ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.0 Definitions Manual |
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| MDC 05 Diseases and disorders of the circulatory system |
| Other major cardiovascular procedures |
| Page 7 of 10 |
MAJOR CARDIOVASCULAR PROCEDURES (continued)
OPERATING ROOM PROCEDURES
02160Z7 02LS4ZZ 03LJ4DZ 04104KD 041D4J6 041J0AH 04LH4DZ 05B30ZZ 06184J4 06RD07Z
| 04LH4DZ | Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LH4ZZ | Occlusion of Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04LJ0CZ | Occlusion of Left External Iliac Artery with Extraluminal Device, Open Approach |
| 04LJ0DZ | Occlusion of Left External Iliac Artery with Intraluminal Device, Open Approach |
| 04LJ0ZZ | Occlusion of Left External Iliac Artery, Open Approach |
| 04LJ3CZ | Occlusion of Left External Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04LJ3DZ | Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04LJ3ZZ | Occlusion of Left External Iliac Artery, Percutaneous Approach |
| 04LJ4CZ | Occlusion of Left External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LJ4DZ | Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LJ4ZZ | Occlusion of Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04R107Z | Replacement of Celiac Artery with Autologous Tissue Substitute, Open Approach |
| 04R10JZ | Replacement of Celiac Artery with Synthetic Substitute, Open Approach |
| 04R10KZ | Replacement of Celiac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R147Z | Replacement of Celiac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R14JZ | Replacement of Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R14KZ | Replacement of Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R207Z | Replacement of Gastric Artery with Autologous Tissue Substitute, Open Approach |
| 04R20JZ | Replacement of Gastric Artery with Synthetic Substitute, Open Approach |
| 04R20KZ | Replacement of Gastric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R247Z | Replacement of Gastric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R24JZ | Replacement of Gastric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R24KZ | Replacement of Gastric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R307Z | Replacement of Hepatic Artery with Autologous Tissue Substitute, Open Approach |
| 04R30JZ | Replacement of Hepatic Artery with Synthetic Substitute, Open Approach |
| 04R30KZ | Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R347Z | Replacement of Hepatic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R34JZ | Replacement of Hepatic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R34KZ | Replacement of Hepatic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R407Z | Replacement of Splenic Artery with Autologous Tissue Substitute, Open Approach |
| 04R40JZ | Replacement of Splenic Artery with Synthetic Substitute, Open Approach |
| 04R40KZ | Replacement of Splenic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R447Z | Replacement of Splenic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R44JZ | Replacement of Splenic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R44KZ | Replacement of Splenic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R507Z | Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04R50JZ | Replacement of Superior Mesenteric Artery with Synthetic Substitute, Open Approach |
| 04R50KZ | Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R547Z | Replacement of Superior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R54JZ | Replacement of Superior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R54KZ | Replacement of Superior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R607Z | Replacement of Right Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04R60JZ | Replacement of Right Colic Artery with Synthetic Substitute, Open Approach |
| 04R60KZ | Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R647Z | Replacement of Right Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R64JZ | Replacement of Right Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R64KZ | Replacement of Right Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R707Z | Replacement of Left Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04R70JZ | Replacement of Left Colic Artery with Synthetic Substitute, Open Approach |
| 04R70KZ | Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R747Z | Replacement of Left Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R74JZ | Replacement of Left Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R74KZ | Replacement of Left Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R807Z | Replacement of Middle Colic Artery with Autologous Tissue Substitute, Open Approach |
| 04R80JZ | Replacement of Middle Colic Artery with Synthetic Substitute, Open Approach |
| 04R80KZ | Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R847Z | Replacement of Middle Colic Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R84JZ | Replacement of Middle Colic Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R84KZ | Replacement of Middle Colic Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R907Z | Replacement of Right Renal Artery with Autologous Tissue Substitute, Open Approach |
| 04R90JZ | Replacement of Right Renal Artery with Synthetic Substitute, Open Approach |
| 04R90KZ | Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04R947Z | Replacement of Right Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04R94JZ | Replacement of Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04R94KZ | Replacement of Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RA07Z | Replacement of Left Renal Artery with Autologous Tissue Substitute, Open Approach |
| 04RA0JZ | Replacement of Left Renal Artery with Synthetic Substitute, Open Approach |
| 04RA0KZ | Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RA47Z | Replacement of Left Renal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RA4JZ | Replacement of Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RA4KZ | Replacement of Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RB07Z | Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Open Approach |
| 04RB0JZ | Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Open Approach |
| 04RB0KZ | Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RB47Z | Replacement of Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RB4JZ | Replacement of Inferior Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RB4KZ | Replacement of Inferior Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RC07Z | Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RC0JZ | Replacement of Right Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04RC0KZ | Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RC47Z | Replacement of Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RC4JZ | Replacement of Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RC4KZ | Replacement of Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RD07Z | Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RD0JZ | Replacement of Left Common Iliac Artery with Synthetic Substitute, Open Approach |
| 04RD0KZ | Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RD47Z | Replacement of Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RD4JZ | Replacement of Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RD4KZ | Replacement of Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RE07Z | Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RE0JZ | Replacement of Right Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04RE0KZ | Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RE47Z | Replacement of Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RE4JZ | Replacement of Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RE4KZ | Replacement of Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RF07Z | Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RF0JZ | Replacement of Left Internal Iliac Artery with Synthetic Substitute, Open Approach |
| 04RF0KZ | Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RF47Z | Replacement of Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RF4JZ | Replacement of Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RF4KZ | Replacement of Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RH07Z | Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RH0JZ | Replacement of Right External Iliac Artery with Synthetic Substitute, Open Approach |
| 04RH0KZ | Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RH47Z | Replacement of Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RH4JZ | Replacement of Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RH4KZ | Replacement of Right External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RJ07Z | Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04RJ0JZ | Replacement of Left External Iliac Artery with Synthetic Substitute, Open Approach |
| 04RJ0KZ | Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach |
| 04RJ47Z | Replacement of Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04RJ4JZ | Replacement of Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04RJ4KZ | Replacement of Left External Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04V00DZ | Restriction of Abdominal Aorta with Intraluminal Device, Open Approach |
| 04V00EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04V00FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach |
| 04V00ZZ | Restriction of Abdominal Aorta, Open Approach |
| 04V03ZZ | Restriction of Abdominal Aorta, Percutaneous Approach |
| 04V04ZZ | Restriction of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04V10DZ | Restriction of Celiac Artery with Intraluminal Device, Open Approach |
| 04V10ZZ | Restriction of Celiac Artery, Open Approach |
| 04V13DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04V13ZZ | Restriction of Celiac Artery, Percutaneous Approach |
| 04V14DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V14ZZ | Restriction of Celiac Artery, Percutaneous Endoscopic Approach |
| 04V20DZ | Restriction of Gastric Artery with Intraluminal Device, Open Approach |
| 04V20ZZ | Restriction of Gastric Artery, Open Approach |
| 04V23DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04V23ZZ | Restriction of Gastric Artery, Percutaneous Approach |
| 04V24DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V24ZZ | Restriction of Gastric Artery, Percutaneous Endoscopic Approach |
| 04V30DZ | Restriction of Hepatic Artery with Intraluminal Device, Open Approach |
| 04V30ZZ | Restriction of Hepatic Artery, Open Approach |
| 04V33DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04V33ZZ | Restriction of Hepatic Artery, Percutaneous Approach |
| 04V34DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V34ZZ | Restriction of Hepatic Artery, Percutaneous Endoscopic Approach |
| 04V40DZ | Restriction of Splenic Artery with Intraluminal Device, Open Approach |
| 04V40ZZ | Restriction of Splenic Artery, Open Approach |
| 04V43DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04V43ZZ | Restriction of Splenic Artery, Percutaneous Approach |
| 04V44DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V44ZZ | Restriction of Splenic Artery, Percutaneous Endoscopic Approach |
| 04V50DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04V50ZZ | Restriction of Superior Mesenteric Artery, Open Approach |
| 04V53DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04V53ZZ | Restriction of Superior Mesenteric Artery, Percutaneous Approach |
| 04V54DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V54ZZ | Restriction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04V60DZ | Restriction of Right Colic Artery with Intraluminal Device, Open Approach |
| 04V60ZZ | Restriction of Right Colic Artery, Open Approach |
| 04V63DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V63ZZ | Restriction of Right Colic Artery, Percutaneous Approach |
| 04V64DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V64ZZ | Restriction of Right Colic Artery, Percutaneous Endoscopic Approach |
| 04V70DZ | Restriction of Left Colic Artery with Intraluminal Device, Open Approach |
| 04V70ZZ | Restriction of Left Colic Artery, Open Approach |
| 04V73DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V73ZZ | Restriction of Left Colic Artery, Percutaneous Approach |
| 04V74DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V74ZZ | Restriction of Left Colic Artery, Percutaneous Endoscopic Approach |
| 04V80DZ | Restriction of Middle Colic Artery with Intraluminal Device, Open Approach |
| 04V80ZZ | Restriction of Middle Colic Artery, Open Approach |
| 04V83DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V83ZZ | Restriction of Middle Colic Artery, Percutaneous Approach |
| 04V84DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V84ZZ | Restriction of Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04V90DZ | Restriction of Right Renal Artery with Intraluminal Device, Open Approach |
| 04V90ZZ | Restriction of Right Renal Artery, Open Approach |
| 04V93DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04V93ZZ | Restriction of Right Renal Artery, Percutaneous Approach |
| 04V94DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V94ZZ | Restriction of Right Renal Artery, Percutaneous Endoscopic Approach |
| 04VA0DZ | Restriction of Left Renal Artery with Intraluminal Device, Open Approach |
| 04VA0ZZ | Restriction of Left Renal Artery, Open Approach |
| 04VA3DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04VA3ZZ | Restriction of Left Renal Artery, Percutaneous Approach |
| 04VA4DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VA4ZZ | Restriction of Left Renal Artery, Percutaneous Endoscopic Approach |
| 04VB0DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04VB0ZZ | Restriction of Inferior Mesenteric Artery, Open Approach |
| 04VB3DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04VB3ZZ | Restriction of Inferior Mesenteric Artery, Percutaneous Approach |
| 04VB4DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VB4ZZ | Restriction of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04VC0DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach |
| 04VC0EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04VC0ZZ | Restriction of Right Common Iliac Artery, Open Approach |
| 04VC3DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VC3EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04VC3ZZ | Restriction of Right Common Iliac Artery, Percutaneous Approach |
| 04VC4DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VC4EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04VC4ZZ | Restriction of Right Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04VD0DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Open Approach |
| 04VD0EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04VD0ZZ | Restriction of Left Common Iliac Artery, Open Approach |
| 04VD3DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VD3EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04VD3ZZ | Restriction of Left Common Iliac Artery, Percutaneous Approach |
| 04VD4DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VD4EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04VD4ZZ | Restriction of Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04VE0DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VE0ZZ | Restriction of Right Internal Iliac Artery, Open Approach |
| 04VE3DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VE3ZZ | Restriction of Right Internal Iliac Artery, Percutaneous Approach |
| 04VE4DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VE4ZZ | Restriction of Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04VF0DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VF0ZZ | Restriction of Left Internal Iliac Artery, Open Approach |
| 04VF3DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VF3ZZ | Restriction of Left Internal Iliac Artery, Percutaneous Approach |
| 04VF4DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VF4ZZ | Restriction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04VH0DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach |
| 04VH0ZZ | Restriction of Right External Iliac Artery, Open Approach |
| 04VH3DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VH3ZZ | Restriction of Right External Iliac Artery, Percutaneous Approach |
| 04VH4DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VH4ZZ | Restriction of Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04VJ0DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach |
| 04VJ0ZZ | Restriction of Left External Iliac Artery, Open Approach |
| 04VJ3DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VJ3ZZ | Restriction of Left External Iliac Artery, Percutaneous Approach |
| 04VJ4DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VJ4ZZ | Restriction of Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04VK0DZ | Restriction of Right Femoral Artery with Intraluminal Device, Open Approach |
| 04VK0ZZ | Restriction of Right Femoral Artery, Open Approach |
| 04VK3DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VK3ZZ | Restriction of Right Femoral Artery, Percutaneous Approach |
| 04VK4DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VK4ZZ | Restriction of Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04VL0DZ | Restriction of Left Femoral Artery with Intraluminal Device, Open Approach |
| 04VL0ZZ | Restriction of Left Femoral Artery, Open Approach |
| 04VL3DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VL3ZZ | Restriction of Left Femoral Artery, Percutaneous Approach |
| 04VL4DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VL4ZZ | Restriction of Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04VM0DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach |
| 04VM0ZZ | Restriction of Right Popliteal Artery, Open Approach |
| 04VM3DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VM3ZZ | Restriction of Right Popliteal Artery, Percutaneous Approach |
| 04VM4DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VM4ZZ | Restriction of Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04VN0DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach |
| 04VN0ZZ | Restriction of Left Popliteal Artery, Open Approach |
| 04VN3DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VN3ZZ | Restriction of Left Popliteal Artery, Percutaneous Approach |
| 04VN4DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VN4ZZ | Restriction of Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04VP0DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VP0ZZ | Restriction of Right Anterior Tibial Artery, Open Approach |
| 04VP3DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VP3ZZ | Restriction of Right Anterior Tibial Artery, Percutaneous Approach |
| 04VP4DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VP4ZZ | Restriction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VQ0DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VQ0ZZ | Restriction of Left Anterior Tibial Artery, Open Approach |
| 04VQ3DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VQ3ZZ | Restriction of Left Anterior Tibial Artery, Percutaneous Approach |
| 04VQ4DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VQ4ZZ | Restriction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VR0DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VR0ZZ | Restriction of Right Posterior Tibial Artery, Open Approach |
| 04VR3DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VR3ZZ | Restriction of Right Posterior Tibial Artery, Percutaneous Approach |
| 04VR4DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VR4ZZ | Restriction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VS0DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VS0ZZ | Restriction of Left Posterior Tibial Artery, Open Approach |
| 04VS3DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VS3ZZ | Restriction of Left Posterior Tibial Artery, Percutaneous Approach |
| 04VS4DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VS4ZZ | Restriction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VT0DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach |
| 04VT0ZZ | Restriction of Right Peroneal Artery, Open Approach |
| 04VT3DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VT3ZZ | Restriction of Right Peroneal Artery, Percutaneous Approach |
| 04VT4DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VT4ZZ | Restriction of Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04VU0DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach |
| 04VU0ZZ | Restriction of Left Peroneal Artery, Open Approach |
| 04VU3DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VU3ZZ | Restriction of Left Peroneal Artery, Percutaneous Approach |
| 04VU4DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VU4ZZ | Restriction of Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04VV0DZ | Restriction of Right Foot Artery with Intraluminal Device, Open Approach |
| 04VV0ZZ | Restriction of Right Foot Artery, Open Approach |
| 04VV3DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VV3ZZ | Restriction of Right Foot Artery, Percutaneous Approach |
| 04VV4DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VV4ZZ | Restriction of Right Foot Artery, Percutaneous Endoscopic Approach |
| 04VW0DZ | Restriction of Left Foot Artery with Intraluminal Device, Open Approach |
| 04VW0ZZ | Restriction of Left Foot Artery, Open Approach |
| 04VW3DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VW3ZZ | Restriction of Left Foot Artery, Percutaneous Approach |
| 04VW4DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VW4ZZ | Restriction of Left Foot Artery, Percutaneous Endoscopic Approach |
| 04VY0DZ | Restriction of Lower Artery with Intraluminal Device, Open Approach |
| 04VY0ZZ | Restriction of Lower Artery, Open Approach |
| 04VY3DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach |
| 04VY3ZZ | Restriction of Lower Artery, Percutaneous Approach |
| 04VY4DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VY4ZZ | Restriction of Lower Artery, Percutaneous Endoscopic Approach |
| 051007Y | Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051009Y | Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05100AY | Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05100JY | Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05100KY | Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05100ZY | Bypass Azygos Vein to Upper Vein, Open Approach |
| 051047Y | Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051049Y | Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05104AY | Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05104JY | Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05104KY | Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05104ZY | Bypass Azygos Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051107Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051109Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05110AY | Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05110JY | Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05110KY | Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05110ZY | Bypass Hemiazygos Vein to Upper Vein, Open Approach |
| 051147Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051149Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05114AY | Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05114JY | Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05114KY | Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05114ZY | Bypass Hemiazygos Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051307Y | Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051309Y | Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05130AY | Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05130JY | Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05130KY | Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05130ZY | Bypass Right Innominate Vein to Upper Vein, Open Approach |
| 051347Y | Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051349Y | Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05134AY | Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05134JY | Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05134KY | Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05134ZY | Bypass Right Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051407Y | Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051409Y | Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05140AY | Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05140JY | Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05140KY | Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05140ZY | Bypass Left Innominate Vein to Upper Vein, Open Approach |
| 051447Y | Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051449Y | Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05144AY | Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05144JY | Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05144KY | Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05144ZY | Bypass Left Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051507Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051509Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05150AY | Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05150JY | Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05150KY | Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05150ZY | Bypass Right Subclavian Vein to Upper Vein, Open Approach |
| 051547Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051549Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05154AY | Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05154JY | Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05154KY | Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05154ZY | Bypass Right Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051607Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051609Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05160AY | Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05160JY | Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05160KY | Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05160ZY | Bypass Left Subclavian Vein to Upper Vein, Open Approach |
| 051647Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051649Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05164AY | Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05164JY | Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05164KY | Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05164ZY | Bypass Left Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 05500ZZ | Destruction of Azygos Vein, Open Approach |
| 05503ZZ | Destruction of Azygos Vein, Percutaneous Approach |
| 05504ZZ | Destruction of Azygos Vein, Percutaneous Endoscopic Approach |
| 05510ZZ | Destruction of Hemiazygos Vein, Open Approach |
| 05513ZZ | Destruction of Hemiazygos Vein, Percutaneous Approach |
| 05514ZZ | Destruction of Hemiazygos Vein, Percutaneous Endoscopic Approach |
| 05530ZZ | Destruction of Right Innominate Vein, Open Approach |
| 05533ZZ | Destruction of Right Innominate Vein, Percutaneous Approach |
| 05534ZZ | Destruction of Right Innominate Vein, Percutaneous Endoscopic Approach |
| 05540ZZ | Destruction of Left Innominate Vein, Open Approach |
| 05543ZZ | Destruction of Left Innominate Vein, Percutaneous Approach |
| 05544ZZ | Destruction of Left Innominate Vein, Percutaneous Endoscopic Approach |
| 05550ZZ | Destruction of Right Subclavian Vein, Open Approach |
| 05553ZZ | Destruction of Right Subclavian Vein, Percutaneous Approach |
| 05554ZZ | Destruction of Right Subclavian Vein, Percutaneous Endoscopic Approach |
| 05560ZZ | Destruction of Left Subclavian Vein, Open Approach |
| 05563ZZ | Destruction of Left Subclavian Vein, Percutaneous Approach |
| 05564ZZ | Destruction of Left Subclavian Vein, Percutaneous Endoscopic Approach |
| 05B00ZZ | Excision of Azygos Vein, Open Approach |
| 05B03ZZ | Excision of Azygos Vein, Percutaneous Approach |
| 05B04ZZ | Excision of Azygos Vein, Percutaneous Endoscopic Approach |
| 05B10ZZ | Excision of Hemiazygos Vein, Open Approach |
| 05B13ZZ | Excision of Hemiazygos Vein, Percutaneous Approach |
| 05B14ZZ | Excision of Hemiazygos Vein, Percutaneous Endoscopic Approach |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 06 Jul 2021 14:18:42 CMS, code-revision=311, description-revision=1309 |