ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual

MDC 05 Diseases and Disorders of the Circulatory System

Complex Aortic Arch Procedures

DRG
209

DRG 209 Complex Aortic Arch Procedures

OPERATING ROOM PROCEDURES

02VX3EZ	Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach
with 02VW3DZ	Restriction of Thoracic Aorta, Descending with Intraluminal Device, Percutaneous Approach

OR OPERATING ROOM PROCEDURES

X2RX0N7	Replacement of Thoracic Aorta, Arch using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7
with X2VW0N7	Restriction of Thoracic Aorta, Descending using Branched Synthetic Substitute with Intraluminal Device, Open Approach, New Technology Group 7

OR OPERATING ROOM PROCEDURE

02VX3EZ

Restriction of Thoracic Aorta, Ascending/Arch with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach

WITH ONE OF THE FOLLOWING

031209K	Bypass Innominate Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach
031209Y	Bypass Innominate Artery to Upper Artery with Autologous Venous Tissue, Open Approach
03120AK	Bypass Innominate Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach
03120AY	Bypass Innominate Artery to Upper Artery with Autologous Arterial Tissue, Open Approach
03120JK	Bypass Innominate Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach
03120JY	Bypass Innominate Artery to Upper Artery with Synthetic Substitute, Open Approach
03120KK	Bypass Innominate Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
03120KY	Bypass Innominate Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach
03120ZK	Bypass Innominate Artery to Left Extracranial Artery, Open Approach
03120ZY	Bypass Innominate Artery to Upper Artery, Open Approach
031409J	Bypass Left Subclavian Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach
031409K	Bypass Left Subclavian Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach
03140AJ	Bypass Left Subclavian Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach
03140AK	Bypass Left Subclavian Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach
03140JJ	Bypass Left Subclavian Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach
03140JK	Bypass Left Subclavian Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach
03140KJ	Bypass Left Subclavian Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
03140KK	Bypass Left Subclavian Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
03140ZJ	Bypass Left Subclavian Artery to Right Extracranial Artery, Open Approach
03140ZK	Bypass Left Subclavian Artery to Left Extracranial Artery, Open Approach
031J09J	Bypass Left Common Carotid Artery to Right Extracranial Artery with Autologous Venous Tissue, Open Approach
031J09K	Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Venous Tissue, Open Approach
031J09Y	Bypass Left Common Carotid Artery to Upper Artery with Autologous Venous Tissue, Open Approach
031J0AJ	Bypass Left Common Carotid Artery to Right Extracranial Artery with Autologous Arterial Tissue, Open Approach
031J0AK	Bypass Left Common Carotid Artery to Left Extracranial Artery with Autologous Arterial Tissue, Open Approach
031J0AY	Bypass Left Common Carotid Artery to Upper Artery with Autologous Arterial Tissue, Open Approach
031J0JJ	Bypass Left Common Carotid Artery to Right Extracranial Artery with Synthetic Substitute, Open Approach
031J0JK	Bypass Left Common Carotid Artery to Left Extracranial Artery with Synthetic Substitute, Open Approach
031J0JY	Bypass Left Common Carotid Artery to Upper Artery with Synthetic Substitute, Open Approach
031J0KJ	Bypass Left Common Carotid Artery to Right Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031J0KK	Bypass Left Common Carotid Artery to Left Extracranial Artery with Nonautologous Tissue Substitute, Open Approach
031J0KY	Bypass Left Common Carotid Artery to Upper Artery with Nonautologous Tissue Substitute, Open Approach
031J0ZJ	Bypass Left Common Carotid Artery to Right Extracranial Artery, Open Approach
031J0ZK	Bypass Left Common Carotid Artery to Left Extracranial Artery, Open Approach
031J0ZY	Bypass Left Common Carotid Artery to Upper Artery, Open Approach
03L40CZ	Occlusion of Left Subclavian Artery with Extraluminal Device, Open Approach
03L40DZ	Occlusion of Left Subclavian Artery with Intraluminal Device, Open Approach
03L40ZZ	Occlusion of Left Subclavian Artery, Open Approach
03L43CZ	Occlusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Approach
03L43DZ	Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Approach
03L43ZZ	Occlusion of Left Subclavian Artery, Percutaneous Approach
03L44CZ	Occlusion of Left Subclavian Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03L44DZ	Occlusion of Left Subclavian Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03L44ZZ	Occlusion of Left Subclavian Artery, Percutaneous Endoscopic Approach
03LJ0BZ	Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Open Approach
03LJ0CZ	Occlusion of Left Common Carotid Artery with Extraluminal Device, Open Approach
03LJ0DZ	Occlusion of Left Common Carotid Artery with Intraluminal Device, Open Approach
03LJ0ZZ	Occlusion of Left Common Carotid Artery, Open Approach
03LJ3BZ	Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Approach
03LJ3CZ	Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Approach
03LJ3DZ	Occlusion of Left Common Carotid Artery with Intraluminal Device, Percutaneous Approach
03LJ3ZZ	Occlusion of Left Common Carotid Artery, Percutaneous Approach
03LJ4BZ	Occlusion of Left Common Carotid Artery with Bioactive Intraluminal Device, Percutaneous Endoscopic Approach
03LJ4CZ	Occlusion of Left Common Carotid Artery with Extraluminal Device, Percutaneous Endoscopic Approach
03LJ4DZ	Occlusion of Left Common Carotid Artery with Intraluminal Device, Percutaneous Endoscopic Approach
03LJ4ZZ	Occlusion of Left Common Carotid Artery, Percutaneous Endoscopic Approach

OR OPERATING ROOM PROCEDURE

X2VY06B

Restriction of Thoracic Aortic Arch and Descending Thoracic Aorta using Uncovered Intraluminal Device with Support Cuff, Open Approach, New Technology Group 11

WITH ONE OF THE FOLLOWING

02RX07Z	Replacement of Thoracic Aorta, Ascending/Arch with Autologous Tissue Substitute, Open Approach
02RX08Z	Replacement of Thoracic Aorta, Ascending/Arch with Zooplastic Tissue, Open Approach
02RX0JZ	Replacement of Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Open Approach
02RX0KZ	Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Open Approach
02RX47Z	Replacement of Thoracic Aorta, Ascending/Arch with Autologous Tissue Substitute, Percutaneous Endoscopic Approach
02RX48Z	Replacement of Thoracic Aorta, Ascending/Arch with Zooplastic Tissue, Percutaneous Endoscopic Approach
02RX4JZ	Replacement of Thoracic Aorta, Ascending/Arch with Synthetic Substitute, Percutaneous Endoscopic Approach
02RX4KZ	Replacement of Thoracic Aorta, Ascending/Arch with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach

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22 Jul 2025 11:22:30
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