ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v35.0 Definitions Manual |
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| MDC 24 Multiple Significant Trauma |
| Other Procedures for Multiple Significant Trauma |
| Page 9 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RG4JZ 00XL0ZR 01R80JZ 021W09D 031809D 037L4FZ 03CS4Z6 03QF0ZZ 04104A5 047F35Z 04CV4ZZ 04Q03ZZ 04UF37Z 05HF4DZ 05SP4ZZ 06L94DZ 06V10DZ 08CA3ZZ 08UF0JZ 09UL77Z 0C5R0ZZ 0D114K6 0D844ZZ 0DT14ZZ 0F174D5 0FQ68ZZ 0GWR40Z 0HUW87Z 0K513ZZ 0KQC0ZZ 0L5N0ZZ 0LX34ZZ 0MQ33ZZ 0NQT3ZZ 0PB60ZZ 0PHT34Z 0PRV07Z 0PUP3KZ 0QHH05Z 0QRK0KZ 0QUQ0KZ 0RG6370 0RH00CZ 0RSF0ZZ 0S563ZZ 0SGJ4JZ 0STF0ZZ 0TB10ZZ 0TV70DZ 0VLP4DZ 0W1B0JJ 0X383ZZ 0Y6N0ZC
| 03QF0ZZ | Repair Left Hand Artery, Open Approach |
| 03QF3ZZ | Repair Left Hand Artery, Percutaneous Approach |
| 03QF4ZZ | Repair Left Hand Artery, Percutaneous Endoscopic Approach |
| 03QG0ZZ | Repair Intracranial Artery, Open Approach |
| 03QG3ZZ | Repair Intracranial Artery, Percutaneous Approach |
| 03QG4ZZ | Repair Intracranial Artery, Percutaneous Endoscopic Approach |
| 03QH0ZZ | Repair Right Common Carotid Artery, Open Approach |
| 03QH3ZZ | Repair Right Common Carotid Artery, Percutaneous Approach |
| 03QH4ZZ | Repair Right Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03QJ0ZZ | Repair Left Common Carotid Artery, Open Approach |
| 03QJ3ZZ | Repair Left Common Carotid Artery, Percutaneous Approach |
| 03QJ4ZZ | Repair Left Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03QK0ZZ | Repair Right Internal Carotid Artery, Open Approach |
| 03QK3ZZ | Repair Right Internal Carotid Artery, Percutaneous Approach |
| 03QK4ZZ | Repair Right Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 03QL0ZZ | Repair Left Internal Carotid Artery, Open Approach |
| 03QL3ZZ | Repair Left Internal Carotid Artery, Percutaneous Approach |
| 03QL4ZZ | Repair Left Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 03QM0ZZ | Repair Right External Carotid Artery, Open Approach |
| 03QM3ZZ | Repair Right External Carotid Artery, Percutaneous Approach |
| 03QM4ZZ | Repair Right External Carotid Artery, Percutaneous Endoscopic Approach |
| 03QN0ZZ | Repair Left External Carotid Artery, Open Approach |
| 03QN3ZZ | Repair Left External Carotid Artery, Percutaneous Approach |
| 03QN4ZZ | Repair Left External Carotid Artery, Percutaneous Endoscopic Approach |
| 03QP0ZZ | Repair Right Vertebral Artery, Open Approach |
| 03QP3ZZ | Repair Right Vertebral Artery, Percutaneous Approach |
| 03QP4ZZ | Repair Right Vertebral Artery, Percutaneous Endoscopic Approach |
| 03QQ0ZZ | Repair Left Vertebral Artery, Open Approach |
| 03QQ3ZZ | Repair Left Vertebral Artery, Percutaneous Approach |
| 03QQ4ZZ | Repair Left Vertebral Artery, Percutaneous Endoscopic Approach |
| 03QR0ZZ | Repair Face Artery, Open Approach |
| 03QR3ZZ | Repair Face Artery, Percutaneous Approach |
| 03QR4ZZ | Repair Face Artery, Percutaneous Endoscopic Approach |
| 03QS0ZZ | Repair Right Temporal Artery, Open Approach |
| 03QS3ZZ | Repair Right Temporal Artery, Percutaneous Approach |
| 03QS4ZZ | Repair Right Temporal Artery, Percutaneous Endoscopic Approach |
| 03QT0ZZ | Repair Left Temporal Artery, Open Approach |
| 03QT3ZZ | Repair Left Temporal Artery, Percutaneous Approach |
| 03QT4ZZ | Repair Left Temporal Artery, Percutaneous Endoscopic Approach |
| 03QU0ZZ | Repair Right Thyroid Artery, Open Approach |
| 03QU3ZZ | Repair Right Thyroid Artery, Percutaneous Approach |
| 03QU4ZZ | Repair Right Thyroid Artery, Percutaneous Endoscopic Approach |
| 03QV0ZZ | Repair Left Thyroid Artery, Open Approach |
| 03QV3ZZ | Repair Left Thyroid Artery, Percutaneous Approach |
| 03QV4ZZ | Repair Left Thyroid Artery, Percutaneous Endoscopic Approach |
| 03QY0ZZ | Repair Upper Artery, Open Approach |
| 03QY3ZZ | Repair Upper Artery, Percutaneous Approach |
| 03QY4ZZ | Repair Upper Artery, Percutaneous Endoscopic Approach |
| 03R007Z | Replacement of Right Internal Mammary Artery with Autologous Tissue Substitute, Open Approach |
| 03R00JZ | Replacement of Right Internal Mammary Artery with Synthetic Substitute, Open Approach |
| 03R00KZ | Replacement of Right Internal Mammary Artery with Nonautologous Tissue Substitute, Open Approach |
| 03R047Z | Replacement of Right Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R04JZ | Replacement of Right Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03R04KZ | Replacement of Right Internal Mammary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R107Z | Replacement of Left Internal Mammary Artery with Autologous Tissue Substitute, Open Approach |
| 03R10JZ | Replacement of Left Internal Mammary Artery with Synthetic Substitute, Open Approach |
| 03R10KZ | Replacement of Left Internal Mammary Artery with Nonautologous Tissue Substitute, Open Approach |
| 03R147Z | Replacement of Left Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R14JZ | Replacement of Left Internal Mammary Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03R14KZ | Replacement of Left Internal Mammary Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R207Z | Replacement of Innominate Artery with Autologous Tissue Substitute, Open Approach |
| 03R20JZ | Replacement of Innominate Artery with Synthetic Substitute, Open Approach |
| 03R20KZ | Replacement of Innominate Artery with Nonautologous Tissue Substitute, Open Approach |
| 03R247Z | Replacement of Innominate Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R24JZ | Replacement of Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03R24KZ | Replacement of Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R307Z | Replacement of Right Subclavian Artery with Autologous Tissue Substitute, Open Approach |
| 03R30JZ | Replacement of Right Subclavian Artery with Synthetic Substitute, Open Approach |
| 03R30KZ | Replacement of Right Subclavian Artery with Nonautologous Tissue Substitute, Open Approach |
| 03R347Z | Replacement of Right Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R34JZ | Replacement of Right Subclavian Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03R34KZ | Replacement of Right Subclavian Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R407Z | Replacement of Left Subclavian Artery with Autologous Tissue Substitute, Open Approach |
| 03R40JZ | Replacement of Left Subclavian Artery with Synthetic Substitute, Open Approach |
| 03R40KZ | Replacement of Left Subclavian Artery with Nonautologous Tissue Substitute, Open Approach |
| 03R447Z | Replacement of Left Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03R44JZ | Replacement of Left Subclavian Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03R44KZ | Replacement of Left Subclavian Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03RG07Z | Replacement of Intracranial Artery with Autologous Tissue Substitute, Open Approach |
| 03RG0JZ | Replacement of Intracranial Artery with Synthetic Substitute, Open Approach |
| 03RG0KZ | Replacement of Intracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03RG47Z | Replacement of Intracranial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03RG4JZ | Replacement of Intracranial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 03RG4KZ | Replacement of Intracranial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03S00ZZ | Reposition Right Internal Mammary Artery, Open Approach |
| 03S03ZZ | Reposition Right Internal Mammary Artery, Percutaneous Approach |
| 03S04ZZ | Reposition Right Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 03S10ZZ | Reposition Left Internal Mammary Artery, Open Approach |
| 03S13ZZ | Reposition Left Internal Mammary Artery, Percutaneous Approach |
| 03S14ZZ | Reposition Left Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 03S20ZZ | Reposition Innominate Artery, Open Approach |
| 03S23ZZ | Reposition Innominate Artery, Percutaneous Approach |
| 03S24ZZ | Reposition Innominate Artery, Percutaneous Endoscopic Approach |
| 03S30ZZ | Reposition Right Subclavian Artery, Open Approach |
| 03S33ZZ | Reposition Right Subclavian Artery, Percutaneous Approach |
| 03S34ZZ | Reposition Right Subclavian Artery, Percutaneous Endoscopic Approach |
| 03S40ZZ | Reposition Left Subclavian Artery, Open Approach |
| 03S43ZZ | Reposition Left Subclavian Artery, Percutaneous Approach |
| 03S44ZZ | Reposition Left Subclavian Artery, Percutaneous Endoscopic Approach |
| 03S50ZZ | Reposition Right Axillary Artery, Open Approach |
| 03S53ZZ | Reposition Right Axillary Artery, Percutaneous Approach |
| 03S54ZZ | Reposition Right Axillary Artery, Percutaneous Endoscopic Approach |
| 03S60ZZ | Reposition Left Axillary Artery, Open Approach |
| 03S63ZZ | Reposition Left Axillary Artery, Percutaneous Approach |
| 03S64ZZ | Reposition Left Axillary Artery, Percutaneous Endoscopic Approach |
| 03S70ZZ | Reposition Right Brachial Artery, Open Approach |
| 03S73ZZ | Reposition Right Brachial Artery, Percutaneous Approach |
| 03S74ZZ | Reposition Right Brachial Artery, Percutaneous Endoscopic Approach |
| 03S80ZZ | Reposition Left Brachial Artery, Open Approach |
| 03S83ZZ | Reposition Left Brachial Artery, Percutaneous Approach |
| 03S84ZZ | Reposition Left Brachial Artery, Percutaneous Endoscopic Approach |
| 03S90ZZ | Reposition Right Ulnar Artery, Open Approach |
| 03S93ZZ | Reposition Right Ulnar Artery, Percutaneous Approach |
| 03S94ZZ | Reposition Right Ulnar Artery, Percutaneous Endoscopic Approach |
| 03SA0ZZ | Reposition Left Ulnar Artery, Open Approach |
| 03SA3ZZ | Reposition Left Ulnar Artery, Percutaneous Approach |
| 03SA4ZZ | Reposition Left Ulnar Artery, Percutaneous Endoscopic Approach |
| 03SB0ZZ | Reposition Right Radial Artery, Open Approach |
| 03SB3ZZ | Reposition Right Radial Artery, Percutaneous Approach |
| 03SB4ZZ | Reposition Right Radial Artery, Percutaneous Endoscopic Approach |
| 03SC0ZZ | Reposition Left Radial Artery, Open Approach |
| 03SC3ZZ | Reposition Left Radial Artery, Percutaneous Approach |
| 03SC4ZZ | Reposition Left Radial Artery, Percutaneous Endoscopic Approach |
| 03SD0ZZ | Reposition Right Hand Artery, Open Approach |
| 03SD3ZZ | Reposition Right Hand Artery, Percutaneous Approach |
| 03SD4ZZ | Reposition Right Hand Artery, Percutaneous Endoscopic Approach |
| 03SF0ZZ | Reposition Left Hand Artery, Open Approach |
| 03SF3ZZ | Reposition Left Hand Artery, Percutaneous Approach |
| 03SF4ZZ | Reposition Left Hand Artery, Percutaneous Endoscopic Approach |
| 03SG0ZZ | Reposition Intracranial Artery, Open Approach |
| 03SG3ZZ | Reposition Intracranial Artery, Percutaneous Approach |
| 03SG4ZZ | Reposition Intracranial Artery, Percutaneous Endoscopic Approach |
| 03SH0ZZ | Reposition Right Common Carotid Artery, Open Approach |
| 03SH3ZZ | Reposition Right Common Carotid Artery, Percutaneous Approach |
| 03SH4ZZ | Reposition Right Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03SJ0ZZ | Reposition Left Common Carotid Artery, Open Approach |
| 03SJ3ZZ | Reposition Left Common Carotid Artery, Percutaneous Approach |
| 03SJ4ZZ | Reposition Left Common Carotid Artery, Percutaneous Endoscopic Approach |
| 03SK0ZZ | Reposition Right Internal Carotid Artery, Open Approach |
| 03SK3ZZ | Reposition Right Internal Carotid Artery, Percutaneous Approach |
| 03SK4ZZ | Reposition Right Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 03SL0ZZ | Reposition Left Internal Carotid Artery, Open Approach |
| 03SL3ZZ | Reposition Left Internal Carotid Artery, Percutaneous Approach |
| 03SL4ZZ | Reposition Left Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 03SM0ZZ | Reposition Right External Carotid Artery, Open Approach |
| 03SM3ZZ | Reposition Right External Carotid Artery, Percutaneous Approach |
| 03SM4ZZ | Reposition Right External Carotid Artery, Percutaneous Endoscopic Approach |
| 03SN0ZZ | Reposition Left External Carotid Artery, Open Approach |
| 03SN3ZZ | Reposition Left External Carotid Artery, Percutaneous Approach |
| 03SN4ZZ | Reposition Left External Carotid Artery, Percutaneous Endoscopic Approach |
| 03SP0ZZ | Reposition Right Vertebral Artery, Open Approach |
| 03SP3ZZ | Reposition Right Vertebral Artery, Percutaneous Approach |
| 03SP4ZZ | Reposition Right Vertebral Artery, Percutaneous Endoscopic Approach |
| 03SQ0ZZ | Reposition Left Vertebral Artery, Open Approach |
| 03SQ3ZZ | Reposition Left Vertebral Artery, Percutaneous Approach |
| 03SQ4ZZ | Reposition Left Vertebral Artery, Percutaneous Endoscopic Approach |
| 03SR0ZZ | Reposition Face Artery, Open Approach |
| 03SR3ZZ | Reposition Face Artery, Percutaneous Approach |
| 03SR4ZZ | Reposition Face Artery, Percutaneous Endoscopic Approach |
| 03SS0ZZ | Reposition Right Temporal Artery, Open Approach |
| 03SS3ZZ | Reposition Right Temporal Artery, Percutaneous Approach |
| 03SS4ZZ | Reposition Right Temporal Artery, Percutaneous Endoscopic Approach |
| 03ST0ZZ | Reposition Left Temporal Artery, Open Approach |
| 03ST3ZZ | Reposition Left Temporal Artery, Percutaneous Approach |
| 03ST4ZZ | Reposition Left Temporal Artery, Percutaneous Endoscopic Approach |
| 03SU0ZZ | Reposition Right Thyroid Artery, Open Approach |
| 03SU3ZZ | Reposition Right Thyroid Artery, Percutaneous Approach |
| 03SU4ZZ | Reposition Right Thyroid Artery, Percutaneous Endoscopic Approach |
| 03SV0ZZ | Reposition Left Thyroid Artery, Open Approach |
| 03SV3ZZ | Reposition Left Thyroid Artery, Percutaneous Approach |
| 03SV4ZZ | Reposition Left Thyroid Artery, Percutaneous Endoscopic Approach |
| 03SY0ZZ | Reposition Upper Artery, Open Approach |
| 03SY3ZZ | Reposition Upper Artery, Percutaneous Approach |
| 03SY4ZZ | Reposition Upper Artery, Percutaneous Endoscopic Approach |
| 03U007Z | Supplement Right Internal Mammary Artery with Autologous Tissue Substitute, Open Approach |
| 03U037Z | Supplement Right Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U047Z | Supplement Right Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U107Z | Supplement Left Internal Mammary Artery with Autologous Tissue Substitute, Open Approach |
| 03U137Z | Supplement Left Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U147Z | Supplement Left Internal Mammary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U207Z | Supplement Innominate Artery with Autologous Tissue Substitute, Open Approach |
| 03U237Z | Supplement Innominate Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U247Z | Supplement Innominate Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U307Z | Supplement Right Subclavian Artery with Autologous Tissue Substitute, Open Approach |
| 03U337Z | Supplement Right Subclavian Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U347Z | Supplement Right Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U407Z | Supplement Left Subclavian Artery with Autologous Tissue Substitute, Open Approach |
| 03U437Z | Supplement Left Subclavian Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U447Z | Supplement Left Subclavian Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U507Z | Supplement Right Axillary Artery with Autologous Tissue Substitute, Open Approach |
| 03U537Z | Supplement Right Axillary Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U547Z | Supplement Right Axillary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U607Z | Supplement Left Axillary Artery with Autologous Tissue Substitute, Open Approach |
| 03U637Z | Supplement Left Axillary Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U647Z | Supplement Left Axillary Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U707Z | Supplement Right Brachial Artery with Autologous Tissue Substitute, Open Approach |
| 03U737Z | Supplement Right Brachial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U747Z | Supplement Right Brachial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U807Z | Supplement Left Brachial Artery with Autologous Tissue Substitute, Open Approach |
| 03U837Z | Supplement Left Brachial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U847Z | Supplement Left Brachial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03U907Z | Supplement Right Ulnar Artery with Autologous Tissue Substitute, Open Approach |
| 03U937Z | Supplement Right Ulnar Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03U947Z | Supplement Right Ulnar Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UA07Z | Supplement Left Ulnar Artery with Autologous Tissue Substitute, Open Approach |
| 03UA37Z | Supplement Left Ulnar Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UA47Z | Supplement Left Ulnar Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UB07Z | Supplement Right Radial Artery with Autologous Tissue Substitute, Open Approach |
| 03UB37Z | Supplement Right Radial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UB47Z | Supplement Right Radial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UC07Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Open Approach |
| 03UC37Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UC47Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UD07Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Open Approach |
| 03UD37Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UD47Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UF07Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Open Approach |
| 03UF37Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UF47Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UG07Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Open Approach |
| 03UG37Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UG47Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UH07Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UH37Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UH47Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UJ07Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UJ37Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UJ47Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UK07Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UK37Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UK47Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UL07Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UL37Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UL47Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UM07Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UM37Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UM47Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UN07Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UN37Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UN47Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UP07Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Open Approach |
| 03UP37Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UP47Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UQ07Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Open Approach |
| 03UQ37Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UQ47Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UR07Z | Supplement Face Artery with Autologous Tissue Substitute, Open Approach |
| 03UR37Z | Supplement Face Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UR47Z | Supplement Face Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03US07Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Open Approach |
| 03US37Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03US47Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UT07Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Open Approach |
| 03UT37Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UT47Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UU07Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Open Approach |
| 03UU37Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UU47Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UV07Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Open Approach |
| 03UV37Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UV47Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UY07Z | Supplement Upper Artery with Autologous Tissue Substitute, Open Approach |
| 03UY37Z | Supplement Upper Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UY47Z | Supplement Upper Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03V00DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03V03DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03V04DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V10DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03V13DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03V14DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V20DZ | Restriction of Innominate Artery with Intraluminal Device, Open Approach |
| 03V23DZ | Restriction of Innominate Artery with Intraluminal Device, Percutaneous Approach |
| 03V24DZ | Restriction of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V30DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Open Approach |
| 03V33DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03V34DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V40DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Open Approach |
| 03V43DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03V44DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V50DZ | Restriction of Right Axillary Artery with Intraluminal Device, Open Approach |
| 03V53DZ | Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Approach |
| 03V54DZ | Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V60DZ | Restriction of Left Axillary Artery with Intraluminal Device, Open Approach |
| 03V63DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Approach |
| 03V64DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V70DZ | Restriction of Right Brachial Artery with Intraluminal Device, Open Approach |
| 03V73DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V74DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V80DZ | Restriction of Left Brachial Artery with Intraluminal Device, Open Approach |
| 03V83DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V84DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V90DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Open Approach |
| 03V93DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03V94DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VA0DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Open Approach |
| 03VA3DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03VA4DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VB0DZ | Restriction of Right Radial Artery with Intraluminal Device, Open Approach |
| 03VB3DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VB4DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VC0DZ | Restriction of Left Radial Artery with Intraluminal Device, Open Approach |
| 03VC3DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VC4DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VD0DZ | Restriction of Right Hand Artery with Intraluminal Device, Open Approach |
| 03VD3DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VD4DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VF0DZ | Restriction of Left Hand Artery with Intraluminal Device, Open Approach |
| 03VF3DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VF4DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG0BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Open Approach |
| 03VG0DZ | Restriction of Intracranial Artery with Intraluminal Device, Open Approach |
| 03VG3BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VG3DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Approach |
| 03VG4BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG4DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH0BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VH0DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VH3BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VH3DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VH4BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH4DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ0BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VJ0DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VJ3BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VJ3DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VJ4BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ4DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK0BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VK0DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VK3BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VK3DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VK4BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK4DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL0BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VL0DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VL3BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VL3DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VL4BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL4DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM0BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VM0DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Open Approach |
| 03VM3BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VM3DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VM4BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM4DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN0BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VN0DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Open Approach |
| 03VN3BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VN3DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VN4BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN4DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP0BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VP0DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Open Approach |
| 03VP3BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VP3DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VP4BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP4DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ0BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VQ0DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Open Approach |
| 03VQ3BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VQ3DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VQ4BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ4DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VR0DZ | Restriction of Face Artery with Intraluminal Device, Open Approach |
| 03VR3DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Approach |
| 03VR4DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VS0DZ | Restriction of Right Temporal Artery with Intraluminal Device, Open Approach |
| 03VS3DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VS4DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VT0DZ | Restriction of Left Temporal Artery with Intraluminal Device, Open Approach |
| 03VT3DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VT4DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VU0DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Open Approach |
| 03VU3DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VU4DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VV0DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Open Approach |
| 03VV3DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VV4DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VY0DZ | Restriction of Upper Artery with Intraluminal Device, Open Approach |
| 03VY3DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach |
| 03VY4DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0410093 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410094 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410095 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 04100A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100J3 | Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04100J4 | Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04100J5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04100K3 | Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K4 | Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100Z3 | Bypass Abdominal Aorta to Right Renal Artery, Open Approach |
| 04100Z4 | Bypass Abdominal Aorta to Left Renal Artery, Open Approach |
| 04100Z5 | Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach |
| 0410493 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410494 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410495 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04104A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 25 Aug 2017 11:52:25 CMS, code-revision=63, description-revision=616 |