ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual

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MDC 06 Diseases and disorders of the digestive system
Stomach, esophageal and duodenal procedures
Page 1 of 3
MCC CC DRG
Yes n/a 326
No Yes 327
No No 328

DRG 326 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC

DRG 327 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC

DRG 328 STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

008Q0ZZDivision of Vagus Nerve, Open Approach
008Q3ZZDivision of Vagus Nerve, Percutaneous Approach
008Q4ZZDivision of Vagus Nerve, Percutaneous Endoscopic Approach
02BP3ZZExcision of Pulmonary Trunk, Percutaneous Approach
02BQ3ZZExcision of Right Pulmonary Artery, Percutaneous Approach
02BR3ZZExcision of Left Pulmonary Artery, Percutaneous Approach
02BS3ZZExcision of Right Pulmonary Vein, Percutaneous Approach
02BT3ZZExcision of Left Pulmonary Vein, Percutaneous Approach
02BV3ZZExcision of Superior Vena Cava, Percutaneous Approach
02BW3ZZExcision of Thoracic Aorta, Descending, Percutaneous Approach
02BX3ZZExcision of Thoracic Aorta, Ascending/Arch, Percutaneous Approach
03B03ZZExcision of Right Internal Mammary Artery, Percutaneous Approach
03B13ZZExcision of Left Internal Mammary Artery, Percutaneous Approach
03B23ZZExcision of Innominate Artery, Percutaneous Approach
03B33ZZExcision of Right Subclavian Artery, Percutaneous Approach
03B43ZZExcision of Left Subclavian Artery, Percutaneous Approach
03L20CZOcclusion of Innominate Artery with Extraluminal Device, Open Approach
03L20DZOcclusion of Innominate Artery with Intraluminal Device, Open Approach
03L20ZZOcclusion of Innominate Artery, Open Approach
03L23CZOcclusion of Innominate Artery with Extraluminal Device, Percutaneous Approach
03L23DZOcclusion of Innominate Artery with Intraluminal Device, Percutaneous Approach
03L23ZZOcclusion of Innominate Artery, Percutaneous Approach
03L24CZOcclusion of Innominate Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03L24DZOcclusion of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03L24ZZOcclusion of Innominate Artery, Percutaneous Endoscopic Approach
03L30CZOcclusion of Right Subclavian Artery with Extraluminal Device, Open Approach
03L30DZOcclusion of Right Subclavian Artery with Intraluminal Device, Open Approach
03L30ZZOcclusion of Right Subclavian Artery, Open Approach
03L33CZOcclusion of Right Subclavian Artery with Extraluminal Device, Percutaneous Approach
03L33DZOcclusion of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach
03L33ZZOcclusion of Right Subclavian Artery, Percutaneous Approach
03L34CZOcclusion of Right Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03L34DZOcclusion of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03L34ZZOcclusion of Right Subclavian Artery, Percutaneous Endoscopic Approach
03L40CZOcclusion of Left Subclavian Artery with Extraluminal Device, Open Approach
03L40DZOcclusion of Left Subclavian Artery with Intraluminal Device, Open Approach
03L40ZZOcclusion of Left Subclavian Artery, Open Approach
03L43CZOcclusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Approach
03L43DZOcclusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach
03L43ZZOcclusion of Left Subclavian Artery, Percutaneous Approach
03L44CZOcclusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03L44DZOcclusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03L44ZZOcclusion of Left Subclavian Artery, Percutaneous Endoscopic Approach
05L30CZOcclusion of Right Innominate Vein with Extraluminal Device, Open Approach
05L30DZOcclusion of Right Innominate Vein with Intraluminal Device, Open Approach
05L30ZZOcclusion of Right Innominate Vein, Open Approach
05L33CZOcclusion of Right Innominate Vein with Extraluminal Device, Percutaneous Approach
05L33DZOcclusion of Right Innominate Vein with Intraluminal Device, Percutaneous Approach
05L33ZZOcclusion of Right Innominate Vein, Percutaneous Approach
05L34CZOcclusion of Right Innominate Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L34DZOcclusion of Right Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L34ZZOcclusion of Right Innominate Vein, Percutaneous Endoscopic Approach
05L40CZOcclusion of Left Innominate Vein with Extraluminal Device, Open Approach
05L40DZOcclusion of Left Innominate Vein with Intraluminal Device, Open Approach
05L40ZZOcclusion of Left Innominate Vein, Open Approach
05L43CZOcclusion of Left Innominate Vein with Extraluminal Device, Percutaneous Approach
05L43DZOcclusion of Left Innominate Vein with Intraluminal Device, Percutaneous Approach
05L43ZZOcclusion of Left Innominate Vein, Percutaneous Approach
05L44CZOcclusion of Left Innominate Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L44DZOcclusion of Left Innominate Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L44ZZOcclusion of Left Innominate Vein, Percutaneous Endoscopic Approach
05L50CZOcclusion of Right Subclavian Vein with Extraluminal Device, Open Approach
05L50DZOcclusion of Right Subclavian Vein with Intraluminal Device, Open Approach
05L50ZZOcclusion of Right Subclavian Vein, Open Approach
05L53CZOcclusion of Right Subclavian Vein with Extraluminal Device, Percutaneous Approach
05L53DZOcclusion of Right Subclavian Vein with Intraluminal Device, Percutaneous Approach
05L53ZZOcclusion of Right Subclavian Vein, Percutaneous Approach
05L54CZOcclusion of Right Subclavian Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L54DZOcclusion of Right Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L54ZZOcclusion of Right Subclavian Vein, Percutaneous Endoscopic Approach
05L60CZOcclusion of Left Subclavian Vein with Extraluminal Device, Open Approach
05L60DZOcclusion of Left Subclavian Vein with Intraluminal Device, Open Approach
05L60ZZOcclusion of Left Subclavian Vein, Open Approach
05L63CZOcclusion of Left Subclavian Vein with Extraluminal Device, Percutaneous Approach
05L63DZOcclusion of Left Subclavian Vein with Intraluminal Device, Percutaneous Approach
05L63ZZOcclusion of Left Subclavian Vein, Percutaneous Approach
05L64CZOcclusion of Left Subclavian Vein with Extraluminal Device, Percutaneous Endoscopic Approach
05L64DZOcclusion of Left Subclavian Vein with Intraluminal Device, Percutaneous Endoscopic Approach
05L64ZZOcclusion of Left Subclavian Vein, Percutaneous Endoscopic Approach
06100J5Bypass Inferior Vena Cava to Superior Mesenteric Vein with Synthetic Substitute, Open Approach
06100J6Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Synthetic Substitute, Open Approach
06100JYBypass Inferior Vena Cava to Lower Vein with Synthetic Substitute, Open Approach
06100Z5Bypass Inferior Vena Cava to Superior Mesenteric Vein, Open Approach
06100Z6Bypass Inferior Vena Cava to Inferior Mesenteric Vein, Open Approach
06100ZYBypass Inferior Vena Cava to Lower Vein, Open Approach
06104J5Bypass Inferior Vena Cava to Superior Mesenteric Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06104J6Bypass Inferior Vena Cava to Inferior Mesenteric Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06104JYBypass Inferior Vena Cava to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06104Z5Bypass Inferior Vena Cava to Superior Mesenteric Vein, Percutaneous Endoscopic Approach
06104Z6Bypass Inferior Vena Cava to Inferior Mesenteric Vein, Percutaneous Endoscopic Approach
06104ZYBypass Inferior Vena Cava to Lower Vein, Percutaneous Endoscopic Approach
06110J9Bypass Splenic Vein to Right Renal Vein with Synthetic Substitute, Open Approach
06110JBBypass Splenic Vein to Left Renal Vein with Synthetic Substitute, Open Approach
06110JYBypass Splenic Vein to Lower Vein with Synthetic Substitute, Open Approach
06110Z9Bypass Splenic Vein to Right Renal Vein, Open Approach
06110ZBBypass Splenic Vein to Left Renal Vein, Open Approach
06110ZYBypass Splenic Vein to Lower Vein, Open Approach
06114J9Bypass Splenic Vein to Right Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06114JBBypass Splenic Vein to Left Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06114JYBypass Splenic Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06114Z9Bypass Splenic Vein to Right Renal Vein, Percutaneous Endoscopic Approach
06114ZBBypass Splenic Vein to Left Renal Vein, Percutaneous Endoscopic Approach
06114ZYBypass Splenic Vein to Lower Vein, Percutaneous Endoscopic Approach
06180J9Bypass Portal Vein to Right Renal Vein with Synthetic Substitute, Open Approach
06180JBBypass Portal Vein to Left Renal Vein with Synthetic Substitute, Open Approach
06180JYBypass Portal Vein to Lower Vein with Synthetic Substitute, Open Approach
06180Z9Bypass Portal Vein to Right Renal Vein, Open Approach
06180ZBBypass Portal Vein to Left Renal Vein, Open Approach
06180ZYBypass Portal Vein to Lower Vein, Open Approach
06184J4Bypass Portal Vein to Hepatic Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184J9Bypass Portal Vein to Right Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184JBBypass Portal Vein to Left Renal Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184JYBypass Portal Vein to Lower Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
06184Z9Bypass Portal Vein to Right Renal Vein, Percutaneous Endoscopic Approach
06184ZBBypass Portal Vein to Left Renal Vein, Percutaneous Endoscopic Approach
06184ZYBypass Portal Vein to Lower Vein, Percutaneous Endoscopic Approach
06L20ZZOcclusion of Gastric Vein, Open Approach
06L23ZZOcclusion of Gastric Vein, Percutaneous Approach
06L24ZZOcclusion of Gastric Vein, Percutaneous Endoscopic Approach
06L30ZZOcclusion of Esophageal Vein, Open Approach
095N0ZZDestruction of Nasopharynx, Open Approach
095N3ZZDestruction of Nasopharynx, Percutaneous Approach
095N4ZZDestruction of Nasopharynx, Percutaneous Endoscopic Approach
095N7ZZDestruction of Nasopharynx, Via Natural or Artificial Opening
095N8ZZDestruction of Nasopharynx, Via Natural or Artificial Opening Endoscopic
09BN0ZZExcision of Nasopharynx, Open Approach
09BN3ZZExcision of Nasopharynx, Percutaneous Approach
09BN4ZZExcision of Nasopharynx, Percutaneous Endoscopic Approach
09BN7ZZExcision of Nasopharynx, Via Natural or Artificial Opening
09BN8ZZExcision of Nasopharynx, Via Natural or Artificial Opening Endoscopic
09TN0ZZResection of Nasopharynx, Open Approach
09TN4ZZResection of Nasopharynx, Percutaneous Endoscopic Approach
09TN7ZZResection of Nasopharynx, Via Natural or Artificial Opening
09TN8ZZResection of Nasopharynx, Via Natural or Artificial Opening Endoscopic
0BQT0ZZRepair Diaphragm, Open Approach
0BQT3ZZRepair Diaphragm, Percutaneous Approach
0BQT4ZZRepair Diaphragm, Percutaneous Endoscopic Approach
0BRT07ZReplacement of Diaphragm with Autologous Tissue Substitute, Open Approach
0BRT0JZReplacement of Diaphragm with Synthetic Substitute, Open Approach
0BRT0KZReplacement of Diaphragm with Nonautologous Tissue Substitute, Open Approach
0BRT47ZReplacement of Diaphragm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0BRT4JZReplacement of Diaphragm with Synthetic Substitute, Percutaneous Endoscopic Approach
0BRT4KZReplacement of Diaphragm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0BUT07ZSupplement Diaphragm with Autologous Tissue Substitute, Open Approach
0BUT0JZSupplement Diaphragm with Synthetic Substitute, Open Approach
0BUT0KZSupplement Diaphragm with Nonautologous Tissue Substitute, Open Approach
0BUT47ZSupplement Diaphragm with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0BUT4JZSupplement Diaphragm with Synthetic Substitute, Percutaneous Endoscopic Approach
0BUT4KZSupplement Diaphragm with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0C5M0ZZDestruction of Pharynx, Open Approach
0C5M3ZZDestruction of Pharynx, Percutaneous Approach
0C5M4ZZDestruction of Pharynx, Percutaneous Endoscopic Approach
0C5M7ZZDestruction of Pharynx, Via Natural or Artificial Opening
0C5M8ZZDestruction of Pharynx, Via Natural or Artificial Opening Endoscopic
0CBM0ZZExcision of Pharynx, Open Approach
0CBM3ZZExcision of Pharynx, Percutaneous Approach
0CBM4ZZExcision of Pharynx, Percutaneous Endoscopic Approach
0CBM7ZZExcision of Pharynx, Via Natural or Artificial Opening
0CBM8ZZExcision of Pharynx, Via Natural or Artificial Opening Endoscopic
0CTM0ZZResection of Pharynx, Open Approach
0CTM4ZZResection of Pharynx, Percutaneous Endoscopic Approach
0CTM7ZZResection of Pharynx, Via Natural or Artificial Opening
0CTM8ZZResection of Pharynx, Via Natural or Artificial Opening Endoscopic
0D11074Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D11076Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D11079Bypass Upper Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1107ABypass Upper Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1107BBypass Upper Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D110J4Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D110J6Bypass Upper Esophagus to Stomach with Synthetic Substitute, Open Approach
0D110J9Bypass Upper Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D110JABypass Upper Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D110JBBypass Upper Esophagus to Ileum with Synthetic Substitute, Open Approach
0D110K4Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D110K6Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D110K9Bypass Upper Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D110KABypass Upper Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D110KBBypass Upper Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D110Z4Bypass Upper Esophagus to Cutaneous, Open Approach
0D110Z6Bypass Upper Esophagus to Stomach, Open Approach
0D110Z9Bypass Upper Esophagus to Duodenum, Open Approach
0D110ZABypass Upper Esophagus to Jejunum, Open Approach
0D110ZBBypass Upper Esophagus to Ileum, Open Approach
0D113J4Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D11474Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D11476Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D11479Bypass Upper Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1147ABypass Upper Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1147BBypass Upper Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114J4Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114J6Bypass Upper Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114J9Bypass Upper Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114JABypass Upper Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114JBBypass Upper Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D114K4Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114K6Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114K9Bypass Upper Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114KABypass Upper Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114KBBypass Upper Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D114Z4Bypass Upper Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D114Z6Bypass Upper Esophagus to Stomach, Percutaneous Endoscopic Approach
0D114Z9Bypass Upper Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D114ZABypass Upper Esophagus to Jejunum, Percutaneous Endoscopic Approach
0D114ZBBypass Upper Esophagus to Ileum, Percutaneous Endoscopic Approach
0D11874Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D11876Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D11879Bypass Upper Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1187ABypass Upper Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1187BBypass Upper Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118J4Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118J6Bypass Upper Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118J9Bypass Upper Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118JABypass Upper Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118JBBypass Upper Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D118K4Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118K6Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118K9Bypass Upper Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118KABypass Upper Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118KBBypass Upper Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D118Z4Bypass Upper Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D118Z6Bypass Upper Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic
0D118Z9Bypass Upper Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic
0D118ZABypass Upper Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic
0D118ZBBypass Upper Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic
0D12074Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D12076Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D12079Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1207ABypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1207BBypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D120J4Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D120J6Bypass Middle Esophagus to Stomach with Synthetic Substitute, Open Approach
0D120J9Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D120JABypass Middle Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D120JBBypass Middle Esophagus to Ileum with Synthetic Substitute, Open Approach
0D120K4Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D120K6Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D120K9Bypass Middle Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D120KABypass Middle Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D120KBBypass Middle Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D120Z4Bypass Middle Esophagus to Cutaneous, Open Approach
0D120Z6Bypass Middle Esophagus to Stomach, Open Approach
0D120Z9Bypass Middle Esophagus to Duodenum, Open Approach
0D120ZABypass Middle Esophagus to Jejunum, Open Approach
0D120ZBBypass Middle Esophagus to Ileum, Open Approach
0D123J4Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D12474Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D12476Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D12479Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1247ABypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1247BBypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124J4Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124J6Bypass Middle Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124J9Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124JABypass Middle Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124JBBypass Middle Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D124K4Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124K6Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124K9Bypass Middle Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124KABypass Middle Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124KBBypass Middle Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D124Z4Bypass Middle Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D124Z6Bypass Middle Esophagus to Stomach, Percutaneous Endoscopic Approach
0D124Z9Bypass Middle Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D124ZABypass Middle Esophagus to Jejunum, Percutaneous Endoscopic Approach
0D124ZBBypass Middle Esophagus to Ileum, Percutaneous Endoscopic Approach
0D12874Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D12876Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D12879Bypass Middle Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1287ABypass Middle Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1287BBypass Middle Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128J4Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128J6Bypass Middle Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128J9Bypass Middle Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128JABypass Middle Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128JBBypass Middle Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D128K4Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128K6Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128K9Bypass Middle Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128KABypass Middle Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128KBBypass Middle Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D128Z4Bypass Middle Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D128Z6Bypass Middle Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic
0D128Z9Bypass Middle Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic
0D128ZABypass Middle Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic
0D128ZBBypass Middle Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic
0D13074Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D13076Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D13079Bypass Lower Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1307ABypass Lower Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1307BBypass Lower Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D130J4Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D130J6Bypass Lower Esophagus to Stomach with Synthetic Substitute, Open Approach
0D130J9Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D130JABypass Lower Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D130JBBypass Lower Esophagus to Ileum with Synthetic Substitute, Open Approach
0D130K4Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D130K6Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D130K9Bypass Lower Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D130KABypass Lower Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D130KBBypass Lower Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D130Z4Bypass Lower Esophagus to Cutaneous, Open Approach
0D130Z6Bypass Lower Esophagus to Stomach, Open Approach
0D130Z9Bypass Lower Esophagus to Duodenum, Open Approach
0D130ZABypass Lower Esophagus to Jejunum, Open Approach
0D130ZBBypass Lower Esophagus to Ileum, Open Approach
0D133J4Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D13474Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D13476Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D13479Bypass Lower Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1347ABypass Lower Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1347BBypass Lower Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134J4Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134J6Bypass Lower Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134J9Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134JABypass Lower Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134JBBypass Lower Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D134K4Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134K6Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134K9Bypass Lower Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134KABypass Lower Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134KBBypass Lower Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D134Z4Bypass Lower Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D134Z6Bypass Lower Esophagus to Stomach, Percutaneous Endoscopic Approach
0D134Z9Bypass Lower Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D134ZABypass Lower Esophagus to Jejunum, Percutaneous Endoscopic Approach
0D134ZBBypass Lower Esophagus to Ileum, Percutaneous Endoscopic Approach
0D13874Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D13876Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D13879Bypass Lower Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1387ABypass Lower Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1387BBypass Lower Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138J4Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138J6Bypass Lower Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138J9Bypass Lower Esophagus to Duodenum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138JABypass Lower Esophagus to Jejunum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138JBBypass Lower Esophagus to Ileum with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic
0D138K4Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138K6Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138K9Bypass Lower Esophagus to Duodenum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138KABypass Lower Esophagus to Jejunum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138KBBypass Lower Esophagus to Ileum with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D138Z4Bypass Lower Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic
0D138Z6Bypass Lower Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic
0D138Z9Bypass Lower Esophagus to Duodenum, Via Natural or Artificial Opening Endoscopic
0D138ZABypass Lower Esophagus to Jejunum, Via Natural or Artificial Opening Endoscopic
0D138ZBBypass Lower Esophagus to Ileum, Via Natural or Artificial Opening Endoscopic
0D15074Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach
0D15076Bypass Esophagus to Stomach with Autologous Tissue Substitute, Open Approach
0D15079Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Open Approach
0D1507ABypass Esophagus to Jejunum with Autologous Tissue Substitute, Open Approach
0D1507BBypass Esophagus to Ileum with Autologous Tissue Substitute, Open Approach
0D150J4Bypass Esophagus to Cutaneous with Synthetic Substitute, Open Approach
0D150J6Bypass Esophagus to Stomach with Synthetic Substitute, Open Approach
0D150J9Bypass Esophagus to Duodenum with Synthetic Substitute, Open Approach
0D150JABypass Esophagus to Jejunum with Synthetic Substitute, Open Approach
0D150JBBypass Esophagus to Ileum with Synthetic Substitute, Open Approach
0D150K4Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach
0D150K6Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach
0D150K9Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Open Approach
0D150KABypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Open Approach
0D150KBBypass Esophagus to Ileum with Nonautologous Tissue Substitute, Open Approach
0D150Z4Bypass Esophagus to Cutaneous, Open Approach
0D150Z6Bypass Esophagus to Stomach, Open Approach
0D150Z9Bypass Esophagus to Duodenum, Open Approach
0D150ZABypass Esophagus to Jejunum, Open Approach
0D150ZBBypass Esophagus to Ileum, Open Approach
0D153J4Bypass Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach
0D15474Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D15476Bypass Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D15479Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1547ABypass Esophagus to Jejunum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D1547BBypass Esophagus to Ileum with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154J4Bypass Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154J6Bypass Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154J9Bypass Esophagus to Duodenum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154JABypass Esophagus to Jejunum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154JBBypass Esophagus to Ileum with Synthetic Substitute, Percutaneous Endoscopic Approach
0D154K4Bypass Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154K6Bypass Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154K9Bypass Esophagus to Duodenum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154KABypass Esophagus to Jejunum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154KBBypass Esophagus to Ileum with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
0D154Z4Bypass Esophagus to Cutaneous, Percutaneous Endoscopic Approach
0D154Z6Bypass Esophagus to Stomach, Percutaneous Endoscopic Approach
0D154Z9Bypass Esophagus to Duodenum, Percutaneous Endoscopic Approach
0D154ZABypass Esophagus to Jejunum, Percutaneous Endoscopic Approach
0D154ZBBypass Esophagus to Ileum, Percutaneous Endoscopic Approach
0D15874Bypass Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D15876Bypass Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D15879Bypass Esophagus to Duodenum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1587ABypass Esophagus to Jejunum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D1587BBypass Esophagus to Ileum with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic
0D158J4Bypass Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
20 Nov 2020 15:32:59
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