| A4928 | Surgical mask, per 20 |
| L3260 | Surgical boot/shoe, each |
| L5460 | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, above knee |
| L5450 | Immediate post surgical or early fitting, application of non-weight bearing rigid dressing, below knee |
| A4500 | Surgical stockings below knee length, each |
| L3209 | Surgical boot, each, child |
| A4461 | Surgical dressing holder, non-reusable, each |
| A4463 | Surgical dressing holder, reusable, each |
| L5400 | Immediate post surgical or early fitting, application of initial rigid dressing, including fitting, alignment, suspension, and one cast change, below knee |
| S0260 | History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service) |
| L3208 | Surgical boot, each, infant |
| G9311 | No surgical site infection |
| G9312 | Surgical site infection |
| L3211 | Surgical boot, each, junior |
| A4649 | Surgical supply; miscellaneous |
| M1193 | Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both |
| M1195 | Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry, msi by dna-based testing status, or both, reason not given |
| L6388 | Immediate post surgical or early fitting, application of rigid dressing only |
| A4510 | Surgical stockings full length, each |
| A4550 | Surgical trays |
