DRAFT

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

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MDC 05 Diseases and disorders of the circulatory system
Other vascular procedures
Page 16 of 24

OPERATING ROOM PROCEDURES (continued)

04UQ4JZSupplement Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04UQ4KZSupplement Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04UR07ZSupplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach
04UR0JZSupplement Right Posterior Tibial Artery with Synthetic Substitute, Open Approach
04UR0KZSupplement Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
04UR37ZSupplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach
04UR3JZSupplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach
04UR3KZSupplement Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04UR47ZSupplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04UR4JZSupplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04UR4KZSupplement Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04US07ZSupplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach
04US0JZSupplement Left Posterior Tibial Artery with Synthetic Substitute, Open Approach
04US0KZSupplement Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
04US37ZSupplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach
04US3JZSupplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach
04US3KZSupplement Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04US47ZSupplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04US4JZSupplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04US4KZSupplement Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04UT07ZSupplement Right Peroneal Artery with Autologous Tissue Substitute, Open Approach
04UT0JZSupplement Right Peroneal Artery with Synthetic Substitute, Open Approach
04UT0KZSupplement Right Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
04UT37ZSupplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach
04UT3JZSupplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Approach
04UT3KZSupplement Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04UT47ZSupplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04UT4JZSupplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04UT4KZSupplement Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04UU07ZSupplement Left Peroneal Artery with Autologous Tissue Substitute, Open Approach
04UU0JZSupplement Left Peroneal Artery with Synthetic Substitute, Open Approach
04UU0KZSupplement Left Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
04UU37ZSupplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach
04UU3JZSupplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Approach
04UU3KZSupplement Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04UU47ZSupplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04UU4JZSupplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04UU4KZSupplement Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04UV07ZSupplement Right Foot Artery with Autologous Tissue Substitute, Open Approach
04UV0JZSupplement Right Foot Artery with Synthetic Substitute, Open Approach
04UV0KZSupplement Right Foot Artery with Nonautologous Tissue Substitute, Open Approach
04UV37ZSupplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Approach
04UV3JZSupplement Right Foot Artery with Synthetic Substitute, Percutaneous Approach
04UV3KZSupplement Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04UV47ZSupplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04UV4JZSupplement Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04UV4KZSupplement Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04UW07ZSupplement Left Foot Artery with Autologous Tissue Substitute, Open Approach
04UW0JZSupplement Left Foot Artery with Synthetic Substitute, Open Approach
04UW0KZSupplement Left Foot Artery with Nonautologous Tissue Substitute, Open Approach
04UW37ZSupplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Approach
04UW3JZSupplement Left Foot Artery with Synthetic Substitute, Percutaneous Approach
04UW3KZSupplement Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04UW47ZSupplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04UW4JZSupplement Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04UW4KZSupplement Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04UY07ZSupplement Lower Artery with Autologous Tissue Substitute, Open Approach
04UY0JZSupplement Lower Artery with Synthetic Substitute, Open Approach
04UY0KZSupplement Lower Artery with Nonautologous Tissue Substitute, Open Approach
04UY37ZSupplement Lower Artery with Autologous Tissue Substitute, Percutaneous Approach
04UY3JZSupplement Lower Artery with Synthetic Substitute, Percutaneous Approach
04UY3KZSupplement Lower Artery with Nonautologous Tissue Substitute, Percutaneous Approach
04UY47ZSupplement Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
04UY4JZSupplement Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04UY4KZSupplement Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04V00CZRestriction of Abdominal Aorta with Extraluminal Device, Open Approach
04V00DJRestriction of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach
04V03CZRestriction of Abdominal Aorta with Extraluminal Device, Percutaneous Approach
04V03DJRestriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach
04V04CZRestriction of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach
04V04DJRestriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Endoscopic Approach
04V10CZRestriction of Celiac Artery with Extraluminal Device, Open Approach
04V13CZRestriction of Celiac Artery with Extraluminal Device, Percutaneous Approach
04V14CZRestriction of Celiac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V20CZRestriction of Gastric Artery with Extraluminal Device, Open Approach
04V23CZRestriction of Gastric Artery with Extraluminal Device, Percutaneous Approach
04V24CZRestriction of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V30CZRestriction of Hepatic Artery with Extraluminal Device, Open Approach
04V33CZRestriction of Hepatic Artery with Extraluminal Device, Percutaneous Approach
04V34CZRestriction of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V40CZRestriction of Splenic Artery with Extraluminal Device, Open Approach
04V43CZRestriction of Splenic Artery with Extraluminal Device, Percutaneous Approach
04V44CZRestriction of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V50CZRestriction of Superior Mesenteric Artery with Extraluminal Device, Open Approach
04V53CZRestriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04V54CZRestriction of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V60CZRestriction of Right Colic Artery with Extraluminal Device, Open Approach
04V63CZRestriction of Right Colic Artery with Extraluminal Device, Percutaneous Approach
04V64CZRestriction of Right Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V70CZRestriction of Left Colic Artery with Extraluminal Device, Open Approach
04V73CZRestriction of Left Colic Artery with Extraluminal Device, Percutaneous Approach
04V74CZRestriction of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V80CZRestriction of Middle Colic Artery with Extraluminal Device, Open Approach
04V83CZRestriction of Middle Colic Artery with Extraluminal Device, Percutaneous Approach
04V84CZRestriction of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04V90CZRestriction of Right Renal Artery with Extraluminal Device, Open Approach
04V93CZRestriction of Right Renal Artery with Extraluminal Device, Percutaneous Approach
04V94CZRestriction of Right Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VA0CZRestriction of Left Renal Artery with Extraluminal Device, Open Approach
04VA3CZRestriction of Left Renal Artery with Extraluminal Device, Percutaneous Approach
04VA4CZRestriction of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VB0CZRestriction of Inferior Mesenteric Artery with Extraluminal Device, Open Approach
04VB3CZRestriction of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Approach
04VB4CZRestriction of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VC0CZRestriction of Right Common Iliac Artery with Extraluminal Device, Open Approach
04VC3CZRestriction of Right Common Iliac Artery with Extraluminal Device, Percutaneous Approach
04VC4CZRestriction of Right Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VD0CZRestriction of Left Common Iliac Artery with Extraluminal Device, Open Approach
04VD3CZRestriction of Left Common Iliac Artery with Extraluminal Device, Percutaneous Approach
04VD4CZRestriction of Left Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VE0CZRestriction of Right Internal Iliac Artery with Extraluminal Device, Open Approach
04VE3CZRestriction of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Approach
04VE4CZRestriction of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VF0CZRestriction of Left Internal Iliac Artery with Extraluminal Device, Open Approach
04VF3CZRestriction of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Approach
04VF4CZRestriction of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VH0CZRestriction of Right External Iliac Artery with Extraluminal Device, Open Approach
04VH3CZRestriction of Right External Iliac Artery with Extraluminal Device, Percutaneous Approach
04VH4CZRestriction of Right External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VJ0CZRestriction of Left External Iliac Artery with Extraluminal Device, Open Approach
04VJ3CZRestriction of Left External Iliac Artery with Extraluminal Device, Percutaneous Approach
04VJ4CZRestriction of Left External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VK0CZRestriction of Right Femoral Artery with Extraluminal Device, Open Approach
04VK3CZRestriction of Right Femoral Artery with Extraluminal Device, Percutaneous Approach
04VK4CZRestriction of Right Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VL0CZRestriction of Left Femoral Artery with Extraluminal Device, Open Approach
04VL3CZRestriction of Left Femoral Artery with Extraluminal Device, Percutaneous Approach
04VL4CZRestriction of Left Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VM0CZRestriction of Right Popliteal Artery with Extraluminal Device, Open Approach
04VM3CZRestriction of Right Popliteal Artery with Extraluminal Device, Percutaneous Approach
04VM4CZRestriction of Right Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VN0CZRestriction of Left Popliteal Artery with Extraluminal Device, Open Approach
04VN3CZRestriction of Left Popliteal Artery with Extraluminal Device, Percutaneous Approach
04VN4CZRestriction of Left Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VP0CZRestriction of Right Anterior Tibial Artery with Extraluminal Device, Open Approach
04VP3CZRestriction of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VP4CZRestriction of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VQ0CZRestriction of Left Anterior Tibial Artery with Extraluminal Device, Open Approach
04VQ3CZRestriction of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VQ4CZRestriction of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VR0CZRestriction of Right Posterior Tibial Artery with Extraluminal Device, Open Approach
04VR3CZRestriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VR4CZRestriction of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VS0CZRestriction of Left Posterior Tibial Artery with Extraluminal Device, Open Approach
04VS3CZRestriction of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach
04VS4CZRestriction of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VT0CZRestriction of Right Peroneal Artery with Extraluminal Device, Open Approach
04VT3CZRestriction of Right Peroneal Artery with Extraluminal Device, Percutaneous Approach
04VT4CZRestriction of Right Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VU0CZRestriction of Left Peroneal Artery with Extraluminal Device, Open Approach
04VU3CZRestriction of Left Peroneal Artery with Extraluminal Device, Percutaneous Approach
04VU4CZRestriction of Left Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VV0CZRestriction of Right Foot Artery with Extraluminal Device, Open Approach
04VV3CZRestriction of Right Foot Artery with Extraluminal Device, Percutaneous Approach
04VV4CZRestriction of Right Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VW0CZRestriction of Left Foot Artery with Extraluminal Device, Open Approach
04VW3CZRestriction of Left Foot Artery with Extraluminal Device, Percutaneous Approach
04VW4CZRestriction of Left Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04VY0CZRestriction of Lower Artery with Extraluminal Device, Open Approach
04VY3CZRestriction of Lower Artery with Extraluminal Device, Percutaneous Approach
04VY4CZRestriction of Lower Artery with Extraluminal Device, Percutaneous Endoscopic Approach
04WY00ZRevision of Drainage Device in Lower Artery, Open Approach
04WY02ZRevision of Monitoring Device in Lower Artery, Open Approach
04WY03ZRevision of Infusion Device in Lower Artery, Open Approach
04WY07ZRevision of Autologous Tissue Substitute in Lower Artery, Open Approach
04WY0CZRevision of Extraluminal Device in Lower Artery, Open Approach
04WY0DZRevision of Intraluminal Device in Lower Artery, Open Approach
04WY0JZRevision of Synthetic Substitute in Lower Artery, Open Approach
04WY0KZRevision of Nonautologous Tissue Substitute in Lower Artery, Open Approach
04WY0YZRevision of Other Device in Lower Artery, Open Approach
04WY37ZRevision of Autologous Tissue Substitute in Lower Artery, Percutaneous Approach
04WY3CZRevision of Extraluminal Device in Lower Artery, Percutaneous Approach
04WY3DZRevision of Intraluminal Device in Lower Artery, Percutaneous Approach
04WY3JZRevision of Synthetic Substitute in Lower Artery, Percutaneous Approach
04WY3KZRevision of Nonautologous Tissue Substitute in Lower Artery, Percutaneous Approach
04WY40ZRevision of Drainage Device in Lower Artery, Percutaneous Endoscopic Approach
04WY42ZRevision of Monitoring Device in Lower Artery, Percutaneous Endoscopic Approach
04WY43ZRevision of Infusion Device in Lower Artery, Percutaneous Endoscopic Approach
04WY47ZRevision of Autologous Tissue Substitute in Lower Artery, Percutaneous Endoscopic Approach
04WY4CZRevision of Extraluminal Device in Lower Artery, Percutaneous Endoscopic Approach
04WY4DZRevision of Intraluminal Device in Lower Artery, Percutaneous Endoscopic Approach
04WY4JZRevision of Synthetic Substitute in Lower Artery, Percutaneous Endoscopic Approach
04WY4KZRevision of Nonautologous Tissue Substitute in Lower Artery, Percutaneous Endoscopic Approach
051707YBypass Right Axillary Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051709YBypass Right Axillary Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05170AYBypass Right Axillary Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05170JYBypass Right Axillary Vein to Upper Vein with Synthetic Substitute, Open Approach
05170KYBypass Right Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05170ZYBypass Right Axillary Vein to Upper Vein, Open Approach
051747YBypass Right Axillary Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051749YBypass Right Axillary Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05174AYBypass Right Axillary Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05174JYBypass Right Axillary Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05174KYBypass Right Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05174ZYBypass Right Axillary Vein to Upper Vein, Percutaneous Endoscopic Approach
051807YBypass Left Axillary Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051809YBypass Left Axillary Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05180AYBypass Left Axillary Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05180JYBypass Left Axillary Vein to Upper Vein with Synthetic Substitute, Open Approach
05180KYBypass Left Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05180ZYBypass Left Axillary Vein to Upper Vein, Open Approach
051847YBypass Left Axillary Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051849YBypass Left Axillary Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05184AYBypass Left Axillary Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05184JYBypass Left Axillary Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05184KYBypass Left Axillary Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05184ZYBypass Left Axillary Vein to Upper Vein, Percutaneous Endoscopic Approach
051907YBypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051909YBypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Open Approach
05190AYBypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
05190JYBypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Open Approach
05190KYBypass Right Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
05190ZYBypass Right Brachial Vein to Upper Vein, Open Approach
051947YBypass Right Brachial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051949YBypass Right Brachial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
05194AYBypass Right Brachial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
05194JYBypass Right Brachial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
05194KYBypass Right Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
05194ZYBypass Right Brachial Vein to Upper Vein, Percutaneous Endoscopic Approach
051A07YBypass Left Brachial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051A09YBypass Left Brachial Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051A0AYBypass Left Brachial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051A0JYBypass Left Brachial Vein to Upper Vein with Synthetic Substitute, Open Approach
051A0KYBypass Left Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051A0ZYBypass Left Brachial Vein to Upper Vein, Open Approach
051A47YBypass Left Brachial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051A49YBypass Left Brachial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051A4AYBypass Left Brachial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051A4JYBypass Left Brachial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051A4KYBypass Left Brachial Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051A4ZYBypass Left Brachial Vein to Upper Vein, Percutaneous Endoscopic Approach
051B07YBypass Right Basilic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051B09YBypass Right Basilic Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051B0AYBypass Right Basilic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051B0JYBypass Right Basilic Vein to Upper Vein with Synthetic Substitute, Open Approach
051B0KYBypass Right Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051B0ZYBypass Right Basilic Vein to Upper Vein, Open Approach
051B47YBypass Right Basilic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051B49YBypass Right Basilic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051B4AYBypass Right Basilic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051B4JYBypass Right Basilic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051B4KYBypass Right Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051B4ZYBypass Right Basilic Vein to Upper Vein, Percutaneous Endoscopic Approach
051C07YBypass Left Basilic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051C09YBypass Left Basilic Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051C0AYBypass Left Basilic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051C0JYBypass Left Basilic Vein to Upper Vein with Synthetic Substitute, Open Approach
051C0KYBypass Left Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051C0ZYBypass Left Basilic Vein to Upper Vein, Open Approach
051C47YBypass Left Basilic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051C49YBypass Left Basilic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051C4AYBypass Left Basilic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051C4JYBypass Left Basilic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051C4KYBypass Left Basilic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051C4ZYBypass Left Basilic Vein to Upper Vein, Percutaneous Endoscopic Approach
051D07YBypass Right Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051D09YBypass Right Cephalic Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051D0AYBypass Right Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051D0JYBypass Right Cephalic Vein to Upper Vein with Synthetic Substitute, Open Approach
051D0KYBypass Right Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051D0ZYBypass Right Cephalic Vein to Upper Vein, Open Approach
051D47YBypass Right Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051D49YBypass Right Cephalic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051D4AYBypass Right Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051D4JYBypass Right Cephalic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051D4KYBypass Right Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051D4ZYBypass Right Cephalic Vein to Upper Vein, Percutaneous Endoscopic Approach
051F07YBypass Left Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051F09YBypass Left Cephalic Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051F0AYBypass Left Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051F0JYBypass Left Cephalic Vein to Upper Vein with Synthetic Substitute, Open Approach
051F0KYBypass Left Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051F0ZYBypass Left Cephalic Vein to Upper Vein, Open Approach
051F47YBypass Left Cephalic Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051F49YBypass Left Cephalic Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051F4AYBypass Left Cephalic Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051F4JYBypass Left Cephalic Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051F4KYBypass Left Cephalic Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051F4ZYBypass Left Cephalic Vein to Upper Vein, Percutaneous Endoscopic Approach
051G07YBypass Right Hand Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051G09YBypass Right Hand Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051G0AYBypass Right Hand Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051G0JYBypass Right Hand Vein to Upper Vein with Synthetic Substitute, Open Approach
051G0KYBypass Right Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051G0ZYBypass Right Hand Vein to Upper Vein, Open Approach
051G47YBypass Right Hand Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051G49YBypass Right Hand Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051G4AYBypass Right Hand Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051G4JYBypass Right Hand Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051G4KYBypass Right Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051G4ZYBypass Right Hand Vein to Upper Vein, Percutaneous Endoscopic Approach
051H07YBypass Left Hand Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051H09YBypass Left Hand Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051H0AYBypass Left Hand Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051H0JYBypass Left Hand Vein to Upper Vein with Synthetic Substitute, Open Approach
051H0KYBypass Left Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051H0ZYBypass Left Hand Vein to Upper Vein, Open Approach
051H47YBypass Left Hand Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051H49YBypass Left Hand Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051H4AYBypass Left Hand Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051H4JYBypass Left Hand Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051H4KYBypass Left Hand Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051H4ZYBypass Left Hand Vein to Upper Vein, Percutaneous Endoscopic Approach
051L07YBypass Intracranial Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051L09YBypass Intracranial Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051L0AYBypass Intracranial Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051L0JYBypass Intracranial Vein to Upper Vein with Synthetic Substitute, Open Approach
051L0KYBypass Intracranial Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051L0ZYBypass Intracranial Vein to Upper Vein, Open Approach
051L47YBypass Intracranial Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051L49YBypass Intracranial Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051L4AYBypass Intracranial Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051L4JYBypass Intracranial Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051L4KYBypass Intracranial Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051L4ZYBypass Intracranial Vein to Upper Vein, Percutaneous Endoscopic Approach
051M07YBypass Right Internal Jugular Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051M09YBypass Right Internal Jugular Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051M0AYBypass Right Internal Jugular Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051M0JYBypass Right Internal Jugular Vein to Upper Vein with Synthetic Substitute, Open Approach
051M0KYBypass Right Internal Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051M0ZYBypass Right Internal Jugular Vein to Upper Vein, Open Approach
051M47YBypass Right Internal Jugular Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051M49YBypass Right Internal Jugular Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051M4AYBypass Right Internal Jugular Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051M4JYBypass Right Internal Jugular Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051M4KYBypass Right Internal Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051M4ZYBypass Right Internal Jugular Vein to Upper Vein, Percutaneous Endoscopic Approach
051N07YBypass Left Internal Jugular Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051N09YBypass Left Internal Jugular Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051N0AYBypass Left Internal Jugular Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051N0JYBypass Left Internal Jugular Vein to Upper Vein with Synthetic Substitute, Open Approach
051N0KYBypass Left Internal Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051N0ZYBypass Left Internal Jugular Vein to Upper Vein, Open Approach
051N47YBypass Left Internal Jugular Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051N49YBypass Left Internal Jugular Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051N4AYBypass Left Internal Jugular Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051N4JYBypass Left Internal Jugular Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051N4KYBypass Left Internal Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051N4ZYBypass Left Internal Jugular Vein to Upper Vein, Percutaneous Endoscopic Approach
051P07YBypass Right External Jugular Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051P09YBypass Right External Jugular Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051P0AYBypass Right External Jugular Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051P0JYBypass Right External Jugular Vein to Upper Vein with Synthetic Substitute, Open Approach
051P0KYBypass Right External Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051P0ZYBypass Right External Jugular Vein to Upper Vein, Open Approach
051P47YBypass Right External Jugular Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051P49YBypass Right External Jugular Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051P4AYBypass Right External Jugular Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051P4JYBypass Right External Jugular Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051P4KYBypass Right External Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051P4ZYBypass Right External Jugular Vein to Upper Vein, Percutaneous Endoscopic Approach
051Q07YBypass Left External Jugular Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051Q09YBypass Left External Jugular Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051Q0AYBypass Left External Jugular Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051Q0JYBypass Left External Jugular Vein to Upper Vein with Synthetic Substitute, Open Approach
051Q0KYBypass Left External Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051Q0ZYBypass Left External Jugular Vein to Upper Vein, Open Approach
051Q47YBypass Left External Jugular Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051Q49YBypass Left External Jugular Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051Q4AYBypass Left External Jugular Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051Q4JYBypass Left External Jugular Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051Q4KYBypass Left External Jugular Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051Q4ZYBypass Left External Jugular Vein to Upper Vein, Percutaneous Endoscopic Approach
051R07YBypass Right Vertebral Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051R09YBypass Right Vertebral Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051R0AYBypass Right Vertebral Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051R0JYBypass Right Vertebral Vein to Upper Vein with Synthetic Substitute, Open Approach
051R0KYBypass Right Vertebral Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051R0ZYBypass Right Vertebral Vein to Upper Vein, Open Approach
051R47YBypass Right Vertebral Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051R49YBypass Right Vertebral Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051R4AYBypass Right Vertebral Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051R4JYBypass Right Vertebral Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051R4KYBypass Right Vertebral Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051R4ZYBypass Right Vertebral Vein to Upper Vein, Percutaneous Endoscopic Approach
051S07YBypass Left Vertebral Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051S09YBypass Left Vertebral Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051S0AYBypass Left Vertebral Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051S0JYBypass Left Vertebral Vein to Upper Vein with Synthetic Substitute, Open Approach
051S0KYBypass Left Vertebral Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051S0ZYBypass Left Vertebral Vein to Upper Vein, Open Approach
051S47YBypass Left Vertebral Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051S49YBypass Left Vertebral Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051S4AYBypass Left Vertebral Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051S4JYBypass Left Vertebral Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051S4KYBypass Left Vertebral Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051S4ZYBypass Left Vertebral Vein to Upper Vein, Percutaneous Endoscopic Approach
051T07YBypass Right Face Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051T09YBypass Right Face Vein to Upper Vein with Autologous Venous Tissue, Open Approach
051T0AYBypass Right Face Vein to Upper Vein with Autologous Arterial Tissue, Open Approach
051T0JYBypass Right Face Vein to Upper Vein with Synthetic Substitute, Open Approach
051T0KYBypass Right Face Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach
051T0ZYBypass Right Face Vein to Upper Vein, Open Approach
051T47YBypass Right Face Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
051T49YBypass Right Face Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
051T4AYBypass Right Face Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
051T4JYBypass Right Face Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
051T4KYBypass Right Face Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
051T4ZYBypass Right Face Vein to Upper Vein, Percutaneous Endoscopic Approach
051V07YBypass Left Face Vein to Upper Vein with Autologous Tissue Substitute, Open Approach
051V09YBypass Left Face Vein to Upper Vein with Autologous Venous Tissue, Open 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