ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual
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DRAFT
ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual |
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| MDC 04 Diseases and disorders of the respiratory system |
| Other respiratory system O.R. procedures |
| Page 1 of 5 |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 166 |
| No | Yes | 167 |
| No | No | 168 |
DRG 166 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH MCC
DRG 167 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITH CC
DRG 168 OTHER RESPIRATORY SYSTEM O.R. PROCEDURES WITHOUT CC/MCC
OPERATING ROOM PROCEDURES
008Q0ZZ 041L09J 07B23ZZ 0C5T4ZZ 0PB84ZZ
| 008Q0ZZ | Division of Vagus Nerve, Open Approach |
| 008Q3ZZ | Division of Vagus Nerve, Percutaneous Approach |
| 008Q4ZZ | Division of Vagus Nerve, Percutaneous Endoscopic Approach |
| 021P08A | Bypass Pulmonary Trunk from Innominate Artery with Zooplastic Tissue, Open Approach |
| 021P08B | Bypass Pulmonary Trunk from Subclavian with Zooplastic Tissue, Open Approach |
| 021P08D | Bypass Pulmonary Trunk from Carotid with Zooplastic Tissue, Open Approach |
| 021P09A | Bypass Pulmonary Trunk from Innominate Artery with Autologous Venous Tissue, Open Approach |
| 021P09B | Bypass Pulmonary Trunk from Subclavian with Autologous Venous Tissue, Open Approach |
| 021P09D | Bypass Pulmonary Trunk from Carotid with Autologous Venous Tissue, Open Approach |
| 021P0AA | Bypass Pulmonary Trunk from Innominate Artery with Autologous Arterial Tissue, Open Approach |
| 021P0AB | Bypass Pulmonary Trunk from Subclavian with Autologous Arterial Tissue, Open Approach |
| 021P0AD | Bypass Pulmonary Trunk from Carotid with Autologous Arterial Tissue, Open Approach |
| 021P0JA | Bypass Pulmonary Trunk from Innominate Artery with Synthetic Substitute, Open Approach |
| 021P0JB | Bypass Pulmonary Trunk from Subclavian with Synthetic Substitute, Open Approach |
| 021P0JD | Bypass Pulmonary Trunk from Carotid with Synthetic Substitute, Open Approach |
| 021P0KA | Bypass Pulmonary Trunk from Innominate Artery with Nonautologous Tissue Substitute, Open Approach |
| 021P0KB | Bypass Pulmonary Trunk from Subclavian with Nonautologous Tissue Substitute, Open Approach |
| 021P0KD | Bypass Pulmonary Trunk from Carotid with Nonautologous Tissue Substitute, Open Approach |
| 021P0ZA | Bypass Pulmonary Trunk from Innominate Artery with No Device, Open Approach |
| 021P0ZB | Bypass Pulmonary Trunk from Subclavian with No Device, Open Approach |
| 021P0ZD | Bypass Pulmonary Trunk from Carotid with No Device, Open Approach |
| 021P48A | Bypass Pulmonary Trunk from Innominate Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021P48B | Bypass Pulmonary Trunk from Subclavian with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021P48D | Bypass Pulmonary Trunk from Carotid with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021P49A | Bypass Pulmonary Trunk from Innominate Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021P49B | Bypass Pulmonary Trunk from Subclavian with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021P49D | Bypass Pulmonary Trunk from Carotid with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021P4AA | Bypass Pulmonary Trunk from Innominate Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021P4AB | Bypass Pulmonary Trunk from Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021P4AD | Bypass Pulmonary Trunk from Carotid with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021P4JA | Bypass Pulmonary Trunk from Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021P4JB | Bypass Pulmonary Trunk from Subclavian with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021P4JD | Bypass Pulmonary Trunk from Carotid with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021P4KA | Bypass Pulmonary Trunk from Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021P4KB | Bypass Pulmonary Trunk from Subclavian with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021P4KD | Bypass Pulmonary Trunk from Carotid with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021P4ZA | Bypass Pulmonary Trunk from Innominate Artery with No Device, Percutaneous Endoscopic Approach |
| 021P4ZB | Bypass Pulmonary Trunk from Subclavian with No Device, Percutaneous Endoscopic Approach |
| 021P4ZD | Bypass Pulmonary Trunk from Carotid with No Device, Percutaneous Endoscopic Approach |
| 021Q08A | Bypass Right Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Open Approach |
| 021Q08B | Bypass Right Pulmonary Artery from Subclavian with Zooplastic Tissue, Open Approach |
| 021Q08D | Bypass Right Pulmonary Artery from Carotid with Zooplastic Tissue, Open Approach |
| 021Q09A | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Open Approach |
| 021Q09B | Bypass Right Pulmonary Artery from Subclavian with Autologous Venous Tissue, Open Approach |
| 021Q09D | Bypass Right Pulmonary Artery from Carotid with Autologous Venous Tissue, Open Approach |
| 021Q0AA | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Open Approach |
| 021Q0AB | Bypass Right Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Open Approach |
| 021Q0AD | Bypass Right Pulmonary Artery from Carotid with Autologous Arterial Tissue, Open Approach |
| 021Q0JA | Bypass Right Pulmonary Artery from Innominate Artery with Synthetic Substitute, Open Approach |
| 021Q0JB | Bypass Right Pulmonary Artery from Subclavian with Synthetic Substitute, Open Approach |
| 021Q0JD | Bypass Right Pulmonary Artery from Carotid with Synthetic Substitute, Open Approach |
| 021Q0KA | Bypass Right Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Open Approach |
| 021Q0KB | Bypass Right Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Open Approach |
| 021Q0KD | Bypass Right Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Open Approach |
| 021Q0ZA | Bypass Right Pulmonary Artery from Innominate Artery with No Device, Open Approach |
| 021Q0ZB | Bypass Right Pulmonary Artery from Subclavian with No Device, Open Approach |
| 021Q0ZD | Bypass Right Pulmonary Artery from Carotid with No Device, Open Approach |
| 021Q48A | Bypass Right Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021Q48B | Bypass Right Pulmonary Artery from Subclavian with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021Q48D | Bypass Right Pulmonary Artery from Carotid with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021Q49A | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021Q49B | Bypass Right Pulmonary Artery from Subclavian with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021Q49D | Bypass Right Pulmonary Artery from Carotid with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021Q4AA | Bypass Right Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021Q4AB | Bypass Right Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021Q4AD | Bypass Right Pulmonary Artery from Carotid with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021Q4JA | Bypass Right Pulmonary Artery from Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021Q4JB | Bypass Right Pulmonary Artery from Subclavian with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021Q4JD | Bypass Right Pulmonary Artery from Carotid with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021Q4KA | Bypass Right Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021Q4KB | Bypass Right Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021Q4KD | Bypass Right Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021Q4ZA | Bypass Right Pulmonary Artery from Innominate Artery with No Device, Percutaneous Endoscopic Approach |
| 021Q4ZB | Bypass Right Pulmonary Artery from Subclavian with No Device, Percutaneous Endoscopic Approach |
| 021Q4ZD | Bypass Right Pulmonary Artery from Carotid with No Device, Percutaneous Endoscopic Approach |
| 021R08A | Bypass Left Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Open Approach |
| 021R08B | Bypass Left Pulmonary Artery from Subclavian with Zooplastic Tissue, Open Approach |
| 021R08D | Bypass Left Pulmonary Artery from Carotid with Zooplastic Tissue, Open Approach |
| 021R09A | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Open Approach |
| 021R09B | Bypass Left Pulmonary Artery from Subclavian with Autologous Venous Tissue, Open Approach |
| 021R09D | Bypass Left Pulmonary Artery from Carotid with Autologous Venous Tissue, Open Approach |
| 021R0AA | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Open Approach |
| 021R0AB | Bypass Left Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Open Approach |
| 021R0AD | Bypass Left Pulmonary Artery from Carotid with Autologous Arterial Tissue, Open Approach |
| 021R0JA | Bypass Left Pulmonary Artery from Innominate Artery with Synthetic Substitute, Open Approach |
| 021R0JB | Bypass Left Pulmonary Artery from Subclavian with Synthetic Substitute, Open Approach |
| 021R0JD | Bypass Left Pulmonary Artery from Carotid with Synthetic Substitute, Open Approach |
| 021R0KA | Bypass Left Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Open Approach |
| 021R0KB | Bypass Left Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Open Approach |
| 021R0KD | Bypass Left Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Open Approach |
| 021R0ZA | Bypass Left Pulmonary Artery from Innominate Artery with No Device, Open Approach |
| 021R0ZB | Bypass Left Pulmonary Artery from Subclavian with No Device, Open Approach |
| 021R0ZD | Bypass Left Pulmonary Artery from Carotid with No Device, Open Approach |
| 021R48A | Bypass Left Pulmonary Artery from Innominate Artery with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021R48B | Bypass Left Pulmonary Artery from Subclavian with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021R48D | Bypass Left Pulmonary Artery from Carotid with Zooplastic Tissue, Percutaneous Endoscopic Approach |
| 021R49A | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021R49B | Bypass Left Pulmonary Artery from Subclavian with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021R49D | Bypass Left Pulmonary Artery from Carotid with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 021R4AA | Bypass Left Pulmonary Artery from Innominate Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021R4AB | Bypass Left Pulmonary Artery from Subclavian with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021R4AD | Bypass Left Pulmonary Artery from Carotid with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 021R4JA | Bypass Left Pulmonary Artery from Innominate Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021R4JB | Bypass Left Pulmonary Artery from Subclavian with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021R4JD | Bypass Left Pulmonary Artery from Carotid with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 021R4KA | Bypass Left Pulmonary Artery from Innominate Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021R4KB | Bypass Left Pulmonary Artery from Subclavian with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021R4KD | Bypass Left Pulmonary Artery from Carotid with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 021R4ZA | Bypass Left Pulmonary Artery from Innominate Artery with No Device, Percutaneous Endoscopic Approach |
| 021R4ZB | Bypass Left Pulmonary Artery from Subclavian with No Device, Percutaneous Endoscopic Approach |
| 021R4ZD | Bypass Left Pulmonary Artery from Carotid with No Device, Percutaneous Endoscopic Approach |
| 02FP3Z0 | Fragmentation of Pulmonary Trunk, Percutaneous Approach, Ultrasonic |
| 02FP3ZZ | Fragmentation of Pulmonary Trunk, Percutaneous Approach |
| 02FQ3Z0 | Fragmentation of Right Pulmonary Artery, Percutaneous Approach, Ultrasonic |
| 02FQ3ZZ | Fragmentation of Right Pulmonary Artery, Percutaneous Approach |
| 02FR3Z0 | Fragmentation of Left Pulmonary Artery, Percutaneous Approach, Ultrasonic |
| 02FR3ZZ | Fragmentation of Left Pulmonary Artery, Percutaneous Approach |
| 02FS3Z0 | Fragmentation of Right Pulmonary Vein, Percutaneous Approach, Ultrasonic |
| 02FS3ZZ | Fragmentation of Right Pulmonary Vein, Percutaneous Approach |
| 02FT3Z0 | Fragmentation of Left Pulmonary Vein, Percutaneous Approach, Ultrasonic |
| 02FT3ZZ | Fragmentation of Left Pulmonary Vein, Percutaneous Approach |
| 02HV02Z | Insertion of Monitoring Device into Superior Vena Cava, Open Approach |
| 02HV0DZ | Insertion of Intraluminal Device into Superior Vena Cava, Open Approach |
| 02HV3DZ | Insertion of Intraluminal Device into Superior Vena Cava, Percutaneous Approach |
| 02HV42Z | Insertion of Monitoring Device into Superior Vena Cava, Percutaneous Endoscopic Approach |
| 02HV4DZ | Insertion of Intraluminal Device into Superior Vena Cava, Percutaneous Endoscopic Approach |
| 02JA4ZZ | Inspection of Heart, Percutaneous Endoscopic Approach |
| 02JY4ZZ | Inspection of Great Vessel, Percutaneous Endoscopic Approach |
| 02LP0CZ | Occlusion of Pulmonary Trunk with Extraluminal Device, Open Approach |
| 02LP0DZ | Occlusion of Pulmonary Trunk with Intraluminal Device, Open Approach |
| 02LP0ZZ | Occlusion of Pulmonary Trunk, Open Approach |
| 02LP3CZ | Occlusion of Pulmonary Trunk with Extraluminal Device, Percutaneous Approach |
| 02LP3DZ | Occlusion of Pulmonary Trunk with Intraluminal Device, Percutaneous Approach |
| 02LP3ZZ | Occlusion of Pulmonary Trunk, Percutaneous Approach |
| 02LP4CZ | Occlusion of Pulmonary Trunk with Extraluminal Device, Percutaneous Endoscopic Approach |
| 02LP4DZ | Occlusion of Pulmonary Trunk with Intraluminal Device, Percutaneous Endoscopic Approach |
| 02LP4ZZ | Occlusion of Pulmonary Trunk, Percutaneous Endoscopic Approach |
| 02LQ0CZ | Occlusion of Right Pulmonary Artery with Extraluminal Device, Open Approach |
| 02LQ0DZ | Occlusion of Right Pulmonary Artery with Intraluminal Device, Open Approach |
| 02LQ0ZZ | Occlusion of Right Pulmonary Artery, Open Approach |
| 02LQ3CZ | Occlusion of Right Pulmonary Artery with Extraluminal Device, Percutaneous Approach |
| 02LQ3DZ | Occlusion of Right Pulmonary Artery with Intraluminal Device, Percutaneous Approach |
| 02LQ3ZZ | Occlusion of Right Pulmonary Artery, Percutaneous Approach |
| 02LQ4CZ | Occlusion of Right Pulmonary Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 02LQ4DZ | Occlusion of Right Pulmonary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 02LQ4ZZ | Occlusion of Right Pulmonary Artery, Percutaneous Endoscopic Approach |
| 02LR0CZ | Occlusion of Left Pulmonary Artery with Extraluminal Device, Open Approach |
| 02LR0DZ | Occlusion of Left Pulmonary Artery with Intraluminal Device, Open Approach |
| 02LR0ZZ | Occlusion of Left Pulmonary Artery, Open Approach |
| 02LR3CZ | Occlusion of Left Pulmonary Artery with Extraluminal Device, Percutaneous Approach |
| 02LR3DZ | Occlusion of Left Pulmonary Artery with Intraluminal Device, Percutaneous Approach |
| 02LR3ZZ | Occlusion of Left Pulmonary Artery, Percutaneous Approach |
| 02LR4CZ | Occlusion of Left Pulmonary Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 02LR4DZ | Occlusion of Left Pulmonary Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 02LR4ZZ | Occlusion of Left Pulmonary Artery, Percutaneous Endoscopic Approach |
| 02LV0CZ | Occlusion of Superior Vena Cava with Extraluminal Device, Open Approach |
| 02LV0DZ | Occlusion of Superior Vena Cava with Intraluminal Device, Open Approach |
| 02LV0ZZ | Occlusion of Superior Vena Cava, Open Approach |
| 02LV3CZ | Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Approach |
| 02LV3DZ | Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Approach |
| 02LV3ZZ | Occlusion of Superior Vena Cava, Percutaneous Approach |
| 02LV4CZ | Occlusion of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach |
| 02LV4DZ | Occlusion of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach |
| 02LV4ZZ | Occlusion of Superior Vena Cava, Percutaneous Endoscopic Approach |
| 02QP0ZZ | Repair Pulmonary Trunk, Open Approach |
| 02QP3ZZ | Repair Pulmonary Trunk, Percutaneous Approach |
| 02QQ3ZZ | Repair Right Pulmonary Artery, Percutaneous Approach |
| 02QR3ZZ | Repair Left Pulmonary Artery, Percutaneous Approach |
| 02QW3ZZ | Repair Thoracic Aorta, Descending, Percutaneous Approach |
| 02QX3ZZ | Repair Thoracic Aorta, Ascending/Arch, Percutaneous Approach |
| 02VV0CZ | Restriction of Superior Vena Cava with Extraluminal Device, Open Approach |
| 02VV0DZ | Restriction of Superior Vena Cava with Intraluminal Device, Open Approach |
| 02VV0ZZ | Restriction of Superior Vena Cava, Open Approach |
| 02VV3CZ | Restriction of Superior Vena Cava with Extraluminal Device, Percutaneous Approach |
| 02VV3DZ | Restriction of Superior Vena Cava with Intraluminal Device, Percutaneous Approach |
| 02VV3ZZ | Restriction of Superior Vena Cava, Percutaneous Approach |
| 02VV4CZ | Restriction of Superior Vena Cava with Extraluminal Device, Percutaneous Endoscopic Approach |
| 02VV4DZ | Restriction of Superior Vena Cava with Intraluminal Device, Percutaneous Endoscopic Approach |
| 02VV4ZZ | Restriction of Superior Vena Cava, Percutaneous Endoscopic Approach |
| 0315090 | Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 03150A0 | Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03150J0 | Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03150K0 | Bypass Right Axillary Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150Z0 | Bypass Right Axillary Artery to Right Upper Arm Artery, Open Approach |
| 0316091 | Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 03160A1 | Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03160J1 | Bypass Left Axillary Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03160K1 | Bypass Left Axillary Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03160Z1 | Bypass Left Axillary Artery to Left Upper Arm Artery, Open Approach |
| 031H09J | Bypass Right Common Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031H09Y | Bypass Right Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach |
| 031H0AJ | Bypass Right Common Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031H0AY | Bypass Right Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach |
| 031H0JJ | Bypass Right Common Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031H0JY | Bypass Right Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach |
| 031H0KJ | Bypass Right Common Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031H0KY | Bypass Right Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach |
| 031H0ZJ | Bypass Right Common Carotid Artery to Right Extracranial Artery, Open Approach |
| 031H0ZY | Bypass Right Common Carotid Artery to Upper Artery, Open Approach |
| 031J09K | Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031J09Y | Bypass Left Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach |
| 031J0AK | Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031J0AY | Bypass Left Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach |
| 031J0JK | Bypass Left Common Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031J0JY | Bypass Left Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach |
| 031J0KK | Bypass Left Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031J0KY | Bypass Left Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach |
| 031J0ZK | Bypass Left Common Carotid Artery to Left Extracranial Artery, Open Approach |
| 031J0ZY | Bypass Left Common Carotid Artery to Upper Artery, Open Approach |
| 031K09J | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031K0AJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031K0JJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031K0KJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031K0ZJ | Bypass Right Internal Carotid Artery to Right Extracranial Artery, Open Approach |
| 031L09K | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031L0AK | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031L0JK | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031L0KK | Bypass Left Internal Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031L0ZK | Bypass Left Internal Carotid Artery to Left Extracranial Artery, Open Approach |
| 031M09J | Bypass Right External Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031M0AJ | Bypass Right External Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031M0JJ | Bypass Right External Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 031M0KJ | Bypass Right External Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031M0ZJ | Bypass Right External Carotid Artery to Right Extracranial Artery, Open Approach |
| 031N09K | Bypass Left External Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031N0AK | Bypass Left External Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 031N0JK | Bypass Left External Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 031N0KK | Bypass Left External Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 031N0ZK | Bypass Left External Carotid Artery to Left Extracranial Artery, Open Approach |
| 037334Z | Dilation of Right Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037335Z | Dilation of Right Subclavian Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037336Z | Dilation of Right Subclavian Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037337Z | Dilation of Right Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03733D1 | Dilation of Right Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03733DZ | Dilation of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03733EZ | Dilation of Right Subclavian Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03733FZ | Dilation of Right Subclavian Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03733GZ | Dilation of Right Subclavian Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03733Z1 | Dilation of Right Subclavian Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03733ZZ | Dilation of Right Subclavian Artery, Percutaneous Approach |
| 037434Z | Dilation of Left Subclavian Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037435Z | Dilation of Left Subclavian Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037436Z | Dilation of Left Subclavian Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037437Z | Dilation of Left Subclavian Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03743D1 | Dilation of Left Subclavian Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03743DZ | Dilation of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach |
| 03743EZ | Dilation of Left Subclavian Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03743FZ | Dilation of Left Subclavian Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03743GZ | Dilation of Left Subclavian Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03743Z1 | Dilation of Left Subclavian Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03743ZZ | Dilation of Left Subclavian Artery, Percutaneous Approach |
| 037734Z | Dilation of Right Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037735Z | Dilation of Right Brachial Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037736Z | Dilation of Right Brachial Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037737Z | Dilation of Right Brachial Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03773D1 | Dilation of Right Brachial Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03773DZ | Dilation of Right Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03773EZ | Dilation of Right Brachial Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03773FZ | Dilation of Right Brachial Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03773GZ | Dilation of Right Brachial Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03773Z1 | Dilation of Right Brachial Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03773ZZ | Dilation of Right Brachial Artery, Percutaneous Approach |
| 037834Z | Dilation of Left Brachial Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037835Z | Dilation of Left Brachial Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037836Z | Dilation of Left Brachial Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037837Z | Dilation of Left Brachial Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03783D1 | Dilation of Left Brachial Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03783DZ | Dilation of Left Brachial Artery with Intraluminal Device, Percutaneous Approach |
| 03783EZ | Dilation of Left Brachial Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03783FZ | Dilation of Left Brachial Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03783GZ | Dilation of Left Brachial Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03783Z1 | Dilation of Left Brachial Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03783ZZ | Dilation of Left Brachial Artery, Percutaneous Approach |
| 037934Z | Dilation of Right Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037935Z | Dilation of Right Ulnar Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037936Z | Dilation of Right Ulnar Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037937Z | Dilation of Right Ulnar Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 03793D1 | Dilation of Right Ulnar Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 03793DZ | Dilation of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 03793EZ | Dilation of Right Ulnar Artery with Two Intraluminal Devices, Percutaneous Approach |
| 03793FZ | Dilation of Right Ulnar Artery with Three Intraluminal Devices, Percutaneous Approach |
| 03793GZ | Dilation of Right Ulnar Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 03793Z1 | Dilation of Right Ulnar Artery using Drug-Coated Balloon, Percutaneous Approach |
| 03793ZZ | Dilation of Right Ulnar Artery, Percutaneous Approach |
| 037A34Z | Dilation of Left Ulnar Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037A35Z | Dilation of Left Ulnar Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037A36Z | Dilation of Left Ulnar Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037A37Z | Dilation of Left Ulnar Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037A3D1 | Dilation of Left Ulnar Artery with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 037A3DZ | Dilation of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach |
| 037A3EZ | Dilation of Left Ulnar Artery with Two Intraluminal Devices, Percutaneous Approach |
| 037A3FZ | Dilation of Left Ulnar Artery with Three Intraluminal Devices, Percutaneous Approach |
| 037A3GZ | Dilation of Left Ulnar Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 037A3Z1 | Dilation of Left Ulnar Artery using Drug-Coated Balloon, Percutaneous Approach |
| 037A3ZZ | Dilation of Left Ulnar Artery, Percutaneous Approach |
| 037Y34Z | Dilation of Upper Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 037Y35Z | Dilation of Upper Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037Y36Z | Dilation of Upper Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037Y37Z | Dilation of Upper Artery with Four or More Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 037Y3DZ | Dilation of Upper Artery with Intraluminal Device, Percutaneous Approach |
| 037Y3EZ | Dilation of Upper Artery with Two Intraluminal Devices, Percutaneous Approach |
| 037Y3FZ | Dilation of Upper Artery with Three Intraluminal Devices, Percutaneous Approach |
| 037Y3GZ | Dilation of Upper Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 037Y3ZZ | Dilation of Upper Artery, Percutaneous Approach |
| 039S0ZX | Drainage of Right Temporal Artery, Open Approach, Diagnostic |
| 039S4ZX | Drainage of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 039T0ZX | Drainage of Left Temporal Artery, Open Approach, Diagnostic |
| 039T4ZX | Drainage of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BS0ZX | Excision of Right Temporal Artery, Open Approach, Diagnostic |
| 03BS3ZX | Excision of Right Temporal Artery, Percutaneous Approach, Diagnostic |
| 03BS4ZX | Excision of Right Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03BT0ZX | Excision of Left Temporal Artery, Open Approach, Diagnostic |
| 03BT3ZX | Excision of Left Temporal Artery, Percutaneous Approach, Diagnostic |
| 03BT4ZX | Excision of Left Temporal Artery, Percutaneous Endoscopic Approach, Diagnostic |
| 03F23Z0 | Fragmentation of Innominate Artery, Percutaneous Approach, Ultrasonic |
| 03F23ZZ | Fragmentation of Innominate Artery, Percutaneous Approach |
| 03H00DZ | Insertion of Intraluminal Device into Right Internal Mammary Artery, Open Approach |
| 03H03DZ | Insertion of Intraluminal Device into Right Internal Mammary Artery, Percutaneous Approach |
| 03H04DZ | Insertion of Intraluminal Device into Right Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 03H10DZ | Insertion of Intraluminal Device into Left Internal Mammary Artery, Open Approach |
| 03H13DZ | Insertion of Intraluminal Device into Left Internal Mammary Artery, Percutaneous Approach |
| 03H14DZ | Insertion of Intraluminal Device into Left Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 03H30DZ | Insertion of Intraluminal Device into Right Subclavian Artery, Open Approach |
| 03H33DZ | Insertion of Intraluminal Device into Right Subclavian Artery, Percutaneous Approach |
| 03H34DZ | Insertion of Intraluminal Device into Right Subclavian Artery, Percutaneous Endoscopic Approach |
| 03H40DZ | Insertion of Intraluminal Device into Left Subclavian Artery, Open Approach |
| 03H43DZ | Insertion of Intraluminal Device into Left Subclavian Artery, Percutaneous Approach |
| 03H44DZ | Insertion of Intraluminal Device into Left Subclavian Artery, Percutaneous Endoscopic Approach |
| 03H50DZ | Insertion of Intraluminal Device into Right Axillary Artery, Open Approach |
| 03H53DZ | Insertion of Intraluminal Device into Right Axillary Artery, Percutaneous Approach |
| 03H54DZ | Insertion of Intraluminal Device into Right Axillary Artery, Percutaneous Endoscopic Approach |
| 03H60DZ | Insertion of Intraluminal Device into Left Axillary Artery, Open Approach |
| 03H63DZ | Insertion of Intraluminal Device into Left Axillary Artery, Percutaneous Approach |
| 03H64DZ | Insertion of Intraluminal Device into Left Axillary Artery, Percutaneous Endoscopic Approach |
| 03LY0DZ | Occlusion of Upper Artery with Intraluminal Device, Open Approach |
| 03LY3DZ | Occlusion of Upper Artery with Intraluminal Device, Percutaneous Approach |
| 03LY4DZ | Occlusion of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03Q00ZZ | Repair Right Internal Mammary Artery, Open Approach |
| 03Q03ZZ | Repair Right Internal Mammary Artery, Percutaneous Approach |
| 03Q04ZZ | Repair Right Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 03Q10ZZ | Repair Left Internal Mammary Artery, Open Approach |
| 03Q13ZZ | Repair Left Internal Mammary Artery, Percutaneous Approach |
| 03Q14ZZ | Repair Left Internal Mammary Artery, Percutaneous Endoscopic Approach |
| 03Q20ZZ | Repair Innominate Artery, Open Approach |
| 03Q23ZZ | Repair Innominate Artery, Percutaneous Approach |
| 03Q24ZZ | Repair Innominate Artery, Percutaneous Endoscopic Approach |
| 03Q30ZZ | Repair Right Subclavian Artery, Open Approach |
| 03Q33ZZ | Repair Right Subclavian Artery, Percutaneous Approach |
| 03Q34ZZ | Repair Right Subclavian Artery, Percutaneous Endoscopic Approach |
| 03Q40ZZ | Repair Left Subclavian Artery, Open Approach |
| 03Q43ZZ | Repair Left Subclavian Artery, Percutaneous Approach |
| 03Q44ZZ | Repair Left Subclavian Artery, Percutaneous Endoscopic Approach |
| 041K09H | Bypass Right Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach |
| 041K09J | Bypass Right Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach |
| 041K09K | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach |
| 041K09L | Bypass Right Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach |
| 041K0AH | Bypass Right Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Open Approach |
| 041K0AJ | Bypass Right Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Open Approach |
| 041K0AK | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach |
| 041K0AL | Bypass Right Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach |
| 041K0JH | Bypass Right Femoral Artery to Right Femoral Artery with Synthetic Substitute, Open Approach |
| 041K0JJ | Bypass Right Femoral Artery to Left Femoral Artery with Synthetic Substitute, Open Approach |
| 041K0JK | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach |
| 041K0JL | Bypass Right Femoral Artery to Popliteal Artery with Synthetic Substitute, Open Approach |
| 041K0KH | Bypass Right Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 041K0KJ | Bypass Right Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 041K0KK | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach |
| 041K0KL | Bypass Right Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 041K0ZH | Bypass Right Femoral Artery to Right Femoral Artery, Open Approach |
| 041K0ZJ | Bypass Right Femoral Artery to Left Femoral Artery, Open Approach |
| 041K0ZK | Bypass Right Femoral Artery to Bilateral Femoral Arteries, Open Approach |
| 041K0ZL | Bypass Right Femoral Artery to Popliteal Artery, Open Approach |
| 041K49H | Bypass Right Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041K49J | Bypass Right Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041K49K | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041K49L | Bypass Right Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041K4AH | Bypass Right Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041K4AJ | Bypass Right Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041K4AK | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041K4AL | Bypass Right Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041K4JH | Bypass Right Femoral Artery to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041K4JJ | Bypass Right Femoral Artery to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041K4JK | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041K4JL | Bypass Right Femoral Artery to Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041K4KH | Bypass Right Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041K4KJ | Bypass Right Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041K4KK | Bypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041K4KL | Bypass Right Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041K4ZH | Bypass Right Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach |
| 041K4ZJ | Bypass Right Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach |
| 041K4ZK | Bypass Right Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach |
| 041K4ZL | Bypass Right Femoral Artery to Popliteal Artery, Percutaneous Endoscopic Approach |
| 041L09H | Bypass Left Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach |
|
Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |