ICD-10-CM/PCS MS-DRG v43.1 Definitions Manual |
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| MDC 24 Multiple Significant Trauma |
| Other O.R. Procedures for Multiple Significant Trauma |
| Page 11 of 54 |
OPERATING ROOM PROCEDURES (continued)
0016070 00RF07Z 00XK4ZP 01R44JZ 021V49U 02VW3EZ 037N47Z 03LD4ZZ 03U707Z 04753D1 04H20DZ 04PY4DZ 04UB37Z 05H93DZ 05SG0ZZ 06L74ZZ 06UP07Z 08BP0ZZ 08TY8ZZ 09T14ZZ 0BTT4ZZ 0CU707Z 0D1A874 0DLQ0ZZ 0DU68JZ 0F790ZZ 0FS60ZZ 0HHW7NZ 0J8H3ZZ 0K864ZZ 0KR74KZ 0LBL3ZZ 0M5H4ZZ 0MRQ07Z 0NSH04Z 0PC40ZZ 0PPF05Z 0PSD0BZ 0Q5C0ZZ 0QHL44Z 0QRS0KZ 0R530ZZ 0RGA0A0 0RN43ZZ 0RTW0ZZ 0SB24ZZ 0SH704Z 0SU24JZ 0TB43ZZ 0TV74ZZ 0VLQ0DZ 0W110JJ 0WWQ73Z 0Y6H0Z3
| 04H20DZ | Insertion of Intraluminal Device into Gastric Artery, Open Approach |
| 04H23DZ | Insertion of Intraluminal Device into Gastric Artery, Percutaneous Approach |
| 04H24DZ | Insertion of Intraluminal Device into Gastric Artery, Percutaneous Endoscopic Approach |
| 04H30DZ | Insertion of Intraluminal Device into Hepatic Artery, Open Approach |
| 04H33DZ | Insertion of Intraluminal Device into Hepatic Artery, Percutaneous Approach |
| 04H34DZ | Insertion of Intraluminal Device into Hepatic Artery, Percutaneous Endoscopic Approach |
| 04H40DZ | Insertion of Intraluminal Device into Splenic Artery, Open Approach |
| 04H43DZ | Insertion of Intraluminal Device into Splenic Artery, Percutaneous Approach |
| 04H44DZ | Insertion of Intraluminal Device into Splenic Artery, Percutaneous Endoscopic Approach |
| 04H50DZ | Insertion of Intraluminal Device into Superior Mesenteric Artery, Open Approach |
| 04H53DZ | Insertion of Intraluminal Device into Superior Mesenteric Artery, Percutaneous Approach |
| 04H54DZ | Insertion of Intraluminal Device into Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04H60DZ | Insertion of Intraluminal Device into Right Colic Artery, Open Approach |
| 04H63DZ | Insertion of Intraluminal Device into Right Colic Artery, Percutaneous Approach |
| 04H64DZ | Insertion of Intraluminal Device into Right Colic Artery, Percutaneous Endoscopic Approach |
| 04H70DZ | Insertion of Intraluminal Device into Left Colic Artery, Open Approach |
| 04H73DZ | Insertion of Intraluminal Device into Left Colic Artery, Percutaneous Approach |
| 04H74DZ | Insertion of Intraluminal Device into Left Colic Artery, Percutaneous Endoscopic Approach |
| 04H80DZ | Insertion of Intraluminal Device into Middle Colic Artery, Open Approach |
| 04H83DZ | Insertion of Intraluminal Device into Middle Colic Artery, Percutaneous Approach |
| 04H84DZ | Insertion of Intraluminal Device into Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04H90DZ | Insertion of Intraluminal Device into Right Renal Artery, Open Approach |
| 04H93DZ | Insertion of Intraluminal Device into Right Renal Artery, Percutaneous Approach |
| 04H94DZ | Insertion of Intraluminal Device into Right Renal Artery, Percutaneous Endoscopic Approach |
| 04HA0DZ | Insertion of Intraluminal Device into Left Renal Artery, Open Approach |
| 04HA3DZ | Insertion of Intraluminal Device into Left Renal Artery, Percutaneous Approach |
| 04HA4DZ | Insertion of Intraluminal Device into Left Renal Artery, Percutaneous Endoscopic Approach |
| 04HB0DZ | Insertion of Intraluminal Device into Inferior Mesenteric Artery, Open Approach |
| 04HB3DZ | Insertion of Intraluminal Device into Inferior Mesenteric Artery, Percutaneous Approach |
| 04HB4DZ | Insertion of Intraluminal Device into Inferior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04HC0DZ | Insertion of Intraluminal Device into Right Common Iliac Artery, Open Approach |
| 04HC3DZ | Insertion of Intraluminal Device into Right Common Iliac Artery, Percutaneous Approach |
| 04HC4DZ | Insertion of Intraluminal Device into Right Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04HD0DZ | Insertion of Intraluminal Device into Left Common Iliac Artery, Open Approach |
| 04HD3DZ | Insertion of Intraluminal Device into Left Common Iliac Artery, Percutaneous Approach |
| 04HD4DZ | Insertion of Intraluminal Device into Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04HE0DZ | Insertion of Intraluminal Device into Right Internal Iliac Artery, Open Approach |
| 04HE3DZ | Insertion of Intraluminal Device into Right Internal Iliac Artery, Percutaneous Approach |
| 04HE4DZ | Insertion of Intraluminal Device into Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04HF0DZ | Insertion of Intraluminal Device into Left Internal Iliac Artery, Open Approach |
| 04HF3DZ | Insertion of Intraluminal Device into Left Internal Iliac Artery, Percutaneous Approach |
| 04HF4DZ | Insertion of Intraluminal Device into Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04HH0DZ | Insertion of Intraluminal Device into Right External Iliac Artery, Open Approach |
| 04HH3DZ | Insertion of Intraluminal Device into Right External Iliac Artery, Percutaneous Approach |
| 04HH4DZ | Insertion of Intraluminal Device into Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04HJ0DZ | Insertion of Intraluminal Device into Left External Iliac Artery, Open Approach |
| 04HJ3DZ | Insertion of Intraluminal Device into Left External Iliac Artery, Percutaneous Approach |
| 04HJ4DZ | Insertion of Intraluminal Device into Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04HK0DZ | Insertion of Intraluminal Device into Right Femoral Artery, Open Approach |
| 04HK3DZ | Insertion of Intraluminal Device into Right Femoral Artery, Percutaneous Approach |
| 04HK4DZ | Insertion of Intraluminal Device into Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04HL0DZ | Insertion of Intraluminal Device into Left Femoral Artery, Open Approach |
| 04HL3DZ | Insertion of Intraluminal Device into Left Femoral Artery, Percutaneous Approach |
| 04HL4DZ | Insertion of Intraluminal Device into Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04HM0DZ | Insertion of Intraluminal Device into Right Popliteal Artery, Open Approach |
| 04HM3DZ | Insertion of Intraluminal Device into Right Popliteal Artery, Percutaneous Approach |
| 04HM4DZ | Insertion of Intraluminal Device into Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04HN0DZ | Insertion of Intraluminal Device into Left Popliteal Artery, Open Approach |
| 04HN3DZ | Insertion of Intraluminal Device into Left Popliteal Artery, Percutaneous Approach |
| 04HN4DZ | Insertion of Intraluminal Device into Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04HP0DZ | Insertion of Intraluminal Device into Right Anterior Tibial Artery, Open Approach |
| 04HP3DZ | Insertion of Intraluminal Device into Right Anterior Tibial Artery, Percutaneous Approach |
| 04HP4DZ | Insertion of Intraluminal Device into Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04HQ0DZ | Insertion of Intraluminal Device into Left Anterior Tibial Artery, Open Approach |
| 04HQ3DZ | Insertion of Intraluminal Device into Left Anterior Tibial Artery, Percutaneous Approach |
| 04HQ4DZ | Insertion of Intraluminal Device into Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04HR0DZ | Insertion of Intraluminal Device into Right Posterior Tibial Artery, Open Approach |
| 04HR3DZ | Insertion of Intraluminal Device into Right Posterior Tibial Artery, Percutaneous Approach |
| 04HR4DZ | Insertion of Intraluminal Device into Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04HS0DZ | Insertion of Intraluminal Device into Left Posterior Tibial Artery, Open Approach |
| 04HS3DZ | Insertion of Intraluminal Device into Left Posterior Tibial Artery, Percutaneous Approach |
| 04HS4DZ | Insertion of Intraluminal Device into Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04HT0DZ | Insertion of Intraluminal Device into Right Peroneal Artery, Open Approach |
| 04HT3DZ | Insertion of Intraluminal Device into Right Peroneal Artery, Percutaneous Approach |
| 04HT4DZ | Insertion of Intraluminal Device into Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04HU0DZ | Insertion of Intraluminal Device into Left Peroneal Artery, Open Approach |
| 04HU3DZ | Insertion of Intraluminal Device into Left Peroneal Artery, Percutaneous Approach |
| 04HU4DZ | Insertion of Intraluminal Device into Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04HV0DZ | Insertion of Intraluminal Device into Right Foot Artery, Open Approach |
| 04HV3DZ | Insertion of Intraluminal Device into Right Foot Artery, Percutaneous Approach |
| 04HV4DZ | Insertion of Intraluminal Device into Right Foot Artery, Percutaneous Endoscopic Approach |
| 04HW0DZ | Insertion of Intraluminal Device into Left Foot Artery, Open Approach |
| 04HW3DZ | Insertion of Intraluminal Device into Left Foot Artery, Percutaneous Approach |
| 04HW4DZ | Insertion of Intraluminal Device into Left Foot Artery, Percutaneous Endoscopic Approach |
| 04HY02Z | Insertion of Monitoring Device into Lower Artery, Open Approach |
| 04HY0DZ | Insertion of Intraluminal Device into Lower Artery, Open Approach |
| 04HY0YZ | Insertion of Other Device into Lower Artery, Open Approach |
| 04HY3DZ | Insertion of Intraluminal Device into Lower Artery, Percutaneous Approach |
| 04HY42Z | Insertion of Monitoring Device into Lower Artery, Percutaneous Endoscopic Approach |
| 04HY4DZ | Insertion of Intraluminal Device into Lower Artery, Percutaneous Endoscopic Approach |
| 04L00CZ | Occlusion of Abdominal Aorta with Extraluminal Device, Open Approach |
| 04L00DJ | Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Open Approach |
| 04L00DZ | Occlusion of Abdominal Aorta with Intraluminal Device, Open Approach |
| 04L00ZZ | Occlusion of Abdominal Aorta, Open Approach |
| 04L03CZ | Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Approach |
| 04L03DJ | Occlusion of Abdominal Aorta with Intraluminal Device, Temporary, Percutaneous Approach |
| 04L03DZ | Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Approach |
| 04L03ZZ | Occlusion of Abdominal Aorta, Percutaneous Approach |
| 04L04CZ | Occlusion of Abdominal Aorta with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L04DZ | Occlusion of Abdominal Aorta with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L04ZZ | Occlusion of Abdominal Aorta, Percutaneous Endoscopic Approach |
| 04L10CZ | Occlusion of Celiac Artery with Extraluminal Device, Open Approach |
| 04L10DZ | Occlusion of Celiac Artery with Intraluminal Device, Open Approach |
| 04L10ZZ | Occlusion of Celiac Artery, Open Approach |
| 04L13CZ | Occlusion of Celiac Artery with Extraluminal Device, Percutaneous Approach |
| 04L13DZ | Occlusion of Celiac Artery with Intraluminal Device, Percutaneous Approach |
| 04L13ZZ | Occlusion of Celiac Artery, Percutaneous Approach |
| 04L14CZ | Occlusion of Celiac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L14DZ | Occlusion of Celiac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L14ZZ | Occlusion of Celiac Artery, Percutaneous Endoscopic Approach |
| 04L20CZ | Occlusion of Gastric Artery with Extraluminal Device, Open Approach |
| 04L20DZ | Occlusion of Gastric Artery with Intraluminal Device, Open Approach |
| 04L20ZZ | Occlusion of Gastric Artery, Open Approach |
| 04L23CZ | Occlusion of Gastric Artery with Extraluminal Device, Percutaneous Approach |
| 04L23DZ | Occlusion of Gastric Artery with Intraluminal Device, Percutaneous Approach |
| 04L23ZZ | Occlusion of Gastric Artery, Percutaneous Approach |
| 04L24CZ | Occlusion of Gastric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L24DZ | Occlusion of Gastric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L24ZZ | Occlusion of Gastric Artery, Percutaneous Endoscopic Approach |
| 04L30CZ | Occlusion of Hepatic Artery with Extraluminal Device, Open Approach |
| 04L30DZ | Occlusion of Hepatic Artery with Intraluminal Device, Open Approach |
| 04L30ZZ | Occlusion of Hepatic Artery, Open Approach |
| 04L33CZ | Occlusion of Hepatic Artery with Extraluminal Device, Percutaneous Approach |
| 04L33DZ | Occlusion of Hepatic Artery with Intraluminal Device, Percutaneous Approach |
| 04L33ZZ | Occlusion of Hepatic Artery, Percutaneous Approach |
| 04L34CZ | Occlusion of Hepatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L34DZ | Occlusion of Hepatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L34ZZ | Occlusion of Hepatic Artery, Percutaneous Endoscopic Approach |
| 04L40CZ | Occlusion of Splenic Artery with Extraluminal Device, Open Approach |
| 04L40DZ | Occlusion of Splenic Artery with Intraluminal Device, Open Approach |
| 04L40ZZ | Occlusion of Splenic Artery, Open Approach |
| 04L43CZ | Occlusion of Splenic Artery with Extraluminal Device, Percutaneous Approach |
| 04L43DZ | Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Approach |
| 04L43ZZ | Occlusion of Splenic Artery, Percutaneous Approach |
| 04L44CZ | Occlusion of Splenic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L44DZ | Occlusion of Splenic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L44ZZ | Occlusion of Splenic Artery, Percutaneous Endoscopic Approach |
| 04L50CZ | Occlusion of Superior Mesenteric Artery with Extraluminal Device, Open Approach |
| 04L50DZ | Occlusion of Superior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04L50ZZ | Occlusion of Superior Mesenteric Artery, Open Approach |
| 04L53CZ | Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Approach |
| 04L53DZ | Occlusion of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04L53ZZ | Occlusion of Superior Mesenteric Artery, Percutaneous Approach |
| 04L54CZ | Occlusion of Superior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L54DZ | Occlusion of Superior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L54ZZ | Occlusion of Superior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04L60CZ | Occlusion of Right Colic Artery with Extraluminal Device, Open Approach |
| 04L60DZ | Occlusion of Right Colic Artery with Intraluminal Device, Open Approach |
| 04L60ZZ | Occlusion of Right Colic Artery, Open Approach |
| 04L63CZ | Occlusion of Right Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04L63DZ | Occlusion of Right Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04L63ZZ | Occlusion of Right Colic Artery, Percutaneous Approach |
| 04L64CZ | Occlusion of Right Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L64DZ | Occlusion of Right Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L64ZZ | Occlusion of Right Colic Artery, Percutaneous Endoscopic Approach |
| 04L70CZ | Occlusion of Left Colic Artery with Extraluminal Device, Open Approach |
| 04L70DZ | Occlusion of Left Colic Artery with Intraluminal Device, Open Approach |
| 04L70ZZ | Occlusion of Left Colic Artery, Open Approach |
| 04L73CZ | Occlusion of Left Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04L73DZ | Occlusion of Left Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04L73ZZ | Occlusion of Left Colic Artery, Percutaneous Approach |
| 04L74CZ | Occlusion of Left Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L74DZ | Occlusion of Left Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L74ZZ | Occlusion of Left Colic Artery, Percutaneous Endoscopic Approach |
| 04L80CZ | Occlusion of Middle Colic Artery with Extraluminal Device, Open Approach |
| 04L80DZ | Occlusion of Middle Colic Artery with Intraluminal Device, Open Approach |
| 04L80ZZ | Occlusion of Middle Colic Artery, Open Approach |
| 04L83CZ | Occlusion of Middle Colic Artery with Extraluminal Device, Percutaneous Approach |
| 04L83DZ | Occlusion of Middle Colic Artery with Intraluminal Device, Percutaneous Approach |
| 04L83ZZ | Occlusion of Middle Colic Artery, Percutaneous Approach |
| 04L84CZ | Occlusion of Middle Colic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L84DZ | Occlusion of Middle Colic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L84ZZ | Occlusion of Middle Colic Artery, Percutaneous Endoscopic Approach |
| 04L90CZ | Occlusion of Right Renal Artery with Extraluminal Device, Open Approach |
| 04L90DZ | Occlusion of Right Renal Artery with Intraluminal Device, Open Approach |
| 04L90ZZ | Occlusion of Right Renal Artery, Open Approach |
| 04L93CZ | Occlusion of Right Renal Artery with Extraluminal Device, Percutaneous Approach |
| 04L93DZ | Occlusion of Right Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04L93ZZ | Occlusion of Right Renal Artery, Percutaneous Approach |
| 04L94CZ | Occlusion of Right Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04L94DZ | Occlusion of Right Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04L94ZZ | Occlusion of Right Renal Artery, Percutaneous Endoscopic Approach |
| 04LA0CZ | Occlusion of Left Renal Artery with Extraluminal Device, Open Approach |
| 04LA0DZ | Occlusion of Left Renal Artery with Intraluminal Device, Open Approach |
| 04LA0ZZ | Occlusion of Left Renal Artery, Open Approach |
| 04LA3CZ | Occlusion of Left Renal Artery with Extraluminal Device, Percutaneous Approach |
| 04LA3DZ | Occlusion of Left Renal Artery with Intraluminal Device, Percutaneous Approach |
| 04LA3ZZ | Occlusion of Left Renal Artery, Percutaneous Approach |
| 04LA4CZ | Occlusion of Left Renal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LA4DZ | Occlusion of Left Renal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LA4ZZ | Occlusion of Left Renal Artery, Percutaneous Endoscopic Approach |
| 04LB0CZ | Occlusion of Inferior Mesenteric Artery with Extraluminal Device, Open Approach |
| 04LB0DZ | Occlusion of Inferior Mesenteric Artery with Intraluminal Device, Open Approach |
| 04LB0ZZ | Occlusion of Inferior Mesenteric Artery, Open Approach |
| 04LB3CZ | Occlusion of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Approach |
| 04LB3DZ | Occlusion of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Approach |
| 04LB3ZZ | Occlusion of Inferior Mesenteric Artery, Percutaneous Approach |
| 04LB4CZ | Occlusion of Inferior Mesenteric Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LB4DZ | Occlusion of Inferior Mesenteric Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LB4ZZ | Occlusion of Inferior Mesenteric Artery, Percutaneous Endoscopic Approach |
| 04LC0CZ | Occlusion of Right Common Iliac Artery with Extraluminal Device, Open Approach |
| 04LC0DZ | Occlusion of Right Common Iliac Artery with Intraluminal Device, Open Approach |
| 04LC0ZZ | Occlusion of Right Common Iliac Artery, Open Approach |
| 04LC3CZ | Occlusion of Right Common Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04LC3DZ | Occlusion of Right Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04LC3ZZ | Occlusion of Right Common Iliac Artery, Percutaneous Approach |
| 04LC4CZ | Occlusion of Right Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LC4DZ | Occlusion of Right Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LC4ZZ | Occlusion of Right Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04LD0CZ | Occlusion of Left Common Iliac Artery with Extraluminal Device, Open Approach |
| 04LD0DZ | Occlusion of Left Common Iliac Artery with Intraluminal Device, Open Approach |
| 04LD0ZZ | Occlusion of Left Common Iliac Artery, Open Approach |
| 04LD3CZ | Occlusion of Left Common Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04LD3DZ | Occlusion of Left Common Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04LD3ZZ | Occlusion of Left Common Iliac Artery, Percutaneous Approach |
| 04LD4CZ | Occlusion of Left Common Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LD4DZ | Occlusion of Left Common Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LD4ZZ | Occlusion of Left Common Iliac Artery, Percutaneous Endoscopic Approach |
| 04LE0CV | Occlusion of Right Prostatic Artery with Extraluminal Device, Open Approach |
| 04LE0CZ | Occlusion of Right Internal Iliac Artery with Extraluminal Device, Open Approach |
| 04LE0DV | Occlusion of Right Prostatic Artery with Intraluminal Device, Open Approach |
| 04LE0DZ | Occlusion of Right Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04LE0ZV | Occlusion of Right Prostatic Artery, Open Approach |
| 04LE0ZZ | Occlusion of Right Internal Iliac Artery, Open Approach |
| 04LE3CV | Occlusion of Right Prostatic Artery with Extraluminal Device, Percutaneous Approach |
| 04LE3CZ | Occlusion of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04LE3DV | Occlusion of Right Prostatic Artery with Intraluminal Device, Percutaneous Approach |
| 04LE3DZ | Occlusion of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04LE3ZV | Occlusion of Right Prostatic Artery, Percutaneous Approach |
| 04LE3ZZ | Occlusion of Right Internal Iliac Artery, Percutaneous Approach |
| 04LE4CV | Occlusion of Right Prostatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LE4CZ | Occlusion of Right Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LE4DV | Occlusion of Right Prostatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LE4DZ | Occlusion of Right Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LE4ZV | Occlusion of Right Prostatic Artery, Percutaneous Endoscopic Approach |
| 04LE4ZZ | Occlusion of Right Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04LF0CW | Occlusion of Left Prostatic Artery with Extraluminal Device, Open Approach |
| 04LF0CZ | Occlusion of Left Internal Iliac Artery with Extraluminal Device, Open Approach |
| 04LF0DW | Occlusion of Left Prostatic Artery with Intraluminal Device, Open Approach |
| 04LF0DZ | Occlusion of Left Internal Iliac Artery with Intraluminal Device, Open Approach |
| 04LF0ZW | Occlusion of Left Prostatic Artery, Open Approach |
| 04LF0ZZ | Occlusion of Left Internal Iliac Artery, Open Approach |
| 04LF3CW | Occlusion of Left Prostatic Artery with Extraluminal Device, Percutaneous Approach |
| 04LF3CZ | Occlusion of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04LF3DW | Occlusion of Left Prostatic Artery with Intraluminal Device, Percutaneous Approach |
| 04LF3DZ | Occlusion of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04LF3ZW | Occlusion of Left Prostatic Artery, Percutaneous Approach |
| 04LF3ZZ | Occlusion of Left Internal Iliac Artery, Percutaneous Approach |
| 04LF4CW | Occlusion of Left Prostatic Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LF4CZ | Occlusion of Left Internal Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LF4DW | Occlusion of Left Prostatic Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LF4DZ | Occlusion of Left Internal Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LF4ZW | Occlusion of Left Prostatic Artery, Percutaneous Endoscopic Approach |
| 04LF4ZZ | Occlusion of Left Internal Iliac Artery, Percutaneous Endoscopic Approach |
| 04LH0CZ | Occlusion of Right External Iliac Artery with Extraluminal Device, Open Approach |
| 04LH0DZ | Occlusion of Right External Iliac Artery with Intraluminal Device, Open Approach |
| 04LH0ZZ | Occlusion of Right External Iliac Artery, Open Approach |
| 04LH3CZ | Occlusion of Right External Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04LH3DZ | Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04LH3ZZ | Occlusion of Right External Iliac Artery, Percutaneous Approach |
| 04LH4CZ | Occlusion of Right External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LH4DZ | Occlusion of Right External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LH4ZZ | Occlusion of Right External Iliac Artery, Percutaneous Endoscopic Approach |
| 04LJ0CZ | Occlusion of Left External Iliac Artery with Extraluminal Device, Open Approach |
| 04LJ0DZ | Occlusion of Left External Iliac Artery with Intraluminal Device, Open Approach |
| 04LJ0ZZ | Occlusion of Left External Iliac Artery, Open Approach |
| 04LJ3CZ | Occlusion of Left External Iliac Artery with Extraluminal Device, Percutaneous Approach |
| 04LJ3DZ | Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Approach |
| 04LJ3ZZ | Occlusion of Left External Iliac Artery, Percutaneous Approach |
| 04LJ4CZ | Occlusion of Left External Iliac Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LJ4DZ | Occlusion of Left External Iliac Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LJ4ZZ | Occlusion of Left External Iliac Artery, Percutaneous Endoscopic Approach |
| 04LK0CZ | Occlusion of Right Femoral Artery with Extraluminal Device, Open Approach |
| 04LK0DZ | Occlusion of Right Femoral Artery with Intraluminal Device, Open Approach |
| 04LK0ZZ | Occlusion of Right Femoral Artery, Open Approach |
| 04LK3CZ | Occlusion of Right Femoral Artery with Extraluminal Device, Percutaneous Approach |
| 04LK3DZ | Occlusion of Right Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04LK3ZZ | Occlusion of Right Femoral Artery, Percutaneous Approach |
| 04LK4CZ | Occlusion of Right Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LK4DZ | Occlusion of Right Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LK4ZZ | Occlusion of Right Femoral Artery, Percutaneous Endoscopic Approach |
| 04LL0CZ | Occlusion of Left Femoral Artery with Extraluminal Device, Open Approach |
| 04LL0DZ | Occlusion of Left Femoral Artery with Intraluminal Device, Open Approach |
| 04LL0ZZ | Occlusion of Left Femoral Artery, Open Approach |
| 04LL3CZ | Occlusion of Left Femoral Artery with Extraluminal Device, Percutaneous Approach |
| 04LL3DZ | Occlusion of Left Femoral Artery with Intraluminal Device, Percutaneous Approach |
| 04LL3ZZ | Occlusion of Left Femoral Artery, Percutaneous Approach |
| 04LL4CZ | Occlusion of Left Femoral Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LL4DZ | Occlusion of Left Femoral Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LL4ZZ | Occlusion of Left Femoral Artery, Percutaneous Endoscopic Approach |
| 04LM0CZ | Occlusion of Right Popliteal Artery with Extraluminal Device, Open Approach |
| 04LM0DZ | Occlusion of Right Popliteal Artery with Intraluminal Device, Open Approach |
| 04LM0ZZ | Occlusion of Right Popliteal Artery, Open Approach |
| 04LM3CZ | Occlusion of Right Popliteal Artery with Extraluminal Device, Percutaneous Approach |
| 04LM3DZ | Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04LM3ZZ | Occlusion of Right Popliteal Artery, Percutaneous Approach |
| 04LM4CZ | Occlusion of Right Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LM4DZ | Occlusion of Right Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LM4ZZ | Occlusion of Right Popliteal Artery, Percutaneous Endoscopic Approach |
| 04LN0CZ | Occlusion of Left Popliteal Artery with Extraluminal Device, Open Approach |
| 04LN0DZ | Occlusion of Left Popliteal Artery with Intraluminal Device, Open Approach |
| 04LN0ZZ | Occlusion of Left Popliteal Artery, Open Approach |
| 04LN3CZ | Occlusion of Left Popliteal Artery with Extraluminal Device, Percutaneous Approach |
| 04LN3DZ | Occlusion of Left Popliteal Artery with Intraluminal Device, Percutaneous Approach |
| 04LN3ZZ | Occlusion of Left Popliteal Artery, Percutaneous Approach |
| 04LN4CZ | Occlusion of Left Popliteal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LN4DZ | Occlusion of Left Popliteal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LN4ZZ | Occlusion of Left Popliteal Artery, Percutaneous Endoscopic Approach |
| 04LP0CZ | Occlusion of Right Anterior Tibial Artery with Extraluminal Device, Open Approach |
| 04LP0DZ | Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04LP0ZZ | Occlusion of Right Anterior Tibial Artery, Open Approach |
| 04LP3CZ | Occlusion of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04LP3DZ | Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04LP3ZZ | Occlusion of Right Anterior Tibial Artery, Percutaneous Approach |
| 04LP4CZ | Occlusion of Right Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LP4DZ | Occlusion of Right Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LP4ZZ | Occlusion of Right Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04LQ0CZ | Occlusion of Left Anterior Tibial Artery with Extraluminal Device, Open Approach |
| 04LQ0DZ | Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Open Approach |
| 04LQ0ZZ | Occlusion of Left Anterior Tibial Artery, Open Approach |
| 04LQ3CZ | Occlusion of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04LQ3DZ | Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04LQ3ZZ | Occlusion of Left Anterior Tibial Artery, Percutaneous Approach |
| 04LQ4CZ | Occlusion of Left Anterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LQ4DZ | Occlusion of Left Anterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LQ4ZZ | Occlusion of Left Anterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04LR0CZ | Occlusion of Right Posterior Tibial Artery with Extraluminal Device, Open Approach |
| 04LR0DZ | Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04LR0ZZ | Occlusion of Right Posterior Tibial Artery, Open Approach |
| 04LR3CZ | Occlusion of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04LR3DZ | Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04LR3ZZ | Occlusion of Right Posterior Tibial Artery, Percutaneous Approach |
| 04LR4CZ | Occlusion of Right Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LR4DZ | Occlusion of Right Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LR4ZZ | Occlusion of Right Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04LS0CZ | Occlusion of Left Posterior Tibial Artery with Extraluminal Device, Open Approach |
| 04LS0DZ | Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Open Approach |
| 04LS0ZZ | Occlusion of Left Posterior Tibial Artery, Open Approach |
| 04LS3CZ | Occlusion of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Approach |
| 04LS3DZ | Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Approach |
| 04LS3ZZ | Occlusion of Left Posterior Tibial Artery, Percutaneous Approach |
| 04LS4CZ | Occlusion of Left Posterior Tibial Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LS4DZ | Occlusion of Left Posterior Tibial Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LS4ZZ | Occlusion of Left Posterior Tibial Artery, Percutaneous Endoscopic Approach |
| 04LT0CZ | Occlusion of Right Peroneal Artery with Extraluminal Device, Open Approach |
| 04LT0DZ | Occlusion of Right Peroneal Artery with Intraluminal Device, Open Approach |
| 04LT0ZZ | Occlusion of Right Peroneal Artery, Open Approach |
| 04LT3CZ | Occlusion of Right Peroneal Artery with Extraluminal Device, Percutaneous Approach |
| 04LT3DZ | Occlusion of Right Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04LT3ZZ | Occlusion of Right Peroneal Artery, Percutaneous Approach |
| 04LT4CZ | Occlusion of Right Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LT4DZ | Occlusion of Right Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LT4ZZ | Occlusion of Right Peroneal Artery, Percutaneous Endoscopic Approach |
| 04LU0CZ | Occlusion of Left Peroneal Artery with Extraluminal Device, Open Approach |
| 04LU0DZ | Occlusion of Left Peroneal Artery with Intraluminal Device, Open Approach |
| 04LU0ZZ | Occlusion of Left Peroneal Artery, Open Approach |
| 04LU3CZ | Occlusion of Left Peroneal Artery with Extraluminal Device, Percutaneous Approach |
| 04LU3DZ | Occlusion of Left Peroneal Artery with Intraluminal Device, Percutaneous Approach |
| 04LU3ZZ | Occlusion of Left Peroneal Artery, Percutaneous Approach |
| 04LU4CZ | Occlusion of Left Peroneal Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LU4DZ | Occlusion of Left Peroneal Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LU4ZZ | Occlusion of Left Peroneal Artery, Percutaneous Endoscopic Approach |
| 04LV0CZ | Occlusion of Right Foot Artery with Extraluminal Device, Open Approach |
| 04LV0DZ | Occlusion of Right Foot Artery with Intraluminal Device, Open Approach |
| 04LV0ZZ | Occlusion of Right Foot Artery, Open Approach |
| 04LV3CZ | Occlusion of Right Foot Artery with Extraluminal Device, Percutaneous Approach |
| 04LV3DZ | Occlusion of Right Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04LV3ZZ | Occlusion of Right Foot Artery, Percutaneous Approach |
| 04LV4CZ | Occlusion of Right Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LV4DZ | Occlusion of Right Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LV4ZZ | Occlusion of Right Foot Artery, Percutaneous Endoscopic Approach |
| 04LW0CZ | Occlusion of Left Foot Artery with Extraluminal Device, Open Approach |
| 04LW0DZ | Occlusion of Left Foot Artery with Intraluminal Device, Open Approach |
| 04LW0ZZ | Occlusion of Left Foot Artery, Open Approach |
| 04LW3CZ | Occlusion of Left Foot Artery with Extraluminal Device, Percutaneous Approach |
| 04LW3DZ | Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Approach |
| 04LW3ZZ | Occlusion of Left Foot Artery, Percutaneous Approach |
| 04LW4CZ | Occlusion of Left Foot Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LW4DZ | Occlusion of Left Foot Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LW4ZZ | Occlusion of Left Foot Artery, Percutaneous Endoscopic Approach |
| 04LY0CZ | Occlusion of Lower Artery with Extraluminal Device, Open Approach |
| 04LY0DZ | Occlusion of Lower Artery with Intraluminal Device, Open Approach |
| 04LY0ZZ | Occlusion of Lower Artery, Open Approach |
| 04LY3CZ | Occlusion of Lower Artery with Extraluminal Device, Percutaneous Approach |
| 04LY3DZ | Occlusion of Lower Artery with Intraluminal Device, Percutaneous Approach |
| 04LY3ZZ | Occlusion of Lower Artery, Percutaneous Approach |
| 04LY4CZ | Occlusion of Lower Artery with Extraluminal Device, Percutaneous Endoscopic Approach |
| 04LY4DZ | Occlusion of Lower Artery with Intraluminal Device, Percutaneous Endoscopic Approach |
| 04LY4ZZ | Occlusion of Lower Artery, Percutaneous Endoscopic Approach |
| 04PY00Z | Removal of Drainage Device from Lower Artery, Open Approach |
| 04PY02Z | Removal of Monitoring Device from Lower Artery, Open Approach |
| 04PY03Z | Removal of Infusion Device from Lower Artery, Open Approach |
| 04PY0CZ | Removal of Extraluminal Device from Lower Artery, Open Approach |
| 04PY0DZ | Removal of Intraluminal Device from Lower Artery, Open Approach |
| 04PY0YZ | Removal of Other Device from Lower Artery, Open Approach |
| 04PY3CZ | Removal of Extraluminal Device from Lower Artery, Percutaneous Approach |
| 04PY40Z | Removal of Drainage Device from Lower Artery, Percutaneous Endoscopic Approach |
| 04PY42Z | Removal of Monitoring Device from Lower Artery, Percutaneous Endoscopic Approach |
| 04PY43Z | Removal of Infusion Device from Lower Artery, Percutaneous Endoscopic Approach |
| 04PY4CZ | Removal of Extraluminal Device from Lower Artery, Percutaneous Endoscopic 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 |