ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v42.0 Definitions Manual |
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| MDC 05 Diseases and disorders of the circulatory system |
| Other vascular procedures |
| Page 15 of 24 |
OPERATING ROOM PROCEDURES (continued)
00HE0MZ 02VS0CZ 03160AB 03740DZ 037J04Z 039R4ZX 03LA4ZZ 03RN47Z 03UV4JZ 041N0JS 047446Z 047F4EZ 047T4ZZ 04H03DZ 04QM3ZZ 04UP0JZ 051S4KY 05BA0ZZ 05LQ4CZ 05U73JZ 061T07Y 06JY4ZZ 06V04CZ X27M395
| 04QM3ZZ | Repair Right Popliteal Artery, Percutaneous Approach |
| 04QM4ZZ | Repair Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04QN0ZZ | Repair Left Popliteal Artery, Open Approach |
| 04QN3ZZ | Repair Left Popliteal Artery, Percutaneous Approach |
| 04QN4ZZ | Repair Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04QP0ZZ | Repair Right Anterior Tibial Artery, Open Approach |
| 04QP3ZZ | Repair Right Anterior Tibial Artery, Percutaneous Approach |
| 04QP4ZZ | Repair Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QQ0ZZ | Repair Left Anterior Tibial Artery, Open Approach |
| 04QQ3ZZ | Repair Left Anterior Tibial Artery, Percutaneous Approach |
| 04QQ4ZZ | Repair Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QR0ZZ | Repair Right Posterior Tibial Artery, Open Approach |
| 04QR3ZZ | Repair Right Posterior Tibial Artery, Percutaneous Approach |
| 04QR4ZZ | Repair Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QS0ZZ | Repair Left Posterior Tibial Artery, Open Approach |
| 04QS3ZZ | Repair Left Posterior Tibial Artery, Percutaneous Approach |
| 04QS4ZZ | Repair Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QT0ZZ | Repair Right Peroneal Artery, Open Approach |
| 04QT3ZZ | Repair Right Peroneal Artery, Percutaneous Approach |
| 04QT4ZZ | Repair Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04QU0ZZ | Repair Left Peroneal Artery, Open Approach |
| 04QU3ZZ | Repair Left Peroneal Artery, Percutaneous Approach |
| 04QU4ZZ | Repair Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04QV0ZZ | Repair Right Foot Artery, Open Approach |
| 04QV3ZZ | Repair Right Foot Artery, Percutaneous Approach |
| 04QV4ZZ | Repair Right Foot Artery, Percutaneous Endoscopic Approach |
| 04QW0ZZ | Repair Left Foot Artery, Open Approach |
| 04QW3ZZ | Repair Left Foot Artery, Percutaneous Approach |
| 04QW4ZZ | Repair Left Foot Artery, Percutaneous Endoscopic Approach |
| 04QY0ZZ | Repair Lower Artery, Open Approach |
| 04QY3ZZ | Repair Lower Artery, Percutaneous Approach |
| 04QY4ZZ | Repair Lower Artery, Percutaneous Endoscopic Approach |
| 04RK07Z | Replacement of Right Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04RK0JZ | Replacement of Right Femoral Artery with Synthetic Substitute, Open Approach |
| 04RK0KZ | Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RK47Z | Replacement of Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RK4JZ | Replacement of Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RK4KZ | Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RL07Z | Replacement of Left Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04RL0JZ | Replacement of Left Femoral Artery with Synthetic Substitute, Open Approach |
| 04RL0KZ | Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RL47Z | Replacement of Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RL4JZ | Replacement of Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RL4KZ | Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RM07Z | Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04RM0JZ | Replacement of Right Popliteal Artery with Synthetic Substitute, Open Approach |
| 04RM0KZ | Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RM47Z | Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RM4JZ | Replacement of Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RM4KZ | Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RN07Z | Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04RN0JZ | Replacement of Left Popliteal Artery with Synthetic Substitute, Open Approach |
| 04RN0KZ | Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RN47Z | Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RN4JZ | Replacement of Left Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RN4KZ | Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RP07Z | Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RP0JZ | Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RP0KZ | Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RP47Z | Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RP4JZ | Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RP4KZ | Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RQ07Z | Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RQ0JZ | Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RQ0KZ | Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RQ47Z | Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RQ4JZ | Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RQ4KZ | Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RR07Z | Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RR0JZ | Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RR0KZ | Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RR47Z | Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RR4JZ | Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RR4KZ | Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RS07Z | Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RS0JZ | Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RS0KZ | Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RS47Z | Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RS4JZ | Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RS4KZ | Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RT07Z | Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04RT0JZ | Replacement of Right Peroneal Artery with Synthetic Substitute, Open Approach |
| 04RT0KZ | Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RT47Z | Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RT4JZ | Replacement of Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RT4KZ | Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RU07Z | Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04RU0JZ | Replacement of Left Peroneal Artery with Synthetic Substitute, Open Approach |
| 04RU0KZ | Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RU47Z | Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RU4JZ | Replacement of Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RU4KZ | Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RV07Z | Replacement of Right Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04RV0JZ | Replacement of Right Foot Artery with Synthetic Substitute, Open Approach |
| 04RV0KZ | Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RV47Z | Replacement of Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RV4JZ | Replacement of Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RV4KZ | Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RW07Z | Replacement of Left Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04RW0JZ | Replacement of Left Foot Artery with Synthetic Substitute, Open Approach |
| 04RW0KZ | Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RW47Z | Replacement of Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RW4JZ | Replacement of Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RW4KZ | Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RY07Z | Replacement of Lower Artery with Autologous Tissue Substitute, Open Approach |
| 04RY0JZ | Replacement of Lower Artery with Synthetic Substitute, Open Approach |
| 04RY0KZ | Replacement of Lower Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RY47Z | Replacement of Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RY4JZ | Replacement of Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RY4KZ | Replacement of Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04S00ZZ | Reposition Abdominal Aorta, Open Approach |
| 04S03ZZ | Reposition Abdominal Aorta, Percutaneous Approach |
| 04S04ZZ | Reposition Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04S10ZZ | Reposition Celiac Artery, Open Approach |
| 04S13ZZ | Reposition Celiac Artery, Percutaneous Approach |
| 04S14ZZ | Reposition Celiac Artery, Percutaneous Endoscopic Approach |
| 04S20ZZ | Reposition Gastric Artery, Open Approach |
| 04S23ZZ | Reposition Gastric Artery, Percutaneous Approach |
| 04S24ZZ | Reposition Gastric Artery, Percutaneous Endoscopic Approach |
| 04S30ZZ | Reposition Hepatic Artery, Open Approach |
| 04S33ZZ | Reposition Hepatic Artery, Percutaneous Approach |
| 04S34ZZ | Reposition Hepatic Artery, Percutaneous Endoscopic Approach |
| 04S40ZZ | Reposition Splenic Artery, Open Approach |
| 04S43ZZ | Reposition Splenic Artery, Percutaneous Approach |
| 04S44ZZ | Reposition Splenic Artery, Percutaneous Endoscopic Approach |
| 04S50ZZ | Reposition Superior Mesenteric Artery, Open Approach |
| 04S53ZZ | Reposition Superior Mesenteric Artery, Percutaneous Approach |
| 04S54ZZ | Reposition Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04S60ZZ | Reposition Right Colic Artery, Open Approach |
| 04S63ZZ | Reposition Right Colic Artery, Percutaneous Approach |
| 04S64ZZ | Reposition Right Colic Artery, Percutaneous Endoscopic Approach |
| 04S70ZZ | Reposition Left Colic Artery, Open Approach |
| 04S73ZZ | Reposition Left Colic Artery, Percutaneous Approach |
| 04S74ZZ | Reposition Left Colic Artery, Percutaneous Endoscopic Approach |
| 04S80ZZ | Reposition Middle Colic Artery, Open Approach |
| 04S83ZZ | Reposition Middle Colic Artery, Percutaneous Approach |
| 04S84ZZ | Reposition Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04S90ZZ | Reposition Right Renal Artery, Open Approach |
| 04S93ZZ | Reposition Right Renal Artery, Percutaneous Approach |
| 04S94ZZ | Reposition Right Renal Artery, Percutaneous Endoscopic Approach |
| 04SA0ZZ | Reposition Left Renal Artery, Open Approach |
| 04SA3ZZ | Reposition Left Renal Artery, Percutaneous Approach |
| 04SA4ZZ | Reposition Left Renal Artery, Percutaneous Endoscopic Approach |
| 04SB0ZZ | Reposition Inferior Mesenteric Artery, Open Approach |
| 04SB3ZZ | Reposition Inferior Mesenteric Artery, Percutaneous Approach |
| 04SB4ZZ | Reposition Inferior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04SC0ZZ | Reposition Right Common Iliac Artery, Open Approach |
| 04SC3ZZ | Reposition Right Common Iliac Artery, Percutaneous Approach |
| 04SC4ZZ | Reposition Right Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04SD0ZZ | Reposition Left Common Iliac Artery, Open Approach |
| 04SD3ZZ | Reposition Left Common Iliac Artery, Percutaneous Approach |
| 04SD4ZZ | Reposition Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04SE0ZZ | Reposition Right Internal Iliac Artery, Open Approach |
| 04SE3ZZ | Reposition Right Internal Iliac Artery, Percutaneous Approach |
| 04SE4ZZ | Reposition Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04SF0ZZ | Reposition Left Internal Iliac Artery, Open Approach |
| 04SF3ZZ | Reposition Left Internal Iliac Artery, Percutaneous Approach |
| 04SF4ZZ | Reposition Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04SH0ZZ | Reposition Right External Iliac Artery, Open Approach |
| 04SH3ZZ | Reposition Right External Iliac Artery, Percutaneous Approach |
| 04SH4ZZ | Reposition Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04SJ0ZZ | Reposition Left External Iliac Artery, Open Approach |
| 04SJ3ZZ | Reposition Left External Iliac Artery, Percutaneous Approach |
| 04SJ4ZZ | Reposition Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04SK0ZZ | Reposition Right Femoral Artery, Open Approach |
| 04SK3ZZ | Reposition Right Femoral Artery, Percutaneous Approach |
| 04SK4ZZ | Reposition Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04SL0ZZ | Reposition Left Femoral Artery, Open Approach |
| 04SL3ZZ | Reposition Left Femoral Artery, Percutaneous Approach |
| 04SL4ZZ | Reposition Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04SM0ZZ | Reposition Right Popliteal Artery, Open Approach |
| 04SM3ZZ | Reposition Right Popliteal Artery, Percutaneous Approach |
| 04SM4ZZ | Reposition Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04SN0ZZ | Reposition Left Popliteal Artery, Open Approach |
| 04SN3ZZ | Reposition Left Popliteal Artery, Percutaneous Approach |
| 04SN4ZZ | Reposition Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04SP0ZZ | Reposition Right Anterior Tibial Artery, Open Approach |
| 04SP3ZZ | Reposition Right Anterior Tibial Artery, Percutaneous Approach |
| 04SP4ZZ | Reposition Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04SQ0ZZ | Reposition Left Anterior Tibial Artery, Open Approach |
| 04SQ3ZZ | Reposition Left Anterior Tibial Artery, Percutaneous Approach |
| 04SQ4ZZ | Reposition Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04SR0ZZ | Reposition Right Posterior Tibial Artery, Open Approach |
| 04SR3ZZ | Reposition Right Posterior Tibial Artery, Percutaneous Approach |
| 04SR4ZZ | Reposition Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04SS0ZZ | Reposition Left Posterior Tibial Artery, Open Approach |
| 04SS3ZZ | Reposition Left Posterior Tibial Artery, Percutaneous Approach |
| 04SS4ZZ | Reposition Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04ST0ZZ | Reposition Right Peroneal Artery, Open Approach |
| 04ST3ZZ | Reposition Right Peroneal Artery, Percutaneous Approach |
| 04ST4ZZ | Reposition Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04SU0ZZ | Reposition Left Peroneal Artery, Open Approach |
| 04SU3ZZ | Reposition Left Peroneal Artery, Percutaneous Approach |
| 04SU4ZZ | Reposition Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04SV0ZZ | Reposition Right Foot Artery, Open Approach |
| 04SV3ZZ | Reposition Right Foot Artery, Percutaneous Approach |
| 04SV4ZZ | Reposition Right Foot Artery, Percutaneous Endoscopic Approach |
| 04SW0ZZ | Reposition Left Foot Artery, Open Approach |
| 04SW3ZZ | Reposition Left Foot Artery, Percutaneous Approach |
| 04SW4ZZ | Reposition Left Foot Artery, Percutaneous Endoscopic Approach |
| 04SY0ZZ | Reposition Lower Artery, Open Approach |
| 04SY3ZZ | Reposition Lower Artery, Percutaneous Approach |
| 04SY4ZZ | Reposition Lower Artery, Percutaneous Endoscopic Approach |
| 04U007Z | Supplement Abdominal Aorta with Autologous Tissue Substitute, Open Approach |
| 04U00JZ | Supplement Abdominal Aorta with Synthetic Substitute, Open Approach |
| 04U00KZ | Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach |
| 04U037Z | Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Approach |
| 04U03KZ | Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U047Z | Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U04KZ | Supplement Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U107Z | Supplement Celiac Artery with Autologous Tissue Substitute, Open Approach |
| 04U10JZ | Supplement Celiac Artery with Synthetic Substitute, Open Approach |
| 04U10KZ | Supplement Celiac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U137Z | Supplement Celiac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U13JZ | Supplement Celiac Artery with Synthetic Substitute, Percutaneous Approach |
| 04U13KZ | Supplement Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U147Z | Supplement Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U14JZ | Supplement Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U14KZ | Supplement Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U207Z | Supplement Gastric Artery with Autologous Tissue Substitute, Open Approach |
| 04U20JZ | Supplement Gastric Artery with Synthetic Substitute, Open Approach |
| 04U20KZ | Supplement Gastric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U237Z | Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U23JZ | Supplement Gastric Artery with Synthetic Substitute, Percutaneous Approach |
| 04U23KZ | Supplement Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U247Z | Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U24JZ | Supplement Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U24KZ | Supplement Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U307Z | Supplement Hepatic Artery with Autologous Tissue Substitute, Open Approach |
| 04U30JZ | Supplement Hepatic Artery with Synthetic Substitute, Open Approach |
| 04U30KZ | Supplement Hepatic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U337Z | Supplement Hepatic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U33JZ | Supplement Hepatic Artery with Synthetic Substitute, Percutaneous Approach |
| 04U33KZ | Supplement Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U347Z | Supplement Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U34JZ | Supplement Hepatic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U34KZ | Supplement Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U407Z | Supplement Splenic Artery with Autologous Tissue Substitute, Open Approach |
| 04U40JZ | Supplement Splenic Artery with Synthetic Substitute, Open Approach |
| 04U40KZ | Supplement Splenic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U437Z | Supplement Splenic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U43JZ | Supplement Splenic Artery with Synthetic Substitute, Percutaneous Approach |
| 04U43KZ | Supplement Splenic Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U447Z | Supplement Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U44JZ | Supplement Splenic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U44KZ | Supplement Splenic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U507Z | Supplement Superior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04U50JZ | Supplement Superior Mesenteric Artery with Synthetic Substitute, Open Approach |
| 04U50KZ | Supplement Superior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U537Z | Supplement Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U53JZ | Supplement Superior Mesenteric Artery with Synthetic Substitute, Percutaneous Approach |
| 04U53KZ | Supplement Superior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U547Z | Supplement Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U54JZ | Supplement Superior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U54KZ | Supplement Superior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U607Z | Supplement Right Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04U60JZ | Supplement Right Colic Artery with Synthetic Substitute, Open Approach |
| 04U60KZ | Supplement Right Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U637Z | Supplement Right Colic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U63JZ | Supplement Right Colic Artery with Synthetic Substitute, Percutaneous Approach |
| 04U63KZ | Supplement Right Colic Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U647Z | Supplement Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U64JZ | Supplement Right Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U64KZ | Supplement Right Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U707Z | Supplement Left Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04U70JZ | Supplement Left Colic Artery with Synthetic Substitute, Open Approach |
| 04U70KZ | Supplement Left Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U737Z | Supplement Left Colic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U73JZ | Supplement Left Colic Artery with Synthetic Substitute, Percutaneous Approach |
| 04U73KZ | Supplement Left Colic Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U747Z | Supplement Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U74JZ | Supplement Left Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U74KZ | Supplement Left Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U807Z | Supplement Middle Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04U80JZ | Supplement Middle Colic Artery with Synthetic Substitute, Open Approach |
| 04U80KZ | Supplement Middle Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U837Z | Supplement Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U83JZ | Supplement Middle Colic Artery with Synthetic Substitute, Percutaneous Approach |
| 04U83KZ | Supplement Middle Colic Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U847Z | Supplement Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U84JZ | Supplement Middle Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U84KZ | Supplement Middle Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U907Z | Supplement Right Renal Artery with Autologous Tissue Substitute, Open Approach |
| 04U90JZ | Supplement Right Renal Artery with Synthetic Substitute, Open Approach |
| 04U90KZ | Supplement Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04U937Z | Supplement Right Renal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U93JZ | Supplement Right Renal Artery with Synthetic Substitute, Percutaneous Approach |
| 04U93KZ | Supplement Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04U947Z | Supplement Right Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U94JZ | Supplement Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U94KZ | Supplement Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UA07Z | Supplement Left Renal Artery with Autologous Tissue Substitute, Open Approach |
| 04UA0JZ | Supplement Left Renal Artery with Synthetic Substitute, Open Approach |
| 04UA0KZ | Supplement Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UA37Z | Supplement Left Renal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UA3JZ | Supplement Left Renal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UA3KZ | Supplement Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UA47Z | Supplement Left Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UA4JZ | Supplement Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UA4KZ | Supplement Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UB07Z | Supplement Inferior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04UB0JZ | Supplement Inferior Mesenteric Artery with Synthetic Substitute, Open Approach |
| 04UB0KZ | Supplement Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UB37Z | Supplement Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UB3JZ | Supplement Inferior Mesenteric Artery with Synthetic Substitute, Percutaneous Approach |
| 04UB3KZ | Supplement Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UB47Z | Supplement Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UB4JZ | Supplement Inferior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UB4KZ | Supplement Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UC07Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UC0JZ | Supplement Right Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04UC0KZ | Supplement Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UC37Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UC3JZ | Supplement Right Common Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UC3KZ | Supplement Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UC47Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UC4JZ | Supplement Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UC4KZ | Supplement Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UD07Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UD0JZ | Supplement Left Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04UD0KZ | Supplement Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UD37Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UD3JZ | Supplement Left Common Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UD3KZ | Supplement Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UD47Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UD4JZ | Supplement Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UD4KZ | Supplement Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UE07Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UE0JZ | Supplement Right Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04UE0KZ | Supplement Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UE37Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UE3JZ | Supplement Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UE3KZ | Supplement Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UE47Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UE4JZ | Supplement Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UE4KZ | Supplement Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UF07Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UF0JZ | Supplement Left Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04UF0KZ | Supplement Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UF37Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UF3JZ | Supplement Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UF3KZ | Supplement Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UF47Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UF4JZ | Supplement Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UF4KZ | Supplement Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UH07Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UH0JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Open Approach |
| 04UH0KZ | Supplement Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UH37Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UH3JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UH3KZ | Supplement Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UH47Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UH4JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UH4KZ | Supplement Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UJ07Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UJ0JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Open Approach |
| 04UJ0KZ | Supplement Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UJ37Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UJ3JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UJ3KZ | Supplement Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UJ47Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UJ4JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UJ4KZ | Supplement Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UK07Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UK0JZ | Supplement Right Femoral Artery with Synthetic Substitute, Open Approach |
| 04UK0KZ | Supplement Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UK37Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UK3JZ | Supplement Right Femoral Artery with Synthetic Substitute, Percutaneous Approach |
| 04UK3KZ | Supplement Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UK47Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UK4JZ | Supplement Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UK4KZ | Supplement Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UL07Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UL0JZ | Supplement Left Femoral Artery with Synthetic Substitute, Open Approach |
| 04UL0KZ | Supplement Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UL37Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UL3JZ | Supplement Left Femoral Artery with Synthetic Substitute, Percutaneous Approach |
| 04UL3KZ | Supplement Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UL47Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UL4JZ | Supplement Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UL4KZ | Supplement Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UM07Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UM0JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Open Approach |
| 04UM0KZ | Supplement Right Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UM37Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UM3JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UM3KZ | Supplement Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UM47Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UM4JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UM4KZ | Supplement Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UN07Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UN0JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Open Approach |
| 04UN0KZ | Supplement Left Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04UN37Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UN3JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UN3KZ | Supplement Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Approach |
| 04UN47Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UN4JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UN4KZ | Supplement Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UP07Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |