Section 0 Medical and Surgical Axis 3 Operation Row Term Control Definition Delete Stopping, or attempting to stop, postprocedural bleeding Includes Delete Control of post-prostatectomy hemorrhage, control of post-tonsillectomy hemorrhage Definition Add Stopping, or attempting to stop, postprocedural or other acute bleeding Includes Add Control of post-prostatectomy hemorrhage, control of intracranial subdural hemorrhage, control of bleeding duodenal ulcer, control of retroperitoneal hemorrhage Row Term Creation Definition Delete Making a new genital structure that does not take over the function of a body part Explanation Delete Used only for sex change operations Includes Delete Creation of vagina in a male, creation of penis in a female Definition Add Putting in or on biological or synthetic material to form a new body part that to the extent possible replicates the anatomic structure or function of an absent body part Explanation Add Used for gender reassignment surgery and corrective procedures in individuals with congenital anomalies Includes Add Creation of vagina in a male, creation of right and left atrioventricular valve from common atrioventricular valve Axis 4 Body Part Row Term Auditory Ossicle, Left Term Auditory Ossicle, Right Includes Delete Ossicular chain Row Term Internal Carotid Artery, Left Term Internal Carotid Artery, Right Includes Delete Ophthalmic artery Row Term Intracranial Artery Includes Add Internal carotid artery, intracranial portion Includes Add Ophthalmic artery Row Add Term Add Main Bronchus, Right Includes Add Bronchus Intermedius Includes Add Intermediate bronchus Row Term Perineum Muscle Includes Add Levator ani muscle Row Term Pharynx Includes Add Base of Tongue Includes Add Tongue, base of Row Term Spinal Meninges Includes Add Filum terminale Row Delete Term Delete Thoracic Aorta Includes Delete Aortic arch Includes Delete Aortic intercostal artery Includes Delete Ascending aorta Includes Delete Bronchial artery Includes Delete Esophageal artery Includes Delete Subcostal artery Row Add Term Add Thoracic Aorta, Ascending/Arch Includes Add Aortic arch Includes Add Ascending aorta Row Term Trunk Muscle, Left Term Trunk Muscle, Right Includes Delete Levator ani muscle Row Add Term Add Upper Artery Includes Add Aortic intercostal artery Includes Add Bronchial artery Includes Add Esophageal artery Includes Add Subcostal artery Axis 6 Device Row Term Intraluminal Device Includes Add AFX(R) Endovascular AAA System Includes Add Cook Zenith AAA Endovascular Graft Includes Add Endologix AFX(R) Endovascular AAA System Includes Add Endurant(R) II AAA stent graft system Includes Add EXCLUDER(R) AAA Endoprosthesis Includes Add GORE EXCLUDER(R) AAA Endoprosthesis Includes Add GORE TAG(R) Thoracic Endoprosthesis Includes Add Medtronic Endurant(R) II AAA stent graft system Includes Add Zenith AAA Endovascular Graft Row Add Term Add Intraluminal Device, Branched or Fenestrated, One or Two Arteries for Restriction in Lower Arteries Includes Add Cook Zenith AAA Endovascular Graft Includes Add EXCLUDER(R) AAA Endoprosthesis Includes Add EXCLUDER(R) IBE Endoprosthesis Includes Add GORE EXCLUDER(R) AAA Endoprosthesis Includes Add GORE EXCLUDER(R) IBE Endoprosthesis Includes Add Zenith AAA Endovascular Graft Row Add Term Add Intraluminal Device, Branched or Fenestrated, Three or More Arteries for Restriction in Lower Arteries Includes Add Cook Zenith AAA Endovascular Graft Includes Add EXCLUDER(R) AAA Endoprosthesis Includes Add GORE EXCLUDER(R) AAA Endoprosthesis Includes Add Zenith AAA Endovascular Graft Row Term Nonautologous Tissue Substitute Includes Add Cook Biodesign(R) Fistula Plug(s) Includes Add Cook Biodesign(R) Hernia Graft(s) Includes Add Cook Biodesign(R) Layered Graft(s) Includes Add Cook Zenapro(tm) Layered Graft(s) Row Term Synthetic Substitute, Ceramic for Replacement in Lower Joints Includes Add Ceramic on ceramic bearing surface Row Term Synthetic Substitute, Metal for Replacement in Lower Joints Includes Add Metal on metal bearing surface Section 6 Extracorporeal Therapies Axis 3 Operation Row Add Term Add Perfusion Definition Add Extracorporeal treatment by diffusion of therapeutic fluid Section X New Technology Axis 3 Operation Row Add Term Add Assistance Definition Add Taking over a portion of a physiological function by extracorporeal means Row Add Term Add Fusion Definition Add Joining together portions of an articular body part rendering the articular body part immobile Explanation Add The body part is joined together by fixation device, bone graft, or other means Includes Add Spinal fusion, ankle arthrodesis Row Add Term Add Insertion Definition Add Putting in a nonbiological appliance that monitors, assists, performs, or prevents a physiological function but does not physically take the place of a body part Includes Add Insertion of radioactive implant, insertion of central venous catheter Row Add Term Add Removal Definition Add Taking out or off a device from a body part Explanation Add If a device is taken out and a similar device put in without cutting or puncturing the skin or mucous membrane, the procedure is coded to the root operation CHANGE. Otherwise, the procedure for taking out a device is coded to the root operation REMOVAL Includes Add Drainage tube removal, cardiac pacemaker removal Row Add Term Add Replacement Definition Add Putting in or on biological or synthetic material that physically takes the place and/or function of all or a portion of a body part Explanation Add The body part may have been taken out or replaced, or may be taken out, physically eradicated, or rendered nonfunctional during the Replacement procedure. A Removal procedure is coded for taking out the device used in a previous replacement procedure Includes Add Total hip replacement, bone graft, free skin graft Row Add Term Add Reposition Definition Add Moving to its normal location, or other suitable location, all or a portion of a body part Explanation Add The body part is moved to a new location from an abnormal location, or from a normal location where it is not functioning correctly. The body part may or may not be cut out or off to be moved to the new location Includes Add Reposition of undescended testicle, fracture reduction Row Add Term Add Revision Definition Add Correcting, to the extent possible, a portion of a malfunctioning device or the position of a displaced device Explanation Add Revision can include correcting a malfunctioning or displaced device by taking out or putting in components of the device such as a screw or pin Includes Add Adjustment of position of pacemaker lead, recementing of hip prosthesis Axis 5 Approach Row Add Term Add Via Natural or Artificial Opening Definition Add Entry of instrumentation through a natural or artificial external opening to reach the site of the procedure Row Add Term Add Via Natural or Artificial Opening Endoscopic Definition Add Entry of instrumentation through a natural or artificial external opening to reach and visualize the site of the procedure Axis 6 Add Device / Substance / Technology Row Add Term Add Andexanet Alfa, Factor Xa Inhibitor Reversal Agent Includes Add Factor Xa Inhibitor Reversal Agent, Andexanet Alfa Row Add Term Add Defibrotide Sodium Anticoagulant Includes Add Defitelio Row Add Term Add Interbody Fusion Device, Nanotextured Surface in New Technology Includes Add nanoLOCK(tm) interbody fusion device Row Add Term Add Magnetically Controlled Growth Rod(s) in New Technology Includes Add MAGEC(R) Spinal Bracing and Distraction System Includes Add Spinal growth rods, magnetically controlled Row Add Term Add Skin Substitute, Porcine Liver Derived in New Technology Includes Add MIRODERM(tm) Biologic Wound Matrix Row Add Term Add Uridine Triacetate Includes Add Vistogard(R) Row Add Term Add Zooplastic Tissue, Rapid Deployment Technique in New Technology Includes Add EDWARDS INTUITY Elite valve system Includes Add INTUITY Elite valve system, EDWARDS Includes Add Perceval sutureless valve Includes Add Sutureless valve, Perceval Dev Aggrgtn Add Device Add Intraluminal Device, Branched or Fenestrated, One or Two Arteries Operation Add Restriction BodySys Add Heart and Great Vessels BodySys Add Lower Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Intraluminal Device, Branched or Fenestrated, Three or More Arteries Operation Add Restriction BodySys Add Heart and Great Vessels BodySys Add Lower Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Intraluminal Device, Drug-eluting, Four or More Operation Add All applicable BodySys Add Heart and Great Vessels BodySys Add Lower Arteries BodySys Add Upper Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Intraluminal Device, Drug-eluting, Three Operation Add All applicable BodySys Add Heart and Great Vessels BodySys Add Lower Arteries BodySys Add Upper Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Intraluminal Device, Drug-eluting, Two Operation Add All applicable BodySys Add Heart and Great Vessels BodySys Add Lower Arteries BodySys Add Upper Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Intraluminal Device, Four or More Operation Add All applicable BodySys Add Heart and Great Vessels BodySys Add Lower Arteries BodySys Add Upper Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Intraluminal Device, Three Operation Add All applicable BodySys Add Heart and Great Vessels BodySys Add Lower Arteries BodySys Add Upper Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Intraluminal Device, Two Operation Add All applicable BodySys Add Heart and Great Vessels BodySys Add Lower Arteries BodySys Add Upper Arteries Parent D Add Intraluminal Device Dev Aggrgtn Add Device Add Synthetic Substitute, Unicondylar Operation Add Replacement BodySys Add Lower Joints Parent J Add Synthetic Substitute