ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 R1 Definitions Manual |
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| MDC 24 Multiple significant trauma |
| Other O.R. procedures for multiple significant trauma |
| Page 12 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RF4JZ 00XL0ZK 01R60JZ 021V4ZS 02VX4FZ 037P45Z 03LH0CZ 03UD07Z 04783FZ 04HK0DZ 04QP3ZZ 04V33DZ 05L93ZZ 05UG47Z 06LJ4ZZ 06VV3DZ 08LY8ZZ 08UR37Z 0B727ZZ 0CC43ZZ 0D138J6 0D1K4K4 0DQK8ZZ 0F144Z4 0FMD0ZZ 0G9L00Z 0HRHX74 0JRK3KZ 0KDV0ZZ 0KUC4JZ 0LQM0ZZ 0MBG4ZZ 0ND70ZZ 0P5S4ZZ 0PHG34Z 0PRC07Z 0PTJ0ZZ 0QCG3ZZ 0QPP3JZ 0QU107Z 0RG13K0 0RGV07Z 0RQV0ZZ 0RW144Z 0SGF43Z 0SRC0N9 0T18078 0TRB77Z 0UU577Z 0VUN4JZ 0WPC0YZ 0XQQ3ZZ XRG20F3
| 04QP3ZZ | Repair Right Anterior Tibial Artery, Percutaneous Approach |
| 04QP4ZZ | Repair Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QQ0ZZ | Repair Left Anterior Tibial Artery, Open Approach |
| 04QQ3ZZ | Repair Left Anterior Tibial Artery, Percutaneous Approach |
| 04QQ4ZZ | Repair Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QR0ZZ | Repair Right Posterior Tibial Artery, Open Approach |
| 04QR3ZZ | Repair Right Posterior Tibial Artery, Percutaneous Approach |
| 04QR4ZZ | Repair Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QS0ZZ | Repair Left Posterior Tibial Artery, Open Approach |
| 04QS3ZZ | Repair Left Posterior Tibial Artery, Percutaneous Approach |
| 04QS4ZZ | Repair Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04QT0ZZ | Repair Right Peroneal Artery, Open Approach |
| 04QT3ZZ | Repair Right Peroneal Artery, Percutaneous Approach |
| 04QT4ZZ | Repair Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04QU0ZZ | Repair Left Peroneal Artery, Open Approach |
| 04QU3ZZ | Repair Left Peroneal Artery, Percutaneous Approach |
| 04QU4ZZ | Repair Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04QV0ZZ | Repair Right Foot Artery, Open Approach |
| 04QV3ZZ | Repair Right Foot Artery, Percutaneous Approach |
| 04QV4ZZ | Repair Right Foot Artery, Percutaneous Endoscopic Approach |
| 04QW0ZZ | Repair Left Foot Artery, Open Approach |
| 04QW3ZZ | Repair Left Foot Artery, Percutaneous Approach |
| 04QW4ZZ | Repair Left Foot Artery, Percutaneous Endoscopic Approach |
| 04QY0ZZ | Repair Lower Artery, Open Approach |
| 04QY3ZZ | Repair Lower Artery, Percutaneous Approach |
| 04QY4ZZ | Repair Lower Artery, Percutaneous Endoscopic Approach |
| 04R007Z | Replacement of Abdominal Aorta with Autologous Tissue Substitute, Open Approach |
| 04R00JZ | Replacement of Abdominal Aorta with Synthetic Substitute, Open Approach |
| 04R00KZ | Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach |
| 04R047Z | Replacement of Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R04JZ | Replacement of Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R04KZ | Replacement of Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R107Z | Replacement of Celiac Artery with Autologous Tissue Substitute, Open Approach |
| 04R10JZ | Replacement of Celiac Artery with Synthetic Substitute, Open Approach |
| 04R10KZ | Replacement of Celiac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R147Z | Replacement of Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R14JZ | Replacement of Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R14KZ | Replacement of Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R207Z | Replacement of Gastric Artery with Autologous Tissue Substitute, Open Approach |
| 04R20JZ | Replacement of Gastric Artery with Synthetic Substitute, Open Approach |
| 04R20KZ | Replacement of Gastric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R247Z | Replacement of Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R24JZ | Replacement of Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R24KZ | Replacement of Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R307Z | Replacement of Hepatic Artery with Autologous Tissue Substitute, Open Approach |
| 04R30JZ | Replacement of Hepatic Artery with Synthetic Substitute, Open Approach |
| 04R30KZ | Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R347Z | Replacement of Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R34JZ | Replacement of Hepatic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R34KZ | Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R407Z | Replacement of Splenic Artery with Autologous Tissue Substitute, Open Approach |
| 04R40JZ | Replacement of Splenic Artery with Synthetic Substitute, Open Approach |
| 04R40KZ | Replacement of Splenic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R447Z | Replacement of Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R44JZ | Replacement of Splenic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R44KZ | Replacement of Splenic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R507Z | Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04R50JZ | Replacement of Superior Mesenteric Artery with Synthetic Substitute, Open Approach |
| 04R50KZ | Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R547Z | Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R54JZ | Replacement of Superior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R54KZ | Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R607Z | Replacement of Right Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04R60JZ | Replacement of Right Colic Artery with Synthetic Substitute, Open Approach |
| 04R60KZ | Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R647Z | Replacement of Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R64JZ | Replacement of Right Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R64KZ | Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R707Z | Replacement of Left Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04R70JZ | Replacement of Left Colic Artery with Synthetic Substitute, Open Approach |
| 04R70KZ | Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R747Z | Replacement of Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R74JZ | Replacement of Left Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R74KZ | Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R807Z | Replacement of Middle Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04R80JZ | Replacement of Middle Colic Artery with Synthetic Substitute, Open Approach |
| 04R80KZ | Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R847Z | Replacement of Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R84JZ | Replacement of Middle Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R84KZ | Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RB07Z | Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04RB0JZ | Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Open Approach |
| 04RB0KZ | Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RB47Z | Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RB4JZ | Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RB4KZ | Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RC07Z | Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RC0JZ | Replacement of Right Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04RC0KZ | Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RC47Z | Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RC4JZ | Replacement of Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RC4KZ | Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RD07Z | Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RD0JZ | Replacement of Left Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04RD0KZ | Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RD47Z | Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RD4JZ | Replacement of Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RD4KZ | Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RE07Z | Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RE0JZ | Replacement of Right Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04RE0KZ | Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RE47Z | Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RE4JZ | Replacement of Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RE4KZ | Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RF07Z | Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RF0JZ | Replacement of Left Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04RF0KZ | Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RF47Z | Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RF4JZ | Replacement of Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RF4KZ | Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RH07Z | Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RH0JZ | Replacement of Right External Iliac Artery with Synthetic Substitute, Open Approach |
| 04RH0KZ | Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RH47Z | Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RH4JZ | Replacement of Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RH4KZ | Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RJ07Z | Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RJ0JZ | Replacement of Left External Iliac Artery with Synthetic Substitute, Open Approach |
| 04RJ0KZ | Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RJ47Z | Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RJ4JZ | Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RJ4KZ | Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RK07Z | Replacement of Right Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04RK0JZ | Replacement of Right Femoral Artery with Synthetic Substitute, Open Approach |
| 04RK0KZ | Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RK47Z | Replacement of Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RK4JZ | Replacement of Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RK4KZ | Replacement of Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RL07Z | Replacement of Left Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04RL0JZ | Replacement of Left Femoral Artery with Synthetic Substitute, Open Approach |
| 04RL0KZ | Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RL47Z | Replacement of Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RL4JZ | Replacement of Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RL4KZ | Replacement of Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RM07Z | Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04RM0JZ | Replacement of Right Popliteal Artery with Synthetic Substitute, Open Approach |
| 04RM0KZ | Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RM47Z | Replacement of Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RM4JZ | Replacement of Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RM4KZ | Replacement of Right Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RN07Z | Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04RN0JZ | Replacement of Left Popliteal Artery with Synthetic Substitute, Open Approach |
| 04RN0KZ | Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RN47Z | Replacement of Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RN4JZ | Replacement of Left Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RN4KZ | Replacement of Left Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RP07Z | Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RP0JZ | Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RP0KZ | Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RP47Z | Replacement of Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RP4JZ | Replacement of Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RP4KZ | Replacement of Right Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RQ07Z | Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RQ0JZ | Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RQ0KZ | Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RQ47Z | Replacement of Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RQ4JZ | Replacement of Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RQ4KZ | Replacement of Left Anterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RR07Z | Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RR0JZ | Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RR0KZ | Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RR47Z | Replacement of Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RR4JZ | Replacement of Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RR4KZ | Replacement of Right Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RS07Z | Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04RS0JZ | Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04RS0KZ | Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RS47Z | Replacement of Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RS4JZ | Replacement of Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RS4KZ | Replacement of Left Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RT07Z | Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04RT0JZ | Replacement of Right Peroneal Artery with Synthetic Substitute, Open Approach |
| 04RT0KZ | Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RT47Z | Replacement of Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RT4JZ | Replacement of Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RT4KZ | Replacement of Right Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RU07Z | Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04RU0JZ | Replacement of Left Peroneal Artery with Synthetic Substitute, Open Approach |
| 04RU0KZ | Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RU47Z | Replacement of Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RU4JZ | Replacement of Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RU4KZ | Replacement of Left Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RV07Z | Replacement of Right Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04RV0JZ | Replacement of Right Foot Artery with Synthetic Substitute, Open Approach |
| 04RV0KZ | Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RV47Z | Replacement of Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RV4JZ | Replacement of Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RV4KZ | Replacement of Right Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RW07Z | Replacement of Left Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04RW0JZ | Replacement of Left Foot Artery with Synthetic Substitute, Open Approach |
| 04RW0KZ | Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RW47Z | Replacement of Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RW4JZ | Replacement of Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RW4KZ | Replacement of Left Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RY07Z | Replacement of Lower Artery with Autologous Tissue Substitute, Open Approach |
| 04RY0JZ | Replacement of Lower Artery with Synthetic Substitute, Open Approach |
| 04RY0KZ | Replacement of Lower Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RY47Z | Replacement of Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RY4JZ | Replacement of Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RY4KZ | Replacement of Lower Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04S00ZZ | Reposition Abdominal Aorta, Open Approach |
| 04S03ZZ | Reposition Abdominal Aorta, Percutaneous Approach |
| 04S04ZZ | Reposition Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04S10ZZ | Reposition Celiac Artery, Open Approach |
| 04S13ZZ | Reposition Celiac Artery, Percutaneous Approach |
| 04S14ZZ | Reposition Celiac Artery, Percutaneous Endoscopic Approach |
| 04S20ZZ | Reposition Gastric Artery, Open Approach |
| 04S23ZZ | Reposition Gastric Artery, Percutaneous Approach |
| 04S24ZZ | Reposition Gastric Artery, Percutaneous Endoscopic Approach |
| 04S30ZZ | Reposition Hepatic Artery, Open Approach |
| 04S33ZZ | Reposition Hepatic Artery, Percutaneous Approach |
| 04S34ZZ | Reposition Hepatic Artery, Percutaneous Endoscopic Approach |
| 04S40ZZ | Reposition Splenic Artery, Open Approach |
| 04S43ZZ | Reposition Splenic Artery, Percutaneous Approach |
| 04S44ZZ | Reposition Splenic Artery, Percutaneous Endoscopic Approach |
| 04S50ZZ | Reposition Superior Mesenteric Artery, Open Approach |
| 04S53ZZ | Reposition Superior Mesenteric Artery, Percutaneous Approach |
| 04S54ZZ | Reposition Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04S60ZZ | Reposition Right Colic Artery, Open Approach |
| 04S63ZZ | Reposition Right Colic Artery, Percutaneous Approach |
| 04S64ZZ | Reposition Right Colic Artery, Percutaneous Endoscopic Approach |
| 04S70ZZ | Reposition Left Colic Artery, Open Approach |
| 04S73ZZ | Reposition Left Colic Artery, Percutaneous Approach |
| 04S74ZZ | Reposition Left Colic Artery, Percutaneous Endoscopic Approach |
| 04S80ZZ | Reposition Middle Colic Artery, Open Approach |
| 04S83ZZ | Reposition Middle Colic Artery, Percutaneous Approach |
| 04S84ZZ | Reposition Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04SB0ZZ | Reposition Inferior Mesenteric Artery, Open Approach |
| 04SB3ZZ | Reposition Inferior Mesenteric Artery, Percutaneous Approach |
| 04SB4ZZ | Reposition Inferior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04SC0ZZ | Reposition Right Common Iliac Artery, Open Approach |
| 04SC3ZZ | Reposition Right Common Iliac Artery, Percutaneous Approach |
| 04SC4ZZ | Reposition Right Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04SD0ZZ | Reposition Left Common Iliac Artery, Open Approach |
| 04SD3ZZ | Reposition Left Common Iliac Artery, Percutaneous Approach |
| 04SD4ZZ | Reposition Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04SE0ZZ | Reposition Right Internal Iliac Artery, Open Approach |
| 04SE3ZZ | Reposition Right Internal Iliac Artery, Percutaneous Approach |
| 04SE4ZZ | Reposition Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04SF0ZZ | Reposition Left Internal Iliac Artery, Open Approach |
| 04SF3ZZ | Reposition Left Internal Iliac Artery, Percutaneous Approach |
| 04SF4ZZ | Reposition Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04SH0ZZ | Reposition Right External Iliac Artery, Open Approach |
| 04SH3ZZ | Reposition Right External Iliac Artery, Percutaneous Approach |
| 04SH4ZZ | Reposition Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04SJ0ZZ | Reposition Left External Iliac Artery, Open Approach |
| 04SJ3ZZ | Reposition Left External Iliac Artery, Percutaneous Approach |
| 04SJ4ZZ | Reposition Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04SK0ZZ | Reposition Right Femoral Artery, Open Approach |
| 04SK3ZZ | Reposition Right Femoral Artery, Percutaneous Approach |
| 04SK4ZZ | Reposition Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04SL0ZZ | Reposition Left Femoral Artery, Open Approach |
| 04SL3ZZ | Reposition Left Femoral Artery, Percutaneous Approach |
| 04SL4ZZ | Reposition Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04SM0ZZ | Reposition Right Popliteal Artery, Open Approach |
| 04SM3ZZ | Reposition Right Popliteal Artery, Percutaneous Approach |
| 04SM4ZZ | Reposition Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04SN0ZZ | Reposition Left Popliteal Artery, Open Approach |
| 04SN3ZZ | Reposition Left Popliteal Artery, Percutaneous Approach |
| 04SN4ZZ | Reposition Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04SP0ZZ | Reposition Right Anterior Tibial Artery, Open Approach |
| 04SP3ZZ | Reposition Right Anterior Tibial Artery, Percutaneous Approach |
| 04SP4ZZ | Reposition Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04SQ0ZZ | Reposition Left Anterior Tibial Artery, Open Approach |
| 04SQ3ZZ | Reposition Left Anterior Tibial Artery, Percutaneous Approach |
| 04SQ4ZZ | Reposition Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04SR0ZZ | Reposition Right Posterior Tibial Artery, Open Approach |
| 04SR3ZZ | Reposition Right Posterior Tibial Artery, Percutaneous Approach |
| 04SR4ZZ | Reposition Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04SS0ZZ | Reposition Left Posterior Tibial Artery, Open Approach |
| 04SS3ZZ | Reposition Left Posterior Tibial Artery, Percutaneous Approach |
| 04SS4ZZ | Reposition Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04ST0ZZ | Reposition Right Peroneal Artery, Open Approach |
| 04ST3ZZ | Reposition Right Peroneal Artery, Percutaneous Approach |
| 04ST4ZZ | Reposition Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04SU0ZZ | Reposition Left Peroneal Artery, Open Approach |
| 04SU3ZZ | Reposition Left Peroneal Artery, Percutaneous Approach |
| 04SU4ZZ | Reposition Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04SV0ZZ | Reposition Right Foot Artery, Open Approach |
| 04SV3ZZ | Reposition Right Foot Artery, Percutaneous Approach |
| 04SV4ZZ | Reposition Right Foot Artery, Percutaneous Endoscopic Approach |
| 04SW0ZZ | Reposition Left Foot Artery, Open Approach |
| 04SW3ZZ | Reposition Left Foot Artery, Percutaneous Approach |
| 04SW4ZZ | Reposition Left Foot Artery, Percutaneous Endoscopic Approach |
| 04SY0ZZ | Reposition Lower Artery, Open Approach |
| 04SY3ZZ | Reposition Lower Artery, Percutaneous Approach |
| 04SY4ZZ | Reposition Lower Artery, Percutaneous Endoscopic Approach |
| 04U007Z | Supplement Abdominal Aorta with Autologous Tissue Substitute, Open Approach |
| 04U037Z | Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Approach |
| 04U03JZ | Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Approach |
| 04U047Z | Supplement Abdominal Aorta with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U04JZ | Supplement Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04U107Z | Supplement Celiac Artery with Autologous Tissue Substitute, Open Approach |
| 04U137Z | Supplement Celiac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U147Z | Supplement Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U207Z | Supplement Gastric Artery with Autologous Tissue Substitute, Open Approach |
| 04U237Z | Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U247Z | Supplement Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U307Z | Supplement Hepatic Artery with Autologous Tissue Substitute, Open Approach |
| 04U337Z | Supplement Hepatic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U347Z | Supplement Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U407Z | Supplement Splenic Artery with Autologous Tissue Substitute, Open Approach |
| 04U437Z | Supplement Splenic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U447Z | Supplement Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U507Z | Supplement Superior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04U537Z | Supplement Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U547Z | Supplement Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U607Z | Supplement Right Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04U637Z | Supplement Right Colic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U647Z | Supplement Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U707Z | Supplement Left Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04U737Z | Supplement Left Colic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U747Z | Supplement Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U807Z | Supplement Middle Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04U837Z | Supplement Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U847Z | Supplement Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04U907Z | Supplement Right Renal Artery with Autologous Tissue Substitute, Open Approach |
| 04U937Z | Supplement Right Renal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04U947Z | Supplement Right Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UA07Z | Supplement Left Renal Artery with Autologous Tissue Substitute, Open Approach |
| 04UA37Z | Supplement Left Renal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UA47Z | Supplement Left Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UB07Z | Supplement Inferior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04UB37Z | Supplement Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UB47Z | Supplement Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UC07Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UC37Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UC47Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UD07Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UD37Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UD47Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UE07Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UE37Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UE47Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UF07Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UF37Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UF47Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UH07Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UH37Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UH47Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UJ07Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UJ37Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UJ47Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UK07Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UK37Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UK47Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UL07Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UL37Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UL47Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UM07Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UM37Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UM47Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UN07Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UN37Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UN47Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UP07Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UP37Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UP47Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UQ07Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UQ37Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UQ47Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UR07Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UR37Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UR47Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04US07Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04US37Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04US47Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UT07Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UT37Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UT47Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UU07Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UU37Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UU47Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UV07Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UV37Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UV47Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UW07Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UW37Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UW47Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UY07Z | Supplement Lower Artery with Autologous Tissue Substitute, Open Approach |
| 04UY37Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UY47Z | Supplement Lower Artery with Autologous Tissue 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 |
| 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 |
| 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 |
| 04V10DZ | Restriction of Celiac Artery with Intraluminal Device, Open Approach |
| 04V13DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04V14DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V20DZ | Restriction of Gastric Artery with Intraluminal Device, Open Approach |
| 04V23DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04V24DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V30DZ | Restriction of Hepatic Artery with Intraluminal Device, Open Approach |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 17 Sep 2020 09:49:17 CMS, code-revision=275, description-revision=1286 |