ICD-10-CM/PCS MS-DRG v44.0 Definitions Manual

Procedure Code/MS-DRG Index

Page 88 of 402

0016070 008X4ZZ 00BR0ZZ 00KC3ZZ 00R24KZ 00W643Z 015N3ZZ 01N93ZZ 01UR0JZ 02170ZQ 02540ZZ 02BT0ZX 02NW0ZZ 02UF48J 03130JD 031K0ZK 03783ZZ 037Q3FZ 03CM3Z7 03LF0ZZ 03QB3ZZ 03U74JZ 03VP0BZ 041C0A2 041J4JJ 047034Z 04773ZZ 047F3EZ 047Q34Z 04CL0ZZ 04LA4ZZ 04QR3ZZ 04U40KZ 04WY37Z 057R3ZZ 05HM3DZ 05P03MZ 05U63KZ 061909Y 06HH3DZ 06PY43Z 06UY4JZ 071G4Z3 07B44ZX 07L94CZ 07T34ZZ 07VD4DZ 08BX3ZZ 08SL3ZZ 095B3ZZ 09RN7KZ 0B9230Z 0BM50ZZ 0BV20CZ 0CNT3ZZ 0CUM7JZ 0D160ZA 0D1A07Q 0D1E474 0D523ZZ 0DB53ZZ 0DJV4ZZ 0DPR0MZ 0DTK4ZZ 0DV64DZ 0F150Z7 0F7D3ZZ 0FN44ZZ 0FU647Z 0GBM0ZX 0HHU01Z 0HRDX74 0HXGXZZ 0JH63WZ 0JR93JZ 0JX83ZZ 0K8L4ZZ 0KBW0ZX 0KQN3ZZ 0KSQ4ZZ 0KX84Z1 0L990ZZ 0LMT0ZZ 0LT00ZZ 0M8H0ZZ 0MPY47Z 0N5C0ZZ 0NC63ZZ 0NR33KZ 0NU13KZ 0P8H3ZZ 0PBJ0ZZ 0PHK3BZ 0PPP4KZ 0PSD0CZ 0PUV37Z 0Q9F3ZX 0QCP4ZZ 0QP005Z 0QR13KZ 0QSG3CZ 0QW837Z 0RG00J0 0RGA071 0RH43DZ 0RPK37Z 0RSS0ZZ 0RW54KZ 0S5G3ZZ 0SG3371 0SGQ45Z 0SPF35Z 0SRG0KZ 0SW94JZ 0T143JD 0T18077 0T9B0ZZ 0TN37ZZ 0TT14ZZ 0U154J5 0UL70DZ 0UUK0KZ 0VNQ3ZZ 0W000KZ 0W9C0ZX 0WHP01Z 0WWC03Z 0X6J0ZC 0XUB4JZ 0Y6H0Z3 0YJ90ZZ B2140ZZ F0120ZZ X27B35B

CODE	MDC	MS-DRG	SURGICAL CATEGORY
04CL0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CL3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CL4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CM0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CM3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CM4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CN0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CN3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CN4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CP0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CP3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CP4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CQ0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CQ3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CQ4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CR0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CR3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CR4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CS0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CS3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CS4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CT0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CT3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CT4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CU0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CU3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CU4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CV0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CV3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CV4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CW0ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CW3ZZ	05	270-272	Other Major Cardiovascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CW4ZZ	05	252-254	Other Vascular Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CY0ZZ	01	037-039	Extracranial Procedures
	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CY3ZZ	01	037-039	Extracranial Procedures
	05	270-272	Other Major Cardiovascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04CY4ZZ	01	037-039	Extracranial Procedures
	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	07	423-425	Other Hepatobiliary or Pancreas O.R. Procedures
	10	628-630	Other Endocrine, Nutritional and Metabolic O.R. Procedures
	11	673-675	Other Kidney and Urinary Tract Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04FC3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FC3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FD3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FD3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FE3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FE3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FF3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FF3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FH3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FH3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FJ3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FJ3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FK3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FK3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FL3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FL3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FM3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FM3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FN3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FN3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FP3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FP3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FQ3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FQ3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FR3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FR3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FS3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FS3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FT3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FT3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FU3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FU3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FY3Z0	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04FY3ZZ	05	252-254	Other Vascular Procedures
	05	278-279	Ultrasound Accelerated and Other Thrombolysis of Peripheral Vascular Structures
04H00DZ	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H03DZ	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H04DZ	05	252-254	Other Vascular Procedures
	06	356-358	Other Digestive System O.R. Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H10DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H13DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H14DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H20DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H23DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H24DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H30DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H33DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H34DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H40DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H43DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H44DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H50DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H53DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H54DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H60DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H63DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma
04H64DZ	05	252-254	Other Vascular Procedures
	17	820-822	Lymphoma and Leukemia with Major O.R. Procedures
	17	826-828	Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures
	21	907-909	Other O.R. Procedures for Injuries
	24	957-959	Other O.R. Procedures for Multiple Significant Trauma

Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244
24 Aug 2026 15:08:56
CMS, code-revision=387, description-revision=1483