ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v39.1 Definitions Manual |
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| MDC 24 Multiple significant trauma |
| Other O.R. procedures for multiple significant trauma |
| Page 9 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RF4JZ 00XL0ZK 01R60JZ 021V4ZS 02VX4FZ 037P3ZZ 03LG4DZ 03UC37Z 04783DZ 04HJ3DZ 04QN4ZZ 04V24DZ 05L93CZ 05UG07Z 06LJ4CZ 06VP4DZ 08LY0DZ 08UQ3JZ 0B718ZZ 0CBV4ZZ 0D134J6 0D1H8ZP 0DQJ3ZZ 0F144D4 0FM00ZZ 0FW003Z 0HRFXJ4 0JUJ0JZ 0KHY3MZ 0KWY00Z 0LQP4ZZ 0MC03ZZ 0NDL0ZZ 0P803ZZ 0PHG45Z 0PRD07Z 0PTQ0ZZ 0QCG3ZZ 0QPP3JZ 0QU04JZ 0RG13J1 0RGV04Z 0RQQ3ZZ 0RUX3KZ 0SGD0JZ 0SQD0ZZ 0T174J6 0TR67KZ 0US50ZZ 0VUK07Z 0WJC0ZZ 0XQJXZZ X27H385
| 03UC37Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UC47Z | Supplement Left Radial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UD07Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Open Approach |
| 03UD37Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UD47Z | Supplement Right Hand Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UF07Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Open Approach |
| 03UF37Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UF47Z | Supplement Left Hand Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UG07Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Open Approach |
| 03UG37Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UG47Z | Supplement Intracranial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UH07Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UH37Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UH47Z | Supplement Right Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UJ07Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UJ37Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UJ47Z | Supplement Left Common Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UK07Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UK37Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UK47Z | Supplement Right Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UL07Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UL37Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UL47Z | Supplement Left Internal Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UM07Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UM37Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UM47Z | Supplement Right External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UN07Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Open Approach |
| 03UN37Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UN47Z | Supplement Left External Carotid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UP07Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Open Approach |
| 03UP37Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UP47Z | Supplement Right Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UQ07Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Open Approach |
| 03UQ37Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UQ47Z | Supplement Left Vertebral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UR07Z | Supplement Face Artery with Autologous Tissue Substitute, Open Approach |
| 03UR37Z | Supplement Face Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UR47Z | Supplement Face Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03US07Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Open Approach |
| 03US37Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03US47Z | Supplement Right Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UT07Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Open Approach |
| 03UT37Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UT47Z | Supplement Left Temporal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UU07Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Open Approach |
| 03UU37Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UU47Z | Supplement Right Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UV07Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Open Approach |
| 03UV37Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UV47Z | Supplement Left Thyroid Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03UY07Z | Supplement Upper Artery with Autologous Tissue Substitute, Open Approach |
| 03UY37Z | Supplement Upper Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 03UY47Z | Supplement Upper Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 03V00DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03V03DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03V04DZ | Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V10DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Open Approach |
| 03V13DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Approach |
| 03V14DZ | Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V20DZ | Restriction of Innominate Artery with Intraluminal Device, Open Approach |
| 03V23DZ | Restriction of Innominate Artery with Intraluminal Device, Percutaneous Approach |
| 03V24DZ | Restriction of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V30DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Open Approach |
| 03V33DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03V34DZ | Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V40DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Open Approach |
| 03V43DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03V44DZ | Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V50DZ | Restriction of Right Axillary Artery with Intraluminal Device, Open Approach |
| 03V53DZ | Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Approach |
| 03V54DZ | Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V60DZ | Restriction of Left Axillary Artery with Intraluminal Device, Open Approach |
| 03V63DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Approach |
| 03V64DZ | Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V70DZ | Restriction of Right Brachial Artery with Intraluminal Device, Open Approach |
| 03V73DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V74DZ | Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V80DZ | Restriction of Left Brachial Artery with Intraluminal Device, Open Approach |
| 03V83DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03V84DZ | Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03V90DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Open Approach |
| 03V93DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03V94DZ | Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VA0DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Open Approach |
| 03VA3DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03VA4DZ | Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VB0DZ | Restriction of Right Radial Artery with Intraluminal Device, Open Approach |
| 03VB3DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VB4DZ | Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VC0DZ | Restriction of Left Radial Artery with Intraluminal Device, Open Approach |
| 03VC3DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Approach |
| 03VC4DZ | Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VD0DZ | Restriction of Right Hand Artery with Intraluminal Device, Open Approach |
| 03VD3DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VD4DZ | Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VF0DZ | Restriction of Left Hand Artery with Intraluminal Device, Open Approach |
| 03VF3DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Approach |
| 03VF4DZ | Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG0BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Open Approach |
| 03VG0DZ | Restriction of Intracranial Artery with Intraluminal Device, Open Approach |
| 03VG0HZ | Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VG3BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VG3DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Approach |
| 03VG3HZ | Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VG4BZ | Restriction of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG4DZ | Restriction of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VG4HZ | Restriction of Intracranial Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VH0BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VH0DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VH0HZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VH3BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VH3DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VH3HZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VH4BZ | Restriction of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH4DZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VH4HZ | Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VJ0BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VJ0DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Open Approach |
| 03VJ0HZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VJ3BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VJ3DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VJ3HZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VJ4BZ | Restriction of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ4DZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VJ4HZ | Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VK0BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VK0DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VK0HZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VK3BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VK3DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VK3HZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VK4BZ | Restriction of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK4DZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VK4HZ | Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VL0BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VL0DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03VL0HZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VL3BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VL3DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VL3HZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VL4BZ | Restriction of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL4DZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VL4HZ | Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VM0BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VM0DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Open Approach |
| 03VM0HZ | Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VM3BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VM3DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VM3HZ | Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VM4BZ | Restriction of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM4DZ | Restriction of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VM4HZ | Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VN0BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03VN0DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Open Approach |
| 03VN0HZ | Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VN3BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VN3DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03VN3HZ | Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VN4BZ | Restriction of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN4DZ | Restriction of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VN4HZ | Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VP0BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VP0DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Open Approach |
| 03VP0HZ | Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VP3BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VP3DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VP3HZ | Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VP4BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP4DZ | Restriction of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VP4HZ | Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VQ0BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VQ0DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Open Approach |
| 03VQ0HZ | Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Open Approach |
| 03VQ3BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03VQ3DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03VQ3HZ | Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach |
| 03VQ4BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ4DZ | Restriction of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VQ4HZ | Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach |
| 03VR0DZ | Restriction of Face Artery with Intraluminal Device, Open Approach |
| 03VR3DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Approach |
| 03VR4DZ | Restriction of Face Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VS0DZ | Restriction of Right Temporal Artery with Intraluminal Device, Open Approach |
| 03VS3DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VS4DZ | Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VT0DZ | Restriction of Left Temporal Artery with Intraluminal Device, Open Approach |
| 03VT3DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03VT4DZ | Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VU0DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Open Approach |
| 03VU3DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VU4DZ | Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VV0DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Open Approach |
| 03VV3DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Approach |
| 03VV4DZ | Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03VY0DZ | Restriction of Upper Artery with Intraluminal Device, Open Approach |
| 03VY3DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach |
| 03VY4DZ | Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 0410093 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410094 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0410095 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 04100A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100A5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04100J3 | Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04100J4 | Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04100J5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04100K3 | Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K4 | Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100K5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04100Z3 | Bypass Abdominal Aorta to Right Renal Artery, Open Approach |
| 04100Z4 | Bypass Abdominal Aorta to Left Renal Artery, Open Approach |
| 04100Z5 | Bypass Abdominal Aorta to Bilateral Renal Artery, Open Approach |
| 0410493 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410494 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0410495 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04104A3 | Bypass Abdominal Aorta to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A4 | Bypass Abdominal Aorta to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104A5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04104J3 | Bypass Abdominal Aorta to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J4 | Bypass Abdominal Aorta to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104J5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04104K3 | Bypass Abdominal Aorta to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K4 | Bypass Abdominal Aorta to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104K5 | Bypass Abdominal Aorta to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04104Z3 | Bypass Abdominal Aorta to Right Renal Artery, Percutaneous Endoscopic Approach |
| 04104Z4 | Bypass Abdominal Aorta to Left Renal Artery, Percutaneous Endoscopic Approach |
| 04104Z5 | Bypass Abdominal Aorta to Bilateral Renal Artery, Percutaneous Endoscopic Approach |
| 0413093 | Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Open Approach |
| 0413094 | Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Open Approach |
| 0413095 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Open Approach |
| 04130A3 | Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130A4 | Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130A5 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Open Approach |
| 04130J3 | Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Open Approach |
| 04130J4 | Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Open Approach |
| 04130J5 | Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Open Approach |
| 04130K3 | Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130K4 | Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130K5 | Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Open Approach |
| 04130Z3 | Bypass Hepatic Artery to Right Renal Artery, Open Approach |
| 04130Z4 | Bypass Hepatic Artery to Left Renal Artery, Open Approach |
| 04130Z5 | Bypass Hepatic Artery to Bilateral Renal Artery, Open Approach |
| 0413493 | Bypass Hepatic Artery to Right Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0413494 | Bypass Hepatic Artery to Left Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 0413495 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 04134A3 | Bypass Hepatic Artery to Right Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134A4 | Bypass Hepatic Artery to Left Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134A5 | Bypass Hepatic Artery to Bilateral Renal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 04134J3 | Bypass Hepatic Artery to Right Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134J4 | Bypass Hepatic Artery to Left Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134J5 | Bypass Hepatic Artery to Bilateral Renal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04134K3 | Bypass Hepatic Artery to Right Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134K4 | Bypass Hepatic Artery to Left Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134K5 | Bypass Hepatic Artery to Bilateral Renal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04134Z3 | Bypass Hepatic Artery to Right Renal Artery, Percutaneous Endoscopic Approach |
| 04134Z4 | Bypass Hepatic Artery to Left Renal Artery, Percutaneous Endoscopic Approach |
| 04134Z5 | Bypass Hepatic Artery to Bilateral Renal Artery, Percutaneous Endoscopic Approach |
| 04500ZZ | Destruction of Abdominal Aorta, Open Approach |
| 04503ZZ | Destruction of Abdominal Aorta, Percutaneous Approach |
| 04504ZZ | Destruction of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 045K0ZZ | Destruction of Right Femoral Artery, Open Approach |
| 045K3ZZ | Destruction of Right Femoral Artery, Percutaneous Approach |
| 045K4ZZ | Destruction of Right Femoral Artery, Percutaneous Endoscopic Approach |
| 045L0ZZ | Destruction of Left Femoral Artery, Open Approach |
| 045L3ZZ | Destruction of Left Femoral Artery, Percutaneous Approach |
| 045L4ZZ | Destruction of Left Femoral Artery, Percutaneous Endoscopic Approach |
| 045M0ZZ | Destruction of Right Popliteal Artery, Open Approach |
| 045M3ZZ | Destruction of Right Popliteal Artery, Percutaneous Approach |
| 045M4ZZ | Destruction of Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 045N0ZZ | Destruction of Left Popliteal Artery, Open Approach |
| 045N3ZZ | Destruction of Left Popliteal Artery, Percutaneous Approach |
| 045N4ZZ | Destruction of Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 045P0ZZ | Destruction of Right Anterior Tibial Artery, Open Approach |
| 045P3ZZ | Destruction of Right Anterior Tibial Artery, Percutaneous Approach |
| 045P4ZZ | Destruction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045Q0ZZ | Destruction of Left Anterior Tibial Artery, Open Approach |
| 045Q3ZZ | Destruction of Left Anterior Tibial Artery, Percutaneous Approach |
| 045Q4ZZ | Destruction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045R0ZZ | Destruction of Right Posterior Tibial Artery, Open Approach |
| 045R3ZZ | Destruction of Right Posterior Tibial Artery, Percutaneous Approach |
| 045R4ZZ | Destruction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045S0ZZ | Destruction of Left Posterior Tibial Artery, Open Approach |
| 045S3ZZ | Destruction of Left Posterior Tibial Artery, Percutaneous Approach |
| 045S4ZZ | Destruction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 045T0ZZ | Destruction of Right Peroneal Artery, Open Approach |
| 045T3ZZ | Destruction of Right Peroneal Artery, Percutaneous Approach |
| 045T4ZZ | Destruction of Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 045U0ZZ | Destruction of Left Peroneal Artery, Open Approach |
| 045U3ZZ | Destruction of Left Peroneal Artery, Percutaneous Approach |
| 045U4ZZ | Destruction of Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 045V0ZZ | Destruction of Right Foot Artery, Open Approach |
| 045V3ZZ | Destruction of Right Foot Artery, Percutaneous Approach |
| 045V4ZZ | Destruction of Right Foot Artery, Percutaneous Endoscopic Approach |
| 045W0ZZ | Destruction of Left Foot Artery, Open Approach |
| 045W3ZZ | Destruction of Left Foot Artery, Percutaneous Approach |
| 045W4ZZ | Destruction of Left Foot Artery, Percutaneous Endoscopic Approach |
| 045Y0ZZ | Destruction of Lower Artery, Open Approach |
| 045Y3ZZ | Destruction of Lower Artery, Percutaneous Approach |
| 045Y4ZZ | Destruction of Lower Artery, Percutaneous Endoscopic Approach |
| 0470341 | Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047034Z | Dilation of Abdominal Aorta with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047035Z | Dilation of Abdominal Aorta with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047036Z | Dilation of Abdominal Aorta with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047037Z | Dilation of Abdominal Aorta with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04703D1 | Dilation of Abdominal Aorta with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04703DZ | Dilation of Abdominal Aorta with Intraluminal Device, Percutaneous Approach |
| 04703EZ | Dilation of Abdominal Aorta with Two Intraluminal Devices, Percutaneous Approach |
| 04703FZ | Dilation of Abdominal Aorta with Three Intraluminal Devices, Percutaneous Approach |
| 04703GZ | Dilation of Abdominal Aorta with Four or More Intraluminal Devices, Percutaneous Approach |
| 04703Z1 | Dilation of Abdominal Aorta using Drug-Coated Balloon, Percutaneous Approach |
| 04703ZZ | Dilation of Abdominal Aorta, Percutaneous Approach |
| 0471341 | Dilation of Celiac Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047134Z | Dilation of Celiac Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047135Z | Dilation of Celiac Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047136Z | Dilation of Celiac Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047137Z | Dilation of Celiac Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04713D1 | Dilation of Celiac Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04713DZ | Dilation of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04713EZ | Dilation of Celiac Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04713FZ | Dilation of Celiac Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04713GZ | Dilation of Celiac Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04713Z1 | Dilation of Celiac Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04713ZZ | Dilation of Celiac Artery, Percutaneous Approach |
| 0472341 | Dilation of Gastric Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047234Z | Dilation of Gastric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047235Z | Dilation of Gastric Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047236Z | Dilation of Gastric Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047237Z | Dilation of Gastric Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04723D1 | Dilation of Gastric Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04723DZ | Dilation of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04723EZ | Dilation of Gastric Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04723FZ | Dilation of Gastric Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04723GZ | Dilation of Gastric Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04723Z1 | Dilation of Gastric Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04723ZZ | Dilation of Gastric Artery, Percutaneous Approach |
| 0473341 | Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047334Z | Dilation of Hepatic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047335Z | Dilation of Hepatic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047336Z | Dilation of Hepatic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047337Z | Dilation of Hepatic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04733D1 | Dilation of Hepatic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04733DZ | Dilation of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04733EZ | Dilation of Hepatic Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04733FZ | Dilation of Hepatic Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04733GZ | Dilation of Hepatic Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04733Z1 | Dilation of Hepatic Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04733ZZ | Dilation of Hepatic Artery, Percutaneous Approach |
| 0474341 | Dilation of Splenic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047434Z | Dilation of Splenic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047435Z | Dilation of Splenic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047436Z | Dilation of Splenic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047437Z | Dilation of Splenic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04743D1 | Dilation of Splenic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04743DZ | Dilation of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04743EZ | Dilation of Splenic Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04743FZ | Dilation of Splenic Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04743GZ | Dilation of Splenic Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04743Z1 | Dilation of Splenic Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04743ZZ | Dilation of Splenic Artery, Percutaneous Approach |
| 0475341 | Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047534Z | Dilation of Superior Mesenteric Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047535Z | Dilation of Superior Mesenteric Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047536Z | Dilation of Superior Mesenteric Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047537Z | Dilation of Superior Mesenteric Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04753D1 | Dilation of Superior Mesenteric Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04753DZ | Dilation of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04753EZ | Dilation of Superior Mesenteric Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04753FZ | Dilation of Superior Mesenteric Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04753GZ | Dilation of Superior Mesenteric Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04753Z1 | Dilation of Superior Mesenteric Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04753ZZ | Dilation of Superior Mesenteric Artery, Percutaneous Approach |
| 0476341 | Dilation of Right Colic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047634Z | Dilation of Right Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047635Z | Dilation of Right Colic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047636Z | Dilation of Right Colic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047637Z | Dilation of Right Colic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04763D1 | Dilation of Right Colic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04763DZ | Dilation of Right Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04763EZ | Dilation of Right Colic Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04763FZ | Dilation of Right Colic Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04763GZ | Dilation of Right Colic Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04763Z1 | Dilation of Right Colic Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04763ZZ | Dilation of Right Colic Artery, Percutaneous Approach |
| 0477341 | Dilation of Left Colic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047734Z | Dilation of Left Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047735Z | Dilation of Left Colic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047736Z | Dilation of Left Colic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047737Z | Dilation of Left Colic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04773D1 | Dilation of Left Colic Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 04773DZ | Dilation of Left Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04773EZ | Dilation of Left Colic Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04773FZ | Dilation of Left Colic Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04773GZ | Dilation of Left Colic Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04773Z1 | Dilation of Left Colic Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04773ZZ | Dilation of Left Colic Artery, Percutaneous Approach |
| 0478341 | Dilation of Middle Colic Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047834Z | Dilation of Middle Colic Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047835Z | Dilation of Middle Colic Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047836Z | Dilation of Middle Colic Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047837Z | Dilation of Middle Colic Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 04783D1 | Dilation of Middle Colic Artery with Intraluminal Device, using Drug-Coated Balloon, 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 |