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Medical Condition
Hematology / Blood Disorders
Hematology / Blood Disorders ICD-10: T80.89

Transfusion-Associated Circulatory Overload (TACO)

Acute respiratory distress following transfusion due to volume overload.

Medical Disclaimer
This condition guide is intended for educational and informational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider regarding any symptoms or medical conditions.

Clinical Assessment & Protocol

Typical Presentation (HPI)

EN: Patient developed dyspnea and hypertension shortly after receiving red cell transfusion. AR: أصيب المريض بضيق تنفس وارتفاع ضغط الدم بعد فترة وجيزة من تلقي نقل كريات الدم الحمراء.

General Examination

EN: Crackles on lung auscultation, jugular venous distension, and peripheral edema. AR: خراخر عند فحص الرئتين، انتفاخ الوريد الوداجي، ووذمة محيطية.

Treatment Protocol

EN: Diuretics and oxygen support. AR: مدرات البول ودعم الأكسجين.

Patient Education

EN: Future transfusions must be administered slowly with diuretic coverage. AR: يجب أن تتم عمليات نقل الدم المستقبلية ببطء مع تغطية بمدرات البول.

Systemic & Specialized Examinations

Cardiovascular

EN: S1, S2 present. No murmurs. AR: صوتا القلب الأول والثاني طبيعيان. لا توجد نفخات.

Respiratory

EN: Lungs clear to auscultation. AR: الرئتان صافيتان عند التسمع.

Gastrointestinal

EN: Abdomen soft, non-tender. AR: البطن لين ولا يوجد ألم.

Neurological

EN: Alert, oriented x3. No focal deficits. AR: المريض واعي ومدرك. لا يوجد عجز عصبي بؤري.

Dermatological

EN: Unremarkable or not routinely indicated. AR: طبيعي أو غير مطلوب روتينياً.

Psychiatric

EN: Unremarkable or not routinely indicated. AR: طبيعي أو غير مطلوب روتينياً.

OB/GYN

EN: Unremarkable or not routinely indicated. AR: طبيعي أو غير مطلوب روتينياً.

Ophthalmic

EN: Unremarkable or not routinely indicated. AR: طبيعي أو غير مطلوب روتينياً.

Dental

EN: Unremarkable or not routinely indicated. AR: طبيعي أو غير مطلوب روتينياً.

Orthopedic & Trauma Assessments

Range of Motion

EN: Unremarkable or not routinely indicated. AR: طبيعي أو غير مطلوب روتينياً.

Local Examination

EN: Unremarkable or not routinely indicated. AR: طبيعي أو غير مطلوب روتينياً.

Comprehensive Clinical Guide: Transfusion-Associated Circulatory Overload (TACO)

Transfusion-Associated Circulatory Overload (TACO) represents one of the most significant yet frequently underdiagnosed complications of blood component therapy. As a leading cause of transfusion-related morbidity and mortality, TACO necessitates a sophisticated understanding of fluid management, cardiovascular reserve, and the physiological impact of intravenous volume expansion.

This guide serves as an authoritative clinical reference for clinicians, transfusion medicine specialists, and nursing staff involved in the administration of blood products.


1. Introduction and Clinical Overview

TACO is defined as a transfusion reaction characterized by acute respiratory distress, hypertension, and evidence of cardiovascular system overload occurring within six hours of the transfusion of blood products. Unlike Transfusion-Related Acute Lung Injury (TRALI), which is primarily an immune-mediated inflammatory process, TACO is a hydrostatic phenomenon driven by the patient’s inability to accommodate the volume or rate of the transfused product.

The Clinical Significance

  • Prevalence: TACO is the second most common cause of transfusion-related death reported to the FDA.
  • Risk Groups: Patients with pre-existing congestive heart failure (CHF), chronic kidney disease (CKD), and advanced age are at highest risk.
  • Impact: It leads to prolonged hospital stays, increased risk of mechanical ventilation, and significant strain on cardiac output.

2. Pathophysiology and Technical Mechanisms

The pathophysiology of TACO is rooted in the disruption of Starling’s forces within the pulmonary capillary bed. When the rate or volume of transfusion exceeds the patient's cardiovascular capacity, the following cascade occurs:

The Mechanism of Overload

  1. Volume Expansion: Rapid infusion increases intravascular hydrostatic pressure.
  2. Left Ventricular (LV) Dysfunction: Patients with limited LV reserve cannot effectively pump the additional volume (preload).
  3. Hydrostatic Pressure Rise: Increased left atrial pressure is transmitted to the pulmonary capillaries.
  4. Pulmonary Edema: Once the hydrostatic pressure exceeds the oncotic pressure of the plasma, fluid transudates into the pulmonary interstitium and alveolar spaces.

Key Physiological Contributors

  • Fluid Accumulation: The "third-space" fluid shifts common in surgical patients often mobilize back into the intravascular compartment, compounding the volume added by the transfusion.
  • Rate of Infusion: A rapid bolus of even a small volume (e.g., 250mL) in a compromised patient can trigger acute decompensation.

3. Clinical Staging and Grading

The International Society of Blood Transfusion (ISBT) and the National Healthcare Safety Network (NHSN) provide criteria for the diagnosis of TACO. Clinical presentation is graded based on the severity of respiratory distress and the requirement for ventilatory support.

Diagnostic Criteria (Must meet 3 or more)

Criterion Description
Acute Respiratory Distress Dyspnea, tachypnea, or oxygen saturation <90%.
Evidence of Cardiovascular System Overload Hypertension (often >150/90), tachycardia, or widened pulse pressure.
Evidence of Pulmonary Edema Radiographic evidence or clinical signs (crackles, S3 gallop).
Evidence of Cardiovascular System Failure Elevated BNP or evidence of LV dysfunction on echocardiogram.
Fluid Balance Positive fluid balance at the time of the reaction.

4. Differential Diagnosis: TACO vs. TRALI

Distinguishing TACO from TRALI is the most critical diagnostic challenge in transfusion medicine.

Feature TACO TRALI
Pathophysiology Hydrostatic (Volume Overload) Inflammatory (Immune-mediated)
Blood Pressure Hypertension Hypotension (common)
BNP Levels Markedly Elevated Normal or Low
Response to Diuretics Rapid Improvement Little to no effect
Fluid Balance Positive Variable
Chest X-ray Cardiomegaly/Pulmonary Edema Bilateral infiltrates (non-cardiogenic)

5. Diagnostic Testing and Clinical Assessment

To confirm a diagnosis of TACO, a multi-modal approach is required.

Key Laboratory and Imaging Markers

  • Brain Natriuretic Peptide (BNP) / NT-proBNP: These are the gold standards. A significant increase from baseline levels is highly suggestive of TACO.
  • Chest Radiography (CXR): Look for pulmonary edema, cardiomegaly, and pleural effusions.
  • Echocardiography: Essential to evaluate left ventricular ejection fraction (LVEF) and assess for diastolic dysfunction.
  • Fluid Intake/Output (I/O) Records: A review of the 24-hour fluid balance is mandatory for retrospective diagnosis.

6. Management and Treatment Protocols

Once TACO is suspected, the transfusion must be stopped immediately.

  1. Stop Transfusion: Discontinue the blood component immediately.
  2. Positioning: Place the patient in an upright (high-Fowler’s) position to reduce venous return.
  3. Diuresis: Administer intravenous loop diuretics (e.g., Furosemide). This is the definitive treatment.
  4. Oxygen Support: Provide supplemental oxygen; escalate to non-invasive ventilation (BiPAP) if necessary to improve gas exchange.
  5. Monitoring: Continuous pulse oximetry, blood pressure monitoring, and frequent auscultation of the lungs.

7. Risks, Contraindications, and Prevention

Prevention is the most effective strategy for managing TACO.

Risk Mitigation Strategies

  • Slow Infusion Rates: Limit the rate of transfusion to 1 mL/kg/hour in patients at risk.
  • Volume Restriction: Consider splitting units (e.g., ordering 150mL aliquots of RBCs) to prevent unnecessary volume administration.
  • Prophylactic Diuretics: Administering a low-dose diuretic between units of blood in patients with known CHF.
  • Weight-Based Dosing: Carefully calculate volume requirements based on patient body weight and cardiac history.

8. Massive FAQ Section: Frequently Asked Questions

1. Is TACO considered an allergic reaction?

No. TACO is a physical, hydrostatic overload of the cardiovascular system. It does not involve the immune system in the way that anaphylaxis or TRALI does.

2. Can TACO occur after the transfusion is finished?

Yes. Clinical symptoms may manifest up to six hours post-transfusion.

3. What is the role of BNP in diagnosing TACO?

BNP is released by the heart in response to ventricular stretch. Elevated BNP is a highly sensitive marker for volume overload and is the primary tool for differentiating TACO from TRALI.

4. Should I always give diuretics before a transfusion?

Not necessarily. Routine use of diuretics is not recommended unless the patient has a known history of heart failure or is deemed high-risk by the attending physician.

5. How much fluid is "too much" for a patient?

There is no universal volume. "Too much" is relative to the patient's cardiac reserve. A small volume in an elderly patient with severe diastolic dysfunction may trigger TACO, whereas a healthy adult may tolerate several units without issue.

6. Does TACO cause fever?

No. Fever is typically associated with Febrile Non-Hemolytic Transfusion Reactions (FNHTR) or septic reactions. If a fever is present, clinicians should investigate other causes.

7. Is TACO fatal?

While often manageable, severe TACO can lead to respiratory failure, multi-organ failure, and death, particularly in the frail elderly population.

8. What is the most effective way to prevent TACO in chronic anemia patients?

For patients with chronic anemia, slower infusion rates and the use of diuretics are standard practice to prevent the sudden expansion of plasma volume.

9. Can TACO be prevented by using washed red blood cells?

No. Washing red blood cells removes plasma proteins but does not reduce the volume of the product. The volume is the primary driver of TACO.

10. Does a negative CXR rule out TACO?

Not entirely. While radiographic signs are common, early-stage TACO may present with clinical symptoms (dyspnea, hypertension) before overt pulmonary edema is visible on an X-ray.


9. Long-Term Prognosis and Monitoring

The long-term prognosis for patients who experience TACO is generally favorable provided the episode is recognized early. However, the occurrence of TACO serves as a clinical "red flag" indicating that the patient has limited cardiovascular reserve.

Recommendations for Future Care

  • Transfusion Planning: Future transfusions should be handled with extreme caution, utilizing reduced rates and potential prophylactic diuresis.
  • Cardiology Referral: Patients who experience TACO should undergo a formal cardiac evaluation to optimize the management of underlying heart failure or valvular disease.
  • Documentation: Ensure the reaction is documented in the electronic health record (EHR) to alert future medical teams of the patient's volume sensitivity.

Disclaimer: This guide is intended for educational purposes for healthcare professionals. Clinical decisions should always be made based on the individual patient’s condition, institutional protocols, and current medical guidelines. Always consult with a Hematology or Transfusion Medicine specialist when managing complex transfusion reactions.

Treatment & Management Options

Medical Procedures / Surgeries

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AC Joint Reconstruction
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Surgery / Invasive
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Surgery / Invasive
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Custom Orthosis Fitting (Spine/Limb)
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DBE - Total enteroscopy
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Diagnostic Intervention
Darrach Procedure (for Tumor)
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Surgery / Invasive
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Surgery / Invasive
Defibrillation
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Dental Crown Preparation and Cementation
Physical / Respiratory Therapy
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Surgery / Invasive
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Surgery / Invasive
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Diaphyseal Intercalary Resection of Tibia
Surgery / Invasive
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Surgery / Invasive
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Discography (Cervical/Lumbar)
Diagnostic Intervention
Distal Biceps Tendon Repair
Surgery / Invasive
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Surgery / Invasive
Distal Femoral Osteotomy for Genu Valgum (Knock-Knee)
Surgery / Invasive
Distal Fibulectomy (Tumor Resection)
Surgery / Invasive
Distal Radioulnar Joint (DRUJ) Arthroplasty (Sauve-Kapandji)
Surgery / Invasive
Distal Radius Resection with Fibular Autograft Reconstruction
Surgery / Invasive
Distraction Osteogenesis (Mandible)
Surgery / Invasive
Double Valve Replacement (AVR + MVR)
Surgery / Invasive
Double-Balloon Enteroscopy (DBE) - Antegrade
Diagnostic Intervention
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Diagnostic Intervention
Double-J (DJ) Stent Insertion
Surgery / Invasive
Double-J Stent Removal
Surgery / Invasive
Dupuytren's Fasciectomy
Surgery / Invasive
ECMO - Veno-Arterial (VA-ECMO)
Other Procedure
ECMO - Veno-Venous (VV-ECMO)
Other Procedure
ECMO Cannulation
Surgery / Invasive
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Surgery / Invasive
ERCP - Ampullectomy (Endoscopic papillectomy)
Surgery / Invasive
ERCP - Bilateral Hilar Stenting (Stent-in-Stent)
Surgery / Invasive
ERCP - Biliary Sphincterotomy
Surgery / Invasive
ERCP - Biliary Stent Placement (Fully covered SEMS)
Surgery / Invasive
ERCP - Biliary Stent Placement (Plastic 5-12Fr)
Surgery / Invasive
ERCP - Biliary Stent Placement (Uncovered SEMS)
Surgery / Invasive
ERCP - Biliary Stone Extraction (Balloon/Basket)
Surgery / Invasive
ERCP - Cholangioscopy (SpyGlass) Guided Biopsy
Diagnostic Intervention
ERCP - Cyst Duct Stenting (Mirizzi syndrome)
Surgery / Invasive
ERCP - Electrohydraulic Lithotripsy (EHL)
Surgery / Invasive
ERCP - Extracorporeal Shock Wave Lithotripsy (ESWL)
Surgery / Invasive
ERCP - Laser Lithotripsy
Surgery / Invasive
ERCP - Mechanical Lithotripsy
Surgery / Invasive
ERCP - Minor Papilla Cannulation
Diagnostic Intervention
ERCP - Minor Papilla Sphincterotomy
Surgery / Invasive
ERCP - Pancreatic Sphincterotomy
Surgery / Invasive
ERCP - Pancreatic Stent Placement
Surgery / Invasive
ERCP - Pancreatic Stone Extraction
Surgery / Invasive
ESD - Colon
Surgery / Invasive
ESD - Rectum
Surgery / Invasive
ESD - Stomach (Antrum)
Surgery / Invasive
ESD - Stomach (Body/ Fundus)
Surgery / Invasive
EUS - Biliary Drainage (EUS-BD) - Antegrade stenting
Surgery / Invasive
EUS - Biliary Drainage (EUS-BD) - Choledochoduodenostomy
Surgery / Invasive
EUS - Biliary Drainage (EUS-BD) - Hepaticogastrostomy
Surgery / Invasive
EUS - Celiac Plexus Block (CPB) with steroids
Surgery / Invasive
EUS - Celiac Plexus Neurolysis (CPN)
Surgery / Invasive
EUS - Cystogastrostomy (Lumen-apposing metal stent)
Surgery / Invasive
EUS - Cystogastrostomy (Plastic stent double pigtail)
Surgery / Invasive
EUS - FNA of Left Adrenal Gland
Diagnostic Intervention
EUS - FNA of Mediastinal Lymph Nodes
Diagnostic Intervention
EUS - Fine Needle Aspiration (FNA) of Pancreas
Diagnostic Intervention
EUS - Fine Needle Biopsy (FNB) of Pancreas
Diagnostic Intervention
EUS - Fine Needle Injection (FNI) of Pancreatic Cysts
Surgery / Invasive
EUS - Gallbladder Drainage (EUS-GBD)
Surgery / Invasive
EUS - Gastric Varices Coil Embolization
Surgery / Invasive
EUS - Pancreatic Duct Drainage (EUS-PD)
Surgery / Invasive
EUS - Portal Pressure Gradient Measurement
Diagnostic Intervention
EUS - Staging of Esophageal Cancer (EUS-TNM)
Diagnostic Intervention
EUS - Staging of Gastric Cancer
Diagnostic Intervention
EUS - Staging of Pancreatic Cancer (Resectability)
Diagnostic Intervention
EUS - Staging of Rectal Cancer
Diagnostic Intervention
EUS-Celiac Plexus Neurolysis (CPN)
Surgery / Invasive
EUS-guided Biliary Drainage (EUS-BD)
Surgery / Invasive
EUS-guided Cystogastrostomy (LAMS)
Surgery / Invasive
EUS-guided Gallbladder Drainage (EUS-GBD)
Surgery / Invasive
EUS-guided Gallbladder Drainage (LAMS)
Surgery / Invasive
EUS-guided Rendezvous ERCP (Failed papilla cannulation)
Surgery / Invasive
EVAC - Esophageal perforation
Surgery / Invasive
EVAR (Endovascular AAA Repair)
Surgery / Invasive
Elbow Arthroscopy (Diagnostic/Debridement)
Surgery / Invasive
Electroencephalogram (EEG) - Routine
Diagnostic Intervention
Electromyography (EMG)
Diagnostic Intervention
Electrophysiology Study (EPS)
Diagnostic Intervention
En Bloc Spondylectomy
Surgery / Invasive
En-Bloc Capsulectomy
Surgery / Invasive
Endobronchial Ultrasound (EBUS-TBNA)
Diagnostic Intervention
Endobronchial Valve Placement (Zephyr/Spiration)
Surgery / Invasive
Endometrial Ablation
Surgery / Invasive
Endomyocardial Biopsy
Diagnostic Intervention
Endoscopic Balloon Dilation (Through-the-scope)
Surgery / Invasive
Endoscopic Balloon Dilation (Wire-guided bougie)
Surgery / Invasive
Endoscopic Brow Lift
Surgery / Invasive
Endoscopic Full-Thickness Resection (EFTR)
Surgery / Invasive
Endoscopic Fundoplication (GERD-X)
Surgery / Invasive
Endoscopic Hemostasis - APC (Argon Plasma)
Surgery / Invasive
Endoscopic Hemostasis - Band Ligation (Varices)
Surgery / Invasive
Endoscopic Hemostasis - Clipping (Through-scope)
Surgery / Invasive
Endoscopic Hemostasis - Combination therapy (Epinephrine + Clip)
Surgery / Invasive
Endoscopic Hemostasis - Epinephrine injection
Surgery / Invasive
Endoscopic Hemostasis - Hemospray (TC-325)
Surgery / Invasive
Endoscopic Hemostasis - Hemostatic Forceps (Coagrasper)
Surgery / Invasive
Endoscopic Hemostasis - Over-the-scope Clip (OTSC)
Surgery / Invasive
Endoscopic Hemostasis - Sclerotherapy (EVS)
Surgery / Invasive
Endoscopic Mucosal Resection (EMR) - Piecemeal
Surgery / Invasive
Endoscopic Mucosal Resection (EMR) - Standard snare
Surgery / Invasive
Endoscopic Pyloromyotomy (G-POEM) - Diabetic GP
Surgery / Invasive
Endoscopic Pyloromyotomy - Post-surgical GP
Surgery / Invasive
Endoscopic Retrograde Cholangiopancreatography (ERCP) - Diagnostic
Diagnostic Intervention
Endoscopic Revision - Gastric Band (Slippage)
Surgery / Invasive
Endoscopic Revision - Gastric Bypass (Pouch dilation)
Surgery / Invasive
Endoscopic Revision of Bariatric Surgery (Roux-en-Y)
Surgery / Invasive
Endoscopic Sleeve Gastroplasty (ESG)
Surgery / Invasive
Endoscopic Sleeve Gastroplasty with Pyloric sparing
Surgery / Invasive
Endoscopic Stent Placement (Colon - Through scope)
Surgery / Invasive
Endoscopic Stent Placement (Colon)
Surgery / Invasive
Endoscopic Stent Placement (Duodenum)
Surgery / Invasive
Endoscopic Stent Placement (Esophagus - Fully covered)
Surgery / Invasive
Endoscopic Stent Placement (Esophagus - Partially covered)
Surgery / Invasive
Endoscopic Stent Placement (Esophagus)
Surgery / Invasive
Endoscopic Stricturotomy (IT-knife)
Surgery / Invasive
Endoscopic Stricturotomy (Needle-knife)
Surgery / Invasive
Endoscopic Submucosal Dissection (ESD) - Esophagus
Surgery / Invasive
Endoscopic Submucosal Dissection (ESD) - Gastric
Surgery / Invasive
Endoscopic Vacuum Therapy (EVAC)
Surgery / Invasive
Endoscopic Vacuum Therapy (EVAC) - Anastomotic leak
Surgery / Invasive
Endotracheal Intubation
Surgery / Invasive
Endovascular Mechanical Thrombectomy
Surgery / Invasive
Enhanced External Counterpulsation (EECP)
Other Procedure
Epicardial VT Ablation
Surgery / Invasive
Epicondyle Injection (Elbow - Steroid)
Injection / Infusion
Epididymectomy
Surgery / Invasive
Epidural Steroid Injection (ESI - Cervical)
Injection / Infusion
Epidural Steroid Injection (ESI - Lumbar)
Injection / Infusion
Event Monitor Placement
Other Procedure
Evoked Potentials (VEP, BAER, SSEP)
Diagnostic Intervention
Excision of Benign Oral Tumor/Cyst
Surgery / Invasive
Excision of Lipoma/Small Soft Tissue Mass
Surgery / Invasive
Excision of Morton's Neuroma
Surgery / Invasive
Excision of Osteochondroma (Exostosectomy)
Surgery / Invasive
Excision of Osteoid Osteoma (Talus/Calcaneus)
Surgery / Invasive
Excision of Subungual Glomus Tumor
Surgery / Invasive
Extensive Open Synovectomy (Knee/Hip)
Surgery / Invasive
Extensor Tendon Repair (Hand)
Surgery / Invasive
External Fixation Application (Lower Extremity)
Surgery / Invasive
External Fixation Application (Upper Extremity)
Surgery / Invasive
External Ventricular Drain (EVD) Insertion
Surgery / Invasive
Extracorporeal CPR (eCPR) Cannulation
Surgery / Invasive
Extracorporeal Cytokine Adsorption (CytoSorb)
Physical / Respiratory Therapy
Extracorporeal Irradiation and Reimplantation (ECI)
Surgery / Invasive
Extracorporeal Shock Wave Lithotripsy (ESWL)
Surgery / Invasive
Extracorporeal Shock Wave Lithotripsy (ESWL) Medical Management
Physical / Respiratory Therapy
Extracranial-Intracranial (EC-IC) Bypass
Surgery / Invasive
FTM Top Surgery: Double Incision
Surgery / Invasive
FTM Top Surgery: Periareolar/Keyhole
Surgery / Invasive
Facet Joint Injection (Cervical/Lumbar - Diagnostic/Therapeutic)
Injection / Infusion
Facet Joint Injection (Cervical/Lumbar)
Injection / Infusion
Facial Feminization: Frontal Sinus Setback
Surgery / Invasive
Facial Feminization: Mandibular Angle Reduction
Surgery / Invasive
Fat Grafting (Autologous Fat Transfer)
Surgery / Invasive
Femoral Derotational Osteotomy
Surgery / Invasive
Femoral Osteotomy for DDH
Surgery / Invasive
Fibula Free Flap
Surgery / Invasive
Fibular Free Flap
Surgery / Invasive
Fibular Shaft Resection (En Bloc)
Surgery / Invasive
Finger Joint Arthroplasty (MCP/PIP)
Surgery / Invasive
Flatfoot Reconstruction (Adult Acquired)
Surgery / Invasive
Flexible Bronchoscopy (Diagnostic)
Diagnostic Intervention
Flexor Tendon Repair
Surgery / Invasive
Flexor Tendon Repair (Hand)
Surgery / Invasive
Fluid balance monitoring
Other Procedure
Fluid management during hemodialysis
Other Procedure
Fluid resuscitation
Other Procedure
Foraminotomy (Cervical)
Surgery / Invasive
Foraminotomy (Lumbar)
Surgery / Invasive
Foreign Body Removal (Superficial)
Surgery / Invasive
Forequarter Amputation
Surgery / Invasive
Fractional Excretion Indices Calculation (FeNa, FeUrea)
Diagnostic Intervention
Fractional Flow Reserve (FFR)
Diagnostic Intervention
Frozen Elephant Trunk Procedure
Surgery / Invasive
Full-Thickness Skin Graft (FTSG)
Surgery / Invasive
Ganglion Cyst Aspiration
Injection / Infusion
Ganglion Cyst Excision
Surgery / Invasive
Ganglion Cyst Excision (Endoscopic)
Surgery / Invasive
Ganglion Cyst Excision (Open/Arthroscopic)
Surgery / Invasive
Gastric POEM (G-POEM) for Gastroparesis
Surgery / Invasive
Gastric Peroral Endoscopic Pyloromyotomy (G-POEM)
Surgery / Invasive
Gastrostomy Tube (G-Tube) Placement
Surgery / Invasive
Gingivectomy / Crown Lengthening
Surgery / Invasive
Gluteal Augmentation (BBL)
Surgery / Invasive
Gluteus Medius Repair
Surgery / Invasive
Gracilis Muscle Free Flap
Surgery / Invasive
Gynecomastia Excision
Surgery / Invasive
Hammertoe/Clawtoe Correction
Surgery / Invasive
Heart Rate Variability (HRV) Analysis
Diagnostic Intervention
Heart Transplant
Surgery / Invasive
Heart Transplant - Heterotopic (Piggyback)
Surgery / Invasive
Heart Transplant - Orthotopic
Surgery / Invasive
Heart Valve Replacement - Bioprosthetic Aortic
Surgery / Invasive
Heart Valve Replacement - Bioprosthetic Mitral
Surgery / Invasive
Heart Valve Replacement - Mechanical Aortic
Surgery / Invasive
Heart Valve Replacement - Mechanical Mitral
Surgery / Invasive
Heart-Lung Transplant
Surgery / Invasive
Hemiarthroplasty (Hip)
Surgery / Invasive
Hemiarthroplasty (Shoulder)
Surgery / Invasive
Hemicortical Resection (Surface Osteosarcoma)
Surgery / Invasive
Hemiepiphysiodesis (Guided Growth)
Surgery / Invasive
Hemodialysis
Other Procedure
Hemodialysis Catheter (Permcath) Insertion
Surgery / Invasive
Hemoperfusion (Charcoal/Resin Cartridge)
Physical / Respiratory Therapy
Hemorrhoidectomy (Excisional)
Surgery / Invasive
High Tibial Osteotomy (HTO)
Surgery / Invasive
High-Risk PCI (Impella Support)
Surgery / Invasive
Hip Arthroscopy (Diagnostic/Debridement)
Surgery / Invasive
Hip Disarticulation
Surgery / Invasive
Hip Resurfacing Arthroplasty
Surgery / Invasive
Holmium Laser Enucleation of Prostate (HoLEP)
Surgery / Invasive
Holter Monitor Placement
Other Procedure
Hybrid AF Ablation
Surgery / Invasive
Hydrocelectomy
Surgery / Invasive
Hysteroscopy
Diagnostic Intervention
IABP Insertion
Surgery / Invasive
ICD - Dual Chamber
Surgery / Invasive
ICD - Single Chamber
Surgery / Invasive
IUD (Intrauterine Device) Insertion/Removal
Surgery / Invasive
Ileal Conduit Urinary Diversion
Surgery / Invasive
Iliopsoas Release
Surgery / Invasive
Impella (LV Support Device) Insertion
Other Procedure
Impella 5.5 Surgical Insertion
Surgery / Invasive
Impella Insertion
Surgery / Invasive
Implantable Cardioverter Defibrillator (ICD) - Single Chamber
Surgery / Invasive
In Situ Pinning for Slipped Capital Femoral Epiphysis (SCFE)
Surgery / Invasive
Incision and Drainage (Abscess)
Surgery / Invasive
Incision and Drainage of Fascial Space Infection
Surgery / Invasive
Incisional Biopsy of Oral Mucosa
Surgery / Invasive
Instantaneous Wave-Free Ratio (iFR)
Diagnostic Intervention
Intercalary Allograft/Prosthesis Reconstruction
Surgery / Invasive
Intermittent Hemodialysis Prescription & Initiation
Physical / Respiratory Therapy
Internal Hemipelvectomy
Surgery / Invasive
Intra-Aortic Balloon Pump (IABP) Insertion
Other Procedure
Intra-articular Corticosteroid Injection
Injection / Infusion
Intra-articular Hip Injection (Corticosteroid - often US/Fluoro guided)
Injection / Infusion
Intra-articular Hip Injection (Steroid)
Injection / Infusion
Intra-articular Knee Injection (Corticosteroid)
Injection / Infusion
Intra-articular Knee Injection (Hyaluronic Acid/Viscosupplementation)
Injection / Infusion
Intra-articular Knee Injection (PRP - Platelet-Rich Plasma)
Injection / Infusion
Intra-articular Knee Injection (Steroid)
Injection / Infusion
Intra-articular Shoulder Injection (Corticosteroid)
Injection / Infusion
Intra-articular Shoulder Injection (Steroid)
Injection / Infusion
Intracardiac Echocardiography (ICE)
Diagnostic Intervention
Intracavernosal Injection Therapy (ICI)
Injection / Infusion
Intragastric Balloon (Obalon - Gas-filled)
Surgery / Invasive
Intragastric Balloon (Orbera 6 months)
Surgery / Invasive
Intragastric Balloon (Spatz - Adjustable)
Surgery / Invasive
Intragastric Balloon Placement
Surgery / Invasive
Intralesional Collagenase Injection (Xiaflex)
Injection / Infusion
Intralesional Curettage and Bone Grafting
Surgery / Invasive
Intramedullary Nailing (Femoral Shaft Fracture)
Surgery / Invasive
Intramedullary Nailing (Femoral Shaft)
Surgery / Invasive
Intramedullary Nailing (Fibular Shaft)
Surgery / Invasive
Intramedullary Nailing (Humeral Shaft Fracture)
Surgery / Invasive
Intramedullary Nailing (Humeral Shaft)
Surgery / Invasive
Intramedullary Nailing (Tibial Shaft Fracture)
Surgery / Invasive
Intramedullary Nailing - Tibial Shaft Fracture
Surgery / Invasive
Intraoperative Neuromonitoring (IONM)
Other Procedure
Intrathecal Baclofen Pump Implantation
Surgery / Invasive
Intravascular Lithotripsy
Surgery / Invasive
Intravascular Lithotripsy (IVL)
Surgery / Invasive
Intravascular Lithotripsy (IVL) of Coronary Artery
Surgery / Invasive
Intravascular Ultrasound (IVUS)
Diagnostic Intervention
Intravenous Etelcalcetide (Parsabiv) Administration
Injection / Infusion
Intravenous Iron Replacement Protocol (Ferric Carboxymaltose)
Injection / Infusion
Intravenous Rituximab Infusion Protocol for Glomerular Disease
Injection / Infusion
Intravesical BCG Instillation
Physical / Respiratory Therapy
Intravesical Botox Injection
Surgery / Invasive
Intravitreal Anti-VEGF Injection (Lucentis/Eylea/Avastin)
Surgery / Invasive
Intussusception Reduction (Air Enema)
Surgery / Invasive
Isolated Limb Perfusion (ILP)
Surgery / Invasive
K-wire Removal (Superficial)
Surgery / Invasive
Kasai Procedure (Hepatoportoenterostomy)
Surgery / Invasive
Kidney Function Tests
Other Procedure
Kidney function tests (e.g., serum creatinine, BUN, urinalysis)
Other Procedure
Kienbock's Disease Treatment (e.g., Radial Shortening Osteotomy)
Surgery / Invasive
Kienbock's Disease Treatment (e.g., Radial Shortening)
Surgery / Invasive
Knee Arthroscopy & Partial Meniscectomy
Surgery / Invasive
Knee Arthroscopy (Diagnostic)
Surgery / Invasive
Knee Arthroscopy (Diagnostic/Debridement)
Surgery / Invasive
Knee Osteoarthritis Exercise Program
Physical / Respiratory Therapy
Kyphoplasty
Surgery / Invasive
Kyphoplasty/Vertebroplasty for Pathologic Oncologic Fracture
Surgery / Invasive
LASIK (Laser-Assisted In Situ Keratomileusis)
Surgery / Invasive
LEEP (Loop Electrosurgical Excision Procedure)
Surgery / Invasive
LVAD Implantation (HeartMate 3)
Surgery / Invasive
LVAD Implantation - Bridge to Transplant
Surgery / Invasive
LVAD Implantation - Destination Therapy
Surgery / Invasive
Labiaplasty (Wedge Resection)
Surgery / Invasive
Laminectomy (Decompression)
Surgery / Invasive
Laparoscopic Adjustable Gastric Band (LAGB)
Surgery / Invasive
Laparoscopic Adrenalectomy
Surgery / Invasive
Laparoscopic Bilateral Salpingo-Oophorectomy (BSO)
Surgery / Invasive
Laparoscopic Central Pancreatectomy
Surgery / Invasive
Laparoscopic Cholecystectomy
Surgery / Invasive
Laparoscopic Distal Pancreatectomy with Splenectomy
Surgery / Invasive
Laparoscopic Dor Fundoplication (Anterior 180)
Surgery / Invasive
Laparoscopic Heller Myotomy
Surgery / Invasive
Laparoscopic Hiatal Hernia Repair (Cruroplasty)
Surgery / Invasive
Laparoscopic Inguinal Hernia Repair (TAPP)
Surgery / Invasive
Laparoscopic Inguinal Hernia Repair (TEP)
Surgery / Invasive
Laparoscopic Left Lateral Sectionectomy (LLS)
Surgery / Invasive
Laparoscopic Liver Resection (Segmentectomy)
Surgery / Invasive
Laparoscopic Myomectomy
Surgery / Invasive
Laparoscopic Nissen Fundoplication (360 degree)
Surgery / Invasive
Laparoscopic Pyeloplasty
Surgery / Invasive
Laparoscopic Repair of Paraesophageal Hernia (Type IV)
Surgery / Invasive
Laparoscopic Right Hepatectomy
Surgery / Invasive
Laparoscopic Roux-en-Y Gastric Bypass (RYGB)
Surgery / Invasive
Laparoscopic Sleeve Gastrectomy
Surgery / Invasive
Laparoscopic Toupet Fundoplication (270 degree)
Surgery / Invasive
Laparoscopic Varicocelectomy
Surgery / Invasive
Laparoscopic Ventral Hernia Repair (IPOM)
Surgery / Invasive
Laparoscopic Whipple (Pancreaticoduodenectomy)
Surgery / Invasive
Lariat Procedure
Surgery / Invasive
Laser Atherectomy
Surgery / Invasive
Laser Lead Extraction
Surgery / Invasive
Latarjet Procedure (Shoulder Stabilization)
Surgery / Invasive
Lateral Ankle Ligament Reconstruction (Brostrom/Modified Brostrom)
Surgery / Invasive
Lateral Epicondyle Release (Tennis Elbow Surgery)
Surgery / Invasive
Lateral Lumbar Interbody Fusion (LLIF/XLIF/DLIF)
Surgery / Invasive
Latissimus Dorsi Flap (Pedicled)
Surgery / Invasive
Latissimus Dorsi Myocutaneous Flap
Surgery / Invasive
Le Fort I Osteotomy
Surgery / Invasive
Le Fort II Osteotomy
Surgery / Invasive
Le Fort III Osteotomy
Surgery / Invasive
Leadless Pacemaker (Micra)
Surgery / Invasive
Left Atrial Appendage Closure (Amplatzer Amulet/Watchman FLX)
Surgery / Invasive
Left Atrial Appendage Closure (Watchman)
Surgery / Invasive
Left Heart Catheterization
Diagnostic Intervention
Left Hemicolectomy
Surgery / Invasive
Left Ventriculography
Diagnostic Intervention
Legg-Calvé-Perthes Disease (Osteotomy)
Surgery / Invasive
Levator Advancement
Surgery / Invasive
Limberg (Rhomboid) Flap
Surgery / Invasive
Lobectomy (VATS or Open)
Surgery / Invasive
Long Arm Cast Application
Other Procedure
Long Arm Cast Application (Fiberglass/Plaster)
Other Procedure
Long Leg Cast Application
Other Procedure
Long Leg Cast Application (Fiberglass/Plaster)
Other Procedure
Loop Recorder Implantation
Surgery / Invasive
Loop Recorder Removal
Surgery / Invasive
Low Anterior Resection (LAR)
Surgery / Invasive
Lumbar Laminectomy
Surgery / Invasive
Lumbar Laminectomy & Discectomy
Surgery / Invasive
Lumbar Microdiscectomy
Surgery / Invasive
Lumbar Puncture (Spinal Tap)
Diagnostic Intervention
Lumbar Spinal Fusion (TLIF)
Surgery / Invasive
Lumbar Spinal Stenosis/Disc Herniation Rehabilitation
Physical / Respiratory Therapy
Lumbar Spine Stabilization Program
Physical / Respiratory Therapy
Lung Transplantation (Single/Bilateral)
Surgery / Invasive
Lymphovenous Bypass (LVB)
Surgery / Invasive
MAZE Procedure (AF)
Surgery / Invasive
MPFL Reconstruction (Patellar Stabilization)
Surgery / Invasive
MRI-Fusion Targeted Prostate Biopsy
Diagnostic Intervention
Male Sling Procedure
Surgery / Invasive
Manual Therapy (Mobilization/Manipulation)
Physical / Respiratory Therapy
Marginal Excision of Soft Tissue Mass (Lipoma/Fibroma)
Surgery / Invasive
Masseteric Nerve Transfer
Surgery / Invasive
Mastopexy (Auto-augmentation)
Surgery / Invasive
Maxillofacial ORIF (Open Reduction Internal Fixation)
Surgery / Invasive
Meatotomy
Surgery / Invasive
Mechanical Lead Extraction
Surgery / Invasive
Medial Epicondyle Release (Golfer's Elbow Surgery)
Surgery / Invasive
Mediastinoscopy
Surgery / Invasive
Medical Thoracoscopy (Pleuroscopy)
Surgery / Invasive
Meniscectomy (Arthroscopic)
Surgery / Invasive
Meniscus Repair (Arthroscopic)
Surgery / Invasive
Methacholine Challenge Test
Diagnostic Intervention
Microdiscectomy (Lumbar)
Surgery / Invasive
Microscopic Vasovasostomy (Vasectomy Reversal)
Surgery / Invasive
Microsurgical Nerve Repair / Graft
Surgery / Invasive
Microsurgical Varicocelectomy
Surgery / Invasive
Microvolt T-Wave Alternans
Diagnostic Intervention
Mid-Urethral Sling (TVT/TOT)
Surgery / Invasive
Midface Lift (SOOF suspension)
Surgery / Invasive
Mini-Percutaneous Nephrolithotomy (Mini-PCNL)
Surgery / Invasive
Minimally Invasive CABG (MIDCAB)
Surgery / Invasive
Minimally Invasive Direct CABG (MIDCAB)
Surgery / Invasive
MitraClip Procedure
Surgery / Invasive
Mitral Valve Repair (Annuloplasty)
Surgery / Invasive
Mitral Valve Repair - Complex
Surgery / Invasive
Mitral Valve Repair - Minimally Invasive
Surgery / Invasive
Mitral Valve Replacement - Bioprosthetic
Surgery / Invasive
Mitral Valve Replacement - Mechanical
Surgery / Invasive
Mitrofanoff Appendicovesicostomy
Surgery / Invasive
Mohs Defect Reconstruction (Local Flap)
Surgery / Invasive
Motorized Spiral Enteroscopy (PowerSpiral)
Diagnostic Intervention
Mucosal Ablation (ARMA - Stretta)
Surgery / Invasive
Multiligament Knee Reconstruction
Surgery / Invasive
Multiple Sleep Latency Test (MSLT)
Diagnostic Intervention
Muscle Biopsy
Surgery / Invasive
Myringotomy with Tympanostomy Tube Insertion
Surgery / Invasive
NOTES - Cholecystectomy (Hybrid)
Surgery / Invasive
NOTES - Transgastric Appendectomy (Animal study)
Surgery / Invasive
NOTES - Transgastric Peritoneoscopy
Surgery / Invasive
Nail Avulsion/Excision
Surgery / Invasive
Nail Avulsion/Excision (Ingrown Toenail)
Surgery / Invasive
Navigational Bronchoscopy (Electromagnetic)
Diagnostic Intervention
Near-Infrared Spectroscopy (NIRS)
Diagnostic Intervention
Nerve Biopsy
Surgery / Invasive
Nerve Block (Suprascapular Nerve Block)
Injection / Infusion
Nerve Block (Suprascapular)
Injection / Infusion
Nerve Conduction Studies (NCS)
Diagnostic Intervention
Nerve Conduction Study (NCS) / EMG
Other Procedure
Nerve Decompression
Surgery / Invasive
Nerve Decompression/Repair (Major Peripheral Nerve)
Surgery / Invasive
Nerve Repair/Graft (Hand/Wrist)
Surgery / Invasive
Nerve Transfer
Surgery / Invasive
Newborn Circumcision
Surgery / Invasive
Nonunion/Malunion Correction
Surgery / Invasive
Nuclear Stress Test (SPECT)
Diagnostic Intervention
Nutritional Counseling (Bone Health)
Other Procedure
ORIF - Acetabular Fracture
Surgery / Invasive
ORIF - Ankle Fracture (Unimalleolar/Bimalleolar/Trimalleolar)
Surgery / Invasive
ORIF - Calcaneus Fracture
Surgery / Invasive
ORIF - Clavicle Fracture
Surgery / Invasive
ORIF - Distal Humerus Fracture
Surgery / Invasive
ORIF - Distal Radius Fracture
Surgery / Invasive
ORIF - Femoral Condyle Fracture
Surgery / Invasive
ORIF - Femoral Neck Fracture
Surgery / Invasive
ORIF - Femur Fracture
Surgery / Invasive
ORIF - Intertrochanteric Femur Fracture
Surgery / Invasive
ORIF - Lisfranc Injury
Surgery / Invasive
ORIF - Lisfranc Injury (Midfoot)
Surgery / Invasive
ORIF - Metacarpal Fracture
Surgery / Invasive
ORIF - Metatarsal Fracture
Surgery / Invasive
ORIF - Olecranon Fracture
Surgery / Invasive
ORIF - Patella Fracture
Surgery / Invasive
ORIF - Pelvic Ring Fracture
Surgery / Invasive
ORIF - Phalangeal Fracture (Finger/Thumb)
Surgery / Invasive
ORIF - Phalangeal Fracture (Foot)
Surgery / Invasive
ORIF - Pilon Fracture (Distal Tibia)
Surgery / Invasive
ORIF - Proximal Humerus Fracture
Surgery / Invasive
ORIF - Radial Head Fracture
Surgery / Invasive
ORIF - Scaphoid Fracture
Surgery / Invasive
ORIF - Scapula Fracture
Surgery / Invasive
ORIF - Subtrochanteric Femur Fracture
Surgery / Invasive
ORIF - Talus Fracture
Surgery / Invasive
ORIF - Tibia Plateau Fracture
Surgery / Invasive
ORIF - Tibial Plateau Fracture
Surgery / Invasive
Omental Free Flap
Surgery / Invasive
Open Cholecystectomy
Surgery / Invasive
Open Incisional Biopsy of Bone/Soft Tissue Tumor
Surgery / Invasive
Open Inguinal Hernia Repair (Lichtenstein)
Surgery / Invasive
Open Reduction Internal Fixation (ORIF) - Ankle
Surgery / Invasive
Open Reduction Internal Fixation (ORIF) - Ankle Fracture
Surgery / Invasive
Open Reduction for Developmental Dysplasia of the Hip (DDH)
Surgery / Invasive
Open Rotator Cuff Repair
Surgery / Invasive
Open Simple Prostatectomy
Surgery / Invasive
Optical Coherence Tomography (OCT)
Diagnostic Intervention
Optical Internal Urethrotomy (DVIU)
Surgery / Invasive
Orbital Atherectomy
Surgery / Invasive
Orchidopexy
Surgery / Invasive
Orthognathic Surgery (BSSO / Le Fort I)
Surgery / Invasive
Orthotopic Neobladder Reconstruction
Surgery / Invasive
Osteoarthritis Management Exercise Program (Knee/Hip)
Physical / Respiratory Therapy
Osteochondral Allograft Transplantation (OCA) (Knee)
Surgery / Invasive
PASCAL Mitral Repair System
Surgery / Invasive
PCI - Bare Metal Stent
Surgery / Invasive
PCI - Bare Metal Stent (BMS)
Surgery / Invasive
PCI - Bioresorbable Scaffold
Surgery / Invasive
PCI - Bioresorbable Vascular Scaffold
Surgery / Invasive
PCI - Drug Eluting Stent
Surgery / Invasive
PCL Reconstruction
Surgery / Invasive
PET Stress Test
Diagnostic Intervention
PFO Closure
Surgery / Invasive
POEM - Failed Heller myotomy
Surgery / Invasive
POEM - Sigmoid esophagus
Surgery / Invasive
PRK (Photorefractive Keratectomy)
Surgery / Invasive
PRP (Platelet-Rich Plasma) Injection - Knee
Injection / Infusion
PVC Ablation
Surgery / Invasive
Pacemaker - Dual Chamber
Surgery / Invasive
Pacemaker - Dual Chamber (DDD)
Surgery / Invasive
Pacemaker - Leadless (Micra)
Surgery / Invasive
Pacemaker - Single Chamber
Surgery / Invasive
Pacemaker - Single Chamber (VVI)
Surgery / Invasive
Panretinal Photocoagulation (PRP) Laser
Surgery / Invasive
Paracentesis
Surgery / Invasive
Paracentesis (HF)
Other Procedure
Pars Plana Vitrectomy (PPV)
Surgery / Invasive
Partial Calcanectomy
Surgery / Invasive
Partial or Total Sacrectomy
Surgery / Invasive
Pasteurized Autograft Reimplantation
Surgery / Invasive
Patellofemoral Arthroplasty
Surgery / Invasive
Patellofemoral Pain Syndrome Rehabilitation
Physical / Respiratory Therapy
Patent Ductus Arteriosus Closure
Surgery / Invasive
Patient Education (Condition Specific)
Other Procedure
Pediatric Spica Cast Application
Surgery / Invasive
Pelvic Lymph Node Dissection (PLND)
Surgery / Invasive
Penile Fracture Repair
Surgery / Invasive
Penile Prosthesis Implantation (Inflatable 3-Piece)
Surgery / Invasive
Penile Prosthesis Implantation (Malleable)
Surgery / Invasive
Percutaneous Coronary Intervention (PCI) - Drug-Eluting Stent
Surgery / Invasive
Percutaneous Dilatational Tracheostomy
Surgery / Invasive
Percutaneous Epididymal Sperm Aspiration (PESA)
Surgery / Invasive
Percutaneous Nephrolithotomy (PCNL) - Nephrology Peri-Op Management
Surgery / Invasive
Percutaneous Nephrolithotomy (PCNL) - Standard
Surgery / Invasive
Percutaneous Nephrostomy Tube Placement
Surgery / Invasive
Percutaneous Nephrostomy Tube Placement (Allograft)
Surgery / Invasive
Percutaneous Parathyroid Ethanol Injection (PEIT)
Surgery / Invasive
Percutaneous Transluminal Septal Myocardial Ablation (PTSMA)
Surgery / Invasive
Percutaneous Ultrasound-Guided Native Kidney Biopsy
Diagnostic Intervention
Peri-acetabular Osteotomy (PAO) (Ganz Osteotomy)
Surgery / Invasive
Periacetabular Tumor Reconstruction (Harrington Procedure)
Surgery / Invasive
Pericardial Window
Other Procedure
Pericardiectomy
Surgery / Invasive
Pericardiocentesis
Other Procedure
Pericardiocentesis - Ultrasound Guided
Other Procedure
Peripheral Nerve Repair
Surgery / Invasive
Peritoneal Equilibration Test (PET)
Diagnostic Intervention
Peroral Endoscopic Myotomy (POEM)
Surgery / Invasive
Peroral Endoscopic Myotomy (POEM) - Classic
Surgery / Invasive
Peyronie's Plaque Incision and Grafting
Surgery / Invasive
Peyronie's Plication (Nesbit Procedure)
Surgery / Invasive
Phacoemulsification with IOL Implantation
Surgery / Invasive
Phalloplasty: Anterolateral Thigh (ALT)
Surgery / Invasive
Phalloplasty: Radial Forearm Free Flap
Surgery / Invasive
Pharyngeal Flap
Surgery / Invasive
Photoselective Vaporization of Prostate (GreenLight PVP)
Surgery / Invasive
Phototherapy (Bili Lights)
Physical / Respiratory Therapy
Pigtail Catheter Insertion
Surgery / Invasive
Plantar Fascia Injection (Corticosteroid)
Injection / Infusion
Plantar Fascia Injection (Steroid)
Injection / Infusion
Plantar Fascia Release (Open/Endoscopic)
Surgery / Invasive
Plaque Excision (Directional Atherectomy)
Other Procedure
Platelet-Rich Plasma (PRP) Injection
Injection / Infusion
Platysmaplasty (Corset)
Surgery / Invasive
Pleurectomy / Decortication
Surgery / Invasive
Pneumonectomy
Surgery / Invasive
Point-of-Care Ultrasound (POCUS)
Diagnostic Intervention
Polydactyly Excision
Surgery / Invasive
Polysomnography (Diagnostic Sleep Study)
Diagnostic Intervention
Polysomnography (Sleep Study)
Diagnostic Intervention
Post-Fracture Rehabilitation (Upper/Lower Limb)
Physical / Respiratory Therapy
Post-Op ACL Reconstruction Rehabilitation Protocol
Physical / Respiratory Therapy
Post-Op ACL Rehab Protocol
Physical / Respiratory Therapy
Posterior Cervical Fusion (PCF)
Surgery / Invasive
Posterior Lumbar Interbody Fusion (PLIF)
Surgery / Invasive
Posterior Spinal Fusion (Thoracic/Lumbar - multi-level)
Surgery / Invasive
Posterior Tibial Tendon Reconstruction (Flatfoot)
Surgery / Invasive
Pre-operative Embolization of Bone Tumor
Surgery / Invasive
Primary Obesity Surgery Endoluminal (POSE 2.0)
Surgery / Invasive
Propeller Flap
Surgery / Invasive
Prophylactic Intramedullary Nailing (Femur)
Surgery / Invasive
Prophylactic Intramedullary Nailing (Humerus)
Surgery / Invasive
Proximal Fibulectomy (Tumor Resection)
Surgery / Invasive
Proximal Tibial Osteotomy for Genu Varum (Bow-Leg)
Surgery / Invasive
Pterygium Excision with Conjunctival Autograft
Surgery / Invasive
Pulmonary Thromboendarterectomy
Surgery / Invasive
Pulmonary Valve Replacement
Surgery / Invasive
Punctal Plug Insertion
Surgery / Invasive
Pyloromyotomy
Surgery / Invasive
Quantitative Sensory Testing (QST)
Diagnostic Intervention
RVAD Implantation
Surgery / Invasive
Radical Cystectomy
Surgery / Invasive
Radical Inguinal Orchiectomy
Surgery / Invasive
Radical Nephrectomy (Laparoscopic/Open)
Surgery / Invasive
Radical Nephroureterectomy
Surgery / Invasive
Radical Prostatectomy (Robot-Assisted/Laparoscopic)
Surgery / Invasive
Radical Resection of Bone Tumor (Limb Salvage)
Surgery / Invasive
Radiofrequency Ablation (RFA) of Osteoid Osteoma
Surgery / Invasive
Ray Amputation (Hand)
Surgery / Invasive
Reduction Mammaplasty
Surgery / Invasive
Reduction of Radial Head Subluxation (Nursemaid's Elbow)
Other Procedure
Referral for Prosthetics/Orthotics
Other Procedure
Referral to Neurology
Other Procedure
Referral to Pain Management
Other Procedure
Referral to Podiatry
Other Procedure
Referral to Rheumatology
Other Procedure
Removable Walking Boot (CAM Walker) Fitting
Other Procedure
Removal of Superficial Hardware
Surgery / Invasive
Renal Denervation
Other Procedure
Renal Function Tests
Other Procedure
Renal Replacement Therapy (e.g., Hemodialysis, CRRT)
Other Procedure
Renal Sympathetic Denervation
Surgery / Invasive
Renal Ultrasound
Other Procedure
Renal biopsy
Other Procedure
Renal biopsy (if etiology is unclear or to assess severity)
Other Procedure
Replantation of Digit
Surgery / Invasive
Responsive Neurostimulation (RNS)
Surgery / Invasive
Retrograde Intrarenal Surgery (RIRS)
Surgery / Invasive
Retroperitoneal Lymph Node Dissection (RPLND)
Surgery / Invasive
Reverse Shoulder Arthroplasty
Surgery / Invasive
Reverse Sural Artery Flap
Surgery / Invasive
Reverse Total Shoulder Arthroplasty (rTSA)
Surgery / Invasive
Rezum Water Vapor Therapy
Surgery / Invasive
Rhinoplasty (Open/Closed)
Surgery / Invasive
Rhytidectomy (Facelift)
Surgery / Invasive
Right Heart Catheterization
Diagnostic Intervention
Right Hemicolectomy
Surgery / Invasive
Rigid Bronchoscopy
Surgery / Invasive
Robotic CABG (TECAB)
Surgery / Invasive
Robotic Partial Nephrectomy
Surgery / Invasive
Root Canal Therapy (Endodontic Treatment)
Surgery / Invasive
Rotational Atherectomy
Surgery / Invasive
Rotationplasty (Van Nes Procedure)
Surgery / Invasive
Rotator Cuff Repair (Arthroscopic)
Surgery / Invasive
Rotator Cuff Repair Rehabilitation Protocol
Physical / Respiratory Therapy
SVT Ablation
Surgery / Invasive
Sacral Neuromodulation (InterStim) Implant
Surgery / Invasive
Sacroiliac (SI) Joint Fusion
Surgery / Invasive
Sacroiliac (SI) Joint Injection (Corticosteroid)
Injection / Infusion
Salter Innominate Osteotomy (DDH)
Surgery / Invasive
Scaling and Root Planing (SRP)
Surgery / Invasive
Scapholunate Ligament Reconstruction
Surgery / Invasive
Scapular Tip Free Flap
Surgery / Invasive
Scoliosis Correction (Posterior Spinal Fusion)
Surgery / Invasive
Scoliosis Spinal Fusion
Surgery / Invasive
Selective Dorsal Rhizotomy (SDR)
Surgery / Invasive
Selective Laser Trabeculoplasty (SLT)
Surgery / Invasive
Septal Myectomy (HOCM)
Surgery / Invasive
Short Arm Cast Application
Other Procedure
Short Arm Cast Application (Fiberglass/Plaster)
Other Procedure
Short Leg Cast Application
Other Procedure
Short Leg Cast Application (Fiberglass/Plaster)
Other Procedure
Shoulder Arthroplasty (Total)
Surgery / Invasive
Shoulder Arthroscopy & Rotator Cuff Repair
Surgery / Invasive
Shoulder Arthroscopy (Diagnostic)
Surgery / Invasive
Shoulder Arthroscopy (Diagnostic/Debridement)
Surgery / Invasive
Shoulder Impingement Rehab Protocol
Physical / Respiratory Therapy
Shoulder Impingement Syndrome Rehabilitation
Physical / Respiratory Therapy
Signal-Averaged ECG
Diagnostic Intervention
Signal-Averaged ECG (SAECG)
Diagnostic Intervention
Single-Balloon Enteroscopy (SBE)
Diagnostic Intervention
Six-Minute Walk Test (6MWT)
Diagnostic Intervention
Skin Biopsy for Nerve Fiber Density
Surgery / Invasive
Skin Expander Placement (Craniofacial)
Surgery / Invasive
Smoking Cessation Counseling
Other Procedure
Soft Tissue Mass Biopsy
Other Procedure
Soft Tissue Mass Biopsy (Core Needle, US-Guided)
Diagnostic Intervention
Soft Tissue Sarcoma Excision
Surgery / Invasive
Spacer Placement (Infected Arthroplasty)
Surgery / Invasive
Spermatocelectomy
Surgery / Invasive
Sphincter Pharyngoplasty
Surgery / Invasive
Spica Cast Application (Hip/Thumb)
Other Procedure
Spinal Cord Stimulator (SCS) Trial
Surgery / Invasive
Spinal Cord Stimulator Implantation
Surgery / Invasive
Spinal Decompression and Stabilization (Posterior)
Surgery / Invasive
Spinal Deformity Correction (Adult)
Surgery / Invasive
Spinal Fusion for Scoliosis (Pediatric)
Surgery / Invasive
Spinal Tumor Excision
Surgery / Invasive
Spinal Tumor Excision (Laminectomy/Corpectomy)
Surgery / Invasive
Spiral Enteroscopy (SE)
Diagnostic Intervention
Spirometry (Pre and Post Bronchodilator)
Diagnostic Intervention
Splint Application (Sugar Tong/Coaptation/Back Slab)
Other Procedure
Split-Thickness Skin Graft (STSG)
Surgery / Invasive
Staple Removal
Other Procedure
Stereotactic Radiosurgery (Gamma Knife)
Surgery / Invasive
Sternal Wound Reconstruction
Surgery / Invasive
Strabismus Surgery (Recession/Resection)
Surgery / Invasive
Stress ECG (Treadmill)
Diagnostic Intervention
Stress Echo (Dobutamine)
Diagnostic Intervention
Stress Echo (Exercise)
Diagnostic Intervention
Subacromial Bursa Injection (Corticosteroid)
Injection / Infusion
Subcutaneous ICD (S-ICD)
Surgery / Invasive
Subcutaneous ICD (S-ICD) Implantation
Surgery / Invasive
Subtalar Arthrodesis (Fusion)
Surgery / Invasive
Suction-Assisted Lipectomy (Liposuction)
Surgery / Invasive
Sugar Tong Splint Application
Other Procedure
Superior Gluteal Artery Perforator (SGAP) Flap
Surgery / Invasive
Supramicrosurgical Anastomosis
Surgery / Invasive
Suprapubic Catheter Insertion
Surgery / Invasive
Sural Nerve Graft
Surgery / Invasive
Sural Nerve Graft Harvest
Surgery / Invasive
Surgical Correction of Mallet Finger
Surgery / Invasive
Surgical Extraction of Impacted Wisdom Tooth
Surgery / Invasive
Surgical Tracheostomy
Surgery / Invasive
Sustained Low-Efficiency Dialysis (SLED / PIRRT)
Physical / Respiratory Therapy
Suture Removal
Other Procedure
Suture-Mediated Vascular Closure
Other Procedure
Sweat Test Administration
Diagnostic Intervention
Syme Amputation (Ankle Disarticulation)
Surgery / Invasive
Syndactyly Release
Surgery / Invasive
TAVR (Transcatheter Aortic Valve)
Surgery / Invasive
TEVAR (Thoracic Endovascular Repair)
Surgery / Invasive
TIF with Hiatal Hernia Repair (cTIF)
Surgery / Invasive
TMJ Arthrocentesis / Arthroscopy
Surgery / Invasive
TMVR (Transcatheter Mitral Valve)
Surgery / Invasive
TRAM Flap
Surgery / Invasive
TRUS-Guided Prostate Biopsy
Diagnostic Intervention
TandemHeart Insertion
Other Procedure
Targeted Muscle Reinnervation (TMR)
Surgery / Invasive
Tarsal Tunnel Release
Surgery / Invasive
Tendon Transfer
Surgery / Invasive
Tendon Transfer (Hand/Wrist)
Surgery / Invasive
Tendon Transfer (e.g., Foot Drop)
Surgery / Invasive
Testicular Prosthesis Insertion
Surgery / Invasive
Testicular Sperm Aspiration (TESA)
Surgery / Invasive
Testicular Sperm Extraction (micro-TESE)
Surgery / Invasive
Therapeutic Hypothermia
Other Procedure
Therapeutic Hypothermia (Targeted Temperature Management)
Other Procedure
Therapeutic Phlebotomy for Post-Transplant Erythrocytosis
Physical / Respiratory Therapy
Thoracentesis
Other Procedure
Thoracentesis (Diagnostic/Therapeutic)
Surgery / Invasive
Thoracoabdominal Aneurysm Repair
Surgery / Invasive
Thoracoabdominal Aneurysm Repair (Crawford)
Surgery / Invasive
Thoracoacromial Artery Perforator Flap
Surgery / Invasive
Thrombectomy (Aspiration)
Other Procedure
Thulium Laser Enucleation of Prostate (ThuLEP)
Surgery / Invasive
Tibial Osteotomy for Genu Varum (Bow-Leg)
Surgery / Invasive
Tikhoff-Linberg Procedure
Surgery / Invasive
Tilt Table Test
Diagnostic Intervention
Tissue Expander Insertion
Surgery / Invasive
Tonsillectomy and Adenoidectomy (T&A)
Surgery / Invasive
Torticollis Release (Sternocleidomastoid Myotomy)
Surgery / Invasive
Total Abdominal Hysterectomy (TAH)
Surgery / Invasive
Total Ankle Arthroplasty (TAA)
Surgery / Invasive
Total Artificial Heart (SynCardia)
Surgery / Invasive
Total Artificial Heart (TAH)
Surgery / Invasive
Total Calcanectomy
Surgery / Invasive
Total Claviculectomy
Surgery / Invasive
Total Elbow Arthroplasty (TEA)
Surgery / Invasive
Total Femur Replacement
Surgery / Invasive
Total Hip Arthroplasty (THA)
Surgery / Invasive
Total Hip Arthroplasty (THA) - Primary
Surgery / Invasive
Total Hip Arthroplasty (THA) - Revision
Surgery / Invasive
Total Knee Arthroplasty (TKA)
Surgery / Invasive
Total Knee Arthroplasty (TKA) - Primary
Surgery / Invasive
Total Knee Arthroplasty (TKA) - Revision
Surgery / Invasive
Total Knee Arthroplasty Rehabilitation Protocol
Surgery / Invasive
Total Knee Replacement Rehab Protocol
Physical / Respiratory Therapy
Total Scapulectomy
Surgery / Invasive
Total Shoulder Arthroplasty (TSA)
Surgery / Invasive
Total Talectomy (Astragalectomy)
Surgery / Invasive
Totally Endoscopic CABG (TECAB)
Surgery / Invasive
Trabeculectomy
Surgery / Invasive
Tracheal Shave (Chondrolaryngoplasty)
Surgery / Invasive
Transbronchial Lung Biopsy (TBLB)
Surgery / Invasive
Transcatheter Aortic Valve Replacement (TAVR)
Surgery / Invasive
Transcatheter Caval Valve Implantation (CAVI)
Surgery / Invasive
Transcatheter Mitral Valve Repair (MitraClip)
Surgery / Invasive
Transcatheter Mitral Valve Replacement (TMVR)
Surgery / Invasive
Transcatheter Pulmonary Valve Replacement (TPVR)
Surgery / Invasive
Transcatheter Tricuspid Edge-to-Edge Repair (TEER)
Surgery / Invasive
Transcatheter Tricuspid Valve Repair (TriClip)
Surgery / Invasive
Transcranial Magnetic Stimulation (TMS)
Other Procedure
Transcutaneous Pacing
Other Procedure
Transfemoral PCI
Surgery / Invasive
Transforaminal Lumbar Interbody Fusion (TLIF)
Surgery / Invasive
Transoral Incisionless Fundoplication (TIF 2.0)
Surgery / Invasive
Transoral Incisionless Fundoplication (TIF)
Surgery / Invasive
Transperineal Prostate Biopsy
Diagnostic Intervention
Transradial PCI
Surgery / Invasive
Transurethral Incision of Prostate (TUIP)
Surgery / Invasive
Transurethral Resection of Bladder Tumor (TURBT)
Surgery / Invasive
Transurethral Resection of Prostate (TURP)
Surgery / Invasive
Transvenous Temporary Pacemaker
Other Procedure
TriClip (Tricuspid Repair)
Surgery / Invasive
Triceps Tendon Repair
Surgery / Invasive
Tricuspid Valve Repair
Surgery / Invasive
Tricuspid Valve Replacement
Surgery / Invasive
Trigger Finger Release
Surgery / Invasive
Trigger Point Injection
Injection / Infusion
Trigger Point Injection (Myofascial Pain)
Injection / Infusion
Triple Arthrodesis (Foot Fusion)
Surgery / Invasive
Triple Valve Surgery
Surgery / Invasive
Trochanteric Bursa Injection (Corticosteroid)
Injection / Infusion
Trochanteric Bursa Injection (Steroid)
Injection / Infusion
Tubal Ligation (Laparoscopic)
Surgery / Invasive
Tube Thoracostomy (Chest Tube Insertion)
Surgery / Invasive
Tumor Endoprosthetic Reconstruction
Surgery / Invasive
Tumor Endoprosthetic Reconstruction (Distal Femur)
Surgery / Invasive
Tumor Endoprosthetic Reconstruction (Proximal Femur)
Surgery / Invasive
Tumor Endoprosthetic Reconstruction (Proximal Humerus)
Surgery / Invasive
Tumor Endoprosthetic Reconstruction (Proximal Tibia)
Surgery / Invasive
Tunneled Pleural Catheter (PleurX) Placement
Surgery / Invasive
Type I Pelvic Resection (Ilium)
Surgery / Invasive
Type II Pelvic Resection (Periacetabular)
Surgery / Invasive
Type III Pelvic Resection (Ischium/Pubis)
Surgery / Invasive
Ulnar Collateral Ligament (UCL) Reconstruction (Tommy John Surgery)
Surgery / Invasive
Ulnar Collateral Ligament (UCL) Reconstruction (Tommy John)
Surgery / Invasive
Ulnar Nerve Transposition (Cubital Tunnel Release)
Surgery / Invasive
Umbilical Vein Catheterization (UVC)
Surgery / Invasive
Unicompartmental Knee Arthroplasty (UKA)
Surgery / Invasive
Urea Kinetic Modeling (Kt/V and URR Calculation)
Diagnostic Intervention
Ureteroscopy (URS) with Laser Lithotripsy
Surgery / Invasive
Urethroplasty (Buccal Mucosal Graft)
Surgery / Invasive
UroLift System Implantation
Surgery / Invasive
Urodynamic Studies (UDS) - Complete
Diagnostic Intervention
Uroflowmetry with Post-Void Residual
Diagnostic Intervention
V-Y Advancement Flap
Surgery / Invasive
VATS (Video-Assisted Thoracoscopic Surgery)
Surgery / Invasive
VATS Bullectomy and Pleurodesis
Surgery / Invasive
VATS Lung Biopsy (Wedge Resection)
Surgery / Invasive
VT Ablation
Surgery / Invasive
Vaginal Delivery (Normal Spontaneous - NSVD)
Surgery / Invasive
Vaginoplasty: Penile Inversion
Surgery / Invasive
Vaginoplasty: Robotic Intestinal
Surgery / Invasive
Vagus Nerve Stimulation (VNS)
Other Procedure
Vagus Nerve Stimulator (VNS) Implantation
Surgery / Invasive
Vascular Repair (Trauma - with Vascular Surgeon)
Surgery / Invasive
Vascular Repair (Trauma)
Surgery / Invasive
Vascularized Free Fibular Flap (Reconstruction)
Surgery / Invasive
Vascularized Lymph Node Transfer (VLNT)
Surgery / Invasive
Vasectomy (No-Scalpel)
Surgery / Invasive
Vasoepididymostomy
Surgery / Invasive
Vein of Marshall Ethanol Ablation
Surgery / Invasive
Veno-Arterial ECMO Weaning and Decannulation
Surgery / Invasive
Ventricular Septal Defect Closure
Surgery / Invasive
Ventriculoperitoneal (VP) Shunt Placement
Surgery / Invasive
Vertebral Body Tethering (Scoliosis)
Surgery / Invasive
Vertebroplasty
Surgery / Invasive
Vesicovaginal Fistula Repair
Surgery / Invasive
Viscosupplementation Injection - Knee (Hyaluronic Acid)
Injection / Infusion
Weight Management Counseling
Other Procedure
Wide Local Excision of Soft Tissue Sarcoma
Surgery / Invasive
Wrist Arthrodesis (Fusion)
Surgery / Invasive
YAG Laser Capsulotomy
Surgery / Invasive
Z-Plasty Scar Revision
Surgery / Invasive
Zenker's Peroral Endoscopic Myotomy (Z-POEM)
Surgery / Invasive
ankle osteoarthritis
Other Procedure
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