ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v38.0 Definitions Manual |
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| MDC 24 Multiple Significant Trauma |
| Other Procedures for Multiple Significant Trauma |
| Page 4 of 53 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RG4JZ 00XL0ZR 01R80JZ 021W08G 02WA4JZ 037P4GZ 03LH3ZZ 03UG07Z 047935Z 04HM0DZ 04QR3ZZ 04V53DZ 05LA0ZZ 05UL47Z 06LM4DZ 06WY3CZ 08NB3ZZ 08UX8JZ 0BBN4ZZ 0CN33ZZ 0D150K6 0D1L8J4 0DQV3ZZ 0F150Z9 0FN67ZZ 0GCN0ZZ 0HRLXK4 0JX13ZB 0KMC0ZZ 0KXD4Z2 0LR74KZ 0MCB3ZZ 0NNH0ZZ 0P883ZZ 0PHJ04Z 0PRG4JZ 0PUC37Z 0QD00ZZ 0QQP0ZZ 0QU50KZ 0RG23JJ 0RH13BZ 0RRU0JZ 0RWU0JZ 0SGL45Z 0SSG0ZZ 0T7D3ZZ 0TUB4KZ 0V7N3ZZ 0W0547Z 0WWC41Z 0Y3K3ZZ
| 01R80JZ | Replacement of Thoracic Nerve with Synthetic Substitute, Open Approach |
| 01R80KZ | Replacement of Thoracic Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01R847Z | Replacement of Thoracic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01R84JZ | Replacement of Thoracic Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01R84KZ | Replacement of Thoracic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RB07Z | Replacement of Lumbar Nerve with Autologous Tissue Substitute, Open Approach |
| 01RB0JZ | Replacement of Lumbar Nerve with Synthetic Substitute, Open Approach |
| 01RB0KZ | Replacement of Lumbar Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01RB47Z | Replacement of Lumbar Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RB4JZ | Replacement of Lumbar Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01RB4KZ | Replacement of Lumbar Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RC07Z | Replacement of Pudendal Nerve with Autologous Tissue Substitute, Open Approach |
| 01RC0JZ | Replacement of Pudendal Nerve with Synthetic Substitute, Open Approach |
| 01RC0KZ | Replacement of Pudendal Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01RC47Z | Replacement of Pudendal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RC4JZ | Replacement of Pudendal Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01RC4KZ | Replacement of Pudendal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RD07Z | Replacement of Femoral Nerve with Autologous Tissue Substitute, Open Approach |
| 01RD0JZ | Replacement of Femoral Nerve with Synthetic Substitute, Open Approach |
| 01RD0KZ | Replacement of Femoral Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01RD47Z | Replacement of Femoral Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RD4JZ | Replacement of Femoral Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01RD4KZ | Replacement of Femoral Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RF07Z | Replacement of Sciatic Nerve with Autologous Tissue Substitute, Open Approach |
| 01RF0JZ | Replacement of Sciatic Nerve with Synthetic Substitute, Open Approach |
| 01RF0KZ | Replacement of Sciatic Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01RF47Z | Replacement of Sciatic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RF4JZ | Replacement of Sciatic Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01RF4KZ | Replacement of Sciatic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RG07Z | Replacement of Tibial Nerve with Autologous Tissue Substitute, Open Approach |
| 01RG0JZ | Replacement of Tibial Nerve with Synthetic Substitute, Open Approach |
| 01RG0KZ | Replacement of Tibial Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01RG47Z | Replacement of Tibial Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RG4JZ | Replacement of Tibial Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01RG4KZ | Replacement of Tibial Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RH07Z | Replacement of Peroneal Nerve with Autologous Tissue Substitute, Open Approach |
| 01RH0JZ | Replacement of Peroneal Nerve with Synthetic Substitute, Open Approach |
| 01RH0KZ | Replacement of Peroneal Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01RH47Z | Replacement of Peroneal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RH4JZ | Replacement of Peroneal Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01RH4KZ | Replacement of Peroneal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RR07Z | Replacement of Sacral Nerve with Autologous Tissue Substitute, Open Approach |
| 01RR0JZ | Replacement of Sacral Nerve with Synthetic Substitute, Open Approach |
| 01RR0KZ | Replacement of Sacral Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01RR47Z | Replacement of Sacral Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01RR4JZ | Replacement of Sacral Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01RR4KZ | Replacement of Sacral Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01S00ZZ | Reposition Cervical Plexus, Open Approach |
| 01S03ZZ | Reposition Cervical Plexus, Percutaneous Approach |
| 01S04ZZ | Reposition Cervical Plexus, Percutaneous Endoscopic Approach |
| 01S10ZZ | Reposition Cervical Nerve, Open Approach |
| 01S13ZZ | Reposition Cervical Nerve, Percutaneous Approach |
| 01S14ZZ | Reposition Cervical Nerve, Percutaneous Endoscopic Approach |
| 01S20ZZ | Reposition Phrenic Nerve, Open Approach |
| 01S23ZZ | Reposition Phrenic Nerve, Percutaneous Approach |
| 01S24ZZ | Reposition Phrenic Nerve, Percutaneous Endoscopic Approach |
| 01S30ZZ | Reposition Brachial Plexus, Open Approach |
| 01S33ZZ | Reposition Brachial Plexus, Percutaneous Approach |
| 01S34ZZ | Reposition Brachial Plexus, Percutaneous Endoscopic Approach |
| 01S40ZZ | Reposition Ulnar Nerve, Open Approach |
| 01S43ZZ | Reposition Ulnar Nerve, Percutaneous Approach |
| 01S44ZZ | Reposition Ulnar Nerve, Percutaneous Endoscopic Approach |
| 01S50ZZ | Reposition Median Nerve, Open Approach |
| 01S53ZZ | Reposition Median Nerve, Percutaneous Approach |
| 01S54ZZ | Reposition Median Nerve, Percutaneous Endoscopic Approach |
| 01S60ZZ | Reposition Radial Nerve, Open Approach |
| 01S63ZZ | Reposition Radial Nerve, Percutaneous Approach |
| 01S64ZZ | Reposition Radial Nerve, Percutaneous Endoscopic Approach |
| 01S80ZZ | Reposition Thoracic Nerve, Open Approach |
| 01S83ZZ | Reposition Thoracic Nerve, Percutaneous Approach |
| 01S84ZZ | Reposition Thoracic Nerve, Percutaneous Endoscopic Approach |
| 01S90ZZ | Reposition Lumbar Plexus, Open Approach |
| 01S93ZZ | Reposition Lumbar Plexus, Percutaneous Approach |
| 01S94ZZ | Reposition Lumbar Plexus, Percutaneous Endoscopic Approach |
| 01SA0ZZ | Reposition Lumbosacral Plexus, Open Approach |
| 01SA3ZZ | Reposition Lumbosacral Plexus, Percutaneous Approach |
| 01SA4ZZ | Reposition Lumbosacral Plexus, Percutaneous Endoscopic Approach |
| 01SB0ZZ | Reposition Lumbar Nerve, Open Approach |
| 01SB3ZZ | Reposition Lumbar Nerve, Percutaneous Approach |
| 01SB4ZZ | Reposition Lumbar Nerve, Percutaneous Endoscopic Approach |
| 01SC0ZZ | Reposition Pudendal Nerve, Open Approach |
| 01SC3ZZ | Reposition Pudendal Nerve, Percutaneous Approach |
| 01SC4ZZ | Reposition Pudendal Nerve, Percutaneous Endoscopic Approach |
| 01SD0ZZ | Reposition Femoral Nerve, Open Approach |
| 01SD3ZZ | Reposition Femoral Nerve, Percutaneous Approach |
| 01SD4ZZ | Reposition Femoral Nerve, Percutaneous Endoscopic Approach |
| 01SF0ZZ | Reposition Sciatic Nerve, Open Approach |
| 01SF3ZZ | Reposition Sciatic Nerve, Percutaneous Approach |
| 01SF4ZZ | Reposition Sciatic Nerve, Percutaneous Endoscopic Approach |
| 01SG0ZZ | Reposition Tibial Nerve, Open Approach |
| 01SG3ZZ | Reposition Tibial Nerve, Percutaneous Approach |
| 01SG4ZZ | Reposition Tibial Nerve, Percutaneous Endoscopic Approach |
| 01SH0ZZ | Reposition Peroneal Nerve, Open Approach |
| 01SH3ZZ | Reposition Peroneal Nerve, Percutaneous Approach |
| 01SH4ZZ | Reposition Peroneal Nerve, Percutaneous Endoscopic Approach |
| 01SQ0ZZ | Reposition Sacral Plexus, Open Approach |
| 01SQ3ZZ | Reposition Sacral Plexus, Percutaneous Approach |
| 01SQ4ZZ | Reposition Sacral Plexus, Percutaneous Endoscopic Approach |
| 01SR0ZZ | Reposition Sacral Nerve, Open Approach |
| 01SR3ZZ | Reposition Sacral Nerve, Percutaneous Approach |
| 01SR4ZZ | Reposition Sacral Nerve, Percutaneous Endoscopic Approach |
| 01U107Z | Supplement Cervical Nerve with Autologous Tissue Substitute, Open Approach |
| 01U10JZ | Supplement Cervical Nerve with Synthetic Substitute, Open Approach |
| 01U10KZ | Supplement Cervical Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01U137Z | Supplement Cervical Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01U13JZ | Supplement Cervical Nerve with Synthetic Substitute, Percutaneous Approach |
| 01U13KZ | Supplement Cervical Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01U147Z | Supplement Cervical Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U14JZ | Supplement Cervical Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01U14KZ | Supplement Cervical Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U207Z | Supplement Phrenic Nerve with Autologous Tissue Substitute, Open Approach |
| 01U20JZ | Supplement Phrenic Nerve with Synthetic Substitute, Open Approach |
| 01U20KZ | Supplement Phrenic Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01U237Z | Supplement Phrenic Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01U23JZ | Supplement Phrenic Nerve with Synthetic Substitute, Percutaneous Approach |
| 01U23KZ | Supplement Phrenic Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01U247Z | Supplement Phrenic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U24JZ | Supplement Phrenic Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01U24KZ | Supplement Phrenic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U407Z | Supplement Ulnar Nerve with Autologous Tissue Substitute, Open Approach |
| 01U40JZ | Supplement Ulnar Nerve with Synthetic Substitute, Open Approach |
| 01U40KZ | Supplement Ulnar Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01U437Z | Supplement Ulnar Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01U43JZ | Supplement Ulnar Nerve with Synthetic Substitute, Percutaneous Approach |
| 01U43KZ | Supplement Ulnar Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01U447Z | Supplement Ulnar Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U44JZ | Supplement Ulnar Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01U44KZ | Supplement Ulnar Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U507Z | Supplement Median Nerve with Autologous Tissue Substitute, Open Approach |
| 01U50JZ | Supplement Median Nerve with Synthetic Substitute, Open Approach |
| 01U50KZ | Supplement Median Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01U537Z | Supplement Median Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01U53JZ | Supplement Median Nerve with Synthetic Substitute, Percutaneous Approach |
| 01U53KZ | Supplement Median Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01U547Z | Supplement Median Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U54JZ | Supplement Median Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01U54KZ | Supplement Median Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U607Z | Supplement Radial Nerve with Autologous Tissue Substitute, Open Approach |
| 01U60JZ | Supplement Radial Nerve with Synthetic Substitute, Open Approach |
| 01U60KZ | Supplement Radial Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01U637Z | Supplement Radial Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01U63JZ | Supplement Radial Nerve with Synthetic Substitute, Percutaneous Approach |
| 01U63KZ | Supplement Radial Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01U647Z | Supplement Radial Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U64JZ | Supplement Radial Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01U64KZ | Supplement Radial Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U807Z | Supplement Thoracic Nerve with Autologous Tissue Substitute, Open Approach |
| 01U80JZ | Supplement Thoracic Nerve with Synthetic Substitute, Open Approach |
| 01U80KZ | Supplement Thoracic Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01U837Z | Supplement Thoracic Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01U83JZ | Supplement Thoracic Nerve with Synthetic Substitute, Percutaneous Approach |
| 01U83KZ | Supplement Thoracic Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01U847Z | Supplement Thoracic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01U84JZ | Supplement Thoracic Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01U84KZ | Supplement Thoracic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UB07Z | Supplement Lumbar Nerve with Autologous Tissue Substitute, Open Approach |
| 01UB0JZ | Supplement Lumbar Nerve with Synthetic Substitute, Open Approach |
| 01UB0KZ | Supplement Lumbar Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01UB37Z | Supplement Lumbar Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01UB3JZ | Supplement Lumbar Nerve with Synthetic Substitute, Percutaneous Approach |
| 01UB3KZ | Supplement Lumbar Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01UB47Z | Supplement Lumbar Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UB4JZ | Supplement Lumbar Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01UB4KZ | Supplement Lumbar Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UC07Z | Supplement Pudendal Nerve with Autologous Tissue Substitute, Open Approach |
| 01UC0JZ | Supplement Pudendal Nerve with Synthetic Substitute, Open Approach |
| 01UC0KZ | Supplement Pudendal Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01UC37Z | Supplement Pudendal Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01UC3JZ | Supplement Pudendal Nerve with Synthetic Substitute, Percutaneous Approach |
| 01UC3KZ | Supplement Pudendal Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01UC47Z | Supplement Pudendal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UC4JZ | Supplement Pudendal Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01UC4KZ | Supplement Pudendal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UD07Z | Supplement Femoral Nerve with Autologous Tissue Substitute, Open Approach |
| 01UD0JZ | Supplement Femoral Nerve with Synthetic Substitute, Open Approach |
| 01UD0KZ | Supplement Femoral Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01UD37Z | Supplement Femoral Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01UD3JZ | Supplement Femoral Nerve with Synthetic Substitute, Percutaneous Approach |
| 01UD3KZ | Supplement Femoral Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01UD47Z | Supplement Femoral Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UD4JZ | Supplement Femoral Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01UD4KZ | Supplement Femoral Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UF07Z | Supplement Sciatic Nerve with Autologous Tissue Substitute, Open Approach |
| 01UF0JZ | Supplement Sciatic Nerve with Synthetic Substitute, Open Approach |
| 01UF0KZ | Supplement Sciatic Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01UF37Z | Supplement Sciatic Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01UF3JZ | Supplement Sciatic Nerve with Synthetic Substitute, Percutaneous Approach |
| 01UF3KZ | Supplement Sciatic Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01UF47Z | Supplement Sciatic Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UF4JZ | Supplement Sciatic Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01UF4KZ | Supplement Sciatic Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UG07Z | Supplement Tibial Nerve with Autologous Tissue Substitute, Open Approach |
| 01UG0JZ | Supplement Tibial Nerve with Synthetic Substitute, Open Approach |
| 01UG0KZ | Supplement Tibial Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01UG37Z | Supplement Tibial Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01UG3JZ | Supplement Tibial Nerve with Synthetic Substitute, Percutaneous Approach |
| 01UG3KZ | Supplement Tibial Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01UG47Z | Supplement Tibial Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UG4JZ | Supplement Tibial Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01UG4KZ | Supplement Tibial Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UH07Z | Supplement Peroneal Nerve with Autologous Tissue Substitute, Open Approach |
| 01UH0JZ | Supplement Peroneal Nerve with Synthetic Substitute, Open Approach |
| 01UH0KZ | Supplement Peroneal Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01UH37Z | Supplement Peroneal Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01UH3JZ | Supplement Peroneal Nerve with Synthetic Substitute, Percutaneous Approach |
| 01UH3KZ | Supplement Peroneal Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01UH47Z | Supplement Peroneal Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UH4JZ | Supplement Peroneal Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01UH4KZ | Supplement Peroneal Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UR07Z | Supplement Sacral Nerve with Autologous Tissue Substitute, Open Approach |
| 01UR0JZ | Supplement Sacral Nerve with Synthetic Substitute, Open Approach |
| 01UR0KZ | Supplement Sacral Nerve with Nonautologous Tissue Substitute, Open Approach |
| 01UR37Z | Supplement Sacral Nerve with Autologous Tissue Substitute, Percutaneous Approach |
| 01UR3JZ | Supplement Sacral Nerve with Synthetic Substitute, Percutaneous Approach |
| 01UR3KZ | Supplement Sacral Nerve with Nonautologous Tissue Substitute, Percutaneous Approach |
| 01UR47Z | Supplement Sacral Nerve with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 01UR4JZ | Supplement Sacral Nerve with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 01UR4KZ | Supplement Sacral Nerve with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021708S | Bypass Left Atrium to Right Pulmonary Vein with Zooplastic Tissue, Open Approach |
| 021708T | Bypass Left Atrium to Left Pulmonary Vein with Zooplastic Tissue, Open Approach |
| 021708U | Bypass Left Atrium to Pulmonary Vein Confluence with Zooplastic Tissue, Open Approach |
| 021709S | Bypass Left Atrium to Right Pulmonary Vein with Autologous Venous Tissue, Open Approach |
| 021709T | Bypass Left Atrium to Left Pulmonary Vein with Autologous Venous Tissue, Open Approach |
| 021709U | Bypass Left Atrium to Pulmonary Vein Confluence with Autologous Venous Tissue, Open Approach |
| 02170AS | Bypass Left Atrium to Right Pulmonary Vein with Autologous Arterial Tissue, Open Approach |
| 02170AT | Bypass Left Atrium to Left Pulmonary Vein with Autologous Arterial Tissue, Open Approach |
| 02170AU | Bypass Left Atrium to Pulmonary Vein Confluence with Autologous Arterial Tissue, Open Approach |
| 02170JS | Bypass Left Atrium to Right Pulmonary Vein with Synthetic Substitute, Open Approach |
| 02170JT | Bypass Left Atrium to Left Pulmonary Vein with Synthetic Substitute, Open Approach |
| 02170JU | Bypass Left Atrium to Pulmonary Vein Confluence with Synthetic Substitute, Open Approach |
| 02170KS | Bypass Left Atrium to Right Pulmonary Vein with Nonautologous Tissue Substitute, Open Approach |
| 02170KT | Bypass Left Atrium to Left Pulmonary Vein with Nonautologous Tissue Substitute, Open Approach |
| 02170KU | Bypass Left Atrium to Pulmonary Vein Confluence with Nonautologous Tissue Substitute, Open Approach |
| 02170ZS | Bypass Left Atrium to Right Pulmonary Vein, Open Approach |
| 02170ZT | Bypass Left Atrium to Left Pulmonary Vein, Open Approach |
| 02170ZU | Bypass Left Atrium to Pulmonary Vein Confluence, Open Approach |
| 021748S | Bypass Left Atrium to Right Pulmonary Vein with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021748T | Bypass Left Atrium to Left Pulmonary Vein with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021748U | Bypass Left Atrium to Pulmonary Vein Confluence with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021749S | Bypass Left Atrium to Right Pulmonary Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021749T | Bypass Left Atrium to Left Pulmonary Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021749U | Bypass Left Atrium to Pulmonary Vein Confluence with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 02174AS | Bypass Left Atrium to Right Pulmonary Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02174AT | Bypass Left Atrium to Left Pulmonary Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02174AU | Bypass Left Atrium to Pulmonary Vein Confluence with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 02174JS | Bypass Left Atrium to Right Pulmonary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02174JT | Bypass Left Atrium to Left Pulmonary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02174JU | Bypass Left Atrium to Pulmonary Vein Confluence with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02174KS | Bypass Left Atrium to Right Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02174KT | Bypass Left Atrium to Left Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02174KU | Bypass Left Atrium to Pulmonary Vein Confluence with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 02174ZS | Bypass Left Atrium to Right Pulmonary Vein, Percutaneous Endoscopic Approach |
| 02174ZT | Bypass Left Atrium to Left Pulmonary Vein, Percutaneous Endoscopic Approach |
| 02174ZU | Bypass Left Atrium to Pulmonary Vein Confluence, Percutaneous Endoscopic Approach |
| 021P08A | Bypass Pulmonary Trunk from Innominate Artery with Zooplastic Tissue, Open Approach |
| 021P08B | Bypass Pulmonary Trunk from Subclavian with Zooplastic Tissue, Open Approach |
| 021P08D | Bypass Pulmonary Trunk from Carotid with Zooplastic Tissue, Open Approach |
| 021P09A | Bypass Pulmonary Trunk from Innominate Artery with Autologous Venous Tissue, Open Approach |
| 021P09B | Bypass Pulmonary Trunk from Subclavian with Autologous Venous Tissue, Open Approach |
| 021P09D | Bypass Pulmonary Trunk from Carotid with Autologous Venous Tissue, Open Approach |
| 021P0AA | Bypass Pulmonary Trunk from Innominate Artery with Autologous Arterial Tissue, Open Approach |
| 021P0AB | Bypass Pulmonary Trunk from Subclavian with Autologous Arterial Tissue, Open Approach |
| 021P0AD | Bypass Pulmonary Trunk from Carotid with Autologous Arterial Tissue, Open Approach |
| 021P0JA | Bypass Pulmonary Trunk from Innominate Artery with Synthetic Substitute, Open Approach |
| 021P0JB | Bypass Pulmonary Trunk from Subclavian with Synthetic Substitute, Open Approach |
| 021P0JD | Bypass Pulmonary Trunk from Carotid with Synthetic Substitute, Open Approach |
| 021P0KA | Bypass Pulmonary Trunk from Innominate Artery with Nonautologous Tissue Substitute, Open Approach |
| 021P0KB | Bypass Pulmonary Trunk from Subclavian with Nonautologous Tissue Substitute, Open Approach |
| 021P0KD | Bypass Pulmonary Trunk from Carotid with Nonautologous Tissue Substitute, Open Approach |
| 021P0ZA | Bypass Pulmonary Trunk from Innominate Artery with No Device, Open Approach |
| 021P0ZB | Bypass Pulmonary Trunk from Subclavian with No Device, Open Approach |
| 021P0ZD | Bypass Pulmonary Trunk from Carotid with No Device, Open Approach |
| 021P48A | Bypass Pulmonary Trunk from Innominate Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021P48B | Bypass Pulmonary Trunk from Subclavian with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021P48D | Bypass Pulmonary Trunk from Carotid with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021P49A | Bypass Pulmonary Trunk from Innominate Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021P49B | Bypass Pulmonary Trunk from Subclavian with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021P49D | Bypass Pulmonary Trunk from Carotid with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021P4AA | Bypass Pulmonary Trunk from Innominate Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021P4AB | Bypass Pulmonary Trunk from Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021P4AD | Bypass Pulmonary Trunk from Carotid with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021P4JA | Bypass Pulmonary Trunk from Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021P4JB | Bypass Pulmonary Trunk from Subclavian with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021P4JD | Bypass Pulmonary Trunk from Carotid with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021P4KA | Bypass Pulmonary Trunk from Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021P4KB | Bypass Pulmonary Trunk from Subclavian with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021P4KD | Bypass Pulmonary Trunk from Carotid with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021P4ZA | Bypass Pulmonary Trunk from Innominate Artery with No Device, Percutaneous Endoscopic Approach |
| 021P4ZB | Bypass Pulmonary Trunk from Subclavian with No Device, Percutaneous Endoscopic Approach |
| 021P4ZD | Bypass Pulmonary Trunk from Carotid with No Device, Percutaneous Endoscopic Approach |
| 021Q08A | Bypass Right Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Open Approach |
| 021Q08B | Bypass Right Pulmonary Artery from Subclavian with Zooplastic Tissue, Open Approach |
| 021Q08D | Bypass Right Pulmonary Artery from Carotid with Zooplastic Tissue, Open Approach |
| 021Q09A | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Open Approach |
| 021Q09B | Bypass Right Pulmonary Artery from Subclavian with Autologous Venous Tissue, Open Approach |
| 021Q09D | Bypass Right Pulmonary Artery from Carotid with Autologous Venous Tissue, Open Approach |
| 021Q0AA | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Open Approach |
| 021Q0AB | Bypass Right Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Open Approach |
| 021Q0AD | Bypass Right Pulmonary Artery from Carotid with Autologous Arterial Tissue, Open Approach |
| 021Q0JA | Bypass Right Pulmonary Artery from Innominate Artery with Synthetic Substitute, Open Approach |
| 021Q0JB | Bypass Right Pulmonary Artery from Subclavian with Synthetic Substitute, Open Approach |
| 021Q0JD | Bypass Right Pulmonary Artery from Carotid with Synthetic Substitute, Open Approach |
| 021Q0KA | Bypass Right Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Open Approach |
| 021Q0KB | Bypass Right Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Open Approach |
| 021Q0KD | Bypass Right Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Open Approach |
| 021Q0ZA | Bypass Right Pulmonary Artery from Innominate Artery with No Device, Open Approach |
| 021Q0ZB | Bypass Right Pulmonary Artery from Subclavian with No Device, Open Approach |
| 021Q0ZD | Bypass Right Pulmonary Artery from Carotid with No Device, Open Approach |
| 021Q48A | Bypass Right Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021Q48B | Bypass Right Pulmonary Artery from Subclavian with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021Q48D | Bypass Right Pulmonary Artery from Carotid with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021Q49A | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021Q49B | Bypass Right Pulmonary Artery from Subclavian with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021Q49D | Bypass Right Pulmonary Artery from Carotid with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021Q4AA | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021Q4AB | Bypass Right Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021Q4AD | Bypass Right Pulmonary Artery from Carotid with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021Q4JA | Bypass Right Pulmonary Artery from Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021Q4JB | Bypass Right Pulmonary Artery from Subclavian with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021Q4JD | Bypass Right Pulmonary Artery from Carotid with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021Q4KA | Bypass Right Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021Q4KB | Bypass Right Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021Q4KD | Bypass Right Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021Q4ZA | Bypass Right Pulmonary Artery from Innominate Artery with No Device, Percutaneous Endoscopic Approach |
| 021Q4ZB | Bypass Right Pulmonary Artery from Subclavian with No Device, Percutaneous Endoscopic Approach |
| 021Q4ZD | Bypass Right Pulmonary Artery from Carotid with No Device, Percutaneous Endoscopic Approach |
| 021R08A | Bypass Left Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Open Approach |
| 021R08B | Bypass Left Pulmonary Artery from Subclavian with Zooplastic Tissue, Open Approach |
| 021R08D | Bypass Left Pulmonary Artery from Carotid with Zooplastic Tissue, Open Approach |
| 021R09A | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Open Approach |
| 021R09B | Bypass Left Pulmonary Artery from Subclavian with Autologous Venous Tissue, Open Approach |
| 021R09D | Bypass Left Pulmonary Artery from Carotid with Autologous Venous Tissue, Open Approach |
| 021R0AA | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Open Approach |
| 021R0AB | Bypass Left Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Open Approach |
| 021R0AD | Bypass Left Pulmonary Artery from Carotid with Autologous Arterial Tissue, Open Approach |
| 021R0JA | Bypass Left Pulmonary Artery from Innominate Artery with Synthetic Substitute, Open Approach |
| 021R0JB | Bypass Left Pulmonary Artery from Subclavian with Synthetic Substitute, Open Approach |
| 021R0JD | Bypass Left Pulmonary Artery from Carotid with Synthetic Substitute, Open Approach |
| 021R0KA | Bypass Left Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Open Approach |
| 021R0KB | Bypass Left Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Open Approach |
| 021R0KD | Bypass Left Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Open Approach |
| 021R0ZA | Bypass Left Pulmonary Artery from Innominate Artery with No Device, Open Approach |
| 021R0ZB | Bypass Left Pulmonary Artery from Subclavian with No Device, Open Approach |
| 021R0ZD | Bypass Left Pulmonary Artery from Carotid with No Device, Open Approach |
| 021R48A | Bypass Left Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021R48B | Bypass Left Pulmonary Artery from Subclavian with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021R48D | Bypass Left Pulmonary Artery from Carotid with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021R49A | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021R49B | Bypass Left Pulmonary Artery from Subclavian with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021R49D | Bypass Left Pulmonary Artery from Carotid with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021R4AA | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021R4AB | Bypass Left Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021R4AD | Bypass Left Pulmonary Artery from Carotid with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021R4JA | Bypass Left Pulmonary Artery from Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021R4JB | Bypass Left Pulmonary Artery from Subclavian with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021R4JD | Bypass Left Pulmonary Artery from Carotid with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021R4KA | Bypass Left Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021R4KB | Bypass Left Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021R4KD | Bypass Left Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021R4ZA | Bypass Left Pulmonary Artery from Innominate Artery with No Device, Percutaneous Endoscopic Approach |
| 021R4ZB | Bypass Left Pulmonary Artery from Subclavian with No Device, Percutaneous Endoscopic Approach |
| 021R4ZD | Bypass Left Pulmonary Artery from Carotid with No Device, Percutaneous Endoscopic Approach |
| 021V08S | Bypass Superior Vena Cava to Right Pulmonary Vein with Zooplastic Tissue, Open Approach |
| 021V08T | Bypass Superior Vena Cava to Left Pulmonary Vein with Zooplastic Tissue, Open Approach |
| 021V08U | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Zooplastic Tissue, Open Approach |
| 021V09S | Bypass Superior Vena Cava to Right Pulmonary Vein with Autologous Venous Tissue, Open Approach |
| 021V09T | Bypass Superior Vena Cava to Left Pulmonary Vein with Autologous Venous Tissue, Open Approach |
| 021V09U | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Autologous Venous Tissue, Open Approach |
| 021V0AS | Bypass Superior Vena Cava to Right Pulmonary Vein with Autologous Arterial Tissue, Open Approach |
| 021V0AT | Bypass Superior Vena Cava to Left Pulmonary Vein with Autologous Arterial Tissue, Open Approach |
| 021V0AU | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Autologous Arterial Tissue, Open Approach |
| 021V0JS | Bypass Superior Vena Cava to Right Pulmonary Vein with Synthetic Substitute, Open Approach |
| 021V0JT | Bypass Superior Vena Cava to Left Pulmonary Vein with Synthetic Substitute, Open Approach |
| 021V0JU | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Synthetic Substitute, Open Approach |
| 021V0KS | Bypass Superior Vena Cava to Right Pulmonary Vein with Nonautologous Tissue Substitute, Open Approach |
| 021V0KT | Bypass Superior Vena Cava to Left Pulmonary Vein with Nonautologous Tissue Substitute, Open Approach |
| 021V0KU | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Nonautologous Tissue Substitute, Open Approach |
| 021V0ZS | Bypass Superior Vena Cava to Right Pulmonary Vein, Open Approach |
| 021V0ZT | Bypass Superior Vena Cava to Left Pulmonary Vein, Open Approach |
| 021V0ZU | Bypass Superior Vena Cava to Pulmonary Vein Confluence, Open Approach |
| 021V48S | Bypass Superior Vena Cava to Right Pulmonary Vein with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021V48T | Bypass Superior Vena Cava to Left Pulmonary Vein with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021V48U | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021V49S | Bypass Superior Vena Cava to Right Pulmonary Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021V49T | Bypass Superior Vena Cava to Left Pulmonary Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021V49U | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021V4AS | Bypass Superior Vena Cava to Right Pulmonary Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021V4AT | Bypass Superior Vena Cava to Left Pulmonary Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021V4AU | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021V4JS | Bypass Superior Vena Cava to Right Pulmonary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021V4JT | Bypass Superior Vena Cava to Left Pulmonary Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021V4JU | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021V4KS | Bypass Superior Vena Cava to Right Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021V4KT | Bypass Superior Vena Cava to Left Pulmonary Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021V4KU | Bypass Superior Vena Cava to Pulmonary Vein Confluence with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021V4ZS | Bypass Superior Vena Cava to Right Pulmonary Vein, Percutaneous Endoscopic Approach |
| 021V4ZT | Bypass Superior Vena Cava to Left Pulmonary Vein, Percutaneous Endoscopic Approach |
| 021V4ZU | Bypass Superior Vena Cava to Pulmonary Vein Confluence, Percutaneous Endoscopic Approach |
| 021W08A | Bypass Thoracic Aorta, Descending to Innominate Artery with Zooplastic Tissue, Open Approach |
| 021W08B | Bypass Thoracic Aorta, Descending to Subclavian with Zooplastic Tissue, Open Approach |
| 021W08D | Bypass Thoracic Aorta, Descending to Carotid with Zooplastic Tissue, Open Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 14 Apr 2020 14:43:32 CMS, code-revision=250, description-revision=1275 |