DRAFT

ICD-10-CM/PCS MS-DRG v40.0 Definitions Manual

MDC 05 Diseases and disorders of the circulatory system

Other major cardiovascular procedures

Page 3 of 10

MAJOR CARDIOVASCULAR PROCEDURES (continued)

OPERATING ROOM PROCEDURES

02160Z7 02LS4ZZ 03LJ4DZ 04104KD 041D4J6 041J0AH 04LH4DZ 05B30ZZ 06184J4 06RD07Z

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
03V00DZ	Restriction of Right Internal Mammary Artery with Intraluminal Device, Open Approach
03V00ZZ	Restriction of Right Internal Mammary Artery, Open Approach
03V03DZ	Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Approach
03V03ZZ	Restriction of Right Internal Mammary Artery, Percutaneous Approach
03V04DZ	Restriction of Right Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V04ZZ	Restriction of Right Internal Mammary Artery, Percutaneous Endoscopic Approach
03V10DZ	Restriction of Left Internal Mammary Artery with Intraluminal Device, Open Approach
03V10ZZ	Restriction of Left Internal Mammary Artery, Open Approach
03V13DZ	Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Approach
03V13ZZ	Restriction of Left Internal Mammary Artery, Percutaneous Approach
03V14DZ	Restriction of Left Internal Mammary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V14ZZ	Restriction of Left Internal Mammary Artery, Percutaneous Endoscopic Approach
03V20DZ	Restriction of Innominate Artery with Intraluminal Device, Open Approach
03V20ZZ	Restriction of Innominate Artery, Open Approach
03V23DZ	Restriction of Innominate Artery with Intraluminal Device, Percutaneous Approach
03V23ZZ	Restriction of Innominate Artery, Percutaneous Approach
03V24DZ	Restriction of Innominate Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V24ZZ	Restriction of Innominate Artery, Percutaneous Endoscopic Approach
03V30DZ	Restriction of Right Subclavian Artery with Intraluminal Device, Open Approach
03V30ZZ	Restriction of Right Subclavian Artery, Open Approach
03V33DZ	Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Approach
03V33ZZ	Restriction of Right Subclavian Artery, Percutaneous Approach
03V34DZ	Restriction of Right Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V34ZZ	Restriction of Right Subclavian Artery, Percutaneous Endoscopic Approach
03V40DZ	Restriction of Left Subclavian Artery with Intraluminal Device, Open Approach
03V40ZZ	Restriction of Left Subclavian Artery, Open Approach
03V43DZ	Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach
03V43ZZ	Restriction of Left Subclavian Artery, Percutaneous Approach
03V44DZ	Restriction of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V44ZZ	Restriction of Left Subclavian Artery, Percutaneous Endoscopic Approach
03V50DZ	Restriction of Right Axillary Artery with Intraluminal Device, Open Approach
03V50ZZ	Restriction of Right Axillary Artery, Open Approach
03V53DZ	Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Approach
03V53ZZ	Restriction of Right Axillary Artery, Percutaneous Approach
03V54DZ	Restriction of Right Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V54ZZ	Restriction of Right Axillary Artery, Percutaneous Endoscopic Approach
03V60DZ	Restriction of Left Axillary Artery with Intraluminal Device, Open Approach
03V60ZZ	Restriction of Left Axillary Artery, Open Approach
03V63DZ	Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Approach
03V63ZZ	Restriction of Left Axillary Artery, Percutaneous Approach
03V64DZ	Restriction of Left Axillary Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V64ZZ	Restriction of Left Axillary Artery, Percutaneous Endoscopic Approach
03V70DZ	Restriction of Right Brachial Artery with Intraluminal Device, Open Approach
03V70ZZ	Restriction of Right Brachial Artery, Open Approach
03V73DZ	Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Approach
03V73ZZ	Restriction of Right Brachial Artery, Percutaneous Approach
03V74DZ	Restriction of Right Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V74ZZ	Restriction of Right Brachial Artery, Percutaneous Endoscopic Approach
03V80DZ	Restriction of Left Brachial Artery with Intraluminal Device, Open Approach
03V80ZZ	Restriction of Left Brachial Artery, Open Approach
03V83DZ	Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Approach
03V83ZZ	Restriction of Left Brachial Artery, Percutaneous Approach
03V84DZ	Restriction of Left Brachial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V84ZZ	Restriction of Left Brachial Artery, Percutaneous Endoscopic Approach
03V90DZ	Restriction of Right Ulnar Artery with Intraluminal Device, Open Approach
03V90ZZ	Restriction of Right Ulnar Artery, Open Approach
03V93DZ	Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Approach
03V93ZZ	Restriction of Right Ulnar Artery, Percutaneous Approach
03V94DZ	Restriction of Right Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03V94ZZ	Restriction of Right Ulnar Artery, Percutaneous Endoscopic Approach
03VA0DZ	Restriction of Left Ulnar Artery with Intraluminal Device, Open Approach
03VA0ZZ	Restriction of Left Ulnar Artery, Open Approach
03VA3DZ	Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Approach
03VA3ZZ	Restriction of Left Ulnar Artery, Percutaneous Approach
03VA4DZ	Restriction of Left Ulnar Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VA4ZZ	Restriction of Left Ulnar Artery, Percutaneous Endoscopic Approach
03VB0DZ	Restriction of Right Radial Artery with Intraluminal Device, Open Approach
03VB0ZZ	Restriction of Right Radial Artery, Open Approach
03VB3DZ	Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Approach
03VB3ZZ	Restriction of Right Radial Artery, Percutaneous Approach
03VB4DZ	Restriction of Right Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VB4ZZ	Restriction of Right Radial Artery, Percutaneous Endoscopic Approach
03VC0DZ	Restriction of Left Radial Artery with Intraluminal Device, Open Approach
03VC0ZZ	Restriction of Left Radial Artery, Open Approach
03VC3DZ	Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Approach
03VC3ZZ	Restriction of Left Radial Artery, Percutaneous Approach
03VC4DZ	Restriction of Left Radial Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VC4ZZ	Restriction of Left Radial Artery, Percutaneous Endoscopic Approach
03VD0DZ	Restriction of Right Hand Artery with Intraluminal Device, Open Approach
03VD0ZZ	Restriction of Right Hand Artery, Open Approach
03VD3DZ	Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Approach
03VD3ZZ	Restriction of Right Hand Artery, Percutaneous Approach
03VD4DZ	Restriction of Right Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VD4ZZ	Restriction of Right Hand Artery, Percutaneous Endoscopic Approach
03VF0DZ	Restriction of Left Hand Artery with Intraluminal Device, Open Approach
03VF0ZZ	Restriction of Left Hand Artery, Open Approach
03VF3DZ	Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Approach
03VF3ZZ	Restriction of Left Hand Artery, Percutaneous Approach
03VF4DZ	Restriction of Left Hand Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VF4ZZ	Restriction of Left Hand 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
03VG0ZZ	Restriction of Intracranial Artery, 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
03VG3ZZ	Restriction of Intracranial Artery, 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
03VG4ZZ	Restriction of Intracranial Artery, 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
03VH0ZZ	Restriction of Right Common Carotid Artery, 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
03VH3ZZ	Restriction of Right Common Carotid Artery, 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
03VH4ZZ	Restriction of Right Common Carotid Artery, 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
03VJ0ZZ	Restriction of Left Common Carotid Artery, 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
03VJ3ZZ	Restriction of Left Common Carotid Artery, 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
03VJ4ZZ	Restriction of Left Common Carotid Artery, 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
03VK0ZZ	Restriction of Right Internal Carotid Artery, 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
03VK3ZZ	Restriction of Right Internal Carotid Artery, 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
03VK4ZZ	Restriction of Right Internal Carotid Artery, 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
03VL0ZZ	Restriction of Left Internal Carotid Artery, 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
03VL3ZZ	Restriction of Left Internal Carotid Artery, 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
03VL4ZZ	Restriction of Left Internal Carotid Artery, 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
03VM0ZZ	Restriction of Right External Carotid Artery, 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
03VM3ZZ	Restriction of Right External Carotid Artery, 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
03VM4ZZ	Restriction of Right External Carotid Artery, 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
03VN0ZZ	Restriction of Left External Carotid Artery, 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
03VN3ZZ	Restriction of Left External Carotid Artery, 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
03VN4ZZ	Restriction of Left External Carotid Artery, 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
03VP0ZZ	Restriction of Right Vertebral Artery, 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
03VP3ZZ	Restriction of Right Vertebral Artery, 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
03VP4ZZ	Restriction of Right Vertebral Artery, 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
03VQ0ZZ	Restriction of Left Vertebral Artery, 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
03VQ3ZZ	Restriction of Left Vertebral Artery, 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
03VQ4ZZ	Restriction of Left Vertebral Artery, Percutaneous Endoscopic Approach
03VR0DZ	Restriction of Face Artery with Intraluminal Device, Open Approach
03VR0ZZ	Restriction of Face Artery, Open Approach
03VR3DZ	Restriction of Face Artery with Intraluminal Device, Percutaneous Approach
03VR3ZZ	Restriction of Face Artery, Percutaneous Approach
03VR4DZ	Restriction of Face Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VR4ZZ	Restriction of Face Artery, Percutaneous Endoscopic Approach
03VS0DZ	Restriction of Right Temporal Artery with Intraluminal Device, Open Approach
03VS0ZZ	Restriction of Right Temporal Artery, Open Approach
03VS3DZ	Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Approach
03VS3ZZ	Restriction of Right Temporal Artery, Percutaneous Approach
03VS4DZ	Restriction of Right Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VS4ZZ	Restriction of Right Temporal Artery, Percutaneous Endoscopic Approach
03VT0DZ	Restriction of Left Temporal Artery with Intraluminal Device, Open Approach
03VT0ZZ	Restriction of Left Temporal Artery, Open Approach
03VT3DZ	Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Approach
03VT3ZZ	Restriction of Left Temporal Artery, Percutaneous Approach
03VT4DZ	Restriction of Left Temporal Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VT4ZZ	Restriction of Left Temporal Artery, Percutaneous Endoscopic Approach
03VU0DZ	Restriction of Right Thyroid Artery with Intraluminal Device, Open Approach
03VU0ZZ	Restriction of Right Thyroid Artery, Open Approach
03VU3DZ	Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Approach
03VU3ZZ	Restriction of Right Thyroid Artery, Percutaneous Approach
03VU4DZ	Restriction of Right Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VU4ZZ	Restriction of Right Thyroid Artery, Percutaneous Endoscopic Approach
03VV0DZ	Restriction of Left Thyroid Artery with Intraluminal Device, Open Approach
03VV0ZZ	Restriction of Left Thyroid Artery, Open Approach
03VV3DZ	Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Approach
03VV3ZZ	Restriction of Left Thyroid Artery, Percutaneous Approach
03VV4DZ	Restriction of Left Thyroid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VV4ZZ	Restriction of Left Thyroid Artery, Percutaneous Endoscopic Approach
03VY0DZ	Restriction of Upper Artery with Intraluminal Device, Open Approach
03VY0ZZ	Restriction of Upper Artery, Open Approach
03VY3DZ	Restriction of Upper Artery with Intraluminal Device, Percutaneous Approach
03VY3ZZ	Restriction of Upper Artery, Percutaneous Approach
03VY4DZ	Restriction of Upper Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03VY4ZZ	Restriction of Upper Artery, Percutaneous Endoscopic Approach
0410090	Bypass Abdominal Aorta to Abdominal Aorta with Autologous Venous Tissue, Open Approach
0410091	Bypass Abdominal Aorta to Celiac Artery with Autologous Venous Tissue, Open Approach
0410092	Bypass Abdominal Aorta to Mesenteric Artery with Autologous Venous Tissue, Open Approach
0410096	Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Venous Tissue, Open Approach
0410097	Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Venous Tissue, Open Approach
0410098	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Venous Tissue, Open Approach
0410099	Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041009B	Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Venous Tissue, Open Approach
041009C	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Open Approach
041009D	Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Venous Tissue, Open Approach
041009F	Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Venous Tissue, Open Approach
041009G	Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Venous Tissue, Open Approach
041009H	Bypass Abdominal Aorta to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041009J	Bypass Abdominal Aorta to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041009K	Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041009Q	Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Venous Tissue, Open Approach
041009R	Bypass Abdominal Aorta to Lower Artery with Autologous Venous Tissue, Open Approach
04100A0	Bypass Abdominal Aorta to Abdominal Aorta with Autologous Arterial Tissue, Open Approach
04100A1	Bypass Abdominal Aorta to Celiac Artery with Autologous Arterial Tissue, Open Approach
04100A2	Bypass Abdominal Aorta to Mesenteric Artery with Autologous Arterial Tissue, Open Approach
04100A6	Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Arterial Tissue, Open Approach
04100A7	Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Arterial Tissue, Open Approach
04100A8	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Arterial Tissue, Open Approach
04100A9	Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Arterial Tissue, Open Approach
04100AB	Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Arterial Tissue, Open Approach
04100AC	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Arterial Tissue, Open Approach
04100AD	Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Arterial Tissue, Open Approach
04100AF	Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Arterial Tissue, Open Approach
04100AG	Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Arterial Tissue, Open Approach
04100AH	Bypass Abdominal Aorta to Right Femoral Artery with Autologous Arterial Tissue, Open Approach
04100AJ	Bypass Abdominal Aorta to Left Femoral Artery with Autologous Arterial Tissue, Open Approach
04100AK	Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach
04100AQ	Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Arterial Tissue, Open Approach
04100AR	Bypass Abdominal Aorta to Lower Artery with Autologous Arterial Tissue, Open Approach
04100J0	Bypass Abdominal Aorta to Abdominal Aorta with Synthetic Substitute, Open Approach
04100J1	Bypass Abdominal Aorta to Celiac Artery with Synthetic Substitute, Open Approach
04100J2	Bypass Abdominal Aorta to Mesenteric Artery with Synthetic Substitute, Open Approach
04100J6	Bypass Abdominal Aorta to Right Common Iliac Artery with Synthetic Substitute, Open Approach
04100J7	Bypass Abdominal Aorta to Left Common Iliac Artery with Synthetic Substitute, Open Approach
04100J8	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Synthetic Substitute, Open Approach
04100J9	Bypass Abdominal Aorta to Right Internal Iliac Artery with Synthetic Substitute, Open Approach
04100JB	Bypass Abdominal Aorta to Left Internal Iliac Artery with Synthetic Substitute, Open Approach
04100JC	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Open Approach
04100JD	Bypass Abdominal Aorta to Right External Iliac Artery with Synthetic Substitute, Open Approach
04100JF	Bypass Abdominal Aorta to Left External Iliac Artery with Synthetic Substitute, Open Approach
04100JG	Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Synthetic Substitute, Open Approach
04100JH	Bypass Abdominal Aorta to Right Femoral Artery with Synthetic Substitute, Open Approach
04100JJ	Bypass Abdominal Aorta to Left Femoral Artery with Synthetic Substitute, Open Approach
04100JK	Bypass Abdominal Aorta to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach
04100JQ	Bypass Abdominal Aorta to Lower Extremity Artery with Synthetic Substitute, Open Approach
04100JR	Bypass Abdominal Aorta to Lower Artery with Synthetic Substitute, Open Approach
04100K0	Bypass Abdominal Aorta to Abdominal Aorta with Nonautologous Tissue Substitute, Open Approach
04100K1	Bypass Abdominal Aorta to Celiac Artery with Nonautologous Tissue Substitute, Open Approach
04100K2	Bypass Abdominal Aorta to Mesenteric Artery with Nonautologous Tissue Substitute, Open Approach
04100K6	Bypass Abdominal Aorta to Right Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04100K7	Bypass Abdominal Aorta to Left Common Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04100K8	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Open Approach
04100K9	Bypass Abdominal Aorta to Right Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04100KB	Bypass Abdominal Aorta to Left Internal Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04100KC	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Nonautologous Tissue Substitute, Open Approach
04100KD	Bypass Abdominal Aorta to Right External Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04100KF	Bypass Abdominal Aorta to Left External Iliac Artery with Nonautologous Tissue Substitute, Open Approach
04100KG	Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Nonautologous Tissue Substitute, Open Approach
04100KH	Bypass Abdominal Aorta to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach
04100KJ	Bypass Abdominal Aorta to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach
04100KK	Bypass Abdominal Aorta to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach
04100KQ	Bypass Abdominal Aorta to Lower Extremity Artery with Nonautologous Tissue Substitute, Open Approach
04100KR	Bypass Abdominal Aorta to Lower Artery with Nonautologous Tissue Substitute, Open Approach
04100Z0	Bypass Abdominal Aorta to Abdominal Aorta, Open Approach
04100Z1	Bypass Abdominal Aorta to Celiac Artery, Open Approach
04100Z2	Bypass Abdominal Aorta to Mesenteric Artery, Open Approach
04100Z6	Bypass Abdominal Aorta to Right Common Iliac Artery, Open Approach
04100Z7	Bypass Abdominal Aorta to Left Common Iliac Artery, Open Approach
04100Z8	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries, Open Approach
04100Z9	Bypass Abdominal Aorta to Right Internal Iliac Artery, Open Approach
04100ZB	Bypass Abdominal Aorta to Left Internal Iliac Artery, Open Approach
04100ZC	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries, Open Approach
04100ZD	Bypass Abdominal Aorta to Right External Iliac Artery, Open Approach
04100ZF	Bypass Abdominal Aorta to Left External Iliac Artery, Open Approach
04100ZG	Bypass Abdominal Aorta to Bilateral External Iliac Arteries, Open Approach
04100ZH	Bypass Abdominal Aorta to Right Femoral Artery, Open Approach
04100ZJ	Bypass Abdominal Aorta to Left Femoral Artery, Open Approach
04100ZK	Bypass Abdominal Aorta to Bilateral Femoral Arteries, Open Approach
04100ZQ	Bypass Abdominal Aorta to Lower Extremity Artery, Open Approach
04100ZR	Bypass Abdominal Aorta to Lower Artery, Open Approach
0410490	Bypass Abdominal Aorta to Abdominal Aorta with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410491	Bypass Abdominal Aorta to Celiac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410492	Bypass Abdominal Aorta to Mesenteric Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410496	Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410497	Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410498	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
0410499	Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049B	Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049C	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049D	Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049F	Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049G	Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049H	Bypass Abdominal Aorta to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049J	Bypass Abdominal Aorta to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049K	Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049Q	Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041049R	Bypass Abdominal Aorta to Lower Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
04104A0	Bypass Abdominal Aorta to Abdominal Aorta with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A1	Bypass Abdominal Aorta to Celiac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A2	Bypass Abdominal Aorta to Mesenteric Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A6	Bypass Abdominal Aorta to Right Common Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A7	Bypass Abdominal Aorta to Left Common Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A8	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104A9	Bypass Abdominal Aorta to Right Internal Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AB	Bypass Abdominal Aorta to Left Internal Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AC	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AD	Bypass Abdominal Aorta to Right External Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AF	Bypass Abdominal Aorta to Left External Iliac Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AG	Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AH	Bypass Abdominal Aorta to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AJ	Bypass Abdominal Aorta to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AK	Bypass Abdominal Aorta to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AQ	Bypass Abdominal Aorta to Lower Extremity Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104AR	Bypass Abdominal Aorta to Lower Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
04104J0	Bypass Abdominal Aorta to Abdominal Aorta with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J1	Bypass Abdominal Aorta to Celiac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J2	Bypass Abdominal Aorta to Mesenteric Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J6	Bypass Abdominal Aorta to Right Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J7	Bypass Abdominal Aorta to Left Common Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J8	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
04104J9	Bypass Abdominal Aorta to Right Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JB	Bypass Abdominal Aorta to Left Internal Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JC	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JD	Bypass Abdominal Aorta to Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JF	Bypass Abdominal Aorta to Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JG	Bypass Abdominal Aorta to Bilateral External Iliac Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JH	Bypass Abdominal Aorta to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JJ	Bypass Abdominal Aorta to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JK	Bypass Abdominal Aorta to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JQ	Bypass Abdominal Aorta to Lower Extremity Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104JR	Bypass Abdominal Aorta to Lower Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
04104K0	Bypass Abdominal Aorta to Abdominal Aorta with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K1	Bypass Abdominal Aorta to Celiac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K2	Bypass Abdominal Aorta to Mesenteric Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K6	Bypass Abdominal Aorta to Right Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K7	Bypass Abdominal Aorta to Left Common Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K8	Bypass Abdominal Aorta to Bilateral Common Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104K9	Bypass Abdominal Aorta to Right Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104KB	Bypass Abdominal Aorta to Left Internal Iliac Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
04104KC	Bypass Abdominal Aorta to Bilateral Internal Iliac Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic 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