ICD-10-CM/PCS MS-DRG v34.0 Definitions Manual

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Appendix F Unrelated Operating Room Procedures (MS-DRGs 981-989)
Non-extensive Procedure Unrelated to Principal Diagnosis
Page 2 of 25

ONLY OPERATING ROOM PROCEDURES (continued)

03B00ZXExcision of Right Internal Mammary Artery, Open Approach, Diagnostic
03B03ZXExcision of Right Internal Mammary Artery, Percutaneous Approach, Diagnostic
03B04ZXExcision of Right Internal Mammary Artery, Percutaneous Endoscopic Approach, Diagnostic
03B10ZXExcision of Left Internal Mammary Artery, Open Approach, Diagnostic
03B13ZXExcision of Left Internal Mammary Artery, Percutaneous Approach, Diagnostic
03B14ZXExcision of Left Internal Mammary Artery, Percutaneous Endoscopic Approach, Diagnostic
03B20ZXExcision of Innominate Artery, Open Approach, Diagnostic
03B23ZXExcision of Innominate Artery, Percutaneous Approach, Diagnostic
03B24ZXExcision of Innominate Artery, Percutaneous Endoscopic Approach, Diagnostic
03B30ZXExcision of Right Subclavian Artery, Open Approach, Diagnostic
03B33ZXExcision of Right Subclavian Artery, Percutaneous Approach, Diagnostic
03B34ZXExcision of Right Subclavian Artery, Percutaneous Endoscopic Approach, Diagnostic
03B40ZXExcision of Left Subclavian Artery, Open Approach, Diagnostic
03B43ZXExcision of Left Subclavian Artery, Percutaneous Approach, Diagnostic
03B44ZXExcision of Left Subclavian Artery, Percutaneous Endoscopic Approach, Diagnostic
03B50ZXExcision of Right Axillary Artery, Open Approach, Diagnostic
03B53ZXExcision of Right Axillary Artery, Percutaneous Approach, Diagnostic
03B54ZXExcision of Right Axillary Artery, Percutaneous Endoscopic Approach, Diagnostic
03B60ZXExcision of Left Axillary Artery, Open Approach, Diagnostic
03B63ZXExcision of Left Axillary Artery, Percutaneous Approach, Diagnostic
03B64ZXExcision of Left Axillary Artery, Percutaneous Endoscopic Approach, Diagnostic
03B70ZXExcision of Right Brachial Artery, Open Approach, Diagnostic
03B73ZXExcision of Right Brachial Artery, Percutaneous Approach, Diagnostic
03B74ZXExcision of Right Brachial Artery, Percutaneous Endoscopic Approach, Diagnostic
03B80ZXExcision of Left Brachial Artery, Open Approach, Diagnostic
03B83ZXExcision of Left Brachial Artery, Percutaneous Approach, Diagnostic
03B84ZXExcision of Left Brachial Artery, Percutaneous Endoscopic Approach, Diagnostic
03B90ZXExcision of Right Ulnar Artery, Open Approach, Diagnostic
03B93ZXExcision of Right Ulnar Artery, Percutaneous Approach, Diagnostic
03B94ZXExcision of Right Ulnar Artery, Percutaneous Endoscopic Approach, Diagnostic
03BA0ZXExcision of Left Ulnar Artery, Open Approach, Diagnostic
03BA3ZXExcision of Left Ulnar Artery, Percutaneous Approach, Diagnostic
03BA4ZXExcision of Left Ulnar Artery, Percutaneous Endoscopic Approach, Diagnostic
03BB0ZXExcision of Right Radial Artery, Open Approach, Diagnostic
03BB3ZXExcision of Right Radial Artery, Percutaneous Approach, Diagnostic
03BB4ZXExcision of Right Radial Artery, Percutaneous Endoscopic Approach, Diagnostic
03BC0ZXExcision of Left Radial Artery, Open Approach, Diagnostic
03BC3ZXExcision of Left Radial Artery, Percutaneous Approach, Diagnostic
03BC4ZXExcision of Left Radial Artery, Percutaneous Endoscopic Approach, Diagnostic
03BD0ZXExcision of Right Hand Artery, Open Approach, Diagnostic
03BD3ZXExcision of Right Hand Artery, Percutaneous Approach, Diagnostic
03BD4ZXExcision of Right Hand Artery, Percutaneous Endoscopic Approach, Diagnostic
03BF0ZXExcision of Left Hand Artery, Open Approach, Diagnostic
03BF3ZXExcision of Left Hand Artery, Percutaneous Approach, Diagnostic
03BF4ZXExcision of Left Hand Artery, Percutaneous Endoscopic Approach, Diagnostic
03BG0ZXExcision of Intracranial Artery, Open Approach, Diagnostic
03BG3ZXExcision of Intracranial Artery, Percutaneous Approach, Diagnostic
03BG4ZXExcision of Intracranial Artery, Percutaneous Endoscopic Approach, Diagnostic
03BH0ZXExcision of Right Common Carotid Artery, Open Approach, Diagnostic
03BH3ZXExcision of Right Common Carotid Artery, Percutaneous Approach, Diagnostic
03BH4ZXExcision of Right Common Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BJ0ZXExcision of Left Common Carotid Artery, Open Approach, Diagnostic
03BJ3ZXExcision of Left Common Carotid Artery, Percutaneous Approach, Diagnostic
03BJ4ZXExcision of Left Common Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BK0ZXExcision of Right Internal Carotid Artery, Open Approach, Diagnostic
03BK3ZXExcision of Right Internal Carotid Artery, Percutaneous Approach, Diagnostic
03BK4ZXExcision of Right Internal Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BL0ZXExcision of Left Internal Carotid Artery, Open Approach, Diagnostic
03BL3ZXExcision of Left Internal Carotid Artery, Percutaneous Approach, Diagnostic
03BL4ZXExcision of Left Internal Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BM0ZXExcision of Right External Carotid Artery, Open Approach, Diagnostic
03BM3ZXExcision of Right External Carotid Artery, Percutaneous Approach, Diagnostic
03BM4ZXExcision of Right External Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BN0ZXExcision of Left External Carotid Artery, Open Approach, Diagnostic
03BN3ZXExcision of Left External Carotid Artery, Percutaneous Approach, Diagnostic
03BN4ZXExcision of Left External Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BP0ZXExcision of Right Vertebral Artery, Open Approach, Diagnostic
03BP3ZXExcision of Right Vertebral Artery, Percutaneous Approach, Diagnostic
03BP4ZXExcision of Right Vertebral Artery, Percutaneous Endoscopic Approach, Diagnostic
03BQ0ZXExcision of Left Vertebral Artery, Open Approach, Diagnostic
03BQ3ZXExcision of Left Vertebral Artery, Percutaneous Approach, Diagnostic
03BQ4ZXExcision of Left Vertebral Artery, Percutaneous Endoscopic Approach, Diagnostic
03BR0ZXExcision of Face Artery, Open Approach, Diagnostic
03BR3ZXExcision of Face Artery, Percutaneous Approach, Diagnostic
03BR4ZXExcision of Face Artery, Percutaneous Endoscopic Approach, Diagnostic
03BS0ZXExcision of Right Temporal Artery, Open Approach, Diagnostic
03BS3ZXExcision of Right Temporal Artery, Percutaneous Approach, Diagnostic
03BS4ZXExcision of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic
03BT0ZXExcision of Left Temporal Artery, Open Approach, Diagnostic
03BT3ZXExcision of Left Temporal Artery, Percutaneous Approach, Diagnostic
03BT4ZXExcision of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic
03BU0ZXExcision of Right Thyroid Artery, Open Approach, Diagnostic
03BU3ZXExcision of Right Thyroid Artery, Percutaneous Approach, Diagnostic
03BU4ZXExcision of Right Thyroid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BV0ZXExcision of Left Thyroid Artery, Open Approach, Diagnostic
03BV3ZXExcision of Left Thyroid Artery, Percutaneous Approach, Diagnostic
03BV4ZXExcision of Left Thyroid Artery, Percutaneous Endoscopic Approach, Diagnostic
03BY0ZXExcision of Upper Artery, Open Approach, Diagnostic
03BY3ZXExcision of Upper Artery, Percutaneous Approach, Diagnostic
03BY4ZXExcision of Upper Artery, Percutaneous Endoscopic Approach, Diagnostic
03WY07ZRevision of Autologous Tissue Substitute in Upper Artery, Open Approach
03WY0KZRevision of Nonautologous Tissue Substitute in Upper Artery, Open Approach
03WY37ZRevision of Autologous Tissue Substitute in Upper Artery, Percutaneous Approach
03WY3KZRevision of Nonautologous Tissue Substitute in Upper Artery, Percutaneous Approach
03WY47ZRevision of Autologous Tissue Substitute in Upper Artery, Percutaneous Endoscopic Approach
03WY4KZRevision of Nonautologous Tissue Substitute in Upper Artery, Percutaneous Endoscopic Approach
04900ZXDrainage of Abdominal Aorta, Open Approach, Diagnostic
04903ZXDrainage of Abdominal Aorta, Percutaneous Approach, Diagnostic
04904ZXDrainage of Abdominal Aorta, Percutaneous Endoscopic Approach, Diagnostic
04910ZXDrainage of Celiac Artery, Open Approach, Diagnostic
04913ZXDrainage of Celiac Artery, Percutaneous Approach, Diagnostic
04914ZXDrainage of Celiac Artery, Percutaneous Endoscopic Approach, Diagnostic
04920ZXDrainage of Gastric Artery, Open Approach, Diagnostic
04923ZXDrainage of Gastric Artery, Percutaneous Approach, Diagnostic
04924ZXDrainage of Gastric Artery, Percutaneous Endoscopic Approach, Diagnostic
04930ZXDrainage of Hepatic Artery, Open Approach, Diagnostic
04933ZXDrainage of Hepatic Artery, Percutaneous Approach, Diagnostic
04934ZXDrainage of Hepatic Artery, Percutaneous Endoscopic Approach, Diagnostic
04940ZXDrainage of Splenic Artery, Open Approach, Diagnostic
04943ZXDrainage of Splenic Artery, Percutaneous Approach, Diagnostic
04944ZXDrainage of Splenic Artery, Percutaneous Endoscopic Approach, Diagnostic
04950ZXDrainage of Superior Mesenteric Artery, Open Approach, Diagnostic
04953ZXDrainage of Superior Mesenteric Artery, Percutaneous Approach, Diagnostic
04954ZXDrainage of Superior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic
04960ZXDrainage of Right Colic Artery, Open Approach, Diagnostic
04963ZXDrainage of Right Colic Artery, Percutaneous Approach, Diagnostic
04964ZXDrainage of Right Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04970ZXDrainage of Left Colic Artery, Open Approach, Diagnostic
04973ZXDrainage of Left Colic Artery, Percutaneous Approach, Diagnostic
04974ZXDrainage of Left Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04980ZXDrainage of Middle Colic Artery, Open Approach, Diagnostic
04983ZXDrainage of Middle Colic Artery, Percutaneous Approach, Diagnostic
04984ZXDrainage of Middle Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04990ZXDrainage of Right Renal Artery, Open Approach, Diagnostic
04993ZXDrainage of Right Renal Artery, Percutaneous Approach, Diagnostic
04994ZXDrainage of Right Renal Artery, Percutaneous Endoscopic Approach, Diagnostic
049A0ZXDrainage of Left Renal Artery, Open Approach, Diagnostic
049A3ZXDrainage of Left Renal Artery, Percutaneous Approach, Diagnostic
049A4ZXDrainage of Left Renal Artery, Percutaneous Endoscopic Approach, Diagnostic
049B0ZXDrainage of Inferior Mesenteric Artery, Open Approach, Diagnostic
049B3ZXDrainage of Inferior Mesenteric Artery, Percutaneous Approach, Diagnostic
049B4ZXDrainage of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic
049C0ZXDrainage of Right Common Iliac Artery, Open Approach, Diagnostic
049C3ZXDrainage of Right Common Iliac Artery, Percutaneous Approach, Diagnostic
049C4ZXDrainage of Right Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
049D0ZXDrainage of Left Common Iliac Artery, Open Approach, Diagnostic
049D3ZXDrainage of Left Common Iliac Artery, Percutaneous Approach, Diagnostic
049D4ZXDrainage of Left Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
049E0ZXDrainage of Right Internal Iliac Artery, Open Approach, Diagnostic
049E3ZXDrainage of Right Internal Iliac Artery, Percutaneous Approach, Diagnostic
049E4ZXDrainage of Right Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
049F0ZXDrainage of Left Internal Iliac Artery, Open Approach, Diagnostic
049F3ZXDrainage of Left Internal Iliac Artery, Percutaneous Approach, Diagnostic
049F4ZXDrainage of Left Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
049H0ZXDrainage of Right External Iliac Artery, Open Approach, Diagnostic
049H3ZXDrainage of Right External Iliac Artery, Percutaneous Approach, Diagnostic
049H4ZXDrainage of Right External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
049J0ZXDrainage of Left External Iliac Artery, Open Approach, Diagnostic
049J3ZXDrainage of Left External Iliac Artery, Percutaneous Approach, Diagnostic
049J4ZXDrainage of Left External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
049K0ZXDrainage of Right Femoral Artery, Open Approach, Diagnostic
049K3ZXDrainage of Right Femoral Artery, Percutaneous Approach, Diagnostic
049K4ZXDrainage of Right Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic
049L0ZXDrainage of Left Femoral Artery, Open Approach, Diagnostic
049L3ZXDrainage of Left Femoral Artery, Percutaneous Approach, Diagnostic
049L4ZXDrainage of Left Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic
049M0ZXDrainage of Right Popliteal Artery, Open Approach, Diagnostic
049M3ZXDrainage of Right Popliteal Artery, Percutaneous Approach, Diagnostic
049M4ZXDrainage of Right Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic
049N0ZXDrainage of Left Popliteal Artery, Open Approach, Diagnostic
049N3ZXDrainage of Left Popliteal Artery, Percutaneous Approach, Diagnostic
049N4ZXDrainage of Left Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic
049P0ZXDrainage of Right Anterior Tibial Artery, Open Approach, Diagnostic
049P3ZXDrainage of Right Anterior Tibial Artery, Percutaneous Approach, Diagnostic
049P4ZXDrainage of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
049Q0ZXDrainage of Left Anterior Tibial Artery, Open Approach, Diagnostic
049Q3ZXDrainage of Left Anterior Tibial Artery, Percutaneous Approach, Diagnostic
049Q4ZXDrainage of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
049R0ZXDrainage of Right Posterior Tibial Artery, Open Approach, Diagnostic
049R3ZXDrainage of Right Posterior Tibial Artery, Percutaneous Approach, Diagnostic
049R4ZXDrainage of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
049S0ZXDrainage of Left Posterior Tibial Artery, Open Approach, Diagnostic
049S3ZXDrainage of Left Posterior Tibial Artery, Percutaneous Approach, Diagnostic
049S4ZXDrainage of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
049T0ZXDrainage of Right Peroneal Artery, Open Approach, Diagnostic
049T3ZXDrainage of Right Peroneal Artery, Percutaneous Approach, Diagnostic
049T4ZXDrainage of Right Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic
049U0ZXDrainage of Left Peroneal Artery, Open Approach, Diagnostic
049U3ZXDrainage of Left Peroneal Artery, Percutaneous Approach, Diagnostic
049U4ZXDrainage of Left Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic
049V0ZXDrainage of Right Foot Artery, Open Approach, Diagnostic
049V3ZXDrainage of Right Foot Artery, Percutaneous Approach, Diagnostic
049V4ZXDrainage of Right Foot Artery, Percutaneous Endoscopic Approach, Diagnostic
049W0ZXDrainage of Left Foot Artery, Open Approach, Diagnostic
049W3ZXDrainage of Left Foot Artery, Percutaneous Approach, Diagnostic
049W4ZXDrainage of Left Foot Artery, Percutaneous Endoscopic Approach, Diagnostic
049Y0ZXDrainage of Lower Artery, Open Approach, Diagnostic
049Y3ZXDrainage of Lower Artery, Percutaneous Approach, Diagnostic
049Y4ZXDrainage of Lower Artery, Percutaneous Endoscopic Approach, Diagnostic
04B00ZXExcision of Abdominal Aorta, Open Approach, Diagnostic
04B03ZXExcision of Abdominal Aorta, Percutaneous Approach, Diagnostic
04B04ZXExcision of Abdominal Aorta, Percutaneous Endoscopic Approach, Diagnostic
04B10ZXExcision of Celiac Artery, Open Approach, Diagnostic
04B13ZXExcision of Celiac Artery, Percutaneous Approach, Diagnostic
04B14ZXExcision of Celiac Artery, Percutaneous Endoscopic Approach, Diagnostic
04B20ZXExcision of Gastric Artery, Open Approach, Diagnostic
04B23ZXExcision of Gastric Artery, Percutaneous Approach, Diagnostic
04B24ZXExcision of Gastric Artery, Percutaneous Endoscopic Approach, Diagnostic
04B30ZXExcision of Hepatic Artery, Open Approach, Diagnostic
04B33ZXExcision of Hepatic Artery, Percutaneous Approach, Diagnostic
04B34ZXExcision of Hepatic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B40ZXExcision of Splenic Artery, Open Approach, Diagnostic
04B43ZXExcision of Splenic Artery, Percutaneous Approach, Diagnostic
04B44ZXExcision of Splenic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B50ZXExcision of Superior Mesenteric Artery, Open Approach, Diagnostic
04B53ZXExcision of Superior Mesenteric Artery, Percutaneous Approach, Diagnostic
04B54ZXExcision of Superior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic
04B60ZXExcision of Right Colic Artery, Open Approach, Diagnostic
04B63ZXExcision of Right Colic Artery, Percutaneous Approach, Diagnostic
04B64ZXExcision of Right Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B70ZXExcision of Left Colic Artery, Open Approach, Diagnostic
04B73ZXExcision of Left Colic Artery, Percutaneous Approach, Diagnostic
04B74ZXExcision of Left Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B80ZXExcision of Middle Colic Artery, Open Approach, Diagnostic
04B83ZXExcision of Middle Colic Artery, Percutaneous Approach, Diagnostic
04B84ZXExcision of Middle Colic Artery, Percutaneous Endoscopic Approach, Diagnostic
04B90ZXExcision of Right Renal Artery, Open Approach, Diagnostic
04B93ZXExcision of Right Renal Artery, Percutaneous Approach, Diagnostic
04B94ZXExcision of Right Renal Artery, Percutaneous Endoscopic Approach, Diagnostic
04BA0ZXExcision of Left Renal Artery, Open Approach, Diagnostic
04BA3ZXExcision of Left Renal Artery, Percutaneous Approach, Diagnostic
04BA4ZXExcision of Left Renal Artery, Percutaneous Endoscopic Approach, Diagnostic
04BB0ZXExcision of Inferior Mesenteric Artery, Open Approach, Diagnostic
04BB3ZXExcision of Inferior Mesenteric Artery, Percutaneous Approach, Diagnostic
04BB4ZXExcision of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic
04BC0ZXExcision of Right Common Iliac Artery, Open Approach, Diagnostic
04BC3ZXExcision of Right Common Iliac Artery, Percutaneous Approach, Diagnostic
04BC4ZXExcision of Right Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
04BD0ZXExcision of Left Common Iliac Artery, Open Approach, Diagnostic
04BD3ZXExcision of Left Common Iliac Artery, Percutaneous Approach, Diagnostic
04BD4ZXExcision of Left Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
04BE0ZXExcision of Right Internal Iliac Artery, Open Approach, Diagnostic
04BE3ZXExcision of Right Internal Iliac Artery, Percutaneous Approach, Diagnostic
04BE4ZXExcision of Right Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
04BF0ZXExcision of Left Internal Iliac Artery, Open Approach, Diagnostic
04BF3ZXExcision of Left Internal Iliac Artery, Percutaneous Approach, Diagnostic
04BF4ZXExcision of Left Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
04BH0ZXExcision of Right External Iliac Artery, Open Approach, Diagnostic
04BH3ZXExcision of Right External Iliac Artery, Percutaneous Approach, Diagnostic
04BH4ZXExcision of Right External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
04BJ0ZXExcision of Left External Iliac Artery, Open Approach, Diagnostic
04BJ3ZXExcision of Left External Iliac Artery, Percutaneous Approach, Diagnostic
04BJ4ZXExcision of Left External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic
04BK0ZXExcision of Right Femoral Artery, Open Approach, Diagnostic
04BK3ZXExcision of Right Femoral Artery, Percutaneous Approach, Diagnostic
04BK4ZXExcision of Right Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic
04BL0ZXExcision of Left Femoral Artery, Open Approach, Diagnostic
04BL3ZXExcision of Left Femoral Artery, Percutaneous Approach, Diagnostic
04BL4ZXExcision of Left Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic
04BM0ZXExcision of Right Popliteal Artery, Open Approach, Diagnostic
04BM3ZXExcision of Right Popliteal Artery, Percutaneous Approach, Diagnostic
04BM4ZXExcision of Right Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic
04BN0ZXExcision of Left Popliteal Artery, Open Approach, Diagnostic
04BN3ZXExcision of Left Popliteal Artery, Percutaneous Approach, Diagnostic
04BN4ZXExcision of Left Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic
04BP0ZXExcision of Right Anterior Tibial Artery, Open Approach, Diagnostic
04BP3ZXExcision of Right Anterior Tibial Artery, Percutaneous Approach, Diagnostic
04BP4ZXExcision of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
04BQ0ZXExcision of Left Anterior Tibial Artery, Open Approach, Diagnostic
04BQ3ZXExcision of Left Anterior Tibial Artery, Percutaneous Approach, Diagnostic
04BQ4ZXExcision of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
04BR0ZXExcision of Right Posterior Tibial Artery, Open Approach, Diagnostic
04BR3ZXExcision of Right Posterior Tibial Artery, Percutaneous Approach, Diagnostic
04BR4ZXExcision of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
04BS0ZXExcision of Left Posterior Tibial Artery, Open Approach, Diagnostic
04BS3ZXExcision of Left Posterior Tibial Artery, Percutaneous Approach, Diagnostic
04BS4ZXExcision of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic
04BT0ZXExcision of Right Peroneal Artery, Open Approach, Diagnostic
04BT3ZXExcision of Right Peroneal Artery, Percutaneous Approach, Diagnostic
04BT4ZXExcision of Right Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic
04BU0ZXExcision of Left Peroneal Artery, Open Approach, Diagnostic
04BU3ZXExcision of Left Peroneal Artery, Percutaneous Approach, Diagnostic
04BU4ZXExcision of Left Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic
04BV0ZXExcision of Right Foot Artery, Open Approach, Diagnostic
04BV3ZXExcision of Right Foot Artery, Percutaneous Approach, Diagnostic
04BV4ZXExcision of Right Foot Artery, Percutaneous Endoscopic Approach, Diagnostic
04BW0ZXExcision of Left Foot Artery, Open Approach, Diagnostic
04BW3ZXExcision of Left Foot Artery, Percutaneous Approach, Diagnostic
04BW4ZXExcision of Left Foot Artery, Percutaneous Endoscopic Approach, Diagnostic
04BY0ZXExcision of Lower Artery, Open Approach, Diagnostic
04BY3ZXExcision of Lower Artery, Percutaneous Approach, Diagnostic
04BY4ZXExcision of Lower Artery, Percutaneous Endoscopic Approach, Diagnostic
04L10CZOcclusion of Celiac Artery with Extraluminal Device, Open Approach
04L10DZOcclusion of Celiac Artery with Intraluminal Device, Open Approach
04L10ZZOcclusion of Celiac Artery, Open Approach
04L13CZOcclusion of Celiac Artery with Extraluminal Device, Percutaneous Approach
04L13DZOcclusion of Celiac Artery with Intraluminal Device, Percutaneous Approach
04L13ZZOcclusion of Celiac Artery, Percutaneous Approach
04L14CZOcclusion of Celiac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L14DZOcclusion of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L14ZZOcclusion of Celiac Artery, Percutaneous Endoscopic Approach
04L20CZOcclusion of Gastric Artery with Extraluminal Device, Open Approach
04L20DZOcclusion of Gastric Artery with Intraluminal Device, Open Approach
04L20ZZOcclusion of Gastric Artery, Open Approach
04L23CZOcclusion of Gastric Artery with Extraluminal Device, Percutaneous Approach
04L23ZZOcclusion of Gastric Artery, Percutaneous Approach
04L24CZOcclusion of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L24DZOcclusion of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L24ZZOcclusion of Gastric Artery, Percutaneous Endoscopic Approach
04L30CZOcclusion of Hepatic Artery with Extraluminal Device, Open Approach
04L30DZOcclusion of Hepatic Artery with Intraluminal Device, Open Approach
04L30ZZOcclusion of Hepatic Artery, Open Approach
04L33CZOcclusion of Hepatic Artery with Extraluminal Device, Percutaneous Approach
04L33DZOcclusion of Hepatic Artery with Intraluminal Device, Percutaneous Approach
04L33ZZOcclusion of Hepatic Artery, Percutaneous Approach
04L34CZOcclusion of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L34DZOcclusion of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L34ZZOcclusion of Hepatic Artery, Percutaneous Endoscopic Approach
04L40CZOcclusion of Splenic Artery with Extraluminal Device, Open Approach
04L40DZOcclusion of Splenic Artery with Intraluminal Device, Open Approach
04L40ZZOcclusion of Splenic Artery, Open Approach
04L43CZOcclusion of Splenic Artery with Extraluminal Device, Percutaneous Approach
04L43DZOcclusion of Splenic Artery with Intraluminal Device, Percutaneous Approach
04L43ZZOcclusion of Splenic Artery, Percutaneous Approach
04L44CZOcclusion of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L44DZOcclusion of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L44ZZOcclusion of Splenic Artery, Percutaneous Endoscopic Approach
04L50CZOcclusion of Superior Mesenteric Artery with Extraluminal Device, Open Approach
04L50DZOcclusion of Superior Mesenteric Artery with Intraluminal Device, Open Approach
04L50ZZOcclusion of Superior Mesenteric Artery, Open Approach
04L53CZOcclusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04L53DZOcclusion of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04L53ZZOcclusion of Superior Mesenteric Artery, Percutaneous Approach
04L54CZOcclusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L54DZOcclusion of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L54ZZOcclusion of Superior Mesenteric Artery, Percutaneous Endoscopic Approach
04L60CZOcclusion of Right Colic Artery with Extraluminal Device, Open Approach
04L60DZOcclusion of Right Colic Artery with Intraluminal Device, Open Approach
04L60ZZOcclusion of Right Colic Artery, Open Approach
04L63CZOcclusion of Right Colic Artery with Extraluminal Device, Percutaneous Approach
04L63DZOcclusion of Right Colic Artery with Intraluminal Device, Percutaneous Approach
04L63ZZOcclusion of Right Colic Artery, Percutaneous Approach
04L64CZOcclusion of Right Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L64DZOcclusion of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L64ZZOcclusion of Right Colic Artery, Percutaneous Endoscopic Approach
04L70CZOcclusion of Left Colic Artery with Extraluminal Device, Open Approach
04L70DZOcclusion of Left Colic Artery with Intraluminal Device, Open Approach
04L70ZZOcclusion of Left Colic Artery, Open Approach
04L73CZOcclusion of Left Colic Artery with Extraluminal Device, Percutaneous Approach
04L73DZOcclusion of Left Colic Artery with Intraluminal Device, Percutaneous Approach
04L73ZZOcclusion of Left Colic Artery, Percutaneous Approach
04L74CZOcclusion of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L74DZOcclusion of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L74ZZOcclusion of Left Colic Artery, Percutaneous Endoscopic Approach
04L80CZOcclusion of Middle Colic Artery with Extraluminal Device, Open Approach
04L80DZOcclusion of Middle Colic Artery with Intraluminal Device, Open Approach
04L80ZZOcclusion of Middle Colic Artery, Open Approach
04L83CZOcclusion of Middle Colic Artery with Extraluminal Device, Percutaneous Approach
04L83DZOcclusion of Middle Colic Artery with Intraluminal Device, Percutaneous Approach
04L83ZZOcclusion of Middle Colic Artery, Percutaneous Approach
04L84CZOcclusion of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L84DZOcclusion of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L84ZZOcclusion of Middle Colic Artery, Percutaneous Endoscopic Approach
04L90CZOcclusion of Right Renal Artery with Extraluminal Device, Open Approach
04L90DZOcclusion of Right Renal Artery with Intraluminal Device, Open Approach
04L90ZZOcclusion of Right Renal Artery, Open Approach
04L93CZOcclusion of Right Renal Artery with Extraluminal Device, Percutaneous Approach
04L93DZOcclusion of Right Renal Artery with Intraluminal Device, Percutaneous Approach
04L93ZZOcclusion of Right Renal Artery, Percutaneous Approach
04L94CZOcclusion of Right Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04L94DZOcclusion of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04L94ZZOcclusion of Right Renal Artery, Percutaneous Endoscopic Approach
04LA0CZOcclusion of Left Renal Artery with Extraluminal Device, Open Approach
04LA0DZOcclusion of Left Renal Artery with Intraluminal Device, Open Approach
04LA0ZZOcclusion of Left Renal Artery, Open Approach
04LA3CZOcclusion of Left Renal Artery with Extraluminal Device, Percutaneous Approach
04LA3DZOcclusion of Left Renal Artery with Intraluminal Device, Percutaneous Approach
04LA3ZZOcclusion of Left Renal Artery, Percutaneous Approach
04LA4CZOcclusion of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04LA4DZOcclusion of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04LA4ZZOcclusion of Left Renal Artery, Percutaneous Endoscopic Approach
04LB0CZOcclusion of Inferior Mesenteric Artery with Extraluminal Device, Open Approach
04LB0DZOcclusion of Inferior Mesenteric Artery with Intraluminal Device, Open Approach
04LB0ZZOcclusion of Inferior Mesenteric Artery, Open Approach
04LB3CZOcclusion of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04LB3DZOcclusion of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04LB3ZZOcclusion of Inferior Mesenteric Artery, Percutaneous Approach
04LB4CZOcclusion of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04LB4DZOcclusion of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04LB4ZZOcclusion of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach
04LC0CZOcclusion of Right Common Iliac Artery with Extraluminal Device, Open Approach
04LC0ZZOcclusion of Right Common Iliac Artery, Open Approach
04LC3CZOcclusion of Right Common Iliac Artery with Extraluminal Device, Percutaneous Approach
04LC3ZZOcclusion of Right Common Iliac Artery, Percutaneous Approach
04LC4CZOcclusion of Right Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04LC4ZZOcclusion of Right Common Iliac Artery, Percutaneous Endoscopic Approach
04LD0CZOcclusion of Left Common Iliac Artery with Extraluminal Device, Open Approach
04LD0ZZOcclusion of Left Common Iliac Artery, Open Approach
04LD3CZOcclusion of Left Common Iliac Artery with Extraluminal Device, Percutaneous Approach
04LD3ZZOcclusion of Left Common Iliac Artery, Percutaneous Approach
04LD4CZOcclusion of Left Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04LD4ZZOcclusion of Left Common Iliac Artery, Percutaneous Endoscopic Approach
04LE0CZOcclusion of Right Internal Iliac Artery with Extraluminal Device, Open Approach
04LE0ZZOcclusion of Right Internal Iliac Artery, Open Approach
04LE3CZOcclusion of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Approach
04LE3ZZOcclusion of Right Internal Iliac Artery, Percutaneous Approach
04LE4CZOcclusion of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04LE4ZZOcclusion of Right Internal Iliac Artery, Percutaneous Endoscopic Approach
04LF0CZOcclusion of Left Internal Iliac Artery with Extraluminal Device, Open Approach
04LF0ZZOcclusion of Left Internal Iliac Artery, 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