ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v41.0 Definitions Manual |
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| MDC 21 Injuries, poisonings and toxic effects of drugs |
| Other O.R. procedures for injuries |
| Page 17 of 75 |
OPERATING ROOM PROCEDURES (continued)
0016070 00D70ZZ 00RH4KZ 00XK4ZG 01N40ZZ 021Q4ZA 02R647Z 031609W 037M35Z 03L54CZ 03RB0JZ 03VG3DZ 041E09J 047D36Z 04L10DZ 04R10KZ 04UR3JZ 057D3D1 05LN3DZ 05UA37Z 06HV3DZ 06SN4ZZ 07HK01Z 07U44KZ 089X8ZZ 08SRXZZ 09RM0JZ 0BQ53ZZ 0CQ30ZZ 0D134J6 0D1B3J4 0D1N4ZP 0DFP3ZZ 0DQ48ZZ 0DUF4KZ 0DW033Z 0F1G0DC 0FQC3ZZ 0GQ40ZZ 0J870ZZ 0JX50ZZ 0KC94ZZ 0KRW4KZ 0L814ZZ 0LMP4ZZ 0LU40JZ 0M9T00Z 0MTG4ZZ 0NQP0ZZ 0P823ZZ 0PHL45Z 0PQ04ZZ 0PU60JZ 0QCQ4ZZ 0QP234Z 0QR54JZ 0QSN05Z 0RCL0ZZ 0RHM05Z 0RTE0ZZ 0RWX4JZ 0SGC45Z 0SP90KZ 0SRC0LA 0SWG30Z 0T180ZA 0TPB0KZ 0TWD0KZ 0VCC4ZZ 0W060JZ 0WHG41Z 0X083JZ 0XU24KZ 0YB04ZZ X2CY3T7
| 04UR3JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04UR47Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UR4JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04US07Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04US0JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04US37Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04US3JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04US47Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04US4JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UT07Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UT0JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Open Approach |
| 04UT37Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UT3JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UT47Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UT4JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UU07Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UU0JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Open Approach |
| 04UU37Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UU3JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UU47Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UU4JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UV07Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UV0JZ | Supplement Right Foot Artery with Synthetic Substitute, Open Approach |
| 04UV37Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UV3JZ | Supplement Right Foot Artery with Synthetic Substitute, Percutaneous Approach |
| 04UV47Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UV4JZ | Supplement Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UW07Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UW0JZ | Supplement Left Foot Artery with Synthetic Substitute, Open Approach |
| 04UW37Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UW3JZ | Supplement Left Foot Artery with Synthetic Substitute, Percutaneous Approach |
| 04UW47Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UW4JZ | Supplement Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UY07Z | Supplement Lower Artery with Autologous Tissue Substitute, Open Approach |
| 04UY0JZ | Supplement Lower Artery with Synthetic Substitute, Open Approach |
| 04UY37Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UY3JZ | Supplement Lower Artery with Synthetic Substitute, Percutaneous Approach |
| 04UY47Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UY4JZ | Supplement Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04V00DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach |
| 04V00DZ | Restriction of Abdominal Aorta with Intraluminal Device, Open Approach |
| 04V00EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04V00FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach |
| 04V00ZZ | Restriction of Abdominal Aorta, Open Approach |
| 04V03DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach |
| 04V03DZ | Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach |
| 04V03EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04V03FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach |
| 04V03ZZ | Restriction of Abdominal Aorta, Percutaneous Approach |
| 04V04DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Endoscopic Approach |
| 04V04DZ | Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V04EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04V04FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach |
| 04V04ZZ | Restriction of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04V10DZ | Restriction of Celiac Artery with Intraluminal Device, Open Approach |
| 04V10ZZ | Restriction of Celiac Artery, Open Approach |
| 04V13DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04V13ZZ | Restriction of Celiac Artery, Percutaneous Approach |
| 04V14DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V14ZZ | Restriction of Celiac Artery, Percutaneous Endoscopic Approach |
| 04V20DZ | Restriction of Gastric Artery with Intraluminal Device, Open Approach |
| 04V20ZZ | Restriction of Gastric Artery, Open Approach |
| 04V23DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04V23ZZ | Restriction of Gastric Artery, Percutaneous Approach |
| 04V24DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V24ZZ | Restriction of Gastric Artery, Percutaneous Endoscopic Approach |
| 04V30DZ | Restriction of Hepatic Artery with Intraluminal Device, Open Approach |
| 04V30ZZ | Restriction of Hepatic Artery, Open Approach |
| 04V33DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04V33ZZ | Restriction of Hepatic Artery, Percutaneous Approach |
| 04V34DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V34ZZ | Restriction of Hepatic Artery, Percutaneous Endoscopic Approach |
| 04V40DZ | Restriction of Splenic Artery with Intraluminal Device, Open Approach |
| 04V40ZZ | Restriction of Splenic Artery, Open Approach |
| 04V43DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04V43ZZ | Restriction of Splenic Artery, Percutaneous Approach |
| 04V44DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V44ZZ | Restriction of Splenic Artery, Percutaneous Endoscopic Approach |
| 04V50DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04V50ZZ | Restriction of Superior Mesenteric Artery, Open Approach |
| 04V53DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04V53ZZ | Restriction of Superior Mesenteric Artery, Percutaneous Approach |
| 04V54DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V54ZZ | Restriction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04V60DZ | Restriction of Right Colic Artery with Intraluminal Device, Open Approach |
| 04V60ZZ | Restriction of Right Colic Artery, Open Approach |
| 04V63DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V63ZZ | Restriction of Right Colic Artery, Percutaneous Approach |
| 04V64DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V64ZZ | Restriction of Right Colic Artery, Percutaneous Endoscopic Approach |
| 04V70DZ | Restriction of Left Colic Artery with Intraluminal Device, Open Approach |
| 04V70ZZ | Restriction of Left Colic Artery, Open Approach |
| 04V73DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V73ZZ | Restriction of Left Colic Artery, Percutaneous Approach |
| 04V74DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V74ZZ | Restriction of Left Colic Artery, Percutaneous Endoscopic Approach |
| 04V80DZ | Restriction of Middle Colic Artery with Intraluminal Device, Open Approach |
| 04V80ZZ | Restriction of Middle Colic Artery, Open Approach |
| 04V83DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V83ZZ | Restriction of Middle Colic Artery, Percutaneous Approach |
| 04V84DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V84ZZ | Restriction of Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04V90DZ | Restriction of Right Renal Artery with Intraluminal Device, Open Approach |
| 04V90ZZ | Restriction of Right Renal Artery, Open Approach |
| 04V93DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04V93ZZ | Restriction of Right Renal Artery, Percutaneous Approach |
| 04V94DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V94ZZ | Restriction of Right Renal Artery, Percutaneous Endoscopic Approach |
| 04VA0DZ | Restriction of Left Renal Artery with Intraluminal Device, Open Approach |
| 04VA0ZZ | Restriction of Left Renal Artery, Open Approach |
| 04VA3DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04VA3ZZ | Restriction of Left Renal Artery, Percutaneous Approach |
| 04VA4DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VA4ZZ | Restriction of Left Renal Artery, Percutaneous Endoscopic Approach |
| 04VB0DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04VB0ZZ | Restriction of Inferior Mesenteric Artery, Open Approach |
| 04VB3DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04VB3ZZ | Restriction of Inferior Mesenteric Artery, Percutaneous Approach |
| 04VB4DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VB4ZZ | Restriction of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04VC0DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach |
| 04VC0EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04VC0ZZ | Restriction of Right Common Iliac Artery, Open Approach |
| 04VC3DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VC3EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04VC3ZZ | Restriction of Right Common Iliac Artery, Percutaneous Approach |
| 04VC4DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VC4EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04VC4ZZ | Restriction of Right Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04VD0DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Open Approach |
| 04VD0EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04VD0ZZ | Restriction of Left Common Iliac Artery, Open Approach |
| 04VD3DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VD3EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04VD3ZZ | Restriction of Left Common Iliac Artery, Percutaneous Approach |
| 04VD4DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VD4EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04VD4ZZ | Restriction of Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04VE0DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VE0ZZ | Restriction of Right Internal Iliac Artery, Open Approach |
| 04VE3DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VE3ZZ | Restriction of Right Internal Iliac Artery, Percutaneous Approach |
| 04VE4DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VE4ZZ | Restriction of Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04VF0DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VF0ZZ | Restriction of Left Internal Iliac Artery, Open Approach |
| 04VF3DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VF3ZZ | Restriction of Left Internal Iliac Artery, Percutaneous Approach |
| 04VF4DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VF4ZZ | Restriction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04VH0DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach |
| 04VH0ZZ | Restriction of Right External Iliac Artery, Open Approach |
| 04VH3DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VH3ZZ | Restriction of Right External Iliac Artery, Percutaneous Approach |
| 04VH4DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VH4ZZ | Restriction of Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04VJ0DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach |
| 04VJ0ZZ | Restriction of Left External Iliac Artery, Open Approach |
| 04VJ3DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VJ3ZZ | Restriction of Left External Iliac Artery, Percutaneous Approach |
| 04VJ4DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VJ4ZZ | Restriction of Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04VK0DZ | Restriction of Right Femoral Artery with Intraluminal Device, Open Approach |
| 04VK0ZZ | Restriction of Right Femoral Artery, Open Approach |
| 04VK3DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VK3ZZ | Restriction of Right Femoral Artery, Percutaneous Approach |
| 04VK4DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VK4ZZ | Restriction of Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04VL0DZ | Restriction of Left Femoral Artery with Intraluminal Device, Open Approach |
| 04VL0ZZ | Restriction of Left Femoral Artery, Open Approach |
| 04VL3DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VL3ZZ | Restriction of Left Femoral Artery, Percutaneous Approach |
| 04VL4DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VL4ZZ | Restriction of Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04VM0DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach |
| 04VM0ZZ | Restriction of Right Popliteal Artery, Open Approach |
| 04VM3DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VM3ZZ | Restriction of Right Popliteal Artery, Percutaneous Approach |
| 04VM4DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VM4ZZ | Restriction of Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04VN0DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach |
| 04VN0ZZ | Restriction of Left Popliteal Artery, Open Approach |
| 04VN3DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VN3ZZ | Restriction of Left Popliteal Artery, Percutaneous Approach |
| 04VN4DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VN4ZZ | Restriction of Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04VP0DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VP0ZZ | Restriction of Right Anterior Tibial Artery, Open Approach |
| 04VP3DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VP3ZZ | Restriction of Right Anterior Tibial Artery, Percutaneous Approach |
| 04VP4DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VP4ZZ | Restriction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VQ0DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VQ0ZZ | Restriction of Left Anterior Tibial Artery, Open Approach |
| 04VQ3DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VQ3ZZ | Restriction of Left Anterior Tibial Artery, Percutaneous Approach |
| 04VQ4DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VQ4ZZ | Restriction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VR0DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VR0ZZ | Restriction of Right Posterior Tibial Artery, Open Approach |
| 04VR3DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VR3ZZ | Restriction of Right Posterior Tibial Artery, Percutaneous Approach |
| 04VR4DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VR4ZZ | Restriction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VS0DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VS0ZZ | Restriction of Left Posterior Tibial Artery, Open Approach |
| 04VS3DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VS3ZZ | Restriction of Left Posterior Tibial Artery, Percutaneous Approach |
| 04VS4DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VS4ZZ | Restriction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VT0DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach |
| 04VT0ZZ | Restriction of Right Peroneal Artery, Open Approach |
| 04VT3DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VT3ZZ | Restriction of Right Peroneal Artery, Percutaneous Approach |
| 04VT4DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VT4ZZ | Restriction of Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04VU0DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach |
| 04VU0ZZ | Restriction of Left Peroneal Artery, Open Approach |
| 04VU3DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VU3ZZ | Restriction of Left Peroneal Artery, Percutaneous Approach |
| 04VU4DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VU4ZZ | Restriction of Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04VV0DZ | Restriction of Right Foot Artery with Intraluminal Device, Open Approach |
| 04VV0ZZ | Restriction of Right Foot Artery, Open Approach |
| 04VV3DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VV3ZZ | Restriction of Right Foot Artery, Percutaneous Approach |
| 04VV4DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VV4ZZ | Restriction of Right Foot Artery, Percutaneous Endoscopic Approach |
| 04VW0DZ | Restriction of Left Foot Artery with Intraluminal Device, Open Approach |
| 04VW0ZZ | Restriction of Left Foot Artery, Open Approach |
| 04VW3DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VW3ZZ | Restriction of Left Foot Artery, Percutaneous Approach |
| 04VW4DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VW4ZZ | Restriction of Left Foot Artery, Percutaneous Endoscopic Approach |
| 04VY0DZ | Restriction of Lower Artery with Intraluminal Device, Open Approach |
| 04VY0ZZ | Restriction of Lower Artery, Open Approach |
| 04VY3DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach |
| 04VY3ZZ | Restriction of Lower Artery, Percutaneous Approach |
| 04VY4DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VY4ZZ | Restriction of Lower Artery, Percutaneous Endoscopic Approach |
| 04WY00Z | Revision of Drainage Device in Lower Artery, Open Approach |
| 04WY02Z | Revision of Monitoring Device in Lower Artery, Open Approach |
| 04WY03Z | Revision of Infusion Device in Lower Artery, Open Approach |
| 04WY0CZ | Revision of Extraluminal Device in Lower Artery, Open Approach |
| 04WY0DZ | Revision of Intraluminal Device in Lower Artery, Open Approach |
| 04WY0YZ | Revision of Other Device in Lower Artery, Open Approach |
| 04WY3CZ | Revision of Extraluminal Device in Lower Artery, Percutaneous Approach |
| 04WY40Z | Revision of Drainage Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY42Z | Revision of Monitoring Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY43Z | Revision of Infusion Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4CZ | Revision of Extraluminal Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4DZ | Revision of Intraluminal Device in Lower Artery, Percutaneous Endoscopic Approach |
| 051007Y | Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051009Y | Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05100AY | Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05100JY | Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05100KY | Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05100ZY | Bypass Azygos Vein to Upper Vein, Open Approach |
| 051047Y | Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051049Y | Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05104AY | Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05104JY | Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05104KY | Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05104ZY | Bypass Azygos Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051107Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051109Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05110AY | Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05110JY | Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05110KY | Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05110ZY | Bypass Hemiazygos Vein to Upper Vein, Open Approach |
| 051147Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051149Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05114AY | Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05114JY | Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05114KY | Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05114ZY | Bypass Hemiazygos Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051307Y | Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051309Y | Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05130AY | Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05130JY | Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05130KY | Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05130ZY | Bypass Right Innominate Vein to Upper Vein, Open Approach |
| 051347Y | Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051349Y | Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05134AY | Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05134JY | Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05134KY | Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05134ZY | Bypass Right Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051407Y | Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051409Y | Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05140AY | Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05140JY | Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05140KY | Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05140ZY | Bypass Left Innominate Vein to Upper Vein, Open Approach |
| 051447Y | Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051449Y | Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05144AY | Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05144JY | Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05144KY | Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05144ZY | Bypass Left Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051507Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051509Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05150AY | Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05150JY | Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05150KY | Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05150ZY | Bypass Right Subclavian Vein to Upper Vein, Open Approach |
| 051547Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051549Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05154AY | Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05154JY | Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05154KY | Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05154ZY | Bypass Right Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051607Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051609Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05160AY | Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05160JY | Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05160KY | Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05160ZY | Bypass Left Subclavian Vein to Upper Vein, Open Approach |
| 051647Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051649Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05164AY | Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05164JY | Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05164KY | Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05164ZY | Bypass Left Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 05570ZZ | Destruction of Right Axillary Vein, Open Approach |
| 05573ZZ | Destruction of Right Axillary Vein, Percutaneous Approach |
| 05574ZZ | Destruction of Right Axillary Vein, Percutaneous Endoscopic Approach |
| 05580ZZ | Destruction of Left Axillary Vein, Open Approach |
| 05583ZZ | Destruction of Left Axillary Vein, Percutaneous Approach |
| 05584ZZ | Destruction of Left Axillary Vein, Percutaneous Endoscopic Approach |
| 05590ZZ | Destruction of Right Brachial Vein, Open Approach |
| 05593ZZ | Destruction of Right Brachial Vein, Percutaneous Approach |
| 05594ZZ | Destruction of Right Brachial Vein, Percutaneous Endoscopic Approach |
| 055A0ZZ | Destruction of Left Brachial Vein, Open Approach |
| 055A3ZZ | Destruction of Left Brachial Vein, Percutaneous Approach |
| 055A4ZZ | Destruction of Left Brachial Vein, Percutaneous Endoscopic Approach |
| 055B0ZZ | Destruction of Right Basilic Vein, Open Approach |
| 055B3ZZ | Destruction of Right Basilic Vein, Percutaneous Approach |
| 055B4ZZ | Destruction of Right Basilic Vein, Percutaneous Endoscopic Approach |
| 055C0ZZ | Destruction of Left Basilic Vein, Open Approach |
| 055C3ZZ | Destruction of Left Basilic Vein, Percutaneous Approach |
| 055C4ZZ | Destruction of Left Basilic Vein, Percutaneous Endoscopic Approach |
| 055D0ZZ | Destruction of Right Cephalic Vein, Open Approach |
| 055D3ZZ | Destruction of Right Cephalic Vein, Percutaneous Approach |
| 055D4ZZ | Destruction of Right Cephalic Vein, Percutaneous Endoscopic Approach |
| 055F0ZZ | Destruction of Left Cephalic Vein, Open Approach |
| 055F3ZZ | Destruction of Left Cephalic Vein, Percutaneous Approach |
| 055F4ZZ | Destruction of Left Cephalic Vein, Percutaneous Endoscopic Approach |
| 055G0ZZ | Destruction of Right Hand Vein, Open Approach |
| 055G3ZZ | Destruction of Right Hand Vein, Percutaneous Approach |
| 055G4ZZ | Destruction of Right Hand Vein, Percutaneous Endoscopic Approach |
| 055H0ZZ | Destruction of Left Hand Vein, Open Approach |
| 055H3ZZ | Destruction of Left Hand Vein, Percutaneous Approach |
| 055H4ZZ | Destruction of Left Hand Vein, Percutaneous Endoscopic Approach |
| 055L0ZZ | Destruction of Intracranial Vein, Open Approach |
| 055L3ZZ | Destruction of Intracranial Vein, Percutaneous Approach |
| 055L4ZZ | Destruction of Intracranial Vein, Percutaneous Endoscopic Approach |
| 055M0ZZ | Destruction of Right Internal Jugular Vein, Open Approach |
| 055M3ZZ | Destruction of Right Internal Jugular Vein, Percutaneous Approach |
| 055M4ZZ | Destruction of Right Internal Jugular Vein, Percutaneous Endoscopic Approach |
| 055N0ZZ | Destruction of Left Internal Jugular Vein, Open Approach |
| 055N3ZZ | Destruction of Left Internal Jugular Vein, Percutaneous Approach |
| 055N4ZZ | Destruction of Left Internal Jugular Vein, Percutaneous Endoscopic Approach |
| 055P0ZZ | Destruction of Right External Jugular Vein, Open Approach |
| 055P3ZZ | Destruction of Right External Jugular Vein, Percutaneous Approach |
| 055P4ZZ | Destruction of Right External Jugular Vein, Percutaneous Endoscopic Approach |
| 055Q0ZZ | Destruction of Left External Jugular Vein, Open Approach |
| 055Q3ZZ | Destruction of Left External Jugular Vein, Percutaneous Approach |
| 055Q4ZZ | Destruction of Left External Jugular Vein, Percutaneous Endoscopic Approach |
| 055R0ZZ | Destruction of Right Vertebral Vein, Open Approach |
| 055R3ZZ | Destruction of Right Vertebral Vein, Percutaneous Approach |
| 055R4ZZ | Destruction of Right Vertebral Vein, Percutaneous Endoscopic Approach |
| 055S0ZZ | Destruction of Left Vertebral Vein, Open Approach |
| 055S3ZZ | Destruction of Left Vertebral Vein, Percutaneous Approach |
| 055S4ZZ | Destruction of Left Vertebral Vein, Percutaneous Endoscopic Approach |
| 055T0ZZ | Destruction of Right Face Vein, Open Approach |
| 055T3ZZ | Destruction of Right Face Vein, Percutaneous Approach |
| 055T4ZZ | Destruction of Right Face Vein, Percutaneous Endoscopic Approach |
| 055V0ZZ | Destruction of Left Face Vein, Open Approach |
| 055V3ZZ | Destruction of Left Face Vein, Percutaneous Approach |
| 055V4ZZ | Destruction of Left Face Vein, Percutaneous Endoscopic Approach |
| 055Y0ZZ | Destruction of Upper Vein, Open Approach |
| 055Y3ZZ | Destruction of Upper Vein, Percutaneous Approach |
| 055Y4ZZ | Destruction of Upper Vein, Percutaneous Endoscopic Approach |
| 05793D1 | Dilation of Right Brachial Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 05793DZ | Dilation of Right Brachial Vein with Intraluminal Device, Percutaneous Approach |
| 05793Z1 | Dilation of Right Brachial Vein using Drug-Coated Balloon, Percutaneous Approach |
| 05793ZZ | Dilation of Right Brachial Vein, Percutaneous Approach |
| 057A3D1 | Dilation of Left Brachial Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057A3DZ | Dilation of Left Brachial Vein with Intraluminal Device, Percutaneous Approach |
| 057A3Z1 | Dilation of Left Brachial Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057A3ZZ | Dilation of Left Brachial Vein, Percutaneous Approach |
| 057B3D1 | Dilation of Right Basilic Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057B3DZ | Dilation of Right Basilic Vein with Intraluminal Device, Percutaneous Approach |
| 057B3Z1 | Dilation of Right Basilic Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057B3ZZ | Dilation of Right Basilic Vein, Percutaneous Approach |
| 057C3D1 | Dilation of Left Basilic Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057C3DZ | Dilation of Left Basilic Vein with Intraluminal Device, Percutaneous Approach |
| 057C3Z1 | Dilation of Left Basilic Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057C3ZZ | Dilation of Left Basilic Vein, Percutaneous Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 13 Oct 2023 12:52:35 CMS, code-revision=349, description-revision=1375 |