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LCD Reference Article Billing and Coding Article

Billing and Coding: Non-Invasive Vascular Studies

A56697

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Draft Article
Draft Articles are works in progress and not necessarily a reflection of the current billing and coding practices. Revisions to codes are carefully and thoroughly reviewed and are not intended to change the original intent of the LCD.

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Source Article ID
N/A
Article ID
A56697
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Non-Invasive Vascular Studies
Article Type
Billing and Coding
Original Effective Date
07/11/2019
Revision Effective Date
11/07/2024
Revision Ending Date
N/A
Retirement Date
N/A

CPT codes, descriptions, and other data only are copyright 2023 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

Current Dental Terminology © 2023 American Dental Association. All rights reserved.

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Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions; and/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

CMS National Coverage Policy

Section 1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim.

Code of Federal Regulations:

42 CFR, Section 410.32, indicates that diagnostic tests may only be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements).

42 CFR, Section 410.33 provides guidelines for independent diagnostic testing facilities (IDTFs) including requirements for technician personnel and supervising physicians.

CMS Publications:

CMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 11:

      20.1 Noninvasive Vascular Studies for End Stage Renal Disease

 

    (ESRD) Patients

CMS Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1:

      20.14 Plethysmography

 

      20.17 Noninvasive Tests of Carotid Function

 

      220.5 Ultrasound Diagnostic Procedures

 

    220.21 Thermography

CMS Publication 100-08, Medicare Program Integrity Manual, Chapter 13:

      13.5 Content of an LCD

 

    13.5.1 Reasonable and Necessary Provisions in LCDs

 

Article Guidance

Article Text

This article gives guidance for billing, coding, and other guidelines in relation to local coverage policy Non-Invasive Vascular Studies L34045.

It is the responsibility of the physician/provider to ensure the medical necessity of procedures and to maintain records in the event that records are requested for a post-payment audit.

42 CFR §410.32 indicates that diagnostic tests, to be covered, must be ordered by the practitioner who treats the patient. The treating physician is the practitioner responsible for the treatment of the patient. He/she orders the test to use the results in the management of the beneficiary’s specific medical problem(s). Consulting physicians may also order tests.

A referral for one non-invasive study is not a blanket referral for all studies. A referral must be on record for each non-invasive study performed.

Documentation must be provided supporting the need for more than one imaging study [Doppler flow (93990) or vessel mapping (G0365) and arteriogram (75790/75820)].

Providers of interpretations and the technical portion of the examination must be capable of demonstrating documented training and experience and maintain documentation for post-payment audit.


Frequency of follow-up studies will be carefully monitored for medical necessity and it is the responsibility of the physician/provider to maintain documentation of medical necessity in the patient’s medical record.

Guidelines for follow-up cerebrovascular arterial studies include:

  • Stenosis of 20-49% (diameter reduction), an annual study;
  • Stenosis of 50-79%, every six months;
  • Stenosis of 80-99%, every 6 months if surgery not performed; and/or
  • After carotid endarterectomy, repeat ipsilateral/unilateral examinations are allowable at six weeks, six months, and one year. During the first year, follow-up studies should be on the ipsilateral side unless signs and symptoms or previously identified disease in the contralateral carotid artery provide indications for a bilateral procedure.

If patients become symptomatic of carotid disease repeat duplex scans are allowed without regard to the above schedule.

Pre-surgical conduit mapping of the radial artery(ies) should only be accompanied by vein-mapping studies when the arterial studies demonstrate a non-acceptable conduit or an insufficient conduit is available for multiple bypass procedures.

In the immediate post-operative period, patients may be studied if re-established pulses are lost, become equivocal, or if the patient develops related signs and/or symptoms of ischemia with impending repeat intervention.

With regard to autogenous vein and synthetic lower extremity bypass surgeries, a study may be performed at three-month intervals during the first year, at six-month intervals during the second year, and annually thereafter. The frequency of medically necessary follow-up studies post-angioplasty is dictated by the vascular distribution treated.

General Guidelines for Claims submitted to Part A or Part B MAC:

Procedure codes may be subject to National Correct Coding Initiative (NCCI) edits or OPPS packaging edits. Refer to NCCI and OPPS requirements prior to billing Medicare. For services requiring a referring/ordering physician, the name and NPI of the referring/ordering physician must be reported on the claim. A claim submitted without a valid ICD-10-CM diagnosis code will be returned to the provider as an incomplete claim under Section 1833(e) of the Social Security Act. The diagnosis code(s) must best describe the patient's condition for which the service was performed. For diagnostic tests, report the result of the test if known; otherwise the symptoms prompting the performance of the test should be reported.

 

Advance Beneficiary Notice of Non-coverage (ABN) Modifier Guidelines

An ABN may be used for services which are likely to be non-covered, whether for medical necessity or for other reasons. Refer to CMS Publication 100-04, Medicare Claims Processing Manual, Chapter 30, for complete instructions.

Effective from April 1, 2010, non-covered services should be billed with modifier –GA, -GX, -GY, or –GZ, as appropriate.

The –GA modifier (“Waiver of Liability Statement Issued as Required by Payer Policy”) should be used when physicians, practitioners, or suppliers want to indicate that they anticipate that Medicare will deny a specific service as not reasonable and necessary and they do have an ABN signed by the beneficiary on file. Modifier GA applies only when services will be denied under reasonable and necessary provisions, sections 1862(a)(1), 1862(a)(9), 1879(e), or 1879(g) of the Social Security Act. Effective April 1, 2010, Part A MAC systems will automatically deny services billed with modifier GA. An ABN, Form CMS-R-131, should be signed by the beneficiary to indicate that ‎he/she accepts responsibility for payment.‎ The -GA modifier may also be used on assigned claims when a patient refuses to sign the ABN and the latter is properly witnessed. For claims submitted to the Part A MAC, occurrence code 32 and the date of the ABN is required.

 

Modifier GX (“Notice of Liability Issued, Voluntary Under Payer Policy”) should be used when the beneficiary has signed an ABN, and a denial is anticipated based on provisions other than medical necessity, such as statutory exclusions of coverage or technical issues. An ABN is not required for these denials, but if non-covered services are reported with modifier GX, will automatically be denied services.

 

The –GZ modifier should be used when physicians, practitioners, or suppliers want to indicate that they expect that Medicare will deny an item or service as not reasonable and necessary and they have not had an ABN signed by the beneficiary. ‎If the service is statutorily non-covered, or without a benefit category, submit the ‎appropriate CPT/HCPCS code with the -GY modifier. An ABN is not required for these denials, and the limitation of liability does not apply for beneficiaries. Services with modifier GY will automatically deny.

Documentation Requirements

The patient’s medical record should include but is not limited to:

  • The assessment of the patient by the ordering provider as it relates to the complaint of the patient for that visit,
  • Relevant medical history
  • Results of pertinent tests/procedures
  • Signed and dated office visit record/operative report (Please note that all services ordered or rendered to Medicare beneficiaries must be signed.)

Other Comments:

For claims submitted to the Part A MAC: This coverage determination also applies within states outside the primary geographic jurisdiction with facilities that have nominated CGS Administrators, LLC to process their claims.

Bill type codes only apply to providers who bill these services to the Part A MAC: Bill type codes do not apply to physicians, other professionals and suppliers who bill these services to the carrier or Part B MAC.

For dates of service on or after April 1, 2010, bill type 77X should be used to report FQHC services.

Limitation of liability and refund requirements apply when denials are likely, whether based on medical necessity or other coverage reasons. The provider/supplier must notify the beneficiary in writing, prior to rendering the service, if the provider/supplier is aware that the test, item or procedure may not be covered by Medicare. The limitation of liability and refund requirements do not apply when the test, item or procedure is statutorily excluded, has no Medicare benefit category or is rendered for screening purposes.

For outpatient settings other than CORFs, references to "physicians" throughout this policy include non-physicians, such as nurse practitioners, clinical nurse specialists and physician assistants. Such non-physician practitioners, with certain exceptions, may certify, order and establish the plan of care as authorized by State law. (See Sections 1861[s][2] and 1862[a][14] of Title XVIII of the Social Security Act; 42 CFR, Sections 410.74, 410.75, 410.76 and 419.22; 58 FR 18543, April 7, 2000.)

Response To Comments

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Coding Information

Bill Type Codes

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Revenue Codes

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CPT/HCPCS Codes

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CPT/HCPCS Modifiers

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Group 1

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 Group 1 Codes

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ICD-10-CM Codes that Support Medical Necessity

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Group 1

(260 Codes)
Group 1 Paragraph

It is the responsibility of the provider to code to the highest level specified in the ICD-10-CM. The correct use of an ICD-10-CM code does not assure coverage of a service. The service must be reasonable and necessary in the specific case and must meet the criteria specified in this determination.

Cerebrovascular Evaluation (93880, 93882)

Use ICD-10-CM code R22.1 to report a pulsatile neck mass.

Use ICD-10-CM code R09.89 to report a carotid bruit.

 Group 1 Codes
Code Description
G04.1 Tropical spastic paraplegia
G45.0 - G45.4 Vertebro-basilar artery syndrome - Transient global amnesia
G45.8 Other transient cerebral ischemic attacks and related syndromes
G46.0 Middle cerebral artery syndrome
G46.1 Anterior cerebral artery syndrome
G46.2 Posterior cerebral artery syndrome
G81.01 - G81.04 Flaccid hemiplegia affecting right dominant side - Flaccid hemiplegia affecting left nondominant side
G81.11 - G81.14 Spastic hemiplegia affecting right dominant side - Spastic hemiplegia affecting left nondominant side
G81.91 - G81.94 Hemiplegia, unspecified affecting right dominant side - Hemiplegia, unspecified affecting left nondominant side
G82.21 Paraplegia, complete
G82.22 Paraplegia, incomplete
G82.51 - G82.54 Quadriplegia, C1-C4 complete - Quadriplegia, C5-C7 incomplete
G83.0 Diplegia of upper limbs
G83.11 - G83.14 Monoplegia of lower limb affecting right dominant side - Monoplegia of lower limb affecting left nondominant side
G83.21 - G83.24 Monoplegia of upper limb affecting right dominant side - Monoplegia of upper limb affecting left nondominant side
G83.31 - G83.34 Monoplegia, unspecified affecting right dominant side - Monoplegia, unspecified affecting left nondominant side
G97.48 Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure
G97.49 Accidental puncture and laceration of other nervous system organ or structure during other procedure
H34.01 - H34.03 Transient retinal artery occlusion, right eye - Transient retinal artery occlusion, bilateral
H34.11 - H34.13 Central retinal artery occlusion, right eye - Central retinal artery occlusion, bilateral
H34.211 - H34.213 Partial retinal artery occlusion, right eye - Partial retinal artery occlusion, bilateral
H34.231 Retinal artery branch occlusion, right eye
H34.232 Retinal artery branch occlusion, left eye
H34.233 Retinal artery branch occlusion, bilateral
H34.8110 Central retinal vein occlusion, right eye, with macular edema
H34.8111 Central retinal vein occlusion, right eye, with retinal neovascularization
H34.8112 Central retinal vein occlusion, right eye, stable
H34.8120 Central retinal vein occlusion, left eye, with macular edema
H34.8121 Central retinal vein occlusion, left eye, with retinal neovascularization
H34.8122 Central retinal vein occlusion, left eye, stable
H34.8130 Central retinal vein occlusion, bilateral, with macular edema
H34.8131 Central retinal vein occlusion, bilateral, with retinal neovascularization
H34.8132 Central retinal vein occlusion, bilateral, stable
H34.821 Venous engorgement, right eye
H34.822 Venous engorgement, left eye
H34.823 Venous engorgement, bilateral
H34.8310 Tributary (branch) retinal vein occlusion, right eye, with macular edema
H34.8311 Tributary (branch) retinal vein occlusion, right eye, with retinal neovascularization
H34.8312 Tributary (branch) retinal vein occlusion, right eye, stable
H34.8320 Tributary (branch) retinal vein occlusion, left eye, with macular edema
H34.8321 Tributary (branch) retinal vein occlusion, left eye, with retinal neovascularization
H34.8322 Tributary (branch) retinal vein occlusion, left eye, stable
H34.8330 Tributary (branch) retinal vein occlusion, bilateral, with macular edema
H34.8331 Tributary (branch) retinal vein occlusion, bilateral, with retinal neovascularization
H34.8332 Tributary (branch) retinal vein occlusion, bilateral, stable
H34.9 Unspecified retinal vascular occlusion
H35.82 Retinal ischemia
H53.10 Unspecified subjective visual disturbances
H53.11 Day blindness
H53.121 - H53.123 Transient visual loss, right eye - Transient visual loss, bilateral
H53.131 - H53.133 Sudden visual loss, right eye - Sudden visual loss, bilateral
H53.139 Sudden visual loss, unspecified eye
H53.2 Diplopia
H53.40 Unspecified visual field defects
H53.411 - H53.413 Scotoma involving central area, right eye - Scotoma involving central area, bilateral
H53.421 - H53.423 Scotoma of blind spot area, right eye - Scotoma of blind spot area, bilateral
H53.431 - H53.433 Sector or arcuate defects, right eye - Sector or arcuate defects, bilateral
H53.451 - H53.453 Other localized visual field defect, right eye - Other localized visual field defect, bilateral
H53.461 Homonymous bilateral field defects, right side
H53.462 Homonymous bilateral field defects, left side
H53.47 Heteronymous bilateral field defects
H53.481 - H53.483 Generalized contraction of visual field, right eye - Generalized contraction of visual field, bilateral
H59.211 - H59.213 Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure - Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure, bilateral
H59.221 - H59.223 Accidental puncture and laceration of right eye and adnexa during other procedure - Accidental puncture and laceration of eye and adnexa during other procedure, bilateral
H95.31 Accidental puncture and laceration of the ear and mastoid process during a procedure on the ear and mastoid process
H95.32 Accidental puncture and laceration of the ear and mastoid process during other procedure
I63.00 Cerebral infarction due to thrombosis of unspecified precerebral artery
I63.011 Cerebral infarction due to thrombosis of right vertebral artery
I63.012 Cerebral infarction due to thrombosis of left vertebral artery
I63.02 Cerebral infarction due to thrombosis of basilar artery
I63.031 Cerebral infarction due to thrombosis of right carotid artery
I63.032 Cerebral infarction due to thrombosis of left carotid artery
I63.09 Cerebral infarction due to thrombosis of other precerebral artery
I63.10 Cerebral infarction due to embolism of unspecified precerebral artery
I63.111 Cerebral infarction due to embolism of right vertebral artery
I63.112 Cerebral infarction due to embolism of left vertebral artery
I63.12 Cerebral infarction due to embolism of basilar artery
I63.131 Cerebral infarction due to embolism of right carotid artery
I63.132 Cerebral infarction due to embolism of left carotid artery
I63.19 Cerebral infarction due to embolism of other precerebral artery
I63.20 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63.211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63.212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63.231 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.29 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I63.311 Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312 Cerebral infarction due to thrombosis of left middle cerebral artery
I63.321 Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322 Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.331 Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332 Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.341 Cerebral infarction due to thrombosis of right cerebellar artery
I63.342 Cerebral infarction due to thrombosis of left cerebellar artery
I63.39 Cerebral infarction due to thrombosis of other cerebral artery
I63.411 Cerebral infarction due to embolism of right middle cerebral artery
I63.412 Cerebral infarction due to embolism of left middle cerebral artery
I63.421 Cerebral infarction due to embolism of right anterior cerebral artery
I63.422 Cerebral infarction due to embolism of left anterior cerebral artery
I63.431 Cerebral infarction due to embolism of right posterior cerebral artery
I63.432 Cerebral infarction due to embolism of left posterior cerebral artery
I63.441 Cerebral infarction due to embolism of right cerebellar artery
I63.442 Cerebral infarction due to embolism of left cerebellar artery
I63.511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.541 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.59 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.81 Other cerebral infarction due to occlusion or stenosis of small artery
I63.89 Other cerebral infarction
I65.01 - I65.03 Occlusion and stenosis of right vertebral artery - Occlusion and stenosis of bilateral vertebral arteries
I65.1 Occlusion and stenosis of basilar artery
I65.21 - I65.23 Occlusion and stenosis of right carotid artery - Occlusion and stenosis of bilateral carotid arteries
I65.8 Occlusion and stenosis of other precerebral arteries
I65.9 Occlusion and stenosis of unspecified precerebral artery
I66.01 - I66.03 Occlusion and stenosis of right middle cerebral artery - Occlusion and stenosis of bilateral middle cerebral arteries
I66.11 - I66.13 Occlusion and stenosis of right anterior cerebral artery - Occlusion and stenosis of bilateral anterior cerebral arteries
I66.21 - I66.23 Occlusion and stenosis of right posterior cerebral artery - Occlusion and stenosis of bilateral posterior cerebral arteries
I66.3 Occlusion and stenosis of cerebellar arteries
I66.8 Occlusion and stenosis of other cerebral arteries
I67.841 Reversible cerebrovascular vasoconstriction syndrome
I67.848 Other cerebrovascular vasospasm and vasoconstriction
I67.850 Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy
I67.858 Other hereditary cerebrovascular disease
I72.0 Aneurysm of carotid artery
I72.6 Aneurysm of vertebral artery
I72.8 Aneurysm of other specified arteries
I75.89 Atheroembolism of other site
I77.71 Dissection of carotid artery
I77.74 Dissection of vertebral artery
I77.79 Dissection of other specified artery
I79.1 Aortitis in diseases classified elsewhere
I79.8 Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere
I97.51 Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure
I97.52 Accidental puncture and laceration of a circulatory system organ or structure during other procedure
I97.810 Intraoperative cerebrovascular infarction during cardiac surgery
I97.811 Intraoperative cerebrovascular infarction during other surgery
I97.820 Postprocedural cerebrovascular infarction following cardiac surgery
I97.821 Postprocedural cerebrovascular infarction following other surgery
J95.71 Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure
J95.72 Accidental puncture and laceration of a respiratory system organ or structure during other procedure
K91.71 Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure
K91.72 Accidental puncture and laceration of a digestive system organ or structure during other procedure
L76.11 Accidental puncture and laceration of skin and subcutaneous tissue during a dermatologic procedure
L76.12 Accidental puncture and laceration of skin and subcutaneous tissue during other procedure
M96.820 Accidental puncture and laceration of a musculoskeletal structure during a musculoskeletal system procedure
M96.821 Accidental puncture and laceration of a musculoskeletal structure during other procedure
N99.71 Accidental puncture and laceration of a genitourinary system organ or structure during a genitourinary system procedure
N99.72 Accidental puncture and laceration of a genitourinary system organ or structure during other procedure
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
R20.0 - R20.3 Anesthesia of skin - Hyperesthesia
R22.0 Localized swelling, mass and lump, head
R22.1 Localized swelling, mass and lump, neck
R26.0 Ataxic gait
R26.1 Paralytic gait
R26.81 Unsteadiness on feet
R26.89 Other abnormalities of gait and mobility
R27.0 Ataxia, unspecified
R27.8 Other lack of coordination
R29.5 Transient paralysis
R29.810 Facial weakness
R42 Dizziness and giddiness
R47.01 Aphasia
R47.02 Dysphasia
R47.1 Dysarthria and anarthria
R47.81 Slurred speech
R47.82 Fluency disorder in conditions classified elsewhere
R47.89 Other speech disturbances
R55 Syncope and collapse
S15.001A Unspecified injury of right carotid artery, initial encounter
S15.002A Unspecified injury of left carotid artery, initial encounter
S15.011A Minor laceration of right carotid artery, initial encounter
S15.012A Minor laceration of left carotid artery, initial encounter
S15.021A Major laceration of right carotid artery, initial encounter
S15.022A Major laceration of left carotid artery, initial encounter
S15.091A Other specified injury of right carotid artery, initial encounter
S15.092A Other specified injury of left carotid artery, initial encounter
S25.111A Minor laceration of right innominate or subclavian artery, initial encounter
S25.112A Minor laceration of left innominate or subclavian artery, initial encounter
S25.121A Major laceration of right innominate or subclavian artery, initial encounter
S25.122A Major laceration of left innominate or subclavian artery, initial encounter
S25.191A Other specified injury of right innominate or subclavian artery, initial encounter
S25.192A Other specified injury of left innominate or subclavian artery, initial encounter
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.328A Displacement of other vascular grafts, initial encounter
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system
Z86.711 Personal history of pulmonary embolism
Z86.73 Personal history of transient ischemic attack (TIA), and cerebral infarction without residual deficits

Group 2

(110 Codes)
Group 2 Paragraph

Transcranial Doppler Studies (93886, 93888, 93890, 93892, 93893)

Use ICD-10-CM code G93.82 to report assessment of brain death.

 Group 2 Codes
Code Description
D56.0 - D56.3 Alpha thalassemia - Thalassemia minor
D56.5 Hemoglobin E-beta thalassemia
D56.9 Thalassemia, unspecified
D57.01 Hb-SS disease with acute chest syndrome
D57.02 Hb-SS disease with splenic sequestration
D57.03 Hb-SS disease with cerebral vascular involvement
D57.04 Hb-SS disease with dactylitis
D57.09 Hb-SS disease with crisis with other specified complication
D57.1 Sickle-cell disease without crisis
D57.40 Sickle-cell thalassemia without crisis
D57.411 Sickle-cell thalassemia, unspecified, with acute chest syndrome
D57.412 Sickle-cell thalassemia, unspecified, with splenic sequestration
D57.414 Sickle-cell thalassemia, unspecified, with dactylitis
D57.431 Sickle-cell thalassemia beta zero with acute chest syndrome
D57.432 Sickle-cell thalassemia beta zero with splenic sequestration
D57.433 Sickle-cell thalassemia beta zero with cerebral vascular involvement
D57.434 Sickle-cell thalassemia beta zero with dactylitis
D57.451 Sickle-cell thalassemia beta plus with acute chest syndrome
D57.452 Sickle-cell thalassemia beta plus with splenic sequestration
D57.453 Sickle-cell thalassemia beta plus with cerebral vascular involvement
D57.454 Sickle-cell thalassemia beta plus with dactylitis
G45.0 Vertebro-basilar artery syndrome
G93.82 Brain death
G93.89 Other specified disorders of brain
I60.01 Nontraumatic subarachnoid hemorrhage from right carotid siphon and bifurcation
I60.02 Nontraumatic subarachnoid hemorrhage from left carotid siphon and bifurcation
I60.11 Nontraumatic subarachnoid hemorrhage from right middle cerebral artery
I60.12 Nontraumatic subarachnoid hemorrhage from left middle cerebral artery
I60.2 Nontraumatic subarachnoid hemorrhage from anterior communicating artery
I60.31 Nontraumatic subarachnoid hemorrhage from right posterior communicating artery
I60.32 Nontraumatic subarachnoid hemorrhage from left posterior communicating artery
I60.4 Nontraumatic subarachnoid hemorrhage from basilar artery
I60.51 Nontraumatic subarachnoid hemorrhage from right vertebral artery
I60.52 Nontraumatic subarachnoid hemorrhage from left vertebral artery
I60.6 Nontraumatic subarachnoid hemorrhage from other intracranial arteries
I60.8 Other nontraumatic subarachnoid hemorrhage
I63.00 Cerebral infarction due to thrombosis of unspecified precerebral artery
I63.011 Cerebral infarction due to thrombosis of right vertebral artery
I63.012 Cerebral infarction due to thrombosis of left vertebral artery
I63.02 Cerebral infarction due to thrombosis of basilar artery
I63.031 Cerebral infarction due to thrombosis of right carotid artery
I63.032 Cerebral infarction due to thrombosis of left carotid artery
I63.09 Cerebral infarction due to thrombosis of other precerebral artery
I63.10 Cerebral infarction due to embolism of unspecified precerebral artery
I63.111 Cerebral infarction due to embolism of right vertebral artery
I63.112 Cerebral infarction due to embolism of left vertebral artery
I63.12 Cerebral infarction due to embolism of basilar artery
I63.131 Cerebral infarction due to embolism of right carotid artery
I63.132 Cerebral infarction due to embolism of left carotid artery
I63.19 Cerebral infarction due to embolism of other precerebral artery
I63.20 Cerebral infarction due to unspecified occlusion or stenosis of unspecified precerebral arteries
I63.211 Cerebral infarction due to unspecified occlusion or stenosis of right vertebral artery
I63.212 Cerebral infarction due to unspecified occlusion or stenosis of left vertebral artery
I63.231 Cerebral infarction due to unspecified occlusion or stenosis of right carotid arteries
I63.232 Cerebral infarction due to unspecified occlusion or stenosis of left carotid arteries
I63.29 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I63.311 Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312 Cerebral infarction due to thrombosis of left middle cerebral artery
I63.321 Cerebral infarction due to thrombosis of right anterior cerebral artery
I63.322 Cerebral infarction due to thrombosis of left anterior cerebral artery
I63.331 Cerebral infarction due to thrombosis of right posterior cerebral artery
I63.332 Cerebral infarction due to thrombosis of left posterior cerebral artery
I63.341 Cerebral infarction due to thrombosis of right cerebellar artery
I63.342 Cerebral infarction due to thrombosis of left cerebellar artery
I63.39 Cerebral infarction due to thrombosis of other cerebral artery
I63.411 Cerebral infarction due to embolism of right middle cerebral artery
I63.412 Cerebral infarction due to embolism of left middle cerebral artery
I63.421 Cerebral infarction due to embolism of right anterior cerebral artery
I63.422 Cerebral infarction due to embolism of left anterior cerebral artery
I63.431 Cerebral infarction due to embolism of right posterior cerebral artery
I63.432 Cerebral infarction due to embolism of left posterior cerebral artery
I63.441 Cerebral infarction due to embolism of right cerebellar artery
I63.442 Cerebral infarction due to embolism of left cerebellar artery
I63.511 Cerebral infarction due to unspecified occlusion or stenosis of right middle cerebral artery
I63.512 Cerebral infarction due to unspecified occlusion or stenosis of left middle cerebral artery
I63.521 Cerebral infarction due to unspecified occlusion or stenosis of right anterior cerebral artery
I63.522 Cerebral infarction due to unspecified occlusion or stenosis of left anterior cerebral artery
I63.531 Cerebral infarction due to unspecified occlusion or stenosis of right posterior cerebral artery
I63.532 Cerebral infarction due to unspecified occlusion or stenosis of left posterior cerebral artery
I63.541 Cerebral infarction due to unspecified occlusion or stenosis of right cerebellar artery
I63.542 Cerebral infarction due to unspecified occlusion or stenosis of left cerebellar artery
I63.59 Cerebral infarction due to unspecified occlusion or stenosis of other cerebral artery
I63.6 Cerebral infarction due to cerebral venous thrombosis, nonpyogenic
I63.81 Other cerebral infarction due to occlusion or stenosis of small artery
I63.89 Other cerebral infarction
I65.01 - I65.03 Occlusion and stenosis of right vertebral artery - Occlusion and stenosis of bilateral vertebral arteries
I65.1 Occlusion and stenosis of basilar artery
I65.21 - I65.23 Occlusion and stenosis of right carotid artery - Occlusion and stenosis of bilateral carotid arteries
I65.8 Occlusion and stenosis of other precerebral arteries
I65.9 Occlusion and stenosis of unspecified precerebral artery
I66.01 - I66.03 Occlusion and stenosis of right middle cerebral artery - Occlusion and stenosis of bilateral middle cerebral arteries
I66.11 - I66.13 Occlusion and stenosis of right anterior cerebral artery - Occlusion and stenosis of bilateral anterior cerebral arteries
I66.21 - I66.23 Occlusion and stenosis of right posterior cerebral artery - Occlusion and stenosis of bilateral posterior cerebral arteries
I66.3 Occlusion and stenosis of cerebellar arteries
I66.8 Occlusion and stenosis of other cerebral arteries
I67.848 Other cerebrovascular vasospasm and vasoconstriction
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system

Group 3

(468 Codes)
Group 3 Paragraph

Extremity Arterial Evaluation (93922, 93923, 93924, 93925, 93926, 93930 and 93931):

 Group 3 Codes
Code Description
A48.0 Gas gangrene
E08.51 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy without gangrene
E08.52 Diabetes mellitus due to underlying condition with diabetic peripheral angiopathy with gangrene
E08.59 Diabetes mellitus due to underlying condition with other circulatory complications
E08.65 Diabetes mellitus due to underlying condition with hyperglycemia
E09.51 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy without gangrene
E09.52 Drug or chemical induced diabetes mellitus with diabetic peripheral angiopathy with gangrene
E09.59 Drug or chemical induced diabetes mellitus with other circulatory complications
E10.51 Type 1 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E10.52 Type 1 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E10.59 Type 1 diabetes mellitus with other circulatory complications
E11.51 Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene
E11.52 Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene
E11.59 Type 2 diabetes mellitus with other circulatory complications
E11.65 Type 2 diabetes mellitus with hyperglycemia
E13.51 Other specified diabetes mellitus with diabetic peripheral angiopathy without gangrene
E13.52 Other specified diabetes mellitus with diabetic peripheral angiopathy with gangrene
E13.59 Other specified diabetes mellitus with other circulatory complications
E36.01 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine system procedure
E36.02 Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure
G45.8 Other transient cerebral ischemic attacks and related syndromes
G54.0 Brachial plexus disorders
G97.52 Postprocedural hemorrhage of a nervous system organ or structure following other procedure
H59.111 - H59.113 Intraoperative hemorrhage and hematoma of right eye and adnexa complicating an ophthalmic procedure - Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure, bilateral
H59.121 - H59.123 Intraoperative hemorrhage and hematoma of right eye and adnexa complicating other procedure - Intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure, bilateral
H59.311 - H59.313 Postprocedural hemorrhage of right eye and adnexa following an ophthalmic procedure - Postprocedural hemorrhage of eye and adnexa following an ophthalmic procedure, bilateral
H59.321 - H59.323 Postprocedural hemorrhage of right eye and adnexa following other procedure - Postprocedural hemorrhage of eye and adnexa following other procedure, bilateral
H95.21 Intraoperative hemorrhage and hematoma of ear and mastoid process complicating a procedure on the ear and mastoid process
H95.22 Intraoperative hemorrhage and hematoma of ear and mastoid process complicating other procedure
H95.41 Postprocedural hemorrhage of ear and mastoid process following a procedure on the ear and mastoid process
H95.42 Postprocedural hemorrhage of ear and mastoid process following other procedure
I70.0 Atherosclerosis of aorta
I70.211 - I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg - Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
I70.221 - I70.223 Atherosclerosis of native arteries of extremities with rest pain, right leg - Atherosclerosis of native arteries of extremities with rest pain, bilateral legs
I70.231 - I70.235 Atherosclerosis of native arteries of right leg with ulceration of thigh - Atherosclerosis of native arteries of right leg with ulceration of other part of foot
I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg
I70.241 - I70.245 Atherosclerosis of native arteries of left leg with ulceration of thigh - Atherosclerosis of native arteries of left leg with ulceration of other part of foot
I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
I70.25 Atherosclerosis of native arteries of other extremities with ulceration
I70.261 - I70.263 Atherosclerosis of native arteries of extremities with gangrene, right leg - Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.301 - I70.303 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg - Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs
I70.311 - I70.313 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, right leg - Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.321 - I70.323 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, right leg - Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, bilateral legs
I70.331 - I70.335 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.338 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.341 - I70.345 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.348 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.35 Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration
I70.361 - I70.363 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg - Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs
I70.391 - I70.393 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg - Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs
I70.411 - I70.413 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, right leg - Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.421 - I70.423 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg - Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs
I70.431 - I70.435 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot
I70.438 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.441 - I70.445 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot
I70.448 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.45 Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration
I70.461 - I70.463 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg - Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs
I70.491 - I70.493 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg - Other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
I70.511 - I70.513 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, right leg - Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.521 - I70.523 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, right leg - Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.531 - I70.535 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot
I70.538 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.541 - I70.545 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot
I70.548 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.55 Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration
I70.561 - I70.563 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg - Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.591 - I70.593 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg - Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs
I70.611 - I70.613 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, right leg - Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.621 - I70.623 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg - Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.631 - I70.635 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot
I70.638 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.641 - I70.645 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot
I70.648 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.65 Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration
I70.661 - I70.663 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg - Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.691 - I70.693 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg - Other atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs
I70.711 - I70.713 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, right leg - Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.721 - I70.723 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, right leg - Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, bilateral legs
I70.731 - I70.735 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.738 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.741 - I70.745 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.748 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.75 Atherosclerosis of other type of bypass graft(s) of other extremity with ulceration
I70.761 - I70.763 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, right leg - Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, bilateral legs
I70.791 - I70.793 Other atherosclerosis of other type of bypass graft(s) of the extremities, right leg - Other atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs
I70.92 Chronic total occlusion of artery of the extremities
I72.1 Aneurysm of artery of upper extremity
I72.4 Aneurysm of artery of lower extremity
I72.8 Aneurysm of other specified arteries
I73.00 Raynaud's syndrome without gangrene
I73.01 Raynaud's syndrome with gangrene
I73.1 Thromboangiitis obliterans [Buerger's disease]
I73.89 Other specified peripheral vascular diseases
I73.9 Peripheral vascular disease, unspecified
I74.2 - I74.5 Embolism and thrombosis of arteries of the upper extremities - Embolism and thrombosis of iliac artery
I75.011 - I75.013 Atheroembolism of right upper extremity - Atheroembolism of bilateral upper extremities
I75.021 - I75.023 Atheroembolism of right lower extremity - Atheroembolism of bilateral lower extremities
I76 Septic arterial embolism
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.72 Dissection of iliac artery
I77.79 Dissection of other specified artery
I79.1 Aortitis in diseases classified elsewhere
I79.8 Other disorders of arteries, arterioles and capillaries in diseases classified elsewhere
I96 Gangrene, not elsewhere classified
I97.410 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization
I97.411 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass
I97.418 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure
I97.42 Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure
I97.51 Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure
I97.52 Accidental puncture and laceration of a circulatory system organ or structure during other procedure
I97.610 Postprocedural hemorrhage of a circulatory system organ or structure following a cardiac catheterization
I97.611 Postprocedural hemorrhage of a circulatory system organ or structure following cardiac bypass
I97.618 Postprocedural hemorrhage of a circulatory system organ or structure following other circulatory system procedure
I97.620 Postprocedural hemorrhage of a circulatory system organ or structure following other procedure
I97.621 Postprocedural hematoma of a circulatory system organ or structure following other procedure
I97.622 Postprocedural seroma of a circulatory system organ or structure following other procedure
L76.01 Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating a dermatologic procedure
L76.02 Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating other procedure
L76.11 Accidental puncture and laceration of skin and subcutaneous tissue during a dermatologic procedure
L76.12 Accidental puncture and laceration of skin and subcutaneous tissue during other procedure
L76.21 Postprocedural hemorrhage of skin and subcutaneous tissue following a dermatologic procedure
L76.22 Postprocedural hemorrhage of skin and subcutaneous tissue following other procedure
L97.111 - L97.114 Non-pressure chronic ulcer of right thigh limited to breakdown of skin - Non-pressure chronic ulcer of right thigh with necrosis of bone
L97.121 - L97.124 Non-pressure chronic ulcer of left thigh limited to breakdown of skin - Non-pressure chronic ulcer of left thigh with necrosis of bone
L97.211 - L97.214 Non-pressure chronic ulcer of right calf limited to breakdown of skin - Non-pressure chronic ulcer of right calf with necrosis of bone
L97.221 - L97.224 Non-pressure chronic ulcer of left calf limited to breakdown of skin - Non-pressure chronic ulcer of left calf with necrosis of bone
L97.311 - L97.314 Non-pressure chronic ulcer of right ankle limited to breakdown of skin - Non-pressure chronic ulcer of right ankle with necrosis of bone
L97.321 - L97.324 Non-pressure chronic ulcer of left ankle limited to breakdown of skin - Non-pressure chronic ulcer of left ankle with necrosis of bone
L97.411 - L97.414 Non-pressure chronic ulcer of right heel and midfoot limited to breakdown of skin - Non-pressure chronic ulcer of right heel and midfoot with necrosis of bone
L97.421 - L97.424 Non-pressure chronic ulcer of left heel and midfoot limited to breakdown of skin - Non-pressure chronic ulcer of left heel and midfoot with necrosis of bone
L97.511 - L97.514 Non-pressure chronic ulcer of other part of right foot limited to breakdown of skin - Non-pressure chronic ulcer of other part of right foot with necrosis of bone
L97.521 - L97.524 Non-pressure chronic ulcer of other part of left foot limited to breakdown of skin - Non-pressure chronic ulcer of other part of left foot with necrosis of bone
L97.911 - L97.914 Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin - Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone
L97.921 - L97.924 Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin - Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone
L98.411 - L98.414 Non-pressure chronic ulcer of buttock limited to breakdown of skin - Non-pressure chronic ulcer of buttock with necrosis of bone
L98.421 - L98.424 Non-pressure chronic ulcer of back limited to breakdown of skin - Non-pressure chronic ulcer of back with necrosis of bone
M96.810 Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a musculoskeletal system procedure
M96.811 Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating other procedure
M96.820 Accidental puncture and laceration of a musculoskeletal structure during a musculoskeletal system procedure
M96.821 Accidental puncture and laceration of a musculoskeletal structure during other procedure
M96.830 Postprocedural hemorrhage of a musculoskeletal structure following a musculoskeletal system procedure
M96.831 Postprocedural hemorrhage of a musculoskeletal structure following other procedure
N99.61 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a genitourinary system procedure
N99.62 Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating other procedure
N99.71 Accidental puncture and laceration of a genitourinary system organ or structure during a genitourinary system procedure
N99.72 Accidental puncture and laceration of a genitourinary system organ or structure during other procedure
N99.820 Postprocedural hemorrhage of a genitourinary system organ or structure following a genitourinary system procedure
N99.821 Postprocedural hemorrhage of a genitourinary system organ or structure following other procedure
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
S45.011A Laceration of axillary artery, right side, initial encounter
S45.012A Laceration of axillary artery, left side, initial encounter
S45.091A Other specified injury of axillary artery, right side, initial encounter
S45.092A Other specified injury of axillary artery, left side, initial encounter
S45.111A Laceration of brachial artery, right side, initial encounter
S45.112A Laceration of brachial artery, left side, initial encounter
S45.191A Other specified injury of brachial artery, right side, initial encounter
S45.192A Other specified injury of brachial artery, left side, initial encounter
S45.311A Laceration of superficial vein at shoulder and upper arm level, right arm, initial encounter
S45.312A Laceration of superficial vein at shoulder and upper arm level, left arm, initial encounter
S45.391A Other specified injury of superficial vein at shoulder and upper arm level, right arm, initial encounter
S45.392A Other specified injury of superficial vein at shoulder and upper arm level, left arm, initial encounter
S45.811A Laceration of other specified blood vessels at shoulder and upper arm level, right arm, initial encounter
S45.812A Laceration of other specified blood vessels at shoulder and upper arm level, left arm, initial encounter
S45.891A Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, initial encounter
S45.892A Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm, initial encounter
S45.911A Laceration of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounter
S45.912A Laceration of unspecified blood vessel at shoulder and upper arm level, left arm, initial encounter
S45.991A Other specified injury of unspecified blood vessel at shoulder and upper arm level, right arm, initial encounter
S45.992A Other specified injury of unspecified blood vessel at shoulder and upper arm level, left arm, initial encounter
S55.011A Laceration of ulnar artery at forearm level, right arm, initial encounter
S55.012A Laceration of ulnar artery at forearm level, left arm, initial encounter
S55.091A Other specified injury of ulnar artery at forearm level, right arm, initial encounter
S55.092A Other specified injury of ulnar artery at forearm level, left arm, initial encounter
S55.111A Laceration of radial artery at forearm level, right arm, initial encounter
S55.112A Laceration of radial artery at forearm level, left arm, initial encounter
S55.191A Other specified injury of radial artery at forearm level, right arm, initial encounter
S55.192A Other specified injury of radial artery at forearm level, left arm, initial encounter
S55.211A Laceration of vein at forearm level, right arm, initial encounter
S55.212A Laceration of vein at forearm level, left arm, initial encounter
S55.291A Other specified injury of vein at forearm level, right arm, initial encounter
S55.292A Other specified injury of vein at forearm level, left arm, initial encounter
S55.811A Laceration of other blood vessels at forearm level, right arm, initial encounter
S55.812A Laceration of other blood vessels at forearm level, left arm, initial encounter
S55.891A Other specified injury of other blood vessels at forearm level, right arm, initial encounter
S55.892A Other specified injury of other blood vessels at forearm level, left arm, initial encounter
S55.911A Laceration of unspecified blood vessel at forearm level, right arm, initial encounter
S55.912A Laceration of unspecified blood vessel at forearm level, left arm, initial encounter
S55.991A Other specified injury of unspecified blood vessel at forearm level, right arm, initial encounter
S55.992A Other specified injury of unspecified blood vessel at forearm level, left arm, initial encounter
S65.011A Laceration of ulnar artery at wrist and hand level of right arm, initial encounter
S65.012A Laceration of ulnar artery at wrist and hand level of left arm, initial encounter
S65.091A Other specified injury of ulnar artery at wrist and hand level of right arm, initial encounter
S65.092A Other specified injury of ulnar artery at wrist and hand level of left arm, initial encounter
S65.111A Laceration of radial artery at wrist and hand level of right arm, initial encounter
S65.112A Laceration of radial artery at wrist and hand level of left arm, initial encounter
S65.191A Other specified injury of radial artery at wrist and hand level of right arm, initial encounter
S65.192A Other specified injury of radial artery at wrist and hand level of left arm, initial encounter
S65.211A Laceration of superficial palmar arch of right hand, initial encounter
S65.212A Laceration of superficial palmar arch of left hand, initial encounter
S65.291A Other specified injury of superficial palmar arch of right hand, initial encounter
S65.292A Other specified injury of superficial palmar arch of left hand, initial encounter
S65.311A Laceration of deep palmar arch of right hand, initial encounter
S65.312A Laceration of deep palmar arch of left hand, initial encounter
S65.391A Other specified injury of deep palmar arch of right hand, initial encounter
S65.392A Other specified injury of deep palmar arch of left hand, initial encounter
S65.811A Laceration of other blood vessels at wrist and hand level of right arm, initial encounter
S65.812A Laceration of other blood vessels at wrist and hand level of left arm, initial encounter
S65.891A Other specified injury of other blood vessels at wrist and hand level of right arm, initial encounter
S65.892A Other specified injury of other blood vessels at wrist and hand level of left arm, initial encounter
S65.911A Laceration of unspecified blood vessel at wrist and hand level of right arm, initial encounter
S65.912A Laceration of unspecified blood vessel at wrist and hand level of left arm, initial encounter
S65.991A Other specified injury of unspecified blood vessel at wrist and hand of right arm, initial encounter
S65.992A Other specified injury of unspecified blood vessel at wrist and hand of left arm, initial encounter
S75.011A Minor laceration of femoral artery, right leg, initial encounter
S75.012A Minor laceration of femoral artery, left leg, initial encounter
S75.021A Major laceration of femoral artery, right leg, initial encounter
S75.022A Major laceration of femoral artery, left leg, initial encounter
S75.091A Other specified injury of femoral artery, right leg, initial encounter
S75.092A Other specified injury of femoral artery, left leg, initial encounter
S75.811A Laceration of other blood vessels at hip and thigh level, right leg, initial encounter
S75.812A Laceration of other blood vessels at hip and thigh level, left leg, initial encounter
S75.891A Other specified injury of other blood vessels at hip and thigh level, right leg, initial encounter
S75.892A Other specified injury of other blood vessels at hip and thigh level, left leg, initial encounter
S75.911A Laceration of unspecified blood vessel at hip and thigh level, right leg, initial encounter
S75.912A Laceration of unspecified blood vessel at hip and thigh level, left leg, initial encounter
S75.991A Other specified injury of unspecified blood vessel at hip and thigh level, right leg, initial encounter
S75.992A Other specified injury of unspecified blood vessel at hip and thigh level, left leg, initial encounter
S85.011A Laceration of popliteal artery, right leg, initial encounter
S85.012A Laceration of popliteal artery, left leg, initial encounter
S85.091A Other specified injury of popliteal artery, right leg, initial encounter
S85.092A Other specified injury of popliteal artery, left leg, initial encounter
S85.111A Laceration of unspecified tibial artery, right leg, initial encounter
S85.112A Laceration of unspecified tibial artery, left leg, initial encounter
S85.121A Other specified injury of unspecified tibial artery, right leg, initial encounter
S85.122A Other specified injury of unspecified tibial artery, left leg, initial encounter
S85.141A Laceration of anterior tibial artery, right leg, initial encounter
S85.142A Laceration of anterior tibial artery, left leg, initial encounter
S85.151A Other specified injury of anterior tibial artery, right leg, initial encounter
S85.152A Other specified injury of anterior tibial artery, left leg, initial encounter
S85.171A Laceration of posterior tibial artery, right leg, initial encounter
S85.172A Laceration of posterior tibial artery, left leg, initial encounter
S85.181A Other specified injury of posterior tibial artery, right leg, initial encounter
S85.182A Other specified injury of posterior tibial artery, left leg, initial encounter
S85.211A Laceration of peroneal artery, right leg, initial encounter
S85.212A Laceration of peroneal artery, left leg, initial encounter
S85.291A Other specified injury of peroneal artery, right leg, initial encounter
S85.292A Other specified injury of peroneal artery, left leg, initial encounter
S85.911A Laceration of unspecified blood vessel at lower leg level, right leg, initial encounter
S85.912A Laceration of unspecified blood vessel at lower leg level, left leg, initial encounter
S85.991A Other specified injury of unspecified blood vessel at lower leg level, right leg, initial encounter
S85.992A Other specified injury of unspecified blood vessel at lower leg level, left leg, initial encounter
S95.011A Laceration of dorsal artery of right foot, initial encounter
S95.012A Laceration of dorsal artery of left foot, initial encounter
S95.091A Other specified injury of dorsal artery of right foot, initial encounter
S95.092A Other specified injury of dorsal artery of left foot, initial encounter
S95.111A Laceration of plantar artery of right foot, initial encounter
S95.112A Laceration of plantar artery of left foot, initial encounter
S95.191A Other specified injury of plantar artery of right foot, initial encounter
S95.192A Other specified injury of plantar artery of left foot, initial encounter
S95.211A Laceration of dorsal vein of right foot, initial encounter
S95.212A Laceration of dorsal vein of left foot, initial encounter
S95.291A Other specified injury of dorsal vein of right foot, initial encounter
S95.292A Other specified injury of dorsal vein of left foot, initial encounter
S95.811A Laceration of other blood vessels at ankle and foot level, right leg, initial encounter
S95.812A Laceration of other blood vessels at ankle and foot level, left leg, initial encounter
S95.891A Other specified injury of other blood vessels at ankle and foot level, right leg, initial encounter
S95.892A Other specified injury of other blood vessels at ankle and foot level, left leg, initial encounter
S95.911A Laceration of unspecified blood vessel at ankle and foot level, right leg, initial encounter
S95.912A Laceration of unspecified blood vessel at ankle and foot level, left leg, initial encounter
S95.991A Other specified injury of unspecified blood vessel at ankle and foot level, right leg, initial encounter
S95.992A Other specified injury of unspecified blood vessel at ankle and foot level, left leg, initial encounter
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.328A Displacement of other vascular grafts, initial encounter
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.338A Leakage of other vascular grafts, initial encounter
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.524A Displacement of infusion catheter, initial encounter
T82.525A Displacement of umbrella device, initial encounter
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.534A Leakage of infusion catheter, initial encounter
T82.535A Leakage of umbrella device, initial encounter
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.818A Embolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828A Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838A Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848A Pain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.858A Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.868A Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
T88.8XXA Other specified complications of surgical and medical care, not elsewhere classified, initial encounter
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system

Group 4

(393 Codes)
Group 4 Paragraph

Extremity Venous Evaluation ( 93970 and 93971):

 Group 4 Codes
Code Description
I26.99 Other pulmonary embolism without acute cor pulmonale
I70.661 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg
I70.662 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, left leg
I70.663 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs
I80.01 Phlebitis and thrombophlebitis of superficial vessels of right lower extremity
I80.02 Phlebitis and thrombophlebitis of superficial vessels of left lower extremity
I80.03 Phlebitis and thrombophlebitis of superficial vessels of lower extremities, bilateral
I80.11 Phlebitis and thrombophlebitis of right femoral vein
I80.12 Phlebitis and thrombophlebitis of left femoral vein
I80.13 Phlebitis and thrombophlebitis of femoral vein, bilateral
I80.211 Phlebitis and thrombophlebitis of right iliac vein
I80.212 Phlebitis and thrombophlebitis of left iliac vein
I80.213 Phlebitis and thrombophlebitis of iliac vein, bilateral
I80.221 Phlebitis and thrombophlebitis of right popliteal vein
I80.222 Phlebitis and thrombophlebitis of left popliteal vein
I80.223 Phlebitis and thrombophlebitis of popliteal vein, bilateral
I80.231 Phlebitis and thrombophlebitis of right tibial vein
I80.232 Phlebitis and thrombophlebitis of left tibial vein
I80.233 Phlebitis and thrombophlebitis of tibial vein, bilateral
I80.241 Phlebitis and thrombophlebitis of right peroneal vein
I80.242 Phlebitis and thrombophlebitis of left peroneal vein
I80.243 Phlebitis and thrombophlebitis of peroneal vein, bilateral
I80.249 Phlebitis and thrombophlebitis of unspecified peroneal vein
I80.251 Phlebitis and thrombophlebitis of right calf muscular vein
I80.252 Phlebitis and thrombophlebitis of left calf muscular vein
I80.253 Phlebitis and thrombophlebitis of calf muscular vein, bilateral
I80.259 Phlebitis and thrombophlebitis of unspecified calf muscular vein
I80.291 Phlebitis and thrombophlebitis of other deep vessels of right lower extremity
I80.292 Phlebitis and thrombophlebitis of other deep vessels of left lower extremity
I80.293 Phlebitis and thrombophlebitis of other deep vessels of lower extremity, bilateral
I80.3 Phlebitis and thrombophlebitis of lower extremities, unspecified
I80.8 Phlebitis and thrombophlebitis of other sites
I82.1 Thrombophlebitis migrans
I82.411 Acute embolism and thrombosis of right femoral vein
I82.412 Acute embolism and thrombosis of left femoral vein
I82.413 Acute embolism and thrombosis of femoral vein, bilateral
I82.421 Acute embolism and thrombosis of right iliac vein
I82.422 Acute embolism and thrombosis of left iliac vein
I82.423 Acute embolism and thrombosis of iliac vein, bilateral
I82.431 Acute embolism and thrombosis of right popliteal vein
I82.432 Acute embolism and thrombosis of left popliteal vein
I82.433 Acute embolism and thrombosis of popliteal vein, bilateral
I82.441 Acute embolism and thrombosis of right tibial vein
I82.442 Acute embolism and thrombosis of left tibial vein
I82.443 Acute embolism and thrombosis of tibial vein, bilateral
I82.451 Acute embolism and thrombosis of right peroneal vein
I82.452 Acute embolism and thrombosis of left peroneal vein
I82.453 Acute embolism and thrombosis of peroneal vein, bilateral
I82.459 Acute embolism and thrombosis of unspecified peroneal vein
I82.461 Acute embolism and thrombosis of right calf muscular vein
I82.462 Acute embolism and thrombosis of left calf muscular vein
I82.463 Acute embolism and thrombosis of calf muscular vein, bilateral
I82.469 Acute embolism and thrombosis of unspecified calf muscular vein
I82.491 Acute embolism and thrombosis of other specified deep vein of right lower extremity
I82.492 Acute embolism and thrombosis of other specified deep vein of left lower extremity
I82.493 Acute embolism and thrombosis of other specified deep vein of lower extremity, bilateral
I82.4Y1 Acute embolism and thrombosis of unspecified deep veins of right proximal lower extremity
I82.4Y2 Acute embolism and thrombosis of unspecified deep veins of left proximal lower extremity
I82.4Y3 Acute embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral
I82.4Z1 Acute embolism and thrombosis of unspecified deep veins of right distal lower extremity
I82.4Z2 Acute embolism and thrombosis of unspecified deep veins of left distal lower extremity
I82.4Z3 Acute embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
I82.511 Chronic embolism and thrombosis of right femoral vein
I82.512 Chronic embolism and thrombosis of left femoral vein
I82.513 Chronic embolism and thrombosis of femoral vein, bilateral
I82.521 Chronic embolism and thrombosis of right iliac vein
I82.522 Chronic embolism and thrombosis of left iliac vein
I82.523 Chronic embolism and thrombosis of iliac vein, bilateral
I82.531 Chronic embolism and thrombosis of right popliteal vein
I82.532 Chronic embolism and thrombosis of left popliteal vein
I82.533 Chronic embolism and thrombosis of popliteal vein, bilateral
I82.541 Chronic embolism and thrombosis of right tibial vein
I82.542 Chronic embolism and thrombosis of left tibial vein
I82.543 Chronic embolism and thrombosis of tibial vein, bilateral
I82.551 Chronic embolism and thrombosis of right peroneal vein
I82.552 Chronic embolism and thrombosis of left peroneal vein
I82.553 Chronic embolism and thrombosis of peroneal vein, bilateral
I82.559 Chronic embolism and thrombosis of unspecified peroneal vein
I82.561 Chronic embolism and thrombosis of right calf muscular vein
I82.562 Chronic embolism and thrombosis of left calf muscular vein
I82.563 Chronic embolism and thrombosis of calf muscular vein, bilateral
I82.569 Chronic embolism and thrombosis of unspecified calf muscular vein
I82.5Y1 Chronic embolism and thrombosis of unspecified deep veins of right proximal lower extremity
I82.5Y2 Chronic embolism and thrombosis of unspecified deep veins of left proximal lower extremity
I82.5Y3 Chronic embolism and thrombosis of unspecified deep veins of proximal lower extremity, bilateral
I82.5Z1 Chronic embolism and thrombosis of unspecified deep veins of right distal lower extremity
I82.5Z2 Chronic embolism and thrombosis of unspecified deep veins of left distal lower extremity
I82.5Z3 Chronic embolism and thrombosis of unspecified deep veins of distal lower extremity, bilateral
I82.611 Acute embolism and thrombosis of superficial veins of right upper extremity
I82.612 Acute embolism and thrombosis of superficial veins of left upper extremity
I82.613 Acute embolism and thrombosis of superficial veins of upper extremity, bilateral
I82.621 Acute embolism and thrombosis of deep veins of right upper extremity
I82.622 Acute embolism and thrombosis of deep veins of left upper extremity
I82.623 Acute embolism and thrombosis of deep veins of upper extremity, bilateral
I82.711 Chronic embolism and thrombosis of superficial veins of right upper extremity
I82.712 Chronic embolism and thrombosis of superficial veins of left upper extremity
I82.713 Chronic embolism and thrombosis of superficial veins of upper extremity, bilateral
I82.721 Chronic embolism and thrombosis of deep veins of right upper extremity
I82.722 Chronic embolism and thrombosis of deep veins of left upper extremity
I82.723 Chronic embolism and thrombosis of deep veins of upper extremity, bilateral
I82.A11 Acute embolism and thrombosis of right axillary vein
I82.A12 Acute embolism and thrombosis of left axillary vein
I82.A13 Acute embolism and thrombosis of axillary vein, bilateral
I82.A21 Chronic embolism and thrombosis of right axillary vein
I82.A22 Chronic embolism and thrombosis of left axillary vein
I82.A23 Chronic embolism and thrombosis of axillary vein, bilateral
I82.B11 Acute embolism and thrombosis of right subclavian vein
I82.B12 Acute embolism and thrombosis of left subclavian vein
I82.B13 Acute embolism and thrombosis of subclavian vein, bilateral
I82.B21 Chronic embolism and thrombosis of right subclavian vein
I82.B22 Chronic embolism and thrombosis of left subclavian vein
I82.B23 Chronic embolism and thrombosis of subclavian vein, bilateral
I82.C11 Acute embolism and thrombosis of right internal jugular vein
I82.C12 Acute embolism and thrombosis of left internal jugular vein
I82.C13 Acute embolism and thrombosis of internal jugular vein, bilateral
I82.C21 Chronic embolism and thrombosis of right internal jugular vein
I82.C22 Chronic embolism and thrombosis of left internal jugular vein
I82.C23 Chronic embolism and thrombosis of internal jugular vein, bilateral
I82.811 Embolism and thrombosis of superficial veins of right lower extremity
I82.812 Embolism and thrombosis of superficial veins of left lower extremity
I82.813 Embolism and thrombosis of superficial veins of lower extremities, bilateral
I83.011 - I83.015 Varicose veins of right lower extremity with ulcer of thigh - Varicose veins of right lower extremity with ulcer other part of foot
I83.018 Varicose veins of right lower extremity with ulcer other part of lower leg
I83.021 - I83.025 Varicose veins of left lower extremity with ulcer of thigh - Varicose veins of left lower extremity with ulcer other part of foot
I83.028 Varicose veins of left lower extremity with ulcer other part of lower leg
I83.11 Varicose veins of right lower extremity with inflammation
I83.12 Varicose veins of left lower extremity with inflammation
I83.211 - I83.215 Varicose veins of right lower extremity with both ulcer of thigh and inflammation - Varicose veins of right lower extremity with both ulcer other part of foot and inflammation
I83.218 Varicose veins of right lower extremity with both ulcer of other part of lower extremity and inflammation
I83.221 - I83.225 Varicose veins of left lower extremity with both ulcer of thigh and inflammation - Varicose veins of left lower extremity with both ulcer other part of foot and inflammation
I83.228 Varicose veins of left lower extremity with both ulcer of other part of lower extremity and inflammation
I83.811 Varicose veins of right lower extremity with pain
I83.812 Varicose veins of left lower extremity with pain
I83.813 Varicose veins of bilateral lower extremities with pain
I83.891 Varicose veins of right lower extremity with other complications
I83.892 Varicose veins of left lower extremity with other complications
I83.893 Varicose veins of bilateral lower extremities with other complications
I87.001 Postthrombotic syndrome without complications of right lower extremity
I87.002 Postthrombotic syndrome without complications of left lower extremity
I87.003 Postthrombotic syndrome without complications of bilateral lower extremity
I87.011 Postthrombotic syndrome with ulcer of right lower extremity
I87.012 Postthrombotic syndrome with ulcer of left lower extremity
I87.013 Postthrombotic syndrome with ulcer of bilateral lower extremity
I87.021 Postthrombotic syndrome with inflammation of right lower extremity
I87.022 Postthrombotic syndrome with inflammation of left lower extremity
I87.023 Postthrombotic syndrome with inflammation of bilateral lower extremity
I87.031 Postthrombotic syndrome with ulcer and inflammation of right lower extremity
I87.032 Postthrombotic syndrome with ulcer and inflammation of left lower extremity
I87.033 Postthrombotic syndrome with ulcer and inflammation of bilateral lower extremity
I87.091 Postthrombotic syndrome with other complications of right lower extremity
I87.092 Postthrombotic syndrome with other complications of left lower extremity
I87.093 Postthrombotic syndrome with other complications of bilateral lower extremity
I87.1 Compression of vein
I87.2 Venous insufficiency (chronic) (peripheral)
I87.301 Chronic venous hypertension (idiopathic) without complications of right lower extremity
I87.302 Chronic venous hypertension (idiopathic) without complications of left lower extremity
I87.303 Chronic venous hypertension (idiopathic) without complications of bilateral lower extremity
I87.311 Chronic venous hypertension (idiopathic) with ulcer of right lower extremity
I87.312 Chronic venous hypertension (idiopathic) with ulcer of left lower extremity
I87.313 Chronic venous hypertension (idiopathic) with ulcer of bilateral lower extremity
I87.321 Chronic venous hypertension (idiopathic) with inflammation of right lower extremity
I87.322 Chronic venous hypertension (idiopathic) with inflammation of left lower extremity
I87.323 Chronic venous hypertension (idiopathic) with inflammation of bilateral lower extremity
I87.331 Chronic venous hypertension (idiopathic) with ulcer and inflammation of right lower extremity
I87.332 Chronic venous hypertension (idiopathic) with ulcer and inflammation of left lower extremity
I87.333 Chronic venous hypertension (idiopathic) with ulcer and inflammation of bilateral lower extremity
I87.391 Chronic venous hypertension (idiopathic) with other complications of right lower extremity
I87.392 Chronic venous hypertension (idiopathic) with other complications of left lower extremity
I87.393 Chronic venous hypertension (idiopathic) with other complications of bilateral lower extremity
I96 Gangrene, not elsewhere classified
L02.415 Cutaneous abscess of right lower limb
L02.416 Cutaneous abscess of left lower limb
L03.115 Cellulitis of right lower limb
L03.116 Cellulitis of left lower limb
L03.125 Acute lymphangitis of right lower limb
L03.126 Acute lymphangitis of left lower limb
L76.11 Accidental puncture and laceration of skin and subcutaneous tissue during a dermatologic procedure
L76.12 Accidental puncture and laceration of skin and subcutaneous tissue during other procedure
L97.911 - L97.914 Non-pressure chronic ulcer of unspecified part of right lower leg limited to breakdown of skin - Non-pressure chronic ulcer of unspecified part of right lower leg with necrosis of bone
L97.921 - L97.924 Non-pressure chronic ulcer of unspecified part of left lower leg limited to breakdown of skin - Non-pressure chronic ulcer of unspecified part of left lower leg with necrosis of bone
M79.601 Pain in right arm
M79.602 Pain in left arm
M79.604 Pain in right leg
M79.605 Pain in left leg
M79.621 Pain in right upper arm
M79.622 Pain in left upper arm
M79.631 Pain in right forearm
M79.632 Pain in left forearm
M79.641 Pain in right hand
M79.642 Pain in left hand
M79.644 Pain in right finger(s)
M79.645 Pain in left finger(s)
M79.651 Pain in right thigh
M79.652 Pain in left thigh
M79.661 Pain in right lower leg
M79.662 Pain in left lower leg
M79.671 Pain in right foot
M79.672 Pain in left foot
M79.674 Pain in right toe(s)
M79.675 Pain in left toe(s)
M79.89 Other specified soft tissue disorders
M96.820 Accidental puncture and laceration of a musculoskeletal structure during a musculoskeletal system procedure
M96.821 Accidental puncture and laceration of a musculoskeletal structure during other procedure
N99.71 Accidental puncture and laceration of a genitourinary system organ or structure during a genitourinary system procedure
N99.72 Accidental puncture and laceration of a genitourinary system organ or structure during other procedure
O22.21 Superficial thrombophlebitis in pregnancy, first trimester
O22.22 Superficial thrombophlebitis in pregnancy, second trimester
O22.23 Superficial thrombophlebitis in pregnancy, third trimester
O22.31 Deep phlebothrombosis in pregnancy, first trimester
O22.32 Deep phlebothrombosis in pregnancy, second trimester
O22.33 Deep phlebothrombosis in pregnancy, third trimester
O86.81 Puerperal septic thrombophlebitis
O87.0 Superficial thrombophlebitis in the puerperium
O87.1 Deep phlebothrombosis in the puerperium
Q27.31 Arteriovenous malformation of vessel of upper limb
Q27.32 Arteriovenous malformation of vessel of lower limb
R04.2 Hemoptysis
R04.89 Hemorrhage from other sites in respiratory passages
R04.9 Hemorrhage from respiratory passages, unspecified
R06.02 Shortness of breath
R06.89 Other abnormalities of breathing
R06.9 Unspecified abnormalities of breathing
R07.1 Chest pain on breathing
R07.2 Precordial pain
R07.81 Pleurodynia
R07.82 Intercostal pain
R07.89 Other chest pain
R07.9 Chest pain, unspecified
R22.0 Localized swelling, mass and lump, head
R22.1 Localized swelling, mass and lump, neck
R22.2 Localized swelling, mass and lump, trunk
R22.31 Localized swelling, mass and lump, right upper limb
R22.32 Localized swelling, mass and lump, left upper limb
R22.33 Localized swelling, mass and lump, upper limb, bilateral
R22.41 Localized swelling, mass and lump, right lower limb
R22.42 Localized swelling, mass and lump, left lower limb
R22.43 Localized swelling, mass and lump, lower limb, bilateral
R60.0 Localized edema
R60.1 Generalized edema
R94.2 Abnormal results of pulmonary function studies
S45.111A Laceration of brachial artery, right side, initial encounter
S45.112A Laceration of brachial artery, left side, initial encounter
S45.191A Other specified injury of brachial artery, right side, initial encounter
S45.192A Other specified injury of brachial artery, left side, initial encounter
S45.211A Laceration of axillary or brachial vein, right side, initial encounter
S45.212A Laceration of axillary or brachial vein, left side, initial encounter
S45.291A Other specified injury of axillary or brachial vein, right side, initial encounter
S45.292A Other specified injury of axillary or brachial vein, left side, initial encounter
S55.011A Laceration of ulnar artery at forearm level, right arm, initial encounter
S55.012A Laceration of ulnar artery at forearm level, left arm, initial encounter
S55.091A Other specified injury of ulnar artery at forearm level, right arm, initial encounter
S55.092A Other specified injury of ulnar artery at forearm level, left arm, initial encounter
S55.111A Laceration of radial artery at forearm level, right arm, initial encounter
S55.112A Laceration of radial artery at forearm level, left arm, initial encounter
S55.191A Other specified injury of radial artery at forearm level, right arm, initial encounter
S55.192A Other specified injury of radial artery at forearm level, left arm, initial encounter
S65.011A Laceration of ulnar artery at wrist and hand level of right arm, initial encounter
S65.012A Laceration of ulnar artery at wrist and hand level of left arm, initial encounter
S65.091A Other specified injury of ulnar artery at wrist and hand level of right arm, initial encounter
S65.092A Other specified injury of ulnar artery at wrist and hand level of left arm, initial encounter
S65.111A Laceration of radial artery at wrist and hand level of right arm, initial encounter
S65.112A Laceration of radial artery at wrist and hand level of left arm, initial encounter
S65.191A Other specified injury of radial artery at wrist and hand level of right arm, initial encounter
S65.192A Other specified injury of radial artery at wrist and hand level of left arm, initial encounter
S75.111A Minor laceration of femoral vein at hip and thigh level, right leg, initial encounter
S75.112A Minor laceration of femoral vein at hip and thigh level, left leg, initial encounter
S75.121A Major laceration of femoral vein at hip and thigh level, right leg, initial encounter
S75.122A Major laceration of femoral vein at hip and thigh level, left leg, initial encounter
S75.191A Other specified injury of femoral vein at hip and thigh level, right leg, initial encounter
S75.192A Other specified injury of femoral vein at hip and thigh level, left leg, initial encounter
S75.211A Minor laceration of greater saphenous vein at hip and thigh level, right leg, initial encounter
S75.212A Minor laceration of greater saphenous vein at hip and thigh level, left leg, initial encounter
S75.221A Major laceration of greater saphenous vein at hip and thigh level, right leg, initial encounter
S75.222A Major laceration of greater saphenous vein at hip and thigh level, left leg, initial encounter
S75.291A Other specified injury of greater saphenous vein at hip and thigh level, right leg, initial encounter
S75.292A Other specified injury of greater saphenous vein at hip and thigh level, left leg, initial encounter
S75.811A Laceration of other blood vessels at hip and thigh level, right leg, initial encounter
S75.812A Laceration of other blood vessels at hip and thigh level, left leg, initial encounter
S75.891A Other specified injury of other blood vessels at hip and thigh level, right leg, initial encounter
S75.892A Other specified injury of other blood vessels at hip and thigh level, left leg, initial encounter
S75.911A Laceration of unspecified blood vessel at hip and thigh level, right leg, initial encounter
S75.912A Laceration of unspecified blood vessel at hip and thigh level, left leg, initial encounter
S75.991A Other specified injury of unspecified blood vessel at hip and thigh level, right leg, initial encounter
S75.992A Other specified injury of unspecified blood vessel at hip and thigh level, left leg, initial encounter
S85.111A Laceration of unspecified tibial artery, right leg, initial encounter
S85.112A Laceration of unspecified tibial artery, left leg, initial encounter
S85.121A Other specified injury of unspecified tibial artery, right leg, initial encounter
S85.122A Other specified injury of unspecified tibial artery, left leg, initial encounter
S85.311A Laceration of greater saphenous vein at lower leg level, right leg, initial encounter
S85.312A Laceration of greater saphenous vein at lower leg level, left leg, initial encounter
S85.391A Other specified injury of greater saphenous vein at lower leg level, right leg, initial encounter
S85.392A Other specified injury of greater saphenous vein at lower leg level, left leg, initial encounter
S85.411A Laceration of lesser saphenous vein at lower leg level, right leg, initial encounter
S85.412A Laceration of lesser saphenous vein at lower leg level, left leg, initial encounter
S85.491A Other specified injury of lesser saphenous vein at lower leg level, right leg, initial encounter
S85.492A Other specified injury of lesser saphenous vein at lower leg level, left leg, initial encounter
S85.511A Laceration of popliteal vein, right leg, initial encounter
S85.512A Laceration of popliteal vein, left leg, initial encounter
S85.591A Other specified injury of popliteal vein, right leg, initial encounter
S85.592A Other specified injury of popliteal vein, left leg, initial encounter
S85.811A Laceration of other blood vessels at lower leg level, right leg, initial encounter
S85.812A Laceration of other blood vessels at lower leg level, left leg, initial encounter
S85.891A Other specified injury of other blood vessels at lower leg level, right leg, initial encounter
S85.892A Other specified injury of other blood vessels at lower leg level, left leg, initial encounter
S85.911A Laceration of unspecified blood vessel at lower leg level, right leg, initial encounter
S85.912A Laceration of unspecified blood vessel at lower leg level, left leg, initial encounter
S85.991A Other specified injury of unspecified blood vessel at lower leg level, right leg, initial encounter
S85.992A Other specified injury of unspecified blood vessel at lower leg level, left leg, initial encounter
S95.011A Laceration of dorsal artery of right foot, initial encounter
S95.012A Laceration of dorsal artery of left foot, initial encounter
S95.091A Other specified injury of dorsal artery of right foot, initial encounter
S95.092A Other specified injury of dorsal artery of left foot, initial encounter
S95.211A Laceration of dorsal vein of right foot, initial encounter
S95.212A Laceration of dorsal vein of left foot, initial encounter
S95.291A Other specified injury of dorsal vein of right foot, initial encounter
S95.292A Other specified injury of dorsal vein of left foot, initial encounter
S95.811A Laceration of other blood vessels at ankle and foot level, right leg, initial encounter
S95.812A Laceration of other blood vessels at ankle and foot level, left leg, initial encounter
S95.891A Other specified injury of other blood vessels at ankle and foot level, right leg, initial encounter
S95.892A Other specified injury of other blood vessels at ankle and foot level, left leg, initial encounter
S95.911A Laceration of unspecified blood vessel at ankle and foot level, right leg, initial encounter
S95.912A Laceration of unspecified blood vessel at ankle and foot level, left leg, initial encounter
S95.991A Other specified injury of unspecified blood vessel at ankle and foot level, right leg, initial encounter
S95.992A Other specified injury of unspecified blood vessel at ankle and foot level, left leg, initial encounter
T80.0XXA Air embolism following infusion, transfusion and therapeutic injection, initial encounter
T80.1XXA Vascular complications following infusion, transfusion and therapeutic injection, initial encounter
T81.718A Complication of other artery following a procedure, not elsewhere classified, initial encounter
T81.719A Complication of unspecified artery following a procedure, not elsewhere classified, initial encounter
T81.72XA Complication of vein following a procedure, not elsewhere classified, initial encounter
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.328A Displacement of other vascular grafts, initial encounter
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.338A Leakage of other vascular grafts, initial encounter
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.524A Displacement of infusion catheter, initial encounter
T82.525A Displacement of umbrella device, initial encounter
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.534A Leakage of infusion catheter, initial encounter
T82.535A Leakage of umbrella device, initial encounter
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.818A Embolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828A Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838A Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848A Pain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.858A Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.868A Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
Z86.711 Personal history of pulmonary embolism
Z86.718 Personal history of other venous thrombosis and embolism
Z86.72 Personal history of thrombophlebitis

Group 5

(364 Codes)
Group 5 Paragraph

Visceral Vascular Studies (93975, 93976, 93978 and 93979

T81.710A-Complication of mesenteric artery following a procedure, not elsewhere classified, initial encounter

Use ICD-10 codes I10, I12.0, I12.9, and I15.0to report accelerated hypertension.

Use ICD-10 code I86.4 for gastric varices.

Use ICD-10 code R09.89 to report an abdominal bruit.

 Group 5 Codes
Code Description
C22.0 Liver cell carcinoma
C22.1 Intrahepatic bile duct carcinoma
C22.2 Hepatoblastoma
C22.3 Angiosarcoma of liver
C22.4 Other sarcomas of liver
C22.7 Other specified carcinomas of liver
D78.11 Accidental puncture and laceration of the spleen during a procedure on the spleen
E36.12 Accidental puncture and laceration of an endocrine system organ or structure during other procedure
I10 Essential (primary) hypertension
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I12.9 Hypertensive chronic kidney disease with stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease
I15.0 Renovascular hypertension
I15.1 Hypertension secondary to other renal disorders
I25.84 Coronary atherosclerosis due to calcified coronary lesion
I26.01 Septic pulmonary embolism with acute cor pulmonale
I26.02 Saddle embolus of pulmonary artery with acute cor pulmonale
I26.09 Other pulmonary embolism with acute cor pulmonale
I26.90 Septic pulmonary embolism without acute cor pulmonale
I26.92 Saddle embolus of pulmonary artery without acute cor pulmonale
I26.99 Other pulmonary embolism without acute cor pulmonale
I27.82 Chronic pulmonary embolism
I70.0 Atherosclerosis of aorta
I70.1 Atherosclerosis of renal artery
I71.010 Dissection of ascending aorta
I71.011 Dissection of aortic arch
I71.012 Dissection of descending thoracic aorta
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.11 Aneurysm of the ascending aorta, ruptured
I71.12 Aneurysm of the aortic arch, ruptured
I71.13 Aneurysm of the descending thoracic aorta, ruptured
I71.21 Aneurysm of the ascending aorta, without rupture
I71.22 Aneurysm of the aortic arch, without rupture
I71.23 Aneurysm of the descending thoracic aorta, without rupture
I71.31 Pararenal abdominal aortic aneurysm, ruptured
I71.32 Juxtarenal abdominal aortic aneurysm, ruptured
I71.33 Infrarenal abdominal aortic aneurysm, ruptured
I71.41 Pararenal abdominal aortic aneurysm, without rupture
I71.42 Juxtarenal abdominal aortic aneurysm, without rupture
I71.43 Infrarenal abdominal aortic aneurysm, without rupture
I71.51 Supraceliac aneurysm of the thoracoabdominal aorta, ruptured
I71.52 Paravisceral aneurysm of the thoracoabdominal aorta, ruptured
I71.61 Supraceliac aneurysm of the thoracoabdominal aorta, without rupture
I71.62 Paravisceral aneurysm of the thoracoabdominal aorta, without rupture
I72.2 Aneurysm of renal artery
I72.3 Aneurysm of iliac artery
I72.4 Aneurysm of artery of lower extremity
I72.6 Aneurysm of vertebral artery
I72.8 Aneurysm of other specified arteries
I74.01 Saddle embolus of abdominal aorta
I74.09 - I74.11 Other arterial embolism and thrombosis of abdominal aorta - Embolism and thrombosis of thoracic aorta
I74.5 Embolism and thrombosis of iliac artery
I74.8 Embolism and thrombosis of other arteries
I75.81 Atheroembolism of kidney
I76 Septic arterial embolism
I77.3 Arterial fibromuscular dysplasia
I77.4 Celiac artery compression syndrome
I77.72 Dissection of iliac artery
I77.73 Dissection of renal artery
I77.810 Thoracic aortic ectasia
I77.811 Abdominal aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I77.819 Aortic ectasia, unspecified site
I77.82 Antineutrophilic cytoplasmic antibody [ANCA] vasculitis
I80.211 Phlebitis and thrombophlebitis of right iliac vein
I80.212 Phlebitis and thrombophlebitis of left iliac vein
I80.213 Phlebitis and thrombophlebitis of iliac vein, bilateral
I81 Portal vein thrombosis
I82.0 Budd-Chiari syndrome
I82.220 Acute embolism and thrombosis of inferior vena cava
I82.221 Chronic embolism and thrombosis of inferior vena cava
I82.3 Embolism and thrombosis of renal vein
I85.00 Esophageal varices without bleeding
I85.01 Esophageal varices with bleeding
I86.1 Scrotal varices
I86.4 Gastric varices
I86.8 Varicose veins of other specified sites
I87.1 Compression of vein
I97.51 Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure
K55.011 Focal (segmental) acute (reversible) ischemia of small intestine
K55.012 Diffuse acute (reversible) ischemia of small intestine
K55.021 Focal (segmental) acute infarction of small intestine
K55.022 Diffuse acute infarction of small intestine
K55.031 Focal (segmental) acute (reversible) ischemia of large intestine
K55.032 Diffuse acute (reversible) ischemia of large intestine
K55.041 Focal (segmental) acute infarction of large intestine
K55.042 Diffuse acute infarction of large intestine
K55.051 Focal (segmental) acute (reversible) ischemia of intestine, part unspecified
K55.052 Diffuse acute (reversible) ischemia of intestine, part unspecified
K55.1 Chronic vascular disorders of intestine
K70.2 Alcoholic fibrosis and sclerosis of liver
K70.30 Alcoholic cirrhosis of liver without ascites
K70.31 Alcoholic cirrhosis of liver with ascites
K70.41 Alcoholic hepatic failure with coma
K71.11 Toxic liver disease with hepatic necrosis, with coma
K72.00 Acute and subacute hepatic failure without coma
K72.01 Acute and subacute hepatic failure with coma
K72.11 Chronic hepatic failure with coma
K74.01 Hepatic fibrosis, early fibrosis
K74.02 Hepatic fibrosis, advanced fibrosis
K74.3 Primary biliary cirrhosis
K74.4 Secondary biliary cirrhosis
K74.60 Unspecified cirrhosis of liver
K74.69 Other cirrhosis of liver
K75.1 Phlebitis of portal vein
K76.2 Central hemorrhagic necrosis of liver
K76.6 Portal hypertension
K76.7 Hepatorenal syndrome
M31.4 Aortic arch syndrome [Takayasu]
N17.0 Acute kidney failure with tubular necrosis
N17.1 Acute kidney failure with acute cortical necrosis
N17.2 Acute kidney failure with medullary necrosis
N17.8 Other acute kidney failure
N17.9 Acute kidney failure, unspecified
N18.1 - N18.6 Chronic kidney disease, stage 1 - End stage renal disease
N18.9 Chronic kidney disease, unspecified
N26.2 Page kidney
N27.0 Small kidney, unilateral
N27.1 Small kidney, bilateral
N28.0 Ischemia and infarction of kidney
N43.0 Encysted hydrocele
N43.1 Infected hydrocele
N43.2 Other hydrocele
N43.41 Spermatocele of epididymis, single
N43.42 Spermatocele of epididymis, multiple
N44.00 - N44.04 Torsion of testis, unspecified - Torsion of appendix epididymis
N45.1 - N45.4 Epididymitis - Abscess of epididymis or testis
N50.0 Atrophy of testis
N50.1 Vascular disorders of male genital organs
N50.3 Cyst of epididymis
N50.811 Right testicular pain
N50.812 Left testicular pain
N50.82 Scrotal pain
N50.89 Other specified disorders of the male genital organs
N51 Disorders of male genital organs in diseases classified elsewhere
N53.12 Painful ejaculation
N83.511 Torsion of right ovary and ovarian pedicle
N83.512 Torsion of left ovary and ovarian pedicle
N83.6 Hematosalpinx
N83.8 Other noninflammatory disorders of ovary, fallopian tube and broad ligament
N99.83 Residual ovary syndrome
N99.85 Post endometrial ablation syndrome
O22.31 Deep phlebothrombosis in pregnancy, first trimester
O22.32 Deep phlebothrombosis in pregnancy, second trimester
O22.33 Deep phlebothrombosis in pregnancy, third trimester
O86.81 Puerperal septic thrombophlebitis
O87.1 Deep phlebothrombosis in the puerperium
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
R10.11 Right upper quadrant pain
R10.12 Left upper quadrant pain
R10.13 Epigastric pain
R10.2 Pelvic and perineal pain
R10.31 Right lower quadrant pain
R10.32 Left lower quadrant pain
R10.33 Periumbilical pain
R10.84 Generalized abdominal pain
R16.0 Hepatomegaly, not elsewhere classified
R16.1 Splenomegaly, not elsewhere classified
R16.2 Hepatomegaly with splenomegaly, not elsewhere classified
R17 Unspecified jaundice
R18.0 Malignant ascites
R18.8 Other ascites
R74.01 Elevation of levels of liver transaminase levels
R74.02 Elevation of levels of lactic acid dehydrogenase [LDH]
S25.01XS Minor laceration of thoracic aorta, sequela
S25.02XS Major laceration of thoracic aorta, sequela
S25.09XS Other specified injury of thoracic aorta, sequela
S25.111S Minor laceration of right innominate or subclavian artery, sequela
S25.112S Minor laceration of left innominate or subclavian artery, sequela
S25.121S Major laceration of right innominate or subclavian artery, sequela
S25.122S Major laceration of left innominate or subclavian artery, sequela
S25.191S Other specified injury of right innominate or subclavian artery, sequela
S25.192S Other specified injury of left innominate or subclavian artery, sequela
S25.21XS Minor laceration of superior vena cava, sequela
S25.22XS Major laceration of superior vena cava, sequela
S25.29XS Other specified injury of superior vena cava, sequela
S25.311S Minor laceration of right innominate or subclavian vein, sequela
S25.312S Minor laceration of left innominate or subclavian vein, sequela
S25.321S Major laceration of right innominate or subclavian vein, sequela
S25.322S Major laceration of left innominate or subclavian vein, sequela
S25.391S Other specified injury of right innominate or subclavian vein, sequela
S25.392S Other specified injury of left innominate or subclavian vein, sequela
S25.411S Minor laceration of right pulmonary blood vessels, sequela
S25.412S Minor laceration of left pulmonary blood vessels, sequela
S25.421S Major laceration of right pulmonary blood vessels, sequela
S25.422S Major laceration of left pulmonary blood vessels, sequela
S25.491S Other specified injury of right pulmonary blood vessels, sequela
S25.492S Other specified injury of left pulmonary blood vessels, sequela
S25.511S Laceration of intercostal blood vessels, right side, sequela
S25.512S Laceration of intercostal blood vessels, left side, sequela
S25.591S Other specified injury of intercostal blood vessels, right side, sequela
S25.592S Other specified injury of intercostal blood vessels, left side, sequela
S25.811S Laceration of other blood vessels of thorax, right side, sequela
S25.812S Laceration of other blood vessels of thorax, left side, sequela
S25.891S Other specified injury of other blood vessels of thorax, right side, sequela
S25.892S Other specified injury of other blood vessels of thorax, left side, sequela
S25.91XS Laceration of unspecified blood vessel of thorax, sequela
S25.99XS Other specified injury of unspecified blood vessel of thorax, sequela
S35.01XA Minor laceration of abdominal aorta, initial encounter
S35.01XS Minor laceration of abdominal aorta, sequela
S35.02XA Major laceration of abdominal aorta, initial encounter
S35.02XS Major laceration of abdominal aorta, sequela
S35.09XA Other injury of abdominal aorta, initial encounter
S35.09XS Other injury of abdominal aorta, sequela
S35.11XA Minor laceration of inferior vena cava, initial encounter
S35.11XS Minor laceration of inferior vena cava, sequela
S35.12XA Major laceration of inferior vena cava, initial encounter
S35.12XS Major laceration of inferior vena cava, sequela
S35.19XA Other injury of inferior vena cava, initial encounter
S35.19XS Other injury of inferior vena cava, sequela
S35.211A Minor laceration of celiac artery, initial encounter
S35.211S Minor laceration of celiac artery, sequela
S35.212A Major laceration of celiac artery, initial encounter
S35.212S Major laceration of celiac artery, sequela
S35.218A Other injury of celiac artery, initial encounter
S35.218S Other injury of celiac artery, sequela
S35.221A Minor laceration of superior mesenteric artery, initial encounter
S35.221S Minor laceration of superior mesenteric artery, sequela
S35.222A Major laceration of superior mesenteric artery, initial encounter
S35.222S Major laceration of superior mesenteric artery, sequela
S35.228A Other injury of superior mesenteric artery, initial encounter
S35.228S Other injury of superior mesenteric artery, sequela
S35.231A Minor laceration of inferior mesenteric artery, initial encounter
S35.231S Minor laceration of inferior mesenteric artery, sequela
S35.232A Major laceration of inferior mesenteric artery, initial encounter
S35.232S Major laceration of inferior mesenteric artery, sequela
S35.238A Other injury of inferior mesenteric artery, initial encounter
S35.238S Other injury of inferior mesenteric artery, sequela
S35.291A Minor laceration of branches of celiac and mesenteric artery, initial encounter
S35.291S Minor laceration of branches of celiac and mesenteric artery, sequela
S35.292A Major laceration of branches of celiac and mesenteric artery, initial encounter
S35.292S Major laceration of branches of celiac and mesenteric artery, sequela
S35.298A Other injury of branches of celiac and mesenteric artery, initial encounter
S35.298S Other injury of branches of celiac and mesenteric artery, sequela
S35.311A Laceration of portal vein, initial encounter
S35.311S Laceration of portal vein, sequela
S35.318A Other specified injury of portal vein, initial encounter
S35.318S Other specified injury of portal vein, sequela
S35.321A Laceration of splenic vein, initial encounter
S35.321S Laceration of splenic vein, sequela
S35.328A Other specified injury of splenic vein, initial encounter
S35.328S Other specified injury of splenic vein, sequela
S35.331A Laceration of superior mesenteric vein, initial encounter
S35.331S Laceration of superior mesenteric vein, sequela
S35.338A Other specified injury of superior mesenteric vein, initial encounter
S35.338S Other specified injury of superior mesenteric vein, sequela
S35.341A Laceration of inferior mesenteric vein, initial encounter
S35.341S Laceration of inferior mesenteric vein, sequela
S35.348A Other specified injury of inferior mesenteric vein, initial encounter
S35.348S Other specified injury of inferior mesenteric vein, sequela
S35.411A Laceration of right renal artery, initial encounter
S35.411S Laceration of right renal artery, sequela
S35.412A Laceration of left renal artery, initial encounter
S35.412S Laceration of left renal artery, sequela
S35.414A Laceration of right renal vein, initial encounter
S35.414S Laceration of right renal vein, sequela
S35.415A Laceration of left renal vein, initial encounter
S35.415S Laceration of left renal vein, sequela
S35.491A Other specified injury of right renal artery, initial encounter
S35.491S Other specified injury of right renal artery, sequela
S35.492A Other specified injury of left renal artery, initial encounter
S35.492S Other specified injury of left renal artery, sequela
S35.494A Other specified injury of right renal vein, initial encounter
S35.494S Other specified injury of right renal vein, sequela
S35.495A Other specified injury of left renal vein, initial encounter
S35.495S Other specified injury of left renal vein, sequela
S35.511A Injury of right iliac artery, initial encounter
S35.511S Injury of right iliac artery, sequela
S35.512A Injury of left iliac artery, initial encounter
S35.512S Injury of left iliac artery, sequela
S35.514A Injury of right iliac vein, initial encounter
S35.514S Injury of right iliac vein, sequela
S35.515A Injury of left iliac vein, initial encounter
S35.515S Injury of left iliac vein, sequela
S35.531A Injury of right uterine artery, initial encounter
S35.531S Injury of right uterine artery, sequela
S35.532A Injury of left uterine artery, initial encounter
S35.532S Injury of left uterine artery, sequela
S35.534A Injury of right uterine vein, initial encounter
S35.534S Injury of right uterine vein, sequela
S35.535A Injury of left uterine vein, initial encounter
S35.535S Injury of left uterine vein, sequela
S35.59XS Injury of other iliac blood vessels, sequela
S35.8X1A Laceration of other blood vessels at abdomen, lower back and pelvis level, initial encounter
S35.8X1S Laceration of other blood vessels at abdomen, lower back and pelvis level, sequela
S35.8X8A Other specified injury of other blood vessels at abdomen, lower back and pelvis level, initial encounter
S35.8X8S Other specified injury of other blood vessels at abdomen, lower back and pelvis level, sequela
S35.91XS Laceration of unspecified blood vessel at abdomen, lower back and pelvis level, sequela
S35.99XS Other specified injury of unspecified blood vessel at abdomen, lower back and pelvis level, sequela
T80.0XXA Air embolism following infusion, transfusion and therapeutic injection, initial encounter
T81.710A Complication of mesenteric artery following a procedure, not elsewhere classified, initial encounter
T81.711A Complication of renal artery following a procedure, not elsewhere classified, initial encounter
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.328A Displacement of other vascular grafts, initial encounter
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.338A Leakage of other vascular grafts, initial encounter
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.522A Displacement of artificial heart, initial encounter
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.524A Displacement of infusion catheter, initial encounter
T82.525A Displacement of umbrella device, initial encounter
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.534A Leakage of infusion catheter, initial encounter
T82.535A Leakage of umbrella device, initial encounter
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.41 Liver transplant rejection
T86.42 Liver transplant failure
T86.43 Liver transplant infection
T86.5 Complications of stem cell transplant
T86.830 Bone graft rejection
T86.831 Bone graft failure
T86.832 Bone graft infection
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z48.22 Encounter for aftercare following kidney transplant
Z48.23 Encounter for aftercare following liver transplant
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system
Z94.0 Kidney transplant status
Z94.4 Liver transplant status
Z94.82 Intestine transplant status
Z94.83 Pancreas transplant status
Z95.820 Peripheral vascular angioplasty status with implants and grafts
Z95.828 Presence of other vascular implants and grafts

Group 6

(62 Codes)
Group 6 Paragraph

Vein Mapping for Dialysis Access (93985, 93986, 93990)

Codes 93985 and 93986 require a dual diagnosis. List the Z01.818 (Encounter for other preprocedural examination) as the primary diagnosis. The secondary diagnosis "should identify the reason for the study and/or findings."

 

 Group 6 Codes
Code Description
I77.0 Arteriovenous fistula, acquired
I80.3 Phlebitis and thrombophlebitis of lower extremities, unspecified
I80.8 Phlebitis and thrombophlebitis of other sites
I82.220 Acute embolism and thrombosis of inferior vena cava
I82.221 Chronic embolism and thrombosis of inferior vena cava
I82.91 Chronic embolism and thrombosis of unspecified vein
I97.89 Other postprocedural complications and disorders of the circulatory system, not elsewhere classified
N18.30 Chronic kidney disease, stage 3 unspecified
N18.31 Chronic kidney disease, stage 3a
N18.32 Chronic kidney disease, stage 3b
N18.4 - N18.6 Chronic kidney disease, stage 4 (severe) - End stage renal disease
Q27.9 Congenital malformation of peripheral vascular system, unspecified
R09.89 Other specified symptoms and signs involving the circulatory and respiratory systems
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.328A Displacement of other vascular grafts, initial encounter
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.338A Leakage of other vascular grafts, initial encounter
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.524A Displacement of infusion catheter, initial encounter
T82.525A Displacement of umbrella device, initial encounter
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.534A Leakage of infusion catheter, initial encounter
T82.535A Leakage of umbrella device, initial encounter
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.818A Embolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.818S Embolism due to vascular prosthetic devices, implants and grafts, sequela
T82.828A Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828S Fibrosis due to vascular prosthetic devices, implants and grafts, sequela
T82.838A Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838S Hemorrhage due to vascular prosthetic devices, implants and grafts, sequela
T82.848A Pain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848S Pain due to vascular prosthetic devices, implants and grafts, sequela
T82.858A Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.858S Stenosis of other vascular prosthetic devices, implants and grafts, sequela
T82.868A Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.868S Thrombosis due to vascular prosthetic devices, implants and grafts, sequela
T82.898A Other specified complication of vascular prosthetic devices, implants and grafts, initial encounter
T82.898S Other specified complication of vascular prosthetic devices, implants and grafts, sequela
Z99.2 Dependence on renal dialysis

Group 7

(69 Codes)
Group 7 Paragraph

Pre-surgical Conduit Mapping for Coronary Artery Bypass Graft Procedures (93930, 93931, 93970, and 93971)

List the Z01.818 (Encounter for other preprocedural examination) as the primary diagnosis. The secondary diagnoses should identify the reason for the study and/or findings.

 

 Group 7 Codes
Code Description
I20.0 Unstable angina
I20.81 Angina pectoris with coronary microvascular dysfunction
I20.89 Other forms of angina pectoris
I21.01 ST elevation (STEMI) myocardial infarction involving left main coronary artery
I21.02 ST elevation (STEMI) myocardial infarction involving left anterior descending coronary artery
I21.09 ST elevation (STEMI) myocardial infarction involving other coronary artery of anterior wall
I21.11 ST elevation (STEMI) myocardial infarction involving right coronary artery
I21.19 ST elevation (STEMI) myocardial infarction involving other coronary artery of inferior wall
I21.21 ST elevation (STEMI) myocardial infarction involving left circumflex coronary artery
I21.29 ST elevation (STEMI) myocardial infarction involving other sites
I21.3 ST elevation (STEMI) myocardial infarction of unspecified site
I21.4 Non-ST elevation (NSTEMI) myocardial infarction
I22.0 Subsequent ST elevation (STEMI) myocardial infarction of anterior wall
I22.1 Subsequent ST elevation (STEMI) myocardial infarction of inferior wall
I22.2 Subsequent non-ST elevation (NSTEMI) myocardial infarction
I22.8 Subsequent ST elevation (STEMI) myocardial infarction of other sites
I22.9 Subsequent ST elevation (STEMI) myocardial infarction of unspecified site
I24.0 Acute coronary thrombosis not resulting in myocardial infarction
I24.81 Acute coronary microvascular dysfunction
I24.89 Other forms of acute ischemic heart disease
I25.10 Atherosclerotic heart disease of native coronary artery without angina pectoris
I25.110 Atherosclerotic heart disease of native coronary artery with unstable angina pectoris
I25.111 Atherosclerotic heart disease of native coronary artery with angina pectoris with documented spasm
I25.112 Atherosclerotic heart disease of native coronary artery with refractory angina pectoris
I25.118 Atherosclerotic heart disease of native coronary artery with other forms of angina pectoris
I25.700 Atherosclerosis of coronary artery bypass graft(s), unspecified, with unstable angina pectoris
I25.701 Atherosclerosis of coronary artery bypass graft(s), unspecified, with angina pectoris with documented spasm
I25.708 Atherosclerosis of coronary artery bypass graft(s), unspecified, with other forms of angina pectoris
I25.710 Atherosclerosis of autologous vein coronary artery bypass graft(s) with unstable angina pectoris
I25.711 Atherosclerosis of autologous vein coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.712 Atherosclerosis of autologous vein coronary artery bypass graft(s) with refractory angina pectoris
I25.718 Atherosclerosis of autologous vein coronary artery bypass graft(s) with other forms of angina pectoris
I25.720 Atherosclerosis of autologous artery coronary artery bypass graft(s) with unstable angina pectoris
I25.721 Atherosclerosis of autologous artery coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.722 Atherosclerosis of autologous artery coronary artery bypass graft(s) with refractory angina pectoris
I25.728 Atherosclerosis of autologous artery coronary artery bypass graft(s) with other forms of angina pectoris
I25.730 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with unstable angina pectoris
I25.731 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.732 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with refractory angina pectoris
I25.738 Atherosclerosis of nonautologous biological coronary artery bypass graft(s) with other forms of angina pectoris
I25.750 Atherosclerosis of native coronary artery of transplanted heart with unstable angina
I25.751 Atherosclerosis of native coronary artery of transplanted heart with angina pectoris with documented spasm
I25.752 Atherosclerosis of native coronary artery of transplanted heart with refractory angina pectoris
I25.758 Atherosclerosis of native coronary artery of transplanted heart with other forms of angina pectoris
I25.760 Atherosclerosis of bypass graft of coronary artery of transplanted heart with unstable angina
I25.761 Atherosclerosis of bypass graft of coronary artery of transplanted heart with angina pectoris with documented spasm
I25.762 Atherosclerosis of bypass graft of coronary artery of transplanted heart with refractory angina pectoris
I25.768 Atherosclerosis of bypass graft of coronary artery of transplanted heart with other forms of angina pectoris
I25.790 Atherosclerosis of other coronary artery bypass graft(s) with unstable angina pectoris
I25.791 Atherosclerosis of other coronary artery bypass graft(s) with angina pectoris with documented spasm
I25.792 Atherosclerosis of other coronary artery bypass graft(s) with refractory angina pectoris
I25.798 Atherosclerosis of other coronary artery bypass graft(s) with other forms of angina pectoris
I25.810 Atherosclerosis of coronary artery bypass graft(s) without angina pectoris
I25.811 Atherosclerosis of native coronary artery of transplanted heart without angina pectoris
I25.84 Coronary atherosclerosis due to calcified coronary lesion
I25.9 Chronic ischemic heart disease, unspecified
T82.818A Embolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.818S Embolism due to vascular prosthetic devices, implants and grafts, sequela
T82.828A Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828S Fibrosis due to vascular prosthetic devices, implants and grafts, sequela
T82.838A Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838S Hemorrhage due to vascular prosthetic devices, implants and grafts, sequela
T82.848A Pain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848S Pain due to vascular prosthetic devices, implants and grafts, sequela
T82.858A Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.858S Stenosis of other vascular prosthetic devices, implants and grafts, sequela
T82.868A Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.868S Thrombosis due to vascular prosthetic devices, implants and grafts, sequela
Z99.2 Dependence on renal dialysis

Group 8

(208 Codes)
Group 8 Paragraph

Pre-surgical Vein-Mapping for Peripheral Arterial Bypass (93970 and 93971)

List the Z01.818 (Encounter for other preprocedural examination) as the primary diagnosis. The secondary diagnoses should identify the reason for the study and/or findings.

 Group 8 Codes
Code Description
I70.0 Atherosclerosis of aorta
I70.211 Atherosclerosis of native arteries of extremities with intermittent claudication, right leg
I70.212 Atherosclerosis of native arteries of extremities with intermittent claudication, left leg
I70.213 Atherosclerosis of native arteries of extremities with intermittent claudication, bilateral legs
I70.221 Atherosclerosis of native arteries of extremities with rest pain, right leg
I70.222 Atherosclerosis of native arteries of extremities with rest pain, left leg
I70.223 Atherosclerosis of native arteries of extremities with rest pain, bilateral legs
I70.231 - I70.235 Atherosclerosis of native arteries of right leg with ulceration of thigh - Atherosclerosis of native arteries of right leg with ulceration of other part of foot
I70.238 Atherosclerosis of native arteries of right leg with ulceration of other part of lower leg
I70.241 - I70.245 Atherosclerosis of native arteries of left leg with ulceration of thigh - Atherosclerosis of native arteries of left leg with ulceration of other part of foot
I70.248 Atherosclerosis of native arteries of left leg with ulceration of other part of lower leg
I70.25 Atherosclerosis of native arteries of other extremities with ulceration
I70.261 Atherosclerosis of native arteries of extremities with gangrene, right leg
I70.262 Atherosclerosis of native arteries of extremities with gangrene, left leg
I70.263 Atherosclerosis of native arteries of extremities with gangrene, bilateral legs
I70.301 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg
I70.302 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg
I70.303 Unspecified atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs
I70.311 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, right leg
I70.312 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, left leg
I70.313 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.321 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, right leg
I70.322 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, left leg
I70.323 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with rest pain, bilateral legs
I70.331 - I70.335 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.338 Atherosclerosis of unspecified type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.341 - I70.345 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.348 Atherosclerosis of unspecified type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.35 Atherosclerosis of unspecified type of bypass graft(s) of other extremity with ulceration
I70.361 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, right leg
I70.362 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, left leg
I70.363 Atherosclerosis of unspecified type of bypass graft(s) of the extremities with gangrene, bilateral legs
I70.391 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, right leg
I70.392 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, left leg
I70.393 Other atherosclerosis of unspecified type of bypass graft(s) of the extremities, bilateral legs
I70.411 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, right leg
I70.412 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, left leg
I70.413 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.421 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, right leg
I70.422 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, left leg
I70.423 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, bilateral legs
I70.431 - I70.435 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of foot
I70.438 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.441 - I70.445 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of foot
I70.448 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.45 Atherosclerosis of autologous vein bypass graft(s) of other extremity with ulceration
I70.461 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, right leg
I70.462 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, left leg
I70.463 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, bilateral legs
I70.491 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, right leg
I70.492 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, left leg
I70.493 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, bilateral legs
I70.511 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, right leg
I70.512 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, left leg
I70.513 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.521 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, right leg
I70.522 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, left leg
I70.523 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.531 - I70.535 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of foot
I70.538 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.541 - I70.545 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of foot
I70.548 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.55 Atherosclerosis of nonautologous biological bypass graft(s) of other extremity with ulceration
I70.561 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, right leg
I70.562 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, left leg
I70.563 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.591 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, right leg
I70.592 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, left leg
I70.593 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, bilateral legs
I70.611 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, right leg
I70.612 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, left leg
I70.613 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.621 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, right leg
I70.622 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, left leg
I70.623 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, bilateral legs
I70.631 - I70.635 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of foot
I70.638 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.641 - I70.645 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of foot
I70.648 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.65 Atherosclerosis of nonbiological bypass graft(s) of other extremity with ulceration
I70.661 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, right leg
I70.662 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, left leg
I70.663 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, bilateral legs
I70.691 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, right leg
I70.692 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, left leg
I70.693 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, bilateral legs
I70.711 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, right leg
I70.712 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, left leg
I70.713 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, bilateral legs
I70.721 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, right leg
I70.722 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, left leg
I70.723 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, bilateral legs
I70.731 - I70.735 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh - Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of foot
I70.738 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of other part of lower leg
I70.741 - I70.745 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh - Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of foot
I70.748 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of other part of lower leg
I70.75 Atherosclerosis of other type of bypass graft(s) of other extremity with ulceration
I70.761 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, right leg
I70.762 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, left leg
I70.763 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, bilateral legs
I70.791 Other atherosclerosis of other type of bypass graft(s) of the extremities, right leg
I70.792 Other atherosclerosis of other type of bypass graft(s) of the extremities, left leg
I70.793 Other atherosclerosis of other type of bypass graft(s) of the extremities, bilateral legs
I70.92 Chronic total occlusion of artery of the extremities
I72.3 Aneurysm of iliac artery
I72.4 Aneurysm of artery of lower extremity
I74.2 - I74.5 Embolism and thrombosis of arteries of the upper extremities - Embolism and thrombosis of iliac artery
R04.2 Hemoptysis
R04.89 Hemorrhage from other sites in respiratory passages
R04.9 Hemorrhage from respiratory passages, unspecified
S85.171A Laceration of posterior tibial artery, right leg, initial encounter
S85.172A Laceration of posterior tibial artery, left leg, initial encounter
S85.181A Other specified injury of posterior tibial artery, right leg, initial encounter
S85.182A Other specified injury of posterior tibial artery, left leg, initial encounter
S85.811A Laceration of other blood vessels at lower leg level, right leg, initial encounter
S85.812A Laceration of other blood vessels at lower leg level, left leg, initial encounter
S85.891A Other specified injury of other blood vessels at lower leg level, right leg, initial encounter
S85.892A Other specified injury of other blood vessels at lower leg level, left leg, initial encounter
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.328A Displacement of other vascular grafts, initial encounter
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.338A Leakage of other vascular grafts, initial encounter
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.524A Displacement of infusion catheter, initial encounter
T82.525A Displacement of umbrella device, initial encounter
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.534A Leakage of infusion catheter, initial encounter
T82.535A Leakage of umbrella device, initial encounter
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.818A Embolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.828A Fibrosis due to vascular prosthetic devices, implants and grafts, initial encounter
T82.838A Hemorrhage due to vascular prosthetic devices, implants and grafts, initial encounter
T82.848A Pain due to vascular prosthetic devices, implants and grafts, initial encounter
T82.858A Stenosis of other vascular prosthetic devices, implants and grafts, initial encounter
T82.868A Thrombosis due to vascular prosthetic devices, implants and grafts, initial encounter
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ICD-10-CM Codes that DO NOT Support Medical Necessity

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Group 1

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 Group 1 Codes

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ICD-10-PCS Codes

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Group 1

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 Group 1 Codes

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Additional ICD-10 Information

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Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type. Complete absence of all Bill Types indicates that coverage is not influenced by Bill Type and the article should be assumed to apply equally to all claims.

Code Description

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Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination. Complete absence of all Revenue Codes indicates that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes.

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Other Coding Information

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 Group 1 Codes

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Coding Table Information

Excluded CPT/HCPCS Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Non-Excluded CPT/HCPCS Ended Codes - Table Format
Code Descriptor Generic Name Descriptor Brand Name Exclusion Effective Date Exclusion End Date Reason for Exclusion
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Revision History Information

Revision History Date Revision History Number Revision History Explanation
11/07/2024 R20

Revision Effective: 11/07/2024
Revision Explanation: Annual review, no changes.
08/29/2024 R19

Revision Effective: Retro effective to 01/01/2024
Revision Explanation: Added I87.2 to group 4 and I72.2 to group 5 ICD-10 code sections.
01/01/2024 R18

Revision Effective: 01/01/2024
Revision Explanation: Corrected typo from revision 17 for group 5 ICD-10 group, I72.2 should have been I72.6.
01/01/2024 R17

Revision Effective: 01/01/2024
Revision Explanation: Added ICD-10 I72.6 to ICD-10 group 1 and 5, added ICD-10 A48.0 to group 3, and added ICD-10 I26.99, R06.89, R07.2, R07.89, and R94.2 to group 4.
11/22/2023 R16

Revision Effective: 11/22/2023
Revision Explanation: Updated LCD Reference Article section.
11/02/2023 R15

R15
Revision Effective: 11/02/2023
Revision Explanation: Annual review, no changes made.
10/01/2023 R14

R14
Revision Effective: 10/01/2023
Revision Explanation: Annual ICD-10 Update. Code Expansion added:  D57.04, D57.414, D57.434, and D57.454 
10/01/2023 R13

R13
Revision Effective: 10/01/2023
Revision Explanation: Annual ICD-10 Update. Deleted from group 7: I20.8 & I24.8. Added the following:  I20.81, I20.89, I24.81, and I24.89. 
10/01/2022 R12

12
Revision Effective: 10/01/2022
Revision Explanation: During the ICD-10 annual updated codes I712-I71.5 were deleted from group 5 and were replaced with the following codes: I71.21-I71.23, I71.31-I71.33, I71.41-I71.43, and I71.51-I71.52.
10/01/2022 R11

R11
Revision Effective: 10/01/2022
Revision Explanation: Annual ICD-10 Update, added the following codes: Group-5 I71.010, I71.011, I71.012, I77.82, Group 7-I25.112, I25.712, I25.722, I25.732, I25.752, I25.762 and I25.792. Removed from Group 5: I71.01, I71.1, and I71.6. Added the following: I71.11, I71.12, I71.13, I71.61, and I71.62. 

Annual review, no changes 
10/21/2021 R10

R10
Revision Effective: 10/21/2021
Revision Explanation: Annual review, no changes.
11/01/2020 R9

R9
Revision Effective: 11/01/2020
Revision Explanation: Added the following ICD-10 codes to group 6 for codes 93985, 93986, and 93990 as they were left off in error.

I77.0
I97.89
T82.818S
T82.828S
T82.838S
T82.848S
T82.858S
T82.868S

T82.898A
T82.898S
Z99.2
11/01/2020 R8

R8
Revision Effective: 11/01/2020
Revision Explanation: In ICD-10 group 6 added that only codes 93985 and 93986 require the use of a dual diagnosis.
11/01/2020 R7

R7
Revision Effective: 11/01/2020
Revision Explanation: In ICD-10 group 4 there was a typo L97.111-L97.914 should have been L97.911-L97.914. This has been corrected.

Also for the revision concerning annual ICD-10 update this should have been listed as R5 instead of R4.
11/01/2020 R6

R5
Revision Effective: 11/01/2020
Revision Explanation: 93990 was left off in error for group 6 under ICD-10 section and has been added.
11/01/2020 R5

R4
Revision Effective: 10/01/2020
Revision Explanation: During annual ICd-10 review codes N18.3 was deleted in grp 6 and replaced with N18.30-N18.32 and K74.0 and R74.0 was deleted from group 5 and replaced with K74.01, K74.02, R74.01 and R74.02. The following new codes from annual review were added to group 2: D57.03, D57.09, D57.31-D57.433, D57.451-D57.453.
11/01/2020 R4

R4

Revision Effective: 11/01/2020

Revision Explanation: Error in group codes was identified on annual review and corrected. Group 1 was divided into revised Group 1 and 2. Group 7 and 8 were added. Grouping numbers updated for all groups and ICD-10 moved accordingly.
01/01/2020 R3

R3

Revision Effective: 01/01/2020

Revision Explanation: HCPCS code G0365 was end dated 12/31/2019 and replaced with new codes 93985 and 93986 effective 01/01/2020 based on annual HCPCS review.
11/28/2019 R2

R2

Revision Effective: 11/28/2019

Revision Explanation: Added other comments section and additional information concerning documentation for patient records and utilization guidance. Also added regulations to the CMS National Policy section.
10/01/2019 R1

R1

Revision Effective: 10/01/2019

Revision Explanation: New code N99.85 was added to ICD-10 group 9 and 10 during the annual ICD-10 update. In ICD-10 group 4 the following new codes were added during the annual ICD-10 update: I80.241 I80.242 I80.243 I80.249 I80.251 I80.252 I80.253 I80.259 I82.451 I82.452 I82.453 I82.459 I82.461 I82.462 I82.463 I82.469 I82.551 I82.552 I82.553 I82.559 I82.561 I82.562 I82.563 I82.569.
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Associated Documents

Medicare BPM Ch 15.50.2 SAD Determinations
Medicare BPM Ch 15.50.2
Related Local Coverage Documents
LCDs
L34045 - Non-Invasive Vascular Studies
Related National Coverage Documents
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SAD Process URL 2
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Statutory Requirements URLs
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Rules and Regulations URLs
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CMS Manual Explanations URLs
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Other URLs
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Public Versions
Updated On Effective Dates Status
10/29/2024 11/07/2024 - N/A Currently in Effect You are here
08/22/2024 08/29/2024 - 11/06/2024 Superseded View
03/11/2024 01/01/2024 - 08/28/2024 Superseded View
01/25/2024 01/01/2024 - N/A Superseded View
11/15/2023 11/22/2023 - 12/31/2023 Superseded View
10/27/2023 11/02/2023 - 11/21/2023 Superseded View
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