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 24 Multiple significant trauma |
| Other O.R. procedures for multiple significant trauma |
| Page 21 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
| 0CC43ZZ | Extirpation of Matter from Buccal Mucosa, Percutaneous Approach |
| 0CCM0ZZ | Extirpation of Matter from Pharynx, Open Approach |
| 0CCM3ZZ | Extirpation of Matter from Pharynx, Percutaneous Approach |
| 0CCM4ZZ | Extirpation of Matter from Pharynx, Percutaneous Endoscopic Approach |
| 0CCP0ZZ | Extirpation of Matter from Tonsils, Open Approach |
| 0CCP3ZZ | Extirpation of Matter from Tonsils, Percutaneous Approach |
| 0CCQ0ZZ | Extirpation of Matter from Adenoids, Open Approach |
| 0CCQ3ZZ | Extirpation of Matter from Adenoids, Percutaneous Approach |
| 0CM00ZZ | Reattachment of Upper Lip, Open Approach |
| 0CM10ZZ | Reattachment of Lower Lip, Open Approach |
| 0CM30ZZ | Reattachment of Soft Palate, Open Approach |
| 0CM70ZZ | Reattachment of Tongue, Open Approach |
| 0CN20ZZ | Release Hard Palate, Open Approach |
| 0CN23ZZ | Release Hard Palate, Percutaneous Approach |
| 0CN2XZZ | Release Hard Palate, External Approach |
| 0CN30ZZ | Release Soft Palate, Open Approach |
| 0CN33ZZ | Release Soft Palate, Percutaneous Approach |
| 0CN3XZZ | Release Soft Palate, External Approach |
| 0CN40ZZ | Release Buccal Mucosa, Open Approach |
| 0CN43ZZ | Release Buccal Mucosa, Percutaneous Approach |
| 0CN80ZZ | Release Right Parotid Gland, Open Approach |
| 0CN83ZZ | Release Right Parotid Gland, Percutaneous Approach |
| 0CN90ZZ | Release Left Parotid Gland, Open Approach |
| 0CN93ZZ | Release Left Parotid Gland, Percutaneous Approach |
| 0CNB0ZZ | Release Right Parotid Duct, Open Approach |
| 0CNB3ZZ | Release Right Parotid Duct, Percutaneous Approach |
| 0CNC0ZZ | Release Left Parotid Duct, Open Approach |
| 0CNC3ZZ | Release Left Parotid Duct, Percutaneous Approach |
| 0CND0ZZ | Release Right Sublingual Gland, Open Approach |
| 0CND3ZZ | Release Right Sublingual Gland, Percutaneous Approach |
| 0CNF0ZZ | Release Left Sublingual Gland, Open Approach |
| 0CNF3ZZ | Release Left Sublingual Gland, Percutaneous Approach |
| 0CNG0ZZ | Release Right Submaxillary Gland, Open Approach |
| 0CNG3ZZ | Release Right Submaxillary Gland, Percutaneous Approach |
| 0CNH0ZZ | Release Left Submaxillary Gland, Open Approach |
| 0CNH3ZZ | Release Left Submaxillary Gland, Percutaneous Approach |
| 0CNJ0ZZ | Release Minor Salivary Gland, Open Approach |
| 0CNJ3ZZ | Release Minor Salivary Gland, Percutaneous Approach |
| 0CNR0ZZ | Release Epiglottis, Open Approach |
| 0CNR3ZZ | Release Epiglottis, Percutaneous Approach |
| 0CNR4ZZ | Release Epiglottis, Percutaneous Endoscopic Approach |
| 0CNR7ZZ | Release Epiglottis, Via Natural or Artificial Opening |
| 0CNR8ZZ | Release Epiglottis, Via Natural or Artificial Opening Endoscopic |
| 0CNS0ZZ | Release Larynx, Open Approach |
| 0CNS3ZZ | Release Larynx, Percutaneous Approach |
| 0CNS4ZZ | Release Larynx, Percutaneous Endoscopic Approach |
| 0CNS7ZZ | Release Larynx, Via Natural or Artificial Opening |
| 0CNS8ZZ | Release Larynx, Via Natural or Artificial Opening Endoscopic |
| 0CNT0ZZ | Release Right Vocal Cord, Open Approach |
| 0CNT3ZZ | Release Right Vocal Cord, Percutaneous Approach |
| 0CNT4ZZ | Release Right Vocal Cord, Percutaneous Endoscopic Approach |
| 0CNT7ZZ | Release Right Vocal Cord, Via Natural or Artificial Opening |
| 0CNT8ZZ | Release Right Vocal Cord, Via Natural or Artificial Opening Endoscopic |
| 0CNV0ZZ | Release Left Vocal Cord, Open Approach |
| 0CNV3ZZ | Release Left Vocal Cord, Percutaneous Approach |
| 0CNV4ZZ | Release Left Vocal Cord, Percutaneous Endoscopic Approach |
| 0CNV7ZZ | Release Left Vocal Cord, Via Natural or Artificial Opening |
| 0CNV8ZZ | Release Left Vocal Cord, Via Natural or Artificial Opening Endoscopic |
| 0CPY00Z | Removal of Drainage Device from Mouth and Throat, Open Approach |
| 0CPY01Z | Removal of Radioactive Element from Mouth and Throat, Open Approach |
| 0CPY07Z | Removal of Autologous Tissue Substitute from Mouth and Throat, Open Approach |
| 0CPY0DZ | Removal of Intraluminal Device from Mouth and Throat, Open Approach |
| 0CPY0JZ | Removal of Synthetic Substitute from Mouth and Throat, Open Approach |
| 0CPY0KZ | Removal of Nonautologous Tissue Substitute from Mouth and Throat, Open Approach |
| 0CPY0YZ | Removal of Other Device from Mouth and Throat, Open Approach |
| 0CPY30Z | Removal of Drainage Device from Mouth and Throat, Percutaneous Approach |
| 0CPY31Z | Removal of Radioactive Element from Mouth and Throat, Percutaneous Approach |
| 0CPY37Z | Removal of Autologous Tissue Substitute from Mouth and Throat, Percutaneous Approach |
| 0CPY3DZ | Removal of Intraluminal Device from Mouth and Throat, Percutaneous Approach |
| 0CPY3JZ | Removal of Synthetic Substitute from Mouth and Throat, Percutaneous Approach |
| 0CPY3KZ | Removal of Nonautologous Tissue Substitute from Mouth and Throat, Percutaneous Approach |
| 0CPY71Z | Removal of Radioactive Element from Mouth and Throat, Via Natural or Artificial Opening |
| 0CPY77Z | Removal of Autologous Tissue Substitute from Mouth and Throat, Via Natural or Artificial Opening |
| 0CPY7JZ | Removal of Synthetic Substitute from Mouth and Throat, Via Natural or Artificial Opening |
| 0CPY7KZ | Removal of Nonautologous Tissue Substitute from Mouth and Throat, Via Natural or Artificial Opening |
| 0CPY81Z | Removal of Radioactive Element from Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CPY87Z | Removal of Autologous Tissue Substitute from Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CPY8JZ | Removal of Synthetic Substitute from Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CPY8KZ | Removal of Nonautologous Tissue Substitute from Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CQ00ZZ | Repair Upper Lip, Open Approach |
| 0CQ03ZZ | Repair Upper Lip, Percutaneous Approach |
| 0CQ10ZZ | Repair Lower Lip, Open Approach |
| 0CQ13ZZ | Repair Lower Lip, Percutaneous Approach |
| 0CQ20ZZ | Repair Hard Palate, Open Approach |
| 0CQ23ZZ | Repair Hard Palate, Percutaneous Approach |
| 0CQ2XZZ | Repair Hard Palate, External Approach |
| 0CQ30ZZ | Repair Soft Palate, Open Approach |
| 0CQ33ZZ | Repair Soft Palate, Percutaneous Approach |
| 0CQ3XZZ | Repair Soft Palate, External Approach |
| 0CQ40ZZ | Repair Buccal Mucosa, Open Approach |
| 0CQ43ZZ | Repair Buccal Mucosa, Percutaneous Approach |
| 0CQ80ZZ | Repair Right Parotid Gland, Open Approach |
| 0CQ83ZZ | Repair Right Parotid Gland, Percutaneous Approach |
| 0CQ90ZZ | Repair Left Parotid Gland, Open Approach |
| 0CQ93ZZ | Repair Left Parotid Gland, Percutaneous Approach |
| 0CQB0ZZ | Repair Right Parotid Duct, Open Approach |
| 0CQB3ZZ | Repair Right Parotid Duct, Percutaneous Approach |
| 0CQC0ZZ | Repair Left Parotid Duct, Open Approach |
| 0CQC3ZZ | Repair Left Parotid Duct, Percutaneous Approach |
| 0CQD0ZZ | Repair Right Sublingual Gland, Open Approach |
| 0CQD3ZZ | Repair Right Sublingual Gland, Percutaneous Approach |
| 0CQF0ZZ | Repair Left Sublingual Gland, Open Approach |
| 0CQF3ZZ | Repair Left Sublingual Gland, Percutaneous Approach |
| 0CQG0ZZ | Repair Right Submaxillary Gland, Open Approach |
| 0CQG3ZZ | Repair Right Submaxillary Gland, Percutaneous Approach |
| 0CQH0ZZ | Repair Left Submaxillary Gland, Open Approach |
| 0CQH3ZZ | Repair Left Submaxillary Gland, Percutaneous Approach |
| 0CQJ0ZZ | Repair Minor Salivary Gland, Open Approach |
| 0CQJ3ZZ | Repair Minor Salivary Gland, Percutaneous Approach |
| 0CQM0ZZ | Repair Pharynx, Open Approach |
| 0CQM3ZZ | Repair Pharynx, Percutaneous Approach |
| 0CQM4ZZ | Repair Pharynx, Percutaneous Endoscopic Approach |
| 0CQM7ZZ | Repair Pharynx, Via Natural or Artificial Opening |
| 0CQM8ZZ | Repair Pharynx, Via Natural or Artificial Opening Endoscopic |
| 0CQS0ZZ | Repair Larynx, Open Approach |
| 0CQS3ZZ | Repair Larynx, Percutaneous Approach |
| 0CQS4ZZ | Repair Larynx, Percutaneous Endoscopic Approach |
| 0CQS7ZZ | Repair Larynx, Via Natural or Artificial Opening |
| 0CQS8ZZ | Repair Larynx, Via Natural or Artificial Opening Endoscopic |
| 0CR007Z | Replacement of Upper Lip with Autologous Tissue Substitute, Open Approach |
| 0CR00JZ | Replacement of Upper Lip with Synthetic Substitute, Open Approach |
| 0CR00KZ | Replacement of Upper Lip with Nonautologous Tissue Substitute, Open Approach |
| 0CR037Z | Replacement of Upper Lip with Autologous Tissue Substitute, Percutaneous Approach |
| 0CR03JZ | Replacement of Upper Lip with Synthetic Substitute, Percutaneous Approach |
| 0CR03KZ | Replacement of Upper Lip with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CR0X7Z | Replacement of Upper Lip with Autologous Tissue Substitute, External Approach |
| 0CR0XJZ | Replacement of Upper Lip with Synthetic Substitute, External Approach |
| 0CR0XKZ | Replacement of Upper Lip with Nonautologous Tissue Substitute, External Approach |
| 0CR107Z | Replacement of Lower Lip with Autologous Tissue Substitute, Open Approach |
| 0CR10JZ | Replacement of Lower Lip with Synthetic Substitute, Open Approach |
| 0CR10KZ | Replacement of Lower Lip with Nonautologous Tissue Substitute, Open Approach |
| 0CR137Z | Replacement of Lower Lip with Autologous Tissue Substitute, Percutaneous Approach |
| 0CR13JZ | Replacement of Lower Lip with Synthetic Substitute, Percutaneous Approach |
| 0CR13KZ | Replacement of Lower Lip with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CR1X7Z | Replacement of Lower Lip with Autologous Tissue Substitute, External Approach |
| 0CR1XJZ | Replacement of Lower Lip with Synthetic Substitute, External Approach |
| 0CR1XKZ | Replacement of Lower Lip with Nonautologous Tissue Substitute, External Approach |
| 0CR407Z | Replacement of Buccal Mucosa with Autologous Tissue Substitute, Open Approach |
| 0CR40JZ | Replacement of Buccal Mucosa with Synthetic Substitute, Open Approach |
| 0CR40KZ | Replacement of Buccal Mucosa with Nonautologous Tissue Substitute, Open Approach |
| 0CR437Z | Replacement of Buccal Mucosa with Autologous Tissue Substitute, Percutaneous Approach |
| 0CR43JZ | Replacement of Buccal Mucosa with Synthetic Substitute, Percutaneous Approach |
| 0CR43KZ | Replacement of Buccal Mucosa with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CR4X7Z | Replacement of Buccal Mucosa with Autologous Tissue Substitute, External Approach |
| 0CR4XJZ | Replacement of Buccal Mucosa with Synthetic Substitute, External Approach |
| 0CR4XKZ | Replacement of Buccal Mucosa with Nonautologous Tissue Substitute, External Approach |
| 0CR507Z | Replacement of Upper Gingiva with Autologous Tissue Substitute, Open Approach |
| 0CR50JZ | Replacement of Upper Gingiva with Synthetic Substitute, Open Approach |
| 0CR50KZ | Replacement of Upper Gingiva with Nonautologous Tissue Substitute, Open Approach |
| 0CR537Z | Replacement of Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach |
| 0CR53JZ | Replacement of Upper Gingiva with Synthetic Substitute, Percutaneous Approach |
| 0CR53KZ | Replacement of Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CR5X7Z | Replacement of Upper Gingiva with Autologous Tissue Substitute, External Approach |
| 0CR5XJZ | Replacement of Upper Gingiva with Synthetic Substitute, External Approach |
| 0CR5XKZ | Replacement of Upper Gingiva with Nonautologous Tissue Substitute, External Approach |
| 0CR607Z | Replacement of Lower Gingiva with Autologous Tissue Substitute, Open Approach |
| 0CR60JZ | Replacement of Lower Gingiva with Synthetic Substitute, Open Approach |
| 0CR60KZ | Replacement of Lower Gingiva with Nonautologous Tissue Substitute, Open Approach |
| 0CR637Z | Replacement of Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach |
| 0CR63JZ | Replacement of Lower Gingiva with Synthetic Substitute, Percutaneous Approach |
| 0CR63KZ | Replacement of Lower Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CR6X7Z | Replacement of Lower Gingiva with Autologous Tissue Substitute, External Approach |
| 0CR6XJZ | Replacement of Lower Gingiva with Synthetic Substitute, External Approach |
| 0CR6XKZ | Replacement of Lower Gingiva with Nonautologous Tissue Substitute, External Approach |
| 0CR707Z | Replacement of Tongue with Autologous Tissue Substitute, Open Approach |
| 0CR70JZ | Replacement of Tongue with Synthetic Substitute, Open Approach |
| 0CR70KZ | Replacement of Tongue with Nonautologous Tissue Substitute, Open Approach |
| 0CR737Z | Replacement of Tongue with Autologous Tissue Substitute, Percutaneous Approach |
| 0CR73JZ | Replacement of Tongue with Synthetic Substitute, Percutaneous Approach |
| 0CR73KZ | Replacement of Tongue with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CR7X7Z | Replacement of Tongue with Autologous Tissue Substitute, External Approach |
| 0CR7XJZ | Replacement of Tongue with Synthetic Substitute, External Approach |
| 0CR7XKZ | Replacement of Tongue with Nonautologous Tissue Substitute, External Approach |
| 0CRB07Z | Replacement of Right Parotid Duct with Autologous Tissue Substitute, Open Approach |
| 0CRB0JZ | Replacement of Right Parotid Duct with Synthetic Substitute, Open Approach |
| 0CRB0KZ | Replacement of Right Parotid Duct with Nonautologous Tissue Substitute, Open Approach |
| 0CRB37Z | Replacement of Right Parotid Duct with Autologous Tissue Substitute, Percutaneous Approach |
| 0CRB3JZ | Replacement of Right Parotid Duct with Synthetic Substitute, Percutaneous Approach |
| 0CRB3KZ | Replacement of Right Parotid Duct with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CRC07Z | Replacement of Left Parotid Duct with Autologous Tissue Substitute, Open Approach |
| 0CRC0JZ | Replacement of Left Parotid Duct with Synthetic Substitute, Open Approach |
| 0CRC0KZ | Replacement of Left Parotid Duct with Nonautologous Tissue Substitute, Open Approach |
| 0CRC37Z | Replacement of Left Parotid Duct with Autologous Tissue Substitute, Percutaneous Approach |
| 0CRC3JZ | Replacement of Left Parotid Duct with Synthetic Substitute, Percutaneous Approach |
| 0CRC3KZ | Replacement of Left Parotid Duct with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CRM07Z | Replacement of Pharynx with Autologous Tissue Substitute, Open Approach |
| 0CRM0JZ | Replacement of Pharynx with Synthetic Substitute, Open Approach |
| 0CRM0KZ | Replacement of Pharynx with Nonautologous Tissue Substitute, Open Approach |
| 0CRM77Z | Replacement of Pharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CRM7JZ | Replacement of Pharynx with Synthetic Substitute, Via Natural or Artificial Opening |
| 0CRM7KZ | Replacement of Pharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CRM87Z | Replacement of Pharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CRM8JZ | Replacement of Pharynx with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CRM8KZ | Replacement of Pharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CS00ZZ | Reposition Upper Lip, Open Approach |
| 0CS0XZZ | Reposition Upper Lip, External Approach |
| 0CS10ZZ | Reposition Lower Lip, Open Approach |
| 0CS1XZZ | Reposition Lower Lip, External Approach |
| 0CS70ZZ | Reposition Tongue, Open Approach |
| 0CS7XZZ | Reposition Tongue, External Approach |
| 0CSB0ZZ | Reposition Right Parotid Duct, Open Approach |
| 0CSB3ZZ | Reposition Right Parotid Duct, Percutaneous Approach |
| 0CSC0ZZ | Reposition Left Parotid Duct, Open Approach |
| 0CSC3ZZ | Reposition Left Parotid Duct, Percutaneous Approach |
| 0CT00ZZ | Resection of Upper Lip, Open Approach |
| 0CT0XZZ | Resection of Upper Lip, External Approach |
| 0CT10ZZ | Resection of Lower Lip, Open Approach |
| 0CT1XZZ | Resection of Lower Lip, External Approach |
| 0CT30ZZ | Resection of Soft Palate, Open Approach |
| 0CT3XZZ | Resection of Soft Palate, External Approach |
| 0CTR0ZZ | Resection of Epiglottis, Open Approach |
| 0CTR4ZZ | Resection of Epiglottis, Percutaneous Endoscopic Approach |
| 0CTR7ZZ | Resection of Epiglottis, Via Natural or Artificial Opening |
| 0CTR8ZZ | Resection of Epiglottis, Via Natural or Artificial Opening Endoscopic |
| 0CTT0ZZ | Resection of Right Vocal Cord, Open Approach |
| 0CTT4ZZ | Resection of Right Vocal Cord, Percutaneous Endoscopic Approach |
| 0CTT7ZZ | Resection of Right Vocal Cord, Via Natural or Artificial Opening |
| 0CTT8ZZ | Resection of Right Vocal Cord, Via Natural or Artificial Opening Endoscopic |
| 0CTV0ZZ | Resection of Left Vocal Cord, Open Approach |
| 0CTV4ZZ | Resection of Left Vocal Cord, Percutaneous Endoscopic Approach |
| 0CTV7ZZ | Resection of Left Vocal Cord, Via Natural or Artificial Opening |
| 0CTV8ZZ | Resection of Left Vocal Cord, Via Natural or Artificial Opening Endoscopic |
| 0CU007Z | Supplement Upper Lip with Autologous Tissue Substitute, Open Approach |
| 0CU00JZ | Supplement Upper Lip with Synthetic Substitute, Open Approach |
| 0CU00KZ | Supplement Upper Lip with Nonautologous Tissue Substitute, Open Approach |
| 0CU037Z | Supplement Upper Lip with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU03JZ | Supplement Upper Lip with Synthetic Substitute, Percutaneous Approach |
| 0CU03KZ | Supplement Upper Lip with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU0X7Z | Supplement Upper Lip with Autologous Tissue Substitute, External Approach |
| 0CU0XJZ | Supplement Upper Lip with Synthetic Substitute, External Approach |
| 0CU0XKZ | Supplement Upper Lip with Nonautologous Tissue Substitute, External Approach |
| 0CU107Z | Supplement Lower Lip with Autologous Tissue Substitute, Open Approach |
| 0CU10JZ | Supplement Lower Lip with Synthetic Substitute, Open Approach |
| 0CU10KZ | Supplement Lower Lip with Nonautologous Tissue Substitute, Open Approach |
| 0CU137Z | Supplement Lower Lip with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU13JZ | Supplement Lower Lip with Synthetic Substitute, Percutaneous Approach |
| 0CU13KZ | Supplement Lower Lip with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU1X7Z | Supplement Lower Lip with Autologous Tissue Substitute, External Approach |
| 0CU1XJZ | Supplement Lower Lip with Synthetic Substitute, External Approach |
| 0CU1XKZ | Supplement Lower Lip with Nonautologous Tissue Substitute, External Approach |
| 0CU407Z | Supplement Buccal Mucosa with Autologous Tissue Substitute, Open Approach |
| 0CU40JZ | Supplement Buccal Mucosa with Synthetic Substitute, Open Approach |
| 0CU40KZ | Supplement Buccal Mucosa with Nonautologous Tissue Substitute, Open Approach |
| 0CU437Z | Supplement Buccal Mucosa with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU43JZ | Supplement Buccal Mucosa with Synthetic Substitute, Percutaneous Approach |
| 0CU43KZ | Supplement Buccal Mucosa with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU4X7Z | Supplement Buccal Mucosa with Autologous Tissue Substitute, External Approach |
| 0CU4XJZ | Supplement Buccal Mucosa with Synthetic Substitute, External Approach |
| 0CU4XKZ | Supplement Buccal Mucosa with Nonautologous Tissue Substitute, External Approach |
| 0CU507Z | Supplement Upper Gingiva with Autologous Tissue Substitute, Open Approach |
| 0CU50JZ | Supplement Upper Gingiva with Synthetic Substitute, Open Approach |
| 0CU50KZ | Supplement Upper Gingiva with Nonautologous Tissue Substitute, Open Approach |
| 0CU537Z | Supplement Upper Gingiva with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU53JZ | Supplement Upper Gingiva with Synthetic Substitute, Percutaneous Approach |
| 0CU53KZ | Supplement Upper Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU5X7Z | Supplement Upper Gingiva with Autologous Tissue Substitute, External Approach |
| 0CU5XJZ | Supplement Upper Gingiva with Synthetic Substitute, External Approach |
| 0CU5XKZ | Supplement Upper Gingiva with Nonautologous Tissue Substitute, External Approach |
| 0CU607Z | Supplement Lower Gingiva with Autologous Tissue Substitute, Open Approach |
| 0CU60JZ | Supplement Lower Gingiva with Synthetic Substitute, Open Approach |
| 0CU60KZ | Supplement Lower Gingiva with Nonautologous Tissue Substitute, Open Approach |
| 0CU637Z | Supplement Lower Gingiva with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU63JZ | Supplement Lower Gingiva with Synthetic Substitute, Percutaneous Approach |
| 0CU63KZ | Supplement Lower Gingiva with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU6X7Z | Supplement Lower Gingiva with Autologous Tissue Substitute, External Approach |
| 0CU6XJZ | Supplement Lower Gingiva with Synthetic Substitute, External Approach |
| 0CU6XKZ | Supplement Lower Gingiva with Nonautologous Tissue Substitute, External Approach |
| 0CU707Z | Supplement Tongue with Autologous Tissue Substitute, Open Approach |
| 0CU70JZ | Supplement Tongue with Synthetic Substitute, Open Approach |
| 0CU70KZ | Supplement Tongue with Nonautologous Tissue Substitute, Open Approach |
| 0CU737Z | Supplement Tongue with Autologous Tissue Substitute, Percutaneous Approach |
| 0CU73JZ | Supplement Tongue with Synthetic Substitute, Percutaneous Approach |
| 0CU73KZ | Supplement Tongue with Nonautologous Tissue Substitute, Percutaneous Approach |
| 0CU7X7Z | Supplement Tongue with Autologous Tissue Substitute, External Approach |
| 0CU7XJZ | Supplement Tongue with Synthetic Substitute, External Approach |
| 0CU7XKZ | Supplement Tongue with Nonautologous Tissue Substitute, External Approach |
| 0CUM07Z | Supplement Pharynx with Autologous Tissue Substitute, Open Approach |
| 0CUM0JZ | Supplement Pharynx with Synthetic Substitute, Open Approach |
| 0CUM0KZ | Supplement Pharynx with Nonautologous Tissue Substitute, Open Approach |
| 0CUM77Z | Supplement Pharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUM7JZ | Supplement Pharynx with Synthetic Substitute, Via Natural or Artificial Opening |
| 0CUM7KZ | Supplement Pharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening |
| 0CUM87Z | Supplement Pharynx with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUM8JZ | Supplement Pharynx with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CUM8KZ | Supplement Pharynx with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0CVB7DZ | Restriction of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CVB7ZZ | Restriction of Right Parotid Duct, Via Natural or Artificial Opening |
| 0CVB8DZ | Restriction of Right Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CVB8ZZ | Restriction of Right Parotid Duct, Via Natural or Artificial Opening Endoscopic |
| 0CVC7DZ | Restriction of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening |
| 0CVC7ZZ | Restriction of Left Parotid Duct, Via Natural or Artificial Opening |
| 0CVC8DZ | Restriction of Left Parotid Duct with Intraluminal Device, Via Natural or Artificial Opening Endoscopic |
| 0CVC8ZZ | Restriction of Left Parotid Duct, Via Natural or Artificial Opening Endoscopic |
| 0CWY00Z | Revision of Drainage Device in Mouth and Throat, Open Approach |
| 0CWY01Z | Revision of Radioactive Element in Mouth and Throat, Open Approach |
| 0CWY0DZ | Revision of Intraluminal Device in Mouth and Throat, Open Approach |
| 0CWY0JZ | Revision of Synthetic Substitute in Mouth and Throat, Open Approach |
| 0CWY0KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Open Approach |
| 0CWY0YZ | Revision of Other Device in Mouth and Throat, Open Approach |
| 0CWY30Z | Revision of Drainage Device in Mouth and Throat, Percutaneous Approach |
| 0CWY31Z | Revision of Radioactive Element in Mouth and Throat, Percutaneous Approach |
| 0CWY37Z | Revision of Autologous Tissue Substitute in Mouth and Throat, Percutaneous Approach |
| 0CWY3DZ | Revision of Intraluminal Device in Mouth and Throat, Percutaneous Approach |
| 0CWY3JZ | Revision of Synthetic Substitute in Mouth and Throat, Percutaneous Approach |
| 0CWY3KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Percutaneous Approach |
| 0CWY70Z | Revision of Drainage Device in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY71Z | Revision of Radioactive Element in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY77Z | Revision of Autologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY7DZ | Revision of Intraluminal Device in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY7JZ | Revision of Synthetic Substitute in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY7KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening |
| 0CWY80Z | Revision of Drainage Device in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY81Z | Revision of Radioactive Element in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY87Z | Revision of Autologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY8DZ | Revision of Intraluminal Device in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY8JZ | Revision of Synthetic Substitute in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CWY8KZ | Revision of Nonautologous Tissue Substitute in Mouth and Throat, Via Natural or Artificial Opening Endoscopic |
| 0CX00ZZ | Transfer Upper Lip, Open Approach |
| 0CX0XZZ | Transfer Upper Lip, External Approach |
| 0CX10ZZ | Transfer Lower Lip, Open Approach |
| 0CX1XZZ | Transfer Lower Lip, External Approach |
| 0CX30ZZ | Transfer Soft Palate, Open Approach |
| 0CX3XZZ | Transfer Soft Palate, External Approach |
| 0CX40ZZ | Transfer Buccal Mucosa, Open Approach |
| 0CX4XZZ | Transfer Buccal Mucosa, External Approach |
| 0CX50ZZ | Transfer Upper Gingiva, Open Approach |
| 0CX5XZZ | Transfer Upper Gingiva, External Approach |
| 0CX60ZZ | Transfer Lower Gingiva, Open Approach |
| 0CX6XZZ | Transfer Lower Gingiva, External Approach |
| 0CX70ZZ | Transfer Tongue, Open Approach |
| 0CX7XZZ | Transfer Tongue, External Approach |
| 0D11074 | Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D11076 | Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Open Approach |
| 0D110J4 | Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D110J6 | Bypass Upper Esophagus to Stomach with Synthetic Substitute, Open Approach |
| 0D110K4 | Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D110K6 | Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach |
| 0D110Z4 | Bypass Upper Esophagus to Cutaneous, Open Approach |
| 0D110Z6 | Bypass Upper Esophagus to Stomach, Open Approach |
| 0D113J4 | Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D11474 | Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D11476 | Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D114J4 | Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D114J6 | Bypass Upper Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D114K4 | Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D114K6 | Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D114Z4 | Bypass Upper Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D114Z6 | Bypass Upper Esophagus to Stomach, Percutaneous Endoscopic Approach |
| 0D11874 | Bypass Upper Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D11876 | Bypass Upper Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118J4 | Bypass Upper Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118J6 | Bypass Upper Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118K4 | Bypass Upper Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118K6 | Bypass Upper Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D118Z4 | Bypass Upper Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D118Z6 | Bypass Upper Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic |
| 0D12074 | Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D12076 | Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Open Approach |
| 0D120J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D120J6 | Bypass Middle Esophagus to Stomach with Synthetic Substitute, Open Approach |
| 0D120K4 | Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D120K6 | Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach |
| 0D120Z4 | Bypass Middle Esophagus to Cutaneous, Open Approach |
| 0D120Z6 | Bypass Middle Esophagus to Stomach, Open Approach |
| 0D123J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D12474 | Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D12476 | Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D124J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D124J6 | Bypass Middle Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D124K4 | Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D124K6 | Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D124Z4 | Bypass Middle Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D124Z6 | Bypass Middle Esophagus to Stomach, Percutaneous Endoscopic Approach |
| 0D12874 | Bypass Middle Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D12876 | Bypass Middle Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128J4 | Bypass Middle Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128J6 | Bypass Middle Esophagus to Stomach with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128K4 | Bypass Middle Esophagus to Cutaneous with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128K6 | Bypass Middle Esophagus to Stomach with Nonautologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D128Z4 | Bypass Middle Esophagus to Cutaneous, Via Natural or Artificial Opening Endoscopic |
| 0D128Z6 | Bypass Middle Esophagus to Stomach, Via Natural or Artificial Opening Endoscopic |
| 0D13074 | Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Open Approach |
| 0D13076 | Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Open Approach |
| 0D130J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Open Approach |
| 0D130J6 | Bypass Lower Esophagus to Stomach with Synthetic Substitute, Open Approach |
| 0D130K4 | Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Open Approach |
| 0D130K6 | Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Open Approach |
| 0D130Z4 | Bypass Lower Esophagus to Cutaneous, Open Approach |
| 0D130Z6 | Bypass Lower Esophagus to Stomach, Open Approach |
| 0D133J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Approach |
| 0D13474 | Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D13476 | Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D134J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D134J6 | Bypass Lower Esophagus to Stomach with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 0D134K4 | Bypass Lower Esophagus to Cutaneous with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D134K6 | Bypass Lower Esophagus to Stomach with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 0D134Z4 | Bypass Lower Esophagus to Cutaneous, Percutaneous Endoscopic Approach |
| 0D134Z6 | Bypass Lower Esophagus to Stomach, Percutaneous Endoscopic Approach |
| 0D13874 | Bypass Lower Esophagus to Cutaneous with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D13876 | Bypass Lower Esophagus to Stomach with Autologous Tissue Substitute, Via Natural or Artificial Opening Endoscopic |
| 0D138J4 | Bypass Lower Esophagus to Cutaneous with Synthetic Substitute, Via Natural or Artificial Opening Endoscopic |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 20 Nov 2020 15:32:59 CMS, code-revision=283, description-revision=1293 |