ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual

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MDC 07 Diseases and disorders of the hepatobiliary system and pancreas
Other hepatobiliary or pancreas O.R. procedures
Page 1 of 3
MCC CC DRG
Yes n/a 423
No Yes 424
No No 425

DRG 423 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

DRG 424 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

DRG 425 OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

OPERATING ROOM PROCEDURES

008W0ZZDivision of Cervical Spinal Cord, Open Approach
008W3ZZDivision of Cervical Spinal Cord, Percutaneous Approach
008W4ZZDivision of Cervical Spinal Cord, Percutaneous Endoscopic Approach
008X0ZZDivision of Thoracic Spinal Cord, Open Approach
008X3ZZDivision of Thoracic Spinal Cord, Percutaneous Approach
008X4ZZDivision of Thoracic Spinal Cord, Percutaneous Endoscopic Approach
008Y0ZZDivision of Lumbar Spinal Cord, Open Approach
008Y3ZZDivision of Lumbar Spinal Cord, Percutaneous Approach
008Y4ZZDivision of Lumbar Spinal Cord, Percutaneous Endoscopic Approach
00PV00ZRemoval of Drainage Device from Spinal Cord, Open Approach
00PV02ZRemoval of Monitoring Device from Spinal Cord, Open Approach
00PV03ZRemoval of Infusion Device from Spinal Cord, Open Approach
00PV07ZRemoval of Autologous Tissue Substitute from Spinal Cord, Open Approach
00PV0JZRemoval of Synthetic Substitute from Spinal Cord, Open Approach
00PV0KZRemoval of Nonautologous Tissue Substitute from Spinal Cord, Open Approach
00PV0YZRemoval of Other Device from Spinal Cord, Open Approach
00PV37ZRemoval of Autologous Tissue Substitute from Spinal Cord, Percutaneous Approach
00PV3JZRemoval of Synthetic Substitute from Spinal Cord, Percutaneous Approach
00PV3KZRemoval of Nonautologous Tissue Substitute from Spinal Cord, Percutaneous Approach
00PV40ZRemoval of Drainage Device from Spinal Cord, Percutaneous Endoscopic Approach
00PV42ZRemoval of Monitoring Device from Spinal Cord, Percutaneous Endoscopic Approach
00PV43ZRemoval of Infusion Device from Spinal Cord, Percutaneous Endoscopic Approach
00PV47ZRemoval of Autologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach
00PV4JZRemoval of Synthetic Substitute from Spinal Cord, Percutaneous Endoscopic Approach
00PV4KZRemoval of Nonautologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach
00WV00ZRevision of Drainage Device in Spinal Cord, Open Approach
00WV02ZRevision of Monitoring Device in Spinal Cord, Open Approach
00WV03ZRevision of Infusion Device in Spinal Cord, Open Approach
00WV07ZRevision of Autologous Tissue Substitute in Spinal Cord, Open Approach
00WV0JZRevision of Synthetic Substitute in Spinal Cord, Open Approach
00WV0KZRevision of Nonautologous Tissue Substitute in Spinal Cord, Open Approach
00WV0MZRevision of Neurostimulator Lead in Spinal Cord, Open Approach
00WV0YZRevision of Other Device in Spinal Cord, Open Approach
00WV30ZRevision of Drainage Device in Spinal Cord, Percutaneous Approach
00WV32ZRevision of Monitoring Device in Spinal Cord, Percutaneous Approach
00WV33ZRevision of Infusion Device in Spinal Cord, Percutaneous Approach
00WV37ZRevision of Autologous Tissue Substitute in Spinal Cord, Percutaneous Approach
00WV3JZRevision of Synthetic Substitute in Spinal Cord, Percutaneous Approach
00WV3KZRevision of Nonautologous Tissue Substitute in Spinal Cord, Percutaneous Approach
00WV3MZRevision of Neurostimulator Lead in Spinal Cord, Percutaneous Approach
00WV40ZRevision of Drainage Device in Spinal Cord, Percutaneous Endoscopic Approach
00WV42ZRevision of Monitoring Device in Spinal Cord, Percutaneous Endoscopic Approach
00WV43ZRevision of Infusion Device in Spinal Cord, Percutaneous Endoscopic Approach
00WV47ZRevision of Autologous Tissue Substitute in Spinal Cord, Percutaneous Endoscopic Approach
00WV4JZRevision of Synthetic Substitute in Spinal Cord, Percutaneous Endoscopic Approach
00WV4KZRevision of Nonautologous Tissue Substitute in Spinal Cord, Percutaneous Endoscopic Approach
00WV4MZRevision of Neurostimulator Lead in Spinal Cord, Percutaneous Endoscopic Approach
02HV02ZInsertion of Monitoring Device into Superior Vena Cava, Open Approach
02HV0DZInsertion of Intraluminal Device into Superior Vena Cava, Open Approach
02HV3DZInsertion of Intraluminal Device into Superior Vena Cava, Percutaneous Approach
02HV42ZInsertion of Monitoring Device into Superior Vena Cava, Percutaneous Endoscopic Approach
02HV4DZInsertion of Intraluminal Device into Superior Vena Cava, Percutaneous Endoscopic Approach
02LV0CZOcclusion of Superior Vena Cava with Extraluminal Device, Open Approach
02LV0DZOcclusion of Superior Vena Cava with Intraluminal Device, Open Approach
02LV0ZZOcclusion of Superior Vena Cava, Open Approach
02LV3CZOcclusion of Superior Vena Cava with Extraluminal Device, Percutaneous Approach
02LV3DZOcclusion of Superior Vena Cava with Intraluminal Device, Percutaneous Approach
02LV3ZZOcclusion of Superior Vena Cava, Percutaneous Approach
02LV4CZOcclusion of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach
02LV4DZOcclusion of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
02LV4ZZOcclusion of Superior Vena Cava, Percutaneous Endoscopic Approach
02VV0CZRestriction of Superior Vena Cava with Extraluminal Device, Open Approach
02VV0DZRestriction of Superior Vena Cava with Intraluminal Device, Open Approach
02VV0ZZRestriction of Superior Vena Cava, Open Approach
02VV3CZRestriction of Superior Vena Cava with Extraluminal Device, Percutaneous Approach
02VV3DZRestriction of Superior Vena Cava with Intraluminal Device, Percutaneous Approach
02VV3ZZRestriction of Superior Vena Cava, Percutaneous Approach
02VV4CZRestriction of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach
02VV4DZRestriction of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach
02VV4ZZRestriction of Superior Vena Cava, Percutaneous Endoscopic Approach
0315090Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach
03150A0Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach
03150J0Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach
03150K0Bypass Right Axillary Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach
03150Z0Bypass Right Axillary Artery to Right Upper Arm Artery, Open Approach
0316091Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach
03160A1Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach
03160J1Bypass Left Axillary Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach
03160K1Bypass Left Axillary Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach
03160Z1Bypass Left Axillary Artery to Left Upper Arm Artery, Open Approach
031H09JBypass Right Common Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach
031H09YBypass Right Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach
031H0AJBypass Right Common Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach
031H0AYBypass Right Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach
031H0JJBypass Right Common Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach
031H0JYBypass Right Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach
031H0KJBypass Right Common Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031H0KYBypass Right Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach
031H0ZJBypass Right Common Carotid Artery to Right Extracranial Artery, Open Approach
031H0ZYBypass Right Common Carotid Artery to Upper Artery, Open Approach
031J09KBypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach
031J09YBypass Left Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach
031J0AKBypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach
031J0AYBypass Left Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach
031J0JKBypass Left Common Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach
031J0JYBypass Left Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach
031J0KKBypass Left Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031J0KYBypass Left Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach
031J0ZKBypass Left Common Carotid Artery to Left Extracranial Artery, Open Approach
031J0ZYBypass Left Common Carotid Artery to Upper Artery, Open Approach
031K09JBypass Right Internal Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach
031K0AJBypass Right Internal Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach
031K0JJBypass Right Internal Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach
031K0KJBypass Right Internal Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031K0ZJBypass Right Internal Carotid Artery to Right Extracranial Artery, Open Approach
031L09KBypass Left Internal Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach
031L0AKBypass Left Internal Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach
031L0JKBypass Left Internal Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach
031L0KKBypass Left Internal Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031L0ZKBypass Left Internal Carotid Artery to Left Extracranial Artery, Open Approach
031M09JBypass Right External Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach
031M0AJBypass Right External Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach
031M0JJBypass Right External Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach
031M0KJBypass Right External Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031M0ZJBypass Right External Carotid Artery to Right Extracranial Artery, Open Approach
031N09KBypass Left External Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach
031N0AKBypass Left External Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach
031N0JKBypass Left External Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach
031N0KKBypass Left External Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031N0ZKBypass Left External Carotid Artery to Left Extracranial Artery, Open Approach
037334ZDilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037335ZDilation of Right Subclavian Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037336ZDilation of Right Subclavian Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037337ZDilation of Right Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
03733D1Dilation of Right Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
03733DZDilation of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach
03733EZDilation of Right Subclavian Artery with Two Intraluminal Devices, Percutaneous Approach
03733FZDilation of Right Subclavian Artery with Three Intraluminal Devices, Percutaneous Approach
03733GZDilation of Right Subclavian Artery with Four or More Intraluminal Devices, Percutaneous Approach
03733Z1Dilation of Right Subclavian Artery using Drug-Coated Balloon, Percutaneous Approach
03733ZZDilation of Right Subclavian Artery, Percutaneous Approach
037434ZDilation of Left Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037435ZDilation of Left Subclavian Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037436ZDilation of Left Subclavian Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037437ZDilation of Left Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
03743D1Dilation of Left Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
03743DZDilation of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach
03743EZDilation of Left Subclavian Artery with Two Intraluminal Devices, Percutaneous Approach
03743FZDilation of Left Subclavian Artery with Three Intraluminal Devices, Percutaneous Approach
03743GZDilation of Left Subclavian Artery with Four or More Intraluminal Devices, Percutaneous Approach
03743Z1Dilation of Left Subclavian Artery using Drug-Coated Balloon, Percutaneous Approach
03743ZZDilation of Left Subclavian Artery, Percutaneous Approach
037734ZDilation of Right Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037735ZDilation of Right Brachial Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037736ZDilation of Right Brachial Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037737ZDilation of Right Brachial Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
03773D1Dilation of Right Brachial Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
03773DZDilation of Right Brachial Artery with Intraluminal Device, Percutaneous Approach
03773EZDilation of Right Brachial Artery with Two Intraluminal Devices, Percutaneous Approach
03773FZDilation of Right Brachial Artery with Three Intraluminal Devices, Percutaneous Approach
03773GZDilation of Right Brachial Artery with Four or More Intraluminal Devices, Percutaneous Approach
03773Z1Dilation of Right Brachial Artery using Drug-Coated Balloon, Percutaneous Approach
03773ZZDilation of Right Brachial Artery, Percutaneous Approach
037834ZDilation of Left Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037835ZDilation of Left Brachial Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037836ZDilation of Left Brachial Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037837ZDilation of Left Brachial Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
03783D1Dilation of Left Brachial Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
03783DZDilation of Left Brachial Artery with Intraluminal Device, Percutaneous Approach
03783EZDilation of Left Brachial Artery with Two Intraluminal Devices, Percutaneous Approach
03783FZDilation of Left Brachial Artery with Three Intraluminal Devices, Percutaneous Approach
03783GZDilation of Left Brachial Artery with Four or More Intraluminal Devices, Percutaneous Approach
03783Z1Dilation of Left Brachial Artery using Drug-Coated Balloon, Percutaneous Approach
03783ZZDilation of Left Brachial Artery, Percutaneous Approach
037934ZDilation of Right Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037935ZDilation of Right Ulnar Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037936ZDilation of Right Ulnar Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037937ZDilation of Right Ulnar Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
03793D1Dilation of Right Ulnar Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
03793DZDilation of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach
03793EZDilation of Right Ulnar Artery with Two Intraluminal Devices, Percutaneous Approach
03793FZDilation of Right Ulnar Artery with Three Intraluminal Devices, Percutaneous Approach
03793GZDilation of Right Ulnar Artery with Four or More Intraluminal Devices, Percutaneous Approach
03793Z1Dilation of Right Ulnar Artery using Drug-Coated Balloon, Percutaneous Approach
03793ZZDilation of Right Ulnar Artery, Percutaneous Approach
037A34ZDilation of Left Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037A35ZDilation of Left Ulnar Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037A36ZDilation of Left Ulnar Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037A37ZDilation of Left Ulnar Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037A3D1Dilation of Left Ulnar Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
037A3DZDilation of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach
037A3EZDilation of Left Ulnar Artery with Two Intraluminal Devices, Percutaneous Approach
037A3FZDilation of Left Ulnar Artery with Three Intraluminal Devices, Percutaneous Approach
037A3GZDilation of Left Ulnar Artery with Four or More Intraluminal Devices, Percutaneous Approach
037A3Z1Dilation of Left Ulnar Artery using Drug-Coated Balloon, Percutaneous Approach
037A3ZZDilation of Left Ulnar Artery, Percutaneous Approach
037Y34ZDilation of Upper Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
037Y35ZDilation of Upper Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
037Y36ZDilation of Upper Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
037Y37ZDilation of Upper Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
037Y3DZDilation of Upper Artery with Intraluminal Device, Percutaneous Approach
037Y3EZDilation of Upper Artery with Two Intraluminal Devices, Percutaneous Approach
037Y3FZDilation of Upper Artery with Three Intraluminal Devices, Percutaneous Approach
037Y3GZDilation of Upper Artery with Four or More Intraluminal Devices, Percutaneous Approach
037Y3ZZDilation of Upper Artery, Percutaneous Approach
03CY0ZZExtirpation of Matter from Upper Artery, Open Approach
03CY3ZZExtirpation of Matter from Upper Artery, Percutaneous Approach
03CY4ZZExtirpation of Matter from Upper Artery, Percutaneous Endoscopic Approach
03QY0ZZRepair Upper Artery, Open Approach
03QY3ZZRepair Upper Artery, Percutaneous Approach
03QY4ZZRepair Upper Artery, Percutaneous Endoscopic Approach
041K09HBypass Right Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041K09JBypass Right Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041K09KBypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041K09LBypass Right Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach
041K0AHBypass Right Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Open Approach
041K0AJBypass Right Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Open Approach
041K0AKBypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach
041K0ALBypass Right Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach
041K0JHBypass Right Femoral Artery to Right Femoral Artery with Synthetic Substitute, Open Approach
041K0JJBypass Right Femoral Artery to Left Femoral Artery with Synthetic Substitute, Open Approach
041K0JKBypass Right Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach
041K0JLBypass Right Femoral Artery to Popliteal Artery with Synthetic Substitute, Open Approach
041K0KHBypass Right Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041K0KJBypass Right Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041K0KKBypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach
041K0KLBypass Right Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
041K0ZHBypass Right Femoral Artery to Right Femoral Artery, Open Approach
041K0ZJBypass Right Femoral Artery to Left Femoral Artery, Open Approach
041K0ZKBypass Right Femoral Artery to Bilateral Femoral Arteries, Open Approach
041K0ZLBypass Right Femoral Artery to Popliteal Artery, Open Approach
041K49HBypass Right Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49JBypass Right Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49KBypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49LBypass Right Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K4AHBypass Right Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AJBypass Right Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AKBypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4ALBypass Right Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4JHBypass Right Femoral Artery to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JJBypass Right Femoral Artery to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JKBypass Right Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JLBypass Right Femoral Artery to Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4KHBypass Right Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KJBypass Right Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KKBypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KLBypass Right Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4ZHBypass Right Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach
041K4ZJBypass Right Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach
041K4ZKBypass Right Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach
041K4ZLBypass Right Femoral Artery to Popliteal Artery, Percutaneous Endoscopic Approach
041L09HBypass Left Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041L09JBypass Left Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041L09KBypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041L09LBypass Left Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach
041L0AHBypass Left Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Open Approach
041L0AJBypass Left Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Open Approach
041L0AKBypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach
041L0ALBypass Left Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach
041L0JHBypass Left Femoral Artery to Right Femoral Artery with Synthetic Substitute, Open Approach
041L0JJBypass Left Femoral Artery to Left Femoral Artery with Synthetic Substitute, Open Approach
041L0JKBypass Left Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach
041L0JLBypass Left Femoral Artery to Popliteal Artery with Synthetic Substitute, Open Approach
041L0KHBypass Left Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041L0KJBypass Left Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041L0KKBypass Left Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach
041L0KLBypass Left Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
041L0ZHBypass Left Femoral Artery to Right Femoral Artery, Open Approach
041L0ZJBypass Left Femoral Artery to Left Femoral Artery, Open Approach
041L0ZKBypass Left Femoral Artery to Bilateral Femoral Arteries, Open Approach
041L0ZLBypass Left Femoral Artery to Popliteal Artery, Open Approach
041L49HBypass Left Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49JBypass Left Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49KBypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49LBypass Left Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L4AHBypass Left Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AJBypass Left Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AKBypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4ALBypass Left Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4JHBypass Left Femoral Artery to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JJBypass Left Femoral Artery to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JKBypass Left Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JLBypass Left Femoral Artery to Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4KHBypass Left Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KJBypass Left Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KKBypass Left Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KLBypass Left Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4ZHBypass Left Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach
041L4ZJBypass Left Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach
041L4ZKBypass Left Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach
041L4ZLBypass Left Femoral Artery to Popliteal Artery, Percutaneous Endoscopic Approach
0470341Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047034ZDilation of Abdominal Aorta with Drug-eluting Intraluminal Device, Percutaneous Approach
047035ZDilation of Abdominal Aorta with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047036ZDilation of Abdominal Aorta with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047037ZDilation of Abdominal Aorta with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04703D1Dilation of Abdominal Aorta with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04703DZDilation of Abdominal Aorta with Intraluminal Device, Percutaneous Approach
04703EZDilation of Abdominal Aorta with Two Intraluminal Devices, Percutaneous Approach
04703FZDilation of Abdominal Aorta with Three Intraluminal Devices, Percutaneous Approach
04703GZDilation of Abdominal Aorta with Four or More Intraluminal Devices, Percutaneous Approach
04703Z1Dilation of Abdominal Aorta using Drug-Coated Balloon, Percutaneous Approach
04703ZZDilation of Abdominal Aorta, Percutaneous Approach
0471341Dilation of Celiac Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047134ZDilation of Celiac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047135ZDilation of Celiac Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047136ZDilation of Celiac Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047137ZDilation of Celiac Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04713D1Dilation of Celiac Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04713DZDilation of Celiac Artery with Intraluminal Device, Percutaneous Approach
04713EZDilation of Celiac Artery with Two Intraluminal Devices, Percutaneous Approach
04713FZDilation of Celiac Artery with Three Intraluminal Devices, Percutaneous Approach
04713GZDilation of Celiac Artery with Four or More Intraluminal Devices, Percutaneous Approach
04713Z1Dilation of Celiac Artery using Drug-Coated Balloon, Percutaneous Approach
04713ZZDilation of Celiac Artery, Percutaneous Approach
0472341Dilation of Gastric Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047234ZDilation of Gastric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047235ZDilation of Gastric Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047236ZDilation of Gastric Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047237ZDilation of Gastric Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04723D1Dilation of Gastric Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04723DZDilation of Gastric Artery with Intraluminal Device, Percutaneous Approach
04723EZDilation of Gastric Artery with Two Intraluminal Devices, Percutaneous Approach
04723FZDilation of Gastric Artery with Three Intraluminal Devices, Percutaneous Approach
04723GZDilation of Gastric Artery with Four or More Intraluminal Devices, Percutaneous Approach
04723Z1Dilation of Gastric Artery using Drug-Coated Balloon, Percutaneous Approach
04723ZZDilation of Gastric Artery, Percutaneous Approach
0473341Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047334ZDilation of Hepatic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047335ZDilation of Hepatic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047336ZDilation of Hepatic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047337ZDilation of Hepatic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04733D1Dilation of Hepatic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04733DZDilation of Hepatic Artery with Intraluminal Device, Percutaneous Approach
04733EZDilation of Hepatic Artery with Two Intraluminal Devices, Percutaneous Approach
04733FZDilation of Hepatic Artery with Three Intraluminal Devices, Percutaneous Approach
04733GZDilation of Hepatic Artery with Four or More Intraluminal Devices, Percutaneous Approach
04733Z1Dilation of Hepatic Artery using Drug-Coated Balloon, Percutaneous Approach
04733ZZDilation of Hepatic Artery, Percutaneous Approach
0474341Dilation of Splenic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047434ZDilation of Splenic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047435ZDilation of Splenic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047436ZDilation of Splenic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047437ZDilation of Splenic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04743D1Dilation of Splenic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04743DZDilation of Splenic Artery with Intraluminal Device, Percutaneous Approach
04743EZDilation of Splenic Artery with Two Intraluminal Devices, Percutaneous Approach
04743FZDilation of Splenic Artery with Three Intraluminal Devices, Percutaneous Approach
04743GZDilation of Splenic Artery with Four or More Intraluminal Devices, Percutaneous Approach
04743Z1Dilation of Splenic Artery using Drug-Coated Balloon, Percutaneous Approach
04743ZZDilation of Splenic Artery, Percutaneous Approach
0475341Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047534ZDilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047535ZDilation of Superior Mesenteric Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047536ZDilation of Superior Mesenteric Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047537ZDilation of Superior Mesenteric Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04753D1Dilation of Superior Mesenteric Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04753DZDilation of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach
04753EZDilation of Superior Mesenteric Artery with Two Intraluminal Devices, Percutaneous Approach
04753FZDilation of Superior Mesenteric Artery with Three Intraluminal Devices, Percutaneous Approach
04753GZDilation of Superior Mesenteric Artery with Four or More Intraluminal Devices, Percutaneous Approach
04753Z1Dilation of Superior Mesenteric Artery using Drug-Coated Balloon, Percutaneous Approach
04753ZZDilation of Superior Mesenteric Artery, Percutaneous Approach
0476341Dilation of Right Colic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047634ZDilation of Right Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047635ZDilation of Right Colic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047636ZDilation of Right Colic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047637ZDilation of Right Colic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04763D1Dilation of Right Colic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04763DZDilation of Right Colic Artery with Intraluminal Device, Percutaneous Approach
04763EZDilation of Right Colic Artery with Two Intraluminal Devices, Percutaneous Approach
04763FZDilation of Right Colic Artery with Three Intraluminal Devices, Percutaneous Approach
04763GZDilation of Right Colic Artery with Four or More Intraluminal Devices, Percutaneous Approach
04763Z1Dilation of Right Colic Artery using Drug-Coated Balloon, Percutaneous Approach
04763ZZDilation of Right Colic Artery, Percutaneous Approach
0477341Dilation of Left Colic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047734ZDilation of Left Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047735ZDilation of Left Colic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047736ZDilation of Left Colic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047737ZDilation of Left Colic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04773D1Dilation of Left Colic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04773DZDilation of Left Colic Artery with Intraluminal Device, Percutaneous Approach
04773EZDilation of Left Colic Artery with Two Intraluminal Devices, Percutaneous Approach
04773FZDilation of Left Colic Artery with Three Intraluminal Devices, Percutaneous Approach
04773GZDilation of Left Colic Artery with Four or More Intraluminal Devices, Percutaneous Approach
04773Z1Dilation of Left Colic Artery using Drug-Coated Balloon, Percutaneous Approach
04773ZZDilation of Left Colic Artery, Percutaneous Approach
0478341Dilation of Middle Colic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047834ZDilation of Middle Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047835ZDilation of Middle Colic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047836ZDilation of Middle Colic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach
047837ZDilation of Middle Colic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach
04783D1Dilation of Middle Colic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
04783DZDilation of Middle Colic Artery with Intraluminal Device, Percutaneous Approach
04783EZDilation of Middle Colic Artery with Two Intraluminal Devices, Percutaneous Approach
04783FZDilation of Middle Colic Artery with Three Intraluminal Devices, Percutaneous Approach
04783GZDilation of Middle Colic Artery with Four or More Intraluminal Devices, Percutaneous Approach
04783Z1Dilation of Middle Colic Artery using Drug-Coated Balloon, Percutaneous Approach
04783ZZDilation of Middle Colic Artery, Percutaneous Approach
0479341Dilation of Right Renal Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach
047934ZDilation of Right Renal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach
047935ZDilation of Right Renal Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach
047936ZDilation of Right Renal Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach



Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 16:20:17
CMS, code-revision=332, description-revision=1327