DRAFT

ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual

MDC 05 Diseases and disorders of the circulatory system

Other major cardiovascular procedures

Page 7 of 10

MAJOR CARDIOVASCULAR PROCEDURES (continued)

OPERATING ROOM PROCEDURES

02160Z7 02LS4ZZ 03LJ4BZ 04104KC 041D4J5 041J0AG 04LH4CZ 05B14ZZ 06184AY 06RC4KZ

04LH4CZ	Occlusion of Right External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04LH4DZ	Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04LH4ZZ	Occlusion of Right External Iliac Artery, Percutaneous Endoscopic Approach
04LJ0CZ	Occlusion of Left External Iliac Artery with Extraluminal Device, Open Approach
04LJ0DZ	Occlusion of Left External Iliac Artery with Intraluminal Device, Open Approach
04LJ0ZZ	Occlusion of Left External Iliac Artery, Open Approach
04LJ3CZ	Occlusion of Left External Iliac Artery with Extraluminal Device, Percutaneous Approach
04LJ3DZ	Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach
04LJ3ZZ	Occlusion of Left External Iliac Artery, Percutaneous Approach
04LJ4CZ	Occlusion of Left External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04LJ4DZ	Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04LJ4ZZ	Occlusion of Left External Iliac Artery, Percutaneous Endoscopic Approach
04R107Z	Replacement of Celiac Artery with Autologous Tissue Substitute, Open Approach
04R10JZ	Replacement of Celiac Artery with Synthetic Substitute, Open Approach
04R10KZ	Replacement of Celiac Artery with Nonautologous Tissue Substitute, Open Approach
04R147Z	Replacement of Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R14JZ	Replacement of Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R14KZ	Replacement of Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R207Z	Replacement of Gastric Artery with Autologous Tissue Substitute, Open Approach
04R20JZ	Replacement of Gastric Artery with Synthetic Substitute, Open Approach
04R20KZ	Replacement of Gastric Artery with Nonautologous Tissue Substitute, Open Approach
04R247Z	Replacement of Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R24JZ	Replacement of Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R24KZ	Replacement of Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R307Z	Replacement of Hepatic Artery with Autologous Tissue Substitute, Open Approach
04R30JZ	Replacement of Hepatic Artery with Synthetic Substitute, Open Approach
04R30KZ	Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Open Approach
04R347Z	Replacement of Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R34JZ	Replacement of Hepatic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R34KZ	Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R407Z	Replacement of Splenic Artery with Autologous Tissue Substitute, Open Approach
04R40JZ	Replacement of Splenic Artery with Synthetic Substitute, Open Approach
04R40KZ	Replacement of Splenic Artery with Nonautologous Tissue Substitute, Open Approach
04R447Z	Replacement of Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R44JZ	Replacement of Splenic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R44KZ	Replacement of Splenic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R507Z	Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Open Approach
04R50JZ	Replacement of Superior Mesenteric Artery with Synthetic Substitute, Open Approach
04R50KZ	Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach
04R547Z	Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R54JZ	Replacement of Superior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R54KZ	Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R607Z	Replacement of Right Colic Artery with Autologous Tissue Substitute, Open Approach
04R60JZ	Replacement of Right Colic Artery with Synthetic Substitute, Open Approach
04R60KZ	Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Open Approach
04R647Z	Replacement of Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R64JZ	Replacement of Right Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R64KZ	Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R707Z	Replacement of Left Colic Artery with Autologous Tissue Substitute, Open Approach
04R70JZ	Replacement of Left Colic Artery with Synthetic Substitute, Open Approach
04R70KZ	Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Open Approach
04R747Z	Replacement of Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R74JZ	Replacement of Left Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R74KZ	Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R807Z	Replacement of Middle Colic Artery with Autologous Tissue Substitute, Open Approach
04R80JZ	Replacement of Middle Colic Artery with Synthetic Substitute, Open Approach
04R80KZ	Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Open Approach
04R847Z	Replacement of Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R84JZ	Replacement of Middle Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R84KZ	Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04R907Z	Replacement of Right Renal Artery with Autologous Tissue Substitute, Open Approach
04R90JZ	Replacement of Right Renal Artery with Synthetic Substitute, Open Approach
04R90KZ	Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Open Approach
04R947Z	Replacement of Right Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04R94JZ	Replacement of Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04R94KZ	Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RA07Z	Replacement of Left Renal Artery with Autologous Tissue Substitute, Open Approach
04RA0JZ	Replacement of Left Renal Artery with Synthetic Substitute, Open Approach
04RA0KZ	Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach
04RA47Z	Replacement of Left Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RA4JZ	Replacement of Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RA4KZ	Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RB07Z	Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Open Approach
04RB0JZ	Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Open Approach
04RB0KZ	Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach
04RB47Z	Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RB4JZ	Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RB4KZ	Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RC07Z	Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach
04RC0JZ	Replacement of Right Common Iliac Artery with Synthetic Substitute, Open Approach
04RC0KZ	Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RC47Z	Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RC4JZ	Replacement of Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RC4KZ	Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RD07Z	Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach
04RD0JZ	Replacement of Left Common Iliac Artery with Synthetic Substitute, Open Approach
04RD0KZ	Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RD47Z	Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RD4JZ	Replacement of Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RD4KZ	Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RE07Z	Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach
04RE0JZ	Replacement of Right Internal Iliac Artery with Synthetic Substitute, Open Approach
04RE0KZ	Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RE47Z	Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RE4JZ	Replacement of Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RE4KZ	Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RF07Z	Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach
04RF0JZ	Replacement of Left Internal Iliac Artery with Synthetic Substitute, Open Approach
04RF0KZ	Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RF47Z	Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RF4JZ	Replacement of Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RF4KZ	Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RH07Z	Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Open Approach
04RH0JZ	Replacement of Right External Iliac Artery with Synthetic Substitute, Open Approach
04RH0KZ	Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RH47Z	Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RH4JZ	Replacement of Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RH4KZ	Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04RJ07Z	Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Open Approach
04RJ0JZ	Replacement of Left External Iliac Artery with Synthetic Substitute, Open Approach
04RJ0KZ	Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04RJ47Z	Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04RJ4JZ	Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04RJ4KZ	Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04V00DZ	Restriction of Abdominal Aorta with Intraluminal Device, Open Approach
04V00EZ	Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
04V00FZ	Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach
04V00ZZ	Restriction of Abdominal Aorta, Open Approach
04V03ZZ	Restriction of Abdominal Aorta, Percutaneous Approach
04V04ZZ	Restriction of Abdominal Aorta, Percutaneous Endoscopic Approach
04V10DZ	Restriction of Celiac Artery with Intraluminal Device, Open Approach
04V10ZZ	Restriction of Celiac Artery, Open Approach
04V13DZ	Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach
04V13ZZ	Restriction of Celiac Artery, Percutaneous Approach
04V14DZ	Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V14ZZ	Restriction of Celiac Artery, Percutaneous Endoscopic Approach
04V20DZ	Restriction of Gastric Artery with Intraluminal Device, Open Approach
04V20ZZ	Restriction of Gastric Artery, Open Approach
04V23DZ	Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach
04V23ZZ	Restriction of Gastric Artery, Percutaneous Approach
04V24DZ	Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V24ZZ	Restriction of Gastric Artery, Percutaneous Endoscopic Approach
04V30DZ	Restriction of Hepatic Artery with Intraluminal Device, Open Approach
04V30ZZ	Restriction of Hepatic Artery, Open Approach
04V33DZ	Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach
04V33ZZ	Restriction of Hepatic Artery, Percutaneous Approach
04V34DZ	Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V34ZZ	Restriction of Hepatic Artery, Percutaneous Endoscopic Approach
04V40DZ	Restriction of Splenic Artery with Intraluminal Device, Open Approach
04V40ZZ	Restriction of Splenic Artery, Open Approach
04V43DZ	Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach
04V43ZZ	Restriction of Splenic Artery, Percutaneous Approach
04V44DZ	Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V44ZZ	Restriction of Splenic Artery, Percutaneous Endoscopic Approach
04V50DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach
04V50ZZ	Restriction of Superior Mesenteric Artery, Open Approach
04V53DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04V53ZZ	Restriction of Superior Mesenteric Artery, Percutaneous Approach
04V54DZ	Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V54ZZ	Restriction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach
04V60DZ	Restriction of Right Colic Artery with Intraluminal Device, Open Approach
04V60ZZ	Restriction of Right Colic Artery, Open Approach
04V63DZ	Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach
04V63ZZ	Restriction of Right Colic Artery, Percutaneous Approach
04V64DZ	Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V64ZZ	Restriction of Right Colic Artery, Percutaneous Endoscopic Approach
04V70DZ	Restriction of Left Colic Artery with Intraluminal Device, Open Approach
04V70ZZ	Restriction of Left Colic Artery, Open Approach
04V73DZ	Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach
04V73ZZ	Restriction of Left Colic Artery, Percutaneous Approach
04V74DZ	Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V74ZZ	Restriction of Left Colic Artery, Percutaneous Endoscopic Approach
04V80DZ	Restriction of Middle Colic Artery with Intraluminal Device, Open Approach
04V80ZZ	Restriction of Middle Colic Artery, Open Approach
04V83DZ	Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach
04V83ZZ	Restriction of Middle Colic Artery, Percutaneous Approach
04V84DZ	Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V84ZZ	Restriction of Middle Colic Artery, Percutaneous Endoscopic Approach
04V90DZ	Restriction of Right Renal Artery with Intraluminal Device, Open Approach
04V90ZZ	Restriction of Right Renal Artery, Open Approach
04V93DZ	Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach
04V93ZZ	Restriction of Right Renal Artery, Percutaneous Approach
04V94DZ	Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04V94ZZ	Restriction of Right Renal Artery, Percutaneous Endoscopic Approach
04VA0DZ	Restriction of Left Renal Artery with Intraluminal Device, Open Approach
04VA0ZZ	Restriction of Left Renal Artery, Open Approach
04VA3DZ	Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach
04VA3ZZ	Restriction of Left Renal Artery, Percutaneous Approach
04VA4DZ	Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VA4ZZ	Restriction of Left Renal Artery, Percutaneous Endoscopic Approach
04VB0DZ	Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach
04VB0ZZ	Restriction of Inferior Mesenteric Artery, Open Approach
04VB3DZ	Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04VB3ZZ	Restriction of Inferior Mesenteric Artery, Percutaneous Approach
04VB4DZ	Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VB4ZZ	Restriction of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach
04VC0DZ	Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach
04VC0EZ	Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
04VC0ZZ	Restriction of Right Common Iliac Artery, Open Approach
04VC3DZ	Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach
04VC3EZ	Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
04VC3ZZ	Restriction of Right Common Iliac Artery, Percutaneous Approach
04VC4DZ	Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VC4EZ	Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
04VC4ZZ	Restriction of Right Common Iliac Artery, Percutaneous Endoscopic Approach
04VD0DZ	Restriction of Left Common Iliac Artery with Intraluminal Device, Open Approach
04VD0EZ	Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach
04VD0ZZ	Restriction of Left Common Iliac Artery, Open Approach
04VD3DZ	Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach
04VD3EZ	Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
04VD3ZZ	Restriction of Left Common Iliac Artery, Percutaneous Approach
04VD4DZ	Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VD4EZ	Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach
04VD4ZZ	Restriction of Left Common Iliac Artery, Percutaneous Endoscopic Approach
04VE0DZ	Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach
04VE0ZZ	Restriction of Right Internal Iliac Artery, Open Approach
04VE3DZ	Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach
04VE3ZZ	Restriction of Right Internal Iliac Artery, Percutaneous Approach
04VE4DZ	Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VE4ZZ	Restriction of Right Internal Iliac Artery, Percutaneous Endoscopic Approach
04VF0DZ	Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach
04VF0ZZ	Restriction of Left Internal Iliac Artery, Open Approach
04VF3DZ	Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach
04VF3ZZ	Restriction of Left Internal Iliac Artery, Percutaneous Approach
04VF4DZ	Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VF4ZZ	Restriction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach
04VH0DZ	Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach
04VH0ZZ	Restriction of Right External Iliac Artery, Open Approach
04VH3DZ	Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach
04VH3ZZ	Restriction of Right External Iliac Artery, Percutaneous Approach
04VH4DZ	Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VH4ZZ	Restriction of Right External Iliac Artery, Percutaneous Endoscopic Approach
04VJ0DZ	Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach
04VJ0ZZ	Restriction of Left External Iliac Artery, Open Approach
04VJ3DZ	Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach
04VJ3ZZ	Restriction of Left External Iliac Artery, Percutaneous Approach
04VJ4DZ	Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VJ4ZZ	Restriction of Left External Iliac Artery, Percutaneous Endoscopic Approach
04VK0DZ	Restriction of Right Femoral Artery with Intraluminal Device, Open Approach
04VK0ZZ	Restriction of Right Femoral Artery, Open Approach
04VK3DZ	Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach
04VK3ZZ	Restriction of Right Femoral Artery, Percutaneous Approach
04VK4DZ	Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VK4ZZ	Restriction of Right Femoral Artery, Percutaneous Endoscopic Approach
04VL0DZ	Restriction of Left Femoral Artery with Intraluminal Device, Open Approach
04VL0ZZ	Restriction of Left Femoral Artery, Open Approach
04VL3DZ	Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach
04VL3ZZ	Restriction of Left Femoral Artery, Percutaneous Approach
04VL4DZ	Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VL4ZZ	Restriction of Left Femoral Artery, Percutaneous Endoscopic Approach
04VM0DZ	Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach
04VM0ZZ	Restriction of Right Popliteal Artery, Open Approach
04VM3DZ	Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach
04VM3ZZ	Restriction of Right Popliteal Artery, Percutaneous Approach
04VM4DZ	Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VM4ZZ	Restriction of Right Popliteal Artery, Percutaneous Endoscopic Approach
04VN0DZ	Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach
04VN0ZZ	Restriction of Left Popliteal Artery, Open Approach
04VN3DZ	Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach
04VN3ZZ	Restriction of Left Popliteal Artery, Percutaneous Approach
04VN4DZ	Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VN4ZZ	Restriction of Left Popliteal Artery, Percutaneous Endoscopic Approach
04VP0DZ	Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach
04VP0ZZ	Restriction of Right Anterior Tibial Artery, Open Approach
04VP3DZ	Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VP3ZZ	Restriction of Right Anterior Tibial Artery, Percutaneous Approach
04VP4DZ	Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VP4ZZ	Restriction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach
04VQ0DZ	Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach
04VQ0ZZ	Restriction of Left Anterior Tibial Artery, Open Approach
04VQ3DZ	Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VQ3ZZ	Restriction of Left Anterior Tibial Artery, Percutaneous Approach
04VQ4DZ	Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VQ4ZZ	Restriction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach
04VR0DZ	Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach
04VR0ZZ	Restriction of Right Posterior Tibial Artery, Open Approach
04VR3DZ	Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VR3ZZ	Restriction of Right Posterior Tibial Artery, Percutaneous Approach
04VR4DZ	Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VR4ZZ	Restriction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach
04VS0DZ	Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach
04VS0ZZ	Restriction of Left Posterior Tibial Artery, Open Approach
04VS3DZ	Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach
04VS3ZZ	Restriction of Left Posterior Tibial Artery, Percutaneous Approach
04VS4DZ	Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VS4ZZ	Restriction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach
04VT0DZ	Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach
04VT0ZZ	Restriction of Right Peroneal Artery, Open Approach
04VT3DZ	Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach
04VT3ZZ	Restriction of Right Peroneal Artery, Percutaneous Approach
04VT4DZ	Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VT4ZZ	Restriction of Right Peroneal Artery, Percutaneous Endoscopic Approach
04VU0DZ	Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach
04VU0ZZ	Restriction of Left Peroneal Artery, Open Approach
04VU3DZ	Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach
04VU3ZZ	Restriction of Left Peroneal Artery, Percutaneous Approach
04VU4DZ	Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VU4ZZ	Restriction of Left Peroneal Artery, Percutaneous Endoscopic Approach
04VV0DZ	Restriction of Right Foot Artery with Intraluminal Device, Open Approach
04VV0ZZ	Restriction of Right Foot Artery, Open Approach
04VV3DZ	Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach
04VV3ZZ	Restriction of Right Foot Artery, Percutaneous Approach
04VV4DZ	Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VV4ZZ	Restriction of Right Foot Artery, Percutaneous Endoscopic Approach
04VW0DZ	Restriction of Left Foot Artery with Intraluminal Device, Open Approach
04VW0ZZ	Restriction of Left Foot Artery, Open Approach
04VW3DZ	Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach
04VW3ZZ	Restriction of Left Foot Artery, Percutaneous Approach
04VW4DZ	Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VW4ZZ	Restriction of Left Foot Artery, Percutaneous Endoscopic Approach
04VY0DZ	Restriction of Lower Artery with Intraluminal Device, Open Approach
04VY0ZZ	Restriction of Lower Artery, Open Approach
04VY3DZ	Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach
04VY3ZZ	Restriction of Lower Artery, Percutaneous Approach
04VY4DZ	Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach
04VY4ZZ	Restriction of Lower Artery, Percutaneous Endoscopic Approach
051007Y	Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051009Y	Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05100AY	Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05100JY	Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Open Approach
05100KY	Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05100ZY	Bypass Azygos Vein to Upper Vein, Open Approach
051047Y	Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051049Y	Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05104AY	Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05104JY	Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05104KY	Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05104ZY	Bypass Azygos Vein to Upper Vein, Percutaneous Endoscopic Approach
051107Y	Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051109Y	Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05110AY	Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05110JY	Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Open Approach
05110KY	Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05110ZY	Bypass Hemiazygos Vein to Upper Vein, Open Approach
051147Y	Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051149Y	Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05114AY	Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05114JY	Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05114KY	Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05114ZY	Bypass Hemiazygos Vein to Upper Vein, Percutaneous Endoscopic Approach
051307Y	Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051309Y	Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05130AY	Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05130JY	Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach
05130KY	Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05130ZY	Bypass Right Innominate Vein to Upper Vein, Open Approach
051347Y	Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051349Y	Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05134AY	Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05134JY	Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05134KY	Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05134ZY	Bypass Right Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach
051407Y	Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051409Y	Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05140AY	Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05140JY	Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach
05140KY	Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05140ZY	Bypass Left Innominate Vein to Upper Vein, Open Approach
051447Y	Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051449Y	Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05144AY	Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05144JY	Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05144KY	Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05144ZY	Bypass Left Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach
051507Y	Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051509Y	Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05150AY	Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05150JY	Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach
05150KY	Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05150ZY	Bypass Right Subclavian Vein to Upper Vein, Open Approach
051547Y	Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051549Y	Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05154AY	Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05154JY	Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05154KY	Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05154ZY	Bypass Right Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach
051607Y	Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051609Y	Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05160AY	Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05160JY	Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach
05160KY	Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05160ZY	Bypass Left Subclavian Vein to Upper Vein, Open Approach
051647Y	Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051649Y	Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05164AY	Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05164JY	Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05164KY	Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05164ZY	Bypass Left Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach
05500ZZ	Destruction of Azygos Vein, Open Approach
05503ZZ	Destruction of Azygos Vein, Percutaneous Approach
05504ZZ	Destruction of Azygos Vein, Percutaneous Endoscopic Approach
05510ZZ	Destruction of Hemiazygos Vein, Open Approach
05513ZZ	Destruction of Hemiazygos Vein, Percutaneous Approach
05514ZZ	Destruction of Hemiazygos Vein, Percutaneous Endoscopic Approach
05530ZZ	Destruction of Right Innominate Vein, Open Approach
05533ZZ	Destruction of Right Innominate Vein, Percutaneous Approach
05534ZZ	Destruction of Right Innominate Vein, Percutaneous Endoscopic Approach
05540ZZ	Destruction of Left Innominate Vein, Open Approach
05543ZZ	Destruction of Left Innominate Vein, Percutaneous Approach
05544ZZ	Destruction of Left Innominate Vein, Percutaneous Endoscopic Approach
05550ZZ	Destruction of Right Subclavian Vein, Open Approach
05553ZZ	Destruction of Right Subclavian Vein, Percutaneous Approach
05554ZZ	Destruction of Right Subclavian Vein, Percutaneous Endoscopic Approach
05560ZZ	Destruction of Left Subclavian Vein, Open Approach
05563ZZ	Destruction of Left Subclavian Vein, Percutaneous Approach
05564ZZ	Destruction of Left Subclavian Vein, Percutaneous Endoscopic Approach
05B00ZZ	Excision of Azygos Vein, Open Approach
05B03ZZ	Excision of Azygos Vein, Percutaneous Approach
05B04ZZ	Excision of Azygos Vein, Percutaneous Endoscopic Approach
05B10ZZ	Excision of Hemiazygos Vein, Open Approach
05B13ZZ	Excision of Hemiazygos Vein, Percutaneous Approach

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
01 Mar 2023 06:12:40
CMS, code-revision=344, description-revision=1357