ICD-10-CM/PCS MS-DRG v43.0 Definitions Manual |
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| MDC 24 Multiple Significant Trauma |
| Other O.R. Procedures for Multiple Significant Trauma |
| Page 13 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RF07Z 00XK4ZP 01R44JZ 021V49U 02VW3FZ 037N4DZ 03LF0CZ 03U737Z 04753DZ 04H23DZ 04Q00ZZ 04UB47Z 05H94DZ 05SG3ZZ 06L80CZ 06UP37Z 08BP3ZX 08U007Z 09T1XZZ 0BU107Z 0CU70JZ 0D1A87A 0DLQ3CZ 0DU68KZ 0F797ZZ 0FS64ZZ 0HHW8NZ 0J8J0ZZ 0K870ZZ 0KR807Z 0LBL4ZZ 0M5J0ZZ 0MRQ0JZ 0NSH0ZZ 0PC43ZZ 0PPF07Z 0PSD0CZ 0Q5C3ZZ 0QHL45Z 0QRS37Z 0R540ZZ 0RGA0AJ 0RN44ZZ 0RTX0ZZ 0SB30ZZ 0SH734Z 0SU24KZ 0TB44ZZ 0TV77DZ 0VM60ZZ 0W193JB 0X320ZZ 0Y6M0Z4
| 04UB47Z | Supplement Inferior Mesenteric Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UC07Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UC37Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UC47Z | Supplement Right Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UD07Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UD37Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UD47Z | Supplement Left Common Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UE07Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UE37Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UE47Z | Supplement Right Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UF07Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UF37Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UF47Z | Supplement Left Internal Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UH07Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UH37Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UH47Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UJ07Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UJ37Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UJ47Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UK07Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UK37Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UK47Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UL07Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UL37Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UL47Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UM07Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UM37Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UM47Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UN07Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UN37Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UN47Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UP07Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UP37Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UP47Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UQ07Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UQ37Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UQ47Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UR07Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UR37Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UR47Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04US07Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04US37Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04US47Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UT07Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UT37Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UT47Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UU07Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UU37Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UU47Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UV07Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UV37Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UV47Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UW07Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UW37Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UW47Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UY07Z | Supplement Lower Artery with Autologous Tissue Substitute, Open Approach |
| 04UY37Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UY47Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04V00DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach |
| 04V00DZ | Restriction of Abdominal Aorta with Intraluminal Device, Open Approach |
| 04V00EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04V00FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Open Approach |
| 04V03DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach |
| 04V03DZ | Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Approach |
| 04V03EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04V03FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Approach |
| 04V04DJ | Restriction of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Endoscopic Approach |
| 04V04DZ | Restriction of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V04EZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04V04FZ | Restriction of Abdominal Aorta with Branched or Fenestrated Intraluminal Device, Three or More Arteries, Percutaneous Endoscopic Approach |
| 04V10DZ | Restriction of Celiac Artery with Intraluminal Device, Open Approach |
| 04V13DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04V14DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V20DZ | Restriction of Gastric Artery with Intraluminal Device, Open Approach |
| 04V23DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04V24DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V30DZ | Restriction of Hepatic Artery with Intraluminal Device, Open Approach |
| 04V33DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04V34DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V40DZ | Restriction of Splenic Artery with Intraluminal Device, Open Approach |
| 04V43DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04V44DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V50DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04V53DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04V54DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V60DZ | Restriction of Right Colic Artery with Intraluminal Device, Open Approach |
| 04V63DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V64DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V70DZ | Restriction of Left Colic Artery with Intraluminal Device, Open Approach |
| 04V73DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V74DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V80DZ | Restriction of Middle Colic Artery with Intraluminal Device, Open Approach |
| 04V83DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V84DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V90DZ | Restriction of Right Renal Artery with Intraluminal Device, Open Approach |
| 04V93DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04V94DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VA0DZ | Restriction of Left Renal Artery with Intraluminal Device, Open Approach |
| 04VA3DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04VA4DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VB0DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04VB3DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04VB4DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VC0DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Open Approach |
| 04VC0EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04VC3DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VC3EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04VC4DZ | Restriction of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VC4EZ | Restriction of Right Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04VD0DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Open Approach |
| 04VD0EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Open Approach |
| 04VD3DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VD3EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Approach |
| 04VD4DZ | Restriction of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VD4EZ | Restriction of Left Common Iliac Artery with Branched or Fenestrated Intraluminal Device, One or Two Arteries, Percutaneous Endoscopic Approach |
| 04VE0DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VE3DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VE4DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VF0DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VF3DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VF4DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VH0DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach |
| 04VH3DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VH4DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VJ0DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach |
| 04VJ3DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VJ4DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VK0DZ | Restriction of Right Femoral Artery with Intraluminal Device, Open Approach |
| 04VK3DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VK4DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VL0DZ | Restriction of Left Femoral Artery with Intraluminal Device, Open Approach |
| 04VL3DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VL4DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VM0DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach |
| 04VM3DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VM4DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VN0DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach |
| 04VN3DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VN4DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VP0DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VP3DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VP4DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VQ0DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VQ3DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VQ4DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VR0DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VR3DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VR4DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VS0DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VS3DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VS4DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VT0DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach |
| 04VT3DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VT4DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VU0DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach |
| 04VU3DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VU4DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VV0DZ | Restriction of Right Foot Artery with Intraluminal Device, Open Approach |
| 04VV3DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VV4DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VW0DZ | Restriction of Left Foot Artery with Intraluminal Device, Open Approach |
| 04VW3DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VW4DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VY0DZ | Restriction of Lower Artery with Intraluminal Device, Open Approach |
| 04VY3DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach |
| 04VY4DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04WY00Z | Revision of Drainage Device in Lower Artery, Open Approach |
| 04WY02Z | Revision of Monitoring Device in Lower Artery, Open Approach |
| 04WY03Z | Revision of Infusion Device in Lower Artery, Open Approach |
| 04WY0CZ | Revision of Extraluminal Device in Lower Artery, Open Approach |
| 04WY0DZ | Revision of Intraluminal Device in Lower Artery, Open Approach |
| 04WY0YZ | Revision of Other Device in Lower Artery, Open Approach |
| 04WY3CZ | Revision of Extraluminal Device in Lower Artery, Percutaneous Approach |
| 04WY40Z | Revision of Drainage Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY42Z | Revision of Monitoring Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY43Z | Revision of Infusion Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4CZ | Revision of Extraluminal Device in Lower Artery, Percutaneous Endoscopic Approach |
| 04WY4DZ | Revision of Intraluminal Device in Lower Artery, Percutaneous Endoscopic Approach |
| 051007Y | Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051009Y | Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05100AY | Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05100JY | Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05100KY | Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05100ZY | Bypass Azygos Vein to Upper Vein, Open Approach |
| 051047Y | Bypass Azygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051049Y | Bypass Azygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05104AY | Bypass Azygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05104JY | Bypass Azygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05104KY | Bypass Azygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05104ZY | Bypass Azygos Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051107Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051109Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05110AY | Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05110JY | Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05110KY | Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05110ZY | Bypass Hemiazygos Vein to Upper Vein, Open Approach |
| 051147Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051149Y | Bypass Hemiazygos Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05114AY | Bypass Hemiazygos Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05114JY | Bypass Hemiazygos Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05114KY | Bypass Hemiazygos Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05114ZY | Bypass Hemiazygos Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051307Y | Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051309Y | Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05130AY | Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05130JY | Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05130KY | Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05130ZY | Bypass Right Innominate Vein to Upper Vein, Open Approach |
| 051347Y | Bypass Right Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051349Y | Bypass Right Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05134AY | Bypass Right Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05134JY | Bypass Right Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05134KY | Bypass Right Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05134ZY | Bypass Right Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051407Y | Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051409Y | Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05140AY | Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05140JY | Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05140KY | Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05140ZY | Bypass Left Innominate Vein to Upper Vein, Open Approach |
| 051447Y | Bypass Left Innominate Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051449Y | Bypass Left Innominate Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05144AY | Bypass Left Innominate Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05144JY | Bypass Left Innominate Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05144KY | Bypass Left Innominate Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05144ZY | Bypass Left Innominate Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051507Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051509Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05150AY | Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05150JY | Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05150KY | Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05150ZY | Bypass Right Subclavian Vein to Upper Vein, Open Approach |
| 051547Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051549Y | Bypass Right Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05154AY | Bypass Right Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05154JY | Bypass Right Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05154KY | Bypass Right Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05154ZY | Bypass Right Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 051607Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Open Approach |
| 051609Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Open Approach |
| 05160AY | Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Open Approach |
| 05160JY | Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Open Approach |
| 05160KY | Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Open Approach |
| 05160ZY | Bypass Left Subclavian Vein to Upper Vein, Open Approach |
| 051647Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 051649Y | Bypass Left Subclavian Vein to Upper Vein with Autologous Venous Tissue, Percutaneous Endoscopic Approach |
| 05164AY | Bypass Left Subclavian Vein to Upper Vein with Autologous Arterial Tissue, Percutaneous Endoscopic Approach |
| 05164JY | Bypass Left Subclavian Vein to Upper Vein with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 05164KY | Bypass Left Subclavian Vein to Upper Vein with Nonautologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 05164ZY | Bypass Left Subclavian Vein to Upper Vein, Percutaneous Endoscopic Approach |
| 055L0ZZ | Destruction of Intracranial Vein, Open Approach |
| 055L3ZZ | Destruction of Intracranial Vein, Percutaneous Approach |
| 055L4ZZ | Destruction of Intracranial Vein, Percutaneous Endoscopic Approach |
| 05793D1 | Dilation of Right Brachial Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 05793DZ | Dilation of Right Brachial Vein with Intraluminal Device, Percutaneous Approach |
| 05793Z1 | Dilation of Right Brachial Vein using Drug-Coated Balloon, Percutaneous Approach |
| 05793ZZ | Dilation of Right Brachial Vein, Percutaneous Approach |
| 057A3D1 | Dilation of Left Brachial Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057A3DZ | Dilation of Left Brachial Vein with Intraluminal Device, Percutaneous Approach |
| 057A3Z1 | Dilation of Left Brachial Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057A3ZZ | Dilation of Left Brachial Vein, Percutaneous Approach |
| 057B3D1 | Dilation of Right Basilic Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057B3DZ | Dilation of Right Basilic Vein with Intraluminal Device, Percutaneous Approach |
| 057B3Z1 | Dilation of Right Basilic Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057B3ZZ | Dilation of Right Basilic Vein, Percutaneous Approach |
| 057C3D1 | Dilation of Left Basilic Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057C3DZ | Dilation of Left Basilic Vein with Intraluminal Device, Percutaneous Approach |
| 057C3Z1 | Dilation of Left Basilic Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057C3ZZ | Dilation of Left Basilic Vein, Percutaneous Approach |
| 057D3D1 | Dilation of Right Cephalic Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057D3DZ | Dilation of Right Cephalic Vein with Intraluminal Device, Percutaneous Approach |
| 057D3Z1 | Dilation of Right Cephalic Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057D3ZZ | Dilation of Right Cephalic Vein, Percutaneous Approach |
| 057F3D1 | Dilation of Left Cephalic Vein with Intraluminal Device, using Drug-Coated Balloon, Percutaneous Approach |
| 057F3DZ | Dilation of Left Cephalic Vein with Intraluminal Device, Percutaneous Approach |
| 057F3Z1 | Dilation of Left Cephalic Vein using Drug-Coated Balloon, Percutaneous Approach |
| 057F3ZZ | Dilation of Left Cephalic Vein, Percutaneous Approach |
| 057L3DZ | Dilation of Intracranial Vein with Intraluminal Device, Percutaneous Approach |
| 057L4DZ | Dilation of Intracranial Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 057M3DZ | Dilation of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Approach |
| 057M4DZ | Dilation of Right Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 057N3DZ | Dilation of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Approach |
| 057N4DZ | Dilation of Left Internal Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 057P3DZ | Dilation of Right External Jugular Vein with Intraluminal Device, Percutaneous Approach |
| 057P4DZ | Dilation of Right External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 057Q3DZ | Dilation of Left External Jugular Vein with Intraluminal Device, Percutaneous Approach |
| 057Q4DZ | Dilation of Left External Jugular Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 057R3DZ | Dilation of Right Vertebral Vein with Intraluminal Device, Percutaneous Approach |
| 057R4DZ | Dilation of Right Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 057S3DZ | Dilation of Left Vertebral Vein with Intraluminal Device, Percutaneous Approach |
| 057S4DZ | Dilation of Left Vertebral Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 057T3DZ | Dilation of Right Face Vein with Intraluminal Device, Percutaneous Approach |
| 057T4DZ | Dilation of Right Face Vein with Intraluminal Device, Percutaneous Endoscopic Approach |
| 05B70ZZ | Excision of Right Axillary Vein, Open Approach |
| 05B74ZZ | Excision of Right Axillary Vein, Percutaneous Endoscopic Approach |
| 05B80ZZ | Excision of Left Axillary Vein, Open Approach |
| 05B84ZZ | Excision of Left Axillary Vein, Percutaneous Endoscopic Approach |
| 05B90ZZ | Excision of Right Brachial Vein, Open Approach |
| 05B94ZZ | Excision of Right Brachial Vein, Percutaneous Endoscopic Approach |
| 05BA0ZZ | Excision of Left Brachial Vein, Open Approach |
| 05BA4ZZ | Excision of Left Brachial Vein, Percutaneous Endoscopic Approach |
| 05BB0ZZ | Excision of Right Basilic Vein, Open Approach |
| 05BB4ZZ | Excision of Right Basilic Vein, Percutaneous Endoscopic Approach |
| 05BC0ZZ | Excision of Left Basilic Vein, Open Approach |
| 05BC4ZZ | Excision of Left Basilic Vein, Percutaneous Endoscopic Approach |
| 05BD0ZZ | Excision of Right Cephalic Vein, Open Approach |
| 05BD4ZZ | Excision of Right Cephalic Vein, Percutaneous Endoscopic Approach |
| 05BF0ZZ | Excision of Left Cephalic Vein, Open Approach |
| 05BF4ZZ | Excision of Left Cephalic Vein, Percutaneous Endoscopic Approach |
| 05BG0ZZ | Excision of Right Hand Vein, Open Approach |
| 05BG4ZZ | Excision of Right Hand Vein, Percutaneous Endoscopic Approach |
| 05BH0ZZ | Excision of Left Hand Vein, Open Approach |
| 05BH4ZZ | Excision of Left Hand Vein, Percutaneous Endoscopic Approach |
| 05BL0ZZ | Excision of Intracranial Vein, Open Approach |
| 05BL3ZZ | Excision of Intracranial Vein, Percutaneous Approach |
| 05BL4ZZ | Excision of Intracranial Vein, Percutaneous Endoscopic Approach |
| 05BM0ZZ | Excision of Right Internal Jugular Vein, Open Approach |
| 05BM4ZZ | Excision of Right Internal Jugular Vein, Percutaneous Endoscopic Approach |
| 05BN0ZZ | Excision of Left Internal Jugular Vein, Open Approach |
| 05BN4ZZ | Excision of Left Internal Jugular Vein, Percutaneous Endoscopic Approach |
| 05BP0ZZ | Excision of Right External Jugular Vein, Open Approach |
| 05BP4ZZ | Excision of Right External Jugular Vein, Percutaneous Endoscopic Approach |
| 05BQ0ZZ | Excision of Left External Jugular Vein, Open Approach |
| 05BQ4ZZ | Excision of Left External Jugular Vein, Percutaneous Endoscopic Approach |
| 05BR0ZZ | Excision of Right Vertebral Vein, Open Approach |
| 05BR4ZZ | Excision of Right Vertebral Vein, Percutaneous Endoscopic Approach |
| 05BS0ZZ | Excision of Left Vertebral Vein, Open Approach |
| 05BS4ZZ | Excision of Left Vertebral Vein, Percutaneous Endoscopic Approach |
| 05BT0ZZ | Excision of Right Face Vein, Open Approach |
| 05BT4ZZ | Excision of Right Face Vein, Percutaneous Endoscopic Approach |
| 05BV0ZZ | Excision of Left Face Vein, Open Approach |
| 05BV4ZZ | Excision of Left Face Vein, Percutaneous Endoscopic Approach |
| 05BY0ZZ | Excision of Upper Vein, Open Approach |
| 05BY3ZZ | Excision of Upper Vein, Percutaneous Approach |
| 05BY4ZZ | Excision of Upper Vein, Percutaneous Endoscopic Approach |
| 05CL0ZZ | Extirpation of Matter from Intracranial Vein, Open Approach |
| 05CL3ZZ | Extirpation of Matter from Intracranial Vein, Percutaneous Approach |
| 05CL4ZZ | Extirpation of Matter from Intracranial Vein, Percutaneous Endoscopic Approach |
| 05CM0ZZ | Extirpation of Matter from Right Internal Jugular Vein, Open Approach |
| 05CM3ZZ | Extirpation of Matter from Right Internal Jugular Vein, Percutaneous Approach |
| 05CM4ZZ | Extirpation of Matter from Right Internal Jugular Vein, Percutaneous Endoscopic Approach |
| 05CN0ZZ | Extirpation of Matter from Left Internal Jugular Vein, Open Approach |
| 05CN3ZZ | Extirpation of Matter from Left Internal Jugular Vein, Percutaneous Approach |
| 05CN4ZZ | Extirpation of Matter from Left Internal Jugular Vein, Percutaneous Endoscopic Approach |
| 05CP0ZZ | Extirpation of Matter from Right External Jugular Vein, Open Approach |
| 05CP3ZZ | Extirpation of Matter from Right External Jugular Vein, Percutaneous Approach |
| 05CP4ZZ | Extirpation of Matter from Right External Jugular Vein, Percutaneous Endoscopic Approach |
| 05CQ0ZZ | Extirpation of Matter from Left External Jugular Vein, Open Approach |
| 05CQ3ZZ | Extirpation of Matter from Left External Jugular Vein, Percutaneous Approach |
| 05CQ4ZZ | Extirpation of Matter from Left External Jugular Vein, Percutaneous Endoscopic Approach |
| 05CR0ZZ | Extirpation of Matter from Right Vertebral Vein, Open Approach |
| 05CR3ZZ | Extirpation of Matter from Right Vertebral Vein, Percutaneous Approach |
| 05CR4ZZ | Extirpation of Matter from Right Vertebral Vein, Percutaneous Endoscopic Approach |
| 05CS0ZZ | Extirpation of Matter from Left Vertebral Vein, Open Approach |
| 05CS3ZZ | Extirpation of Matter from Left Vertebral Vein, Percutaneous Approach |
| 05CS4ZZ | Extirpation of Matter from Left Vertebral Vein, Percutaneous Endoscopic Approach |
| 05CT0ZZ | Extirpation of Matter from Right Face Vein, Open Approach |
| 05CT3ZZ | Extirpation of Matter from Right Face Vein, Percutaneous Approach |
| 05CT4ZZ | Extirpation of Matter from Right Face Vein, Percutaneous Endoscopic Approach |
| 05CV0ZZ | Extirpation of Matter from Left Face Vein, Open Approach |
| 05CV3ZZ | Extirpation of Matter from Left Face Vein, Percutaneous Approach |
| 05CV4ZZ | Extirpation of Matter from Left Face Vein, Percutaneous Endoscopic Approach |
| 05CY0ZZ | Extirpation of Matter from Upper Vein, Open Approach |
| 05CY3ZZ | Extirpation of Matter from Upper Vein, Percutaneous Approach |
| 05CY4ZZ | Extirpation of Matter from Upper Vein, Percutaneous Endoscopic Approach |
| 05H00DZ | Insertion of Intraluminal Device into Azygos Vein, Open Approach |
| 05H00MZ | Insertion of Neurostimulator Lead into Azygos Vein, Open Approach |
| 05H03DZ | Insertion of Intraluminal Device into Azygos Vein, Percutaneous Approach |
| 05H03MZ | Insertion of Neurostimulator Lead into Azygos Vein, Percutaneous Approach |
| 05H04DZ | Insertion of Intraluminal Device into Azygos Vein, Percutaneous Endoscopic Approach |
| 05H04MZ | Insertion of Neurostimulator Lead into Azygos Vein, Percutaneous Endoscopic Approach |
| 05H10DZ | Insertion of Intraluminal Device into Hemiazygos Vein, Open Approach |
| 05H13DZ | Insertion of Intraluminal Device into Hemiazygos Vein, Percutaneous Approach |
| 05H14DZ | Insertion of Intraluminal Device into Hemiazygos Vein, Percutaneous Endoscopic Approach |
| 05H30DZ | Insertion of Intraluminal Device into Right Innominate Vein, Open Approach |
| 05H30MZ | Insertion of Neurostimulator Lead into Right Innominate Vein, Open Approach |
| 05H33DZ | Insertion of Intraluminal Device into Right Innominate Vein, Percutaneous Approach |
| 05H33MZ | Insertion of Neurostimulator Lead into Right Innominate Vein, Percutaneous Approach |
| 05H34DZ | Insertion of Intraluminal Device into Right Innominate Vein, Percutaneous Endoscopic Approach |
| 05H34MZ | Insertion of Neurostimulator Lead into Right Innominate Vein, Percutaneous Endoscopic Approach |
| 05H40DZ | Insertion of Intraluminal Device into Left Innominate Vein, Open Approach |
| 05H40MZ | Insertion of Neurostimulator Lead into Left Innominate Vein, Open Approach |
| 05H43DZ | Insertion of Intraluminal Device into Left Innominate Vein, Percutaneous Approach |
| 05H43MZ | Insertion of Neurostimulator Lead into Left Innominate Vein, Percutaneous Approach |
| 05H44DZ | Insertion of Intraluminal Device into Left Innominate Vein, Percutaneous Endoscopic Approach |
| 05H44MZ | Insertion of Neurostimulator Lead into Left Innominate Vein, Percutaneous Endoscopic Approach |
| 05H50DZ | Insertion of Intraluminal Device into Right Subclavian Vein, Open Approach |
| 05H53DZ | Insertion of Intraluminal Device into Right Subclavian Vein, Percutaneous Approach |
| 05H54DZ | Insertion of Intraluminal Device into Right Subclavian Vein, Percutaneous Endoscopic Approach |
| 05H60DZ | Insertion of Intraluminal Device into Left Subclavian Vein, Open Approach |
| 05H63DZ | Insertion of Intraluminal Device into Left Subclavian Vein, Percutaneous Approach |
| 05H64DZ | Insertion of Intraluminal Device into Left Subclavian Vein, Percutaneous Endoscopic Approach |
| 05H70DZ | Insertion of Intraluminal Device into Right Axillary Vein, Open Approach |
| 05H73DZ | Insertion of Intraluminal Device into Right Axillary Vein, Percutaneous Approach |
| 05H74DZ | Insertion of Intraluminal Device into Right Axillary Vein, Percutaneous Endoscopic Approach |
| 05H80DZ | Insertion of Intraluminal Device into Left Axillary Vein, Open Approach |
| 05H83DZ | Insertion of Intraluminal Device into Left Axillary Vein, Percutaneous Approach |
| 05H84DZ | Insertion of Intraluminal Device into Left Axillary Vein, Percutaneous Endoscopic Approach |
| 05H90DZ | Insertion of Intraluminal Device into Right Brachial Vein, Open Approach |
| 05H93DZ | Insertion of Intraluminal Device into Right Brachial Vein, Percutaneous Approach |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 22 Jul 2025 11:22:30 CMS, code-revision=376, description-revision=1445 |