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 11 Diseases and disorders of the kidney and urinary tract |
| Other kidney and urinary tract procedures |
| Page 1 of 5 |
| MCC | CC | DRG |
|---|---|---|
| Yes | n/a | 673 |
| No | Yes | 674 |
| No | No | 675 |
DRG 673 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC
DRG 674 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC
DRG 675 OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC
OPERATING ROOM PROCEDURES
00HE0MZ 04713FZ 04S60ZZ 0FN04ZZ 0QBH0ZX
| 00HE0MZ | Insertion of Neurostimulator Lead into Cranial Nerve, Open Approach |
| 00HE3MZ | Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Approach |
| 00HE4MZ | Insertion of Neurostimulator Lead into Cranial Nerve, Percutaneous Endoscopic Approach |
| 00HU0MZ | Insertion of Neurostimulator Lead into Spinal Canal, Open Approach |
| 00HU3MZ | Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Approach |
| 00HU4MZ | Insertion of Neurostimulator Lead into Spinal Canal, Percutaneous Endoscopic Approach |
| 00HV0MZ | Insertion of Neurostimulator Lead into Spinal Cord, Open Approach |
| 00HV3MZ | Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Approach |
| 00HV4MZ | Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Endoscopic Approach |
| 00PU0MZ | Removal of Neurostimulator Lead from Spinal Canal, Open Approach |
| 00PU3MZ | Removal of Neurostimulator Lead from Spinal Canal, Percutaneous Approach |
| 00PU4MZ | Removal of Neurostimulator Lead from Spinal Canal, Percutaneous Endoscopic Approach |
| 00PV0MZ | Removal of Neurostimulator Lead from Spinal Cord, Open Approach |
| 00PV3MZ | Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Approach |
| 00PV4MZ | Removal of Neurostimulator Lead from Spinal Cord, Percutaneous Endoscopic Approach |
| 01HY0MZ | Insertion of Neurostimulator Lead into Peripheral Nerve, Open Approach |
| 01HY3MZ | Insertion of Neurostimulator Lead into Peripheral Nerve, Percutaneous Approach |
| 01HY4MZ | Insertion of Neurostimulator Lead into Peripheral Nerve, 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 |
| 02JA0ZZ | Inspection of Heart, Open Approach |
| 02JY0ZZ | Inspection of Great Vessel, Open 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 |
| 02UW3JZ | Supplement Thoracic Aorta, Descending with Synthetic Substitute, Percutaneous Approach |
| 02UW4JZ | Supplement Thoracic Aorta, Descending with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 02UX3JZ | Supplement Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Percutaneous Approach |
| 02UX4JZ | Supplement Thoracic Aorta, Ascending/Arch with Synthetic Substitute, 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 |
| 02VW0DZ | Restriction of Thoracic Aorta, Descending with Intraluminal Device, Open Approach |
| 02VW0EZ | Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 02VW0FZ | Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach |
| 02VW3DZ | Restriction of Thoracic Aorta, Descending with Intraluminal Device, Percutaneous Approach |
| 02VW3EZ | Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 02VW3FZ | Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach |
| 02VW4DZ | Restriction of Thoracic Aorta, Descending with Intraluminal Device, Percutaneous Endoscopic Approach |
| 02VW4EZ | Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 02VW4FZ | Restriction of Thoracic Aorta, Descending with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach |
| 02VX0DZ | Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Open Approach |
| 02VX0EZ | Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 02VX0FZ | Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach |
| 02VX3DZ | Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Percutaneous Approach |
| 02VX3EZ | Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 02VX3FZ | Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach |
| 02VX4DZ | Restriction of Thoracic Aorta, Ascending/Arch with Intraluminal Device, Percutaneous Endoscopic Approach |
| 02VX4EZ | Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 02VX4FZ | Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach |
| 03130ZD | Bypass Right Subclavian Artery to Upper Arm Vein, Open Approach |
| 03140ZD | Bypass Left Subclavian Artery to Upper Arm Vein, Open Approach |
| 03150ZD | Bypass Right Axillary Artery to Upper Arm Vein, Open Approach |
| 03150ZT | Bypass Right Axillary Artery to Abdominal Artery, Open Approach |
| 03150ZV | Bypass Right Axillary Artery to Superior Vena Cava, Open Approach |
| 03160ZD | Bypass Left Axillary Artery to Upper Arm Vein, Open Approach |
| 03160ZT | Bypass Left Axillary Artery to Abdominal Artery, Open Approach |
| 03160ZV | Bypass Left Axillary Artery to Superior Vena Cava, Open Approach |
| 031709D | Bypass Right Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach |
| 031709F | Bypass Right Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031709V | Bypass Right Brachial Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach |
| 03170AD | Bypass Right Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03170AF | Bypass Right Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03170AV | Bypass Right Brachial Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach |
| 03170JD | Bypass Right Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach |
| 03170JF | Bypass Right Brachial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03170JV | Bypass Right Brachial Artery to Superior Vena Cava with Synthetic Substitute, Open Approach |
| 03170KD | Bypass Right Brachial Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03170KF | Bypass Right Brachial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03170KV | Bypass Right Brachial Artery to Superior Vena Cava with Nonautologous Tissue Substitute, Open Approach |
| 03170ZD | Bypass Right Brachial Artery to Upper Arm Vein, Open Approach |
| 03170ZF | Bypass Right Brachial Artery to Lower Arm Vein, Open Approach |
| 03170ZV | Bypass Right Brachial Artery to Superior Vena Cava, Open Approach |
| 03173ZF | Bypass Right Brachial Artery to Lower Arm Vein, Percutaneous Approach |
| 031809D | Bypass Left Brachial Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach |
| 031809F | Bypass Left Brachial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031809V | Bypass Left Brachial Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach |
| 03180AD | Bypass Left Brachial Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03180AF | Bypass Left Brachial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03180AV | Bypass Left Brachial Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach |
| 03180JD | Bypass Left Brachial Artery to Upper Arm Vein with Synthetic Substitute, Open Approach |
| 03180JF | Bypass Left Brachial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03180JV | Bypass Left Brachial Artery to Superior Vena Cava with Synthetic Substitute, Open Approach |
| 03180KD | Bypass Left Brachial Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03180KF | Bypass Left Brachial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03180KV | Bypass Left Brachial Artery to Superior Vena Cava with Nonautologous Tissue Substitute, Open Approach |
| 03180ZD | Bypass Left Brachial Artery to Upper Arm Vein, Open Approach |
| 03180ZF | Bypass Left Brachial Artery to Lower Arm Vein, Open Approach |
| 03180ZV | Bypass Left Brachial Artery to Superior Vena Cava, Open Approach |
| 03183ZF | Bypass Left Brachial Artery to Lower Arm Vein, Percutaneous Approach |
| 031909F | Bypass Right Ulnar Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 03190AF | Bypass Right Ulnar Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03190JF | Bypass Right Ulnar Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03190KF | Bypass Right Ulnar Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03190ZF | Bypass Right Ulnar Artery to Lower Arm Vein, Open Approach |
| 03193ZF | Bypass Right Ulnar Artery to Lower Arm Vein, Percutaneous Approach |
| 031A09F | Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031A0AF | Bypass Left Ulnar Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 031A0JF | Bypass Left Ulnar Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 031A0KF | Bypass Left Ulnar Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 031A0ZF | Bypass Left Ulnar Artery to Lower Arm Vein, Open Approach |
| 031A3ZF | Bypass Left Ulnar Artery to Lower Arm Vein, Percutaneous Approach |
| 031B09F | Bypass Right Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031B0AF | Bypass Right Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 031B0JF | Bypass Right Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 031B0KF | Bypass Right Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 031B0ZF | Bypass Right Radial Artery to Lower Arm Vein, Open Approach |
| 031B3ZF | Bypass Right Radial Artery to Lower Arm Vein, Percutaneous Approach |
| 031C09F | Bypass Left Radial Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031C0AF | Bypass Left Radial Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 031C0JF | Bypass Left Radial Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 031C0KF | Bypass Left Radial Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 031C0ZF | Bypass Left Radial Artery to Lower Arm Vein, Open Approach |
| 031C3ZF | Bypass Left Radial Artery to Lower Arm Vein, Percutaneous 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 |
| 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 |
| 03LG0BZ | Occlusion of Intracranial Artery with Bioactive Intraluminal Device, Open Approach |
| 03LG0DZ | Occlusion of Intracranial Artery with Intraluminal Device, Open Approach |
| 03LG3BZ | Occlusion of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LG3DZ | Occlusion of Intracranial Artery with Intraluminal Device, Percutaneous Approach |
| 03LG4BZ | Occlusion of Intracranial Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LG4DZ | Occlusion of Intracranial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LH0BZ | Occlusion of Right Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03LH0DZ | Occlusion of Right Common Carotid Artery with Intraluminal Device, Open Approach |
| 03LH3BZ | Occlusion of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LH3DZ | Occlusion of Right Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03LH4BZ | Occlusion of Right Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LH4DZ | Occlusion of Right Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LJ0BZ | Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03LJ0DZ | Occlusion of Left Common Carotid Artery with Intraluminal Device, Open Approach |
| 03LJ3BZ | Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LJ3DZ | Occlusion of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03LJ4BZ | Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LJ4DZ | Occlusion of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LK0BZ | Occlusion of Right Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03LK0DZ | Occlusion of Right Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03LK3BZ | Occlusion of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LK3DZ | Occlusion of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03LK4BZ | Occlusion of Right Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LK4DZ | Occlusion of Right Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LL0BZ | Occlusion of Left Internal Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03LL0DZ | Occlusion of Left Internal Carotid Artery with Intraluminal Device, Open Approach |
| 03LL3BZ | Occlusion of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LL3DZ | Occlusion of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03LL4BZ | Occlusion of Left Internal Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LL4DZ | Occlusion of Left Internal Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LM0BZ | Occlusion of Right External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03LM0DZ | Occlusion of Right External Carotid Artery with Intraluminal Device, Open Approach |
| 03LM3BZ | Occlusion of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LM3DZ | Occlusion of Right External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03LM4BZ | Occlusion of Right External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LM4DZ | Occlusion of Right External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LN0BZ | Occlusion of Left External Carotid Artery with Bioactive Intraluminal Device, Open Approach |
| 03LN0DZ | Occlusion of Left External Carotid Artery with Intraluminal Device, Open Approach |
| 03LN3BZ | Occlusion of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LN3DZ | Occlusion of Left External Carotid Artery with Intraluminal Device, Percutaneous Approach |
| 03LN4BZ | Occlusion of Left External Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LN4DZ | Occlusion of Left External Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LP0BZ | Occlusion of Right Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03LP0DZ | Occlusion of Right Vertebral Artery with Intraluminal Device, Open Approach |
| 03LP3BZ | Occlusion of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LP3DZ | Occlusion of Right Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03LP4BZ | Occlusion of Right Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LP4DZ | Occlusion of Right Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LQ0BZ | Occlusion of Left Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03LQ0DZ | Occlusion of Left Vertebral Artery with Intraluminal Device, Open Approach |
| 03LQ3BZ | Occlusion of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Approach |
| 03LQ3DZ | Occlusion of Left Vertebral Artery with Intraluminal Device, Percutaneous Approach |
| 03LQ4BZ | Occlusion of Left Vertebral Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LQ4DZ | Occlusion of Left Vertebral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LR0DZ | Occlusion of Face Artery with Intraluminal Device, Open Approach |
| 03LR3DZ | Occlusion of Face Artery with Intraluminal Device, Percutaneous Approach |
| 03LR4DZ | Occlusion of Face Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LS0DZ | Occlusion of Right Temporal Artery with Intraluminal Device, Open Approach |
| 03LS3DZ | Occlusion of Right Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03LS4DZ | Occlusion of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03LT0DZ | Occlusion of Left Temporal Artery with Intraluminal Device, Open Approach |
| 03LT3DZ | Occlusion of Left Temporal Artery with Intraluminal Device, Percutaneous Approach |
| 03LT4DZ | Occlusion of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 03PY07Z | Removal of Autologous Tissue Substitute from Upper Artery, Open Approach |
| 03PY0JZ | Removal of Synthetic Substitute from Upper Artery, Open Approach |
| 03PY0KZ | Removal of Nonautologous Tissue Substitute from Upper Artery, Open Approach |
| 03PY37Z | Removal of Autologous Tissue Substitute from Upper Artery, Percutaneous Approach |
| 03PY3JZ | Removal of Synthetic Substitute from Upper Artery, Percutaneous Approach |
| 03PY3KZ | Removal of Nonautologous Tissue Substitute from Upper Artery, Percutaneous Approach |
| 03PY47Z | Removal of Autologous Tissue Substitute from Upper Artery, Percutaneous Endoscopic Approach |
| 03PY4JZ | Removal of Synthetic Substitute from Upper Artery, Percutaneous Endoscopic Approach |
| 03PY4KZ | Removal of Nonautologous Tissue Substitute 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 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 |
| 03VP0BZ | Restriction of Right Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VP0DZ | Restriction of Right Vertebral Artery with Intraluminal Device, 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 |
| 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 |
| 03VQ0BZ | Restriction of Left Vertebral Artery with Bioactive Intraluminal Device, Open Approach |
| 03VQ0DZ | Restriction of Left Vertebral Artery with Intraluminal Device, 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 |
| 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 |
| 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 |
| 03WY0JZ | Revision of Synthetic Substitute in Upper Artery, Open Approach |
| 03WY3JZ | Revision of Synthetic Substitute in Upper Artery, Percutaneous Approach |
| 03WY4JZ | Revision of Synthetic Substitute in Upper Artery, Percutaneous Endoscopic Approach |
| 04590ZZ | Destruction of Right Renal Artery, Open Approach |
| 04593ZZ | Destruction of Right Renal Artery, Percutaneous Approach |
| 04594ZZ | Destruction of Right Renal Artery, Percutaneous Endoscopic Approach |
| 045A0ZZ | Destruction of Left Renal Artery, Open Approach |
| 045A3ZZ | Destruction of Left Renal Artery, Percutaneous Approach |
| 045A4ZZ | Destruction of Left Renal 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 |
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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 |