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 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
| 008W0ZZ | Division of Cervical Spinal Cord, Open Approach |
| 008W3ZZ | Division of Cervical Spinal Cord, Percutaneous Approach |
| 008W4ZZ | Division of Cervical Spinal Cord, Percutaneous Endoscopic Approach |
| 008X0ZZ | Division of Thoracic Spinal Cord, Open Approach |
| 008X3ZZ | Division of Thoracic Spinal Cord, Percutaneous Approach |
| 008X4ZZ | Division of Thoracic Spinal Cord, Percutaneous Endoscopic Approach |
| 008Y0ZZ | Division of Lumbar Spinal Cord, Open Approach |
| 008Y3ZZ | Division of Lumbar Spinal Cord, Percutaneous Approach |
| 008Y4ZZ | Division of Lumbar Spinal Cord, Percutaneous Endoscopic Approach |
| 00PV00Z | Removal of Drainage Device from Spinal Cord, Open Approach |
| 00PV02Z | Removal of Monitoring Device from Spinal Cord, Open Approach |
| 00PV03Z | Removal of Infusion Device from Spinal Cord, Open Approach |
| 00PV07Z | Removal of Autologous Tissue Substitute from Spinal Cord, Open Approach |
| 00PV0JZ | Removal of Synthetic Substitute from Spinal Cord, Open Approach |
| 00PV0KZ | Removal of Nonautologous Tissue Substitute from Spinal Cord, Open Approach |
| 00PV0YZ | Removal of Other Device from Spinal Cord, Open Approach |
| 00PV37Z | Removal of Autologous Tissue Substitute from Spinal Cord, Percutaneous Approach |
| 00PV3JZ | Removal of Synthetic Substitute from Spinal Cord, Percutaneous Approach |
| 00PV3KZ | Removal of Nonautologous Tissue Substitute from Spinal Cord, Percutaneous Approach |
| 00PV40Z | Removal of Drainage Device from Spinal Cord, Percutaneous Endoscopic Approach |
| 00PV42Z | Removal of Monitoring Device from Spinal Cord, Percutaneous Endoscopic Approach |
| 00PV43Z | Removal of Infusion Device from Spinal Cord, Percutaneous Endoscopic Approach |
| 00PV47Z | Removal of Autologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach |
| 00PV4JZ | Removal of Synthetic Substitute from Spinal Cord, Percutaneous Endoscopic Approach |
| 00PV4KZ | Removal of Nonautologous Tissue Substitute from Spinal Cord, Percutaneous Endoscopic Approach |
| 00WV00Z | Revision of Drainage Device in Spinal Cord, Open Approach |
| 00WV02Z | Revision of Monitoring Device in Spinal Cord, Open Approach |
| 00WV03Z | Revision of Infusion Device in Spinal Cord, Open Approach |
| 00WV07Z | Revision of Autologous Tissue Substitute in Spinal Cord, Open Approach |
| 00WV0JZ | Revision of Synthetic Substitute in Spinal Cord, Open Approach |
| 00WV0KZ | Revision of Nonautologous Tissue Substitute in Spinal Cord, Open Approach |
| 00WV0MZ | Revision of Neurostimulator Lead in Spinal Cord, Open Approach |
| 00WV0YZ | Revision of Other Device in Spinal Cord, Open Approach |
| 00WV30Z | Revision of Drainage Device in Spinal Cord, Percutaneous Approach |
| 00WV32Z | Revision of Monitoring Device in Spinal Cord, Percutaneous Approach |
| 00WV33Z | Revision of Infusion Device in Spinal Cord, Percutaneous Approach |
| 00WV37Z | Revision of Autologous Tissue Substitute in Spinal Cord, Percutaneous Approach |
| 00WV3JZ | Revision of Synthetic Substitute in Spinal Cord, Percutaneous Approach |
| 00WV3KZ | Revision of Nonautologous Tissue Substitute in Spinal Cord, Percutaneous Approach |
| 00WV3MZ | Revision of Neurostimulator Lead in Spinal Cord, Percutaneous Approach |
| 00WV40Z | Revision of Drainage Device in Spinal Cord, Percutaneous Endoscopic Approach |
| 00WV42Z | Revision of Monitoring Device in Spinal Cord, Percutaneous Endoscopic Approach |
| 00WV43Z | Revision of Infusion Device in Spinal Cord, Percutaneous Endoscopic Approach |
| 00WV47Z | Revision of Autologous Tissue Substitute in Spinal Cord, Percutaneous Endoscopic Approach |
| 00WV4JZ | Revision of Synthetic Substitute in Spinal Cord, Percutaneous Endoscopic Approach |
| 00WV4KZ | Revision of Nonautologous Tissue Substitute in Spinal Cord, Percutaneous Endoscopic Approach |
| 00WV4MZ | Revision of Neurostimulator Lead in Spinal Cord, Percutaneous Endoscopic 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 |
| 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 |
| 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 |
| 03CY0ZZ | Extirpation of Matter from Upper Artery, Open Approach |
| 03CY3ZZ | Extirpation of Matter from Upper Artery, Percutaneous Approach |
| 03CY4ZZ | Extirpation of Matter from Upper Artery, Percutaneous Endoscopic Approach |
| 03QY0ZZ | Repair Upper Artery, Open Approach |
| 03QY3ZZ | Repair Upper Artery, Percutaneous Approach |
| 03QY4ZZ | Repair Upper 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 |
| 041L09J | Bypass Left Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach |
| 041L09K | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach |
| 041L09L | Bypass Left Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach |
| 041L0AH | Bypass Left Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Open Approach |
| 041L0AJ | Bypass Left Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Open Approach |
| 041L0AK | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach |
| 041L0AL | Bypass Left Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach |
| 041L0JH | Bypass Left Femoral Artery to Right Femoral Artery with Synthetic Substitute, Open Approach |
| 041L0JJ | Bypass Left Femoral Artery to Left Femoral Artery with Synthetic Substitute, Open Approach |
| 041L0JK | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach |
| 041L0JL | Bypass Left Femoral Artery to Popliteal Artery with Synthetic Substitute, Open Approach |
| 041L0KH | Bypass Left Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 041L0KJ | Bypass Left Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach |
| 041L0KK | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach |
| 041L0KL | Bypass Left Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach |
| 041L0ZH | Bypass Left Femoral Artery to Right Femoral Artery, Open Approach |
| 041L0ZJ | Bypass Left Femoral Artery to Left Femoral Artery, Open Approach |
| 041L0ZK | Bypass Left Femoral Artery to Bilateral Femoral Arteries, Open Approach |
| 041L0ZL | Bypass Left Femoral Artery to Popliteal Artery, Open Approach |
| 041L49H | Bypass Left Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041L49J | Bypass Left Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041L49K | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041L49L | Bypass Left Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 041L4AH | Bypass Left Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041L4AJ | Bypass Left Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041L4AK | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041L4AL | Bypass Left Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 041L4JH | Bypass Left Femoral Artery to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041L4JJ | Bypass Left Femoral Artery to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041L4JK | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041L4JL | Bypass Left Femoral Artery to Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 041L4KH | Bypass Left Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041L4KJ | Bypass Left Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041L4KK | Bypass Left Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041L4KL | Bypass Left Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 041L4ZH | Bypass Left Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach |
| 041L4ZJ | Bypass Left Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach |
| 041L4ZK | Bypass Left Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach |
| 041L4ZL | Bypass Left Femoral Artery to Popliteal 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 |
| 04783DZ | Dilation of Middle Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04783EZ | Dilation of Middle Colic Artery with Two Intraluminal Devices, Percutaneous Approach |
| 04783FZ | Dilation of Middle Colic Artery with Three Intraluminal Devices, Percutaneous Approach |
| 04783GZ | Dilation of Middle Colic Artery with Four or More Intraluminal Devices, Percutaneous Approach |
| 04783Z1 | Dilation of Middle Colic Artery using Drug-Coated Balloon, Percutaneous Approach |
| 04783ZZ | Dilation of Middle Colic Artery, Percutaneous Approach |
| 0479341 | Dilation of Right Renal Artery with Drug-eluting Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 047934Z | Dilation of Right Renal Artery with Drug-eluting Intraluminal Device, Percutaneous Approach |
| 047935Z | Dilation of Right Renal Artery with Two Drug-eluting Intraluminal Devices, Percutaneous Approach |
| 047936Z | Dilation of Right Renal Artery with Three Drug-eluting Intraluminal Devices, Percutaneous Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 16 Mar 2022 17:08:13 CMS, code-revision=333, description-revision=1331 |