2025 Surgery Codes (Appendix D)

Description:

This is Appendix D from the Manual of Operations. It is a list of the Surgery Codes. To download a copy, click here.

Surgery Codes

NOTE: If NEC Surgery and/or Other Surgery are checked “Yes,” record all applicable Surgery Codes in the Surgery Codes Data Item(s).

Head and Neck
S101 Tracheostomy/Tracheotomy
S102 Cricoid split
S103 Ophthalmologic surgery OTHER THAN laser or cryosurgery for ROP
NOTE: Record ROP surgery in the ROP Surgery Data Item. Do not record ROP surgery in the Surgery Codes Data Item.
S104 Cleft lip or palate repair
S105 Branchial cleft sinus excision
S106 Thyroglossal duct excision
S107 Palliative or definitive repair of choanal atresia
S108 Mandibular (jaw) distraction
S109 Craniotomy
S100 Other head and neck surgery requiring general or spinal anesthesia (description required)

Thorax
S201 Tracheal Resection
S202 Aortopexy
S203 Tracheoesophageal atresia and/or fistula repair
S204 Thoracoscopy (with or without pleuridesis or pleurectomy)
S205 Thoracotomy (with or without pleural or lung biopsy)
S206 Thoracotomy (or thoracoscopy) with pneumonectomy, lobectomy, or partial lobectomy
S207 Resection of pulmonary sequestration (intrathoracic or extrathoracic)
S208 Resection of mediastinal mass
S209 Resection of chest wall
S210 Bronchoscopy (with or without biopsy)
S211 Esophagoscopy (with or without biopsy)
S212 Surgery for Congenital Cystic Adenomatoid Malformation of the Lung
S213 Lung transplant
S214 Sternal closure
S200 Other thoracic surgery requiring general or spinal anesthesia (description required)

Abdomen
S301 Rectal biopsy with or without anoscopy
S302 Laparoscopy (diagnostic, with/without biopsy)
S303 Laparotomy (diagnostic or exploratory, with/without biopsy)
S304 Fundoplication
S305 Pyloromyotomy
S306 Pyloroplasty
S307 Jejunostomy, ileostomy, enterostomy, colostomy for intestinal diversion (with or without bowel resection, with or without fistula creation)
S308 Small bowel resection with or without primary anastomosis
S309 Large bowel resection
S310 Duodenal atresia/stenosis/web repair
S311 Jejunal, ileal, or colonic atresia repair (or repair of multiple intestinal atresias)
S312 Excision of Meckel’s diverticulum
S313 Drainage of intra-abdominal abscess (not as primary treatment for NEC, see code S333)
S314 Surgery for meconium ileus
S315 Excision of omphalomesenteric duct or duct remnant
S318 Lysis of adhesions
S319 Repair of imperforate anus (with or without vaginal, urethral, or vesicle fistula)
S320 Pull-through for Hirschsprung’s disease (any technique)
S321 Pancreatectomy (partial, near total, or total)
S322 Splenectomy or splenorrhaphy (partial or complete)
S323 Resection of retroperitoneal tumor
S324 Resection of sacrococcygeal tumor
S325 Repair of diaphragmatic hernia
S326 Plication of the diaphragm
S327 Gastrostomy/jejunostomy tube
S328 Upper endoscopy (stomach or duodenum, with or without biopsy)
S329 Colonoscopy/sigmoidoscopy (with or without biopsy)
S330 Takedown of ostomy and/or reanastomosis of bowel (small or large bowel)
S331 Ladd’s or other procedure for correction of malrotation
S332 Appendectomy
S333 Primary peritoneal drainage for NEC, suspected NEC, or intestinal perforation (If infant subsequently has other applicable surgical procedures, code those also.)
S334 Anoplasty
S335 Kasai procedure
S336 Liver biopsy done during laparotomy or laparoscopy (includes wedge or needle techniques)
S337 Umbilical hernia repair
S338 Primary closure for gastroschisis
S339 Staged closure for gastroschisis
S340 Primary closure for omphalocele
S341 Staged closure for omphalocele
S342 Gastrostomy tube
S343 Jejunostomy tube
S300 Other abdominal surgery requiring general or spinal anesthesia (description required)
NOTE: The code for Inguinal Hernia Repair is S410 (see Genito-Urinary section)

Genito-Urinary
S401 Cystoscopy (diagnostic, with or without biopsy)
S402 Adrenalectomy
S403 Nephrectomy
S404 Nephrostomy
S405 Ureterostomy
S406 Resection of urachal cyst
S407 Cystostomy
S408 Closure of bladder exstrophy
S409 Resection of posterior urethral valves
S410 Inguinal hernia repair
S411 Orchiopexy
S412 Orchiectomy
S413 Drainage, excision or removal of ovarian cyst
S414 Oopherectomy (partial or complete)
S416 Pyeloplasty
S417 Renal transplant
S400 Other genito-urinary surgery requiring general or spinal anesthesia (description required)

Open Heart or Vascular Procedures
S501 Vascular Ring division
S502 Repair of coarctation of the aorta
S503 Repair of major vascular injury
S504 Repair or palliation of congenital heart disease
S505 Heart transplant
S506 Implanted pacemaker (permanent – do not use code for temporary pacemakers)
S507 Norwood procedure with Sano modification
S508 Norwood procedure with aortopulmonary shunt
S509 Hybrid surgery (ductal stenting and bilateral branch pulmonary artery banding)
S510 Truncus arteriosus repair
S511 Arterial switch
S512 Repair of total anomalous pulmonary venous return
S513 Aorta pulmonary shunt
S514 Pulmonary artery banding
S515 Open thoracotomy or sternotomy for patent ductus arteriosus closure
S516 Thoracoscopic surgery for patent ductus arteriosus closure
S500 Other open heart or vascular surgery requiring general or spinal anesthesia (description required)

Diagnostic or Interventional Cardiac Catheterization
S601 Diagnostic cardiac catheterization
S602 Interventional catheterization with balloon septostomy
S603 Interventional catheterization with aortic valvuloplasty
S604 Interventional catheterization with pulmonary valvuloplasty
S605 Interventional catheterization for patent ductus arteriosus closure
S600 Other interventional catheterization whether or not anesthesia was required (description required)

Skin and Soft Tissue
S700 Skin or soft tissue surgery requiring general or spinal anesthesia (description required)

Musculoskeletal System
S800 Other musculoskeletal surgery requiring general or spinal anesthesia (description required)

Central Nervous System
S901 Ventriculoperitoneal or other ventricular shunt
S902 External ventricular drain
S903 Ventricular drain with reservoir placement or removal
S904 Meningocele or myelomeningocele repair
S905 Encephalocele repair
S906 Endoscopic third ventriculostomy with or without choroid plexus cauterization
S900 Other central nervous system surgery requiring general or spinal anesthesia (description required)

Fetal Surgery (record if fetal surgery was done at your hospital or another hospital)
S1000 Fetal surgery at your hospital (description required)
S1001 Fetal surgery at another hospital (description required)

Conjoined Twins
S1101 Separation of conjoined twins