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TITLE 25HEALTH SERVICES
PART 7TEXAS MEDICAL DISCLOSURE PANEL
CHAPTER 601INFORMED CONSENT
RULE §601.3Procedures Requiring No Disclosure of Specific Risks and Hazards--List B

(a) Anesthesia.

  (1) Local.

  (2) Other forms of regional anesthesia.

(b) Cardiovascular system.

  (1) Excision and ligation of varicose veins of the leg.

  (2) Arterial line for monitoring purposes.

(c) Digestive system.

  (1) Appendectomy.

  (2) Hemorrhoidectomy with fistulectomy or fissurectomy.

  (3) Hemorrhoidectomy.

  (4) Incision or excision of perirectal tissue.

  (5) Local excision and destruction of lesion, anus and rectum.

  (6) Operations for correction of cleft palate.

  (7) Repair of inguinal or ventral hernia.

  (8) Repair and plastic operations on anus and rectum.

  (9) Colonoscopy.

  (10) Tonsillectomy with adenoidectomy.

  (11) Tonsillectomy without adenoidectomy.

(d) Ear.

  (1) Myringotomy.

  (2) Reconstruction of auricle of ear for skin cancer.

  (3) Tympanoplasty without mastoidectomy.

(e) Endocrine system. No procedures assigned at this time.

(f) Eye.

  (1) Administration of topical, parenteral (such as IV), or oral drugs or pharmaceuticals, including, but not limited to, fluorescein angiography, orbital injection or periocular injections.

  (2) Removal of extraocular foreign bodies.

  (3) Chalazion excision.

(g) Female genital system. No procedures assigned at this time.

(h) Hematic and lymphatic system.

  (1) Biopsy of lymph nodes.

  (2) Other procedures. No other procedures are assigned at this time.

(i) Integumentary system.

  (1) Biopsy of breast.

  (2) Cutting and preparation of skin grafts or pedicle flaps.

  (3) Removal or treatment of local skin or subcutaneous lesion.

  (4) Excision of pilonidal sinus or cyst.

  (5) Suture of skin.

  (6) Wide or radical excision of skin lesion with or without graft.

  (7) Z plasty without excision.

  (8) Biopsy of skin or mucus membrane.

  (9) Incision and drainage of skin or mucus membrane lesion.

  (10) Debridement of ulceration of the skin.

(j) Male genital system.

  (1) Biopsy of testicle.

  (2) Placement of testicular prosthesis.

  (3) Hydrocelectomy (removal/drainage of cyst in scrotum).

  (4) Circumcision.

  (5) Cystoscopy.

(k) Maternity and related cases--Intrauterine Devices (IUD).

(l) Musculoskeletal system.

  (1) Arthrotomy, arthrocentesis, or joint injection (unless performed on a child age 12 or under, see List A in §601.2(l)(7) of this title (relating to Procedures Requiring Full Disclosure of Specific Risks and Hazards--List A)).

  (2) Closed reduction without internal fixation (unless performed on a child age 12 or under, see List A in §601.2(l)(7) of this title).

  (3) Wound debridement (unless performed on a child age 12 or under, see List A in §601.2(l)(7) of this title).

  (4) Needle biopsy or aspiration, bone marrow (unless performed on a child age 12 or under, see List A in §601.2(l)(7) of this title).

  (5) Partial excision of bone (unless performed on a child age 12 or under, see List A in §601.2(l)(7) of this title).

  (6) Removal of external fixation device (unless performed on a child age 12 or under, see List A in §601.2(l)(7) of this title).

  (7) Traction or fixation without manipulation for reduction (unless performed on a child age 12 or under, see List A in §601.2(l)(7) of this title).

(m) Nervous system.

  (1) Lumbar puncture.

  (2) Closure of meningomyelocele.

  (3) Ventriculostomy with or without air ventriculogram.

  (4) Cisternal puncture (diagnostic).

  (5) Stereotactic surgery for dystonia.

  (6) Insertion of skeletal tongs.

  (7) Intravenous cut-down.

  (8) Elevation of depressed skull fracture.

  (9) Cervical 1-2 puncture (diagnostic).

(n) Radiology.

  (1) Lymphangiography.

  (2) Discography.

  (3) Lumbar puncture with/without injection of medication.

  (4) Nerve root injection, epidural injection, nerve blocks, and radiofrequency treatments for pain control.

  (5) Venography (Venogram) with contrast media by peripheral IV.

  (6) Cholangiography with contrast media through existing drain; T-tube cholangiography.

  (7) Urography (IVP) with contrast media.

  (8) Radionuclide scans and/or blood flow studies.

  (9) Gastrointestinal (GI) tract radiography and fluoroscopy.

  (10) Nasogastric/nasojejunal tube placement with fluoroscopy.

  (11) Percutaneous gastrostomy/gastrojejunostomy.

  (12) Fistula or sinus tract injection.

  (13) Sialography.

  (14) Dacryocystography, stenting.

  (15) Cystography, cystourethrography.

  (16) Retrograde and antegrade urography.

  (17) Larynogography, bronchography.

  (18) Hysterosalpingography.

  (19) ERCP (Endoscopic retrograde cholangio pancreatography).

  (20) Galactography.

  (21) Skeletal radiography and/or fluoroscopy (skull, mastoids, sinuses and facial bones; spine, ribs, pelvis; extremities).

  (22) Foreign body radiography and/or fluoroscopy and foreign body retrieval.

  (23) Chest and abdomen radiography and fluoroscopy.

  (24) Portable radiography/fluoroscopy.

  (25) Pelvimetry, fetogram.

  (26) Magnetic Resonance Imaging/Magnetic Resonance Angiography without and with contrast.

  (27) Computed tomography scan/computed tomography angiogram without and with contrast media.

  (28) Ultrasound and Doppler studies.

  (29) Laminography, polytomography.

  (30) Soft-tissue radiography including xeroradiography and xeromammography.

  (31) Arthrography, arthrocentesis, tenography.

  (32) Ureteral or urethral balloon dilatation/stent.

  (33) Percutaneous suprapubic cystostomy.

  (34) Cyst aspiration/drainage/sclerosis.

  (35) Percutaneous or transvascular biopsy.

  (36) Paracentesis.

  (37) Thoracentesis.

(o) Respiratory system.

  (1) Aspiration of bronchus.

  (2) Reduction of nasal fracture.

  (3) Percutaneous tracheostomy.

(p) Urinary system.

  (1) Nephrotomy (placement of drainage tubes).

  (2) Biopsy of prostrate, bladder or urethra.

  (3) Cystolithotomy (surgical removal of stone(s) from the bladder).

  (4) Cystolitholapaxy (cystoscopic crushing and removal of bladder stone(s)).

  (5) Cystostomy (placement of tube into the bladder).

  (6) Urethrotomy (incision of the urethra).

  (7) Diverticulectomy of the bladder (removal of outpouching of the bladder).

  (8) Diverticulectomy or diverticulotomy of the urethra (repair or drainage of outpouching of the urethra).

  (9) Lithotripsy (sound wave removal of stones from kidney and ureter).

(q) Psychiatric procedures. No procedures assigned at this time.

(r) Radiation therapy. No procedures assigned at this time.

(s) Endoscopic surgery. No procedures assigned at this time.

(t) Pain management procedures.

  (1) Trigger point injection (injection into tendon or muscle).

  (2) Scar injection.


Source Note: The provisions of this §601.3 adopted to be effective October 3, 1995, 20 TexReg 7486; amended to be effective November 28, 2004, 29 TexReg 10780; amended to be effective October 16, 2005, 30 TexReg 6435; amended to be effective March 4, 2007, 32 TexReg 902; amended to be effective January 16, 2012, 36 TexReg 8557; amended to be effective December 5, 2012, 37 TexReg 7487

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