NOVO Health Bundled Procedures
Orthopedic, Spine & Podiatric
Primary CPT — Procedure Description
20670 — Removal of Support Implant – Superficial
20680 — Removal of Support Implant – Deep
22551 — Cervical Fusion – 1 Level
22552 — Cervical Fusion – 2 Level
22554 — Cervical Fusion – 1 Level
22612 — Lumbar Fusion – 1 Level
22630 — Lumbar Fusion – 1 Level
22633 — Lumbar Fusion – 1 Level
22856 — Disc Arthroplasty
22857 — Disc Arthoplasty
23410 — Rotator Cuff Repair
23412 — Rotator Cuff Repair
23430 — Shoulder Biceps Tendon Repair
23470 — Partial Shoulder Replacement
23472 — Total Shoulder Replacement
23700 — Manipulation of Shoulder Joint
24340 — Elbow Biceps Tendon Repair
24359 — Elbow Tenotomy (Tennis Elbow)
26055 — Trigger Finger Release
27096 — SI Joint Injection – Unilateral
27130 — Total Hip Replacement
27132 — Total Hip Replacement-Conversion
27340 — Removal of Kneecap Bursa
27345 — Removal of Knee Cyst
27446 — Partial Knee Replacement
27447 — Total Knee Replacement
27486 — Total Knee Replacement – Revision
27487 — Total Knee Replacement – Revision
27570 — Manipulation of Knee Joint
27650 — Achilles Repair
27654 — Achilles Repair
27702 — Total Ankle Replacement
27870 — Ankle Fusion
28285 — Hammertoe
28289 — Cheilectomy/Hallux Rigidus
28296 — Bunionectomy
28297 — Bunionectomy
28298 — Bunionectomy
28299 — Bunionectomy
28750 — Toe Joint Fusion
29806 — Shoulder Arthroscopy – Capsulorrhaphy
29807 — Shoulder Arthroscopy – SLAP Repair
29822 — Shoulder Arthroscopy – Debridement
Primary CPT — Procedure Description
29823 — Shoulder Arthroscopy – Debridement
29824 — Shoulder Arthroscopy – Distal Clavicle Resection
29827 — Rotator Cuff Repair
29862 — Hip Arthroscopy / Shaving
29870 — Diagnostic Knee Scope
29873 — Knee Arthroscopy – w/ Lateral Release
29874 — Knee Arthroscopy – Removal Foreign Body
29875 — Knee Arthroscopy – Synovectomy
29876 — Knee Arthroscopy – Synovectomy
29877 — Knee Arthroscopy – Debridement; Shaving
29879 — Knee Arthroscopy – Abrasive Arthroplasty
29880 — Knee Arthroscopy – Meniscectomy Medial and Lateral
29881 — Knee Arthroscopy – Meniscectomy Medial or Lateral
29882 — Knee arthroscopy – Meniscus Repair Medial OR Lateral
29884 — Knee Arthroscopy – Lysis of Adhesions
29888 — ACL Repair
29889 — PCL Repair
62321 — Epidural Injection – Cervical
62323 — Epidural Injection – Epidural
63020 — Discectomy
63030 — Discectomy
63042 — Laminotomy / Laminectomy
63045 — Nerve Root Decompression
63047 — Laminotomy / Laminectomy
63056 — Nerve Root Decompression
63075 — Nerve Root Decompression
63650 — Stimulator Trial
63685 — Stimulator Implant
64479 — Epidural Injection – Cervical / Thoracic Transforaminal – 1 Level
64480 — Epidural Injection – Cervical / Thoracic Transforaminal – 2 Level
64483 — Epidural Injection – Lumbar Transforaminal – 1 Level
64484 — Epidural Injection – Lumbar Transforaminal – 2 Level
64490 — Facet Injection – Cervical -1 Level
64491 — Facet Injection – Cervical – 2 Level
64493 — Facet Injection – Lumbar -1 Level
64494 — Facet Injection – Lumbar – 2 Level
64718 — Ulnar Nerve Transposition
64721 — Carpal Tunnel Release
22558-59 — Anterior/Posterior Lumbar Fusion – 1 Level
23472-59 — Total Shoulder Replacement – Reverse
27096-50 — SI Joint Injection – Bilateral
Plastic Surgery
Primary CPT — Procedure Description
11970 — Breast Cancer Reconstruction, Stage 2: Unilateral
19350 — Breast Cancer Reconstruction, Stage 3: Unilateral
19380 — Breast Cancer Reconstruction, Stage 4: Unilateral
11970-50 — Breast Cancer Reconstruction, Stage 2: Bilateral
15822-50 — Blepharoplasty-Upper eyelids (Bilateral)
19318-50 — Breast Reduction-Bilateral including Liposuction
19350-50 — Breast Cancer Reconstruction, Stage 3: Bilateral
19380-50 — Breast Cancer Reconstruction, Stage 4: Bilateral
Women's Care
Primary CPT — Procedure Description
58570 — Laparoscopic Hysterectomy
58571 — Laparoscopic Hysterectomy
58573 — Laparoscopic Hysterectomy
58662 — Laparoscopic Excision of Endometriosis/Treatment of Ovary
58570-59 — Laparoscopic Hysterectomy w/ Burch
58571-59 — Laparoscopic Hysterectomy w/ Burch
58573-59 — Laparoscopic Hysterectomy w/ Burch
Cardiac Care
Primary CPT — Cardiology
93000 — EKG
93015 — Treadmill (Stress Test)
93224 — Holter Monitor
93228 — Mobile Cardiac Telemtry Monitoring
93268 — Event Monitor
93306 — Echocardiogram
93880 — Carotid Artery Ultrasound