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Appendix: 2003 Statistics on Major Diagnostic and Therapeutic Ambulatory Surgeries in U.S. Hospitals, All-Listed

Number of Ambulatory Surgeries, Percent Ambulatory, and Mean Charges per Visit

Clinical Classifications Software (CCS) Procedure Category and Number Total Number of Ambulatory Surgeries
(in thousands)
Percent Ambulatory Mean Charge
per
Visit
Operations on the nervous system 2 Insertion, replacement, or removal of extracranial ventricular shunt 1 4.9 $9,300
3 Laminectomy, excision intervertebral disc 48 24.3 $10,700
5 Insertion of catheter or spinal stimulator and injection into spinal canal 8 80.3 $16,100
6 Decompression of the peripheral nerve 122 96.5 $3,600

7

Other diagnostic nervous system proceduresa 2 24.1 $3,800
9 Other O.R. therapeutic nervous system proceduresb 37 41.6 $8,100
Operations on the endocrine system 10 Thyroidectomy, partial or complete 12 38.7 $8,200
12 Other therapeutic endocrine proceduresc 6 30.5 $7,200
Operations on the eye 13 Corneal transplant 6 96.7 $9,900
14 Glaucoma procedures 19 98.6 $4,200
15 Lens and cataract procedures 431 99.6 $3,900
16 Repair of retinal tear, detachment 20 94.2 $8,300
17 Destruction of lesion of retina and choroids 3 90.7 $5,600
18 Diagnostic procedures on eye 4 91.5 $2,400
19 Other therapeutic procedures on eyelids, conjunctive (covering of eyeball), cornead 70 94.6 $3,700
20 Other therapeutic procedures on inside of eyee 58 94.8 $6,600
21 Other therapeutic procedures on eye musclesf 22 90.2 $4,500
Operations on the ear 22 Tympanoplasty 23 97.1 $5,900
23 Myringotomy 149 97.7 $2,800
24 Mastoidectomy 6 83.7 $9,400
25 Diagnostic procedures on ear 1 89.3 $3,500
26 Other therapeutic ear proceduresg 21 89.2 $6,400
Operations on the nose, mouth, and pharynx 27 Control of epistaxis 1 69.3 $1,400
28 Plastic procedures on nose 73 93.2 $6,000
29 Dental procedures 5 80.6 $4,800
30 Tonsillectomy and/or adenoidectomy 186 94.9 $3,800
31 Diagnostic procedures on nose, mouth, and pharynx 2 71.5 $4,500
33 Other O.R. therapeutic procedures on nose, mouth, and pharynxh 127 81.9 $5,700
Operations on the respiratory system 37 Diagnostic bronchoscopy and biopsy of bronchus

20 53.5 $3,300
40 Other diagnostic procedures of respiratory tract and mediastinumi 5 26.1 $6,800
42 Other O.R. therapeutic procedures on respiratory systemj 17 36.2 $4,700
Operations on the cardiovascular system 45 Percutaneous coronary angioplasty (PTCA) 20 7.5 $23,300
48 Insertion, revision, replacement, or removal of cardiac pacemaker or cardioverter/defibrillator 18 28.6 $20,200
49 Other O.R. heart proceduresk 11 15.9 $20,100
52 Endovascular repair of aneurysm 1 4.7 $13,200
53 Varicose vein stripping, lower limb 20 96.0 $6,300
57 Creation, revision, and removal of arteriovenous fistula or vessel-to-vessel cannula for dialysis 34 61.6 $7,200
59 Other O.R. procedures on vessels of head and neckl 1 8.6 $9,300
61 Other O.R. procedures on vessels other than the head and neckm 58 32.7 $10,700
62 Other diagnostic cardiovascular proceduresn 5 56.1 $3,100
Operations on the hemic and lymphatic system 67 Other therapeutic procedures, hemic and lymphatic systemo 66 44.6 $6,400
Operations on the digestive system 80 Appendectomy 22 15.8 $9,500
81 Hemorrhoid procedures 32 86.6 $4,200
83 Biopsy of liver 1 9.9 $8,800
84 Cholecystectomy and common duct exploration 152 51.5 $8,100
85 Inguinal and femoral hernia repair 153 89.1 $5,800
86 Other hernia repairp 84 55.9 $6,200
87 Laparoscopy 44 58.9 $6,700
89 Exploratory laparotomy 1 4.3 $8,000
90 Excision, lysis peritoneal adhesions 35 22.3 $8,100
92 Other bowel diagnostic proceduresq 1 16.0 $4,200
94 Other O.R. upper GI therapeutic proceduresr 7 9.4 $10,900
96 Other O.R. lower GI therapeutic proceduress 45 35.2 $3,900
97 Other gastrointestinal diagnostic procedurest 2 20.3 $6,300
99 Other O.R. gastrointestinal therapeutic proceduresu 27 25.9 $6,400
Operations on the urinary system 100 Endoscopy and endoscopic biopsy of the urinary tract 15 76.6 $4,800
101 Transurethral excision, drainage, or removal of a urinary obstruction 77 69.9 $6,300
103 Nephrotomy and nephrostomy 3 17.2 $8,000
106 Genitourinary incontinence procedures 18 32.9 $8,400
109 Procedures on the urethra 19 79.3 $5,000
110 Other diagnostic procedures of urinary tractv 1 44.9 $2,300
112 Other O.R. therapeutic procedures of urinary tractw 9 21.6 $6,100
Operations on the male genital organs 113 Transurethral prostatectomy (TURP) 8 20.4 $7,000
114 Open prostatectomy 1 4.1 $16,500
115 Circumcision 30 6.1 $3,500
116 Diagnostic procedures, male genital 2 87.2 $4,700
118 Other O.R. therapeutic procedures, male genitalx 64 86.0 $5,500
Operations on the female genital organs 119 Oophorectomy, unilateral and bilateral 26 14.7 $9,500
120 Other operations on ovaryy 41 59.5 $7,400
121 Ligation of fallopian tubes 66 40.8 $5,500
122 Removal ectopic pregnancy 4 36.2 $9,100
123 Other operations on fallopian tubesz 10 43.9 $7,900
124 Hysterectomy, abdominal and vaginal 18 8.6 $9,700
125 Other excision of cervix and uterusaa 128 86.8 $5,200
126 Abortion (termination of pregnancy) 18 95.2 $3,700
127 Dilatation and curettage (D&C), aspiration after delivery or abortion 71 82.0 $3,900
128 Diagnostic dilatation and curettage (D&C) 142 93.2 $5,000
129 Repair of cystocele and rectocele, obliteration of vaginal vault 7 14.5 $8,700
130 Other diagnostic procedures female organsbb 30 81.8 $3,700
132 Other O.R. therapeutic procedures, female organscc 54 54.0 $5,100
Obstetrical procedures 141 Other therapeutic obstetrical proceduresdd 6 59.9 $3,700
Operations on the musculoskeletal system 142 Partial excision bone 93 54.5 $7,000
143 Bunionectomy or repair of toe deformities 66 97.1 $5,500
144 Treatment, facial fracture or dislocation 6 41.2 $7,900
145 Treatment, fracture or dislocation of radius and ulna 31 62.2 $6,700
146 Treatment, fracture or dislocation of hip and femur 7 7.7 $6,000
147 Treatment, fracture or dislocation of lower extremity (other than hip or femur) 52 43.2 $6,300
148 Other fracture and dislocation procedureee 54 58.8 $5,700
149 Arthroscopy 97 93.1 $7,000
150 Division of joint capsule, ligament, or cartilage 25 81.9 $6,600
151 Excision of semilunar cartilage of knee 159 97.5 $6,200
152 Arthroplasty knee 78 35.4 $8,700
154 Arthroplasty other than hip or knee 89 82.4 $8,300
157 Amputation of lower extremity 6 11.7 $4,200
158 Spinal fusion 12 10.4 $18,600
159 Other diagnostic procedures on musculoskeletal systemff 15 47.4 $4,300
160 Other therapeutic procedures on muscles and tendonsgg 246 77.5 $5,400
161 Other O.R. therapeutic procedures on bonehh 40 45.3 $8,100
162 Other O.R. therapeutic procedures on jointsii 166 81.6 $6,600
164 Other O.R. therapeutic procedures on musculoskeletal systemjj 13 44.0 $6,300
Operations on the integumentary system 165 Breast biopsy and other diagnostic procedures on breast 13 88.1 $4,500
166 Lumpectomy, quadrantectomy of breast 151 94.7 $4,900
167 Mastectomy 7 22.4 $8,900
169 Debridement of wound, infection, or burn 77 46.7 $1,600
170 Excision of skin lesion 18 83.1 $4,600
172 Skin graft 38 55.8 $4,800
175 Other O.R. therapeutic procedures on skin and breastkk 105 74.6 $6,700
Miscellaneous diagnostic and therapeutic procedures 184 Intraoperative cholangiogram 38 49.7 $8,400
220 Ophthalmologic and otologic diagnosis and treatment 3 92.0 $4,400

Note: Statistics are based on surgery-related procedures only. Additionally, CCS procedure categories present in fewer than 500 ambulatory surgeries are excluded.

a Primarily includes surgeries such as a biopsy on a peripheral nerve or other diagnostic procedures on the spinal cord.
b Primarily includes surgeries such as removal of a peripheral nerve.
c Primarily includes surgeries such as removal of part or all of a duct or parathyroid gland.
d Primarily includes surgeries such as repair of a cut to the eyelid or other therapeutic procedure on the surface of the eyeball or cornea.
e Primarily includes surgeries such as removal of abnormal tissue on the glassy part of the eye.
f Primarily includes surgeries such as an operation on two or more muscles that have detached from the eye.
g Primarily includes surgeries such as removal of damaged tissue on the external part of the ear or removal of a tympanic membrane tube.
h Primarily includes surgeries such as ethmoidectomy, turbinectomy, and the excision of sinus lesions.
i Primarily includes surgeries such as a puncturing the chest wall for immediate drainage of fluid.
j Primarily includes surgeries such as the removal of a lesion or tissue of the larynx.
k Primarily includes surgeries such as removal of heart tissue or repair of atrial septum.
l Primarily includes surgeries such as a cut in or removal of a vessel of the head or neck.
m Primarily includes surgeries such as angioplasty of non-coronary vessels.
n Primarily includes surgeries such as the measurement of the heart's electrical activity, biopsy of the heart, or a biopsy of a blood vessel.
o Primarily includes surgeries such as a biopsy of a lymphatic structure.
p Primarily includes surgeries such as umbilical and abdominal hernia repair.
q Primarily includes surgeries such as endoscopy of large intestine through a particular opening.
r Primarily includes surgeries such as repair of the esophagus function or repair of the stomach, not otherwise specified.
s Primarily includes surgeries such as an incision or removal of an anal fistula.
t Primarily includes surgeries such as a biopsy of the pancreas.
u Primarily includes surgeries such as removal of peritoneal tissue or removal of part of the abdominal wall.
v Primarily includes surgeries such as a kidney biopsy.
w Primarily includes surgeries such as the division of a bladder muscle or an incision in the bladder.
x Primarily includes surgeries such as cutting or fixation of parts of the male genitalia.
y Primarily includes surgeries such as a laproscopic removal of an ovary.
z Primarily includes surgeries such as removal of fallopian tubes or blowing of air into the fallopian tubes.
aa Primarily includes surgeries such as the destruction of uterine lesions and endometrial ablation.
bb Primarily includes surgeries such as a biopsy of the uterus or hysteroscopy of the uterus.
cc Primarily includes surgeries such as cutting of the female genitalia.
dd Primarily includes surgeries such as a repair of the cervix.
ee Primarily includes surgeries such as closed reduction of dislocation or open reduction of fracture.
ff Primarily includes surgeries such as bone or soft tissue biopsy.
gg Primarily includes surgeries such as rotator cuff repair, exploratory surgery on the hand, and the excision of tendon and soft tissue lesions.
hh Primarily includes surgeries such as repair or plastic operations on bone or complete removal of a bone (excluding amputation).
ii Primarily includes surgeries such as the destruction of knee and shoulder lesions and the removal of inflamed joint tissue from the knee.
jj Primarily includes surgeries such as an injection into a joint.
kk Primarily includes surgeries such as breast reductions, skin removal, breast implants, and the excision of cysts and abscesses.

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AHRQ Publication No. 07-0007
Current as of January 2007

 

The information on this page is archived and provided for reference purposes only.

 

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