ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual |
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| MDC 05 Diseases & Disorders of the Circulatory System |
| Other Major Cardiovascular Procedures |
| Page 3 of 10 |
MAJOR CARDIOVASCULAR PROCEDURES (continued)
OPERATING ROOM PROCEDURES
02160Z7 02QL4ZZ 03V54ZZ 041C0A8 041E0JH 041J4KQ 04R207Z 05B43ZZ 06184K9 06RD0JZ
| 03V54ZZ | Restriction of Right Axillary Artery, Percutaneous Endoscopic Approach |
| 03V60DZ | Restriction of Left Axillary Artery with Intraluminal Device, Open Approach |
| 03V60ZZ | Restriction of Left Axillary Artery, Open Approach |
| 03V63DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Approach |
| 03V63ZZ | Restriction of Left Axillary Artery, Percutaneous Approach |
| 03V64DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V64ZZ | Restriction of Left Axillary Artery, Percutaneous Endoscopic Approach |
| 03V70DZ | Restriction of Right Brachial Artery with Intraluminal Device, Open Approach |
| 03V70ZZ | Restriction of Right Brachial Artery, Open Approach |
| 03V73DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V73ZZ | Restriction of Right Brachial Artery, Percutaneous Approach |
| 03V74DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V74ZZ | Restriction of Right Brachial Artery, Percutaneous Endoscopic Approach |
| 03V80DZ | Restriction of Left Brachial Artery with Intraluminal Device, Open Approach |
| 03V80ZZ | Restriction of Left Brachial Artery, Open Approach |
| 03V83DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V83ZZ | Restriction of Left Brachial Artery, Percutaneous Approach |
| 03V84DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V84ZZ | Restriction of Left Brachial Artery, Percutaneous Endoscopic Approach |
| 03V90DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Open Approach |
| 03V90ZZ | Restriction of Right Ulnar Artery, Open Approach |
| 03V93DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03V93ZZ | Restriction of Right Ulnar Artery, Percutaneous Approach |
| 03V94DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V94ZZ | Restriction of Right Ulnar Artery, Percutaneous Endoscopic Approach |
| 03VA0DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Open Approach |
| 03VA0ZZ | Restriction of Left Ulnar Artery, Open Approach |
| 03VA3DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03VA3ZZ | Restriction of Left Ulnar Artery, Percutaneous Approach |
| 03VA4DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VA4ZZ | Restriction of Left Ulnar Artery, Percutaneous Endoscopic Approach |
| 03VB0DZ | Restriction of Right Radial Artery with Intraluminal Device, Open Approach |
| 03VB0ZZ | Restriction of Right Radial Artery, Open Approach |
| 03VB3DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VB3ZZ | Restriction of Right Radial Artery, Percutaneous Approach |
| 03VB4DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VB4ZZ | Restriction of Right Radial Artery, Percutaneous Endoscopic Approach |
| 03VC0DZ | Restriction of Left Radial Artery with Intraluminal Device, Open Approach |
| 03VC0ZZ | Restriction of Left Radial Artery, Open Approach |
| 03VC3DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VC3ZZ | Restriction of Left Radial Artery, Percutaneous Approach |
| 03VC4DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VC4ZZ | Restriction of Left Radial Artery, Percutaneous Endoscopic Approach |
| 03VD0DZ | Restriction of Right Hand Artery with Intraluminal Device, Open Approach |
| 03VD0ZZ | Restriction of Right Hand Artery, Open Approach |
| 03VD3DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VD3ZZ | Restriction of Right Hand Artery, Percutaneous Approach |
| 03VD4DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VD4ZZ | Restriction of Right Hand Artery, Percutaneous Endoscopic Approach |
| 03VF0DZ | Restriction of Left Hand Artery with Intraluminal Device, Open Approach |
| 03VF0ZZ | Restriction of Left Hand Artery, Open Approach |
| 03VF3DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VF3ZZ | Restriction of Left Hand Artery, Percutaneous Approach |
| 03VF4DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VF4ZZ | Restriction of Left Hand Artery, Percutaneous Endoscopic Approach |
| 03VG0BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Open Approach |
| 03VG0DZ | Restriction of Intracranial Artery with Intraluminal Device, Open Approach |
| 03VG0ZZ | Restriction of Intracranial Artery, Open Approach |
| 03VG3BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VG3DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Approach |
| 03VG3ZZ | Restriction of Intracranial Artery, Percutaneous Approach |
| 03VG4BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG4DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG4ZZ | Restriction of Intracranial Artery, Percutaneous Endoscopic Approach |
| 03VH0BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VH0DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VH0ZZ | Restriction of Right Common Carotid Artery, Open Approach |
| 03VH3BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VH3DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VH3ZZ | Restriction of Right Common Carotid Artery, Percutaneous Approach |
| 03VH4BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH4DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH4ZZ | Restriction of Right Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03VJ0BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VJ0DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VJ0ZZ | Restriction of Left Common Carotid Artery, Open Approach |
| 03VJ3BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VJ3DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VJ3ZZ | Restriction of Left Common Carotid Artery, Percutaneous Approach |
| 03VJ4BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ4DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ4ZZ | Restriction of Left Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03VK0BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VK0DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VK0ZZ | Restriction of Right Internal Carotid Artery, Open Approach |
| 03VK3BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VK3DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VK3ZZ | Restriction of Right Internal Carotid Artery, Percutaneous Approach |
| 03VK4BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK4DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK4ZZ | Restriction of Right Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 03VL0BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VL0DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VL0ZZ | Restriction of Left Internal Carotid Artery, Open Approach |
| 03VL3BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VL3DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VL3ZZ | Restriction of Left Internal Carotid Artery, Percutaneous Approach |
| 03VL4BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL4DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL4ZZ | Restriction of Left Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 03VM0BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VM0DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Open Approach |
| 03VM0ZZ | Restriction of Right External Carotid Artery, Open Approach |
| 03VM3BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VM3DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VM3ZZ | Restriction of Right External Carotid Artery, Percutaneous Approach |
| 03VM4BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM4DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM4ZZ | Restriction of Right External Carotid Artery, Percutaneous Endoscopic Approach |
| 03VN0BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VN0DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Open Approach |
| 03VN0ZZ | Restriction of Left External Carotid Artery, Open Approach |
| 03VN3BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VN3DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VN3ZZ | Restriction of Left External Carotid Artery, Percutaneous Approach |
| 03VN4BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN4DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN4ZZ | Restriction of Left External Carotid Artery, Percutaneous Endoscopic Approach |
| 03VP0BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VP0DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Open Approach |
| 03VP0ZZ | Restriction of Right Vertebral Artery, Open Approach |
| 03VP3BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VP3DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VP3ZZ | Restriction of Right Vertebral Artery, Percutaneous Approach |
| 03VP4BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP4DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP4ZZ | Restriction of Right Vertebral Artery, Percutaneous Endoscopic Approach |
| 03VQ0BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VQ0DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Open Approach |
| 03VQ0ZZ | Restriction of Left Vertebral Artery, Open Approach |
| 03VQ3BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VQ3DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VQ3ZZ | Restriction of Left Vertebral Artery, Percutaneous Approach |
| 03VQ4BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ4DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ4ZZ | Restriction of Left Vertebral Artery, Percutaneous Endoscopic Approach |
| 03VR0DZ | Restriction of Face Artery with Intraluminal Device, Open Approach |
| 03VR0ZZ | Restriction of Face Artery, Open Approach |
| 03VR3DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Approach |
| 03VR3ZZ | Restriction of Face Artery, Percutaneous Approach |
| 03VR4DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VR4ZZ | Restriction of Face Artery, Percutaneous Endoscopic Approach |
| 03VS0DZ | Restriction of Right Temporal Artery with Intraluminal Device, Open Approach |
| 03VS0ZZ | Restriction of Right Temporal Artery, Open Approach |
| 03VS3DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VS3ZZ | Restriction of Right Temporal Artery, Percutaneous Approach |
| 03VS4DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VS4ZZ | Restriction of Right Temporal Artery, Percutaneous Endoscopic Approach |
| 03VT0DZ | Restriction of Left Temporal Artery with Intraluminal Device, Open Approach |
| 03VT0ZZ | Restriction of Left Temporal Artery, Open Approach |
| 03VT3DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VT3ZZ | Restriction of Left Temporal Artery, Percutaneous Approach |
| 03VT4DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VT4ZZ | Restriction of Left Temporal Artery, Percutaneous Endoscopic Approach |
| 03VU0DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Open Approach |
| 03VU0ZZ | Restriction of Right Thyroid Artery, Open Approach |
| 03VU3DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VU3ZZ | Restriction of Right Thyroid Artery, Percutaneous Approach |
| 03VU4DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VU4ZZ | Restriction of Right Thyroid Artery, Percutaneous Endoscopic Approach |
| 03VV0DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Open Approach |
| 03VV0ZZ | Restriction of Left Thyroid Artery, Open Approach |
| 03VV3DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VV3ZZ | Restriction of Left Thyroid Artery, Percutaneous Approach |
| 03VV4DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VV4ZZ | Restriction of Left Thyroid Artery, Percutaneous Endoscopic Approach |
| 03VY0DZ | Restriction of Upper Artery with Intraluminal Device, Open Approach |
| 03VY0ZZ | Restriction of Upper Artery, Open Approach |
| 03VY3DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach |
| 03VY3ZZ | Restriction of Upper Artery, Percutaneous Approach |
| 03VY4DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VY4ZZ | Restriction of Upper Artery, Percutaneous Endoscopic Approach |
| 0410090 | Bypass Abdominal Aorta to Abdominal Aorta with Autologous Venous Tissue, Open Approach |
| 0410091 | Bypass Abdominal Aorta to Celiac Artery with Autologous Venous Tissue, Open Approach |
| 0410092 | Bypass Abdominal Aorta to Mesenteric Artery with Autologous Venous Tissue, Open Approach |
| 0410096 | Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Venous Tissue, Open Approach |
| 0410097 | Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Venous Tissue, Open Approach |
| 0410098 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Venous Tissue, Open Approach |
| 0410099 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041009B | Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041009C | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Open Approach |
| 041009D | Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041009F | Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041009G | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Venous Tissue, Open Approach |
| 041009H | Bypass Abdominal Aorta to Right Femoral Artery with Autologous Venous Tissue, Open Approach |
| 041009J | Bypass Abdominal Aorta to Left Femoral Artery with Autologous Venous Tissue, Open Approach |
| 041009K | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach |
| 041009Q | Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Venous Tissue, Open Approach |
| 041009R | Bypass Abdominal Aorta to Lower Artery with Autologous Venous Tissue, Open Approach |
| 04100A0 | Bypass Abdominal Aorta to Abdominal Aorta with Autologous Arterial Tissue, Open Approach |
| 04100A1 | Bypass Abdominal Aorta to Celiac Artery with Autologous Arterial Tissue, Open Approach |
| 04100A2 | Bypass Abdominal Aorta to Mesenteric Artery with Autologous Arterial Tissue, Open Approach |
| 04100A6 | Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Arterial Tissue, Open Approach |
| 04100A7 | Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Arterial Tissue, Open Approach |
| 04100A8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Arterial Tissue, Open Approach |
| 04100A9 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Arterial Tissue, Open Approach |
| 04100AB | Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Arterial Tissue, Open Approach |
| 04100AC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Arterial Tissue, Open Approach |
| 04100AD | Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Arterial Tissue, Open Approach |
| 04100AF | Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Arterial Tissue, Open Approach |
| 04100AG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Arterial Tissue, Open Approach |
| 04100AH | Bypass Abdominal Aorta to Right Femoral Artery with Autologous Arterial Tissue, Open Approach |
| 04100AJ | Bypass Abdominal Aorta to Left Femoral Artery with Autologous Arterial Tissue, Open Approach |
| 04100AK | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach |
| 04100AQ | Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Arterial Tissue, Open Approach |
| 04100AR | Bypass Abdominal Aorta to Lower Artery with Autologous Arterial Tissue, Open Approach |
| 04100J0 | Bypass Abdominal Aorta to Abdominal Aorta with Synthetic Substitute, Open Approach |
| 04100J1 | Bypass Abdominal Aorta to Celiac Artery with Synthetic Substitute, Open Approach |
| 04100J2 | Bypass Abdominal Aorta to Mesenteric Artery with Synthetic Substitute, Open Approach |
| 04100J6 | Bypass Abdominal Aorta to Right Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04100J7 | Bypass Abdominal Aorta to Left Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04100J8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Synthetic Substitute, Open Approach |
| 04100J9 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04100JB | Bypass Abdominal Aorta to Left Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04100JC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Open Approach |
| 04100JD | Bypass Abdominal Aorta to Right External Iliac Artery with Synthetic Substitute, Open Approach |
| 04100JF | Bypass Abdominal Aorta to Left External Iliac Artery with Synthetic Substitute, Open Approach |
| 04100JG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Synthetic Substitute, Open Approach |
| 04100JH | Bypass Abdominal Aorta to Right Femoral Artery with Synthetic Substitute, Open Approach |
| 04100JJ | Bypass Abdominal Aorta to Left Femoral Artery with Synthetic Substitute, Open Approach |
| 04100JK | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach |
| 04100JQ | Bypass Abdominal Aorta to Lower Extremity Artery with Synthetic Substitute, Open Approach |
| 04100JR | Bypass Abdominal Aorta to Lower Artery with Synthetic Substitute, Open Approach |
| 04100K0 | Bypass Abdominal Aorta to Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach |
| 04100K1 | Bypass Abdominal Aorta to Celiac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K2 | Bypass Abdominal Aorta to Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K6 | Bypass Abdominal Aorta to Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K7 | Bypass Abdominal Aorta to Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Open Approach |
| 04100K9 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100KB | Bypass Abdominal Aorta to Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100KC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Nonautologous Tissue Substitute, Open Approach |
| 04100KD | Bypass Abdominal Aorta to Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100KF | Bypass Abdominal Aorta to Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100KG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Nonautologous Tissue Substitute, Open Approach |
| 04100KH | Bypass Abdominal Aorta to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100KJ | Bypass Abdominal Aorta to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100KK | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach |
| 04100KQ | Bypass Abdominal Aorta to Lower Extremity Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100KR | Bypass Abdominal Aorta to Lower Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100Z0 | Bypass Abdominal Aorta to Abdominal Aorta, Open Approach |
| 04100Z1 | Bypass Abdominal Aorta to Celiac Artery, Open Approach |
| 04100Z2 | Bypass Abdominal Aorta to Mesenteric Artery, Open Approach |
| 04100Z6 | Bypass Abdominal Aorta to Right Common Iliac Artery, Open Approach |
| 04100Z7 | Bypass Abdominal Aorta to Left Common Iliac Artery, Open Approach |
| 04100Z8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries, Open Approach |
| 04100Z9 | Bypass Abdominal Aorta to Right Internal Iliac Artery, Open Approach |
| 04100ZB | Bypass Abdominal Aorta to Left Internal Iliac Artery, Open Approach |
| 04100ZC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries, Open Approach |
| 04100ZD | Bypass Abdominal Aorta to Right External Iliac Artery, Open Approach |
| 04100ZF | Bypass Abdominal Aorta to Left External Iliac Artery, Open Approach |
| 04100ZG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries, Open Approach |
| 04100ZH | Bypass Abdominal Aorta to Right Femoral Artery, Open Approach |
| 04100ZJ | Bypass Abdominal Aorta to Left Femoral Artery, Open Approach |
| 04100ZK | Bypass Abdominal Aorta to Bilateral Femoral Arteries, Open Approach |
| 04100ZQ | Bypass Abdominal Aorta to Lower Extremity Artery, Open Approach |
| 04100ZR | Bypass Abdominal Aorta to Lower Artery, Open Approach |
| 0410490 | Bypass Abdominal Aorta to Abdominal Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410491 | Bypass Abdominal Aorta to Celiac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410492 | Bypass Abdominal Aorta to Mesenteric Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410496 | Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410497 | Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410498 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410499 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049B | Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049C | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049D | Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049F | Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049G | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049H | Bypass Abdominal Aorta to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049J | Bypass Abdominal Aorta to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049K | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049Q | Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041049R | Bypass Abdominal Aorta to Lower Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04104A0 | Bypass Abdominal Aorta to Abdominal Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A1 | Bypass Abdominal Aorta to Celiac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A2 | Bypass Abdominal Aorta to Mesenteric Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A6 | Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A7 | Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A9 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AB | Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AD | Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AF | Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AH | Bypass Abdominal Aorta to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AJ | Bypass Abdominal Aorta to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AK | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AQ | Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104AR | Bypass Abdominal Aorta to Lower Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104J0 | Bypass Abdominal Aorta to Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J1 | Bypass Abdominal Aorta to Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J2 | Bypass Abdominal Aorta to Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J6 | Bypass Abdominal Aorta to Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J7 | Bypass Abdominal Aorta to Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J9 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JB | Bypass Abdominal Aorta to Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JD | Bypass Abdominal Aorta to Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JF | Bypass Abdominal Aorta to Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JH | Bypass Abdominal Aorta to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JJ | Bypass Abdominal Aorta to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JK | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JQ | Bypass Abdominal Aorta to Lower Extremity Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104JR | Bypass Abdominal Aorta to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104K0 | Bypass Abdominal Aorta to Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K1 | Bypass Abdominal Aorta to Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K2 | Bypass Abdominal Aorta to Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K6 | Bypass Abdominal Aorta to Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K7 | Bypass Abdominal Aorta to Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K9 | Bypass Abdominal Aorta to Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KB | Bypass Abdominal Aorta to Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KD | Bypass Abdominal Aorta to Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KF | Bypass Abdominal Aorta to Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KH | Bypass Abdominal Aorta to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KJ | Bypass Abdominal Aorta to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KK | Bypass Abdominal Aorta to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KQ | Bypass Abdominal Aorta to Lower Extremity Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104KR | Bypass Abdominal Aorta to Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104Z0 | Bypass Abdominal Aorta to Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04104Z1 | Bypass Abdominal Aorta to Celiac Artery, Percutaneous Endoscopic Approach |
| 04104Z2 | Bypass Abdominal Aorta to Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04104Z6 | Bypass Abdominal Aorta to Right Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04104Z7 | Bypass Abdominal Aorta to Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04104Z8 | Bypass Abdominal Aorta to Bilateral Common Iliac Arteries, Percutaneous Endoscopic Approach |
| 04104Z9 | Bypass Abdominal Aorta to Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04104ZB | Bypass Abdominal Aorta to Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04104ZC | Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries, Percutaneous Endoscopic Approach |
| 04104ZD | Bypass Abdominal Aorta to Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04104ZF | Bypass Abdominal Aorta to Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04104ZG | Bypass Abdominal Aorta to Bilateral External Iliac Arteries, Percutaneous Endoscopic Approach |
| 04104ZH | Bypass Abdominal Aorta to Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04104ZJ | Bypass Abdominal Aorta to Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04104ZK | Bypass Abdominal Aorta to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach |
| 04104ZQ | Bypass Abdominal Aorta to Lower Extremity Artery, Percutaneous Endoscopic Approach |
| 04104ZR | Bypass Abdominal Aorta to Lower Artery, Percutaneous Endoscopic Approach |
| 0414093 | Bypass Splenic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0414094 | Bypass Splenic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0414095 | Bypass Splenic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 04140A3 | Bypass Splenic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04140A4 | Bypass Splenic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04140A5 | Bypass Splenic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04140J3 | Bypass Splenic Artery to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04140J4 | Bypass Splenic Artery to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04140J5 | Bypass Splenic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04140K3 | Bypass Splenic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04140K4 | Bypass Splenic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04140K5 | Bypass Splenic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04140Z3 | Bypass Splenic Artery to Right Renal Artery, Open Approach |
| 04140Z4 | Bypass Splenic Artery to Left Renal Artery, Open Approach |
| 04140Z5 | Bypass Splenic Artery to Bilateral Renal Artery, Open Approach |
| 0414493 | Bypass Splenic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0414494 | Bypass Splenic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0414495 | Bypass Splenic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04144A3 | Bypass Splenic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04144A4 | Bypass Splenic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04144A5 | Bypass Splenic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04144J3 | Bypass Splenic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04144J4 | Bypass Splenic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04144J5 | Bypass Splenic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04144K3 | Bypass Splenic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04144K4 | Bypass Splenic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04144K5 | Bypass Splenic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04144Z3 | Bypass Splenic Artery to Right Renal Artery, Percutaneous Endoscopic Approach |
| 04144Z4 | Bypass Splenic Artery to Left Renal Artery, Percutaneous Endoscopic Approach |
| 04144Z5 | Bypass Splenic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach |
| 041C090 | Bypass Right Common Iliac Artery to Abdominal Aorta with Autologous Venous Tissue, Open Approach |
| 041C091 | Bypass Right Common Iliac Artery to Celiac Artery with Autologous Venous Tissue, Open Approach |
| 041C092 | Bypass Right Common Iliac Artery to Mesenteric Artery with Autologous Venous Tissue, Open Approach |
| 041C093 | Bypass Right Common Iliac Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 041C094 | Bypass Right Common Iliac Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 041C095 | Bypass Right Common Iliac Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 041C096 | Bypass Right Common Iliac Artery to Right Common Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041C097 | Bypass Right Common Iliac Artery to Left Common Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041C098 | Bypass Right Common Iliac Artery to Bilateral Common Iliac Arteries with Autologous Venous Tissue, Open Approach |
| 041C099 | Bypass Right Common Iliac Artery to Right Internal Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041C09B | Bypass Right Common Iliac Artery to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041C09C | Bypass Right Common Iliac Artery to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Open Approach |
| 041C09D | Bypass Right Common Iliac Artery to Right External Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041C09F | Bypass Right Common Iliac Artery to Left External Iliac Artery with Autologous Venous Tissue, Open Approach |
| 041C09G | Bypass Right Common Iliac Artery to Bilateral External Iliac Arteries with Autologous Venous Tissue, Open Approach |
| 041C09H | Bypass Right Common Iliac Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach |
| 041C09J | Bypass Right Common Iliac Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach |
| 041C09K | Bypass Right Common Iliac Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach |
| 041C09Q | Bypass Right Common Iliac Artery to Lower Extremity Artery with Autologous Venous Tissue, Open Approach |
| 041C09R | Bypass Right Common Iliac Artery to Lower Artery with Autologous Venous Tissue, Open Approach |
| 041C0A0 | Bypass Right Common Iliac Artery to Abdominal Aorta with Autologous Arterial Tissue, Open Approach |
| 041C0A1 | Bypass Right Common Iliac Artery to Celiac Artery with Autologous Arterial Tissue, Open Approach |
| 041C0A2 | Bypass Right Common Iliac Artery to Mesenteric Artery with Autologous Arterial Tissue, Open Approach |
| 041C0A3 | Bypass Right Common Iliac Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 041C0A4 | Bypass Right Common Iliac Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 041C0A5 | Bypass Right Common Iliac Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 041C0A6 | Bypass Right Common Iliac Artery to Right Common Iliac Artery with Autologous Arterial Tissue, Open Approach |
| 041C0A7 | Bypass Right Common Iliac Artery to Left Common Iliac Artery with Autologous Arterial Tissue, Open Approach |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 02 Nov 2016 09:53:07 PROD, CMS, code-revision=31, description-revision=86 |