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 05 Diseases and disorders of the circulatory system |
| Other vascular procedures |
| Page 2 of 23 |
OPERATING ROOM PROCEDURES (continued)
00HE0MZ 02VS3CZ 03160AD 03740GZ 037J0DZ 039U0ZX 03LB3ZZ 03RP4JZ 03UY47Z 041N0ZQ 047504Z 047H0DZ 047U0ZZ 04H44DZ 04QS0ZZ 04UQ4JZ 051V0AY 05BD0ZX 05LS4CZ 05U93KZ 061V4AY 06N14ZZ 06V73CZ
| 02VS3CZ | Restriction of Right Pulmonary Vein with Extraluminal Device, Percutaneous Approach |
| 02VS4CZ | Restriction of Right Pulmonary Vein with Extraluminal Device, Percutaneous Endoscopic Approach |
| 02VT0CZ | Restriction of Left Pulmonary Vein with Extraluminal Device, Open Approach |
| 02VT3CZ | Restriction of Left Pulmonary Vein with Extraluminal Device, Percutaneous Approach |
| 02VT4CZ | Restriction of Left Pulmonary Vein with Extraluminal Device, 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 |
| 02VW0CZ | Restriction of Thoracic Aorta, Descending with Extraluminal Device, Open Approach |
| 02VW3CZ | Restriction of Thoracic Aorta, Descending with Extraluminal Device, Percutaneous Approach |
| 02VW4CZ | Restriction of Thoracic Aorta, Descending with Extraluminal Device, Percutaneous Endoscopic Approach |
| 02VX0CZ | Restriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Open Approach |
| 02VX3CZ | Restriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Percutaneous Approach |
| 02VX4CZ | Restriction of Thoracic Aorta, Ascending/Arch with Extraluminal Device, Percutaneous Endoscopic Approach |
| 0312090 | Bypass Innominate Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0312091 | Bypass Innominate Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0312092 | Bypass Innominate Artery to Bilateral Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0312093 | Bypass Innominate Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0312094 | Bypass Innominate Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0312095 | Bypass Innominate Artery to Bilateral Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0312096 | Bypass Innominate Artery to Right Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0312097 | Bypass Innominate Artery to Left Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0312098 | Bypass Innominate Artery to Bilateral Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0312099 | Bypass Innominate Artery to Right Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031209B | Bypass Innominate Artery to Left Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031209C | Bypass Innominate Artery to Bilateral Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031209D | Bypass Innominate Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach |
| 031209F | Bypass Innominate Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031209J | Bypass Innominate Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031209K | Bypass Innominate Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031209W | Bypass Innominate Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach |
| 03120A0 | Bypass Innominate Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03120A1 | Bypass Innominate Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03120A2 | Bypass Innominate Artery to Bilateral Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03120A3 | Bypass Innominate Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03120A4 | Bypass Innominate Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03120A5 | Bypass Innominate Artery to Bilateral Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03120A6 | Bypass Innominate Artery to Right Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03120A7 | Bypass Innominate Artery to Left Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03120A8 | Bypass Innominate Artery to Bilateral Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03120A9 | Bypass Innominate Artery to Right Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03120AB | Bypass Innominate Artery to Left Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03120AC | Bypass Innominate Artery to Bilateral Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03120AD | Bypass Innominate Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03120AF | Bypass Innominate Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03120AJ | Bypass Innominate Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03120AK | Bypass Innominate Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03120AW | Bypass Innominate Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach |
| 03120J0 | Bypass Innominate Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03120J1 | Bypass Innominate Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03120J2 | Bypass Innominate Artery to Bilateral Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03120J3 | Bypass Innominate Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03120J4 | Bypass Innominate Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03120J5 | Bypass Innominate Artery to Bilateral Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03120J6 | Bypass Innominate Artery to Right Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03120J7 | Bypass Innominate Artery to Left Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03120J8 | Bypass Innominate Artery to Bilateral Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03120J9 | Bypass Innominate Artery to Right Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03120JB | Bypass Innominate Artery to Left Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03120JC | Bypass Innominate Artery to Bilateral Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03120JD | Bypass Innominate Artery to Upper Arm Vein with Synthetic Substitute, Open Approach |
| 03120JF | Bypass Innominate Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03120JJ | Bypass Innominate Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 03120JK | Bypass Innominate Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 03120JW | Bypass Innominate Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach |
| 03120K0 | Bypass Innominate Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K1 | Bypass Innominate Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K2 | Bypass Innominate Artery to Bilateral Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K3 | Bypass Innominate Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K4 | Bypass Innominate Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K5 | Bypass Innominate Artery to Bilateral Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K6 | Bypass Innominate Artery to Right Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K7 | Bypass Innominate Artery to Left Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K8 | Bypass Innominate Artery to Bilateral Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120K9 | Bypass Innominate Artery to Right Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120KB | Bypass Innominate Artery to Left Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120KC | Bypass Innominate Artery to Bilateral Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120KD | Bypass Innominate Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03120KF | Bypass Innominate Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03120KJ | Bypass Innominate Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120KK | Bypass Innominate Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03120KW | Bypass Innominate Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach |
| 03120Z0 | Bypass Innominate Artery to Right Upper Arm Artery, Open Approach |
| 03120Z1 | Bypass Innominate Artery to Left Upper Arm Artery, Open Approach |
| 03120Z2 | Bypass Innominate Artery to Bilateral Upper Arm Artery, Open Approach |
| 03120Z3 | Bypass Innominate Artery to Right Lower Arm Artery, Open Approach |
| 03120Z4 | Bypass Innominate Artery to Left Lower Arm Artery, Open Approach |
| 03120Z5 | Bypass Innominate Artery to Bilateral Lower Arm Artery, Open Approach |
| 03120Z6 | Bypass Innominate Artery to Right Upper Leg Artery, Open Approach |
| 03120Z7 | Bypass Innominate Artery to Left Upper Leg Artery, Open Approach |
| 03120Z8 | Bypass Innominate Artery to Bilateral Upper Leg Artery, Open Approach |
| 03120Z9 | Bypass Innominate Artery to Right Lower Leg Artery, Open Approach |
| 03120ZB | Bypass Innominate Artery to Left Lower Leg Artery, Open Approach |
| 03120ZC | Bypass Innominate Artery to Bilateral Lower Leg Artery, Open Approach |
| 03120ZD | Bypass Innominate Artery to Upper Arm Vein, Open Approach |
| 03120ZF | Bypass Innominate Artery to Lower Arm Vein, Open Approach |
| 03120ZJ | Bypass Innominate Artery to Right Extracranial Artery, Open Approach |
| 03120ZK | Bypass Innominate Artery to Left Extracranial Artery, Open Approach |
| 03120ZW | Bypass Innominate Artery to Lower Extremity Vein, Open Approach |
| 0313090 | Bypass Right Subclavian Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0313091 | Bypass Right Subclavian Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0313092 | Bypass Right Subclavian Artery to Bilateral Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0313093 | Bypass Right Subclavian Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0313094 | Bypass Right Subclavian Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0313095 | Bypass Right Subclavian Artery to Bilateral Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0313096 | Bypass Right Subclavian Artery to Right Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0313097 | Bypass Right Subclavian Artery to Left Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0313098 | Bypass Right Subclavian Artery to Bilateral Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0313099 | Bypass Right Subclavian Artery to Right Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031309B | Bypass Right Subclavian Artery to Left Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031309C | Bypass Right Subclavian Artery to Bilateral Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031309D | Bypass Right Subclavian Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach |
| 031309F | Bypass Right Subclavian Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031309J | Bypass Right Subclavian Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031309K | Bypass Right Subclavian Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031309W | Bypass Right Subclavian Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach |
| 03130A0 | Bypass Right Subclavian Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03130A1 | Bypass Right Subclavian Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03130A2 | Bypass Right Subclavian Artery to Bilateral Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03130A3 | Bypass Right Subclavian Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03130A4 | Bypass Right Subclavian Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03130A5 | Bypass Right Subclavian Artery to Bilateral Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03130A6 | Bypass Right Subclavian Artery to Right Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03130A7 | Bypass Right Subclavian Artery to Left Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03130A8 | Bypass Right Subclavian Artery to Bilateral Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03130A9 | Bypass Right Subclavian Artery to Right Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03130AB | Bypass Right Subclavian Artery to Left Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03130AC | Bypass Right Subclavian Artery to Bilateral Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03130AD | Bypass Right Subclavian Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03130AF | Bypass Right Subclavian Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03130AJ | Bypass Right Subclavian Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03130AK | Bypass Right Subclavian Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03130AW | Bypass Right Subclavian Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach |
| 03130J0 | Bypass Right Subclavian Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03130J1 | Bypass Right Subclavian Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03130J2 | Bypass Right Subclavian Artery to Bilateral Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03130J3 | Bypass Right Subclavian Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03130J4 | Bypass Right Subclavian Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03130J5 | Bypass Right Subclavian Artery to Bilateral Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03130J6 | Bypass Right Subclavian Artery to Right Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03130J7 | Bypass Right Subclavian Artery to Left Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03130J8 | Bypass Right Subclavian Artery to Bilateral Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03130J9 | Bypass Right Subclavian Artery to Right Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03130JB | Bypass Right Subclavian Artery to Left Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03130JC | Bypass Right Subclavian Artery to Bilateral Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03130JD | Bypass Right Subclavian Artery to Upper Arm Vein with Synthetic Substitute, Open Approach |
| 03130JF | Bypass Right Subclavian Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03130JJ | Bypass Right Subclavian Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 03130JK | Bypass Right Subclavian Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 03130JW | Bypass Right Subclavian Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach |
| 03130K0 | Bypass Right Subclavian Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K1 | Bypass Right Subclavian Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K2 | Bypass Right Subclavian Artery to Bilateral Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K3 | Bypass Right Subclavian Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K4 | Bypass Right Subclavian Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K5 | Bypass Right Subclavian Artery to Bilateral Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K6 | Bypass Right Subclavian Artery to Right Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K7 | Bypass Right Subclavian Artery to Left Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K8 | Bypass Right Subclavian Artery to Bilateral Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130K9 | Bypass Right Subclavian Artery to Right Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130KB | Bypass Right Subclavian Artery to Left Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130KC | Bypass Right Subclavian Artery to Bilateral Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130KD | Bypass Right Subclavian Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03130KF | Bypass Right Subclavian Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03130KJ | Bypass Right Subclavian Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130KK | Bypass Right Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03130KW | Bypass Right Subclavian Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach |
| 03130Z0 | Bypass Right Subclavian Artery to Right Upper Arm Artery, Open Approach |
| 03130Z1 | Bypass Right Subclavian Artery to Left Upper Arm Artery, Open Approach |
| 03130Z2 | Bypass Right Subclavian Artery to Bilateral Upper Arm Artery, Open Approach |
| 03130Z3 | Bypass Right Subclavian Artery to Right Lower Arm Artery, Open Approach |
| 03130Z4 | Bypass Right Subclavian Artery to Left Lower Arm Artery, Open Approach |
| 03130Z5 | Bypass Right Subclavian Artery to Bilateral Lower Arm Artery, Open Approach |
| 03130Z6 | Bypass Right Subclavian Artery to Right Upper Leg Artery, Open Approach |
| 03130Z7 | Bypass Right Subclavian Artery to Left Upper Leg Artery, Open Approach |
| 03130Z8 | Bypass Right Subclavian Artery to Bilateral Upper Leg Artery, Open Approach |
| 03130Z9 | Bypass Right Subclavian Artery to Right Lower Leg Artery, Open Approach |
| 03130ZB | Bypass Right Subclavian Artery to Left Lower Leg Artery, Open Approach |
| 03130ZC | Bypass Right Subclavian Artery to Bilateral Lower Leg Artery, Open Approach |
| 03130ZD | Bypass Right Subclavian Artery to Upper Arm Vein, Open Approach |
| 03130ZF | Bypass Right Subclavian Artery to Lower Arm Vein, Open Approach |
| 03130ZJ | Bypass Right Subclavian Artery to Right Extracranial Artery, Open Approach |
| 03130ZK | Bypass Right Subclavian Artery to Left Extracranial Artery, Open Approach |
| 03130ZW | Bypass Right Subclavian Artery to Lower Extremity Vein, Open Approach |
| 0314090 | Bypass Left Subclavian Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0314091 | Bypass Left Subclavian Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0314092 | Bypass Left Subclavian Artery to Bilateral Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0314093 | Bypass Left Subclavian Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0314094 | Bypass Left Subclavian Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0314095 | Bypass Left Subclavian Artery to Bilateral Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0314096 | Bypass Left Subclavian Artery to Right Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0314097 | Bypass Left Subclavian Artery to Left Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0314098 | Bypass Left Subclavian Artery to Bilateral Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0314099 | Bypass Left Subclavian Artery to Right Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031409B | Bypass Left Subclavian Artery to Left Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031409C | Bypass Left Subclavian Artery to Bilateral Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031409D | Bypass Left Subclavian Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach |
| 031409F | Bypass Left Subclavian Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031409J | Bypass Left Subclavian Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031409K | Bypass Left Subclavian Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031409W | Bypass Left Subclavian Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach |
| 03140A0 | Bypass Left Subclavian Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03140A1 | Bypass Left Subclavian Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03140A2 | Bypass Left Subclavian Artery to Bilateral Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03140A3 | Bypass Left Subclavian Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03140A4 | Bypass Left Subclavian Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03140A5 | Bypass Left Subclavian Artery to Bilateral Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03140A6 | Bypass Left Subclavian Artery to Right Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03140A7 | Bypass Left Subclavian Artery to Left Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03140A8 | Bypass Left Subclavian Artery to Bilateral Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03140A9 | Bypass Left Subclavian Artery to Right Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03140AB | Bypass Left Subclavian Artery to Left Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03140AC | Bypass Left Subclavian Artery to Bilateral Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03140AD | Bypass Left Subclavian Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03140AF | Bypass Left Subclavian Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03140AJ | Bypass Left Subclavian Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03140AK | Bypass Left Subclavian Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03140AW | Bypass Left Subclavian Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach |
| 03140J0 | Bypass Left Subclavian Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03140J1 | Bypass Left Subclavian Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03140J2 | Bypass Left Subclavian Artery to Bilateral Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03140J3 | Bypass Left Subclavian Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03140J4 | Bypass Left Subclavian Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03140J5 | Bypass Left Subclavian Artery to Bilateral Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03140J6 | Bypass Left Subclavian Artery to Right Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03140J7 | Bypass Left Subclavian Artery to Left Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03140J8 | Bypass Left Subclavian Artery to Bilateral Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03140J9 | Bypass Left Subclavian Artery to Right Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03140JB | Bypass Left Subclavian Artery to Left Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03140JC | Bypass Left Subclavian Artery to Bilateral Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03140JD | Bypass Left Subclavian Artery to Upper Arm Vein with Synthetic Substitute, Open Approach |
| 03140JF | Bypass Left Subclavian Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03140JJ | Bypass Left Subclavian Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 03140JK | Bypass Left Subclavian Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 03140JW | Bypass Left Subclavian Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach |
| 03140K0 | Bypass Left Subclavian Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K1 | Bypass Left Subclavian Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K2 | Bypass Left Subclavian Artery to Bilateral Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K3 | Bypass Left Subclavian Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K4 | Bypass Left Subclavian Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K5 | Bypass Left Subclavian Artery to Bilateral Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K6 | Bypass Left Subclavian Artery to Right Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K7 | Bypass Left Subclavian Artery to Left Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K8 | Bypass Left Subclavian Artery to Bilateral Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140K9 | Bypass Left Subclavian Artery to Right Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140KB | Bypass Left Subclavian Artery to Left Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140KC | Bypass Left Subclavian Artery to Bilateral Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140KD | Bypass Left Subclavian Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03140KF | Bypass Left Subclavian Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03140KJ | Bypass Left Subclavian Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140KK | Bypass Left Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03140KW | Bypass Left Subclavian Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach |
| 03140Z0 | Bypass Left Subclavian Artery to Right Upper Arm Artery, Open Approach |
| 03140Z1 | Bypass Left Subclavian Artery to Left Upper Arm Artery, Open Approach |
| 03140Z2 | Bypass Left Subclavian Artery to Bilateral Upper Arm Artery, Open Approach |
| 03140Z3 | Bypass Left Subclavian Artery to Right Lower Arm Artery, Open Approach |
| 03140Z4 | Bypass Left Subclavian Artery to Left Lower Arm Artery, Open Approach |
| 03140Z5 | Bypass Left Subclavian Artery to Bilateral Lower Arm Artery, Open Approach |
| 03140Z6 | Bypass Left Subclavian Artery to Right Upper Leg Artery, Open Approach |
| 03140Z7 | Bypass Left Subclavian Artery to Left Upper Leg Artery, Open Approach |
| 03140Z8 | Bypass Left Subclavian Artery to Bilateral Upper Leg Artery, Open Approach |
| 03140Z9 | Bypass Left Subclavian Artery to Right Lower Leg Artery, Open Approach |
| 03140ZB | Bypass Left Subclavian Artery to Left Lower Leg Artery, Open Approach |
| 03140ZC | Bypass Left Subclavian Artery to Bilateral Lower Leg Artery, Open Approach |
| 03140ZD | Bypass Left Subclavian Artery to Upper Arm Vein, Open Approach |
| 03140ZF | Bypass Left Subclavian Artery to Lower Arm Vein, Open Approach |
| 03140ZJ | Bypass Left Subclavian Artery to Right Extracranial Artery, Open Approach |
| 03140ZK | Bypass Left Subclavian Artery to Left Extracranial Artery, Open Approach |
| 03140ZW | Bypass Left Subclavian Artery to Lower Extremity Vein, Open Approach |
| 0315090 | Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0315091 | Bypass Right Axillary Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0315092 | Bypass Right Axillary Artery to Bilateral Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0315093 | Bypass Right Axillary Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0315094 | Bypass Right Axillary Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0315095 | Bypass Right Axillary Artery to Bilateral Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0315096 | Bypass Right Axillary Artery to Right Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0315097 | Bypass Right Axillary Artery to Left Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0315098 | Bypass Right Axillary Artery to Bilateral Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0315099 | Bypass Right Axillary Artery to Right Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031509B | Bypass Right Axillary Artery to Left Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031509C | Bypass Right Axillary Artery to Bilateral Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031509D | Bypass Right Axillary Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach |
| 031509F | Bypass Right Axillary Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031509J | Bypass Right Axillary Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031509K | Bypass Right Axillary Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031509T | Bypass Right Axillary Artery to Abdominal Artery with Autologous Venous Tissue, Open Approach |
| 031509V | Bypass Right Axillary Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach |
| 031509W | Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach |
| 03150A0 | Bypass Right Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03150A1 | Bypass Right Axillary Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03150A2 | Bypass Right Axillary Artery to Bilateral Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03150A3 | Bypass Right Axillary Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03150A4 | Bypass Right Axillary Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03150A5 | Bypass Right Axillary Artery to Bilateral Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03150A6 | Bypass Right Axillary Artery to Right Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03150A7 | Bypass Right Axillary Artery to Left Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03150A8 | Bypass Right Axillary Artery to Bilateral Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03150A9 | Bypass Right Axillary Artery to Right Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03150AB | Bypass Right Axillary Artery to Left Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03150AC | Bypass Right Axillary Artery to Bilateral Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03150AD | Bypass Right Axillary Artery to Upper Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03150AF | Bypass Right Axillary Artery to Lower Arm Vein with Autologous Arterial Tissue, Open Approach |
| 03150AJ | Bypass Right Axillary Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03150AK | Bypass Right Axillary Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach |
| 03150AT | Bypass Right Axillary Artery to Abdominal Artery with Autologous Arterial Tissue, Open Approach |
| 03150AV | Bypass Right Axillary Artery to Superior Vena Cava with Autologous Arterial Tissue, Open Approach |
| 03150AW | Bypass Right Axillary Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach |
| 03150J0 | Bypass Right Axillary Artery to Right Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03150J1 | Bypass Right Axillary Artery to Left Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03150J2 | Bypass Right Axillary Artery to Bilateral Upper Arm Artery with Synthetic Substitute, Open Approach |
| 03150J3 | Bypass Right Axillary Artery to Right Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03150J4 | Bypass Right Axillary Artery to Left Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03150J5 | Bypass Right Axillary Artery to Bilateral Lower Arm Artery with Synthetic Substitute, Open Approach |
| 03150J6 | Bypass Right Axillary Artery to Right Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03150J7 | Bypass Right Axillary Artery to Left Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03150J8 | Bypass Right Axillary Artery to Bilateral Upper Leg Artery with Synthetic Substitute, Open Approach |
| 03150J9 | Bypass Right Axillary Artery to Right Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03150JB | Bypass Right Axillary Artery to Left Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03150JC | Bypass Right Axillary Artery to Bilateral Lower Leg Artery with Synthetic Substitute, Open Approach |
| 03150JD | Bypass Right Axillary Artery to Upper Arm Vein with Synthetic Substitute, Open Approach |
| 03150JF | Bypass Right Axillary Artery to Lower Arm Vein with Synthetic Substitute, Open Approach |
| 03150JJ | Bypass Right Axillary Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach |
| 03150JK | Bypass Right Axillary Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach |
| 03150JT | Bypass Right Axillary Artery to Abdominal Artery with Synthetic Substitute, Open Approach |
| 03150JV | Bypass Right Axillary Artery to Superior Vena Cava with Synthetic Substitute, Open Approach |
| 03150JW | Bypass Right Axillary Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach |
| 03150K0 | Bypass Right Axillary Artery to Right Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K1 | Bypass Right Axillary Artery to Left Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K2 | Bypass Right Axillary Artery to Bilateral Upper Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K3 | Bypass Right Axillary Artery to Right Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K4 | Bypass Right Axillary Artery to Left Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K5 | Bypass Right Axillary Artery to Bilateral Lower Arm Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K6 | Bypass Right Axillary Artery to Right Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K7 | Bypass Right Axillary Artery to Left Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K8 | Bypass Right Axillary Artery to Bilateral Upper Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150K9 | Bypass Right Axillary Artery to Right Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150KB | Bypass Right Axillary Artery to Left Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150KC | Bypass Right Axillary Artery to Bilateral Lower Leg Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150KD | Bypass Right Axillary Artery to Upper Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03150KF | Bypass Right Axillary Artery to Lower Arm Vein with Nonautologous Tissue Substitute, Open Approach |
| 03150KJ | Bypass Right Axillary Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150KK | Bypass Right Axillary Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150KT | Bypass Right Axillary Artery to Abdominal Artery with Nonautologous Tissue Substitute, Open Approach |
| 03150KV | Bypass Right Axillary Artery to Superior Vena Cava with Nonautologous Tissue Substitute, Open Approach |
| 03150KW | Bypass Right Axillary Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach |
| 03150Z0 | Bypass Right Axillary Artery to Right Upper Arm Artery, Open Approach |
| 03150Z1 | Bypass Right Axillary Artery to Left Upper Arm Artery, Open Approach |
| 03150Z2 | Bypass Right Axillary Artery to Bilateral Upper Arm Artery, Open Approach |
| 03150Z3 | Bypass Right Axillary Artery to Right Lower Arm Artery, Open Approach |
| 03150Z4 | Bypass Right Axillary Artery to Left Lower Arm Artery, Open Approach |
| 03150Z5 | Bypass Right Axillary Artery to Bilateral Lower Arm Artery, Open Approach |
| 03150Z6 | Bypass Right Axillary Artery to Right Upper Leg Artery, Open Approach |
| 03150Z7 | Bypass Right Axillary Artery to Left Upper Leg Artery, Open Approach |
| 03150Z8 | Bypass Right Axillary Artery to Bilateral Upper Leg Artery, Open Approach |
| 03150Z9 | Bypass Right Axillary Artery to Right Lower Leg Artery, Open Approach |
| 03150ZB | Bypass Right Axillary Artery to Left Lower Leg Artery, Open Approach |
| 03150ZC | Bypass Right Axillary Artery to Bilateral Lower Leg Artery, Open Approach |
| 03150ZD | Bypass Right Axillary Artery to Upper Arm Vein, Open Approach |
| 03150ZF | Bypass Right Axillary Artery to Lower Arm Vein, Open Approach |
| 03150ZJ | Bypass Right Axillary Artery to Right Extracranial Artery, Open Approach |
| 03150ZK | Bypass Right Axillary Artery to Left Extracranial Artery, Open Approach |
| 03150ZT | Bypass Right Axillary Artery to Abdominal Artery, Open Approach |
| 03150ZV | Bypass Right Axillary Artery to Superior Vena Cava, Open Approach |
| 03150ZW | Bypass Right Axillary Artery to Lower Extremity Vein, Open Approach |
| 0316090 | Bypass Left Axillary Artery to Right Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0316091 | Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0316092 | Bypass Left Axillary Artery to Bilateral Upper Arm Artery with Autologous Venous Tissue, Open Approach |
| 0316093 | Bypass Left Axillary Artery to Right Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0316094 | Bypass Left Axillary Artery to Left Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0316095 | Bypass Left Axillary Artery to Bilateral Lower Arm Artery with Autologous Venous Tissue, Open Approach |
| 0316096 | Bypass Left Axillary Artery to Right Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0316097 | Bypass Left Axillary Artery to Left Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0316098 | Bypass Left Axillary Artery to Bilateral Upper Leg Artery with Autologous Venous Tissue, Open Approach |
| 0316099 | Bypass Left Axillary Artery to Right Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031609B | Bypass Left Axillary Artery to Left Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031609C | Bypass Left Axillary Artery to Bilateral Lower Leg Artery with Autologous Venous Tissue, Open Approach |
| 031609D | Bypass Left Axillary Artery to Upper Arm Vein with Autologous Venous Tissue, Open Approach |
| 031609F | Bypass Left Axillary Artery to Lower Arm Vein with Autologous Venous Tissue, Open Approach |
| 031609J | Bypass Left Axillary Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031609K | Bypass Left Axillary Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach |
| 031609T | Bypass Left Axillary Artery to Abdominal Artery with Autologous Venous Tissue, Open Approach |
| 031609V | Bypass Left Axillary Artery to Superior Vena Cava with Autologous Venous Tissue, Open Approach |
| 031609W | Bypass Left Axillary Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach |
| 03160A0 | Bypass Left Axillary Artery to Right Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03160A1 | Bypass Left Axillary Artery to Left Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03160A2 | Bypass Left Axillary Artery to Bilateral Upper Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03160A3 | Bypass Left Axillary Artery to Right Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03160A4 | Bypass Left Axillary Artery to Left Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03160A5 | Bypass Left Axillary Artery to Bilateral Lower Arm Artery with Autologous Arterial Tissue, Open Approach |
| 03160A6 | Bypass Left Axillary Artery to Right Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03160A7 | Bypass Left Axillary Artery to Left Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03160A8 | Bypass Left Axillary Artery to Bilateral Upper Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03160A9 | Bypass Left Axillary Artery to Right Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03160AB | Bypass Left Axillary Artery to Left Lower Leg Artery with Autologous Arterial Tissue, Open Approach |
| 03160AC | Bypass Left Axillary Artery to Bilateral Lower Leg Artery with Autologous Arterial Tissue, Open 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 |