--- title: Outpatient Surgery Services | Specialties and Procedures | Covenant High Plains Surgery Center description: Covenant High Plains Surgery Center offers efficient, high-quality outpatient surgeries across various specialties, including general, orthopedic, and cosmetic procedures. --- [HOME](https://chpsurgery.com/?hsLang=en) [Online Bill Pay](https://chpsurgery.com/bill-pay?hsLang=en) [Physician Office Log-in](https://forms.covenantsurgicenter.com/) [Patient Registration](https://chpsurgery.com/#patient-registration) [![Covenant High Plains Surgery Center](https://chpsurgery.com/hubfs/raw_assets/public/website-theme/images/chp/big-logo.jpg)](https://chpsurgery.com/?hsLang=en) - [Services](https://chpsurgery.com/services?hsLang=en) - [Same Day Surgery](https://chpsurgery.com/same-day-surgery?hsLang=en) - [Physician Partners](https://chpsurgery.com/physician-partners?hsLang=en) - [Insurance & Billing](https://chpsurgery.com/insurance-billing?hsLang=en) - [FAQs](https://chpsurgery.com/faqs?hsLang=en) - [Contact Us](https://chpsurgery.com/contact-us?hsLang=en) - [Services](https://chpsurgery.com/services?hsLang=en) - [Joint Replacement](https://chpsurgery.com/services/joint-replacement?hsLang=en) - [Gastric Sleeve](https://chpsurgery.com/services/gastric-sleeve?hsLang=en) - [Same Day Surgery](https://chpsurgery.com/same-day-surgery?hsLang=en) - [Physician Partners](https://chpsurgery.com/physician-partners?hsLang=en) - [Insurance & Billing](https://chpsurgery.com/insurance-billing?hsLang=en) - [FAQs](https://chpsurgery.com/faqs?hsLang=en) - [Contact Us](https://chpsurgery.com/contact-us?hsLang=en) - [Online Bill Pay](https://chpsurgery.com/bill-pay?hsLang=en) [Physician Office Log-in](https://forms.covenantsurgicenter.com/) [Patient Registration](https://chpsurgery.com/#patient-registration) # SERVICES WE PROVIDE Covenant High Plains Surgery Center is committed to both efficiency and quality. Our facilities are equipped with the technology and staff experience to perform a wide range of outpatient surgeries. ![Surgical services overview illustration](https://chpsurgery.com/hubfs/raw_assets/public/website-theme/images/chp/services_head.png) ## SPECIALTIES ![Bariatric](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/bariatric.png?width=40&height=40&name=bariatric.png) Bariatric ![General](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-13.png?width=40&height=40&name=CHPS_icons-13.png) General ![Dermatology](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-05.png?width=40&height=40&name=CHPS_icons-05.png) Dermatology ![Ear, Nose, and Throat](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-10.png?width=40&height=40&name=CHPS_icons-10.png) Ear, Nose, and Throat ![Gastroenterology](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-03.png?width=40&height=40&name=CHPS_icons-03.png) Gastroenterology ![Orthopedic](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-06.png?width=40&height=40&name=CHPS_icons-06.png) Orthopedic ![Gynecology](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-14.png?width=40&height=40&name=CHPS_icons-14.png) Gynecology ![Neurosurgery / Spine](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-11.png?width=40&height=40&name=CHPS_icons-11.png) Neurosurgery / Spine ![Ophthalmology](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-12.png?width=40&height=40&name=CHPS_icons-12.png) Ophthalmology ![Urology](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-09.png?width=40&height=40&name=CHPS_icons-09.png) Urology ![Pain Management](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-07.png?width=40&height=40&name=CHPS_icons-07.png) Pain Management ![Podiatry](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-01.png?width=40&height=40&name=CHPS_icons-01.png) Podiatry ![Plastic/ Cosmetic/ Reconstructive](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-08.png?width=40&height=40&name=CHPS_icons-08.png) Plastic/ Cosmetic/ Reconstructive ![Total Joint Replacement](https://chpsurgery.com/hs-fs/hubfs/raw_assets/public/website-theme/images/chp/CHPS_icons-06.png?width=40&height=40&name=CHPS_icons-06.png) Total Joint Replacement ### SEARCH BY CODE Enter code here ## SERVICE CATALOG Ophthalmology + Cataract Surgery ### Cataract Surgery With cataract surgery, your eye’s cloudy natural lens is removed and replaced with a clear artificial lens implant called an intraocular lens or IOL. A small incision is made in the side of the cornea (the front part of your eye), the doctor inserts a tiny instrument that uses high-frequency ultrasound to break up the center of the cloudy lens and carefully suction it out. After the cloudy lens has been removed, the doctor will replace it with an IOL. The IOL becomes a permanent part of your eye. 66984 Chalazion ### Chalazion A chalazion forms when an oil-producing gland in the eyelid called the meibomian gland becomes enlarged and the gland opening becomes clogged with oil. During the procedure your eyelid will be lifted and turned inside out using a clamp. A very small incision will be made on top of the cyst inside your eyelid. The tissue inside the chalazion will then be scooped out. The incision on the gland is then left to drain in a smaller chalazion while the cut in a larger chalazion will be stitched. 67800 Eye Muscle Surgery Bilateral ### Eye Muscle Surgery Bilateral Strabismus is a visual problem in which the eyes are not aligned properly and point in different directions. During surgery, the eyelids are gently held open with a lid speculum and a small opening is made through the conjunctiva (the mucous membrane surface of the eye) to access the muscle. The muscle is then weakened, strengthened or moved to change its action with dissolvable sutures. 67312 Nasolacrimal Duct Probe w/ Stent Placement ### Nasolacrimal Duct Probe w/ Stent Placement When a tear duct is blocked it cannot drain normally, causing a watery, irritated or chronically infected eye. An instrument is used to enlarge (dilate) the punctal openings and a narrow probe is guided through the puncta, into the tear drainage system, then through the nasal opening and removed. The tear drainage system is flushed with a saline solution to clear out any residual blockage. The stent (implant made of synthetic material) is inserted into the nasolacrimal duct to maintain the opening created by the probing. 68815 Trabeculectomy ### Trabeculectomy Pressure from fluid that forms in the eye. An incision is made to promote drainage of fluid, physican may also remove some tissue. 66170 Endoscopy/GI + Colonoscopy ### Colonoscopy A procedure to monitor for colon cancer in which a scope is inserted through the rectum for the physician to look at the intestines. Sometimes a biopsy of the intestines is performed and sent to pathology for evaluation. A registered nurse will provide sedation to help you relax during the procedure. 45378 EGD (Esophagogastroduodenoscopy) ### EGD (Esophagogastroduodenoscopy) A procedure to evaluate the esophagus, stomach and first section of the small intestine. This can be used to help diagnosis issues such as but not limited to: reflux, ulcers, hiatal hernia, swallowing problems, Celiac disease. 43239 General Surgery + Appendectomy, Laparoscopic ### Appendectomy, Laparoscopic Small incisions are made into the abdomen in order to insert ports (hollow tubes), surgical tools and a lighted camera. The abdomen is inflated to make it easier to see internal organs to remove the appendix. 44970 Axillary Node Dissection, Biopsy or Excision ### Axillary Node Dissection, Biopsy or Excision Axillary dissection is a surgical procedure that incises the axilla to identify, examine, or remove lymph nodes. The tissue is examined by pathology to determine cancerous or benign cells. 38500, 38505, 38510, 38525 Biopsy or Excision of Lymph Nodes, Cervical ### Biopsy or Excision of Lymph Nodes, Cervical Cervical lymph glands (from neck) are excised from the body and sent to pathology to examine for the presence of cancerous or benign cells. 38510, 38520 Central IV Access Port Placement ### Central IV Access Port Placement A catheter is a tube that goes into a vein in your chest and ends at your heart. The port will be placed just under the skin on your chest. Having a port will cause less wear and tear on your veins. 36561 Central IV Access Port Removal ### Central IV Access Port Removal Removal of a port and catheter that was surgically placed under the skin of your chest. 36589, 36590 Excision of Breast Lesion with Radiological Marker ### Excision of Breast Lesion with Radiological Marker Abnormal tissue in a breast is marked before surgery with a radiation marker and then the tissue is removed and sent to pathology for evaluation. The placement of the radiation marker is performed at a radiation treatment center and is not included in this fee. You will be billed separately for the marker from the radiation facility of your choice. 19125 Excision of Cyst, Mass, Lesion from Breast ### Excision of Cyst, Mass, Lesion from Breast Abnormal tissue in a breast is removed and sent to pathology for evaluation to determine cancerous or benign cells. 19120 Excision of Lipoma ### Excision of Lipoma A lipoma is a benign growth (lump) of fat found just below the skin and can occur anywhere on the body. 21931 Hemorrhoidectomy ### Hemorrhoidectomy Surgical removal of internal or external hemorrhoidal tissue. 46250 Hernia, Inguinal Laparoscopic, Bilateral ### Hernia, Inguinal Laparoscopic, Bilateral A inguinal hernia is an opening, weakness or bulge in the abdominal wall in the groin area between the abdomen and the thigh. The weakened area is reinforced with mesh (an implant made from synthetic material such as polypropylene). When performed laparoscopically, the doctor will make several small incisions in the abdomen. Ports (hollow tubes) are inserted into the openings and surgical tools and a lighted camera are placed into the ports. The abdomen is inflated to make it easier to see internal organs to repair the hernia. 49650, 49651, 49652 Hernia, Inguinal Laparoscopic, Single ### Hernia, Inguinal Laparoscopic, Single A inguinal hernia is an opening, weakness or bulge in the abdominal wall in the groin area between the abdomen and the thigh. The weakened area is reinforced with mesh (an implant made from synthetic material such as polypropylene). When performed laparoscopically, the doctor will make several small incisions in the abdomen. Ports (hollow tubes) are inserted into the openings and surgical tools and a lighted camera are placed into the ports. The abdomen is inflated to make it easier to see internal organs to repair the hernia. 49650, 49651, 49652 Hernia, Inguinal Open, Bilateral ### Hernia, Inguinal Open, Bilateral A inguinal hernia is an opening, weakness or bulge in the abdominal wall in the groin area between the abdomen and the thigh. The weakened area is reinforced with mesh (an implant made from synthetic material such as polypropylene). 49505, 49500, 49507, 49520, 49521, 49550 Hernia, Inguinal Open, Single ### Hernia, Inguinal Open, Single A inguinal hernia is an opening, weakness or bulge in the abdominal wall in the groin area between the abdomen and the thigh. The weakened area is reinforced with mesh (an implant made from synthetic material such as polypropylene). 49505, 49500, 49507, 49520, 49521, 49550 Hernia, Umbilical ### Hernia, Umbilical A umbilical hernia repair is repair of a weakness in abdominal wall or close to the opening of the umbilicus (belly button). The herniated tissue is pushed back inside the abdomen and the hole is closed with sutures. In some instances (large hernia) mesh (an implant made from synthetic material such as polypropylene) could be used to repair the hernia. 49580, 49582, 49585, 49587 Hernia, Ventral, Small ### Hernia, Ventral, Small A ventral hernia is a repair of a weakness, bulge or protrusion that occurs along a prior abdominal surgical incision. The weakened area is reinforced with mesh (an implant made from synthetic material such as polypropylene). 49560, 49561, 49565, 49566 Laparoscopic Cholecystectomy ### Laparoscopic Cholecystectomy Removal of the gallbladder due to gallstones causing pain or infection. The doctor will make several small incisions in the abdomen. Ports (hollow tubes) are inserted into the openings and surgical tools and a lighted camera are placed into the ports. The abdomen is inflated to make it easier to see internal organs. The gallbladder is removed and the port openings are closed with sutures or glue. 47562, 47563 Lymph Node Excision, Biopsy ### Lymph Node Excision, Biopsy Lymph glands are excised from the body and sent to pathology to examine for the presence of cancerous or benign cells. 38500 Mastectomy, Partial (Lumpectomy) ### Mastectomy, Partial (Lumpectomy) A surgery performed for breast cancer. The malignant breast tumor and a normal tissue margin is removed. The tissue is sent to pathology for examination to ensure all of the tumor has been removed. 19301 Parotidectomy ### Parotidectomy Removal of the parotid gland, a salivary gland near the ear due to abnormal growths. The parotid gland will be sent to pathology to be examined for cancerous or benign cells. 42415 Pilonidal Cyst Incision and Drainage ### Pilonidal Cyst Incision and Drainage Excision of cystic tissue, incision is left open with packing to allow for drainage of the fluid and healing of the abscess site. 10080, 10081 Pilonidal Cyst Removal ### Pilonidal Cyst Removal A pilonidal cyst is an enlarged hair follicle near the tailbone. The cystic tissue is removed when symptoms indicate. 11770, 11772 Primary Dialysis Arteriovenous Fistula Thyroidectomy Partial Thyroid Lobectomy ### Thyroidectomy Partial Thyroid Lobectomy Surgical removal of part of the thyroid gland. Removal can be performed for a number of reasons including but not limited to: a growth or cyst, overactive thyroid, cancer, benign tumors, goiter (swelling). 60210 Thyroidectomy Total Thyroid Lobectomy ### Thyroidectomy Total Thyroid Lobectomy Surgical removal of the thyroid gland. Removal can be performed for a number of reasons including but not limited to: a growth or cyst, overactive thyroid, cancer, benign tumors, goiter (swelling). 60225, 60220 Vein Stripping – Right and Left ### Vein Stripping – Right and Left This procedure is utilized to treat varicose veins (twisted or enlarged veins usually on the legs). Small incisions are made in the leg(s) and the vein is removed. 37718, 37722, 37735 Vein Stripping – Single ### Vein Stripping – Single This procedure is utilized to treat varicose veins. Small incisions are made in the leg(s) and the vein is removed. 37718, 37722, 37735 Hand/Wrist/Elbow + Arthroplasty IP Joint ### Arthroplasty IP Joint Replacement of a finger joint located at the upper portion of the finger. The replacement joint is a synthetic implant joint (implant made of silicone or plastic). 26536 Arthroplasty MP Joint ### Arthroplasty MP Joint Replacement of a finger joint where the finger attaches to the palm (hand). The replacement joint is a synthetic implant (made of silicone or plastic). 26531 Carpal Tunnel Release Bilateral ### Carpal Tunnel Release Bilateral An incision is made at the base of the palm (hand). The carpal tunnel ligament is identified and cut in order to release pressure on the median nerve, which should relieve the pain and numbness in your wrist/hand from carpel tunnel syndrome. 64721 Carpal Tunnel Release, Single ### Carpal Tunnel Release, Single An incision is made at the base of the palm (hand). The carpal tunnel ligament is identified and cut in order to release pressure on the median nerve, which should relieve the pain and numbness in your wrist/hand from carpel tunnel syndrome. 64721 Closed Reduction and Casting ### Closed Reduction and Casting During a closed reduction the broken bone is realigned by manipulation (no incision is made into the body) and held in place with a cast until the bone is healed or further medical treatment is needed. 25605 Dupuytrens Contracture ### Dupuytrens Contracture An incision is made into the palm (hand) and the palmar fascia (tissue fibers in the hand) is identified and separated from the nerves, arteries and tendons. The palmar fascia is then removed which will allow you to straighten your finger. 26123 Elbow Arthroscopy ### Elbow Arthroscopy A minimally invasive surgery used for the diagnosis and treatment of conditions affecting joints. Small incisions are made into the elbow to insert small ports to allow a camera to visualize the inside of the elbow. The procedure may relieve painful symptoms due to damage of the cartilage surfaces and soft tissue surrounding the joint. Removal of loose pieces of bone and cartilage, or release of scar tissue can be performed to increase motion of the elbow. 29830 Excision of Lesion of Tendon Sheath or Joint Capsule (ex. soft tissue mass/cyst, fluid filled cyst) ### Excision of Lesion of Tendon Sheath or Joint Capsule (ex. soft tissue mass/cyst, fluid filled cyst) A lesion or cyst can be present on the hand and/or foot. The lesion or cyst is removed. 26160 Ganglion Excision from Wrist ### Ganglion Excision from Wrist The removal of a fluid-filled sac on the wrist. 25111 Hardware Removal Complex ### Hardware Removal Complex A procedure to remove the implant/hardware (plate, screw, wire) that was inserted to hold a broken bone together. 20680 Hardware Removal Simple ### Hardware Removal Simple A procedure to remove the implant/hardware (plate, screw, wire) that was inserted to hold a broken bone together. 20670 Percutaneous Pinning (Finger 1-2 Pins) ### Percutaneous Pinning (Finger 1-2 Pins) A procedure to repair a broken finger(s) in which a metal wire (implant) is inserted into the bone to keep it straight until healed. 26727 Suspensionplasty, Arthroplasty, Interposition, Intercarpal or Carpometacarpal Joints ### Suspensionplasty, Arthroplasty, Interposition, Intercarpal or Carpometacarpal Joints Procedure to treat the pain and decreased function of an arthritic joint. 25447 Synovectomy, Tendon Sheath, Radical (Tenosynovectomy), Flexor Tendon, Palm and/or Finger, Each Tendon ### Synovectomy, Tendon Sheath, Radical (Tenosynovectomy), Flexor Tendon, Palm and/or Finger, Each Tendon Procedure to remove inflamed tissue that cause pain or a decrease in function. 26145 Trigger Finger ### Trigger Finger A small incision is made in the palm (close to the affected finger) and the tendon sheath (layer of membrane) tunnel is cut to allow more room for the tendon to move freely allowing the finger to straighten out. 26055 Ulnar Nerve Epicondylectomy ### Ulnar Nerve Epicondylectomy Small incisions are made around the elbow to move the nerve from its current location (behind the elbow) to a different location (usually in the front of the elbow) to relieve pressure, pain related to the pinched nerve. 24358 Ulnar Nerve Transposition ### Ulnar Nerve Transposition Small incisions are made around the elbow to move the nerve from its current location (behind the elbow) to a different location (usually in the front of the elbow) to relieve pressure, pain related to the pinched nerve. 64718 Wrist Arthroscopy ### Wrist Arthroscopy A minimally invasive surgery used for the diagnosis and treatment of conditions affecting joints. Small incisions are made into the wrist to insert small ports to allow a camera to visualize the inside of the wrist. This procedure is performed to address cartilage problems that affects wrist stability and motion. 29840 Foot/Ankle + Achilles Repair ### Achilles Repair Debridement and Repair: the damaged part of the achilles tendon is removed and the remaining tendon is repaired with sutures. Debridement with Tendon Transfer: removal of the damaged achilles tendon is required and the remaining portion of the tendon is not strong enough to function independently. To prevent the remaining tendon from rupturing, a tendon transfer is performed. The tendon that helps the big toe point down is moved to the heel bone to add strength to the damaged tendon. Sometimes an implant made of synthetic or human tissue will be placed to support the tendon 27650 Ankle Arthroscopy ### Ankle Arthroscopy A minimally invasive surgery used for the diagnosis and treatment of conditions affecting joints. Small incisions are made into the ankle to insert small ports to allow a camera to visualize the inside of the ankle. The physician will look for damaged cartilage and bone spurs, if indicated he/she will debride and remove loose/scar/inflamed tissue. 29891 Arthrodesis, Great Toe, Metatarsophalangeal ### Arthrodesis, Great Toe, Metatarsophalangeal Fusion (joining together) of the bones in the Great (big) toe. This requires an implant (usually plate and screws made of metal). The procedure is performed to treat arthritis by removing the cartilage of the joint and relieving the pain. 28750 Brostrom Ligament Reconstruction ### Brostrom Ligament Reconstruction Damaged ligaments on the outer (lateral) side of the ankle are repaired by reattaching or shortening the ligaments. 27698 Bunionectomy Bilateral ### Bunionectomy Bilateral An incision is made over the first joint of the Great (big) toe and the enlarged lump (made up of inflamed bone and soft tissue) is removed. If the joint has been damaged, an implant (plates, screws or wires usually made of metal) will be placed to stabilize the joint. 28292 Bunionectomy, Single ### Bunionectomy, Single An incision is made over the first joint of the Great (big) toe and the enlarged lump (made up of inflamed bone and soft tissue) is removed. If the joint has been damaged, an implant (plates, screws or wires usually made of metal) will be placed to stabilize the joint. 28292 Excision of Lesion of Tendon Sheath or Joint Capsule (ex. soft tissue mass/cyst, fluid filled cyst) ### Excision of Lesion of Tendon Sheath or Joint Capsule (ex. soft tissue mass/cyst, fluid filled cyst) A lesion or cyst can be present on the hand and/or foot. The lesion or cyst is removed. 26160 Gastrocnemius Recession ### Gastrocnemius Recession Surgical lengthening of one or two of the calf muscles to increase the motion of the ankle. 27687 Hammer Toe (1 toe) ### Hammer Toe (1 toe) A hammer toe(s) (toes that are contracted or crooked) will be repaired by fusion (joining together) or resection (removing) part of the bone to reduce the contracture or crooked bone. An implant (pin made of metal) may be utilized to straighten the toe, but will be removed once the bone is healed. 28285 Hammer Toe (2 toes) ### Hammer Toe (2 toes) A hammer toe(s) (toes that are contracted or crooked) will be repaired by fusion (joining together) or resection (removing) part of the bone to reduce the contracture or crooked bone. An implant (pin made of metal) may be utilized to straighten the toe, but will be removed once the bone is healed. 28285 Hammer Toe (3 toes) ### Hammer Toe (3 toes) A hammer toe(s) (toes that are contracted or crooked) will be repaired by fusion (joining together) or resection (removing) part of the bone to reduce the contracture or crooked bone. An implant (pin made of metal) may be utilized to straighten the toe, but will be removed once the bone is healed. 28285 Hardware Removal Complex ### Hardware Removal Complex A procedure to remove the implant/hardware (plate, screw, wire) that was inserted to hold a broken bone together. 20680 Hardware Removal Simple ### Hardware Removal Simple A procedure to remove the implant/hardware (plate, screw, wire) that was inserted to hold a broken bone together. 20670 Neuroma Excision ### Neuroma Excision A neuroma is a thickening of the tissue around one of the nerves leading to your toes. An incision will usually be made on the top of the foot in the area between two toes. The growth is then identified and removed. 28080 Ostectomy Partial Excision ### Ostectomy Partial Excision A procedure to remove a bone spur (enlargement of the bone) from the toe. 28111, 28112, 28113 Osteotomy ### Osteotomy A procedure used for treatment of arthritis or to straighten a crooked bone. 28308 Plantar Fasciotomy ### Plantar Fasciotomy An incision is made medially on the heel and a thick band of tissue (plantar fascia) is released (cut) to reduce the tension/tightness of the fascia. Sometimes a small amount of the plantar fascia is resected (removed) to prevent re-attachment of the tissue. 28060 Shoulder + Arthroscopy w/ Biceps Tenodesis ### Arthroscopy w/ Biceps Tenodesis A minimally invasive surgery used for the diagnosis and treatment of conditions affecting joints. Small incisions are made into the shoulder to insert small ports to allow a camera to visualize the inside of the shoulder. The biceps tendon can detach from the shoulder socket or may be inflamed causing pain and decreased motion. When this occurs the tendon will be reattached to the humerus with an implant (anchor, screw). 29828 Arthroscopy w/ Rotator Cuff Repair ### Arthroscopy w/ Rotator Cuff Repair A minimally invasive surgery used for the diagnosis and treatment of conditions affecting joints. Small incisions are made into the shoulder to insert small ports to allow a camera to visualize the inside of the shoulder. The rotator cuff consists of muscles and tendons that form a cuff over the joint. The tendons can be torn from injury or overuse. Anchors (implants made of synthetic or metal materials) are attached to tie the tendon back to the bone. 29827 Capsulorrhaphy ### Capsulorrhaphy A minimally invasive surgery used so the physician can perform a diagnostic arthroscopic exam of the joint. Small incisions are made so the physician can remove any loose bodies. 29806 Distal Clavicle Excision Arthroscopically ### Distal Clavicle Excision Arthroscopically During an arthroscopic procedure, small incisions are made into the shoulder to insert small ports to allow a camera to visualize the inside of the shoulder. The subacromial space is entered and the lateral end of the clavicle (collar bone) is exposed and a small section is removed to allow space for the shoulder to move freely. This will reduce impingement pain in the shoulder. 29824 Distal Clavicle Excision Open ### Distal Clavicle Excision Open During an open procedure, an incision is made into the shoulder above the clavicle separating the skin and muscle to expose the distal clavicle. A portion of the bone is removed to allow space for the shoulder to move freely. This will reduce impingement pain in the shoulder. 23120 Manipulation Shoulder / Anesthesia ### Manipulation Shoulder / Anesthesia While you are asleep and your muscles are paralyzed, your shoulder will be moved in several positions to increase the range of motion in your shoulder. Sometimes physical therapy is required after the procedure, which is not included in the price of your surgical procedure. 23700 Open Rotator Cuff Repair ### Open Rotator Cuff Repair An incision is made on the shoulder down into the muscle. Scar tissue will be removed and small holes will be drilled through the arm bone. The torn rotator cuff tendon will be repaired with sutures and/or metal anchor implants to attach the tendon to the bone. 23410 Repair Pectoralis Muscle Rupture ### Repair Pectoralis Muscle Rupture An incision is made into the axillary (armpit) fold of the arm. The ruptured tendon is identified and repaired using sutures and/or metal anchor implants reattaching the tendon to the bone. 24341 Shoulder Debridement ### Shoulder Debridement The removal of tissue that has been damaged by dengerative joint disease or arthritis or overuse. Damaged tissue is removed to allow increased space inside the joint for the bones and tissue to move freely, thereby decreasing pain and inflammation. 29823 SLAP Repair ### SLAP Repair A minimally invasive surgery in which three incisions are made into the shoulder to allow the doctor to see the tear. The repair is made by suturing an anchor in place and closes the loop with a slipknot. 29807 Subacromial Decompression ### Subacromial Decompression A minimally invasive surgery used for the diagnosis and treatment of conditions affecting joints. Small incisions are made into the shoulder to insert small ports to allow a camera to visualize the inside of the shoulder. This procedure will release the rotator cuff tendon that is pinched between the humeral head and the acromion. 29826 Knee + ACL Repair ### ACL Repair A minimally invasive surgery in which small incisions are made into the knee to insert small ports to allow a camera to visualize the inside of the knee. The torn Anterior Cruciate Ligament is repaired utilizing your patella (knee cap) tendon. Part of the patellar tendon is removed and small holes are drilled into the bone on each side to allow for reattachment of the tendon. An implant (metal screw or anchor) secures the tendon into place. 29888 Chondroplasty ### Chondroplasty Damaged cartilage of the knee will be removed and the knee joint surface will be reshaped. This procedure is usually performed arthroscopically during which small incisions are made into the knee to insert small ports to allow a camera to visualize the inside of the knee. 29877 Complete Synovectomy ### Complete Synovectomy A minimally invasive surgery in which small incisions are made into the knee to insert small ports to allow a camera to visualize the inside of the knee. The synovium (thin membrane lining of the joint) is removed which should reduce pain and swelling in the knee. 29876 Knee Arthroscopy Medial or Lateral Meniscectomy ### Knee Arthroscopy Medial or Lateral Meniscectomy A minimally invasive surgery where small incisions are made into the knee to insert small ports to allow a camera to visualize the inside of the knee. Torn cartilage will be removed or repaired during the procedure. 29881 Knee Arthroscopy with Meniscus repair ### Knee Arthroscopy with Meniscus repair A minimally invasive surgery where small incision are made into the knee to insert small ports to allow a camera to visulize the inside of the knee. The tear is identified and repaired . 29882 Knee Arthroscopy, ostechondral allograft ### Knee Arthroscopy, ostechondral allograft A minimally inviasive surgery where small incisions are made into the knee to insert small ports to allow a bone/cartilage transplant . 29867 Knee Arthroscopy with Lateral Release ### Knee Arthroscopy with Lateral Release A minimally invasive surgery where small incisions are made into the knee to insert small ports to allow a camera to visualize the inside of the knee. The lateral retinaculum will be cut to release the tension around the patella (knee cap). 29873 Knee Arthroscopy with Medial & Lateral Meniscectomy ### Knee Arthroscopy with Medial & Lateral Meniscectomy A minimally invasive surgery where small incisions are made into the knee to insert small ports to allow a camera to visualize the inside of the knee. Torn cartilage will be removed or repaired during the procedure. 29880 Medial Collateral Ligament ### Medial Collateral Ligament A small incision is made on the inside of the knee. If the tear is where the ligament attaches to the femur (thighbone) or tibia (shin bone), the ligament will be repaired with stitches or metal screws (implant). If the tear is in the middle of the ligament, the physician will sew the torn ends together. 27405 Posterior Cruciate Ligament Repair ### Posterior Cruciate Ligament Repair A minimally invasive surgery in which small incisions are made into the knee to insert small ports to allow a camera to visualize the inside of the knee. The torn Posterior Cruciate Ligament is repaired utilizing a donor graft implant (made of human tissue). 29889 Hardware Removal + Simple ### Simple Removal of hardware; pin, screw, rod or plate 20680 Ear, Nose, & Throat + Adenoidectomy ### Adenoidectomy Adenoids are a mass of lymphoid tissue located behind the nasal passages which can become enlarged or infected. The doctor will cauterize (burn) the adenoids and remove through the mouth. 42830, 42831 Adenoidectomy and BMT ### Adenoidectomy and BMT Adenoidectomy: Adenoids are a mass of lymphoid tissue located behind the nasal passages which can become enlarged or infected. The doctor will cauterize (burn) the adenoids and remove through the mouth. BMT: Inflammation of the middle ear (otitis media) is a result of a middle ear infection. A small incision is made in the eardrum and fluid is suctioned out and then a pressure-equalization (PE) tube is placed in the eardrum. This usually improves hearing and decreases infections. The tube will eventually fall out as the ear heals. 42830, 69436 Bilateral Myringotomy with Tubes ### Bilateral Myringotomy with Tubes Inflammation of the middle ear (otitis media) is a result of a middle ear infection. A small incision is made in the eardrum and fluid is suctioned out and then a pressure-equalization (PE) tube is placed in the eardrum. This usually improves hearing and decreases infections. The tube will eventually fall out as the ear heals. 69436 Myringoplasty ### Myringoplasty A procedure to repair a perforation (hole) in the eardrum utilizing a paper patch or gelfoam. 69620, 69610 Nasal Fracture Open Repair/Treatment ### Nasal Fracture Open Repair/Treatment An excision into the nose will be made to manually repair cartilage and bone structures. An endoscopic exam of nasal structure(s) will be performed to assess realignment. 21325 Nasal Fracture Simple Closed ### Nasal Fracture Simple Closed The cartilage and bone structures of the nose will be manually realigned and an endoscopic exam of nasal structure(s) will be performed to assess realignment. 21310 Nasal Fracture w/ Stabilization ### Nasal Fracture w/ Stabilization The cartilage and bone structures of the nose will be repaired internally using a fixation device such as: wire, sutures, screws or plates. 21320 Nasal Septal FX w/ or w/o Stabilization ### Nasal Septal FX w/ or w/o Stabilization The cartilage and bone structures of the nose will be repaired internally using a fixation device such as: wire, sutures, screws or plates. 21336 Neck Lymph nodes/mass/deep/excision ### Neck Lymph nodes/mass/deep/excision Lymph glands are excised from the body and sent to pathology to examine for the presence of cancerous cells. 60280, 60281 Septoplasty and Sinus Turbinates ### Septoplasty and Sinus Turbinates Nasal sinus surgery to relieve the obstruction by straighten / realigning or removing the septum bone of the nose). Turbinates are tissue that can become swollen and inflamed during surgery the tissue will be modified or removed to help increase airflow. 30520, 30140, 30150 Sinus Procedure, Complex, Bilateral, Limited ### Sinus Procedure, Complex, Bilateral, Limited Both sides of the nasal/sinus area will be explored endoscopically and resected based on the patient’s condition. Several procedures can be performed including but not limited to: Ethmoidectomy, Antrostomy. Your physician will review the details of your condition and proposed procedures during consultation. 31255, 31256 Sinus Surgery, Complex ### Sinus Surgery, Complex The nasal/sinus area will be explored endoscopically and resected based on the patient’s condition. Several procedures can be performed including but not limited to: Septoplasty, Submucous Resection of Inferior Turbinates, Ethmoidectomy, Antrostomy. Your physician will review the details of your condition and proposed procedures during consultation. 30520, 30140, 31255, 31256 Sinus Surgery. Extensive/Image Guidance Bilateral ### Sinus Surgery. Extensive/Image Guidance Bilateral Image-guidance allows for real time correlation of the operative site to avoid areas such as the brain and orbit during sinus surgery. The nasal/sinus area will be explored and resected based on the patient’s condition. Several procedures can be performed including but not limited to: Removal of Frontal Sinus Tissue, Ethmoidectomy, Antrostomy. Your physician will review the details of your condition and proposed procedures during consultation. What is a: Ethmoidectomy – tissue from the ethmoid sinus cavity is removed to treat chronic sinusitis. Antrostomy — Chronic sinusitis can cause the maxillary sinus to become blocked. The blockage is removed or drained during surgery. 31276, 31255, 31256, 61782 Sinus Surgery/Extensive/Image Guidance/ Bilateral with Septoplasty & SMR Turbs ### Sinus Surgery/Extensive/Image Guidance/ Bilateral with Septoplasty & SMR Turbs Image-guidance allows for real time correlation of the operative site to avoid areas such as the brain and orbit during sinus surgery. The nasal/sinus area will be explored and resected based on the patient’s condition. Several procedures can be performed including but not limited to: Septoplasty, Submucous Resection of Inferior Turbinate(s), Removal of Frontal Sinus Tissue, Ethmoidectomy, Antrostomy. Your physician will review the details of your condition and proposed procedures during consultation. What is a: Septoplasty –surgery on the septum (the bone that separates the nostrils) the septum can be crooked due to an injury or are present from birth. Submucous Resection of Inferior Turbinates – Tissue that is swollen/inflamed inside the nose is removed to increase airflow. Ethmoidectomy – tissue from the ethmoid sinus cavity is removed to treat chronic sinusitis. Antrostomy — Chronic sinusitis can cause the maxillary sinus to become blocked. The blockage is removed or drained during surgery. 30520, 30140, 31276, 31255, 31256, 61782 Thyroglossal Duct Cyst Excision ### Thyroglossal Duct Cyst Excision Removal of a fibrous cyst (lump) in neck located around the hyoid bone. 60280, 60281 Tonsil & Adenoidectomy with BMT ### Tonsil & Adenoidectomy with BMT Tonsils and adenoids are masses of lymphoid tissues located behind the nasal passages which can become enlarged or infected. The doctor will cauterize (burn) the tonsils/adenoids and remove the through the mouth. BMT: Inflammation of the middle ear (otitis media) is a result of a middle ear infection. A small incision is made in the eardrum and fluid is suctioned out and then a pressure-equalization (PE) tube is placed in the eardrum. This usually improves hearing and decreases infections. The tube will eventually fall out as the ear heals. 42820, 42821, 69436 Tonsillectomy ### Tonsillectomy Tonsils are a mass of lymphoid tissue located behind the nasal passages which can become enlarged or infected. The doctor will cauterize (burn) the tonsils and remove the tonsils through the mouth. 42825, 42826 Tonsillectomy and Adenoidectomy ### Tonsillectomy and Adenoidectomy Tonsils and adenoids are masses of lymphoid tissues located behind the nasal passages which can become enlarged or infected. The doctor will cauterize (burn) the tonsils/adenoids and remove the through the mouth. 42820. 42821 Tympanoplasty ### Tympanoplasty A small incision is made behind the ear and tissue will be excised. This tissue will be attached to the eardrum to cover the perforation (hole). 69631 Pain + Cervical Epidural Injection ### Cervical Epidural Injection Epidural or Subarachnoid Injection with/or without catheter cervical or thoracic; with/or without imaging guidance. 62320, 62321 Cervical/Thoracic Facet Injection- up to (4) levels ### Cervical/Thoracic Facet Injection- up to (4) levels Facet Injections (paravertebral) cervical or thoracic. 64490, 64491, 64492 Cervical/Thoracic Radiofrequency Ablation- up to (4) Levels ### Cervical/Thoracic Radiofrequency Ablation- up to (4) Levels Destruction neurolytic agent, cervical or thoracic. 64633, 64634 Joint Injection ### Joint Injection Injection into the joint or bursa; with or without ultrasound guidance. 20600, 20611 Lumbar Epidural Injection (interlaminar or caudal) ### Lumbar Epidural Injection (interlaminar or caudal) Edidural or Subarachnoid Injection with/or without catheter lumbar or sacral (caudal); with or without imaging guidance. 62322, 62323 Lumbar Facet Injection- up to (4) levels ### Lumbar Facet Injection- up to (4) levels Facet Injections (paravertebral) lumbar or sacral. 64493, 64494, 64495 Lumbar Radiofrequency Ablation- up to (4) Levels ### Lumbar Radiofrequency Ablation- up to (4) Levels Destruction neurolytic agent, lumbar or sacral. 64635, 64636 Lumbar Transforaminal Epidural- up to (2) levels Sacriolliac Joint Injection Thoracic Epidural Injection × ### SAME DAY SURGERY We offer high-quality same day surgery, without the added burden of hospital expenses. 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