ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.1 Definitions Manual |
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| MDC 05 Diseases and disorders of the circulatory system |
| Other vascular procedures |
| Page 3 of 23 |
OPERATING ROOM PROCEDURES (continued)
00HE0MZ 02VS3CZ 03160AD 03740GZ 037J0DZ 039U0ZX 03LB4DZ 03RQ07Z 03UY4KZ 041N3JS 047507Z 047H0GZ 047U35Z 04H54DZ 04QY0ZZ 04US3JZ 05590ZZ 05BG4ZX 05LV3DZ 05UB37Z 06714DZ 06N73ZZ 06VF0CZ
| 03160AD | Bypass Left Axillary Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03160AF | Bypass Left Axillary Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03160AJ | Bypass Left Axillary Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03160AK | Bypass Left Axillary Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03160AT | Bypass Left Axillary Artery to Abdominal Artery with Autologous Arterial Tissue, Open Approach |
| 03160AV | Bypass Left Axillary Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach |
| 03160AW | Bypass Left Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach |
| 03160J0 | Bypass Left Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03160J1 | Bypass Left Axillary Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03160J2 | Bypass Left Axillary Artery to Bilateral Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03160J3 | Bypass Left Axillary Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03160J4 | Bypass Left Axillary Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03160J5 | Bypass Left Axillary Artery to Bilateral Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03160J6 | Bypass Left Axillary Artery to Right Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03160J7 | Bypass Left Axillary Artery to Left Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03160J8 | Bypass Left Axillary Artery to Bilateral Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03160J9 | Bypass Left Axillary Artery to Right Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03160JB | Bypass Left Axillary Artery to Left Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03160JC | Bypass Left Axillary Artery to Bilateral Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03160JD | Bypass Left Axillary Artery to Upper Arm Vein with Synthetic Substitute, Open Approach |
| 03160JF | Bypass Left Axillary Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03160JJ | Bypass Left Axillary Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 03160JK | Bypass Left Axillary Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 03160JT | Bypass Left Axillary Artery to Abdominal Artery with Synthetic Substitute, Open Approach |
| 03160JV | Bypass Left Axillary Artery to Superior Vena Cava with Synthetic Substitute, Open Approach |
| 03160JW | Bypass Left Axillary Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach |
| 03160K0 | Bypass Left Axillary Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K1 | Bypass Left Axillary Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K2 | Bypass Left Axillary Artery to Bilateral Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K3 | Bypass Left Axillary Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K4 | Bypass Left Axillary Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K5 | Bypass Left Axillary Artery to Bilateral Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K6 | Bypass Left Axillary Artery to Right Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K7 | Bypass Left Axillary Artery to Left Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K8 | Bypass Left Axillary Artery to Bilateral Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160K9 | Bypass Left Axillary Artery to Right Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160KB | Bypass Left Axillary Artery to Left Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160KC | Bypass Left Axillary Artery to Bilateral Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160KD | Bypass Left Axillary Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03160KF | Bypass Left Axillary Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03160KJ | Bypass Left Axillary Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160KK | Bypass Left Axillary Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160KT | Bypass Left Axillary Artery to Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160KV | Bypass Left Axillary Artery to Superior Vena Cava with Nonautologous Tissue Substitute, Open Approach |
| 03160KW | Bypass Left Axillary Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach |
| 03160Z0 | Bypass Left Axillary Artery to Right Upper Arm Artery, Open Approach |
| 03160Z1 | Bypass Left Axillary Artery to Left Upper Arm Artery, Open Approach |
| 03160Z2 | Bypass Left Axillary Artery to Bilateral Upper Arm Artery, Open Approach |
| 03160Z3 | Bypass Left Axillary Artery to Right Lower Arm Artery, Open Approach |
| 03160Z4 | Bypass Left Axillary Artery to Left Lower Arm Artery, Open Approach |
| 03160Z5 | Bypass Left Axillary Artery to Bilateral Lower Arm Artery, Open Approach |
| 03160Z6 | Bypass Left Axillary Artery to Right Upper Leg Artery, Open Approach |
| 03160Z7 | Bypass Left Axillary Artery to Left Upper Leg Artery, Open Approach |
| 03160Z8 | Bypass Left Axillary Artery to Bilateral Upper Leg Artery, Open Approach |
| 03160Z9 | Bypass Left Axillary Artery to Right Lower Leg Artery, Open Approach |
| 03160ZB | Bypass Left Axillary Artery to Left Lower Leg Artery, Open Approach |
| 03160ZC | Bypass Left Axillary Artery to Bilateral Lower Leg Artery, Open Approach |
| 03160ZD | Bypass Left Axillary Artery to Upper Arm Vein, Open Approach |
| 03160ZF | Bypass Left Axillary Artery to Lower Arm Vein, Open Approach |
| 03160ZJ | Bypass Left Axillary Artery to Right Extracranial Artery, Open Approach |
| 03160ZK | Bypass Left Axillary Artery to Left Extracranial Artery, Open Approach |
| 03160ZT | Bypass Left Axillary Artery to Abdominal Artery, Open Approach |
| 03160ZV | Bypass Left Axillary Artery to Superior Vena Cava, Open Approach |
| 03160ZW | Bypass Left Axillary Artery to Lower Extremity Vein, Open Approach |
| 0317090 | Bypass Right Brachial Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0317093 | Bypass Right Brachial Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 031709W | Bypass Right Brachial Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach |
| 03170A0 | Bypass Right Brachial Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03170A3 | Bypass Right Brachial Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03170AW | Bypass Right Brachial Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach |
| 03170J0 | Bypass Right Brachial Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03170J3 | Bypass Right Brachial Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03170JW | Bypass Right Brachial Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach |
| 03170K0 | Bypass Right Brachial Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03170K3 | Bypass Right Brachial Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03170KW | Bypass Right Brachial Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach |
| 03170Z0 | Bypass Right Brachial Artery to Right Upper Arm Artery, Open Approach |
| 03170Z3 | Bypass Right Brachial Artery to Right Lower Arm Artery, Open Approach |
| 03170ZW | Bypass Right Brachial Artery to Lower Extremity Vein, Open Approach |
| 0318091 | Bypass Left Brachial Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0318094 | Bypass Left Brachial Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 031809W | Bypass Left Brachial Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach |
| 03180A1 | Bypass Left Brachial Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03180A4 | Bypass Left Brachial Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03180AW | Bypass Left Brachial Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach |
| 03180J1 | Bypass Left Brachial Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03180J4 | Bypass Left Brachial Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03180JW | Bypass Left Brachial Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach |
| 03180K1 | Bypass Left Brachial Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03180K4 | Bypass Left Brachial Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03180KW | Bypass Left Brachial Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach |
| 03180Z1 | Bypass Left Brachial Artery to Left Upper Arm Artery, Open Approach |
| 03180Z4 | Bypass Left Brachial Artery to Left Lower Arm Artery, Open Approach |
| 03180ZW | Bypass Left Brachial Artery to Lower Extremity Vein, Open Approach |
| 0319093 | Bypass Right Ulnar Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 03190A3 | Bypass Right Ulnar Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03190J3 | Bypass Right Ulnar Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03190K3 | Bypass Right Ulnar Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03190Z3 | Bypass Right Ulnar Artery to Right Lower Arm Artery, Open Approach |
| 031A094 | Bypass Left Ulnar Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 031A0A4 | Bypass Left Ulnar Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 031A0J4 | Bypass Left Ulnar Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 031A0K4 | Bypass Left Ulnar Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 031A0Z4 | Bypass Left Ulnar Artery to Left Lower Arm Artery, Open Approach |
| 031B093 | Bypass Right Radial Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 031B0A3 | Bypass Right Radial Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 031B0J3 | Bypass Right Radial Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 031B0K3 | Bypass Right Radial Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 031B0Z3 | Bypass Right Radial Artery to Right Lower Arm Artery, Open Approach |
| 031C094 | Bypass Left Radial Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 031C0A4 | Bypass Left Radial Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 031C0J4 | Bypass Left Radial Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 031C0K4 | Bypass Left Radial Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 031C0Z4 | Bypass Left Radial Artery to Left Lower Arm Artery, Open Approach |
| 031G09G | Bypass Intracranial Artery to Intracranial Artery with Autologous Venous Tissue, Open Approach |
| 031G0AG | Bypass Intracranial Artery to Intracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031G0JG | Bypass Intracranial Artery to Intracranial Artery with Synthetic Substitute, Open Approach |
| 031G0KG | Bypass Intracranial Artery to Intracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031G0ZG | Bypass Intracranial Artery to Intracranial Artery, Open Approach |
| 031H09J | Bypass Right Common Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031H09K | Bypass Right Common Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031H09Y | Bypass Right Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach |
| 031H0AJ | Bypass Right Common Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031H0AK | Bypass Right Common Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031H0AY | Bypass Right Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach |
| 031H0JJ | Bypass Right Common Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031H0JK | Bypass Right Common Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031H0JY | Bypass Right Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach |
| 031H0KJ | Bypass Right Common Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031H0KK | Bypass Right Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031H0KY | Bypass Right Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach |
| 031H0ZJ | Bypass Right Common Carotid Artery to Right Extracranial Artery, Open Approach |
| 031H0ZK | Bypass Right Common Carotid Artery to Left Extracranial Artery, Open Approach |
| 031H0ZY | Bypass Right Common Carotid Artery to Upper Artery, Open Approach |
| 031J09J | Bypass Left Common Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031J09K | Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031J09Y | Bypass Left Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach |
| 031J0AJ | Bypass Left Common Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031J0AK | Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031J0AY | Bypass Left Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach |
| 031J0JJ | Bypass Left Common Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031J0JK | Bypass Left Common Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031J0JY | Bypass Left Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach |
| 031J0KJ | Bypass Left Common Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031J0KK | Bypass Left Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031J0KY | Bypass Left Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach |
| 031J0ZJ | Bypass Left Common Carotid Artery to Right Extracranial Artery, Open Approach |
| 031J0ZK | Bypass Left Common Carotid Artery to Left Extracranial Artery, Open Approach |
| 031J0ZY | Bypass Left Common Carotid Artery to Upper Artery, Open Approach |
| 031K09J | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031K09K | Bypass Right Internal Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031K0AJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031K0AK | Bypass Right Internal Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031K0JJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031K0JK | Bypass Right Internal Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031K0KJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031K0KK | Bypass Right Internal Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031K0ZJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery, Open Approach |
| 031K0ZK | Bypass Right Internal Carotid Artery to Left Extracranial Artery, Open Approach |
| 031L09J | Bypass Left Internal Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031L09K | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031L0AJ | Bypass Left Internal Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031L0AK | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031L0JJ | Bypass Left Internal Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031L0JK | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031L0KJ | Bypass Left Internal Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031L0KK | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031L0ZJ | Bypass Left Internal Carotid Artery to Right Extracranial Artery, Open Approach |
| 031L0ZK | Bypass Left Internal Carotid Artery to Left Extracranial Artery, Open Approach |
| 031M09J | Bypass Right External Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031M09K | Bypass Right External Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031M0AJ | Bypass Right External Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031M0AK | Bypass Right External Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031M0JJ | Bypass Right External Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031M0JK | Bypass Right External Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031M0KJ | Bypass Right External Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031M0KK | Bypass Right External Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031M0ZJ | Bypass Right External Carotid Artery to Right Extracranial Artery, Open Approach |
| 031M0ZK | Bypass Right External Carotid Artery to Left Extracranial Artery, Open Approach |
| 031N09J | Bypass Left External Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031N09K | Bypass Left External Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031N0AJ | Bypass Left External Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031N0AK | Bypass Left External Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031N0JJ | Bypass Left External Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031N0JK | Bypass Left External Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031N0KJ | Bypass Left External Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031N0KK | Bypass Left External Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031N0ZJ | Bypass Left External Carotid Artery to Right Extracranial Artery, Open Approach |
| 031N0ZK | Bypass Left External Carotid Artery to Left Extracranial Artery, Open Approach |
| 03550ZZ | Destruction of Right Axillary Artery, Open Approach |
| 03553ZZ | Destruction of Right Axillary Artery, Percutaneous Approach |
| 03554ZZ | Destruction of Right Axillary Artery, Percutaneous Endoscopic Approach |
| 03560ZZ | Destruction of Left Axillary Artery, Open Approach |
| 03563ZZ | Destruction of Left Axillary Artery, Percutaneous Approach |
| 03564ZZ | Destruction of Left Axillary Artery, Percutaneous Endoscopic Approach |
| 03570ZZ | Destruction of Right Brachial Artery, Open Approach |
| 03573ZZ | Destruction of Right Brachial Artery, Percutaneous Approach |
| 03574ZZ | Destruction of Right Brachial Artery, Percutaneous Endoscopic Approach |
| 03580ZZ | Destruction of Left Brachial Artery, Open Approach |
| 03583ZZ | Destruction of Left Brachial Artery, Percutaneous Approach |
| 03584ZZ | Destruction of Left Brachial Artery, Percutaneous Endoscopic Approach |
| 03590ZZ | Destruction of Right Ulnar Artery, Open Approach |
| 03593ZZ | Destruction of Right Ulnar Artery, Percutaneous Approach |
| 03594ZZ | Destruction of Right Ulnar Artery, Percutaneous Endoscopic Approach |
| 035A0ZZ | Destruction of Left Ulnar Artery, Open Approach |
| 035A3ZZ | Destruction of Left Ulnar Artery, Percutaneous Approach |
| 035A4ZZ | Destruction of Left Ulnar Artery, Percutaneous Endoscopic Approach |
| 035B0ZZ | Destruction of Right Radial Artery, Open Approach |
| 035B3ZZ | Destruction of Right Radial Artery, Percutaneous Approach |
| 035B4ZZ | Destruction of Right Radial Artery, Percutaneous Endoscopic Approach |
| 035C0ZZ | Destruction of Left Radial Artery, Open Approach |
| 035C3ZZ | Destruction of Left Radial Artery, Percutaneous Approach |
| 035C4ZZ | Destruction of Left Radial Artery, Percutaneous Endoscopic Approach |
| 035D0ZZ | Destruction of Right Hand Artery, Open Approach |
| 035D3ZZ | Destruction of Right Hand Artery, Percutaneous Approach |
| 035D4ZZ | Destruction of Right Hand Artery, Percutaneous Endoscopic Approach |
| 035F0ZZ | Destruction of Left Hand Artery, Open Approach |
| 035F3ZZ | Destruction of Left Hand Artery, Percutaneous Approach |
| 035F4ZZ | Destruction of Left Hand Artery, Percutaneous Endoscopic Approach |
| 035H0ZZ | Destruction of Right Common Carotid Artery, Open Approach |
| 035H3ZZ | Destruction of Right Common Carotid Artery, Percutaneous Approach |
| 035H4ZZ | Destruction of Right Common Carotid Artery, Percutaneous Endoscopic Approach |
| 035J0ZZ | Destruction of Left Common Carotid Artery, Open Approach |
| 035J3ZZ | Destruction of Left Common Carotid Artery, Percutaneous Approach |
| 035J4ZZ | Destruction of Left Common Carotid Artery, Percutaneous Endoscopic Approach |
| 035K0ZZ | Destruction of Right Internal Carotid Artery, Open Approach |
| 035K3ZZ | Destruction of Right Internal Carotid Artery, Percutaneous Approach |
| 035K4ZZ | Destruction of Right Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 035L0ZZ | Destruction of Left Internal Carotid Artery, Open Approach |
| 035L3ZZ | Destruction of Left Internal Carotid Artery, Percutaneous Approach |
| 035L4ZZ | Destruction of Left Internal Carotid Artery, Percutaneous Endoscopic Approach |
| 035M0ZZ | Destruction of Right External Carotid Artery, Open Approach |
| 035M3ZZ | Destruction of Right External Carotid Artery, Percutaneous Approach |
| 035M4ZZ | Destruction of Right External Carotid Artery, Percutaneous Endoscopic Approach |
| 035N0ZZ | Destruction of Left External Carotid Artery, Open Approach |
| 035N3ZZ | Destruction of Left External Carotid Artery, Percutaneous Approach |
| 035N4ZZ | Destruction of Left External Carotid Artery, Percutaneous Endoscopic Approach |
| 035P0ZZ | Destruction of Right Vertebral Artery, Open Approach |
| 035P3ZZ | Destruction of Right Vertebral Artery, Percutaneous Approach |
| 035P4ZZ | Destruction of Right Vertebral Artery, Percutaneous Endoscopic Approach |
| 035Q0ZZ | Destruction of Left Vertebral Artery, Open Approach |
| 035Q3ZZ | Destruction of Left Vertebral Artery, Percutaneous Approach |
| 035Q4ZZ | Destruction of Left Vertebral Artery, Percutaneous Endoscopic Approach |
| 035R0ZZ | Destruction of Face Artery, Open Approach |
| 035R3ZZ | Destruction of Face Artery, Percutaneous Approach |
| 035R4ZZ | Destruction of Face Artery, Percutaneous Endoscopic Approach |
| 035S0ZZ | Destruction of Right Temporal Artery, Open Approach |
| 035S3ZZ | Destruction of Right Temporal Artery, Percutaneous Approach |
| 035S4ZZ | Destruction of Right Temporal Artery, Percutaneous Endoscopic Approach |
| 035T0ZZ | Destruction of Left Temporal Artery, Open Approach |
| 035T3ZZ | Destruction of Left Temporal Artery, Percutaneous Approach |
| 035T4ZZ | Destruction of Left Temporal Artery, Percutaneous Endoscopic Approach |
| 035U0ZZ | Destruction of Right Thyroid Artery, Open Approach |
| 035U3ZZ | Destruction of Right Thyroid Artery, Percutaneous Approach |
| 035U4ZZ | Destruction of Right Thyroid Artery, Percutaneous Endoscopic Approach |
| 035V0ZZ | Destruction of Left Thyroid Artery, Open Approach |
| 035V3ZZ | Destruction of Left Thyroid Artery, Percutaneous Approach |
| 035V4ZZ | Destruction of Left Thyroid Artery, Percutaneous Endoscopic Approach |
| 035Y0ZZ | Destruction of Upper Artery, Open Approach |
| 035Y3ZZ | Destruction of Upper Artery, Percutaneous Approach |
| 035Y4ZZ | Destruction of Upper Artery, Percutaneous Endoscopic Approach |
| 037004Z | Dilation of Right Internal Mammary Artery with Drug-eluting Intraluminal Device, Open Approach |
| 037005Z | Dilation of Right Internal Mammary Artery with Two Drug-eluting Intraluminal Devices, Open Approach |
| 037006Z | Dilation of Right Internal Mammary Artery with Three Drug-eluting Intraluminal Devices, Open Approach |
| 037007Z | Dilation of Right Internal Mammary Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach |
| 03700D1 | Dilation of Right Internal Mammary Artery with Intraluminal Device, using Drug-Coated Balloon, Open Approach |
| 03700DZ | Dilation of Right Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03700EZ | Dilation of Right Internal Mammary Artery with Two Intraluminal Devices, Open Approach |
| 03700FZ | Dilation of Right Internal Mammary Artery with Three Intraluminal Devices, Open Approach |
| 03700GZ | Dilation of Right Internal Mammary Artery with Four or More Intraluminal Devices, Open Approach |
| 03700Z1 | Dilation of Right Internal Mammary Artery using Drug-Coated Balloon, Open Approach |
| 03700ZZ | Dilation of Right Internal Mammary Artery, Open Approach |
| 037034Z | Dilation of Right Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037035Z | Dilation of Right Internal Mammary Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037036Z | Dilation of Right Internal Mammary Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037037Z | Dilation of Right Internal Mammary Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03703D1 | Dilation of Right Internal Mammary Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03703DZ | Dilation of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03703EZ | Dilation of Right Internal Mammary Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03703FZ | Dilation of Right Internal Mammary Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03703GZ | Dilation of Right Internal Mammary Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03703Z1 | Dilation of Right Internal Mammary Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03703ZZ | Dilation of Right Internal Mammary Artery, Percutaneous Approach |
| 037044Z | Dilation of Right Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
| 037045Z | Dilation of Right Internal Mammary Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037046Z | Dilation of Right Internal Mammary Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037047Z | Dilation of Right Internal Mammary Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03704D1 | Dilation of Right Internal Mammary Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03704DZ | Dilation of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03704EZ | Dilation of Right Internal Mammary Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03704FZ | Dilation of Right Internal Mammary Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03704GZ | Dilation of Right Internal Mammary Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03704Z1 | Dilation of Right Internal Mammary Artery using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03704ZZ | Dilation of Right Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 037104Z | Dilation of Left Internal Mammary Artery with Drug-eluting Intraluminal Device, Open Approach |
| 037105Z | Dilation of Left Internal Mammary Artery with Two Drug-eluting Intraluminal Devices, Open Approach |
| 037106Z | Dilation of Left Internal Mammary Artery with Three Drug-eluting Intraluminal Devices, Open Approach |
| 037107Z | Dilation of Left Internal Mammary Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach |
| 03710D1 | Dilation of Left Internal Mammary Artery with Intraluminal Device, using Drug-Coated Balloon, Open Approach |
| 03710DZ | Dilation of Left Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03710EZ | Dilation of Left Internal Mammary Artery with Two Intraluminal Devices, Open Approach |
| 03710FZ | Dilation of Left Internal Mammary Artery with Three Intraluminal Devices, Open Approach |
| 03710GZ | Dilation of Left Internal Mammary Artery with Four or More Intraluminal Devices, Open Approach |
| 03710Z1 | Dilation of Left Internal Mammary Artery using Drug-Coated Balloon, Open Approach |
| 03710ZZ | Dilation of Left Internal Mammary Artery, Open Approach |
| 037134Z | Dilation of Left Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037135Z | Dilation of Left Internal Mammary Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037136Z | Dilation of Left Internal Mammary Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037137Z | Dilation of Left Internal Mammary Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03713D1 | Dilation of Left Internal Mammary Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03713DZ | Dilation of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03713EZ | Dilation of Left Internal Mammary Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03713FZ | Dilation of Left Internal Mammary Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03713GZ | Dilation of Left Internal Mammary Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03713Z1 | Dilation of Left Internal Mammary Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03713ZZ | Dilation of Left Internal Mammary Artery, Percutaneous Approach |
| 037144Z | Dilation of Left Internal Mammary Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
| 037145Z | Dilation of Left Internal Mammary Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037146Z | Dilation of Left Internal Mammary Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037147Z | Dilation of Left Internal Mammary Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03714D1 | Dilation of Left Internal Mammary Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03714DZ | Dilation of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03714EZ | Dilation of Left Internal Mammary Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03714FZ | Dilation of Left Internal Mammary Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03714GZ | Dilation of Left Internal Mammary Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03714Z1 | Dilation of Left Internal Mammary Artery using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03714ZZ | Dilation of Left Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 037204Z | Dilation of Innominate Artery with Drug-eluting Intraluminal Device, Open Approach |
| 037205Z | Dilation of Innominate Artery with Two Drug-eluting Intraluminal Devices, Open Approach |
| 037206Z | Dilation of Innominate Artery with Three Drug-eluting Intraluminal Devices, Open Approach |
| 037207Z | Dilation of Innominate Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach |
| 03720D1 | Dilation of Innominate Artery with Intraluminal Device, using Drug-Coated Balloon, Open Approach |
| 03720DZ | Dilation of Innominate Artery with Intraluminal Device, Open Approach |
| 03720EZ | Dilation of Innominate Artery with Two Intraluminal Devices, Open Approach |
| 03720FZ | Dilation of Innominate Artery with Three Intraluminal Devices, Open Approach |
| 03720GZ | Dilation of Innominate Artery with Four or More Intraluminal Devices, Open Approach |
| 03720Z1 | Dilation of Innominate Artery using Drug-Coated Balloon, Open Approach |
| 03720ZZ | Dilation of Innominate Artery, Open Approach |
| 037234Z | Dilation of Innominate Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037235Z | Dilation of Innominate Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037236Z | Dilation of Innominate Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037237Z | Dilation of Innominate Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03723D1 | Dilation of Innominate Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03723DZ | Dilation of Innominate Artery with Intraluminal Device, Percutaneous Approach |
| 03723EZ | Dilation of Innominate Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03723FZ | Dilation of Innominate Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03723GZ | Dilation of Innominate Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03723Z1 | Dilation of Innominate Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03723ZZ | Dilation of Innominate Artery, Percutaneous Approach |
| 037244Z | Dilation of Innominate Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
| 037245Z | Dilation of Innominate Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037246Z | Dilation of Innominate Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037247Z | Dilation of Innominate Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03724D1 | Dilation of Innominate Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03724DZ | Dilation of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03724EZ | Dilation of Innominate Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03724FZ | Dilation of Innominate Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03724GZ | Dilation of Innominate Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03724Z1 | Dilation of Innominate Artery using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03724ZZ | Dilation of Innominate Artery, Percutaneous Endoscopic Approach |
| 037304Z | Dilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Open Approach |
| 037305Z | Dilation of Right Subclavian Artery with Two Drug-eluting Intraluminal Devices, Open Approach |
| 037306Z | Dilation of Right Subclavian Artery with Three Drug-eluting Intraluminal Devices, Open Approach |
| 037307Z | Dilation of Right Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach |
| 03730D1 | Dilation of Right Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Open Approach |
| 03730DZ | Dilation of Right Subclavian Artery with Intraluminal Device, Open Approach |
| 03730EZ | Dilation of Right Subclavian Artery with Two Intraluminal Devices, Open Approach |
| 03730FZ | Dilation of Right Subclavian Artery with Three Intraluminal Devices, Open Approach |
| 03730GZ | Dilation of Right Subclavian Artery with Four or More Intraluminal Devices, Open Approach |
| 03730Z1 | Dilation of Right Subclavian Artery using Drug-Coated Balloon, Open Approach |
| 03730ZZ | Dilation of Right Subclavian Artery, Open Approach |
| 037334Z | Dilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037335Z | Dilation of Right Subclavian Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037336Z | Dilation of Right Subclavian Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037337Z | Dilation of Right Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03733D1 | Dilation of Right Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03733DZ | Dilation of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03733EZ | Dilation of Right Subclavian Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03733FZ | Dilation of Right Subclavian Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03733GZ | Dilation of Right Subclavian Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03733Z1 | Dilation of Right Subclavian Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03733ZZ | Dilation of Right Subclavian Artery, Percutaneous Approach |
| 037344Z | Dilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Endoscopic Approach |
| 037345Z | Dilation of Right Subclavian Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037346Z | Dilation of Right Subclavian Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 037347Z | Dilation of Right Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03734D1 | Dilation of Right Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03734DZ | Dilation of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03734EZ | Dilation of Right Subclavian Artery with Two Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03734FZ | Dilation of Right Subclavian Artery with Three Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03734GZ | Dilation of Right Subclavian Artery with Four or More Intraluminal Devices, Percutaneous Endoscopic Approach |
| 03734Z1 | Dilation of Right Subclavian Artery using Drug-Coated Balloon, Percutaneous Endoscopic Approach |
| 03734ZZ | Dilation of Right Subclavian Artery, Percutaneous Endoscopic Approach |
| 037404Z | Dilation of Left Subclavian Artery with Drug-eluting Intraluminal Device, Open Approach |
| 037405Z | Dilation of Left Subclavian Artery with Two Drug-eluting Intraluminal Devices, Open Approach |
| 037406Z | Dilation of Left Subclavian Artery with Three Drug-eluting Intraluminal Devices, Open Approach |
| 037407Z | Dilation of Left Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Open Approach |
| 03740D1 | Dilation of Left Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Open Approach |
| 03740DZ | Dilation of Left Subclavian Artery with Intraluminal Device, Open Approach |
| 03740EZ | Dilation of Left Subclavian Artery with Two Intraluminal Devices, Open Approach |
| 03740FZ | Dilation of Left Subclavian Artery with Three Intraluminal Devices, Open Approach |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 20 Nov 2020 15:32:59 CMS, code-revision=283, description-revision=1293 |