Home

G tube replacement cpt code 2021

Große Auswahl an ‪Replacement - Replacement

Über 80% neue Produkte zum Festpreis; Das ist das neue eBay. Finde ‪Replacement‬! Schau Dir Angebote von ‪Replacement‬ auf eBay an. Kauf Bunter In these cases, replacement of the G-tube is straightforward and would be reported with code 43762, CPT Assistant continues, and provides the following example: A 76-year-old female suffering from significant malnutrition previously required placement of a percutaneous gastrostomy tube CPT code 44300 is for open jejunostomy tube placement. Code descriptor for 44300 does not state Jejunostomy, it states enterostomy, and it is applicable for jejunostomy. If the surgeon placed the jejunostomy tube percutaneously with fluoroscopic guidance, look for CPT code 49441

Up-to-Date Gastrostomy Tube Coding - AAPC Knowledge Cente

CPT CODE DESCRIPTION PLACEMENT W/ FLUOROSCOPIC GUDANCE . 49440 Insertion of a gastrostomy tube, percutaneous, under fluoroscopic guidance 49450 Replacement of gastrostomy tube, percutaneous, under fluoroscopic guidance 49451 Replacement of tube, duodenostomy or jejunostomy, percutaneous, under fluoroscopic guidance REPLACEMENT PROCEDURE. Answer: The appropriate code to report for this procedure is code 43760, Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance. My question is a clogged tube a complication of the original placement For removal and replacement of both gastric band and subcutaneous port, assign code 43659, unlisted laparoscopy procedure, stomach. physicians, code 43659 is contractor priced. For hospital outpatient, code 43659 maps to APC 5361, Level 1 Laparoscopy, Medicare national average $4,834. Procedures whic Laparoscopic G Tube Placement Cpt Code Coupons, Promo Codes 07-2021. Deals of the Day at www.couponupto.com PEG tube coding tips • If the surgeon replaces the percutaneous endoscopic gastrostomy (PEG) tube because of clogging or other factors, code 43760, Change of gastrostomy tube,hereif t is no image guidance

Cpt Code G Tube Replacement - 07/2021 - Couponxoo

  1. ology (CPT®) code 43760, Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance, was identified as potentially misvalued by.
  2. When fluoroscopy is used, the appropriate code to report for this service would be CPT code 43752, naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance
  3. Valid for Submission. T85.528A is a billable diagnosis code used to specify a medical diagnosis of displacement of other gastrointestinal prosthetic devices, implants and grafts, initial encounter. The code T85.528A is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions
  4. Fluoroscopy - intestine -small 169006009. Replacement of gastrojejunostomy tube using fluoroscopic guidance 433064009. SNOMED CT Concept 138875005. Procedure 71388002. Procedure by site 362958002. Procedure on body region 771329004. Fluoroscopy of regions 303939005. Fluoroscopy of abdomen 303941006

  1. Replacement procedures. Code 49450: Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s) Code 43760: Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance; Mechanical removal of tube obstruction
  2. No need to buy a CPT ® CROSSREF separately. Subscribers will immediately see the correct CPT ® code(s) and definition(s) on the same page as the description for the target ICD-9 Vol. 3 code. Get the DRG class related to the ICD-9 Vol. 3 code from the details page
  3. Gastrostomy malfunction 2016 2017 2018 2019 2020 2021 Billable/Specific Code K94.23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM K94.23 became effective on October 1, 2020

Encounter for attention to gastrostomy 2016 2017 2018 2019 2020 2021 Billable/Specific Code POA Exempt Z43.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z43.1 became effective on October 1, 2020 Reimbursement for gastrostomy tube placement depends on reporting the appropriate ICD-10 and CPT codes. Here are the relevant codes for 2018: ICD-10 Codes for Gastrostomy Tube Placement. K21.0 - Gastro-esophageal reflux disease with esophagitis K20.9 - Esophagitis, unspecified K20.8 - Other esophagitis K22.10 - Ulcer of esophagus. For CPT 2019, code 43760 will be deleted and replaced with two new codes (43762, 43763). Gastrostomy tubes (G-tubes) may be inadvertently removed if traction is placed on the tube. Inadvertent G-tube removal is a common complication, usually occurring in combative or confused patients who pull on the tube

and the base endoscopy (the parent code). •For example, in the course of performing fiberoptic colonoscopy (code 45378), a physician performs a biopsy (code 45380) and removes a polyp by snare (45385). Both codes contain the value of the base endoscopy, code 45378. Use the actual value of the code 45385 plus the difference between 45380 an ICD-9-CM Vol. 3 Procedure Codes. 97.51 - Removal of gastrostomy tube. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information. Access to this feature is available in the following products: Find-A-Code Essentials. HCC Plus Short descriptive text of procedure or modifier code (28 characters or less). The AMA owns the copyright on the CPT codes and descriptions; CPT codes and descriptions are not public property and must always be used in compliance with copyright law 2015 ICD-9-CM Procedure 97.03 Replacement of tube or enterostomy device of small intestine; Note: approximate conversions between ICD-9-CM codes and ICD-10-PCS codes may require clinical interpretation in order to determine the most appropriate conversion code(s) for your specific coding situation

Gastrostomy replacement, see below for guidelines; or. Place a Foley catheter until gastrostomy replacement possible (can use smaller size if indicated) Existing tube/Foley catheter keeping stoma site open. Action: Gastrostomy replacement, see below for guidelines. 3. Commence procedure for replacement belo Gastrostomy status. Z93.1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM Z93.1 became effective on October 1, 2020. This is the American ICD-10-CM version of Z93.1 - other international versions of ICD-10 Z93.1 may differ Coding Clinic instructed coders to report ICD-9 procedure code 44.39. This is an OR procedure code, as is the code for a percutaneous endoscopic gastrostomy (PEG) tube insertion. The Coding Clinic description provided in October 2001, when 44.32 was developed, involved inserting a smaller tube through an existing PEG tube and endoscopically.

ED Facility Level Coding Guidelines. Introduction. A part of the Federal Balanced Budget Act of 1997 required HCFA (now CMS) to create a new Medicare Outpatient Prospective Payment System (OPPS) for hospital outpatient services; analogous to the Medicare prospective payment system for hospital inpatients known as Diagnosis Related Groups or DRG's Shop And Save at bulletin.facs.org . · For CPT 2019, code 43760 will be deleted and replaced with two new codes (43762, 43763). Gastrostomy tubes (G-tubes) may be inadvertently removed if traction is placed on the tube. Inadvertent G-tube removal is a common complication, usually occurring in combative or confused patients who pull on the tube G Tube Placement Cpt Code Coupons, Promo Codes 06-2021. Top Offers From www.couponupto.com Colonoscopy - CPT Codes 45378-45398, G0105, G0121 The American Society for Gastrointestinal Endoscopy (ASGE) works to ensure that adequate methods are in place for gastroenterology practices to report and obtain fair and reasonable reimbursement for procedures, tests and visits Coverage code C - Carrier judgment: BETOS 2 code O1C - Enteral and parenteral: HCPCS Action code N - No maintenance for this code: Type of service E - Enteral/parenteral nutrients/supplies: Effective date Effective Jan 01, 2008: Date added Added Jan 01, 2008: HCPCS Coding Procedure The latest ones are on May 18, 2021 8 new J Tube Replacement Cpt Code results have been found in the last 90 days, which means that every 12, a new J Tube Replacement Cpt Code result is figured out. As Couponxoo's tracking, online shoppers can recently get a save of 41% on average by using our coupons for shopping at J Tube Replacement Cpt.

Reader Questions: Find Code Choices for J-Tube Without

2021 Coding & Payment Quick Reference CPT *Note: Currently, there is no unique Current Procedural Terminology (CPT) code to describe endoscopic necrosectomy. In the absence of a unique code, providers should bill an unlisted procedure code. Providers should submit a cover letter to the payer with the claim that explains the nature of the. Gastrostomy malfunction. K94.23 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2021 edition of ICD-10-CM K94.23 became effective on October 1, 2020. This is the American ICD-10-CM version of K94.23 - other international versions of ICD-10 K94.23 may differ 01/2020 Adaptive Maintenance Added code P9099 as Non-Covered, Removed code 86999 from requiring prior approval claim will suspend and require clinical documentation for review. 10/2020 No changes to policy statement. Updated references and reorganized for clarity. Added the following codes to the coding table: L89.006, L89.016 management experience in ICD-9-CM and CPT coding for inpatient and outpatient settings. She has worked in areas of HIPAA Compliance, Coding Specialist, and Charge Master Coordinator for The University of Mississippi Medical Center, and has been a Coding Consultan

What is the CPT code for replacement of gastrostomy tube

based on the billed CPT Code. Hospitals may receive separate APC payments for each procedure done during the same outpatient visit. Many APCs are subject to reduced payment when multiple procedures are performed on the same day. In most cases, the highest valued procedure is paid at 100% and all other procedures are subject to a 50% payment. The Peg Tube Placement CPT Code depends on if it is a placement, replacement or conversion and what approach and guidance is used. The list includes codes: 43246, 43644, 43752, 43760, 44373, 49440, 49446, 49450, 4946 Clean around G-tube to remove any drainage and / or crusting. Rinse soap off with clear water. Dry skin thoroughly. Keep this site clean and dry. A dressing may be used around the G-tube site as instructed by your care team. Do not use lotions or ointments around tube site unless directed by your child's care team. Flushing the G-Tube

CPT 49440, Under Initial Placement Procedures on the Abdomen, Peritoneum, and Omentum. The Current Procedural Terminology (CPT) code 49440 as maintained by American Medical Association, is a medical procedural code under the range - Initial Placement Procedures on the Abdomen, Peritoneum, and Omentum Gastrostomy (G) Tubes. The most common type of feeding tube is the gastrostomy (G) tube. G-tubes are placed through the abdominal wall into the stomach. This sounds scarier than it is. The G-tube surgery can be performed in three ways: surgically through small incisions using a laparoscope, surgically using a larger open incision, or. If the previously placed device is completely removed and replaced, both removal and replacement procedure codes would be assigned. By coding both procedures, the data is reported with the capacity to illustrate that the latter procedure is actually what is defined in ICD-9-CM as a revision. New codes are effective Oct. 1, 2021. Highly. This video demonstrates the technique for the removal and replacement of a balloon gastrostomy tube. The indications, contraindications, and potential complications are also reviewed Z93.1 is a billable diagnosis code used to specify a medical diagnosis of gastrostomy status. The code Z93.1 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code Z93.1 might also be used to specify conditions or terms like finding of.

What is the CPT code for G tube placement

G-tube: G-tube is a medical device, inserted in the stomach via a small abdominal cut. J-tube: J-tube is a medical device, inserted into the middle part of the small intestine (the jejunum). Use of G-tube and J-tube; G-tube: G-tube is used to provide the necessary medications and nutrition, to release stomach gases, and for gastric drainage ICD-10 Usage Is Now Mandatory! As of October 2015 the long-awaited (and sometimes dreaded) ICD-10 is upon us. We are here to help! Easily search over 70,000 ICD-10-CM and PCS codes with our fast and powerful search tool at the top of every page, or use our conversion tool to convert between ICD-10 and ICD-9 replacement - Severity of the burn is determined by burned surface are, depth of burn and determining the percentage of the burn 8. Emergency Department Coding Choose diagnosis and procedure code(s) *1 ICD 881.10+ E-codes, CPT E/M level *2 ICD 881.10+ E-codes, CPT E/M level and 1012 AMT strives to continually enhance products through constant innovation, thus improving the quality of life for our customers. Providing Enteral Feeding CPT is a list of descriptive terms and identifying numeric codes for medical services and procedures that are provided by physicians and health care professionals. American Medical Association, Intellectual.PropertyServices@ama-assn.org. CPT can no longer be served by BioPortal due to licensing constraints

G Tube replacement Medical Billing and Coding Forum - AAP

K94.20 is a billable diagnosis code used to specify a medical diagnosis of gastrostomy complication, unspecified. The code K94.20 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code K94.20 might also be used to specify conditions or terms like. School: School Year: SH - PPA -6008 PARENT PACKET - G-TUBE - PHYSICIAN ORDER FOR G-TUBE PROCEDURE Page 3 of 4 Physician Order and Parent/Guardian Authorization for G-TUBE FEEDING To be completed by the student's Physician and returned to School Health: Confidential FAX (859) 288-2313 or by mail

Fine needle aspiration (FNA) biopsies (CPT codes 10004-10012, and 10021) shall not be reported with a biopsy procedure code for the same lesion. For example, an FNA specimen is usually examined for adequacy when the specimen is aspirated. If the specimen is adequate for diagnosis, it is not necessary to obtain an additional biopsy specimen The. G Tube replacement | Medical Billing and Coding Forum - AAPC. 28.11.2014 · As per mkj2486, A mechanical complication would be if the G tube itself has a problem. In this case the patient is the problem. But even patient pull the G tube or the G tube is fell out (or as per the given info.) the G tube have complications & so replaced SuperCoder Member Login. Email/Username. Passwor

Laparoscopic G Tube Placement Cpt Code - 07/202

AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT Medical Billing and Coding Company. Outsource Strategies International is one of the leading medical billing and coding companies in the medical outsourcing space focused on all aspects of revenue cycle management which includes medical billing services, medical coding for ICD-10, CPT, HCPCS, HEDIS, coding review as well as insurance eligibility verifications and authorizations During the procedure, your doctor threads an instrument called an endoscope through your mouth and into your stomach. A camera on the end of the endoscope allows them to see the stomach lining to. 12Fr Replacement G-Tube, Straight: Each: M00582050: 14Fr Replacement G-Tube, Straight: Each: M00582060: 16Fr Replacement G-Tube, Straight: Enteral Feeding Coding and Payment Quick Reference Guide Physician & Patient Resources. Product Brochure. Indications, Safety, and Warnings ©2021 Boston Scientific Corporation or its affiliates. All.

Gastrostomy Tube Replacement Without Imaging - Find-A-Cod

A: 36581 is the CPT code for replacement, complete of a tunneled centrally inserted central venous catheter, without subcutaneous pot or pump, through same venous access. This catheter exchange procedure technique has been described utilizing the same subcutaneous tunnel and exit site or by creating a different tunnel exit site This Correct Coding and Billing publication is effective for claims with dates of service on or after November 12, 2020. Enteral nutrition is covered under the Prosthetic Device benefit (Social Security Act § 1861 (s) (8)). In order for a beneficiary's nutrition to be eligible for reimbursement the reasonable and necessary (R&N) requirements.

International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) ICD-10-PCS codes are used only for procedures performed in an inpatient setting, on or after October 1, 2015. Procedure and Service Codes Current Procedural Terminology (CPT) CPT is a medical code set maintained by the American Medical Association (AMA) Answer: Yes, there is no CCI edit for those two codes. In years past, I heard that some payers denied both on the same day but I don't hear that anymore. As for the E/M, it depends. If this is a planned procedure, do not bill an E/M. For example, at the patient's annual exam, she and the physician decided that the IUD would be replaced and is reported in addition to the diagnostic EP codes using CPT® code 93609 or 93613 for three-dimensional mapping. Special computer equipment is necessary for 3-D mapping. Catheter ablation procedures are performed to ablate the arrhythmia identified in an EP study. Specially designed ablatio

ACEP // NG Tube FA

2021 ICD-10-CM Code T85

Approximately 25 percent of the 2014 CPT code changes affect the field of GI, according to the American Medical Association. The additions below cover esophagoscopy, esophagogastroduodenoscopy, endoscopic retrograde cholangiopancreatography and image-guided fluid collection drainage by catheter. • Codes 43191-43918. • Codes 43211-43214 A4615. Transportation Services Including Ambulance, Medical & Surgical Supplies. A4615 is a valid 2021 HCPCS code for Cannula, nasal or just Cannula nasal for short, used in Lump sum purchase of DME, prosthetics, orthotics Published: June 10, 2021 Policies and procedures as of January 1, 2021 Version: 5.0 Revision History Arthroplasty (Artificial Disc) section, updated the Lumbar Arthroplasty section and procedure codes with policy indicators of 1, 2, or 3 to the multiple procedure methodology Once the tube is in place it will be secured to the abdominal wall and stomach. No stitches are needed. The procedure in Radiology, is performed while using x-rays to guide placement of the tube. The tube is placed with the use of T-fastner that hold the Stomach to the Abdominal wall for placement. These will need to be removed in 10-14 days

Up-to-Date Gastrostomy Tube Coding - Medical Coding Onlin

Pharmacy Procedure Codes Version 2021-2 Page 6 of 30 CODE DESCRIPTION QUANTITY and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4155* Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g. glucos Relative Placement of G-Tube and GJ- Tube Ports In the procedure known as percutaneous endoscopic gastrostomy or PEG-tube placement, a videoscope is passed through the mouth, down the esophagus, and into the stomach to guide the insertion of a tube through the abdominal wall accessing the stomach. PEG can be performed by a gastroenterologist or. HCPCS Codes - 2021 HCPCS Code List, Search. HCPCScodes.org. Codes: Lookup HCPCS Codes Quickly and Easily. HCPCScodes.org makes it simple to lookup and search medical billing codes. Our easy to navigate site includes all HCPCS codes and their descriptions. The alpha-numeric Level II HCPCS code set helps identify products, supplies and services.

433064009 - ICD 10 Codes, CPT Codes, HCPCS Codes, ICD 9 Code

CPT Code Code Descriptor 43253 Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a. Understanding CPT Codes . A CPT code is a five-digit numeric code with no decimal marks, although some have four numbers and one letter. Codes are uniquely assigned to different actions. While some may be used from time to time (or not at all by certain practitioners), others are used frequently (e.g., 99213 or 99214 for general check-ups) While the Coding Clinic guidance says that either condition — K92.0 or D68.32 — could be assigned first, depending on the focus of the admission, coding guidelines require both codes to be assigned before the adverse effect code. [I.C.19.e.5.a] Note that coding experts recommend coding the bleed (K code) before the D code A gastrostomy is a surgical procedure used to insert a tube, often referred to as a G-tube, through the abdomen and into the stomach. Gastrostomy is used to provide a route for tube feeding if needed for four weeks or longer, and/or to vent the stomach for air or drainage. Children may have this procedure if they are in need of an intestine.

Tip: Understand PEG tubes - www

02RF38Z is a valid billable ICD-10 procedure code for Replacement of Aortic Valve with Zooplastic Tissue, Percutaneous Approach.It is found in the 2021 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021 Skin Biopsy: In 2019, codes 11100 and 11101 have been deleted and replaced by6 new codes (11102-11107) for skin biopsy. The new codes, which are based on the thickness of the sample and the technique used, are as follows: 11102 Tangential biopsy of skin (e.g., shave, scoop, saucerize, curette) single lesion Dislodged G-tube. This is the most common complaint associated with g-tube evaluations in the ED. [Saavedra, 2009] Most are replaced by ED physicians without consultation or surgeons. [Saavedra, 2009] G-tube Malfunction. Clogged May be unclogged with warm water or diet soda infusion. [Willwerth, 2001] Leaky G-tube; Rupture Ballo

97.02 ICD-9 Vol 3 Code - Replacement of gastrostomy tub

R97.20 is a billable diagnosis code used to specify a medical diagnosis of elevated prostate specific antigen [psa]. The code R97.20 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions. The ICD-10-CM code R97.20 might also be used to specify conditions or terms. Some ICD-10-CM codes can map to a different clinical category from the default depending on a patient's prior inpatient procedure history. For these codes, a patient may be categorized into a surgical clinical category if the patient received a surgical procedure during the prior inpatient sta Description. Gastrostomy feeding tube (G-tube) insertion is done in part using a procedure called endoscopy. This is a way of looking inside the body using a flexible tube with a small camera on the end of it. The endoscope is inserted through the mouth and down the esophagus, which leads to the stomach A Look at the Codes In ICD-9-CM, if the NGT was used for feeding only, it was captured with ICD-9-CM code 96.6, enteral infusion of concentrated nutritional substances. In ICD-10, however, proper coding of NG feeding tube insertion requires coders to consider a few more details

2021 ICD-10-CM Diagnosis Code K94

A variety of g-tube designs have been used in pediatric to adult populations. The insertion of a g-tube is one of the most common endoscopic procedures and is relatively safe. The OSU endoscopy lab placed 381 g-tubes in 2018. The most common G-tube used by the OSU Endoscopy Lab is the Balloon Bolus feeding tube Percutaneous endoscopic gastrostomy (PEG) is a surgical procedure for placing a tube for feeding without having to perform an open operation on the abdomen (laparotomy). It is used in patients who will be unable to take in food by mouth for a prolonged period of time. A gastrostomy, or surgical opening into the stomach, is made through the skin. Nutrients with a different code (Parenteral Nutrition) No revised DIF needed if within range of code; For example: B4197 (74-100 grams of protein) Original order is for 80 grams of protein and subsequent order increased to 95 grams of protein, a revised DIF is not needed. Extend LON prescribed when previous LON has expire

Feeding tube insertion is also called percutaneous endoscopic gastrostomy (PEG), esophagogastroduodenoscopy (EGD), and G-tube insertion. This treatment is reserved for when you have trouble eating. Coding Root Operations with ICD-10-PCS: Understanding Drainage, Extirpation, and Fragmentation. By Kathryn DeVault, RHIA, CCS, CCS-P. Editor's note: This is the third in a series of 10 articles discussing the 31 root operations of ICD-10-PCS. The implementation of ICD-10-PCS will challenge the skills of coders-it contains many unique features. A percutaneous endoscopic gastrostomy (PEG) is a surgery to place a feeding tube. Feeding tubes, or PEG tubes, allow you to receive nutrition through your stomach. You may need a PEG tube if you have difficulty swallowing or can't get all the nutrition you need by mouth. Appointments 216.444.7000. Appointments & Locations Coding Ostomies in ICD-9 & ICD-10 1. Ostomy Cynthia Brown, MBA, RHIT, CCS Owner CyntCoding Health Information Services Coding Yesterday's Nomenclature Today® 2. Understanding is Vital Sometimes the difficulty in medical coding can be traced back to the lack of understanding of what is taking place during the encounter Your G-tube may move in and out slightly. If the tube comes out all the way in the first few weeks after placement, don't put it back in. Call your healthcare provider right away. Don't wait until the next day. This is important because the G-tube tract through the skin may close very quickly, often in 24 hours as a retrospective study using pediatric admissions during 1997, 2000, 2003, 2006, and 2009 from the Kids' Inpatient Database. Length of stay and cost were adjusted for demographics, complexity, setting, year, and infection or surgical complication. Results: G-tubes were placed during 64,412 admissions, increasing from 16.6 procedures/100,000 US children in 1997 to 18.5 in 2009. Surgical.