DRAFT

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

MDC 05 Diseases and disorders of the circulatory system

Other vascular procedures

Page 9 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

03UY47Z	Supplement Upper Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
03UY4JZ	Supplement Upper Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
03UY4KZ	Supplement Upper Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
03V00CZ	Restriction of Right Internal Mammary Artery with Extraluminal Device, Open Approach
03V03CZ	Restriction of Right Internal Mammary Artery with Extraluminal Device, Percutaneous Approach
03V04CZ	Restriction of Right Internal Mammary Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V10CZ	Restriction of Left Internal Mammary Artery with Extraluminal Device, Open Approach
03V13CZ	Restriction of Left Internal Mammary Artery with Extraluminal Device, Percutaneous Approach
03V14CZ	Restriction of Left Internal Mammary Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V20CZ	Restriction of Innominate Artery with Extraluminal Device, Open Approach
03V23CZ	Restriction of Innominate Artery with Extraluminal Device, Percutaneous Approach
03V24CZ	Restriction of Innominate Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V30CZ	Restriction of Right Subclavian Artery with Extraluminal Device, Open Approach
03V33CZ	Restriction of Right Subclavian Artery with Extraluminal Device, Percutaneous Approach
03V34CZ	Restriction of Right Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V40CZ	Restriction of Left Subclavian Artery with Extraluminal Device, Open Approach
03V43CZ	Restriction of Left Subclavian Artery with Extraluminal Device, Percutaneous Approach
03V44CZ	Restriction of Left Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V50CZ	Restriction of Right Axillary Artery with Extraluminal Device, Open Approach
03V53CZ	Restriction of Right Axillary Artery with Extraluminal Device, Percutaneous Approach
03V54CZ	Restriction of Right Axillary Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V60CZ	Restriction of Left Axillary Artery with Extraluminal Device, Open Approach
03V63CZ	Restriction of Left Axillary Artery with Extraluminal Device, Percutaneous Approach
03V64CZ	Restriction of Left Axillary Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V70CZ	Restriction of Right Brachial Artery with Extraluminal Device, Open Approach
03V73CZ	Restriction of Right Brachial Artery with Extraluminal Device, Percutaneous Approach
03V74CZ	Restriction of Right Brachial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V80CZ	Restriction of Left Brachial Artery with Extraluminal Device, Open Approach
03V83CZ	Restriction of Left Brachial Artery with Extraluminal Device, Percutaneous Approach
03V84CZ	Restriction of Left Brachial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03V90CZ	Restriction of Right Ulnar Artery with Extraluminal Device, Open Approach
03V93CZ	Restriction of Right Ulnar Artery with Extraluminal Device, Percutaneous Approach
03V94CZ	Restriction of Right Ulnar Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VA0CZ	Restriction of Left Ulnar Artery with Extraluminal Device, Open Approach
03VA3CZ	Restriction of Left Ulnar Artery with Extraluminal Device, Percutaneous Approach
03VA4CZ	Restriction of Left Ulnar Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VB0CZ	Restriction of Right Radial Artery with Extraluminal Device, Open Approach
03VB3CZ	Restriction of Right Radial Artery with Extraluminal Device, Percutaneous Approach
03VB4CZ	Restriction of Right Radial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VC0CZ	Restriction of Left Radial Artery with Extraluminal Device, Open Approach
03VC3CZ	Restriction of Left Radial Artery with Extraluminal Device, Percutaneous Approach
03VC4CZ	Restriction of Left Radial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VD0CZ	Restriction of Right Hand Artery with Extraluminal Device, Open Approach
03VD3CZ	Restriction of Right Hand Artery with Extraluminal Device, Percutaneous Approach
03VD4CZ	Restriction of Right Hand Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VF0CZ	Restriction of Left Hand Artery with Extraluminal Device, Open Approach
03VF3CZ	Restriction of Left Hand Artery with Extraluminal Device, Percutaneous Approach
03VF4CZ	Restriction of Left Hand Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VG0CZ	Restriction of Intracranial Artery with Extraluminal Device, Open Approach
03VG3CZ	Restriction of Intracranial Artery with Extraluminal Device, Percutaneous Approach
03VG4CZ	Restriction of Intracranial Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VH0CZ	Restriction of Right Common Carotid Artery with Extraluminal Device, Open Approach
03VH0HZ	Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach
03VH3CZ	Restriction of Right Common Carotid Artery with Extraluminal Device, Percutaneous Approach
03VH3HZ	Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VH4CZ	Restriction of Right Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VH4HZ	Restriction of Right Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VJ0CZ	Restriction of Left Common Carotid Artery with Extraluminal Device, Open Approach
03VJ0HZ	Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach
03VJ3CZ	Restriction of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach
03VJ3HZ	Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VJ4CZ	Restriction of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VJ4HZ	Restriction of Left Common Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VK0CZ	Restriction of Right Internal Carotid Artery with Extraluminal Device, Open Approach
03VK0HZ	Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach
03VK3CZ	Restriction of Right Internal Carotid Artery with Extraluminal Device, Percutaneous Approach
03VK3HZ	Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VK4CZ	Restriction of Right Internal Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VK4HZ	Restriction of Right Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VL0CZ	Restriction of Left Internal Carotid Artery with Extraluminal Device, Open Approach
03VL0HZ	Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach
03VL3CZ	Restriction of Left Internal Carotid Artery with Extraluminal Device, Percutaneous Approach
03VL3HZ	Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VL4CZ	Restriction of Left Internal Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VL4HZ	Restriction of Left Internal Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VM0CZ	Restriction of Right External Carotid Artery with Extraluminal Device, Open Approach
03VM0HZ	Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach
03VM3CZ	Restriction of Right External Carotid Artery with Extraluminal Device, Percutaneous Approach
03VM3HZ	Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VM4CZ	Restriction of Right External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VM4HZ	Restriction of Right External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VN0CZ	Restriction of Left External Carotid Artery with Extraluminal Device, Open Approach
03VN0HZ	Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Open Approach
03VN3CZ	Restriction of Left External Carotid Artery with Extraluminal Device, Percutaneous Approach
03VN3HZ	Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VN4CZ	Restriction of Left External Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VN4HZ	Restriction of Left External Carotid Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VP0CZ	Restriction of Right Vertebral Artery with Extraluminal Device, Open Approach
03VP0HZ	Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Open Approach
03VP3CZ	Restriction of Right Vertebral Artery with Extraluminal Device, Percutaneous Approach
03VP3HZ	Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VP4CZ	Restriction of Right Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VP4HZ	Restriction of Right Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VQ0CZ	Restriction of Left Vertebral Artery with Extraluminal Device, Open Approach
03VQ0HZ	Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Open Approach
03VQ3CZ	Restriction of Left Vertebral Artery with Extraluminal Device, Percutaneous Approach
03VQ3HZ	Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Approach
03VQ4CZ	Restriction of Left Vertebral Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VQ4HZ	Restriction of Left Vertebral Artery with Intraluminal Device, Flow Diverter, Percutaneous Endoscopic Approach
03VR0CZ	Restriction of Face Artery with Extraluminal Device, Open Approach
03VR3CZ	Restriction of Face Artery with Extraluminal Device, Percutaneous Approach
03VR4CZ	Restriction of Face Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VS0CZ	Restriction of Right Temporal Artery with Extraluminal Device, Open Approach
03VS3CZ	Restriction of Right Temporal Artery with Extraluminal Device, Percutaneous Approach
03VS4CZ	Restriction of Right Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VT0CZ	Restriction of Left Temporal Artery with Extraluminal Device, Open Approach
03VT3CZ	Restriction of Left Temporal Artery with Extraluminal Device, Percutaneous Approach
03VT4CZ	Restriction of Left Temporal Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VU0CZ	Restriction of Right Thyroid Artery with Extraluminal Device, Open Approach
03VU3CZ	Restriction of Right Thyroid Artery with Extraluminal Device, Percutaneous Approach
03VU4CZ	Restriction of Right Thyroid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VV0CZ	Restriction of Left Thyroid Artery with Extraluminal Device, Open Approach
03VV3CZ	Restriction of Left Thyroid Artery with Extraluminal Device, Percutaneous Approach
03VV4CZ	Restriction of Left Thyroid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03VY0CZ	Restriction of Upper Artery with Extraluminal Device, Open Approach
03VY3CZ	Restriction of Upper Artery with Extraluminal Device, Percutaneous Approach
03VY4CZ	Restriction of Upper Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03WY00Z	Revision of Drainage Device in Upper Artery, Open Approach
03WY02Z	Revision of Monitoring Device in Upper Artery, Open Approach
03WY03Z	Revision of Infusion Device in Upper Artery, Open Approach
03WY07Z	Revision of Autologous Tissue Substitute in Upper Artery, Open Approach
03WY0CZ	Revision of Extraluminal Device in Upper Artery, Open Approach
03WY0DZ	Revision of Intraluminal Device in Upper Artery, Open Approach
03WY0JZ	Revision of Synthetic Substitute in Upper Artery, Open Approach
03WY0KZ	Revision of Nonautologous Tissue Substitute in Upper Artery, Open Approach
03WY0MZ	Revision of Stimulator Lead in Upper Artery, Open Approach
03WY0YZ	Revision of Other Device in Upper Artery, Open Approach
03WY37Z	Revision of Autologous Tissue Substitute in Upper Artery, Percutaneous Approach
03WY3CZ	Revision of Extraluminal Device in Upper Artery, Percutaneous Approach
03WY3DZ	Revision of Intraluminal Device in Upper Artery, Percutaneous Approach
03WY3JZ	Revision of Synthetic Substitute in Upper Artery, Percutaneous Approach
03WY3KZ	Revision of Nonautologous Tissue Substitute in Upper Artery, Percutaneous Approach
03WY3MZ	Revision of Stimulator Lead in Upper Artery, Percutaneous Approach
03WY40Z	Revision of Drainage Device in Upper Artery, Percutaneous Endoscopic Approach
03WY42Z	Revision of Monitoring Device in Upper Artery, Percutaneous Endoscopic Approach
03WY43Z	Revision of Infusion Device in Upper Artery, Percutaneous Endoscopic Approach
03WY47Z	Revision of Autologous Tissue Substitute in Upper Artery, Percutaneous Endoscopic Approach
03WY4CZ	Revision of Extraluminal Device in Upper Artery, Percutaneous Endoscopic Approach
03WY4DZ	Revision of Intraluminal Device in Upper Artery, Percutaneous Endoscopic Approach
03WY4JZ	Revision of Synthetic Substitute in Upper Artery, Percutaneous Endoscopic Approach
03WY4KZ	Revision of Nonautologous Tissue Substitute in Upper Artery, Percutaneous Endoscopic Approach
03WY4MZ	Revision of Stimulator Lead in Upper Artery, Percutaneous Endoscopic Approach
041K09H	Bypass Right Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041K09J	Bypass Right Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041K09K	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041K09L	Bypass Right Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach
041K09M	Bypass Right Femoral Artery to Peroneal Artery with Autologous Venous Tissue, Open Approach
041K09N	Bypass Right Femoral Artery to Posterior Tibial Artery with Autologous Venous Tissue, Open Approach
041K09P	Bypass Right Femoral Artery to Foot Artery with Autologous Venous Tissue, Open Approach
041K09Q	Bypass Right Femoral Artery to Lower Extremity Artery with Autologous Venous Tissue, Open Approach
041K09S	Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach
041K0AH	Bypass Right Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Open Approach
041K0AJ	Bypass Right Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Open Approach
041K0AK	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach
041K0AL	Bypass Right Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach
041K0AM	Bypass Right Femoral Artery to Peroneal Artery with Autologous Arterial Tissue, Open Approach
041K0AN	Bypass Right Femoral Artery to Posterior Tibial Artery with Autologous Arterial Tissue, Open Approach
041K0AP	Bypass Right Femoral Artery to Foot Artery with Autologous Arterial Tissue, Open Approach
041K0AQ	Bypass Right Femoral Artery to Lower Extremity Artery with Autologous Arterial Tissue, Open Approach
041K0AS	Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach
041K0JH	Bypass Right Femoral Artery to Right Femoral Artery with Synthetic Substitute, Open Approach
041K0JJ	Bypass Right Femoral Artery to Left Femoral Artery with Synthetic Substitute, Open Approach
041K0JK	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach
041K0JL	Bypass Right Femoral Artery to Popliteal Artery with Synthetic Substitute, Open Approach
041K0JM	Bypass Right Femoral Artery to Peroneal Artery with Synthetic Substitute, Open Approach
041K0JN	Bypass Right Femoral Artery to Posterior Tibial Artery with Synthetic Substitute, Open Approach
041K0JP	Bypass Right Femoral Artery to Foot Artery with Synthetic Substitute, Open Approach
041K0JQ	Bypass Right Femoral Artery to Lower Extremity Artery with Synthetic Substitute, Open Approach
041K0JS	Bypass Right Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach
041K0KH	Bypass Right Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041K0KJ	Bypass Right Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041K0KK	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach
041K0KL	Bypass Right Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
041K0KM	Bypass Right Femoral Artery to Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
041K0KN	Bypass Right Femoral Artery to Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
041K0KP	Bypass Right Femoral Artery to Foot Artery with Nonautologous Tissue Substitute, Open Approach
041K0KQ	Bypass Right Femoral Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Open Approach
041K0KS	Bypass Right Femoral Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach
041K0ZH	Bypass Right Femoral Artery to Right Femoral Artery, Open Approach
041K0ZJ	Bypass Right Femoral Artery to Left Femoral Artery, Open Approach
041K0ZK	Bypass Right Femoral Artery to Bilateral Femoral Arteries, Open Approach
041K0ZL	Bypass Right Femoral Artery to Popliteal Artery, Open Approach
041K0ZM	Bypass Right Femoral Artery to Peroneal Artery, Open Approach
041K0ZN	Bypass Right Femoral Artery to Posterior Tibial Artery, Open Approach
041K0ZP	Bypass Right Femoral Artery to Foot Artery, Open Approach
041K0ZQ	Bypass Right Femoral Artery to Lower Extremity Artery, Open Approach
041K0ZS	Bypass Right Femoral Artery to Lower Extremity Vein, Open Approach
041K3JQ	Bypass Right Femoral Artery to Lower Extremity Artery with Synthetic Substitute, Percutaneous Approach
041K3JS	Bypass Right Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Approach
041K49H	Bypass Right Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49J	Bypass Right Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49K	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49L	Bypass Right Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49M	Bypass Right Femoral Artery to Peroneal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49N	Bypass Right Femoral Artery to Posterior Tibial Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49P	Bypass Right Femoral Artery to Foot Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49Q	Bypass Right Femoral Artery to Lower Extremity Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K49S	Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041K4AH	Bypass Right Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AJ	Bypass Right Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AK	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AL	Bypass Right Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AM	Bypass Right Femoral Artery to Peroneal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AN	Bypass Right Femoral Artery to Posterior Tibial Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AP	Bypass Right Femoral Artery to Foot Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AQ	Bypass Right Femoral Artery to Lower Extremity Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4AS	Bypass Right Femoral Artery to Lower Extremity Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041K4JH	Bypass Right Femoral Artery to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JJ	Bypass Right Femoral Artery to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JK	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JL	Bypass Right Femoral Artery to Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JM	Bypass Right Femoral Artery to Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JN	Bypass Right Femoral Artery to Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JP	Bypass Right Femoral Artery to Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JQ	Bypass Right Femoral Artery to Lower Extremity Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4JS	Bypass Right Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
041K4KH	Bypass Right Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KJ	Bypass Right Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KK	Bypass Right Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KL	Bypass Right Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KM	Bypass Right Femoral Artery to Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KN	Bypass Right Femoral Artery to Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KP	Bypass Right Femoral Artery to Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KQ	Bypass Right Femoral Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4KS	Bypass Right Femoral Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041K4ZH	Bypass Right Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach
041K4ZJ	Bypass Right Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach
041K4ZK	Bypass Right Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach
041K4ZL	Bypass Right Femoral Artery to Popliteal Artery, Percutaneous Endoscopic Approach
041K4ZM	Bypass Right Femoral Artery to Peroneal Artery, Percutaneous Endoscopic Approach
041K4ZN	Bypass Right Femoral Artery to Posterior Tibial Artery, Percutaneous Endoscopic Approach
041K4ZP	Bypass Right Femoral Artery to Foot Artery, Percutaneous Endoscopic Approach
041K4ZQ	Bypass Right Femoral Artery to Lower Extremity Artery, Percutaneous Endoscopic Approach
041K4ZS	Bypass Right Femoral Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach
041L09H	Bypass Left Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Open Approach
041L09J	Bypass Left Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Open Approach
041L09K	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Open Approach
041L09L	Bypass Left Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach
041L09M	Bypass Left Femoral Artery to Peroneal Artery with Autologous Venous Tissue, Open Approach
041L09N	Bypass Left Femoral Artery to Posterior Tibial Artery with Autologous Venous Tissue, Open Approach
041L09P	Bypass Left Femoral Artery to Foot Artery with Autologous Venous Tissue, Open Approach
041L09Q	Bypass Left Femoral Artery to Lower Extremity Artery with Autologous Venous Tissue, Open Approach
041L09S	Bypass Left Femoral Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach
041L0AH	Bypass Left Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Open Approach
041L0AJ	Bypass Left Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Open Approach
041L0AK	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Open Approach
041L0AL	Bypass Left Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach
041L0AM	Bypass Left Femoral Artery to Peroneal Artery with Autologous Arterial Tissue, Open Approach
041L0AN	Bypass Left Femoral Artery to Posterior Tibial Artery with Autologous Arterial Tissue, Open Approach
041L0AP	Bypass Left Femoral Artery to Foot Artery with Autologous Arterial Tissue, Open Approach
041L0AQ	Bypass Left Femoral Artery to Lower Extremity Artery with Autologous Arterial Tissue, Open Approach
041L0AS	Bypass Left Femoral Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach
041L0JH	Bypass Left Femoral Artery to Right Femoral Artery with Synthetic Substitute, Open Approach
041L0JJ	Bypass Left Femoral Artery to Left Femoral Artery with Synthetic Substitute, Open Approach
041L0JK	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Open Approach
041L0JL	Bypass Left Femoral Artery to Popliteal Artery with Synthetic Substitute, Open Approach
041L0JM	Bypass Left Femoral Artery to Peroneal Artery with Synthetic Substitute, Open Approach
041L0JN	Bypass Left Femoral Artery to Posterior Tibial Artery with Synthetic Substitute, Open Approach
041L0JP	Bypass Left Femoral Artery to Foot Artery with Synthetic Substitute, Open Approach
041L0JQ	Bypass Left Femoral Artery to Lower Extremity Artery with Synthetic Substitute, Open Approach
041L0JS	Bypass Left Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach
041L0KH	Bypass Left Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041L0KJ	Bypass Left Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Open Approach
041L0KK	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Open Approach
041L0KL	Bypass Left Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
041L0KM	Bypass Left Femoral Artery to Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
041L0KN	Bypass Left Femoral Artery to Posterior Tibial Artery with Nonautologous Tissue Substitute, Open Approach
041L0KP	Bypass Left Femoral Artery to Foot Artery with Nonautologous Tissue Substitute, Open Approach
041L0KQ	Bypass Left Femoral Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Open Approach
041L0KS	Bypass Left Femoral Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach
041L0ZH	Bypass Left Femoral Artery to Right Femoral Artery, Open Approach
041L0ZJ	Bypass Left Femoral Artery to Left Femoral Artery, Open Approach
041L0ZK	Bypass Left Femoral Artery to Bilateral Femoral Arteries, Open Approach
041L0ZL	Bypass Left Femoral Artery to Popliteal Artery, Open Approach
041L0ZM	Bypass Left Femoral Artery to Peroneal Artery, Open Approach
041L0ZN	Bypass Left Femoral Artery to Posterior Tibial Artery, Open Approach
041L0ZP	Bypass Left Femoral Artery to Foot Artery, Open Approach
041L0ZQ	Bypass Left Femoral Artery to Lower Extremity Artery, Open Approach
041L0ZS	Bypass Left Femoral Artery to Lower Extremity Vein, Open Approach
041L3JQ	Bypass Left Femoral Artery to Lower Extremity Artery with Synthetic Substitute, Percutaneous Approach
041L3JS	Bypass Left Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Approach
041L49H	Bypass Left Femoral Artery to Right Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49J	Bypass Left Femoral Artery to Left Femoral Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49K	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49L	Bypass Left Femoral Artery to Popliteal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49M	Bypass Left Femoral Artery to Peroneal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49N	Bypass Left Femoral Artery to Posterior Tibial Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49P	Bypass Left Femoral Artery to Foot Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49Q	Bypass Left Femoral Artery to Lower Extremity Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L49S	Bypass Left Femoral Artery to Lower Extremity Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041L4AH	Bypass Left Femoral Artery to Right Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AJ	Bypass Left Femoral Artery to Left Femoral Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AK	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AL	Bypass Left Femoral Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AM	Bypass Left Femoral Artery to Peroneal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AN	Bypass Left Femoral Artery to Posterior Tibial Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AP	Bypass Left Femoral Artery to Foot Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AQ	Bypass Left Femoral Artery to Lower Extremity Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4AS	Bypass Left Femoral Artery to Lower Extremity Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041L4JH	Bypass Left Femoral Artery to Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JJ	Bypass Left Femoral Artery to Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JK	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JL	Bypass Left Femoral Artery to Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JM	Bypass Left Femoral Artery to Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JN	Bypass Left Femoral Artery to Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JP	Bypass Left Femoral Artery to Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JQ	Bypass Left Femoral Artery to Lower Extremity Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4JS	Bypass Left Femoral Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
041L4KH	Bypass Left Femoral Artery to Right Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KJ	Bypass Left Femoral Artery to Left Femoral Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KK	Bypass Left Femoral Artery to Bilateral Femoral Arteries with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KL	Bypass Left Femoral Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KM	Bypass Left Femoral Artery to Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KN	Bypass Left Femoral Artery to Posterior Tibial Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KP	Bypass Left Femoral Artery to Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KQ	Bypass Left Femoral Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4KS	Bypass Left Femoral Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041L4ZH	Bypass Left Femoral Artery to Right Femoral Artery, Percutaneous Endoscopic Approach
041L4ZJ	Bypass Left Femoral Artery to Left Femoral Artery, Percutaneous Endoscopic Approach
041L4ZK	Bypass Left Femoral Artery to Bilateral Femoral Arteries, Percutaneous Endoscopic Approach
041L4ZL	Bypass Left Femoral Artery to Popliteal Artery, Percutaneous Endoscopic Approach
041L4ZM	Bypass Left Femoral Artery to Peroneal Artery, Percutaneous Endoscopic Approach
041L4ZN	Bypass Left Femoral Artery to Posterior Tibial Artery, Percutaneous Endoscopic Approach
041L4ZP	Bypass Left Femoral Artery to Foot Artery, Percutaneous Endoscopic Approach
041L4ZQ	Bypass Left Femoral Artery to Lower Extremity Artery, Percutaneous Endoscopic Approach
041L4ZS	Bypass Left Femoral Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach
041M09L	Bypass Right Popliteal Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach
041M09M	Bypass Right Popliteal Artery to Peroneal Artery with Autologous Venous Tissue, Open Approach
041M09P	Bypass Right Popliteal Artery to Foot Artery with Autologous Venous Tissue, Open Approach
041M09Q	Bypass Right Popliteal Artery to Lower Extremity Artery with Autologous Venous Tissue, Open Approach
041M09S	Bypass Right Popliteal Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach
041M0AL	Bypass Right Popliteal Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach
041M0AM	Bypass Right Popliteal Artery to Peroneal Artery with Autologous Arterial Tissue, Open Approach
041M0AP	Bypass Right Popliteal Artery to Foot Artery with Autologous Arterial Tissue, Open Approach
041M0AQ	Bypass Right Popliteal Artery to Lower Extremity Artery with Autologous Arterial Tissue, Open Approach
041M0AS	Bypass Right Popliteal Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach
041M0JL	Bypass Right Popliteal Artery to Popliteal Artery with Synthetic Substitute, Open Approach
041M0JM	Bypass Right Popliteal Artery to Peroneal Artery with Synthetic Substitute, Open Approach
041M0JP	Bypass Right Popliteal Artery to Foot Artery with Synthetic Substitute, Open Approach
041M0JQ	Bypass Right Popliteal Artery to Lower Extremity Artery with Synthetic Substitute, Open Approach
041M0JS	Bypass Right Popliteal Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach
041M0KL	Bypass Right Popliteal Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
041M0KM	Bypass Right Popliteal Artery to Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
041M0KP	Bypass Right Popliteal Artery to Foot Artery with Nonautologous Tissue Substitute, Open Approach
041M0KQ	Bypass Right Popliteal Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Open Approach
041M0KS	Bypass Right Popliteal Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach
041M0ZL	Bypass Right Popliteal Artery to Popliteal Artery, Open Approach
041M0ZM	Bypass Right Popliteal Artery to Peroneal Artery, Open Approach
041M0ZP	Bypass Right Popliteal Artery to Foot Artery, Open Approach
041M0ZQ	Bypass Right Popliteal Artery to Lower Extremity Artery, Open Approach
041M0ZS	Bypass Right Popliteal Artery to Lower Extremity Vein, Open Approach
041M3JQ	Bypass Right Popliteal Artery to Lower Extremity Artery with Synthetic Substitute, Percutaneous Approach
041M3JS	Bypass Right Popliteal Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Approach
041M49L	Bypass Right Popliteal Artery to Popliteal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041M49M	Bypass Right Popliteal Artery to Peroneal Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041M49P	Bypass Right Popliteal Artery to Foot Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041M49Q	Bypass Right Popliteal Artery to Lower Extremity Artery with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041M49S	Bypass Right Popliteal Artery to Lower Extremity Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach
041M4AL	Bypass Right Popliteal Artery to Popliteal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041M4AM	Bypass Right Popliteal Artery to Peroneal Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041M4AP	Bypass Right Popliteal Artery to Foot Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041M4AQ	Bypass Right Popliteal Artery to Lower Extremity Artery with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041M4AS	Bypass Right Popliteal Artery to Lower Extremity Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach
041M4JL	Bypass Right Popliteal Artery to Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041M4JM	Bypass Right Popliteal Artery to Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041M4JP	Bypass Right Popliteal Artery to Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041M4JQ	Bypass Right Popliteal Artery to Lower Extremity Artery with Synthetic Substitute, Percutaneous Endoscopic Approach
041M4JS	Bypass Right Popliteal Artery to Lower Extremity Vein with Synthetic Substitute, Percutaneous Endoscopic Approach
041M4KL	Bypass Right Popliteal Artery to Popliteal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041M4KM	Bypass Right Popliteal Artery to Peroneal Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041M4KP	Bypass Right Popliteal Artery to Foot Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041M4KQ	Bypass Right Popliteal Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041M4KS	Bypass Right Popliteal Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach
041M4ZL	Bypass Right Popliteal Artery to Popliteal Artery, Percutaneous Endoscopic Approach
041M4ZM	Bypass Right Popliteal Artery to Peroneal Artery, Percutaneous Endoscopic Approach
041M4ZP	Bypass Right Popliteal Artery to Foot Artery, Percutaneous Endoscopic Approach
041M4ZQ	Bypass Right Popliteal Artery to Lower Extremity Artery, Percutaneous Endoscopic Approach
041M4ZS	Bypass Right Popliteal Artery to Lower Extremity Vein, Percutaneous Endoscopic Approach
041N09L	Bypass Left Popliteal Artery to Popliteal Artery with Autologous Venous Tissue, Open Approach
041N09M	Bypass Left Popliteal Artery to Peroneal Artery with Autologous Venous Tissue, Open Approach
041N09P	Bypass Left Popliteal Artery to Foot Artery with Autologous Venous Tissue, Open Approach
041N09Q	Bypass Left Popliteal Artery to Lower Extremity Artery with Autologous Venous Tissue, Open Approach
041N09S	Bypass Left Popliteal Artery to Lower Extremity Vein with Autologous Venous Tissue, Open Approach
041N0AL	Bypass Left Popliteal Artery to Popliteal Artery with Autologous Arterial Tissue, Open Approach
041N0AM	Bypass Left Popliteal Artery to Peroneal Artery with Autologous Arterial Tissue, Open Approach
041N0AP	Bypass Left Popliteal Artery to Foot Artery with Autologous Arterial Tissue, Open Approach
041N0AQ	Bypass Left Popliteal Artery to Lower Extremity Artery with Autologous Arterial Tissue, Open Approach
041N0AS	Bypass Left Popliteal Artery to Lower Extremity Vein with Autologous Arterial Tissue, Open Approach
041N0JL	Bypass Left Popliteal Artery to Popliteal Artery with Synthetic Substitute, Open Approach
041N0JM	Bypass Left Popliteal Artery to Peroneal Artery with Synthetic Substitute, Open Approach
041N0JP	Bypass Left Popliteal Artery to Foot Artery with Synthetic Substitute, Open Approach
041N0JQ	Bypass Left Popliteal Artery to Lower Extremity Artery with Synthetic Substitute, Open Approach
041N0JS	Bypass Left Popliteal Artery to Lower Extremity Vein with Synthetic Substitute, Open Approach
041N0KL	Bypass Left Popliteal Artery to Popliteal Artery with Nonautologous Tissue Substitute, Open Approach
041N0KM	Bypass Left Popliteal Artery to Peroneal Artery with Nonautologous Tissue Substitute, Open Approach
041N0KP	Bypass Left Popliteal Artery to Foot Artery with Nonautologous Tissue Substitute, Open Approach
041N0KQ	Bypass Left Popliteal Artery to Lower Extremity Artery with Nonautologous Tissue Substitute, Open Approach
041N0KS	Bypass Left Popliteal Artery to Lower Extremity Vein with Nonautologous Tissue Substitute, Open Approach
041N0ZL	Bypass Left Popliteal Artery to Popliteal Artery, Open Approach
041N0ZM	Bypass Left Popliteal Artery to Peroneal Artery, Open Approach
041N0ZP	Bypass Left Popliteal Artery to Foot Artery, Open Approach

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
16 Mar 2022 17:08:13
CMS, code-revision=333, description-revision=1331