| (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 |
