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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| Appendix F Unrelated Operating Room Procedures (MS-DRGs 981-989) |
| Non-extensive O.R. procedures unrelated to principal diagnosis |
| Page 2 of 27 |
ONLY OPERATING ROOM PROCEDURES (continued)
00503Z3 03B20ZX 04LB3DZ 06DN0ZZ 07PN00Z 08LY0ZZ 08U83JZ 09BL3ZZ 0C513ZZ 0D5B0Z3 0HHT31Z 0K9L00Z 0KRT0KZ 0LPY4JZ 0MDL3ZZ 0P5Q3ZZ 0PPK07Z 0QB50ZX 0QPP37Z 0SGJ33Z 0SWH4KZ 0TW98JZ 0UWH71Z 0W0N47Z 0X0647Z 0Y0037Z 0YUN47Z
| 03B20ZX | Excision of Innominate Artery, Open Approach, Diagnostic |
| 03B23ZX | Excision of Innominate Artery, Percutaneous Approach, Diagnostic |
| 03B24ZX | Excision of Innominate Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03B30ZX | Excision of Right Subclavian Artery, Open Approach, Diagnostic |
| 03B33ZX | Excision of Right Subclavian Artery, Percutaneous Approach, Diagnostic |
| 03B34ZX | Excision of Right Subclavian Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03B40ZX | Excision of Left Subclavian Artery, Open Approach, Diagnostic |
| 03B43ZX | Excision of Left Subclavian Artery, Percutaneous Approach, Diagnostic |
| 03B44ZX | Excision of Left Subclavian Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03B50ZX | Excision of Right Axillary Artery, Open Approach, Diagnostic |
| 03B53ZX | Excision of Right Axillary Artery, Percutaneous Approach, Diagnostic |
| 03B54ZX | Excision of Right Axillary Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03B60ZX | Excision of Left Axillary Artery, Open Approach, Diagnostic |
| 03B63ZX | Excision of Left Axillary Artery, Percutaneous Approach, Diagnostic |
| 03B64ZX | Excision of Left Axillary Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03B70ZX | Excision of Right Brachial Artery, Open Approach, Diagnostic |
| 03B73ZX | Excision of Right Brachial Artery, Percutaneous Approach, Diagnostic |
| 03B74ZX | Excision of Right Brachial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03B80ZX | Excision of Left Brachial Artery, Open Approach, Diagnostic |
| 03B83ZX | Excision of Left Brachial Artery, Percutaneous Approach, Diagnostic |
| 03B84ZX | Excision of Left Brachial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03B90ZX | Excision of Right Ulnar Artery, Open Approach, Diagnostic |
| 03B93ZX | Excision of Right Ulnar Artery, Percutaneous Approach, Diagnostic |
| 03B94ZX | Excision of Right Ulnar Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BA0ZX | Excision of Left Ulnar Artery, Open Approach, Diagnostic |
| 03BA3ZX | Excision of Left Ulnar Artery, Percutaneous Approach, Diagnostic |
| 03BA4ZX | Excision of Left Ulnar Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BB0ZX | Excision of Right Radial Artery, Open Approach, Diagnostic |
| 03BB3ZX | Excision of Right Radial Artery, Percutaneous Approach, Diagnostic |
| 03BB4ZX | Excision of Right Radial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BC0ZX | Excision of Left Radial Artery, Open Approach, Diagnostic |
| 03BC3ZX | Excision of Left Radial Artery, Percutaneous Approach, Diagnostic |
| 03BC4ZX | Excision of Left Radial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BD0ZX | Excision of Right Hand Artery, Open Approach, Diagnostic |
| 03BD3ZX | Excision of Right Hand Artery, Percutaneous Approach, Diagnostic |
| 03BD4ZX | Excision of Right Hand Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BF0ZX | Excision of Left Hand Artery, Open Approach, Diagnostic |
| 03BF3ZX | Excision of Left Hand Artery, Percutaneous Approach, Diagnostic |
| 03BF4ZX | Excision of Left Hand Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BG0ZX | Excision of Intracranial Artery, Open Approach, Diagnostic |
| 03BG3ZX | Excision of Intracranial Artery, Percutaneous Approach, Diagnostic |
| 03BG4ZX | Excision of Intracranial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BH0ZX | Excision of Right Common Carotid Artery, Open Approach, Diagnostic |
| 03BH3ZX | Excision of Right Common Carotid Artery, Percutaneous Approach, Diagnostic |
| 03BH4ZX | Excision of Right Common Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BJ0ZX | Excision of Left Common Carotid Artery, Open Approach, Diagnostic |
| 03BJ3ZX | Excision of Left Common Carotid Artery, Percutaneous Approach, Diagnostic |
| 03BJ4ZX | Excision of Left Common Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BK0ZX | Excision of Right Internal Carotid Artery, Open Approach, Diagnostic |
| 03BK3ZX | Excision of Right Internal Carotid Artery, Percutaneous Approach, Diagnostic |
| 03BK4ZX | Excision of Right Internal Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BL0ZX | Excision of Left Internal Carotid Artery, Open Approach, Diagnostic |
| 03BL3ZX | Excision of Left Internal Carotid Artery, Percutaneous Approach, Diagnostic |
| 03BL4ZX | Excision of Left Internal Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BM0ZX | Excision of Right External Carotid Artery, Open Approach, Diagnostic |
| 03BM3ZX | Excision of Right External Carotid Artery, Percutaneous Approach, Diagnostic |
| 03BM4ZX | Excision of Right External Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BN0ZX | Excision of Left External Carotid Artery, Open Approach, Diagnostic |
| 03BN3ZX | Excision of Left External Carotid Artery, Percutaneous Approach, Diagnostic |
| 03BN4ZX | Excision of Left External Carotid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BP0ZX | Excision of Right Vertebral Artery, Open Approach, Diagnostic |
| 03BP3ZX | Excision of Right Vertebral Artery, Percutaneous Approach, Diagnostic |
| 03BP4ZX | Excision of Right Vertebral Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BQ0ZX | Excision of Left Vertebral Artery, Open Approach, Diagnostic |
| 03BQ3ZX | Excision of Left Vertebral Artery, Percutaneous Approach, Diagnostic |
| 03BQ4ZX | Excision of Left Vertebral Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BR0ZX | Excision of Face Artery, Open Approach, Diagnostic |
| 03BR3ZX | Excision of Face Artery, Percutaneous Approach, Diagnostic |
| 03BR4ZX | Excision of Face Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BS0ZX | Excision of Right Temporal Artery, Open Approach, Diagnostic |
| 03BS3ZX | Excision of Right Temporal Artery, Percutaneous Approach, Diagnostic |
| 03BS4ZX | Excision of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BT0ZX | Excision of Left Temporal Artery, Open Approach, Diagnostic |
| 03BT3ZX | Excision of Left Temporal Artery, Percutaneous Approach, Diagnostic |
| 03BT4ZX | Excision of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BU0ZX | Excision of Right Thyroid Artery, Open Approach, Diagnostic |
| 03BU3ZX | Excision of Right Thyroid Artery, Percutaneous Approach, Diagnostic |
| 03BU4ZX | Excision of Right Thyroid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BV0ZX | Excision of Left Thyroid Artery, Open Approach, Diagnostic |
| 03BV3ZX | Excision of Left Thyroid Artery, Percutaneous Approach, Diagnostic |
| 03BV4ZX | Excision of Left Thyroid Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BY0ZX | Excision of Upper Artery, Open Approach, Diagnostic |
| 03BY3ZX | Excision of Upper Artery, Percutaneous Approach, Diagnostic |
| 03BY4ZX | Excision of Upper Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03F23Z0 | Fragmentation of Innominate Artery, Percutaneous Approach, Ultrasonic |
| 03F23ZZ | Fragmentation of Innominate Artery, Percutaneous Approach |
| 03F33Z0 | Fragmentation of Right Subclavian Artery, Percutaneous Approach, Ultrasonic |
| 03F33ZZ | Fragmentation of Right Subclavian Artery, Percutaneous Approach |
| 03F43Z0 | Fragmentation of Left Subclavian Artery, Percutaneous Approach, Ultrasonic |
| 03F43ZZ | Fragmentation of Left Subclavian Artery, Percutaneous Approach |
| 03F53Z0 | Fragmentation of Right Axillary Artery, Percutaneous Approach, Ultrasonic |
| 03F53ZZ | Fragmentation of Right Axillary Artery, Percutaneous Approach |
| 03F63Z0 | Fragmentation of Left Axillary Artery, Percutaneous Approach, Ultrasonic |
| 03F63ZZ | Fragmentation of Left Axillary Artery, Percutaneous Approach |
| 03F73Z0 | Fragmentation of Right Brachial Artery, Percutaneous Approach, Ultrasonic |
| 03F73ZZ | Fragmentation of Right Brachial Artery, Percutaneous Approach |
| 03F83Z0 | Fragmentation of Left Brachial Artery, Percutaneous Approach, Ultrasonic |
| 03F83ZZ | Fragmentation of Left Brachial Artery, Percutaneous Approach |
| 03F93Z0 | Fragmentation of Right Ulnar Artery, Percutaneous Approach, Ultrasonic |
| 03F93ZZ | Fragmentation of Right Ulnar Artery, Percutaneous Approach |
| 03FA3Z0 | Fragmentation of Left Ulnar Artery, Percutaneous Approach, Ultrasonic |
| 03FA3ZZ | Fragmentation of Left Ulnar Artery, Percutaneous Approach |
| 03FB3Z0 | Fragmentation of Right Radial Artery, Percutaneous Approach, Ultrasonic |
| 03FB3ZZ | Fragmentation of Right Radial Artery, Percutaneous Approach |
| 03FC3Z0 | Fragmentation of Left Radial Artery, Percutaneous Approach, Ultrasonic |
| 03FC3ZZ | Fragmentation of Left Radial Artery, Percutaneous Approach |
| 03FG3Z0 | Fragmentation of Intracranial Artery, Percutaneous Approach, Ultrasonic |
| 03FG3ZZ | Fragmentation of Intracranial Artery, Percutaneous Approach |
| 03FY3Z0 | Fragmentation of Upper Artery, Percutaneous Approach, Ultrasonic |
| 03FY3ZZ | Fragmentation of Upper Artery, Percutaneous Approach |
| 03WY07Z | Revision of Autologous Tissue Substitute in Upper Artery, Open Approach |
| 03WY0KZ | Revision of Nonautologous Tissue Substitute in Upper Artery, Open Approach |
| 03WY37Z | Revision of Autologous Tissue Substitute in Upper Artery, Percutaneous Approach |
| 03WY3DZ | Revision of Intraluminal Device in Upper Artery, Percutaneous Approach |
| 03WY3KZ | Revision of Nonautologous Tissue Substitute in Upper Artery, Percutaneous Approach |
| 03WY47Z | Revision of Autologous Tissue Substitute in Upper Artery, Percutaneous Endoscopic Approach |
| 03WY4KZ | Revision of Nonautologous Tissue Substitute in Upper Artery, Percutaneous Endoscopic Approach |
| 04900ZX | Drainage of Abdominal Aorta, Open Approach, Diagnostic |
| 04904ZX | Drainage of Abdominal Aorta, Percutaneous Endoscopic Approach, Diagnostic |
| 04910ZX | Drainage of Celiac Artery, Open Approach, Diagnostic |
| 04914ZX | Drainage of Celiac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04920ZX | Drainage of Gastric Artery, Open Approach, Diagnostic |
| 04924ZX | Drainage of Gastric Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04930ZX | Drainage of Hepatic Artery, Open Approach, Diagnostic |
| 04934ZX | Drainage of Hepatic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04940ZX | Drainage of Splenic Artery, Open Approach, Diagnostic |
| 04944ZX | Drainage of Splenic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04950ZX | Drainage of Superior Mesenteric Artery, Open Approach, Diagnostic |
| 04954ZX | Drainage of Superior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04960ZX | Drainage of Right Colic Artery, Open Approach, Diagnostic |
| 04964ZX | Drainage of Right Colic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04970ZX | Drainage of Left Colic Artery, Open Approach, Diagnostic |
| 04974ZX | Drainage of Left Colic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04980ZX | Drainage of Middle Colic Artery, Open Approach, Diagnostic |
| 04984ZX | Drainage of Middle Colic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04990ZX | Drainage of Right Renal Artery, Open Approach, Diagnostic |
| 04994ZX | Drainage of Right Renal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049A0ZX | Drainage of Left Renal Artery, Open Approach, Diagnostic |
| 049A4ZX | Drainage of Left Renal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049B0ZX | Drainage of Inferior Mesenteric Artery, Open Approach, Diagnostic |
| 049B4ZX | Drainage of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049C0ZX | Drainage of Right Common Iliac Artery, Open Approach, Diagnostic |
| 049C4ZX | Drainage of Right Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049D0ZX | Drainage of Left Common Iliac Artery, Open Approach, Diagnostic |
| 049D4ZX | Drainage of Left Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049E0ZX | Drainage of Right Internal Iliac Artery, Open Approach, Diagnostic |
| 049E4ZX | Drainage of Right Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049F0ZX | Drainage of Left Internal Iliac Artery, Open Approach, Diagnostic |
| 049F4ZX | Drainage of Left Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049H0ZX | Drainage of Right External Iliac Artery, Open Approach, Diagnostic |
| 049H4ZX | Drainage of Right External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049J0ZX | Drainage of Left External Iliac Artery, Open Approach, Diagnostic |
| 049J4ZX | Drainage of Left External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049K0ZX | Drainage of Right Femoral Artery, Open Approach, Diagnostic |
| 049K4ZX | Drainage of Right Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049L0ZX | Drainage of Left Femoral Artery, Open Approach, Diagnostic |
| 049L4ZX | Drainage of Left Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049M0ZX | Drainage of Right Popliteal Artery, Open Approach, Diagnostic |
| 049M4ZX | Drainage of Right Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049N0ZX | Drainage of Left Popliteal Artery, Open Approach, Diagnostic |
| 049N4ZX | Drainage of Left Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049P0ZX | Drainage of Right Anterior Tibial Artery, Open Approach, Diagnostic |
| 049P4ZX | Drainage of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049Q0ZX | Drainage of Left Anterior Tibial Artery, Open Approach, Diagnostic |
| 049Q4ZX | Drainage of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049R0ZX | Drainage of Right Posterior Tibial Artery, Open Approach, Diagnostic |
| 049R4ZX | Drainage of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049S0ZX | Drainage of Left Posterior Tibial Artery, Open Approach, Diagnostic |
| 049S4ZX | Drainage of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049T0ZX | Drainage of Right Peroneal Artery, Open Approach, Diagnostic |
| 049T4ZX | Drainage of Right Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049U0ZX | Drainage of Left Peroneal Artery, Open Approach, Diagnostic |
| 049U4ZX | Drainage of Left Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049V0ZX | Drainage of Right Foot Artery, Open Approach, Diagnostic |
| 049V4ZX | Drainage of Right Foot Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049W0ZX | Drainage of Left Foot Artery, Open Approach, Diagnostic |
| 049W4ZX | Drainage of Left Foot Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 049Y0ZX | Drainage of Lower Artery, Open Approach, Diagnostic |
| 049Y4ZX | Drainage of Lower Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B00ZX | Excision of Abdominal Aorta, Open Approach, Diagnostic |
| 04B03ZX | Excision of Abdominal Aorta, Percutaneous Approach, Diagnostic |
| 04B04ZX | Excision of Abdominal Aorta, Percutaneous Endoscopic Approach, Diagnostic |
| 04B10ZX | Excision of Celiac Artery, Open Approach, Diagnostic |
| 04B13ZX | Excision of Celiac Artery, Percutaneous Approach, Diagnostic |
| 04B14ZX | Excision of Celiac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B20ZX | Excision of Gastric Artery, Open Approach, Diagnostic |
| 04B23ZX | Excision of Gastric Artery, Percutaneous Approach, Diagnostic |
| 04B24ZX | Excision of Gastric Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B30ZX | Excision of Hepatic Artery, Open Approach, Diagnostic |
| 04B33ZX | Excision of Hepatic Artery, Percutaneous Approach, Diagnostic |
| 04B34ZX | Excision of Hepatic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B40ZX | Excision of Splenic Artery, Open Approach, Diagnostic |
| 04B43ZX | Excision of Splenic Artery, Percutaneous Approach, Diagnostic |
| 04B44ZX | Excision of Splenic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B50ZX | Excision of Superior Mesenteric Artery, Open Approach, Diagnostic |
| 04B53ZX | Excision of Superior Mesenteric Artery, Percutaneous Approach, Diagnostic |
| 04B54ZX | Excision of Superior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B60ZX | Excision of Right Colic Artery, Open Approach, Diagnostic |
| 04B63ZX | Excision of Right Colic Artery, Percutaneous Approach, Diagnostic |
| 04B64ZX | Excision of Right Colic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B70ZX | Excision of Left Colic Artery, Open Approach, Diagnostic |
| 04B73ZX | Excision of Left Colic Artery, Percutaneous Approach, Diagnostic |
| 04B74ZX | Excision of Left Colic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B80ZX | Excision of Middle Colic Artery, Open Approach, Diagnostic |
| 04B83ZX | Excision of Middle Colic Artery, Percutaneous Approach, Diagnostic |
| 04B84ZX | Excision of Middle Colic Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04B90ZX | Excision of Right Renal Artery, Open Approach, Diagnostic |
| 04B93ZX | Excision of Right Renal Artery, Percutaneous Approach, Diagnostic |
| 04B94ZX | Excision of Right Renal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BA0ZX | Excision of Left Renal Artery, Open Approach, Diagnostic |
| 04BA3ZX | Excision of Left Renal Artery, Percutaneous Approach, Diagnostic |
| 04BA4ZX | Excision of Left Renal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BB0ZX | Excision of Inferior Mesenteric Artery, Open Approach, Diagnostic |
| 04BB3ZX | Excision of Inferior Mesenteric Artery, Percutaneous Approach, Diagnostic |
| 04BB4ZX | Excision of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BC0ZX | Excision of Right Common Iliac Artery, Open Approach, Diagnostic |
| 04BC3ZX | Excision of Right Common Iliac Artery, Percutaneous Approach, Diagnostic |
| 04BC4ZX | Excision of Right Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BD0ZX | Excision of Left Common Iliac Artery, Open Approach, Diagnostic |
| 04BD3ZX | Excision of Left Common Iliac Artery, Percutaneous Approach, Diagnostic |
| 04BD4ZX | Excision of Left Common Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BE0ZX | Excision of Right Internal Iliac Artery, Open Approach, Diagnostic |
| 04BE3ZX | Excision of Right Internal Iliac Artery, Percutaneous Approach, Diagnostic |
| 04BE4ZX | Excision of Right Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BF0ZX | Excision of Left Internal Iliac Artery, Open Approach, Diagnostic |
| 04BF3ZX | Excision of Left Internal Iliac Artery, Percutaneous Approach, Diagnostic |
| 04BF4ZX | Excision of Left Internal Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BH0ZX | Excision of Right External Iliac Artery, Open Approach, Diagnostic |
| 04BH3ZX | Excision of Right External Iliac Artery, Percutaneous Approach, Diagnostic |
| 04BH4ZX | Excision of Right External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BJ0ZX | Excision of Left External Iliac Artery, Open Approach, Diagnostic |
| 04BJ3ZX | Excision of Left External Iliac Artery, Percutaneous Approach, Diagnostic |
| 04BJ4ZX | Excision of Left External Iliac Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BK0ZX | Excision of Right Femoral Artery, Open Approach, Diagnostic |
| 04BK3ZX | Excision of Right Femoral Artery, Percutaneous Approach, Diagnostic |
| 04BK4ZX | Excision of Right Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BL0ZX | Excision of Left Femoral Artery, Open Approach, Diagnostic |
| 04BL3ZX | Excision of Left Femoral Artery, Percutaneous Approach, Diagnostic |
| 04BL4ZX | Excision of Left Femoral Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BM0ZX | Excision of Right Popliteal Artery, Open Approach, Diagnostic |
| 04BM3ZX | Excision of Right Popliteal Artery, Percutaneous Approach, Diagnostic |
| 04BM4ZX | Excision of Right Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BN0ZX | Excision of Left Popliteal Artery, Open Approach, Diagnostic |
| 04BN3ZX | Excision of Left Popliteal Artery, Percutaneous Approach, Diagnostic |
| 04BN4ZX | Excision of Left Popliteal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BP0ZX | Excision of Right Anterior Tibial Artery, Open Approach, Diagnostic |
| 04BP3ZX | Excision of Right Anterior Tibial Artery, Percutaneous Approach, Diagnostic |
| 04BP4ZX | Excision of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BQ0ZX | Excision of Left Anterior Tibial Artery, Open Approach, Diagnostic |
| 04BQ3ZX | Excision of Left Anterior Tibial Artery, Percutaneous Approach, Diagnostic |
| 04BQ4ZX | Excision of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BR0ZX | Excision of Right Posterior Tibial Artery, Open Approach, Diagnostic |
| 04BR3ZX | Excision of Right Posterior Tibial Artery, Percutaneous Approach, Diagnostic |
| 04BR4ZX | Excision of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BS0ZX | Excision of Left Posterior Tibial Artery, Open Approach, Diagnostic |
| 04BS3ZX | Excision of Left Posterior Tibial Artery, Percutaneous Approach, Diagnostic |
| 04BS4ZX | Excision of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BT0ZX | Excision of Right Peroneal Artery, Open Approach, Diagnostic |
| 04BT3ZX | Excision of Right Peroneal Artery, Percutaneous Approach, Diagnostic |
| 04BT4ZX | Excision of Right Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BU0ZX | Excision of Left Peroneal Artery, Open Approach, Diagnostic |
| 04BU3ZX | Excision of Left Peroneal Artery, Percutaneous Approach, Diagnostic |
| 04BU4ZX | Excision of Left Peroneal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BV0ZX | Excision of Right Foot Artery, Open Approach, Diagnostic |
| 04BV3ZX | Excision of Right Foot Artery, Percutaneous Approach, Diagnostic |
| 04BV4ZX | Excision of Right Foot Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BW0ZX | Excision of Left Foot Artery, Open Approach, Diagnostic |
| 04BW3ZX | Excision of Left Foot Artery, Percutaneous Approach, Diagnostic |
| 04BW4ZX | Excision of Left Foot Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04BY0ZX | Excision of Lower Artery, Open Approach, Diagnostic |
| 04BY3ZX | Excision of Lower Artery, Percutaneous Approach, Diagnostic |
| 04BY4ZX | Excision of Lower Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 04FC3Z0 | Fragmentation of Right Common Iliac Artery, Percutaneous Approach, Ultrasonic |
| 04FC3ZZ | Fragmentation of Right Common Iliac Artery, Percutaneous Approach |
| 04FD3Z0 | Fragmentation of Left Common Iliac Artery, Percutaneous Approach, Ultrasonic |
| 04FD3ZZ | Fragmentation of Left Common Iliac Artery, Percutaneous Approach |
| 04FE3Z0 | Fragmentation of Right Internal Iliac Artery, Percutaneous Approach, Ultrasonic |
| 04FE3ZZ | Fragmentation of Right Internal Iliac Artery, Percutaneous Approach |
| 04FF3Z0 | Fragmentation of Left Internal Iliac Artery, Percutaneous Approach, Ultrasonic |
| 04FF3ZZ | Fragmentation of Left Internal Iliac Artery, Percutaneous Approach |
| 04FH3Z0 | Fragmentation of Right External Iliac Artery, Percutaneous Approach, Ultrasonic |
| 04FH3ZZ | Fragmentation of Right External Iliac Artery, Percutaneous Approach |
| 04FJ3Z0 | Fragmentation of Left External Iliac Artery, Percutaneous Approach, Ultrasonic |
| 04FJ3ZZ | Fragmentation of Left External Iliac Artery, Percutaneous Approach |
| 04FK3Z0 | Fragmentation of Right Femoral Artery, Percutaneous Approach, Ultrasonic |
| 04FK3ZZ | Fragmentation of Right Femoral Artery, Percutaneous Approach |
| 04FL3Z0 | Fragmentation of Left Femoral Artery, Percutaneous Approach, Ultrasonic |
| 04FL3ZZ | Fragmentation of Left Femoral Artery, Percutaneous Approach |
| 04FM3Z0 | Fragmentation of Right Popliteal Artery, Percutaneous Approach, Ultrasonic |
| 04FM3ZZ | Fragmentation of Right Popliteal Artery, Percutaneous Approach |
| 04FN3Z0 | Fragmentation of Left Popliteal Artery, Percutaneous Approach, Ultrasonic |
| 04FN3ZZ | Fragmentation of Left Popliteal Artery, Percutaneous Approach |
| 04FP3Z0 | Fragmentation of Right Anterior Tibial Artery, Percutaneous Approach, Ultrasonic |
| 04FP3ZZ | Fragmentation of Right Anterior Tibial Artery, Percutaneous Approach |
| 04FQ3Z0 | Fragmentation of Left Anterior Tibial Artery, Percutaneous Approach, Ultrasonic |
| 04FQ3ZZ | Fragmentation of Left Anterior Tibial Artery, Percutaneous Approach |
| 04FR3Z0 | Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach, Ultrasonic |
| 04FR3ZZ | Fragmentation of Right Posterior Tibial Artery, Percutaneous Approach |
| 04FS3Z0 | Fragmentation of Left Posterior Tibial Artery, Percutaneous Approach, Ultrasonic |
| 04FS3ZZ | Fragmentation of Left Posterior Tibial Artery, Percutaneous Approach |
| 04FT3Z0 | Fragmentation of Right Peroneal Artery, Percutaneous Approach, Ultrasonic |
| 04FT3ZZ | Fragmentation of Right Peroneal Artery, Percutaneous Approach |
| 04FU3Z0 | Fragmentation of Left Peroneal Artery, Percutaneous Approach, Ultrasonic |
| 04FU3ZZ | Fragmentation of Left Peroneal Artery, Percutaneous Approach |
| 04FY3Z0 | Fragmentation of Lower Artery, Percutaneous Approach, Ultrasonic |
| 04FY3ZZ | Fragmentation of Lower Artery, Percutaneous Approach |
| 04L10CZ | Occlusion of Celiac Artery with Extraluminal Device, Open Approach |
| 04L10DZ | Occlusion of Celiac Artery with Intraluminal Device, Open Approach |
| 04L10ZZ | Occlusion of Celiac Artery, Open Approach |
| 04L13CZ | Occlusion of Celiac Artery with Extraluminal Device, Percutaneous Approach |
| 04L13DZ | Occlusion of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04L13ZZ | Occlusion of Celiac Artery, Percutaneous Approach |
| 04L14CZ | Occlusion of Celiac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L14DZ | Occlusion of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L14ZZ | Occlusion of Celiac Artery, Percutaneous Endoscopic Approach |
| 04L20CZ | Occlusion of Gastric Artery with Extraluminal Device, Open Approach |
| 04L20DZ | Occlusion of Gastric Artery with Intraluminal Device, Open Approach |
| 04L20ZZ | Occlusion of Gastric Artery, Open Approach |
| 04L23CZ | Occlusion of Gastric Artery with Extraluminal Device, Percutaneous Approach |
| 04L23DZ | Occlusion of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04L23ZZ | Occlusion of Gastric Artery, Percutaneous Approach |
| 04L24CZ | Occlusion of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L24DZ | Occlusion of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L24ZZ | Occlusion of Gastric Artery, Percutaneous Endoscopic Approach |
| 04L30CZ | Occlusion of Hepatic Artery with Extraluminal Device, Open Approach |
| 04L30DZ | Occlusion of Hepatic Artery with Intraluminal Device, Open Approach |
| 04L30ZZ | Occlusion of Hepatic Artery, Open Approach |
| 04L33CZ | Occlusion of Hepatic Artery with Extraluminal Device, Percutaneous Approach |
| 04L33DZ | Occlusion of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04L33ZZ | Occlusion of Hepatic Artery, Percutaneous Approach |
| 04L34CZ | Occlusion of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L34DZ | Occlusion of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L34ZZ | Occlusion of Hepatic Artery, Percutaneous Endoscopic Approach |
| 04L40CZ | Occlusion of Splenic Artery with Extraluminal Device, Open Approach |
| 04L40DZ | Occlusion of Splenic Artery with Intraluminal Device, Open Approach |
| 04L40ZZ | Occlusion of Splenic Artery, Open Approach |
| 04L43CZ | Occlusion of Splenic Artery with Extraluminal Device, Percutaneous Approach |
| 04L43DZ | Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04L43ZZ | Occlusion of Splenic Artery, Percutaneous Approach |
| 04L44CZ | Occlusion of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L44DZ | Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L44ZZ | Occlusion of Splenic Artery, Percutaneous Endoscopic Approach |
| 04L50CZ | Occlusion of Superior Mesenteric Artery with Extraluminal Device, Open Approach |
| 04L50DZ | Occlusion of Superior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04L50ZZ | Occlusion of Superior Mesenteric Artery, Open Approach |
| 04L53CZ | Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach |
| 04L53DZ | Occlusion of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04L53ZZ | Occlusion of Superior Mesenteric Artery, Percutaneous Approach |
| 04L54CZ | Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L54DZ | Occlusion of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L54ZZ | Occlusion of Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04L60CZ | Occlusion of Right Colic Artery with Extraluminal Device, Open Approach |
| 04L60DZ | Occlusion of Right Colic Artery with Intraluminal Device, Open Approach |
| 04L60ZZ | Occlusion of Right Colic Artery, Open Approach |
| 04L63CZ | Occlusion of Right Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04L63DZ | Occlusion of Right Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04L63ZZ | Occlusion of Right Colic Artery, Percutaneous Approach |
| 04L64CZ | Occlusion of Right Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L64DZ | Occlusion of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L64ZZ | Occlusion of Right Colic Artery, Percutaneous Endoscopic Approach |
| 04L70CZ | Occlusion of Left Colic Artery with Extraluminal Device, Open Approach |
| 04L70DZ | Occlusion of Left Colic Artery with Intraluminal Device, Open Approach |
| 04L70ZZ | Occlusion of Left Colic Artery, Open Approach |
| 04L73CZ | Occlusion of Left Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04L73DZ | Occlusion of Left Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04L73ZZ | Occlusion of Left Colic Artery, Percutaneous Approach |
| 04L74CZ | Occlusion of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L74DZ | Occlusion of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L74ZZ | Occlusion of Left Colic Artery, Percutaneous Endoscopic Approach |
| 04L80CZ | Occlusion of Middle Colic Artery with Extraluminal Device, Open Approach |
| 04L80DZ | Occlusion of Middle Colic Artery with Intraluminal Device, Open Approach |
| 04L80ZZ | Occlusion of Middle Colic Artery, Open Approach |
| 04L83CZ | Occlusion of Middle Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04L83DZ | Occlusion of Middle Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04L83ZZ | Occlusion of Middle Colic Artery, Percutaneous Approach |
| 04L84CZ | Occlusion of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L84DZ | Occlusion of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L84ZZ | Occlusion of Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04L90CZ | Occlusion of Right Renal Artery with Extraluminal Device, Open Approach |
| 04L90DZ | Occlusion of Right Renal Artery with Intraluminal Device, Open Approach |
| 04L90ZZ | Occlusion of Right Renal Artery, Open Approach |
| 04L93CZ | Occlusion of Right Renal Artery with Extraluminal Device, Percutaneous Approach |
| 04L93DZ | Occlusion of Right Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04L93ZZ | Occlusion of Right Renal Artery, Percutaneous Approach |
| 04L94CZ | Occlusion of Right Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L94DZ | Occlusion of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L94ZZ | Occlusion of Right Renal Artery, Percutaneous Endoscopic Approach |
| 04LA0CZ | Occlusion of Left Renal Artery with Extraluminal Device, Open Approach |
| 04LA0DZ | Occlusion of Left Renal Artery with Intraluminal Device, Open Approach |
| 04LA0ZZ | Occlusion of Left Renal Artery, Open Approach |
| 04LA3CZ | Occlusion of Left Renal Artery with Extraluminal Device, Percutaneous Approach |
| 04LA3DZ | Occlusion of Left Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04LA3ZZ | Occlusion of Left Renal Artery, Percutaneous Approach |
| 04LA4CZ | Occlusion of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LA4DZ | Occlusion of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LA4ZZ | Occlusion of Left Renal Artery, Percutaneous Endoscopic Approach |
| 04LB0CZ | Occlusion of Inferior Mesenteric Artery with Extraluminal Device, Open Approach |
| 04LB0DZ | Occlusion of Inferior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04LB0ZZ | Occlusion of Inferior Mesenteric Artery, Open Approach |
| 04LB3CZ | Occlusion of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 29 Mar 2024 17:03:46 CMS, code-revision=361, description-revision=1397 |