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To filter out the defined procedure, we contact national organisations and/or opinion leaders and/or experts.hWhen no country-specific codes are identified, TforG has conducted expert interviews to gather the data.VThis can mean a new database is launched and/or new and more detailed codes are added.For procedures where the data-identification is handled differently compared to last year, the numbers are put in bold and italic. This also means that for these data-points some caution needs to be taken into account when comparing current figures with last year's figures.[National organisations: medical or governmental (e.g. National Cardiology Association or The Society of Cardio-Thoracic Surgeons). Opinion leaders: those active in university clinics or national/European medical associations. Part of 70.9213.7%Control of epistaxis by cauterisation#Tonsillectomy without adenoidectomy#Adenoidectomy without tonsillectomy Part of 45.9556.61 57.4?Transurethral excision or destruction of bladder tissue (TURBT)Radical cystectomyBladder catheterisation 3Transurethral resection of the prostate (TURP) only part of 85.7&Spinal fusion, not otherwise specified81.00JRevision of joint replacement of lower extremity, not elsewhere classified81.59 Part of 86.8300.66France 2007 Procedure Volumes'FORECAST: France 2010 Procedure VolumesGermany 2007 Procedure Volumes(FORECAST: Germany 2010 Procedure VolumesItaly 2007 Procedure Volumes&FORECAST: Italy 2010 Procedure VolumesSpain 2007 Procedure Volumes&FORECAST: Spain 2010 Procedure VolumesUK 2007 Procedure Volumes&FORECAST: TOTAL 2010 Procedure Volumes MyringoplastyOther TympanoplastyRevision of Tympanoplasty19.419.519.6FLocal excision or destruction of intranasal lesion (Nasal polypectomy)21.31Revision rhinoplasty21.84Other septoplasty21.88Other operations on nose21.9$Aspiration and lavage of nasal sinus22.0Other nasal sinusotomy22.5Other nasal sinusectomy22.6Repair of nasal sinus22.7!Other operations on nasal sinuses22.9=local excision or destruction of lesion or tissue of bronchus32.0)Radical dissection of thoracic structures32.6:Excision or destruction of lesion or tissue of mediastinum34.3/Excision or destruction of lesion of chest wall34.45Scar Revision or  relaxation of scar/web contracture< 86.840Other operations on skin and subcutaneous tissue86.9Excision of skin graft86.91Facial rhytidectomy (Face lift)86.8286.24,Chemosurgery of skin (Chemical peel of skin)86.25 Dermabrasion08.0Incision of eyelid-Other repair and plastic operations on breast85.801.22/Removal of intracranial neurostimulator lead(s)7Other operations on skull, brain, and cerebral meningesExtracranial ventricular shunt02.302.46Revision, removal, and irrigation of ventricular shunt NEW PROCEDURE&Definition Minimal Invasive ProceduresBImplantation or replacement of skull tongs or halo traction device02.9303.93=Implantation or replacement of spinal neurostimulator lead(s)03.94)Removal of spinal neurostimulator lead(s).Insertion of totally implantable infusion pump86.06Percutaneous valvuloplasty35.96UROLOGY OPHTHALMOLOGY21.0Control of epistaxis#FORECAST: UK 2010 Procedure Volumes$TforG Direct: Products and Services In case of questions on the purchased database or in case you would like to know more about our other products and services from TforGAdress Ankerrui 8-10 2000 AntwerpBelgiumTel+ 32 3 201 64 00Websitehttp://www.tforg.come-mail info@tforg.comIntroducing TforG DirectTforG has over 15 years experience in customized consulting projects, providing business intelligence for the medical devices industry on international level. Not availableGThe Laminectomies are a subset of the Spinal Decompressions (ICD 03.09)qThe Repair of vertebral fractures (03.53) are a subset of the plastic operations on spinal cord structures (03.5)wThe Laparoscopic Gastric Bypass procedures are a subset of the Gastroenterostomy without gastrectomy procedures (44.3)^The Right hemicolectomies (45.73) are a subset of the Excisions of large Intestine (45.7 45.8)_The Transverse colectomies (45.74) are a subset of the Excisions of large Intestine (45.7 45.8)]The Left hemicolectomies (45.75) are a subset of the Excisions of large Intestine (45.7 45.8)XThe Sigmoidectomies (45.76) are a subset of the Excisions of large Intestine (45.7 45.8)ZThe Other colectomies (45.79) are a subset of the Excisions of large Intestine (45.7 45.8)SThe J-Pouch procedures are a subset of the Intestinal Anastomosis procedures (45.9)sThe Destruction of hemorrhoids procedures (49.43, 49.44) are a subset of the Total Procedures on hemorrhoids (49.4)Zhe Hemorrhoidectomies (49.46) are a subset of the Total procedures on hemorrhoids (49.4). jThe Other repair of anal sphincter Procedures (49.79) are a subset of the Repair of Anus Procedures (49.7)^The Open Cholecystectomy Procedures (51.21 51.22) are a subset of all Cholecystectomies (51.2)]The Laparoscopic cholecystectomies (51.23 51.24) are a subset of all Cholecystectomies (51.2)kThe Laparoscopic Inguinal Herniorrhaphy Procedures are a subset of Repair of inguinal hernia (53.0, 53.1). cThe Open Inguinal Herniorrhaphy Procedures are a subset of Repair of inguinal hernia (53.0, 53.1). lThe Ureterostomy procedures (56.61) are a subset of the Urinary diversion procedures (56.51, 56.61, 56.71). MThe Radical cystectomies (57.71) are a subset of all Cystectomies (57.6 57.7)The Radical prostatectomies (60.5) are a subset of the Prostatectomies, TURP excluded (60.6, part of 60.29, 60.4, 60.21, 60.5, 60.3)dHysteroscopic endometrial ablations (68.23) are a subset of the Hysteroscopies (68.12 68.16 68.23)RThe Hysteroscopic myomectomies are a subset of the Myomectomy procedures (68.29). QThe Laparoscopic myomectomies are a subset of the Myomectomy procedures (68.29). pThe Total abdominal hysterectomies (68.4) are a subset of the Hysterectomies (68.3 68.4 68.5 68.6 68.7 68.9)hThe Vaginal hysterectomies (68.5) are a subset of the Hysterectomies (68.3 68.4 68.5 68.6 68.7 68.9)The Laparoscopic assisted vaginal hysterectomies (68.51) are a subset of the Hysterectomies (68.3 68.4 68.5 68.6 68.7 68.9)ZThe Cystocele/rectocele repairs (70.50) are a subset of the Repair of prolapse procedures PThe Cystocele repairs (70.51) are a subset of the Repair of prolapse procedures PThe Rectocele repairs (70.52) are a subset of the Repair of prolapse procedures VThe Shoulder arthroscopies (80.21) are a subset of the Arthroscopy procedures (80.2). SThe Elbow arthroscopies (80.22) are a subset of the Arthroscopy procedures (80.2). SThe Wrist arthroscopies (80.23) are a subset of the Arthroscopy procedures (80.2). RThe Knee arthroscopies (80.26) are a subset of the Arthroscopy procedures (80.2). SThe Ankle arthroscopies (80.27) are a subset of the Arthroscopy procedures (80.2). CThe Diskectomies (80.51) are a subset of the Disc Operations (80.5)This type of procedure avoids open invasive surgery in favour of closed or local surgery with less trauma.These procedures involve use of laparascopic devices and/or remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device. Minimally invasive surgery (MIS) is an approach that uses smaller incisons to perform surgery. MIS procedures involve the use of laparoscopic, endoscopic or percutaneous techniques and devices to access and indirectly visualize the surgical field. Patient advanatages of MIS include less trauma, blood loss and pain, shorter hospital stays, and faster recovery times. 2) The percentage of in-hospital, out-of-hospital performed procedures and minimally invasive surgeries is now available for each procedure and country. %Definition out-of-hospital proceduresOut-of-hospital procedures are not to be confused with outpatient procedures. Out-of-hospital procedures are those performed outside the hospital setting, like procedures performed in private practices, private clinics or specialized clinics.20 - 25 interviews per medical field, per country. (ENT, Cardiology, Orthopaedics, ... Departments) per country. TforG contacted the head doctors to give an overview on the number of surgical procedures (per type) performed per year in their department.The forecasted procedure volumes were measured by means of a forecast model based on the following variables: - Expert's forecasted growth rate, based on expected changes in the reimbursement system, new surgical techniques, expected incidence rate evolution, etc. - Last 2 year's procedure volume growth rate - The population growth rate In order to measure the Expert's forecasted growth rate 10 experts per medical field, per country, were interviewed.A% Minimally Invasive procedure (Def: please see Methodology Tab) Plastic Surgery: some of the procedures have been reported with major differences in terms of volumes compared to the previous years. This is due to the fact that Plastic Surgery is a very difficult area to measure, where the private sector plays a big role especially for Cosmetic Surgery, and the official data does not reflect the actual volumes. T for G has therefore provided an extra effort in order to get acces to the actual data and report it in this database. eThe Spinal fusion procedures NOS (81.00) are a subset of all Spinal fusion procedures (81.00-81.08). mThe Cervical spine atlas-axis procedures (81.01) are a subset of all Spinal fusion procedures (81.00-81.08). gThe Cervical - anterior procedures (81.02) are a subset of all Spinal fusion procedures (81.00-81.08). hThe Cervical - posterior procedures (81.03) are a subset of all Spinal fusion procedures (81.00-81.08). iThe Dorsal spine anterior procedures (81.04) are a subset of all Spinal fusion procedures (81.00-81.08). jThe Dorsal spine posterior procedures (81.05) are a subset of all Spinal fusion procedures (81.00-81.08). iThe Lumbar spine anterior procedures (81.06) are a subset of all Spinal fusion procedures (81.00-81.08). mThe Lumbar spine lateral tran procedures (81.07) are a subset of all Spinal fusion procedures (81.00-81.08). jThe Lumbar spine posterior procedures (81.08) are a subset of all Spinal fusion procedures (81.00-81.08). fThe Hip replacements (81.51, 81.52) are a subset of the Joint replaceme< nts of lower extremity (81.5). WThe Total hip replacements (81.51) are a subset of the Hip replacements (81.51, 81.52).YThe Partial hip replacements (81.52) are a subset of the Hip replacements (81.51, 81.52).uThe Revision of hip replacement procedures (81.53) are a subset of the Joint replacements of lower extremity (81.5). OPERATIONS ON ICD-9 CODE6Procedures and interventions, non elsewhere classified00Nervous System01-05#Endocrine, Hemic & Lymphatic System 06-07, 40-41Eye08-16Ear, Nose, Mouth & Pharynx18-29Respiratory System30-34Cardiovascular System35-39Digestive System42-54Urinary System55-59Male Genital Organs60-64Female Genital Organs65-71Obstetrical Procedures72-75$Musculoskeletal System (orthopedics)76-84Integumentary System (skin)85-86pThe Total knee replacement procedures (81.54) are a subset of the Joint replacements of lower extremity (81.5). vThe Revision of knee replacement procedures (81.55) are a subset of the Joint replacements of lower extremity (81.5). qThe Total ankle replacement procedures (81.56) are a subset of the Joint replacements of lower extremity (81.5). ~The Replacement of joint of foot and toe procedures (81.57) are a subset of the Joint replacements of lower extremity (81.5). The Revision of joint replacement of lower extremity, not elsewhere classified procedures (81.59) are a subset of the Joint replacements of lower extremity (81.5). xThe Hand, wrist and finger procedures listed (81.7) are a subset of the Arthroplasties of the upper joint (81.7, 81.8). The Arthoplasty and repair of shoulder and elbow procedures (81.8) are a subset of the Arthroplasties of the upper joint (81.7, 81.8). RThe Lumpectomies (85.21) are a subset of the Removal of breast tumour procedures. QThe Mastectomies (85.4) are a subset of the Removal of breast tumour procedures. ?The Simple mastectomies are a subset of the Mastectomies (85.4)IThe Modified radical mastectomies are a subset of the Mastectomies (85.4)@The Radical mastectomies are a subset of the Mastectomies (85.4)cThe Breast augmentation with implants (85.53 85.54) is a subset of the Breast augmentations (85.5)qThe Removal of intracranial neurostimulator lead(s) (01.22) are a subset of the Craniotomy and craniectomy (01.2).Diagnostic procedures on heart and pericardiumJExcision or destruction of other lesion or tissue of heart, other approach35.268.2300.5100.5437.94 37.95, 37.97 37.96, 37.9800.5000.53 51.23 51.24 51.21 51.22Total hip replacementPartial hip replacementRevision of hip replacement81.5181.5281.53LTotal knee replacement (bicompartmental, tricompartmental, unicompartmental)Revision of knee replacementTotal ankle replacement$Replacement of joint of foot and toe81.5581.5681.57 Diskectomies Laminectomies$Artificial disc implantation (total),Artificial disc revision/replacement (total)03.53(84.60, 84.61, 84.62, 84.63, 84.64, 84.6585.1285.11 36.15 36.1635.1 35.51 35.5235.5336.0736.0600.6300.5500.6100.6237.3407.367.266.4 66.5 66.665.0 65.3 65.580.2 80.0 80.180.742.4 55.4 55.536.1 36.2 36.380.540.11Meniscal repair,Arthoplasty and repair of shoulder and elbow81.8Prostatectomy, TURP excludedRight hemicolectomyTransverse colectomy METHODOLOGYData-identification: When there is a clear code translation from the ICD-9 coding to the country-coding, the numbers are identified in the country-databases.Change in processAs the different country-databases in Europe also evolve, there can be a change in data identification from one year to the next for a specific procedure.DEFINITION SOURCESNational Databank Desk researchInternet Search#Coronary artery bypass graft (CABG)13.1 Part of 38.47 Part of 44.6654.11Exploratory laparotomy Menisectomy6Gastroenterostomy without gastrectomy (gastric bypass)To make sure we handle the same definitions in each European country, procedures are defined by identifying the correct ICD-9 code. The definition of this code is then used to find in each country the country-specific codes. +KTo validate the data, the following quality checks are taken into account: $+ AAA Repair New technology/ new technique0Change in reimbursement system/ financial reasonClinical Reason/ incidence Other reason14.2Repair of retinal tear14.3 % Change Higher Incidence/DemandImproved Technique/Technology,(See Methods Tab for Description of Process)$Population Growth/Greying Population#Lower Acceptance/Usage of TechniqueLower Incidence/DemandProcedure Subgroups4Repair of atrial septal defect (ASD) with prosthesis9Repair of ventricular septal defect (VSD) with prosthesis 85.53 85.54 part of 60.29&FORECAST: TOTAL 2009 Procedure VolumesReasonWPercutaneous transluminal coronary angioplasty with placement of non-drug eluting stentSPercutaneous transluminal coronary angioplasty with placement of drug eluting stent*Internal mammary artery bypass graft (IMA)Saphenous vein harvest Biopsy of lymphatic structure%Open extirpation of lesion of stomachJ(Laparoscopic) adjustment of size of adjustable gastric restrictive deviceLeft hemicolectomyHartmann procedureJ-Pouch procedureExcision of rectal adenomaReduction of rectal mucosaLow anterior resectionDestruction of Hemorrhoids)Implantation of artificial anal sphincter)Other operations on heart and pericardiumVImplantation of heart assist system (Pacemakers and ICD's: Removal and new placements) Cardiovascular valve replacement(Cardiovascular valve replacement: Mitral(Cardiovascular valve replacement: AorticCardiovascular valve repair#Cardiovascular valve repair: Mitral37.5#Cardiovascular valve repair: Aortic35.12Heart transplantation35.11Other operations on vesselsIntra-abdominal venous shunt39.1"Systemic to pulmonary artery shunt39.0Suture of vessel39.33Transluminal balloon angioplasty of coronary arteryCatheterisation of heartENTOperations on nasal sinusesIntranasal antrotomy22.2External maxillary antrotomy22.3"Frontal sinusotomy and sinusectomy22.4Incision of vessel20.4 Mastoidectomy19.1 Stapedectomy 20.96 20.9720.9801.2Craniotomy and craniectomyCholecystectomy51.2Pancreatectomy - distal52.52'Anastomosis of gallbladder or bile duct51.3Operations on liverLiver transplant50.5Lobectomy of liver50.3 Hepatotomy50.0Operations on lymphatic systemLymphadenectomy!Incision of lymphatic structures 40.0$Operations on other endocrine glandsTotal adrenalectomy Hypophysectomy8Operations on rectum, rectosigmoid and perirectal tissue Sigmoidectomy45.7670.50Cystocele repair Rectocele repair Enterocele repair #Abdomino-perineal resection of anus48.5Sacro-colpo-fixation ,Operations on thyroid and parathyroid glandsComplete thyroidectomy06.4Unilateral thyroid lobectomy 06.2Parathyroidectomy06.8$Other operations on abdominal regionLysis of peritoneal adhesions54.5Other operations on intestine45.7345.75 Colostomy46.1 Ileostomy45.74Repair of herniaRepair of inguinal herniaRepair of umbilical hernia53.4Repair of femoral herniaRepair of incisional hernia53.51.Repair of recurrent inguinal or femoral herniaBariatric SurgeryAbdominoplasty"Other colectomies (incl. subtotal) Rectopexy48.3549.79+Operations on cranial and peripheral nerves'Suture of cranial and peripheral nerves04.3,Destruction of cranial and peripheral nerves04.228.444.049.547.007.670.5170.5248.046.245.7982.521.85 21.86 21.8721.786.055.1160.557.259.6 57.6 57.7 38.5MImplantation of cardiac resynchronization defibrillator, total system (CRT-D)jImplantation or replacement of cardiac resynchronization defibrillator pulse generator< device only (CRT-D)XImplantation or replacement of automatic cardioverter/defibrillator, total system (AICD)PImplantation or replacement of automatic cardioverter/defibrillator lead(s) onlyXImplantation or replacement of automatic cardioverter/defibrillator pulse generator onlykImplantation of cardiac resynchronization pacemaker without mention of defibrillation, total system (CRT-P)`Implantation or replacement of cardiac resynchronization pacemaker, pulse generator only (CRT-P)1Percutaneous insertion of carotid artery stent(s)gThe Cardiovascular Valve Repair: Aortic (35.11) are a subset of the Cardiovascular Valve Repairs (35.1)ORepair of other hernia of anterior abdominal wall (without graft or prosthesis)53.553.6JRepair of other hernia of anterior abdominal wall with graft or prosthesis2Repair of diaphragmatic hernia, abdominal approach53.71Repair of diaphragmatic hernia, thoracic approach53.8Other procedures on spine81.6#Fusion or refusion of 2-3 vertebrae$Fusion or refusion of 4- 8 vertebrae81.6281.6381.6481.6581.66)Fusion or refusion of 9 or more vertebraeVertebroplasty Kyphoplasty+Insertion of interbody spinal fusion device84.5184.589Implantation of interspinous process decompression devicegThe Cardiovascular Valve Repair: Mitral (35.12) are a subset of the Cardiovascular Valve Repairs (35.1)zThe Cardiovascular Valve Replacements: Aortic (35.21 & 35.22) are a subset of the Cardiovascular Valve Replacements (35.2)zThe Cardiovascular Valve Replacements: Mitral (35.23 & 35.24) are a subset of the Cardiovascular Valve Replacements (35.2)zThe Replacements of pulmonary Valve with Tissue Graft (35.25) are a subset of the Cardiovascular Valve Replacements (35.2)yThe Replacements of Tricupid Valve with Tissue Graft (35.27) are a subset of the Cardiovascular Valve Replacements (35.2)gThe Replacements of Tricupid Valve (35.28) are a subset of the Cardiovascular Valve Replacements (35.2)The Intracoronary artery thrombolytic infusions (36.04) are a subset of the Removals of coronary artery obstruction and insertion of stent(s) (36.0)The Percutaneous transluminal coronary angioplasties with placement of non-drug eluting stent (36.06) are a subset of the Removals of coronary artery obstruction and insertion of stent(s) (36.0)The Percutaneous transluminal coronary angioplasty with placement of drug eluting stent (36.07) are a subset of the Removals of coronary artery obstruction and insertion of stent(s) (36.0)FThe on-pump CABG's are a subset of the total number of CABG proceduresGThe off-pump CABG's are a subset of the total number of CABG procedures~The Endartectomies of other vessels of head and neck (38.12) are a subset of the Endarterectomy, with and without patch (38.1)2Insertion of drug-eluting peripheral vessel stentsOPercutaneous angioplasty or atherectomy of precerebral (extracranial) vessel(s)European Society of Cardiology!European Society of OphthalmologyEuropean Society of Neurology2UEGF: United European Gastro-enterology Federation(European Association of Plastic SurgeonsEurostatWHOOECDHemorrhoidectomy Other repair of anal sphincter Hepatectomy (partial + complete)Inguinal herniorrhaphy, open$Inguinal herniorrhaphy, laparoscopicTotal colectomyTotal proctocolectomyUrinary diversion proceduresTension free vaginal tape (TVT)Suprapubic sling operationsSuspension operations OBGYN UROLOGYPLASTIC Radical prostatectomyWOther transurethral destruction of prostate tissue by other thermotherapy (RF and TUNA)%Laparoscopic salpingo - oophorectomy Laparoscopic tubal ligationTotal abdominal hysterectomyVaginal hysterectomy1Laparoscopic assisted vaginal hysterectomy (LAVH)Repair of prolapse Classical cesarean sectionChorionic villus sampling Shoulder Elbow Knee Ankle Wrist Cervical spine atlas-axisCervical - anteriorCervical - posterior,Incision, excision, and occlusion of vessels(Ligation and stripping of varicose veins38.1 Sclerotherapy39.92$Resection of vessel with anastomosis38.3Operations on vessels of heart@Removal of coronary artery obstruction and insertion of stent(s)36.0Excision of pterygium Uvulopalatopharyngoplasty (UPPP)9Segmental resection of lung; lung volume reduction (LVR) S2) The procedures/population ratio is calculated for each country for comparison. F3) The growth path for each procedure is compared to the prior year. 4) When data-points deviate more than 10% from the prior year or when the procedures/population ratio from one country is completely different from the others, the database figures are checked with national organizations and/or opinion leaders. Tonsillectomy with adenoidectomy28.3ID&FORECAST: Italy 2009 Procedure Volumes'FORECAST: France 2009 Procedure VolumesFrance 2006 Procedure VolumesGermany 2006 Procedure Volumes"Repair of Cystocele and Rectocele <81.51 81.52 38.34 38.44 37.21 37.22 37.23 41.43 41.5 50.22 50.4 53.0 53.1 53.2 53.3 48.76 48.7568.12 68.16 68.23 12.11 12.1230.3 30.4 30.29Operations on pharynx6Repair of atrial and ventricular septa with prosthesis35.53Insertion of temporary transvenous pacemaker system37.78AInsertion, replacement, removal, and revision of pacemaker device37.8VInsertion of permanent pacemaker, initial or replacement, type of device not specified37.80LInitial insertion of single-chamber device, not specified as rate responsive37.81;Initial insertion of single-chamber device, rate responsive37.82(Initial insertion of dual-chamber device37.83eReplacement of any type pacemaker device with single-chamber device, not specified as rate responsive37.85WReplacement of any type of pacemaker device with single-chamber device, rate responsive37.86AReplacement of any type pacemaker device with dual-chamber device37.87'Revision or removal of pacemaker device37.89"Caval-pulmonary artery anastomosis39.21Aorta-subclavian-carotid bypass39.22Aorta-iliac-femoral bypass39.25.Other intra-abdominal vascular shunt or bypass39.26#Arteriovenostomy for renal dialysis39.27+Other (peripheral) vascular shunt or bypass39.29:Angioplasty or atherectomy of other non-coronary vessel(s)Clipping of aneurysmOther repair of aneurysm8Insertion of non-drug-eluting peripheral vessel stent(s)39.5039.5139.5239.90Suture of laceration of nose21.81Suture of laceration of vagina70.71Lower eyelid rhytidectomy08.86Upper eyelid rhytidectomy08.87Resection of quadrant of breast85.221Reduction mammoplasty and subcutaneous mammectomy85.3Revision of implant of breast85.93Heterograft to skin86.65Dermal regenerative graft86.67Suture of laceration of lip27.51/Fistulization of lacrimal tract to nasal cavity09.8;Excision or destruction of tissue or other lesion of cornea11.414.7?Extracapsular extraction of lens by linear extraction technique13.2PExtracapsular extraction of lens by simple aspiration (and irrigation) technique13.3JExtracapsular extraction of lens by fragmentation and aspiration technique13.4.Phacoemulsification and aspiration of cataract13.41KMechanical phacofragmentation and aspiration of cataract by posterior route13.42>Mechanical phacofragmentation and other aspiration of cataract13.43&Other extracapsular extraction of lens13.5Other cataract extraction13.61Discission of secondary membrane [after cataract]13.64<Excision of secondary membrane [after cataract] Capsulectomy13.65?Mechanical fragmentation of secondary membrane [after cataract]13.6613.69Removal of implanted lens13.8Scleral buckling with implant14.41Suture of corneal laceration11.51Reduction of facial fracture76.7%Operations on facial bones and jointsOther partial ostectomy77.8Total ostectomy77.9 Bone graft78.0&Application of exter< nal fixator device78.14Internal fixation of bone without fracture reduction78.5&Removal of implanted devices from bone78.6#Insertion of bone growth stimulator78.96Closed reduction of fracture without internal fixation79.03Closed reduction of fracture with internal fixation79.14Open reduction of fracture without internal fixation79.21Open reduction of fracture with internal fixation79.3Closed reduction of dislocation79.7Open reduction of dislocation79.8.Incision, excision and division of other bones.Other operations on bones, except facial bones%Reduction of fracture and dislocation Ankle fusion81.11Triple arthrodesis81.12Subtalar fusion81.13Midtarsal fusion81.14Tarsometatarsal fusion81.15Metatarsophalangeal fusion81.16Other fusion of foot81.171Other facial bone repair and orthognathic surgery76.6.Open reduction of malar and zygomatic fracture76.72Bone graft to facial bone76.91$Exploration of tendon sheath of hand82.018Excision of lesion of muscle, tendon, and fascia of hand82.2%Other excision of soft tissue of hand82.3Lysis of adhesions of hand82.91Incision of cerebral meninges01.311Excision of lesion or tissue of cerebral meninges01.51Lobectomy of brain01.53Excision of lesion of skull01.6%Elevation of skull fracture fragments02.02Formation of cranial bone flap02.03Bone graft to skull02.04Insertion of skull plate02.050Ventricular shunt to abdominal cavity and organs02.34?Insertion or replacement of skull tongs or halo traction device02.94 Part of 03.09Excision of acoustic neuroma04.01Division of trigeminal nerve04.02&Decompression of trigeminal nerve root04.41Release of carpal tunnel04.43Release of tarsal tunnel04.44!Cranial or peripheral nerve graft04.5AImplantation or replacement of peripheral neurostimulator lead(s)04.92/Multiple segmental resection of large intestine45.71 Cecectomy45.72+Other small-to-large intestinal anastomosis45.93%Large-to-large intestinal anastomosis45.941Repair of other hernia of anterior abdominal wall53.59(Incisional hernia repair with prosthesis53.61ARepair of other hernia of anterior abdominal wall with prosthesis53.69Other hernia repair53.9 Laparotomy54.1#Reopening of recent laparotomy site54.12Other laparotomy54.19Peritoneal lavage54.25Other repair of abdominal wall54.72Percutaneous abdominal drainage54.91 ENT PLASTIC+Excision of branchial cleft cyst or vestige29.2"Operations on tonsils and adenoids28.628.2Excision of tonsil tag Myringotomy 20.049.4627.69 Incision and excision of stomach Pyloromyotomy43.3 Gastrotomy43.0Vagotomy44.3 Gastrectomy0Incision, excision, and anastomosis of intestineExcision of large intestineExcision of small intestine Enterotomy45.0Intestinal anastomosis45.9Operations on anusDivision of anal sphincterRepair of anus49.7Operations on appendix AppendectomyDrainage of appendiceal abscess47.2$Operations on bone marrow and spleen Splenectomy1Bone marrow or hematopoietic stem cell transplant41.0+Operations on gallbladder and biliary tract36.04*Intracoronary artery thrombolytic infusion57.87!Reconstruction of urinary bladder70.8!Obliteration of the vaginal vault38.0 32.3 32.22Forecast Model55.02 55.03 55.04 59.6 69.2256.51 56.61 56.71 RhinoplastyCoronary angioplasty/stentingGastric Bypass, openGastric Bypass, laparoscopicBreast biopsy, openBreast biopsy, needle"Hysteroscopic endometrial ablationParaurethral suspension Cryoablation of prostate2Ultrasound BPH (High intensity focused ultrasound)68.29Hysteroscopic myomectomyLaparoscopic myomectomy4Laser BPH (Laser-induced interstitial thermotherapy) Arthrotomy Synovectomy#Reconstruction of muscle and tendon80.2180.2280.2366.280.2680.2781.7Laparoscopic cholecystectomyOpen cholecystectomy 85.31 85.32.Endartectomy of other vessels of head and neck60.97Retropubic urethral suspension59.535.2535.270Replacement of pulmonary valve with tissue graft0Replacement of tricuspid valve with tissue graft38.12+Resection of vessel with replacement: iliac35.28$Other replacement of tricuspid valve35.33 Annuloplasty38.7Interruption of the vena cava38.4$Resection of vessel with replacement38.454Resection of vessel with replacement: aorta-thoracic44.98Small bowel resection 35.23 35.24 35.21 35.22 Part of 48.63%Removal lesion of breast - lumpectomySpinal decompressionRepair of vertebral fractureGENERALCARDIOVASCULAR NEURO / SPINE%ORTHO / MUSCULUSKELETAL NEURO / SPINE GENERAL ENTGENERAL ENDOCRINOLOGYPLASTIC OPHTALMOLOGY PLASTIC ENT UROLOGY OBGYNGENERAL OBGYN UROLOGY GENERAL OBGYNGENERAL UROLOGYORTHO / MUSCULOSKELETALPLASTIC GENERAL GENERAL NEUROGENERAL PLASTICImplantation or replacement of cochlear prosthetic device, not otherwise specified; Implantation or replacement of cochlear prosthetic device, single channel 44.68 44.6975.1 81.7 81.8 86.2 86.3 86.4 Gastroplasty Nephrotomy55.01Transplant of kidney55.6 Pyelotomy Pyelostomy55.12+Operations on prostate and seminal vesicles Ureterostomy 57.94 Vasectomy 63.7357.71 *Operations on scrotum and tunica vaginalis+Excision of hydrocele (of tunica vaginalis)61.26Excision or destruction of lesion or tissue of scrotum61.35Incision and drainage of scrotum and tunica vaginalis61.0Operations on ureter Vesicostomy Ureterotomy56.2 CystectomyUreteral meatotomy58.1 Ureterectomy56.4Operations on urethraDilation of urethra58.6 Urethrotomy58.0!Other operations on urinary tract59.4Expert Interviews*National Organisations and Opinion Leaders&Endarterectomy, with and without patch,Proctotomy, with and without anterior repairSURGICAL SPECIALTYCATEGORY PROCEDURE*CODING (ICD-9-CM) ECoronary artery bypass graft (CABG) performed with heart-lung machineHCoronary artery bypass graft (CABG) performed without heart-lung machine 45.3, 45.6345.61 45.62 45.51 Procedures on Hemorrhoids49.4 49.43, 49.44 81.00 81.08Indication on Subgroups)Incision and excision of joint structures80.6 Arthroscopy0Operations on muscle, tendon, and fascia of hand,Suture of muscle, tendon, and fascia of hand82.4!Transplantation of muscle of handReconstruction of thumb82.6<Operations on muscle, tendon, fascia, and bursa, except hand Bursectomy83.583.7*Other procedures on musculoskeletal systemAmputation of lower limb84.1Amputation of upper limb84.0Reattachment of extremity84.21Repair and plastic operations on joint structuresHip replacement81.54$Joint replacement of lower extremity81.5 Spinal fusionPLASTICOperations on eyelids Repair of entropion or ectropion08.4+Repair of blepharoptosis and lid retraction08.3-Reconstruction of eyelid with flaps or grafts08.6Operations on nose 45.7 45.8 Turbinectomy21.6 Little's Litt21.03Reduction of nasal fractureIncision of nose21.1*Operations on skin and subcutaneous tissueExcision of skin lesion 'Suture of skin and subcutaneous tissue 86.5)Incision of skin and subcutaneous tissue Free skin graft 86.6Pedicle grafts or flaps 86.7Operations on the breast Mastectomy85.485.2185.585.085.6 Mastotomy Mastopexy85.94Operations on duct of breastProsthesis of breastExcision of larynx LaryngectomyExcision of lung and bronchusLobectomy of lung32.4Complete pneumonectomy32.5<Operations on chest wall, pleura, mediastinum, and diaphragm Pleurectomy 34.5Scarification of pleura34.6THORACICGENERAL THORACICRepair of chest wall34.7Operations on esophagusEsophagomyo<g tomy42.7 EsophagectomyFundoplication&Other operations on larynx and tracheaRepair of larynx31.6Operations on bladderOperations on kidney Nephrectomy NephrostomyProcessConfirmed TrendHigher AwarenessOther81.3.Transposition of cranial and peripheral nerves04.65Operations on spinal cord and spinal canal structuresDisc Operations03.091Lysis of adhesions of spinal cord and nerve roots03.6,Plastic operations on spinal cord structures03.5+Operations on sympathetic nerves or ganglia)Division of sympathetic nerve or ganglion05.0 Sympathectomy05.2OBGYN%Cesarean section and removal of fetus74.0Operations on cervixConization of cervix - LEEP67.32Conization of cervixDilation of cervical canal67.0Amputation of cervix67.4Operations on fallopian tubes Salpingectomy Salpingotomy 66.01 Salpingostomy66.02Insufflation of fallopian tube66.8Operations on ovary Oophorotomy .Lysis of adhesions of ovary and fallopian tube65.8 Oophorectomy%Other incision and excision of uterus Hysterectomy68.468.568.51 Hysterotomy68.0 MyomectomyOther obstetric operations Amniocentesis#Manual removal of retained placenta75.44Other operations on uterus and supporting structures Dilation and curettage of uterus69.0Aspiration curettage of uterus69.5 Hysteroscopy/Other procedures inducing or assisting delivery Episiotomy73.6Artificial rupture of membranes73.0Operations on conjunctiva:Excision or destruction of lesion or tissue of conjunctiva10.3#Repair of laceration of conjunctiva10.6Operations on cornea11.3Corneal transplant11.6Repair of cornea11.5Incision of cornea11.1!Operations on extraocular muscles3Other operations on extraocular muscles and tendons15.9 Iridectomy12.14 Iridoplasty 12.39Scleral fistulization12.6Operations on lens+Insertion of prosthetic lens 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