ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual
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ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual |
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| MDC 21 Injuries, Poisonings and Toxic Effects of Drugs |
| Other O.R. Procedures for Injuries |
| Page 17 of 76 |
OPERATING ROOM PROCEDURES (continued)
0016070 00D04ZZ 00RG0KZ 00XJ4ZR 01HY0MZ 021Q48A 02QW4ZZ 03140KW 037L36Z 03L34DZ 03R80KZ 03VD0DZ 041C4KH 047A35Z 04HN0DZ 04QK4ZZ 04UH0JZ 055G4ZZ 05LD4ZZ 05U107Z 06H54DZ 06S00ZZ 07130Z4 07LJ4ZZ 07VB4CZ 08NM0ZZ 08UY7KZ 0B9C0ZZ 0BTK4ZZ 0CRV0KZ 0D18874 0D1H4JH 0D9F40Z 0DMA4ZZ 0DS58ZZ 0DV10CZ 0DWD82Z 0FBF0ZX 0FT20ZZ 0HDV0ZZ 0JHS01Z 0K5T0ZZ 0KMG0ZZ 0KU00KZ 0L9B40Z 0LQT3ZZ 0LUS07Z 0MCC3ZZ 0N5Q0ZZ 0NRT3KZ 0PBH0ZZ 0PP204Z 0PRG47Z 0Q544ZZ 0QH807Z 0QP937Z 0QRK4JZ 0QU907Z 0RG407J 0RP30JZ 0RUH3KZ 0SB34ZZ 0SGL07Z 0SPF3KZ 0SRV0J9 0SWL45Z 0T9780Z 0TR67KZ 0UF77ZZ 0VPD0KZ 0W193JB 0WPC4GZ 0X320ZZ 0XUT4JZ 0YHJ41Z XRGC4R7
| 04UH0JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Open Approach |
| 04UH37Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UH3JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UH47Z | Supplement Right External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UH4JZ | Supplement Right External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UJ07Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Open Approach |
| 04UJ0JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Open Approach |
| 04UJ37Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UJ3JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Percutaneous Approach |
| 04UJ47Z | Supplement Left External Iliac Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UJ4JZ | Supplement Left External Iliac Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UK07Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UK0JZ | Supplement Right Femoral Artery with Synthetic Substitute, Open Approach |
| 04UK37Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UK3JZ | Supplement Right Femoral Artery with Synthetic Substitute, Percutaneous Approach |
| 04UK47Z | Supplement Right Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UK4JZ | Supplement Right Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UL07Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Open Approach |
| 04UL0JZ | Supplement Left Femoral Artery with Synthetic Substitute, Open Approach |
| 04UL37Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UL3JZ | Supplement Left Femoral Artery with Synthetic Substitute, Percutaneous Approach |
| 04UL47Z | Supplement Left Femoral Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UL4JZ | Supplement Left Femoral Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UM07Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UM0JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Open Approach |
| 04UM37Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UM3JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UM47Z | Supplement Right Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UM4JZ | Supplement Right Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UN07Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Open Approach |
| 04UN0JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Open Approach |
| 04UN37Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UN3JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UN47Z | Supplement Left Popliteal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UN4JZ | Supplement Left Popliteal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UP07Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UP0JZ | Supplement Right Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04UP37Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UP3JZ | Supplement Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04UP47Z | Supplement Right Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UP4JZ | Supplement Right Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UQ07Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UQ0JZ | Supplement Left Anterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04UQ37Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UQ3JZ | Supplement Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04UQ47Z | Supplement Left Anterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UQ4JZ | Supplement Left Anterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UR07Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04UR0JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04UR37Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UR3JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04UR47Z | Supplement Right Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UR4JZ | Supplement Right Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04US07Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Open Approach |
| 04US0JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Open Approach |
| 04US37Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04US3JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Approach |
| 04US47Z | Supplement Left Posterior Tibial Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04US4JZ | Supplement Left Posterior Tibial Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UT07Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UT0JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Open Approach |
| 04UT37Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UT3JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UT47Z | Supplement Right Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UT4JZ | Supplement Right Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UU07Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Open Approach |
| 04UU0JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Open Approach |
| 04UU37Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UU3JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Approach |
| 04UU47Z | Supplement Left Peroneal Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UU4JZ | Supplement Left Peroneal Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UV07Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UV0JZ | Supplement Right Foot Artery with Synthetic Substitute, Open Approach |
| 04UV37Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UV3JZ | Supplement Right Foot Artery with Synthetic Substitute, Percutaneous Approach |
| 04UV47Z | Supplement Right Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UV4JZ | Supplement Right Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UW07Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Open Approach |
| 04UW0JZ | Supplement Left Foot Artery with Synthetic Substitute, Open Approach |
| 04UW37Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UW3JZ | Supplement Left Foot Artery with Synthetic Substitute, Percutaneous Approach |
| 04UW47Z | Supplement Left Foot Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UW4JZ | Supplement Left Foot Artery with Synthetic Substitute, Percutaneous Endoscopic Approach |
| 04UY07Z | Supplement Lower Artery with Autologous Tissue Substitute, Open Approach |
| 04UY0JZ | Supplement Lower Artery with Synthetic Substitute, Open Approach |
| 04UY37Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Approach |
| 04UY3JZ | Supplement Lower Artery with Synthetic Substitute, Percutaneous Approach |
| 04UY47Z | Supplement Lower Artery with Autologous Tissue Substitute, Percutaneous Endoscopic Approach |
| 04UY4JZ | Supplement Lower Artery with Synthetic 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 |
| 04V00ZZ | Restriction of Abdominal Aorta, 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 |
| 04V03ZZ | Restriction of Abdominal Aorta, 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 |
| 04V04ZZ | Restriction of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04V10DZ | Restriction of Celiac Artery with Intraluminal Device, Open Approach |
| 04V10ZZ | Restriction of Celiac Artery, Open Approach |
| 04V13DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04V13ZZ | Restriction of Celiac Artery, Percutaneous Approach |
| 04V14DZ | Restriction of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V14ZZ | Restriction of Celiac Artery, Percutaneous Endoscopic Approach |
| 04V20DZ | Restriction of Gastric Artery with Intraluminal Device, Open Approach |
| 04V20ZZ | Restriction of Gastric Artery, Open Approach |
| 04V23DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04V23ZZ | Restriction of Gastric Artery, Percutaneous Approach |
| 04V24DZ | Restriction of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V24ZZ | Restriction of Gastric Artery, Percutaneous Endoscopic Approach |
| 04V30DZ | Restriction of Hepatic Artery with Intraluminal Device, Open Approach |
| 04V30ZZ | Restriction of Hepatic Artery, Open Approach |
| 04V33DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04V33ZZ | Restriction of Hepatic Artery, Percutaneous Approach |
| 04V34DZ | Restriction of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V34ZZ | Restriction of Hepatic Artery, Percutaneous Endoscopic Approach |
| 04V40DZ | Restriction of Splenic Artery with Intraluminal Device, Open Approach |
| 04V40ZZ | Restriction of Splenic Artery, Open Approach |
| 04V43DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04V43ZZ | Restriction of Splenic Artery, Percutaneous Approach |
| 04V44DZ | Restriction of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V44ZZ | Restriction of Splenic Artery, Percutaneous Endoscopic Approach |
| 04V50DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04V50ZZ | Restriction of Superior Mesenteric Artery, Open Approach |
| 04V53DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04V53ZZ | Restriction of Superior Mesenteric Artery, Percutaneous Approach |
| 04V54DZ | Restriction of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V54ZZ | Restriction of Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04V60DZ | Restriction of Right Colic Artery with Intraluminal Device, Open Approach |
| 04V60ZZ | Restriction of Right Colic Artery, Open Approach |
| 04V63DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V63ZZ | Restriction of Right Colic Artery, Percutaneous Approach |
| 04V64DZ | Restriction of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V64ZZ | Restriction of Right Colic Artery, Percutaneous Endoscopic Approach |
| 04V70DZ | Restriction of Left Colic Artery with Intraluminal Device, Open Approach |
| 04V70ZZ | Restriction of Left Colic Artery, Open Approach |
| 04V73DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V73ZZ | Restriction of Left Colic Artery, Percutaneous Approach |
| 04V74DZ | Restriction of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V74ZZ | Restriction of Left Colic Artery, Percutaneous Endoscopic Approach |
| 04V80DZ | Restriction of Middle Colic Artery with Intraluminal Device, Open Approach |
| 04V80ZZ | Restriction of Middle Colic Artery, Open Approach |
| 04V83DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04V83ZZ | Restriction of Middle Colic Artery, Percutaneous Approach |
| 04V84DZ | Restriction of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V84ZZ | Restriction of Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04V90DZ | Restriction of Right Renal Artery with Intraluminal Device, Open Approach |
| 04V90ZZ | Restriction of Right Renal Artery, Open Approach |
| 04V93DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04V93ZZ | Restriction of Right Renal Artery, Percutaneous Approach |
| 04V94DZ | Restriction of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04V94ZZ | Restriction of Right Renal Artery, Percutaneous Endoscopic Approach |
| 04VA0DZ | Restriction of Left Renal Artery with Intraluminal Device, Open Approach |
| 04VA0ZZ | Restriction of Left Renal Artery, Open Approach |
| 04VA3DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04VA3ZZ | Restriction of Left Renal Artery, Percutaneous Approach |
| 04VA4DZ | Restriction of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VA4ZZ | Restriction of Left Renal Artery, Percutaneous Endoscopic Approach |
| 04VB0DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04VB0ZZ | Restriction of Inferior Mesenteric Artery, Open Approach |
| 04VB3DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04VB3ZZ | Restriction of Inferior Mesenteric Artery, Percutaneous Approach |
| 04VB4DZ | Restriction of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VB4ZZ | Restriction of Inferior Mesenteric Artery, 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 |
| 04VC0ZZ | Restriction of Right Common Iliac Artery, 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 |
| 04VC3ZZ | Restriction of Right Common Iliac Artery, 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 |
| 04VC4ZZ | Restriction of Right Common Iliac Artery, 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 |
| 04VD0ZZ | Restriction of Left Common Iliac Artery, 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 |
| 04VD3ZZ | Restriction of Left Common Iliac Artery, 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 |
| 04VD4ZZ | Restriction of Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04VE0DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VE0ZZ | Restriction of Right Internal Iliac Artery, Open Approach |
| 04VE3DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VE3ZZ | Restriction of Right Internal Iliac Artery, Percutaneous Approach |
| 04VE4DZ | Restriction of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VE4ZZ | Restriction of Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04VF0DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04VF0ZZ | Restriction of Left Internal Iliac Artery, Open Approach |
| 04VF3DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VF3ZZ | Restriction of Left Internal Iliac Artery, Percutaneous Approach |
| 04VF4DZ | Restriction of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VF4ZZ | Restriction of Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04VH0DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Open Approach |
| 04VH0ZZ | Restriction of Right External Iliac Artery, Open Approach |
| 04VH3DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VH3ZZ | Restriction of Right External Iliac Artery, Percutaneous Approach |
| 04VH4DZ | Restriction of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VH4ZZ | Restriction of Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04VJ0DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Open Approach |
| 04VJ0ZZ | Restriction of Left External Iliac Artery, Open Approach |
| 04VJ3DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04VJ3ZZ | Restriction of Left External Iliac Artery, Percutaneous Approach |
| 04VJ4DZ | Restriction of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VJ4ZZ | Restriction of Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04VK0DZ | Restriction of Right Femoral Artery with Intraluminal Device, Open Approach |
| 04VK0ZZ | Restriction of Right Femoral Artery, Open Approach |
| 04VK3DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VK3ZZ | Restriction of Right Femoral Artery, Percutaneous Approach |
| 04VK4DZ | Restriction of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VK4ZZ | Restriction of Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04VL0DZ | Restriction of Left Femoral Artery with Intraluminal Device, Open Approach |
| 04VL0ZZ | Restriction of Left Femoral Artery, Open Approach |
| 04VL3DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04VL3ZZ | Restriction of Left Femoral Artery, Percutaneous Approach |
| 04VL4DZ | Restriction of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VL4ZZ | Restriction of Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04VM0DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Open Approach |
| 04VM0ZZ | Restriction of Right Popliteal Artery, Open Approach |
| 04VM3DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VM3ZZ | Restriction of Right Popliteal Artery, Percutaneous Approach |
| 04VM4DZ | Restriction of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VM4ZZ | Restriction of Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04VN0DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Open Approach |
| 04VN0ZZ | Restriction of Left Popliteal Artery, Open Approach |
| 04VN3DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04VN3ZZ | Restriction of Left Popliteal Artery, Percutaneous Approach |
| 04VN4DZ | Restriction of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VN4ZZ | Restriction of Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04VP0DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VP0ZZ | Restriction of Right Anterior Tibial Artery, Open Approach |
| 04VP3DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VP3ZZ | Restriction of Right Anterior Tibial Artery, Percutaneous Approach |
| 04VP4DZ | Restriction of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VP4ZZ | Restriction of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VQ0DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VQ0ZZ | Restriction of Left Anterior Tibial Artery, Open Approach |
| 04VQ3DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VQ3ZZ | Restriction of Left Anterior Tibial Artery, Percutaneous Approach |
| 04VQ4DZ | Restriction of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VQ4ZZ | Restriction of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VR0DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VR0ZZ | Restriction of Right Posterior Tibial Artery, Open Approach |
| 04VR3DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VR3ZZ | Restriction of Right Posterior Tibial Artery, Percutaneous Approach |
| 04VR4DZ | Restriction of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VR4ZZ | Restriction of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VS0DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04VS0ZZ | Restriction of Left Posterior Tibial Artery, Open Approach |
| 04VS3DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04VS3ZZ | Restriction of Left Posterior Tibial Artery, Percutaneous Approach |
| 04VS4DZ | Restriction of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VS4ZZ | Restriction of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04VT0DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Open Approach |
| 04VT0ZZ | Restriction of Right Peroneal Artery, Open Approach |
| 04VT3DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VT3ZZ | Restriction of Right Peroneal Artery, Percutaneous Approach |
| 04VT4DZ | Restriction of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VT4ZZ | Restriction of Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04VU0DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Open Approach |
| 04VU0ZZ | Restriction of Left Peroneal Artery, Open Approach |
| 04VU3DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04VU3ZZ | Restriction of Left Peroneal Artery, Percutaneous Approach |
| 04VU4DZ | Restriction of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VU4ZZ | Restriction of Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04VV0DZ | Restriction of Right Foot Artery with Intraluminal Device, Open Approach |
| 04VV0ZZ | Restriction of Right Foot Artery, Open Approach |
| 04VV3DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VV3ZZ | Restriction of Right Foot Artery, Percutaneous Approach |
| 04VV4DZ | Restriction of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VV4ZZ | Restriction of Right Foot Artery, Percutaneous Endoscopic Approach |
| 04VW0DZ | Restriction of Left Foot Artery with Intraluminal Device, Open Approach |
| 04VW0ZZ | Restriction of Left Foot Artery, Open Approach |
| 04VW3DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04VW3ZZ | Restriction of Left Foot Artery, Percutaneous Approach |
| 04VW4DZ | Restriction of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VW4ZZ | Restriction of Left Foot Artery, Percutaneous Endoscopic Approach |
| 04VY0DZ | Restriction of Lower Artery with Intraluminal Device, Open Approach |
| 04VY0ZZ | Restriction of Lower Artery, Open Approach |
| 04VY3DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Approach |
| 04VY3ZZ | Restriction of Lower Artery, Percutaneous Approach |
| 04VY4DZ | Restriction of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04VY4ZZ | Restriction of Lower Artery, 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 |
| 05570ZZ | Destruction of Right Axillary Vein, Open Approach |
| 05573ZZ | Destruction of Right Axillary Vein, Percutaneous Approach |
| 05574ZZ | Destruction of Right Axillary Vein, Percutaneous Endoscopic Approach |
| 05580ZZ | Destruction of Left Axillary Vein, Open Approach |
| 05583ZZ | Destruction of Left Axillary Vein, Percutaneous Approach |
| 05584ZZ | Destruction of Left Axillary Vein, Percutaneous Endoscopic Approach |
| 05590ZZ | Destruction of Right Brachial Vein, Open Approach |
| 05593ZZ | Destruction of Right Brachial Vein, Percutaneous Approach |
| 05594ZZ | Destruction of Right Brachial Vein, Percutaneous Endoscopic Approach |
| 055A0ZZ | Destruction of Left Brachial Vein, Open Approach |
| 055A3ZZ | Destruction of Left Brachial Vein, Percutaneous Approach |
| 055A4ZZ | Destruction of Left Brachial Vein, Percutaneous Endoscopic Approach |
| 055B0ZZ | Destruction of Right Basilic Vein, Open Approach |
| 055B3ZZ | Destruction of Right Basilic Vein, Percutaneous Approach |
| 055B4ZZ | Destruction of Right Basilic Vein, Percutaneous Endoscopic Approach |
| 055C0ZZ | Destruction of Left Basilic Vein, Open Approach |
| 055C3ZZ | Destruction of Left Basilic Vein, Percutaneous Approach |
| 055C4ZZ | Destruction of Left Basilic Vein, Percutaneous Endoscopic Approach |
| 055D0ZZ | Destruction of Right Cephalic Vein, Open Approach |
| 055D3ZZ | Destruction of Right Cephalic Vein, Percutaneous Approach |
| 055D4ZZ | Destruction of Right Cephalic Vein, Percutaneous Endoscopic Approach |
| 055F0ZZ | Destruction of Left Cephalic Vein, Open Approach |
| 055F3ZZ | Destruction of Left Cephalic Vein, Percutaneous Approach |
| 055F4ZZ | Destruction of Left Cephalic Vein, Percutaneous Endoscopic Approach |
| 055G0ZZ | Destruction of Right Hand Vein, Open Approach |
| 055G3ZZ | Destruction of Right Hand Vein, Percutaneous Approach |
| | |
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Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244 28 Jan 2026 12:38:39 CMS, code-revision=378, description-revision=1466 |