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 23 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
| 0D114K6 | Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D114Z4 | Bypass Upper Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D114Z6 | Bypass Upper Esophagus to Stomach, Percutaneous Endoscopic Approach |
| 0D11874 | Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D11876 | Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118J4 | Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118J6 | Bypass Upper Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118K4 | Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118K6 | Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118Z4 | Bypass Upper Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D118Z6 | Bypass Upper Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic |
| 0D12074 | Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D12076 | Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Open Approach |
| 0D120J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D120J6 | Bypass Middle Esophagus to Stomach with Synthetic Substitute, Open Approach |
| 0D120K4 | Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D120K6 | Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach |
| 0D120Z4 | Bypass Middle Esophagus to Cutaneous, Open Approach |
| 0D120Z6 | Bypass Middle Esophagus to Stomach, Open Approach |
| 0D123J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D12474 | Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D12476 | Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D124J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D124J6 | Bypass Middle Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D124K4 | Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D124K6 | Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D124Z4 | Bypass Middle Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D124Z6 | Bypass Middle Esophagus to Stomach, Percutaneous Endoscopic Approach |
| 0D12874 | Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D12876 | Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128J6 | Bypass Middle Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128K4 | Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128K6 | Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128Z4 | Bypass Middle Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D128Z6 | Bypass Middle Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic |
| 0D13074 | Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D13076 | Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Open Approach |
| 0D130J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D130J6 | Bypass Lower Esophagus to Stomach with Synthetic Substitute, Open Approach |
| 0D130K4 | Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D130K6 | Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach |
| 0D130Z4 | Bypass Lower Esophagus to Cutaneous, Open Approach |
| 0D130Z6 | Bypass Lower Esophagus to Stomach, Open Approach |
| 0D133J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D13474 | Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D13476 | Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D134J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D134J6 | Bypass Lower Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D134K4 | Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D134K6 | Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D134Z4 | Bypass Lower Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D134Z6 | Bypass Lower Esophagus to Stomach, Percutaneous Endoscopic Approach |
| 0D13874 | Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D13876 | Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D138J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D138J6 | Bypass Lower Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D138K4 | Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D138K6 | Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D138Z4 | Bypass Lower Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D138Z6 | Bypass Lower Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic |
| 0D15074 | Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D15076 | Bypass Esophagus to Stomach with Autologous Tissue Substitute, Open Approach |
| 0D15079 | Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach |
| 0D1507A | Bypass Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach |
| 0D1507B | Bypass Esophagus to Ileum with Autologous Tissue Substitute, Open Approach |
| 0D150J4 | Bypass Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D150J6 | Bypass Esophagus to Stomach with Synthetic Substitute, Open Approach |
| 0D150J9 | Bypass Esophagus to Duodenum with Synthetic Substitute, Open Approach |
| 0D150JA | Bypass Esophagus to Jejunum with Synthetic Substitute, Open Approach |
| 0D150JB | Bypass Esophagus to Ileum with Synthetic Substitute, Open Approach |
| 0D150K4 | Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D150K6 | Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach |
| 0D150K9 | Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach |
| 0D150KA | Bypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach |
| 0D150KB | Bypass Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach |
| 0D150Z4 | Bypass Esophagus to Cutaneous, Open Approach |
| 0D150Z6 | Bypass Esophagus to Stomach, Open Approach |
| 0D150Z9 | Bypass Esophagus to Duodenum, Open Approach |
| 0D150ZA | Bypass Esophagus to Jejunum, Open Approach |
| 0D150ZB | Bypass Esophagus to Ileum, Open Approach |
| 0D153J4 | Bypass Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D15474 | Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D15476 | Bypass Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D15479 | Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1547A | Bypass Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1547B | Bypass Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D154J4 | Bypass Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D154J6 | Bypass Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D154J9 | Bypass Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D154JA | Bypass Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D154JB | Bypass Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D154K4 | Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D154K6 | Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D154K9 | Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D154KA | Bypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D154KB | Bypass Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D154Z4 | Bypass Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D154Z6 | Bypass Esophagus to Stomach, Percutaneous Endoscopic Approach |
| 0D154Z9 | Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach |
| 0D154ZA | Bypass Esophagus to Jejunum, Percutaneous Endoscopic Approach |
| 0D154ZB | Bypass Esophagus to Ileum, Percutaneous Endoscopic Approach |
| 0D15874 | Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D15876 | Bypass Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D15879 | Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1587A | Bypass Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1587B | Bypass Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158J4 | Bypass Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158J6 | Bypass Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158J9 | Bypass Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158JA | Bypass Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158JB | Bypass Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158K4 | Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158K6 | Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158K9 | Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158KA | Bypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158KB | Bypass Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D158Z4 | Bypass Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D158Z6 | Bypass Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic |
| 0D158Z9 | Bypass Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic |
| 0D158ZA | Bypass Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic |
| 0D158ZB | Bypass Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic |
| 0D19074 | Bypass Duodenum to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D19079 | Bypass Duodenum to Duodenum with Autologous Tissue Substitute, Open Approach |
| 0D1907A | Bypass Duodenum to Jejunum with Autologous Tissue Substitute, Open Approach |
| 0D1907B | Bypass Duodenum to Ileum with Autologous Tissue Substitute, Open Approach |
| 0D190J4 | Bypass Duodenum to Cutaneous with Synthetic Substitute, Open Approach |
| 0D190J9 | Bypass Duodenum to Duodenum with Synthetic Substitute, Open Approach |
| 0D190JA | Bypass Duodenum to Jejunum with Synthetic Substitute, Open Approach |
| 0D190JB | Bypass Duodenum to Ileum with Synthetic Substitute, Open Approach |
| 0D190K4 | Bypass Duodenum to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D190K9 | Bypass Duodenum to Duodenum with Nonautologous Tissue Substitute, Open Approach |
| 0D190KA | Bypass Duodenum to Jejunum with Nonautologous Tissue Substitute, Open Approach |
| 0D190KB | Bypass Duodenum to Ileum with Nonautologous Tissue Substitute, Open Approach |
| 0D190Z4 | Bypass Duodenum to Cutaneous, Open Approach |
| 0D190Z9 | Bypass Duodenum to Duodenum, Open Approach |
| 0D190ZA | Bypass Duodenum to Jejunum, Open Approach |
| 0D190ZB | Bypass Duodenum to Ileum, Open Approach |
| 0D193J4 | Bypass Duodenum to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D19474 | Bypass Duodenum to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D19479 | Bypass Duodenum to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1947A | Bypass Duodenum to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1947B | Bypass Duodenum to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D194J4 | Bypass Duodenum to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D194J9 | Bypass Duodenum to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D194JA | Bypass Duodenum to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D194JB | Bypass Duodenum to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D194K4 | Bypass Duodenum to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D194K9 | Bypass Duodenum to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D194KA | Bypass Duodenum to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D194KB | Bypass Duodenum to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D194Z4 | Bypass Duodenum to Cutaneous, Percutaneous Endoscopic Approach |
| 0D194Z9 | Bypass Duodenum to Duodenum, Percutaneous Endoscopic Approach |
| 0D194ZA | Bypass Duodenum to Jejunum, Percutaneous Endoscopic Approach |
| 0D194ZB | Bypass Duodenum to Ileum, Percutaneous Endoscopic Approach |
| 0D19874 | Bypass Duodenum to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D19879 | Bypass Duodenum to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1987A | Bypass Duodenum to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1987B | Bypass Duodenum to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198J4 | Bypass Duodenum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198J9 | Bypass Duodenum to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198JA | Bypass Duodenum to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198JB | Bypass Duodenum to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198K4 | Bypass Duodenum to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198K9 | Bypass Duodenum to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198KA | Bypass Duodenum to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198KB | Bypass Duodenum to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D198Z4 | Bypass Duodenum to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D198Z9 | Bypass Duodenum to Duodenum, Via Natural or Artificial Opening Endoscopic |
| 0D198ZA | Bypass Duodenum to Jejunum, Via Natural or Artificial Opening Endoscopic |
| 0D198ZB | Bypass Duodenum to Ileum, Via Natural or Artificial Opening Endoscopic |
| 0D1A074 | Bypass Jejunum to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D1A07A | Bypass Jejunum to Jejunum with Autologous Tissue Substitute, Open Approach |
| 0D1A07B | Bypass Jejunum to Ileum with Autologous Tissue Substitute, Open Approach |
| 0D1A07P | Bypass Jejunum to Rectum with Autologous Tissue Substitute, Open Approach |
| 0D1A07Q | Bypass Jejunum to Anus with Autologous Tissue Substitute, Open Approach |
| 0D1A0J4 | Bypass Jejunum to Cutaneous with Synthetic Substitute, Open Approach |
| 0D1A0JA | Bypass Jejunum to Jejunum with Synthetic Substitute, Open Approach |
| 0D1A0JB | Bypass Jejunum to Ileum with Synthetic Substitute, Open Approach |
| 0D1A0JP | Bypass Jejunum to Rectum with Synthetic Substitute, Open Approach |
| 0D1A0JQ | Bypass Jejunum to Anus with Synthetic Substitute, Open Approach |
| 0D1A0K4 | Bypass Jejunum to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D1A0KA | Bypass Jejunum to Jejunum with Nonautologous Tissue Substitute, Open Approach |
| 0D1A0KB | Bypass Jejunum to Ileum with Nonautologous Tissue Substitute, Open Approach |
| 0D1A0KP | Bypass Jejunum to Rectum with Nonautologous Tissue Substitute, Open Approach |
| 0D1A0KQ | Bypass Jejunum to Anus with Nonautologous Tissue Substitute, Open Approach |
| 0D1A0Z4 | Bypass Jejunum to Cutaneous, Open Approach |
| 0D1A0ZA | Bypass Jejunum to Jejunum, Open Approach |
| 0D1A0ZB | Bypass Jejunum to Ileum, Open Approach |
| 0D1A0ZP | Bypass Jejunum to Rectum, Open Approach |
| 0D1A0ZQ | Bypass Jejunum to Anus, Open Approach |
| 0D1A3J4 | Bypass Jejunum to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D1A474 | Bypass Jejunum to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A47A | Bypass Jejunum to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A47B | Bypass Jejunum to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A47P | Bypass Jejunum to Rectum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A47Q | Bypass Jejunum to Anus with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A4J4 | Bypass Jejunum to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1A4JA | Bypass Jejunum to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1A4JB | Bypass Jejunum to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1A4JP | Bypass Jejunum to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1A4JQ | Bypass Jejunum to Anus with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1A4K4 | Bypass Jejunum to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A4KA | Bypass Jejunum to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A4KB | Bypass Jejunum to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A4KP | Bypass Jejunum to Rectum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A4KQ | Bypass Jejunum to Anus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1A4Z4 | Bypass Jejunum to Cutaneous, Percutaneous Endoscopic Approach |
| 0D1A4ZA | Bypass Jejunum to Jejunum, Percutaneous Endoscopic Approach |
| 0D1A4ZB | Bypass Jejunum to Ileum, Percutaneous Endoscopic Approach |
| 0D1A4ZP | Bypass Jejunum to Rectum, Percutaneous Endoscopic Approach |
| 0D1A4ZQ | Bypass Jejunum to Anus, Percutaneous Endoscopic Approach |
| 0D1A874 | Bypass Jejunum to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A87A | Bypass Jejunum to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A87B | Bypass Jejunum to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A87H | Bypass Jejunum to Cecum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A87P | Bypass Jejunum to Rectum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A87Q | Bypass Jejunum to Anus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8J4 | Bypass Jejunum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8JA | Bypass Jejunum to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8JB | Bypass Jejunum to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8JH | Bypass Jejunum to Cecum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8JP | Bypass Jejunum to Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8JQ | Bypass Jejunum to Anus with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8K4 | Bypass Jejunum to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8KA | Bypass Jejunum to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8KB | Bypass Jejunum to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8KH | Bypass Jejunum to Cecum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8KP | Bypass Jejunum to Rectum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8KQ | Bypass Jejunum to Anus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1A8Z4 | Bypass Jejunum to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D1A8ZA | Bypass Jejunum to Jejunum, Via Natural or Artificial Opening Endoscopic |
| 0D1A8ZB | Bypass Jejunum to Ileum, Via Natural or Artificial Opening Endoscopic |
| 0D1A8ZH | Bypass Jejunum to Cecum, Via Natural or Artificial Opening Endoscopic |
| 0D1A8ZP | Bypass Jejunum to Rectum, Via Natural or Artificial Opening Endoscopic |
| 0D1A8ZQ | Bypass Jejunum to Anus, Via Natural or Artificial Opening Endoscopic |
| 0D1B074 | Bypass Ileum to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D1B07B | Bypass Ileum to Ileum with Autologous Tissue Substitute, Open Approach |
| 0D1B07P | Bypass Ileum to Rectum with Autologous Tissue Substitute, Open Approach |
| 0D1B07Q | Bypass Ileum to Anus with Autologous Tissue Substitute, Open Approach |
| 0D1B0J4 | Bypass Ileum to Cutaneous with Synthetic Substitute, Open Approach |
| 0D1B0JB | Bypass Ileum to Ileum with Synthetic Substitute, Open Approach |
| 0D1B0JP | Bypass Ileum to Rectum with Synthetic Substitute, Open Approach |
| 0D1B0JQ | Bypass Ileum to Anus with Synthetic Substitute, Open Approach |
| 0D1B0K4 | Bypass Ileum to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D1B0KB | Bypass Ileum to Ileum with Nonautologous Tissue Substitute, Open Approach |
| 0D1B0KP | Bypass Ileum to Rectum with Nonautologous Tissue Substitute, Open Approach |
| 0D1B0KQ | Bypass Ileum to Anus with Nonautologous Tissue Substitute, Open Approach |
| 0D1B0Z4 | Bypass Ileum to Cutaneous, Open Approach |
| 0D1B0ZB | Bypass Ileum to Ileum, Open Approach |
| 0D1B0ZP | Bypass Ileum to Rectum, Open Approach |
| 0D1B0ZQ | Bypass Ileum to Anus, Open Approach |
| 0D1B3J4 | Bypass Ileum to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D1B474 | Bypass Ileum to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B47B | Bypass Ileum to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B47P | Bypass Ileum to Rectum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B47Q | Bypass Ileum to Anus with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B4J4 | Bypass Ileum to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1B4JB | Bypass Ileum to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1B4JP | Bypass Ileum to Rectum with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1B4JQ | Bypass Ileum to Anus with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1B4K4 | Bypass Ileum to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B4KB | Bypass Ileum to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B4KP | Bypass Ileum to Rectum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B4KQ | Bypass Ileum to Anus with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1B4Z4 | Bypass Ileum to Cutaneous, Percutaneous Endoscopic Approach |
| 0D1B4ZB | Bypass Ileum to Ileum, Percutaneous Endoscopic Approach |
| 0D1B4ZP | Bypass Ileum to Rectum, Percutaneous Endoscopic Approach |
| 0D1B4ZQ | Bypass Ileum to Anus, Percutaneous Endoscopic Approach |
| 0D1B874 | Bypass Ileum to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B87B | Bypass Ileum to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B87H | Bypass Ileum to Cecum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B87P | Bypass Ileum to Rectum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B87Q | Bypass Ileum to Anus with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8J4 | Bypass Ileum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8JB | Bypass Ileum to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8JH | Bypass Ileum to Cecum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8JP | Bypass Ileum to Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8JQ | Bypass Ileum to Anus with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8K4 | Bypass Ileum to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8KB | Bypass Ileum to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8KH | Bypass Ileum to Cecum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8KP | Bypass Ileum to Rectum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8KQ | Bypass Ileum to Anus with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1B8Z4 | Bypass Ileum to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D1B8ZB | Bypass Ileum to Ileum, Via Natural or Artificial Opening Endoscopic |
| 0D1B8ZH | Bypass Ileum to Cecum, Via Natural or Artificial Opening Endoscopic |
| 0D1B8ZP | Bypass Ileum to Rectum, Via Natural or Artificial Opening Endoscopic |
| 0D1B8ZQ | Bypass Ileum to Anus, Via Natural or Artificial Opening Endoscopic |
| 0D1H074 | Bypass Cecum to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D1H0J4 | Bypass Cecum to Cutaneous with Synthetic Substitute, Open Approach |
| 0D1H0K4 | Bypass Cecum to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D1H0Z4 | Bypass Cecum to Cutaneous, Open Approach |
| 0D1H3J4 | Bypass Cecum to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D1H474 | Bypass Cecum to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1H4J4 | Bypass Cecum to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1H4K4 | Bypass Cecum to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1H4Z4 | Bypass Cecum to Cutaneous, Percutaneous Endoscopic Approach |
| 0D1H874 | Bypass Cecum to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1H87P | Bypass Cecum to Rectum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1H8J4 | Bypass Cecum to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1H8JP | Bypass Cecum to Rectum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1H8K4 | Bypass Cecum to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1H8KP | Bypass Cecum to Rectum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1H8Z4 | Bypass Cecum to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D1H8ZP | Bypass Cecum to Rectum, Via Natural or Artificial Opening Endoscopic |
| 0D1K074 | Bypass Ascending Colon to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D1K0J4 | Bypass Ascending Colon to Cutaneous with Synthetic Substitute, Open Approach |
| 0D1K0K4 | Bypass Ascending Colon to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D1K0Z4 | Bypass Ascending Colon to Cutaneous, Open Approach |
| 0D1K3J4 | Bypass Ascending Colon to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D1K474 | Bypass Ascending Colon to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1K4J4 | Bypass Ascending Colon to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1K4K4 | Bypass Ascending Colon to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1K4Z4 | Bypass Ascending Colon to Cutaneous, Percutaneous Endoscopic Approach |
| 0D1K874 | Bypass Ascending Colon to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1K8J4 | Bypass Ascending Colon to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1K8K4 | Bypass Ascending Colon to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1K8Z4 | Bypass Ascending Colon to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D1L074 | Bypass Transverse Colon to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D1L0J4 | Bypass Transverse Colon to Cutaneous with Synthetic Substitute, Open Approach |
| 0D1L0K4 | Bypass Transverse Colon to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D1L0Z4 | Bypass Transverse Colon to Cutaneous, Open Approach |
| 0D1L3J4 | Bypass Transverse Colon to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D1L474 | Bypass Transverse Colon to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1L4J4 | Bypass Transverse Colon to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1L4K4 | Bypass Transverse Colon to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1L4Z4 | Bypass Transverse Colon to Cutaneous, Percutaneous Endoscopic Approach |
| 0D1L874 | Bypass Transverse Colon to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1L8J4 | Bypass Transverse Colon to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1L8K4 | Bypass Transverse Colon to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1L8Z4 | Bypass Transverse Colon to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D1M074 | Bypass Descending Colon to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D1M0J4 | Bypass Descending Colon to Cutaneous with Synthetic Substitute, Open Approach |
| 0D1M0K4 | Bypass Descending Colon to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D1M0Z4 | Bypass Descending Colon to Cutaneous, Open Approach |
| 0D1M3J4 | Bypass Descending Colon to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D1M474 | Bypass Descending Colon to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1M4J4 | Bypass Descending Colon to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1M4K4 | Bypass Descending Colon to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1M4Z4 | Bypass Descending Colon to Cutaneous, Percutaneous Endoscopic Approach |
| 0D1M874 | Bypass Descending Colon to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1M8J4 | Bypass Descending Colon to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1M8K4 | Bypass Descending Colon to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1M8Z4 | Bypass Descending Colon to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D1N074 | Bypass Sigmoid Colon to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D1N0J4 | Bypass Sigmoid Colon to Cutaneous with Synthetic Substitute, Open Approach |
| 0D1N0K4 | Bypass Sigmoid Colon to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D1N3J4 | Bypass Sigmoid Colon to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D1N474 | Bypass Sigmoid Colon to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1N4J4 | Bypass Sigmoid Colon to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D1N4K4 | Bypass Sigmoid Colon to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D1N4Z4 | Bypass Sigmoid Colon to Cutaneous, Percutaneous Endoscopic Approach |
| 0D1N874 | Bypass Sigmoid Colon to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1N8J4 | Bypass Sigmoid Colon to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1N8K4 | Bypass Sigmoid Colon to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D1N8Z4 | Bypass Sigmoid Colon to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D710DZ | Dilation of Upper Esophagus with Intraluminal Device, Open Approach |
| 0D710ZZ | Dilation of Upper Esophagus, Open Approach |
| 0D713DZ | Dilation of Upper Esophagus with Intraluminal Device, Percutaneous Approach |
| 0D713ZZ | Dilation of Upper Esophagus, Percutaneous Approach |
| 0D714DZ | Dilation of Upper Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0D714ZZ | Dilation of Upper Esophagus, Percutaneous Endoscopic Approach |
| 0D720DZ | Dilation of Middle Esophagus with Intraluminal Device, Open Approach |
| 0D720ZZ | Dilation of Middle Esophagus, Open Approach |
| 0D723DZ | Dilation of Middle Esophagus with Intraluminal Device, Percutaneous Approach |
| 0D723ZZ | Dilation of Middle Esophagus, Percutaneous Approach |
| 0D724DZ | Dilation of Middle Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0D724ZZ | Dilation of Middle Esophagus, Percutaneous Endoscopic Approach |
| 0D730DZ | Dilation of Lower Esophagus with Intraluminal Device, Open Approach |
| 0D730ZZ | Dilation of Lower Esophagus, Open Approach |
| 0D733DZ | Dilation of Lower Esophagus with Intraluminal Device, Percutaneous Approach |
| 0D733ZZ | Dilation of Lower Esophagus, Percutaneous Approach |
| 0D734DZ | Dilation of Lower Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0D734ZZ | Dilation of Lower Esophagus, Percutaneous Endoscopic Approach |
| 0D740DZ | Dilation of Esophagogastric Junction with Intraluminal Device, Open Approach |
| 0D740ZZ | Dilation of Esophagogastric Junction, Open Approach |
| 0D743DZ | Dilation of Esophagogastric Junction with Intraluminal Device, Percutaneous Approach |
| 0D743ZZ | Dilation of Esophagogastric Junction, Percutaneous Approach |
| 0D744DZ | Dilation of Esophagogastric Junction with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0D744ZZ | Dilation of Esophagogastric Junction, Percutaneous Endoscopic Approach |
| 0D750DZ | Dilation of Esophagus with Intraluminal Device, Open Approach |
| 0D750ZZ | Dilation of Esophagus, Open Approach |
| 0D753DZ | Dilation of Esophagus with Intraluminal Device, Percutaneous Approach |
| 0D753ZZ | Dilation of Esophagus, Percutaneous Approach |
| 0D754DZ | Dilation of Esophagus with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0D754ZZ | Dilation of Esophagus, Percutaneous Endoscopic Approach |
| 0D760DZ | Dilation of Stomach with Intraluminal Device, Open Approach |
| 0D760ZZ | Dilation of Stomach, Open Approach |
| 0D763DZ | Dilation of Stomach with Intraluminal Device, Percutaneous Approach |
| 0D763ZZ | Dilation of Stomach, Percutaneous Approach |
| 0D764DZ | Dilation of Stomach with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0D764ZZ | Dilation of Stomach, Percutaneous Endoscopic Approach |
| 0D7Q0DZ | Dilation of Anus with Intraluminal Device, Open Approach |
| 0D7Q0ZZ | Dilation of Anus, Open Approach |
| 0D7Q3DZ | Dilation of Anus with Intraluminal Device, Percutaneous Approach |
| 0D7Q3ZZ | Dilation of Anus, Percutaneous Approach |
| 0D7Q4DZ | Dilation of Anus with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0D7Q4ZZ | Dilation of Anus, Percutaneous Endoscopic Approach |
| 0D840ZZ | Division of Esophagogastric Junction, Open Approach |
| 0D843ZZ | Division of Esophagogastric Junction, Percutaneous 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 |