El cortisol, CPB, plasma
El cortisol, RIA, orina
El cortisol, despus de hormona corticotropina (ACTH) la
administracin
Cortisol; 48 horas despus de la infusin continua de ACTH
El cortisol, despus de la administracin de tartrato de
metirapona
Cortisol; prueba de supresin de dexametasona, plasma y /
u orina
La cromatografa en columna / espectrometra de masas
(por ejemplo, GC / MS, o HPLC / MS), el analito no
especificado en otras; fase cualitativa, solo estacionarios y
mviles
especificado en otras; fase cuantitativa, solo estacionarios y
mviles
especificado en otras; dilucin de istopos estables, solo
analito, fase cuantitativa, solo estacionarios y mviles
especificado en otras; dilucin de istopos estables,
mltiples analitos, fase cuantitativa, solo estacionarios y
mviles
La creatina, orina
La creatina y la creatinina
La creatina quinasa (CK), (CPK); isoenzimas
La creatina quinasa (CK), (CPK); isoformas
La creatina fosfoquinasa (CPK), la sangre; colorimtrico
La creatinina; otra fuente
La creatinina, el aclaramiento
Cryofibrinogen
Crioglobulinas, cualitativos o semi-cuantitativos (por

ejemplo, criocrito)
El cianuro; tejido
La cianocobalamina (Vitamina B-12); bioensayo
La cianocobalamina (Vitamina B-12); capacidad de unin
insaturada
La cistatina C
La cistina y la homocistena, la orina, cualitativo
La cistina y la homocistena, la orina; cuantitativa
La cistina aminopeptidasa
La desipramina
Diactico
El diazepam
Dibucaine nmero
Dicumarol
Digitoxina (digital), la sangre, RIA
Digoxina, RIA
Dihidrocodeinona
Dihydromorphinone
Dimetadiona
Elastasa, pancretico (EL-1), fecal, cualitativos o semicuantitativos
Actividad enzimtica en las clulas de la sangre, clulas en
cultivo o tejido, no expresados; sustrato radiactivo, cada
muestra
Actividad enzimtica en las clulas de la sangre, clulas en
cultivo o tejido, no expresados; sustrato radiactivo, cada
muestra
Drogas pantalla (anfetaminas, barbitricos, alcaloides)
Inmunoensayo tcnica para medicamentos
Tcnica electrofortica, no expresados
La estrona, qumico
Etclorvinol
Etclorvinol, orina
Ethosuximide
Glicol etileno
Etiocolanolona
Etiocolanolona
Diferencial grasa, heces, cuantitativo
cidos grasos, sangre, esterificados
Cloruro frrico, orina
Fibringeno, cuantitativo
El flor, orina
La flucitosina (5-fluorocitosina)
El cido flico (folato), la sangre; bioensayo
El cido flico; RBC
Formiminoglutamic cido (FIGLU), orina
Estilo libre radical ensayo de drogas (FRAT)
Galactoquinasa, RBC
La galactosa; prueba de tolerancia
La galactosa, orina
La galactosa-1-fosfato transferasa uridil; pantalla
Galio
Gammaglobulina, el mtodo de precipitacin con sal

Los gases, la sangre, la saturacin de oxgeno, mediante el
clculo de pO2
Gases, sangre, oxgeno cuantificacin saturacin
Los gases, la sangre, la saturacin de oxgeno, por
espectrofotometra
Gases sangre; pCO2
Gases, sangre, cualquier combinacin de pH, pCO2, pO2,
CO2, HCO3 (incluyendo calculada saturacin de O2), con
saturacin de O2, por medicin directa, excepto la oximetra
de pulso
Gases, sangre, pO2 por manometra
Gases, sangre, pH, pCO2 por tonometra
La hemoglobina-oxgeno afinidad (pO2 de 50% de
saturacin de hemoglobina con oxgeno)
El cido gstrico, libre y total; cada muestra adicional
El cido gstrico, libre o total, cada muestra
El cido gstrico, libre o total; cada muestra adicional
Globulina, suero
La glucosamina
Glucosa; fermentacin
Glucosa, Prueba de tolerancia, cada uno adicional ms all
de 3 ejemplares
Glucosa, Prueba de tolerancia a la tolbutamida
Glucosa, orina
La glucosa-6-fosfato deshidrogenasa (G6PD); pantalla
Prueba de tolerancia a la glucosa, intravenosa
La glucosa, la sangre por el dispositivo de monitorizacin de
la glucosa (s) autorizado por la FDA especficamente para
uso en el hogar
Glucosidasa, beta
Glutamato deshidrogenasa
Glutamina (amida del cido glutmico)
El glutatin
La glutatin reductasa, RBC
Glutetimida
Oro, sangre
Gonadotropina, pituitaria, la hormona folculo estimulante
(FSH); bioensayo
La hormona del crecimiento, humano (HGH)
(somatotropina); despus de la prueba de tolerancia de
glucosa
Helicobacter pylori, el anlisis de sangre para la prueba de
actividad de la ureasa, no istopo radiactivo (por ejemplo, C13)
Haptoglobina; cuantitativa, electroforesis
Haptoglobina; fenotipos
Helicobacter pylori; administracin de la droga
Metales pesados (por ejemplo, arsnico, bario, berilio,
bismuto, antimonio, mercurio); cuantitativa, cada
Helicobacter pylori, prueba de aliento (incluyendo drogas y
el kit de recogida de muestras aliento)
La hemoglobina, glicosilada (A1C) por el dispositivo

aprobado por la FDA para su uso en el hogar
Hemoglobina; metahemoglobina, separacin electrofortica
La hemoglobina, plasma
La hemoglobina, hoz, turbidimtrico
La hemoglobina; sulfahemoglobina, cualitativo
La hemoglobina; sulfahemoglobina, cuantitativa
La hemoglobina; termolbil
La hemoglobina; inestable, la pantalla
La hemoglobina, orina
b-hexosaminidasa, cada ensayo
Histidina, sangre, cualitativo
cido homogentsico, sangre, cualitativo
cido homovanlico (HVA)
Deshidrogenasa hidroxibutrico, alfa (HBD), la sangre;
mtodo ultravioleta cintica
Hidroxicorticosteroides, 17 - (17-OHCS); Cromatografa gaslquido (GLC)
Hidroxicorticosteroides, 17 - (17-OHCS); sangre, PorterSilber tipo
Hidroxicorticosteroides, 17 - (17-OHCS); sangre,
fluoromtricos
Orina hidroxiprolina,, libre y total
Inmunoensayo para otro analito de anticuerpo agente
infeccioso o antgeno agente infeccioso; cualitativo o
semicuantitativo, mtodo de pasos mltiples
infeccioso o antgeno agente infeccioso; cualitativo o
semicuantitativo, el mtodo de un solo paso (por ejemplo,
tira de reactivo)
infeccioso o antgeno agente infeccioso; cuantitativa, por
radioinmunoensayo (por ejemplo, RIA)
Imipramina
Indican, orina
Prueba de tolerancia a la insulina
La inulina espacio
Hierro, suero; automatizado
Iron capacidad de unin, suero; automatizado
Isoctrico deshidrogenasa (IDH)
Isoctrico deshidrogenasa (DH), la sangre; colorimtrico
Hidrazida de cido isonicotnico (INH)
Kanamicina
Esteroides cetognicas, fraccionamiento
Cetognica esteroides, orina, 11-desoxi: 11-oxi relacin
Cetosteroides, 17 - (17-KS), sangre, fraccionamiento, alfa /
beta
Cetosteroides, 17 - (17-KS), sangre, Ria
Cetosteroides, 17 - (17-KS), la orina, el fraccionamiento, la
alfa / beta
Cetosteroides, 17 - (17-KS), fraccionamiento
Cetosteroides, 17 - (17-KS), orina, 11-desoxi: 11-oxi relacin

Cetosteroides, 17-OH, RIA
cido quinurnico
Deshidrogenasa lctica (LDH), RIA
La lactato deshidrogenasa (LDH), la sangre; colorimtrica o
fluoromtrica
Deshidrogenasa lctica (LDH), la sangre, el calor o la
inhibicin de urea (total no incluido)
Deshidrogenasa lctica (LDH), la sangre, las isoenzimas, la
separacin qumica
Deshidrogenasa lctica, hgado (LLDH)
Deshidrogenasa lctica (LDH), la orina
La lactoferrina, fecal; cualitativa
La lactoferrina, fecal; cuantitativa
Lactgeno, placentario humano (HPL) corinica humana
somatomammotropin
El plomo, el cribado, la sangre
El plomo, el cribado, la orina
El plomo, cuantitativa y orina
Pulmn fetal evaluacin de la madurez; lecitina
esfingomielina (L / S) relacin
Pulmn fetal evaluacin de la madurez, la polarizacin de
fluorescencia
Pulmn fetal evaluacin de la madurez, la densidad de
cuerpos lamelares
La leucina aminopeptidasa (LAP)
Leucina aminopeptidasa (LAP), la sangre; colorimtrico
Prueba de tolerancia a la leucina
Lidocana
La lipoprotena (a)
La lipoprotena asociada a fosfolipasa A2 (Lp-PLA2)
Lipoprotena, la sangre, la separacin electrofortica y la
cuantificacin
Lipoprotena, la sangre; fraccionamiento alta resolucin y la
cuantificacin de las lipoprotenas, incluyendo las
lipoprotenas de subclases cuando se realiza (por ejemplo,
electroforesis, ultracentrifugacin)
Lipoprotena, la sangre; cuantificacin de nmeros de
partculas de lipoprotenas y subclases de lipoprotenas de
partculas (por ejemplo, mediante espectroscopa de
resonancia magntica nuclear)
Lipoprotena, la sangre; fraccionamiento alta resolucin y la
cuantificacin de las lipoprotenas, incluyendo las
lipoprotenas de subclases cuando se realiza (por ejemplo,
electroforesis, resonancia magntica nuclear, la
ultracentrifugacin)
Lipoprotena, la sangre; ultracentrifugacin y cuantificacin
Colesterol de las lipoprotenas de fraccionamiento clculo
por la frmula
Litio, sangre, cuantitativo
Factor de liberacin luteinizante (LRH)
Dietilamida del cido lisrgico (LSD), RIA

Macroglobulinas (Sia prueba)
Magnesio, sangre; fluoromtrico
Malato deshidrogenasa
Espectrometra de masas y espectrometra de masas en
tndem (MS, MS / MS), el analito no expresados; cualitativa,
cada espcimen
Espectrometra de masas y espectrometra de masas en
tndem (MS, MS / MS), el analito no expresados;
cuantitativa, cada espcimen
Espacio Manitol
La melanina, la orina, cualitativo
La meperidina, cuantitativa
Mercurio, cuantitativo, orina
Metanefrinas
Metadona
Metapirileno
La metacualona
Methemalbumin
Metsuximida
Metiprilona
Morfina; cribado
Los mucopolisacridos, cido, orina; cuantitativa
Los mucopolisacridos, cido, pantalla
La mucina fluido sinovial (prueba de Cuerdas)
La mioglobina, la orina
Mieloperoxidasa (MPO)
Pptido natriurtico
Nefelometra, cada analito no expresados
Nquel
Diagnstico molecular; aislamiento molecular o extraccin,
cada tipo de cido nucleico (es decir, ADN o ARN)
Los diagnsticos moleculares, aislamiento o extraccin de
cido nucleico altamente purificado, cada tipo de cido
nucleico (es decir, ADN o ARN)
Diagnstico molecular; digestin enzimtica, cada
tratamiento enzimtico
El diagnstico molecular; dot / slot blot de produccin, cada
preparacin de cido nucleico
El diagnstico molecular, la separacin por electroforesis en
gel (por ejemplo, agarosa, poliacrilamida), cada preparacin
de cido nucleico
Nitrgeno, total; orina de 24 horas muestra
Diagnstico molecular; sonda de cido nucleico, cada uno
El diagnstico molecular, transferencia de cido nucleico
(por ejemplo, del Sur, del Norte), cada preparacin de cido
nucleico
El diagnstico molecular, amplificacin, objetivo, cada
secuencia de cido nucleico
Diagnstico molecular; amplificacin, objetivo, multiplex, 2
primeras secuencias de cidos nucleicos
Diagnstico molecular; amplificacin, objetivo, mltiplex,

cada secuencia de cido nucleico adicional ms all de 2
El diagnstico molecular; transcripcin inversa
El diagnstico molecular, exploracin mutacin, por las
propiedades fsicas (por ejemplo, los polimorfismos
conformacionales de cadena nico [SSCP], heterodplex, la
electroforesis en gel con gradiente desnaturalizante
[DGGE], RNA'ase A), segmento nico, cada uno
El diagnstico molecular, identificacin mutacin por
secuenciacin, solo segmento, cada segmento
Diagnstico molecular; identificacin de mutaciones
mediante transcripcin alelo especfico, solo segmento,
cada segmento
El diagnstico molecular, la identificacin de la mutacin
alelo traduccin especfica segmento, solo, cada segmento
Diagnstico molecular; lisis de las clulas antes de la
extraccin de cido nucleico (por ejemplo, muestras de
heces, tejido incluido en parafina), cada espcimen
Diagnstico molecular; amplificacin, la seal, cada
secuencia de cido nucleico
El diagnstico molecular, la separacin y la identificacin
mediante la tcnica de alta resolucin (por ejemplo,
electroforesis capilar), cada preparacin de cido nucleico
No proteico nitrgeno (NPN), sangre
El diagnstico molecular, la interpretacin y el informe
Diagnstico molecular; ARN estabilizacin
Mutacin identificacin por ligacin enzimtica o de
extensin del cebador, solo segmento, segmento de cada
uno (por ejemplo, ensayo de ligacin de oligonucletidos
[OLA], extensin de cadena nica base [SBCE], o aleloespecficas de extensin de cebador [ASPE])
Oligoclonales inmune (bandas oligoclonales)
Los cidos orgnicos, pantalla, cualitativo
Los cidos orgnicos, total, cuantitativo, cada muestra
Los cidos orgnicos; cualitativos, cada muestra
Ornitina carbamil transferasa (OCT)
cido orgnico, cuantitativa nica,
La osteocalcina (protena sea G1A)
Ouabana
Oxalato
El oxazepam
Oxibutrico, cido beta
Oxycodinone
Oxitocinasa, RIA
Oncoprotena; HER-2/neu
Oncoprotena; des-gamma-carboxi-protrombina (DCP)
Paraldehdo, sangre, cuantitativo
La penicilina, la orina
Pentosas, orina, cualitativo
Pepsingeno, sangre
pH; condensado de aire exhalado
Fenciclidina (PCP)
Calprotectina, fecal
Sangre fenol, o la orina
Phenolsulfonphthalein (PSP) de prueba, orina
Fenotiazina, orina; cualitativa, qumica
Fenilalanina (PKU), la sangre; fluoromtrico
Fenilbutazona
Fenilcetonas, orina, cualitativo
La fenilpropanolamina
cido fenilpirvico, sangre
La fenitona
Fosfatasa cida; examen forense
Fosfatasa, cido; fraccin prosttica
Fosfatos, la reabsorcin tubular de (TRP)
Fosfoglucomutasa, isoenzimas
Fosfogluconato, 6 -, deshidrogenasa, RBC
Isomerasa fosfohexosa
Fosfolpidos, sangre
Las porfirinas, copro-, la orina; cuantitativa
Las porfirinas, uro-, copro-y porfobilingeno, orina
Las porfirinas en plasma,
Otro mtodo (especificar); Pregnanediol
Pregnanetriol
Pregnanetriol; otro mtodo (especificar)
Primidone
Procainamida
La procalcitonina (PCT)
Propoxyphene
Propranolol
Antgeno prosttico especfico (PSA), libre
Protena, total, por refractometra, cualquier fuente
A asociada al embarazo plasma de protena A (PAPP-A)
Protena; fraccionamiento electrofortico y cuantificacin,
otros lquidos con concentracin (por ejemplo, orina, LCR)
Protena, total, globulina y albmina / relacin
electroforesis, otras fuentes que requieran concentracin
(por ejemplo, orina CSF)
Protena, estudios especiales (por ejemplo, anlisis,
protena monoclonal)
Protenas, Western Blot, con interpretacin e informe,
sangre u otro fluido corporal, la sonda inmunolgicas para la
identificacin de la banda, cada
Protena, orina; Bence-Jones
Protena, orina; fraccionamiento electrofortico y
cuantificacin
Protenas, fluido espinal, semi-cuantitativos (Pandy)
Protena, fluido espinal; fraccionamiento electrofortico y
cuantificacin
Protirelina, hormona liberadora de tirotropina (TRH) de

prueba
Protoporfirina, RBC; cuantitativa
Protoporfirina, RBC, pantalla
Protriptylene
La proinsulina
Vs pirofosfato cido rico, cristales (polarizacin)
Quinidina, sangre
Radioimmunoassay no (RIA) expresados
Factor de liberacin de
Ensayo de receptor; estrgeno
Ensayo de receptor; progesterona
Ensayo de receptor; endocrino, aparte de estrgeno o
progesterona (hormona especificar)
Ensayo de receptor; progesterona y estrgeno
Ensayo del receptor; no endocrino (especificar receptor)
La renina, furosemida prueba
Selenio
Globulina transportadora de hormonas sexuales (SHBG)
Sodio; otra fuente
Sorbitol deshidrogenasa, suero
Espectrofotometra, el analito no expresados
Gravedad especfica (excepto orina)
Stercobilin, cualitativo, las heces
Estricnina
Azcares, cromatografa, TLC o la cromatografa en papel
Azcares (mono-, di-y oligosacridos); cualitativo solo, cada
espcimen
Azcares (mono-, di-y oligosacridos); cualitativo mltiple,
cada espcimen
Azcares (mono-, di-y oligosacridos); cuantitativa nica,
cada espcimen
Azcares (mono-, di-y oligosacridos); cuantitativa mltiple,
cada espcimen
Sulfonamida, sangre, qumica
La testosterona, la orina, RIA
La testosterona, la protena de unin
Tetracana
Tetrahidrocannabinol THC (marihuana)
Tetrahydrocortisone o tetrahidrocortisol
Teofilina, sangre o saliva
El tiocianato
El tromboxano metabolito (s), tromboxano incluyendo si se
realiza, orina
La tioridazina
Tiroxina, (T-4), o de captacin de resina CPB
La tiroxina; elucin requiere (por ejemplo, neonatal)
Liberadora de tirotropina factor (TRF)
Toxicologa de la pantalla, en general
Transcortina (globulina fijadora de cortisol vinculante)
Transaminasa, glutmico oxalactica (SGOT), la sangre;
colorimtrica o fluoromtrica
Transaminasa, glutmico pirvico (SGPT), la sangre;

colorimtrica o fluoromtrica
Tricloroetanol
cido tricloroactico
La trifluoperazina
Trimetadiona
La troponina, cuantitativo
Tripsina, lquido duodenal
Tripsina, heces, cualitativo
Tripsina, heces, cuantitativo, de 24 horas de recoleccin de
mtodo uricasa, ultravioleta
Urobilina, orina; cualitativa
Uropepsin, orina
Viscosidad
Vitamina, no especificado
La vitamina A, la sangre; incluyendo caroteno
Volumen, la sangre, el mtodo de colorante (azul de Evans)
Volumen, tinte de sangre, mtodo (azul de Evans),
incluyendo el plasma total y el volumen total de glbulos
La warfarina
cido xanturnico
Zinc, cuantitativo, orina
Gentamicina
Gonadotropina, corinica humana (hCG), la cadena beta
libre
Hormona estimulante del tiroides (TSH), neonatal
Tobramicina
Procedimiento qumica Cotizadas
Tiempo de sangrado, Duke
El hemograma, recuento de glbulos blancos automtico
diferencial
El hemograma, recuento de basfilos, directos
El hemograma, recuento de glbulos blancos manual del
diferencial, la capa leucocitaria
El hemograma, recuento de eosinfilos, directo
El hemograma, hemograma, automatizado (glbulos rojos,
glbulos blancos, hemoglobina, hematocrito e ndices
solamente)
El hemograma, hemograma, automatizada y manual
diferencial WBC (CBC)
El hemograma, recuento de plaquetas y hemograma,
automatizada y manual diferencial WBC (CBC)
El hemograma, recuento de plaquetas y hemograma,
automatizada y automatizado diferencial parcial recuento de
leucocitos (CBC)
El hemograma, completo (CBC), automtico (Hb,
hematocrito, glbulos rojos, glbulos blancos y plaquetas) y
automtico diferencial WBC
Otros ndices hemograma automatizados (por ejemplo, el

ancho de distribucin eritrocitaria (RDW), el volumen
plaquetario medio (MPV), el histograma de glbulos rojos,
plaquetas histograma, un histograma de glbulos blancos),
uno a tres ndices
Reticulada ensayo de plaquetas
Frotis de mdula sea y / o bloque de celdas; aspiracin,
tincin e interpretacin
Bone frotis de mdula sea y / o bloque de celdas;
aspiracin y tincin slo
Frotis de mdula sea y / o bloque de celdas, tincin e
interpretacin
Frotis de mdula sea y / o bloque de celdas, las manchas y
nica preparacin
Ensayo de sustrato cromognico
La retraccin del cogulo; cuantitativa
Coagulacin, el factor VIII (AHG), de dos etapas
Coagulacin; factor XIII (estabilizador de fibrina), la
solubilidad pantalla
Inhibidores de la coagulacin o anticoagulantes,
antitrombina III, la actividad
Inhibidores de la coagulacin o anticoagulantes,
antitrombina III, ensayo de antgeno
Inhibidores de la coagulacin o anticoagulantes, protena S,
el total de
Inhibidores de la coagulacin o anticoagulantes, protena S,
libre
Protena C activada (APC) resistencia ensayo
Inhibidores de la coagulacin o anticoagulantes;
antithromboplastin
Inhibidores de la coagulacin o anticoagulantes;
antiprothromboplastin
Inhibidores de la coagulacin o anticoagulantes; antifactor
VIII
Inhibidores de la coagulacin o anticoagulantes, el tiempo
de recalcificacin cruz (mezclas)
Euglobulina lisis
Degradacin de la fibrina (split) productos (FDP) (FSP), gel
de etanol
Degradacin de la fibrina (split) productos (FDP) (FSP),
inmunoelectroforesis
Degradacin de la fibrina (split) productos (FDP) (FSP), la
precipitacin
Degradacin de la fibrina (split) productos (FDP) (FSP);
paracoagulation protamina (PPP)
Degradacin de la fibrina (split) productos (FDP) (FSP),
aglutinacin por estafilococos
El fibringeno, semicuantitativa; ltex
El fibringeno, semicuantitativa; turbidimtrico
Fibringeno; trombina con plasma dilucin
Fibrinolysins, con EACA de control
Fibrinolysins semicuantitativos;
Coagulacin / fibrinolisis ensayo, toda la sangre (por

ejemplo, la evaluacin del cogulo viscoelstico), incluyendo
el uso de cualquier aditivo farmacolgico (s), como se
indica, incluyendo la interpretacin y el informe escrito, por
da
La coagulacin y la fibrinlisis, la actividad funcional, no
especificado de otra manera (por ejemplo, ADAMTS-13),
cada analito
La fibrinlisis, cuantitativa
Factores fibrinolticos e inhibidores de la alfa-2; antiplasmina
Factores fibrinolticos y los inhibidores de activador de
plasmingeno;
Factores fibrinolticos e inhibidores de plasmingeno;,
excepto ensayo antignico
Factores fibrinolticos e inhibidores; plasmingeno, ensayo
antignico
Mecanismos fibrinolticos; von Willebrand ensayo
Iron mancha (RBC o frotis de mdula sea)
Leder mancha (esterasa) de sangre o de mdula sea
El lupus eritematoso (LE) Prep Cell
Morfologa de las clulas rojas de la sangre, slo
Fragilidad osmtica, RBC, incubada, cualitativo
Peroxidasa mancha, WBC
Plaquetas; in vitro de agregacin, cada agente
Plaquetas: retencin (in vitro), cuentas de vidrio
Plaquetas, recuento (Rees-Ecker)
Plaquetas, estimacin de frotis, slo
Plaquetas, recuento automatizado
Protrombina utilizacin (consumo)
Protrombina-proconvertina, P & P (Owren)
La sangre roja tamao de la celda (Price-Jones)
Glbulos rojos perxido de hemlisis
Reptilasa prueba
Tasa de sedimentacin (ESR), el tipo Wintrobe
La estreptoquinasa ttulo (activador del plasmingeno)
Deplecin de clulas T (cualquier mtodo) de la mdula
sea para el trasplante
Tromboplastina prueba generacin; cribado (Hicks-Pitney)
Tromboplastina prueba generacin; definitivo, con sustituto
de plaquetas
Inhibicin de tromboplastina; todos los factores
Viscosidad, suero o plasma
Hematologa Cotizadas y el procedimiento de coagulacin
Aglutininas, panel febril (fiebre tifoidea O & H, paratifoidea A
y B, Brucella y Proteus OX-19)
Aglutininas; caliente
Anticuerpo, no RBC, cualitativa; primer antgeno, slide o
tubo
Anticuerpo, no RBC, cualitativo, cada antgeno adicional
Anticuerpo, la deteccin, el anticuerpo de leucocitos
Anticuerpo absorcin, absorcin automtica fro; por suero

Anticuerpo absorcin, absorcin automtica fro; diferencial
Anticuerpos, anticuerpos plaquetarios (aglutininas)
Deteccin de anticuerpos, glbulos rojos, cada suero
Los anticuerpos, glbulos rojos, solucin salina, con ABO +
Rh (D) escribiendo (para mantener la sangre en lugar de
prueba cruzada completa)
Los anticuerpos, glbulos rojos, solucin salina, tcnica
incluyendo la globulina antihumana enzima
Anticuerpo (RBC) de elucin, cualquier mtodo, cada
elucin
RBC anticuerpos (cada panel)
La identificacin de anticuerpos, anticuerpos RBC (8-10
panel de clulas), con la tcnica de la enzima incluyendo
globulina antihumana
Antihumano prueba globulina; directa (Coombs) (IgG Broad,
y no IgG-), cada uno
Antihumano prueba globulina; indirecta, cualitativa (amplio,
gamma o nongamma), cada
Antihumano prueba globulina; ttulo indirecta, (gamma
amplia o nongamma), cada
Globulina antihumana prueba; tcnica enzimtica,
cualitativos
Antihumano prueba globulina; sensibilizacin de drogas, la
identificacin (por ejemplo, penicilina)
Clulas B, el recuento total
Antitripsina, alfa-1; Pi (inhibidor de proteasa) la tipificacin
Antitripsina, alfa-1; otro mtodo (especificar)
Blood test de compatibilidad, pruebas cruzadas por giro
inmediato y globulina antihumana tcnica, cada unidad
Pruebas cruzadas de sangre, la tcnica estndar completo,
incluye la determinacin y seleccin de anticuerpos de
receptor y del donante, cada unidad adicional
Blood test de compatibilidad, prueba cruzada por la tcnica
de giro inmediato slo
Prueba cruzada de sangre, la tcnica de la enzima
Prueba cruzada de sangre, la deteccin de solucin salina
unidad compatible y / o protenas de alto
Prueba cruzada de sangre, la tcnica de antiglobulina
Pruebas cruzadas de sangre, menor de edad solamente
(plasma, globulina inmune Rh), incluye receptor y tipificacin
de los donantes y de deteccin de anticuerpos, la primera
unidad
Sangre servicios bancarios mdico; prueba cruzada difcil y /
o evaluacin de anticuerpos irregulares (s), la interpretacin
y el informe escrito
Sangre servicios bancarios, mdicos de investigacin de

reaccin a la transfusin incluyendo la sospecha de
enfermedad transmisible, la interpretacin y el informe
escrito
Sangre servicios bancarios mdicos, la autorizacin para la
desviacin de estndar en bancos de sangre (por ejemplo,
el uso de la sangre anticuado, la transfusin de unidades
incompatibles Rh), con informe escrito
Determinacin del grupo sanguneo; ABO slo
Determinacin del grupo sanguneo; ABO y Rho (D)
Determinacin del grupo sanguneo; ABO, Rh (D) y la
deteccin de anticuerpos de glbulos rojos
Determinacin del grupo sanguneo, deteccin de antgenos
para la unidad de sangre compatible con suero reactivo, por
unidad de deteccin
Determinacin del grupo sanguneo, deteccin de antgeno
unidad compatible con los pacientes de la unidad de suero,
por proyect
Determinacin del grupo sanguneo, MN
Antgenos de RBC, distintos de ABO, y / o Rho (D)
Blood mecanografa, RBC distintos de ABO o Rho (D)
antgenos; diapositiva directa, o tubo, incluyendo subtipos
Rh, cada antgeno
Rho (D) slo
Rh genotipificacin, completa
Rh genotipado, completo; inmunoglobulina anti-Rh prueba
(tipo RhoGAM)
Determinacin del grupo sanguneo, especiales (Kelly,
Duffy)
Recoleccin, procesamiento y almacenamiento de sangre
autloga predepositada completa o sus componentes
Recogida y tratamiento de transfusin de sangre durante la
operacin rescatado
Antgeno carcinoembrionario (CEA), difusin en gel
Antgeno carcinoembrionario (CEA), RIA o EIA
Aglutinina fra; ttulo
Complemento; C'1 esterasa
Cclico citrullinated pptido (CCP), anticuerpo
Feto-protena, la alfa-1, RIA o EIA
Sangre congelada, preparacin para la congelacin, cada
unidad incluyendo el procesamiento y recoleccin de
unidad incluyendo el procesamiento y cobro, con la
descongelacin
unidad incluyendo el procesamiento y cobro, con la
congelacin y descongelacin
Hemolisinas, cido (por hemoglobinuria paroxstica) (prueba
de Ham)
Hemolisinas y aglutininas, automtico, pantalla, cada uno

Hemolisinas y aglutininas, automtico, pantalla, cada uno,
incubado con glucosa (por ejemplo, ATP)
Hepatitis B antgeno de superficie (HBsAg)
Hepatitis B ncleo anticuerpo (anti-HBc); IgG e IgM
La hepatitis B core de anticuerpos (anti-HBc), anticuerpos
IgM
Hepatitis B anticuerpo de superficie (anti-HBs)
Hepatitis Be antgeno
Hepatitis Be anticuerpo (HBeAb)
Hepatitis A anticuerpo (haab), IgG e IgM
(Sin descripcin)
Hepatitis A anticuerpo (haab); anticuerpo IgM
Inmunoensayo para el antgeno de tumor, cuantitativo; CA
19-9
Hepatitis C anticuerpo
La hepatitis C anticuerpos; prueba de confirmacin (por
ejemplo, inmunoblot)
Inmunoensayo para el antgeno de tumor, cuantitativo; CA
125
Epiddimo protena humana 4 (HE4)
Hepatitis delta agente
VIH, agente
VIH (HTLV-III) de deteccin de anticuerpos; inmunoensayo
Inmunoensayo para el antgeno del organismo infeccioso,
cualitativo o semicuantitativo, mtodo de varios pasos
Inmunoensayo para el antgeno del organismo infeccioso,
cualitativo o semicuantitativo, mtodo de un solo paso (por
ejemplo, tiras reactivas)
Inmunodifusin, no expresados
Ensayo de complejo inmune; celular Raji
Electroforesis de inmunofijacin; otros lquidos con
concentracin (por ejemplo, orina, LCR)
Anticuerpos anti-insulina factor, RIA
La irradiacin de productos de sangre, cada uno
Transfusin de leucocitos (leucofresis)
Ensayo de funcin celular que implica la estimulacin (por
ejemplo, mitgenos o antgenos) y la deteccin de
biomarcadores (por ejemplo, ATP)
Clulas B, el recuento total
Antgeno de clulas mononucleares, cuantitativa (por
ejemplo, citometra de flujo), no se especifique lo contrario,
cada antgeno
Asesinas naturales (NK), el recuento total
Los linfocitos; clulas B evaluacin
Las clulas madre (es decir, CD34), el recuento total
Anticuerpo microsomal (tiroides), otro mtodo (especificar)
Asesinas naturales (NK), el recuento total
Pruebas de paternidad, ABO Rh + + factores MN (por

persona)
El agrupamiento de las plaquetas u otros productos
sanguneos
Prueba de precipitina de sangre (identificacin de especies)
El tratamiento previo de los glbulos rojos para su uso en la
pruebas de compatibilidad; incubacin con agentes
qumicos o frmacos, cada uno
pruebas de compatibilidad; incubacin con enzimas, cada
pruebas de compatibilidad; por separacin en gradiente de
densidad
de anticuerpos RBC; incubacin con frmacos, cada uno
de anticuerpos RBC; por dilucin
de anticuerpos RBC; incubacin con inhibidores, cada
de anticuerpos RBC; por absorcin diferencial de clulas
usando rojo paciente RBC o de RBC de fenotipo conocido,
cada absorcin
Prueba de radioalergoadsorcin, en pruebas in vitro para
IgE especfica de alergeno, puede tener hasta 5 pruebas
Pruebas cutneas, pruebas de anergia, uno o ms
antgenos
Prueba de la tuberculosis, la inmunidad mediada por clula
de medicin de la respuesta de interfern gamma antgeno
Examen de la piel; antgeno no cotizan en bolsa, cada
Examen de la piel, las paperas
Las clulas madre (es decir, CD34), el recuento total
Autoanticuerpos tiroideos
Cultivo de tejidos
Toxoplasmosis, tinte de ensayo
Anticuerpo; Borrelia (fiebre recurrente)
Transfer Factor de prueba (TFT)
Anticuerpos Treponema, fluorescentes, absorbida (FTAABS)
Anticuerpos corteza adrenal, RIA
Anticuerpo; hemoglobina, fecal
Anti-AChR (receptor de acetilcolina) ttulo de anticuerpos
Anticuerpo; Treponema pallidum
Anticuerpo; virus del Nilo Occidental, IgM
Anticuerpo; virus del Nilo Occidental
Antgeno leucocitario humano (HLA) prueba cruzada,

citotxico (por ejemplo, usando citometra de flujo); primera
muestra de suero o dilucin
Antgeno leucocitario humano (HLA) prueba cruzada,
citotxico (por ejemplo, usando citometra de flujo); cada
muestra adicional de suero o dilucin de la muestra (Lista
por separado adems de procedimiento primario)
Cotizadas procedimiento inmunologa
La identificacin de anticuerpos, anticuerpos de glbulos
rojos, cada panel para cada tcnica de suero
La sangre autloga o componente, el procesamiento de
recogida y almacenamiento; salvamento intra o
postoperatoria
Determinacin del grupo sanguneo, deteccin de antgenos
para la unidad de sangre compatible con suero reactivo, por
unidad de deteccin
Determinacin del grupo sanguneo, deteccin de antgeno
por unidad compatible con el suero del paciente, por unidad
de deteccin
La mdula sea o de la cosecha de clulas madre
perifricas, modificacin o tratamiento para eliminar tipo de
clula (s) (por ejemplo, clulas T, el carcinoma metastsico)
Hemolisinas y aglutininas, automviles, pantalla, cada uno
Hemolisinas y aglutininas; incubados
Reduccin de volumen de sangre o producto sanguneo (por
ejemplo, los glbulos rojos o plaquetas), cada unidad
El agrupamiento de las plaquetas u otros productos
sanguneos
pruebas de compatibilidad; por separacin en gradiente de
densidad
Transfusin Cotizadas procedimiento de medicina
Cultura, bacteriana definitiva; garganta o la nariz
Cultura, bacteriana; cuantitativa, aerbico con aislamiento e
identificacin presuntiva de aislamientos, cualquier fuente
excepto orina, sangre o heces
Cultura, organismos patgenos, presuntos, la seleccin slo
por kit comercial (especificar tipo); para los organismos
individuales
Cultura, organismos patgenos, presuntos, la seleccin slo
por kit comercial (especificar tipo), con recuento de colonias
Cultura, tubrculo u otros bacilos cido alcohol resistentes
(por ejemplo, la tuberculosis, AFB, micobacterias), la
concentracin ms aislamiento
Cultura, mecanografa; fago mtodo
Cultura, tipificacin; identificacin por el cido nucleico (ADN
o ARN) de la sonda, la tcnica de amplificacin de la sonda,
por cultivo o aislar, cada organismo sondaron
Cultura, mecanografa, mtodo serolgico, la especiacin

Cultura, tipificacin; identificacin por el mtodo de
secuenciacin de cidos nucleicos, cada aislamiento (por
ejemplo, la secuenciacin del gen 16S rRNA)
Cultura, mecanografa, mtodo de precipitacin, agrupacin,
por antisuero
Lombriz intestinal examen (por ejemplo, preparacin de
celofn cinta)
Endotoxinas, bacterias (pirgenos); qumica
Endotoxinas, bacterias (pirgenos); ensayo biolgico (por
ejemplo, Limulus lisado)
Los estudios de sensibilidad, antibiticos, hongos, cada
droga
Citomegalovirus, inmunofluorescencia directa (DFA)
Enterovirus, inmunofluorescencia directa (DFA)
Smear, fuente primaria, con la interpretacin, directa o
concentrado, seco, para los vulos y los parsitos
Smear, la principal fuente de interpretacin; complejo tincin
especial (por ejemplo, tricrmico, hierro hematoxilina) para
huevos y parsitos
inmunofluorescencia; no se especifique lo contrario, cada
organismo
inmunofluorescencia, polivalente para mltiples organismos,
cada antisuero polivalente
semicuantitativo, de mltiples pasos mtodo; Aspergillus
semicuantitativo, de mltiples pasos mtodo; Entamoeba
histolytica grupo
semicuantitativo, de mltiples pasos mtodo; Helicobacter
pylori
semicuantitativo, de mltiples pasos mtodo; antgeno de la
hepatitis B de superficie (HBsAg) neutralizacin
semicuantitativo, de mltiples pasos mtodo, similar a Shiga
toxina
o ARN); Bartonella henselae y Bartonella quintana, tcnica
de sonda directa
o ARN); Bartonella henselae y Bartonella quintana, la
tcnica de amplificacin de la sonda

o ARN); Bartonella henselae y Bartonella quintana,
cuantificacin
o ARN); Borrelia burgdorferi, la tcnica de sonda directa
o ARN); Borrelia burgdorferi, la tcnica de amplificacin de
la sonda
o ARN); Borrelia burgdorferi, la cuantificacin
o ARN); especies de Candida, tcnica de sonda directa
o ARN); especies de Candida, amplificado tcnica de sonda
o ARN); especies de Candida, la cuantificacin
o ARN); Chlamydia pneumoniae, tcnica de sonda directa
o ARN); Chlamydia pneumoniae, la tcnica de amplificacin
de la sonda
o ARN); Chlamydia pneumoniae, cuantificacin
o ARN); Chlamydia trachomatis, la tcnica de sonda directa
o ARN); Chlamydia trachomatis, amplificado tcnica de
sonda
o ARN); Chlamydia trachomatis, la cuantificacin
o ARN); Clostridium difficile, gen de la toxina (s), la tcnica
de amplificacin de la sonda
o ARN); citomegalovirus, tcnica de sonda directa
o ARN); citomegalovirus, la tcnica de amplificacin de la
sonda
o ARN); citomegalovirus, cuantificacin
o ARN); enterovirus, la tcnica de amplificacin de la sonda
o ARN); resistencia a la vancomicina (por ejemplo, especies
de Enterococcus Van A, Van B), la tcnica de amplificacin
de la sonda

o ARN); Gardnerella vaginalis, tcnica de sonda directa
o ARN); Gardnerella vaginalis, amplificado tcnica de sonda
o ARN); Gardnerella vaginalis, la cuantificacin
o ARN), la hepatitis B, virus de tcnica de sonda directa
o ARN); hepatitis B virus, la tcnica de amplificacin de la
sonda
o ARN), la hepatitis B, virus de cuantificacin
o ARN), la hepatitis C, la tcnica de sonda directa
o ARN), la hepatitis C, amplificado tcnica de sonda
o ARN), la hepatitis C, la cuantificacin
o ARN); hepatitis G, tcnica de sonda directa
o ARN); hepatitis G, la tcnica de amplificacin de la sonda
o ARN); hepatitis G, cuantificacin
o ARN), el virus del herpes simple, la tcnica de sonda
directa
o ARN), el virus Herpes simplex, amplificado tcnica de
sonda
o ARN), el virus Herpes simplex, la cuantificacin
o ARN); Herpes virus-6, la tcnica de sonda directa
o ARN); Herpes virus-6, la tcnica de amplificacin de la
sonda
o ARN); Herpes virus-6, cuantificacin
o ARN), el VIH-1, la tcnica de sonda directa
o ARN), el VIH-2, tcnica de sonda directa
o ARN), el VIH-2, la tcnica de amplificacin de la sonda

o ARN); Legionella pneumophila, tcnica de sonda directa
o ARN); Legionella pneumophila, la tcnica de amplificacin
de la sonda
o ARN); Legionella pneumophila, cuantificacin
o ARN); especies de Mycobacteria, tcnica de sonda directa
o ARN); especies de Mycobacteria, amplificado tcnica de
sonda
o ARN); especies de Mycobacteria, cuantificacin
o ARN); Mycobacteria tuberculosis, tcnica de sonda directa
o ARN); Mycobacteria tuberculosis, amplificado tcnica de
sonda
o ARN); Mycobacteria tuberculosis, la cuantificacin
o ARN); Mycobacteria avium-intracellulare, tcnica de sonda
directa
o ARN); Mycobacteria avium-intracellulare, la tcnica de
amplificacin de la sonda
o ARN); Mycobacteria avium-intracellulare, cuantificacin
o ARN); Mycoplasma pneumoniae, tcnica de sonda directa
o ARN); Mycoplasma pneumoniae, amplificado tcnica de
sonda
o ARN); Mycoplasma pneumoniae, cuantificacin
o ARN); Neisseria gonorrhoeae, la tcnica de sonda directa
o ARN); Neisseria gonorrhoeae, la tcnica de amplificacin
de la sonda
o ARN); Neisseria gonorrhoeae, la cuantificacin
o ARN); virus del papiloma, tcnica humano, sonda directa

o ARN); virus del papiloma, tcnica humano, amplificado
sonda
o ARN); virus del papiloma, cuantificacin humano,
o ARN); Staphylococcus aureus, amplificado tcnica de
sonda
o ARN); Staphylococcus aureus, resistente a la meticilina, la
tcnica de amplificacin de la sonda
o ARN); Streptococcus, grupo A, tcnica de sonda directa
o ARN); Streptococcus, grupo A, amplificado tcnica de
sonda
o ARN); Streptococcus, grupo A, cuantificacin
o ARN); Streptococcus, grupo B, la tcnica de amplificacin
de la sonda
o ARN); Trichomonas vaginalis, tcnica de sonda directa
o ARN), mltiples organismos; directo de la sonda (s)
tcnica
o ARN), mltiples organismos; amplificado sonda (s) tcnica
Agente infeccioso deteccin de antgenos mediante
inmunoensayo ptico de observacin directa, Streptococcus
del grupo B
inmunoensayo ptico de observacin directa, la toxina del
Clostridium difficile
inmunoensayo ptico de observacin directa; Influenza
inmunoensayo ptico de observacin directa, virus sincitial
respiratorio
inmunoensayo ptico de observacin directa; Trichomonas
vaginalis
inmunoensayo ptico de observacin directa; adenovirus
inmunoensayo ptico de observacin directa, Chlamydia
trachomatis
Deteccin de agentes infecciosos mediante inmunoensayo
ptico de observacin directa; Neisseria gonorrhoeae

ptico de observacin directa, Streptococcus, grupo A
ptico de observacin directa, sin otra especificacin
Droga agente infeccioso susceptibilidad fenotipo prediccin
utilizando regularmente actualizado genotpica
bioinformtica
Agente infeccioso por el anlisis del genotipo de cido
nucleico (ADN o ARN), el VIH-1, la transcriptasa inversa y la
proteasa
Agente infeccioso por el anlisis del genotipo de cido
nucleico (ADN o ARN); Hepatitis C virus
Anlisis infecciosa fenotipo agente por el cido nucleico
(ADN o ARN) con el anlisis de resistencia a frmacos
cultivo de tejidos, VIH 1; primero a travs de 10 frmacos
probados
Agente infeccioso anlisis del fenotipo por el cido nucleico
(ADN o ARN) con el anlisis de resistencia a frmacos
cultivo de tejidos, VIH 1; cada medicamento adicional
analizado (lista por separado adems de cdigo para el
Actividad enzimtica otro agente infeccioso que el virus (por
ejemplo, la actividad sialidasa en el fluido vaginal)
Cotizadas procedimiento microbiologa
La necropsia (autopsia), examen macroscpico solo, con
cerebro
Necropsia (autopsia), el examen macroscpico slo; con el
cerebro y la mdula espinal
La necropsia (autopsia), examen general solamente;
muertos o recin nacido con el cerebro
La necropsia (autopsia), examen general solamente;
macerado muerto
el cerebro
La necropsia (autopsia), macroscpica y microscpica,
mortinato o recin nacido con el cerebro
La necropsia (autopsia), limitado, bruto y / o microscpicas,
solo rgano
La necropsia (autopsia); examen forense
La necropsia (autopsia); llamada forense
Cotizadas necropsia (autopsia) Procedimiento
o vaginal; mtodo simple filtro con la interpretacin
o vaginal, manchas y preparacin simple filtro con la
interpretacin
Citopatologa, la tcnica de realce selectivo celular de la
interpretacin (por ejemplo, lquidos mtodo basado en la
preparacin de diapositivas), excepto cervical o vaginal
Citopatologa, forenses (por ejemplo, esperma)
Cromatina sexual identificacin; frotis de sangre perifrica,

baquetas polimorfonucleares
nuevos controles de deteccin manual y asistida por
computadora bajo supervisin mdica
aviso), se recogi en un conservante lquido, la preparacin
automatizada de capa fina; con seleccin manual y nuevos
controles asistido por ordenador usando la seleccin de
celda y el examen bajo supervisin mdica
Citopatologa, diapositivas, cervical o vaginal; cribado
manual bajo supervisin mdica
Citopatologa, manchas, cervical o vaginal, hasta tres frotis,
la interpretacin que requiere el mdico
Citopatologa, diapositivas, cervical o vaginal, con seleccin
manual y con ayuda de computadora nuevos controles bajo
supervisin mdica
Citopatologa, diapositivas, cervical o vaginal, con seleccin
manual y reseleccin bajo supervisin mdica
Citopatologa, diapositivas, cervical o vaginal; con seleccin
manual y nuevos controles asistido por ordenador usando la
seleccin de celda y el examen bajo supervisin mdica
Citopatologa, diapositivas, cervical o vaginal, la evaluacin
definitiva hormonal (por ejemplo, el ndice de maduracin, el
ndice karyopyknotic, ndice estrognico) (Lista
separadamente adems del cdigo [s] para otros servicios
tcnicos y de interpretacin)
Citopatologa, manchas, cervical o vaginal, (el Sistema
Bethesda (TBS)), hasta tres frotis; cribado por un tcnico
bajo supervisin mdica
Citopatologa, frotis, cervical o vaginal, (el Sistema de
Bethesda [TBS]), hasta tres frotis, que requiere
interpretacin realizada por mdicos
Citopatologa, manchas, cervical o vaginal, (el Sistema
Bethesda (TBS)), hasta tres citologas de cribado con
citologa, manual y automatizado nuevos controles bajo
supervisin mdica
Citopatologa, manchas, cualquier otra fuente, deteccin e
interpretacin
Citopatologa, manchas, ninguna otra fuente, la preparacin,
seleccin e interpretacin
Citopatologa, manchas, cualquier otra fuente; estudio
ampliado la participacin de ms de 5 diapositivas y / o
manchas mltiples
Citopatologa, diapositivas, cervical o vaginal (el Sistema de
Bethesda), con seleccin manual y nuevos controles
asistido por ordenador usando la seleccin de celda y el
examen bajo supervisin mdica
Aspiracin con aguja fina; tejido superficial (por ejemplo,

tiroides, mama, prstata)
Aspiracin con aguja fina, con o sin preparacin de frotis,
tejido profundo bajo gua radiolgica
Citopatologa, la evaluacin de aspiracin con aguja fina, la
interpretacin y el informe
presentacin de informes), recogido en el lquido
conservante, preparacin automatizada de capa fina;
deteccin por el sistema automatizado, bajo supervisin
mdica
deteccin por el sistema automatizado y nuevos controles
manuales o revisin, bajo supervisin mdica
La citometra de flujo, la interpretacin; 2 a 8 marcadores
La citometra de flujo, la interpretacin; 9 a 15 marcadores
La citometra de flujo, la interpretacin; 16 o ms
marcadores
Procedimiento citopatologa Cotizadas
El anlisis cromosmico de los sndromes de rotura, fractura
basal, la puntuacin de 50-100 clulas, cuente 20 celdas, 2
cariotipos (por ejemplo, para la ataxia telangiectasia, anemia
de Fanconi, X frgil)
Cromosoma anlisis de los sndromes de rotura; puntuacin
de 100 clulas, el estrs clastgeno (por ejemplo,
diepoxibutano, mitomicina C, radiacin ionizante, radiacin
UV)
Anlisis del cromosoma X frgil para asociados ligada al
cromosoma X frgil retraso mental, la puntuacin de 100
clulas, cuente 20 celdas, 2 cariotipos, con bandas
El anlisis cromosmico; contar 5 clulas, deteccin, con
bandas
Cromosoma anlisis, contar las clulas 15-20, 2 cariotipos,
con bandas
Cromosoma anlisis, contar 45 clulas por mosaicismo, 2
cariotipos, con bandas
El anlisis cromosmico, analizar 20-25 clulas
El anlisis cromosmico, lquido amnitico o de vellosidades
corinicas, cuente 15 clulas, un cariotipo con bandeo
El anlisis cromosmico, in situ para las clulas del lquido
amnitico, contar las clulas de las colonias de 6-12, un
cariotipo con bandeo
Citogentica molecular; cromosmicas hibridacin in situ,
analizar 3-5 clulas (por ejemplo, los derivados y los
marcadores)
Citogentica molecular; cromosmicas hibridacin in situ,
anlisis de 10-30 clulas (por ejemplo, para
microdeleciones)
Citogentica molecular; interfase hibridacin in situ, analizar

25-99 clulas
Citogentica molecular; interfase hibridacin in situ, analizar
100-300 clulas
El anlisis cromosmico, bandeo adicional tcnica
especializada (por ejemplo, NOR, bandeo C)
El anlisis cromosmico; clulas adicionales contados, cada
estudio
El anlisis cromosmico, estudios adicionales de alta
resolucin
Estudio citogentico Cotizadas
Nivel II - Patologa quirrgica, bruto y el examen
microscpico. Apndice, incidental. Trompas de Falopio,
esterilizacin. Los dedos de manos / pies, amputaciones,
traumticas. Prepucio, del Recin Nacido. Saco herniario,
cualquier lugar. Hidrocele Sac. Nerve. Piel, Reparacin de
Plsticos. Ganglio simptico. Testis, castracin. La mucosa
vaginal, incidental. Conductos deferentes, Esterilizacin
Nivel III - Patologa quirrgica, el examen macroscpico y

microscpico. El aborto, inducido. Absceso. Aneurisma Arterial / ventricular. Anus, Tag. Apndice, que no sea
incidental. Arteria, la placa de ateroma. Quiste de la
glndula de Bartholin. Bone Fragment (s), Aparte de fractura
patolgica. Bursa / Quiste sinovial. Tejido del tnel carpiano.
El cartlago, raspaduras. El colesteatoma. Colon, estoma
Colostoma. Conjuntiva - Biopsia / Pterigin. Cornea.
Divertculo - Esfago / Intestino Delgado. Tejido Contractura
de Dupuytren. Cabeza femoral, que no sea la fractura.
Fisura / Fstula. Prepucio, que no sean recin nacido. La
vescula biliar. Ganglio quiste. Hematoma. Las hemorroides.
Hidatdico de Morgagni. Disco intervertebral. rgano Mixto,
Loose. Menisco. Mucocele, salival. Neuroma - Morton /
Traumtico. Quiste pilonidal / Sinus. Los plipos,
Inflamatoria - nasal / sinusoidal. Piel - Quiste / Tag /
desbridamiento. Tejidos Blandos, desbridamiento. Tejidos
Blandos, Lipoma. Espermatocele. Tendon / vaina del
tendn. Apndice testicular. Trombos o mbolos. Amgdalas
y / o adenoides. Varicocele. Conducto deferente, distintos de
la esterilizacin. Vein, vrices
Nivel IV - Patologa quirrgica, el examen macroscpico y

microscpico. Aborto - Espontnea / Perdidas. Arteria,
biopsia. Mdula sea, biopsia. Exostosis sea. Cerebro /
meninges, que no sean para la reseccin del tumor. Mama,
biopsia, no requieran la evaluacin microscpica de los
mrgenes quirrgicos. Pecho, reduccin mamoplastia.
Bronquios, biopsia. Cell Block, cualquier fuente. Cuello
uterino, biopsia. Coln, biopsia. Duodeno, biopsia.
Endocrvix, curettings / biopsia. Endometrio, curettings /
biopsia. Esfago, biopsia. Extremidades, amputacin
traumtica. Trompas de Falopio, la biopsia. Trompas de
Falopio, embarazo ectpico. Cabeza del fmur, fractura. Los
dedos de manos / pies, la amputacin no traumtica. Enca /
mucosa oral, biopsia. Las vlvulas del corazn. La reseccin
conjunta,. Rin, Biopsia. Laringe, biopsia. Leiomioma (s),
miomectoma uterina - sin tero. Lip, reseccin biopsia /
Wedge. Pulmn, biopsia transbronquial. Ganglios linfticos,
biopsia. Msculo, biopsia. La mucosa nasal, biopsia.
Nasofaringe / orofaringe, Biopsia. Nervio, biopsia.
Odontognico / Dental quiste. Epipln, biopsia. Ovario con o
sin tubo, no neoplsicas. Ovario, reseccin biopsia / Wedge.
Las glndulas paratiroideas. Peritoneo, biopsia. Tumor
hipofisario. La placenta, que no sea el tercer trimestre.
Pleura / Pericardio - Biopsia / Tejidos. Polyp, Cervical /
endometrial. Polyp, colorrectal. Polyp, estmago / intestino
delgado. Prstata, Biopsia con aguja. Prstata, TUR. La
glndula salival, biopsia. Sinusal, paranasal biopsia. Piel,
Excepto Quiste / Tag / Desbridamiento / Reparacin
Plstica. Intestino delgado, biopsia. Tejidos blandos, que no
sea Tumor / Masa / Lipoma / desbridamiento. Bazo.
Estmago, biopsia. Membrana sinovial. Testis, Aparte de
Tumor / biopsia / castracin. Conducto tirogloso / braquial
quiste de la hendidura. Lengua, Biopsia. Amgdalas, biopsia.
Trquea, biopsia. Urter, biopsia. Uretra, biopsia. Vejiga
urinaria, biopsia. tero, con o sin trompas y los ovarios, para
prolapso. Vagina, biopsia. Vulva / Labia, biopsia.
Nivel V - Patologa quirrgica, el examen macroscpico y

microscpico. La reseccin adrenal,. Bone - Biopsia /
curettings. Bone Fragment (s), fractura patolgica. Cerebro,
biopsia. Cerebro / meninges, la reseccin tumoral. Seno,
extirpacin de la lesin, que requiere una evaluacin
microscpica de los mrgenes quirrgicos. Mama,
mastectoma - Parcial / Simple. Cuello uterino, conizacin.
Colon, reseccin segmentaria, que no sea para el tumor.
Extremidades, amputacin no traumtica. Ojo, enucleacin.
Rin, Parcial / Total nefrectoma. Laringe, Parcial / Total
reseccin. Hgado, Biopsia - Aguja / Wedge. El hgado,
reseccin parcial. Pulmn, biopsia en cua. Los ganglios
linfticos, la reseccin Regional. Mediastino, Massachusetts
Miocardio, biopsia. Tumor odontognico. Ovario con o sin
tubo, neoplsicas. Pncreas, biopsia. Placenta, tercer
trimestre. Prstata, Excepto La reseccin radical. La
glndula salival. Ganglio centinela. Intestino delgado,
Triseccin Aparte de para el tumor. Masa de partes blandas
(excepto Lipoma) - Biopsia / escisin simple. Estmago Subtotal / Total reseccin, que no sea para el tumor.
Testculos, biopsia. Timo, Tumor. Tiroides, Total / Lobe.
Urter, reseccin. Vejiga urinaria, TUR. tero, con o sin
trompas y los ovarios, que no sea Prolapso Neoplsicas /.
Nivel VI - Patologa quirrgica, el examen macroscpico y

microscpico. La reseccin sea. Mama, mastectoma - con
ganglios linfticos regionales. Colon, reseccin segmentaria
para el tumor. Colon, reseccin total. Esfago, Parcial / Total
reseccin. Extremidad, desarticulacin. Feto, con diseccin.
Laringe, Parcial / Total Reseccin - con ganglios linfticos
regionales. Pulmn - Total / Lobe / Reseccin de
segmentos. Pncreas, total / subtotal reseccin. Prstata,
reseccin radical. Intestino delgado, reseccin de tumor.
Tumor de tejido blando, reseccin extensa. Estmago Subtotal Total / Reseccin de tumor. Testculos, tumor.
Lengeta / amgdalas - Reseccin de tumor. Vejiga urinaria,
Parcial / Total reseccin. tero, con o sin trompas y los
ovarios, neoplsicas. Vulva, total / subtotal reseccin.
Procedimiento de descalcificacin (Anote separadamente
adems del cdigo para el examen de patologa quirrgica)
Las tinciones especiales, Grupo II, todos los dems (por
ejemplo, hierro, tricrmico), con excepcin de las manchas
de inmunocitoqumica e inmunoperoxidasa, incluyendo la
interpretacin e informe, cada uno
Las tinciones especiales; tincin histoqumica con seccin
de congelados (s), incluyendo la interpretacin y el informe
Interpretacin e informe del mdico tratante de la diapositiva

previamente diagnosticados histolgica (sin consulta)
La consulta y el informe se hace referencia en diapositivas
preparadas en otra parte
La consulta y el informe sobre la preparacin de material de
referencia que requiere de diapositivas
Consulta, integral, con revisin de los registros y las
muestras, con el informe sobre el material que se refiere
Consulta de Patologa durante la ciruga;
Consulta patologa durante la ciruga; bloque de tejido
primera, con la seccin congelada (s), solo espcimen
Consulta de Patologa durante la ciruga, cada bloque de
tejido adicional con la seccin de congelados (s)
Consulta de Patologa durante la ciruga, el examen
citolgico (por ejemplo, el tacto de preparacin, preparacin
de calabaza), sitio inicial
Consulta de Patologa durante la ciruga, el examen
citolgico (por ejemplo, el tacto de preparacin, preparacin
de calabaza), cada sitio adicional
Microscopa electrnica; escaneado
Morfomtrico anlisis; nervio
Morfomtrico anlisis; tumor (por ejemplo, la ploida del
ADN)
El anlisis morfomtrico, inmunohistoqumica del tumor (por
ejemplo, Her-2/neu, receptor de estrgeno / progesterona),
cuantitativa o semicuantitativa, cada anticuerpo, manual de
El anlisis morfomtrico, inmunohistoqumica del tumor (por
ejemplo, Her-2/neu, receptor de estrgeno / progesterona),
cuantitativa o semicuantitativa, cada anticuerpo, utilizando la
tecnologa asistida por ordenador
Preparaciones bromas nerviosas
El anlisis morfomtrico, hibridacin in situ, (cuantitativo o
semicuantitativo) cada sonda, usando tecnologa asistida
por ordenador
Anlisis de protenas del tejido por Western Blot, con
interpretacin e informe;
Evaluacin basada en arreglos de mltiples sondas
moleculares; 11 a 50 sondas
El examen macroscpico, diseccin y preparacin de tejido
para no microscpicos estudios analticos (por ejemplo,
basados en cido nucleico estudios moleculares); cada
preparacin de tejido (por ejemplo, un solo ganglio linftico)
El examen macroscpico, diseccin y preparacin de tejido

para no microscpicos estudios analticos (por ejemplo, a
base de cido nucleico-estudios moleculares), en
conjuncin con una impresin tctil, consulta intraoperatoria,
o la seccin de congelados, cada preparacin de tejido (por
ejemplo, un solo ganglio linftico ) (lista por separado
Cotizadas procedimiento quirrgico patologa
La bilirrubina, total, transcutnea
La bilirrubina, total, transcutnea
La hemoglobina (Hb), transcutnea cuantitativa,
La hemoglobina, cuantitativo, da transcutnea, por;
carboxihemoglobina
La hemoglobina, cuantitativo, da transcutnea, por;
metahemoglobina
La cafena halotano contractura prueba (PCCH) para la
susceptibilidad hipertermia maligna, incluyendo la
interpretacin y el informe
Intubacin duodenal y aspiracin; espcimen nico (por
ejemplo, estudios, bilis simple o cultura asa aferente),
adems de procedimiento de prueba apropiado
Intubacin duodenal y la aspiracin, la recogida de muestras
de varias fracciones con la estimulacin del pncreas o la
vescula biliar, o solo tubo de doble luz
Intubacin gstrica y aspiracin, de diagnstico, cada
muestra para los anlisis qumicos o citopatologa;
Intubacin gstrica y aspiracin, de diagnstico, cada
espcimen, para anlisis qumicos o citopatologa; despus
de la estimulacin
Intubacin gstrica, la aspiracin y colecciones fraccionarias
(por ejemplo, estudios, secrecin gstrica); 1 hora
(por ejemplo, estudios, secrecin gstrica), dos horas
(por ejemplo, estudios, secrecin gstrica), dos horas,
incluyendo la estimulacin gstrica (por ejemplo, histalog,
pentagastrina)
(por ejemplo, estudios, secrecin gstrica), tres horas,
incluyendo la estimulacin gstrica
Fibras de la carne, heces
Frotis nasal de eosinfilos
Sangre oculta en las heces de cualquier fuente, excepto
Esputo, la muestra de obtener, aerosol tcnica inducida
Los grnulos de almidn, heces
El sudor por iontoforesis coleccin
Anlisis del agua y de carga
Prueba Cotizadas varios patologa
Cultura de los ovocitos (s) / embriones (s), menos de 4 das,

con el co-cultivo de los ovocitos (s) / embriones
Fecundacin de ovocitos Asistida, microtcnica (cualquier
mtodo)
Ovocito identificacin de lquido folicular
Preparacin de los embriones criopreservados para la
transferencia (incluye el deshielo)
Sperm identificacin de aspiracin (que no sea fluido
seminal)
La crioconservacin; esperma
Aislamiento de esperma; preparacin complejo (por
ejemplo, Percoll gradiente, el gradiente de albmina) para la
inseminacin o el diagnstico con anlisis de semen
Esperma identificacin de tejido testicular, frescos o
crioconservados
Cultura extendida de los ovocitos (s) / embriones (s), 4-7
das
Fecundacin de ovocitos Asistida, microtcnica; mayor de
10 ovocitos
Biopsia, cuerpo polar ovocitos o blastmeros de embriones,
microtcnica (para el diagnstico de preimplantacin
gentica); inferior o igual a 5 embriones
Biopsia, cuerpo polar ovocitos o blastmeros de embriones,
microtcnica (para el diagnstico de preimplantacin
gentica); ms de 5 embriones
Anlisis de semen; / o presencia y la motilidad de los
espermatozoides incluyendo Huhner prueba (post coital)
Anlisis de semen, motilidad y el recuento (sin incluir prueba
Huhner)
El anlisis del semen, la presencia de espermatozoides y la
motilidad de los espermatozoides, si se realiza
Anlisis de semen, el volumen, el recuento, la motilidad y
diferencial utilizando estrictos criterios morfolgicos (por
ejemplo, Kruger)
Anticuerpos de esperma
Evaluacin de espermatozoides; hmster prueba de
penetracin
Evaluacin de espermatozoides, prueba de moco cervical
penetracin, con o sin prueba spinnbarkeit
Evaluacin de espermatozoides, por eyaculacin retrgrada,
orina (concentracin de espermatozoides, la motilidad y
morfologa, como se indica)
Crioconservacin, tejido reproductivo, testicular
Almacenamiento, (por ao); embrin (s)
Almacenamiento, (por ao); esperma / semen
Almacenamiento, (por ao); tejido reproductivo, testculos /
ovarios
Almacenamiento, (por ao); ovocito (s)
Esputo, la muestra de obtener, aerosol tcnica inducida
La descongelacin de criopreservado; embrin (s)
La descongelacin de criopreservado; esperma / semen,

cada alcuota
La descongelacin de criopreservado, tejido reproductivo,
testculos / ovarios
Los grnulos de almidn, heces
La descongelacin de criopreservado; ovocitos, cada
alcuota
El sudor por iontoforesis coleccin
Anlisis del agua y de carga
Cotizadas medicina reproductiva procedimiento de
laboratorio
Prueba Cotizadas varios patologa
Oficina y ambulatorios otro servicio mdico, paciente nuevo,
breve servicio
Inicio servicio mdico, paciente nuevo, breve servicio
Atencin hospitalaria inicial, breve historia y examen, el
inicio de programas de diagnstico y tratamiento, y la
preparacin de los registros del hospital
Historia y examen del recin nacido normal, recin nacido,
la iniciacin de programas de diagnstico y tratamiento y
preparacin de los registros hospitalarios (Este cdigo
tambin se debe utilizar para el parto entregas habitacin)
Atencin hospitalaria posterior, cada da, servicios breves
La inmunoglobulina (Ig), humano, para uso intramuscular
Atencin hospitalaria posterior, cada da, los servicios
normales de servicios recin nacidos
La inmunoglobulina (IGIV), humano, para uso intravenoso
La inmunoglobulina (SCIg), humano, para su uso en
infusiones subcutneas, 100 mg, cada
Antitoxina botulnica, equino, cualquier ruta
El botulismo globulina inmune humana para uso intravenoso
Citomegalovirus inmunoglobulina (CMV-IGIV), humano, para
uso intravenoso
El alta hospitalaria gestin ordinaria
Antitoxina de la difteria, equino, cualquier va
Atencin inicial, centro de enfermera especializada, centro
de cuidado intermedio o largo plazo los servicios de centros
de atencin mdica, breve historia y examen fsico, el inicio
de programas de diagnstico y tratamiento, y la preparacin
de los expedientes mdicos
Hepatitis B inmunoglobulina (HBIG), humano, para uso
intramuscular
Globulina inmune de la rabia, tratada trmicamente (RigHT), humanos, por va intramuscular y / o subcutnea
El virus respiratorio sincitial, anticuerpos monoclonales,
recombinantes, para uso intramuscular, 50 mg, cada uno
Globulina inmune por virus sincicial respiratorio (RSV-IGIV),
humano, para uso intravenoso
Rho (D) globulina inmune (RhIg), humano, lleno de dosis,

por va intramuscular
Rho (D) inmunoglobulina (RhIg), humano, mini-dosis, por va
intramuscular
Rho (D) inmunoglobulina (RhIgIV), humano, para uso
intravenoso
Inmunoglobulina tetnica (TIG), humano, para uso
intramuscular
La vacuna de globulina inmune humana para uso
intramuscular
Varicela-zoster inmunoglobulina humana para uso
intramuscular
Globulina inmune Cotizadas
Resto de origen (por ejemplo, subir a casa), atencin
domiciliaria, o de custodia centro mdico de servicio, el
nuevo paciente; breve servicio
Administracin inmunizacin menor de 8 aos de edad
(incluye percutnea, intradrmica, subcutnea,
intramuscular o inyecciones) cuando el mdico que
aconseja al paciente / familia; inyeccin primera (o nica
combinacin de vacuna / toxoide), por da
Administracin inmunizacin menor de 8 aos de edad
(incluye percutnea, intradrmica, subcutnea,
intramuscular o inyecciones) cuando el mdico que
aconseja al paciente / familia; cada inyeccin adicional (solo
o combinacin de vacuna / toxoide), por da (Lista por
Administracin de Inmunizacin menores de 8 aos (incluye
intranasal u oral de administracin) cuando el mdico
aconseja al paciente / familia, primera administracin (o
combinacin vacuna / toxoide), por da
Administracin de Inmunizacin menores de edad de 8 aos
(incluye intranasal u oral de administracin) cuando el
mdico aconseja al paciente / familia; cada administracin
adicional (o combinacin vacuna / toxoide), por da (Listado
primario)
H1N1 administracin inmunizacin (intramuscular,
intranasal), incluido el asesoramiento cuando se realiza
Administracin Inmunizacin (incluye percutnea,
intradrmica, subcutnea, intramuscular o inyecciones);
cada vacuna adicional (solo o combinacin de vacuna /
toxoide) (Lista por separado adems de cdigo para el
Inmunizacin administracin por va intranasal u oral, 1
vacuna (o combinacin vacuna / toxoide)
Vacuna de adenovirus, tipo 4, en vivo, para uso oral
Vacuna de adenovirus, tipo 7, en directo, para uso oral
Servicio de urgencias servicio, paciente nuevo, el servicio
mnimo
Vacuna contra el ntrax, por va subcutnea
Bacillus Calmette-Gurin (BCG) para el cncer de vejiga, en

directo, para uso intravesical
Mdico direccin de atencin mdica de emergencia
sistemas de emergencia (EMS), soporte vital avanzado
Vacuna contra el clera, en directo, para uso oral
Consulta inicial, limitada
Vacuna contra la hepatitis, la dosis para adultos, para uso
intramuscular
Vacuna contra la hepatitis, peditrico / adolescente dosis-2
programa de dosis, por va intramuscular
Vacuna contra la hepatitis, peditrico / adolescente
posologa-3 dosis, por va intramuscular
La hepatitis A y hepatitis B (Hep-Hep B), la dosis para
adultos, para uso intramuscular
Seguimiento de consulta; breve
Hemophilus influenzae b (Hib), HbOC conjugado (4
Hemophilus influenzae b (Hib), PRP-D conjugado, para
refuerzo uso exclusivo uso intramuscular
Hemophilus influenzae b (Hib), conjugado PRP-OMP (3
Hemophilus influenzae b (Hib), conjugado PRP-T (4
Virus del papiloma humano (HPV), los tipos 6, 11, 16, 18
(tetravalente), 3 programa de dosis, por va intramuscular
Confirmacin de consulta; limitado
Virus del papiloma humano (HPV), los tipos 16 y 18, horario
bivalente, dosis 3, para uso intramuscular
Vacuna contra la influenza, virus de la divisin, sin
conservantes, cuando se administra a los nios 6-35 meses
de edad, para uso intramuscular
Vacuna contra la influenza virus, virus fraccionado, sin
conservantes, cuando se administra a individuos 3 aos en
adelante, para uso intramuscular
Vacuna contra la influenza, virus de la divisin, cuando se
administra a los nios 6-35 meses de edad, para uso
intramuscular
Vacuna contra la gripe, virus de la divisin, cuando se
administra a las personas de 3 aos de edad y mayores,
Vacuna contra la influenza virus, virus completo, para uso
por inyeccin intramuscular o chorro
Vacuna contra la influenza virus, en directo, para uso
intranasal
Vacuna contra la influenza virus, derivada de cultivos
celulares, subunidades, conservantes y libres de
antibiticos, para uso intramuscular
Vacuna contra la influenza virus, virus fraccionado, sin
conservantes, inmunogenicidad mejorada a travs de
contenido de antgeno mayor, para uso intramuscular
Vacuna contra la influenza virus, la formulacin de
pandemia, la gripe H1N1
Lyme vacuna contra la enfermedad, la dosis para adultos,

La vacuna antineumoccica conjugada, 7 valente, para uso
intramuscular
La vacuna antineumoccica conjugada, 13 valente, para uso
intramuscular
Vacuna contra el rotavirus, pentavalente, 3 esquema de
dosis, en directo, para uso oral
Vacuna contra el rotavirus, humano, atenuada, 2 esquema
de dosis, en directo, para uso oral
Vacuna contra el tifus, en vivo, oral
Vacuna contra la fiebre tifoidea, polisacrido capsular Vi
(ViCPS), para uso intramuscular
Tifoidea vacuna, calor y fenol inactivada (HP), por va
subcutnea o intradrmica
Vacuna contra el tifus, acetona-muerto, se sec (AKD), por
va subcutnea (USmilitary)
Difteria, ttanos, tos ferina acelular y la vacuna
antipoliomieltica inactivada (DTaP-IPV), cuando se
administra a los nios de 4 y 6 aos de edad, para uso
intramuscular
Difteria, ttanos, tos ferina acelular, haemophilus influenza
tipo B y la vacuna de poliovirus inactivado, (DTPa - Hib IPV), para uso intramuscular
Servicio mdico Cotizadas, general
Difteria, ttanos y tos ferina acelular (DTaP), cuando se
administra a individuos menores de 7 aos, para uso
intramuscular
Toxoide tetnico adsorbido, para uso intramuscular
Las paperas vacuna contra el virus, en vivo, por va
subcutnea
Vacuna contra el sarampin virus, en directo, por va
subcutnea
La rubola vacuna contra el virus, en directo, por va
subcutnea
La rubola y parotiditis virus, en directo, por va subcutnea
El sarampin, las paperas, la rubola y la vacuna contra la
varicela (MMRV), en directo, por va subcutnea
Vacuna antipoliomieltica, inactivada (IPV), por va
subcutnea o intramuscular
Toxoides del ttanos y la difteria (Td) adsorbido, sin
conservantes, cuando se administra a las personas de 7
aos o mayores, para uso intramuscular
El ttanos, difteria y tos ferina acelular (Tdap), cuando se
administra a las personas de 7 aos o mayores, para uso
intramuscular
La varicela vacuna contra el virus, en vivo, por va
subcutnea
Toxoides del ttanos y la difteria (Td) adsorbido cuando se
administra a las personas de 7 aos o mayores, para uso
intramuscular
Toxoide de la difteria, para uso intramuscular
Difteria, ttanos y vacuna acelular contra la tos ferina y la

vacuna contra Haemophilus influenzae B (DTaP-Hib), para
uso intramuscular
Difteria, ttanos, vacuna contra la tos ferina acelular,
antihepatitis B y la vacuna antipoliomieltica inactivada (IPVDtaPHepB), para uso intramuscular
Inmunizacin activa de vacuna antigripal de virus
El clera vacuna para uso inyectable
Inmunizacin activa; vacuna contra la rabia
La peste vacuna, para uso intramuscular
Inmunizacin activa; vacuna BCG
Inmunizacin activa; vacuna contra hepatitis A
Inmunizacin activa contra la hepatitis B vacuna
La vacuna antineumoccica polisacrida 23-valente para
adultos, o inmunosuprimidos dosis del paciente, cuando se
administra a personas de 2 aos o ms, por va subcutnea
o intramuscular
La vacuna antimeningoccica polisacrida (cualquier grupo
(s)), por va subcutnea
Meningococo conjugado de vacuna, los serogrupos A, C, Y
y W-135 (tetravalente), para uso intramuscular
Encefalitis japonesa vacuna contra el virus, por va
subcutnea
Zoster (culebrilla) de vacuna, vivir, por inyeccin subcutnea
Inmunizacin activa; Hemophilus influenza B
Encefalitis japonesa vacuna de virus inactivado, para uso
intramuscular
Vacuna contra hepatitis B, la dilisis o la dosis
inmunosuprimidos paciente (3 horario de la dosis), para uso
intramuscular
Inmunizacin pasiva, inmunoglobulinas sricas, humano
(ISG)
Inmunizacin pasiva; globulina hiperinmune especfico
srico (por ejemplo, la hepatitis B, el sarampin, la tos
ferina, la rabia, Rho (D), el ttanos, vaccinia, varicela-zoster)
Vacuna contra hepatitis B, el adolescente (2 esquema de
dosis), para uso intramuscular
Vacuna contra hepatitis B, adolescente / alta dosis para
lactantes de riesgo, para uso intramuscular
Vacuna contra hepatitis B, la dosis para adultos, para uso
intramuscular
Vacuna contra hepatitis B, la dilisis o la dosis
inmunosuprimidos paciente (4 programa de dosis), para uso
intramuscular
La hepatitis B y Haemophilus influenzae b vacuna
(HepBHib), para uso intramuscular
La historia y el examen inicial relacionada con el individuo
sano, incluida la orientacin anticipatoria; adulta (mayor de
18 aos)
Cuidado infantil a un ao de edad, con un mximo de 12

visitas a la oficina durante las horas de oficina regulares,
incluidas las pruebas de la tuberculina y la vacunacin de
DPT y polio oral
Atencin del recin nacido, para fines ajenos al mbito
hospitalario, incluyendo el examen fsico del beb y de la
conferencia (s) con el padre (s)
Intervalo de la historia y examen relacionado con el
individuo sano, incluyendo orientacin anticipada, el tipo de
examen peridico, adulto (18 aos o ms)
La infusin intravenosa, hidratacin, minutos iniciales, 31 y 1
hora
La infusin intravenosa, hidratacin, cada hora adicional
La infusin intravenosa, para el tratamiento, profilaxis o
diagnstico (especificar sustancia o frmaco); inicial, hasta 1
hora
diagnstico (especificar sustancia o frmaco); cada hora
diagnstico (especificar sustancia o frmaco); infusin
secuencial adicional, de hasta 1 hora (Lista por separado
concurrente (Lista por separado adems de cdigo para el
Infusin subcutnea para el tratamiento o profilaxis
(especificar sustancia o frmaco); inicial, hasta una hora,
incluyendo la bomba de configuracin y el establecimiento
de sitio de infusin subcutnea (s)
(especificar sustancia o frmaco); cada hora adicional (Lista
primario)
(especificar sustancia o droga); bomba adicional puesta a
punto con el establecimiento del nuevo sitio de infusin
subcutnea (s) (Listado por separado adems del cdigo
sustancia o medicamento), subcutnea o intramuscular
sustancia o medicamento), intra-arterial
Administracin y mdicos interpretacin de las pruebas de
desarrollo
Teraputico, profilctico o de diagnstico de la inyeccin

(especificar sustancia o droga); bolo intravenoso, solo o
sustancia inicial / drogas
sustancia o frmaco); cada empuje adicional secuencial
intravenosa de una nueva sustancia / frmaco (Lista por
sustancia o frmaco); cada empuje adicional secuencial
intravenosa de la misma sustancia / frmaco proporcionado
en una instalacin (Lista por separado adems de cdigo
Respiratorio circadiano grabacin del patrn (pneumogram
peditrica), 12 a 24 horas de grabacin continua, infantil
Cotizadas inyeccin teraputica, intravenosa o intra-arterial
profilctico o de diagnstico o infusin
La infusin intravenosa para el tratamiento / diagnstico,
administrado por el mdico o bajo la supervisin directa del
mdico, cada hora adicional, hasta ocho (8) horas (Anote
primario)
La inyeccin intramuscular de antibiticos (especificar)
La terapia intravenosa para la enfermedad alrgica severa o
intratable en la oficina del mdico o de la institucin (por
ejemplo, teofilinas, corticosteroides, antihistamnicos)
Cotizadas inyeccin teraputica, profilctica o diagnstica
Examen psiquitrico entrevista diagnstica
Interactivo examen psiquitrico entrevista diagnstica con
equipos de juego, dispositivos fsicos, intrprete de lenguaje
u otros mecanismos de comunicacin
con el paciente, con evaluacin mdica y gestin de los
servicios
con el paciente, con una evaluacin mdica y servicios de
gestin
con el paciente, con una evaluacin mdica y servicios de
gestin
La psicoterapia individual e interactiva, utilizando equipo de

juego, dispositivos fsicos, intrprete de lenguaje u otros
mecanismos de comunicacin no verbal, en un consultorio o
ambulatorio, de aproximadamente 20 a 30 minutos cara a
cara con el paciente;
cara con el paciente, con una evaluacin mdica y manejo
servicios
servicios
servicios
comportamiento y / o de apoyo, en un hospital,
hospitalizacin parcial o establecimiento de atencin
residencial, a unos 20 a 30 minutos cara a cara con el
paciente;
paciente, con una evaluacin mdica y servicios de gestin
comportamiento y / o de apoyo, en un hospital, ajuste
parcial atencin hospitalaria o residencial, a unos 45 a 50
minutos cara a cara con el paciente;

Interactivo examen mdico psiquitrico entrevista
diagnstica
comportamiento y / o de apoyo, en un hospital, ajuste
parcial atencin hospitalaria o residencial, aproximadamente
75 a 80 minutos cara a cara con el paciente;
mecanismos de comunicacin no verbal, en un hospital,
paciente;
paciente; con los servicios mdicos de evaluacin y gestin
Evaluacin psiquitrica de los registros hospitalarios, otros
informes psiquitricos, pruebas psicomtricas y / o
proyectivas, y otros datos acumulados para fines de
diagnstico mdico
paciente;

hospital o parcial residencial de cuidados, de
aproximadamente 75 a 80 minutos cara a cara con el
paciente;
hospital o parcial residencial de cuidados, de
aproximadamente 75 a 80 minutos cara a cara con el
psicodiagnstico de la personalidad, la psicopatologa, la
emotividad, la capacidad intelectual, por ejemplo, WAIS-R,
Rorschach, MMPI), con interpretacin e informe, por hora
Telfono consulta con o sobre paciente para psiquitricos
fines teraputicos o de diagnstico
Narcosntesis psiquitricos para fines diagnsticos y
teraputicos (por ejemplo, amobarbital sdico [Amytal]
entrevista)
La psicoterapia individual mdico realizado por un mdico,
con la continuacin de la evaluacin de diagnstico mdico
y la administracin de medicamentos cuando est indicado,
incluyendo una visin orientada a modificar el
comportamiento o psicoterapia de apoyo (cara a cara con el
paciente), el tiempo no especificado
paciente), aproximadamente 75 a 80 minutos
(Sin descripcin)
Interactivo psicoterapia mdica individual
Manejo farmacolgico, incluyendo la prescripcin, uso y

revisin de la medicacin con no ms de psicoterapia
mdica mnima
Narcosntesis psiquitricos para fines diagnsticos y
teraputicos (por ejemplo, amobarbital sdico (Amytal)
entrevista)
La terapia electroconvulsiva (incluye el seguimiento
necesario)
La terapia electroconvulsiva (incluye el seguimiento
necesario), convulsiones mltiples, por da
La terapia individual psicofisiolgica incorporar el
entrenamiento con biorretroalimentacin por cualquier
modalidad (cara a cara con el paciente), con la psicoterapia
(por ejemplo, una visin orientada a modificar el
comportamiento o psicoterapia de apoyo);
aproximadamente 20-30 minutos
La terapia individual psicofisiolgica incorporar el
entrenamiento con biorretroalimentacin por cualquier
modalidad (cara a cara con el paciente), con la psicoterapia
(por ejemplo, una visin orientada a modificar el
comportamiento o psicoterapia de apoyo);
aproximadamente 45-50 minutos
Intervencin ambiental para la gestin mdica en nombre de
un paciente psiquitrico con organismos, empresas o
instituciones
Evaluacin psiquitrica de los registros hospitalarios, otros
informes psiquitricos, pruebas psicomtricas y / o
proyectivas, y otros datos acumulados para fines de
diagnstico mdico
Interpretacin o explicacin de los resultados de los
exmenes psiquitricos, mdicos y otros procedimientos, u
otros datos acumulados a familiares u otras personas
responsables, o aconsejndoles cmo ayudar a los
pacientes
Preparacin del informe de estado psiquitrico del paciente,
la historia, el tratamiento, o el progreso (que no sea para
fines legales o de consulta) para otros mdicos, agencias o
compaas de seguros
Cotizadas servicio psiquitrico o procedimiento
Entrenamiento de biorretroalimentacin; por aplicacin
electromiograma (por ejemplo, en la cefalea tensional, el
espasmo muscular)
Entrenamiento de biorretroalimentacin por cualquier
modalidad
Entrenamiento con biofeedback, en trastornos de la
conduccin (por ejemplo, arritmia)
Entrenamiento con biofeedback, los msculos perineales, el
esfnter anorrectal o uretral, incluyendo EMG y / o
manometra
Entrenamiento con biofeedback; otro
Renal en fase terminal (ESRD) servicios relacionados por

mes completo, para los pacientes menores de dos aos de
edad para incluir el monitoreo de la adecuacin de la
nutricin, la evaluacin del crecimiento y desarrollo, y la
orientacin de los padres
Etapa final de enfermedad renal terminal (ERT) los servicios
relacionados por mes completo, para pacientes de entre dos
y once aos de edad para incluir el monitoreo de la
adecuacin de la nutricin, la evaluacin del crecimiento y
desarrollo, y la orientacin de los padres
relacionados por mes completo, para pacientes de entre
doce y diecinueve aos de edad para incluir el monitoreo de
la adecuacin de la nutricin, la evaluacin del crecimiento y
desarrollo, y la orientacin de los padres
relacionados por mes completo, para los pacientes veinte
aos de edad y mayores
Renal en fase terminal (ESRD) servicios relacionados
(menos que el mes completo), por da, para los pacientes
menores de dos aos de edad
relacionados (menos que el mes completo), por da, para
pacientes de entre dos y once aos de edad
pacientes de entre doce y diecinueve aos de edad
pacientes con veinte aos de edad y mayores
Acceso Hemodilisis flujo estudio para determinar el flujo
sanguneo en los injertos y fstulas arteriovenosas mediante
un mtodo de dilucin del indicador, la puesta, la medicin
transcutnea y la desconexin
Acceso Hemodilisis flujo estudio para determinar el flujo
sanguneo en los injertos y fstulas arteriovenosas mediante
un mtodo de indicador
Procedimiento de dilisis distinta de hemodilisis (por
ejemplo, la dilisis peritoneal, la hemofiltracin, u otras
terapias de reemplazo renal continua) que requieren
evaluaciones repetidas mdico, con o sin modificacin
sustancial de prescripcin de dilisis
Etapa final de enfermedad renal terminal (ERT) servicios
asesoramiento de los padres, con un cara a cara en una
visita al mdico mes

relacionados mensuales, para los pacientes 2-11 aos de
nutricin, la evaluacin del crecimiento y desarrollo, y el
visitas al mes
asesoramiento de los padres, con una visita al mdico cara
a cara por mes
visitas al mes
asesoramiento de los padres, con una visita al mdico cara
a cara por mes
relacionados mensuales, para los pacientes de 20 aos de
edad y mayores, con 4 o ms cara-a-cara del mdico de
visitas al mes
edad y mayores, con 2-3 cara a cara mdico visitas al mes
edad y mayores, con una visita al mdico cara a cara por
mes
Etapa final de enfermedad renal (ESRD) Servicios

relacionados para dilisis en el hogar por mes completo,
para los pacientes menores de 2 aos de edad para incluir
la supervisin de la adecuacin de la nutricin, la evaluacin
del crecimiento y desarrollo, y la orientacin de los padres
para los pacientes 2-11 aos de edad para incluir el
monitoreo de la adecuacin de la nutricin, la evaluacin del
crecimiento y desarrollo, y la orientacin de los padres
para los pacientes 12-19 aos de edad para incluir el
monitoreo de la adecuacin de la nutricin, la evaluacin del
crecimiento y desarrollo, y la orientacin de los padres
para los pacientes de 20 aos de edad y mayores
relacionados para dilisis menos de un mes completo de
servicio, por da, para pacientes menores de 2 aos de edad
servicio, por da, para pacientes con 2-11 aos de edad
servicio, por da, para los pacientes 12-19 aos de edad
servicio, por da, para los pacientes de 20 aos de edad y
mayores
Supervisin de hemodilisis en el hospital u otro centro (con
exclusin de dilisis en el hogar), en forma mensual
Formacin dilisis, pacientes, incluyendo ayudante en su
caso, cualquier modo, el curso es
Hemodilisis formacin y / o asesoramiento
Formacin dilisis, pacientes, incluyendo ayudante en su
caso, cualquier modo, el curso no se completa, por cada
sesin de entrenamiento
Renal en fase terminal (ESRD) servicios relacionados, por
mes completo
Renal en fase terminal (ESRD) servicios relacionados
(menos que el mes completo), por da
Procedimiento de dilisis Cotizadas, paciente interno o
externo

gastroesofgica) estudio, con mecholyl estimulante o similar
gastroesofgica) estudio, con estudios de perfusin de
cido
Motilidad duodenal (manomtrica) Estudio
Esfago, prueba de reflujo cido, con electrodo de pH
intraluminal para la deteccin de reflujo gastroesofgico;
Esfago, reflujo gastroesofgico prueba, con electrodo de
pH catter nasal (s) ubicacin, registro, anlisis e
interpretacin
Esfago, reflujo gastroesofgico prueba, con la mucosa pH
adjunto telemetra colocacin de electrodos, registro,
anlisis e interpretacin
Prueba de la funcin esofgica, reflujo gastroesofgico
prueba con electrodo de catter nasal impedancia
intraluminal (s) ubicacin, registro, anlisis e interpretacin;
Prueba de la funcin esofgica, prueba de reflujo
gastroesofgico con electrodo de impedancia nasal catter
intraluminal (s) de colocacin, registro, anlisis e
interpretacin; prolongado (mayor de 1 hora, hasta 24
horas)
Distensin esofgica con baln provocacin estudio
Intubacin gstrica, lavado y preparacin de diapositivas
para citologa (procedimiento separado)
Prueba gstrico carga salina
Prueba del aliento de hidrgeno (por ejemplo, para la
deteccin de la deficiencia de lactasa), intolerancia a la
fructosa, sobrecrecimiento bacteriano, o oro-cecal trnsito
gastrointestinal)
Tubo de sangrado intestinal, pasaje, posicionamiento y
seguimiento
Gastrointestinal imgenes tracto intraluminal (por ejemplo, la
cpsula endoscpica), el esfago a travs de leon, con
interpretacin e informe mdico
Gastrointestinal imgenes tracto intraluminal (por ejemplo, la
cpsula endoscpica), el esfago con interpretacin e
informe mdico
Prueba de sensacin rectal, el tono y el cumplimiento (es
decir, la respuesta a la distensin con baln gradual)
Riego pulsante de la impactacin fecal
Electrogastrografa, diagnstico, transcutnea, con prueba
de provocacin
Procedimiento diagnstico Cotizadas gastroenterologa
Servicios oftalmolgicos: examen mdico y evaluacin con
el inicio del programa de diagnstico y tratamiento;
intermedias, paciente nuevo
Servicios oftalmolgicos: examen mdico y evaluacin con
el inicio del programa de diagnstico y tratamiento integral
del paciente;, nuevo, 1 o ms visitas
Servicios oftalmolgicos: examen mdico y evaluacin, con

el inicio o la continuacin del programa de diagnstico y
tratamiento; intermedias, paciente establecido
Servicios oftalmolgicos: examen mdico y evaluacin, con
el inicio o la continuacin del programa de diagnstico y
tratamiento integral del paciente, y establecida, una o ms
visitas
Examen oftalmolgico y evaluacin, bajo anestesia general,
con o sin manipulacin de globo para el rango de
movimiento pasivo u otra manipulacin para facilitar el
examen de diagnstico; limitado
Topografa corneal computarizada, unilateral o bilateral, con
interpretacin e informe
Montaje de lente de contacto para el tratamiento de la
enfermedad, incluyendo el suministro de lente
interpretacin e informe, el examen intermedio (por ejemplo,
por lo menos 2 ispteras en el permetro de Goldmann o
programa semicuantitativo, automatizada suprathreshold
cribado, Humphrey suprathreshold prueba de diagnstico
automtico, programa Octopus 33)
interpretacin e informe, el examen prolongado (por
ejemplo, Goldmann campo visual con al menos 3 ispteras
trazado y determinacin esttica dentro de la central de 30
, o cuantitativos, perimetra automatizada umbral, programa
Octopus G-1, 32 o 42, los programas de campo visual
Humphrey analizador de umbral 30-2, 24-2, o 30/60-2)
Tonografa con interpretacin e informe, el mtodo de
grabacin sangra tonmetro o mtodo de succin
perilmbica
Tonografa provocacin con agua
Ophthalmic biometra por interferometra de coherencia
parcial con clculo potencia de la lente intraocular
Pruebas de provocacin para el glaucoma, con
interpretacin e informe, sin tonografa
La oftalmoscopia, extendida, con el dibujo de la retina (por
ejemplo, para el desprendimiento de retina, melanoma), con
interpretacin e informe; posterior
Fluorescena angioscopia con interpretacin e informe
Indocianina verde angiografa (incluye multitrama de
imagen) con interpretacin e informe
Electrooculografa con interpretacin e informe
Examen de visin cromtica, extendida, anomaloscopio por
ejemplo, o equivalente
Fotografa ocular externa con interpretacin e informe para
la documentacin de los avances mdicos (por ejemplo,
primer plano, fotografa con lmpara de hendidura,
goniophotography, equipo de msica, fotografa)
Fotografa Especial del segmento anterior con interpretacin

e informe, con la angiografa con fluorescena
La prescripcin de las caractersticas pticas y fsicas de
montaje y de lentes de contacto, con la supervisin mdica
de adaptacin; lente corneal en ambos ojos, con excepcin
de la afaquia
de adaptacin; lente corneal para afaquia, 1 ojo
de adaptacin; lente corneal para afaquia, ambos ojos
de adaptacin; lente corneoescleral
Prescripcin de las caractersticas pticas y fsicas de la
lente de contacto, con la supervisin mdica de adaptacin
y sentido de montaje por un tcnico independiente; lente
corneal, ambos ojos excepto para afaquia
corneal para afaquia, 1 ojo
corneal para afaquia, ambos ojos
corneoescleral
Modificacin de lentes de contacto (procedimiento
separado), con la supervisin mdica de adaptacin
La sustitucin de la lente de contacto
La prescripcin de (ojo artificial) prtesis oculares y sentido
de montaje y suministro por un tcnico independiente, con
la supervisin mdica de adaptacin
Montaje de espectculos, excepto para afaquia; monofocal
Montaje de espectculos, excepto para afaquia; bifocal
Montaje de espectculos, a excepcin de la afaquia,
multifocal, que no sea bifocal
Colocacin de prtesis espectculo para afaquia; monofocal
Colocacin de prtesis espectculo para afaquia; multifocal
Montaje del espectculo montado ayudas de baja visin,
sistema nico elemento
Montaje del espectculo montado ayudas de baja visin,
sistema compuesto lente telescpica o de otro tipo
Servicio de Prtesis para afaquia, temporal (desechable o

prstamo, incluidos los materiales)
Reparacin y reposicin de gafas, a excepcin de la afaquia
Reparacin y reposicin de gafas, gafas para afaquia
prtesis
Suministro de gafas, prtesis, excepto para afaquia y ayuda
para baja visin
Suministro de lentes de contacto, prtesis, excepto para
afaquia
El suministro de ayuda para baja visin (una ayuda de baja
visin es cualquier lente o dispositivo que se utiliza para
ayudar o mejorar la funcin visual en una persona cuya
visin no puede ser normalizado por la correccin de las
gafas convencionales. Incluye lectura adiciones a 4D.)
Suministro de (ojo artificial) prtesis oculares
Suministro de prtesis permanente para afaquia, gafas
Suministro de prtesis permanente para afaquia, lentes de
contacto
Servicio o procedimiento oftalmolgico Cotizadas
Tratamiento del habla, el lenguaje, la voz, la comunicacin y
/ o trastorno de procesamiento auditivo; individuo
Tratamiento del habla, el lenguaje, la voz, la comunicacin y
/ o trastorno de procesamiento auditivo, el grupo, los
individuos 2 o ms
Evaluacin de la deglucin y la funcin oral para alimentar
Evaluacin vestibular Basic, incluye prueba de nistagmo
espontneo con nistagmo de fijacin excntrica mirada, con
la grabacin, prueba de nistagmo posicional, mnimo de4
puestos, con la grabacin, prueba de nistagmo optocintico,
estimulacin bidireccional foveal y perifrica, con la
grabacin, y la prueba de seguimiento oscilante, con
registro
Timpanometra y reflejo mediciones de umbral
Bekesy audiometra; diagnstico
Impedancia de pruebas
Pruebas de impedancia acstica, incluye timpanometra
(prueba de impedancia), las pruebas de acstica umbral del
reflejo, y la prueba acstica fatiga del reflejo
Historia Swinging prueba
Auditivo retardado test de feedback
Electrodrmica audiometra
Respuesta evocada (EEG) audiometra
Potenciales evocados auditivos para la audiometra de
respuesta evocada y / o pruebas del sistema nervioso
central; limitado
Evaluacin para el uso y / o de los accesorios de voz
dispositivo protsico para suplementar el oral
Modificacin de la voz de prtesis o aumentativa /

alternativa dispositivo de comunicacin para complementar
el discurso oral
Servicio Cotizadas otorrinolaringolgica o procedimiento
Diagnstico de implante coclear, paciente de 7 aos de
edad, con la programacin
Diagnstico de implante coclear, el paciente ms joven de 7
aos de edad; reprogramacin posterior
Diagnstico de implante coclear, edad 7 aos o ms, con la
programacin
Diagnstico de implante coclear, edad 7 aos o ms;
reprogramacin posterior
Evaluacin para la prescripcin de dispositivo de
comunicacin sin voz generadora aumentativa y alternativa
Servicio teraputico (s) para el uso del dispositivo no
generador de voz, incluyendo la programacin y
modificacin
Evaluacin de la prescripcin para el dispositivo generador
de voz la comunicacin aumentativa y alternativa, cara a
cara con el paciente, la primera hora
Evaluacin de la prescripcin para el habla dispositivo
generador de aumentativos y alternativos de comunicacin,
cara a cara con el paciente; cada 30 minutos adicionales
Servicios teraputicos para el uso de dispositivo generador
de voz, incluyendo la programacin y modificacin
Evaluacin de la funcin de tragar oral y farngea
Motion fluoroscpica evaluacin de la deglucin funcin de
cine o la grabacin de vdeo
Flexible de fibra ptica evaluacin endoscpica de la
deglucin por cine o la grabacin de vdeo;
Flexible de fibra ptica evaluacin endoscpica de la
deglucin por cine o la grabacin de vdeo, la interpretacin
y el informe mdico slo
Flexible de fibra ptica evaluacin endoscpica larngea
pruebas sensoriales en cine o la grabacin de vdeo;
Flexible de fibra ptica evaluacin endoscpica larngea
pruebas sensoriales en cine o la grabacin de vdeo, la
interpretacin y el informe mdico slo
Flexible de fibra ptica evaluacin endoscpica de la laringe
al tragar y pruebas sensoriales en cine o la grabacin de
vdeo;
Flexible de fibra ptica evaluacin endoscpica de la laringe
al tragar y pruebas sensoriales en cine o la grabacin de
vdeo, la interpretacin y el informe mdico slo
Evaluacin de la funcin auditiva central, con informe;
primeros 60 minutos
Evaluacin de la funcin auditiva central, con el informe,
cada 15 minutos adicionales
Evaluacin de tinnitus (incluye el tono, la coincidencia de la

sonoridad, y el enmascaramiento)
Evaluacin del estado auditivo rehabilitacin; primera hora
Evaluacin del estado auditivo rehabilitacin; cada 15
minutos adicionales (lista por separado adems del cdigo
Rehabilitacin auditiva; pre-lingual prdida de audicin
Rehabilitacin auditiva, prdida de la audicin postlingual
Anlisis de diagnstico con la programacin de implante
auditivo del tronco cerebral, por hora
Servicio Cotizadas otorrinolaringolgica o procedimiento
Estimulacin transcutnea temporal
Transcatter colocacin de dispositivo de administracin de
radiacin para braquiterapia intravascular coronario
posterior (Lista por separado adems de cdigo para el
El ultrasonido intravascular (vaso coronario o injerto)
durante la evaluacin de diagnstico y / o intervencin
teraputica incluyendo imgenes de supervisin,
interpretacin e informe; cada buque adicional (Lista por
Transcatter colocacin de un stent intracoronario (s),
percutnea, con o sin otra intervencin teraputica,
cualquier mtodo; cada buque adicional (Lista por separado
Coronaria transluminal percutnea angioplastia con baln,
cada vaso adicional (Anote separadamente adems del
La valvuloplastia percutnea con baln, la vlvula mitral
La valvuloplastia percutnea con baln, la vlvula pulmonar
Septectoma auricular o septostoma; mtodo intravenoso,
globo (por ejemplo, tipo Rashkind) (incluye cateterismo
cardaco)
Septectoma auricular o septostoma; mtodo cuchilla (Park
septostoma) (incluye cateterismo cardaco)
Aterectoma coronaria transluminal percutnea, por el
mtodo mecnico o de otro tipo, con o sin la angioplastia
con baln; cada buque adicional (Lista por separado
Transluminal percutnea con baln de angioplastia de
arteria pulmonar, cada buque adicional (Anote
primario)
derivaciones, seguimiento solamente, sin interpretacin e
informe
derivaciones, la interpretacin y el informe slo
Transmisin telefnica de post-sntoma tira de ritmo

electrocardiograma (s), 24-horas de seguimiento asistido,
por perodo de 30 das de tiempo; rastreo slo
Transmisin telefnica de post-sntomas tira de ritmo
electrocardiograma (s), 24 horas de monitoreo asistido, por
perodo de 30 das de tiempo, el examen mdico con
interpretacin e informe slo
electrocardiogrfico continuo, y / o el estrs farmacolgico;
supervisin mdica solamente, sin interpretacin e informe
electrocardiogrfico continuo, y / o el estrs farmacolgico;
rastreo solamente, sin interpretacin e informe
electrocardiogrfico continuo, y / o el estrs farmacolgico,
la interpretacin y el informe slo
Prueba de provocacin con ergonovina
Microvoltio alternancia de la onda T para la evaluacin de
arritmias ventriculares
Ritmo de ECG, una a tres cables; rastreo slo sin
Ritmo de ECG, una a tres pistas, la interpretacin y el
informe slo
Ritmo de ECG, una a tres cables, el plomo esofgica
(incluye colocacin e interpretacin)
Fonocardiograma con o sin plomo ECG, con la supervisin
durante la grabacin con interpretacin e informe (cuando el
equipo es suministrado por el mdico)
Vectorcardiograma (VCG), con o sin ECG, con
superposicin visual; grabacin (incluye conexin,
grabacin, y la desconexin)
de onda original y almacenamiento, con superposicin
visual de exploracin; anlisis de barrido con informe
superposicin visual; examen mdico y la interpretacin
Wearable telemetra mvil cardiovascular con registro

electrocardiogrfico, concurrente anlisis computarizado de
datos en tiempo real y ms de 24 horas de almacenamiento
de datos accesible ECG (recuperable con consulta) con el
ECG del paciente y desencadena eventos seleccionados
transmiten a un centro de vigilancia a distancia asistido por
hasta 30 das, mdico revisin e interpretacin con el
informe
Wearable telemetra mvil cardiovascular con registro
electrocardiogrfico, concurrente anlisis computarizado de
datos en tiempo real y ms de 24 horas de almacenamiento
de datos accesible ECG (recuperable con consulta) con el
ECG del paciente y desencadena eventos seleccionados
transmiten a un centro de vigilancia a distancia asistido por
hasta 30 das; tcnico soporte para instrucciones de
conexin y el paciente para su uso, asisti a la transmisin
de la vigilancia, el anlisis y el mdico prescrito de informes
de datos diarios y emergentes
Ritmo electrocardiogrfico Wearable derivados de la

de onda original y almacenamiento sin la exploracin de
superposicin utilizando un dispositivo capaz de producir
una impresin completa miniaturizado; incluye la grabacin,
basado en microprocesador, el anlisis con el informe, el
examen mdico y la interpretacin
una impresin completa miniaturizado; grabacin (incluye
conexin, grabacin, y la desconexin)
una impresin completa miniaturizado; basado en
microprocesador anlisis con informe
una impresin completa miniaturizado; crtica mdico y la
interpretacin

supervisin de 24 horas por la monitorizacin continua de
grabacin informatizado y no continuo, en tiempo real y
anlisis de datos utilizando un dispositivo capaz de producir
intermitentes de tamao completo trazados de forma de
onda, posiblemente activado paciente; incluye el
seguimiento y anlisis en tiempo real de datos con informe,
el mdico de revisin e interpretacin
onda, posiblemente activado paciente; datos de seguimiento
en tiempo real de anlisis con el informe
onda, posiblemente activado paciente; mdico crtica y la
interpretacin
Apexcardiography
Monitoreo electrocardiogrfico para hasta 12 horas de
grabacin analgica continua, con revisin mdica,
interpretacin e informe, con o sin impresin divulgacin
completa, con superposicin de exploracin
Paciente Wearable activado ritmo electrocardiogrfico
derivado de grabacin de eventos con lazo memoria
presymptom, 24-horas de monitoreo asistido, por perodo de
30 das de tiempo, incluye la transmisin, revisin mdica y
la interpretacin
Demanda de los pacientes solo evento ECG grabacin,
post-sntoma de grabacin y transmisin
30 das de tiempo; grabacin (incluye la conexin, registro y
desconexin)
30 das de tiempo, la vigilancia, la recepcin de
transmisiones, y el anlisis
30 das de tiempo, el examen mdico y la interpretacin
Evaluacin Unidad de programacin (en persona) con ajuste

iterativo del dispositivo implantable para probar el
funcionamiento del dispositivo y seleccione ptimos valores
permanentes programados con anlisis mdico, revisin e
informe; solo sistema de marcapasos
informe; sistema dual de marcapasos
Fluoroscopia cardaca
informe; sistema mltiple de marcapasos
informe; primer sencillo desfibrilador cardioversor
implantable sistema
informe; plomo dual desfibrilador cardioversor implantable
sistema
informe; plomo mltiples desfibrilador cardioversor
implantable sistema
informe; sistema holter implantable
Peri-procesal dispositivo de evaluacin (en persona) y la
programacin de los parmetros del sistema del dispositivo
antes o despus de una ciruga, procedimiento o examen
mdico con anlisis, revisin e informe; solo sistema de
marcapasos de doble o mltiple
Peri-procesal dispositivo de evaluacin (en persona) y la
programacin de los parmetros del sistema del dispositivo
antes o despus de una ciruga, procedimiento o examen
mdico con anlisis, revisin e informe; simple, doble o
mltiple plomo desfibrilador cardioversor implantable
sistema
Evaluacin de interrogacin del dispositivo (en persona) con

el mdico de anlisis, revisin e informe, incluye la
conexin, registro y desconexin por encuentro con el
paciente; solo sistema, cable de marcapasos de doble o
mltiple
paciente, nico, plomo dual o mltiple desfibrilador
cardioversor implantable del sistema, incluyendo el anlisis
del ritmo cardaco de los elementos de datos derivados
paciente, sistema implantable de monitor cardiovascular,
incluyendo el anlisis de una o ms grabados elementos
fisiolgicos cardiovasculares de datos de todos los sensores
internos y externos
paciente, sistema implantable holter, incluyendo ritmo
cardaco anlisis de datos derivado
paciente, sistema de desfibrilador porttil
Transtelefnico tira de ritmo evaluacin marcapasos (s)
nico sistema de marcapasos de doble o mltiple, incluye la
grabacin con y sin la aplicacin del imn con el mdico de
anlisis, revisin y reporte (s), hasta 90 das
Interrogatorio evaluacin dispositivo (s) (distancia), hasta 90
das; solo sistema de marcapasos de doble o mltiple con
anlisis mdico provisional, review (s) e informe (s)
das, solo, dual o mltiple plomo desfibrilador cardioversor
implantable sistema con el anlisis mdico provisional,
review (s) e informe (s)
das; solo sistema de marcapasos de doble o mltiple o
sistema de desfibrilador automtico implantable, remoto de
adquisicin de datos (s), la recepcin de las transmisiones y
el examen tcnico, el apoyo tcnico y la distribucin de
resultados
Interrogatorio evaluacin dispositivo (s), (a distancia) hasta
30 das; sistema implantable de monitor cardiovascular,
incluyendo el anlisis de una o ms grabados elementos
fisiolgicos cardiovasculares de datos de todos los sensores
internos y externos, anlisis, examen mdico (s) y el informe
(s)

30 das; sistema implantable holter, incluyendo el anlisis de
los datos registrados en el ritmo cardaco, el anlisis
mdico, el examen (s) e informe (s)
30 das; sistema implantable de monitor cardiovascular o del
sistema implantable holter, remoto de adquisicin de datos
(s), la recepcin de transmisiones y revisin tcnico,
asistencia tcnica y difusin de los resultados
Ecocardiografa en modo M; completa
La ecocardiografa transtorcica para anomalas cardacas
congnitas; completa
La ecocardiografa transtorcica para anomalas cardacas
congnitas, seguimiento o limitado estudio
Ecocardiografa en modo M; limitada (por ejemplo,
seguimiento o estudio limitado)
grabacin, cuando se realiza, completa, con ecocardiografa
Doppler espectral, y con flujo color ecocardiografa Doppler
grabacin, cuando se realiza, el seguimiento o estudio
limitado
Ecocardiografa en modo M y en tiempo real con
documentacin de imgenes (2D)
documentacin de imagen (2D) (con o sin M-modo de
grabacin); colocacin de sonda transesofgica slo
documentacin de imgenes (2D) (con o sin grabacin Mmode), adquisicin de imgenes, interpretacin e informe
slo
La ecocardiografa transesofgica para anomalas cardacas
congnitas, incluyendo la colocacin de la sonda, de
adquisicin de imgenes, interpretacin e informe
congnitas, la colocacin de la sonda transesofgica slo
congnitas, adquisicin de imgenes, interpretacin e
informe slo
Ecocardiografa transesofgica (TEE) para propsitos de
monitoreo, incluyendo la colocacin de la sonda, en tiempo
real 2-dimensional de adquisicin de imgenes y la
interpretacin que conduce a la continua (continua) la
evaluacin de (dinmicamente cambiantes) la funcin de
bombeo cardiaco ya las medidas teraputicas de forma
inmediata el tiempo
La ecocardiografa Doppler, Doppler pulsado y / o de onda

continua con visualizacin espectral (lista por separado,
adems de cdigos para imgenes ecocardiogrficas);
estudio de seguimiento o limitada (lista por separado,
adems de los cdigos para obtener imgenes
ecocardiogrficas)
La ecocardiografa Doppler color de flujo de velocidad de
mapeo (Haga una lista por separado, adems de los
cdigos de ecocardiografa)
grabacin, cuando se realiza, durante el descanso y la
prueba de esfuerzo cardiovascular con cinta de correr,
bicicleta de ejercicio y / o el estrs inducido
farmacolgicamente, con interpretacin e informe;
grabacin, cuando se realiza, durante el descanso y la
prueba de esfuerzo cardiovascular con cinta de correr,
bicicleta de ejercicio y / o el estrs inducido
farmacolgicamente, con interpretacin e informe,
incluyendo el rendimiento de continuo monitorizacin
electrocardiogrfica, con supervisin mdica
El uso de agentes de contraste ecocardiogrfico durante la
ecocardiografa de estrs (Haga una lista por separado
Cateterismo izquierdo del corazn, retrgrado, de la arteria
braquial, arteria axilar o arteria femoral; por diseccin
La insercin percutnea del catter de baln intra-artico
para la opacificacin selectiva de los conductos arteriales
(por ejemplo, mamaria interna), ya sea nativo o utilizados
para la derivacin
para la opacificacin selectiva de los injertos venosos de
bypass aortocoronario, una o ms arterias coronarias
por angiografa pulmonar
porque ventricular izquierda o selectivo de la aurcula
izquierda angiografa
por aortografa
Procedimiento de inyeccin durante el cateterismo cardaco,
por angiografa coronaria selectiva (inyeccin de un material
radiopaco puede ser a mano)
Combinado cateterismo cardaco izquierdo y angiografa del
ventrculo izquierdo
Cateterismo combinado de corazn izquierdo, angiografa

coronaria selectiva, una o ms arterias coronarias, y
selectivo izquierda angiografa ventricular (este nmero de
cdigo se va a usar cuando el procedimiento 93510 se
combina con procedimientos de 93543 y 93545)
coronaria selectiva, una o ms arterias coronarias, la
ventriculografa izquierda selectiva, con aortografa raz
artica
Combinado derecho y la cateterizacin cardaca izquierda,
angiografa coronaria selectiva, una o ms arterias
coronarias, y del ventrculo izquierdo angiografa selectiva;
(este nmero de cdigo se va a usar cuando el
procedimiento 93547 se combina con cateterismo cardaco
derecho)
con la visualizacin selectiva de injerto de derivacin (este
nmero de cdigo se va a usar cuando el procedimiento se
combina con 93549 procedimiento 93551)
Opacificacin selectiva de los injertos de bypass
aortocoronario, una o ms arterias coronarias (inyeccin de
material radiopaco puede ser hecho a mano)
coronaria selectiva, una o ms arterias coronarias,
Cineangiografa selectiva del ventrculo izquierdo y la
visualizacin de los injertos de derivacin; (este nmero de
cdigo se va a usar cuando el procedimiento se combina
con 93551 procedimiento 93547)
con aortografa raz de la aorta (este nmero de cdigo se
va a usar cuando el procedimiento se combina con 93548
procedimiento 93551)
Imgenes supervisin, interpretacin e informe de
procedimiento de inyeccin (s) durante el cateterismo
cardaco; ventricular y / o angiografa auricular
Imgenes supervisin, interpretacin e informe de
procedimiento de inyeccin (s) durante el cateterismo
cardaco; angiografa pulmonar, aortografa, y / o angiografa
coronaria selectiva incluyendo injertos venosos y conductos
arteriales (ya sea nativa o usada en bypass)
Estudios de dilucin de indicador, tales como dilucin de
colorante o trmico, incluyendo arterial y / o cateterizacin
venosa; posterior medicin de gasto cardaco
Intravascular Doppler de velocidad y / o presin derivada del
flujo coronario medicin reserva (vaso coronario o injerto)
durante la angiografa coronaria incluyendo estrs inducida
farmacolgicamente; cada buque adicional (Lista por
El cierre percutneo transcatter de comunicacin

interauricular congnita (es decir, fenestracin de Fontan,
defecto septal atrial) con implante
El cierre percutneo transcatter de un defecto septal
ventricular congnito con implante
Intra-auricular grabacin
Grabacin del ventrculo derecho
Grabacin del ventrculo derecho, con la cartografa
Grabacin ventricular izquierda
Grabacin ventricular izquierda; con el mapeo
Cartografa intraventricular y / o intra-auricular de taquicardia
sitio (s) con la manipulacin del catter para grabar desde
mltiples sitios para identificar el origen de la taquicardia
Estimulacin intraventricular
Haz de His marcapasos
Grabacin de esfago de electrograma auricular con o sin
electrograma ventricular (s); con estimulacin
Evaluacin completa electrofisiolgico con estimulacin
auricular derecho y el registro, la estimulacin ventricular
derecha y la grabacin, Su grabacin paquete, incluyendo la
insercin de catteres y reposicin de electrodos mltiples,
sin induccin o intento de induccin de arritmia
Evaluacin completa electrofisiolgico incluida la insercin y
el reposicionamiento de los catteres electrodos mltiples
con induccin o intento de induccin de arritmia, con el ritmo
de la aurcula derecha y la grabacin, la estimulacin
ventricular derecha y la grabacin, su paquete de grabacin
La evaluacin completa electrofisiolgico incluida la
insercin y el reposicionamiento de los catteres de
electrodos mltiples con la induccin o induccin intento de
arritmia; con la estimulacin de la aurcula izquierda y la
grabacin de seno coronario o aurcula izquierda (Lista por
La evaluacin completa electrofisiolgico incluida la
insercin y el reposicionamiento de los catteres de
electrodos mltiples con la induccin o induccin intento de
arritmia; con la estimulacin ventricular izquierda y de
grabacin (Lista por separado adems de cdigo para el
Estimulacin programado y el ritmo despus de la infusin
de drogas intravenosas (Haga una lista por separado
Electrofisiolgico estudio de seguimiento con estimulacin y
registro para probar la efectividad de la terapia, incluyendo
la induccin o induccin intento de arritmia
Reseccin endocrdica del ventrculo izquierdo, con o sin la

crioablacin, con intra-operatoria mapeo
Evaluacin electrofisiolgica de cmara nica o doble
estimulacin cardioversor-desfibrilador lleva incluida la
evaluacin del umbral de desfibrilacin (induccin de
arritmia, la evaluacin de la deteccin y la estimulacin para
la terminacin de la arritmia) en el momento de la
implantacin inicial o de sustitucin con la prueba de
cmara nica o doble estimulacin cardioversordesfibrilador pulso generador
Evaluacin de la estimulacin electrofisiolgica simple o
doble cmara cardioversor-desfibrilador (incluye la
evaluacin del umbral de desfibrilacin, la induccin de
arritmia, evaluacin de deteccin y estimulacin para la
terminacin de la arritmia, y la programacin o
reprogramacin de la percepcin o parmetros teraputicos)
La ablacin con catter intracardiaco de foco arritmognico;
para el tratamiento de la taquicardia supraventricular por la
ablacin de las vas auriculoventriculares rpidos o lentos,
conexiones accesorias auriculoventriculares o focos otro
auricular, individualmente o en combinacin
La ablacin con catter intracardiaco de foco arritmognico;
para el tratamiento de la taquicardia ventricular
La enfermedad arterial perifrica (PAD) la rehabilitacin, por
sesin
Bioimpedancia derivado de anlisis cardiovascular
fisiolgico
La pletismografa, de cuerpo entero, con interpretacin e
informe
La pletismografa, de cuerpo entero; rastreo solamente, sin
La pletismografa, de cuerpo entero, la interpretacin y el
informe slo
de marcadores de eventos y la respuesta de dispositivo),
con la reprogramacin
cmara interna (pueden incluir paso, la amplitud del pulso y
la duracin, la configuracin de forma de onda, y / o
pruebas de la funcin sensorial de marcapasos), anlisis
telefnica
Anlisis electrnico del sistema nico marcapasos de

de marcadores de eventos y la respuesta de dispositivo),
con la reprogramacin
Anlisis electrnico del sistema de marcapasos de una sola
cmara interna (pueden incluir paso, la amplitud del pulso y
la duracin, la configuracin de forma de onda, y / o
pruebas de la funcin sensorial de marcapasos), anlisis
telefnica
Anlisis electrnico de cmara nica o doble ritmo
desfibrilador automtico slo (interrogacin, la evaluacin de
la condicin de generador de impulsos), sin necesidad de
reprogramar
Anlisis electrnico de cardioversor / desfibrilador slo
(interrogacin, la evaluacin de la condicin de generador
de impulsos), con la reprogramacin
respuesta del dispositivo) , una cmara o un sistema porttil
cardioversor-desfibrilador, con la reprogramacin
respuesta del dispositivo) ; doble cmara, sin necesidad de
reprogramar
respuesta del dispositivo) ; doble cmara, con la
reprogramacin
Configuracin inicial y la programacin de un mdico de

vestir desfibrilador automtico incluye la programacin inicial
del sistema, el establecimiento de lnea de base electrnica
ECG, la transmisin de datos al repositorio de datos,
instrucciones para el paciente en el sistema de presentacin
de informes de vestir y paciente de los problemas o eventos
Interrogatorio del dispositivo de asistencia ventricular (VAD),
en persona, con el anlisis mdico de los parmetros del
dispositivo (por ejemplo, lneas de conduccin, alarmas,
subidas de tensin), la revisin del funcionamiento del
dispositivo (por ejemplo, el flujo y el estado del volumen,
estado de tabique, recuperacin), con la programacin, si se
realiza, y el informe
El termograma; perifrico
Determinacin de la presin venosa
ordenador, durante 24 horas o ms; grabacin solamente
ordenador, durante 24 horas o ms; anlisis de escaneo con
el informe
Monitorizacin ambulatoria de la presin, utilizando un
sistema como la cinta magntica y / o disco de
computadora, durante 24 horas o ms, el examen mdico
con interpretacin e informe
Servicios mdicos de rehabilitacin para pacientes
ambulatorios cardaco; sin monitorizacin ECG continua
(por sesin)
Servicios mdicos de rehabilitacin para pacientes
ambulatorios cardaco; con monitorizacin ECG continua
(por sesin)
Servicio Cotizadas cardiovascular o procedimiento
Estudios no invasivos de las arterias cerebrales distintas de
la cartida (por ejemplo, la direccin, el flujo periorbital con
compresin arterial fotopletismografa, periorbital con
compresin arterial pletismografa, oculares con presin
arterial braquial, oculares y pulso odo sincronizacin de
onda, el flujo de las arterias vertebral medicin de direccin)
Estudios no invasivos de las arterias cartidas, las
imgenes (por ejemplo, flujo de imgenes por ultrasonidos
arteriografa, de alta resolucin B-scan con o sin evaluacin
de impulsos Doppler, Doppler de flujo o escaneo dplex con
anlisis de espectro)
Escaneo dplex de las arterias extracraneales, estudio
unilateral o limitado
Transcraneal Doppler de las arterias intracraneales; estudio
limitado
Estudios no invasivos de las arterias de las extremidades

superiores (por ejemplo, mediciones de presin arterial
segmentaria, onda Doppler de onda continua analgica
anlisis de forma, la respuesta de la presin evocador para
el ejercicio o la hiperemia reactiva, fotopletismogrfica o
volumen del pulso dgitos anlisis de forma de onda, las
seales de velocidad de flujo)
Transcraneal Doppler de las arterias intracraneales, estudio
vasorreactividad
Transcraneal Doppler de las arterias intracraneales,
deteccin de mbolos sin inyeccin intravenosa de
microburbujas
Transcraneal Doppler de las arterias intracraneales,
deteccin de mbolos con la inyeccin intravenosa de
microburbujas
extremidades, bilateral, con o sin ejercicio (por ejemplo,
mediciones de presin arterial segmentaria, onda continua
Doppler anlisis de la onda analgica, la respuesta de la
presin de forma sugerente para el ejercicio o la hiperemia
reactiva, fotopletismogrfica o volumen del pulso dgitos
anlisis de forma de onda, flujo seales de velocidad); las
arterias de las extremidades superiores
extremidades superiores o inferiores, niveles mltiples o con
maniobras provocadoras funcionales, estudio bilateral
completa (por ejemplo, mediciones de presin arterial,
segmentarias segmental anlisis de forma de onda Doppler,
pletismografa volumen segmentarias segmental,
mediciones transcutnea de oxgeno, las mediciones de
tensin con la postura provocativa pruebas, mediciones con
hiperemia reactiva)
extremidades inferiores, en reposo y despus de las
pruebas de estrs cinta de correr, estudio bilateral completa
inferiores o injertos de derivacin arterial, estudio unilateral
o limitado
superiores o injertos de derivacin arterial, estudio bilateral
completa
superiores o injertos de derivacin arterial, estudio unilateral
o limitado
Estudios no invasivos de las venas de las extremidades (por
ejemplo, los estudios Doppler con la evaluacin de los
patrones de flujo venoso y las respuestas a la compresin y
otras maniobras, phleborheography, pletismografa de
impedancia)
Escaneo dplex de las venas de las extremidades incluidas

las respuestas a las maniobras de compresin y de otro
tipo; estudio unilateral o limitado
Escaneo dplex de flujo arterial y venoso de salida
abdominales, plvicos, contenido escrotal y / u rganos
retroperitoneales; estudio limitado
Duplex scan de aorta, vena cava inferior, ilaca vasculatura,
o injertos de bypass; estudio unilateral o limitado
Escaneo dplex de flujo arterial y el flujo venoso de los
vasos del pene, el seguimiento o limitado estudio
Estudio no invasivo fisiolgico del sensor implantado
inalmbrico de presin en el saco del aneurisma despus
de la reparacin endovascular estudio completo, incluyendo
registro, anlisis de presin y los trazados de forma de
onda, la interpretacin y el informe
Escaneo dplex de acceso vascular para hemodilisis
(incluyendo flujo arterial, el cuerpo de acceso y el flujo
venoso)
asistida o controlada, pacientes hospitalizados /
observacin, da inicial
asistida o controlada, pacientes hospitalizados /
observacin, cada da subsiguiente
Ventilacin auxiliar y de gestin, la iniciacin de la presin o
el volumen ventiladores preestablecidos para la respiracin
asistida o controlada, centro de enfermera por da
Ventilador Home La gestin del plan de atencin de la
supervisin de un paciente (el paciente no presente) en la
casa, el hogar domiciliario o de descanso (por ejemplo, vida
asistida) exigir examen de la situacin, la revisin de los
laboratorios y otros estudios y la revisin de las rdenes y el
plan de cuidados respiratorios (segn el caso) , dentro de un
mes natural, a 30 minutos o ms
La medicin de la espirometra forzada flujos espiratorios en
un beb o nio hasta los 2 aos de edad
La medicin de la espirometra forzada flujos espiratorios,
antes y despus de broncodilatador, en un beb o nio
hasta los 2 aos de edad
La medicin de volmenes pulmonares (es decir, la
capacidad funcional residual [FRC], la capacidad vital
forzada [CVF], y volumen de reserva espiratoria [EIE]) en un
beb o un nio through2 aos de edad
Iniciada por el paciente grabacin espiromtrica por perodo

de 30 das de tiempo; incluye educacin reforzado,
transmisin de espirometra localizacin, captura de datos,
el anlisis de los datos transmitidos, la recalibracin
peridica y la revisin mdica y la interpretacin
Iniciada por el paciente grabacin espiromtrica por 30 das
de periodo de tiempo, el registro (incluye la conexin, la
educacin reforzada transmisin, datos, captura de datos,
anlisis de tendencias y recalibracin peridica)
Iniciada por el paciente grabacin espiromtrica por perodo
de 30 das de tiempo, revisiones mdicas y nica
interpretacin
Vital pruebas de capacidad de deteccin: capacidad total,
con cronometrada volumen espiratorio forzado (duracin del
estado), y la tasa de flujo espiratorio mximo
El gas espirado coleccin, procedimiento cuantitativo,
solteros (procedimiento separado)
Volumen de gas torcico
Determinacin de la mala distribucin de gas inspirado:
nitrgeno mltiple aliento curva de lavado incluyendo el
nitrgeno alveolar o tiempo de equilibrado de helio
Respirar respuesta al CO2 (curva de respuesta de CO2)
Altitud prueba de simulacin (HAST), con interpretacin e
informe mdico;
Altitud prueba de simulacin (HAST), con interpretacin e
informe mdico, con titulacin de oxgeno suplementario
La administracin de surfactante intrapulmonar por un
mdico a travs del tubo endotraqueal
Prueba de esfuerzo pulmonar; complejo (incluidas las
mediciones de la produccin de CO2, el consumo de O2 y
registros electrocardiogrficos)
Inhalacin de aerosoles de pentamidina para el tratamiento
de la neumona por Pneumocystis carinii o profilaxis
Tratamiento inhalacin continua con la medicacin de
aerosol para obstruccin aguda; horas primera
Tratamiento continuo con medicamentos de inhalacin de
aerosoles para la obstruccin aguda, cada hora adicional
asistida o controlada; das posteriores
Aerosoles o vapor inhalaciones para la movilizacin de
esputo, broncodilatacin, o la induccin de esputo para fines
de diagnstico; posteriores
La manipulacin de la pared torcica, como ventosas,
percutiendo y vibracin para facilitar la funcin pulmonar;
posterior
El consumo de oxgeno, anlisis de gas expirado,

incluyendo las emisiones de CO2, el porcentaje de oxgeno
extrado
El consumo de oxgeno, anlisis de gas espirado, el
descanso, indirecta (procedimiento separado)
El anlisis de gases en sangre arterial (saturacin de
oxgeno, pO2, pCO2, CO2, pH); resto slo
La hemoglobina-oxgeno afinidad (pO2 de 50% de
saturacin de hemoglobina con oxgeno)
oxgeno, mltiples determinaciones (por ejemplo, durante el
ejercicio)
oxgeno, mediante el monitoreo continuo durante la noche
El dixido de carbono, gas expirado determinacin por el
analizador infrarrojo
Respiratorio circadiano grabacin del patrn (pneumogram
peditrica), 12 a 24 horas de grabacin continua, infantil
Apnea peditrica casa de monitoreo de grabacin de
eventos incluyendo la frecuencia respiratoria, el patrn y la
frecuencia cardaca de 30 das por perodo de tiempo,
incluye accesorio monitor, descarga de datos, examen
mdico, interpretacin y elaboracin de un informe
Apnea peditrica hogar supervisin de eventos de grabacin
incluyendo la frecuencia respiratoria, el patrn y la
frecuencia cardaca por cada 30 das de perodo de tiempo;
apego monitor solamente (incluye conexin, el inicio de la
grabacin y desconexin)
Apnea peditrica casa supervisin de eventos de grabacin
frecuencia cardaca por 30-das perodo de tiempo;
seguimiento, descarga de informacin, la recepcin de la
transmisin (s) y anlisis por ordenador slo
Apnea peditrica hogar supervisin de eventos de grabacin
frecuencia cardaca por cada 30 das de perodo de tiempo,
el examen mdico, la interpretacin y la preparacin del
informe slo
Servicio Cotizadas pulmonar o procedimiento
Percutneas pruebas (scratch, perfore pinchazo) con
extractos alergnicos, puede tener hasta 30 pruebas
antibiticos, productos biolgicos, insectos que pican,
anestsicos locales, 1-5 ensayos
Pruebas percutneas (cero, pinchazo, pinchazo) secuencial
y progresiva, con medicamentos, productos biolgicos o
venenos, la reaccin de tipo inmediato, incluyendo la
interpretacin de pruebas y el informe de un mdico,
especifique el nmero de pruebas

antibiticos, productos biolgicos, insectos que pican,
anestsicos locales, ms de 15 pruebas
El xido ntrico expirado determinacin gas
Intracutnea (intradrmica), pruebas con antibiticos,
sustancias biolgicas, insectos que pican, anestsicos
locales, minutos reaccin inmediata 15-20; 1-5 pruebas
Intracutnea (intradrmica), pruebas secuenciales y
graduales, con medicamentos, productos biolgicos, o
venenos, reaccin de tipo inmediato, incluyendo la
Intracutnea (intradrmica), pruebas con antibiticos,
sustancias biolgicas, insectos que pican, anestsicos
locales, la reaccin inmediata 15-20 minutos; 6-10 pruebas
Intracutnea (intradrmica) pruebas con extractos
alergnicos, inmediata reaccin - de 15 a 20 minutos; hasta
10 pruebas
alergnicos, reaccin de tipo inmediato, incluyendo la
Intracutnea (intradrmica), pruebas secuenciales y
graduales, con extractos alergnicos para los alergenos
transportados por el aire, la reaccin de tipo inmediato,
incluyendo la interpretacin de pruebas y el informe de un
mdico, especifique el nmero de pruebas
alergnicos, reacciones de tipo retardado, incluyendo la
lectura, indicando el numero de pruebas
alergnicos, reaccin retardada - 24 a 72 horas, incluyendo
la lectura, 2 pruebas
Patch o pruebas de aplicacin, puede tener hasta 10
pruebas
Pruebas de las fotos de parches, puede tener hasta 10
pruebas
Foto parche de prueba (s) (especificar nmero de pruebas)
Pruebas de las fotos
La inhalacin de pruebas de provocacin bronquial (sin
incluir necesarias pruebas de funcin pulmonar), con
antgenos o gases, especifique
Ingestin prueba de provocacin (ingestin secuencial e
incremental de elementos de prueba, por ejemplo,
alimentos, droga u otra sustancia tal como metabisulfito)
Examen de provocacin (por ejemplo, Rinkel prueba)
Pruebas pasivas de transferencia, puede tener hasta 10
pruebas
Los servicios mdicos de la conferencia (por ejemplo, el uso

de dispositivos mecnicos y elctricos, climatoterapia,
ejercicios de respiracin y / o drenaje postural)
Servicios profesionales para la inmunoterapia con alergenos
sin incluir el suministro de extractos alergnicos; inyeccin
nica
sin incluir el suministro de extractos alergnicos, 2 o ms
inyecciones
en la prescripcin de los mdicos oficina o institucin,
incluido el suministro de extracto alergnico; inyeccin nica
incluido el suministro de extracto alergnico, 2 o ms
inyecciones
incluido el suministro de extracto alergnico; veneno de las
picaduras de insectos solo
incluido el suministro de extracto alergnico, 2 venenos de
insectos que pican
insectos que pican
insectos que pican
insectos que pican
Servicios profesionales para la supervisin y provisin de
antgenos para la inmunoterapia con alergenos (especificar
nmero de viales); solo antgeno, viales de dosis nica
Servicios profesionales para la supervisin y provisin de
nmero de viales); antgenos mltiples, viales de dosis nica
Servicios profesionales para la supervisin de la
preparacin y suministro de antgenos para la inmunoterapia
con alergenos, vial de dosis nica (s) (especificar el nmero
de viales)

con alergenos (especificar nmero de dosis); veneno de las
picaduras de insectos solo
con alergenos (especificar nmero de dosis), 2 individuales
venenos de insectos que pican
Servicio profesional para la supervisin y provisin de
el nmero de tratamientos o volumen total); antgenos
nicos o mltiples, un vial de dosis mltiples
con alergenos; antgenos nicos o mltiples (especificar
nmero de dosis)
con alergenos, extracto de cuerpo entero de morder
artrpodo insecto u otro (especificar el nmero de dosis)
Procedimiento de la rpida desensibilizacin, cada hora (por
ejemplo, insulina, a la penicilina, suero equino)
Alergia Cotizadas / servicio clnico o inmunolgico
procedimiento
La monitorizacin ambulatoria continua de la glucosa del
fluido intersticial del tejido a travs de un sensor subcutneo
durante un mnimo de 72 horas; la colocacin del sensor, la
conexin, la calibracin del monitor, la formacin del
paciente, la eliminacin de sensor, y la impresin de
grabacin
La monitorizacin ambulatoria continua de la glucosa del
fluido intersticial del tejido a travs de un sensor subcutneo
durante un mnimo de 72 horas; interpretacin e informe
Pruebas actigrafa, registro, anlisis, interpretacin y reporte
(mnimo de 72 horas a 14 das consecutivos de grabacin)
Latencia mltiple del sueo o mantenimiento de la vigilia de

ensayo, registro, anlisis e interpretacin de las mediciones
fisiolgicas de sueo durante ensayos mltiples para
evaluar la somnolencia
Estudio del sueo, la grabacin simultnea de ventilacin, el
esfuerzo respiratorio, ECG y el ritmo cardaco y la
saturacin de oxgeno, la presencia de un tcnico
La polisomnografa, puesta en escena del sueo con 4 o
ms parmetros adicionales de sueo, al que asistieron un
tcnico
La polisomnografa, puesta en escena del sueo con 4 o
ms parmetros adicionales de sueo, con la iniciacin de
tratamiento con presin positiva continua de la va area y
ventilacin de dos niveles, atendidos por un tcnico
Electroencefalograma (EEG) el seguimiento prolongado,
superior a 1 hora
Electroencefalograma (EEG), incluyendo grabacin
despierto y somnoliento, con hiperventilacin y / o
estimulacin ftica, porttil, a una instalacin alternativa
Electroencefalograma (EEG), incluyendo la grabacin
despierto y dormido
Electroencefalograma (EEG), incluyendo grabacin
despierto y dormido, con la hiperventilacin y / o
estimulacin ftica, porttil, a una instalacin alternativa
Electroencefalograma (EEG), grabacin en coma o duerma
solo
Electroencefalograma (EEG), activacin fsica o
farmacolgica slo
Electroencefalograma (EEG), la evaluacin muerte cerebral
slo
Electroencefalograma (EEG); intracerebral (profundidad)
EEG slo
Electroencefalograma (EEG), todas las grabaciones noche
La polisomnografa (registro, anlisis e interpretacin de las
mltiples mediciones simultneas fisiolgicos del sueo)
el informe, la mano, con o sin comparacin con el lado
normal,
el informe, la evaluacin total del cuerpo, con exclusin de
las manos
La prueba muscular, elctrica: reaccin de degeneracin,
cronaxia relacin galvnica / ttanos, una o ms
extremidades, uno o ms mtodos
Rango de las mediciones de movimiento y el informe
(procedimiento separado); mano, con o sin comparacin
con el lado normal,
Electromiografa con aguja; laringe
Electromiografa con aguja; hemidiafragma
Aguja electromiografa, estudio limitado de msculos en una

extremidad o miembro no-(axial) msculos (unilateral o
bilateral), que no sean nervio paravertebral torcica, craneal
msculos suministrados, o esfnteres
Estimulacin elctrica para la orientacin en relacin con la
quimiodenervacin (Haga una lista por separado adems
Aguja electromiografa de orientacin en relacin con la
quimiodenervacin (Haga una lista por separado adems
Evaluacin de la afasia (incluye la evaluacin del lenguaje
expresivo y receptivo y la funcin del lenguaje, la
comprensin del lenguaje, la capacidad de produccin del
habla, la lectura, la ortografa, la escritura, por ejemplo,
Boston Diagnostic Examination afasia) con interpretacin e
informe, por hora
Pruebas de desarrollo (incluye la evaluacin de motor,
lenguaje, social, adaptacin y / o el funcionamiento cognitivo
de los instrumentos estandarizados de desarrollo, por
ejemplo, las escalas de Bayley de Desarrollo Infantil) con
interpretacin e informe, por hora
conocimiento adquirido, la atencin, la memoria, las
habilidades espaciales visuales, funciones del lenguaje, la
planificacin) con interpretacin e informe, por hora
Batera de pruebas neuropsicolgicas (por ejemplo,
Halstead-Reitan, Luria, WAIS-R), con informe, por hora
estudio, cada nervio, motor, con el estudio de la onda F
Motor y / o de conduccin del nervio sensorial, usando
matriz de electrodos preconfigurado (s), la amplitud y la
latencia / estudio de velocidad, cada extremidad, incluye la
onda F estudio cuando se realiza, con interpretacin e
informe
Intraoperatoria neurofisiologa pruebas, por hora (Lista por
Pruebas de la funcin del sistema nervioso autnomo;
inervacin adrenrgica vasomotora (funcin adrenrgica
simptica), incluyendo la presin latido a latido de la sangre
y los cambios de intervalo RR durante la maniobra de
Valsalva y al menos 5 minutos de inclinacin pasiva
Prueba de la funcin del sistema nervioso autnomo;
sudomotor, incluyendo 1 o ms de los siguientes:
cuantitativo sudomotor reflejo axonal prueba (QSART), pie
de imprenta sudor silastic, prueba del sudor
termorregulador, y los cambios en el potencial de la piel
simptico

sistema nervioso central; en los miembros inferiores
sistema nervioso central, en el tronco o la cabeza
Centro evocados motores estudio potencial (estimulacin
transcraneal motor), miembros superiores
Centro evocados motores estudio potencial (estimulacin
transcraneal motor); miembros inferiores
"H" o "F" estudio refleja, por medio de pruebas de
electrodiagnstico
H-reflex, amplitud y latencia de estudio; muscular otro
registro de gemelos / soleo msculo
La vigilancia de la localizacin del foco del ataque cerebral,
por medio de electrodos conectados o radiotelemetra; cada
grupo adicional de 24 horas, con o sin grabacin de vdeo
Mapeo funcional cortical y subcortical por la estimulacin y /
o grabacin de electrodos en la superficie del cerebro, o de
electrodos de profundidad, para provocar convulsiones o
identificar estructuras vitales del cerebro; cada hora
adicional de asistencia mdico (Lista por separado adems
La magnetoencefalografa (MEG), grabacin y anlisis, para
la actividad magntica cerebral espontnea (por ejemplo, la
localizacin epilptico corteza cerebral)
La magnetoencefalografa (MEG), la grabacin y el anlisis,
porque los campos magnticos evocados, modalidad
individual (por ejemplo, sensorial, motora, del lenguaje,
visual o localizacin corteza)
La magnetoencefalografa (MEG), la grabacin y el anlisis,
porque los campos magnticos evocados, cada modalidad
adicional (por ejemplo, sensorial, motora, del lenguaje,
visual o localizacin corteza) (Lista separadamente adems
paciente); mdula espinal simple, o perifrico (es decir,
neuroestimulador nervio perifrico, del sistema nervioso
autnomo, neuromuscular) generador de impulsos /
transmisor, con intraoperatoria o la programacin posterior

paciente); mdula espinal compleja o perifricos (excepto
craneal nervio) neuroestimulador generador de impulsos /
transmisor, con intraoperatoria o la posterior programacin,
cada 30 minutos adicionales despus de la primera hora

paciente); complejo generador de impulsos del nervio
craneal neuroestimulador / transmisor, con intraoperatoria o
la programacin posterior, con o sin pruebas nervio interfaz,
la primera hora

paciente); complejo generador de impulsos del nervio
craneal neuroestimulador / transmisor, con intraoperatoria o
la posterior programacin, cada 30 minutos adicionales
despus de la primera hora (Lista por separado adems de
frecuencia, la amplitud del pulso y la duracin, estado de la
batera, selectability electrodo y la polaridad, la impedancia
y mediciones de cumplimiento del paciente), complejo
neuroestimulador cerebral profundo transmisor del
generador de impulsos /, con la programacin inicial o
subsiguiente, primera hora

frecuencia, la amplitud del pulso y la duracin, estado de la
batera, selectability electrodo y la polaridad, la impedancia
y mediciones de cumplimiento del paciente), complejo
neuroestimulador cerebral profundo transmisor del
generador de impulsos /, con la programacin inicial o
posterior, cada uno adicional 30 minutos despus de la
primera hora (lista por separado adems del cdigo para el
ciclismo, la impedancia y mediciones de los pacientes)
neuroestimulador gstrico generador de impulsos /
transmisor; intraoperatoria, con la programacin
neuroestimulador generador de pulsos gstrico / transmisor;
posterior, sin necesidad de reprogramar
neuroestimulador generador de pulsos gstrico / transmisor;
posterior, con la reprogramacin
Recarga y mantenimiento de la bomba implantable o
depsito para la administracin de frmacos, espinal
(intratecal, epidural) o del cerebro (intraventricular);
depsito para la administracin de frmacos, espinal
(intratecal, epidural) o del cerebro (intraventricular);
administrado por el mdico
Procedimiento Cotizadas diagnstico neurolgico o
neuromuscular
Integral computarizado de anlisis de movimiento por vdeo,
grabacin y cinemtica 3D;
Integral computarizado de anlisis de movimiento por vdeo,
grabacin y 3-D cinemtica, dinmica, con mediciones de la
presin plantar durante la marcha
Electromiografa de superficie dinmica, al caminar u otras
actividades funcionales, 1-12 msculos
Electromiografa dinmica de alambre fino, al caminar u

otras actividades funcionales, un msculo
Examen mdico y la interpretacin de anlisis de
movimiento completo basado en computadora, evaluacin
dinmica de presin plantar, electromiografa de superficie
dinmica al caminar u otras actividades funcionales, y la
electromiografa dinmica de alambre fino, con informe
escrito
Seleccin de pruebas Neurofuncional y administracin
durante el mapeo cerebral no invasiva de imgenes
funcionales, con examen administrado en su totalidad por
un mdico o un psiclogo, con la revisin de los resultados y
el informe de
La gentica mdica y los servicios de asesoramiento
gentico, cada 30 minutos cara a cara con el paciente /
familia
psicodiagnstico de emotividad, la capacidad intelectual,
personalidad y psicopatologa, por ejemplo, el MMPI,
Rorschach, WAIS), por hora de tiempo que el del psiclogo
o del mdico, tanto tiempo cara a cara, la realizacin de
pruebas para el paciente y el tiempo de la interpretacin de
estos resultados de las pruebas y la preparacin del informe
personalidad y psicopatologa, por ejemplo, el MMPI y
WAIS), con interpretacin cualificado profesional de la salud
e informar, administrado por el tcnico, por hora de tiempo
de los tcnicos, cara a cara
personalidad y psicopatologa, por ejemplo, MMPI),
administrado por una computadora, con la interpretacin
profesional de la salud calificado y el informe
conocimiento adquirido, la atencin, el lenguaje, la memoria,
la planificacin y resolucin de problemas y visuales
habilidades espaciales), por hora de tiempo que el del
psiclogo o del mdico, tanto cara a cara tiempo con el
paciente y el tiempo de interpretacin de los resultados de
pruebas y la preparacin del informe
Las pruebas neuropsicolgicas (por ejemplo, HalsteadReitan batera neuropsicolgica, Escalas Wechsler de
memoria y Wisconsin Card Sorting Test), por cada hora de
la del psiclogo o un mdico a tiempo, tanto tiempo cara a
cara, la realizacin de pruebas para el paciente y el tiempo
de la interpretacin de estos resultados de la prueba y la
preparacin el informe
Las pruebas neuropsicolgicas (por ejemplo, HalsteadReitan batera neuropsicolgica, Escalas Wechsler de
memoria y Wisconsin Card Sorting Test), con interpretacin
profesional de la salud calificado e informar, administrado
por el tcnico, por cada hora de tiempo tcnico, cara a cara
Las pruebas neuropsicolgicas (por ejemplo, tarjetas de
Wisconsin Sorting Test), administrado por una computadora,
con la interpretacin profesional de la salud calificado y el
informe
Las pruebas estandarizadas rendimiento cognitivo (por
ejemplo, Ross Informacin Procesamiento de Evaluacin)
por hora de tiempo de un cualificado profesional de la salud,
tanto tiempo cara a cara, la realizacin de pruebas para el
paciente y el tiempo de la interpretacin de estos resultados
de la prueba y la preparacin del informe
Evaluacin de la salud y el comportamiento (por ejemplo, la
salud centrado en la entrevista clnica, observaciones de
comportamiento, monitoreo psicofisiolgico, cuestionarios
orientados a la salud), cada 15 minutos cara a cara con el
paciente, la evaluacin inicial
Evaluacin de la salud y el comportamiento (por ejemplo, la
salud centrado en la entrevista clnica, observaciones de
comportamiento, monitoreo psicofisiolgico, cuestionarios
orientados a la salud), cada 15 minutos cara a cara con el
paciente; re-evaluacin
Salud y de intervencin de comportamiento, cada 15
minutos, cara a cara, persona
minutos, cara a cara, el grupo (2 o ms pacientes)
minutos, cara a cara, la familia (con la presencia del
paciente)
minutos, cara a cara, la familia (sin la presencia del
paciente)
La infusin intravenosa, hidratacin, minutos iniciales, 31 y 1
hora
La infusin intravenosa, hidratacin, cada hora adicional
diagnstico (especificar sustancia o frmaco); inicial, hasta 1
hora
diagnstico (especificar sustancia o frmaco); cada hora

secuencial adicional, de hasta 1 hora (Lista por separado
concurrente (Lista por separado adems de cdigo para el
(especificar sustancia o frmaco); inicial, hasta 1 hora,
incluyendo la bomba de configuracin y el establecimiento
de sitio de infusin subcutnea (s)
(especificar sustancia o frmaco); cada hora adicional (Lista
primario)
(especificar sustancia o droga); bomba adicional puesta a
punto con el establecimiento del nuevo sitio de infusin
subcutnea (s) (Listado por separado adems del cdigo
Inyeccin teraputico, profilctico o de diagnstico
(especificar sustancia o medicamento), subcutnea o
intramuscular
(especificar sustancia o medicamento), intra-arterial
Teraputica, inyeccin profilcticos o de diagnstico
(especificar sustancia o frmaco); bolo intravenoso, solo o
sustancia inicial / frmaco
Inyeccin teraputica, profilctica o diagnstica (especificar
sustancia o droga), cada empujn adicional secuencial
intravenosa de una nueva sustancia / drogas (lista por
primario)
(especificar sustancia o frmaco); cada empuje adicional
secuencial intravenosa de la misma sustancia / frmaco
proporcionado en una instalacin (Lista por separado
Cotizadas inyeccin teraputica, intravenosa o intra-arterial
profilctico o de diagnstico, o para perfusin
La administracin de quimioterapia, subcutnea o
intramuscular; no hormonal antineoplsicoLa administracin de quimioterapia, subcutnea o
intramuscular; hormonal antineoplsicoLa quimioterapia administracin; intralesionales, ms de 7
lesiones
La administracin de quimioterapia, tcnica intravenosa,
empujn, simple o sustancia inicial / drogas
La administracin de quimioterapia, tcnica intravenosa,

empuje, cada uno (Lista por separado adems del cdigo
para el procedimiento primario) adicional sustancia / drogas
La administracin de quimioterapia, intravenosa; tcnica de
infusin, de una a 8 horas, cada hora adicional (Lista por
La administracin de quimioterapia, tcnica de infusin
intravenosa; hasta 1 hora, solo o sustancia inicial / frmaco
La administracin de quimioterapia, intravenosa; tcnica de
la infusin, la iniciacin de una infusin prolongada (ms de
8 horas), lo que requiere el uso de una bomba porttil o
implantable
intravenosa, cada hora adicional (lista por separado adems
intravenosa; inicio de la infusin de quimioterapia
prolongada (ms de 8 horas), que requiere el uso de una
bomba porttil o implantable
intravenosa; cada infusin secuencial adicional (sustancia
diferente / frmaco), hasta 1 hora (Lista por separado
la infusin, cada hora adicional (Lista por separado adems
la infusin, la iniciacin de una infusin prolongada (ms de
8 horas), lo que requiere el uso de una bomba porttil o
implantable
La quimioterapia inyeccin, agente intravenoso, solo
premezclado, administrado por ayudante cualificado bajo la
supervisin o el mdico o por el mdico, mediante la tcnica
de empuje
Recarga y mantenimiento de la bomba porttil
Recarga y mantenimiento de la bomba porttil
depsito para la administracin de frmacos, sistmica (por
ejemplo, intravenosa, intra-arterial)
Riego de dispositivo de acceso venoso implantado para
sistemas de suministro de frmacos
La quimioterapia de inyeccin, complejo, administrado por el
mdico, la tcnica de infusin arterial
depsito para la administracin de frmacos, sistmica (por
ejemplo, intravenosa, intra-arterial)
La quimioterapia inyeccin, toracocentesis complejo, que
requiere y / o paracentesis, administrado por el mdico,
intracavitaria
La quimioterapia de inyeccin, por va intratecal a travs de

depsito, agentes nicos o mltiples, administrado por el
mdico
Suministro de agente de quimioterapia
Procedimiento quimioterapia Cotizadas
La terapia fotodinmica por aplicacin externa de luz para
destruir las lesiones premalignas y / o malignas de la piel y
la mucosa adyacente (por ejemplo, de un labio) por la
activacin del frmaco fotosensible (s), cada sesin de
exposicin fototerapia
La terapia fotodinmica por aplicacin endoscpica de luz
para extirpar tejido anormal a travs de la activacin del
frmaco fotosensible (s); primeros 30 minutos (Lista por
separado adems de cdigo para la endoscopia o
broncoscopia procedimientos de pulmn y tracto
gastrointestinal)
La terapia fotodinmica por aplicacin endoscpica de luz
para extirpar tejido anormal a travs de la activacin del
frmaco fotosensible (s); cada 15 minutos adicionales (Lista
por separado adems de cdigo para la endoscopia o
broncoscopia procedimientos de pulmn y tracto
gastrointestinal)
El examen microscpico de los pelos arrancados o
recortados por el examinador (excluyendo cabello recogido
por el paciente) para determinar el telgeno y el angeno
cuenta, o eje del pelo anormalidad estructural
Fotografa de cuerpo entero tegumentario, para el
seguimiento de los pacientes de alto riesgo con sndrome de
nevus displsicos o antecedentes de nevos displsicos, o
pacientes con antecedentes personales o familiares de
melanoma
Fotoquimioterapia, psoralenos y radiacin ultravioleta A
(PUVA)
Fotoquimioterapia (Goeckerman y / o PUVA) para graves
dermatosis fotosensibles que requieren al menos 4-8 horas
de cuidado bajo la supervisin directa del mdico (incluye la
aplicacin de medicamentos y apsitos)
la piel (psoriasis), 250 cm y 500 cm cuadrados cuadrados
la piel (psoriasis), ms de 500 cm cuadrados
Cotizadas servicio especial dermatolgico o procedimiento
La terapia fsica re-evaluacin
Aplicacin de una modalidad a una o ms reas; diatermia
(por ejemplo, microondas)
iontoforesis, cada 15 minutos
Aplicacin de una modalidad a una o ms reas; baos de
contraste, cada 15 minutos
Modalidad Cotizadas (especificar tipo y tiempo de asistencia
si es constante)
Tratamiento de la medicina fsica a una zona, los primeros

30 minutos, cada visita, las actividades funcionales
30 minutos, cada visita, la estimulacin elctrica (manual)
30 minutos, cada visita, iontoforesis
15 minutos; traccin, manual
30 minutos, cada visita, baos de contraste
30 minutos, cada visita, ultrasonido
Procedimiento teraputico Cotizadas (especificar)
Tratamiento de la medicina fsica a un rea, cada 15
minutos adicionales
Hubbard tanque; 30 minutos iniciales, cada visita
Piscina de terapia o tanque de Hubbard con ejercicios
teraputicos; 30 minutos iniciales, cada visita
La liberacin miofascial / movilizacin de los tejidos blandos,
una o ms regiones
Manipulacin (cervical, torcica, lumbosacra, sacroilaca,
mano, mueca) (procedimiento separado), realizado por el
mdico, un rea
Movilizacin conjunta, una o ms reas (perifrico o espinal)
Aparatos ortopdicos formacin (refuerzo dinmico,
entablillado), superior y / o de las extremidades inferiores;
primeros 30 minutos, cada visita
Prtesis formacin; primeros 30 minutos, cada visita
Kinetic actividades para aumentar la coordinacin, la fuerza
y / o la amplitud de movimiento, un rea (cualquiera de las
dos extremidades o el tronco), cada 15 minutos adicionales
Desarrollo de habilidades cognitivas para mejorar la
atencin, la memoria, la resolucin de problemas, (incluye
capacitacin compensatoria), directo (uno a uno) contacto
con el paciente por el proveedor, cada 15 minutos
Tcnicas de integracin sensorial para mejorar el
procesamiento sensorial y promover respuestas de
adaptacin a las exigencias medioambientales, directo (uno
a uno) contacto con el paciente por el proveedor, cada 15
minutos
Capacitacin en actividades de la vida diaria (habilidades de
cuidado y / o habilidades de gestin diarias de vida);
Capacitacin en actividades de la vida diaria (habilidades de
cuidado y / o habilidades de gestin diarias de vida), cada
15 minutos adicionales
Rehabilitacin Laboral / acondicionado, cada hora adicional

La eliminacin de tejido desvitalizado de la herida (s),
desbridamiento selectivo, sin anestesia (por ejemplo, chorro
de agua a alta presin con / sin aspiracin, desbridamiento
selectivo con tijeras, escalpelo y frceps), con o sin la
aplicacin tpica (s), la evaluacin de la herida, y instruccin
(s) actual de atencin puede incluir el uso de una baera de
hidromasaje, por sesin; total de la herida (s) rea de
superficie menor o igual a 20 centmetros cuadrados
La eliminacin de tejido desvitalizado de la herida (s),
desbridamiento selectivo, sin anestesia (por ejemplo, chorro
de agua a alta presin con / sin aspiracin, desbridamiento
selectivo con tijeras, escalpelo y frceps), con o sin la
aplicacin tpica (s), la evaluacin de la herida, y instruccin
(s) actual de atencin puede incluir el uso de una baera de
hidromasaje, por sesin; total de la herida (s) rea
superficial mayor que 20 centmetros cuadrados
La eliminacin de tejido desvitalizado de la herida (s);
desbridamiento selectivo, sin anestesia (por ejemplo, alta
presin por chorro de agua, desbridamiento cortante
selectiva con unas tijeras, un bistur y pinzas), incluyendo la
aplicacin tpica (s), la evaluacin de la herida, y la
instruccin (s) para el actual atencin, por sesin
La eliminacin de tejido desvitalizado de la herida (s), no
selectivo de desbridamiento, sin anestesia (por ejemplo, de
hmedo a apsitos hmedos, a la abrasin enzimtica,),
incluyendo la aplicacin tpica (s), la evaluacin de la
herida, y la instruccin (s) para el cuidado continuo , por
sesin
La presin negativa terapia de la herida (por ejemplo, la
recogida de vaco drenaje asistido), incluyendo la aplicacin
tpica (s), la evaluacin de la herida, y la instruccin (s) para
el cuidado continuo, por sesin; total de la herida (s) rea de
superficie menor o igual a 50 centmetros cuadrados
La presin negativa terapia de la herida (por ejemplo, la
recogida de vaco drenaje asistido), incluyendo la aplicacin
tpica (s), la evaluacin de la herida, y la instruccin (s) para
el cuidado continuo, por sesin; total de la herida (s) rea
superficial mayor que 50 centmetros cuadrados
Visita a la oficina, incluyendo una de las siguientes pruebas
o mediciones, con el informe: a. Orthotic "check-out" b.
Prtesis "check-out" c. Actividades de la vida diaria "checkout"; 30 minutos iniciales, cada visita
Extremidad pruebas de fuerza, destreza, o la resistencia;
Pruebas musculares con curvas de par durante el ejercicio

isomtrica e isocintica, las evaluaciones mecanizadas o
computarizado con impresin
Evaluacin de la tecnologa de asistencia (por ejemplo, para
restaurar, aumentar o compensar la funcin existente,
optimizar las tareas funcionales y / o maximizar la
accesibilidad del medio ambiente), un directo-a-un contacto
por el proveedor, con informe escrito, cada 15 minutos
Ortesis (s) de gestin y capacitacin (incluyendo la
evaluacin y la instalacin cuando no se indican de otro
modo), las extremidades superiores (s), extremidades
inferiores (s) y / o tronco, cada 15 minutos
Entrenamiento protsico, superior y / o de las extremidades
inferiores (s), cada 15 minutos
Checkout para ortesis / prtesis uso, paciente establecido,
cada 15 minutos
Terapia de nutricin mdica; re-evaluacin y de intervencin,
individual, cara a cara con el paciente, cada 15 minutos
Terapia de nutricin mdica; grupo (2 o ms individual (s)),
cada 30 minutos
La acupuntura, una o ms agujas, sin estimulacin elctrica,
primeros 15 minutos de personal de uno-a-uno el contacto
con el paciente
La acupuntura, una o ms agujas, sin estimulacin elctrica,
cada 15 minutos adicionales de personal de uno-a-uno el
contacto con el paciente, con re-insercin de la aguja (s)
(Listado por separado adems del cdigo para el
La acupuntura, una o ms agujas, con estimulacin
elctrica, primeros 15 minutos de personal de uno-a-uno el
contacto con el paciente
La acupuntura, una o ms agujas, con estimulacin
elctrica, cada 15 minutos adicionales de personal de unoa-uno el contacto con el paciente, con la re-insercin de la
aguja (s) (Listado por separado adems del cdigo para el
Conferencia mdica por el mdico en cuanto a tratamiento
mdico con el paciente y / o familiar o tutor, a unos 30
minutos
Conferencia mdica por el mdico con el equipo
interdisciplinario de profesionales de la salud y
representantes de agencias de la comunidad para coordinar
las actividades de atencin al paciente (el paciente no
presente), aproximadamente 30 minutos
Llamada telefnica por un mdico para el paciente o para

consulta o tratamiento mdico o de la coordinacin de la
gestin mdica con otros profesionales de la salud (por
ejemplo, enfermeras, terapeutas, trabajadores sociales,
nutricionistas, mdicos, farmacuticos), simple o breve (por
ejemplo, para informar sobre las pruebas y / o los resultados
de laboratorio, para aclarar o modificar las instrucciones
previas, para integrar la nueva informacin de profesionales
de la salud en el plan de tratamiento mdico, o para ajustar
la terapia)
Tratamiento de manipulacin osteoptica (OMT), 1 a 2
regiones del cuerpo involucradas
El tratamiento quiroprctico de manipulacin (CMT), la
columna vertebral, 1 a 2 regiones
El tratamiento quiroprctico de manipulacin (CMT), la
columna vertebral, 3 a 4 regiones
Quiroprctica tratamiento manipulativo (CMT), la columna
vertebral, 5 regiones
El tratamiento quiroprctico de manipulacin (CMT);
extraespinal, una o varias regiones
Educacin y capacitacin para autocontrol del paciente por
un profesional calificado, atencin de la salud no mdico
con un plan de estudios estandarizado, cara a cara con el
paciente (podra incluir cuidador / familia) cada 30 minutos,
cada paciente
2-4 pacientes
5-8 pacientes
un profesional no mdico profesional de la salud para un
paciente establecido, padre o tutor que no procedan de una
evaluacin y servicios de gestin prestados dentro de los 7
das previos, ni conduce a un servicio de evaluacin y
procedimiento de gestin o en los prximos 24 horas o ms
pronto cita disponible, 5-10 minutos de discusin mdica

evaluacin y servicios de gestin prestados dentro de los
siete das anteriores ni conduce a un servicio de evaluacin
y procedimiento de gestin o en los prximos 24 horas o
ms pronto nombramiento disponibles; 11-20 minutos de
discusin mdica
evaluacin y servicios de gestin prestados dentro de los
siete das anteriores ni conduce a un servicio de evaluacin
y procedimiento de gestin o en los prximos 24 horas o
ms pronto nombramiento disponibles; 21-30 minutos de
discusin mdica
On-line de evaluacin y servicios de gestin prestados por
paciente establecido, tutor o profesional de la salud que no
sean originarios de una evaluacin y servicios de gestin
prestados en los ltimos 7 das, a travs de Internet o red
similar de las comunicaciones electrnicas
La manipulacin y / o transporte de la muestra para la
transferencia de la oficina del mdico a un laboratorio
La manipulacin y / o transporte de la muestra para la
transferencia del paciente en que no sea un consultorio
mdico a un laboratorio (distancia puede estar indicada)
Manipulacin, transporte, y / o cualquier otro servicio en
relacin con la ejecucin de una orden que entrae
dispositivos (por ejemplo, el diseo, montaje, embalaje,
manipulacin, entrega o envo por correo) cuando los
dispositivos tales como protectores de ortopedia, prtesis,
son fabricados por un laboratorio externo o tienda pero que
los artculos se han diseado, y han de ser colocado y
ajustado por el mdico tratante
El seguimiento postoperatorio visita, que normalmente se
incluyen en el paquete quirrgico, para indicar que un
servicio de evaluacin y gestin se llev a cabo durante un
perodo postoperatorio por un motivo (s) en relacin con el
procedimiento original
Inicial (nuevo paciente) cuando visite marcado (*)
procedimiento quirrgico constituye un servicio importante
en esa visita
Hospital de mandato al servicio de guardia, en el hospital,
cada hora
Hospital de mandato al servicio de guardia, fuera del
hospital, cada hora
Los servicios prestados en la oficina en horas que no sean

las horas de oficina regulares o das cuando la oficina est
normalmente cerrados (por ejemplo, feriados, sbados o
domingos), adems de los servicios bsicos
Servicio (s) previsto en la oficina durante la noche regular,
fines de semana o das feriados de oficina, adems de los
servicios bsicos
Servicios solicitados 22:00-8:00 am Adems de los servicios
bsicos
Servicio (s) proporcionado 22:00-8:00 am en las
instalaciones las 24 horas, adems de los servicios bsicos
Servicios solicitados los domingos y das festivos, adems
de los servicios bsicos
Servicios prestados normalmente en la oficina, siempre
fuera de la oficina, a peticin del paciente, adems de los
servicios bsicos
Servicio (s), siempre con carcter de emergencia en la
oficina, lo cual interrumpe otros servicios regulares de
oficina, adems de los servicios bsicos
Servicio (s), siempre con carcter de emergencia, fuera de
la oficina, lo cual interrumpe otros servicios regulares de
oficina, adems de los servicios bsicos
Atencin de emergencia de las instalaciones: cuando el
mdico no hospitalario est en el hospital, sino que participa
en la atencin al paciente en otra parte y se llama al centro
de emergencia para proporcionar servicios de emergencia
Suministros y materiales (excepto gafas), proporcionados
por el mdico ms all de los que habitualmente se incluye
con la visita al consultorio oa otros servicios prestados (Lista
de medicamentos, bandejas, fuentes o materiales
proporcionados)
Materiales educativos, como libros, cintas y folletos
proporcionados por el mdico para la educacin del
paciente a un costo para el mdico
Testimonio Mdico
Mdicos educativos servicios prestados a los pacientes en
un entorno de grupo (por ejemplo, la obesidad prenatal, o
las instrucciones diabticos)
Los informes especiales, tales como formularios de seguros,
ms que la informacin transmitida en las comunicaciones
habituales mdicos o formulario normalizado
Viajes especiales (por ejemplo, el transporte y escolta del
paciente)
El anlisis de los datos clnicos almacenados en los
ordenadores (por ejemplo, ECG, presin arterial, datos
hematolgicos)
Recogida e interpretacin de los datos fisiolgicos (por

ejemplo, ECG, la presin arterial, control de glucosa)
almacenada en forma digital y / o transmitida por el paciente
y / o cuidador para el mdico u otro profesional de la salud
calificado, requiriendo un mnimo de 30 minutos de tiempo
Anestesia para pacientes de edad muy avanzada, ao
menor que 1 y mayores de 70 (Liste por separado adems
del cdigo para el procedimiento de la anestesia primaria)
Anestesia complicada por la utilizacin de la hipotermia
corporal total (lista por separado adems de cdigo para el
procedimiento de anestesia primaria)
Anestesia complicada por la utilizacin de hipotensin
controlada (lista por separado adems de cdigo para el
procedimiento de anestesia primaria)
Anestesia complicada por las condiciones de emergencia
(especificar) (Lista separadamente adems del cdigo para
el procedimiento de la anestesia primaria)
Servicios de sedacin moderada (excepto los servicios
descritos en los cdigos 00100-01.999), siempre por el
mismo mdico que presta el servicio de diagnstico o
teraputica que apoya la sedacin, que requieren la
presencia de un observador entrenado independiente para
ayudar en el control de nivel del paciente de la conciencia y
estado fisiolgico; menores de 5 aos de edad, en primer
lugar 30 veces intraservice minutos
el estado fisiolgico, la edad de 5 aos o ms, en primer
lugar 30 veces intraservice minutos
el estado fisiolgico, cada vez intraservice adicional de 15
minutos (lista por separado adems del cdigo para el
servicio primario)
descritos en los cdigos 00100-01.999), proporcionados por
un mdico que no sea el profesional de la salud que presta
el servicio de diagnstico o teraputica que apoya la
sedacin, menores de 5 aos de edad, primeros 30 minutos
de tiempo intraservice

sedacin, con una edad de 5 aos o mayores, primeros 30
minutos de tiempo intraservice
sedacin; cada tiempo adicional de 15 minutos intraservice
(lista por separado adems del cdigo para el servicio
primario)
Examen anogenital con aumento colposcpico en la infancia
por sospecha de trauma
Cribado funcin visual, automtica o semiautomtica
determinacin cuantitativa bilateral de la agudeza visual,
alineamiento ocular, la visin del color por placas
pseudoisochromatic, y el campo de visin (puede incluir
todas o algunas de cribado de la determinacin [s] para la
sensibilidad al contraste, visin bajo la mirada)
Prueba de deteccin de agudeza visual, bilateral
cuantitativa,
Ocular fotoanlisis con interpretacin e informe, bilateral
Ipecacuana o similar para administracin emesis individual y
observacin continua hasta el estmago adecuadamente
vaciado de veneno
Administracin y mdicos interpretacin de las pruebas de
desarrollo
La oxigenoterapia hiperbrica; inicial
La oxigenoterapia hiperbrica; posterior
Mdico de la asistencia y supervisin de la terapia de
oxgeno hiperbrico, por sesin
Por lo general, el problema que se presenta (s) son de baja
a moderada gravedad. Los mdicos suelen pasar 20

presenta (s) son de moderada a alta severidad. Los mdicos
familia.

estos tres componentes clave: 1) Una historia centrada
problema, 2) Un examen problema enfocado, 3) toma de
decisiones mdicas Sencillo de decisiones. Asesoramiento y
/ o coordinacin de cuidado con otros proveedores u
autolimitados o menor. Los mdicos suelen pasar 10

estos tres componentes fundamentales: 1) Una historia
detallada, 2) Un examen detallado, 3) toma de decisiones
mdicas de complejidad moderada. Asesoramiento y / o
moderada a alta severidad. Los mdicos suelen pasar 25

estos tres componentes clave: 1) Una historia comprensiva,
2) Un examen exhaustivo, 3) toma de decisiones mdicas
de alta complejidad. Asesoramiento y / o coordinacin de
severidad. Los mdicos suelen pasar 40 minutos cara a
Cuidado de Observacin de descarga gestin del da (Este

cdigo es para ser utilizado por el mdico para informar de
todos los servicios prestados a un paciente al alta de
"estado de observacin" si la descarga est en que no sea
la fecha inicial de "estado de observacin." Para informar a
los servicios de un paciente designado como "estado de
observacin" o "estado hospitalizado" y dado de alta en la
misma fecha, utilice los cdigos para Servicios de Cuidado
de Observacin para pacientes hospitalizados o [incluyendo
Admisin y servicios de descarga, 99234-99236, segn
corresponda.])

complejidad moderada. Asesoramiento y / o coordinacin de
problema (s) que requiere ingreso en "estado de
observacin" son de gravedad moderada.

alta complejidad. Asesoramiento y / o coordinacin de
problema (s) que requiere ingreso en "estado de
observacin" son de alta gravedad.
manejo de un paciente, que requiere estos tres
problema (s) que requiere ingreso son de gravedad
moderada. Los mdicos suelen pasar 50 minutos en la
noche y en planta de hospitalizacin del paciente o la
unidad.

manejo de un paciente, que requiere estos tres
problema (s) que requiere ingreso son de severidad alta.
Los mdicos suelen pasar 70 minutos a la cabecera del
paciente y en planta de hospitalizacin del paciente o la
unidad.
estos tres componentes clave: 1) Un problema expandido
enfocado historia intervalo, 2) examen Un problema
expandida enfocado, 3) la toma de decisiones mdicas de
paciente est respondiendo inadecuadamente al tratamiento
o se ha desarrollado una complicacin menor. Los mdicos
suelen pasar 25 minutos en la noche y en planta de
El alta hospitalaria das de gestin; ms de 30 minutos
que requiere estos tres componentes fundamentales: 1)
Una historia expandida enfocado problema, 2) Un examen
problema expandida enfocado, y 3) la decisin Sencillo
naturaleza del problema (s) y el paciente (s) y / o las
necesidades de la familia. Por lo general, el problema que
se presenta (s) son de gravedad bajo. Los mdicos suelen


decisiones mdicas de alta complejidad. Asesoramiento y /
moderada a alta severidad. Los mdicos suelen pasar 80
Seguimiento de consulta hospitalaria para un paciente
establecido, que requiere al menos dos de estos tres
componentes clave: 1) Un problema enfocado historia
intervalo, 2) Un problema centrado examen, y 3) la toma de
decisiones mdicas que es directa o de baja complejidad.
/ o su familia. Por lo general, el paciente est estable,
recuperar o mejorar. Los mdicos suelen pasar 10 minutos
en la cabecera y en la planta de hospitalizacin del paciente
o la unidad.
Seguimiento de consulta hospitalaria para un paciente
establecido que requiere por lo menos dos de estos tres
componentes clave: 1) Un problema expandida enfocado
historia intervalo, 2) Un problema expandida enfocado
examen, 3) toma de decisiones mdicas de complejidad
/ o su familia. Por lo general, el paciente est respondiendo
inadecuadamente al tratamiento o se ha desarrollado una
complicacin menor. Los mdicos suelen pasar 20 minutos
en la cabecera y en la planta de hospitalizacin del paciente
o la unidad.
Seguimiento de pacientes internados consulta para un

paciente establecido que requiere por lo menos dos de
estos tres componentes clave: 1) Una historia detallada
intervalo, 2) Un examen detallado, 3) toma de decisiones
mdicas de alta complejidad. Asesoramiento y / o
significativo. Los mdicos suelen pasar 30 minutos en la
cabecera y en la planta de hospitalizacin del paciente o la
unidad.
Consulta de confirmacin para un paciente nuevo o

(s) son autolimitados o menor.
gravedad bajo.
presenta (s) son de gravedad moderada.

(s) son de moderada a alta severidad.

presenta (s) son de moderada a alta severidad.

3) toma de decisiones mdicas de complejidad moderada.
(s) son de gravedad moderada.

detallado, y 3) toma de decisiones mdicas de complejidad
(s) son de gravedad alto, y requieren una evaluacin
urgente por el mdico, pero no representa una amenaza
inmediata para la vida o importante funcin fisiolgica.
Mdico direccin de atencin mdica de emergencia
sistemas de emergencia (EMS), soporte vital avanzado
Servicios de cuidados crticos proporcionados por un
mdico, cara a cara, durante un transporte entre
instalaciones de pacientes peditricos crticamente
enfermos o heridos de gravedad, 24 meses de edad o
menos; primero 30-74 minutos de las manos en la atencin
durante el transporte
menos, cada minuto adicional de 30 (Anote separadamente
adems del cdigo para el servicio primario)
Cuidado crtico, evaluacin y manejo del paciente
crticamente enfermo o herido de gravedad; cada 30
para el servicio primario)

componentes clave: 1) una historia completa, 2) Un examen
ingreso son de gravedad moderada. Los mdicos suelen
pasar 35 minutos a la cama y en el suelo las instalaciones

componentes clave: 1) una historia completa, 2) Un examen
paciente y / o su familia. Por lo general, el problema (s) que
requiere ingreso son de severidad alta. Los mdicos suelen
pasar 45 minutos en la cabecera y en el piso de la planta
Atencin posterior instalacin de enfermera, por da, para la

evaluacin y manejo de un paciente, que requiere por lo
menos dos de estos tres componentes clave: 1) Un
problema enfocado historia intervalo, 2) Un problema
centrado examen, 3) toma de decisiones mdicas Sencillo
de decisiones. Asesoramiento y / o coordinacin de cuidado
paciente y / o su familia. Normalmente, el paciente es
estable, se recupera o mejora. Los mdicos suelen pasar 10
minutos en la cabecera y en el piso de la planta del paciente
o de la unidad.

menos dos de estos tres componentes clave: 1) Un
problema expandido enfocado historia intervalo, 2) examen
Un problema expandida enfocado, 3) toma de decisiones
mdicas de baja complejidad. Asesoramiento y / o
Por lo general, el paciente est respondiendo
en la cabecera y en el piso de la planta del paciente o de la
unidad.

menos dos de estos tres componentes clave: 1) Una historia
detallada intervalo, 2) Un examen detallado, 3) toma de
/ o su familia. Usualmente, el paciente ha desarrollado una
complicacin significativa o un nuevo problema significativo.
Los mdicos suelen pasar 25 minutos en la cama y en el
suelo las instalaciones del paciente o de la unidad.
menos dos de estos tres componentes clave: 1) Una historia
intervalo amplio, 2) Un examen exhaustivo, 3) toma de
El paciente puede ser inestable o puede haber desarrollado
un nuevo problema importante que requiere atencin
mdica inmediata. Los mdicos suelen pasar 35 minutos a
la cama y en el suelo las instalaciones del paciente o de la
unidad.
Despus atencin en un centro de enfermera, por da, para
la evaluacin y manejo de un paciente nuevo o establecido,
que requiere al menos dos de estos tres componentes
clave: 1) Un problema enfocado historia intervalo, 2)
examen Un problema enfocado, y 3) la decisin mdica
haciendo que sea sencillo o de complexity.Counseling baja y
/ o coordinacin de cuidado con otros proveedores o
agencias se conceder de acuerdo con la naturaleza del
problema (s) y la del paciente y / o necesidades de la
familia. Por lo general, el paciente est estable, recuperar o
mejorar. Los mdicos suelen pasar 15 minutos en la
cabecera y en el piso de la planta del paciente o de la
unidad.
Despus atencin en un centro de enfermera, por da, para

la evaluacin y manejo de un paciente nuevo o establecido,
clave: 1) Un problema expandida enfocado historia intervalo,
2) examen Un problema expandida enfocado, 3) toma de
en la cama y en el suelo las instalaciones del paciente o de
la unidad.

evaluacin y manejo de un paciente nuevo o establecido,
clave: 1) Una historia detallada intervalo, 2) Un examen
detallado, 3) toma de decisiones mdicas de moderada a
necesidades del paciente y / o su familia. Usualmente, el
paciente ha desarrollado una complicacin significativa o un
nuevo problema significativo. Los mdicos suelen pasar 35
minutos a la cama y en el suelo las instalaciones del
paciente o de la unidad.
Centro de enfermera descarga gestin diaria, 30 minutos o
menos
Centro de enfermera descarga gestin diaria; ms de 30
minutos
Evaluacin y manejo de un paciente que supone una
valoracin de enfermera anual, lo que requiere estos tres
componentes fundamentales: 1) Una historia detallada
intervalo, 2) Un examen exhaustivo, y 3) la toma de
decisiones mdicas que es de baja a moderada
estable, se recupera o mejora. Los mdicos suelen pasar 30
minutos en la cabecera y en el piso de la planta del paciente
o de la unidad.
Casa domiciliaria o de descanso visita a la evaluacin y

gestin de un nuevo paciente que requiere estos tres
componentes fundamentales: 1) una historia centrada
problema, 2) Un examen problema enfocado, y 3) la toma
de decisiones mdicas que es directa o de baja
presenta (s) son de gravedad bajo.
gestin de un nuevo paciente, que requiere estos tres
componentes fundamentales: 1) Una historia expandida
enfocado problema, 2) Un examen amplio centrado
problema, y 3) toma de decisiones mdicas de complejidad
(s) son de gravedad moderada.

componentes fundamentales: 1) Una historia detallada, 2)
Un examen detallado, y 3) toma de decisiones mdicas de
problema que se presenta (s) son de alta complejidad.
componentes fundamentales: 1) una historia centrada
problema, 2) Un examen problema enfocado, y 3) la
decisin Sencillo mdicas. Asesoramiento y / o coordinacin
problema que se presenta (s) son de gravedad bajo. Los
mdicos suelen pasar 20 minutos con el paciente y / o
familia o cuidador.

componentes fundamentales: 1) Una historia expandida
enfocado problema, 2) Un examen amplio centrado
problema, y 3) toma de decisiones mdicas de baja
suelen pasar 30 minutos con el paciente y / o familia o
cuidador.
componentes fundamentales: 1) Una historia detallada, 2)
Un examen detallado, y 3) toma de decisiones mdicas de
severidad. Los mdicos suelen pasar 45 minutos con el
paciente y / o familia o cuidador.
problema que se presenta (s) son de severidad alta. Los
familia o cuidador.
paciente se encuentra inestable o se ha desarrollado un
nuevo problema importante que requiere atencin mdica
inmediata. Los mdicos suelen pasar 75 minutos con el
paciente y / o familia o cuidador.
Casa domiciliaria o de descanso visita para la evaluacin y

manejo de un paciente establecido, que requiere al menos
dos de estos tres componentes clave: 1) Un problema
enfocado, y 3) la toma de decisiones mdicas que es directa
o de baja complejidad. Asesoramiento y / o coordinacin de
paciente est estable, recuperar o mejorar.
Visita domiciliaria o casa de descanso para la evaluacin y
expandida enfocado historia intervalo, 2) examen Un
problema expandida enfocado, 3) la toma de decisiones
mdicas de moderado complejidad. Asesoramiento y / o
Por lo general, el paciente est respondiendo
complicacin menor.
dos de estos tres componentes clave: 1) Una historia
detallada intervalo, 2) Un examen detallado, 3) la toma de
significativo.

enfocado, 3) la decisin mdica Sencillo de decisiones.
(s) son autolimitadas o menor. Los mdicos suelen pasar 15
minutos con el paciente y / o familia o cuidador.

expandida enfocado historia intervalo, 2) examen Un
problema expandida enfocado, 3) la toma de decisiones
mdicas de bajo complejidad. Asesoramiento y / o
Por lo general, el problema que se presenta (s) son de baja
a moderada gravedad. Los mdicos suelen pasar 25
minutos con el paciente y / o familia o cuidador.

detallada intervalo, 2) Un examen detallado, 3) la toma de
pasar 40 minutos con el paciente y / o familia o cuidador.

intervalo amplio, 2) Un examen exhaustivo, 3) toma de
decisiones mdicas de moderada a alta complejidad.
(s) son de moderada a alta severidad. El paciente puede ser
inestable o puede haber desarrollado un nuevo problema
importante que requiere atencin mdica inmediata. Los
familia o cuidador.
Supervisin mdica individual de un paciente (el paciente no

presente) en la casa, el hogar domiciliario o de descanso
(por ejemplo, instalaciones de vida asistida) que requieren
modalidades de atencin complejos y multidisciplinares
relacionados con el desarrollo mdico de cabecera y / o
revisin de los planes de atencin, la revisin de los
informes posteriores del estado del paciente , el examen de
laboratorio y otros estudios relacionados con la
comunicacin (incluidas las llamadas telefnicas) para
propsitos de evaluacin o decisiones de atencin de la
salud profesional (s), pariente (s), sustituto que toma
decisiones (s) (por ejemplo, de un representante legal) y / o
la tecla cuidador (s) que participan en la atencin al
paciente, la integracin de nueva informacin en el plan de
tratamiento mdico y / o el ajuste de la terapia mdica,
dentro de un mes calendario; 15-29 minutos
Supervisin mdica individual de un paciente (el paciente no

presente) en la casa, el hogar domiciliario o de descanso
(por ejemplo, instalaciones de vida asistida) que requieren
modalidades de atencin complejos y multidisciplinares
informes posteriores del estado del paciente , el examen de
laboratorio y otros estudios relacionados con la
comunicacin (incluidas las llamadas telefnicas) para
propsitos de evaluacin o decisiones de atencin de la
salud profesional (s), pariente (s), sustituto que toma
la tecla cuidador (s) que participan en la atencin al
dentro de un mes natural, a 30 minutos o ms

(s) son de gravedad bajo. Los mdicos suelen pasar 20

tres componentes clave: un problema expandida enfocado
historia intervalo, un examen problema expandida enfocado;
toma de decisiones mdicas de complejidad moderada.
complicacin menor.

tres componentes clave: un intervalo historia detallada, un
examen detallado; toma de decisiones mdicas de alta
inestable o se ha desarrollado una complicacin significativa
o un nuevo problema significativo.
Servicio mdico prolongado en la oficina o en consulta
externa que requiera directa (cara a cara) contacto con los
pacientes ms all del servicio normal; primera hora (lista
por separado adems del cdigo para la oficina o la
evaluacin externa y otros servicios de gestin)
Servicio mdico prolongado en la oficina o en consulta
externa que requiera directa (cara a cara) contacto con los
pacientes ms all del servicio habitual, cada 30 minutos
adicionales (lista por separado adems del cdigo para el
servicio mdico prolongado)
Servicio mdico prolongado en el entorno hospitalario,
requiriendo unidad / planta tiempo ms all del servicio
normal; primera hora (lista por separado adems del cdigo
para la evaluacin hospitalaria y de servicios de gestin)
Servicio mdico prolongado en el entorno hospitalario,
requiriendo unidad / planta tiempo ms all del servicio
habitual, cada 30 minutos adicionales (lista por separado
adems del cdigo para el servicio mdico prolongado)
Evaluacin y gestin de servicios prolongado antes y / o
despus de directo (cara a cara) la atencin al paciente;
primera hora
Evaluacin y gestin de servicios prolongado antes y / o
despus de directo (cara a cara) la atencin al paciente;
cada 30 minutos adicionales (lista por separado adems del
cdigo para el servicio mdico prolongado)
Mdico servicio de guardia, la asistencia que requieran

mdico prolongado, cada 30 minutos (por ejemplo, operativo
espera, espera para la seccin de congelados, por cesrea /
entrega de alto riesgo, para el monitoreo EEG)
Conferencia mdica por un mdico con el equipo
Conferencia mdica por un mdico con el equipo
Manejo anticoagulante para un paciente ambulatorio
tomando warfarina, revisin mdica y la interpretacin de
International Normalized Ratio (INR) de prueba,
instrucciones para el paciente, el ajuste de la dosis (segn
sea necesario) y solicitud de pruebas adicionales; primeros
90 das de tratamiento (debe incluir un mnimo de 8 EUR
mediciones)
Manejo anticoagulante para un paciente ambulatorio
tomando warfarina, revisin mdica y la interpretacin de
International Normalized Ratio (INR) de prueba,
instrucciones para el paciente, el ajuste de la dosis (segn
sea necesario) y solicitud de pruebas complementarias,
cada 90 das posteriores de la terapia (debe incluir un
mnimo de 3 INR mediciones)
Conferencia del equipo mdico con el equipo
interdisciplinario de profesionales de la salud, cara a cara
con el paciente y / o familia, 30 minutos o ms, la
participacin de no mdico cualificado profesional de la
salud
interdisciplinario de profesionales de la salud, pacientes y / o
familiares ausentes, 30 minutos o ms, la participacin por
el mdico
interdisciplinario de profesionales de la salud, pacientes y / o
familiares ausentes, 30 minutos o ms, la participacin por
no mdico cualificado profesional de la salud
nutricionistas, mdicos, farmacuticos), simple o breve (por
ejemplo, para informar sobre las pruebas y / o los resultados
de laboratorio, para aclarar o modificar las instrucciones
previas, para integrar la nueva informacin de profesionales
de la salud en el plan de tratamiento mdico, o para ajustar
la terapia)

nutricionistas, mdicos, farmacuticos), intermedio (por
ejemplo, para asesorar a una red paciente en un problema
nuevo, para iniciar el tratamiento que puede ser manejado
por telfono, para hablar de los resultados en detalle, para
coordinar el tratamiento mdico de un nuevo problema en
un paciente establecido, para discutir y evaluar la nueva
informacin y detalles, o para iniciar el nuevo plan de la
atencin)

nutricionistas, mdicos, farmacuticos), complejo o largo
(por ejemplo, sesiones, el asesoramiento extenso con
paciente ansioso o angustiado, discusin detallada o
prolongado con miembros de la familia con respecto a los
pacientes gravemente enfermos, extensa comunicacin
necesarios para coordinar los servicios de varios complejos
diferentes profesionales sanitarios que trabajan en los
diferentes aspectos del plan de atencin de pacientes en
total)
Supervisin mdica de un paciente bajo el cuidado de la

agencia de salud en el hogar (el paciente no presente) en el
hogar, el entorno domiciliario o equivalente (por ejemplo,
instalacin de Alzheimer) que requieren modalidades de
atencin complejos y multidisciplinares relacionados con el
desarrollo mdico de cabecera y / o revisin de los planes
de atencin, la revisin de las rdenes de informes sobre el
estado del paciente, el examen de laboratorio y otros
estudios relacionados con la comunicacin (incluidas las
llamadas telefnicas) para propsitos de evaluacin o
decisiones de atencin de la salud profesional (s), pariente
(s), sustituto que toma decisiones (s) (por ejemplo, legal
tutor) y / o cuidador clave (s) que participan en la atencin al
Supervisin mdica de un paciente bajo el cuidado de la

agencia de salud en el hogar (el paciente no presente) en el
hogar, el entorno domiciliario o equivalente (por ejemplo,
instalacin de Alzheimer) que requieren modalidades de
de atencin, la revisin de las rdenes de informes sobre el
estado del paciente, el examen de laboratorio y otros
estudios relacionados con la comunicacin (incluidas las
llamadas telefnicas) para propsitos de evaluacin o
decisiones de atencin de la salud profesional (s), pariente
(s), sustituto que toma decisiones (s) (por ejemplo, legal
tutor) y / o cuidador clave (s) que participan en la atencin al
Mdico de supervisin de los pacientes bajo el cuidado de

las agencias de salud en el hogar, hospicio o pacientes en
centros de enfermera (paciente no presente) que requieren
modalidades de atencin complejas o multidisciplinares
informes posteriores del estado del paciente, revisin de
relacionados de laboratorio y otros estudios, la
comunicacin (incluidas las llamadas telefnicas) con otros
profesionales de la salud involucrados en el cuidado del
tratamiento mdico y / o el ajuste de la terapia mdica, en
un plazo de 30 das, ms de 60 minutos
Mdico supervisin de un paciente de hospicio (el paciente

no presente) que requieren modalidades de atencin
complejos y multidisciplinares relacionados con el desarrollo
mdico de cabecera y / o revisin de los planes de atencin,
la revisin de los informes posteriores del estado del
paciente, el examen de laboratorio y otros estudios
relacionados con la comunicacin (incluidas las llamadas
telefnicas ) a los efectos de las decisiones de evaluacin o
atencin con profesional de la salud (s), familiar (s), sustituto
que toma decisiones (s) (por ejemplo, de un representante
legal) y / o cuidador clave (s) que participan en la atencin al
paciente, la integracin de los nuevos informacin en el plan
de tratamiento mdico y / o el ajuste de la terapia mdica,
Mdico supervisin de un paciente de hospicio (el paciente

no presente) que requieren modalidades de atencin
complejos y multidisciplinares relacionados con el desarrollo
mdico de cabecera y / o revisin de los planes de atencin,
la revisin de los informes posteriores del estado del
paciente, el examen de laboratorio y otros estudios
relacionados con la comunicacin (incluidas las llamadas
telefnicas ) a los efectos de las decisiones de evaluacin o
atencin con profesional de la salud (s), familiar (s), sustituto
que toma decisiones (s) (por ejemplo, de un representante
legal) y / o cuidador clave (s) que participan en la atencin al
paciente, la integracin de los nuevos informacin en el plan
de tratamiento mdico y / o el ajuste de la terapia mdica,
dentro de un mes calendario; 30 minutos o ms
Mdico supervisin de un centro de enfermera del paciente

(el paciente no presente) que requieren modalidades de
de atencin, revisin de los informes posteriores del estado
del paciente, el examen de laboratorio y otros estudios
relacionados, comunicacin (incluyendo telfono llamadas)
a los efectos de las decisiones de evaluacin o atencin con
profesional de la salud (s), pariente (s), sustituto que toma
cuidador clave (s) que participan en la atencin al paciente,
la integracin de nueva informacin en el plan de
Mdico supervisin de un centro de enfermera del paciente

(el paciente no presente) que requieren modalidades de
de atencin, revisin de los informes posteriores del estado
del paciente, el examen de laboratorio y otros estudios
relacionados, comunicacin (incluyendo telfono llamadas)
para efectos de la evaluacin o decisiones de atencin con
otro profesional de la salud (s), pariente (s), sustituto que
toma decisiones (s) (por ejemplo, de un representante legal)
y / o cuidador clave (s) que participan en la atencin del
paciente, integracin de nueva informacin en el plan de

diagnstico, el paciente nuevo, recin nacido (edad menor
de 1 ao)
diagnstico, nuevos pacientes; la primera infancia (edad de
1 a 4 aos )
diagnstico, nuevos pacientes; infancia tarda (edad 5 a 11
aos )
diagnstico, el paciente nuevo, 18-39 aos
diagnstico, el paciente nuevo, 40-64 aos
diagnstico, el paciente nuevo, 65 aos y mayores
diagnstico, el paciente establecido; infantil (edad menor de
1 ao)

diagnstico, establecidos paciente, la primera infancia (edad
de 1 a 4 aos )
diagnstico, establecidos paciente, la infancia tarda (edad 5
a 11 aos )
diagnstico, el paciente establecido; 18-39 aos
diagnstico, el paciente establecido; 40-64 aos
diagnstico, el paciente establecido; 65 y ms aos
Fumar y el consumo de tabaco cese visita de
asesoramiento, de nivel intermedio, ms de 3 minutos hasta
10 minutos
Fumar y el consumo de tabaco cese visita de
asesoramiento; intensiva, mayor de 10 minutos
El alcohol y / o sustancias (excepto el tabaco) cribado abuso

estructurada (por ejemplo, auditora, DAST), y la
intervencin breve (SBI) servicios; 15 a 30 minutos
El alcohol y / o sustancias (excepto el tabaco) cribado abuso
estructurada (por ejemplo, auditora, DAST), y la
intervencin breve (SBI) servicios; ms de 30 minutos
factores de riesgo de reduccin (s) proporcionado a los
individuos en un grupo (procedimiento separado),
aproximadamente 60 minutos
Administracin e interpretacin del instrumento de
evaluacin de riesgos para la salud (por ejemplo, la
evaluacin del riesgo para la salud)
Servicio Cotizadas medicina preventiva
la iniciacin de programas de diagnstico y tratamiento y
preparacin de los registros hospitalarios. (Este cdigo debe
utilizarse tambin para el nacimiento de las entregas de las
habitaciones.)
Atencin del recin nacido normal en que no sea hospital o
centro de parto habitacin, incluyendo el examen fsico del
beb y de la conferencia (s) con el padre (s)
Atencin hospitalaria posterior, para la evaluacin y gestin
de un recin nacido normal, por da
incluida la preparacin de los expedientes mdicos. (Este
cdigo slo se debe utilizar para los recin nacidos
evaluados y dados de alta del hospital o sala de partos en la
misma fecha.)
La asistencia en el parto (cuando lo solicite la entrega de
mdico) y la estabilizacin inicial del recin nacido
Cuidado infantil a un ao de edad, con un mximo de 12
visitas a la oficina durante las horas de oficina regulares,
incluidas las pruebas de la tuberculina y la administracin de
la vacuna DTP y la vacuna oral contra la polio
Newborn resucitacin: la provisin de ventilacin con
presin positiva y / o compresiones en el pecho en
presencia de ventilacin insuficiente aguda y / o el gasto
cardaco
Evaluacin en lnea y servicios de gestin prestados por un
mdico para un paciente establecido, no tutor, o profesional
de la salud procedentes de una relacionada con E / M
servicio prestado en los ltimos 7 das, a travs de Internet
o red similar de las comunicaciones electrnicas
Vital bsico y / o examen discapacidad que incluye: 1)

Medicin de la altura, el peso y la presin arterial, 2)
Realizacin de una historia clnica despus de un seguro de
vida pro forma, y 3) Recoleccin de muestras de sangre y /
o orina cumplir "cadena de custodia "protocolos, y
cumplimentar la documentacin necesaria / certificados.
Trabajar examen relacionado con la discapacidad o mdica
por el mdico que incluye: 1) Realizacin de una historia
clnica acorde con el estado del paciente, 2) Realizacin de
un examen acorde con el estado del paciente, y 3) la
formulacin de un diagnstico, la evaluacin de las
capacidades y la estabilidad y el clculo del deterioro, 4)
Elaboracin de un plan futuro tratamiento mdico, y 5)
Finalizacin de la documentacin necesaria / certificados e
informes.
Trabajar examen relacionado con la discapacidad o mdica

por otro que el mdico que trata que incluye: 1) Realizacin
de un historial mdico acorde con la condicin del paciente;
2) Realizacin de un examen acorde con la condicin del
paciente; 3) Formulacin de un diagnstico, evaluacin de
las capacidades y la estabilidad, y el clculo del deterioro, 4)
Elaboracin de un plan futuro tratamiento mdico, y 5)
Finalizacin de la documentacin necesaria / certificados e
informes.
Inicial en el hospital o centro de atencin de partos, por da,
para la evaluacin y gestin de beb recin nacido normal
Atencin inicial, por da, para la evaluacin y manejo de
recin nacido normal vista en que no sea hospital o centro
de maternidad
gestin de recin nacido normal
Inicial en el hospital o centro de atencin de partos, por da,
para la evaluacin y gestin de la normal de los bebs
recin nacidos ingresados y dados de alta en la misma
fecha
La asistencia en el parto (cuando sea solicitado por el
mdico entrega) y la estabilizacin inicial del recin nacido
Entrega / nacimiento sala de reanimacin, la prestacin de
asistencia respiratoria con presin positiva y / o
compresiones en el pecho en presencia de ventilacin
insuficiente aguda y / o el gasto cardaco
menos 30-74 minutos: en primer lugar de manos en la
atencin durante el transporte

menos, cada minuto adicional de 30 (Anote separadamente
adems del cdigo para el servicio primario)
Hospitalizacin inicial neonatal de cuidados intensivos, por
da, para la evaluacin y gestin de un neonato en estado
crtico, 28 das de edad o menos
Hospitalizacin posterior neonatal de cuidados intensivos,
por da, para la evaluacin y gestin de un neonato en
estado crtico, 28 das de edad o menos
enfermo o un nio pequeo, 29 das y 24 meses de edad
gravemente enfermo o un nio pequeo, 29 das y 24
meses de edad
enfermo o un nio pequeo, de 2 a 5 aos de edad
gravemente enfermo o un nio pequeo, de 2 a 5 aos de
edad
manejo del recin nacido, 28 das de edad o ms jvenes,
que requiere observacin intensiva, las intervenciones
frecuentes, y otros servicios de cuidados intensivos
y gestin del recin nacido de la recuperacin de muy bajo
peso (peso corporal actual inferior a 1500 gramos)
y gestin de la recuperacin de nios con bajo peso al nacer
(peso corporal actual de 1500-2500 gramos)
y manejo del recin nacido recuperacin (peso corporal
actual de 2501-5000 gramos)
Cotizadas evaluacin y gestin de servicios
Visita domiciliaria para el cuidado del estoma y
mantenimiento, incluyendo colostoma y cistostoma
Visita domiciliaria para las inyecciones intramusculares
Visita domiciliaria para el cuidado y mantenimiento del
catter (s) (por ejemplo, el drenaje urinario, y enteral)
Visita domiciliaria para los estudios de polisomnografa y el
sueo
Visita domiciliaria para obtener ayuda con actividades de la

vida diaria y el cuidado personal
Inicio de la visita individual, familiar o terapia de pareja
Visita domiciliaria para hemodilisis
Casa Cotizadas servicio de visita o procedimiento
Inicio de infusin para el tratamiento del dolor (intravenosa o
subcutnea), por visita
Inicio de infusin para el tratamiento del dolor (epidural o
intratecal), por visita
Inicio de infusin para el tratamiento tocoltico, por visita
Inicio infusin de hormonas hematopoyticas (por ejemplo,
eritropoyetina, G-CSF, GM-CSF) o plaquetas, por visita
Inicio infusin de la quimioterapia, por visita
Inicio infusin de antibiticos antifngicos / / antivirales, por
visita
Inicio infusin continua de la terapia anticoagulante (por
ejemplo, heparina), por visita
Inicio infusin de la inmunoterapia, por visita
Inicio infusin de dilisis peritoneal, por visita
Inicio infusin de nutricin enteral, por visita
Inicio infusin de la terapia de hidratacin, por visita
Inicio infusin de la nutricin parenteral total, por visita
Home administracin de pentamidina en aerosol, por visita
Inicio infusin de anti-hemoflicos agentes (por ejemplo,
Factor VIII), por visita
Inicio infusin de alfa-1-proteinasa (por ejemplo, Prolastin),
por visita
Inicio de infusin para ininterrumpida, a largo plazo el
tratamiento intravenoso (por ejemplo, epoprostenol), por
visita
Inicio infusin de agentes simpaticomimticos (por ejemplo,
dobutamina), por visita
Inicio infusin de medicamentos varios, por visita
Infusin en el hogar, cada terapia adicional dada en el
mismo da (Lista por separado adems de cdigo para la
visita primario), por visita
Casa Cotizadas servicio de visita o procedimiento
Inicio infusin / administracin de medicamentos de
especialidad, por visita (hasta 2 horas)
Inicio infusin / administracin de medicamentos de
especialidad, por visita (hasta 2 horas), cada hora adicional
primario)
Medicacin terapia gestin de servicios (s) proporcionado
por un farmacutico, persona, cara a cara con el paciente,
con la evaluacin y la intervencin si lo hubiere; primeros 15
minutos, paciente nuevo
con la evaluacin y la intervencin si lo hubiere; primeros 15
minutos, paciente establecido

con la evaluacin y la intervencin si lo hubiere; cada 15
para el servicio primario)
X
-MINSA/TARIFARIO SIS 2003
upremo N 016-2009-SA





















































































































































CDT 2005
The codes in this section have been revised to recognize the cognitive skills necessary for patient evaluation. The collection and recording of some data and c
Code
Class Nomenclature
D0120
30
periodic oral evaluation
D0140
30
limited oral evaluation - problem focused
D0150
35
comprehensive oral evaluation - new or established patient
D0160
35
detailed and extensive oral evaluation - problem focused, by rep
D0170
30
re-evaluation - limited, problem focused (established patient; not
D0180
30
comprehensive periodontal evaluation - new or established pati
D0210
30
intraoral - complete series (including bitewings)
D0220
30
intraoral - periapical first film
D0230
30
intraoral - periapical each additional film
D0240
30
intraoral - occlusal film
D0250
30
extraoral - first film
D0260
30
extraoral - each additional film
D0270
30
bitewing - single film
D0272
30
bitewings - two films
D0274
30
bitewings - four films
D0277
30
vertical bitewings - 7 to 8 films
D0290
30
posterior-anterior or lateral skull and facial bone survey film
D0310
30
sialography
D0320
30
temporomandibular joint arthrogram, including injection
D0321
30
other temporomandibular joint films, by report
D0322
30
tomographic survey
D0330
30
panoramic film
D0340
30
cephalometric film
D0350
35
oral/facial photographic images
D0415
35
collection of microorganisms for culture and sensitivity
D0416
31
viral culture
D0421
31
genetic test for susceptibility to oral diseases
D0425
30
caries susceptibility tests
D0431
31
adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including premalignant and malignant lesions, not to include c
D0460
30
pulp vitality tests
D0470
30
diagnostic casts
D0472
30
accession of tissue, gross examination, preparation and transmission of written report
D0473
30
accession of tissue, gross and microscopic examination, preparation and transmission of written report
D0474
30
accession of tissue, gross and microscopic examination, including assessment of surgical margins for presence of disease, preparation and
D0475
31
decalcification procedure
D0476
31
special stains for microorganisms
D0477
31
special stains, not for microorganisms
D0478
31
immunohistochemical stains
D0479
31
tissue in-situ hybridization, including interpretation
D0480
35
processing and interpretation of exfoliative cytologic smears, including the preparation and transmission of written report
D0481
31
electron microscopy - diagnostic
D0482
31
direct immunofluorescence
D0483
31
indirect immunofluorescence
D0484
31
consultation on slides prepared elsewhere
D0485
31
consultation, including preparation of slides from biopsy materia
D0502
30
other oral pathology procedures, by report
D0999
30
unspecified diagnostic procedure, by report
D1110
35
prophylaxis - adult
D1120
35
prophylaxis - child
D1201
30
topical application of fluoride (including prophylaxis) - child
D1203
30
topical application of fluoride (prophylaxis not included) - child
D1204
30
topical application of fluoride (prophylaxis not included) - adult
D1205
30
topical application of fluoride (including prophylaxis) - adult
D1310
30
nutritional counseling for control of dental disease
D1320
30
tobacco counseling for the control and prevention of oral diseas
D1330
30
oral hygiene instructions
D1351
30
sealant - per tooth
D1510
30
space maintainer - fixed - unilateral
D1515
30
space maintainer - fixed - bilateral
D1520
30
space maintainer - removable - unilateral
D1525
30
space maintainer - removable - bilateral
D1550
30
re-cementation of space maintainer
D2140
30
amalgam - one surface, primary or permanent
D2150
30
amalgam - two surfaces, primary or permanent
D2160
30
amalgam - three surfaces, primary or permanent
D2161
30
amalgam - four or more surfaces, primary or permanent
D2330
30
resin-based composite - one surface, anterior
D2331
30
resin-based composite - two surfaces, anterior
D2332
30
resin-based composite - three surfaces, anterior
D2335
30
resin-based composite - four or more surfaces or involving incisa
D2390
30
resin-based composite crown, anterior
D2391
30
resin-based composite - one surface, posterior
D2392
30
resin-based composite - two surfaces, posterior
D2393
30
resin-based composite - three surfaces, posterior
D2394
30
resin-based composite - four or more surfaces, posterior
D2410
30
gold foil - one surface
D2420
30
gold foil - two surfaces
D2430
30
gold foil - three surfaces
D2510
30
inlay - metallic - one surface
D2520
30
inlay - metallic - two surfaces
D2530
30
inlay - metallic - three or more surfaces
D2542
30
onlay - metallic-two surfaces
D2543
30
onlay - metallic-three surfaces
D2544
30
onlay - metallic-four or more surfaces
D2610
30
inlay - porcelain/ceramic - one surface
D2620
30
inlay - porcelain/ceramic - two surfaces
D2630
30
inlay - porcelain/ceramic - three or more surfaces
D2642
30
onlay - porcelain/ceramic - two surfaces
D2643
30
onlay - porcelain/ceramic - three surfaces
D2644
30
onlay - porcelain/ceramic - four or more surfaces
D2650
30
inlay - resin-based composite - one surface
D2651
30
inlay - resin-based composite - two surfaces
D2652
30
inlay - resin-based composite - three or more surfaces
D2662
30
onlay - resin-based composite - two surfaces
D2663
30
onlay - resin-based composite - three surfaces
D2664
30
onlay - resin-based composite - four or more surfaces
D2710
35
crown - resin-based composite (indirect)
D2712
31
crown - resin-based composite (indirect)
D2720
30
crown - resin with high noble metal
D2721
30
crown - resin with predominantly base metal
D2722
30
crown - resin with noble metal
D2740
30
crown - porcelain/ceramic substrate
D2750
30
crown - porcelain fused to high noble metal
D2751
30
crown - porcelain fused to predominantly base metal
D2752
30
crown - porcelain fused to noble metal
D2780
30
crown - 3/4 cast high noble metal
D2781
30
crown - 3/4 cast predominantly base metal
D2782
30
crown - 3/4 cast noble metal
D2783
30
crown - 3/4 porcelain/ceramic
D2790
30
crown - full cast high noble metal
D2791
30
crown - full cast predominantly base metal
D2792
30
crown - full cast noble metal
D2794
31
crown - titanium
D2799
30
provisional crown
D2910
35
recement inlay, onlay, or partial coverage restoration
D2915
31
recement cast or prefabricated post and core
D2920
30
recement crown
D2930
30
prefabricated stainless steel crown - primary tooth
D2931
30
prefabricated stainless steel crown - permanent tooth
D2932
30
prefabricated resin crown
D2933
30
prefabricated stainless steel crown with resin window
D2934
31
prefabricated esthetic coated stainless steel crown - primary too
D2940
30
sedative filling
D2950
30
core buildup, including any pins
D2951
30
pin retention - per tooth, in addition to restoration
D2952
30
cast post and core in addition to crown
D2953
30
each additional cast post - same tooth
D2954
30
prefabricated post and core in addition to crown
D2955
30
post removal (not in conjunction with endodontic therapy)
D2957
30
each additional prefabricated post - same tooth
D2960
30
labial veneer (resin laminate) - chairside
D2961
30
labial veneer (resin laminate) - laboratory
D2962
30
labial veneer (porcelain laminate) - laboratory
D2971
31
additional procedures to construct new crown under existing par
D2975
31
coping
D2980
30
crown repair, by report
D2999
30
unspecified restorative procedure, by report
D3110
30
pulp cap - direct (excluding final restoration)
D3120
30
pulp cap - indirect (excluding final restoration)
D3220
30
therapeutic pulpotomy (excluding final restoration) - removal of
D3221
30
pulpal debridement, primary and permanent teeth
D3230
30
pulpal therapy (resorbable filling) - anterior, primary tooth (exclud
D3240
30
pulpal therapy (resorbable filling) - posterior, primary tooth (excl
D3310
30
anterior (excluding final restoration)
D3320
30
bicuspid (excluding final restoration)
D3330
30
molar (excluding final restoration)
D3331
30
treatment of root canal obstruction; non-surgical access
D3332
35
incomplete endodontic therapy; inoperable, unrestorable or frac
D3333
30
internal root repair of perforation defects
D3346
30
retreatment of previous root canal therapy - anterior
D3347
30
retreatment of previous root canal therapy - bicuspid
D3348
30
retreatment of previous root canal therapy - molar
D3351
30
apexification/recalcification - initial visit (apical closure/calcific
D3352
30
apexification/recalcification - interim medication replacement (apic
D3353
30
apexification/recalcification - final visit (includes completed root
D3410
30
apicoectomy/periradicular surgery - anterior
D3421
30
apicoectomy/periradicular surgery - bicuspid (first root)
D3425
30
apicoectomy/periradicular surgery - molar (first root)
D3426
30
apicoectomy/periradicular surgery (each additional root)
D3430
30
retrograde filling - per root
D3450
30
root amputation - per root
D3460
30
endodontic endosseous implant
D3470
30
intentional reimplantation (including necessary splinting)
D3910
30
surgical procedure for isolation of tooth with rubber dam
D3920
30
hemisection (including any root removal), not including root can
D3950
30
canal preparation and fitting of preformed dowel or post
D3999
30
unspecified endodontic procedure, by report
D4210
35
gingivectomy or gingivoplasty - four or more contiguous teeth
D4211
35
gingivectomy or gingivoplasty - one to three contiguous teeth o
D4240
35
gingival flap procedure, including root planing - four or more c
D4241
35
gingival flap procedure, including root planing - one to three c
D4245
30
apically positioned flap
D4249
30
clinical crown lengthening - hard tissue
D4260
35
osseous surgery (including flap entry and closure) - four or mo
D4261
35
osseous surgery (including flap entry and closure) - one to thr
D4263
35
bone replacement graft - first site in quadrant
D4264
30
bone replacement graft - each additional site in quadrant
D4265
35
biologic materials to aid in soft and osseous tissue regeneration
D4266
30
guided tissue regeneration - resorbable barrier, per site
D4267
30
guided tissue regeneration - nonresorbable barrier, per site (i
D4268
30
surgical revision procedure, per tooth
D4270
30
pedicle soft tissue graft procedure
D4271
30
free soft tissue graft procedure (including donor site surgery)
D4273
35
subepithelial connective tissue graft procedures, per tooth
D4274
30
distal or proximal wedge procedure (when not performed in conj
D4275
30
soft tissue allograft
D4276
35
combined connective tissue and double pedicle graft, per tooth
D4320
30
provisional splinting - intracoronal
D4321
30
provisional splinting - extracoronal
D4341
35
periodontal scaling and root planing - four or more teeth per qu
D4342
30
periodontal scaling and root planing - one to three teeth per qua
D4355
35
full mouth debridement to enable comprehensive evaluation and
D4381
35
localized delivery of antimicrobial agents via a controlled release
D4910
35
periodontal maintenance
D4920
30
unscheduled dressing change (by someone other than treating dentist)
D4999
30
unspecified periodontal procedure, by report
D5110
30
complete denture - maxillary
D5120
30
complete denture - mandibular
D5130
30
immediate denture - maxillary
D5140
30
immediate denture - mandibular
D5211
30
maxillary partial denture - resin base (including any conventional
D5212
30
mandibular partial denture - resin base (including any convention
D5213
30
maxillary partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)
D5214
30
mandibular partial denture - cast metal framework with resin denture bases (including any conventional clasps, rests and teeth)
D5225
31
maxillary partial denture - flexible base (including any clasps, rests and teeth)
D5226
31
mandibular partial denture - flexible base (including any clasps, rests and teeth)
D5281
30
removable unilateral partial denture - one piece cast metal (including clasps and teeth
D5410
30
adjust complete denture - maxillary
D5411
30
adjust complete denture - mandibular
D5421
30
adjust partial denture - maxillary
D5422
30
adjust partial denture - mandibular
D5510
30
repair broken complete denture base
D5520
30
replace missing or broken teeth - complete denture (each tooth)
D5610
30
repair resin denture base
D5620
30
repair cast framework
D5630
30
repair or replace broken clasp
D5640
30
replace broken teeth - per tooth
D5650
30
add tooth to existing partial denture
D5660
30
add clasp to existing partial denture
D5670
30
replace all teeth and acrylic on cast metal framework (maxillary)
D5671
30
replace all teeth and acrylic on cast metal framework (mandibular)
D5710
30
rebase complete maxillary denture
D5711
30
rebase complete mandibular denture
D5720
30
rebase maxillary partial denture
D5721
30
rebase mandibular partial denture
D5730
30
reline complete maxillary denture (chairside)
D5731
30
reline complete mandibular denture (chairside)
D5740
30
reline maxillary partial denture (chairside)
D5741
30
reline mandibular partial denture (chairside)
D5750
30
reline complete maxillary denture (laboratory)
D5751
30
reline complete mandibular denture (laboratory)
D5760
30
reline maxillary partial denture (laboratory)
D5761
30
reline mandibular partial denture (laboratory)
D5810
30
interim complete denture (maxillary)
D5811
30
interim complete denture (mandibular)
D5820
30
interim partial denture (maxillary)
D5821
30
interim partial denture (mandibular)
D5850
30
tissue conditioning, maxillary
D5851
30
tissue conditioning, mandibular
D5860
30
overdenture - complete, by report
D5861
30
overdenture - partial, by report
D5862
30
precision attachment, by report
D5867
30
replacement of replaceable part of semi-precision or precision attachment (male or female component)
D5875
30
modification of removable prosthesis following implant surgery
D5899
30
unspecified removable prosthodontic procedure, by report
D5911
30
facial moulage (sectional)
D5912
30
facial moulage (complete)
D5913
30
nasal prosthesis
D5914
30
auricular prosthesis
D5915
30
orbital prosthesis
D5916
30
ocular prosthesis
D5919
30
facial prosthesis
D5922
30
nasal septal prosthesis
D5923
30
ocular prosthesis, interim
D5924
30
cranial prosthesis
D5925
30
facial augmentation implant prosthesis
D5926
30
nasal prosthesis, replacement
D5927
30
auricular prosthesis, replacement
D5928
30
orbital prosthesis, replacement
D5929
30
facial prosthesis, replacement
D5931
30
obturator prosthesis, surgical
D5932
30
obturator prosthesis, definitive
D5933
30
obturator prosthesis, modification
D5934
30
mandibular resection prosthesis with guide flange
D5935
30
mandibular resection prosthesis without guide flange
D5936
30
obturator prosthesis, interim
D5937
30
trismus appliance (not for TMD treatment)
D5951
30
feeding aid
D5952
30
speech aid prosthesis, pediatric
D5953
30
speech aid prosthesis, adult
D5954
30
palatal augmentation prosthesis
D5955
30
palatal lift prosthesis, definitive
D5958
30
palatal lift prosthesis, interim
D5959
30
palatal lift prosthesis, modification
D5960
30
speech aid prosthesis, modification
D5982
30
surgical stent
D5983
30
radiation carrier
D5984
30
radiation shield
D5985
30
radiation cone locator
D5986
30
fluoride gel carrier
D5987
30
commissure splint
D5988
30
surgical splint
D5999
30
unspecified maxillofacial prosthesis, by report
D6010
30
surgical placement of implant body: endosteal implant
D6040
30
surgical placement: eposteal implant
D6050
30
surgical placement: transosteal implant
D6053
30
implant/abutment supported removable denture for completely edentulous arch
D6054
30
implant/abutment supported removable denture for partially edentulous arch
D6055
30
dental implant supported connecting bar
D6056
35
prefabricated abutment - includes placement
D6057
35
custom abutment - includes placement
D6058
30
abutment supported porcelain/ceramic crown
D6059
30
abutment supported porcelain fused to metal crown (high noble
D6060
30
abutment supported porcelain fused to metal crown (predominan
D6061
30
abutment supported porcelain fused to metal crown (noble metal
D6062
30
abutment supported cast metal crown (high noble metal)
D6063
30
abutment supported cast metal crown (predominantly base meta
D6064
30
abutment supported cast metal crown (noble metal)
D6094
31
abutment supported crown - (titanium)
D6065
30
implant supported porcelain/ceramic crown
D6066
30
implant supported porcelain fused to metal crown (titanium, titan
D6067
30
implant supported metal crown (titanium, titanium alloy, high nob
D6068
30
abutment supported retainer for porcelain/ceramic FPD
D6069
30
abutment supported retainer for porcelain fused to metal FPD (h
D6070
30
abutment supported retainer for porcelain fused to metal FPD (
D6071
30
abutment supported retainer for porcelain fused to metal FPD (n
D6072
30
abutment supported retainer for cast metal FPD (high noble met
D6073
30
abutment supported retainer for cast metal FPD (predominantly
D6074
30
abutment supported retainer for cast metal FPD (noble metal)
D6194
31
abutment supported retainer crown for FPD - (titanium)
D6075
30
implant supported retainer for ceramic FPD
D6076
30
implant supported retainer for porcelain fused to metal FPD (tita
D6077
30
implant supported retainer for cast metal FPD (titanium, titanium
D6078
30
implant/abutment supported fixed denture for completely edentu
D6079
30
implant/abutment supported fixed denture for partially edentulo
D6080
30
implant maintenance procedures, including removal of prosthesis
D6090
30
repair implant supported prosthesis, by report
D6095
30
repair implant abutment, by report
D6100
30
implant removal, by report
D6190
31
radiographic/surgical implant index, by report
D6199
30
unspecified implant procedure, by report
D6205
31
pontic - indirect resin based composite
D6210
30
pontic - cast high noble metal
D6211
30
pontic - cast predominantly base metal
D6212
30
pontic - cast noble metal
D6214
31
pontic - titanium
D6240
30
pontic - porcelain fused to high noble metal
D6241
30
pontic - porcelain fused to predominantly base metal
D6242
30
pontic - porcelain fused to noble metal
D6245
30
pontic - porcelain/ceramic
D6250
30
pontic - resin with high noble metal
D6251
30
pontic - resin with predominantly base metal
D6252
30
pontic - resin with noble metal
D6253
30
provisional pontic
D6710
31
crown - indirect resin based composite
D6720
30
crown - resin with high noble metal
D6721
30
crown - resin with predominantly base metal
D6722
30
crown - resin with noble metal
D6740
30
crown - porcelain/ceramic
D6750
30
crown - porcelain fused to high noble metal
D6751
30
crown - porcelain fused to predominantly base metal
D6752
30
crown - porcelain fused to noble metal
D6780
30
crown - 3/4 cast high noble metal
D6781
30
crown - 3/4 cast predominantly base metal
D6782
30
crown - 3/4 cast noble metal
D6783
30
crown - 3/4 porcelain/ceramic
D6790
30
crown - full cast high noble metal
D6791
30
crown - full cast predominantly base metal
D6792
30
crown - full cast noble metal
D6794
31
crown - titanium
D6793
30
provisional retainer crown
D6545
30
retainer - cast metal for resin bonded fixed prosthesis
D6548
30
retainer - porcelain/ceramic for resin bonded fixed prosthesis
D6600
30
inlay - porcelain/ceramic, two surfaces
D6601
30
inlay - porcelain/ceramic, three or more surfaces
D6602
30
inlay - cast high noble metal, two surfaces
D6603
30
inlay - cast high noble metal, three or more surfaces
D6604
30
inlay - cast predominantly base metal, two surfaces
D6605
30
inlay - cast predominantly base metal, three or more surfaces
D6606
30
inlay - cast noble metal, two surfaces
D6607
30
inlay - cast noble metal, three or more surfaces
D6624
31
inlay - titanium
D6608
30
onlay -porcelain/ceramic, two surfaces
D6609
30
onlay - porcelain/ceramic, three or more surfaces
D6610
30
onlay - cast high noble metal, two surfaces
D6611
30
onlay - cast high noble metal, three or more surfaces
D6612
30
onlay - cast predominantly base metal, two surfaces
D6613
30
onlay - cast predominantly base metal, three or more surfaces
D6614
30
onlay - cast noble metal, two surfaces
D6615
30
onlay - cast noble metal, three or more surfaces
D6634
31
onlay - titanium
D6920
30
connector bar
D6930
30
recement fixed partial denture
D6940
30
stress breaker
D6950
30
precision attachment
D6970
30
cast post and core in addition to fixed partial denture retainer
D6971
30
cast post as part of fixed partial denture retainer
D6972
30
prefabricated post and core in addition to fixed partial denture retainer
D6973
30
core build up for retainer, including any pins
D6975
35
coping - metal
D6976
30
each additional cast post - same tooth
D6977
30
each additional prefabricated post - same tooth
D6980
30
fixed partial denture repair, by report
D6985
30
pediatric partial denture, fixed
D6999
30
unspecified fixed prosthodontic procedure, by report
D7111
35
extraction, coronal remnants - deciduous tooth
D7140
35
extraction, erupted tooth or exposed root (elevation and/or forc
D7260
30
oroantral fistula closure
D7261
30
primary closure of a sinus perforation
D7270
30
tooth reimplantation and/or stabilization of accidentally evulsed
D7272
30
tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization)
D7280
35
surgical access of an unerupted tooth
D7282
30
mobilization of erupted or malpositioned tooth to aid eruption
D7283
31
placement of device to facilitate eruption of impacted tooth
D7285
35
biopsy of oral tissue - hard (bone, tooth)
D7286
35
biopsy of oral tissue - soft
D7287
35
exfoliative cytological sample collection
D7288
31
brush biopsy - transepithelial sample collection
D7290
30
surgical repositioning of teeth
D7291
30
transseptal fiberotomy/supra crestal fiberotomy, by report
D7310
30
alveoloplasty in conjunction with extractions - per quadrant
D7311
31
alveoloplasty in conjunction with extractions - one to three teet
D7320
30
alveoloplasty not in conjunction with extractions - per quadrant
D7321
31
alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces, per quadrant
D7340
30
vestibuloplasty - ridge extension (secondary epithelialization)
D7350
30
vestibuloplasty - ridge extension (including soft tissue grafts, muscle reattachment, revision of soft tissue attachment and management of h
D7410
30
excision of benign lesion up to 1.25 cm
D7411
30
excision of benign lesion greater than 1.25 cm
D7412
30
excision of benign lesion, complicated
D7413
30
excision of malignant lesion up to 1.25 cm
D7414
30
excision of malignant lesion greater than 1.25 cm
D7415
30
excision of malignant lesion, complicated
D7465
30
destruction of lesion(s) by physical or chemical method, by repor
D7440
30
excision of malignant tumor - lesion diameter up to 1.25 cm
D7441
30
excision of malignant tumor - lesion diameter greater than 1.25 cm
D7450
30
removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm
D7451
30
removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm
D7460
30
removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm
D7461
30
removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm
D7471
30
removal of lateral exostosis (maxilla or mandible)
D7472
30
removal of torus palatinus
D7473
30
removal of torus mandibularis
D7485
30
surgical reduction of osseous tuberosity
D7490
35
radical resection of maxilla or mandible
D7510
30
incision and drainage of abscess - intraoral soft tissue
D7511
31
incision and drainage of abscess - intraoral soft tissue - complic
D7520
30
incision and drainage of abscess - extraoral soft tissue
D7521
31
incision and drainage of abscess - extraoral soft tissue - compli
D7530
30
removal of foreign body from mucosa, skin, or subcutaneous alveolar tissue
D7540
30
removal of reaction producing foreign bodies, musculoskeletal
D7550
30
partial ostectomy/sequestrectomy for removal of non-vital bone
D7560
30
maxillary sinusotomy for removal of tooth fragment or foreign body
D7610
30
maxilla - open reduction (teeth immobilized, if present)
D7620
30
maxilla - closed reduction (teeth immobilized, if present)
D7630
30
mandible - open reduction (teeth immobilized, if present)
D7640
30
mandible - closed reduction (teeth immobilized, if present)
D7650
30
malar and/or zygomatic arch - open reduction
D7660
30
malar and/or zygomatic arch - closed reduction
D7670
30
alveolus closed reduction may include stabilization of teeth
D7671
30
alveolus, open reduction may include stabilization of teeth
D7680
30
facial bones - complicated reduction with fixation and multiple
D7710
30
maxilla open reduction
D7720
30
maxilla - closed reduction
D7730
30
mandible - open reduction
D7740
30
mandible - closed reduction
D7750
30
malar and/or zygomatic arch - open reduction
D7760
30
malar and/or zygomatic arch - closed reduction
D7770
30
alveolus - open reduction stabilization of teeth
D7771
30
alveolus, closed reduction stabilization of teeth
D7780
30
facial bones - complicated reduction with fixation and multiple s
D7810
30
open reduction of dislocation
D7820
30
closed reduction of dislocation
D7830
30
manipulation under anesthesia
D7840
30
condylectomy
D7850
30
surgical discectomy, with/without implant
D7852
30
disc repair
D7854
30
synovectomy
D7856
30
myotomy
D7858
30
joint reconstruction
D7860
30
arthrotomy
D7865
30
arthroplasty
D7870
30
arthrocentesis
D7871
30
non-arthroscopic lysis and lavage
D7872
30
arthroscopy - diagnosis, with or without biopsy
D7873
30
arthroscopy - surgical: lavage and lysis of adhesions
D7874
30
arthroscopy - surgical: disc repositioning and stabilization
D7875
30
arthroscopy - surgical: synovectomy
D7876
30
arthroscopy - surgical: discectomy
D7877
30
arthroscopy - surgical: debridement
D7880
30
occlusal orthotic device, by report
D7899
30
unspecified TMD therapy, by report
D7910
30
suture of recent small wounds up to 5 cm
D7911
30
complicated suture - up to 5 cm
D7912
30
complicated suture - greater than 5 cm
D7920
30
skin graft (identify defect covered, location and type of graft)
D7940
30
osteoplasty - for orthognathic deformities
D7941
30
osteotomy - mandibular rami
D7943
30
osteotomy - mandibular rami with bone graft; includes obtaining the graft
D7944
30
osteotomy - segmented or subapical - per sextant or quadrant
D7945
30
osteotomy - body of mandible
D7946
30
LeFort I (maxilla - total)
D7947
30
LeFort I (maxilla - segmented)
D7948
30
LeFort II or LeFort III (osteoplasty of facial bones for midface h
D7949
30
LeFort II or LeFort III - with bone graft
D7950
35
osseous, osteoperiosteal, or cartilage graft of the mandible or
D7953
31
bone replacement graft for ridge preservation - per site
D7955
35
repair of maxillofacial soft and/or hard tissue defect
D7960
30
frenulectomy (frenectomy or frenotomy) - separate procedure
D7963
31
frenuloplasty
D7970
30
excision of hyperplastic tissue - per arch
D7971
30
excision of pericoronal gingiva
D7972
30
surgical reduction of fibrous tuberosity
D7980
30
sialolithotomy
D7981
30
excision of salivary gland, by report
D7982
30
sialodochoplasty
D7983
30
closure of salivary fistula
D7990
30
emergency tracheotomy
D7991
30
coronoidectomy
D7995
30
synthetic graft - mandible or facial bones, by report
D7996
30
implant-mandible for augmentation purposes (excluding alveolar ridge), by report
D7997
30
appliance removal (not by dentist who placed appliance), includes removal of archbar
D7999
30
unspecified oral surgery procedure, by report
D8010
30
limited orthodontic treatment of the primary dentition
D8020
30
limited orthodontic treatment of the transitional dentition
D8030
30
limited orthodontic treatment of the adolescent dentition
D8040
30
limited orthodontic treatment of the adult dentition
D8050
30
interceptive orthodontic treatment of the primary dentition
D8060
30
interceptive orthodontic treatment of the transitional dentition
D8070
30
comprehensive orthodontic treatment of the transitional dentition
D8080
30
comprehensive orthodontic treatment of the adolescent dentition
D8090
30
comprehensive orthodontic treatment of the adult dentition
D8210
30
removable appliance therapy
D8220
30
fixed appliance therapy
D8660
30
pre-orthodontic treatment visit
D8670
30
periodic orthodontic treatment visit (as part of contract)
D8680
30
orthodontic retention (removal of appliances, construction and placement of retainer(s))
D8690
30
orthodontic treatment (alternative billing to a contract fee)
D8691
30
repair of orthodontic appliance
D8692
30
replacement of lost or broken retainer
D8999
30
unspecified orthodontic procedure, by report
D9110
30
palliative (emergency) treatment of dental pain - minor procedur
D9210
30
local anesthesia not in conjunction with operative or surgical procedures
D9211
30
regional block anesthesia
D9212
30
trigeminal division block anesthesia
D9215
30
local anesthesia
D9220
30
deep sedation/general anesthesia - first 30 minutes
D9221
30
deep sedation/general anesthesia - each additional 15 minutes
D9230
30
analgesia, anxiolysis, inhalation of nitrous oxide
D9241
30
intravenous conscious sedation/analgesia - first 30 minutes
D9242
30
intravenous conscious sedation/analgesia - each additional 15
D9248
30
non-intravenous conscious sedation
D9310
35
consultation (diagnostic service provided by dentist or physician
D9410
30
house/extended care facility call
D9420
30
hospital call
D9430
30
office visit for observation (during regularly scheduled hours) - no other services performed
D9440
30
office visit - after regularly scheduled hours
D9450
30
case presentation, detailed and extensive treatment planning
D9610
30
therapeutic drug injection, by report
D9630
30
other drugs and/or medicaments, by report
D9910
30
application of desensitizing medicament
D9911
30
application of desensitizing resin for cervical and/or root surface
D9920
30
behavior management, by report
D9930
30
treatment of complications (post-surgical) - unusual circumstanc
D9940
30
occlusal guard, by report
D9941
30
fabrication of athletic mouthguard
D9942
31
repair and/or reline of occlusal guard
D9950
30
occlusion analysis - mounted case
D9951
30
occlusal adjustment - limited
D9952
30
occlusal adjustment - complete
D9970
30
enamel microabrasion
D9971
30
odontoplasty 1 - 2 teeth; includes removal of enamel projections
D9972
30
external bleaching - per arch
D9973
30
external bleaching - per tooth
D9974
30
internal bleaching - per tooth
D9999
30
unspecified adjunctive procedure, by report
A0141
Postmortem Examination
A0142
Bite Mark Analysis
A0145
Emergency Visit Problem Focused
A1331
Group Oral Hygiene Instructions
A5999
Custom Ear Piece
A6999
Occlusal Analysis with Pantographic Tracing
A7903
Pericoronitis Treatment
A9100
Boil and Bite Mouth Guard
A9926
Lab Procedures, Adjunctive Medical
A9996
Readiness Training (Hours/Dentist)
A9999
Patient Treated
ve skills necessary for patient evaluation. The collection and recording of some data and components of the dental examination may be delegated; however, the evaluation, d
Description
Type
An evaluation performed on a patient of record to determine any changes inClinical Oral Evaluations
An evaluation limited to a specific oral health problem or complaint. This m Clinical Oral Evaluations
Typically used by a general dentist and/or a specialist when evaluating a paClinical Oral Evaluations
A detailed and extensive problem focused evaluation entails extensive diagno
Clinical Oral Evaluations
Assessing the status of a previously existing condition. For example: - a tra Clinical Oral Evaluations
This procedure is indicated for patients showing signs or symptoms of period
Clinical Oral Evaluations
Radiographs/Diagnostic Imaging (Incl

This does not constitute a full mouth intraoral radiographic series.
This includes photographic images, including those obtained by intraoral and
extraoral cameras, excluding radiographic
Radiographs/Diagnostic
Imagingimages.
(Incl These photographic images s
Tests and Examinations
A diagnostic test to identify viral organisms, most often herpes virus.
Sample collection for the purpose of certified laboratory analysis to detect Tests and Examinations
Not to be used for carious dentin staining.
n of mucosal abnormalities including premalignant and malignant lesions, not to include c Tests and Examinations
Includes multiple teeth and contra lateral comparison(s), as indicated.
Also known as diagnostic models or study models.
on and transmission of written report
Oral Pathology Laboratory
ination, preparation and transmission of written report
ination, including assessment of surgical margins for presence of disease, preparation andOral Pathology Laboratory
Procedure in which hard tissue is processed in order to allow sectioning a Oral Pathology Laboratory
Procedure in which additional stains are applied to biopsy or surgical speci Oral Pathology Laboratory
Procedure in which additional stains are applied to a biopsy or surgical specOral Pathology Laboratory
A procedure in which specific antibody based reagents are applied to tissueOral
s
Pathology Laboratory
A procedure which allows for the identification of nucleic acids, DNA and RNOral Pathology Laboratory
gic smears, including the preparation and transmission of written report
An extreme high magnification diagnostic procedure that enables identificat Oral Pathology Laboratory
A technique used to identify immunoreactants which are localized to the pa Oral Pathology Laboratory
A technique used to identify circulating immunoreactants.
A service provided in which microscopic slides of a biopsy specimen prepared
a Pathology Laboratory
Oral
A service that requires the consulting pathologist to prepare the slides as wel
Used for procedure that is not adequately described by a code. Describe pr Oral Pathology Laboratory
Removal of plaque, calculus and stains from the tooth structures in the permane
Dental Prophylaxis
Removal of plaque, calculus and stains from the tooth structures in the primary
Dental Prophylaxis
Used to report combined procedures of prophylaxis and fluoride treatment. Topical Fluoride Treatment (Office Procedure)
Used when reporting prophylaxis and fluoride procedures separately.
Topical Fluoride Treatment (Office Procedure)
Used when reporting prophylaxis and fluoride procedures separately.
Topical Fluoride Treatment (Office Procedure)
Used to report combined procedures of prophylaxis and fluoride treatment. Topical Fluoride Treatment (Office Procedure)
Counseling on food selection and dietary habits as a part of treatment and cOther Preventive Services
Tobacco prevention and cessation services reduce patient risks of developinOther Preventive Services
This may include instructions for home care. Examples include tooth brushing
Other Preventive Services
Mechanically and/or chemically prepared enamel surface sealed to prevent Other Preventive Services
Space Maintenance (Passive Applian

Amalgam Restorations (Including Pol
Resin Based Composite Restorations
Incisal angle to be defined as one of the angles formed by the junction of theResin Based Composite Restorations
Full resin-based composite coverage of tooth.
Used to restore a carious lesion into the dentin or a deeply eroded area int Resin Based Composite Restorations
Gold Foil Restorations
Inlay/Onlay Restorations
Porcelain/Ceramic Inlays/Onlays
Resin Based Composite Inlays/Onlay
Unfilled or non-reinforced resin crowns should be reported using D2999.
Crowns - Single Restorations Only
This code does not include facial veneers.


This code does not include facial veneers.

Crown utilized as an interim restoration of at least six months duration duri Crowns - Single Restorations Only
Other
Other
Other
Other
Other
Other
Open-face stainless steel crown with aesthetic resin facing or veneer.
Other
Stainless steel primary crown with exterior esthetic coating.
Other
Temporary restoration intended to relieve pain. Not to be used as a base or Other
l
Refers to building up of anatomical crown when restorative crown will be plac
Other
Other
Cast post and core is separate from crown.
Other
To be used with D2952.
Other
Core is built around a prefabricated post. This procedure includes the core m
Other
For removal of posts (e.g., fractured posts) not to be used in conjunction Other
To be used with D2954.
Other
Refers to labial/facial direct resin bonded veneers.
Other
Refers to labial/facial indirect resin bonded veneers.
Other
Refers also to facial veneers that extend interproximally and/or cover the i Other
To be reported in addition to a crown code.
Other
A thin covering of the remaining portion of a tooth, usually fabricated of met Other
Includes removal of crown, if necessary. Describe procedure.
Other
Use for procedure that is not adequately described by a code. Describe pro Other
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Services
Procedure in which the exposed pulp is covered with a dressing or cement tPulp Capping
Procedure in which the nearly exposed pulp is covered with a protective dres
Pulp Capping
Pulpotomy is the surgical removal of a portion of the pulp with the aim of maPulpotomy
Pulpal debridement for the relief of acute pain prior to conventional root
Pulpotomy
Primary incisors and cuspids.
Endodontic Therapy on Primary Teeth
Primary first and second molars.
Endodontic Therapy on Primary Teeth
Endodontic
Endodontic
Endodontic
In lieu of surgery, the formation of a pathway to achieve an apical seal with Endodontic
Considerable time is necessary to determine diagnosis and/or provide initialEndodontic
Non-surgical seal of perforation caused by resorption and/or decay but not ia
Endodontic
Endodontic
Endodontic
Endodontic
Therapy (Including
Therapy (Including
Therapy (Including
Therapy (Including
Therapy (Including
Therapy (Including
Retreatment
Retreatment
Retreatment
Includes opening tooth, pulpectomy, preparation of canal spaces, first plac Apexification/Recalcification Procedures
For visits in which the intra-canal medication is replaced with new medicat Apexification/Recalcification Procedures
Includes removal of intra-canal medication and procedures necessary to place
Apexification/Recalcification Procedures
Treatm
Treatm
Treatm
Treatm
Treatm
Treatm
For surgery on root of anterior tooth. Does not include placement of retrograd
Apicoectomy/Periradicular Services
For surgery on one root of a bicuspid. Does not include placement of retrogra
For surgery on one root of a molar tooth. Does not include placement of retro
Typically used for bicuspids and molar surgeries when more than one root isApicoectomy/Periradicular Services
For placement of retrograde filling material during periradicular surgery pro Apicoectomy/Periradicular Services
Root resection of a multi-rooted tooth while leaving the crown. If the crown Apicoectomy/Periradicular Services
Placement of implant material, which extends from a pulpal space into the bApicoectomy/Periradicular Services
For the intentional removal, inspection and treatment of the root and replaceApicoectomy/Periradicular Services
Other Endodontic
Endodontic
Should not be reported in conjunction with D2952, D2953, D2954 or D2957 Other
b
Endodontic
Used for procedure that is not adequately described by a code. Describe pr Other Endodontic
Includes separation of a multi-rooted tooth into separate sections containingOther
Procedures
Procedures
Procedures
Procedures
Involves the excision of the soft tissue wall of the periodontal pocket by ei Surgical Services
Involves the excision of the soft tissue wall of the periodontal pocket by ei Surgical Services
A soft tissue flap is reflected or resected to allow debridement of the roo
Surgical Services
A soft tissue flap is reflected or resected to allow debridement of the roo
Surgical Services
Procedure is used to preserve keratinized gingiva in conjunction with osseoSurgical Services

This procedure is employed to allow restorative procedure or crown with litt Surgical Services
This procedure modifies the bony support of the teeth by reshaping the al Surgical Services
This procedure modifies the bony support of the teeth by reshaping the al Surgical Services
This procedure involves the use of osseous autografts, osseous allografts, Surgical Services
This procedure involves the use of osseous autografts, osseous allografts, Surgical Services
Biologic materials may be used alone or with other regenerative substrate Surgical Services
A membrane is placed over the root surfaces or defect area following surgicSurgical Services
This procedure is used to regenerate lost or injured periodontal tissue by d Surgical Services
This procedure is to refine the results of a previously provided surgical pr
Surgical Services
A pedicle flap of gingiva can be raised from an edentulous ridge, adjacent teSurgical Services
Gingival or masticatory mucosa is grafted to create or augment the gingiva at
Surgical Services
This procedure is performed to create or augment gingiva, to obtain root covera
Surgical Services
This procedure is performed in an edentulous area adjacent to a periodontall
Surgical Services
Procedure is performed to create or augment the gingiva, with or without rooSurgical Services
Advanced gingival recession often cannot be corrected with a single proce Surgical Services
This is an interim stabilization of mobile teeth. A variety of methods and ap Non-Surgical Periodontal Service
This is an interim stabilization of mobile teeth. A variety of methods and ap Non-Surgical Periodontal Service
This procedure involves instrumentation of the crown and root surfaces of thNon-Surgical Periodontal Service
This procedure involves instrumentation of the crown and root surfaces of thNon-Surgical Periodontal Service
The gross removal of plaque and calculus that interfere with the ability of
Non-Surgical Periodontal Service
FDA approved subgingival delivery devices containing antimicrobial medicatio

Non-Surgical Periodontal Service
This procedure is instituted following periodontal therapy and continues at vOther Periodontal Services
r than treating dentist)
Other Periodontal Services
Use for procedure that is not adequately described by a code. Describe pro Other Periodontal Services
Includes limited follow-up care only; does not include required future rebas
Complete
Complete
Complete
Complete
Includes acrylic resin base denture with resin or wrought wire clasps.
Partial Dentures (Including Routine Post-Delivery C
Includes acrylic resin base denture with resin or wrought wire clasps.
Includes limited follow-up care only; does not include required future rebas
Dentures
Dentures
Dentures
Dentures
(Including
(Including
(Including
(Including
Routin
Routin
Routin
Routin
with resin denture bases (including any conventional clasps, rests and teeth)
k with resin denture bases (including any conventional clasps, rests and teeth)
any clasps, rests and teeth)
ng any clasps, rests and teeth)
ast metal (including clasps and teeth
Adjustments to Dentures
re (each tooth)
work (maxillary)
work (mandibular)
Includes any necessary clasps and rests.

Includes any necessary clasps and rests.
Repairs to Complete Dentures
Repairs to Complete Dentures
Repairs to Partial Dentures
Denture Rebase Procedures
Denture Reline Procedures
Interim Prosthesis
Interim Prosthesis
Interim Prosthesis
Interim Prosthesis
Treatment reline using materials designed to heal unhealthy ridges prior to mo

Other Removable Prosthetic Services
Treatment reline using materials designed to heal unhealthy ridges prior to mo
Describe and document procedures as performed. Other separate procedurOther Removable Prosthetic Services
Describe and document procedures as performed. Other separate procedurOther Removable Prosthetic Services
Each set of male and female components should be reported as one precisiOther Removable Prosthetic Services
n or precision attachment (male or female component)
The modification of existing removable prosthesis is sometimes necessary at

Use for a procedure that is not adequately described by a code. Describe p Other Removable Prosthetic Services
A sectional facial moulage impression is a procedure used to record the softMaxillofacial Prosthetics
Synonymous terminology: facial impression, face mask impression. A complete
Maxillofacial Prosthetics
Synonymous terminology: artificial nose. A removable prosthesis attached toMaxillofacial Prosthetics
Synonymous terminology: artificial ear, ear prosthesis. A removable prosthesMaxillofacial Prosthetics
A prosthesis, which artificially restores the eye, eyelids, and adjacent har
Synonymous terminology: artificial eye, glass eye. A prosthesis, which arti Maxillofacial Prosthetics
Synonymous terminology: prosthetic dressing. A removable prosthesis, which
Maxillofacial
a
Prosthetics
Synonymous terminology: Septal plug, septal button. Removable prosthesisMaxillofacial
to
Prosthetics
Synonymous terminology: Eye shell, shell, ocular conformer, conformer. A tem
Synonymous terminology: Skull plate, cranioplasty prosthesis, cranial implant
Synonymous terminology: facial implant. An implantable biocompatible material
Synonymous terminology: replacement nose. An artificial nose produced froMaxillofacial Prosthetics
Synonymous terminology: replacement ear. An artificial ear produced from aMaxillofacial Prosthetics
A replacement for a previously made orbital prosthesis. A replacement pros Maxillofacial Prosthetics
A replacement facial prosthesis made from the original mold. A replacementMaxillofacial Prosthetics
Synonymous terminology: Obturator, surgical stayplate, immediate temporary
Maxillofacial
ob
Prosthetics
Synonymous terminology: obturator. A prosthesis, which artificially replaces Maxillofacial Prosthetics

Synonymous terminology: adjustment, denture adjustment, temporary or office
Maxillofacial
r
Prosthetics
Synonymous terminology: resection device, resection appliance. A prosthesis
Maxillofacial
w
Prosthetics
A prosthesis which helps guide the partially resected mandible to a more norMaxillofacial Prosthetics
Synonymous terminology: immediate postoperative obturator. A prosthesis which
Synonymous terminology: occlusal device for mandibular trismus, dynamic bite
Synonymous terminology: feeding prosthesis. A prosthesis, which maintainsMaxillofacial
the
Prosthetics
Synonymous terminology: nasopharyngeal obturator, speech appliance, obturator
Synonymous terminology: prosthetic speech appliance, speech aid, speech Maxillofacial
bul
Prosthetics
Synonymous terminology: superimposed prosthesis, maxillary glossectomy Maxillofacial
pro
Prosthetics
A prosthesis which elevates the soft palate superiorly and aids in restoratio Maxillofacial Prosthetics
Synonymous terminology: diagnostic palatal lift. A prosthesis which elevatesMaxillofacial Prosthetics
Synonymous terminology: revision of lift, adjustment. Alterations in the adaptMaxillofacial Prosthetics
Synonymous terminology: adjustment, repair, revision. Any revision of a pediat
Synonymous terminology: periodontal stent, skin graft stent, columellar stentMaxillofacial Prosthetics
Synonymous terminology: radiotherapy prosthesis, carrier prosthesis, radiatio
Synonymous terminology: radiation stent, tongue protector, lead shield. An iMaxillofacial Prosthetics
Synonymous terminology: docking device, cone locator. A prosthesis utilizedMaxillofacial
to
Prosthetics
Synonymous terminology: fluoride applicator. A prosthesis, which covers theMaxillofacial
t
Prosthetics
Synonymous terminology: lip splint. A device placed between the lips, whichMaxillofacial Prosthetics
Synonymous terminology: Gunning splint, modified Gunning splint, labiolingual
Used for procedure that is not adequately described by a code. Describe pr Maxillofacial Prosthetics
Includes second stage surgery and placement of healing cap.
Implant Services
An eposteal (subperiosteal) framework of a biocompatible material designedImplant Services

A transosteal (transosseous) biocompatible device with threaded posts penet
Implant Services
Implant
Implant
A device attached to transmucosal abutments to stabilize and anchor a rem Implant
A connection to an implant that is a manufactured component usually made Implant
o
A connection to an implant that is a fabricated component, usually by a laboImplant
A single crown restoration that is retained, supported and stabilized by an Implant
A single metal-ceramic crown restoration that is retained, supported and s Implant
A single cast metal crown restoration that is retained, supported and stabi Implant
A single restoration that is retained, supported and stabilized by an abutme Implant
A single crown restoration that is retained, supported and stabilized by an Implant
A single metal-ceramic crown restoration that is retained, supported and st Implant
A ceramic retainer for a fixed partial denture that gains retention, support Implant
A metal-ceramic retainer for a fixed partial denture that gains retention, s Implant
A cast metal retainer for a fixed partial denture that gains retention, supp Implant
A retainer for a fixed partial denture that gains retention, support and stab Implant
A ceramic retainer for a fixed partial denture that gains retention, support Implant
A metal-ceramic retainer for a fixed partial denture that gains retention, su Implant
A cast metal retainer for a fixed partial denture that gains retention, suppo Implant
A prosthesis that is retained, supported and stabilized by implants or abut Implant
or completely edentulous arch
or partially edentulous arch
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Supported
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
Prosthetics
A prosthesis that is retained, supported and stabilized by implants or abut
Implant Supported Prosthetics
This procedure includes a prophylaxis to provide active debriding of the impla

Other Implant Services
This procedure involves the repair or replacement of any part of the implantOther Implant Services
This procedure involves the repair or replacement of any part of the implan Other Implant Services
This procedure involves the surgical removal of an implant. Describe proce Other Implant Services
An appliance, designed to relate osteotomy or fixture position to existing anaOther Implant Services
Use for procedure that is not adequately described by a code. Describe pro Other Implant Services
Not to be used as a temporary or provisional prosthesis.
Fixed Partial Dental Pontics

Pontic utilized as an interim of at least six months duration during restorati Fixed Partial Dental Pontics
Not to be used as a temporary or provisional prosthesis.
Fixed Partial Denture Retainers - Crowns

Retainer crown utilized as an interim of at least six months duration during Fixed Partial Denture Retainers - Crowns
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Fixed
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Partial
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Denture
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Retainers
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Inl
Fixed
Fixed
Fixed
Fixed
Partial
Partial
Partial
Partial
Denture
Denture
Denture
Denture
Retainers
Retainers
Retainers
Retainers
Inl
Inl
Inl
Inl
A device attached to fixed partial denture retainer or coping which serves t Other Fixed Partial Denture Services
Other Fixed Partial Denture Services
A non-rigid connector.
Report attachment separately from crown; a male and female pair constitut Other Fixed Partial Denture Services
artial denture retainer

To be used as a definitive restoration when coping is an integral part of a fi Other Fixed Partial Denture Services
To be used with D6970 or D6971
To be used with D6972

This prosthesis is used primarily for aesthetic purposes.
Used for procedure that is not adequately described by a code. Describe pr Other Fixed Partial Denture Services
Removal of soft tissue-retained coronal remnants.
Extractions (Includes Local Anesthesia, Suturing,
Includes routine removal of tooth structure, minor smoothing of socket boneExtractions (Includes Local Anesthesia, Suturing,
Excision of fistulous tract between maxillary sinus and oral cavity and clos Other Surgical Procedures
Subsequent to surgical removal of tooth, exposure of sinus requiring repair,Other Surgical Procedures
Includes splinting and/or stabilization.
m one site to another and splinting and/or stabilization)
Other Surgical Procedures

An incision is made and the tissue is reflected and bone removed as necessOther Surgical Procedures
To move/luxate teeth to eliminate ankyolosis; not in conjunction with an extrOther Surgical Procedures
Placement of an orthodontic bracket, band or other device on an unerupted Other
to
Surgical Procedures
For removal of specimen only. This code involves biopsy of osseous lesionsOther Surgical Procedures
For surgical removal of an architecturally intact specimen only. This code i Other Surgical Procedures
For collection of non-transepithelial cytology sample via mild scraping of th Other Surgical Procedures
For collection of oral disaggregated transepithelial cells via rotational brush Other Surgical Procedures
Grafting procedure(s) is/are additional
The supraosseous connective tissue attachment is surgically severed around

Other
t Surgical Procedures
Usually in preparation for a prosthesis.
Alveoloplasty - Surgical Preparation of Ridge for D
The alveoloplasty is distinct (separate procedure) from extractions and/or suAlveoloplasty - Surgical Preparation of Ridge for D
No extractions performed in an edentulous area. See D7310 if teeth are bein
one to three teeth or tooth spaces, per quadrant
Vestibuloplasty
ssue grafts, muscle reattachment, revision of soft tissue attachment and management of h Vestibuloplasty
Surgical Excision of Soft Tissue Lesio

Requires extensive undermining with advancement or rotational flap closur Surgical Excision of Soft Tissue Lesio
Requires extensive undermining with advancement or rotational flap closur Surgical Excision of Soft Tissue Lesio
Examples include using cryo, laser or electro surgery.
Surgical Excision of Intra-Osseous Le
ater than 1.25 cm
sion diameter up to 1.25 cm
sion diameter greater than 1.25 cm
- lesion diameter up to 1.25 cm
- lesion diameter greater than 1.25 cm
Excision of Bone Tissue
Partial resection of maxilla or mandible; removal of lesion and defect with
Excision
Excision
Excision
Excision
of
of
of
of
Bone
Bone
Bone
Bone
Involves incision through mucosa, including periodontal origins.
Surgical Incision
Tissue
Tissue
Tissue
Tissue
Incision is made intraorally and dissection is extended into adjacent fascial Surgical Incision
Involves incision through skin.
Surgical Incision
Incision is made extraorally and dissection is extended into adjacent fascial Surgical Incision
bcutaneous alveolar tissue

May include, but is not limited to, removal of splinters, pieces of wire, etc.
Surgical Incision
Surgical Incision
Removal of loose or sloughed-off dead bone caused by infection or reducedSurgical Incision
nt or foreign body
Surgical Incision
Teeth may be wired, banded or splinted together to prevent movement. Surgic

Treatment of Fractures - Simple
No incision required to reduce fracture. See D7610 if interosseous fixation i Treatment of Fractures - Simple
Teeth may be wired, banded or splinted together to prevent movement. Surgic
No incision required to reduce fracture. See D7630 if interosseous fixation i Treatment of Fractures - Simple
Teeth may be wired, banded or splinted together to prevent movement.
Teeth may be wired, banded or splinted together to prevent movement.
Facial bones include upper and lower jaw, cheek, and bones around eyes, nTreatment of Fractures - Simple
Surgical incision required to reduce fracture.
Treatment of Fractures - Compound



Fractured bone(s) are exposed to mouth or outside the face. Surgical incisioTreatment of Fractures - Compound
Fractured bone(s) are exposed to mouth or outside the face.
Surgical incision required to reduce fracture. Facial bones include upper a Treatment of Fractures - Compound
Access to TMJ via surgical opening.
Reduction of Dislocation and Management of Other
Joint manipulated into place; no surgical exposure.
Usually done under general anesthesia or intravenous sedation.
Surgical removal of all or portion of the mandibular condyle (separate proceReduction of Dislocation and Management of Other
Excision of the intra-articular disc of a joint.
Repositioning and/or sculpting of disc; repair of perforated posterior attach Reduction of Dislocation and Management of Other
Excision of a portion or all of the synovial membrane of a joint.
Cutting of muscle for therapeutic purposes (separate procedure).
Reconstruction of osseous components including or excluding soft tissues ofReduction of Dislocation and Management of Other
Cutting into joint (separate procedure).
Reduction of osseous components of the joint to create a pseudoarthrosis orReduction of Dislocation and Management of Other
Withdrawal of fluid from a joint space by aspiration.
Inflow and outflow catheters are placed into the joint space. The joint is

Removal of adhesions using the arthroscope and lavage of the joint cavitiesReduction of Dislocation and Management of Other
Repositioning and stabilization of disc using arthroscopic techniques.
Removal of inflamed and hyperplastic synovium (partial/complete) via an arReduction of Dislocation and Management of Other
Removal of disc and remodeled posterior attachment via the arthroscope. Reduction of Dislocation and Management of Other
Removal of pathologic hard and/or soft tissue using the arthroscope.
Presently includes splints provided for treatment of temporomandibular jointReduction of Dislocation and Management of Other
Used for procedure that is not adequately described by a code. Describe pr Reduction of Dislocation and Management of Other
Repair of Traumatic Wounds

Complicated Suturing (Reconstructio
Complicated Suturing (Reconstructio

Other Repair Procedures
Reconstruction of jaws for correction of congenital, developmental or acquirOther Repair Procedures
udes obtaining the graft
Surgical section of lower jaw. This includes the surgical exposure, bone cut Other Repair Procedures
Surgical section of the upper jaw. This includes the surgical exposure, bone Other Repair Procedures
When reporting a surgically assisted palatal expansion without downfractureOther Repair Procedures
Surgical section of upper jaw. This includes the surgical exposure, bone cut Other Repair Procedures
Includes obtaining autografts.
This code may be used for sinus lift procedure and/or for ridge augmentation
Osseous autograft, allograft or non-osseous graft is placed in an extraction sOther Repair Procedures
Reconstruction of surgical, traumatic, or congenital defects of the facial bon Other Repair Procedures
The frenum may be excised when the tongue has limited mobility; for large di
Excision of frenum with accompanying excision or repositioning of aberrant O
m ther Repair Procedures
Surgical removal of inflammatory or hypertrophied tissues surrounding parti Other Repair Procedures
Surgical procedure by which a stone within a salivary gland or its duct is remo
Surgical procedure for the repair of a defect and/or restoration of a portion oOther Repair Procedures
Surgical closure of an opening between a salivary duct and/or gland and theOther Repair Procedures
Surgical formation of a tracheal opening usually below the cricoid cartilage Other Repair Procedures
Surgical removal of the coronoid process of the mandible.
Includes allogenic material.
cluding alveolar ridge), by report
pliance), includes removal of archbar
Used for procedure that is not adequately described by a code. Describe pr Other Repair Procedures
Limited Orthodontic Treatment
Interceptive Orthodontic Treatment
Interceptive Orthodontic Treatment
itional dentition
Comprehensive Orthodontic Treatme
escent dentition
Removable indicates patient can remove; includes appliances for thumb sucMinor Treatment to Control Harmful Habits
Fixed indicates patient cannot remove appliance; includes appliances for t Minor Treatment to Control Harmful Habits
Other
Other
struction and placement of retainer(s))
Other
Services provided by dentist other than original treating dentist. A method Other
Does not include bracket and standard fixed ortho appliances. It does inclu Other
Other
Used for procedure that is not adequately described by a code. Describe pr Other
Orthodontic
Orthodontic
Orthodontic
Orthodontic
Orthodontic
Orthodontic
Orthodontic
This is typically reported on a "per visit" basis for emergency treatment of deUnclassified Treatment
Anesthesia
Anesthesia
Anesthesia
Anesthesia
Anesthesia time begins when the doctor administering the anesthetic agent Anesthesia
i
or surgical procedures
Services
Services
Services
Services
Services
Services
Services
i
Anesthesia
i
i
A medically controlled state of depressed consciousness while maintaining th
Anesthesia
Type of service provided by a dentist whose opinion or advice regarding evaProfessional Consultation
Includes visits to nursing homes, long-term care facilities, hospice sites, in Professional Visits
May be reported when providing treatment in hospital or ambulatory surgicalProfessional Visits
uled hours) - no other services performed
Professional Visits
Professional Visits
Established patient. Not performed on same day as evaluation.
Professional Visits
Includes antibiotic or injection of sedative.
Drugs
Includes, but is not limited to oral antibiotics, oral analgesics, and topical f Drugs
Includes in-office treatment for root sensitivity. Typically reported on a "per Miscellaneous Services
Typically reported on a "per tooth" basis for application of adhesive resins. Miscellaneous Services
May be reported in addition to treatment provided. Should be reported in 1 Miscellaneous Services
For example, treatment of a dry socket following extraction or removal of
Miscellaneous Services
Removable dental appliances, which are designed to minimize the effects ofMiscellaneous Services
Includes, but is not limited to, facebow, interocclusal records tracings, and Miscellaneous Services
May also be known as equilibration; reshaping the occlusal surfaces of teethMiscellaneous Services
Occlusal adjustment may require several appointments of varying length, and
The removal of discolored surface enamel defects resulting from altered miner
mel projections
Used for procedure that is not adequately described by a code. Describe pr Miscellaneous Services
DoD Only - Special Codes

Take credit ONLY once per each unscheduled visit to a dental facility, regardless the reason the patient sought expedited care.
Counseling of groups of individuals concerning the attaining and maintaining of oral health. Credit one per group regardless of size.
Use this code for the fabrication of custom ear plugs/ear pieces. Includes external auditory canal impression and fabrication of the appliance.
Use only for Occlusal Analysis on a mounted case on a fully adjustable articulator with pantographic tracing.
may be delegated; however, the evaluation, diagnosis and treatment planning are the responsibility of the dentist. As with all ADA procedure codes, there is no distinction ma
Group
D0100 - D0999 Diagnostic
D1000 - D1999 Preventive
evaluacin peridica orales

Evaluacin bucal limitada - problema centrado
Examen bucal integral - paciente nuevo o establecido
Examen bucal detallada y extensa - problema se centr, en el informe
re-evaluacin - limitada, centrada problema (paciente establecido; no visita post-o
Evaluacin periodontal integral - paciente nuevo o establecido
intraorales - serie completa (incluyendo radiografas de mordida)
intraoral - periapical primera pelcula
intraoral - periapical cada pelcula adicional
intraoral - pelcula oclusal
extraoral - primera pelcula
extraoral - cada pelcula adicional
mordida - un film
mordida - dos pelculas
mordida - cuatro pelculas
mordida verticales - 7 a 8 pelculas
crneo posterior-anterior y lateral y el cine encuesta hueso facial
sialografa
artrografa de la articulacin temporomandibular, incluyendo la inyeccin
otras pelculas de la articulacin temporomandibular, por informe
estudio tomogrfico
pelcula panormica
placa cefalomtrica
imgenes fotogrficas orales / facial
coleccin de microorganismos para la cultura y la sensibilidad
cultivo viral
prueba gentica para la susceptibilidad a las enfermedades orales
pruebas de susceptibilidad a la caries
prueba de pre-diagnstico complementario que ayuda en la deteccin de anomal
pruebas de vitalidad pulpar
diagnstico arroja
adhesin de los tejidos, el examen macroscpico, la preparacin y la transmisin
adhesin de los tejidos, el examen macroscpico y microscpico, preparacin y tr
adhesin de los tejidos, el examen macroscpico y microscpico, incluida la evalu
procedimiento de descalcificacin
tinciones especiales para microorganismos
tinciones especiales, no para los microorganismos
manchas de inmunohistoqumica
hibridacin in situ de tejidos, incluyendo la interpretacin
procesamiento e interpretacin de los frotis citolgicos exfoliativa, incluida la prep
microscopa electrnica - diagnstico
inmunofluorescencia directa
inmunofluorescencia indirecta
consulta sobre portaobjetos preparados en otros lugares
consulta, incluida la preparacin de los portaobjetos de las biopsias suministra al
otros procedimientos de patologa oral, por informe
procedimiento de diagnstico no especificado, por informe
Profilaxis - adultos
Profilaxis - nio

D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
la aplicacin tpica de fluoruro (incluyendo la profilaxis) - nio

la aplicacin tpica de fluoruro (profilaxis no incluido) - nio
la aplicacin tpica de fluoruro (profilaxis no incluido) - Adulto
la aplicacin tpica de flor (incluyendo profilaxis) - adulto
asesoramiento nutricional para el control de enfermedades dentales
consejo antitabaco para el control y prevencin de las enfermedades bucodentale
instrucciones de higiene oral
Sellador - por diente
mantenedor de espacio - fijo - unilateral
mantenedor de espacio - fijo - bilateral
mantenedor de espacio - removible - unilateral
mantenedor de espacio - removible - bilateral
re-cementacin de mantenedor de espacio
amalgama - una superficie, primaria o permanente
amalgama - dos superficies, primarios o permanentes
amalgama - tres superficies, primarios o permanentes
amalgama - cuatro o ms superficies, primarios o permanentes
a base de resina compuesta - una superficie, anterior
a base de resina compuesta - dos superficies, anterior
a base de resina compuesta - tres superficies, anterior
a base de resina compuesta - cuatro o ms superficies o que involucre ngulo inc
a base de resinas corona compuesta, anterior
a base de resina compuesta - una superficie, posterior
a base de resina compuesta - dos superficies, posterior
a base de resina compuesta - tres superficies, posterior
a base de resina - cuatro o ms superficies, posterior
hoja de oro - una superficie
hoja de oro - dos superficies
hoja de oro - tres superficies
inlay - metal - una superficie
inlay - metal - dos superficies
inlay - metal - tres o ms superficies
onlay - metal y dos superficies
onlay - superficies metlicas y tres
onlay - metal y cuatro o ms superficies
inlay - porcelana / cermica - una superficie
inlay - porcelana / cermica - dos superficies
inlay - porcelana / cermica - tres o ms superficies
onlay - porcelana / cermica - dos superficies
onlay - porcelana / cermica - tres superficies
onlay - porcelana / cermica - cuatro o ms superficies
inlay - compuesto a base de resina - una superficie
inlay - compuesto a base de resina - dos superficies
inlay - compuesto a base de resina - tres o ms superficies
onlay - compuesto a base de resina - dos superficies
onlay - compuesto a base de resina - tres superficies
onlay - compuesto a base de resina - cuatro o ms superficies
corona - compuesto a base de resina (indirecto)
Corona - resina con metal noble
Corona - resina con metal predominantemente base de
Corona - porcelana / sustrato cermico
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2000
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
D2999
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
Restorative
D3000 - D3999 Endodontics

Corona - porcelana fundida sobre metal muy noble

Corona - porcelana fundida sobre metal predominantemente comn
Corona - porcelana fundida a metal noble
corona - 3/4 de molde de metal noble
corona - 3/4 elenco predominantemente metales comunes
corona - 3/4 de la porcelana / cermica
corona - Reparto metal muy noble
corona - elenco completo predominantemente metales comunes
corona - Reparto metal noble
corona - de titanio
corona provisional
incrustaciones Recementacin, onlay, o restauracin cobertura parcial
cast Recementacin o Poste y mun prefabricados
Recementacin corona
prefabricados de acero inoxidable corona - diente primario
prefabricados de acero inoxidable corona - diente permanente
prefabricadas de resina corona
prefabricados corona de acero inoxidable con ventana de resina
esttica prefabricada revestida de acero inoxidable corona - diente primario
relleno sedante
mun, incluyendo las patas
perno de retencin - por diente, adems de la restauracin
posterior y el ncleo fundido adems de la corona
cada puesto de reparto adicional - mismo diente
Poste y mun prefabricados adems de la corona
la eliminacin de correos (no en combinacin con la terapia de endodoncia)
cada poste adicional prefabricado - mismo diente
chapa labial (laminado de resina) - silln
chapa labial (laminado de resina) - laboratorio
chapa labial (laminado de porcelana) - laboratorio
procedimientos adicionales para la construccin de nueva corona bajo el marco d
afrontamiento
reparacin de la corona, en el informe
procedimiento de restauracin no especificado, por informe
recubrimiento pulpar - directo (no incluye restauracin final)
recubrimiento pulpar - indirecto (no incluye restauracin final)
pulpotoma teraputica (no incluye restauracin final) - extraccin de la pulpa coro
Desbridamiento pulpar, dientes primarios y permanentes
terapia pulpar (empaste absorbible) - anterior, diente primario (excluyendo restaur
terapia pulpar (empaste absorbible) - posterior, diente primario (excluyendo restau
anterior (no incluye restauracin final)
bicspide (no incluye restauracin final)
molar (no incluye restauracin final)
tratamiento de la obstruccin del conducto radicular, el acceso no quirrgico
terapia endodntica incompleta; inoperable diente, sin posibilidad de restauracin
reparacin de la raz interna de los defectos de perforacin
retratamiento de endodoncia anterior - anterior
retratamiento de endodoncia anterior - bicspide
retratamiento de endodoncia anterior - molar
apexificacin / recalcificacin - visita inicial (cierre apical / reparacin clcica de pe
reemplazo de la medicacin provisional (cierre apical / reparacin clcica de perfo
apexificacin / recalcificacin - visita final (incluye completado la terapia de condu

D4000 - D4999 Periodontics
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
apicectoma / ciruga perirradicular - anterior

apicectoma / ciruga perirradicular - bicspide (primera raz)
apicectoma / ciruga perirradicular - molar (primera raz)
ciruga apicectoma / perirradicular (cada raz adicional)
relleno retrgrado - por root
amputacin de raz - por root
implante intraseo endodoncia
reimplantacin intencional (incluyendo entablillado es necesario)
procedimiento quirrgico para el aislamiento del diente con dique de goma
hemiseccin (incluyendo cualquier extraccin de raz), sin incluir la terapia de con
preparacin del conducto y la instalacin de clavija preformado o post
procedimiento de endodoncia no especificado, por informe
gingivectoma o gingivoplastia - cuatro o ms dientes contiguos o espacios acotad
gingivectoma o gingivoplastia - uno a tres dientes contiguos o espacios acotados
Procedimiento de colgajo gingival, incluido el alisado radicular - cuatro o ms dien
Procedimiento de colgajo gingival, incluido el alisado radicular - uno a tres dientes
colgajo posicionado apicalmente
alargamiento de la corona clnica - tejido duro
ciruga sea (incluye entrada y cierre de colgajo) - cuatro o ms dientes contiguos
ciruga sea (incluye entrada y cierre de colgajo) - uno a tres dientes contiguos o e
reemplazo de injerto de hueso - primer sitio en el cuadrante
reemplazo de injerto seo - cada sitio adicional en el cuadrante
materiales biolgicos para ayudar en la regeneracin de tejidos blandos y seos
la regeneracin guiada del tejido - barrera reabsorbible, por sitio
regeneracin tisular guiada - barrera no reabsorbible, por sitio (incluye la remocin
procedimiento de revisin quirrgica por diente
procedimiento de injerto de tejido blando pedculo
procedimiento de injerto de tejido blando libre (incluyendo la zona donante)
procedimientos de injerto de tejido conectivo subepitelial, por diente
Procedimiento de cua distal o proximal (cuando no se lleva a cabo en conjuncin
aloinjerto de tejido blando
tejido conectivo combinado y el injerto de pedculo doble, por diente
frula provisional - intracoronal
frula provisional - extracoronal
raspado periodontal y alisado radicular - cuatro o ms dientes por cuadrante
raspado periodontal y alisado radicular - uno a tres dientes por cuadrante
desbridamiento de toda la boca para permitir la evaluacin completa y el diagnst
distribucin localizada de agentes antimicrobianos a travs de un vehculo de libe
mantenimiento periodontal
No programado vestidor cambio (por alguien que no sea el tratamiento de dentista
procedimiento periodontal no especificado, por informe
(Removadentadura completa - maxilar
(Removadentadura completa - mandibular
(Removaprtesis inmediata - maxilar
(Removaprtesis inmediata - mandibular
(Removadentadura maxilar parcial - base de resina (incluidos los cierres convencionales, s
(Removamandibular prtesis parcial - base de resina (incluidos los cierres convencionales,
(Removadentadura maxilar parcial - estructura de metal fundido con base de la dentadura
(Removamandibular prtesis parcial - estructura de metal fundido con base de la dentadura
(Removadentadura maxilar parcial - base flexible (incluidos los cierres, soportes y dientes)
(RemovaDentadura parcial mandibular - base flexible (incluidos los cierres, soportes y dien
(Removaprtesis parcial removible unilateral - una pieza de metal fundido (incluyendo ganc
(Removaajustar la dentadura completa - maxilar
D5000
D5000
D5000
D5000
D5000
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D5000
D5000
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D5000
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D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5000
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
D5899
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
Prosthodontics
D5900 - D5999 Maxillofacial Prosthetics

(Removaajustar la dentadura completa - mandibular

(Removaajustar prtesis parcial - maxilar
(Removaajustar prtesis parcial - mandibular
(Removareparar roto base de la dentadura completa
(Removareemplazar los dientes perdidos o rotos - dentadura completa (cada diente)
(Removareparacin resina base de la prtesis
(Removamarco fundido reparacin
(Removareparar o reemplazar gancho roto
(Removareemplazar los dientes rotos - por diente
(Removaaadir diente a la dentadura parcial existente
(Removaaadir gancho a la dentadura parcial existente
(Removareemplazar todos los dientes y acrlico en armazn de metal fundido (maxilar)
(Removareemplazar todos los dientes y acrlico en armazn de metal colado (mandibular)
(Removarebase completa prtesis superior
(Removarebase completa dentadura mandibular
(Removarebase maxilar prtesis parcial
(Removarebase mandibular prtesis parcial
(RemovaRevestimiento de dentadura postiza maxilar completa (silln)
(Removarebasado dentadura mandibular completa (silln)
(Removarebasado maxilar prtesis parcial (consultorio)
(Removarebasado mandibular prtesis parcial (consultorio)
(RemovaRevestimiento de dentadura postiza maxilar completa (laboratorio)
(RemovaRevestimiento de dentadura postiza mandibular completa (laboratorio)
(Removarebasado maxilar prtesis parcial (laboratorio)
(Removarebasado mandibular prtesis parcial (laboratorio)
(Removaprtesis completa provisional (maxilar)
(Removaprtesis completa provisional (mandibular)
(Removaprtesis parcial provisional (maxilar)
(Removaprtesis parcial provisional (mandibular)
(Removaacondicionamiento del tejido, maxilar
(RemovaAcondicionamiento de tejido, mandibular
(Removasobredentadura - complete, en el informe
(Removasobredentadura - parcial, en el informe
(Removaaccesorio de precisin, en el informe
(Removareemplazo de una pieza reemplazable de unin semi-precisin o precisin (compo
(Removamodificacin de la siguiente ciruga de implante de prtesis removible
(Removaprocedimiento de prtesis removibles no especificado, por informe
moulage facial (seccin)
moulage facial (completa)
prtesis nasal
prtesis auricular
prtesis orbital
prtesis ocular
prtesis facial
prtesis nasal septal
prtesis ocular, provisional
prtesis craneal
implante de prtesis de aumento facial
prtesis nasal, la sustitucin
prtesis auriculares, la sustitucin
orbital prtesis, sustitucin
facial prtesis, sustitucin
obturador prtesis, ciruga

D6000 - D6199 Implant Services
obturador prtesis definitiva

obturador prtesis, modificacin
prtesis con brida de gua de reseccin mandibular
prtesis sin brida gua de reseccin mandibular
obturador prtesis, provisional
trismo aparato (no para el tratamiento TMD)
la alimentacin de la ayuda
dispositivo para el habla prtesis peditrica
dispositivo para el habla prtesis, adulto
prtesis de aumento palatal
elevacin palatina prtesis definitiva
ascensor palatina prtesis, provisional
palatina ascensor prtesis, modificacin
dispositivo para el habla prtesis, modificacin
stent quirrgico
portador de radiacin
blindaje de radiacin
radiacin cono localizador
soporte del gel de fluoruro
comisura frula
frula quirrgica
prtesis maxilofacial no especificado, por informe
colocacin quirrgica del cuerpo del implante: implantes endosteal
colocacin quirrgica: Implante eposteal
colocacin quirrgica: Implante transseo
implante / pilar apoyado prtesis removible de arco completamente desdentado
pilar / implante de prtesis removible apoyada por arco parcialmente desdentado
implante dental soportada barra de conexin
pilar prefabricado - incluye la colocacin
pilar personalizado - incluye la colocacin
pilar apoyado porcelana / corona de cermica
porcelana apoyado pilar fundida en metal corona (metal muy noble)
porcelana apoyado pilar fusionado a la corona de metal (metal predominantemen
porcelana apoyado pilar fusionado a la corona de metal (metal noble)
pilar apoyado corona de metal fundido (metal muy noble)
pilar apoyado corona de metal fundido (metal predominantemente base)
pilar apoyado fundido corona de metal (metal noble)
pilar apoyado corona - (titanio)
porcelana implantosoportada / corona de cermica
porcelana apoyado implante fundida en metal corona (titanio, aleaciones de titanio
implante apoyado metlica corona (titanio, aleaciones de titanio, metal muy noble
pilar apoyado retencin de porcelana / FPD cermica
retenedor de apoyo del pilar para la porcelana fundida sobre metal FPD (metal mu
retenedor de apoyo del pilar para la porcelana fundida sobre metal FPD (metal pre
retenedor de apoyo del pilar para la porcelana fundida sobre metal FPD (noble me
retenedor apoyado tope para metal fundido FPD (metal muy noble)
retenedor de apoyo de tope para reparto FPD de metal (metal predominantement
retenedor apoyado tope para metal fundido FPD (noble metal)
pilar corona retencin soportada para FPD - (titanio)
retenedor apoyado implante para cermica FPD
implante apoyado retencin de porcelana fundida sobre metal FPD (titanio, aleaci
retenedor apoyado implante para metal fundido FPD (titanio, aleaciones de titanio
implante / pilar apoyado prtesis fija de arco completamente desdentado

D6200 - D6999 Prosthodontics, Fixed
implante / pilar apoyado prtesis fija de arco parcialmente desdentado

los procedimientos de mantenimiento de implantes, incluyendo la remocin de la p
implante de reparacin apoyado prtesis, en el informe
reparar pilar del implante, en el informe
la extraccin del implante, en el informe
ndice implante radiolgico / quirrgica, en el informe
procedimiento de implante no especificado, por informe
pntico - resina indirecta basada composite
pntico - molde de metal noble
pntico - fuerza predominantemente metales comunes
pntico - titanio
pntico - porcelana fundida sobre metal muy noble
pntico - porcelana fundida sobre metal predominantemente comn
pntico - porcelana fundida a metal noble
pntico - porcelana / cermica
pntico - resina con metal noble
pntico - resina con metal predominantemente base de
pntico provisional
Corona - resina indirecta basada composite
Corona - porcelana / cermica
corona - de titanio
corona de retencin provisional
retenedor - de metal fundido de la resina en condiciones de servidumbre prtesis
retencin - porcelana / cermica para la resina unida prtesis fija
inlay - porcelana / cermica, dos superficies
inlay - porcelana / cermica, tres o ms superficies
inlay - molde de metal noble, dos superficies
inlay - molde de metal noble, tres o ms superficies
inlay - Reparto metal predominantemente base, dos superficies
inlay - Reparto metal predominantemente base, tres o ms superficies
inlay - titanio
onlay -porcelain/ceramic, dos superficies
onlay - porcelana / cermica, tres o ms superficies
onlay - molde de metal noble, dos superficies
onlay - molde de metal noble, tres o ms superficies
onlay - Reparto metal predominantemente base, dos superficies

D7999 Oral and Maxillofacial Surgery
onlay - Reparto metal predominantemente base, tres o ms superficies

onlay - titanio
conector de barra
Recementacin prtesis fija
rompefuerza
accesorio de precisin
posterior y el ncleo fundido, adems de retenedor de dentadura parcial fija
emitir cargo como parte de retenedor prtesis fija
Poste y mun prefabricados, adems de retenedor de dentadura parcial fija
mun para retenedor, incluyendo las patas
hacer frente - de metal
reparacin de la dentadura parcial fija, por informe
prtesis peditrica, fijado
procedimiento de prtesis fija no especificado, por informe
extraccin, restos coronal - diente de leche
Extraccin, diente erupcionado o raz expuesta (elevacin y / o frceps extraccin
cierre de la fstula oroantral
cierre primario de una perforacin del seno
reimplantacin del diente y / o estabilizacin de diente accidentalmente evulsed o
diente trasplante (incluye reimplantacin de un sitio a otro y entablillado y / o estab
acceso quirrgica de un diente no erupcionado
movilizacin de diente erupcionado o mal posicionado para ayudar erupcin
colocacin del dispositivo para facilitar la erupcin del diente impactado
Biopsia de tejido oral - duro (hueso, dientes)
Biopsia de tejido oral - suave
recoleccin de la muestra citolgica exfoliativa
cepillo de biopsia - la toma de muestras transepitelial
reposicionamiento quirrgico de los dientes
transseptal fibrotoma / supra crestal fibrotoma, en el informe
alveoloplastia junto con extracciones - por cuadrante
alveoloplastia junto con extracciones - uno a tres dientes o espacios dentales, por
alveoloplastia no junto con extracciones - por cuadrante
alveoloplastia no junto con extracciones - uno a tres dientes o espacios dentales,
vestibuloplastia - Extensin de cresta (epitelizacin secundaria)
vestibuloplastia - Extensin de cresta (incluyendo injertos de tejido blando, de rein
excisin de lesin benigna hasta 1,25 cm
escisin de lesin benigna mayor que 1,25 cm
escisin de lesin benigna, complicado
la escisin de la lesin maligna hasta 1,25 cm
la escisin de la lesin maligna mayor que 1,25 cm
la escisin de la lesin maligna, complicado
destruccin de lesin (s) por el mtodo fsico o qumico, en el informe
la escisin de un tumor maligno - dimetro de la lesin hasta 1,25 cm
la escisin de un tumor maligno - dimetro de la lesin mayor que 1,25 cm
eliminacin de quiste odontognico o tumor benigno - dimetro de la lesin hasta
eliminacin de quiste odontognico o tumor benigno - dimetro de la lesin mayor
eliminacin del quiste no odontognicos o tumor benigno - dimetro de la lesin h
eliminacin de quiste no odontognicos o tumor benigno - dimetro de la lesin m
eliminacin de exostosis lateral (maxilar o mandbula)

eliminacin de torus palatino

eliminacin de torus mandibular
reduccin quirrgica de la tuberosidad sea
La reseccin radical del maxilar o mandbula
incisin y drenaje de absceso - tejido blando intraoral
incisin y drenaje de absceso - tejido blando intraoral - complicado (incluye drenaj
incisin y drenaje de absceso - tejido blando extraoral
incisin y drenaje de absceso - tejido blando extraoral - complicado (incluye drena
remocin de cuerpo extrao de la mucosa, piel, tejido alveolar o subcutnea
eliminacin de reaccin que produce cuerpos extraos, sistema musculoesquelti
ostectoma parcial / secuestrectoma para extraccin de hueso no vital
sinusotoma maxilar para la extraccin de un fragmento de diente o cuerpo extra
maxilar - reduccin abierta (los dientes inmovilizados, si est presente)
maxilar - reduccin cerrada (dientes inmovilizados, si est presente)
reduccin abierta (los dientes inmovilizados, si est presente) - mandbula
reduccin cerrada (dientes inmovilizados, si est presente) - mandbula
malar y / o arco cigomtico - reduccin abierta
malar y / o arco cigomtico - reduccin cerrada
reduccin cerrada alvolo puede incluir la estabilizacin de los dientes
alvolo reduccin, abierto puede incluir la estabilizacin de los dientes
huesos faciales - Reduccin complicada con la fijacin y mltiples abordajes quir
maxilar reduccin abierta
maxilar - reduccin cerrada
reduccin abierta - mandbula
mandbula - reduccin cerrada
estabilizacin de la reduccin abierta de dientes - alveolo
alvolo, la estabilizacin de la reduccin cerrada de dientes
huesos faciales - Reduccin complicada con la fijacin y mltiples abordajes quir
reduccin abierta de la luxacin
la reduccin cerrada de la luxacin
manipulacin bajo anestesia
condilectoma
discectoma quirrgica, con / sin implante
reparacin de discos
sinovectoma
miotoma
reconstruccin de la articulacin
artrotoma
artroplastia
artrocentesis
lisis no artroscpica y el lavado
artroscopia - diagnstico, con o sin biopsia
artroscopia - quirrgica: lavado y lisis de adherencias
artroscopia - quirrgica: Disco reposicionamiento y la estabilizacin
artroscopia - quirrgica: sinovectoma
artroscopia - quirrgica: discectoma
artroscopia - quirrgico: desbridamiento
ortesis oclusal, por el informe
tratamiento TMD no especificado, por informe
sutura de heridas pequeas ltimos hasta 5 cm
sutura complicada - hasta 5 cm

D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8000
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
D8999
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
Orthodontics
D9000 - D9999 Adjunctive General Services

sutura complicada - de ms de 5 cm
injerto de piel (identificar cubierto defecto, la ubicacin y el tipo de injerto)
osteoplastia - las deformidades ortogntica
osteotoma - ramas mandibulares
osteotoma - ramas mandibulares con injerto seo; incluye obtencin del injerto
osteotoma - segmentado o subapical - por sextante o cuadrante
osteotoma - cuerpo de la mandbula
Lefort I (maxilar - total)
Lefort I (maxilar - segmentado)
Lefort II o III LeFort (osteoplastia de los huesos faciales de tercio medio facial hipo
Lefort II o Lefort III - con injerto seo
sea, injertos osteoperiosteal o el cartlago de los huesos mandibulares o faciales
injerto de reemplazo seo de cresta conservacin - por sitio
reparacin de maxilofacial blando y / o defecto de tejido duro
frenulectoma (frenectoma o frenotoma) - procedimiento separado
Frenuloplasta
extirpacin de tejido hiperplsico - por arco
la escisin de pericoronal enca
la reduccin quirrgica de la tuberosidad fibrosa
sialolithotomy
extirpacin de las glndulas salivales, en el informe
sialodochoplasty
el cierre de la fstula salival
traqueotoma de emergencia
coronoidectoma
mandbula o huesos faciales, en el informe - injerto sinttico
implante mandibular con fines de aumento (con exclusin de la cresta alveolar), e
la eliminacin del aparato (no por el dentista que realiz aparato), incluye la elimin
procedimiento de ciruga oral no especificado, por informe
tratamiento de ortodoncia limitado de la denticin primaria
tratamiento de ortodoncia limitado de la denticin de transicin
tratamiento de ortodoncia limitado de la denticin adolescente
tratamiento de ortodoncia limitado de la denticin de un adulto
tratamiento de ortodoncia intercepcin de la denticin primaria
tratamiento de ortodoncia intercepcin de la denticin de transicin
tratamiento de ortodoncia integral de la denticin de transicin
tratamiento de ortodoncia integral de la denticin adolescente
tratamiento de ortodoncia integral de la denticin adulta
terapia aparato removible
tratamiento con aparatos fijos
visita pre-tratamiento de ortodoncia
visita de un tratamiento de ortodoncia peridica (como parte del contrato)
la retencin de ortodoncia (extraccin de aparatos, construccin y colocacin del
tratamiento de ortodoncia (facturacin alternativa a un contrato de pago)
reparacin de aparato de ortodoncia
sustitucin de retencin perdido o roto
procedimiento de ortodoncia no especificado, por informe
tratamiento paliativo (emergencia) del dolor dental - procedimiento menor
anestesia local, no en conjunto con procedimientos quirrgicos o quirrgicos
bloqueo anestsico regional
divisin del trigmino bloque anestesia
anestesia local
sedacin profunda / anestesia general - primeros 30 minutos

xpedited care.
regardless of size.
fabrication of the appliance.
sedacin profunda / anestesia general - cada 15 minutos adicionales

la analgesia, ansiolisis, la inhalacin de xido nitroso
sedacin consciente intravenosa / analgesia - primeros 30 minutos
intravenosa sedacin consciente / analgesia - cada 15 minutos adicionales
sedacin consciente no intravenosa
consulta (servicio diagnstico proporcionado por el dentista o el mdico que no se
casa / llamada centro de cuidados prolongados
llamada del hospital
visita al consultorio para observacin (durante horas regulares) - ningn otro servi
visita al consultorio - despus de las horas regulares
presentacin de un caso, la planificacin detallada y extensa tratamiento
inyeccin de drogas teraputicas, en el informe
otras drogas y / o medicamentos, en el informe
aplicacin de medicamento desensibilizante
aplicacin de resina desensibilizante de cuello de tero y / o de la superficie de la
manejo de la conducta, en el informe
tratamiento de las complicaciones (post-quirrgico) - circunstancias inusuales, por
guarda oclusal, por el informe
fabricacin de protector bucal deportivo
reparacin y / o rebase de guarda oclusal
anlisis de la oclusin - caja montada
ajuste oclusal - limitado
ajuste oclusal - completa
esmalte micro abrasin
odontoplasta 1-2 dientes; incluye la eliminacin de las proyecciones del esmalte
Blanqueamiento externo - por arco
Blanqueamiento externo - por diente
blanqueamiento interno - por diente
procedimiento complementario no especificado, por informe
autopsia
Bite Anlisis Marcos
Emergencia Visita dirigida al problema
Grupo instrucciones de higiene oral
Pieza del odo personalizado
Anlisis oclusal con pantogrfico Tracing
Tratamiento Pericoronitis
Hervir y morder Protector de boca
Procedimientos de Laboratorio, Medicina adyuvante
Entrenamiento de Preparacin (Horas / Dentista)
paciente tratado
DA procedure codes, there is no distinction made between the evaluations provided by general practitioners and specialists. Report additional diagnostic and/or definitive proc
a se centr, en el informe
paciente establecido; no visita post-operatoria)
evo o establecido
grafas de mordida)
cuesta hueso facial
lar, incluyendo la inyeccin

dibular, por informe
y la sensibilidad
enfermedades orales
ue ayuda en la deteccin de anomalas de la mucosa como lesiones premalignas y malignas, no incluir los procedimientos de la citologa o
pico, la preparacin y la transmisin del informe escrito

pico y microscpico, preparacin y transmisin de informe escrito
pico y microscpico, incluida la evaluacin de los mrgenes quirrgicos de la presencia de la enfermedad, la preparacin y la transmisin d
tolgicos exfoliativa, incluida la preparacin y transmisin de informe escrito
objetos de las biopsias suministra al referirse fuente
o, por informe
profilaxis) - nio
ncluido) - nio
ncluido) - Adulto
axis) - adulto
enfermedades dentales
n de las enfermedades bucodentales
os o permanentes
uperficies o que involucre ngulo incisal (anterior)
s superficies
o ms superficies
ominantemente comn
ales comunes
e metales comunes
uracin cobertura parcial
ente primario
ente permanente
n ventana de resina
dable corona - diente primario
a restauracin
con la terapia de endodoncia)
n de nueva corona bajo el marco de la dentadura parcial existente
o, por informe
auracin final)
stauracin final)
n final) - extraccin de la pulpa coronal a la unin dentinocemental y aplicacin de medicamento
, diente primario (excluyendo restauracin final)

or, diente primario (excluyendo restauracin final)
dicular, el acceso no quirrgico

iente, sin posibilidad de restauracin o fracturado
de perforacin
erre apical / reparacin clcica de perforaciones, resorcin radicular, etc)

e apical / reparacin clcica de perforaciones, resorcin radicular, etc) - apexificacin / recalcificacin
luye completado la terapia de conducto radicular - cierre apical / reparacin clcica de perforaciones, resorcin radicular, etc)
e (primera raz)
llado es necesario)
del diente con dique de goma
de raz), sin incluir la terapia de conducto radicular
clavija preformado o post
o, por informe
dientes contiguos o espacios acotados dientes por cuadrante
entes contiguos o espacios acotados dientes por cuadrante
alisado radicular - cuatro o ms dientes contiguos o espacios unidos dientes por cuadrante
alisado radicular - uno a tres dientes contiguos o espacios unidos dientes por cuadrante
ajo) - cuatro o ms dientes contiguos o espacios acotados dientes por cuadrante

ajo) - uno a tres dientes contiguos o espacios acotados dientes por cuadrante
n el cuadrante
al en el cuadrante
neracin de tejidos blandos y seos
absorbible, por sitio
sorbible, por sitio (incluye la remocin de la membrana)
(incluyendo la zona donante)

subepitelial, por diente
ndo no se lleva a cabo en conjuncin con procedimientos quirrgicos en la misma rea anatmica)
dculo doble, por diente
ro o ms dientes por cuadrante

a tres dientes por cuadrante
la evaluacin completa y el diagnstico
anos a travs de un vehculo de liberacin controlada en el tejido crevicular enfermo, por diente, en el informe
que no sea el tratamiento de dentista)
cluidos los cierres convencionales, soportes y dientes)

incluidos los cierres convencionales, soportes y dientes)
al fundido con base de la dentadura de resina (incluidos los cierres convencionales, soportes y dientes)
etal fundido con base de la dentadura de resina (incluidos los cierres convencionales, soportes y dientes)
uidos los cierres, soportes y dientes)
incluidos los cierres, soportes y dientes)
za de metal fundido (incluyendo ganchos y dientes
tadura completa (cada diente)
mazn de metal fundido (maxilar)

mazn de metal colado (mandibular)
completa (silln)
completa (laboratorio)
lar completa (laboratorio)
n semi-precisin o precisin (componente masculino o femenino)

te de prtesis removible
ecificado, por informe
: implantes endosteal
e arco completamente desdentado

a por arco parcialmente desdentado
ona (metal muy noble)

a de metal (metal predominantemente base)
a de metal (metal noble)
muy noble)
predominantemente base)
l corona (titanio, aleaciones de titanio, metal muy noble)

eaciones de titanio, metal muy noble)
a fundida sobre metal FPD (metal muy noble)

a fundida sobre metal FPD (metal predominantemente base)
a fundida sobre metal FPD (noble metal)
PD (metal muy noble)
D de metal (metal predominantemente base)
PD (noble metal)
dida sobre metal FPD (titanio, aleaciones de titanio o metal muy noble)
do FPD (titanio, aleaciones de titanio o metal muy noble)
completamente desdentado
parcialmente desdentado
antes, incluyendo la remocin de la prtesis, la limpieza de la prtesis y los pilares y la reinsercin de prtesis
ominantemente comn
ominantemente comn
ales comunes
e metales comunes
condiciones de servidumbre prtesis fija

a unida prtesis fija
se, dos superficies

se, tres o ms superficies
se, dos superficies
se, tres o ms superficies
nedor de dentadura parcial fija
enedor de dentadura parcial fija
o, por informe
ta (elevacin y / o frceps extraccin)
de diente accidentalmente evulsed o desplazados

n sitio a otro y entablillado y / o estabilizacin)
sicionado para ayudar erupcin

pcin del diente impactado
a, en el informe
tres dientes o espacios dentales, por cuadrante
o a tres dientes o espacios dentales, por cuadrante

zacin secundaria)
ndo injertos de tejido blando, de reinsercin muscular, la revisin de la adhesin del tejido blando y la gestin del tejido hipertrofiado y hipe
o qumico, en el informe
e la lesin hasta 1,25 cm
e la lesin mayor que 1,25 cm
enigno - dimetro de la lesin hasta 1,25 cm
enigno - dimetro de la lesin mayor que 1,25 cm
mor benigno - dimetro de la lesin hasta 1,25 cm
mor benigno - dimetro de la lesin mayor que 1,25 cm
ntraoral - complicado (incluye drenaje de mltiples espacios faciales)
extraoral - complicado (incluye drenaje de mltiples espacios faciales)

el, tejido alveolar o subcutnea
extraos, sistema musculoesqueltico
raccin de hueso no vital
fragmento de diente o cuerpo extrao
ilizados, si est presente)
ados, si est presente)
si est presente) - mandbula
est presente) - mandbula
abilizacin de los dientes

abilizacin de los dientes
la fijacin y mltiples abordajes quirrgicos
tes - alveolo
ada de dientes
la fijacin y mltiples abordajes quirrgicos
ento y la estabilizacin
ubicacin y el tipo de injerto)
seo; incluye obtencin del injerto

extante o cuadrante
os faciales de tercio medio facial hipoplasia o retrusin)-sin injerto seo
e los huesos mandibulares o faciales - autlogos o autgenos, en el informe

acin - por sitio
o de tejido duro
ocedimiento separado
njerto sinttico
on exclusin de la cresta alveolar), en el informe
que realiz aparato), incluye la eliminacin de archbar
, por informe
cin primaria
cin de transicin
cin adolescente
cin de un adulto
denticin primaria
denticin de transicin
cin de transicin
cin adolescente
ca (como parte del contrato)

ratos, construccin y colocacin del retenedor (s))
ativa a un contrato de pago)
por informe
ental - procedimiento menor
ientos quirrgicos o quirrgicos
eros 30 minutos
15 minutos adicionales
- primeros 30 minutos
- cada 15 minutos adicionales
por el dentista o el mdico que no sea practicante de proporcionar tratamiento)
e horas regulares) - ningn otro servicio realizado
allada y extensa tratamiento
o de tero y / o de la superficie de la raz, por diente
rgico) - circunstancias inusuales, por el informe de
n de las proyecciones del esmalte
do, por informe
agnostic and/or definitive procedures separately.
mientos de la citologa o la biopsia
aracin y la transmisin del informe escrito
ejido hipertrofiado y hiperplsico)
CATALOGO DE PROCEDIMIENTOS SIASIS

CODIG
O
95
96
105
106
107
108
10060
10080
10120
10140
10160
11000
11010
11011
11012
11055
11100
11200
11300
11400
11655
11740
11750
11975
11976
11977
12001
12002
12005
12031
12032
12035
13160
13301a
13301b
13301c
13302
13303
14000
15000
15050
15350
15400
15780
15819
15820
15822
15824
15849
15850
15852
15876
15920
15933
16010
16035
17000
17250
17251
17260
17304
17340
17360
19000
19100
19120
19140
19160
19162
19180
19200
19220
19260
19272
19316
19318
19324
19328
19350
19355
19357
19361
19364
19366
19370
19380
20100
20200
20220
20520
20600
20615
20670
20680
20690
20692
20694
20802
20805
20808
20816
20824
20900
20910
20926
20950
21010
21015
21025
21031
21034
21045
21050
21060
21310
21325
21338
21343
21345
21346
21360
21385
21400
21422
21431
21432
21440
21445
21454
21490
21495
21555
21600
21610
21620
21630
21700
21720
21740
21800
21805
21820
21825
21930
21935
22100
22210
22220
22310
22325
22505
22548
22590
22840
22842
22850
22852
23000
23030
23040
23044
23077
23120
23130
23140
23170
23174
23180
23190
23200
23220
23395
23405
23410
23415
23430
23440
23450
23465
23470
23480
23515
23585
23615
23660
23800
23900
23920
24000
24075
24077
24105
24110
24130
24134
24140
24149
24150
24155
24200
24201
24301
24305
24310
24320
24330
24340
24342
24350
24360
24400
24420
24470
24495
24515
24538
24545
24586
24600
24615
24635
24665
24685
24800
24900
25000
25020
25040
25075
25077
25085
25105
25111
25115
25118
25120
25150
25170
25210
25215
25230
25248
25260
25280
25290
25295
25300
25310
25315
25320
25332
25335
25350
25390
25440
25449
25450
25515
25526
25574
25611
25620
25645
25676
25800
25900
25920
25922
25927
26020
26025
26034
26037
26040
26055
26070
26115
26117
26121
26130
26145
26185
26200
26230
26250
26320
26350
26370
26410
26437
26440
26450
26471
26476
26477
26490
26499
26508
26516
26520
26530
26540
26541
26548
26550
26560
26565
26568
26580
26585
26587
26590
26591
26596
26597
26608
26615
26676
26685
26700
26727
26746
26820
26841
26910
26951
26992
27000
27005
27006
27025
27030
27035
27036
27049
27060
27065
27070
27075
27080
27086
27097
27120
27125
27130
27134
27140
27146
27158
27161
27165
27170
27175
27177
27185
27193
27200
27202
27215
27216
27217
27226
27235
27236
27275
27280
27282
27284
27290
27295
27305
27306
27310
27315
27320
27327
27329
27340
27350
27355
27360
27365
27372
27380
27385
27390
27393
27396
27400
27403
27405
27418
27420
27425
27427
27428
27430
27435
27437
27448
27455
27465
27466
27468
27475
27486
27497
27507
27508
27509
27514
27519
27524
27570
27580
27590
27598
27600
27603
27605
27610
27615
27618
27630
27635
27640
27645
27650
27656
27658
27680
27685
27687
27690
27695
27700
27704
27705
27715
27727
27730
27756
27758
27784
27792
27814
27829
27832
27860
27870
27871
27880
27888
27889
27892
28005
28008
28010
28020
28030
28035
28043
28046
28060
28070
28086
28100
28110
28114
28120
28130
28140
28150
28160
28171
28190
28200
28220
28230
28238
28240
28260
28280
28285
28288
28289
28290
28300
28313
28315
28320
28340
28344
28345
28406
28415
28476
28531
28546
28555
28705
28715
28725
28730
28750
28755
28800
28820
29010
29035
29049
29058
29065
29075
29085
29105
29125
29130
29200
29305
29345
29435
29450
29700
29800
29804
30000
30100
30110
30117
30120
30124
30130
30150
30160
30200
30300
30310
30400
30430
30460
30520
30540
30560
30580
30600
30630
30801
30901
30905
30930
31000
31020
31030
31040
31050
31070
31200
31225
31230
31231
31300
31310
31360
31365
31367
31368
31370
31390
31400
31420
31500
31505
31515
31580
31590
31595
31600
31605
31612
31613
31622
31645
31750
31766
31770
31785
31800
31820
31830
32000
32005
32035
32095
32200
32220
32225
32310
32320
32400
32405
32420
32440
32442
32482
32484
32540
32601
32650
32800
32810
32815
32900
32905
32960
33010
33015
33020
33025
33030
33050
33120
33130
33200
33210
33250
33300
33305
33310
33320
33321
33330
33400
33404
33405
33414
33415
33416
33417
33420
33422
33425
33430
33460
33463
33465
33468
33470
33472
33475
33478
33500
33502
33504
33510
33513
33542
33545
33572
33600
33641
33735
33736
33750
33786
33788
33924
33977
34001
34151
34401
34501
34502
34510
34530
35001
35021
35081
35180
35182
35184
35201
35211
35231
35241
35301
35331
35450
35470
35480
35490
35526
35531
35541
35546
35556
35691
35700
36300
36430
36450
36470
36481
36489
36500
36510
36520
36600
36620
36660
36821
36825
36831
36834
37140
37160
37250
37600
37620
37720
37785
38100
38101
38115
38120
38300
38305
38380
38500
38550
38562
38700
38720
38740
38746
38747
38760
38770
38780
39200
39400
39501
39502
39503
39520
39545
40490
40500
40530
40700
40702
40800
40801
40806
40810
40820
40830
40840
41015
41100
41120
41135
41150
41153
41155
41700
41708
41720
41721
41740
41760
41800
41820
41821
41822
41828
41830
41840
42000
42100
42104
42120
42140
42145
42180
42200
42226
42260
42300
42325
42330
42400
42408
42409
42410
42426
42440
42450
42500
42600
42650
42665
42700
42800
42808
42809
42810
42820
42830
42860
42890
42892
42953
42955
42960
43020
43030
43045
43107
43108
43116
43130
43234
43259
43260
43300
43310
43320
43324
43330
43340
43350
43361
43400
43401
43405
43410
43420
43450
43460
43500
43501
43520
43605
43620
43631
43635
43638
43640
43641
43750
43800
43810
43820
43830
43831
43840
43841
43842
43850
43870
43880
44005
44010
44011
44015
44020
44025
44050
44055
44120
44130
44131
44139
44140
44150
44155
44320
44340
44602
44604
44615
44620
44640
44650
44660
44680
44800
44950
44955
44956
44960
45000
45100
45110
45114
45120
45130
45160
45300
45356
45357
45358
45359
45500
45540
45550
45560
45800
45820
45915
46050
46080
46083
46200
46210
46220
46221
46270
46320
46600
46700
46744
46750
46753
46754
46900
46934
46937
47000
47010
47015
47100
47120
47300
47350
47361
47362
47400
47420
47460
47480
47600
47610
47715
47720
47760
47765
47800
47801
47901
48000
48005
48020
48100
48102
48120
48140
48148
48150
48155
48180
48500
48510
48520
48545
48547
49000
49005
49006
49020
49021
49062
49085
49180
49200
49215
49220
49250
49255
49495
49496
49540
49565
49570
49572
49580
49582
49590
49600
49900
49910
50020
50021
50040
50045
50060
50080
50120
50200
50205
50220
50230
50240
50280
50390
50400
50405
50500
50520
50525
50540
50551
50590
50600
50610
50660
50700
50715
50727
50740
50760
50780
50800
50810
50830
50840
50845
50900
50920
50930
50940
50951
51000
51020
51050
51080
51500
51550
51570
51575
51580
51585
51700
51725
51736
51800
51840
51845
51860
51880
51900
51940
51960
51980
52000
52700
53000
53020
53040
53200
53210
53230
53240
53260
53400
53440
53450
53502
53505
53520
53600
53670
54050
54100
54110
54120
54125
54130
54150
54152
54300
54420
54450
54500
54505
54510
54520
54525
54530
54550
54600
54670
54700
54800
54820
54830
54860
54861
54900
55000
55040
55060
55100
55120
55150
55175
55250
55400
55450
55520
55530
55600
55650
55700
55720
55801
55810
55821
55831
55840
55859
56300
56301
56303
56307
56308
56309
56310
56312
56314
56315
56316
56318
56319
56320
56321
56322
56323
56324
56325
56326
56327
56328
56329
56330
56340
56342
56343
56344
56345
56346
56347
56348
56349
56350
56351
56354
56405
56440
56501
56605
56620
56630
56700
56740
56800
57000
57020
57061
57100
57106
57110
57120
57130
57210
57230
57240
57250
57260
57268
57284
57291
57300
57400
57410
57452
57500
57505
57510
57520
57530
57531
57540
57700
57720
58100
58120
58140
58145
58150
58180
58200
58210
58240
58260
58262
58275
58285
58300
58301
58400
58540
58600
58615
58700
58720
58740
58750
58760
58770
58800
58900
58920
58925
58940
58955
58956
58970
59000
59020
59100
59120
59150
59160
59200
59350
59400
59409
59414
59510
59514
59525
59860
59872
60000
60001
60100
60200
60210
60220
60240
60252
60254
60280
60500
60520
60540
60600
60605
61000
61020
61050
61120
61140
61150
61154
61210
61215
61250
61253
61304
61305
61312
61314
61320
61321
61343
61440
61450
61490
61500
61510
61518
61538
61542
61543
61546
61548
61550
61558
61570
61571
61575
61609
61624
61680
61700
61703
61705
61711
61720
61750
61850
61860
62000
62010
62100
62115
62180
62190
62192
62200
62220
62223
62230
62268
62269
62270
62350
62360
63001
63020
63045
63055
63064
63081
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63090
63170
63172
63185
63194
63250
63265
63650
63655
63660
63700
63710
63740
63741
64400
64505
64550
64600
64722
64774
64795
64802
64831
64861
64864
64866
64885
65091
65101
65110
65175
65205
65235
65260
65270
65275
65290
65400
65410
65420
65430
65435
65450
65771
65800
65820
65850
65855
65860
65865
66130
66180
66220
66500
66600
66680
66700
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66770
66830
66850
66983
66985
66986
67005
67015
67028
67031
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67101
67108
67141
67208
67220
67227
67311
67345
67350
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68720
68745
68810
69000
69090
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69140
69155
69200
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69320
69400
69405
69420
69433
69450
69501
69502
69505
69530
69535
69540
69550
69620
69631
69635
69641
69650
69660
69666
69667
69676
69710
69720
69740
69801
69805
69905
69910
69915
69930
69950
69955
69960
69970
70100
70120
70134
70140
70160
70170
70190
70200
70220
70240
70250
70300
70320
70328
70332
70373
70390
70450
70480
70486
70490
70540
71010
71020
71040
71100
71120
71250
71550
72010
72020
72040
72050
72052
72070
72074
72080
72100
72110
72125
72141
72170
72190
72192
72196
72200
72255
72270
72285
73000
73010
73030
73040
73060
73070
73085
73090
73100
73115
73120
73140
73200
73220
73520
73525
73542
73550
73560
73580
73590
73600
73615
73620
73630
73700
73720
74000
74020
74150
74181
74190
74220
74246
74249
74250
74280
74290
74300
74301
74305
74320
74400
74410
74420
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74450
74485
74710
74740
75552
75600
75625
75650
75650b
75658
75705
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75726
75801
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75825
75827
75831
75885
76020
76040
76075
76080
76090
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76093
76506
76512
76536
76600
76604
76645
76700
76770
76775
76800
76805
76818
76825
76830
76831
76856
76870
76872
76880
76885
77035
77500
77501
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77761
77776
77781
77789
78000
78006
78020
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78070
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78102
78110
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78230
78258
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78262
78264
78278
78290
78300
78321
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78323
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78330
78350
78500
78501
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78509
78510
78511
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78513
78514
78515
78516
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78518
78520
78521
78522
78523
78524
78525
78528
78529
78530
78531
78533
78588
78589
78590
78591
78651
78652
78653
78654
78655
78656
78657
78658
78659
78660
78700
78701
78705
78706
78711
78712
78713
78714
78716
78730
78760
78762
78820
78821
78822
78823
78824
78825
78826
78827
78828
78829
80045
80046
80047
80051
80055
80057
80059
80061
80062
80063
80076
80089
80090
80150
80154
80156
80158
80162
80164
80170
80178
80184
80185
80188
80190
80194
80196
80198
80200
80202
80300
81005
81025
81099
82003
82020
82024
82040
82042
82043
82085
82088
82103
82105
82135
82140
82145
82150
82157
82163
82172
82232
82247
82270
82310
82330
82340
82355
82378
82379
82382
82390
82435
82436
82465
82530
82533
82540
82550
82553
82565
82570
82575
82595
82627
82668
82670
82671
82677
82710
82728
82746
82757
82760
82784
82785
82800
82803
82804
82941
82943
82947
82947b
82951
82955
82977
82985
83001
83002
83003
83010
83015
83020
83021
83030
83036
83070
83491
83497
83498
83505
83521
83525
83540
83550
83586
83615
83615b
83625
83634
83690
83715
83718
83719
83721
83735
83735a
83874
83874b
83925
83930
83935
83970
83986
84035
84060
84066
84075
84080
84081
84100
84105
84106
84119
84126
84132
84133
84135
84144
84146
84153
84155
84156
84165
84220
84244
84295
84300
84305
84402
84403
84432
84436
84439
84443
84450
84460
84466
84478
84480
84520
84540
84550
84560
84577
84578
84585
84620
84702
84703
85002
85013
85014
85018
85031
85032
85041b
85044
85048
85049
85060
85095
85097
85102
85170
85244
85303
85362
85384
85540
85549
85555
85590
85610
85651
85670
85730
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86010
86038
86060
86140
86147
86156
86160
86162
86225
86226
86235
86316
86319
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86332
86337
86359
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86430
86580
86588
86592
86603
86606
86622
86628
86631
86644
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86658
86664
86665
86687
86689
86695
86698
86701
86702
86704
86705
86706
86707
86708
86709
86710
86738
86762
86765
86777
86781
86787
86787b
86803
86880
86885
86886
86890
86899
86900
86906
86917
86920
86921
86922
86923
86924
87040
87045
87070
87087
87106
87115
87116
87161
87162
87163
87177
87177b
87177c
87177d
87180
87205
87207
87211
87220
87272
87274
87276
87285
87340
87340b
87350
87351
87445
88141
88172
88200
88201
88202
88204
88205
88206
88207
88208
88209
88210
88292
88293
88294
88300
88300b
88300c
88300d
88302
88318
89050
89050b
89050c
89050d
89050e
89050f
89050g
89320
90471
90780
90782
90783
90784
90935
90937
90945
90950
90951
90952
91000
91001
91002
91010
91030
91033
91052
91105
91122
92010
92011
92015
92020
92065
92081
92100
92227
92235
92250
92260
92265
92275
92504
92511
92557
92567
92584
92585
92950
92960
92980
92982
92986
93000
93015
93224
93307
93312
93320
93501
93503
93526
93542
93784
93978
94010
94375
94620
94640
94656
94664
95004
95044
95060
95065
95070
95812
95872
95877
95878
95879
95880
95881
95882
95883
95884
95925
95930
96407
96421
96900
97010
97110
97140
97780
97782
99141
99195
99255
99500
D1110
D1120
D1201
D1203
D1204
D1205
D1225
D1351
D3110
D3120
D3220
D3221
D3230
D3240
D3310
D3311
D3320
D3321
D3330
D3331
D5110
D5120
D5211
D5212
D7158
D7160
D7172
D7174
D7180
D7182
D9110
IN001
TJ001
CATALOGO DE PROCEDIMIENTOS SIASIS

NOMBRE
Analgesia bloqueo
Analgesia Neurolisis
Analgesia epidural para parto normal
Anestesia en el servicio de radiologa para procedimientos invasivos
Anestesia endovenosa para realizar procedimientos fuera de Sala de Operaciones
Evaluacin preanestsica a paciente hospitalizado
Incisin y drenaje, o extirpacin de quiste pilonidal
Incisin y drenaje de hematoma, seroma o colecciones de fluidos
Puncin aspiracin de absceso, hematoma, bula o quiste
Debridamiento de piel y tejido subcutneo que incluye extraccin de cuerpo extrao
asociado a fracturas expuestas o dislocaciones
Debridamiento de Piel, Tejido Subcutneo, fascia muscular y msculo
Debridamiento de Piel, Tejido Subcutneo, fascia muscular, msculo y hueso
Recorte de lesiones hiperqueratoticas (ejm. callos)
Biopsia de piel, tejido celular subcutneo y/o membrana mucosa (incluye sutura
simple), lesin simple.
Extirpacin de verrugas
Afeitado de lesiones drmicas o epidrmicas
Excisin de lesiones
Excisin de ua y matriz ungueal, parcial o completa (ejm. ua deformada).
Insercin de cpsulas anticonceptivas implantables
Retiro de cpsulas anticonceptivas implantables
Retiro con insercin de cpsulas contraceptivas implantables
Sutura simple de heridas superficiales, de 2.5 cm o menos
Sutura simple de heridas superficiales, de 2.6 cm a 10 cm
Cierre en capas de heridas, menor de 2.5 cm
Cierre en capas de heridas, de 2.6 cm a 10 cm
Cierre secundario de herida quirrgica o dehiscencia, amplia o complicada
Curacion quirurg. Pequea
Curacion quirurg. Mediana
Curacion quirurg. Grande
Extraccin de puntos
Electrofulguracin
Aplicacin de Aloinjerto de piel
Dermabrasin
Cervicoplasta
Blefaroplasta, prpado inferior
Ritidectoma
Retiro de puntos sin anestesia odontolgica
Cambio de dresing y curaciones bajo anestesia (que no sea anestesia local)
Debridamiento o cura quirrgica de quemaduras bajo anestesia
Escarectoma
Destruccin con o sin curetaje quirrgico, todas las lesiones benignas o premalignas
(p. ej. Queratosis actnica), incluyendo anestesia local
Electrocauterizacin
Quimiociruga
Crioterapia (nieve de dixido de carbono, nitrgeno lquido)
Exfoliacin qumica de acn
Puncin aspirativa de quiste de mama
Biopsia de mama
Excisin de quiste, fibroadenoma u otros tejidos aberrantes benignos, ductales, de
areola o pezn
Mastectoma por ginecomastia
Mastectoma parcial
Mastectoma parcial con linfadenectoma axilar
Mastectoma completa, simple
Mastectoma radical, incluyendo msculos pectorales y ganglios linfticos axilares
Mastectoma radical, incluyendo msculos pectorales, ganglios linfticos axilares y
mamarios internos
Excisin de tumor de pared torcica incluyendo costillas
Excisin de tumor de pared torcica que compromete costillas, con linfadenectoma
mediastnica
Mastopexia
Mamoplasta reductora
Mamoplasta de incremento sin implante

Retiro de implante mamario
Reconstruccin de pezn / areola
Reconstrucin de mama con colgajo miocutneo, con o sin implante de prtsis
Capsulotoma periprtsis de mama
Biopsia de msculo
Biopsia de hueso
Extirpacin de cuerpo extrao subcutneo, en msculo o vaina tendinosa
Artrocentesis, aspiracin y/o inyeccin
Remocin de implante profundo (p. ej. alambre intraseo, clavija, tornillo, banda
metlica, clavo, varilla o placa)
Aplicacin de sistema de fijacin en un solo plano (clavijas o alambres)
Remocin, bajo anestesia, de sistema de fijacin externa
Reimplante de brazo
Reimplante de mano, pie
Reimplante dedo, excluyendo dedo pulgar
Reimplante, dedo pulgar
Injerto seo, cualquier zona donante
Injertos de tejidos, otros (p. ej. paratendn, grasa, dermis)
Control de la presin del lquido intersticial en la deteccin de sndrome
compartimental muscular
Artrotoma de articulacin temporomandibular
Reseccin radical de tumor de tejido blando de cara o cuero cabelludo
Condilectoma, articulacin temporomandibular
Meniscectoma, parcial o completa, articulacin temporomandibular
Tratamiento cerrado de fractura de huesos nasales, tabique nasal
Tratamiento abierto de fractura de huesos nasales, tabique nasal
Tratamiento abierto de fractura nasoetomoidal
Tratamiento abierto de fractura deprimida de seno frontal

Reduccin incruenta de fractura maxilar, mandibular o luxacin de articulacin
temporomandibular
Tratamiento abierto de fractura de complejo nasomaxilar (LeFort tipo II)
Tratamiento abierto de fractura de malar y/o arco cigomtico
Tratamiento abierto de fractura maxilar (Lefort I)
Tratamiento cerrado de fractura del arco dentario de la mandbula o del maxilar
Tratamiento abierto de fractura del arco dentario de la mandbula o del maxilar
Tratamiento abierto de fractura mandibular
Tratamiento abierto de luxacin de articulacin temporomandibular
Tratamiento abierto de fractura de hueso hioides
Excisin de tumor de tejido blando de cuello o trax
Ostectoma del esternn, parcial
Divisin de escaleno anterior
Divisin
delreconstructiva
esternocleidomastoideo
por tortcolis,
operacin oa de
cielo
abierto
Correccin
de pecho excavado
(en embudo")
pecho
hundido ("en
quilla")
Tratamiento cerrado de fractura de clavcula, costilla, rtula, metacarpianos,
metatarsianos, falanges
Tratamiento abierto de fractura de costilla
Tratamiento cerrado de fractura de esternn, escpula, hmero, cbito y/o radio,
huesos del carpo, huesos del tarso
Tratamiento abierto de fractura del esternn
Escisin de tumor de tejido blando de espalda o flanco
Reseccin radical de tumor de tejido blando de espalda o flanco
Excisin parcial de elemento vertebral posterior (ej. apfisis espinosa, lmina o faceta)
Osteotoma de columna vertebral, abordaje posterior o posterolateral
Osteotoma de columna con discectoma, abordaje anterior
Tratamiento cerrado de fracturas y/o luxaciones de cuerpos vertebrales
Tratamiento abierto y/o reduccin de fracturas o luxaciones vertebrales
Extirpacin de depsitos calcreos subdeltoideos (o intratendinosos)

Incisin y drenaje de absceso profundo o hematoma
Artrotoma de articulacin glenohumeral, incluyendo exploracin, drenaje, extirpacin
de cuerpo extrao, biopsia
Artrotoma acromioclavicular, esternoclavicular incluyendo exploracin, drenaje,
extirpacin de cuerpo extrao, biopsia
Reseccin radical de tumor de tejido blando de regin del hombro
Claviculectoma
Acromioplasta
o acromionectoma,
Excisin o legrado
de quiste seo o parcial
tumor benigno de clavcula, escpula o hmero
proximal
Secuestrectoma de clavicula, escpula
Secuestrectoma de cabeza o cuello quirrgico del hmero
Excisin parcial de clavicula, escpula o hmero proximal
Osteotoma de escpula
Reseccin radical de tumor de clavicula o escpula
Correccin de ruptura de manguito musculotendinoso
Liberacin de ligamento coracoacromial, con o sin acromioplasta
Reseccin o trasplante del tendn largo del bceps
Capsulorrafia anterior
Capsulorrafia, articulacin glenohumeral, posterior, con o sin insercin de bloque seo
Artroplasta articulacin glenohumeral; hemiartroplasta
Osteotoma
clavcula,
con o sin
fijacin interna
Tratamiento de
abierto
de fractura
clavicular,
luxacin esternoclavicular,
acromioclavicular
Tratamiento abierto de fractura escapular (cuerpo, cavidad glenoide o acromin)
Tratamiento abierto de luxacin aguda del hombro
Artrotoma de codo, incluyendo exploracin, drenaje o extirpacin de cuerpo extrao
Excisin de tumor de brazo o regin del codo
Reseccin radical de tumor de tejido blando de brazo o regin del codo
Excisin de bolsa del olcranon
Excisin y legrado de quiste seo o tumor benigno de hmero, cabeza o cuello de
radio o apfisis olecraneana
Excisin de cabeza de radio
Secuestrectoma de hmero distal, cabeza o cuello de radio, apfisis olecraneana
Excisin parcial de hmero, cabeza o cuello de radio, apfisis olecraneana
Reseccin radical de cpsula, tejido blando y hueso heterotpico de codo
Reseccin radical de tumor de difisis o hmero distal, cabeza o cuello de radio

Reseccin de articulacin de codo (artrectoma)
extrao en
brazo
o regin
codo
Extirpacin de cuerpo extrao,
brazo
o regin
deldel
codo;
profundo (subfascial o
intramuscular)
Tenoplasta con transferencia de msculo, desde el codo al hombro
Flexor-plasta de codo
Fasciotoma lateral o medial (p. ej. "codo de tenista" o epicondilitis);
Osteotoma de hmero
Tratamiento abierto de fractura de difisis del hmero
Fijacin esqueltica percutnea de fractura humeral condilar, epicondilar,
supracondilar
o transcondilar
Tratamiento
abierto
de fractura humeral condilar, epicondilar, supracondilar o
transcondilar
Tratamiento abierto de fractura periarticular y/o luxacin de codo (fractura del hmero
distal y cbito proximal y/o radio proximal);
Tratamiento cerrado de luxacin de hombro, codo, mueca
Tratamiento abierto de la fractura de Monteggia a nivel del codo (fractura del extremo
proximal de cbito con luxacin de cabeza del radio)
Tratamiento abierto de fractura de cbito, extremo proximal (apfisis olecraneana)
Incisin de vaina tendinosa del extensor, mueca (p. ej. enfermedad de Quervain)
Artrotoma de articulacin radiocarpal o mediocarpal, con exploracin, drenaje o
Excisin de tumor de antebrazo y/o regin de la mueca
Reseccin radical de tumor de tejido blando de antebrazo y/o regin de la mueca
Artrotoma de articulacin de la mueca, radiocubital distal
de ganglin
de mueca
(dorsal
o palmar)
Excisin radical
de bolsa
tendinosa,
lquido
sinovial de mueca o vaina tendinosa de
antebrazo
Excisin o legrado de quiste seo o tumor benigno de radio, cbito, huesos carpales

Reseccin radical de tumor de radio o cbito
Carpectoma, todos los huesos de la fila proximal
Exploracin con extirpacin de cuerpo extrao de antebrazo o mueca
Alargamiento o acortamiento de tendn flexor o extensor de antebrazo o mueca
Tenotoma abierta de tendn flexor o extensor de antebrazo y/o mueca
Deslizamiento del origen de los flexores de antebrazo y/o mueca
Capsulorrafia o reconstruccin de mueca
Centralizacin de mueca sobre el cbito (p. ej. mano pndula radial)
Osteoplasta
radio
cbito
Correccin dede
falta
dey/o
unin
de hueso escafoide (navicular), con o sin estiloidectoma
radial
Revisin de artroplasta de mueca incluyendo remocin de implantes
Tratamiento abierto de fractura de difisis de radio,
de cbitoradio-cubital
radio ydifisis
de articulacin
distal
Tratamiento abierto de fracturas de las difisis del radio y cbito
Fijacin esqueltica percutnea de fractura distal de radio o separacin epifisaria
Tratamiento abierto de fractura distal de radio
Artrodesis de mueca
Desarticulacin de mueca
Fasciotoma palmar
Incisin de vaina tendinosa (p. ej. para dedo "en gatillo")
Artrotoma con exploracin, drenaje, extirpacin de cuerpo suelto o cuerpo extrao o
biopsia en articulacin carpometacarpiana, metacarpofalngica o interfalngica
Excisin de tumor o malformacin vascular de mano o dedo
Reseccin radical de tumor de tejido blando de mano o dedo
Sinovectoma de
articulacin
metacarpofalngica
interfalngica
radical
de vainacarpometacarpiana,
tendinosa (tenosinovectoma)
de tendnoflexor,
palma
y/o dedo
Excisin o legrado de quiste seo o tumor benigno del metacarpo o falanges
Reseccin radical de metacarpo o falanges
Extirpacin de implante de dedo o mano
Correccin o avance de tendn del msculo flexor profundo de los dedos
Restauracin de la oposicin del pulgar ("oponenplasta")
Liberacin de msculos tenares (p. ej. contractura del pulgar)
Capsulodesis en articulacin metacarpofalngica
Capsulectoma o capsulotoma de articulacin metacarpofalngica
Artroplastia de articulacin metacarpofalngica, interfalngica
Correccin de ligamento
colateral
de articulacin
metacarpofalngica
o interfalngica
Reconstruccin
de ligamento
colateral
de articulacin
metacarpofalngica,
interfalngica
Correccin y reconstruccin de dedo, placa palmar o articulacin interfalngica
Correccin de sindactilia (dedos en membrana)
Correccin de dedo bfido
Reconstruccin de dgito supernumerario, tejido blando y hueso
Correccin de macrodactilia
Correccin de msculos intrnsecos de la mano
Liberacin de contractura cicatrizal, flexor o extensor de mano y/o dedo
Fijacin esqueltica percutnea de luxacin carpometacarpiana, interfalngica
Tratamiento abierto de luxacin carpometacarpiana, metacarpofalngica
Tratamiento cerrado de luxacin carpometacarpiana, tarsometarsiana,
metacarpofalngicas, metatarsofalngicas e interfalngicas
Fijacin esqueltica percutnea de fractura inestable de falange

Tratamiento abierto de fractura articular, con compromiso de articulacin
metacarpofalngica o interfalngica
Artrodesis de articulacin carpometacarpiana, metacarpofalngica, o interfalngica
Artrotoma de cadera, incluyendo exploracin, o extirpacin de cuerpo suelto o de
cuerpo extrao o drenaje o biopsia
Reseccin radical de tumor de tejido blando de pelvis y regin de la cadera
Excisin de quiste seo o tumor benigno de pelvis o cadera
Reseccin radical de tumor o infeccin de huesos de pelvis y cadera
Coxigectoma
Acetabuloplasta
Hemiartroplastia
de cadera
Artroplasta, reemplazo
protsico acetabular y femoralproximal (reemplazo total de
cadera)
Revisin de artroplastia total de cadera
Osteotoma de pelvis, bilateral (p. ej. malformacin congnita)
Injerto seo, cabeza y cuello del fmur, rea intertrocantrica o subtrocantrica
Tratamiento del deslizamiento de la epfisis femoral por traccin
Paro epifisario mediante epifisiodesis o engrapado, trocnter mayor
Tratamiento abierto de fracturas de espinas ilacas o de cresta ilaca
Fijacin esqueltica percutnea de fractura y/o luxacin de pelvis

Fijacin esqueltica percutnea de fractura de extremo proximal o cuello femoral
Tratamiento abierto de fractura de extremo proximal o cuello femoral
Manipulacin de articulacin de la cadera con anestesia general
Tenotoma percutnea de aductor o tendones de la corva
Artrotoma de rodilla con exploracin, drenaje, extirpacin de cuerpo extrao o biopsia
sinovial
Excisin de tumor de regin del muslo o rodilla
Reseccin radical de tumor de tejido blando o regin de muslo o rodilla
Excisin de bolsa sinovial prerrotuliana, quiste sinovial de espacio poplteo o lesin de
menisco
Rotulectoma o hemirotulectoma
Excisin parcial de hueso de fmur, tibia proximal y/o peron
Reseccin radical de tumor de hueso de fmur o rodilla
Extirpacin de cuerpo extrao, profundo, regin del muslo o de la rodilla
Sutura de tendn infrarrotuliano; primaria
Sutura de ruptura del msculo cudriceps o de unidad musculotendinosa de la corva
Tenotoma abierta de tendones de la corva, rodilla hasta cadera
Cuadriceplasta
Osteotoma de fmur
Osteotoma tibia proximal, incluyendo excisin u osteotoma de peron

Osteoplasta de fmur; combinado, alargamiento y acortamiento con transferencia de
segmento femoral
Fasciotoma descompresiva, muslo y/o rodilla
Tratamiento cerrado de fractura pelvis, fmur, tibia y peron
Tratamiento abierto de fractura femoral distal, tibial proximal
Manipulacin de articulacin de rodilla bajo anestesia general
Artrodesis de rodilla
Fasciotoma
descompresiva
deprofundo,
pierna hematoma, bolsa sinovial infectada de pierna
Incisin y drenaje
de absceso
o tobillo
Artrotoma de tobillo, incluyendo exploracin, drenaje o extirpacin de cuerpo extrao
Reseccin radical de tumor de tejido blando de pierna o regin del tobillo
Excisin de tumor
piernatendinosa
o regin del
tobillo (p. ej. quiste o ganglio) de pierna y/o
lesin de vaina
o cpsula
tobillo
Excisin o legrado de quiste seo o tumor benigno de tibia o peron
Reseccin radical de tumor seo de tibia, peron, astrgalo o calcneo
Recesin de msculos gemelos (p. ej. procedimiento de Strayer)
Transferencia o trasplante de tendn (con cambio de direccin o de ruta del msculo)
de pierna
Paro
epifisario
de tibia
distal y/o de
peron
distal
Fijacin
esqueltica
percutnea
fractura
de difisis tibial (con o sin fractura del
peron)
Tratamiento abierto de fractura de la difisis tibial, (con o sin fractura del peron)
Tratamiento abierto de fractura de peron proximal o difisis del peron

Tratamiento abierto de fractura bimaleolar o trimaleolar del tobillo
Tratamiento abierto de rotura de la articulacin tibioperoneo distal (sindesmosis)
Tratamiento abierto de luxacin de articulacin tibioperonea proximal o tobillo
Artrodesis de tobillo
Artrodesis de articulacin tibioperonea proximal o distal
Artrotoma intertarsiana, tarsometatarsiana e interfalngica, incluyendo exploracin,
drenaje, extirpacin de cuerpo suelto o de cuerpo extrao o biopsia
Liberacin de tnel del tarso (descompresin del nervio tibial posterior)
Excisin de tumor de pie
Reseccin radical de tumor de tejido blando del pie
Sinovectoma de articulacin intertarsiana, tarsometatarsiana o metatarsofalngica
Excisin o legrado de quiste seo o tumor benigno de huesos del tarso metatarsianos
y falanges
Ostectoma de metatarsianos
Ostectoma, excisin completa, de todas las cabezas metatarsianas, con
falangectoma proximal parcial,
Excisin parcial sea en huesos tarsianos, metatarsianos y falanges de dedos del pie
Talectoma (astragalectoma)
Metatarsectoma
Hemifalangectoma o excisin de articulacin interfalngica de dedo del pie
Reseccin radical de tumor seo de huesos del tarso, metatarsianos y falanges del pie
Extirpacin de cuerpo extrao en pie
Reconstruccin (avance) de tendn tibial posterior con excisin de hueso escafoides
(navicular)
Tenotoma, alargamiento, o liberacin de msculo abductor del dedo gordo
Capsulotoma en pie
Sindactilizacin de dedo del pie

Correccin de "dedo en martillo"
Ostectoma parcial, exostectoma o condilectoma
Correccin de hallux rigidus
Correccin de hallux valgus
Reconstruccin de deformidad angular de dedo del pie, procedimientos para tejido
blando solamente
Sesamoidectoma
Correccin de huesos tarsianos, metatarsianos por falta de unin o unin defectuosa
Reconstruccin de dedo del pie, macrodactilia
Reconstruccin de dedos del pie, polidactilia
Reconstruccin de dedos del pie, sindactilia
Fijacin esqueltica percutnea de fractura de huesos del tarso
Tratamiento abierto de fractura de huesos del tarso, metatarso o falanges
Fijacin esqueltica percutnea de fractura metatarsiana o falanges
Fijacin esqueltica percutnea de luxacin de huesos tarsianos, articulacin
tarsometatarsiana, metatarsofalngicas o interfalngicas
Tratamiento abierto de luxacin de huesos tarsianos, articulacin tarsometatarsiana,
metatarsofalngicas o interfalngicas
Artrodesis triple
Amputacin de pie
Amputacin de dedo
Aplicacin de cors
Aplicacin de vendaje
Aplicacin de yeso en espiga de la cadera
Aplicacin de yeso largo para la pierna (muslo a tobillo o dedos)
Aplicacin de yeso para pie zambo, moldeado, o manipulacin, largo o corto para la
pierna
Remocin de yeso
Artroscopia diagnstica
Artroscopia quirrgica
Biopsia intranasal
Polipectoma nasal
Excisin o destruccin de lesiones intranasales
Tratamiento quirrgico de Rinofima
Reseccin de quiste dermoide nasal
Reseccin de cornete
Rinectoma parcial
Rinectoma total
Inyeccin dentro del cornete nasal
Extirpacin de cuerpo extrao intranasal con necesidad de anestesia general
Rinoplasta primaria
Rinoplasta secundaria
Rinoplasta por deformidad nasal secundario a defectos congnitos
Septoplasta o reseccin submucosa, incluyendo modificacin del contorno o
reemplazo con injerto
Correccin de atresia de coanas
Correccin de fstula oromaxilar
Correccin de fstula oronasal
Cauterizacin y / o ablacin de mucosa de cornete nasal
Lavado por canulacin senos paranasales
Sinusotoma maxilar (antrotoma), abordaje intranasal
Sinusotoma radical (Caldwell Luc)
Ciruga de la fosa pterigomaxilar
Sinusotoma esfenoidal
Sinusotoma frontal
Etmoidectoma
Maxilectoma sin enucleacin de rbita
Maxilectoma con enucleacin de rbita
Endoscopia nasal
Laringotoma con extirpacin de tumor o laringocele, cordectoma
Extirpacin de lesiones de cuerdas vocales con microciruga (ndulo, papilomas)
Laringuectoma total, sin diseccin radical de cuello.
Laringuectoma total, con diseccin radical de cuello

Laringuectoma subtotal supragltica, sin diseccin radical de cuello
Laringuectoma subtotal supragltica, con diseccin radical de cuello
Laringuectoma parcial
Faringolaringuectoma, con diseccin radical de cuello
Aritenoidectoma o aritenoidopexia
Epiglotidectoma
Intubacin endotraqueal, procedimiento de urgencia
Laringoscopia indirecta
Laringoscopia directa
Laringoplasta
Reinervacin larngea con pedculo neuromuscular
Seccin del nervio larngeo recurrente teraputica
Traqueostoma
Cricotirotoma
Revisin de traqueostoma, sin rotacin de flap
Broncoscopia
Aspirado Bronquial
Traqueoplasta
Broncoplasta
Excisin de tumor traqueal o carcinoma
Cierre quirrgico de traqueostoma o fstula
Revisin de cicatriz de traqueostoma
Toracocentesis
Pleurodesis
Toracostoma
Toracotoma
Decorticacin y pleurectoma parietal
Biopsia pleural
Biopsia pulmn o mediastino
Neumocentesis
Neumonectoma
Neumonectoma con reseccin de segmento de trquea
Lobectoma pulmonar
Lobectoma pulmonar + Segmentectoma
Toracoscopia diagnstica
Toracoscopia quirrgica
Cura quirrgica de hernia pulmonar a travs de la pared torcica
Reseccin de costillas, extrapleural
Toracoplasta
Neumotrax teraputico
Pericardiocentesis
Pericardiostoma
Creacin de ventana pericrdica o reseccin parcial para drenaje
Excisin de tumor o quiste pericrdico
Excisin de tumor intracardaco
Insercin de marcapaso permanente
Insercin o reemplazo de electrodo cardaco o catter marcapasos provisorios
Ablacin quirrgica de foco o va arritmognica
Correccin de lesin cardaca, sin derivacin cardiopulmonar
Correccin de lesin cardaca, con derivacin cardiopulmonar
Cardiotoma exploratoria
Reparacin de los grandes vasos intratorcicos sin derivacin cardio-pulmonar
Reparacin de los grandes vasos intratorcicos con derivacin cardio-pulmonar
Colocacin de injerto en aorta o grandes vasos
Valvuloplasta artica
Construccin de conducto apical artico
Reemplazo de vlvula artica con vlvula protsica
Correccin de obstruccin de la va de flujo de salida de ventrculo
Reseccin o incisin de tejido subvalvular por estenosis artica subvalvular
Ventriculomiotoma (-miectoma) por estenosis subartica
Aortoplasta por estenosis supravalvular
Valvotoma mitral a corazn cerrado
Valvotoma mitral a corazn abierto
Valvuloplasta mitral
Reemplazo de vlvula mitral
Valvectoma tricuspdea
Valvuloplasta tricuspdea
Reemplazo de vlvula tricspide
Reposicionamiento y pliegue de la vlvula tricuspide por enfermedad de Ebstein
Valvotoma pulmonar a corazn cerrado
Valvotoma pulmonar a corazn abierto
Reemplazo de vlvula pulmonar
Aumento
va dearteriovenosa
flujo de salidacoronaria
con o sin ocomisurotoma
o reseccin
infundibular
Correccindedelafstula
de fstula de arteria
con cmara
cardaca
Correccin de anormalidades de la arteria coronaria, sin derivacin cardio-pulmonar
Correccin de anormalidades de la arteria coronaria, con derivacin cardio-pulmonar
Bypass arteria coronaria, nico, doble o triple
Bypass arteria coronaria, mayor de tres puentes
Reseccin miocrdica (p. ej. Aneurismectoma ventricular)
Endarterectoma coronaria
Tratamiento quirrgico de cardiopatas congnitas complejas (Atresia tricuspdea,
Ventrculo nico, transposicin de los grandes vasos, tetraloga de Fallot, otros)
Tratamiento quirrgico de cardiopatas congnitas de complejidad mediana
(Comunicacin interventricular, comunicacin interauricular simple)
Septectoma o septostoma auricular a corazn cerrado
abierto con derivacin cardiopulmonar
Procedimientos de shunt, sin by-pass cardiopulmonar: Aorto - Pulmonar, Subclavio Pulmonar, otros)
Correccin total de Troncus Arteriosus (operacin de Rastelli)
Reimplante de arteria pulmonar anmala
Procedimientos de shunt, con derivacin cardiopulmonar
Retiro de dispositivo de asistencia ventricular
Embolectoma o trombectoma, en arteria perifrica
Embolectoma o trombectoma de ramas de aorta abdominal, por laparatoma
Trombectoma venosa
Valvuloplasta de vena femoral
Reconstruccin de vena cava
Transposicin de vlvula venosa
Cura quirrgica de aneurismas, falso aneurismas o excisin e insercin de injerto en
cuello, brazo o pierna
Cura quirrgica de aneurismas, falso aneurismas o excisin e insercin de injerto
mediante incisin torcica
Cura quirrgica de aneurismas, falso aneurismas o excisin e insercin de injerto de
aorta abdominal y/o vasos viscerales e ilacos
Cura quirrgica de fstulas arteriovenosas cabeza y cuello
Cura quirrgica de fstulas arteriovenosas de trax y abdomen
Cura quirrgica de fstulas arteriovenosas de extremidades
Sutura o anastomosis directa de vaso sanguneo intratorcico o intraabdominal
Correccin de vaso sanguneo intratorcico o intraabdominal con injerto
Tromboendarterectoma, con o sin injerto, de arterias perifricas
Tromboendarterectoma, con o sin injerto, de arteria aorta abdominal y sus ramas

Aterectoma perifrica trasluminal percutnea
By-pass Aorto - iliaco o biiliaco
Otras derivaciones (fmoro-femoral, axilo-humeral, cartido-subclavio, axilo-axilar,
femoral - poplteo o similares)
Exploracin vascular, reoperacin, correccin o retiro de injerto vascular
Cateterismo venoso
Exanguneotransfusin, recin nacido
Inyeccin de solucin esclerosante
Cateterizacin
percutnea
de vena
porta
Colocacin de catter
venoso
central
(p. ej. para presin venosa central,
quimioterapia, otros)
Cateterismo venoso para toma selectiva de muestras de sangre de distintos rganos
Cateterismo de vena umbilical, recin nacido
Cateterismo o canulacin arterial (toma de muestra, monitorizacin o transfusin)
Cateterismo arteria umbilical, recin nacido
Anastomosis
arteriovenosa
directaque no sea por anastomosis arteriovenoso, con
Creacin de fstula
arteriovenosa
injerto
Trombectoma de fstula arteriovenosa
Ligadura de troncos arteriales o venosos
Ligadura de Vena Cava inferior
Ligadura y divisin y denudacin completa de de vena safena larga o corta
Ligadura, divisin y excisin de venas varicosas recurrentes o secundarias en piernas
Esplenectoma total
Esplenorrafia (ruptura de bazo)
Drenaje de absceso de ganglio linftico o de linfadenitis
Linfagiotoma u otras operaciones sobre los ganglios linfticos
Sutura y/o ligadura de Conducto Torcico
Biopsia o excisin de ganglios linfticos superficiales
Excisin de higroma qustico

Linfadenectoma conservadora para clasificacin de la etapa del cncer
Linfadenectoma cervical
Linfadenectoma torcica
Linfadenectoma abdominal
Linfadenectoma inguinofemoral
Linfadenectoma plvica
Linfadenectoma retroperitoneal
Excisin de quiste o tumor medastnico
Mediastinoscopia
Correccin de hernia hiatal paraesofgica
Correccin de hernia diafragmtica neonatal
Correccin de hernia diafragmtica (hiatal esofgica)
Biopsia de labios, cavidad oral
Plasta / Reconstruccin de labio
Reseccin de labio, sin reconstruccin
Queiloplasta, primaria, parcial o completa, unilateral
Queiloplasta, primaria, bilateral, uno de dos pasos
Drenaje de absceso, quiste, hematoma, extirpacin de cuerpo extrao de vestbulo de
la boca sin complicaciones
Drenaje de absceso, quiste, hematoma, extirpacin de cuerpo extrao de vestbulo de
la boca, con complicaciones
Frenotoma o frenectoma (Incisin de frenillo labial o lingual)
Excisin de lesin de mucosa y submucosa intra oral
Destruccin de lesin o cicatriz del vestbulo de la boca mediante mtodos fsicos
Rafia de lesiones intraorales, piso de la boca y lengua
Vestibuloplasta
Incisin extraoral y drenaje de absceso, quiste o hematoma del piso de la boca
Biopsia de lengua o piso de la boca
Glosectoma parcial, menos de la mitad de la lengua
Glosectoma, con diseccin radical de cuello
Glosectoma con reseccin del piso de la boca y reseccin mandibular
Glosectoma con reseccin del piso de la boca, reseccin mandibular y diseccin del
cuello suprahioideo
Operacin Comando: glosectoma con reseccin del piso de la boca, reseccin
mandibular y diseccin radical del cuello
Tratamientos restauradores (con amalgama, silicato, otros materiales)
Tratamientos restauradores (con incrustaciones, coronas)

Periodoncias, curetaje gingival y/o relleno seo
Ortodoncias
Drenaje de absceso, quiste, hematoma de las estructuras dentoalveolares
Gingiveptoma excisin de encas cada cuadrante
Operculectoma
Excisin de tuberosidades, lesiones o tumor de estructuras dentoalveolares
Excisin de mucosa alveolar hiperplstica
Alveolectoma, incluyendo legrado de ostetis o secuestrectoma
Alveoloplastas
Drenaje de absceso de paladar o vula
Excisin o destruccin de lesin de paladar, vula
Uvulectoma
Palatofaringoplasta
Palatoplasta para paladar hendido
Alargamiento de paladar
Correccin de fstula nasolabial
Drenaje de absceso de Glndula Salival
Sialitotoma
Biopsia de Glndula salival
Extirpacin de rnula
Marzupializacin de quiste salival o sublingual
Parotidectoma parcial o total
Parotidectoma con diseccin radical de cuello
Submaxilectoma parcial o total
Plasta aparato salival
Incisin y drenaje de absceso paratonsilar
Biopsia farngea
Faringotoma, sutura de faringe
Extripacin de quiste branquial
Amigdalectoma c/s adenoidectoma
Adenoidectoma
Extirpacin de restos amigdalianos
Faringoplasta
Faringostoma
Control de hemorragia naso-oro-farngea
Esofagotoma, abordaje cervical
Esofagotoma, abordaje torcico
faringogastrostoma
o esfagogastrostoma
Esofaguectoma total con interposicin
de colon
o reconstruccin del instestino
delgado
Esofaguectoma segmentaria
Diverticulectoma de hipofaringe o esfago
Fibro Endoscopia digestiva alta
Video Endoscopia digestiva alta
Colangio pancreatografa retrgrada endoscpica (CPRE)
Esofagogastrostoma
Fundoplasta esofagogstrica
Esofagomiotoma
Esofagoyeyunostoma
Reconstruccin gastrointestinal con interposicin de colon o reconstruccin del
intestino delgado
Ligadura directa de vrices esofgicas
Ligadura o engrapado de la unin gastroesofgica por perforacin esofgica
Sutura de herida o lesin esofgica
Dilatacin de esfago (sesin)
Taponamiento esofagogstrico con baln (tipo Sengstaaken)
Gastrotoma con exploracin c/s extirpacin de cuerpo extrao y/o tumor benigno
Gastrotoma con sutura de lcera sangrante o laceracin esofagogstrica preexistente
(p. ej. Mallory Weiss)
Piloromiotoma
Gastrectoma total con esogafoenterostoma, y procedimiento de reconstruccin
Gastrectoma parcial distal con gastroduodenostoma o gastroyeyunostoma, incluye
procedimiento de reconstruccin
Vagotoma con gastrectoma distal parcial
Gastrectoma parcial (subtotal)
Vagotoma troncal o selectiva, incluye piloroplasta c/s gastrostoma
Vagotoma Ultraselectiva
Piloroplasta
Gastroduodenostoma
Gastroyeyunostoma
Gastrostoma
Gastrostoma neonatal para alimentacin
Gastrorrafia
Gastrorrafia + parche de epiplon (Graham) por lcera perforada
Gastroplasta
Revisin de anastomosis gastroduodenal, gastroyeyunal
Cierre de gastrostoma
Cierre de fstula gastroentrica o gastroclica
Enterlisis, liberacin de adherencias o bridas peritoneales o intestinales
Duodenotoma
Enterostomas
Colotoma
Reduccin de Vlvulo, Intususcepcin, Hernia interna por laparotoma
Correccin de malrotacin
Reseccin de Intestino delgado
Enteroenterostoma, anastomosis de Intestino
Movilizacin (desmontado) del ngulo esplnico con colectoma parcial
Colectoma parcial con anastomosis
Colectoma total, reseccin abdomino-perineal
Proctocolectoma total
Colostoma o cecostoma con exteriorizacin a piel
Revisin de colostoma simple
Sutura de intestino delgado, Enterorrafia
Sutura de intestino grueso, Colorrafia
Correccin plstica de estrechez intestinal
Cierre de fstula enterocutnea
Excisin de divertculo de Meckel (diverticulectoma) o conducto onfalomesentrico
Apendicectoma
Apendicectoma con lavado de cavidad c/s drenaje
Drenaje de absceso plvico, perirrectal
Biopsia de pared anorectal, abordaje anal
Proctectoma completa
Proctectoma parcial
Protectoma completa por megacolon congnito
Tratamiento quirrgico de prolapso mucoso
Excisin de tumor rectal
Proctosigmoidoscopia
Fibro Colonoscopia derecha
Fibro Colonoscopia izquierda
Video Colonoscopia derecha
Video Colonoscopia izquierda
Proctoplasta
Proctopexia por prolapso
Proctopexia combinada con reseccin sigmoidea, abordaje abdominal
Tratamiento quirrgico de rectocele
Extirpacin de impactacin fecal o cuerpo extrao bajo anestesia
Incisin y drenaje de absceso perianal
Esfinterotoma anal, divisin del esfinter
Incisin de hemorroide trombosada
Fisurectoma c/s esfinterectoma
Criptectoma
Papilectoma
Hemorroidectoma
Tratamiento quirrgico de fstula anal (fistulectoma, fistulotoma)
Trombectoma hemorroidaria
Anoscopia
Anoplasta
Reparacin de anomala cloacal por anorectovaginoplasta y uretroplasta
Esfinteroplasta anal
Cerclaje de esfnter anal (Thiersch)
Retiro de alambre
(de Thiersch)
sutura de papiloma,
canal analmolusco contagioso, herpes
Destruccin
de lesiones
anales: o
condiloma,
genital
Destruccin de hemorroides
Biopsia heptica, percutnea
Hepatotoma, para drenaje de absceso, quiste
Laparotoma c/aspiracin y/o inyeccin de parasiticidas
Biopsia heptica en cua
Hepatectoma, reseccin parcial de hgado, lobectoma parcial
Marsupializacin de quiste o absceso de hgado
Tratamiento quirrgico de trauma heptico, grado I, II
Tratamiento quirrgico de trauma heptico, grado III, IV
Reexploracin heptica para retiro de compresas por taponamiento

Hepaticotoma o hepaticostoma c/exploracin, drenaje o extraccin de clculo
Coledocotoma o coledocostoma c/ exploracin, drenaje, o extraccin de clculo c/s
colecistotoma, sin esfinteroplastia transduodenal
Esfinterotoma o esfinteroplasta transduodenal c/s extraccin de clculo
Colecistotoma o colecistostoma c/exploracin, drenaje, o extraccin de clculo
Colecistectoma
Colecistectoma con exploracin de vas biliares
Excisin de quiste de coldoco
Derivacin colecistoyeyunal
Anastomosis de conductos biliares extrahepticos y tracto gastrointestinal
Anastomosis deplstica
conductos
y tracto gastrointestinal
Reconstruccin
de intrahepticos
conductos extrahepticos
con anastomosis termino terminal
Colocacin de frula coledociana
Drenaje va biliar transparenquima heptico (Praderi)
Colocacin de drenes peripancreticos
Reseccin o debridamiento de pncreas y tejido peripancretico
Biopsia de pncreas, abierta
Biopsia de pncreas, percutnea
Excisin de lesin de pncreas
Pancreatectoma distal subtotal c/s esplenectoma
Excisin de Ampolla de Vater
Duodeno pancreatectoma
Anastomosis pancretico digestivas
Marsupializacin de quiste pancretico
Drenaje externo de seudoquiste pancretico
Anastomosis interna de quiste pancretico al tracto gastrointestinal
Pancreatorrafia
Exclusion duodenal con gastroyeyunostoma por trauma pancreatico
Laparotoma exploradora c/s biopsia
Laparostoma
Laparotoma + lavado de cavidad c/s drenaje
Drenaje de absceso peritoneal, subfrnico o retroperitoneal a cielo abierto
Drenaje de absceso peritoneal, subfrnico o retroperitoneal, percutneo
Drenaje de linfocele extraperitoneal a cavidad peritoneal, a cielo abierto
Peritoneocentesis, paracentesis abdominal o lavado peritoneal
Biopsia de masa abdominal o retroperitoneal
Excisin o destruccin de tumores, quistes o endometriomas intra o retroperitoneales
Excisin de tumores presacros o sacrococcigeos
Celiotoma (laparotoma) para estadiaje de Enfermedad de Hodgkin o linfoma
Onfalectoma
Omentectoma, epiploectoma
Hernioplasta inguinal o crural unilateral
Hernioplasta inguinal o crural unilateral, incarcerada o estrangulada
Otras hernioplastas de pared abdominal
Tratamiento quirrgico de eventracin
Hernioplasta epigstrica
Hernioplasta epigstrica incarcerada o estrangulada
Hernioplasta umbilical
Hernioplasta umbilical incarcelada o estrangulada
Hernioplasta de Spiegel
Tratamiento quirrgico de onfalocele o gastroquisis
Sutura secundaria de pared abdominal por evisceracin o dehiscencia
Drenaje de absceso perirrenal o renal, a cielo abierto
Drenaje de absceso perirrenal o renal, percutneo
Nefrostoma, nefrotoma con drenaje
Nefrolitotoma, extirpacin de clculo
Pielotoma, con exploracin
Biopsia renal percutnea
Nefrectoma radical con linfadenectoma regional y/o trombectoma de vena cava
Nefrectoma parcial
Excisin de lesin, quiste renal o perinfrico
Pieloplasta
Pieloplasta complicada
Nefrorrafia
Sinfisiotoma por rin "en herradura"
Endoscopia renal
Litotripsia
Ureterotoma
Ureterolitotoma
Ureterectoma
Ureteroplasta
Ureterolisis
Revisin de anastomosis urinaria-cutnea (urostoma)
Ureteropielostoma, Ureterocalicostoma
Ureteroureterostoma
Ureteroneocistostoma
Ureteroenterostoma
Ureterosigmoidostoma
Reemplazo de la totalidad o parte del urter con segmento de intestino
Apendico-vesicostoma cutnea
Ureterorrafia
Cierre de fistula ureterovisceral
Cierre de fstula ureterovesical
Ligadura de urter
Endoscopia ureteral
Aspiracin vesical
Cistolitotoma
Excisin de quiste del uraco o de seno uracal
Cistectoma parcial
Cistectoma completa
Cistectoma completa con linfadenectoma regional plvica
Cistectoma completa con derivacin ureteral a intestinos o piel
Cistectoma completa con derivacin ureteral a intestinos o piel con linfadenectoma
regional plvica
Irrigacin de la vejiga, simple, lavado y/o instilacin
Cistometrograma
Uroflujometra
Cistoplasta o cistouretroplasta
Vesicouretropexia anterior o uretropexia
Suspensin del cuello vesical abdomino-vaginal
Cistorrafia
Tratamiento quirrgico de fstulas vesicales
Cierre de extrofia vesical
Enterocistoplasta
Vesicostoma cutnea
Cistouretroscopia
Uretrotoma o uretrostoma
Meatotoma
Biopsia de uretra
Uretrectoma
Excisin de divertculo de uretra
Marsupializacin de divertculo uretral
Excisin o fulguracin de plipos uretrales

Uretroplasta
Uretromeatoplasta
Destruccin de lesiones en pene: condiloma, papiloma, molusco contagioso, herpes
Biopsia de pene
Excisin de placas de pene (Enfermedad de Peyronie)
Amputacin parcial de pene
Amputacin completa de pene
Amputacin radical de pene
Circuncisin, Recin nacido
Postectoma
Plasta de pene
Shunt de Cuerpos cavernosos con vena safena por priapismo
Liberacin de adherencias balano prepuciales
Biopsia testicular con aguja
Biopsia de testculo incisional
Excisin de lesin local de testculo
Orquiectoma simple
Orquiectoma radical por tumor
Exploracin de testculos no descendidos
Reduccin quirrgica de torsin testicular
Sutura
lesin testicular
Incisinoyreparacin
drenaje dede
epiddimo,
testculo y/o espacio escrotal (p. ej. absceso o
hematoma)
Biopsia de epiddimo con aguja
Exploracin de epiddimo c/s biopsia
Epididectoma unilateral
Epididectoma bilateral
Epididimoovasostoma, anastomosis del epiddimo al conducto deferente unilateral
Puncin aspiracin de hidrocele, c/s inyeccin de medicamento
Excisin de hidrocele
Reparacin de hidrocele
Drenaje de absceso de pared escrotal
Extraccin de cuerpo extrao en escroto
Reseccin de escroto
Escrotoplasta
Vasectoma uni o bilateral

Ligadura percutnea de conducto deferente
Excisin de lesin de Cordn espermtico
Excisin de varicocele o ligadura de venas espermticas debido a varicocele
Vesiculotoma
Vesiculectoma
Biopsia de prstata
Prostatectoma perineal, subtotal
Prostatectoma perineal radical
Prostatectoma suprapbica, subtotal
Prostatectoma retropbica radical
Colocacin transperineal de agujas o catteres en celda prosttica para radiacin
Laparoscopia diagnstica
Bloqueo
bilateral
por va
laparoscpica
Excisin tubrico
de lesiones
de ovario,
visceras
plvicas, o superficie peritoneal por va
laparoscpica
Salpingo-ooforectoma parcial o total por va laparoscpica
Histerectoma vaginal asistida por laparoscopia
Miomectoma por va laparoscpica
Lisis de bridas y adherencias peritoneales e intestinales por va laparoscpica
Linfadenectoma por va laparoscpica
Laparoscopia para drenaje de linfocele abierto a cavidad peritoneal
Apendicectoma por va laparoscpica
Hernioplasta inguinal por va laparoscpica
Orquiectoma por va laparoscpica
Tratamiento de varicocele por laparoscopia
Adrenalectoma parcial o total por va laparoscpica
Vagotoma troncular por va laparoscpica
Vagotoma selectiva o ultraselectiva por va laparoscpica
Colecistoenterostoma por va laparoscpica
Cierre de colostoma tipo Hartman por va laparoscpica
Reseccin colnica asistida por laparoscopia
Rectopexia por va laparoscpica
Tratamiento quirrgico de quistes no parasitarios hepticos por va laparoscpica
Tratamiento quirrgico de quiste renal va anterior o lumbotoma por va laparoscpica
Colecistectoma por va laparoscpica
Colecistectoma por va laparoscpica con exploracin de vas biliares
Salpingostoma por va laparoscpica
Fimbrioplasta por va laparoscpica

Gastrostoma por va laparoscpica
Yeyunostoma por va laparoscpica
Reseccion intestinal con anastomosis via laparoscpica
Fundoplicatura esofagogstrica por va laparoscpica
Histeroscopia diagnstica
Histeroscopia quirrgica con lisis de adherencias intrauterinas, divisin de tabique
intrauterino, extirpacin de tumores, ablacin endometrial, toma de muestra
Incisin y drenaje de absceso perineal o vulvar
Marsupializacin de quiste de Glndula de Bartholin
Destruccin de lesiones de vulva
Biopsia de vulva o perineo
Vulvectoma simple parcial o total
Vulvectoma radical
Himenectoma parcial
Excisin de Glndula de Bartholin
Reparacin plstica de introito
Colpotoma con exploracin
Colpocentesis
Vaginectoma parcial
Vaginectoma completa
Colpocleisis
Excisin de tabique, quiste o tumor vaginal
Colpoperrineorrafia
Reparacin plstica de uretrocele
Colporrafia anterior
Colporrafia posterior
Colporrafia anteroposterior
Tratamiento quirrgico de enterocele
Reparacin de defecto paravaginal
Construccin de neovagina artificial
Tratamiento quirrgico de fstulas vaginales
Dilatacin y/o extirpacin de cuerpo extrao de vagina bajo anestesia
Colposcopia
Biopsia, excisin local de lesin en cuello uterino
Cauterizacin de crvix
Conizacin de crvix
Traquelectoma, amputacin de crvix
Traquelectoma radical
Excisin de muon cervical
Cerclaje de crvix
Traquelorrafia
Biopsia de endometrio
Dilatacin y legrado, diagnstico y/o teraputico
Miomectoma uterina, va abdominal
Miomectoma uterina, va vaginal
Histerectoma abdominal total c/s anexectoma
c/s vaginectoma
anexectoma y biopsia ganglionar c/s
total, incluyendo
anexectoma
Histerectoma abdominal radical con linfandenectoma plvica total bilateral y biopsia
de ganglios paraarticos c/s anexectoma
Exenteracin plvica
Histerectoma vaginal con anexectoma
Histerectoma vaginal con colpectoma parcial o total
Histerectoma vaginal radical
Insercin o remocin de dispositivo intrauterino (DIU)
Extraccin de DIU ectpico
Suspensin uterina c/s acortamiento de ligamentos
Histeroplasta
Ligadura o transeccin de trompas de Falopio
Oclusin de trompas de Falopio
Salpingectoma unilateral o bilateral
Salpingo-ooforectoma unilateral o bilateral
Lisis de adherencias: salpingolisis
Fimbrioplasta
Salpingoplasta
Drenaje de quistes , absceso ovrico
Biopsia de ovario
Reseccin en cua de ovario
Cistectoma ovrica, uni o bilateral
Ooforectoma parcial o total, uni o bilateral
Puncin folicular para obtencin de vulo
Amniocentesis
Test de estrs fetal
Histerotoma abdominal
Tratamiento quirrgico de embarazo ectpico
Legrado postparto
Insercin de dilatador cervical (p. ej. laminaria, prostaglandina)
Histerorrafia por ruptura uterina
Atencin obsttrica de rutina: atencin preparto, parto vaginal (c/s episiotoma y/o
forceps) y atencin postparto
Parto vaginal solamente
Extraccin
de placenta
retenida
Atencin
obsttrica
de rutina:
atencin preparto, parto por cesrea y atencin
postparto
Cesrea
Cesrea + histerectoma
Histerometra
Evacuacin uterina de bito fetal + legrado uterino
Incisin y drenaje de quiste tirogloso
Aspiracin de quiste tiroideo
Biopsia percutnea de tiroides
Excisin de quiste o adenoma de tiroides o transeccin del istmo
Lobectoma tiroidea parcial
Lobectoma tiroidea total
Tiroidectoma total
Tiroidectoma total o subtotal con diseccin conservadora de cuello
Tiroidectoma total o subtotal con diseccin radical de cuello
Timectoma parcial o total
Adrenalectoma parcial o completa
Excisin de tumor del cuerpo carotdeo s/excisin de arteria cartida
Excisin de tumor del cuerpo carotdeo con de excisin de arteria cartida
Puncin evacuadora subdural en lactante
Puncin ventricular
Puncin cisternal
Trepano puncin para drenaje ventricular
Trepanacin para biopsia cerebral
Trepanacin para drenaje de absceso o quiste cerebral
Trepanacin para drenaje de hematoma subdural o extradural
Trepanacin para colocacin de sistemas de medicin de presin intracraneal
Insercin de dispositivo subcutneo, bomba o sistema de infusin continua para
conectar con un catter ventricular
Trepanacin exploratoria supratentorial
Trepanacin exploratoria infratentorial
Craniectoma o craneotoma exploratoria supratentorial
Craniectoma o craneotoma exploratoria infratentorial
Craniectoma o craneotoma para evacuacin de hematoma supratentorial, epidural,
subdural o intracerebral
Craniectoma o craneotoma para evacuacin de hematoma infratentorial, epidural,

subdural
o intracerebelar
Craniectoma
o craneotoma para extripacin de lesiones parenquimales
supratentoriales
Craniectoma o craneotoma para extripacin de lesiones parenquimales
infratentoriales
Craniectoma suboccipital con laminectoma cervical para descompresin de bulbo y
mdula espinal
Craneotoma para seccin de tienda del cerebelo
Craneotoma para lesiones de base de crneo y rbita con microciruga
Craneotoma por lobotoma incluyendo cingulotoma
Craniectoma con excisin de tumor u otra lesin sea del crneo
Craneotoma para extirpacin de lesiones hemisfricas cerebrales y ventriculares con
microciruga
Craneotoma para extirpacin de lesiones de tronco cerebral, IV ventrculo y glndula
pineal
Lobectoma temporal
Hemisferiectoma total
Hemisferiectoma
Craneotoma
para parcial
hipofisectoma o excisin de tumor hipofisiario, abordaje
intracraneal
Hipofisectoma o excisin de tumor hipofisiario, abordaje transnasal o transeptal
Craniectoma por craneosinostosis
Craniectoma amplia por craneosinostosis de varias suturas craneales
Craniectoma o craneotoma c/excisin de cuerpo extrao en cerebro
Craniectoma o craneotoma con tratamiento de herida penetrante en cerebro
Abordaje transoral de base de crneo, tronco enceflico o mdula espinal alta para
biopsia, descompresin o excisin de lesiones
Ciruga de arteria cartida en el seno cavernoso o en canal petroso
Oclusin transcatter o embolizacin
Craenotoma y/o craniectoma para tratamiento de malformaciones arteriovenosas
Ciruga para aneurisma intracraneal abordaje intracraneal
Ciruga para aneurisma intracraneal, abordaje cervical
Cirugia para aneurisma, malformacin vascular o fstula cartida cavernosa
Anastomosis arterial, arterias extracraneal-intracraneal
Cirugas craneales por estereotaxia
BIOPSIA-CEREBRAL POR ESTEROTAXIA
Trepano-puncin
para colocacin
electrodos intracraneales
Craniectoma o craneotoma
parade
implantacin
o remocin de electrodos
intracraneales
Levantamiento de fractura de crneo deprimida
Levantamiento de fractura de crneo con reparacin de duramadre o debridamiento
de
tejido cerebral
Craneotoma
para reparacin de escape de LCR, incluyendo cirugia para
rinorrea/otorrea
Craneoplasta
Ventriculocisternostoma
Derivacin subaracnoideo/subdural -atrial, -yugular,-auricular
Derivacin subaracnoideo/subdural -peritoneal, -pleural, otros

Derivacin ventrculo-atrial, -yugular,-auricular
Derivacin ventrculo-peritoneal, -pleural, otros
Reemplazo o revisin de derivacin de LCR, vlvula obstruida o catter distal
Aspiracin percutnea, quiste de mdula espinal o cavidad siringomilica
Puncin espinal, lumbar
Implante, revisin, reposicionamiento o remocin de catter intratecal o epidural
Implante, reemplazo o remocin de reservorio o bomba subcutnea para infusin
intratecal o epidural
Laminectoma descompresiva por lesin de canal vertebral
Laminotoma (hemilaminectoma), excisin de hernia discal
Laminectoma, facetectoma y foraminotoma
Abordaje transpedicular con descompresin de mdula espinal, cola de caballo y/o
races nerviosas
Abordaje costovertebral con descompresin de mdula espinal, cola de caballo y/o
races
nerviosas
Corpectoma
vertebral (reseccin de cuerpo vertebral) parcial o completa, abordaje
anterior
Corpectoma vertebral (reseccin de cuerpo vertebral) parcial o completa, abordaje
transtorcico
combinado toracolumbar
Laminectoma con mielotoma, cervical, torcica o toracolumbar
Laminectoma y derivacin siringo-aracnoideas o siringo-peritoneal
con cordotoma
Laminectoma para
excisin u oclusin de malformacin arteriovenosa de mdula
espinal
Laminectoma para biopsia, excisin o evacuacin de lesin intraespinal
Implantacin percutnea de electrodos espinales
Laminectoma para implantacin de electrodos espinales
Revisin o retiro de electrodos espinales
Correccin quirrgica de defectos congnitos o adquiridos de columna vertebral y/o
mdula espinal
Injerto dural espinal
Laminectoma para derivacin de lquido cfalorraquideo en mdula espinal
Derivacin de lquido cefalorraquideo en mdula espinal, percutneo
Bloqueo de nervio perifrico
Infiltraciones paravertebrales de troncos y ganglios simpticos
Implante, revisin o remocin de electrodos de nervios perifricos
Destruccin mediante agente neuroltico de nervio perifrico
Exploracin y liberacin de nervios perifricos
Excisin de neuroma, neurofibroma, neurolemoma

Biopsia de nervio
Simpatectoma y gangliectoma simptica
Reconstruccin microquirrgica de nervio perifrico
Reconstruccin microquirrgica de Plexo braquial o lumbosacro
Reconstruccin microquirrgica de pares craneales
Anastomosis facial-espinal accesorio, facial-hipogloso, facial-frnico
Neurorrafia con injerto de nervio
Evisceracin de contenidos oculares
Enucleacin de Globo ocular
Exenteracin de la rbita
Extraccin de cuerpo extrao, superficie conjuntival
Extraccin de cuerpo extrao intraocular, de cmara anterior o cristalino
Extraccin de cuerpo extrao intraocular, de segmento posterior
Correccin de laceracin de conjuntiva, sutura directa
Sutura de herida corneal
Correccin de herida de msculo extraocular, tendn y/o cpsula de Tenon
Excisin de lesin crnea (queratectoma)
Biopsia de crnea
Excisin o tranposicin de pterigion
Raspado de crnea, diagnstico
Remocin de epitelio corneal
Destruccin de lesin de crnea por crioterapia, fotocoagulacin o termocoagulacin
Queratotoma radial
Paracentesis de cmara anterior de ojo
Goniotoma
Trabeculotoma
Trabeculoplasta
Seccin de adherencias de segmento anterior, tcnica de lser
Seccin de adherencias de segmento anterior con tcnica incisional, gonisinequia
Excisin de lesin en esclertica
Derivacin del humor acuoso a reservorio extraocular
Correccin de estafiloma escleral
Iridotoma
Iridectoma
Correccin de iris, cuerpo ciliar
Destrruccin de Cuerpo ciliar
Iridotoma / Iridectoma por lser
Destruccin de quiste o de lesiones del iris o cuerpo ciliar
Ciruga de catarata
Ciruga de catarata con facoemulsificacin
Extraccin de catarata con insercin de lente intraocular
Insercin de lente intraocular no asociado con remocin de catarata

Implante secundario de lente intraocular
Vitrectoma anterior
Aspiracin o liberacin de vtreo, fludo subretinal o coroidal va pars plana
Inyeccin intravtreo de agentes farmacolgicos
Seccin de adherencias vtreas, lminas, membranas, opacidades con lser
Vitrectoma mecnica va pars plana
Vitrectoma con fotocoagulacin endolser
Correccin de desprendimiento de retina
Correccin de desprendimiento de retina con vitrectoma
Profilaxis de desprendimiento de retina
Destruccin de lesin localizada de retina
Destruccin de lesin localizada de coroides
Destruccin de retinopata extensa o progresiva
Ciruga para estrabismo
Inyeccin retrobulbar
Implante orbitario
Descompresin del nervio ptico
Blefarotoma, drenaje de absceso en prpado
Cantotoma, Cantoplasta
Excisin de chalazion
Biopsia de prpado
Correccin de triquiasis, epilacin
Excisin de lesiones, tumores de prpados
Cierre temporal de prpados mediante sutura
Construccin de adherencias intermarginales, tarsorafia mediana o cantorafia
Cura quirrgica de ptosis palpebral
Blefarorrafia
Extirpacin de cuerpo extrao internalizado en prpado
Reconstruccin de prpado
Incisin y drenaje de absceso, quiste, hematoma conjuntival
Excisin de lesin de conjuntiva
Conjuntivoplasta
Recubrimiento conjuntival
Incisin, drenaje de tracto lacrimal
Excisin de glndula lacrimal - saco lacrimal
Biopsia de glndula lacrimal - saco lacrimal
Extraccin de cuerpo extrao en tracto lacrimal

Excisin de tumor de glndula lacrimal
Correccin plstica de canalculo
Dacriocistorrinostoma
Conjuntivorrinostoma
Sondeo de conducto nasolacrimal
Drenaje de pabelln auricular o conducto auditivo externo, absceso o hematoma
Amputacin de pabelln auricular
Excisin de exostosis, lesin de conducto auditivo externo
Excisin radical de lesin de conducto auditivo externo, con diseccin de cuello
Extraccin de cuerpo extrao del conducto auditivo externo
Remocin de cerumen impactado
Otoplasta
Reconstruccin de conducto auditivo externo (meatoplasta)
Reconstruccin de conducto auditivo externo por atresia congnita
Insuflacin de trompa de Eustaquio, transnasal
Cateterizacin de trompa de Eustaquio, transtimpnica
Miringotoma
Timpanostoma
Antrotoma transmastoidea
Mastoidectoma radical
Apicectoma ptrea, incluyendo mastoidectoma radical
Reseccin de hueso temporal
Excisin tumor de glomus
Miringoplasta
Timpanoplasta sin mastoidectoma
Estapedectoma o estapedotoma
Correccin de fstula de la ventana redonda
Neurectoma timpnica
Implantacin o reemplazo de dispositivo de audicin de conduccin sea
Descompresin de nervio facial
Sutura de nervio facial
Laberintotoma
Operacin del saco endolinftico
Laberintectoma
Laberintectoma con mastoidectoma
Implantacin de dispositivo coclear
Descompresin total del nervio facial
Decompresin del conducto auditivo interno
Maxilar inferior (3 placas)
Mastoides (4 placas)
Meatos auditivos internos
Maxilar superior (2 placas)
Huesos nasales (2 placas)
Dacriocistografa, conducto nasolagrimal
Agujeros pticos (2 placas)
Orbitas (2 placas)
Senos paranasales (3 placas)
Silla turca (2 placas)
Craneo frontal y perfil (2 placas)
Dientes
Dientes, boca entera
Articulacin Temporo maxilar (2 placas)
Artrografa temporomandibular
Laringografa (1 placa)
Sialografa (3 placas)
Tomografa axial computarizada de cabeza
Tomografa axial computarizada de rbita, silla turca o fosa posterior, u odo externo,
medio o interno
Tomografa axial computarizada zona maxilofacial
Tomografa axial computarizada de cuello
(Imgenes por) Resonancia magntica cabeza y/o cuello
Trax frontal
Trax frontal y lateral
Bronquiografa
Costillas, parrilla costal por lado (2 placas)
Esternn (2 placas)
Tomografa axial computarizada de trax
(Imgenes por) Resonancia magntica trax
Columna vertebral completa
Columna vertebral vista nica, cualquier nivel
Columna cervical antero posterior y lateral (2 placas)
Columna cervical antero posterior, lateral y oblicua
Columna cervical funcional (4 placas)
Columna dorsal f-p (2 placas)

Columna dorsal f-p-o (4 placas)
Columna dorso lumbar (2 placas)
Columna lumbo sacra f-p (2 placas)
Columna lumbo sacra f-p-o (4 placas)
Tomografa axial computarizada de columna vertebral
(Imgenes por) Resonancia magntica de canal espinal y su contenido
Pelvis (1 placa)
Pelvis completa (3 placas)
Tomografa axial computarizada de pelvis
(Imgenes por) Resonancia magntica de pelvis
Articulaciones sacroilacas
Mielografia Columna Toracica sin Contraste
Mielografa de canal espinal
Discografa
Clavcula (1 placa)
Escpula
Hombro (2 placas)
Artrografa (5 placas), artrografa del hombro
Hmero (2 placas)
Codo (2 placas)
Artrografa (5 placas) artrografa del codo
Antebrazo (2 placas)
Mueca (2 placas)
Artrografa (5 placas) artrografa de mueca
Mano (2 placas)
Dedos (1 placa)
Tomografa axial computarizada de extremidad superior
(Imgenes por) Resonancia magntica de extremidad superior
Cadera coxofemoral (2 placas)
Artrografa (5 placas) artrografa de cadera
Artrografa (5 placas) artrografa sacro iliaca
Muslo fmur (2 placas)
Rodilla (2 placas)
Artrografa (5 placas) artrografa rodilla
Pierna (2 placas)
Tobillo (2 placas)
Artrografa (5 placas) artrografa tobillo
Pie (2 placas)
Pies comparativos
Tomografa axial computarizada de extremidad inferior
(Imgenes por) Resonancia magntica de extremidad inferior
Simple de abdomen
Abdmen simple- de cbito y de pie completo

Tomografa axial computarizada de abdomen
(Imgenes por) Resonancia magntica de abdomen
Peritoneograma
Esofagograma (2 placas)
Estudio a doble contraste de estmago y duodeno (8 placas)
Serie contrastada gastrointestinal alta (6 placas)
Trnsito intestinal
Estudio radiogrfico de colon a doble contraste (6 placas)
Colecistografa oral (3 placas)
Colangiografa endovenosa (3 placas)
Colangiografa y/o pancreatografa trans-operatoria (2 placas)
Colangiografa post operatoria (trans-kerh) (3 placas)
Colangiografa transparietoheptica (3 placas)
Urografa excretoria (4 placas)
Urografa excretoria por infusin (4 placas)
Urografa retrgrada
Urografa funcional
Cistografa (2 placas)
Uretrocistografa retrgrada (2 placas)
Pelvimetra (3 placas)
Histerosalpingografa (4 placas)
Imgenes cardacas por Resonancia magntica
Aortografa torcica
Aortografa abdominal
Arteriografa cervicocerebral (6 placas)
Arteriografa braquial retrgrada
Arteriografa espinal
Arteriografa perifrica (4 placas)
Arteriografa visceral (6 placas)
Linfangiografa
Espleno portografa (4 placas)
Venografa perifrica
Venografa Cava inferior (3 placas)
Venografa Cava superior (3 placas)
Venografa visceral
Portografa transheptica percutnea
Edad sea (1 placa)
Medicin de miembros (2 placas)
Densitometra sea (estudio de osteoporosis) (2 placas)
Examen radiolgico, estudio de absceso, fstula o tracto sinusal, supervisin e

interpretacin radiolgicas
Mamografa unilateral (2 placas)
Mamografa bilateral (4 placas)
(Imgenes de) Resonancia magntica de mama
Ecografa transfontanelar
Orbitas
Ecografa de tejidos blandos de cabeza y cuello
Ecografa de trax: opacidadaes pulmonares, colecciones lquidas
Ecografa de mamas
Ecografa abdominal
Ecografa retroperitoneal
Ecografa renal
Ecografa canal espinal y contenido
Ecografa obsttrica
Determinacin de perfil biofisico fetal
Histerosonografa
Ecografa plvica (tero y anexos)
Ecografa de escroto y contenido
Ecografa de extremidades
Ecografa de cadera (nio)
Teleterapia (Telecobaltoterapia) sesin
ACELERADOR LINEAL (1 SESION)
BRAQUITERAPIA DE CONTACTO
MASCARA PARA PACIENTES
PLANIFICACION FISICA
RADIOTERAPIA: RADIUN INTRACAVITARIO
SIMULACION VERIFICACION
Aplicacin intracavitaria del radioelemento
Aplicacin intersticial del radioelemento
Braquiterapia posterior remota de alta intensidad
Aplicacin superficial del radioelemento
Captacin por tiroides
Imgenes del tiroides
Prueba de supresin con T3 Gammagrafca
Prueba de estmulo con TSH - Gammagrfica

Rastreo de tejido tiroideo
Terapia de hiperfuncin con I-131
Terapia de atipias diferenciadas con I-131
Radioablacin Funcional Tiroidea con I-131
Gammagrafa de Tiroides planar y tomogrfica con TEC99M
Gammagrafa de Tiroides planar y tomogrfica con I-131
Gammagrafa de Tiroides y captacin con TEC99M
Rastreo de tejido tiroideo con Talio-201
Deteccin de Adenomas paratidoideos con Talio-201 y TEC 99
Deteccin de Adenomas paratiroideos con sestamibi-TEC99M
Deteccin de Feocromocitoma con Metil-lodo- Guanetidina -131
Deteccin de Feocromocitoma con Metil-lodo- Guanetidina -123
Volumen plasmtico
Determinacin de volumen de eritrocitos
Determinacin de volumen de sangre entera
Imgenes del bazo
Imgenes hepticas
Imgenes del hgado (SPECT)
Imgenes del hgado y bazo
Estudio de la funcin heptica
Imgenes del sistema de conductos hepatobiliares, incluyendo vescula biliar
Motilidad esofgica
Imgenes de mucosa gstrica
Imgenes de prdida gastrointestinal de sangre
Imgenes de intestino
Gammagrafa Osea
Gammagrafa Osteoarticular-hombros
Gammagrafa Osteoarticular-sacroiliacas
Gammagrafa Osteoarticular-coxofemorales
Gammagrafa Osteoarticular-otros
Gammagrafa Osteomuscular
Gammagrafa Osea Segmentaria-segmento
Gammagrafa Osea trifsica
Gammagrafa Osea Planar y tomogrfica
Estudio de densidad sea
Gammagrafa de Espacio Vascular Cardiaco y/o Grandes Vasos

Gammagrafa Miocrdica con Pirofosfato
Ventriculografa Isotpica en reposo
Ventriculografa Isotpica en reposo y esfuerzo
Estudio con Talio - 201 en reposo y esfuerzo planar y tomogrfico
Estudio con Talio - 201 en reposo planar y postdipiridamol con SPECT
Perfusin miocrdiaca con Mibi-tec99m reposo y tomografa (SPECT)
Estudio con Mibi-tec99m reposo-esfuerzo y tomografa (SPECT)
Estudio de pirifosfato Planar
Estudio con pirifosfato Planar y Tomogrfico
Flebografa Isotpica de miembros inferiores
Flebografa Isotpica regional
DETECCION DE DIVERTICULO DE MECKEL
GAMMAGRAFIA CEREBRAL
GAMMAGRAFIA DE GLANDULAS SALIVALES
GAMMAGRAFIA DE MEDULA OSEA
GAMMAGRAFIA DE VIAS BILIARES
GAMMAGRAFIA HIGADO Y BAZO
OTRAS GAMMAGRAFIAS CON TC
OTROS DIGESTIVO CON TC
OTROS OSEO CON TC
OTROS RENAL CON TC
TERAPIA CON RADIONUCLEIDOS
Gammagrafa Pulmonar Perfusin
Gammagrafa Pulmonar de Ventilacin
Gammagrafa Pulmonar de Perfusin/Ventilacin
Gammagrafa de Perfusin/Ventilacin y Flebografa
Evaluacinde Shunts
Radioangiografa cerebral
Radioangiografa con Gammagrafa cerebral esttica planar
Radioangiografa con Gammagrafa planar y tomogrfica
Cisternografa Tomogrfica
Tomografa cerebral con Talio - 201

Gammagrafa renal con GHCA-TEC99M
Gammagrafa renal con DMSA-TEC99M
Estudio de reflujo vesicoureteral - mtodo indirecto
Estudio de reflujo vesicoureteral - directo (cateter)
Test de Captopril *Dos Radiorrenogramas
Residuo Vesical
Perfusin Testicular
Determinacin de filtracin de Glomerular (GFR) y Radiorrenograma
BIOPSIA DIRIGIDA X FLUOROSCOPIA
BIOPSIA POR ECOGRAFIA
BIOPSIA X TAC
DRENAJE X TAC
PICTOGRAFIA ANTEROGRADA
SURVEY OSEO
TOMOGRAFIA LINEAL (4)
QUIMIOTERAPIA ARTERIAL SELECTIVA
RX.PELVIS (RADIO INTRACAVITARIO)
RX.SIMULACION
PERFIL RENAL
PERFIL OSEO
PERFIL DE INGRESO-BIOQUIMICA
Electrolitos
(Na,
K, Cl)
Perfil
Prenatal
(Hemograma
3ra. Generacin, Glucosa, VDRL, HIV, examen de orina,
Rubeola)
Perfil Preoperatorio (Hemograma 3ra. generacin, Grupos sanguneo, factor Rh,
Tiempo de Coagulacin y sangra, Tiempo de Protrombina, Glucosa, HIV, VDRL,
Examen completo de orina)
HEPATITIS B: MARCADORES COMPLETOS
Perfil lipdico (Colesterol total, HDL, LDL, VLDL, triglicridos y lpidos totales)
Perfil cardaco (CPK, CPK-MB, DHL, TGO)
Perfil de coagulacin (plaquetas, tiempo de coagulacin y sangra, tiempo de
protrombina, pttk, retraccin del cogulo)
Perfil heptico (TGO, TGP, GGTP, Bbilirrubinas total y fraccionadas, Proteinas total y
fraccinadas)
PERFIL DE INGRESO INMUNOLOGIA
Perfil TORCH
Amikacina
Benzodiazepinas
Carbamazepina (Tegretol)
Ciclosporina
Digoxina
Acido valproico
Gentamicina
Litio
Fenobarbital
Fenitona
Primidona (misoline)
Procainamida
Quinidina
Salicilatos
Teofilina
Tobramicina
Vancomicina
DOSAJE DE METOTREXATE
Examen completo de orina
Pregnosticon (diagnostico de embarazo) all in
Sedimento urinario
Acetaminofn
ACTH, dosaje
Albmina srica
Proteinuria (12 24 hrs.)
Microalbuminuria (orina simple)
Aldolasa
Aldosterona
Alfa 1 antitripsina
AFP (alfa fetoproteina)
Acido delta amino levulnico
Amonio
Amilasa srica
Androstenediona
Angiotensina II
Apolipoproteina
Beta 2 microglobulina
Bilirrubinas total y fraccinadas
Sangre oculta en heces (thevenon)
Calcio serico
Calcio ionizado
Calcio en orina
Clculos, exmen fsico
CEA (Antgeno carcinoembrionario)
Catecolaminas totales (orina)

Ceruloplasmina
Cloruro en sangre
Cloro (24 hrs.) en orina
Colesterol total
Cortisol libre en orina de 24 hrs
Cortisol plasmtico
Creatina
Creatinfosfokinasa total (CPK)
Creatinfosfokinasa - mb (CPK - MB)
Creatinina
Crioglobulinas
Eritropoyetina
Estradiol
Estrgenos
Estriol
Grasas en heces (cualitativo)
Ferritina
Acido flico
Fructosa en semen
Galactosa
Gammaglobulina: Ig A, Ig D, Ig G, Ig M, cada una
Ig E
pH sanguneo
Gases arteriales (AGA)
RESERVA ALCALINA
Gastrina
Glucagon
Glucosa Basal
Glucosa
Glucosa, tolerancia oral a la
Glucosa 6 fosfato dehidrogenasa
Gamma glutamil transferasa
Fructosamina (glicoproteina)
FSH (foliculoestimulante)
LH (luteinizante)
Hormona de crecimiento basal
Haptoglobina, dosaje
Metales
pesados
(arsnico, bario,
berilio, cuantitativo;
bismuto, antimonio,
mercurio)
Hemoglobina,
fraccionamiento
y anlisis
electroforesis
(p. Ej. A2, S, C o
F)
Hemoglobina, fraccionamiento y anlisis cuantitativo; cromatografa (p. Ej. A2, S, C o

F)
Hemoglobina fetal
Hemoglobina glucosilada
Hemosiderina
17 Hidroxicorticoides
5? Hidroxindolacetico (5?- HIAA)
17 Hidroxiprogesterona
Hidroxiprolina
INMUNOHISTOQUIMICA POR MARCADOR
Insulina basal
Hierro srico, dosaje
HIERRO: CAPACIDAD DE FIJACION
17 ketoesteroides
Dehidrogenasa lctica (DHL)
DHL en otros fluidos
DHL 1 (isoenzima cardaca)
Lactosa, tolerancia oral a la
Lipasa
Lipidograma
Colesterol - HDL
Colesterol - VLDL
Colesterol - LDL
Magnesio serico
Magnesio en orina
Mioglobina en sange
Mioglobina en orina
Opiceos (ej. morfina, meperidina)
Osmolalidad srica
Osmolalidad (24 hrs.)
Parathormona
pH en heces
Fenilcetonurea (PKU)
Fosfatasa cida total
Fosfatasa alcalina
Fosfatasa alcalina, isoenzimas
Fosfolpidos
Fsforo inorgnico
Fsforo en orina
Porfobilingeno (Watson Scwartz) 24 hrs.
Uroporfirina
Coproporfirina
Potasio srico
Potasio (24 hrs.)

Pregnandiol
Progesterona
Prolactina
PSA (Antgeno prosttico especfico)
Protenas totales o fraccionadas
Proteinas fraccionadas
Proteinograma
Piruvato quinasa
Renina
Sodio srico
Sodio en orina
Somatomedina
Testosterona libre
Testosterona total
Tiroglobulina
Tiroxina (T4) total
T4 libre
TSH - (Hormona tiroestimulante)
Transaminasa oxalactica (TGO)
Transaminasa pirvica (TGP)
Transferrina
Triglicridos
Triyodotironina (T3)
Nitrogeno ureico (BUN) y/o rea
Urea en orina
Acido rico en sangre
Acido rico en orina
Urobilingeno en heces
Urobilingeno en orina
Acido vanil mandlico
D-xilosa
Hormona Gonadotropina corinica cuantitativa
Hormona Gonadotropina corinica cualitativa
Tiempo de coagulacin y sangria
Hematocrito
RECUENTO DE LINFOCITOS
Hemoglobina
Hemograma completo, 3ra. generacin (N, Frmula, Hb, Hto, Constantes
corpusculares, Plaquetas)
Constantes corpusculares
Test de ADDIS
Reticulocitos, recuento de
Leucocitos, recuento de
Eosinfilo, recuento de
Extendido sangre perifrica
Mielograma
CITOMORFOLOGIA: MEDULA OSEA
Biopsia de MEDULA OSEA
Retraccin de cogulo
Factor VIII
Protena C, actividad
Producto de degradacin de fibrinogeno (PDF)
Fibringeno, dosaje de
FOSFATASA ALCALINA LEUCOCITARIA
LISOZIMA (MURAMIDASA)
Fragilidad globular Fragilidad osmtica
Velocidad de sedimentacin
Tiempo de trombina
Tiempo de tromboplastina
Aglutinaciones tiphy, paratiphy o Brucella
BRUCELLA ESTUDIO SEROLOGICO COMPLETO
BRUCELLA: 2-MERCAPTOETANOL
BRUCELLA: AGLUTINACIONES BLOQUEADORES
BRUCELLA:ROSA DE BENGALA
BRUCELLA:FENOMENO DE ZONA
Antiestreptolisina O (ASTO)
Proteina C reactiva
Anticardiolipina
Crioaglutininas, evaluacin
Complemento, antgeno, cada componente
Anti DNA (ss)
Anti DNA Nativo (ds)
Anticuerpos contra antgeno nuclear (RNP, SS-A, SS-B, Sm)
Inmunoensayo para antgeno de tumor (Ca - 125 -Ovario, CA 15-3- mama)
INMUNOFIJACION
Inmunoelectroforesis suero
Inmunoelectroforesis, otros lquidos
Ensayo de Complejos inmunes
Anticuerpos contra la insulina
Factor reumatoideo (ltex)

Prueba cutnea para Tuberculosis (PPD)
Prueba de sfilis cualitativa (VDRL, RPR, ART)
Adenovirus, anticuerpos
Aspergilus, anticuerpos
Brucelosis, anticuerpos
Cndida albicans, anticuerpos
Clamidia sp., anticuerpos
Citomegalovirus Ig G
Citomegalovirus Ig M
Echovirus, anticuerpos
Epstein Barr (nuclear), anticuerpos
Epstein Barr (capsular) anticuerpos
HTLV-1
HTLV o HIV 1, anticuerpos, prueba de confirmacin (Western Blot)
Herpes simple 1, anticuerpos
Histoplasma, anticuerpos
HIV-1, anticuerpos
HIV-2, anticuerpos
Hepatitis B, anticuerpos (HBcAb) Ig G e Ig M
Hepatitis B, anticuerpos (HBcAb) Ig M
Hepatitis B, anticuerpos (HBsAb)
HEPATITIS B: ANTI EPSILON
Hepatitis A, anticuerpos (HAAb) Ig G e Ig M
Hepatitis A, anticuerpos (HAAb) Ig M
Virus de la Influenza, anticuerpos
Micoplasma pneumoniae, anticuerpos
Rubeola, anticuerpos
Sarampin, anticuerpos
Toxoplasma gondii, anticuerpos
FTA - absorbido, prueba de confirmacin Treponema pallidum
Varicela Zoster Ig G
Varicela Zoster Ig M
Hepatitis C, anticuerpos
Coombs directo, test de
Coombs indirecto, cualitativo
Coombs indirecto (titulacin), test de
Sangre o componente autlogo: obtencin, procesado y almacenamiento
Grupo sanguneo y factor Rh
Tipificacin ABO
Fenotipificacin Rh
CELULAS PROGENITORAS
Prueba de compatibilidad
IDENTIFICACION AC.IRREGULARES
IRRADIACION DE COMPONENTES
PRUEBA CRUZADA
BANCO DE SANGRE:LEUCOFERESIS
Hemocultivo y antibiograma
Coprocultivo y antibiograma
Mielocultivo y antibiograma
Cultivo para hongos
BACILOSCOPIA: BK
Cultivo para BK
ANAEROBICOS
Cultivo de secreciones (farngea, uretral, faginal, esputo, heridas, otros)
Cultivo de lquidos corporales (LCR, pleural, asctico, pericrdico, amnitico, otros)
Examen Seriado parasitolgico
Parasitolgico - directo y concentrado
Test de Graham
INVESTIGACION DE STRONGILOIDES
Extendido, fuente primaria, con interpretacin; tincin de rutina para bacterias,
hongos o tipos declulas
Gota gruesa
Examen directo para hongos (KOH)
Cryptosporidium / Giardia, deteccn de antgenos
Herpes simple, deteccin de antgenos
Virus de influenza A, deteccin de antgenos
Treponema pallidum
Hepatitis B, deteccin de antgeno de superficie (HBs Ag)
Ag HBs (Prueba rpida)
Ag HBe
HEPATITIS B: Ag EPSILON
Chagas ELISA
Papanicolaou
Citologa de aspiracin con aguja fina
CITOMETRIA CELULAS PROGENITORAS
CITOMETRIA LINFOCITOS CD4, CD8
CITOMETRIA MIELOMA
CITOMETRIA-LEUCEMIA
CITOMETRIA-LINFOCITOS T,B,NK
CITOMETRIA-LINFOMA
CITOMETRIA-PROCESO PARCIAL/FRUSTO
CITOQUIMICA LEUCEMIA AGUDA

CITOQUIMICA LINFOMA-LLC
ESTUDIO CITOGENETICO
CARIOTIPO+BANDA GTG MEDULA OSEA
CARIOTIPO+BANDA GTG SANGRE PERIFERICA
CARIOTIPO+BANDA GTG TUMORES SOLIDOS
PATOLOGIA: PIEZA OPERATORIA GRANDE
PATOLOGIA: PIEZA OPERATORIA MEDIANA
PATOLOGIA: PIEZA OPERATORIA PEQUEA
Estudio histopatolgico de pieza operatoria con microscopia electrnica
Estudio histopatolgico de pieza operatoria con tcnicas de inmunohistoqumica o
inmunofluorescencia
LCR - citoquimico
Estudio Citoqumico de L. Pleural
Estudio Citoqumico de L. Articular
Estudio Citoqumico de L. Pericrdico
Estudio Citoqumico de L. Amnitico
Estudio Citoqumico de Clculo Renal
Estudio Citoqumico de L. Asctico
Semen - espermatograma
Administracin de inmunizacin (incluye inyecciones percutneas, intradrmicas,
subcutneas, intramusculares y/o administracin intranasal u oral)
Infusin intravenosa de terapia o diagnstico
Inyeccin teraputica o diagnstica subucutnea o intramuscular
Inyeccin teraputica o diagnstica intra-arterial
Inyeccin teraputica o diagnstica intravenosa
Hemodilisis
Hemodilisis (2da sesin)
Hemofiltracin
Hemodiafiltracin
Manometra esofgica de 24 horas
Test de perfusin cida esofgica (test de Bernstein)
Test de secrecin gstrica acido basal
Manometra anorrectal
Oclusin Ocular
Lavado Ocular
Gonioscopia
Campimetra y/o perimetra
Tonometra - curva de presin
Angiofluoresceinografa
Fondo de ojos
Oftalmodinamometra
Oculoelectromiografa
Retinografa
Microscopia binocular (procedimiento diagnstico separado)
Nasofaringoscopia con endoscopio
Audiometra
Timpanometra
Electrococleografa
Potenciales evocados auditivos
Reanimacin cardiopulmonar (p. ej., en paro cardiaco)
Cardioversin fuera de cuidados intensivos
Colocacin de sten coronario
Angioplasta coronaria - revascularizacin miocardiaca
Electrocardiograma
Prueba de esfuerzo (incluye electrocardiograma antes, durante y despues del ejercicio
)
Cateterismo cardaco derecho (swan ganz)
Monitoreo intracavitaria swan - ganz
Cateterismo cardiaco izquierdo y derecho
Monitoreo presin arterial 24 horas
Barrido dplex de la aorta, vena cava inferior, vasculatura iliaca o injertos de
revascularizacin;estudio completo
Espirometra, incluye registro grfico y capacidad vital
Flujometra
Pruebas de esfuerzo pulmonar
Nebulizacin con presin positiva intermitente
Ayuda y manejo de la ventilacin, inicio de ventiladores de presin o de volumen
prefijados para larespiracin asistida o controlada; primer da
Aerosolterapia, sesin en emergencia
Pruebas percutneas con extractos alergnicos, reaccin inmediata

Pruebas de parche de sensibilidad para alergias
Pruebas de mucosa oftlmica de sensibilidad para alergias
Prueba de provocacin con histamina o metacolina, incluye espirometra
Electroencefalograma
Electromiografa y velocidad de conduccin nerviosa
ELECTROGRAFIA: ESTIMULACION REPETIDA
ELECTROGRAFIA: ESTUDIO INTEGRAL DEL P300
ELECTROGRAFIA: EVALUACION INTEGRAL DEL SIST. AUTONOMO
ELECTROGRAFIA: MONITORIZACION CON PEA
ELECTROGRAFIA: MONITORIZACION CON PESS
ELECTROGRAFIA: MONITORIZACION CON PEV
ELECTROGRAFIA: REFLEJO PALPEBRAL
ELECTROGRAFIA: VC METODO DE COLISION
Potenciales evocados computarizados somato-sensoriales
Potenciales evocados computarizados visuales
QUIMIOTERAPIA EV o IM(BOLO)
QUIMIOTERAPIA INFUSION
FOTOTERAPIA - ACTINOTERAPIA (LUZ ULTRAVIOLETA), SESION
Aplicacin de agente fsico, energa trmica, acstica, luminosa, mecnica, elctrica
Procedimiento teraputico para desarrollar fuerza y resistencia al ejercicio, arco de
movimiento y flexibilidad
Sesin de acupuntura, una o ms agujas
Fisioterapia Odontoestomatolgica
Sedacin con o sin analgesia
Flebotoma teraputica (procedimiento separado)
Examen Bucal
Riesgo Quirurgico
Aplicacin tpica de flor en nios, incluido profilaxis dental, (Aplicacin de flor gel
acidulado al 1,23%.
Aplicacin tpica de flor en nios, sin profilaxis dental, (Aplicacin flor gel neutro).
Aplicacin de barniz fluorado
Aplicacin de sellante
Recubrimiento Pulpar Directo
Recubrimiento Pulpar Indirecto
Pulpotoma
Desbridamiento o Apertura amplia Pulpar
Pulpectoma anterior diente deciduo

Pulpectoma posterior diente deciduo
Endodoncia o Biopulpectoma pieza anterior (se excluye restauracin final
Necropulpotoma pieza anterior (se excluye restauracin final)
Biopulpectoma bicspide (premolar) (se excluye restauracin final)
Necropulpotoma bicspide (premolar) (se excluye restauracin final)
Biopulpectoma bicspide (molar) (se excluye restauracin final)
Necro pulpectoma bicspide (molar) (se excluye restauracin final)
Prtesis dental maxilar completa
Prtesis dental mandibular completa
Prtesis maxilar parcial con base de acrlico
Prtesis mandibular parcial con base de acrlico
Enucleacin de quiste intraoral (menos de 4cm)
Enucleacin de quiste intraoral (ms de 4 cm)
Exodoncia a colgajo
Enucleacin de rnula
Extraccin quirrgica dental o extraccin impactada/exodoncia compleja tercera molar
Ferulizacin dental con resina por pieza
Tcnica de Restauracin Atraumtica
Inactivacin con Inmero
Destartraje
PRECI
O
7.47
19.96
5.85
5.85
5.85
3.38
4.1
4.76
4.98
4.23
3.79
45.89
53.46
65.03
75.49
3.79
4.76
4.23
3.22
4.98
51.08
4.23
4.76
6.09
4.23
6.09
4.98
5.65
6.09
5.65
6.09
7.19
45.28
3.21
5.41
5.74
4.33
4
58.05
40.62
42.76
38.33
44.11
45.89
108.07
33.98
39.02
108.07
5.04
14.02
14.02
47.1
45.89
65.03
40.62
51.08
6.09
4.89
14.26
6.09
54.57
4.89
6.09
4.98
8.26
10.28
58.6
58.6
70.6
92.12
148.87
178.63
89.64
111.16
70.6
156.67
135.15
56.13
50.92
50.92
106.46
156.67
174.04
113.63
70.6
50.92
47.21
4.98
6.09
8.8
4.76
4.98
33.28
56.97
37.13
46.51
44.11
270.78
269.44
246.13
106.27
129.58
76.58
76.58
98.09
8.68
94.33
94.42
87.15
79.98
87.15
102.19
87.15
94.33
36.91
65.64
76.4
76.4
54.88
94.42
87.15
94.42
86.65
94.42
113.75
123.66
76.4
87.15
87.15
76.4
65.64
69.84
69.84
71.84
109.96
117.78
79.1
79.1
121.54
28.28
70.81
34.01
105.5
66.23
100.8
107.91
90.56
133.81
104.53
160.31
79.6
177.06
157.23
129.04
138.96
70.6
70.6
14.68
8.8
109.96
109.96
148.87
96.23
119.11
79.1
89.56
133.61
93.55
137.42
156.69
156.69
117.18
77.82
75.66
79.1
81.36
77.77
76.48
89.37
156.69
137.42
70.6
70.6
117.18
117.18
144.64
136.86
117.18
77.82
96.57
156.69
75.66
96.57
99.33
120.85
113.92
130.92
156.69
130.92
63.99
86.12
117.18
99.33
77.82
120.85
120.85
88.58
88.58
77.82
156.69
156.69
136.86
84.3
75.66
117.18
78.32
117.18
99.33
28.28
99.33
99.33
99.33
99.33
144.64
101.82
68.68
75.66
77.82
79.1
148.87
70.6
77.82
6.97
100.57
77.82
96.57
113.92
156.69
77.82
99.33
88.58
63.99
74.45
99.33
75.66
86.12
88.58
107.61
99.33
84.3
156.69
99.33
144.64
96.57
69.4
77.82
77.82
99.33
99.33
99.33
78.32
99.33
99.33
99.33
99.33
99.33
117.18
199.57
88.58
5.65
9.7
75.66
75.66
77.82
68.68
99.33
99.33
156.69
70.65
77.82
99.33
99.33
86.12
100.57
99.33
75.66
74.45
74.45
74.45
75.66
88.58
75.66
88.58
143.4
140.62
120.85
67.48
77.82
77.82
77.82
107.61
67.48
77.82
74.45
84.3
67.48
120.85
107.61
74.45
67.48
75.66
67.48
67.48
117.18
88.58
78.32
67.06
78.32
67.06
16.99
78.32
99.33
99.33
99.33
88.58
77.82
77.82
86.12
88.58
88.58
75.66
117.18
199.57
126.94
156.69
88.58
117.18
156.69
156.69
76.58
76.58
84.3
235.48
235.48
235.48
90.79
156.69
186.45
200.79
156.69
156.69
107.61
117.18
97.19
77.82
73.52
14.57
86.11
144.64
89.71
199.57
216.2
78.32
126.94
75.66
117.18
120.85
254.86
168.75
117.18
77.82
75.66
117.18
92.16
92.16
96.57
156.69
86.12
106.51
72.69
140.62
156.69
100.57
88.58
86.12
88.58
99.33
117.18
134.17
117.18
117.18
89.71
77.82
77.82
89.71
112.06
102.2
89.71
186.45
144.64
144.64
110.09
119.27
130.92
89.71
84.3
77.82
117.18
73.52
78.32
126.94
89.71
117.18
75.66
144.64
99.33
117.18
75.66
68.68
75.66
77.82
156.69
96.57
88.58
86.12
113.92
156.69
67.48
67.48
74.45
99.33
99.33
77.82
117.18
67.48
156.69
68.68
144.64
107.61
75.66
77.82
78.32
117.18
99.33
99.33
99.33
117.18
99.33
75.66
144.64
99.33
99.33
106.51
117.18
75.66
75.66
68.68
75.66
77.82
92.16
77.82
75.66
156.69
70.65
77.82
77.82
86.12
89.6
113.68
86.12
84.3
92.16
68.68
75.66
130.92
63.99
74.45
86.12
75.66
120.85
77.82
77.82
77.82
67.48
89.6
117.18
117.18
120.85
77.82
99.33
67.48
77.82
77.82
77.82
78.32
67.06
78.32
99.33
68.68
67.06
99.33
172.1
99.33
99.33
99.33
99.33
88.58
75.66
4.43
16.99
5.53
16.99
6.63
5.53
4.43
4.43
3.77
2.88
1.77
18.31
7.74
13.02
9.06
2.09
18.71
74.25
3.88
4.98
48.39
53.04
72.48
56.25
65.03
93.72
140.38
3.31
3.66
52.77
74.55
85.31
101.53
85.31
85.99
51.56
75.79
72.21
63.79
5.14
5.14
8.55
49.45
9.01
77.64
75.3
104.88
104.88
73.8
85.46
104.88
132.57
5.14
76.48
104.73
146.41
182.78
123.1
157.67
123.1
232.98
107.56
92.12
4
2.41
4
123.1
137.89
103.85
6.96
2.86
5.14
2.06
13.32
4.19
199.7
247.28
216.34
267.89
70.6
70.6
43.86
4.91
8.95
7.41
113.63
156.67
275.71
177.54
177.54
275.71
6.51
70.6
113.63
169.72
416.66
177.54
224.16
130.92
92.82
224.72
97.19
130.92
177.54
76.48
130.92
11.61
5.45
82.49
109.96
92.12
137.42
208.38
296.91
275.71
79.94
42.42
275.71
206.28
481.19
156.69
372.75
510.56
372.75
393.07
393.07
481.19
481.19
430.38
481.19
455.79
156.69
304.95
304.95
393.07
304.95
304.95
393.07
393.07
153.35
304.95
304.95
304.95
304.95
263.31
337.56
263.31
411.8
569.31
569.31
248.07
393.07
263.31
178.91
304.95
304.95
393.07
393.07
317.24
156.69
69.36
123.1
113.63
123.1
123.1
216.34
199.7
170.84
149.99
209.5
183.98
170.84
124.22
113.42
170.84
170.84
170.84
170.84
217.46
149.99
122.88
122.88
122.88
254.86
399.64
335.21
335.21
335.21
224.16
124.22
6.96
5.78
23.14
8.78
56.9
8.83
10.52
6.51
35.42
2.41
5.14
6.51
84.01
157.7
86.41
157.7
157.7
200.73
10.85
114.66
124.22
113.42
113.42
123.77
92.69
92.69
77.16
4.98
71.22
114.25
6.09
114.25
71.22
99.91
114.25
114.25
114.25
114.25
114.25
114.25
114.25
136.18
80.03
70.6
113.63
146.41
113.63
70.6
4.84
58.38
50.81
108.07
128.99
7.19
0
5.21
6.53
7.19
65.95
73.02
6.09
5.38
66.88
216.34
216.34
267.89
288.49
5.6
5.38
6.69
12.22
9.64
10.28
26.27
24.37
25.67
24.37
24.37
26.97
32.18
6.31
5.38
7.63
84.68
37
91.85
73.92
84.68
84.68
84.68
6.53
91.58
81.12
60.21
91.58
81.12
161.22
221.28
161.22
96.67
118.19
96.67
64.4
62.61
6.31
5.95
36.19
4.75
67.24
43.76
43.76
36.19
112.19
106
144.85
112.19
6.31
70.6
70.6
127.98
267.89
289.22
170.39
123.77
13.14
15
77.04
99.91
147.08
123.77
123.77
92.69
123.77
123.77
236.03
108.23
149.55
149.55
77.16
99.91
7.26
8.78
71.22
85.56
49.7
44.05
289.22
228.89
147.08
185.93
123.77
123.77
20.08
77.16
77.16
92.69
60.46
65.5
61.62
77.16
100.46
56.88
71.22
71.22
65.76
71.22
157.29
71.22
85.56
60.46
114.25
85.56
71.22
71.22
99.91
100.46
147.08
247.71
247.9
92.74
49.7
56.88
60.46
85.56
56.88
71.22
71.22
71.22
200.32
55.36
50
58.18
47.72
68.64
34.49
6.36
137.42
92.12
169.72
58.6
54.24
7.89
17.73
13.09
19.87
15.23
57.46
92.12
137.42
90.88
70.6
92.12
33.16
5.12
30.23
3.65
43.23
27.34
27.34
53.69
53.69
36.25
5.4
69.36
169.72
77.77
66.88
34.61
25.1
37.13
26.02
7.41
60.46
58.4
40.47
217.01
71.22
77.16
179.3
77.16
114.25
135.77
114.25
71.22
81.98
92.74
147.08
147.08
209.05
238.81
238.81
147.08
123.77
49.7
71.22
92.74
71.22
56.51
92.74
193.09
123.77
531.13
614.17
183.5
119.79
90.04
100.46
60.46
123.77
60.26
63.75
63.75
76.21
27.29
78.39
8.78
62.27
76.21
76.21
57.16
51.21
54.69
61.67
67.43
67.01
65.15
48.79
58.6
54.69
63.43
65.15
75.61
75.61
65.15
70.6
20.92
59.84
59.84
70.6
59.84
70.6
7.41
49.08
99.79
132.57
88.14
70.6
38.67
59.84
70.6
59.84
70.6
88.14
76.48
13.89
28.7
59.84
59.84
70.6
81.36
59.84
59.84
76.48
70.6
137.42
148.87
148.87
92.12
178.63
88.14
70.6
70.6
70.6
49.08
8.92
3.88
36.68
36.68
36.68
36.68
43.71
50.75
70.22
111.24
143.15
31.1
17.42
9.61
50.75
50.75
50.75
36.68
43.71
43.71
54.98
54.98
31.99
8.31
8.33
26.31
22.23
47.84
8.06
47.84
58.6
58.6
33.5
58.6
69.36
28.29
40.67
47.84
69.36
6.09
3.88
4.98
6.09
56.97
58.6
69.36
86.79
31.37
39.54
56.97
90.88
3.88
5.14
23.17
27.62
37.13
44.11
66.88
44.19
51.08
44.11
6.09
5.14
30.76
28.23
41.78
52.54
77.64
6.09
44.11
44.11
4.98
30.15
54.57
75.49
35.19
88.4
35.19
35.19
30.15
54.57
65.03
6.51
40.74
70.6
82.6
70.6
81.35
92.11
49.08
51.18
58.1
94.72
94.72
177.11
82.82
74.29
221.62
83.4
83.19
117.6
94.72
57.37
61.31
154.3
132.36
142.28
162.12
131.34
191.87
204.57
149.65
162.12
94.72
94.72
149.65
80.99
149.65
221.62
72.86
76.41
149.65
184.72
10.66
61.85
111.97
6.09
27.62
6.09
6.09
65.03
106.86
4.23
54.57
44.11
65.03
6.31
33.65
6.31
106.86
131.43
109.92
65.03
65.03
56.13
56.13
45.37
66.88
48.95
45.37
95.77
77.64
34.85
6.52
5.97
6.31
28.23
7.41
44.11
56.13
70.47
65.03
54.57
33.65
11.59
28.48
70.8
70.8
135.35
113.84
158.11
239.7
234.67
92.32
113.84
135.35
156.87
6.31
70.04
70.8
92.32
37.13
33.65
54.57
54.57
54.57
106.86
85.95
75.49
54.57
44.11
54.57
65.03
75.49
59.84
113.63
20.64
28.53
15.9
70.8
77.97
122.18
22.21
4.1
70.8
68.68
77
18.85
125.18
197
224.7
1.02
49.29
6.51
5.14
5.14
22.59
70.6
81.36
99.79
123.1
146.41
70.6
88.14
99.79
99.79
92.12
123.1
38.3
35.35
35.35
59.84
92.12
92.12
92.12
70.6
92.12
92.12
92.12
152
152
175.31
175.31
221.93
268.54
221.93
315.16
402.61
315.16
221.93
373.85
408.4
239
439.82
339.41
389.61
289.2
175.31
268.54
221.93
239
439.82
361.78
128.69
339.41
465.39
389.61
486.76
339.41
439.82
90.68
92.12
175.31
118.79
175.31
221.93
175.31
175.31
128.69
128.69
221.93
118.79
118.79
118.79
7.64
7.41
6.05
88.55
73.41
159.14
137.62
137.62
219.02
265.64
358.88
336.28
436.69
386.49
265.64
265.64
219.02
219.02
312.26
265.64
7.64
119.24
157.9
265.64
265.64
219.02
61.44
6.28
8.32
20.14
20.14
24.23
215
5.03
156.67
169.72
309.58
262.96
262.96
262.96
58.17
73.31
149.15
43.03
3.55
59.83
98.55
35.68
40.73
57.46
50.82
34.95
38.06
3.55
31.83
7.93
57.46
32.94
59.83
49.45
54.64
44.26
59.83
34.95
57.46
47.08
43.03
44.26
59.83
54.64
44.26
52.05
49.45
62.79
52.05
44.26
46.61
49.45
46.86
39.07
44.26
71.99
79.92
98.55
132.28
59.83
49.45
53.57
53.57
58.8
38.04
36.98
43.23
30.87
58.8
74.37
31.46
33.98
31.46
30.12
5.75
44.07
54.16
33.98
44.07
44.07
44.07
31.46
54.16
6.06
4.65
30.12
27.01
44.07
44.07
35.45
38.04
32.85
43.23
48.42
38.04
74.37
74.37
35.45
3.88
2.33
4.98
42.76
46.58
143.63
3.88
4.76
80.06
90.44
90.44
4.76
43.23
43.23
48.42
59.3
74.87
106.01
170.36
216.98
121.57
74.87
86.73
90.44
106.01
131.71
165.44
97.97
97.97
97.97
97.97
114.84
131.71
114.84
114.84
97.97
131.71
114.84
165.44
148.57
148.57
148.57
148.57
148.57
114.84
10.76
11.29
10.11
10.11
10.11
12.29
10.11
10.11
10.76
10.11
10.11
10
10
10.11
26.88
27.72
27.72
160
160
160
160
220.93
10
10.47
28.94
10.47
10.47
160
220.93
10
10
10.47
11.12
11.83
10.47
11.83
10.47
10.47
11.83
160
220.93
10
11.12
160
220.93
10.47
35.32
39.06
24.79
10
10
10.47
26.88
10.47
10.47
26.88
10.47
10.47
26.88
10.47
10
160
220.93
10.47
26.88
26.88
10.47
10.47
26.88
10.47
12.27
26.88
10.47
10.47
160
220.93
10
21.02
160
220.93
21.56
21.56
24.93
31.39
31.39
34.17
19.11
21.56
21.26
21.26
27.72
34.17
34.17
27.72
37.84
21.26
23.41
14.77
10.76
15.48
220.93
47.08
47.08
59.99
25.54
47.08
47.08
47.08
47.08
36.62
36.62
36.62
36.62
36.62
36.62
36.62
10
10.47
14.29
10.85
22.48
25.86
220.93
11.09
10.04
11.09
13.2
11.09
11.09
13.2
13.2
13.2
13.2
11.09
18.15
18.41
19.74
23.45
11.09
11.09
14.53
11.09
11.09
6
18.28
26.6
28.91
2.54
16.29
14.01
15.24
36.95
36.95
36.95
15.24
79.23
79.23
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
190.11
190.11
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
190.11
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
197.08
197.08
197.08
197.08
197.08
89.69
89.69
89.69
89.69
16.55
37.55
16.55
71.99
46.95
43.99
50.35
16.55
77.8
37.55
482.55
89.69
89.69
89.69
89.69
89.69
89.69
190.11
89.69
89.69
190.11
190.11
190.11
190.11
190.11
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
7.75
4.05
12.94
5.06
10.36
22.64
12.94
15.61
6.47
14.22
20.63
17.76
2.85
14
35.91
33.62
91.03
17.31
15.3
17.9
17.61
8.12
59.92
8.52
11.88
18.72
18.6
15.54
12.6
12.9
4.98
19.62
19.62
19.08
12.36
7.56
7.08
17.58
8.64
12.42
83.7
3.18
3.96
2.59
9.42
15.3
13.62
2.59
2.59
9.12
8.1
26.88
9.12
16.86
14.82
7.8
12.53
3.9
25.5
25.5
26.4
14.1
2.7
2.59
4.26
6.04
4.03
15.15
25.5
2.28
7.92
9.96
3.29
3.04
6.12
11.82
14.22
2.88
4.62
6.48
2.88
3.04
4.62
3
18.3
10.26
16.44
9.3
16.26
4.26
11.46
12.78
3.42
5.52
10.14
15.18
2.59
11.16
19.81
27.54
14.4
3
3
13.8
10.86
6.12
5.58
18.3
20.94
18.42
6.78
12.18
19.98
10.56
6.6
10.98
11.34
7.86
8.34
14.4
9.04
59.31
17.94
8.46
31.92
15.54
3.54
3.77
10.98
12.37
7.68
13.38
5.04
5.05
5.94
4.62
4.31
22.1
41.84
11.64
3.42
3.42
23.34
2.53
3.18
4.26
11.16
3.66
5.52
3.04
4.02
4.01
6.12
6.24
6.12
7.14
3.04
11.23
16.86
16.26
31.08
2.59
7.98
12.67
9.6
18.3
5.88
4.62
29.94
17.22
15.78
14.4
11.82
12
25.89
5.22
5.22
17.94
3.36
11.76
2.59
2.3
3.36
4.35
3.19
3.18
18.6
17.22
10.81
10.81
2.93
1.15
3.53
1.86
4.97
1.85
3.15
3.17
1.15
2.56
1.85
12.08
13.68
13.98
3.17
5.69
2.51
7.06
4.55
52.01
11.69
3.17
2.03
7.24
1.15
2.21
7.06
7.35
16.7
1.74
2.79
7.61
2.99
14.28
8.46
10.14
22.32
4.69
20.46
15.3
25.2
15.36
22.92
38.4
88.09
19.8
19.8
11.82
12.54
16.26
25.5
9.5
7.08
4.98
3.18
11.48
9.04
9.04
9.71
10.72
13.32
17.85
11.48
18.6
18.6
8.41
83.7
19.08
9.04
17.22
17.22
17.22
21.66
17.71
10.2
21.66
17.7
11.48
9.04
16.56
8.28
18.3
19.86
9.48
12.39
24.36
3.72
2.63
3.72
24.24
6.36
6.36
6.36
13.2
6.36
10.57
5.67
3.93
13.2
20.46
22.14
22.86
19.38
7.08
1.88
14.4
12.88
12.36
12.36
4.93
6.03
0.11
3.03
8.38
3.36
2.58
6.04
2.88
13.5
13.5
11.57
5.16
11.02
22.93
17.71
11.26
5.22
7.76
8.77
88.24
132.58
152.25
395.04
274.17
489.29
24.37
395.04
489.29
221.02
204.77
221.02
129.22
9.78
88.29
59.19
29.61
28.8
23.76
18.85
9.15
2.68
8.12
2.68
14.26
8.12
8.77
1.78
4.17
1.78
4.76
2.1
35.42
195.46
219.92
183.79
17.41
122.53
5.21
15.93
15.27
14.88
17.19
19.75
17.19
3.97
17.54
4.83
13.16
4.15
6
2.86
8.64
6.84
0.62
15.65
2.79
8.4
8.4
10.08
2.25
10.14
4.61
8.74
9.32
11.73
35.4
3.14
89.74
89.74
89.74
3.58
13.29
15.1
17.33
19.78
18.48
45.6
36.69
87.92
8.83
9.63
12.92
10.43
2.36
7.7
7.79
15.4
2.42
3.57
3.22
3.55
3.22
15.74
9.83
10.18
5.63
9.8
8.26
8.96
8.96
8.96
5.63
4.94
12.24
12.24
2.87
4.09
3.3
7.74
7.14
5.28
6.74
0
1.97
62.42
0
11.2
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
95
95
89.76
89.76
0
0
0
0
0
0
0
0
0
CATLOGO DE SERVICIOS MDICOS Y ESTOMATOLGICO

Cdigo por Niv
NGrupo
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
Seccin
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
Sub Seccin
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.1 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Anestesiologa
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
657
658
659
660
661
662
663
664
665
666
667
668
669
670
671
672
673
674
675
676
677
678
679
680
681
682
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
683
684
685
686
687
688
689
690
691
692
693
694
695
696
697
698
699
700
701
702
703
704
705
706
707
708
709
710
711
712
713
714
715
716
717
718
719
720
721
722
723
724
725
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
726
727
728
729
730
731
732
733
734
735
736
737
738
739
740
741
742
743
744
745
746
747
748
749
750
751
752
753
754
755
756
757
758
759
760
761
762
763
764
765
766
767
768
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
769
770
771
772
773
774
775
776
777
778
779
780
781
782
783
784
785
786
787
788
789
790
791
792
793
794
795
796
797
798
799
800
801
802
803
804
805
806
807
808
809
810
811
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
812
813
814
815
816
817
818
819
820
821
822
823
824
825
826
827
828
829
830
831
832
833
834
835
836
837
838
839
840
841
842
843
844
845
846
847
848
849
850
851
852
853
854
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
855
856
857
858
859
860
861
862
863
864
865
866
867
868
869
870
871
872
873
874
875
876
877
878
879
880
881
882
883
884
885
886
887
888
889
890
891
892
893
894
895
896
897
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
898
899
900
901
902
903
904
905
906
907
908
909
910
911
912
913
914
915
916
917
918
919
920
921
922
923
924
925
926
927
928
929
930
931
932
933
934
935
936
937
938
939
940
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
941
942
943
944
945
946
947
948
949
950
951
952
953
954
955
956
957
958
959
960
961
962
963
964
965
966
967
968
969
970
971
972
973
974
975
976
977
978
979
980
981
982
983
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
984
985
986
987
988
989
990
991
992
993
994
995
996
997
998
999
1000
1001
1002
1003
1004
1005
1006
1007
1008
1009
1010
1011
1012
1013
1014
1015
1016
1017
1018
1019
1020
1021
1022
1023
1024
1025
1026
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1027
1028
1029
1030
1031
1032
1033
1034
1035
1036
1037
1038
1039
1040
1041
1042
1043
1044
1045
1046
1047
1048
1049
1050
1051
1052
1053
1054
1055
1056
1057
1058
1059
1060
1061
1062
1063
1064
1065
1066
1067
1068
1069
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1070
1071
1072
1073
1074
1075
1076
1077
1078
1079
1080
1081
1082
1083
1084
1085
1086
1087
1088
1089
1090
1091
1092
1093
1094
1095
1096
1097
1098
1099
1100
1101
1102
1103
1104
1105
1106
1107
1108
1109
1110
1111
1112
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1113
1114
1115
1116
1117
1118
1119
1120
1121
1122
1123
1124
1125
1126
1127
1128
1129
1130
1131
1132
1133
1134
1135
1136
1137
1138
1139
1140
1141
1142
1143
1144
1145
1146
1147
1148
1149
1150
1151
1152
1153
1154
1155
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1156
1157
1158
1159
1160
1161
1162
1163
1164
1165
1166
1167
1168
1169
1170
1171
1172
1173
1174
1175
1176
1177
1178
1179
1180
1181
1182
1183
1184
1185
1186
1187
1188
1189
1190
1191
1192
1193
1194
1195
1196
1197
1198
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1199
1200
1201
1202
1203
1204
1205
1206
1207
1208
1209
1210
1211
1212
1213
1214
1215
1216
1217
1218
1219
1220
1221
1222
1223
1224
1225
1226
1227
1228
1229
1230
1231
1232
1233
1234
1235
1236
1237
1238
1239
1240
1241
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1242
1243
1244
1245
1246
1247
1248
1249
1250
1251
1252
1253
1254
1255
1256
1257
1258
1259
1260
1261
1262
1263
1264
1265
1266
1267
1268
1269
1270
1271
1272
1273
1274
1275
1276
1277
1278
1279
1280
1281
1282
1283
1284
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1285
1286
1287
1288
1289
1290
1291
1292
1293
1294
1295
1296
1297
1298
1299
1300
1301
1302
1303
1304
1305
1306
1307
1308
1309
1310
1311
1312
1313
1314
1315
1316
1317
1318
1319
1320
1321
1322
1323
1324
1325
1326
1327
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1328
1329
1330
1331
1332
1333
1334
1335
1336
1337
1338
1339
1340
1341
1342
1343
1344
1345
1346
1347
1348
1349
1350
1351
1352
1353
1354
1355
1356
1357
1358
1359
1360
1361
1362
1363
1364
1365
1366
1367
1368
1369
1370
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1371
1372
1373
1374
1375
1376
1377
1378
1379
1380
1381
1382
1383
1384
1385
1386
1387
1388
1389
1390
1391
1392
1393
1394
1395
1396
1397
1398
1399
1400
1401
1402
1403
1404
1405
1406
1407
1408
1409
1410
1411
1412
1413
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1414
1415
1416
1417
1418
1419
1420
1421
1422
1423
1424
1425
1426
1427
1428
1429
1430
1431
1432
1433
1434
1435
1436
1437
1438
1439
1440
1441
1442
1443
1444
1445
1446
1447
1448
1449
1450
1451
1452
1453
1454
1455
1456
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1457
1458
1459
1460
1461
1462
1463
1464
1465
1466
1467
1468
1469
1470
1471
1472
1473
1474
1475
1476
1477
1478
1479
1480
1481
1482
1483
1484
1485
1486
1487
1488
1489
1490
1491
1492
1493
1494
1495
1496
1497
1498
1499
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1500
1501
1502
1503
1504
1505
1506
1507
1508
1509
1510
1511
1512
1513
1514
1515
1516
1517
1518
1519
1520
1521
1522
1523
1524
1525
1526
1527
1528
1529
1530
1531
1532
1533
1534
1535
1536
1537
1538
1539
1540
1541
1542
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1543
1544
1545
1546
1547
1548
1549
1550
1551
1552
1553
1554
1555
1556
1557
1558
1559
1560
1561
1562
1563
1564
1565
1566
1567
1568
1569
1570
1571
1572
1573
1574
1575
1576
1577
1578
1579
1580
1581
1582
1583
1584
1585
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1586
1587
1588
1589
1590
1591
1592
1593
1594
1595
1596
1597
1598
1599
1600
1601
1602
1603
1604
1605
1606
1607
1608
1609
1610
1611
1612
1613
1614
1615
1616
1617
1618
1619
1620
1621
1622
1623
1624
1625
1626
1627
1628
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1629
1630
1631
1632
1633
1634
1635
1636
1637
1638
1639
1640
1641
1642
1643
1644
1645
1646
1647
1648
1649
1650
1651
1652
1653
1654
1655
1656
1657
1658
1659
1660
1661
1662
1663
1664
1665
1666
1667
1668
1669
1670
1671
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1672
1673
1674
1675
1676
1677
1678
1679
1680
1681
1682
1683
1684
1685
1686
1687
1688
1689
1690
1691
1692
1693
1694
1695
1696
1697
1698
1699
1700
1701
1702
1703
1704
1705
1706
1707
1708
1709
1710
1711
1712
1713
1714
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1715
1716
1717
1718
1719
1720
1721
1722
1723
1724
1725
1726
1727
1728
1729
1730
1731
1732
1733
1734
1735
1736
1737
1738
1739
1740
1741
1742
1743
1744
1745
1746
1747
1748
1749
1750
1751
1752
1753
1754
1755
1756
1757
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1758
1759
1760
1761
1762
1763
1764
1765
1766
1767
1768
1769
1770
1771
1772
1773
1774
1775
1776
1777
1778
1779
1780
1781
1782
1783
1784
1785
1786
1787
1788
1789
1790
1791
1792
1793
1794
1795
1796
1797
1798
1799
1800
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1801
1802
1803
1804
1805
1806
1807
1808
1809
1810
1811
1812
1813
1814
1815
1816
1817
1818
1819
1820
1821
1822
1823
1824
1825
1826
1827
1828
1829
1830
1831
1832
1833
1834
1835
1836
1837
1838
1839
1840
1841
1842
1843
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1844
1845
1846
1847
1848
1849
1850
1851
1852
1853
1854
1855
1856
1857
1858
1859
1860
1861
1862
1863
1864
1865
1866
1867
1868
1869
1870
1871
1872
1873
1874
1875
1876
1877
1878
1879
1880
1881
1882
1883
1884
1885
1886
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1887
1888
1889
1890
1891
1892
1893
1894
1895
1896
1897
1898
1899
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1930
1931
1932
1933
1934
1935
1936
1937
1938
1939
1940
1941
1942
1943
1944
1945
1946
1947
1948
1949
1950
1951
1952
1953
1954
1955
1956
1957
1958
1959
1960
1961
1962
1963
1964
1965
1966
1967
1968
1969
1970
1971
1972
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
1973
1974
1975
1976
1977
1978
1979
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
2046
2047
2048
2049
2050
2051
2052
2053
2054
2055
2056
2057
2058
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2059
2060
2061
2062
2063
2064
2065
2066
2067
2068
2069
2070
2071
2072
2073
2074
2075
2076
2077
2078
2079
2080
2081
2082
2083
2084
2085
2086
2087
2088
2089
2090
2091
2092
2093
2094
2095
2096
2097
2098
2099
2100
2101
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2102
2103
2104
2105
2106
2107
2108
2109
2110
2111
2112
2113
2114
2115
2116
2117
2118
2119
2120
2121
2122
2123
2124
2125
2126
2127
2128
2129
2130
2131
2132
2133
2134
2135
2136
2137
2138
2139
2140
2141
2142
2143
2144
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2145
2146
2147
2148
2149
2150
2151
2152
2153
2154
2155
2156
2157
2158
2159
2160
2161
2162
2163
2164
2165
2166
2167
2168
2169
2170
2171
2172
2173
2174
2175
2176
2177
2178
2179
2180
2181
2182
2183
2184
2185
2186
2187
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2188
2189
2190
2191
2192
2193
2194
2195
2196
2197
2198
2199
2200
2201
2202
2203
2204
2205
2206
2207
2208
2209
2210
2211
2212
2213
2214
2215
2216
2217
2218
2219
2220
2221
2222
2223
2224
2225
2226
2227
2228
2229
2230
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2231
2232
2233
2234
2235
2236
2237
2238
2239
2240
2241
2242
2243
2244
2245
2246
2247
2248
2249
2250
2251
2252
2253
2254
2255
2256
2257
2258
2259
2260
2261
2262
2263
2264
2265
2266
2267
2268
2269
2270
2271
2272
2273
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2274
2275
2276
2277
2278
2279
2280
2281
2282
2283
2284
2285
2286
2287
2288
2289
2290
2291
2292
2293
2294
2295
2296
2297
2298
2299
2300
2301
2302
2303
2304
2305
2306
2307
2308
2309
2310
2311
2312
2313
2314
2315
2316
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2317
2318
2319
2320
2321
2322
2323
2324
2325
2326
2327
2328
2329
2330
2331
2332
2333
2334
2335
2336
2337
2338
2339
2340
2341
2342
2343
2344
2345
2346
2347
2348
2349
2350
2351
2352
2353
2354
2355
2356
2357
2358
2359
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2360
2361
2362
2363
2364
2365
2366
2367
2368
2369
2370
2371
2372
2373
2374
2375
2376
2377
2378
2379
2380
2381
2382
2383
2384
2385
2386
2387
2388
2389
2390
2391
2392
2393
2394
2395
2396
2397
2398
2399
2400
2401
2402
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2403
2404
2405
2406
2407
2408
2409
2410
2411
2412
2413
2414
2415
2416
2417
2418
2419
2420
2421
2422
2423
2424
2425
2426
2427
2428
2429
2430
2431
2432
2433
2434
2435
2436
2437
2438
2439
2440
2441
2442
2443
2444
2445
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2446
2447
2448
2449
2450
2451
2452
2453
2454
2455
2456
2457
2458
2459
2460
2461
2462
2463
2464
2465
2466
2467
2468
2469
2470
2471
2472
2473
2474
2475
2476
2477
2478
2479
2480
2481
2482
2483
2484
2485
2486
2487
2488
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2489
2490
2491
2492
2493
2494
2495
2496
2497
2498
2499
2500
2501
2502
2503
2504
2505
2506
2507
2508
2509
2510
2511
2512
2513
2514
2515
2516
2517
2518
2519
2520
2521
2522
2523
2524
2525
2526
2527
2528
2529
2530
2531
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2532
2533
2534
2535
2536
2537
2538
2539
2540
2541
2542
2543
2544
2545
2546
2547
2548
2549
2550
2551
2552
2553
2554
2555
2556
2557
2558
2559
2560
2561
2562
2563
2564
2565
2566
2567
2568
2569
2570
2571
2572
2573
2574
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2575
2576
2577
2578
2579
2580
2581
2582
2583
2584
2585
2586
2587
2588
2589
2590
2591
2592
2593
2594
2595
2596
2597
2598
2599
2600
2601
2602
2603
2604
2605
2606
2607
2608
2609
2610
2611
2612
2613
2614
2615
2616
2617
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2618
2619
2620
2621
2622
2623
2624
2625
2626
2627
2628
2629
2630
2631
2632
2633
2634
2635
2636
2637
2638
2639
2640
2641
2642
2643
2644
2645
2646
2647
2648
2649
2650
2651
2652
2653
2654
2655
2656
2657
2658
2659
2660
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2661
2662
2663
2664
2665
2666
2667
2668
2669
2670
2671
2672
2673
2674
2675
2676
2677
2678
2679
2680
2681
2682
2683
2684
2685
2686
2687
2688
2689
2690
2691
2692
2693
2694
2695
2696
2697
2698
2699
2700
2701
2702
2703
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2704
2705
2706
2707
2708
2709
2710
2711
2712
2713
2714
2715
2716
2717
2718
2719
2720
2721
2722
2723
2724
2725
2726
2727
2728
2729
2730
2731
2732
2733
2734
2735
2736
2737
2738
2739
2740
2741
2742
2743
2744
2745
2746
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2747
2748
2749
2750
2751
2752
2753
2754
2755
2756
2757
2758
2759
2760
2761
2762
2763
2764
2765
2766
2767
2768
2769
2770
2771
2772
2773
2774
2775
2776
2777
2778
2779
2780
2781
2782
2783
2784
2785
2786
2787
2788
2789
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2790
2791
2792
2793
2794
2795
2796
2797
2798
2799
2800
2801
2802
2803
2804
2805
2806
2807
2808
2809
2810
2811
2812
2813
2814
2815
2816
2817
2818
2819
2820
2821
2822
2823
2824
2825
2826
2827
2828
2829
2830
2831
2832
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2833
2834
2835
2836
2837
2838
2839
2840
2841
2842
2843
2844
2845
2846
2847
2848
2849
2850
2851
2852
2853
2854
2855
2856
2857
2858
2859
2860
2861
2862
2863
2864
2865
2866
2867
2868
2869
2870
2871
2872
2873
2874
2875
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2876
2877
2878
2879
2880
2881
2882
2883
2884
2885
2886
2887
2888
2889
2890
2891
2892
2893
2894
2895
2896
2897
2898
2899
2900
2901
2902
2903
2904
2905
2906
2907
2908
2909
2910
2911
2912
2913
2914
2915
2916
2917
2918
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2919
2920
2921
2922
2923
2924
2925
2926
2927
2928
2929
2930
2931
2932
2933
2934
2935
2936
2937
2938
2939
2940
2941
2942
2943
2944
2945
2946
2947
2948
2949
2950
2951
2952
2953
2954
2955
2956
2957
2958
2959
2960
2961
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
2962
2963
2964
2965
2966
2967
2968
2969
2970
2971
2972
2973
2974
2975
2976
2977
2978
2979
2980
2981
2982
2983
2984
2985
2986
2987
2988
2989
2990
2991
2992
2993
2994
2995
2996
2997
2998
2999
3000
3001
3002
3003
3004
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.2 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Ciruga
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3005
3006
3007
3008
3009
3010
3011
3012
3013
3014
3015
3016
3017
3018
3019
3020
3021
3022
3023
3024
3025
3026
3027
3028
3029
3030
3031
3032
3033
3034
3035
3036
3037
3038
3039
3040
3041
3042
3043
3044
3045
3046
3047
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3048
3049
3050
3051
3052
3053
3054
3055
3056
3057
3058
3059
3060
3061
3062
3063
3064
3065
3066
3067
3068
3069
3070
3071
3072
3073
3074
3075
3076
3077
3078
3079
3080
3081
3082
3083
3084
3085
3086
3087
3088
3089
3090
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3091
3092
3093
3094
3095
3096
3097
3098
3099
3100
3101
3102
3103
3104
3105
3106
3107
3108
3109
3110
3111
3112
3113
3114
3115
3116
3117
3118
3119
3120
3121
3122
3123
3124
3125
3126
3127
3128
3129
3130
3131
3132
3133
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3134
3135
3136
3137
3138
3139
3140
3141
3142
3143
3144
3145
3146
3147
3148
3149
3150
3151
3152
3153
3154
3155
3156
3157
3158
3159
3160
3161
3162
3163
3164
3165
3166
3167
3168
3169
3170
3171
3172
3173
3174
3175
3176
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3177
3178
3179
3180
3181
3182
3183
3184
3185
3186
3187
3188
3189
3190
3191
3192
3193
3194
3195
3196
3197
3198
3199
3200
3201
3202
3203
3204
3205
3206
3207
3208
3209
3210
3211
3212
3213
3214
3215
3216
3217
3218
3219
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3220
3221
3222
3223
3224
3225
3226
3227
3228
3229
3230
3231
3232
3233
3234
3235
3236
3237
3238
3239
3240
3241
3242
3243
3244
3245
3246
3247
3248
3249
3250
3251
3252
3253
3254
3255
3256
3257
3258
3259
3260
3261
3262
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3263
3264
3265
3266
3267
3268
3269
3270
3271
3272
3273
3274
3275
3276
3277
3278
3279
3280
3281
3282
3283
3284
3285
3286
3287
3288
3289
3290
3291
3292
3293
3294
3295
3296
3297
3298
3299
3300
3301
3302
3303
3304
3305
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3306
3307
3308
3309
3310
3311
3312
3313
3314
3315
3316
3317
3318
3319
3320
3321
3322
3323
3324
3325
3326
3327
3328
3329
3330
3331
3332
3333
3334
3335
3336
3337
3338
3339
3340
3341
3342
3343
3344
3345
3346
3347
3348
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3349
3350
3351
3352
3353
3354
3355
3356
3357
3358
3359
3360
3361
3362
3363
3364
3365
3366
3367
3368
3369
3370
3371
3372
3373
3374
3375
3376
3377
3378
3379
3380
3381
3382
3383
3384
3385
3386
3387
3388
3389
3390
3391
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3392
3393
3394
3395
3396
3397
3398
3399
3400
3401
3402
3403
3404
3405
3406
3407
3408
3409
3410
3411
3412
3413
3414
3415
3416
3417
3418
3419
3420
3421
3422
3423
3424
3425
3426
3427
3428
3429
3430
3431
3432
3433
3434
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3435
3436
3437
3438
3439
3440
3441
3442
3443
3444
3445
3446
3447
3448
3449
3450
3451
3452
3453
3454
3455
3456
3457
3458
3459
3460
3461
3462
3463
3464
3465
3466
3467
3468
3469
3470
3471
3472
3473
3474
3475
3476
3477
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3478
3479
3480
3481
3482
3483
3484
3485
3486
3487
3488
3489
3490
3491
3492
3493
3494
3495
3496
3497
3498
3499
3500
3501
3502
3503
3504
3505
3506
3507
3508
3509
3510
3511
3512
3513
3514
3515
3516
3517
3518
3519
3520
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
(incluy
3521
3522
3523
3524
3525
3526
3527
3528
3529
3530
3531
3532
3533
3534
3535
3536
3537
3538
3539
3540
3541
3542
3543
3544
3545
3546
3547
3548
3549
3550
3551
3552
3553
3554
3555
3556
3557
3558
3559
3560
3561
3562
3563
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.3 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Radiologa (incluy
Patologa y Labora
Patologa y Labora
Patologa y Labora
Patologa y Labora
Patologa y Labora
Patologa y Labora
Patologa y Labora
Patologa y Labora
Patologa y Labora
Patologa y Labora
3564
3565
3566
3567
3568
3569
3570
3571
3572
3573
3574
3575
3576
3577
3578
3579
3580
3581
3582
3583
3584
3585
3586
3587
3588
3589
3590
3591
3592
3593
3594
3595
3596
3597
3598
3599
3600
3601
3602
3603
3604
3605
3606
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3607
3608
3609
3610
3611
3612
3613
3614
3615
3616
3617
3618
3619
3620
3621
3622
3623
3624
3625
3626
3627
3628
3629
3630
3631
3632
3633
3634
3635
3636
3637
3638
3639
3640
3641
3642
3643
3644
3645
3646
3647
3648
3649
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3650
3651
3652
3653
3654
3655
3656
3657
3658
3659
3660
3661
3662
3663
3664
3665
3666
3667
3668
3669
3670
3671
3672
3673
3674
3675
3676
3677
3678
3679
3680
3681
3682
3683
3684
3685
3686
3687
3688
3689
3690
3691
3692
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3693
3694
3695
3696
3697
3698
3699
3700
3701
3702
3703
3704
3705
3706
3707
3708
3709
3710
3711
3712
3713
3714
3715
3716
3717
3718
3719
3720
3721
3722
3723
3724
3725
3726
3727
3728
3729
3730
3731
3732
3733
3734
3735
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3736
3737
3738
3739
3740
3741
3742
3743
3744
3745
3746
3747
3748
3749
3750
3751
3752
3753
3754
3755
3756
3757
3758
3759
3760
3761
3762
3763
3764
3765
3766
3767
3768
3769
3770
3771
3772
3773
3774
3775
3776
3777
3778
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3779
3780
3781
3782
3783
3784
3785
3786
3787
3788
3789
3790
3791
3792
3793
3794
3795
3796
3797
3798
3799
3800
3801
3802
3803
3804
3805
3806
3807
3808
3809
3810
3811
3812
3813
3814
3815
3816
3817
3818
3819
3820
3821
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3822
3823
3824
3825
3826
3827
3828
3829
3830
3831
3832
3833
3834
3835
3836
3837
3838
3839
3840
3841
3842
3843
3844
3845
3846
3847
3848
3849
3850
3851
3852
3853
3854
3855
3856
3857
3858
3859
3860
3861
3862
3863
3864
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3865
3866
3867
3868
3869
3870
3871
3872
3873
3874
3875
3876
3877
3878
3879
3880
3881
3882
3883
3884
3885
3886
3887
3888
3889
3890
3891
3892
3893
3894
3895
3896
3897
3898
3899
3900
3901
3902
3903
3904
3905
3906
3907
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3908
3909
3910
3911
3912
3913
3914
3915
3916
3917
3918
3919
3920
3921
3922
3923
3924
3925
3926
3927
3928
3929
3930
3931
3932
3933
3934
3935
3936
3937
3938
3939
3940
3941
3942
3943
3944
3945
3946
3947
3948
3949
3950
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3951
3952
3953
3954
3955
3956
3957
3958
3959
3960
3961
3962
3963
3964
3965
3966
3967
3968
3969
3970
3971
3972
3973
3974
3975
3976
3977
3978
3979
3980
3981
3982
3983
3984
3985
3986
3987
3988
3989
3990
3991
3992
3993
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
3994
3995
3996
3997
3998
3999
4000
4001
4002
4003
4004
4005
4006
4007
4008
4009
4010
4011
4012
4013
4014
4015
4016
4017
4018
4019
4020
4021
4022
4023
4024
4025
4026
4027
4028
4029
4030
4031
4032
4033
4034
4035
4036
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4037
4038
4039
4040
4041
4042
4043
4044
4045
4046
4047
4048
4049
4050
4051
4052
4053
4054
4055
4056
4057
4058
4059
4060
4061
4062
4063
4064
4065
4066
4067
4068
4069
4070
4071
4072
4073
4074
4075
4076
4077
4078
4079
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4080
4081
4082
4083
4084
4085
4086
4087
4088
4089
4090
4091
4092
4093
4094
4095
4096
4097
4098
4099
4100
4101
4102
4103
4104
4105
4106
4107
4108
4109
4110
4111
4112
4113
4114
4115
4116
4117
4118
4119
4120
4121
4122
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4123
4124
4125
4126
4127
4128
4129
4130
4131
4132
4133
4134
4135
4136
4137
4138
4139
4140
4141
4142
4143
4144
4145
4146
4147
4148
4149
4150
4151
4152
4153
4154
4155
4156
4157
4158
4159
4160
4161
4162
4163
4164
4165
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4166
4167
4168
4169
4170
4171
4172
4173
4174
4175
4176
4177
4178
4179
4180
4181
4182
4183
4184
4185
4186
4187
4188
4189
4190
4191
4192
4193
4194
4195
4196
4197
4198
4199
4200
4201
4202
4203
4204
4205
4206
4207
4208
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4209
4210
4211
4212
4213
4214
4215
4216
4217
4218
4219
4220
4221
4222
4223
4224
4225
4226
4227
4228
4229
4230
4231
4232
4233
4234
4235
4236
4237
4238
4239
4240
4241
4242
4243
4244
4245
4246
4247
4248
4249
4250
4251
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4252
4253
4254
4255
4256
4257
4258
4259
4260
4261
4262
4263
4264
4265
4266
4267
4268
4269
4270
4271
4272
4273
4274
4275
4276
4277
4278
4279
4280
4281
4282
4283
4284
4285
4286
4287
4288
4289
4290
4291
4292
4293
4294
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4295
4296
4297
4298
4299
4300
4301
4302
4303
4304
4305
4306
4307
4308
4309
4310
4311
4312
4313
4314
4315
4316
4317
4318
4319
4320
4321
4322
4323
4324
4325
4326
4327
4328
4329
4330
4331
4332
4333
4334
4335
4336
4337
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4338
4339
4340
4341
4342
4343
4344
4345
4346
4347
4348
4349
4350
4351
4352
4353
4354
4355
4356
4357
4358
4359
4360
4361
4362
4363
4364
4365
4366
4367
4368
4369
4370
4371
4372
4373
4374
4375
4376
4377
4378
4379
4380
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4381
4382
4383
4384
4385
4386
4387
4388
4389
4390
4391
4392
4393
4394
4395
4396
4397
4398
4399
4400
4401
4402
4403
4404
4405
4406
4407
4408
4409
4410
4411
4412
4413
4414
4415
4416
4417
4418
4419
4420
4421
4422
4423
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.4 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Patologa
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
y
y
y
y
y
y
y
y
Labora
Labora
Labora
Labora
Labora
Labora
Labora
Labora
4424
4425
4426
4427
4428
4429
4430
4431
4432
4433
4434
4435
4436
4437
4438
4439
4440
4441
4442
4443
4444
4445
4446
4447
4448
4449
4450
4451
4452
4453
4454
4455
4456
4457
4458
4459
4460
4461
4462
4463
4464
4465
4466
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4467
4468
4469
4470
4471
4472
4473
4474
4475
4476
4477
4478
4479
4480
4481
4482
4483
4484
4485
4486
4487
4488
4489
4490
4491
4492
4493
4494
4495
4496
4497
4498
4499
4500
4501
4502
4503
4504
4505
4506
4507
4508
4509
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4510
4511
4512
4513
4514
4515
4516
4517
4518
4519
4520
4521
4522
4523
4524
4525
4526
4527
4528
4529
4530
4531
4532
4533
4534
4535
4536
4537
4538
4539
4540
4541
4542
4543
4544
4545
4546
4547
4548
4549
4550
4551
4552
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4553
4554
4555
4556
4557
4558
4559
4560
4561
4562
4563
4564
4565
4566
4567
4568
4569
4570
4571
4572
4573
4574
4575
4576
4577
4578
4579
4580
4581
4582
4583
4584
4585
4586
4587
4588
4589
4590
4591
4592
4593
4594
4595
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4596
4597
4598
4599
4600
4601
4602
4603
4604
4605
4606
4607
4608
4609
4610
4611
4612
4613
4614
4615
4616
4617
4618
4619
4620
4621
4622
4623
4624
4625
4626
4627
4628
4629
4630
4631
4632
4633
4634
4635
4636
4637
4638
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4639
4640
4641
4642
4643
4644
4645
4646
4647
4648
4649
4650
4651
4652
4653
4654
4655
4656
4657
4658
4659
4660
4661
4662
4663
4664
4665
4666
4667
4668
4669
4670
4671
4672
4673
4674
4675
4676
4677
4678
4679
4680
4681
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4682
4683
4684
4685
4686
4687
4688
4689
4690
4691
4692
4693
4694
4695
4696
4697
4698
4699
4700
4701
4702
4703
4704
4705
4706
4707
4708
4709
4710
4711
4712
4713
4714
4715
4716
4717
4718
4719
4720
4721
4722
4723
4724
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4725
4726
4727
4728
4729
4730
4731
4732
4733
4734
4735
4736
4737
4738
4739
4740
4741
4742
4743
4744
4745
4746
4747
4748
4749
4750
4751
4752
4753
4754
4755
4756
4757
4758
4759
4760
4761
4762
4763
4764
4765
4766
4767
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4768
4769
4770
4771
4772
4773
4774
4775
4776
4777
4778
4779
4780
4781
4782
4783
4784
4785
4786
4787
4788
4789
4790
4791
4792
4793
4794
4795
4796
4797
4798
4799
4800
4801
4802
4803
4804
4805
4806
4807
4808
4809
4810
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.5 Seccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
4811
4812
4813
4814
4815
4816
4817
4818
4819
4820
4821
4822
4823
4824
4825
4826
4827
4828
4829
4830
4831
4832
4833
4834
4835
4836
4837
4838
4839
4840
4841
4842
4843
4844
4845
4846
4847
4848
4849
4850
4851
4852
4853
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
MEDICOS
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
Y
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
ESTOMATOLOGICOS
1.5 Seccin
1.5 Seccin
1.5 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
Medicina
Medicina
Medicina
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
Evaluacin
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
Mane
4854
4855
4856
4857
4858
4859
4860
4861
4862
4863
4864
4865
4866
4867
4868
4869
4870
4871
4872
4873
4874
4875
4876
4877
4878
4879
4880
4881
4882
4883
4884
4885
4886
4887
4888
4889
4890
4891
4892
4893
4894
4895
4896
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
1 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
MEDICOS Y ESTOMATOLOGICOS
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
DE SALUD COLECTIVA
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
1.6 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.1 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.2 Seccin
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
Evaluacin y Mane
de Servicios de Salud
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Promocin de la s
Colectiva
Colectiva
Colectiva
Colectiva
Colectiva
Colectiva
Colectiva
Colectiva
Colectiva
Colectiva
4897
4898
4899
4900
4901
4902
4903
4904
4905
4906
4907
4908
4909
4910
4911
4912
4913
4914
4915
4916
4917
4918
4919
4920
4921
4922
4923
4924
4925
4926
4927
4928
4929
4930
4931
4932
4933
4934
4935
4936
4937
4938
4939
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
DE
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
2.2 Seccin
2.2 Seccin
2.2 Seccin
2.3 Seccin
2.3 Seccin
2.3 Seccin
2.3 Seccin
2.3 Seccin
2.3 Seccin
2.3 Seccin
2.3 Seccin
2.4 Seccin
2.4 Seccin
2.4 Seccin
2.4 Seccin
2.4 Seccin
2.4 Seccin
2.4 Seccin
2.4 Seccin
2.4 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.5 Seccin
2.6 Seccin
2.6 Seccin
2.6 Seccin
2.6 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
Promocin de la s
Promocin de la s
Promocin de la s
Alimentacin y Nutricin salud
Enfermedades Zoonticas
Enfermedades Metaxnicas y o
Vigilancia en Salud Ambiental
Salud Bucal
Salud Bucal
Salud Bucal
Salud Bucal
Salud Bucal
Salud Bucal
Salud Bucal
Salud Bucal
4940
4941
4942
4943
4944
4945
4946
4947
4948
4949
4950
4951
4952
4953
4954
4955
4956
4957
4958
4959
4960
4961
4962
4963
4964
4965
4966
4967
4968
4969
4970
4971
4972
4973
4974
4975
4976
4977
4978
4979
4980
4981
4982
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
2 SERVICIOS
DE
DE
DE
DE
DE
DE
SALUD
SALUD
SALUD
SALUD
SALUD
SALUD
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
COLECTIVA
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
2.7 Seccin
Salud
Salud
Salud
Salud
Salud
Salud
Bucal
Bucal
Bucal
Bucal
Bucal
Bucal
4983
4984
4985
4986
4987
4988
4989
4990
4991
4992
4993
4994
4995
4996
4997
4998
4999
5000
5001
5002
5003
5004
5005
5006
5007
5008
5009
5010
5011
5012
5013
5014
5015
5016
5017
5018
5019
5020
5021
5022
5023
5024
5025
5026
5027
5028
5029
5030
5031
5032
5033
5034
5035
5036
5037
5038
5039
5040
5041
5042
5043
5044
5045
5046
5047
5048
5049
5050
5051
5052
5053
5054
5055
5056
5057
5058
5059
5060
5061
5062
5063
5064
5065
5066
5067
5068
5069
5070
5071
5072
5073
5074
5075
5076
5077
5078
5079
5080
5081
5082
5083
5084
5085
5086
5087
5088
5089
5090
5091
5092
5093
5094
5095
5096
5097
5098
5099
5100
5101
5102
5103
5104
5105
5106
5107
5108
5109
5110
5111
5112
5113
5114
5115
5116
5117
5118
5119
5120
5121
5122
5123
5124
5125
5126
5127
5128
5129
5130
5131
5132
5133
5134
5135
5136
5137
5138
5139
5140
5141
5142
5143
5144
5145
5146
5147
5148
5149
5150
5151
5152
5153
5154
5155
5156
5157
5158
5159
5160
5161
5162
5163
5164
5165
5166
5167
5168
5169
5170
5171
5172
5173
5174
5175
5176
5177
5178
5179
5180
5181
5182
5183
5184
5185
5186
5187
5188
5189
5190
5191
5192
5193
5194
5195
5196
5197
5198
5199
5200
5201
5202
5203
5204
5205
5206
5207
5208
5209
5210
5211
5212
5213
5214
5215
5216
5217
5218
5219
5220
5221
5222
5223
5224
5225
5226
5227
5228
5229
5230
5231
5232
5233
5234
5235
5236
5237
5238
5239
5240
5241
5242
5243
5244
5245
5246
5247
5248
5249
5250
5251
5252
5253
5254
5255
5256
5257
5258
5259
5260
5261
5262
5263
5264
5265
5266
5267
5268
5269
5270
5271
5272
5273
5274
5275
5276
5277
5278
5279
5280
5281
5282
5283
5284
5285
5286
5287
5288
5289
5290
5291
5292
5293
5294
5295
5296
5297
5298
5299
5300
5301
5302
5303
5304
5305
5306
5307
5308
5309
5310
5311
5312
5313
5314
5315
5316
5317
5318
5319
5320
5321
5322
5323
5324
5325
5326
5327
5328
5329
5330
5331
5332
5333
5334
5335
5336
5337
5338
5339
5340
5341
5342
5343
5344
5345
5346
5347
5348
5349
5350
5351
5352
5353
5354
5355
5356
5357
5358
5359
5360
5361
5362
5363
5364
5365
5366
5367
5368
5369
5370
5371
5372
5373
5374
5375
5376
5377
5378
5379
5380
5381
5382
5383
5384
5385
5386
5387
5388
5389
5390
5391
5392
5393
5394
5395
5396
5397
5398
5399
5400
5401
5402
5403
5404
5405
5406
5407
5408
5409
5410
5411
5412
5413
5414
5415
5416
5417
5418
5419
5420
5421
5422
5423
5424
5425
5426
5427
5428
5429
5430
5431
5432
5433
5434
5435
5436
5437
5438
5439
5440
5441
5442
5443
5444
5445
5446
5447
5448
5449
5450
5451
5452
5453
5454
5455
5456
5457
5458
5459
5460
Y ESTOMATOLGICOS Y URV - MINSA - 2006 RM 689-2006/MINSA

Cdigo por Niveles
Sub Seccin
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.1
1.1.2
1.1.2
1.1.2
1.1.2
1.1.2
1.1.2
1.1.3
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cuello
Cuello
Cuello
Cuello
Cuello
Cuello
Trax (Pared Torcica y Cintura Escapular)
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.3
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.4
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.5
1.1.6
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin

Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Intratorcica
Columna Vertebral y Mdula Espinal
Abdomen Superior
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.6
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.7
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
1.1.8
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Perin
Perin
Perin
Perin
Perin
Perin
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
Inferior
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.8 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.9 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
1.1.10 Subseccin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Perin
Pelvis (Excepto
Pelvis (Excepto
Pelvis (Excepto
Pelvis (Excepto
Pelvis (Excepto
Pelvis (Excepto
Pelvis (Excepto
Pelvis (Excepto
Pelvis (Excepto
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Muslo
Cadera)
Cadera)
Cadera)
Cadera)
Cadera)
Cadera)
Cadera)
Cadera)
Cadera)
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.11 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.12 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
1.1.13 Subseccin
Rodilla y Area Popltea

Pierna (Inferior a la Rodilla,
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Hombro y Axila
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Incluye
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
1.1.13 Subseccin
1.1.13 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.14 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.15 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.16 Subseccin
1.1.17 Subseccin
1.1.17 Subseccin
1.1.17 Subseccin
Hombro y Axila
Hombro y Axila
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Brazo y Codo
Antebrazo, Mueca y Mano
Procedimientos Radiolgicos
Debridacin de Quemaduras
1.1.18 Subseccin Anestesia Obsttrica

1.1.19 Subseccin Otros Procedimientos
1.1.20 Anestesia General
1.1.21 Anestesia Regional
1.2.1 Subseccin Sistema Tegumentario
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
1.2.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Tegumentario
1.2.1
1.2.1
1.2.1
1.2.1
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Tegumentario
Tegumentario
Tegumentario
Tegumentario
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
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Subseccin
Subseccin
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Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
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Subseccin
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Subseccin
Subseccin
Subseccin
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Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
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Sistema
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Sistema
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Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.2
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Musculoesqueltico
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.3
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Respiratorio
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.4
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
1.2.5
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistemas Linftico y Hemtico
1.2.5
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.6
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin

Mediastino y Diafragma
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
Sistema Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.7
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Digestivo
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.8
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
1.2.9
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
Genital Masculino
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.9 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Masculino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Genital
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.10 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Sistema Genital
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
Femenino
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.11 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.12 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Maternidad
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Endocrino
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.13 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Ojos y Anexos Oculares
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
Ojos
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
Oculares
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.14 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin

Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.2.15 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
1.3.1 Subseccin
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Sistema Auditivo
Radiologa Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Radiologa
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
Diagnstica
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
(Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.1
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiologa Diagnstica (Diagnstico

Ultrasonido Diagnstico
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
por
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
I
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.2
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Radiacin en Oncologa
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.3
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Medicina
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
Nuclear
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.3.4
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
1.4.1
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Medicina Nuclear
Perfiles orientados
Perfiles orientados
Perfiles orientados
Perfiles orientados
Perfiles orientados
Perfiles orientados
Perfiles orientados
Perfiles orientados
Perfiles orientados
Perfiles orientados
a
a
a
a
a
a
a
a
a
a
rganos
rganos
rganos
rganos
rganos
rganos
rganos
rganos
rganos
rganos
o
o
o
o
o
o
o
o
o
o
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
1.4.1
1.4.1
1.4.1
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.2
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Perfiles orientados a rganos o enfermedades

Dosaje de drogas de uso teraputico
Pruebas de estimulacin y supresin
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.3
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.4
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Pruebas de estimulacin
Examen de orina
Examen de orina
Examen de orina
Examen de orina
Examen de orina
Examen de orina
Examen de orina
Examen de orina
Examen de orina
Examen de orina
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
supresin
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.5
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Bioqumica
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.6
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Hematologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
coagulacin
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.7
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Inmunologa
Medicina Transfusional
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.8
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
1.4.9
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
1.4.9 Subseccin
1.4.9 Subseccin
1.4.9 Subseccin
1.4.9 Subseccin
1.4.9 Subseccin
1.4.9 Subseccin
1.4.9 Subseccin
1.4.9 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Microbiologa
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.10 Subseccin
1.4.11 Subseccin
1.4.11 Subseccin
1.4.11 Subseccin
1.4.11 Subseccin
1.4.11 Subseccin
1.4.11 Subseccin
1.4.11 Subseccin
1.4.11 Subseccin
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
Anatoma Patolgica
otros procedimientos
1.4.12 Subseccin
1.4.12 Subseccin
1.4.12 Subseccin
1.4.12 Subseccin
1.4.12 Subseccin
1.4.12 Subseccin
1.4.12 Subseccin
1.4.12 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.1 Subseccin
1.5.2 Subseccin
1.5.3 Subseccin
1.5.3 Subseccin
1.5.3 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
1.5.4 Subseccin
Procedimientos de Medicina Reproductiva

Inmunizacin por administracin de Inmunoglobuliinas, Vacunas/Toxoides
Infusiones Teraputicas o Diagnsticas (excluye Quimioterapia)
Inyecciones Diagnsticas, Profilcticas o Teraputicas
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.4
1.5.5
1.5.5
1.5.5
1.5.5
1.5.5
1.5.5
1.5.5
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Psiquiatra
Dilisis
Dilisis
Dilisis
Dilisis
Dilisis
Dilisis
Dilisis
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.6
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Gastroenterologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.7
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Oftalmologa
Servicios Especiales
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
Otorrinolaringologa
Otorrinolaringologa
Otorrinolaringologa
Otorrinolaringologa
Otorrinolaringologa
Otorrinolaringologa
Otorrinolaringologa
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.8
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
de
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringolog
Otorrinolaringologa
Otorrinolaringologa
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
1.5.9
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
1.5.9 Subseccin Cardiovascular

1.5.10 Estudios Diagnsticos vasculares no invasivos
1.5.11 Subseccin Pulmonar
1.5.12 Subseccin Inmunologa Clnica y Alergia
1.5.13 Subseccin Neurologa y Procedimientos Neuromuscul
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.13 Subseccin
1.5.14 Subseccin
Neurologa y Procedimientos Neuromuscul

Evaluacin / Pruebas del Sistema Nervioso Central (p.ej. Neurocognitivas, Esta
1.5.14 Subseccin
1.5.14 Subseccin
1.5.14 Subseccin
1.5.14 Subseccin
1.5.14 Subseccin
1.5.14 Subseccin
1.5.14 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.15 Subseccin
1.5.16 Subseccin
1.5.16 Subseccin
1.5.16 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
Evaluacin / Pruebas del Sistema Nervioso Central

Administracin de Quimioterapia
Procedimientos Dermatolgicos Especiales
Medicina Fsica y Rehabilitacin
(p.ej.
(p.ej.
(p.ej.
(p.ej.
(p.ej.
(p.ej.
(p.ej.
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Esta
Esta
Esta
Esta
Esta
Esta
Esta
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.17 Subseccin
1.5.18 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin

de Terapia de Nutricin Mdica
Otros Servicios y Procedimientos
1.5.19 Subseccin
1.5.19 Subseccin
1.5.19 Subseccin
1.6.1 Subseccin
1.6.1 Subseccin
1.6.1 Subseccin
1.6.1 Subseccin
1.6.1 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.2 Subseccin
1.6.3 Subseccin
1.6.4 Subseccin
1.6.4 Subseccin
1.6.5 Subseccin
1.6.5 Subseccin
1.6.5 Subseccin
1.6.5 Subseccin
1.6.5 Subseccin
1.6.5 Subseccin
1.6.5 Subseccin
1.6.5 Subseccin
1.6.6 Subseccin
1.6.6 Subseccin
1.6.6 Subseccin
1.6.6 Subseccin
1.6.6 Subseccin
1.6.6 Subseccin
1.6.6 Subseccin
1.6.6 Subseccin
1.6.7 Subseccin
1.6.7 Subseccin
1.6.7 Subseccin
1.6.7 Subseccin
1.6.8 Subseccin
1.6.8 Subseccin

Servicios de Consultorio u Otros Ambulatorios
Servicios de Hospitalizacin
Interconsultas (consulta especializada)
Interconsultas (consulta especializada)
Servicios de Emergencia
de Cuidados Intensivos del Adulto
de Cuidados Intensivos Pediatricos y Neonatales
Servicios Domiciliarios
Servicios Domiciliarios
icios
icios
icios
icios
icios
icios
icios
icios
icios
icios
de
de
de
de
de
de
de
de
de
de
1.6.8 Subseccin Servicios Domiciliarios

Salud Colectiva General

acin y Nutricin saludable
edades Zoonticas
edades Zoonticas
edades Zoonticas
edades Zoonticas
edades Zoonticas
edades Zoonticas
edades Zoonticas
edades Zoonticas
edades Zoonticas
edades Metaxnicas y otras enfermedades transmitidas por vectores
cia en Salud Ambiental
2.7.2 Subseccin Tratamiento de topicacin de Fluor (Procedimiento en
Consultorio)
Consultorio)
Consultorio)
Consultorio)
Consultorio)
Consultorio)
2.7.2
2.7.2
2.7.3.
2.7.3.
2.7.4
2.7.4
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Tratamiento de topicacin de Fluor

Tratamiento de topicacin de Fluor
Otros Servicios de Prevencin
Otros Servicios de Prevencin
Mantenedor de espacios (Aparatos
Mantenedor de espacios (Aparatos
(Procedimiento en Consultorio)
(Procedimiento en Consultorio)
Pasivos)
Pasivos)
2006/MINSA
Nivel
Codigo
00100
00102
00103
00104
00120
00124
00126
00140
00142
00144
00145
00147
00148
00160
00162
00164
00170
00172
00174
00176
00190
00192
00210
00212
00214
00215
00216
00218
00220
00222
00300
00320
00322
00326
00350
00352
00400
00402
00404
00406
00410
00450
00452
00454
00470
00472
00474
00500
00520
00522
00524
00528
00529
00530
00532
00534
00537
00539
00540
00541
00542
00546
00548
00550
00560
00562
00563
00566
00580
00600
00604
00620
00622
00630
00632
00634
00635
00640
00670
00700
00702
00730
00740
00750
00752
00754
00756
00770
00790
00792
00794
00796
00797
00800
00802
00810
00820
00830
00832
00834
00840
00842
00844
00846
00848
00860
00862
00864
00865
00866
00868
00870
00872
00873
00880
00882
00884
00902
00904
00906
00908
00910
00912
00914
00916
00918
00920
00922
00924
00926
00928
00930
00932
00934
00936
00938
00940
00942
00944
00948
00950
00952
01112
01120
01130
01140
01150
01160
01170
01180
01190
01200
01202
01210
01212
01214
01215
01220
01230
01232
01234
01250
01260
01270
01272
01274
ye
ye
ye
ye
ye
ye
ye
ye
ye
ye
ye
ye
ye
ye
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
Pie)
01320
01340
01360
01380
01382
01390
01392
01400
01402
01404
01420
01430
01432
01440
01442
01444
01462
01464
01470
01472
01474
01480
01482
01484
01486
01490
01500
01502
01520
01522
01610
01620
01622
01630
01632
01634
01636
01638
01650
01652
01654
01656
01670
01680
01682
01710
01712
01714
01716
01730
01732
01740
01742
01744
01756
01758
01760
01770
01772
01780
01782
01810
01820
01829
01830
01832
01840
01842
01844
01850
01852
01860
01905
01916
01920
01922
01924
01925
01926
01930
01931
01932
01933
01951
01952
01953
Ciruga Microgrfica de Moh

Destruccin
Destruccin
Destruccin
01958
01960
01961
01962
01963
01964
01967
01968
01969
01990
01991
01992
01995
01996
01997
01998
D7134
01970
01971
01972
01973
01974
01975
01980
01981
01982
01983
01984
01985
01986
01987
17304
15570
15600
15650
15732
17250
17000
17260
15350
15000
15050
15400
Introduccin
Introduccin
Introduccin
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
Mamas
11976
11975
11977
19000
19100
19120
19350
19355
19380
19328
19140
19160
19162
19316
19370
19260
19180
19357
19272
19366
19324
19200
19318
19361
19364
19220
19020
19030
19101
19102
19103
19182
19290
19325
19340
19371
15740
15756
17340
17360
15850
15852
15820
Piel, Tejido Subcutneo y Estructuras
Quiste pilonidal
Rearreglo o Transferencia de Tejido
Reparacin
Reparacin
Reparacin
Reparacin
Reparacin
Reparacin
Reparacin
Ulceras de Presin (Ulceras de decbi
15822
15780
15876
15819
15824
15831
15840
15851
15877
15878
15879
15880
11300
10160
11055
10060
10140
11200
10080
11100
10120
11400
11000
11655
11010
11011
11012
10040
11650
16010
16035
16000
16040
11770
14000
12001
12002
12031
12005
12032
12035
13160
15920
Ulceras de Presin (Ulceras de decbi 15933

Ulceras de Presin (Ulceras de decbi 15990
Uas
11740
Uas
11750
Antebrazo y Mueca
25111
Antebrazo y Mueca
25248
Antebrazo y Mueca
25000
Antebrazo y Mueca
25440
Antebrazo y Mueca
25085
Antebrazo y Mueca
25260
Antebrazo y Mueca
25020
Antebrazo y Mueca
25290
Antebrazo y Mueca
25040
Antebrazo y Mueca
25105
Antebrazo y Mueca
25118
Antebrazo y Mueca
25210
Antebrazo y Mueca
25449
Antebrazo y Mueca
25450
Antebrazo y Mueca
25611
Antebrazo y Mueca
25075
Antebrazo y Mueca
25320
Antebrazo y Mueca
25295
Antebrazo y Mueca
25230
Antebrazo y Mueca
25300
Antebrazo y Mueca
25927
Antebrazo y Mueca
25120
Antebrazo y Mueca
25390
Antebrazo y Mueca
25215
Antebrazo y Mueca
25280
Antebrazo y Mueca
25315
Antebrazo y Mueca
25335
Antebrazo y Mueca
25515
Antebrazo y Mueca
25526
Antebrazo y Mueca
25574
Antebrazo y Mueca
25620
Antebrazo y Mueca
25645
Antebrazo y Mueca
25676
Antebrazo y Mueca
25800
Antebrazo y Mueca
25900
Antebrazo y Mueca
25115
Antebrazo y Mueca
25310
Antebrazo y Mueca
25150
Antebrazo y Mueca
25920
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Antebrazo
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
y Mueca
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
de Frulas,
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
25350
25077
25170
25332
25922
25028
25035
25100
25110
25145
25250
25337
25441
25490
25500
25622
25628
25630
25650
25660
25675
25680
25685
25690
25695
25915
29200
29700
29130
29125
29010
29085
29105
29049
29075
29065
29345
29450
29435
29035
29058
29305
29000
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Aplicacin
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
de
de
de
de
de
de
de
de
de
Frulas,
Frulas,
Frulas,
Frulas,
Frulas,
Frulas,
Frulas,
Frulas,
Frulas,
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
Yesos
y
y
y
y
y
y
y
y
y
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
Vendaj
29055
29405
29440
29445
29520
29720
29730
29740
29750
D2390
D2391
D2392
D2395
D4220
21310
21345
21325
21495
21338
21343
21440
21490
21031
21400
21025
21034
21050
21360
21445
21454
21010
21060
21015
21346
21385
21422
21045
21431
21432
21026
21030
21040
21044
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
21070
21076
21110
21120
21125
21141
21150
21154
21155
21172
21175
21179
21188
21193
21194
21195
21198
21206
21208
21210
21230
21240
21243
21244
21245
21247
21248
21255
21256
21270
21275
21300
21315
21336
21337
21340
21347
21355
21356
21365
21406
21421
21450
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
21452
21453
21461
21462
21465
21470
21480
21493
D2110
D2120
D2130
D2140
D2150
D2160
D2330
D2331
D2332
D2335
D2336
D2337
D2380
D2381
D2382
D2385
D2386
D2387
D2510
D2542
D2610
D2642
D2650
D2662
D2705
D2925
D2930
D2931
D2951
D2955
D2971
D2972
D2985
D2986
D3110
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
D3120
D3220
D3221
D3230
D3240
D3310
D3311
D3320
D3321
D3330
D3331
D3333
D3346
D3347
D3348
D3351
D3352
D3353
D3430
D3460
D4240
D4249
D4263
D4264
D4266
D4267
D4268
D4270
D4271
D4341
D4355
D4910
D5110
D5111
D5211
D5212
D5710
D5810
D5811
D5850
D5875
D5931
D5932
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
D5937
D6080
D6100
D7110
D7112
D7116
D7118
D7124
D7126
D7128
D7130
D7132
D7140
D7144
D7146
D7152
D7154
D7156
D7158
D7160
D7164
D7166
D7168
D7170
D7174
D7184
D7186
D7188
D7190
D7192
D7196
D7198
D7200
D7202
D7204
D7206
D7208
D7210
D7212
D7214
D7216
D7222
D7224
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
Cabeza
D7226
D7228
D7230
D7232
D7234
D7236
D7238
D7240
D7242
D7244
D7250
D7252
D7254
D7256
D7258
D7262
D7264
D7266
D7268
D7270
D7272
D7274
D7276
D7278
D7280
D7282
D7284
D7288
D7292
D7294
D7306
D8010
D8011
D8050
D8051
D8052
D8070
D8071
D8072
D8073
D8074
D8210
D8211
Cabeza
Cabeza
Cabeza
Cabeza
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Columna vertebral
Cuello (Partes Blandas)
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
D8660
D8661
D8662
D8663
22850
22852
22505
22210
22310
22100
22840
22220
22842
22590
22325
22548
22305
22318
22800
22808
22818
22830
22841
22845
22848
22849
22851
22855
21800
21820
21555
21600
21805
21610
21700
21720
21825
21620
21630
21740
21501
21510
21627

Espalda y Flancos
Espalda y Flancos
21750
21810
29800
29804
29805
29806
29830
29834
29840
29843
29860
29861
29870
29871
29891
29900
29901
21930
21935
27355
27508
27306
27570
27305
27420
27425
27497
27509
27486
27340
27385
27380
27390
27418
27427
27435
27475
27519
27315
27320
27327
27393
27590
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
Fmur (Muslo)
General
General
General
General
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
Rodilla
27372
27430
27350
27465
27428
27310
27396
27403
27405
27507
27524
27598
27466
27514
27468
27400
27360
27448
27455
27580
27329
27365
27437
27301
27470
27488
27495
27496
27500
27501
27506
27511
27520
27530
27535
27550
27556
27560
27566
20600
20200
20615
20220
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
General
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
20950
20520
20670
20690
20694
20692
20100
20680
20900
20910
20926
20816
20824
20808
20805
20802
20000
20005
20500
20605
20610
20650
20660
20661
20664
20838
20955
20969
20974
20975
23030
23000
23515
23585
23410
23450
23440
23405
23140
23415
23430
23465
23170
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Hombro
Humero
Humero
Humero
Humero
Humero
Humero
Humero
(Parte
(Parte
(Parte
(Parte
(Parte
(Parte
(Parte
Superior
Superior
Superior
Superior
Superior
Superior
Superior
del
del
del
del
del
del
del
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
y
y
y
y
y
y
y
23180
23120
23040
23044
23395
23615
23660
23920
23130
23174
23900
23190
23480
23800
23077
23200
23220
23470
23035
23330
23332
23400
23420
23490
23500
23520
23530
23540
23550
23570
23600
23620
23630
23650
23665
23700
24600
24200
24105
24495
24000
24310
24350
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Humero (Parte
Mano y Dedos
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
Superior
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
del
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
Brazo)
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
24538
24470
24201
24340
24342
24075
24110
24130
24305
24586
24615
24635
24665
24685
24900
24140
24301
24515
24545
24134
24320
24330
24149
24155
24420
24800
24077
24150
24360
24400
23930
23935
24006
24160
24430
24498
24500
24620
24640
24650
24670
24935
26020
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
Mano
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
26025
26700
26615
26685
26499
26540
26560
26585
26590
26591
26055
26121
26350
26370
26410
26548
26580
26034
26037
26320
26437
26450
26587
26040
26130
26508
26516
26520
26541
26951
26608
26676
26727
26550
26200
26440
26471
26597
26910
26070
26115
26145
26185
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Mano y Dedos
Pelvis y caderas
Pelvis y caderas
26250
26746
26820
26841
26230
26530
26568
26596
26490
26565
26477
26476
26117
26010
26160
26170
26390
26392
26415
26416
26432
26480
26485
26497
26500
26510
26551
26555
26556
26600
26641
26645
26665
26670
26720
26735
26740
26750
26756
26765
26770
27200
27193
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
caderas
27025
27275
27080
27086
26992
27185
27235
27097
27202
27000
27005
27006
27060
27216
27134
27177
27170
27030
27065
27175
27280
27295
27282
27036
27236
27215
27049
27070
27075
27140
27161
27165
27290
27146
27035
27217
27158
27226
27120
27125
27130
27284
26990
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pelvis y caderas
Pierna (Tibia y Peron)
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
27090
27096
27098
27132
27187
27220
27230
27246
27248
27250
27253
27265
27650
27656
27695
27603
27704
27658
27600
27605
27727
27860
27892
27610
27687
27730
27756
27635
27630
27618
27680
27685
27784
27792
27814
27832
27871
27880
27888
27715
27640
27690
27758
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pierna (Tibia y
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
Peron)
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
Tobillo
27829
27889
27705
27870
27615
27645
27700
27607
27620
27675
27720
27740
27745
27750
27760
27766
27780
27786
27808
27816
27822
27824
27826
27830
27840
27846
27893
28190
28415
28555
28285
28320
28008
28150
28546
28060
28200
28005
28010
28043
28160
28230
28820
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
Pies
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
Dedos
28020
28035
28070
28086
28240
28260
28280
28313
28340
28344
28345
28406
28476
28130
28100
28120
28220
28800
28110
28288
28030
28140
28315
28531
28705
28725
28730
28750
28755
28114
28289
28290
28238
28300
28171
28046
28715
28001
28050
28090
28126
28153
28250
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Pies y Dedos
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Laringe
Nariz
Nariz
Nariz
Nariz
Nariz
28264
28270
28400
28450
28456
28465
28490
28496
28505
28510
28525
28530
28540
28570
28630
28645
28760
28810
31505
31500
31515
31300
31420
31595
31400
31367
31370
31580
31590
31360
31368
31365
31390
31502
31582
31585
31588
31596
30200
30300
30000
30100
30801
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Nariz
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
Pulmones
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
Pleura
30901
30905
30110
30930
30560
30310
30117
30124
30630
30130
30600
30120
30400
30580
30430
30520
30540
30150
30460
30160
30220
30620
30915
30920
32000
32400
32035
32005
32960
32405
32900
32601
32800
32095
32420
32540
32810
32905
32200
32440
32225
32310
32482
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Pulmones y Pleura
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
32815
32484
32650
32220
32320
32442
32001
32020
32100
32215
32480
32501
32651
32652
32653
32656
32657
32658
32659
32660
32661
32663
32664
32665
32820
32851
32852
32853
32854
32906
32997
32998
32999
31231
31000
31070
31030
31020
31200
31040
31050
31225
31230
Senos Paranasales
Senos Paranasales
Senos Paranasales
Senos Paranasales
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Trquea y Bronquios
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
Arterias y Venas
31237
31254
31290
31292
31613
31605
31612
31600
31622
31830
31800
31820
31750
31770
31766
31785
31603
31610
31611
31615
31700
31708
31710
31715
31720
31730
36600
36620
36430
36510
36660
36470
36489
36500
36450
36520
36481
34001
36821
36831
35201
37720
37785
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
34401
37600
35470
35480
35490
34151
34501
34502
35184
35700
37620
35021
35450
36825
36834
37140
35001
35182
35211
35231
35241
35301
35180
34530
37160
35081
34510
35331
35691
35526
35541
35546
35556
35531
34520
34800
34808
35188
35261
35271
35390
35400
35501
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
Arterias
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
Venas
35582
35583
35585
35587
35601
35681
35682
35701
35800
35870
35875
35879
35901
36011
36012
36260
36261
36262
36400
36420
36440
36488
36530
36533
36680
36800
36815
36822
36832
36835
36860
37200
37201
37565
37607
37609
37615
37616
37650
37660
37760
37788
37790
Arterias y Venas
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
37791
33010
33210
33200
33015
33025
33020
33030
33470
33310
33420
33977
33735
33300
33050
33572
33502
33510
33641
33130
33250
33120
33422
33425
33460
33463
33472
33475
33478
33500
33736
33750
33924
33504
33320
33330
33400
33404
33430
33465
33468
33600
33786
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
Corazn
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
Pericardio
33788
33513
33415
33417
33305
33405
33414
33416
33321
33542
33545
33206
33212
33214
33216
33218
33222
33233
33234
33236
33238
33240
33241
33243
33244
33245
33249
33253
33261
33282
33476
33517
33521
33530
33533
33536
33642
33860
33870
33875
33877
33910
33916
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Corazn y Pericardio
Bazo
Bazo
Bazo
Bazo
Bazo
Bazo
Bazo
Mdula Osea o Servicios de Transplan
33935
33945
33960
33967
33968
33970
33971
33975
38120
38101
38115
38100
38050
38130
38150
38300
38500
38305
38562
38700
38380
38550
38720
38740
38746
38747
38760
38770
38780
38381
38505
38510
38570
38571
38572
38575
38577
38580
38582
38584
38586
38794
38220
Mdula Osea o Servicios de Transplan

Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Diafragma
Mediastino
Mediastino
Mediastino
Mediastino
38240
39501
39545
39502
39520
39503
39560
39570
39575
39400
39200
39000
39010
49085
49021
49570
49250
49255
49580
49220
49572
49000
49495
49180
49582
49005
49006
49565
49590
49540
49496
49600
49900
49020
49200
49215
49062
48645
49002
49010
49060
49061
49080
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Abdomen,
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
Peritoneo
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
Epiplon
49320
49321
49322
49323
49325
49330
49335
49340
49345
49350
49420
49421
49423
49424
49498
49566
49605
49610
49650
49653
49670
49672
49674
49675
46083
46050
46600
46900
46937
46210
46220
46080
46754
46320
46934
46200
46221
46270
46753
46700
46750
46744
46040
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Ano
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Apndice
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
46045
46070
46250
46255
46257
46258
46288
46500
46705
46715
46730
46735
46745
46940
46945
44950
44960
44900
44901
44951
44952
44962
44965
44970
44972
44974
44976
44800
44820
44850
43450
43460
43234
43259
43020
43030
43260
43410
43330
43300
43420
43400
43130
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Esfago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
43320
43324
43340
43350
43045
43310
43401
43405
43116
43361
43107
43108
43100
43101
43117
43118
43124
43200
43231
43235
43275
43280
43285
43287
43313
43331
43360
43399
43415
43451
43496
43750
43605
43520
43850
43830
43840
43831
43500
43870
43880
43800
43810
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estmago
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Estructuras
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
Dentoalveolares
43841
43501
43820
43842
43640
43641
43635
43638
43631
43620
43644
43646
43648
43650
43651
43652
43653
43656
43760
43846
43848
43849
43860
43890
43892
43894
41820
41822
41828
41821
41800
41830
41801
41805
41806
41870
41872
41874
D7114
D7138
D7148
D7172
D7176
D7178
D7180
D7182
D7218
D7220
D7246
D7260
D7296
42809
42800
42700
42808
42860
42820
42830
42810
42892
42890
42955
42953
42825
42842
42870
42894
42900
42950
42956
42300
42400
42665
42650
42330
42409
42325
42408
42450
42600
42500
42410
42440
42426
42420
42507
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Hgado
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
47000
47100
47015
47010
47300
47362
47361
47120
47011
47016
47122
47125
47130
47133
47135
47140
47340
47345
47370
44340
44602
44620
44025
44604
44005
44010
44015
44120
44130
44640
44650
44660
44020
44055
44615
44320
44131
44139
44050
44140
44011
44680
44150
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Intestinos
Labios
Labios
Labios
Labios
Labios
Labios
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
(Excepto
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
Recto)
44155
44126
44132
44133
44135
44160
44200
44201
44202
44204
44205
44210
44212
44215
44300
44310
44312
44314
44316
44345
44360
44376
44377
44380
44381
44385
44388
44500
44501
44641
44651
44700
44705
44710
44715
44720
44725
40490
40530
40500
40700
40702
40510
Labios
Labios
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Lengua y Piso de
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Paladar y Uvula
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
la
la
la
la
la
la
la
la
la
la
la
la
la
la
la
la
la
la
la
la
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
40525
40650
41100
41015
41120
41135
41150
41153
41155
41000
41006
41010
41018
41110
41115
41130
41140
41145
41250
41500
41510
41520
42100
42000
42104
42140
42180
42120
42200
42226
42260
42145
42205
42210
42235
42280
42281
48000
48102
48545
48005
48100
48510
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Pncreas
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
48020
48120
48520
48500
48148
48547
48180
48140
48150
48155
48122
48160
48511
48540
48542
48543
48550
48554
45100
45300
45357
45359
45356
45358
45915
45000
45160
45500
45130
45800
45560
45114
45540
45820
45110
45550
45120
45005
45020
45108
45113
45119
45123
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Recto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
Biliar
45190
45330
45341
45355
45520
45541
45545
45561
45900
47480
47600
47610
47400
47460
47420
47715
47720
47801
47760
47765
47800
47490
47510
47511
47515
47525
47530
47550
47552
47562
47563
47564
47568
47569
47570
47605
47700
47701
47703
47810
47815
47820
47825
Tracto Biliar
Tracto Biliar
Tracto Biliar
Vestbulo de
Vestbulo de
Vestbulo de
Vestbulo de
Vestbulo de
Vestbulo de
Vestbulo de
Vestbulo de
Vestbulo de
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
la
la
la
la
la
la
la
la
la
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
Boca
47830
47835
47836
40806
40810
40800
40820
40830
40840
40801
40819
40845
50200
50551
50021
50590
50390
50205
50040
50045
50080
50400
50500
50020
50060
50120
50280
50520
50540
50240
50525
50220
50230
50010
50061
50125
50130
50300
50320
50365
50392
50394
50395
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Rin
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Urter
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
50396
50541
50542
50543
50544
50545
50546
50547
50550
50951
50940
50600
50610
50715
50727
50660
50760
50900
50920
50930
50740
50700
50845
50830
50780
50800
50810
50840
50605
50860
50945
50946
50947
53670
53600
53200
53020
53000
53450
53260
53502
53040
53210
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Uretra
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
53505
53230
53240
53400
53440
53520
53080
52702
51000
52000
52700
51736
51725
51700
51980
51020
51050
51080
51500
51860
51550
51880
51900
51570
51800
51840
51845
51940
51960
51575
51580
51585
51010
51060
51705
51990
51992
51993
51994
51995
51996
51997
52260
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Vejiga
Cordon Espermtico
Cordon Espermtico
Cordon Espermtico
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Epiddimo
Escroto
Escroto
Escroto
Escroto
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Pene
Prstata
52281
52282
52283
52310
52315
52334
52335
52510
52620
55530
55500
55550
54800
54700
54830
54820
54860
54861
54900
55100
55120
55150
55175
54450
54050
54100
54150
54152
54110
54300
54120
54125
54130
54420
54000
54164
54165
54308
54380
54400
54435
54440
55700
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Prstata
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Testculos
Vaginal
Vaginal
Vaginal
Vasos Deferentes
Vasos Deferentes
Vasos Deferentes
Vasos Deferentes
Vescula Seminal
Vescula Seminal
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuello Uterino
Cuerpo Uterino
55720
55859
55801
55821
55831
55810
55840
55866
55868
54500
54505
54510
54520
54525
54670
54550
54600
54530
54640
54650
54660
54680
54690
54692
55000
55040
55060
55250
55450
55400
55251
55600
55650
57500
57510
57505
57720
57520
57700
57530
57540
57531
58300
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Cuerpo Uterino
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
Ovario
58100
58120
58301
58140
58145
58400
58260
58540
58180
58262
58150
58275
58285
58200
58240
58210
58146
58520
58545
58550
58552
58555
58558
58581
58583
58585
58101
58970
58974
58975
58976
58955
58956
58957
58958
58900
58800
58920
58925
58940
58805
58823
58825
Ovario
Ovario
Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Oviducto/Ovario
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
Vagina
58962
58964
58965
58615
58600
58700
58720
58740
58770
58760
58750
58605
58611
58660
58661
58671
58672
58673
58675
58751
57452
57020
57100
57410
57061
57400
57250
57284
57268
57230
57240
57000
57130
57210
57260
57300
57291
57106
57120
57110
57022
57135
57220
Vagina
Vagina
Vagina
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Aborto
Cesrea
Cesrea
Cesrea
Cesrea
Cesrea
Otro
Otro
Otro
Otro
Otro
Otro
Otro
Otro
Parto Vaginal, Control Prenatal
y
y
y
y
Cont
Cont
Cont
Cont
57280
57288
57289
56700
56405
56501
56605
56440
56800
56740
56620
56630
56805
56810
56820
59872
59812
59813
59840
59841
59850
59852
59855
59866
59870
59871
59510
59514
59525
59515
59516
59200
59160
59100
59350
59120
59150
59121
59351
59414
59400
59409
59401
Parto Vaginal, Control Prenatal y Cont

Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Glndula Tiroides
Paratiroides, Timo, Suprarrenales y C
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
y
y
y
y
y
y
y
y
y
y
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
59410
59415
59416
59417
59020
59000
59015
60001
60100
60000
60200
60210
60280
60220
60240
60252
60254
60500
60600
60520
60540
60605
60512
60650
64910
64912
64914
64916
64918
64920
64922
64924
64926
62270
63650
63741
62360
62350
63655
63020
63045
63660
63001
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
Columna
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Mdula
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
Espinal
63055
63185
63194
63740
63064
63170
63172
63265
63700
63710
63250
63085
63081
63090
63087
62273
62287
62292
62355
62365
62367
63012
63015
63040
63048
63057
63066
63075
63076
63082
63180
63191
63196
63198
63200
63300
63301
63302
63303
63610
63685
63688
63704

63707
63744
63746
62274
62275
61020
61050
61000
61120
61210
61750
61140
61150
61154
61215
61250
61253
61850
62000
62220
62223
62230
61624
62190
62192
61304
61305
61312
61314
61550
61860
62010
62115
62180
61320
61343
61500
61570
62100
62200
61538
61571
61558
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Craneo,
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
Meninges
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
y
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
Cerebro
61548
61440
61490
61543
61680
61711
61609
61510
61546
61703
61450
61518
61542
61575
61720
61700
61705
61021
61070
61105
61107
61108
61254
61255
61256
61257
61258
61259
61322
61323
61330
61340
61531
61533
61576
61580
61584
61586
61590
61592
61595
61596
61597

Nervios Extracraneales, Nervios
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
Peri
61598
61600
61605
61607
61611
61613
61615
61618
61760
61770
61790
61793
61794
61862
61870
61880
61885
61888
62140
62142
62145
62146
62194
62201
62256
64400
64505
64550
64600
64722
64802
64831
64774
64864
64866
64885
64861
64470
64479
64520
64553
64573
64575
Nervios Extracraneales, Nervios Peri

Anexos oculares - Msculos Extraocul
Anexos oculares - Orbita - Exploraci
64585
64590
64595
64605
64612
64620
64623
64680
64702
64704
64712
64716
64726
64727
64834
64837
64840
64856
64858
64872
64890
64895
64901
64902
64905
67345
67311
67312
67314
67316
67318
67320
67331
67332
67334
67335
67340
67343
67415
67405
67412
67413
67414
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
Anexos
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
oculares
Orbita - Exploraci
Orbita - Exploraci
Orbita - Exploraci
Orbita - Exploraci
Orbita - Exploraci
Orbita - Exploraci
Orbita - Otros Proc
Orbita - Otros Proc
Orbita - Otros Proc
Orbita - Otros Proc
Orbita - Otros Proc
Orbita - Otros Proc
Prpados - Excisin
Prpados - Excisin
Prpados - Excisin
Prpados - Excisin
Prpados - Excisin
Prpados - Excisin
Prpados - Excisin
Prpados - Excisin
Prpados - Excisin
Prpados - Incisin
Prpados - Incisin
Prpados - Incisin
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reconst
Prpados - Reparaci
Prpados - Reparaci
Prpados - Reparaci
Prpados - Reparaci
Prpados - Reparaci
Prpados - Reparaci
Prpados - Reparaci
Prpados - Reparaci
Prpados - Reparaci
67420
67430
67440
67445
67400
67450
67500
67550
67570
67505
67515
67560
67810
67800
67840
67801
67805
67825
67830
67835
67850
67700
67715
67710
67938
67930
67971
67935
67950
67961
67966
67973
67974
67975
67901
67900
67902
67903
67904
67905
67906
67908
67909
Anexos oculares - Prpados - Reparaci

Anexos oculares - Prpados - Tarsorra
Conjuntiva - Incisin y Drenaje
Globo ocular - Procedimientos de Imp
Globo ocular - Remocin de Cuerpo E
67911
67914
67915
67916
67917
67921
67922
67923
67924
67875
67880
67882
68320
68325
68326
68328
68330
68335
68340
68100
68110
68115
68130
68135
68020
65175
65125
65130
65135
65140
65150
65155
65205
65235
65260
65210
65220
65222
65265
65091
65101
65110
65093

Globo ocular - Reparacin de Lacerac
Segmento Anterio - Cornea - Excisi
Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior Segmento Anterior - Cmara anterior
Segmento Anterior - Cmara anterior
Segmento Anterior - Cristalino - Incis
Segmento Anterior - Cristalino - Otro
Segmento Anterior - Cristalino - Otro
Segmento Anterior - Cristalino - Rem
65103
65105
65112
65114
65270
65275
65290
65272
65273
65280
65285
65286
65410
65420
65400
65426
65800
65860
65850
65855
65820
65805
65810
65815
65865
65870
65875
65880
65900
65920
65930
66020
66030
66820
66821
66825
66997
66998
66985
66986
66830
66850
66831
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Segmento
Anterior - Cristalino - Rem

Anterior - Esclera Anterior
Anterior - Iris, Cuerpo Ciliar
Anterior - Iris, Cuerpo Cilia
Anterior - Iris, Cuerpo Cilia
Anterior - Otros procedimi
Anterior - Queratoplasta
Anterior - Remocin o Dest
Posterior - Esclera - Otros
66832
66833
66834
66835
66852
66930
66130
66180
66170
66172
66185
66220
66225
66250
66600
66605
66625
66630
66635
66500
66505
66680
66682
65771
65760
65761
65765
65767
65770
65772
65775
65710
65730
65750
65755
65430
65450
65435
65436
65600
67290
67291
67292
Segmento Posterior - Esclera - Otros

67293
Segmento Posterior - Esclera - Repar 67250
Segmento Posterior - Esclera - Repar 67255
67028
67015
67036
67013
67014
67025
67027
67041
67042
67043
Segmento Posterior - Retina o Coroide 67208
Segmento Posterior - Retina o Coroides67145
Segmento Posterior - Retina o Coroid 67080
68510
68500
68530
68540
68505
68520
68525
68550
68400
68420
68440
68700
68720
68745
68705
68750
68760
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Lacrimal
Lacrimal
Lacrimal
Lacrimal
Lacrimal
Lacrimal
Lacrimal
Abordaje de la
Abordaje de la
Abordaje de la
Abordaje de la
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Externo
Odo Interno
Odo Interno
Odo Interno
Odo Interno
Odo Interno
Odo Interno
Odo Medio
Odo Medio
Odo Medio
Reparacin
Reparacin
Sondeo y/o
Sondeo y/o
Sondeo y/o
Sondeo y/o
Sondeo y/o
Fosa
Fosa
Fosa
Fosa
Media
Media
Media
Media
y
y
y
y
Proce
Proce
Proce
Proce
Proce
Hueso
Hueso
Hueso
Hueso
T
T
T
T
68761
68770
68810
68801
68815
68840
68850
68200
67350
66761
66770
66700
66710
66720
66740
66762
69970
69950
69955
69960
69090
69000
69200
69210
69100
69110
69140
69300
69310
69320
69155
69020
69120
69205
69801
69905
69805
69915
69930
69910
69400
69405
69420
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Odo Medio
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Abdomen
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
69433
69450
69501
69540
69550
69620
69650
69660
69666
69667
69502
69631
69676
69720
69740
69535
69635
69710
69641
69505
69530
69610
69711
74000
74020
74190
74150
74181
74010
74022
74170
74175
74183
74185
75600
75625
75658
75705
75710
75726
75650
75605
75630
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Aorta y Arterias
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
75635
75660
75662
75665
75671
75676
75680
75685
75716
75722
75724
75731
75733
75736
75741
75743
75746
75756
75774
75790
D0220
D0240
D0270
70300
70320
70134
70140
70160
70190
70200
70240
70250
70328
70100
70220
70120
70170
70332
70373
70390
70450
70480
70486
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
70490
70540
70010
70030
70110
70130
70150
70210
70260
70310
70330
70336
70350
70355
70360
70370
70371
70380
70391
70470
70482
70488
70492
70496
70543
70544
70546
70547
70549
70551
70553
70557
70559
72010
72020
72170
72040
72070
72080
72100
72200
72050
72190
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Columna y Pelvis
Corazn
Corazn
Corazn
Corazn
Corazn
72052
72074
72110
72125
72192
72141
72069
72072
72090
72114
72120
72127
72128
72130
72131
72133
72142
72146
72147
72148
72149
72156
72159
72194
72195
72197
72198
72202
72220
72221
75552
75553
75554
75555
75556
73520
73550
73560
73590
73620
73630
73600
73525
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Extremidades
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Inferiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
Superiores
73542
73580
73615
73700
73720
73500
73510
73530
73540
73562
73564
73565
73592
73610
73650
73660
73702
73706
73718
73721
73723
73725
73000
73010
73140
73030
73060
73070
73090
73100
73120
73040
73085
73115
73200
73220
73020
73050
73080
73092
73110
73130
73202
73206
73218
73221
73223
73225
74740
74742
76020
76040
76080
76075
76090
76091
76093
75998
76000
76001
76003
76005
76010
76012
76013
76061
76066
76070
76071
76076
76078
76082
76083
76086
76088
76092
76094
76098
76350
76355
76360
76362
76370
76375
76380
76390
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
Trax
76393
76394
76400
75894
75896
75898
75900
75901
75902
75940
75945
75952
75953
75954
75960
75961
75962
75966
75978
75979
75980
75981
71010
71020
71100
71120
71040
71250
71550
71021
71022
71023
71030
71034
71035
71036
71060
71101
71110
71111
71130
71270
71552
Trax
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Tracto
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
Urinario
71555
74290
74301
74305
74220
74300
74246
74320
74249
74250
74280
74210
74230
74235
74240
74241
74245
74247
74251
74260
74270
74283
74291
74327
74328
74329
74330
74340
74350
74355
74360
74363
74485
74430
74450
74420
74400
74410
74425
74415
74440
74455
74475
Tracto Urinario
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Venas y Linfticos
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Cabeza y Cuello
Canal Espinal
Extremidades
Extremidades
Genitales
Genitales
74480
75801
75810
75820
75825
75827
75831
75885
75803
75805
75807
75809
75822
75833
75834
75835
75860
75870
75871
75872
75887
75889
75891
75893
76700
76770
76775
76705
76778
76512
76506
76536
76511
76513
76514
76516
76519
76529
76800
76880
76885
76870
76872
No Obsttrica
No Obsttrica
No Obsttrica
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Pelvis
Procedimientos con Gua
Trax
Trax
Trax
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
Ultrasonogr
76856
76830
76831
76977
76986
76805
76818
76825
76801
76802
76810
76811
76812
76815
76816
76817
76819
76827
76930
76932
76936
76937
76940
76941
76942
76945
76946
76948
76950
76604
76645
76646
77300
77301
77302
77303
77310
77311
77315
77324
77325
77327
77330
Provisin de tratamiento de radiacin
77331
77332
77335
77420
77422
77424
77750
77789
77761
77781
77763
77782
77783
77784
77785
77427
77431
77432
77433
77470
77418
78272
78801
78802
78803
78804
78806
78807
78808
78890
78891
78892
78893
78894
78895
78455
78456
78458
78461
78465
78469
78478
78480
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Cardiovascular
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Endocrino
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
Gastrointestinal
78481
78482
78483
78484
78485
78486
78487
78488
78489
78490
78491
78492
78493
78494
78495
78496
78497
78000
78006
78070
78075
78076
78001
78002
78003
78007
78008
78009
78010
78011
78018
78019
78077
78078
78079
78201
78215
78220
78223
78230
78258
78261
78262
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Sistema
Gastrointestinal
78264
Gastrointestinal
78278
Gastrointestinal
78205
Gastrointestinal
78202
Gastrointestinal
78206
Gastrointestinal
78232
Gastrointestinal
78267
Gastrointestinal
78268
Gastrointestinal
78279
Gastrointestinal
78280
Gastrointestinal
78281
Genitourinario
78700
Genitourinario
78701
Genitourinario
78711
Genitourinario
78712
Genitourinario
78713
Genitourinario
78714
Genitourinario
78730
Genitourinario
78762
Genitourinario
78704
Genitourinario
78707
Genitourinario
78708
Genitourinario
78710
Genitourinario
78715
Genitourinario
78740
Genitourinario
78741
Genitourinario
78742
Genitourinario
78761
Hematopoytico, Reticuloendo78185
Musculoesqueltico
78300
Musculoesqueltico
78321
Musculoesqueltico
78322
Musculoesqueltico
78350
Musculoesqueltico
78315
Musculoesqueltico
78320
Musculoesqueltico
78360
Musculoesqueltico
78361
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Sistema Nervioso
Terapetica
Terapetica
Terapetica
Terapetica
Terapetica
Terapetica
Terapetica
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
enfermedades
78362
78363
78364
78365
78366
78367
78368
78369
78660
78606
78607
78608
78609
78610
78630
78631
78635
78645
78647
78648
78649
78588
78580
78584
78585
78587
79000
79001
79020
79030
79035
79100
79900
80057
80055
80090
80058
80095
80096
80097
80098
80051
80062
enfermedades
enfermedades
enfermedades
80061
80076
80063
80158
80156
80188
80184
80185
80152
80157
80160
80166
80168
80172
80174
80176
80182
80186
80192
80197
80201
80203
80178
80196
80194
80150
80200
80154
80190
80202
80164
80170
80162
80198
80400
80402
80406
80408
80410
80412
80414
80415
80416
80417
80418
80420
80422
80424
80426
80428
80430
80432
80434
80435
80436
80438
80439
80440
81000
81001
81002
81003
81007
81015
81020
81050
81005
81025
83003
84585
82804
83020
83002
83874
83970
82157
82163
82378
84443
82088
82941
84305
83550
83521
82000
82009
82010
82013
82030
82044
82055
82075
82101
82106
82108
82143
82164
82175
82180
82239
82248
82307
82308
82360
82383
82384
82387
82415
82480
82482
82486
82491
82495
82507
82520
82525
82528
82600
82607
82626
82633
82634
82651
82652
82666
82672
82705
82725
82726
82735
82742
82775
82787
82810
82926
82938
82946
82948
82950
83008
83013
83026
83033
83045
83050
83071
83088
83499
83500
83527
83528
83605
83633
83655
83785
83805
83825
83864
83873
83887
83915
84022
84030
84078
84110
84120
84127
84134
84140
84143
84150
84152
84181
84207
84210
84228
84252
84260
84275
84285
84307
84392
84425
84442
84445
84446
84479
84481
84482
84510
84512
84525
84545
84580
84583
84586
84588
84590
84597
84600
84630
84681
84830
82570
82575
82595
82379
84540
83986
82040
82042
82270
82800
84155
84520
82247
82540
82565
82947
82436
84081
84133
84035
84578
84577
82435
84478
84550
82757
83930
83935
83615
84075
82150
84105
84100
82340
82310
82710
84060
84560
82550
83735
84300
83718
83719
84450
84460
82760
84080
82985
84295
83721
82330
82465
82977
84106
84126
84119
82553
83030
83010
84132
83690
82140
83491
82382
82085
83497
83540
83505
82043
82103
82671
82003
84220
82390
82784
82668
83021
84702
84703
82955
83036
83625
82803
84066
84135
83070
82728
83925
84480
82530
84436
84439
83015
83634
82145
84165
82746
83715
82024
82951
82232
82533
82943
83498
84432
82135
82355
82785
82020
83586
84403
82677
84146
82670
82105
84144
84402
84620
83525
84466
82627
83001
84244
85540
85007
85008
85027
85041
85042
85046
85175
85210
85220
85230
85240
85245
85246
85247
85250
85260
85270
85280
85290
85292
85293
85302
85335
85337
85345
85347
85348
85366
85370
85378
85379
85380
85385
85390
85400
85441
85445
85460
85461
85475
85520
85525
85530
85536
85547
85557
85576
85597
85611
85612
85613
85652
85660
85675
85705
85732
85810
86986
86987
86988
86989
86990
86991
86992
86996
86997
85013
85048
85651
85032
85060
85018
85590
85670
85303
85049
85002
85044
85170
85555
85384
85244
85362
85730
85610
85549
85097
85102
86664
86665
86695
86320
86325
86781
86160
86705
86708
86147
86235
86803
86225
86360
86316
86689
86319
86001
86003
86005
86021
86022
86023
86039
86063
86141
86146
86148
86155
86161
86171
86185
86215
86243
86255
86256
86277
86280
86294
86300
86308
86309
86310
86317
86318
86327
86331
86334
86336
86340
86341
86343
86344
86353
86361
86376
86378
86382
86384
86403
86406
86431
86485
86490
86510
86585
86586
86590
86593
86602
86609
86611
86612
86615
86617
86618
86625
86632
86635
86638
86641
86648
86651
86652
86653
86654
86663
86666
86668
86671
86674
86677
86682
86684
86688
86692
86694
86696
86703
86713
86717
Tipificacin
Tipificacin
Tipificacin
Tipificacin
Tipificacin
Tipificacin
Tipificacin
Tipificacin
tisular
tisular
tisular
tisular
tisular
tisular
tisular
tisular
86720
86723
86727
86729
86732
86735
86741
86744
86747
86750
86753
86756
86757
86759
86768
86771
86774
86778
86784
86790
86793
86800
86804
86809
86810
86811
86814
86830
86831
86832
86006
86007
86008
86009
86010
86805
86806
86807
86808
86812
86813
86816
86817
Tipificacin tisular
Tipificacin tisular
86821
86822
86592
86156
86588
86580
86000
86765
86687
86060
86606
86622
86698
86738
86787
86430
86628
86140
86707
86631
86603
86658
86710
86332
86337
86644
86038
86162
86226
86359
86762
86701
86702
86704
86709
86706
86645
86777
86890
86850
86860
86901
86905
86910
86911
86927
86930
86931
86932
86945
86950
86970
86971
86975
86976
86977
86978
86984
86985
86885
86880
86886
86922
86900
86906
86920
86921
86917
86924
87087
87040
87045
87070
87001
87003
87015
87046
87073
87075
87076
87077
87081
87084
87086
87088
87101
87102
87103
87107
87109
87110
87118
87140
87143
87147
87149
87152
87158
87164
87166
87168
87169
87176
87178
87179
87181
87184
87185
87186
87187
87188
87190
87197
87206
87210
87230
87250
87252
87253
87254
87255
87260
87265
87267
87269
87270
87271
87273
87275
87277
87278
87279
87280
87281
87283
87290
87301
87320
87324
87327
87328
87329
87332
87335
87336
87338
87380
87385
87390
87391
87400
87420
87425
87430
87449
87450
87451
87536
87539
87797
87798
87799
87115
87207
87220
87205
87177
87285
87445
87106
87180
87340
Examen post-mortem
Examen post-mortem
Examen post-mortem
Examen post-mortem
Examen post-mortem
Examen post-mortem
87351
87276
87163
87161
87272
87274
87116
87350
88000
88012
88020
88027
88028
88036
88141
88172
88104
88108
88130
88142
88143
88147
88148
88164
88165
88166
88180
88182
88183
88184
88185
88186
88376
88378
88200
88201
88202
88205
88206
88207
88208
88209
88210
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Subseccin
Estudios Citogenticos
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
Patologa quirrgica
88230
88233
88235
88237
88239
88240
88241
88245
88261
88271
88280
88291
88292
88293
88294
88300
88318
88301
88312
88319
88342
88346
88347
88348
88355
88365
88366
88368
88370
88372
88374
88380
88381
88382
88302
D0415
D0425
D0460
89050
89051
89060
89125
89127
n de Inmunoglobuliinas, Vacunas/Toxoides
sticas (excluye Quimioterapia)
cticas o Teraputicas
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otras Psicoterapias
Otros Procedimientos o servicios
de
de
de
de
de
de
de
de
de
P
P
P
P
P
P
P
P
P
89250
89253
89255
89258
89260
89268
89280
89320
90375
90474
90585
90675
90676
90701
90702
90707
90708
90711
90712
90717
90720
90744
90749
90471
90780
90782
90784
90783
90845
90846
90847
90849
90853
90857
90858
90859
90860
90861
90863
90864
90866
90868
90869
Otros Procedimientos o servicios de P

Procedimientos de Psiquiatra Terapu
90872
90873
90874
90880
90804
90806
90808
90935
90952
90950
90937
90945
90997
90951
91033
91020
91124
91126
91128
91132
91135
91136
91138
91140
91142
91144
91146
91148
91150
91152
91154
91156
91158
91160
91162
91164
91166
91168
91170
91172
91174
91178
91179
Prtesis Ocular, Ojo Artificial

91180
91182
91184
91188
91190
91192
91194
91196
91198
91200
91202
91204
91206
91208
91212
91214
91216
91218
91220
91222
91224
91226
91228
91230
91232
91234
91236
91105
91000
91010
91002
91001
91030
91052
91122
92330
92227
92250
92065
92015
92020
92100
92260

laringologa
laringologa
laringologa
laringologa
laringologa
laringologa
laringologa
Pruebas de Funcin Audiolgica con
92265
92081
92275
92235
92018
92060
92135
92225
92276
92278
92280
92282
92284
92286
92288
92290
92296
92298
92300
92502
92506
92510
92512
92516
92520
92526
92557
92567
92584
92585
92551
92552
92553
92555
92556
92559
92560
92562
92563
92564
92565
92568
92569

Pruebas de Funcin Vestibular, con ob
Pruebas de Funcin Vestibular, con re
laringologa
laringologa
Cardiografa
Cardiografa
Cardiografa
Cardiografa
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
92571
92572
92573
92575
92576
92577
92579
92582
92583
92587
92588
92589
92590
92591
92592
92593
92594
92595
92596
92531
92532
92533
92534
92541
92542
92543
92544
92545
92546
92547
92548
92504
92511
93000
93015
93224
93278
93542
93503
93501
93526
93505
93508
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Caterizacin Cardaca
Ecocardiografa
Ecocardiografa
Ecocardiografa
Procedimientos Electrofisiolgicos Int
93510
93514
93524
93527
93528
93529
93530
93531
93532
93533
93561
93571
93307
93320
93312
93784
93724
93727
93731
93734
93740
93741
93760
93600
93610
93613
93615
93618
93631
93640
93650
93660
93662
92960
92950
92980
92982
92986
92961
92970
92971
92973
92975

Estudios Arteriales de Extremidades
Estudios Arteriales de Extremidades
Estudios Venosos de Extremidades (I
Estudios Venosos de Extremidades (I
Estudios Viscerales y Vasculares Pen
Examen para Alergia

Examen para Alergia
Examen para Alergia
Examen para Alergia
Examen para Alergia
92977
92978
92995
92997
95992
93875
93876
93880
93886
93922
93925
93965
93970
93978
93975
93980
94060
94070
94150
94200
94240
94360
94370
94450
94660
94662
94667
94680
94720
94725
94750
94760
94664
94620
94640
94010
94656
95044
95065
95060
95004
95070
95812

Electromiografa y Examen de Conduc
Examen muscular y del rango de mov
Pruebas de funcin del sistema nerv
Pruebas del sueo
Pruebas del sueo
a Nervioso Central (p.ej. Neurocognitivas, Esta
95816
95829
95830
95872
95860
95861
95863
95864
95868
95869
95875
95900
95879
95880
95881
95882
95883
95884
95925
95930
95933
95934
95937
95831
95834
95851
95857
95858
95950
95951
95953
95954
95955
95956
95957
95958
95961
95921
95806
95808
95970
95972
95867
a
a
a
a
a
a
a
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Nervioso
Especiales
Especiales
Especiales
Central
Central
Central
Central
Central
Central
Central
(p.ej.
(p.ej.
(p.ej.
(p.ej.
(p.ej.
(p.ej.
(p.ej.
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Neurocognitivas,
Esta
Esta
Esta
Esta
Esta
Esta
Esta
95938
96100
96105
96110
96111
96115
96117
96400
96405
96408
96410
96420
96422
96440
96441
96445
96450
96542
96407
96905
96910
96920
97001
97003
97004
97005
97006
97007
97008
97009
97011
97012
97014
97016
97018
97020
97022
97026
97028
97032
97035
97036
97112
97113
97116
97124
97125
97150
97504
97520
97530
97535
97537
97542
97545
97703
97750
97770
97781
97782
99501
99502
99503
99504
99511
97780
97110
97010
99500
97802
99195
99130
99131
99142
99184
99185
99186
99187
99188
99189
99190
99191
99192
99193
99194
99196
Ambulatorios
Ambulatorios
Ambulatorios
Ambulatorios
Ambulatorios
os
os
os
os
y
y
y
y
Neonatales
Neonatales
Neonatales
Neonatales
99198
99199
99141
D0120
D0160
99201
99203
99204
99207
99209
99211
99218
99250
99251
99252
99253
99254
99255
99221
99241
99243
99234
99235
99236
99237
99238
99281
99282
99233
99293
99294
99299
99300
99301
99302
99303
99304
99295
99296
99297
99298
99342
99343
ntes o heridos
ntes o heridos
ntes o heridos
oderamiento
oderamiento
oderamiento
oderamiento
oderamiento
Social
Social
Social
Social
Social
99344
99345
99346
99347
99348
99349
99350
99351
99441
99442
99443
C0001
C0011
C0021
C0031
C0041
C0051
C0061
C0071
C0081
C0091
C1001
C1011
C1021
C1031
C1041
C2001
C2011
C2021
C2031
C2041
C2051
C2061
C2071
C2081
C2091
C2101
C2111
C3001
C3011
C3021
C3031
C3041
oderamiento Social
oderamiento Social
oderamiento Social
uor
uor
uor
uor
uor
uor
(Procedimiento
(Procedimiento
(Procedimiento
(Procedimiento
(Procedimiento
(Procedimiento
en
en
en
en
en
en
Consultorio)
Consultorio)
Consultorio)
Consultorio)
Consultorio)
Consultorio)
C3051
C3061
C3071
C4001
C4021
C4031
C4051
C4071
C4081
C4091
C4101
C5011
C5021
C5031
C5041
C5051
C5061
C5071
C5081
C5091
C6001
C6011
C6021
C6031
C6041
C6051
C6061
C6071
C6081
C6091
C6101
C6102
C6103
C6104
C6105
D1110
D1120
D1201
D1203
D1204
D1205
D1210
D1215
uor (Procedimiento en Consultorio)

uor (Procedimiento en Consultorio)
os Pasivos)
os Pasivos)
D1220
D1225
D1310
D1351
D1511
D1526
11042
36460
53445
57450
59012
59151
59899
75755
80048
82679
82731
82945
83090
83520
83662
84157
84180
85045
86314
86662
87072
87499
87535
89055
93040
95904
97799
99208
99210
99213
99231
99285
99291
99384
99394
99402
99411
D0140
D0150
D0170
D0180
D0210
D0230
D0250
D0260
D0272
D0274
D0277
D0290
D0310
D0320
D0321
D0322
D0330
D0340
D0350
D0416
D0421
D0431
D0470
D0472
D0473
D0474
D0475
D0476
D0477
D0478
D0479
D0480
D0481
D0482
D0483
D0484
D0485
D0502
D0999
D1320
D1330
D1510
D1515
D1520
D1525
D1550
D2161
D2393
D2394
D2410
D2420
D2430
D2520
D2530
D2543
D2544
D2620
D2630
D2643
D2644
D2651
D2652
D2663
D2664
D2710
D2712
D2720
D2721
D2722
D2740
D2750
D2751
D2752
D2780
D2781
D2782
D2783
D2790
D2791
D2792
D2794
D2799
D2910
D2915
D2920
D2931
D2932
D2933
D2934
D2940
D2950
D2952
D2953
D2954
D2955
D2957
D2960
D2961
D2962
D2975
D2980
D2999
D3330
D3331
D3332
D3410
D3421
D3425
D3426
D3450
D3470
D3910
D3920
D3950
D3999
D4210
D4211
D4241
D4245
D4260
D4261
D4265
D4273
D4274
D4275
D4276
D4320
D4321
D4342
D4381
D4920
D4999
D5120
D5130
D5140
D5213
D5214
D5225
D5226
D5281
D5410
D5411
D5421
D5422
D5510
D5520
D5610
D5620
D5630
D5640
D5650
D5660
D5670
D5671
D5711
D5720
D5721
D5730
D5731
D5740
D5741
D5750
D5751
D5760
D5761
D5820
D5821
D5851
D5860
D5861
D5862
D5867
D5899
D5911
D5912
D5913
D5914
D5915
D5916
D5919
D5922
D5923
D5924
D5925
D5926
D5927
D5928
D5929
D5933
D5934
D5935
D5936
D5951
D5952
D5953
D5954
D5955
D5958
D5959
D5960
D5982
D5983
D5984
D5985
D5986
D5987
D5988
D5999
D6010
D6040
D6050
D6053
D6054
D6055
D6056
D6057
D6058
D6059
D6060
D6061
D6062
D6063
D6064
D6094
D6065
D6066
D6067
D6068
D6069
D6070
D6071
D6072
D6073
D6074
D6194
D6075
D6076
D6077
D6078
D6079
D6090
D6095
D6190
D6199
D6205
D6210
D6211
D6212
D6214
D6240
D6241
D6242
D6245
D6250
D6251
D6252
D6253
D6710
D6720
D6721
D6722
D6740
D6750
D6751
D6752
D6780
D6781
D6782
D6783
D6790
D6791
D6792
D6794
D6793
D6545
D6548
D6600
D6601
D6602
D6603
D6604
D6605
D6606
D6607
D6624
D6608
D6609
D6610
D6611
D6612
D6613
D6614
D6615
D6634
D6920
D6930
D6940
D6950
D6970
D6971
D6972
D6973
D6975
D6976
D6977
D6980
D6985
D6999
D7111
D7261
D7283
D7285
D7286
D7287
D7290
D7291
D7310
D7311
D7320
D7321
D7340
D7350
D7410
D7411
D7412
D7413
D7414
D7415
D7465
D7440
D7441
D7450
D7451
D7460
D7461
D7471
D7472
D7473
D7485
D7490
D7510
D7511
D7520
D7521
D7530
D7540
D7550
D7560
D7610
D7620
D7630
D7640
D7650
D7660
D7670
D7671
D7680
D7710
D7720
D7730
D7740
D7750
D7760
D7770
D7771
D7780
D7810
D7820
D7830
D7840
D7850
D7852
D7854
D7856
D7858
D7860
D7865
D7870
D7871
D7872
D7873
D7874
D7875
D7876
D7877
D7880
D7899
D7910
D7911
D7912
D7920
D7940
D7941
D7943
D7944
D7945
D7946
D7947
D7948
D7949
D7950
D7953
D7955
D7960
D7963
D7970
D7971
D7972
D7980
D7981
D7982
D7983
D7990
D7991
D7995
D7996
D7997
D7999
D8020
D8030
D8040
D8060
D8070
D8080
D8090
D8220
D8670
D8680
D8690
D8691
D8692
D8999
D9110
D9210
D9211
D9212
D9215
D9220
D9221
D9230
D9241
D9242
D9248
D9310
D9410
D9420
D9430
D9440
D9450
D9610
D9630
D9910
D9911
D9920
D9930
D9940
D9941
D9942
D9950
D9951
D9952
D9970
D9971
D9972
D9973
D9974
D9999
A0141
A0142
A0145
A1331
A5999
A6999
A7903
A9100
A9926
A9996
A9999
95
96
105
106
107
108
13301a
13301b
13301c
13302
13303
15849
17251
31310
31645
36300
37250
41700
41701
41705
41708
41710
41711
41720
41721
41722
41730
41731
41732
41733
41740
41760
41810
41840
42960
44955
44956
47350
47901
49910
50405
55520
56300
56301
56303
56307
56308
56309
56310
56312
56314
56315
56316
56318
56319
56320
56321
56322
56323
56324
56325
56326
56327
56328
56329
56330
56340
56342
56343
56344
56345
56346
56347
56348
56349
56350
56351
56354
59860
61321
62268
62269
64795
72196
72255
72270
72285
74710
76600
77035
77500
77501
77502
77503
77504
77505
77776
78020
78021
78022
78023
78024
78025
78026
78027
78028
78029
78030
78031
78032
78072
78102
78110
78120
78122
78290
78323
78324
78325
78326
78327
78328
78329
78330
78500
78501
78502
78503
78504
78505
78506
78507
78508
78509
78510
78511
78512
78513
78514
78515
78516
78517
78518
78520
78521
78522
78523
78524
78525
78528
78529
78530
78531
78533
78589
78590
78591
78651
78652
78653
78654
78655
78656
78657
78658
78659
78705
78706
78716
78760
78820
78821
78822
78823
78824
78825
78826
78827
78828
78829
80045
80046
80047
80059
80089
80300
81099
82172
84153
84156
85014
85031
85095
86923
87162
87211
88204
92010
92011
94375
94650
95877
95878
96421
96900
97140
75650b
82947b
83615b
83735a
83874b
85041b
86787b
87177b
87177c
87177d
87340b
88300b
88300c
88300d
89050b
89050c
89050d
89050e
89050f
89050g
Descripcin Procedimiento
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
para
para
para
para
para
para
para
para
para
para
para
para
para
para
para
para
para
para
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para
para
procedimientos de las glndulas salivales, incluyendo biopsia

procedimientos relacionados a la reparacin de fisura labial
procedimientos reconstructivos del prpado
terapia electroconvulsiva
procedimientos en el odo externo, medio e interno, incluyendo biopsia; no especificad
Otoscopia
Timpanotoma
procedimientos en el ojo; no especificados de otra forma
Ciruga del cristalino
Trasplante de crnea
Ciruga vitreoretinal
Iridectoma
Oftalmoscopa
procedimientos en la nariz y senos paranasales; no especificados de otra forma
Ciruga radical de nariz y senos paranasales
biopsia de tejido blando de nariz y senos paranasales
procedimientos intra orales, incluyendo biopsia; no especificados de otra forma
Correccin de paladar hendido
Excisin de tumor retro farngeo
Ciruga radical en regin intra oral
procedimientos en huesos faciales o de crneo; no especificados de otra forma
Ciruga radical de huesos faciales o de crneo
procedimientos intra craneales; no especificados de otra forma
punciones evacuadoras subdurales
procedimientos de Trepanacin craneana, incluyendo Ventriculografa
Craneoplasta o Elevacin de fractura deprimida de crneo, extradural
procedimientos vasculares intracraneales
procedimientos intracraneales en posicin sentada
procedimientos de Derivacin de lquido cefalo raqudeo
Electrocoagulacin de nervio intracraneal
procedimientos en estructuras de cabeza, cuello y tronco posterior, no especificado d
procedimientos en estructuras de cuello en mayores de 1 ao
biopsia de tiroides con aguja
procedimientos de laringe y trquea en menores de 1 ao
procedimientos vasculares mayores en cuello, no especificados de otra forma
Ligadura simple de vaso de cuello
procedimientos en estructuras de extremidades, trax anterior, no especificados de o
Anestesia
Anestesia
Anestesia
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Anestesia
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Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
para procedimientos reconstructivos de mama

para procedimientos de mamas radicales con/sin modificacin
para procedimientos radicales o modificados en las mamas con diseccin de ganglios mam
para conversin elctrica de arritmias
para procedimientos en la clavcula y escpula; no especificados de otra forma
para ciruga radical de clavcula y escpula
para biopsia de clavcula
para reseccin parcial de costilla; no especificados de otra forma
para toracoplasta
para procedimientos radicales en costillas
para todos los procedimientos en el esfago
para procedimientos de trax a cielo cerrado; no especificados de otra forma
para biopsia con aguja de pleura
para neumocentesis
para mediastinoscopia y toracoscopia diagnstica sin hacer uso de ventilacin de un pulm
para mediastinoscopia y toracoscopia diagnstica haciendo uso de ventilacin de un pulm
para insercin transvenosa de marcapaso permanente
para acceso a circulacin venosa central
para insercin transvenosa o reemplazo de dispositivo cardioversor/ desfibrilador
para procedimientos electrofisiolgicos cardacos
para reconstruccin traqueobronquial
para toracotoma con manipulacin de pulmones, pleura, diafragma y mediastino; no espe
intratorcica empleando ventilacin de un solo pulmn
para decorticacin
para reseccin pulmonar con toracoplasta
para procedimientos intratorcicos en la trquea y bronquios
para debridacin de esternn
para procedimientos de corazn, pericardio, y grandes vasos de trax; sin bomba de oxige
para procedimientos de corazn, pericardio, y grandes vasos de trax; con bomba de oxige
para procedimientos cardiovasculares en trax, con bomba de oxigenacin y paro circulato
para bypass coronario directo, sin uso de bomba de oxigenacin
para trasplante de corazn o trasplante de corazn/pulmn
para procedimientos en columna y mdula espinal cervical; no especificados de otra forma
para procedimientos de columna y mdula cervical en posicin sentado
para procedimientos en columna y mdula torcica; no especificados de otra forma
para simpatectoma toracolumbar
para procedimientos en regin lumbar; no especificados de otra forma
para simpatectoma lumbar
para nuclelisis qumica
para puncin lumbar diagnstica o teraputica
para manipulacin de columna para procedimientos cerrados de columna vertebral
para procedimientos amplios en columna y mdula espinal
para procedimientos en pared abdominal anterior alta; no especificados de otra forma
Anestesia para biopsia percutnea de hgado

Anestesia para procedimientos en la pared abdominal posterior alta
Anestesia para procedimientos endoscpicos gastrointestinales altos, endoscopio introducido proxima
Anestesia para correccin de hernia en el abdomen alto; no especificado de otra forma
Anestesia para reparacin de hernias lumbar y ventral (incisional) y/o dehiscencia de suturas
Anestesia para reparacin de onfalocele
Anestesia para correccin transabdominal de hernia diafragmtica
Anestesia para todos los procedimientos en vasos sanguneos mayores abdominales
Anestesia para procedimientos intraperitoneales en abdomen alto incluyendo laparoscopia; no espec
Anestesia para hepatectoma parcial o manejo de hemorragia heptica
Anestesia para pancreatectoma parcial o total
Anestesia para trasplante de hgado (receptor)
Anestesia para procedimiento restrictivo gstrico por obesidad mrbida
Procedimientos en la pared abdominal anterior baja; no especificados de otra forma
Anestesia para paniculectoma
Anestesia para procedimientos endoscpicos intestinales bajos, endoscopio introducido distalmente a
Anestesia para procedimientos en pared abdominal posterior e inferior
Anestesia para correcciones de hernias en el abdomen inferior; no especificados de otra forma
Anestesia para correccin de hernias ventrales e incisionales
Anestesia para reparacin de hernias en abdomen inferior no especificadas de otra forma en menore
Anestesia para procedimientos intraperitoneales en abdomen inferiror; no especificados de otra form
Anestesia para amniocentesis
Anestesia para reseccin abdominoperineal
Anestesia para histerectoma radical
Anestesia para exenteracin plvica
Anestesia para procedimientos extra peritoneales en abdomen inferiror, incluyendo tracto urinario; n
Anestesia para procedimientos renales, incluyendo el tercio superior del urter, o nefrectoma del don
Anestesia para cistectoma total
Anestesia para prostatectoma radical (suprapbica, retropbica)
Anestesia para adrenalectoma
Anestesia para trasplante renal (donante o receptor)
Anestesia para cistolitotoma
Anestesia para Litotripsia con onda de choque extracorprea; con bao de agua
Anestesia para Litotripsia con onda de choque extracorpreo, sin bao de agua
Procedimientos en vasos mayores del abdomen bajo; no especificados de otra forma
Anestesia para Ligadura de vena cava inferior
Anestesia para Insercin transvenosa de dispositivo en sombrilla
Anestesia para procedimiento anorrectal
Anestesia para procedimiento perineal radical
Anestesia para Vulvectoma
Anestesia para Prostatectoma perineal
Anestesia para procedimientos transuretrales, no especificados de otra forma
Anestesia para Reseccin transuretral de tumores de vejiga
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
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Anestesia
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Anestesia
Anestesia
Anestesia
Anestesia
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Anestesia
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Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
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Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
para Reseccin transuretral de prstata

para control de sangrado posterior a reseccin transuretral
para procedimientos transuretrales con fragmentacin, manipulacin y/o remocin de clcu
para procedimientos en genitales externos masculinos; no especificados de otra forma
para procedimientos en vesculas seminales
para Criptorquidea
para Orquiectoma radical inguinal
para Orquiectoma radical abdominal
para Orquiopexia
para Amputacin completa del pene
para Amputacin radical del pene con linfadenectoma inguinal bilateral
para Amputacin radical del pene con linfadenectoma ilaca e inguinal bilaterales
Insercin de prtesis de pene (abordaje perineal)
para procedimientos vaginales; no especificados de otra forma
para Colpotoma, Vaginectoma, Colporrafia y procedimientos uretrales abiertos
para Histerectoma vaginal
para Cerclaje cervical
para Culdoscopa
para Histeroscopa y/o Histerosalpingografa
para aspiracin y/o biopsia de mdula sea
para procedimientos en la pelvis sea
para aplicacin o revisin de yeso corporal
para Amputacin interplvico-abdominal (cuarto posterior)
para procedimientos radicales por tumor de la pelvis, excepto amputacin de cuarto poste
para procedimientos a cielo cerrado que involucran a la snfisis del pubis o articulacin sac
para procedimientos a cielo abierto que involucran a la snfisis del pubis o articulacin sacr
para Neurectoma extraplvica del obturador
para Neurectoma intraplvica del obturador
para todos los procedimientos cerrados que involucran la articulacin de la cadera
para procedimientos artroscpicos en articulacin de la cadera
para procedimientos abiertos que involucran la articulacin de la cadera; no especificados
para Desarticulacin de la cadera
para Artroplasta total de cadera
para Revisin de artroplasta total de cadera
para procedimientos cerrados que involucran a los 2/3 superiores del fmur
para procedimientos abiertos que involucran a los 2/3 superiores del fmur; no especificad
para Amputacin a nivel de 2/3 superiores de fmur
para Reseccin radical a nivel de 2/3 superiores de fmur
para todo procedimiento en nervios, msculos, tendones, fascia y bolsas sinoviales de part
para todos los procedimientos que involucran las venas del muslo, incluyendo exploracin
para procedimientos en arterias del muslo, incluyendo injerto de derivacin; no especificad
para ligadura de la arteria femoral
para embolectoma de la arteria femoral
Anestesia para todo procedimiento en nervios, msculos, tendones, fascia y bolsas sinoviales de rodi
Anestesia para procedimientos cerrados en el tercio inferior del fmur
Anestesia para procedimientos abiertos en el tercio inferior del fmur
Anestesia para procedimientos cerrados en la articulacin de la rodilla
Anestesia para procedimientos artroscpicos diagnsticos en la rodilla
Anestesia para todos los procedimientos cerrados en los extremos superiores de la tibia, peron y/o r
Anestesia para todos los procedimientos abiertos en los extremos superiores de la tibia, peron y/o r
Anestesia para procedimientos artroscpicos quirrgicos o abiertos en rodilla; no especificados de otr
Anestesia para Artroplasta total de rodilla
Anestesia para Desarticulacin a nivel de la rodilla
Anestesia para la aplicacin, remocin o correccin de yesos que involucran la articulacin de la rodil
Procedimientos en venas de la rodilla y regin popltea; no especificados de otra forma
Anestesia para procedimientos en fstula arteriovenosa
Anestesia para procedimientos en arterias de la rodilla o regin popltea; no especificados de otra for
Anestesia para Tromboendarterectoma popltea, con o sin parche de injerto
Anestesia para Excisin popltea e injerto o correccin para oclusin o aneurisma
Anestesia para todos los procedimientos cerrados en la parte inferior de la pierna, tobillo y pie
Anestesia para procedimientos artroscpicos del tobillo y/o pie
Anestesia para procedimientos en partes blandas de parte inferior de pierna, tobillo y pie; no especifi
Anestesia por Rotura de tendn de Aquiles
Anestesia para Reseccin de msculos gemelos
Anestesia para procedimientos abiertos en huesos de parte inferior de pierna, tobillo y pie; no especi
Anestesia para reseccin radical que compromete huesos de parte inferior de pierna, tobillo y pie
Anestesia para Osteotoma u Osteoplasta de la tibia y/o peron
Anestesia para reemplazo total de tobillo
Anestesia para aplicacin, remocin o correccin de yeso en la parte inferior de la pierna
Anestesia para procedimientos en arterias de la pierna, incluyendo injerto de derivacin; no especific
Anestesia para Embolectoma en arterias de pierna, directa o con catter
Anestesia para procedimientos en venas de la pierna; no especificados de otra forma
Anestesia para Trombectoma venosa, directa o con catter
Anestesia para procedimientos en nervios, msculos, tendones, fascia o bolsas sinoviales del hombro
Anestesia para procedimientos cerrados en huesos y articulaciones de hombro y axila
Anestesia para procedimientos artroscpicos diagnsticos de la articulacin del hombro
Anestesia para procedimientos abiertos y artroscpicos quirrgicos en regin del hombro; no especifi
Anestesia para Reseccin radical a nivel de la regin del hombro y axila
Anestesia para Desarticulacin del hombro
Anestesia para Amputacin intertracoescapular
Anestesia para reemplazo total del hombro
Anestesia para procedimientos en arterias del hombro y axila; no especificados de otra forma
Anestesia para Aneurisma axilar - braquial
Anestesia para Injerto de derivacin a nivel de hombro y axila
Anestesia para Injerto de derivacin axilar - femoral
Anestesia para todos los procedimientos en venas del hombro y axila
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
Anestesia
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aplicacin, remocin o correccin de yeso del hombro; no especificado de otra forma

aplicacin, remocin o correccin de espiga de hombro
procedimientos en partes blandas del brazo y codo; no especificado de otra forma
Tenotoma de codo al hombro, a cielo abierto
Tenoplasta de codo al hombro
procedimientos cerrados en el hmero y el codo
procedimientos artroscpicos diagnsticos del codo
procedimientos abiertos o artroscpicos quirrgicos en el hmero y codo; no especific
Osteotoma del hmero
correccin de falta de unin o unin defectuosa del hmero
procedimientos radicales en codo
Excisin de quiste o tumor del hmero
reemplazo total del codo
procedimientos en arterias del brazo y codo; no especificados de otra forma
Embolectoma a nivel de brazo y codo
procedimientos en venas del brazo y codo; no especificados de otra forma
Fleborrafa en venas del brazo y codo
todos los procedimientos en partes blandas del antebrazo, mueca y mano
todos los procedimientos cerrados en el radio, cbito, mueca o huesos de la mano
procedimientos artroscpicos diagnsticos en la mueca
procedimientos abiertos o artroscpicos quirrgicos en antebrazo, mueca o mano; no
reemplazo total de mueca
procedimientos en arterias del antebrazo, mueca y mano; no especificados de otra f
Embolectoma a nivel de arterias de antebrazo, mueca y mano
Derivacin vascular, o para revisin de derivacin, de cualquier tipo (p. ej. dilisis)
procedimientos en venas del antebrazo, mueca y mano; no especificados de otra for
Fleborrafa a nivel de antebrazo, mueca y mano
aplicacin, remocin o correccin de yeso del antebrazo, mueca o mano
Mielografa, Discografa, Vertebroplasta
Arteriografa, Venografa diagnstica
cateterizacin cardaca incluyendo arteriografa coronaria y ventriculografa
imgenes no invasivas o para radioterapia
procedimientos de Radiologa intervencionista teraputica en sistema arterial; no esp
procedimientos de Radiologa intervencionista teraputica en arterias cartida o coron
procedimientos de Radiologa intervencionista teraputica en arterias intracraneales,
procedimientos de Radiologa intervencionista teraputica en sistema venoso/linftico
procedimientos de Radiologa intervencionista en circulacin intraheptica o portal
procedimientos de Radiologa intervencionista en circulacin venosa/linftica yugular
procedimientos de Radiologa intervencionista en circulacin venosa/linftica intracran
excisin o debridacin de quemadura de 2do y 3er grado, tratamiento a menos de 4%
excisin o debridacin de quemadura de 2do y 3er grado, tratamiento entre 4 y 9% d
excisin o debridacin de quemadura de 2do y 3er grado, tratamiento de cada 9% ad
Anestesia para Versin ceflica externa

Anestesia para Parto vaginal
Anestesia para Cesrea
Anestesia para Histerectoma de urgencia posterior a parto
Anestesia para Histerectoma Cesrea sin previa analgesia/anestesia por trabajo de parto
Anestesia para procedimientos de Aborto
Analgesia/anestesia neuroaxial para Parto vaginal planificado
Anestesia para Cesrea posterior a anestesia/analgesia neuroaxial por parto
Anestesia para cesrea/histerectoma posterior a anestesia/analgesia neuroaxial por parto
Soporte fisiolgico para toma de rganos de pacientes con muerte cerebral
Anestesia por bloqueo e inyeccin a nervio en posicin que no sea la prona
Anestesia por bloqueo e inyeccin a nervio de tipo diagnstico o teraputico en posicin prona
Administracin IV regional de agente anestsico local u otra medicacin
Manejo diario de administracin epidural o subaracnoidea de frmacos
Bloqueo de nervio trigmino / inyeccin de agente anestsico en nervio perifrico.
Anestesia General Inhalatoria
Anestesia General Inhalatoria con intubacin
Anestesia General Inhalatoria sin intubacin
Anestesia General Endovenosa
Anestesia General Endovenosa con intubacin
Anestesia General Endovenosa sin intubacin
Anestesia Epidural
Anestesia Epidural simple sin catter
Anestesia Epidural continua con catter
Anestesia Raqudea
Bloqueos
Anestesia local
Anestesia combinada
Evaluacin preanestsica
Quimiociruga (tcnica microquirrgica de Moh)
Formacin de pedculo, con o sin transferencia
Aplicacin de colgajo diferido
Transferencia de cualquier colgajo pediculado a cualquier zona del cuerpo
Aplicacin de colgajo muscular, miocutneo o fasciocutneo
Destruccin de lesiones benignas o premalignas, cualquier mtodo
Aplicacin de aloinjerto de piel
Remocin de medicamentos o dispositivo de liberacin

Insercin de medicamentos o dispositivos de liberacin
Remocin y reinsercin de medicamentos o dispositivos de liberacin
Puncin aspirativa de Quiste de mama
Biopsia de mama; aguja trcar (procedimiento separado)
Biopsia excisional abierta de lesin benigna o maligna de mama, conducto, pezn, o arola
Reconstruccin de pezn/arola
Remocin de implante mamario intacto
Mastectoma por Ginecomastia
Mastectoma, parcial
Mastectoma parcial con Linfadenectoma axilar
Mastopexia
Capsulotoma periprtesis de mama
Excisin de tumor de la pared torcica, incluyendo costillas, sin Linfadenectoma Mediastnica
Mastectoma, simple, completa
Excisin de tumor de la pared torcica, incluyendo costillas, con Linfadenectoma Mediastnica
Mamoplasta de aumento; sin implante de prtesis
Mastectoma, radical, incluyendo msculos pectorales, ganglios linfticos axilares
Mamoplasta de reduccin
Reconstrucin de mama con colgajo miocutneo, con o sin implante de prtesis
Mastectoma, radical incluyendo msculos pectorales, ganglios linfticos axilares y mamarios interno
Mastotoma con exploracin o drenaje de absceso, profundo
Canalizacin de conducto mamario y canalizacin, para Galactografa
Biopsia de mama a cielo abierto
Biopsia percutnea de mama con ayuda de imgenes
Biopsia percutnea de mama con ayuda de imgenes y uso de dispositivo al vaco
Introduccin preoperatoria de aguja de localizacin de lesin en mama
Mamoplasta de aumento; con implante de prtesis
Insercin inmediata de prtesis de mama posterior a la Mastopexia, Mastectoma o Ciruga reconstruc
Capsulectoma periprtesis de mama
Aplicacin de colgajo; pedculo insular o neurovascular
Aplicacin de colgajo libre, con anastomosis microvascular
Crioterapia para Acn
Exfoliacin Qumica de Acn
Cambio de apsitos y curaciones bajo anestesia (que no sea anestesia local)
Blefaroplasta

Dermoabrasin; toda la cara
Cervicoplasta
Ritidectoma
Excisin, exceso de piel y tejido subcutneo
Injerto para parlisis de nervio facial
Retiro de puntos
Cambio de apsitos y curaciones
Curacin de heridas pequeas, menor de 5 cms
Curacin de heridas medianas, de 5 a 10 cms
Curacin de heridas grandes, ms de 10 cms
Afeitado de lesin epidrmica o drmica
Puncin y aspiracin de absceso, hematoma, bula o quiste
Descamado o corte de lesin(es) hiperqueratsica(s) benigna(s)
Incisin y drenaje de hematoma, seroma o colecciones de fludos
Extirpacin de verrugas blandas, plipos fibrocutneos mltiples, cualquier zona; hasta 15 lesiones
Incisin y drenaje de Quiste pilonidal simple
Biopsia de piel, tejido subcutneo y/o mucosa (y para diagnstico de rabia antemortem)
Excisin de lesin benigna, excepto de verrugas blandas
Debridamiento de piel y tejido subcutneo, incluyendo remocin de cuerpos extraos asociados con f
Debridamiento de piel, tejido subcutneo, fascia muscular y msculo, incluyendo remocin de cuerpo
Debridamiento de piel, tejido subcutneo, fascia muscular, msculo y hueso, incluyendo remocin de
Ciruga del Acn
Plasta de cicatrices simples
Debridamiento y/o limpieza quirrgica de quemaduras bajo anestesia
Escarotoma
Tratamiento local de quemadura de primer grado
Escarectoma
Excisin de quiste o seno pilonidal
Sutura simple de heridas superficiales; 2.5 cm o menos
Sutura simple de heridas superficiales, menor o igual a 10 cm
Cierre en capas de heridas; 2.5 cm o menos
Cierre en capas de heridas, menor o igual a 10 cm
Cierre secundario de herida quirrgica o dehiscencia, amplia o complicada

Debridamiento de lcera de decbito sin excisin
Excisin de ua y matriz ungueal, parcial o completa (ejm. ua deformada)
Excisin de ganglin de mueca (dorsal o palmar)
Exploracin con extirpacin de cuerpo extrao de antebrazo o mueca
Incisin de vaina tendinosa del extensor, mueca (p. ejm. enfermedad de Quervain)
Correccin de falta de unin de hueso escafoide (navicular), con o sin estiloidectoma radial
Tenotoma abierta de tendn flexor o extensor de antebrazo y/o mueca
Artrotoma de articulacin radiocarpal o mediocarpal, con exploracin, drenaje o extirpacin de cuerp
Artrotoma de mueca con sinovectoma
Revisin de artroplasta de mueca incluyendo remocin de implantes
Fijacin esqueltica percutnea de fractura distal de radio o separacin epifisaria
Excisin, tumor, antebrazo y/o regin de la mueca; subcutneo
Cpsulorrafia o reconstruccin de mueca
Excisin o legrado de quiste seo o tumor benigno de radio o cubito
Osteoplasta de radio y/o cbito
Carpectoma de todos los huesos de la fila proximal
Alargamiento o acortamiento de tendn flexor o extensor de antebrazo o mueca
Deslizamiento del origen de los flexores de antebrazo y/o mueca
Centralizacin de mueca sobre el cbito (p. ej. mano pndula radial)
Tratamiento abierto de fractura de cbito y/o radio
Tratamiento abierto de difisis radial con fijacin interna y/o externa y tratamiento cerrado de disloca
Tratamiento abierto de fracturas de las difisis del radio y cbito, con fijacin interna o externa; de ra
Tratamiento abierto de fractura distal de radio (p. ej. fractura de Colles o Smith) o separacin epifisar
Artrodesis de mueca
Excisin radical de bolsa tendinosa, lquido sinovial de mueca o vaina tendinosa de antebrazo

Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido blando de antebrazo y/o regin de la m
Reseccin radical de tumor, radio o cbito
Cierre secundario o revisin de cicatriz de desarticulacin a travs de mueca
Incisin y drenaje de absceso profundo o hematoma; antebrazo y/o mueca
Incisin profunda, hueso cortical, antebrazo y/o mueca (p. ejm. Osteomielitis o Absceso seo)
Artrotoma de mueca con biopsia
Excisin, lesin de vaina tendinosa, antebrazo y/o mueca
Secuestrectoma de antebrazo y/o mueca (ejm. por Osteomielitis o Absceso seo)
Remocin de prtesis de mueca
Reconstruccin para estabilizacin de cbito o articulacin radiocubital distal inestable empleando te
Artroplasta de mueca con reemplazo prosttico
Tratamiento profilctico (uso de clavos, clavijas, placas o alambre) con o sin metilmetacrilato, radio y
Tratamiento cerrado de fractura de cbito y/o radio
Tratamiento cerrado de fractura de escafoide
Tratamiento abierto de fractura de escafoide carpeano (navicular), con/sin fijacin interna o externa
Tratamiento cerrado de fractura de hueso carpiano; excepto escafoide
Tratamiento cerrado de fractura de la apfisis estiloides cubital
Tratamiento cerrado de dislocacin radiocarpal o intercarpal
Tratamiento cerrado de dislocacin radiocubital distal, con manipulacin
Tratamiento cerrado de dislocacin por fractura de tipo transescafoidea perisemilunar, con manipulac
Tratamiento abierto de dislocacin por fractura de tipo transescafoidea perisemilunar
Tratamiento cerrado de dislocacin del semilunar, con manipulacin
Tratamiento abierto de dislocacin del semilunar
Procedimiento de Krukenberg
Aplicacin de vendaje hemicuerpo superior (incluye trax, espalda baja, hombro, codo, mueca, man
Remocin de yeso
Aplicacin de cors
Aplicacin de yeso largo para la pierna (muslo a tobillo o dedos)
Aplicacin de yeso para pie zambo, moldeado o manipulacin, largo o corto para la pierna
Aplicacin de yeso "en espiga" de la cadera
Aplicacin de yeso corporal con armazn tipo halo
Enyesado "en espiga" de hombro

Aplicacin de enyesado corto para pierna
Agregado de elemento para marcha a un yeso previamente aplicado
Aplicacin de yeso de contacto total rgido, en la pierna
Aplicacin de vendaje, hemicuerpo inferior (incluye cadera, rodilla, tobillo, dedos de los pies, bota de
Correccin de espiga, yeso corporal o cors
Confeccin de una ventana en el enyesado
Confeccin de una cua en el enyesado
Confeccin de una cua en el enyesado para pie zambo
Restauracin de una superficie con ionmero de vidrio en piezas dentarias deciduas
Restauracin compuesta con ionmero de vidrio en piezas dentarias deciduas (2 ms superficies)
Restauracin de una superficie con ionmero de vidrio en piezas dentarias permanentes
Restauracin compuesta con ionmero de vidrio en piezas dentarias permanentes (2 ms superficie
Curetaje gingival - por cuadrante
Tratamiento cerrado de fractura de huesos nasales, tabique nasal sin manipulacin
Tratamiento cerrado de fractura de complejo nasomaxilar (LeFort tipo II); empleando fijacin con alam
Tratamiento abierto de fractura nasal; sin complicaciones
Tratamiento abierto de fractura del hueso hioides
Tratamiento abierto de fractura nasoetmoidal
Tratamiento abierto de fractura de seno frontal
Tratamiento cerrado de fractura del arco dentario de la mandbula o del maxilar
Tratamiento abierto de luxacin de articulacin tmporomandibular
Excisin de huesos, mandbula (osteomielitis o absceso seo)
Excisin de tumor maligno de huesos faciales distinto de la mandbula
Condilectoma, articulacin tmporomandibular
Tratamiento abierto de fractura malar deprimida, incluyendo el arco cigomtico y trpode malar
Tratamiento abierto de fractura del arco dentario de la mandbula o del maxilar
Tratamiento abierto de fractura mandibular con fijacin externa
Artrotoma de articulacin tmporomandibular
Meniscectoma, parcial o completa, articulacin tmporomandibular
Reseccin radical de tumor de tejido blando de cara o cuero cabelludo
Tratamiento abierto de fractura de complejo nasomaxilar (LeFort tipo II)
Tratamiento abierto de fractura maxilar (LeFort I)
Excisin de tumor benigno o quiste de huesos faciales distinto de la mandbula
Excisin de quiste benigno o de tumor de mandbula
Excisin de tumor maligno de mandbula
Coronoidectoma
Impresin y preparacin a medida de prtesis
Aplicacin de dispositivo para fijacin interdentaria para anomalas que no sean fractura o dislocacin
Genioplasta
Aumento del cuerpo o ngulo del maxilar inferior
Reconstruccin mediofacial, osteotoma LeFort I
Reconstruccin mediofacial, osteotoma LeFort II
Reconstruccin mediofacial, osteotoma LeFort III
Reconstruccin mediofacial, osteotoma LeFort III ms LeFort I
Reconstruccin unilateral de borde orbitario supero-lateral y parte inferior de frente, con o sin injertos
Reconstruccin bilateral de borde orbitario supero-lateral y parte inferior de frente, con o sin injertos
Reconstruccin de frente
Reconstruccin mediofacial diferente de LeFort I
Reconstruccin de ramas de la mandbula, horizontal, vertical, osteotoma en "C" o "L"; sin injerto se
Reconstruccin de ramas de la mandbula, horizontal, vertical, osteotoma en "C" o "L"; con injerto s
Reconstruccin de ramas y/o cuerpo mandibular, divisin sagital
Osteotoma segmentaria de mandbula
Osteotoma segmentaria de maxilar (ejm. Wassmund o Schuchard)
Osteoplasta de huesos faciales
Injerto de hueso en reas nasal, maxilar superior o inferior, malar
Injerto de cartlago en cara, mentn, nariz, oreja
Artroplasta tmporomandibular
Artroplasta tmporomandibular y reemplazo con prtesis
Reconstruccin extraoral de maxilar inferior
Reconstruccin de maxilar con implante subperistico
Reconstruccin de la apfisis condilar de la mandbula con injerto seo y cartilaginoso autlogo
Reconstruccin de maxilar superior o inferior con implante endstico
Reconstruccin del arco cigomtico y cavidad glenoidea con hueso y cartlago
Reconstruccin de rbita con osteotomas y con injertos seos
Aumento malar, prtesis
Revisin secundaria de reconstruccin rbitocraneofacial
Tratamiento cerrado de fractura de crneo sin operacin quirrgica
Tratamiento cerrado de fractura de hueso nasal
Tratamiento abierto de fractura de tabique nasal; con/sin complicaciones
Tratamiento cerrado de fractura de tabique nasal
Tratamiento percutneo de fractura de complejo nasoetmoidal con fijacin con frula, alambre o casq
Tratamiento abierto de fractura de complejo nasomaxilar (LeFort tipo II); empleando fijacin con alam
Tratamiento percutneo de fractura de regin malar
Tratamiento abierto de fractura deprimida del arco cigomtico (ejm. abordaje de Gilles)
Tratamiento abierto de fracturas con complicaciones de regin malar (ejm. conminuta o con comprom
Tratamiento abierto de fractura de rbita
Tratamiento cerrado de fractura maxilar (LeFort I)
Tratamiento cerrado de fractura de mandibula con o sin manipulacin
Tratamiento percutneo de fractura de mandibula con fijacin externa

Tratamiento cerrado de fractura de mandibula con fijacin interdentaria
Tratamiento abierto de fractura mandibular sin fijacin interdentaria
Tratamiento abierto de fractura mandibular con fijacin interdentaria
Tratamiento abierto de fractura de la apfisis condilar del maxilar inferior
Tratamiento abierto de fractura mandibular complicada mediante mltiples abordajes quirrgicos inc
Tratamiento cerrado de dislocacin tmporomandibular
Tratamiento cerrado de fractura del hueso hioides
Restauracin de una superficie, con amalgama de plata, en piezas dentarias deciduas (simple)
Restauracin de dos superficies, con amalgama de plata, en piezas dentarias deciduas (compuesta)
Restauracin de tres superficies, con amalgama de plata, en piezas dentarias deciduas (compleja)
Restauracin de una superficie, con amalgama de plata, en piezas dentarias permanentes (simple)
Restauracin de dos superficies, con amalgama de plata, en piezas dentarias permanentes (compues
Restauracin de tres superficies, con amalgama de plata, en piezas dentarias permanentes (compleja
Restauracin de una superficie, con resina, en piezas dentarias permanentes, anteriores (simple)
Restauracin de dos superficies, con resina, en piezas dentarias permanentes, anteriores (compuesta
Restauracin de tres superficies, con resina, en piezas dentarias permanentes, anteriores (compleja)
Restauracin de cuatro superficies, o compromiso del ngulo incisal, con resina, en piezas dentarias p
Restauracin de piezas dentarias deciduas, anteriores, mediante coronas de composite basado en res
Restauracin de piezas dentarias permanentes, anteriores, mediante coronas de composite basado e
Restauracin de una superficie, con resina, en piezas dentarias deciduas, posteriores (simple)
Restauracin de dos superficies, con resina, en piezas dentarias deciduas, posteriores (compuesta)
Restauracin de tres o ms superficies, con resina, en piezas dentarias deciduas, posteriores (comple
Restauracin de una superficie, con resina, en piezas dentarias permanentes, posteriores (simple)
Restauracin de dos superficies, con resina, en piezas dentarias permanentes, posteriores (compuest
Restauracin de tres superficies, con resina, en piezas dentarias permanentes, posteriores (compleja
Restauraciones mediante incrustaciones Inlay - metlico
Restauraciones mediante incrustaciones Onlay - metlico
Restauraciones mediante incrustaciones de porcelana o cermicos, Inlay. Tcnica indirecta
Restauraciones mediante incrustaciones de porcelana o cermicos, Onlay. Tcnica indirecta
Restauraciones mediante composite basado en resina, Inlay. Tcnica indirecta
Restauraciones mediante composite basado en resina, Onlay. Tcnica indirecta
Restauracin simple de pieza dentaria con corona, para todos los tipos y aleaciones a utilizar
Restauracin de pieza dental para perno-mun
Restauracin de corona metlica prefabricada en dientes deciduos
Restauracin de corona metlica prefabricada en dientes permanentes
Colocacin de Pin de retencin
Remocin de perno-mun (no incluye Terapia endodntica)
Restauracin con Carilla de porcelana - por pieza dentaria
Restauracin con carilla de resina - por pieza dentaria
Tratamiento de Recroma (blanqueamiento) en pieza nica
Tratamiento de Recroma (blanqueamiento) en arcadas completas
Recubrimiento pulpar - directo
Recubrimiento pulpar - indirecto

Pulpotoma
Debridaje o apertura amplia pulpar, dientes primarios y permanentes
Pulpectoma Anterior Diente Deciduo
Pulpectoma Posterior Diente Deciduo
Endodoncia o Biopulpectoma pieza anterior (se excluye restauracin final)
Necropulpectoma pieza anterior (se excluye restauracin final)
Biopulpectoma bicspide (premolar) (se excluye restauracin final)
Necropulpectoma bicspide (premolar) (se excluye restauracin final)
Biopulpectoma bicspide (molar) (se excluye restauracin final)
Necropulpectoma bicspide (molar) (se excluye restauracin final)
Reparacin de defectos de perforacin
Retratamiento de Endodoncia - piezas anteriores
Retratamiento de Endodoncia - piezas bicspides (premolares)
Retratamiento de Endodoncia - piezas molares
Apexificacin
Obturacin y curacin dental simple
Obturacin y curacin dental compuesta
Obturacin retrgada - por pice radicular
Colocacin de Implante endseo - endodntico
Procedimiento de colgajo gingival - por cuadrante
Alargamiento de corona clnica
Injerto de hueso - primer sitio en cuadrante
Injerto de hueso - cada sitio adicional en cuadrante
Regeneracin tisular guiada - barrera o membrana reabsorbible, por sitio
Regeneracin tisular guiada - barrera no reabsorbible, por sitio (incluye remocin de la membrana)
Exploracin quirrgica, por diente
Injerto pediculado en cavidad oral
Injerto libre en cavidad oral
Raspaje periodontal y alisado radicular, por cuadrante
Debridaje periodontal, por cuadrante
Control post operatorio periodontal
Prtesis dental completa - por maxilar
Prtesis dental completa inmediata - por maxilar
Prtesis parcial removible con base metlica por maxilar
Prtesis parcial removible sin base metlica por maxilar
Rebasado de prtesis por maxilar
Prtesis dental completa provisional por maxilar
Prtesis parcial removible provisional por maxilar
Acondicionamiento de tejidos, por maxilar
Modificacin de la prtesis removible prequirrgica
Prtesis obturador temporal
Prtesis somtica
Placa de relajacin
Mantenimiento de tejidos peri- implantarios
Remocin del implante
Disyuncin quirrgica palatina unilateral
Disyuncin quirrgica palatina bilateral
Apicectoma y curetaje apical en piezas anteriores
Apicectoma y curetaje apical en piezas posteriores
Distraccin osteognica mandibular
Distraccin osteognica alveolar
Distraccin osteognica de tercio medio facial
Biopsia por excisin de tejido blando de cavidad oral
Biopsia de tejido duro de cavidad oral
Condilectoma ms Coronoidectoma unilateral
Correccin de asimetra facial de microsoma hemifacial con injerto
Correccin de asimetra facial de microsoma hemifacial sin injerto
Drenaje de hematoma en cavidad oral
Drenaje intraoral de absceso odontognico
Drenaje extraoral de abceso facial odontognico
Enucleacin de quiste intraoral (- de 4cm)
Enucleacin de quiste intraoral (+ de 4cm)
Excisin de mucocele o quistes de retencin
Extirpacin de Tumor odontognico benigno
Extirpacin de Tumor no odontognico benigno
Enucleacin de rnula
Mentoplasta sin injerto
Mentoplasta con injerto
Hemimandibulectoma
Hemiseccin radicular
Tratamiento de hemorragia post exodoncia
Injerto seo en combinacin con otros procedimientos
Injerto seo simple por paladar fisurado
Osteotoma tipo Le fort I
Osteotoma tipo Le fort II
Osteotoma tipo Le fort III
Mascarilla facial (modelo facial)
Menisectoma parcial o completa articulacin temporomandibular
Modelos de estudio para ciruga ortogntica
Neurectoma del dentario inferior
Neurectoma del infraorbitario
Neurectoma del mentoniano
Osteotoma sub-apical segmento anterior
Osteotoma sub-apical total mandibular
Osteotoma sub-apical segmento posterior

Osteotoma vertical bilateral de ramas
Osteotoma sagital bilateral de ramas
Profundizacin de surco mandibular o maxilar
Profundizacin de surco mandibular o maxilar con injerto
Profundizacin de surco submucoso
Queiloplasta bilateral
Queiloplasta unilateral
Reduccin incruenta y estabilizacin de fractura maxilar mandibular
Tratamiento de la luxacin de articulacin tmporomandibular.
Retiro de material de ferulizacin por arcada dentaria
Retiro de puntos sin/con anestesia local en cavidad oral
Sialolitotoma submandibular sublingual o remocin quirrgica de sialolito (cerca de desembocadura)
Sinusotoma radical (caldwell luc) o Antrotoma
Submaxilectoma parcial o total o Remocin quirrgica de sialolito (cerca glndula)
Tratamiento abierto de fractura por estallido de piso orbitario abordaje periorbital con implante alop
Tratamiento abierto de fractura de complejo nasomaxilar (Lefort tipo II) con necesidad de mltiples a
Tratamiento abierto de fractura de la apfisis condilar de la mandbula o reduccin abierta de fractura
Tratamiento abierto de fractura de la apfisis condilar de la mandbula o reduccin abierta de fractura
Tratamiento abierto de fractura del arco cigomtico
Tratamiento abierto de fractura malar incluyendo el arco cigomtico y trpode malar
Tratamiento abierto de fractura mandibular o reduccin cruenta de fractura mandibular (abierta)
Tratamiento abierto de fractura maxilar (Lefort I) o reduccin abierta de fractura tercio medio de la ca
Tratamiento abierto o reduccin abierta de fractura nasorbitoetmoidal
Tratamiento abierto de luxacin de articulacin tmporomandibular o tratamiento complicado de disl
Tratamiento cerrado de fractura de complejo nasomaxilar (Lefort tipo II) empleando fijacin con alam
Tratamiento de alveolitis seca dolorosa por sesin
Tratamiento quirrgico de la fascetis necrotizante cervicofacial
Aumento de reborde alveolar con hueso lioflizado
Aumento de reborde alveolar con injerto aloplstico
Aumento de reborde alveolar con injerto autlogo
Tratamiento de Ortodoncia para hbitos bucales en denticin decidua
Tratamiento de Ortodoncia para mordidas cruzadas anterior y posterior en denticin decidua
Tratamiento de Ortodoncia para hbitos bucales en denticin mixta
Tratamiento de Ortodoncia para mordidas cruzadas anterior y posterior en denticin mixta
Tratamiento de Ortodoncia para apiamiento y problemas de espacio en general en denticin mixta
Tratamiento de Ortodoncia para Maloclusin Clase I en denticin permanente
Tratamiento de Ortodoncia para Maloclusin Clase II (Divisin 1 y 2) en denticin permanente
Tratamiento de Ortodoncia para maloclusin Clase III en denticin permanente
Tratamiento combinado ortncico quirrgico - Fase Ortodncica Prequirrgica
Tratamiento combinado ortncico quirrgico - Fase Ortodncica Postquirrgica
Tratamiento de Ortopedia para discrepancias sagitales en denticin decidua
Tratamiento de Ortopedia para maloclusiones en desarrollo en denticin decidua
Tratamiento combinado de ortodoncia y ortopedia para discrepancias sagitales en denticin mixta

Tratamiento combinado de ortodoncia y ortopedia para mordidas profundas en denticin mixta
Tratamiento combinado de ortodoncia y ortopedia para mordidas abiertas en denticin mixta
Tratamiento combinado de ortodoncia y ortopedia para maloclusiones en desarrollo en denticin mix
Osteotoma de columna vertebral, abordaje posterior o posterolateral
Tratamiento cerrado de fracturas y/o luxaciones de cuerpos vertebrales
Excisin parcial de elemento vertebral posterior debido a lesin sea intrnseca, un solo segmento ve
Osteotoma de columna vertebral, incluyendo disquectoma, abordaje anterior
Tratamiento abierto y/o reduccin de fracturas o luxaciones vertebrales
Tratamiento cerrado de fracturas de procesos vertebrales
Tratamiento abierto y/o reduccin de fracturas o dislocaduras de odontoides, abordaje anterior
Artrodesis posterior por deformacin de raquis
Artrodesis anterior por deformacin de raquis
Xifectoma, exposicin circunferencial de raquis y reseccin de segmentos vertebrales
Fijacin interna del raquis mediante alambrado de las apfisis espinosas
Instrumentacin anterior
Fijacin plvica que no sea sacro
Reinsercin de dispositivo de fijacin raqudea
Aplicacin de dispositivo biomecnico intervertebral a defecto en espacios intervertebrales
Remocin de instrumentacin anterior
Tratamiento cerrado de fractura de costilla, cada una
Tratamiento cerrado de fractura del esternn
Excisin de tumor, tejido blando de cuello o trax; subcutneo
Tratamiento abierto de fractura de costilla sin fijacin, cada una
Divisin del escaleno anterior
Divisin del esternocleidomastoideo por tortcolis
Tratamiento abierto de fractura del esternn con o sin fijacin esqueltica
Ostectoma parcial del esternn
Correccin reconstructiva de pecho excavado o de pecho hundido
Incisin y drenaje de absceso profundo o hematoma de tejidos blandos de cuello o trax
Incisin profunda con apertura de hueso cortical (p. ejm. para Osteomielitis o Absceso seo) de trax
Debridamiento esternal
Cierre de esternotoma
Tratamiento de fractura de costilla que requiera fijacin externa ("pecho batiente")
Artroscopa diagnstica de articulacin tmporomandibular con o sin biopsia
Artroscopa quirrgica de articulacin temporomandibular con sinovectoma, lisis de adherencias o de
Artroscopa diagnstica de hombro con o sin biopsia
Artroscopa quirrgica de hombro con sinovectomia, lisis de adherencias o debridamiento
Artroscopa diagnstica de codo con o sin biopsia
Artroscopa quirrgica de codo con sinovectomia o debridamiento
Artroscopa diagnstica de mueca con o sin biopsia
Artroscopa quirrgica de mueca con lavado y drenaje, sinovectomia o debridamiento
Artroscopa diagnstica de cadera con o sin biopsia
Artroscopa quirrgica de cadera con sinovectoma, condroplasta o debridamiento
Artroscopa diagnstica de rodilla con o sin biopsia
Artroscopa quirrgica de rodilla con lavado y drenaje, sinovectoma, condroplasta, meniscectoma o
Artroscopa quirrgica de tobillo con sinovectoma, condroplasta o debridamiento
Artroscopa diagnstica de articulaciones metacarpofalangicas con o sin biopsia
Artroscopa quirrgica de articulaciones metacarpofalngicas
Excisin de tumor de tejido blando de espalda o flanco
Reseccin radical de tumor de tejido blando de espalda o flanco
Tratamiento cerrado de fractura femoral, extremo distal, cndilo medial o lateral, sin manipulacin
Tenotoma percutnea de aductor o tendones de la corva, uno o varios tendones
Manipulacin de articulacin de la rodilla bajo anestesia general
Fasciotoma descompresiva de muslo y/o rodilla, con debridamiento de msculo y/o nervio desvitaliza
Excisin de bolsa sinovial prerrotuliana
Sutura de ruptura del msculo cudriceps o de unidad msculotendinosa de la corva
Sutura de tendn infrarrotuliano
Tenotoma abierta de tendones de la corva, rodilla hasta cadera, uno o ms tendones
Excisin de tumor de regin del muslo o la rodilla; subcutnea
Extirpacin de cuerpo extrao, profundo, regin del muslo o de la rodilla

Cuadriceplasta
Rotulectoma o Hemirotulectoma
Artrotoma de rodilla con exploracin, drenaje, extirpacin de cuerpo extrao o biopsia sinovial
Tratamiento abierto de fractura de la difisis femoral con placa/tornillos, con o sin cerclaje
Tratamiento abierto de fractura femoral, extremo distal, cndilo medial o lateral, con o sin fijacin int
Osteoplasta de fmur; combinado, alargamiento y acortamiento con transferencia de segmento fem
Excisin parcial (craterizacin, saucerizacin, o diafisectoma) de hueso, fmur, tibia proximal y/o per
Osteotoma de fmur
Osteotoma tibia proximal, incluyendo excisin u osteotoma de peron
Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido blando o regin del muslo o la rodilla
Reseccin radical de tumor, hueso, fmur o rodilla
Incisin y drenaje en muslo o rodilla de absceso profundo, bolsa sinovial, hematoma
Correccin de falta de unin o unin defectuosa, fmur distal a la cabeza y cuello
Remocin de prtesis de rodilla
Tratamiento profilctico (clavos, clavijas, placas o alambre) con o sin metilmetacrilato, fmur
Fasciotoma descompresiva de muslo y/o rodilla
Tratamiento cerrado de fractura de difisis femoral
Tratamiento cerrado de fractura femoral supracondilar o transcondilar, con o sin extensin intercondi
Tratamiento abierto de fractura femoral distal
Tratamiento cerrado de fractura rotuliana, sin manipulacin
Tratamiento cerrado de fractura tibial
Tratamiento abierto de fractura tibial
Tratamiento cerrado de dislocacin de rodilla
Tratamiento abierto de dislocadura de rodilla
Tratamiento cerrado de dislocadura rotuliana
Tratamiento abierto de dislocadura rotuliana
Artrocentesis en articulacin pequea, bolsa sinovial o ganglio (dedos de la mano o pie)
Biopsia de msculo
Biopsia de hueso
Control de la presin de lquido intersticial en la deteccin de Sndrome Compartimental Muscular

Extirpacin de cuerpo extrao en msculo o vaina tendinosa
Aplicacin de sistema de fijacin en un slo plano (clavijas o alambres)
Remocin, bajo anestesia, del sistema de fijacin externa
Remocin de implante profundo (p. ejm. alambre intraseo, clavija, tornillo, banda metlica, clavo, va
Injerto seo cualquier zona donante
Injertos de otros tejidos (paratendn, grasa, dermis)
Reimplante de dedo, excluyendo dedo pulgar
Reimplante de dedo pulgar
Reimplante de mano
Reimplante de brazo
Incisin de absceso superficial de tejido blando (excluye absceso de piel y tejido subcutneo)
Incisin de absceso profundo o complicado de tejido blando (excluye absceso de piel y tejido subcut
Inyeccin en tracto o trayecto fistuloso (diagnstica o teraputica)
Artrocentesis en articulaciones medianas, bolsa sinovial o ganglio (temporomandibular, acromioclavic
Artrocentesis en articulacin grande o bolsa (hombro, cadera, articulacin de la rodilla, bolsa subacro
Insercin de alambre o clavija con aplicacin de traccin esqueltica
Aplicacin de tenazas craneales, compases, o casco de estereotaxia
Aplicacin de halo, incluyendo remocin
Aplicacin de halo y colocacin de 6 o ms clavijas en crneo
Reimplante de pie, amputacin completa
Injerto seo con Anastomosis microvascular
Colgajo osteocutneo libre con Anastomosis microvascular
Estimulacin elctrica para la curacin sea
Tratamiento de Sndrome Compartimental
Incisin y drenaje de absceso profundo, hematoma, o de bolsa sinovial infectada
Extirpacin de depsitos calcreos subdeltoideos (o intratendinosos), cualquier mtodo
Tratamiento abierto de fractura clavicular, luxacin esternoclavicular, acromioclavicular
Tratamiento abierto de fractura escapular
Correccin de ruptura de manguito msculotendinoso
Capsulorrafa anterior
Reseccin o transplante del tendn largo del bceps
Excisin o legrado de quiste seo o tumor benigno de clavcula o escpula
Liberacin de ligamento coracoacromial, con o sin acromioplasta
Tenodesis de tendn largo del bceps
Capsulorrafa, articulacin glenohumeral, posterior, con o sin insercin de bloque seo
Secuestrectoma (p. ejm. para Osteomielitis o Absceso seo), clavcula
Excisin parcial (craterizacin, saucerizacin, o diafisectoma) de hueso (p. ejm. Osteomielitis), clavc
Artrotoma de articulacin glenohumeral, incluyendo exploracin, drenaje, extirpacin de cuerpo extr
Artrotoma acromioclavicular, esternoclavicular incluyendo exploracin, drenaje, extirpacin de cuerp
Tratamiento abierto de luxacin aguda del hombro, con o sin fractura humeral, con o sin fijacin inter
Acromioplasta o acromionectoma, parcial, con o sin liberacin del ligamento coracoacromial
Secuestrectoma (p. ejm. para Osteomielitis o Absceso seo), cabeza o cuello quirrgico del hmero
Osteotoma de escpula, parcial (p. ejm. ngulo medial superior)
Osteotoma de clavcula, con o sin fijacin interna
Reseccin radical de tumor (Neoplasia maligna), tejido blando de regin del hombro
Reseccin radical de tumor; clavcula
Artroplasta, articulacin glenohumeral; hemiartroplasta
Incisin de hueso cortical, en hombro
Extirpacin de cuerpo extrao de hombro, cualquier nivel
Extirpacin de cuerpo extrao de hombro con complicaciones
Escpulopexia
Reconstruccin de avulsin completa del hombro (rotador), avulsin de manguito, crnico
Tratamiento profilctico (uso de clavos, clavijas, placas o alambre); con o sin metilmetacrilato, clavcu
Tratamiento cerrado de fractura clavicular
Tratamiento cerrado de dislocacin esternoclavicular
Tratamiento abierto de dislocacin esternoclavicular
Tratamiento cerrado de dislocacin acromioclavicular
Tratamiento abierto de dislocacin acromioclavicular
Tratamiento cerrado de fractura escapular
Tratamiento cerrado de fractura de hmero proximal
Tratamiento cerrado de fractura de la tuberosidad mayor del hmero
Tratamiento abierto de fractura de la tuberosidad mayor del hmero, con o sin fijacin interna o exter
Tratamiento cerrado de dislocacin del hombro
Tratamiento cerrado de dislocacin de hombro, con fractura humeral
Manipulacin bajo anestesia, articulacin del hombro, incluyendo la aplicacin de aparato de fijacin
Tratamiento cerrado de luxacin de codo, mueca
Extirpacin de cuerpo extrao en brazo o regin del codo
Excisin, bolsa del olcranon
Artrotoma de codo, incluyendo exploracin, drenaje o extirpacin de cuerpo extrao
Fasciotoma lateral o medial (p. ej. "codo de tenista" o epicondilitis)
Fijacin esqueltica percutnea de fractura humeral

Remocin de cuerpo extrao subfacial o intramuscular en brazo o codo
Excisin de tumor en brazo o regin del codo; subcutneo
Excisin y legrado de quiste seo o tumor benigno, hmero
Tratamiento abierto de fractura periarticular y/o luxacin de codo (fractura del hmero distal y cbito
Tratamiento abierto de la fractura de Monteggia a nivel del codo
Tratamiento abierto de fractura de cbito, extremo proximal (apfisis olecraneana)
Excisin parcial de hmero, cabeza o cuello de radio, apfisis olecraneana
Tratamiento abierto de fractura humeral diafisaria
Tratamiento abierto de fractura humeral supracondilar o transcondilar, sin extensin intercondilar
Secuestrectoma de hmero distal, cabeza o cuello de radio, apfisis olecraneana
Tenoplasta con transferencia de msculo, desde el codo al hombro
Flexoplasta de codo
Reseccin radical de cpsula, tejido blando y hueso heterotpico de codo
Reseccin de articulacin del codo (artrectoma)
Reseccin radical de tumor (p. ej. neoplasia maligna), tejido blando de brazo o regin del codo
Reseccin radical de tumor, difisis o hmero distal
Osteotoma de hmero
Incisin y drenaje de lesiones (abscesos o hematomas profundos) en brazo o codo
Incisin profunda, con apertura de hueso cortical, hmero o codo
Artrotoma de codo, con excisin para liberacin capsular (procedimiento separado)
Remocin de implante, codo/cabeza de radio
Correccin de falta de unin o unin defectuosa de hmero
Tratamiento profilctico (uso de clavos, clavijas, placas o alambre), con o sin metilmetacrilato, difisis
Tratamiento cerrado de fractura de difisis del hmero
Tratamiento cerrado de la fractura de Monteggia a nivel del codo
Tratamiento cerrado de subluxacin de cabeza del radio en nios, con manipulacin
Tratamiento cerrado de fractura de cabeza o cuello de radio
Tratamiento cerrado de fractura de cbito, extremo proximal (apfisis olecraneana)
Elongacin de mun, extremidad superior

Tratamiento cerrado de luxacin carpometacarpiana, tarsometarsiana, metacarpofalngica, metatars
Tratamiento abierto de luxacin carpometacarpiana, metacarpofalngica
Correccin de ligamento colateral de articulacin metacarpofalngica o interfalngica
Correccin de Sindactilia (dedos en membrana), cada espacio interdigital; con colgajos cutneos
Correccin de dgito bfido
Correccin de Macrodactilia
Correccin/liberacin de msculos intrnsecos de la mano, cada msculo
Incisin de vaina tendinosa (p. ejm. para dedo "en gatillo")
Correccin o avance de tendn del msculo flexor profundo de los dedos
Correccin y reconstruccin de dedo, placa palmar o articulacin interfalngica
Extirpacin de implante del dedo o mano
Reconstruccin de dgito supernumerario, tejido blando y hueso
Fasciotoma palmar
Sinovectoma de articulacin carpometacarpiana, metacarpofalngica o interfalngica
Liberacin de msculos tenares (p. ejm. contractura del pulgar)
Cpsulodesis en articulacin metacarpofalngica
Capsulectoma o capsulotoma de articulacin metacarpofalngica
Reconstruccin de ligamento colateral de articulacin metacarpofalngica, interfalngica
Fijacin esqueltica percutnea de luxacin carpometacarpiana, interfalngica
Fijacin esqueltica percutnea de fractura inestable de falange
Excisin o legrado de quiste seo o tumor benigno del metacarpo; ms injerto seo
Liberacin de contractura cicatrizal, flexor o extensor de mano y/o dedo
Artrotoma con exploracin, drenaje, extirpacin de cuerpo suelto o cuerpo extrao o biopsia en artic
Excisin, tumor o malformacin vascular, mano o dedo; subcutneo
Sinovectoma radical de vaina tendinosa (tenosinovectoma) de tendn flexor, palma y/o dedo
Reseccin radical, metacarpo; (p. ejm. tumor)

Tratamiento abierto de fractura articular, con compromiso de articulacin metacarpofalngica o interf
Artrodesis de articulacin carpometacarpiana, metacarpofalngica, o interfalngica
Artroplasta de articulacin metacarpofalngica, interfalngica
Restauracin de la oposicin del pulgar ("Oponenplasta")
Reseccin radical de tumor (p. ejm. neoplasia maligna), tejido blando de mano o dedo
Drenaje de absceso de dedo
Excisin de lesin de vaina tendinosa o cpsula (p. ejm. quiste, quiste mucoso o ganglin) mano o de
Excisin de tendn
Excisin de tendn flexor, implantacin de varilla prosttica para injerto diferido de tendn, mano o d
Remocin de varilla prosttica e insercin de injerto de tendn flexor, mano o dedo, cada tendn
Excisin de tendn extensor, implantacin de varilla prosttica para injerto diferido de tendn, mano
Remocin de varilla prosttica e insercin de injerto de tendn extensor, mano o dedo, cada tendn
Tratamiento cerrado de insercin distal de tendn extensor, con o sin fijacin con enclavijado percut
Transplante o transferencia de tendn, regin carpometacarpiana o dorso de la mano
Transplante o transferencia de tendn palmar
Transferencia de tendn para restablecer funcin intrnseca
Reconstruccin de polea del tendn, cada tendn
Transferencia intrnseca cruzada
Transplante de dedo de pie en la mano con anastomosis microvascular
Trasplante, dedo transferido a otra posicin, sin anastomosis microvascular
Traslado libre, articulacin de dedo del pie, con Anastomosis microvascular
Tratamiento cerrado de fractura metacarpiana
Tratamiento cerrado de dislocacin carpometacarpiana, dedo pulgar, con manipulacin
Tratamiento cerrado de dislocacin por fractura carpometacarpiana, dedo pulgar
Tratamiento abierto de dislocacin por fractura carpometacarpiana, dedo pulgar, con o sin fijacin int
Tratamiento cerrado de dislocacin por fractura carpometacarpiana, que no sea dedo pulgar
Tratamiento de fractura cerrada de difisis de falange
Tratamiento abierto de fractura de difisis de falange proximal o media, dedo o pulgar, con o sin fijac
Tratamiento cerrado de fractura articular, con compromiso de articulacin metacarpofalngica o inter
Tratamiento cerrado de fractura de falange distal de cualquier dedo
Fijacin esqueltica percutnea de fractura de falange distal, dedo o pulgar, cada una
Tratamiento abierto de fractura de falange distal, dedo o pulgar, con o sin fijacin interna o externa
Tratamiento cerrado de dislocacin de articulacin interfalngica, con manipulacin

Manipulacin, articulacin de la cadera, con anestesia general
Coccigectoma primaria
Paro epifisario mediante epifisiodesis o engrapado, trocnter mayor
Fijacin esqueltica percutnea de fractura de extremo proximal o cuello femoral
Fijacin esqueltica percutnea de fractura y/o luxacin de pelvis
Revisin de artroplasta total de cadera, con o sin injerto autlogo o aloinjerto
Injerto seo, cabeza y cuello del fmur, rea intertrocantrica o subtrocantrica
Artrotoma de cadera, incluyendo exploracin o extirpacin de cuerpo suelto o de cuerpo extrao o d
Excisin de quiste seo o tumor benigno; superficial con o sin injerto autlogo
Tratamiento del deslizamiento de la epfisis femoral por traccin
Tratamiento abierto de fractura de extremo femoral proximal, excepto trocnter mayor
Tratamiento abierto de fracturas de espinas ilacas o de cresta ilaca
Reseccin radical de tumor, tejido blando de pelvis y regin de la cadera (p. ejm. Neoplasia Maligna)
Reseccin radical de tumor o infeccin; ala del lion, una rama del isquin o del pubis, o snfisis del pu
Osteotoma de pelvis, bilateral (p. ejm. malformacin congnita)
Acetabuloplasta
Hemiartroplasta de cadera
Artroplasta, reemplazo protsico acetabular y femoral proximal, con o sin injerto autlogo o aloinjert
Incisin y drenaje, pelvis o articulacin de la cadera, absceso, hematoma o bolsa sinovial infectada
Remocin de prtesis de cadera

Inyeccin de articulacin sacroilaca; artrografa y/o anestsico/esteroide
Transferencia de msculo a pelvis
Conversin de ciruga previa de cadera en reemplazo total de cadera, con o sin injerto autlogo o alo
Tratamiento profilctico (clavos, clavijas, placas, o alambres) con o sin metilmetacrilato, cuello femor
Tratamiento cerrado de fractura de acetbulo
Tratamiento cerrado de fractura de extremo femoral proximal, excepto trocnter mayor
Tratamiento cerrado de fractura del trocnter mayor, sin manipulacin
Tratamiento abierto de fractura del trocnter mayor, con o sin fijacin interna o externa
Tratamiento cerrado de dislocacin traumtica de la cadera
Tratamiento abierto de dislocadura traumtica de cadera
Tratamiento cerrado de dislocacin de la cadera post artroplasta de cadera
Incisin y drenaje de absceso profundo, hematoma, bolsa sinovial infectada de pierna o tobillo
Artrotoma de tobillo, incluyendo exploracin, drenaje o extirpacin de cuerpo extrao
Recesin de msculos gemelos (p. ejm. procedimiento de Strayer)
Paro epifisario de tibia distal y/o peron distal
Fijacin esqueltica percutnea de fractura de difisis tibial (con o sin fractura del peron)
Excisin o legrado de quiste seo o tumor benigno; tibia o peron
Excisin de lesin de vaina tendinosa o cpsula (p. ejm. quiste o ganglio), pierna y/o tobillo
Excisin de tumor de pierna o regin del tobillo; tejido subcutneo
Tratamiento abierto de fractura de peron proximal o difisis del peron
Tratamiento abierto de fractura bimaleolar o trimaleolar del tobillo
Tratamiento abierto de luxacin de articulacin tibioperonea proximal o tobillo
Artrodesis, articulacin tibioperonea, proximal o distal
Transferencia o trasplante de tendn (con cambio de direccin o de ruta del msculo) de pierna
Tratamiento abierto de fractura de la difisis tibial, (con o sin fractura del peron)
Tratamiento abierto de rotura de la articulacin tibioperonea distal (Sindesmosis)

Artrodesis, tobillo, cualquier mtodo
Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido blando de pierna o regin del tobillo
Reseccin radical de tumor, hueso; tibia, peron
Incisin (p.ejm. Osteomielitis o Absceso seo), pierna o tobillo
Artrotoma de tobillo, diagnstica o teraputica
Correccin de dislocacin de tendones del peron
Correccin de falta de unin o unin defectuosa
Para epifisiario de tibia y peron
Tratamiento profilctico (clavos, clavijas, placa, o alambre) con o sin metilmetacrilato, tibia
Tratamiento cerrado de fractura de diafisis tibial
Tratamiento cerrado de fractura de maleolo medial
Tratamiento abierto de fractura de maleolo
Tratamiento cerrado de peron proximal o difisis de peron
Tratamiento cerrado de fractura de peron distal
Tratamiento cerrado de fractura bimaleolar del tobillo
Tratamiento cerrado de fractura trimaleolar del tobillo
Tratamiento abierto de fractura trimaleolar del tobillo, con o sin fijacin interna o externa, maleolo me
Tratamiento cerrado de fractura de la porcin articular de la tibia distal que soporta carga axil
Tratamiento abierto de fractura de la porcin de la superficie articular de la tibia distal que soporta ca
Tratamiento cerrado de dislocadura de articulacin tibioperonea proximal
Tratamiento cerrado de dislocadura de tobillo
Tratamiento abierto de dislocadura de tobillo, con o sin fijacin esqueltica percutnea
Extirpacin de cuerpo extrao en pie, con o sin complicaciones
Tratamiento abierto de fractura de astrgalo y calcneo
Tratamiento abierto de luxacin de huesos tarsianos, articulacin tarsometatarsiana
Correccin, "dedo en martillo" (p. ejm. fusin interfalngica, falangectoma parcial o total)
Correccin de huesos tarsianos, metatarsianos por falta de unin o unin defectuosa
Fijacin esqueltica percutnea de luxacin de huesos del pie
Excisin de tumor de pie; tejido subcutneo
Hemifalangectoma o excisin de articulacin interfalngica de dedo del pie
Amputacin de dedo
Artrotoma de pie incluyendo exploracin, drenaje, extirpacin de cuerpo suelto o de cuerpo extrao
Liberacin de tnel del tarso (descompresin del nervio tibial posterior)
Sinovectoma de articulacin intertarsiana, tarsometatarsiana o metatarsofalngica
Tenotoma, alargamiento, o liberacin de msculo abductor del dedo gordo
Capsulotoma en pie medio
Sindactilizacin, dedo del pie (p. ejm. operacin de membrana o procedimiento tipo Kelikian)
Reconstruccin, deformidad angular de dedo del pie, procedimientos para tejido blando solamente
Reconstruccin, dedo del pie, Macrodactilia; reseccin de tejido blando
Reconstruccin, dedos del pie; Polidactilia
Reconstruccin de dedos de pie; Sindactilia, con o sin injertos de piel, cada membrana interdigital
Fijacin esqueltica percutnea de fractura de calcneo o astrgalo
Fijacin esqueltica percutnea de fractura metatarsiana, con manipulacin, cada una
Talectoma (Astragalectoma)
Excisin o legrado de quiste seo o tumor benigno, astrgalo o calcneo; huesos del tarso, metatarso
Excisin parcial sea en huesos tarsianos, metatarsianos y falanges de dedos del pie
Amputacin de pie
Ostectoma, excisin parcial, cabeza del quinto metatarsiano (Bunionete) (procedimiento separado)
Ostectoma parcial, Exostectoma o Condilectoma
Metatarsectoma
Sesamoidectoma, primer dedo del pie (procedimiento separado)
Ostectoma, excisin total, cabezas metatarsianas, con falangectoma proximal parcial, excluyendo p
Correccin de Hallux Rigidus por Queilectoma, debridamiento y liberacin capsular de primera articu
Correccin, Hallux Valgus (Bunio), con o sin Sesamoidectoma; Exostectoma simple (p. ejm.procedim
Reconstruccin (avance) de tendn tibial posterior con excisin de hueso escafoides (navicular)
Reseccin radical de tumor, hueso; tarsiano, metatarsianos y falanges del pie
Reseccin radical de tumor (p. ejm. Neoplasia Maligna), tejido blando del pie
Artrodesis triple
Incisin y drenaje de bolsa sinovial de pie, subfascial, vaina tendinosa
Artrotoma, intertarsiana, tarsometatarsiana, metatarsofalngica, interfalngica
Excisin de lesin, tendn, vaina tendinosa o cpsula
Reseccin, parcial o completa, base de la falange, cada dedo del pie
Reseccin, cndilo(s), extremo distal de falange, cada dedo del pie
Divisin de fascia plantar y msculo (p. ejm. denudacin de Steindler) (procedimiento separado)
Capsulotoma, mediotarsiana (p. ejm. procedimiento tipo Heyman)

Capsulotoma en articulacin metatarsofalngica o interfalngica, por cada articulacin
Tratamiento cerrado de fractura del calcneo o astrgalo
Tratamiento cerrado de fractura de hueso tarsiano (excepto astrgalo y calcneo), o metatarsiano
Fijacin esqueltica percutnea de fractura de hueso tarsiano o metatarsiano
Tratamiento abierto de fractura de hueso tarsiano (excepto astrgalo y calcneo) o metatarsiano
Tratamiento cerrado de fractura de dedo gordo, falange o falanges; sin manipulacin
Fijacin esqueltica percutnea de fractura del dedo gordo, falange o falanges, con manipulacin
Tratamiento abierto de fractura del dedo gordo, falange o falanges, con o sin fijacin interna o extern
Tratamiento cerrado de fractura de falange o falanges, que no sea del dedo gordo
Tratamiento abierto de fractura de falange o falanges, que no sea del dedo gordo
Tratamiento cerrado de fractura sesamoidea
Tratamiento cerrado de dislocacin de hueso tarsiano
Tratamiento cerrado de luxacin de huesos tarsianos, articulacin tarsometatarsiana
Tratamiento cerrado de luxacin metatarsofalngica o interfalngica
Tratamiento abierto de luxacin metatarsofalngica o interfalngica
Artrodesis y traslado del extensor largo del dedo gordo a cuello del primer metatarsiano, dedo gordo,
Amputacin, metatarsiana, con dedo, una sola
Laringoscopa indirecta, diagnstica o teraputica
Intubacin, endotraqueal, procedimiento de urgencia
Laringoscopa directa, diagnstica o teraputica
Laringotoma; con extirpacin de tumor o laringocele, Cordectoma
Epiglotidectoma
Seccin del nervio larngeo recurrente, teraputica (procedimiento separado), unilateral
Aritenoidectoma o Aritenoidopexia, abordaje externo
Laringectoma subtotal supragltica, sin diseccin radical del cuello
Laringoplasta para membrana larngea, en dos estados, con insercin y remocin de quilla
Reinervacin larngea por pedculo neuromuscular
Laringectoma total, sin diseccin radical del cuello
Laringectoma subtotal supragltica, con diseccin radical del cuello
Laringectoma total, con diseccin radical del cuello
Faringolaringectoma, con diseccin radical del cuello; sin reconstruccin
Cambio de tubo de traqueotoma previo al establecimiento de va fistular
Laringoplasta
Tratamiento de fractura cerrada de laringe
Laringoplasta, sin otra especificacin (p. ejm. por quemaduras, reconstruccin despus de Laringecto
Inyeccin dentro del cornete nasal, teraputica
Biopsia, intranasal
Cauterizacin y/o ablacin, mucosa de cornete nasal, unilateral o bilateral, cualquier mtodo

Excisin de plipos nasales, simple
Extirpacin de cuerpo extrao intranasal con necesidad de Anestesia General
Excisin o destruccin, cualquier mtodo (incluyendo Lser), lesin intranasal; abordaje interno
Excisin de Quiste Dermoide, nariz; simple, piel, subcutnea
Excisin de comete nasal, parcial o completa, cualquier mtodo
Reparacin de fstula oronasal
Excisin o Dermabrasin de piel de la nariz para Rinofima - Ciruga Plstica
Rinoplasta Primaria; cartlagos laterales y alares, y/o elevacin de la punta nasal
Correccin de fstula oromaxilar u oronasal
Rinoplasta Secundaria
Septoplasta o Reseccin Submucosa, incluyendo calificacin, contorneo o reemplazo con injerto del c
Correccin de atresia de coana; intranasal
Rinectoma parcial
Rinoplastia por deformacin nasal secundaria a labio y/o paladar hendidos congnitos, solamente la p
Rinectoma total
Insercin, prtesis de tabique nasal (botn)
Dermatoplasta Septal u otra Dermatoplastia Intranasal
Ligadura de arterias; etmoidal
Ligadura de arterias; arteria maxilar interna, transantral
Toracocentesis
Biopsia, pleura; aguja percutnea
Toracostoma, para drenaje de empiema
Pleurodesis
Neumotrax, teraputico, inyeccin intrapleural de aire
Reseccin de costillas, extrapleural, todos los estados
Toracoscopa diagnstica
Cura quirrgica de hernia pulmonar a travs de la pared torcica
Toracotoma, limitada, para biopsia pulmonar o pleural
Neumocentesis
Toracoplasta, tipo Schede o extrapleural (todos los estados)
Neumonectoma total, incluye reconstruccin de la pared torcica
Bilobectoma pulmonar

Segmentectoma pulmonar
Pleurodesis por toracoscopa, cualquier mtodo o toracoscopa quirrgica
Decorticacin y Pleurectoma parietal
Neumonectoma total con reseccin de segmento de trquea
Lavado total de pulmn (unilateral)
Toracostoma de tubo, con o sin sistema de sello bajo agua
Toracotoma mayor
Escarificacin pleural por Neumotrax a repeticin
Extirpacin de pulmn, que no sea Neumonectoma total
Reseccin y reparacin de porcin de bronquio cuando se realiza al momento de una Lobectoma o Se
Decorticacin pulmonar parcial por toracoscopa
Decorticacin pulmonar total por toracoscopa
Extirpacin de cuerpo extrao intrapleural o depsito de fibrina por toracoscopa
Pleurectoma parietal por toracoscopa
Reseccin de pulmn "en cua" por toracoscopa
Extirpacin de cogulo o cuerpo extrao del saco pericrdico por toracoscopa
Creacin de ventana pericrdica o reseccin parcial de saco pericrdico para drenaje por toracoscopa
Pericardiectoma total por toracoscopa
Excisin de quiste, tumor o masa pericrdicos o mediastnicos por toracoscopa
Lobectoma pulmonar total o segmentaria por toracoscopa
Simpatectoma torcica por toracoscopa
Esofagomiotoma tipo Heller por toracoscopa
Reconstruccin mayor de pared torcica (postraumtica)
Trasplante de pulmn, uno solo; sin derivacin cardiopulmonar
Trasplante de pulmn, uno solo; con derivacin cardiopulmonar
Trasplante de pulmn, doble (bilateral secuencial o en bloque); sin derivacin cardiopulmonar
Trasplante de pulmn, doble (bilateral secuencial o en bloque); con derivacin cardiopulmonar
Toracoplasta con cierre de fstula broncopleural
Lavado de pulmn total (unilateral)
Tratamiento de contusin cardaca- cerrado y abierto
Tratamiento de contusin pulmonar - cerrado y abierto
Endoscopa nasal diagnstica
Lavado por canulacin; seno maxilar (puncin del antro u ostium natural)
Sinusotoma frontal; externa, simple (con trepanacin)
Sinusotoma maxilar radical (Caldwell-Luc) c/s extirpacin de plipos antrocoanales
Sinusotoma maxilar (antrotoma); intranasal
Etmoidectoma; intranasal, anterior
Ciruga de la fosa pterigomaxilar, cualquier abordaje
Sinusotoma esfenoideal, con o sin biopsia
Maxilectoma sin exenteracin orbitaria - Maxilectoma parcial
Maxilectoma con exenteracin orbitaria -Maxilectoma radical
Endoscopa nasal teraputica, para debridamiento, control de epistaxis

Endoscopa nasal teraputica, con etmoidectoma, antrostoma, esfenoidectoma)
Endoscopa nasal/sinusoidal para correccin de escape de lquido cefalorraquideo
Endoscopa nasal/sinusoidal para descompresin de pared orbitaria o del nervio ptico
Revisin de Traqueostoma, sin rotacin de Flap
Traqueostoma de emergencia, por membrana cricotiroidea
Traqueostoma planeada
Broncoscopa
Revisin de cicatriz de Traqueostoma (en sala de operaciones)
Cierre quirrgico de Traqueostoma o fstula
Traqueoplasta
Broncoplasta
Excisin de tumor traqueal o carcinoma cervical
Traqueostoma de urgencia, transtraqueal
Traqueostoma, procedimiento de fenestracin con colgajos cutneos
Construccin de fstula traqueoesofgica y subsiguiente insercin de una prtesis vocal a larnge
Traqueobroncoscopa a travs de una incisin de Traqueostoma establecida
Cateterizacin transgltica (procedimiento separado)
Instilacin de material de contraste para Laringografa o Broncografa, sin cateterizacin
Cateterizacin para Broncografa, con o sin instilacin de material de contraste
Inyeccin transtraqueal para Broncografa
Aspiracin con broncoscopio
Introduccin transtraqueal (percutnea) de dilatador de alambre hueco o intubacin implantada para
Cateterismo o canulacin arterial (toma de muestra, monitorizacin o transfusin)
Cateterismo de vena umbilical para diagnstico o tratamiento, recin nacido
Cateterismo de arteria umbilical, recin nacido
Inyeccin de solucin esclerosante; una sola vena
Colocacin percutnea de catter venoso central (subclavia, yugular u otra vena), mayor de 2 aos d
Cateterismo venoso para toma selectiva de muestras de sangre de distintos rganos
Exanguinotransfusin, sangre; recin nacido
Cateterizacin percutnea de vena porta mediante cualquier mtodo
Embolectoma o Trombectoma, con/sin catter
Anastomosis arteriovenosa abierta directa, cualquier sitio (ejm. procedimiento de Cimino)
Trombectoma, fstula arteriovenosa sin revisin, injerto autlogo o no autlogo para dilisis
Ligadura, divisin y denudacin completa de vena safena larga o corta
Ligadura, divisin y excisin de venas varicosas recurrentes o secundarias en piernas
Trombectoma, directa o con catter

Ligadura de arteria cartida
Aterectoma perifrica transluminal, percutnea
Embolectoma o Trombectoma, con/sin catter arteria renal, celaca, mesentrica, aortoilaca, median
Valvuloplasta, vena femoral
Reconstruccin de vena cava, cualquier mtodo
Reparacin de fstula arteriovenosa congnita en extremidades
Exploracin vascular, reoperacin, correccin o retiro de injerto vascular, arteria femoral-popltea o fe
Interrupcin, parcial o completa, de vena cava inferior por sutura, ligadura, pliegue, grapa, extravasc
Cura quirrgica de aneurismas, falso aneurisma o excisin e insercin de injerto mediante incisin to
Creacin de fstula arteriovenosa que no sea por anastomosis arteriovenosa directa
Cura quirrgica de aneurismas, falso aneurisma o excisin e insercin de injerto en cuello, brazo o pie
Reparacin de fstula arteriovenosa congnita en trax y abdomen
Sutura o anastomosis directa de vaso sanguneo intratorcico o intraabdominal
Correccin de vaso sanguneo intratorcico o intraabdominal con injerto
Tromboendarterectoma, con o sin injerto, de arterias perifricas
Correccin, fstula arteriovenosa congnita; cabeza y cuello
Cura quirrgica de aneurismas, falso aneurisma de aorta abdominal y/o vasos viscerales e ilacos
Transposicin de vlvula venosa, cualquier vena donante
Tromboendarterectoma, con o sin injerto, de arteria aorta abdominal y sus ramas
By-pass Aorto - iliaco o bi-iliaco
Otras derivaciones (fmoro-femoral, axilo-humeral, cartido-subclavio, axilo-axilar, femoral - poplteo
Injerto venoso cruzado al sistema venoso
Reparacin endovascular de aneurisma de aorta mediante prtesis
Colocacin de dispositivo de oclusin endovascular de arteria ilaca
Correccin, fstula arteriovenosa adquirida o traumtica
Correccin de vaso sanguneo perifrico con injerto que no sea venoso
Correccin de vaso sanguneo intratorcico o intraabdominal con injerto que no sea venoso
Reoperacin, cartida, tromboendarterectoma, ms de un mes despus de la operacin original
Angioscopa (vasos no coronarios o injertos) durante una intervencin teraputica
By-pass perifrico
Derivacin venosa in-situ; aortofemoralpopltea (solamente la porcin femoralpopltea in-situ)

Derivacin venosa in-situ; femoral-popltea
Derivacin venosa in-situ; femoral-tibial anterior, tibial posterior o arteria peronea
Derivacin venosa in-situ; popltea-tibial, peronea
Injerto de derivacin que no sea de vena, cualquier vaso
Injerto de derivacin combinado, vena y protsico
Injerto de derivacin autlogo combinado
Exploracin arterial con o sin lisis de arteria (no seguida de correccin quirrgica)
Exploracin vascular por hemorragia postoperatoria, trombosis o infeccin
Correccin de fstula injerto-entrica
Trombectoma de injerto venoso o arterial, con o sin revisin del injerto
Revisin, derivacin arterial de extremidad inferior, sin trombectoma, abierta
Excisin de injerto vascular infectado
Cateterismo selectivo, rama venosa de primer orden
Cateterismo selectivo, rama venosa de segundo orden
Insercin de bomba de infusin intra-arterial implantable (ejm. para quimioterapia de hgado)
Revisin de bomba de infusin intra-arterial implantada
Remocin de bomba de infusin intra-arterial implantada
Venipuntura, femoral, yugular o seno sagital
Venipuntura, venostoma
Transfusin masiva de sangre en nios de 2 aos de edad o menor
Colocacin percutnea de catter venoso central (subclavia, yugular, u otra vena) en menor de 2 ao
Procedimientos asociados a bombas de infusin; incluye la insercin, revisin o remocin
Procedimientos asociados a dispositivo de acceso venoso implantable; incluye la insercin, revisin o
Colocacin de aguja para infusin intrasea
Insercin, revisin o cierre de cnula para hemodilisis (vena a vena, arteriovenoso)
Revisin externa, o cierre de cnula arteriovenosa
Insercin de cnulas para circulacin extracorprea prolongada por insuficiencia cardiopulmonar (ECI
Revisin de una fstula arteriovenosa (puede incluir trombectoma as como el injerto para dilisis)
Insercin de cortocircuito de Thomas
Extraccin externa de cogulo de cnula
Biopsia transcatter
Teraputica tromboltica transcatter
Ligadura de vena yugular interna
Ligadura o bandeo de angioacceso de fstula arteriovenosa
Ligadura de arteria de cuello o extremidad; vena
Ligadura de arteria de trax o abdomen; vena
Ligadura de vena femoral
Ligadura de vena ilaca comn primitiva
Ligadura de vasos perforantes, subfacial, radical (tipo Linton), con o sin injerto cutneo
Revascularizacin peneana, arteria, con o sin injerto venoso
Procedimiento venoso oclusivo peneano
Revascularizacin arterial y venosa por aplastamiento, by pass, reseccin

Pericardiocentesis
Insercin o reemplazo de electrodo cardaco o catter marcapasos provisional
Insercin de marcapaso permanente con electrodos epicrdicos
Pericardiostoma
Creacin de ventana pericrdica o reseccin parcial para drenaje
Valvotoma, vlvula pulmonar, a corazn cerrado; transventricular
Cardiotoma, exploradora (incluye extirpacin de cuerpo extrao)
Valvotoma, vlvula mitral; a corazn cerrado
Remocin de dispositivo de asistencia ventricular
Septectoma o Septostoma Auricular; corazn cerrado (procedimiento de Blalock-Hanlon)
Correccin de lesin cardaca
Endarterectoma coronaria, abierta de arterias coronarias izquierda anterior descendente, circunfleja
Correccin de anormalidades de la arteria coronaria; mediante ligadura
Derivacin de arteria coronaria, vena solamente, de 1 a 3 injertos
Correccin de defecto del tabique auricular, tipo secundum, con derivacin cardiopulmonar, con o sin
Ablacin quirrgica de foco o va arritmognica supraventricular
Excisin de tumor intracardaco, reseccin con derivacin cardiopulmonar
Valvotoma mitral a corazn abierto, con derivacin cardiopulmonar
Valvuloplasta, vlvula mitral, con derivacin cardiopulmonar
Valvectoma, vlvula tricspide, con derivacin cardiopulmonar
Valvuloplasta, vlvula tricspide; sin insercin de anillo
Valvotoma, vlvula pulmonar, a corazn abierto; con oclusin del flujo de entrada
Reemplazo, vlvula pulmonar
Aumento de la va de flujo de salida (placa), con o sin comisurotoma o reseccin infundibular
Correccin de fstula arteriovenosa coronaria o de fstula de arteria con cmara cardaca; con derivac
Septectoma o Septostoma Auricular; corazn abierto con derivacin cardiopulmonar
Cortocircuito; shunt de arteria subclavia a arteria pulmonar (operacin de Blalock-Taussig)
Ligadura y desmontado de cortocircuito sistmico hacia la arteria pulmonar
Correccin de anormalidades de la arteria coronaria; mediante injerto, con derivacin cardiopulmona
Reparacin de los grandes vasos intratorcicos sin derivacin cardio-pulmonar
Insercin de injerto, aorta o grandes vasos
Valvuloplasta, vlvula artica; abierta, con derivacin cardiopulmonar
Construccin de un conducto apical artico
Reemplazo, vlvula mitral, con derivacin cardiopulmonar
Reemplazo, vlvula tricspide, con derivacin cardiopulmonar
Reposicionamiento y pliegue de la vlvula tricspide por enfermedad de Ebstein
Cierre de vlvula auriculoventricular (mitral o tricspide) mediante sutura o parche
Correccin total, tronco arterioso (operacin de Rastelli)
Reimplantacin de arteria pulmonar anmala

Derivacin de arteria coronaria, vena solamente, de 4 a ms injertos
Reseccin o incisin de tejido subvalvular por estenosis artica subvalvular discreta
Aortoplasta (placa) por estenosis supravalvular
Correccin de lesin cardaca con derivacin cardiopulmonar
Reemplazo, vlvula artica, con derivacin cardiopulmonar; con vlvula protsica que no sea homoin
Correccin de obstruccin de la va de flujo de salida de ventrculo izquierdo
Ventriculomiotoma/miectoma por estenosis subartica hipertrfica
Reparacin de los grandes vasos intratorcicos con derivacin cardio-pulmonar
Reseccin miocrdica
Insercin o reemplazo de marcapaso permanente con electrodo transvenoso
Insercin o reemplazo del generador de pulsos marcapasos (sistema uni o bicameral)
Actualizacin de tipo marcapasos implantable, conversin de sistema de cmara nica a sistema de c
Insercin, o reubicacin de electrodos transvenosos permanentes (uni o bicameral)
Reparacin de electrodo(s) transvenoso(s) de marcapasos o cardioversor de pulso-desfibrilador uni o
Revisin o recolocacin de bolsa subcutnea para marcapasos-cardioversor de uni o bicameral
Remocin de generador de pulsos marcapasos permanente
Remocin de electrodos de marcapasos venosos; sistema uni o bipolar
Remocin de marcapasos epicrdico y electrodos permanentes por Toracotoma, uni o bipolar
Remocin de electrodos transvenosos permanentes mediante Toracotoma
Insercin de cardioversor de pulsos-desfibrilador generador de pulsos de cmara nica o doble
Remocin subcutnea de cardioversor de pulsos-desfibrilador de pulsos de cmara nica o doble
Remocin de electrodo(s) del cardioversor de pulsos-desfibrilador de cmara nica o doble; mediante
Remocin de electrodo(s) del cardioversor de pulsos-desfibrilador de cmara nica o doble; mediante
Insercin de electrodos epicrdicos de cardioversor de pulsos-desfibrilador uni o bicameral mediante
Insercin o reposicionamiento de electrodo(s) de desfribrilador-cardioversor de pulso e insercin de g
Incisiones quirrgicas y reconstruccin de aurculas para tratamiento de fibrilaciones auriculares o ale
Ablacin quirrgica de foco arritmognico ventricular con derivacin cardiopulmonar
Implantacin o retiro de registrador de eventos cardacos
Reseccin ventricular derecha por estenosis infundibular, con o sin comisurotoma
Derivacin de arteria coronaria empleando injertos venosos y arteriales, de 1 a 3
Derivacin de arteria coronaria empleando injertos venosos y arteriales, de 4 a ms
Reoperacin, procedimiento para derivacin de arteria coronaria o procedimiento valvular
Derivacin de arteria coronaria, usando injertos arteriales; un solo injerto arterial
Derivacin de arteria coronaria, usando injertos arteriales; 4 a ms injertos
Correccin de defecto del tabique interventricular
Injerto de aorta ascendente, con derivacin cardiopulmonar
Injerto de cayado artico transverso, con derivacin cardiopulmonar
Injerto de aorta torcica descendente, con o sin derivacin
Correccin con injerto de aneurisma artico tracoabdominal, con o sin derivacin cardiopulmonar
Embolectoma de arteria pulmonar
Endarterectoma pulmonar, con o sin embolectoma, con derivacin cardiopulmonar
Trasplante de corazn-pulmn con cardiectoma-neumectoma en el receptor

Trasplante cardaco, con o sin cardiectoma en el receptor
Circulacin extracorprea prolongada por insuficiencia cardiopulmonar, cada 24 horas
Insercin percutnea de baln intra-artico
Remocin de dispositivo de asistencia con globo intra-artico, percutneo
Insercin de dispositivo de asistencia con globo intra-artico a travs de arteria femoral, o aorta asce
Remocin de dispositivo de asistencia con globo intra-artico
Implante de dispositivo de asistencia ventricular
Reparacin de rotura de bazo (Esplenorrafa) con o sin Esplenectoma parcial
Esplenectoma total
Drenaje, evacuacin de lesin qustica o absceso de bazo sin esplenectoma
Esplenectoma laparoscpicamente asistida por esplenomegalia masiva
Drenaje de absceso de ganglio linftico o de linfadenitis; simple
Biopsia o excisin de ganglios linfticos; abierta, superficial
Drenaje de absceso de ganglio linftico o de linfadenitis; extensa
Linfadenectoma conservadora para clasificacin de la etapa del cncer; plvica y paraartica
Sutura y/o ligadura de conducto torcico por abordaje cervical
Excisin de higroma qustico, axilar o cervical
Linfadenectoma cervical (completa)
Linfadenectoma torcica, regional, incluyendo ganglios mediastnicos y peritraqueales
Linfadenectoma abdominal, regional, incluyendo ganglios celacos, gstricos, portales, peripancreti
Linfadenectoma inguinofemoral, superficial, incluyendo ganglio de Cloquet
Linfadenectoma plvica, incluyendo ganglios ilacos externos, hipogstricos y obturadores
Linfadenectoma retroperitoneal transabdominal, amplia, incluyendo ganglios plvicos, articos y ren
Sutura y/o ligadura de conducto torcico por abordaje torcico o abdominal
Biopsia o excisin de ganglios linfticos; con aguja, superficial
Biopsia o excisin de ganglios linfticos profundos
Laparoscopa quirrgica; con muestreo de ganglios linfticos retroperitoneales (biopsia), nico o mlt
Linfadenectoma plvica bilateral total por laparoscopa
Linfadenectoma plvica bilateral total y muestreo de ganglios periarticos (biopsia), nico o mltiple
Linfadenectoma conservadora para clasificacin de la etapa del Cncer; plvica y paraartica por va
Linfadenectoma axilar; superficial por va axiloscpica
Linfadenectoma torcica, regional, incluyendo ganglios mediastnicos y peritraqueales por via toraco
Linfadenectoma plvica, incluyendo ganglios ilacos externos, hipogstricos y obturadores por va lap
Linfadenectoma retroperitoneal transabdominal, amplia, incluyendo ganglios plvicos, articos, y ren
Linfadenectoma retroperitoneal amplia, incluyendo ganglios plvicos, articos y renales por va lapar
Canulacin, conducto torcico
Aspiracin de mdula sea
Trasplante de mdula sea o de clulas germinales perifricas hemoderivadas; alognico

Correccin de hernia hiatal paraesofgica sin procedimiento antireflujo
Correccin de hernia diafragmtica (hiatal esofgica) sin procedimiento antireflujo
Correccin de hernia diafragmtica neonatal, con o sin insercin de sonda torcica, con o sin creacin
Reseccin y reparacin de diafragma con o sin colocacin de malla
Correccin de laceracin diafragmtica por laparoscopa
Reseccin y reparacin de diafragma con o sin colocacin de malla por va laparoscpica o toracoscp
Mediastinoscopa, con o sin biopsia
Excisin de quiste, tumor mediastnico
Mediastinotoma con exploracin, drenaje, extirpacin de cuerpo extrao o biopsia; abordaje cervical
Mediastinotoma con exploracin, drenaje, extirpacin de cuerpo extrao o biopsia; abordaje transtor
Extirpacin de cuerpo extrao peritoneal de la cavidad peritoneal
Drenaje percutneo de absceso (peritoneal, subdiafragmtico), linfocele extraperitoneal o peritonitis
Cura quirrgica de hernia epigstrica (ejm. grasa preperitoneal); reducible
Umbilectoma, onfalectoma, excisin de ombligo
Omentectoma, epiploectoma, reseccin de epipln
Cura quirrgica de hernia umbilical, reducible
Celiotoma (laparotoma) para clasificacin del estado de la Enfermedad de Hodgkin o de linfoma
Cura quirrgica de hernia epigstrica incarcerada o estrangulada
Laparotoma exploradora, celiotoma exploradora con o sin biopsia(s)
Hernioplasta con o sin hidrocelectoma; reducible
Biopsia de masa abdominal o retroperitoneal, aguja percutnea
Cura quirrgica de hernia umbilical incarcerada o estrangulada
Laparostoma
Cierre de laparostoma
Cura quirrgica de eventracin de pared abdominal reducible
Cura quirrgica de hernia de Spiegel
Cura quirrgica de hernia lumbar
Hernioplasta inguinal incarcerada o estrangulada
Correccin de onfalocele pequeo, con cierre primario
Sutura secundaria de pared abdominal por evisceracin o dehiscencia
Drenaje abierto de absceso (peritoneal, subdiafragmtico), linfocele extraperitoneal peritonitis loca
Excisin o destruccin de tumores, quistes o endometriomas intraabdominales o retroperitoneales
Excisin de tumor presacro o sacrococcgeo
Drenaje de linfocele extraperitoneal hacia la cavidad peritoneal, a cielo abierto
Insercin de cnula o catter intraperitoneal para drenaje o dilisis asistido o completo por laparosco
Exploracin rea retroperitoneal con o sin biopsia(s)
Drenaje abierto de absceso retroperitoneal
Drenaje percutneo de absceso retroperitoneal
Peritoneocentesis, paracentesis abdominal o lavado peritoneal: diagnstica o teraputica
Laparoscopa diagnstica (abdomen, peritoneo y epipln) con o sin biopsia o aspiracin de cavidad o
Laparoscopa con biopsia y/o aspiracin de cavidad y/o quiste
Laparoscopa con drenaje de linfocele a cavidad peritoneal
Laparoscopa exploradora con o sin biopsia(s) para estadiaje de cncer
Drenaje percutneo por condiciones intra o paraperitoneales asistido por laparoscopa
Extirpacin de cuerpo extrao peritoneal de la cavidad peritoneal por va laparoscpica
Excisin o destruccin, mediante cualquier mtodo, de tumores , quistes o endometriomas intraabdo
Excisin de tumor presacro o sacrococcgeo por va laparoscpica
Omentectoma, epiploectoma, reseccin de epipln por va laparoscpica
Insercin de cnula o catter intraperitoneal provisional para drenaje o dilisis
Insercin o remocin de cnula o catter intraperitoneal permanente para drenaje o dilisis
Cambio, bajo orientacin radiolgica, de catter de drenaje de absceso o quiste
Inyeccin de material de contraste para valoracin de absceso o quiste a travs de catter previamen
Hernioplasta inguinal no complicada en forma bilateral
Cura quirrgica de eventracin de pared abdominal incarcerada o estrangulada
Correccin de onfalocele grande o gastrosquisis; con o sin prtesis
Correccin de onfalocele (operacin de Gross)
Hernioplasta inguinal por laparoscopa
Hernioplasta inguinal no complicada en forma bilateral por laparoscopa
Cura quirrgica de hernia lumbar por va laparoscpica
Cura quirrgica de hernia incisional o eventracin por va laparoscpica
Cura quirrgica de hernia de Spiegel por va laparoscpica
Incisin de hemorroide trombosada, externa
Anoscopa diagnstica, con o sin recoleccin de muestras
Destruccin de lesin(es) ano
Criptectoma
Papilectoma o excisin de plipo fibrocutneo en ano
Esfinterectoma anal, divisin de esfnter
Remocin de alambre de Thiersch o sutura, canal anal
Enucleacin o excisin de hemorroide externa trombtica
Destruccin de hemorroides internas
Fisurectoma, con o sin esfinterectoma
Hemorroidectoma, mediante ligadura simple (ejm. banda de caucho)
Tratamiento quirrgico de fstula anal (fistulectoma/ fistulotoma)
Injerto (operacin de Thiersch) por incontinencia rectal y/o prolapso
Anoplasta, operacin plstica para estrechez; adulto
Esfinteroplasta anal, por incontinencia o prolapso
Correccin de anomala cloacal mediante anorectovaginoplasta y uretroplasta, abordaje sacroperine
Incisin y drenaje de absceso isquiorrectal y/o perirrectal
Incisin y drenaje de absceso intramural, intramuscular o submucoso, transanal, bajo anestesia

Incisin septum anal (lactante)
Hemorroidectoma completa
Hemorroidectoma simple
Hemorroidectoma con fisurectoma
Hemorroidectoma con fistulectoma, con o sin fisurectoma
Cierre de fstula anal con avance de colgajo rectal
Inyeccin de solucin esclerosante, hemorroides
Anoplasta en el lactante
Correccin de malformacin anorectal baja
Correccin de malformacin anorectal alta; abordaje perineal o sacroperineal
Correccin de malformacin anorectal alta; abordajes transabdominal y sacroperineal combinados
Anorectoplasta sagital posterior por malformacin anorectal (operacin de Pea)
Curetaje o cauterizacin de fisura anal, incluyendo dilatacin del esfnter anal
Ligadura de hemorroides internas
Apendicectoma; casos no complicados
Apendicectoma con drenaje en caso complicado con plastrn apendicular
Drenaje abierto de abceso apendicular, sin apendicectoma
Drenaje percutneo de abceso apendicular
Apendicectoma con lavado de cavidad peritoneal con o sin drenaje
Drenaje de absceso apendicular por va laparoscpica
Apendicectoma por laparoscopa
Apendicectoma con drenaje en caso complicado con plastrn apendicular por va laparoscpica
Apendicectoma con lavado de cavidad peritoneal con o sin drenaje por va laparoscpica
Apendicostoma
Excisin de divertculo de Meckel (Diverticulectoma) o conducto onfalomesentrico
Excisin de lesin de mesenterio
Sutura de mesenterio
Dilatacin de esfago
Taponamiento esofagogstrico con baln (tipo Sengstaken)
Esofagogastroduodenofibroscopa diagnstica con biopsia y/o cepillado, con o sin videocmara
Endoscopa gastrointestinal alta con ultrasonografa endoscpica
Esofagotoma, abordaje cervical, con extirpacin de cuerpo extrao
Colangiopancreatografa endoscpica retrgrada (CPRE); diagnstica o teraputica
Sutura de herida o lesin esofgica por abordaje cervical
Esofagomiotoma (tipo HelIer); abordaje abdominal
Ligadura de vrices esofgicas con fibroscopio con o sin videocmara
Diverticulectoma de hipofaringe o esfago, con o sin miotoma
Esofagogastrostoma
Fundoplasta esofagogstrica (ej. procedimientos de Nissen, Belsey IV, Hill)
Esofagoyeyunostoma
Esofagotoma, abordaje torcico, con extirpacin de cuerpo extrao
Ligadura o engrapado de la unin gastroesofgica por perforacin esofgica preexistente
Esofagectoma parcial, cervical, con injerto intestinal libre
Reconstruccin gastrointestinal con interposicin del clon o reconstruccin del intestino delgado
Esofagectoma total o casi total, con faringogastrostoma o esofagogastrostoma cervical
Esofagectoma total o casi total, con interposicin del clon o reconstruccin del intestino delgado
Excisin de lesin, esfago, con correccin primaria; abordaje cervical
Excisin de lesin, esfago, con correccin primaria; abordaje torcico o abdominal
Esofagectoma parcial, dos tercios distales, con o sin gastrectoma proximal; con esofagogastrostoma
Esofagectoma parcial con o sin gastrectoma proximal, con interposicin del clon o reconstruccin d
Esofagectoma total o parcial, sin reconstruccin (cualquier abordaje), con esofagostoma cervical
Esofagofibroscopa diagnstica (cepillado y/o biopsia) con o sin videocmara
Esofagoscopa, con Ultrasonografa endoscpica
Endoscopa gastrointestinal alta, incluyendo esfago, estmago y ya sea duodeno y/o yeyuno; diagn
Esofagectoma total o casi total, con faringogastrostoma o esofagogastrostoma cervical con abordaj
Fundoplasta esofagogstrica (ej. procedimientos de Nissen, Toupet) por laparoscopa
Esofagomiotoma por va laparoscpica sin procedimiento antireflujo
Esofagomiotoma por va laparoscpica con procedimiento antireflujo
Esofagoplasta para tratamiento de defectos congnitos (atresia de esfago) (correccin plstica o re
Esofagomiotoma (tipo HelIer); abordaje torcico
Reconstruccin gastrointestinal con estmago, con o sin piloroplasta
Ligadura, directa, vrices esofgicas
Sutura de herida o lesin esofgica, por abordaje transtorcico o abdominal
Dilatacin de esfago con o sin videocmara
Transferencia de yeyuno libre con anastomosis microvascular
Piloromiotoma, corte de msculo pilrico (procedimiento de Fredet-Ramstedt)
Revisin de anastomosis gastroduodenal (gastroduodenostoma) con reconstruccin
Gastrostoma, abierta; sin construccin de tubo gstrico
Gastrorrafia, sutura de lcera duodenal o gstrica perforada, herida, o lesin
Gastrostoma neonatal abierta para alimentacin
Gastrotoma; con exploracin o extirpacin de cuerpo extrao
Cierre quirrgico de gastrostoma
Cierre de fstula gastroclica
Piloroplasta
Gastroduodenostoma
Gastrorrafia y parche de epiplon (Graham) por lcera perforada

Gastrotoma con correccin por sutura de lcera sangrante
Gastroyeyunostoma con o sin vagotoma
Procedimiento gstrico restrictivo por obesidad mrbida, sin derivacin (by pass) gstrica; Gastroplas
Vagotoma incluyendo piloroplasta, con o sin gastrostoma
Vagotoma incluyendo piloroplasta, con o sin gastrostoma; de clulas parietales (altamente selectiva
Vagotoma realizada junto con gastrectoma distal parcial
Gastrectoma, parcial, proximal, abordajes torcico o abdominal, incluyendo esofagogastrostoma, co
Gastrectoma parcial distal
Gastrectoma total
Piloromiotoma, corte de msculo pilrico (procedimiento de Fredet-Ramstedt) por va laparoscpica
Biopsia de estmago por laparoscopa
Gastrectoma, parcial, distal asistida o completa por va laparoscpica
Gastrectoma total, asistida o completa por va laparoscpica
Vagotoma troncular por laparoscopa
Vagotoma selectiva o ultraselectiva por laparoscopa
Gastrostoma por laparoscopa
Vagotoma incluyendo piloroplasta, con o sin gastrostoma por va laparoscpica
Cambio o reposicionamiento de tubo de gastrostoma
Procedimiento gstrico restrictivo por obesidad mrbida, con derivacin (By Pass) gstrica
Revisin de procedimiento gstrico restrictivo por obesidad mrbida
Colocacin de baln intragstrico para reduccin de peso
Revisin de anastomosis gastroyeyunal (gastroyeyunostoma) con reconstruccin
Gastroyeyunostoma con o sin vagotoma por va laparoscpica
Gastrorrafia, sutura de lcera perforada, herida, o lesin por va laparoscpica
Procedimiento gstrico restrictivo por obesidad mrbida; colocacin de banda gstrica por va laparos
Gingivectoma, excisin de enca, cada cuadrante
Excisin de tuberosidades, lesiones o tumor de estructuras dentoalveolares
Excisin de mucosa alveolar hiperplsica
Operculectoma, excisin de tejidos pericoronales
Drenaje de absceso, quiste, hematoma de las estructuras dentoalveolares
Alveolectoma, incluyendo legrado de ostetis o secuestrectoma
Extirpacin de cuerpo extrao de las estructuras dentoalveolares; tejidos blandos
Extirpacin de cuerpo extrao de las estructuras dentoalveolares; hueso
Injertos de mucosa periodontal
Gingivoplasta
Alveoloplasta
Alveolectoma y alveoloplasta correctora por cuadrante
Colocacin quirrgica de implante intraseo
Tratamiento alveolitis granulomatosa o curetaje alveolar
Exodoncia a colgajo
Extraccin dental simple y sutura

Extraccin quirrgica dental o extraccin impactada/exodoncia compleja tercera molar
Ferulizacin dentaria con resina por pieza
Operculectoma o exposicin de pieza dentaria incluida tejido blando
Operculectoma o exposicin de pieza dentaria incluida tejido seo
Reimplante dentario fijado con resinas
Transplante dentario con fijacin con resinas
Transposicin dentaria y fijacin con resina
Biopsia; orofaringe, hipofaringe, nasofaringe
Incisin y drenaje de absceso periamigdalino, retrofarngeo o parafarngeo
Excisin o destruccin de lesin de faringe, cualquier mtodo
Excisin de formaciones poliposas amigdalianas
Amigdalectoma y adenoidectoma
Adenoidectoma
Excisin de quiste o vestigio de hendidura braquial
Reseccin de la pared lateral de la faringe o del seno piriforme
Faringostoma
Amigdalectoma, primaria o secundaria
Reseccin radical de amgdalas, pilares amigdalianos y/o trgono retromolar
Excisin o destruccin de amgdala lingual, cualquier mtodo
Reseccin de la pared de la faringe que requiera cierre con colgajo miocutneo
Sutura de faringe
Faringoplasta
Control de hemorragia orofarngea, primaria o secundaria
Drenaje de absceso de glndula salival
Biopsia de glndula salival; aguja
Sialitotoma submaxilar, sublingual, parotdea
Marsupializacin de quiste salival sublingual (rnula)
Correccin plstica de conducto salival, sialodocoplasta
Excisin de tumor o de glndula partida; lbulo lateral
Excisin de glndula submandibular (submaxilar)
Excisin total de partida con diseccin radical unilateral del cuello
Excisin total de glndula partida
Desviacin de conducto de la partida, bilateral, con o sin excisin de glndulas y conductos subman
Biopsia heptica, aguja percutnea

Biopsia heptica, en cua
Laparotoma, con aspiracin y/o inyeccin de quiste(s) o absceso(s) hepticos parasitarios (ejm. ame
Hepatotoma; para drenaje a cielo abierto de absceso o quiste
Marsupializacin de quiste o absceso heptico
Reexploracin de lesin heptica para remocin de empaque
Exploracin de lesin heptica, debridamiento amplio, coagulacin y/o sutura, con o sin empaque com
Hepatectoma, reseccin de hgado; lobectoma parcial
Hepatotoma; para drenaje percutneo de absceso o quiste
Trisegmentectoma heptica
Lobectoma heptica izquierda total
Lobectoma heptica derecha total
Hepatectoma, con preparacin y mantenimiento de aloinjerto; de donante cadavrico
Alotrasplante de hgado; parcial o completo, de donante cadavrico o donante vivo
Hepatectoma, con preparacin y mantenimiento de aloinjerto; de donante vivo
Tratamiento quirrgico de trauma heptico grados I-II
Tratamiento quirrgico de trauma heptico grados III-IV
Ablacin de uno o ms tumores hepticos por laparoscopa
Revisin de colostoma simple (liberacin de cicatriz superficial)
Sutura de intestino delgado (enterorrafia) por lcera perforada, divertculo, herida, lesin ruptura
Colotoma
Sutura del intestino grueso (colorrafa) por lcera perforada, divertculo, herida, lesin ruptura
Enterolisis, liberacin de adherencias o bridas peritoneales o intestinales
Duodenotoma
Enterostomas
Enterectoma, reseccin del intestino delgado
Enteroenterostoma, anastomosis de intestino, con o sin enterostoma cutnea
Cierre de fstula intestinal cutnea
Correccin de malrotacin mediante lisis de bandas duodenales y/o reduccin de vlvulo de intestino
Correccin plstica de estrechez intestinal (enterotoma y enterorrafa) con o sin dilatacin, por obstr
Colostoma o cecostoma con exteriorizacin a la piel
Movilizacin (desmontado) de ngulo esplnico realizado en conjuncin con colectoma parcial
Reduccin de vlvulo, intususcepcin, hernia interna, mediante laparotoma
Colectoma parcial
Colectoma, total, abdominal, sin proctectoma
Colectoma, total, abdominal, con proctectoma

Enterectoma; reseccin de intestino delgado para atresia congnita
Enterectoma, con preparacin y mantenimiento de aloinjerto, en donante cadavrico
Enterectoma, con preparacin y mantenimiento de aloinjerto, en donante vivo
Transplante intestinal
Colectoma con extirpacin del leonterminal e ileocolostoma
Enterolisis (liberacin de adherencias intestinales) por laparoscopa
Yeyunostoma por laparoscopa
Reseccin instestinal con anastomosis por laparoscopa
Colectoma parcial con o sin anastomosis asistida o completa por laparoscopa
Colectoma con extirpacin del leon terminal e ileocolostoma por laparoscopa
Colectoma, total, abdominal, sin proctectoma asistida o completa por laparoscopa
Colectoma, total, abdominal, con proctectoma asistida o completa por laparoscopa
Correccin de malrrotacin mediante lisis de bandas duodenales y/o reduccin de vlvulo de intestino
Enterostoma o cecostoma, tubo (ejm. para descompresin o alimentacin)
Revisin de ileostoma simple
Revisin de ileostoma complicada
Ileostoma continente (procedimiento de Kock)
Revisin de colostoma con complicaciones (ejm. reconstruccin, correccin de hernia paracolostmic
Endoscopa del intestino delgado, enteroscopa ms all de la segunda porcin del duodeno, sin inclu
Endoscopa del intestino delgado, enteroscopa ms all de la segunda porcin del duodeno, incluyen
Enterofibroscopa incluye leon
Ileoscopa, a travs del estmago
Enterofibroscopa a travs de ostoma con o sin video cmara
Evaluacin endoscpica de bolsa del intestino delgado (abdominal o plvica)
Colonoscopa a travs del estmago; diagnstica o teraputica
Introduccin de tubo gastrointestinal largo (ejm. Miller-Abbott)
Instalacin de sonda nasoyeyunal (Miller Abott)
Cierre endoscpico de fstula intestino-cutnea, con o sin video cmara
Cierre endoscpico de fstula enteroentrica o enteroclica
Exclusin de intestino delgado de la regin plvica mediante malla u otra prtesis, o tejido nativo
Reparacin de atresia duodenal
Reparacin de atresia yeyunal
Parche de clon por enfermedad de Hirschprung
Colostoma o cecostoma con exteriorizacin a la piel, abordaje laparoscpico
Cierre de colostoma por va laparoscpica
Biopsia de labio
Reseccin de labio, ms de un cuarto, sin reconstruccin
Bermellonectoma (afeitado labial), con avance de mucosa; plasta / reconstruccin de labio
Correccin plstica de labio hendido o deformidad nasal; primaria, parcial o completa, unilateral - Ciru
Correccin plstica primaria bilateral, de labio hendido o deformidad nasal, uno de dos pasos - Cirug
Excisin de labio, de espesor parcial
Excisin de labio, de espesor total, con reconstruccin con colgajo

Correccin de labio
Biopsia de lengua, piso de la boca
Incisin extraoral para drenaje de absceso, quiste o hematoma; espacio sublingual, submentoniano, s
Glosectoma; menos de la mitad de la lengua
Glosectoma parcial, con diseccin radical unilateral del cuello
Glosectoma compuesta con reseccin del piso de la boca y reseccin mandibular, sin diseccin radic
Glosectoma compuesta con reseccin del piso de la boca, con diseccin del cuello suprahioidea
Glosectoma compuesta con reseccin del piso de la boca, reseccin mandibular, y diseccin radical d
Incisin intraoral y drenaje de absceso, quiste o hematoma de lengua o piso de la boca; plano superfi
Incisin intraoral y drenaje de absceso, quiste o hematoma de lengua o piso de la boca; plano profun
Incisin de frenillo lingual (frenotoma)
Incisin extraoral y drenaje de absceso, quiste o hematoma del piso de la boca; espacio masticador
Excisin de lesin de lengua
Excisin de frenillo lingual (frenectoma)
Hemiglosectoma
Glosectoma completa o total, con o sin traqueostoma, sin diseccin radical del cuello
Glosectoma completa o total, con o sin traqueostoma, con diseccin radical unilateral del cuello
Correccin de laceracin de piso de la boca y de la lengua
Fijacin de la lengua, mecnica, que no sea con sutura (ejm. alambre K)
Sutura de la lengua al labio debido a micrognatia (procedimiento de Douglas)
Frenoplasta (revisin quirrgica del frenillo, (ejm. con Z-plasta)
Drenaje de absceso de paladar, vula
Excisin de lesin de vula
Uvulectoma, excisin de la vula
Palatoplastia para paladar hendido, paladar blando y/o duro solamente
Correccin de fstula nasolabial - Ciruga Plstica
Palatofaringoplasta (ejm. vulopalatofaringoplastia, vulofaringoplastia)
Palatoplastia para paladar hendido, con cierre de arco alveolar; tejido blando solamente
Palatoplastia con injerto seo en el arco alveolar (incluye la obtencin del injerto)
Correccin del paladar anterior, incluyendo colgajo de vmer
Impresin de maxilar para prtesis palatina
Insercin de prtesis palatina retenida con clavijas
Colocacin de drenes, peri pancreticos, por pancreatitis aguda
Biopsia de pncreas, aguja percutnea
Pancreatorrafia por trauma
Reseccin o debridamiento de pncreas y tejidos peripancreticos
Biopsia de pncreas, abierta, cualquier mtodo
Drenaje externo, pseudoquiste de pncreas; a cielo abierto

Excisin de lesin de pncreas (ejm. quiste, adenoma)
Anastomosis interna de pseudoquiste de pncreas a tracto gastrointestinal; directa
Marsupializacin de quiste de pncreas
Excisin de la ampolla de Vater
Exclusin duodenal con gastroyeyunostoma por trauma pancretico
Pancreatoyeyunostoma, anastomosis lado a lado (operacin de Puestow); Anastomosis pancretico d
Pancreatectoma, distal subtotal, con o sin esplenectoma
Pancreatectoma, proximal subtotal con duodenectoma y gastrectoma parcial, coledocoenterostoma
Drenaje de absceso pancretico
Pancreatectoma, total o subtotal, con transplante autlogo de pncreas o islas pancreticas
Drenaje externo, pseudoquiste de pncreas; por puncin percutnea
Anastomosis interna de pseudoquiste de pncreas a tracto gastrointestinal; en Y de Roux
Anastomosis interna de pseudoquiste de pncreas a estmago; asistido o completo por laparoscopa
Anastomosis interna de pseudoquiste de pncreas a duodeno/ yeyuno por laparoscopa
Pancreatectoma, con preparacin y mantenimiento de aloinjerto, en donante cadavrico
Transplante de aloinjerto pancretico
Biopsia de la pared anorrectal, abordaje anal (ejm. megacolon congnito)
Proctosigmoidoscopa rgida: diagnstica, o teraputica
Fibrocolonoscopa izquierda
Videocolonoscopa izquierda
Fibrocolonoscopa derecha
Videocolonoscopa derecha
Extirpacin de impactacin fecal o cuerpo extrao bajo anestesia
Drenaje transrrectal de absceso plvico
Excisin de tumor rectal mediante proctotoma, abordajes transacral transcoccgeo
Proctoplasta
Excisin de prolapso rectal, con anastomosis; abordaje perineal
Correccin de rectocele; va abdominal
Proctectoma parcial, con anastomosis; abordajes abdominal y transacral
Proctopexia por prolapso; abordaje abdominal
Proctectoma: completa, combinada abdminoperineal, con colostoma
Proctopexia combinada con reseccin sigmoidea, abordaje abdominal
Proctectoma, completa (por megacolon congnito), abordajes abdominal y perineal
Incisin y drenaje de absceso submucoso de recto
Incisin y drenaje de absceso profundo supraelevador, pelvirrectal o retrorrectal
Proctectoma parcial, con anastomosis
Proctectoma total y anastomosis
Proctectoma parcial, sin anastomosis, abordaje perineal
Destruccin de tumor rectal, cualquier mtodo (electrodesecacin, electrociruga, criociruga) aborda

Sigmoidoscopa flexible: diagnstica o teraputica
Sigmoidoscopa con ultrasonografa endoscpica
Colonoscopa: rgida o flexible, transabdominal va colotoma
Inyeccin perirrectal de solucin esclerosante para prolapso
Proctopexia por prolapso; abordaje perineal
Proctopexia por prolapso; abordaje laparoscpico
Correccin de rectocele; va vaginal
Reduccin de prolapso, bajo anestesia
Colecistotoma o colecistostoma con exploracin, drenaje o extirpacin de clculo
Colecistectoma
Colecistectoma con exploracin de conducto biliar comn (coldoco)
Hepaticotoma o hepaticostoma con exploracin, drenaje extirpacin de clculo
Esfinterotoma o esfinteroplasta transduodenal, con o sin extraccin transduodenal de clculo
Coledocotoma o coledocostoma con exploracin, drenaje extirpacin de clculo
Excisin de quiste del coldoco
Colecistoenterostoma; directa; derivacin
Colocacin de dilatador del coldoco
Anastomosis de conductos biliares extrahepticos y tracto gastrointestinal
Anastomosis de conductos biliares intrahepticos y tracto gastrointestinal
Reconstruccin plstica, de conductos biliares extrahepticos con anastomosis trmino-terminal
Colecistostoma percutnea
Introduccin de catter o dilatador transheptico percutneo para drenaje biliar
Colocacin percutnea de catter de drenaje biliar
Colocacin de drenaje biliar transparenquimal heptico (Praderi)
Cambio de catter percutneo de drenaje biliar
Revisin y/o reinsercin de tubo transheptico
Endoscopia biliar, intraoperatoria (coledocoscopa)
Endoscopa biliar, percutnea va tubo en "T" u otra va; diagnstica y/o teraputica
Colecistectoma por laparoscopa
Colecistectoma por laparoscopa con colangiografa
Colecistectoma con exploracin de vas biliares por laparoscopa
Coledocotoma o coledocostoma con exploracin, drenaje o extirpacin de clculo, con o sin colecisto
Colecistotoma o colecistostoma con exploracin, drenaje o extirpacin de clculo por va laparoscp
Colecistoenterostoma por laparoscopa
Colecistectoma con colangiografa
Exploracin de atresia congnita de conductos biliares, sin correccin, con o sin biopsia heptica, con
Portoenterostoma (ejm. procedimiento de Kasai)
Revisin quirrgica de la operacin de Kasai
Correccin quirrgica de fstula colecisto-coledociana (Sindrome de Mirizzi)
Correccin quirrgica de fstula colecisto-duodenal
Correccin quirrgica de fstula colecisto-colnica
Colocacin de drenaje bilio-entrico (drenaje de Volker)
Derivacin bilio-digestiva por va laparoscpica

Excisin de quiste del coldoco por va laparoscpica
Drenaje va biliar transparnquima heptico (Praderi)
Incisin del frenillo labial (Frenotoma)
Excisin de lesin de mucosa y submucosa de vestbulo de la boca
Drenaje de absceso, quiste, hematoma, extirpacin de cuerpo extrao de vestbulo de la boca, sin co
Destruccin de lesin o cicatriz del vestbulo de la boca mediante mtodos fsicos (ejm. Lser, trmic
Rafa de lesiones intraorales, piso de la boca y lengua
Vestibuloplasta [anterior, posterior (uni o bilateral), de todo el arco]
Drenaje de absceso, quiste, hematoma, extirpacin de cuerpo extrao de vestbulo de la boca, con co
Excisin de frenillo, labial o bucal (Frenumectoma, Frenulectoma, Frenectoma)
Vestibuloplasta compleja (incluyendo extensin del arco alveolar, reposicionamiento muscular)
Biopsia renal: percutnea, con trcar o aguja
Endoscopa renal a travs de una nefrostoma o pielostoma establecidas
Drenaje percutneo de absceso perirenal o renal
Litotripsia, onda de choque extracorprea
Nefrostoma nefrotoma con drenaje
Pieloplasta
Nefrorrafia, sutura de herida o lesin de rin
Drenaje de absceso perirenal o renal; a cielo abierto
Nefrolitotoma; extirpacin de clculo
Pielotoma; con exploracin
Excisin o destruccin de quiste(s) de rin
Sinfisiotoma por "rin en herradura"
Nefrectoma parcial
Nefrectoma, incluyendo ureterectoma
Nefrectoma radical, con linfadenectoma regional y/o trombectoma de la vena cava
Exploracin renal, que no requiera otros procedimientos especficos
Nefrolitotoma; extirpacin de clculo por va laparoscpica
Pielotoma con drenaje; pielostoma
Pielotoma con extirpacin de clculo (pielolitotoma, pelvilitotoma, incluyendo pielolitotoma por co
Nefrectoma con preparacin y mantenimiento de aloinjerto en donante cadavrico
Nefrectoma en donante vivo
Alotransplante renal, incluye nefrectoma en receptor
Introduccin de catter en pelvis renal o urter por via percutnea, para inyeccin o drenaje
Procedimiento de inyeccin para pielografa a travs de tubo de nefrostoma o pielostoma, o de cat
Introduccin de gua dentro de la pelvis renal y/o urter, con dilatacin, para establecer trayecto de n
Estudios manomtricos a travs de tubo de Nefrostoma o Pielostoma, o de Catter implantado de ur

Ablacin de quiste renal por laparoscopa
Ablacin de masa lesin renal por laparoscopa
Nefrectoma parcial por laparoscopa
Pieloplasta por laparoscopa
Nefrectoma radical laparoscpica
Nefrectoma en donante vivo por laparoscopa
Drenaje de absceso perirenal o renal por va laparoscpica
Endoscopa ureteral a travs de ureterostoma establecida, con o sin irrigacin, instilacin o ureteropi
Ligadura de urter
Ureterotoma con exploracin o drenaje
Ureterolitotoma cualquier tercio del urter
Ureterolisis, con o sin reposicionamiento del urter debido a fibrosis retroperitoneal
Revisin de anastomosis urinaria-cutnea (cualquier tipo de urostoma)
Ureterectoma total, urter ectpico, combinacin de abordajes abdominal, vaginal y/o perineal
Ureteroureterostoma
Ureterorrafia, sutura de urter
Cierre de fstula ureterocutnea
Cierre de fstula ureterovisceral
Ureteropielostoma, anastomosis de urter y pelvis renal
Ureteroplasta, operacin plstica en urter (ejm. por estrechez)
Apndico-vesicostoma cutnea
Ureteroneocistostoma; anastomosis de un solo urter a la vejiga
Ureteroenterostoma, anastomosis directa del urter al intestino
Ureterosigmoidostoma, con creacin de vejiga sigmoidea y establecimiento de colostoma abdomina
Reemplazo de la totalidad o parte del urter con segmento del intestino, incluyendo anastomosis de
Ureterotoma para insercin de catter dilatador ureteral implantado, todos los tipos
Ureterostoma, transplante de urter a la piel
Ureterolitotoma por laparoscopa
Ureterolisis, con o sin reposicionamiento del urter debido a fibrosis retroperitoneal por va laparosc
Ureteroneocistostoma por laparoscopa
Biopsia de uretra
Meatotoma, corte de meato; excepto lactante
Uretrotoma o uretrostoma, externa; uretra pndula
Uretromeatoplasta con avance de la mucosa
Excisin o fulguracin; plipo(s) uretral(es), uretra distal
Uretrectoma total, incluyendo cistostoma; mujer
Excisin de divertculo de uretra (procedimiento separado); mujer
Marsupializacin de divertculo uretral, hombre o mujer
Uretroplasta
Drenaje de extravasacin urinaria perineal
Reseccin transuretral, de Vejiga
Aspiracin vesical con aguja o trcar
Cistouretroscopa
Uroflujometra (UFM) simple
Cistometrograma (CMG) simple (ejm. manmetro espinal)
Irrigacin de la vejiga, simple, lavaje y/o instilacin
Vesicostoma cutnea
Cistolitotoma
Excisin de quiste del uraco o de seno uracal, con o sin correccin de hernia umbilical
Cistorrafia, sutura de herida, lesin o ruptura de vejiga
Cistectoma parcial simple
Cierre de fstula vesicovaginal, abordaje abdominal
Cistectoma completa
Cistoplasta o cistouretroplasta, operacin plstica de la vejiga y/o cuello vesical
Vesicouretropexia anterior o uretropexia (procedimientos de Marshall-Marchetti-Krantz, Burch)
Suspensin del cuello vesical abdomino vaginal, con o sin control endoscpico
Cierre de extrofia de vejiga
Enterocistoplasta, incluyendo anastomosis de intestino
Cistectoma completa con linfadenectoma plvica bilateral
Cistectoma completa, con ureterosigmoidostoma o transplantes ureterocutneos
Cistectoma completa con ureterosigmoidostoma o trasplantes ureterocutneos y linfadenectoma p
Aspiracin vesical e insercin de catter suprapbico
Ureterolitotoma transvesical
Cambio de tubo de cistostoma
Suspensin uretral por incontinencia de esfuerzo por laparoscopa
Operacin de bandeo por incontinencia de esfuerzo (ejm. fascia o material sinttico) por laparoscopa
Cistolitotoma por va laparoscpica
Drenaje de absceso de espacio perivesical o prevesical por va laparoscpica
Cistectoma, parcial; simple por va laparoscpica
Vesicouretropexia anterior o uretropexia (procedimiento Burch) por va laparoscpica
Cierre de cistostoma por va laparoscpica
Cistouretroscopa, con dilatacin de vejiga por cistitis intersticial
Cistouretroscopa, con calibracin y/o dilatacin de estrechez uretral o estenosis

Cistouretroscopa, con insercin de catter dilatador uretral
Cistouretroscopa, con inyeccin de esteroides en la estrechez
Cistouretroscopa simple, con retiro de cuerpo extrao, clculo, o catter dilatador ureteral desde ure
Cistouretroscopa por complicaciones, con retiro de cuerpo extrao, clculo, o catter dilatador ureter
Cistouretroscopa con insercin de alambre gua ureteral a travs del rin para realizar nefrostoma
Cistouretroscopa, con ureteroscopa y/o pieloscopa
Dilatacin transuretral con baln de la uretra prosttica, cualquier mtodo
Reseccin transuretral, que incluye reseccin de tejido residual obstructivo despus de 90 das del pr
Excisin de varicocele o ligadura de venas espermticas debido a varicocele
Excisin de hidrocele o lesin de cordn espermtico
Tratamiento de varicocele por laparoscopa
Biopsia de epiddimo, aguja
Incisin y drenaje del epiddimo, testculos y/o espacio escrotal (ejm. absceso o hematoma)
Exploracin de epiddimo, con o sin biopsia
Epididimectoma bilateral
Epididimovasostoma, anastomosis del epiddimo a vasos deferentes; unilateral
Drenaje de absceso de la pared escrotal
Extirpacin de cuerpo extrao del escroto
Reseccin de escroto
Escrotoplasta
Manipulacin de prepucio incluyendo lisis de adherencias prepuciales y estiramiento
Destruccin de lesiones (condiloma, papiloma, molusco contagioso, vescula herptica) en pene
Biopsia de pene
Circuncisin, usando clamp u otro dispositivo; recin nacido
Circuncisin en persona que no sea recin nacida
Excisin de placas fibrosas del pene (enfermedad de Peyrone)
Operacin plstica del pene para enderezamiento de encordamiento (ejm. hipospadias), con o sin mo
Amputacin de pene: parcial
Amputacin de pene: completa
Amputacin de pene, radical; con linfadenectoma inguinofemoral bilateral
Cortocircuito de cuerpos cavernosos con vena safena (operacin para priapismo)
Corte de prepucio, dorsal o lateral; recin nacido
Frenulotoma de pene
Inyeccin de agentes farmacolgicos en los cuerpos cavernosos
Uretroplasta para correccin de hipospadias
Operacin plstica del pene para epispadias distales al esfnter externo
Insercin de prtesis peneana
Fistulizacin de cuerpos cavernosos con glande del pene (ejm. aguja de biopsia, operacin de Winter,
Operacin plstica del pene debido a lesin
Biopsia de prstata; con aguja o en sacabocado; una sola o varias

Colocacin transperineal de agujas o catteres en la prstata para aplicacin de radioelementos inter
Prostatectoma, perineal, subtotal
Prostatectoma suprapbica subtotal, uno o dos estados
Prostatectoma, perineal radical
Prostatectoma retropbica, radical, con o sin conservacin de nervio
Prostatectoma retropbica radical por laparoscopa
Reseccin transuretral de prstata
Biopsia de testculos, con aguja
Biopsia de testculos, incisional
Excisin de lesin local de testculos
Orquiectoma simple (incluyendo subcapsular), con o sin prtesis testicular, abordaje escrotal o ingui
Sutura o correccin de lesin testicular
Exploracin de testculos no descendidos (regin inguinal o escrotal)
Reduccin de torsin de testculos, quirrgica, con o sin fijacin del testculo contralateral
Orquiectoma radical, por tumor; abordaje inguinal
Orquidopexia, abordaje inguinal, con o sin correccin de hernia
Orquidopexia, abordaje abdominal, para testculos intraabdominales (ejm. Fowler-Stephens)
Insercin de prtesis testicular
Transplante de testculo(s) al muslo (debido a destruccin escrotal)
Orquiectoma por laparoscopa
Orquidopexia para testculo intraabdominal por laparoscopa
Puncin aspirativa de hidrocele, tnica vaginal del testculo, con o sin inyeccin de medicamentos
Excisin de hidrocele unilateral
Correccin de hidrocele, tnica vaginal del testculo (procedimiento de Bottle)
Vasectoma, unilateral o bilateral
Ligadura (percutnea) de vasos deferentes, unilateral o bilateral
Vesiculotoma
Vesiculectoma, cualquier abordaje
Biopsia, una sola o varias, excisin local de lesin, con o sin fulguracin
Cauterizacin del crvix; electro o trmica
Traquelorrafia, correccin plstica del crvix uterino, abordaje vaginal
Conizacin del crvix, con o sin fulguracin, con o sin dilatacin y legrado, con o sin correccin; cuchi
Cerclaje de crvix uterino
Traquelectoma (cervicectoma), amputacin del cervix
Excisin de mun cervical, abordaje abdominal
Traquelectoma radical, con linfadenectoma plvica total bilateral y toma de muestra bipsica de gan
Insercin de dispositivo intrauterino (DIU)
Toma de muestra de endometrio con o sin toma de muestra endocrvix, sin dilatacin cervical
Dilatacin y legrado, diagnsticos y/o teraputicos (no obsttricos)
Remocin de dispositivo intrauterino (DIU)
Miomectoma, excisin de tumor fibroide del tero, uno solo o varios; abordaje abdominal
Miomectoma por abordaje vaginal
Suspensin uterina, con o sin acortamiento de ligamentos redondos, con o sin acortamiento de ligam
Histeroplasta, correccin de anomala uterina (tipo Strassman)
Histerectoma vaginal con extirpacin de tubo(s) y/u ovario(s)
Histerectoma total o subtotal, con o sin extirpacin de trompa(s), con o sin extirpacin de ovario(s)
Histerectoma vaginal, con colpectoma total o parcial
Histerectoma vaginal, radical (operacin de Schauta)
Histerectoma abdominal total, incluyendo vaginectoma parcial, y muestreo de ganglios linfticos pa
Exenteracin plvica por malignidad ginecolgica, con histerectoma abdominal total o cervicectoma
Histerectoma abdominal radical, con linfadenectoma plvica total bilateral y muestreo de ganglios p
Histerorrafa, correccin de rotura de tero (no obsttrica)
Miomectoma por laparoscopa
Histerectoma vaginal asistida laparoscpicamente
Histerectoma vaginal con o sin remocin de trompa(s) y/ ovario(s) asistida laparoscpicamente
Histeroscopa diagnstica
Histeroscopa teraputica: liberacin de adherencias intrauterinas y/o reseccin de plipos, leiomiom
Histerectoma abdominal radical, con linfadenectoma plvica total bilateral y muestreo de ganglios p
Histerectoma total o subtotal, con o sin extirpacin de trompa(s), con o sin extirpacin de ovario(s) p
Remocin de dispositivo intrauterino (DIU) ectpico por va laparoscpica
Histerometra
Puncin folicular para obtencin de vulo, cualquier mtodo
Transferencia de embrin, intrauterina
Inseminacin artificial
Transferencia intrafalopiana de gameto, zigoto o embrin, cualquier mtodo
Tratamiento quirrgico de la endometriosis I - II por va laparoscpica
Tratamiento quirrgico de la endometriosis III - IV por via laparoscpica
Biopsia de ovario, unilateral o bilateral
Drenaje de quistes o abscesos de ovario, unilateral o bilateral; abordaje vaginal
Ooforectoma, parcial o total, unilateral o bilateral
Drenaje de quistes o abscesos de ovario, unilateral o bilateral; abordaje abdominal
Drenaje de absceso plvico, abordaje transvaginal o transrectal, percutneo
Transposicin de ovario
Reseccin en cua o biseccin de ovario, unilateral o bilateral por va laparoscpica

Cistectoma ovrica, unilateral o bilateral por va laparoscpica
Excisin de lesiones de ovario, visceras plvicas, o superficie peritoneal por va laparoscpica
Oclusin de trompas de Falopio mediante dispositivo (ejm. banda, grapa, anillo falopiano), abordaje v
Ligadura o seccin de trompas de Falopio, abordaje abdominal o vaginal, unilateral o bilateral
Salpingectoma, completa o parcial, unilateral o bilateral
Salpingo-ooforectoma, completa o parcial, unilateral o bilateral
Lisis de adherencias (salpingolisis, ovariolisis)
Fimbrioplasta
Ligadura o seccin de trompas de Falopio, postparto
Ligadura o seccin de trompas de Falopio, durante la cesrea u otra ciruga abdominal
Lisis de adherencias (salpingolisis, ovariolisis) por laparoscopa
Ooforectoma y/o salpingectoma, completa o parcial por laparoscopa
Oclusin de trompas de Falopio mediante dispositivo (ej. banda, grapa, anillo falopiano) por laparosco
Fimbrioplasta por laparoscopa
Salpingostoma (salpingoneostoma) por laparoscopa
Anastomosis tubotubaria por laparoscopa
Ciruga tubaria en caso de obstruccin tubaria
Colposcopa (vaginoscopa)
Colpocentesis
Dilatacin de vagina bajo anestesia
Colporrafia posterior, correccin de rectocele con o sin perineorrafia
Correccin de defecto paravaginal
Correccin de enterocele, abordaje vaginal
Correccin plstica de uretrocele
Colporrafia anterior, correccin de cistocele con o sin correccin de uretrocele
Colpotoma; con exploracin y/o drenaje de absceso plvico
Excisin de tabique vaginal
Colpoperineorrafia, sutura de lesin de vagina y/o perineo (no obsttrica)
Colporrafia anteroposterior combinada
Cierre de fstula rectovaginal; abordaje vaginal o transanal
Construccin de una vagina artificial; sin injerto
Vaginectoma, extirpacin parcial de la pared vaginal
Colpocleisis (tipo Le Fort)
Vaginectoma, extirpacin completa de la pared vaginal
Incisin y drenaje de hematoma vaginal
Operacin plstica del esfnter uretral, abordaje vaginal (ejm. pliegue uretral de Kelly)
Colpopexia, abordaje abdominal

Operacin con tcnicas de cabestrillo para incontinencia de esfuerzo (ej. fascia o sinttico)
Operacin de Pereyra incluyendo colporrafa anterior
Himenectoma parcial, o revisin del anillo himeneal
Incisin y drenaje de absceso vulvar o perineal
Destruccin de lesin(es) de vulva; cualquier mtodo
Biopsia de vulva o perineo; una lesin
Marsupializacin de quiste de glndula de Bartholino
Correccin plstica del introito
Excisin de quiste o glndula de Bartholino
Vulvectoma simple
Vulvectoma radical
Clitoroplasta por estado intersexual
Perineoplasta, correccin del perineo, no obsttrico
Colposcopa de la vulva
Induccin, dilatacin y evacuacin, puede ser por legrado, en caso de bito fetal
Legrado uterino
Aspiracin manual endouterina (AMEU)
Aborto inducido mediante dilatacin y curetaje, en caso de bito fetal
Aborto inducido, mediante dilatacin y evacuacin, en caso de bito fetal
Aborto inducido, mediante una o ms inyecciones intraamniticas (inyecciones de amniocentesis), ex
Aborto inducido, mediante una o ms inyecciones intraamniticas (inyecciones de amniocentesis), co
Aborto inducido mediante supositorios vaginales (ejm. prostaglandinas) con o sin dilatacin cervical (
Reduccin de embarazo multifetal (REM)
Evacuacin uterina y curetaje por Mola Hidatiforme
Remocin de sutura por cerclaje bajo anestesia (que no sea anestesia local)
Atencin obsttrica de rutina incluyendo atencin preparto, parto por cesrea y atencin postparto
Cesrea solamente
Cesrea ms Histerectoma subtotal o total
Cesrea, incluyendo atencin postparto
Cesrea ms ligadura de trompas
Insercin de dilatador cervical (ejm. laminaria, prostaglandina)
Legrado postparto
Histerotoma, abdominal
Histerorrafa de tero roto
Tratamiento quirrgico de embarazo ectpico; tubrico u ovrico, abordaje abdominal o vaginal
Tratamiento laparoscpico de embarazo ectpico, con salpinguectoma y ooferectoma
Cerclaje del cervix, durante el embarazo
Extraccin de placenta retenida (procedimiento separado)
Atencin obsttrica de rutina incluyendo atencin preparto, parto vaginal y atencin postparto
Atencin de parto vaginal solamente
Control prenatal (consejera en salud, nutricin, higiene y planificacin familiar, suplemento de Fierro
Atencin de parto vaginal, incluyendo atencin postparto

Episiorrafia o correccin vaginal
Ligadura o seccin de trompas de Falopio post parto
Monitorizacin fetal durante el trabajo de parto
Test de estrs fetal por contraccin
Amniocentesis, cualquier mtodo
Toma de muestra de vellosidad corinica, cualquier mtodo
Aspiracin y/o inyeccin, quiste tiroideo
Biopsia de tiroides, aguja percutnea
Istmectoma tiroidea (excisin de quiste o adenoma de tiroides, o transeccin del istmo)
Hemitiroidectoma (lobectoma tiroidea parcial, unilateral; con o sin istmosectoma)
Tiroidectoma subtotal (lobectoma tiroidea total, unilateral; con istmosectoma y parte del lbulo con
Tiroidectoma, total o subtotal por malignidad; con diseccin conservadora del cuello
Tiroidectoma con diseccin radical del cuello
Excisin de tumor del cuerpo carotdeo; sin excisin de arteria cartida
Timectoma, parcial o total; abordaje transcervical
Adrenalectoma, parcial o completa, o exploracin de glndula adrenal con o sin biopsia
Excisin de tumor de cuerpo carotdeo con excisin de arteria cartida
Autotrasplante de paratiroides
Adrenalectoma, parcial o completa, por laparoscopa
Craniectoma o craneotoma de fosa posterior para descompresiva microvascular de nervios craneale
Laminectoma para excisin o evacuacin de lesin intraespinal neoplsica extradural o intradural
Laminectoma para excisin o evacuacin de lesin intramedular neoplsica
Laminectoma para excisin u oclusin de malformacin arteriovenosa de la mdula espinal; torcica
Biopsia de nervio perifrico
Destruccin por radiofrecuencia, nervio trigmino; ramas supraorbital, infraorbital, mentoniana, o alv
Destruccin por mtodo mecnico, nervio trigmino; ramas supraorbital, infraorbital, mentoniana, o a
Destruccin por radiofrecuencia, nervio trigmino; ramas de segunda y tercera divisin
Destruccin por mtodo mecnico, nervio trigmino; ramas de segunda y tercera divisin
Puncin espinal, lumbar, diagnstica o teraputica
Implantacin, revisin o remocin percutnea de electrodo neuroestimulador; arreglo, epidural
Creacin de derivacin lumbar, subaracnoidea-peritoneal, -pleural u otra por va percutnea, que no
Implantacin o reemplazo de dispositivo para infusin intratecal o epidural de frmacos
Implantacin, revisin o reposicionamiento de catter intratecal o epidural, para manejo a largo plazo
Laminectoma para implantacin de electrodo neuroestimulador; placa/ paleta, epidural
Laminotoma, con descompresin de races neurales
Laminectoma, facetectoma y foraminotoma con descompresin medular, de cola de caballo y/o rac
Revisin o remocin de electrodos neuroestimuladores, arreglo(s) percutneo(s) o placa(s) / paleta(s)
Laminectoma con exploracin y/o descompresin de mdula espinal o cola de caballo, uno o dos seg
Abordaje transpedicular con descompresin de la mdula espinal, cola de caballo y/o races neurales
Laminectoma con cordotoma, con seccin de un haz espinotalmico, un estado
Creacin de derivacin, lumbar, subaracnoidea-peritoneal, -pleural, u otra, que pueda requerir lamine
Abordaje costovertebral con descompresin de mdula espinal o races neurales, (ejm. discointervert
Laminectoma con mielotoma (ejm. tipo Bischof o DREZ) a nivel cervical, torcico o toracolumbar
Laminectoma con drenaje de quiste o cavidad siringomilica intramedular; hacia el espacio subaracn
Laminectoma para excisin o evacuacin de lesin intraespinal que no sea neoplasia, extradural
Correccin de meningocele
Laminectoma para excisin u oclusin de malformacin arteriovenosa de la mdula espinal; cervical
Corpectoma torcica, con descompresin de mdula y/o de races neurales; un segmento
Corpectoma vertebral parcial o completa, con descompresin de mdula y/o races neurales; cervica
Corpectoma torcica baja, lumbar o sacra, con descompresin medular, de cola de caballo o de race
Corpectoma torcica baja o lumbar, con descompresin medular, de cola de caballo o races neurale
Inyeccin, epidural, de sangre o parche de fibrina
Aspiracin o descompresin, percutnea de ncleo pulposo, cualquier mtodo, uno o varios niveles, l
Inyeccin para quimionucleolisis, incluyendo discografa, disco intervertebral, uno solo o varios nivele
Remocin de catter intratecal o epidural previamente implantado
Remocin de reservorio o bomba subcutnea previamente implantada para infusin intratecal o epid
Anlisis electrnico de bomba programable implantada para la infusin intratecal o epidural de frma
Laminectoma por espondilolistesis, lumbar
Laminectoma con exploracin y/o descompresin de mdula espinal o cola de caballo, ms de 2 seg
Laminotoma y reexploracion, con descompresin de races neurales
Laminectoma, facetectoma y foraminotoma, cada segmento vertebral adicional de nivel cervical, to
Abordaje transpedicular de cada segmento adicional, torcico o lumbar
Abordaje costovertebral para cada segmento adicional
Disquectoma, anterior, con descompresin de mdula espinal y/o races neurales, incluyendo osteofi
Disquectoma anterior, cervical o torcica, cada interespacio adicional
Corpectoma vertebral adicional, cervical, torcico, lumbar, sacra
Laminectoma y seccin de ligamentos dentados, con o sin injerto dural, cervical
Laminectoma con seccin de nervio accesorio espinal
Laminectoma con cordotoma, con seccin de ambos haces espinotalmicos, un estado
Laminectoma con cordotoma con seccin de ambos haces espinotalmicos, dos estados en un pero
Laminectoma, con liberacin de mdula espinal amarrada, lumbar
Corpectoma vertebral cervical extradural
Corpectoma torcica extradural, mediante abordaje transtorcico
Corpectoma torcica extradural, mediante abordaje toracolumbar
Corpectoma lumbar o sacra extradural, mediante abordaje transperitoneal o retroperitoneal
Estimulacin estereotxica de la mdula espinal, percutnea
Incisin y colocacin subcutnea del generador o receptor de pulsos neuroestimuladores espinal
Revisin o remocin del generador o receptor de pulsos neuroestimuladores de espina implantado
Correccin de mielomeningocele
Correccin de escape de LCR dural, que no requiera laminectoma

Reemplazo, irrigacin o revisin de derivacin lumbosubaracnoidea
Remocin de la totalidad del sistema de derivacin lumbosubaracnoideo, sin reemplazo
Puncin ventricular a travs de agujero de trpano previo, fontanela, sutura o catter/reservorio impl
Puncin cisternal o cervical lateral (C1-C2); con o sin inyeccin
Puncin evacuadora subdural a travs de la fontanela o sutura, lactante, unilateral o bilateral
Agujeros de trpano para puncin ventricular, no seguido de otra ciruga
Agujero(s) de trpano para implantacin de catter ventricular, reservorio
Biopsia, aspiracin o excisin por estereotaxia para lesiones intracraneales
Agujero(s) de trpano o trefina; con biopsia de cerebro o de lesin intracraneana
Trepanacin; con drenaje/ aspiracin/ evacuacin de absceso, quiste, hematoma subdural/ extradural
Agujero(s) de trpano con evacuacin y/o drenaje de hematoma, extradural o subdural
Insercin de reservorio subcutneo, bomba o sistema de infusin continua para conectar con un cat
Agujero(s) de trpano para exploracin, supratentorial o infratentorial, no seguido de otra ciruga
Agujero(s) de trpano o trefina, infratentorial, unilateral o bilateral
Agujero(s) de trepanacin o con trpano helicoidal para implantacin de electrodos neuroestimulador
Elevacin de fractura de crneo deprimida simple, extradural
Creacin de derivacin; ventrculo-atrial, -yugular, -auricular
Creacin de derivacin ventrculo-peritoneal, -pleural, otras vas
Reemplazo o revisin de derivacin de LCR
Oclusin transcatter o embolizacin percutnea
Creacin de derivacin subaracnoideo/subdural - auricular -yugular
Creacin de derivacin subaracnoideo/subdural-peritoneal, -pleural, otras vas
Craniectoma o craneotoma exploratoria supra o infratentorial
Craniectoma o craneotoma infratentorial (fosa posterior)
Craniectoma o craneotoma para evacuacin de hematoma supratentorial, extradural, subdural o int
Craniectoma o craneotoma para evacuacin de hematoma infratentorial, extradural, subdural o intr
Craniectoma por craniosinostosis; una sola sutura craneal
Craniectoma o craneotoma para implantacin de electrodos neuroestimuladores, cerebral; cortical
Elevacin de fractura de crneo deprimida con correccin de duramadre y/o debridamiento de cerebr
Reduccin de craneomegalia (ejm. hidrocefalia tratada); que no requiera injertos seos o craneoplast
Ventriculocisternostoma (operacin de Torkildsen)
Craniectoma o craneotoma para drenaje de absceso intracraneal, supra o infratentorial
Craniectoma, suboccipital con laminectoma cervical para descompresin del bulbo y mdula espina
Craniectoma, para excisin de lesin osea, osteomielitis
Craniectoma o craneotoma para excisin de cuerpo extrao, o tratamiento de herida penetrante de
Craneotoma para correccin de escape dural de LCR, incluyendo ciruga para rinorrea/ otorrea
Craneotoma con elevacin de colgajo seo; para lobectoma temporal con electrocorticografa duran
Craniectoma o craneotoma con tratamiento de herida penetrante del cerebro
Craniectoma amplia por craniosinostosis de varias suturas craneales; que no requiera injertos seos
Hipofisectoma o excisin de tumor hipofisario, abordaje transnasal o transeptal, no estereotxico

Craneotoma para seccin de la tienda del cerebelo
Craneotoma con elevacin de colgajo seo para hemiferectoma parcial o subtotal
Ciruga de malformacin arteriovenosa intracraneal; supratentorial, simple
Anastomosis, arterial, arterias extracraneal intracraneal (ejm. cerebral media/cortical)
Transeccin o ligadura, arteria cartida en el seno cavernoso; con o sin correccin
Craniectoma, trepanacin, craneotoma con colgajo seo; para excisin de tumor supratentorial
Craneotoma para hipofisectoma o excisin de tumor hipofisario, abordaje intracraneal
Ciruga de aneurisma intracraneal, abordaje cervical mediante aplicacin de un clip oclusivo a la arte
Craniectoma para fines diversos
Craniectoma para excisin de tumor infratentorial, de fosa posterior, ngulo pontocerebeloso, o lnea
Craneotoma con elevacin de colgajo seo para hemiferectoma total
Abordaje transoral de base de crneo, tallo enceflico o mdula espinal alta
Produccin de lesin mediante mtodo estereotxico, un slo o varios estados; globo plido o tlamo
Ciruga para aneurisma intracraneal, abordaje intracraneal; circulacin carotdea
Oclusin de aneurisma, malformacin vascular o fstula cartida-cavernosa; a nivel de cartida intrac
Puncin Ventricular para drenaje ventricular externo
Puncin de tubo de derivacin o reservorio para aspiracin o procedimiento de inyeccin
Perforacin con trpano helicoidal para puncin subdural o ventricular
Perforacin con trpano helicoidal para implantacin de catter ventricular o dispositivo
Perforacin con trpano helicoidal para evacuacin y/o drenaje de hematoma subdural
Cateterismo cerebral intraventricular para medir la presin intracerebral
Cateterismo cerebral parenquimal para medir la presin intracerebral
Cateterismo cerebral subdural para medir la presin intracerebral
Cateterismo cerebral para medir la presin de perfusin y presin intracerebral
Cateterismo para medir saturacin del bulbo yugular
Monitoreo de la oximetra cerebral
Craniectoma o craneotoma descompresiva con o sin duraplasta
Craniectoma o craneotoma descompresiva con o sin duraplasta, con lobectoma
Descompresin de la rbita, abordaje transcraneal
Otra descompresin craneal, supratentorial, o fosa posterior
Implantacin subdural de tiras de electrodos a travs de uno o ms agujeros de trepanacin
Craneotoma con elevacin de colgajo seo; para implantacin subdural de plancha de electrodos
Abordaje transoral de base del crneo, tallo enceflico o mdula espinal alta, con divisin de lengua o
Abordaje craneofacial a la fosa anterior extra e intradural
Abordaje rbitocraneal a la fosa anterior, extradural
Abordaje bicoronal, transcigomtico y/u osteotoma de Le Fort I a la fosa anterior con o sin fijacin int
Abordaje infratemporal pre o postauricular a la fosa media
Abordaje cigomtico rbitocraneal a la fosa media
Abordaje transtemporal a la fosa posterior, foramen yugular o lnea media de base del crneo, incluy
Abordaje transcoclear a la fosa posterior, foramen yugular o lnea media de base del crneo, incluyen
Abordaje transcondleo (extremo lateral) a la fosa posterior, foramen yugular o lnea media de base d
Abordaje transpetroso a la fosa posterior, clivus o foramen magnum, incluyendo ligadura de seno pet
Reseccin o excisin de lesin de la base de la fosa anterior, extradural o intradural
Reseccin o excisin de lesin de la fosa infratemporal, espacio parafarngeo, pex petroso, extradur
Reseccin o excisin de lesin en regin paraselar, seno cavernoso, clivus o lnea media de base de c
Transeccin o ligadura, arteria cartida a nivel del canal petroso; con o sin correccin
Obliteracin de aneurisma carotdeo, malformacin arteriovenosa o fstula cartida - cavernosa
Reseccin o excisin de lesin de base de fosa posterior, foramen yugular, foramen magnum, o nivel
Correccin secundaria de la dura por escape de LCR, fosa anterior, media o posterior, despus de ciru
Implantacin estereotxica de electrodos profundos dentro del cerebro para monitoreo de largo plazo
Localizacin estereotxica, incluyendo agujeros de trepanacin, con insercin de catteres para Braq
Produccin de lesin mediante mtodo estereotxico, percutnea, por agente neuroltico (ejm. alcoho
Radiociruga estereotxica (haz de partculas, emisin de rayos gamma o acelerador lineal)
Planeamiento en tcnicas especiales (radiociruga, estereotaxia )
Perforacin helicoidal, trepanacin craneotoma o craniectoma para implantacin estereotctica de n
Craniectoma para implantacin de electrodos neuroestimuladores, cerebelar
Revisin o remocin de electrodos neuroestimuladores intracraneales
Incisin y colocacin subcutnea de generador de pulsos neuroestimuladores craneales, acoplamient
Revisin o remocin de generador de pulsos neuroestimulador o sintonizador craneales
Craneoplasta por defecto del crneo
Remocin o reemplazo de colgajo seo o de placa protsica del crneo
Craneoplasta por defecto del crneo con ciruga cerebral reparadora
Craneoplasta con injerto autlogo (incluye la obtencin de injertos seos)
Reemplazo o irrigacin de catter
Ventriculocisternostoma por estereotaxia, mtodo neuroendoscpico
Remocin de sistema completo de derivacin de LCR
Inyeccin de agente anestsico en nervio perifrico
Inyeccin, agente anestsico en ganglio esfenopalatino, seno carotdeo o ganglio estrellado
Aplicacin de neuroestimulador de superficie (transcutneo)
Destruccin con agente neuroltico, nervio trigmino; ramas supraorbital, infraorbital, mentoniana, o
Descompresin; nervios no especificados
Simpatectoma cervical
Sutura de nervio digital, mano o pie; por cada nervio suturado
Excisin de neuroma; nervio cutneo, identificable quirrgicamente
Sutura del nervio facial; extracraneal o infratemporal
Anastomosis; facial-accesorio espinal, facial-hipogloso, facial-frnico
Injerto de nervio, cabeza o cuello
Sutura de plexo braquial o plexo lumbar
Inyeccin, agente anestsico y/o esteroide, carilla articular paravertebral o carilla articular nerviosa
Inyeccin, agente anestsico y/o esteroide, epidural transforamen
Inyeccin, agente anestsico en plexo celaco o a nivel lumbar o torcico
Implantacin percutnea de electrodos neuroestimuladores
Incisin para implantacin de electrodos neuroestimuladores; nervio craneal
Incisin para implantacin de electrodos neuroestimuladores en nervio craneal, nervio autnomo, o a
Revisin o remocin de electrodos neuroestimuladores perifricos

Incisin y colocacin subcutnea de generador o receptor de pulsos neuroestimuladores perifrico
Revisin o remocin de generador o receptor de pulsos neuroestimuladores perifrico
Destruccin con agente neuroltico, nervio trigmino; ramas de segunda y tercera divisin
Destruccin con agente neuroltico; msculos inervados por el nervio facial o msculos espinales cerv
Destruccin con agente neuroltico; nervio intercostal, de faceta articular paravertebral lumbar, pude
Destruccin mediante agente neuroltico en niveles adicionales
Destruccin mediante agente neuroltico, plexo celaco, con o sin monitorizacin radiolgica
Neuroplasta; digital, una o ambas, el mismo dgito
Neuroplasta, en nervio de la mano/pie, o en nervio perfrico de brazo o pierna; diferente de los nerv
Neuroplasta de nervio citico, plexo braquial, plexo lumbar
Neuroplasta y/o transposicin; nervio craneal, nervio cubital, nervio mediano
Neurolisis interna, que requiera el uso de microscopio quirrgico
Sutura de un nervio, mano o pie; nervio sensorial comn, tenar motor mediano, motor cubital
Sutura de cada nervio adicional, mano o pie
Sutura de nervio perifrico mayor, brazo o pierna, excepto citico; con o sin transposicin
Sutura del nervio citico
Sutura de nervio secundaria
Injerto de nervio, hebra nica, brazo, mano, pierna o pie
Injerto de nervio, varias hebras (cable), brazo, mano, pierna o pie
Injerto de nervio, cada nervio adicional; hebra nica
Injerto de nervio, mltiples hebras
Transferencia de pedculo neural; primer o segundo estado
Ciruga para estrabismo, procedimiento de recesin o reseccin; un msculo horizontal
Ciruga para estrabismo, procedimiento de recesin o reseccin; dos msculos horizontales
Ciruga para estrabismo, procedimiento de recesin o reseccin; un msculo vertical (excluyendo el o
Ciruga para estrabismo, procedimiento de recesin o reseccin; dos o ms msculos verticales (exclu
Ciruga para estrabismo, cualquier procedimiento, msculo oblcuo superior
Procedimiento de transposicin (p. Ej. para msculo extraocular partico), cualquier extraocular (esp
Ciruga para estrabismo en paciente con ciruga de ojo previa, o lesin que no comprometi a los m
Ciruga para estrabismo en paciente con cicatrizacin de msculos extraoculares (p. Ej. lesin ocular
Ciruga para estrabismo mediante tcnica de fijacin posterior con sutura, con o sin reseccin muscu
Colocacin de sutura(s) ajustable(s) durante la ciruga para estrabismo, incluyendo ajustes post oper
Ciruga para estrabismo que involucre exploracin y/o correcin de msculo extraocular desprendido
Liberacin de tejido cicatrizal extenso o sin desprendimiento de msculo extraocular (procedimiento
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntival); con drenaje solamente
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntival); con extirpacin de lesin
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntival); con extirpacin de cuerpo extrao
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntival); con extirpacin de hueso para desc
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (p.Ej. Kroenlein); con extirpacin de les
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (p.Ej. Kroenlein); con extirpacin de cue
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (p.Ej. Kroenlein); con drenaje
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (p.Ej. Kroenlein); con extirpacin de hu
Orbitotoma sin colgajo seo (abordaje frontal o transconjuntival); con o sin biopsia
Orbitotoma con colgajo seo o ventana sea,abordaje lateral (p.Ej. Kroenlein); para exploracin , con
Inyeccin retrobulbar; medicacin (procedimiento separado, no incluye suministro de medicacin)
Implante orbitario (implante fuera del cono muscular); insercin
Descompresin del nervio ptico (p. Ej. Incisin o fenestracin de la vaina del nervio ptico)
Inyeccin retrobulbar; medicacin alcohol
Inyeccin de agente teraputico en la cpsula de Tenon
Implante orbitario (implante fuera del cono muscular); remocin o revisin
Biopsia de prpado
Excisin de chalazin; uno solo
Excisin de lesin del prpado (excepto chalazin) sin cierre o con cierre directo simple
Excisin de chalazin; varios, el mismo prpado
Excisin de chalazin; varios, diferentes prpados
Epilacin que no sea con pinzas (p. Ej. Mediante electrociruga, crioterapia, ciruga lser)
Incisin de borde del prpado
Incisin de borde del prpado, con injerto libre de membrana mucosa
Destruccin de lesin de borde del prpado (hasta de 1 cm)
Blefarotoma, drenaje de abceso, prpado
Extirpacin de cuerpo extrao internalizado, prpado
Sutura de herida reciente, prpado, que involucre borde del prpado, tarso y/o conjuntiva palpebral,
Reconstruccin de prpado, espesor total mediante transferencia de colgajo tarsoconjuntival del pr
Sutura de herida reciente, prpado, que involucre borde del prpado, tarso y/o conjuntiva palpebral,
Cantoplasta(reconstruccin de canto)
Excisin y correccin del prpado, involucrando borde del prpado, tarso, conjuntiva, canto, o espeso
Excisin y correccin del prpado, involucrando borde del prpado, tarso, conjuntiva, canto, o espeso
Correccin de blefaroptosis no congnita; mtodo del msculo frontal con sutura u otro material
Correccin de ptosis de cejas (abordajes supraciliar, mediofrontal o coronal)
Correccin de blefaroptosis congnita; mtodo del msculo frontal con cabestrillo facial (incluye la ob
Reseccin o avance de (tarso) elevador, abordaje interno
Reseccin o avance de (tarso) elevador, abordaje externo
Correccin de blefaroptosis congnita; mtodo del msculo frontal con sutura u otro material
Reseccin o avance de (tarso) elevador, mtodo del recto superior con cabestrillo fascial(incluye obte
Reseccin conjuntival-tarsiana-msculo elevador de Mller (p. Ej. Operacin de Fasanella-Servat)
Reduccin de sobrecorreccin de ptosis
Correccin de retraccin de prpado

Correccin de ectropin; sutura
Correccin de ectropin; termocauterizacin
Blefaroplasta amplia (p. Ej. Operacin de Kunt-Szymanowski o denudacin tarsiana
Correccin de entropin; sutura
Correccin de entropin; termocauterizacin
Blefaroplasta amplia (p. Ej. Operacin de Wheeler)
Cierre provisorio de prpado mediante sutura (p.Ej. Sutura de Frost)
Excisin de chalazin; tarsorrafia mediana o cantorrafia
Excisin de chalazin; con transposicin de placa tarsiana
Conjuntivoplasta; con injerto conjuntival o rearreglo amplio
Conjuntivoplasta; con injerto de membrana mucosa bucal (incluye obtencin del injerto)
Conjuntivoplasta; reconstruccin fondo de saco (Cul de Sac conjuntival); con injerto conjuntival o rea
Conjuntivoplasta; reconstruccin fondo de saco (Cul de Sac conjuntival); con injerto de membrana m
Correccin de simblfaron, conjuntivoplasta, sin injerto
Correccin de simblfaron, conjuntivoplasta, con injerto libre de membrana mucosa conjuntival o buc
Divisin de simblfaron, con o sin insercin de conformador o lente de contacto
Excisin de lesin, conjuntiva, hasta 1 cm
Excisin de lesin, conjuntiva, ms de 1 cm
Excisin de lesin, conjuntiva; con esclertica adyacente
Incisin de conjuntiva, drenaje de quiste
Modificacin de un implante ocular con colocacin o reemplazo de clavijas (Ej. Construccin de un rec
Insercin de implante ocular, secundario; despus de la evisceracin, envuelto por la esclertica
Insercin de implante ocular, secundario;despus de la enucleacin, msculos no unidos al implante
Insercin de implante ocular, secundario; despus de la enucleacin, msculos unidos al implante
Reinsercin de implante ocular, con o sin injerto conjuntival; con uso de material extrao para refuerz
Extirpacin de cuerpo extrao, ojo externo, conjuntival superficial
Extirpacin de cuerpo extrao, intraocular; de la cmara anterior o cristalino
Del segmento posterior, extraccin magntica, ruta anterior o posterior
Conjuntival internalizado (incluye concreciones), subconjuntival, o escleral no perforante
Corneal, sin lmpara de hendidura
Corneal, con lmpara de hendidura
Del segmento posterior, extraccin no magntica
Evisceracin de contenidos oculares; sin implante
Exenteracin de la rbita (no incluye injerto cutneo), extirpacin de contenidos oculares; solamente
Evisceracin de contenidos oculares;con implante
Enucleacin del ojo;con implante, msculos no unidos al implante

Enucleacin del ojo;con implante, msculos unidos al implante
Exenteracin de la rbita (no incluye injerto cutneo), extirpacin de contenidos oculares;con extirpa
Exenteracin de la rbita (no incluye injerto cutneo), extirpacin de contenidos oculares;con colgajo
Correccin de laceracin; conjuntiva, con o sin laceracin no perforante de esclertica, cierre directo
Crnea, no perforante, con o sin extirpacin de cuerpo extrao
Correccin de herida, msculo extraocular, tendn y/o cpsula de Tenon
Correccin de laceracin; conjuntiva, mediante movilizacin y rearreglo, sin hospitalizacin
Correccin de laceracin; conjuntiva, mediante movilizacin y rearreglo, con hospitalizacin
Crnea y/o esclertica, perforante, sin involucrar tejido uveal
Crnea y/o esclertica, perforante, con reposicionamiento o reseccin de tejido uveal
Aplicacin de pegamento de tejido, heridas de crnea y/o esclertica
Biopsia de crnea
Excisin o transposicin de pterigion; sin injerto
Excisin de lesin, crnea (queratectoma, lamelar, parcial), excepto pterigion
Excisin o transposicin de pterigion; con injerto
Paracentesis de cmara anterior del ojo (procedimiento separado); con aspiracin diagnstica de hum
Seccin de adherencias del segmento anterior, tcnica de lser (procedimiento separado)
Trabeculoplasta mediante ciruga lser, una o ms sesiones (serie de tratamiento definida)
Goniotoma
Paracentesis de cmara anterior del ojo (procedimiento separado); con liberacin teraputica de hum
Paracentesis de cmara anterior del ojo (procedimiento separado); con remocin de vtreo y/o discisi
Paracentesis de cmara anterior del ojo (procedimiento separado); con remocin de sangre, con o sin
Seccin de adherencias del segmento anterior del ojo, tcnica incisional (con o sin inyeccin de aire
Sinequia anterior, excepto goniosinequias
Sinequia posterior
Adherencias corneovtreas
Extirpacin de crecimiento epitelial, cmara anterior del ojo
Remocin de material implantado, segmento anterior del ojo
Remocin de cogulo de sangre, segmento anterior del ojo
Inyeccin, cmara anterior (procedimiento separado); aire o lquido
Inyeccin, cmara anterior (procedimiento separado); medicacin
Discisin (incisin) de catarata membranosa secundaria (opacidad capsular posterior y/o hialoide ant
Discisin (incisin) de catarata membranosa secundaria (opacidad capsular posterior y/o hialoide ant
Reposicionamiento de lente intraocular, que requiera incisin (procedimiento separado)
Puncin y aspiracin de humor acuoso (paracentesis)
Fijacin escleral de lente intraocular
Insercin de lente intraocular (implante secundario), no asociada con extirpacin concurrente de cata
Intercambio de lente intraocular
Extirpacin de catarata membranosa secundaria (opacidad capsular posterior y /o hialoide anterior)
Extraccin del cristalino; tcnica de facofragmentacin (mecnica o ultrasnica) (p.Ej. facoemulsifica
Extirpacin de catarata membranosa secundaria; con seccin corneo-escleral, con o sin iridectoma (
Extraccin extracapsular sin implante de lente intraocular

Extraccin extracapsular con implante de lente intraocular
Extraccin intracapsular sin implante de lente intraocular
Extraccin intracapsular con implante de lente intraocular
Extraccin de cristalino via pars plana, con o sin vitrectoma
Extraccin intracapsular, por luxacin del cristalino
Excisin de lesin, esclertica
Derivacin de humor acuoso a un reservorio extraocular (p. Ej. Molteno, Schocket, DenverKrupin)
Trabeculectoma ab externo en ausencia de ciruga previa
trabeculectomia ab externo con tejido cicatrizal originado por ciruga ocular previa o trauma (incluye
Revisin de derivacin del humor acuoso a un reservorio extraocular
Correccin de estafiloma escleral; sin injerto
Correccin de estafiloma escleral, con injerto
Revisin o correcin de herida operatoria del segmento anterior, cualquier tipo, temprano o tarda, pr
Iridectoma, con seccin crneoescleral o corneal; para remocin de lesin
Iridectoma, con ciliectoma
Iridectoma perifrica, por glaucoma (procedimiento separado)
Iridectoma de un sector, por glaucoma (procedimiento separado)
Iridectoma ptica (procedimiento separado)
Iridotoma mediante incisin con instrumento cortante (procedimiento separado); excepto transfixin
Iridotoma mediante incisin con instrumento cortante (procedimiento separado); con transfixin com
Correccin del iris, cuerpo ciliar (como para iridodilisis)
Sutura del iris, cuerpo ciliar (procedimiento separado) con recuperacin de la sutura a travs de una
Queratotoma radial
Queratomileusis
Queratomileusis in situ (LASIK)
Queratofaquia
Epiqueratoplasta
Queratoprtesis
Incisin relajante de la crnea para correcin de astigmatismo provocado por ciruga
Reseccin corneal en cua para correccin de astigmatismo provocado por ciruga
Queratoplasta (trasplante de crnea); lamelar
Queratoplasta (trasplante de crnea); penetrante (excepto en afaquia)
Queratoplasta (trasplante de crnea); penetrante( en afaquia)
Queratoplasta (trasplante de crnea); penetrante (en pseudoafaquia)
Raspado de crnea, diagnstico, para frotis y/o cultivo
Destruccin de lesin de crnea mediante crioterapia, fotocoagulacin o termocauterizacin
Extirpacin de epitelio de crnea; con o sin quimiocauterizacin (abrasin, legrado)
Extirpacin de epitelio de crnea; con aplicacin de agente quelante (p. Ej. EDTA)
Destruccin de lesin de crnea mediante varias punciones de la crnea anterior (p. Ej. Por erosin d
Translocacin macular
Neurotoma ptica radial
Pelamiento de membrana limitante interna
Remosin de parsitos o quistes intraoculares

Reforzamiento de esclertica (procedimiento separado); sin injerto
Reforzamiento de esclertica (procedimiento separado); con injerto
Inyeccin intravtrea de agente farmacolgico (procedimiento separado)
Aspiracin de vtreo fluido subretinal o coroidal, va pars plana (esclerotoma posterior)
Vitrectoma, mecnica, va pars plana
Vitrectoma anterior manual
Vitreotoma anterior mecnica
Inyeccin de un sustituto vtreo via pars plana o limbal
Implantacin de sistema intravtreo de administracin de frmacos (p. Ej. Implante para administraci
Vitrectoma, mecnica, va pars plana; con diseccin de membrana epirretinal
Vitrectoma, mecnica, va pars plana; con endofotocoagulacin
Vitrectoma, mecnica, va pars plana con endopanfotocoagulacin
Destruccin de lesin localizada de la retina (p. Ej. tumores), una o ms sesiones; crioterapia o lser
Destruccin de lesin localizada de coroides (p. ej. Neovascularizacin coroidal), una o ms sesiones,
Destruccin de retinopata extensa o progresiva (p. Ej. Retinopata diabtica), uno o ms sesiones; cr
Destruccin con radiacin mediante implante de elemento radiactivo(incluye remocin de elemento r
Destruccin de lesin localizada de coroides (p. ej. Neovascularizacin coroidal), una o ms sesiones,
Fotocoagulacin (lser o arco de xenn)
Correccin de desprendimiento de retina, con crioterapia
Correccin de desprendimiento de retina; con sutura de explante de silicona y crioterapia
Correcin de desprendimiento de retina con vitrectoma pars plana, sutura de explante de silicona y c
Correccin de desprendimiento de retina con vitrectomia pars plana, sutura explante de silicona, crio
Correccin de desprendimiento de retina mediante inyeccin de aire o gas, y criopexia o lser transp
Remocin de material implantado, segmento posterior; extraocular
Remocin de material implantado, segmento posterior, intraocular
Biopsia de glndula lagrimal
Excisin de glndula lagrimal (dacrioadenectoma) excepto por tumor; total
Extirpacin de cuerpo extrao o dacriolito, conductos lagrimales
Excisin de tumor de glndula lagrimal; abordaje frontal
Excisin de glndula lagrimal (dacrioadenectoma) excepto por tumor; parcial
Excisin de saco lagrimal (dacriocistectoma)
Biopsia de saco lagrimal
Excisin de tumor de glndula lagrimal; abordaje frontal con osteotoma
Incisin, drenaje de glndula lagrimal
Incisin, drenaje de saco lagrimal (dacriocistotoma o dacriocistostoma)
Incisin por corte con tijera del punto lagrimal (punctum lacrimale)
Correccin plstica de canalculos
Dacriocistorrinostoma (fistulizacin de saco lagrimal a la cavidad nasal)
Conjuntivorrinostoma (fistulizacin de la conjuntiva a la cavidad nasal); sin tubo
Correccin de punctum evertido, cauterio
Conjuntivorrinostoma con insercin de tubo o catter dilatador
Cierre del punto lagrimal (punctum lacrimale); con termocauterizacin, ligadura, o ciruga lser
Cierre del punto lagrimal (punctum lacrimale); con tapn, cada uno
Sondeo de conducto nasolagrimal, con o sin irrigacin;
Dilatacin de punto lagrimal (punctum lacrimale), con o sin irrigacin
Dilatacin de punto lagrimal (punctum lacrimale), con insercin de tubo o catter dilatador
Sondeo de conductos lagrimales, con o sin irrigacin
Inyeccin de medio de contraste para dacriocistografa
Iridotoma/ iridectoma mediante ciruga lser (p. Ej. para glaucoma) (una o ms sesiones)
Destruccin de quiste o de lesiones del iris o cuerpo ciliar (procedimiento no escisional)
Ciclofotocoagulacin
Crioterapia
Ciclodilisis
Iridoplasta mediante fotocoagulacin (una o ms sesiones) (p. Ej. Para mejorar la visin, para ensanc
Descompresin total del nervio facial y/o correccin (puede incluir injerto)
Descompresin del conducto auditivo interno
Drenaje abceso o hematoma de odo externo
Extirpacin de cuerpo extrao del conducto auditivo externo; sin anestesia general
Remocin de cerumen impactado (procedimiento separado), uno o ambos odos
Excisin de odo externo; parcial, correccin simple
Excisin de exostosis, conducto auditivo externo
Otoplasta, orejas en protrusin (sobresalientes), con o sin reduccin de tamao
Reconstruccin de conducto auditivo externo (meatoplasta) (p. ej. estenosis debida a trauma, infecc
Reconstruccin de conducto auditivo externo debido a atresia congnita, un solo estadio
Excisin radical de lesin en canal auditivo externo con diseccin del cuello
Drenaje de absceso de conducto auditivo externo
Amputacin completa de odo externo
Extirpacin de cuerpo extrao del conducto auditivo externo; con anestesia general
Laberintotoma transconducto, con o sin criociruga o perfusin con compuestos vestbulo activos
Laberintectoma; transconducto
Operacin del saco endolinftico; sin derivacin
Implantacin de dispositivo coclear, con o sin mastoidectoma
Laberintectoma con astoidectoma
Insuflacin de conducto de eustaquio, transnasal; con cateterizacin
Cateterizacin de conducto de eustaquio, transtimpnica
Miringotoma incluyendo aspiracin y/o insuflacin de conducto de eustaquio
Timpanostoma (que requiera insercin de tubo de ventilacin), anestesia local o tpica

Antrotoma transmastoidea (mastoidectoma "simple")
Excisin de tumor glmico; transconducto
Miringoplasta (ciruga confinada a la membrana timpnica y regin donante)
Estapedectoma o estapedotoma con reestablecimiento de continuidad osicular, con o sin uso de ma
Correccin de fstula de la ventana rRedonda
Timpanoplasta sin mastoidectoma, inicial o revisin
Neurectoma timpnica
Descompresin del nervio facial, intratemporal; lateral o incluyendo parte medial al ganglio geniculad
Sutura del nervio facial, intratemporal; lateral o incluyendo parte medial al ganglio geniculado
Reseccin del hueso temporal, abordaje externo
Implantacin o reemplazo de dispositivo de audicin de conduccin sea electromagntica en el hues
Mastoidectoma radical modificada
Apicectoma petrosa incluyendo mastoidectoma radical
Correccin de la membrana timpnica, con o sin preparacin del sitio o perforacin para cierre, con o
Remocin o correccin de dispositivo de audicin de conduccin sea electromagntica en el hueso t
Examen radiolgico de abdomen, incidencia nteroposterior
Examen radiolgico de abdomen completo incluyendo incidencias en decbito y/o de pie
peritoneograma
Tomografa computarizada de abdomen sin material de contraste
Resonancia magntica de abdomen sin contraste
Examen radiolgico de abdomen, incidencias nteroposterior, oblcua y cnica
Examen radiolgico completo para abdomen agudo
Tomografa computarizada de abdomen con material de contraste
Angiografa por tomografa computarizada de abdomen con contraste
Resonancia magntica de abdomen con contraste
Angiografa por resonancia magntica de abdomen, con o sin contraste
Aortografa torcica sin estudio seriado
Aortografa abdominal por estudio seriado
Angiografa braquial retrgrada
Angiografa espinal selectiva
Angiografa de extremidad, unilateral
Angiografa visceral selectiva o supraselectiva
Angiografa cervicocerebral mediante catter, incluyendo origen del vaso
Aortografa torcica con estudio seriado
Aortografa abdominal ms iliofemoral bilateral de extremidades inferiores mediante catter y estudi
Angiografa por Tomografa computarizada de aorta abdominal y sistema iliofemoral bilateral de miem
Angiografa de cartida externa, unilateral y selectiva
Angiografa de cartidas externas, bilateral y selectiva
Angiografa de cartida cerebral, unilateral
Angiografa de cartida cerebral, bilateral
Angiografa de cartida cervical, unilateral
Angiografa de cartida cervical, bilateral
Angiografa vertebral cervical y/o intracraneal
Angiografa bilateral de extremidades
Angiografa renal unilateral selectiva
Angiografa renal bilateral selectiva
Angiografa adrenal unilateral, selectiva
Angiografa adrenal bilateral, selectiva
Angiografa plvica, selectiva o supraselectiva
Angiografa pulmonar unilateral, selectiva
Angiografa pulmonar bilateral, selectiva
Angiografa pulmonar mediante catter no selectivo
Angiografa mamaria interna
Angiografa selectiva, cada vaso adicional estudiado
Angiografa de derivacin arteriovenosa
Radiografa intraoral - radiografa periapical
Radiografa intraoral - radiografa oclusal
Radiografa de mordida (bite wings)
Examen radiolgico, dientes; vista nica
Examen completo de dentadura
Examen radiolgico completo de meatos auditivos internos
Examen radiolgico parcial de huesos faciales
Examen radiolgico completo de huesos nasales
Examen radiolgico de formenes pticos
Examen completo de rbitas
Examen radiolgico de silla turca
Examen radiolgico parcial de crneo
Examen radiolgico de articulacin tmporomandibular, boca abierta y cerrada; unilateral
Examen radiolgico parcial de mandbula
Examen radiolgico completo de senos paranasales
Examen radiolgico parcial de mastoides
Dacriocistografa de conducto nasolagrimal
Artrografa de articulacin tmporomandibular
Laringografa contrastada
Sialografa
Tomografa axial computarizada de cerebro; sin material de contraste
Tomografa computarizada de rbita, silla turca o fosa posterior, u odo externo, medio o interno sin m
Tomografa computarizada de zona mxilofacial sin material de contraste
Tomografa computarizada, tejido blando del cuello; sin material de contraste

Resonancia magntica de rbita, cara y cuello, sin contraste
Mielografa de fosa posterior
Examen radiolgico de ojo
Examen radiolgico completo de mandbula
Examen radiolgico completo de mastoides
Examen radiolgico completo de huesos faciales
Examen radiolgico parcial de senos paranasales
Examen radiolgico completo de crneo
Examen parcial de dentadura, menos de la boca entera
Examen radiolgico de articulacin tmporomandibular con boca abierta y cerrada bilateral
Resonancia magntica de articulacin tmporomandibular
Cefalograma ortodntico
Ortopantograma (radiografa panormica)
Examen radiolgico de tejido blando de cuello
Examen radiolgico de faringe o laringe, incluyendo tcnica de fluoroscopa y/o tcnica de aumento
Evaluacin dinmica compleja de la faringe y evaluacin fonitrica por grabacin en cine o vdeo
Examen radiolgico, glndula salival para detectar clculo
Tomografa axial computarizada de cerebro; con material de contraste
Tomografa computarizada de rbita, silla turca o fosa posterior, u odo externo, medio o interno con m
Tomografa computarizada de zona mxilofacial con material de contraste
Tomografa computarizada, tejido blando del cuello; con material de contraste
Angiografa por tomografa computarizada de cabeza y/o cuello, con contraste
Resonancia magntica de rbita, cara y cuello, con contraste
Angiografa por resonancia magntica de cabeza sin contraste
Angiografa por resonancia magntica de cabeza con contraste
Angiografa por resonancia magntica de cuello sin contraste
Angiografa por resonancia magntica de cuello con contraste
Resonancia magntica de cerebro (incluyendo tallo cerebral) sin contraste
Resonancia magntica de cerebro (incluyendo tallo cerebral) con contraste
Resonancia magntica de cerebro durante procedimiento intracraneal abierto, sin contraste
Resonancia magntica de cerebro durante procedimiento intracraneal abierto, con contraste
Examen radiolgico de columna vertebral completa, estudio de exploracin, nteroposterior y lateral
Examen radiolgico de columna vertebral, vista nica
Examen radiolgico de pelvis; una o dos incidencias
Examen radiolgico de columna vertebral cervical; dos o tres incidencias
Examen radiolgico de columna vertebral torcica, dos incidencias
Examen radiolgico de columna toracolumbar, dos incidencias
Examen radiolgico de columna lumbosacra; dos o tres incidencias
Examen radiolgico, articulaciones sacroilacas; menos de tres incidencias
Examen radiolgico de columna cervical; mnimo de cuatro incidencias
Examen radiolgico de pelvis completo, mnimo de tres incidencias
Examen radiolgico de columna cervical completo; incluyendo estudios oblcuos, de flexin y/o de ex
Examen radiolgico de columna torcica, mnimo de cuatro incidencias
Examen radiolgico de columna lumbosacra, mnimo de cuatro incidencias
Tomografa computarizada, columna vertebral cervical; sin material de contraste
Tomografa computarizada de pelvis; sin material de contraste
Resonancia magntica de canal espinal y contenido a nivel cervical; sin material de contraste
Examen radiolgico de columna vertebral toracolumbar, de pie (escoliosis)
Examen radiolgico de columna torcica, tres incidencias
Examen radiolgico para estudio de escoliosis, incluyendo estudios en posicin supina y erguida
Examen radiolgico de columna lumbosacra completo, incluyendo incidencias en posicin doblada
Examen radiolgico de columna vertebral lumbosacral, incidencias en posicin doblada solamente, m
Tomografa computarizada, columna vertebral cervical; con material de contraste
Tomografa computarizada, columna vertebral torcica; sin material de contraste
Tomografa computarizada, columna vertebral torcica; con material de contraste
Tomografa axial computarizada, columna vertebral lumbar; sin material de contraste
Tomografa axial computarizada, columna vertebral lumbar; con material de contraste
Resonancia magntica de canal espinal y contenido a nivel nervical; con material de contraste
Resonancia magntica de canal espinal y contenido a nivel torcico, sin material de contraste
Resonancia magntica de canal espinal y contenido a nivel torcico, con material de contraste
Resonancia magntica de canal espinal y contenido a nivel lumbar, sin material de contraste
Resonancia magntica de canal espinal y contenido a nivel lumbar, con material de contraste
Ampliacin de estudio de Resonancia magntica
Angiografa por Resonancia magntica en canal espinal y contenido
Tomografa computarizada de pelvis; con material de contraste
Resonancia magntica de pelvis, sin contraste
Resonancia magntica de pelvis, con contraste
Angiografa por Resonancia magntica de pelvis, con o sin contraste
Examen radiolgico de articulaciones sacroilacas, tres o ms incidencias
Examen radiolgico de sacro y cccix, mnimo dos incidencias
Mielografia columna toracica sin contraste
Resonancia magntica cardaca para evaluacin morfolgica, sin material de contraste
Resonancia magntica cardaca para evaluacin morfolgica, con material de contraste
Resonancia magntica cardaca para evaluacin funcional, estudio completo
Resonancia magntica cardaca para evaluacin funcional, estudio limitado
Resonancia magntica cardaca para mapeo de la velocidad de flujo
Examen radiolgico bilateral de cadera, mnimo dos incidencias de cada cadera
Examen radiolgico de fmur, dos incidencias
Examen radiolgico de rodilla, una o dos incidencias
Examen radiolgico de tibia y peron, dos incidencias
Examen radiolgico de pie, dos incidencias
Examen radiolgico de pie completo, mnimo tres incidencias
Examen radiolgico de tobillo, dos incidencias
Artrografa de cadera
Artrografa de articulacin sacroilaca

Artrografa de rodilla
Artrografa de tobillo
Tomografa computarizada de miembro inferior sin material de contraste
Resonancia magntica de extremidad inferior, excepto articulacin, con contraste
Examen radiolgico unilateral de cadera, una vista
Examen radiolgico unilateral completo de cadera, mnimo dos incidencias
Examen radiolgico de cadera durante un procedimiento quirrgico
Examen radiolgico de pelvis y caderas, lactante o nio, mnimo dos incidencias
Examen radiolgico de rodilla, tres incidencias
Examen radiolgico completo de rodilla, cuatro o ms incidencias
Examen radiolgico de ambas rodillas, posicin de pie, nteroposterior
Examen radiolgico de extremidad inferior, lactante, mnimo dos incidencias
Examen radiolgico completo de tobillo, mnimo tres incidencias
Examen radiolgico de calcneo, mnimo dos incidencias
Examen radiolgico de dedos de los pies, mnimo dos incidencias
Tomografa computarizada de miembro inferior con material de contraste
Angiografa por Tomografa computarizada de extremidad inferior, con contraste
Resonancia magntica de extremidad inferior, excepto articulacin, sin contraste
Resonancia magntica de articulacin de miembro inferior sin contraste
Resonancia magntica de articulacin de miembro inferior con contraste
Angiografa por Resonancia magntica de miembro inferior, con o sin contraste
Examen radiolgico de clavcula, completo
Examen radiolgico de escpula, completo
Examen radiolgico de dedos de manos, mnimo dos incidencias
Examen radiolgico completo de hombro, mnimo de dos incidencias
Examen radiolgico de hmero, mnimo dos incidencias
Examen radiolgico de codo; dos incidencias
Examen radiolgico de antebrazo, dos incidencias
Examen radiolgico de mueca; dos incidencias
Examen radiolgico de mano; dos incidencias
artrografa de hombro
artrografa de codo
artrografa de mueca
Tomografa computarizada, extremidad superior; sin material de contraste
Resonancia magntica de extremidad superior, excepto articulaciones, con material de contraste
Examen radiolgico de hombro; una vista
Examen radiolgico de articulaciones acromioclaviculares, bilateral, con o sin distraccin ponderada
Examen radiolgico completo de codo, mnimo tres incidencias
Examen radiolgico de antebrazo, extremidad superior, lactante, mnimo dos incidencias
Examen radiolgico completo de mueca, mnimo tres incidencias
Examen radiolgico de mano, mnimo tres incidencias
Tomografa computarizada, extremidad superior; con material de contraste
Angiografa por tomografa computarizada de extremidad superior, con contraste

Resonancia magntica de extremidad superior, excepto articulaciones, sin material de contraste
Resonancia magntica de cualquier articulacin de miembro superior, sin material de contraste
Resonancia magntica de cualquier articulacin de miembro superior, con material de contraste
Angiografa por resonancia magntica en extremidad superior, con o sin contraste
Histerosalpingografa
Asistencia a la cateterizacin transcervical de trompa de falopio
estudios de edad sea
Estudios de longitud de huesos (ortoroentgenograma, estudio de barrido " scanogram")
Examen radiolgico de absceso, fstula o estudio de tracto
Estudio de densidad sea por absorciometra de rayos x de doble energa (dexa), de esqueleto axial
Mamografa unilateral
Mamografa bilateral
Resonancia magntica unilateral de mama
Gua fluoroscpica para (re) colocacin o remocin se acceso venoso central
Fluoroscopa que no sea de trax, hasta una hora de tiempo mdico
Fluoroscopa, por ms de una hora
Gua fluoroscpica para la colocacin de aguja o catter
Fluoroscopa y localizacin de aguja o catter para inyeccin diagnstica y teraputica en columna o
Examen radiolgico de nariz a recto para deteccin de cuerpo extrao
Vertebroplasta percutnea bajo gua fluoroscpica
Vertebroplasta percutnea bajo gua tomogrfica
Survey seo
Survey articular dos o ms articulaciones
Estudio de densidad mineral sea por tomografa para esqueleto axial
Estudio de densidad mineral sea por tomografa para esqueleto apendicular
Estudio de densidad sea por absorciometra de rayos x de doble energa (dexa), de esqueleto apend
Absorciometra radiogrfica de uno o ms sitios
Deteccin asistida por computadora para lesiones de mama en estudio diagnstico
Deteccin asistida por computadora para lesiones de mama en estudio de tamizaje
Galactografa de un conducto
Galactografa de conductos mltiples
Mamografa bilateral de tamizaje
Resonancia magntica bilateral de mama
Examen radiolgico de muestra quirrgica
Estudio de sustraccin con contraste
Uso de gua tomogrfica computarizada para localizacin estereotctica
Uso de gua tomogrfica computarizada para colocacin de aguja
Uso de gua tomogrfica computarizada para monitoreo de ablacin visceral
Uso de gua tomogrfica computarizada para colocacin de campos de radioterapia
Reconstruccin a partir de tomografa computarizada o resonancia magntica
Tomografa computarizada limitada, para propsitos de seguimiento
Espectroscopa por resonancia magntica
Uso de gua por resonancia magntica para colocacin de aguja

Uso de gua por resonancia magntica para monitoreo de ablacin visceral
Uso de resonancia magntica para evaluar suministro sanguneo de mdula sea
Embolizacin teraputica transcatter, por cualquier mtodo
Terapia transcatter por infusin, por cualquier mtodo
Angiografa a travs de catter ya colocado, para seguimiento de terapia
Intercambio de catter arterial previamente colocado durante terapia tromboltica, con control de con
Remocin mecnica de material obstructivo perifrico a catter de dispositivo venoso central
Remocin mecnica de material obstructivo intraluminal a catter de dispositivo venoso central
Colocacin percutnea de filtro intravenoso (IVC)
Reparacin intravascular de aneurisma o diseccin de aorta abdominal infrarrenal
Colocacin de extensin proximal o distal de prtesis
Reparacin endovascular de lesin de arteria iliaca
Introduccin transcatter de catteres dilatadores intravasculares
Rescate transcatter de cuerpo extrao intravascular por va percutnea
Angioplasta transluminal de baln de arteria perifrica
Angioplasta transluminal de baln de arteria renal u otra arteria visceral
Angioplasta venosa transluminal de baln
Drenaje biliar transheptico percutneo con control de contraste, supervisin e interpretacin radiol
Cambio de tubo percutneo o catter de drenaje con control de contraste (p. ej., sistema gastrointest
Orientacin radiolgica para el drenaje percutneo de un absceso o para obtencin de una muestra (
Examen radiolgico de trax; vista nica, frontal
Examen radiolgico de trax, dos incidencias, frontal y lateral
Examen radiolgico unilateral de costillas, dos incidencias
Examen radiolgico de esternn, mnimo de dos incidencias
Bronquiografa unilateral
Tomografa computarizada de trax; sin material de contraste
Resonancia magntica de trax sin contraste
Examen radiolgico de trax con procedimiento lordtico apical, con incidencias frontal y lateral
Examen radiolgico de trax con proyecciones oblcuas, con incidencias frontal y lateral
Examen radiolgico de trax con fluoroscopa, con incidencias frontal y lateral
Examen radiolgico de trax, completo, mnimo de cuatro incidencias
Examen radiolgico de trax con fluoroscopa, con un mnimo de cuatro incidencias
Examen radiolgico de trax, incidencias especiales (p. ej., decbito lateral, estudios de bucky)
Biopsia con aguja de lesin intratorcica, incluyendo placas de seguimiento, orientacin fluoroscpica
Bronquiografa bilateral
Examen radiolgico unilateral de costillas incluyendo el trax psteroanterior, mnimo de tres inciden
Examen radiolgico bilateral de costillas, tres incidencias
Examen radiolgico bilateral de costillas, incluyendo el trax psteroanterior, mnimo de cuatro incid
Examen radiolgico de articulacin o articulaciones esternoclaviculares, mnimo de tres incidencias
Tomografa computarizada de trax; con material de contraste
Resonancia magntica de trax con contraste
Angiografa por Resonancia magntica en trax, con o sin uso de contraste

Colecistografa oral
Colangiografa y/o pancreatografa intraquirrgica adicional
Colangiografa y pancreatografa a travs de catter existente
Examen radiolgico de esfago
Colangiografa y/o pancreatografa intraquirrgica
Examen radiolgico de tracto gastrointestinal superior a doble contraste sin KUB
Colangiografa percutnea transheptica
Examen radiolgico de tracto gastrointestinal superior a doble contraste con KUB, y control de intesti
Examen radiolgico de intestino delgado, con mltiples placas seriadas
Examen radiolgico de colon con contraste de aire y bario especfico de alta densidad, con o sin gluca
Examen radiolgico de faringe y/o esfago cervical
evaluacin de la funcin de deglucin con cinerradiografa y/o vdeoradiografa
extraccin de cuerpo extrao esofgico mediante el uso de baln de cateterizacin
Examen radiolgico de tracto gastrointestinal superior sin kub
Examen radiolgico de tracto gastrointestinal superior con kub
Examen radiolgico de tracto gastrointestinal e intestino delgado, incluyendo placas seriadas mltipl
Examen radiolgico de tracto gastrointestinal superior a doble contraste con KUB
Examen radiolgico de intestino delgado, con mltiples placas seriadas a travs de tubo de enteroclis
Duodenografa hipotnica
Examen radiolgico de clon mediante enema de bario, con o sin KUB
Enema teraputico de material de contraste o aire
Colecistografa oral adicional
Extraccin postoperatoria de clculos biliares por va percutnea con tubo T, cesta o lazo
Asistencia a la cateterizacin endoscpica del sistema biliar
Asistencia a la cateterizacin endoscpica de conductos pancreticos
Asistencia a la cateterizacin endoscpica combinada de conductos a nivel biliar y pancretico
Asistencia a la introduccin de tubo gastrointestinal largo incluyendo fluoroscopas y placas mltiples
Colocacin percutnea de tubo de enteroclisis
Asistencia a la dilatacin intraluminal de constricciones y/o obstrucciones
Dilatacin percutnea transheptica de estenosis de conducto biliar con o sin colocacin de catter p
Cistografa, mnimo tres incidencias
Uretrocistografa retrgrada
Urografa retrgrada, con o sin KUB
Urografa (pielografa) intravenosa, con o sin KUB, con o sin tomografa
Urografa, infusin por goteo y/o en bolo
Urografa antergrada
Urografa, infusin por goteo y/o en bolo con nefrotomografa
Vasografa, vesiculografa o epididimografa
Uretrocistografa con miccin
Introduccin percutnea de intracatter o catter en la pelvis renal para drenaje y/o inyeccin
Introduccin percutnea de catter ureteral o catter dilatador en el urter va pelvis renal para dren
Linfangiografa unilateral de extremidad
Esplenoportografa
Venografa unilateral de extremidad
Venografa seriada de la cava inferior
Venografa seriada de la cava superior
Venografa renal unilateral selectiva
Portografa transheptica percutnea con evaluacin hemodinmica
Linfangiografa bilateral de extremidad
Linfangiografa unilateral plvica/ abdominal
Linfangiografa bilateral plvica/ abdominal
Estudio de derivacin para investigar una derivacin no vascular implantada, previamente colocada
Venografa bilateral de extremidad
Venografa renal bilateral selectiva
Venografa adrenal unilateral, selectiva, supervisin e interpretacin radiolgicas
Venografa adrenal bilateral, selectiva, supervisin e interpretacin radiolgicas
Venografa por catter en seno venoso o yugular
Venografa de seno sagital superior
Venografa epidural, supervisin e interpretacin radiolgicas
Venografa orbital, supervisin e interpretacin radiolgicas
Portografa transheptica percutnea sin evaluacin hemodinmica
Venografa heptica cuneiforme o libre con evaluacin hemodinmica
Venografa heptica cuneiforme o libre sin evaluacin hemodinmica
Oobtencin de muestra venosa por catter, con o sin angiografa
Ecografa abdominal completa por rastreo B y/o en tiempo real
Ecografa retroperitoneal completa por rastreo B y/o en tiempo real
Ecografa retroperitoneal limitada por rastreo B y/o en tiempo real
Ecografa abdominal limitada por rastreo B y/o en tiempo real
Ecografa de rin transplantado por rastreo B y/o en tiempo real
Ultrasonido oftlmico diagnstico con rastreo B de contacto
Ecoencefalografa con documentacin de la imagen
Ultrasonido de tejidos blandos de la cabeza y cuello rastreo B y/o de tiempo real
Ultrasonido oftlmico diagnstico con rastreo A
Ultrasonido oftlmico diagnstico de segmento anterior
Paquimetra unilateral o bilateral de crnea
Biometra oftlmica por ultrasonido modo A y clculo de poder de lente intraocular
Biometra oftlmica por ultrasonido modo A y clculo de poder de lente intraocular
Ubicacin ultrasnica oftlmica de cuerpos extraos
Ecografa de canal espinal y contenido
Ecografa no vascular de extremidades por rastreo B y/o en tiempo real
Ecografa dinmica de caderas de lactante, en tiempo real
Ecografa plvica no obsttrica completa por rastreo B y/o en tiempo real

Histerosonografa, con o sin flujo, doppler codificado con color
Medicin de densidad sea por ultrasonido en sitio perifrico
Gua ultrasonogrfica intraoperatoria
Ultrasonido de tero grvido, posterior al 1er trimestre
Perfil biofsico fetal, con test no estresante
Ultrasonido de tero grvido en 1er trimestre
Ultrasonido de tero grvido en 1er trimestre, embarazo mltiple
Ultrasonido de tero grvido, posterior al 1er trimestre, embarazo mltiple
Ultrasonido de tero grvido, evaluacin fetal detallada, producto nico
Ultrasonido de tero grvido, evaluacin fetal detallada, embarazo mltiple
Ultrasonido de tero grvido, examen limitado
Ultrasonido de tero grvido, examen de seguimiento
Ultrasonido de tero grvido, va transvaginal
Perfil biofsico fetal, sin test no estresante
Orientacin ultrasnica para pericardiocentesis
Orientacin ultrasnica para biopsia endomiocrdica
Reparacin de pseudoaneurisma arterial o fstula arteriovenosa con gua ultrasonogrfica
Acceso vascular guiado por ultrasonido
Gua ultrasonogrfica para ejecucin y monitoreo de ablacin visceral
Gua ultrasonogrfica para transfusin fetal intrauterina o cordocentesis
Gua ultrasonogrfica para colocacin de aguja
Gua ultrasonogrfica para muestreo de vellosidad corinica
Gua ultrasonogrfica para amniocentesis
Gua ultrasonogrfica para aspiracin de vulos
Gua ultrasonogrfica para colocacin de campos de radioterapia
Ecografa de trax por rastreo B y/o en tiempo real
Ecografa de mamas por rastreo B y/o en tiempo real
Estimacin de dosis de radiacin (plan mdico)
Elaboracin de plan de radioterapia con 2D (convencional)
Elaboracin de plan de radioterapia con 3D (tridimensional)
Elaboracin de plan de radioterapia con intensidad modulada
Teleterapia intermedia-2D (convencional) - tratamiento con suministro de irradiacin de cobalto
Teleterapia intermedia-2D (convencional) con acelerador lineal
Teleterapia compleja 3D (tridimensional) con acelerador lineal
Planeamiento de braquiterapia baja tasa (mtodo Flesher), sin carga diferida
Planeamiento de braquiterapia baja tasa (mtodo Manchester) con carga diferida
Planeamiento de braquiterapia alta tasa
Dosimetra especial (TBI )
Dosimetra especial (SEI)

Diseo y construccin de dispositivos teraputicos simple (cerrobend, placas de plomo)
Diseo y construccin de dispositivos teraputicos simple ocular (placas de oro)
Suministro de tratamiento por radiacin de fotones con acelerador lineal (6 mv )
Suministro de tratamiento por radiacin de electrones con acelerador lineal (18 mv)
Suministro de tratamiento por radiacin de electrones con acelerador lineal
Aplicacin superficial de fuente de radiacin (braquiterapia ocular)
Aplicacin de fuente de radiacin intracavitaria simple (cervix), radiun intracavitario
Braquiterapia de carga diferida de alta intensidad; 1 - 4 posiciones o catteres fuente
Aplicacin de fuente de radiacin intracavitaria compleja (pulmn, esfago, recto, etc.)
Braquiterapia carga diferida de alta intensidad; 5 - 8 posiciones o catteres fuente
Braquiterapia carga diferida de alta intensidad; 9 -12 posiciones o catteres fuente
Braquiterapia carga diferida de alta intensidad; ms de 12 posiciones o catteres fuente
Braquiterapia de carga diferida manual
Manejo del tratamiento por radiacin, cinco sesiones
Manejo de terapia de radiacin con un curso de terapia completa
Manejo de terapia de radiacin estereotctica de lesiones cerebrales (con acelerador lineal)
Manejo de terapia en radiociruga (con acelerador lineal)
Procedimiento de tratamiento especial
Suministro de tratamiento con intensidad modulada
Fluidificacin de secreciones
Ubicacin de tumor por radiofrmaco o distribucin de radiofrmaco en zonas mltiples
Evaluacinde Shunts
Ubicacin de tumor por radiofrmaco o distribucin de radiofrmaco por SPECT
Ubicacin de tumor por radiofrmaco o distribucin de radiofrmaco en todo el cuerpo, con 2 o ms d
Ubicacin radiofarmacutica de proceso inflamatorio en todo el cuerpo
Ubicacin radiofarmacutica de proceso inflamatorio por SPECT
Suministro de radiofrmacos de diagnstico
Biopsia dirigida x fluoroscopa
Drenaje por TAC
Pictografia antergrada
Tomografia lineal (4)
Quimioterapia arterial selectiva
Estudio de trombosis venosa-flebografa isotpica regional
Obtencin de imgenes de trombosis venosa mediante venograma bilateral - flebografa isotpica de
Estudios mltiples de imgenes de perfusin cardaca
Estudios mltiples de imgenes de perfusin cardaca por SPECT
Obtencin de imgenes planares de infarto de miocardio por SPECT
Estudio de perfusin de miocardio con movimiento de pared
Estudio de perfusin de miocardio con fraccin de eyeccin
Estudio con pirifosfato planar

Estudio con pirifosfato planar y tomogrfico
Estudio con mibi-tec99m reposo-esfuerzo y tomografa (SPECT)
Otros estudios del sistema vascular con Tecnecio 99 m
Ventriculografa isotpica en reposo y esfuerzo
Ventriculografa isotpica en reposo
Gammagrafa miocrdica con pirofosfato
Gammagrafa de espacio vascular cardiaco y/o grandes vasos
Terapia con radionucleidos
Captacin tiroidea en determinacin nica con Iodo 131
Imgenes de captacin por tiroides en determinacin nica - gammagrafa de tiroides
Imgenes del paratiroides- gammagrafa de paratiroides con sestamibi-TEC99M
Imgenes de adrenales, corteza y/o mdula- gammagrafa de glndulas suprarrenales
Deteccin de feocromocitoma con metil-iodo- guanetidina -123
Captacin tiroidea en determinaciones mltiples
Captacin tiroidea en determinaciones mltiples con Tecnesio 99M
Captacin tiroidea posterior a estimulacin, supresin o descarga
Prueba de estmulo con TSH - gammagrfica
Prueba de supresin con T3 gammagrfica
Obtencin de imgenes de metstasis de carcinoma de tiroides en todo el cuerpo- rastreo de tejido t
Obtencin de imgenes de metstasis de carcinoma de tiroides en todo el cuerpo - rastreo de tejido t
Otros estudios endocrinos con Tecnecio 99 m
Gammagrafa de tiroides planar y tomogrfica con TEC99M
Gammagrafa de tiroides planar y tomogrfica con I-131
Obtencin de imgenes hepticas estticas
Obtencin de imgenes hepticas y de bazo estticas
Estudio de funcin heptica con agentes hepatobiliares
Imgenes del sistema de conductos hepatobiliares incluyendo la vescula biliar
Motilidad esofgica
Obtencin de imgenes de mucosa gstrica

Obtencin de imgenes de prdida gastrointestinal aguda de sangre
Obtencin de imgenes del hgado por SPECT
Obtencin de imgenes hepticas incluyendo flujo vascular
Obtencin de imgenes del hgado por SPECT incluyendo flujo vascular
Estudio funcional de glndulas salivales
Captura de C-14 para anlisis de rea respiratoria
Anlisis de rea respiratoria mediante C-14
Deteccin del divertculo de Meckel
Otros estudios digestivos con Tecnecio 99 m
Imgenes de intestino (p. ej., mucosa gstrica ectpica, ubicacin Meckel, vlvulo)
Obtencin de imagen esttica de rin
Obtencin de imagen de rin y su flujo vascular
Estudio residual de vejiga urinaria
Determinacin de filtracin de Glomerular (GFR) y Radiorrenograma
Obtencin de imagen de estudio funcional de rin
Estudio de flujo vascular y funcional de rin sin intervencin farmacolgica
Estudio de flujo vascular y funcional de rin con intervencin farmacolgica
Obtencin de imgenes renales por SPECT
Estudio de flujo vascular renal
Estudio de reflujo vsico ureteral -mtodos directo
Estudio de reflujo vsico ureteral -mtodos indirecto
Otros estudios renales con Tecnecio 99 m
Obtencin de imgenes y flujo vascular de testculos- perfusin testicular
Imgenes del bazo solamente
Estudio de supervivencia plaquetaria
Otros estudios del sistema reticulo endotelial con Tecnecio 99 m
Volumen plasmtico, por tcnica de determinacin de volumen mediante dilucin deradiofrmaco (pr
Determinacin del volumen de sangre entera, incluyendo la determinacin separada del volumenplas
Obtencin de imgenes de huesos y/o articulaciones limitadas a una zona
Estudio de densidad sea de una o ms zonas por absorciometra nica de fotones
Obtencin de imgenes de huesos y/o articulaciones a partir de estudio trifsico
Obtencin de imgenes de huesos y/o articulaciones a partir de SPECT
Gammagrafa de mdula sea
Otros estudios seos con tecnecio 99 m
Gammagrafa sea planar y tomogrfica

Gammagrafa sea trifsica
Gammagrafa sea Segmentaria-segmento
Gammagrafa steomuscular
Gammagrafa steoarticular-otros
Gammagrafa steoarticular-coxofemorales
Gammagrafa steoarticular-sacroiliacas
Gammagrafa steoarticular-hombros
Dacriocistografa radiofarmacutica
Obtencin de imgenes de parnquima y flujo vascular de cerebro con estudio completo
Obtencin de imgenes completas de cerebro por SPECT
Radioangiografa con gammagrafa planar y tomogrfica
Radioangiografa con gammagrafa cerebral esttica planar
Cisternografa tomogrfica
Ventriculografa
Evaluacin de derivacin de lquido cefalorraqudeo
Obtencin de imgenes de lquido cefalorraqudeo por SPECT
Obtencin de imgenes de perfusin pulmonar con partculas y de ventilacin con aerosol- gammagr
Obtencin de imgenes de perfusin pulmonar con partculas
Obtencin de imgenes de perfusin pulmonar con partculas y ventilacin-gammagrafa pulmonar d
Obtencin de imgenes de perfusin pulmonar con partculas y ventilacin, reinspiracin y barridoObtencin de imgenes mltiples sobre ventilacin pulmonar con aerosol-gammagrafa pulmonar de
Terapia radiofarmacutica inicial para hipertiroidismo - terapia por hiperfuncin con Iodo 131
Terapia radiofarmacutica subsecuente para hipertiroidismo, cada terapia adicional
Terapia radiofarmacutica, supresin de tiroides
Ablacin radiofarmacutica de la glndula para el carcinoma del tiroides -radioablacin funcional tiroi
Terapia radiofarmacutica para metstasis de carcinoma del tiroides- terapia de atipias diferenciadas
Terapia radiofarmacutica por inyeccin intravenosa, por cada tratamiento
Suministro de substancias radiofarmacuticas teraputicas
Perfil preoperatorio: hemograma de tercera generacin, grupo sanguneo, factor Rh, tiempo de coagu
Perfil prenatal: hemograma de tercera generacin, grupo sanguneo, glucosa, VDRL, HIV, examen de
Perfil TORCH
Batera de hepatitis:Antgeno de superficie de la hepatitis B (HBsAg), Anticuerpo contra el antgeno d
Perfil de donante de sangre (grupo sanguneo, hematocrito, VIH I-II, HBsAg, VHC, Sfilis, Chagas, HTLV
Perfil de Neonato (hematocrito, glucosa, grupo sanguneo y RH, TSH)
Examen de laboratorio completo del embarazo con HIV
Examen de laboratorio completo del embarazo sin HIV
Perfil de electrolitos: dixido de carbono, cloro, potasio y sodio
Perfil cardaco: CPK, CPK-MB, DHL, TGO
Perfil lipdico: colesterol total, HDL, LDL, VLDL, triglicridos y lpidos totales
Perfil heptico: TGO, TGP, GGTP, bilirrubina total y fraccionada, protenas total y fraccionada
Perfil de coagulacin: plaquetas, tiempo de coagulacin y sangra, tiempo de protrombina, pttk, retra
Dosaje de ciclosporina
Dosaje de carbamacepina total
Dosaje de primidona
Dosaje de fenobarbital
Dosaje de fenitona total
Dosaje de amitriptilina
Dosaje de carbamacepina libre
Dosaje de desipramina
Dosaje de doxepina
Dosaje de etosuximida
Dosaje de oro
Dosaje de imiprimina
Dosaje de lidocana
Dosaje de nortriptilina
Dosaje de fenitona libre
Dosaje de procainamida con metabolitos (p. ej., n-acetilprocainamida)
Dosaje de tacrolimus
Dosaje de topiramato
Dosaje de metotrexate
Dosaje de litio
Dosaje de salicilato
Dosaje de quinidina
Dosaje de amikacina
Dosaje de tobramicina
Dosaje de benzodiacepinas
Dosaje de procainamida
Dosaje de vancomicina
Dosaje de cido dipropilactico (cido valproico)
Dosaje de gentamicina
Dosaje de digoxina
Dosaje de teofilina
Perfil de estimulacin con ACTH para insuficiencia adrenal
Perfil de estimulacin con ACTH para deficiencia de 21 hidroxilasa
Perfil de estimulacin con ACTH para deficiencia de 3 beta-hidroxidehidrogenasa
Perfil de supresin de aldosterona (por ejemplo, con solucin salina)
Perfil de estimulacin de calcitonina (por ejemplo, calcio, pentagastrina)
Perfil de estimulacin de hormona liberadora corticotropa (CRH)
Perfil de estimulacin de gonadotropina corinica, y respuesta de testosterona
Perfil de estimulacin de gonadotropina corinica, y respuesta de estradiol
Perfil de estimulacin de vena renal con renina (por ejemplo con captopril)
Perfil de estimulacin de vena perifrica con renina (por ejemplo con captopril)
Perfil combinado de evaluacin de hipfisis anterior
Perfil de supresin de dexametasona en 48 horas
Perfil de tolerancia al glucagn para insulinoma
Perfil de tolerancia al glucagn para feocromocitoma
Perfil de liberacin de hormona liberadora de gonadotropinas
Perfil de estimulacin de hormona de crecimiento
Perfil de supresin de hormona de crecimiento
Perfil de supresin pptido C inducido por insulina
Perfil de tolerancia a la inulina, por insuficiencia de ACTH
Perfil de tolerancia a la inulina, por insuficiencia de hormona de crecimiento
Perfil de metirapona
Perfil de estimulacin de TRH, por una hora
Perfil de estimulacin de TRH, por dos horas
Perfil de estimulacin de TRH, por hiperprolactinemia
Anlisis de orina por tira de anlisis o reactivo en tableta, con microscopa
Anlisis de orina automatizado, con microscopa
Anlisis de orina no automatizado, sin microscopa
Anlisis de orina automatizado, sin microscopa
Anlisis de orina con tamizaje de bacteriuria, sin cultivo
Examen microscpico de sedimento urinario
Anlisis de orina, prueba de dos o tres vasos
Medicin de volumen urinario segn lapso de tiempo determinado
Anlisis de orina cualitativo o semicuantitativo, excepto inmunoensayos
Prueba de diagnstico del embarazo en orina
Hormona de crecimiento humana (somatotropina)
Vanililmandlico, cido (VMA), en orina
Reserva alcalina
Hemoglobina, fraccionamiento y anlisis cuantitativo; electroforesis (p. ej., A2, S, C y/o F)
Hormona luteinizante (LH)
Mioglobina
Paratohormona (hormona paratirodea)
Androstenediona
Angiotensina II
Tiroides, hormona de estimulacin del (TSH)
Aldosterona
Gastrina
Somatomedina
Capacidad de ligar el hierro
Inmunohistoqumica por marcador
Acetaldehdo en sangre
Acetona u otros cuerpos cetnicos en suero; cualitativa
Acetona u otros cuerpos cetnicos en suero; cuantitativa

Acetlcolinesterasa
Adenosn-5"-monofosfato cclico (AMP cclico)
Albmina urinaria, microalbmina semicuantitativa (p. ej., ensayo con tira reactiva)
Alcohol (etanol); cualquier muestra salvo el aliento
Alcohol (etanol); en aliento
Alcaloides en orina, cuantitivos
Alfa-fetoprotena; en lquido amnitico
Aluminio
Anlisis de lquido amnitico (espectrofotomtrico)
Angiotensina I - enzima de conversin de la angiotensina I (ACE)
Arsnico
Acido ascrbico (vitamina C), en sangre
Acidos biliares; totales
Bilirrubina; directa
Calcitonina
Clculo; anlisis qumico cuantitativo
Catecolaminas; sangre
Catecolaminas; fraccionadas
Catepsina-D
Cloranfenicol
Colinesterasa; srica
Colinesterasa; en eritrocitos
Cromatografa, cualitativa; en columna (p. ej., lquido-gaseosa, o HPLC)
Cromatografa, cuantitativa; en columna (p. ej., lquido-gaseosa, o HPLC), un solo analito
Cromo
Citrato
Cocana o metabolito
Cobre
Corticosterona
Cianuro
Cianocobalamina (vitamina B-12)
Deshidroepiandrosterona (DHEA)
Desoxicorticosterona, 11
Desoxicortisol, 11
Dihidrotestosterona (DHT)
Dihidroxivitamina D, 1,25
Epiandrosterona
Estrgenos; totales
Grasas o lpidos fecales; cualitativos
cidos grasos no esterificados
cidos grasos de cadena muy larga
Fluoruro
Fluorazepn
Galactosa-1-fosfato uridil transferasa; cuantitativa
Gammaglobulina; subclases de inmunoglobulinas, (IgG1, 2, 3, y 4)
Gases en sangre, saturacin de O2 solamente, por determinacin directa, excepto la oximetra de pu
cido gstrico, libre y total; cada muestra
Gastrina luego de la estimulacin con secretina
Prueba de tolerancia al glucagn
Glucosa, en sangre, tira reactiva
Glucosa, despus de una dosis de glucosa (incluye glucosa)
Guanosn-monofosfato (GMP), cclico
Helicobacter Pylori, anlisis de la prueba del aliento
Hemoglobina; por el mtodo del sulfato de cobre, no automatizado
Hemoglobina; F(fetal), prueba cualitativa (APT), fecal
Metahemoglobina, cualitativa
Metahemoglobina, cuantitativa
Histamina
Hidroxiprogesterona, 20
Hidroxiprolina; libre
Insulina; libre
Factor intrnseco
Lactosa en orina; cualitativa
Plomo
Manganeso
Meprobamato
Mucopolisacridos, cido; cuantitativos
Mielina, protena bsica, lquido cefalorraqudeo
Nicotina
Nucleotidasa, 5"
Fenotiazina
Fenilalanina (PKU), en sangre
Fosfatasa alcalina; termoestable
Porfobilingeno en orina; cuantitativo
Porfirinas en orina; determinacin cuantitativa y fraccionamiento
Porfirinas fecales; cualitativas
Prealbmina
Pregnenolona
Prostaglandina, cada una
Antgeno Prosttico especfico (PSA)
Protenas; Western blot, con interpretacin e informe, para sangre u otro lquido corporal
Piridoxal fosfato (vitamina B-6)
Piruvato
Quinina
Riboflavina (vitamina B-2)
Serotonina
Silico, cido
Slice
Somatostatina
Sulfato; orina
Tiamina (vitamina B-1)
Tiroxina, globulina transportadora (TBG)
Tiroides, inmunoglobulinas de estimulacin (TSI)
Tocoferol, alfa (vitamina E)
Captacin de las hormonas tiroideas (T3 o T4), o proporcin de captacin de hormona tiroidea (THBR)
Triyodotironina T3; libre
Tirosina
Troponina, cualitativa
Nitrgeno urico; semicuantitativo (p. ej., prueba con tira reactiva)
Nitrgeno urico, clearance
Urobilingeno en orina; cuantitativo, muestra con recoleccin de tiempo medido
Urobilingeno en orina; semicuantitativo
Pptido vasoactivo intestinal (VIP)
Vasopresina (hormona antidiurtica, ADH)
Vitamina A
Vitamina K
Voltiles (p. ej. anhdrido actico, tetracloruro de carbono, dicloroetano, diclorometano,dietilter, alco
Zinc
Pptido C
Ovulacin, pruebas de, por mtodos de comparacin visual de color, para la hormona luteinizante hu
Crioglobulina
Nitrgeno urico, en orina
PH de fluido corporal diferente de sangre
Albmina srica
Albmina urinaria, cuantitativa
Sangre oculta en heces; 1-3 determinaciones simultneas
Gases en sangre, pH solamente
Protenas sricas; totales
Nitrgeno urico; cuantitativo
Bilirrubina; total
Creatina
Creatinina; en sangre
Glucosa, en sangre, cuantitativo
Cloruro; en orina
Fosfolpidos
Potasio; en orina
Fenilcetonas, cualitativas
Urobilingeno en orina; cualitativo
Urobilingeno en heces, cuantitativo
Cloruro; en sangre
Triglicridos
Acido rico; en sangre
Fructosa en semen
Osmolalidad; sangre
Osmolalidad; orina
Lactato deshidrogenasa (LD), (LDH);
Fosfatasa alcalina
Amilasa
Fsforo inorgnico (fosfato); en orina
Fsforo inorgnico (fosfato);
Calcio en orina
Calcio; total
Grasas o lpidos fecales; cuantitativos
Fosfatasa cida; total
Acido rico; otra fuente
Creatina quinasa (CK), (CPK); total
Magnesio
Sodio; orina
Colesterol - HDL
Colesterol - VLDL
Aspartato aminotransferasa
Alano aminotransferasa
Galactosa
Fosfatasa alcalina; isoenzimas
Protena glucosilada
Sodio; srico
Colesterol - LDL
Calcio ionizado
Colesterol srico; total
Glutamil transferasa, gamma (GGT)
Porfobilingeno en orina; cualitativo
Porfirinas fecales; cuantitativas
Porfirinas en orina; cualitativas

Creatina quinasa (CK), (CPK); fraccin MB solamente
Hemoglobina; F(fetal), anlisis qumico
Potasio; srico
Lipasa
Amonaco
Hidroxicorticosteroides, 17- (17-OHCS)
Catecolaminas; totales, orina
Aldolasa
Acido hidroxiindolactico, 5-(HIAA)
Hierro
Hidroxiprolina; total
Albmina urinaria, microalbmina, cuantitativa
Alfa-1-antitripsina; total
Acetaminofeno
Piruvato quinasa (PK)
Ceruloplasmina
Gammaglobulina; IgA, IgD, IgG, IgM cada una
Eritropoyetina
Hemoglobina, fraccionamiento y anlisis cuantitativo; cromatografa (p. ej., A2, S, C y/o F)
Gonadotropina corinica (HCG); cuantitativa
Gonadotropina corinica (HCG); cualitativa
Glucosa-6-fosfato deshidrogenasa (G6PD); cuantitativa
Hemoglobina; glucosilada
Lactato deshidrogenasa (LD), (LDH); isoenzimas, separacin y determinacin cuantitativa
Gases en sangre, cualquier combinacin de ph, pCO2, PO2, CO2, HCO3 (incluyendo la saturacin de O
Pregnandiol
Ferritina
Opiceos (p. ej., morfina, meperidina)
Triyodotironina T3; total (TT-3)
Cortisol; libre
Tiroxina; total
Tiroxina; libre
Metales pesados (arsnico, bario, berilio, bismuto, antimonio, mercurio)
Lactosa en orina; cuantitativa
Protenas; fraccionamiento y determinacin cuantitativa por electroforesis
Acido flico; srico
Lipoprotenas en sangre; separacin y determinacin cuantitativa por electroforesis
Hormona Adrenocorticotrpica (ACTH)

Glucosa, prueba de tolerancia (GTT), tres muestras (incluye glucosa)
Cortisol; total
Glucagn
Hidroxiprogesterona, 17-D
Tiroglobulina
Acido delta-aminolevulnico (ALA)
Clculo; anlisis cualitativo
Gammaglobulina; IgE
Cetosteroides, 17- (17-KS); totales
Testosterona; total
Estriol
Prolactina
Estradiol
Alfa-fetoprotena; srica
Progesterona
Testosterona; libre
Xilosa, prueba de absorcin, en sangre y/o en orina
Insulina; total
Transferrina
Hormona folculo estimulante (FSH)
Renina
Medicin de fosfatasa alcalina leucocitaria
Hemograma manual
Examen manual de extendido de sangre sin parmetros diferenciales
Hemograma completo automatizado
Recuento automatizado de eritrocitos
Test de ADDIS
Evaluacin de concentracin de hemoglobina en reticulocitos
Tiempo de lsis del cogulo, dilucin de sangre entera
Medicin de factor II de coagulacin
Medicin de factor V de coagulacin
Medicin de factor VII de coagulacin
Medicin de factor VIII de coagulacin, una fase
Medicin del factor VIII de coagulacin, factor Von Willebrand, cofactor ristocetina
Medicin del factor VIII de coagulacin, antgeno del factor Von Willebrand
Medicin del factor VIII de coagulacin, factor Von Willebrand, anlisis multimtrico
Medicin del factor IX de coagulacin
Medicin del factor X de coagulacin
Medicin del factor XI de coagulacin
Medicin del factor XII de coagulacin

Medicin del factor XIII de coagulacin
Dosaje de precalicreina
Dosaje del ciningeno de alto peso molecular
Inhibidores de la coagulacin o anticoagulantes; protena C, antgeno
Prueba de inhibidores de factores
Trombomodulina
Tiempo de coagulacin por mtodo de Lee y White
Tiempo de coagulacin activado
Tiempo de coagulacin por otros mtodos
Medicin de productos de degradacin de fibrina o fibringeno por paracoagulacin
Medicin cuantitativa de productos de degradacin de fibrina o fibringeno
Medicin de productos de degradacin, dmero D
Medicin cuantitativa de dmero D
Medicin de dmero D por mtodo ultrasensitivo
Medicin de antgeno de fibringeno
Fibrinolisinas o deteccin de coagulopatas, interpretacin e informe
Factores fibrinolticos y sus inhibidores
Identificacin directa de corpsculos de Heinz
Identificacin de corpsculos de Heinz posterior a induccin con acetilfenilhidrazina
Evaluacin de hemoglobina fetal o eritrocitos fetales por lsis diferencial
Evaluacin de hemoglobina fetal o eritrocitos fetales por tcnica de roseta
Medicin de hemolisina cida
Ensayo de heparina
Prueba de tolerancia heparina-protamina
Tincin de hierro en sangre perifrica
Medicin de fragilidad mecnica de eritrocitos
Medicin de fragilidad osmtica de eritrocitos con incubacin
Prueba de agregacin plaquetaria in vitro (por agente)
Prueba de neutralizacin de plaquetas
Tiempo de protrombina, con sustitucin de fracciones de plasma
Tiempo de veneno de vbora Russell sin dilucin
Tiempo de veneno de vbora Russell con dilucin
Velocidad de sedimentacin etritrocitaria automatizada
Formacin falciforme de eritrocitos por reduccin
Dosaje de trombina
Inhibicin de tromboplastina tisular
Tiempo parcial de tromboplastina, con sustitucin de fracciones de plasma
Medicin de viscosidad sangunea
Identificacin de anticuerpos irregulares: incluye 86860, 86875, 86971, 86970, 86977, 86978
Prueba de compatibilidad para cada unidad de sangre en tubo
Prueba de compatibilidad para cada unidad de sangre por tarjeta en gel
Preparacin y conservacin de plasma

Preparacin y conservacin de plaquetas
Preparacin y conservacin de crioprecipitado
Preparacin y conservacin de plaquetas con sistema de leucoreduccin
Atencin de donantes
Dosaje de subunidad beta
Hematocrito
Recuento automatizado de leucocitos
Velocidad de sedimentacin etritrocitaria no automatizada
Recuento manual de constantes corpusculares por separado
Interpretacin e informe escrito de extendido de sangre perifrica
Hemoglobina
Tiempo de trombina plasmtica
Inhibidores de la coagulacin o anticoagulantes; protena C, actividad
Recuento automatizado de plaquetas
Tiempo de coagulacin y sangra
Recuento manual de eritrocitos
Retraccin de cogulo
Medicin de fragilidad osmtica de eritrocitos sin incubacin
Medicin de actividad de fibringeno
Medicin del antgeno asociado al factor VIII
Medicin de Producto de degradacin de fibringeno (PDF) por aglutinacin en placa
Tiempo parcial de tromboplastina en plasma o sangre total
Prueba de muramidasa
Interpretacin del extendido de mdula sea solamente
Biopsia de mdula sea, con aguja o trocar
Deteccin de anticuerpos para antgeno nuclear del virus Epstein Barr
Deteccin de anticuerpos para antgeno de cpside del virus Epstein Barr
Inmunoelectroforesis en suero
Inmunoelectroforesis en otros lquidos, incluyendo concentracin
Prueba de confirmacin de anticuerpos para Treponema Pallidum
Determinacin de componente antignico de complemento
Deteccin de anticuerpos IgM para ncleo de virus de Hepatitis B
Deteccin de anticuerpos totales para virus de Hepatitis A
Determinacin de anticuerpo a cardiolipina
Determinacin de anticuerpos contra antgeno nuclear extrable
Determinacin de anticuerpos para Hepatitis C
Determinacin de anticuerpos anti DNA nativo o de doble cadena
Inmunoensayo cuantitativo para otros antgenos
Examen confirmatorio para anticuerpo contra HTLV o HIV

Inmunofijacin
Medicin cuantitativa o semicuantitativa de IgG especfica para alergenos
Medicin cuantitativa o semicuantitativa de IgE especfica para alergenos
Medicin cualitativa de IgE especfica para mltiples alergenos
Identificacin de anticuerpos antileucocitarios
Identificacin de anticuerpos antiplaquetarios
Identificacin de inmunoglobulinas asociadas a plaquetas
Titulacin de anticuerpos antinucleares
Tamizaje de antiestreptolisina O
Medicin de protena C-reactiva de alta sensibilidad
Determinacin de anticuerpos a la beta 2 glicoproteina I
Determinacin de anticuerpo anti-fosfatidilserina
Prueba de quimiotaxis segn mtodo especfico
Determinacin de actividad funcional de componente de complemento
Pruebas de fijacin de complemento con antgeno
Contrainmunoelectroforesis
Determinacin de anticuerpos para desoxirribonucleasa
Determinacin de receptores Fc
Anticuerpos fluorescentes contra agente no infeccioso
Determinacin de ttulo de anticuerpos fluorescentes contra agente no infeccioso
Determinacin de anticuerpos contra hormona de crecimiento
Inmunoensayo orientado a antgeno tumoral
Inmunoensayo cuantitativo para antgeno tumoral
Tamizaje de anticuerpos heterfilos
Titulacin de anticuerpos heterfilos
Titulacin de anticuerpos heterfilos despus de la absorcin con clulas de res y rin de cobayo
Inmunoensayo cuantitativo para anticuerpo a agente infeccioso
Inmunoensayo cualitativo o semicuantitativo para anticuerpo a agente infeccioso
Inmunoelectroforesis cruzada
Inmunodifusin en gel
Electroforesis con inmunofijacin
Determinacin de inhibina A
Determinacin de anticuerpos contra el factor intrnseco
Determinacin de anticuerpos contra clulas de los islotes de Langerhans
Prueba de liberacin de histamina leucocitaria
Prueba de fagocitosis leucocitaria
Prueba de transformacin linfocitaria por mitgeno o por blastognesis inducida por antgeno
Linfocitos T, recuento absoluto de CD4
Determinacin de anticuerpos microsomales (p. ej., contra tiroides o hgado-rin)
Prueba de factor de inhibicin de la migracin (MIF)
Prueba de tincin con nitroazul de tetrazolio (NTD)

Aglutinaciones para propsito de tamizaje
Titulacin de la aglutinacin de partculas
Factor reumatoideo cuantitativo
Test cutneo para candida
Test cutneo para coccidioidomicosis
Test cutneo para histoplasmosis
Prueba cutnea para tuberculosis con disco
Prueba cutnea para otros antgenos especificados
Deteccin de anticuerpos contra estreptoquinasa
Test cuantitativo para sfilis
Deteccin de ancituerpos para Actinomyces
Deteccin de anticuerpos para bacteria no especificada
Deteccin de anticuerpos para Bartonella
Deteccin de anticuerpos para Blastomyces
Deteccin de anticuerpos para Bordetella
Confirmacin de anticuerpos para Borrelia burgdorferi
Deteccin de anticuerpos para Borrelia burgdorferi
Deteccin de ancituerpos para Campylobacter
Deteccin de ancituerpos IgM para Clamidia
Deteccin de anticuerpos para Coccidioides
Deteccin de anticuerpos para Coxiella Brunetii
Deteccin de anticuerpos para Cryptococcus
Deteccin de anticuerpos para Difteria
Deteccin de anticuerpos para encefalitis de California
Deteccin de anticuerpos para para encefalitis equina oriental
Deteccin de anticuerpos para encefalitis de Saint Louis
Deteccin de anticuerpos para encefalitis equina occidental
Deteccin de anticuerpos para antgeno precoz del virus Epstein Barr
Deteccin de anticuerpos para Ehrlichia
Deteccin de anticuerpos para Francisella Tularensis
Deteccin de anticuerpos para hongo no especificado
Deteccin de anticuerpos para Giardia Lamblia
Deteccin de anticuerpos para Helicobacter pylori
Deteccin de anticuerpos para helmintos no especificados en otro lugar
Deteccin de anticuerpos para Hemophilus influenza
Deteccin de anticuerpos para HTLV-II
Deteccin de anticuerpos para Hepatitis por agente delta
Deteccin de anticuerpos para Herpes simple
Deteccin semicuantitativa simultnea de anticuerpos para HIV-1 y HIV-2
Deteccin de anticuerpos para Legionella
Deteccin de anticuerpos para Leishmania
Deteccin de anticuerpos para Leptospira

Deteccin de anticuerpos para Listeria monocytgenes
Deteccin de anticuerpos para la Coriomeningitis linfoctica
Deteccin de anticuerpos para Linfogranuloma venreo
Deteccin de anticuerpos para Mucormicosis
Deteccin de anticuerpos para Parotiditis
Determinacin de anticuerpos para Neisseria meningitidis
Determinacin de anticuerpos para Nocardia
Determinacin de anticuerpos para Parvovirus
Determinacin de anticuerpos para Plasmodium
Determinacin de anticuerpos para protozoarios no clasificados en otra parte
Determinacin de anticuerpos para Virus sincicial respiratorio
Determinacin de anticuerpos para Rickettsia
Determinacin de anticuerpos para Rotavirus
Determinacin de anticuerpos para Salmonella
Determinacin de anticuerpos para Shigella
Determinacin de anticuerpos para Ttanos
Determinacin de anticuerpos IgM para Toxoplasma
Determinacin de anticuerpos para Trichinella
Determinacin de anticuerpos para virus no especificado en otro lugar
Determinacin de anticuerpos para Yersinia
Determinacin de anticuerpos para Tiroglobulina
Prueba de confirmacin para anticuerpos contra Hepatitis C
Deteccin de anticuerpos para Rabia
Deteccin reaccin antgeno-anticuerpo para el diagnstico de rabia
Dosaje de Procalcitonina
Dosaje de Interleuquinas
Examen inmunolgico de recin nacido de madre VIH positiva
Examen inmunolgico de recin nacido de madre RPR positiva
Prueba diagnstica del embarazo - Pregnosticn en orina
Brucella estudio serolgico completo
Brucella estudio con rosa de bengala
Brucella: aglutinaciones bloqueadores
Brucella: estudio en tubo
Brucella:fenmeno de zona
Prueba de linfocitotoxicidad por homologacin visual y titulacin
Prueba de linfocitotoxicidad por homologacin visual sin titulacin
Tamizaje estndar de suero para el porcentaje de anticuerpo reactivo (PRA) citotxico
Tamizaje rpido de suero para el porcentaje de anticuerpo reactivo (PRA) citotxico
Tipificacin HLA A, B o C para antgeno nico
Tipificacin HLA A, B o C para antgenos mltiples
Tipificacin HLA DL/DQ para antgeno nico
Tipificacin HLA DL/DQ para antgenos nicos
Cultivo de linfocitos mixtos para tipificacin HLA

Cultivo de linfocitos cebados para tipificacin HLA
Test cualitativo para sfilis (VDRL, RPR, ART)
Crioaglutinina; evaluacin
Prueba intradrmica para tuberculosis
Aglutinaciones en tubo (deteccin de aglutininas calientes)
Determinacin de anticuerpos para Sarampin
Deteccin de anticuerpos para HTLV-I
Titulacin de antiestreptolisina O
Deteccin de anticuerpos para Aspergilus
Deteccin de anticuerpos para Brucella
Deteccin de anticuerpos para Histoplasma
Determinacin de anticuerpos para Mycoplasma
Determinacin de anticuerpos para virus varicela zoster
Factor reumatoideo cualitativo
Deteccin de anticuerpos para Candida
Medicin de protena C-reactiva
Deteccin de anticuerpos contra la Hepatitis B
Deteccin de ancituerpos para Clamidia
Deteccin de ancituerpos para Adenovirus
Deteccin de anticuerpos para Echovirus
Deteccin de anticuerpos para virus Influenza
Anlisis de complejos inmunes
Determinacin de anticuerpos contra la insulina
Deteccin de anticuerpos para Citomegalovirus
Determinacin de anticuerpos anti DNA de cadena simple
Determinacin de anticuerpos para Rubola
Deteccin de anticuerpos para HIV-1 / HIV -2
Deteccin semicuantitativa de anticuerpos para HIV-2
Deteccin de anticuerpos totales para ncleo de virus de Hepatitis B
Deteccin de anticuerpos IgM para virus de Hepatitis A
Deteccin de anticuerpos de superficie de virus de Hepatitis B
Deteccin de anticuerpos IgM para Citomegalovirus
Determinacin de anticuerpos para Toxoplasma
Obtencin, procesado y almacenamiento de sangre o componente autlogo
Deteccin de anticuerpos contra eritrocitos
Elucin de anticuerpos contra eritrocitos
Tipificacin sangunea Rh
Tipificacin de antgenos eritrocitarios diferentes del sistema ABO o Rh
Tipificacin de sangre para prueba de paternidad para los sistemas ABO, Rh y MN

Tipificacin de sangre para prueba de paternidad por sistemas adicionales
Descongelamiento de plasma fresco congelado
Congelamiento y preparacin de sangre
Descongelamiento de sangre
Congelamiento y descongelamiento de sangre
Irradiacin de producto de la sangre
Incubacin de eritrocitos con agentes qumicos o drogas
Incubacin de eritrocitos con enzimas
Incubacin de eritrocitos con drogas
Dilucin de eritrocitos
Incubacin de eritrocitos con inhibidores
Pretratamiento de suero mediante absorcin diferencial de eritrocitos empleando eritrocitos de fenoti
Atencin de postulantes a donacin
Separacin de productos de la sangre por unidad
Test de Coombs indirecto
Test de Coombs directo
Titulacin de test de Coombs indirecto
Prueba de compatibilidad para cada unidad; tcnica de antiglobulina
Tipificacin sangunea ABO
Tipificacin completa fenotipo Rh
Prueba de compatibilidad para cada unidad; tcnica inmediata de centrifugacin
Prueba de compatibilidad para cada unidad; tcnica de incubacin
Clulas progenitoras
Banco de sangre: leucoferesis
Hemocultivo
Coprocultivo
Cultivo aerobio de fuente que no sea orina, sangre o heces
Inoculacin y observacin de animal pequeo
Inoculacin, observacin y diseccin de animal pequeo
Concentracin (de cualquier tipo) para agentes infecciosos
Mielocultivo
Cultivo para anaerobios, cuantitativo, cualquier fuente excepto orina, sangre o heces
Cultivo para anaerobios, cuantitativo, cualquier fuente excepto sangre
Aislamiento de anaerobios por mtodos especiales para su identificacin definitiva
Cultivo para aerobios por mtodos especialies para su identificacin definitiva
Cultivo de organismos presuntivamente patgenos, para propsitos de tamizaje
Cultivo de organismos presuntivamente patgenos con estimacin de nmero de colonias
Urocultivo con recuento de colonias
Urocultivo con aislamiento e identificacin presuntiva de cepas aisladas
Cultivo para hongos a partir de piel, cabello o uas
Cultivo para hongos a partir de fuentes que no sean piel, cabello, uas, o sangre
Cultivo para hongos a partir de sangre
Identificacin definitiva de esporas
Cultivo para micoplasma
Cultivo para clamidia
Cultivo e identificacin definitiva de micobacteria
Cultivo y tipificacin por inmunofluorescencia
Cultivo y tipificacin mediante cromatografa gas lquido o cromatografa lquida de alta presin
Cultivo y tipificacin por mtodo que no sea inmunofluorescencia
Cultivo y tipificacin mediante la prueba de cido nucleico
Cultivo y tipificacin mediante pulsos en gel
Cultivo y tipificacin por otros mtodos
Toma de muestra y examen de campo oscuro de muestra de cualquier fuente
Examen de campo oscuro de muestra de cualquier fuente
Examen macroscpico de artrpodo
Exmen macroscpico de parsito
Homogenizacin de tejido previo a cultivo
Test de Graham
Estudios de sensibilidad antibitica; mtodo de dilucin en agar
Estudios de sensibilidad antibitica; mtodo de disco
Deteccin de enzimas para examinar susceptibilidad bacteriana
Estudios de sensibilidad antibitica; por microdilucin o dilucin en agar
Identificacin de concentracin letal mnima para antimicrobianos por microdilucin o agar diluido
Estudios de sensibilidad antibitica; por mtodo de dilucin macrobroth
Estudios de sensibilidad antibitica para micobacterias, mtodo proporcional
Identificacin del ttulo bactericida en suero
Extendido de fuente primaria, tincin fluorescente o cido alcohol resistente
Montaje hmedo para agentes infecciosos
Ensayo de toxinas o antitoxinas mediante cultivo de tejidos
Aislamiento de virus por inoculacin en huevo embrionado o animal pequeo (incluye en rabia aislam
Aislamiento de virus por inoculacin en cultivo tisular
Aislamiento de virus por inoculacin en cultivo tisular, estudios adicionales
Aislamiento de virus por amplificacin centrfuga
Aislamiento de virus por medio no inmunolgico
Deteccin de antgeno de adenovirus por inmunofluorescencia
Deteccin de antgeno de pertusis/parapertusis por inmunofluorescencia
Deteccin de antgeno de enterovirus por inmunofluorescencia
Deteccin de antgeno de giardia por inmunofluorescencia
Deteccin de antgeno de Chlamydia trachomatis por inmunofluorescencia
Deteccin de antgeno de Citomegalovirus por inmunofluorescencia
Deteccin de antgeno de Herpes simple tipo 2 por inmunofluorescencia
Deteccin de antgeno de virus Influenza B por inmunofluorescencia
Deteccin de antgeno de Legionella micdadei por inmunofluorescencia

Deteccin de antgeno de Legionella pneuomophila por inmunofluorescencia
Deteccin de antgeno de virus Parainfluenza por inmunofluorescencia
Deteccin de antgeno de virus sincicial respiratorio por inmunofluorescencia
Deteccin de antgeno de Pneumocystis carini por inmunofluorescencia
Deteccin de antgeno de rubola por inmunofluorescencia
Deteccin de antgeno de virus Varicela Zoster por inmunofluorescencia
Deteccin de antgeno de adenovirus tipo 40/41 por ELISA
Deteccin de antgeno de Chlamydia trachomatis por ELISA
Deteccin de toxina de Clostridium difficile por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Criptococcus neoformans por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Criptosporidium por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Giardia por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Cytomegalovirus por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Escherichia coli 0157 por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Entamoeba histoltica por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Helicobacter pyilori por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de virus de agente delta por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Histoplasma capsulatum por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de HIV-1 por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de HIV-2 por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Influenza por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Virus sincitial respiratorio por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de rotavirus por ELISA y tcnica de mltiples pasos
Deteccin de antgeno de Estreptococo por ELISA y tcnica de mltiples pasos
ELISA para antgeno infeccioso, cualitativo o semicuantitativo, mtodo de pasos mltiples
ELISA para antgeno infeccioso, cualitativo o semicuantitativo, mtodo de paso nico
ELISA, mtodo de pasos mltiples para mltiples organismos
Deteccin de agente infeccioso por medio de cidos nucleicos (ADN o ARN); prueba directa, cada org
Deteccin de agente infeccioso por medio de cidos nucleicos (ADN o ARN); prueba ampliada, cada o
Deteccin de agente infeccioso por medio de cidos nucleicos (ADN o ARN); cuantificacin, cada orga
Baciloscopa: BK
Frotis con tincin especial para cuerpos de inclusin o parsitos (gota gruesa)
Examen de piel, cabello o uas con KOH para examinar huevos o larvas de ectoparsitos
Frotis, de fuente primaria e interpretacin, gram o giemsa para bacterias, hongos o clulas
Examen parasitolgico de huevos y parsitos por concentracin
Deteccin de antgeno de Treponema Pallidum por inmunofluorescencia
Chagas ELISA
Identificacin definitiva de levaduras
Deteccin de antgeno de superficie de virus de Hepatitis B por ELISA y tcnica de mltiples pasos
Hepatitis B: Ag Epsilon
Deteccin de antgeno de virus Influenza A por inmunofluorescencia
Cultivo de lquidos corporales (LCR, pleural, asctico, pericrdico, amnitico, otros)
Cutivo para anaerbicos
Deteccin de antgeno de Cryptosporidium por inmunofluorescencia
Deteccin de antgeno de Herpes simple tipo 1 por inmunofluorescencia
Cultivo para micobacteria proveniente de cualquier fuente
Deteccin de antgeno de virus de Hepatitis B por ELISA y tcnica de mltiples pasos
Necropsia (autopsia), examen macroscpico nicamente
Necropsia (autopsia), examen macroscpico nicamente; mortinato, recin nacido, lactante
Necropsia (autopsia), examen macro y microscpico, sin sistema nervioso central
Necropsia (autopsia), examen macroscpico y microscpico incluyendo sistema nervioso central
Necropsia, examen macroscpico y microscpico; mortinato, recin nacido, lactante
Necropsia (autopsia) limitada, macro y/o microscpica; regional
Papanicolaou
Citopatologa; evaluacin de material aspirado con aguja delgada, con o sin preparacin de extendido
Citopatologa, lquidos, lavados o cepillados, excepto cervicales o vaginales; extendidos con interpret
Citopatologa, tcnica de concentracin, extendidos e interpretacin (p. ej., tcnica de Saccomanno)
Identificacin de cromatina sexual; corpsculos de Barr
Citopatologa vaginal o cervical, lectura manual
Citopatologa vaginal o cervical, lectura y relectura manual
Citopatologa vaginal o cervical, lectura automatizada
Citopatologa vaginal o cervical, lectura automatizada con relectura manual
Citopatologa vaginal o cervical bajo el sistema Bethesda, lectura manual
Citopatologa vaginal o cervical bajo el sistema Bethesda, lectura y relectura manual
Citopatologa vaginal o cervical bajo el sistema Bethesda, lectura manual y relectura asistida por com
Citometra de flujo; cada marcador de superficie celular
Citometra de flujo de mdula sea
Impronta o citologia intraoperatoria
Citoqumico de mdula sea
Citologia en base lquida
Citologia hormonal (colpocitograma)
Urocitograma
Citometra clulas progenitoras
Citometra linfocitos CD4, CD8
Citometra mieloma
Citometra-linfocitos T, B, NK
Citometra-linfoma
Citometra-proceso parcial/frusto
Citoqumica leucemia aguda
Citoqumica linfoma-ll C
Estudio citogentico

Cultivo de tejidos para trastornos no neoplsicos; piel u otro tipo de biopsia de tejido slido
Cultivo de tejidos para trastornos no neoplsicos; lquido amnitico o clulas de vellosidades corinic
Cultivo de tejidos para trastornos neoplsicos; mdula sea, clulas sanguneas
Criopreservacin, congelamiento y almacenamiento de clulas, cada lnea celular
Descongelamiento y expansin de clulas congeladas, cada alcuota
Anlisis de cromosomas para deteccin de sndromes de fragmentacin cromosmica; intercambio ba
Anlisis de cromosomas; recuento de clulas, cariotipo, anlisis del patrn de bandas
Citogentica molecular; sonda de ADN cada una
Anlisis de cromosomas; cariotipos adicionales, cada estudio
Citogentica, y citogentica molecular, interpretacin e informe
Cariotipo+banda GTG mdula sea
Cariotipo+banda GTG sangre perifrica
Cariotipo+banda GTG tumores slidos
Histoqumica determinativa para identificar componentes qumicos (p. ej., cobre, cinc)
Estudio macro y microscpico de pieza operatoria
Examen de anatoma patolgica con tinciones especiales
Histoqumica determinativa o citoqumica para identificar componentes enzimticos
Inmunocitoqumica (incluyendo inmunoperoxidasa en tejidos), cada anticuerpo
Estudio de inmunofluorescencia, cada anticuerpo; mtodo directo
Estudio de inmunofluorescencia, cada anticuerpo; mtodo indirecto
Microscopia electrnica
Anlisis de morfometra
Hibridizacin in situ de tejidos, interpretacin e informe
Estudio de biopsia quirrgica
Estudio de biopsia por congelacin
Estudio de Block Cell
Estudio de tejido oseo con tcnica de descalcificacin
Inmunohistoquimica (inmunoperoxidasa) por cada marcador
Patologa: pieza operatoria grande
Patologa: pieza operatoria mediana
Patologa: pieza operatoria pequea
Estudio histopatolgico de pieza operatoria con microscopia electrnica
Estudio bacteriolgico para determinacin de agentes patolgicos en cavidad oral
Prueba de susceptibilidad de caries
Pruebas de vitalidad pulpar
Estudios citoqumico en lquidos corporales varios, excepto sangre; (ej., lquido cefalorraqudeo, pleur
Estudio de clculo renal
Anlisis microscpico de cristales
Tincin de grasas, en heces, orina o esputo
Toma de muestra
Cultivo de oocitos/embriones menor de 4 das

Incubacin asistida de embrin, microtcnicas (cualquier mtodo)
Preparacin de embrin para transferencia (cualquier mtodo)
Criopreservacin; embrin, espermatozoides
Aislamiento de espermatozoides
Inseminacin de oocitos
Fertilizacin asistida de ovocito, microtcnica
Semen - Espermatograma
Administracin de inmunoglobulina heterloga para prevencin de rabia, intramuscular
Administracin de inmunizacin por va intranasal u oral; una vacuna (aislada o en combinacin de va
Administracin de vacuna antituberculosa
Administracin de vacuna antirrbica, intramuscular - vacuna cultivo celular
Administracin de vacuna antirrbica, subcutnea - vacuna CRL
Administracin de DPT
Administracin de vacuna contra difteria y ttanos
Administracin de vacuna contra sarampin, paperas y rubola
Administracin de vacuna contra sarampin y rubola
Administracin de vacuna contra sarampin
Administracin de vacuna antipolio
Administracin de vacuna contra fiebre amarilla
Administracin de vacuna tetravalente
Administracin de vacuna contra la hepatitis B para poblacin peditrica y adolescente
Administracin de vacuna pentavalente
Administracin de inmunizacin (incluye inyecciones percutneas, intradrmicas, subcutneas, intram
Infusin intravenosa para diagnstico o terapia, administrada por el mdico o bajo su supervisin dire
Inyeccin profilctica, diagnstica o teraputica; subcutnea o intramuscular
Inyeccin profilctica, diagnstica o teraputica, intravenosa
Inyeccin profilctica, diagnstica o teraputica; intraarterial
Psicoanlisis
Psicoterapia de familia; sin la presencia del paciente
Psicoterapia de familia (psicoterapia conjunta); con la presencia del paciente
Psicoterapia de grupo multifamiliar
Psicoterapia de grupo (diferente grupo multifamiliar)
Psicoterapia interactiva de grupo
Evaluacin cognitivo conductual individual
Psicoterapia cognitivo conductual grupal
Psicoterapia cognitivo conductual
Terapia de relajacin
Psicoterapia grupal psicodinmica
Psicoterapia individual psicodinmica
Terapia de juego
Laborterapia
Terapia cognitiva conductual con nios o adolescentes
Taller de habilidades sociales

Taller de automedicacin
Tratamiento electroplexia
Hipnoterapia
Psicoterapia individual, de soporte, psicodinmica o psicoeducativa o de afronte cognitivo conductua
Primera sesin de hemodilisis
Hemodiafiltracin
Hemodilisis (2da. sesin)
Hemofiltracin
Hemoperfusin
Estudios (manomtricos) de la motilidad gstrica
Polipectoma alta con fibroscopio c/s videocmara
Extraccin de cuerpo extrao de esfago con fibroscopio c/s videocmara.
Mucosectoma de esfago con fibroscopio c/s videocmara
Escleroterapia de vrices esofgicas con fibroscopio c/s videocmara
Tratamiento de vrices gstricas con cianoacrilato, con fibroscopio c/s videocmara
Gastrostoma percutnea endoscpica
Videoesofagoscopa diagnstica (cepillado y/o biopsia)
Videoesofagogastroduodenoscopa diagnstica (endoscopa alta), con biopsia y/o cepillado
Polipectoma alta con videoendoscopio
Extraccin de cuerpo extrao de esfago con videoendoscopio
Mucosectoma gstrica con videoendoscopio
Ligadura de vrices esofgicas con videoendoscopio
Escleroterapia de vrices esofgicas con videoendoscopa
Hemostasia de vrices gstricas con cianoacrilato, con videoendoscopio
Hemostasia endoscpica alta con inyectoterapia c/s video
Hemostasia endoscpica alta con lser argn plasma
Hemostasia endoscpica alta con probeta caliente
Dilatacin esofgica con videoendoscopio
Gastrostoma percutnea endoscpica con videoendoscopio
Videoenteroscopa mas all de la 2da porcin duodenal sin incluir leon
Videoenterosocopa incluye leon
Videoenteroscopa a travs del ostoma
Cierre de fstula intestino - cutnea con videoendoscopa
Cierre de fstula enteroentrico o enteroclica con videoendoscopio
Cierre de fstula enterovesical con videoendoscopio
Sigmoidoscopa de fibra mas polipectoma, c/s videocmara
Ligadura endoscpica de hemorroides interna
Dilatacin endoscpica de ano-recto-anastomosis rectosigmoidea c/s video

Extraccin de cuerpos extraos de recto, con anoscopio o proctoscopio
Colonofibroscopa mas polipectoma baja
Hemostasia endoscpica baja con Inyectoterapia, c/s video
Hemostasia endoscpica baja con lser argn plasma, c/s video
Hemostasia endoscpica baja con probeta caliente, c/s video
Videosigmoidoscopa diagnstica (con biopsia)
Videosigmoidoscopa ms mucosectoma
Videosigmoidoscopa ms polipectoma
Videocolonoscopa izquierda diagnstica
Videocolonoscopa derecha diagnstica
Biopsia heptica percutnea dirigida por ecografa o TAC
Biopsia hepatica dirigida por laparoscopa
Biopsia peritoneal por laparoscopa
Paracentesis teraputica evacuatoria total
Biopsia de masa abdominal por laparoscopa
Pancreatocolangiografa retrgrada endoscpica (PCRE) diagnstica
Drenaje biliar interno por PCRE (instalacin de prtesis)
Drenaje biliar externo por PCRE (sonda Naso-biliar)
Dilatacin de va biliar por PCRE
Papiloesfinterotoma c/s extraccin de clculos, parsitos, cuerpos extraos
Litotricia mecnica del clculo de va biliar por PCRE
Biopsia endoscpica con pinza caliente
Diverticulotoma de esfago va endoscpica
Mucosectoma endoscpica de clon
Diseccin (reseccin) endoscpica de mucosa
Teraputica endoscpica de lesiones vasculares con lser argn plasma
Estudio de motilidad esofgica (manometra del esfago y/o de la unin gastroesofgica)
Test de perfusin cida (prueba de Bernstein) para esofagitis
Test de secrecin gstrica con inyeccin de estimulante (histamina, insulina, calcio y secretina)
Manometra anorectal
Prescripcin, colocacin y suministro de prtesis ocular (ojo artificial), con supervisin mdica de la a
Fotografa de fondo de ojo
Gonioscopa
Tonometra seriada
Oftalmodinamometra
Oculoelectromiografa de aguja, uno o varios msculos extraoculares

Campimetra y/o perimetra, uni o bilateral
Angiofluoresceinografa ocular
Examen y evaluacin oftalmolgicos bajo anestesia general
Examen sensorimotor con mediciones mltiples de la desviacin ocular (p. ej., msculo restrictivo o p
Barrido para diagnstico oftlmico (p. ej. barrido con lser), unilateral
Oftalmoscopa indirecta con dibujo retinal (p. ej., por desprendimiento de la retina, melanoma)
Test de colores
Test de estereopsis
Exoftalmometra
Biometra
Queratometra
Ecografa
Potenciales evocados
Estudio de nervio ptico/macula con lmpara de hendidura
Ciruga refractiva lser
Electro culograma
Angiofluoresceinoscopa ocular
Examen de otorrinolaringologa bajo anestesia general
Evaluacin del habla, lenguaje, voz, comunicacin, procesamiento auditivo, y/o rehabilitacin del esta
Rehabilitacin aural luego de implante coclear
Estudios de funcin nasal (p. ej., rinomanometra)
Estudios de funcin de los nervios faciales (p. ej., electroneuronografa)
Estudios de funcin de la laringe
Tratamiento de la disfuncin de la deglucin y/o funcin oral para la alimentacin
Evaluacin completa del umbral de audiometra y reconocimiento del habla
Timpanometra (prueba de impedancia)
Electrococleografa
Potenciales evocados auditivos para la audiometra de respuestas evocadas y/o pruebas del sistema
Prueba de evaluacin, tonos puros, transmitidos por aire solamente
Audiometra de tonos puros (umbral); transmitidos por aire solamente
Audiometra de tonos puros transmitidos por aire y hueso
Umbral de audiometra para el habla
Umbral de audiometra con reconocimiento del habla
Pruebas audiomtricas de grupos
Audiometra de Bekesy; evaluacin y diagnstico
Prueba de balance del volumen, biaural alternada o monoaural
Prueba de decaimiento del tono
Indice de sensibilidad a los incrementos breves (SISI)
Prueba de Stenger, tonos puros
Prueba de reflejo acstico
Prueba de decaimiento del reflejo acstico
Prueba de habla filtrada

Prueba de palabras espondaicas alternadas
Prueba de Lombard
Prueba de nivel de agudeza neurosensorial
Prueba de identificacin de oraciones sintticas
Prueba de Stenger, habla
Audiometra de condicionamiento por juego
Audiometra de cuadro seleccionado
Emisiones otoacsticas evocadas; limitadas (nivel de estmulo nico, transiente o productos de distor
Evaluacin completa o diagnstica (comparacin de emisiones otoacsticas transientes transitorias y
Pruebas de funcin de audicin centrales (especifique)
Examen y seleccin de audfono; monoaural
Examen y seleccin de audfono; biaural
Revisin de audfono; monoaural
Revisin de audfono; biaural
Evaluacin electroacstica para audfono; monoaural
Evaluacin electroacstica para audfono; biaural
Mediciones de atenuacin por proteccin de odos
Nistagmo de posicin
Prueba vestibular calrica, cada irrigacin (la estimulacin binaural, bitrmica constituye cuatro prue
Nistagmo optocintico
Prueba de nistagmo espontneo, incluyendo el nistagmo de mirada y de fijacin, con registro
Prueba de nistagmo de posicin, mnimo de 4 posiciones, con registro
Prueba vestibular calrica, cada irrigacin (la estimulacin binaural, bitrmica constituye cuatro prue
Prueba de nistagmo optocintico, bidireccional, estimulacin de la fosa o perifrica, con registro
Prueba de seguimiento oscilante, con registro
Prueba rotacional de eje vertical sinusoidal
Empleo de electrodos verticales
Microscopa binocular
Nasofaringoscopa con endoscopio (procedimiento separado)
Electrocardiograma
Prueba de esfuerzo ("stress") cardiovascular mximo o submximo en banda rodante o en bicicleta
Electrocardiografa con seal promediada (SAECG) con o sin ECG
Monitoreo intracavitario de arteria pulmonar o presin cua o capilar pulmonar
Cateterismo combinado de corazn derecho y retrgrado de corazn izquierdo
Biopsia de endomiocardio
Colocacin de catter en arterias coronarias, conductos coronarios arteriales, y/o injerto svenosos de
Cateterismo corazn izquierdo, retrgrado, desde la arteria braquial, arteria axilar o arteria femoral
Cateterismo de corazn izquierdo por puncin del ventrculo izquierdo
Cateterismo combinado de corazn izquierdo, transeptal y retrgrado
Cateterismo combinado de corazn derecho y transeptal de corazn izquierdo, a travs del tabique in
Cateterismo combinado de corazn derecho con puncin del ventrculo izquierdo (con o sin cateterism
Cateterismo combinado de corazn derecho y de corazn izquierdo a travs de apertura existente en
Cateterismo de corazn derecho, para anomalas cardacas congnitas
Cateterismo de corazn derecho y cateterismo retrgrado de corazn izquierdo combinados, para an
Cateterismo de corazn derecho y cateterismo transeptal de corazn izquierdo combinados, a travs
Cateterismo de corazn derecho y cateterismo transeptal de corazn izquierdo combinados a travs
Estudios de dilucin de indicador (dilucin trmica o colorantes), incluyendo la cateterizacin arterial
Medicin de velocidad intravascular con doppler y/o medicin de flujo coronario de reserva a partir de
Control ambulatorio de la presin arterial, mediante un sistema tal como una cinta magntica o y/o d
Anlisis electrnico de sistema de marcapasos antitaquicardia
Anlisis electrnico de sistema registrador implantable de asa (ILR)
Anlisis electrnico de sistema de marcapasos de doble cmara con o sin reprogramacin
Anlisis electrnico de sistema de marcapasos de una sola cmara con o sin reprogramacin
Estudios de gradiente de temperatura
Anlisis electrnico del cardioversor/desfibrilador de pulsos; cmara nica o doble, con o sin reprogra
Termograma
Registro electrofisiolgico de sistema de conduccin cardiaco
Pacing intraauricular, intraventricular
Mapeo intracardaco electrofisiolgico tridimensional
Registro esofgico de electrograma auricular con o sin electrogramas ventriculares, con o sin pacing
Evaluacin electrofisiolgica completa con induccin de arritmia mediante marcapasos elctrico
Pacing y mapeo cardiaco intraquirrgico para ubicar el sitio de taquicardia o zona de conduccin lent
Evaluacin electrofisiolgica de electrodos de cardioversor-desfibrilador
Ablacin intracardiaca por catter
Evaluacin de la funcin cardiovascular por evaluacin de tabla de oscilacin, con control continuo po
Electrocardiografa intracardaca durante intervencin diagnstica/ teraputica
Cardioversin electiva, conversin elctrica de la arritmia; externa
Reanimacin cardiopulmonar (p. ej. en paro cardiaco)
Colocacin transcatter de catteres dilatadores intracoronarios
Angioplasta coronaria transluminal percutnea
Cardioversin electiva, conversin elctrica de la arritmia; interna
Mtodo Cardioassist para mejorar la circulacin; interno
Mtodo Cardioassist para mejorar la circulacin; externo
Trombectoma coronaria transluminal percutnea
Tromblisis coronaria; por infusin intracoronaria, incluyendo la angiografa coronara selectiva
Tromblisis coronara; por infusin intravenosa

Ultrasonido intravascular (vaso o injerto coronarios)
Aterectoma coronaria transluminal percutnea, con o sin angioplastia de baln
Angioplasta con baln de arteria pulmonar transluminal percutnea
Septectoma o septostoma auricular por mtodo transvenoso de baln
Estudios fisiolgicos no invasivos de las arterias extracraneales, estudio bilateral completo
Colocacin de sonda esofgica para monitoreo de gasto cardiaco continuo - metodo doppler
Barrido dplex de arterias extracraneales
Estudio transcraneal doppler de las arterias intracraneales
Estudios fisiolgicos no invasivos de las arterias de las extremidades superiores o inferiores
Barrido dplex de las arterias de las extremidades inferiores o de injertos de revascularizacin arteria
Estudios fisiolgicos no invasivos de las venas de las extremidades
Barrido dplex de las venas de las extremidades incluyendo respuestas a la compresin y otras mani
Barrido dplex de la aorta, vena cava inferior, vasculatura iliaca o injertos de revascularizacin
Barrido dplex de la entrada arterial y salida venosa de los rganos abdominales, plvicos, delescroto
Barrido dplex de entrada arterial y salida venosa de los vasos del pene
Evaluacin de broncoespasmo: espirometra antes y despus de broncodilatador en aerosol o parente
Evaluacin de broncoespasmo post exposicin prolongada a antgeno, aire fro, metocolina u otro age
Capacidad vital total
Capacidad de respiracin mxima, ventilacin voluntaria mxima
Capacidad funcional residual o volumen residual, cualquier mtodo
Determinacin de la resistencia al flujo areo, mtodos oscilantes o pletismogrficos
Determinacin del volumen de cierre de las vas areas, pruebas de una sola respiracin
Respuesta respiratoria a la hipoxia (curva de respuesta a la hipoxia)
Ventilacin con presin positiva continua en las vas areas
Ventilacin con presin negativa continua
Manipulacin de la pared torcica, tal como acopado, percusin y vibracin para facilitar la funcin pu
Consumo de oxgeno por anlisis de gas espirado
Capacidad de difusin del monxido de carbono, cualquier mtodo
Capacidad de difusin por membrana
Compliance pulmonar (ej. pletismografa, medicin de volumen y presin)
Oximetra no invasiva para determinar saturacin de oxgeno
Inhalaciones de aerosoles o vapores para la movilizacin del esputo, broncodilatacin o induccin del
Prueba de esfuerzo pulmonar
Tratamiento por inhalacin con o sin presin para tratamiento de obstruccin aguda de las vas area
Espirometra
Ayuda y manejo de la ventilacin, inicio de ventiladores de presin o de volumen prefijados para la re
Pruebas cutneas con parche (por extracto)
Prueba de sensibilidad (conjuntival, mucosa) (por hora)
Prueba cutnea de lectura inmediata - tipo puntura (por cada aplicacin de extracto)
Prueba de broncoprovocacin
Electroencefalograma (EEG)
Electroencefalograma (EEG), incluyendo registro en estado de vigilia y en estado de somnolencia

Electrocorticograma durante la ciruga
Insercin mdica de electrodos esfenoidales para el registro electroencefalogrfico (EEG)
Electromiografa de aguja con electrodo de fibra nica, con determinacin cuantitativa de fibrilacione
Electromiografa de aguja, una extremidad
Electromiografa de aguja, dos extremidades
Electromiografa de aguja, tres extremidades
Electromiografa de aguja, cuatro extremidades
Electromiografa de aguja, msculos surtidos por los nervios craneales, bilateral
Electromiografa de aguja; msculos torcicos paraespinales
Ejercicio de extremidad isqumica con electromiografa de aguja, con determinacin de cido lctico
Estudio de conduccin, amplitud y latencia/velocidad nerviosos
Electrografia: evaluacion integral del sistema autnomo
Electrografia: monitorizacion con PEA
Electrografia: monitorizacion con PESS
Electrografia: monitorizacion con PEV
Electrografia: reflejo palpebral
Electrografia: vc metodo de colision
Potenciales evocados somatosensoriales de latencia corta
Pruebas del sistema nervioso central mediante potenciales evocados visuales (VEP), tablero de ajedre
Reflejo orbicularis oculi (parpadeo), por prueba electrodiagnstica
Reflejo H, estudio de amplitud y latencia; registro del msculo gastrocnemio/sleo
Pruebas de unin neuromuscular (estimulacin repetitiva, estmulos pareados)
Pruebas musculares, manuales
Pruebas musculares; evaluacin total del cuerpo
Mediciones de arco de movimiento
Prueba Tensilon (cloruro de edrofonio) para miastenia grave
Prueba Tensilon con registro electromiogrfico
Control para la identificacin y lateralizacin de foco cerebral de convulsiones, registro electroencefa
Control para la ubicacin de foco cerebral de convulsiones, por cable o radio, telemetra de 16 o ms
Control para la ubicacin de foco cerebral de convulsiones, por EEG computadorizado porttil de 16 o
Activacin farmacolgica o fsica que requiera la presencia del mdico durante el registro EEG de la f
Electroencefalograma (EEG) durante la ciruga no intracraneal (ej., ciruga de las cartidas)
Control para la ubicacin de foco cerebral de convulsiones, por cable o radio, telemetra de 16 o ms
Anlisis digital del electroencefalograma (EEG) (p. ej., durante el anlisis de pico epilptico)
Prueba de activacin Wada para la funcin hemisfrica, incluyendo el control electroencefalogrfico
Mapeo cortical y subcortical funcional por estimulacin y/o registro de electrodos en la superficie del
Pruebas de funcin del sistema nervioso autnomo
Estudio de sueo, registro simultneo de ventilacin, esfuerzo respiratorio, ECG o frecuencia cardaca
Polisomnografa; etapas del sueo
Raquicentesis simple: Extraccin de lquido cefaloraquideo para anlisis citoquimico, bacteriologico, e
Raquicentesis con manometria: extraccion de liquido cefaloraquideo para analisis y medicion de pres
Electromiografa de aguja, msculos surtidos por los nervios craneales, unilateral
Pruebas del sistema nervioso central mediante potenciales evocados auditivos (PEA)
Evaluacin psicolgica (incluye evaluacin psicodiagnstica de personalidad, psicopatologa, emocion
Evaluacin de afasia (incluye evaluacin del habla y lenguaje expresivos y receptivos, comprensin d
Pruebas de desarrollo limitadas (ej., Prueba de clasificacin evaluacin del desarrollo II, clasificacin p
Pruebas de desarrollo prolongado (incluyendo la evaluacin del funcionamiento motor, de lenguaje, s
Examen de estado neuroconductivo (evaluacin clnica del pensamiento, razonamiento, criterio, p.ej.
Batera de pruebas neuropsicolgicas (p. ej., Halstead-Reitan, Luria, WAIS-R)
Administracin de quimioterapia subcutnea o intramuscular
Administracin de quimioterapia intralesional
Administracin de quimioterapia intravenosa en bolo
Administracin de quimioterapia intravenosa en infusin
Administracin de quimioterapia intra arterial en bolo
Administracin de quimioterapia intra arterial en infusin
Administracin de quimioterapia a la cavidad pleural
Administracin de quimioterapia a la cavidad pericrdica
Administracin de quimioterapia a la cavidad peritoneal
Administracin de quimioterapia al SNC: puncin raqudea (puncin lumbar)
Administracin de quimioterapIa al SNC: mediante reservorio subcutneo
Quimioterapia EV o IM (bolo)
Fototerapia - actinoterapia (luz ultravioleta)
Fotoquimioterapia
Tratamiento laser para enfermedad inflamatoria de piel (Psoriasis)
Evaluacin de fisioterapia
Sesin: Lserterapia
Sesin: Compresas fras
Sesin: Procedimiento terapetico (Kinesioterapia) + agentes fsicos
Sesin: Hidroterapia: tanque de Whirlpool + procedimiento terapetico (Kinesioterapia)
Sesin: Terapia del complejo orofacial
Sesin: Terapia de lenguaje
Confeccin de frulas u ortticos simples en el proceso de atencin
Aplicacin de traccin mecnica
Aplicacin de estimulacin elctrica (no manual)
Aplicacin de dispositivos vasoneumticos
Aplicacin de bao de parafina
Aplicacin de microondas
Aplicacin de bao de remolino
Aplicacin de rayos infrarrojos
Aplicacin de luz ultravioleta
Aplicacin de estimulacin elctrica (manual) minutos
Aplicacin de ultrasonido
Aplicacin de tanque Hubbard
Procedimiento teraputico para reeducacin neuromuscular del movimiento, equilibrio, coordinacin,
Procedimiento de terapia acutica con ejercicios teraputicos

Procedimiento teraputico para entrenamiento de la marcha
Procedimiento teraputicos individuales
Procedimientos teraputicos en grupo
Ajuste de dispositivos ortticos en extremidades superiores y/o inferiores
Entrenamiento protsico, extremidades superiores y/o inferiores
Actividades teraputicas, contacto directo (uno a uno) entre el paciente y la persona encargada (uso
Terapia ocupacional: actividades terapeticas de autovalimiento, (uso de actividades dinmicas para
Rehabilitacin Profesional: Capacitacin para la reintegracin al trabajo (p. ej., manejo de dinero, act
Entrenamiento para el manejo y propulsin de silla de ruedas
Rehabilitacin cardio respiratoria: Rendimiento fsico, Tolerancia al esfuerzo y ejercicios de entrenami
Revisin final para el uso de dispositivos ortticos/protsicos, paciente establecido
Prueba o medicin del rendimiento fsico (p. ej., musculosqueltico, capacidad funcional)
Desarrollo de habilidades cognitivas para mejorar la atencin, memoria, resolucin de problemas,incl
Sesin: Electroacupuntura
Procedimiento: estudio urodinmico
Vibroestimulacin peneana
Videonistagmografa
Procedimiento: bloqueo toxina botulnica
Piln de yeso adulto
Sesin: Acupuntura
Procedimiento teraputico para desarrollar fuerza y resistencia al ejercicio, arco de movimiento y flex
Aplicacin de agentes trmicos o fros
Inyeccin intracavernosa
Terapia de nutricin mdica, evaluacin inicial e intervencin
Flebotoma teraputica
Electrofulguracin
Electrocauterizacin
Sedacin con o sin analgesia (sedacin consciente); oral, rectal y/o intranasal
Hipotermia
Terapia biolgica
Infiltraciones en partes blandas
Colocacin de sonda naso yeyunal para soporte nutricional enteral
Medicin de la presin intra-abdominal
Control de la hipotermia mediante cobertores corporales
Control de la hipotermia mediante calentadores de fludos corporales
Evaluacin por test funcionales e ndices predictores de riesgo severidad y pronstico
Infiltraciones intraarticulares mayores
Infiltraciones intrartticulares menores
Dilatacin capsular
Biopsia de nervio sural

Riesgo Quirrgico
Sedacin con o sin analgesia (sedacin consciente); intravenosa, intramuscular o por inhalacin
Consulta estomatolgica no especializada (para neonatos, nios, adolescentes, adultos, adulto mayo
Consulta estomatolgica especializada (considera elaboracin de modelos para el diagnstico) (para
Consulta mdica no especializada (para neonatos, nios, adolescentes, adultos, adulto mayor, gestan
Consulta mdica especializada (para neonatos, nios, adolescentes, adultos, adulto mayor, gestantes
Consulta anestesiolgica (para neonatos, nios, adolescentes, adultos, adulto mayor, gestantes)
Atencin de Psicologa
Control de Nutricin
Consulta ambulatoria para paciente conocido (control), 5 minutos
Monitoreo de soporte nutricional / da
Atencin inmediata del recin nacido (RN) normal
Atencin integral de salud del nio
Consejera nutricional de nios en riesgo
Control del RN de bajo peso al nacer
Control de puerperio
Examen odontoestomatolgico
Atencin en hospitalizacin general, da paciente
Interconsulta en consultorio externo, hospitalizacin o emergencia bsica (neonatos, nios, adolescen
Interconsulta en consultorio externo, hospitalizacin o emergencia especializada (neonatos, nios, ad
Atencin en sala de observacin, menor de 12 horas (neonatos, nios, adolescentes, adultos, adulto
Atencin en sala de observacin de 12 horas a 24 horas (neonatos, nios, adolescentes, adultos, adu
Atencin en sala de shock trauma - prioridad 1 (neonatos, nios, adolescentes, adultos, adulto mayor
Atencin de emergencia con sala de observacin, menor de 12 horas (neonatos, nios, adolescentes,
Atencin de emergencia con sala de observacin de 12 horas a 24 horas (neonatos, nios, adolescen
Consulta de emergencia - prioridad 2 (neonatos, nios, adolescentes, adultos, adulto mayor, gestante
Atencin a Pacientes - prioridad 3 (neonatos, nios, adolescentes, adultos, adulto mayor, gestantes)
Atencin en tpico
Atencin de hospitalizacin en unidad de cuidados intensivos del adulto, da paciente
Atencin de hospitalizacin en unidad de cuidados intermedios del adulto, da paciente
Monitoreo de soporte ventilatorio invasivo / da
Monitoreo de soporte ventilatorio no invasivo / da
Monitoreo de gasto cardiaco invasivo / da
Monitoreo de gasto cardiaco contnuo por sonda esofgica mtodo Doppler/ da
Monitoreo de perfusin tisular / da
Monitoreo del estado hipntico / da
Atencin en hospitalizacin de unidad de cuidados intensivos peditricos, da paciente
Atencin en hospitalizacin de unidad de cuidados intermedios peditricos, da paciente
Atencin en hospitalizacin de unidad de cuidados intensivos neonatal, da paciente
Atencin en hospitalizacin de unidad de cuidados intermedios neonatal, da paciente
Visita mdica domiciliaria bsica para evaluacin y manejo
Visita mdica domiciliaria especializada
Visita domiciliaria de enfermera

Visita nutricionista
Visita medicina fsica y rehabilitacin
Soporte avanzado del dolor en domicilio
Cuidados paliativos en domicilio
Soporte ventilatorio prolongado en domicilio
Soporte nutricional parenteral en domicilio
Soporte nutricional enteral en domicilio
Traslado de paciente o herido en condiciones en que no est en riesgo potencial su vida y salud
Transporte asistido de paciente o herido con asistencia mdica bsica y condiciones especiales para e
Transporte asistido de paciente o herido en estado crtico o de alto riesgo que requieren asistencia m
Organizacin de campaa de salud
Visita familiar integral
Visita comunitaria integral
Identificacin de poblacin en riesgo de enfermedades con elevado impacto sanitario
Vigilancia epidemiolgica
Vigilancia demogrfica
Vigilancia de los servicios de salud
Anlisis de la situacin de salud
Investigacin de brotes
Control epidemiolgico
Organizacin de reunin para abogaca y polticas pblicas
Organizacin de taller de sensibilizacin para abogaca y polticas pblicas
Organizacin de charla para abogaca y polticas pblicas
Organizacin de conferencia de prensa
Oraganizacin de encuentros con representantes de organizaciones y autoridades locales
Capacitacin extra e intramural a personal de salud
Elaboracin de informacin basal de promocin de la salud
Organizacin de reunin en comunicacin y educacin para la salud
Taller en comunicacin y educacin para la salud
Charla en comunicacin y educacin para la salud
Organizacin de exposicin educativa
Consejera familiar
Organizacin de campaa de difusin a travs de materiales impresos y magnticos (volantes, trptic
Organizacin de campaa de difusin a travs de medios auditivos locales (perifoneo)
Organizacin de campaa de difusin en medios masivos
Organizacin de talleres psicoeducativos grupales
Organizacin de teatros populares
Organizacin de reunin de participacin comunitaria y empoderamiento social
Organizacin de taller de participacin comunitaria y empoderamiento social
Organizacin de charla de participacin comunitaria y empoderamiento social
Organizacin de encuentros de participacin comunitaria y empoderamiento social
Constitucin de comits de agentes comunitarios de salud
Constitucin de comits de salud

Constitucin de comits multisectoriales de participacin comunitaria
Organizacin de campaas de movilizacin social (caminatas, pasacalles)
Control cuantitativo de sal yodada
Control cualitativo de sal yodada
Control cuantitativo de sal fluorada
Control cualitativo de sal fluorada
Organizacin y ejecucin de operativo de control de comercializacin de sal yodada
Encuesta de consumo de sal yodada
Organizacin y ejecucin de operativo de verificacin de comercializacin de sal fluorada
Encuesta de consumo de sal fluorada
Ejecucin de encuesta serolgica para diagnstico situacional de Hidatidosis
Organizacin y ejecucin de operativo de eliminacin de animales reservorios de zoonosis: murcilag
Toma de muestra para vigilancia centinela de enfermedades zoonticas
Organizacin y ejecucin de campaa de vacunacin antirrbica a canes
Organizacin y ejecucin de operativo de eliminacin de animales reservorios de zoonosis: canes
Organizacin de operativo de captura de reservorios y vectores de enfermedades zoonticas (roedore
Clasficacin de reservorios y vectores de enfermedades zoonticas (roedores)
Organizacin y ejecucin de campaa de tratamiento de vivienda para prevencin y control de brotes
Organizacin de operativo de captura de especmenes de fauna ponzoosa
Organizacin de operativo de control ecolgico de vectores (eliminacin de nichos de reproduccin de
Control biolgico de vectores
Control gentico de vectores
Control qumico de vectores
Organizacin y ejecucin de campaa de vigilancia entomolgica de vectores
Organizacin y ejecucin de campaa de rociamiento residual con insecticidas contra vectores
Investigacin y control de brotes para enfermedades metaxnicas
Organizacin de campaa de nebulizacin espacial con insecticidas contra vectores
Organizacin y ejecucin de campaa de Identificacin e inspeccin de viviendas sujetas a intervenc
Organizacin de campaa de recojo y eliminacin de inservibles
Tratamiento focal
Vigilancia peridica de la calidad del agua
Vigilancia peridica de la calidad de los alimentos
Vigilancia peridica de excretas
Vigilancia peridica de residuos slidos
Aplicacin tpica de flor en nios, includo profilaxis dental
Aplicacin tpica de flor en nios, sin profilaxis dental
Aplicacin de crema dental fluorada en nios
Aplicacin de fluoruro diamino de plata en nios
Enjuagatorios con solucin fluorada al 0.2%

Aplicacin de barnz fluorado
Consejera para prevencin y control de enfermedades dentales
Aplicacin de sellante - por diente
Cementacin de mantenedor de espacio fijo unilateral
Colocacin de mantenedor de espacio removible
Limpieza quirrgica
Transfusin intrauterina
Colocacin de sonda foley
Culdocentesis
Cordocentesis
Salpinguectoma laparoscpica
Reversin uterino manual
Angiografa coronaria
Bateria metablica de Lquido amnitico
Estrona
Fibronectina
Glucosa en otros fluidos corporales (no sangre)
Homocistena
Dosaje Enolasa Especifica
Test de Clements Lecitina- esfingomielina,
Protenas en otros fluidos corporales
Proteinuria de 24 horas
Recuento de reticulocitos
Identificacin de anticuerpos anti VIH 1-2 prueba confirmatoria
Prueba especfica de Treponema Pallidum
Cultivo bacteriano
Deteccin de agente infeccioso por Inmunofluorescencia
Prueba PCR Reaccin en cadena de polimerasa
Examen de leucocitos en heces (87205)
Electrocardiograma
Estudio de velocidad, amplitud y latencia de conduccin nerviosa, nervio sensitivo
Procedimiento de medicina fsica / rehabilitacin
Atencin en planificacin familiar
Atencin de servicio social
Consulta ambulatoria
Cuidados hospitalarios subsecuentes
Consulta de emergencia
Consulta ambulatoria
Evaluacin inicial de medicina preventiva y manejo
Reevaluacin peridica de medicina preventiva y manejo
Control de crecimiento y desarrollo
Sesin de estimulacin temprana
Evaluacin bucal limitada - problema centrado

Examen bucal integral - paciente nuevo o establecido
re-evaluacin - limitada, centrada problema (paciente establecido; no visita post-operatoria)
Evaluacin periodontal integral - paciente nuevo o establecido
intraorales - serie completa (incluyendo radiografas de mordida)
intraoral - periapical cada pelcula adicional
extraoral - primera pelcula
extraoral - cada pelcula adicional
mordida - dos pelculas
mordida - cuatro pelculas
mordida verticales - 7 a 8 pelculas
crneo posterior-anterior y lateral y el cine encuesta hueso facial
sialografa
artrografa de la articulacin temporomandibular, incluyendo la inyeccin
otras pelculas de la articulacin temporomandibular, por informe
estudio tomogrfico
pelcula panormica
placa cefalomtrica
imgenes fotogrficas orales / facial
cultivo viral
prueba gentica para la susceptibilidad a las enfermedades orales
prueba de pre-diagnstico complementario que ayuda en la deteccin de anomalas de la mucosa co
diagnstico arroja
adhesin de los tejidos, el examen macroscpico, la preparacin y la transmisin del informe escrito
adhesin de los tejidos, el examen macroscpico y microscpico, preparacin y transmisin de inform
adhesin de los tejidos, el examen macroscpico y microscpico, incluida la evaluacin de los mrgen
procedimiento de descalcificacin
tinciones especiales para microorganismos
tinciones especiales, no para los microorganismos
manchas de inmunohistoqumica
hibridacin in situ de tejidos, incluyendo la interpretacin
procesamiento e interpretacin de los frotis citolgicos exfoliativa, incluida la preparacin y transmisi
microscopa electrnica - diagnstico
inmunofluorescencia directa
inmunofluorescencia indirecta
consulta sobre portaobjetos preparados en otros lugares
consulta, incluida la preparacin de los portaobjetos de las biopsias suministra al referirse fuente
otros procedimientos de patologa oral, por informe
procedimiento de diagnstico no especificado, por informe
consejo antitabaco para el control y prevencin de las enfermedades bucodentales
instrucciones de higiene oral
mantenedor de espacio - fijo - unilateral
mantenedor de espacio - fijo - bilateral
mantenedor de espacio - removible - unilateral

mantenedor de espacio - removible - bilateral
re-cementacin de mantenedor de espacio
amalgama - cuatro o ms superficies, primarios o permanentes
a base de resina compuesta - tres superficies, posterior
a base de resina - cuatro o ms superficies, posterior
hoja de oro - una superficie
hoja de oro - dos superficies
hoja de oro - tres superficies
inlay - metal - dos superficies
inlay - metal - tres o ms superficies
onlay - superficies metlicas y tres
onlay - metal y cuatro o ms superficies
inlay - porcelana / cermica - dos superficies
inlay - porcelana / cermica - tres o ms superficies
onlay - porcelana / cermica - tres superficies
onlay - porcelana / cermica - cuatro o ms superficies
inlay - compuesto a base de resina - dos superficies
inlay - compuesto a base de resina - tres o ms superficies
onlay - compuesto a base de resina - tres superficies
onlay - compuesto a base de resina - cuatro o ms superficies
Corona - porcelana / sustrato cermico
corona - de titanio
corona provisional
incrustaciones Recementacin, onlay, o restauracin cobertura parcial
cast Recementacin o Poste y mun prefabricados
Recementacin corona
prefabricados de acero inoxidable corona - diente permanente
prefabricadas de resina corona

prefabricados corona de acero inoxidable con ventana de resina
esttica prefabricada revestida de acero inoxidable corona - diente primario
relleno sedante
mun, incluyendo las patas
posterior y el ncleo fundido adems de la corona
Poste y mun prefabricados adems de la corona
la eliminacin de correos (no en combinacin con la terapia de endodoncia)
chapa labial (laminado de resina) - silln
chapa labial (laminado de resina) - laboratorio
chapa labial (laminado de porcelana) - laboratorio
afrontamiento
reparacin de la corona, en el informe
procedimiento de restauracin no especificado, por informe
molar (no incluye restauracin final)
tratamiento de la obstruccin del conducto radicular, el acceso no quirrgico
terapia endodntica incompleta; inoperable diente, sin posibilidad de restauracin o fracturado
apicectoma / ciruga perirradicular - anterior
apicectoma / ciruga perirradicular - bicspide (primera raz)
apicectoma / ciruga perirradicular - molar (primera raz)
ciruga apicectoma / perirradicular (cada raz adicional)
amputacin de raz - por root
reimplantacin intencional (incluyendo entablillado es necesario)
procedimiento quirrgico para el aislamiento del diente con dique de goma
hemiseccin (incluyendo cualquier extraccin de raz), sin incluir la terapia de conducto radicular
preparacin del conducto y la instalacin de clavija preformado o post
procedimiento de endodoncia no especificado, por informe
gingivectoma o gingivoplastia - cuatro o ms dientes contiguos o espacios acotados dientes por cuad
gingivectoma o gingivoplastia - uno a tres dientes contiguos o espacios acotados dientes por cuadra
Procedimiento de colgajo gingival, incluido el alisado radicular - uno a tres dientes contiguos o espaci
colgajo posicionado apicalmente
ciruga sea (incluye entrada y cierre de colgajo) - cuatro o ms dientes contiguos o espacios acotado
ciruga sea (incluye entrada y cierre de colgajo) - uno a tres dientes contiguos o espacios acotados d
materiales biolgicos para ayudar en la regeneracin de tejidos blandos y seos
procedimientos de injerto de tejido conectivo subepitelial, por diente
Procedimiento de cua distal o proximal (cuando no se lleva a cabo en conjuncin con procedimiento
aloinjerto de tejido blando
tejido conectivo combinado y el injerto de pedculo doble, por diente
frula provisional - intracoronal
frula provisional - extracoronal
raspado periodontal y alisado radicular - uno a tres dientes por cuadrante
distribucin localizada de agentes antimicrobianos a travs de un vehculo de liberacin controlada e

No programado vestidor cambio (por alguien que no sea el tratamiento de dentista)
procedimiento periodontal no especificado, por informe
dentadura completa - mandibular
prtesis inmediata - maxilar
prtesis inmediata - mandibular
dentadura maxilar parcial - estructura de metal fundido con base de la dentadura de resina (incluidos
mandibular prtesis parcial - estructura de metal fundido con base de la dentadura de resina (incluid
dentadura maxilar parcial - base flexible (incluidos los cierres, soportes y dientes)
Dentadura parcial mandibular - base flexible (incluidos los cierres, soportes y dientes)
prtesis parcial removible unilateral - una pieza de metal fundido (incluyendo ganchos y dientes
ajustar la dentadura completa - maxilar
ajustar la dentadura completa - mandibular
ajustar prtesis parcial - maxilar
ajustar prtesis parcial - mandibular
reparar roto base de la dentadura completa
reemplazar los dientes perdidos o rotos - dentadura completa (cada diente)
reparacin resina base de la prtesis
marco fundido reparacin
reparar o reemplazar gancho roto
reemplazar los dientes rotos - por diente
aadir diente a la dentadura parcial existente
aadir gancho a la dentadura parcial existente
reemplazar todos los dientes y acrlico en armazn de metal fundido (maxilar)
reemplazar todos los dientes y acrlico en armazn de metal colado (mandibular)
rebase completa dentadura mandibular
rebase maxilar prtesis parcial
rebase mandibular prtesis parcial
Revestimiento de dentadura postiza maxilar completa (silln)
rebasado dentadura mandibular completa (silln)
rebasado maxilar prtesis parcial (consultorio)
rebasado mandibular prtesis parcial (consultorio)
Revestimiento de dentadura postiza maxilar completa (laboratorio)
Revestimiento de dentadura postiza mandibular completa (laboratorio)
rebasado maxilar prtesis parcial (laboratorio)
rebasado mandibular prtesis parcial (laboratorio)
prtesis parcial provisional (maxilar)
prtesis parcial provisional (mandibular)
Acondicionamiento de tejido, mandibular
sobredentadura - complete, en el informe
sobredentadura - parcial, en el informe
accesorio de precisin, en el informe
reemplazo de una pieza reemplazable de unin semi-precisin o precisin (componente masculino o
procedimiento de prtesis removibles no especificado, por informe

moulage facial (seccin)
moulage facial (completa)
prtesis nasal
prtesis auricular
prtesis orbital
prtesis ocular
prtesis facial
prtesis nasal septal
prtesis ocular, provisional
prtesis craneal
implante de prtesis de aumento facial
prtesis nasal, la sustitucin
prtesis auriculares, la sustitucin
orbital prtesis, sustitucin
facial prtesis, sustitucin
obturador prtesis, modificacin
prtesis con brida de gua de reseccin mandibular
prtesis sin brida gua de reseccin mandibular
obturador prtesis, provisional
la alimentacin de la ayuda
dispositivo para el habla prtesis peditrica
dispositivo para el habla prtesis, adulto
prtesis de aumento palatal
elevacin palatina prtesis definitiva
ascensor palatina prtesis, provisional
palatina ascensor prtesis, modificacin
dispositivo para el habla prtesis, modificacin
stent quirrgico
portador de radiacin
blindaje de radiacin
radiacin cono localizador
soporte del gel de fluoruro
comisura frula
frula quirrgica
prtesis maxilofacial no especificado, por informe
colocacin quirrgica del cuerpo del implante: implantes endosteal
colocacin quirrgica: Implante eposteal
colocacin quirrgica: Implante transseo
implante / pilar apoyado prtesis removible de arco completamente desdentado
pilar / implante de prtesis removible apoyada por arco parcialmente desdentado
implante dental soportada barra de conexin
pilar prefabricado - incluye la colocacin
pilar personalizado - incluye la colocacin

pilar apoyado porcelana / corona de cermica
porcelana apoyado pilar fundida en metal corona (metal muy noble)
porcelana apoyado pilar fusionado a la corona de metal (metal predominantemente base)
porcelana apoyado pilar fusionado a la corona de metal (metal noble)
pilar apoyado corona de metal fundido (metal muy noble)
pilar apoyado corona de metal fundido (metal predominantemente base)
pilar apoyado fundido corona de metal (metal noble)
pilar apoyado corona - (titanio)
porcelana implantosoportada / corona de cermica
porcelana apoyado implante fundida en metal corona (titanio, aleaciones de titanio, metal muy noble
implante apoyado metlica corona (titanio, aleaciones de titanio, metal muy noble)
pilar apoyado retencin de porcelana / FPD cermica
retenedor de apoyo del pilar para la porcelana fundida sobre metal FPD (metal muy noble)
retenedor de apoyo del pilar para la porcelana fundida sobre metal FPD (metal predominantemente b
retenedor de apoyo del pilar para la porcelana fundida sobre metal FPD (noble metal)
retenedor apoyado tope para metal fundido FPD (metal muy noble)
retenedor de apoyo de tope para reparto FPD de metal (metal predominantemente base)
retenedor apoyado tope para metal fundido FPD (noble metal)
pilar corona retencin soportada para FPD - (titanio)
retenedor apoyado implante para cermica FPD
implante apoyado retencin de porcelana fundida sobre metal FPD (titanio, aleaciones de titanio o m
retenedor apoyado implante para metal fundido FPD (titanio, aleaciones de titanio o metal muy noble
implante / pilar apoyado prtesis fija de arco completamente desdentado
implante / pilar apoyado prtesis fija de arco parcialmente desdentado
implante de reparacin apoyado prtesis, en el informe
reparar pilar del implante, en el informe
ndice implante radiolgico / quirrgica, en el informe
procedimiento de implante no especificado, por informe
pntico - resina indirecta basada composite
pntico - fuerza predominantemente metales comunes
pntico - titanio
pntico - porcelana fundida sobre metal muy noble
pntico - porcelana fundida sobre metal predominantemente comn
pntico - porcelana fundida a metal noble
pntico - porcelana / cermica
pntico - resina con metal predominantemente base de
pntico provisional
Corona - resina indirecta basada composite

Corona - porcelana / cermica
corona - de titanio
corona de retencin provisional
retenedor - de metal fundido de la resina en condiciones de servidumbre prtesis fija
retencin - porcelana / cermica para la resina unida prtesis fija
inlay - porcelana / cermica, dos superficies
inlay - porcelana / cermica, tres o ms superficies
inlay - Reparto metal predominantemente base, dos superficies
inlay - Reparto metal predominantemente base, tres o ms superficies
inlay - titanio
onlay -porcelain/ceramic, dos superficies
onlay - porcelana / cermica, tres o ms superficies
onlay - Reparto metal predominantemente base, dos superficies
onlay - Reparto metal predominantemente base, tres o ms superficies
onlay - titanio
conector de barra
Recementacin prtesis fija
rompefuerza
accesorio de precisin
posterior y el ncleo fundido, adems de retenedor de dentadura parcial fija
emitir cargo como parte de retenedor prtesis fija
Poste y mun prefabricados, adems de retenedor de dentadura parcial fija
mun para retenedor, incluyendo las patas

hacer frente - de metal
reparacin de la dentadura parcial fija, por informe
prtesis peditrica, fijado
procedimiento de prtesis fija no especificado, por informe
extraccin, restos coronal - diente de leche
cierre primario de una perforacin del seno
colocacin del dispositivo para facilitar la erupcin del diente impactado
Biopsia de tejido oral - duro (hueso, dientes)
Biopsia de tejido oral - suave
recoleccin de la muestra citolgica exfoliativa
reposicionamiento quirrgico de los dientes
transseptal fibrotoma / supra crestal fibrotoma, en el informe
alveoloplastia junto con extracciones - por cuadrante
alveoloplastia junto con extracciones - uno a tres dientes o espacios dentales, por cuadrante
alveoloplastia no junto con extracciones - por cuadrante
alveoloplastia no junto con extracciones - uno a tres dientes o espacios dentales, por cuadrante
vestibuloplastia - Extensin de cresta (epitelizacin secundaria)
vestibuloplastia - Extensin de cresta (incluyendo injertos de tejido blando, de reinsercin muscular,
excisin de lesin benigna hasta 1,25 cm
escisin de lesin benigna mayor que 1,25 cm
escisin de lesin benigna, complicado
la escisin de la lesin maligna hasta 1,25 cm
la escisin de la lesin maligna mayor que 1,25 cm
la escisin de la lesin maligna, complicado
destruccin de lesin (s) por el mtodo fsico o qumico, en el informe
la escisin de un tumor maligno - dimetro de la lesin hasta 1,25 cm
la escisin de un tumor maligno - dimetro de la lesin mayor que 1,25 cm
eliminacin de quiste odontognico o tumor benigno - dimetro de la lesin hasta 1,25 cm
eliminacin de quiste odontognico o tumor benigno - dimetro de la lesin mayor que 1,25 cm
eliminacin del quiste no odontognicos o tumor benigno - dimetro de la lesin hasta 1,25 cm
eliminacin de quiste no odontognicos o tumor benigno - dimetro de la lesin mayor que 1,25 cm
eliminacin de exostosis lateral (maxilar o mandbula)
eliminacin de torus palatino
eliminacin de torus mandibular
reduccin quirrgica de la tuberosidad sea
La reseccin radical del maxilar o mandbula
incisin y drenaje de absceso - tejido blando intraoral
incisin y drenaje de absceso - tejido blando intraoral - complicado (incluye drenaje de mltiples espa
incisin y drenaje de absceso - tejido blando extraoral
incisin y drenaje de absceso - tejido blando extraoral - complicado (incluye drenaje de mltiples esp
remocin de cuerpo extrao de la mucosa, piel, tejido alveolar o subcutnea

eliminacin de reaccin que produce cuerpos extraos, sistema musculoesqueltico
ostectoma parcial / secuestrectoma para extraccin de hueso no vital
sinusotoma maxilar para la extraccin de un fragmento de diente o cuerpo extrao
maxilar - reduccin abierta (los dientes inmovilizados, si est presente)
maxilar - reduccin cerrada (dientes inmovilizados, si est presente)
reduccin abierta (los dientes inmovilizados, si est presente) - mandbula
reduccin cerrada (dientes inmovilizados, si est presente) - mandbula
reduccin cerrada alvolo puede incluir la estabilizacin de los dientes
alvolo reduccin, abierto puede incluir la estabilizacin de los dientes
huesos faciales - Reduccin complicada con la fijacin y mltiples abordajes quirrgicos
maxilar reduccin abierta
maxilar - reduccin cerrada
reduccin abierta - mandbula
mandbula - reduccin cerrada
estabilizacin de la reduccin abierta de dientes - alveolo
alvolo, la estabilizacin de la reduccin cerrada de dientes
huesos faciales - Reduccin complicada con la fijacin y mltiples abordajes quirrgicos
reduccin abierta de la luxacin
la reduccin cerrada de la luxacin
manipulacin bajo anestesia
condilectoma
discectoma quirrgica, con / sin implante
reparacin de discos
sinovectoma
miotoma
reconstruccin de la articulacin
artrotoma
artroplastia
artrocentesis
lisis no artroscpica y el lavado
artroscopia - diagnstico, con o sin biopsia
artroscopia - quirrgica: lavado y lisis de adherencias
artroscopia - quirrgica: Disco reposicionamiento y la estabilizacin
artroscopia - quirrgica: sinovectoma
artroscopia - quirrgica: discectoma
artroscopia - quirrgico: desbridamiento
ortesis oclusal, por el informe
tratamiento TMD no especificado, por informe
sutura de heridas pequeas ltimos hasta 5 cm

sutura complicada - hasta 5 cm
sutura complicada - de ms de 5 cm
injerto de piel (identificar cubierto defecto, la ubicacin y el tipo de injerto)
osteoplastia - las deformidades ortogntica
osteotoma - ramas mandibulares
osteotoma - ramas mandibulares con injerto seo; incluye obtencin del injerto
osteotoma - segmentado o subapical - por sextante o cuadrante
osteotoma - cuerpo de la mandbula
Lefort I (maxilar - total)
Lefort I (maxilar - segmentado)
Lefort II o III LeFort (osteoplastia de los huesos faciales de tercio medio facial hipoplasia o retrusin)-s
Lefort II o Lefort III - con injerto seo
sea, injertos osteoperiosteal o el cartlago de los huesos mandibulares o faciales - autlogos o autg
injerto de reemplazo seo de cresta conservacin - por sitio
reparacin de maxilofacial blando y / o defecto de tejido duro
frenulectoma (frenectoma o frenotoma) - procedimiento separado
Frenuloplasta
extirpacin de tejido hiperplsico - por arco
la escisin de pericoronal enca
la reduccin quirrgica de la tuberosidad fibrosa
sialolithotomy
extirpacin de las glndulas salivales, en el informe
sialodochoplasty
el cierre de la fstula salival
traqueotoma de emergencia
coronoidectoma
mandbula o huesos faciales, en el informe - injerto sinttico
implante mandibular con fines de aumento (con exclusin de la cresta alveolar), en el informe
la eliminacin del aparato (no por el dentista que realiz aparato), incluye la eliminacin de archbar
procedimiento de ciruga oral no especificado, por informe
tratamiento de ortodoncia limitado de la denticin de transicin
tratamiento de ortodoncia limitado de la denticin adolescente
tratamiento de ortodoncia limitado de la denticin de un adulto
tratamiento de ortodoncia intercepcin de la denticin de transicin
tratamiento de ortodoncia integral de la denticin de transicin
tratamiento de ortodoncia integral de la denticin adolescente
tratamiento de ortodoncia integral de la denticin adulta
tratamiento con aparatos fijos
visita de un tratamiento de ortodoncia peridica (como parte del contrato)
la retencin de ortodoncia (extraccin de aparatos, construccin y colocacin del retenedor (s))
tratamiento de ortodoncia (facturacin alternativa a un contrato de pago)
reparacin de aparato de ortodoncia
sustitucin de retencin perdido o roto

procedimiento de ortodoncia no especificado, por informe
tratamiento paliativo (emergencia) del dolor dental - procedimiento menor
anestesia local, no en conjunto con procedimientos quirrgicos o quirrgicos
bloqueo anestsico regional
divisin del trigmino bloque anestesia
anestesia local
sedacin profunda / anestesia general - primeros 30 minutos
sedacin profunda / anestesia general - cada 15 minutos adicionales
la analgesia, ansiolisis, la inhalacin de xido nitroso
sedacin consciente intravenosa / analgesia - primeros 30 minutos
intravenosa sedacin consciente / analgesia - cada 15 minutos adicionales
sedacin consciente no intravenosa
consulta (servicio diagnstico proporcionado por el dentista o el mdico que no sea practicante de pr
casa / llamada centro de cuidados prolongados
llamada del hospital
visita al consultorio para observacin (durante horas regulares) - ningn otro servicio realizado
visita al consultorio - despus de las horas regulares
presentacin de un caso, la planificacin detallada y extensa tratamiento
inyeccin de drogas teraputicas, en el informe
otras drogas y / o medicamentos, en el informe
aplicacin de medicamento desensibilizante
aplicacin de resina desensibilizante de cuello de tero y / o de la superficie de la raz, por diente
manejo de la conducta, en el informe
tratamiento de las complicaciones (post-quirrgico) - circunstancias inusuales, por el informe de
guarda oclusal, por el informe
fabricacin de protector bucal deportivo
reparacin y / o rebase de guarda oclusal
anlisis de la oclusin - caja montada
ajuste oclusal - limitado
ajuste oclusal - completa
esmalte micro abrasin
odontoplasta 1-2 dientes; incluye la eliminacin de las proyecciones del esmalte
Blanqueamiento externo - por arco
Blanqueamiento externo - por diente
blanqueamiento interno - por diente
procedimiento complementario no especificado, por informe
autopsia
Bite Anlisis Marcos
Emergencia Visita dirigida al problema
Grupo instrucciones de higiene oral
Pieza del odo personalizado
Anlisis oclusal con pantogrfico Tracing
Tratamiento Pericoronitis
Hervir y morder Protector de boca
Procedimientos de Laboratorio, Medicina adyuvante
Entrenamiento de Preparacin (Horas / Dentista)
paciente tratado
Analgesia bloqueo
Analgesia Neurolisis
Analgesia epidural para parto normal
Evaluacin preanestsica a paciente hospitalizado
Curacion quirurg. Pequea
Curacion quirurg. Mediana
Curacion quirurg. Grande
Extraccin de puntos
Electrofulguracin
Retiro de puntos sin anestesia odontolgica
Electrocauterizacin
Aspirado Bronquial
Cateterismo venoso
Profilaxis dental
Examen bucal
Aplicacin tpica de fluoruro
Tratamientos restauradores (con amalgama, silicato, otros materiales)
Tratamientos restauradores (con incrustaciones, coronas)
Otros tratamientos restauradores
Endodoncias, recubrimientos pulpar
Endodoncias, pulpotomas
Endodoncias, tratamiento de canales
Endodoncias, tratamiento periapical
Periodoncias, curetaje gingival y/o relleno seo
Ortodoncias
Extracciones quirrgicas dentales
Alveoloplastas
Control de hemorragia naso-oro-farngea
Tratamiento quirrgico de trauma heptico, grado I, II
Drenaje va biliar transparenquima heptico (Praderi)

Pieloplasta complicada
Excisin de lesin de Cordn espermtico
Laparoscopia diagnstica
Bloqueo tubrico bilateral por va laparoscpica
Excisin de lesiones de ovario, visceras plvicas, o superficie peritoneal por va laparoscpica
Salpingo-ooforectoma parcial o total por va laparoscpica
Histerectoma vaginal asistida por laparoscopia
Miomectoma por va laparoscpica
Linfadenectoma por va laparoscpica
Laparoscopia para drenaje de linfocele abierto a cavidad peritoneal
Apendicectoma por va laparoscpica
Hernioplasta inguinal por va laparoscpica
Orquiectoma por va laparoscpica
Tratamiento de varicocele por laparoscopia
Adrenalectoma parcial o total por va laparoscpica
Vagotoma troncular por va laparoscpica
Vagotoma selectiva o ultraselectiva por va laparoscpica
Colecistoenterostoma por va laparoscpica
Cierre de colostoma tipo Hartman por va laparoscpica
Reseccin colnica asistida por laparoscopia
Rectopexia por va laparoscpica
Tratamiento quirrgico de quiste renal va anterior o lumbotoma por va laparoscpica
Colecistectoma por va laparoscpica
Colecistectoma por va laparoscpica con exploracin de vas biliares
Salpingostoma por va laparoscpica
Fimbrioplasta por va laparoscpica
Gastrostoma por va laparoscpica
Yeyunostoma por va laparoscpica
Reseccion intestinal con anastomosis via laparoscpica
Fundoplicatura esofagogstrica por va laparoscpica
Histeroscopia diagnstica
Histeroscopia quirrgica con lisis de adherencias intrauterinas, divisin de tabique intrauterino, extirpacin de tumores, ablaci
Histerometra
Craniectoma o craneotoma para extripacin de lesiones parenquimales infratentoriales

Biopsia de nervio
(Imgenes por) Resonancia magntica de pelvis
Mielografia Columna Toracica sin Contraste
Mielografa de canal espinal
Discografa
Pelvimetra (3 placas)
Teleterapia (Telecobaltoterapia) sesin
ACELERADOR LINEAL (1 SESION)
BRAQUITERAPIA DE CONTACTO
MASCARA PARA PACIENTES
PLANIFICACION FISICA
RADIOTERAPIA: RADIUN INTRACAVITARIO
SIMULACION VERIFICACION
Aplicacin intersticial del radioelemento
Prueba de supresin con T3 Gammagrafca
Prueba de estmulo con TSH - Gammagrfica
Rastreo de tejido tiroideo
Terapia de hiperfuncin con I-131
Terapia de atipias diferenciadas con I-131
Radioablacin Funcional Tiroidea con I-131
Gammagrafa de Tiroides planar y tomogrfica con TEC99M
Gammagrafa de Tiroides planar y tomogrfica con I-131
Gammagrafa de Tiroides y captacin con TEC99M
Rastreo de tejido tiroideo con Talio-201
Deteccin de Adenomas paratiroideos con sestamibi-TEC99M
Volumen plasmtico
Determinacin de volumen de eritrocitos
Determinacin de volumen de sangre entera
Imgenes de intestino
Gammagrafa Osteoarticular-coxofemorales
Gammagrafa Osteoarticular-otros
Gammagrafa Osteomuscular
Gammagrafa Osea Segmentaria-segmento
Gammagrafa Osea trifsica
Gammagrafa Osea Planar y tomogrfica
Gammagrafa de Espacio Vascular Cardiaco y/o Grandes Vasos

Gammagrafa Miocrdica con Pirofosfato
Ventriculografa Isotpica en reposo
Ventriculografa Isotpica en reposo y esfuerzo
Estudio con Mibi-tec99m reposo-esfuerzo y tomografa (SPECT)
Estudio de pirifosfato Planar
Estudio con pirifosfato Planar y Tomogrfico
Flebografa Isotpica de miembros inferiores
Flebografa Isotpica regional
DETECCION DE DIVERTICULO DE MECKEL
GAMMAGRAFIA CEREBRAL
GAMMAGRAFIA DE GLANDULAS SALIVALES
GAMMAGRAFIA DE MEDULA OSEA
GAMMAGRAFIA DE VIAS BILIARES
GAMMAGRAFIA HIGADO Y BAZO
OTRAS GAMMAGRAFIAS CON TC
OTROS DIGESTIVO CON TC
OTROS OSEO CON TC
OTROS RENAL CON TC
TERAPIA CON RADIONUCLEIDOS
Gammagrafa Pulmonar de Ventilacin
Gammagrafa Pulmonar de Perfusin/Ventilacin
Gammagrafa de Perfusin/Ventilacin y Flebografa
Evaluacinde Shunts
Radioangiografa cerebral
Radioangiografa con Gammagrafa cerebral esttica planar
Radioangiografa con Gammagrafa planar y tomogrfica
Cisternografa Tomogrfica

Test de Captopril *Dos Radiorrenogramas
Perfusin Testicular
BIOPSIA DIRIGIDA X FLUOROSCOPIA
BIOPSIA POR ECOGRAFIA
BIOPSIA X TAC
DRENAJE X TAC
PICTOGRAFIA ANTEROGRADA
SURVEY OSEO
TOMOGRAFIA LINEAL (4)
QUIMIOTERAPIA ARTERIAL SELECTIVA
RX.PELVIS (RADIO INTRACAVITARIO)
RX.SIMULACION
PERFIL RENAL
PERFIL OSEO
PERFIL DE INGRESO-BIOQUIMICA
HEPATITIS B: MARCADORES COMPLETOS
PERFIL DE INGRESO INMUNOLOGIA
DOSAJE DE METOTREXATE
Sedimento urinario
Apolipoproteina
PSA (Antgeno prosttico especfico)
Proteinas fraccionadas
RECUENTO DE LINFOCITOS
Hemograma completo, 3ra. generacin (N, Frmula, Hb, Hto, Constantes corpusculares, Plaquetas)
Mielograma
PRUEBA CRUZADA
Cultivo de secreciones (farngea, uretral, faginal, esputo, heridas, otros)
CITOMETRIA-LEUCEMIA
Oclusin Ocular
Lavado Ocular
Flujometra
Oxigenoterapia, sesin en emergencia
ELECTROGRAFIA: ESTIMULACION REPETIDA
ELECTROGRAFIA: ESTUDIO INTEGRAL DEL P300
QUIMIOTERAPIA INFUSION
FOTOTERAPIA - ACTINOTERAPIA (LUZ ULTRAVIOLETA), SESION
Glucosa
DHL en otros fluidos
Magnesio en orina
Mioglobina en orina
Test de ADDIS
Varicela Zoster Ig M
Parasitolgico - directo y concentrado
Test de Graham
Ag HBs (Prueba rpida)
PATOLOGIA: PIEZA OPERATORIA GRANDE
PATOLOGIA: PIEZA OPERATORIA MEDIANA
PATOLOGIA: PIEZA OPERATORIA PEQUEA
Estudio Citoqumico de L. Pleural
Estudio Citoqumico de L. Articular
Estudio Citoqumico de L. Pericrdico
Estudio Citoqumico de L. Amnitico
Estudio Citoqumico de Clculo Renal
Estudio Citoqumico de L. Asctico
Nivel
Unidad
Relativa TARIFARI
de Valor
O SIS
URV
9.61
9.67
7.00
6.50
5.67
5.37
5.44
7.50
8.00
10.41
10.41
10.41
1.50
10.13
12.12
11.50
11.58
16.95
12.69
13.23
21.49
30.60
13.15
8.00
16.62
12.53
13.23
13.23
14.54
10.41
13.23
12.69
6.35
12.61
15.00
8.50
12.53
DOCUMENTO APROBATORIO
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
Compl
M
M
M
A
M
M
M
A
A
A
A
A
B
A
AE
M
M
M
A
AE
AE
AE
AE
A
A
A
AE
AE
A
A
AE
A
M
A
A
M
A
12.53
25.73
16.64
11.00
10.47
10.89
12.23
10.41
11.50
11.50
11.98
12.05
5.20
5.01
10.60
12.61
12.12
5.62
5.64
5.76
13.15
13.15
13.15
13.15
13.15
21.28
13.07
21.49
21.49
21.49
21.49
21.49
13.15
13.15
13.15
13.15
13.07
13.07
13.07
7.22
10.48
25.73
9.00
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
AE
AE
AE
A
AE
M
A
A
A
AE
AE
M
M
A
A
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
M
A
AE
A
5.64
8.93
10.40
7.09
9.61
10.41
10.47
10.89
12.10
25.73
10.95
10.95
13.23
7.06
10.47
6.61
5.42
7.06
12.47
10.47
10.41
17.16
10.47
20.62
20.62
7.06
10.89
10.89
14.64
11.00
21.49
10.41
5.64
5.64
10.83
10.89
10.47
7.28
10.47
15.20
9.61
10.41
10.41
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
A
M
M
M
A
A
AE
A
AE
AE
AE
AE
A
A
M
M
M
M
A
A
M
A
A
A
A
AE
AE
A
AE
AE
A
A
A
AE
AE
A
A
A
M
M
A
A
8.93
5.69
9.67
5.64
5.42
5.42
5.64
5.64
5.42
9.61
9.24
10.41
9.61
9.61
14.00
9.61
9.61
9.61
10.47
5.42
5.64
5.39
10.41
10.83
10.83
10.83
10.83
10.83
10.41
9.61
10.41
10.41
10.53
10.47
10.41
10.41
9.61
9.61
10.41
9.61
10.41
10.41
10.41
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
A
M
A
M
M
A
A
M
M
B
A
M
M
M
M
M
M
A
M
A
M
A
AE
AE
AE
AE
AE
A
M
A
A
A
A
A
A
M
M
A
M
A
A
A
5.42
5.42
9.61
5.42
5.42
9.61
9.61
9.61
10.53
9.61
5.00
9.61
5.29
9.61
10.47
10.41
9.61
7.00
7.00
7.00
9.55
9.55
9.55
9.55
9.61
5.00
10.41
10.41
9.61
9.61
5.39
5.00
9.55
9.61
10.41
10.35
10.41
10.53
10.47
10.95
10.83
10.83
9.55
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
M
M
M
M
M
M
M
A
M
M
M
B
M
A
A
M
M
M
M
M
M
M
M
M
M
A
A
M
M
M
M
M
M
A
A
A
A
A
AE
AE
AE
M
5.29
5.39
5.39
9.55
9.55
9.55
5.39
9.55
9.55
9.55
9.55
10.41
10.41
10.47
9.67
10.47
9.61
5.39
5.39
5.39
9.55
9.55
10.47
10.41
10.41
9.55
9.55
5.29
5.39
11.50
11.50
12.05
6.66
11.43
12.05
12.05
11.98
11.98
11.98
11.98
12.45
12.53
12.53
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
B
M
M
M
M
M
M
M
M
M
M
A
A
A
M
A
M
M
M
M
M
M
A
A
A
M
M
B
M
A
A
AE
A
A
AE
AE
AE
AE
AE
AE
A
A
A
5.42
5.29
9.61
10.53
9.61
5.39
5.42
9.67
9.67
7.47
5.42
9.61
5.44
13.11
11.80
11.80
16.67
11.80
18.20
11.80
11.80
18.20
11.80
8.00
8.00
10.00
7.50
8.11
1.50
14.00
2.80
1.67
15.56
13.33
15.56
17.78
1.71
1.67
1.67
11.11
6.67
11.11
15.56
54.57
4.89
6.09
6.09
38.33
40.62
42.76
44.11
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA/TARIFARIO
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
M
B
M
A
M
M
M
M
M
B
M
M
M
M
A
A
A
A
A
A
A
A
A
M
M
M
M
M
B
A
M
A
B
M
M
B
M
M
M
M
M
M
M
1.78
3.33
4.00
1.67
2.27
5.56
20.00
13.33
13.33
20.00
13.33
16.67
18.89
58.43
15.56
37.79
18.89
80.84
39.13
100.27
66.09
40.94
100.27
112.02
127.44
46.32
1.67
3.33
5.56
4.44
5.11
18.89
7.91
82.44
20.00
15.56
22.22
25.00
1.67
1.67
0.80
1.50
6.67
4.23
6.09
6.09
4.98
8.26
10.28
50.92
50.92
50.92
56.13
58.60
58.60
70.60
70.60
70.60
89.64
92.12
106.46
111.16
113.63
135.15
148.87
156.67
156.67
174.04
178.63
4.89
6.09
14.02
14.02
33.98
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
B
M
B
B
B
B
M
B
A
A
M
A
A
M
A
M
M
A
B
A
A
A
A
A
AE
A
B
B
B
B
B
M
B
A
A
A
B
A
M
M
A
A
M
8.89
8.00
68.20
13.33
8.89
15.66
15.66
0.80
0.80
1.00
1.00
1.00
0.67
5.56
3.33
0.98
5.56
3.63
5.56
2.71
4.44
0.67
5.56
11.11
11.11
26.67
15.00
11.11
7.78
10.00
6.22
8.00
14.50
2.22
13.33
1.80
2.31
1.80
4.30
4.00
5.56
8.89
7.78
39.02
45.89
47.10
108.07
108.07
3.22
3.79
3.79
4.10
4.23
4.23
4.76
4.76
4.98
4.98
45.89
51.08
53.46
65.03
75.49
40.62
51.08
58.05
4.98
5.65
5.65
6.09
6.09
7.19
45.28
45.89
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
M
A
A
A
A
A
AE
B
B
B
B
B
M
B
B
M
B
M
B
M
B
M
A
M
B
A
A
B
B
A
M
B
A
B
M
B
B
B
B
B
B
M
A
8.89
8.09
0.67
1.31
8.89
20.00
4.44
34.44
8.89
6.67
4.44
4.44
13.33
22.22
8.89
13.33
22.22
25.56
13.33
4.44
18.89
8.89
8.89
20.00
7.78
15.56
34.44
26.67
13.33
18.89
28.89
13.33
11.11
27.67
15.56
15.00
8.89
22.22
25.56
8.89
20.00
8.89
15.56
65.03
4.23
4.76
6.97
63.99
68.68
69.40
70.60
74.45
75.66
75.66
77.82
77.82
77.82
77.82
77.82
77.82
78.32
79.10
84.30
86.12
88.58
88.58
88.58
96.57
96.57
99.33
99.33
99.33
99.33
99.33
99.33
99.33
99.33
99.33
99.33
99.33
99.33
100.57
107.61
113.92
117.18
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
A
M
M
M
M
M
A
M
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
M
M
A
A
M
A
M
M
M
M
M
M
M
M
M
M
A
M
M
34.44
26.67
33.33
18.89
8.89
7.78
10.00
8.89
8.89
16.67
14.44
34.44
44.44
15.56
8.89
1.11
25.56
4.44
2.80
2.22
2.80
4.44
18.00
3.33
18.00
5.56
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
144.64
148.87
156.69
156.69
199.57
1.77
2.09
2.88
3.77
4.43
4.43
4.43
5.53
5.53
6.63
7.74
9.06
13.02
16.99
16.99
18.31
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
A
A
M
M
M
M
M
M
M
M
A
A
M
M
M
M
M
M
B
M
M
A
M
A
M
B
M
B
B
M
M
B
M
M
M
M
M
M
M
M
M
M
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
2.22
1.53
1.67
1.53
1.67
13.33
10.00
20.00
13.33
20.00
20.00
13.33
17.78
30.00
20.00
10.00
20.00
26.67
33.33
26.67
20.00
13.33
40.00
26.67
20.00
20.00
40.00
40.00
40.00
53.33
57.78
20.00
20.00
26.67
33.33
36.91
54.88
65.64
65.64
76.40
76.40
76.40
76.40
79.98
86.65
87.15
87.15
87.15
87.15
87.15
87.15
94.33
94.33
94.42
94.42
94.42
94.42
102.19
113.75
123.66
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
M
M
M
B
M
M
M
M
B
B
B
B
A
M
A
M
A
A
A
M
A
A
A
A
A
A
M
A
M
A
A
A
A
A
A
AE
A
AE
A
M
A
A
26.67
6.67
26.67
26.67
20.00
26.67
33.33
40.00
46.67
40.00
40.00
40.00
40.00
40.00
40.00
40.00
26.67
26.67
33.33
33.33
33.33
33.33
53.33
40.00
33.33
40.00
46.67
53.33
40.00
40.00
20.00
20.00
10.00
13.33
10.00
13.33
25.00
10.00
20.00
40.00
13.33
26.67
10.00
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
B
M
A
A
A
AE
AE
AE
AE
AE
A
A
AE
AE
AE
A
A
A
A
M
A
A
A
A
AE
AE
AE
AE
A
A
M
M
A
A
A
A
M
M
A
A
M
M
13.33
10.00
20.00
33.33
33.33
40.00
6.67
10.00
3.07
3.07
3.33
3.07
3.07
3.33
1.53
1.53
1.67
1.80
3.07
3.07
1.53
1.53
1.67
1.53
1.53
1.67
13.33
13.33
13.33
13.33
13.33
13.33
13.33
6.67
6.67
6.67
4.44
8.89
13.33
13.33
4.44
4.44
6.67
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
M
M
M
A
A
M
M
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
M
M
M
M
M
M
B
M
B
B
M
M
M
M
M
M
M
6.67
8.89
8.89
8.89
8.89
20.00
20.00
26.67
26.67
33.33
33.33
8.89
20.00
26.67
33.33
8.89
1.53
1.53
6.67
8.89
26.67
20.00
20.00
8.89
20.00
13.33
6.67
13.33
26.67
13.33
13.33
4.44
40.00
40.00
26.67
26.67
13.33
6.67
6.67
8.89
8.89
6.67
6.67
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
M
M
M
M
B
B
M
M
A
A
M
M
M
A
M
M
M
A
A
A
M
A
A
A
A
M
A
A
A
A
M
M
M
M
M
M
M
M
M
A
A
A
6.67
4.44
13.33
13.33
20.00
8.89
13.33
13.33
8.89
26.67
4.44
8.89
24.44
40.00
26.67
3.33
2.22
4.44
8.89
13.33
3.33
20.00
20.00
20.00
13.33
20.00
33.33
40.00
13.33
4.44
20.00
26.67
20.00
33.33
53.33
13.33
26.67
6.67
13.33
13.33
13.33
20.00
26.67
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
M
A
AE
AE
A
A
AE
A
AE
A
A
AE
AE
AE
A
A
AE
A
AE
M
AE
AE
A
A
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
M
AE
B
AE
AE
AE
AE
AE
26.67
26.67
26.67
20.00
26.67
13.33
33.33
20.00
20.00
5.56
6.67
1.11
8.89
20.00
20.00
20.00
26.67
33.33
26.67
20.00
20.00
20.00
20.00
26.67
26.67
13.33
3.33
13.33
20.00
20.00
20.00
13.33
13.33
13.33
13.33
13.33
13.33
17.78
17.78
13.33
13.33
13.33
13.33
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
AE
AE
AE
A
A
A
AE
AE
M
A
M
B
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
M
AE
A
A
AE
A
A
A
A
A
AE
AE
AE
AE
AE
AE
AE
13.33
13.33
13.33
13.33
45.56
45.56
32.22
18.89
32.22
18.89
45.56
32.22
45.56
32.22
32.22
45.13
32.22
32.22
32.22
32.22
32.22
32.22
45.56
45.56
45.56
45.56
45.56
45.56
2.22
3.33
10.00
10.00
13.33
10.00
20.00
13.33
8.89
13.33
26.67
26.67
8.00
10.00
13.33
70.60
70.60
79.60
90.56
104.53
107.91
129.04
133.81
138.96
157.23
160.31
177.06
28.28
34.01
69.84
69.84
70.81
71.84
79.10
79.10
105.50
109.96
117.78
121.54
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
AE
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
M
A
A
A
A
M
A
AE
AE
AE
M
M
A
20.00
13.33
13.33
15.56
17.78
17.78
15.56
30.00
20.00
11.11
11.11
11.11
14.80
18.53
13.33
13.33
13.33
7.78
15.56
10.00
7.00
8.89
15.56
7.78
15.56
10.00
16.67
13.33
8.89
10.00
13.33
4.44
20.00
13.33
15.56
22.22
20.00
13.33
13.33
11.11
13.33
17.78
15.56
18.71
74.25
66.23
100.80
72.69
73.52
75.66
75.66
77.82
77.82
77.82
77.82
78.32
84.30
86.12
86.12
88.58
88.58
89.71
89.71
89.71
89.71
89.71
92.16
92.16
96.57
99.33
99.33
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
M
M
M
A
A
A
A
A
A
A
A
A
A
A
A
A
M
A
M
M
A
M
M
M
M
M
M
A
M
M
M
A
M
M
M
A
M
A
A
M
A
M
15.56
10.00
16.67
24.44
15.56
8.89
26.67
15.56
15.56
31.87
14.44
15.56
31.11
21.33
33.33
28.89
21.11
22.22
22.22
30.00
12.22
20.00
20.00
8.89
15.56
15.56
10.00
11.11
4.44
7.78
20.00
26.67
6.67
14.44
26.67
5.56
15.56
3.00
10.00
1.49
3.33
1.15
1.67
100.57
102.20
106.51
110.09
112.06
117.18
117.18
117.18
117.18
117.18
117.18
117.18
119.27
126.94
130.92
134.17
140.62
144.64
144.64
144.64
156.69
156.69
186.45
4.76
4.98
4.98
6.09
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
2
2
2
2
M
M
M
A
A
M
A
M
A
M
M
M
A
M
A
A
M
A
M
M
A
M
A
M
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
B
M
M
M
6.09
1.78
3.33
9.34
9.28
12.55
13.33
9.34
44.42
19.55
19.55
44.47
44.47
120.00
120.00
120.00
13.33
13.33
5.56
1.25
1.08
4.77
8.00
2.72
4.12
44.42
71.11
71.11
6.67
32.52
4.44
4.44
6.67
11.11
11.11
10.00
10.00
6.67
6.67
10.00
8.89
10.00
10.00
8.68
8.80
33.28
37.13
44.11
46.51
47.21
56.97
76.58
76.58
98.09
106.27
129.58
246.13
269.44
270.78
8.80
14.68
70.60
70.60
75.66
76.48
77.77
77.82
79.10
79.10
81.36
89.37
89.56
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
B
M
B
M
M
M
M
M
A
A
A
AE
AE
AE
AE
AE
B
M
B
B
B
B
A
M
M
AE
AE
AE
B
A
M
A
M
M
A
A
A
M
M
A
M
A
M
10.00
6.67
4.44
4.44
13.33
13.33
8.89
13.33
6.67
10.00
8.89
13.33
8.89
13.33
10.00
13.33
13.33
10.00
7.78
8.89
7.78
6.67
10.00
8.89
1.11
2.22
8.89
2.22
8.89
2.22
2.22
3.33
6.67
6.67
8.89
4.44
4.00
8.89
8.89
8.89
8.89
13.33
13.33
93.55
96.23
109.96
109.96
117.18
117.18
117.18
117.18
119.11
133.61
136.86
137.42
137.42
144.64
148.87
156.69
156.69
156.69
28.28
63.99
75.66
75.66
77.82
77.82
77.82
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
M
M
A
M
A
M
M
A
M
M
A
A
M
A
A
A
A
A
M
M
A
A
M
M
B
B
A
B
M
M
M
M
M
B
M
M
B
M
M
M
M
A
M
13.33
22.22
7.78
13.33
20.00
8.89
8.89
6.67
13.33
24.00
15.56
11.11
15.56
13.33
20.00
8.89
20.00
24.00
13.33
8.89
22.22
13.33
8.89
8.89
20.00
10.00
17.78
8.89
20.00
20.00
6.67
8.89
15.56
4.44
28.89
6.67
4.00
4.00
2.22
4.44
4.44
15.56
3.33
78.32
84.30
86.12
88.58
88.58
96.57
96.57
99.33
99.33
99.33
99.33
99.33
99.33
99.33
101.82
113.92
117.18
117.18
117.18
120.85
120.85
120.85
130.92
130.92
136.86
144.64
156.69
156.69
156.69
156.69
5.65
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS 2
M
A
M
A
A
M
M
M
A
M
M
M
M
A
M
M
A
M
M
M
A
A
M
M
M
M
A
M
A
A
M
A
M
M
M
M
M
M
B
M
M
M
M
3.33
2.67
8.89
15.56
22.22
20.00
33.33
20.00
33.33
4.44
6.67
20.00
15.56
15.56
10.00
20.00
33.33
8.89
8.89
8.89
12.00
10.00
15.56
5.56
15.56
8.89
13.33
13.33
20.00
1.56
6.67
8.89
3.33
40.00
26.67
13.33
15.56
15.56
11.11
8.89
8.89
13.33
8.89
9.70
16.99
67.06
67.06
67.48
67.48
67.48
67.48
67.48
67.48
68.68
70.65
74.45
74.45
74.45
74.45
74.45
75.66
75.66
75.66
75.66
75.66
75.66
77.82
77.82
77.82
77.82
77.82
77.82
77.82
78.32
78.32
78.32
84.30
86.12
88.58
88.58
88.58
88.58
99.33
99.33
99.33
99.33
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
B
M
M
A
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
B
M
M
M
AE
A
M
M
M
A
M
M
M
M
20.00
15.56
15.56
8.89
8.89
33.33
13.33
22.22
26.67
8.89
15.56
15.56
22.00
2.22
8.89
8.89
22.22
22.22
22.22
22.22
8.89
26.67
26.67
26.67
35.53
22.22
73.33
40.00
75.56
2.22
2.22
2.22
22.22
4.44
1.11
8.89
4.44
1.33
6.67
8.89
0.44
8.00
6.67
99.33
99.33
99.33
99.33
100.57
107.61
107.61
117.18
120.85
120.85
140.62
143.40
156.69
14.57
73.52
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS 2
SIS 2
A
M
M
M
M
M
M
M
A
M
M
M
A
B
M
M
M
M
M
M
B
A
A
A
A
A
AE
AE
AE
B
B
B
M
B
B
M
B
M
M
M
B
M
M
15.56
11.11
11.11
22.22
7.78
25.56
30.60
10.00
15.56
3.33
3.33
13.33
4.44
13.33
26.67
13.33
15.56
7.78
6.67
8.00
10.00
40.00
6.67
7.78
26.67
16.67
26.67
13.33
13.33
13.33
17.78
17.78
33.33
17.78
35.56
17.78
17.78
20.00
13.33
13.33
26.67
11.11
3.33
75.66
75.66
76.58
76.58
77.82
77.82
78.32
84.30
86.11
86.12
88.58
88.58
88.58
89.71
90.79
97.19
107.61
117.18
117.18
117.18
117.18
117.18
120.85
126.94
126.94
144.64
156.69
156.69
156.69
156.69
156.69
156.69
168.75
186.45
199.57
199.57
200.79
216.20
235.48
235.48
235.48
254.86
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
M
A
A
M
A
A
A
A
M
M
M
M
A
A
A
A
A
M
A
A
M
A
M
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
M
A
A
M
22.22
13.33
25.56
20.00
22.22
10.00
10.00
13.33
16.67
4.44
40.00
7.78
16.73
8.89
8.89
8.89
8.89
25.60
8.89
13.33
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
26.60
67.48
67.48
67.48
68.68
68.68
74.45
75.66
75.66
75.66
75.66
75.66
77.82
77.82
77.82
78.32
86.12
88.58
96.57
99.33
99.33
99.33
99.33
99.33
99.33
99.33
99.33
106.51
107.61
113.92
117.18
117.18
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
A
A
A
A
M
M
M
M
M
A
A
M
M
M
M
A
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
M
A
M
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
26.73
8.89
8.89
8.89
6.67
8.89
8.89
8.89
8.89
5.56
8.89
8.89
8.89
8.89
8.89
8.89
8.89
13.33
117.18
117.18
144.64
144.64
156.69
156.69
156.69
63.99
67.06
67.06
67.48
67.48
68.68
68.68
68.68
70.65
74.45
75.66
75.66
75.66
75.66
75.66
75.66
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
M
M
M
A
M
A
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
13.33
8.89
8.89
8.89
8.89
8.89
8.89
15.56
15.56
10.00
5.56
2.22
8.89
8.89
8.89
8.89
8.89
8.89
8.89
15.56
8.89
8.89
8.89
8.89
8.89
8.89
77.82
77.82
77.82
77.82
77.82
77.82
77.82
77.82
77.82
77.82
77.82
78.32
78.32
84.30
86.12
86.12
86.12
88.58
89.60
89.60
92.16
92.16
99.33
99.33
99.33
99.33
99.33
99.33
99.33
113.68
117.18
117.18
120.85
120.85
130.92
156.69
172.10
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
M
M
M
M
M
M
M
A
A
A
M
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
A
M
A
A
M
M
M
M
M
M
M
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
8.89
2.22
8.89
2.22
8.89
3.33
13.33
1.45
3.36
12.07
13.33
55.56
26.67
26.67
26.67
26.67
20.00
45.00
26.67
53.33
53.33
53.33
0.44
20.00
12.07
20.00
25.00
0.67
0.67
1.00
1.00
2.67
2.41
4.00
4.00
76.48
92.12
103.85
107.56
123.10
123.10
123.10
137.89
146.41
157.67
182.78
232.98
3.31
3.66
3.88
4.98
5.14
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
B
M
M
A
A
M
A
A
A
A
AE
A
AE
AE
AE
M
A
A
AE
A
B
B
M
B
M
2.00
2.00
1.50
2.50
2.67
1.78
7.00
5.00
13.33
26.67
13.33
6.67
13.33
1.33
13.33
13.33
26.67
20.00
13.33
20.00
10.00
26.67
5.00
5.00
1.33
1.50
3.00
0.67
2.67
3.00
40.00
10.00
6.67
4.00
0.80
25.78
8.00
8.00
5.33
51.04
22.93
34.03
50.89
5.14
8.55
48.39
49.45
51.56
52.77
53.04
56.25
63.79
65.03
72.21
72.48
74.55
75.79
85.31
85.31
85.99
93.72
101.53
140.38
4.91
6.51
7.41
8.95
11.61
70.60
76.48
92.82
97.19
113.63
113.63
130.92
130.92
130.92
156.67
169.72
177.54
177.54
177.54
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
A
M
M
M
M
A
M
A
M
M
A
M
M
M
A
AE
M
A
A
M
A
A
A
B
M
M
M
A
A
AE
AE
AE
A
M
AE
AE
AE
AE
AE
AE
AE
AE
10.67
50.89
13.33
34.03
34.03
51.04
4.00
1.50
5.33
5.33
50.89
51.04
16.67
32.00
6.67
8.00
14.67
13.33
13.33
21.85
8.00
9.33
5.33
40.00
8.00
10.67
45.00
60.00
70.00
42.53
13.33
13.00
13.00
3.79
2.60
13.33
20.00
10.20
13.33
20.00
20.00
26.67
33.33
177.54
224.16
224.72
275.71
275.71
416.66
5.14
9.01
73.80
75.30
77.64
85.46
104.88
104.88
104.88
132.57
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
AE
AE
AE
A
M
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
M
B
M
A
A
A
A
A
A
A
4.36
4.36
6.06
6.06
2.67
2.00
2.00
2.67
10.00
5.33
0.67
8.00
8.00
8.00
8.00
8.00
4.75
4.00
40.00
10.00
10.00
10.00
10.00
10.00
1.33
1.33
0.60
4.00
3.50
1.50
6.00
1.00
1.50
2.00
10.00
5.00
6.67
32.00
20.00
5.33
32.00
4.00
4.00
2.06
2.86
5.14
6.96
13.32
43.86
70.60
70.60
199.70
216.34
247.28
267.89
2.41
5.14
5.78
6.51
6.51
8.78
8.83
10.52
23.14
35.42
56.90
69.36
84.01
86.41
113.42
113.42
113.42
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
AE
A
A
A
A
M
A
A
A
A
AE
AE
AE
A
AE
A
A
A
M
M
M
M
A
B
M
B
M
M
M
M
M
A
A
A
A
A
A
A
M
M
32.00
15.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
4.00
32.00
32.00
3.33
5.33
64.00
32.00
32.00
64.00
42.67
64.00
32.00
32.00
32.00
64.00
64.00
32.00
64.00
32.00
64.00
64.00
64.00
32.00
64.00
32.00
32.00
32.00
32.00
32.00
64.00
64.00
32.00
32.00
113.63
114.66
122.88
122.88
122.88
123.10
123.10
123.10
124.22
124.22
124.22
149.99
149.99
157.70
157.70
157.70
170.84
170.84
170.84
170.84
170.84
170.84
183.98
199.70
200.73
209.50
216.34
217.46
224.16
254.86
335.21
335.21
335.21
399.64
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
32.00
4.44
4.44
5.00
4.44
5.00
5.00
4.00
5.00
3.50
4.00
5.33
4.00
2.22
2.50
2.50
15.00
12.00
7.78
4.00
5.33
5.33
5.33
7.78
5.33
5.33
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
AE
AE
M
B
M
A
M
A
M
M
M
AE
A
A
M
A
A
A
A
M
M
A
A
A
A
AE
AE
20.00
6.00
8.00
10.73
8.00
34.00
32.00
48.00
64.00
64.00
64.00
64.00
64.00
64.00
48.00
64.00
64.00
64.00
64.00
64.00
64.00
52.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
5.45
42.42
79.94
82.49
92.12
109.96
137.42
153.35
156.69
156.69
156.69
178.91
206.28
208.38
248.07
263.31
263.31
263.31
275.71
275.71
296.91
304.95
304.95
304.95
304.95
304.95
304.95
304.95
304.95
304.95
304.95
317.24
337.56
372.75
372.75
393.07
393.07
393.07
393.07
393.07
393.07
393.07
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
A
A
A
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
11.00
8.00
9.00
8.00
8.00
8.00
8.00
8.00
32.00
8.00
8.00
8.00
32.00
8.00
32.00
8.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
64.00
393.07
411.80
430.38
455.79
481.19
481.19
481.19
481.19
510.56
569.31
569.31
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
AE
AE
A
A
AE
A
AE
A
AE
AE
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
96.00
96.00
96.00
64.00
8.00
64.00
32.00
64.00
35.00
18.56
18.56
20.40
15.80
35.00
56.22
0.80
2.67
1.50
56.22
13.33
45.00
25.33
24.22
24.22
13.33
56.22
12.00
56.22
56.22
56.22
2.67
15.00
24.22
56.22
56.22
56.22
15.00
24.22
24.22
24.22
24.22
24.22
5.00
77.16
92.69
92.69
123.77
4.98
6.09
71.22
71.22
99.91
114.25
114.25
114.25
114.25
114.25
114.25
114.25
114.25
114.25
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
A
A
AE
AE
AE
AE
A
AE
A
M
AE
AE
M
B
A
AE
AE
A
M
AE
M
AE
AE
B
A
AE
AE
B
M
AE
AE
AE
AE
A
AE
AE
AE
AE
A
A
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
75.00
15.00
24.22
24.22
56.22
15.56
15.00
15.00
15.56
15.56
4.44
24.22
24.22
8.89
6.67
8.00
8.89
8.89
8.89
15.00
15.56
6.67
13.25
15.56
24.22
15.00
56.22
56.22
15.00
8.89
8.89
20.00
24.22
15.00
3.00
70.60
70.60
113.63
113.63
146.41
80.03
136.18
8.78
27.29
48.79
51.21
54.69
54.69
57.16
58.60
60.26
61.67
62.27
63.43
63.75
63.75
65.15
65.15
67.01
67.43
75.61
75.61
76.21
76.21
76.21
78.39
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
A
AE
A
AE
AE
AE
AE
AE
M
M
M
M
M
A
B
M
M
B
A
M
A
M
M
M
A
A
M
M
M
M
M
M
A
AE
AE
A
B
A
AE
A
A
B
25.00
25.00
10.00
25.00
25.00
18.89
24.22
56.22
56.22
24.22
2.22
2.22
18.89
6.67
15.56
24.22
24.22
24.22
15.56
18.89
24.22
18.89
18.89
18.89
15.56
12.00
1.50
4.44
15.56
24.22
6.67
24.22
15.56
8.89
12.00
22.00
8.89
24.22
24.22
15.56
24.22
24.22
12.00
3.65
5.12
5.40
25.10
26.02
27.34
27.34
30.23
34.61
36.25
37.13
43.23
53.69
53.69
66.88
69.36
77.77
169.72
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
M
AE
AE
AE
AE
AE
AE
AE
A
A
A
M
M
A
A
A
AE
AE
AE
AE
AE
M
M
B
M
B
A
M
B
A
A
B
M
M
B
M
AE
A
A
A
B
13.50
8.89
19.00
13.33
15.56
15.56
24.22
6.67
8.89
15.56
24.22
24.22
24.22
9.00
5.67
10.00
15.00
7.50
9.00
12.00
8.00
19.40
24.22
30.67
30.67
30.67
18.90
56.22
56.22
56.22
5.33
18.89
6.67
8.50
24.22
24.22
18.00
56.22
36.70
13.33
25.00
36.67
24.22
50.00
68.64
55.36
7.26
8.78
13.14
15.00
70.60
70.60
77.04
77.16
92.69
99.91
99.91
108.23
123.77
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
B
B
M
M
M
M
A
M
M
M
AE
AE
AE
M
M
B
A
B
B
M
B
A
A
AE
AE
AE
A
A
A
A
A
A
M
M
A
A
A
A
A
A
A
M
A
36.70
75.00
83.60
36.70
56.22
13.33
56.22
56.22
56.22
120.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
4.44
8.00
7.00
75.00
25.00
13.33
13.33
13.33
36.70
75.00
32.67
45.00
6.50
24.22
10.00
10.00
10.00
20.00
13.33
13.33
10.00
13.33
13.33
20.00
20.00
89.11
123.77
123.77
123.77
123.77
127.98
147.08
149.55
149.55
170.39
236.03
267.89
289.22
20.08
44.05
49.70
56.88
60.46
61.62
65.50
71.22
71.22
71.22
77.16
77.16
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
B
AE
M
M
A
A
M
AE
A
AE
A
A
M
A
AE
AE
AE
M
M
M
AE
M
M
A
A
AE
A
AE
A
AE
M
A
M
M
AE
M
A
M
M
M
A
A
A
20.00
20.00
120.22
60.00
69.56
26.67
69.56
69.56
56.22
56.22
20.00
13.33
88.22
88.22
88.22
88.22
53.33
88.22
6.67
67.33
67.33
18.89
20.00
67.33
20.00
67.33
0.67
10.00
1.50
6.67
3.33
10.00
3.33
3.33
6.67
6.67
6.67
6.67
13.33
20.00
8.89
8.89
1.60
77.16
85.56
92.69
100.46
123.77
123.77
147.08
185.93
228.89
289.22
24.37
24.37
24.37
25.67
26.27
26.97
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
A
M
A
AE
A
A
AE
A
A
A
A
A
AE
AE
A
AE
A
AE
M
AE
AE
A
AE
A
AE
AE
A
M
M
A
M
M
M
M
M
M
M
M
A
AE
A
A
M
1.50
8.89
13.33
13.33
13.33
13.33
13.33
13.33
0.67
2.00
2.33
10.00
1.50
4.00
3.00
2.00
4.50
4.00
13.33
13.33
3.00
5.00
1.50
6.00
2.00
13.33
5.00
3.33
2.00
3.33
3.33
3.33
3.50
3.33
3.50
13.33
4.00
13.33
13.33
13.33
53.33
15.00
15.00
4.75
5.95
6.31
36.19
36.19
43.76
43.76
67.24
106.00
112.19
112.19
144.85
6.53
60.21
62.61
64.40
81.12
81.12
91.58
91.58
96.67
96.67
118.19
161.22
161.22
221.28
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
A
A
A
A
A
AE
AE
A
M
M
M
M
M
M
M
A
A
A
A
M
M
M
A
M
A
A
M
M
A
A
M
M
M
M
A
A
A
A
A
AE
A
A
7.50
56.22
56.22
56.22
35.00
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
15.56
56.22
56.22
40.00
56.22
56.22
36.90
56.22
56.22
25.00
56.22
8.00
15.00
25.00
67.33
67.33
24.22
56.22
56.22
25.00
40.00
24.22
56.22
67.33
67.33
33.33
67.33
25.00
18.89
67.33
7.41
40.47
58.40
60.46
71.22
77.16
179.30
217.01
49.70
56.88
56.88
60.46
60.46
65.76
71.22
71.22
71.22
71.22
71.22
71.22
71.22
85.56
85.56
85.56
92.74
99.91
100.46
114.25
147.08
157.29
200.32
247.71
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
A
A
A
A
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
M
A
AE
M
A
AE
AE
M
AE
AE
AE
AE
M
M
AE
A
A
AE
AE
M
AE
AE
A
AE
67.33
67.33
67.33
67.33
120.22
67.33
10.00
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
56.22
36.90
8.00
12.60
15.00
15.00
15.00
18.89
18.89
4.00
4.00
13.33
13.33
56.22
56.22
56.22
56.22
56.22
56.22
3.33
10.00
10.00
26.67
32.00
6.67
247.90
4.84
50.81
58.38
108.07
128.99
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
M
M
A
AE
AE
AE
AE
AE
A
M
A
M
M
M
M
A
A
AE
AE
A
AE
AE
AE
M
A
M
A
A
M
10.00
13.33
2.00
2.00
13.33
26.67
40.00
46.67
53.33
3.33
2.00
1.50
2.50
2.00
2.00
20.00
33.33
40.00
6.67
6.67
6.67
0.89
2.00
3.33
2.00
1.33
1.50
10.00
20.00
33.33
13.33
13.33
26.67
33.33
26.67
4.44
0.89
56.22
24.00
58.89
56.22
56.22
56.22
5.38
6.09
66.88
216.34
216.34
267.89
288.49
5.38
6.31
7.63
37.00
73.92
84.68
84.68
84.68
84.68
91.85
49.70
56.51
60.46
71.22
71.22
90.04
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
A
M
M
M
A
A
AE
AE
AE
M
M
M
M
M
M
A
A
AE
A
M
M
A
M
M
M
A
M
A
A
M
A
A
M
A
A
M
M
A
A
A
A
A
A
56.22
56.22
58.89
56.22
56.22
58.89
65.00
56.22
58.89
58.89
56.22
58.89
56.22
58.89
58.89
58.89
8.89
58.89
15.00
8.89
8.89
13.33
15.56
20.00
4.44
15.00
35.80
15.56
35.80
24.22
56.22
56.22
24.22
24.22
56.22
24.22
56.22
15.00
15.00
43.00
56.22
56.22
45.00
92.74
92.74
100.46
119.79
123.77
123.77
183.50
193.09
531.13
614.17
6.36
7.89
13.09
15.23
17.73
19.87
33.16
34.49
54.24
57.46
58.60
70.60
90.88
92.12
92.12
92.12
137.42
137.42
169.72
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
A
A
AE
A
AE
AE
AE
AE
A
AE
A
AE
AE
AE
A
AE
M
M
M
A
M
A
B
M
AE
M
AE
A
A
AE
AE
A
AE
A
AE
M
A
M
A
AE
A
18.00
8.89
15.56
8.89
8.89
24.22
24.22
24.22
8.89
24.22
18.99
22.00
56.22
56.22
56.22
56.22
56.22
40.00
56.22
56.22
56.22
15.00
24.22
24.22
35.00
24.22
35.00
56.22
24.22
24.22
24.22
24.22
35.00
35.00
56.22
22.00
56.22
56.22
56.22
40.00
40.00
40.00
40.00
71.22
81.98
92.74
114.25
114.25
135.77
147.08
147.08
147.08
209.05
238.81
238.81
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
M
M
M
M
M
AE
AE
M
B
AE
A
A
A
AE
A
AE
A
A
AE
AE
AE
M
A
M
A
M
A
AE
A
A
A
A
AE
AE
AE
A
AE
AE
AE
A
A
A
A
56.22
56.22
40.00
1.50
0.44
3.33
1.50
1.50
20.00
3.33
0.67
26.67
12.00
6.00
13.33
12.00
12.00
15.00
13.33
13.33
33.33
26.67
13.33
13.33
20.00
13.33
13.33
13.33
40.00
26.67
13.33
26.67
40.00
10.00
26.67
13.33
20.00
20.00
33.33
86.67
12.00
5.67
24.22
5.21
6.53
7.19
7.19
65.95
73.02
7.41
13.89
20.92
28.70
38.67
49.08
59.84
59.84
59.84
59.84
59.84
70.60
70.60
70.60
70.60
70.60
76.48
88.14
88.14
99.79
132.57
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
A
B
M
M
M
B
B
M
B
A
A
M
A
AE
A
A
A
A
AE
AE
A
A
A
A
A
A
AE
AE
A
A
AE
A
AE
A
A
AE
AE
AE
AE
M
AE
13.33
33.33
40.00
40.00
53.33
80.00
26.67
40.00
15.00
7.50
10.00
10.00
20.00
40.00
2.22
40.00
26.67
10.00
17.78
26.67
26.67
26.67
53.33
26.67
26.67
26.67
53.33
40.00
13.33
13.33
26.67
33.33
40.00
2.22
4.44
1.00
3.33
4.44
13.33
3.33
4.44
4.44
13.33
8.92
49.08
59.84
59.84
59.84
59.84
70.60
70.60
70.60
70.60
70.60
76.48
81.36
88.14
92.12
137.42
148.87
148.87
178.63
3.88
6.09
8.06
22.23
26.31
28.29
33.50
40.67
47.84
47.84
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
AE
AE
AE
A
AE
A
M
A
A
A
AE
M
AE
A
A
A
AE
AE
AE
AE
AE
AE
A
AE
AE
AE
A
AE
AE
AE
B
M
M
B
M
A
M
M
M
A
4.44
8.89
5.00
13.33
13.33
8.89
4.44
13.33
3.93
6.00
3.33
26.67
26.67
2.00
6.67
4.44
8.89
4.44
10.00
8.89
13.33
13.33
26.67
26.67
13.33
8.89
21.87
33.33
53.33
33.33
53.33
60.00
3.33
13.33
4.44
13.33
20.00
6.67
8.89
20.00
20.00
13.33
6.50
47.84
58.60
58.60
58.60
69.36
69.36
3.88
8.31
8.33
9.61
17.42
31.10
31.99
36.68
36.68
36.68
36.68
36.68
43.71
43.71
43.71
50.75
50.75
50.75
50.75
54.98
54.98
70.22
111.24
143.15
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
A
M
A
A
A
M
A
M
M
M
AE
AE
B
M
M
M
M
A
M
A
A
A
A
AE
M
M
AE
AE
AE
AE
AE
M
A
B
AE
AE
AE
M
AE
AE
A
M
7.00
7.50
8.00
8.00
10.00
10.00
15.67
6.67
12.00
4.44
4.44
6.67
2.22
4.44
4.44
4.44
6.67
8.89
13.33
2.22
2.22
6.67
6.67
1.50
3.33
3.33
3.33
6.67
13.33
13.33
8.89
13.33
26.67
20.00
2.22
2.22
1.00
20.00
20.00
13.33
3.33
6.67
2.22
30.15
5.14
6.09
28.23
30.76
41.78
52.54
77.64
4.98
30.15
54.57
75.49
3.88
4.98
6.09
31.37
39.54
56.97
56.97
58.60
69.36
86.79
90.88
6.51
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS 2
M
A
M
M
A
A
A
A
A
M
M
A
M
B
M
M
M
M
AE
B
M
M
M
B
B
B
M
B
A
A
A
A
AE
AE
M
B
B
AE
AE
A
M
A
M
2.22
4.44
13.33
13.33
13.33
26.67
33.33
26.67
13.33
2.22
4.44
4.44
5.00
8.00
4.44
8.89
4.44
8.89
8.89
8.89
4.44
8.89
13.33
13.33
2.22
4.44
4.44
4.44
3.33
13.33
8.00
6.67
10.00
1.80
1.33
4.50
13.33
10.00
4.07
10.00
6.67
20.00
1.33
40.74
49.08
70.60
70.60
81.35
82.60
92.11
5.14
23.17
27.62
37.13
44.11
44.11
44.19
51.08
66.88
6.09
44.11
44.11
35.19
35.19
88.40
54.57
65.03
6.31
7.41
28.23
33.65
44.11
54.57
56.13
65.03
70.47
6.31
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
M
AE
A
A
A
AE
AE
AE
A
M
M
M
B
B
M
A
M
M
A
A
B
A
AE
AE
B
M
M
M
M
AE
M
A
A
M
B
M
A
M
A
M
A
AE
B
1.00
6.00
1.11
13.33
37.67
21.87
18.67
31.67
33.33
33.33
28.70
33.33
33.33
35.00
40.00
40.00
40.00
21.87
26.67
46.20
26.67
11.33
8.89
33.33
26.67
6.00
1.00
15.56
53.33
400.00
40.00
11.11
13.33
26.67
40.00
2.22
8.89
13.00
13.00
22.00
8.00
15.00
32.22
11.59
28.48
70.04
70.80
70.80
70.80
92.32
92.32
113.84
113.84
135.35
135.35
156.87
158.11
234.67
239.70
20.64
59.84
113.63
44.11
54.57
54.57
65.03
75.49
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
B
M
B
A
A
A
A
AE
A
A
A
AE
AE
AE
AE
AE
A
A
AE
AE
AE
AE
AE
AE
AE
A
B
AE
AE
AE
AE
A
A
A
AE
A
A
A
A
A
A
AE
AE
10.00
75.00
50.00
3.33
6.67
6.67
13.33
21.87
13.33
15.00
20.00
6.67
1.86
13.33
20.00
6.67
31.67
4.44
46.67
20.00
2.00
0.86
1.33
3.33
1.26
6.67
13.33
13.33
13.33
13.33
26.00
6.72
1.33
12.67
23.33
26.67
43.00
13.33
12.67
26.67
1.26
13.33
13.33
33.65
37.13
54.57
54.57
54.57
75.49
85.95
106.86
5.97
6.31
6.31
6.52
33.65
34.85
45.37
45.37
48.95
56.13
56.13
65.03
65.03
65.03
66.88
77.64
95.77
106.86
109.92
131.43
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
A
A
A
M
A
A
A
A
A
AE
M
M
A
AE
A
A
A
AE
AE
M
M
M
M
M
AE
A
A
A
A
A
A
A
AE
A
AE
A
AE
A
AE
A
A
A
10.00
13.33
13.33
2.22
1.11
3.33
2.67
4.93
2.22
1.67
26.67
32.00
2.22
2.22
2.22
6.00
4.00
4.00
6.67
4.00
4.50
10.00
4.00
10.00
4.00
4.00
27.63
12.67
26.67
13.67
16.00
1.11
6.00
5.04
16.67
6.93
6.93
10.13
16.67
3.36
16.67
10.00
0.67
4.23
6.09
6.09
6.09
27.62
44.11
54.57
65.03
106.86
49.29
125.18
197.00
224.70
4.10
22.21
70.80
70.80
77.97
122.18
18.85
68.68
77.00
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
SIS 2
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
SIS 2
SIS 2
SIS 2
A
AE
A
M
B
B
M
M
AE
M
A
AE
AE
AE
M
M
B
B
M
M
M
M
B
AE
A
M
M
M
AE
M
M
B
M
A
A
A
AE
AE
A
M
B
B
B
11.00
1.26
3.53
1.68
2.67
2.22
6.67
1.00
3.33
10.00
20.00
10.00
13.33
30.00
41.00
53.33
53.33
26.67
33.33
33.33
26.67
40.00
26.67
26.67
53.33
64.00
64.00
64.00
6.67
26.67
26.67
26.67
26.67
1.67
40.00
26.67
26.67
26.67
40.00
26.67
26.67
40.00
26.67
15.90
28.53
5.14
5.14
6.51
22.59
70.60
70.60
81.36
99.79
123.10
146.41
88.14
92.12
99.79
99.79
123.10
6.05
7.64
61.44
73.41
88.55
119.24
137.62
137.62
157.90
159.14
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
B
B
M
B
B
B
AE
M
B
M
A
A
M
A
A
A
A
A
A
A
A
AE
A
A
AE
A
A
A
A
AE
A
AE
A
M
AE
A
A
A
AE
A
A
AE
A
26.67
26.67
26.67
40.00
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
13.33
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
26.67
40.00
53.33
53.33
53.33
53.33
40.00
40.00
26.67
219.02
219.02
219.02
219.02
265.64
265.64
265.64
265.64
265.64
265.64
312.26
336.28
358.88
386.49
436.69
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
AE
AE
A
A
AE
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
AE
AE
AE
A
6.67
40.00
40.00
13.33
15.00
2.22
6.67
2.22
13.33
26.67
26.67
13.33
26.67
26.67
26.67
26.67
26.67
40.00
40.00
40.00
40.00
40.00
26.67
40.00
40.00
26.67
26.67
26.67
26.67
53.33
40.00
40.00
40.00
40.00
26.67
53.33
40.00
40.00
40.00
40.00
26.67
40.00
53.33
35.35
35.35
38.30
59.84
70.60
90.68
92.12
92.12
92.12
92.12
92.12
92.12
92.12
118.79
118.79
118.79
118.79
128.69
128.69
128.69
152.00
152.00
175.31
175.31
175.31
175.31
175.31
175.31
175.31
221.93
221.93
221.93
221.93
221.93
221.93
239.00
239.00
268.54
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
A
A
A
A
A
AE
A
A
A
AE
A
A
A
A
A
A
AE
A
A
A
A
AE
A
A
A
A
A
A
AE
AE
A
A
AE
A
A
A
AE
A
AE
AE
AE
AE
53.33
40.00
40.00
53.33
53.33
53.33
40.00
40.00
53.33
53.33
40.00
53.33
53.33
53.33
53.33
53.33
53.33
3.00
2.22
13.33
13.33
13.33
26.00
26.00
26.00
29.00
20.00
20.00
26.67
40.00
40.00
26.67
26.67
26.67
53.33
53.33
53.33
53.33
53.33
53.33
53.33
53.33
66.67
289.20
315.16
315.16
339.41
339.41
339.41
361.78
373.85
389.61
389.61
402.61
408.40
439.82
439.82
439.82
465.39
486.76
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
A
A
AE
AE
AE
AE
A
AE
AE
A
A
AE
AE
AE
AE
AE
AE
A
A
A
A
AE
AE
AE
AE
AE
M
A
A
A
A
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
66.67
66.67
66.67
66.67
40.00
53.33
53.33
40.00
26.67
26.67
26.67
66.67
31.74
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
3.33
3.33
3.33
13.33
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
3.33
3.33
3.33
3.33
10.00
7.78
6.28
8.32
20.14
20.14
24.23
156.67
169.72
215.00
262.96
262.96
262.96
309.58
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
M
AE
AE
AE
AE
AE
A
A
A
A
A
AE
A
M
A
A
AE
A
A
A
A
A
AE
AE
A
A
A
A
A
A
A
7.78
7.78
7.78
13.33
13.33
13.33
6.67
13.33
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
40.00
4.44
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
13.33
4.44
5.00
5.00
13.33
13.33
38.04
58.80
43.23
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA/TARIFARIO SIS 2
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
A
A
AE
AE
A
A
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
A
A
A
A
A
B
A
A
AE
AE
13.33
13.33
13.33
13.33
5.00
13.33
1.11
10.00
13.33
1.11
1.11
10.00
2.22
4.44
5.56
4.44
4.44
4.00
2.22
5.56
5.56
13.33
10.00
13.33
10.00
10.00
26.67
10.00
10.00
24.44
24.44
26.67
26.67
26.67
20.00
26.67
20.00
20.00
20.00
20.00
20.00
20.00
13.33
30.87
58.80
74.37
5.75
30.12
54.16
31.46
31.46
33.98
31.46
44.07
54.16
44.07
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
SIS 2
AE
AE
AE
AE
A
AE
M
A
AE
M
M
A
B
B
M
B
B
M
B
M
M
M
M
A
M
A
AE
A
A
AE
AE
AE
AE
AE
A
AE
A
AE
AE
A
AE
AE
A
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
10.00
13.33
13.33
13.33
13.33
20.00
20.00
20.00
20.00
20.00
4.44
6.67
6.67
6.67
6.67
4.44
4.44
20.00
20.00
20.00
20.00
13.33
13.33
10.00
20.00
20.00
10.00
10.00
10.00
20.00
13.33
13.33
25.00
13.33
33.98
44.07
44.07
4.65
30.12
6.06
43.03
3.55
59.83
98.55
58.17
73.31
149.15
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
A
A
A
AE
AE
A
A
AE
AE
A
AE
M
AE
AE
AE
AE
AE
AE
AE
B
M
M
M
M
M
A
A
A
A
A
A
A
B
M
M
B
B
B
M
M
A
AE
M
13.33
13.33
25.00
25.00
6.67
20.00
20.00
6.67
6.67
20.00
20.00
20.00
3.33
10.00
20.00
10.00
8.89
10.00
13.33
6.67
20.00
8.89
8.89
10.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
20.00
5.00
20.00
20.00
20.00
20.00
20.00
20.00
35.68
40.73
57.46
34.95
38.06
50.82
32.94
44.26
49.45
54.64
59.83
59.83
44.26
46.61
49.45
62.79
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS 2
SIS
SIS
SIS
SIS
2
2
2
2
A
A
AE
AE
B
A
A
B
B
A
AE
AE
B
M
A
M
B
M
A
M
M
B
B
M
A
A
A
A
A
A
A
A
A
AE
AE
AE
M
M
A
A
AE
A
AE
20.00
20.00
20.00
20.00
20.00
20.00
13.33
20.00
13.33
13.33
20.00
10.00
20.00
6.67
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
12.00
20.00
20.00
20.00
20.00
20.00
6.67
20.00
20.00
20.00
20.00
20.00
20.00
3.33
10.00
5.00
5.00
10.00
20.00
20.00
10.00
34.95
57.46
47.08
44.26
43.03
59.83
57.46
3.55
7.93
31.83
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
AE
AE
AE
AE
A
A
A
AE
A
A
AE
A
AE
M
A
A
A
A
A
A
A
M
A
AE
AE
AE
AE
AE
B
AE
AE
AE
AE
AE
AE
B
M
M
M
M
AE
AE
AE
10.00
20.00
20.00
5.00
8.00
25.00
25.00
25.00
8.00
25.00
25.00
25.00
25.00
20.00
20.00
20.00
20.00
20.00
10.00
25.00
25.00
25.00
25.00
25.00
25.00
25.00
2.22
13.33
3.00
13.33
13.33
2.22
2.22
13.33
10.00
10.00
10.00
6.67
26.67
20.00
6.67
26.67
20.00
39.07
46.86
71.99
49.45
53.57
53.57
32.85
38.04
43.23
48.42
35.45
38.04
74.37
74.37
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
2
2
2
2
SIS 2
SIS 2
SIS 2
SIS 2
AE
AE
AE
AE
M
AE
AE
AE
M
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
AE
B
A
A
AE
A
B
B
AE
A
A
A
M
AE
AE
M
AE
A
20.00
20.00
4.44
1.11
5.00
4.44
4.44
1.11
4.44
8.00
10.00
10.00
8.00
8.00
8.00
8.00
46.67
46.67
46.67
22.28
0.67
1.00
2.67
1.00
1.00
20.00
8.00
10.00
10.00
15.00
21.22
1.00
18.60
2.67
28.86
28.86
22.24
46.67
46.67
28.86
3.33
6.67
6.67
35.45
27.01
36.98
44.26
52.05
54.64
114.84
148.57
148.57
148.57
2.33
3.88
3.88
4.76
4.98
42.76
46.58
80.06
90.44
90.44
143.63
97.97
114.84
131.71
148.57
148.57
165.44
4.76
43.23
43.23
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
A
A
M
B
M
B
B
B
M
M
A
A
M
M
M
M
AE
AE
AE
M
M
M
B
B
A
A
M
M
M
A
AE
M
A
M
AE
AE
AE
AE
AE
AE
A
A
M
6.67
13.33
10.00
5.00
8.00
6.00
9.00
9.00
9.00
9.00
26.67
6.00
26.67
24.28
28.86
26.67
9.00
26.67
9.00
26.67
26.67
8.00
22.24
1.34
1.85
1.35
15.00
40.74
1.87
1.66
30.00
38.37
50.91
55.96
5.37
5.37
4.17
3.95
3.95
4.17
10.67
5.37
4.65
48.42
59.30
74.87
74.87
86.73
90.44
97.97
97.97
97.97
97.97
106.01
106.01
114.84
114.84
114.84
121.57
131.71
131.71
165.44
170.36
216.98
10.00
21.02
21.56
160.00
220.93
47.08
47.08
47.08
47.08
47.08
47.08
59.99
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
M
AE
M
A
AE
M
A
A
A
A
A
M
AE
AE
AE
AE
A
A
A
A
AE
A
AE
B
B
M
M
M
B
B
A
A
A
A
A
A
AE
A
A
AE
AE
A
AE
10.29
4.17
4.17
4.17
4.17
4.17
4.17
4.17
5.33
4.17
4.17
4.17
4.17
4.17
4.17
4.17
4.17
3.95
3.95
4.17
0.44
0.75
0.75
0.62
0.62
1.55
1.43
1.43
1.47
1.43
1.98
1.98
1.43
1.43
1.43
1.75
1.50
2.03
2.71
1.55
10.00
15.00
10.00
10.00
10.00
10.11
10.11
10.11
10.11
10.11
10.11
10.11
10.11
10.76
10.76
11.29
12.29
26.88
27.72
27.72
160.00
160.00
160.00
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
AE
AE
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
AE
AE
A
A
AE
M
M
M
B
B
B
B
B
B
B
B
B
B
B
B
B
M
M
M
M
M
M
M
8.00
40.00
2.73
1.40
1.55
1.96
1.47
1.43
1.43
0.62
1.48
2.04
1.37
1.37
1.98
1.48
1.55
1.43
10.00
25.00
25.00
25.00
25.00
42.31
45.16
54.02
54.02
54.02
54.02
43.74
48.90
43.74
48.90
3.88
1.96
1.34
1.33
1.53
1.81
1.45
1.33
1.89
1.96
160.00
220.93
10.00
10.00
10.00
10.47
10.47
10.47
10.47
10.47
11.12
11.12
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
M
M
M
B
B
B
B
B
B
B
B
M
M
M
B
B
M
B
M
A
A
A
A
A
A
A
A
A
A
M
A
M
A
B
B
B
B
B
B
B
B
B
B
1.66
1.89
1.74
10.00
6.50
40.64
1.94
1.74
1.55
1.51
3.69
25.00
10.00
25.00
10.00
38.37
55.69
40.64
41.36
30.55
41.36
32.33
47.92
31.95
40.64
50.91
50.89
2.89
1.46
15.00
43.25
48.65
47.96
29.09
38.76
1.42
1.53
1.45
1.53
1.42
2.63
1.42
2.63
11.83
11.83
11.83
160.00
160.00
220.93
220.93
10.47
10.47
10.47
10.47
10.47
10.47
12.27
26.88
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
B
B
B
M
M
M
B
B
B
B
B
A
M
A
M
A
A
M
A
M
A
M
A
A
M
A
A
B
B
M
M
A
M
M
M
B
B
B
B
B
B
B
M
2.42
2.5
2.17
10.00
50.91
0.77
1.44
1.88
2.17
1.83
2.08
1.51
1.63
2.03
1.33
1.49
25.00
27.84
40.74
40.74
50.91
56.77
1.00
1.47
0.82
1.60
1.45
1.26
1.45
0.82
1.33
2.32
1.49
1.49
10.00
50.91
1.93
1.98
1.49
1.63
1.49
1.49
25.00
26.88
26.88
26.88
160.00
220.93
10.00
10.00
10.00
10.47
10.47
10.47
10.47
10.47
10.47
26.88
26.88
26.88
160.00
220.93
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
B
B
M
A
B
B
A
A
B
B
B
B
B
B
B
A
A
M
M
A
A
B
B
B
B
B
B
B
B
B
M
B
B
M
A
B
B
B
B
B
B
A
19.54
40.74
40.74
50.91
58.39
4.19
1.62
1.42
1.67
1.94
0.81
0.77
1.13
36.43
2.72
3.00
3.00
1.83
2.70
3.65
4.24
4.24
1.50
0.56
0.81
0.81
0.81
0.81
0.58
0.67
1.28
1.51
1.67
40.62
1.27
2.26
10.00
10.00
10.00
10.00
2.17
10.00
2.59
15.48
10.00
10.47
10.85
14.29
22.48
25.86
220.93
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
A
M
M
A
A
A
A
B
B
M
M
B
B
M
M
B
B
A
A
M
AE
AE
B
B
M
M
M
M
M
M
M
M
B
M
B
M
M
A
AE
A
A
M
M
40.00
40.00
40.00
3.01
2.89
3.17
2.71
3.55
3.55
3.99
2.72
20.88
20.88
20.88
20.88
20.88
20.88
20.88
20.88
18.40
18.40
18.40
1.02
1.50
1.98
1.63
2.62
16.02
40.15
2.40
1.55
1.63
1.51
2.60
2.45
8.30
2.62
2.40
2.40
1.51
1.42
38.47
40.96
10.00
10.47
10.47
10.47
28.94
160.00
220.93
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
M
M
M
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
A
A
B
B
B
B
M
M
M
B
B
M
B
M
B
A
M
B
B
B
B
A
A
56.15
2.40
2.00
2.03
1.66
1.48
2.63
1.66
6.50
2.63
3.00
1.66
1.66
5.57
1.66
3.33
4.02
4.00
4.00
3.33
2.79
1.14
2.40
2.77
2.16
2.24
2.76
3.62
4.25
4.25
3.62
4.22
8.00
3.63
2.63
4.89
4.77
4.77
4.77
4.77
4.15
2.69
6.00
19.11
21.26
21.26
21.56
21.56
24.93
27.72
31.39
31.39
34.17
14.77
21.26
23.41
27.72
34.17
34.17
37.84
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
A
M
A
M
M
A
M
A
M
M
A
M
M
A
M
M
B
B
A
A
M
B
M
AE
B
B
B
M
AE
AE
M
AE
AE
A
A
A
A
A
A
A
A
A
AE
3.40
2.43
2.87
2.71
2.71
2.86
2.86
6.40
2.73
2.77
2.77
2.87
2.71
2.76
3.97
5.18
2.86
2.86
3.97
3.29
6.40
2.72
2.72
2.72
0.75
0.90
0.97
0.60
0.86
0.90
1.07
1.07
0.86
0.90
0.86
0.86
0.90
0.86
0.86
0.87
1.48
1.13
1.13
36.62
36.62
36.62
36.62
36.62
36.62
36.62
13.20
13.20
13.20
10.04
11.09
11.09
13.20
11.09
11.09
11.09
14.53
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
M
M
AE
A
A
AE
AE
AE
A
A
A
AE
A
AE
A
A
AE
AE
A
A
AE
A
A
A
M
M
M
M
B
M
A
M
B
M
B
B
M
B
B
M
M
M
M
0.87
0.93
1.89
2.33
2.93
0.84
1.67
1.60
0.84
0.84
1.01
0.84
1.01
0.76
0.76
1.00
1.01
2.20
1.23
2.60
4.29
3.85
3.34
3.33
5.00
2.98
3.67
4.27
4.26
1.00
1.00
1.00
1.00
1.00
1.00
1.00
5.00
5.00
5.00
5.00
5.00
5.00
8.47
11.09
19.74
23.45
11.09
18.15
18.41
11.09
11.09
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
M
A
A
B
M
M
M
B
M
M
M
A
A
B
M
M
M
M
B
M
A
A
A
A
M
M
M
A
A
M
M
M
M
M
M
M
AE
AE
AE
M
M
M
A
12.28
5.00
5.00
10.66
10.66
10.66
12.00
12.00
12.00
12.00
12.00
12.00
12.00
12.00
12.00
5.00
5.00
5.00
5.00
5.00
10.66
0.30
2.20
8.00
8.00
8.00
8.00
2.29
15.00
2.29
8.00
20.00
15.00
15.00
15.00
8.00
8.00
8.00
8.00
8.00
8.00
8.00
8.00
15.24
15.24
36.95
36.95
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
2
2
2
2
A
M
M
AE
AE
AE
A
A
A
AE
A
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
M
B
M
M
M
M
B
B
B
B
B
B
B
B
B
M
M
B
A
B
B
M
10.00
10.00
20.00
20.00
20.00
20.00
20.00
20.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
15.00
6.00
6.00
8.00
8.00
8.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
6.00
8.00
8.00
8.00
10.00
10.00
8.00
8.00
6.00
8.00
8.00
8.00
8.00
8.00
79.23
79.23
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
B
B
M
M
M
B
B
B
B
B
B
B
B
M
M
M
M
M
M
M
B
M
M
M
M
M
8.00
6.00
8.00
8.00
8.00
8.00
6.00
6.00
6.00
6.00
6.00
3.56
2.36
20.00
20.00
20.00
15.00
5.51
15.00
5.82
2.36
8.88
20.00
30.00
4.50
4.50
15.00
4.50
10.00
10.00
10.00
10.00
10.00
10.00
10.00
8.00
8.00
8.00
8.00
8.00
8.00
10.00
10.00
89.69
89.69
190.11
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
89.69
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
SIS 2
SIS 2
SIS
SIS
SIS
SIS
2
2
2
2
M
B
M
M
M
M
B
B
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
10.00
10.00
10.00
10.00
10.00
10.00
10.00
10.00
3.57
8.00
20.00
20.00
20.00
20.00
34.32
34.32
24.56
29.58
20.00
20.00
20.00
8.00
8.00
8.00
8.00
8.00
8.00
8.00
2.29
18.00
20.24
8.00
8.00
4.00
4.93
6.00
6.00
6.70
2.00
4.93
2.33
0.90
1.20
190.11
89.69
33.62
35.91
59.92
14.00
15.30
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
SIS 2
M
M
M
M
M
M
M
M
M
M
M
A
A
A
A
A
M
A
B
M
M
A
M
A
B
B
M
M
B
A
A
M
M
M
M
M
M
M
M
B
B
M
M
1.20
1.20
1.41
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
1.69
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
17.31
17.61
17.90
18.60
18.72
19.08
19.62
19.62
4.98
7.08
7.56
8.52
8.64
11.88
12.36
12.42
12.60
12.90
15.54
17.58
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
M
M
M
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
4.00
0.50
0.34
0.34
0.34
0.38
0.25
0.34
0.27
0.33
0.19
0.42
0.53
0.74
1.50
0.42
1.85
1.85
0.44
0.44
1.67
2.35
1.17
0.62
0.28
2.66
2.66
0.57
0.29
3.18
3.96
18.42
18.60
19.81
19.98
20.94
22.10
23.34
25.50
25.50
25.50
25.89
26.88
27.54
29.94
31.92
59.31
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
B
B
B
B
B
B
B
B
A
A
M
A
A
A
M
A
A
A
M
A
M
A
M
A
M
M
0.29
0.29
0.29
0.29
1.17
1.17
1.17
1.17
1.17
1.42
1.60
2.12
1.47
1.47
0.39
0.39
0.39
0.45
1.67
1.67
1.67
0.45
2.09
2.00
2.24
2.24
1.57
1.52
1.09
1.14
0.57
0.14
2.80
0.57
2.24
2.24
0.79
2.48
0.79
1.40
0.26
0.32
0.32
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
A
A
B
M
B
A
A
A
M
A
A
M
B
M
A
A
A
A
A
A
A
A
A
A
A
A
A
M
A
A
A
A
A
A
A
A
A
A
A
B
M
M
0.76
0.76
0.53
1.20
0.74
0.36
0.62
0.79
0.30
0.30
0.42
1.36
0.75
0.85
0.79
0.79
0.79
2.66
2.66
2.66
2.66
2.66
2.66
2.66
2.66
1.85
1.85
1.85
1.85
1.85
1.85
1.85
0.53
1.40
0.39
0.53
0.53
0.53
0.28
1.09
1.09
4.84
2.73
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
A
M
A
M
M
M
M
B
M
A
M
B
M
M
M
M
A
A
A
A
A
M
M
A
M
A
A
A
A
M
M
A
A
M
M
M
M
M
M
M
M
M
2.10
1.94
0.77
1.01
2.42
1.70
0.77
2.32
0.28
0.35
2.22
2.35
2.35
2.60
0.75
2.35
2.35
2.35
1.12
0.32
0.32
0.45
0.45
0.71
0.66
2.66
2.66
0.63
1.22
0.88
1.41
0.50
0.50
1.00
1.67
0.20
1.85
0.29
0.29
0.39
0.74
0.43
0.32
2.28
2.30
2.53
2.59
2.59
2.59
2.59
2.59
2.59
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
M
M
M
A
A
A
A
A
A
M
M
M
M
M
A
M
M
M
M
M
M
M
M
A
A
A
A
A
A
A
M
M
M
M
A
M
B
B
B
B
M
M
M
0.42
0.32
0.27
0.30
0.45
0.66
0.28
1.40
0.45
0.45
0.45
0.75
0.27
0.53
1.85
1.85
2.66
0.41
0.44
0.47
0.47
0.45
0.44
0.26
0.31
0.27
0.55
1.85
0.28
1.85
1.85
2.10
2.10
0.53
0.66
0.42
0.28
1.85
0.45
0.41
0.62
0.53
0.53
2.70
2.88
2.88
3.00
3.04
3.04
3.04
3.18
3.18
3.19
3.29
3.36
3.36
3.42
3.42
3.42
3.54
3.66
3.90
4.01
4.02
4.03
4.26
4.26
4.26
4.35
4.62
4.62
4.62
5.04
5.05
5.22
5.22
5.52
5.52
5.58
5.88
5.94
6.04
6.12
6.12
6.12
6.12
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
M
M
M
M
M
M
A
B
M
M
M
M
M
M
M
M
M
M
M
M
M
M
B
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
0.53
0.44
0.85
0.42
0.28
2.66
1.17
2.66
1.67
1.17
2.66
2.66
2.66
0.29
1.17
1.57
0.57
0.77
1.67
1.20
0.71
0.65
1.41
1.41
0.71
0.65
2.66
0.74
0.31
1.09
0.79
2.73
1.85
2.35
0.57
2.35
2.35
1.36
2.35
2.60
0.39
1.66
2.66
6.24
6.48
6.60
6.78
7.14
7.68
7.80
7.86
7.92
8.10
8.34
8.46
9.04
9.12
9.12
9.30
9.42
9.60
9.96
10.14
10.26
10.56
10.81
10.81
10.86
10.98
10.98
11.16
11.16
11.23
11.34
11.46
11.64
11.76
11.82
11.82
12.00
12.18
12.37
12.53
12.67
12.78
13.38
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
M
M
A
M
M
A
A
A
A
A
M
A
B
A
A
A
M
A
A
A
A
M
M
M
M
M
M
M
M
M
M
M
M
A
M
M
A
M
M
M
M
M
0.29
1.08
1.47
0.47
0.57
2.66
0.53
1.17
0.45
1.20
0.29
2.66
0.57
0.53
1.67
1.80
1.17
3.11
0.71
0.14
2.66
2.10
0.57
0.42
0.53
0.54
0.56
0.43
0.60
0.29
0.29
0.53
0.78
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
0.52
13.62
13.80
14.10
14.22
14.40
14.40
14.40
14.82
15.15
15.18
15.30
15.54
15.78
16.26
16.26
16.44
16.86
16.86
17.22
17.22
17.94
17.94
18.30
18.30
18.30
52.01
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
M
M
A
M
A
M
A
A
A
M
A
M
A
M
A
A
M
M
A
A
M
A
A
A
M
B
B
M
M
M
M
M
A
A
A
A
A
A
A
A
A
A
0.52
0.52
0.52
0.80
0.80
0.80
0.80
0.50
0.53
0.19
0.40
0.40
0.40
0.61
0.61
0.75
0.75
1.09
0.53
0.83
0.71
0.75
0.54
0.61
0.61
0.61
0.54
0.54
0.54
0.61
0.61
0.46
0.52
0.52
0.71
0.54
0.46
0.46
0.46
0.53
3.19
0.69
0.69
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
A
A
A
A
AE
A
B
M
M
M
M
M
M
M
M
M
AE
M
M
M
M
M
A
A
A
M
M
M
A
A
M
A
A
M
M
M
M
M
M
M
M
M
2.18
2.61
3.82
2.13
0.46
1.00
0.34
0.29
0.31
0.29
0.53
0.34
0.61
0.49
0.80
0.21
0.24
0.35
0.83
0.54
0.46
0.52
0.40
0.46
0.48
0.54
0.75
1.50
1.47
1.47
1.05
1.56
1.56
1.03
1.45
1.71
1.71
1.76
1.81
1.64
1.99
2.01
1.81
1.15
1.15
1.15
1.85
1.85
1.86
2.03
2.21
2.51
2.56
2.93
3.17
3.17
3.17
4.55
5.69
7.06
7.06
7.24
11.69
13.68
13.98
18.60
18.60
19.08
19.80
19.80
19.86
20.46
21.66
21.66
22.32
22.92
24.36
25.20
25.50
38.40
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
M
M
M
M
M
B
B
M
B
B
M
B
M
M
A
M
B
B
B
M
M
A
M
M
M
M
M
M
M
M
M
A
A
M
A
M
M
A
A
M
A
A
A
1.20
1.81
2.12
1.13
1.13
1.13
1.13
1.13
1.13
0.30
1.26
2.56
1.76
1.76
1.61
1.21
1.21
1.99
1.81
1.81
1.81
1.81
1.81
2.67
2.41
1.81
1.81
1.81
1.81
1.81
0.82
1.56
1.56
2.67
0.99
0.99
0.99
0.99
0.99
2.01
2.01
2.01
2.01
83.70
88.09
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
A
M
M
M
AE
AE
AE
A
M
M
A
A
A
A
A
A
A
A
A
A
A
M
A
A
M
M
A
A
A
A
M
A
A
A
A
A
M
A
A
A
A
A
2.01
2.01
2.01
0.75
0.75
0.75
0.75
0.56
0.56
0.59
0.25
1.76
0.71
1.76
0.71
0.71
0.71
0.71
0.71
0.85
0.85
0.85
0.85
1.05
1.05
1.05
1.05
1.05
0.91
2.35
2.35
0.91
0.91
0.91
0.91
0.91
3.40
2.22
2.35
2.35
0.70
0.91
0.91
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
A
B
B
M
M
M
M
M
M
A
B
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
0.98
0.98
0.98
0.98
0.98
0.98
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
2.73
1.92
3.00
4.00
2.01
2.01
1.20
0.47
0.27
0.35
0.50
0.75
1.00
1.00
38.70
28.90
28.90
32.00
32.00
32.00
27.05
27.05
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
AE
AE
AE
AE
AE
AE
AE
AE
27.05
27.05
0.20
1.76
0.56
0.56
0.35
2.73
1.18
0.30
0.71
0.36
0.71
2.73
2.73
0.26
0.77
0.39
1.88
0.85
0.91
0.91
0.91
1.56
0.99
2.35
1.36
1.21
1.21
1.28
2.73
1.20
1.15
0.86
1.57
1.50
1.40
2.73
3.40
4.59
3.52
0.87
1.89
3.18
4.69
4.98
7.08
7.35
8.28
8.41
8.46
9.04
9.04
9.04
9.04
9.48
9.50
9.71
10.14
10.20
10.72
11.48
11.48
11.48
11.82
12.54
13.32
14.28
15.30
15.36
16.26
16.56
17.22
17.22
17.22
17.70
17.71
17.85
18.30
24.24
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
AE
AE
B
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
A
M
A
A
A
A
M
M
M
M
M
M
M
M
M
M
M
B
A
3.25
3.40
1.90
2.80
1.89
2.92
5.37
5.36
5.86
5.86
5.16
1.60
2.62
4.26
0.95
4.48
0.91
0.91
2.87
1.50
0.87
2.33
1.50
1.50
3.40
1.50
0.72
1.93
1.29
2.08
0.46
2.49
1.17
1.93
0.28
0.71
1.02
0.84
1.31
0.84
0.72
0.88
0.89
2.63
3.72
3.72
5.67
6.36
6.36
6.36
10.57
13.20
13.20
19.38
20.46
22.14
22.86
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
2
2
2
2
A
A
M
A
A
A
AE
AE
A
A
M
M
M
A
M
M
M
M
M
M
B
M
M
M
M
M
M
M
M
M
AE
AE
M
M
M
M
M
M
M
M
M
M
M
1.14
1.06
0.67
0.83
0.83
1.14
1.15
0.87
1.02
1.14
1.06
1.21
1.00
0.88
0.74
0.17
0.63
0.25
0.25
1.31
1.31
1.38
1.25
0.80
1.56
1.77
1.84
0.27
0.99
1.22
1.04
0.93
1.11
0.95
1.20
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
M
M
M
A
A
A
A
A
M
A
A
A
A
A
B
B
M
B
B
M
M
M
M
A
A
A
A
B
B
A
AE
AE
AE
AE
AE
A
A
A
A
A
A
A
A
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.48
1.31
1.31
1.31
1.31
1.31
1.31
1.31
1.31
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.50
1.50
1.50
1.50
1.50
1.00
0.23
0.22
0.45
0.36
1.48
1.32
0.97
0.35
1.32
1.88
2.58
2.88
3.36
4.93
5.16
5.22
7.08
8.38
11.02
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
2
2
A
A
A
A
A
A
A
A
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
M
A
A
A
A
A
A
B
M
B
B
A
M
M
B
M
1.32
1.48
1.93
1.93
1.48
1.48
1.18
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.00
2.19
2.80
3.38
2.12
0.81
0.99
1.87
1.34
2.39
1.41
2.41
10.77
10.77
1.32
1.57
2.48
1.62
1.65
1.65
1.32
1.32
1.32
1.32
1.32
1.32
1.32
1.32
2.50
11.26
11.57
12.36
12.88
13.50
13.50
14.40
17.71
7.76
8.77
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
SIS 2
SIS 2
M
A
A
A
A
A
A
M
A
AE
A
A
AE
A
A
A
A
A
A
A
A
A
A
A
AE
A
AE
AE
M
A
M
A
A
A
M
M
M
M
M
M
M
M
M
97.97
97.97
97.97
97.97
97.97
73.33
86.72
118.94
118.94
118.94
118.94
118.94
118.94
118.94
118.94
2.05
2.29
6.02
4.19
4.25
4.25
2.98
2.98
1.16
1.58
3.14
4.90
0.90
1.10
5.19
1.08
4.00
3.00
2.00
5.00
0.83
0.35
0.40
1.32
1.00
0.79
0.79
0.11
9.78
23.76
18.85
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
AE
A
AE
A
A
A
A
A
A
AE
A
A
A
A
A
A
A
A
A
A
A
A
B
B
M
M
M
B
M
85.00
85.00
85.00
82.78
82.78
82.78
82.78
0.80
0.31
0.31
0.31
0.38
0.28
0.28
0.28
0.28
0.28
0.28
0.31
0.31
0.28
0.31
0.31
0.31
0.40
0.40
0.45
0.45
5.80
3.00
5.00
1.12
1.47
0.72
1.20
1.11
1.11
1.78
1.28
1.32
5.00
1.44
1.29
8.77
1.78
4.17
1.78
2.10
4.76
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS 2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
AE
AE
AE
AE
AE
AE
AE
M
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
B
M
A
M
M
M
M
M
M
M
M
M
M
M
A
M
A
1.39
1.39
6.51
5.60
0.75
1.20
1.40
37.20
4.50
9.50
10.20
8.50
8.50
4.23
4.20
13.13
11.29
9.82
9.75
14.15
14.93
4.26
6.93
6.34
9.26
4.34
3.33
9.68
15.71
9.53
9.82
13.31
11.27
15.82
7.80
9.65
8.23
9.38
15.03
15.03
9.28
5.68
9.33
35.42
122.53
183.79
195.46
219.92
17.41
19.75
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS 2
SIS 2
M
A
A
A
M
M
M
A
A
A
A
A
A
A
AE
AE
A
AE
AE
AE
AE
AE
M
M
A
A
AE
A
AE
AE
M
AE
M
AE
AE
A
A
M
A
A
A
A
B
3.37
16.45
6.28
7.00
10.62
4.28
12.80
10.64
10.64
10.64
10.64
18.86
18.86
6.93
3.00
8.00
10.00
11.48
15.00
19.13
9.89
15.00
8.31
15.03
9.89
6.72
58.24
9.64
0.85
6.56
0.60
0.50
6.56
2.17
9.12
15.00
0.20
3.09
0.50
1.69
1.67
2.31
1.00
3.97
5.21
14.88
15.27
15.93
17.19
17.19
17.54
0.62
2.79
2.86
4.15
6.00
6.84
8.40
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
2
SIS
SIS
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
2
2
A
A
A
A
AE
A
M
AE
A
M
A
AE
A
A
M
A
A
AE
AE
AE
AE
AE
M
AE
A
AE
AE
B
B
AE
B
B
M
M
AE
B
B
M
B
B
B
B
M
10.72
4.45
6.57
9.79
1.50
5.00
6.45
4.30
1.00
1.00
0.79
1.76
1.76
0.84
2.00
2.33
10.83
3.79
9.87
1.50
3.20
1.50
2.40
15.00
3.20
15.00
1.30
0.94
4.77
4.77
1.30
1.30
1.30
1.30
1.30
0.94
0.94
0.94
0.94
0.94
0.94
0.94
0.94
8.40
8.64
10.08
15.65
4.61
8.74
9.32
11.73
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
2
2
2
2
SIS
SIS
SIS
SIS
2
2
2
2
M
M
M
A
M
B
M
B
B
B
B
M
M
M
M
B
AE
M
A
M
M
M
B
M
B
M
B
B
M
M
B
B
B
B
B
M
B
B
B
B
M
B
B
7.96
6.06
0.94
0.94
0.94
5.45
5.45
5.45
4.77
4.77
4.77
4.14
4.14
4.14
2.87
2.87
2.87
2.87
2.87
0.94
1.34
1.29
1.30
1.34
0.74
0.97
0.97
1.34
0.97
0.97
1.30
3.00
1.00
4.68
7.88
2.24
19.45
9.00
9.79
8.77
14.63
5.21
9.79
2.25
10.14
3.58
13.29
15.10
8.83
36.69
45.60
87.92
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
SIS
SIS
SIS
SIS
2
2
2
2
M
M
M
B
B
M
M
M
M
B
M
M
M
M
M
M
M
M
M
B
B
M
B
M
M
M
M
M
M
M
M
B
M
M
M
M
M
AE
A
AE
AE
AE
AE
6.88
9.79
14.63
13.85
14.63
14.63
19.46
19.46
19.46
9.79
4.54
39.38
6.66
46.82
5.40
4.00
4.72
4.63
4.63
1.64
4.63
4.04
5.40
19.23
3.22
6.04
19.23
1.82
1.80
24.29
8.93
2.50
3.00
2.87
4.89
19.60
19.60
29.55
4.60
4.60
4.60
19.46
8.15
17.33
18.48
19.78
9.63
3.14
35.40
89.74
89.74
89.74
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
SIS
SIS
SIS
SIS
2
2
2
2
SIS
SIS
SIS
SIS
SIS
2
2
2
2
2
AE
AE
AE
AE
A
AE
AE
AE
AE
AE
AE
A
M
M
A
M
A
A
A
A
M
A
M
AE
AE
A
A
AE
A
A
AE
A
A
M
M
AE
AE
AE
A
A
A
AE
AE
3.35
19.60
19.60
169.90
6.00
4.13
16.00
2.86
2.86
2.86
2.86
2.86
2.86
2.82
3.50
2.50
2.74
2.51
2.51
2.99
2.74
2.74
3.24
3.24
4.20
5.46
3.24
2.00
3.24
2.96
1.20
0.50
0.85
3.24
1.50
2.74
4.20
2.74
3.27
2.74
2.50
4.00
0.85
12.92
2.42
7.70
7.79
10.43
15.40
3.22
3.22
3.55
3.57
15.74
9.83
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
RM
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
N
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-2006-MINSA
689-

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Catalogo CPT Peas Rm689-06 Sis-Siasis y CDT

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CATLOGO DE SERVICIOS MDICOS Y ESTOMATOLG

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.1 Seccin Anestesiologa

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.1 Seccin Anestesiologa

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.1 Seccin Anestesiologa

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.1 Seccin Anestesiologa

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.1 Seccin Anestesiologa

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.1 Seccin Anestesiologa

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS

1.2 Seccin Ciruga

1 SERVICIOS MEDICOS Y ESTOMATOLOGICOS