Brief Service New Patient - Limited Service New Patient - Intermediate Service Comrehensive History and Examination and Prep med record Comprehensive h & p examination 12 Leads ECG tracing Evacuation intra abdominal abscess Exploratory laparatomy Lysis of adhessions Right hemicolectomy Small bowel sesection Intermediate services in hospital Intermediate service Struction muscle wall back Evacuation clots urinary bladder Urine culture and sensitivity Excision lesion diameter over 4.0 cm, 09922 unusual excision Adjacent tissue transfer or rearrangement defect 10-30 Sq cm. 09922 Excision lipomatose lession size 50/25 cm left thigh and hip Emergency care service called from outside CVP line via subclavian vein Arterial line Cysto urethroscopy with irrigation of bladder Exploratory scrotum Hydrocelectomy Orchiopexy Treatment of abortion first trimester Incision and drainage pilonidal absces Trachestomy I&D ischiorectal abscess Debridment wound and packing Excision pilonidal abscess and synuses Excision multiple fistula reccurent Sigmoidoscopy Rectal dilatation under anesthesia Sphincteroplasty Excision toe nail left big to under regional block Arthrotomy dip joint with exploration and drainage Comprehensive office visit new patient Pelvic examination under anesthesia Excision lesion lt vulva Excision lesion vulva Cervical bx Cervical cauterization Endocervical curretage Repeated cryocautery lesion cervix Application med tritment vagina Delayed pedicule flap closure wound back Gallblader sonogram Emergency room visit Initial comprehensive consultation case referred Qyadrectomy left breast after needle insertion Insertion sump drain peritoneum Packing perineum hemostatic Placement CVP catheter subclavian Complex consultation case referred - emerency Proctectomy complete RT breast tumor excision RT modified radical mastectomy RT supra clavicular lymph node dissection Omentectomy Incisional hernia repair Fistulectomy subcutaneous Anoscopy Asouratuib knee Application long leg cast Closed reduction fx dislocation ankle Excision AV fistula leg Incision and drainage submaxillary gland abscess Sialolithotomy submaxillary gland Incision thrombosed external hemorrhoid with evacuation of clot Inguinal hernia repair Brief office visit Excision enlareged lymph node axilla left Excision hypertropic scar Excision submaxillary gland Defatening subcutaneous tissue Repair maseter muscle insertion Puncture aspiration hematoma Incision and drainage hematoma thigh Exploration femoral artery Repair long saphenous vein base Incision and drainage bartholin's abscess Doppler studies peripheral Pulmonary fuction test Urine alysis Extended emergency service new patient Arthrotomy knee Ovarian cystectomy Appendectomy Excision sacaral pressure ulcer with regional skin flap closure Excision multiple abscesses and sinuses tracts both gluteus muscle Gluteal iliotibial fasciotomy Incision and drainage perianal abscess Incision and drainage perineal abscess Reconstruction skin and subcutaneous tissue perianal region ROTATION FLAP RIGHT BUTOCK Excison ischial pressure ulcer with local skin flap closure Packing defect sacral and perineum Debridement sacral ulcer Incision and drainage intramural abscess anorcctum Reconstruction anal canal with closure of anal opening into the abscess cavity Exploration and debridemnet wound right index finger Repair digital nerve index finger Repair flexor palmaris longus Repair flexor palmaris profundus Exploration dip joint with removal foreign body and repair capsule Posterior splint, static Complex repair wound with 2 plasty Excision lesion parotid gland with preservation of the facial nerve Excision lision ear lobe Z PLASTY CLOSURE EAR LOBE Excision lesion skin & subcutaneous tissue inguinal Intermediate office visit case referred Excision multiple skin warts neck Home intermediate visit NP Home extended visit np Home interm visit EP Home exteded service ep Electrocautery of vagina Plastic closure with Z plasty Recurrent inguinal hernia repair Plastic closure with Z plasty Excision sebaceous cyst Umbilical hernia repair Application medical treatment Excision bartholin cyst left Incision and drainage abscess axilla complecated Excision hidradenitis axilla with skin graft closure Perianal fistulectomy multiple complecated Manipulation and reduction rectal prolapse under intravenous anesthesia Excision sebaceous cysts retro auricular region Incision and drainage abscess scrotum Gastrectomy total Splenectomy total Biopsy of pancreas Blepharoplasty left upper Blepharoplasty lower Excision lesion 2-3 cm face, eyelids, nose, lips ROTATION FLAP AND COMPLEX CLOSURE (FOREHEAD) Application cylinder cast (thigh to ankle) Infiltration (not specified) Excision multiple fistulas tracts perianal region Enterolysis Repair incarcerated hernia Excision synovial cyst knee and plastic closure Breast biopsy Quadrectomy right breast Hemorrhoidectomy Bleepharoplasty right Exploration and debridement wound index finger Sphincteroplasty Excision large lesion left orbito nasal region Repair arterio venous fistula Insertion central line Exploration for postoperative hemorrhage or thrombosis Thyroidectomy Parathyroidectomy (exploration of parathyroid(s) Fistylectomy submuscular Dilation and curettage (diagnostic) Cervical biopsy circumferential Excision lesion Incisional biopsy submaxillary gland Repair choanal atresia Septoplasty (submucous resection nasal septum without cartilage implant) Rhinoplasty complete, external parts including bony pyramid lateral and alar Excision hyperthropic scar (over 4.0cm) Extended service in hospital Hospital subsequent care Excision basal cell carcinoma upper eye lid and upper braw Rotation flap fore head Excision lipoma cord Excision bartholin cyst left Rotation flap forehead and complex closure nose Blepharoplasty with partial excision orbicularis muscle and fat with reconstr Excision lesion eye brow with plastic closure Procto sygmoidoscopy Excision skin and subcutaneous tissue for hydroadenitis Repair complex wound axilla Hospital follow up visit Incision and drainage hematoma Repair internal jugular vein Complex follow up consultation Dilation of vagina under anesthesia Vaginal culture and sensitivity Follow up limited service Introduction of hemostatic lession for pre checking non obstretical Injection (infiltration with medication sciatic nerve root) Excision hydrocele of spermatic cord Comprehensive consultation case refered Choledochotomy or choledochostomy with exploration, drainage, removal calculus Fasciectomy right palm reccurent Z plasty closure hand Excision hypertrophic lession Z plasty closure right index finger Tenosynovectomy right palm for dupuytren's flexor tendon Axillary block Applicaion post spint Placement of central venous catheter Cut down Excision lipoma elbow Excision lesion 2.0-3.0 cm (trunck, arms, leg) Excision cervical node Critical care service requiring the prolonged presence of physician Critical care examination, treatment Postoperative follow-up visit Gastric intubation Lysis of addition partial Electrosurgical distruction of hypertrophic scar pilonidal region Excision wound margins pilinidal region with primary closure Debridement wound an removal foreign body Excision incapsulated necrotic tumor Fasciotomy posterior Complex closure laceration scalp (3CM) Exploration finger arthrotomy and removal foreign body Subtotal gastrectomy Sigmoid myotomy for diverticular disease Initial consultation emergency department Hospital comprehensive service follow up Emergency office visit Excision finger nail Complex repair wound nose&eyelid Debridment wound and removal foreign body Comprehensive history and examination and preparation medical records Subcutaneous mastectomy Treatment of closed trimalleolar ankle fracture with manipulation Application of short leg cast (below knee to toes) Excision of lesion of large bowl