LCD Reference Article Billing and Coding Article

Billing and Coding: Magnetic Resonance Angiography (MRA)

A56747

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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
A56747
Original ICD-9 Article ID
Not Applicable
Article Title
Billing and Coding: Magnetic Resonance Angiography (MRA)
Article Type
Billing and Coding
Original Effective Date
08/01/2019
Revision Effective Date
10/01/2023
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.

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CMS National Coverage Policy

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Article Guidance

Article Text

This article contains coding and other guidelines that complement the Local Coverage Determination (LCD) for Magnetic Resonance Angiography (MRA).

National Coverage Provisions:

Magnetic Resonance Angiography (MRA) is a non-invasive diagnostic test that is an application of MRI. By analyzing the amount of energy released from tissues exposed to a strong magnetic field, MRA provides images of normal and diseased blood vessels as well as visualization and quantification of blood flow through these vessels. (CMS Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, Section 220.2A.1).

Contrast-enhanced MRA (CE-MRA) involves blood flow imaging after the patient receives an intravenous injection of a contrast agent. Gadolinium, a non-ionic element, is the foundation of all contrast agents currently in use. Gadolinium affects the way in which tissues respond to magnetization, resulting in better visualization of structures when compared to un-enhanced studies. Unlike ionic (i.e. iodine-based) contrast agents used in conventional contrast angiography (CA), allergic reactions to gadolinium are extremely rare. Additionally, gadolinium does not cause the kidney failure occasionally seen with ionic contrast agents. Digital subtraction angiography (DSA) is a computer-augmented form of CA that obtains digital blood flow images as contrast agent courses through a blood vessel. The computer “subtracts” bone and other tissue from the image, thereby improving visualization of blood vessels. Physicians elect to use a specific MRA or CA technique based upon clinical information from each patient (CMS Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, Section 220.2A.1).(Please note that since the publication by CMS of the preceding narrative, it has been noted that gadolinium-based contrast agents may also be nephrotoxic, especially in patients with pre-existing renal disease.)

The related local coverage determination and this article are a restatement of the National Coverage Determination for MRI and MRA documented in CMS Publication 100-03, Medicare National Coverage Determinations Manual, Part 4: 220.2.A.2 Magnetic Resonance Imaging (MRI). Restrictions noted in Medicare National Coverage Determinations are binding on all Medicare contractors and providers.

MRA (MRI for Blood flow)

Currently covered indications include using MRA for specific conditions to evaluate flow in internal carotid vessels of the head and neck, peripheral arteries of lower extremities, abdomen and pelvis, and the chest. Coverage is limited to MRA units that have received FDA premarket approval, and such units must be operated within the parameters specified by the approval. In addition, the services must be reasonable and necessary for the diagnosis or treatment of the specific patient involved. (CMS Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, Section 220.2.B.2).
 

Effective April 15, 2003, studies have proven that MRA is effective for evaluating flow in internal carotid vessels of the head and neck. However, not all potential applications of MRA have been shown to be reasonable and necessary.

Peripheral Arteries of Lower Extremities

Effective April 15, 2003, studies have proven that MRA of peripheral arteries is useful in determining the presence and extent of peripheral vascular disease in lower extremities. This procedure is non-invasive and has been shown to find occult vessels in some patients for which those vessels were not apparent when CA was performed.

Medicare will cover either MRA or CA to evaluate peripheral arteries of the lower extremities. However, both MRA and CA may be useful in some cases.

  1. Pre-operative Evaluation of Patients Undergoing Elective Abdominal Aortic Aneurysm (AAA) Repair

Effective July 1, 1999, MRA is covered for pre-operative evaluation of patients undergoing elective AAA repair if the scientific evidence reveals MRA is considered comparable to CA in determining the extent of AAA, as well as in evaluating aortoiliac occlusion disease and renal artery pathology that may be necessary in the surgical planning of AAA repair. These studies also reveal that MRA could provide a net benefit to the patient. If preoperative CA is avoided, then patients are not exposed to the risks associated with invasive procedures, contrast media, end-organ damage, or arterial injury.

ii. Imaging the Renal Arteries and the Aortoiliac Arteries in the Absence of AAA or Aortic Dissection

Effective July 1, 2003, MRA coverage is expanded to include imaging the renal arteries and the aortoiliac arteries in the absence of AAA or aortic dissection. MRA should be obtained in those circumstances in which using MRA is expected to avoid obtaining CA, when physician history, physical examination, and standard assessment tools provide insufficient information for patient management, and obtaining an MRA has a high probability of positively affecting patient management. However, CA may be ordered after obtaining the results of an MRA in those rare instances where medical necessity is demonstrated. (CMS Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, Section 220.2.B.2.c).

Chest

i. Diagnosis of Pulmonary Embolism

Current scientific data has shown that diagnostic pulmonary MRAs are improving due to recent developments such as faster imaging capabilities and gadolinium-enhancement. However, these advances in MRA are not significant enough to warrant replacement of pulmonary angiography in the diagnosis of pulmonary embolism for patients who have no contraindication to receiving intravenous iodinated contrast material. Patients who are allergic to iodinated contrast material face a high risk of developing complications if they undergo pulmonary angiography or computed tomography angiography. Therefore, Medicare will cover MRA of the chest for diagnosing a suspected pulmonary embolism when it is contraindicated for the patient to receive intravascular iodinated contrast material.

ii. Evaluation of Thoracic Aortic Dissection and Aneurysm

Studies have shown that MRA of the chest has a high level of diagnostic accuracy for pre-operative and post-operative evaluation of aortic dissection of aneurysm. Depending on the clinical presentation, MRA may be used as an alternative to other non-invasive imaging technologies, such as transesophageal echocardiography and CT. Generally, Medicare will provide coverage only for MRA or for CA when used as a diagnostic test. However, if both MRA and CA of the chest are used, the physician must demonstrate the medical need for performing these tests.

While the intent of this policy is to provide reimbursement for either MRA or CA, CMS is also allowing flexibility for physicians to make appropriate decisions concerning the use of these tests based on the needs of individual patients. CMS anticipates, however, low utilization of the combined use of MRA and CA. As a result, CMS encourages contractors to monitor the use of these tests and, where indicated, requires evidence of the need to perform both MRA and CA. (CMS Publication 100-03, Medicare National Coverage Determinations Manual, Chapter 1, Part 4, Section 220.2.B.2.d).

All other uses of MRA are nationally non-covered unless coverage is specifically indicated.

Coding Information:

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. 

Documentation Requirements:

The patient's medical record must contain documentation that fully supports the medical necessity for services included within the LCD. (See "Indications and Limitations of Coverage.") This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures.

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ICD-10-CM Codes that Support Medical Necessity

Group 1

(738 Codes)
Group 1 Paragraph

The use of an ICD-10-CM code listed below 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 the attached determination.

MRA of the Head & Neck can be covered for these diagnoses:

R29.818- Use for patients presenting with signs and symptoms strongly suggesting an intracerebral aneurysm, without the MRA finding of an aneurysm.

Group 1 Codes
Code Description
A52.19 Other symptomatic neurosyphilis
C69.01 Malignant neoplasm of right conjunctiva
C69.02 Malignant neoplasm of left conjunctiva
C69.11 Malignant neoplasm of right cornea
C69.12 Malignant neoplasm of left cornea
C69.21 Malignant neoplasm of right retina
C69.22 Malignant neoplasm of left retina
C69.31 Malignant neoplasm of right choroid
C69.32 Malignant neoplasm of left choroid
C69.41 Malignant neoplasm of right ciliary body
C69.42 Malignant neoplasm of left ciliary body
C69.51 Malignant neoplasm of right lacrimal gland and duct
C69.52 Malignant neoplasm of left lacrimal gland and duct
C69.61 Malignant neoplasm of right orbit
C69.62 Malignant neoplasm of left orbit
C69.81 Malignant neoplasm of overlapping sites of right eye and adnexa
C69.82 Malignant neoplasm of overlapping sites of left eye and adnexa
C70.0 Malignant neoplasm of cerebral meninges
C71.0 Malignant neoplasm of cerebrum, except lobes and ventricles
C71.1 Malignant neoplasm of frontal lobe
C71.2 Malignant neoplasm of temporal lobe
C71.3 Malignant neoplasm of parietal lobe
C71.4 Malignant neoplasm of occipital lobe
C71.5 Malignant neoplasm of cerebral ventricle
C71.6 Malignant neoplasm of cerebellum
C71.7 Malignant neoplasm of brain stem
C71.8 Malignant neoplasm of overlapping sites of brain
C75.1 Malignant neoplasm of pituitary gland
C75.2 Malignant neoplasm of craniopharyngeal duct
C75.3 Malignant neoplasm of pineal gland
C75.4 Malignant neoplasm of carotid body
C75.5 Malignant neoplasm of aortic body and other paraganglia
C79.31 Secondary malignant neoplasm of brain
C79.32 Secondary malignant neoplasm of cerebral meninges
C79.49 Secondary malignant neoplasm of other parts of nervous system
D18.02 Hemangioma of intracranial structures
D18.09 Hemangioma of other sites
D32.0 Benign neoplasm of cerebral meninges
D33.0 Benign neoplasm of brain, supratentorial
D33.1 Benign neoplasm of brain, infratentorial
D33.3 Benign neoplasm of cranial nerves
D35.2 Benign neoplasm of pituitary gland
D35.3 Benign neoplasm of craniopharyngeal duct
D35.4 Benign neoplasm of pineal gland
D35.5 Benign neoplasm of carotid body
D35.6 Benign neoplasm of aortic body and other paraganglia
D42.0 Neoplasm of uncertain behavior of cerebral meninges
D42.1 Neoplasm of uncertain behavior of spinal meninges
D43.0 Neoplasm of uncertain behavior of brain, supratentorial
D43.1 Neoplasm of uncertain behavior of brain, infratentorial
D43.4 Neoplasm of uncertain behavior of spinal cord
D57.1 Sickle-cell disease without crisis
G08 Intracranial and intraspinal phlebitis and thrombophlebitis
G45.0 Vertebro-basilar artery syndrome
G45.3 Amaurosis fugax
G45.8 Other transient cerebral ischemic attacks and related syndromes
G45.9 Transient cerebral ischemic attack, unspecified
G50.0 Trigeminal neuralgia
G50.1 Atypical facial pain
G50.8 Other disorders of trigeminal nerve
H34.01 Transient retinal artery occlusion, right eye
H34.02 Transient retinal artery occlusion, left eye
H34.03 Transient retinal artery occlusion, bilateral
H34.11 Central retinal artery occlusion, right eye
H34.12 Central retinal artery occlusion, left eye
H34.13 Central retinal artery occlusion, bilateral
H34.211 Partial retinal artery occlusion, right eye
H34.212 Partial retinal artery occlusion, left eye
H34.213 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
H47.021 Hemorrhage in optic nerve sheath, right eye
H47.022 Hemorrhage in optic nerve sheath, left eye
H47.023 Hemorrhage in optic nerve sheath, bilateral
H47.11 Papilledema associated with increased intracranial pressure
H47.141 Foster-Kennedy syndrome, right eye
H47.142 Foster-Kennedy syndrome, left eye
H47.143 Foster-Kennedy syndrome, bilateral
H47.41 Disorders of optic chiasm in (due to) inflammatory disorders
H47.42 Disorders of optic chiasm in (due to) neoplasm
H47.43 Disorders of optic chiasm in (due to) vascular disorders
H47.49 Disorders of optic chiasm in (due to) other disorders
H47.521 Disorders of visual pathways in (due to) neoplasm, right side
H47.522 Disorders of visual pathways in (due to) neoplasm, left side
H47.531 Disorders of visual pathways in (due to) vascular disorders, right side
H47.532 Disorders of visual pathways in (due to) vascular disorders, left side
H47.631 Disorders of visual cortex in (due to) neoplasm, right side of brain
H47.632 Disorders of visual cortex in (due to) neoplasm, left side of brain
H47.641 Disorders of visual cortex in (due to) vascular disorders, right side of brain
H47.642 Disorders of visual cortex in (due to) vascular disorders, left side of brain
H49.01 Third [oculomotor] nerve palsy, right eye
H49.02 Third [oculomotor] nerve palsy, left eye
H49.03 Third [oculomotor] nerve palsy, bilateral
H49.11 Fourth [trochlear] nerve palsy, right eye
H49.12 Fourth [trochlear] nerve palsy, left eye
H49.13 Fourth [trochlear] nerve palsy, bilateral
H49.21 Sixth [abducent] nerve palsy, right eye
H49.22 Sixth [abducent] nerve palsy, left eye
H49.23 Sixth [abducent] nerve palsy, bilateral
H53.121 Transient visual loss, right eye
H53.122 Transient visual loss, left eye
H53.123 Transient visual loss, bilateral
H53.131 Sudden visual loss, right eye
H53.132 Sudden visual loss, left eye
H53.133 Sudden visual loss, bilateral
H53.461 Homonymous bilateral field defects, right side
H53.462 Homonymous bilateral field defects, left side
H53.47 Heteronymous bilateral field defects
H81.4 Vertigo of central origin
H93.11 Tinnitus, right ear
H93.12 Tinnitus, left ear
H93.13 Tinnitus, bilateral
H93.A1 Pulsatile tinnitus, right ear
H93.A2 Pulsatile tinnitus, left ear
H93.A3 Pulsatile tinnitus, bilateral
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
I60.9 Nontraumatic subarachnoid hemorrhage, unspecified
I61.0 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical
I61.1 Nontraumatic intracerebral hemorrhage in hemisphere, cortical
I61.3 Nontraumatic intracerebral hemorrhage in brain stem
I61.4 Nontraumatic intracerebral hemorrhage in cerebellum
I61.5 Nontraumatic intracerebral hemorrhage, intraventricular
I61.6 Nontraumatic intracerebral hemorrhage, multiple localized
I61.8 Other nontraumatic intracerebral hemorrhage
I61.9 Nontraumatic intracerebral hemorrhage, unspecified
I62.01 Nontraumatic acute subdural hemorrhage
I62.02 Nontraumatic subacute subdural hemorrhage
I62.03 Nontraumatic chronic subdural hemorrhage
I62.1 Nontraumatic extradural 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
I63.019 Cerebral infarction due to thrombosis of unspecified 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
I63.039 Cerebral infarction due to thrombosis of unspecified 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
I63.119 Cerebral infarction due to embolism of unspecified 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
I63.139 Cerebral infarction due to embolism of unspecified 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
I63.219 Cerebral infarction due to unspecified occlusion or stenosis of unspecified vertebral artery
I63.22 Cerebral infarction due to unspecified occlusion or stenosis of basilar 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
I63.239 Cerebral infarction due to unspecified occlusion or stenosis of unspecified carotid artery
I63.29 Cerebral infarction due to unspecified occlusion or stenosis of other precerebral arteries
I63.30 Cerebral infarction due to thrombosis of unspecified cerebral artery
I63.311 Cerebral infarction due to thrombosis of right middle cerebral artery
I63.312 Cerebral infarction due to thrombosis of left middle cerebral artery
I63.319 Cerebral infarction due to thrombosis of unspecified 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
I63.329 Cerebral infarction due to thrombosis of unspecified 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
I63.339 Cerebral infarction due to thrombosis of unspecified 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
I63.349 Cerebral infarction due to thrombosis of unspecified cerebellar artery
I63.39 Cerebral infarction due to thrombosis of other cerebral artery
I63.40 Cerebral infarction due to embolism of unspecified 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
I63.419 Cerebral infarction due to embolism of unspecified 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
I63.429 Cerebral infarction due to embolism of unspecified 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
I63.439 Cerebral infarction due to embolism of unspecified 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
I63.449 Cerebral infarction due to embolism of unspecified cerebellar artery
I63.49 Cerebral infarction due to embolism of other cerebral artery
I63.50 Cerebral infarction due to unspecified occlusion or stenosis of unspecified cerebral 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
I63.519 Cerebral infarction due to unspecified occlusion or stenosis of unspecified 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
I63.529 Cerebral infarction due to unspecified occlusion or stenosis of unspecified 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
I63.539 Cerebral infarction due to unspecified occlusion or stenosis of unspecified 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
I63.549 Cerebral infarction due to unspecified occlusion or stenosis of unspecified 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
I63.9 Cerebral infarction, unspecified
I65.01 Occlusion and stenosis of right vertebral artery
I65.02 Occlusion and stenosis of left vertebral artery
I65.03 Occlusion and stenosis of bilateral vertebral arteries
I65.1 Occlusion and stenosis of basilar artery
I65.21 Occlusion and stenosis of right carotid artery
I65.22 Occlusion and stenosis of left carotid artery
I65.23 Occlusion and stenosis of bilateral carotid arteries
I65.8 Occlusion and stenosis of other precerebral arteries
I66.01 Occlusion and stenosis of right middle cerebral artery
I66.02 Occlusion and stenosis of left middle cerebral artery
I66.03 Occlusion and stenosis of bilateral middle cerebral arteries
I66.11 Occlusion and stenosis of right anterior cerebral artery
I66.12 Occlusion and stenosis of left anterior cerebral artery
I66.13 Occlusion and stenosis of bilateral anterior cerebral arteries
I66.21 Occlusion and stenosis of right posterior cerebral artery
I66.22 Occlusion and stenosis of left posterior cerebral artery
I66.23 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
I67.1 Cerebral aneurysm, nonruptured
I67.5 Moyamoya disease
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
I67.89 Other cerebrovascular disease
I72.0 Aneurysm of carotid artery
I72.5 Aneurysm of other precerebral arteries
I72.6 Aneurysm of vertebral artery
I72.8 Aneurysm of other specified arteries
I74.01 Saddle embolus of abdominal aorta
I74.09 Other arterial embolism and thrombosis of abdominal aorta
I74.11 Embolism and thrombosis of thoracic aorta
I74.19 Embolism and thrombosis of other parts of aorta
I74.2 Embolism and thrombosis of arteries of the upper extremities
I74.3 Embolism and thrombosis of arteries of the lower extremities
I74.5 Embolism and thrombosis of iliac artery
I74.8 Embolism and thrombosis of other arteries
I76 Septic arterial embolism
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.2 Rupture of artery
I77.3 Arterial fibromuscular dysplasia
I77.5 Necrosis of artery
I77.70 Dissection of unspecified artery
I77.71 Dissection of carotid artery
I77.74 Dissection of vertebral artery
I77.75 Dissection of other precerebral arteries
I77.89 Other specified disorders of arteries and arterioles
M31.4 Aortic arch syndrome [Takayasu]
M31.8 Other specified necrotizing vasculopathies
Q28.2 Arteriovenous malformation of cerebral vessels
Q28.3 Other malformations of cerebral vessels
Q61.2 Polycystic kidney, adult type
Q85.01 Neurofibromatosis, type 1
Q85.02 Neurofibromatosis, type 2
R22.0 Localized swelling, mass and lump, head
R22.1 Localized swelling, mass and lump, neck
R29.5 Transient paralysis
R29.6 Repeated falls
R29.818 Other symptoms and signs involving the nervous system
R42 Dizziness and giddiness
R55 Syncope and collapse
R90.0 Intracranial space-occupying lesion found on diagnostic imaging of central nervous system
R93.0 Abnormal findings on diagnostic imaging of skull and head, not elsewhere classified
S06.4X0A Epidural hemorrhage without loss of consciousness, initial encounter
S06.4X0D Epidural hemorrhage without loss of consciousness, subsequent encounter
S06.4X0S Epidural hemorrhage without loss of consciousness, sequela
S06.4X1A Epidural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
S06.4X1D Epidural hemorrhage with loss of consciousness of 30 minutes or less, subsequent encounter
S06.4X1S Epidural hemorrhage with loss of consciousness of 30 minutes or less, sequela
S06.4X2A Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06.4X2D Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter
S06.4X2S Epidural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela
S06.4X3A Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06.4X3D Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
S06.4X3S Epidural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06.4X4A Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S06.4X4D Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent encounter
S06.4X4S Epidural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela
S06.4X5A Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06.4X5D Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
S06.4X5S Epidural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06.4X6A Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06.4X6D Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter
S06.4X6S Epidural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06.4X7A Epidural hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06.4X8A Epidural hemorrhage with loss of consciousness of any duration with death due to other causes prior to regaining consciousness, initial encounter
S06.5X0A Traumatic subdural hemorrhage without loss of consciousness, initial encounter
S06.5X0D Traumatic subdural hemorrhage without loss of consciousness, subsequent encounter
S06.5X0S Traumatic subdural hemorrhage without loss of consciousness, sequela
S06.5X1A Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
S06.5X1D Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, subsequent encounter
S06.5X1S Traumatic subdural hemorrhage with loss of consciousness of 30 minutes or less, sequela
S06.5X2A Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06.5X2D Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter
S06.5X2S Traumatic subdural hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela
S06.5X3A Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06.5X3D Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
S06.5X3S Traumatic subdural hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06.5X4A Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S06.5X4D Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent encounter
S06.5X4S Traumatic subdural hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela
S06.5X5A Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06.5X5D Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
S06.5X5S Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06.5X6A Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06.5X6D Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter
S06.5X6S Traumatic subdural hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06.5X7A Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to brain injury before regaining consciousness, initial encounter
S06.5X8A Traumatic subdural hemorrhage with loss of consciousness of any duration with death due to other cause before regaining consciousness, initial encounter
S06.6X0A Traumatic subarachnoid hemorrhage without loss of consciousness, initial encounter
S06.6X0D Traumatic subarachnoid hemorrhage without loss of consciousness, subsequent encounter
S06.6X0S Traumatic subarachnoid hemorrhage without loss of consciousness, sequela
S06.6X1A Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, initial encounter
S06.6X1D Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, subsequent encounter
S06.6X1S Traumatic subarachnoid hemorrhage with loss of consciousness of 30 minutes or less, sequela
S06.6X2A Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, initial encounter
S06.6X2D Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, subsequent encounter
S06.6X2S Traumatic subarachnoid hemorrhage with loss of consciousness of 31 minutes to 59 minutes, sequela
S06.6X3A Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, initial encounter
S06.6X3D Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, subsequent encounter
S06.6X3S Traumatic subarachnoid hemorrhage with loss of consciousness of 1 hour to 5 hours 59 minutes, sequela
S06.6X4A Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, initial encounter
S06.6X4D Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, subsequent encounter
S06.6X4S Traumatic subarachnoid hemorrhage with loss of consciousness of 6 hours to 24 hours, sequela
S06.6X5A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, initial encounter
S06.6X5D Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, subsequent encounter
S06.6X5S Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours with return to pre-existing conscious level, sequela
S06.6X6A Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, initial encounter
S06.6X6D Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, subsequent encounter
S06.6X6S Traumatic subarachnoid hemorrhage with loss of consciousness greater than 24 hours without return to pre-existing conscious level with patient surviving, sequela
S06.6X7A Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to brain injury prior to regaining consciousness, initial encounter
S06.6X8A Traumatic subarachnoid hemorrhage with loss of consciousness of any duration with death due to other cause prior to regaining consciousness, initial encounter
S09.0XXA Injury of blood vessels of head, not elsewhere classified, initial encounter
S09.0XXD Injury of blood vessels of head, not elsewhere classified, subsequent encounter
S09.0XXS Injury of blood vessels of head, not elsewhere classified, sequela
S15.011A Minor laceration of right carotid artery, initial encounter
S15.011D Minor laceration of right carotid artery, subsequent encounter
S15.011S Minor laceration of right carotid artery, sequela
S15.012A Minor laceration of left carotid artery, initial encounter
S15.012D Minor laceration of left carotid artery, subsequent encounter
S15.012S Minor laceration of left carotid artery, sequela
S15.021A Major laceration of right carotid artery, initial encounter
S15.021D Major laceration of right carotid artery, subsequent encounter
S15.021S Major laceration of right carotid artery, sequela
S15.022A Major laceration of left carotid artery, initial encounter
S15.022D Major laceration of left carotid artery, subsequent encounter
S15.022S Major laceration of left carotid artery, sequela
S15.091A Other specified injury of right carotid artery, initial encounter
S15.091D Other specified injury of right carotid artery, subsequent encounter
S15.091S Other specified injury of right carotid artery, sequela
S15.092A Other specified injury of left carotid artery, initial encounter
S15.092D Other specified injury of left carotid artery, subsequent encounter
S15.092S Other specified injury of left carotid artery, sequela
S15.111A Minor laceration of right vertebral artery, initial encounter
S15.111D Minor laceration of right vertebral artery, subsequent encounter
S15.111S Minor laceration of right vertebral artery, sequela
S15.112A Minor laceration of left vertebral artery, initial encounter
S15.112D Minor laceration of left vertebral artery, subsequent encounter
S15.112S Minor laceration of left vertebral artery, sequela
S15.121A Major laceration of right vertebral artery, initial encounter
S15.121D Major laceration of right vertebral artery, subsequent encounter
S15.121S Major laceration of right vertebral artery, sequela
S15.122A Major laceration of left vertebral artery, initial encounter
S15.122D Major laceration of left vertebral artery, subsequent encounter
S15.122S Major laceration of left vertebral artery, sequela
S15.191A Other specified injury of right vertebral artery, initial encounter
S15.191D Other specified injury of right vertebral artery, subsequent encounter
S15.191S Other specified injury of right vertebral artery, sequela
S15.192A Other specified injury of left vertebral artery, initial encounter
S15.192D Other specified injury of left vertebral artery, subsequent encounter
S15.192S Other specified injury of left vertebral artery, sequela
S15.211S Minor laceration of right external jugular vein, sequela
S15.212S Minor laceration of left external jugular vein, sequela
S15.221S Major laceration of right external jugular vein, sequela
S15.222S Major laceration of left external jugular vein, sequela
S15.291S Other specified injury of right external jugular vein, sequela
S15.292S Other specified injury of left external jugular vein, sequela
S15.311S Minor laceration of right internal jugular vein, sequela
S15.312S Minor laceration of left internal jugular vein, sequela
S15.321S Major laceration of right internal jugular vein, sequela
S15.322S Major laceration of left internal jugular vein, sequela
S15.391S Other specified injury of right internal jugular vein, sequela
S15.392S Other specified injury of left internal jugular vein, sequela
S15.8XXA Injury of other specified blood vessels at neck level, initial encounter
S15.8XXS Injury of other specified blood vessels at neck level, sequela
S45.011S Laceration of axillary artery, right side, sequela
S45.012S Laceration of axillary artery, left side, sequela
S45.091S Other specified injury of axillary artery, right side, sequela
S45.092S Other specified injury of axillary artery, left side, sequela
S45.111S Laceration of brachial artery, right side, sequela
S45.112S Laceration of brachial artery, left side, sequela
S45.191S Other specified injury of brachial artery, right side, sequela
S45.192S Other specified injury of brachial artery, left side, sequela
S45.211S Laceration of axillary or brachial vein, right side, sequela
S45.212S Laceration of axillary or brachial vein, left side, sequela
S45.291S Other specified injury of axillary or brachial vein, right side, sequela
S45.292S Other specified injury of axillary or brachial vein, left side, sequela
S45.311S Laceration of superficial vein at shoulder and upper arm level, right arm, sequela
S45.312S Laceration of superficial vein at shoulder and upper arm level, left arm, sequela
S45.391S Other specified injury of superficial vein at shoulder and upper arm level, right arm, sequela
S45.392S Other specified injury of superficial vein at shoulder and upper arm level, left arm, sequela
S45.811S Laceration of other specified blood vessels at shoulder and upper arm level, right arm, sequela
S45.812S Laceration of other specified blood vessels at shoulder and upper arm level, left arm, sequela
S45.891S Other specified injury of other specified blood vessels at shoulder and upper arm level, right arm, sequela
S45.892S Other specified injury of other specified blood vessels at shoulder and upper arm level, left arm, sequela
S55.011S Laceration of ulnar artery at forearm level, right arm, sequela
S55.012S Laceration of ulnar artery at forearm level, left arm, sequela
S55.091S Other specified injury of ulnar artery at forearm level, right arm, sequela
S55.092S Other specified injury of ulnar artery at forearm level, left arm, sequela
S55.111S Laceration of radial artery at forearm level, right arm, sequela
S55.112S Laceration of radial artery at forearm level, left arm, sequela
S55.191S Other specified injury of radial artery at forearm level, right arm, sequela
S55.192S Other specified injury of radial artery at forearm level, left arm, sequela
S55.211S Laceration of vein at forearm level, right arm, sequela
S55.212S Laceration of vein at forearm level, left arm, sequela
S55.291S Other specified injury of vein at forearm level, right arm, sequela
S55.292S Other specified injury of vein at forearm level, left arm, sequela
S55.811S Laceration of other blood vessels at forearm level, right arm, sequela
S55.812S Laceration of other blood vessels at forearm level, left arm, sequela
S55.891S Other specified injury of other blood vessels at forearm level, right arm, sequela
S55.892S Other specified injury of other blood vessels at forearm level, left arm, sequela
S65.011S Laceration of ulnar artery at wrist and hand level of right arm, sequela
S65.012S Laceration of ulnar artery at wrist and hand level of left arm, sequela
S65.091S Other specified injury of ulnar artery at wrist and hand level of right arm, sequela
S65.092S Other specified injury of ulnar artery at wrist and hand level of left arm, sequela
S65.111S Laceration of radial artery at wrist and hand level of right arm, sequela
S65.112S Laceration of radial artery at wrist and hand level of left arm, sequela
S65.191S Other specified injury of radial artery at wrist and hand level of right arm, sequela
S65.192S Other specified injury of radial artery at wrist and hand level of left arm, sequela
S65.211S Laceration of superficial palmar arch of right hand, sequela
S65.212S Laceration of superficial palmar arch of left hand, sequela
S65.291S Other specified injury of superficial palmar arch of right hand, sequela
S65.292S Other specified injury of superficial palmar arch of left hand, sequela
S65.311S Laceration of deep palmar arch of right hand, sequela
S65.312S Laceration of deep palmar arch of left hand, sequela
S65.391S Other specified injury of deep palmar arch of right hand, sequela
S65.392S Other specified injury of deep palmar arch of left hand, sequela
S65.411S Laceration of blood vessel of right thumb, sequela
S65.412S Laceration of blood vessel of left thumb, sequela
S65.491S Other specified injury of blood vessel of right thumb, sequela
S65.492S Other specified injury of blood vessel of left thumb, sequela
S65.510S Laceration of blood vessel of right index finger, sequela
S65.511S Laceration of blood vessel of left index finger, sequela
S65.512S Laceration of blood vessel of right middle finger, sequela
S65.513S Laceration of blood vessel of left middle finger, sequela
S65.514S Laceration of blood vessel of right ring finger, sequela
S65.515S Laceration of blood vessel of left ring finger, sequela
S65.516S Laceration of blood vessel of right little finger, sequela
S65.517S Laceration of blood vessel of left little finger, sequela
S65.518S Laceration of blood vessel of other finger, sequela
S65.590S Other specified injury of blood vessel of right index finger, sequela
S65.591S Other specified injury of blood vessel of left index finger, sequela
S65.592S Other specified injury of blood vessel of right middle finger, sequela
S65.593S Other specified injury of blood vessel of left middle finger, sequela
S65.594S Other specified injury of blood vessel of right ring finger, sequela
S65.595S Other specified injury of blood vessel of left ring finger, sequela
S65.596S Other specified injury of blood vessel of right little finger, sequela
S65.597S Other specified injury of blood vessel of left little finger, sequela
S65.598S Other specified injury of blood vessel of other finger, sequela
S65.811S Laceration of other blood vessels at wrist and hand level of right arm, sequela
S65.812S Laceration of other blood vessels at wrist and hand level of left arm, sequela
S65.891S Other specified injury of other blood vessels at wrist and hand level of right arm, sequela
S65.892S Other specified injury of other blood vessels at wrist and hand level of left arm, sequela
S75.011S Minor laceration of femoral artery, right leg, sequela
S75.012S Minor laceration of femoral artery, left leg, sequela
S75.021S Major laceration of femoral artery, right leg, sequela
S75.022S Major laceration of femoral artery, left leg, sequela
S75.091S Other specified injury of femoral artery, right leg, sequela
S75.092S Other specified injury of femoral artery, left leg, sequela
S75.111S Minor laceration of femoral vein at hip and thigh level, right leg, sequela
S75.112S Minor laceration of femoral vein at hip and thigh level, left leg, sequela
S75.121S Major laceration of femoral vein at hip and thigh level, right leg, sequela
S75.122S Major laceration of femoral vein at hip and thigh level, left leg, sequela
S75.191S Other specified injury of femoral vein at hip and thigh level, right leg, sequela
S75.192S Other specified injury of femoral vein at hip and thigh level, left leg, sequela
S75.211S Minor laceration of greater saphenous vein at hip and thigh level, right leg, sequela
S75.212S Minor laceration of greater saphenous vein at hip and thigh level, left leg, sequela
S75.221S Major laceration of greater saphenous vein at hip and thigh level, right leg, sequela
S75.222S Major laceration of greater saphenous vein at hip and thigh level, left leg, sequela
S75.291S Other specified injury of greater saphenous vein at hip and thigh level, right leg, sequela
S75.292S Other specified injury of greater saphenous vein at hip and thigh level, left leg, sequela
S75.811S Laceration of other blood vessels at hip and thigh level, right leg, sequela
S75.812S Laceration of other blood vessels at hip and thigh level, left leg, sequela
S75.891S Other specified injury of other blood vessels at hip and thigh level, right leg, sequela
S75.892S Other specified injury of other blood vessels at hip and thigh level, left leg, sequela
S85.011S Laceration of popliteal artery, right leg, sequela
S85.012S Laceration of popliteal artery, left leg, sequela
S85.091S Other specified injury of popliteal artery, right leg, sequela
S85.092S Other specified injury of popliteal artery, left leg, sequela
S85.141S Laceration of anterior tibial artery, right leg, sequela
S85.142S Laceration of anterior tibial artery, left leg, sequela
S85.151S Other specified injury of anterior tibial artery, right leg, sequela
S85.152S Other specified injury of anterior tibial artery, left leg, sequela
S85.171S Laceration of posterior tibial artery, right leg, sequela
S85.172S Laceration of posterior tibial artery, left leg, sequela
S85.181S Other specified injury of posterior tibial artery, right leg, sequela
S85.182S Other specified injury of posterior tibial artery, left leg, sequela
S85.211S Laceration of peroneal artery, right leg, sequela
S85.212S Laceration of peroneal artery, left leg, sequela
S85.291S Other specified injury of peroneal artery, right leg, sequela
S85.292S Other specified injury of peroneal artery, left leg, sequela
S85.311S Laceration of greater saphenous vein at lower leg level, right leg, sequela
S85.312S Laceration of greater saphenous vein at lower leg level, left leg, sequela
S85.391S Other specified injury of greater saphenous vein at lower leg level, right leg, sequela
S85.392S Other specified injury of greater saphenous vein at lower leg level, left leg, sequela
S85.411S Laceration of lesser saphenous vein at lower leg level, right leg, sequela
S85.412S Laceration of lesser saphenous vein at lower leg level, left leg, sequela
S85.491S Other specified injury of lesser saphenous vein at lower leg level, right leg, sequela
S85.492S Other specified injury of lesser saphenous vein at lower leg level, left leg, sequela
S85.511S Laceration of popliteal vein, right leg, sequela
S85.512S Laceration of popliteal vein, left leg, sequela
S85.591S Other specified injury of popliteal vein, right leg, sequela
S85.592S Other specified injury of popliteal vein, left leg, sequela
S85.811S Laceration of other blood vessels at lower leg level, right leg, sequela
S85.812S Laceration of other blood vessels at lower leg level, left leg, sequela
S85.891S Other specified injury of other blood vessels at lower leg level, right leg, sequela
S85.892S Other specified injury of other blood vessels at lower leg level, left leg, sequela
S95.011S Laceration of dorsal artery of right foot, sequela
S95.012S Laceration of dorsal artery of left foot, sequela
S95.091S Other specified injury of dorsal artery of right foot, sequela
S95.092S Other specified injury of dorsal artery of left foot, sequela
S95.111S Laceration of plantar artery of right foot, sequela
S95.112S Laceration of plantar artery of left foot, sequela
S95.191S Other specified injury of plantar artery of right foot, sequela
S95.192S Other specified injury of plantar artery of left foot, sequela
S95.211S Laceration of dorsal vein of right foot, sequela
S95.212S Laceration of dorsal vein of left foot, sequela
S95.291S Other specified injury of dorsal vein of right foot, sequela
S95.292S Other specified injury of dorsal vein of left foot, sequela
S95.811S Laceration of other blood vessels at ankle and foot level, right leg, sequela
S95.812S Laceration of other blood vessels at ankle and foot level, left leg, sequela
S95.891S Other specified injury of other blood vessels at ankle and foot level, right leg, sequela
S95.892S Other specified injury of other blood vessels at ankle and foot level, left leg, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41XD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41XS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.42XD Displacement of vascular dialysis catheter, subsequent encounter
T82.42XS Displacement of vascular dialysis catheter, sequela
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.43XD Leakage of vascular dialysis catheter, subsequent encounter
T82.43XS Leakage of vascular dialysis catheter, sequela
T82.49XA Other complication of vascular dialysis catheter, initial encounter
T82.49XD Other complication of vascular dialysis catheter, subsequent encounter
T82.49XS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T85.01XA Breakdown (mechanical) of ventricular intracranial (communicating) shunt, initial encounter
T85.01XD Breakdown (mechanical) of ventricular intracranial (communicating) shunt, subsequent encounter
T85.01XS Breakdown (mechanical) of ventricular intracranial (communicating) shunt, sequela
T85.02XA Displacement of ventricular intracranial (communicating) shunt, initial encounter
T85.02XD Displacement of ventricular intracranial (communicating) shunt, subsequent encounter
T85.02XS Displacement of ventricular intracranial (communicating) shunt, sequela
T85.03XA Leakage of ventricular intracranial (communicating) shunt, initial encounter
T85.03XD Leakage of ventricular intracranial (communicating) shunt, subsequent encounter
T85.03XS Leakage of ventricular intracranial (communicating) shunt, sequela
T85.09XA Other mechanical complication of ventricular intracranial (communicating) shunt, initial encounter
T85.09XD Other mechanical complication of ventricular intracranial (communicating) shunt, subsequent encounter
T85.09XS Other mechanical complication of ventricular intracranial (communicating) shunt, sequela
T85.110A Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), initial encounter
T85.110D Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
T85.110S Breakdown (mechanical) of implanted electronic neurostimulator of brain electrode (lead), sequela
T85.111A Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
T85.111D Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
T85.111S Breakdown (mechanical) of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
T85.112A Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
T85.112D Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
T85.112S Breakdown (mechanical) of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
T85.113A Breakdown (mechanical) of implanted electronic neurostimulator, generator, initial encounter
T85.113D Breakdown (mechanical) of implanted electronic neurostimulator, generator, subsequent encounter
T85.113S Breakdown (mechanical) of implanted electronic neurostimulator, generator, sequela
T85.118A Breakdown (mechanical) of other implanted electronic stimulator of nervous system, initial encounter
T85.118D Breakdown (mechanical) of other implanted electronic stimulator of nervous system, subsequent encounter
T85.118S Breakdown (mechanical) of other implanted electronic stimulator of nervous system, sequela
T85.120A Displacement of implanted electronic neurostimulator of brain electrode (lead), initial encounter
T85.120D Displacement of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
T85.120S Displacement of implanted electronic neurostimulator of brain electrode (lead), sequela
T85.121A Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
T85.121D Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
T85.121S Displacement of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
T85.122A Displacement of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
T85.122D Displacement of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
T85.122S Displacement of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
T85.123A Displacement of implanted electronic neurostimulator, generator, initial encounter
T85.123D Displacement of implanted electronic neurostimulator, generator, subsequent encounter
T85.123S Displacement of implanted electronic neurostimulator, generator, sequela
T85.128A Displacement of other implanted electronic stimulator of nervous system, initial encounter
T85.128D Displacement of other implanted electronic stimulator of nervous system, subsequent encounter
T85.128S Displacement of other implanted electronic stimulator of nervous system, sequela
T85.190A Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), initial encounter
T85.190D Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), subsequent encounter
T85.190S Other mechanical complication of implanted electronic neurostimulator of brain electrode (lead), sequela
T85.191A Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), initial encounter
T85.191D Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), subsequent encounter
T85.191S Other mechanical complication of implanted electronic neurostimulator of peripheral nerve electrode (lead), sequela
T85.192A Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), initial encounter
T85.192D Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), subsequent encounter
T85.192S Other mechanical complication of implanted electronic neurostimulator of spinal cord electrode (lead), sequela
T85.193A Other mechanical complication of implanted electronic neurostimulator, generator, initial encounter
T85.193D Other mechanical complication of implanted electronic neurostimulator, generator, subsequent encounter
T85.193S Other mechanical complication of implanted electronic neurostimulator, generator, sequela
T85.199A Other mechanical complication of other implanted electronic stimulator of nervous system, initial encounter
T85.199D Other mechanical complication of other implanted electronic stimulator of nervous system, subsequent encounter
T85.199S Other mechanical complication of other implanted electronic stimulator of nervous system, sequela

Group 2

(362 Codes)
Group 2 Paragraph

MRA of the Peripheral Arteries of Lower Extremities can be covered for the following diagnoses:

Group 2 Codes
Code Description
D18.09 Hemangioma of other sites
E09.59 Drug or chemical induced diabetes mellitus with other circulatory complications
E10.59 Type 1 diabetes mellitus with other circulatory complications
E11.59 Type 2 diabetes mellitus with other circulatory complications
E13.59 Other specified diabetes mellitus with other circulatory complications
I67.0 Dissection of cerebral arteries, nonruptured
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
I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity
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
I70.228 Atherosclerosis of native arteries of extremities with rest pain, other extremity
I70.231 Atherosclerosis of native arteries of right leg with ulceration of thigh
I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf
I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.235 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 Atherosclerosis of native arteries of left leg with ulceration of thigh
I70.242 Atherosclerosis of native arteries of left leg with ulceration of calf
I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.245 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
I70.268 Atherosclerosis of native arteries of extremities with gangrene, other extremity
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
I70.418 Atherosclerosis of autologous vein bypass graft(s) of the extremities with intermittent claudication, other extremity
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
I70.428 Atherosclerosis of autologous vein bypass graft(s) of the extremities with rest pain, other extremity
I70.431 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of thigh
I70.432 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of calf
I70.433 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of ankle
I70.434 Atherosclerosis of autologous vein bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.435 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 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of thigh
I70.442 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of calf
I70.443 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of ankle
I70.444 Atherosclerosis of autologous vein bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.445 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
I70.468 Atherosclerosis of autologous vein bypass graft(s) of the extremities with gangrene, other extremity
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
I70.498 Other atherosclerosis of autologous vein bypass graft(s) of the extremities, other extremity
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
I70.518 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with intermittent claudication, other extremity
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
I70.528 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with rest pain, other extremity
I70.531 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of thigh
I70.532 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of calf
I70.533 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of ankle
I70.534 Atherosclerosis of nonautologous biological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.535 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 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of thigh
I70.542 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of calf
I70.543 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of ankle
I70.544 Atherosclerosis of nonautologous biological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.545 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
I70.568 Atherosclerosis of nonautologous biological bypass graft(s) of the extremities with gangrene, other extremity
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
I70.598 Other atherosclerosis of nonautologous biological bypass graft(s) of the extremities, other extremity
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
I70.618 Atherosclerosis of nonbiological bypass graft(s) of the extremities with intermittent claudication, other extremity
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
I70.628 Atherosclerosis of nonbiological bypass graft(s) of the extremities with rest pain, other extremity
I70.631 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of thigh
I70.632 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of calf
I70.633 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of ankle
I70.634 Atherosclerosis of nonbiological bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.635 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 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of thigh
I70.642 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of calf
I70.643 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of ankle
I70.644 Atherosclerosis of nonbiological bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.645 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
I70.668 Atherosclerosis of nonbiological bypass graft(s) of the extremities with gangrene, other extremity
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
I70.698 Other atherosclerosis of nonbiological bypass graft(s) of the extremities, other extremity
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
I70.718 Atherosclerosis of other type of bypass graft(s) of the extremities with intermittent claudication, other extremity
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
I70.728 Atherosclerosis of other type of bypass graft(s) of the extremities with rest pain, other extremity
I70.731 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of thigh
I70.732 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of calf
I70.733 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of ankle
I70.734 Atherosclerosis of other type of bypass graft(s) of the right leg with ulceration of heel and midfoot
I70.735 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 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of thigh
I70.742 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of calf
I70.743 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of ankle
I70.744 Atherosclerosis of other type of bypass graft(s) of the left leg with ulceration of heel and midfoot
I70.745 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
I70.768 Atherosclerosis of other type of bypass graft(s) of the extremities with gangrene, other extremity
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
I70.798 Other atherosclerosis of other type of bypass graft(s) of the extremities, other extremity
I72.3 Aneurysm of iliac artery
I72.4 Aneurysm of artery of lower extremity
I72.6 Aneurysm of vertebral artery
I73.01 Raynaud's syndrome with gangrene
I73.1 Thromboangiitis obliterans [Buerger's disease]
I73.9 Peripheral vascular disease, unspecified
I74.3 Embolism and thrombosis of arteries of the lower extremities
I74.5 Embolism and thrombosis of iliac artery
I74.8 Embolism and thrombosis of other arteries
I75.021 Atheroembolism of right lower extremity
I75.022 Atheroembolism of left lower extremity
I75.023 Atheroembolism of bilateral lower extremities
I76 Septic arterial embolism
I77.1 Stricture of artery
I77.3 Arterial fibromuscular dysplasia
I77.5 Necrosis of artery
I77.72 Dissection of iliac artery
I77.77 Dissection of artery of lower extremity
I77.79 Dissection of other specified artery
I77.89 Other specified disorders of arteries and arterioles
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
M31.8 Other specified necrotizing vasculopathies
Q27.32 Arteriovenous malformation of vessel of lower limb
Q27.39 Arteriovenous malformation, other site
Q27.8 Other specified congenital malformations of peripheral vascular system
S75.011A Minor laceration of femoral artery, right leg, initial encounter
S75.011D Minor laceration of femoral artery, right leg, subsequent encounter
S75.011S Minor laceration of femoral artery, right leg, sequela
S75.012A Minor laceration of femoral artery, left leg, initial encounter
S75.012D Minor laceration of femoral artery, left leg, subsequent encounter
S75.012S Minor laceration of femoral artery, left leg, sequela
S75.021A Major laceration of femoral artery, right leg, initial encounter
S75.021D Major laceration of femoral artery, right leg, subsequent encounter
S75.021S Major laceration of femoral artery, right leg, sequela
S75.022A Major laceration of femoral artery, left leg, initial encounter
S75.022D Major laceration of femoral artery, left leg, subsequent encounter
S75.022S Major laceration of femoral artery, left leg, sequela
S75.091A Other specified injury of femoral artery, right leg, initial encounter
S75.091D Other specified injury of femoral artery, right leg, subsequent encounter
S75.091S Other specified injury of femoral artery, right leg, sequela
S75.092A Other specified injury of femoral artery, left leg, initial encounter
S75.092D Other specified injury of femoral artery, left leg, subsequent encounter
S75.092S Other specified injury of femoral artery, left leg, sequela
S85.011A Laceration of popliteal artery, right leg, initial encounter
S85.011D Laceration of popliteal artery, right leg, subsequent encounter
S85.011S Laceration of popliteal artery, right leg, sequela
S85.012A Laceration of popliteal artery, left leg, initial encounter
S85.012D Laceration of popliteal artery, left leg, subsequent encounter
S85.012S Laceration of popliteal artery, left leg, sequela
S85.091A Other specified injury of popliteal artery, right leg, initial encounter
S85.091D Other specified injury of popliteal artery, right leg, subsequent encounter
S85.091S Other specified injury of popliteal artery, right leg, sequela
S85.092A Other specified injury of popliteal artery, left leg, initial encounter
S85.092D Other specified injury of popliteal artery, left leg, subsequent encounter
S85.092S Other specified injury of popliteal artery, left leg, sequela
S85.141A Laceration of anterior tibial artery, right leg, initial encounter
S85.141D Laceration of anterior tibial artery, right leg, subsequent encounter
S85.141S Laceration of anterior tibial artery, right leg, sequela
S85.142A Laceration of anterior tibial artery, left leg, initial encounter
S85.142D Laceration of anterior tibial artery, left leg, subsequent encounter
S85.142S Laceration of anterior tibial artery, left leg, sequela
S85.151A Other specified injury of anterior tibial artery, right leg, initial encounter
S85.151D Other specified injury of anterior tibial artery, right leg, subsequent encounter
S85.151S Other specified injury of anterior tibial artery, right leg, sequela
S85.152A Other specified injury of anterior tibial artery, left leg, initial encounter
S85.152D Other specified injury of anterior tibial artery, left leg, subsequent encounter
S85.152S Other specified injury of anterior tibial artery, left leg, sequela
S85.171A Laceration of posterior tibial artery, right leg, initial encounter
S85.171D Laceration of posterior tibial artery, right leg, subsequent encounter
S85.171S Laceration of posterior tibial artery, right leg, sequela
S85.172A Laceration of posterior tibial artery, left leg, initial encounter
S85.172D Laceration of posterior tibial artery, left leg, subsequent encounter
S85.172S Laceration of posterior tibial artery, left leg, sequela
S85.181A Other specified injury of posterior tibial artery, right leg, initial encounter
S85.181D Other specified injury of posterior tibial artery, right leg, subsequent encounter
S85.181S Other specified injury of posterior tibial artery, right leg, sequela
S85.182A Other specified injury of posterior tibial artery, left leg, initial encounter
S85.182D Other specified injury of posterior tibial artery, left leg, subsequent encounter
S85.182S Other specified injury of posterior tibial artery, left leg, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41XD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41XS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.42XD Displacement of vascular dialysis catheter, subsequent encounter
T82.42XS Displacement of vascular dialysis catheter, sequela
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.43XD Leakage of vascular dialysis catheter, subsequent encounter
T82.43XS Leakage of vascular dialysis catheter, sequela
T82.49XA Other complication of vascular dialysis catheter, initial encounter
T82.49XD Other complication of vascular dialysis catheter, subsequent encounter
T82.49XS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
Z08 Encounter for follow-up examination after completed treatment for malignant neoplasm
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm

Group 3

(352 Codes)
Group 3 Paragraph

MRA of the Abdomen and Pelvis can be covered for the following diagnoses:

Group 3 Codes
Code Description
C64.1 Malignant neoplasm of right kidney, except renal pelvis
C64.2 Malignant neoplasm of left kidney, except renal pelvis
C65.1 Malignant neoplasm of right renal pelvis
C65.2 Malignant neoplasm of left renal pelvis
C68.8 Malignant neoplasm of overlapping sites of urinary organs
D30.01 Benign neoplasm of right kidney
D30.02 Benign neoplasm of left kidney
I10 Essential (primary) hypertension
I11.0 Hypertensive heart disease with heart failure
I11.9 Hypertensive heart disease without heart failure
I12.0 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
I13.11 Hypertensive heart and chronic kidney disease without heart failure, with stage 5 chronic kidney disease, or end stage renal disease
I13.2 Hypertensive heart and chronic kidney disease with heart failure and with stage 5 chronic kidney disease, or end stage renal disease
I15.0 Renovascular hypertension
I15.1 Hypertension secondary to other renal disorders
I70.0 Atherosclerosis of aorta
I70.1 Atherosclerosis of renal artery
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
I70.218 Atherosclerosis of native arteries of extremities with intermittent claudication, other extremity
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
I70.228 Atherosclerosis of native arteries of extremities with rest pain, other extremity
I70.231 Atherosclerosis of native arteries of right leg with ulceration of thigh
I70.232 Atherosclerosis of native arteries of right leg with ulceration of calf
I70.233 Atherosclerosis of native arteries of right leg with ulceration of ankle
I70.234 Atherosclerosis of native arteries of right leg with ulceration of heel and midfoot
I70.235 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 Atherosclerosis of native arteries of left leg with ulceration of thigh
I70.242 Atherosclerosis of native arteries of left leg with ulceration of calf
I70.243 Atherosclerosis of native arteries of left leg with ulceration of ankle
I70.244 Atherosclerosis of native arteries of left leg with ulceration of heel and midfoot
I70.245 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
I70.268 Atherosclerosis of native arteries of extremities with gangrene, other extremity
I71.02 Dissection of abdominal aorta
I71.03 Dissection of thoracoabdominal aorta
I71.41 Pararenal abdominal aortic aneurysm, without rupture
I71.42 Juxtarenal abdominal aortic aneurysm, without rupture
I71.43 Infrarenal abdominal aortic aneurysm, without rupture
I71.60 Thoracoabdominal aortic aneurysm, without rupture, unspecified
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
I72.8 Aneurysm of other specified arteries
I73.9 Peripheral vascular disease, unspecified
I74.01 Saddle embolus of abdominal aorta
I74.09 Other arterial embolism and thrombosis of abdominal aorta
I74.11 Embolism and thrombosis of thoracic aorta
I74.19 Embolism and thrombosis of other parts of aorta
I74.5 Embolism and thrombosis of iliac artery
I75.81 Atheroembolism of kidney
I76 Septic arterial embolism
I77.0 Arteriovenous fistula, acquired
I77.1 Stricture of artery
I77.3 Arterial fibromuscular dysplasia
I77.5 Necrosis of artery
I77.72 Dissection of iliac artery
I77.73 Dissection of renal artery
I77.811 Abdominal aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I77.89 Other specified disorders of arteries and arterioles
I79.0 Aneurysm of aorta in diseases classified elsewhere
K55.011 Focal (segmental) acute (reversible) ischemia of small intestine
K55.012 Diffuse acute (reversible) ischemia of small intestine
K55.019 Acute (reversible) ischemia of small intestine, extent unspecified
K55.021 Focal (segmental) acute infarction of small intestine
K55.022 Diffuse acute infarction of small intestine
K55.029 Acute infarction of small intestine, extent unspecified
K55.031 Focal (segmental) acute (reversible) ischemia of large intestine
K55.032 Diffuse acute (reversible) ischemia of large intestine
K55.039 Acute (reversible) ischemia of large intestine, extent unspecified
K55.041 Focal (segmental) acute infarction of large intestine
K55.042 Diffuse acute infarction of large intestine
K55.049 Acute infarction of large intestine, extent unspecified
K55.051 Focal (segmental) acute (reversible) ischemia of intestine, part unspecified
K55.052 Diffuse acute (reversible) ischemia of intestine, part unspecified
K55.059 Acute (reversible) ischemia of intestine, part and extent unspecified
K55.061 Focal (segmental) acute infarction of intestine, part unspecified
K55.062 Diffuse acute infarction of intestine, part unspecified
K55.069 Acute infarction of intestine, part and extent unspecified
K55.1 Chronic vascular disorders of intestine
M31.8 Other specified necrotizing vasculopathies
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
N18.1 Chronic kidney disease, stage 1
N18.2 Chronic kidney disease, stage 2 (mild)
N18.30 Chronic kidney disease, stage 3 unspecified
N18.31 Chronic kidney disease, stage 3a
N18.32 Chronic kidney disease, stage 3b
N18.4 Chronic kidney disease, stage 4 (severe)
N18.5 Chronic kidney disease, stage 5
N18.6 End stage renal disease
N26.1 Atrophy of kidney (terminal)
N26.2 Page kidney
N27.0 Small kidney, unilateral
N27.1 Small kidney, bilateral
N28.0 Ischemia and infarction of kidney
Q27.1 Congenital renal artery stenosis
Q27.2 Other congenital malformations of renal artery
Q27.32 Arteriovenous malformation of vessel of lower limb
Q27.34 Arteriovenous malformation of renal vessel
R93.5 Abnormal findings on diagnostic imaging of other abdominal regions, including retroperitoneum
S35.01XA Minor laceration of abdominal aorta, initial encounter
S35.01XD Minor laceration of abdominal aorta, subsequent encounter
S35.01XS Minor laceration of abdominal aorta, sequela
S35.02XA Major laceration of abdominal aorta, initial encounter
S35.02XD Major laceration of abdominal aorta, subsequent encounter
S35.02XS Major laceration of abdominal aorta, sequela
S35.09XA Other injury of abdominal aorta, initial encounter
S35.09XD Other injury of abdominal aorta, subsequent encounter
S35.09XS Other injury of abdominal aorta, sequela
S35.411A Laceration of right renal artery, initial encounter
S35.411D Laceration of right renal artery, subsequent encounter
S35.411S Laceration of right renal artery, sequela
S35.412A Laceration of left renal artery, initial encounter
S35.412D Laceration of left renal artery, subsequent encounter
S35.412S Laceration of left renal artery, sequela
S35.491A Other specified injury of right renal artery, initial encounter
S35.491D Other specified injury of right renal artery, subsequent encounter
S35.491S Other specified injury of right renal artery, sequela
S35.492A Other specified injury of left renal artery, initial encounter
S35.492D Other specified injury of left renal artery, subsequent encounter
S35.492S Other specified injury of left renal artery, sequela
S35.511A Injury of right iliac artery, initial encounter
S35.511D Injury of right iliac artery, subsequent encounter
S35.511S Injury of right iliac artery, sequela
S35.512A Injury of left iliac artery, initial encounter
S35.512D Injury of left iliac artery, subsequent encounter
S35.512S Injury of left iliac artery, sequela
S37.011A Minor contusion of right kidney, initial encounter
S37.011D Minor contusion of right kidney, subsequent encounter
S37.011S Minor contusion of right kidney, sequela
S37.012A Minor contusion of left kidney, initial encounter
S37.012D Minor contusion of left kidney, subsequent encounter
S37.012S Minor contusion of left kidney, sequela
S37.021A Major contusion of right kidney, initial encounter
S37.021D Major contusion of right kidney, subsequent encounter
S37.021S Major contusion of right kidney, sequela
S37.022A Major contusion of left kidney, initial encounter
S37.022D Major contusion of left kidney, subsequent encounter
S37.022S Major contusion of left kidney, sequela
S37.041A Minor laceration of right kidney, initial encounter
S37.041D Minor laceration of right kidney, subsequent encounter
S37.041S Minor laceration of right kidney, sequela
S37.042A Minor laceration of left kidney, initial encounter
S37.042D Minor laceration of left kidney, subsequent encounter
S37.042S Minor laceration of left kidney, sequela
S37.051A Moderate laceration of right kidney, initial encounter
S37.051D Moderate laceration of right kidney, subsequent encounter
S37.051S Moderate laceration of right kidney, sequela
S37.052A Moderate laceration of left kidney, initial encounter
S37.052D Moderate laceration of left kidney, subsequent encounter
S37.052S Moderate laceration of left kidney, sequela
S37.061A Major laceration of right kidney, initial encounter
S37.061D Major laceration of right kidney, subsequent encounter
S37.061S Major laceration of right kidney, sequela
S37.062A Major laceration of left kidney, initial encounter
S37.062D Major laceration of left kidney, subsequent encounter
S37.062S Major laceration of left kidney, sequela
S37.091A Other injury of right kidney, initial encounter
S37.091D Other injury of right kidney, subsequent encounter
S37.091S Other injury of right kidney, sequela
S37.092A Other injury of left kidney, initial encounter
S37.092D Other injury of left kidney, subsequent encounter
S37.092S Other injury of left kidney, sequela
T81.711A Complication of renal artery following a procedure, not elsewhere classified, initial encounter
T81.711D Complication of renal artery following a procedure, not elsewhere classified, subsequent encounter
T81.711S Complication of renal artery following a procedure, not elsewhere classified, sequela
T82.310A Breakdown (mechanical) of aortic (bifurcation) graft (replacement), initial encounter
T82.310D Breakdown (mechanical) of aortic (bifurcation) graft (replacement), subsequent encounter
T82.310S Breakdown (mechanical) of aortic (bifurcation) graft (replacement), sequela
T82.311A Breakdown (mechanical) of carotid arterial graft (bypass), initial encounter
T82.311D Breakdown (mechanical) of carotid arterial graft (bypass), subsequent encounter
T82.311S Breakdown (mechanical) of carotid arterial graft (bypass), sequela
T82.312A Breakdown (mechanical) of femoral arterial graft (bypass), initial encounter
T82.312D Breakdown (mechanical) of femoral arterial graft (bypass), subsequent encounter
T82.312S Breakdown (mechanical) of femoral arterial graft (bypass), sequela
T82.318A Breakdown (mechanical) of other vascular grafts, initial encounter
T82.318D Breakdown (mechanical) of other vascular grafts, subsequent encounter
T82.318S Breakdown (mechanical) of other vascular grafts, sequela
T82.320A Displacement of aortic (bifurcation) graft (replacement), initial encounter
T82.320D Displacement of aortic (bifurcation) graft (replacement), subsequent encounter
T82.320S Displacement of aortic (bifurcation) graft (replacement), sequela
T82.321A Displacement of carotid arterial graft (bypass), initial encounter
T82.321D Displacement of carotid arterial graft (bypass), subsequent encounter
T82.321S Displacement of carotid arterial graft (bypass), sequela
T82.322A Displacement of femoral arterial graft (bypass), initial encounter
T82.322D Displacement of femoral arterial graft (bypass), subsequent encounter
T82.322S Displacement of femoral arterial graft (bypass), sequela
T82.328A Displacement of other vascular grafts, initial encounter
T82.328D Displacement of other vascular grafts, subsequent encounter
T82.328S Displacement of other vascular grafts, sequela
T82.330A Leakage of aortic (bifurcation) graft (replacement), initial encounter
T82.330D Leakage of aortic (bifurcation) graft (replacement), subsequent encounter
T82.330S Leakage of aortic (bifurcation) graft (replacement), sequela
T82.331A Leakage of carotid arterial graft (bypass), initial encounter
T82.331D Leakage of carotid arterial graft (bypass), subsequent encounter
T82.331S Leakage of carotid arterial graft (bypass), sequela
T82.332A Leakage of femoral arterial graft (bypass), initial encounter
T82.332D Leakage of femoral arterial graft (bypass), subsequent encounter
T82.332S Leakage of femoral arterial graft (bypass), sequela
T82.338A Leakage of other vascular grafts, initial encounter
T82.338D Leakage of other vascular grafts, subsequent encounter
T82.338S Leakage of other vascular grafts, sequela
T82.390A Other mechanical complication of aortic (bifurcation) graft (replacement), initial encounter
T82.390D Other mechanical complication of aortic (bifurcation) graft (replacement), subsequent encounter
T82.390S Other mechanical complication of aortic (bifurcation) graft (replacement), sequela
T82.391A Other mechanical complication of carotid arterial graft (bypass), initial encounter
T82.391D Other mechanical complication of carotid arterial graft (bypass), subsequent encounter
T82.391S Other mechanical complication of carotid arterial graft (bypass), sequela
T82.392A Other mechanical complication of femoral arterial graft (bypass), initial encounter
T82.392D Other mechanical complication of femoral arterial graft (bypass), subsequent encounter
T82.392S Other mechanical complication of femoral arterial graft (bypass), sequela
T82.398A Other mechanical complication of other vascular grafts, initial encounter
T82.398D Other mechanical complication of other vascular grafts, subsequent encounter
T82.398S Other mechanical complication of other vascular grafts, sequela
T82.41XA Breakdown (mechanical) of vascular dialysis catheter, initial encounter
T82.41XD Breakdown (mechanical) of vascular dialysis catheter, subsequent encounter
T82.41XS Breakdown (mechanical) of vascular dialysis catheter, sequela
T82.42XA Displacement of vascular dialysis catheter, initial encounter
T82.42XD Displacement of vascular dialysis catheter, subsequent encounter
T82.42XS Displacement of vascular dialysis catheter, sequela
T82.43XA Leakage of vascular dialysis catheter, initial encounter
T82.43XD Leakage of vascular dialysis catheter, subsequent encounter
T82.43XS Leakage of vascular dialysis catheter, sequela
T82.49XA Other complication of vascular dialysis catheter, initial encounter
T82.49XD Other complication of vascular dialysis catheter, subsequent encounter
T82.49XS Other complication of vascular dialysis catheter, sequela
T82.510A Breakdown (mechanical) of surgically created arteriovenous fistula, initial encounter
T82.510D Breakdown (mechanical) of surgically created arteriovenous fistula, subsequent encounter
T82.510S Breakdown (mechanical) of surgically created arteriovenous fistula, sequela
T82.511A Breakdown (mechanical) of surgically created arteriovenous shunt, initial encounter
T82.511D Breakdown (mechanical) of surgically created arteriovenous shunt, subsequent encounter
T82.511S Breakdown (mechanical) of surgically created arteriovenous shunt, sequela
T82.513A Breakdown (mechanical) of balloon (counterpulsation) device, initial encounter
T82.513D Breakdown (mechanical) of balloon (counterpulsation) device, subsequent encounter
T82.513S Breakdown (mechanical) of balloon (counterpulsation) device, sequela
T82.514A Breakdown (mechanical) of infusion catheter, initial encounter
T82.514D Breakdown (mechanical) of infusion catheter, subsequent encounter
T82.514S Breakdown (mechanical) of infusion catheter, sequela
T82.515A Breakdown (mechanical) of umbrella device, initial encounter
T82.515D Breakdown (mechanical) of umbrella device, subsequent encounter
T82.515S Breakdown (mechanical) of umbrella device, sequela
T82.518A Breakdown (mechanical) of other cardiac and vascular devices and implants, initial encounter
T82.518D Breakdown (mechanical) of other cardiac and vascular devices and implants, subsequent encounter
T82.518S Breakdown (mechanical) of other cardiac and vascular devices and implants, sequela
T82.520A Displacement of surgically created arteriovenous fistula, initial encounter
T82.520D Displacement of surgically created arteriovenous fistula, subsequent encounter
T82.520S Displacement of surgically created arteriovenous fistula, sequela
T82.521A Displacement of surgically created arteriovenous shunt, initial encounter
T82.521D Displacement of surgically created arteriovenous shunt, subsequent encounter
T82.521S Displacement of surgically created arteriovenous shunt, sequela
T82.523A Displacement of balloon (counterpulsation) device, initial encounter
T82.523D Displacement of balloon (counterpulsation) device, subsequent encounter
T82.523S Displacement of balloon (counterpulsation) device, sequela
T82.524A Displacement of infusion catheter, initial encounter
T82.524D Displacement of infusion catheter, subsequent encounter
T82.524S Displacement of infusion catheter, sequela
T82.525A Displacement of umbrella device, initial encounter
T82.525D Displacement of umbrella device, subsequent encounter
T82.525S Displacement of umbrella device, sequela
T82.528A Displacement of other cardiac and vascular devices and implants, initial encounter
T82.528D Displacement of other cardiac and vascular devices and implants, subsequent encounter
T82.528S Displacement of other cardiac and vascular devices and implants, sequela
T82.530A Leakage of surgically created arteriovenous fistula, initial encounter
T82.530D Leakage of surgically created arteriovenous fistula, subsequent encounter
T82.530S Leakage of surgically created arteriovenous fistula, sequela
T82.531A Leakage of surgically created arteriovenous shunt, initial encounter
T82.531D Leakage of surgically created arteriovenous shunt, subsequent encounter
T82.531S Leakage of surgically created arteriovenous shunt, sequela
T82.533A Leakage of balloon (counterpulsation) device, initial encounter
T82.533D Leakage of balloon (counterpulsation) device, subsequent encounter
T82.533S Leakage of balloon (counterpulsation) device, sequela
T82.534A Leakage of infusion catheter, initial encounter
T82.534D Leakage of infusion catheter, subsequent encounter
T82.534S Leakage of infusion catheter, sequela
T82.535A Leakage of umbrella device, initial encounter
T82.535D Leakage of umbrella device, subsequent encounter
T82.535S Leakage of umbrella device, sequela
T82.538A Leakage of other cardiac and vascular devices and implants, initial encounter
T82.538D Leakage of other cardiac and vascular devices and implants, subsequent encounter
T82.538S Leakage of other cardiac and vascular devices and implants, sequela
T82.590A Other mechanical complication of surgically created arteriovenous fistula, initial encounter
T82.590D Other mechanical complication of surgically created arteriovenous fistula, subsequent encounter
T82.590S Other mechanical complication of surgically created arteriovenous fistula, sequela
T82.591A Other mechanical complication of surgically created arteriovenous shunt, initial encounter
T82.591D Other mechanical complication of surgically created arteriovenous shunt, subsequent encounter
T82.591S Other mechanical complication of surgically created arteriovenous shunt, sequela
T82.593A Other mechanical complication of balloon (counterpulsation) device, initial encounter
T82.593D Other mechanical complication of balloon (counterpulsation) device, subsequent encounter
T82.593S Other mechanical complication of balloon (counterpulsation) device, sequela
T82.594A Other mechanical complication of infusion catheter, initial encounter
T82.594D Other mechanical complication of infusion catheter, subsequent encounter
T82.594S Other mechanical complication of infusion catheter, sequela
T82.595A Other mechanical complication of umbrella device, initial encounter
T82.595D Other mechanical complication of umbrella device, subsequent encounter
T82.595S Other mechanical complication of umbrella device, sequela
T82.598A Other mechanical complication of other cardiac and vascular devices and implants, initial encounter
T82.598D Other mechanical complication of other cardiac and vascular devices and implants, subsequent encounter
T82.598S Other mechanical complication of other cardiac and vascular devices and implants, sequela
T82.7XXA Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, initial encounter
T82.7XXD Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, subsequent encounter
T82.7XXS Infection and inflammatory reaction due to other cardiac and vascular devices, implants and grafts, sequela
T82.818A Embolism due to vascular prosthetic devices, implants and grafts, initial encounter
T82.818D Embolism due to vascular prosthetic devices, implants and grafts, subsequent 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
T82.828D Fibrosis due to vascular prosthetic devices, implants and grafts, subsequent 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
T82.838D Hemorrhage due to vascular prosthetic devices, implants and grafts, subsequent 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
T82.848D Pain due to vascular prosthetic devices, implants and grafts, subsequent 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
T82.858D Stenosis of other vascular prosthetic devices, implants and grafts, subsequent 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
T82.868D Thrombosis due to vascular prosthetic devices, implants and grafts, subsequent 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
T82.898D Other specified complication of vascular prosthetic devices, implants and grafts, subsequent encounter
T82.898S Other specified complication of vascular prosthetic devices, implants and grafts, sequela
T86.11 Kidney transplant rejection
T86.12 Kidney transplant failure
T86.13 Kidney transplant infection
T86.19 Other complication of kidney transplant
T86.890 Other transplanted tissue rejection
T86.891 Other transplanted tissue failure
T86.892 Other transplanted tissue infection
T86.898 Other complications of other transplanted tissue
Z00.5 Encounter for examination of potential donor of organ and tissue
Z00.70 Encounter for examination for period of delayed growth in childhood without abnormal findings
Z00.71 Encounter for examination for period of delayed growth in childhood with abnormal findings
Z00.8 Encounter for other general examination
Z48.22 Encounter for aftercare following kidney transplant
Z48.812 Encounter for surgical aftercare following surgery on the circulatory system
Z52.4 Kidney donor
Z94.0 Kidney transplant status

Group 4

(47 Codes)
Group 4 Paragraph

MRA of the chest can be covered for the following diagnoses:

Group 4 Codes
Code Description
A52.01 Syphilitic aneurysm of aorta
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
I28.1 Aneurysm of pulmonary artery
I71.010 Dissection of ascending aorta
I71.011 Dissection of aortic arch
I71.012 Dissection of descending thoracic aorta
I71.03 Dissection of thoracoabdominal aorta
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
I71.60 Thoracoabdominal aortic aneurysm, without rupture, unspecified
I71.61 Supraceliac aneurysm of the thoracoabdominal aorta, without rupture
I71.62 Paravisceral aneurysm of the thoracoabdominal aorta, without rupture
I74.11 Embolism and thrombosis of thoracic aorta
I76 Septic arterial embolism
I77.810 Thoracic aortic ectasia
I77.812 Thoracoabdominal aortic ectasia
I79.0 Aneurysm of aorta in diseases classified elsewhere
N18.30 Chronic kidney disease, stage 3 unspecified
N18.31 Chronic kidney disease, stage 3a
N18.32 Chronic kidney disease, stage 3b
N18.4 Chronic kidney disease, stage 4 (severe)
N18.5 Chronic kidney disease, stage 5
N18.6 End stage renal disease
Q25.1 Coarctation of aorta
Q25.21 Interruption of aortic arch
Q25.29 Other atresia of aorta
Q87.410 Marfan syndrome with aortic dilation
Q87.418 Marfan syndrome with other cardiovascular manifestations
Q87.42 Marfan syndrome with ocular manifestations
Q87.43 Marfan syndrome with skeletal manifestation
R93.1 Abnormal findings on diagnostic imaging of heart and coronary circulation
R93.811 Abnormal radiologic findings on diagnostic imaging of right testicle
R93.812 Abnormal radiologic findings on diagnostic imaging of left testicle
R93.813 Abnormal radiologic findings on diagnostic imaging of testicles, bilateral
R93.819 Abnormal radiologic findings on diagnostic imaging of unspecified testicle
R93.89 Abnormal findings on diagnostic imaging of other specified body structures
R94.2 Abnormal results of pulmonary function studies
Z09 Encounter for follow-up examination after completed treatment for conditions other than malignant neoplasm
Z86.79 Personal history of other diseases of the circulatory system
Z88.8 Allergy status to other drugs, medicaments and biological substances
Z91.041 Radiographic dye allergy status
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ICD-10-CM Codes that DO NOT Support Medical Necessity

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ICD-10-PCS 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.

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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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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
10/01/2023 R5

For the following ICD-10 codes, descriptions were changed in the in the Covered ICD-10 Codes field:
I71.61 descriptor was changed in Group 3
I71.62 descriptor was changed in Group 3
I71.61 descriptor was changed in Group 4
I71.62 descriptor was changed in Group 4
Q87.410 descriptor was changed in Group 4
Q87.418 descriptor was changed in Group 4
Q87.42 descriptor was changed in Group 4
Q87.43 descriptor was changed in Group 4

10/01/2022 R4

Due to the annual ICD-10 code updates for 2023:

For Group 4, MRA of the chest, ICD-10 code I71.01 is deleted and replaced by I71.010, I71.011, and I71.012; ICD-10 code I71.2 is deleted and replaced by I71.21, I71.22, and I71.23; and ICD-10 code I71.6 is deleted and replaced by I71.61 and I71.62.

For Group 3, MRA of the abdomen and pelvis, ICD-10 code I71.4 is deleted and replaced by I71.41, I71.42 and I71.43; and ICD-10 code I71.6 is deleted and replaced by I71.61 and I71.62.

10/01/2020 R3

Based on the annual ICD-10 update for 2021, ICD-10 code N18.3 has been deleted and replaced by N18.30, N18.31 and N18.32 in Groups 3 and 4 covered diagnoses. The descriptor for code Z88.8 has been revised in Group 4 covered diagnoses.

10/01/2019 R2

Effective 10/1/2019, ICD-10 code I67.5 (Moyamoya disease) has been added to covered diagnoses for MRA of the head and neck.

10/01/2019 R1

This article was converted to the new Billing and Coding Article type.

Bill types and Revenue codes have been removed from this article. Guidance on these codes is available in the Bill type and Revenue code sections.

Due to the annual ICD-10 update for 2020, deleted ICD-10 codes H81.41, H81.42, and H81.43 were replaced by code H81.4 in Group 1.

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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
L33633 - Magnetic Resonance Angiography (MRA)
Related National Coverage Documents
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Public Versions
Updated On Effective Dates Status
09/21/2023 10/01/2023 - N/A Currently in Effect You are here
Some older versions have been archived. Please visit the MCD Archive Site to retrieve them.

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